an ancova was performed with age group as a [between] [-] subjects variable ( third age , fourth age ) and gender , educational level , marital status , type of fracture , type of surgery , presence of other fractures and bmi as covariates . 0 ###LEFT-WALL### 2 ancova 0 ###LEFT-WALL### 4 performed 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 46 . 1 an 2 ancova 2 ancova 3 was 3 was 4 performed 4 performed 5 with 5 with 21 and 6 age 7 group 7 group 8 as 7 group 21 and 8 as 13 variable 9 a 13 variable 12 subjects 13 variable 13 variable 16 age 13 variable 19 age 14 ( 16 age 15 third 16 age 16 age 17 , 17 , 19 age 18 fourth 19 age 19 age 20 ) 21 and 22 gender 23 , 42 and 24 educational 28 status 25 level 26 , 25 level 28 status 27 marital 28 status 28 status 29 , 29 , 31 of 29 , 33 , 30 type 31 of 31 of 32 fracture 33 , 35 of 33 , 37 , 34 type 35 of 35 of 36 surgery 37 , 38 presence 37 , 42 and 38 presence 39 of 39 of 41 fractures 40 other 41 fractures 42 and 43 bmi 42 and 44 as 44 as 45 covariates results : patients in the third - age group obtained significantly higher values in the barthel index ( p = 0.040 ) and the tinetti mobility test ( p = 0.001 ) and lower values in the goldberg general health questionnaire ( p = 0.035 ) compared to the fourth - age group . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 33 and 2 : 51 - 2 : 54 . 3 patients 4 in 3 patients 23 and 4 in 6 third 5 the 6 third 6 third 13 values 7 - 13 values 8 age 9 group 9 group 10 obtained 10 obtained 13 values 11 significantly 12 higher 12 higher 13 values 13 values 14 in 13 values 20 = 13 values 22 ) 14 in 17 index 15 the 17 index 16 barthel 17 index 18 ( 20 = 19 p 20 = 20 = 21 0.040 20 = 22 ) 23 and 27 test 23 and 30 = 23 and 33 and 24 the 27 test 25 tinetti 26 mobility 26 mobility 27 test 28 ( 30 = 29 p 30 = 30 = 31 0.001 30 = 32 ) 33 and 35 values 33 and 36 in 33 and 47 compared 33 and 48 to 34 lower 35 values 36 in 41 questionnaire 37 the 39 general 38 goldberg 39 general 39 general 41 questionnaire 40 health 41 questionnaire 41 questionnaire 44 = 42 ( 44 = 43 p 44 = 44 = 45 0.035 44 = 46 ) 48 to 50 fourth 49 the 50 fourth 51 - 53 group 52 age 53 group when bmi was considered , significance was maintained only in the tinetti mobility test . 0 ###LEFT-WALL### 6 significance 0 ###LEFT-WALL### 8 maintained 0 ###LEFT-WALL### 15 . 1 when 2 bmi 1 when 4 considered 1 when 5 , 1 when 6 significance 2 bmi 3 was 3 was 4 considered 6 significance 7 was 7 was 8 maintained 8 maintained 9 only 9 only 10 in 10 in 14 test 11 the 14 test 12 tinetti 13 mobility 13 mobility 14 test conclusions : the bmi could be a relevant mediator of the relationship between functional [decline] and the aging process in the transition between third to fourth age in females . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 bmi 2 : 6 be 2 : 30 . 3 the 4 bmi 4 bmi 5 could 5 could 6 be 6 be 9 mediator 6 be 13 between 7 a 8 relevant 7 a 9 mediator 8 relevant 9 mediator 9 mediator 10 of 10 of 12 relationship 11 the 12 relationship 13 between 19 process 14 functional 16 and 16 and 18 aging 16 and 19 process 17 the 18 aging 19 process 20 in 19 process 25 to 20 in 22 transition 21 the 22 transition 22 transition 23 between 23 between 24 third 25 to 27 age 26 fourth 27 age 27 age 28 in 28 in 29 females the integration of frailty measures in clinical practice is crucial for the development of interventions against disabling conditions in older persons . 0 ###LEFT-WALL### 2 integration 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 22 . 1 the 2 integration 2 integration 3 of 2 integration 9 is 3 of 5 measures 4 frailty 5 measures 5 measures 6 in 6 in 8 practice 7 clinical 8 practice 9 is 10 crucial 10 crucial 11 for 10 crucial 16 against 11 for 13 development 12 the 13 development 13 development 14 of 14 of 15 interventions 16 against 17 disabling 17 disabling 18 conditions 17 disabling 19 in 19 in 21 persons 20 older 21 persons the frailty phenotype [(] proposed and validated by fried and colleagues in the cardiovascular health study ) and the frailty index [(] proposed and validated by rockwood and colleagues in the canadian study of health and aging ) represent the most known operational definitions of frailty in older persons . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 50 . 1 the 3 phenotype 2 frailty 3 phenotype 3 phenotype 6 and 3 phenotype 10 and 5 proposed 6 and 6 and 7 validated 6 and 8 by 8 by 9 fried 10 and 11 colleagues 10 and 17 ) 10 and 18 and 11 colleagues 12 in 12 in 16 study 13 the 16 study 14 cardiovascular 15 health 15 health 16 study 18 and 21 index 18 and 24 and 19 the 21 index 20 frailty 21 index 23 proposed 24 and 24 and 25 validated 24 and 26 by 24 and 30 in 24 and 41 most 24 and 44 definitions 26 by 28 and 27 rockwood 28 and 28 and 29 colleagues 30 in 32 canadian 31 the 32 canadian 32 canadian 36 and 32 canadian 39 represent 33 study 34 of 33 study 36 and 34 of 35 health 36 and 37 aging 36 and 38 ) 36 and 39 represent 40 the 41 most 42 known 44 definitions 43 operational 44 definitions 44 definitions 45 of 44 definitions 47 in 45 of 46 frailty 47 in 49 persons 48 older 49 persons unfortunately , they are often wrongly considered as alternatives [and/or] substitutables . 0 ###LEFT-WALL### 3 they 0 ###LEFT-WALL### 7 considered 0 ###LEFT-WALL### 12 . 1 unfortunately 2 , 1 unfortunately 3 they 3 they 4 are 4 are 5 often 4 are 7 considered 6 wrongly 7 considered 7 considered 8 as 7 considered 11 substitutables 8 as 9 alternatives these two instruments are indeed [very] different and [should] rather [be] [considered] as complementary . 0 ###LEFT-WALL### 3 instruments 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 15 . 1 these 2 two 2 two 3 instruments 3 instruments 4 are 4 are 5 indeed 4 are 8 and 7 different 8 and 8 and 10 rather 8 and 14 complementary 13 as 14 complementary in the present paper , we discuss about the designs and rationals of the two instruments , proposing the correct ways for having them implemented in the clinical setting . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 discuss 0 ###LEFT-WALL### 18 proposing 1 in 4 paper 1 in 5 , 1 in 6 we 2 the 4 paper 3 present 4 paper 6 we 7 discuss 7 discuss 8 about 7 discuss 18 proposing 8 about 11 and 9 the 10 designs 10 designs 11 and 11 and 12 rationals 11 and 17 , 12 rationals 13 of 13 of 16 instruments 14 the 15 two 15 two 16 instruments 18 proposing 21 ways 18 proposing 26 in 18 proposing 30 . 19 the 21 ways 20 correct 21 ways 21 ways 22 for 21 ways 25 implemented 22 for 23 having 23 having 24 them 26 in 29 setting 27 the 29 setting 28 clinical 29 setting therapeutic management of gait [and] balance impairment during aging and neurodegeneration has long been a neglected topic . 0 ###LEFT-WALL### 2 management 0 ###LEFT-WALL### 14 been 0 ###LEFT-WALL### 18 . 1 therapeutic 2 management 2 management 3 of 2 management 12 has 3 of 7 impairment 4 gait 7 impairment 6 balance 7 impairment 7 impairment 8 during 8 during 10 and 9 aging 10 and 10 and 11 neurodegeneration 12 has 14 been 13 long 14 been 14 been 17 topic 15 a 17 topic 16 neglected 17 topic the initial experience with these emerging treatments is encouraging , although much work remains to be done . 0 ###LEFT-WALL### 3 experience 0 ###LEFT-WALL### 8 is 1 the 3 experience 2 initial 3 experience 3 experience 4 with 3 experience 8 is 4 with 7 treatments 5 these 7 treatments 6 emerging 7 treatments 8 is 9 encouraging 9 encouraging 11 although 10 , 11 although 11 although 13 work 11 although 14 remains 11 although 18 . 12 much 13 work 13 work 14 remains 14 remains 15 to 15 to 16 be 16 be 17 done the objective of this narrative review is to discuss several promising developments in the field [of] gait and balance treatment . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 21 . 1 the 2 objective 2 objective 3 of 2 objective 18 and 3 of 5 narrative 4 this 5 narrative 5 narrative 6 review 5 narrative 9 discuss 6 review 7 is 7 is 8 to 7 is 9 discuss 8 to 9 discuss 9 discuss 12 developments 10 several 12 developments 11 promising 12 developments 12 developments 13 in 13 in 17 gait 14 the 17 gait 15 field 17 gait 18 and 20 treatment 19 balance 20 treatment we also address several pitfalls that can potentially hinder a fast and efficient continuation of this vital progress . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 address 0 ###LEFT-WALL### 19 . 1 we 3 address 2 also 3 address 3 address 5 pitfalls 4 several 5 pitfalls 5 pitfalls 6 that 5 pitfalls 7 can 6 that 7 can 7 can 9 hinder 8 potentially 9 hinder 9 hinder 12 and 10 a 11 fast 11 fast 12 and 12 and 14 continuation 12 and 15 of 13 efficient 14 continuation 15 of 18 progress 16 this 17 vital 17 vital 18 progress important issues that should be considered in future research include a clear differentiation between gait [and] balance as two distinctive targets for treatment and recognition of compensatory mechanisms as a separate target for therapeutic intervention . 0 ###LEFT-WALL### 2 issues 0 ###LEFT-WALL### 10 include 0 ###LEFT-WALL### 36 . 1 important 2 issues 2 issues 3 that 2 issues 4 should 2 issues 10 include 3 that 4 should 4 should 5 be 5 be 6 considered 6 considered 7 in 7 in 9 research 8 future 9 research 10 include 13 differentiation 10 include 14 between 11 a 13 differentiation 12 clear 13 differentiation 14 between 24 and 15 gait 17 balance 17 balance 18 as 17 balance 22 for 17 balance 24 and 18 as 21 targets 19 two 21 targets 20 distinctive 21 targets 22 for 23 treatment 24 and 25 recognition 25 recognition 26 of 25 recognition 29 as 26 of 28 mechanisms 27 compensatory 28 mechanisms 29 as 32 target 30 a 31 separate 30 a 32 target 31 separate 32 target 32 target 33 for 33 for 35 intervention 34 therapeutic 35 intervention gait is emerging as a powerful measurement tool in neurodegenerative disorders to identify markers of incipient pathology , inform diagnostic algorithms and disease progression , and measure the efficacy of interventions . 0 ###LEFT-WALL### 1 gait 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 32 . 1 gait 2 is 2 is 3 emerging 3 emerging 4 as 3 emerging 12 to 4 as 8 tool 5 a 8 tool 6 powerful 7 measurement 7 measurement 8 tool 8 tool 9 in 9 in 11 disorders 10 neurodegenerative 11 disorders 12 to 18 , 13 identify 14 markers 13 identify 18 , 14 markers 15 of 15 of 17 pathology 16 incipient 17 pathology 18 , 19 inform 18 , 29 efficacy 19 inform 26 and 20 diagnostic 21 algorithms 21 algorithms 22 and 22 and 24 progression 22 and 26 and 23 disease 24 progression 25 , 26 and 26 and 27 measure 28 the 29 efficacy 29 efficacy 30 of 30 of 31 interventions however , it is unclear which of the many gait outcomes is most appropriate for each of these purposes . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 20 . 1 however 2 , 1 however 3 it 3 it 4 is 4 is 5 unclear 5 unclear 6 which 6 which 7 of 6 which 12 is 7 of 11 outcomes 8 the 9 many 9 many 11 outcomes 10 gait 11 outcomes 12 is 14 appropriate 13 most 14 appropriate 14 appropriate 15 for 15 for 19 purposes 16 each 17 of 16 each 19 purposes 17 of 19 purposes 18 these 19 purposes in this review , we summarise key topics relating to gait measurement . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 summarise 0 ###LEFT-WALL### 13 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 summarise 6 summarise 8 topics 7 key 8 topics 8 topics 9 relating 9 relating 10 to 10 to 12 measurement 11 gait 12 measurement we draw on literature from parkinson 's disease , ageing , and neurodegenerative disease to address the issue of variable selection with the goal of moving toward a structured approach to measurement . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 draw 0 ###LEFT-WALL### 33 . 1 we 2 draw 2 draw 3 on 2 draw 5 from 3 on 4 literature 5 from 12 and 6 parkinson 7 's 7 's 8 disease 8 disease 9 , 9 , 10 ageing 9 , 12 and 11 , 12 and 12 and 14 disease 12 and 15 to 12 and 16 address 13 neurodegenerative 14 disease 15 to 16 address 16 address 18 issue 17 the 18 issue 18 issue 19 of 19 of 21 selection 20 variable 21 selection 21 selection 22 with 21 selection 25 of 22 with 24 goal 23 the 24 goal 25 of 26 moving 26 moving 27 toward 26 moving 31 to 27 toward 30 approach 28 a 30 approach 29 structured 30 approach 31 to 32 measurement findings from this review identify a wide range of spatiotemporal and dynamic characteristics ; however , their suitability differs according to the aim of measurement . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 5 identify 0 ###LEFT-WALL### 14 ; 0 ###LEFT-WALL### 26 . 1 findings 2 from 1 findings 5 identify 2 from 4 review 3 this 4 review 5 identify 8 range 6 a 7 wide 6 a 8 range 7 wide 8 range 8 range 9 of 9 of 13 characteristics 10 spatiotemporal 11 and 11 and 12 dynamic 11 and 13 characteristics 14 ; 18 suitability 14 ; 19 differs 15 however 16 , 15 however 18 suitability 17 their 18 suitability 18 suitability 19 differs 19 differs 21 to 20 according 21 to 21 to 23 aim 22 the 23 aim 23 aim 24 of 24 of 25 measurement gait speed is useful as a global characteristic of performance but may not capture the nature of underlying pathology . 0 ###LEFT-WALL### 2 speed 0 ###LEFT-WALL### 11 but 0 ###LEFT-WALL### 20 . 1 gait 2 speed 2 speed 11 but 3 is 4 useful 3 is 11 but 4 useful 5 as 5 as 8 characteristic 6 a 7 global 6 a 8 characteristic 7 global 8 characteristic 8 characteristic 9 of 9 of 10 performance 11 but 12 may 12 may 13 not 12 may 14 capture 14 capture 16 nature 15 the 16 nature 16 nature 17 of 17 of 18 underlying 18 underlying 19 pathology inconsistent application , reporting , and interpretation of gait outcomes currently preclude a prescriptive approach . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 12 preclude 0 ###LEFT-WALL### 16 . 1 inconsistent 2 application 2 application 3 , 3 , 4 reporting 3 , 6 and 5 , 6 and 6 and 7 interpretation 6 and 8 of 6 and 12 preclude 8 of 10 outcomes 9 gait 10 outcomes 11 currently 12 preclude 12 preclude 15 approach 13 a 14 prescriptive 13 a 15 approach 14 prescriptive 15 approach conceptual models [of] [gait] may facilitate a [reasoned] approach [to] outcome selection . 0 ###LEFT-WALL### 2 models 0 ###LEFT-WALL### 6 facilitate 0 ###LEFT-WALL### 13 . 1 conceptual 2 models 2 models 5 may 5 may 6 facilitate 6 facilitate 12 selection 7 a 12 selection 9 approach 12 selection 11 outcome 12 selection we also recommend harmonisation of protocols , longitudinal cohort studies , and use of novel technologies and methods of analysis to provide a complete picture of gait . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 recommend 0 ###LEFT-WALL### 28 . 1 we 3 recommend 2 also 3 recommend 3 recommend 4 harmonisation 4 harmonisation 5 of 5 of 12 and 6 protocols 7 , 7 , 10 studies 7 , 12 and 8 longitudinal 9 cohort 9 cohort 10 studies 11 , 12 and 12 and 27 gait 13 use 14 of 13 use 17 and 14 of 16 technologies 15 novel 16 technologies 17 and 18 methods 17 and 19 of 17 and 21 to 17 and 26 of 17 and 27 gait 19 of 20 analysis 21 to 22 provide 22 provide 25 picture 23 a 24 complete 23 a 25 picture 24 complete 25 picture 25 picture 26 of gait characteristics are " fit for purpose " when selected according to a clear rationale and in accordance with their clinimetric properties . 0 ###LEFT-WALL### 2 characteristics 0 ###LEFT-WALL### 5 fit 0 ###LEFT-WALL### 23 . 1 gait 2 characteristics 2 characteristics 3 are 3 are 4 " 3 are 5 fit 5 fit 6 for 5 fit 9 when 5 fit 11 according 5 fit 19 with 6 for 7 purpose 7 purpose 8 " 9 when 10 selected 11 according 16 and 12 to 15 rationale 12 to 16 and 13 a 14 clear 13 a 15 rationale 14 clear 15 rationale 16 and 17 in 17 in 18 accordance 19 with 22 properties 20 their 22 properties 21 clinimetric 22 properties evidence supports the use of [gait] as a biomarker of disease [and] to complement diagnosis and inform disease management . 0 ###LEFT-WALL### 1 evidence 0 ###LEFT-WALL### 2 supports 0 ###LEFT-WALL### 20 . 1 evidence 2 supports 2 supports 4 use 2 supports 13 to 3 the 4 use 4 use 5 of 5 of 7 as 7 as 9 biomarker 8 a 9 biomarker 9 biomarker 10 of 10 of 11 disease 13 to 16 and 14 complement 15 diagnosis 14 complement 16 and 16 and 17 inform 17 inform 19 management 18 disease 19 management a structured approach to measurement is urgently required to fully realise the contribution gait can [make] to our understanding of neurodegenerative disease . 0 ###LEFT-WALL### 3 approach 0 ###LEFT-WALL### 8 required 0 ###LEFT-WALL### 23 . 1 a 3 approach 2 structured 3 approach 3 approach 4 to 3 approach 6 is 4 to 5 measurement 6 is 8 required 7 urgently 8 required 8 required 9 to 8 required 11 realise 9 to 11 realise 10 fully 11 realise 11 realise 15 can 11 realise 17 to 12 the 15 can 13 contribution 15 can 14 gait 15 can 17 to 19 understanding 18 our 19 understanding 19 understanding 20 of 20 of 22 disease 21 neurodegenerative 22 disease dementia and gait impairments often coexist in older adults and patients with neurodegenerative disease . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 6 coexist 0 ###LEFT-WALL### 15 . 1 dementia 2 and 2 and 4 impairments 2 and 6 coexist 3 gait 4 impairments 5 often 6 coexist 6 coexist 7 in 6 coexist 12 with 7 in 10 and 8 older 9 adults 9 adults 10 and 10 and 11 patients 12 with 14 disease 13 neurodegenerative 14 disease both conditions represent independent risk factors [for] [falls] . 0 ###LEFT-WALL### 2 conditions 0 ###LEFT-WALL### 3 represent 0 ###LEFT-WALL### 9 . 1 both 2 conditions 2 conditions 3 represent 3 represent 6 factors 4 independent 6 factors 5 risk 6 factors the relationship between cognitive [function] and gait has recently received increasing attention . 0 ###LEFT-WALL### 2 relationship 0 ###LEFT-WALL### 10 received 0 ###LEFT-WALL### 13 . 1 the 2 relationship 2 relationship 3 between 2 relationship 8 has 3 between 6 and 4 cognitive 6 and 6 and 7 gait 8 has 10 received 9 recently 10 received 10 received 12 attention 11 increasing 12 attention gait is no longer considered merely automated motor activity but rather an activity that requires executive function [and] attention as well as judgment of external and internal cues . 0 ###LEFT-WALL### 1 gait 0 ###LEFT-WALL### 5 considered 0 ###LEFT-WALL### 29 . 1 gait 2 is 2 is 4 longer 2 is 5 considered 3 no 4 longer 5 considered 9 activity 5 considered 22 as 6 merely 7 automated 7 automated 8 motor 8 motor 9 activity 9 activity 10 but 9 activity 14 that 9 activity 15 requires 10 but 11 rather 10 but 13 activity 12 an 13 activity 14 that 15 requires 15 requires 19 attention 16 executive 17 function 17 function 19 attention 20 as 21 well 21 well 22 as 22 as 23 judgment 23 judgment 24 of 24 of 28 cues 25 external 26 and 26 and 27 internal 26 and 28 cues in this review , we intend [to] : [(] 1 [ )( [and] synthesize the experimental , neuropsychological , and neuroimaging evidence that supports the role played by cognition in the control of gait [;] [and] [(] 2 [ )(briefly discuss the implications deriving from the interplay between cognition and gait . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 intend 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 intend 6 intend 8 : 8 : 10 1 8 : 14 synthesize 10 1 14 synthesize 14 synthesize 20 and 15 the 16 experimental 16 experimental 17 , 17 , 18 neuropsychological 17 , 20 and 19 , 20 and 20 and 22 evidence 20 and 23 that 20 and 24 supports 21 neuroimaging 22 evidence 23 that 24 supports 24 supports 26 role 24 supports 28 by 25 the 26 role 26 role 27 played 28 by 29 cognition 29 cognition 30 in 29 cognition 33 of 29 cognition 38 2 29 cognition 41 discuss 30 in 32 control 31 the 32 control 33 of 34 gait 38 2 41 discuss 40 )(briefly 41 discuss 41 discuss 43 implications 41 discuss 45 from 41 discuss 48 between 42 the 43 implications 43 implications 44 deriving 45 from 47 interplay 46 the 47 interplay 48 between 50 and 49 cognition 50 and 50 and 51 gait 50 and 52 . in recent years , the dual task paradigm has been widely used as an experimental method to explore the interplay between gait [and] cognition . 0 ###LEFT-WALL### 8 paradigm 0 ###LEFT-WALL### 12 used 0 ###LEFT-WALL### 25 . 1 in 3 years 1 in 4 , 1 in 8 paradigm 2 recent 3 years 5 the 8 paradigm 6 dual 7 task 7 task 8 paradigm 8 paradigm 9 has 9 has 10 been 10 been 12 used 11 widely 12 used 12 used 13 as 12 used 17 to 12 used 18 explore 13 as 16 method 14 an 15 experimental 14 an 16 method 15 experimental 16 method 17 to 18 explore 18 explore 20 interplay 18 explore 21 between 19 the 20 interplay 21 between 24 cognition 22 gait 24 cognition several neuropsychological investigations have also demonstrated that walking relies on the use of several cognitive domains , including executive - attentional function , visuospatial abilities , and even memory resources . 0 ###LEFT-WALL### 3 investigations 0 ###LEFT-WALL### 6 demonstrated 0 ###LEFT-WALL### 20 - 1 several 3 investigations 2 neuropsychological 3 investigations 3 investigations 4 have 4 have 6 demonstrated 5 also 6 demonstrated 6 demonstrated 7 that 6 demonstrated 9 relies 7 that 8 walking 7 that 9 relies 9 relies 10 on 9 relies 18 including 10 on 12 use 11 the 12 use 12 use 13 of 13 of 16 domains 14 several 16 domains 15 cognitive 16 domains 17 , 18 including 18 including 19 executive 18 including 20 - 20 - 22 function 20 - 23 , 20 - 31 . 21 attentional 22 function 23 , 27 and 24 visuospatial 25 abilities 25 abilities 27 and 26 , 27 and 27 and 30 resources 28 even 29 memory 29 memory 30 resources a number of morphological and functional neuroimaging studies have offered additional evidence supporting the relationship [between] gait and cognitive resources . 0 ###LEFT-WALL### 8 studies 0 ###LEFT-WALL### 10 offered 0 ###LEFT-WALL### 21 . 1 a 2 number 2 number 3 of 2 number 8 studies 3 of 8 studies 4 morphological 5 and 5 and 6 functional 5 and 8 studies 7 neuroimaging 8 studies 8 studies 9 have 9 have 10 offered 10 offered 12 evidence 10 offered 18 and 11 additional 12 evidence 12 evidence 13 supporting 13 supporting 17 gait 14 the 17 gait 15 relationship 17 gait 18 and 20 resources 19 cognitive 20 resources based on the findings from 3 lines of studies , it appears that a growing body of evidence indicates a pivotal role of cognition in gait control and fall prevention . 0 ###LEFT-WALL### 11 it 0 ###LEFT-WALL### 12 appears 0 ###LEFT-WALL### 31 . 1 based 2 on 1 based 10 , 1 based 11 it 2 on 4 findings 3 the 4 findings 4 findings 5 from 4 findings 8 of 5 from 7 lines 6 3 7 lines 8 of 9 studies 11 it 12 appears 12 appears 13 that 13 that 16 body 13 that 19 indicates 14 a 16 body 15 growing 16 body 16 body 17 of 16 body 19 indicates 17 of 18 evidence 19 indicates 22 role 19 indicates 25 in 20 a 21 pivotal 20 a 22 role 21 pivotal 22 role 22 role 23 of 23 of 24 cognition 25 in 28 and 26 gait 27 control 27 control 28 and 28 and 30 prevention 29 fall 30 prevention the interplay between higher - order neural function and gait has a number of clinical implications , ranging from integrated assessment tools to possible innovative lines of interventions , including cognitive therapy for [falls] prevention on one hand and [walking] program for reducing dementia risk on the other . 0 ###LEFT-WALL### 2 interplay 0 ###LEFT-WALL### 11 has 1 the 2 interplay 2 interplay 3 between 2 interplay 11 has 3 between 9 and 4 higher 5 - 4 higher 6 order 6 order 8 function 7 neural 8 function 8 function 9 and 9 and 10 gait 11 has 13 number 12 a 13 number 13 number 14 of 13 number 18 ranging 14 of 16 implications 15 clinical 16 implications 17 , 18 ranging 18 ranging 19 from 18 ranging 22 tools 19 from 21 assessment 20 integrated 21 assessment 22 tools 23 to 22 tools 27 of 23 to 26 lines 24 possible 26 lines 25 innovative 26 lines 27 of 28 interventions 28 interventions 39 and 29 , 39 and 30 including 32 therapy 31 cognitive 32 therapy 32 therapy 33 for 32 therapy 39 and 33 for 35 prevention 35 prevention 36 on 36 on 38 hand 37 one 38 hand 39 and 41 program 39 and 42 for 39 and 49 . 42 for 43 reducing 43 reducing 45 risk 43 reducing 46 on 44 dementia 45 risk 46 on 48 other 47 the 48 other successful locomotion depends on postural control to [establish] [and] maintain appropriate postural orientation of body segments relative to one another and to the environment [and] to ensure dynamic stability of the moving body . 0 ###LEFT-WALL### 2 locomotion 0 ###LEFT-WALL### 10 maintain 0 ###LEFT-WALL### 34 . 1 successful 2 locomotion 2 locomotion 3 depends 3 depends 4 on 3 depends 7 to 4 on 6 control 5 postural 6 control 7 to 10 maintain 10 maintain 13 orientation 11 appropriate 13 orientation 12 postural 13 orientation 13 orientation 14 of 14 of 16 segments 15 body 16 segments 16 segments 17 relative 17 relative 21 and 17 relative 26 to 17 relative 27 ensure 18 to 20 another 18 to 21 and 19 one 20 another 21 and 22 to 22 to 24 environment 23 the 24 environment 26 to 27 ensure 27 ensure 29 stability 28 dynamic 29 stability 29 stability 30 of 30 of 33 body 31 the 33 body 32 moving 33 body this article provides a framework for considering dynamic postural control , highlighting the importance of coordination , consistency , and challenges to postural control posed by various locomotor tasks [,] such as turning and [backward] walking . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 37 . 1 this 2 article 2 article 20 and 3 provides 5 framework 3 provides 20 and 4 a 5 framework 5 framework 6 for 5 framework 12 highlighting 6 for 7 considering 7 considering 10 control 8 dynamic 10 control 9 postural 10 control 11 , 12 highlighting 12 highlighting 14 importance 12 highlighting 19 , 13 the 14 importance 14 importance 15 of 14 importance 18 consistency 15 of 16 coordination 17 , 18 consistency 18 consistency 19 , 20 and 21 challenges 20 and 22 to 22 to 24 control 23 postural 24 control 24 control 34 and 25 posed 26 by 25 posed 34 and 26 by 29 tasks 27 various 28 locomotor 28 locomotor 29 tasks 29 tasks 32 as 31 such 32 as 32 as 33 turning 34 and 36 walking the impacts of aging and various movement disorders on postural control are discussed broadly in an effort to provide a general overview of the field and recommendations for assessment of dynamic postural control across different populations in both clinical and research settings . 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 43 . 1 the 2 impacts 2 impacts 3 of 2 impacts 5 and 3 of 4 aging 5 and 7 movement 5 and 8 disorders 5 and 12 are 5 and 13 discussed 5 and 26 and 6 various 7 movement 8 disorders 9 on 8 disorders 12 are 9 on 11 control 10 postural 11 control 13 discussed 14 broadly 13 discussed 15 in 13 discussed 18 to 15 in 17 effort 16 an 17 effort 18 to 19 provide 19 provide 22 overview 20 a 21 general 20 a 22 overview 21 general 22 overview 22 overview 23 of 23 of 25 field 24 the 25 field 26 and 27 recommendations 26 and 30 of 27 recommendations 28 for 28 for 29 assessment 30 of 33 control 31 dynamic 33 control 32 postural 33 control 33 control 34 across 33 control 37 in 34 across 36 populations 35 different 36 populations 37 in 40 and 38 both 40 and 39 clinical 40 and 40 and 42 settings 41 research 42 settings suggestions for future research on dynamic postural control during locomotion also are provided and include discussion of opportunities afforded by new and developing technologies , the need for long - term monitoring of locomotor performance in everyday activities , gaps in our knowledge of how targeted intervention approaches modify dynamic postural control , and the relative paucity of literature regarding dynamic postural control in movement disorder populations other than parkinson 's disease . 0 ###LEFT-WALL### 1 suggestions 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 73 . 1 suggestions 2 for 1 suggestions 5 on 1 suggestions 12 are 2 for 4 research 3 future 4 research 5 on 8 control 6 dynamic 8 control 7 postural 8 control 8 control 9 during 9 during 10 locomotion 11 also 12 are 12 are 14 and 13 provided 14 and 14 and 15 include 14 and 20 by 15 include 16 discussion 16 discussion 17 of 17 of 18 opportunities 18 opportunities 19 afforded 20 by 22 and 21 new 22 and 22 and 57 paucity 23 developing 24 technologies 24 technologies 25 , 25 , 27 need 25 , 54 and 26 the 27 need 27 need 28 for 28 for 32 monitoring 29 long 30 - 29 long 31 term 31 term 32 monitoring 32 monitoring 33 of 32 monitoring 40 gaps 33 of 35 performance 34 locomotor 35 performance 35 performance 36 in 36 in 38 activities 37 everyday 38 activities 39 , 40 gaps 40 gaps 41 in 40 gaps 44 of 40 gaps 53 , 41 in 43 knowledge 42 our 43 knowledge 44 of 45 how 44 of 49 modify 45 how 46 targeted 46 targeted 47 intervention 47 intervention 48 approaches 48 approaches 49 modify 49 modify 52 control 50 dynamic 52 control 51 postural 52 control 54 and 56 relative 54 and 57 paucity 55 the 56 relative 57 paucity 58 of 58 of 59 literature 59 literature 60 regarding 60 regarding 63 control 60 regarding 69 than 61 dynamic 63 control 62 postural 63 control 63 control 64 in 64 in 67 populations 65 movement 67 populations 66 disorder 67 populations 68 other 69 than 69 than 72 disease 70 parkinson 71 's 71 's 72 disease the increased awareness of the importance [of] gait and postural control to quality of life and functional independence has led many research groups to study the pathophysiology , epidemiology , clinical , and therapeutic aspects of these motor functions . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 25 study 0 ###LEFT-WALL### 40 . 1 the 3 awareness 2 increased 3 awareness 3 awareness 4 of 3 awareness 9 and 4 of 8 gait 5 the 8 gait 6 importance 8 gait 9 and 11 control 9 and 12 to 9 and 14 of 10 postural 11 control 12 to 13 quality 14 of 15 life 16 and 18 independence 16 and 23 groups 17 functional 18 independence 18 independence 19 has 19 has 20 led 20 led 21 many 22 research 23 groups 23 groups 24 to 24 to 25 study 25 study 33 and 26 the 27 pathophysiology 27 pathophysiology 28 , 28 , 29 epidemiology 28 , 30 , 30 , 31 clinical 30 , 33 and 32 , 33 and 33 and 35 aspects 34 therapeutic 35 aspects 35 aspects 36 of 36 of 39 functions 37 these 39 functions 38 motor 39 functions in recognition of the increased awareness of the significance of this topic , the movement disorders journal is devoting this entire issue [to] gait and postural control . 0 ###LEFT-WALL### 17 journal 0 ###LEFT-WALL### 18 is 0 ###LEFT-WALL### 28 . 1 in 2 recognition 1 in 13 , 1 in 17 journal 2 recognition 3 of 3 of 6 awareness 4 the 6 awareness 5 increased 6 awareness 6 awareness 7 of 7 of 9 significance 8 the 9 significance 9 significance 10 of 10 of 12 topic 11 this 12 topic 14 the 17 journal 15 movement 16 disorders 16 disorders 17 journal 17 journal 18 is 18 is 19 devoting 19 devoting 25 and 20 this 24 gait 21 entire 24 gait 22 issue 24 gait 24 gait 25 and 25 and 27 control 26 postural 27 control leading research groups provide critical reviews of the current knowledge and propose future directions for this evolving field . 0 ###LEFT-WALL### 3 groups 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 19 . 1 leading 2 research 2 research 3 groups 3 groups 11 and 4 provide 6 reviews 4 provide 11 and 5 critical 6 reviews 6 reviews 7 of 7 of 10 knowledge 8 the 10 knowledge 9 current 10 knowledge 11 and 12 propose 11 and 14 directions 13 future 14 directions 14 directions 15 for 15 for 18 field 16 this 18 field 17 evolving 18 field the intensive work in this area [throughout] the world has created an urgent need for a unified language . 0 ###LEFT-WALL### 3 work 0 ###LEFT-WALL### 11 created 0 ###LEFT-WALL### 19 . 1 the 3 work 2 intensive 3 work 3 work 4 in 3 work 11 created 4 in 6 area 5 this 6 area 6 area 9 world 6 area 10 has 8 the 9 world 9 world 10 has 11 created 14 need 12 an 13 urgent 12 an 14 need 13 urgent 14 need 14 need 15 for 15 for 18 language 16 a 18 language 17 unified 18 language because gait [and] postural disturbances are so common , the clinical classification should be clear , straightforward , and simple to use . 0 ###LEFT-WALL### 12 classification 0 ###LEFT-WALL### 14 be 0 ###LEFT-WALL### 23 . 1 because 5 disturbances 1 because 6 are 1 because 9 , 1 because 12 classification 2 gait 5 disturbances 4 postural 5 disturbances 5 disturbances 6 are 6 are 8 common 7 so 8 common 10 the 12 classification 11 clinical 12 classification 12 classification 13 should 13 should 14 be 14 be 19 and 15 clear 16 , 16 , 17 straightforward 16 , 19 and 18 , 19 and 19 and 20 simple 20 simple 21 to 20 simple 22 use 21 to 22 use as an introduction to this special issue , we propose a new clinically based classification scheme that is organized according to the dominant observed disturbance , while taking into account the results of a basic neurological exam . 0 ###LEFT-WALL### 9 we 0 ###LEFT-WALL### 10 propose 1 as 3 introduction 1 as 9 we 2 an 3 introduction 4 to 7 issue 4 to 8 , 4 to 9 we 5 this 7 issue 6 special 7 issue 9 we 10 propose 10 propose 16 scheme 10 propose 27 while 11 a 12 new 11 a 16 scheme 12 new 15 classification 13 clinically 14 based 14 based 15 classification 15 classification 16 scheme 16 scheme 19 organized 17 that 18 is 18 is 19 organized 19 organized 21 to 20 according 21 to 21 to 25 disturbance 22 the 25 disturbance 23 dominant 25 disturbance 24 observed 25 disturbance 26 , 27 while 27 while 28 taking 27 while 38 . 28 taking 30 account 28 taking 32 results 29 into 30 account 31 the 32 results 32 results 33 of 33 of 37 exam 34 a 35 basic 34 a 37 exam 35 basic 37 exam 36 neurological 37 exam the proposed classification differentiates between continuous and episodic gait disturbances because this subdivision has important ramifications from the functional , prognostic , and mechanistic perspectives . 0 ###LEFT-WALL### 3 classification 0 ###LEFT-WALL### 4 differentiates 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 26 . 1 the 3 classification 2 proposed 3 classification 3 classification 4 differentiates 4 differentiates 5 between 4 differentiates 11 because 4 differentiates 17 from 5 between 10 disturbances 6 continuous 7 and 7 and 8 episodic 7 and 9 gait 9 gait 10 disturbances 11 because 13 subdivision 11 because 14 has 12 this 13 subdivision 13 subdivision 14 has 14 has 16 ramifications 15 important 16 ramifications 17 from 19 functional 18 the 19 functional 20 , 25 perspectives 21 prognostic 23 and 22 , 23 and 23 and 24 mechanistic 23 and 25 perspectives we anticipate that research into gait [and] postural control will continue to flourish over the next decade as the search for new ways of promoting mobility and independence aims to keep up with the exponentially growing population of aging older adults . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 anticipate 0 ###LEFT-WALL### 42 . 1 we 2 anticipate 2 anticipate 3 that 3 that 4 research 3 that 31 keep 4 research 5 into 4 research 10 will 5 into 9 control 6 gait 9 control 8 postural 9 control 10 will 11 continue 11 continue 12 to 11 continue 13 flourish 12 to 13 flourish 13 flourish 14 over 13 flourish 18 as 14 over 17 decade 15 the 16 next 15 the 17 decade 18 as 20 search 18 as 29 aims 19 the 20 search 20 search 21 for 20 search 24 of 20 search 29 aims 21 for 23 ways 22 new 23 ways 24 of 25 promoting 25 promoting 27 and 26 mobility 27 and 27 and 28 independence 29 aims 30 to 30 to 31 keep 31 keep 32 up 31 keep 33 with 33 with 37 population 34 the 37 population 35 exponentially 36 growing 36 growing 37 population 37 population 38 of 38 of 39 aging 39 aging 41 adults 40 older 41 adults hopefully , this new classification scheme and the articles focusing on gait [and] postural control in this special issue of the movement disorders journal will help to facilitate future investigations in this exciting , rapidly growing area . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 26 help 0 ###LEFT-WALL### 38 . 1 hopefully 2 , 1 hopefully 7 and 3 this 6 scheme 4 new 5 classification 5 classification 6 scheme 6 scheme 7 and 7 and 9 articles 7 and 11 on 7 and 16 in 7 and 25 will 8 the 9 articles 9 articles 10 focusing 11 on 15 control 12 gait 15 control 14 postural 15 control 16 in 19 issue 17 this 19 issue 18 special 19 issue 19 issue 20 of 20 of 24 journal 21 the 24 journal 22 movement 23 disorders 23 disorders 24 journal 25 will 26 help 26 help 27 to 26 help 28 facilitate 27 to 28 facilitate 28 facilitate 30 investigations 28 facilitate 31 in 29 future 30 investigations 31 in 37 area 32 this 33 exciting 33 exciting 34 , 33 exciting 37 area 35 rapidly 36 growing 36 growing 37 area importance : the neurobiologic basis of late - life depressive symptoms is not well understood . 0 ###LEFT-WALL### 1 importance 0 ###LEFT-WALL### 2 : 2 : 5 basis 2 : 12 is 2 : 16 . 3 the 5 basis 4 neurobiologic 5 basis 5 basis 6 of 5 basis 12 is 6 of 11 symptoms 7 late 8 - 7 late 9 life 9 life 11 symptoms 10 depressive 11 symptoms 12 is 13 not 12 is 14 well 14 well 15 understood objective : to test the hypothesis that neurodegeneration and neuronal density in brainstem aminergic nuclei are related to late - life depressive symptoms . 0 ###LEFT-WALL### 17 related 1 objective 2 : 2 : 3 to 2 : 4 test 3 to 4 test 4 test 6 hypothesis 5 the 6 hypothesis 6 hypothesis 7 that 7 that 9 and 7 that 17 related 8 neurodegeneration 9 and 9 and 11 density 9 and 12 in 9 and 15 nuclei 9 and 16 are 9 and 17 related 10 neuronal 11 density 12 in 13 brainstem 14 aminergic 15 nuclei 15 nuclei 16 are 17 related 18 to 17 related 24 . 18 to 23 symptoms 19 late 20 - 19 late 23 symptoms 21 life 22 depressive 22 depressive 23 symptoms design , setting , participants , and exposure : longitudinal clinicopathological cohort study at residences of participants in the chicago , illinois , metropolitan area . 0 ###LEFT-WALL### 8 exposure 0 ###LEFT-WALL### 9 : 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 26 . 1 design 3 setting 2 , 3 setting 3 setting 5 participants 4 , 5 participants 5 participants 6 , 5 participants 7 and 7 and 8 exposure 8 exposure 9 : 9 : 13 study 9 : 14 at 9 : 18 in 10 longitudinal 12 cohort 11 clinicopathological 12 cohort 12 cohort 13 study 14 at 15 residences 15 residences 16 of 16 of 17 participants 18 in 20 chicago 19 the 20 chicago 20 chicago 22 illinois 21 , 22 illinois 22 illinois 23 , 23 , 25 area 24 metropolitan 25 area main outcomes and measures : the number of depressive symptoms ( mean [[] sd ] , 1.61 [ 1.48 ] ; range , 0 - 6 ; skewness , 0.94 [ )(on the center for epidemiological studies depression scale averaged across annual evaluations . 0 ###LEFT-WALL### 4 measures 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 21 ; 0 ###LEFT-WALL### 44 . 1 main 2 outcomes 2 outcomes 3 and 3 and 4 measures 4 measures 5 : 5 : 10 symptoms 6 the 7 number 7 number 8 of 7 number 10 symptoms 8 of 10 symptoms 9 depressive 10 symptoms 10 symptoms 14 sd 10 symptoms 17 1.61 11 ( 14 sd 12 mean 14 sd 14 sd 15 ] 16 , 17 1.61 17 1.61 19 1.48 17 1.61 20 ] 18 [ 19 1.48 19 1.48 20 ] 21 ; 22 range 21 ; 23 , 23 , 24 0 23 , 25 - 23 , 27 ; 24 0 25 - 25 - 26 6 27 ; 28 skewness 27 ; 29 , 29 , 30 0.94 29 , 40 averaged 30 0.94 32 )(on 30 0.94 35 for 30 0.94 40 averaged 32 )(on 34 center 33 the 34 center 35 for 39 scale 36 epidemiological 37 studies 37 studies 38 depression 38 depression 39 scale 40 averaged 41 across 40 averaged 43 evaluations 42 annual 43 evaluations results : brainstem lewy bodies were associated with depressive symptoms , and the association was attenuated in those taking antidepressant medication . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 bodies 2 : 7 associated 2 : 12 and 2 : 22 . 3 brainstem 4 lewy 4 lewy 5 bodies 5 bodies 6 were 6 were 7 associated 7 associated 8 with 8 with 10 symptoms 9 depressive 10 symptoms 11 , 12 and 12 and 14 association 12 and 16 attenuated 13 the 14 association 14 association 15 was 15 was 16 attenuated 16 attenuated 17 in 17 in 18 those 18 those 19 taking 19 taking 21 medication 20 antidepressant 21 medication brainstem tangles were associated with more depressive symptoms in those without cognitive impairment but with fewer symptoms in those with mild cognitive impairment . 0 ###LEFT-WALL### 2 tangles 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 24 . 1 brainstem 2 tangles 2 tangles 3 were 3 were 4 associated 4 associated 5 with 4 associated 18 in 5 with 8 symptoms 6 more 7 depressive 7 depressive 8 symptoms 8 symptoms 9 in 8 symptoms 14 but 9 in 10 those 11 without 13 impairment 11 without 14 but 12 cognitive 13 impairment 14 but 15 with 15 with 17 symptoms 16 fewer 17 symptoms 18 in 19 those 19 those 20 with 20 with 23 impairment 21 mild 23 impairment 22 cognitive 23 impairment lower density of tyrosine hydroxylase - immunoreactive neurons in the ventral tegmental area was robustly associated with a higher level of depressive symptoms ( mean [ se ] estimate [,] [-] 0.014 [ 0.003 ] ; p < . 001 ; 16.3 % increase in adjusted r2 [ )( 0 ###LEFT-WALL### 1 lower 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 38 < 0 ###LEFT-WALL### 39 . 1 lower 2 density 2 density 3 of 3 of 5 hydroxylase 4 tyrosine 5 hydroxylase 6 - 8 neurons 6 - 16 associated 6 - 36 ; 7 immunoreactive 8 neurons 8 neurons 9 in 8 neurons 13 area 8 neurons 14 was 8 neurons 16 associated 9 in 11 ventral 10 the 11 ventral 12 tegmental 13 area 13 area 14 was 15 robustly 16 associated 16 associated 17 with 17 with 20 level 18 a 20 level 19 higher 20 level 20 level 21 of 21 of 23 symptoms 22 depressive 23 symptoms 23 symptoms 29 estimate 24 ( 29 estimate 25 mean 27 se 25 mean 28 ] 25 mean 29 estimate 26 [ 27 se 27 se 28 ] 29 estimate 32 0.014 29 estimate 34 0.003 29 estimate 36 ; 33 [ 34 0.003 34 0.003 35 ] 36 ; 37 p 37 p 38 < 39 . 40 001 39 . 41 ; 39 . 49 )( 41 ; 43 % 41 ; 44 increase 42 16.3 43 % 43 % 44 increase 44 increase 45 in 45 in 47 r2 46 adjusted 47 r2 the association was not modified by medication use or cognitive impairment . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 12 . 1 the 2 association 2 association 3 was 3 was 4 not 3 was 6 by 4 not 5 modified 6 by 9 or 7 medication 8 use 8 use 9 or 9 or 11 impairment 10 cognitive 11 impairment neither tyrosine hydroxlyase - immunoreactive neurons in the locus ceruleus nor tryptophan hydroxlyase - immunoreactive neurons in the dorsal raphe nucleus were related to depressive symptoms . 0 ###LEFT-WALL### 3 hydroxlyase 0 ###LEFT-WALL### 4 - 1 neither 3 hydroxlyase 2 tyrosine 3 hydroxlyase 4 - 11 nor 4 - 14 - 5 immunoreactive 6 neurons 6 neurons 7 in 6 neurons 11 nor 7 in 10 ceruleus 8 the 10 ceruleus 9 locus 10 ceruleus 11 nor 13 hydroxlyase 12 tryptophan 13 hydroxlyase 14 - 16 neurons 14 - 23 related 14 - 27 . 15 immunoreactive 16 neurons 16 neurons 17 in 16 neurons 22 were 17 in 21 nucleus 18 the 21 nucleus 19 dorsal 21 nucleus 20 raphe 21 nucleus 22 were 23 related 23 related 24 to 24 to 26 symptoms 25 depressive 26 symptoms conclusions and relevance : the results suggest that the mesolimbic dopamine system , especially the ventral tegmental area , has an important role in late - life depressive symptoms . 0 ###LEFT-WALL### 3 relevance 0 ###LEFT-WALL### 4 : 1 conclusions 2 and 2 and 3 relevance 4 : 6 results 4 : 7 suggest 4 : 30 . 5 the 6 results 6 results 7 suggest 7 suggest 8 that 8 that 12 system 8 that 20 has 9 the 12 system 10 mesolimbic 11 dopamine 11 dopamine 12 system 12 system 18 area 12 system 20 has 13 , 14 especially 13 , 18 area 15 the 18 area 16 ventral 18 area 17 tegmental 18 area 18 area 19 , 20 has 23 role 20 has 24 in 21 an 22 important 21 an 23 role 22 important 23 role 24 in 29 symptoms 25 late 26 - 25 late 27 life 27 life 29 symptoms 28 depressive 29 symptoms unlabelled : signaling of the receptor for advanced glycation end products ( rage ) has been implicated in the development of injury - elicited vascular complications . 0 ###LEFT-WALL### 1 unlabelled 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 3 signaling 2 : 17 implicated 2 : 23 - 3 signaling 4 of 3 signaling 7 for 3 signaling 15 has 4 of 6 receptor 5 the 6 receptor 7 for 11 products 8 advanced 9 glycation 9 glycation 11 products 10 end 11 products 11 products 13 rage 12 ( 13 rage 13 rage 14 ) 15 has 16 been 16 been 17 implicated 17 implicated 18 in 18 in 20 development 19 the 20 development 20 development 21 of 21 of 22 injury 23 - 26 complications 24 elicited 26 complications 25 vascular 26 complications soluble rage ( srage ) acts as a decoy of rage and has been used to treat pathological vascular conditions in animal models . 0 ###LEFT-WALL### 2 rage 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 24 . 1 soluble 2 rage 2 rage 4 srage 2 rage 12 and 3 ( 4 srage 4 srage 5 ) 6 acts 7 as 6 acts 12 and 7 as 9 decoy 8 a 9 decoy 9 decoy 10 of 10 of 11 rage 12 and 13 has 13 has 14 been 14 been 15 used 15 used 16 to 15 used 17 treat 16 to 17 treat 17 treat 20 conditions 17 treat 21 in 18 pathological 20 conditions 19 vascular 20 conditions 21 in 23 models 22 animal 23 models however , previous studies used a high dose of srage produced in insect sf9 cells ( srage ( sf9 ) )and multiple injections to achieve the therapeutic outcome . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 21 )and 0 ###LEFT-WALL### 29 . 1 however 2 , 1 however 4 studies 3 previous 4 studies 4 studies 5 used 4 studies 8 dose 4 studies 11 produced 4 studies 21 )and 6 a 7 high 6 a 8 dose 7 high 8 dose 8 dose 9 of 8 dose 11 produced 9 of 10 srage 11 produced 12 in 12 in 15 cells 13 insect 15 cells 14 sf9 15 cells 15 cells 17 srage 16 ( 17 srage 17 srage 19 sf9 17 srage 20 ) 18 ( 19 sf9 19 sf9 20 ) 21 )and 23 injections 21 )and 24 to 22 multiple 23 injections 24 to 25 achieve 25 achieve 28 outcome 26 the 28 outcome 27 therapeutic 28 outcome here , we explore whether modulation of srage [n] - glycoform impacts its bioactivity and augments its therapeutic efficacy . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 20 . 1 here 2 , 1 here 3 we 3 we 15 and 4 explore 5 whether 4 explore 15 and 5 whether 6 modulation 5 whether 12 impacts 6 modulation 7 of 6 modulation 12 impacts 7 of 11 glycoform 8 srage 10 - 8 srage 11 glycoform 12 impacts 14 bioactivity 13 its 14 bioactivity 15 and 16 augments 15 and 19 efficacy 17 its 19 efficacy 18 therapeutic 19 efficacy we first profiled carbohydrate components of srage produced in chinese hamster ovary cells ( srage ( cho ) ) to show that a majority of [its] n - glycans belong to sialylated complex types that are not shared by srage ( sf9 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 21 show 0 ###LEFT-WALL### 28 - 1 we 3 profiled 2 first 3 profiled 3 profiled 5 components 3 profiled 9 in 3 profiled 20 to 4 carbohydrate 5 components 5 components 6 of 5 components 8 produced 6 of 7 srage 9 in 13 cells 10 chinese 11 hamster 11 hamster 13 cells 12 ovary 13 cells 13 cells 15 srage 14 ( 15 srage 15 srage 17 cho 15 srage 19 ) 16 ( 17 cho 17 cho 18 ) 20 to 21 show 21 show 22 that 21 show 24 majority 23 a 24 majority 24 majority 25 of 25 of 27 n 28 - 29 glycans 28 - 30 belong 28 - 44 . 29 glycans 30 belong 30 belong 31 to 30 belong 39 by 31 to 34 types 32 sialylated 33 complex 33 complex 34 types 34 types 35 that 34 types 36 are 35 that 36 are 36 are 37 not 36 are 38 shared 37 not 38 shared 39 by 40 srage 40 srage 42 sf9 41 ( 42 sf9 42 sf9 43 ) in cell - based nf - κb activation and vascular smooth muscle cell ( vsmc ) migration assays , srage ( cho ) exhibited a significantly higher bioactivity relative to srage ( sf9 ) to inhibit rage alarmin [ligand] - induced nf - κb activation and vsmc migration . 0 ###LEFT-WALL### 2 cell 0 ###LEFT-WALL### 3 - 1 in 2 cell 3 - 19 , 4 based 18 assays 4 based 19 , 5 nf 9 and 5 nf 18 assays 6 - 9 and 7 κb 8 activation 8 activation 9 and 9 and 13 cell 9 and 15 vsmc 9 and 16 ) 10 vascular 12 muscle 11 smooth 12 muscle 12 muscle 13 cell 14 ( 15 vsmc 15 vsmc 16 ) 17 migration 18 assays 19 , 36 inhibit 20 srage 22 cho 20 srage 24 exhibited 21 ( 22 cho 22 cho 23 ) 24 exhibited 28 bioactivity 24 exhibited 35 to 25 a 28 bioactivity 26 significantly 27 higher 27 higher 28 bioactivity 28 bioactivity 29 relative 29 relative 30 to 30 to 31 srage 31 srage 33 sf9 32 ( 33 sf9 33 sf9 34 ) 35 to 36 inhibit 36 inhibit 38 alarmin 37 rage 38 alarmin 38 alarmin 42 nf 40 - 42 nf 41 induced 42 nf 42 nf 46 and 42 nf 49 . 43 - 46 and 44 κb 45 activation 45 activation 46 and 46 and 48 migration 46 and 49 . 47 vsmc 48 migration we next studied whether this [n] [-] glycoform - associated bioactivity of srage ( cho ) is translated to higher in vivo therapeutic efficacy in a rat carotid artery balloon injury model . 0 ###LEFT-WALL### 2 next 0 ###LEFT-WALL### 3 studied 0 ###LEFT-WALL### 33 . 1 we 2 next 2 next 3 studied 3 studied 4 whether 4 whether 11 bioactivity 4 whether 18 translated 5 this 11 bioactivity 8 glycoform 9 - 8 glycoform 11 bioactivity 10 associated 11 bioactivity 11 bioactivity 12 of 11 bioactivity 17 is 12 of 13 srage 13 srage 15 cho 14 ( 15 cho 15 cho 16 ) 17 is 18 translated 18 translated 19 to 18 translated 25 in 19 to 24 efficacy 20 higher 24 efficacy 21 in 22 vivo 22 vivo 23 therapeutic 23 therapeutic 24 efficacy 25 in 32 model 26 a 32 model 27 rat 28 carotid 28 carotid 32 model 29 artery 32 model 30 balloon 32 model 31 injury 32 model consistent with the observed higher bioactivity in cell assays , srage ( cho ) significantly reduced injury - induced neointimal growth and the expression of inflammatory markers in injured vasculature . 0 ###LEFT-WALL### 1 consistent 0 ###LEFT-WALL### 19 induced 0 ###LEFT-WALL### 31 . 1 consistent 2 with 1 consistent 19 induced 2 with 6 bioactivity 3 the 6 bioactivity 4 observed 6 bioactivity 5 higher 6 bioactivity 6 bioactivity 7 in 7 in 9 assays 8 cell 9 assays 9 assays 17 injury 10 , 17 injury 11 srage 13 cho 11 srage 17 injury 12 ( 13 cho 13 cho 14 ) 15 significantly 16 reduced 16 reduced 17 injury 17 injury 18 - 19 induced 22 and 19 induced 28 in 20 neointimal 21 growth 21 growth 22 and 22 and 24 expression 22 and 25 of 23 the 24 expression 25 of 27 markers 26 inflammatory 27 markers 28 in 30 vasculature 29 injured 30 vasculature specifically , a single dose of 3 ng/g of srage ( cho ) reduced neointimal hyperplasia by over 70 % , whereas the same dose of srage ( sf9 ) showed no effect . 0 ###LEFT-WALL### 5 dose 0 ###LEFT-WALL### 31 showed 0 ###LEFT-WALL### 34 . 1 specifically 2 , 1 specifically 5 dose 3 a 4 single 3 a 5 dose 4 single 5 dose 5 dose 6 of 5 dose 12 cho 5 dose 14 reduced 6 of 8 ng/g 7 3 8 ng/g 8 ng/g 9 of 9 of 10 srage 11 ( 12 cho 12 cho 13 ) 14 reduced 16 hyperplasia 14 reduced 17 by 14 reduced 22 whereas 15 neointimal 16 hyperplasia 17 by 20 % 18 over 19 70 19 70 20 % 21 , 22 whereas 22 whereas 25 dose 23 the 24 same 23 the 25 dose 25 dose 26 of 25 dose 31 showed 26 of 27 srage 27 srage 29 sf9 28 ( 29 sf9 29 sf9 30 ) 31 showed 33 effect 32 no 33 effect the administered srage ( cho ) is rapidly and specifically recruited to the injured arterial locus , suggesting that early intervention of arterial injury with srage ( cho ) may offset an inflammatory circuit and reduce the ensuing tissue remodeling . 0 ###LEFT-WALL### 3 srage 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 41 . 1 the 3 srage 2 administered 3 srage 3 srage 5 cho 3 srage 9 and 4 ( 5 cho 5 cho 6 ) 7 is 8 rapidly 7 is 9 and 9 and 11 recruited 10 specifically 11 recruited 11 recruited 12 to 12 to 16 locus 13 the 16 locus 14 injured 16 locus 15 arterial 16 locus 17 , 18 suggesting 17 , 35 and 18 suggesting 21 intervention 18 suggesting 30 may 19 that 20 early 20 early 21 intervention 21 intervention 22 of 21 intervention 28 cho 22 of 24 injury 23 arterial 24 injury 24 injury 25 with 25 with 26 srage 27 ( 28 cho 28 cho 29 ) 30 may 35 and 31 offset 34 circuit 31 offset 35 and 32 an 34 circuit 33 inflammatory 34 circuit 35 and 36 reduce 36 reduce 40 remodeling 37 the 40 remodeling 38 ensuing 39 tissue 39 tissue 40 remodeling our findings showed that [the] n - glycoform of srage is the key determinant underlying its bioactivity and thus is an important glycobioengineering target to develop a highly potent therapeutic srage for future clinical applications . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 7 - 1 our 2 findings 2 findings 3 showed 3 showed 4 that 3 showed 6 n 7 - 8 glycoform 7 - 18 and 7 - 36 . 8 glycoform 9 of 8 glycoform 18 and 9 of 10 srage 11 is 14 determinant 11 is 18 and 12 the 14 determinant 13 key 14 determinant 14 determinant 15 underlying 15 underlying 17 bioactivity 16 its 17 bioactivity 18 and 20 is 18 and 25 to 18 and 31 srage 19 thus 20 is 20 is 24 target 21 an 22 important 21 an 24 target 22 important 24 target 23 glycobioengineering 24 target 25 to 26 develop 27 a 28 highly 27 a 31 srage 28 highly 29 potent 29 potent 31 srage 30 therapeutic 31 srage 31 srage 32 for 32 for 35 applications 33 future 35 applications 34 clinical 35 applications these and other still unanswered questions remain critical to understanding the impact of multifaceted epigenetic machinery on the age - related dysfunction of cns . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 7 remain 0 ###LEFT-WALL### 21 related 1 these 2 and 2 and 6 questions 2 and 7 remain 3 other 6 questions 4 still 6 questions 5 unanswered 6 questions 7 remain 8 critical 8 critical 9 to 8 critical 17 on 9 to 10 understanding 10 understanding 12 impact 11 the 12 impact 12 impact 13 of 13 of 16 machinery 14 multifaceted 16 machinery 15 epigenetic 16 machinery 17 on 19 age 18 the 19 age 20 - 21 related 21 related 22 dysfunction 21 related 25 . 22 dysfunction 23 of 23 of 24 cns background : ca . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 . 1 background 2 : 2 : 3 ca though diabetes type 2 has been proven preventable , no screening for prediabetes has been implemented . 0 ###LEFT-WALL### 11 screening 0 ###LEFT-WALL### 16 implemented 0 ###LEFT-WALL### 17 . 1 though 3 type 1 though 7 proven 1 though 9 , 1 though 11 screening 2 diabetes 3 type 3 type 4 2 3 type 5 has 5 has 6 been 6 been 7 proven 7 proven 8 preventable 10 no 11 screening 11 screening 12 for 11 screening 14 has 12 for 13 prediabetes 14 has 15 been 15 been 16 implemented delight was designed to assess if screening for individuals at risk and long - standing diabetes prevention is feasible in the setting of companies within the scope of the german legal health system . 0 ###LEFT-WALL### 1 delight 0 ###LEFT-WALL### 3 designed 0 ###LEFT-WALL### 34 . 1 delight 2 was 2 was 3 designed 3 designed 4 to 3 designed 5 assess 4 to 5 assess 5 assess 17 prevention 5 assess 18 is 6 if 7 screening 6 if 17 prevention 7 screening 8 for 7 screening 16 diabetes 8 for 12 and 9 individuals 10 at 9 individuals 12 and 10 at 11 risk 12 and 15 standing 13 long 14 - 13 long 15 standing 17 prevention 18 is 18 is 19 feasible 19 feasible 20 in 20 in 22 setting 21 the 22 setting 22 setting 23 of 23 of 24 companies 24 companies 25 within 24 companies 28 of 25 within 27 scope 26 the 27 scope 28 of 33 system 29 the 33 system 30 german 32 health 31 legal 32 health 32 health 33 system materials and methods : in 5 companies employees with a waist circumference of ≥ 94 ( men ) and ≥ 80 [cm] ( women ) were offered a check - up . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 19 and 4 : 27 offered 5 in 7 companies 5 in 19 and 6 5 7 companies 8 employees 9 with 8 employees 19 and 9 with 12 circumference 10 a 12 circumference 11 waist 12 circumference 12 circumference 13 of 12 circumference 17 men 13 of 14 ≥ 14 ≥ 15 94 16 ( 17 men 17 men 18 ) 19 and 20 ≥ 19 and 24 women 19 and 26 were 20 ≥ 21 80 23 ( 24 women 24 women 25 ) 26 were 27 offered 27 offered 29 check 27 offered 31 up 28 a 29 check 30 - 31 up 31 up 32 . results : in 241 of 300 participants the self [-] measured waist circumference was confirmed as elevated . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 13 circumference 2 : 15 confirmed 3 in 4 241 3 in 13 circumference 4 241 5 of 5 of 7 participants 6 300 7 participants 8 the 13 circumference 9 self 12 waist 11 measured 12 waist 12 waist 13 circumference 13 circumference 14 was 14 was 15 confirmed 15 confirmed 17 elevated 16 as 17 elevated within 3 years in those who had lost ≥ 1 kg , weight was reduced by 3.9 kg , risk factors were improved , and no case of diabetes had developed , while among those [with] weight loss of < 1 kg or weight gain , 10 % of men and 5 % of women had developed diabetes type 2 . 0 ###LEFT-WALL### 3 years 0 ###LEFT-WALL### 12 , 1 within 2 3 1 within 3 years 3 years 4 in 3 years 6 who 3 years 7 had 3 years 9 ≥ 4 in 5 those 6 who 7 had 7 had 8 lost 9 ≥ 11 kg 10 1 11 kg 12 , 13 weight 12 , 15 reduced 12 , 19 , 13 weight 14 was 14 was 15 reduced 15 reduced 16 by 16 by 18 kg 17 3.9 18 kg 19 , 21 factors 19 , 24 , 20 risk 21 factors 21 factors 22 were 22 were 23 improved 24 , 25 and 24 , 31 developed 24 , 32 , 25 and 27 case 26 no 27 case 27 case 28 of 27 case 30 had 28 of 29 diabetes 30 had 31 developed 32 , 37 weight 33 while 34 among 33 while 37 weight 34 among 35 those 37 weight 43 or 38 loss 39 of 38 loss 43 or 39 of 42 kg 40 < 41 1 41 1 42 kg 43 or 45 gain 43 or 51 and 44 weight 45 gain 46 , 51 and 47 10 48 % 47 10 51 and 48 % 49 of 49 of 50 men 51 and 52 5 51 and 61 . 52 5 53 % 53 % 54 of 53 % 56 had 54 of 55 women 56 had 57 developed 57 developed 59 type 58 diabetes 59 type 59 type 60 2 screening for prediabetes did not increase the number or costs of drug prescriptions . 0 ###LEFT-WALL### 1 screening 0 ###LEFT-WALL### 6 increase 0 ###LEFT-WALL### 14 . 1 screening 2 for 1 screening 4 did 2 for 3 prediabetes 4 did 5 not 4 did 6 increase 6 increase 9 or 7 the 8 number 8 number 9 or 9 or 10 costs 9 or 11 of 11 of 13 prescriptions 12 drug 13 prescriptions conclusions : companies provide a suitable setting for screening for prediabetes . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 companies 2 : 4 provide 2 : 12 . 3 companies 4 provide 4 provide 7 setting 5 a 6 suitable 5 a 7 setting 6 suitable 7 setting 7 setting 8 for 8 for 9 screening 9 screening 10 for 10 for 11 prediabetes long - term diabetes prevention is successfully feasible within the narrow financial frame of a legal insurance system [without] rise of costs . 0 ###LEFT-WALL### 5 prevention 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 23 . 1 long 2 - 1 long 3 term 3 term 4 diabetes 4 diabetes 5 prevention 5 prevention 6 is 6 is 7 successfully 6 is 8 feasible 8 feasible 9 within 9 within 13 frame 10 the 13 frame 11 narrow 13 frame 12 financial 13 frame 13 frame 14 of 13 frame 21 of 14 of 20 rise 15 a 16 legal 15 a 20 rise 16 legal 17 insurance 17 insurance 20 rise 18 system 20 rise 21 of 22 costs objective : to estimate the incidence [of] and to characterize cognitive and imaging findings associated with incident amyloid pet positivity . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 3 to 2 : 8 and 3 to 8 and 4 estimate 6 incidence 4 estimate 8 and 5 the 6 incidence 8 and 9 to 8 and 15 associated 8 and 16 with 9 to 10 characterize 10 characterize 14 findings 11 cognitive 12 and 12 and 13 imaging 12 and 14 findings 16 with 20 positivity 17 incident 20 positivity 18 amyloid 20 positivity 19 pet 20 positivity methods : cognitively normal ( cn ) participants in the mayo clinic study of aging who had 2 or more serial imaging assessments , which included amyloid pet , fdg - pet , and mri at each time point , were eligible for analysis ( n = 207 ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 50 . 1 methods 2 : 2 : 8 participants 2 : 9 in 3 cognitively 4 normal 4 normal 6 cn 4 normal 8 participants 5 ( 6 cn 6 cn 7 ) 9 in 21 serial 10 the 21 serial 11 mayo 12 clinic 12 clinic 13 study 13 study 14 of 13 study 19 or 14 of 15 aging 15 aging 16 who 15 aging 17 had 16 who 17 had 17 had 18 2 19 or 20 more 19 or 21 serial 21 serial 22 imaging 21 serial 25 which 22 imaging 23 assessments 24 , 25 which 25 which 40 , 25 which 49 ) 26 included 35 mri 26 included 40 , 27 amyloid 35 mri 28 pet 30 fdg 29 , 30 fdg 30 fdg 32 pet 31 - 32 pet 32 pet 33 , 32 pet 34 and 34 and 35 mri 35 mri 36 at 36 at 39 point 37 each 39 point 38 time 39 point 40 , 41 were 40 , 43 for 40 , 47 = 41 were 42 eligible 43 for 44 analysis 45 ( 47 = 46 n 47 = 47 = 48 207 twelve subjects with alzheimer disease dementia were included for comparison . 0 ###LEFT-WALL### 2 subjects 0 ###LEFT-WALL### 8 included 0 ###LEFT-WALL### 11 . 1 twelve 2 subjects 2 subjects 3 with 2 subjects 7 were 3 with 6 dementia 4 alzheimer 6 dementia 5 disease 6 dementia 7 were 8 included 8 included 9 for 9 for 10 comparison results : of the 123 cn participants who were amyloid - negative at baseline , 26 met criteria for incident amyloid pet positivity . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 24 . 1 results 2 : 2 : 3 of 3 of 7 participants 4 the 5 123 5 123 7 participants 6 cn 7 participants 7 participants 8 who 7 participants 9 were 8 who 9 were 9 were 10 amyloid 10 amyloid 12 negative 11 - 12 negative 12 negative 13 at 12 negative 15 , 13 at 14 baseline 15 , 16 26 15 , 17 met 16 26 17 met 17 met 18 criteria 18 criteria 19 for 19 for 23 positivity 20 incident 23 positivity 21 amyloid 23 positivity 22 pet 23 positivity compared to the 69 subjects who remained stable amyloid - negative , on average these 26 did not differ on any imaging , demographic , or cognitive variables except amyloid pet ( by definition ) and task - free functional connectivity , which at baseline was greater in the incident amyloid - positive group . 0 ###LEFT-WALL### 16 26 0 ###LEFT-WALL### 36 and 0 ###LEFT-WALL### 38 - 0 ###LEFT-WALL### 55 . 1 compared 2 to 1 compared 10 - 1 compared 16 26 2 to 5 subjects 3 the 4 69 4 69 5 subjects 5 subjects 6 who 5 subjects 7 remained 6 who 7 remained 7 remained 9 amyloid 8 stable 9 amyloid 11 negative 12 , 11 negative 16 26 13 on 14 average 14 average 16 26 15 these 16 26 16 26 36 and 17 did 18 not 17 did 19 differ 17 did 36 and 19 differ 20 on 19 differ 29 except 20 on 28 variables 21 any 28 variables 22 imaging 23 , 23 , 24 demographic 23 , 26 or 25 , 26 or 26 or 27 cognitive 26 or 28 variables 29 except 31 pet 30 amyloid 31 pet 31 pet 33 by 32 ( 33 by 33 by 34 definition 33 by 35 ) 36 and 37 task 38 - 39 free 38 - 52 - 39 free 41 connectivity 40 functional 41 connectivity 41 connectivity 43 which 42 , 43 which 43 which 44 at 43 which 46 was 43 which 52 - 44 at 45 baseline 46 was 47 greater 47 greater 48 in 48 in 51 amyloid 49 the 51 amyloid 50 incident 51 amyloid 52 - 54 group 53 positive 54 group eleven of the 26 incident amyloid - positive subjects had abnormal hippocampal volume , fdg - pet , or both at baseline . 0 ###LEFT-WALL### 1 eleven 0 ###LEFT-WALL### 10 had 0 ###LEFT-WALL### 23 . 1 eleven 2 of 1 eleven 10 had 2 of 9 subjects 3 the 4 26 4 26 9 subjects 5 incident 9 subjects 6 amyloid 7 - 6 amyloid 9 subjects 8 positive 9 subjects 10 had 19 or 10 had 21 at 11 abnormal 13 volume 12 hippocampal 13 volume 13 volume 14 , 14 , 17 pet 14 , 19 or 15 fdg 17 pet 16 - 17 pet 17 pet 18 , 18 , 19 or 19 or 20 both 21 at 22 baseline conclusions : the incidence of amyloid pet positivity is approximately 13 % per year among cn participants over age 70 sampled from a population - based cohort . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 incidence 2 : 9 is 2 : 25 - 2 : 28 . 3 the 4 incidence 4 incidence 5 of 4 incidence 9 is 5 of 8 positivity 6 amyloid 8 positivity 7 pet 8 positivity 9 is 12 % 10 approximately 11 13 11 13 12 % 12 % 13 per 12 % 15 among 12 % 18 over 12 % 21 sampled 13 per 14 year 15 among 17 participants 16 cn 17 participants 18 over 19 age 19 age 20 70 21 sampled 22 from 22 from 24 population 23 a 24 population 25 - 27 cohort 26 based 27 cohort in 15/26 ( 58 % ) , incident amyloid positivity occurred prior to abnormalities in fdg - pet and hippocampal volume . 0 ###LEFT-WALL### 10 positivity 0 ###LEFT-WALL### 11 occurred 0 ###LEFT-WALL### 22 . 1 in 2 15/26 1 in 7 , 1 in 10 positivity 2 15/26 5 % 3 ( 5 % 4 58 5 % 5 % 6 ) 8 incident 10 positivity 9 amyloid 10 positivity 10 positivity 11 occurred 11 occurred 13 to 11 occurred 15 in 12 prior 13 to 13 to 14 abnormalities 15 in 19 and 16 fdg 18 pet 17 - 18 pet 18 pet 19 and 19 and 21 volume 20 hippocampal 21 volume however , 11/26 ( 42 % ) [incident] amyloid - positive subjects had evidence of neurodegeneration prior to incident amyloid positivity . 0 ###LEFT-WALL### 3 11/26 0 ###LEFT-WALL### 9 amyloid 0 ###LEFT-WALL### 10 - 1 however 2 , 1 however 3 11/26 3 11/26 6 % 3 11/26 9 amyloid 4 ( 6 % 5 42 6 % 6 % 7 ) 10 - 12 subjects 10 - 13 had 10 - 22 . 11 positive 12 subjects 12 subjects 13 had 13 had 14 evidence 13 had 18 to 14 evidence 15 of 15 of 16 neurodegeneration 17 prior 18 to 18 to 21 positivity 19 incident 21 positivity 20 amyloid 21 positivity these 11 could be subjects with combinations of preexisting [non] - alzheimer pathophysiologies and tau - mediated neurodegeneration who newly entered the amyloid pathway . 0 ###LEFT-WALL### 2 11 0 ###LEFT-WALL### 4 be 0 ###LEFT-WALL### 16 - 0 ###LEFT-WALL### 25 . 1 these 2 11 2 11 3 could 3 could 4 be 4 be 5 subjects 5 subjects 6 with 5 subjects 8 of 6 with 7 combinations 8 of 9 preexisting 9 preexisting 14 and 11 - 14 and 12 alzheimer 13 pathophysiologies 13 pathophysiologies 14 and 14 and 15 tau 14 and 16 - 16 - 18 neurodegeneration 17 mediated 18 neurodegeneration 18 neurodegeneration 19 who 18 neurodegeneration 21 entered 19 who 21 entered 20 newly 21 entered 21 entered 24 pathway 22 the 24 pathway 23 amyloid 24 pathway our findings suggest that both " amyloid - first " and " [neurodegeneration] - first " biomarker profile pathways to preclinical ad exist . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 24 . 1 our 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 5 both 4 that 7 amyloid 5 both 6 " 5 both 7 amyloid 8 - 9 first 8 - 11 and 9 first 10 " 11 and 12 " 11 and 14 - 11 and 19 pathways 11 and 23 exist 15 first 16 " 15 first 19 pathways 17 biomarker 18 profile 18 profile 19 pathways 19 pathways 20 to 19 pathways 23 exist 20 to 22 ad 21 preclinical 22 ad objective : to determine arterial stiffness and β - amyloid ( aβ ) deposition in the brain of dementia - free older adults . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 determine 2 : 24 . 3 to 4 determine 4 determine 7 and 4 determine 21 free 5 arterial 6 stiffness 6 stiffness 7 and 7 and 8 β 7 and 14 deposition 7 and 21 free 9 - 14 deposition 10 amyloid 12 aβ 10 amyloid 14 deposition 11 ( 12 aβ 12 aβ 13 ) 14 deposition 15 in 14 deposition 20 - 15 in 17 brain 16 the 17 brain 17 brain 18 of 18 of 19 dementia 21 free 23 adults 22 older 23 adults methods : we studied a cohort of 91 dementia - free participants aged 83 - 96 years . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 1 methods 2 : 2 : 17 years 3 we 4 studied 4 studied 6 cohort 5 a 6 cohort 6 cohort 7 of 7 of 12 participants 8 91 12 participants 9 dementia 10 - 9 dementia 12 participants 11 free 12 participants 12 participants 13 aged 13 aged 15 - 14 83 15 - 15 - 16 96 16 96 17 years in 2009 , participants completed brain mri and pet imaging using pittsburgh compound b ( [pib] [;] a marker of amyloid plaques in human brain ) . 0 ###LEFT-WALL### 4 participants 0 ###LEFT-WALL### 6 brain 0 ###LEFT-WALL### 27 . 1 in 2 2009 1 in 3 , 1 in 4 participants 4 participants 5 completed 4 participants 6 brain 6 brain 9 pet 7 mri 8 and 8 and 9 pet 9 pet 10 imaging 10 imaging 13 compound 11 using 13 compound 12 pittsburgh 13 compound 13 compound 14 b 13 compound 19 marker 15 ( 19 marker 18 a 19 marker 19 marker 20 of 19 marker 23 in 19 marker 26 ) 20 of 22 plaques 21 amyloid 22 plaques 23 in 25 brain 24 human 25 brain results : a total of 44/91 subjects were aβ - positive on pet [scan] . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 total 2 : 8 were 3 a 4 total 4 total 5 of 4 total 8 were 5 of 7 subjects 6 44/91 7 subjects 8 were 9 aβ 9 aβ 11 positive 10 - 11 positive 11 positive 12 on 11 positive 15 . 12 on 13 pet aβ deposition was associated with mixed pwv , systolic bp , and map . 0 ###LEFT-WALL### 1 aβ 0 ###LEFT-WALL### 6 mixed 0 ###LEFT-WALL### 14 . 1 aβ 2 deposition 1 aβ 5 with 1 aβ 6 mixed 2 deposition 3 was 3 was 4 associated 4 associated 5 with 6 mixed 12 and 7 pwv 8 , 8 , 10 bp 8 , 12 and 9 systolic 10 bp 11 , 12 and 12 and 13 map one sd increase in bapwv resulted in a 2 [-] fold increase in the odds of being aβ [-] positive ( p = 0.007 ) . 0 ###LEFT-WALL### 3 increase 0 ###LEFT-WALL### 6 resulted 0 ###LEFT-WALL### 26 . 1 one 3 increase 2 sd 3 increase 3 increase 4 in 3 increase 6 resulted 4 in 5 bapwv 6 resulted 7 in 6 resulted 13 in 7 in 12 increase 8 a 12 increase 9 2 12 increase 11 fold 12 increase 13 in 15 odds 14 the 15 odds 15 odds 16 of 16 of 17 being 17 being 18 aβ 18 aβ 20 positive 20 positive 23 = 21 ( 23 = 22 p 23 = 23 = 24 0.007 23 = 25 ) high white matter hyperintensity ( wmh ) [burden] was associated with increased central pwv , systolic bp , and map . 0 ###LEFT-WALL### 4 hyperintensity 0 ###LEFT-WALL### 10 associated 0 ###LEFT-WALL### 21 . 1 high 4 hyperintensity 2 white 4 hyperintensity 3 matter 4 hyperintensity 4 hyperintensity 6 wmh 4 hyperintensity 9 was 5 ( 6 wmh 6 wmh 7 ) 9 was 10 associated 10 associated 11 with 11 with 19 and 12 increased 14 pwv 13 central 14 pwv 14 pwv 15 , 15 , 17 bp 15 , 19 and 16 systolic 17 bp 18 , 19 and 19 and 20 map compared to aβ - negative individuals with low wmh burden , each sd increase in pwv was associated with a 2 [-] fold to 4 - [fold] increase in the odds of being aβ - positive and having high wmh . 0 ###LEFT-WALL### 14 increase 0 ###LEFT-WALL### 18 associated 0 ###LEFT-WALL### 26 - 1 compared 2 to 1 compared 11 , 1 compared 14 increase 2 to 3 aβ 3 aβ 6 individuals 4 - 6 individuals 5 negative 6 individuals 6 individuals 7 with 6 individuals 11 , 7 with 10 burden 8 low 10 burden 9 wmh 10 burden 12 each 14 increase 13 sd 14 increase 14 increase 15 in 14 increase 17 was 15 in 16 pwv 17 was 18 associated 18 associated 19 with 18 associated 24 to 19 with 23 fold 20 a 23 fold 21 2 23 fold 24 to 25 4 26 - 28 increase 28 increase 29 in 29 in 31 odds 30 the 31 odds 31 odds 32 of 32 of 33 being 33 being 34 aβ 34 aβ 40 wmh 35 - 40 wmh 36 positive 37 and 37 and 38 having 37 and 39 high 39 high 40 wmh 40 wmh 41 . conclusions : arterial stiffness was associated with aβ plaque deposition in the brain , independent of bp and apoe ε4 allele . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 1 conclusions 2 : 2 : 3 arterial 3 arterial 4 stiffness 3 arterial 5 was 3 arterial 6 associated 3 arterial 16 of 4 stiffness 5 was 6 associated 7 with 6 associated 14 , 6 associated 15 independent 7 with 10 deposition 8 aβ 9 plaque 9 plaque 10 deposition 10 deposition 11 in 11 in 13 brain 12 the 13 brain 16 of 18 and 17 bp 18 and 18 and 21 allele 19 apoe 21 allele 20 ε4 21 allele the associations differed by type of brain abnormality and vascular bed measured ( e.g [.] , wmh with central stiffness and aβ deposition and mixed stiffness ) . 0 ###LEFT-WALL### 2 associations 0 ###LEFT-WALL### 3 differed 1 the 2 associations 2 associations 3 differed 3 differed 4 by 4 by 9 and 5 type 6 of 6 of 8 abnormality 6 of 9 and 7 brain 8 abnormality 9 and 11 bed 9 and 12 measured 9 and 14 e.g 10 vascular 11 bed 13 ( 14 e.g 14 e.g 24 and 14 e.g 28 . 16 , 24 and 17 wmh 18 with 17 wmh 21 and 18 with 20 stiffness 19 central 20 stiffness 21 and 23 deposition 21 and 24 and 22 aβ 23 deposition 24 and 26 stiffness 24 and 27 ) 25 mixed 26 stiffness arterial stiffness was [highest] in individuals with both high aβ deposition and wmh , which has been suggested to be a " double hit " contributing to the development of symptomatic dementia . 0 ###LEFT-WALL### 2 stiffness 0 ###LEFT-WALL### 3 was 1 arterial 2 stiffness 2 stiffness 3 was 3 was 5 in 5 in 6 individuals 6 individuals 7 with 7 with 12 and 8 both 12 and 9 high 11 deposition 10 aβ 11 deposition 11 deposition 12 and 12 and 13 wmh 12 and 15 which 14 , 15 which 15 which 16 has 15 which 33 . 16 has 17 been 17 been 18 suggested 18 suggested 19 to 19 to 20 be 20 be 24 hit 21 a 22 " 21 a 24 hit 23 double 24 hit 24 hit 25 " 24 hit 26 contributing 24 hit 27 to 24 hit 30 of 27 to 29 development 28 the 29 development 30 of 32 dementia 31 symptomatic 32 dementia systems for the provision of healthcare need to be improved , since costs are already high and rising along with the needs of an aging population . 0 ###LEFT-WALL### 1 systems 0 ###LEFT-WALL### 10 improved 1 systems 2 for 1 systems 5 of 1 systems 10 improved 2 for 4 provision 3 the 4 provision 5 of 7 need 6 healthcare 7 need 7 need 8 to 7 need 9 be 8 to 9 be 10 improved 12 since 11 , 12 since 12 since 13 costs 12 since 14 are 12 since 27 . 13 costs 14 are 14 are 15 already 14 are 17 and 14 are 20 with 16 high 17 and 17 and 18 rising 19 along 20 with 20 with 22 needs 21 the 22 needs 22 needs 23 of 23 of 26 population 24 an 26 population 25 aging 26 population in considering evaluations of two programs from opposite ends of the country , inferences can differ depending on the observer . 0 ###LEFT-WALL### 14 inferences 0 ###LEFT-WALL### 16 differ 0 ###LEFT-WALL### 21 . 1 in 2 considering 1 in 13 , 1 in 14 inferences 2 considering 3 evaluations 2 considering 7 from 3 evaluations 4 of 4 of 6 programs 5 two 6 programs 7 from 9 ends 8 opposite 9 ends 9 ends 10 of 10 of 12 country 11 the 12 country 14 inferences 15 can 15 can 16 differ 16 differ 17 depending 17 depending 18 on 18 on 20 observer 19 the 20 observer while the demographic - healthcare time bomb we 're faced with should have been obvious years ago , the need for positive action is upon us . 0 ###LEFT-WALL### 20 need 0 ###LEFT-WALL### 24 is 0 ###LEFT-WALL### 27 . 1 while 7 bomb 1 while 14 been 1 while 18 , 1 while 20 need 2 the 7 bomb 3 demographic 4 - 3 demographic 7 bomb 5 healthcare 7 bomb 6 time 7 bomb 7 bomb 8 we 7 bomb 11 with 7 bomb 12 should 8 we 9 're 9 're 10 faced 10 faced 11 with 12 should 13 have 13 have 14 been 14 been 15 obvious 15 obvious 17 ago 16 years 17 ago 19 the 20 need 20 need 21 for 20 need 24 is 21 for 23 action 22 positive 23 action 24 is 25 upon 25 upon 26 us care providers and recipients , as well as the governments funding healthcare will need to be convinced that we are successfully increasing healthcare value and improving patient outcomes . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 , 1 care 2 providers 2 providers 3 and 3 and 4 recipients 5 , 14 need 6 as 7 well 7 well 8 as 8 as 10 governments 8 as 14 need 9 the 10 governments 10 governments 11 funding 11 funding 13 will 12 healthcare 13 will 14 need 15 to 14 need 29 . 15 to 16 be 16 be 17 convinced 17 convinced 18 that 18 that 19 we 18 that 20 are 19 we 20 are 20 are 22 increasing 21 successfully 22 increasing 22 increasing 25 and 23 healthcare 24 value 24 value 25 and 25 and 28 outcomes 26 improving 28 outcomes 27 patient 28 outcomes none stereotype threat often incurs the cost of reducing the amount of information that older adults accurately recall . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 18 recall 2 stereotype 3 threat 3 threat 5 incurs 4 often 5 incurs 5 incurs 7 cost 6 the 7 cost 7 cost 8 of 8 of 9 reducing 9 reducing 11 amount 10 the 11 amount 11 amount 12 of 11 amount 14 that 12 of 13 information 14 that 16 adults 14 that 18 recall 15 older 16 adults 16 adults 18 recall 17 accurately 18 recall 18 recall 19 . in the current research , we tested whether stereotype threat can also benefit memory . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 tested 0 ###LEFT-WALL### 15 . 1 in 4 research 1 in 5 , 1 in 6 we 2 the 4 research 3 current 4 research 6 we 7 tested 7 tested 8 whether 8 whether 10 threat 8 whether 13 benefit 9 stereotype 10 threat 10 threat 11 can 11 can 13 benefit 12 also 13 benefit 13 benefit 14 memory according to the regulatory focus account of stereotype threat , threat induces a prevention focus in which people become concerned with avoiding errors of commission and [are] sensitive to the presence or absence of losses within their environment . 0 ###LEFT-WALL### 11 threat 0 ###LEFT-WALL### 12 induces 0 ###LEFT-WALL### 39 . 1 according 2 to 2 to 6 account 2 to 10 , 2 to 11 threat 3 the 6 account 4 regulatory 5 focus 5 focus 6 account 6 account 7 of 7 of 9 threat 8 stereotype 9 threat 11 threat 12 induces 12 induces 32 or 13 a 15 focus 14 prevention 15 focus 15 focus 16 in 15 focus 24 of 15 focus 26 and 16 in 17 which 16 in 18 people 16 in 20 concerned 18 people 19 become 18 people 20 concerned 20 concerned 21 with 20 concerned 23 errors 21 with 22 avoiding 24 of 25 commission 26 and 28 sensitive 26 and 29 to 26 and 32 or 29 to 31 presence 30 the 31 presence 32 or 33 absence 32 or 34 of 32 or 36 within 34 of 35 losses 36 within 38 environment 37 their 38 environment because of this , we predicted that stereotype threat might reduce older adults ' memory errors . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 predicted 0 ###LEFT-WALL### 17 . 1 because 2 of 1 because 4 , 1 because 5 we 2 of 3 this 5 we 6 predicted 6 predicted 7 that 7 that 9 threat 7 that 11 reduce 8 stereotype 9 threat 9 threat 10 might 10 might 11 reduce 11 reduce 16 errors 12 older 13 adults 13 adults 14 ' 14 ' 16 errors 15 memory 16 errors results were consistent with this prediction . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 7 . 1 results 2 were 2 were 3 consistent 3 consistent 4 with 4 with 6 prediction 5 this 6 prediction older adults under stereotype threat had lower intrusion rates during free - recall tests ( experiments 1 and 2 ) . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 6 had 0 ###LEFT-WALL### 21 . 1 older 2 adults 2 adults 3 under 2 adults 6 had 3 under 5 threat 4 stereotype 5 threat 6 had 9 rates 6 had 10 during 7 lower 8 intrusion 8 intrusion 9 rates 10 during 14 tests 11 free 12 - 11 free 13 recall 13 recall 14 tests 14 tests 16 experiments 15 ( 16 experiments 16 experiments 18 and 16 experiments 20 ) 17 1 18 and 18 and 19 2 they also reduced their false alarms and adopted more conservative response criteria during a recognition test ( experiment 2 ) . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 21 . 1 they 7 and 2 also 3 reduced 3 reduced 6 alarms 3 reduced 7 and 4 their 6 alarms 5 false 6 alarms 7 and 8 adopted 8 adopted 12 criteria 8 adopted 13 during 9 more 10 conservative 10 conservative 11 response 11 response 12 criteria 13 during 16 test 14 a 15 recognition 14 a 16 test 15 recognition 16 test 16 test 18 experiment 17 ( 18 experiment 18 experiment 19 2 18 experiment 20 ) thus , stereotype threat can decrease older adults ' false memories , [albeit] at the cost of fewer veridical memories , as well . 0 ###LEFT-WALL### 4 threat 0 ###LEFT-WALL### 6 decrease 0 ###LEFT-WALL### 24 . 1 thus 2 , 1 thus 4 threat 3 stereotype 4 threat 4 threat 5 can 5 can 6 decrease 6 decrease 11 memories 6 decrease 22 as 7 older 8 adults 8 adults 9 ' 9 ' 11 memories 10 false 11 memories 11 memories 14 at 12 , 14 at 14 at 16 cost 14 at 21 , 15 the 16 cost 16 cost 17 of 17 of 20 memories 18 fewer 20 memories 19 veridical 20 memories 22 as 23 well diurnal [type] ( chronotype ) [differentiates] individuals on [an] axis between the extremes of evening type to [morning] type . 0 ###LEFT-WALL### 7 individuals 0 ###LEFT-WALL### 19 type 0 ###LEFT-WALL### 20 . 1 diurnal 4 chronotype 1 diurnal 5 ) 1 diurnal 7 individuals 3 ( 4 chronotype 4 chronotype 5 ) 7 individuals 8 on 7 individuals 11 between 7 individuals 14 of 7 individuals 16 type 8 on 10 axis 11 between 13 extremes 12 the 13 extremes 14 of 15 evening 16 type 17 to 17 to 19 type these diurnal - type preferences are thought to be relatively stable , but [follow] - up studies are sparse . 0 ###LEFT-WALL### 5 preferences 0 ###LEFT-WALL### 7 thought 0 ###LEFT-WALL### 13 but 0 ###LEFT-WALL### 20 . 1 these 5 preferences 2 diurnal 3 - 2 diurnal 4 type 4 type 5 preferences 5 preferences 6 are 6 are 7 thought 7 thought 8 to 8 to 9 be 9 be 10 relatively 9 be 11 stable 12 , 13 but 13 but 15 - 13 but 18 are 15 - 17 studies 16 up 17 studies 17 studies 18 are 18 are 19 sparse the study aims were ( 1 [ )(to compare [cross] - sectional studies of diurnal type preferences between two decades [and] ( 2 ) to analyze the consistency of diurnal - type preferences using a longitudinal dataset . 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 38 . 1 the 3 aims 2 study 3 aims 3 aims 4 were 4 were 11 - 4 were 25 to 5 ( 11 - 6 1 8 )(to 6 1 9 compare 6 1 11 - 8 )(to 9 compare 11 - 13 studies 11 - 24 ) 12 sectional 13 studies 13 studies 14 of 13 studies 23 2 14 of 17 preferences 15 diurnal 16 type 16 type 17 preferences 17 preferences 18 between 18 between 20 decades 19 two 20 decades 22 ( 23 2 23 2 24 ) 25 to 26 analyze 26 analyze 28 consistency 27 the 28 consistency 28 consistency 29 of 28 consistency 34 using 29 of 33 preferences 30 diurnal 31 - 30 diurnal 32 type 32 type 33 preferences 34 using 37 dataset 35 a 36 longitudinal 35 a 37 dataset 36 longitudinal 37 dataset we analyzed a total of 18,087 adult males from four datasets with information on diurnal type [and] age . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 analyzed 0 ###LEFT-WALL### 19 . 1 we 2 analyzed 2 analyzed 4 total 2 analyzed 12 with 3 a 4 total 4 total 5 of 5 of 8 males 6 18,087 8 males 7 adult 8 males 8 males 9 from 9 from 11 datasets 10 four 11 datasets 12 with 13 information 13 information 14 on 14 on 18 age 15 diurnal 16 type 16 type 18 age of these , 2144 were available for survival analysis [and] 567 for analysis of longitudinal diurnal consistency . 0 ###LEFT-WALL### 4 2144 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 18 . 1 of 2 these 1 of 3 , 1 of 4 2144 4 2144 5 were 5 were 6 available 6 available 7 for 7 for 9 analysis 8 survival 9 analysis 9 analysis 11 567 9 analysis 12 for 12 for 13 analysis 13 analysis 14 of 14 of 17 consistency 15 longitudinal 17 consistency 16 diurnal 17 consistency diurnal [type] was assessed by asking the individual to what extent they would rate themselves a morning or an evening person , categorized into four groups . 0 ###LEFT-WALL### 1 diurnal 0 ###LEFT-WALL### 4 assessed 1 diurnal 3 was 3 was 4 assessed 4 assessed 5 by 4 assessed 23 categorized 5 by 6 asking 6 asking 8 individual 6 asking 21 person 7 the 8 individual 8 individual 9 to 9 to 10 what 9 to 11 extent 9 to 12 they 9 to 14 rate 10 what 11 extent 12 they 13 would 13 would 14 rate 14 rate 15 themselves 16 a 21 person 17 morning 18 or 18 or 20 evening 18 or 21 person 19 an 20 evening 22 , 23 categorized 23 categorized 24 into 23 categorized 27 . 24 into 26 groups 25 four 26 groups statistical tests for stability of diurnal type [were] based [on] transition matrices and [p] values obtained using likelihood ratios . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 20 . 1 statistical 2 tests 2 tests 3 for 2 tests 13 and 3 for 4 stability 4 stability 5 of 5 of 12 matrices 6 diurnal 12 matrices 7 type 9 based 9 based 12 matrices 11 transition 12 matrices 13 and 15 values 13 and 17 using 15 values 16 obtained 17 using 19 ratios 18 likelihood 19 ratios cox regression was used to calculate the relative risk of all - cause mortality in each of the four diurnal type groups . 0 ###LEFT-WALL### 2 regression 0 ###LEFT-WALL### 4 used 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 23 . 1 cox 2 regression 2 regression 3 was 3 was 4 used 4 used 5 to 4 used 6 calculate 5 to 6 calculate 6 calculate 9 risk 7 the 9 risk 8 relative 9 risk 9 risk 10 of 10 of 11 all 12 - 13 cause 13 cause 14 mortality 13 cause 15 in 15 in 22 groups 16 each 17 of 16 each 22 groups 17 of 22 groups 18 the 19 four 19 four 22 groups 20 diurnal 21 type 21 type 22 groups after direct age standardization , 9.5 % ( 95 % ci : 9.0 - 10.1 % ) of participants in the four datasets were evening types . 0 ###LEFT-WALL### 23 datasets 0 ###LEFT-WALL### 24 were 0 ###LEFT-WALL### 27 . 1 after 4 standardization 1 after 17 ) 1 after 23 datasets 2 direct 3 age 3 age 4 standardization 4 standardization 7 % 5 , 7 % 6 9.5 7 % 7 % 16 % 7 % 17 ) 8 ( 16 % 9 95 11 ci 10 % 11 ci 11 ci 12 : 12 : 14 - 13 9.0 14 - 14 - 15 10.1 15 10.1 16 % 16 % 17 ) 18 of 19 participants 18 of 23 datasets 19 participants 20 in 20 in 22 four 21 the 22 four 23 datasets 24 were 24 were 25 evening 25 evening 26 types the cross - sectional data yielded that morning types were less common in the 2000s than two decades earlier . 0 ###LEFT-WALL### 2 cross 0 ###LEFT-WALL### 3 - 1 the 2 cross 3 - 5 data 3 - 10 were 3 - 20 . 4 sectional 5 data 5 data 6 yielded 5 data 7 that 5 data 9 types 5 data 10 were 7 that 8 morning 7 that 9 types 8 morning 9 types 10 were 12 common 11 less 12 common 12 common 13 in 12 common 16 than 13 in 15 2000s 14 the 15 2000s 16 than 18 decades 16 than 19 earlier 17 two 18 decades the longitudinal dataset revealed a significant shift from evening [type] to another type from 1985 to 2008 ( p = 0.002 ) . 0 ###LEFT-WALL### 3 dataset 0 ###LEFT-WALL### 4 revealed 0 ###LEFT-WALL### 23 . 1 the 3 dataset 2 longitudinal 3 dataset 3 dataset 4 revealed 4 revealed 7 shift 5 a 6 significant 5 a 7 shift 6 significant 7 shift 7 shift 8 from 7 shift 20 = 8 from 9 evening 9 evening 11 to 9 evening 16 to 11 to 13 type 12 another 13 type 14 from 16 to 15 1985 16 to 16 to 17 2008 18 ( 20 = 19 p 20 = 20 = 21 0.002 20 = 22 ) the relative risk of all [-] cause mortality was 1.3 - fold [(] 95 % ci : 1.0 - 1.6 [;] p = 0.05 ) higher for evening types compared to morning types . 0 ###LEFT-WALL### 3 risk 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 11 - 1 the 3 risk 2 relative 3 risk 3 risk 4 of 3 risk 9 was 4 of 8 mortality 5 all 8 mortality 7 cause 8 mortality 9 was 10 1.3 11 - 16 ci 11 - 17 : 11 - 34 . 12 fold 16 ci 14 95 16 ci 15 % 16 ci 16 ci 17 : 17 : 23 = 17 : 26 higher 18 1.0 19 - 19 - 20 1.6 19 - 23 = 22 p 23 = 23 = 24 0.05 23 = 25 ) 26 higher 27 for 27 for 28 evening 28 evening 29 types 29 types 30 compared 30 compared 31 to 31 to 33 types 32 morning 33 types at the population level , eveningness appears to have become more prevalent over recent decades . 0 ###LEFT-WALL### 6 eveningness 0 ###LEFT-WALL### 7 appears 0 ###LEFT-WALL### 16 . 1 at 3 population 1 at 6 eveningness 2 the 3 population 4 level 5 , 4 level 6 eveningness 6 eveningness 7 appears 7 appears 8 to 7 appears 10 become 8 to 9 have 9 have 10 become 10 become 12 prevalent 11 more 12 prevalent 12 prevalent 13 over 13 over 15 decades 14 recent 15 decades however , on the individual level , [the] more morningness the chronotype , the more persistent [it] remains with aging . 0 ###LEFT-WALL### 9 more 0 ###LEFT-WALL### 10 morningness 1 however 2 , 1 however 9 more 2 , 3 on 3 on 6 level 3 on 7 , 3 on 9 more 4 the 6 level 5 individual 6 level 9 more 10 morningness 10 morningness 12 chronotype 11 the 12 chronotype 12 chronotype 18 remains 13 , 18 remains 14 the 18 remains 15 more 16 persistent 16 persistent 18 remains 18 remains 19 with 18 remains 21 . 19 with 20 aging background : within the last few years , hyaluronic acid ( ha ) fillers and radiofrequency ( rf ) devices have shown significant promise [for] skin rejuvenation . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 20 devices 2 : 22 shown 2 : 28 . 3 within 15 and 3 within 19 ) 3 within 20 devices 4 the 5 last 4 the 6 few 6 few 7 years 7 years 8 , 8 , 14 fillers 8 , 15 and 9 hyaluronic 14 fillers 10 acid 12 ha 10 acid 14 fillers 11 ( 12 ha 12 ha 13 ) 15 and 16 radiofrequency 15 and 18 rf 17 ( 18 rf 18 rf 19 ) 20 devices 21 have 21 have 22 shown 22 shown 26 skin 22 shown 27 rejuvenation 23 significant 26 skin 24 promise 26 skin but the effects of ha only lasted for a relatively short duration . 0 ###LEFT-WALL### 1 but 0 ###LEFT-WALL### 13 . 1 but 3 effects 1 but 7 lasted 2 the 3 effects 3 effects 4 of 3 effects 7 lasted 4 of 5 ha 6 only 7 lasted 7 lasted 8 for 8 for 12 duration 9 a 10 relatively 9 a 12 duration 10 relatively 11 short 11 short 12 duration therefore , we tried a new combination therapy of intradermal rf and ha filler . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 tried 0 ###LEFT-WALL### 15 . 1 therefore 2 , 1 therefore 3 we 3 we 4 tried 4 tried 7 combination 5 a 6 new 5 a 7 combination 6 new 7 combination 7 combination 12 and 7 combination 14 filler 8 therapy 9 of 8 therapy 12 and 9 of 11 rf 10 intradermal 11 rf 12 and 13 ha 12 and 14 filler objective : to evaluate the clinical efficacy of combination therapy of intradermal rf and ha filler for nasolabial [fold] ( nlf ) wrinkle reduction . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 1 objective 2 : 2 : 3 to 2 : 16 filler 3 to 4 evaluate 4 evaluate 7 efficacy 5 the 7 efficacy 6 clinical 7 efficacy 7 efficacy 8 of 8 of 14 and 9 combination 10 therapy 10 therapy 11 of 10 therapy 14 and 11 of 13 rf 12 intradermal 13 rf 14 and 15 ha 16 filler 17 for 17 for 24 reduction 18 nasolabial 21 nlf 18 nasolabial 22 ) 18 nasolabial 23 wrinkle 20 ( 21 nlf 21 nlf 22 ) 23 wrinkle 24 reduction materials and methods : ten korean female volunteers with mild to severe nlfs were enrolled . 0 ###LEFT-WALL### 1 materials 0 ###LEFT-WALL### 14 were 0 ###LEFT-WALL### 16 . 1 materials 3 methods 1 materials 9 with 1 materials 10 mild 1 materials 14 were 2 and 3 methods 3 methods 4 : 4 : 8 volunteers 4 : 9 with 5 ten 8 volunteers 6 korean 8 volunteers 7 female 8 volunteers 10 mild 11 to 11 to 13 nlfs 12 severe 13 nlfs 14 were 15 enrolled in the control group , five subjects were treated with ha filler alone . 0 ###LEFT-WALL### 7 subjects 0 ###LEFT-WALL### 9 treated 0 ###LEFT-WALL### 14 . 1 in 4 group 1 in 5 , 1 in 7 subjects 2 the 4 group 3 control 4 group 6 five 7 subjects 7 subjects 8 were 8 were 9 treated 9 treated 10 with 10 with 11 ha 11 ha 12 filler 12 filler 13 alone in the experimental group , the other five subjects were treated with intradermal rf prior to ha filler . 0 ###LEFT-WALL### 9 subjects 0 ###LEFT-WALL### 11 treated 0 ###LEFT-WALL### 19 . 1 in 4 group 1 in 5 , 1 in 9 subjects 2 the 4 group 3 experimental 4 group 6 the 7 other 7 other 8 five 8 five 9 subjects 9 subjects 10 were 10 were 11 treated 11 treated 12 with 11 treated 16 to 11 treated 18 filler 12 with 14 rf 13 intradermal 14 rf 15 prior 16 to 16 to 17 ha efficacy was evaluated [based] on the change on the wrinkle severity rating scale ( wsrs ) and the global aesthetic improvement scale ( gais ) from baseline . 0 ###LEFT-WALL### 1 efficacy 0 ###LEFT-WALL### 3 evaluated 0 ###LEFT-WALL### 28 . 1 efficacy 2 was 2 was 3 evaluated 3 evaluated 5 on 3 evaluated 8 on 5 on 7 change 6 the 7 change 8 on 17 and 9 the 15 wsrs 10 wrinkle 11 severity 11 severity 12 rating 12 rating 13 scale 13 scale 15 wsrs 14 ( 15 wsrs 15 wsrs 16 ) 15 wsrs 17 and 17 and 24 gais 17 and 26 from 18 the 24 gais 19 global 20 aesthetic 20 aesthetic 21 improvement 21 improvement 22 scale 22 scale 24 gais 23 ( 24 gais 24 gais 25 ) 26 from 27 baseline results : at 12 and 24 weeks after treatment , the experimental group showed significantly greater improvement in mean wsrs score compared to the control group . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 27 . 1 results 2 : 2 : 3 at 3 at 4 12 5 and 6 24 5 and 22 compared 6 24 7 weeks 6 24 21 score 6 24 22 compared 7 weeks 13 group 7 weeks 14 showed 7 weeks 19 mean 8 after 9 treatment 8 after 10 , 8 after 13 group 11 the 13 group 12 experimental 13 group 13 group 14 showed 14 showed 17 improvement 14 showed 18 in 15 significantly 16 greater 16 greater 17 improvement 19 mean 20 wsrs 19 mean 21 score 20 wsrs 21 score 22 compared 23 to 23 to 26 group 24 the 26 group 25 control 26 group and two [(] 40 % [ )(of the five patients in the experimental group achieved ['] very much improved ['] and two ( 40 % ) showed ['] much improved ['] at 12 weeks after treatment . 0 ###LEFT-WALL### 1 and 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 37 . 1 and 2 two 1 and 19 improved 2 two 5 % 2 two 15 achieved 2 two 19 improved 4 40 5 % 5 % 7 )(of 5 % 11 in 5 % 15 achieved 7 )(of 10 patients 8 the 9 five 9 five 10 patients 11 in 14 group 12 the 14 group 13 experimental 14 group 15 achieved 18 much 17 very 18 much 21 and 22 two 21 and 27 showed 22 two 25 % 22 two 27 showed 23 ( 25 % 24 40 25 % 25 % 26 ) 27 showed 29 much 29 much 30 improved 30 improved 32 at 30 improved 35 after 32 at 34 weeks 33 12 34 weeks 35 after 36 treatment conclusions : intradermal rf treatment prior to ha filler injection may provide synergistic and long - lasting effects for the reduction of nlf wrinkles . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 - 0 ###LEFT-WALL### 25 . 1 conclusions 2 : 2 : 5 treatment 2 : 7 to 2 : 14 and 3 intradermal 4 rf 4 rf 5 treatment 6 prior 7 to 7 to 9 filler 8 ha 9 filler 9 filler 10 injection 9 filler 12 provide 10 injection 11 may 11 may 12 provide 13 synergistic 14 and 14 and 15 long 16 - 18 effects 17 lasting 18 effects 18 effects 19 for 18 effects 22 of 19 for 21 reduction 20 the 21 reduction 22 of 24 wrinkles 23 nlf 24 wrinkles aim : the aim of this article is to describe the physical challenges that ageing nurses experience and the facility design features that can promote healthy work environments to motivate nurses to continue working . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 35 . 2 : 4 aim 2 : 8 is 2 : 18 and 3 the 4 aim 4 aim 5 of 4 aim 8 is 5 of 7 article 6 this 7 article 8 is 9 to 9 to 10 describe 10 describe 13 challenges 11 the 13 challenges 12 physical 13 challenges 13 challenges 14 that 13 challenges 17 experience 14 that 16 nurses 14 that 17 experience 15 ageing 16 nurses 16 nurses 17 experience 18 and 22 features 18 and 30 motivate 19 the 22 features 20 facility 22 features 21 design 22 features 22 features 23 that 22 features 29 to 22 features 30 motivate 23 that 24 can 24 can 25 promote 25 promote 28 environments 25 promote 29 to 26 healthy 27 work 27 work 28 environments 30 motivate 31 nurses 30 motivate 32 to 30 motivate 33 continue 32 to 33 continue 33 continue 34 working background : older nurses are working longer [and] beyond the usual retirement age . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 nurses 2 : 5 are 2 : 14 . 3 older 4 nurses 4 nurses 5 are 5 are 6 working 6 working 7 longer 6 working 9 beyond 9 beyond 13 age 10 the 13 age 11 usual 12 retirement 12 retirement 13 age they often experience chronic fatigue and the usual physical and cognitive changes associated with aging . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 experience 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 16 . 1 they 3 experience 2 often 3 experience 3 experience 5 fatigue 4 chronic 5 fatigue 6 and 12 changes 6 and 13 associated 7 the 12 changes 8 usual 12 changes 9 physical 10 and 10 and 11 cognitive 10 and 12 changes 12 changes 13 associated 13 associated 14 with 14 with 15 aging nursing is a physically demanding profession and many older nurses work in pain while providing direct patient care . 0 ###LEFT-WALL### 1 nursing 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 19 . 1 nursing 2 is 2 is 6 profession 3 a 4 physically 3 a 6 profession 4 physically 5 demanding 5 demanding 6 profession 7 and 10 nurses 7 and 11 work 8 many 10 nurses 9 older 10 nurses 10 nurses 11 work 11 work 12 in 11 work 13 pain 11 work 14 while 14 while 15 providing 15 providing 18 care 16 direct 18 care 17 patient 18 care the literature is replete with studies focusing on the organisational factors that retain older nurses , but little research addresses design factors that facilitate nurses working longer and more safely in direct patient care . 0 ###LEFT-WALL### 2 literature 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 17 but 0 ###LEFT-WALL### 35 . 1 the 2 literature 2 literature 3 is 3 is 4 replete 4 replete 5 with 5 with 6 studies 6 studies 7 focusing 6 studies 8 on 6 studies 12 that 6 studies 13 retain 8 on 11 factors 9 the 11 factors 10 organisational 11 factors 12 that 13 retain 13 retain 15 nurses 14 older 15 nurses 16 , 17 but 17 but 19 research 17 but 20 addresses 18 little 19 research 19 research 20 addresses 20 addresses 22 factors 20 addresses 28 and 20 addresses 30 safely 20 addresses 31 in 21 design 22 factors 22 factors 23 that 22 factors 24 facilitate 22 factors 26 working 23 that 24 facilitate 24 facilitate 25 nurses 27 longer 28 and 28 and 29 more 31 in 34 care 32 direct 34 care 33 patient 34 care evaluation : electronic databases in medicine , nursing , psychology , and architecture were searched and evidence - based , [non] - evidence - based , and review articles and government and organisational newsletters were evaluated . 0 ###LEFT-WALL### 1 evaluation 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 37 . 1 evaluation 2 : 2 : 4 databases 3 electronic 4 databases 4 databases 5 in 5 in 6 medicine 7 , 12 and 7 , 16 and 7 , 22 - 8 nursing 9 , 9 , 10 psychology 9 , 12 and 11 , 12 and 12 and 13 architecture 12 and 14 were 14 were 16 and 15 searched 16 and 16 and 17 evidence 16 and 19 based 18 - 19 based 19 based 20 , 22 - 23 evidence 22 - 27 and 23 evidence 25 based 24 - 25 based 25 based 26 , 26 , 27 and 27 and 32 and 27 and 35 were 28 review 29 articles 29 articles 30 and 30 and 31 government 30 and 32 and 32 and 34 newsletters 32 and 35 were 33 organisational 34 newsletters 35 were 36 evaluated key issues : hospital design can help address the physical work challenges that older nurses experience . 0 ###LEFT-WALL### 2 issues 0 ###LEFT-WALL### 3 : 1 key 2 issues 3 : 5 design 3 : 7 help 3 : 17 . 4 hospital 5 design 5 design 6 can 6 can 7 help 7 help 8 address 8 address 12 challenges 9 the 12 challenges 10 physical 11 work 11 work 12 challenges 12 challenges 13 that 12 challenges 16 experience 13 that 15 nurses 13 that 16 experience 14 older 15 nurses 15 nurses 16 experience conclusions : older nurses have a wealth of knowledge and expertise , and the design of nursing units can optimize their work experience . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 nurses 2 : 5 have 2 : 24 . 3 older 4 nurses 4 nurses 5 have 5 have 13 and 6 a 13 and 7 wealth 8 of 7 wealth 10 and 8 of 9 knowledge 10 and 11 expertise 10 and 13 and 12 , 13 and 13 and 15 design 13 and 16 of 14 the 15 design 16 of 17 nursing 17 nursing 18 units 17 nursing 20 optimize 18 units 19 can 19 can 20 optimize 20 optimize 23 experience 21 their 23 experience 22 work 23 experience implications for nursing management : nurse managers must participate in design efforts and advocate designs that support aging nurses . 0 ###LEFT-WALL### 4 management 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 20 . 1 implications 2 for 2 for 3 nursing 3 nursing 4 management 5 : 7 managers 5 : 13 and 6 nurse 7 managers 7 managers 13 and 8 must 9 participate 8 must 13 and 9 participate 10 in 10 in 12 efforts 11 design 12 efforts 13 and 14 advocate 14 advocate 15 designs 15 designs 16 that 15 designs 19 nurses 16 that 17 support 16 that 19 nurses 17 support 18 aging 17 support 19 nurses materials and methods : patients ( n = 100 [ )(seeking skin rejuvenation underwent co2 laser resurfacing . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 5 patients 4 : 14 underwent 4 : 18 . 5 patients 8 = 5 patients 14 underwent 6 ( 8 = 7 n 8 = 8 = 9 100 9 100 11 )(seeking 11 )(seeking 13 rejuvenation 12 skin 13 rejuvenation 14 underwent 17 resurfacing 15 co2 17 resurfacing 16 laser 17 resurfacing group a patients ( n = 34 ) received a single deep fractional laser treatment followed by application of aquaphor immediately after treatment for 24 h and [toe] every 6 h for the next 6 days . 0 ###LEFT-WALL### 3 patients 0 ###LEFT-WALL### 9 received 0 ###LEFT-WALL### 37 . 1 group 2 a 1 group 3 patients 3 patients 6 = 3 patients 9 received 4 ( 6 = 5 n 6 = 6 = 7 34 6 = 8 ) 9 received 15 treatment 9 received 22 after 10 a 11 single 10 a 15 treatment 11 single 14 laser 12 deep 14 laser 13 fractional 14 laser 14 laser 15 treatment 15 treatment 16 followed 15 treatment 19 of 16 followed 17 by 17 by 18 application 19 of 20 aquaphor 21 immediately 22 after 22 after 23 treatment 23 treatment 24 for 24 for 27 and 25 24 26 h 26 h 27 and 27 and 31 h 27 and 32 for 29 every 30 6 30 6 31 h 32 for 36 days 33 the 34 next 33 the 35 6 35 6 36 days group b patients ( n = 66 ) underwent both deep [fractional] and fully ablative laser resurfacing followed by application of toe every 6 h for 7 consecutive days . 0 ###LEFT-WALL### 3 patients 0 ###LEFT-WALL### 9 underwent 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 30 . 1 group 2 b 1 group 3 patients 3 patients 6 = 3 patients 9 underwent 4 ( 6 = 5 n 6 = 6 = 7 66 6 = 8 ) 9 underwent 10 both 9 underwent 11 deep 13 and 17 resurfacing 13 and 18 followed 14 fully 15 ablative 15 ablative 16 laser 16 laser 17 resurfacing 17 resurfacing 18 followed 18 followed 19 by 18 followed 25 h 19 by 20 application 20 application 21 of 21 of 22 toe 23 every 24 6 24 6 25 h 25 h 26 for 26 for 29 days 27 7 29 days 28 consecutive 29 days results : patients in both groups showed clinical improvement and a 7.1 % overall incidence of adverse effects which included milia ( 5.1 % [overall] ) and hyperpigmentation ( 3.1 % [overall] ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 patients 2 : 7 showed 2 : 34 . 3 patients 4 in 3 patients 7 showed 4 in 6 groups 5 both 6 groups 7 showed 9 improvement 7 showed 10 and 8 clinical 9 improvement 10 and 27 and 11 a 15 incidence 12 7.1 13 % 13 % 15 incidence 14 overall 15 incidence 15 incidence 16 of 15 incidence 27 and 16 of 18 effects 17 adverse 18 effects 18 effects 19 which 18 effects 20 included 18 effects 24 % 19 which 20 included 20 included 21 milia 22 ( 24 % 23 5.1 24 % 24 % 26 ) 27 and 28 hyperpigmentation 27 and 31 % 29 ( 31 % 30 3.1 31 % 31 % 33 ) for milia , group a and group b individual adverse effect rates were 11.8 [%] and 1.5 % , respectively ; for hyperpigmentation , individual rates were 0.0 [%] and 3.1 % , respectively . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 21 ; 1 for 2 milia 1 for 3 , 1 for 6 and 4 group 5 a 4 group 6 and 6 and 12 rates 6 and 13 were 7 group 8 b 7 group 9 individual 9 individual 12 rates 10 adverse 11 effect 11 effect 12 rates 13 were 18 % 13 were 20 respectively 14 11.8 16 and 16 and 17 1.5 16 and 18 % 19 , 20 respectively 20 respectively 21 ; 21 ; 26 rates 21 ; 27 were 22 for 23 hyperpigmentation 22 for 24 , 22 for 26 rates 25 individual 26 rates 26 rates 27 were 27 were 32 % 27 were 34 respectively 28 0.0 30 and 30 and 31 3.1 30 and 32 % 33 , 34 respectively 34 respectively 35 . conclusion : the elimination of petrolatum products in the post [-] skin care regimen has significantly reduced the incidence of post - procedure complications [when] compared with the use of toe , resulting in the lowest incidence of complications in [fully] ablative or fractional resurfacing published thus far . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 49 . 2 : 4 elimination 2 : 17 reduced 3 the 4 elimination 4 elimination 5 of 4 elimination 15 has 5 of 7 products 6 petrolatum 7 products 7 products 8 in 8 in 14 regimen 9 the 14 regimen 10 post 14 regimen 12 skin 14 regimen 13 care 14 regimen 15 has 17 reduced 16 significantly 17 reduced 17 reduced 19 incidence 17 reduced 48 far 18 the 19 incidence 19 incidence 20 of 19 incidence 33 resulting 20 of 21 post 21 post 24 complications 22 - 24 complications 23 procedure 24 complications 24 complications 26 compared 24 complications 30 of 24 complications 32 , 26 compared 27 with 27 with 29 use 28 the 29 use 30 of 31 toe 33 resulting 34 in 33 resulting 40 in 34 in 37 incidence 35 the 36 lowest 35 the 37 incidence 37 incidence 38 of 38 of 39 complications 40 in 43 or 42 ablative 43 or 43 or 44 fractional 43 or 45 resurfacing 43 or 46 published 45 resurfacing 46 published 47 thus 48 far background : [microdermabrasion] is a surface treatment [,] noninvasive , which uses a negative pressure and drives programmable inert microcrystals on the skin , causing an exfoliation . 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 10 , 1 background 2 : 2 : 4 is 4 is 7 treatment 4 is 9 noninvasive 5 a 7 treatment 6 surface 7 treatment 10 , 11 which 10 , 16 and 11 which 16 and 12 uses 15 pressure 12 uses 16 and 13 a 15 pressure 14 negative 15 pressure 16 and 17 drives 17 drives 20 microcrystals 18 programmable 20 microcrystals 19 inert 20 microcrystals 20 microcrystals 21 on 20 microcrystals 25 causing 21 on 23 skin 22 the 23 skin 24 , 25 causing 25 causing 27 exfoliation 25 causing 28 . 26 an 27 exfoliation objective : the aim of this study was to evaluate the effects of application of microdermabrasion in human skin rejuvenation . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 1 objective 2 : 2 : 4 aim 3 the 4 aim 4 aim 5 of 4 aim 7 study 4 aim 10 evaluate 5 of 6 this 7 study 8 was 8 was 9 to 8 was 10 evaluate 9 to 10 evaluate 10 evaluate 12 effects 10 evaluate 17 in 11 the 12 effects 12 effects 13 of 13 of 14 application 14 application 15 of 15 of 16 microdermabrasion 17 in 20 rejuvenation 18 human 20 rejuvenation 19 skin 20 rejuvenation methods : eleven women who were undergoing abdominoplasty were considered . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 women 2 : 10 considered 2 : 11 . 3 eleven 4 women 4 women 5 who 4 women 6 were 4 women 9 were 5 who 6 were 6 were 7 undergoing 7 undergoing 8 abdominoplasty 9 were 10 considered an area of 25 cm² in the umbilicus to the right was conditioned with microcrystals of al₂o₃ in maximum flow , negative pressure of 200 mmhg and total of 8 past , the left side being used as control . 0 ###LEFT-WALL### 2 area 0 ###LEFT-WALL### 13 conditioned 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 40 . 1 an 2 area 2 area 3 of 2 area 9 to 2 area 12 was 3 of 5 cm² 4 25 5 cm² 5 cm² 6 in 6 in 8 umbilicus 7 the 8 umbilicus 9 to 11 right 10 the 11 right 12 was 13 conditioned 13 conditioned 14 with 13 conditioned 18 in 14 with 15 microcrystals 15 microcrystals 16 of 16 of 17 al₂o₃ 18 in 20 flow 19 maximum 20 flow 21 , 31 past 21 , 32 , 22 negative 23 pressure 23 pressure 24 of 23 pressure 27 and 24 of 26 mmhg 25 200 26 mmhg 27 and 28 total 27 and 29 of 27 and 31 past 29 of 30 8 32 , 34 left 32 , 35 side 33 the 34 left 34 left 35 side 35 side 36 being 35 side 38 as 36 being 37 used 38 as 39 control the number of sessions ranged from one to five , with weekly intervals , and timing [of] sample collection ranged from 0 to 132 days . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 26 . 1 the 2 number 2 number 3 of 2 number 15 and 3 of 4 sessions 4 sessions 5 ranged 4 sessions 11 with 5 ranged 8 to 6 from 8 to 7 one 8 to 8 to 9 five 10 , 11 with 11 with 13 intervals 11 with 14 , 12 weekly 13 intervals 14 , 15 and 15 and 19 collection 15 and 20 ranged 15 and 21 from 16 timing 19 collection 18 sample 19 collection 21 from 25 days 22 0 23 to 23 to 24 132 23 to 25 days samples were fixed in 10 % formaldehyde in phosphate [buffer] and were evaluated histologically . 0 ###LEFT-WALL### 1 samples 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 15 . 1 samples 2 were 2 were 11 and 3 fixed 4 in 3 fixed 7 formaldehyde 3 fixed 8 in 3 fixed 11 and 5 10 6 % 6 % 7 formaldehyde 8 in 9 phosphate 11 and 12 were 11 and 14 histologically 12 were 13 evaluated results : a mild [to] marked hyperpigmentation was observed and remained for a variable period . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 . 1 results 2 : 2 : 15 period 3 a 4 mild 3 a 15 period 4 mild 7 hyperpigmentation 6 marked 7 hyperpigmentation 7 hyperpigmentation 8 was 8 was 10 and 9 observed 10 and 10 and 11 remained 11 remained 12 for 12 for 14 variable 13 a 14 variable histological findings suggest an improvement in the epidermal layer with increased thickness and reestablishing their interdigitations in the dermis initially observed an increase in collagen synthesis . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 27 . 1 histological 2 findings 2 findings 3 suggest 3 suggest 5 improvement 3 suggest 6 in 3 suggest 10 with 4 an 5 improvement 6 in 9 layer 7 the 9 layer 8 epidermal 9 layer 10 with 12 thickness 11 increased 12 thickness 13 and 14 reestablishing 13 and 21 observed 14 reestablishing 16 interdigitations 14 reestablishing 17 in 14 reestablishing 20 initially 14 reestablishing 21 observed 15 their 16 interdigitations 17 in 19 dermis 18 the 19 dermis 21 observed 23 increase 21 observed 24 in 22 an 23 increase 24 in 26 synthesis 25 collagen 26 synthesis the analysis showed a late stay of epidermal changes , which did not occur in the dermis . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 18 . 1 the 2 analysis 2 analysis 3 showed 3 showed 6 stay 4 a 5 late 4 a 6 stay 5 late 6 stay 6 stay 7 of 7 of 9 changes 8 epidermal 9 changes 10 , 11 which 10 , 14 occur 11 which 12 did 12 did 13 not 12 did 14 occur 14 occur 15 in 15 in 17 dermis 16 the 17 dermis conclusion : under the conditions and parameters used in this work , the microdermabrasion had a positive skin structure , showing that a viable resource in promoting skin rejuvenation . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 , 1 conclusion 2 : 2 : 3 under 2 : 9 in 3 under 6 and 4 the 5 conditions 5 conditions 6 and 6 and 7 parameters 6 and 8 used 9 in 11 work 10 this 11 work 12 , 14 microdermabrasion 12 , 15 had 13 the 14 microdermabrasion 14 microdermabrasion 15 had 15 had 19 structure 15 had 21 showing 16 a 17 positive 16 a 19 structure 17 positive 18 skin 18 skin 19 structure 20 , 21 showing 21 showing 22 that 21 showing 25 resource 21 showing 30 . 23 a 24 viable 23 a 25 resource 24 viable 25 resource 25 resource 26 in 26 in 27 promoting 27 promoting 29 rejuvenation 28 skin 29 rejuvenation introduction : skin resurfacing is an accepted gold standard for the treatment of skin laxity [,] [photodamage] , and appearance of visible lines and wrinkles . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 2 : 3 skin 2 : 5 is 2 : 26 . 3 skin 4 resurfacing 3 skin 5 is 5 is 9 standard 6 an 9 standard 7 accepted 9 standard 8 gold 9 standard 9 standard 10 for 9 standard 13 of 10 for 12 treatment 11 the 12 treatment 13 of 24 and 14 skin 15 laxity 15 laxity 19 and 18 , 19 and 19 and 20 appearance 19 and 21 of 19 and 24 and 21 of 23 lines 22 visible 23 lines 24 and 25 wrinkles however , the relatively significant risk and the long downtime associated with whole area resurfacing treatments have led to the introduction of fractional resurfacing lasers and radiofrequency ( rf ) technologies . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 18 led 0 ###LEFT-WALL### 32 . 1 however 2 , 1 however 7 and 3 the 6 risk 4 relatively 5 significant 5 significant 6 risk 6 risk 7 and 7 and 10 downtime 7 and 18 led 8 the 10 downtime 9 long 10 downtime 10 downtime 11 associated 10 downtime 12 with 12 with 14 area 13 whole 14 area 14 area 15 resurfacing 14 area 16 treatments 14 area 17 have 16 treatments 17 have 18 led 19 to 18 led 31 technologies 19 to 26 and 20 the 21 introduction 21 introduction 22 of 21 introduction 26 and 22 of 25 lasers 23 fractional 25 lasers 24 resurfacing 25 lasers 26 and 27 radiofrequency 26 and 29 rf 28 ( 29 rf 29 rf 30 ) this study was performed in order to evaluate the safety and efficacy of the new trifractional technology using the 3f applicator ( a3f ) , designed to enable skin resurfacing and treatment of wrinkles using fractional rf energy . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 39 . 1 this 2 study 2 study 25 , 3 was 4 performed 3 was 25 , 4 performed 5 in 5 in 6 order 6 order 7 to 6 order 8 evaluate 7 to 8 evaluate 8 evaluate 11 and 9 the 10 safety 10 safety 11 and 11 and 12 efficacy 11 and 13 of 11 and 18 using 11 and 23 a3f 13 of 17 technology 14 the 17 technology 15 new 17 technology 16 trifractional 17 technology 18 using 21 applicator 19 the 20 3f 20 3f 21 applicator 22 ( 23 a3f 23 a3f 24 ) 25 , 26 designed 25 , 27 to 25 , 38 energy 27 to 28 enable 28 enable 31 and 29 skin 30 resurfacing 29 skin 31 and 31 and 32 treatment 31 and 33 of 31 and 35 using 33 of 34 wrinkles 35 using 37 rf 36 fractional 37 rf methods : thirty - two subjects were recruited in two sites and were treated with the a3f for the reduction of facial wrinkles and followed for 3 months after the last treatment . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 6 subjects 3 thirty 4 - 4 - 5 two 4 - 6 subjects 6 subjects 12 and 7 were 8 recruited 7 were 12 and 8 recruited 9 in 9 in 11 sites 10 two 11 sites 12 and 24 and 12 and 26 for 13 were 14 treated 13 were 24 and 14 treated 15 with 15 with 17 a3f 15 with 18 for 16 the 17 a3f 18 for 20 reduction 19 the 20 reduction 20 reduction 21 of 21 of 23 wrinkles 22 facial 23 wrinkles 24 and 25 followed 26 for 28 months 27 3 28 months 28 months 29 after 29 after 32 treatment 30 the 31 last 30 the 32 treatment the safety of using the trifractional system was established by the physicians ' assessments and observations of adverse events after each treatment . 0 ###LEFT-WALL### 2 safety 0 ###LEFT-WALL### 9 established 0 ###LEFT-WALL### 23 . 1 the 2 safety 2 safety 3 of 2 safety 8 was 3 of 4 using 4 using 7 system 5 the 7 system 6 trifractional 7 system 8 was 9 established 9 established 10 by 9 established 20 after 10 by 15 and 11 the 12 physicians 12 physicians 13 ' 13 ' 14 assessments 14 assessments 15 and 15 and 16 observations 15 and 17 of 17 of 19 events 18 adverse 19 events 20 after 22 treatment 21 each 22 treatment to evaluate treatment efficacy , subject 's pretreatment and posttreatment digital images were assessed and graded by two blinded uninvolved physicians based on fitzpatrick wrinkle and elastosis scale . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 7 's 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 29 . 1 to 5 , 1 to 7 's 2 evaluate 4 efficacy 2 evaluate 5 , 3 treatment 4 efficacy 5 , 6 subject 7 's 8 pretreatment 9 and 12 images 9 and 15 and 10 posttreatment 12 images 11 digital 12 images 12 images 13 were 13 were 15 and 14 assessed 15 and 15 and 16 graded 15 and 17 by 15 and 21 physicians 17 by 18 two 18 two 19 blinded 19 blinded 20 uninvolved 21 physicians 22 based 21 physicians 26 and 21 physicians 28 scale 22 based 23 on 23 on 24 fitzpatrick 25 wrinkle 26 and 26 and 27 elastosis 26 and 28 scale results : no significant adverse side effects were detected or reported . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 7 effects 2 : 10 or 2 : 12 . 3 no 7 effects 4 significant 6 side 5 adverse 6 side 6 side 7 effects 7 effects 10 or 8 were 9 detected 8 were 10 or 10 or 11 reported evaluation of photographs of study subjects at baseline and 3 months follow - up by the two blinded physicians , revealed improvement [(] downgrade of at least 1 score according to the fitzpatrick scale [ )(in 80 % and 73 % of subjects as graded by the two reviewers [.] 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 12 follow 1 evaluation 9 and 2 of 3 photographs 2 of 9 and 3 photographs 4 of 4 of 5 study 6 subjects 7 at 6 subjects 9 and 7 at 8 baseline 9 and 11 months 9 and 12 follow 10 3 11 months 12 follow 14 up 12 follow 24 downgrade 13 - 14 up 14 up 15 by 14 up 20 , 15 by 19 physicians 16 the 19 physicians 17 two 19 physicians 18 blinded 19 physicians 21 revealed 24 downgrade 22 improvement 24 downgrade 24 downgrade 25 of 25 of 30 according 26 at 27 least 27 least 28 1 28 1 30 according 29 score 30 according 30 according 31 to 30 according 36 )(in 31 to 34 scale 32 the 34 scale 33 fitzpatrick 34 scale 36 )(in 39 and 37 80 38 % 37 80 39 and 39 and 40 73 39 and 46 by 40 73 41 % 41 % 42 of 41 % 45 graded 42 of 43 subjects 44 as 45 graded 46 by 49 reviewers 47 the 48 two 48 two 49 reviewers study subjects reported no pain to moderate pain during treatment with no need of pain relief medication beyond topical anesthesia . 0 ###LEFT-WALL### 2 subjects 0 ###LEFT-WALL### 3 reported 0 ###LEFT-WALL### 21 . 1 study 2 subjects 2 subjects 3 reported 3 reported 5 pain 3 reported 6 to 3 reported 7 moderate 4 no 5 pain 6 to 7 moderate 7 moderate 8 pain 8 pain 9 during 8 pain 14 of 9 during 10 treatment 10 treatment 11 with 11 with 13 need 12 no 13 need 14 of 17 medication 15 pain 17 medication 16 relief 17 medication 17 medication 18 beyond 18 beyond 20 anesthesia 19 topical 20 anesthesia the majority of study subjects ( 83.3 % ) noted that treatment results met their expectations to different extent levels , and most of study subjects ( 70 % ) indicated that they will recommend the a3f treatment to their friends . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 31 indicated 0 ###LEFT-WALL### 42 . 1 the 2 majority 2 majority 3 of 2 majority 22 and 3 of 4 study 4 study 14 met 5 subjects 8 % 5 subjects 10 noted 6 ( 8 % 7 83.3 8 % 8 % 9 ) 10 noted 11 that 11 that 13 results 11 that 14 met 12 treatment 13 results 13 results 14 met 14 met 16 expectations 14 met 21 , 15 their 16 expectations 16 expectations 17 to 17 to 20 levels 18 different 19 extent 19 extent 20 levels 21 , 22 and 22 and 23 most 22 and 24 of 22 and 31 indicated 24 of 26 subjects 25 study 26 subjects 26 subjects 29 % 27 ( 29 % 28 70 29 % 29 % 30 ) 31 indicated 32 that 32 that 33 they 32 that 35 recommend 33 they 34 will 34 will 35 recommend 35 recommend 38 treatment 35 recommend 39 to 36 the 38 treatment 37 a3f 38 treatment 39 to 41 friends 40 their 41 friends conclusions : the results of this study clearly indicate that the trifractional technology using the 3f applicator provides a safe , tolerable , and effective treatment of facial wrinkles . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 4 results 2 : 9 indicate 2 : 21 , 3 the 4 results 4 results 5 of 4 results 9 indicate 5 of 7 study 6 this 7 study 8 clearly 9 indicate 9 indicate 10 that 10 that 13 technology 10 that 18 provides 11 the 13 technology 12 trifractional 13 technology 13 technology 14 using 13 technology 18 provides 14 using 17 applicator 15 the 17 applicator 16 3f 17 applicator 18 provides 20 safe 19 a 20 safe 21 , 24 and 22 tolerable 24 and 23 , 24 and 24 and 26 treatment 24 and 27 of 25 effective 26 treatment 27 of 29 wrinkles 28 facial 29 wrinkles the current study investigated the effect of education on retrospective metamemory accuracy in 143 healthy older adults and 143 early to moderate alzheimer 's disease ( ad [ )(patients , using retrospective measures of confidence in the accuracy of retrieval responses in an episodic odor recognition memory task . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 investigated 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 24 's 0 ###LEFT-WALL### 49 . 1 the 3 study 2 current 3 study 3 study 4 investigated 4 investigated 6 effect 5 the 6 effect 6 effect 7 of 7 of 8 education 8 education 9 on 9 on 12 accuracy 10 retrospective 11 metamemory 11 metamemory 12 accuracy 12 accuracy 13 in 13 in 17 adults 14 143 17 adults 15 healthy 17 adults 16 older 17 adults 18 and 19 143 18 and 24 's 19 143 20 early 19 143 24 's 20 early 21 to 21 to 23 alzheimer 22 moderate 23 alzheimer 24 's 25 disease 24 's 31 using 25 disease 29 )(patients 26 ( 29 )(patients 27 ad 29 )(patients 29 )(patients 30 , 31 using 33 measures 31 using 42 in 32 retrospective 33 measures 33 measures 34 of 33 measures 36 in 34 of 35 confidence 36 in 38 accuracy 37 the 38 accuracy 38 accuracy 39 of 39 of 41 responses 40 retrieval 41 responses 42 in 48 task 43 an 44 episodic 43 an 48 task 44 episodic 48 task 45 odor 48 task 46 recognition 48 task 47 memory 48 task relative confidence accuracy was computed as the difference between confidence judgments for correct and incorrect responses . 0 ###LEFT-WALL### 3 accuracy 0 ###LEFT-WALL### 5 computed 0 ###LEFT-WALL### 17 . 1 relative 2 confidence 2 confidence 3 accuracy 3 accuracy 4 was 4 was 5 computed 5 computed 6 as 5 computed 9 between 6 as 8 difference 7 the 8 difference 9 between 11 judgments 10 confidence 11 judgments 11 judgments 12 for 12 for 16 responses 13 correct 14 and 14 and 15 incorrect 14 and 16 responses in both ad patients and controls , individuals reporting 17 years of education or more had significantly more accurate levels of confidence than individuals with 12 years or less . 0 ###LEFT-WALL### 8 individuals 0 ###LEFT-WALL### 16 had 0 ###LEFT-WALL### 30 . 1 in 5 and 1 in 7 , 1 in 8 individuals 2 both 5 and 3 ad 4 patients 4 patients 5 and 5 and 6 controls 8 individuals 9 reporting 8 individuals 16 had 9 reporting 10 17 9 reporting 14 or 11 years 12 of 11 years 14 or 12 of 13 education 14 or 15 more 16 had 20 levels 16 had 23 than 16 had 25 with 17 significantly 18 more 18 more 20 levels 19 accurate 20 levels 20 levels 21 of 21 of 22 confidence 23 than 24 individuals 25 with 26 12 25 with 28 or 27 years 28 or 28 or 29 less thus , education was a significant predictor of retrospective metamemory accuracy in healthy aging and ad . 0 ###LEFT-WALL### 3 education 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 17 . 1 thus 2 , 1 thus 3 education 3 education 4 was 4 was 7 predictor 5 a 6 significant 5 a 7 predictor 6 significant 7 predictor 7 predictor 8 of 8 of 11 accuracy 9 retrospective 11 accuracy 10 metamemory 11 accuracy 11 accuracy 12 in 12 in 15 and 13 healthy 14 aging 13 healthy 15 and 15 and 16 ad objectives : there is a growing consensus worldwide [that] palliative care needs to be both more inclusive [of] conditions other than cancer and to improve . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 4 is 2 : 26 . 3 there 4 is 4 is 10 palliative 5 a 10 palliative 6 growing 10 palliative 7 consensus 10 palliative 8 worldwide 10 palliative 10 palliative 11 care 10 palliative 12 needs 11 care 12 needs 12 needs 13 to 12 needs 23 and 13 to 23 and 14 be 19 conditions 14 be 21 than 14 be 23 and 15 both 19 conditions 16 more 17 inclusive 17 inclusive 19 conditions 20 other 21 than 21 than 22 cancer 23 and 24 to 23 and 25 improve 24 to 25 improve this paper explores some common challenges currently faced by professionals providing palliative care for patients with either cancer or dementia across five countries . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 explores 0 ###LEFT-WALL### 24 . 1 this 2 paper 2 paper 3 explores 3 explores 6 challenges 3 explores 9 by 4 some 6 challenges 5 common 6 challenges 6 challenges 8 faced 7 currently 8 faced 9 by 10 professionals 10 professionals 11 providing 10 professionals 16 with 11 providing 13 care 12 palliative 13 care 13 care 14 for 14 for 15 patients 16 with 19 or 17 either 18 cancer 18 cancer 19 or 19 or 20 dementia 19 or 21 across 21 across 23 countries 22 five 23 countries method : one focus group ( n=7 ) and 67 interviews were conducted in 2012 across five countries : england , germany , italy , the netherlands and norway , with professionals from dementia , cancer and palliative care settings . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 41 . 2 : 5 group 2 : 9 and 3 one 5 group 4 focus 5 group 5 group 7 n=7 6 ( 7 n=7 7 n=7 8 ) 9 and 10 67 9 and 19 : 10 67 11 interviews 10 67 12 were 10 67 13 conducted 10 67 19 : 11 interviews 12 were 13 conducted 14 in 14 in 15 2012 15 2012 16 across 16 across 18 countries 17 five 18 countries 19 : 20 england 19 : 31 with 20 england 28 and 21 , 28 and 22 germany 23 , 23 , 24 italy 23 , 25 , 25 , 27 netherlands 25 , 28 and 26 the 27 netherlands 28 and 29 norway 28 and 30 , 31 with 37 and 32 professionals 33 from 32 professionals 37 and 33 from 36 cancer 34 dementia 35 , 34 dementia 36 cancer 37 and 40 settings 38 palliative 39 care 39 care 40 settings results : the interviews revealed five common challenges faced across the five countries : communication difficulties ( between services ; [and] [between] professionals , and patients and their families ) ; the variable extent of structural/functional integration [of] services [;] the difficulties in funding of palliative care services [;] problematic processes of care ( boundaries , definitions , knowledge , skills and inclusiveness ) [and] , [finally] , time constraints . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 interviews 2 : 14 : 3 the 4 interviews 4 interviews 5 revealed 5 revealed 8 challenges 5 revealed 9 faced 6 five 8 challenges 7 common 8 challenges 8 challenges 9 faced 9 faced 10 across 10 across 13 countries 11 the 12 five 12 five 13 countries 14 : 16 difficulties 14 : 20 ; 15 communication 16 difficulties 16 difficulties 18 between 17 ( 18 between 18 between 19 services 18 between 20 ; 20 ; 27 and 20 ; 31 ; 23 professionals 25 and 24 , 25 and 25 and 26 patients 25 and 27 and 27 and 29 families 27 and 30 ) 28 their 29 families 31 ; 34 extent 32 the 34 extent 33 variable 34 extent 34 extent 35 of 34 extent 39 services 35 of 37 integration 36 structural/functional 37 integration 39 services 42 difficulties 39 services 43 in 41 the 42 difficulties 43 in 44 funding 44 funding 45 of 44 funding 47 care 44 funding 48 services 44 funding 52 of 45 of 46 palliative 47 care 48 services 48 services 51 processes 50 problematic 51 processes 52 of 53 care 53 care 55 boundaries 53 care 59 knowledge 54 ( 55 boundaries 55 boundaries 57 definitions 55 boundaries 58 , 56 , 57 definitions 57 definitions 58 , 58 , 59 knowledge 59 knowledge 62 and 59 knowledge 70 constraints 59 knowledge 71 . 60 , 62 and 61 skills 62 and 62 and 63 inclusiveness 62 and 64 ) 62 and 66 , 68 , 70 constraints 69 time 70 constraints 70 constraints 71 . conclusion : these are not problems distinct to palliative care , but they may have different origins and explanations compared to other areas of health care . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 these 2 : 4 are 2 : 12 but 2 : 27 . 3 these 4 are 4 are 5 not 4 are 6 problems 6 problems 7 distinct 7 distinct 8 to 8 to 10 care 9 palliative 10 care 11 , 12 but 12 but 15 have 12 but 20 compared 13 they 14 may 14 may 15 have 15 have 18 and 15 have 20 compared 16 different 17 origins 17 origins 18 and 18 and 19 explanations 20 compared 21 to 21 to 23 areas 22 other 23 areas 23 areas 24 of 24 of 26 care 25 health 26 care this paper explored deeper themes hidden behind a discourse about barriers and facilitators to improving care . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 explored 0 ###LEFT-WALL### 17 . 1 this 2 paper 2 paper 3 explored 3 explored 5 themes 3 explored 10 about 3 explored 14 to 4 deeper 5 themes 5 themes 6 hidden 6 hidden 7 behind 7 behind 9 discourse 8 a 9 discourse 10 about 12 and 11 barriers 12 and 12 and 13 facilitators 14 to 15 improving 15 improving 16 care objectives : reminiscence is a popular intervention for seniors , but , with mixed evidence supporting its efficacy , questions have been raised about the mechanisms underlying improvement . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 reminiscence 2 : 4 is 2 : 11 but 2 : 29 . 3 reminiscence 4 is 4 is 7 intervention 5 a 6 popular 5 a 7 intervention 6 popular 7 intervention 7 intervention 8 for 8 for 9 seniors 10 , 11 but 11 but 20 questions 11 but 23 raised 12 , 13 with 13 with 15 evidence 13 with 19 , 13 with 20 questions 14 mixed 15 evidence 15 evidence 16 supporting 16 supporting 18 efficacy 17 its 18 efficacy 20 questions 21 have 21 have 22 been 22 been 23 raised 23 raised 24 about 24 about 26 mechanisms 25 the 26 mechanisms 26 mechanisms 27 underlying 27 underlying 28 improvement the present paper addresses this question by investigating the degree to which health effects depend on the development of a shared sense of group identification . 0 ###LEFT-WALL### 3 paper 0 ###LEFT-WALL### 4 addresses 0 ###LEFT-WALL### 26 . 1 the 3 paper 2 present 3 paper 3 paper 4 addresses 4 addresses 6 question 5 this 6 question 6 question 7 by 7 by 8 investigating 7 by 14 effects 7 by 15 depend 8 investigating 10 degree 8 investigating 11 to 9 the 10 degree 11 to 12 which 11 to 13 health 12 which 13 health 14 effects 15 depend 15 depend 16 on 16 on 18 development 17 the 18 development 18 development 19 of 18 development 23 of 19 of 22 sense 20 a 22 sense 21 shared 22 sense 23 of 25 identification 24 group 25 identification this is examined in the context of traditional story [-] based reminiscence as well as novel forms of song [-] based reminiscence . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 23 . 1 this 2 is 2 is 3 examined 3 examined 4 in 3 examined 15 as 4 in 6 context 5 the 6 context 6 context 7 of 7 of 12 reminiscence 8 traditional 9 story 9 story 11 based 11 based 12 reminiscence 13 as 14 well 14 well 15 as 15 as 17 forms 16 novel 17 forms 17 forms 18 of 18 of 22 reminiscence 19 song 21 based 21 based 22 reminiscence method : as the focus of a manualized intervention , 40 participants were randomly assigned to secular [song] ( n=13 ) , religious song [(] n=13 ) , or standard story reminiscence ( n=14 ) groups . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 or 0 ###LEFT-WALL### 37 . 1 method 2 : 2 : 3 as 3 as 5 focus 4 the 5 focus 5 focus 6 of 6 of 9 intervention 7 a 9 intervention 8 manualized 9 intervention 9 intervention 11 40 10 , 11 40 11 40 12 participants 11 40 15 assigned 11 40 27 ) 12 participants 13 were 13 were 15 assigned 14 randomly 15 assigned 15 assigned 16 to 16 to 26 n=13 17 secular 20 n=13 17 secular 22 , 17 secular 24 song 19 ( 20 n=13 20 n=13 21 ) 23 religious 24 song 24 song 26 n=13 28 , 29 or 29 or 32 reminiscence 29 or 36 groups 30 standard 31 story 31 story 32 reminiscence 32 reminiscence 34 n=14 32 reminiscence 36 groups 33 ( 34 n=14 34 n=14 35 ) these were run over six weeks with cognitive performance , anxiety , and life satisfaction measured before and after the intervention . 0 ###LEFT-WALL### 1 these 0 ###LEFT-WALL### 3 run 0 ###LEFT-WALL### 22 . 1 these 2 were 2 were 3 run 3 run 4 over 3 run 7 with 4 over 6 weeks 5 six 6 weeks 7 with 13 and 8 cognitive 9 performance 9 performance 10 , 10 , 11 anxiety 10 , 13 and 12 , 13 and 13 and 15 satisfaction 13 and 16 measured 14 life 15 satisfaction 16 measured 18 and 17 before 18 and 18 and 19 after 19 after 21 intervention 20 the 21 intervention measures [of] [group] fit were included to examine whether social identification contributed to outcomes . 0 ###LEFT-WALL### 1 measures 0 ###LEFT-WALL### 6 included 0 ###LEFT-WALL### 15 . 1 measures 4 fit 1 measures 5 were 5 were 6 included 6 included 7 to 7 to 8 examine 8 examine 9 whether 9 whether 11 identification 9 whether 12 contributed 10 social 11 identification 11 identification 12 contributed 12 contributed 13 to 13 to 14 outcomes results : no evidence of change emerged over time as a function of intervention form alone , but analysis of identification data revealed significant interactions with the type of reminiscence group . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 4 evidence 2 : 7 emerged 2 : 18 but 3 no 4 evidence 4 evidence 5 of 4 evidence 7 emerged 5 of 6 change 7 emerged 8 over 7 emerged 10 as 7 emerged 16 alone 8 over 9 time 10 as 12 function 11 a 12 function 12 function 13 of 13 of 15 form 14 intervention 15 form 17 , 18 but 18 but 19 analysis 18 but 23 revealed 19 analysis 20 of 19 analysis 23 revealed 20 of 22 data 21 identification 22 data 23 revealed 25 interactions 24 significant 25 interactions 25 interactions 26 with 26 with 29 of 27 the 29 of 28 type 29 of 29 of 31 group 30 reminiscence 31 group specifically , initial fit with the story reminiscence group [was] associated with enhanced cognitive outcomes and greater life satisfaction , while fit with the religious song reminiscence [group] was associated with greater life satisfaction and less anxiety . 0 ###LEFT-WALL### 3 initial 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 38 . 1 specifically 2 , 1 specifically 3 initial 3 initial 19 satisfaction 4 fit 5 with 4 fit 12 with 4 fit 16 and 5 with 7 story 5 with 11 associated 6 the 7 story 8 reminiscence 9 group 9 group 11 associated 12 with 15 outcomes 13 enhanced 15 outcomes 14 cognitive 15 outcomes 16 and 17 greater 16 and 19 satisfaction 18 life 19 satisfaction 20 , 27 reminiscence 20 , 30 associated 21 while 22 fit 21 while 27 reminiscence 22 fit 23 with 23 with 26 song 24 the 26 song 25 religious 26 song 27 reminiscence 29 was 29 was 30 associated 30 associated 31 with 31 with 35 and 32 greater 33 life 33 life 34 satisfaction 34 satisfaction 35 and 35 and 37 anxiety 36 less 37 anxiety conclusion : these findings show that group identification is a key moderator through which reminiscence promotes health outcomes . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 findings 2 : 5 show 2 : 19 . 3 these 4 findings 4 findings 5 show 5 show 7 group 5 show 12 moderator 6 that 7 group 7 group 8 identification 7 group 9 is 8 identification 9 is 10 a 12 moderator 11 key 12 moderator 12 moderator 13 through 13 through 14 which 13 through 15 reminiscence 13 through 16 promotes 15 reminiscence 16 promotes 16 promotes 18 outcomes 17 health 18 outcomes implications for theory and practice highlight an inherent limitation in randomized controlled trials insofar as they may compromise participants ' group identification . 0 ###LEFT-WALL### 1 implications 0 ###LEFT-WALL### 6 highlight 0 ###LEFT-WALL### 23 . 1 implications 2 for 1 implications 6 highlight 2 for 4 and 3 theory 4 and 4 and 5 practice 6 highlight 9 limitation 6 highlight 10 in 6 highlight 15 as 7 an 8 inherent 7 an 9 limitation 8 inherent 9 limitation 10 in 13 trials 11 randomized 13 trials 12 controlled 13 trials 14 insofar 15 as 15 as 16 they 15 as 18 compromise 16 they 17 may 17 may 18 compromise 18 compromise 22 identification 19 participants 20 ' 20 ' 22 identification 21 group 22 identification background : in korea , nicotine replacement therapy ( nrt ) has been widely used in government - led , public health center - based smoking cessation services since 2004 and varenicline has become available from 2007 but without reimbursement . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 41 . 1 background 2 : 2 : 4 korea 3 in 4 korea 5 , 8 therapy 5 , 15 used 5 , 20 , 6 nicotine 7 replacement 7 replacement 8 therapy 8 therapy 10 nrt 8 therapy 12 has 9 ( 10 nrt 10 nrt 11 ) 12 has 13 been 13 been 14 widely 13 been 15 used 15 used 16 in 15 used 19 led 16 in 17 government 18 - 19 led 19 led 20 , 20 , 23 center 20 , 24 - 21 public 22 health 22 health 23 center 24 - 26 smoking 24 - 31 and 25 based 26 smoking 26 smoking 27 cessation 26 smoking 28 services 27 cessation 28 services 28 services 29 since 29 since 30 2004 31 and 32 varenicline 31 and 34 become 32 varenicline 33 has 33 has 34 become 34 become 35 available 35 available 36 from 35 available 38 but 36 from 37 2007 38 but 39 without 39 without 40 reimbursement in this study which used a series of nationwide cross - sectional surveys in korea performed from 2005 to 2011 , we examined the prevalence of smoking cessation medication use and factors associated with it . 0 ###LEFT-WALL### 10 cross 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 36 . 1 in 3 study 1 in 10 cross 2 this 3 study 3 study 4 which 3 study 5 used 4 which 5 used 5 used 7 series 6 a 7 series 7 series 8 of 8 of 9 nationwide 11 - 13 surveys 11 - 21 , 12 sectional 13 surveys 13 surveys 14 in 13 surveys 16 performed 14 in 15 korea 16 performed 19 to 17 from 19 to 18 2005 19 to 19 to 20 2011 21 , 22 we 21 , 23 examined 21 , 31 and 22 we 23 examined 23 examined 25 prevalence 24 the 25 prevalence 25 prevalence 26 of 26 of 27 smoking 27 smoking 30 use 28 cessation 30 use 29 medication 30 use 31 and 32 factors 31 and 33 associated 32 factors 33 associated 33 associated 34 with 34 with 35 it methods : we analyzed data from the third to fifth waves of korean national health and nutrition examination survey ( 2005 - 2011 ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 3 we 2 : 4 analyzed 3 we 4 analyzed 4 analyzed 5 data 4 analyzed 9 to 5 data 6 from 6 from 8 third 7 the 8 third 9 to 16 and 10 fifth 11 waves 11 waves 12 of 11 waves 16 and 12 of 15 health 13 korean 15 health 14 national 15 health 16 and 19 survey 16 and 22 - 17 nutrition 18 examination 18 examination 19 survey 20 ( 22 - 21 2005 22 - 22 - 23 2011 22 - 24 ) prevalence of each smoking cessation method use was calculated for each year , and its secular trend was tested by multivariate logistic regression . 0 ###LEFT-WALL### 1 prevalence 0 ###LEFT-WALL### 9 calculated 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 24 . 1 prevalence 2 of 1 prevalence 8 was 2 of 4 smoking 3 each 4 smoking 4 smoking 7 use 5 cessation 7 use 6 method 7 use 8 was 9 calculated 9 calculated 10 for 10 for 12 year 11 each 12 year 13 , 14 and 14 and 17 trend 14 and 19 tested 15 its 17 trend 16 secular 17 trend 17 trend 18 was 18 was 19 tested 19 tested 20 by 20 by 23 regression 21 multivariate 23 regression 22 logistic 23 regression results : among smokers who made quit [attempt] during the previous year , 15.7 % had used smoking cessation medications,15.3 % [had] used nrt , and 0.7 % had used prescription medication . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 7 quit 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 33 . 1 results 2 : 2 : 3 among 2 : 7 quit 3 among 4 smokers 4 smokers 5 who 4 smokers 6 made 5 who 6 made 7 quit 9 during 9 during 12 year 10 the 11 previous 10 the 12 year 13 , 15 % 13 , 16 had 13 , 26 and 14 15.7 15 % 15 % 16 had 16 had 24 nrt 17 used 18 smoking 18 smoking 19 cessation 19 cessation 24 nrt 20 medications,15.3 24 nrt 21 % 24 nrt 23 used 24 nrt 25 , 26 and 26 and 28 % 26 and 29 had 27 0.7 28 % 28 % 29 had 29 had 32 medication 30 used 31 prescription 31 prescription 32 medication there was a significant increasing trend for nrt use ( p<0.001 ) during the study period , but use of prescription medication did not show any increase over time ( p = 0.654 ) education on smoking prevention and cessation was associated with smoking cessation medications use ( or 2.08 , 95 % ci 1.58 - 2.75 ) . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 18 but 1 there 2 was 2 was 6 trend 3 a 6 trend 4 significant 6 trend 5 increasing 6 trend 6 trend 7 for 6 trend 13 during 7 for 9 use 8 nrt 9 use 9 use 11 p<0.001 10 ( 11 p<0.001 11 p<0.001 12 ) 13 during 16 period 14 the 16 period 15 study 16 period 17 , 18 but 18 but 19 use 18 but 25 show 19 use 20 of 19 use 23 did 20 of 22 medication 21 prescription 22 medication 23 did 24 not 23 did 25 show 25 show 27 increase 25 show 32 = 25 show 35 education 25 show 42 associated 26 any 27 increase 27 increase 28 over 28 over 29 time 30 ( 32 = 31 p 32 = 32 = 33 0.654 32 = 34 ) 35 education 36 on 35 education 41 was 36 on 37 smoking 37 smoking 39 and 38 prevention 39 and 39 and 40 cessation 41 was 42 associated 42 associated 43 with 43 with 44 smoking 44 smoking 47 use 45 cessation 46 medications 46 medications 47 use 47 use 49 or 47 use 54 ci 48 ( 49 or 49 or 50 2.08 49 or 51 , 51 , 54 ci 52 95 54 ci 53 % 54 ci 54 ci 55 1.58 54 ci 57 2.75 54 ci 59 . 56 - 57 2.75 57 2.75 58 ) conclusions : while the use of nrt has increased over years through government - sponsored smoking cessation programs , use of prescription drugs remained very low and flat [probably] due to lack of reimbursement . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 35 . 1 conclusions 2 : 2 : 3 while 3 while 5 use 3 while 9 increased 4 the 5 use 5 use 6 of 5 use 8 has 6 of 7 nrt 8 has 9 increased 9 increased 10 over 10 over 11 years 11 years 17 cessation 11 years 18 programs 12 through 13 government 12 through 14 - 12 through 17 cessation 15 sponsored 17 cessation 16 smoking 17 cessation 17 cessation 18 programs 19 , 27 and 20 use 21 of 20 use 27 and 21 of 22 prescription 22 prescription 23 drugs 22 prescription 24 remained 23 drugs 24 remained 24 remained 26 low 25 very 26 low 27 and 28 flat 27 and 31 to 27 and 33 of 30 due 31 to 31 to 32 lack 33 of 34 reimbursement education of smokers about effective smoking cessation methods and change in reimbursement policy are suggested to stimulate evidence - based smoking cessation practice . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 15 suggested 0 ###LEFT-WALL### 19 - 1 education 2 of 1 education 4 about 1 education 9 and 2 of 3 smokers 4 about 8 methods 5 effective 6 smoking 6 smoking 7 cessation 7 cessation 8 methods 9 and 10 change 9 and 11 in 9 and 14 are 11 in 13 policy 12 reimbursement 13 policy 14 are 15 suggested 15 suggested 16 to 16 to 17 stimulate 17 stimulate 18 evidence 19 - 23 practice 19 - 24 . 20 based 21 smoking 21 smoking 23 practice 22 cessation 23 practice background : the primary aim of this study was to determine the effect of 12 months of whole - body electromyostimulation ( wb - ems ) exercise on appendicular muscle mass and abdominal fat mass in subjects specifically at risk for sarcopenia and abdominal obesity , but unable or unwilling to exercise conventionally . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 54 . 2 : 5 aim 2 : 52 exercise 3 the 5 aim 4 primary 5 aim 5 aim 6 of 5 aim 9 was 6 of 8 study 7 this 8 study 9 was 10 to 9 was 11 determine 10 to 11 determine 11 determine 32 and 11 determine 35 mass 12 the 13 effect 13 effect 14 of 13 effect 32 and 14 of 15 12 15 12 16 months 15 12 31 mass 16 months 17 of 16 months 31 mass 17 of 27 exercise 18 whole 21 electromyostimulation 18 whole 27 exercise 19 - 21 electromyostimulation 20 body 21 electromyostimulation 21 electromyostimulation 25 ems 21 electromyostimulation 26 ) 22 ( 25 ems 23 wb 25 ems 24 - 25 ems 25 ems 26 ) 27 exercise 28 on 28 on 30 muscle 29 appendicular 30 muscle 32 and 34 fat 32 and 35 mass 33 abdominal 34 fat 35 mass 36 in 35 mass 38 specifically 35 mass 39 at 35 mass 51 to 36 in 37 subjects 39 at 43 and 40 risk 41 for 40 risk 43 and 41 for 42 sarcopenia 43 and 45 obesity 43 and 46 , 43 and 47 but 44 abdominal 45 obesity 47 but 49 or 48 unable 49 or 49 or 50 unwilling 51 to 52 exercise 52 exercise 53 conventionally whole - body and regional body composition was assessed by dual energy x - ray absorptiometry to determine appendicular muscle [mass] , upper leg muscle mass , abdominal fat mass , and upper leg fat mass . 0 ###LEFT-WALL### 3 body 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 37 . 1 whole 2 - 1 whole 3 body 4 and 7 composition 4 and 14 - 5 regional 6 body 6 body 7 composition 7 composition 8 was 8 was 9 assessed 9 assessed 10 by 10 by 12 energy 11 dual 12 energy 12 energy 13 x 13 x 14 - 14 - 15 ray 15 ray 16 absorptiometry 16 absorptiometry 17 to 16 absorptiometry 18 determine 17 to 18 determine 18 determine 32 and 18 determine 36 mass 19 appendicular 20 muscle 20 muscle 22 , 22 , 26 mass 22 , 27 , 23 upper 24 leg 24 leg 26 mass 25 muscle 26 mass 27 , 30 mass 27 , 32 and 28 abdominal 30 mass 29 fat 30 mass 31 , 32 and 32 and 35 fat 32 and 36 mass 33 upper 34 leg 34 leg 35 fat maximum strength of the leg extensors was determined isometrically by force plates . 0 ###LEFT-WALL### 2 strength 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 13 . 1 maximum 2 strength 2 strength 3 of 2 strength 7 was 3 of 6 extensors 4 the 6 extensors 5 leg 6 extensors 7 was 8 determined 8 determined 9 isometrically 8 determined 10 by 10 by 12 plates 11 force 12 plates results : after 12 months , significant intergroup differences were detected for the primary end - points of appendicular muscle mass [(] 0.5 % ± 2.0 % for the wb - ems group versus - 0.8 % ± 2.0 % for the control group , p=0.025 [ )(and abdominal fat mass [(] - 1.2 % ± 5.9 % for the wb - ems group versus 2.4 % ± 5.8 % for the control group , p=0.038 [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 6 , 1 results 2 : 2 : 3 after 3 after 5 months 4 12 5 months 6 , 9 differences 6 , 15 end 6 , 16 - 7 significant 8 intergroup 8 intergroup 9 differences 9 differences 10 were 10 were 11 detected 11 detected 12 for 12 for 14 primary 13 the 14 primary 14 primary 15 end 16 - 17 points 17 points 18 of 18 of 25 ± 19 appendicular 25 ± 20 muscle 21 mass 21 mass 25 ± 23 0.5 24 % 24 % 25 ± 25 ± 27 % 25 ± 33 group 25 ± 34 versus 26 2.0 27 % 27 % 28 for 27 % 33 group 28 for 32 ems 29 the 32 ems 30 wb 32 ems 31 - 32 ems 34 versus 38 ± 35 - 36 0.8 36 0.8 37 % 37 % 38 ± 38 ± 40 % 38 ± 44 group 39 2.0 40 % 40 % 41 for 40 % 44 group 41 for 43 control 42 the 43 control 44 group 53 - 45 , 53 - 46 p=0.025 48 )(and 48 )(and 51 mass 48 )(and 53 - 49 abdominal 51 mass 50 fat 51 mass 53 - 56 ± 54 1.2 55 % 55 % 56 ± 56 ± 58 % 56 ± 64 group 56 ± 65 versus 57 5.9 58 % 58 % 59 for 58 % 64 group 59 for 63 ems 60 the 63 ems 61 wb 63 ems 62 - 63 ems 65 versus 68 ± 66 2.4 67 % 67 % 68 ± 68 ± 70 % 68 ± 74 group 68 ± 76 p=0.038 69 5.8 70 % 70 % 71 for 70 % 74 group 71 for 73 control 72 the 73 control 75 , 76 p=0.038 76 p=0.038 78 )( with respect to functional parameters , the effects for leg extensor strength were again significant , with more favorable changes in the wb - ems group [(] 9.1 % ± 11.2 % versus 1.0 % ± 8.1 % in the control group , p=0.010 ) . 0 ###LEFT-WALL### 8 effects 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 46 . 1 with 2 respect 1 with 6 , 1 with 8 effects 2 respect 3 to 3 to 5 parameters 4 functional 5 parameters 7 the 8 effects 8 effects 9 for 8 effects 13 were 9 for 12 strength 10 leg 12 strength 11 extensor 12 strength 13 were 14 again 13 were 15 significant 16 , 29 % 16 , 30 ± 17 with 20 changes 17 with 29 % 18 more 19 favorable 19 favorable 20 changes 20 changes 21 in 21 in 26 group 22 the 26 group 23 wb 25 ems 24 - 25 ems 25 ems 26 group 28 9.1 29 % 29 % 30 ± 30 ± 32 % 31 11.2 32 % 32 % 33 versus 32 % 44 p=0.010 33 versus 36 ± 34 1.0 36 ± 35 % 36 ± 36 ± 38 % 36 ± 42 group 37 8.1 38 % 38 % 39 in 38 % 42 group 39 in 41 control 40 the 41 control 43 , 44 p=0.010 44 p=0.010 45 ) conclusion : in summary , wb - ems showed positive effects on the parameters of sarcopenia and regional fat accumulation . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 8 ems 2 : 9 showed 3 in 6 wb 3 in 7 - 3 in 8 ems 4 summary 5 , 4 summary 6 wb 8 ems 9 showed 9 showed 11 effects 9 showed 12 on 10 positive 11 effects 12 on 17 and 13 the 14 parameters 14 parameters 15 of 14 parameters 17 and 15 of 16 sarcopenia 17 and 20 accumulation 18 regional 20 accumulation 19 fat 20 accumulation further , considering the good acceptance of this technology by this nonsportive elderly cohort at risk for sarcopenia and abdominal obesity , wb [-] ems may be [a] less off - putting alternative to impact appendicular muscle [mass] and abdominal fat mass , at least for subjects unwilling or unable to exercise conventionally . 0 ###LEFT-WALL### 1 further 1 further 3 considering 1 further 6 acceptance 1 further 10 by 2 , 3 considering 3 considering 5 good 4 the 5 good 6 acceptance 7 of 7 of 9 technology 8 this 9 technology 10 by 14 cohort 11 this 14 cohort 12 nonsportive 14 cohort 13 elderly 14 cohort 14 cohort 15 at 14 cohort 17 for 15 at 16 risk 17 for 19 and 18 sarcopenia 19 and 19 and 21 obesity 19 and 31 - 20 abdominal 21 obesity 22 , 31 - 23 wb 25 ems 23 wb 30 off 23 wb 31 - 25 ems 26 may 26 may 27 be 27 be 29 less 27 be 30 off 31 - 39 and 32 putting 33 alternative 33 alternative 34 to 33 alternative 39 and 34 to 37 muscle 35 impact 37 muscle 36 appendicular 37 muscle 39 and 42 mass 39 and 46 for 40 abdominal 42 mass 41 fat 42 mass 43 , 45 least 43 , 46 for 44 at 45 least 46 for 47 subjects 46 for 54 . 47 subjects 49 or 48 unwilling 49 or 49 or 50 unable 50 unable 51 to 50 unable 52 exercise 51 to 52 exercise 52 exercise 53 conventionally objective : to determine whether older adults with diabetes are at increased risk of an injurious fall requiring hospitalization . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 determine 2 : 20 . 3 to 4 determine 4 determine 5 whether 5 whether 7 adults 5 whether 10 are 6 older 7 adults 7 adults 8 with 7 adults 10 are 8 with 9 diabetes 10 are 11 at 11 at 13 risk 12 increased 13 risk 13 risk 14 of 14 of 17 fall 15 an 16 injurious 15 an 17 fall 16 injurious 17 fall 17 fall 18 requiring 18 requiring 19 hospitalization research design and methods : the longitudinal health , aging , and body composition study included 3,075 adults aged 70 - 79 years at baseline . 0 ###LEFT-WALL### 4 methods 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 26 . 1 research 2 design 2 design 3 and 3 and 4 methods 4 methods 5 : 5 : 8 health 6 the 8 health 7 longitudinal 8 health 9 , 12 and 9 , 16 included 9 , 21 - 10 aging 12 and 11 , 12 and 12 and 15 study 12 and 16 included 13 body 14 composition 14 composition 15 study 16 included 18 adults 17 3,075 18 adults 18 adults 19 aged 19 aged 20 70 21 - 23 years 22 79 23 years 23 years 24 at 24 at 25 baseline hospitalizations that included icd - 9 - clinical modification codes for a fall and an injury were identified . 0 ###LEFT-WALL### 2 that 0 ###LEFT-WALL### 3 included 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 17 were 0 ###LEFT-WALL### 19 . 1 hospitalizations 2 that 2 that 3 included 3 included 4 icd 5 - 6 9 5 - 7 - 6 9 7 - 7 - 8 clinical 8 clinical 17 were 9 modification 10 codes 10 codes 11 for 10 codes 14 and 11 for 13 fall 12 a 13 fall 14 and 16 injury 14 and 17 were 15 an 16 injury 17 were 18 identified the effect of diabetes [with] and [without] insulin use on the rate of first fall - related injury hospitalization was assessed using proportional hazards models . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 26 . 1 the 2 effect 2 effect 3 of 2 effect 6 and 3 of 4 diabetes 6 and 9 use 8 insulin 9 use 9 use 10 on 10 on 12 rate 11 the 12 rate 12 rate 13 of 13 of 15 fall 14 first 15 fall 15 fall 21 assessed 15 fall 22 using 16 - 17 related 17 related 18 injury 17 related 21 assessed 18 injury 19 hospitalization 18 injury 20 was 19 hospitalization 20 was 22 using 25 models 23 proportional 24 hazards 24 hazards 25 models results : at baseline , 719 participants had diabetes , and 117 of them were using insulin . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 18 . 1 results 2 : 2 : 3 at 3 at 4 baseline 5 , 7 participants 5 , 8 had 5 , 11 and 6 719 7 participants 7 participants 8 had 8 had 9 diabetes 10 , 11 and 11 and 12 117 11 and 15 were 12 117 13 of 12 117 15 were 13 of 14 them 15 were 16 using 16 using 17 insulin of the 293 participants who were hospitalized for a fall - related injury , 71 had diabetes , and 16 were using insulin . 0 ###LEFT-WALL### 15 71 0 ###LEFT-WALL### 16 had 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 24 . 1 of 4 participants 1 of 15 71 2 the 3 293 3 293 4 participants 4 participants 5 who 4 participants 6 were 4 participants 13 injury 5 who 6 were 6 were 7 hospitalized 7 hospitalized 8 for 8 for 10 fall 9 a 10 fall 11 - 13 injury 12 related 13 injury 13 injury 14 , 15 71 16 had 16 had 17 diabetes 18 , 19 and 19 and 20 16 19 and 21 were 20 16 21 were 21 were 22 using 22 using 23 insulin diabetes was associated with a higher rate of injurious fall requiring hospitalization ( hazard [ratio] [ hr ] 1.48 [ 95 % ci 1.12 - 1.95 ] ) in models adjusted for age , race , sex , bmi , and education . 0 ###LEFT-WALL### 1 diabetes 0 ###LEFT-WALL### 3 associated 0 ###LEFT-WALL### 43 . 1 diabetes 2 was 2 was 3 associated 3 associated 4 with 3 associated 29 in 4 with 7 rate 4 with 19 1.48 5 a 7 rate 6 higher 7 rate 7 rate 8 of 7 rate 11 requiring 7 rate 14 hazard 8 of 10 fall 9 injurious 10 fall 11 requiring 12 hospitalization 13 ( 14 hazard 14 hazard 17 hr 14 hazard 18 ] 16 [ 17 hr 17 hr 18 ] 19 1.48 23 ci 20 [ 23 ci 21 95 23 ci 22 % 23 ci 23 ci 24 1.12 23 ci 26 1.95 23 ci 28 ) 25 - 26 1.95 26 1.95 27 ] 29 in 30 models 30 models 31 adjusted 31 adjusted 32 for 32 for 41 and 33 age 34 , 34 , 35 race 34 , 36 , 36 , 37 sex 36 , 38 , 38 , 39 bmi 38 , 41 and 40 , 41 and 41 and 42 education in those participants using insulin , compared with participants without diabetes , the hr was 3.00 ( 1.78 - 5.07 ) . 0 ###LEFT-WALL### 14 hr 0 ###LEFT-WALL### 15 was 0 ###LEFT-WALL### 22 . 1 in 3 participants 1 in 14 hr 2 those 3 participants 3 participants 4 using 4 using 5 insulin 4 using 7 compared 6 , 7 compared 7 compared 8 with 7 compared 10 without 7 compared 12 , 8 with 9 participants 10 without 11 diabetes 13 the 14 hr 14 hr 15 was 15 was 16 3.00 16 3.00 19 - 17 ( 19 - 18 1.78 19 - 19 - 20 5.07 19 - 21 ) additional adjustment for potential intermediaries , such as fainting in the past year , standing balance score , cystatin c level , and number of prescription medications , accounted for some of the increased risk associated with diabetes ( 1.41 [ 1.05 - 1.88 ] ) and insulin - treated diabetes ( 2.24 [ 1.24 - 4.03 ] ) . 0 ###LEFT-WALL### 2 adjustment 0 ###LEFT-WALL### 29 accounted 0 ###LEFT-WALL### 60 . 1 additional 2 adjustment 2 adjustment 3 for 2 adjustment 8 as 2 adjustment 29 accounted 3 for 5 intermediaries 4 potential 5 intermediaries 6 , 8 as 7 such 8 as 8 as 23 and 8 as 28 , 9 fainting 10 in 9 fainting 14 , 10 in 13 year 11 the 12 past 11 the 13 year 14 , 17 score 14 , 18 , 15 standing 17 score 16 balance 17 score 18 , 21 level 18 , 23 and 19 cystatin 20 c 19 cystatin 21 level 22 , 23 and 23 and 24 number 23 and 25 of 25 of 27 medications 26 prescription 27 medications 29 accounted 30 for 30 for 31 some 31 some 32 of 32 of 47 and 33 the 35 risk 34 increased 35 risk 35 risk 36 associated 35 risk 37 with 35 risk 47 and 37 with 38 diabetes 38 diabetes 40 1.41 39 ( 40 1.41 40 1.41 43 - 40 1.41 46 ) 41 [ 43 - 42 1.05 43 - 43 - 44 1.88 43 - 45 ] 47 and 48 insulin 47 and 51 diabetes 49 - 51 diabetes 50 treated 51 diabetes 51 diabetes 53 2.24 51 diabetes 59 ) 52 ( 53 2.24 53 2.24 55 1.24 53 2.24 59 ) 54 [ 55 1.24 55 1.24 57 4.03 55 1.24 59 ) 56 - 57 4.03 57 4.03 58 ] among participants with diabetes , a history of falling , poor standing balance score , and a1c level ≥8 % were risk factors for an injurious fall requiring hospitalization . 0 ###LEFT-WALL### 7 history 0 ###LEFT-WALL### 21 were 0 ###LEFT-WALL### 30 . 1 among 2 participants 1 among 5 , 1 among 7 history 2 participants 3 with 3 with 4 diabetes 6 a 7 history 7 history 8 of 7 history 21 were 8 of 20 % 9 falling 10 , 10 , 14 score 10 , 16 and 11 poor 12 standing 12 standing 14 score 13 balance 14 score 15 , 16 and 16 and 18 level 16 and 19 ≥8 17 a1c 18 level 19 ≥8 20 % 21 were 23 factors 22 risk 23 factors 23 factors 24 for 23 factors 28 requiring 24 for 27 fall 25 an 26 injurious 25 an 27 fall 26 injurious 27 fall 28 requiring 29 hospitalization conclusions : older adults with diabetes , in [particular] those using insulin , are at greater risk of an injurious fall requiring hospitalization than those without diabetes . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 adults 2 : 14 are 2 : 28 . 3 older 4 adults 4 adults 5 with 4 adults 8 in 4 adults 14 are 5 with 6 diabetes 7 , 8 in 8 in 10 those 8 in 13 , 10 those 11 using 11 using 12 insulin 14 are 15 at 14 are 22 requiring 15 at 17 risk 16 greater 17 risk 17 risk 18 of 18 of 21 fall 19 an 20 injurious 19 an 21 fall 20 injurious 21 fall 22 requiring 23 hospitalization 22 requiring 24 than 22 requiring 26 without 24 than 25 those 26 without 27 diabetes among those with diabetes , poor glycemic control may increase the risk of an injurious fall . 0 ###LEFT-WALL### 8 control 0 ###LEFT-WALL### 10 increase 0 ###LEFT-WALL### 17 . 1 among 2 those 1 among 5 , 1 among 8 control 2 those 3 with 3 with 4 diabetes 6 poor 8 control 7 glycemic 8 control 8 control 9 may 9 may 10 increase 10 increase 12 risk 11 the 12 risk 12 risk 13 of 13 of 16 fall 14 an 15 injurious 14 an 16 fall 15 injurious 16 fall none none background : lifelong exercise training maintains a youthful compliance of the left ventricle ( lv ) , whereas a year of exercise training started later in life fails to reverse lv stiffening , possibly because of accumulation of irreversible advanced glycation end products . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 8 maintains 0 ###LEFT-WALL### 19 , 1 none 3 background 1 none 7 training 1 none 8 maintains 2 none 3 background 3 background 4 : 4 : 6 exercise 5 lifelong 6 exercise 6 exercise 7 training 8 maintains 11 compliance 9 a 11 compliance 10 youthful 11 compliance 11 compliance 12 of 11 compliance 17 lv 12 of 15 ventricle 13 the 15 ventricle 14 left 15 ventricle 16 ( 17 lv 17 lv 18 ) 19 , 25 training 19 , 30 fails 20 whereas 22 year 20 whereas 25 training 21 a 22 year 22 year 23 of 23 of 24 exercise 25 training 26 started 25 training 30 fails 26 started 27 later 26 started 28 in 28 in 29 life 30 fails 31 to 30 fails 38 of 31 to 32 reverse 32 reverse 33 lv 32 reverse 34 stiffening 35 , 36 possibly 35 , 38 of 37 because 38 of 38 of 39 accumulation 38 of 46 . 39 accumulation 40 of 40 of 45 products 41 irreversible 43 glycation 42 advanced 43 glycation 43 glycation 44 end 44 end 45 products alagebrium breaks advanced glycation [end] [product] crosslinks and improves lv stiffness in aged animals . 0 ###LEFT-WALL### 1 alagebrium 0 ###LEFT-WALL### 2 breaks 0 ###LEFT-WALL### 15 . 1 alagebrium 2 breaks 2 breaks 4 glycation 3 advanced 4 glycation 4 glycation 8 and 7 crosslinks 8 and 8 and 9 improves 8 and 11 stiffness 8 and 12 in 9 improves 10 lv 12 in 14 animals 13 aged 14 animals however , it is unclear whether a strategy of exercise combined with alagebrium would improve lv [stiffness] in sedentary older humans . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 22 . 1 however 2 , 1 however 3 it 3 it 4 is 4 is 5 unclear 5 unclear 6 whether 6 whether 8 strategy 6 whether 15 improve 7 a 8 strategy 8 strategy 9 of 8 strategy 14 would 9 of 10 exercise 10 exercise 11 combined 11 combined 12 with 12 with 13 alagebrium 14 would 15 improve 15 improve 16 lv 15 improve 18 in 18 in 21 humans 19 sedentary 21 humans 20 older 21 humans methods and results : sixty - two healthy subjects were randomized into 4 groups : sedentary+placebo [;] sedentary+alagebrium ( 200 mg/d ) ; exercise+placebo [;] and exercise+alagebrium . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 28 . 1 methods 2 and 2 and 3 results 4 : 9 subjects 4 : 11 randomized 4 : 15 : 4 : 16 sedentary+placebo 4 : 23 ; 5 sixty 6 - 6 - 7 two 6 - 9 subjects 8 healthy 9 subjects 9 subjects 10 were 10 were 11 randomized 11 randomized 12 into 12 into 14 groups 13 4 14 groups 15 : 16 sedentary+placebo 16 sedentary+placebo 18 sedentary+alagebrium 18 sedentary+alagebrium 21 mg/d 19 ( 21 mg/d 20 200 21 mg/d 21 mg/d 22 ) 23 ; 26 and 24 exercise+placebo 26 and 26 and 27 exercise+alagebrium subjects underwent right heart catheterization to define [lv] pressure - volume curves ; secondary functional outcomes included cardiopulmonary exercise testing and arterial compliance . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 2 underwent 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 24 . 1 subjects 2 underwent 2 underwent 5 catheterization 2 underwent 6 to 3 right 4 heart 4 heart 5 catheterization 6 to 7 define 7 define 9 pressure 10 - 12 curves 10 - 13 ; 11 volume 12 curves 13 ; 16 outcomes 13 ; 18 cardiopulmonary 14 secondary 16 outcomes 15 functional 16 outcomes 16 outcomes 17 included 16 outcomes 18 cardiopulmonary 18 cardiopulmonary 21 and 19 exercise 20 testing 20 testing 21 and 21 and 23 compliance 22 arterial 23 compliance a total of 57 of 62 subjects [(] 67 ± 6 years ; 37 f/20 m [ )(completed 1 year of intervention followed by repeat measurements . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 7 subjects 0 ###LEFT-WALL### 13 ; 0 ###LEFT-WALL### 27 . 1 a 2 total 2 total 3 of 2 total 5 of 2 total 7 subjects 3 of 4 57 5 of 6 62 7 subjects 12 years 9 67 12 years 10 ± 12 years 11 6 12 years 13 ; 16 m 13 ; 18 )(completed 14 37 16 m 15 f/20 16 m 16 m 18 )(completed 18 )(completed 20 year 19 1 20 year 20 year 21 of 21 of 22 intervention 22 intervention 23 followed 23 followed 24 by 24 by 26 measurements 25 repeat 26 measurements pulmonary capillary wedge pressure and [lv] end - diastolic volume were measured at baseline , during decreased and increased cardiac filling . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 8 - 1 pulmonary 2 capillary 2 capillary 4 pressure 3 wedge 4 pressure 4 pressure 5 and 5 and 7 end 8 - 10 volume 8 - 11 were 9 diastolic 10 volume 10 volume 11 were 11 were 12 measured 12 measured 13 at 13 at 14 baseline 14 baseline 16 during 15 , 16 during 16 during 18 and 16 during 22 . 17 decreased 18 and 18 and 19 increased 19 increased 21 filling 20 cardiac 21 filling lv [stiffness] was assessed by the slope of lv [pressure] - volume curve . 0 ###LEFT-WALL### 1 lv 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 11 - 1 lv 3 was 3 was 4 assessed 4 assessed 5 by 5 by 7 slope 6 the 7 slope 7 slope 8 of 8 of 9 lv 11 - 13 curve 11 - 14 . 12 volume 13 curve after intervention , [lv] mass and end - diastolic volume increased and exercise capacity improved ( by ≈8 % ) only in the exercise groups . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 15 improved 0 ###LEFT-WALL### 26 . 1 after 6 and 1 after 8 - 1 after 12 and 2 intervention 3 , 3 , 5 mass 3 , 6 and 6 and 7 end 9 diastolic 10 volume 10 volume 11 increased 10 volume 12 and 12 and 14 capacity 12 and 15 improved 13 exercise 14 capacity 15 improved 17 by 15 improved 21 only 16 ( 17 by 17 by 19 % 17 by 20 ) 18 ≈8 19 % 21 only 22 in 22 in 25 groups 23 the 25 groups 24 exercise 25 groups neither [lv] mass nor exercise capacity was affected by alagebrium . 0 ###LEFT-WALL### 4 nor 0 ###LEFT-WALL### 8 affected 0 ###LEFT-WALL### 11 . 1 neither 3 mass 3 mass 4 nor 4 nor 6 capacity 4 nor 7 was 5 exercise 6 capacity 7 was 8 affected 8 affected 9 by 9 by 10 alagebrium exercise training had little impact on lv stiffness ( training × time effect , p=0.46 ) , whereas alagebrium showed a modest improvement in lv stiffness compared with placebo [(] medication × time effect , p=0.04 ) . 0 ###LEFT-WALL### 2 training 0 ###LEFT-WALL### 20 showed 0 ###LEFT-WALL### 38 . 1 exercise 2 training 2 training 3 had 3 had 4 little 3 had 5 impact 5 impact 6 on 5 impact 8 stiffness 5 impact 10 training 5 impact 18 whereas 6 on 7 lv 9 ( 10 training 10 training 13 effect 10 training 16 ) 11 × 13 effect 12 time 13 effect 13 effect 15 p=0.46 14 , 15 p=0.46 15 p=0.46 16 ) 17 , 18 whereas 18 whereas 19 alagebrium 19 alagebrium 20 showed 20 showed 23 improvement 20 showed 26 stiffness 21 a 22 modest 21 a 23 improvement 22 modest 23 improvement 23 improvement 24 in 24 in 25 lv 26 stiffness 27 compared 26 stiffness 28 with 26 stiffness 36 p=0.04 28 with 34 effect 29 placebo 31 medication 31 medication 34 effect 32 × 34 effect 33 time 34 effect 35 , 36 p=0.04 36 p=0.04 37 ) conclusions : alagebrium had no effect on hemodynamics , [lv] geometry , or exercise capacity in healthy , previously sedentary seniors . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 alagebrium 2 : 4 had 2 : 22 . 3 alagebrium 4 had 4 had 6 effect 4 had 7 on 4 had 16 in 5 no 6 effect 7 on 13 or 8 hemodynamics 9 , 9 , 11 geometry 9 , 13 or 12 , 13 or 13 or 15 capacity 14 exercise 15 capacity 16 in 21 seniors 17 healthy 18 , 17 healthy 21 seniors 19 previously 20 sedentary 20 sedentary 21 seniors however , it did show a modestly favorable effect on age - associated [lv] stiffening . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 5 show 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 16 . 1 however 2 , 1 however 3 it 3 it 4 did 4 did 5 show 5 show 9 effect 5 show 10 on 6 a 7 modestly 6 a 9 effect 7 modestly 8 favorable 8 favorable 9 effect 10 on 11 age 12 - 15 stiffening 13 associated 15 stiffening clinical trial registration - url : http://www.clinicaltrials.gov . 0 ###LEFT-WALL### 5 url 0 ###LEFT-WALL### 6 : 0 ###LEFT-WALL### 8 . 1 clinical 2 trial 2 trial 3 registration 3 registration 5 url 4 - 5 url 5 url 6 : 6 : 7 http://www.clinicaltrials.gov unique identifier : nct01014572 . 0 ###LEFT-WALL### 2 identifier 0 ###LEFT-WALL### 3 : 1 unique 2 identifier 3 : 4 nct01014572 3 : 5 . the aim of the present study was to analyze the effects of age on cardiorespiratory fitness ( crf ) , muscle strength and heart rate ( hr ) [response] to exercise adaptation in women in response to a long - term twice - weekly combined aerobic and resistance exercise program . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 43 - 0 ###LEFT-WALL### 51 . 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 30 to 8 to 9 analyze 9 analyze 11 effects 10 the 11 effects 11 effects 12 of 11 effects 23 and 12 of 13 age 13 age 14 on 14 on 16 fitness 15 cardiorespiratory 16 fitness 16 fitness 18 crf 17 ( 18 crf 18 crf 19 ) 20 , 23 and 21 muscle 22 strength 22 strength 23 and 23 and 25 rate 23 and 27 hr 23 and 28 ) 24 heart 25 rate 26 ( 27 hr 27 hr 28 ) 30 to 31 exercise 31 exercise 32 adaptation 31 exercise 37 to 31 exercise 42 twice 32 adaptation 33 in 33 in 34 women 35 in 36 response 36 response 37 to 37 to 41 term 38 a 39 long 38 a 41 term 39 long 40 - 39 long 41 term 43 - 47 and 44 weekly 45 combined 44 weekly 47 and 45 combined 46 aerobic 47 and 50 program 48 resistance 50 program 49 exercise 50 program exercise training improved crf and muscle strength in all age groups ( p<0.05 ) , and no significant differences were observed between groups . 0 ###LEFT-WALL### 2 training 0 ###LEFT-WALL### 3 improved 0 ###LEFT-WALL### 21 observed 0 ###LEFT-WALL### 24 . 1 exercise 2 training 2 training 3 improved 4 crf 5 and 5 and 6 muscle 5 and 16 and 5 and 20 were 5 and 21 observed 7 strength 8 in 7 strength 16 and 8 in 11 groups 9 all 11 groups 10 age 11 groups 11 groups 13 p<0.05 12 ( 13 p<0.05 13 p<0.05 14 ) 15 , 16 and 16 and 19 differences 16 and 20 were 17 no 19 differences 18 significant 19 differences 21 observed 22 between 22 between 23 groups exercise training also improved resting hr and recovery hr in yg and emg ( p<0.05 ) , but not in lmg and og . 0 ###LEFT-WALL### 1 exercise 1 exercise 2 training 1 exercise 18 but 2 training 4 improved 2 training 5 resting 3 also 4 improved 5 resting 7 and 6 hr 7 and 7 and 9 hr 8 recovery 9 hr 10 in 12 and 10 in 18 but 11 yg 12 and 12 and 13 emg 13 emg 15 p<0.05 14 ( 15 p<0.05 15 p<0.05 16 ) 17 , 18 but 18 but 19 not 18 but 20 in 20 in 23 og 21 lmg 22 and 22 and 23 og 23 og 24 . maximal hr did not change in any group . 0 ###LEFT-WALL### 2 hr 0 ###LEFT-WALL### 5 change 0 ###LEFT-WALL### 9 . 1 maximal 2 hr 2 hr 3 did 3 did 4 not 3 did 5 change 5 change 6 in 6 in 8 group 7 any 8 group combined aerobic and resistance training at a frequency of 2 [days] / week improves crf and muscle strength throughout the lifespan . 0 ###LEFT-WALL### 5 training 0 ###LEFT-WALL### 14 improves 0 ###LEFT-WALL### 22 . 1 combined 5 training 2 aerobic 3 and 3 and 4 resistance 3 and 5 training 5 training 6 at 5 training 9 of 5 training 14 improves 6 at 8 frequency 7 a 8 frequency 9 of 13 week 10 2 13 week 12 / 13 week 14 improves 16 and 14 improves 19 throughout 15 crf 16 and 16 and 18 strength 17 muscle 18 strength 19 throughout 21 lifespan 20 the 21 lifespan however , exercise - induced improvements in the hr recovery response to exercise may be impaired in late [middle] - aged and older women . 0 ###LEFT-WALL### 3 exercise 0 ###LEFT-WALL### 4 - 1 however 2 , 1 however 3 exercise 4 - 6 improvements 4 - 16 impaired 4 - 25 . 5 induced 6 improvements 6 improvements 7 in 6 improvements 14 may 7 in 11 response 8 the 11 response 9 hr 11 response 10 recovery 11 response 11 response 12 to 12 to 13 exercise 14 may 15 be 15 be 16 impaired 16 impaired 17 in 17 in 24 women 18 late 20 - 18 late 24 women 21 aged 22 and 22 and 23 older 22 and 24 women here we present [and] develop the hypothesis that the derepression of endogenous retrotransposable elements ( rtes ) - " genomic parasites " - is an important and hitherto [under] [-] unexplored molecular aging process that can potentially occur in most tissues . 0 ###LEFT-WALL### 3 present 0 ###LEFT-WALL### 5 develop 0 ###LEFT-WALL### 42 . 1 here 3 present 2 we 3 present 3 present 5 develop 5 develop 7 hypothesis 6 the 7 hypothesis 7 hypothesis 8 that 8 that 10 derepression 8 that 24 is 9 the 10 derepression 10 derepression 11 of 10 derepression 24 is 11 of 14 elements 12 endogenous 14 elements 13 retrotransposable 14 elements 14 elements 16 rtes 14 elements 21 parasites 15 ( 16 rtes 16 rtes 17 ) 18 - 19 " 18 - 21 parasites 20 genomic 21 parasites 21 parasites 22 " 21 parasites 23 - 24 is 34 process 25 an 34 process 26 important 27 and 27 and 31 unexplored 27 and 34 process 28 hitherto 31 unexplored 32 molecular 34 process 33 aging 34 process 34 process 35 that 34 process 36 can 35 that 36 can 36 can 38 occur 37 potentially 38 occur 38 occur 39 in 39 in 41 tissues 40 most 41 tissues we further envision that the activation and continued presence of retrotransposition contribute to age - associated tissue degeneration and pathology . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 envision 0 ###LEFT-WALL### 15 - 1 we 3 envision 2 further 3 envision 3 envision 4 that 4 that 7 and 4 that 12 contribute 5 the 6 activation 6 activation 7 and 7 and 9 presence 7 and 10 of 7 and 12 contribute 8 continued 9 presence 10 of 11 retrotransposition 12 contribute 13 to 13 to 14 age 15 - 19 and 15 - 21 . 16 associated 17 tissue 17 tissue 18 degeneration 18 degeneration 19 and 19 and 20 pathology chromatin is a complex and dynamic structure that needs to be maintained in a functional state throughout our lifetime . 0 ###LEFT-WALL### 1 chromatin 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 12 maintained 1 chromatin 2 is 2 is 5 and 3 a 4 complex 4 complex 5 and 5 and 6 dynamic 7 structure 8 that 7 structure 9 needs 7 structure 12 maintained 8 that 9 needs 9 needs 10 to 9 needs 11 be 10 to 11 be 12 maintained 13 in 12 maintained 17 throughout 12 maintained 20 . 13 in 16 state 14 a 16 state 15 functional 16 state 17 throughout 19 lifetime 18 our 19 lifetime studies of diverse species have revealed that chromatin undergoes extensive rearrangements during aging . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 6 revealed 0 ###LEFT-WALL### 14 . 1 studies 2 of 1 studies 5 have 2 of 4 species 3 diverse 4 species 5 have 6 revealed 6 revealed 7 that 7 that 8 chromatin 7 that 9 undergoes 8 chromatin 9 undergoes 9 undergoes 11 rearrangements 9 undergoes 12 during 10 extensive 11 rearrangements 12 during 13 aging cellular senescence , an important component of mammalian aging , has recently been associated with decreased heterochromatinization of normally silenced regions of the genome . 0 ###LEFT-WALL### 2 senescence 0 ###LEFT-WALL### 14 associated 0 ###LEFT-WALL### 25 . 1 cellular 2 senescence 2 senescence 6 component 2 senescence 11 has 3 , 6 component 4 an 5 important 4 an 6 component 5 important 6 component 6 component 7 of 6 component 10 , 7 of 9 aging 8 mammalian 9 aging 11 has 13 been 12 recently 13 been 13 been 14 associated 14 associated 15 with 15 with 17 heterochromatinization 16 decreased 17 heterochromatinization 17 heterochromatinization 18 of 18 of 21 regions 19 normally 20 silenced 20 silenced 21 regions 21 regions 22 of 22 of 24 genome 23 the 24 genome these changes lead to the expression of rtes , culminating in their transposition . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 3 lead 1 these 2 changes 2 changes 3 lead 3 lead 4 to 4 to 6 expression 5 the 6 expression 6 expression 7 of 7 of 8 rtes 8 rtes 10 culminating 9 , 10 culminating 10 culminating 11 in 10 culminating 14 . 11 in 13 transposition 12 their 13 transposition rtes are common in all kingdoms of life , and [comprise] close to 50 % of mammalian genomes . 0 ###LEFT-WALL### 1 rtes 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 19 . 1 rtes 2 are 2 are 3 common 3 common 10 and 4 in 6 kingdoms 4 in 10 and 5 all 6 kingdoms 6 kingdoms 7 of 7 of 8 life 9 , 10 and 10 and 13 to 12 close 13 to 13 to 15 % 14 50 15 % 15 % 16 of 16 of 18 genomes 17 mammalian 18 genomes they are tightly controlled , as their activity [is] highly destabilizing and mutagenic to their resident genomes . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 4 controlled 1 they 2 are 2 are 3 tightly 2 are 4 controlled 4 controlled 6 as 5 , 6 as 6 as 12 and 6 as 18 . 7 their 8 activity 8 activity 11 destabilizing 8 activity 12 and 10 highly 11 destabilizing 12 and 13 mutagenic 12 and 14 to 14 to 17 genomes 15 their 17 genomes 16 resident 17 genomes background and aims : the information about clinical presentation and outcome of elderly hepatocellular carcinoma ( hcc ) patients is limited . 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 4 : 1 background 2 and 2 and 3 aims 4 : 6 information 4 : 20 is 4 : 22 . 5 the 6 information 6 information 7 about 6 information 20 is 7 about 19 patients 8 clinical 9 presentation 9 presentation 10 and 10 and 11 outcome 10 and 12 of 10 and 19 patients 12 of 15 carcinoma 13 elderly 15 carcinoma 14 hepatocellular 15 carcinoma 15 carcinoma 17 hcc 16 ( 17 hcc 17 hcc 18 ) 20 is 21 limited we performed this study to assess the impact of age on potential differences in clinical characteristics , treatment patterns and outcome in hcc patients . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 performed 0 ###LEFT-WALL### 25 . 1 we 2 performed 2 performed 4 study 2 performed 5 to 2 performed 11 on 2 performed 14 in 2 performed 22 in 3 this 4 study 5 to 6 assess 6 assess 8 impact 7 the 8 impact 8 impact 9 of 9 of 10 age 11 on 13 differences 12 potential 13 differences 14 in 20 and 15 clinical 16 characteristics 16 characteristics 17 , 17 , 19 patterns 17 , 20 and 18 treatment 19 patterns 20 and 21 outcome 22 in 24 patients 23 hcc 24 patients methods : clinical data of 164 " elderly " [(] ≥70 years old [ )(and 531 " younger " [(] < 70 years old [ )(hcc patients treated at a chinese tertiary university - affiliated medical center between april 2004 and april 2012 were collected and compared using various parameters . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 data 3 clinical 4 data 4 data 5 of 5 of 15 )(and 6 164 7 " 6 164 13 old 8 elderly 9 " 8 elderly 13 old 11 ≥70 13 old 12 years 13 old 13 old 15 )(and 15 )(and 27 patients 16 531 17 " 16 531 27 patients 18 younger 19 " 18 younger 24 old 21 < 22 70 22 70 23 years 23 years 24 old 24 old 27 patients 26 )(hcc 27 patients 27 patients 28 treated 28 treated 29 at 29 at 33 university 30 a 31 chinese 30 a 33 university 31 chinese 33 university 32 tertiary 33 university 33 university 41 and 34 - 41 and 35 affiliated 37 center 36 medical 37 center 37 center 38 between 37 center 41 and 38 between 39 april 39 april 40 2004 41 and 42 april 41 and 43 2012 41 and 46 and 41 and 51 . 43 2012 46 and 44 were 45 collected 44 were 46 and 46 and 47 compared 46 and 48 using 48 using 50 parameters 49 various 50 parameters results : compared with younger patients , the elderly patients had a higher proportion of females ( 32.9 % vs [.] 18.1 % , p < 0.001 [ )( [less] hepatitis [b] virus [(] hbv [ )(infection ( 40.9 % vs [.] 76.6 % , p < 0.001 [ )( more hepatitis [c] virus [(] hcv [ )(infection ( 23.8 % vs [.] 5.6 % , p < 0.001 [ )( [less] liver cirrhosis ( 68.3 % vs [.] 76.8 % , p = 0.03 [ )( massive tumors ( 12.8 % vs [.] 21.8 % , p = 0.01 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 7 , 1 results 2 : 2 : 3 compared 3 compared 4 with 4 with 6 patients 5 younger 6 patients 7 , 10 patients 7 , 11 had 8 the 10 patients 9 elderly 10 patients 10 patients 11 had 11 had 14 proportion 12 a 14 proportion 13 higher 14 proportion 14 proportion 15 of 14 proportion 19 % 14 proportion 26 < 15 of 16 females 17 ( 19 % 18 32.9 19 % 19 % 20 vs 19 % 24 , 20 vs 23 % 22 18.1 23 % 24 , 26 < 25 p 26 < 26 < 37 )(infection 27 0.001 31 hepatitis 31 hepatitis 37 )(infection 33 virus 37 )(infection 35 hbv 37 )(infection 37 )(infection 40 % 37 )(infection 47 < 38 ( 40 % 39 40.9 40 % 40 % 41 vs 40 % 45 , 41 vs 44 % 43 76.6 44 % 46 p 47 < 47 < 56 hcv 48 0.001 51 more 51 more 56 hcv 52 hepatitis 56 hcv 54 virus 56 hcv 56 hcv 68 < 58 )(infection 61 % 59 ( 61 % 60 23.8 61 % 61 % 62 vs 61 % 66 , 62 vs 65 % 64 5.6 65 % 66 , 68 < 67 p 68 < 68 < 74 cirrhosis 69 0.001 74 cirrhosis 73 liver 74 cirrhosis 74 cirrhosis 77 % 74 cirrhosis 84 = 75 ( 77 % 76 68.3 77 % 77 % 78 vs 77 % 82 , 78 vs 81 % 80 76.8 81 % 83 p 84 = 84 = 89 tumors 85 0.03 89 tumors 88 massive 89 tumors 89 tumors 92 % 90 ( 92 % 91 12.8 92 % 92 % 93 vs 92 % 99 = 92 % 102 . 93 vs 96 % 95 21.8 96 % 97 , 99 = 98 p 99 = 99 = 100 0.01 99 = 101 ) there was no significant difference between the two groups in child - pugh class and tumor stages . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 12 - 1 there 2 was 2 was 5 difference 3 no 5 difference 4 significant 5 difference 5 difference 6 between 6 between 9 groups 7 the 8 two 8 two 9 groups 9 groups 10 in 10 in 11 child 12 - 15 and 12 - 18 . 13 pugh 14 class 14 class 15 and 15 and 17 stages 16 tumor 17 stages the elderly patients received less surgical resection [(] 14.6 [%] vs [.] 29.6 % , p < 0.001 ) and more supportive care ( 48.8 % vs [.] 37.9 % , p = 0.01 ) than younger patients . 0 ###LEFT-WALL### 3 patients 0 ###LEFT-WALL### 4 received 0 ###LEFT-WALL### 39 . 1 the 3 patients 2 elderly 3 patients 3 patients 4 received 4 received 23 care 4 received 36 than 5 less 6 surgical 6 surgical 7 resection 7 resection 9 14.6 7 resection 11 vs 7 resection 20 and 11 vs 14 % 13 29.6 14 % 14 % 17 < 15 , 17 < 16 p 17 < 17 < 18 0.001 17 < 19 ) 20 and 21 more 20 and 23 care 22 supportive 23 care 23 care 26 % 23 care 33 = 24 ( 26 % 25 48.8 26 % 26 % 27 vs 26 % 31 , 27 vs 30 % 29 37.9 30 % 31 , 33 = 32 p 33 = 33 = 34 0.01 33 = 35 ) 36 than 38 patients 37 younger 38 patients the overall survival was not significantly different between the two groups [(] 26.2 mo . vs [.] 28.3 mo . , p = 0.75 ) . 0 ###LEFT-WALL### 2 overall 0 ###LEFT-WALL### 11 groups 0 ###LEFT-WALL### 26 . 1 the 2 overall 2 overall 7 different 2 overall 11 groups 3 survival 4 was 4 was 5 not 5 not 6 significantly 6 significantly 7 different 7 different 8 between 8 between 10 two 9 the 10 two 11 groups 14 mo 11 groups 23 = 13 26.2 14 mo 14 mo 15 . 14 mo 16 vs 16 vs 19 mo 18 28.3 19 mo 19 mo 20 . 21 , 23 = 22 p 23 = 23 = 24 0.75 23 = 25 ) conclusion : characteristics that distinguish elderly from younger hcc patients included more female , less hbv infection , more hcv infection , less liver cirrhosis and massive tumors . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 29 . 1 conclusion 2 : 2 : 3 characteristics 3 characteristics 4 that 3 characteristics 5 distinguish 3 characteristics 6 elderly 3 characteristics 11 included 4 that 5 distinguish 6 elderly 7 from 7 from 10 patients 8 younger 10 patients 9 hcc 10 patients 11 included 13 female 12 more 13 female 14 , 26 and 15 less 17 infection 16 hbv 17 infection 17 infection 18 , 18 , 21 infection 18 , 22 , 19 more 21 infection 20 hcv 21 infection 22 , 25 cirrhosis 22 , 26 and 23 less 25 cirrhosis 24 liver 25 cirrhosis 26 and 28 tumors 27 massive 28 tumors significant differences were observed in therapeutic strategies utilized with the two groups , but the overall survival was not significantly different . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 4 observed 0 ###LEFT-WALL### 14 but 0 ###LEFT-WALL### 22 . 1 significant 2 differences 2 differences 3 were 3 were 4 observed 4 observed 5 in 4 observed 9 with 5 in 7 strategies 6 therapeutic 7 strategies 7 strategies 8 utilized 9 with 12 groups 10 the 11 two 11 two 12 groups 13 , 14 but 14 but 17 survival 14 but 18 was 15 the 17 survival 16 overall 17 survival 17 survival 18 was 18 was 19 not 18 was 20 significantly 18 was 21 different 19 not 20 significantly background : vitamin d has a basic role in bone growth and metabolism and has been noticed for its important role in many diseases . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 noticed 0 ###LEFT-WALL### 25 . 2 : 3 vitamin 2 : 14 and 3 vitamin 4 d 3 vitamin 14 and 5 has 8 role 5 has 9 in 5 has 14 and 6 a 7 basic 6 a 8 role 7 basic 8 role 9 in 12 and 10 bone 11 growth 11 growth 12 and 12 and 13 metabolism 14 and 15 has 15 has 16 been 16 been 17 noticed 17 noticed 18 for 17 noticed 22 in 18 for 21 role 19 its 21 role 20 important 21 role 22 in 24 diseases 23 many 24 diseases objectives : to detect the prevalence of vitamin d insufficiency among the elderly in dakahlia . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 detect 2 : 16 . 3 to 4 detect 4 detect 6 prevalence 4 detect 11 among 4 detect 14 in 5 the 6 prevalence 6 prevalence 7 of 7 of 10 insufficiency 8 vitamin 9 d 8 vitamin 10 insufficiency 11 among 13 elderly 12 the 13 elderly 14 in 15 dakahlia methodology : a cross - sectional study was conducted on 176 elderly patients ( 60 years and older ) recruited [from] meet abbad - nabaroh - dakahlia , egypt . 0 ###LEFT-WALL### 1 methodology 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 30 . 1 methodology 2 : 2 : 4 cross 3 a 4 cross 5 - 7 study 5 - 9 conducted 5 - 24 - 5 - 26 - 6 sectional 7 study 7 study 8 was 8 was 9 conducted 9 conducted 10 on 10 on 13 patients 11 176 13 patients 12 elderly 13 patients 13 patients 17 and 14 ( 17 and 15 60 16 years 16 years 17 and 17 and 23 abbad 17 and 24 - 18 older 19 ) 18 older 23 abbad 20 recruited 23 abbad 22 meet 23 abbad 24 - 25 nabaroh 26 - 27 dakahlia 26 - 28 , 28 , 29 egypt the level of 25 hydroxy vitamin d ( 25ohd ) was measured . 0 ###LEFT-WALL### 2 level 0 ###LEFT-WALL### 11 was 0 ###LEFT-WALL### 13 . 1 the 2 level 2 level 3 of 2 level 11 was 3 of 6 vitamin 4 25 6 vitamin 5 hydroxy 6 vitamin 6 vitamin 7 d 6 vitamin 9 25ohd 8 ( 9 25ohd 9 25ohd 10 ) 11 was 12 measured a normal level of vitamin d is defined as a [25ohd] [concentration] ≥30 ng/ml . 0 ###LEFT-WALL### 3 level 0 ###LEFT-WALL### 8 defined 0 ###LEFT-WALL### 15 . 1 a 2 normal 1 a 3 level 2 normal 3 level 3 level 4 of 3 level 7 is 4 of 5 vitamin 5 vitamin 6 d 7 is 8 defined 8 defined 9 as 9 as 14 ng/ml 10 a 14 ng/ml 13 ≥30 14 ng/ml vitamin d insufficiency is defined as a 25ohd concentration of 20 - 29 ng/ml . 0 ###LEFT-WALL### 1 vitamin 0 ###LEFT-WALL### 5 defined 0 ###LEFT-WALL### 15 . 1 vitamin 2 d 1 vitamin 3 insufficiency 1 vitamin 4 is 1 vitamin 5 defined 3 insufficiency 4 is 5 defined 6 as 5 defined 9 concentration 6 as 8 25ohd 7 a 8 25ohd 9 concentration 10 of 10 of 14 ng/ml 11 20 12 - 12 - 13 29 12 - 14 ng/ml vitamin d deficiency is defined as a 25ohd level < 20 ng/ml . 0 ###LEFT-WALL### 1 vitamin 0 ###LEFT-WALL### 10 < 0 ###LEFT-WALL### 13 . 1 vitamin 2 d 1 vitamin 3 deficiency 1 vitamin 9 level 1 vitamin 10 < 3 deficiency 4 is 4 is 5 defined 5 defined 6 as 6 as 8 25ohd 6 as 9 level 7 a 8 25ohd 8 25ohd 9 level 10 < 12 ng/ml 11 20 12 ng/ml results : there were no cases of vitamin d deficiency among the studied population . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 4 were 2 : 15 . 3 there 4 were 4 were 6 cases 5 no 6 cases 6 cases 7 of 7 of 10 deficiency 8 vitamin 9 d 8 vitamin 10 deficiency 10 deficiency 11 among 11 among 14 population 12 the 14 population 13 studied 14 population the prevalence of vitamin d insufficiency [(] [25ohd] level of 20 - 29 ng/ml ) among the elderly in dakahlia was 26 % . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 21 was 0 ###LEFT-WALL### 24 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 21 was 3 of 9 level 4 vitamin 5 d 4 vitamin 6 insufficiency 6 insufficiency 9 level 9 level 10 of 9 level 16 among 9 level 19 in 10 of 11 20 11 20 14 ng/ml 12 - 14 ng/ml 13 29 14 ng/ml 14 ng/ml 15 ) 16 among 18 elderly 17 the 18 elderly 19 in 20 dakahlia 21 was 23 % 22 26 23 % prevalence of vitamin d insufficiency was ( 37.9 % ) in males and [(] 15.3 % [ )(in females . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 20 . 1 prevalence 2 of 1 prevalence 11 in 1 prevalence 13 and 2 of 3 vitamin 3 vitamin 4 d 3 vitamin 5 insufficiency 3 vitamin 6 was 3 vitamin 9 % 5 insufficiency 6 was 7 ( 9 % 8 37.9 9 % 9 % 10 ) 11 in 12 males 13 and 19 females 15 15.3 18 )(in 16 % 18 )(in 18 )(in 19 females conclusion : there was a low prevalence of vitamin d insufficiency in an elderly rural population and a higher prevalence of vitamin d insufficiency among males than females . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 4 was 2 : 29 . 3 there 4 was 4 was 7 prevalence 4 was 12 in 4 was 25 among 4 was 27 than 5 a 7 prevalence 6 low 7 prevalence 7 prevalence 8 of 8 of 11 insufficiency 9 vitamin 10 d 9 vitamin 11 insufficiency 12 in 17 and 13 an 14 elderly 13 an 16 population 14 elderly 16 population 15 rural 16 population 16 population 17 and 17 and 20 prevalence 17 and 21 of 18 a 20 prevalence 19 higher 20 prevalence 21 of 24 insufficiency 22 vitamin 23 d 22 vitamin 24 insufficiency 25 among 26 males 27 than 28 females background and aims : sarcopenia has been indicated as a reliable marker of frailty and poor prognosis among the oldest individuals . 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 4 : 1 background 2 and 2 and 3 aims 4 : 5 sarcopenia 4 : 8 indicated 4 : 22 . 5 sarcopenia 6 has 6 has 7 been 7 been 8 indicated 8 indicated 9 as 8 indicated 18 among 9 as 12 marker 10 a 11 reliable 10 a 12 marker 11 reliable 12 marker 12 marker 13 of 13 of 15 and 14 frailty 15 and 15 and 17 prognosis 16 poor 17 prognosis 18 among 21 individuals 19 the 20 oldest 19 the 21 individuals there are only few data on sarcopenia in healthy general population . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 12 . 1 there 2 are 2 are 3 only 2 are 5 data 4 few 5 data 5 data 6 on 6 on 7 sarcopenia 7 sarcopenia 8 in 8 in 11 population 9 healthy 11 population 10 general 11 population we evaluated the prevalence of sarcopenia and its association with functional and clinical status in a population of healthy ambulatory subjects over 45 years living at home , in paris ( france ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 evaluated 0 ###LEFT-WALL### 34 . 1 we 2 evaluated 2 evaluated 4 prevalence 2 evaluated 10 with 2 evaluated 15 in 2 evaluated 22 over 3 the 4 prevalence 4 prevalence 5 of 5 of 7 and 6 sarcopenia 7 and 7 and 9 association 8 its 9 association 10 with 14 status 11 functional 12 and 12 and 13 clinical 12 and 14 status 15 in 17 population 16 a 17 population 17 population 18 of 18 of 21 subjects 19 healthy 21 subjects 20 ambulatory 21 subjects 22 over 24 years 23 45 24 years 24 years 25 living 24 years 26 at 26 at 27 home 27 home 29 in 28 , 29 in 29 in 30 paris 29 in 33 ) 30 paris 32 france 31 ( 32 france 32 france 33 ) methods : this study was conducted selecting all ambulatory participants ( n = 1,445 ) aged 45 years and older from october 2008 to september 2011 , consulting in the institute of physiology ( institut de jaeger ) from paris ( france ) for a functional and muscular evaluation , and did not have limitations to moderate physical exercise . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 57 moderate 0 ###LEFT-WALL### 60 . 2 : 4 study 2 : 51 and 3 this 4 study 4 study 5 was 5 was 6 conducted 7 selecting 10 participants 7 selecting 13 = 7 selecting 51 and 8 all 10 participants 9 ambulatory 10 participants 11 ( 13 = 12 n 13 = 13 = 14 1,445 13 = 15 ) 16 aged 19 and 16 aged 21 from 16 aged 23 2008 16 aged 51 and 17 45 18 years 18 years 19 and 19 and 20 older 21 from 22 october 23 2008 24 to 23 2008 28 consulting 24 to 25 september 25 september 26 2011 27 , 28 consulting 28 consulting 29 in 28 consulting 39 from 28 consulting 44 for 28 consulting 50 , 29 in 31 institute 30 the 31 institute 31 institute 32 of 32 of 33 physiology 33 physiology 37 jaeger 34 ( 37 jaeger 35 institut 36 de 36 de 37 jaeger 37 jaeger 38 ) 39 from 40 paris 40 paris 42 france 41 ( 42 france 42 france 43 ) 44 for 49 evaluation 45 a 49 evaluation 46 functional 47 and 47 and 48 muscular 47 and 49 evaluation 50 , 51 and 51 and 52 did 51 and 56 to 52 did 53 not 52 did 54 have 54 have 55 limitations 56 to 57 moderate 57 moderate 59 exercise 58 physical 59 exercise all were healthy people . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 5 . 1 all 2 were 2 were 4 people 3 healthy 4 people all subjects performed a medical examination , associated with evaluation [of] muscle mass [(] body composition assessment using dual - energy x - ray absorptiometry ) and [of] muscle function ( by hand grip strength ) . 0 ###LEFT-WALL### 2 subjects 0 ###LEFT-WALL### 3 performed 0 ###LEFT-WALL### 37 . 1 all 2 subjects 2 subjects 3 performed 3 performed 6 examination 4 a 6 examination 5 medical 6 examination 6 examination 8 associated 7 , 8 associated 8 associated 9 with 8 associated 36 ) 9 with 16 composition 9 with 27 and 10 evaluation 12 muscle 12 muscle 16 composition 13 mass 16 composition 15 body 16 composition 17 assessment 18 using 17 assessment 27 and 18 using 21 energy 19 dual 20 - 19 dual 21 energy 21 energy 22 x 21 energy 25 absorptiometry 23 - 25 absorptiometry 24 ray 25 absorptiometry 25 absorptiometry 26 ) 27 and 30 function 27 and 32 by 29 muscle 30 function 31 ( 32 by 32 by 35 strength 32 by 36 ) 33 hand 35 strength 34 grip 35 strength diagnosis of sarcopenia required the documentation of low muscle mass with low muscle strength according to the current international consensus definition of sarcopenia . 0 ###LEFT-WALL### 1 diagnosis 0 ###LEFT-WALL### 10 mass 0 ###LEFT-WALL### 24 . 1 diagnosis 2 of 1 diagnosis 4 required 2 of 3 sarcopenia 4 required 6 documentation 4 required 10 mass 5 the 6 documentation 6 documentation 7 of 7 of 9 muscle 8 low 9 muscle 10 mass 11 with 10 mass 16 to 11 with 14 strength 12 low 13 muscle 13 muscle 14 strength 15 according 16 to 16 to 21 definition 17 the 21 definition 18 current 19 international 19 international 21 definition 20 consensus 21 definition 21 definition 22 of 22 of 23 sarcopenia results : from 1,421 participants ( 553 males and 868 females ) definitively enrolled , 221 subjects ( 135 females and 86 males ) ( 15.5 % ) were identified as sarcopenic . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 17 subjects 2 : 30 identified 3 from 5 participants 3 from 17 subjects 4 1,421 5 participants 5 participants 9 and 6 ( 9 and 7 553 8 males 8 males 9 and 9 and 11 females 9 and 12 ) 10 868 11 females 13 definitively 17 subjects 14 enrolled 15 , 14 enrolled 17 subjects 16 221 17 subjects 17 subjects 21 and 17 subjects 27 % 17 subjects 29 were 18 ( 21 and 19 135 20 females 20 females 21 and 21 and 23 males 21 and 24 ) 22 86 23 males 25 ( 27 % 26 15.5 27 % 27 % 28 ) 29 were 30 identified 30 identified 32 sarcopenic 31 as 32 sarcopenic similarly , probability of sarcopenia was lower among subjects involved in leisure physical activities for 3 h or more per week ( or 0.45 [;] 95 % ci 0.24 - 0.93 ) . 0 ###LEFT-WALL### 3 probability 0 ###LEFT-WALL### 33 . 1 similarly 2 , 1 similarly 3 probability 3 probability 4 of 3 probability 6 was 4 of 5 sarcopenia 6 was 7 lower 7 lower 8 among 7 lower 30 - 8 among 9 subjects 9 subjects 10 involved 9 subjects 20 per 10 involved 11 in 10 involved 18 or 11 in 12 leisure 13 physical 14 activities 14 activities 15 for 14 activities 18 or 15 for 17 h 16 3 17 h 18 or 19 more 20 per 21 week 22 ( 30 - 23 or 24 0.45 23 or 28 ci 26 95 28 ci 27 % 28 ci 28 ci 29 0.24 28 ci 30 - 30 - 31 0.93 30 - 32 ) according to the category [of] age [ 45 - 54 ; 55 - 64 ; 65 - 74 ; 75 - 84 and 85 years or [more] []] [,] the prevalence of sarcopenia in women increase from 9.1 ; 12.7 ; 14.5 ; 19.4 ; [to] 33.3 [%] [,] [respectively] . 0 ###LEFT-WALL### 6 age 0 ###LEFT-WALL### 11 ; 1 according 2 to 2 to 4 category 2 to 6 age 3 the 4 category 6 age 9 - 7 [ 9 - 8 45 9 - 9 - 10 54 9 - 11 ; 11 ; 12 55 11 ; 13 - 11 ; 15 ; 12 55 13 - 13 - 14 64 15 ; 16 65 15 ; 17 - 15 ; 19 ; 16 65 17 - 17 - 18 74 19 ; 20 75 19 ; 21 - 21 - 26 or 21 - 36 increase 21 - 39 ; 21 - 51 . 22 84 23 and 23 and 24 85 23 and 25 years 25 years 26 or 26 or 31 prevalence 26 or 34 in 26 or 36 increase 30 the 31 prevalence 31 prevalence 32 of 32 of 33 sarcopenia 34 in 35 women 36 increase 37 from 37 from 38 9.1 39 ; 40 12.7 39 ; 41 ; 41 ; 42 14.5 41 ; 43 ; 43 ; 44 19.4 43 ; 45 ; 45 ; 47 33.3 for the men , the [percentage] [of] sarcopenia increase with aging from 8.6 ; 15.6 ; 13.6 ; 63.8 [to] 45.5 [%] [,] [respectively] . 0 ###LEFT-WALL### 8 sarcopenia 0 ###LEFT-WALL### 9 increase 0 ###LEFT-WALL### 14 ; 0 ###LEFT-WALL### 25 . 1 for 3 men 1 for 4 , 1 for 8 sarcopenia 2 the 3 men 5 the 8 sarcopenia 8 sarcopenia 9 increase 9 increase 10 with 10 with 11 aging 11 aging 12 from 12 from 13 8.6 14 ; 15 15.6 14 ; 16 ; 16 ; 17 13.6 16 ; 18 ; 18 ; 19 63.8 19 63.8 21 45.5 conclusions : the present study suggests that among healthy ambulatory subjects over 45 years living at home , sarcopenia is frequent , even to the youngest subjects of the studied population , taking place from 9 % from 45 years , until 64.3 % for the subjects over 85 years . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 51 . 2 : 5 study 2 : 6 suggests 2 : 22 , 3 the 5 study 4 present 5 study 5 study 6 suggests 6 suggests 7 that 7 that 19 sarcopenia 7 that 20 is 8 among 11 subjects 8 among 18 , 8 among 19 sarcopenia 9 healthy 11 subjects 10 ambulatory 11 subjects 11 subjects 12 over 11 subjects 15 living 12 over 14 years 13 45 14 years 15 living 16 at 16 at 17 home 19 sarcopenia 20 is 20 is 21 frequent 22 , 23 even 23 even 24 to 23 even 34 place 23 even 42 until 23 even 50 years 24 to 27 subjects 25 the 26 youngest 25 the 27 subjects 27 subjects 28 of 28 of 31 population 29 the 31 population 30 studied 31 population 32 , 34 place 33 taking 34 place 34 place 35 from 34 place 41 , 35 from 37 % 36 9 37 % 37 % 38 from 38 from 40 years 39 45 40 years 42 until 44 % 43 64.3 44 % 44 % 45 for 45 for 47 subjects 46 the 47 subjects 48 over 49 85 49 85 50 years our findings support the hypothesis that muscle mass and function are associated with bmi and physical activity , whatever the age of the subject . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 support 1 our 2 findings 2 findings 3 support 3 support 5 hypothesis 4 the 5 hypothesis 5 hypothesis 9 and 5 hypothesis 11 are 5 hypothesis 12 associated 6 that 8 mass 7 muscle 8 mass 8 mass 9 and 9 and 10 function 9 and 11 are 12 associated 13 with 12 associated 19 whatever 13 with 15 and 14 bmi 15 and 15 and 17 activity 16 physical 17 activity 18 , 19 whatever 19 whatever 20 the 19 whatever 21 age 19 whatever 25 . 20 the 21 age 21 age 22 of 22 of 24 subject 23 the 24 subject white matter hyperintensities ( wmh ) in elderly individuals with vascular diseases [are] presumed to be due to ischemic small vessel diseases ; however , their etiology is unknown . 0 ###LEFT-WALL### 1 white 0 ###LEFT-WALL### 23 ; 0 ###LEFT-WALL### 30 . 1 white 3 hyperintensities 1 white 7 in 1 white 10 with 1 white 18 to 2 matter 3 hyperintensities 3 hyperintensities 5 wmh 4 ( 5 wmh 5 wmh 6 ) 7 in 9 individuals 8 elderly 9 individuals 10 with 12 diseases 11 vascular 12 diseases 12 diseases 14 presumed 14 presumed 15 to 15 to 16 be 17 due 18 to 18 to 22 diseases 19 ischemic 21 vessel 20 small 21 vessel 21 vessel 22 diseases 23 ; 27 etiology 23 ; 28 is 24 however 25 , 24 however 27 etiology 26 their 27 etiology 27 etiology 28 is 28 is 29 unknown we examined the cross - sectional [relationship] between cerebrovascular hemodynamics and white matter structural integrity in elderly individuals with vascular risk factors . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 23 . 1 we 2 examined 2 examined 4 cross 3 the 4 cross 5 - 13 matter 6 sectional 8 between 6 sectional 11 and 8 between 10 hemodynamics 9 cerebrovascular 10 hemodynamics 11 and 12 white 11 and 13 matter 13 matter 15 integrity 13 matter 22 factors 14 structural 15 integrity 15 integrity 16 in 15 integrity 22 factors 16 in 18 individuals 17 elderly 18 individuals 18 individuals 19 with 19 with 21 risk 20 vascular 21 risk white matter hyperintensity volumes , fractional anisotropy ( fa ) , and mean diffusivity ( md ) were obtained from mri in 48 subjects ( 75±7years ) . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 28 . 1 white 4 volumes 1 white 12 and 2 matter 4 volumes 3 hyperintensity 4 volumes 4 volumes 7 anisotropy 5 , 7 anisotropy 6 fractional 7 anisotropy 7 anisotropy 9 fa 7 anisotropy 11 , 8 ( 9 fa 9 fa 10 ) 12 and 13 mean 13 mean 14 diffusivity 13 mean 19 obtained 14 diffusivity 16 md 14 diffusivity 18 were 15 ( 16 md 16 md 17 ) 18 were 19 obtained 19 obtained 20 from 19 obtained 22 in 20 from 21 mri 22 in 24 subjects 23 48 24 subjects 24 subjects 26 75±7years 25 ( 26 75±7years 26 75±7years 27 ) pulsatility [index] ( pi ) and dynamic cerebral autoregulation ( dca ) was assessed using transcranial doppler ultrasound of the middle cerebral artery . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 14 assessed 0 ###LEFT-WALL### 24 . 1 pulsatility 4 pi 3 ( 4 pi 4 pi 5 ) 4 pi 6 and 6 and 7 dynamic 6 and 9 autoregulation 6 and 13 was 6 and 14 assessed 8 cerebral 9 autoregulation 9 autoregulation 11 dca 9 autoregulation 13 was 10 ( 11 dca 11 dca 12 ) 14 assessed 15 using 14 assessed 18 ultrasound 15 using 17 doppler 16 transcranial 17 doppler 18 ultrasound 19 of 19 of 23 artery 20 the 23 artery 21 middle 23 artery 22 cerebral 23 artery dynamic cerebral autoregulation was calculated from transfer function analysis ( [phase] and gain ) of spontaneous blood pressure and flow velocity oscillations in the low ( lf , 0.03 to 0.15 hz ) and high ( hf , 0.16 to 0.5 hz ) frequency ranges . 0 ###LEFT-WALL### 3 autoregulation 0 ###LEFT-WALL### 5 calculated 0 ###LEFT-WALL### 34 and 0 ###LEFT-WALL### 46 . 1 dynamic 3 autoregulation 2 cerebral 3 autoregulation 3 autoregulation 4 was 4 was 5 calculated 5 calculated 6 from 6 from 19 and 7 transfer 8 function 8 function 9 analysis 9 analysis 12 and 10 ( 12 and 12 and 13 gain 12 and 14 ) 12 and 15 of 12 and 19 and 15 of 18 pressure 16 spontaneous 18 pressure 17 blood 18 pressure 19 and 22 oscillations 19 and 23 in 20 flow 22 oscillations 21 velocity 22 oscillations 23 in 25 low 24 the 25 low 25 low 27 lf 26 ( 27 lf 27 lf 32 hz 27 lf 33 ) 28 , 32 hz 29 0.03 30 to 30 to 31 0.15 30 to 32 hz 32 hz 33 ) 34 and 44 frequency 34 and 45 ranges 35 high 37 hf 35 high 43 ) 35 high 44 frequency 36 ( 37 hf 37 hf 42 hz 37 hf 43 ) 38 , 42 hz 39 0.16 40 to 40 to 41 0.5 40 to 42 hz 42 hz 43 ) 44 frequency 45 ranges higher pi was associated with greater wmh ( p<0.005 ) . 0 ###LEFT-WALL### 2 pi 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 11 . 1 higher 2 pi 2 pi 3 was 3 was 4 associated 4 associated 5 with 5 with 7 wmh 6 greater 7 wmh 7 wmh 9 p<0.005 8 ( 9 p<0.005 9 p<0.005 10 ) [higher] phase across all frequency ranges [was] associated with greater fa and lower md ( p<0.005 ) . 0 ###LEFT-WALL### 2 phase 0 ###LEFT-WALL### 18 . 2 phase 3 across 2 phase 6 ranges 4 all 6 ranges 5 frequency 6 ranges 6 ranges 8 associated 8 associated 9 with 9 with 14 md 10 greater 14 md 11 fa 12 and 12 and 13 lower 12 and 14 md 14 md 16 p<0.005 15 ( 16 p<0.005 16 p<0.005 17 ) lower gain [was] associated [with] higher fa in the lf range ( p=0.001 ) . 0 ###LEFT-WALL### 1 lower 0 ###LEFT-WALL### 15 . 1 lower 7 fa 1 lower 8 in 2 gain 4 associated 4 associated 7 fa 6 higher 7 fa 8 in 11 range 9 the 11 range 10 lf 11 range 11 range 13 p=0.001 12 ( 13 p=0.001 13 p=0.001 14 ) these relationships between phase [and] fa were significant in the territories limited to the middle cerebral artery as well as across the entire brain . 0 ###LEFT-WALL### 2 relationships 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 25 . 1 these 2 relationships 2 relationships 3 between 2 relationships 7 were 3 between 6 fa 4 phase 6 fa 7 were 8 significant 8 significant 9 in 9 in 11 territories 10 the 11 territories 11 territories 12 limited 12 limited 13 to 12 limited 19 well 12 limited 20 as 13 to 17 artery 14 the 17 artery 15 middle 17 artery 16 cerebral 17 artery 18 as 19 well 20 as 21 across 21 across 24 brain 22 the 24 brain 23 entire 24 brain our results show a strong relationship between impaired cerebrovascular hemodynamics ( pi and dca ) and loss of cerebral white matter structural integrity ( wmh and dti metrics ) in elderly individuals . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 33 . 1 our 2 results 2 results 3 show 3 show 16 and 3 show 23 integrity 3 show 30 in 4 a 5 strong 4 a 6 relationship 5 strong 6 relationship 6 relationship 7 between 6 relationship 16 and 7 between 10 hemodynamics 8 impaired 10 hemodynamics 9 cerebrovascular 10 hemodynamics 10 hemodynamics 13 and 11 ( 13 and 12 pi 13 and 13 and 14 dca 13 and 15 ) 16 and 17 loss 16 and 18 of 18 of 21 matter 19 cerebral 21 matter 20 white 21 matter 22 structural 23 integrity 23 integrity 26 and 24 ( 26 and 25 wmh 26 and 26 and 28 metrics 26 and 29 ) 27 dti 28 metrics 30 in 32 individuals 31 elderly 32 individuals background and objective : assessment of the optimal drug dose for intrathecal therapy in children is challenging because of the [non] [-] linear increase in cerebrospinal fluid ( csf ) volume throughout childhood and potential differences in the elimination rate in children versus adults . 0 ###LEFT-WALL### 3 objective 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 45 . 1 background 2 and 2 and 3 objective 4 : 5 assessment 4 : 16 is 5 assessment 6 of 5 assessment 11 for 5 assessment 14 in 5 assessment 16 is 6 of 10 dose 7 the 10 dose 8 optimal 9 drug 9 drug 10 dose 11 for 13 therapy 12 intrathecal 13 therapy 14 in 15 children 16 is 17 challenging 17 challenging 18 because 17 challenging 32 throughout 17 challenging 37 in 18 because 19 of 19 of 24 increase 20 the 24 increase 23 linear 24 increase 24 increase 25 in 25 in 31 volume 26 cerebrospinal 31 volume 27 fluid 29 csf 27 fluid 30 ) 27 fluid 31 volume 28 ( 29 csf 29 csf 30 ) 32 throughout 34 and 33 childhood 34 and 34 and 36 differences 35 potential 36 differences 37 in 40 rate 38 the 40 rate 39 elimination 40 rate 40 rate 41 in 41 in 42 children 42 children 43 versus 43 versus 44 adults the present study was designed to prospectively collect pharmacokinetic and safety data on age - adapted intrathecal liposomal cytarabine in children aged >3 years . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 5 designed 0 ###LEFT-WALL### 15 - 1 the 3 study 2 present 3 study 3 study 4 was 4 was 5 designed 5 designed 6 to 5 designed 8 collect 6 to 8 collect 7 prospectively 8 collect 8 collect 10 and 8 collect 13 on 9 pharmacokinetic 10 and 10 and 12 data 11 safety 12 data 13 on 14 age 15 - 19 cytarabine 15 - 22 aged 15 - 25 . 16 adapted 19 cytarabine 17 intrathecal 19 cytarabine 18 liposomal 19 cytarabine 19 cytarabine 20 in 19 cytarabine 22 aged 20 in 21 children 22 aged 24 years 23 >3 24 years patients and methods : sixteen patients with malignant brain tumours were included in the study . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 patients 2 and 2 and 3 methods 4 : 6 patients 4 : 12 included 4 : 16 . 5 sixteen 6 patients 6 patients 7 with 6 patients 11 were 7 with 10 tumours 8 malignant 9 brain 9 brain 10 tumours 11 were 12 included 12 included 13 in 13 in 15 study 14 the 15 study children aged 3 - 10 years received liposomal cytarabine 35 mg with concomitant dexamethasone , and those aged >10 years received 50 mg . 0 ###LEFT-WALL### 1 children 0 ###LEFT-WALL### 2 aged 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 24 . 1 children 2 aged 2 aged 11 mg 3 3 4 - 4 - 5 10 4 - 11 mg 5 10 6 years 6 years 7 received 7 received 9 cytarabine 8 liposomal 9 cytarabine 9 cytarabine 10 35 11 mg 12 with 12 with 14 dexamethasone 13 concomitant 14 dexamethasone 15 , 16 and 16 and 20 years 16 and 21 received 17 those 20 years 18 aged 20 years 19 >10 20 years 20 years 21 received 21 received 23 mg 22 50 23 mg serial csf and plasma samples were collected before administration [and] 1 [h] , 12 h , 24 h , 1 week and 2 weeks post - dosing . 0 ###LEFT-WALL### 1 serial 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 26 - 0 ###LEFT-WALL### 28 . 1 serial 6 were 2 csf 3 and 3 and 5 samples 3 and 6 were 4 plasma 5 samples 6 were 7 collected 7 collected 8 before 8 before 9 administration 9 administration 11 1 9 administration 15 h 9 administration 18 h 9 administration 25 post 13 , 15 h 14 12 15 h 15 h 16 , 16 , 18 h 17 24 18 h 18 h 19 , 19 , 25 post 20 1 21 week 21 week 22 and 22 and 24 weeks 22 and 25 post 23 2 24 weeks 25 post 26 - 26 - 27 dosing csf was analysed for free and encapsulated cytarabine , and plasma was analysed for free cytarabine . 0 ###LEFT-WALL### 1 csf 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 17 . 1 csf 6 and 2 was 3 analysed 2 was 6 and 3 analysed 5 free 4 for 5 free 6 and 7 encapsulated 6 and 8 cytarabine 9 , 10 and 10 and 11 plasma 10 and 13 analysed 11 plasma 12 was 12 was 13 analysed 13 analysed 14 for 14 for 16 cytarabine 15 free 16 cytarabine results : the average elimination [half] - life values in children aged 3 - 10 years and in those aged >10 years , treated with liposomal cytarabine 35 mg and 50 mg , respectively , were 40.9 and 43.7 h for free cytarabine and 31.5 and 36.4 h [for] encapsulated cytarabine in csf . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 elimination 2 : 7 - 3 the 5 elimination 4 average 5 elimination 7 - 9 values 8 life 9 values 9 values 17 and 10 in 16 years 10 in 17 and 11 children 12 aged 12 aged 14 - 13 3 14 - 14 - 15 10 15 10 16 years 17 and 18 in 18 in 22 years 19 those 22 years 20 aged 22 years 21 >10 22 years 22 years 24 treated 23 , 24 treated 24 treated 25 with 25 with 27 cytarabine 25 with 30 and 26 liposomal 27 cytarabine 28 35 29 mg 29 mg 30 and 30 and 40 h 30 and 41 for 31 50 32 mg 31 50 38 and 32 mg 36 were 33 , 34 respectively 34 respectively 35 , 34 respectively 36 were 36 were 37 40.9 38 and 39 43.7 38 and 40 h 41 for 44 and 42 free 43 cytarabine 43 cytarabine 44 and 44 and 51 cytarabine 44 and 54 . 45 31.5 46 and 46 and 47 36.4 46 and 48 h 48 h 50 encapsulated 50 encapsulated 51 cytarabine 51 cytarabine 52 in 52 in 53 csf although these values were lower than those previously reported , cytarabine concentrations exceeded the cytotoxic threshold of 0.1 mg/l in all patients until 1 week post - intraventricular administration . 0 ###LEFT-WALL### 12 concentrations 0 ###LEFT-WALL### 13 exceeded 0 ###LEFT-WALL### 27 - 1 although 3 values 1 although 4 were 1 although 10 , 1 although 12 concentrations 2 these 3 values 3 values 4 were 4 were 5 lower 5 lower 6 than 6 than 7 those 7 those 9 reported 8 previously 9 reported 11 cytarabine 12 concentrations 12 concentrations 13 exceeded 13 exceeded 16 threshold 13 exceeded 23 until 14 the 16 threshold 15 cytotoxic 16 threshold 16 threshold 17 of 17 of 19 mg/l 18 0.1 19 mg/l 19 mg/l 20 in 20 in 22 patients 21 all 22 patients 23 until 26 post 24 1 25 week 25 week 26 post 27 - 29 administration 27 - 30 . 28 intraventricular 29 administration cytarabine concentrations in plasma were negligible . 0 ###LEFT-WALL### 2 concentrations 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 7 . 1 cytarabine 2 concentrations 2 concentrations 3 in 2 concentrations 5 were 3 in 4 plasma 5 were 6 negligible in general , liposomal cytarabine was well tolerated , with relevant but manageable toxicities . 0 ###LEFT-WALL### 5 cytarabine 0 ###LEFT-WALL### 6 was 1 in 2 general 2 general 3 , 2 general 5 cytarabine 4 liposomal 5 cytarabine 5 cytarabine 6 was 6 was 7 well 7 well 8 tolerated 8 tolerated 10 with 9 , 10 with 10 with 14 toxicities 10 with 15 . 11 relevant 12 but 12 but 13 manageable 12 but 14 toxicities conclusion : liposomal cytarabine in doses of 35 mg for children aged 3 - 10 years and 50 mg for older patients shows sufficient drug exposure for at least 1 week and appears to be well tolerated . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 35 be 0 ###LEFT-WALL### 38 . 1 conclusion 2 : 2 : 4 cytarabine 3 liposomal 4 cytarabine 4 cytarabine 5 in 4 cytarabine 7 of 5 in 6 doses 7 of 9 mg 8 35 9 mg 9 mg 10 for 10 for 11 children 11 children 12 aged 12 aged 13 3 14 - 17 and 14 - 32 and 15 10 16 years 16 years 17 and 17 and 19 mg 17 and 20 for 17 and 32 and 18 50 19 mg 20 for 22 patients 21 older 22 patients 23 shows 26 exposure 23 shows 32 and 24 sufficient 25 drug 25 drug 26 exposure 26 exposure 27 for 27 for 31 week 28 at 29 least 29 least 30 1 30 1 31 week 32 and 33 appears 32 and 34 to 34 to 35 be 35 be 36 well 36 well 37 tolerated likewise , apob catabolic rates were significantly lower in intermediate - density lipoprotein ( idl [ )(and low - density lipoprotein ( ldl ) apob ; the latter is also accompanied by a decreased production rate . 0 ###LEFT-WALL### 5 rates 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 26 ; 0 ###LEFT-WALL### 37 . 1 likewise 2 , 1 likewise 5 rates 3 apob 5 rates 4 catabolic 5 rates 5 rates 6 were 6 were 7 significantly 6 were 8 lower 8 lower 9 in 9 in 13 lipoprotein 10 intermediate 11 - 10 intermediate 12 density 12 density 13 lipoprotein 13 lipoprotein 17 )(and 14 ( 17 )(and 15 idl 17 )(and 17 )(and 25 apob 17 )(and 26 ; 18 low 21 lipoprotein 18 low 25 apob 19 - 21 lipoprotein 20 density 21 lipoprotein 21 lipoprotein 23 ldl 21 lipoprotein 24 ) 22 ( 23 ldl 23 ldl 24 ) 26 ; 28 latter 26 ; 31 accompanied 27 the 28 latter 28 latter 29 is 29 is 30 also 29 is 31 accompanied 31 accompanied 32 by 32 by 36 rate 33 a 36 rate 34 decreased 35 production 35 production 36 rate in hd patients , idl apob levels were elevated , but ldl apob levels remained within the normal range . 0 ###LEFT-WALL### 5 idl 0 ###LEFT-WALL### 8 were 0 ###LEFT-WALL### 11 but 0 ###LEFT-WALL### 20 . 1 in 3 patients 1 in 4 , 1 in 5 idl 2 hd 3 patients 5 idl 6 apob 5 idl 7 levels 5 idl 8 were 6 apob 7 levels 8 were 9 elevated 10 , 11 but 11 but 14 levels 11 but 15 remained 12 ldl 13 apob 13 apob 14 levels 14 levels 15 remained 15 remained 16 within 16 within 19 range 17 the 19 range 18 normal 19 range nonetheless , a prolonged residence time for ldl apob of 2 - 5 days , made ldl more [atherogenic] . 0 ###LEFT-WALL### 6 time 0 ###LEFT-WALL### 16 made 0 ###LEFT-WALL### 20 . 1 nonetheless 2 , 1 nonetheless 6 time 3 a 6 time 4 prolonged 5 residence 5 residence 6 time 6 time 7 for 6 time 14 days 6 time 16 made 7 for 9 apob 8 ldl 9 apob 9 apob 10 of 10 of 11 2 12 - 14 days 13 5 14 days 14 days 15 , 16 made 17 ldl 16 made 18 more atorvastatin completely ameliorated impaired ldl apob catabolism . 0 ###LEFT-WALL### 1 atorvastatin 0 ###LEFT-WALL### 4 impaired 0 ###LEFT-WALL### 8 . 1 atorvastatin 3 ameliorated 1 atorvastatin 4 impaired 2 completely 3 ameliorated 4 impaired 7 catabolism 5 ldl 7 catabolism 6 apob 7 catabolism with regard to lp ( [a] [ )(metabolism , both apob and apo [(] [a] ) were found to be slowly catabolized , indicating roles of normal kidney function [on] lp ( a [ )(catabolism . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 22 catabolized 1 with 2 regard 1 with 12 and 2 regard 3 to 2 regard 8 )(metabolism 3 to 4 lp 5 ( 8 )(metabolism 8 )(metabolism 9 , 10 both 12 and 11 apob 12 and 12 and 13 apo 12 and 16 ) 12 and 17 were 17 were 18 found 18 found 19 to 19 to 20 be 20 be 21 slowly 20 be 22 catabolized 22 catabolized 24 indicating 23 , 24 indicating 24 indicating 25 roles 24 indicating 36 . 25 roles 26 of 26 of 31 lp 27 normal 28 kidney 28 kidney 29 function 29 function 31 lp 31 lp 35 )(catabolism 32 ( 35 )(catabolism 33 a 35 )(catabolism 35 )(catabolism 36 . finally , a compartmental model suggests intracellular , rather [than] extracellular , assembly [of] lp [(] [a] [ )( 0 ###LEFT-WALL### 5 model 0 ###LEFT-WALL### 6 suggests 0 ###LEFT-WALL### 19 )( 1 finally 2 , 1 finally 5 model 3 a 4 compartmental 3 a 5 model 4 compartmental 5 model 5 model 6 suggests 6 suggests 15 lp 7 intracellular 8 , 7 intracellular 13 assembly 9 rather 11 extracellular 11 extracellular 12 , 11 extracellular 13 assembly 13 assembly 15 lp this in vivo kinetic evidence will uncover the underlying mechanism for uremic dyslipidemia and provide strategies to reduce cvd in hd patients . 0 ###LEFT-WALL### 5 evidence 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 23 . 1 this 5 evidence 2 in 3 vivo 3 vivo 4 kinetic 4 kinetic 5 evidence 5 evidence 6 will 6 will 14 and 7 uncover 10 mechanism 7 uncover 14 and 8 the 10 mechanism 9 underlying 10 mechanism 10 mechanism 11 for 11 for 13 dyslipidemia 12 uremic 13 dyslipidemia 14 and 15 provide 14 and 22 patients 15 provide 16 strategies 15 provide 17 to 17 to 18 reduce 18 reduce 19 cvd 18 reduce 20 in 20 in 21 hd none [none] [we] present a two [-] dimensional electromagnetic analysis of light propagation through the human eye to examine the eye 's optical properties . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 4 present 0 ###LEFT-WALL### 25 . 1 none 4 present 4 present 10 analysis 4 present 14 through 4 present 18 to 5 a 10 analysis 6 two 10 analysis 8 dimensional 10 analysis 9 electromagnetic 10 analysis 10 analysis 11 of 11 of 13 propagation 12 light 13 propagation 14 through 17 eye 15 the 17 eye 16 human 17 eye 18 to 19 examine 19 examine 24 properties 20 the 21 eye 21 eye 22 's 22 's 24 properties 23 optical 24 properties the electromagnetic approach has intriguing advantages over the conventional and frequently implemented ray optics analysis . 0 ###LEFT-WALL### 3 approach 0 ###LEFT-WALL### 4 has 0 ###LEFT-WALL### 16 . 1 the 3 approach 2 electromagnetic 3 approach 3 approach 4 has 4 has 6 advantages 4 has 7 over 5 intriguing 6 advantages 7 over 10 and 8 the 9 conventional 9 conventional 10 and 10 and 15 analysis 11 frequently 12 implemented 12 implemented 13 ray 13 ray 14 optics 14 optics 15 analysis the chromatic , spherical , and coma aberrations and the intensity of the focused light at the retina are computed in this work via full - wave analysis . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 20 computed 0 ###LEFT-WALL### 29 . 1 the 2 chromatic 2 chromatic 3 , 3 , 4 spherical 3 , 6 and 5 , 6 and 6 and 8 aberrations 6 and 9 and 7 coma 8 aberrations 9 and 11 intensity 9 and 12 of 9 and 19 are 10 the 11 intensity 12 of 15 light 13 the 15 light 14 focused 15 light 15 light 16 at 16 at 18 retina 17 the 18 retina 19 are 20 computed 20 computed 21 in 20 computed 24 via 21 in 23 work 22 this 23 work 24 via 28 analysis 25 full 26 - 25 full 27 wave 27 wave 28 analysis we also investigate the effects of the cornea 's [and] lens 's curved structures on the focusing mechanism . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 investigate 0 ###LEFT-WALL### 19 . 1 we 3 investigate 2 also 3 investigate 3 investigate 5 effects 3 investigate 15 on 4 the 5 effects 5 effects 6 of 6 of 14 structures 7 the 8 cornea 8 cornea 9 's 9 's 11 lens 11 lens 12 's 12 's 14 structures 13 curved 14 structures 15 on 18 mechanism 16 the 18 mechanism 17 focusing 18 mechanism the focal length and chromatic and spherical aberrations are observed to change owing to age - related refractive index variation in the lens . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 17 related 0 ###LEFT-WALL### 24 . 1 the 3 length 2 focal 3 length 3 length 4 and 4 and 5 chromatic 4 and 6 and 6 and 7 spherical 6 and 8 aberrations 6 and 13 owing 8 aberrations 9 are 9 are 10 observed 10 observed 11 to 11 to 12 change 12 change 13 owing 13 owing 14 to 14 to 15 age 16 - 17 related 17 related 20 variation 18 refractive 19 index 19 index 20 variation 20 variation 21 in 21 in 23 lens 22 the 23 lens in addition , the effects of the lens and curvatures of the human eye on focusing are analyzed . 0 ###LEFT-WALL### 5 effects 0 ###LEFT-WALL### 18 analyzed 0 ###LEFT-WALL### 19 . 1 in 2 addition 1 in 3 , 1 in 5 effects 4 the 5 effects 5 effects 6 of 5 effects 11 of 5 effects 17 are 6 of 9 and 7 the 8 lens 8 lens 9 and 9 and 10 curvatures 11 of 14 eye 12 the 14 eye 13 human 14 eye 14 eye 15 on 15 on 16 focusing 17 are 18 analyzed consequently , for both young and old human eye lenses , the differences due to the aberration variations , curvature surfaces , and gradient index are explored by the wave approach . 0 ###LEFT-WALL### 13 differences 0 ###LEFT-WALL### 27 explored 0 ###LEFT-WALL### 32 . 1 consequently 2 , 1 consequently 13 differences 2 , 3 for 3 for 10 lenses 3 for 11 , 3 for 13 differences 4 both 10 lenses 5 young 6 and 6 and 7 old 6 and 10 lenses 8 human 10 lenses 9 eye 10 lenses 12 the 13 differences 13 differences 15 to 13 differences 26 are 14 due 15 to 15 to 23 and 16 the 18 variations 17 aberration 18 variations 18 variations 19 , 19 , 21 surfaces 19 , 23 and 20 curvature 21 surfaces 22 , 23 and 23 and 25 index 24 gradient 25 index 26 are 27 explored 27 explored 28 by 28 by 31 approach 29 the 31 approach 30 wave 31 approach the intensity distributions on the retina for both [on] - and off [-] axis illumination are calculated . 0 ###LEFT-WALL### 3 distributions 0 ###LEFT-WALL### 17 calculated 0 ###LEFT-WALL### 18 . 1 the 3 distributions 2 intensity 3 distributions 3 distributions 11 and 3 distributions 16 are 4 on 6 retina 4 on 11 and 5 the 6 retina 6 retina 7 for 7 for 8 both 10 - 11 and 11 and 12 off 12 off 15 illumination 14 axis 15 illumination 16 are 17 calculated a strong correlation between the locations of the nerve fibers and the intensity distribution is confirmed . 0 ###LEFT-WALL### 3 correlation 0 ###LEFT-WALL### 16 confirmed 0 ###LEFT-WALL### 17 . 1 a 2 strong 1 a 3 correlation 2 strong 3 correlation 3 correlation 4 between 3 correlation 7 of 3 correlation 15 is 4 between 6 locations 5 the 6 locations 7 of 11 and 8 the 10 fibers 9 nerve 10 fibers 10 fibers 11 and 11 and 14 distribution 12 the 14 distribution 13 intensity 14 distribution 15 is 16 confirmed on the basis of the findings , we can conclude that visual impairment due to deterioration of the human eye structure is more dramatic than that due to aging . 0 ###LEFT-WALL### 8 we 0 ###LEFT-WALL### 10 conclude 0 ###LEFT-WALL### 30 . 1 on 3 basis 1 on 7 , 1 on 8 we 2 the 3 basis 3 basis 4 of 4 of 6 findings 5 the 6 findings 8 we 9 can 9 can 10 conclude 10 conclude 13 impairment 10 conclude 22 is 11 that 12 visual 12 visual 13 impairment 13 impairment 14 due 13 impairment 22 is 14 due 15 to 15 to 16 deterioration 16 deterioration 17 of 17 of 21 structure 18 the 21 structure 19 human 21 structure 20 eye 21 structure 22 is 23 more 22 is 24 dramatic 24 dramatic 25 than 25 than 27 due 26 that 27 due 27 due 28 to 28 to 29 aging the development of therapies for amyotrophic lateral sclerosis ( als ) has been hindered by the lack of biomarkers for both identifying early disease and for monitoring the effectiveness of drugs . 0 ###LEFT-WALL### 2 development 0 ###LEFT-WALL### 14 hindered 0 ###LEFT-WALL### 32 . 1 the 2 development 2 development 3 of 2 development 12 has 3 of 4 therapies 4 therapies 5 for 5 for 10 als 6 amyotrophic 7 lateral 7 lateral 8 sclerosis 8 sclerosis 10 als 9 ( 10 als 10 als 11 ) 12 has 13 been 13 been 14 hindered 14 hindered 15 by 14 hindered 25 and 15 by 17 lack 16 the 17 lack 17 lack 18 of 18 of 19 biomarkers 20 for 22 identifying 20 for 25 and 21 both 22 identifying 22 identifying 24 disease 23 early 24 disease 25 and 26 for 26 for 27 monitoring 27 monitoring 29 effectiveness 28 the 29 effectiveness 29 effectiveness 30 of 30 of 31 drugs the identification of als biomarkers in presymptomatic individuals might also provide clues to the earliest biochemical correlates [of] the disease . 0 ###LEFT-WALL### 2 identification 0 ###LEFT-WALL### 17 correlates 0 ###LEFT-WALL### 21 . 1 the 2 identification 2 identification 3 of 2 identification 17 correlates 3 of 4 als 4 als 5 biomarkers 4 als 11 provide 5 biomarkers 6 in 5 biomarkers 9 might 6 in 8 individuals 7 presymptomatic 8 individuals 9 might 11 provide 10 also 11 provide 11 provide 12 clues 11 provide 13 to 13 to 16 biochemical 14 the 15 earliest 14 the 16 biochemical 17 correlates 20 disease 19 the 20 disease previous attempts to use plasma metabolites as biomarkers have led to contradictory results , presumably because of heterogeneity in both the underlying genetics and the disease stage in the clinical population . 0 ###LEFT-WALL### 2 attempts 0 ###LEFT-WALL### 10 led 1 previous 2 attempts 2 attempts 3 to 2 attempts 4 use 2 attempts 9 have 3 to 4 use 4 use 6 metabolites 4 use 7 as 5 plasma 6 metabolites 7 as 8 biomarkers 9 have 10 led 10 led 11 to 10 led 17 of 11 to 13 results 12 contradictory 13 results 14 , 15 presumably 14 , 17 of 16 because 17 of 17 of 24 and 17 of 32 . 18 heterogeneity 19 in 18 heterogeneity 24 and 19 in 20 both 20 both 21 the 20 both 23 genetics 21 the 23 genetics 22 underlying 23 genetics 24 and 27 stage 24 and 28 in 25 the 27 stage 26 disease 27 stage 28 in 31 population 29 the 31 population 30 clinical 31 population to eliminate these two sources of heterogeneity we have characterized plasma amino acids and [other] metabolites in the sod1 ( g93a ) transgenic mouse model for als . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 28 . 1 to 2 eliminate 2 eliminate 5 sources 2 eliminate 26 for 3 these 4 two 4 two 5 sources 5 sources 6 of 5 sources 14 and 6 of 7 heterogeneity 7 heterogeneity 8 we 7 heterogeneity 9 have 8 we 9 have 10 characterized 13 acids 10 characterized 14 and 11 plasma 13 acids 12 amino 13 acids 14 and 16 metabolites 14 and 17 in 17 in 25 model 18 the 25 model 19 sod1 21 g93a 19 sod1 25 model 20 ( 21 g93a 21 g93a 22 ) 23 transgenic 24 mouse 24 mouse 25 model 26 for 27 als many of the sod1 ( g93a ) - related differences could be altered by treatment of mice with methionine sulfoximine , which extends the lifespan of this mouse , inhibits glutamine synthetase , and modifies brain methylation reactions . 0 ###LEFT-WALL### 1 many 0 ###LEFT-WALL### 13 altered 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 39 . 1 many 2 of 1 many 11 could 2 of 4 sod1 3 the 4 sod1 4 sod1 6 g93a 5 ( 6 g93a 6 g93a 7 ) 8 - 9 related 9 related 10 differences 9 related 11 could 11 could 12 be 12 be 13 altered 13 altered 14 by 13 altered 18 with 14 by 15 treatment 15 treatment 16 of 16 of 17 mice 18 with 20 sulfoximine 19 methionine 20 sulfoximine 21 , 22 which 21 , 29 , 22 which 29 , 23 extends 25 lifespan 23 extends 29 , 24 the 25 lifespan 25 lifespan 26 of 26 of 28 mouse 27 this 28 mouse 29 , 34 and 30 inhibits 32 synthetase 30 inhibits 34 and 31 glutamine 32 synthetase 33 , 34 and 34 and 35 modifies 35 modifies 38 reactions 36 brain 38 reactions 37 methylation 38 reactions these studies show that assaying plasma metabolites can effectively distinguish transgenic mice from wild [type] , suggesting that one or more plasma metabolites might be useful biomarkers for the disease in humans , especially if genetic and longitudinal analysis is used to reduce population heterogeneity . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 16 , 1 these 2 studies 2 studies 3 show 3 show 5 assaying 3 show 6 plasma 3 show 14 wild 4 that 5 assaying 6 plasma 7 metabolites 6 plasma 13 from 7 metabolites 8 can 8 can 10 distinguish 9 effectively 10 distinguish 10 distinguish 12 mice 10 distinguish 13 from 11 transgenic 12 mice 16 , 17 suggesting 16 , 27 biomarkers 17 suggesting 20 or 17 suggesting 23 metabolites 17 suggesting 25 be 17 suggesting 27 biomarkers 18 that 19 one 19 one 20 or 20 or 21 more 22 plasma 23 metabolites 23 metabolites 24 might 24 might 25 be 25 be 26 useful 27 biomarkers 28 for 27 biomarkers 35 if 28 for 30 disease 29 the 30 disease 30 disease 31 in 31 in 32 humans 33 , 34 especially 33 , 35 if 35 if 39 analysis 35 if 41 used 35 if 46 . 36 genetic 37 and 37 and 38 longitudinal 37 and 39 analysis 39 analysis 40 is 40 is 41 used 41 used 42 to 41 used 43 reduce 42 to 43 reduce 43 reduce 45 heterogeneity 44 population 45 heterogeneity we examined adolescents ' reasons for tanning and how these relate to appearance evaluation [and] orientation . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 17 . 1 we 2 examined 2 examined 5 reasons 3 adolescents 4 ' 4 ' 5 reasons 5 reasons 6 for 5 reasons 10 these 5 reasons 11 relate 6 for 8 and 7 tanning 8 and 8 and 9 how 10 these 11 relate 11 relate 12 to 12 to 16 orientation 13 appearance 16 orientation 14 evaluation 16 orientation two hundred and sixty - four canadian adolescents [(] age range 15 - 19 years ) in grades 10 , 11 , and 12 completed a survey that included scales measuring their reasons for tanning , appearance evaluation , and appearance orientation . 0 ###LEFT-WALL### 4 sixty 0 ###LEFT-WALL### 11 range 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 29 included 0 ###LEFT-WALL### 43 . 1 two 2 hundred 2 hundred 3 and 3 and 4 sixty 4 sixty 8 adolescents 4 sixty 10 age 4 sixty 11 range 5 - 6 four 6 four 8 adolescents 7 canadian 8 adolescents 8 adolescents 10 age 11 range 12 15 11 range 17 in 12 15 15 years 13 - 15 years 14 19 15 years 15 years 16 ) 17 in 18 grades 18 grades 19 10 18 grades 21 11 20 , 21 11 21 11 22 , 22 , 23 and 23 and 24 12 23 and 25 completed 24 12 25 completed 25 completed 27 survey 26 a 27 survey 27 survey 28 that 27 survey 29 included 28 that 29 included 29 included 30 scales 30 scales 31 measuring 31 measuring 40 and 32 their 40 and 33 reasons 34 for 33 reasons 36 , 34 for 35 tanning 36 , 38 evaluation 36 , 40 and 37 appearance 38 evaluation 39 , 40 and 40 and 42 orientation 41 appearance 42 orientation it [was] found that girls and boys differed on four of nine subscales measuring reasons for tanning . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 found 0 ###LEFT-WALL### 18 . 1 it 3 found 3 found 4 that 4 that 6 and 4 that 8 differed 5 girls 6 and 6 and 7 boys 6 and 8 differed 8 differed 9 on 8 differed 16 for 9 on 10 four 10 four 11 of 11 of 13 subscales 12 nine 13 subscales 13 subscales 14 measuring 14 measuring 15 reasons 16 for 17 tanning girls believed more strongly than boys that tanning improved their general appearance and that friends influenced their decision to tan . 0 ###LEFT-WALL### 1 girls 0 ###LEFT-WALL### 2 believed 0 ###LEFT-WALL### 21 . 1 girls 2 believed 2 believed 4 strongly 2 believed 5 than 2 believed 19 to 3 more 4 strongly 5 than 6 boys 6 boys 7 that 6 boys 16 influenced 7 that 8 tanning 7 that 16 influenced 8 tanning 9 improved 10 their 12 appearance 11 general 12 appearance 12 appearance 13 and 13 and 14 that 13 and 15 friends 15 friends 16 influenced 16 influenced 18 decision 17 their 18 decision 19 to 20 tan girls also expressed less concern than boys that tanning caused immediate skin damage or premature aging . 0 ###LEFT-WALL### 1 girls 0 ###LEFT-WALL### 3 expressed 0 ###LEFT-WALL### 17 . 1 girls 3 expressed 2 also 3 expressed 3 expressed 4 less 3 expressed 5 concern 3 expressed 6 than 6 than 7 boys 7 boys 8 that 7 boys 16 aging 8 that 9 tanning 8 that 10 caused 9 tanning 10 caused 10 caused 14 or 11 immediate 13 damage 12 skin 13 damage 13 damage 14 or 14 or 15 premature 14 or 16 aging the pattern of correlations between the reasons for tanning and appearance orientation was similar for girls and boys . 0 ###LEFT-WALL### 2 pattern 0 ###LEFT-WALL### 13 was 0 ###LEFT-WALL### 19 . 1 the 2 pattern 2 pattern 3 of 2 pattern 13 was 3 of 10 and 4 correlations 5 between 4 correlations 10 and 5 between 7 reasons 6 the 7 reasons 7 reasons 8 for 8 for 9 tanning 10 and 12 orientation 11 appearance 12 orientation 13 was 14 similar 14 similar 15 for 15 for 17 and 16 girls 17 and 17 and 18 boys for both , appearance reasons for tanning and sociocultural influences on tanning were positively associated with appearance orientation . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 15 associated 0 ###LEFT-WALL### 19 . 1 for 2 both 1 for 3 , 1 for 8 and 4 appearance 5 reasons 5 reasons 6 for 5 reasons 8 and 6 for 7 tanning 8 and 10 influences 8 and 11 on 8 and 13 were 9 sociocultural 10 influences 11 on 12 tanning 13 were 15 associated 14 positively 15 associated 15 associated 16 with 16 with 18 orientation 17 appearance 18 orientation suggestions for future research with adolescents and a proposal for a guiding model are provided . 0 ###LEFT-WALL### 1 suggestions 0 ###LEFT-WALL### 15 provided 0 ###LEFT-WALL### 16 . 1 suggestions 2 for 1 suggestions 14 are 2 for 4 research 3 future 4 research 4 research 5 with 5 with 7 and 6 adolescents 7 and 7 and 9 proposal 7 and 10 for 8 a 9 proposal 10 for 13 model 11 a 13 model 12 guiding 13 model 14 are 15 provided red blood cells are rather unique body cells , since they have lost all organelles when mature , [which] results in lack of potential to replace proteins that have lost their function . 0 ###LEFT-WALL### 3 cells 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 33 . 1 red 2 blood 2 blood 3 cells 3 cells 4 are 4 are 5 rather 4 are 8 cells 6 unique 7 body 7 body 8 cells 9 , 14 all 9 , 15 organelles 10 since 11 they 10 since 13 lost 10 since 14 all 11 they 12 have 12 have 13 lost 14 all 15 organelles 15 organelles 16 when 16 when 20 results 16 when 30 lost 17 mature 18 , 17 mature 20 results 20 results 21 in 20 results 23 of 20 results 30 lost 21 in 22 lack 23 of 24 potential 24 potential 25 to 24 potential 26 replace 25 to 26 replace 26 replace 27 proteins 27 proteins 28 that 27 proteins 29 have 28 that 29 have 30 lost 32 function 31 their 32 function they maintain only a few pathways for obtaining energy and reducing power for the key functions they need to fulfill . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 2 maintain 0 ###LEFT-WALL### 21 . 1 they 2 maintain 2 maintain 6 pathways 2 maintain 7 for 3 only 5 few 4 a 5 few 5 few 6 pathways 7 for 8 obtaining 8 obtaining 10 and 8 obtaining 13 for 9 energy 10 and 10 and 12 power 11 reducing 12 power 13 for 16 functions 14 the 16 functions 15 key 16 functions 16 functions 17 they 16 functions 20 fulfill 17 they 18 need 18 need 19 to 18 need 20 fulfill 19 to 20 fulfill this makes rbcs highly sensitive to any aberration . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 makes 0 ###LEFT-WALL### 9 . 1 this 2 makes 2 makes 3 rbcs 3 rbcs 5 sensitive 4 highly 5 sensitive 5 sensitive 6 to 6 to 8 aberration 7 any 8 aberration if so , these rbcs are quickly removed from circulation , but if the rbc levels [reduce] extremely fast , this results in hemolytic anemia . 0 ###LEFT-WALL### 5 rbcs 0 ###LEFT-WALL### 8 removed 0 ###LEFT-WALL### 12 but 0 ###LEFT-WALL### 26 . 1 if 2 so 2 so 3 , 2 so 5 rbcs 4 these 5 rbcs 5 rbcs 6 are 6 are 7 quickly 6 are 8 removed 8 removed 9 from 9 from 10 circulation 11 , 12 but 12 but 21 this 12 but 22 results 13 if 15 rbc 13 if 16 levels 13 if 21 this 14 the 15 rbc 15 rbc 16 levels 18 extremely 19 fast 19 fast 20 , 19 fast 21 this 21 this 22 results 22 results 23 in 23 in 25 anemia 24 hemolytic 25 anemia several causes of ha exist , and proteome analysis is the most straightforward way to obtain deeper insight into rbc functioning under the stress of disease . 0 ###LEFT-WALL### 2 causes 0 ###LEFT-WALL### 5 exist 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 27 . 1 several 2 causes 2 causes 3 of 2 causes 5 exist 3 of 4 ha 6 , 7 and 7 and 9 analysis 7 and 10 is 8 proteome 9 analysis 9 analysis 10 is 10 is 14 way 11 the 14 way 12 most 13 straightforward 13 straightforward 14 way 14 way 15 to 14 way 16 obtain 15 to 16 obtain 16 obtain 18 insight 16 obtain 19 into 17 deeper 18 insight 19 into 20 rbc 20 rbc 21 functioning 20 rbc 25 of 21 functioning 22 under 22 under 24 stress 23 the 24 stress 25 of 26 disease this should result in discovery of biomarkers , typical for each source of anemia . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 result 1 this 2 should 2 should 3 result 3 result 4 in 4 in 5 discovery 5 discovery 6 of 6 of 7 biomarkers 7 biomarkers 9 typical 8 , 9 typical 9 typical 10 for 9 typical 15 . 10 for 12 source 11 each 12 source 12 source 13 of 13 of 14 anemia in this review , several challenges to generate in [-] depth rbc proteomes are described , like to obtain pure rbcs , to overcome the wide dynamic range in protein expression , and to establish which of the identified/quantified proteins are active in rbcs . 0 ###LEFT-WALL### 6 challenges 0 ###LEFT-WALL### 15 described 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 45 . 1 in 3 review 1 in 4 , 1 in 6 challenges 2 this 3 review 5 several 6 challenges 6 challenges 7 to 6 challenges 8 generate 6 challenges 14 are 7 to 8 generate 8 generate 9 in 9 in 13 proteomes 11 depth 13 proteomes 12 rbc 13 proteomes 14 are 15 described 16 , 17 like 17 like 18 to 17 like 33 and 18 to 33 and 19 obtain 21 rbcs 19 obtain 23 to 19 obtain 33 and 20 pure 21 rbcs 22 , 23 to 23 to 24 overcome 23 to 32 , 24 overcome 28 range 25 the 28 range 26 wide 27 dynamic 27 dynamic 28 range 28 range 29 in 29 in 31 expression 30 protein 31 expression 33 and 34 to 33 and 35 establish 34 to 35 establish 35 establish 36 which 35 establish 43 in 36 which 37 of 36 which 41 are 37 of 40 proteins 38 the 40 proteins 39 identified/quantified 40 proteins 41 are 42 active 43 in 44 rbcs the final challenge is to acquire [and] [validate] suited biomarkers unique for the changes that occur for each of the clinical questions ; in red blood cell aging ( also important for transfusion medicine ) , for thalassemias or sickle cell disease . 0 ###LEFT-WALL### 3 challenge 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 23 ; 1 the 3 challenge 2 final 3 challenge 3 challenge 4 is 4 is 5 to 4 is 11 unique 5 to 6 acquire 6 acquire 10 biomarkers 9 suited 10 biomarkers 11 unique 12 for 11 unique 17 for 12 for 14 changes 13 the 14 changes 14 changes 15 that 14 changes 16 occur 15 that 16 occur 17 for 18 each 18 each 19 of 19 of 22 questions 20 the 22 questions 21 clinical 22 questions 23 ; 26 blood 24 in 25 red 24 in 26 blood 26 blood 28 aging 27 cell 28 aging 28 aging 31 important 28 aging 37 for 29 ( 31 important 30 also 31 important 31 important 32 for 31 important 35 ) 32 for 34 medicine 33 transfusion 34 medicine 36 , 37 for 37 for 39 or 37 for 43 . 38 thalassemias 39 or 39 or 42 disease 40 sickle 42 disease 41 cell 42 disease this article is part of a special issue entitled : biomarkers : a proteomic challenge . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 10 : 1 this 2 article 2 article 3 is 3 is 4 part 4 part 5 of 5 of 8 issue 6 a 8 issue 7 special 8 issue 8 issue 9 entitled 10 : 11 biomarkers 10 : 12 : 12 : 15 challenge 12 : 16 . 13 a 15 challenge 14 proteomic 15 challenge oxidative stress is involved in many age - associated diseases , as well as in the aging process itself . 0 ###LEFT-WALL### 1 oxidative 0 ###LEFT-WALL### 4 involved 0 ###LEFT-WALL### 20 . 1 oxidative 2 stress 1 oxidative 3 is 1 oxidative 4 involved 2 stress 3 is 4 involved 5 in 4 involved 7 age 4 involved 12 as 4 involved 14 as 4 involved 19 itself 5 in 6 many 7 age 10 diseases 8 - 10 diseases 9 associated 10 diseases 10 diseases 11 , 12 as 13 well 14 as 15 in 15 in 18 process 16 the 18 process 17 aging 18 process the development of interventions to reduce oxidative stress is hampered by the absence of sensitive detection methods that can be used in live animals . 0 ###LEFT-WALL### 2 development 0 ###LEFT-WALL### 10 hampered 0 ###LEFT-WALL### 25 . 1 the 2 development 2 development 3 of 2 development 5 to 2 development 6 reduce 2 development 9 is 3 of 4 interventions 5 to 6 reduce 6 reduce 8 stress 7 oxidative 8 stress 9 is 10 hampered 10 hampered 11 by 11 by 13 absence 12 the 13 absence 13 absence 14 of 14 of 17 methods 15 sensitive 16 detection 16 detection 17 methods 17 methods 18 that 17 methods 19 can 18 that 19 can 19 can 20 be 20 be 21 used 21 used 22 in 22 in 24 animals 23 live 24 animals we generated transgenic mice expressing ratiometric redox - sensitive green fluorescent protein ( rogfp ) in the cytosol or mitochondria of several tissues , including skin epidermal keratinocytes . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 generated 1 we 2 generated 2 generated 4 mice 2 generated 25 including 3 transgenic 4 mice 4 mice 5 expressing 5 expressing 7 redox 5 expressing 16 in 6 ratiometric 7 redox 7 redox 12 protein 8 - 12 protein 9 sensitive 12 protein 10 green 12 protein 11 fluorescent 12 protein 12 protein 14 rogfp 12 protein 15 ) 13 ( 14 rogfp 14 rogfp 15 ) 16 in 19 or 17 the 18 cytosol 18 cytosol 19 or 19 or 20 mitochondria 19 or 21 of 21 of 23 tissues 22 several 23 tissues 24 , 25 including 25 including 28 keratinocytes 25 including 29 . 26 skin 28 keratinocytes 27 epidermal 28 keratinocytes crossbreeding into hairless albino mice allowed noninvasive optical measurement of skin [oxidative] [state] . 0 ###LEFT-WALL### 1 crossbreeding 0 ###LEFT-WALL### 6 allowed 0 ###LEFT-WALL### 14 . 1 crossbreeding 2 into 1 crossbreeding 6 allowed 2 into 5 mice 3 hairless 4 albino 4 albino 5 mice 6 allowed 9 measurement 7 noninvasive 9 measurement 8 optical 9 measurement 9 measurement 10 of 10 of 11 skin topical application of hydrogen peroxide emulsion shifted the keratinocyte redox state toward oxidation within minutes and could be observed in real time by fluorescence ratio imaging . 0 ###LEFT-WALL### 2 application 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 27 . 1 topical 2 application 2 application 3 of 2 application 16 and 3 of 6 emulsion 4 hydrogen 6 emulsion 5 peroxide 6 emulsion 7 shifted 11 state 7 shifted 12 toward 7 shifted 14 within 7 shifted 16 and 8 the 11 state 9 keratinocyte 11 state 10 redox 11 state 12 toward 13 oxidation 14 within 15 minutes 16 and 17 could 16 and 23 by 17 could 18 be 18 be 19 observed 19 observed 20 in 20 in 22 time 21 real 22 time 23 by 26 imaging 24 fluorescence 25 ratio 25 ratio 26 imaging exposing skin to 365 nm uva radiation oxidized rogfp localized in keratinocyte mitochondria , but not [when] rogfp was localized in the cytosol . 0 ###LEFT-WALL### 1 exposing 0 ###LEFT-WALL### 8 oxidized 0 ###LEFT-WALL### 15 but 0 ###LEFT-WALL### 24 . 1 exposing 2 skin 1 exposing 3 to 1 exposing 8 oxidized 3 to 7 radiation 4 365 5 nm 5 nm 7 radiation 6 uva 7 radiation 8 oxidized 9 rogfp 8 oxidized 11 in 9 rogfp 10 localized 11 in 13 mitochondria 12 keratinocyte 13 mitochondria 14 , 15 but 15 but 16 not 15 but 18 rogfp 15 but 20 localized 18 rogfp 19 was 19 was 20 localized 20 localized 21 in 21 in 23 cytosol 22 the 23 cytosol this suggests that significant amounts of the endogenous photosensitizers that mediate uva [-] induced oxidative stress are located in the mitochondria . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 suggests 0 ###LEFT-WALL### 22 . 1 this 2 suggests 2 suggests 3 that 3 that 5 amounts 3 that 18 located 4 significant 5 amounts 5 amounts 6 of 5 amounts 10 that 5 amounts 11 mediate 5 amounts 17 are 6 of 9 photosensitizers 7 the 9 photosensitizers 8 endogenous 9 photosensitizers 10 that 11 mediate 11 mediate 16 stress 12 uva 14 induced 14 induced 16 stress 15 oxidative 16 stress 17 are 18 located 18 located 19 in 19 in 21 mitochondria 20 the 21 mitochondria uvr is the major environmental cause of skin aging and uva - mediated oxidative stress has been associated with the development of wrinkles in humans . 0 ###LEFT-WALL### 1 uvr 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 26 . 1 uvr 2 is 2 is 4 major 3 the 4 major 4 major 5 environmental 4 major 9 aging 5 environmental 6 cause 6 cause 7 of 7 of 8 skin 10 and 15 stress 10 and 18 associated 11 uva 12 - 11 uva 15 stress 13 mediated 15 stress 14 oxidative 15 stress 15 stress 16 has 16 has 17 been 17 been 18 associated 18 associated 19 with 18 associated 24 in 19 with 21 development 20 the 21 development 21 development 22 of 22 of 23 wrinkles 24 in 25 humans direct measurements of redox state in defined cell compartments of live animals should be a powerful and convenient tool for evaluating treatments that aim to modulate oxidative stress . 0 ###LEFT-WALL### 1 direct 0 ###LEFT-WALL### 14 be 0 ###LEFT-WALL### 29 . 1 direct 2 measurements 1 direct 5 state 1 direct 13 should 2 measurements 3 of 2 measurements 5 state 3 of 4 redox 5 state 6 in 6 in 9 compartments 7 defined 8 cell 8 cell 9 compartments 9 compartments 10 of 10 of 12 animals 11 live 12 animals 13 should 14 be 14 be 19 tool 15 a 19 tool 16 powerful 17 and 17 and 18 convenient 17 and 19 tool 19 tool 20 for 20 for 21 evaluating 21 evaluating 22 treatments 22 treatments 23 that 22 treatments 24 aim 23 that 24 aim 24 aim 25 to 25 to 26 modulate 26 modulate 28 stress 27 oxidative 28 stress anorexia of aging , defined as a loss of appetite [and/or] reduced food intake , affects a significant number of elderly people and is far more prevalent among frail individuals . 0 ###LEFT-WALL### 1 anorexia 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 31 . 1 anorexia 2 of 1 anorexia 5 defined 1 anorexia 23 and 2 of 3 aging 4 , 5 defined 5 defined 6 as 5 defined 15 , 6 as 8 loss 7 a 8 loss 8 loss 9 of 9 of 14 intake 10 appetite 12 reduced 12 reduced 13 food 13 food 14 intake 16 affects 19 number 16 affects 23 and 17 a 18 significant 17 a 19 number 18 significant 19 number 19 number 20 of 20 of 22 people 21 elderly 22 people 23 and 24 is 24 is 27 prevalent 25 far 26 more 26 more 27 prevalent 27 prevalent 28 among 28 among 30 individuals 29 frail 30 individuals anorexia recognizes a multifactorial origin characterized by various combinations of medical , environmental and social factors . 0 ###LEFT-WALL### 1 anorexia 0 ###LEFT-WALL### 2 recognizes 0 ###LEFT-WALL### 17 . 1 anorexia 2 recognizes 2 recognizes 5 origin 3 a 4 multifactorial 3 a 5 origin 4 multifactorial 5 origin 5 origin 6 characterized 6 characterized 7 by 7 by 9 combinations 8 various 9 combinations 9 combinations 10 of 10 of 16 factors 11 medical 12 , 12 , 13 environmental 12 , 14 and 14 and 15 social 14 and 16 factors given the interconnection between weight loss , sarcopenia and frailty , anorexia is a powerful , independent predictor of poor quality of life , morbidity and mortality in older persons . 0 ###LEFT-WALL### 12 anorexia 0 ###LEFT-WALL### 13 is 0 ###LEFT-WALL### 31 . 1 given 3 interconnection 1 given 4 between 1 given 11 , 1 given 12 anorexia 2 the 3 interconnection 4 between 6 loss 5 weight 6 loss 6 loss 9 and 7 , 9 and 8 sarcopenia 9 and 9 and 10 frailty 9 and 11 , 12 anorexia 13 is 13 is 26 and 14 a 18 predictor 15 powerful 16 , 15 powerful 18 predictor 17 independent 18 predictor 18 predictor 19 of 18 predictor 24 , 19 of 21 quality 20 poor 21 quality 21 quality 22 of 22 of 23 life 24 , 25 morbidity 24 , 26 and 26 and 27 mortality 26 and 28 in 28 in 30 persons 29 older 30 persons one of the most important goals in the management of older , frail people is to optimize their nutritional status . 0 ###LEFT-WALL### 1 one 0 ###LEFT-WALL### 21 . 1 one 2 of 1 one 15 is 2 of 6 goals 3 the 4 most 4 most 6 goals 5 important 6 goals 6 goals 7 in 7 in 9 management 8 the 9 management 9 management 10 of 10 of 14 people 11 older 12 , 11 older 14 people 13 frail 14 people 15 is 16 to 15 is 17 optimize 16 to 17 optimize 17 optimize 20 status 18 their 20 status 19 nutritional 20 status to achieve this objective it is important to identify subjects at risk of anorexia and to provide multi - stimulus interventions that ensure an adequate amount of food to limit [and/or] reverse weight loss and functional decline . 0 ###LEFT-WALL### 1 to 1 to 15 and 2 achieve 4 objective 2 achieve 15 and 3 this 4 objective 4 objective 5 it 4 objective 9 identify 5 it 6 is 6 is 7 important 7 important 8 to 7 important 9 identify 8 to 9 identify 9 identify 10 subjects 10 subjects 11 at 10 subjects 13 of 11 at 12 risk 13 of 14 anorexia 15 and 16 to 15 and 30 limit 16 to 17 provide 17 provide 21 interventions 17 provide 29 to 18 multi 19 - 18 multi 20 stimulus 20 stimulus 21 interventions 21 interventions 22 that 21 interventions 23 ensure 22 that 23 ensure 23 ensure 28 food 24 an 26 amount 25 adequate 26 amount 26 amount 27 of 26 amount 28 food 27 of 28 food 29 to 30 limit 30 limit 35 and 32 reverse 34 loss 33 weight 34 loss 34 loss 35 and 35 and 37 decline 35 and 38 . 36 functional 37 decline here , we provide a brief overview on the relevance of anorexia in the context of sarcopenia and frailty . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 provide 0 ###LEFT-WALL### 20 . 1 here 2 , 1 here 3 we 3 we 4 provide 4 provide 7 overview 4 provide 8 on 4 provide 13 in 5 a 6 brief 5 a 7 overview 6 brief 7 overview 8 on 10 relevance 9 the 10 relevance 10 relevance 11 of 11 of 12 anorexia 13 in 15 context 14 the 15 context 15 context 16 of 16 of 18 and 17 sarcopenia 18 and 18 and 19 frailty major pathways supposedly involved in the pathogenesis of anorexia are also illustrated . 0 ###LEFT-WALL### 2 pathways 0 ###LEFT-WALL### 12 illustrated 0 ###LEFT-WALL### 13 . 1 major 2 pathways 2 pathways 4 involved 2 pathways 10 are 3 supposedly 4 involved 4 involved 5 in 5 in 7 pathogenesis 6 the 7 pathogenesis 7 pathogenesis 8 of 8 of 9 anorexia 10 are 12 illustrated 11 also 12 illustrated finally , the importance of treating anorexia to achieve health benefits in frail elders is highlighted . 0 ###LEFT-WALL### 4 importance 0 ###LEFT-WALL### 16 highlighted 0 ###LEFT-WALL### 17 . 1 finally 2 , 1 finally 4 importance 3 the 4 importance 4 importance 5 of 4 importance 8 to 4 importance 9 achieve 4 importance 15 is 5 of 6 treating 6 treating 7 anorexia 8 to 9 achieve 9 achieve 11 benefits 9 achieve 12 in 10 health 11 benefits 12 in 14 elders 13 frail 14 elders 15 is 16 highlighted the present study investigated age - related attentional changes by comparing event [-] related potentials ( erps ) in young and older adults during a rapid serial visual presentation task . 0 ###LEFT-WALL### 5 age 0 ###LEFT-WALL### 7 related 1 the 5 age 2 present 3 study 3 study 4 investigated 4 investigated 5 age 6 - 7 related 7 related 9 changes 7 related 19 in 7 related 24 during 7 related 31 . 8 attentional 9 changes 9 changes 10 by 10 by 11 comparing 11 comparing 15 potentials 12 event 14 related 14 related 15 potentials 15 potentials 17 erps 16 ( 17 erps 17 erps 18 ) 19 in 23 adults 20 young 21 and 21 and 22 older 21 and 23 adults 24 during 30 task 25 a 26 rapid 25 a 30 task 26 rapid 30 task 27 serial 30 task 28 visual 30 task 29 presentation 30 task we focused on analyzing the p3a and the n2 in both the target stimulus and the immediately succeeding irrelevant stimulus . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 focused 0 ###LEFT-WALL### 21 . 1 we 2 focused 2 focused 3 on 3 on 4 analyzing 4 analyzing 7 and 4 analyzing 10 in 5 the 7 and 6 p3a 7 and 7 and 9 n2 8 the 9 n2 10 in 15 and 11 both 15 and 12 the 14 stimulus 13 target 14 stimulus 14 stimulus 15 and 15 and 20 stimulus 16 the 20 stimulus 17 immediately 18 succeeding 18 succeeding 20 stimulus 19 irrelevant 20 stimulus as compared with younger adults , older adults exhibited a marked reduction in the amplitude of the p3a and n2 elicited by the stimulus following the target stimulus . 0 ###LEFT-WALL### 8 adults 0 ###LEFT-WALL### 9 exhibited 0 ###LEFT-WALL### 29 . 1 as 2 compared 1 as 6 , 1 as 8 adults 2 compared 3 with 3 with 5 adults 4 younger 5 adults 7 older 8 adults 8 adults 9 exhibited 9 exhibited 12 reduction 9 exhibited 13 in 10 a 12 reduction 11 marked 12 reduction 13 in 19 and 14 the 15 amplitude 15 amplitude 16 of 15 amplitude 19 and 16 of 18 p3a 17 the 18 p3a 19 and 20 n2 19 and 21 elicited 21 elicited 22 by 22 by 24 stimulus 23 the 24 stimulus 24 stimulus 25 following 25 following 28 stimulus 26 the 28 stimulus 27 target 28 stimulus moreover , in younger adults , the p3a and n2 amplitudes did not differ between both stimuli , whereas in older adults these erp components were significantly reduced in the subsequent stimulus compared to the target one . 0 ###LEFT-WALL### 11 amplitudes 0 ###LEFT-WALL### 28 reduced 0 ###LEFT-WALL### 38 . 1 moreover 2 , 1 moreover 11 amplitudes 3 in 9 and 3 in 11 amplitudes 4 younger 5 adults 5 adults 6 , 6 , 8 p3a 6 , 9 and 7 the 8 p3a 9 and 10 n2 11 amplitudes 12 did 12 did 13 not 12 did 14 differ 14 differ 15 between 14 differ 19 whereas 15 between 17 stimuli 16 both 17 stimuli 18 , 19 whereas 19 whereas 25 components 20 in 22 adults 20 in 25 components 21 older 22 adults 23 these 25 components 24 erp 25 components 25 components 26 were 26 were 27 significantly 26 were 28 reduced 28 reduced 29 in 28 reduced 34 to 29 in 32 stimulus 30 the 32 stimulus 31 subsequent 32 stimulus 32 stimulus 33 compared 34 to 36 target 35 the 36 target 36 target 37 one the age - related attenuation of p3a and n2 amplitudes for the subsequent stimulus indicates that older adults take longer and have more difficulty shifting their attention from one stimulus to the next one . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 4 related 1 the 2 age 3 - 4 related 4 related 5 attenuation 4 related 11 for 4 related 35 . 5 attenuation 6 of 6 of 10 amplitudes 7 p3a 8 and 8 and 9 n2 9 n2 10 amplitudes 11 for 14 stimulus 12 the 14 stimulus 13 subsequent 14 stimulus 14 stimulus 21 and 15 indicates 16 that 15 indicates 21 and 16 that 18 adults 16 that 19 take 17 older 18 adults 18 adults 19 take 19 take 20 longer 21 and 22 have 21 and 24 difficulty 21 and 28 from 23 more 24 difficulty 24 difficulty 25 shifting 25 shifting 27 attention 26 their 27 attention 28 from 30 stimulus 29 one 30 stimulus 30 stimulus 31 to 31 to 34 one 32 the 33 next 32 the 34 one the literature on age [-] friendly communities is [predominantly] focused on a model of urban aging , thereby failing to reflect the diversity of rural communities . 0 ###LEFT-WALL### 2 literature 0 ###LEFT-WALL### 10 focused 1 the 2 literature 2 literature 3 on 2 literature 8 is 3 on 7 communities 4 age 7 communities 6 friendly 7 communities 8 is 10 focused 10 focused 11 on 11 on 13 model 12 a 13 model 13 model 14 of 14 of 16 aging 15 urban 16 aging 16 aging 19 failing 17 , 19 failing 18 thereby 19 failing 19 failing 20 to 19 failing 21 reflect 19 failing 27 . 20 to 21 reflect 21 reflect 23 diversity 22 the 23 diversity 23 diversity 24 of 24 of 26 communities 25 rural 26 communities in this article , we address that gap by focusing on the concept [of] community in a rural context and asking what makes a good fi [t] between older people and their environment . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 address 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 34 . 1 in 3 article 1 in 4 , 1 in 5 we 2 this 3 article 5 we 6 address 6 address 8 gap 6 address 9 by 6 address 16 in 7 that 8 gap 9 by 10 focusing 10 focusing 11 on 11 on 15 community 12 the 15 community 13 concept 15 community 16 in 19 context 17 a 18 rural 17 a 19 context 18 rural 19 context 20 and 21 asking 20 and 23 makes 21 asking 22 what 21 asking 23 makes 23 makes 26 fi 23 makes 28 between 24 a 26 fi 25 good 26 fi 28 between 31 and 29 older 30 people 30 people 31 and 31 and 33 environment 32 their 33 environment many neurodegenerative disorders involve the abnormal accumulation of proteins . 0 ###LEFT-WALL### 3 disorders 0 ###LEFT-WALL### 4 involve 0 ###LEFT-WALL### 10 . 1 many 3 disorders 2 neurodegenerative 3 disorders 3 disorders 4 involve 4 involve 7 accumulation 5 the 7 accumulation 6 abnormal 7 accumulation 7 accumulation 8 of 8 of 9 proteins in addition to the pathologic hallmarks of neurofibrillary tangles and β - amyloid plaques in alzheimer disease ( ad ) , here we show that abnormal accumulations of gephyrin , an inhibitory receptor - anchoring protein , are highly correlated with the neuropathologic diagnosis of ad in 17 ad versus 14 control cases . 0 ###LEFT-WALL### 23 we 0 ###LEFT-WALL### 24 show 0 ###LEFT-WALL### 54 . 1 in 10 and 1 in 21 , 1 in 23 we 2 addition 3 to 2 addition 10 and 3 to 6 hallmarks 4 the 6 hallmarks 5 pathologic 6 hallmarks 6 hallmarks 7 of 7 of 9 tangles 8 neurofibrillary 9 tangles 10 and 11 β 10 and 14 plaques 12 - 14 plaques 13 amyloid 14 plaques 14 plaques 15 in 14 plaques 19 ad 14 plaques 21 , 15 in 17 disease 16 alzheimer 17 disease 18 ( 19 ad 19 ad 20 ) 22 here 23 we 23 we 24 show 24 show 27 accumulations 24 show 40 correlated 25 that 26 abnormal 26 abnormal 27 accumulations 27 accumulations 28 of 27 accumulations 35 anchoring 27 accumulations 38 are 28 of 29 gephyrin 29 gephyrin 33 receptor 30 , 33 receptor 31 an 32 inhibitory 31 an 33 receptor 32 inhibitory 33 receptor 33 receptor 34 - 34 - 35 anchoring 35 anchoring 36 protein 35 anchoring 37 , 38 are 40 correlated 39 highly 40 correlated 40 correlated 41 with 41 with 44 diagnosis 42 the 44 diagnosis 43 neuropathologic 44 diagnosis 44 diagnosis 45 of 45 of 46 ad 46 ad 47 in 47 in 49 ad 48 17 49 ad 49 ad 50 versus 49 ad 52 control 49 ad 53 cases 50 versus 51 14 52 control 53 cases furthermore , gephyrin accumulations were specific for ad and not [seen] in normal controls or other neurodegenerative diseases including parkinson disease , corticobasal degeneration , and frontotemporal degeneration . 0 ###LEFT-WALL### 4 accumulations 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 29 . 1 furthermore 2 , 1 furthermore 4 accumulations 3 gephyrin 4 accumulations 4 accumulations 5 were 5 were 6 specific 6 specific 9 and 7 for 8 ad 7 for 9 and 9 and 10 not 9 and 12 in 12 in 26 and 13 normal 14 controls 14 controls 15 or 15 or 18 diseases 15 or 19 including 15 or 26 and 16 other 18 diseases 17 neurodegenerative 18 diseases 19 including 21 disease 20 parkinson 21 disease 21 disease 24 degeneration 22 , 24 degeneration 23 corticobasal 24 degeneration 24 degeneration 25 , 25 , 26 and 26 and 28 degeneration 27 frontotemporal 28 degeneration gephyrin accumulations in ad overlapped with β - amyloid plaques and [,] more rarely , neurofibrillary tangles . 0 ###LEFT-WALL### 2 accumulations 0 ###LEFT-WALL### 5 overlapped 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 18 . 1 gephyrin 2 accumulations 2 accumulations 3 in 2 accumulations 5 overlapped 3 in 4 ad 5 overlapped 6 with 5 overlapped 11 and 5 overlapped 14 rarely 6 with 9 amyloid 7 β 8 - 7 β 9 amyloid 10 plaques 11 and 11 and 13 more 15 , 17 tangles 16 neurofibrillary 17 tangles biochemical and proteomic studies of ad and control brain samples suggested alterations in gephyrin solubility and reveal elevated levels of gephyrin lower - molecular - weight species in the ad insoluble fraction . 0 ###LEFT-WALL### 1 biochemical 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 33 . 2 and 4 studies 2 and 16 and 3 proteomic 4 studies 4 studies 5 of 4 studies 16 and 5 of 7 and 6 ad 7 and 7 and 8 control 9 brain 12 alterations 9 brain 13 in 9 brain 16 and 10 samples 11 suggested 11 suggested 12 alterations 13 in 15 solubility 14 gephyrin 15 solubility 16 and 17 reveal 16 and 19 levels 18 elevated 19 levels 19 levels 20 of 20 of 27 species 21 gephyrin 27 species 22 lower 23 - 22 lower 26 weight 24 molecular 25 - 24 molecular 26 weight 26 weight 27 species 27 species 28 in 28 in 32 fraction 29 the 32 fraction 30 ad 32 fraction 31 insoluble 32 fraction because gephyrin is involved in synaptic organization and synaptic dysfunction is an early event in ad , these findings point to its possible role in the pathogenesis of ad . 0 ###LEFT-WALL### 19 findings 0 ###LEFT-WALL### 20 point 0 ###LEFT-WALL### 30 . 1 because 8 and 1 because 11 is 1 because 17 , 1 because 19 findings 2 gephyrin 3 is 2 gephyrin 8 and 3 is 4 involved 4 involved 5 in 5 in 7 organization 6 synaptic 7 organization 8 and 10 dysfunction 9 synaptic 10 dysfunction 10 dysfunction 11 is 11 is 14 event 11 is 15 in 12 an 13 early 12 an 14 event 13 early 14 event 15 in 16 ad 18 these 19 findings 19 findings 20 point 20 point 21 to 20 point 25 in 21 to 24 role 22 its 24 role 23 possible 24 role 25 in 27 pathogenesis 26 the 27 pathogenesis 27 pathogenesis 28 of 28 of 29 ad scholars who study how social networks affect older adults ' health are often concerned with the prospect of declining social connectedness in late life . 0 ###LEFT-WALL### 1 scholars 0 ###LEFT-WALL### 14 concerned 0 ###LEFT-WALL### 25 . 1 scholars 2 who 1 scholars 3 study 1 scholars 12 are 2 who 3 study 3 study 4 how 4 how 6 networks 4 how 7 affect 5 social 6 networks 6 networks 7 affect 7 affect 11 health 8 older 9 adults 9 adults 10 ' 10 ' 11 health 12 are 14 concerned 13 often 14 concerned 14 concerned 15 with 15 with 17 prospect 16 the 17 prospect 17 prospect 18 of 18 of 19 declining 19 declining 21 connectedness 19 declining 22 in 20 social 21 connectedness 22 in 24 life 23 late 24 life this paper shifts the focus to older adults ' tendencies to cultivate new social ties . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 shifts 0 ###LEFT-WALL### 16 . 1 this 2 paper 2 paper 3 shifts 3 shifts 5 focus 3 shifts 6 to 3 shifts 11 to 4 the 5 focus 6 to 10 tendencies 7 older 8 adults 8 adults 9 ' 9 ' 10 tendencies 11 to 12 cultivate 12 cultivate 15 ties 13 new 15 ties 14 social 15 ties this process of network growth can improve access to social resources , boost self - esteem , reduce loneliness , and increase physical activity . 0 ###LEFT-WALL### 2 process 0 ###LEFT-WALL### 7 improve 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 25 . 1 this 2 process 2 process 3 of 2 process 6 can 3 of 5 growth 4 network 5 growth 6 can 7 improve 7 improve 8 access 7 improve 9 to 9 to 11 resources 10 social 11 resources 12 , 14 self 12 , 15 - 13 boost 14 self 15 - 16 esteem 15 - 17 , 17 , 18 reduce 18 reduce 21 and 19 loneliness 21 and 20 , 21 and 21 and 24 activity 22 increase 24 activity 23 physical 24 activity we therefore examine the link between tie cultivation and health using new longitudinal data from the national social life , health , and aging project ( nshap ) , which recorded changes in older adults ' confidant network rosters over a period of about five years . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 examine 0 ###LEFT-WALL### 47 . 1 we 3 examine 2 therefore 3 examine 3 examine 5 link 3 examine 6 between 3 examine 11 using 4 the 5 link 6 between 9 and 7 tie 8 cultivation 8 cultivation 9 and 9 and 10 health 11 using 14 data 11 using 15 from 11 using 33 in 12 new 14 data 13 longitudinal 14 data 15 from 23 and 16 the 19 life 17 national 18 social 18 social 19 life 19 life 20 , 20 , 21 health 20 , 23 and 22 , 23 and 23 and 27 nshap 23 and 29 , 23 and 30 which 23 and 31 recorded 24 aging 25 project 25 project 27 nshap 26 ( 27 nshap 27 nshap 28 ) 30 which 31 recorded 31 recorded 32 changes 33 in 39 rosters 34 older 35 adults 35 adults 36 ' 36 ' 39 rosters 37 confidant 38 network 38 network 39 rosters 39 rosters 40 over 40 over 42 period 41 a 42 period 42 period 43 of 43 of 46 years 44 about 45 five 45 five 46 years most respondents ( 81.8 % ) added at least one new network member during the study period , and most ( 59.4 % ) cultivated multiple new confidant relationships . 0 ###LEFT-WALL### 2 respondents 0 ###LEFT-WALL### 7 added 0 ###LEFT-WALL### 30 . 1 most 2 respondents 2 respondents 5 % 2 respondents 7 added 3 ( 5 % 4 81.8 5 % 5 % 6 ) 7 added 19 and 7 added 25 cultivated 8 at 9 least 9 least 10 one 10 one 13 member 11 new 12 network 12 network 13 member 13 member 14 during 13 member 19 and 14 during 17 period 15 the 17 period 16 study 17 period 18 , 19 and 19 and 20 most 19 and 23 % 19 and 25 cultivated 21 ( 23 % 22 59.4 23 % 23 % 24 ) 25 cultivated 29 relationships 26 multiple 28 confidant 27 new 28 confidant 28 confidant 29 relationships longitudinal analyses suggest that the addition of new confidants is associated with improvements in functional , self [-] [rated] , and psychological health , net of baseline connectedness as well as any network losses that occurred during the same period . 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 3 suggest 1 longitudinal 2 analyses 2 analyses 3 suggest 3 suggest 4 that 4 that 6 addition 4 that 11 associated 5 the 6 addition 6 addition 7 of 6 addition 10 is 7 of 9 confidants 8 new 9 confidants 10 is 11 associated 11 associated 12 with 11 associated 14 in 12 with 13 improvements 14 in 21 and 15 functional 16 , 16 , 17 self 16 , 21 and 20 , 21 and 21 and 23 health 21 and 25 net 22 psychological 23 health 24 , 25 net 25 net 26 of 25 net 35 that 25 net 36 occurred 25 net 41 . 26 of 28 connectedness 27 baseline 28 connectedness 28 connectedness 29 as 28 connectedness 31 as 29 as 30 well 31 as 34 losses 32 any 34 losses 33 network 34 losses 35 that 36 occurred 36 occurred 37 during 37 during 40 period 38 the 39 same 39 same 40 period network losses were associated with physical but not psychological well - being . 0 ###LEFT-WALL### 2 losses 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 11 - 1 network 2 losses 2 losses 3 were 3 were 4 associated 4 associated 5 with 5 with 10 well 6 physical 7 but 7 but 8 not 7 but 9 psychological 7 but 10 well 8 not 9 psychological 11 - 12 being 11 - 13 . these findings underscore the importance of distinguishing between concurrent processes that underlie social network change in later life , and highlight the need for additional research on the mechanisms by which network change may improve health . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 37 . 1 these 2 findings 2 findings 20 and 3 underscore 5 importance 3 underscore 20 and 4 the 5 importance 5 importance 6 of 6 of 7 distinguishing 7 distinguishing 8 between 7 distinguishing 16 in 8 between 10 processes 9 concurrent 10 processes 10 processes 11 that 10 processes 12 underlie 11 that 12 underlie 12 underlie 15 change 13 social 15 change 14 network 15 change 16 in 18 life 17 later 18 life 19 , 20 and 20 and 21 highlight 20 and 24 for 21 highlight 23 need 22 the 23 need 24 for 26 research 25 additional 26 research 26 research 27 on 27 on 29 mechanisms 28 the 29 mechanisms 29 mechanisms 30 by 30 by 31 which 30 by 32 network 30 by 33 change 30 by 35 improve 31 which 32 network 33 change 34 may 34 may 35 improve 35 improve 36 health workforce planning in an era of health care reform is a challenge as both delivery systems and patient demographics change . 0 ###LEFT-WALL### 1 workforce 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 21 . 1 workforce 2 planning 1 workforce 10 is 2 planning 3 in 3 in 5 era 4 an 5 era 5 era 6 of 6 of 9 reform 7 health 8 care 8 care 9 reform 10 is 12 challenge 10 is 13 as 11 a 12 challenge 13 as 16 systems 14 both 16 systems 15 delivery 16 systems 17 and 19 demographics 17 and 20 change 18 patient 19 demographics 19 demographics 20 change current workforce projections are based on a future health care system that is either an identified " ideal " or a modified version of the existing system . 0 ###LEFT-WALL### 3 projections 0 ###LEFT-WALL### 5 based 0 ###LEFT-WALL### 28 . 1 current 3 projections 2 workforce 3 projections 3 projections 4 are 4 are 5 based 5 based 6 on 6 on 11 system 7 a 11 system 8 future 9 health 9 health 10 care 10 care 11 system 11 system 12 that 11 system 13 is 11 system 24 of 12 that 13 is 13 is 20 or 14 either 20 or 15 an 18 ideal 16 identified 17 " 16 identified 18 ideal 18 ideal 19 " 18 ideal 20 or 20 or 23 version 21 a 23 version 22 modified 23 version 24 of 27 system 25 the 27 system 26 existing 27 system the desire to plan for such an " ideal system , " however , may threaten access to necessary services if it does not come to fruition or is based [on] theoretical rather than empirical [data.historically] , workforce planning that concentrated only on an " ideal system " has been centered on incorrect assumptions . 0 ###LEFT-WALL### 2 desire 0 ###LEFT-WALL### 28 or 0 ###LEFT-WALL### 55 . 1 the 2 desire 2 desire 3 to 2 desire 4 plan 2 desire 28 or 3 to 4 plan 4 plan 5 for 4 plan 13 however 5 for 10 system 6 such 7 an 7 an 8 " 7 an 10 system 9 ideal 10 system 11 , 12 " 11 , 13 however 13 however 14 , 15 may 16 threaten 15 may 28 or 16 threaten 17 access 16 threaten 18 to 16 threaten 21 if 18 to 20 services 19 necessary 20 services 21 if 22 it 21 if 25 come 22 it 23 does 23 does 24 not 23 does 25 come 25 come 26 to 26 to 27 fruition 28 or 29 is 28 or 34 than 29 is 30 based 30 based 32 theoretical 33 rather 34 than 34 than 39 planning 35 empirical 37 , 35 empirical 38 workforce 38 workforce 39 planning 39 planning 40 that 39 planning 50 been 39 planning 51 centered 39 planning 52 on 40 that 41 concentrated 40 that 49 has 41 concentrated 42 only 42 only 43 on 43 on 47 system 44 an 45 " 44 an 47 system 46 ideal 47 system 47 system 48 " 49 has 50 been 52 on 54 assumptions 53 incorrect 54 assumptions two examples of such failures presented in the 1980s when the graduate medical education national advisory committee recommended a decrease in the physician workforce on the basis of predetermined " necessary and appropriate " services and in the 1990s [,] when planners expected managed care and health maintenance organizations to completely overhaul the existing health care system . 0 ###LEFT-WALL### 46 and 0 ###LEFT-WALL### 58 . 1 two 2 examples 2 examples 3 of 2 examples 46 and 3 of 5 failures 4 such 5 failures 5 failures 6 presented 6 presented 7 in 6 presented 10 when 7 in 9 1980s 8 the 9 1980s 10 when 17 committee 10 when 18 recommended 11 the 17 committee 12 graduate 13 medical 13 medical 14 education 14 education 15 national 15 national 16 advisory 16 advisory 17 committee 17 committee 18 recommended 18 recommended 20 decrease 18 recommended 21 in 18 recommended 36 and 18 recommended 41 when 19 a 20 decrease 21 in 24 workforce 22 the 24 workforce 23 physician 24 workforce 25 on 27 basis 25 on 36 and 26 the 27 basis 27 basis 28 of 28 of 35 services 29 predetermined 30 " 29 predetermined 35 services 31 necessary 32 and 32 and 33 appropriate 32 and 35 services 33 appropriate 34 " 36 and 37 in 37 in 39 1990s 38 the 39 1990s 41 when 42 planners 41 when 44 managed 42 planners 43 expected 42 planners 44 managed 44 managed 45 care 46 and 49 organizations 46 and 50 to 46 and 52 overhaul 47 health 49 organizations 48 maintenance 49 organizations 50 to 52 overhaul 51 completely 52 overhaul 52 overhaul 57 system 53 the 57 system 54 existing 57 system 55 health 57 system 56 care 57 system neither accounted for human behavior , demographic changes , and actual demand for health care services , leaving the nation ill - prepared to care for an aging population with chronic disease.in this article , the authors argue that workforce planning should begin with the current system and make adjustments based on empirical data that accurately reflect current trends . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 35 , 0 ###LEFT-WALL### 57 reflect 0 ###LEFT-WALL### 60 . 1 neither 2 accounted 2 accounted 3 for 2 accounted 10 and 3 for 5 behavior 4 human 5 behavior 5 behavior 8 changes 6 , 8 changes 7 demographic 8 changes 8 changes 9 , 10 and 25 care 11 actual 12 demand 12 demand 13 for 12 demand 23 prepared 13 for 16 services 14 health 15 care 15 care 16 services 16 services 18 leaving 17 , 18 leaving 18 leaving 20 nation 18 leaving 21 ill 18 leaving 22 - 19 the 20 nation 23 prepared 24 to 24 to 25 care 25 care 26 for 25 care 30 with 26 for 29 population 27 an 29 population 28 aging 29 population 30 with 32 disease.in 30 with 34 article 31 chronic 32 disease.in 33 this 34 article 35 , 37 authors 35 , 38 argue 36 the 37 authors 37 authors 38 argue 38 argue 39 that 39 that 41 planning 39 that 48 and 40 workforce 41 planning 41 planning 42 should 42 should 48 and 43 begin 44 with 43 begin 48 and 44 with 47 system 45 the 47 system 46 current 47 system 48 and 49 make 49 make 50 adjustments 49 make 57 reflect 50 adjustments 51 based 51 based 52 on 51 based 56 accurately 52 on 54 data 53 empirical 54 data 55 that 56 accurately 57 reflect 59 trends 58 current 59 trends actual health care use patterns will become evident as systemic changes are realized - [or] not [-] over time . 0 ###LEFT-WALL### 2 health 0 ###LEFT-WALL### 13 realized 1 actual 2 health 3 care 4 use 4 use 6 will 5 patterns 6 will 6 will 7 become 6 will 11 changes 6 will 12 are 6 will 13 realized 8 evident 11 changes 9 as 10 systemic 10 systemic 11 changes 11 changes 12 are 13 realized 18 over 14 - 16 not 14 - 18 over 18 over 19 time 18 over 20 . no single approach will solve the looming physician shortage , but the danger of planning only for an ideal system is being unprepared for the actual needs of the population . 0 ###LEFT-WALL### 3 approach 0 ###LEFT-WALL### 5 solve 0 ###LEFT-WALL### 11 but 0 ###LEFT-WALL### 31 . 1 no 3 approach 2 single 3 approach 3 approach 4 will 4 will 5 solve 5 solve 9 shortage 6 the 9 shortage 7 looming 8 physician 8 physician 9 shortage 10 , 11 but 11 but 13 danger 11 but 21 is 12 the 13 danger 13 danger 14 of 13 danger 21 is 14 of 15 planning 15 planning 16 only 16 only 17 for 17 for 20 system 18 an 20 system 19 ideal 20 system 21 is 22 being 22 being 23 unprepared 23 unprepared 24 for 24 for 27 needs 25 the 27 needs 26 actual 27 needs 27 needs 28 of 28 of 30 population 29 the 30 population background : the purpose of this study was to determine the risk for cancers in patients with and without type 2 diabetes mellitus ( dm ) stratified by body mass index [(] bmi [ )( 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 35 )( 1 background 2 : 2 : 4 purpose 3 the 4 purpose 4 purpose 5 of 4 purpose 7 study 4 purpose 17 with 5 of 6 this 7 study 8 was 8 was 9 to 8 was 10 determine 9 to 10 determine 10 determine 12 risk 10 determine 15 in 10 determine 17 with 11 the 12 risk 12 risk 13 for 13 for 14 cancers 15 in 16 patients 18 and 23 mellitus 18 and 27 stratified 19 without 20 type 19 without 23 mellitus 20 type 21 2 22 diabetes 23 mellitus 23 mellitus 25 dm 23 mellitus 27 stratified 24 ( 25 dm 25 dm 26 ) 27 stratified 28 by 28 by 33 bmi 29 body 30 mass 30 mass 33 bmi 31 index 33 bmi methods : patients hospitalized from january 2000 to december 2010 with a diagnosis of malignant neoplasm ( international classification of diseases , ninth revision , codes 140 - 208.91 ) were included . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 33 . 1 methods 2 : 2 : 3 patients 2 : 5 from 2 : 8 to 2 : 11 with 3 patients 4 hospitalized 5 from 6 january 6 january 7 2000 8 to 9 december 9 december 10 2010 11 with 13 diagnosis 12 a 13 diagnosis 13 diagnosis 14 of 13 diagnosis 19 classification 14 of 16 neoplasm 15 malignant 16 neoplasm 17 ( 19 classification 18 international 19 classification 19 classification 20 of 19 classification 24 revision 19 classification 25 , 20 of 21 diseases 22 , 24 revision 23 ninth 24 revision 24 revision 25 , 25 , 26 codes 25 , 32 included 26 codes 27 140 26 codes 29 208.91 26 codes 31 were 28 - 29 208.91 29 208.91 30 ) 31 were 32 included diabetes mellitus was defined as [a] fasting blood glucose of 126 mg/dl or greater [or] [a] postprandial blood glucose of 200 mg/dl or greater . 0 ###LEFT-WALL### 2 mellitus 0 ###LEFT-WALL### 4 defined 0 ###LEFT-WALL### 25 . 1 diabetes 2 mellitus 2 mellitus 3 was 3 was 4 defined 4 defined 5 as 4 defined 13 or 5 as 8 blood 7 fasting 8 blood 9 glucose 10 of 9 glucose 13 or 10 of 12 mg/dl 11 126 12 mg/dl 13 or 14 greater 14 greater 23 or 17 postprandial 18 blood 18 blood 19 glucose 19 glucose 20 of 19 glucose 23 or 20 of 22 mg/dl 21 200 22 mg/dl 23 or 24 greater the patients were categorized according to bmi criteria for asians : normal weight , bmi of less than 24 kg/m ; overweight , bmi of greater than 24 kg/m [;] and obese , bmi of greater than 27 kg/m . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 4 categorized 0 ###LEFT-WALL### 11 : 1 the 2 patients 2 patients 3 were 3 were 4 categorized 4 categorized 6 to 4 categorized 9 for 5 according 6 to 6 to 8 criteria 7 bmi 8 criteria 9 for 10 asians 11 : 13 weight 11 : 21 ; 12 normal 13 weight 13 weight 15 bmi 14 , 15 bmi 15 bmi 16 of 15 bmi 21 ; 16 of 20 kg/m 17 less 18 than 18 than 19 24 19 24 20 kg/m 21 ; 31 and 22 overweight 23 , 23 , 24 bmi 23 , 31 and 24 bmi 25 of 25 of 29 kg/m 26 greater 27 than 27 than 28 24 28 24 29 kg/m 31 and 32 obese 31 and 34 bmi 33 , 34 bmi 34 bmi 35 of 34 bmi 40 . 35 of 39 kg/m 36 greater 37 than 37 than 38 27 38 27 39 kg/m results : a total of 42,229 patients were included , of which 24,884 ( 59 % ) were normal weight , 10,096 ( 24 % ) were overweight , and 7,249 ( 17 % ) were obese . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 and 0 ###LEFT-WALL### 38 . 1 results 2 : 2 : 4 total 3 a 4 total 4 total 5 of 4 total 7 patients 4 total 8 were 4 total 9 included 4 total 11 of 5 of 6 42,229 7 patients 8 were 10 , 11 of 11 of 12 which 11 of 29 , 12 which 13 24,884 12 which 28 overweight 13 24,884 16 % 13 24,884 21 , 14 ( 16 % 15 59 16 % 16 % 17 ) 18 were 20 weight 18 were 21 , 19 normal 20 weight 21 , 28 overweight 22 10,096 25 % 22 10,096 27 were 23 ( 25 % 24 24 25 % 25 % 26 ) 27 were 28 overweight 30 and 31 7,249 30 and 36 were 31 7,249 34 % 31 7,249 36 were 32 ( 34 % 33 17 34 % 34 % 35 ) 36 were 37 obese [there] were 4,195 ( 16.9 % ) , 2,056 ( 20.4 % ) , [and] 1,625 ( 22.4 % ) patients with dm in the normal weight , overweight , and obese groups , respectively . 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 36 . 2 were 3 4,195 2 were 21 patients 2 were 22 with 2 were 24 in 2 were 35 respectively 3 4,195 6 % 3 4,195 9 2,056 4 ( 6 % 5 16.9 6 % 6 % 7 ) 8 , 9 2,056 9 2,056 12 % 9 2,056 16 1,625 9 2,056 20 ) 10 ( 12 % 11 20.4 12 % 12 % 13 ) 14 , 16 1,625 16 1,625 19 % 16 1,625 20 ) 17 ( 19 % 18 22.4 19 % 19 % 20 ) 22 with 23 dm 24 in 27 weight 25 the 27 weight 26 normal 27 weight 27 weight 33 groups 28 , 33 groups 29 overweight 31 and 30 , 31 and 31 and 32 obese 31 and 33 groups 33 groups 34 , regardless of weight , the diabetic patients were more likely to have pancreas [,] liver , urinary tract , prostate , skin , hematological , lung , secondary , and gastric malignancies but were less likely to have cervical , oropharyngeal , nasopharyngeal , breast , or thyroid cancer . 0 ###LEFT-WALL### 6 diabetic 0 ###LEFT-WALL### 33 but 0 ###LEFT-WALL### 50 . 1 regardless 2 of 2 of 3 weight 2 of 4 , 2 of 6 diabetic 5 the 6 diabetic 6 diabetic 7 patients 6 diabetic 11 to 6 diabetic 33 but 7 patients 8 were 8 were 9 more 8 were 10 likely 10 likely 11 to 12 have 30 and 12 have 33 but 13 pancreas 15 liver 15 liver 16 , 16 , 18 tract 16 , 19 , 17 urinary 18 tract 19 , 20 prostate 19 , 21 , 21 , 22 skin 21 , 23 , 23 , 26 lung 23 , 27 , 24 hematological 25 , 24 hematological 26 lung 27 , 28 secondary 27 , 30 and 29 , 30 and 30 and 32 malignancies 31 gastric 32 malignancies 33 but 34 were 34 were 36 likely 35 less 36 likely 36 likely 37 to 36 likely 38 have 37 to 38 have 38 have 47 or 39 cervical 40 , 40 , 45 breast 40 , 47 or 41 oropharyngeal 42 , 41 oropharyngeal 45 breast 43 nasopharyngeal 44 , 43 nasopharyngeal 45 breast 46 , 47 or 47 or 49 cancer 48 thyroid 49 cancer regardless of sex or the presence or the absence of dm , the patients with more than 1 malignancy were more likely to die than were those with only 1 malignancy . 0 ###LEFT-WALL### 14 patients 0 ###LEFT-WALL### 20 were 0 ###LEFT-WALL### 32 . 1 regardless 2 of 2 of 7 or 2 of 12 , 2 of 14 patients 3 sex 4 or 4 or 6 presence 4 or 7 or 5 the 6 presence 7 or 9 absence 7 or 12 , 8 the 9 absence 9 absence 10 of 10 of 11 dm 13 the 14 patients 14 patients 15 with 14 patients 20 were 15 with 19 malignancy 16 more 17 than 17 than 18 1 18 1 19 malignancy 20 were 22 likely 20 were 26 were 21 more 22 likely 22 likely 23 to 22 likely 26 were 23 to 24 die 24 die 25 than 26 were 27 those 26 were 31 malignancy 27 those 28 with 28 with 30 1 29 only 30 1 furthermore , the obese diabetic patients had higher mortality than did the obese nondiabetic patients with the same number of cancers . 0 ###LEFT-WALL### 6 patients 0 ###LEFT-WALL### 7 had 0 ###LEFT-WALL### 22 . 1 furthermore 2 , 1 furthermore 6 patients 3 the 6 patients 4 obese 6 patients 5 diabetic 6 patients 6 patients 7 had 7 had 9 mortality 7 had 10 than 7 had 16 with 8 higher 9 mortality 10 than 11 did 11 did 15 patients 12 the 15 patients 13 obese 15 patients 14 nondiabetic 15 patients 16 with 21 cancers 17 the 18 same 18 same 19 number 19 number 20 of 19 number 21 cancers 20 of 21 cancers conclusions : regardless of weight category [(] normal , overweight , or obese ) , diabetic patients are more likely to have pancreas [,] liver , urinary tract , prostate , skin , hematological , lung , secondary , and gastric malignancies . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 have 0 ###LEFT-WALL### 43 . 2 : 17 patients 2 : 18 are 3 regardless 17 patients 4 of 5 weight 4 of 17 patients 6 category 17 patients 8 normal 12 or 8 normal 15 , 8 normal 17 patients 9 , 12 or 10 overweight 12 or 11 , 12 or 12 or 13 obese 12 or 14 ) 16 diabetic 17 patients 17 patients 18 are 18 are 20 likely 19 more 20 likely 20 likely 21 to 21 to 22 have 22 have 40 and 23 pancreas 25 liver 25 liver 26 , 26 , 28 tract 26 , 29 , 27 urinary 28 tract 29 , 30 prostate 29 , 31 , 31 , 32 skin 31 , 33 , 33 , 36 lung 33 , 37 , 34 hematological 35 , 34 hematological 36 lung 37 , 38 secondary 37 , 40 and 39 , 40 and 40 and 42 malignancies 41 gastric 42 malignancies diabetic patients may benefit from increased surveillance for these cancers . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 4 benefit 0 ###LEFT-WALL### 11 . 1 diabetic 2 patients 2 patients 3 may 3 may 4 benefit 4 benefit 5 from 5 from 7 surveillance 6 increased 7 surveillance 7 surveillance 8 for 8 for 10 cancers 9 these 10 cancers aim : place [of] death is an important component of the quality of a person 's death . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 5 death 2 : 6 is 2 : 18 . 3 place 5 death 5 death 6 is 6 is 9 component 7 an 8 important 7 an 9 component 8 important 9 component 9 component 10 of 10 of 12 quality 11 the 12 quality 12 quality 13 of 13 of 17 death 14 a 15 person 15 person 16 's 16 's 17 death the aim of this study was to undertake a systematic review and narrative synthesis of the literature concerning place of death of people with dementia and the preferences for location [of] death of people with dementia as well as family carers and healthcare providers preferred location of death for patients with dementia . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 53 . 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 24 with 7 to 8 undertake 8 undertake 14 synthesis 9 a 11 review 10 systematic 11 review 11 review 12 and 12 and 13 narrative 12 and 14 synthesis 14 synthesis 15 of 14 synthesis 20 of 15 of 17 literature 16 the 17 literature 17 literature 18 concerning 18 concerning 19 place 20 of 21 death 21 death 22 of 22 of 23 people 24 with 26 and 25 dementia 26 and 26 and 28 preferences 26 and 29 for 26 and 33 of 27 the 28 preferences 29 for 32 death 30 location 32 death 33 of 34 people 34 people 35 with 34 people 47 of 34 people 49 for 35 with 36 dementia 36 dementia 39 as 37 as 38 well 38 well 39 as 39 as 42 and 40 family 41 carers 41 carers 42 and 42 and 46 location 43 healthcare 44 providers 44 providers 45 preferred 45 preferred 46 location 47 of 48 death 49 for 50 patients 50 patients 51 with 51 with 52 dementia methods and results : studies relying on death certificate data show that patients with dementia die more [commonly] in care homes than other locations contrasting with prospective studies which show that death is more common in own residence and hospital . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 41 . 1 methods 2 and 2 and 3 results 4 : 5 studies 4 : 11 show 4 : 22 than 5 studies 6 relying 5 studies 7 on 5 studies 11 show 7 on 10 data 8 death 9 certificate 9 certificate 10 data 11 show 12 that 12 that 13 patients 12 that 16 die 13 patients 14 with 13 patients 16 die 14 with 15 dementia 16 die 17 more 16 die 19 in 19 in 21 homes 20 care 21 homes 22 than 24 locations 22 than 37 own 23 other 24 locations 24 locations 25 contrasting 24 locations 26 with 24 locations 32 death 24 locations 36 in 24 locations 37 own 26 with 28 studies 27 prospective 28 studies 28 studies 29 which 28 studies 30 show 29 which 30 show 30 show 31 that 32 death 33 is 33 is 34 more 33 is 35 common 35 common 36 in 37 own 39 and 38 residence 39 and 39 and 40 hospital age ( older [ )(, gender [(] [male] ) , availability [of] hospital and nursing home beds and enrolment in hospice [,] influence place of death . 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 16 home 0 ###LEFT-WALL### 27 . 1 age 6 gender 1 age 10 , 2 ( 6 gender 3 older 5 )(, 3 older 6 gender 6 gender 9 ) 10 , 13 hospital 10 , 14 and 11 availability 13 hospital 14 and 15 nursing 14 and 16 home 16 home 18 and 17 beds 18 and 18 and 19 enrolment 18 and 25 of 19 enrolment 20 in 20 in 24 place 21 hospice 23 influence 23 influence 24 place 25 of 26 death there is very limited evidence of patients , family carers and healthcare providers ' views on [preferred] location of death for patients with dementia and the only study included reported that , family carers views are more agreed [to] rather than patients own views regarding place of death . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 38 agreed 0 ###LEFT-WALL### 49 . 1 there 2 is 2 is 25 and 3 very 4 limited 4 limited 5 evidence 5 evidence 6 of 5 evidence 8 , 6 of 7 patients 8 , 10 carers 8 , 11 and 9 family 10 carers 11 and 15 views 11 and 18 location 11 and 19 of 11 and 25 and 12 healthcare 13 providers 13 providers 14 ' 14 ' 15 views 16 on 18 location 19 of 20 death 20 death 21 for 20 death 23 with 21 for 22 patients 23 with 24 dementia 25 and 28 study 26 the 27 only 26 the 28 study 28 study 29 included 30 reported 31 that 30 reported 32 , 30 reported 34 carers 30 reported 38 agreed 33 family 34 carers 34 carers 35 views 34 carers 36 are 34 carers 38 agreed 35 views 36 are 36 are 37 more 38 agreed 41 than 40 rather 41 than 41 than 42 patients 42 patients 43 own 42 patients 44 views 42 patients 45 regarding 42 patients 47 of 43 own 44 views 45 regarding 46 place 47 of 48 death conclusion : this study on place of death raises exploratory questions [on] end - of [-] life care for patients with dementia which has implications on health and social care policies related to dementia . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 study 3 this 4 study 4 study 5 on 4 study 7 of 4 study 15 of 5 on 6 place 7 of 9 raises 8 death 9 raises 9 raises 11 questions 9 raises 13 end 10 exploratory 11 questions 11 questions 13 end 14 - 15 of 15 of 28 and 15 of 35 . 17 life 18 care 18 care 19 for 18 care 28 and 19 for 20 patients 20 patients 21 with 21 with 22 dementia 22 dementia 23 which 22 dementia 24 has 23 which 24 has 24 has 25 implications 25 implications 26 on 26 on 27 health 28 and 31 policies 28 and 32 related 29 social 30 care 30 care 31 policies 32 related 33 to 33 to 34 dementia the hippocampus and thalamus assume a significant role in the overnight consolidation of memories , a process that is negatively impacted by sleep disruption . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 assume 1 the 2 hippocampus 2 hippocampus 3 and 3 and 4 thalamus 3 and 5 assume 5 assume 8 role 5 assume 9 in 6 a 7 significant 6 a 8 role 7 significant 8 role 9 in 12 consolidation 10 the 12 consolidation 11 overnight 12 consolidation 12 consolidation 13 of 13 of 14 memories 14 memories 17 process 15 , 17 process 16 a 17 process 17 process 21 impacted 17 process 25 . 18 that 19 is 19 is 21 impacted 20 negatively 21 impacted 21 impacted 22 by 22 by 24 disruption 23 sleep 24 disruption emerging evidence suggests that disturbances of sleep in older people may co - occur with underlying neurobiological changes . 0 ###LEFT-WALL### 2 evidence 0 ###LEFT-WALL### 3 suggests 0 ###LEFT-WALL### 13 - 1 emerging 2 evidence 2 evidence 3 suggests 3 suggests 4 that 4 that 5 disturbances 4 that 12 co 5 disturbances 6 of 5 disturbances 11 may 6 of 7 sleep 7 sleep 8 in 8 in 10 people 9 older 10 people 11 may 12 co 13 - 14 occur 13 - 19 . 14 occur 15 with 15 with 16 underlying 16 underlying 18 changes 17 neurobiological 18 changes this study sought to assess glial and neuronal integrity in these regions in relation to subjective sleep disturbance in a healthy older sample . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 sought 0 ###LEFT-WALL### 24 . 1 this 2 study 2 study 3 sought 3 sought 4 to 3 sought 5 assess 4 to 5 assess 5 assess 9 integrity 6 glial 7 and 7 and 8 neuronal 7 and 9 integrity 9 integrity 10 in 9 integrity 15 to 10 in 12 regions 11 these 12 regions 13 in 14 relation 14 relation 15 to 15 to 18 disturbance 16 subjective 17 sleep 17 sleep 18 disturbance 18 disturbance 19 in 19 in 23 sample 20 a 21 healthy 20 a 23 sample 21 healthy 23 sample 22 older 23 sample forty - three healthy older people ( mean age = 70 , [sd] = 5.0 ) were assessed clinically [and] medically and screened for cognitive and depressive symptoms , as well as sleep disturbance . 0 ###LEFT-WALL### 1 forty 0 ###LEFT-WALL### 2 - 2 - 6 people 3 three 6 people 4 healthy 6 people 5 older 6 people 6 people 9 age 7 ( 9 age 8 mean 9 age 9 age 11 70 9 age 22 and 9 age 35 . 10 = 11 70 11 70 15 5.0 11 70 22 and 12 , 15 5.0 14 = 15 5.0 15 5.0 16 ) 17 were 18 assessed 17 were 22 and 18 assessed 19 clinically 18 assessed 21 medically 22 and 23 screened 22 and 24 for 22 and 30 as 24 for 28 symptoms 25 cognitive 26 and 26 and 27 depressive 26 and 28 symptoms 29 , 30 as 30 as 31 well 30 as 35 . 31 well 32 as 32 as 34 disturbance 33 sleep 34 disturbance single voxel hippocampal and thalamus metabolite ratios of n - acetyl aspartate ( naa ) and myo - inositol ( mi [ )(with total creatine ( cr + pcr ) were measured using magnetic resonance spectroscopy at 3 - tesla . 0 ###LEFT-WALL### 1 single 0 ###LEFT-WALL### 10 - 1 single 7 ratios 2 voxel 7 ratios 3 hippocampal 4 and 4 and 5 thalamus 4 and 7 ratios 6 metabolite 7 ratios 7 ratios 8 of 8 of 9 n 10 - 12 aspartate 10 - 16 and 11 acetyl 12 aspartate 12 aspartate 14 naa 13 ( 14 naa 14 naa 15 ) 16 and 19 inositol 16 and 32 measured 17 myo 18 - 17 myo 19 inositol 19 inositol 21 mi 19 inositol 31 were 20 ( 21 mi 21 mi 23 )(with 21 mi 28 + 21 mi 30 ) 23 )(with 25 creatine 24 total 25 creatine 26 ( 28 + 27 cr 28 + 28 + 29 pcr 28 + 30 ) 31 were 32 measured 32 measured 33 using 33 using 36 spectroscopy 33 using 37 at 34 magnetic 35 resonance 35 resonance 36 spectroscopy 37 at 38 3 38 3 40 tesla 39 - 40 tesla 40 tesla 41 . higher hippocampal mi/cr [+] pcr ratios were significantly correlated with poorer self [-] reported sleep quality ( r = [.] 42 , [p] < . 01 [ )(and less sleep efficiency ( r = - 0.42 , p < [.] 01 ) [as] recorded by the pittsburgh sleep quality index ( buysse , reynolds , monk , berman , [&] kupfer , 1989 ) . 0 ###LEFT-WALL### 6 ratios 0 ###LEFT-WALL### 9 correlated 0 ###LEFT-WALL### 25 . 1 higher 3 mi/cr 2 hippocampal 3 mi/cr 3 mi/cr 6 ratios 5 pcr 6 ratios 6 ratios 7 were 7 were 8 significantly 7 were 9 correlated 9 correlated 10 with 10 with 15 sleep 11 poorer 12 self 12 self 15 sleep 14 reported 15 sleep 15 sleep 16 quality 15 sleep 24 < 16 quality 19 = 16 quality 24 < 17 ( 19 = 18 r 19 = 19 = 21 42 19 = 22 , 25 . 26 01 25 . 28 )(and 28 )(and 29 less 28 )(and 31 efficiency 28 )(and 44 recorded 30 sleep 31 efficiency 31 efficiency 35 - 31 efficiency 44 recorded 32 ( 35 - 33 r 34 = 34 = 35 - 35 - 36 0.42 35 - 42 ) 36 0.42 39 < 37 , 39 < 38 p 39 < 39 < 41 01 44 recorded 45 by 44 recorded 56 monk 45 by 50 index 46 the 50 index 47 pittsburgh 48 sleep 48 sleep 49 quality 49 quality 50 index 50 index 52 buysse 50 index 54 reynolds 51 ( 52 buysse 52 buysse 53 , 53 , 54 reynolds 54 reynolds 55 , 56 monk 58 berman 56 monk 61 kupfer 57 , 58 berman 58 berman 59 , 59 , 61 kupfer 61 kupfer 63 1989 61 kupfer 65 . 62 , 63 1989 63 1989 64 ) no other significant correlations were observed within the hippocampus or within the thalamus . 0 ###LEFT-WALL### 4 correlations 0 ###LEFT-WALL### 6 observed 0 ###LEFT-WALL### 14 . 1 no 2 other 2 other 4 correlations 3 significant 4 correlations 4 correlations 5 were 5 were 6 observed 6 observed 10 or 7 within 9 hippocampus 7 within 10 or 8 the 9 hippocampus 10 or 11 within 11 within 13 thalamus 12 the 13 thalamus these results indicate that in healthy older people , subjective sleep disturbance may be associated with glial alterations in the hippocampus . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 22 . 1 these 2 results 2 results 3 indicate 3 indicate 4 that 4 that 12 disturbance 4 that 15 associated 5 in 8 people 5 in 9 , 5 in 12 disturbance 6 healthy 8 people 7 older 8 people 10 subjective 11 sleep 11 sleep 12 disturbance 12 disturbance 13 may 13 may 14 be 14 be 15 associated 15 associated 16 with 15 associated 19 in 16 with 18 alterations 17 glial 18 alterations 19 in 21 hippocampus 20 the 21 hippocampus future research is now needed to examine these associations with respect to objective sleep measures and overnight memory consolidation . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 7 examine 0 ###LEFT-WALL### 20 . 1 future 2 research 2 research 3 is 3 is 4 now 3 is 5 needed 5 needed 6 to 6 to 7 examine 7 examine 9 associations 8 these 9 associations 9 associations 10 with 9 associations 12 to 10 with 11 respect 12 to 16 and 13 objective 15 measures 14 sleep 15 measures 15 measures 16 and 16 and 19 consolidation 17 overnight 18 memory 18 memory 19 consolidation merely observing another person performing an action can make young people later misremember having performed this action themselves ( the observation - inflation effect ) . 0 ###LEFT-WALL### 2 observing 0 ###LEFT-WALL### 9 make 0 ###LEFT-WALL### 26 . 1 merely 2 observing 2 observing 4 person 2 observing 8 can 3 another 4 person 4 person 5 performing 5 performing 7 action 6 an 7 action 8 can 9 make 9 make 11 people 9 make 13 misremember 10 young 11 people 12 later 13 misremember 13 misremember 14 having 13 misremember 21 observation 14 having 15 performed 15 performed 17 action 15 performed 18 themselves 16 this 17 action 19 ( 21 observation 20 the 21 observation 21 observation 24 effect 21 observation 25 ) 22 - 24 effect 23 inflation 24 effect 24 effect 25 ) we examined this type of memory error in healthy older adults . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 12 . 1 we 2 examined 2 examined 7 error 2 examined 8 in 3 this 4 type 4 type 5 of 4 type 7 error 5 of 7 error 6 memory 7 error 8 in 11 adults 9 healthy 11 adults 10 older 11 adults overall , both young and older adult groups showed robust observation inflation . 0 ###LEFT-WALL### 8 groups 0 ###LEFT-WALL### 9 showed 0 ###LEFT-WALL### 13 . 1 overall 2 , 1 overall 8 groups 3 both 8 groups 4 young 5 and 5 and 6 older 5 and 7 adult 7 adult 8 groups 8 groups 9 showed 9 showed 11 observation 9 showed 12 inflation 10 robust 11 observation although the number of people committing observation - inflation errors did not differ between age groups , those older adults who were prone to this illusion showed a greater observation - inflation effect compared to the corresponding young . 0 ###LEFT-WALL### 10 errors 0 ###LEFT-WALL### 13 differ 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 39 . 1 although 5 people 1 although 10 errors 2 the 3 number 3 number 4 of 3 number 5 people 4 of 5 people 6 committing 7 observation 6 committing 8 - 6 committing 10 errors 9 inflation 10 errors 10 errors 11 did 11 did 12 not 11 did 13 differ 13 differ 14 between 14 between 16 groups 15 age 16 groups 17 , 20 adults 17 , 27 showed 17 , 31 - 18 those 20 adults 19 older 20 adults 20 adults 21 who 20 adults 22 were 20 adults 27 showed 21 who 22 were 22 were 23 prone 23 prone 24 to 24 to 26 illusion 25 this 26 illusion 27 showed 30 observation 28 a 30 observation 29 greater 30 observation 31 - 33 effect 31 - 34 compared 32 inflation 33 effect 33 effect 34 compared 34 compared 35 to 34 compared 38 young 35 to 37 corresponding 36 the 37 corresponding at the same time , observation also had beneficial effects on subsequent action memory , especially in older adults . 0 ###LEFT-WALL### 6 observation 0 ###LEFT-WALL### 8 had 1 at 4 time 1 at 5 , 1 at 6 observation 2 the 3 same 3 same 4 time 6 observation 8 had 7 also 8 had 8 had 10 effects 8 had 11 on 9 beneficial 10 effects 11 on 14 memory 12 subsequent 13 action 13 action 14 memory 14 memory 17 in 15 , 16 especially 15 , 17 in 17 in 19 adults 17 in 20 . 18 older 19 adults surprisingly , executive functioning was not correlated with the degree to which older adults made observation - inflation errors , [but] it was related to the degree to which older adults benefited from observation . 0 ###LEFT-WALL### 4 functioning 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 32 benefited 0 ###LEFT-WALL### 35 . 1 surprisingly 2 , 1 surprisingly 4 functioning 3 executive 4 functioning 4 functioning 5 was 5 was 6 not 5 was 8 with 6 not 7 correlated 8 with 10 degree 9 the 10 degree 10 degree 11 to 11 to 12 which 11 to 14 adults 11 to 15 made 13 older 14 adults 14 adults 15 made 15 made 16 observation 17 - 18 inflation 18 inflation 19 errors 18 inflation 32 benefited 19 errors 32 benefited 20 , 24 related 22 it 23 was 23 was 24 related 24 related 25 to 24 related 28 to 24 related 32 benefited 25 to 27 degree 26 the 27 degree 28 to 29 which 28 to 31 adults 29 which 31 adults 30 older 31 adults 32 benefited 33 from 33 from 34 observation we consider accounts of observation inflation based on source monitoring , familiarity misattribution , and motor simulation . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 18 . 1 we 15 and 2 consider 3 accounts 2 consider 6 inflation 2 consider 15 and 3 accounts 4 of 4 of 5 observation 6 inflation 7 based 6 inflation 13 misattribution 7 based 8 on 8 on 10 monitoring 9 source 10 monitoring 11 , 13 misattribution 12 familiarity 13 misattribution 13 misattribution 14 , 14 , 15 and 15 and 16 motor 15 and 17 simulation none the authors examined whether older adults ' implicit theories regarding the modifiability of memory in particular ( studies 1 and 3 ) and abilities in general ( study 2 ) would predict memory performance . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 4 examined 0 ###LEFT-WALL### 36 . 1 none 2 the 1 none 3 authors 1 none 4 examined 2 the 3 authors 4 examined 5 whether 5 whether 24 and 5 whether 33 predict 6 older 7 adults 7 adults 8 ' 8 ' 10 theories 9 implicit 10 theories 10 theories 11 regarding 10 theories 24 and 11 regarding 13 modifiability 12 the 13 modifiability 13 modifiability 14 of 14 of 15 memory 15 memory 17 particular 15 memory 19 studies 16 in 17 particular 18 ( 19 studies 19 studies 21 and 19 studies 23 ) 20 1 21 and 21 and 22 3 24 and 25 abilities 24 and 27 general 24 and 29 study 24 and 32 would 26 in 27 general 28 ( 29 study 29 study 30 2 29 study 31 ) 32 would 33 predict 33 predict 35 performance 34 memory 35 performance in study 1 , individual differences in older adults ' endorsement of the " entity theory " ( a belief that one 's ability is fixed ) or " incremental theory " ( a belief that one 's ability is malleable ) [of] memory were measured using a version of the implicit theories measure ( dweck , 1999 ) . 0 ###LEFT-WALL### 44 memory 0 ###LEFT-WALL### 45 were 1 in 2 study 2 study 3 1 2 study 4 , 4 , 6 differences 4 , 28 or 5 individual 6 differences 6 differences 7 in 6 differences 12 of 7 in 11 endorsement 8 older 9 adults 9 adults 10 ' 10 ' 11 endorsement 12 of 16 theory 13 the 14 " 13 the 16 theory 15 entity 16 theory 16 theory 17 " 16 theory 20 belief 18 ( 20 belief 19 a 20 belief 20 belief 21 that 20 belief 25 is 20 belief 26 fixed 20 belief 27 ) 21 that 24 ability 21 that 25 is 22 one 23 's 23 's 24 ability 24 ability 25 is 28 or 29 " 28 or 31 theory 28 or 35 belief 28 or 44 memory 30 incremental 31 theory 31 theory 32 " 33 ( 35 belief 34 a 35 belief 35 belief 36 that 35 belief 42 ) 36 that 39 ability 36 that 40 is 37 one 38 's 38 's 39 ability 39 ability 40 is 40 is 41 malleable 44 memory 45 were 45 were 46 measured 46 measured 47 using 47 using 49 version 48 a 49 version 49 version 50 of 50 of 54 measure 51 the 54 measure 52 implicit 53 theories 53 theories 54 measure 54 measure 56 dweck 55 ( 56 dweck 56 dweck 58 1999 56 dweck 60 . 57 , 58 1999 58 1999 59 ) memory performance was assessed with a free - recall task . 0 ###LEFT-WALL### 2 performance 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 11 . 1 memory 2 performance 2 performance 3 was 3 was 4 assessed 4 assessed 5 with 5 with 10 task 6 a 7 free 6 a 10 task 7 free 8 - 7 free 9 recall 9 recall 10 task results indicated [that] the higher [the] endorsement of the incremental theory , [the] better the free recall . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 18 . 1 results 12 , 2 indicated 7 endorsement 2 indicated 12 , 4 the 7 endorsement 5 higher 7 endorsement 7 endorsement 8 of 8 of 11 theory 9 the 11 theory 10 incremental 11 theory 12 , 14 better 14 better 17 recall 15 the 17 recall 16 free 17 recall in study 2 , older and younger adults ' theories were measured using a more general version of the implicit theories measure that focused on the modifiability of abilities in general . 0 ###LEFT-WALL### 10 theories 0 ###LEFT-WALL### 11 were 0 ###LEFT-WALL### 32 . 1 in 2 study 1 in 4 , 1 in 10 theories 2 study 3 2 5 older 6 and 6 and 7 younger 6 and 8 adults 8 adults 9 ' 9 ' 10 theories 10 theories 11 were 11 were 12 measured 12 measured 13 using 13 using 17 version 14 a 17 version 15 more 16 general 16 general 17 version 17 version 18 of 17 version 23 that 17 version 24 focused 18 of 22 measure 19 the 22 measure 20 implicit 21 theories 21 theories 22 measure 23 that 24 focused 24 focused 25 on 24 focused 31 general 25 on 27 modifiability 26 the 27 modifiability 27 modifiability 28 of 28 of 29 abilities 30 in 31 general again , [for] older adults , the higher [the] incremental endorsement , [the] better the free recall . 0 ###LEFT-WALL### 5 adults 0 ###LEFT-WALL### 14 better 0 ###LEFT-WALL### 18 . 1 again 2 , 1 again 5 adults 4 older 5 adults 5 adults 11 endorsement 5 adults 14 better 6 , 11 endorsement 7 the 11 endorsement 8 higher 11 endorsement 10 incremental 11 endorsement 11 endorsement 12 , 14 better 17 recall 15 the 17 recall 16 free 17 recall moreover , as predicted , implicit theories did not predict younger adults ' memory performance . 0 ###LEFT-WALL### 7 theories 0 ###LEFT-WALL### 10 predict 0 ###LEFT-WALL### 16 . 1 moreover 2 , 1 moreover 7 theories 2 , 3 as 3 as 4 predicted 3 as 5 , 3 as 7 theories 4 predicted 5 , 6 implicit 7 theories 7 theories 8 did 8 did 9 not 8 did 10 predict 10 predict 15 performance 11 younger 12 adults 12 adults 13 ' 13 ' 15 performance 14 memory 15 performance in study 3 , participants read mock news articles reporting evidence in favor of either the entity or incremental theory . 0 ###LEFT-WALL### 5 participants 0 ###LEFT-WALL### 6 read 0 ###LEFT-WALL### 21 . 1 in 2 study 1 in 4 , 1 in 5 participants 2 study 3 3 5 participants 6 read 6 read 9 articles 6 read 20 theory 7 mock 9 articles 8 news 9 articles 9 articles 10 reporting 10 reporting 11 evidence 10 reporting 12 in 12 in 13 favor 13 favor 14 of 14 of 18 or 15 either 18 or 16 the 17 entity 17 entity 18 or 18 or 19 incremental those in the incremental condition outperformed those in the entity condition [on] reading span and free - recall tasks . 0 ###LEFT-WALL### 1 those 0 ###LEFT-WALL### 6 outperformed 0 ###LEFT-WALL### 20 . 1 those 2 in 1 those 6 outperformed 2 in 5 condition 3 the 5 condition 4 incremental 5 condition 6 outperformed 15 and 7 those 8 in 7 those 15 and 8 in 14 span 9 the 14 span 10 entity 14 span 11 condition 13 reading 13 reading 14 span 15 and 19 tasks 16 free 17 - 16 free 19 tasks 18 recall 19 tasks these effects were mediated by pretask worry such that , for those in the entity condition , higher worry was associated with lower performance . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 4 mediated 0 ###LEFT-WALL### 25 . 1 these 2 effects 2 effects 3 were 3 were 4 mediated 4 mediated 5 by 4 mediated 9 that 5 by 7 worry 6 pretask 7 worry 8 such 9 that 9 that 19 worry 9 that 21 associated 10 , 11 for 11 for 12 those 11 for 17 , 11 for 19 worry 12 those 13 in 13 in 16 condition 14 the 16 condition 15 entity 16 condition 18 higher 19 worry 19 worry 20 was 20 was 21 associated 21 associated 22 with 22 with 24 performance 23 lower 24 performance taken together , these studies suggest that variation [in] entity versus incremental endorsement represents a key predictor of older adults ' memory performance . 0 ###LEFT-WALL### 5 studies 0 ###LEFT-WALL### 6 suggest 0 ###LEFT-WALL### 24 . 1 taken 2 together 1 taken 3 , 1 taken 5 studies 4 these 5 studies 5 studies 6 suggest 6 suggest 10 entity 6 suggest 14 represents 7 that 10 entity 8 variation 10 entity 10 entity 11 versus 10 entity 14 represents 11 versus 13 endorsement 12 incremental 13 endorsement 14 represents 17 predictor 15 a 17 predictor 16 key 17 predictor 17 predictor 18 of 18 of 23 performance 19 older 20 adults 20 adults 21 ' 21 ' 23 performance 22 memory 23 performance many older adults do not meet physical activity recommendations and suffer from health - related complications . 0 ###LEFT-WALL### 3 adults 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 15 related 1 many 3 adults 2 older 3 adults 3 adults 10 and 4 do 5 not 4 do 6 meet 4 do 10 and 6 meet 9 recommendations 7 physical 8 activity 8 activity 9 recommendations 10 and 11 suffer 11 suffer 12 from 12 from 13 health 14 - 15 related 15 related 16 complications 15 related 17 . reinforcement interventions can have pronounced effects on promoting behavior change ; this study evaluated the efficacy of a reinforcement intervention to enhance walking in older adults . 0 ###LEFT-WALL### 1 reinforcement 0 ###LEFT-WALL### 5 pronounced 0 ###LEFT-WALL### 11 ; 0 ###LEFT-WALL### 27 . 1 reinforcement 2 interventions 1 reinforcement 4 have 1 reinforcement 5 pronounced 2 interventions 3 can 3 can 4 have 5 pronounced 6 effects 5 pronounced 7 on 7 on 8 promoting 8 promoting 10 change 9 behavior 10 change 11 ; 13 study 11 ; 14 evaluated 12 this 13 study 13 study 14 evaluated 14 evaluated 16 efficacy 15 the 16 efficacy 16 efficacy 17 of 16 efficacy 23 walking 17 of 20 intervention 18 a 20 intervention 19 reinforcement 20 intervention 20 intervention 21 to 20 intervention 22 enhance 21 to 22 enhance 23 walking 24 in 23 walking 26 adults 25 older 26 adults forty - five sedentary adults [with] mild to moderate [hypertension] were randomized to 12 - week interventions consisting of pedometers and guidelines to walk 10,000 [steps/day] or that [same] intervention with chances to win $ 1 - $ 100 prizes for meeting recommendations . 0 ###LEFT-WALL### 5 adults 0 ###LEFT-WALL### 12 randomized 1 forty 2 - 2 - 3 five 2 - 5 adults 4 sedentary 5 adults 5 adults 7 mild 5 adults 11 were 7 mild 8 to 7 mild 9 moderate 8 to 9 moderate 11 were 12 randomized 12 randomized 13 to 13 to 14 12 14 12 27 or 15 - 27 or 16 week 17 interventions 17 interventions 18 consisting 17 interventions 21 and 18 consisting 19 of 19 of 20 pedometers 21 and 22 guidelines 21 and 23 to 21 and 27 or 23 to 24 walk 24 walk 25 10,000 27 or 30 intervention 27 or 31 with 27 or 40 prizes 27 or 44 . 28 that 30 intervention 31 with 32 chances 32 chances 33 to 32 chances 34 win 33 to 34 win 34 win 35 $ 35 $ 36 1 37 - 40 prizes 38 $ 39 100 38 $ 40 prizes 40 prizes 41 for 40 prizes 44 . 41 for 43 recommendations 42 meeting 43 recommendations patients walked an average of about 4,000 steps/day at baseline . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 2 walked 0 ###LEFT-WALL### 11 . 1 patients 2 walked 2 walked 4 average 2 walked 9 at 3 an 4 average 4 average 5 of 5 of 6 about 6 about 8 steps/day 7 4,000 8 steps/day 9 at 10 baseline throughout the intervention , participants in the reinforcement intervention met walking goals on 82.5 % ± 25.8 % of days versus 55.3 % ± 37.1 % of days in the control condition , p < [.] 01 . 0 ###LEFT-WALL### 5 participants 0 ###LEFT-WALL### 16 ± 0 ###LEFT-WALL### 38 . 1 throughout 3 intervention 1 throughout 4 , 1 throughout 5 participants 2 the 3 intervention 5 participants 6 in 5 participants 11 walking 5 participants 16 ± 6 in 9 intervention 7 the 9 intervention 8 reinforcement 9 intervention 9 intervention 10 met 11 walking 12 goals 12 goals 13 on 13 on 15 % 14 82.5 15 % 16 ± 18 % 17 25.8 18 % 18 % 19 of 19 of 20 days 20 days 21 versus 20 days 35 < 21 versus 24 ± 22 55.3 23 % 23 % 24 ± 24 ± 26 % 24 ± 32 condition 25 37.1 26 % 26 % 27 of 26 % 32 condition 27 of 28 days 28 days 29 in 29 in 31 control 30 the 31 control 33 , 35 < 34 p 35 < 35 < 37 01 even though steps walked increased significantly in both groups relative to baseline , participants in the reinforcement condition walked an average of about 2,000 more [steps/day] than participants in the control condition , p < [.] 02 . 0 ###LEFT-WALL### 1 even 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 38 . 1 even 2 though 1 even 9 groups 2 though 3 steps 2 though 5 increased 3 steps 4 walked 3 steps 5 increased 5 increased 6 significantly 5 increased 7 in 7 in 8 both 9 groups 10 relative 10 relative 11 to 11 to 12 baseline 13 , 14 participants 13 , 19 walked 14 participants 15 in 14 participants 19 walked 15 in 18 condition 16 the 18 condition 17 reinforcement 18 condition 19 walked 21 average 19 walked 27 than 20 an 21 average 21 average 22 of 22 of 23 about 23 about 25 more 24 2,000 25 more 27 than 28 participants 27 than 29 in 29 in 32 condition 30 the 32 condition 31 control 32 condition 32 condition 35 < 33 , 35 < 34 p 35 < 35 < 37 02 beneficial effects of the reinforcement condition relative to the control condition persisted at a 24 [-] week [follow] - up evaluation , p < [.] 02 , [although] [steps/day] [were] [lower] than during the intervention period in both groups . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 12 persisted 1 beneficial 2 effects 2 effects 3 of 2 effects 12 persisted 3 of 6 condition 4 the 6 condition 5 reinforcement 6 condition 6 condition 7 relative 7 relative 8 to 8 to 11 condition 9 the 11 condition 10 control 11 condition 12 persisted 13 at 12 persisted 20 up 12 persisted 24 < 13 at 17 week 14 a 17 week 15 24 17 week 19 - 20 up 20 up 21 evaluation 20 up 22 , 22 , 24 < 23 p 24 < 24 < 26 02 26 02 33 during 27 , 32 than 27 , 33 during 33 during 36 period 33 during 40 . 34 the 36 period 35 intervention 36 period 36 period 37 in 37 in 39 groups 38 both 39 groups participants in the reinforcement intervention also evidenced greater reductions in blood pressure and weight over time and improvements in fitness indices , ps < . 05 . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 7 evidenced 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 25 . 1 participants 2 in 1 participants 7 evidenced 2 in 5 intervention 3 the 5 intervention 4 reinforcement 5 intervention 6 also 7 evidenced 7 evidenced 9 reductions 7 evidenced 10 in 7 evidenced 15 over 7 evidenced 19 in 8 greater 9 reductions 10 in 13 and 11 blood 12 pressure 12 pressure 13 and 13 and 14 weight 15 over 17 and 16 time 17 and 17 and 18 improvements 19 in 21 indices 20 fitness 21 indices 22 , 23 ps 22 , 24 < 23 ps 24 < 25 . 26 05 25 . 27 . this reinforcement [-] based intervention substantially increased walking and improved clinical parameters , suggesting that larger - scale evaluations of reinforcement - based interventions for enhancing active lifestyles in older adults are warranted . 0 ###LEFT-WALL### 2 reinforcement 0 ###LEFT-WALL### 22 - 0 ###LEFT-WALL### 34 . 1 this 2 reinforcement 2 reinforcement 4 based 4 based 19 evaluations 5 intervention 7 increased 5 intervention 8 walking 5 intervention 9 and 6 substantially 7 increased 9 and 12 parameters 9 and 13 , 9 and 14 suggesting 9 and 19 evaluations 10 improved 12 parameters 11 clinical 12 parameters 14 suggesting 15 that 16 larger 17 - 16 larger 19 evaluations 18 scale 19 evaluations 19 evaluations 20 of 20 of 21 reinforcement 22 - 24 interventions 22 - 33 warranted 23 based 24 interventions 24 interventions 25 for 24 interventions 32 are 25 for 26 enhancing 26 enhancing 28 lifestyles 26 enhancing 29 in 27 active 28 lifestyles 29 in 31 adults 30 older 31 adults 32 are 33 warranted ultimately , economic analyses may reveal reinforcement interventions to be cost - effective , especially [in] high - risk populations of older adults . 0 ###LEFT-WALL### 4 analyses 0 ###LEFT-WALL### 10 be 0 ###LEFT-WALL### 12 - 1 ultimately 2 , 1 ultimately 4 analyses 3 economic 4 analyses 4 analyses 5 may 5 may 6 reveal 6 reveal 8 interventions 6 reveal 9 to 7 reinforcement 8 interventions 9 to 10 be 10 be 11 cost 12 - 19 risk 12 - 24 . 13 effective 17 high 13 effective 18 - 13 effective 19 risk 14 , 17 high 15 especially 17 high 17 high 18 - 19 risk 20 populations 20 populations 21 of 21 of 23 adults 22 older 23 adults recent studies have provided considerable evidence on long - term effects of self [-] perceptions of aging ( spa ) on indicators of successful aging such as health or life satisfaction . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 provided 0 ###LEFT-WALL### 32 . 1 recent 2 studies 2 studies 3 have 3 have 4 provided 4 provided 6 evidence 4 provided 7 on 4 provided 21 on 5 considerable 6 evidence 7 on 11 effects 8 long 9 - 8 long 10 term 10 term 11 effects 11 effects 12 of 11 effects 16 of 11 effects 19 spa 12 of 15 perceptions 13 self 15 perceptions 16 of 17 aging 18 ( 19 spa 19 spa 20 ) 21 on 29 or 22 indicators 23 of 22 indicators 29 or 23 of 25 aging 24 successful 25 aging 25 aging 27 as 26 such 27 as 27 as 28 health 29 or 31 satisfaction 30 life 31 satisfaction to date , little is known about the mechanisms underlying these effects . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 date 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 13 . 1 to 2 date 3 , 4 little 3 , 6 known 4 little 5 is 5 is 6 known 6 known 7 about 7 about 9 mechanisms 8 the 9 mechanisms 9 mechanisms 10 underlying 10 underlying 12 effects 11 these 12 effects this study therefore examined whether negative spa impair the use of self [-] regulation strategies that include selection , optimization , and compensation ( soc ) in case of a serious health event and thus turn into self [-] fulfilling prophecies for health and life satisfaction . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 examined 0 ###LEFT-WALL### 47 . 1 this 2 study 2 study 4 examined 3 therefore 4 examined 4 examined 5 whether 5 whether 7 spa 5 whether 8 impair 6 negative 7 spa 7 spa 8 impair 8 impair 34 and 8 impair 37 into 8 impair 42 for 9 the 10 use 10 use 11 of 10 use 34 and 11 of 15 strategies 12 self 15 strategies 14 regulation 15 strategies 15 strategies 16 that 15 strategies 17 include 16 that 17 include 17 include 22 and 17 include 29 of 18 selection 19 , 19 , 20 optimization 19 , 22 and 21 , 22 and 22 and 23 compensation 22 and 25 soc 24 ( 25 soc 25 soc 26 ) 27 in 28 case 28 case 29 of 29 of 33 event 30 a 31 serious 30 a 33 event 31 serious 32 health 32 health 33 event 34 and 35 thus 34 and 36 turn 37 into 41 prophecies 38 self 41 prophecies 40 fulfilling 41 prophecies 42 for 44 and 43 health 44 and 44 and 46 satisfaction 45 life 46 satisfaction second , this effect was moderated by negative spa , that is , in case of a serious health event , the perception that aging is associated with physical losses led to lower use of soc strategies promoting a healthy lifestyle ( b = - 0.43 , se = 0.15 , p < [.] 01 ) . 0 ###LEFT-WALL### 4 effect 0 ###LEFT-WALL### 6 moderated 1 second 2 , 1 second 4 effect 3 this 4 effect 4 effect 5 was 5 was 6 moderated 6 moderated 7 by 6 moderated 12 is 6 moderated 16 of 7 by 9 spa 8 negative 9 spa 10 , 12 is 11 that 12 is 12 is 13 , 13 , 16 of 14 in 15 case 15 case 16 of 16 of 20 event 16 of 57 . 17 a 20 event 18 serious 19 health 19 health 20 event 20 event 23 perception 21 , 23 perception 22 the 23 perception 23 perception 24 that 23 perception 56 ) 24 that 25 aging 24 that 27 associated 25 aging 26 is 26 is 27 associated 27 associated 28 with 27 associated 53 < 28 with 30 losses 28 with 50 0.15 29 physical 30 losses 30 losses 31 led 30 losses 32 to 30 losses 35 of 32 to 34 use 33 lower 34 use 35 of 37 strategies 36 soc 37 strategies 37 strategies 38 promoting 37 strategies 48 se 37 strategies 49 = 38 promoting 41 lifestyle 38 promoting 45 - 39 a 40 healthy 39 a 41 lifestyle 40 healthy 41 lifestyle 42 ( 45 - 43 b 44 = 44 = 45 - 45 - 46 0.43 45 - 47 , 48 se 49 = 51 , 53 < 52 p 53 < 53 < 55 01 these findings contribute to a better understanding of the underlying mechanisms of spa on health by showing that negative spa as associated [with] physical losses might impair health - related strategies that are important for maintaining a healthy lifestyle . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 contribute 0 ###LEFT-WALL### 30 related 0 ###LEFT-WALL### 40 . 1 these 2 findings 2 findings 3 contribute 3 contribute 4 to 3 contribute 11 mechanisms 4 to 7 understanding 5 a 7 understanding 6 better 7 understanding 7 understanding 8 of 8 of 10 underlying 9 the 10 underlying 11 mechanisms 12 of 11 mechanisms 16 by 12 of 13 spa 13 spa 14 on 14 on 15 health 16 by 20 spa 17 showing 20 spa 18 that 19 negative 19 negative 20 spa 20 spa 25 losses 20 spa 27 impair 21 as 22 associated 22 associated 25 losses 24 physical 25 losses 25 losses 26 might 26 might 27 impair 27 impair 28 health 29 - 30 related 30 related 31 strategies 31 strategies 32 that 31 strategies 33 are 31 strategies 35 for 32 that 33 are 33 are 34 important 35 for 36 maintaining 36 maintaining 39 lifestyle 37 a 39 lifestyle 38 healthy 39 lifestyle future intervention studies could attempt to challenge negative spa to support effective strategy use in older adults with serious illnesses . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 5 attempt 0 ###LEFT-WALL### 21 . 1 future 2 intervention 2 intervention 3 studies 3 studies 4 could 4 could 5 attempt 5 attempt 6 to 5 attempt 7 challenge 6 to 7 challenge 7 challenge 9 spa 7 challenge 10 to 7 challenge 11 support 8 negative 9 spa 10 to 11 support 11 support 14 use 12 effective 13 strategy 13 strategy 14 use 14 use 15 in 14 use 18 with 15 in 17 adults 16 older 17 adults 18 with 20 illnesses 19 serious 20 illnesses older adults typically display various associative memory deficits , but these deficits can be reduced when conditions allow for the use of prior knowledge or schematic support . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 4 display 0 ###LEFT-WALL### 10 but 0 ###LEFT-WALL### 28 . 1 older 2 adults 2 adults 4 display 3 typically 4 display 4 display 8 deficits 5 various 7 memory 6 associative 7 memory 7 memory 8 deficits 9 , 10 but 10 but 12 deficits 10 but 15 reduced 11 these 12 deficits 12 deficits 13 can 13 can 14 be 14 be 15 reduced 15 reduced 16 when 16 when 17 conditions 16 when 19 for 17 conditions 19 for 18 allow 19 for 19 for 25 or 20 the 21 use 21 use 22 of 21 use 25 or 22 of 24 knowledge 23 prior 24 knowledge 25 or 27 support 26 schematic 27 support to determine how era [-] specific schematic support and future simulation might influence associative memory , we examined how younger and older adults remember prices from the past as well as the future . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 determine 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 34 . 1 to 2 determine 2 determine 3 how 3 how 9 and 3 how 13 influence 4 era 8 support 6 specific 8 support 7 schematic 8 support 8 support 9 and 9 and 11 simulation 9 and 12 might 10 future 11 simulation 12 might 13 influence 13 influence 15 memory 14 associative 15 memory 16 , 17 we 16 , 18 examined 17 we 18 examined 18 examined 19 how 18 examined 31 as 19 how 23 adults 19 how 24 remember 20 younger 21 and 21 and 22 older 21 and 23 adults 23 adults 24 remember 24 remember 25 prices 25 prices 26 from 26 from 28 past 27 the 28 past 29 as 30 well 30 well 31 as 31 as 33 future 32 the 33 future younger and older adults were asked to imagine the past or future , and then studied items and prices from approximately 40 years ago ( market value prices from the 1970s ) or 40 years in the future . 0 ###LEFT-WALL### 33 or 0 ###LEFT-WALL### 39 . 1 younger 2 and 2 and 3 older 2 and 4 adults 4 adults 14 and 4 adults 18 and 5 were 6 asked 5 were 14 and 6 asked 7 to 6 asked 8 imagine 7 to 8 imagine 8 imagine 11 or 9 the 10 past 10 past 11 or 11 or 12 future 11 or 13 , 14 and 16 studied 15 then 16 studied 16 studied 17 items 18 and 19 prices 18 and 20 from 18 and 33 or 20 from 22 40 21 approximately 22 40 22 40 24 ago 22 40 28 prices 23 years 24 ago 25 ( 28 prices 26 market 28 prices 27 value 28 prices 28 prices 29 from 28 prices 32 ) 29 from 31 1970s 30 the 31 1970s 33 or 35 years 33 or 36 in 34 40 35 years 36 in 38 future 37 the 38 future after studying the pairs , participants were shown each item and asked to recall the associated price . 0 ###LEFT-WALL### 6 participants 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 18 . 1 after 2 studying 1 after 5 , 1 after 6 participants 2 studying 4 pairs 3 the 4 pairs 6 participants 11 and 7 were 8 shown 7 were 11 and 8 shown 10 item 9 each 10 item 11 and 12 asked 12 asked 13 to 12 asked 14 recall 13 to 14 recall 14 recall 17 price 15 the 17 price 16 associated 17 price in both experiments , older adults showed similar performance as younger adults in the past condition for the common items , whereas age - related differences were greater in the future condition and for the era - specific items . 0 ###LEFT-WALL### 6 adults 0 ###LEFT-WALL### 7 showed 0 ###LEFT-WALL### 21 , 1 in 3 experiments 1 in 4 , 1 in 6 adults 2 both 3 experiments 5 older 6 adults 6 adults 7 showed 7 showed 9 performance 7 showed 16 condition 7 showed 17 for 8 similar 9 performance 9 performance 10 as 9 performance 13 in 10 as 12 adults 11 younger 12 adults 13 in 15 past 14 the 15 past 17 for 20 items 18 the 20 items 19 common 20 items 21 , 26 differences 21 , 27 were 21 , 37 - 22 whereas 23 age 22 whereas 24 - 22 whereas 26 differences 25 related 26 differences 26 differences 27 were 27 were 28 greater 28 greater 33 and 29 in 32 condition 29 in 33 and 30 the 32 condition 31 future 32 condition 33 and 34 for 34 for 36 era 35 the 36 era 37 - 39 items 37 - 40 . 38 specific 39 items the findings suggest that in order for schematic support to be effective , recent ( and not simply remote ) experience is needed in order to enhance memory . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 29 . 1 the 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 21 experience 4 that 27 enhance 5 in 6 order 5 in 20 ) 5 in 21 experience 6 order 7 for 6 order 10 to 6 order 11 be 6 order 16 and 7 for 9 support 8 schematic 9 support 10 to 11 be 11 be 12 effective 13 , 16 and 14 recent 16 and 15 ( 16 and 16 and 17 not 16 and 19 remote 16 and 20 ) 18 simply 19 remote 21 experience 22 is 22 is 23 needed 23 needed 24 in 23 needed 26 to 24 in 25 order 26 to 27 enhance 27 enhance 28 memory thus , whereas older adults can benefit from " turning back the clock , " younger adults better remember future - oriented information compared with older adults , outlining age - related similarities and differences in associative memory and the efficient use of past [and] future - based schematic support . 0 ###LEFT-WALL### 17 adults 0 ###LEFT-WALL### 19 remember 0 ###LEFT-WALL### 32 related 0 ###LEFT-WALL### 51 . 1 thus 2 , 1 thus 17 adults 2 , 3 whereas 3 whereas 5 adults 3 whereas 7 benefit 3 whereas 14 , 3 whereas 17 adults 4 older 5 adults 5 adults 6 can 6 can 7 benefit 7 benefit 8 from 7 benefit 13 clock 8 from 9 " 8 from 10 turning 10 turning 11 back 12 the 13 clock 14 , 15 " 16 younger 17 adults 17 adults 19 remember 18 better 19 remember 19 remember 23 information 19 remember 29 outlining 20 future 21 - 20 future 23 information 22 oriented 23 information 23 information 24 compared 24 compared 25 with 25 with 27 adults 26 older 27 adults 28 , 29 outlining 29 outlining 30 age 29 outlining 31 - 31 - 32 related 32 related 34 and 32 related 36 in 33 similarities 34 and 34 and 35 differences 36 in 39 and 37 associative 38 memory 38 memory 39 and 39 and 42 use 39 and 43 of 40 the 42 use 41 efficient 42 use 43 of 50 support 44 past 50 support 46 future 47 - 46 future 50 support 48 based 50 support 49 schematic 50 support understanding students ' beliefs and perceptions of sex/sexuality in later life can reduce [and] [prevent] ageist myths and stereotypes . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 20 . 1 understanding 2 students 2 students 3 ' 3 ' 4 beliefs 4 beliefs 5 and 5 and 6 perceptions 5 and 7 of 7 of 8 sex/sexuality 8 sex/sexuality 9 in 9 in 11 life 10 later 11 life 11 life 18 and 12 can 13 reduce 12 can 18 and 13 reduce 17 myths 16 ageist 17 myths 18 and 19 stereotypes the objective of this study was to gauge undergraduate students ' knowledge of several myths , stereotypes , and facts regarding sex/sexuality in later life , including lesbian , gay , bisexual , and transgendered ( lgbt ) older adults . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 41 . 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 21 regarding 7 to 12 knowledge 8 gauge 10 students 9 undergraduate 10 students 10 students 11 ' 11 ' 12 knowledge 12 knowledge 13 of 13 of 19 and 14 several 15 myths 15 myths 16 , 16 , 17 stereotypes 16 , 19 and 18 , 19 and 19 and 20 facts 21 regarding 22 sex/sexuality 21 regarding 23 in 23 in 34 and 24 later 25 life 25 life 26 , 26 , 28 lesbian 26 , 29 , 27 including 28 lesbian 29 , 32 bisexual 29 , 34 and 30 gay 31 , 30 gay 32 bisexual 33 , 34 and 34 and 40 adults 35 transgendered 37 lgbt 35 transgendered 40 adults 36 ( 37 lgbt 37 lgbt 38 ) 39 older 40 adults more than 85 % of students held a positive view of sex/sexuality in later life with 65 % believing that they would engage in sexual activity past age 80 ( n=125 ) . 0 ###LEFT-WALL### 4 % 0 ###LEFT-WALL### 7 held 0 ###LEFT-WALL### 33 . 1 more 2 than 2 than 3 85 3 85 4 % 4 % 5 of 4 % 7 held 5 of 6 students 7 held 10 view 7 held 13 in 8 a 10 view 9 positive 10 view 10 view 11 of 11 of 12 sex/sexuality 13 in 15 life 14 later 15 life 15 life 16 with 15 life 20 that 15 life 23 engage 15 life 31 n=125 16 with 18 % 17 65 18 % 18 % 19 believing 20 that 21 they 20 that 23 engage 21 they 22 would 22 would 23 engage 23 engage 24 in 23 engage 27 past 24 in 26 activity 25 sexual 26 activity 27 past 28 age 28 age 29 80 30 ( 31 n=125 31 n=125 32 ) correct responses to true/false questions were higher for those with a positive perspective on aging , and recognizing that sexual behavior does not cease to be important with aging was the strongest predictor of holding a positive view on sexuality in later life . 0 ###LEFT-WALL### 1 correct 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 44 . 1 correct 6 were 2 responses 3 to 2 responses 6 were 3 to 5 questions 4 true/false 5 questions 6 were 7 higher 7 higher 8 for 7 higher 10 with 7 higher 14 on 8 for 9 those 10 with 13 perspective 11 a 13 perspective 12 positive 13 perspective 14 on 15 aging 16 , 17 and 17 and 18 recognizing 17 and 30 was 18 recognizing 19 that 18 recognizing 30 was 19 that 21 behavior 19 that 24 cease 20 sexual 21 behavior 21 behavior 22 does 22 does 23 not 22 does 24 cease 24 cease 25 to 24 cease 26 be 25 to 26 be 26 be 27 important 27 important 28 with 28 with 29 aging 30 was 33 predictor 31 the 32 strongest 31 the 33 predictor 33 predictor 34 of 34 of 35 holding 35 holding 38 view 35 holding 41 in 36 a 37 positive 36 a 38 view 37 positive 38 view 38 view 39 on 39 on 40 sexuality 41 in 43 life 42 later 43 life no significant differences were observed from responses regarding lgbt older adults or constraints to sexuality in long term care facilities . 0 ###LEFT-WALL### 3 differences 0 ###LEFT-WALL### 5 observed 0 ###LEFT-WALL### 21 . 1 no 3 differences 2 significant 3 differences 3 differences 4 were 4 were 5 observed 5 observed 6 from 5 observed 14 to 6 from 12 or 7 responses 8 regarding 7 responses 12 or 8 regarding 11 adults 9 lgbt 11 adults 10 older 11 adults 12 or 13 constraints 14 to 15 sexuality 15 sexuality 16 in 16 in 20 facilities 17 long 18 term 18 term 19 care 19 care 20 facilities the positive perceptions among students in the current study suggest an increased acceptance of sexuality and diversity that should be maintained in university curricula . 0 ###LEFT-WALL### 3 perceptions 0 ###LEFT-WALL### 10 suggest 0 ###LEFT-WALL### 25 . 1 the 3 perceptions 2 positive 3 perceptions 3 perceptions 4 among 3 perceptions 10 suggest 4 among 5 students 5 students 6 in 6 in 9 study 7 the 9 study 8 current 9 study 10 suggest 13 acceptance 10 suggest 22 in 11 an 13 acceptance 12 increased 13 acceptance 13 acceptance 14 of 13 acceptance 18 that 13 acceptance 19 should 14 of 16 and 15 sexuality 16 and 16 and 17 diversity 18 that 19 should 19 should 20 be 20 be 21 maintained 22 in 24 curricula 23 university 24 curricula aim : although the guaranteed superannuation system is believed by many to provide a safe and adequate source of funds in retirement , some will be unpleasantly surprised . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 24 some 2 : 26 be 3 although 7 system 3 although 9 believed 3 although 23 , 3 although 24 some 4 the 7 system 5 guaranteed 6 superannuation 6 superannuation 7 system 7 system 8 is 8 is 9 believed 9 believed 10 by 9 believed 12 to 9 believed 13 provide 10 by 11 many 12 to 13 provide 13 provide 18 source 13 provide 21 in 14 a 18 source 15 safe 16 and 16 and 17 adequate 16 and 18 source 18 source 19 of 19 of 20 funds 21 in 22 retirement 24 some 25 will 25 will 26 be 26 be 27 unpleasantly 26 be 28 surprised the aim of this paper is to demonstrate the significant effect of the economic cycle on the final accumulated balance in superannuation retirement accounts . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 25 . 1 the 2 aim 2 aim 3 of 2 aim 6 is 3 of 5 paper 4 this 5 paper 6 is 7 to 6 is 8 demonstrate 7 to 8 demonstrate 8 demonstrate 11 effect 8 demonstrate 19 accumulated 9 the 11 effect 10 significant 11 effect 11 effect 12 of 11 effect 19 accumulated 12 of 15 cycle 13 the 15 cycle 14 economic 15 cycle 15 cycle 16 on 16 on 18 final 17 the 18 final 19 accumulated 20 balance 19 accumulated 21 in 21 in 24 accounts 22 superannuation 24 accounts 23 retirement 24 accounts method : a monte carlo simulation is used to illustrate the variance in outcomes that can be expected for a hypothetical individual . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 6 simulation 2 : 8 used 2 : 23 . 3 a 6 simulation 4 monte 5 carlo 5 carlo 6 simulation 6 simulation 7 is 7 is 8 used 8 used 9 to 8 used 10 illustrate 9 to 10 illustrate 10 illustrate 12 variance 10 illustrate 13 in 11 the 12 variance 13 in 14 outcomes 14 outcomes 15 that 14 outcomes 16 can 15 that 16 can 16 can 17 be 17 be 18 expected 18 expected 19 for 19 for 22 individual 20 a 21 hypothetical 20 a 22 individual 21 hypothetical 22 individual results : the expected accumulated superannuation balances for two hypothetical individuals are estimated . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 7 balances 2 : 13 estimated 2 : 14 . 3 the 7 balances 4 expected 6 superannuation 5 accumulated 6 superannuation 6 superannuation 7 balances 7 balances 8 for 7 balances 12 are 8 for 11 individuals 9 two 11 individuals 10 hypothetical 11 individuals 12 are 13 estimated the spread of outcomes is used to illustrate the problem of using only the mean of the distribution as a predictor of wealth in the retirement years . 0 ###LEFT-WALL### 2 spread 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 28 . 1 the 2 spread 2 spread 3 of 2 spread 5 is 3 of 4 outcomes 5 is 6 used 6 used 7 to 6 used 8 illustrate 7 to 8 illustrate 8 illustrate 10 problem 9 the 10 problem 10 problem 11 of 11 of 12 using 12 using 13 only 12 using 15 mean 12 using 19 as 12 using 24 in 14 the 15 mean 15 mean 16 of 16 of 18 distribution 17 the 18 distribution 19 as 21 predictor 20 a 21 predictor 21 predictor 22 of 22 of 23 wealth 24 in 27 years 25 the 27 years 26 retirement 27 years conclusions : many retirees rely on superannuation to fund their retirement . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 retirees 2 : 5 rely 2 : 12 . 3 many 4 retirees 4 retirees 5 rely 5 rely 6 on 5 rely 8 to 6 on 7 superannuation 8 to 9 fund 9 fund 11 retirement 10 their 11 retirement however regular contributions [to] superannuation does not ensure a predictable outcome , and active management of contributions is required if retirement goals are to be met . 0 ###LEFT-WALL### 5 superannuation 0 ###LEFT-WALL### 8 ensure 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 27 . 1 however 5 superannuation 2 regular 3 contributions 3 contributions 5 superannuation 5 superannuation 6 does 6 does 7 not 6 does 8 ensure 8 ensure 11 outcome 9 a 11 outcome 10 predictable 11 outcome 12 , 13 and 13 and 15 management 13 and 19 required 14 active 15 management 15 management 16 of 15 management 18 is 16 of 17 contributions 18 is 19 required 19 required 20 if 19 required 24 to 19 required 25 be 20 if 22 goals 20 if 23 are 21 retirement 22 goals 22 goals 23 are 24 to 25 be 25 be 26 met the aim was to investigate the influence of various biological factors upon the outcome of intrauterine insemination ( iui ) . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 21 . 1 the 2 aim 2 aim 3 was 3 was 4 to 3 was 5 investigate 4 to 5 investigate 5 investigate 7 influence 5 investigate 12 upon 6 the 7 influence 7 influence 8 of 8 of 11 factors 9 various 11 factors 10 biological 11 factors 12 upon 14 outcome 13 the 14 outcome 14 outcome 15 of 15 of 17 insemination 16 intrauterine 17 insemination 17 insemination 19 iui 18 ( 19 iui 19 iui 20 ) the total iui history ( 856 cycles ) [of] [352] couples was studied . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 13 studied 0 ###LEFT-WALL### 14 . 1 the 2 total 2 total 4 history 2 total 11 couples 2 total 12 was 3 iui 4 history 4 history 7 cycles 4 history 11 couples 5 ( 7 cycles 6 856 7 cycles 7 cycles 8 ) 12 was 13 studied live - birth showed a strong negative correlation with female age but no correlation with male age . 0 ###LEFT-WALL### 3 birth 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 18 . 1 live 2 - 1 live 3 birth 3 birth 4 showed 4 showed 8 correlation 4 showed 9 with 4 showed 12 but 5 a 6 strong 5 a 8 correlation 6 strong 7 negative 7 negative 8 correlation 9 with 11 age 10 female 11 age 12 but 14 correlation 13 no 14 correlation 14 correlation 15 with 15 with 17 age 16 male 17 age antimüllerian [hormone] ( amh ) and antral follicle count ( afc ) correlated negatively with female age , and follicle stimulating hormone ( fsh ) correlated positively . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 13 correlated 0 ###LEFT-WALL### 28 . 1 antimüllerian 4 amh 3 ( 4 amh 4 amh 5 ) 4 amh 6 and 6 and 9 count 6 and 11 afc 6 and 13 correlated 7 antral 9 count 8 follicle 9 count 10 ( 11 afc 11 afc 12 ) 13 correlated 14 negatively 13 correlated 15 with 15 with 19 and 15 with 26 correlated 16 female 17 age 17 age 19 and 18 , 19 and 19 and 22 hormone 19 and 24 fsh 20 follicle 22 hormone 21 stimulating 22 hormone 23 ( 24 fsh 24 fsh 25 ) 26 correlated 27 positively significant thresholds were found for all three variables , and also for total motile [count] ( tmc ) in the prepared sperm . 0 ###LEFT-WALL### 2 thresholds 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 23 . 1 significant 2 thresholds 2 thresholds 3 were 3 were 4 found 4 found 10 and 4 found 19 in 5 for 8 variables 5 for 10 and 6 all 7 three 7 three 8 variables 9 , 10 and 10 and 11 also 10 and 12 for 12 for 14 motile 13 total 14 motile 14 motile 17 tmc 16 ( 17 tmc 17 tmc 18 ) 19 in 22 sperm 20 the 22 sperm 21 prepared 22 sperm calculating pregnancy losses per positive pregnancy showed a strong correlation with increasing female age . 0 ###LEFT-WALL### 3 losses 0 ###LEFT-WALL### 7 showed 0 ###LEFT-WALL### 15 . 1 calculating 2 pregnancy 2 pregnancy 3 losses 3 losses 4 per 3 losses 7 showed 4 per 6 pregnancy 5 positive 6 pregnancy 7 showed 10 correlation 7 showed 11 with 8 a 9 strong 8 a 10 correlation 9 strong 10 correlation 11 with 12 increasing 12 increasing 14 age 13 female 14 age this was highly significant for biochemical losses but not for fetal heart miscarriages . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 14 . 1 this 2 was 2 was 4 significant 3 highly 4 significant 4 significant 8 but 5 for 7 losses 5 for 8 but 6 biochemical 7 losses 8 but 9 not 8 but 10 for 10 for 13 miscarriages 11 fetal 12 heart 12 heart 13 miscarriages male age had no effect on rate [of] pregnancy loss . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 3 had 0 ###LEFT-WALL### 11 . 1 male 2 age 2 age 3 had 3 had 5 effect 3 had 6 on 4 no 5 effect 6 on 10 loss 7 rate 10 loss 9 pregnancy 10 loss in conclusion , female age , fsh , amh and tmc are good predictive [factors] for live - birth and therefore [relate] [to] essential in vivo steps in the reproductive process . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 12 are 0 ###LEFT-WALL### 32 . 1 in 10 and 1 in 12 are 2 conclusion 3 , 3 , 5 age 3 , 6 , 4 female 5 age 6 , 7 fsh 6 , 8 , 8 , 9 amh 8 , 10 and 10 and 11 tmc 12 are 27 steps 13 good 27 steps 14 predictive 16 for 14 predictive 20 and 16 for 19 birth 17 live 18 - 17 live 19 birth 20 and 21 therefore 20 and 24 essential 20 and 27 steps 24 essential 26 vivo 25 in 26 vivo 27 steps 28 in 28 in 31 process 29 the 31 process 30 reproductive 31 process the immune system undergoes a complex and continuous remodeling with aging . 0 ###LEFT-WALL### 3 system 0 ###LEFT-WALL### 4 undergoes 0 ###LEFT-WALL### 12 . 1 the 3 system 2 immune 3 system 3 system 4 undergoes 4 undergoes 7 and 4 undergoes 10 with 5 a 6 complex 6 complex 7 and 7 and 9 remodeling 8 continuous 9 remodeling 10 with 11 aging immunosenescence results into both quantitative and qualitative changes of specific cellular subpopulations that have major impact on allorecognition and alloresponse , and [consequently] on graft rejection and tolerance . 0 ###LEFT-WALL### 1 immunosenescence 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 29 . 1 immunosenescence 2 results 2 results 3 into 2 results 22 and 3 into 8 changes 4 both 8 changes 5 quantitative 6 and 6 and 7 qualitative 6 and 8 changes 8 changes 9 of 9 of 12 subpopulations 10 specific 12 subpopulations 11 cellular 12 subpopulations 12 subpopulations 13 that 12 subpopulations 14 have 13 that 14 have 14 have 16 impact 15 major 16 impact 17 on 19 and 17 on 22 and 18 allorecognition 19 and 19 and 20 alloresponse 21 , 22 and 22 and 24 on 24 on 27 and 25 graft 26 rejection 26 rejection 27 and 27 and 28 tolerance here , we are going to review the immunological changes associated with the aging process relevant for transplantation . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 19 . 1 here 2 , 1 here 3 we 3 we 4 are 4 are 5 going 5 going 6 to 5 going 12 with 6 to 7 review 7 review 10 changes 8 the 10 changes 9 immunological 10 changes 10 changes 11 associated 12 with 15 process 12 with 16 relevant 13 the 15 process 14 aging 15 process 16 relevant 17 for 17 for 18 transplantation interventions to selectively target changes associated with the senescence process [seem] promising therapeutic strategies to improve transplantation [outcome] . 0 ###LEFT-WALL### 1 interventions 0 ###LEFT-WALL### 6 associated 0 ###LEFT-WALL### 19 . 1 interventions 2 to 1 interventions 4 target 1 interventions 6 associated 2 to 4 target 3 selectively 4 target 4 target 5 changes 6 associated 7 with 7 with 10 process 8 the 10 process 9 senescence 10 process 10 process 12 promising 12 promising 14 strategies 12 promising 15 to 12 promising 16 improve 13 therapeutic 14 strategies 15 to 16 improve 16 improve 17 transplantation the transcription factor activator protein - 1 ( ap - 1 ) participates in many aspects of cell physiology , such as cellular [proliferation] , transformation , and death . 0 ###LEFT-WALL### 5 protein 0 ###LEFT-WALL### 13 participates 0 ###LEFT-WALL### 30 . 1 the 5 protein 2 transcription 5 protein 3 factor 5 protein 4 activator 5 protein 5 protein 7 1 5 protein 11 1 5 protein 13 participates 6 - 7 1 7 1 9 ap 7 1 10 - 8 ( 9 ap 9 ap 10 - 10 - 11 1 11 1 12 ) 13 participates 14 in 14 in 28 and 15 many 16 aspects 16 aspects 17 of 16 aspects 28 and 17 of 19 physiology 18 cell 19 physiology 19 physiology 22 as 20 , 22 as 21 such 22 as 22 as 26 transformation 22 as 27 , 23 cellular 25 , 23 cellular 26 transformation 27 , 28 and 28 and 29 death ap - 1 is a dimeric complex that primarily contains [jun] [and] fos family members . 0 ###LEFT-WALL### 3 1 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 16 . 1 ap 2 - 1 ap 3 1 3 1 4 is 4 is 7 complex 5 a 6 dimeric 5 a 7 complex 6 dimeric 7 complex 7 complex 8 that 7 complex 10 contains 8 that 10 contains 9 primarily 10 contains 10 contains 15 members 13 fos 15 members 14 family 15 members here , we report that jun is a target of heat shock transcription factor hsf1 . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 report 0 ###LEFT-WALL### 16 . 1 here 2 , 1 here 3 we 3 we 4 report 4 report 5 that 5 that 6 jun 5 that 7 is 6 jun 7 is 7 is 9 target 8 a 9 target 9 target 10 of 10 of 15 hsf1 11 heat 12 shock 12 shock 14 factor 13 transcription 14 factor 14 factor 15 hsf1 hsf1 is the master regulator of genes encoding [molecular] chaperones , and is involved in cellular processes such as the stress response , cell differentiation , aging and carcinogenesis . 0 ###LEFT-WALL### 1 hsf1 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 30 . 1 hsf1 2 is 2 is 5 regulator 2 is 6 of 3 the 5 regulator 4 master 5 regulator 6 of 7 genes 7 genes 8 encoding 7 genes 12 and 8 encoding 12 and 10 chaperones 12 and 11 , 12 and 12 and 13 is 12 and 15 in 13 is 14 involved 15 in 17 processes 16 cellular 17 processes 17 processes 19 as 18 such 19 as 19 as 28 and 20 the 22 response 21 stress 22 response 22 response 23 , 23 , 25 differentiation 23 , 26 , 24 cell 25 differentiation 26 , 27 aging 26 , 28 and 28 and 29 carcinogenesis in hela cells , jun transcription was rapidly induced by heat treatment . 0 ###LEFT-WALL### 6 transcription 0 ###LEFT-WALL### 9 induced 0 ###LEFT-WALL### 13 . 1 in 3 cells 1 in 4 , 1 in 6 transcription 2 hela 3 cells 5 jun 6 transcription 6 transcription 7 was 7 was 8 rapidly 7 was 9 induced 9 induced 10 by 10 by 12 treatment 11 heat 12 treatment we found that hsf1 bound to the jun promoter and was necessary for its efficient response to heat shock . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 20 . 1 we 2 found 2 found 3 that 3 that 4 hsf1 3 that 10 and 4 hsf1 10 and 5 bound 6 to 5 bound 10 and 6 to 9 promoter 7 the 9 promoter 8 jun 9 promoter 10 and 11 was 11 was 12 necessary 12 necessary 13 for 12 necessary 17 to 13 for 16 response 14 its 16 response 15 efficient 16 response 17 to 18 heat 18 heat 19 shock in heat - shocked cells , [c] - [jun] - mediated gene expression was induced slowly following accumulation of [c] [-] [jun] protein . 0 ###LEFT-WALL### 2 heat 0 ###LEFT-WALL### 3 - 1 in 2 heat 3 - 5 cells 3 - 6 , 3 - 24 . 4 shocked 5 cells 6 , 8 - 6 , 14 was 8 - 10 - 10 - 13 expression 11 mediated 12 gene 12 gene 13 expression 13 expression 14 was 14 was 18 accumulation 15 induced 18 accumulation 16 slowly 17 following 17 following 18 accumulation 18 accumulation 19 of 19 of 23 protein forced expression of active hsf1 in cells resulted in an increase in [c] [-] [jun] expression and activation of [c] [-] [jun] target genes . 0 ###LEFT-WALL### 2 expression 0 ###LEFT-WALL### 8 resulted 0 ###LEFT-WALL### 25 . 1 forced 2 expression 2 expression 3 of 2 expression 8 resulted 3 of 5 hsf1 4 active 5 hsf1 5 hsf1 6 in 6 in 7 cells 8 resulted 9 in 8 resulted 12 in 9 in 11 increase 10 an 11 increase 12 in 17 and 16 expression 17 and 17 and 18 activation 17 and 19 of 19 of 24 genes 23 target 24 genes these results show that hsf1 regulates jun expression , thereby modulating ap - 1 activity . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 16 . 1 these 2 results 2 results 3 show 3 show 4 that 4 that 5 hsf1 4 that 6 regulates 5 hsf1 6 regulates 6 regulates 8 expression 7 jun 8 expression 8 expression 11 modulating 9 , 11 modulating 10 thereby 11 modulating 11 modulating 12 ap 11 modulating 13 - 13 - 15 activity 14 1 15 activity aim : the goal of this study was to determine if long - term testosterone ( t ) therapy in men with hypogonadism , henceforth referred to as testosterone deficiency ( td ) , ameliorates or improves metabolic [syndrome] ( mets ) components . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 determine 1 aim 2 : 2 : 4 goal 3 the 4 goal 4 goal 5 of 5 of 6 this 7 study 8 was 8 was 9 to 8 was 10 determine 9 to 10 determine 10 determine 11 if 10 determine 44 . 11 if 19 therapy 11 if 36 or 12 long 15 testosterone 12 long 18 ) 12 long 19 therapy 13 - 15 testosterone 14 term 15 testosterone 15 testosterone 17 t 15 testosterone 18 ) 16 ( 17 t 17 t 18 ) 19 therapy 20 in 19 therapy 36 or 20 in 21 men 21 men 22 with 21 men 27 to 22 with 23 hypogonadism 24 , 27 to 25 henceforth 27 to 26 referred 27 to 27 to 28 as 27 to 34 , 28 as 30 deficiency 29 testosterone 30 deficiency 30 deficiency 32 td 31 ( 32 td 32 td 33 ) 35 ameliorates 36 or 36 or 37 improves 36 or 43 components 38 metabolic 41 mets 38 metabolic 43 components 40 ( 41 mets 41 mets 42 ) all men received treatment with parenteral [t] undecanoate 1000 [mg] ( nebido [(] [®] ) , bayer pharma , berlin , germany ) , administered at baseline and 6 weeks and thereafter every 12 weeks for up to 60 months . 0 ###LEFT-WALL### 2 men 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 41 . 1 all 2 men 2 men 24 , 3 received 4 treatment 3 received 5 with 3 received 24 , 5 with 8 undecanoate 6 parenteral 8 undecanoate 8 undecanoate 9 1000 8 undecanoate 12 nebido 8 undecanoate 18 pharma 8 undecanoate 20 berlin 8 undecanoate 22 germany 11 ( 12 nebido 12 nebido 15 ) 16 , 18 pharma 17 bayer 18 pharma 18 pharma 19 , 19 , 20 berlin 20 berlin 21 , 21 , 22 germany 22 germany 23 ) 24 , 25 administered 24 , 31 and 24 , 36 for 26 at 28 and 26 at 31 and 27 baseline 28 and 28 and 30 weeks 29 6 30 weeks 31 and 32 thereafter 31 and 33 every 33 every 35 weeks 34 12 35 weeks 36 for 40 months 37 up 38 to 38 to 39 60 39 60 40 months lipids , glucose , liver enzymes and haemoglobin a1c analyses were carried out in a commercial laboratory . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 12 carried 0 ###LEFT-WALL### 18 . 1 lipids 2 , 2 , 3 glucose 2 , 4 , 4 , 6 enzymes 4 , 7 and 5 liver 6 enzymes 7 and 10 analyses 7 and 11 were 8 haemoglobin 10 analyses 9 a1c 10 analyses 11 were 12 carried 12 carried 13 out 12 carried 14 in 14 in 17 laboratory 15 a 16 commercial 15 a 17 laboratory 16 commercial 17 laboratory anthropometric measurements were also made throughout the study period . 0 ###LEFT-WALL### 2 measurements 0 ###LEFT-WALL### 5 made 0 ###LEFT-WALL### 10 . 1 anthropometric 2 measurements 2 measurements 3 were 3 were 5 made 4 also 5 made 5 made 6 throughout 6 throughout 9 period 7 the 9 period 8 study 9 period there were marked reductions in systolic and diastolic blood pressure , blood glucose , haemoglobin a1c , c - reactive protein ( 6.29 ± 7.96 to 1.03 ± [1.87] u/l ) , alanine aminotransferase and aspartate aminotransferase ( p < 0.0001 for all ) . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 45 . 1 there 2 were 2 were 4 reductions 3 marked 4 reductions 4 reductions 5 in 5 in 10 pressure 6 systolic 7 and 7 and 8 diastolic 7 and 9 blood 9 blood 10 pressure 11 , 12 blood 12 blood 13 glucose 12 blood 19 - 13 glucose 16 a1c 14 , 16 a1c 15 haemoglobin 16 a1c 16 a1c 17 , 17 , 19 - 18 c 19 - 19 - 21 protein 19 - 44 ) 20 reactive 21 protein 21 protein 30 u/l 21 protein 35 and 22 ( 30 u/l 23 6.29 24 ± 24 ± 26 to 25 7.96 26 to 26 to 27 1.03 27 1.03 30 u/l 28 ± 30 u/l 30 u/l 31 ) 32 , 35 and 33 alanine 34 aminotransferase 34 aminotransferase 35 and 35 and 37 aminotransferase 35 and 40 < 35 and 44 ) 36 aspartate 37 aminotransferase 38 ( 40 < 39 p 40 < 40 < 41 0.0001 41 0.0001 42 for 42 for 43 all conclusions : long - term t therapy , at physiological levels , ameliorates mets components . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 7 therapy 2 : 13 ameliorates 2 : 16 . 3 long 4 - 3 long 5 term 5 term 6 t 5 term 7 therapy 7 therapy 9 at 7 therapy 13 ameliorates 8 , 9 at 9 at 11 levels 9 at 12 , 10 physiological 11 levels 13 ameliorates 15 components 14 mets 15 components these findings strongly suggest that [t] therapy in hypogonadal men may prove useful in reducing the risk of cardiometabolic diseases . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 suggest 0 ###LEFT-WALL### 21 . 1 these 2 findings 2 findings 4 suggest 3 strongly 4 suggest 4 suggest 5 that 5 that 7 therapy 5 that 12 prove 7 therapy 8 in 7 therapy 11 may 8 in 10 men 9 hypogonadal 10 men 11 may 12 prove 12 prove 13 useful 13 useful 14 in 14 in 15 reducing 15 reducing 17 risk 16 the 17 risk 17 risk 18 of 18 of 20 diseases 19 cardiometabolic 20 diseases to identify biomarkers associated with cognitive stimulation of mild cognitive impairment ( mci ) patients , we performed quantitative real - time reverse transcriptase polymerase chain reaction for brain - derived neurotrophic [factor] ( bdnf ) mrna in peripheral lymphocytes of mci and healthy subjects undergoing a multi - component cognitive training ( ct ) program . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 identify 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 57 . 1 to 2 identify 2 identify 3 biomarkers 3 biomarkers 4 associated 4 associated 5 with 5 with 7 stimulation 5 with 15 patients 6 cognitive 7 stimulation 7 stimulation 8 of 8 of 11 impairment 9 mild 11 impairment 10 cognitive 11 impairment 11 impairment 13 mci 12 ( 13 mci 13 mci 14 ) 16 , 17 we 16 , 18 performed 16 , 30 - 17 we 18 performed 18 performed 27 reaction 18 performed 28 for 19 quantitative 27 reaction 20 real 21 - 20 real 27 reaction 22 time 27 reaction 23 reverse 27 reaction 24 transcriptase 26 chain 25 polymerase 26 chain 26 chain 27 reaction 28 for 29 brain 30 - 43 and 31 derived 37 mrna 32 neurotrophic 35 bdnf 32 neurotrophic 37 mrna 34 ( 35 bdnf 35 bdnf 36 ) 37 mrna 38 in 37 mrna 41 of 37 mrna 43 and 38 in 40 lymphocytes 39 peripheral 40 lymphocytes 41 of 42 mci 43 and 45 subjects 43 and 46 undergoing 44 healthy 45 subjects 46 undergoing 56 program 47 a 48 multi 47 a 56 program 48 multi 52 training 48 multi 55 ) 48 multi 56 program 49 - 52 training 50 component 52 training 51 cognitive 52 training 52 training 54 ct 52 training 55 ) 53 ( 54 ct 54 ct 55 ) ct determined a significant decrease of bdnf mrna levels in mci ( fold change=0.31 ) as compared to healthy subjects ( fold change=0.86 ) . 0 ###LEFT-WALL### 1 ct 0 ###LEFT-WALL### 2 determined 0 ###LEFT-WALL### 25 . 1 ct 2 determined 2 determined 5 decrease 2 determined 9 levels 3 a 5 decrease 4 significant 5 decrease 5 decrease 6 of 5 decrease 9 levels 6 of 8 mrna 7 bdnf 8 mrna 9 levels 10 in 9 levels 11 mci 9 levels 18 to 11 mci 14 change=0.31 11 mci 17 compared 12 ( 14 change=0.31 13 fold 14 change=0.31 14 change=0.31 15 ) 16 as 17 compared 18 to 20 subjects 19 healthy 20 subjects 20 subjects 23 change=0.86 21 ( 23 change=0.86 22 fold 23 change=0.86 23 change=0.86 24 ) it has been reported that in mci there is an increase of bdnf serum levels , and our findings could indicate a positive effect of ct in restoring pre - disease levels of expression . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 30 - 0 ###LEFT-WALL### 35 . 1 it 2 has 2 has 3 been 3 been 17 and 4 reported 5 that 4 reported 17 and 5 that 8 there 5 that 9 is 6 in 7 mci 6 in 8 there 8 there 9 is 9 is 11 increase 10 an 11 increase 11 increase 12 of 12 of 15 levels 13 bdnf 14 serum 14 serum 15 levels 16 , 17 and 17 and 21 indicate 18 our 19 findings 19 findings 20 could 20 could 21 indicate 21 indicate 24 effect 21 indicate 27 in 22 a 23 positive 22 a 24 effect 23 positive 24 effect 24 effect 25 of 25 of 26 ct 27 in 28 restoring 28 restoring 29 pre 30 - 32 levels 31 disease 32 levels 32 levels 33 of 33 of 34 expression aging in sweden has been uniquely shaped by its history - most notably [the] long tradition of locally controlled services for older adults . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 7 shaped 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 24 . 1 aging 2 in 1 aging 4 has 2 in 3 sweden 4 has 5 been 5 been 7 shaped 6 uniquely 7 shaped 7 shaped 8 by 8 by 10 history 9 its 10 history 11 - 16 tradition 12 most 16 tradition 13 notably 15 long 15 long 16 tradition 16 tradition 17 of 17 of 20 services 18 locally 19 controlled 19 controlled 20 services 20 services 21 for 21 for 23 adults 22 older 23 adults we considered [how] local variations and local control shape the experience of aging in sweden and organized the paper into 3 sections . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 23 . 1 we 16 and 2 considered 6 and 2 considered 11 experience 2 considered 16 and 4 local 5 variations 5 variations 6 and 6 and 9 shape 7 local 8 control 8 control 9 shape 10 the 11 experience 11 experience 12 of 12 of 13 aging 13 aging 14 in 14 in 15 sweden 16 and 17 organized 16 and 20 into 17 organized 19 paper 18 the 19 paper 20 into 22 sections 21 3 22 sections first , we examine aging in sweden along demography , economy , and housing . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 examine 0 ###LEFT-WALL### 15 . 1 first 2 , 1 first 3 we 3 we 4 examine 4 examine 5 aging 4 examine 6 in 4 examine 8 along 6 in 7 sweden 8 along 13 and 9 demography 10 , 10 , 11 economy 10 , 13 and 12 , 13 and 13 and 14 housing next , we trace the origins and development of the swedish welfare state to consider formal supports ( service provision ) and informal supports ( caregiving and receipt of care ) . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 trace 0 ###LEFT-WALL### 32 . 1 next 2 , 1 next 3 we 3 we 4 trace 4 trace 22 and 5 the 6 origins 6 origins 7 and 7 and 8 development 7 and 9 of 7 and 22 and 9 of 13 state 10 the 13 state 11 swedish 12 welfare 12 welfare 13 state 13 state 14 to 13 state 15 consider 14 to 15 consider 15 consider 17 supports 16 formal 17 supports 17 supports 20 provision 18 ( 20 provision 19 service 20 provision 20 provision 21 ) 22 and 24 supports 22 and 27 and 23 informal 24 supports 25 ( 27 and 26 caregiving 27 and 27 and 28 receipt 27 and 29 of 27 and 31 ) 29 of 30 care finally , we direct researchers to additional data resources for understanding aging in sweden in greater depth . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 direct 0 ###LEFT-WALL### 18 . 1 finally 2 , 1 finally 3 we 3 we 4 direct 4 direct 5 researchers 4 direct 6 to 4 direct 10 for 6 to 9 resources 7 additional 8 data 8 data 9 resources 10 for 11 understanding 11 understanding 12 aging 12 aging 13 in 12 aging 15 in 13 in 14 sweden 15 in 17 depth 16 greater 17 depth sweden was one of the first countries to experience rapid population aging . 0 ###LEFT-WALL### 1 sweden 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 13 . 1 sweden 2 was 2 was 3 one 3 one 4 of 4 of 7 countries 5 the 7 countries 6 first 7 countries 7 countries 8 to 7 countries 9 experience 8 to 9 experience 9 experience 11 population 10 rapid 11 population 11 population 12 aging quality of life for a majority of older swedes is high . 0 ###LEFT-WALL### 1 quality 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 12 . 1 quality 2 of 1 quality 10 is 2 of 3 life 3 life 4 for 4 for 9 swedes 5 a 6 majority 6 majority 7 of 6 majority 9 swedes 7 of 9 swedes 8 older 9 swedes 10 is 11 high local control permits a flexible and adaptive set of services and programs , where emphasis is placed on improving the quality and targeting of services that have already reached a plateau as a function of population and expenditures . 0 ###LEFT-WALL### 2 control 0 ###LEFT-WALL### 3 permits 0 ###LEFT-WALL### 39 . 1 local 2 control 2 control 3 permits 3 permits 8 set 3 permits 14 where 4 a 8 set 5 flexible 6 and 6 and 7 adaptive 6 and 8 set 8 set 9 of 9 of 11 and 10 services 11 and 11 and 12 programs 11 and 13 , 14 where 22 and 14 where 29 reached 15 emphasis 16 is 15 emphasis 22 and 16 is 17 placed 17 placed 18 on 18 on 19 improving 19 improving 21 quality 20 the 21 quality 22 and 23 targeting 23 targeting 24 of 23 targeting 29 reached 24 of 25 services 25 services 26 that 25 services 27 have 26 that 27 have 28 already 29 reached 29 reached 31 plateau 29 reached 32 as 30 a 31 plateau 32 as 37 and 33 a 34 function 34 function 35 of 34 function 37 and 35 of 36 population 37 and 38 expenditures background : adults aging with hiv infection are at risk for age - related comorbidities and syndromes , such as frailty . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 3 adults 2 : 8 are 3 adults 4 aging 3 adults 5 with 3 adults 8 are 5 with 7 infection 6 hiv 7 infection 8 are 9 at 9 at 10 risk 10 risk 11 for 10 risk 20 as 11 for 12 age 12 age 16 and 13 - 16 and 14 related 15 comorbidities 15 comorbidities 16 and 16 and 17 syndromes 16 and 18 , 19 such 20 as 20 as 21 frailty the objective of this study was to evaluate the expression and predictors of the frailty phenotype ( fp ) among hiv - infected ( hiv+ ) and hiv - uninfected ( hiv - [ )(men who have sex with men . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 33 - 0 ###LEFT-WALL### 41 . 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 27 and 9 the 10 expression 10 expression 11 and 11 and 12 predictors 11 and 22 - 11 and 23 infected 11 and 25 hiv+ 11 and 27 and 12 predictors 13 of 12 predictors 20 among 13 of 16 phenotype 14 the 16 phenotype 15 frailty 16 phenotype 16 phenotype 18 fp 17 ( 18 fp 18 fp 19 ) 20 among 21 hiv 24 ( 25 hiv+ 25 hiv+ 26 ) 27 and 28 hiv 27 and 29 - 27 and 30 uninfected 27 and 32 hiv 31 ( 32 hiv 32 hiv 33 - 33 - 35 )(men 35 )(men 36 who 35 )(men 37 have 36 who 37 have 37 have 38 sex 38 sex 39 with 39 with 40 men methods : a prospective , observational cohort study was nested in the multicenter aids cohort study from october 2007 - september 2011 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 7 cohort 2 : 10 nested 2 : 20 - 2 : 23 . 3 a 4 prospective 3 a 7 cohort 4 prospective 5 , 4 prospective 7 cohort 6 observational 7 cohort 7 cohort 8 study 7 cohort 9 was 7 cohort 10 nested 8 study 9 was 10 nested 11 in 11 in 16 study 12 the 16 study 13 multicenter 14 aids 14 aids 15 cohort 15 cohort 16 study 16 study 17 from 17 from 18 october 18 october 19 2007 20 - 21 september 21 september 22 2011 fp conversion was defined as the onset of fp over two consecutive study visits . 0 ###LEFT-WALL### 2 conversion 0 ###LEFT-WALL### 4 defined 0 ###LEFT-WALL### 15 . 1 fp 2 conversion 2 conversion 3 was 3 was 4 defined 4 defined 5 as 5 as 7 onset 6 the 7 onset 7 onset 8 of 8 of 9 fp 9 fp 10 over 10 over 14 visits 11 two 14 visits 12 consecutive 13 study 13 study 14 visits adjusted odds ratios and 95 % confidence intervals [(] [[] , []] [ )(for fp conversion were estimated using logistic regression models with generalized estimating equations . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 18 estimated 0 ###LEFT-WALL### 27 . 1 adjusted 2 odds 2 odds 3 ratios 3 ratios 4 and 4 and 8 intervals 4 and 11 , 4 and 14 )(for 4 and 17 were 5 95 8 intervals 6 % 7 confidence 7 confidence 8 intervals 14 )(for 16 conversion 15 fp 16 conversion 17 were 18 estimated 18 estimated 19 using 18 estimated 23 with 19 using 22 models 20 logistic 22 models 21 regression 22 models 23 with 26 equations 24 generalized 26 equations 25 estimating 26 equations results : of 10,571 completed study visits from 1,946 men who have sex with men , 12 [%] and 9 % were fp+ among hiv+ and hiv - men , respectively ( p = [.] 002 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 7 visits 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 23 fp+ 0 ###LEFT-WALL### 38 . 1 results 2 : 2 : 3 of 3 of 4 10,571 4 10,571 5 completed 4 10,571 6 study 4 10,571 7 visits 6 study 7 visits 7 visits 8 from 8 from 10 men 9 1,946 10 men 10 men 11 who 10 men 12 have 11 who 12 have 12 have 13 sex 12 have 14 with 14 with 15 men 16 , 23 fp+ 17 12 19 and 19 and 20 9 19 and 21 % 21 % 22 were 22 were 23 fp+ 23 fp+ 24 among 23 fp+ 31 respectively 23 fp+ 34 = 24 among 26 and 25 hiv+ 26 and 26 and 27 hiv 27 hiv 29 men 28 - 29 men 29 men 30 , 32 ( 34 = 33 p 34 = 34 = 36 002 34 = 37 ) the proportion of fp+ visits increased with age regardless of hiv status , but was significantly greater in hiv+ compared to hiv - men aged 50 - 64 years . 0 ###LEFT-WALL### 2 proportion 0 ###LEFT-WALL### 14 but 0 ###LEFT-WALL### 23 - 0 ###LEFT-WALL### 30 . 1 the 2 proportion 2 proportion 3 of 2 proportion 14 but 3 of 5 visits 4 fp+ 5 visits 6 increased 7 with 6 increased 10 of 6 increased 14 but 7 with 8 age 9 regardless 10 of 10 of 12 status 11 hiv 12 status 13 , 14 but 14 but 15 was 15 was 16 significantly 15 was 17 greater 17 greater 18 in 17 greater 21 to 18 in 19 hiv+ 19 hiv+ 20 compared 21 to 22 hiv 23 - 24 men 23 - 25 aged 24 men 25 aged 25 aged 29 years 26 50 27 - 27 - 28 64 27 - 29 years of the 10,276 consecutive visit pairs contributed by participants , 5 % ( 537 ) were classified as fp conversion , and 45 % of the men with fp conversion had only one fp+ study visit . 0 ###LEFT-WALL### 12 % 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 37 . 1 of 6 pairs 1 of 10 , 1 of 12 % 2 the 3 10,276 3 10,276 6 pairs 4 consecutive 5 visit 5 visit 6 pairs 6 pairs 7 contributed 6 pairs 8 by 8 by 9 participants 11 5 12 % 12 % 14 537 12 % 22 and 13 ( 14 537 14 537 15 ) 16 were 17 classified 16 were 22 and 17 classified 18 as 18 as 20 conversion 19 fp 20 conversion 21 , 22 and 22 and 36 visit 23 45 24 % 24 % 25 of 24 % 31 had 25 of 27 men 26 the 27 men 27 men 28 with 28 with 30 conversion 29 fp 30 conversion 31 had 35 study 31 had 36 visit 32 only 33 one 33 one 35 study 34 fp+ 35 study fp conversion was significantly associated with a history of aids ( adjusted odds ratios [=] 2.26 [ 1.50 , 3.39 ] , but not with hiv+ alone [(] adjusted odds ratios = 1.26 [ 0.98 , 1.64 ] ) . 0 ###LEFT-WALL### 2 conversion 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 40 . 1 fp 2 conversion 2 conversion 3 was 3 was 4 significantly 3 was 5 associated 5 associated 6 with 5 associated 23 but 5 associated 25 with 6 with 8 history 7 a 8 history 8 history 9 of 8 history 14 ratios 9 of 10 aids 11 ( 14 ratios 12 adjusted 13 odds 13 odds 14 ratios 14 ratios 16 2.26 14 ratios 18 1.50 14 ratios 22 , 17 [ 18 1.50 18 1.50 20 3.39 18 1.50 21 ] 19 , 20 3.39 20 3.39 21 ] 23 but 24 not 25 with 31 ratios 25 with 33 1.26 26 hiv+ 31 ratios 27 alone 29 adjusted 29 adjusted 31 ratios 30 odds 31 ratios 32 = 33 1.26 33 1.26 35 0.98 34 [ 35 0.98 35 0.98 37 1.64 35 0.98 39 ) 36 , 37 1.64 37 1.64 38 ] among men who had one or more fp+ visits , 34 % [of] hiv+ and 38 % of hiv - men had less than two comorbidities . 0 ###LEFT-WALL### 21 men 0 ###LEFT-WALL### 22 had 0 ###LEFT-WALL### 27 . 1 among 2 men 1 among 21 men 2 men 3 who 2 men 4 had 2 men 17 % 3 who 4 had 4 had 6 or 5 one 6 or 6 or 7 more 6 or 9 visits 6 or 10 , 8 fp+ 9 visits 10 , 17 % 11 34 12 % 11 34 15 and 12 % 14 hiv+ 15 and 16 38 15 and 17 % 17 % 18 of 17 % 20 - 18 of 19 hiv 21 men 22 had 22 had 26 comorbidities 23 less 24 than 24 than 25 two 25 two 26 comorbidities conclusions : these findings suggest that expression of the fp can be measured in men who have sex with men [with] and without hiv infection and reflects multisystem dysfunction in this population ; further investigations are needed to better understand clinical utility . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 43 . 2 : 4 findings 2 : 5 suggest 2 : 33 ; 2 : 40 understand 3 these 4 findings 4 findings 5 suggest 5 suggest 6 that 6 that 7 expression 6 that 26 and 7 expression 8 of 7 expression 26 and 8 of 10 fp 9 the 10 fp 11 can 12 be 11 can 26 and 12 be 13 measured 13 measured 22 and 14 in 15 men 14 in 22 and 15 men 16 who 15 men 17 have 16 who 17 have 17 have 18 sex 17 have 19 with 19 with 20 men 22 and 23 without 23 without 25 infection 24 hiv 25 infection 26 and 27 reflects 27 reflects 29 dysfunction 28 multisystem 29 dysfunction 29 dysfunction 30 in 30 in 32 population 31 this 32 population 33 ; 35 investigations 33 ; 37 needed 34 further 35 investigations 35 investigations 36 are 36 are 37 needed 37 needed 38 to 38 to 40 understand 39 better 40 understand 40 understand 42 utility 41 clinical 42 utility background : advanced glycation endproducts are biologically active compounds that accumulate in disordered metabolism and normal aging . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 aging 0 ###LEFT-WALL### 18 . 2 : 4 glycation 3 advanced 4 glycation 4 glycation 5 endproducts 4 glycation 17 aging 5 endproducts 6 are 6 are 7 biologically 6 are 9 compounds 6 are 12 in 8 active 9 compounds 9 compounds 10 that 9 compounds 11 accumulate 10 that 11 accumulate 12 in 15 and 13 disordered 14 metabolism 14 metabolism 15 and 15 and 16 normal 15 and 17 aging carboxymethyl - lysine ( cml ) , a ubiquitous human advanced glycation endproduct , has been associated with age - related conditions and mortality . 0 ###LEFT-WALL### 1 carboxymethyl 0 ###LEFT-WALL### 17 associated 0 ###LEFT-WALL### 21 related 0 ###LEFT-WALL### 25 . 1 carboxymethyl 3 lysine 1 carboxymethyl 15 has 2 - 3 lysine 3 lysine 5 cml 3 lysine 13 endproduct 3 lysine 14 , 4 ( 5 cml 5 cml 6 ) 7 , 13 endproduct 8 a 13 endproduct 9 ubiquitous 10 human 10 human 13 endproduct 11 advanced 12 glycation 12 glycation 13 endproduct 13 endproduct 14 , 15 has 16 been 16 been 17 associated 17 associated 18 with 18 with 19 age 20 - 21 related 21 related 23 and 22 conditions 23 and 23 and 24 mortality our objective was to ascertain the relationship between cml and geriatric outcomes ( disability and frailty ) in a large cohort of older men and women . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 27 . 1 our 2 objective 2 objective 3 was 3 was 4 to 3 was 5 ascertain 4 to 5 ascertain 5 ascertain 10 and 5 ascertain 18 in 6 the 7 relationship 7 relationship 8 between 7 relationship 10 and 8 between 9 cml 10 and 12 outcomes 10 and 15 and 11 geriatric 12 outcomes 13 ( 15 and 14 disability 15 and 15 and 16 frailty 15 and 17 ) 18 in 21 cohort 19 a 20 large 19 a 21 cohort 20 large 21 cohort 21 cohort 22 of 22 of 25 and 23 older 24 men 24 men 25 and 25 and 26 women methods : in 1996 - 1997 , serum cml was measured in 3,373 cardiovascular health study participants ( mean age 78.1 ± 4.8 years ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 3 in 2 : 10 was 3 in 4 1996 3 in 10 was 4 1996 6 1997 5 - 6 1997 6 1997 7 , 8 serum 9 cml 8 serum 10 was 10 was 11 measured 11 measured 12 in 12 in 17 participants 13 3,373 17 participants 14 cardiovascular 15 health 15 health 17 participants 16 study 17 participants 17 participants 24 years 18 ( 24 years 19 mean 20 age 20 age 24 years 21 78.1 24 years 22 ± 24 years 23 4.8 24 years 24 years 25 ) disability , defined as difficulty in any of six activities of daily living , was assessed every 6 - 12 months for 14 years . 0 ###LEFT-WALL### 1 disability 0 ###LEFT-WALL### 16 assessed 0 ###LEFT-WALL### 25 . 1 disability 3 defined 1 disability 15 was 2 , 3 defined 3 defined 4 as 3 defined 6 in 3 defined 14 , 4 as 5 difficulty 6 in 7 any 7 any 8 of 7 any 11 of 8 of 10 activities 9 six 10 activities 11 of 13 living 12 daily 13 living 15 was 16 assessed 16 assessed 17 every 16 assessed 22 for 17 every 21 months 18 6 19 - 19 - 20 12 19 - 21 months 22 for 24 years 23 14 24 years frailty was defined according to five standard criteria at the 1996 - 1997 visit . 0 ###LEFT-WALL### 1 frailty 0 ###LEFT-WALL### 3 defined 0 ###LEFT-WALL### 15 . 1 frailty 2 was 2 was 3 defined 3 defined 5 to 4 according 5 to 5 to 8 criteria 6 five 8 criteria 7 standard 8 criteria 8 criteria 9 at 9 at 14 visit 10 the 14 visit 11 1996 12 - 12 - 13 1997 12 - 14 visit cox proportional hazard models estimated the relationship between cml and incident disability ( n = 2,643 ) . 0 ###LEFT-WALL### 4 models 0 ###LEFT-WALL### 5 estimated 0 ###LEFT-WALL### 18 . 1 cox 4 models 2 proportional 3 hazard 3 hazard 4 models 4 models 5 estimated 5 estimated 10 and 6 the 7 relationship 7 relationship 8 between 7 relationship 10 and 8 between 9 cml 10 and 12 disability 10 and 15 = 11 incident 12 disability 13 ( 15 = 14 n 15 = 15 = 16 2,643 15 = 17 ) logistic regression models estimated the relationship between cml and prevalent frailty . 0 ###LEFT-WALL### 3 models 0 ###LEFT-WALL### 4 estimated 0 ###LEFT-WALL### 12 . 1 logistic 2 regression 2 regression 3 models 3 models 4 estimated 4 estimated 9 and 5 the 6 relationship 6 relationship 7 between 6 relationship 9 and 7 between 8 cml 9 and 11 frailty 10 prevalent 11 frailty results : adjusting for multiple potential confounders , [higher] cml was associated with incident disability ( hazard [ratio] per standard deviation [ 225 ng/ml ] [increase] : 1.05 , 95 % ci 1.01 - 1.11 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 3 adjusting 2 : 7 confounders 2 : 8 , 3 adjusting 4 for 3 adjusting 7 confounders 4 for 6 potential 5 multiple 6 potential 8 , 10 cml 8 , 12 associated 8 , 27 : 10 cml 11 was 11 was 12 associated 12 associated 13 with 13 with 15 disability 14 incident 15 disability 15 disability 17 hazard 16 ( 17 hazard 17 hazard 19 per 17 hazard 24 ng/ml 17 hazard 25 ] 19 per 21 deviation 20 standard 21 deviation 22 [ 24 ng/ml 23 225 24 ng/ml 24 ng/ml 25 ] 27 : 28 1.05 28 1.05 32 ci 29 , 32 ci 30 95 32 ci 31 % 32 ci 32 ci 34 - 32 ci 36 ) 33 1.01 34 - 34 - 35 1.11 in men , odds of frailty increased with higher [cml] values ( odds ratio [=] 1.30 per standard deviation , 95 % ci 1.14 - 1.48 ) , but the relationship was attenuated by adjustment for cognitive status , kidney function , and arthritis . 0 ###LEFT-WALL### 4 odds 0 ###LEFT-WALL### 7 increased 0 ###LEFT-WALL### 29 but 0 ###LEFT-WALL### 45 . 1 in 2 men 1 in 3 , 1 in 4 odds 4 odds 5 of 4 odds 7 increased 5 of 6 frailty 7 increased 8 with 8 with 11 values 9 higher 11 values 11 values 14 ratio 11 values 23 ci 12 ( 14 ratio 13 odds 14 ratio 14 ratio 16 1.30 14 ratio 17 per 14 ratio 20 , 17 per 19 deviation 18 standard 19 deviation 20 , 23 ci 21 95 23 ci 22 % 23 ci 23 ci 25 - 23 ci 27 ) 24 1.14 25 - 25 - 26 1.48 28 , 29 but 29 but 31 relationship 29 but 33 attenuated 30 the 31 relationship 31 relationship 32 was 32 was 33 attenuated 33 attenuated 34 by 34 by 35 adjustment 35 adjustment 36 for 36 for 43 and 37 cognitive 38 status 38 status 39 , 39 , 41 function 39 , 43 and 40 kidney 41 function 42 , 43 and 43 and 44 arthritis cml was not associated with frailty in women . 0 ###LEFT-WALL### 1 cml 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 9 . 1 cml 2 was 2 was 3 not 2 was 5 with 2 was 7 in 3 not 4 associated 5 with 6 frailty 7 in 8 women conclusions : higher serum cml levels in late life are associated with incident disability and prevalent frailty . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 serum 2 : 11 associated 2 : 18 . 3 higher 4 serum 4 serum 5 cml 4 serum 6 levels 4 serum 10 are 4 serum 11 associated 6 levels 7 in 6 levels 10 are 7 in 9 life 8 late 9 life 11 associated 12 with 12 with 15 and 13 incident 14 disability 14 disability 15 and 15 and 17 frailty 16 prevalent 17 frailty further work is needed to understand cml 's value as a risk stratifier , biomarker , or target for interventions that promote healthy aging . 0 ###LEFT-WALL### 2 work 0 ###LEFT-WALL### 6 understand 0 ###LEFT-WALL### 25 . 1 further 2 work 2 work 3 is 3 is 4 needed 4 needed 5 to 5 to 6 understand 6 understand 7 cml 6 understand 8 's 7 cml 8 's 8 's 9 value 8 's 10 as 10 as 17 or 11 a 13 stratifier 12 risk 13 stratifier 13 stratifier 14 , 14 , 15 biomarker 14 , 17 or 16 , 17 or 17 or 18 target 17 or 19 for 19 for 20 interventions 20 interventions 21 that 20 interventions 22 promote 21 that 22 promote 22 promote 24 aging 23 healthy 24 aging background : on average , as people age , they accumulate more health deficits and have an increased risk of death . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 16 have 0 ###LEFT-WALL### 22 . 1 background 2 : 2 : 4 average 3 on 4 average 5 , 10 they 5 , 15 and 6 as 7 people 6 as 8 age 6 as 9 , 6 as 10 they 7 people 8 age 10 they 15 and 11 accumulate 14 deficits 11 accumulate 15 and 12 more 14 deficits 13 health 14 deficits 15 and 16 have 16 have 19 risk 17 an 19 risk 18 increased 19 risk 19 risk 20 of 20 of 21 death the deficit accumulation [-] based frailty index ( fi ) can quantify health and its outcomes in aging . 0 ###LEFT-WALL### 7 index 0 ###LEFT-WALL### 12 quantify 0 ###LEFT-WALL### 19 . 1 the 7 index 2 deficit 5 based 3 accumulation 5 based 5 based 6 frailty 6 frailty 7 index 7 index 9 fi 7 index 11 can 8 ( 9 fi 9 fi 10 ) 11 can 12 quantify 12 quantify 14 and 12 quantify 17 in 13 health 14 and 14 and 16 outcomes 15 its 16 outcomes 17 in 18 aging previous studies have suggested that women show higher fi values than men and that the highest fi score ( the " limit to frailty " ) occurs at a value of fi ~ 0.7 . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 suggested 0 ###LEFT-WALL### 33 ~ 0 ###LEFT-WALL### 35 . 1 previous 2 studies 2 studies 3 have 3 have 4 suggested 4 suggested 13 and 5 that 6 women 5 that 7 show 5 that 13 and 6 women 7 show 7 show 9 fi 7 show 10 values 7 show 11 than 8 higher 9 fi 11 than 12 men 13 and 14 that 14 that 18 score 14 that 27 occurs 15 the 16 highest 15 the 18 score 17 fi 18 score 18 score 22 limit 18 score 27 occurs 19 ( 22 limit 20 the 21 " 20 the 22 limit 22 limit 23 to 22 limit 26 ) 23 to 24 frailty 24 frailty 25 " 27 occurs 28 at 28 at 30 value 29 a 30 value 30 value 31 of 31 of 32 fi 33 ~ 34 0.7 even so , gender differences in the limit to frailty have not been reported . 0 ###LEFT-WALL### 5 differences 0 ###LEFT-WALL### 14 reported 0 ###LEFT-WALL### 15 . 1 even 2 so 1 even 3 , 1 even 5 differences 2 so 3 , 4 gender 5 differences 5 differences 6 in 5 differences 11 have 6 in 8 limit 7 the 8 limit 8 limit 9 to 9 to 10 frailty 11 have 12 not 11 have 13 been 13 been 14 reported methods : data for this analysis were obtained from the beijing longitudinal study of aging that involved 3,257 community - dwelling chinese people , aged 55+ years at baseline . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 data 2 : 8 obtained 2 : 20 - 3 data 4 for 3 data 7 were 4 for 6 analysis 5 this 6 analysis 7 were 8 obtained 8 obtained 9 from 9 from 19 community 10 the 19 community 11 beijing 12 longitudinal 12 longitudinal 13 study 13 study 14 of 13 study 19 community 14 of 15 aging 15 aging 17 involved 16 that 17 involved 18 3,257 19 community 20 - 23 people 21 dwelling 22 chinese 22 chinese 23 people 23 people 27 years 24 , 27 years 25 aged 27 years 26 55+ 27 years 27 years 28 at 27 years 30 . 28 at 29 baseline the main outcome measure was 5 - year mortality . 0 ###LEFT-WALL### 4 measure 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 10 . 1 the 2 main 1 the 4 measure 3 outcome 4 measure 4 measure 5 was 5 was 6 5 7 - 9 mortality 8 year 9 mortality an fi consisting of 35 health - related variables was constructed . 0 ###LEFT-WALL### 2 fi 0 ###LEFT-WALL### 11 constructed 0 ###LEFT-WALL### 12 . 1 an 2 fi 2 fi 3 consisting 2 fi 10 was 3 consisting 4 of 4 of 6 health 5 35 6 health 7 - 8 related 8 related 9 variables 8 related 10 was 10 was 11 constructed the absolute and 99 % fi limits were calculated for different age groups and analyzed by sex . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 9 calculated 0 ###LEFT-WALL### 18 . 1 the 2 absolute 2 absolute 3 and 3 and 7 limits 3 and 8 were 4 99 5 % 5 % 7 limits 6 fi 7 limits 8 were 9 calculated 9 calculated 10 for 10 for 12 age 11 different 12 age 12 age 14 and 13 groups 14 and 14 and 15 analyzed 14 and 16 by 16 by 17 sex results : the mean level of the fi increased with age and was lower in men than in women ( f = 67.87 , p < [.] 001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 level 2 : 12 and 2 : 30 . 3 the 5 level 4 mean 5 level 5 level 6 of 5 level 12 and 6 of 8 fi 7 the 8 fi 9 increased 10 with 9 increased 12 and 10 with 11 age 12 and 13 was 13 was 14 lower 14 lower 15 in 14 lower 17 than 14 lower 26 < 15 in 16 men 17 than 18 in 18 in 19 women 19 women 22 = 20 ( 22 = 21 f 22 = 22 = 23 67.87 22 = 24 , 24 , 26 < 25 p 26 < 26 < 28 001 26 < 29 ) the 99 % fi limit leveled off slightly earlier with a relatively lower value in men ( 60 years [;] 0.44 ± 0.02 ) compared with that in women ( 65 years [;] 0.52 ± 0.04 ) . 0 ###LEFT-WALL### 5 limit 0 ###LEFT-WALL### 25 compared 0 ###LEFT-WALL### 38 . 1 the 5 limit 2 99 3 % 3 % 5 limit 4 fi 5 limit 5 limit 6 leveled 5 limit 25 compared 6 leveled 7 off 6 leveled 8 slightly 6 leveled 9 earlier 6 leveled 10 with 6 leveled 15 in 10 with 14 value 11 a 12 relatively 11 a 14 value 12 relatively 13 lower 13 lower 14 value 15 in 16 men 16 men 22 ± 17 ( 22 ± 18 60 19 years 19 years 22 ± 21 0.44 22 ± 22 ± 23 0.02 22 ± 24 ) 25 compared 26 with 25 compared 28 in 26 with 27 that 28 in 29 women 29 women 35 ± 30 ( 35 ± 31 65 32 years 32 years 35 ± 34 0.52 35 ± 35 ± 36 0.04 35 ± 37 ) the highest absolute fi value was 0.61 in men and 0.69 in women . 0 ###LEFT-WALL### 5 value 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 14 . 1 the 2 highest 1 the 5 value 3 absolute 5 value 4 fi 5 value 5 value 6 was 6 was 10 and 7 0.61 8 in 8 in 9 men 9 men 10 and 10 and 13 women 11 0.69 12 in 12 in 13 women in both groups , people with an fi greater than or equal to the 99 % limit showed close to 100 % mortality by 5 years . 0 ###LEFT-WALL### 5 people 0 ###LEFT-WALL### 18 showed 0 ###LEFT-WALL### 27 . 1 in 3 groups 1 in 4 , 1 in 5 people 2 both 3 groups 5 people 6 with 5 people 18 showed 6 with 11 or 7 an 8 fi 8 fi 9 greater 8 fi 11 or 9 greater 10 than 11 or 12 equal 11 or 13 to 13 to 17 limit 14 the 17 limit 15 99 16 % 16 % 17 limit 18 showed 20 to 18 showed 23 mortality 18 showed 24 by 19 close 20 to 20 to 22 % 21 100 22 % 24 by 26 years 25 5 26 years conclusion : compared with men , women appeared to better tolerate deficits in health , yielding both relatively lower mortality and higher limit values to the fi . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 3 compared 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 11 tolerate 1 conclusion 2 : 2 : 3 compared 3 compared 4 with 4 with 5 men 6 , 7 women 6 , 8 appeared 7 women 8 appeared 8 appeared 9 to 9 to 11 tolerate 10 better 11 tolerate 11 tolerate 12 deficits 11 tolerate 13 in 11 tolerate 16 yielding 13 in 14 health 15 , 16 yielding 16 yielding 24 values 16 yielding 25 to 16 yielding 28 . 17 both 24 values 18 relatively 19 lower 19 lower 20 mortality 20 mortality 21 and 21 and 22 higher 21 and 23 limit 23 limit 24 values 25 to 27 fi 26 the 27 fi even so , the fi did not exceed 0.7 in any individual . 0 ###LEFT-WALL### 5 fi 0 ###LEFT-WALL### 8 exceed 0 ###LEFT-WALL### 13 . 1 even 2 so 1 even 3 , 1 even 5 fi 2 so 3 , 4 the 5 fi 5 fi 6 did 6 did 7 not 6 did 8 exceed 8 exceed 9 0.7 8 exceed 10 in 10 in 12 individual 11 any 12 individual [none] none background : previous studies reported a positive association [of] body mass index ( bmi ) with microsatellite - stable [(] mss ) but not with microsatellite - instable ( msi - high ) colorectal cancer . 0 ###LEFT-WALL### 3 background 0 ###LEFT-WALL### 4 : 2 none 3 background 4 : 6 studies 4 : 7 reported 4 : 38 . 5 previous 6 studies 6 studies 7 reported 7 reported 14 index 7 reported 25 but 8 a 9 positive 8 a 14 index 9 positive 14 index 10 association 12 body 12 body 13 mass 13 mass 14 index 14 index 16 bmi 15 ( 16 bmi 16 bmi 17 ) 18 with 19 microsatellite 18 with 25 but 19 microsatellite 23 mss 20 - 23 mss 21 stable 23 mss 23 mss 24 ) 25 but 26 not 25 but 27 with 27 with 37 cancer 28 microsatellite 29 - 28 microsatellite 37 cancer 30 instable 32 msi 30 instable 33 - 30 instable 37 cancer 31 ( 32 msi 32 msi 33 - 34 high 35 ) 34 high 37 cancer 36 colorectal 37 cancer however , information from population [-] based studies conducted in representative age groups is so far limited . 0 ###LEFT-WALL### 3 information 0 ###LEFT-WALL### 14 is 0 ###LEFT-WALL### 18 . 1 however 2 , 1 however 3 information 3 information 4 from 3 information 14 is 4 from 8 studies 5 population 7 based 7 based 8 studies 8 studies 9 conducted 9 conducted 10 in 10 in 13 groups 11 representative 13 groups 12 age 13 groups 14 is 16 far 14 is 17 limited 15 so 16 far methods : we conducted a population - based case - control study ( dachs ) in southern germany , including 1,215 patients with incident colorectal cancer and 1,891 matched controls with no upper age limit . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 conducted 2 : 7 - 3 we 4 conducted 4 conducted 6 population 5 a 6 population 7 - 9 case 7 - 10 - 8 based 9 case 10 - 11 control 11 control 12 study 11 control 16 in 11 control 20 including 12 study 14 dachs 13 ( 14 dachs 14 dachs 15 ) 16 in 18 germany 17 southern 18 germany 19 , 20 including 20 including 22 patients 20 including 23 with 20 including 36 . 21 1,215 22 patients 23 with 27 and 23 with 31 with 24 incident 26 cancer 25 colorectal 26 cancer 26 cancer 27 and 27 and 30 controls 28 1,891 30 controls 29 matched 30 controls 31 with 35 limit 32 no 35 limit 33 upper 35 limit 34 age 35 limit information on risk factors of colorectal cancer was obtained in standardized interviews . 0 ###LEFT-WALL### 1 information 0 ###LEFT-WALL### 9 obtained 0 ###LEFT-WALL### 13 . 1 information 2 on 1 information 8 was 2 on 4 factors 3 risk 4 factors 4 factors 5 of 5 of 7 cancer 6 colorectal 7 cancer 8 was 9 obtained 9 obtained 10 in 10 in 12 interviews 11 standardized 12 interviews microsatellite instability was analyzed using a mononucleotide marker panel . 0 ###LEFT-WALL### 2 instability 0 ###LEFT-WALL### 4 analyzed 0 ###LEFT-WALL### 10 . 1 microsatellite 2 instability 2 instability 3 was 3 was 4 analyzed 4 analyzed 5 using 5 using 9 panel 6 a 9 panel 7 mononucleotide 9 panel 8 marker 9 panel results : median age among cases was 69 years , and 115 cases were classified [msi] - high ( 9.5 % ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 age 2 : 7 was 2 : 23 . 3 median 4 age 4 age 5 among 4 age 7 was 5 among 6 cases 7 was 8 69 8 69 11 and 8 69 14 were 8 69 15 classified 8 69 21 % 9 years 11 and 10 , 11 and 11 and 13 cases 11 and 14 were 12 115 13 cases 15 classified 17 - 15 classified 18 high 19 ( 21 % 20 9.5 21 % 21 % 22 ) in multivariate analyses , bmi was positively associated with both risk of msi - high colorectal cancer [[] per 5 kg/m ( 2 ) : or , 1.71 [;] 95 % confidence interval ( ci ) , 1.35 - 2.17 ] [and] risk of mss colorectal cancer ( or , 1.20 [;] 95 % ci , 1.07 - 1.33 ) . 0 ###LEFT-WALL### 3 analyses 0 ###LEFT-WALL### 4 , 1 in 3 analyses 2 multivariate 3 analyses 4 , 5 bmi 4 , 8 associated 4 , 14 - 5 bmi 6 was 6 was 7 positively 6 was 8 associated 8 associated 9 with 9 with 10 both 9 with 11 risk 11 risk 12 of 12 of 13 msi 14 - 17 cancer 15 high 17 cancer 16 colorectal 17 cancer 17 cancer 19 per 17 cancer 23 2 17 cancer 25 : 19 per 21 kg/m 20 5 21 kg/m 22 ( 23 2 23 2 24 ) 25 : 26 or 26 or 33 interval 27 , 33 interval 28 1.71 33 interval 30 95 31 % 31 % 33 interval 32 confidence 33 interval 33 interval 35 ci 33 interval 37 , 34 ( 35 ci 35 ci 36 ) 37 , 39 - 38 1.35 39 - 39 - 40 2.17 39 - 41 ] 39 - 43 risk 43 risk 44 of 43 risk 49 or 44 of 47 cancer 45 mss 47 cancer 46 colorectal 47 cancer 48 ( 49 or 49 or 55 ci 49 or 58 - 49 or 61 . 50 , 55 ci 51 1.20 55 ci 53 95 55 ci 54 % 55 ci 55 ci 56 , 56 , 58 - 57 1.07 58 - 58 - 59 1.33 58 - 60 ) the association [with] msi - high colorectal cancer was limited to women ( or , 2.04 ; 95 % ci , 1.50 - 2.77 ; [p] interaction = 0.02 [ )(and most pronounced among [ever] users of postmenopausal hormone replacement therapy ( or , 4.68 [;] 95 % ci , 2.36 - 9.30 [;] p [interaction] = 0.01 ) . 0 ###LEFT-WALL### 4 msi 0 ###LEFT-WALL### 5 - 1 the 4 msi 2 association 4 msi 5 - 6 high 5 - 9 was 5 - 15 , 6 high 9 was 7 colorectal 8 cancer 8 cancer 9 was 9 was 10 limited 10 limited 11 to 11 to 12 women 12 women 14 or 13 ( 14 or 14 or 15 , 15 , 16 2.04 15 , 17 ; 17 ; 20 ci 17 ; 21 , 18 95 20 ci 19 % 20 ci 21 , 22 1.50 21 , 23 - 21 , 25 ; 22 1.50 23 - 23 - 24 2.77 25 ; 27 interaction 25 ; 31 )(and 27 interaction 28 = 28 = 29 0.02 31 )(and 32 most 31 )(and 33 pronounced 32 most 33 pronounced 33 pronounced 34 among 33 pronounced 41 therapy 34 among 36 users 36 users 37 of 37 of 39 hormone 38 postmenopausal 39 hormone 40 replacement 41 therapy 41 therapy 43 or 41 therapy 49 ci 42 ( 43 or 43 or 44 , 44 , 49 ci 45 4.68 49 ci 47 95 49 ci 48 % 49 ci 49 ci 51 2.36 49 ci 60 . 50 , 51 2.36 51 2.36 53 9.30 51 2.36 60 . 52 - 53 9.30 53 9.30 57 = 53 9.30 59 ) 55 p 57 = 57 = 58 0.01 57 = 59 ) in case - only analyses , [bmi] was more strongly associated with msi - high colorectal cancer [than] with mss colorectal cancer among women ( or , 1.84 ; 95 % ci , 1.13 - 1.82 ; p [interaction] = 0.01 [ )( 0 ###LEFT-WALL### 2 case 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 43 )( 1 in 2 case 3 - 6 , 3 - 14 - 3 - 33 , 4 only 5 analyses 5 analyses 6 , 6 , 8 was 8 was 11 associated 9 more 10 strongly 10 strongly 11 associated 11 associated 12 with 12 with 13 msi 14 - 17 cancer 14 - 29 ; 15 high 17 cancer 16 colorectal 17 cancer 17 cancer 19 with 17 cancer 26 or 19 with 22 cancer 20 mss 22 cancer 21 colorectal 22 cancer 22 cancer 23 among 23 among 24 women 25 ( 26 or 26 or 28 1.84 26 or 29 ; 27 , 28 1.84 28 1.84 29 ; 29 ; 32 ci 30 95 32 ci 31 % 32 ci 33 , 34 1.13 33 , 35 - 33 , 37 ; 34 1.13 35 - 35 - 36 1.82 37 ; 38 p 37 ; 40 = 38 p 40 = 40 = 41 0.01 conclusions : this population - based study confirms previous findings of increased risk of mss colorectal cancer with obesity between both sexes and suggests that overweight and obesity may also be associated with increased risk of msi - high colorectal cancer among women . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 44 . 1 conclusions 2 : 2 : 4 population 3 this 4 population 5 - 7 study 5 - 8 confirms 6 based 7 study 7 study 8 confirms 8 confirms 10 findings 8 confirms 18 with 8 confirms 20 between 9 previous 10 findings 10 findings 11 of 10 findings 14 of 11 of 13 risk 12 increased 13 risk 14 of 17 cancer 15 mss 17 cancer 16 colorectal 17 cancer 18 with 19 obesity 20 between 21 both 21 both 23 and 22 sexes 23 and 23 and 24 suggests 23 and 41 cancer 23 and 42 among 24 suggests 25 that 25 that 27 and 25 that 32 associated 26 overweight 27 and 27 and 28 obesity 27 and 29 may 29 may 31 be 30 also 31 be 31 be 32 associated 32 associated 33 with 32 associated 38 - 32 associated 39 high 33 with 35 risk 34 increased 35 risk 35 risk 36 of 36 of 37 msi 40 colorectal 41 cancer 42 among 43 women impact : these findings extend available data on the association of bmi and microsatellite instability in colorectal cancer and may suggest a link between overweight and obesity with sporadic msi - high colorectal cancer in women . 0 ###LEFT-WALL### 1 impact 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 suggest 2 : 4 findings 2 : 19 and 3 these 4 findings 4 findings 19 and 5 extend 7 data 5 extend 8 on 5 extend 16 in 5 extend 19 and 6 available 7 data 8 on 13 and 9 the 10 association 10 association 11 of 10 association 13 and 11 of 12 bmi 13 and 15 instability 14 microsatellite 15 instability 16 in 18 cancer 17 colorectal 18 cancer 19 and 20 may 20 may 21 suggest 21 suggest 23 link 22 a 23 link 23 link 24 between 23 link 28 with 23 link 34 cancer 24 between 26 and 25 overweight 26 and 26 and 27 obesity 28 with 30 msi 29 sporadic 30 msi 31 - 34 cancer 32 high 34 cancer 33 colorectal 34 cancer 34 cancer 35 in 34 cancer 37 . 35 in 36 women varieties of transforming growth factor [-] β ( tgf - β ) antagonists have been developed to intervene with excessive tgf - β signalling activity in cancer . 0 ###LEFT-WALL### 1 varieties 0 ###LEFT-WALL### 5 factor 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 23 β 0 ###LEFT-WALL### 28 . 1 varieties 2 of 1 varieties 5 factor 2 of 3 transforming 3 transforming 4 growth 5 factor 7 β 7 β 9 tgf 8 ( 9 tgf 9 tgf 10 - 10 - 13 antagonists 10 - 16 developed 10 - 22 - 11 β 12 ) 11 β 13 antagonists 13 antagonists 14 have 14 have 15 been 15 been 16 developed 16 developed 17 to 17 to 18 intervene 18 intervene 19 with 19 with 21 tgf 20 excessive 21 tgf 22 - 23 β 23 β 25 activity 23 β 26 in 24 signalling 25 activity 26 in 27 cancer activin receptor - like kinase5 ( alk5 ) inhibitors antagonize tgf - β signalling by blocking tgf - β receptor - activated smad ( r - smad ) phosphorylation . 0 ###LEFT-WALL### 2 receptor 0 ###LEFT-WALL### 3 - 1 activin 2 receptor 3 - 9 inhibitors 3 - 10 antagonize 3 - 18 - 4 like 5 kinase5 4 like 8 ) 4 like 9 inhibitors 5 kinase5 7 alk5 6 ( 7 alk5 7 alk5 8 ) 9 inhibitors 10 antagonize 10 antagonize 11 tgf 11 tgf 13 β 12 - 13 β 13 β 14 signalling 13 β 15 by 13 β 18 - 15 by 16 blocking 16 blocking 17 tgf 18 - 20 receptor 18 - 21 - 19 β 20 receptor 21 - 29 phosphorylation 21 - 30 . 22 activated 29 phosphorylation 23 smad 25 r 23 smad 27 smad 23 smad 29 phosphorylation 24 ( 25 r 25 r 26 - 26 - 27 smad 27 smad 28 ) here we report the novel mechanisms [how] alk5 inhibitors exert a therapeutic effect on a mouse b16 melanoma model . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 report 0 ###LEFT-WALL### 20 . 1 here 2 we 2 we 3 report 3 report 6 mechanisms 3 report 14 on 4 the 6 mechanisms 5 novel 6 mechanisms 6 mechanisms 9 inhibitors 6 mechanisms 10 exert 8 alk5 9 inhibitors 9 inhibitors 10 exert 10 exert 13 effect 11 a 12 therapeutic 11 a 13 effect 12 therapeutic 13 effect 14 on 19 model 15 a 19 model 16 mouse 19 model 17 b16 19 model 18 melanoma 19 model notably , alk5 inhibitors [not] only blocked r - smad phosphorylation , but also induced ubiquitin - mediated degradation of the common [smad] , smad4 mainly in cd8 [(] [+] [ )(t cells in melanoma - bearing mice . 0 ###LEFT-WALL### 3 alk5 0 ###LEFT-WALL### 18 mediated 0 ###LEFT-WALL### 39 . 1 notably 2 , 1 notably 3 alk5 3 alk5 4 inhibitors 3 alk5 7 blocked 3 alk5 11 phosphorylation 3 alk5 13 but 3 alk5 18 mediated 4 inhibitors 7 blocked 6 only 7 blocked 7 blocked 8 r 9 - 11 phosphorylation 10 smad 11 phosphorylation 11 phosphorylation 12 , 12 , 13 but 13 but 14 also 13 but 16 ubiquitin 13 but 17 - 15 induced 16 ubiquitin 18 mediated 19 degradation 18 mediated 26 mainly 18 mediated 34 in 19 degradation 20 of 20 of 25 smad4 21 the 25 smad4 22 common 24 , 22 common 25 smad4 26 mainly 27 in 27 in 33 cells 28 cd8 32 )(t 28 cd8 33 cells 34 in 38 mice 35 melanoma 36 - 35 melanoma 37 bearing 37 bearing 38 mice [accordingly] [,] t - cell - specific deletion of smad4 was sufficient to suppress the progression of melanoma . 0 ###LEFT-WALL### 3 t 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 6 - 3 t 4 - 4 - 5 cell 6 - 8 deletion 6 - 11 was 6 - 19 . 7 specific 8 deletion 8 deletion 9 of 8 deletion 11 was 9 of 10 smad4 11 was 12 sufficient 12 sufficient 13 to 12 sufficient 14 suppress 13 to 14 suppress 14 suppress 16 progression 15 the 16 progression 16 progression 17 of 17 of 18 melanoma we further identified eomesodermin ( eomes ) , [the] t - box transcription factor regulating ctl functions , as a specific target repressed by tgf - β via smad4 and smad3 in cd8 ( [+] [ )(t [cells] . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 identified 1 we 3 identified 2 further 3 identified 3 identified 4 eomesodermin 4 eomesodermin 6 eomes 4 eomesodermin 10 t 4 eomesodermin 13 transcription 5 ( 6 eomes 6 eomes 7 ) 8 , 10 t 10 t 11 - 11 - 13 transcription 12 box 13 transcription 13 transcription 17 functions 13 transcription 27 β 13 transcription 39 . 14 factor 17 functions 15 regulating 17 functions 16 ctl 17 functions 17 functions 19 as 17 functions 27 β 18 , 19 as 19 as 22 target 19 as 26 - 20 a 22 target 21 specific 22 target 22 target 23 repressed 23 repressed 24 by 24 by 25 tgf 27 β 28 via 27 β 32 in 28 via 31 smad3 29 smad4 30 and 30 and 31 smad3 32 in 33 cd8 33 cd8 37 )(t 34 ( 37 )(t 37 )(t 39 . thus , alk5 inhibition enhances anti - melanoma ctl responses through ubiquitin - mediated degradation of smad4 in addition to the direct inhibitory effect on r - smad phosphorylation . 0 ###LEFT-WALL### 4 inhibition 0 ###LEFT-WALL### 5 enhances 0 ###LEFT-WALL### 27 - 1 thus 2 , 1 thus 4 inhibition 3 alk5 4 inhibition 4 inhibition 5 enhances 5 enhances 15 degradation 5 enhances 18 in 5 enhances 20 to 6 anti 10 responses 6 anti 13 - 6 anti 15 degradation 7 - 10 responses 8 melanoma 10 responses 9 ctl 10 responses 10 responses 11 through 10 responses 13 - 11 through 12 ubiquitin 14 mediated 15 degradation 15 degradation 16 of 16 of 17 smad4 18 in 19 addition 20 to 24 effect 21 the 24 effect 22 direct 24 effect 23 inhibitory 24 effect 24 effect 25 on 25 on 26 r 27 - 29 phosphorylation 27 - 30 . 28 smad 29 phosphorylation context : pseudohypoparathyroidism ( php ) is defined as resistance toward parathyroid hormones . 0 ###LEFT-WALL### 1 context 0 ###LEFT-WALL### 2 : 2 : 5 php 2 : 8 defined 2 : 14 . 3 pseudohypoparathyroidism 5 php 4 ( 5 php 5 php 6 ) 5 php 7 is 7 is 8 defined 8 defined 9 as 8 defined 11 toward 9 as 10 resistance 11 toward 13 hormones 12 parathyroid 13 hormones php and pseudopseudohypoparathyroidism ( pphp ) are rare disorders resulting from genetic and epigenetic aberrations [within] [or] upstream of the gnas locus . 0 ###LEFT-WALL### 1 php 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 23 . 2 and 3 pseudopseudohypoparathyroidism 2 and 7 are 3 pseudopseudohypoparathyroidism 5 pphp 3 pseudopseudohypoparathyroidism 7 are 4 ( 5 pphp 5 pphp 6 ) 7 are 9 disorders 7 are 18 upstream 8 rare 9 disorders 9 disorders 10 resulting 9 disorders 11 from 11 from 15 aberrations 12 genetic 13 and 13 and 14 epigenetic 13 and 15 aberrations 18 upstream 19 of 19 of 22 locus 20 the 22 locus 21 gnas 22 locus this study investigated the clinical characteristics and performed a molecular analysis of php and pphp . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 16 . 1 this 2 study 2 study 7 and 3 investigated 6 characteristics 3 investigated 7 and 4 the 6 characteristics 5 clinical 6 characteristics 7 and 8 performed 8 performed 11 analysis 9 a 10 molecular 9 a 11 analysis 10 molecular 11 analysis 11 analysis 12 of 12 of 14 and 13 php 14 and 14 and 15 pphp methods : a total of 12 patients with [(] p )php from 11 unrelated families ( 4 with php - ia , 6 with php - ib , and 2 [with] pphp ) [were] characterized using both clinical and molecular methods . 1 methods 2 : 2 : 4 total 2 : 8 with 3 a 4 total 4 total 5 of 5 of 7 patients 6 12 7 patients 8 with 10 p 8 with 11 )php 11 )php 12 from 12 from 15 families 13 11 15 families 14 unrelated 15 families 15 families 20 - 16 ( 20 - 17 4 18 with 17 4 20 - 18 with 19 php 20 - 29 and 21 ia 23 6 21 ia 29 and 22 , 23 6 23 6 24 with 23 6 27 ib 23 6 28 , 24 with 25 php 26 - 27 ib 27 ib 28 , 28 , 29 and 29 and 32 pphp 29 and 33 ) 29 and 35 characterized 29 and 36 using 30 2 32 pphp 36 using 39 and 37 both 39 and 38 clinical 39 and 39 and 41 methods 39 and 42 . 40 molecular 41 methods clinical features included the presenting symptoms , albright hereditary osteodystrophy features , and resistance to hormones . 0 ###LEFT-WALL### 2 features 0 ###LEFT-WALL### 3 included 0 ###LEFT-WALL### 17 . 1 clinical 2 features 2 features 3 included 3 included 13 and 3 included 15 to 4 the 6 symptoms 5 presenting 6 symptoms 6 symptoms 7 , 7 , 11 features 7 , 13 and 8 albright 11 features 9 hereditary 10 osteodystrophy 10 osteodystrophy 11 features 12 , 13 and 13 and 14 resistance 15 to 16 hormones comprehensive analysis of the gnas and stx16 loci was undertaken to investigate the molecular defects underlying ( [p] )php . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 10 undertaken 1 comprehensive 2 analysis 2 analysis 3 of 2 analysis 9 was 3 of 6 and 4 the 5 gnas 5 gnas 6 and 6 and 8 loci 7 stx16 8 loci 9 was 10 undertaken 10 undertaken 11 to 11 to 12 investigate 12 investigate 16 underlying 13 the 16 underlying 14 molecular 15 defects 15 defects 16 underlying 16 underlying 19 )php 17 ( 19 )php 19 )php 20 . results : all php - ib patients displayed hypocalcemic symptoms . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 php 2 : 5 - 3 all 4 php 5 - 7 patients 5 - 8 displayed 5 - 11 . 6 ib 7 patients 7 patients 8 displayed 8 displayed 10 symptoms 9 hypocalcemic 10 symptoms all php - ia patients showed resistance toward tsh , in addition to pth . 0 ###LEFT-WALL### 2 php 0 ###LEFT-WALL### 3 - 1 all 2 php 3 - 5 patients 3 - 6 showed 4 ia 5 patients 5 patients 6 showed 6 showed 7 resistance 6 showed 8 toward 8 toward 9 tsh 9 tsh 11 in 10 , 11 in 11 in 12 addition 11 in 15 . 12 addition 13 to 13 to 14 pth in most patients with php , when the diagnosis of php was first established , hypocalcemia and hyperphosphatemia were associated with a significant increase in serum pth levels . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 29 . 1 in 3 patients 1 in 6 , 1 in 17 and 2 most 3 patients 3 patients 4 with 4 with 5 php 7 when 9 diagnosis 7 when 14 established 7 when 15 , 7 when 17 and 8 the 9 diagnosis 9 diagnosis 10 of 9 diagnosis 12 was 10 of 11 php 12 was 14 established 13 first 14 established 14 established 15 , 16 hypocalcemia 17 and 17 and 18 hyperphosphatemia 17 and 19 were 19 were 20 associated 20 associated 21 with 20 associated 25 in 21 with 24 increase 22 a 23 significant 22 a 24 increase 23 significant 24 increase 25 in 28 levels 26 serum 28 levels 27 pth 28 levels one patient with php [-] ia was diagnosed with growth hormone deficiency and showed a good response to human recombinant growth hormone therapy . 0 ###LEFT-WALL### 2 patient 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 24 . 1 one 2 patient 2 patient 3 with 2 patient 13 and 3 with 6 ia 4 php 6 ia 7 was 8 diagnosed 7 was 13 and 8 diagnosed 9 with 9 with 12 deficiency 10 growth 12 deficiency 11 hormone 12 deficiency 13 and 14 showed 14 showed 17 response 14 showed 23 therapy 15 a 16 good 15 a 17 response 16 good 17 response 17 response 18 to 18 to 20 recombinant 19 human 20 recombinant 21 growth 23 therapy 22 hormone 23 therapy one php [-] ib patient showed [a] de novo microdeletion in stx16 and a loss of methylation of exon a/b on the maternal allele . 0 ###LEFT-WALL### 5 patient 0 ###LEFT-WALL### 6 showed 0 ###LEFT-WALL### 25 . 1 one 5 patient 2 php 4 ib 4 ib 5 patient 5 patient 6 showed 6 showed 9 novo 6 showed 10 microdeletion 6 showed 11 in 6 showed 21 on 8 de 9 novo 11 in 13 and 12 stx16 13 and 13 and 15 loss 13 and 16 of 13 and 18 of 14 a 15 loss 16 of 17 methylation 18 of 20 a/b 19 exon 20 a/b 21 on 24 allele 22 the 24 allele 23 maternal 24 allele no patients revealed paternal disomy among 4 patients with php - ib . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 revealed 0 ###LEFT-WALL### 11 - 1 no 2 patients 2 patients 3 revealed 3 revealed 5 disomy 3 revealed 6 among 3 revealed 9 with 4 paternal 5 disomy 6 among 8 patients 7 4 8 patients 9 with 10 php 11 - 12 ib 11 - 13 . conclusions : identification of the molecular causes of php and pphp explains their distinctive clinical features and enables confirmation of the diagnosis and exact genetic counseling . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 3 identification 2 : 17 and 3 identification 4 of 3 identification 17 and 4 of 7 causes 5 the 7 causes 6 molecular 7 causes 7 causes 8 of 8 of 11 pphp 9 php 10 and 10 and 11 pphp 12 explains 16 features 12 explains 17 and 13 their 16 features 14 distinctive 16 features 15 clinical 16 features 17 and 18 enables 18 enables 23 and 19 confirmation 20 of 19 confirmation 23 and 20 of 22 diagnosis 21 the 22 diagnosis 23 and 26 counseling 24 exact 26 counseling 25 genetic 26 counseling free radical mediated pathologies occupy a special place in medical semiology and in mechanistic interpretation of diseases . 0 ###LEFT-WALL### 4 pathologies 0 ###LEFT-WALL### 5 occupy 0 ###LEFT-WALL### 18 . 1 free 2 radical 2 radical 3 mediated 3 mediated 4 pathologies 4 pathologies 5 occupy 5 occupy 8 place 6 a 7 special 6 a 8 place 7 special 8 place 8 place 12 and 9 in 11 semiology 9 in 12 and 10 medical 11 semiology 12 and 13 in 13 in 15 interpretation 14 mechanistic 15 interpretation 15 interpretation 16 of 16 of 17 diseases free radicals , or better reactive oxygen species ( ros ) or reactive nitrogen species ( rns ) play also an important role in cell signaling . 0 ###LEFT-WALL### 12 or 0 ###LEFT-WALL### 19 play 0 ###LEFT-WALL### 27 . 1 free 2 radicals 2 radicals 4 or 3 , 4 or 4 or 8 species 4 or 10 ros 4 or 12 or 5 better 7 oxygen 6 reactive 7 oxygen 7 oxygen 8 species 9 ( 10 ros 10 ros 11 ) 12 or 15 species 12 or 17 rns 12 or 19 play 13 reactive 14 nitrogen 14 nitrogen 15 species 16 ( 17 rns 17 rns 18 ) 19 play 20 also 19 play 23 role 19 play 24 in 21 an 23 role 22 important 23 role 24 in 26 signaling 25 cell 26 signaling this is the basis of the ambivalent ( jekyll - hyde ) situation of ros in biology and pathology . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 20 . 1 this 2 is 2 is 4 basis 3 the 4 basis 4 basis 5 of 5 of 13 situation 6 the 13 situation 7 ambivalent 9 jekyll 7 ambivalent 13 situation 8 ( 9 jekyll 9 jekyll 11 hyde 9 jekyll 12 ) 10 - 11 hyde 11 hyde 12 ) 13 situation 14 of 14 of 15 ros 15 ros 16 in 16 in 18 and 17 biology 18 and 18 and 19 pathology aging itself is attributed by a popular theory to free radicals . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 4 attributed 0 ###LEFT-WALL### 12 . 1 aging 3 is 2 itself 3 is 3 is 4 attributed 4 attributed 5 by 4 attributed 9 to 5 by 8 theory 6 a 7 popular 6 a 8 theory 7 popular 8 theory 9 to 10 free 10 free 11 radicals a number of ros [-] scavenging substances and procedures were described without however reaching credibility for their therapeutic value . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 11 described 0 ###LEFT-WALL### 20 . 1 a 2 number 2 number 3 of 2 number 8 and 3 of 8 and 4 ros 6 scavenging 4 ros 8 and 6 scavenging 7 substances 8 and 9 procedures 8 and 10 were 10 were 11 described 11 described 12 without 12 without 14 reaching 13 however 14 reaching 14 reaching 15 credibility 15 credibility 16 for 16 for 19 value 17 their 19 value 18 therapeutic 19 value an interesting exception is the xanthine oxido - reductase produced ros and their role in cardiovascular disease . 0 ###LEFT-WALL### 3 exception 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 18 . 1 an 2 interesting 1 an 3 exception 2 interesting 3 exception 3 exception 4 is 4 is 7 oxido 5 the 7 oxido 6 xanthine 7 oxido 8 - 9 reductase 8 - 10 produced 9 reductase 10 produced 10 produced 12 and 10 produced 15 in 11 ros 12 and 12 and 14 role 13 their 14 role 15 in 17 disease 16 cardiovascular 17 disease allopurinol inhibition of xanthine oxido - reductase was shown to be efficient in some cases of cardiovascular diseases . 0 ###LEFT-WALL### 2 inhibition 0 ###LEFT-WALL### 9 shown 0 ###LEFT-WALL### 19 . 1 allopurinol 2 inhibition 2 inhibition 3 of 2 inhibition 8 was 3 of 7 reductase 4 xanthine 7 reductase 5 oxido 6 - 5 oxido 7 reductase 8 was 9 shown 9 shown 10 to 10 to 11 be 11 be 12 efficient 12 efficient 13 in 13 in 15 cases 14 some 15 cases 15 cases 16 of 16 of 18 diseases 17 cardiovascular 18 diseases another important aspect of xanthine oxido - reductase produced ros is their antibacterial capacity considered to be of importance with newborns fed on milk rich in this enzyme as well as at the gastrointestinal barrier . 0 ###LEFT-WALL### 3 aspect 0 ###LEFT-WALL### 22 fed 0 ###LEFT-WALL### 36 . 1 another 3 aspect 2 important 3 aspect 3 aspect 4 of 3 aspect 8 reductase 3 aspect 9 produced 3 aspect 11 is 4 of 5 xanthine 6 oxido 7 - 6 oxido 8 reductase 8 reductase 9 produced 9 produced 10 ros 11 is 14 capacity 12 their 14 capacity 13 antibacterial 14 capacity 14 capacity 15 considered 15 considered 16 to 15 considered 17 be 16 to 17 be 17 be 18 of 17 be 20 with 18 of 19 importance 20 with 21 newborns 20 with 22 fed 22 fed 23 on 23 on 24 milk 24 milk 25 rich 25 rich 26 in 25 rich 30 well 25 rich 31 as 26 in 28 enzyme 27 this 28 enzyme 29 as 30 well 31 as 32 at 32 at 35 barrier 33 the 35 barrier 34 gastrointestinal 35 barrier this ambivalent role of xanthine oxido - reductase justifies this review on the basic enzymatic mechanisms involved , derived ros production , their role in the [above] mentioned biological processes and especially the interest of the inhibition of this enzyme as a preventive or curative measure in some cardiovascular pathologies . 0 ###LEFT-WALL### 3 role 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 51 . 1 this 3 role 2 ambivalent 3 role 3 role 4 of 3 role 18 , 4 of 8 reductase 5 xanthine 8 reductase 6 oxido 7 - 6 oxido 8 reductase 9 justifies 11 review 9 justifies 12 on 9 justifies 18 , 10 this 11 review 12 on 16 mechanisms 13 the 16 mechanisms 14 basic 16 mechanisms 15 enzymatic 16 mechanisms 16 mechanisms 17 involved 18 , 19 derived 18 , 41 as 19 derived 31 and 20 ros 21 production 21 production 22 , 22 , 24 role 22 , 31 and 23 their 24 role 24 role 25 in 25 in 30 processes 26 the 30 processes 28 mentioned 30 processes 29 biological 30 processes 31 and 32 especially 31 and 34 interest 33 the 34 interest 34 interest 35 of 35 of 37 inhibition 36 the 37 inhibition 37 inhibition 38 of 38 of 40 enzyme 39 this 40 enzyme 41 as 46 measure 42 a 46 measure 43 preventive 44 or 44 or 45 curative 44 or 46 measure 46 measure 47 in 47 in 50 pathologies 48 some 50 pathologies 49 cardiovascular 50 pathologies the aging immune system , so - called immunosenescence , is well documented as the cause of increased infection rates and severe , often complicated course of infections in the elderly with increased morbidity and mortality rates . 0 ###LEFT-WALL### 4 system 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 38 . 1 the 4 system 2 aging 4 system 3 immune 4 system 5 , 6 so 5 , 13 documented 5 , 35 and 6 so 7 - 6 so 10 , 8 called 9 immunosenescence 8 called 10 , 10 , 11 is 11 is 13 documented 12 well 13 documented 13 documented 14 as 14 as 16 cause 15 the 16 cause 16 cause 17 of 17 of 21 and 18 increased 19 infection 19 infection 20 rates 20 rates 21 and 21 and 26 course 21 and 27 of 22 severe 23 , 22 severe 26 course 24 often 25 complicated 25 complicated 26 course 27 of 28 infections 28 infections 29 in 28 infections 32 with 29 in 31 elderly 30 the 31 elderly 32 with 34 morbidity 33 increased 34 morbidity 35 and 36 mortality 35 and 37 rates 36 mortality 37 rates furthermore , it can lead to decreased efficacy of vaccination . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 5 lead 0 ###LEFT-WALL### 11 . 1 furthermore 2 , 1 furthermore 3 it 3 it 4 can 4 can 5 lead 5 lead 6 to 6 to 8 efficacy 7 decreased 8 efficacy 8 efficacy 9 of 9 of 10 vaccination the administration of more immunogenic vaccines can be beneficial in the elderly . 0 ###LEFT-WALL### 2 administration 0 ###LEFT-WALL### 8 be 0 ###LEFT-WALL### 13 . 1 the 2 administration 2 administration 3 of 2 administration 7 can 3 of 6 vaccines 4 more 5 immunogenic 5 immunogenic 6 vaccines 7 can 8 be 8 be 9 beneficial 9 beneficial 10 in 10 in 12 elderly 11 the 12 elderly implementing vaccination recommendations for the elderly by stiko can reduce burden of infectious diseases by prevention of infection or reduction of severity of infection . 0 ###LEFT-WALL### 1 implementing 0 ###LEFT-WALL### 10 reduce 0 ###LEFT-WALL### 25 . 1 implementing 3 recommendations 1 implementing 4 for 1 implementing 7 by 1 implementing 9 can 2 vaccination 3 recommendations 4 for 6 elderly 5 the 6 elderly 7 by 8 stiko 9 can 10 reduce 10 reduce 11 burden 10 reduce 15 by 11 burden 12 of 12 of 14 diseases 13 infectious 14 diseases 15 by 16 prevention 16 prevention 17 of 16 prevention 21 of 17 of 19 or 18 infection 19 or 19 or 20 reduction 21 of 22 severity 22 severity 23 of 23 of 24 infection the following vaccinations are recommended by stiko for all persons aged 60 and above : annual influenza vaccination ( additionally all nursing home residents independently of age ) , once only pneumococcal polysaccharide vaccination , completion of tetanus and diphtheria ( [td] [ )(vaccination as well as regular revaccination . 0 ###LEFT-WALL### 3 vaccinations 0 ###LEFT-WALL### 5 recommended 0 ###LEFT-WALL### 15 : 1 the 3 vaccinations 2 following 3 vaccinations 3 vaccinations 4 are 4 are 5 recommended 5 recommended 13 and 6 by 7 stiko 6 by 13 and 7 stiko 8 for 8 for 10 persons 9 all 10 persons 10 persons 11 aged 11 aged 12 60 13 and 14 above 15 : 18 vaccination 16 annual 17 influenza 17 influenza 18 vaccination 18 vaccination 22 nursing 18 vaccination 34 vaccination 19 ( 22 nursing 20 additionally 22 nursing 21 all 22 nursing 22 nursing 24 residents 22 nursing 25 independently 22 nursing 28 ) 23 home 24 residents 25 independently 26 of 26 of 27 age 29 , 30 once 29 , 34 vaccination 31 only 32 pneumococcal 32 pneumococcal 33 polysaccharide 33 polysaccharide 34 vaccination 34 vaccination 36 completion 34 vaccination 50 . 35 , 36 completion 36 completion 37 of 36 completion 50 . 37 of 39 and 38 tetanus 39 and 39 and 40 diphtheria 39 and 44 )(vaccination 41 ( 44 )(vaccination 44 )(vaccination 47 as 44 )(vaccination 50 . 45 as 46 well 46 well 47 as 47 as 49 revaccination 48 regular 49 revaccination all adults should be vaccinated against pertussis with tdap vaccine once . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 5 vaccinated 0 ###LEFT-WALL### 12 . 1 all 2 adults 2 adults 3 should 3 should 4 be 4 be 5 vaccinated 5 vaccinated 6 against 5 vaccinated 8 with 5 vaccinated 11 once 6 against 7 pertussis 8 with 10 vaccine 9 tdap 10 vaccine meanwhile , pneumococcal conjugate vaccine is allowed for administration in adults but is not recommended by stiko yet . 0 ###LEFT-WALL### 5 vaccine 0 ###LEFT-WALL### 12 but 0 ###LEFT-WALL### 19 . 1 meanwhile 2 , 1 meanwhile 5 vaccine 3 pneumococcal 5 vaccine 4 conjugate 5 vaccine 5 vaccine 12 but 6 is 7 allowed 6 is 12 but 7 allowed 8 for 7 allowed 10 in 8 for 9 administration 10 in 11 adults 12 but 13 is 13 is 14 not 13 is 16 by 13 is 18 yet 14 not 15 recommended 16 by 17 stiko a lifelong course of vaccination may help to attenuate the effect of immunosenescence . 0 ###LEFT-WALL### 3 course 0 ###LEFT-WALL### 7 help 0 ###LEFT-WALL### 14 . 1 a 2 lifelong 1 a 3 course 2 lifelong 3 course 3 course 4 of 3 course 6 may 4 of 5 vaccination 6 may 7 help 7 help 8 to 7 help 9 attenuate 8 to 9 attenuate 9 attenuate 11 effect 10 the 11 effect 11 effect 12 of 12 of 13 immunosenescence aging can be defined as the result of accumulated cellular damage and deregulation of the epigenome . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 4 defined 0 ###LEFT-WALL### 17 . 1 aging 2 can 2 can 3 be 3 be 4 defined 4 defined 5 as 5 as 7 result 6 the 7 result 7 result 8 of 8 of 12 and 9 accumulated 11 damage 10 cellular 11 damage 11 damage 12 and 12 and 13 deregulation 12 and 14 of 14 of 16 epigenome 15 the 16 epigenome these changes cause impaired cell maintenance systems , reduced tissue regeneration , weakening of the immune system and increased risk of malignancy . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 3 cause 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 23 . 1 these 2 changes 2 changes 3 cause 3 cause 7 systems 4 impaired 5 cell 5 cell 6 maintenance 6 maintenance 7 systems 8 , 18 and 9 reduced 10 tissue 10 tissue 11 regeneration 11 regeneration 12 , 12 , 13 weakening 12 , 18 and 13 weakening 14 of 14 of 17 system 15 the 17 system 16 immune 17 system 18 and 20 risk 18 and 21 of 19 increased 20 risk 21 of 22 malignancy the higher mortality rate in older individuals is a result of these pathologies . 0 ###LEFT-WALL### 4 rate 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 14 . 1 the 4 rate 2 higher 3 mortality 3 mortality 4 rate 4 rate 5 in 4 rate 8 is 5 in 7 individuals 6 older 7 individuals 8 is 10 result 9 a 10 result 10 result 11 of 11 of 13 pathologies 12 these 13 pathologies the study of age - related changes in adult stem cells and their regenerative potential is crucial to our understanding of the physical deterioration of organs and tissues . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 16 is 0 ###LEFT-WALL### 29 . 1 the 2 study 2 study 3 of 2 study 16 is 3 of 4 age 5 - 6 related 6 related 7 changes 6 related 8 in 6 related 16 is 8 in 12 and 9 adult 11 cells 10 stem 11 cells 11 cells 12 and 12 and 15 potential 13 their 15 potential 14 regenerative 15 potential 16 is 17 crucial 17 crucial 18 to 18 to 20 understanding 19 our 20 understanding 20 understanding 21 of 21 of 24 deterioration 22 the 24 deterioration 23 physical 24 deterioration 24 deterioration 25 of 25 of 27 and 26 organs 27 and 27 and 28 tissues the growing interest and knowledge in the field of micrornas adds a further dimension to this field of research . 0 ###LEFT-WALL### 3 interest 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 20 . 1 the 3 interest 2 growing 3 interest 4 and 5 knowledge 4 and 11 adds 5 knowledge 6 in 5 knowledge 11 adds 6 in 8 field 7 the 8 field 8 field 9 of 9 of 10 micrornas 11 adds 14 dimension 11 adds 15 to 12 a 14 dimension 13 further 14 dimension 15 to 17 field 16 this 17 field 17 field 18 of 18 of 19 research micrornas are important posttranscriptional regulators of gene expression . 0 ###LEFT-WALL### 1 micrornas 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 9 . 1 micrornas 2 are 2 are 5 regulators 3 important 5 regulators 4 posttranscriptional 5 regulators 5 regulators 6 of 6 of 8 expression 7 gene 8 expression they co - regulate stem cell properties such as potency , differentiation , self - renewal and senescence . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 2 co 0 ###LEFT-WALL### 3 - 1 they 2 co 3 - 4 regulate 3 - 13 , 4 regulate 7 properties 5 stem 7 properties 6 cell 7 properties 7 properties 9 as 8 such 9 as 9 as 10 potency 10 potency 12 differentiation 11 , 12 differentiation 12 differentiation 13 , 13 , 14 self 13 , 15 - 15 - 17 and 15 - 19 . 16 renewal 17 and 17 and 18 senescence various cell systems , e.g . defense mechanisms against reactive oxygen radicals ( ros ) , dna repair and apoptosis are regulated by micrornas . 0 ###LEFT-WALL### 3 systems 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 5 e.g 0 ###LEFT-WALL### 6 . 1 various 2 cell 2 cell 3 systems 4 , 5 e.g 6 . 19 and 6 . 22 regulated 6 . 25 . 7 defense 8 mechanisms 8 mechanisms 9 against 8 mechanisms 16 , 9 against 12 radicals 10 reactive 11 oxygen 11 oxygen 12 radicals 12 radicals 14 ros 13 ( 14 ros 14 ros 15 ) 16 , 18 repair 16 , 19 and 17 dna 18 repair 19 and 20 apoptosis 19 and 21 are 21 are 22 regulated 22 regulated 23 by 23 by 24 micrornas these properties and the assumption that micrornas [act] as some kind of general switch make them highly relevant in aging research . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 22 . 1 these 2 properties 2 properties 3 and 3 and 5 assumption 3 and 6 that 3 and 15 make 3 and 18 relevant 4 the 5 assumption 6 that 7 micrornas 6 that 15 make 7 micrornas 9 as 7 micrornas 15 make 9 as 14 switch 10 some 14 switch 11 kind 12 of 12 of 13 general 13 general 14 switch 15 make 16 them 17 highly 18 relevant 18 relevant 19 in 19 in 20 aging 20 aging 21 research bolivian immigrants in brazil experience serious social problems : precarious work conditions , lack of documents and insufficient access to health services . 0 ###LEFT-WALL### 2 immigrants 0 ###LEFT-WALL### 5 experience 0 ###LEFT-WALL### 9 : 1 bolivian 2 immigrants 2 immigrants 3 in 2 immigrants 5 experience 3 in 4 brazil 5 experience 8 problems 6 serious 8 problems 7 social 8 problems 9 : 17 and 9 : 23 . 10 precarious 11 work 11 work 12 conditions 12 conditions 13 , 13 , 14 lack 13 , 17 and 14 lack 15 of 15 of 16 documents 17 and 19 access 17 and 20 to 18 insufficient 19 access 20 to 22 services 21 health 22 services the study aimed to investigate inequalities in living conditions and access to health services among bolivian immigrants living in the central area of são paulo , brazil , using a cross - sectional design and semi - structured interviews with 183 adults . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 32 - 1 the 2 study 2 study 3 aimed 2 study 7 in 2 study 10 and 3 aimed 4 to 4 to 5 investigate 5 investigate 6 inequalities 7 in 9 conditions 8 living 9 conditions 10 and 11 access 10 and 12 to 10 and 15 among 10 and 18 living 12 to 14 services 13 health 14 services 15 among 17 immigrants 16 bolivian 17 immigrants 18 living 19 in 19 in 22 area 20 the 22 area 21 central 22 area 22 area 23 of 22 area 29 using 23 of 25 paulo 24 são 25 paulo 25 paulo 27 brazil 26 , 27 brazil 27 brazil 28 , 29 using 31 cross 30 a 31 cross 32 - 35 and 32 - 43 . 33 sectional 34 design 34 design 35 and 35 and 39 interviews 35 and 40 with 36 semi 37 - 36 semi 39 interviews 38 structured 39 interviews 40 with 42 adults 41 183 42 adults according to the data , the immigrants tend to remain in brazil , thus resulting in an aging process in the group . 0 ###LEFT-WALL### 7 immigrants 0 ###LEFT-WALL### 8 tend 1 according 2 to 2 to 4 data 2 to 5 , 2 to 7 immigrants 3 the 4 data 6 the 7 immigrants 7 immigrants 8 tend 8 tend 9 to 8 tend 10 remain 9 to 10 remain 10 remain 11 in 11 in 12 brazil 12 brazil 15 resulting 13 , 15 resulting 14 thus 15 resulting 15 resulting 16 in 15 resulting 20 in 15 resulting 23 . 16 in 19 process 17 an 19 process 18 aging 19 process 20 in 22 group 21 the 22 group [per] capita income increases the longer [the] immigrants stay in the country . 0 ###LEFT-WALL### 3 income 0 ###LEFT-WALL### 4 increases 0 ###LEFT-WALL### 13 . 2 capita 3 income 3 income 4 increases 4 increases 9 stay 4 increases 10 in 5 the 9 stay 6 longer 8 immigrants 8 immigrants 9 stay 10 in 12 country 11 the 12 country the majority have secondary schooling . 0 ###LEFT-WALL### 2 majority 0 ###LEFT-WALL### 3 have 0 ###LEFT-WALL### 6 . 1 the 2 majority 2 majority 3 have 3 have 5 schooling 4 secondary 5 schooling work status does not vary according to time since [arrival] in brazil . 0 ###LEFT-WALL### 2 status 0 ###LEFT-WALL### 5 vary 0 ###LEFT-WALL### 13 . 1 work 2 status 2 status 3 does 3 does 4 not 3 does 5 vary 5 vary 7 to 5 vary 9 since 5 vary 11 in 6 according 7 to 7 to 8 time 11 in 12 brazil the immigrants work and live in garment sweatshops and speak their original languages . 0 ###LEFT-WALL### 2 immigrants 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 14 . 1 the 2 immigrants 2 immigrants 4 and 3 work 4 and 4 and 9 and 5 live 6 in 5 live 9 and 6 in 8 sweatshops 7 garment 8 sweatshops 9 and 10 speak 10 speak 13 languages 11 their 13 languages 12 original 13 languages social networks are based on ties with family and friends . 0 ###LEFT-WALL### 2 networks 0 ###LEFT-WALL### 4 based 0 ###LEFT-WALL### 11 . 1 social 2 networks 2 networks 3 are 3 are 4 based 4 based 5 on 4 based 7 with 5 on 6 ties 7 with 9 and 8 family 9 and 9 and 10 friends access to health services shows increasing inclusion in primary care . 0 ###LEFT-WALL### 1 access 0 ###LEFT-WALL### 4 services 0 ###LEFT-WALL### 11 . 1 access 2 to 1 access 4 services 2 to 3 health 4 services 5 shows 5 shows 6 increasing 6 increasing 7 inclusion 6 increasing 8 in 8 in 10 care 9 primary 10 care the authors conclude that the immigrants ' social exclusion is decreasing due to greater access to documentation , work ( although precarious [ )(, and the supply of health services from the public primary care [system] . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 3 conclude 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 35 care 0 ###LEFT-WALL### 37 . 1 the 2 authors 2 authors 3 conclude 3 conclude 4 that 4 that 9 exclusion 4 that 10 is 5 the 6 immigrants 6 immigrants 7 ' 7 ' 9 exclusion 8 social 9 exclusion 9 exclusion 10 is 10 is 11 decreasing 11 decreasing 13 to 11 decreasing 16 to 12 due 13 to 13 to 15 access 14 greater 15 access 16 to 17 documentation 18 , 19 work 19 work 21 although 20 ( 21 although 21 although 25 and 22 precarious 25 and 24 )(, 25 and 25 and 27 supply 25 and 31 from 25 and 35 care 26 the 27 supply 27 supply 28 of 28 of 30 services 29 health 30 services 31 from 34 primary 32 the 34 primary 33 public 34 primary the present study aimed to analyze the responses to autophagy in osteoarthritis ( oa ) and aging chondrocytes in order to elucidate the role of autophagy in the pathogenesis of oa . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 aimed 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 32 . 1 the 3 study 2 present 3 study 3 study 4 aimed 4 aimed 5 to 4 aimed 11 in 5 to 6 analyze 6 analyze 8 responses 6 analyze 9 to 7 the 8 responses 9 to 10 autophagy 11 in 12 osteoarthritis 12 osteoarthritis 14 oa 13 ( 14 oa 14 oa 15 ) 16 and 17 aging 16 and 18 chondrocytes 17 aging 18 chondrocytes 18 chondrocytes 19 in 18 chondrocytes 21 to 19 in 20 order 21 to 22 elucidate 22 elucidate 24 role 22 elucidate 27 in 23 the 24 role 24 role 25 of 25 of 26 autophagy 27 in 29 pathogenesis 28 the 29 pathogenesis 29 pathogenesis 30 of 30 of 31 oa we used multiple assays to confirm that autophagic activity was downregulated in chondrocytes of aged articular cartilage . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 18 . 1 we 2 used 2 used 4 assays 2 used 5 to 2 used 6 confirm 3 multiple 4 assays 5 to 6 confirm 6 confirm 7 that 7 that 9 activity 7 that 11 downregulated 8 autophagic 9 activity 9 activity 10 was 10 was 11 downregulated 11 downregulated 12 in 12 in 13 chondrocytes 13 chondrocytes 14 of 14 of 17 cartilage 15 aged 17 cartilage 16 articular 17 cartilage surprisingly , we found that the expression of autophagy - related proteins was not decreased in the tissues of patients with oa . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 23 . 1 surprisingly 2 , 1 surprisingly 3 we 3 we 4 found 4 found 5 that 5 that 7 expression 5 that 13 was 6 the 7 expression 7 expression 8 of 7 expression 13 was 8 of 9 autophagy 10 - 11 related 11 related 12 proteins 11 related 13 was 13 was 14 not 13 was 16 in 13 was 21 with 14 not 15 decreased 16 in 18 tissues 17 the 18 tissues 18 tissues 19 of 19 of 20 patients 21 with 22 oa we also observed that rapamycin - induced autophagy prevented the accumulation of subdiploid cells in young chondrocytes , while it induced cell death by autophagy in oa chondrocytes . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 observed 0 ###LEFT-WALL### 6 - 1 we 3 observed 2 also 3 observed 3 observed 5 rapamycin 4 that 5 rapamycin 6 - 8 autophagy 6 - 9 prevented 7 induced 8 autophagy 8 autophagy 9 prevented 9 prevented 11 accumulation 9 prevented 15 in 9 prevented 19 while 10 the 11 accumulation 11 accumulation 12 of 12 of 14 cells 13 subdiploid 14 cells 15 in 17 chondrocytes 16 young 17 chondrocytes 18 , 19 while 19 while 20 it 19 while 21 induced 19 while 29 . 20 it 21 induced 21 induced 23 death 21 induced 24 by 21 induced 26 in 22 cell 23 death 24 by 25 autophagy 26 in 28 chondrocytes 27 oa 28 chondrocytes our results demonstrate that autophagic activity decreases with aging , and may be responsible for the cytoprotective effects in young cartilage . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 demonstrate 0 ###LEFT-WALL### 22 . 1 our 2 results 2 results 3 demonstrate 3 demonstrate 4 that 4 that 6 activity 4 that 11 and 5 autophagic 6 activity 6 activity 11 and 7 decreases 8 with 7 decreases 11 and 8 with 9 aging 10 , 11 and 11 and 12 may 12 may 13 be 13 be 14 responsible 14 responsible 15 for 14 responsible 19 in 15 for 18 effects 16 the 18 effects 17 cytoprotective 18 effects 19 in 21 cartilage 20 young 21 cartilage however , we found that autophagic activity in patients with oa was higher than in the aging group , and reported autophagic cell death in oa chondrocytes . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 28 . 1 however 2 , 1 however 3 we 3 we 20 and 4 found 5 that 4 found 20 and 5 that 7 activity 5 that 12 was 6 autophagic 7 activity 7 activity 8 in 7 activity 10 with 7 activity 12 was 8 in 9 patients 10 with 11 oa 12 was 13 higher 13 higher 14 than 14 than 15 in 15 in 18 group 16 the 18 group 17 aging 18 group 19 , 20 and 20 and 21 reported 20 and 25 in 21 reported 24 death 22 autophagic 23 cell 23 cell 24 death 25 in 27 chondrocytes 26 oa 27 chondrocytes these results suggest that autophagy plays [both] a cytoprotective and death - promoting role in the pathogenesis of oa . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 20 . 1 these 2 results 2 results 3 suggest 3 suggest 4 that 4 that 5 autophagy 4 that 6 plays 5 autophagy 6 plays 6 plays 14 role 6 plays 15 in 8 a 14 role 9 cytoprotective 10 and 10 and 11 death 10 and 12 - 10 and 14 role 13 promoting 14 role 15 in 17 pathogenesis 16 the 17 pathogenesis 17 pathogenesis 18 of 18 of 19 oa [the] [non] - enzymatic reaction between glucose and protein can be chemically reversed by transglycation . 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 13 reversed 0 ###LEFT-WALL### 16 . 3 - 5 reaction 4 enzymatic 5 reaction 5 reaction 6 between 5 reaction 10 can 6 between 8 and 7 glucose 8 and 8 and 9 protein 10 can 11 be 11 be 12 chemically 11 be 13 reversed 13 reversed 14 by 14 by 15 transglycation here we report the transglycation activity of hydralazine using a newly developed maldi - tof - ms based assay . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 report 0 ###LEFT-WALL### 20 . 1 here 2 we 2 we 3 report 3 report 6 activity 4 the 6 activity 5 transglycation 6 activity 6 activity 7 of 7 of 8 hydralazine 8 hydralazine 9 using 9 using 19 assay 10 a 19 assay 11 newly 12 developed 12 developed 19 assay 13 maldi 15 tof 14 - 15 tof 15 tof 16 - 15 tof 17 ms 16 - 17 ms 17 ms 18 based 18 based 19 assay hydralazine mediated transglycation of hba1c , plasma proteins and kidney proteins was demonstrated in streptozotocin ( stz ) induced diabetic mice , as evidenced by decrease in protein glycation , as well as presence of hydralazine - glucose conjugate in urine of diabetic mice treated with hydralazine . 0 ###LEFT-WALL### 1 hydralazine 0 ###LEFT-WALL### 24 evidenced 0 ###LEFT-WALL### 48 . 1 hydralazine 2 mediated 1 hydralazine 3 transglycation 1 hydralazine 12 was 1 hydralazine 13 demonstrated 3 transglycation 4 of 3 transglycation 12 was 4 of 9 and 5 hba1c 6 , 6 , 8 proteins 6 , 9 and 7 plasma 8 proteins 9 and 11 proteins 10 kidney 11 proteins 13 demonstrated 14 in 13 demonstrated 21 mice 13 demonstrated 23 as 14 in 15 streptozotocin 15 streptozotocin 17 stz 16 ( 17 stz 17 stz 18 ) 19 induced 21 mice 20 diabetic 21 mice 22 , 23 as 23 as 24 evidenced 24 evidenced 25 by 24 evidenced 27 in 24 evidenced 38 glucose 25 by 26 decrease 27 in 29 glycation 28 protein 29 glycation 29 glycation 33 as 30 , 33 as 31 as 32 well 32 well 33 as 33 as 34 presence 33 as 37 - 34 presence 35 of 35 of 36 hydralazine 38 glucose 39 conjugate 39 conjugate 40 in 39 conjugate 46 with 40 in 41 urine 41 urine 42 of 41 urine 45 treated 42 of 44 mice 43 diabetic 44 mice 46 with 47 hydralazine hydralazine [down] regulated the expression of receptor for advanced glycation end products ( rage ) , nadph oxidase ( nox ) , and super oxide dismutase ( sod ) . 0 ###LEFT-WALL### 1 hydralazine 0 ###LEFT-WALL### 3 regulated 0 ###LEFT-WALL### 30 . 1 hydralazine 3 regulated 3 regulated 23 and 4 the 5 expression 5 expression 6 of 5 expression 8 for 5 expression 23 and 6 of 7 receptor 8 for 12 products 9 advanced 12 products 10 glycation 11 end 11 end 12 products 12 products 14 rage 12 products 18 oxidase 13 ( 14 rage 14 rage 15 ) 16 , 18 oxidase 17 nadph 18 oxidase 18 oxidase 20 nox 18 oxidase 22 , 19 ( 20 nox 20 nox 21 ) 23 and 26 dismutase 23 and 28 sod 24 super 26 dismutase 25 oxide 26 dismutase 27 ( 28 sod 28 sod 29 ) these findings will provide a new dimension for developing intervention strategies for the treatment of glycation associated diseases such as diabetes complications , atherosclerosis , and aging . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 provide 0 ###LEFT-WALL### 28 . 1 these 2 findings 2 findings 3 will 3 will 4 provide 4 provide 7 dimension 4 provide 8 for 4 provide 12 for 5 a 6 new 5 a 7 dimension 6 new 7 dimension 8 for 9 developing 9 developing 11 strategies 10 intervention 11 strategies 12 for 14 treatment 13 the 14 treatment 14 treatment 15 of 15 of 18 diseases 16 glycation 17 associated 17 associated 18 diseases 18 diseases 20 as 19 such 20 as 20 as 26 and 21 diabetes 22 complications 22 complications 23 , 23 , 24 atherosclerosis 23 , 26 and 25 , 26 and 26 and 27 aging the goal of this study is to investigate the familial transmission of the spectrum of bipolar disorder in a nonclinical sample of probands with a broad range of manifestations of mood disorders . 0 ###LEFT-WALL### 2 goal 0 ###LEFT-WALL### 33 . 1 the 2 goal 2 goal 3 of 2 goal 6 is 3 of 5 study 4 this 5 study 6 is 7 to 6 is 8 investigate 7 to 8 investigate 8 investigate 11 transmission 8 investigate 18 in 8 investigate 24 with 9 the 11 transmission 10 familial 11 transmission 11 transmission 12 of 12 of 14 spectrum 13 the 14 spectrum 14 spectrum 15 of 15 of 17 disorder 16 bipolar 17 disorder 18 in 21 sample 19 a 20 nonclinical 19 a 21 sample 20 nonclinical 21 sample 21 sample 22 of 22 of 23 probands 24 with 27 range 25 a 26 broad 25 a 27 range 26 broad 27 range 27 range 28 of 28 of 29 manifestations 29 manifestations 30 of 30 of 32 disorders 31 mood 32 disorders the sample included a total of 447 probands recruited from a clinically enriched community screening and their 2082 adult living and deceased first - degree relatives . 0 ###LEFT-WALL### 2 sample 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 24 - 1 the 2 sample 2 sample 21 and 3 included 16 and 3 included 21 and 4 a 5 total 5 total 6 of 5 total 16 and 6 of 7 447 7 447 8 probands 7 447 15 screening 8 probands 9 recruited 9 recruited 10 from 10 from 14 community 11 a 14 community 12 clinically 13 enriched 13 enriched 14 community 14 community 15 screening 16 and 20 living 17 their 20 living 18 2082 20 living 19 adult 20 living 21 and 22 deceased 21 and 23 first 24 - 26 relatives 24 - 27 . 25 degree 26 relatives [a] best estimate diagnostic procedure that was based on either direct semistructured interview or structured family history information from multiple informants regarding [non] [-] interviewed relatives was employed . 0 ###LEFT-WALL### 2 best 0 ###LEFT-WALL### 14 or 0 ###LEFT-WALL### 29 . 2 best 5 procedure 2 best 9 on 3 estimate 5 procedure 4 diagnostic 5 procedure 5 procedure 6 that 5 procedure 7 was 6 that 7 was 7 was 8 based 9 on 13 interview 10 either 13 interview 11 direct 13 interview 12 semistructured 13 interview 14 or 18 information 14 or 27 was 15 structured 18 information 16 family 18 information 17 history 18 information 18 information 19 from 18 information 27 was 19 from 21 informants 20 multiple 21 informants 21 informants 22 regarding 22 regarding 26 relatives 25 interviewed 26 relatives 27 was 28 employed results revealed that there was specificity of familial aggregation of bipolar [i] [(] bp i [;] odds ratio ( or )=8.40 [;] 3.27 - 20.97 [;] h2=0.83 ) [and] major depressive disorder ( or=2.26 [;] 1.58 - 3.22 [;] h2=0.20 ) , but not bp ii . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 revealed 1 results 2 revealed 2 revealed 3 that 2 revealed 5 was 3 that 4 there 3 that 5 was 5 was 6 specificity 6 specificity 7 of 7 of 9 aggregation 8 familial 9 aggregation 9 aggregation 10 of 10 of 18 ratio 11 bipolar 18 ratio 14 bp 15 i 14 bp 18 ratio 17 odds 18 ratio 18 ratio 24 - 19 ( 24 - 20 or 21 )=8.40 21 )=8.40 23 3.27 21 )=8.40 24 - 24 - 32 disorder 25 20.97 32 disorder 27 h2=0.83 28 ) 27 h2=0.83 32 disorder 30 major 32 disorder 31 depressive 32 disorder 32 disorder 34 or=2.26 32 disorder 43 but 33 ( 34 or=2.26 34 or=2.26 37 - 34 or=2.26 40 h2=0.20 34 or=2.26 41 ) 36 1.58 37 - 37 - 38 3.22 37 - 40 h2=0.20 42 , 43 but 43 but 44 not 43 but 45 bp 43 but 47 . 45 bp 46 ii the familial aggregation of bp i was primarily attributable to the familial specificity of manic episodes after adjusting for both proband and relative comorbid anxiety and substance use disorders . 0 ###LEFT-WALL### 3 aggregation 0 ###LEFT-WALL### 21 proband 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 30 . 1 the 3 aggregation 2 familial 3 aggregation 3 aggregation 4 of 3 aggregation 7 was 4 of 5 bp 5 bp 6 i 7 was 8 primarily 7 was 9 attributable 9 attributable 10 to 9 attributable 17 after 10 to 13 specificity 11 the 13 specificity 12 familial 13 specificity 13 specificity 14 of 14 of 16 episodes 15 manic 16 episodes 17 after 18 adjusting 18 adjusting 19 for 19 for 20 both 20 both 21 proband 22 and 26 and 22 and 28 use 23 relative 25 anxiety 24 comorbid 25 anxiety 25 anxiety 26 and 26 and 27 substance 26 and 28 use 28 use 29 disorders there was no significant cross - aggregation between mood disorder subtypes suggesting that the familial transmission of manic and major depressive episodes is independent despite the high magnitude of comorbidity between these mood states . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 35 . 1 there 2 was 2 was 5 cross 3 no 5 cross 4 significant 5 cross 6 - 7 aggregation 6 - 11 subtypes 7 aggregation 8 between 7 aggregation 11 subtypes 8 between 10 disorder 9 mood 10 disorder 11 subtypes 12 suggesting 11 subtypes 31 between 12 suggesting 13 that 12 suggesting 23 is 12 suggesting 24 independent 13 that 16 transmission 13 that 23 is 14 the 16 transmission 15 familial 16 transmission 16 transmission 17 of 16 transmission 23 is 17 of 22 episodes 18 manic 19 and 19 and 20 major 19 and 22 episodes 21 depressive 22 episodes 24 independent 25 despite 25 despite 28 magnitude 26 the 28 magnitude 27 high 28 magnitude 28 magnitude 29 of 29 of 30 comorbidity 31 between 34 states 32 these 34 states 33 mood 34 states these findings confirm those of earlier studies of the familial aggregation of bipolar disorder and major depression in the first nonclinical sample , and the largest family study of bipolar disorder in the usa using contemporary nonhierarchical diagnostic criteria for mood [and] anxiety disorders . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 confirm 0 ###LEFT-WALL### 45 . 1 these 2 findings 2 findings 3 confirm 3 confirm 15 and 3 confirm 18 in 4 those 5 of 4 those 15 and 5 of 7 studies 6 earlier 7 studies 7 studies 8 of 8 of 11 aggregation 9 the 11 aggregation 10 familial 11 aggregation 11 aggregation 12 of 12 of 14 disorder 13 bipolar 14 disorder 15 and 17 depression 16 major 17 depression 18 in 24 and 19 the 22 sample 20 first 22 sample 21 nonclinical 22 sample 22 sample 24 and 23 , 24 and 24 and 28 study 25 the 26 largest 25 the 28 study 27 family 28 study 28 study 29 of 28 study 32 in 28 study 40 for 29 of 31 disorder 30 bipolar 31 disorder 32 in 34 usa 33 the 34 usa 34 usa 35 using 35 using 39 criteria 36 contemporary 38 diagnostic 37 nonhierarchical 38 diagnostic 38 diagnostic 39 criteria 40 for 44 disorders 41 mood 43 anxiety 43 anxiety 44 disorders the results suggest that these major components of bipolar disorder may represent distinct underlying pathways rather than increasingly severe manifestations of [a] common underlying diathesis . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 26 . 1 the 2 results 2 results 3 suggest 3 suggest 4 that 4 that 7 components 4 that 12 represent 5 these 7 components 6 major 7 components 7 components 8 of 7 components 11 may 8 of 10 disorder 9 bipolar 10 disorder 11 may 12 represent 12 represent 15 pathways 12 represent 17 than 13 distinct 15 pathways 14 underlying 15 pathways 16 rather 17 than 17 than 20 manifestations 18 increasingly 19 severe 19 severe 20 manifestations 20 manifestations 21 of 21 of 25 diathesis 23 common 25 diathesis 24 underlying 25 diathesis therefore , dissection of the broad bipolar phenotype in genetic studies could actually generate new findings that could index novel biologic pathways underlying bipolar disorder . 0 ###LEFT-WALL### 3 dissection 0 ###LEFT-WALL### 14 generate 0 ###LEFT-WALL### 26 . 1 therefore 2 , 1 therefore 3 dissection 3 dissection 4 of 3 dissection 12 could 4 of 8 phenotype 5 the 8 phenotype 6 broad 8 phenotype 7 bipolar 8 phenotype 8 phenotype 9 in 9 in 11 studies 10 genetic 11 studies 12 could 14 generate 13 actually 14 generate 14 generate 16 findings 15 new 16 findings 16 findings 17 that 16 findings 18 could 17 that 18 could 18 could 19 index 19 index 22 pathways 20 novel 22 pathways 21 biologic 22 pathways 22 pathways 23 underlying 23 underlying 25 disorder 24 bipolar 25 disorder study design : scoping review . 0 ###LEFT-WALL### 2 design 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 6 . 1 study 2 design 2 design 3 : 3 : 4 scoping 4 scoping 5 review objectives : to gain a better understanding of the prevalence , course and association with age of secondary health conditions in individuals with spinal cord injury ( sci ) . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 3 to 2 : 4 gain 3 to 4 gain 4 gain 7 understanding 5 a 7 understanding 6 better 7 understanding 7 understanding 8 of 7 understanding 15 with 8 of 13 and 9 the 10 prevalence 10 prevalence 11 , 11 , 12 course 11 , 13 and 13 and 14 association 15 with 16 age 16 age 17 of 16 age 28 sci 17 of 20 conditions 18 secondary 19 health 19 health 20 conditions 20 conditions 21 in 20 conditions 23 with 21 in 22 individuals 23 with 26 injury 24 spinal 25 cord 25 cord 26 injury 27 ( 28 sci 28 sci 29 ) setting : seattle , washington , usa . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 8 . 1 setting 2 : 2 : 3 seattle 3 seattle 5 washington 4 , 5 washington 5 washington 6 , 6 , 7 usa methods : we performed searches of electronic databases for studies published from 1986 - 2011 that provided information regarding the prevalence , course or associations with age and duration of secondary health conditions in individuals with sci . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 . 2 : 3 we 2 : 4 performed 3 we 4 performed 4 performed 24 or 4 performed 34 in 4 performed 36 with 5 searches 6 of 5 searches 24 or 6 of 8 databases 7 electronic 8 databases 8 databases 9 for 9 for 10 studies 10 studies 11 published 10 studies 12 from 10 studies 16 that 10 studies 22 , 12 from 14 - 13 1986 14 - 14 - 15 2011 16 that 22 , 17 provided 18 information 17 provided 22 , 18 information 19 regarding 19 regarding 21 prevalence 20 the 21 prevalence 22 , 23 course 24 or 25 associations 24 or 30 of 25 associations 26 with 26 with 28 and 27 age 28 and 28 and 29 duration 30 of 33 conditions 31 secondary 32 health 32 health 33 conditions 34 in 35 individuals 36 with 37 sci results : ninety - two studies were included . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 studies 2 : 8 included 2 : 9 . 3 ninety 4 - 4 - 5 two 4 - 6 studies 6 studies 7 were 7 were 8 included conclusions : the findings support the conclusion that individuals with sci show signs of ['] premature aging ['] in different organ systems . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 findings 2 : 5 support 2 : 23 . 3 the 4 findings 4 findings 5 support 5 support 7 conclusion 6 the 7 conclusion 7 conclusion 8 that 8 that 9 individuals 8 that 12 show 9 individuals 10 with 9 individuals 12 show 10 with 11 sci 12 show 13 signs 12 show 19 in 13 signs 14 of 14 of 17 aging 16 premature 17 aging 19 in 22 systems 20 different 21 organ 21 organ 22 systems longitudinal research is needed to understand when problems are most likely to emerge , and to develop and test the efficacy of interventions to prevent these health conditions and their negative impact . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 33 . 1 longitudinal 2 research 2 research 3 is 3 is 4 needed 4 needed 5 to 4 needed 7 when 5 to 6 understand 7 when 8 problems 7 when 9 are 8 problems 9 are 9 are 10 most 10 most 11 likely 10 most 22 of 11 likely 12 to 11 likely 15 and 12 to 15 and 13 emerge 15 and 14 , 15 and 15 and 16 to 15 and 18 and 16 to 18 and 17 develop 18 and 18 and 19 test 19 test 21 efficacy 20 the 21 efficacy 22 of 23 interventions 23 interventions 24 to 23 interventions 25 prevent 24 to 25 prevent 25 prevent 29 and 26 these 28 conditions 27 health 28 conditions 28 conditions 29 and 29 and 32 impact 30 their 32 impact 31 negative 32 impact purpose of review : fungal [endocarditis] remains a rare disease occurring mostly in patients with predisposing host conditions . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 4 : 1 purpose 2 of 2 of 3 review 4 : 5 fungal 4 : 7 remains 4 : 19 . 5 fungal 7 remains 7 remains 10 disease 8 a 9 rare 8 a 10 disease 9 rare 10 disease 10 disease 11 occurring 11 occurring 12 mostly 11 occurring 15 with 12 mostly 13 in 13 in 14 patients 15 with 16 predisposing 16 predisposing 18 conditions 17 host 18 conditions regarding its poor prognosis because of severe complications , there is an urgent need for properly established treatment guidelines and prophylaxis for patients at risk . 0 ###LEFT-WALL### 10 there 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 26 . 1 regarding 4 prognosis 1 regarding 5 because 1 regarding 9 , 1 regarding 10 there 2 its 4 prognosis 3 poor 4 prognosis 5 because 6 of 6 of 8 complications 7 severe 8 complications 10 there 11 is 11 is 14 need 12 an 13 urgent 12 an 14 need 13 urgent 14 need 14 need 15 for 14 need 22 for 15 for 20 and 16 properly 17 established 17 established 18 treatment 18 treatment 19 guidelines 19 guidelines 20 and 20 and 21 prophylaxis 22 for 23 patients 23 patients 24 at 24 at 25 risk in this review we provide up - to [-] date information on treatment recommendations , and [discuss] recent case reports on fungal endocarditis and challenges in prophylaxis and treatment . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 provide 0 ###LEFT-WALL### 30 . 1 in 3 review 1 in 4 we 2 this 3 review 4 we 5 provide 5 provide 20 reports 5 provide 21 on 5 provide 26 in 6 up 8 to 6 up 16 and 7 - 8 to 8 to 10 date 8 to 15 , 10 date 11 information 10 date 12 on 12 on 14 recommendations 13 treatment 14 recommendations 16 and 18 recent 16 and 19 case 19 case 20 reports 21 on 24 and 22 fungal 23 endocarditis 23 endocarditis 24 and 24 and 25 challenges 26 in 28 and 27 prophylaxis 28 and 28 and 29 treatment recent findings : over the last year , an increase in cases caused by [non] [-] albicans species of candida and other fungi like fusarium solani , lodderomyces elongisporus and exophiala dermatitidis was reported . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 35 . 1 recent 2 findings 2 findings 3 : 3 : 4 over 4 over 7 year 5 the 7 year 6 last 7 year 8 , 10 increase 8 , 34 reported 9 an 10 increase 10 increase 11 in 10 increase 13 caused 10 increase 33 was 11 in 12 cases 13 caused 14 by 13 caused 24 like 14 by 21 and 17 albicans 18 species 18 species 19 of 18 species 21 and 19 of 20 candida 21 and 23 fungi 22 other 23 fungi 24 like 30 and 25 fusarium 26 solani 26 solani 27 , 27 , 29 elongisporus 27 , 30 and 28 lodderomyces 29 elongisporus 30 and 32 dermatitidis 31 exophiala 32 dermatitidis 33 was 34 reported they were treated individually in case - by [-] case approaches , lacking randomized controlled trials and [,] mostly [,] treatment recommendations . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 treated 0 ###LEFT-WALL### 23 . 1 they 2 were 2 were 3 treated 3 treated 4 individually 3 treated 6 case 5 in 6 case 6 case 13 lacking 6 case 15 controlled 7 - 8 by 8 by 11 approaches 8 by 12 , 8 by 13 lacking 10 case 11 approaches 13 lacking 14 randomized 13 lacking 15 controlled 15 controlled 17 and 16 trials 17 and 17 and 19 mostly 17 and 22 recommendations 21 treatment 22 recommendations summary : the scarcity of fungal endocarditis demands a high index of suspicion and knowledge of the group of at [-] risk patients . 0 ###LEFT-WALL### 1 summary 0 ###LEFT-WALL### 2 : 2 : 4 scarcity 2 : 8 demands 2 : 24 . 3 the 4 scarcity 4 scarcity 5 of 4 scarcity 8 demands 5 of 7 endocarditis 6 fungal 7 endocarditis 8 demands 11 index 9 a 10 high 9 a 11 index 10 high 11 index 11 index 12 of 11 index 16 of 12 of 14 and 13 suspicion 14 and 14 and 15 knowledge 16 of 18 group 17 the 18 group 18 group 19 of 19 of 20 at 20 at 23 patients 22 risk 23 patients diagnosis aggressively pursued by echocardiography and multiple blood cultures or surgical specimens has the potential to improve [outcome] . 0 ###LEFT-WALL### 1 diagnosis 0 ###LEFT-WALL### 13 has 0 ###LEFT-WALL### 19 . 1 diagnosis 3 pursued 1 diagnosis 13 has 2 aggressively 3 pursued 3 pursued 4 by 4 by 10 or 5 echocardiography 6 and 6 and 9 cultures 6 and 10 or 7 multiple 9 cultures 8 blood 9 cultures 10 or 12 specimens 11 surgical 12 specimens 13 has 15 potential 13 has 16 to 14 the 15 potential 16 to 17 improve candida endocarditis should be treated immediately , including surgical treatment in combination [with] liposomal amphotericin b or caspofungin with optional addition of flucytosine . 0 ###LEFT-WALL### 2 endocarditis 0 ###LEFT-WALL### 5 treated 1 candida 2 endocarditis 2 endocarditis 3 should 3 should 4 be 4 be 5 treated 5 treated 6 immediately 5 treated 8 including 7 , 8 including 8 including 10 treatment 8 including 11 in 8 including 19 with 8 including 24 . 9 surgical 10 treatment 11 in 17 or 12 combination 15 amphotericin 14 liposomal 15 amphotericin 15 amphotericin 16 b 15 amphotericin 17 or 17 or 18 caspofungin 19 with 21 addition 20 optional 21 addition 21 addition 22 of 22 of 23 flucytosine aspergillus [endocarditis] requires rapid surgery and voriconazole . 0 ###LEFT-WALL### 1 aspergillus 0 ###LEFT-WALL### 3 requires 0 ###LEFT-WALL### 8 . 1 aspergillus 3 requires 3 requires 6 and 4 rapid 5 surgery 5 surgery 6 and 6 and 7 voriconazole structural brain abnormalities are central to schizophrenia ( sz ) , but it remains unknown whether they are linked to dysmaturational processes crossing diagnostic boundaries , aggravating across disease stages , and driving the neurodiagnostic signature of the illness . 0 ###LEFT-WALL### 3 abnormalities 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 12 but 0 ###LEFT-WALL### 40 . 1 structural 2 brain 2 brain 3 abnormalities 3 abnormalities 4 are 4 are 5 central 5 central 6 to 6 to 7 schizophrenia 7 schizophrenia 9 sz 8 ( 9 sz 9 sz 10 ) 11 , 12 but 12 but 13 it 12 but 14 remains 13 it 14 remains 14 remains 15 unknown 15 unknown 16 whether 16 whether 17 they 16 whether 18 are 17 they 18 are 18 are 32 and 19 linked 20 to 19 linked 25 boundaries 19 linked 32 and 20 to 22 processes 21 dysmaturational 22 processes 23 crossing 25 boundaries 24 diagnostic 25 boundaries 25 boundaries 27 aggravating 26 , 27 aggravating 27 aggravating 28 across 27 aggravating 30 stages 27 aggravating 31 , 28 across 29 disease 32 and 33 driving 32 and 36 signature 34 the 36 signature 35 neurodiagnostic 36 signature 36 signature 37 of 37 of 39 illness 38 the 39 illness this deviation was measured as [difference] between chronological and the neuroanatomical age ( brain age gap estimation [ brainage ] ) . 0 ###LEFT-WALL### 2 deviation 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 22 . 1 this 2 deviation 2 deviation 3 was 3 was 4 measured 4 measured 5 as 5 as 7 between 7 between 9 and 8 chronological 9 and 9 and 12 age 9 and 17 estimation 10 the 12 age 11 neuroanatomical 12 age 13 ( 17 estimation 14 brain 17 estimation 15 age 17 estimation 16 gap 17 estimation 17 estimation 19 brainage 17 estimation 21 ) 18 [ 19 brainage 19 brainage 20 ] neuroanatomical age was determined by a machine learning system trained to individually estimate age from the structural magnetic resonance imagings of 800 healthy controls . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 25 . 1 neuroanatomical 2 age 2 age 3 was 3 was 4 determined 4 determined 5 by 4 determined 11 to 4 determined 13 estimate 5 by 9 system 6 a 9 system 7 machine 9 system 8 learning 9 system 9 system 10 trained 11 to 13 estimate 12 individually 13 estimate 13 estimate 14 age 13 estimate 15 from 15 from 20 imagings 16 the 20 imagings 17 structural 19 resonance 18 magnetic 19 resonance 19 resonance 20 imagings 20 imagings 21 of 21 of 24 controls 22 800 24 controls 23 healthy 24 controls group - level analyses showed that brainage was [highest] in sz ( +5.5 [y] ) [group] , followed by md ( +4.0 ) , bpd ( +3.1 ) , and the arms ( +1.7 ) groups . 0 ###LEFT-WALL### 4 analyses 0 ###LEFT-WALL### 5 showed 1 group 2 - 1 group 4 analyses 3 level 4 analyses 4 analyses 5 showed 5 showed 6 that 6 that 7 brainage 6 that 17 , 7 brainage 17 , 8 was 10 in 8 was 17 , 10 in 11 sz 11 sz 13 +5.5 12 ( 13 +5.5 13 +5.5 15 ) 17 , 18 followed 17 , 19 by 19 by 30 and 20 md 22 +4.0 20 md 24 , 21 ( 22 +4.0 22 +4.0 23 ) 24 , 25 bpd 24 , 30 and 25 bpd 27 +3.1 26 ( 27 +3.1 27 +3.1 28 ) 29 , 30 and 30 and 32 arms 30 and 36 groups 31 the 32 arms 33 ( 36 groups 34 +1.7 35 ) 34 +1.7 36 groups 36 groups 37 . earlier disease [onset] in md and bpd groups correlated with more pronounced brainage , reaching effect sizes of the sz group . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 22 . 1 earlier 2 disease 2 disease 4 in 2 disease 6 and 4 in 5 md 6 and 7 bpd 6 and 8 groups 6 and 12 pronounced 8 groups 9 correlated 8 groups 10 with 8 groups 12 pronounced 10 with 11 more 12 pronounced 13 brainage 14 , 17 sizes 14 , 21 group 15 reaching 17 sizes 16 effect 17 sizes 17 sizes 18 of 17 sizes 21 group 18 of 20 sz 19 the 20 sz second , brainage increased across [at] [-] risk , recent onset , and recurrent states of sz . 0 ###LEFT-WALL### 3 brainage 0 ###LEFT-WALL### 4 increased 0 ###LEFT-WALL### 18 . 1 second 2 , 1 second 3 brainage 3 brainage 4 increased 4 increased 5 across 5 across 13 and 8 risk 9 , 9 , 11 onset 9 , 13 and 10 recent 11 onset 12 , 13 and 13 and 15 states 13 and 16 of 14 recurrent 15 states 16 of 17 sz finally , brainage predicted both patient status as well as negative and disorganized symptoms . 0 ###LEFT-WALL### 3 brainage 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 15 . 1 finally 2 , 1 finally 3 brainage 3 brainage 12 and 4 predicted 7 status 4 predicted 9 well 4 predicted 10 as 4 predicted 12 and 5 both 6 patient 6 patient 7 status 8 as 9 well 10 as 11 negative 12 and 13 disorganized 13 disorganized 14 symptoms these findings suggest that an individually quantifiable " accelerated aging " effect may particularly impact [on] the neuroanatomical signature of sz but may extend also to other mental disorders . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 30 . 1 these 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 12 effect 4 that 22 but 5 an 6 individually 5 an 12 effect 6 individually 7 quantifiable 7 quantifiable 8 " 7 quantifiable 12 effect 9 accelerated 12 effect 10 aging 11 " 10 aging 12 effect 12 effect 22 but 13 may 15 impact 13 may 22 but 14 particularly 15 impact 15 impact 19 signature 17 the 19 signature 18 neuroanatomical 19 signature 19 signature 20 of 20 of 21 sz 22 but 23 may 23 may 24 extend 24 extend 25 also 24 extend 26 to 26 to 29 disorders 27 other 29 disorders 28 mental 29 disorders objectives : recent studies have shown that brief periods of mechanical ventilation in animals and humans can lead to ventilator [-] induced diaphragmatic dysfunction , which includes muscle atrophy , reduced force development , and impaired mitochondrial function . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 shown 0 ###LEFT-WALL### 39 . 2 : 3 recent 3 recent 4 studies 3 recent 6 shown 4 studies 5 have 5 have 6 shown 6 shown 15 and 6 shown 18 lead 7 that 8 brief 8 brief 9 periods 9 periods 10 of 9 periods 13 in 9 periods 15 and 10 of 12 ventilation 11 mechanical 12 ventilation 13 in 14 animals 15 and 16 humans 15 and 17 can 17 can 18 lead 18 lead 19 to 18 lead 35 and 19 to 24 dysfunction 20 ventilator 22 induced 22 induced 24 dysfunction 23 diaphragmatic 24 dysfunction 24 dysfunction 26 which 25 , 26 which 26 which 27 includes 26 which 30 , 27 includes 29 atrophy 28 muscle 29 atrophy 31 reduced 32 force 32 force 33 development 33 development 35 and 34 , 35 and 35 and 38 function 36 impaired 38 function 37 mitochondrial 38 function studies in animal models have shown that short periods of increased diaphragm activity during mechanical ventilation support can attenuate ventilator [-] induced diaphragmatic dysfunction but corresponding human data are lacking . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 6 shown 0 ###LEFT-WALL### 25 but 0 ###LEFT-WALL### 31 . 1 studies 2 in 1 studies 5 have 2 in 4 models 3 animal 4 models 5 have 6 shown 6 shown 8 short 6 shown 9 periods 6 shown 19 attenuate 7 that 8 short 9 periods 10 of 9 periods 17 support 9 periods 18 can 9 periods 19 attenuate 10 of 13 activity 11 increased 12 diaphragm 12 diaphragm 13 activity 13 activity 14 during 14 during 16 ventilation 15 mechanical 16 ventilation 17 support 18 can 19 attenuate 24 dysfunction 20 ventilator 22 induced 22 induced 24 dysfunction 23 diaphragmatic 24 dysfunction 25 but 28 data 25 but 29 are 26 corresponding 28 data 27 human 28 data 28 data 29 are 29 are 30 lacking the purpose of this study was to examine the effect of intermittent diaphragm contractions during cardiothoracic surgery , including controlled mechanical ventilation , on mitochondrial respiration in the human diaphragm . 0 ###LEFT-WALL### 2 purpose 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 8 examine 7 to 8 examine 8 examine 10 effect 8 examine 15 during 8 examine 19 including 8 examine 24 on 8 examine 27 in 9 the 10 effect 10 effect 11 of 11 of 14 contractions 12 intermittent 13 diaphragm 13 diaphragm 14 contractions 15 during 17 surgery 16 cardiothoracic 17 surgery 18 , 19 including 19 including 22 ventilation 19 including 23 , 20 controlled 22 ventilation 21 mechanical 22 ventilation 24 on 26 respiration 25 mitochondrial 26 respiration 27 in 30 diaphragm 28 the 30 diaphragm 29 human 30 diaphragm design : within subjects repeated measures study . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 . 1 design 2 : 2 : 3 within 3 within 4 subjects 4 subjects 5 repeated 4 subjects 6 measures 4 subjects 7 study 6 measures 7 study setting : operating room in an academic health center . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 . 1 setting 2 : 2 : 3 operating 3 operating 4 room 3 operating 5 in 5 in 9 center 6 an 7 academic 6 an 9 center 7 academic 8 health 8 health 9 center patients : five subjects undergoing elective cardiothoracic surgery . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 . 1 patients 2 : 2 : 4 subjects 3 five 4 subjects 4 subjects 5 undergoing 5 undergoing 8 surgery 6 elective 8 surgery 7 cardiothoracic 8 surgery interventions : in patients ( age 65.6 ± 6.3 [yr] ) undergoing cardiothoracic surgery , one phrenic nerve was stimulated hourly ( 30 pulses/min , 1.5 msec duration , 17.0 ± [4.4] ma ) during the surgery . 0 ###LEFT-WALL### 1 interventions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 38 . 1 interventions 2 : 2 : 3 in 2 : 12 undergoing 3 in 4 patients 4 patients 8 ± 5 ( 8 ± 6 age 8 ± 7 65.6 8 ± 8 ± 9 6.3 8 ± 11 ) 12 undergoing 14 surgery 13 cardiothoracic 14 surgery 15 , 18 nerve 15 , 19 was 16 one 18 nerve 17 phrenic 18 nerve 18 nerve 19 was 19 was 28 duration 19 was 35 during 20 stimulated 28 duration 21 hourly 24 pulses/min 21 hourly 25 , 21 hourly 28 duration 22 ( 24 pulses/min 23 30 24 pulses/min 24 pulses/min 25 , 26 1.5 27 msec 27 msec 28 duration 28 duration 33 ma 29 , 33 ma 30 17.0 33 ma 31 ± 33 ma 33 ma 34 ) 35 during 37 surgery 36 the 37 surgery subjects received 3.4 ± 0.6 stimulation bouts during surgery . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 2 received 0 ###LEFT-WALL### 10 . 1 subjects 2 received 2 received 7 bouts 2 received 8 during 3 3.4 7 bouts 4 ± 7 bouts 5 0.6 7 bouts 6 stimulation 7 bouts 8 during 9 surgery thirty minutes following [the] last stimulation bout , samples of diaphragm muscle were obtained from the anterolateral costal regions of the stimulated [and] inactive hemidiaphragms . 0 ###LEFT-WALL### 7 bout 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 26 . 1 thirty 2 minutes 2 minutes 7 bout 3 following 7 bout 5 last 6 stimulation 6 stimulation 7 bout 8 , 9 samples 8 , 14 obtained 9 samples 10 of 9 samples 13 were 10 of 12 muscle 11 diaphragm 12 muscle 13 were 14 obtained 14 obtained 15 from 15 from 19 regions 16 the 19 regions 17 anterolateral 19 regions 18 costal 19 regions 19 regions 20 of 20 of 25 hemidiaphragms 21 the 25 hemidiaphragms 22 stimulated 25 hemidiaphragms 24 inactive 25 hemidiaphragms measurements and main results : mitochondrial respiration was measured in permeabilized muscle fibers with high - resolution respirometry . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 5 : 1 measurements 2 and 2 and 3 main 3 main 4 results 5 : 7 respiration 5 : 8 was 5 : 19 . 6 mitochondrial 7 respiration 7 respiration 8 was 8 was 9 measured 9 measured 10 in 9 measured 14 with 10 in 13 fibers 11 permeabilized 12 muscle 12 muscle 13 fibers 14 with 18 respirometry 15 high 16 - 15 high 18 respirometry 17 resolution 18 respirometry state iii mitochondrial respiration rates ( [pmol] o2/s/mg wet weight ) were 15.05 ± 3.92 and 11.42 ± 2.66 for [the] stimulated and unstimulated samples , respectively ( p < 0.05 ) . 0 ###LEFT-WALL### 1 state 0 ###LEFT-WALL### 33 . 1 state 2 iii 1 state 5 rates 1 state 12 were 3 mitochondrial 4 respiration 4 respiration 5 rates 5 rates 10 weight 5 rates 12 were 6 ( 10 weight 8 o2/s/mg 10 weight 9 wet 10 weight 10 weight 11 ) 12 were 16 and 12 were 27 respectively 12 were 30 < 13 15.05 16 and 14 ± 15 3.92 14 ± 16 and 16 and 18 ± 16 and 26 , 17 11.42 18 ± 18 ± 19 2.66 18 ± 20 for 20 for 23 and 22 stimulated 23 and 23 and 24 unstimulated 23 and 25 samples 28 ( 30 < 29 p 30 < 30 < 31 0.05 30 < 32 ) state iv mitochondrial respiration rates were 3.59 ± 1.25 and 2.11 ± 0.97 in the stimulated samples and controls samples , respectively ( p < 0.05 ) . 0 ###LEFT-WALL### 1 state 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 28 . 1 state 5 rates 1 state 6 were 2 iv 5 rates 3 mitochondrial 4 respiration 4 respiration 5 rates 5 rates 6 were 6 were 8 ± 7 3.59 8 ± 8 ± 9 1.25 10 and 11 2.11 10 and 12 ± 11 2.11 12 ± 12 ± 13 0.97 12 ± 14 in 12 ± 22 respectively 12 ± 25 < 14 in 18 and 15 the 17 samples 16 stimulated 17 samples 17 samples 18 and 18 and 20 samples 18 and 21 , 19 controls 20 samples 23 ( 25 < 24 p 25 < 25 < 26 0.05 25 < 27 ) conclusion : these are the first data examining the effect of intermittent contractions on mitochondrial respiration rates in the human diaphragm following surgery/mechanical ventilation . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 these 2 : 4 are 2 : 25 . 3 these 4 are 4 are 7 data 5 the 6 first 5 the 7 data 7 data 8 examining 7 data 14 on 8 examining 10 effect 9 the 10 effect 10 effect 11 of 11 of 13 contractions 12 intermittent 13 contractions 14 on 17 rates 15 mitochondrial 16 respiration 16 respiration 17 rates 17 rates 18 in 17 rates 22 following 18 in 21 diaphragm 19 the 21 diaphragm 20 human 21 diaphragm 22 following 24 ventilation 23 surgery/mechanical 24 ventilation our results indicate that very brief periods ( duty cycle ~1.7 % [ )( activity can improve mitochondrial [function] in the human diaphragm following surgery/mechanical ventilation . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 indicate 1 our 2 results 2 results 3 indicate 3 indicate 7 periods 4 that 5 very 5 very 6 brief 6 brief 7 periods 7 periods 11 ~1.7 8 ( 11 ~1.7 9 duty 11 ~1.7 10 cycle 11 ~1.7 11 ~1.7 15 activity 11 ~1.7 17 improve 11 ~1.7 18 mitochondrial 11 ~1.7 27 . 12 % 15 activity 15 activity 16 can 16 can 17 improve 18 mitochondrial 20 in 20 in 23 diaphragm 21 the 23 diaphragm 22 human 23 diaphragm 23 diaphragm 24 following 24 following 26 ventilation 25 surgery/mechanical 26 ventilation we examined several vascular factors in relation to the rates [of] decline in 5 cognitive domains in a population - based cohort . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 20 - 1 we 2 examined 2 examined 5 factors 2 examined 12 decline 3 several 5 factors 4 vascular 5 factors 5 factors 8 to 5 factors 12 decline 6 in 7 relation 7 relation 8 to 8 to 10 rates 9 the 10 rates 12 decline 13 in 12 decline 17 in 13 in 16 domains 14 5 16 domains 15 cognitive 16 domains 17 in 19 population 18 a 19 population 20 - 22 cohort 20 - 23 . 21 based 22 cohort in an age - stratified random [sample] ( n=1982 ) aged 65+ years , we assessed at baseline the cognitive domains of attention , executive function , memory , language , and visuospatial function , and also vascular , inflammatory , and metabolic indices . 0 ###LEFT-WALL### 15 we 0 ###LEFT-WALL### 16 assessed 0 ###LEFT-WALL### 45 . 1 in 3 age 1 in 15 we 2 an 3 age 3 age 13 years 4 - 13 years 5 stratified 12 65+ 6 random 9 n=1982 6 random 12 65+ 8 ( 9 n=1982 9 n=1982 10 ) 11 aged 12 65+ 12 65+ 13 years 13 years 14 , 15 we 16 assessed 16 assessed 17 at 16 assessed 36 and 17 at 18 baseline 19 the 21 domains 20 cognitive 21 domains 21 domains 22 of 21 domains 24 , 22 of 23 attention 24 , 26 function 24 , 27 , 25 executive 26 function 27 , 28 memory 27 , 29 , 29 , 30 language 29 , 32 and 31 , 32 and 32 and 34 function 32 and 36 and 33 visuospatial 34 function 35 , 36 and 36 and 37 also 36 and 44 indices 38 vascular 39 , 38 vascular 44 indices 40 inflammatory 42 and 41 , 42 and 42 and 43 metabolic 42 and 44 indices random effects models generated slopes of [cognitive] decline over the next 4 years ; linear models identified vascular factors associated with these slopes , adjusting for demographics , baseline cognition , and potential interactions . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 8 decline 0 ###LEFT-WALL### 14 ; 1 random 2 effects 2 effects 3 models 2 effects 6 of 2 effects 8 decline 3 models 4 generated 4 generated 5 slopes 5 slopes 6 of 8 decline 9 over 8 decline 13 years 9 over 12 4 10 the 11 next 10 the 12 4 14 ; 16 models 14 ; 17 identified 15 linear 16 models 16 models 17 identified 17 identified 19 factors 18 vascular 19 factors 19 factors 20 associated 19 factors 21 with 21 with 32 and 22 these 23 slopes 23 slopes 24 , 24 , 25 adjusting 24 , 32 and 25 adjusting 26 for 26 for 27 demographics 27 demographics 30 cognition 28 , 30 cognition 29 baseline 30 cognition 30 cognition 31 , 31 , 32 and 32 and 34 interactions 32 and 35 . 33 potential 34 interactions several vascular risk factors ( history of stroke [,] diabetes , central obesity , c - reactive protein ) , [although] associated with lower baseline cognitive performance , did not [predict] [rate] [of] [subsequent] decline . 0 ###LEFT-WALL### 4 factors 0 ###LEFT-WALL### 28 , 0 ###LEFT-WALL### 36 . 1 several 4 factors 2 vascular 4 factors 3 risk 4 factors 4 factors 6 history 4 factors 28 , 5 ( 6 history 6 history 7 of 6 history 20 , 7 of 10 diabetes 8 stroke 10 diabetes 10 diabetes 13 obesity 11 , 13 obesity 12 central 13 obesity 13 obesity 16 - 13 obesity 20 , 14 , 16 - 15 c 16 - 16 - 18 protein 16 - 19 ) 17 reactive 18 protein 22 associated 23 with 22 associated 27 performance 22 associated 28 , 23 with 25 baseline 24 lower 25 baseline 26 cognitive 27 performance 28 , 29 did 29 did 30 not 29 did 35 decline apoe*4 [genotype] was associated with accelerated decline [in] language , memory , and executive functions . 0 ###LEFT-WALL### 1 apoe*4 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 16 . 1 apoe*4 3 was 3 was 4 associated 4 associated 5 with 5 with 13 and 6 accelerated 7 decline 7 decline 9 language 9 language 10 , 10 , 11 memory 10 , 13 and 12 , 13 and 13 and 15 functions 14 executive 15 functions homocysteine elevation [was] associated [with] faster decline [in] executive function . 0 ###LEFT-WALL### 10 function 0 ###LEFT-WALL### 11 . 1 homocysteine 4 associated 2 elevation 4 associated 4 associated 7 decline 6 faster 7 decline 7 decline 10 function 9 executive 10 function hypertension ( history or systolic blood pressure >140 [mm] [hg] ) was associated with slower decline [in] memory . 0 ###LEFT-WALL### 1 hypertension 0 ###LEFT-WALL### 13 associated 0 ###LEFT-WALL### 19 . 1 hypertension 4 or 1 hypertension 12 was 2 ( 4 or 3 history 4 or 4 or 8 >140 4 or 11 ) 5 systolic 6 blood 6 blood 8 >140 7 pressure 8 >140 12 was 13 associated 13 associated 14 with 14 with 18 memory 15 slower 16 decline 16 decline 18 memory baseline alcohol consumption was associated with slower decline [in] attention , language , and memory . 0 ###LEFT-WALL### 3 consumption 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 16 . 1 baseline 3 consumption 2 alcohol 3 consumption 3 consumption 4 was 4 was 5 associated 5 associated 6 with 6 with 14 and 7 slower 8 decline 8 decline 10 attention 10 attention 11 , 11 , 12 language 11 , 14 and 13 , 14 and 14 and 15 memory different indices of vascular risk are associated with low performance and with rates of [decline] in different cognitive domains . 0 ###LEFT-WALL### 2 indices 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 20 . 1 different 2 indices 2 indices 3 of 2 indices 6 are 3 of 5 risk 4 vascular 5 risk 6 are 7 associated 7 associated 11 and 8 with 10 performance 8 with 11 and 9 low 10 performance 11 and 12 with 12 with 13 rates 13 rates 14 of 14 of 16 in 16 in 19 domains 17 different 19 domains 18 cognitive 19 domains cardiovascular mechanisms explain at least some of the variance [in] cognitive decline . 0 ###LEFT-WALL### 2 mechanisms 0 ###LEFT-WALL### 3 explain 0 ###LEFT-WALL### 13 . 1 cardiovascular 2 mechanisms 2 mechanisms 3 explain 3 explain 5 least 3 explain 6 some 4 at 5 least 6 some 7 of 7 of 12 decline 8 the 12 decline 9 variance 12 decline 11 cognitive 12 decline selective survival may also play a role . 0 ###LEFT-WALL### 2 survival 0 ###LEFT-WALL### 5 play 0 ###LEFT-WALL### 8 . 1 selective 2 survival 2 survival 3 may 3 may 5 play 4 also 5 play 5 play 7 role 6 a 7 role the objective of this study was to examine the effect of age on the relationship between alcohol consumption and incident hypertension in a general japanese population . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 27 . 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 examine 7 to 8 examine 8 examine 10 effect 8 examine 13 on 8 examine 16 between 8 examine 22 in 9 the 10 effect 10 effect 11 of 11 of 12 age 13 on 15 relationship 14 the 15 relationship 16 between 19 and 17 alcohol 18 consumption 18 consumption 19 and 19 and 21 hypertension 20 incident 21 hypertension 22 in 26 population 23 a 24 general 23 a 26 population 24 general 26 population 25 japanese 26 population a cohort of japanese men ( n=37 310 ) and women ( n=78 426 ) aged 40 to 79 years who underwent community [-] based health checkups from 1993 to 2004 and [were] free of hypertension were followed up with annual examinations , including the measurement of blood pressure , until the end of 2010 . 1 a 2 cohort 2 cohort 3 of 2 cohort 10 and 3 of 5 men 4 japanese 5 men 5 men 7 n=37 6 ( 7 n=37 7 n=37 8 310 7 n=37 9 ) 10 and 11 women 10 and 13 n=78 10 and 16 aged 12 ( 13 n=78 13 n=78 14 426 13 n=78 15 ) 16 aged 18 to 16 aged 20 years 17 40 18 to 18 to 19 79 20 years 21 who 20 years 22 underwent 21 who 22 underwent 22 underwent 26 health 23 community 25 based 25 based 26 health 26 health 32 and 26 health 37 were 26 health 38 followed 27 checkups 30 to 27 checkups 32 and 28 from 30 to 29 1993 30 to 30 to 31 2004 32 and 34 free 32 and 35 of 32 and 37 were 35 of 36 hypertension 38 followed 39 up 38 followed 40 with 38 followed 44 including 40 with 42 examinations 41 annual 42 examinations 43 , 44 including 44 including 46 measurement 44 including 51 until 45 the 46 measurement 46 measurement 47 of 47 of 49 pressure 48 blood 49 pressure 50 , 51 until 51 until 53 end 51 until 56 . 52 the 53 end 53 end 54 of 54 of 55 2010 incident hypertension [was] defined as systolic blood pressure of ≥140 [mm] [hg] , diastolic blood pressure of ≥90 [mm] [hg] , or the initiation of treatment [for] hypertension . 0 ###LEFT-WALL### 28 hypertension 0 ###LEFT-WALL### 29 . 1 incident 2 hypertension 2 hypertension 8 pressure 4 defined 7 blood 5 as 6 systolic 6 systolic 7 blood 7 blood 8 pressure 8 pressure 9 of 8 pressure 22 or 9 of 10 ≥140 10 ≥140 16 pressure 13 , 16 pressure 14 diastolic 15 blood 15 blood 16 pressure 16 pressure 17 of 16 pressure 21 , 17 of 18 ≥90 22 or 24 initiation 22 or 25 of 22 or 28 hypertension 23 the 24 initiation 25 of 26 treatment hazard ratios for incident hypertension according to alcohol consumption were estimated using a cox proportional hazards model adjusted for possible confounding variables . 0 ###LEFT-WALL### 2 ratios 0 ###LEFT-WALL### 11 estimated 0 ###LEFT-WALL### 23 . 1 hazard 2 ratios 2 ratios 3 for 2 ratios 10 were 3 for 6 according 4 incident 6 according 5 hypertension 6 according 6 according 7 to 7 to 9 consumption 8 alcohol 9 consumption 10 were 11 estimated 11 estimated 12 using 12 using 17 model 12 using 19 for 13 a 17 model 14 cox 17 model 15 proportional 16 hazards 16 hazards 17 model 17 model 18 adjusted 19 for 22 variables 20 possible 22 variables 21 confounding 22 variables a total of 45 428 participants ( 39.3 % ) developed hypertension [(] 16 155 men and 29 273 women ) for a mean follow - up time of 3.9 ( 1 - 18 ) years . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 11 developed 0 ###LEFT-WALL### 26 - 1 a 2 total 2 total 3 of 2 total 9 % 2 total 11 developed 3 of 6 participants 4 45 6 participants 5 428 6 participants 7 ( 9 % 8 39.3 9 % 9 % 10 ) 11 developed 12 hypertension 12 hypertension 14 16 12 hypertension 17 and 12 hypertension 25 follow 15 155 16 men 16 men 17 and 17 and 20 women 17 and 21 ) 17 and 22 for 17 and 25 follow 18 29 20 women 19 273 20 women 22 for 24 mean 23 a 24 mean 26 - 27 up 26 - 37 . 27 up 28 time 28 time 29 of 29 of 36 years 30 3.9 36 years 31 ( 33 - 32 1 33 - 33 - 34 18 33 - 35 ) 33 - 36 years no significant interaction with age on the association [of] alcohol consumption [with] incident hypertension was found in either sex ( [p] for interaction , >0.05 ) . 0 ###LEFT-WALL### 3 interaction 0 ###LEFT-WALL### 16 found 0 ###LEFT-WALL### 27 . 1 no 3 interaction 2 significant 3 interaction 3 interaction 4 with 3 interaction 15 was 4 with 5 age 5 age 6 on 6 on 14 hypertension 7 the 14 hypertension 8 association 14 hypertension 10 alcohol 14 hypertension 11 consumption 14 hypertension 13 incident 14 hypertension 15 was 16 found 16 found 17 in 16 found 22 for 17 in 19 sex 18 either 19 sex 20 ( 22 for 22 for 23 interaction 22 for 26 ) 23 interaction 25 >0.05 24 , 25 >0.05 25 >0.05 26 ) our results suggest that alcohol consumption is a similar risk factor [for] incident hypertension in both the middle - aged and the older populations . 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 25 . 1 our 2 results 2 results 3 suggest 3 suggest 4 that 4 that 6 consumption 4 that 7 is 5 alcohol 6 consumption 7 is 14 hypertension 7 is 18 middle 8 a 9 similar 8 a 14 hypertension 9 similar 14 hypertension 10 risk 14 hypertension 11 factor 14 hypertension 13 incident 14 hypertension 14 hypertension 15 in 15 in 16 both 17 the 18 middle 19 - 21 and 20 aged 21 and 21 and 24 populations 22 the 24 populations 23 older 24 populations mutations in dnajc13 , dnajc6 and dnajc5 have been implicated in parkinson 's disease ( pd ) . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 10 implicated 0 ###LEFT-WALL### 18 . 1 mutations 2 in 1 mutations 4 , 2 in 3 dnajc13 4 , 5 dnajc6 4 , 6 and 6 and 7 dnajc5 6 and 8 have 8 have 9 been 9 been 10 implicated 10 implicated 11 in 11 in 14 disease 12 parkinson 13 's 13 's 14 disease 14 disease 16 pd 15 ( 16 pd 16 pd 17 ) to determine if rare coding variants in these genes play a role in pd risk in the chinese population , we sequenced all coding exons of the three genes in 99 early - onset pd cases and 99 controls , and genotyped 8 missense variants in another 711 pd cases and 539 controls . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 determine 0 ###LEFT-WALL### 54 . 1 to 2 determine 2 determine 3 if 2 determine 13 in 2 determine 21 we 2 determine 22 sequenced 3 if 6 variants 3 if 10 play 4 rare 6 variants 5 coding 6 variants 6 variants 7 in 6 variants 10 play 7 in 9 genes 8 these 9 genes 10 play 12 role 11 a 12 role 13 in 15 risk 14 pd 15 risk 16 in 19 population 16 in 20 , 16 in 21 we 17 the 19 population 18 chinese 19 population 21 we 22 sequenced 22 sequenced 25 exons 22 sequenced 30 in 22 sequenced 46 in 23 all 25 exons 24 coding 25 exons 25 exons 26 of 26 of 29 genes 27 the 28 three 28 three 29 genes 30 in 37 and 31 99 36 cases 32 early 33 - 32 early 34 onset 34 onset 36 cases 35 pd 36 cases 36 cases 37 and 37 and 45 variants 38 99 45 variants 39 controls 41 and 40 , 41 and 41 and 44 missense 41 and 45 variants 42 genotyped 44 missense 43 8 44 missense 46 in 51 and 47 another 48 711 48 711 50 cases 49 pd 50 cases 50 cases 51 and 51 and 53 controls 52 539 53 controls our results suggest that missense mutations in dnajc13 , dnajc5 and dnajc6 do not play a major role in pd in the chinese population . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 25 . 1 our 2 results 2 results 3 suggest 3 suggest 6 mutations 3 suggest 15 play 4 that 5 missense 5 missense 6 mutations 6 mutations 7 in 6 mutations 13 do 7 in 11 and 8 dnajc13 9 , 9 , 10 dnajc5 9 , 11 and 11 and 12 dnajc6 13 do 14 not 13 do 15 play 15 play 18 role 15 play 19 in 15 play 21 in 16 a 17 major 16 a 18 role 17 major 18 role 19 in 20 pd 21 in 24 population 22 the 24 population 23 chinese 24 population impairment of the central serotonin system in parkinson 's disease ( pd ) has been shown postmortem [and] in vivo with positron emission tomography ( pet ) . 0 ###LEFT-WALL### 1 impairment 0 ###LEFT-WALL### 16 shown 0 ###LEFT-WALL### 28 . 1 impairment 2 of 1 impairment 12 pd 1 impairment 14 has 2 of 6 system 3 the 6 system 4 central 5 serotonin 5 serotonin 6 system 6 system 7 in 7 in 10 disease 8 parkinson 9 's 9 's 10 disease 11 ( 12 pd 12 pd 13 ) 14 has 15 been 15 been 16 shown 16 shown 17 postmortem 16 shown 20 vivo 16 shown 21 with 19 in 20 vivo 21 with 24 tomography 22 positron 24 tomography 23 emission 24 tomography 24 tomography 26 pet 25 ( 26 pet 26 pet 27 ) the aim of this pet study was to examine and [compare] the availability of the 5 - hydroxytryptamine ( 5 - ht ) ( 1b ) - [receptor] subtype in patients with pd and age - matched control subjects . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 29 subtype 0 ###LEFT-WALL### 40 . 1 the 2 aim 2 aim 3 of 2 aim 10 and 3 of 5 pet 4 this 5 pet 5 pet 6 study 5 pet 9 examine 6 study 7 was 7 was 8 to 7 was 9 examine 8 to 9 examine 10 and 13 availability 10 and 14 of 10 and 18 hydroxytryptamine 10 and 29 subtype 12 the 13 availability 14 of 16 5 15 the 16 5 17 - 18 hydroxytryptamine 18 hydroxytryptamine 20 5 18 hydroxytryptamine 27 - 19 ( 20 5 20 5 22 ht 20 5 25 1b 20 5 27 - 21 - 22 ht 22 ht 23 ) 24 ( 25 1b 25 1b 26 ) 29 subtype 30 in 29 subtype 32 with 29 subtype 39 subjects 30 in 31 patients 32 with 34 and 33 pd 34 and 34 and 35 age 34 and 36 - 37 matched 39 subjects 38 control 39 subjects twelve control subjects and 12 pd patients were examined with pet using the 5 - ht ( 1b ) - radioligand [ [(] 11 )c ]az10419369 . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 9 examined 1 twelve 3 subjects 2 control 3 subjects 3 subjects 4 and 4 and 7 patients 4 and 8 were 5 12 7 patients 6 pd 7 patients 8 were 9 examined 9 examined 10 with 9 examined 20 - 10 with 11 pet 11 pet 12 using 12 using 14 5 13 the 14 5 15 - 20 - 16 ht 18 1b 16 ht 20 - 17 ( 18 1b 18 1b 19 ) 20 - 21 radioligand 20 - 27 . 21 radioligand 26 ]az10419369 22 [ 26 ]az10419369 24 11 26 ]az10419369 25 )c 26 ]az10419369 26 ]az10419369 27 . in pd patients , 5 - ht ( 1b ) - receptor availability in the right orbitofrontal cortex was lower than in control subjects . 0 ###LEFT-WALL### 13 availability 0 ###LEFT-WALL### 19 was 0 ###LEFT-WALL### 25 . 1 in 3 patients 1 in 13 availability 2 pd 3 patients 3 patients 6 - 4 , 6 - 5 5 6 - 6 - 7 ht 6 - 11 - 7 ht 9 1b 8 ( 9 1b 9 1b 10 ) 12 receptor 13 availability 13 availability 14 in 13 availability 19 was 14 in 18 cortex 15 the 18 cortex 16 right 18 cortex 17 orbitofrontal 18 cortex 19 was 20 lower 20 lower 21 than 21 than 22 in 22 in 24 subjects 23 control 24 subjects a statistically significant negative correlation between 5 - ht ( 1b ) - receptor availability [and] age was obtained for the right temporal cortex in control subjects and for the right midbrain and left parahippocampal gyrus in pd patients . 0 ###LEFT-WALL### 5 correlation 0 ###LEFT-WALL### 33 and 0 ###LEFT-WALL### 40 . 1 a 2 statistically 1 a 5 correlation 2 statistically 3 significant 3 significant 5 correlation 4 negative 5 correlation 5 correlation 6 between 5 correlation 17 age 5 correlation 18 was 5 correlation 33 and 6 between 7 5 7 5 9 ht 8 - 9 ht 9 ht 11 1b 9 ht 13 - 10 ( 11 1b 11 1b 12 ) 14 receptor 17 age 15 availability 17 age 17 age 18 was 19 obtained 20 for 19 obtained 28 and 19 obtained 32 midbrain 19 obtained 33 and 20 for 24 cortex 21 the 24 cortex 22 right 24 cortex 23 temporal 24 cortex 25 in 27 subjects 25 in 28 and 26 control 27 subjects 28 and 29 for 29 for 31 right 30 the 31 right 33 and 34 left 34 left 36 gyrus 34 left 37 in 35 parahippocampal 36 gyrus 37 in 39 patients 38 pd 39 patients the lower regional [5] - ht ( 1b ) - receptor availability is in line with previous studies showing a decrease of serotonin imaging markers in pd and corroborates a role of the serotonin system in the pathophysiology of pd . 0 ###LEFT-WALL### 12 availability 0 ###LEFT-WALL### 28 and 0 ###LEFT-WALL### 41 . 1 the 12 availability 2 lower 11 receptor 3 regional 6 ht 3 regional 11 receptor 5 - 6 ht 6 ht 8 1b 6 ht 10 - 7 ( 8 1b 8 1b 9 ) 11 receptor 12 availability 12 availability 28 and 13 is 15 line 13 is 16 with 13 is 28 and 14 in 15 line 16 with 18 studies 17 previous 18 studies 18 studies 19 showing 19 showing 21 decrease 20 a 21 decrease 21 decrease 22 of 21 decrease 24 imaging 22 of 23 serotonin 24 imaging 25 markers 24 imaging 26 in 26 in 27 pd 28 and 29 corroborates 28 and 31 role 30 a 31 role 31 role 32 of 32 of 35 system 33 the 35 system 34 serotonin 35 system 35 system 36 in 36 in 38 pathophysiology 37 the 38 pathophysiology 38 pathophysiology 39 of 39 of 40 pd the demonstrated age effect [on] 5 - ht [(] 1b ) receptors suggest a physiologic and pd - related decline of serotonin function , indicating the importance of controlling for age in clinical studies . 0 ###LEFT-WALL### 12 receptors 0 ###LEFT-WALL### 13 suggest 1 the 12 receptors 2 demonstrated 3 age 3 age 12 receptors 4 effect 12 receptors 6 5 8 ht 7 - 8 ht 8 ht 12 receptors 10 1b 11 ) 10 1b 12 receptors 12 receptors 13 suggest 13 suggest 20 decline 13 suggest 23 function 14 a 20 decline 15 physiologic 16 and 16 and 17 pd 16 and 18 - 16 and 19 related 19 related 20 decline 20 decline 21 of 21 of 22 serotonin 23 function 25 indicating 24 , 25 indicating 25 indicating 27 importance 25 indicating 30 for 25 indicating 32 in 25 indicating 35 . 26 the 27 importance 27 importance 28 of 28 of 29 controlling 30 for 31 age 32 in 34 studies 33 clinical 34 studies a673t , a rare variant in the amyloid - β precursor protein gene , shows a protective potential against alzheimer 's disease ( ad ) and age - related cognitive decline in an icelandic population . 0 ###LEFT-WALL### 1 a673t 0 ###LEFT-WALL### 15 shows 0 ###LEFT-WALL### 36 . 1 a673t 5 variant 1 a673t 15 shows 2 , 5 variant 3 a 4 rare 3 a 5 variant 4 rare 5 variant 5 variant 6 in 5 variant 14 , 6 in 13 gene 7 the 13 gene 8 amyloid 9 - 8 amyloid 10 β 10 β 11 precursor 11 precursor 13 gene 12 protein 13 gene 15 shows 26 and 15 shows 31 decline 16 a 17 protective 16 a 18 potential 17 protective 18 potential 18 potential 19 against 18 potential 26 and 19 against 22 disease 20 alzheimer 21 's 21 's 22 disease 22 disease 24 ad 23 ( 24 ad 24 ad 25 ) 26 and 27 age 26 and 28 - 26 and 29 related 26 and 31 decline 29 related 30 cognitive 31 decline 32 in 32 in 35 population 33 an 34 icelandic 33 an 35 population 34 icelandic 35 population although a673t was observed independently in a finnish population , this variant was absent in 8721 asian subjects . 0 ###LEFT-WALL### 12 variant 0 ###LEFT-WALL### 13 was 0 ###LEFT-WALL### 19 . 1 although 2 a673t 1 although 4 observed 1 although 10 , 1 although 12 variant 2 a673t 3 was 3 was 4 observed 4 observed 5 independently 5 independently 6 in 6 in 9 population 7 a 8 finnish 7 a 9 population 8 finnish 9 population 11 this 12 variant 12 variant 13 was 13 was 14 absent 14 absent 15 in 15 in 18 subjects 16 8721 18 subjects 17 asian 18 subjects the conflicting observations suggest that the contribution of a673t may be confined to europeans and americans rather than asians . 0 ###LEFT-WALL### 3 observations 0 ###LEFT-WALL### 4 suggest 0 ###LEFT-WALL### 20 . 1 the 3 observations 2 conflicting 3 observations 3 observations 4 suggest 4 suggest 5 that 5 that 7 contribution 5 that 11 be 6 the 7 contribution 7 contribution 8 of 7 contribution 10 may 8 of 9 a673t 10 may 11 be 11 be 12 confined 12 confined 13 to 12 confined 18 than 13 to 15 and 14 europeans 15 and 15 and 16 americans 17 rather 18 than 18 than 19 asians nevertheless , a673t confers a protective function against ad and thus may be observed only in longevity subjects ; thus it is not surprising to see its absence when the general populations or the patient cohorts were considered . 0 ###LEFT-WALL### 3 a673t 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 19 ; 0 ###LEFT-WALL### 38 considered 0 ###LEFT-WALL### 39 . 1 nevertheless 2 , 1 nevertheless 3 a673t 3 a673t 10 and 4 confers 7 function 4 confers 10 and 5 a 7 function 6 protective 7 function 7 function 8 against 8 against 9 ad 10 and 12 may 10 and 15 only 11 thus 12 may 12 may 13 be 13 be 14 observed 15 only 16 in 16 in 18 subjects 17 longevity 18 subjects 19 ; 20 thus 19 ; 22 is 20 thus 22 is 21 it 22 is 22 is 23 not 22 is 24 surprising 24 surprising 25 to 24 surprising 38 considered 25 to 26 see 26 see 28 absence 27 its 28 absence 28 absence 29 when 28 absence 38 considered 29 when 33 or 29 when 37 were 30 the 32 populations 31 general 32 populations 32 populations 33 or 33 or 36 cohorts 33 or 37 were 34 the 36 cohorts 35 patient 36 cohorts to test whether the a673t contributes to the chinese population , 1237 healthy longevity subjects ( mean age 96.9 years ) and 1404 matched younger controls ( mean age 44.2 years ) were genotyped for the variant . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 test 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 38 . 1 to 2 test 2 test 3 whether 3 whether 5 a673t 3 whether 6 contributes 4 the 5 a673t 5 a673t 6 contributes 6 contributes 7 to 7 to 10 population 8 the 10 population 9 chinese 10 population 10 population 15 subjects 11 , 15 subjects 12 1237 15 subjects 13 healthy 14 longevity 14 longevity 15 subjects 15 subjects 20 years 15 subjects 21 ) 16 ( 20 years 17 mean 20 years 18 age 20 years 19 96.9 20 years 20 years 21 ) 22 and 26 controls 22 and 34 genotyped 23 1404 26 controls 24 matched 26 controls 25 younger 26 controls 26 controls 31 years 26 controls 33 were 27 ( 31 years 28 mean 29 age 29 age 31 years 30 44.2 31 years 31 years 32 ) 33 were 34 genotyped 34 genotyped 35 for 35 for 37 variant 36 the 37 variant our study failed to observe this variant in either the longevity subjects or the controls . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 failed 0 ###LEFT-WALL### 16 . 1 our 2 study 2 study 3 failed 3 failed 4 to 3 failed 5 observe 4 to 5 observe 5 observe 7 variant 5 observe 8 in 6 this 7 variant 8 in 13 or 9 either 13 or 10 the 12 subjects 11 longevity 12 subjects 12 subjects 13 or 13 or 15 controls 14 the 15 controls given the previous observation from asians , our results suggest that the a673t variant is not involved in longevity in chinese individuals ; some other protective mechanisms may contribute to a lower incidence of ad in chinese nonagenerians and centenarians . 0 ###LEFT-WALL### 9 results 0 ###LEFT-WALL### 10 suggest 0 ###LEFT-WALL### 23 ; 0 ###LEFT-WALL### 29 contribute 0 ###LEFT-WALL### 41 . 1 given 4 observation 1 given 7 , 1 given 9 results 2 the 4 observation 3 previous 4 observation 4 observation 5 from 5 from 6 asians 8 our 9 results 9 results 10 suggest 10 suggest 11 that 11 that 14 variant 11 that 15 is 12 the 14 variant 13 a673t 14 variant 14 variant 15 is 15 is 16 not 15 is 18 in 15 is 20 in 16 not 17 involved 18 in 19 longevity 20 in 22 individuals 21 chinese 22 individuals 23 ; 27 mechanisms 24 some 25 other 25 other 27 mechanisms 26 protective 27 mechanisms 27 mechanisms 28 may 28 may 29 contribute 29 contribute 30 to 30 to 39 and 31 a 33 incidence 32 lower 33 incidence 33 incidence 34 of 33 incidence 39 and 34 of 35 ad 35 ad 36 in 36 in 38 nonagenerians 37 chinese 38 nonagenerians 39 and 40 centenarians apolipoprotein e ( apoe ) alleles are associated with longevity [in] [genome] - wide [scans] , with ε4 correlated with shorter life , and ε2 with longer life , than ε3 . 0 ###LEFT-WALL### 6 alleles 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 32 . 1 apolipoprotein 2 e 1 apolipoprotein 4 apoe 3 ( 4 apoe 4 apoe 5 ) 4 apoe 6 alleles 6 alleles 7 are 7 are 8 associated 8 associated 9 with 8 associated 13 - 8 associated 14 wide 9 with 10 longevity 14 wide 17 with 14 wide 30 than 16 , 17 with 17 with 24 and 17 with 29 , 18 ε4 19 correlated 18 ε4 24 and 19 correlated 20 with 20 with 22 life 21 shorter 22 life 23 , 24 and 24 and 25 ε2 25 ε2 26 with 26 with 28 life 27 longer 28 life 30 than 31 ε3 we hypothesized that rare apoe variants with large individual effects might also contribute to long - term good health . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 hypothesized 0 ###LEFT-WALL### 16 - 1 we 2 hypothesized 2 hypothesized 3 that 3 that 6 variants 3 that 15 long 4 rare 6 variants 5 apoe 6 variants 6 variants 7 with 6 variants 11 might 7 with 10 effects 8 large 10 effects 9 individual 10 effects 11 might 13 contribute 12 also 13 contribute 13 contribute 14 to 14 to 15 long 16 - 17 term 16 - 20 . 17 term 19 health 18 good 19 health the apoe exons and promoter were resequenced in dna samples from 376 healthy [oldest] old aged ≥ 85 yrs with no self - reported history of cancer , cardiovascular disease , diabetes , major pulmonary disease or alzheimer disease ( " super - seniors " ) and 376 population - based controls aged 41 - 54 . 0 ###LEFT-WALL### 2 apoe 0 ###LEFT-WALL### 10 samples 1 the 2 apoe 2 apoe 4 and 2 apoe 6 were 2 apoe 7 resequenced 2 apoe 8 in 2 apoe 10 samples 3 exons 4 and 4 and 5 promoter 4 and 6 were 8 in 9 dna 10 samples 11 from 10 samples 19 yrs 10 samples 20 with 11 from 17 ≥ 12 376 16 aged 13 healthy 15 old 15 old 16 aged 16 aged 17 ≥ 18 85 19 yrs 20 with 22 self 20 with 25 history 21 no 22 self 22 self 24 reported 23 - 24 reported 25 history 26 of 26 of 37 or 27 cancer 28 , 28 , 30 disease 28 , 31 , 29 cardiovascular 30 disease 31 , 32 diabetes 31 , 33 , 33 , 36 disease 33 , 37 or 34 major 36 disease 35 pulmonary 36 disease 37 or 39 disease 37 or 47 and 38 alzheimer 39 disease 40 ( 41 " 40 ( 47 and 42 super 44 seniors 42 super 47 and 43 - 44 seniors 44 seniors 45 " 44 seniors 46 ) 47 and 49 population 47 and 50 - 47 and 52 controls 47 and 53 aged 47 and 57 . 48 376 49 population 51 based 52 controls 52 controls 53 aged 53 aged 55 - 54 41 55 - 55 - 56 54 forty variants were observed : 32 [were] rare [(] minor allele frequency < 2 % [ )(; 9 were nonsynonymous . 0 ###LEFT-WALL### 2 variants 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 21 . 1 forty 2 variants 2 variants 3 were 3 were 4 observed 5 : 12 frequency 5 : 13 < 5 : 17 )(; 6 32 11 allele 8 rare 10 minor 10 minor 11 allele 11 allele 12 frequency 12 frequency 13 < 13 < 15 % 14 2 15 % 17 )(; 18 9 17 )(; 19 were 18 9 19 were 19 were 20 nonsynonymous controls were more likely to have an ε4 allele ( pearson χ ( 2 ) = 6.61 , p = 0.04 ) . 0 ###LEFT-WALL### 1 controls 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 23 . 1 controls 2 were 2 were 4 likely 3 more 4 likely 4 likely 5 to 4 likely 6 have 5 to 6 have 6 have 8 ε4 6 have 20 = 7 an 8 ε4 8 ε4 9 allele 8 ε4 16 = 9 allele 12 χ 9 allele 16 = 10 ( 12 χ 11 pearson 12 χ 12 χ 14 2 12 χ 15 ) 13 ( 14 2 14 2 15 ) 17 6.61 20 = 18 , 20 = 19 p 20 = 20 = 21 0.04 20 = 22 ) among the super - seniors , apoe allele status was not associated [with] body mass index or mini mental state examination score . 0 ###LEFT-WALL### 17 or 0 ###LEFT-WALL### 22 score 0 ###LEFT-WALL### 23 . 1 among 3 super 1 among 4 - 1 among 17 or 2 the 3 super 5 seniors 6 , 6 , 16 index 6 , 17 or 7 apoe 16 index 8 allele 9 status 9 status 10 was 10 was 11 not 11 not 12 associated 12 associated 14 body 14 body 16 index 15 mass 16 index 17 or 21 examination 17 or 22 score 18 mini 19 mental 19 mental 20 state 20 state 21 examination our findings were consistent with ε4 being a risk factor for early mortality . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 14 . 1 our 2 findings 2 findings 3 were 3 were 4 consistent 4 consistent 5 with 5 with 6 ε4 6 ε4 7 being 7 being 10 factor 8 a 10 factor 9 risk 10 factor 10 factor 11 for 11 for 13 mortality 12 early 13 mortality the glucocerebrosidase gene ( gba ) is a known risk factor of parkinson 's disease ( pd ) . 0 ###LEFT-WALL### 3 gene 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 19 . 1 the 3 gene 2 glucocerebrosidase 3 gene 3 gene 5 gba 3 gene 7 is 4 ( 5 gba 5 gba 6 ) 7 is 11 factor 8 a 11 factor 9 known 11 factor 10 risk 11 factor 11 factor 12 of 12 of 15 disease 13 parkinson 14 's 14 's 15 disease 15 disease 17 pd 16 ( 17 pd 17 pd 18 ) we sequenced entire coding exons and exon/intron boundaries of gba in 147 japanese familial pd ( fpd ) patients from 144 families and 100 unrelated control subjects . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 sequenced 0 ###LEFT-WALL### 28 . 1 we 2 sequenced 2 sequenced 23 and 3 entire 5 exons 4 coding 5 exons 5 exons 6 and 6 and 8 boundaries 6 and 9 of 6 and 23 and 7 exon/intron 8 boundaries 9 of 10 gba 10 gba 11 in 10 gba 20 from 11 in 19 patients 12 147 19 patients 13 japanese 19 patients 14 familial 19 patients 15 pd 17 fpd 16 ( 17 fpd 17 fpd 18 ) 17 fpd 19 patients 20 from 22 families 21 144 22 families 23 and 27 subjects 24 100 27 subjects 25 unrelated 26 control 26 control 27 subjects twenty - seven of 144 ( 18.8 % ) of index patients were heterozygous for known gaucher disease mutations , suggesting that gba heterozygous mutations are strongly associated with fpd ( odds ratio [=] 22.9 , 95 % confidence interval = 3.1 - 171.2 ) . 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 46 . 1 twenty 2 - 2 - 3 seven 2 - 4 of 2 - 10 of 2 - 13 were 4 of 5 144 5 144 8 % 6 ( 8 % 7 18.8 8 % 8 % 9 ) 10 of 12 patients 11 index 12 patients 13 were 14 heterozygous 14 heterozygous 15 for 15 for 19 mutations 16 known 18 disease 17 gaucher 18 disease 18 disease 19 mutations 19 mutations 21 suggesting 20 , 21 suggesting 21 suggesting 22 that 21 suggesting 45 ) 22 that 23 gba 22 that 28 associated 23 gba 25 mutations 23 gba 26 are 23 gba 28 associated 24 heterozygous 25 mutations 25 mutations 26 are 26 are 27 strongly 28 associated 29 with 29 with 30 fpd 30 fpd 33 ratio 30 fpd 40 interval 31 ( 33 ratio 32 odds 33 ratio 33 ratio 35 22.9 33 ratio 36 , 36 , 40 interval 37 95 38 % 38 % 40 interval 39 confidence 40 interval 40 interval 43 - 40 interval 45 ) 41 = 42 3.1 42 3.1 43 - 43 - 44 171.2 the frequency was significantly higher in autosomal dominant pd ( adpd ) compared [with] autosomal recessive pd . 0 ###LEFT-WALL### 2 frequency 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 18 . 1 the 2 frequency 2 frequency 3 was 3 was 4 significantly 3 was 5 higher 5 higher 6 in 6 in 17 pd 7 autosomal 17 pd 8 dominant 17 pd 9 pd 11 adpd 10 ( 11 adpd 11 adpd 12 ) 11 adpd 13 compared 13 compared 17 pd 15 autosomal 17 pd 16 recessive 17 pd interestingly , they also presented with reduced myocardial ( 123 )i - metaiodobenzylguanidine uptake . 0 ###LEFT-WALL### 3 they 0 ###LEFT-WALL### 5 presented 0 ###LEFT-WALL### 15 . 1 interestingly 2 , 1 interestingly 3 they 3 they 5 presented 4 also 5 presented 5 presented 6 with 5 presented 14 uptake 6 with 13 metaiodobenzylguanidine 7 reduced 13 metaiodobenzylguanidine 8 myocardial 11 )i 8 myocardial 13 metaiodobenzylguanidine 9 ( 11 )i 10 123 11 )i 11 )i 12 - our findings suggest that heterozygous gba mutations are strong risk factors in fpd , especially for autosomal dominant pd . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 1 our 2 findings 2 findings 3 suggest 3 suggest 7 mutations 3 suggest 10 risk 4 that 5 heterozygous 5 heterozygous 7 mutations 6 gba 7 mutations 7 mutations 8 are 8 are 10 risk 9 strong 10 risk 10 risk 11 factors 11 factors 12 in 12 in 13 fpd 13 fpd 16 for 14 , 15 especially 14 , 16 for 16 for 19 pd 16 for 20 . 17 autosomal 19 pd 18 dominant 19 pd some patients with gba heterozygous mutations develop clinical features of dlb . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 7 develop 0 ###LEFT-WALL### 12 . 1 some 2 patients 2 patients 3 with 2 patients 7 develop 3 with 6 mutations 4 gba 6 mutations 5 heterozygous 6 mutations 7 develop 9 features 8 clinical 9 features 9 features 10 of 10 of 11 dlb we speculate that gba dysfunction may promote lewy body formation , resulting in more severe pd or dlb phenotypes that are inherited in families . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 speculate 0 ###LEFT-WALL### 25 . 1 we 2 speculate 2 speculate 3 that 3 that 4 gba 3 that 22 inherited 4 gba 5 dysfunction 4 gba 7 promote 4 gba 21 are 5 dysfunction 6 may 6 may 7 promote 7 promote 8 lewy 8 lewy 17 or 8 lewy 19 phenotypes 9 body 10 formation 10 formation 11 , 11 , 12 resulting 11 , 17 or 12 resulting 13 in 13 in 16 pd 14 more 15 severe 15 severe 16 pd 17 or 18 dlb 17 or 19 phenotypes 19 phenotypes 20 that 21 are 22 inherited 22 inherited 23 in 23 in 24 families strong evidence indicates that mutant cu , zn - superoxide dismutase 1 ( sod1 ) exerts toxic effect on motor neurons in amyotrophic lateral sclerosis ( als ) . 0 ###LEFT-WALL### 2 evidence 0 ###LEFT-WALL### 3 indicates 0 ###LEFT-WALL### 29 . 1 strong 2 evidence 2 evidence 3 indicates 3 indicates 6 cu 3 indicates 16 exerts 4 that 5 mutant 5 mutant 6 cu 6 cu 8 zn 6 cu 11 dismutase 6 cu 16 exerts 7 , 8 zn 8 zn 9 - 9 - 11 dismutase 10 superoxide 11 dismutase 11 dismutase 12 1 11 dismutase 14 sod1 11 dismutase 15 ) 13 ( 14 sod1 14 sod1 15 ) 16 exerts 18 effect 16 exerts 19 on 16 exerts 22 in 17 toxic 18 effect 19 on 21 neurons 20 motor 21 neurons 22 in 25 sclerosis 23 amyotrophic 25 sclerosis 24 lateral 25 sclerosis 25 sclerosis 27 als 26 ( 27 als 27 als 28 ) however , the nature of mutant [sod1] - mediated motor neuron degeneration is poorly understood . 0 ###LEFT-WALL### 4 nature 0 ###LEFT-WALL### 13 is 0 ###LEFT-WALL### 16 . 1 however 2 , 1 however 4 nature 3 the 4 nature 4 nature 5 of 4 nature 13 is 5 of 12 degeneration 6 mutant 8 - 6 mutant 10 motor 9 mediated 10 motor 10 motor 12 degeneration 11 neuron 12 degeneration 13 is 15 understood 14 poorly 15 understood to provide new insight into the mechanism by which mutant sod1 induces motor neuron injury , we developed novel caenorhabditis elegans models of als . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 provide 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 25 . 1 to 2 provide 2 provide 4 insight 3 new 4 insight 4 insight 5 into 5 into 7 mechanism 6 the 7 mechanism 7 mechanism 8 by 8 by 9 which 8 by 10 mutant 8 by 11 sod1 8 by 12 induces 9 which 10 mutant 11 sod1 12 induces 12 induces 15 injury 13 motor 15 injury 14 neuron 15 injury 16 , 17 we 16 , 18 developed 17 we 18 developed 18 developed 22 models 19 novel 22 models 20 caenorhabditis 22 models 21 elegans 22 models 22 models 23 of 23 of 24 als in addition , the motor neuron loss is independent [of] cell death protein 3 ( ced - 3 )/cell death protein 4 ( ced - 4 [ )(caspase pathway . 0 ###LEFT-WALL### 7 loss 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 25 - 0 ###LEFT-WALL### 30 . 1 in 2 addition 1 in 3 , 1 in 7 loss 4 the 7 loss 5 motor 6 neuron 6 neuron 7 loss 7 loss 8 is 8 is 21 protein 9 independent 21 protein 11 cell 12 death 12 death 13 protein 13 protein 21 protein 14 3 16 ced 15 ( 16 ced 16 ced 17 - 16 ced 19 )/cell 18 3 19 )/cell 19 )/cell 21 protein 20 death 21 protein 21 protein 22 4 21 protein 24 ced 23 ( 24 ced 24 ced 25 - 25 - 29 pathway 26 4 28 )(caspase 28 )(caspase 29 pathway we also found that before motor neurons began to die in adulthood , axon guidance [defect] [of] [motor] [neuron] appeared during the development stages . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 found 0 ###LEFT-WALL### 25 . 1 we 3 found 2 also 3 found 3 found 4 that 4 that 15 guidance 4 that 20 appeared 5 before 7 neurons 5 before 8 began 5 before 13 , 5 before 15 guidance 6 motor 7 neurons 7 neurons 8 began 8 began 9 to 8 began 10 die 9 to 10 die 10 die 11 in 11 in 12 adulthood 14 axon 15 guidance 15 guidance 20 appeared 20 appeared 21 during 21 during 24 stages 22 the 24 stages 23 development 24 stages when green fluorescent protein ( gfp ) - tagged proteins related to axon guidance were examined in motor neurons , a significantly decreased density and number of gfp - tagged puncta were observed in the transgenic worms . 0 ###LEFT-WALL### 31 puncta 0 ###LEFT-WALL### 33 observed 0 ###LEFT-WALL### 38 . 1 when 4 protein 1 when 16 examined 1 when 20 , 1 when 31 puncta 2 green 4 protein 3 fluorescent 4 protein 4 protein 6 gfp 4 protein 15 were 5 ( 6 gfp 6 gfp 7 ) 8 - 11 related 9 tagged 10 proteins 10 proteins 11 related 11 related 12 to 11 related 15 were 12 to 14 guidance 13 axon 14 guidance 15 were 16 examined 16 examined 17 in 17 in 19 neurons 18 motor 19 neurons 21 a 31 puncta 22 significantly 23 decreased 23 decreased 24 density 24 density 25 and 25 and 26 number 25 and 29 - 25 and 30 tagged 25 and 31 puncta 26 number 27 of 27 of 28 gfp 31 puncta 32 were 32 were 33 observed 33 observed 34 in 34 in 37 worms 35 the 37 worms 36 transgenic 37 worms our models mimic axon developmental defect and the adult - onset degeneration of motor neurons in als . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 18 . 1 our 6 defect 2 models 6 defect 3 mimic 6 defect 4 axon 6 defect 5 developmental 6 defect 6 defect 7 and 7 and 9 adult 8 the 9 adult 10 - 12 degeneration 11 onset 12 degeneration 12 degeneration 13 of 13 of 15 neurons 14 motor 15 neurons 15 neurons 16 in 16 in 17 als using this model , we uncovered the cell - autonomous damage caused by human sod1 to motor neurons in vivo , and provided a new insight into the developmental defect mechanism that may contribute to motor neuron degeneration in als . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 41 . 1 using 3 model 1 using 4 , 1 using 5 we 2 this 3 model 5 we 22 and 6 uncovered 8 cell 6 uncovered 22 and 7 the 8 cell 8 cell 11 damage 9 - 11 damage 10 autonomous 11 damage 11 damage 12 caused 11 damage 21 , 12 caused 13 by 12 caused 16 to 12 caused 20 vivo 13 by 15 sod1 14 human 15 sod1 16 to 18 neurons 17 motor 18 neurons 19 in 20 vivo 22 and 23 provided 22 and 39 in 23 provided 26 insight 24 a 26 insight 25 new 26 insight 26 insight 27 into 26 insight 32 that 26 insight 33 may 27 into 31 mechanism 28 the 31 mechanism 29 developmental 30 defect 30 defect 31 mechanism 32 that 33 may 33 may 34 contribute 34 contribute 35 to 35 to 38 degeneration 36 motor 37 neuron 37 neuron 38 degeneration 39 in 40 als to examine the association between dietary habits , cognitive functioning and brain volumes in older individuals , data from 194 cognitively healthy individuals who participated in the prospective investigation of the vasculature in uppsala seniors cohort were used . 0 ###LEFT-WALL### 18 data 0 ###LEFT-WALL### 37 were 0 ###LEFT-WALL### 39 . 1 to 2 examine 1 to 17 , 1 to 18 data 2 examine 4 association 2 examine 5 between 3 the 4 association 5 between 7 habits 6 dietary 7 habits 7 habits 11 and 8 , 11 and 9 cognitive 10 functioning 9 cognitive 11 and 11 and 13 volumes 11 and 14 in 11 and 17 , 12 brain 13 volumes 14 in 16 individuals 15 older 16 individuals 18 data 19 from 18 data 26 in 18 data 30 of 18 data 37 were 19 from 23 individuals 20 194 23 individuals 21 cognitively 22 healthy 22 healthy 23 individuals 23 individuals 24 who 23 individuals 25 participated 24 who 25 participated 26 in 29 investigation 27 the 29 investigation 28 prospective 29 investigation 30 of 36 cohort 31 the 36 cohort 32 vasculature 33 in 32 vasculature 35 seniors 33 in 34 uppsala 35 seniors 36 cohort 37 were 38 used at age 70 , participants kept diaries of their food intake for 1 week . 0 ###LEFT-WALL### 5 participants 0 ###LEFT-WALL### 6 kept 0 ###LEFT-WALL### 15 . 1 at 2 age 1 at 4 , 1 at 5 participants 2 age 3 70 5 participants 6 kept 6 kept 7 diaries 7 diaries 8 of 8 of 11 intake 9 their 11 intake 10 food 11 intake 11 intake 12 for 12 for 14 week 13 1 14 week these records [were] used to calculate a mediterranean diet ( medi ) score ( comprising dietary habits traditionally found in mediterranean countries , e.g . high intake of fruits and low intake of meat ) , with higher scores indicating more pronounced medi - like dietary habits . 0 ###LEFT-WALL### 2 records 0 ###LEFT-WALL### 13 score 0 ###LEFT-WALL### 25 . 0 ###LEFT-WALL### 48 . 1 these 2 records 2 records 4 used 2 records 11 medi 2 records 13 score 4 used 5 to 4 used 6 calculate 5 to 6 calculate 6 calculate 9 diet 7 a 9 diet 8 mediterranean 9 diet 10 ( 11 medi 11 medi 12 ) 13 score 15 comprising 13 score 24 e.g 14 ( 15 comprising 15 comprising 17 habits 15 comprising 23 , 16 dietary 17 habits 17 habits 19 found 17 habits 20 in 18 traditionally 19 found 20 in 22 countries 21 mediterranean 22 countries 25 . 30 and 25 . 45 like 26 high 30 and 27 intake 28 of 27 intake 30 and 28 of 29 fruits 30 and 32 intake 30 and 35 ) 30 and 37 with 30 and 45 like 31 low 32 intake 32 intake 33 of 33 of 34 meat 36 , 37 with 37 with 39 scores 37 with 40 indicating 37 with 44 - 38 higher 39 scores 40 indicating 41 more 40 indicating 42 pronounced 41 more 42 pronounced 42 pronounced 43 medi 45 like 47 habits 46 dietary 47 habits five years later , participants ' cognitive capabilities were examined by the seven minute screening ( 7 m [s] ) ( a cognitive test battery used by clinicians to screen for dementia ) , and their brain volumes were measured by volumetric magnetic resonance imaging . 0 ###LEFT-WALL### 35 and 0 ###LEFT-WALL### 46 . 1 five 2 years 2 years 8 capabilities 2 years 10 examined 2 years 35 and 3 later 4 , 3 later 5 participants 5 participants 6 ' 6 ' 8 capabilities 7 cognitive 8 capabilities 8 capabilities 9 were 9 were 10 examined 10 examined 11 by 11 by 15 screening 12 the 15 screening 13 seven 14 minute 14 minute 15 screening 15 screening 18 m 15 screening 25 battery 16 ( 18 m 17 7 18 m 18 m 20 ) 21 ( 25 battery 22 a 23 cognitive 22 a 25 battery 23 cognitive 24 test 24 test 25 battery 25 battery 26 used 25 battery 29 to 25 battery 30 screen 25 battery 33 ) 26 used 27 by 27 by 28 clinicians 29 to 30 screen 30 screen 31 for 31 for 32 dementia 34 , 35 and 35 and 37 brain 35 and 38 volumes 35 and 45 imaging 36 their 37 brain 38 volumes 39 were 39 were 40 measured 40 measured 41 by 41 by 44 resonance 42 volumetric 44 resonance 43 magnetic 44 resonance 44 resonance 45 imaging multivariate linear regression analyses were constructed to examine the association between the total medi score and cognitive functioning and brain volumes . 0 ###LEFT-WALL### 4 analyses 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 22 . 1 multivariate 4 analyses 2 linear 3 regression 3 regression 4 analyses 4 analyses 19 and 5 were 6 constructed 5 were 19 and 6 constructed 7 to 6 constructed 18 functioning 7 to 8 examine 8 examine 10 association 9 the 10 association 10 association 11 between 11 between 16 and 12 the 15 score 13 total 15 score 14 medi 15 score 15 score 16 and 16 and 17 cognitive 19 and 20 brain 20 brain 21 volumes in addition , possible associations between medi 's eight dietary features and cognitive functioning and brain volumes were investigated . 0 ###LEFT-WALL### 5 associations 0 ###LEFT-WALL### 19 investigated 0 ###LEFT-WALL### 20 . 1 in 2 addition 1 in 3 , 1 in 5 associations 4 possible 5 associations 5 associations 6 between 5 associations 18 were 6 between 15 and 7 medi 8 's 8 's 9 eight 9 eight 11 features 10 dietary 11 features 11 features 12 and 12 and 13 cognitive 12 and 14 functioning 12 and 15 and 15 and 17 volumes 16 brain 17 volumes 18 were 19 investigated from the eight dietary features included in the medi score , pertaining to a low consumption of meat and meat products was linked to [a] better performance on the 7 [m] s test ( p=0.001 ) and greater total brain volume [(] i.e [.] [the] sum of white and gray matter , p=0.03 ) [when] controlling for potential confounders ( e.g [.] bmi [ )(in the analysis . 0 ###LEFT-WALL### 5 features 0 ###LEFT-WALL### 10 score 1 from 3 eight 1 from 5 features 2 the 3 eight 4 dietary 5 features 5 features 6 included 5 features 7 in 5 features 10 score 7 in 9 medi 8 the 9 medi 10 score 12 pertaining 10 score 13 to 11 , 12 pertaining 13 to 15 low 14 a 15 low 15 low 16 consumption 15 low 26 better 16 consumption 17 of 16 consumption 22 was 17 of 19 and 18 meat 19 and 19 and 21 products 20 meat 21 products 22 was 23 linked 23 linked 24 to 24 to 26 better 26 better 37 and 27 performance 28 on 27 performance 37 and 28 on 33 test 29 the 33 test 30 7 32 s 32 s 33 test 33 test 35 p=0.001 34 ( 35 p=0.001 35 p=0.001 36 ) 37 and 46 sum 37 and 47 of 38 greater 46 sum 39 total 46 sum 40 brain 46 sum 41 volume 43 i.e 43 i.e 46 sum 47 of 56 controlling 48 white 49 and 49 and 51 matter 49 and 53 p=0.03 49 and 56 controlling 50 gray 51 matter 52 , 53 p=0.03 53 p=0.03 54 ) 56 controlling 57 for 57 for 59 confounders 58 potential 59 confounders 59 confounders 63 bmi 60 ( 63 bmi 61 e.g 63 bmi 63 bmi 65 )(in 63 bmi 68 . 65 )(in 67 analysis 66 the 67 analysis integrating all dietary features into the total medi score explained less variance in cognitive functioning and brain volumes than its single dietary component meat intake . 0 ###LEFT-WALL### 1 integrating 0 ###LEFT-WALL### 10 explained 0 ###LEFT-WALL### 26 . 1 integrating 4 features 1 integrating 5 into 1 integrating 10 explained 2 all 4 features 3 dietary 4 features 5 into 9 score 6 the 9 score 7 total 9 score 8 medi 9 score 10 explained 11 less 10 explained 12 variance 10 explained 13 in 10 explained 19 than 13 in 16 and 14 cognitive 15 functioning 14 cognitive 16 and 16 and 18 volumes 17 brain 18 volumes 19 than 25 intake 20 its 25 intake 21 single 25 intake 22 dietary 23 component 23 component 25 intake 24 meat 25 intake these observational findings suggest that keeping to a low meat intake could prove to be an impact - driven public health policy to support healthy cognitive aging , when confirmed by longitudinal studies . 0 ###LEFT-WALL### 3 findings 0 ###LEFT-WALL### 4 suggest 0 ###LEFT-WALL### 34 . 1 these 3 findings 2 observational 3 findings 3 findings 4 suggest 4 suggest 5 that 5 that 6 keeping 5 that 13 prove 6 keeping 7 to 6 keeping 12 could 7 to 11 intake 8 a 11 intake 9 low 11 intake 10 meat 11 intake 12 could 13 prove 13 prove 14 to 13 prove 15 be 14 to 15 be 15 be 17 impact 15 be 29 when 15 be 31 by 16 an 17 impact 17 impact 22 policy 18 - 22 policy 19 driven 20 public 20 public 21 health 21 health 22 policy 22 policy 23 to 22 policy 24 support 22 policy 28 , 23 to 24 support 24 support 27 aging 25 healthy 27 aging 26 cognitive 27 aging 29 when 30 confirmed 31 by 33 studies 32 longitudinal 33 studies further , they suggest that the medi score is a construct that may mask possible associations of single medi features with brain health domains in elderly populations . 0 ###LEFT-WALL### 3 they 0 ###LEFT-WALL### 4 suggest 0 ###LEFT-WALL### 28 . 1 further 2 , 1 further 3 they 3 they 4 suggest 4 suggest 5 that 5 that 8 score 5 that 14 mask 6 the 8 score 7 medi 8 score 8 score 9 is 9 is 11 construct 10 a 11 construct 11 construct 12 that 11 construct 14 mask 12 that 13 may 13 may 14 mask 14 mask 16 associations 14 mask 21 with 14 mask 25 in 15 possible 16 associations 16 associations 17 of 17 of 20 features 18 single 20 features 19 medi 20 features 21 with 24 domains 22 brain 24 domains 23 health 24 domains 25 in 27 populations 26 elderly 27 populations about half of the human brain is white matter , characterized by axons covered in myelin , which facilitates the high speed of nerve signals from one brain area to another . 0 ###LEFT-WALL### 1 about 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 32 . 1 about 2 half 1 about 7 is 2 half 3 of 3 of 6 brain 4 the 6 brain 5 human 6 brain 7 is 9 matter 8 white 9 matter 9 matter 11 characterized 10 , 11 characterized 11 characterized 12 by 11 characterized 15 in 11 characterized 17 , 12 by 13 axons 13 axons 14 covered 15 in 16 myelin 17 , 18 which 17 , 19 facilitates 18 which 19 facilitates 19 facilitates 22 speed 19 facilitates 26 from 20 the 22 speed 21 high 22 speed 22 speed 23 of 23 of 25 signals 24 nerve 25 signals 26 from 29 area 27 one 29 area 28 brain 29 area 29 area 30 to 30 to 31 another at the time of myelination , the oligodendrocytes that synthesize myelin require a large amount of energy for this task . 0 ###LEFT-WALL### 8 oligodendrocytes 0 ###LEFT-WALL### 12 require 0 ###LEFT-WALL### 21 . 1 at 3 time 1 at 6 , 1 at 8 oligodendrocytes 2 the 3 time 3 time 4 of 4 of 5 myelination 7 the 8 oligodendrocytes 8 oligodendrocytes 9 that 8 oligodendrocytes 10 synthesize 8 oligodendrocytes 12 require 9 that 10 synthesize 10 synthesize 11 myelin 12 require 15 amount 13 a 14 large 13 a 15 amount 14 large 15 amount 15 amount 16 of 16 of 17 energy 17 energy 18 for 18 for 20 task 19 this 20 task conditions that deprive the tissue of energy can kill the oligodendrocytes . 0 ###LEFT-WALL### 1 conditions 0 ###LEFT-WALL### 9 kill 0 ###LEFT-WALL### 12 . 1 conditions 2 that 1 conditions 3 deprive 1 conditions 8 can 2 that 3 deprive 3 deprive 5 tissue 4 the 5 tissue 5 tissue 6 of 6 of 7 energy 8 can 9 kill 9 kill 11 oligodendrocytes 10 the 11 oligodendrocytes during brain development , the oligodendrocytes may [use] lactate as an alternative source of energy and material for myelin formation . 0 ###LEFT-WALL### 6 oligodendrocytes 0 ###LEFT-WALL### 9 lactate 0 ###LEFT-WALL### 21 . 1 during 3 development 1 during 4 , 1 during 6 oligodendrocytes 2 brain 3 development 5 the 6 oligodendrocytes 6 oligodendrocytes 7 may 7 may 9 lactate 9 lactate 10 as 9 lactate 18 for 10 as 13 source 11 an 12 alternative 11 an 13 source 12 alternative 13 source 13 source 14 of 14 of 16 and 15 energy 16 and 16 and 17 material 18 for 20 formation 19 myelin 20 formation mature oligodendrocytes , however , can [release] lactate through the myelin sheath as nutrient for axons . 0 ###LEFT-WALL### 2 oligodendrocytes 0 ###LEFT-WALL### 8 lactate 0 ###LEFT-WALL### 17 . 1 mature 2 oligodendrocytes 2 oligodendrocytes 6 can 3 , 4 however 4 however 5 , 4 however 6 can 6 can 8 lactate 8 lactate 9 through 9 through 12 sheath 10 the 12 sheath 11 myelin 12 sheath 12 sheath 14 nutrient 13 as 14 nutrient 14 nutrient 15 for 15 for 16 axons in addition , lactate [carries] signals as a volume transmitter . 0 ###LEFT-WALL### 4 lactate 0 ###LEFT-WALL### 11 . 1 in 2 addition 1 in 3 , 1 in 4 lactate 4 lactate 6 signals 4 lactate 7 as 7 as 10 transmitter 8 a 9 volume 8 a 10 transmitter 9 volume 10 transmitter myelin thus seems to serve as a provider of substrates and signals for axons , and not as [a] mere insulator . 0 ###LEFT-WALL### 1 myelin 0 ###LEFT-WALL### 3 seems 0 ###LEFT-WALL### 22 . 1 myelin 3 seems 2 thus 3 seems 3 seems 4 to 3 seems 5 serve 4 to 5 serve 5 serve 6 as 6 as 16 and 7 a 8 provider 8 provider 9 of 8 provider 11 and 9 of 10 substrates 11 and 12 signals 11 and 13 for 11 and 16 and 13 for 14 axons 15 , 16 and 16 and 17 not 16 and 21 insulator 18 as 20 mere 20 mere 21 insulator we review the fluxes of [lactate] in white matter and their significance in brain function . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 16 . 1 we 2 review 2 review 15 function 3 the 15 function 4 fluxes 5 of 4 fluxes 10 and 5 of 7 in 7 in 9 matter 8 white 9 matter 10 and 12 significance 10 and 13 in 10 and 15 function 11 their 12 significance 13 in 14 brain [none] objectives : with the aging of the population , japan 's long - term care system has shifted from a welfare [-] placement system to a social - insurance system , which is a precedent of policies for the elderly . 0 ###LEFT-WALL### 2 objectives 0 ###LEFT-WALL### 3 : 3 : 17 system 3 : 19 shifted 3 : 32 , 3 : 42 . 4 with 6 aging 4 with 10 , 4 with 17 system 5 the 6 aging 6 aging 7 of 7 of 9 population 8 the 9 population 11 japan 12 's 12 's 17 system 13 long 14 - 13 long 15 term 15 term 16 care 16 care 17 system 17 system 18 has 18 has 19 shifted 19 shifted 20 from 19 shifted 26 to 20 from 25 system 21 a 25 system 22 welfare 25 system 24 placement 25 system 26 to 31 system 27 a 28 social 27 a 31 system 28 social 29 - 28 social 30 insurance 30 insurance 31 system 32 , 33 which 32 , 34 is 33 which 34 is 34 is 36 precedent 35 a 36 precedent 36 precedent 37 of 36 precedent 39 for 37 of 38 policies 39 for 41 elderly 40 the 41 elderly we examined how individuals who used care services before the implementation of long - term care insurance ( ltci ) ( previous service users ) currently use the ltci services , with a focus on the processes of service use . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 1 we 2 examined 2 examined 3 how 3 how 4 individuals 3 how 27 use 4 individuals 5 who 4 individuals 6 used 4 individuals 27 use 5 who 6 used 6 used 8 services 6 used 26 currently 7 care 8 services 8 services 9 before 8 services 12 of 9 before 11 implementation 10 the 11 implementation 12 of 17 insurance 13 long 14 - 13 long 15 term 15 term 17 insurance 16 care 17 insurance 17 insurance 19 ltci 17 insurance 24 users 18 ( 19 ltci 19 ltci 20 ) 21 ( 24 users 22 previous 23 service 23 service 24 users 24 users 25 ) 27 use 30 services 28 the 30 services 29 ltci 30 services 30 services 32 with 31 , 32 with 32 with 34 focus 32 with 41 . 33 a 34 focus 34 focus 35 on 34 focus 38 of 35 on 37 processes 36 the 37 processes 38 of 40 use 39 service 40 use methods : panel data were obtained from the nihon university japanese longitudinal study of aging database . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 data 2 : 6 obtained 2 : 17 . 3 panel 4 data 4 data 5 were 5 were 6 obtained 6 obtained 7 from 7 from 13 study 8 the 11 japanese 9 nihon 10 university 10 university 11 japanese 11 japanese 13 study 12 longitudinal 13 study 13 study 14 of 14 of 16 database 15 aging 16 database these data [were] collected by interviews conducted before ( november 1999 and march 2000 ) and after [(] november 2001 and december 2001 ) the establishment of ltci . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 4 collected 0 ###LEFT-WALL### 29 . 1 these 2 data 2 data 4 collected 4 collected 16 and 4 collected 26 establishment 5 by 6 interviews 5 by 16 and 6 interviews 7 conducted 6 interviews 12 and 7 conducted 8 before 9 ( 12 and 10 november 11 1999 10 november 12 and 12 and 13 march 12 and 15 ) 13 march 14 2000 16 and 17 after 17 after 21 and 19 november 20 2001 19 november 21 and 21 and 22 december 21 and 24 ) 22 december 23 2001 25 the 26 establishment 26 establishment 27 of 27 of 28 ltci among the 3992 individuals who participated in these interviews , 416 of the previous service users , aged ≥65 years , were sampled . 0 ###LEFT-WALL### 11 416 0 ###LEFT-WALL### 22 were 0 ###LEFT-WALL### 24 . 1 among 4 individuals 1 among 10 , 1 among 11 416 2 the 3 3992 3 3992 4 individuals 4 individuals 5 who 4 individuals 6 participated 5 who 6 participated 6 participated 7 in 7 in 9 interviews 8 these 9 interviews 11 416 12 of 11 416 20 years 11 416 22 were 12 of 16 users 13 the 16 users 14 previous 15 service 15 service 16 users 17 , 20 years 18 aged 20 years 19 ≥65 20 years 20 years 21 , 22 were 23 sampled the outcome measures were the processes of using ltci services ( application for ltci , certification of long - term care need , and contract with ltci service providers ) . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 31 . 1 the 3 measures 2 outcome 3 measures 3 measures 4 were 4 were 6 processes 5 the 6 processes 6 processes 7 of 6 processes 16 certification 7 of 8 using 8 using 10 services 9 ltci 10 services 10 services 12 application 11 ( 12 application 12 application 13 for 12 application 15 , 13 for 14 ltci 15 , 16 certification 16 certification 17 of 16 certification 30 ) 17 of 24 and 18 long 19 - 18 long 20 term 20 term 22 need 21 care 22 need 22 need 24 and 23 , 24 and 24 and 25 contract 24 and 26 with 26 with 29 providers 27 ltci 28 service 28 service 29 providers logistic regression analysis was performed to identify individual factors associated with the process of application for ltci . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 5 performed 0 ###LEFT-WALL### 18 . 1 logistic 3 analysis 2 regression 3 analysis 3 analysis 4 was 4 was 5 performed 5 performed 6 to 6 to 7 identify 7 identify 9 factors 8 individual 9 factors 9 factors 10 associated 9 factors 14 of 9 factors 16 for 10 associated 11 with 11 with 13 process 12 the 13 process 14 of 15 application 16 for 17 ltci results : there were 133 ltci users among the 416 previous service users ( 32.0 % ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 3 there 2 : 4 were 3 there 4 were 4 were 7 users 5 133 7 users 6 ltci 7 users 7 users 8 among 8 among 13 users 9 the 10 416 10 416 13 users 11 previous 13 users 12 service 13 users 13 users 16 % 14 ( 16 % 15 32.0 16 % 16 % 17 ) of the service processes used , 45.5 % of previous service users were applicants , 85.7 % of the applicants were certified individuals , and 88.7 % of those certified used services with service contracts . 0 ###LEFT-WALL### 8 % 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 36 . 1 of 4 processes 1 of 6 , 1 of 8 % 2 the 4 processes 3 service 4 processes 4 processes 5 used 7 45.5 8 % 8 % 9 of 8 % 13 were 9 of 12 users 10 previous 11 service 11 service 12 users 13 were 14 applicants 15 , 17 % 15 , 21 were 15 , 25 and 16 85.7 17 % 17 % 18 of 17 % 21 were 18 of 20 applicants 19 the 20 applicants 21 were 23 individuals 22 certified 23 individuals 24 , 25 and 25 and 27 % 25 and 35 contracts 26 88.7 27 % 27 % 28 of 27 % 35 contracts 28 of 32 services 29 those 32 services 30 certified 32 services 31 used 32 services 32 services 33 with 33 with 34 service in contrast , the application process was significantly difficult for community rehabilitation users ( or , 0.38 : 95 % ci , 0.17 - 0.82 ) . 0 ###LEFT-WALL### 6 process 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 18 : 0 ###LEFT-WALL### 27 . 1 in 2 contrast 1 in 3 , 1 in 6 process 4 the 6 process 5 application 6 process 6 process 7 was 7 was 8 significantly 7 was 9 difficult 9 difficult 10 for 10 for 13 users 11 community 13 users 12 rehabilitation 13 users 13 users 15 or 13 users 17 0.38 14 ( 15 or 15 or 16 , 16 , 17 0.38 17 0.38 18 : 18 : 21 ci 19 95 21 ci 20 % 21 ci 21 ci 24 - 22 , 24 - 23 0.17 24 - 24 - 25 0.82 24 - 26 ) conclusion : only half of the previous service users were applicants , and they had severe diseases or were more dependent for their iadl . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 4 half 2 : 10 were 2 : 13 and 3 only 4 half 4 half 5 of 4 half 10 were 5 of 9 users 6 the 9 users 7 previous 8 service 8 service 9 users 10 were 11 applicants 12 , 13 and 13 and 14 they 13 and 18 or 14 they 18 or 15 had 17 diseases 15 had 18 or 16 severe 17 diseases 18 or 19 were 19 were 21 dependent 20 more 21 dependent 21 dependent 22 for 22 for 24 iadl 23 their 24 iadl our findings suggest that many individuals who were functionally independent were covered under the welfare - placement system . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 16 - 1 our 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 6 individuals 4 that 12 covered 5 many 6 individuals 6 individuals 7 who 6 individuals 8 were 6 individuals 11 were 7 who 8 were 8 were 9 functionally 8 were 10 independent 11 were 12 covered 12 covered 13 under 13 under 15 welfare 14 the 15 welfare 16 - 18 system 16 - 19 . 17 placement 18 system additionally , low - income individuals did not refrain from applying . 0 ###LEFT-WALL### 6 individuals 0 ###LEFT-WALL### 9 refrain 0 ###LEFT-WALL### 12 . 1 additionally 2 , 1 additionally 6 individuals 2 , 3 low 3 low 4 - 3 low 6 individuals 5 income 6 individuals 6 individuals 7 did 7 did 8 not 7 did 9 refrain 9 refrain 10 from 10 from 11 applying objectives : to evaluate race - related differences in depression [onset] and recovery in older persons , overall and by sex , and examine race - related differences in mortality according to depression . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 3 to 2 : 4 evaluate 2 : 6 - 3 to 4 evaluate 4 evaluate 5 race 6 - 23 and 6 - 27 related 7 related 8 differences 7 related 9 in 7 related 23 and 9 in 12 and 10 depression 12 and 12 and 13 recovery 12 and 22 , 13 recovery 19 and 14 in 16 persons 14 in 19 and 15 older 16 persons 17 , 18 overall 17 , 19 and 19 and 20 by 20 by 21 sex 23 and 24 examine 24 examine 25 race 26 - 27 related 27 related 28 differences 27 related 32 to 28 differences 29 in 29 in 30 mortality 31 according 32 to 32 to 33 depression 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 : general [community] in pre - designated zip code areas in memphis , tennessee , and pittsburgh , pennsylvania . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 21 . 1 setting 2 : 2 : 3 general 2 : 5 in 2 : 8 designated 5 in 6 pre 7 - 8 designated 8 designated 11 areas 8 designated 12 in 8 designated 19 , 9 zip 11 areas 10 code 11 areas 12 in 17 and 13 memphis 15 tennessee 13 memphis 17 and 14 , 15 tennessee 15 tennessee 16 , 17 and 18 pittsburgh 19 , 20 pennsylvania participants : 3,075 persons aged 70 - 79 years at baseline in the health , aging , and body composition study . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 2 : 4 persons 2 : 5 aged 2 : 22 . 3 3,075 4 persons 4 persons 5 aged 5 aged 7 - 6 70 7 - 7 - 8 79 8 79 9 years 9 years 10 at 9 years 21 study 10 at 18 and 11 baseline 12 in 11 baseline 18 and 12 in 14 health 13 the 14 health 14 health 16 aging 15 , 16 aging 16 aging 17 , 17 , 18 and 18 and 20 composition 19 body 20 composition measurements : depression was assessed at eight time points over 10 years using the 10 - item center for epidemiologic studies - depression scale [;] patients were categorized as nondepressed ( [score] less than 8 ) or depressed [(] score of 8 or higher [ )( 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 points 0 ###LEFT-WALL### 46 )( 2 : 3 depression 2 : 5 assessed 3 depression 4 was 4 was 5 assessed 5 assessed 6 at 6 at 7 eight 7 eight 8 time 7 eight 9 points 8 time 9 points 9 points 10 over 9 points 43 or 11 10 12 years 12 years 13 using 12 years 23 depression 12 years 37 or 13 using 15 10 14 the 15 10 15 10 21 studies 16 - 21 studies 17 item 21 studies 18 center 19 for 18 center 21 studies 19 for 20 epidemiologic 21 studies 22 - 22 - 23 depression 23 depression 26 patients 23 depression 27 were 23 depression 28 categorized 23 depression 30 nondepressed 23 depression 35 8 23 depression 36 ) 24 scale 26 patients 26 patients 27 were 29 as 30 nondepressed 31 ( 35 8 33 less 34 than 34 than 35 8 35 8 36 ) 37 or 40 score 37 or 41 of 37 or 43 or 38 depressed 40 score 41 of 42 8 43 or 44 higher we created variables for transitions across each 18 [-] month time interval , namely , from nondepressed or depressed to nondepressed , depressed , [or] death , and determined the association between race and the average likelihood of these transitions over time . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 43 . 1 we 2 created 2 created 3 variables 2 created 14 namely 2 created 16 from 2 created 20 to 3 variables 4 for 4 for 5 transitions 5 transitions 6 across 6 across 12 interval 7 each 12 interval 8 18 12 interval 10 month 12 interval 11 time 12 interval 13 , 14 namely 14 namely 15 , 16 from 18 or 17 nondepressed 18 or 18 or 19 depressed 20 to 22 , 21 nondepressed 22 , 22 , 23 depressed 24 , 28 and 26 death 28 and 27 , 28 and 28 and 37 likelihood 28 and 38 of 29 determined 37 likelihood 30 the 31 association 31 association 32 between 31 association 34 and 32 between 33 race 34 and 36 average 34 and 37 likelihood 35 the 36 average 38 of 40 transitions 39 these 40 transitions 40 transitions 41 over 41 over 42 time results : a higher percentage of blacks than whites were depressed at nearly all time points . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 than 0 ###LEFT-WALL### 17 . 1 results 2 : 2 : 5 percentage 3 a 5 percentage 4 higher 5 percentage 5 percentage 6 of 6 of 7 blacks 8 than 9 whites 8 than 10 were 9 whites 10 were 10 were 11 depressed 11 depressed 12 at 12 at 16 points 13 nearly 14 all 14 all 16 points 15 time 16 points blacks also had [a] higher likelihood of transitioning from nondepressed [to] death ( or : 1.79 ; 95 % ci : 1.30 - 2.46 ) . 0 ###LEFT-WALL### 1 blacks 0 ###LEFT-WALL### 3 had 0 ###LEFT-WALL### 15 : 0 ###LEFT-WALL### 26 . 1 blacks 3 had 2 also 3 had 3 had 6 likelihood 3 had 9 from 5 higher 6 likelihood 6 likelihood 7 of 7 of 8 transitioning 9 from 12 death 10 nondepressed 12 death 12 death 14 or 13 ( 14 or 14 or 15 : 15 : 16 1.79 15 : 17 ; 15 : 21 : 17 ; 20 ci 18 95 20 ci 19 % 20 ci 21 : 22 1.30 22 1.30 24 2.46 23 - 24 2.46 24 2.46 25 ) overall and in sex - stratified analyses , race was not associated with recovery from depression or with the transition from depression to death . 0 ###LEFT-WALL### 1 overall 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 25 . 2 and 9 race 2 and 10 was 3 in 4 sex 3 in 8 , 3 in 9 race 4 sex 7 analyses 5 - 7 analyses 6 stratified 7 analyses 7 analyses 8 , 9 race 10 was 10 was 11 not 10 was 13 with 10 was 23 to 11 not 12 associated 13 with 14 recovery 14 recovery 17 or 15 from 16 depression 15 from 17 or 17 or 18 with 18 with 20 transition 19 the 20 transition 20 transition 21 from 21 from 22 depression 23 to 24 death conclusion : our findings highlight race differences in depression in older persons and encourage further research on the course of depression in older black patients . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 4 findings 2 : 13 and 3 our 4 findings 4 findings 13 and 5 highlight 7 differences 5 highlight 8 in 5 highlight 10 in 5 highlight 13 and 6 race 7 differences 8 in 9 depression 10 in 12 persons 11 older 12 persons 13 and 14 encourage 13 and 22 in 14 encourage 16 research 14 encourage 17 on 15 further 16 research 17 on 19 course 18 the 19 course 19 course 20 of 20 of 21 depression 22 in 25 patients 23 older 25 patients 24 black 25 patients objectives : the present study examines racial/ethnic variations in the relation [between] body mass index ( bmi ) and cognitive function among older adults . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 5 study 2 : 6 examines 2 : 25 . 3 the 5 study 4 present 5 study 5 study 6 examines 6 examines 19 and 6 examines 22 among 7 racial/ethnic 8 variations 8 variations 9 in 8 variations 19 and 9 in 15 index 10 the 15 index 11 relation 15 index 13 body 15 index 14 mass 15 index 15 index 17 bmi 16 ( 17 bmi 17 bmi 18 ) 19 and 21 function 20 cognitive 21 function 22 among 24 adults 23 older 24 adults design : cross - sectional study of secondary data . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 10 . 1 design 2 : 2 : 3 cross 4 - 6 study 5 sectional 6 study 6 study 7 of 7 of 9 data 8 secondary 9 data setting : data were obtained from the 2010 health and retirement study . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 2 : 3 data 2 : 5 obtained 2 : 13 . 3 data 4 were 4 were 5 obtained 5 obtained 6 from 6 from 10 and 7 the 8 2010 8 2010 9 health 9 health 10 and 10 and 12 study 11 retirement 12 study participants : racial/ethnic groups analyzed were black ( n = 546 ) , hispanic ( n = 110 ) , and [non] [-] hispanic white ( n = 4,104 ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 2 : 4 groups 2 : 6 were 2 : 13 , 2 : 31 . 3 racial/ethnic 4 groups 4 groups 5 analyzed 4 groups 6 were 6 were 7 black 7 black 10 = 8 ( 10 = 9 n 10 = 10 = 11 546 10 = 12 ) 13 , 21 and 13 , 25 white 14 hispanic 17 = 14 hispanic 21 and 15 ( 17 = 16 n 17 = 17 = 18 110 17 = 19 ) 20 , 21 and 21 and 24 hispanic 21 and 25 white 25 white 28 = 26 ( 28 = 27 n 28 = 28 = 29 4,104 28 = 30 ) measurements : bmi [was] calculated based on self [-] reported height and weight . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 . 2 : 12 and 3 bmi 5 calculated 3 bmi 6 based 3 bmi 12 and 6 based 7 on 7 on 11 height 8 self 10 reported 10 reported 11 height 12 and 13 weight cognitive [function] was measured [based] on telephone interview for cognitive status - health and retirement study version scores . 0 ###LEFT-WALL### 1 cognitive 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 19 . 1 cognitive 3 was 3 was 4 measured 4 measured 6 on 4 measured 9 for 6 on 8 interview 7 telephone 8 interview 9 for 11 status 10 cognitive 11 status 12 - 14 and 13 health 14 and 14 and 18 scores 15 retirement 16 study 16 study 18 scores 17 version 18 scores results : significant main effects were found for both bmi and race/ethnicity , indicating that cognitive function varies significantly by both . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 22 . 1 results 2 : 2 : 3 significant 3 significant 5 effects 3 significant 7 found 4 main 5 effects 5 effects 6 were 6 were 7 found 7 found 8 for 8 for 11 and 9 both 11 and 10 bmi 11 and 11 and 12 race/ethnicity 13 , 14 indicating 13 , 18 varies 14 indicating 17 function 14 indicating 18 varies 15 that 17 function 16 cognitive 17 function 18 varies 19 significantly 18 varies 20 by 20 by 21 both the bmi × race/ethnicity interaction was also found to be significant . 0 ###LEFT-WALL### 5 interaction 0 ###LEFT-WALL### 8 found 0 ###LEFT-WALL### 12 . 1 the 5 interaction 2 bmi 5 interaction 3 × 5 interaction 4 race/ethnicity 5 interaction 5 interaction 6 was 6 was 8 found 7 also 8 found 8 found 9 to 9 to 10 be 10 be 11 significant the interaction revealed that among the white sample cognitive function scores tended to increase as bmi increased whereas the opposite relation was observed in the hispanic sample . 0 ###LEFT-WALL### 2 interaction 0 ###LEFT-WALL### 3 revealed 0 ###LEFT-WALL### 23 observed 1 the 2 interaction 2 interaction 3 revealed 3 revealed 4 that 4 that 11 scores 4 that 12 tended 5 among 8 sample 5 among 11 scores 6 the 8 sample 7 white 8 sample 9 cognitive 11 scores 10 function 11 scores 11 scores 12 tended 12 tended 13 to 12 tended 23 observed 13 to 14 increase 14 increase 15 as 15 as 16 bmi 16 bmi 17 increased 17 increased 18 whereas 18 whereas 20 opposite 19 the 20 opposite 20 opposite 21 relation 20 opposite 22 was 20 opposite 23 observed 21 relation 22 was 23 observed 24 in 23 observed 28 . 24 in 27 sample 25 the 27 sample 26 hispanic 27 sample the black sample displayed a similar pattern as the white sample , although a decrease was observed in cognitive function scores once bmi reached obesity . 0 ###LEFT-WALL### 3 sample 0 ###LEFT-WALL### 17 observed 0 ###LEFT-WALL### 26 . 1 the 3 sample 2 black 3 sample 3 sample 4 displayed 4 displayed 7 pattern 4 displayed 8 as 4 displayed 13 although 5 a 6 similar 5 a 7 pattern 6 similar 7 pattern 8 as 11 sample 9 the 11 sample 10 white 11 sample 12 , 13 although 13 although 15 decrease 14 a 15 decrease 15 decrease 16 was 16 was 17 observed 17 observed 18 in 17 observed 22 once 18 in 21 scores 19 cognitive 20 function 20 function 21 scores 22 once 23 bmi 22 once 24 reached 23 bmi 24 reached 24 reached 25 obesity conclusion : the results suggest that the relation between bmi and cognitive function does vary by race ethnicity . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 2 : 4 results 2 : 5 suggest 3 the 4 results 4 results 5 suggest 5 suggest 6 that 6 that 8 relation 6 that 15 vary 7 the 8 relation 8 relation 9 between 8 relation 14 does 9 between 11 and 10 bmi 11 and 11 and 13 function 12 cognitive 13 function 14 does 15 vary 15 vary 16 by 16 by 18 ethnicity 17 race 18 ethnicity therefore , it can be concluded that high or low bmi may vary [as] a risk or protective factor for cognitive dysfunction among older adults by race/ethnicity . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 6 concluded 0 ###LEFT-WALL### 9 or 0 ###LEFT-WALL### 28 . 1 therefore 2 , 1 therefore 3 it 3 it 4 can 4 can 5 be 5 be 6 concluded 6 concluded 8 high 7 that 8 high 9 or 11 bmi 9 or 13 vary 10 low 11 bmi 11 bmi 12 may 12 may 13 vary 13 vary 17 or 13 vary 23 among 15 a 16 risk 16 risk 17 or 17 or 19 factor 17 or 20 for 18 protective 19 factor 20 for 22 dysfunction 21 cognitive 22 dysfunction 23 among 25 adults 24 older 25 adults 25 adults 26 by 26 by 27 race/ethnicity implications for research and clinical work are discussed . 0 ###LEFT-WALL### 1 implications 0 ###LEFT-WALL### 8 discussed 0 ###LEFT-WALL### 9 . 1 implications 2 for 1 implications 7 are 2 for 4 and 3 research 4 and 4 and 6 work 5 clinical 6 work 7 are 8 discussed task performance for behaviors that engage motor cognitive processes may be particularly sensitive to age - related changes . 0 ###LEFT-WALL### 2 performance 0 ###LEFT-WALL### 11 be 0 ###LEFT-WALL### 17 related 1 task 2 performance 2 performance 3 for 2 performance 10 may 3 for 4 behaviors 4 behaviors 5 that 4 behaviors 6 engage 5 that 6 engage 6 engage 9 processes 7 motor 9 processes 8 cognitive 9 processes 10 may 11 be 11 be 12 particularly 11 be 13 sensitive 13 sensitive 14 to 13 sensitive 15 age 14 to 15 age 16 - 17 related 17 related 18 changes 17 related 19 . one well [-] studied model [of] cognitive motor function involves engagement of action selection ( as ) processes . 0 ###LEFT-WALL### 9 function 0 ###LEFT-WALL### 10 involves 0 ###LEFT-WALL### 19 . 1 one 9 function 2 well 4 studied 4 studied 5 model 5 model 9 function 7 cognitive 8 motor 8 motor 9 function 9 function 10 involves 10 involves 11 engagement 11 engagement 12 of 12 of 13 action 13 action 14 selection 13 action 18 processes 14 selection 16 as 14 selection 18 processes 15 ( 16 as 16 as 17 ) in young adults , task conditions that add as demands result in increased preparation times and greater engagement of bilateral dorsal premotor ( pmd ) [and] parietal cortices . 0 ###LEFT-WALL### 6 conditions 0 ###LEFT-WALL### 11 result 0 ###LEFT-WALL### 29 . 1 in 3 adults 1 in 4 , 1 in 6 conditions 2 young 3 adults 5 task 6 conditions 6 conditions 7 that 6 conditions 8 add 6 conditions 11 result 7 that 8 add 8 add 10 demands 9 as 10 demands 11 result 12 in 12 in 16 and 13 increased 14 preparation 14 preparation 15 times 15 times 16 and 16 and 18 engagement 16 and 19 of 17 greater 18 engagement 19 of 28 cortices 20 bilateral 28 cortices 21 dorsal 28 cortices 22 premotor 24 pmd 22 premotor 28 cortices 23 ( 24 pmd 24 pmd 25 ) 27 parietal 28 cortices the current study investigated the behavioral and neural response to a change in motor cognitive demands in older adults through the addition of as to a movement task . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 investigated 0 ###LEFT-WALL### 29 . 1 the 3 study 2 current 3 study 3 study 4 investigated 4 investigated 9 response 4 investigated 10 to 4 investigated 13 in 4 investigated 17 in 4 investigated 25 to 5 the 9 response 6 behavioral 7 and 7 and 8 neural 7 and 9 response 10 to 12 change 11 a 12 change 13 in 16 demands 14 motor 16 demands 15 cognitive 16 demands 17 in 19 adults 18 older 19 adults 19 adults 20 through 19 adults 23 of 20 through 22 addition 21 the 22 addition 23 of 24 as 25 to 28 task 26 a 27 movement 26 a 28 task 27 movement 28 task sixteen older adults made a joystick movement under two conditions during functional magnetic resonance imaging . 0 ###LEFT-WALL### 3 adults 0 ###LEFT-WALL### 4 made 0 ###LEFT-WALL### 16 . 1 sixteen 3 adults 2 older 3 adults 3 adults 4 made 4 made 6 joystick 4 made 7 movement 4 made 8 under 4 made 11 during 5 a 6 joystick 8 under 10 conditions 9 two 10 conditions 11 during 15 imaging 12 functional 14 resonance 13 magnetic 14 resonance 14 resonance 15 imaging in the as condition , participants moved right or left based on an abstract rule [;] in the execution only ( eo ) condition , participants moved in the same direction on every trial . 0 ###LEFT-WALL### 6 participants 0 ###LEFT-WALL### 7 moved 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 35 . 1 in 4 condition 1 in 5 , 1 in 6 participants 2 the 4 condition 3 as 4 condition 6 participants 7 moved 7 moved 24 condition 8 right 9 or 9 or 10 left 9 or 11 based 9 or 22 eo 9 or 24 condition 11 based 12 on 11 based 17 in 11 based 20 only 12 on 15 rule 13 an 14 abstract 13 an 15 rule 14 abstract 15 rule 17 in 19 execution 18 the 19 execution 21 ( 22 eo 22 eo 23 ) 25 , 26 participants 25 , 27 moved 26 participants 27 moved 27 moved 28 in 27 moved 32 on 28 in 31 direction 29 the 30 same 29 the 31 direction 32 on 34 trial 33 every 34 trial across participants , the as condition , as compared [to] the eo condition , was associated with longer reaction time and increased activation of left inferior parietal lobule . 0 ###LEFT-WALL### 6 condition 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 29 . 1 across 2 participants 1 across 3 , 1 across 6 condition 4 the 6 condition 5 as 6 condition 6 condition 9 compared 6 condition 21 and 7 , 9 compared 8 as 9 compared 9 compared 13 condition 9 compared 14 , 11 the 13 condition 12 eo 13 condition 15 was 16 associated 15 was 21 and 16 associated 17 with 17 with 20 time 18 longer 19 reaction 19 reaction 20 time 21 and 22 increased 21 and 23 activation 23 activation 24 of 24 of 28 lobule 25 left 28 lobule 26 inferior 28 lobule 27 parietal 28 lobule variability in [behavioral] response to the as task between participants related to differences in brain [function] and structure . 0 ###LEFT-WALL### 1 variability 0 ###LEFT-WALL### 11 related 0 ###LEFT-WALL### 19 . 1 variability 4 response 1 variability 5 to 1 variability 11 related 2 in 4 response 5 to 8 task 6 the 8 task 7 as 8 task 8 task 9 between 9 between 10 participants 11 related 12 to 11 related 14 in 12 to 13 differences 14 in 17 and 15 brain 17 and 17 and 18 structure overall , individuals with poorer as task performance showed greater activation in left pmd and dorsolateral prefrontal cortex and decreased structural integrity of white matter tracts that connect sensorimotor , frontal , and parietal regions - key regions for as task performance . 0 ###LEFT-WALL### 33 and 0 ###LEFT-WALL### 36 - 1 overall 2 , 2 , 29 sensorimotor 2 , 30 , 3 individuals 4 with 3 individuals 19 and 4 with 6 as 5 poorer 6 as 6 as 8 performance 6 as 9 showed 7 task 8 performance 8 performance 9 showed 9 showed 11 activation 9 showed 12 in 10 greater 11 activation 12 in 15 and 13 left 14 pmd 14 pmd 15 and 15 and 18 cortex 16 dorsolateral 18 cortex 17 prefrontal 18 cortex 19 and 22 integrity 19 and 23 of 19 and 29 sensorimotor 20 decreased 22 integrity 21 structural 22 integrity 23 of 26 tracts 24 white 25 matter 25 matter 26 tracts 26 tracts 27 that 26 tracts 28 connect 27 that 28 connect 30 , 31 frontal 30 , 33 and 32 , 33 and 33 and 35 regions 34 parietal 35 regions 36 - 38 regions 36 - 41 task 36 - 43 . 37 key 38 regions 38 regions 39 for 38 regions 41 task 39 for 40 as 41 task 42 performance additionally , two distinct patterns of functional connectivity were found . 0 ###LEFT-WALL### 5 patterns 0 ###LEFT-WALL### 10 found 0 ###LEFT-WALL### 11 . 1 additionally 2 , 1 additionally 5 patterns 3 two 5 patterns 4 distinct 5 patterns 5 patterns 6 of 5 patterns 9 were 6 of 8 connectivity 7 functional 8 connectivity 9 were 10 found participants with a pattern of decreased primary motor [-] pmd connectivity in response to the as condition , compared to those with a pattern of increased connectivity , were older and had poorer behavioral performance . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 31 and 0 ###LEFT-WALL### 36 . 1 participants 2 with 1 participants 31 and 2 with 4 pattern 3 a 4 pattern 4 pattern 5 of 5 of 11 connectivity 6 decreased 8 motor 7 primary 8 motor 8 motor 11 connectivity 10 pmd 11 connectivity 11 connectivity 13 response 11 connectivity 14 to 11 connectivity 19 compared 12 in 13 response 14 to 17 condition 15 the 17 condition 16 as 17 condition 18 , 19 compared 19 compared 20 to 19 compared 22 with 19 compared 28 , 20 to 21 those 22 with 24 pattern 23 a 24 pattern 24 pattern 25 of 25 of 27 connectivity 26 increased 27 connectivity 29 were 30 older 29 were 31 and 31 and 32 had 32 had 35 performance 33 poorer 35 performance 34 behavioral 35 performance these neural changes in response to increased motor cognitive demands may be a marker for age - related changes in the motor system and have an impact on the learning of novel , complex motor skills in older adults . 0 ###LEFT-WALL### 3 changes 0 ###LEFT-WALL### 12 be 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 40 . 1 these 3 changes 2 neural 3 changes 3 changes 5 response 3 changes 6 to 3 changes 11 may 4 in 5 response 6 to 10 demands 7 increased 8 motor 8 motor 10 demands 9 cognitive 10 demands 11 may 12 be 12 be 14 marker 13 a 14 marker 14 marker 15 for 15 for 16 age 17 - 24 and 18 related 19 changes 18 related 20 in 18 related 24 and 20 in 23 system 21 the 23 system 22 motor 23 system 24 and 25 have 25 have 27 impact 25 have 37 in 26 an 27 impact 27 impact 28 on 28 on 30 learning 29 the 30 learning 30 learning 31 of 31 of 36 skills 32 novel 33 , 32 novel 34 complex 34 complex 36 skills 35 motor 36 skills 37 in 39 adults 38 older 39 adults background [:] previous studies on nonagenarians have widely investigated functional and cognitive decline , falls , predictors of mortality , inflammation and aging genetics . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 25 . 1 background 4 studies 1 background 7 have 1 background 14 , 3 previous 4 studies 4 studies 5 on 4 studies 7 have 5 on 6 nonagenarians 8 widely 9 investigated 9 investigated 11 and 9 investigated 14 , 10 functional 11 and 11 and 13 decline 12 cognitive 13 decline 14 , 15 falls 16 , 22 and 17 predictors 18 of 17 predictors 20 , 18 of 19 mortality 20 , 21 inflammation 20 , 22 and 22 and 24 genetics 23 aging 24 genetics however , some intriguing domains , such as body composition , daily energy expenditure , sleep quality and physical activity , as well as endothelial progenitor cells and " omics " fields , such as proteomics or metabolomics , have been poorly explored . 0 ###LEFT-WALL### 3 some 0 ###LEFT-WALL### 32 fields 0 ###LEFT-WALL### 39 , 0 ###LEFT-WALL### 44 . 1 however 2 , 1 however 3 some 3 some 4 intriguing 3 some 32 fields 4 intriguing 5 domains 4 intriguing 8 as 4 intriguing 24 as 6 , 8 as 7 such 8 as 8 as 18 and 8 as 21 , 9 body 10 composition 10 composition 11 , 11 , 14 expenditure 11 , 15 , 12 daily 13 energy 13 energy 14 expenditure 15 , 17 quality 15 , 18 and 16 sleep 17 quality 18 and 20 activity 19 physical 20 activity 22 as 23 well 23 well 24 as 24 as 28 and 25 endothelial 26 progenitor 26 progenitor 27 cells 27 cells 28 and 28 and 29 " 28 and 30 omics 30 omics 31 " 32 fields 35 as 33 , 35 as 34 such 35 as 35 as 37 or 35 as 39 , 36 proteomics 37 or 37 or 38 metabolomics 39 , 40 have 40 have 41 been 41 been 43 explored 42 poorly 43 explored in this preliminary paper we report design , methods and characteristics of participants in the mugello study , a survey of nonagenarians aimed at filling these gaps . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 report 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 28 . 1 in 4 paper 1 in 5 we 2 this 3 preliminary 3 preliminary 4 paper 5 we 6 report 6 report 7 design 7 design 10 and 8 , 10 and 9 methods 10 and 10 and 11 characteristics 10 and 12 of 10 and 18 , 12 of 13 participants 13 participants 14 in 14 in 17 study 15 the 17 study 16 mugello 17 study 18 , 20 survey 18 , 23 aimed 19 a 20 survey 20 survey 21 of 20 survey 23 aimed 21 of 22 nonagenarians 23 aimed 24 at 24 at 25 filling 25 filling 27 gaps 26 these 27 gaps methods : 475 [non] selected nonagenarians , 130 men and 345 women , mean age 92.6 years ± [sd] 2.6 , received a visit by a trained physician at their residence . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 32 . 1 methods 2 : 2 : 6 nonagenarians 3 475 5 selected 5 selected 6 nonagenarians 7 , 10 and 7 , 22 received 8 130 9 men 9 men 10 and 10 and 12 women 10 and 18 ± 10 and 22 received 11 345 12 women 13 , 18 ± 14 mean 18 ± 15 age 18 ± 16 92.6 17 years 17 years 18 ± 18 ± 20 2.6 18 ± 21 , 22 received 24 visit 22 received 29 at 23 a 24 visit 24 visit 25 by 25 by 28 physician 26 a 28 physician 27 trained 28 physician 29 at 31 residence 30 their 31 residence along with the assessment of social , functional and cognitive status , reported in this paper , participants also underwent instrumental examinations , including body impedance assessment and continuous direct calorimetry , and were administered a series of validated questionnaires . 0 ###LEFT-WALL### 18 participants 0 ###LEFT-WALL### 20 underwent 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 41 . 1 along 2 with 2 with 4 assessment 2 with 18 participants 3 the 4 assessment 4 assessment 5 of 5 of 11 status 6 social 7 , 7 , 8 functional 7 , 9 and 9 and 10 cognitive 9 and 11 status 11 status 13 reported 12 , 13 reported 13 reported 14 in 13 reported 17 , 14 in 16 paper 15 this 16 paper 18 participants 20 underwent 19 also 20 underwent 20 underwent 22 examinations 21 instrumental 22 examinations 23 , 24 including 23 , 39 validated 24 including 26 impedance 24 including 39 validated 25 body 26 impedance 26 impedance 28 and 26 impedance 38 of 27 assessment 28 and 28 and 29 continuous 28 and 33 and 30 direct 31 calorimetry 30 direct 33 and 32 , 33 and 33 and 34 were 33 and 37 series 34 were 35 administered 36 a 37 series 37 series 38 of 39 validated 40 questionnaires further , 385 participants accepted to undergo blood withdrawal . 0 ###LEFT-WALL### 4 participants 0 ###LEFT-WALL### 8 blood 0 ###LEFT-WALL### 10 . 1 further 2 , 1 further 4 participants 3 385 4 participants 4 participants 5 accepted 4 participants 6 to 4 participants 7 undergo 4 participants 8 blood 6 to 7 undergo 8 blood 9 withdrawal results : in 52 cases the visit was conducted in nursing homes . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 7 visit 2 : 9 conducted 2 : 13 . 3 in 5 cases 3 in 7 visit 4 52 5 cases 6 the 7 visit 7 visit 8 was 8 was 9 conducted 9 conducted 10 in 10 in 11 nursing 11 nursing 12 homes among the 423 home - living participants , 91 lived alone and [77] were not looked after [by] any caregiver . 0 ###LEFT-WALL### 9 91 0 ###LEFT-WALL### 16 looked 0 ###LEFT-WALL### 21 . 1 among 4 home 1 among 8 , 1 among 9 91 2 the 4 home 3 423 4 home 4 home 7 participants 5 - 7 participants 6 living 7 participants 7 participants 8 , 9 91 12 and 9 91 16 looked 10 lived 11 alone 10 lived 12 and 12 and 14 were 14 were 15 not 16 looked 17 after 17 after 19 any 17 after 20 caregiver 19 any 20 caregiver altogether , 154 participants over 475 were free from disabilities and 266 showed mini mental state examination raw scores ≥ 21 . 0 ###LEFT-WALL### 4 participants 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 22 . 1 altogether 2 , 1 altogether 4 participants 3 154 4 participants 4 participants 5 over 4 participants 7 were 5 over 6 475 7 were 8 free 8 free 9 from 9 from 10 disabilities 11 and 12 266 11 and 13 showed 12 266 13 showed 13 showed 17 examination 13 showed 19 scores 13 showed 20 ≥ 14 mini 15 mental 15 mental 16 state 16 state 17 examination 18 raw 19 scores 19 scores 20 ≥ 20 ≥ 21 21 men showed less disability and cognitive impairment ( p<0.001 , for both ) . 0 ###LEFT-WALL### 1 men 0 ###LEFT-WALL### 2 showed 0 ###LEFT-WALL### 14 . 1 men 2 showed 2 showed 4 disability 2 showed 5 and 3 less 4 disability 5 and 7 impairment 6 cognitive 7 impairment 7 impairment 9 p<0.001 7 impairment 11 for 8 ( 9 p<0.001 9 p<0.001 10 , 10 , 11 for 11 for 12 both 11 for 13 ) conclusions : as a whole , our findings are comparable to those reported in other surveys . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 8 findings 2 : 9 are 2 : 17 . 3 as 5 whole 3 as 6 , 3 as 8 findings 4 a 5 whole 7 our 8 findings 8 findings 9 are 9 are 10 comparable 10 comparable 11 to 11 to 12 those 12 those 13 reported 13 reported 14 in 14 in 16 surveys 15 other 16 surveys future studies , by using the mugello study database and biologic bank , that will be available to all researchers , will shed some more light on the aging process in nonagenarians . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 33 . 1 future 2 studies 3 , 10 and 3 , 26 light 4 by 5 using 4 by 10 and 5 using 7 mugello 6 the 7 mugello 8 study 9 database 9 database 10 and 10 and 12 bank 10 and 14 that 10 and 23 shed 10 and 26 light 11 biologic 12 bank 13 , 14 that 14 that 15 will 14 that 23 shed 15 will 21 , 16 be 17 available 16 be 21 , 17 available 18 to 18 to 20 researchers 19 all 20 researchers 21 , 22 will 22 will 23 shed 23 shed 25 more 24 some 25 more 26 light 27 on 26 light 31 in 27 on 30 process 28 the 30 process 29 aging 30 process 31 in 32 nonagenarians control of osteoblastic bone formation involves the cumulative action of numerous transcription factors , including both activating and repressive functions that are important during specific stages of differentiation . 0 ###LEFT-WALL### 1 control 0 ###LEFT-WALL### 6 involves 1 control 2 of 1 control 6 involves 2 of 5 formation 3 osteoblastic 4 bone 4 bone 5 formation 6 involves 9 action 7 the 9 action 8 cumulative 9 action 9 action 10 of 10 of 13 factors 11 numerous 12 transcription 12 transcription 13 factors 13 factors 15 including 14 , 15 including 15 including 20 functions 15 including 29 . 16 both 20 functions 17 activating 18 and 18 and 19 repressive 18 and 20 functions 20 functions 21 that 20 functions 22 are 21 that 22 are 22 are 23 important 23 important 24 during 24 during 26 stages 25 specific 26 stages 26 stages 27 of 27 of 28 differentiation the nuclear receptor retinoic acid receptor - related orphan receptor β ( rorβ ) has been recently shown to suppress the osteogenic phenotype in cultured osteoblasts , and is highly upregulated in bone marrow - derived osteogenic precursors isolated from aged osteoporotic mice , [suggesting] rorβ is an important regulator of osteoblast function . 0 ###LEFT-WALL### 6 receptor 0 ###LEFT-WALL### 28 and 0 ###LEFT-WALL### 44 , 0 ###LEFT-WALL### 54 . 1 the 6 receptor 2 nuclear 3 receptor 3 receptor 6 receptor 4 retinoic 5 acid 5 acid 6 receptor 6 receptor 28 and 7 - 8 related 8 related 11 β 8 related 15 has 9 orphan 11 β 10 receptor 11 β 11 β 13 rorβ 12 ( 13 rorβ 13 rorβ 14 ) 15 has 16 been 15 has 28 and 16 been 17 recently 16 been 18 shown 18 shown 19 to 18 shown 24 in 19 to 20 suppress 20 suppress 23 phenotype 21 the 23 phenotype 22 osteogenic 23 phenotype 24 in 26 osteoblasts 25 cultured 26 osteoblasts 27 , 28 and 28 and 29 is 28 and 38 precursors 29 is 31 upregulated 30 highly 31 upregulated 31 upregulated 32 in 31 upregulated 35 - 31 upregulated 36 derived 32 in 34 marrow 33 bone 34 marrow 37 osteogenic 38 precursors 38 precursors 39 isolated 38 precursors 40 from 40 from 43 mice 41 aged 43 mice 42 osteoporotic 43 mice 44 , 46 rorβ 44 , 53 function 46 rorβ 47 is 47 is 50 regulator 47 is 53 function 48 an 50 regulator 49 important 50 regulator 50 regulator 51 of 51 of 52 osteoblast however the specific gene expression patterns elicited by rorβ are unknown . 0 ###LEFT-WALL### 6 patterns 0 ###LEFT-WALL### 10 are 0 ###LEFT-WALL### 12 . 1 however 6 patterns 2 the 6 patterns 3 specific 4 gene 4 gene 6 patterns 5 expression 6 patterns 6 patterns 7 elicited 6 patterns 10 are 7 elicited 8 by 8 by 9 rorβ 10 are 11 unknown using microarray analysis , we identified 281 genes regulated by rorβ in an mc3t3 [-] e1 mouse osteoblast cell model ( mc3t3 - rorβ - gfp ) . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 identified 0 ###LEFT-WALL### 28 . 1 using 3 analysis 1 using 4 , 1 using 5 we 2 microarray 3 analysis 5 we 6 identified 6 identified 8 genes 7 281 8 genes 8 genes 9 regulated 8 genes 22 mc3t3 9 regulated 10 by 10 by 11 rorβ 11 rorβ 12 in 12 in 20 model 13 an 20 model 14 mc3t3 16 e1 16 e1 19 cell 17 mouse 18 osteoblast 18 osteoblast 19 cell 19 cell 20 model 21 ( 22 mc3t3 22 mc3t3 26 gfp 22 mc3t3 27 ) 23 - 26 gfp 24 rorβ 26 gfp 25 - 26 gfp 26 gfp 27 ) pathway analysis revealed alterations in genes involved in mapk signaling , genes involved in extracellular [matrix] ( ecm ) regulation , and cytokine - receptor interactions . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 24 - 1 pathway 2 analysis 2 analysis 3 revealed 3 revealed 4 alterations 4 alterations 5 in 4 alterations 22 and 5 in 6 genes 6 genes 7 involved 7 involved 8 in 8 in 9 mapk 9 mapk 10 signaling 9 mapk 12 genes 11 , 12 genes 12 genes 13 involved 12 genes 14 in 12 genes 21 , 14 in 20 regulation 15 extracellular 18 ecm 15 extracellular 19 ) 15 extracellular 20 regulation 17 ( 18 ecm 18 ecm 19 ) 22 and 23 cytokine 24 - 26 interactions 24 - 27 . 25 receptor 26 interactions whereas the identified rorβ - regulated ecm genes normally decline during osteoblastic differentiation , they were highly upregulated in this [non] - mineralizing mc3t3 - rorβ - gfp model system , suggesting that rorβ may exert its anti - osteogenic effects through ecm disruption . 0 ###LEFT-WALL### 8 genes 0 ###LEFT-WALL### 10 decline 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 45 . 1 whereas 4 rorβ 1 whereas 5 - 1 whereas 8 genes 2 the 4 rorβ 3 identified 4 rorβ 6 regulated 8 genes 7 ecm 8 genes 8 genes 10 decline 9 normally 10 decline 10 decline 11 during 11 during 13 differentiation 12 osteoblastic 13 differentiation 14 , 15 they 14 , 18 upregulated 14 , 25 - 15 they 16 were 16 were 18 upregulated 17 highly 18 upregulated 18 upregulated 19 in 18 upregulated 23 mineralizing 19 in 20 this 22 - 23 mineralizing 23 mineralizing 24 mc3t3 23 mineralizing 25 - 25 - 30 system 25 - 31 , 26 rorβ 28 gfp 27 - 28 gfp 28 gfp 30 system 29 model 30 system 31 , 32 suggesting 31 , 36 exert 32 suggesting 34 rorβ 32 suggesting 35 may 33 that 34 rorβ 35 may 36 exert 36 exert 41 effects 36 exert 42 through 37 its 41 effects 38 anti 39 - 38 anti 41 effects 40 osteogenic 41 effects 42 through 44 disruption 43 ecm 44 disruption consistent with these in vitro findings , the expression of both rorβ and a subset of rorβ - regulated genes were increased in bone [biopsies] from postmenopausal women ( 73±7 years old ) compared to premenopausal women ( 30±5 years old ) , suggesting a role for rorβ in human age - related bone loss . 0 ###LEFT-WALL### 6 findings 0 ###LEFT-WALL### 34 compared 0 ###LEFT-WALL### 53 related 1 consistent 6 findings 2 with 3 these 2 with 6 findings 4 in 5 vitro 5 vitro 6 findings 6 findings 9 expression 6 findings 34 compared 7 , 9 expression 8 the 9 expression 9 expression 10 of 9 expression 13 and 9 expression 24 bone 9 expression 33 ) 10 of 11 both 12 rorβ 13 and 13 and 15 subset 13 and 18 - 13 and 19 regulated 13 and 20 genes 13 and 23 in 13 and 24 bone 14 a 15 subset 15 subset 16 of 16 of 17 rorβ 20 genes 21 were 21 were 22 increased 22 increased 23 in 24 bone 26 from 26 from 28 women 27 postmenopausal 28 women 28 women 30 73±7 29 ( 30 73±7 30 73±7 32 old 30 73±7 33 ) 31 years 32 old 34 compared 35 to 35 to 37 women 36 premenopausal 37 women 37 women 39 30±5 37 women 44 suggesting 38 ( 39 30±5 39 30±5 41 old 39 30±5 42 ) 40 years 41 old 43 , 44 suggesting 44 suggesting 46 role 44 suggesting 49 in 44 suggesting 52 - 45 a 46 role 46 role 47 for 47 for 48 rorβ 49 in 51 age 50 human 51 age 52 - 53 related 53 related 55 loss 53 related 56 . 54 bone 55 loss collectively , these data demonstrate that rorβ regulates known osteogenic pathways , and may represent a novel therapeutic target for age - associated bone loss . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 5 demonstrate 0 ###LEFT-WALL### 22 - 0 ###LEFT-WALL### 26 . 1 collectively 2 , 1 collectively 4 data 3 these 4 data 4 data 5 demonstrate 5 demonstrate 6 that 6 that 7 rorβ 6 that 13 and 7 rorβ 13 and 8 regulates 11 pathways 8 regulates 13 and 9 known 11 pathways 10 osteogenic 11 pathways 12 , 13 and 13 and 14 may 14 may 15 represent 15 represent 19 target 16 a 17 novel 16 a 19 target 17 novel 19 target 18 therapeutic 19 target 19 target 20 for 20 for 21 age 22 - 25 loss 23 associated 24 bone 24 bone 25 loss anti - aging chinese medicines have been used in traditional beverages to promote health and prevent diseases . 0 ###LEFT-WALL### 5 medicines 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 18 . 1 anti 2 - 1 anti 5 medicines 3 aging 5 medicines 4 chinese 5 medicines 5 medicines 15 and 6 have 7 been 6 have 15 and 7 been 8 used 8 used 9 in 8 used 12 to 8 used 13 promote 9 in 11 beverages 10 traditional 11 beverages 12 to 13 promote 13 promote 14 health 15 and 16 prevent 16 prevent 17 diseases interestingly , these functional beverages may be used differently between men and women , reflecting the " yin - yang " philosophy of chinese medicine . 0 ###LEFT-WALL### 5 beverages 0 ###LEFT-WALL### 8 used 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 26 . 1 interestingly 2 , 1 interestingly 5 beverages 3 these 5 beverages 4 functional 5 beverages 5 beverages 6 may 6 may 7 be 7 be 8 used 8 used 9 differently 9 differently 10 between 10 between 11 men 12 and 13 women 12 and 20 yang 13 women 15 reflecting 13 women 20 yang 14 , 15 reflecting 15 reflecting 18 yin 15 reflecting 19 - 16 the 17 " 16 the 18 yin 20 yang 21 " 20 yang 22 philosophy 22 philosophy 23 of 23 of 25 medicine 24 chinese 25 medicine modern studies have revealed that some dietary natural products can slow aging in model organisms , and functional beverages containing such products have recently emerged in chinese [market] , challenging the dominance of traditional functional beverages . 1 modern 12 aging 1 modern 13 in 1 modern 17 and 2 studies 3 have 3 have 4 revealed 4 revealed 5 that 5 that 6 some 5 that 12 aging 6 some 9 products 6 some 11 slow 6 some 12 aging 7 dietary 9 products 8 natural 9 products 9 products 10 can 10 can 11 slow 13 in 15 organisms 14 model 15 organisms 16 , 17 and 17 and 19 beverages 17 and 23 have 18 functional 19 beverages 19 beverages 20 containing 20 containing 22 products 21 such 22 products 23 have 25 emerged 24 recently 25 emerged 25 emerged 26 in 26 in 27 chinese 27 chinese 30 challenging 29 , 30 challenging 30 challenging 32 dominance 30 challenging 37 . 31 the 32 dominance 32 dominance 33 of 33 of 36 beverages 34 traditional 36 beverages 35 functional 36 beverages here we summarize both traditional anti - aging herbs and modern natural dietary compounds currently used in functional beverages in china , and also briefly outline the underlying mechanisms of the beverages in slowing aging process . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 37 . 1 here 2 we 2 we 23 and 3 summarize 10 and 3 summarize 23 and 4 both 10 and 5 traditional 9 herbs 6 anti 7 - 6 anti 9 herbs 8 aging 9 herbs 9 herbs 10 and 10 and 14 compounds 11 modern 14 compounds 12 natural 14 compounds 13 dietary 14 compounds 14 compounds 16 used 15 currently 16 used 16 used 17 in 16 used 20 in 17 in 19 beverages 18 functional 19 beverages 20 in 21 china 22 , 23 and 23 and 26 outline 24 also 26 outline 25 briefly 26 outline 26 outline 29 mechanisms 27 the 29 mechanisms 28 underlying 29 mechanisms 29 mechanisms 30 of 29 mechanisms 33 in 30 of 32 beverages 31 the 32 beverages 33 in 34 slowing 34 slowing 36 process 35 aging 36 process recent studies have uncovered important aging clues , including free radicals , inflammation , telomeres , and life span pathways . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 uncovered 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 21 . 1 recent 2 studies 2 studies 3 have 3 have 4 uncovered 4 uncovered 7 clues 5 important 7 clues 6 aging 7 clues 7 clues 9 including 8 , 9 including 9 including 11 radicals 9 including 12 , 10 free 11 radicals 12 , 17 and 12 , 19 span 13 inflammation 14 , 14 , 15 telomeres 14 , 17 and 16 , 17 and 17 and 18 life 17 and 19 span 19 span 20 pathways strategies to regulate aging - associated signaling pathways are expected to be effective in the delay and prevention of age - related disorders . 0 ###LEFT-WALL### 8 pathways 0 ###LEFT-WALL### 10 expected 0 ###LEFT-WALL### 22 related 0 ###LEFT-WALL### 24 . 1 strategies 8 pathways 2 to 3 regulate 2 to 5 - 2 to 8 pathways 3 regulate 4 aging 6 associated 8 pathways 7 signaling 8 pathways 8 pathways 9 are 9 are 10 expected 10 expected 11 to 10 expected 12 be 11 to 12 be 12 be 13 effective 13 effective 14 in 14 in 17 and 15 the 16 delay 16 delay 17 and 17 and 18 prevention 17 and 19 of 19 of 20 age 21 - 22 related 22 related 23 disorders for example , herbal polysaccharides with considerable anti - oxidant and anti - inflammation capacities have been shown to be beneficial in aging and age - related neurodegenerative diseases . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 18 shown 0 ###LEFT-WALL### 27 related 0 ###LEFT-WALL### 30 . 1 for 2 example 2 example 3 , 2 example 11 and 4 herbal 5 polysaccharides 5 polysaccharides 6 with 5 polysaccharides 11 and 6 with 10 oxidant 7 considerable 10 oxidant 8 anti 9 - 8 anti 10 oxidant 11 and 15 capacities 11 and 16 have 12 anti 13 - 12 anti 14 inflammation 14 inflammation 15 capacities 16 have 17 been 17 been 18 shown 18 shown 19 to 19 to 24 and 20 be 21 beneficial 20 be 24 and 21 beneficial 22 in 22 in 23 aging 24 and 25 age 26 - 27 related 27 related 29 diseases 28 neurodegenerative 29 diseases polysaccharides capable of reducing cellular senescence and modulating life span via telomere and insulin pathways have also been found to have the potential to inhibit protein aggregation and aggregation - associated neurodegeneration . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 21 have 1 polysaccharides 2 capable 1 polysaccharides 7 and 2 capable 3 of 3 of 4 reducing 4 reducing 6 senescence 5 cellular 6 senescence 7 and 10 span 7 and 11 via 8 modulating 10 span 9 life 10 span 11 via 12 telomere 13 and 15 pathways 13 and 19 found 14 insulin 15 pathways 15 pathways 16 have 16 have 18 been 17 also 18 been 18 been 19 found 19 found 20 to 20 to 21 have 21 have 23 potential 21 have 24 to 22 the 23 potential 24 to 25 inhibit 25 inhibit 28 and 26 protein 27 aggregation 27 aggregation 28 and 28 and 29 aggregation 28 and 32 neurodegeneration 30 - 32 neurodegeneration 31 associated 32 neurodegeneration 32 neurodegeneration 33 . here we present the current status of polysaccharides in anti - aging and anti - neurodegenerative studies . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 present 0 ###LEFT-WALL### 18 . 1 here 2 we 2 we 3 present 3 present 6 status 3 present 9 in 4 the 6 status 5 current 6 status 6 status 7 of 7 of 8 polysaccharides 9 in 13 and 10 anti 11 - 10 anti 12 aging 12 aging 13 and 13 and 17 studies 14 anti 15 - 14 anti 17 studies 16 neurodegenerative 17 studies background : the objective of this study was to explore the factor structure of a shortened ten [-] item center for epidemiologic studies depression scale ( ces - [d] 10 ) used in a national survey in china . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 39 . 2 : 4 objective 2 : 8 was 3 the 4 objective 4 objective 5 of 4 objective 8 was 5 of 7 study 6 this 7 study 8 was 9 to 9 to 10 explore 10 explore 13 structure 10 explore 37 in 11 the 13 structure 12 factor 13 structure 13 structure 14 of 14 of 19 item 15 a 19 item 16 shortened 19 item 17 ten 19 item 19 item 20 center 19 item 32 used 20 center 21 for 20 center 32 used 21 for 25 scale 22 epidemiologic 23 studies 23 studies 24 depression 24 depression 25 scale 25 scale 27 ces 26 ( 27 ces 27 ces 30 10 27 ces 31 ) 28 - 30 10 30 10 31 ) 32 used 33 in 33 in 36 survey 34 a 35 national 34 a 36 survey 35 national 36 survey 37 in 38 china methods : this secondary research is based on the wave i ( 2011 ) of the china health aging retirement and longevity study ( charls ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 research 2 : 7 based 2 : 27 . 3 this 4 secondary 4 secondary 5 research 5 research 6 is 6 is 7 based 7 based 8 on 8 on 10 wave 9 the 10 wave 10 wave 11 i 10 wave 13 2011 10 wave 15 of 12 ( 13 2011 13 2011 14 ) 15 of 21 and 16 the 20 retirement 17 china 18 health 18 health 19 aging 19 aging 20 retirement 20 retirement 21 and 21 and 25 charls 22 longevity 23 study 23 study 25 charls 24 ( 25 charls 25 charls 26 ) charls recruited a nationally representative community sample of households with members aged 45 years or above . 0 ###LEFT-WALL### 1 charls 0 ###LEFT-WALL### 2 recruited 0 ###LEFT-WALL### 17 . 1 charls 2 recruited 2 recruited 7 sample 3 a 4 nationally 3 a 7 sample 4 nationally 5 representative 5 representative 6 community 6 community 7 sample 7 sample 8 of 8 of 9 households 9 households 15 or 10 with 14 years 10 with 15 or 11 members 12 aged 12 aged 14 years 13 45 14 years 15 or 16 above a subsample of 742 respondents aged 60 years and older were used for this study . 0 ###LEFT-WALL### 2 subsample 0 ###LEFT-WALL### 12 used 0 ###LEFT-WALL### 16 . 1 a 2 subsample 2 subsample 3 of 2 subsample 6 aged 2 subsample 11 were 3 of 5 respondents 4 742 5 respondents 6 aged 9 and 7 60 8 years 8 years 9 and 9 and 10 older 11 were 12 used 12 used 13 for 13 for 15 study 14 this 15 study confirmatory factor analyses were conducted to test three competing models and determine the best - fit model for the elderly chinese sample . 0 ###LEFT-WALL### 3 analyses 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 23 . 1 confirmatory 2 factor 2 factor 3 analyses 3 analyses 11 and 4 were 5 conducted 4 were 11 and 5 conducted 6 to 6 to 7 test 7 test 10 models 8 three 10 models 9 competing 10 models 11 and 12 determine 11 and 18 for 12 determine 17 model 13 the 14 best 13 the 17 model 14 best 15 - 16 fit 17 model 18 for 22 sample 19 the 22 sample 20 elderly 22 sample 21 chinese 22 sample factorial invariance across gender was also examined . 0 ###LEFT-WALL### 2 invariance 0 ###LEFT-WALL### 7 examined 0 ###LEFT-WALL### 8 . 1 factorial 2 invariance 2 invariance 3 across 2 invariance 5 was 3 across 4 gender 5 was 6 also 5 was 7 examined r2 [coefficient] was used to measure the reliability of each item . 0 ###LEFT-WALL### 1 r2 0 ###LEFT-WALL### 4 used 0 ###LEFT-WALL### 12 . 1 r2 3 was 3 was 4 used 4 used 5 to 4 used 6 measure 5 to 6 measure 6 measure 8 reliability 7 the 8 reliability 8 reliability 9 of 9 of 11 item 10 each 11 item results : confirmatory factor analysis supported the two [-] factor model as having the best fit . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 fit 0 ###LEFT-WALL### 17 . 2 : 3 confirmatory 3 confirmatory 5 analysis 3 confirmatory 16 fit 4 factor 5 analysis 5 analysis 6 supported 6 supported 11 model 6 supported 12 as 7 the 11 model 8 two 10 factor 10 factor 11 model 12 as 13 having 12 as 16 fit 13 having 15 best 13 having 16 fit 14 the 15 best depressive [affect] [and] somatic symptoms [were] the first factor while positive affect was loaded as the second factor . 0 ###LEFT-WALL### 1 depressive 0 ###LEFT-WALL### 19 . 1 depressive 5 symptoms 1 depressive 12 affect 1 depressive 13 was 4 somatic 5 symptoms 5 symptoms 8 first 5 symptoms 9 factor 5 symptoms 12 affect 7 the 8 first 8 first 9 factor 9 factor 10 while 10 while 11 positive 13 was 14 loaded 14 loaded 15 as 15 as 18 factor 16 the 18 factor 17 second 18 factor the multi - group analysis showed that the two - factor structure varied across the male and female groups in china ( χ2 ( df [=] 86 ) = 144.13 , p < 0.001 ) . 0 ###LEFT-WALL### 4 group 0 ###LEFT-WALL### 29 = 0 ###LEFT-WALL### 36 . 1 the 4 group 2 multi 3 - 2 multi 4 group 4 group 5 analysis 4 group 6 showed 4 group 29 = 5 analysis 6 showed 6 showed 7 that 6 showed 9 two 8 the 9 two 9 two 17 and 10 - 17 and 11 factor 12 structure 12 structure 13 varied 12 structure 17 and 13 varied 14 across 14 across 16 male 15 the 16 male 17 and 19 groups 17 and 20 in 17 and 23 χ2 17 and 28 ) 18 female 19 groups 20 in 21 china 22 ( 23 χ2 23 χ2 25 df 23 χ2 28 ) 24 ( 25 df 25 df 27 86 25 df 28 ) 29 = 30 144.13 30 144.13 33 < 31 , 33 < 32 p 33 < 33 < 34 0.001 33 < 35 ) moreover , gender differences were indicated by individual item reliability scores , mean score , and prevalence rate of depressive symptoms . 0 ###LEFT-WALL### 4 differences 0 ###LEFT-WALL### 6 indicated 0 ###LEFT-WALL### 22 . 1 moreover 2 , 1 moreover 4 differences 3 gender 4 differences 4 differences 5 were 5 were 6 indicated 6 indicated 7 by 7 by 16 and 8 individual 9 item 9 item 11 scores 10 reliability 11 scores 11 scores 12 , 12 , 14 score 12 , 16 and 13 mean 14 score 15 , 16 and 16 and 18 rate 16 and 19 of 17 prevalence 18 rate 19 of 21 symptoms 20 depressive 21 symptoms conclusion : the ces [-] d 10 scale indicated adequate reliability and validity for the community - dwelling older population in china . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 12 and 2 : 17 - 3 the 11 reliability 4 ces 6 d 4 ces 9 indicated 7 10 8 scale 8 scale 9 indicated 9 indicated 11 reliability 10 adequate 11 reliability 11 reliability 12 and 12 and 13 validity 12 and 14 for 14 for 16 community 15 the 16 community 17 - 20 population 18 dwelling 20 population 19 older 20 population 20 population 21 in 21 in 22 china in addition , the data revealed that perception and expression of depressive feelings was different between male and female elderly people . 0 ###LEFT-WALL### 5 data 0 ###LEFT-WALL### 6 revealed 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 22 . 1 in 2 addition 1 in 3 , 1 in 5 data 4 the 5 data 5 data 6 revealed 6 revealed 8 perception 7 that 8 perception 9 and 10 expression 9 and 14 was 10 expression 11 of 10 expression 14 was 11 of 13 feelings 12 depressive 13 feelings 14 was 15 different 15 different 16 between 16 between 21 people 17 male 18 and 18 and 19 female 18 and 21 people 20 elderly 21 people objective : cardiovascular risk factors in middle [-] age are associated with cognitive impairment and dementia in older age . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 5 factors 2 : 11 associated 2 : 20 . 3 cardiovascular 5 factors 4 risk 5 factors 5 factors 6 in 5 factors 10 are 6 in 9 age 7 middle 9 age 10 are 11 associated 11 associated 12 with 11 associated 17 in 12 with 15 and 13 cognitive 14 impairment 14 impairment 15 and 15 and 16 dementia 17 in 19 age 18 older 19 age less is known about the burden of calcified subclinical atherosclerosis and cognition , especially in midlife . 0 ###LEFT-WALL### 1 less 0 ###LEFT-WALL### 3 known 0 ###LEFT-WALL### 17 . 1 less 2 is 2 is 3 known 3 known 4 about 3 known 14 especially 4 about 6 burden 5 the 6 burden 6 burden 7 of 7 of 11 and 8 calcified 10 atherosclerosis 9 subclinical 10 atherosclerosis 10 atherosclerosis 11 and 11 and 12 cognition 11 and 13 , 14 especially 15 in 15 in 16 midlife we examined the association of coronary [artery] and abdominal aortic calcified plaque ( cac and aac , respectively ) with cognitive functioning in middle [-] aged adults . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 28 . 1 we 2 examined 2 examined 4 association 2 examined 18 respectively 2 examined 20 with 3 the 4 association 4 association 5 of 5 of 12 plaque 6 coronary 8 and 8 and 9 abdominal 8 and 12 plaque 10 aortic 12 plaque 11 calcified 12 plaque 12 plaque 16 aac 13 ( 16 aac 14 cac 15 and 15 and 16 aac 16 aac 17 , 17 , 18 respectively 18 respectively 19 ) 20 with 22 functioning 21 cognitive 22 functioning 22 functioning 23 in 23 in 27 adults 24 middle 26 aged 26 aged 27 adults methods : this cross - sectional study included 2510 black and white adults ( age : 43 - 55 years ) without heart disease or stroke who completed a year 25 follow - up exam [(] 2010 - 11 ) as part of the coronary artery risk development in young adults study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 1 methods 2 : 2 : 4 cross 3 this 4 cross 5 - 7 study 5 - 8 included 5 - 33 - 6 sectional 7 study 7 study 8 included 8 included 13 adults 8 included 22 without 9 2510 10 black 10 black 11 and 11 and 12 white 11 and 13 adults 13 adults 20 years 14 ( 20 years 15 age 16 : 16 : 18 - 17 43 18 - 18 - 19 55 19 55 20 years 20 years 21 ) 22 without 25 or 23 heart 24 disease 24 disease 25 or 25 or 26 stroke 25 or 27 who 25 or 28 completed 27 who 28 completed 28 completed 30 year 29 a 30 year 30 year 31 25 30 year 32 follow 31 25 32 follow 33 - 34 up 33 - 53 . 34 up 35 exam 34 up 41 as 34 up 49 in 35 exam 37 2010 35 exam 39 11 38 - 39 11 39 11 40 ) 41 as 42 part 42 part 43 of 43 of 48 development 44 the 48 development 45 coronary 46 artery 46 artery 47 risk 47 risk 48 development 49 in 52 study 50 young 51 adults 51 adults 52 study cac and aac were measured with [non] [-] contrast computed tomography . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 12 . 1 cac 2 and 2 and 3 aac 2 and 4 were 4 were 5 measured 5 measured 6 with 6 with 9 contrast 6 with 10 computed 10 computed 11 tomography cognition was assessed with the digit symbol substitution test ( dsst ) ( psychomotor speed ) , stroop test ( executive [function] ) , [and] rey auditory verbal learning test ( ravlt ) ( verbal memory ) . 0 ###LEFT-WALL### 1 cognition 0 ###LEFT-WALL### 3 assessed 0 ###LEFT-WALL### 38 . 1 cognition 2 was 2 was 3 assessed 3 assessed 4 with 4 with 11 dsst 5 the 11 dsst 6 digit 7 symbol 7 symbol 8 substitution 8 substitution 9 test 9 test 11 dsst 10 ( 11 dsst 11 dsst 12 ) 11 dsst 15 speed 11 dsst 19 test 13 ( 15 speed 14 psychomotor 15 speed 15 speed 16 ) 17 , 19 test 18 stroop 19 test 19 test 21 executive 19 test 32 ravlt 19 test 37 ) 20 ( 21 executive 21 executive 23 ) 24 , 32 ravlt 26 rey 27 auditory 27 auditory 28 verbal 28 verbal 29 learning 29 learning 30 test 30 test 32 ravlt 31 ( 32 ravlt 32 ravlt 33 ) 32 ravlt 36 memory 32 ravlt 37 ) 34 ( 36 memory 35 verbal 36 memory 36 memory 37 ) results : a greater amount of cac and aac was associated with worse performance on each test of cognitive function [after] adjustment for age , sex , race , education , and study center . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 35 . 2 : 9 aac 2 : 11 associated 3 a 5 amount 4 greater 5 amount 5 amount 6 of 5 amount 9 aac 6 of 9 aac 7 cac 8 and 8 and 9 aac 9 aac 10 was 10 was 11 associated 11 associated 12 with 12 with 14 performance 13 worse 14 performance 14 performance 15 on 14 performance 18 of 15 on 17 test 16 each 17 test 18 of 32 and 19 cognitive 22 adjustment 20 function 22 adjustment 22 adjustment 23 for 22 adjustment 25 , 23 for 24 age 25 , 26 sex 25 , 27 , 27 , 28 race 27 , 29 , 29 , 30 education 29 , 32 and 31 , 32 and 32 and 34 center 33 study 34 center associations were attenuated , but remained significant for the dsst and ravlt following additional adjustment for vascular risk factors , including adiposity , smoking , alcohol use , dyslipidemia , hypertension , and diabetes . 0 ###LEFT-WALL### 1 associations 0 ###LEFT-WALL### 5 but 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 35 . 1 associations 5 but 2 were 3 attenuated 2 were 5 but 4 , 5 but 5 but 6 remained 6 remained 7 significant 7 significant 8 for 7 significant 16 for 8 for 12 ravlt 9 the 12 ravlt 10 dsst 11 and 11 and 12 ravlt 12 ravlt 13 following 13 following 15 adjustment 14 additional 15 adjustment 16 for 19 factors 17 vascular 19 factors 18 risk 19 factors 19 factors 21 including 20 , 21 including 21 including 22 adiposity 21 including 23 , 23 , 33 and 24 smoking 25 , 25 , 27 use 25 , 28 , 26 alcohol 27 use 28 , 31 hypertension 28 , 33 and 29 dyslipidemia 30 , 29 dyslipidemia 31 hypertension 32 , 33 and 33 and 34 diabetes compared to participants without cac or aac , those with both cac and aac , but not cac or aac alone was associated with lower dsst scores ( p < 0.05 ) . 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 19 or 0 ###LEFT-WALL### 33 . 1 compared 2 to 1 compared 15 , 2 to 13 and 3 participants 4 without 3 participants 8 , 4 without 6 or 5 cac 6 or 6 or 7 aac 8 , 9 those 8 , 13 and 9 those 10 with 10 with 12 cac 11 both 12 cac 13 and 14 aac 15 , 17 not 16 but 17 not 17 not 18 cac 19 or 20 aac 19 or 23 associated 20 aac 22 was 21 alone 22 was 22 was 23 associated 23 associated 24 with 23 associated 30 < 24 with 26 dsst 24 with 27 scores 25 lower 26 dsst 28 ( 30 < 29 p 30 < 30 < 31 0.05 30 < 32 ) conclusions : in this community - based sample , greater subclinical atherosclerotic calcification was associated with worse psychomotor speed and memory in midlife . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 - 1 conclusions 2 : 2 : 3 in 3 in 5 community 4 this 5 community 6 - 8 sample 6 - 9 , 6 - 24 . 7 based 8 sample 9 , 13 calcification 9 , 15 associated 10 greater 13 calcification 11 subclinical 13 calcification 12 atherosclerotic 13 calcification 13 calcification 14 was 14 was 15 associated 15 associated 16 with 15 associated 22 in 16 with 20 and 17 worse 18 psychomotor 18 psychomotor 19 speed 19 speed 20 and 20 and 21 memory 22 in 23 midlife these findings underscore the importance of a life course approach to the study of cognitive impairment with aging . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 underscore 0 ###LEFT-WALL### 19 . 1 these 2 findings 2 findings 3 underscore 3 underscore 5 importance 3 underscore 11 to 3 underscore 17 with 4 the 5 importance 5 importance 6 of 6 of 10 approach 7 a 8 life 7 a 10 approach 8 life 10 approach 9 course 10 approach 11 to 13 study 12 the 13 study 13 study 14 of 14 of 16 impairment 15 cognitive 16 impairment 17 with 18 aging background : rhinitis is one of the most frequent medical conditions . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 rhinitis 2 : 4 is 2 : 12 . 3 rhinitis 4 is 4 is 5 one 5 one 6 of 6 of 11 conditions 7 the 8 most 8 most 11 conditions 9 frequent 11 conditions 10 medical 11 conditions however , there is sparse epidemiologic evidence for rhinitis in the elderly population . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 14 . 1 however 2 , 1 however 3 there 3 there 4 is 4 is 7 evidence 5 sparse 7 evidence 6 epidemiologic 7 evidence 7 evidence 8 for 8 for 9 rhinitis 9 rhinitis 10 in 10 in 13 population 11 the 13 population 12 elderly 13 population objective : to investigate the prevalence of rhinitis in elderly adults and its relations to asthma and other comorbidities . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 investigate 2 : 20 . 3 to 4 investigate 4 investigate 6 prevalence 4 investigate 9 in 4 investigate 15 to 5 the 6 prevalence 6 prevalence 7 of 7 of 8 rhinitis 9 in 12 and 10 elderly 11 adults 11 adults 12 and 12 and 14 relations 13 its 14 relations 15 to 17 and 16 asthma 17 and 17 and 19 comorbidities 18 other 19 comorbidities methods : a cross - sectional analysis was performed using the baseline dataset of the korean longitudinal study on health and aging , a community - based elderly population cohort in korea ( ≥65 years old ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 1 methods 2 : 2 : 4 cross 3 a 4 cross 5 - 7 analysis 5 - 9 performed 5 - 38 . 6 sectional 7 analysis 7 analysis 8 was 8 was 9 performed 9 performed 10 using 9 performed 19 on 10 using 13 dataset 11 the 13 dataset 12 baseline 13 dataset 13 dataset 14 of 14 of 18 study 15 the 16 korean 16 korean 18 study 17 longitudinal 18 study 19 on 21 and 20 health 21 and 21 and 30 cohort 21 and 31 in 22 aging 25 community 22 aging 30 cohort 23 , 25 community 24 a 25 community 25 community 26 - 27 based 29 population 28 elderly 29 population 29 population 30 cohort 31 in 32 korea 32 korea 34 ≥65 33 ( 34 ≥65 34 ≥65 36 old 34 ≥65 37 ) 35 years 36 old structured questionnaires were used to define rhinitis , asthma , and comorbidity , and allergen skin prick tests were used to define atopy . 0 ###LEFT-WALL### 2 questionnaires 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 24 . 1 structured 2 questionnaires 2 questionnaires 11 and 3 were 4 used 3 were 11 and 4 used 5 to 4 used 6 define 5 to 6 define 6 define 7 rhinitis 7 rhinitis 9 asthma 8 , 9 asthma 9 asthma 10 , 11 and 22 define 12 comorbidity 14 and 13 , 14 and 14 and 18 tests 14 and 19 were 15 allergen 16 skin 16 skin 18 tests 17 prick 18 tests 19 were 20 used 20 used 21 to 21 to 22 define 22 define 23 atopy health - related quality of life was assessed by short - form 36 questionnaires . 0 ###LEFT-WALL### 1 health 0 ###LEFT-WALL### 8 assessed 0 ###LEFT-WALL### 15 . 1 health 7 was 2 - 3 related 3 related 4 quality 3 related 7 was 4 quality 5 of 5 of 6 life 7 was 8 assessed 8 assessed 9 by 9 by 14 questionnaires 10 short 11 - 10 short 12 form 12 form 14 questionnaires 13 36 14 questionnaires results : in total , 982 elderly adults ( 98.2 % ) were included in the present study . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 8 adults 2 : 14 included 2 : 19 . 3 in 4 total 4 total 5 , 4 total 8 adults 6 982 8 adults 7 elderly 8 adults 8 adults 11 % 8 adults 13 were 9 ( 11 % 10 98.2 11 % 11 % 12 ) 13 were 14 included 14 included 15 in 15 in 18 study 16 the 18 study 17 present 18 study the prevalence of rhinitis was 25.6 % and did not decrease until 90 years of age . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 17 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 8 and 3 of 4 rhinitis 5 was 7 % 5 was 8 and 6 25.6 7 % 8 and 9 did 9 did 10 not 9 did 11 decrease 11 decrease 12 until 12 until 14 years 13 90 14 years 14 years 15 of 15 of 16 age the prevalence of atopy was 17.2 % ( 18.8 % in participants with rhinitis ) , and atopy did not show a significant association with rhinitis . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 27 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 5 was 3 of 4 atopy 5 was 7 % 6 17.2 7 % 7 % 12 participants 8 ( 12 participants 9 18.8 11 in 10 % 11 in 11 in 12 participants 12 participants 13 with 12 participants 15 ) 13 with 14 rhinitis 16 , 17 and 17 and 18 atopy 17 and 21 show 18 atopy 19 did 19 did 20 not 19 did 21 show 21 show 24 association 21 show 25 with 22 a 23 significant 22 a 24 association 23 significant 24 association 25 with 26 rhinitis in multivariate logistic regression analyses , relations between asthma and rhinitis were significant . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 12 were 0 ###LEFT-WALL### 14 . 1 in 4 regression 1 in 12 were 2 multivariate 4 regression 3 logistic 4 regression 5 analyses 6 , 6 , 7 relations 6 , 10 and 7 relations 8 between 8 between 9 asthma 10 and 11 rhinitis 10 and 12 were 12 were 13 significant among comorbid conditions , none were significantly associated with rhinitis . 0 ###LEFT-WALL### 5 none 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 11 . 1 among 3 conditions 1 among 4 , 1 among 5 none 2 comorbid 3 conditions 5 none 6 were 6 were 7 significantly 6 were 8 associated 8 associated 9 with 9 with 10 rhinitis in the short - form 36 questionnaire analyses , rhinitis [was] independently related to a decrease in the physical aspects of quality of life . 0 ###LEFT-WALL### 10 rhinitis 0 ###LEFT-WALL### 13 related 0 ###LEFT-WALL### 25 . 1 in 3 short 1 in 9 , 1 in 10 rhinitis 2 the 3 short 3 short 8 analyses 4 - 8 analyses 5 form 8 analyses 6 36 8 analyses 7 questionnaire 8 analyses 8 analyses 9 , 10 rhinitis 13 related 12 independently 13 related 13 related 14 to 13 related 17 in 14 to 16 decrease 15 a 16 decrease 17 in 20 aspects 18 the 20 aspects 19 physical 20 aspects 20 aspects 21 of 20 aspects 23 of 21 of 22 quality 23 of 24 life conclusion : the present study found a high prevalence of nonallergic rhinitis in elderly participants , which was significantly related to asthma and quality of life . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 5 study 2 : 6 found 2 : 16 , 2 : 27 . 3 the 5 study 4 present 5 study 5 study 6 found 6 found 9 prevalence 6 found 13 in 7 a 8 high 7 a 9 prevalence 8 high 9 prevalence 9 prevalence 10 of 10 of 12 rhinitis 11 nonallergic 12 rhinitis 13 in 15 participants 14 elderly 15 participants 16 , 17 which 16 , 20 related 17 which 18 was 18 was 19 significantly 18 was 20 related 20 related 21 to 21 to 23 and 22 asthma 23 and 23 and 24 quality 23 and 25 of 25 of 26 life objective : to examine the effects of a [greens] alkalizing dietary supplement on urinary ph levels in individuals [with] lower - than - average ph levels . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 26 levels 0 ###LEFT-WALL### 27 . 1 objective 2 : 2 : 3 to 2 : 4 examine 3 to 4 examine 4 examine 6 effects 4 examine 13 on 4 examine 17 in 5 the 6 effects 6 effects 7 of 7 of 12 supplement 8 a 12 supplement 10 alkalizing 12 supplement 11 dietary 12 supplement 13 on 16 levels 14 urinary 15 ph 15 ph 16 levels 17 in 18 individuals 18 individuals 20 lower 18 individuals 25 ph 18 individuals 26 levels 20 lower 22 than 21 - 22 than 22 than 23 - 24 average 25 ph 25 ph 26 levels methods : the present study investigated the effects of an alkalizing formula ( reserveage wholeganic greens ( tm ) ) on four individuals who had average urinary ph levels below 6.0 for three consecutive days . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 5 study 2 : 6 investigated 3 the 5 study 4 present 5 study 5 study 6 investigated 6 investigated 8 effects 6 investigated 21 on 6 investigated 30 below 7 the 8 effects 8 effects 9 of 9 of 12 formula 10 an 12 formula 11 alkalizing 12 formula 12 formula 18 tm 13 ( 18 tm 14 reserveage 15 wholeganic 15 wholeganic 16 greens 16 greens 18 tm 17 ( 18 tm 18 tm 19 ) 18 tm 20 ) 21 on 23 individuals 22 four 23 individuals 23 individuals 24 who 23 individuals 25 had 24 who 25 had 25 had 29 levels 26 average 29 levels 27 urinary 28 ph 28 ph 29 levels 30 below 31 6.0 31 6.0 32 for 32 for 35 days 33 three 35 days 34 consecutive 35 days following the three - day , baseline period , participants received reserveage wholeganic greens ( tm ) for four consecutive days and were instructed to continue to measure their urine ph levels . 0 ###LEFT-WALL### 10 participants 0 ###LEFT-WALL### 26 continue 0 ###LEFT-WALL### 33 . 1 following 3 three 1 following 9 , 1 following 10 participants 2 the 3 three 3 three 5 day 3 three 8 period 4 - 5 day 5 day 6 , 6 , 8 period 7 baseline 8 period 8 period 9 , 10 participants 22 and 11 received 16 tm 11 received 18 for 11 received 22 and 12 reserveage 13 wholeganic 13 wholeganic 14 greens 14 greens 16 tm 15 ( 16 tm 16 tm 17 ) 18 for 21 days 19 four 21 days 20 consecutive 21 days 22 and 23 were 22 and 25 to 23 were 24 instructed 25 to 26 continue 26 continue 27 to 26 continue 28 measure 27 to 28 measure 28 measure 32 levels 29 their 32 levels 30 urine 32 levels 31 ph 32 levels paired samples [t] - tests were used to examine ph levels before and after a four [-] day treatment period with reserveage wholeganic greens ( tm ) . 0 ###LEFT-WALL### 2 samples 0 ###LEFT-WALL### 4 - 1 paired 2 samples 4 - 5 tests 4 - 7 used 4 - 28 . 5 tests 6 were 6 were 7 used 7 used 8 to 7 used 9 examine 8 to 9 examine 9 examine 11 levels 9 examine 13 and 9 examine 21 with 10 ph 11 levels 12 before 13 and 13 and 14 after 14 after 20 period 15 a 20 period 16 four 18 day 18 day 19 treatment 19 treatment 20 period 21 with 26 tm 22 reserveage 23 wholeganic 23 wholeganic 24 greens 24 greens 26 tm 25 ( 26 tm 26 tm 27 ) results : compared to baseline , mean urine ph levels in all volunteers were significantly higher following the supplementation with reserveage wholeganic greens ( tm ) ( 5.89 ± 0.20 vs 5.56 ± 0.23 ; p<0.01 [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 35 ; 0 ###LEFT-WALL### 38 )( 1 results 2 : 2 : 6 , 3 compared 4 to 3 compared 6 , 4 to 5 baseline 6 , 7 mean 6 , 20 with 7 mean 10 levels 8 urine 9 ph 9 ph 10 levels 10 levels 11 in 10 levels 17 following 11 in 12 all 12 all 13 volunteers 12 all 14 were 13 volunteers 14 were 14 were 15 significantly 14 were 16 higher 17 following 19 supplementation 18 the 19 supplementation 20 with 25 tm 21 reserveage 22 wholeganic 22 wholeganic 23 greens 23 greens 25 tm 24 ( 25 tm 25 tm 26 ) 25 tm 29 ± 27 ( 29 ± 28 5.89 29 ± 29 ± 30 0.20 29 ± 31 vs 29 ± 35 ; 31 vs 33 ± 32 5.56 33 ± 33 ± 34 0.23 35 ; 36 p<0.01 participants ' ph levels were also significantly higher than baseline on days 5 , 6 [,] and 7 of the treatment period ( p < 0.05 ) . 0 ###LEFT-WALL### 4 levels 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 28 . 1 participants 2 ' 2 ' 4 levels 3 ph 4 levels 4 levels 5 were 5 were 6 also 5 were 8 higher 7 significantly 8 higher 8 higher 9 than 8 higher 11 on 9 than 10 baseline 11 on 12 days 12 days 13 5 12 days 17 and 14 , 17 and 15 6 17 and 17 and 18 7 17 and 19 of 17 and 27 ) 19 of 22 period 20 the 22 period 21 treatment 22 period 22 period 25 < 23 ( 25 < 24 p 25 < 25 < 26 0.05 noteworthy , on day 7 , participants ' mean ph levels were significantly higher than at the beginning of the treatment period ( 6.03 ± 0.15 at day 7 vs 5.65 ± 0.24 at day 4 [;] p < 0.01 ) . 0 ###LEFT-WALL### 1 noteworthy 0 ###LEFT-WALL### 12 were 0 ###LEFT-WALL### 42 . 1 noteworthy 3 on 1 noteworthy 12 were 2 , 3 on 3 on 4 day 3 on 6 , 4 day 5 7 7 participants 8 ' 8 ' 11 levels 9 mean 10 ph 10 ph 11 levels 11 levels 12 were 12 were 13 significantly 12 were 14 higher 14 higher 15 than 15 than 16 at 16 at 18 beginning 17 the 18 beginning 18 beginning 19 of 19 of 22 period 20 the 22 period 21 treatment 22 period 22 period 25 ± 23 ( 25 ± 24 6.03 25 ± 25 ± 26 0.15 25 ± 27 at 25 ± 30 vs 25 ± 34 at 25 ± 39 < 25 ± 41 ) 27 at 28 day 28 day 29 7 30 vs 32 ± 31 5.65 32 ± 32 ± 33 0.24 34 at 35 day 36 4 39 < 38 p 39 < 39 < 40 0.01 39 < 41 ) conclusion : the findings of this study suggest that supplementation with reserveage wholeganic greens ( tm ) has an alkalizing effect on the body and can increase the urine ph levels in individuals with lower - than - average ph levels . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 42 . 2 : 4 findings 2 : 25 and 3 the 4 findings 4 findings 5 of 4 findings 25 and 5 of 7 study 6 this 7 study 8 suggest 9 that 8 suggest 25 and 9 that 10 supplementation 9 that 18 has 10 supplementation 11 with 10 supplementation 16 tm 10 supplementation 18 has 11 with 14 greens 12 reserveage 13 wholeganic 13 wholeganic 14 greens 15 ( 16 tm 16 tm 17 ) 18 has 21 effect 18 has 22 on 19 an 21 effect 20 alkalizing 21 effect 22 on 24 body 23 the 24 body 25 and 26 can 25 and 35 lower 25 and 37 than 25 and 41 levels 26 can 27 increase 27 increase 29 urine 28 the 29 urine 29 urine 30 ph 29 urine 34 with 30 ph 31 levels 31 levels 32 in 31 levels 33 individuals 31 levels 34 with 36 - 37 than 37 than 38 - 39 average 40 ph 40 ph 41 levels significance : chronic exposure to environmental ultraviolet radiation ( uvr ) plays a key role in both photocarcinogenesis and induction of accelerated skin aging . 0 ###LEFT-WALL### 1 significance 0 ###LEFT-WALL### 2 : 2 : 4 exposure 2 : 12 plays 2 : 25 . 3 chronic 4 exposure 4 exposure 5 to 4 exposure 12 plays 5 to 8 radiation 6 environmental 8 radiation 7 ultraviolet 8 radiation 8 radiation 10 uvr 9 ( 10 uvr 10 uvr 11 ) 12 plays 15 role 12 plays 16 in 13 a 15 role 14 key 15 role 16 in 19 and 17 both 18 photocarcinogenesis 18 photocarcinogenesis 19 and 19 and 20 induction 19 and 21 of 19 and 24 aging 21 of 23 skin 22 accelerated 23 skin although the spatiotemporal consequences of uvr exposure for the composition and architecture of the dermal extracellular matrix ( ecm ) are well characterized , the pathogenesis [of] photoaging remains poorly defined . 0 ###LEFT-WALL### 28 photoaging 0 ###LEFT-WALL### 29 remains 0 ###LEFT-WALL### 32 . 1 although 4 consequences 1 although 23 characterized 1 although 24 , 1 although 28 photoaging 2 the 4 consequences 3 spatiotemporal 4 consequences 4 consequences 5 of 4 consequences 13 of 4 consequences 21 are 5 of 11 and 6 uvr 7 exposure 7 exposure 8 for 7 exposure 11 and 8 for 10 composition 9 the 10 composition 11 and 12 architecture 13 of 17 matrix 14 the 17 matrix 15 dermal 17 matrix 16 extracellular 17 matrix 17 matrix 19 ecm 18 ( 19 ecm 19 ecm 20 ) 21 are 22 well 21 are 23 characterized 23 characterized 24 , 25 the 28 photoaging 26 pathogenesis 28 photoaging 28 photoaging 29 remains 29 remains 31 defined 30 poorly 31 defined recently , both age - related protein glycation and relative amino - acid composition have been identified as potential risk factors for [photo] - ionization [and/or] photo - sensitization . 0 ###LEFT-WALL### 3 both 0 ###LEFT-WALL### 4 age 0 ###LEFT-WALL### 6 related 0 ###LEFT-WALL### 24 - 1 recently 2 , 1 recently 3 both 3 both 4 age 5 - 6 related 6 related 7 protein 7 protein 9 and 7 protein 22 for 8 glycation 9 and 9 and 14 composition 9 and 15 have 10 relative 14 composition 11 amino 12 - 11 amino 14 composition 13 acid 14 composition 15 have 16 been 16 been 17 identified 17 identified 18 as 17 identified 22 for 18 as 21 factors 19 potential 21 factors 20 risk 21 factors 24 - 27 photo 24 - 28 - 24 - 30 . 25 ionization 27 photo 28 - 29 sensitization here , we propose a selective multi - hit model of photoaging . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 propose 0 ###LEFT-WALL### 13 . 1 here 2 , 1 here 3 we 3 we 4 propose 4 propose 10 model 5 a 6 selective 5 a 10 model 6 selective 9 hit 7 multi 8 - 7 multi 9 hit 9 hit 10 model 10 model 11 of 11 of 12 photoaging critical issues : bioinformatic analyses can be employed to identify candidate uvr targets/photosensitizers , but the action of uvr on protein structure [and/or] ros production should be verified experimentally . 0 ###LEFT-WALL### 2 issues 0 ###LEFT-WALL### 10 identify 0 ###LEFT-WALL### 15 but 0 ###LEFT-WALL### 30 . 1 critical 2 issues 2 issues 3 : 3 : 4 bioinformatic 4 bioinformatic 5 analyses 4 bioinformatic 10 identify 5 analyses 6 can 6 can 7 be 7 be 8 employed 8 employed 9 to 8 employed 10 identify 9 to 10 identify 10 identify 13 targets/photosensitizers 11 candidate 13 targets/photosensitizers 12 uvr 13 targets/photosensitizers 14 , 15 but 15 but 17 action 15 but 28 verified 16 the 17 action 17 action 18 of 17 action 26 should 18 of 19 uvr 19 uvr 20 on 20 on 25 production 21 protein 22 structure 22 structure 25 production 24 ros 25 production 26 should 27 be 27 be 28 verified 28 verified 29 experimentally crucially , in the case of biochemically active ecm components such as fibronectin and fibrillin , the downstream effects of photo [-] degradation on tissue homeostasis remain to be confirmed . 0 ###LEFT-WALL### 19 effects 0 ###LEFT-WALL### 27 remain 0 ###LEFT-WALL### 31 . 1 crucially 2 , 1 crucially 19 effects 2 , 3 in 3 in 14 and 3 in 16 , 3 in 19 effects 4 the 5 case 5 case 6 of 5 case 14 and 6 of 10 components 7 biochemically 8 active 8 active 10 components 9 ecm 10 components 10 components 12 as 11 such 12 as 12 as 13 fibronectin 14 and 15 fibrillin 17 the 19 effects 18 downstream 19 effects 19 effects 20 of 19 effects 27 remain 20 of 23 degradation 21 photo 23 degradation 23 degradation 24 on 24 on 26 homeostasis 25 tissue 26 homeostasis 27 remain 28 to 27 remain 30 confirmed 28 to 29 be future directions : both topical antioxidants and inhibitors of detrimental cell signaling may be effective in abrogating the effects of specific uvr - mediated protein degradation in the dermis . 0 ###LEFT-WALL### 2 directions 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 30 . 1 future 2 directions 3 : 7 and 3 : 14 be 3 : 23 - 4 both 6 antioxidants 5 topical 6 antioxidants 6 antioxidants 7 and 7 and 8 inhibitors 7 and 9 of 7 and 13 may 9 of 12 signaling 10 detrimental 11 cell 11 cell 12 signaling 13 may 14 be 14 be 15 effective 15 effective 16 in 16 in 17 abrogating 17 abrogating 19 effects 18 the 19 effects 19 effects 20 of 20 of 22 uvr 21 specific 22 uvr 23 - 26 degradation 24 mediated 25 protein 25 protein 26 degradation 26 degradation 27 in 27 in 29 dermis 28 the 29 dermis aim : the present study was conducted to define the relationship between the anti - aging effect of ubiquinol - 10 supplementation and mitochondrial activation in senescence - accelerated mouse [prone] 1 ( samp1 ) mice . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 - 0 ###LEFT-WALL### 37 . 1 aim 2 : 2 : 4 present 2 : 12 between 3 the 4 present 4 present 5 study 4 present 9 define 5 study 6 was 6 was 7 conducted 7 conducted 8 to 8 to 9 define 9 define 11 relationship 10 the 11 relationship 12 between 17 effect 13 the 17 effect 14 anti 15 - 14 anti 17 effect 16 aging 17 effect 17 effect 18 of 18 of 19 ubiquinol 20 - 36 mice 21 10 36 mice 22 supplementation 23 and 23 and 25 activation 23 and 36 mice 24 mitochondrial 25 activation 25 activation 26 in 26 in 27 senescence 27 senescence 30 mouse 28 - 30 mouse 29 accelerated 30 mouse 30 mouse 32 1 30 mouse 34 samp1 30 mouse 35 ) 33 ( 34 samp1 34 samp1 35 ) ubiquinol - 10 supplementation can also increase mitochondrial complex i activity and decrease levels of oxidative stress markers , including protein carbonyls , apurinic/apyrimidinic sites , malondialdehydes , and increase the reduced glutathione/oxidized glutathione ratio . 0 ###LEFT-WALL### 4 supplementation 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 36 . 1 ubiquinol 2 - 1 ubiquinol 4 supplementation 3 10 4 supplementation 4 supplementation 5 can 5 can 12 and 6 also 12 and 7 increase 11 activity 7 increase 12 and 8 mitochondrial 9 complex 9 complex 10 i 9 complex 11 activity 12 and 29 and 13 decrease 14 levels 13 decrease 20 including 13 decrease 29 and 14 levels 15 of 15 of 18 markers 16 oxidative 17 stress 17 stress 18 markers 19 , 20 including 20 including 22 carbonyls 20 including 28 , 21 protein 22 carbonyls 22 carbonyls 25 sites 22 carbonyls 27 malondialdehydes 23 , 25 sites 24 apurinic/apyrimidinic 25 sites 25 sites 26 , 26 , 27 malondialdehydes 27 malondialdehydes 28 , 28 , 29 and 29 and 30 increase 30 increase 35 ratio 31 the 35 ratio 32 reduced 35 ratio 33 glutathione/oxidized 35 ratio 34 glutathione 35 ratio furthermore , ubiquinol - 10 may activate sirt1 and pgc - 1α by increasing cyclic adenosine monophosphate ( camp ) levels that , in turn , activate camp response element [-] binding protein ( creb ) and amp - activated protein [kinase] ( ampk ) . 0 ###LEFT-WALL### 3 ubiquinol 0 ###LEFT-WALL### 40 activated 0 ###LEFT-WALL### 46 . 1 furthermore 2 , 1 furthermore 3 ubiquinol 3 ubiquinol 5 10 3 ubiquinol 7 activate 3 ubiquinol 40 activated 4 - 5 10 5 10 6 may 6 may 7 activate 7 activate 37 and 8 sirt1 9 and 9 and 10 pgc 9 and 37 and 10 pgc 12 1α 11 - 12 1α 12 1α 13 by 12 1α 21 levels 12 1α 36 ) 13 by 14 increasing 14 increasing 17 monophosphate 15 cyclic 17 monophosphate 16 adenosine 17 monophosphate 18 ( 21 levels 19 camp 20 ) 19 camp 21 levels 21 levels 22 that 21 levels 27 activate 21 levels 35 creb 21 levels 36 ) 22 that 27 activate 23 , 25 turn 24 in 25 turn 25 turn 26 , 25 turn 27 activate 27 activate 33 protein 28 camp 33 protein 29 response 30 element 30 element 32 binding 32 binding 33 protein 34 ( 35 creb 35 creb 36 ) 37 and 38 amp 37 and 39 - 40 activated 41 protein 41 protein 44 ampk 43 ( 44 ampk 44 ampk 45 ) innovation and conclusion : these results show that ubiquinol - 10 may enhance mitochondrial activity by increasing levels of sirt1 , pgc - 1α , and sirt3 that slow the rate of age - related hearing loss and protect against the progression of aging and symptoms of age - related diseases . 0 ###LEFT-WALL### 3 conclusion 0 ###LEFT-WALL### 4 : 1 innovation 2 and 2 and 3 conclusion 4 : 6 results 4 : 7 show 4 : 21 , 5 these 6 results 6 results 7 show 7 show 8 that 7 show 9 ubiquinol 7 show 16 by 9 ubiquinol 11 10 9 ubiquinol 13 enhance 10 - 11 10 11 10 12 may 12 may 13 enhance 13 enhance 15 activity 14 mitochondrial 15 activity 16 by 18 levels 17 increasing 18 levels 18 levels 19 of 19 of 20 sirt1 21 , 22 pgc 21 , 38 and 22 pgc 26 and 22 pgc 38 and 23 - 26 and 24 1α 26 and 25 , 26 and 26 and 27 sirt3 26 and 28 that 26 and 29 slow 26 and 34 - 28 that 29 slow 29 slow 31 rate 30 the 31 rate 31 rate 32 of 32 of 33 age 35 related 37 loss 35 related 38 and 36 hearing 37 loss 38 and 39 protect 38 and 40 against 40 against 45 and 41 the 42 progression 42 progression 43 of 42 progression 45 and 43 of 44 aging 45 and 46 symptoms 45 and 47 of 47 of 48 age 48 age 51 diseases 49 - 51 diseases 50 related 51 diseases 51 diseases 52 . the klotho gene was identified as an ['] aging suppressor ['] in mice . 0 ###LEFT-WALL### 3 gene 0 ###LEFT-WALL### 5 identified 0 ###LEFT-WALL### 14 . 1 the 3 gene 2 klotho 3 gene 3 gene 4 was 4 was 5 identified 5 identified 6 as 5 identified 12 in 6 as 10 suppressor 7 an 10 suppressor 9 aging 10 suppressor 12 in 13 mice overexpression of the klotho gene extends lifespan and defective klotho results in rapid aging and early death . 0 ###LEFT-WALL### 1 overexpression 0 ###LEFT-WALL### 6 extends 0 ###LEFT-WALL### 18 . 1 overexpression 2 of 1 overexpression 6 extends 2 of 5 gene 3 the 5 gene 4 klotho 5 gene 6 extends 11 results 6 extends 12 in 7 lifespan 8 and 8 and 9 defective 8 and 11 results 10 klotho 11 results 12 in 15 and 13 rapid 14 aging 13 rapid 15 and 15 and 17 death 16 early 17 death both the membrane and secreted forms of klotho have biological activity [that] include regulatory effects on general metabolism and a more specific effect on mineral metabolism that correlates with its effect on aging . 0 ###LEFT-WALL### 1 both 0 ###LEFT-WALL### 13 include 0 ###LEFT-WALL### 34 . 1 both 2 the 1 both 11 activity 1 both 13 include 2 the 3 membrane 3 membrane 4 and 4 and 6 forms 4 and 7 of 4 and 9 have 5 secreted 6 forms 7 of 8 klotho 10 biological 11 activity 13 include 15 effects 13 include 16 on 13 include 24 on 13 include 32 on 14 regulatory 15 effects 16 on 19 and 17 general 18 metabolism 18 metabolism 19 and 19 and 23 effect 20 a 23 effect 21 more 22 specific 22 specific 23 effect 24 on 26 metabolism 25 mineral 26 metabolism 26 metabolism 27 that 26 metabolism 28 correlates 26 metabolism 29 with 27 that 28 correlates 29 with 31 effect 30 its 31 effect 32 on 33 aging klotho serves as a co - receptor for fibroblast growth [factor] ( fgf ) , but it also functions as a humoral factor that regulates cell survival and proliferation , vitamin d metabolism , and calcium and phosphate homeostasis and may serve as a potential tumor suppressor . 0 ###LEFT-WALL### 1 klotho 0 ###LEFT-WALL### 2 serves 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 42 serve 0 ###LEFT-WALL### 48 . 1 klotho 2 serves 2 serves 3 as 2 serves 8 for 3 as 7 receptor 4 a 7 receptor 5 co 6 - 5 co 7 receptor 8 for 10 growth 9 fibroblast 10 growth 10 growth 13 fgf 12 ( 13 fgf 13 fgf 14 ) 15 , 16 but 15 , 40 and 16 but 17 it 16 but 19 functions 17 it 19 functions 18 also 19 functions 19 functions 20 as 20 as 23 factor 21 a 22 humoral 21 a 23 factor 22 humoral 23 factor 24 that 40 and 25 regulates 39 homeostasis 25 regulates 40 and 26 cell 27 survival 27 survival 28 and 28 and 29 proliferation 28 and 30 , 30 , 33 metabolism 30 , 35 and 31 vitamin 32 d 31 vitamin 33 metabolism 34 , 35 and 35 and 36 calcium 35 and 37 and 37 and 38 phosphate 37 and 39 homeostasis 40 and 41 may 41 may 42 serve 42 serve 43 as 43 as 47 suppressor 44 a 45 potential 44 a 47 suppressor 45 potential 46 tumor 46 tumor 47 suppressor moreover , klotho protects against several pathogenic processes in a fgf23 - independent manner . 0 ###LEFT-WALL### 3 klotho 0 ###LEFT-WALL### 4 protects 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 15 . 1 moreover 2 , 1 moreover 3 klotho 3 klotho 4 protects 4 protects 5 against 4 protects 8 processes 4 protects 9 in 5 against 6 several 7 pathogenic 8 processes 9 in 11 fgf23 10 a 11 fgf23 12 - 14 manner 13 independent 14 manner these processes include cancer metastasis , vascular calcification , and renal fibrosis . 0 ###LEFT-WALL### 2 processes 0 ###LEFT-WALL### 3 include 0 ###LEFT-WALL### 13 . 1 these 2 processes 2 processes 3 include 3 include 10 and 4 cancer 5 metastasis 5 metastasis 6 , 6 , 8 calcification 6 , 10 and 7 vascular 8 calcification 9 , 10 and 10 and 12 fibrosis 11 renal 12 fibrosis this review covers the recent advances in klotho research and discusses novel klotho - dependent mechanisms that are clinically relevant in aging and age - related diseases . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 26 related 1 this 2 review 2 review 10 and 3 covers 6 advances 3 covers 7 in 3 covers 10 and 4 the 6 advances 5 recent 6 advances 7 in 9 research 8 klotho 9 research 10 and 11 discusses 11 discusses 13 klotho 12 novel 13 klotho 13 klotho 16 mechanisms 14 - 16 mechanisms 15 dependent 16 mechanisms 16 mechanisms 17 that 16 mechanisms 18 are 16 mechanisms 25 - 17 that 18 are 18 are 19 clinically 18 are 20 relevant 20 relevant 21 in 21 in 23 and 22 aging 23 and 23 and 24 age 25 - 26 related 26 related 27 diseases 26 related 28 . dyskeratosis [congenita] [(] [dc] ) is an inherited multisystem disorder of premature aging , cancer predisposition , and bone marrow failure caused by selective exhaustion of highly proliferative cell pools . 0 ###LEFT-WALL### 1 dyskeratosis 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 31 . 1 dyskeratosis 5 ) 1 dyskeratosis 6 is 6 is 10 disorder 6 is 21 failure 7 an 10 disorder 8 inherited 9 multisystem 9 multisystem 10 disorder 10 disorder 11 of 11 of 18 and 12 premature 13 aging 12 premature 14 , 14 , 16 predisposition 14 , 18 and 15 cancer 16 predisposition 17 , 18 and 18 and 20 marrow 19 bone 20 marrow 21 failure 22 caused 21 failure 26 of 22 caused 23 by 23 by 25 exhaustion 24 selective 25 exhaustion 26 of 30 pools 27 highly 28 proliferative 28 proliferative 29 cell 29 cell 30 pools [dc] patients also have a poor tolerance to chemo/radiotherapy and bone marrow transplantation . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 4 have 0 ###LEFT-WALL### 14 . 2 patients 4 have 3 also 4 have 4 have 7 tolerance 4 have 8 to 5 a 6 poor 5 a 7 tolerance 6 poor 7 tolerance 8 to 10 and 9 chemo/radiotherapy 10 and 10 and 13 transplantation 11 bone 13 transplantation 12 marrow 13 transplantation although critically shortened telomeres and defective telomere maintenance contribute to [dc] pathology , other mechanisms likely exist . 0 ###LEFT-WALL### 15 mechanisms 0 ###LEFT-WALL### 17 exist 0 ###LEFT-WALL### 18 . 1 although 5 and 1 although 9 contribute 1 although 13 , 1 although 15 mechanisms 2 critically 3 shortened 3 shortened 4 telomeres 4 telomeres 5 and 5 and 8 maintenance 5 and 9 contribute 6 defective 8 maintenance 7 telomere 8 maintenance 9 contribute 10 to 10 to 12 pathology 14 other 15 mechanisms 15 mechanisms 17 exist 16 likely 17 exist we investigate the link between telomere dysfunction and oxidative and dna damage response pathways and assess the effects of antioxidants . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigate 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 21 . 1 we 2 investigate 2 investigate 4 link 2 investigate 5 between 3 the 4 link 5 between 7 dysfunction 6 telomere 7 dysfunction 8 and 10 and 8 and 15 and 9 oxidative 10 and 10 and 11 dna 10 and 15 and 12 damage 14 pathways 12 damage 15 and 13 response 14 pathways 15 and 16 assess 16 assess 18 effects 17 the 18 effects 18 effects 19 of 19 of 20 antioxidants in vitro studies employed [t] lymphocytes from [dc] subjects with a hterc mutation and age - matched controls . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 4 employed 0 ###LEFT-WALL### 16 - 1 in 2 vitro 2 vitro 3 studies 3 studies 4 employed 4 employed 6 lymphocytes 4 employed 7 from 4 employed 10 with 7 from 9 subjects 10 with 14 and 11 a 12 hterc 11 a 13 mutation 12 hterc 13 mutation 13 mutation 14 and 14 and 15 age 16 - 18 controls 16 - 19 . 17 matched 18 controls cells were treated with cytotoxic agents , including paclitaxel , etoposide , or ionizing radiation . 0 ###LEFT-WALL### 1 cells 0 ###LEFT-WALL### 3 treated 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 16 . 1 cells 2 were 2 were 3 treated 3 treated 4 with 4 with 6 agents 5 cytotoxic 6 agents 6 agents 8 including 7 , 8 including 8 including 9 paclitaxel 8 including 10 , 10 , 13 or 11 etoposide 13 or 12 , 13 or 13 or 15 radiation 14 ionizing 15 radiation apoptosis and reactive oxygen species ( ros ) were assessed by flow cytometry , and western blotting was used to measure expression of dna damage [response] ( ddr ) proteins , including total p53 , p53s15 , and p21 ( waf ) . 0 ###LEFT-WALL### 1 apoptosis 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 43 . 2 and 4 oxygen 2 and 10 assessed 3 reactive 4 oxygen 4 oxygen 5 species 4 oxygen 9 were 4 oxygen 10 assessed 5 species 7 ros 5 species 9 were 6 ( 7 ros 7 ros 8 ) 10 assessed 11 by 10 assessed 15 and 10 assessed 19 used 11 by 12 flow 13 cytometry 15 and 14 , 15 and 15 and 16 western 15 and 17 blotting 15 and 18 was 15 and 19 used 17 blotting 18 was 19 used 20 to 19 used 30 proteins 19 used 32 including 20 to 22 expression 21 measure 22 expression 22 expression 23 of 22 expression 28 ddr 23 of 25 damage 24 dna 25 damage 27 ( 28 ddr 28 ddr 29 ) 31 , 32 including 32 including 38 and 32 including 42 ) 33 total 34 p53 34 p53 35 , 35 , 36 p53s15 35 , 38 and 37 , 38 and 38 and 39 p21 38 and 41 waf 40 ( 41 waf 41 waf 42 ) n - acetyl - cysteine ( nac ) , an antioxidant , was used to modulate cell growth and ros . 0 ###LEFT-WALL### 1 n 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 21 . 1 n 2 - 2 - 3 acetyl 3 acetyl 5 cysteine 3 acetyl 11 antioxidant 3 acetyl 13 was 4 - 5 cysteine 5 cysteine 7 nac 5 cysteine 9 , 6 ( 7 nac 7 nac 8 ) 9 , 11 antioxidant 10 an 11 antioxidant 11 antioxidant 12 , 13 was 14 used 14 used 15 to 14 used 16 modulate 15 to 16 modulate 16 modulate 19 and 17 cell 18 growth 18 growth 19 and 19 and 20 ros in stimulated culture , [dc] lymphocytes displayed a stressed phenotype , characterized by elevated levels of ros , ddr and apoptotic markers as well as a proliferative defect that was more pronounced after exposure to cytotoxic agents . 0 ###LEFT-WALL### 6 lymphocytes 0 ###LEFT-WALL### 7 displayed 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 38 . 1 in 3 culture 1 in 4 , 1 in 6 lymphocytes 2 stimulated 3 culture 6 lymphocytes 7 displayed 7 displayed 10 phenotype 8 a 10 phenotype 9 stressed 10 phenotype 10 phenotype 12 characterized 11 , 12 characterized 12 characterized 13 by 12 characterized 18 , 13 by 15 levels 14 elevated 15 levels 15 levels 16 of 16 of 17 ros 18 , 20 and 19 ddr 20 and 20 and 22 markers 20 and 25 as 20 and 29 that 20 and 30 was 21 apoptotic 22 markers 23 as 24 well 24 well 25 as 25 as 28 defect 26 a 27 proliferative 26 a 28 defect 27 proliferative 28 defect 29 that 30 was 30 was 31 more 30 was 32 pronounced 32 pronounced 33 after 33 after 34 exposure 34 exposure 35 to 35 to 37 agents 36 cytotoxic 37 agents nac partially ameliorated the growth disadvantage of [dc] cells and decreased radiation - induced apoptosis and oxidative stress . 0 ###LEFT-WALL### 1 nac 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 13 - 1 nac 10 and 2 partially 3 ameliorated 3 ameliorated 6 disadvantage 3 ameliorated 10 and 4 the 6 disadvantage 5 growth 6 disadvantage 6 disadvantage 7 of 7 of 9 cells 10 and 11 decreased 11 decreased 12 radiation 13 - 16 and 13 - 19 . 14 induced 15 apoptosis 15 apoptosis 16 and 16 and 18 stress 17 oxidative 18 stress these findings suggest that oxidative stress may play a role in the pathogenesis of [dc] [and] that pharmacologic intervention to correct this pro - oxidant imbalance may prove useful in the clinical setting , potentially alleviating untoward toxicities associated with current cytotoxic treatments . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 24 - 1 these 2 findings 2 findings 3 suggest 3 suggest 6 stress 3 suggest 21 correct 4 that 6 stress 5 oxidative 6 stress 6 stress 7 may 7 may 8 play 8 play 10 role 8 play 11 in 8 play 20 to 9 a 10 role 11 in 13 pathogenesis 12 the 13 pathogenesis 13 pathogenesis 14 of 14 of 19 intervention 17 that 19 intervention 18 pharmacologic 19 intervention 20 to 21 correct 21 correct 23 pro 22 this 23 pro 24 - 26 imbalance 24 - 28 prove 24 - 34 , 24 - 44 . 25 oxidant 26 imbalance 26 imbalance 27 may 27 may 28 prove 28 prove 29 useful 29 useful 30 in 30 in 33 setting 31 the 33 setting 32 clinical 33 setting 34 , 36 alleviating 34 , 39 associated 35 potentially 36 alleviating 36 alleviating 38 toxicities 36 alleviating 39 associated 37 untoward 38 toxicities 39 associated 40 with 40 with 43 treatments 41 current 43 treatments 42 cytotoxic 43 treatments introduction : while several studies have identified an increased incidence of cardiovascular disorders in opiate dependence , neither opiates as a cardiovascular risk factor nor their effect [on] central arterial function has been considered . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 2 : 5 studies 2 : 7 identified 2 : 17 , 2 : 35 . 3 while 4 several 3 while 5 studies 5 studies 6 have 6 have 7 identified 7 identified 10 incidence 7 identified 14 in 8 an 10 incidence 9 increased 10 incidence 10 incidence 11 of 11 of 13 disorders 12 cardiovascular 13 disorders 14 in 16 dependence 15 opiate 16 dependence 17 , 25 nor 17 , 34 considered 18 neither 25 nor 19 opiates 20 as 19 opiates 25 nor 20 as 24 factor 21 a 22 cardiovascular 21 a 24 factor 22 cardiovascular 24 factor 23 risk 24 factor 25 nor 31 function 25 nor 32 has 26 their 31 function 27 effect 31 function 29 central 31 function 30 arterial 31 function 32 has 33 been 33 been 34 considered methods : pulse wave analysis ( sphygmocor , atcormedical pty limited , sydney , nsw , australia ) was undertaken on a cohort of controls and opiate dependent patients and the results compared to their lifetime opiate exposure . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 39 . 2 : 5 analysis 2 : 12 , 3 pulse 5 analysis 4 wave 5 analysis 5 analysis 7 sphygmocor 5 analysis 11 limited 6 ( 7 sphygmocor 7 sphygmocor 8 , 8 , 11 limited 9 atcormedical 10 pty 10 pty 11 limited 11 limited 12 , 12 , 15 nsw 12 , 20 undertaken 12 , 26 and 13 sydney 15 nsw 14 , 15 nsw 15 nsw 17 australia 15 nsw 19 was 16 , 17 australia 17 australia 18 ) 19 was 20 undertaken 20 undertaken 21 on 21 on 23 cohort 22 a 23 cohort 23 cohort 24 of 24 of 25 controls 26 and 30 and 26 and 33 compared 27 opiate 28 dependent 28 dependent 29 patients 29 patients 30 and 30 and 32 results 30 and 33 compared 31 the 32 results 33 compared 34 to 34 to 38 exposure 35 their 38 exposure 36 lifetime 37 opiate 37 opiate 38 exposure results : controls ( n = 401 ) were compared with 465 opiate dependent men . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 controls 2 : 10 compared 2 : 16 . 3 controls 6 = 3 controls 9 were 4 ( 6 = 5 n 6 = 6 = 7 401 6 = 8 ) 9 were 10 compared 10 compared 11 with 11 with 15 men 12 465 15 men 13 opiate 15 men 14 dependent 15 men the mean [(] log [ )(ages were different and were found to be 28.80 ± 0.49 years versus 35.02 ± 0.39 years ( p < 0.0001 ) , respectively . 0 ###LEFT-WALL### 6 )(ages 0 ###LEFT-WALL### 9 and 1 the 6 )(ages 2 mean 4 log 4 log 6 )(ages 6 )(ages 9 and 7 were 8 different 7 were 9 and 9 and 10 were 9 and 12 to 9 and 15 ± 10 were 11 found 12 to 13 be 13 be 14 28.80 15 ± 16 0.49 15 ± 17 years 15 ± 20 ± 17 years 18 versus 17 years 20 ± 18 versus 19 35.02 20 ± 25 < 20 ± 29 respectively 21 0.39 22 years 22 years 25 < 23 ( 25 < 24 p 25 < 25 < 26 0.0001 25 < 27 ) 28 , 29 respectively 29 respectively 30 . of the opiate dependent group [,] 87.7 % were treated with buprenorphine , 8.8 % with methadone , and 3.4 % with naltrexone . 0 ###LEFT-WALL### 5 group 0 ###LEFT-WALL### 24 . 1 of 4 dependent 1 of 5 group 2 the 4 dependent 3 opiate 4 dependent 5 group 21 % 5 group 22 with 7 87.7 8 % 7 87.7 19 and 8 % 9 were 9 were 10 treated 10 treated 11 with 11 with 12 buprenorphine 12 buprenorphine 15 % 13 , 15 % 14 8.8 15 % 15 % 16 with 15 % 18 , 16 with 17 methadone 19 and 20 3.4 19 and 21 % 22 with 23 naltrexone multiple regression analysis was used to adjust for chronologic age ( ca ) . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 14 . 1 multiple 2 regression 2 regression 3 analysis 3 analysis 4 was 4 was 5 used 5 used 6 to 5 used 7 adjust 6 to 7 adjust 7 adjust 8 for 8 for 10 age 9 chronologic 10 age 10 age 12 ca 11 ( 12 ca 12 ca 13 ) at ca of 60 years , the modeled age in the controls was 66.40 years , and that in the addicted group was 73.11 years , [an] advancement of 6.71 years , [or] 10.10 % . 0 ###LEFT-WALL### 9 age 0 ###LEFT-WALL### 13 was 0 ###LEFT-WALL### 17 and 1 at 2 ca 1 at 6 , 1 at 9 age 2 ca 3 of 3 of 5 years 4 60 5 years 7 the 9 age 8 modeled 9 age 9 age 10 in 9 age 13 was 10 in 12 controls 11 the 12 controls 13 was 15 years 14 66.40 15 years 16 , 17 and 17 and 18 that 17 and 23 was 18 that 19 in 18 that 23 was 19 in 22 group 20 the 22 group 21 addicted 22 group 23 was 25 years 24 73.11 25 years 25 years 28 advancement 26 , 28 advancement 28 advancement 29 of 28 advancement 36 . 29 of 31 years 30 6.71 31 years 31 years 35 % 32 , 35 % 34 10.10 35 % 35 % 36 . exacerbations of age dependent changes in central arterial stiffness , central pressures , pulse rate , ejection duration , diastolic duration , and subendocardial perfusion ratio by opiate dependence were all noted ( p < 0.05 ) . 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 30 were 0 ###LEFT-WALL### 32 noted 1 exacerbations 2 of 1 exacerbations 10 , 2 of 5 changes 3 age 4 dependent 4 dependent 5 changes 5 changes 6 in 6 in 9 stiffness 7 central 9 stiffness 8 arterial 9 stiffness 10 , 12 pressures 10 , 13 , 11 central 12 pressures 13 , 15 rate 13 , 16 , 14 pulse 15 rate 16 , 18 duration 16 , 19 , 17 ejection 18 duration 19 , 21 duration 19 , 23 and 20 diastolic 21 duration 22 , 23 and 23 and 26 ratio 23 and 27 by 23 and 30 were 24 subendocardial 25 perfusion 25 perfusion 26 ratio 27 by 29 dependence 28 opiate 29 dependence 31 all 32 noted 32 noted 35 < 32 noted 38 . 33 ( 35 < 34 p 35 < 35 < 36 0.05 35 < 37 ) current heroin dose , heroin duration , and the dose duration interaction were all significantly related to the vascular ( or " reference " ) age [(] [ra] )/ca ratio ( [all] p < 0.006 ) . 0 ###LEFT-WALL### 3 dose 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 37 . 1 current 3 dose 2 heroin 3 dose 4 , 8 and 4 , 13 were 5 heroin 6 duration 6 duration 8 and 7 , 8 and 8 and 12 interaction 8 and 13 were 9 the 12 interaction 10 dose 11 duration 11 duration 12 interaction 13 were 14 all 14 all 16 related 15 significantly 16 related 16 related 17 to 16 related 34 < 17 to 30 ratio 18 the 30 ratio 19 vascular 21 or 20 ( 21 or 21 or 22 " 21 or 23 reference 21 or 25 ) 21 or 30 ratio 23 reference 24 " 26 age 29 )/ca 29 )/ca 30 ratio 31 ( 34 < 33 p 34 < 34 < 35 0.006 34 < 36 ) after multivariate adjustment , the opiate dose duration was independently predictive [of] [ra] ( p < 0.02 ) . 0 ###LEFT-WALL### 8 duration 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 19 . 1 after 3 adjustment 1 after 4 , 1 after 8 duration 2 multivariate 3 adjustment 5 the 8 duration 6 opiate 8 duration 7 dose 8 duration 8 duration 9 was 9 was 10 independently 9 was 11 predictive 11 predictive 16 < 14 ( 16 < 15 p 16 < 16 < 17 0.02 16 < 18 ) opiate dose [and/or] duration were included in [a] further 25 terms . 0 ###LEFT-WALL### 4 duration 0 ###LEFT-WALL### 6 included 0 ###LEFT-WALL### 12 . 1 opiate 4 duration 2 dose 4 duration 4 duration 5 were 5 were 6 included 6 included 7 in 7 in 11 terms 9 further 11 terms 10 25 11 terms conclusion : these data show that opiate use is not benign for the male cardiovascular system , but has a dose response relationship to central arterial stiffness and thus cardiovascular aging , acting independently and [interactively] with established cardiovascular risk factors . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 data 2 : 19 has 2 : 42 . 3 these 4 data 4 data 5 show 5 show 6 that 6 that 8 use 6 that 18 but 7 opiate 8 use 8 use 18 but 9 is 10 not 9 is 12 for 9 is 18 but 10 not 11 benign 12 for 16 system 13 the 16 system 14 male 16 system 15 cardiovascular 16 system 17 , 18 but 18 but 19 has 19 has 23 relationship 19 has 35 and 20 a 23 relationship 21 dose 22 response 22 response 23 relationship 24 to 28 and 24 to 35 and 25 central 27 stiffness 26 arterial 27 stiffness 27 stiffness 28 and 28 and 31 aging 28 and 32 , 28 and 33 acting 29 thus 30 cardiovascular 30 cardiovascular 31 aging 33 acting 34 independently 35 and 37 with 37 with 41 factors 38 established 41 factors 39 cardiovascular 41 factors 40 risk 41 factors these findings imply accelerated organismal aging . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 imply 0 ###LEFT-WALL### 7 . 1 these 2 findings 2 findings 3 imply 3 imply 6 aging 4 accelerated 6 aging 5 organismal 6 aging objective : the aim of the study reported here was to determine the prevalence of vitamin d deficiency among elderly men and its association with sun exposure and skin phototypes . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 aim 2 : 30 phototypes 2 : 31 . 3 the 4 aim 4 aim 5 of 4 aim 10 was 5 of 7 study 6 the 7 study 7 study 8 reported 7 study 9 here 10 was 11 to 10 was 12 determine 11 to 12 determine 12 determine 14 prevalence 13 the 14 prevalence 14 prevalence 15 of 15 of 16 vitamin 16 vitamin 17 d 16 vitamin 18 deficiency 16 vitamin 30 phototypes 18 deficiency 19 among 18 deficiency 30 phototypes 19 among 28 and 20 elderly 21 men 21 men 22 and 22 and 24 association 22 and 25 with 22 and 28 and 23 its 24 association 25 with 27 exposure 26 sun 27 exposure 28 and 29 skin subjects and methods : this was an analytical cross - sectional study , which involved 284 men aged 60 years [or] over , randomly recruited from a basic care unit in the city of recife ( brazil ) . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 subjects 2 and 2 and 3 methods 4 : 5 this 4 : 6 was 4 : 39 . 5 this 6 was 6 was 9 cross 7 an 8 analytical 7 an 9 cross 8 analytical 9 cross 9 cross 12 study 10 - 12 study 11 sectional 12 study 12 study 14 which 12 study 25 recruited 12 study 38 ) 13 , 14 which 14 which 22 over 14 which 23 , 15 involved 17 men 16 284 17 men 17 men 18 aged 18 aged 20 years 18 aged 22 over 19 60 20 years 23 , 25 recruited 24 randomly 25 recruited 25 recruited 26 from 25 recruited 38 ) 26 from 30 unit 27 a 30 unit 28 basic 29 care 29 care 30 unit 30 unit 31 in 30 unit 34 of 31 in 33 city 32 the 33 city 34 of 35 recife 35 recife 37 brazil 36 ( 37 brazil 37 brazil 38 ) measurements : serum levels of 25 hydroxyvitamin d ( 25 ( oh )d ) , sun index , and skin phototypes were evaluated . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 2 : 19 and 2 : 23 evaluated 2 : 24 . 3 serum 4 levels 4 levels 5 of 4 levels 15 , 5 of 7 hydroxyvitamin 6 25 7 hydroxyvitamin 7 hydroxyvitamin 8 d 7 hydroxyvitamin 12 oh 9 ( 12 oh 10 25 12 oh 11 ( 12 oh 12 oh 13 )d 12 oh 14 ) 15 , 17 index 15 , 19 and 16 sun 17 index 18 , 19 and 19 and 21 phototypes 19 and 22 were 20 skin 21 phototypes 22 were 23 evaluated results : the prevalence of vitamin d deficiency was 31.5 [%] and 66.7 % when cut points of less than 20 and 30 ng/ml , respectively , were used . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 1 results 2 : 2 : 14 % 3 the 4 prevalence 4 prevalence 5 of 4 prevalence 9 was 5 of 8 deficiency 6 vitamin 7 d 6 vitamin 8 deficiency 9 was 12 and 10 31.5 12 and 12 and 13 66.7 13 66.7 14 % 14 % 15 when 15 when 17 points 15 when 29 used 16 cut 17 points 17 points 18 of 17 points 28 were 18 of 24 ng/ml 19 less 20 than 20 than 21 20 21 20 22 and 22 and 23 30 22 and 24 ng/ml 25 , 26 respectively 26 respectively 27 , 26 respectively 28 were 28 were 29 used mean serum 25 ( oh )d was 27.86 ± 13.52 standard deviation ( sd ) [ng/ml] . 0 ###LEFT-WALL### 1 mean 0 ###LEFT-WALL### 17 . 1 mean 5 oh 1 mean 7 was 2 serum 5 oh 3 25 5 oh 4 ( 5 oh 5 oh 6 )d 5 oh 7 was 7 was 12 deviation 8 27.86 12 deviation 9 ± 12 deviation 10 13.52 12 deviation 11 standard 12 deviation 12 deviation 14 sd 13 ( 14 sd 14 sd 15 ) there was no difference ( p = 0.113 ) in 25 ( oh ) [d] [(] 23.98 ± 14.66 [sd] vs 29.88 ± 13.78 [sd] [ )(between individuals in the lowest quartile ( q ) of the sun index ( q1 [:] 1.96 ) compared with those in the highest ( q4 [:] 7.86 [ )( 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 1 there 2 was 2 was 4 difference 2 was 10 in 3 no 4 difference 4 difference 7 = 5 ( 7 = 6 p 7 = 7 = 8 0.113 7 = 9 ) 10 in 18 ± 11 25 13 oh 12 ( 13 oh 13 oh 14 ) 13 oh 18 ± 17 23.98 18 ± 18 ± 19 14.66 18 ± 21 vs 18 ± 27 )(between 21 vs 23 ± 22 29.88 23 ± 23 ± 24 13.78 27 )(between 28 individuals 28 individuals 29 in 28 individuals 36 of 29 in 32 quartile 30 the 31 lowest 30 the 32 quartile 32 quartile 34 q 33 ( 34 q 34 q 35 ) 36 of 38 sun 37 the 38 sun 38 sun 39 index 38 sun 45 compared 39 index 41 q1 39 index 45 compared 40 ( 41 q1 41 q1 43 1.96 41 q1 44 ) 45 compared 46 with 46 with 47 those 46 with 48 in 48 in 50 highest 49 the 50 highest 50 highest 52 q4 51 ( 52 q4 52 q4 54 7.86 52 q4 56 )( when considering a cutoff of 20 ng/ml , the sun index was different in the two groups ( p = 0.006 ) , but there was no difference when cutoffs of 25 and 30 ng/ml were used . 0 ###LEFT-WALL### 11 index 0 ###LEFT-WALL### 12 was 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 38 . 1 when 2 considering 1 when 8 , 1 when 11 index 2 considering 4 cutoff 3 a 4 cutoff 4 cutoff 5 of 5 of 7 ng/ml 6 20 7 ng/ml 9 the 11 index 10 sun 11 index 11 index 12 was 12 was 13 different 13 different 14 in 14 in 17 groups 15 the 16 two 16 two 17 groups 17 groups 20 = 18 ( 20 = 19 p 20 = 20 = 21 0.006 20 = 22 ) 23 , 24 but 23 , 26 was 24 but 25 there 24 but 26 was 26 was 28 difference 27 no 28 difference 28 difference 29 when 29 when 30 cutoffs 29 when 36 were 30 cutoffs 31 of 30 cutoffs 36 were 31 of 35 ng/ml 32 25 33 and 33 and 34 30 33 and 35 ng/ml 36 were 37 used [after] adjustment , sun index and body mass index were associated positively and negatively [,] respectively with serum 25 ( oh )d independently . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 11 associated 0 ###LEFT-WALL### 24 . 2 adjustment 3 , 3 , 5 index 3 , 6 and 4 sun 5 index 6 and 9 index 6 and 10 were 7 body 9 index 8 mass 9 index 10 were 11 associated 11 associated 13 and 11 associated 16 respectively 11 associated 17 with 11 associated 23 independently 12 positively 13 and 13 and 14 negatively 17 with 18 serum 17 with 21 oh 19 25 21 oh 20 ( 21 oh 21 oh 22 )d most subjects ( 66.7 % ) had fitzpatrick 's skin phototypes iv , v , [and] vi . 0 ###LEFT-WALL### 2 subjects 0 ###LEFT-WALL### 7 had 1 most 2 subjects 2 subjects 5 % 2 subjects 7 had 3 ( 5 % 4 66.7 5 % 5 % 6 ) 7 had 12 iv 8 fitzpatrick 9 's 9 's 11 phototypes 10 skin 11 phototypes 11 phototypes 12 iv 12 iv 14 v 12 iv 17 vi 13 , 14 v 14 v 15 , 15 , 17 vi 17 vi 18 . low calcium intake was observed in 72 % . 0 ###LEFT-WALL### 3 intake 0 ###LEFT-WALL### 5 observed 0 ###LEFT-WALL### 9 . 1 low 2 calcium 2 calcium 3 intake 3 intake 4 was 4 was 5 observed 5 observed 6 in 6 in 8 % 7 72 8 % there was no difference in serum 25 ( oh )d levels between patients with low intake and those with intermediate and high intakes . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 24 . 1 there 2 was 2 was 4 difference 2 was 14 with 3 no 4 difference 4 difference 5 in 5 in 11 levels 6 serum 11 levels 7 25 9 oh 8 ( 9 oh 9 oh 10 )d 9 oh 11 levels 11 levels 12 between 12 between 13 patients 14 with 17 and 14 with 19 with 15 low 16 intake 16 intake 17 and 17 and 18 those 19 with 23 intakes 20 intermediate 21 and 21 and 22 high 21 and 23 intakes only 2.5 % were taking a vitamin supplement . 0 ###LEFT-WALL### 3 % 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 9 . 1 only 2 2.5 2 2.5 3 % 3 % 4 were 4 were 5 taking 5 taking 8 supplement 6 a 8 supplement 7 vitamin 8 supplement conclusion : we found a high prevalence of vitamin d deficiency among elderly men despite their high sun exposure during the summer months . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 found 2 : 24 . 3 we 4 found 4 found 7 prevalence 4 found 12 among 4 found 15 despite 4 found 20 during 5 a 6 high 5 a 7 prevalence 6 high 7 prevalence 7 prevalence 8 of 8 of 11 deficiency 9 vitamin 10 d 9 vitamin 11 deficiency 12 among 14 men 13 elderly 14 men 15 despite 19 exposure 16 their 19 exposure 17 high 18 sun 18 sun 19 exposure 20 during 23 months 21 the 23 months 22 summer 23 months purpose : to assess the benefits of cochlear implantation in the elderly . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 assess 2 : 13 . 3 to 4 assess 4 assess 6 benefits 4 assess 10 in 5 the 6 benefits 6 benefits 7 of 7 of 9 implantation 8 cochlear 9 implantation 10 in 12 elderly 11 the 12 elderly patients and methods : a retrospective analysis of 31 postlingually deafened elderly ( ≥60 years of age ) [with] [unilateral] [cochlear] [implants] [was] conducted . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 patients 2 and 2 and 3 methods 4 : 7 analysis 4 : 24 conducted 4 : 25 . 5 a 6 retrospective 5 a 7 analysis 6 retrospective 7 analysis 7 analysis 8 of 7 analysis 11 deafened 7 analysis 15 years 7 analysis 24 conducted 8 of 9 31 10 postlingually 11 deafened 11 deafened 12 elderly 13 ( 15 years 14 ≥60 15 years 15 years 16 of 15 years 18 ) 16 of 17 age audiological testing included preoperative and postoperative pure - tone audiometry and a monosyllabic word recognition test presented from recorded material [in] free field . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 24 . 1 audiological 2 testing 2 testing 3 included 2 testing 5 and 3 included 4 preoperative 5 and 23 field 6 postoperative 9 tone 7 pure 8 - 7 pure 9 tone 9 tone 23 field 10 audiometry 11 and 11 and 16 test 11 and 17 presented 11 and 23 field 12 a 16 test 13 monosyllabic 16 test 14 word 15 recognition 15 recognition 16 test 17 presented 18 from 17 presented 22 free 18 from 20 material 19 recorded 20 material speech perception tests included ling 's six sound test ( sound detection , discrimination , and identification ) , syllable discrimination , and monosyllabic and multisyllabic word recognition ( open set ) without lip [-] reading . 0 ###LEFT-WALL### 3 tests 0 ###LEFT-WALL### 4 included 0 ###LEFT-WALL### 37 . 1 speech 3 tests 2 perception 3 tests 3 tests 4 included 4 included 9 test 4 included 33 without 5 ling 6 's 6 's 9 test 7 six 8 sound 8 sound 9 test 9 test 23 and 10 ( 23 and 11 sound 12 detection 12 detection 13 , 13 , 14 discrimination 13 , 16 and 15 , 16 and 16 and 17 identification 16 and 18 ) 16 and 21 discrimination 16 and 23 and 19 , 21 discrimination 20 syllable 21 discrimination 21 discrimination 22 , 22 , 23 and 23 and 28 recognition 23 and 31 set 23 and 32 ) 24 monosyllabic 25 and 25 and 26 multisyllabic 25 and 28 recognition 27 word 28 recognition 29 ( 31 set 30 open 31 set 31 set 32 ) 33 without 36 reading 34 lip 36 reading everyday life benefits from cochlear implantation were also evaluated . 0 ###LEFT-WALL### 3 benefits 0 ###LEFT-WALL### 9 evaluated 0 ###LEFT-WALL### 10 . 1 everyday 2 life 2 life 3 benefits 3 benefits 4 from 3 benefits 7 were 4 from 6 implantation 5 cochlear 6 implantation 7 were 8 also 7 were 9 evaluated results : the mean age at the time of cochlear implantation was 72.4 years old . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 age 2 : 12 was 2 : 16 . 3 the 5 age 4 mean 5 age 5 age 6 at 5 age 12 was 6 at 8 time 7 the 8 time 8 time 9 of 9 of 11 implantation 10 cochlear 11 implantation 12 was 15 old 13 72.4 14 years 14 years 15 old the mean postimplantation [follow] - up time was 2.34 years . 0 ###LEFT-WALL### 3 postimplantation 0 ###LEFT-WALL### 5 - 1 the 3 postimplantation 2 mean 3 postimplantation 5 - 7 time 5 - 8 was 5 - 11 . 6 up 7 time 7 time 8 was 8 was 10 years 9 2.34 10 years all patients significantly improved their audiological and speech understanding performances . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 4 improved 0 ###LEFT-WALL### 11 . 1 all 2 patients 2 patients 4 improved 3 significantly 4 improved 4 improved 7 and 5 their 6 audiological 6 audiological 7 and 7 and 8 speech 7 and 9 understanding 9 understanding 10 performances the preoperative mean pure - tone average threshold for 500 [hz] , 1,000 hz , 2,000 hz , and 4,000 hz [was] 110.17 db hl . 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 26 . 1 the 8 threshold 2 preoperative 6 tone 3 mean 6 tone 4 pure 5 - 4 pure 6 tone 6 tone 8 threshold 7 average 8 threshold 8 threshold 9 for 8 threshold 19 and 9 for 10 500 10 500 14 hz 10 500 17 hz 12 , 14 hz 13 1,000 14 hz 14 hz 15 , 15 , 17 hz 16 2,000 17 hz 17 hz 18 , 18 , 19 and 19 and 25 hl 20 4,000 21 hz 21 hz 25 hl 23 110.17 24 db 24 db 25 hl before cochlear implantation , all patients scored 0 % on the monosyllabic word recognition test in free field [at] 70 db spl intensity level . 0 ###LEFT-WALL### 6 patients 0 ###LEFT-WALL### 7 scored 0 ###LEFT-WALL### 25 . 1 before 3 implantation 1 before 4 , 1 before 6 patients 2 cochlear 3 implantation 5 all 6 patients 6 patients 7 scored 7 scored 9 % 7 scored 10 on 7 scored 16 in 8 0 9 % 10 on 15 test 11 the 15 test 12 monosyllabic 13 word 13 word 15 test 14 recognition 15 test 16 in 24 level 17 free 18 field 18 field 23 intensity 20 70 21 db 21 db 23 intensity 22 spl 23 intensity 23 intensity 24 level the postoperative pure - tone average was 37.14 db hl ( the best mean threshold [was] 17.50 db hl , the worst was 58.75 db hl [ )( 0 ###LEFT-WALL### 6 average 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 28 )( 1 the 6 average 2 postoperative 5 tone 3 pure 4 - 3 pure 5 tone 5 tone 6 average 6 average 7 was 7 was 10 hl 8 37.14 9 db 9 db 10 hl 10 hl 19 hl 11 ( 19 hl 12 the 13 best 12 the 19 hl 14 mean 15 threshold 15 threshold 19 hl 17 17.50 18 db 18 db 19 hl 19 hl 20 , 20 , 22 worst 20 , 23 was 21 the 22 worst 22 worst 23 was 23 was 26 hl 24 58.75 25 db 25 db 26 hl after the surgery , mean monosyllabic word recognition reached 47.25 % . 0 ###LEFT-WALL### 8 recognition 0 ###LEFT-WALL### 9 reached 0 ###LEFT-WALL### 12 . 1 after 3 surgery 1 after 4 , 1 after 8 recognition 2 the 3 surgery 5 mean 7 word 6 monosyllabic 7 word 7 word 8 recognition 8 recognition 9 reached 9 reached 11 % 10 47.25 11 % speech perception tests showed statistically significant improvement in speech recognition . 0 ###LEFT-WALL### 3 tests 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 11 . 1 speech 3 tests 2 perception 3 tests 3 tests 4 showed 4 showed 7 improvement 4 showed 8 in 5 statistically 6 significant 6 significant 7 improvement 8 in 10 recognition 9 speech 10 recognition conclusion : the results of this study showed that cochlear implantation is indeed a successful treatment for improving speech recognition and offers [a] great help in everyday life to deafened elderly patients . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 8 showed 2 : 33 . 3 the 4 results 4 results 5 of 4 results 8 showed 5 of 7 study 6 this 7 study 8 showed 9 that 9 that 11 implantation 9 that 21 and 10 cochlear 11 implantation 11 implantation 21 and 12 is 13 indeed 12 is 16 treatment 12 is 21 and 14 a 16 treatment 15 successful 16 treatment 16 treatment 17 for 17 for 18 improving 18 improving 20 recognition 19 speech 20 recognition 21 and 22 offers 21 and 25 help 24 great 25 help 25 help 26 in 26 in 28 life 27 everyday 28 life 28 life 29 to 29 to 32 patients 30 deafened 32 patients 31 elderly 32 patients therefore , they can be good candidates for cochlear implantation and their age alone should not be a relevant or excluding factor when choosing candidates for cochlear implantation . 0 ###LEFT-WALL### 3 they 0 ###LEFT-WALL### 5 be 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 29 . 1 therefore 2 , 1 therefore 3 they 3 they 4 can 4 can 5 be 5 be 7 candidates 6 good 7 candidates 7 candidates 8 for 8 for 10 implantation 9 cochlear 10 implantation 11 and 13 age 11 and 17 be 12 their 13 age 13 age 15 should 14 alone 15 should 15 should 16 not 15 should 17 be 17 be 22 factor 17 be 23 when 18 a 22 factor 19 relevant 20 or 20 or 21 excluding 20 or 22 factor 23 when 24 choosing 24 choosing 25 candidates 25 candidates 26 for 26 for 28 implantation 27 cochlear 28 implantation asthma is a disease of all ages . 0 ###LEFT-WALL### 1 asthma 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 8 . 1 asthma 2 is 2 is 4 disease 3 a 4 disease 4 disease 5 of 5 of 7 ages 6 all 7 ages this assumption has been challenged in the past , because of several cultural and scientific biases . 0 ###LEFT-WALL### 2 assumption 0 ###LEFT-WALL### 5 challenged 1 this 2 assumption 2 assumption 3 has 3 has 4 been 4 been 5 challenged 5 challenged 6 in 5 challenged 10 because 6 in 8 past 7 the 8 past 9 , 10 because 10 because 11 of 10 because 17 . 11 of 16 biases 12 several 16 biases 13 cultural 14 and 14 and 15 scientific 14 and 16 biases a large body of evidence has accumulated in recent years to confirm 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### 12 confirm 0 ###LEFT-WALL### 30 . 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 in 7 accumulated 11 to 8 in 10 years 9 recent 10 years 11 to 12 confirm 12 confirm 13 that 13 that 15 prevalence 13 that 23 is 14 the 15 prevalence 15 prevalence 16 of 15 prevalence 23 is 16 of 17 asthma 17 asthma 18 in 18 in 22 ages 19 the 20 most 20 most 22 ages 21 advanced 22 ages 23 is 24 similar 24 similar 25 to 24 similar 27 in 25 to 26 that 27 in 29 ages 28 younger 29 ages asthma in the elderly may show similar functional and clinical characteristics to that occurring in young adults , although the frequent coexistence of comorbid conditions in older patients , together with age - associated changes in the human lung , may lead to more severe forms of the disease . 0 ###LEFT-WALL### 1 asthma 0 ###LEFT-WALL### 6 show 0 ###LEFT-WALL### 50 . 1 asthma 2 in 1 asthma 5 may 2 in 4 elderly 3 the 4 elderly 5 may 6 show 6 show 11 characteristics 6 show 12 to 6 show 14 occurring 6 show 42 lead 7 similar 11 characteristics 8 functional 9 and 9 and 10 clinical 9 and 11 characteristics 12 to 13 that 14 occurring 15 in 14 occurring 19 although 14 occurring 41 may 15 in 17 adults 16 young 17 adults 18 , 19 although 19 although 22 coexistence 19 although 35 changes 19 although 40 , 20 the 22 coexistence 21 frequent 22 coexistence 22 coexistence 23 of 22 coexistence 25 conditions 22 coexistence 34 associated 22 coexistence 35 changes 23 of 24 comorbid 25 conditions 26 in 25 conditions 34 associated 26 in 28 patients 27 older 28 patients 28 patients 31 with 29 , 31 with 30 together 31 with 31 with 32 age 31 with 33 - 35 changes 36 in 36 in 39 lung 37 the 39 lung 38 human 39 lung 41 may 42 lead 42 lead 43 to 43 to 46 forms 44 more 46 forms 45 severe 46 forms 46 forms 47 of 47 of 49 disease 48 the 49 disease management of asthma in the elderly follows specific guidelines that apply to all ages , although most behaviors are pure extrapolation of what has been tested in young ages . 0 ###LEFT-WALL### 1 management 0 ###LEFT-WALL### 7 follows 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 30 . 1 management 2 of 1 management 7 follows 2 of 3 asthma 3 asthma 4 in 4 in 6 elderly 5 the 6 elderly 7 follows 9 guidelines 8 specific 9 guidelines 9 guidelines 10 that 9 guidelines 11 apply 10 that 11 apply 11 apply 12 to 12 to 14 ages 13 all 14 ages 15 , 21 extrapolation 15 , 26 tested 16 although 18 behaviors 16 although 19 are 16 although 21 extrapolation 17 most 18 behaviors 18 behaviors 19 are 19 are 20 pure 21 extrapolation 22 of 21 extrapolation 24 has 22 of 23 what 24 has 25 been 25 been 26 tested 26 tested 27 in 27 in 29 ages 28 young 29 ages in fact , age has always represented an exclusion criterion for eligibility to clinical trials . 0 ###LEFT-WALL### 4 age 0 ###LEFT-WALL### 7 represented 0 ###LEFT-WALL### 16 . 1 in 2 fact 2 fact 3 , 2 fact 4 age 4 age 5 has 5 has 7 represented 6 always 7 represented 7 represented 10 criterion 7 represented 13 to 8 an 9 exclusion 8 an 10 criterion 9 exclusion 10 criterion 10 criterion 11 for 11 for 12 eligibility 13 to 15 trials 14 clinical 15 trials this review focuses specifically on the safety and efficacy of leukotriene modifiers , which represent a valid option in the treatment of allergic asthma , both as an alternative to first - line drugs [and] [as] add - on treatment to inhaled corticosteroids . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 focuses 1 this 2 review 2 review 3 focuses 3 focuses 4 specifically 3 focuses 5 on 5 on 8 and 6 the 7 safety 7 safety 8 and 8 and 9 efficacy 8 and 13 , 8 and 14 which 8 and 15 represent 8 and 19 in 9 efficacy 10 of 10 of 12 modifiers 11 leukotriene 12 modifiers 14 which 15 represent 15 represent 18 option 16 a 18 option 17 valid 18 option 19 in 21 treatment 20 the 21 treatment 21 treatment 22 of 21 treatment 33 line 22 of 24 asthma 23 allergic 24 asthma 24 asthma 26 both 25 , 26 both 26 both 27 as 26 both 32 - 27 as 29 alternative 28 an 29 alternative 29 alternative 30 to 30 to 31 first 32 - 33 line 33 line 34 drugs 33 line 37 add 33 line 39 on 33 line 44 . 34 drugs 37 add 38 - 39 on 39 on 40 treatment 39 on 44 . 40 treatment 41 to 41 to 43 corticosteroids 42 inhaled 43 corticosteroids available studies specifically addressing the role of montelukast in the elderly are scarce [;] however [,] leukotriene modifiers have been demonstrated to be safe in this age group , even though cases of acute hepatitis and occurrence of churg - strauss syndrome have [been] described [in] elderly patients [;] whether this is associated with age [is] to be confirmed . 0 ###LEFT-WALL### 1 available 1 available 12 are 2 studies 4 addressing 2 studies 7 of 2 studies 12 are 3 specifically 4 addressing 4 addressing 6 role 5 the 6 role 7 of 8 montelukast 8 montelukast 9 in 9 in 11 elderly 10 the 11 elderly 12 are 13 scarce 13 scarce 15 however 15 however 18 modifiers 15 however 21 demonstrated 17 leukotriene 18 modifiers 18 modifiers 19 have 19 have 20 been 20 been 21 demonstrated 21 demonstrated 22 to 22 to 29 , 23 be 24 safe 23 be 29 , 24 safe 25 in 25 in 28 group 26 this 28 group 27 age 28 group 29 , 30 even 30 even 31 though 31 though 32 cases 31 though 43 have 32 cases 33 of 32 cases 43 have 33 of 42 syndrome 34 acute 42 syndrome 35 hepatitis 36 and 36 and 37 occurrence 36 and 40 - 36 and 42 syndrome 37 occurrence 38 of 38 of 39 churg 41 strauss 42 syndrome 43 have 48 patients 43 have 50 whether 45 described 48 patients 47 elderly 48 patients 50 whether 51 this 50 whether 59 confirmed 51 this 52 is 52 is 53 associated 53 associated 54 with 53 associated 57 to 54 with 55 age 57 to 58 be 58 be 59 confirmed 59 confirmed 60 . furthermore , leukotriene modifiers provide additional benefit [when] added [to] regular maintenance therapy , not differently from young asthmatics . 0 ###LEFT-WALL### 4 modifiers 0 ###LEFT-WALL### 5 provide 1 furthermore 2 , 1 furthermore 4 modifiers 3 leukotriene 4 modifiers 4 modifiers 5 provide 5 provide 13 therapy 5 provide 16 differently 6 additional 7 benefit 7 benefit 9 added 9 added 11 regular 11 regular 13 therapy 12 maintenance 13 therapy 14 , 15 not 14 , 16 differently 16 differently 17 from 16 differently 20 . 17 from 19 asthmatics 18 young 19 asthmatics in elderly patients , the simpler route of administration of leukotriene modifiers , compared with the inhaled agents , could represent a more effective strategy in improving the outcomes of asthma therapy , given that unintentional nonadherence with inhalation therapy represents a complex problem that may lead to significant impairment of asthma symptom control . 0 ###LEFT-WALL### 7 route 0 ###LEFT-WALL### 21 represent 0 ###LEFT-WALL### 33 , 0 ###LEFT-WALL### 55 . 1 in 3 patients 1 in 4 , 1 in 7 route 2 elderly 3 patients 5 the 7 route 6 simpler 7 route 7 route 8 of 7 route 20 could 8 of 9 administration 9 administration 10 of 10 of 12 modifiers 11 leukotriene 12 modifiers 12 modifiers 14 compared 13 , 14 compared 14 compared 15 with 14 compared 19 , 15 with 18 agents 16 the 18 agents 17 inhaled 18 agents 20 could 21 represent 21 represent 25 strategy 21 represent 26 in 22 a 25 strategy 23 more 24 effective 24 effective 25 strategy 26 in 27 improving 27 improving 29 outcomes 28 the 29 outcomes 29 outcomes 30 of 30 of 32 therapy 31 asthma 32 therapy 33 , 37 nonadherence 33 , 41 represents 34 given 37 nonadherence 35 that 36 unintentional 36 unintentional 37 nonadherence 37 nonadherence 38 with 37 nonadherence 41 represents 38 with 40 therapy 39 inhalation 40 therapy 41 represents 44 problem 41 represents 48 to 42 a 44 problem 43 complex 44 problem 44 problem 45 that 44 problem 46 may 45 that 46 may 46 may 47 lead 48 to 50 impairment 49 significant 50 impairment 50 impairment 51 of 51 of 54 control 52 asthma 54 control 53 symptom 54 control materials and methods : data linkage was used to examine retrospectively the service records of older individuals who had received a reablement service versus a conventional home care service to ascertain their use of home care services over time . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 3 methods 4 : 4 : 5 data 5 data 20 received 6 linkage 7 was 7 was 8 used 8 used 9 to 8 used 10 examine 9 to 10 examine 10 examine 11 retrospectively 10 examine 14 records 10 examine 20 received 12 the 14 records 13 service 14 records 14 records 15 of 14 records 20 received 15 of 17 individuals 16 older 17 individuals 17 individuals 18 who 17 individuals 19 had 18 who 19 had 20 received 23 service 20 received 40 . 21 a 23 service 22 reablement 23 service 23 service 24 versus 23 service 30 to 23 service 37 services 24 versus 29 service 25 a 29 service 26 conventional 27 home 27 home 29 service 28 care 29 service 30 to 31 ascertain 31 ascertain 33 use 31 ascertain 37 services 32 their 33 use 33 use 34 of 33 use 37 services 34 of 36 care 35 home 36 care 37 services 38 over 38 over 39 time results : individuals who had received a reablement service were less likely to use a personal care service throughout [the] follow - up period or any other type of home care over the next 3 years . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 individuals 2 : 21 follow 2 : 22 - 3 individuals 4 who 3 individuals 5 had 3 individuals 21 follow 4 who 5 had 5 had 6 received 6 received 8 reablement 7 a 8 reablement 8 reablement 9 service 8 reablement 10 were 8 reablement 12 likely 9 service 10 were 11 less 12 likely 12 likely 13 to 12 likely 14 use 13 to 14 use 14 use 18 service 14 use 19 throughout 15 a 16 personal 15 a 18 service 16 personal 17 care 17 care 18 service 22 - 25 or 22 - 37 . 23 up 24 period 24 period 25 or 25 or 31 care 26 any 27 other 27 other 28 type 28 type 29 of 28 type 31 care 29 of 31 care 30 home 31 care 31 care 32 over 32 over 36 years 33 the 34 next 33 the 35 3 35 3 36 years this reduced use of home care services was associated with median cost savings per person of approximately au $ 12,500 over nearly 5 years . 0 ###LEFT-WALL### 3 use 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 25 . 1 this 2 reduced 2 reduced 3 use 3 use 4 of 3 use 8 was 4 of 7 services 5 home 7 services 6 care 7 services 8 was 9 associated 9 associated 10 with 9 associated 21 over 10 with 13 savings 10 with 19 $ 11 median 12 cost 12 cost 13 savings 13 savings 14 per 13 savings 16 of 14 per 15 person 16 of 18 au 17 approximately 18 au 19 $ 20 12,500 21 over 24 years 22 nearly 23 5 23 5 24 years conclusion : the inclusion of reablement as the starting point for individuals referred for home care within australia 's reformed aged care system could increase the system 's cost effectiveness and ensure that all older australians have the opportunity to maximize their independence as they age . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 47 . 1 conclusion 2 : 2 : 4 inclusion 2 : 7 as 2 : 11 for 3 the 4 inclusion 4 inclusion 5 of 5 of 6 reablement 7 as 10 point 8 the 10 point 9 starting 10 point 11 for 12 individuals 12 individuals 13 referred 12 individuals 14 for 14 for 15 home 15 home 16 care 15 home 31 and 16 care 17 within 16 care 24 could 17 within 23 system 18 australia 19 's 19 's 23 system 20 reformed 22 care 21 aged 22 care 22 care 23 system 24 could 31 and 25 increase 30 effectiveness 25 increase 31 and 26 the 27 system 27 system 28 's 28 's 30 effectiveness 29 cost 30 effectiveness 31 and 32 ensure 31 and 40 to 31 and 46 age 32 ensure 33 that 33 that 36 australians 33 that 37 have 34 all 36 australians 35 older 36 australians 36 australians 37 have 37 have 39 opportunity 38 the 39 opportunity 40 to 41 maximize 41 maximize 43 independence 41 maximize 44 as 42 their 43 independence 44 as 45 they 44 as 46 age 45 they 46 age objectives : studies demonstrate associations between changes in obesity - [related] [phenotypes] and cardiovascular risk . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 studies 2 : 4 demonstrate 2 : 16 . 3 studies 4 demonstrate 4 demonstrate 5 associations 4 demonstrate 6 between 4 demonstrate 8 in 6 between 7 changes 8 in 13 and 9 obesity 13 and 10 - 13 and 13 and 15 risk 14 cardiovascular 15 risk although maternal pre - pregnancy bmi ( mppbmi ) and gestational weight gain ( gwg ) may be associated with adult offspring adiposity , no study has examined associations with obesity changes . 0 ###LEFT-WALL### 26 study 0 ###LEFT-WALL### 28 examined 0 ###LEFT-WALL### 33 . 1 although 3 pre 1 although 18 be 1 although 26 study 2 maternal 3 pre 3 pre 5 pregnancy 3 pre 17 may 4 - 5 pregnancy 5 pregnancy 10 and 5 pregnancy 13 gain 5 pregnancy 15 gwg 5 pregnancy 16 ) 6 bmi 8 mppbmi 6 bmi 10 and 7 ( 8 mppbmi 8 mppbmi 9 ) 10 and 12 weight 10 and 13 gain 11 gestational 12 weight 14 ( 15 gwg 15 gwg 16 ) 17 may 18 be 19 associated 20 with 19 associated 24 , 19 associated 26 study 20 with 23 adiposity 21 adult 22 offspring 22 offspring 23 adiposity 25 no 26 study 26 study 27 has 27 has 28 examined 28 examined 29 associations 28 examined 30 with 30 with 32 changes 31 obesity 32 changes associations of mppbmi and gwg with longitudinal change in offspring ['s] bmi ( δbmi ) were examined , and whether associations are explained by offspring genetics was assessed . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 17 examined 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 29 . 1 associations 2 of 1 associations 4 and 2 of 3 mppbmi 4 and 5 gwg 4 and 6 with 4 and 9 in 4 and 16 were 6 with 8 change 7 longitudinal 8 change 9 in 12 bmi 10 offspring 12 bmi 12 bmi 14 δbmi 13 ( 14 δbmi 14 δbmi 15 ) 16 were 17 examined 18 , 19 and 19 and 20 whether 19 and 28 assessed 20 whether 21 associations 20 whether 23 explained 20 whether 27 was 21 associations 22 are 22 are 23 explained 23 explained 24 by 24 by 26 genetics 25 offspring 26 genetics 27 was 28 assessed methods : a birth cohort of 1400 adults , with data at birth , age 17 and 32 years was used . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 cohort 2 : 21 used 2 : 22 . 3 a 4 birth 3 a 5 cohort 4 birth 5 cohort 5 cohort 6 of 5 cohort 20 was 6 of 19 years 7 1400 8 adults 8 adults 10 with 8 adults 15 age 9 , 10 with 10 with 11 data 10 with 14 , 11 data 12 at 12 at 13 birth 15 age 17 and 16 17 17 and 17 and 18 32 18 32 19 years 20 was 21 used after genotyping offspring , genetic scores , predictive of exposures and outcome were created , and linear regression models [with] and [without] scores were fit to examine the associations of mppbmi and gwg with δbmi . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 36 . 1 after 2 genotyping 1 after 11 and 2 genotyping 3 offspring 3 offspring 6 scores 4 , 6 scores 5 genetic 6 scores 6 scores 7 , 8 predictive 9 of 8 predictive 11 and 9 of 10 exposures 11 and 12 outcome 11 and 13 were 13 were 14 created 15 , 16 and 15 , 27 examine 16 and 21 and 16 and 24 were 17 linear 18 regression 18 regression 19 models 19 models 21 and 21 and 23 scores 21 and 24 were 24 were 25 fit 25 fit 26 to 25 fit 27 examine 26 to 27 examine 27 examine 29 associations 27 examine 34 with 28 the 29 associations 29 associations 30 of 30 of 32 and 31 mppbmi 32 and 32 and 33 gwg 34 with 35 δbmi results : a one sd change in mppbmi and gwg was associated with a 0.83 and [a] 0.75 kg/m² increase in δbmi , respectively . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 and 1 results 2 : 2 : 6 change 3 a 6 change 4 one 5 sd 5 sd 6 change 6 change 7 in 7 in 8 mppbmi 9 and 10 gwg 9 and 12 associated 10 gwg 11 was 11 was 12 associated 12 associated 13 with 12 associated 21 in 12 associated 24 respectively 13 with 20 increase 14 a 20 increase 15 0.83 16 and 16 and 18 0.75 16 and 19 kg/m² 19 kg/m² 20 increase 21 in 22 δbmi 23 , 24 respectively 24 respectively 25 . the association between mppbmi and offspring δbmi was slightly attenuated ( 12 % [ )(with the addition of genetic scores . 0 ###LEFT-WALL### 5 and 1 the 2 association 2 association 3 between 2 association 5 and 3 between 4 mppbmi 5 and 6 offspring 5 and 7 δbmi 5 and 8 was 5 and 10 attenuated 5 and 13 % 7 δbmi 8 was 9 slightly 10 attenuated 11 ( 13 % 12 12 13 % 13 % 15 )(with 13 % 21 . 15 )(with 17 addition 16 the 17 addition 17 addition 18 of 18 of 20 scores 19 genetic 20 scores in the gwg model , a significant substantial 28.2 % decrease in the coefficient was observed . 0 ###LEFT-WALL### 11 decrease 0 ###LEFT-WALL### 16 observed 0 ###LEFT-WALL### 17 . 1 in 4 model 1 in 5 , 1 in 11 decrease 2 the 4 model 3 gwg 4 model 6 a 7 significant 6 a 11 decrease 7 significant 11 decrease 8 substantial 11 decrease 9 28.2 10 % 10 % 11 decrease 11 decrease 12 in 11 decrease 15 was 12 in 14 coefficient 13 the 14 coefficient 15 was 16 observed conclusions : this study points to an association between maternal excess weight in pregnancy and offspring bmi change from adolescence to adulthood . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 points 2 : 23 . 3 this 4 study 4 study 5 points 5 points 6 to 5 points 9 between 5 points 13 in 6 to 8 association 7 an 8 association 9 between 12 weight 10 maternal 11 excess 11 excess 12 weight 13 in 15 and 14 pregnancy 15 and 15 and 18 change 16 offspring 18 change 17 bmi 18 change 18 change 19 from 19 from 20 adolescence 20 adolescence 21 to 21 to 22 adulthood genetic factors may account , [in] part , for gwg/δbmi [association] . 0 ###LEFT-WALL### 2 factors 0 ###LEFT-WALL### 5 , 1 genetic 2 factors 2 factors 5 , 3 may 4 account 3 may 5 , 5 , 7 part 7 part 9 for 8 , 9 for 9 for 10 gwg/δbmi 9 for 12 . these findings broaden observations that maternal obesity [-] related phenotypes [have] long - term consequences for offspring health . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 broaden 0 ###LEFT-WALL### 13 - 1 these 2 findings 2 findings 3 broaden 3 broaden 4 observations 4 observations 5 that 4 observations 10 phenotypes 5 that 7 obesity 5 that 10 phenotypes 6 maternal 7 obesity 7 obesity 9 related 7 obesity 10 phenotypes 10 phenotypes 12 long 13 - 14 term 13 - 19 . 14 term 15 consequences 14 term 16 for 16 for 18 health 17 offspring 18 health the study of t cell biology has been accelerated by substantial progress at the technological level , particularly through the continuing advancement of flow cytometry . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 9 accelerated 1 the 2 study 2 study 3 of 2 study 6 biology 2 study 8 been 2 study 9 accelerated 3 of 4 t 5 cell 6 biology 6 biology 7 has 7 has 8 been 9 accelerated 10 by 9 accelerated 13 at 10 by 12 progress 11 substantial 12 progress 13 at 16 level 14 the 16 level 15 technological 16 level 16 level 19 through 17 , 18 particularly 17 , 19 through 19 through 22 advancement 19 through 26 . 20 the 22 advancement 21 continuing 22 advancement 22 advancement 23 of 23 of 25 cytometry 24 flow 25 cytometry the conventional approach of observing [t] cells as either [t] helper or t [cytotoxic] is overly simplistic and does not allow investigators to clearly identify immune mechanisms or alterations in physiological processes that impact on clinical outcomes . 0 ###LEFT-WALL### 12 or 0 ###LEFT-WALL### 38 . 1 the 3 approach 2 conventional 3 approach 3 approach 4 of 3 approach 12 or 4 of 5 observing 5 observing 7 cells 7 cells 8 as 8 as 11 helper 9 either 11 helper 12 or 13 t 12 or 18 and 15 is 17 simplistic 15 is 18 and 16 overly 17 simplistic 18 and 19 does 18 and 34 impact 19 does 20 not 19 does 21 allow 21 allow 22 investigators 21 allow 27 mechanisms 21 allow 28 or 22 investigators 23 to 22 investigators 25 identify 23 to 25 identify 24 clearly 25 identify 26 immune 27 mechanisms 28 or 29 alterations 29 alterations 30 in 30 in 32 processes 31 physiological 32 processes 33 that 34 impact 34 impact 35 on 35 on 37 outcomes 36 clinical 37 outcomes the complexity [of] t cell sub - populations , as we understand them today , combined with the immunological and functional diversity of these subsets represent significant complications for the study of [t] cell biology . 0 ###LEFT-WALL### 6 sub 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 36 . 1 the 6 sub 2 complexity 4 t 2 complexity 6 sub 5 cell 6 sub 7 - 8 populations 7 - 9 , 9 , 26 represent 10 as 11 we 10 as 15 , 10 as 26 represent 11 we 15 , 12 understand 13 them 12 understand 14 today 12 understand 15 , 15 , 16 combined 15 , 17 with 17 with 22 diversity 18 the 22 diversity 19 immunological 20 and 20 and 21 functional 20 and 22 diversity 22 diversity 23 of 23 of 25 subsets 24 these 25 subsets 26 represent 28 complications 26 represent 29 for 27 significant 28 complications 29 for 31 study 30 the 31 study 31 study 32 of 32 of 35 biology 34 cell 35 biology in this article , we review the use of classical markers in delineating [t] cell sub - populations , from " truly naïve " [t] cells [(] recent thymic emigrants with no proliferative history [ )(to " exhausted senescent " [t] cells [(] poorly proliferative cells that display severe functional abnormalities [ )(wherein the different [phenotypes] [of] [these] populations reflect their disparate functionalities [.] 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 review 1 in 3 article 1 in 4 , 1 in 5 we 2 this 3 article 5 we 6 review 6 review 8 use 7 the 8 use 8 use 9 of 9 of 11 markers 10 classical 11 markers 11 markers 12 in 11 markers 20 from 12 in 16 sub 13 delineating 16 sub 15 cell 16 sub 16 sub 18 populations 17 - 18 populations 18 populations 19 , 20 from 21 " 20 from 30 emigrants 22 truly 23 naïve 23 naïve 24 " 23 naïve 26 cells 26 cells 30 emigrants 28 recent 30 emigrants 29 thymic 30 emigrants 30 emigrants 31 with 31 with 34 history 32 no 34 history 33 proliferative 34 history 34 history 36 )(to 36 )(to 37 " 36 )(to 46 cells 38 exhausted 39 senescent 39 senescent 40 " 39 senescent 46 cells 42 cells 46 cells 44 poorly 45 proliferative 45 proliferative 46 cells 46 cells 47 that 46 cells 48 display 47 that 48 display 48 display 51 abnormalities 48 display 53 )(wherein 49 severe 51 abnormalities 50 functional 51 abnormalities 53 )(wherein 59 populations 53 )(wherein 60 reflect 54 the 59 populations 55 different 59 populations 59 populations 60 reflect 60 reflect 63 functionalities 61 their 63 functionalities 62 disparate 63 functionalities in addition , since persistent infections and chronological aging have been shown to be associated with significant alterations in human t cell distribution and function , we also discuss age [-] associated and cytomegalovirus - driven alterations in the expression of key subset markers . 0 ###LEFT-WALL### 27 we 0 ###LEFT-WALL### 29 discuss 0 ###LEFT-WALL### 45 . 1 in 2 addition 1 in 27 we 3 , 4 since 4 since 7 and 4 since 12 shown 4 since 26 , 4 since 27 we 5 persistent 6 infections 6 infections 7 and 7 and 8 chronological 7 and 9 aging 7 and 10 have 10 have 11 been 11 been 12 shown 12 shown 13 to 12 shown 19 in 13 to 14 be 14 be 15 associated 15 associated 16 with 16 with 18 alterations 17 significant 18 alterations 19 in 24 and 20 human 21 t 20 human 22 cell 22 cell 23 distribution 23 distribution 24 and 24 and 25 function 24 and 26 , 27 we 29 discuss 28 also 29 discuss 29 discuss 37 alterations 29 discuss 38 in 30 age 32 associated 30 age 33 and 33 and 34 cytomegalovirus 33 and 35 - 33 and 36 driven 36 driven 37 alterations 38 in 40 expression 39 the 40 expression 40 expression 41 of 41 of 44 markers 42 key 43 subset 43 subset 44 markers objective : to evaluate the association [between] self - reported daily sitting time and the incidence of type 2 diabetes in a cohort of postmenopausal women . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 3 to 2 : 4 evaluate 2 : 10 reported 3 to 4 evaluate 4 evaluate 8 self 5 the 8 self 6 association 8 self 9 - 10 reported 10 reported 14 and 10 reported 21 in 11 daily 12 sitting 12 sitting 13 time 13 time 14 and 14 and 16 incidence 14 and 17 of 15 the 16 incidence 17 of 20 diabetes 18 type 20 diabetes 19 2 20 diabetes 21 in 23 cohort 22 a 23 cohort 23 cohort 24 of 24 of 26 women 25 postmenopausal 26 women methods : women ( n=88,829 ) without diagnosed diabetes reported the number of hours spent sitting over a typical day . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 1 methods 2 : 2 : 3 women 2 : 7 without 2 : 17 over 3 women 5 n=88,829 4 ( 5 n=88,829 5 n=88,829 6 ) 7 without 9 diabetes 8 diagnosed 9 diabetes 9 diabetes 10 reported 9 diabetes 16 sitting 11 the 12 number 12 number 13 of 12 number 16 sitting 13 of 14 hours 14 hours 15 spent 17 over 20 day 18 a 19 typical 18 a 20 day 19 typical 20 day incident cases of diabetes were identified annually by self [-] reported initiation of using oral medications or insulin for diabetes > 14.4 years follow - up . 0 ###LEFT-WALL### 2 cases 0 ###LEFT-WALL### 6 identified 0 ###LEFT-WALL### 25 - 0 ###LEFT-WALL### 27 . 1 incident 2 cases 2 cases 3 of 2 cases 5 were 3 of 4 diabetes 5 were 6 identified 6 identified 7 annually 6 identified 8 by 6 identified 19 for 8 by 17 or 9 self 11 reported 11 reported 12 initiation 12 initiation 13 of 12 initiation 17 or 13 of 14 using 14 using 16 medications 15 oral 16 medications 17 or 18 insulin 19 for 20 diabetes 20 diabetes 23 years 20 diabetes 24 follow 21 > 22 14.4 22 14.4 23 years 23 years 24 follow 25 - 26 up results : each hour of sitting time was positively associated with increased risk of diabetes [ risk [ratio] [(] [rr] ) : 1.05 ; 95 % confidence [interval] ( ci ) : 1.02 - 1.08 ] . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 4 hour 2 : 10 associated 2 : 22 : 2 : 24 ; 3 each 4 hour 4 hour 5 of 4 hour 8 was 5 of 6 sitting 6 sitting 7 time 8 was 9 positively 8 was 10 associated 10 associated 11 with 11 with 13 risk 12 increased 13 risk 13 risk 14 of 14 of 15 diabetes 15 diabetes 17 risk 16 [ 17 risk 17 risk 21 ) 22 : 23 1.05 24 ; 27 confidence 24 ; 32 : 25 95 26 % 26 % 27 confidence 27 confidence 30 ci 27 confidence 32 : 29 ( 30 ci 30 ci 31 ) 32 : 33 1.02 33 1.02 35 1.08 34 - 35 1.08 35 1.08 36 ] however , sitting time was only positively associated with incident diabetes in obese women . 0 ###LEFT-WALL### 3 sitting 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 3 sitting 3 sitting 4 time 3 sitting 5 was 5 was 6 only 5 was 8 associated 7 positively 8 associated 8 associated 9 with 8 associated 12 in 9 with 11 diabetes 10 incident 11 diabetes 12 in 14 women 13 obese 14 women these associations were adjusted for demographics , health conditions , behaviors ( smoking , diet , and alcohol intake ) , and family history of diabetes . 0 ###LEFT-WALL### 2 associations 0 ###LEFT-WALL### 4 adjusted 1 these 2 associations 2 associations 3 were 3 were 4 adjusted 4 adjusted 5 for 5 for 6 demographics 6 demographics 9 conditions 6 demographics 11 behaviors 7 , 9 conditions 8 health 9 conditions 9 conditions 10 , 10 , 11 behaviors 11 behaviors 22 and 11 behaviors 27 . 12 ( 22 and 13 smoking 14 , 14 , 15 diet 14 , 17 and 16 , 17 and 17 and 19 intake 17 and 20 ) 17 and 22 and 18 alcohol 19 intake 21 , 22 and 22 and 24 history 22 and 25 of 22 and 27 . 23 family 24 history 25 of 26 diabetes time performing moderate to vigorous intensity physical activity did not modify these associations . 0 ###LEFT-WALL### 1 time 0 ###LEFT-WALL### 11 modify 0 ###LEFT-WALL### 14 . 1 time 2 performing 1 time 3 moderate 1 time 9 did 3 moderate 4 to 4 to 8 activity 5 vigorous 6 intensity 6 intensity 8 activity 7 physical 8 activity 9 did 10 not 9 did 11 modify 11 modify 13 associations 12 these 13 associations conclusions : time spent sitting was independently associated with increased risk of diabetes diagnosis among obese women [-] a population already at high risk of the disease . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 1 conclusions 2 : 2 : 3 time 3 time 4 spent 3 time 5 sitting 3 time 8 associated 5 sitting 6 was 6 was 8 associated 7 independently 8 associated 8 associated 9 with 8 associated 21 already 8 associated 22 at 9 with 11 risk 9 with 20 population 10 increased 11 risk 11 risk 12 of 12 of 14 diagnosis 13 diabetes 14 diagnosis 14 diagnosis 15 among 15 among 17 women 16 obese 17 women 19 a 20 population 22 at 24 risk 23 high 24 risk 24 risk 25 of 25 of 27 disease 26 the 27 disease type 2 diabetes mellitus is very prevalent among persons aged 60 - 80 years old . 0 ###LEFT-WALL### 1 type 0 ###LEFT-WALL### 16 . 1 type 2 2 1 type 3 diabetes 3 diabetes 15 old 4 mellitus 5 is 5 is 7 prevalent 6 very 7 prevalent 7 prevalent 8 among 8 among 9 persons 9 persons 10 aged 10 aged 12 - 11 60 12 - 12 - 13 80 13 80 14 years 14 years 15 old this population is expected to increase [in] [number] and is characterized by the presence of comorbidities , long standing diabetes , frailty , high rate of cognitive impairment and limited life expectancy . 0 ###LEFT-WALL### 2 population 0 ###LEFT-WALL### 9 and 1 this 2 population 2 population 9 and 3 is 4 expected 3 is 9 and 4 expected 5 to 4 expected 6 increase 5 to 6 increase 9 and 10 is 9 and 19 standing 9 and 20 diabetes 10 is 11 characterized 11 characterized 12 by 12 by 14 presence 13 the 14 presence 14 presence 15 of 15 of 16 comorbidities 17 , 19 standing 18 long 19 standing 20 diabetes 29 and 21 , 29 and 22 frailty 23 , 23 , 25 rate 23 , 29 and 24 high 25 rate 25 rate 26 of 26 of 28 impairment 27 cognitive 28 impairment 29 and 32 expectancy 29 and 33 . 30 limited 31 life 31 life 32 expectancy these characteristics have a significant impact on diabetes and treatment among the elderly , much as diabetes predisposes to these conditions . 0 ###LEFT-WALL### 2 characteristics 0 ###LEFT-WALL### 3 have 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 22 . 1 these 2 characteristics 2 characteristics 3 have 3 have 6 impact 3 have 7 on 3 have 11 among 4 a 5 significant 4 a 6 impact 5 significant 6 impact 7 on 9 and 8 diabetes 9 and 9 and 10 treatment 11 among 13 elderly 12 the 13 elderly 14 , 15 much 14 , 18 predisposes 15 much 16 as 15 much 18 predisposes 16 as 17 diabetes 18 predisposes 19 to 18 predisposes 21 conditions 19 to 20 these in this article we will describe mechanisms that may lead to insulin resistance and diabetes among the elderly and also [how] these conditions contribute to the development of frailty and cognitive impairment . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 6 describe 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 33 . 1 in 3 article 1 in 4 we 2 this 3 article 4 we 5 will 5 will 6 describe 6 describe 7 mechanisms 6 describe 11 to 6 describe 16 among 7 mechanisms 8 that 7 mechanisms 10 lead 8 that 9 may 9 may 10 lead 11 to 14 and 12 insulin 13 resistance 13 resistance 14 and 14 and 15 diabetes 16 among 18 elderly 17 the 18 elderly 19 and 23 conditions 19 and 24 contribute 20 also 23 conditions 22 these 23 conditions 23 conditions 24 contribute 24 contribute 25 to 25 to 27 development 26 the 27 development 27 development 28 of 28 of 30 and 29 frailty 30 and 30 and 32 impairment 31 cognitive 32 impairment hypoglycemia and it ['s] consequences are important considerations when planning the treatment of diabetes . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 15 . 1 hypoglycemia 2 and 2 and 3 it 2 and 5 consequences 2 and 10 planning 5 consequences 6 are 6 are 8 considerations 6 are 9 when 7 important 8 considerations 9 when 10 planning 10 planning 12 treatment 11 the 12 treatment 12 treatment 13 of 13 of 14 diabetes treatment options in light of new goals and the danger of hypoglycemia will be detailed . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 14 be 0 ###LEFT-WALL### 16 . 1 treatment 2 options 2 options 3 in 2 options 8 and 3 in 4 light 4 light 5 of 5 of 7 goals 6 new 7 goals 8 and 10 danger 8 and 11 of 8 and 13 will 9 the 10 danger 11 of 12 hypoglycemia 13 will 14 be 14 be 15 detailed the precise mechanisms of antioxidant - mediated longevity are poorly understood . 0 ###LEFT-WALL### 3 mechanisms 0 ###LEFT-WALL### 11 understood 0 ###LEFT-WALL### 12 . 1 the 3 mechanisms 2 precise 3 mechanisms 3 mechanisms 4 of 3 mechanisms 9 are 4 of 8 longevity 5 antioxidant 6 - 5 antioxidant 8 longevity 7 mediated 8 longevity 9 are 11 understood 10 poorly 11 understood we show that an antioxidant treatment can extend the lifespan of caenorhabditis elegans ( [c] [.] elegans ) through the nuclear translocation of the forkhead box o transcription factor ( foxo [ )(homolog daf - 16 . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 show 0 ###LEFT-WALL### 35 - 1 we 2 show 2 show 3 that 3 that 6 treatment 3 that 8 extend 4 an 5 antioxidant 4 an 6 treatment 5 antioxidant 6 treatment 6 treatment 7 can 7 can 8 extend 8 extend 10 lifespan 8 extend 19 through 9 the 10 lifespan 10 lifespan 11 of 11 of 13 elegans 12 caenorhabditis 13 elegans 13 elegans 17 elegans 14 ( 17 elegans 17 elegans 18 ) 19 through 22 translocation 20 the 22 translocation 21 nuclear 22 translocation 22 translocation 23 of 22 translocation 34 daf 23 of 29 factor 24 the 29 factor 25 forkhead 29 factor 26 box 27 o 26 box 28 transcription 28 transcription 29 factor 30 ( 34 daf 31 foxo 34 daf 33 )(homolog 34 daf 34 daf 35 - 35 - 36 16 35 - 37 . the differences in the mechanisms of foxo activation by antioxidants and oxidants result in differences in foxo phosphorylation and target gene expression . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 13 result 0 ###LEFT-WALL### 23 . 1 the 2 differences 2 differences 3 in 2 differences 6 of 2 differences 13 result 3 in 5 mechanisms 4 the 5 mechanisms 6 of 8 activation 7 foxo 8 activation 8 activation 9 by 9 by 11 and 10 antioxidants 11 and 11 and 12 oxidants 13 result 14 in 13 result 16 in 14 in 15 differences 16 in 19 and 17 foxo 18 phosphorylation 18 phosphorylation 19 and 19 and 22 expression 20 target 22 expression 21 gene 22 expression based on these results , we found that a combination of early antioxidant treatment and late oxidant treatment is most effective for lifespan extension in c [.] elegans . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 29 . 1 based 2 on 1 based 5 , 1 based 6 we 2 on 4 results 3 these 4 results 6 we 7 found 7 found 8 that 7 found 10 combination 9 a 10 combination 10 combination 11 of 11 of 14 treatment 12 early 14 treatment 13 antioxidant 14 treatment 15 and 18 treatment 15 and 19 is 16 late 18 treatment 17 oxidant 18 treatment 18 treatment 19 is 19 is 21 effective 20 most 21 effective 21 effective 22 for 22 for 23 lifespan 23 lifespan 24 extension 23 lifespan 28 elegans 24 extension 25 in 24 extension 28 elegans 25 in 26 c the occurrence of variant creutzfeldt - jakob ( vcjd ) disease in humans was almost certainly the result of consumption of food contaminated with bovine spongiform encephalopathy ( bse ) prions . 0 ###LEFT-WALL### 2 occurrence 0 ###LEFT-WALL### 14 was 0 ###LEFT-WALL### 32 . 1 the 2 occurrence 2 occurrence 3 of 2 occurrence 12 in 2 occurrence 14 was 3 of 11 disease 4 variant 11 disease 5 creutzfeldt 7 jakob 5 creutzfeldt 11 disease 6 - 7 jakob 7 jakob 9 vcjd 7 jakob 10 ) 8 ( 9 vcjd 9 vcjd 10 ) 12 in 13 humans 14 was 15 almost 14 was 16 certainly 14 was 18 result 17 the 18 result 18 result 19 of 18 result 24 with 19 of 20 consumption 20 consumption 21 of 21 of 22 food 22 food 23 contaminated 24 with 31 prions 25 bovine 31 prions 26 spongiform 31 prions 27 encephalopathy 29 bse 27 encephalopathy 30 ) 27 encephalopathy 31 prions 28 ( 29 bse 29 bse 30 ) despite probable widespread exposure of the uk population to bse - contaminated food in the 1980s , vcjd has been identified [predominantly] in young individuals , and there have been fewer cases of clinical disease than anticipated . 0 ###LEFT-WALL### 18 vcjd 0 ###LEFT-WALL### 21 identified 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 38 . 1 despite 4 exposure 1 despite 17 , 1 despite 18 vcjd 2 probable 4 exposure 3 widespread 4 exposure 4 exposure 5 of 5 of 8 population 6 the 8 population 7 uk 8 population 8 population 9 to 9 to 10 bse 10 bse 13 food 11 - 13 food 12 contaminated 13 food 13 food 14 in 13 food 17 , 14 in 16 1980s 15 the 16 1980s 18 vcjd 19 has 19 has 20 been 20 been 21 identified 21 identified 23 in 23 in 25 individuals 24 young 25 individuals 26 , 27 and 27 and 28 there 27 and 30 been 28 there 29 have 29 have 30 been 30 been 32 cases 30 been 37 anticipated 31 fewer 32 cases 32 cases 33 of 33 of 35 disease 34 clinical 35 disease 36 than 37 anticipated the reasons for this are uncertain . 0 ###LEFT-WALL### 2 reasons 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 7 . 1 the 2 reasons 2 reasons 3 for 2 reasons 5 are 3 for 4 this 5 are 6 uncertain following peripheral exposure , many prions replicate within the lymphoid tissues before infecting the central nervous system . 0 ###LEFT-WALL### 6 prions 0 ###LEFT-WALL### 7 replicate 0 ###LEFT-WALL### 18 . 1 following 3 exposure 1 following 4 , 1 following 6 prions 2 peripheral 3 exposure 5 many 6 prions 6 prions 7 replicate 7 replicate 8 within 7 replicate 11 tissues 7 replicate 12 before 8 within 10 lymphoid 9 the 10 lymphoid 12 before 13 infecting 13 infecting 17 system 14 the 17 system 15 central 17 system 16 nervous 17 system we have shown that the effects of host age on the microarchitecture of the spleen significantly impair susceptibility to mouse [-] adapted prions after peripheral exposure . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 shown 0 ###LEFT-WALL### 27 . 1 we 2 have 2 have 3 shown 3 shown 4 that 4 that 6 effects 4 that 17 impair 5 the 6 effects 6 effects 7 of 6 effects 17 impair 7 of 9 age 8 host 9 age 9 age 10 on 10 on 12 microarchitecture 11 the 12 microarchitecture 12 microarchitecture 13 of 13 of 15 spleen 14 the 15 spleen 16 significantly 17 impair 17 impair 18 susceptibility 17 impair 19 to 17 impair 24 after 19 to 23 prions 20 mouse 22 adapted 22 adapted 23 prions 24 after 26 exposure 25 peripheral 26 exposure the transmission of prions between different mammalian species is considered to be limited by the ['] species barrier ['] , which is dependent on several factors , including an intact immune system . 0 ###LEFT-WALL### 2 transmission 0 ###LEFT-WALL### 10 considered 1 the 2 transmission 2 transmission 3 of 2 transmission 9 is 3 of 4 prions 4 prions 5 between 5 between 8 species 6 different 8 species 7 mammalian 8 species 9 is 10 considered 10 considered 11 to 10 considered 12 be 11 to 12 be 12 be 13 limited 13 limited 14 by 13 limited 28 including 14 by 18 barrier 15 the 18 barrier 17 species 18 barrier 18 barrier 21 which 20 , 21 which 21 which 22 is 21 which 27 , 22 is 23 dependent 23 dependent 24 on 24 on 26 factors 25 several 26 factors 27 , 28 including 28 including 32 system 28 including 33 . 29 an 30 intact 29 an 32 system 30 intact 32 system 31 immune 32 system thus , cross - species prion transmission may be much less efficient in aged individuals . 0 ###LEFT-WALL### 3 cross 0 ###LEFT-WALL### 4 - 1 thus 2 , 1 thus 3 cross 4 - 7 transmission 4 - 9 be 4 - 16 . 5 species 7 transmission 6 prion 7 transmission 7 transmission 8 may 8 may 9 be 9 be 12 efficient 10 much 11 less 11 less 12 efficient 12 efficient 13 in 13 in 15 individuals 14 aged 15 individuals to test this hypothesis , we compared prion pathogenesis in groups of young ( 6 - 8 weeks old ) and aged [(] 600 days old ) mice injected with primary bse brain homogenate . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 test 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 29 injected 0 ###LEFT-WALL### 35 . 1 to 2 test 2 test 4 hypothesis 3 this 4 hypothesis 5 , 6 we 5 , 7 compared 6 we 7 compared 7 compared 9 pathogenesis 8 prion 9 pathogenesis 9 pathogenesis 10 in 10 in 11 groups 11 groups 12 of 12 of 25 days 13 young 16 - 13 young 21 and 14 ( 16 - 15 6 16 - 16 - 17 8 16 - 20 ) 17 8 19 old 18 weeks 19 old 21 and 22 aged 21 and 25 days 22 aged 24 600 25 days 28 mice 25 days 29 injected 26 old 27 ) 26 old 28 mice 28 mice 29 injected 29 injected 30 with 30 with 34 homogenate 31 primary 34 homogenate 32 bse 33 brain 33 brain 34 homogenate we showed that prion [pathogenesis] was impaired dramatically in aged mice when compared with young animals . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 showed 0 ###LEFT-WALL### 17 . 1 we 2 showed 2 showed 3 that 3 that 4 prion 3 that 7 impaired 4 prion 6 was 6 was 7 impaired 7 impaired 8 dramatically 7 impaired 9 in 7 impaired 12 when 9 in 11 mice 10 aged 11 mice 12 when 13 compared 13 compared 14 with 14 with 16 animals 15 young 16 animals whereas most young mice succumbed to clinical prion disease , all aged mice failed to develop clinical disease during their lifespans . 0 ###LEFT-WALL### 13 mice 0 ###LEFT-WALL### 14 failed 0 ###LEFT-WALL### 22 . 1 whereas 4 mice 1 whereas 5 succumbed 1 whereas 13 mice 2 most 4 mice 3 young 4 mice 4 mice 5 succumbed 6 to 9 disease 6 to 10 , 6 to 13 mice 7 clinical 8 prion 8 prion 9 disease 11 all 13 mice 12 aged 13 mice 13 mice 14 failed 14 failed 15 to 14 failed 16 develop 15 to 16 develop 16 develop 18 disease 17 clinical 18 disease 18 disease 19 during 19 during 21 lifespans 20 their 21 lifespans however , the demonstration that prion accumulation was detected in the lymphoid tissues of some aged mice after injection with primary bse brain homogenate , in the absence of clinical signs of prion disease , has important implications for human health . 0 ###LEFT-WALL### 4 demonstration 0 ###LEFT-WALL### 36 has 0 ###LEFT-WALL### 42 . 1 however 2 , 1 however 4 demonstration 3 the 4 demonstration 4 demonstration 5 that 4 demonstration 14 of 4 demonstration 16 aged 4 demonstration 36 has 5 that 7 accumulation 5 that 9 detected 6 prion 7 accumulation 7 accumulation 8 was 8 was 9 detected 9 detected 10 in 10 in 13 tissues 11 the 13 tissues 12 lymphoid 13 tissues 13 tissues 14 of 15 some 16 aged 16 aged 17 mice 16 aged 35 , 17 mice 18 after 18 after 19 injection 19 injection 20 with 20 with 24 homogenate 21 primary 23 brain 22 bse 23 brain 23 brain 24 homogenate 24 homogenate 26 in 25 , 26 in 26 in 28 absence 26 in 35 , 27 the 28 absence 28 absence 29 of 28 absence 32 of 29 of 31 signs 30 clinical 31 signs 32 of 34 disease 33 prion 34 disease 36 has 38 implications 36 has 39 for 37 important 38 implications 39 for 41 health 40 human 41 health background : in contrast to the large literature on patients ' coping with an initial diagnosis of cancer , there have been few quantitative or qualitative studies of patients coping with recurrence . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 33 . 1 background 2 : 2 : 3 in 2 : 12 coping 3 in 4 contrast 4 contrast 5 to 5 to 8 literature 6 the 8 literature 7 large 8 literature 8 literature 9 on 9 on 11 ' 10 patients 11 ' 12 coping 13 with 13 with 16 diagnosis 14 an 15 initial 14 an 16 diagnosis 15 initial 16 diagnosis 16 diagnosis 17 of 17 of 18 cancer 19 , 20 there 19 , 22 been 20 there 21 have 21 have 22 been 22 been 27 studies 23 few 27 studies 24 quantitative 25 or 25 or 26 qualitative 25 or 27 studies 27 studies 28 of 27 studies 30 coping 28 of 29 patients 30 coping 31 with 31 with 32 recurrence a qualitative study was undertaken to aid in the development of a tailored intervention for these patients . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 5 undertaken 0 ###LEFT-WALL### 18 . 1 a 2 qualitative 1 a 3 study 2 qualitative 3 study 3 study 4 was 4 was 5 undertaken 5 undertaken 6 to 5 undertaken 8 in 6 to 7 aid 8 in 10 development 9 the 10 development 10 development 11 of 11 of 14 intervention 12 a 14 intervention 13 tailored 14 intervention 14 intervention 15 for 15 for 17 patients 16 these 17 patients methods : individuals ( n=35 ) [receiving] follow - up care for recurrent [breast] or gynecologic cancer at a university [-] affiliated cancer center participated in an individual or a group interview . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 participated 0 ###LEFT-WALL### 33 . 2 : 3 individuals 2 : 8 follow 2 : 9 - 3 individuals 5 n=35 3 individuals 8 follow 4 ( 5 n=35 5 n=35 6 ) 9 - 10 up 10 up 11 care 10 up 12 for 12 for 17 cancer 13 recurrent 15 or 15 or 16 gynecologic 15 or 17 cancer 17 cancer 18 at 17 cancer 25 participated 18 at 24 center 19 a 24 center 20 university 22 affiliated 22 affiliated 23 cancer 23 cancer 24 center 25 participated 26 in 26 in 29 or 27 an 28 individual 28 individual 29 or 29 or 32 interview 30 a 32 interview 31 group 32 interview transcripts of interviews were analyzed using a coding format with two areas of emphasis . 0 ###LEFT-WALL### 1 transcripts 0 ###LEFT-WALL### 5 analyzed 0 ###LEFT-WALL### 15 . 1 transcripts 2 of 1 transcripts 4 were 2 of 3 interviews 4 were 5 analyzed 5 analyzed 6 using 6 using 9 format 6 using 10 with 7 a 9 format 8 coding 9 format 10 with 12 areas 11 two 12 areas 12 areas 13 of 13 of 14 emphasis first , we focused on patients ' emotions , [as] there is specificity between emotions and the corresponding ways in which individuals choose to manage them . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 focused 0 ###LEFT-WALL### 9 , 1 first 2 , 1 first 3 we 3 we 4 focused 4 focused 5 on 5 on 8 emotions 6 patients 7 ' 7 ' 8 emotions 9 , 11 there 9 , 12 is 11 there 12 is 12 is 13 specificity 13 specificity 14 between 14 between 16 and 15 emotions 16 and 16 and 19 ways 16 and 27 . 17 the 19 ways 18 corresponding 19 ways 19 ways 20 in 20 in 21 which 20 in 22 individuals 20 in 23 choose 22 individuals 23 choose 23 choose 24 to 23 choose 25 manage 24 to 25 manage 25 manage 26 them secondly , we considered the patients ' social environments and relationships , as they [too] appear key in the adjustment [to] , and survival [from] , cancer . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 considered 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 28 . 1 secondly 2 , 1 secondly 3 we 3 we 4 considered 4 considered 10 and 5 the 6 patients 6 patients 7 ' 7 ' 9 environments 8 social 9 environments 9 environments 10 and 10 and 11 relationships 12 , 17 key 13 as 14 they 13 as 16 appear 13 as 17 key 14 they 16 appear 17 key 18 in 17 key 27 cancer 18 in 23 and 19 the 20 adjustment 20 adjustment 23 and 22 , 23 and 23 and 24 survival 23 and 26 , results : patients identified notable differences in their responses to an initial diagnosis of cancer and their current ones to recurrence , including the following : ( [i] [ )(depressive symptoms being [problematic] [;] [(] ii [ )(with [the] passing years and the women 's own aging , there is shrinkage in the size of social networks [;] and [(] iii ) additional losses come from social support erosion , arising from [a] [ )(intentional distancing by social contacts , [b] [ )(friends and family not understanding that cancer recurrence is [a] chronic illness , [and/or] [c] [ )(patients stemming their support requests across time . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 differences 3 patients 6 differences 4 identified 6 differences 5 notable 6 differences 6 differences 7 in 6 differences 10 to 7 in 9 responses 8 their 9 responses 10 to 13 diagnosis 11 an 13 diagnosis 12 initial 13 diagnosis 13 diagnosis 14 of 14 of 23 including 15 cancer 16 and 16 and 19 ones 16 and 22 , 16 and 23 including 17 their 19 ones 18 current 19 ones 19 ones 20 to 20 to 21 recurrence 23 including 25 following 23 including 26 : 24 the 25 following 25 following 26 : 26 : 32 being 27 ( 32 being 30 )(depressive 31 symptoms 31 symptoms 32 being 32 being 36 ii 36 ii 38 )(with 38 )(with 40 passing 40 passing 51 shrinkage 40 passing 52 in 41 years 42 and 42 and 47 aging 42 and 48 , 42 and 49 there 42 and 50 is 42 and 51 shrinkage 43 the 44 women 44 women 45 's 45 's 46 own 45 's 47 aging 49 there 50 is 52 in 59 and 53 the 54 size 54 size 55 of 54 size 59 and 55 of 57 networks 56 social 57 networks 59 and 61 iii 59 and 62 ) 59 and 64 losses 59 and 65 come 63 additional 64 losses 64 losses 65 come 65 come 66 from 65 come 72 from 66 from 69 erosion 67 social 69 erosion 68 support 69 erosion 69 erosion 71 arising 70 , 71 arising 72 from 84 and 75 )(intentional 76 distancing 76 distancing 77 by 76 distancing 80 , 77 by 79 contacts 78 social 79 contacts 80 , 83 )(friends 80 , 84 and 84 and 85 family 85 family 86 not 86 not 87 understanding 87 understanding 90 recurrence 87 understanding 91 is 88 that 90 recurrence 89 cancer 90 recurrence 90 recurrence 91 is 91 is 94 illness 93 chronic 94 illness 94 illness 99 )(patients 95 , 99 )(patients 99 )(patients 100 stemming 99 )(patients 103 requests 99 )(patients 106 . 100 stemming 102 support 100 stemming 103 requests 101 their 102 support 103 requests 104 across 104 across 105 time conclusion : the contribution of these findings to the selection of intervention strategies is discussed . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 contribution 2 : 15 discussed 2 : 16 . 3 the 4 contribution 4 contribution 5 of 4 contribution 14 is 5 of 7 findings 6 these 7 findings 7 findings 8 to 8 to 10 selection 9 the 10 selection 10 selection 11 of 11 of 13 strategies 12 intervention 13 strategies 14 is 15 discussed purpose : to determine sex - specific reference values for left [ventricular] ( lv ) volumes , mass , and ejection fraction ( ef ) in healthy adults using computer [-] aided analysis [and] to examine the effect of age on lv parameters . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 44 . 2 : 8 reference 2 : 9 values 3 to 4 determine 3 to 6 - 3 to 8 reference 4 determine 5 sex 7 specific 8 reference 8 reference 9 values 9 values 10 for 9 values 26 in 9 values 29 using 9 values 43 parameters 10 for 20 and 11 left 14 lv 11 left 15 ) 11 left 16 volumes 13 ( 14 lv 14 lv 15 ) 16 volumes 17 , 17 , 18 mass 17 , 20 and 19 , 20 and 20 and 22 fraction 20 and 24 ef 21 ejection 22 fraction 23 ( 24 ef 24 ef 25 ) 26 in 28 adults 27 healthy 28 adults 29 using 33 analysis 29 using 35 to 29 using 36 examine 30 computer 32 aided 32 aided 33 analysis 35 to 36 examine 36 examine 38 effect 37 the 38 effect 38 effect 39 of 39 of 40 age 40 age 41 on 41 on 42 lv materials and methods : we examined data from 1494 members of the framingham heart study offspring cohort , obtained using short - axis stack cine ssfp cmr [,] identified a healthy reference group [(] without cardiovascular disease , hypertension , or [lv] wall motion abnormality ) and determined [sex] - specific upper 95th percentile thresholds for [lv] volumes and mass , and lower 5th percentile thresholds for ef using computer - assisted border detection . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 6 examined 1 materials 2 and 2 and 3 methods 4 : 5 we 5 we 6 examined 6 examined 7 data 7 data 8 from 7 data 19 obtained 8 from 10 members 9 1494 10 members 10 members 11 of 11 of 17 cohort 12 the 17 cohort 13 framingham 14 heart 14 heart 15 study 15 study 16 offspring 16 offspring 17 cohort 18 , 19 obtained 19 obtained 20 using 20 using 23 axis 21 short 22 - 21 short 23 axis 23 axis 27 cmr 23 axis 29 identified 24 stack 27 cmr 25 cine 27 cmr 26 ssfp 27 cmr 27 cmr 29 identified 29 identified 33 group 29 identified 35 without 30 a 33 group 31 healthy 33 group 32 reference 33 group 35 without 47 and 36 cardiovascular 37 disease 37 disease 38 , 38 , 39 hypertension 38 , 41 or 40 , 41 or 41 or 45 abnormality 41 or 46 ) 41 or 47 and 43 wall 44 motion 44 motion 45 abnormality 47 and 55 thresholds 48 determined 50 - 48 determined 55 thresholds 51 specific 55 thresholds 52 upper 55 thresholds 53 95th 55 thresholds 54 percentile 55 thresholds 55 thresholds 56 for 56 for 62 and 58 volumes 59 and 59 and 60 mass 59 and 61 , 59 and 62 and 62 and 66 thresholds 62 and 67 for 62 and 69 using 63 lower 66 thresholds 64 5th 66 thresholds 65 percentile 66 thresholds 67 for 68 ef 69 using 70 computer 70 computer 74 detection 71 - 74 detection 72 assisted 74 detection 73 border 74 detection 74 detection 75 . in secondary analyses , we stratified participants by age - [decade] and tested for linear trend [across] age groups . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 20 . 1 in 3 analyses 1 in 4 , 1 in 5 we 2 secondary 3 analyses 5 we 12 and 6 stratified 7 participants 6 stratified 8 by 6 stratified 12 and 8 by 9 age 10 - 12 and 12 and 13 tested 12 and 14 for 14 for 19 groups 15 linear 16 trend 16 trend 19 groups 18 age 19 groups results : the reference group comprised 685 adults ( 423f ; 61 ± 9 years [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 )( 2 : 5 group 2 : 6 comprised 2 : 11 ; 3 the 5 group 4 reference 5 group 5 group 6 comprised 6 comprised 8 adults 7 685 8 adults 8 adults 10 423f 9 ( 10 423f 10 423f 11 ; 11 ; 12 61 11 ; 13 ± 12 61 13 ± 13 ± 15 years 14 9 15 years men had greater [lv] volumes and mass , before and after indexation to common measures of body size ( [all] p = 0.001 ) . 0 ###LEFT-WALL### 1 men 0 ###LEFT-WALL### 2 had 0 ###LEFT-WALL### 25 . 1 men 2 had 2 had 6 and 2 had 13 to 3 greater 5 volumes 5 volumes 6 and 6 and 7 mass 6 and 8 , 6 and 10 and 9 before 10 and 10 and 11 after 11 after 12 indexation 13 to 15 measures 14 common 15 measures 15 measures 16 of 16 of 18 size 17 body 18 size 18 size 22 = 19 ( 22 = 21 p 22 = 22 = 23 0.001 22 = 24 ) women had greater ef [(] 73 ± 6 versus 71 ± 6 % [;] p = 0.0002 ) . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 2 had 0 ###LEFT-WALL### 19 . 1 women 2 had 2 had 7 ± 2 had 11 ± 3 greater 7 ± 4 ef 6 73 4 ef 7 ± 7 ± 8 6 7 ± 9 versus 9 versus 10 71 11 ± 13 % 12 6 13 % 13 % 16 = 15 p 16 = 16 = 17 0.0002 16 = 18 ) lv [volumes] decreased with greater age in both sexes , even after indexation . 0 ###LEFT-WALL### 1 lv 0 ###LEFT-WALL### 3 decreased 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 14 . 1 lv 3 decreased 3 decreased 4 with 3 decreased 7 in 4 with 6 age 5 greater 6 age 7 in 9 sexes 8 both 9 sexes 10 , 11 even 11 even 12 after 12 after 13 indexation [indexed] lv [mass] did not vary with age . 0 ###LEFT-WALL### 2 lv 0 ###LEFT-WALL### 6 vary 0 ###LEFT-WALL### 9 . 2 lv 4 did 4 did 5 not 4 did 6 vary 6 vary 7 with 7 with 8 age [lv] ef and concentricity increased with greater age in both sexes . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 12 . 2 ef 3 and 3 and 4 concentricity 3 and 5 increased 5 increased 6 with 5 increased 9 in 6 with 8 age 7 greater 8 age 9 in 11 sexes 10 both 11 sexes conclusion : we present cmr - derived [lv] reference values . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 present 2 : 6 - 3 we 4 present 4 present 5 cmr 6 - 10 values 6 - 11 . 7 derived 9 reference 9 reference 10 values there are significant age and sex differences in lv volumes , ef , and geometry , [whereas] mass [differs] between sexes but not age groups . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 22 but 0 ###LEFT-WALL### 26 . 1 there 2 are 2 are 5 and 3 significant 4 age 4 age 5 and 5 and 7 differences 5 and 8 in 5 and 14 and 5 and 18 mass 6 sex 7 differences 8 in 9 lv 10 volumes 11 , 11 , 12 ef 11 , 14 and 13 , 14 and 14 and 15 geometry 14 and 16 , 14 and 18 mass 18 mass 20 between 20 between 21 sexes 22 but 23 not 22 but 24 age 22 but 25 groups 24 age 25 groups shp2 is a widely expressed protein tyrosine phosphatase required for signal transduction from multiple cell surface receptors . 0 ###LEFT-WALL### 1 shp2 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 18 . 1 shp2 2 is 2 is 8 phosphatase 3 a 8 phosphatase 4 widely 5 expressed 5 expressed 6 protein 6 protein 8 phosphatase 7 tyrosine 8 phosphatase 8 phosphatase 9 required 9 required 10 for 10 for 12 transduction 11 signal 12 transduction 12 transduction 13 from 13 from 17 receptors 14 multiple 17 receptors 15 cell 17 receptors 16 surface 17 receptors gain and loss of function shp2 mutations in humans are known to cause noonan and leopard syndromes , respectively , [that] are characterized by numerous pathological conditions including male infertility . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 28 including 0 ###LEFT-WALL### 31 . 1 gain 2 and 2 and 3 loss 2 and 4 of 2 and 8 in 2 and 10 are 4 of 7 mutations 5 function 7 mutations 6 shp2 7 mutations 8 in 9 humans 10 are 11 known 11 known 12 to 11 known 13 cause 12 to 13 cause 13 cause 15 and 14 noonan 15 and 15 and 16 leopard 15 and 17 syndromes 15 and 28 including 17 syndromes 22 are 18 , 19 respectively 19 respectively 20 , 19 respectively 22 are 22 are 23 characterized 23 characterized 24 by 24 by 27 conditions 25 numerous 27 conditions 26 pathological 27 conditions 27 conditions 28 including 28 including 30 infertility 29 male 30 infertility using conditional gene targeting in the mouse , we found that shp2 is required for maintaining spermatogonial stem cells ( sscs ) and the production of germ cells required for male fertility . 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 33 . 1 using 4 targeting 2 conditional 3 gene 3 gene 4 targeting 4 targeting 5 in 4 targeting 15 for 4 targeting 23 and 5 in 7 mouse 6 the 7 mouse 7 mouse 14 required 8 , 14 required 9 we 10 found 10 found 11 that 11 that 12 shp2 11 that 14 required 12 shp2 13 is 13 is 14 required 15 for 16 maintaining 16 maintaining 19 cells 17 spermatogonial 18 stem 18 stem 19 cells 19 cells 21 sscs 20 ( 21 sscs 21 sscs 22 ) 23 and 25 production 23 and 26 of 24 the 25 production 26 of 28 cells 27 germ 28 cells 28 cells 29 required 29 required 30 for 30 for 32 fertility 31 male 32 fertility after deleting shp2 , spermatogenesis [was] halted at the initial step during [which] transit - amplifying undifferentiated spermatogonia [are] produced from sscs . 0 ###LEFT-WALL### 5 spermatogenesis 0 ###LEFT-WALL### 11 step 1 after 2 deleting 1 after 4 , 1 after 5 spermatogenesis 2 deleting 3 shp2 5 spermatogenesis 7 halted 5 spermatogenesis 11 step 7 halted 8 at 8 at 10 initial 9 the 10 initial 11 step 12 during 12 during 14 transit 14 transit 16 amplifying 15 - 16 amplifying 16 amplifying 18 spermatogonia 16 amplifying 21 from 16 amplifying 23 . 17 undifferentiated 18 spermatogonia 18 spermatogonia 20 produced 21 from 22 sscs in the absence of shp2 , [proliferation] of sscs and undifferentiated spermatogonia was inhibited , thus germ cells cannot be replenished and sscs cannot undergo renewal . 0 ###LEFT-WALL### 12 spermatogonia 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 27 . 1 in 3 absence 1 in 6 , 1 in 12 spermatogonia 2 the 3 absence 3 absence 4 of 4 of 5 shp2 8 of 10 and 8 of 12 spermatogonia 9 sscs 10 and 10 and 11 undifferentiated 12 spermatogonia 13 was 13 was 14 inhibited 14 inhibited 16 thus 15 , 16 thus 16 thus 18 cells 17 germ 18 cells 18 cells 22 and 19 cannot 20 be 19 cannot 22 and 20 be 21 replenished 22 and 25 undergo 23 sscs 24 cannot 24 cannot 25 undergo 25 undergo 26 renewal however , germ cells beyond the undifferentiated spermatogonia stage of development at the time of shp2 [knockout] were able to complete their maturation to become sperm . 0 ###LEFT-WALL### 4 cells 0 ###LEFT-WALL### 25 become 0 ###LEFT-WALL### 27 . 1 however 2 , 1 however 4 cells 3 germ 4 cells 4 cells 5 beyond 4 cells 18 were 5 beyond 9 stage 6 the 9 stage 7 undifferentiated 9 stage 8 spermatogonia 9 stage 9 stage 10 of 10 of 11 development 11 development 12 at 11 development 15 of 12 at 14 time 13 the 14 time 15 of 16 shp2 18 were 19 able 19 able 20 to 19 able 21 complete 20 to 21 complete 21 complete 23 maturation 21 complete 24 to 22 their 23 maturation 24 to 25 become 25 become 26 sperm in cultures of sscs and their progeny , inhibition of shp2 activity reduced growth factor - mediated intracellular signaling that regulates ssc [proliferation] and cell fate . 0 ###LEFT-WALL### 15 factor 0 ###LEFT-WALL### 16 - 0 ###LEFT-WALL### 27 . 1 in 2 cultures 2 cultures 3 of 2 cultures 5 and 3 of 4 sscs 5 and 7 progeny 5 and 8 , 5 and 9 inhibition 5 and 13 reduced 5 and 15 factor 6 their 7 progeny 9 inhibition 10 of 9 inhibition 13 reduced 10 of 12 activity 11 shp2 12 activity 13 reduced 14 growth 16 - 19 signaling 17 mediated 19 signaling 18 intracellular 19 signaling 19 signaling 20 that 19 signaling 21 regulates 20 that 21 regulates 21 regulates 24 and 22 ssc 24 and 24 and 26 fate 25 cell 26 fate inhibition of shp2 also decreased the number of sscs present in culture and caused sscs to detach from supporting cells . 0 ###LEFT-WALL### 1 inhibition 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 21 . 1 inhibition 2 of 1 inhibition 13 and 2 of 3 shp2 4 also 5 decreased 5 decreased 9 sscs 5 decreased 13 and 6 the 7 number 7 number 8 of 7 number 9 sscs 8 of 9 sscs 9 sscs 10 present 10 present 11 in 11 in 12 culture 13 and 14 caused 14 caused 15 sscs 15 sscs 16 to 15 sscs 17 detach 16 to 17 detach 17 detach 18 from 18 from 19 supporting 19 supporting 20 cells injection of mice with an shp2 inhibitor blocked the production of germ cells from sscs . 0 ###LEFT-WALL### 1 injection 0 ###LEFT-WALL### 8 blocked 0 ###LEFT-WALL### 16 . 1 injection 2 of 1 injection 8 blocked 2 of 3 mice 3 mice 4 with 4 with 7 inhibitor 5 an 7 inhibitor 6 shp2 7 inhibitor 8 blocked 10 production 9 the 10 production 10 production 11 of 11 of 13 cells 12 germ 13 cells 13 cells 14 from 14 from 15 sscs together , our studies show that shp2 is essential for sscs to maintain fertility and indicates that the pathogenesis [of] infertility in humans with shp2 mutations is due to compromised ssc functions that block spermatogenesis . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 5 show 0 ###LEFT-WALL### 36 . 1 together 2 , 1 together 4 studies 3 our 4 studies 4 studies 5 show 5 show 6 that 6 that 7 shp2 6 that 15 and 7 shp2 15 and 8 is 9 essential 8 is 15 and 9 essential 10 for 9 essential 12 to 10 for 11 sscs 12 to 13 maintain 13 maintain 14 fertility 15 and 16 indicates 16 indicates 17 that 17 that 19 pathogenesis 17 that 30 compromised 18 the 19 pathogenesis 19 pathogenesis 21 infertility 19 pathogenesis 29 to 19 pathogenesis 30 compromised 21 infertility 22 in 21 infertility 27 is 22 in 23 humans 23 humans 24 with 24 with 26 mutations 25 shp2 26 mutations 27 is 28 due 28 due 29 to 30 compromised 32 functions 31 ssc 32 functions 32 functions 33 that 32 functions 34 block 33 that 34 block 34 block 35 spermatogenesis [this] study [explores] how moral reasoning is expressed in matching health care with the problems older persons experience in their everyday life . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 23 . 2 study 4 how 4 how 5 moral 5 moral 6 reasoning 6 reasoning 7 is 7 is 8 expressed 8 expressed 9 in 9 in 10 matching 10 matching 12 care 10 matching 13 with 11 health 12 care 13 with 15 problems 14 the 15 problems 15 problems 17 persons 15 problems 18 experience 16 older 17 persons 17 persons 18 experience 18 experience 19 in 19 in 22 life 20 their 22 life 21 everyday 22 life narrative data were collected from older persons who had applied for home modification services and from professionals involved in these services in sweden . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 24 . 1 narrative 2 data 2 data 3 were 3 were 4 collected 4 collected 5 from 4 collected 15 and 5 from 7 persons 6 older 7 persons 7 persons 8 who 7 persons 9 had 8 who 9 had 9 had 10 applied 11 for 14 services 11 for 15 and 12 home 13 modification 13 modification 14 services 15 and 16 from 16 from 17 professionals 17 professionals 18 involved 18 involved 19 in 18 involved 22 in 19 in 21 services 20 these 21 services 22 in 23 sweden a theoretical framework , based on theories on the anthropology of morals , was applied to explore [how] the participants made conclusions about " what should be done . " 0 ###LEFT-WALL### 3 framework 0 ###LEFT-WALL### 17 explore 0 ###LEFT-WALL### 29 . 1 a 2 theoretical 1 a 3 framework 2 theoretical 3 framework 3 framework 5 based 3 framework 14 was 4 , 5 based 5 based 6 on 5 based 8 on 5 based 13 , 6 on 7 theories 8 on 10 anthropology 9 the 10 anthropology 10 anthropology 11 of 11 of 12 morals 14 was 15 applied 15 applied 16 to 16 to 17 explore 17 explore 20 participants 17 explore 23 about 19 the 20 participants 20 participants 21 made 21 made 22 conclusions 23 about 24 " 23 about 25 what 25 what 26 should 26 should 27 be 27 be 28 done 29 . 30 " moral reasoning was found to be guided by ideologies related to the historical and cultural context of the swedish welfare state . 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 22 . 1 moral 4 found 2 reasoning 3 was 3 was 4 found 4 found 5 to 5 to 6 be 6 be 7 guided 7 guided 8 by 7 guided 11 to 8 by 9 ideologies 9 ideologies 10 related 11 to 16 context 12 the 16 context 13 historical 14 and 14 and 15 cultural 14 and 16 context 16 context 17 of 17 of 21 state 18 the 21 state 19 swedish 20 welfare 20 welfare 21 state different interpretations of how these values should be expressed in specific situations led to different conclusions about what should be done . 0 ###LEFT-WALL### 2 interpretations 0 ###LEFT-WALL### 9 expressed 0 ###LEFT-WALL### 22 . 1 different 2 interpretations 2 interpretations 3 of 2 interpretations 9 expressed 3 of 4 how 3 of 8 be 4 how 8 be 5 these 6 values 6 values 7 should 7 should 8 be 9 expressed 10 in 9 expressed 14 to 9 expressed 17 about 10 in 12 situations 11 specific 12 situations 12 situations 13 led 14 to 16 conclusions 15 different 16 conclusions 17 about 18 what 18 what 19 should 19 should 20 be 20 be 21 done the study highlights the importance of understanding how values are enacted rather than what values different social agents have in order to understand how health care services can be designed and provided to support older persons ' everyday life . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 40 . 1 the 2 study 2 study 31 and 3 highlights 5 importance 3 highlights 31 and 4 the 5 importance 5 importance 6 of 5 importance 11 enacted 6 of 7 understanding 7 understanding 8 how 8 how 10 are 9 values 10 are 11 enacted 13 than 11 enacted 22 to 12 rather 13 than 13 than 14 what 14 what 18 agents 14 what 19 have 15 values 18 agents 16 different 17 social 17 social 18 agents 18 agents 19 have 19 have 20 in 20 in 21 order 22 to 23 understand 23 understand 24 how 24 how 27 services 24 how 29 be 25 health 26 care 26 care 27 services 27 services 28 can 28 can 29 be 29 be 30 designed 31 and 32 provided 32 provided 33 to 33 to 39 life 34 support 36 persons 35 older 36 persons 36 persons 37 ' 37 ' 39 life 38 everyday 39 life background : the euroqol - 5 [d] ( eq - 5 d ) is a brief , multi - attribute , preference - based health status measurement . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 4 euroqol 2 : 14 is 2 : 21 , 3 the 4 euroqol 4 euroqol 6 5 4 euroqol 14 is 5 - 6 5 6 5 9 eq 6 5 12 d 6 5 13 ) 8 ( 9 eq 9 eq 10 - 10 - 12 d 11 5 12 d 12 d 13 ) 14 is 20 attribute 15 a 20 attribute 16 brief 17 , 16 brief 20 attribute 18 multi 19 - 18 multi 20 attribute 21 , 22 preference 21 , 23 - 23 - 27 measurement 24 based 27 measurement 25 health 26 status 26 status 27 measurement the objective of this study was to assess the validity and reliability of eq - 5 d in older adults [with] and without dementia in mexico city . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 28 . 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 assess 7 to 8 assess 8 assess 11 and 9 the 10 validity 10 validity 11 and 11 and 12 reliability 11 and 13 of 13 of 14 eq 15 - 17 d 16 5 17 d 17 d 22 and 18 in 20 adults 18 in 22 and 19 older 20 adults 22 and 23 without 23 without 24 dementia 24 dementia 25 in 25 in 27 city 26 mexico 27 city methods : the study on aging and dementia in mexico ( sadem ) was a survey of 3101 , mexican adults ( 60 + years old ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 4 study 2 : 14 was 3 the 4 study 4 study 5 on 4 study 9 in 4 study 14 was 5 on 7 and 6 aging 7 and 7 and 8 dementia 9 in 10 mexico 10 mexico 12 sadem 11 ( 12 sadem 12 sadem 13 ) 14 was 16 survey 15 a 16 survey 16 survey 17 of 16 survey 21 adults 17 of 18 3101 19 , 21 adults 20 mexican 21 adults 21 adults 23 60 21 adults 27 ) 22 ( 23 60 23 60 26 old 23 60 27 ) 24 + 25 years 25 years 26 old an in [-] home face - to [-] face [interview] was [administered] . 0 ###LEFT-WALL### 5 face 0 ###LEFT-WALL### 6 - 1 an 2 in 2 in 5 face 4 home 5 face 6 - 7 to 6 - 11 was 6 - 13 . 7 to 9 face 7 to 11 was eq - 5 d using ranking to rate states on a 100 [-] point visual analogue scale ; daily living activities ( adl ) , instrumental activities of daily living ( iadl ) , mini mental state examination ( mmse ) , short form of the quality of life [survey] ( sf - 36 ) , and charlson comorbility index were used for comparison . 0 ###LEFT-WALL### 1 eq 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 65 . 2 - 5 using 2 - 18 ; 3 5 4 d 4 d 5 using 5 using 6 ranking 6 ranking 7 to 6 ranking 9 states 6 ranking 10 on 7 to 8 rate 10 on 17 scale 11 a 17 scale 12 100 17 scale 14 point 17 scale 15 visual 17 scale 16 analogue 17 scale 18 ; 57 and 18 ; 62 used 19 daily 20 living 20 living 21 activities 21 activities 23 adl 22 ( 23 adl 23 adl 24 ) 23 adl 25 , 25 , 44 form 25 , 57 and 26 instrumental 27 activities 27 activities 28 of 27 activities 43 short 28 of 32 iadl 29 daily 30 living 30 living 32 iadl 31 ( 32 iadl 32 iadl 33 ) 32 iadl 38 examination 34 , 38 examination 35 mini 36 mental 36 mental 37 state 37 state 38 examination 38 examination 40 mmse 38 examination 42 , 39 ( 40 mmse 40 mmse 41 ) 43 short 44 form 44 form 45 of 45 of 47 quality 46 the 47 quality 47 quality 48 of 47 quality 52 sf 48 of 49 life 51 ( 52 sf 52 sf 54 36 52 sf 56 , 53 - 54 36 54 36 55 ) 57 and 60 index 57 and 61 were 58 charlson 60 index 59 comorbility 60 index 61 were 62 used 62 used 63 for 63 for 64 comparison the validity and reliability of eq - 5 d were tested . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 7 - 1 the 2 validity 2 validity 3 and 3 and 4 reliability 3 and 5 of 5 of 6 eq 7 - 9 d 7 - 11 tested 7 - 12 . 8 5 9 d 9 d 10 were 10 were 11 tested we identified states of health for direct valuation ; state 11111 ( " no problems " ) had to be included because it was essential to the reseating [(] onto [a] 0 - 1 scale ) of the visual analogue scale data . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 identified 0 ###LEFT-WALL### 9 ; 0 ###LEFT-WALL### 18 had 0 ###LEFT-WALL### 43 . 1 we 2 identified 2 identified 3 states 3 states 4 of 4 of 5 health 5 health 6 for 6 for 8 valuation 7 direct 8 valuation 9 ; 10 state 10 state 11 11111 10 state 15 problems 10 state 18 had 12 ( 13 " 12 ( 15 problems 14 no 15 problems 15 problems 16 " 15 problems 17 ) 18 had 19 to 18 had 21 included 19 to 20 be 20 be 21 included 21 included 22 because 22 because 23 it 22 because 24 was 23 it 24 was 24 was 25 essential 25 essential 26 to 26 to 28 reseating 27 the 28 reseating 28 reseating 30 onto 28 reseating 37 of 30 onto 32 0 32 0 35 scale 33 - 35 scale 34 1 35 scale 35 scale 36 ) 37 of 42 data 38 the 42 data 39 visual 40 analogue 40 analogue 41 scale 41 scale 42 data we included all plausible combinations of levels across each of the five eq - 5 d dimensions and evaluated any significant interaction effects and factorial designs , based on balanced complete blocks . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 27 , 0 ###LEFT-WALL### 33 . 1 we 27 , 2 included 24 and 2 included 27 , 3 all 5 combinations 4 plausible 5 combinations 5 combinations 6 of 5 combinations 24 and 6 of 18 and 7 levels 8 across 7 levels 17 dimensions 7 levels 18 and 9 each 10 of 9 each 17 dimensions 10 of 17 dimensions 11 the 12 five 12 five 17 dimensions 13 eq 17 dimensions 14 - 15 5 15 5 16 d 16 d 17 dimensions 18 and 19 evaluated 19 evaluated 23 effects 20 any 23 effects 21 significant 23 effects 22 interaction 23 effects 24 and 26 designs 25 factorial 26 designs 27 , 28 based 27 , 29 on 29 on 32 blocks 30 balanced 32 blocks 31 complete 32 blocks results : the eq - 5 d [was] applied to 3101 older people , of [whom] 109 ( 3.4 % ) had dementia . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 1 results 2 : 2 : 4 eq 3 the 4 eq 5 - 13 people 5 - 22 had 5 - 24 . 6 5 7 d 6 5 10 to 7 d 9 applied 10 to 11 3101 10 to 12 older 12 older 13 people 13 people 15 of 13 people 22 had 14 , 15 of 15 of 17 109 15 of 21 ) 17 109 20 % 18 ( 20 % 19 3.4 20 % 20 % 21 ) 22 had 23 dementia the general reliability of [eq] - 5 d for cases was 0.80 [and] for controls 0.76 , for each dimension . 0 ###LEFT-WALL### 3 reliability 0 ###LEFT-WALL### 11 was 1 the 3 reliability 2 general 3 reliability 3 reliability 4 of 3 reliability 11 was 4 of 8 d 6 - 7 5 7 5 8 d 8 d 9 for 9 for 10 cases 11 was 12 0.80 12 0.80 14 for 14 for 15 controls 15 controls 16 0.76 15 controls 18 for 17 , 18 for 18 for 20 dimension 18 for 21 . 19 each 20 dimension we had a total of 103 combinations for controls [and] 45 for cases . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 had 0 ###LEFT-WALL### 14 . 1 we 2 had 2 had 4 total 3 a 4 total 4 total 5 of 5 of 7 combinations 6 103 7 combinations 7 combinations 8 for 8 for 9 controls 9 controls 11 45 9 controls 12 for 12 for 13 cases the percentage for the state of health " no problems " ( 11111 ) for controls was 30.4 % , and had the highest percentage of cases ( 8.8 % ) . 0 ###LEFT-WALL### 2 percentage 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 32 . 1 the 2 percentage 2 percentage 3 for 2 percentage 21 and 3 for 5 state 4 the 5 state 5 state 6 of 5 state 15 for 6 of 10 problems 7 health 8 " 7 health 10 problems 9 no 10 problems 10 problems 11 " 10 problems 13 11111 12 ( 13 11111 13 11111 14 ) 15 for 16 controls 17 was 19 % 17 was 21 and 18 30.4 19 % 20 , 21 and 21 and 22 had 22 had 25 percentage 23 the 24 highest 23 the 25 percentage 25 percentage 26 of 26 of 27 cases 27 cases 30 % 28 ( 30 % 29 8.8 30 % 30 % 31 ) conclusion : the resulting valuations form the basis for clinical use and facilitate the interpretation and evaluation of health care . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 5 valuations 2 : 12 and 3 the 5 valuations 4 resulting 5 valuations 5 valuations 12 and 6 form 8 basis 6 form 12 and 7 the 8 basis 8 basis 9 for 9 for 11 use 10 clinical 11 use 12 and 13 facilitate 12 and 20 care 13 facilitate 16 and 14 the 15 interpretation 15 interpretation 16 and 16 and 17 evaluation 16 and 18 of 18 of 19 health in this article , i focus on mexican immigrant women [who] , as care workers in various care settings in the wealthy city of santa barbara , california , attempt to defend aging americans patients from devaluation and harm . 0 ###LEFT-WALL### 5 i 0 ###LEFT-WALL### 6 focus 0 ###LEFT-WALL### 29 , 0 ###LEFT-WALL### 40 . 1 in 3 article 1 in 4 , 1 in 5 i 2 this 3 article 5 i 6 focus 6 focus 7 on 6 focus 13 as 7 on 10 women 8 mexican 10 women 9 immigrant 10 women 12 , 13 as 13 as 15 workers 13 as 29 , 14 care 15 workers 15 workers 16 in 15 workers 24 of 16 in 19 settings 17 various 18 care 18 care 19 settings 19 settings 20 in 20 in 23 city 21 the 23 city 22 wealthy 23 city 24 of 26 barbara 25 santa 26 barbara 26 barbara 28 california 27 , 28 california 28 california 29 , 29 , 38 and 30 attempt 31 to 30 attempt 32 defend 30 attempt 38 and 31 to 32 defend 32 defend 35 patients 33 aging 34 americans 34 americans 35 patients 35 patients 36 from 36 from 37 devaluation 38 and 39 harm to understand why vulnerable women defend more privileged citizens of the nation , i address mexicana subjectivity . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 understand 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 18 . 1 to 2 understand 2 understand 3 why 3 why 5 women 3 why 6 defend 4 vulnerable 5 women 5 women 6 defend 6 defend 9 citizens 7 more 8 privileged 8 privileged 9 citizens 9 citizens 10 of 10 of 12 nation 11 the 12 nation 13 , 14 i 13 , 15 address 14 i 15 address 15 address 17 subjectivity 16 mexicana 17 subjectivity i argue that neoliberal policies have created multiple vulnerabilities for mexican women and it is in formal care contexts where these vulnerabilities intertwine with that of their patients . 0 ###LEFT-WALL### 1 i 0 ###LEFT-WALL### 2 argue 0 ###LEFT-WALL### 29 . 1 i 2 argue 2 argue 3 that 2 argue 15 is 3 that 5 policies 3 that 7 created 3 that 15 is 4 neoliberal 5 policies 5 policies 6 have 6 have 7 created 7 created 9 vulnerabilities 8 multiple 9 vulnerabilities 9 vulnerabilities 10 for 10 for 13 and 11 mexican 12 women 12 women 13 and 13 and 14 it 15 is 16 in 16 in 19 contexts 17 formal 18 care 18 care 19 contexts 19 contexts 20 where 19 contexts 26 of 20 where 22 vulnerabilities 20 where 23 intertwine 21 these 22 vulnerabilities 22 vulnerabilities 23 intertwine 23 intertwine 24 with 24 with 25 that 26 of 28 patients 27 their 28 patients workers ' feelings of shame , complicity , and empathy help explain a defense of the other . 0 ###LEFT-WALL### 3 feelings 0 ###LEFT-WALL### 11 help 0 ###LEFT-WALL### 18 . 1 workers 2 ' 2 ' 3 feelings 3 feelings 4 of 3 feelings 11 help 4 of 9 and 5 shame 6 , 6 , 7 complicity 6 , 9 and 8 , 9 and 9 and 10 empathy 11 help 12 explain 12 explain 14 defense 13 a 14 defense 14 defense 15 of 15 of 17 other 16 the 17 other a significant form of defense is informal sector family - based care . 0 ###LEFT-WALL### 3 form 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 13 . 1 a 2 significant 1 a 3 form 2 significant 3 form 3 form 4 of 3 form 6 is 4 of 5 defense 6 is 9 family 7 informal 8 sector 8 sector 9 family 10 - 12 care 11 based 12 care this article is based on ethnographic fieldwork conducted between 2009 and 2011 . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 4 based 0 ###LEFT-WALL### 13 . 1 this 2 article 2 article 3 is 3 is 4 based 4 based 5 on 5 on 7 fieldwork 6 ethnographic 7 fieldwork 7 fieldwork 8 conducted 8 conducted 9 between 9 between 11 and 10 2009 11 and 11 and 12 2011 introduction : motor unit number estimates ( munes ) provide important information in health , aging , and disease , and can be determined using decomposition - enhanced spike - triggered averaging ( de - sta ) . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 . 2 : 6 estimates 2 : 10 provide 2 : 18 and 2 : 27 - 3 motor 5 number 4 unit 5 number 5 number 6 estimates 6 estimates 8 munes 6 estimates 10 provide 7 ( 8 munes 8 munes 9 ) 10 provide 12 information 10 provide 16 aging 11 important 12 information 12 information 13 in 13 in 14 health 15 , 16 aging 16 aging 17 , 18 and 21 and 18 and 24 determined 19 disease 21 and 20 , 21 and 21 and 22 can 21 and 23 be 23 be 24 determined 24 determined 25 using 25 using 26 decomposition 27 - 29 spike 27 - 30 - 28 enhanced 29 spike 30 - 32 averaging 31 triggered 32 averaging 32 averaging 34 de 32 averaging 36 sta 33 ( 34 de 34 de 35 - 35 - 36 sta 36 sta 37 ) discrimination of surface [-] detected motor unit potentials ( s - mups ) has been limited to contractile forces of ∽30 % maximum voluntary contraction ( mvc ) , which is insufficient to recruit a representative sample of the entire mu pool in most muscles . 0 ###LEFT-WALL### 1 discrimination 0 ###LEFT-WALL### 16 limited 1 discrimination 2 of 1 discrimination 14 has 2 of 8 potentials 3 surface 5 detected 5 detected 6 motor 6 motor 8 potentials 7 unit 8 potentials 8 potentials 11 - 9 ( 11 - 10 s 11 - 11 - 12 mups 11 - 13 ) 14 has 15 been 15 been 16 limited 16 limited 17 to 17 to 19 forces 18 contractile 19 forces 19 forces 20 of 20 of 25 contraction 21 ∽30 23 maximum 22 % 23 maximum 23 maximum 25 contraction 24 voluntary 25 contraction 25 contraction 27 mvc 25 contraction 30 which 26 ( 27 mvc 27 mvc 28 ) 29 , 30 which 30 which 31 is 30 which 46 . 31 is 32 insufficient 32 insufficient 33 to 32 insufficient 43 in 33 to 34 recruit 34 recruit 37 sample 35 a 37 sample 36 representative 37 sample 37 sample 38 of 38 of 42 pool 39 the 42 pool 40 entire 42 pool 41 mu 42 pool 43 in 45 muscles 44 most 45 muscles unique features of the anconeus may permit munes at high muscle activation levels . 0 ###LEFT-WALL### 2 features 0 ###LEFT-WALL### 7 permit 0 ###LEFT-WALL### 14 . 1 unique 2 features 2 features 3 of 2 features 6 may 3 of 5 anconeus 4 the 5 anconeus 6 may 7 permit 7 permit 8 munes 7 permit 9 at 9 at 13 levels 10 high 11 muscle 11 muscle 13 levels 12 activation 13 levels methods : in 10 men ( 25 ± 3 years ) , anconeus munes were performed using de - sta at 10 % , 30 % , and 50 % root - mean - square [of] mvc ( rms ( mvc ) ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 44 . 2 : 14 munes 2 : 16 performed 2 : 32 - 3 in 5 men 3 in 12 , 3 in 14 munes 4 10 5 men 5 men 10 years 6 ( 10 years 7 25 8 ± 8 ± 10 years 9 3 10 years 10 years 11 ) 13 anconeus 14 munes 14 munes 15 were 15 were 16 performed 16 performed 17 using 17 using 28 and 18 de 20 sta 19 - 20 sta 20 sta 21 at 20 sta 28 and 21 at 23 % 22 10 23 % 23 % 26 % 24 , 26 % 25 30 26 % 26 % 27 , 27 , 28 and 28 and 31 root 29 50 30 % 30 % 31 root 32 - 35 square 33 mean 34 - 33 mean 35 square 35 square 37 mvc 37 mvc 39 rms 38 ( 39 rms 39 rms 41 mvc 39 rms 43 ) 40 ( 41 mvc 41 mvc 42 ) conclusions : elbow extensor force - emg relationships suggest full [recruitment] of the anconeus mu pool at 50 % rms ( mvc ) , thus providing a representative sample for mune . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 1 conclusions 2 : 2 : 5 force 3 elbow 5 force 4 extensor 5 force 5 force 7 emg 6 - 7 emg 7 emg 8 relationships 7 emg 9 suggest 7 emg 10 full 7 emg 32 . 8 relationships 9 suggest 10 full 12 of 12 of 16 pool 13 the 16 pool 14 anconeus 16 pool 15 mu 16 pool 16 pool 17 at 17 at 20 rms 18 50 20 rms 19 % 20 rms 20 rms 22 mvc 20 rms 26 providing 21 ( 22 mvc 22 mvc 23 ) 24 , 26 providing 25 thus 26 providing 26 providing 29 sample 26 providing 30 for 26 providing 32 . 27 a 28 representative 27 a 29 sample 28 representative 29 sample 30 for 31 mune none background : new chemotherapy drugs should be investigated to improve survival of patients with advanced bladder cancer . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 11 improve 0 ###LEFT-WALL### 19 . 1 none 2 background 1 none 10 to 1 none 11 improve 2 background 3 : 3 : 5 chemotherapy 4 new 5 chemotherapy 5 chemotherapy 6 drugs 5 chemotherapy 8 be 5 chemotherapy 9 investigated 6 drugs 7 should 7 should 8 be 9 investigated 10 to 11 improve 12 survival 11 improve 15 with 12 survival 13 of 13 of 14 patients 15 with 18 cancer 16 advanced 17 bladder 17 bladder 18 cancer here , we report the synthesis and evaluation of ag11 , a new flavanone derivative obtained through cyclization of its chalcone precursor cb11 . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 report 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 24 . 1 here 2 , 1 here 3 we 3 we 4 report 4 report 7 and 5 the 6 synthesis 6 synthesis 7 and 7 and 8 evaluation 7 and 9 of 9 of 10 ag11 11 , 15 derivative 11 , 16 obtained 12 a 13 new 12 a 15 derivative 13 new 15 derivative 14 flavanone 15 derivative 15 derivative 16 obtained 16 obtained 17 through 16 obtained 23 cb11 17 through 18 cyclization 18 cyclization 19 of 19 of 22 precursor 20 its 22 precursor 21 chalcone 22 precursor materials and methods : the effect of ag11 on cell viability was evaluated by 3 - [(] 4,5 - dimethylthiazol - 2yl ) - 2,5 - diphenyltetrazolium bromide assay and apoptotic cell death was analyzed by flow cytometry . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 6 effect 4 : 13 evaluated 4 : 24 - 5 the 6 effect 6 effect 7 of 6 effect 12 was 7 of 8 ag11 8 ag11 9 on 9 on 11 viability 10 cell 11 viability 12 was 13 evaluated 13 evaluated 14 by 13 evaluated 19 - 14 by 15 3 16 - 19 - 18 4,5 19 - 19 - 20 dimethylthiazol 19 - 24 - 20 dimethylthiazol 22 2yl 21 - 22 2yl 22 2yl 23 ) 24 - 25 2,5 24 - 26 - 24 - 39 . 26 - 29 assay 26 - 30 and 27 diphenyltetrazolium 28 bromide 28 bromide 29 assay 30 and 33 death 30 and 35 analyzed 31 apoptotic 32 cell 32 cell 33 death 33 death 34 was 34 was 35 analyzed 35 analyzed 36 by 36 by 38 cytometry 37 flow 38 cytometry finally , the effect of ag11 on tubulin polymerization in vitro [and] microtubule distribution across the cells was investigated . 0 ###LEFT-WALL### 4 effect 0 ###LEFT-WALL### 19 investigated 0 ###LEFT-WALL### 20 . 1 finally 2 , 1 finally 4 effect 3 the 4 effect 4 effect 5 of 4 effect 18 was 5 of 6 ag11 6 ag11 7 on 7 on 14 distribution 8 tubulin 14 distribution 9 polymerization 14 distribution 10 in 11 vitro 11 vitro 13 microtubule 13 microtubule 14 distribution 14 distribution 15 across 15 across 17 cells 16 the 17 cells 18 was 19 investigated results : ag11 was found to have an ic50 ( half - maximal inhibitory concentration [ )(of 4.6 μm and its inhibitory effect on rt4 cells [proliferation] is associated with a cell - cycle arrest in g2+m phases followed by apoptosis after a 48 h treatment . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 have 2 : 3 ag11 2 : 5 found 3 ag11 4 was 4 was 5 found 5 found 6 to 6 to 7 have 7 have 15 concentration 8 an 15 concentration 9 ic50 11 half 9 ic50 15 concentration 10 ( 11 half 11 half 12 - 13 maximal 15 concentration 14 inhibitory 15 concentration 15 concentration 17 )(of 17 )(of 18 4.6 18 4.6 20 and 18 4.6 29 associated 18 4.6 30 with 19 μm 20 and 20 and 22 inhibitory 20 and 23 effect 20 and 28 is 20 and 29 associated 21 its 22 inhibitory 23 effect 24 on 23 effect 28 is 24 on 26 cells 25 rt4 26 cells 30 with 32 cell 31 a 32 cell 32 cell 35 arrest 33 - 35 arrest 34 cycle 35 arrest 35 arrest 36 in 35 arrest 39 followed 35 arrest 40 by 35 arrest 47 . 36 in 38 phases 37 g2+m 38 phases 40 by 41 apoptosis 41 apoptosis 42 after 42 after 46 treatment 43 a 46 treatment 44 48 45 h 45 h 46 treatment ag11 prevented polymerization of purified tubulin in a concentration [-] dependent manner in vitro and disrupted mitotic spindle formation in cells . 0 ###LEFT-WALL### 1 ag11 0 ###LEFT-WALL### 2 prevented 0 ###LEFT-WALL### 22 . 1 ag11 2 prevented 2 prevented 3 polymerization 2 prevented 20 in 3 polymerization 4 of 4 of 15 and 5 purified 6 tubulin 5 purified 7 in 5 purified 14 vitro 5 purified 15 and 7 in 12 manner 8 a 9 concentration 8 a 12 manner 9 concentration 12 manner 11 dependent 12 manner 13 in 14 vitro 15 and 16 disrupted 15 and 19 formation 17 mitotic 18 spindle 18 spindle 19 formation 20 in 21 cells conclusion : ag11 appears to be an attractive scaffold for further development of a structurally simpler new anti - microtubule [agents] . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 ag11 2 : 4 appears 2 : 22 . 3 ag11 4 appears 4 appears 5 to 4 appears 6 be 5 to 6 be 6 be 9 scaffold 7 an 8 attractive 7 an 9 scaffold 8 attractive 9 scaffold 9 scaffold 10 for 10 for 12 development 11 further 12 development 12 development 13 of 13 of 20 microtubule 14 a 20 microtubule 15 structurally 16 simpler 16 simpler 20 microtubule 17 new 20 microtubule 18 anti 19 - 18 anti 20 microtubule physical activity plays an important role in preventing chronic disease in adults and the elderly . 0 ###LEFT-WALL### 2 activity 0 ###LEFT-WALL### 3 plays 0 ###LEFT-WALL### 16 . 1 physical 2 activity 2 activity 3 plays 3 plays 6 role 3 plays 7 in 4 an 5 important 4 an 6 role 5 important 6 role 7 in 8 preventing 8 preventing 10 disease 8 preventing 11 in 9 chronic 10 disease 11 in 13 and 12 adults 13 and 13 and 15 elderly 14 the 15 elderly exercise has beneficial effects on the nervous system , including [at] the neuromuscular junction ( nmj ) . 0 ###LEFT-WALL### 1 exercise 0 ###LEFT-WALL### 2 has 0 ###LEFT-WALL### 18 . 1 exercise 2 has 2 has 4 effects 2 has 5 on 3 beneficial 4 effects 5 on 8 system 6 the 8 system 7 nervous 8 system 8 system 10 including 9 , 10 including 10 including 14 junction 10 including 17 ) 12 the 14 junction 13 neuromuscular 14 junction 14 junction 16 nmj 15 ( 16 nmj 16 nmj 17 ) exercise causes [hypertrophy] of nmjs and improves recovery from peripheral nerve injuries , whereas decreased physical activity causes degenerative changes in nmjs . 0 ###LEFT-WALL### 6 and 1 exercise 2 causes 1 exercise 6 and 2 causes 4 of 4 of 5 nmjs 6 and 7 improves 7 improves 8 recovery 7 improves 14 whereas 8 recovery 9 from 9 from 12 injuries 10 peripheral 11 nerve 11 nerve 12 injuries 13 , 14 whereas 14 whereas 17 activity 14 whereas 18 causes 14 whereas 23 . 15 decreased 17 activity 16 physical 17 activity 17 activity 18 causes 18 causes 20 changes 18 causes 21 in 19 degenerative 20 changes 21 in 22 nmjs recent studies have begun to elucidate molecular mechanisms underlying the beneficial effects of exercise . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 begun 0 ###LEFT-WALL### 15 . 1 recent 2 studies 2 studies 3 have 3 have 4 begun 4 begun 5 to 4 begun 6 elucidate 5 to 6 elucidate 6 elucidate 8 mechanisms 7 molecular 8 mechanisms 8 mechanisms 9 underlying 9 underlying 12 effects 10 the 12 effects 11 beneficial 12 effects 12 effects 13 of 13 of 14 exercise these mechanisms involve bassoon , neuregulin - 1 , peroxisome proliferator - activated receptor gamma coactivator 1α , insulin - like growth factor - 1 , glial cell line - derived neurotrophic factor , neurotrophin 4 , homer , and nuclear factor of [activated] t cells c1 . 0 ###LEFT-WALL### 2 mechanisms 0 ###LEFT-WALL### 3 involve 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 47 c1 0 ###LEFT-WALL### 48 . 1 these 2 mechanisms 2 mechanisms 3 involve 3 involve 4 bassoon 4 bassoon 6 neuregulin 5 , 6 neuregulin 6 neuregulin 7 - 7 - 8 1 7 - 9 , 9 , 11 proliferator 9 , 12 - 10 peroxisome 11 proliferator 12 - 17 1α 12 - 20 - 13 activated 14 receptor 14 receptor 15 gamma 15 gamma 17 1α 16 coactivator 17 1α 17 1α 19 insulin 18 , 19 insulin 19 insulin 20 - 20 - 23 factor 20 - 26 , 21 like 22 growth 21 like 23 factor 23 factor 25 1 24 - 25 1 26 , 29 line 26 , 30 - 27 glial 28 cell 28 cell 29 line 30 - 33 factor 30 - 34 , 31 derived 33 factor 32 neurotrophic 33 factor 34 , 40 and 35 neurotrophin 36 4 35 neurotrophin 37 , 37 , 38 homer 37 , 40 and 39 , 40 and 40 and 42 factor 40 and 43 of 40 and 46 cells 40 and 47 c1 41 nuclear 42 factor 43 of 45 t 46 cells 47 c1 for example , nmj denervation and active zone decreases have been observed in aged nmjs , but these age - dependent degenerative changes can be ameliorated by exercise . 0 ###LEFT-WALL### 4 nmj 0 ###LEFT-WALL### 14 aged 0 ###LEFT-WALL### 16 , 1 for 2 example 2 example 3 , 2 example 4 nmj 4 nmj 6 and 4 nmj 13 in 4 nmj 14 aged 5 denervation 6 and 6 and 9 decreases 6 and 10 have 7 active 8 zone 8 zone 9 decreases 10 have 11 been 11 been 12 observed 12 observed 13 in 14 aged 15 nmjs 16 , 19 age 16 , 20 - 17 but 18 these 17 but 19 age 20 - 23 changes 20 - 26 ameliorated 20 - 29 . 21 dependent 23 changes 22 degenerative 23 changes 23 changes 24 can 24 can 25 be 25 be 26 ameliorated 26 ameliorated 27 by 27 by 28 exercise in this review we assess the effects of exercise on the maintenance and regeneration of nmjs and highlight recent insights into the molecular mechanisms underlying these exercise effects . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 29 . 1 in 3 review 1 in 4 we 2 this 3 review 4 we 17 and 5 assess 7 effects 5 assess 10 on 5 assess 17 and 6 the 7 effects 7 effects 8 of 8 of 9 exercise 10 on 13 and 11 the 12 maintenance 12 maintenance 13 and 13 and 14 regeneration 13 and 15 of 15 of 16 nmjs 17 and 18 highlight 18 highlight 20 insights 18 highlight 21 into 19 recent 20 insights 21 into 24 mechanisms 22 the 24 mechanisms 23 molecular 24 mechanisms 24 mechanisms 25 underlying 25 underlying 28 effects 26 these 28 effects 27 exercise 28 effects background : progeria is a rare fatal genetic condition characterized by an appearance of accelerated aging in children . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 progeria 2 : 4 is 2 : 19 . 3 progeria 4 is 4 is 9 condition 5 a 9 condition 6 rare 9 condition 7 fatal 9 condition 8 genetic 9 condition 9 condition 10 characterized 10 characterized 11 by 10 characterized 17 in 11 by 13 appearance 12 an 13 appearance 13 appearance 14 of 14 of 16 aging 15 accelerated 16 aging 17 in 18 children it has an incidence of 1 in 8 million and results from a mutation of the lmna gene causing nuclear instability . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 22 . 1 it 10 and 2 has 4 incidence 2 has 7 in 2 has 10 and 3 an 4 incidence 4 incidence 5 of 5 of 6 1 7 in 9 million 8 8 9 million 10 and 11 results 10 and 12 from 12 from 14 mutation 13 a 14 mutation 14 mutation 15 of 15 of 18 gene 16 the 18 gene 17 lmna 18 gene 18 gene 19 causing 19 causing 21 instability 20 nuclear 21 instability clinical diagnosis is based on recognition of common clinical features and definitive diagnosis is by identifying the mutation in the lmna gene . 0 ###LEFT-WALL### 2 diagnosis 0 ###LEFT-WALL### 4 based 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 23 . 1 clinical 2 diagnosis 2 diagnosis 3 is 3 is 4 based 4 based 5 on 5 on 6 recognition 6 recognition 7 of 7 of 10 features 8 common 10 features 9 clinical 10 features 11 and 13 diagnosis 11 and 14 is 12 definitive 13 diagnosis 13 diagnosis 14 is 14 is 15 by 15 by 16 identifying 16 identifying 18 mutation 16 identifying 19 in 17 the 18 mutation 19 in 22 gene 20 the 22 gene 21 lmna 22 gene affected children usually have a median life span of 13 years . 0 ###LEFT-WALL### 2 children 0 ###LEFT-WALL### 4 have 0 ###LEFT-WALL### 12 . 1 affected 2 children 2 children 4 have 3 usually 4 have 4 have 8 span 5 a 6 median 5 a 8 span 6 median 7 life 7 life 8 span 8 span 9 of 9 of 11 years 10 13 11 years there is no known cure but research is ongoing . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 6 but 0 ###LEFT-WALL### 10 . 1 there 2 is 2 is 5 cure 3 no 5 cure 4 known 5 cure 6 but 7 research 6 but 8 is 7 research 8 is 8 is 9 ongoing currently about 80 children have had a definitive diagnosis worldwide with the exclusion of nigeria . 0 ###LEFT-WALL### 4 children 0 ###LEFT-WALL### 6 had 0 ###LEFT-WALL### 16 . 1 currently 4 children 2 about 3 80 3 80 4 children 4 children 5 have 5 have 6 had 6 had 9 diagnosis 7 a 8 definitive 7 a 9 diagnosis 8 definitive 9 diagnosis 9 diagnosis 10 worldwide 10 worldwide 11 with 11 with 13 exclusion 12 the 13 exclusion 13 exclusion 14 of 14 of 15 nigeria there was however a case report of 3 siblings in the university of benin teaching hospital , benin city , nigeria in 1990 . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 24 . 1 there 2 was 2 was 3 however 2 was 6 report 4 a 6 report 5 case 6 report 6 report 7 of 6 report 22 in 7 of 9 siblings 8 3 9 siblings 9 siblings 10 in 10 in 21 nigeria 11 the 21 nigeria 12 university 13 of 12 university 21 nigeria 13 of 16 hospital 14 benin 15 teaching 15 teaching 16 hospital 16 hospital 19 city 17 , 19 city 18 benin 19 city 19 city 20 , 22 in 23 1990 objective : to present a rare case of suspected progeria in nigeria . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 present 2 : 13 . 3 to 4 present 4 present 7 case 4 present 11 in 5 a 6 rare 5 a 7 case 6 rare 7 case 7 case 8 of 8 of 10 progeria 9 suspected 10 progeria 11 in 12 nigeria case report : we report the case of baby iv , a 4 [-] year old girl who presented with clinical and radiologic features consistent with progeria . 0 ###LEFT-WALL### 2 report 0 ###LEFT-WALL### 3 : 1 case 2 report 3 : 4 we 3 : 5 report 4 we 5 report 5 report 7 case 6 the 7 case 7 case 8 of 8 of 10 iv 9 baby 10 iv 10 iv 17 girl 11 , 17 girl 12 a 17 girl 13 4 15 year 15 year 17 girl 16 old 17 girl 17 girl 18 who 17 girl 19 presented 17 girl 28 . 18 who 19 presented 19 presented 20 with 19 presented 24 features 20 with 22 and 21 clinical 22 and 22 and 23 radiologic 24 features 25 consistent 25 consistent 26 with 26 with 27 progeria conclusion : clinical and radiologic evidence give a high suspicion of progeria in the index patient . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 and 2 : 7 give 2 : 17 . 3 clinical 4 and 4 and 6 evidence 4 and 7 give 5 radiologic 6 evidence 7 give 10 suspicion 7 give 13 in 8 a 9 high 8 a 10 suspicion 9 high 10 suspicion 10 suspicion 11 of 11 of 12 progeria 13 in 16 patient 14 the 16 patient 15 index 16 patient efforts are ongoing to ensure a definitive diagnosis is made ; which will be the first diagnosed case of progeria in nigeria . 0 ###LEFT-WALL### 1 efforts 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 11 ; 0 ###LEFT-WALL### 23 . 1 efforts 2 are 2 are 3 ongoing 3 ongoing 4 to 4 to 5 ensure 5 ensure 8 diagnosis 5 ensure 10 made 6 a 7 definitive 6 a 8 diagnosis 7 definitive 8 diagnosis 8 diagnosis 9 is 9 is 10 made 11 ; 12 which 11 ; 14 be 12 which 13 will 13 will 14 be 14 be 18 case 15 the 16 first 15 the 18 case 17 diagnosed 18 case 18 case 19 of 19 of 20 progeria 20 progeria 21 in 21 in 22 nigeria none social engagement has many demonstrated benefits for aging [non] - hispanic whites in the u.s . this study examined data from the u.s . health and retirement study to determine whether these benefits were similar among american indians and alaska natives older than 50 years . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 17 . 1 none 3 engagement 1 none 8 for 1 none 9 aging 2 social 3 engagement 3 engagement 4 has 4 has 7 benefits 4 has 8 for 5 many 7 benefits 6 demonstrated 7 benefits 9 aging 11 - 11 - 13 whites 12 hispanic 13 whites 13 whites 14 in 14 in 16 u.s 15 the 16 u.s 17 . 19 study 17 . 20 examined 17 . 25 . 17 . 47 . 18 this 19 study 19 study 20 examined 20 examined 21 data 20 examined 22 from 22 from 24 u.s 23 the 24 u.s 25 . 40 and 26 health 27 and 27 and 29 study 27 and 30 to 27 and 31 determine 27 and 40 and 28 retirement 29 study 30 to 31 determine 31 determine 32 whether 31 determine 37 among 32 whether 34 benefits 32 whether 35 were 33 these 34 benefits 34 benefits 35 were 35 were 36 similar 37 among 39 indians 38 american 39 indians 40 and 42 natives 40 and 43 older 41 alaska 42 natives 43 older 44 than 44 than 46 years 45 50 46 years linear regression techniques were used to examine the associations between level of social engagement , scores for memory and mental status , and self - reported health among 203 american indian and alaska native elders who participated in the health and retirement study and had data available between 1998 and 2010 . 0 ###LEFT-WALL### 3 techniques 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 26 reported 0 ###LEFT-WALL### 52 . 1 linear 3 techniques 2 regression 3 techniques 3 techniques 15 , 4 were 5 used 4 were 15 , 5 used 6 to 5 used 7 examine 6 to 7 examine 7 examine 9 associations 8 the 9 associations 9 associations 10 between 10 between 11 level 11 level 12 of 12 of 14 engagement 13 social 14 engagement 15 , 16 scores 16 scores 17 for 17 for 23 and 18 memory 19 and 19 and 21 status 19 and 22 , 19 and 23 and 20 mental 21 status 23 and 24 self 25 - 26 reported 26 reported 35 elders 26 reported 48 between 27 health 28 among 27 health 32 and 28 among 31 indian 29 203 31 indian 30 american 31 indian 32 and 34 native 32 and 35 elders 33 alaska 34 native 35 elders 36 who 35 elders 44 and 36 who 44 and 37 participated 38 in 37 participated 44 and 38 in 41 and 39 the 40 health 40 health 41 and 41 and 43 study 42 retirement 43 study 44 and 45 had 45 had 46 data 46 data 47 available 48 between 50 and 49 1998 50 and 50 and 51 2010 level of social engagement was significantly associated with memory , mental status , and self - reported health . 0 ###LEFT-WALL### 1 level 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 17 reported 1 level 2 of 1 level 5 was 2 of 4 engagement 3 social 4 engagement 5 was 6 significantly 5 was 7 associated 7 associated 8 with 8 with 14 and 9 memory 10 , 10 , 12 status 10 , 14 and 11 mental 12 status 13 , 14 and 14 and 15 self 16 - 17 reported 17 reported 18 health 17 reported 19 . however , only the association of social engagement with mental status and self - reported health remained significant ( p = 0.04 [and] p = 0.05 , respectively ) after adjusting for sociodemographic variables , number of known health conditions , and scores on the center for epidemiologic studies depression scale . 0 ###LEFT-WALL### 3 only 0 ###LEFT-WALL### 17 remained 0 ###LEFT-WALL### 52 . 1 however 2 , 1 however 3 only 3 only 12 and 4 the 5 association 5 association 6 of 5 association 12 and 6 of 8 engagement 7 social 8 engagement 8 engagement 9 with 9 with 11 status 10 mental 11 status 12 and 13 self 12 and 14 - 12 and 17 remained 14 - 15 reported 15 reported 16 health 15 reported 17 remained 17 remained 18 significant 18 significant 21 = 18 significant 25 = 18 significant 28 respectively 18 significant 30 after 18 significant 44 on 19 ( 21 = 20 p 21 = 21 = 22 0.04 24 p 25 = 25 = 26 0.05 25 = 27 , 27 , 28 respectively 28 respectively 29 ) 30 after 31 adjusting 31 adjusting 32 for 32 for 42 and 33 sociodemographic 34 variables 34 variables 35 , 35 , 36 number 35 , 42 and 36 number 37 of 37 of 40 conditions 38 known 39 health 39 health 40 conditions 41 , 42 and 42 and 43 scores 44 on 51 scale 45 the 51 scale 46 center 47 for 46 center 51 scale 47 for 50 depression 48 epidemiologic 49 studies 49 studies 50 depression level of social engagement was not associated with patterns of [decline] across time in cognitive or physical health . 0 ###LEFT-WALL### 1 level 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 19 . 1 level 2 of 1 level 5 was 2 of 4 engagement 3 social 4 engagement 5 was 6 not 5 was 8 with 5 was 14 in 6 not 7 associated 8 with 9 patterns 9 patterns 10 of 10 of 12 across 12 across 13 time 14 in 18 health 15 cognitive 16 or 16 or 17 physical 16 or 18 health higher levels of social engagement are associated with better physical and cognitive functioning in american indian and alaska native elders . 0 ###LEFT-WALL### 2 levels 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 21 . 1 higher 2 levels 2 levels 3 of 2 levels 6 are 3 of 5 engagement 4 social 5 engagement 6 are 7 associated 7 associated 8 with 7 associated 14 in 8 with 13 functioning 9 better 13 functioning 10 physical 11 and 11 and 12 cognitive 11 and 13 functioning 14 in 17 and 15 american 16 indian 16 indian 17 and 17 and 20 elders 18 alaska 19 native 19 native 20 elders future studies should examine whether this association acts through cognitive stimulation , increase in physical activity resulting from social engagement , or access to resources that support physical and cognitive health . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 examine 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 32 . 1 future 2 studies 2 studies 3 should 3 should 4 examine 4 examine 5 whether 5 whether 7 association 5 whether 8 acts 6 this 7 association 7 association 8 acts 8 acts 9 through 9 through 11 stimulation 10 cognitive 11 stimulation 12 , 13 increase 13 increase 14 in 13 increase 24 to 14 in 16 activity 15 physical 16 activity 16 activity 17 resulting 17 resulting 18 from 18 from 22 or 19 social 20 engagement 20 engagement 22 or 21 , 22 or 22 or 23 access 24 to 25 resources 25 resources 26 that 25 resources 27 support 26 that 27 support 27 support 31 health 28 physical 29 and 29 and 30 cognitive 29 and 31 health many alaska native elders attended government - run boarding schools as children , were forbidden to speak their native language , and were forced to abandon their traditional subsistence lifestyle , yet they maintained an optimistic outlook on life and continued to age well . 0 ###LEFT-WALL### 4 elders 0 ###LEFT-WALL### 5 attended 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 45 . 1 many 2 alaska 2 alaska 3 native 3 native 4 elders 4 elders 5 attended 5 attended 6 government 7 - 13 , 7 - 31 , 7 - 43 age 8 run 10 schools 8 run 13 , 9 boarding 10 schools 10 schools 11 as 11 as 12 children 13 , 22 and 14 were 15 forbidden 14 were 22 and 15 forbidden 16 to 15 forbidden 17 speak 16 to 17 speak 17 speak 20 language 18 their 20 language 19 native 20 language 21 , 22 and 22 and 23 were 23 were 24 forced 24 forced 25 to 24 forced 26 abandon 25 to 26 abandon 26 abandon 30 lifestyle 27 their 30 lifestyle 28 traditional 29 subsistence 29 subsistence 30 lifestyle 31 , 32 yet 31 , 40 and 32 yet 33 they 33 they 40 and 34 maintained 37 outlook 34 maintained 40 and 35 an 36 optimistic 35 an 37 outlook 36 optimistic 37 outlook 37 outlook 38 on 38 on 39 life 40 and 41 continued 40 and 42 to 42 to 43 age 43 age 44 well the explanatory model interview protocol was adapted to interview a purposive sample of alaska native elders ( n = 26 ) and grounded theory was used to develop a model of successful aging for alaska native elders in bristol bay , alaska . 0 ###LEFT-WALL### 5 protocol 0 ###LEFT-WALL### 7 adapted 0 ###LEFT-WALL### 22 and 1 the 5 protocol 2 explanatory 3 model 3 model 4 interview 4 interview 5 protocol 5 protocol 6 was 6 was 7 adapted 7 adapted 8 to 8 to 9 interview 9 interview 12 sample 9 interview 19 = 10 a 11 purposive 10 a 12 sample 11 purposive 12 sample 12 sample 13 of 13 of 16 elders 14 alaska 15 native 15 native 16 elders 17 ( 19 = 18 n 19 = 19 = 20 26 19 = 21 ) 22 and 24 theory 22 and 26 used 23 grounded 24 theory 24 theory 25 was 25 was 26 used 26 used 27 to 26 used 28 develop 27 to 28 develop 28 develop 30 model 29 a 30 model 30 model 31 of 30 model 42 alaska 31 of 33 aging 32 successful 33 aging 33 aging 34 for 34 for 40 bay 35 alaska 36 native 36 native 37 elders 37 elders 38 in 37 elders 40 bay 38 in 39 bristol 41 , 42 alaska 42 alaska 43 . the theme of optimism was significant in the findings and was also found in each of the elements of successful aging , which were spirituality , emotional well - being , community engagement , and physical health . 0 ###LEFT-WALL### 2 theme 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 29 - 0 ###LEFT-WALL### 38 . 1 the 2 theme 2 theme 3 of 2 theme 10 and 3 of 4 optimism 5 was 6 significant 5 was 10 and 6 significant 7 in 7 in 9 findings 8 the 9 findings 10 and 11 was 10 and 18 elements 11 was 13 found 12 also 13 found 13 found 14 in 15 each 16 of 15 each 18 elements 16 of 18 elements 17 the 18 elements 18 elements 19 of 18 elements 23 which 18 elements 28 well 19 of 21 aging 20 successful 21 aging 22 , 23 which 23 which 24 were 23 which 26 , 24 were 25 spirituality 26 , 28 well 27 emotional 28 well 28 well 29 - 29 - 30 being 29 - 31 , 31 , 35 and 32 community 33 engagement 33 engagement 35 and 34 , 35 and 35 and 37 health 36 physical 37 health these four elements served as the foundation of the model of successful aging . 0 ###LEFT-WALL### 3 elements 0 ###LEFT-WALL### 4 served 0 ###LEFT-WALL### 14 . 1 these 2 four 2 four 3 elements 3 elements 4 served 4 served 5 as 5 as 7 foundation 6 the 7 foundation 7 foundation 8 of 8 of 10 model 9 the 10 model 10 model 11 of 11 of 13 aging 12 successful 13 aging the elders believed they were able to age successfully because they continued to be optimistic despite the challenges they faced ( [and] [are] currently facing ) in their communities . 0 ###LEFT-WALL### 14 be 0 ###LEFT-WALL### 30 . 1 the 2 elders 2 elders 3 believed 3 believed 4 they 3 believed 5 were 4 they 5 were 5 were 6 able 6 able 7 to 6 able 8 age 7 to 8 age 8 age 9 successfully 8 age 10 because 8 age 13 to 10 because 11 they 10 because 12 continued 11 they 12 continued 13 to 14 be 14 be 15 optimistic 15 optimistic 16 despite 16 despite 18 challenges 17 the 18 challenges 18 challenges 19 they 18 challenges 20 faced 19 they 20 faced 20 faced 25 facing 20 faced 27 in 21 ( 24 currently 21 ( 25 facing 25 facing 26 ) 27 in 29 communities 28 their 29 communities objectives : the purpose of this secondary data analysis is to determine whether depression , cognition , functional status , health , and pain severity are predictors of day - [to] - day pain variability in older adults in long - term care settings . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 determine 0 ###LEFT-WALL### 32 - 0 ###LEFT-WALL### 45 . 1 objectives 2 : 2 : 4 purpose 3 the 4 purpose 4 purpose 5 of 5 of 8 data 6 this 7 secondary 7 secondary 8 data 9 analysis 10 is 10 is 11 to 10 is 12 determine 11 to 12 determine 12 determine 13 whether 12 determine 30 - 13 whether 23 and 13 whether 26 are 14 depression 15 , 15 , 16 cognition 15 , 17 , 17 , 19 status 17 , 20 , 18 functional 19 status 20 , 21 health 20 , 23 and 22 , 23 and 23 and 25 severity 23 and 26 are 24 pain 25 severity 26 are 27 predictors 27 predictors 28 of 28 of 29 day 32 - 35 variability 33 day 34 pain 34 pain 35 variability 35 variability 36 in 35 variability 39 in 36 in 38 adults 37 older 38 adults 39 in 44 settings 40 long 41 - 40 long 42 term 42 term 43 care 43 care 44 settings methods : seventy - seven adults aged 68 years and older were included in the multiple linear regression analyses . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 4 - 2 : 19 analyses 3 seventy 4 - 4 - 5 seven 4 - 6 adults 4 - 7 aged 4 - 12 were 6 adults 7 aged 7 aged 10 and 8 68 9 years 9 years 10 and 10 and 11 older 12 were 13 included 13 included 14 in 14 in 16 multiple 15 the 16 multiple 16 multiple 18 regression 16 multiple 19 analyses 17 linear 18 regression 18 regression 19 analyses pain severity mean and variability were measured over 30 days of daily [self] - reported pain levels . 0 ###LEFT-WALL### 1 pain 0 ###LEFT-WALL### 15 reported 1 pain 2 severity 1 pain 12 daily 2 severity 4 and 2 severity 11 of 3 mean 4 and 4 and 5 variability 4 and 6 were 6 were 7 measured 7 measured 8 over 8 over 10 days 9 30 10 days 10 days 11 of 14 - 15 reported 15 reported 17 levels 15 reported 18 . 16 pain 17 levels the geriatric depression scale ( gds ) , blessed memory - information - concentration test , physical self - maintenance scale ( psms ) , baseline pain severity , mean of daily health , and mean of daily pain severity were used as predictors . 0 ###LEFT-WALL### 15 test 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 45 . 1 the 15 test 2 geriatric 3 depression 3 depression 4 scale 4 scale 6 gds 4 scale 10 memory 4 scale 14 concentration 5 ( 6 gds 6 gds 7 ) 8 , 10 memory 9 blessed 10 memory 10 memory 12 information 10 memory 13 - 11 - 12 information 12 information 13 - 14 concentration 15 test 16 , 18 self 16 , 19 - 17 physical 18 self 19 - 21 scale 19 - 29 , 20 maintenance 21 scale 21 scale 23 psms 21 scale 28 severity 22 ( 23 psms 23 psms 24 ) 25 , 28 severity 26 baseline 27 pain 27 pain 28 severity 28 severity 29 , 29 , 35 and 29 , 42 used 30 mean 31 of 30 mean 35 and 31 of 33 health 32 daily 33 health 34 , 35 and 35 and 36 mean 35 and 37 of 35 and 41 were 37 of 40 severity 38 daily 39 pain 39 pain 40 severity 41 were 42 used 42 used 43 as 43 as 44 predictors pain variability was measured by examining [intra] - individual standard deviations of daily pain scores . 0 ###LEFT-WALL### 2 variability 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 16 . 1 pain 2 variability 2 variability 3 was 3 was 4 measured 4 measured 5 by 5 by 6 examining 8 - 11 deviations 9 individual 11 deviations 10 standard 11 deviations 11 deviations 12 of 12 of 15 scores 13 daily 14 pain 14 pain 15 scores results : results show that global depression and pain severity are predictors of pain variability in that greater baseline depression and pain severity predicted higher pain variability . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 7 depression 2 : 8 and 2 : 28 . 3 results 4 show 4 show 7 depression 5 that 6 global 6 global 7 depression 8 and 10 severity 8 and 11 are 9 pain 10 severity 10 severity 11 are 11 are 12 predictors 11 are 17 that 12 predictors 13 of 13 of 15 variability 14 pain 15 variability 16 in 17 that 17 that 21 and 17 that 24 predicted 18 greater 19 baseline 19 baseline 20 depression 20 depression 21 and 21 and 23 severity 21 and 24 predicted 22 pain 23 severity 24 predicted 27 variability 25 higher 26 pain 26 pain 27 variability daily mean pain and health were also found to be predictors of pain variability . 0 ###LEFT-WALL### 2 mean 0 ###LEFT-WALL### 15 . 1 daily 2 mean 2 mean 4 and 2 mean 10 be 3 pain 4 and 4 and 5 health 4 and 6 were 6 were 7 also 6 were 8 found 8 found 9 to 9 to 10 be 10 be 11 predictors 11 predictors 12 of 12 of 14 variability 13 pain 14 variability discussion : pain variability is an important characteristic that is not given enough emphasis in current literature . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 2 : 4 variability 2 : 5 is 2 : 18 . 3 pain 4 variability 4 variability 5 is 5 is 8 characteristic 5 is 15 in 6 an 7 important 6 an 8 characteristic 7 important 8 characteristic 8 characteristic 9 that 8 characteristic 10 is 9 that 10 is 10 is 11 not 10 is 12 given 12 given 14 emphasis 13 enough 14 emphasis 15 in 17 literature 16 current 17 literature understanding pain variability may give insight into older adults ' experiences with both pain and depression , and may essentially improve quality of care and quality of life . 0 ###LEFT-WALL### 3 variability 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 29 . 1 understanding 3 variability 2 pain 3 variability 3 variability 4 may 4 may 18 and 5 give 6 insight 5 give 12 with 5 give 18 and 6 insight 7 into 7 into 11 experiences 8 older 9 adults 9 adults 10 ' 10 ' 11 experiences 12 with 15 and 13 both 15 and 14 pain 15 and 15 and 16 depression 17 , 18 and 18 and 19 may 18 and 22 quality 19 may 21 improve 20 essentially 21 improve 22 quality 23 of 22 quality 27 of 23 of 25 and 24 care 25 and 25 and 26 quality 27 of 28 life motor function [in] humans can be characterized with tests of locomotion , strength , balance , and endurance . 0 ###LEFT-WALL### 4 humans 0 ###LEFT-WALL### 7 characterized 0 ###LEFT-WALL### 19 . 1 motor 4 humans 2 function 4 humans 4 humans 5 can 5 can 6 be 6 be 7 characterized 7 characterized 8 with 8 with 17 and 9 tests 10 of 9 tests 17 and 10 of 11 locomotion 11 locomotion 13 strength 11 locomotion 15 balance 12 , 13 strength 13 strength 14 , 14 , 15 balance 15 balance 16 , 17 and 18 endurance the aim of our project was to establish an analogous test battery to assess motor function [in] mice . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 14 assess 0 ###LEFT-WALL### 19 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 project 4 our 5 project 6 was 7 to 6 was 8 establish 7 to 8 establish 8 establish 12 battery 8 establish 13 to 9 an 10 analogous 9 an 12 battery 10 analogous 11 test 11 test 12 battery 13 to 14 assess 14 assess 18 mice 15 motor 18 mice 16 function 18 mice male c57bl/6 mice were studied at 3 ( n = 87 ) , 20 ( n = 48 ) [and] 26 ( n = 43 ) months of age . 0 ###LEFT-WALL### 2 c57bl/6 0 ###LEFT-WALL### 5 studied 0 ###LEFT-WALL### 30 . 1 male 2 c57bl/6 2 c57bl/6 3 mice 2 c57bl/6 4 were 2 c57bl/6 5 studied 3 mice 4 were 5 studied 6 at 5 studied 27 months 6 at 7 3 7 3 10 = 7 3 14 20 8 ( 10 = 9 n 10 = 10 = 11 87 10 = 12 ) 13 , 14 20 14 20 17 = 14 20 24 = 14 20 26 ) 15 ( 17 = 16 n 17 = 17 = 18 48 17 = 19 ) 21 26 24 = 22 ( 24 = 23 n 24 = 24 = 25 43 27 months 28 of 28 of 29 age tests assessed locomotion , strength , balance/coordination , and endurance capacity in mice . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 14 . 1 tests 2 assessed 2 assessed 3 locomotion 3 locomotion 4 , 4 , 5 strength 4 , 6 , 6 , 7 balance/coordination 6 , 9 and 8 , 9 and 9 and 11 capacity 9 and 12 in 10 endurance 11 capacity 12 in 13 mice motor [function] was reduced in the older groups of mice for the locomotion , strength , and endurance subdomains ( p < 0.001 ) . 0 ###LEFT-WALL### 1 motor 0 ###LEFT-WALL### 4 reduced 0 ###LEFT-WALL### 25 . 1 motor 3 was 3 was 4 reduced 4 reduced 5 in 5 in 8 groups 6 the 8 groups 7 older 8 groups 8 groups 9 of 8 groups 11 for 9 of 10 mice 11 for 17 and 12 the 13 locomotion 13 locomotion 14 , 14 , 15 strength 14 , 17 and 16 , 17 and 17 and 19 subdomains 17 and 22 < 18 endurance 19 subdomains 20 ( 22 < 21 p 22 < 22 < 23 0.001 22 < 24 ) as indicated [with] a summary [score] , motor function declined by 7.4 % from 3 to 20 months and by 13.5 % from 20 to 26 months . 0 ###LEFT-WALL### 9 function 0 ###LEFT-WALL### 10 declined 0 ###LEFT-WALL### 28 . 1 as 2 indicated 1 as 9 function 4 a 5 summary 4 a 9 function 5 summary 7 , 5 summary 8 motor 8 motor 9 function 9 function 10 declined 10 declined 11 by 11 by 13 % 12 7.4 13 % 13 % 19 and 14 from 18 months 14 from 19 and 15 3 16 to 16 to 17 20 16 to 18 months 19 and 20 by 20 by 22 % 21 13.5 22 % 22 % 23 from 23 from 27 months 24 20 25 to 25 to 26 26 25 to 27 months based on comparison with previously published data in humans , the magnitude and relative time course of changes were similar in mice and humans in each subdomain except balance/coordination . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 19 were 0 ###LEFT-WALL### 30 . 1 based 2 on 1 based 4 with 1 based 10 , 1 based 13 and 2 on 3 comparison 4 with 7 data 5 previously 6 published 6 published 7 data 7 data 8 in 8 in 9 humans 11 the 12 magnitude 12 magnitude 13 and 13 and 16 course 13 and 17 of 13 and 19 were 14 relative 16 course 15 time 16 course 17 of 18 changes 19 were 20 similar 20 similar 21 in 20 similar 25 in 21 in 23 and 22 mice 23 and 23 and 24 humans 25 in 27 subdomain 26 each 27 subdomain 27 subdomain 28 except 28 except 29 balance/coordination power calculations confirmed that [the] age - associated differences depicted by several of the individual tests and domain summary scores would be sufficient to assess the efficacy of interventions aimed at prevention or treatment of motor dysfunction with aging . 0 ###LEFT-WALL### 1 power 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 40 . 1 power 2 calculations 2 calculations 3 confirmed 2 calculations 4 that 2 calculations 6 age 4 that 6 age 7 - 22 be 8 associated 9 differences 9 differences 10 depicted 9 differences 13 of 9 differences 21 would 10 depicted 11 by 11 by 12 several 13 of 17 and 14 the 16 tests 15 individual 16 tests 16 tests 17 and 17 and 20 scores 18 domain 20 scores 19 summary 20 scores 21 would 22 be 22 be 23 sufficient 23 sufficient 24 to 23 sufficient 25 assess 24 to 25 assess 25 assess 27 efficacy 25 assess 31 at 25 assess 38 with 26 the 27 efficacy 27 efficacy 28 of 28 of 29 interventions 29 interventions 30 aimed 31 at 33 or 32 prevention 33 or 33 or 34 treatment 33 or 35 of 35 of 37 dysfunction 36 motor 37 dysfunction 38 with 39 aging the current study describes a mouse model that characterizes age - associated changes in clinically relevant domains [of] [motor] function and indicates that the preclinical model can be used to test strategies to attenuate age - associated declines [in] motor function . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 describes 0 ###LEFT-WALL### 11 - 1 the 3 study 2 current 3 study 3 study 4 describes 4 describes 7 model 5 a 7 model 6 mouse 7 model 7 model 8 that 7 model 9 characterizes 8 that 9 characterizes 9 characterizes 10 age 11 - 13 changes 11 - 21 and 11 - 36 - 11 - 42 . 12 associated 13 changes 13 changes 14 in 13 changes 21 and 14 in 17 domains 15 clinically 16 relevant 16 relevant 17 domains 20 function 21 and 21 and 22 indicates 22 indicates 23 that 23 that 26 model 23 that 29 used 24 the 26 model 25 preclinical 26 model 26 model 27 can 27 can 28 be 28 be 29 used 29 used 30 to 29 used 33 to 29 used 34 attenuate 30 to 32 strategies 31 test 32 strategies 33 to 34 attenuate 34 attenuate 35 age 36 - 41 function 37 associated 38 declines 38 declines 40 motor 40 motor 41 function changes in satellite cell content play a key role in regulating skeletal muscle growth and atrophy . 0 ###LEFT-WALL### 1 changes 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 17 . 1 changes 2 in 1 changes 15 and 2 in 5 content 3 satellite 4 cell 4 cell 5 content 6 play 9 role 6 play 10 in 6 play 15 and 7 a 9 role 8 key 9 role 10 in 11 regulating 11 regulating 14 growth 12 skeletal 13 muscle 13 muscle 14 growth 15 and 16 atrophy yet , there is little information on changes in satellite cell content from birth to old age in humans . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 20 . 1 yet 2 , 1 yet 3 there 3 there 4 is 4 is 6 information 5 little 6 information 6 information 7 on 6 information 9 in 7 on 8 changes 9 in 12 content 10 satellite 12 content 11 cell 12 content 12 content 13 from 12 content 15 to 13 from 14 birth 15 to 17 age 16 old 17 age 17 age 18 in 18 in 19 humans the present study defines muscle fiber type [-] specific satellite cell content in human skeletal muscle tissue over the entire lifespan . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 defines 0 ###LEFT-WALL### 22 . 1 the 3 study 2 present 3 study 3 study 4 defines 4 defines 12 content 4 defines 18 over 5 muscle 12 content 6 fiber 7 type 7 type 12 content 9 specific 10 satellite 10 satellite 12 content 11 cell 12 content 12 content 13 in 13 in 17 tissue 14 human 16 muscle 15 skeletal 16 muscle 16 muscle 17 tissue 18 over 21 lifespan 19 the 21 lifespan 20 entire 21 lifespan in a subgroup of 51 aged subjects ( 71 ± 6 years ) , [additional] [biopsies] were collected after 12 weeks of supervised resistance - type exercise training . 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 25 - 1 in 3 subgroup 1 in 14 , 2 a 3 subgroup 3 subgroup 4 of 4 of 5 51 6 aged 7 subjects 6 aged 14 , 7 subjects 12 years 8 ( 12 years 9 71 12 years 10 ± 12 years 11 6 12 years 12 years 13 ) 14 , 17 were 17 were 18 collected 18 collected 19 after 19 after 21 weeks 20 12 21 weeks 21 weeks 22 of 22 of 24 resistance 23 supervised 24 resistance 25 - 26 type 25 - 29 . 26 type 28 training 27 exercise 28 training immunohistochemistry was applied to assess skeletal muscle fiber [type] - specific composition , size , and satellite cell content . 0 ###LEFT-WALL### 1 immunohistochemistry 0 ###LEFT-WALL### 3 applied 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 20 . 1 immunohistochemistry 2 was 2 was 3 applied 3 applied 4 to 4 to 5 assess 5 assess 8 fiber 6 skeletal 7 muscle 7 muscle 8 fiber 8 fiber 12 composition 10 - 12 composition 11 specific 12 composition 12 composition 13 , 13 , 16 and 14 size 16 and 15 , 16 and 16 and 19 content 17 satellite 19 content 18 cell 19 content from birth to adulthood , muscle fiber size increased tremendously with no major changes in muscle fiber satellite cell content , and no differences between type i and [ii] muscle fibers . 0 ###LEFT-WALL### 6 muscle 0 ###LEFT-WALL### 32 . 1 from 2 birth 1 from 5 , 1 from 6 muscle 2 birth 3 to 3 to 4 adulthood 6 muscle 8 size 6 muscle 11 with 6 muscle 15 in 7 fiber 8 size 8 size 9 increased 9 increased 10 tremendously 11 with 14 changes 12 no 14 changes 13 major 14 changes 15 in 22 and 16 muscle 17 fiber 17 fiber 19 cell 18 satellite 19 cell 19 cell 20 content 20 content 22 and 21 , 22 and 22 and 24 differences 22 and 25 between 23 no 24 differences 25 between 28 and 26 type 27 i 26 type 28 and 28 and 31 fibers 30 muscle 31 fibers in contrast to type i muscle fibers , type ii muscle fiber size was substantially smaller with increasing age in adults ( r = −0.56 [;] p < 0.001 ) . 0 ###LEFT-WALL### 5 i 0 ###LEFT-WALL### 6 muscle 0 ###LEFT-WALL### 31 . 1 in 2 contrast 1 in 5 i 2 contrast 3 to 2 contrast 4 type 3 to 4 type 5 i 6 muscle 6 muscle 7 fibers 7 fibers 9 type 8 , 9 type 9 type 10 ii 9 type 13 size 9 type 14 was 9 type 16 smaller 9 type 24 = 9 type 30 ) 11 muscle 13 size 12 fiber 13 size 13 size 14 was 15 substantially 16 smaller 16 smaller 17 with 16 smaller 20 in 17 with 18 increasing 18 increasing 19 age 20 in 21 adults 22 ( 24 = 23 r 24 = 24 = 25 −0.56 25 −0.56 28 < 27 p 28 < 28 < 29 0.001 this was accompanied by an age - related reduction in type [ii] muscle fiber satellite cell content ( r = −0.57 [;] p < 0.001 ) . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 accompanied 0 ###LEFT-WALL### 8 related 1 this 2 was 2 was 3 accompanied 3 accompanied 4 by 4 by 6 age 5 an 6 age 7 - 8 related 8 related 9 reduction 8 related 10 in 8 related 20 = 8 related 27 . 10 in 17 content 11 type 17 content 13 muscle 17 content 14 fiber 17 content 15 satellite 17 content 16 cell 17 content 18 ( 20 = 19 r 20 = 20 = 21 −0.57 21 −0.57 24 < 23 p 24 < 24 < 25 0.001 24 < 26 ) twelve weeks of resistance - type exercise training significantly increased type ii muscle fiber size and satellite cell content . 0 ###LEFT-WALL### 2 weeks 0 ###LEFT-WALL### 13 muscle 0 ###LEFT-WALL### 20 . 1 twelve 2 weeks 2 weeks 8 training 2 weeks 10 increased 2 weeks 13 muscle 3 of 4 resistance 3 of 5 - 3 of 8 training 6 type 8 training 7 exercise 8 training 8 training 10 increased 9 significantly 10 increased 10 increased 11 type 11 type 12 ii 13 muscle 16 and 14 fiber 15 size 15 size 16 and 16 and 19 content 17 satellite 19 content 18 cell 19 content we conclude that type ii muscle fiber atrophy with aging is accompanied by a specific decline in type ii muscle fiber satellite cell content . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conclude 0 ###LEFT-WALL### 25 . 1 we 2 conclude 2 conclude 3 that 3 that 4 type 3 that 12 accompanied 4 type 5 ii 4 type 8 atrophy 4 type 11 is 4 type 12 accompanied 6 muscle 8 atrophy 7 fiber 8 atrophy 8 atrophy 9 with 8 atrophy 11 is 9 with 10 aging 12 accompanied 13 by 12 accompanied 17 in 12 accompanied 24 content 13 by 16 decline 14 a 15 specific 14 a 16 decline 15 specific 16 decline 17 in 18 type 18 type 19 ii 20 muscle 24 content 21 fiber 24 content 22 satellite 24 content 23 cell 24 content resistance [-] type exercise training represents an effective strategy to increase satellite cell content and reverse type ii muscle fiber atrophy . 0 ###LEFT-WALL### 5 training 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 22 . 1 resistance 3 type 3 type 5 training 4 exercise 5 training 5 training 6 represents 6 represents 9 strategy 6 represents 10 to 7 an 8 effective 7 an 9 strategy 8 effective 9 strategy 10 to 15 and 11 increase 14 content 11 increase 15 and 12 satellite 14 content 13 cell 14 content 15 and 16 reverse 15 and 21 atrophy 16 reverse 17 type 17 type 18 ii 19 muscle 21 atrophy 20 fiber 21 atrophy mitochondria organize themselves as dynamic populations within a cell , by undergoing continuous cycles of fission and fusion . 0 ###LEFT-WALL### 2 organize 1 mitochondria 2 organize 2 organize 3 themselves 2 organize 4 as 4 as 6 populations 5 dynamic 6 populations 6 populations 7 within 7 within 9 cell 8 a 9 cell 9 cell 11 by 10 , 11 by 11 by 12 undergoing 11 by 19 . 12 undergoing 14 cycles 13 continuous 14 cycles 14 cycles 15 of 15 of 17 and 16 fission 17 and 17 and 18 fusion the spatio - temporal distribution and abundance of mitochondria determines the cell ’s energy budget and is thus intimately linked to the cell ’s response to environmental stimuli during aging . 0 ###LEFT-WALL### 5 distribution 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 31 . 1 the 5 distribution 2 spatio 3 - 2 spatio 5 distribution 4 temporal 5 distribution 6 and 7 abundance 6 and 16 and 7 abundance 8 of 7 abundance 16 and 8 of 9 mitochondria 10 determines 15 budget 10 determines 16 and 11 the 12 cell 12 cell 13 ’s 13 ’s 15 budget 14 energy 15 budget 16 and 17 is 17 is 20 linked 18 thus 20 linked 19 intimately 20 linked 20 linked 21 to 20 linked 26 to 20 linked 29 during 21 to 25 response 22 the 23 cell 23 cell 24 ’s 24 ’s 25 response 26 to 28 stimuli 27 environmental 28 stimuli 29 during 30 aging the dynamic balance of mitochondrial fission and fusion can be studied in terms of antagonistic subpopulations that regulate the mitochondrial responses in space and time . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 11 studied 0 ###LEFT-WALL### 26 . 1 the 3 balance 2 dynamic 3 balance 3 balance 4 of 3 balance 7 and 4 of 6 fission 5 mitochondrial 6 fission 7 and 8 fusion 7 and 9 can 9 can 10 be 10 be 11 studied 11 studied 12 in 11 studied 22 in 12 in 13 terms 13 terms 14 of 14 of 16 subpopulations 15 antagonistic 16 subpopulations 16 subpopulations 17 that 16 subpopulations 18 regulate 17 that 18 regulate 18 regulate 21 responses 19 the 21 responses 20 mitochondrial 21 responses 22 in 24 and 23 space 24 and 24 and 25 time the dynamic nature of these processes motivates mathematical modelling and the simulation of such complex process . 0 ###LEFT-WALL### 3 nature 0 ###LEFT-WALL### 7 motivates 0 ###LEFT-WALL### 17 . 1 the 3 nature 2 dynamic 3 nature 3 nature 4 of 3 nature 7 motivates 4 of 6 processes 5 these 6 processes 7 motivates 10 and 8 mathematical 9 modelling 8 mathematical 10 and 10 and 12 simulation 10 and 13 of 11 the 12 simulation 13 of 16 process 14 such 16 process 15 complex 16 process in several neurodegenerative and metabolic diseases the dynamic balance of fission and fusion is disturbed . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 14 is 0 ###LEFT-WALL### 16 . 1 in 6 diseases 1 in 14 is 2 several 6 diseases 3 neurodegenerative 4 and 4 and 5 metabolic 4 and 6 diseases 7 the 9 balance 8 dynamic 9 balance 9 balance 10 of 9 balance 14 is 10 of 12 and 11 fission 12 and 12 and 13 fusion 14 is 15 disturbed however , how this [dynamics] plays a role in the progression of diseases is largely unclear . 0 ###LEFT-WALL### 3 how 0 ###LEFT-WALL### 14 is 0 ###LEFT-WALL### 17 . 1 however 2 , 1 however 3 how 3 how 4 this 3 how 6 plays 3 how 14 is 4 this 6 plays 6 plays 8 role 6 plays 9 in 7 a 8 role 9 in 11 progression 10 the 11 progression 11 progression 12 of 12 of 13 diseases 14 is 15 largely 14 is 16 unclear fission and fusion help mitochondria to regulate cellular energy ( atp ) levels , and minimize accumulation of harmful oxidized material called reactive oxygen species which accelerate mutations in mitochondrial dna ( mtdna ) during aging . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 37 . 1 fission 2 and 2 and 4 help 2 and 5 mitochondria 2 and 15 and 3 fusion 4 help 5 mitochondria 6 to 5 mitochondria 7 regulate 6 to 7 regulate 7 regulate 9 energy 8 cellular 9 energy 9 energy 11 atp 10 ( 11 atp 11 atp 12 ) 13 levels 15 and 14 , 15 and 15 and 16 minimize 16 minimize 17 accumulation 16 minimize 29 in 16 minimize 35 during 17 accumulation 18 of 17 accumulation 22 called 18 of 21 material 19 harmful 21 material 20 oxidized 21 material 22 called 25 species 23 reactive 24 oxygen 24 oxygen 25 species 25 species 26 which 25 species 27 accelerate 26 which 27 accelerate 27 accelerate 28 mutations 29 in 31 dna 30 mitochondrial 31 dna 31 dna 33 mtdna 32 ( 33 mtdna 33 mtdna 34 ) 35 during 36 aging we discuss how systems biology approaches can be used to investigate the mechanisms controlling the fission – fusion dynamics under two categories : dissecting the design of its molecular regulatory motifs , and understanding complex mitochondrial responses through their population level interactions . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 discuss 0 ###LEFT-WALL### 17 – 1 we 2 discuss 2 discuss 3 how 3 how 4 systems 3 how 9 used 4 systems 5 biology 4 systems 6 approaches 4 systems 7 can 5 biology 6 approaches 7 can 8 be 8 be 9 used 9 used 10 to 9 used 11 investigate 10 to 11 investigate 11 investigate 13 mechanisms 12 the 13 mechanisms 13 mechanisms 14 controlling 14 controlling 16 fission 15 the 16 fission 17 – 19 dynamics 17 – 23 : 18 fusion 19 dynamics 19 dynamics 20 under 20 under 22 categories 21 two 22 categories 23 : 37 responses 23 : 41 level 23 : 43 . 24 dissecting 35 complex 25 the 26 design 26 design 27 of 26 design 33 and 27 of 31 motifs 28 its 31 motifs 29 molecular 31 motifs 30 regulatory 31 motifs 32 , 33 and 33 and 34 understanding 33 and 35 complex 35 complex 37 responses 36 mitochondrial 37 responses 37 responses 38 through 37 responses 41 level 38 through 40 population 39 their 40 population 41 level 42 interactions this will help us to understand how different regulatory mechanisms regulate the atp and mutation ( mtdna ) landscape of mitochondria to a variety of environmental stimuli in order to maintain their function during aging . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 help 1 this 2 will 2 will 3 help 3 help 4 us 3 help 5 to 3 help 6 understand 5 to 6 understand 6 understand 7 how 7 how 10 mechanisms 7 how 11 regulate 8 different 10 mechanisms 9 regulatory 10 mechanisms 10 mechanisms 11 regulate 11 regulate 14 and 12 the 14 and 13 atp 14 and 14 and 15 mutation 14 and 19 landscape 16 ( 19 landscape 17 mtdna 18 ) 17 mtdna 19 landscape 19 landscape 20 of 19 landscape 25 of 19 landscape 36 . 20 of 21 mitochondria 21 mitochondria 22 to 22 to 24 variety 23 a 24 variety 25 of 27 stimuli 26 environmental 27 stimuli 27 stimuli 28 in 27 stimuli 35 aging 28 in 29 order 29 order 30 to 29 order 34 during 30 to 31 maintain 31 maintain 33 function 31 maintain 34 during 32 their 33 function objective : to compare the usefulness of brain perfusion spect and [(] 123 )i - metaiodobenzylguanidine ( [(] 123 )i - mibg ) in predicting the conversion of possible dementia with lewy bodies ( dlb ) to probable dlb . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 compare 2 : 40 . 3 to 4 compare 4 compare 11 and 4 compare 24 in 5 the 11 and 6 usefulness 7 of 6 usefulness 11 and 7 of 10 spect 8 brain 9 perfusion 9 perfusion 10 spect 11 and 14 )i 11 and 16 metaiodobenzylguanidine 13 123 14 )i 15 - 16 metaiodobenzylguanidine 16 metaiodobenzylguanidine 20 )i 16 metaiodobenzylguanidine 22 mibg 16 metaiodobenzylguanidine 23 ) 17 ( 20 )i 19 123 20 )i 20 )i 21 - 21 - 22 mibg 22 mibg 23 ) 24 in 25 predicting 25 predicting 27 conversion 25 predicting 31 with 26 the 27 conversion 27 conversion 28 of 28 of 30 dementia 29 possible 30 dementia 31 with 33 bodies 31 with 37 to 32 lewy 33 bodies 33 bodies 35 dlb 34 ( 35 dlb 35 dlb 36 ) 37 to 39 dlb 38 probable 39 dlb methods : we examined 94 patients with possible dlb based on the consensus criteria for the clinical diagnosis of dlb by n - isopropyl - p - ( 123 )i - iodoamphetamine [(] ( 123 )i - imp ) brain perfusion spect and [(] 123 )i - mibg myocardial scintigraphy . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 examined 2 : 3 we 3 we 4 examined 4 examined 5 94 5 94 6 patients 5 94 10 based 5 94 11 on 6 patients 7 with 6 patients 10 based 7 with 9 dlb 8 possible 9 dlb 11 on 18 diagnosis 12 the 18 diagnosis 13 consensus 14 criteria 14 criteria 15 for 14 criteria 18 diagnosis 15 for 17 clinical 16 the 17 clinical 18 diagnosis 19 of 19 of 20 dlb 20 dlb 21 by 20 dlb 25 - 20 dlb 31 - 21 by 22 n 23 - 25 - 24 isopropyl 25 - 25 - 26 p 25 - 27 - 28 ( 31 - 29 123 30 )i 30 )i 31 - 31 - 32 iodoamphetamine 32 iodoamphetamine 43 and 34 ( 43 and 35 123 42 spect 36 )i 38 imp 36 )i 42 spect 37 - 38 imp 38 imp 39 ) 40 brain 42 spect 41 perfusion 42 spect 42 spect 43 and 43 and 46 )i 43 and 50 scintigraphy 43 and 51 . 45 123 46 )i 47 - 50 scintigraphy 48 mibg 50 scintigraphy 49 myocardial 50 scintigraphy 50 scintigraphy 51 . after 1 year of [follow] - up , 33 of 94 patients met the criteria for probable dlb . 0 ###LEFT-WALL### 9 33 0 ###LEFT-WALL### 13 met 0 ###LEFT-WALL### 19 . 1 after 3 year 1 after 8 , 1 after 9 33 2 1 3 year 3 year 4 of 4 of 7 up 6 - 7 up 9 33 10 of 9 33 13 met 10 of 12 patients 11 94 12 patients 13 met 15 criteria 14 the 15 criteria 15 criteria 16 for 16 for 18 dlb 17 probable 18 dlb [(] 123 )i - imp brain perfusion spect and [(] 123 )i - mibg myocardial scintigraphy were tested as predictors of the conversion from possible dlb to probable dlb . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 13 - 2 123 8 spect 3 )i 4 - 3 )i 8 spect 5 imp 6 brain 6 brain 8 spect 7 perfusion 8 spect 8 spect 9 and 9 and 12 )i 11 123 12 )i 13 - 16 scintigraphy 13 - 18 tested 13 - 30 . 14 mibg 16 scintigraphy 15 myocardial 16 scintigraphy 16 scintigraphy 17 were 17 were 18 tested 18 tested 19 as 18 tested 27 to 19 as 20 predictors 20 predictors 21 of 21 of 23 conversion 22 the 23 conversion 23 conversion 24 from 24 from 26 dlb 25 possible 26 dlb 27 to 29 dlb 28 probable 29 dlb a receiver operating characteristic ( roc ) analysis was performed . 0 ###LEFT-WALL### 2 receiver 0 ###LEFT-WALL### 10 performed 0 ###LEFT-WALL### 11 . 1 a 2 receiver 2 receiver 3 operating 2 receiver 9 was 3 operating 8 analysis 4 characteristic 6 roc 4 characteristic 8 analysis 5 ( 6 roc 6 roc 7 ) 9 was 10 performed results : the areas under the roc curves for spect for predicting the conversion to probable dlb from possible dlb based on the occipital/cerebellum and occipital/striatum cortex ratios of blood flow counts were 0.591 and 0.585 , respectively . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 and 1 results 2 : 2 : 4 areas 3 the 4 areas 4 areas 5 under 4 areas 11 for 4 areas 18 from 5 under 8 curves 6 the 8 curves 7 roc 8 curves 8 curves 9 for 9 for 10 spect 11 for 12 predicting 12 predicting 14 conversion 13 the 14 conversion 14 conversion 15 to 15 to 17 dlb 16 probable 17 dlb 18 from 20 dlb 19 possible 20 dlb 20 dlb 21 based 21 based 22 on 22 on 24 occipital/cerebellum 23 the 24 occipital/cerebellum 25 and 28 ratios 25 and 33 were 26 occipital/striatum 28 ratios 27 cortex 28 ratios 28 ratios 29 of 28 ratios 33 were 29 of 32 counts 30 blood 31 flow 31 flow 32 counts 33 were 35 and 33 were 38 respectively 34 0.591 35 and 35 and 36 0.585 37 , 38 respectively 38 respectively 39 . the areas under the roc curves for [(] 123 )i - mibg based on the early heart to mediastinum ( h/m ) [ratio] , delayed h/m ratio , and washout rate were 0.935 , 0.936 [,] and 0.884 , respectively . 0 ###LEFT-WALL### 2 areas 0 ###LEFT-WALL### 32 were 0 ###LEFT-WALL### 41 . 1 the 2 areas 2 areas 3 under 2 areas 13 based 2 areas 32 were 3 under 6 curves 4 the 6 curves 5 roc 6 curves 6 curves 7 for 7 for 12 mibg 9 123 12 mibg 10 )i 11 - 10 )i 12 mibg 13 based 14 on 14 on 29 and 15 the 17 heart 16 early 17 heart 17 heart 18 to 17 heart 24 , 18 to 19 mediastinum 19 mediastinum 21 h/m 20 ( 21 h/m 21 h/m 22 ) 24 , 27 ratio 24 , 29 and 25 delayed 27 ratio 26 h/m 27 ratio 28 , 29 and 29 and 31 rate 30 washout 31 rate 32 were 33 0.935 32 were 40 respectively 33 0.935 37 and 34 , 37 and 35 0.936 37 and 37 and 38 0.884 37 and 39 , conclusion : [(] 123 )i - mibg myocardial scintigraphy is a good predictor of the future conversion of possible dlb to probable dlb . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 - 1 conclusion 2 : 2 : 5 )i 4 123 5 )i 6 - 9 scintigraphy 6 - 10 is 6 - 24 . 7 mibg 9 scintigraphy 8 myocardial 9 scintigraphy 9 scintigraphy 10 is 10 is 13 predictor 11 a 12 good 11 a 13 predictor 12 good 13 predictor 13 predictor 14 of 13 predictor 18 of 14 of 17 conversion 15 the 17 conversion 16 future 17 conversion 18 of 20 dlb 19 possible 20 dlb 20 dlb 21 to 21 to 23 dlb 22 probable 23 dlb objective : to determine whether oral quinacrine increases survival in sporadic creutzfeldt - jakob disease ( scjd ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 2 : 3 to 2 : 4 determine 3 to 4 determine 4 determine 5 whether 5 whether 7 quinacrine 5 whether 8 increases 6 oral 7 quinacrine 7 quinacrine 8 increases 8 increases 9 survival 8 increases 10 in 10 in 12 creutzfeldt 11 sporadic 12 creutzfeldt 12 creutzfeldt 15 disease 13 - 15 disease 14 jakob 15 disease 15 disease 17 scjd 15 disease 18 ) 16 ( 17 scjd 17 scjd 18 ) methods : this nih/national institute on aging - funded , double - blinded , placebo - controlled , stratified randomization treatment [trial] was conducted at the university of california [,] san francisco from february 2005 through may 2009 ( clinicaltrials.gov , nct00183092 ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 44 . 1 methods 2 : 2 : 5 institute 2 : 6 on 2 : 9 funded 3 this 5 institute 4 nih/national 5 institute 6 on 7 aging 8 - 9 funded 9 funded 10 , 10 , 11 double 10 , 14 , 11 double 13 blinded 12 - 13 blinded 13 blinded 14 , 14 , 15 placebo 14 , 16 - 16 - 21 treatment 16 - 24 conducted 17 controlled 18 , 17 controlled 21 treatment 19 stratified 20 randomization 20 randomization 21 treatment 21 treatment 23 was 23 was 24 conducted 24 conducted 25 at 25 at 27 university 26 the 27 university 27 university 28 of 27 university 33 from 27 university 36 through 27 university 40 clinicaltrials.gov 28 of 32 francisco 29 california 31 san 31 san 32 francisco 33 from 34 february 34 february 35 2005 36 through 37 may 37 may 38 2009 39 ( 40 clinicaltrials.gov 40 clinicaltrials.gov 42 nct00183092 40 clinicaltrials.gov 43 ) 41 , 42 nct00183092 42 nct00183092 43 ) subjects were randomized ( [50:50] [ )(to quinacrine ( 300 mg daily [ )(or placebo with inpatient evaluations at baseline , and planned for months 2 , 6 , [and] 12 . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 27 , 0 ###LEFT-WALL### 32 . 1 subjects 22 and 2 were 3 randomized 2 were 22 and 3 randomized 7 )(to 4 ( 7 )(to 7 )(to 8 quinacrine 7 )(to 21 , 8 quinacrine 18 evaluations 9 ( 18 evaluations 10 300 11 mg 11 mg 18 evaluations 12 daily 14 )(or 14 )(or 15 placebo 14 )(or 16 with 14 )(or 18 evaluations 16 with 17 inpatient 18 evaluations 19 at 18 evaluations 21 , 19 at 20 baseline 21 , 22 and 22 and 23 planned 22 and 24 for 24 for 25 months 25 months 26 2 27 , 28 6 27 , 29 , 29 , 31 12 subjects returning for their month - 2 visit were offered open - label quinacrine . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 10 offered 0 ###LEFT-WALL### 15 . 1 subjects 2 returning 1 subjects 9 were 2 returning 3 for 3 for 5 month 4 their 5 month 5 month 7 2 5 month 8 visit 6 - 7 2 7 2 8 visit 9 were 10 offered 10 offered 14 quinacrine 11 open 12 - 11 open 13 label 13 label 14 quinacrine the primary outcome was survival from randomization to [month] 2 . 0 ###LEFT-WALL### 3 outcome 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 11 . 1 the 3 outcome 2 primary 3 outcome 3 outcome 4 was 4 was 5 survival 5 survival 6 from 6 from 7 randomization 7 randomization 8 to 8 to 10 2 results : of 425 patients referred , 69 subjects enrolled , 54 subjects were randomized to active [drug] or placebo , and 51 subjects with scjd were included in survival analyses . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 32 . 1 results 2 : 2 : 3 of 3 of 5 patients 4 425 5 patients 5 patients 6 referred 6 referred 7 , 6 referred 10 enrolled 8 69 10 enrolled 9 subjects 10 enrolled 11 , 13 subjects 11 , 15 randomized 11 , 22 and 12 54 13 subjects 13 subjects 14 were 14 were 15 randomized 15 randomized 16 to 16 to 19 or 17 active 19 or 19 or 20 placebo 21 , 22 and 22 and 24 subjects 22 and 28 included 23 51 24 subjects 24 subjects 25 with 24 subjects 27 were 25 with 26 scjd 27 were 28 included 28 included 29 in 29 in 31 analyses 30 survival 31 analyses survival [for] the randomized portion of the trial ( first 2 months ) showed no significant difference between the 2 groups ( log - rank statistic , p = 0.43 [;] cox proportional relative hazard = 1.43 , quinacrine compared with placebo , 95 % confidence interval = [0.58] , 3.53 ) . 1 survival 5 portion 3 the 5 portion 4 randomized 5 portion 5 portion 6 of 5 portion 14 showed 6 of 8 trial 7 the 8 trial 8 trial 12 months 9 ( 12 months 10 first 12 months 11 2 12 months 12 months 13 ) 14 showed 17 difference 14 showed 21 groups 14 showed 25 rank 15 no 17 difference 16 significant 17 difference 17 difference 18 between 18 between 20 2 19 the 20 2 21 groups 23 log 21 groups 25 rank 22 ( 23 log 23 log 24 - 25 rank 26 statistic 26 statistic 29 = 27 , 29 = 28 p 29 = 29 = 32 cox 30 0.43 32 cox 32 cox 44 95 33 proportional 34 relative 34 relative 35 hazard 35 hazard 36 = 36 = 37 1.43 37 1.43 39 quinacrine 38 , 39 quinacrine 39 quinacrine 40 compared 39 quinacrine 43 , 40 compared 41 with 41 with 42 placebo 43 , 44 95 44 95 47 interval 44 95 48 = 44 95 51 3.53 44 95 53 . 45 % 47 interval 46 confidence 47 interval 47 interval 48 = 50 , 51 3.53 51 3.53 52 ) the quinacrine - treated group , however , declined less on 2 of 3 functional scales , the modified rankin and clinical dementia rating , than the placebo group during the first 2 months . 0 ###LEFT-WALL### 2 quinacrine 0 ###LEFT-WALL### 3 - 1 the 2 quinacrine 3 - 21 and 4 treated 5 group 5 group 9 declined 5 group 17 , 6 , 7 however 7 however 8 , 7 however 9 declined 9 declined 10 less 9 declined 11 on 11 on 12 2 12 2 13 of 13 of 16 scales 14 3 16 scales 15 functional 16 scales 17 , 20 rankin 17 , 21 and 18 the 20 rankin 19 modified 20 rankin 21 and 24 rating 21 and 29 group 22 clinical 23 dementia 23 dementia 24 rating 25 , 26 than 25 , 29 group 27 the 29 group 28 placebo 29 group 29 group 30 during 29 group 35 . 30 during 34 months 31 the 32 first 31 the 33 2 33 2 34 months conclusion : this interventional study provides class i evidence that oral quinacrine at 300 mg per day does not improve 2 - month survival of patients with scjd , compared [with] placebo . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 5 study 2 : 6 provides 2 : 29 , 3 this 4 interventional 4 interventional 5 study 5 study 6 provides 6 provides 9 evidence 7 class 8 i 7 class 9 evidence 9 evidence 10 that 9 evidence 24 survival 10 that 12 quinacrine 10 that 20 improve 11 oral 12 quinacrine 12 quinacrine 13 at 12 quinacrine 16 per 12 quinacrine 18 does 13 at 15 mg 14 300 15 mg 16 per 17 day 18 does 19 not 18 does 20 improve 20 improve 21 2 22 - 24 survival 23 month 24 survival 24 survival 25 of 24 survival 29 , 25 of 26 patients 26 patients 27 with 27 with 28 scjd 29 , 32 placebo 30 compared 32 placebo importantly , this study shows that double - blinded , placebo - controlled , randomized treatment trials are possible in prion disease . 0 ###LEFT-WALL### 4 study 0 ###LEFT-WALL### 5 shows 0 ###LEFT-WALL### 10 , 1 importantly 2 , 1 importantly 4 study 3 this 4 study 4 study 5 shows 5 shows 7 double 6 that 7 double 7 double 9 blinded 8 - 9 blinded 9 blinded 10 , 10 , 11 placebo 10 , 12 - 12 - 17 trials 12 - 18 are 12 - 23 . 13 controlled 14 , 13 controlled 17 trials 15 randomized 16 treatment 16 treatment 17 trials 17 trials 18 are 18 are 19 possible 19 possible 20 in 20 in 22 disease 21 prion 22 disease furthermore , the quantitative data collected on the course of scjd will be useful for future trials . 0 ###LEFT-WALL### 5 data 0 ###LEFT-WALL### 13 be 0 ###LEFT-WALL### 18 . 1 furthermore 2 , 1 furthermore 5 data 3 the 5 data 4 quantitative 5 data 5 data 6 collected 5 data 12 will 6 collected 7 on 7 on 9 course 8 the 9 course 9 course 10 of 10 of 11 scjd 12 will 13 be 13 be 14 useful 14 useful 15 for 15 for 17 trials 16 future 17 trials classification of evidence : this study provides class i evidence that quinacrine does not improve survival for people with scjd when given orally at a dose of 300 mg per day for 2 months . 0 ###LEFT-WALL### 3 evidence 0 ###LEFT-WALL### 4 : 1 classification 2 of 2 of 3 evidence 4 : 6 study 4 : 7 provides 4 : 35 . 5 this 6 study 6 study 7 provides 7 provides 10 evidence 8 class 9 i 8 class 10 evidence 10 evidence 11 that 11 that 12 quinacrine 11 that 15 improve 12 quinacrine 13 does 13 does 14 not 13 does 15 improve 15 improve 16 survival 15 improve 17 for 15 improve 19 with 15 improve 21 when 15 improve 23 orally 15 improve 24 at 17 for 18 people 19 with 20 scjd 21 when 22 given 24 at 26 dose 25 a 26 dose 26 dose 27 of 26 dose 32 for 27 of 29 mg 28 300 29 mg 29 mg 30 per 30 per 31 day 32 for 34 months 33 2 34 months aim : to analyze the clinical applications and observe the priority of home monitoring ( hm ) systems for early event detection including clinical cardiac warning events , abnormal device parameters and other events in patients with permanent cardiac pacemakers . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 28 , 0 ###LEFT-WALL### 41 . 1 aim 2 : 2 : 3 to 2 : 8 and 3 to 8 and 4 analyze 7 applications 4 analyze 8 and 5 the 7 applications 6 clinical 7 applications 8 and 9 observe 8 and 18 systems 9 observe 11 priority 10 the 11 priority 11 priority 12 of 12 of 14 monitoring 13 home 14 monitoring 14 monitoring 16 hm 15 ( 16 hm 16 hm 17 ) 18 systems 19 for 19 for 22 detection 20 early 21 event 21 event 22 detection 22 detection 23 including 23 including 27 events 24 clinical 27 events 25 cardiac 27 events 26 warning 27 events 28 , 32 and 29 abnormal 30 device 30 device 31 parameters 31 parameters 32 and 32 and 34 events 32 and 35 in 33 other 34 events 35 in 36 patients 36 patients 37 with 37 with 40 pacemakers 38 permanent 40 pacemakers 39 cardiac 40 pacemakers methods : a total of 58 patients who received dual - chamber pacemakers , icds and crt - p/ds were enrolled and monitored using the hm system for 416 ± 398 days . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 - 0 ###LEFT-WALL### 33 . 1 methods 2 : 2 : 4 total 3 a 4 total 4 total 5 of 5 of 7 patients 6 58 7 patients 7 patients 8 who 7 patients 9 received 8 who 9 received 9 received 17 crt 10 dual 13 pacemakers 10 dual 17 crt 11 - 13 pacemakers 12 chamber 13 pacemakers 13 pacemakers 14 , 15 icds 16 and 16 and 17 crt 18 - 19 p/ds 19 p/ds 22 and 19 p/ds 24 using 20 were 21 enrolled 20 were 22 and 22 and 23 monitored 24 using 27 system 24 using 28 for 25 the 27 system 26 hm 27 system 28 for 32 days 29 416 32 days 30 ± 32 days 31 398 32 days automatic system - transmitted events by hm and related clinical information were recorded and consulted by well - trained physicians . 0 ###LEFT-WALL### 2 system 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 21 . 1 automatic 2 system 3 - 8 and 3 - 18 - 4 transmitted 5 events 4 transmitted 6 by 4 transmitted 8 and 6 by 7 hm 8 and 9 related 9 related 11 information 9 related 16 by 10 clinical 11 information 11 information 14 and 12 were 13 recorded 12 were 14 and 14 and 15 consulted 16 by 17 well 18 - 20 physicians 19 trained 20 physicians conventional and unconventional follow [-] up initialed by hm results were analyzed . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 4 follow 0 ###LEFT-WALL### 13 . 1 conventional 2 and 2 and 3 unconventional 2 and 4 follow 4 follow 6 up 4 follow 7 initialed 7 initialed 8 by 7 initialed 12 analyzed 8 by 9 hm 9 hm 10 results 9 hm 11 were 10 results 11 were results : forty patients ( 69 % ) transmitted abnormal events via the hm system . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 patients 2 : 9 transmitted 2 : 16 . 3 forty 4 patients 4 patients 7 % 4 patients 9 transmitted 5 ( 7 % 6 69 7 % 7 % 8 ) 9 transmitted 11 events 9 transmitted 12 via 10 abnormal 11 events 12 via 15 system 13 the 15 system 14 hm 15 system twenty - one of these were cardiac events . 0 ###LEFT-WALL### 1 twenty 0 ###LEFT-WALL### 2 - 2 - 3 one 2 - 6 were 2 - 9 . 3 one 4 of 3 one 6 were 4 of 5 these 6 were 8 events 7 cardiac 8 events atrial fibrillation ( af ) was the most common transmitted clinical event . 0 ###LEFT-WALL### 2 fibrillation 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 13 . 1 atrial 2 fibrillation 2 fibrillation 4 af 2 fibrillation 6 was 3 ( 4 af 4 af 5 ) 6 was 12 event 7 the 12 event 8 most 9 common 9 common 12 event 10 transmitted 12 event 11 clinical 12 event af was [detected] an average of 44.26 ± 18.33 days earlier in hm patients than on routine clinical visits alone . 0 ###LEFT-WALL### 1 af 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 21 . 1 af 2 was 2 was 5 average 4 an 5 average 5 average 6 of 6 of 7 44.26 7 44.26 8 ± 8 ± 11 earlier 8 ± 12 in 8 ± 15 than 8 ± 20 alone 9 18.33 10 days 10 days 11 earlier 12 in 14 patients 13 hm 14 patients 15 than 16 on 16 on 19 visits 17 routine 19 visits 18 clinical 19 visits a total of 20 patients reported 62 events related to abnormal device parameters . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 6 reported 0 ###LEFT-WALL### 14 . 1 a 2 total 2 total 3 of 2 total 6 reported 3 of 5 patients 4 20 5 patients 6 reported 8 events 7 62 8 events 8 events 9 related 9 related 10 to 10 to 13 parameters 11 abnormal 12 device 12 device 13 parameters among these events , disabled acc/atm [function] was the most common warning event ( 17 times [ )(transmitted by 14 of the patients , and they [were] detected an average of 67.6 ± 29.0 days ahead of the routine office device follow - up . 0 ###LEFT-WALL### 6 acc/atm 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 45 . 1 among 3 events 1 among 4 , 1 among 6 acc/atm 2 these 3 events 5 disabled 6 acc/atm 6 acc/atm 8 was 8 was 13 event 9 the 13 event 10 most 11 common 11 common 13 event 12 warning 13 event 13 event 15 17 14 ( 15 17 15 17 16 times 15 17 18 )(transmitted 15 17 21 of 15 17 24 , 16 times 18 )(transmitted 18 )(transmitted 19 by 19 by 20 14 21 of 23 patients 22 the 23 patients 24 , 25 and 24 , 42 follow 24 , 43 - 25 and 26 they 25 and 28 detected 26 they 28 detected 28 detected 30 average 29 an 30 average 30 average 31 of 30 average 35 days 30 average 42 follow 31 of 33 ± 32 67.6 33 ± 33 ± 34 29.0 35 days 36 ahead 35 days 37 of 35 days 42 follow 37 of 41 device 38 the 41 device 39 routine 40 office 40 office 41 device 43 - 44 up a total of seven patients reported silent events and [totally] eight patients were required to make an unscheduled clinical visit . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 6 reported 0 ###LEFT-WALL### 21 . 1 a 2 total 2 total 3 of 2 total 6 reported 3 of 5 patients 4 seven 5 patients 6 reported 9 and 6 reported 14 required 7 silent 8 events 8 events 9 and 9 and 12 patients 9 and 13 were 11 eight 12 patients 13 were 14 required 14 required 15 to 14 required 16 make 15 to 16 make 16 make 20 visit 17 an 20 visit 18 unscheduled 20 visit 19 clinical 20 visit eighteen patients ( 31 % ) transmitted no warning event and accepted no parameter adjustment during observation . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 18 . 1 eighteen 2 patients 2 patients 5 % 2 patients 11 and 3 ( 5 % 4 31 5 % 5 % 6 ) 7 transmitted 10 event 7 transmitted 11 and 8 no 10 event 9 warning 10 event 11 and 12 accepted 12 accepted 15 adjustment 12 accepted 16 during 13 no 15 adjustment 14 parameter 15 adjustment 16 during 17 observation conclusions : the hm system is useful in early detection of abnormal warning events as well as the primary detection of silent events in post - pacemaker implantation patients . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 system 2 : 6 is 2 : 26 - 3 the 5 system 4 hm 5 system 5 system 6 is 6 is 7 useful 7 useful 8 in 7 useful 17 as 7 useful 24 in 8 in 10 detection 9 early 10 detection 10 detection 11 of 11 of 14 events 12 abnormal 14 events 13 warning 14 events 15 as 16 well 16 well 17 as 17 as 20 detection 18 the 20 detection 19 primary 20 detection 20 detection 21 of 21 of 23 events 22 silent 23 events 24 in 25 post 26 - 29 patients 26 - 30 . 27 pacemaker 29 patients 28 implantation 29 patients additionally , the hm system benefits patients during the whole process [of] device follow - up by real - time monitoring , and reduces medical costs effectively for patients with no abnormal reports or necessity of parameter adjustment . 0 ###LEFT-WALL### 7 patients 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 39 . 1 additionally 2 , 1 additionally 7 patients 3 the 7 patients 4 hm 7 patients 5 system 7 patients 6 benefits 7 patients 7 patients 8 during 7 patients 23 and 8 during 13 device 9 the 13 device 10 whole 13 device 11 process 13 device 14 follow 16 up 14 follow 23 and 15 - 16 up 16 up 17 by 16 up 22 , 17 by 21 monitoring 18 real 19 - 18 real 21 monitoring 20 time 21 monitoring 23 and 24 reduces 23 and 30 with 24 reduces 26 costs 24 reduces 27 effectively 24 reduces 28 for 25 medical 26 costs 28 for 29 patients 30 with 34 or 31 no 33 reports 32 abnormal 33 reports 33 reports 34 or 34 or 35 necessity 34 or 36 of 36 of 38 adjustment 37 parameter 38 adjustment purpose : this longitudinal study examined the major physiological mechanisms that determine the age - related loss of lower extremity muscle power in two distinct groups of older humans . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 5 study 2 : 6 examined 2 : 16 related 3 this 4 longitudinal 4 longitudinal 5 study 5 study 6 examined 6 examined 10 mechanisms 7 the 10 mechanisms 8 major 10 mechanisms 9 physiological 10 mechanisms 10 mechanisms 11 that 10 mechanisms 12 determine 11 that 12 determine 12 determine 14 age 13 the 14 age 15 - 16 related 16 related 17 loss 16 related 23 in 17 loss 18 of 18 of 22 power 19 lower 22 power 20 extremity 22 power 21 muscle 22 power 23 in 26 groups 24 two 26 groups 25 distinct 26 groups 26 groups 27 of 27 of 29 humans 28 older 29 humans we hypothesized that after ~3 years of [follow] - up , mobility - limited older adults ( mean age : 77.2 ± 4 , n = 22 , 12 females ) would have significantly greater reductions in leg extensor muscle power compared to healthy older adults ( 74.1 ± 4 , n = 26 , 12 females ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 hypothesized 0 ###LEFT-WALL### 20 : 0 ###LEFT-WALL### 59 . 1 we 2 hypothesized 2 hypothesized 3 that 2 hypothesized 14 limited 3 that 4 after 3 that 14 limited 4 after 6 years 5 ~3 6 years 6 years 7 of 6 years 12 mobility 7 of 10 up 9 - 10 up 11 , 12 mobility 12 mobility 13 - 14 limited 16 adults 15 older 16 adults 16 adults 19 age 17 ( 19 age 18 mean 19 age 19 age 20 : 20 : 33 have 21 77.2 22 ± 22 ± 26 = 22 ± 30 females 22 ± 32 would 23 4 26 = 24 , 26 = 25 n 26 = 26 = 27 22 28 , 30 females 29 12 30 females 30 females 31 ) 32 would 33 have 33 have 36 reductions 33 have 42 compared 34 significantly 35 greater 35 greater 36 reductions 36 reductions 37 in 37 in 41 power 38 leg 39 extensor 39 extensor 40 muscle 40 muscle 41 power 42 compared 43 to 42 compared 53 = 43 to 46 adults 44 healthy 46 adults 45 older 46 adults 46 adults 49 ± 47 ( 49 ± 48 74.1 49 ± 49 ± 50 4 49 ± 51 , 52 n 53 = 53 = 54 26 54 26 57 females 55 , 57 females 56 12 57 females 57 females 58 ) methods : mid - thigh muscle size and composition were assessed using computed tomography . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 8 and 2 : 11 assessed 2 : 15 . 3 mid 4 - 3 mid 7 size 5 thigh 7 size 6 muscle 7 size 7 size 8 and 8 and 9 composition 8 and 10 were 10 were 11 assessed 11 assessed 12 using 12 using 14 tomography 13 computed 14 tomography neuromuscular activation was quantified using surface electromyography and vastus lateralis single muscle fibers were studied to evaluate intrinsic muscle contractile properties . 0 ###LEFT-WALL### 2 activation 0 ###LEFT-WALL### 4 quantified 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 17 evaluate 0 ###LEFT-WALL### 22 . 1 neuromuscular 2 activation 2 activation 3 was 3 was 4 quantified 4 quantified 5 using 5 using 7 electromyography 6 surface 7 electromyography 8 and 10 lateralis 8 and 11 single 9 vastus 10 lateralis 10 lateralis 11 single 11 single 12 muscle 12 muscle 13 fibers 12 muscle 17 evaluate 13 fibers 14 were 14 were 15 studied 15 studied 16 to 16 to 17 evaluate 17 evaluate 21 properties 18 intrinsic 19 muscle 19 muscle 21 properties 20 contractile 21 properties [mobility] - limited elders had significant reductions in muscle size ( - 3.8 % , p < 0.01 ) and strength ( - 5.9 % , p < 0.02 ) , however [,] these parameters were preserved in healthy older [(] [p] ≥ 0.7 ) . 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 5 had 0 ###LEFT-WALL### 46 . 2 - 4 elders 3 limited 4 elders 4 elders 5 had 5 had 20 and 5 had 28 < 5 had 32 however 6 significant 7 reductions 7 reductions 8 in 7 reductions 20 and 8 in 10 size 9 muscle 10 size 10 size 14 % 10 size 17 < 11 ( 14 % 12 - 13 3.8 13 3.8 14 % 14 % 15 , 15 , 17 < 16 p 17 < 17 < 18 0.01 17 < 19 ) 20 and 21 strength 20 and 25 % 22 ( 25 % 23 - 24 5.9 24 5.9 25 % 25 % 26 , 27 p 28 < 28 < 29 0.02 28 < 30 ) 31 , 32 however 32 however 35 parameters 32 however 37 preserved 32 however 45 ) 34 these 35 parameters 35 parameters 36 were 36 were 37 preserved 37 preserved 38 in 38 in 43 ≥ 39 healthy 43 ≥ 40 older 43 ≥ 43 ≥ 44 0.7 neuromuscular activation declined significantly within healthy [older] , but [not] in mobility - limited participants . 0 ###LEFT-WALL### 1 neuromuscular 0 ###LEFT-WALL### 14 limited 0 ###LEFT-WALL### 16 . 1 neuromuscular 2 activation 1 neuromuscular 5 within 1 neuromuscular 6 healthy 1 neuromuscular 14 limited 2 activation 3 declined 3 declined 4 significantly 3 declined 5 within 6 healthy 9 but 8 , 9 but 9 but 11 in 9 but 13 - 11 in 12 mobility 14 limited 15 participants within both groups , the cross - sectional areas of type i and iia muscle fibers were preserved while substantial increases in single fiber peak force ( >30 [%] ) , peak power ( >200 [%] ) and unloaded shortening velocity ( >50 [%] ) were elicited at follow - up . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 18 preserved 1 within 3 groups 1 within 7 - 1 within 13 and 2 both 3 groups 3 groups 6 cross 4 , 6 cross 5 the 6 cross 6 cross 7 - 8 sectional 9 areas 9 areas 10 of 9 areas 13 and 10 of 11 type 11 type 12 i 13 and 16 fibers 13 and 17 were 14 iia 16 fibers 15 muscle 16 fibers 17 were 18 preserved 18 preserved 19 while 19 while 38 and 19 while 49 follow 20 substantial 21 increases 21 increases 22 in 21 increases 38 and 22 in 26 force 23 single 24 fiber 24 fiber 26 force 25 peak 26 force 26 force 28 >30 26 force 33 power 27 ( 28 >30 28 >30 30 ) 31 , 33 power 32 peak 33 power 33 power 35 >200 33 power 37 ) 34 ( 35 >200 35 >200 37 ) 38 and 40 shortening 38 and 41 velocity 38 and 48 at 38 and 49 follow 39 unloaded 40 shortening 41 velocity 43 >50 41 velocity 46 were 42 ( 43 >50 43 >50 45 ) 46 were 47 elicited 47 elicited 48 at 49 follow 51 up 50 - 51 up 51 up 52 . conclusion : different physiological mechanisms contribute to the loss of lower extremity muscle power in healthy older [and] mobility - limited older adults . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 5 mechanisms 2 : 6 contribute 2 : 20 - 2 : 24 . 3 different 5 mechanisms 4 physiological 5 mechanisms 5 mechanisms 6 contribute 6 contribute 7 to 6 contribute 15 in 7 to 9 loss 8 the 9 loss 9 loss 10 of 10 of 14 power 11 lower 13 muscle 12 extremity 13 muscle 13 muscle 14 power 15 in 19 mobility 16 healthy 19 mobility 17 older 19 mobility 20 - 23 adults 21 limited 23 adults 22 older 23 adults neuromuscular changes may be the critical early determinant of muscle power deficits with aging . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 4 be 0 ###LEFT-WALL### 15 . 1 neuromuscular 2 changes 2 changes 3 may 3 may 4 be 4 be 8 determinant 5 the 8 determinant 6 critical 8 determinant 7 early 8 determinant 8 determinant 9 of 9 of 12 deficits 10 muscle 12 deficits 11 power 12 deficits 12 deficits 13 with 13 with 14 aging in response to major whole muscle [decrements] , major compensatory mechanisms occur within the contractile properties of surviving single muscle fibers in an attempt to restore overall muscle power and function with advancing age . 0 ###LEFT-WALL### 11 mechanisms 0 ###LEFT-WALL### 30 and 0 ###LEFT-WALL### 35 . 1 in 2 response 2 response 3 to 3 to 6 muscle 3 to 8 , 3 to 11 mechanisms 4 major 6 muscle 5 whole 6 muscle 9 major 11 mechanisms 10 compensatory 11 mechanisms 11 mechanisms 30 and 12 occur 13 within 12 occur 22 in 12 occur 30 and 13 within 16 properties 14 the 16 properties 15 contractile 16 properties 16 properties 17 of 17 of 18 surviving 18 surviving 21 fibers 19 single 20 muscle 20 muscle 21 fibers 22 in 24 attempt 23 an 24 attempt 24 attempt 25 to 24 attempt 26 restore 25 to 26 restore 26 restore 29 power 27 overall 28 muscle 28 muscle 29 power 30 and 31 function 30 and 32 with 32 with 34 age 33 advancing 34 age this study employed a paired stimulus paradigm to compare phasic changes in heart rate among children ( age categories 6 - 8 , 9 - 10 , [and] 11 - 12 ) [and] adults ( age categories 18 - 19 and 20 - 22 [ )(with attention - deficit/hyperactivity disorder ( adhd [ )(and age - matched controls . 1 this 2 study 2 study 3 employed 3 employed 7 paradigm 3 employed 8 to 3 employed 9 compare 4 a 7 paradigm 5 paired 6 stimulus 6 stimulus 7 paradigm 8 to 9 compare 9 compare 11 changes 10 phasic 11 changes 11 changes 12 in 11 changes 15 among 12 in 14 rate 13 heart 14 rate 15 among 16 children 16 children 19 categories 16 children 25 - 17 ( 19 categories 18 age 19 categories 19 categories 20 6 19 categories 22 8 19 categories 23 , 21 - 22 8 22 8 23 , 23 , 25 - 24 9 25 - 25 - 26 10 25 - 27 , 27 , 30 - 29 11 30 - 30 - 31 12 30 - 32 ) 30 - 34 adults 34 adults 37 categories 34 adults 43 - 35 ( 37 categories 36 age 37 categories 37 categories 38 18 37 categories 39 - 39 - 43 - 40 19 41 and 41 and 42 20 41 and 43 - 43 - 44 22 44 22 46 )(with 44 22 50 disorder 46 )(with 47 attention 48 - 50 disorder 49 deficit/hyperactivity 50 disorder 50 disorder 54 )(and 50 disorder 59 . 51 ( 54 )(and 52 adhd 54 )(and 54 )(and 55 age 54 )(and 58 controls 54 )(and 59 . 56 - 58 controls 57 matched 58 controls 58 controls 59 . a sample of 95 participants ( 19 adhd - diagnosed children , 34 controls , 20 adhd - diagnosed adults , and 22 controls ) solved a planning task , the tower of london , through 4 levels of difficulty . 0 ###LEFT-WALL### 2 sample 0 ###LEFT-WALL### 10 diagnosed 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 41 . 1 a 2 sample 2 sample 3 of 2 sample 8 adhd 2 sample 10 diagnosed 3 of 5 participants 4 95 5 participants 6 ( 8 adhd 7 19 8 adhd 8 adhd 9 - 10 diagnosed 11 children 12 , 14 controls 12 , 26 solved 13 34 14 controls 14 controls 17 adhd 14 controls 26 solved 15 , 17 adhd 16 20 17 adhd 17 adhd 22 and 17 adhd 25 ) 18 - 22 and 19 diagnosed 20 adults 20 adults 22 and 21 , 22 and 22 and 24 controls 22 and 25 ) 23 22 24 controls 26 solved 29 task 26 solved 36 through 27 a 28 planning 27 a 29 task 28 planning 29 task 29 task 32 tower 30 , 32 tower 31 the 32 tower 32 tower 33 of 32 tower 35 , 33 of 34 london 36 through 38 levels 37 4 38 levels 38 levels 39 of 39 of 40 difficulty it was hypothesized that groups with adhd would show greater heart rate acceleration and less final deceleration than would controls , and that these heart rate responses would change with age and difficulty level as well . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 37 . 1 it 2 was 2 was 3 hypothesized 3 hypothesized 4 that 4 that 5 groups 4 that 29 change 5 groups 6 with 5 groups 8 would 6 with 7 adhd 8 would 9 show 9 show 11 heart 9 show 14 and 9 show 18 than 10 greater 11 heart 12 rate 13 acceleration 13 acceleration 14 and 14 and 17 deceleration 15 less 16 final 16 final 17 deceleration 18 than 19 would 19 would 22 and 20 controls 22 and 21 , 22 and 22 and 23 that 22 and 27 responses 22 and 29 change 24 these 27 responses 25 heart 27 responses 26 rate 27 responses 27 responses 28 would 28 would 29 change 29 change 30 with 29 change 36 well 30 with 32 and 30 with 34 level 31 age 32 and 32 and 33 difficulty 35 as 36 well though heart rate differences were found among age categories and difficulty levels , none were found between participants with adhd and controls . 0 ###LEFT-WALL### 4 differences 0 ###LEFT-WALL### 6 found 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 23 . 1 though 2 heart 1 though 4 differences 3 rate 4 differences 4 differences 5 were 5 were 6 found 6 found 7 among 7 among 10 and 8 age 9 categories 9 categories 10 and 10 and 12 levels 11 difficulty 12 levels 13 , 14 none 13 , 21 and 14 none 21 and 15 were 16 found 15 were 21 and 16 found 17 between 16 found 19 with 17 between 18 participants 19 with 20 adhd 21 and 22 controls the lack of adhd differences are not consistent with the behavioral evidence that planning by itself is one of the marked executive function deficits in adhd . 0 ###LEFT-WALL### 2 lack 0 ###LEFT-WALL### 17 is 0 ###LEFT-WALL### 27 . 1 the 2 lack 2 lack 3 of 2 lack 17 is 3 of 4 adhd 4 adhd 8 consistent 4 adhd 14 planning 4 adhd 15 by 5 differences 6 are 6 are 7 not 7 not 8 consistent 8 consistent 9 with 9 with 12 evidence 9 with 13 that 10 the 12 evidence 11 behavioral 12 evidence 15 by 16 itself 17 is 18 one 18 one 19 of 18 one 25 in 19 of 24 deficits 20 the 24 deficits 21 marked 23 function 22 executive 23 function 23 function 24 deficits 25 in 26 adhd because adhd differences were not evident , the effects either were not present or were smaller than that of difficulty level and age . 0 ###LEFT-WALL### 9 effects 0 ###LEFT-WALL### 14 or 0 ###LEFT-WALL### 24 . 1 because 3 differences 1 because 4 were 1 because 7 , 1 because 9 effects 2 adhd 3 differences 3 differences 4 were 4 were 5 not 4 were 6 evident 5 not 6 evident 8 the 9 effects 9 effects 14 or 10 either 11 were 11 were 12 not 11 were 13 present 11 were 14 or 12 not 13 present 14 or 15 were 15 were 16 smaller 16 smaller 17 than 17 than 18 that 17 than 19 of 19 of 22 and 20 difficulty 21 level 21 level 22 and 22 and 23 age possible explanations for this lack of difference [and] future directions are discussed . 0 ###LEFT-WALL### 2 explanations 0 ###LEFT-WALL### 12 discussed 0 ###LEFT-WALL### 13 . 1 possible 2 explanations 2 explanations 3 for 2 explanations 11 are 3 for 5 lack 4 this 5 lack 5 lack 6 of 6 of 10 directions 7 difference 10 directions 9 future 10 directions 11 are 12 discussed ginseng , the root of panax ginseng , has been used in traditional chinese medicine as a tonic herb that provides many beneficial effects . 0 ###LEFT-WALL### 1 ginseng 0 ###LEFT-WALL### 11 used 0 ###LEFT-WALL### 25 . 1 ginseng 4 root 1 ginseng 9 has 2 , 4 root 3 the 4 root 4 root 5 of 4 root 8 , 5 of 7 ginseng 6 panax 7 ginseng 9 has 10 been 10 been 11 used 11 used 12 in 11 used 16 as 12 in 15 medicine 13 traditional 14 chinese 14 chinese 15 medicine 16 as 19 herb 17 a 19 herb 18 tonic 19 herb 19 herb 20 that 19 herb 21 provides 20 that 21 provides 21 provides 24 effects 22 many 24 effects 23 beneficial 24 effects pharmacologic studies in the last decades have shown that ginsenosides ( ginseng saponins ) are primarily responsible for the actions of ginseng . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 8 shown 0 ###LEFT-WALL### 23 . 1 pharmacologic 2 studies 2 studies 3 in 2 studies 7 have 3 in 6 decades 4 the 6 decades 5 last 6 decades 7 have 8 shown 8 shown 9 that 9 that 10 ginsenosides 9 that 15 are 10 ginsenosides 13 saponins 10 ginsenosides 15 are 11 ( 13 saponins 12 ginseng 13 saponins 13 saponins 14 ) 15 are 16 primarily 15 are 17 responsible 17 responsible 18 for 18 for 20 actions 19 the 20 actions 20 actions 21 of 21 of 22 ginseng however , the effects of ginseng are not fully explained by ginsenosides . 0 ###LEFT-WALL### 4 effects 0 ###LEFT-WALL### 10 explained 0 ###LEFT-WALL### 13 . 1 however 2 , 1 however 4 effects 3 the 4 effects 4 effects 5 of 4 effects 7 are 5 of 6 ginseng 7 are 8 not 7 are 10 explained 9 fully 10 explained 10 explained 11 by 11 by 12 ginsenosides recently , another class of active ingredients called gintonin was identified . 0 ###LEFT-WALL### 4 class 0 ###LEFT-WALL### 11 identified 0 ###LEFT-WALL### 12 . 1 recently 2 , 1 recently 4 class 3 another 4 class 4 class 5 of 4 class 10 was 5 of 7 ingredients 6 active 7 ingredients 7 ingredients 8 called 8 called 9 gintonin 10 was 11 identified gintonin is a complex of glycosylated ginseng proteins containing lysophosphatidic acids ( lpas ) that are the intracellular lipid mitogenic mediator . 0 ###LEFT-WALL### 1 gintonin 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 22 . 1 gintonin 2 is 2 is 4 complex 3 a 4 complex 4 complex 5 of 5 of 8 proteins 6 glycosylated 8 proteins 7 ginseng 8 proteins 8 proteins 9 containing 8 proteins 15 that 8 proteins 16 are 9 containing 11 acids 10 lysophosphatidic 11 acids 11 acids 13 lpas 12 ( 13 lpas 13 lpas 14 ) 15 that 16 are 16 are 21 mediator 17 the 21 mediator 18 intracellular 19 lipid 19 lipid 21 mediator 20 mitogenic 21 mediator gintonin specifically [and] potently activates the [g] protein - coupled receptors ( gpcrs ) for lpa . 0 ###LEFT-WALL### 1 gintonin 0 ###LEFT-WALL### 5 activates 0 ###LEFT-WALL### 17 . 1 gintonin 5 activates 2 specifically 5 activates 4 potently 5 activates 5 activates 8 protein 5 activates 15 for 6 the 8 protein 8 protein 11 receptors 9 - 11 receptors 10 coupled 11 receptors 11 receptors 13 gpcrs 11 receptors 14 ) 12 ( 13 gpcrs 13 gpcrs 14 ) 15 for 16 lpa thus , the actions of ginseng are now also linked to lpa and its gpcrs . 0 ###LEFT-WALL### 4 actions 0 ###LEFT-WALL### 10 linked 0 ###LEFT-WALL### 16 . 1 thus 2 , 1 thus 4 actions 3 the 4 actions 4 actions 5 of 4 actions 7 are 5 of 6 ginseng 7 are 8 now 7 are 10 linked 9 also 10 linked 10 linked 11 to 11 to 13 and 12 lpa 13 and 13 and 15 gpcrs 14 its 15 gpcrs this linkage opens new dimensions for ginseng pharmacology and lpa therapeutics . 0 ###LEFT-WALL### 2 linkage 0 ###LEFT-WALL### 3 opens 0 ###LEFT-WALL### 12 . 1 this 2 linkage 2 linkage 3 opens 3 opens 5 dimensions 4 new 5 dimensions 5 dimensions 6 for 6 for 9 and 7 ginseng 8 pharmacology 8 pharmacology 9 and 9 and 11 therapeutics 10 lpa 11 therapeutics in the present review , we evaluate the pharmacology of ginseng with the traditional viewpoint of yin and yang components . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 evaluate 0 ###LEFT-WALL### 21 . 1 in 4 review 1 in 5 , 1 in 6 we 2 the 4 review 3 present 4 review 6 we 7 evaluate 7 evaluate 9 pharmacology 7 evaluate 12 with 8 the 9 pharmacology 9 pharmacology 10 of 10 of 11 ginseng 12 with 15 viewpoint 13 the 15 viewpoint 14 traditional 15 viewpoint 15 viewpoint 16 of 16 of 18 and 17 yin 18 and 18 and 20 components 19 yang 20 components furthermore , we will compare ginsenoside and gintonin based on the modern view of molecular pharmacology in terms of ion channels and gpcrs . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 5 compare 0 ###LEFT-WALL### 24 . 1 furthermore 2 , 1 furthermore 3 we 3 we 4 will 4 will 5 compare 5 compare 7 and 5 compare 10 on 5 compare 17 in 6 ginsenoside 7 and 7 and 8 gintonin 7 and 9 based 10 on 13 view 11 the 13 view 12 modern 13 view 13 view 14 of 14 of 16 pharmacology 15 molecular 16 pharmacology 17 in 18 terms 18 terms 19 of 19 of 22 and 20 ion 21 channels 21 channels 22 and 22 and 23 gpcrs aim : activation of muscarinic receptors on the detrusor smooth muscle is followed by contraction , which involves both myosin light chain kinase [(] mlck ) and rho kinase ( rock ) . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 27 and 2 : 33 . 3 activation 4 of 3 activation 7 on 3 activation 13 followed 3 activation 27 and 4 of 6 receptors 5 muscarinic 6 receptors 7 on 9 detrusor 8 the 9 detrusor 9 detrusor 11 muscle 9 detrusor 12 is 10 smooth 11 muscle 11 muscle 12 is 13 followed 14 by 14 by 15 contraction 15 contraction 17 which 16 , 17 which 17 which 18 involves 17 which 26 ) 18 involves 25 mlck 19 both 25 mlck 20 myosin 25 mlck 21 light 22 chain 22 chain 25 mlck 23 kinase 25 mlck 27 and 29 kinase 27 and 31 rock 28 rho 29 kinase 30 ( 31 rock 31 rock 32 ) the aim of this study was to determine the relative contributions of mlck and rock to carbachol - induced contraction of human detrusor smooth muscle in vitro . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 28 . 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 19 induced 9 the 11 contributions 10 relative 11 contributions 11 contributions 12 of 11 contributions 19 induced 12 of 14 and 13 mlck 14 and 14 and 15 rock 14 and 18 - 15 rock 16 to 16 to 17 carbachol 19 induced 20 contraction 19 induced 27 vitro 20 contraction 21 of 21 of 25 muscle 22 human 23 detrusor 23 detrusor 25 muscle 24 smooth 25 muscle 26 in 27 vitro methods : detrusor smooth muscle strips were prepared from the macroscopically unaffected bladder wall of patients underwent cystectomy . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 detrusor 2 : 17 underwent 2 : 19 . 3 detrusor 5 muscle 3 detrusor 8 prepared 3 detrusor 17 underwent 4 smooth 5 muscle 5 muscle 6 strips 5 muscle 7 were 5 muscle 8 prepared 6 strips 7 were 8 prepared 9 from 9 from 14 wall 10 the 14 wall 11 macroscopically 12 unaffected 12 unaffected 13 bladder 13 bladder 14 wall 14 wall 15 of 15 of 16 patients 17 underwent 18 cystectomy the strips were fixed in an organ bath , and carbachol or kcl - induced isometric contractions were measured by force transducers . 0 ###LEFT-WALL### 2 strips 0 ###LEFT-WALL### 4 fixed 0 ###LEFT-WALL### 14 - 1 the 2 strips 2 strips 3 were 3 were 4 fixed 4 fixed 5 in 5 in 12 or 6 an 7 organ 6 an 8 bath 7 organ 8 bath 8 bath 10 and 9 , 10 and 10 and 11 carbachol 10 and 12 or 12 or 13 kcl 14 - 17 contractions 14 - 18 were 14 - 23 . 15 induced 17 contractions 16 isometric 17 contractions 17 contractions 18 were 18 were 19 measured 19 measured 20 by 20 by 22 transducers 21 force 22 transducers results : addition of carbachol ( 0.4 - 4 μmol/l ) into the bath induced concentration - dependent contractions of detrusor specimens , which was completely abolished by atropine ( 1 μmol/l ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 34 . 1 results 2 : 2 : 3 addition 3 addition 4 of 3 addition 12 into 3 addition 19 contractions 4 of 5 carbachol 5 carbachol 10 μmol/l 6 ( 10 μmol/l 7 0.4 8 - 8 - 9 4 8 - 10 μmol/l 10 μmol/l 11 ) 12 into 16 concentration 13 the 16 concentration 14 bath 15 induced 15 induced 16 concentration 17 - 19 contractions 18 dependent 19 contractions 19 contractions 20 of 19 contractions 23 , 20 of 22 specimens 21 detrusor 22 specimens 23 , 24 which 23 , 27 abolished 24 which 25 was 25 was 26 completely 25 was 27 abolished 27 abolished 28 by 28 by 29 atropine 29 atropine 32 μmol/l 30 ( 32 μmol/l 31 1 32 μmol/l 32 μmol/l 33 ) pre - [incubation] of detrusor specimens with either the mlck inhibitor ml [-] 9 or the rock inhibitors ha1100 and y - 27632 ( each at 10 μmol/l ) significantly blocked carbachol - induced contractions as compared to the time - control experiments . 0 ###LEFT-WALL### 1 pre 0 ###LEFT-WALL### 2 - 2 - 20 and 2 - 37 compared 2 - 41 - 4 of 6 specimens 4 of 20 and 5 detrusor 6 specimens 6 specimens 7 with 7 with 8 either 9 the 11 inhibitor 10 mlck 11 inhibitor 11 inhibitor 12 ml 12 ml 14 9 12 ml 15 or 15 or 19 ha1100 15 or 20 and 16 the 18 inhibitors 17 rock 18 inhibitors 18 inhibitors 19 ha1100 20 and 21 y 20 and 23 27632 20 and 34 induced 22 - 23 27632 23 27632 25 each 23 27632 33 - 24 ( 25 each 25 each 26 at 25 each 33 - 26 at 32 carbachol 27 10 32 carbachol 28 μmol/l 29 ) 28 μmol/l 32 carbachol 30 significantly 31 blocked 31 blocked 32 carbachol 34 induced 35 contractions 34 induced 36 as 36 as 37 compared 37 compared 38 to 38 to 40 time 39 the 40 time 41 - 42 control 41 - 44 . 42 control 43 experiments moreover , mlck and rock inhibition were equally effective in reducing carbachol - induced contractions . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 13 - 1 moreover 2 , 1 moreover 4 and 3 mlck 4 and 4 and 6 inhibition 4 and 7 were 5 rock 6 inhibition 7 were 9 effective 8 equally 9 effective 9 effective 10 in 10 in 11 reducing 11 reducing 12 carbachol 13 - 15 contractions 13 - 16 . 14 induced 15 contractions the residual carbachol - induced contractions in the presence of both mlck and rock inhibitors were significantly smaller than the contractions obtained when only one enzyme ( either mlck or rock ) was inhibited , suggesting an additive effect of the two kinases . 0 ###LEFT-WALL### 3 carbachol 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 44 . 1 the 3 carbachol 2 residual 3 carbachol 4 - 5 induced 4 - 16 were 5 induced 16 were 6 contractions 7 in 6 contractions 10 of 6 contractions 16 were 7 in 9 presence 8 the 9 presence 10 of 15 inhibitors 11 both 15 inhibitors 12 mlck 13 and 13 and 14 rock 14 rock 15 inhibitors 16 were 18 smaller 17 significantly 18 smaller 18 smaller 19 than 19 than 21 contractions 20 the 21 contractions 21 contractions 22 obtained 21 contractions 23 when 21 contractions 36 suggesting 23 when 26 enzyme 23 when 34 inhibited 24 only 25 one 25 one 26 enzyme 26 enzyme 30 or 26 enzyme 33 was 27 ( 30 or 28 either 30 or 29 mlck 30 or 30 or 31 rock 30 or 32 ) 33 was 34 inhibited 34 inhibited 35 , 36 suggesting 39 effect 37 an 39 effect 38 additive 39 effect 39 effect 40 of 40 of 43 kinases 41 the 42 two 42 two 43 kinases interestingly , rock - mediated carbachol - induced contractions were positively correlated to the age of patients ( r=o.52 , p<0.05 ) . 0 ###LEFT-WALL### 9 contractions 0 ###LEFT-WALL### 12 correlated 0 ###LEFT-WALL### 23 . 1 interestingly 2 , 1 interestingly 9 contractions 3 rock 6 carbachol 3 rock 8 induced 4 - 6 carbachol 5 mediated 6 carbachol 6 carbachol 7 - 8 induced 9 contractions 9 contractions 10 were 10 were 12 correlated 11 positively 12 correlated 12 correlated 13 to 13 to 15 age 14 the 15 age 15 age 16 of 16 of 17 patients 17 patients 19 r=o.52 17 patients 21 p<0.05 18 ( 19 r=o.52 19 r=o.52 20 , 20 , 21 p<0.05 21 p<0.05 22 ) conclusion : both mlck and rock contribute to carbachol - induced contractions of human detrusor smooth muscle . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 5 and 2 : 7 contribute 2 : 10 - 3 both 5 and 4 mlck 5 and 5 and 6 rock 5 and 7 contribute 7 contribute 8 to 8 to 9 carbachol 10 - 12 contractions 11 induced 12 contractions 12 contractions 13 of 13 of 17 muscle 14 human 15 detrusor 15 detrusor 17 muscle 16 smooth 17 muscle rock inhibitors may be a new pharmacological approach to modulate human bladder hyperactivity . 0 ###LEFT-WALL### 2 inhibitors 0 ###LEFT-WALL### 4 be 0 ###LEFT-WALL### 14 . 1 rock 2 inhibitors 2 inhibitors 3 may 3 may 4 be 4 be 8 approach 5 a 6 new 5 a 8 approach 6 new 8 approach 7 pharmacological 8 approach 8 approach 9 to 8 approach 10 modulate 9 to 10 modulate 10 modulate 13 hyperactivity 11 human 12 bladder 12 bladder 13 hyperactivity elevated intracellular ca2+ levels in the aging brain are widely thought to hyperactivate ca2+ signaling and ca2+ - dependent enzymes , leading to neuronal death through an excitatory mechanism in alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 3 ca2+ 0 ###LEFT-WALL### 11 thought 1 elevated 3 ca2+ 2 intracellular 3 ca2+ 3 ca2+ 4 levels 3 ca2+ 9 are 3 ca2+ 11 thought 4 levels 5 in 4 levels 9 are 5 in 8 brain 6 the 8 brain 7 aging 8 brain 10 widely 11 thought 11 thought 12 to 11 thought 22 leading 12 to 13 hyperactivate 13 hyperactivate 16 and 14 ca2+ 15 signaling 14 ca2+ 16 and 16 and 17 ca2+ 16 and 20 enzymes 18 - 20 enzymes 19 dependent 20 enzymes 20 enzymes 21 , 21 , 22 leading 22 leading 23 to 22 leading 26 through 22 leading 37 . 23 to 25 death 24 neuronal 25 death 26 through 29 mechanism 27 an 28 excitatory 27 an 29 mechanism 28 excitatory 29 mechanism 29 mechanism 30 in 30 in 33 disease 31 alzheimer 32 's 32 's 33 disease 33 disease 35 ad 34 ( 35 ad 35 ad 36 ) this " ca2+ [overload] ["] hypothesis has been questioned by our theoretical analyses . 0 ###LEFT-WALL### 6 hypothesis 0 ###LEFT-WALL### 9 questioned 0 ###LEFT-WALL### 14 . 1 this 2 " 1 this 3 ca2+ 3 ca2+ 6 hypothesis 6 hypothesis 7 has 7 has 8 been 8 been 9 questioned 9 questioned 10 by 10 by 13 analyses 11 our 13 analyses 12 theoretical 13 analyses to better understand the relationship between the " level " and functionality of ca2+ in aging , in this study we simultaneously measured intracellular ca2+ transients and calpain activity in cultured human fibroblasts . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 3 understand 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 34 . 1 to 3 understand 2 better 3 understand 3 understand 5 relationship 3 understand 6 between 3 understand 15 in 4 the 5 relationship 6 between 11 and 7 the 8 " 7 the 9 level 9 level 10 " 9 level 11 and 11 and 12 functionality 12 functionality 13 of 13 of 14 ca2+ 15 in 16 aging 17 , 21 we 17 , 23 measured 18 in 20 study 18 in 21 we 19 this 20 study 21 we 23 measured 22 simultaneously 23 measured 23 measured 27 and 23 measured 30 in 24 intracellular 26 transients 25 ca2+ 26 transients 26 transients 27 and 27 and 29 activity 28 calpain 29 activity 30 in 33 fibroblasts 31 cultured 33 fibroblasts 32 human 33 fibroblasts we found that ca2+ transitions elicited by bradykinin were indeed overstayed or elevated in levels in old cells but , remarkably , calpain activity was decreased compared to young cells . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 19 but 0 ###LEFT-WALL### 31 . 1 we 2 found 2 found 3 that 3 that 5 transitions 3 that 12 or 4 ca2+ 5 transitions 5 transitions 6 elicited 5 transitions 12 or 6 elicited 7 by 7 by 8 bradykinin 9 were 11 overstayed 9 were 12 or 10 indeed 11 overstayed 12 or 13 elevated 12 or 14 in 12 or 16 in 14 in 15 levels 16 in 18 cells 17 old 18 cells 19 but 21 remarkably 19 but 23 calpain 19 but 27 compared 20 , 21 remarkably 21 remarkably 22 , 23 calpain 24 activity 23 calpain 25 was 23 calpain 26 decreased 23 calpain 27 compared 24 activity 25 was 27 compared 28 to 28 to 30 cells 29 young 30 cells also , treating young cells with the energy inhibitor rotenone or with h2o2 recapitulated the ca2+ [overstay] and calpain inactivation found in old cells . 0 ###LEFT-WALL### 3 treating 0 ###LEFT-WALL### 14 recapitulated 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 25 . 1 also 2 , 1 also 3 treating 3 treating 5 cells 3 treating 11 or 3 treating 14 recapitulated 4 young 5 cells 6 with 10 rotenone 6 with 11 or 7 the 10 rotenone 8 energy 10 rotenone 9 inhibitor 10 rotenone 11 or 12 with 12 with 13 h2o2 14 recapitulated 16 ca2+ 15 the 16 ca2+ 18 and 20 inactivation 18 and 21 found 19 calpain 20 inactivation 20 inactivation 21 found 21 found 22 in 21 found 24 cells 23 old 24 cells more importantly , treating old cells with high - energy compounds such as phosphoenol pyruvate or phosphocreatine , which boosted cellular atp content , reduced the ca2+ [overstay] [and] re - activated calpain . 0 ###LEFT-WALL### 6 cells 0 ###LEFT-WALL### 15 pyruvate 0 ###LEFT-WALL### 16 or 0 ###LEFT-WALL### 34 . 1 more 2 importantly 2 importantly 3 , 2 importantly 6 cells 4 treating 6 cells 5 old 6 cells 6 cells 7 with 6 cells 13 as 6 cells 15 pyruvate 7 with 11 compounds 8 high 9 - 8 high 10 energy 10 energy 11 compounds 12 such 13 as 13 as 14 phosphoenol 16 or 17 phosphocreatine 16 or 25 reduced 17 phosphocreatine 19 which 17 phosphocreatine 25 reduced 18 , 19 which 19 which 23 content 19 which 24 , 20 boosted 22 atp 21 cellular 22 atp 22 atp 23 content 25 reduced 27 ca2+ 26 the 27 ca2+ 27 ca2+ 30 re 30 re 31 - 30 re 33 calpain 32 activated 33 calpain moreover , ca2+ levels and calpain activity were dramatically raised in the dying cells killed by detergent . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 10 raised 0 ###LEFT-WALL### 18 . 1 moreover 2 , 1 moreover 5 and 3 ca2+ 4 levels 4 levels 5 and 5 and 7 activity 5 and 8 were 6 calpain 7 activity 8 were 10 raised 9 dramatically 10 raised 10 raised 11 in 10 raised 16 by 11 in 14 cells 12 the 14 cells 13 dying 14 cells 14 cells 15 killed 16 by 17 detergent finally , ca2+ oscillations induced by low dose [of] bradykinin in old cells exhibited lower spike frequency , but higher overall levels . 0 ###LEFT-WALL### 4 oscillations 0 ###LEFT-WALL### 15 lower 0 ###LEFT-WALL### 23 . 1 finally 2 , 1 finally 4 oscillations 3 ca2+ 4 oscillations 4 oscillations 5 induced 4 oscillations 15 lower 5 induced 6 by 6 by 10 bradykinin 7 low 10 bradykinin 8 dose 10 bradykinin 10 bradykinin 11 in 10 bradykinin 14 exhibited 11 in 13 cells 12 old 13 cells 15 lower 22 levels 16 spike 22 levels 17 frequency 19 but 18 , 19 but 19 but 20 higher 19 but 21 overall 21 overall 22 levels collectively , these results suggest that [(] a [ )(ca2+ overload in old cells [arises] from an inefficient ca2+ handling system [compromised] by age - related energy depletion and oxidative stress [;] [and] [(] [b] [ )(despite elevated levels , the functionality of ca2+ signaling has diminished in old cells . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 11 overload 1 collectively 2 , 1 collectively 4 results 3 these 4 results 4 results 5 suggest 5 suggest 6 that 6 that 10 )(ca2+ 6 that 11 overload 8 a 10 )(ca2+ 11 overload 12 in 11 overload 14 cells 11 overload 16 from 12 in 13 old 16 from 21 system 17 an 21 system 18 inefficient 19 ca2+ 19 ca2+ 20 handling 20 handling 21 system 21 system 23 by 21 system 29 and 21 system 31 stress 23 by 24 age 24 age 26 related 25 - 26 related 27 energy 28 depletion 28 depletion 29 and 29 and 30 oxidative 29 and 31 stress 31 stress 37 )(despite 37 )(despite 39 levels 38 elevated 39 levels 39 levels 42 functionality 40 , 42 functionality 41 the 42 functionality 42 functionality 43 of 42 functionality 45 signaling 42 functionality 47 diminished 42 functionality 51 . 43 of 44 ca2+ 45 signaling 46 has 46 has 47 diminished 47 diminished 48 in 48 in 50 cells 49 old 50 cells we investigated rapid object categorization and , more specifically , the ability to detect a target object within a natural scene in people with mild alzheimer 's disease ( ad ) using a saccadic choice task . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 37 . 1 we 2 investigated 2 investigated 6 and 2 investigated 13 to 2 investigated 18 within 2 investigated 22 in 3 rapid 4 object 4 object 5 categorization 5 categorization 6 and 6 and 9 specifically 6 and 12 ability 7 , 9 specifically 8 more 9 specifically 9 specifically 10 , 11 the 12 ability 13 to 14 detect 14 detect 17 object 15 a 17 object 16 target 17 object 18 within 21 scene 19 a 21 scene 20 natural 21 scene 22 in 23 people 23 people 24 with 23 people 32 using 24 with 28 disease 25 mild 26 alzheimer 26 alzheimer 27 's 27 's 28 disease 28 disease 30 ad 29 ( 30 ad 30 ad 31 ) 32 using 36 task 33 a 36 task 34 saccadic 36 task 35 choice 36 task seventeen patients with mild ad and 23 healthy age - matched controls took part in the study . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 10 - 1 seventeen 2 patients 2 patients 3 with 2 patients 6 and 3 with 5 ad 4 mild 5 ad 6 and 9 age 7 23 9 age 8 healthy 9 age 10 - 12 controls 10 - 14 part 10 - 18 . 11 matched 12 controls 12 controls 14 part 13 took 14 part 14 part 15 in 15 in 17 study 16 the 17 study a group of 24 young healthy observers [was] included as it has been reported that normal aging affects eye movements . 0 ###LEFT-WALL### 7 observers 0 ###LEFT-WALL### 19 eye 0 ###LEFT-WALL### 21 . 1 a 2 group 2 group 3 of 2 group 7 observers 3 of 7 observers 4 24 7 observers 5 young 6 healthy 6 healthy 7 observers 7 observers 9 included 7 observers 15 that 7 observers 18 affects 7 observers 19 eye 9 included 10 as 10 as 14 reported 11 it 12 has 12 has 13 been 13 been 14 reported 15 that 17 aging 15 that 18 affects 16 normal 17 aging 17 aging 18 affects 19 eye 20 movements participants were presented with pairs of colored photographs of natural scenes , one containing an animal ( the target ) and one containing various objects ( distracter ) , displayed for 1 s left and right of fixation . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 presented 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 39 . 1 participants 2 were 2 were 3 presented 3 presented 4 with 4 with 5 pairs 5 pairs 6 of 6 of 8 photographs 7 colored 8 photographs 8 photographs 9 of 9 of 11 scenes 10 natural 11 scenes 12 , 35 and 13 one 14 containing 13 one 21 and 14 containing 16 animal 15 an 16 animal 16 animal 19 target 17 ( 19 target 18 the 19 target 19 target 20 ) 21 and 22 one 21 and 29 , 21 and 30 displayed 21 and 31 for 21 and 34 left 21 and 35 and 22 one 23 containing 23 containing 25 objects 24 various 25 objects 25 objects 27 distracter 26 ( 27 distracter 27 distracter 28 ) 31 for 33 s 32 1 33 s 35 and 36 right 35 and 37 of 37 of 38 fixation they were asked to saccade to the scene containing an animal . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 asked 0 ###LEFT-WALL### 12 . 1 they 2 were 2 were 3 asked 3 asked 4 to 3 asked 5 saccade 4 to 5 saccade 5 saccade 6 to 6 to 8 scene 7 the 8 scene 8 scene 9 containing 9 containing 11 animal 10 an 11 animal neither pathology nor age affected temporal ( saccade latencies and durations ) and spatial ( saccade amplitude ) parameters of eye movements . 0 ###LEFT-WALL### 3 nor 0 ###LEFT-WALL### 5 affected 0 ###LEFT-WALL### 23 . 1 neither 3 nor 2 pathology 3 nor 3 nor 4 age 3 nor 5 affected 5 affected 19 parameters 6 temporal 13 and 6 temporal 19 parameters 7 ( 13 and 8 saccade 9 latencies 9 latencies 10 and 10 and 11 durations 10 and 12 ) 10 and 13 and 13 and 14 spatial 13 and 17 amplitude 13 and 18 ) 15 ( 17 amplitude 16 saccade 17 amplitude 17 amplitude 18 ) 19 parameters 20 of 20 of 22 movements 21 eye 22 movements patients with ad were significantly less accurate than age - matched controls , and older participants were less accurate than young observers . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 10 - 1 patients 2 with 1 patients 4 were 2 with 3 ad 4 were 5 significantly 4 were 6 less 4 were 7 accurate 7 accurate 8 than 8 than 9 age 10 - 16 participants 10 - 17 were 10 - 23 . 11 matched 12 controls 12 controls 14 and 13 , 14 and 14 and 15 older 14 and 16 participants 16 participants 17 were 17 were 19 accurate 18 less 19 accurate 19 accurate 20 than 20 than 22 observers 21 young 22 observers the results are interpreted in terms of noisier sensory information and increased uncertainty in relation to deficits in the magnocellular pathway . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 22 . 1 the 2 results 2 results 3 are 3 are 11 and 4 interpreted 5 in 4 interpreted 11 and 5 in 6 terms 6 terms 7 of 7 of 10 information 8 noisier 10 information 9 sensory 10 information 11 and 12 increased 12 increased 13 uncertainty 12 increased 16 to 12 increased 18 in 14 in 15 relation 15 relation 16 to 16 to 17 deficits 18 in 21 pathway 19 the 21 pathway 20 magnocellular 21 pathway the results suggest that , even at a mild stage of the pathology , people exhibit difficulties in selecting relevant objects . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 22 . 1 the 2 results 2 results 3 suggest 3 suggest 4 that 4 that 15 people 4 that 16 exhibit 5 , 6 even 6 even 7 at 6 even 14 , 6 even 15 people 7 at 10 stage 8 a 9 mild 8 a 10 stage 9 mild 10 stage 10 stage 11 of 11 of 13 pathology 12 the 13 pathology 15 people 16 exhibit 16 exhibit 17 difficulties 16 exhibit 18 in 18 in 19 selecting 19 selecting 21 objects 20 relevant 21 objects cerebral microinfarcts ( cmis ) are a common finding in neuropathological studies of aging and dementia . 0 ###LEFT-WALL### 2 microinfarcts 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 17 . 1 cerebral 2 microinfarcts 2 microinfarcts 4 cmis 2 microinfarcts 6 are 3 ( 4 cmis 4 cmis 5 ) 6 are 9 finding 7 a 8 common 7 a 9 finding 8 common 9 finding 9 finding 10 in 10 in 15 and 11 neuropathological 12 studies 12 studies 13 of 12 studies 15 and 13 of 14 aging 15 and 16 dementia recently , it has become possible to detect cmis in vivo . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 5 become 0 ###LEFT-WALL### 12 . 1 recently 2 , 1 recently 3 it 3 it 4 has 4 has 5 become 5 become 6 possible 6 possible 7 to 6 possible 8 detect 7 to 8 detect 8 detect 9 cmis 8 detect 11 vivo 10 in 11 vivo we studied [cmi] occurrence in 29 patients with mild cognitive impairment or early alzheimer 's disease ( ad ) and 22 [non] - demented individuals [on] 7tesla mri . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 studied 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 27 7tesla 0 ###LEFT-WALL### 29 . 1 we 2 studied 2 studied 4 occurrence 4 occurrence 5 in 4 occurrence 18 ad 5 in 7 patients 6 29 7 patients 7 patients 8 with 8 with 12 or 9 mild 11 impairment 10 cognitive 11 impairment 11 impairment 12 or 12 or 16 disease 13 early 14 alzheimer 14 alzheimer 15 's 15 's 16 disease 17 ( 18 ad 18 ad 19 ) 20 and 21 22 20 and 23 - 21 22 23 - 23 - 25 individuals 24 demented 25 individuals 25 individuals 27 7tesla 27 7tesla 28 mri [cmi] occurrence in patients ( 55 % ) and controls ( 45 % [ )(was not significantly different . 0 ###LEFT-WALL### 9 and 2 occurrence 3 in 2 occurrence 9 and 3 in 4 patients 4 patients 7 % 5 ( 7 % 6 55 7 % 7 % 8 ) 9 and 10 controls 9 and 18 different 11 ( 18 different 12 45 13 % 13 % 15 )(was 15 )(was 16 not 16 not 17 significantly 17 significantly 18 different 18 different 19 . in patients , cmi [number] tended to be related [to] microbleed [number] ( p = 0.07 ) . 0 ###LEFT-WALL### 4 cmi 0 ###LEFT-WALL### 6 tended 0 ###LEFT-WALL### 18 . 1 in 2 patients 1 in 3 , 1 in 4 cmi 4 cmi 6 tended 6 tended 7 to 6 tended 15 = 7 to 8 be 8 be 9 related 9 related 11 microbleed 13 ( 15 = 14 p 15 = 15 = 16 0.07 15 = 17 ) [this] first in vivo study of cmis in early ad does not confirm findings from autopsy studies . 0 ###LEFT-WALL### 5 study 0 ###LEFT-WALL### 13 confirm 0 ###LEFT-WALL### 18 . 2 first 5 study 3 in 4 vivo 4 vivo 5 study 5 study 6 of 5 study 11 does 6 of 7 cmis 7 cmis 8 in 8 in 10 ad 9 early 10 ad 11 does 12 not 11 does 13 confirm 13 confirm 14 findings 14 findings 15 from 15 from 17 studies 16 autopsy 17 studies further studies are needed to clarify the role of cmis in ad . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 needed 0 ###LEFT-WALL### 13 . 1 further 2 studies 2 studies 3 are 3 are 4 needed 4 needed 5 to 5 to 6 clarify 6 clarify 8 role 6 clarify 11 in 7 the 8 role 8 role 9 of 9 of 10 cmis 11 in 12 ad it has been suggested that systemic infection , occurring during aging and chronic neurodegenerative diseases , can evoke an immune response that aggravates the progression of neurodegeneration and cognitive decline . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 31 . 1 it 2 has 2 has 3 been 3 been 8 , 4 suggested 7 infection 4 suggested 8 , 5 that 7 infection 6 systemic 7 infection 8 , 18 evoke 9 occurring 10 during 9 occurring 17 can 10 during 12 and 11 aging 12 and 12 and 15 diseases 12 and 16 , 13 chronic 15 diseases 14 neurodegenerative 15 diseases 17 can 18 evoke 18 evoke 21 response 19 an 20 immune 19 an 21 response 20 immune 21 response 21 response 22 that 21 response 23 aggravates 22 that 23 aggravates 23 aggravates 25 progression 24 the 25 progression 25 progression 26 of 26 of 28 and 27 neurodegeneration 28 and 28 and 30 decline 29 cognitive 30 decline it has been shown that the ad11 neurodegeneration mouse model , expressing a recombinant anti - nerve growth factor ( ngf ) [antibody] , shows a milder phenotype when housed in murine [pathogen] - free ( mpf ) conditions with respect to ad11 mice reared in conventional ( cv ) housing . 1 it 2 has 2 has 3 been 3 been 4 shown 4 shown 5 that 5 that 10 model 5 that 25 shows 6 the 10 model 7 ad11 9 mouse 8 neurodegeneration 9 mouse 9 mouse 10 model 10 model 12 expressing 10 model 25 shows 11 , 12 expressing 12 expressing 19 factor 12 expressing 24 , 13 a 19 factor 14 recombinant 19 factor 15 anti 16 - 15 anti 17 nerve 17 nerve 18 growth 18 growth 19 factor 19 factor 21 ngf 20 ( 21 ngf 21 ngf 22 ) 25 shows 28 phenotype 25 shows 29 when 25 shows 31 in 26 a 28 phenotype 27 milder 28 phenotype 29 when 30 housed 31 in 32 murine 32 murine 39 conditions 34 - 39 conditions 35 free 37 mpf 35 free 38 ) 35 free 39 conditions 36 ( 37 mpf 37 mpf 38 ) 39 conditions 40 with 39 conditions 44 mice 39 conditions 45 reared 39 conditions 52 . 40 with 41 respect 41 respect 42 to 42 to 43 ad11 44 mice 45 reared 45 reared 46 in 46 in 51 housing 47 conventional 49 cv 47 conventional 50 ) 47 conventional 51 housing 48 ( 49 cv 49 cv 50 ) ad10 mice , a variant of the anti - ngf ad11 model , expressing only an immunoglobulin light chain for the transgenic anti - ngf antibody , in the absence of the corresponding transgenic antibody chain vh , exhibit a complex neurodegenerative phenotype , similar to that of ad11 mice . 0 ###LEFT-WALL### 2 mice 0 ###LEFT-WALL### 39 exhibit 1 ad10 2 mice 2 mice 5 variant 2 mice 14 expressing 2 mice 39 exhibit 3 , 5 variant 4 a 5 variant 5 variant 6 of 5 variant 13 , 6 of 12 model 7 the 12 model 8 anti 9 - 8 anti 12 model 10 ngf 11 ad11 11 ad11 12 model 13 , 14 expressing 14 expressing 15 only 14 expressing 19 chain 14 expressing 38 , 16 an 19 chain 17 immunoglobulin 18 light 18 light 19 chain 19 chain 20 for 20 for 26 antibody 21 the 26 antibody 22 transgenic 26 antibody 23 anti 24 - 23 anti 26 antibody 25 ngf 26 antibody 26 antibody 28 in 27 , 28 in 28 in 30 absence 28 in 38 , 29 the 30 absence 30 absence 31 of 31 of 37 vh 32 the 37 vh 33 corresponding 37 vh 34 transgenic 35 antibody 35 antibody 37 vh 36 chain 37 vh 39 exhibit 43 phenotype 40 a 41 complex 40 a 43 phenotype 41 complex 43 phenotype 42 neurodegenerative 43 phenotype 43 phenotype 45 similar 44 , 45 similar 45 similar 46 to 45 similar 51 . 46 to 47 that 47 that 48 of 48 of 50 mice 49 ad11 50 mice here we show that the ad10 transgenic mice , housed in murine [pathogen] - free conditions ( mpf - ad10 mice ) , also display a milder behavioral and neurodegenerative phenotype compared to the corresponding mice kept under conventional housing conditions ( cv - ad10 ) . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 47 . 1 here 2 we 2 we 23 , 3 show 4 that 3 show 23 , 4 that 8 mice 4 that 15 free 5 the 8 mice 6 ad10 8 mice 7 transgenic 8 mice 8 mice 10 housed 8 mice 15 free 9 , 10 housed 10 housed 11 in 10 housed 14 - 11 in 12 murine 15 free 16 conditions 15 free 19 - 17 ( 19 - 18 mpf 19 - 19 - 21 mice 19 - 22 ) 20 ad10 21 mice 23 , 25 display 23 , 31 phenotype 24 also 25 display 26 a 31 phenotype 27 milder 31 phenotype 28 behavioral 29 and 29 and 30 neurodegenerative 29 and 31 phenotype 31 phenotype 32 compared 31 phenotype 37 kept 31 phenotype 38 under 31 phenotype 43 cv 31 phenotype 45 ad10 32 compared 33 to 33 to 36 mice 34 the 36 mice 35 corresponding 36 mice 38 under 41 conditions 39 conventional 40 housing 40 housing 41 conditions 42 ( 43 cv 43 cv 44 - 44 - 45 ad10 45 ad10 46 ) as a first step toward the identification of mechanisms underlying this difference , a differential gene expression profiling was performed on brains from cv - ad10 and mpf - ad10 mice , showing a decrease of the immune response and neuroinflammation gene expression in mpf - ad10 mice . 0 ###LEFT-WALL### 16 gene 0 ###LEFT-WALL### 20 performed 1 as 4 step 1 as 16 gene 2 a 4 step 3 first 4 step 4 step 5 toward 4 step 8 of 5 toward 7 identification 6 the 7 identification 8 of 9 mechanisms 10 underlying 12 difference 10 underlying 13 , 10 underlying 16 gene 11 this 12 difference 14 a 16 gene 15 differential 16 gene 16 gene 18 profiling 16 gene 19 was 16 gene 20 performed 17 expression 18 profiling 18 profiling 19 was 20 performed 21 on 20 performed 44 in 21 on 22 brains 22 brains 23 from 22 brains 33 showing 23 from 24 cv 24 cv 28 mpf 24 cv 31 mice 25 - 28 mpf 26 ad10 27 and 27 and 28 mpf 28 mpf 29 - 29 - 31 mice 30 ad10 31 mice 31 mice 32 , 33 showing 35 decrease 33 showing 40 and 34 a 35 decrease 35 decrease 36 of 36 of 39 response 37 the 39 response 38 immune 39 response 40 and 43 expression 41 neuroinflammation 42 gene 42 gene 43 expression 44 in 45 mpf 45 mpf 48 mice 46 - 48 mice 47 ad10 48 mice 48 mice 49 . results suggest that the activation of the immune response gene expression in the cv - ad10 , in a microbially unprotected environment , might contribute to a [more] severe and progressive neurodegenerative phenotype , compared to the mpf mice . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 40 . 1 results 2 suggest 2 suggest 3 that 3 that 5 activation 3 that 34 , 4 the 5 activation 5 activation 6 of 5 activation 12 in 5 activation 34 , 6 of 11 expression 7 the 11 expression 8 immune 9 response 9 response 10 gene 10 gene 11 expression 12 in 14 cv 13 the 14 cv 14 cv 16 ad10 15 - 16 ad10 16 ad10 18 in 16 ad10 23 , 17 , 18 in 18 in 22 environment 18 in 23 , 19 a 20 microbially 19 a 22 environment 20 microbially 21 unprotected 21 unprotected 22 environment 24 might 25 contribute 24 might 34 , 25 contribute 26 to 26 to 33 phenotype 27 a 33 phenotype 29 severe 30 and 30 and 31 progressive 30 and 33 phenotype 32 neurodegenerative 33 phenotype 34 , 35 compared 34 , 36 to 34 , 39 mice 36 to 38 mpf 37 the 38 mpf objectives : this study used a qualitative approach to explore the perspectives of adults with hearing impairment on hearing help - seeking and rehabilitation . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 used 2 : 21 - 3 this 4 study 4 study 5 used 5 used 8 approach 5 used 9 to 5 used 10 explore 6 a 7 qualitative 6 a 8 approach 7 qualitative 8 approach 9 to 10 explore 10 explore 12 perspectives 11 the 12 perspectives 12 perspectives 13 of 13 of 14 adults 14 adults 15 with 15 with 17 impairment 16 hearing 17 impairment 17 impairment 18 on 18 on 19 hearing 19 hearing 20 help 21 - 23 and 21 - 25 . 22 seeking 23 and 23 and 24 rehabilitation two superordinate themes , age and brain , emerged from prior analyses and [are] investigated in the present article . 0 ###LEFT-WALL### 3 themes 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 20 . 1 two 3 themes 2 superordinate 3 themes 3 themes 6 and 3 themes 13 and 4 , 6 and 5 age 6 and 6 and 7 brain 6 and 8 , 9 emerged 10 from 9 emerged 13 and 10 from 12 analyses 11 prior 12 analyses 13 and 15 investigated 13 and 16 in 16 in 19 article 17 the 19 article 18 present 19 article design : in - depth semistructured interviews were completed in four countries with 34 adults ( aged 26 to 96 years ) with hearing impairment . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 26 . 1 design 2 : 2 : 3 in 4 - 7 interviews 4 - 9 completed 5 depth 6 semistructured 6 semistructured 7 interviews 7 interviews 8 were 8 were 9 completed 9 completed 10 in 9 completed 23 with 10 in 12 countries 11 four 12 countries 12 countries 13 with 13 with 15 adults 14 34 15 adults 15 adults 17 aged 16 ( 17 aged 17 aged 18 26 17 aged 19 to 17 aged 22 ) 19 to 21 years 20 96 21 years 23 with 24 hearing 24 hearing 25 impairment participants were asked to " tell the story of your hearing . " 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 asked 0 ###LEFT-WALL### 12 . 1 participants 2 were 2 were 3 asked 3 asked 4 to 3 asked 6 tell 4 to 5 " 4 to 6 tell 6 tell 8 story 7 the 8 story 8 story 9 of 9 of 11 hearing 10 your 11 hearing 12 . 13 " participants included individuals with different levels of experiences in hearing help - seeking and rehabilitation . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 included 0 ###LEFT-WALL### 12 - 1 participants 2 included 2 included 3 individuals 2 included 4 with 2 included 9 in 4 with 6 levels 5 different 6 levels 6 levels 7 of 7 of 8 experiences 9 in 10 hearing 10 hearing 11 help 12 - 14 and 12 - 16 . 13 seeking 14 and 14 and 15 rehabilitation the themes of age and brain emerged from the data based on qualitative content analysis . 0 ###LEFT-WALL### 2 themes 0 ###LEFT-WALL### 7 emerged 0 ###LEFT-WALL### 16 . 1 the 2 themes 2 themes 3 of 2 themes 7 emerged 3 of 5 and 4 age 5 and 5 and 6 brain 7 emerged 8 from 8 from 10 data 9 the 10 data 10 data 11 based 11 based 12 on 12 on 15 analysis 13 qualitative 15 analysis 14 content 15 analysis these major themes were analyzed further using interpretative phenomenology to create models of themes and subthemes as they related to hearing help - seeking and rehabilitation expectations and experience . 0 ###LEFT-WALL### 3 themes 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 19 related 0 ###LEFT-WALL### 23 - 1 these 3 themes 2 major 3 themes 3 themes 4 were 4 were 5 analyzed 5 analyzed 6 further 5 analyzed 7 using 7 using 9 phenomenology 7 using 10 to 8 interpretative 9 phenomenology 10 to 15 and 11 create 12 models 11 create 15 and 12 models 13 of 13 of 14 themes 15 and 16 subthemes 15 and 17 as 17 as 18 they 17 as 19 related 18 they 19 related 19 related 20 to 20 to 21 hearing 21 hearing 22 help 23 - 28 and 23 - 30 . 24 seeking 25 and 25 and 26 rehabilitation 25 and 27 expectations 27 expectations 28 and 28 and 29 experience results : age was discussed by 68 % of the 34 participants . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 age 2 : 5 discussed 2 : 13 . 3 age 4 was 4 was 5 discussed 5 discussed 6 by 6 by 8 % 7 68 8 % 8 % 9 of 9 of 12 participants 10 the 11 34 11 34 12 participants the data were sorted into three themes : expectations , self - image , and ways of coping . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 4 sorted 0 ###LEFT-WALL### 8 : 1 the 2 data 2 data 3 were 3 were 4 sorted 4 sorted 5 into 5 into 7 themes 6 three 7 themes 8 : 15 and 8 : 19 . 9 expectations 10 , 10 , 11 self 10 , 15 and 11 self 13 image 12 - 13 image 13 image 14 , 14 , 15 and 15 and 16 ways 15 and 17 of 17 of 18 coping brain was discussed by 50 % of the participants . 0 ###LEFT-WALL### 1 brain 0 ###LEFT-WALL### 3 discussed 0 ###LEFT-WALL### 10 . 1 brain 2 was 2 was 3 discussed 3 discussed 4 by 4 by 6 % 5 50 6 % 6 % 7 of 7 of 9 participants 8 the 9 participants the data were sorted into three themes : cognitive operations , plasticity , and mental effort . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 4 sorted 0 ###LEFT-WALL### 8 : 1 the 2 data 2 data 3 were 3 were 4 sorted 4 sorted 5 into 5 into 7 themes 6 three 7 themes 8 : 14 and 8 : 17 . 9 cognitive 10 operations 10 operations 11 , 11 , 12 plasticity 11 , 14 and 13 , 14 and 14 and 16 effort 15 mental 16 effort conclusions : adults with hearing impairment think of their age and their brain as contributing to their hearing impairment , disability , help - seeking , and rehabilitation . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 think 2 : 3 adults 3 adults 4 with 4 with 5 hearing 5 hearing 6 impairment 5 hearing 7 think 7 think 8 of 7 think 14 as 8 of 11 and 9 their 10 age 10 age 11 and 11 and 13 brain 12 their 13 brain 14 as 15 contributing 15 contributing 16 to 15 contributing 21 disability 16 to 19 impairment 17 their 19 impairment 18 hearing 19 impairment 20 , 21 disability 21 disability 23 help 21 disability 29 . 22 , 23 help 23 help 27 and 23 help 29 . 24 - 27 and 25 seeking 27 and 26 , 27 and 27 and 28 rehabilitation 27 and 29 . although hearing impairment associated with older age was typically construed as a stigma , not all perceptions of aging and hearing impairment were negative . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 23 were 0 ###LEFT-WALL### 25 . 1 although 2 hearing 1 although 10 construed 1 although 14 , 1 although 20 and 2 hearing 3 impairment 2 hearing 8 was 3 impairment 4 associated 3 impairment 5 with 5 with 7 age 6 older 7 age 8 was 10 construed 9 typically 10 construed 10 construed 11 as 11 as 13 stigma 12 a 13 stigma 15 not 16 all 15 not 20 and 17 perceptions 18 of 17 perceptions 20 and 18 of 19 aging 20 and 22 impairment 20 and 23 were 21 hearing 22 impairment 23 were 24 negative some participants viewed older age and its influence on relationships or priorities as a reason for seeking out hearing health care [or] as the determining factor in deciding to wear hearing aids ( has ) . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 3 viewed 0 ###LEFT-WALL### 11 or 0 ###LEFT-WALL### 30 wear 0 ###LEFT-WALL### 36 . 1 some 2 participants 2 participants 3 viewed 3 viewed 6 and 3 viewed 9 on 4 older 5 age 5 age 6 and 6 and 8 influence 7 its 8 influence 9 on 10 relationships 11 or 12 priorities 11 or 21 care 12 priorities 13 as 12 priorities 16 for 12 priorities 21 care 13 as 15 reason 14 a 15 reason 16 for 17 seeking 17 seeking 18 out 17 seeking 20 health 19 hearing 20 health 21 care 23 as 21 care 29 to 23 as 26 factor 24 the 26 factor 25 determining 26 factor 26 factor 27 in 27 in 28 deciding 29 to 30 wear 30 wear 32 aids 31 hearing 32 aids 32 aids 34 has 33 ( 34 has 34 has 35 ) some expected hearing impairment with older age , thus they found it easier to accept wearing has than they may have at a younger age . 0 ###LEFT-WALL### 1 some 0 ###LEFT-WALL### 11 found 0 ###LEFT-WALL### 26 . 1 some 2 expected 2 expected 4 impairment 2 expected 5 with 2 expected 9 thus 3 hearing 4 impairment 5 with 7 age 6 older 7 age 8 , 9 thus 9 thus 10 they 10 they 11 found 11 found 12 it 12 it 13 easier 12 it 16 wearing 13 easier 14 to 13 easier 15 accept 14 to 15 accept 16 wearing 17 has 16 wearing 18 than 16 wearing 22 at 18 than 21 have 19 they 20 may 20 may 21 have 22 at 25 age 23 a 25 age 24 younger 25 age they discussed the brain in terms of the cognitive operations that may either inhibit or improve speech communication . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 15 or 0 ###LEFT-WALL### 19 . 1 they 15 or 2 discussed 4 brain 2 discussed 5 in 2 discussed 15 or 3 the 4 brain 5 in 6 terms 6 terms 7 of 7 of 10 operations 8 the 10 operations 9 cognitive 10 operations 10 operations 11 that 10 operations 14 inhibit 11 that 12 may 12 may 14 inhibit 13 either 14 inhibit 15 or 16 improve 16 improve 18 communication 17 speech 18 communication participants believed that they could train their brains to improve their communication ( and sometimes avoid the need for has [ )(or to increase their ha benefit . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 28 . 1 participants 14 and 2 believed 3 that 2 believed 14 and 3 that 4 they 3 that 6 train 4 they 5 could 5 could 6 train 6 train 8 brains 6 train 9 to 6 train 10 improve 7 their 8 brains 9 to 10 improve 10 improve 12 communication 11 their 12 communication 13 ( 14 and 14 and 22 )(or 15 sometimes 16 avoid 16 avoid 18 need 16 avoid 22 )(or 17 the 18 need 18 need 19 for 19 for 20 has 22 )(or 23 to 22 )(or 27 benefit 23 to 24 increase 24 increase 26 ha 25 their 26 ha age and brain interconnected in a number of ways . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 10 . 1 age 2 and 2 and 3 brain 2 and 4 interconnected 4 interconnected 5 in 5 in 9 ways 6 a 7 number 7 number 8 of 7 number 9 ways 8 of 9 ways participants believed that older age led to [cognitive] decline , which resulted in decreased speech understanding . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 believed 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 17 . 1 participants 2 believed 2 believed 3 that 3 that 5 age 3 that 6 led 4 older 5 age 5 age 6 led 6 led 7 to 7 to 9 decline 10 , 11 which 10 , 12 resulted 11 which 12 resulted 12 resulted 13 in 13 in 16 understanding 14 decreased 15 speech 15 speech 16 understanding participants also believed that the cognitive decline that accompanies older age may limit ha benefit . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 15 benefit 0 ###LEFT-WALL### 16 . 1 participants 3 believed 1 participants 4 that 1 participants 13 limit 1 participants 15 benefit 2 also 3 believed 4 that 7 decline 4 that 13 limit 5 the 7 decline 6 cognitive 7 decline 7 decline 8 that 7 decline 9 accompanies 7 decline 12 may 8 that 9 accompanies 9 accompanies 11 age 10 older 11 age 12 may 13 limit 13 limit 14 ha hearing healthcare providers may wish to clarify negative messages about age and brain with their patients and provide information about how older brains are capable of changing and benefiting from ha use and comprehensive audiologic rehabilitation programs . 0 ###LEFT-WALL### 1 hearing 0 ###LEFT-WALL### 5 wish 0 ###LEFT-WALL### 38 . 1 hearing 3 providers 1 hearing 4 may 2 healthcare 3 providers 4 may 5 wish 5 wish 6 to 5 wish 20 about 6 to 17 and 7 clarify 9 messages 7 clarify 10 about 7 clarify 17 and 8 negative 9 messages 10 about 12 and 11 age 12 and 12 and 13 brain 12 and 14 with 14 with 16 patients 15 their 16 patients 17 and 18 provide 17 and 19 information 20 about 21 how 21 how 28 and 21 how 37 programs 22 older 23 brains 23 brains 24 are 23 brains 28 and 24 are 25 capable 25 capable 26 of 26 of 27 changing 28 and 29 benefiting 29 benefiting 30 from 29 benefiting 37 programs 30 from 33 and 31 ha 32 use 32 use 33 and 33 and 36 rehabilitation 34 comprehensive 36 rehabilitation 35 audiologic 36 rehabilitation background : aging adversely affects nitrogen accretion during health , but its effect during critical illness is unknown . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 aging 2 : 5 affects 2 : 11 but 2 : 19 . 3 aging 5 affects 4 adversely 5 affects 5 affects 7 accretion 5 affects 8 during 6 nitrogen 7 accretion 8 during 9 health 10 , 11 but 11 but 13 effect 11 but 17 is 12 its 13 effect 13 effect 14 during 13 effect 17 is 14 during 16 illness 15 critical 16 illness 17 is 18 unknown nitrogen [balance] ( nb ) response [to] varying protein [intakes] was compared between critically ill , older and younger patients . 0 ###LEFT-WALL### 9 protein 0 ###LEFT-WALL### 12 compared 0 ###LEFT-WALL### 21 . 1 nitrogen 4 nb 3 ( 4 nb 4 nb 5 ) 4 nb 8 varying 6 response 8 varying 8 varying 9 protein 9 protein 11 was 11 was 12 compared 12 compared 13 between 13 between 20 patients 14 critically 15 ill 15 ill 16 , 15 ill 20 patients 17 older 18 and 18 and 19 younger 18 and 20 patients methods : adult patients admitted to the trauma intensive care unit , given enteral or parenteral nutrition , and who had a nb determination within 5 - 14 days after injury were evaluated . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 admitted 0 ###LEFT-WALL### 19 and 1 methods 2 : 2 : 3 adult 4 patients 5 admitted 5 admitted 6 to 5 admitted 13 given 6 to 11 unit 7 the 11 unit 8 trauma 11 unit 9 intensive 10 care 10 care 11 unit 12 , 13 given 13 given 15 or 13 given 17 nutrition 13 given 18 , 14 enteral 15 or 15 or 16 parenteral 18 , 19 and 19 and 20 who 19 and 21 had 20 who 21 had 21 had 24 determination 21 had 25 within 21 had 30 after 22 a 24 determination 23 nb 24 determination 25 within 29 days 26 5 27 - 27 - 28 14 27 - 29 days 30 after 31 injury 30 after 33 evaluated 31 injury 32 were 32 were 33 evaluated 33 evaluated 34 . patients with renal or hepatic disease were excluded . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 8 excluded 0 ###LEFT-WALL### 9 . 1 patients 2 with 1 patients 7 were 2 with 6 disease 3 renal 4 or 4 or 5 hepatic 4 or 6 disease 7 were 8 excluded patients were categorized as older [(] ≥60 years [ )(or younger ( 18 - 59 years of age ) . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 3 categorized 0 ###LEFT-WALL### 20 . 1 patients 2 were 2 were 3 categorized 3 categorized 4 as 3 categorized 10 )(or 4 as 7 ≥60 5 older 7 ≥60 8 years 10 )(or 10 )(or 11 younger 10 )(or 14 - 12 ( 14 - 13 18 14 - 14 - 16 years 14 - 19 ) 15 59 16 years 16 years 17 of 17 of 18 age data are given as mean ± sd or median [ interquartile range ] . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 3 given 0 ###LEFT-WALL### 14 . 1 data 2 are 2 are 3 given 3 given 4 as 4 as 8 or 5 mean 7 sd 6 ± 7 sd 7 sd 8 or 8 or 9 median 8 or 12 range 10 [ 12 range 11 interquartile 12 range 12 range 13 ] results : fifty - four [older] ( 69 [ 65 , 77 []] years ) and 195 [younger] ( 35 [ 27 , 47 []] years ) [patients] were evaluated . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 31 . 1 results 2 : 2 : 4 - 3 fifty 4 - 4 - 5 four 4 - 8 69 4 - 14 years 7 ( 8 69 8 69 10 65 8 69 11 , 9 [ 10 65 10 65 11 , 11 , 14 years 12 77 14 years 14 years 15 ) 16 and 17 195 16 and 29 were 17 195 20 35 17 195 26 years 17 195 29 were 19 ( 20 35 20 35 22 27 20 35 23 , 21 [ 22 27 22 27 23 , 23 , 26 years 24 47 26 years 26 years 27 ) 29 were 30 evaluated nb was blunted for the older patients with an observed trending improvement in nb from - 13.5 ± 5.5 to - 5.6 ± [8.8] g/d ( p = ns [ )(noted at 1.5 - 1.99 g/kg/d . 1 nb 2 was 2 was 3 blunted 3 blunted 4 for 3 blunted 8 with 4 for 7 patients 5 the 7 patients 6 older 7 patients 8 with 12 improvement 8 with 18 ± 9 an 12 improvement 10 observed 12 improvement 11 trending 12 improvement 12 improvement 13 in 12 improvement 15 from 13 in 14 nb 15 from 17 13.5 16 - 17 13.5 18 ± 19 5.5 18 ± 20 to 18 ± 28 = 20 to 25 g/d 21 - 22 5.6 22 5.6 25 g/d 23 ± 25 g/d 26 ( 28 = 27 p 28 = 28 = 29 ns 29 ns 31 )(noted 29 ns 32 at 32 at 33 1.5 33 1.5 36 g/kg/d 34 - 36 g/kg/d 35 1.99 36 g/kg/d 36 g/kg/d 37 . nb improved from - 22.2 ± 8.2 to - 11.8 ± 9.9 g/d ( p = [.] 05 [ )(at 1 - 1.49 g/kg/d and [modestly] thereafter for [each] 0.5 - [g/kg/d] increase in protein intake for the younger patients . 0 ###LEFT-WALL### 1 nb 0 ###LEFT-WALL### 11 ± 1 nb 2 improved 1 nb 3 from 1 nb 11 ± 3 from 5 22.2 4 - 5 22.2 5 22.2 6 ± 6 ± 8 to 7 8.2 8 to 8 to 10 11.8 9 - 10 11.8 11 ± 13 g/d 11 ± 16 = 12 9.9 13 g/d 14 ( 16 = 15 p 16 = 16 = 18 05 18 05 25 and 20 )(at 24 g/kg/d 20 )(at 25 and 21 1 22 - 22 - 23 1.49 22 - 24 g/kg/d 25 and 27 thereafter 25 and 28 for 28 for 30 0.5 30 0.5 33 increase 31 - 33 increase 33 increase 34 in 33 increase 37 for 33 increase 41 . 34 in 36 intake 35 protein 36 intake 37 for 40 patients 38 the 40 patients 39 younger 40 patients serum urea nitrogen concentration during the nb was highly variable but overall greater for the older patients ( 20 [ 14 , 33 []] vs 15 [ 10 , 20 []] mg/dl , p = [.] 001 ) . 0 ###LEFT-WALL### 4 concentration 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 39 . 1 serum 2 urea 2 urea 3 nitrogen 3 nitrogen 4 concentration 4 concentration 5 during 4 concentration 8 was 5 during 7 nb 6 the 7 nb 8 was 9 highly 8 was 11 but 10 variable 11 but 11 but 12 overall 11 but 13 greater 13 greater 14 for 13 greater 35 = 14 for 17 patients 15 the 17 patients 16 older 17 patients 17 patients 19 20 17 patients 23 33 18 ( 19 20 19 20 21 14 19 20 22 , 20 [ 21 14 21 14 22 , 22 , 23 33 23 33 25 vs 23 33 28 10 23 33 29 , 25 vs 26 15 27 [ 28 10 28 10 29 , 30 20 32 mg/dl 32 mg/dl 35 = 33 , 35 = 34 p 35 = 35 = 37 001 35 = 38 ) conclusions : improvement in nitrogen accretion was blunted at lower protein intakes in critically ill , older patients compared with younger patients . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 3 improvement 2 : 8 blunted 3 improvement 4 in 3 improvement 7 was 4 in 6 accretion 5 nitrogen 6 accretion 7 was 8 blunted 8 blunted 9 at 8 blunted 20 with 9 at 12 intakes 10 lower 11 protein 11 protein 12 intakes 12 intakes 13 in 12 intakes 19 compared 13 in 18 patients 14 critically 15 ill 15 ill 16 , 15 ill 18 patients 17 older 18 patients 20 with 22 patients 21 younger 22 patients individualization of protein intake is warranted . 0 ###LEFT-WALL### 1 individualization 0 ###LEFT-WALL### 6 warranted 0 ###LEFT-WALL### 7 . 1 individualization 2 of 1 individualization 5 is 2 of 4 intake 3 protein 4 intake 5 is 6 warranted alzheimer 's disease ( ad ) is a disease of major public health significance , whose pathogenesis [is] strongly linked to the presence of fibrillar aggregates of amyloid - beta ( aβ ) in the aging human brain . 0 ###LEFT-WALL### 3 disease 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 39 . 1 alzheimer 2 's 2 's 3 disease 3 disease 5 ad 3 disease 7 is 4 ( 5 ad 5 ad 6 ) 7 is 9 disease 8 a 9 disease 9 disease 10 of 10 of 14 significance 11 major 12 public 12 public 14 significance 13 health 14 significance 15 , 16 whose 15 , 20 linked 16 whose 17 pathogenesis 17 pathogenesis 20 linked 19 strongly 20 linked 20 linked 21 to 20 linked 34 in 20 linked 38 brain 21 to 23 presence 22 the 23 presence 23 presence 24 of 24 of 26 aggregates 25 fibrillar 26 aggregates 26 aggregates 27 of 26 aggregates 32 aβ 27 of 30 beta 28 amyloid 29 - 28 amyloid 30 beta 31 ( 32 aβ 32 aβ 33 ) 34 in 36 aging 35 the 36 aging 37 human 38 brain we exploited the transgenic ( tg ) - arcswe mouse model for human ad to explore whether oxidative stress and the capacity to repair oxidative dna damage via base excision repair ( ber ) are related to aβ pathology in ad . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 exploited 0 ###LEFT-WALL### 42 . 1 we 2 exploited 2 exploited 11 model 2 exploited 17 whether 3 the 11 model 4 transgenic 6 tg 4 transgenic 8 - 4 transgenic 11 model 5 ( 6 tg 6 tg 7 ) 9 arcswe 11 model 10 mouse 11 model 11 model 12 for 12 for 14 ad 13 human 14 ad 14 ad 15 to 14 ad 16 explore 15 to 16 explore 17 whether 20 and 17 whether 36 related 18 oxidative 19 stress 19 stress 20 and 20 and 22 capacity 20 and 23 to 20 and 28 via 20 and 33 ber 20 and 35 are 21 the 22 capacity 23 to 27 damage 24 repair 27 damage 25 oxidative 27 damage 26 dna 27 damage 28 via 31 repair 29 base 30 excision 30 excision 31 repair 32 ( 33 ber 33 ber 34 ) 35 are 36 related 36 related 37 to 36 related 40 in 37 to 39 pathology 38 aβ 39 pathology 40 in 41 ad tg - arcswe mice express variants of aβ , accumulating senile plaques at 4 - 6 months of age , and develop ad - like neuropathology as adult animals . 0 ###LEFT-WALL### 4 mice 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 24 - 1 tg 2 - 1 tg 4 mice 3 arcswe 4 mice 4 mice 21 and 5 express 6 variants 5 express 21 and 6 variants 7 of 6 variants 10 accumulating 7 of 8 aβ 9 , 10 accumulating 10 accumulating 12 plaques 10 accumulating 13 at 10 accumulating 20 , 11 senile 12 plaques 13 at 17 months 14 4 15 - 15 - 16 6 15 - 17 months 17 months 18 of 18 of 19 age 20 , 21 and 21 and 22 develop 22 develop 23 ad 24 - 25 like 24 - 30 . 25 like 26 neuropathology 25 like 27 as 27 as 29 animals 28 adult 29 animals the relative mrna levels of genes encoding ber enzymes , including 8 - oxoguanine glycosylase ( ogg1 ) , ap endonuclease 1 ( ape1 ) , polymerase β ( polβ ) [and] [poly] ( adp - ribose ) polymerase 1 ( parp1 ) , were quantified in various brain regions of 6 weeks , 4 months and 12 months old mice . 0 ###LEFT-WALL### 4 levels 0 ###LEFT-WALL### 46 quantified 0 ###LEFT-WALL### 62 . 1 the 4 levels 2 relative 3 mrna 3 mrna 4 levels 4 levels 5 of 4 levels 7 encoding 4 levels 45 were 5 of 6 genes 7 encoding 9 enzymes 8 ber 9 enzymes 9 enzymes 11 including 10 , 11 including 11 including 12 8 11 including 44 , 12 8 15 glycosylase 12 8 28 β 13 - 15 glycosylase 14 oxoguanine 15 glycosylase 15 glycosylase 17 ogg1 15 glycosylase 21 endonuclease 15 glycosylase 26 , 16 ( 17 ogg1 17 ogg1 18 ) 19 , 21 endonuclease 20 ap 21 endonuclease 21 endonuclease 22 1 21 endonuclease 24 ape1 21 endonuclease 26 , 23 ( 24 ape1 24 ape1 25 ) 26 , 28 β 27 polymerase 28 β 28 β 30 polβ 28 β 39 polymerase 28 β 43 ) 29 ( 30 polβ 30 polβ 31 ) 34 ( 39 polymerase 35 adp 37 ribose 35 adp 39 polymerase 36 - 37 ribose 37 ribose 38 ) 39 polymerase 40 1 39 polymerase 42 parp1 39 polymerase 43 ) 41 ( 42 parp1 42 parp1 43 ) 45 were 46 quantified 46 quantified 47 in 47 in 57 and 48 various 50 regions 49 brain 50 regions 50 regions 51 of 50 regions 54 , 51 of 53 weeks 52 6 53 weeks 54 , 56 months 54 , 57 and 55 4 56 months 57 and 61 mice 58 12 59 months 59 months 61 mice 60 old 61 mice the results show that ogg1 transcriptional expression was higher , and ape1 expression lower , in 4 months old tg - [arcswe] than in wildtype ( wt ) mice . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 show 1 the 2 results 2 results 3 show 3 show 4 that 3 show 5 ogg1 3 show 11 and 5 ogg1 7 expression 5 ogg1 8 was 6 transcriptional 7 expression 7 expression 8 was 8 was 9 higher 10 , 11 and 11 and 13 expression 11 and 25 wildtype 12 ape1 13 expression 13 expression 14 lower 14 lower 16 in 14 lower 23 than 15 , 16 in 16 in 20 tg 16 in 21 - 17 4 18 months 18 months 20 tg 19 old 20 tg 23 than 24 in 25 wildtype 29 mice 26 ( 29 mice 27 wt 28 ) 27 wt 29 mice 29 mice 30 . furthermore , polβ transcriptional expression was significantly lower in transgenic 12 months old mice than in wt . 0 ###LEFT-WALL### 5 expression 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 18 . 1 furthermore 2 , 1 furthermore 5 expression 2 , 3 polβ 3 polβ 5 expression 4 transcriptional 5 expression 5 expression 6 was 6 was 7 significantly 6 was 8 lower 8 lower 9 in 8 lower 15 than 9 in 14 mice 10 transgenic 14 mice 11 12 12 months 12 months 14 mice 13 old 14 mice 15 than 16 in 16 in 17 wt transcriptional profiling also showed that ber repair capacity [vary] during the lifespan in tg - arcswe and wt mice . 0 ###LEFT-WALL### 2 profiling 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 15 - 1 transcriptional 2 profiling 2 profiling 4 showed 3 also 4 showed 4 showed 5 that 5 that 6 ber 5 that 7 repair 6 ber 7 repair 7 repair 8 capacity 7 repair 10 during 7 repair 13 in 10 during 12 lifespan 11 the 12 lifespan 13 in 14 tg 15 - 17 and 15 - 20 . 16 arcswe 17 and 17 and 19 mice 18 wt 19 mice the ber expression pattern in tg [-] arcswe mice thus reflects responses to oxidative stress in vulnerable brain structures . 0 ###LEFT-WALL### 4 pattern 0 ###LEFT-WALL### 11 reflects 0 ###LEFT-WALL### 20 . 1 the 4 pattern 2 ber 4 pattern 3 expression 4 pattern 4 pattern 5 in 4 pattern 11 reflects 5 in 9 mice 6 tg 8 arcswe 8 arcswe 9 mice 10 thus 11 reflects 11 reflects 12 responses 11 reflects 13 to 11 reflects 16 in 13 to 15 stress 14 oxidative 15 stress 16 in 19 structures 17 vulnerable 18 brain 18 brain 19 structures although reactive oxygen species ( ros [ )(such as superoxide , hydrogen peroxide and hydroxyl radical are generated as the natural byproduct of normal oxygen metabolism , they can create oxidative damage via interaction with bio [-] molecules . 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 18 generated 0 ###LEFT-WALL### 27 , 0 ###LEFT-WALL### 39 . 1 although 4 species 1 although 14 and 2 reactive 3 oxygen 3 oxygen 4 species 4 species 6 ros 5 ( 6 ros 6 ros 9 as 6 ros 11 , 8 )(such 9 as 9 as 10 superoxide 12 hydrogen 13 peroxide 13 peroxide 14 and 14 and 16 radical 14 and 17 are 15 hydroxyl 16 radical 17 are 18 generated 18 generated 19 as 19 as 22 byproduct 20 the 22 byproduct 21 natural 22 byproduct 22 byproduct 23 of 23 of 26 metabolism 24 normal 25 oxygen 25 oxygen 26 metabolism 27 , 28 they 27 , 30 create 28 they 29 can 29 can 30 create 30 create 32 damage 30 create 33 via 31 oxidative 32 damage 33 via 34 interaction 34 interaction 35 with 35 with 38 molecules 36 bio 38 molecules the role of oxidative stress as a remarkable upstream part is frequently reported in the signaling cascade of inflammation as well as chemo attractant production . 0 ###LEFT-WALL### 2 role 0 ###LEFT-WALL### 13 reported 0 ###LEFT-WALL### 26 . 1 the 2 role 2 role 3 of 2 role 6 as 2 role 11 is 3 of 5 stress 4 oxidative 5 stress 6 as 10 part 7 a 10 part 8 remarkable 10 part 9 upstream 10 part 11 is 12 frequently 11 is 13 reported 13 reported 14 in 14 in 17 cascade 15 the 17 cascade 16 signaling 17 cascade 17 cascade 18 of 17 cascade 22 as 18 of 19 inflammation 20 as 21 well 21 well 22 as 22 as 25 production 23 chemo 25 production 24 attractant 25 production even though hydrogen peroxide can control cell signaling and stimulate cell proliferation [at] low levels , in higher concentrations it can initiate apoptosis and [in] very high levels may create necrosis . 0 ###LEFT-WALL### 20 it 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 32 . 1 even 2 though 1 even 16 , 1 even 20 it 2 though 4 peroxide 2 though 9 and 3 hydrogen 4 peroxide 4 peroxide 5 can 5 can 9 and 6 control 8 signaling 6 control 9 and 7 cell 8 signaling 9 and 10 stimulate 10 stimulate 15 levels 11 cell 15 levels 12 proliferation 15 levels 14 low 15 levels 17 in 19 concentrations 17 in 20 it 18 higher 19 concentrations 20 it 21 can 21 can 24 and 22 initiate 23 apoptosis 22 initiate 24 and 24 and 30 create 26 very 27 high 27 high 28 levels 28 levels 29 may 29 may 30 create 30 create 31 necrosis so far , the role of ros in cellular damage and death is well documented with implicating in a broad range of degenerative alterations e.g . carcinogenesis , aging and other oxidative stress related diseases ( osrds ) . 0 ###LEFT-WALL### 5 role 0 ###LEFT-WALL### 15 documented 0 ###LEFT-WALL### 26 . 0 ###LEFT-WALL### 39 . 1 so 2 far 2 far 3 , 2 far 5 role 4 the 5 role 5 role 6 of 5 role 13 is 6 of 11 and 7 ros 8 in 7 ros 11 and 8 in 10 damage 9 cellular 10 damage 11 and 12 death 13 is 14 well 13 is 15 documented 15 documented 16 with 16 with 17 implicating 17 implicating 18 in 17 implicating 25 e.g 18 in 21 range 19 a 21 range 20 broad 21 range 21 range 22 of 22 of 24 alterations 23 degenerative 24 alterations 26 . 27 carcinogenesis 26 . 28 , 28 , 30 and 29 aging 30 and 30 and 35 diseases 30 and 37 osrds 31 other 35 diseases 32 oxidative 33 stress 33 stress 34 related 34 related 35 diseases 36 ( 37 osrds 37 osrds 38 ) reversely , it is [cleared] that antioxidants are potentially able to suppress ( at least [in] [part] ) the immune system and to enhance the normal cellular protective responses to tissue damage . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 33 . 1 reversely 2 , 1 reversely 3 it 3 it 4 is 4 is 6 that 6 that 7 antioxidants 6 that 8 are 7 antioxidants 8 are 8 are 9 potentially 8 are 10 able 10 able 11 to 10 able 22 and 11 to 22 and 12 suppress 15 least 12 suppress 21 system 12 suppress 22 and 13 ( 15 least 14 at 15 least 15 least 18 ) 19 the 21 system 20 immune 21 system 22 and 23 to 22 and 32 damage 23 to 24 enhance 24 enhance 29 responses 24 enhance 30 to 25 the 29 responses 26 normal 29 responses 27 cellular 29 responses 28 protective 29 responses 30 to 31 tissue in this review , we aimed to provide insights on diverse osrds , which are correlated with the concept of oxidative stress as well as its cellular effects that can be inhibited by antioxidants . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 aimed 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 aimed 6 aimed 7 to 6 aimed 8 provide 7 to 8 provide 8 provide 9 insights 8 provide 10 on 10 on 12 osrds 11 diverse 12 osrds 12 osrds 14 which 13 , 14 which 14 which 15 are 14 which 35 . 15 are 16 correlated 16 correlated 17 with 16 correlated 25 as 17 with 19 concept 18 the 19 concept 19 concept 20 of 20 of 22 stress 21 oxidative 22 stress 23 as 24 well 24 well 25 as 25 as 28 effects 26 its 28 effects 27 cellular 28 effects 28 effects 29 that 28 effects 30 can 29 that 30 can 30 can 31 be 31 be 32 inhibited 32 inhibited 33 by 33 by 34 antioxidants resveratrol , angiotensin converting enzyme inhibitors , angiotensin receptor blockers , statins , nebivolol and carvedilol , pentaerythritol tetranitrate , mitochondria - targeted antioxidants , and plant - derived drugs ( alone [or] combined ) are the potential medicines that can be used to control osrd . 0 ###LEFT-WALL### 6 inhibitors 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 47 . 1 resveratrol 2 , 1 resveratrol 6 inhibitors 3 angiotensin 6 inhibitors 4 converting 6 inhibitors 5 enzyme 6 inhibitors 6 inhibitors 10 blockers 6 inhibitors 13 , 7 , 10 blockers 8 angiotensin 9 receptor 9 receptor 10 blockers 10 blockers 11 , 12 statins 13 , 13 , 45 control 14 nebivolol 15 and 15 and 16 carvedilol 15 and 19 tetranitrate 15 and 26 and 17 , 19 tetranitrate 18 pentaerythritol 19 tetranitrate 19 tetranitrate 21 mitochondria 19 tetranitrate 25 , 20 , 21 mitochondria 21 mitochondria 24 antioxidants 21 mitochondria 25 , 22 - 24 antioxidants 23 targeted 24 antioxidants 24 antioxidants 25 , 26 and 27 plant 26 and 30 drugs 26 and 36 are 28 - 30 drugs 29 derived 30 drugs 30 drugs 34 combined 30 drugs 35 ) 31 ( 34 combined 32 alone 34 combined 34 combined 35 ) 36 are 39 medicines 36 are 44 to 37 the 39 medicines 38 potential 39 medicines 39 medicines 40 that 39 medicines 41 can 40 that 41 can 41 can 42 be 42 be 43 used 44 to 45 control 45 control 46 osrd the initiation and progression of alzheimer disease ( ad ) is a complex process not yet fully understood . 0 ###LEFT-WALL### 7 disease 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 19 . 1 the 2 initiation 2 initiation 3 and 3 and 4 progression 3 and 5 of 3 and 7 disease 5 of 6 alzheimer 7 disease 9 ad 7 disease 11 is 8 ( 9 ad 9 ad 10 ) 11 is 14 process 12 a 13 complex 12 a 14 process 13 complex 14 process 14 process 15 not 15 not 18 understood 16 yet 18 understood 17 fully 18 understood while many hypotheses have been provided as to the cause of the disease , the exact mechanisms remain elusive and difficult to verify . 0 ###LEFT-WALL### 17 mechanisms 0 ###LEFT-WALL### 18 remain 0 ###LEFT-WALL### 24 . 1 while 3 hypotheses 1 while 6 provided 1 while 14 , 1 while 17 mechanisms 2 many 3 hypotheses 3 hypotheses 4 have 4 have 5 been 5 been 6 provided 6 provided 8 to 7 as 8 to 8 to 10 cause 9 the 10 cause 10 cause 11 of 11 of 13 disease 12 the 13 disease 15 the 17 mechanisms 16 exact 17 mechanisms 17 mechanisms 18 remain 18 remain 20 and 19 elusive 20 and 20 and 21 difficult 21 difficult 22 to 21 difficult 23 verify 22 to 23 verify proteomic applications in disease models of ad have provided valuable insights into the molecular basis of this disorder , demonstrating that on a protein level , disease progression impacts numerous cellular processes such as energy production , cellular structure , signal transduction , synaptic function , mitochondrial function , cell cycle progression , and proteasome function . 0 ###LEFT-WALL### 2 applications 0 ###LEFT-WALL### 8 have 1 proteomic 2 applications 2 applications 3 in 2 applications 8 have 3 in 5 models 4 disease 5 models 5 models 6 of 6 of 7 ad 8 have 11 insights 8 have 20 demonstrating 9 provided 11 insights 10 valuable 11 insights 11 insights 12 into 11 insights 16 of 12 into 15 basis 13 the 15 basis 14 molecular 15 basis 16 of 18 disorder 17 this 18 disorder 19 , 20 demonstrating 20 demonstrating 21 that 20 demonstrating 29 impacts 20 demonstrating 57 . 21 that 22 on 21 that 29 impacts 22 on 28 progression 23 a 24 protein 23 a 28 progression 24 protein 28 progression 25 level 26 , 25 level 27 disease 27 disease 28 progression 29 impacts 32 processes 30 numerous 32 processes 31 cellular 32 processes 32 processes 34 as 32 processes 39 structure 33 such 34 as 34 as 36 production 35 energy 36 production 37 , 39 structure 38 cellular 39 structure 39 structure 54 and 39 structure 57 . 40 , 54 and 41 signal 42 transduction 42 transduction 43 , 43 , 45 function 43 , 46 , 44 synaptic 45 function 46 , 48 function 46 , 49 , 47 mitochondrial 48 function 49 , 52 progression 49 , 54 and 50 cell 52 progression 51 cycle 52 progression 53 , 54 and 54 and 56 function 54 and 57 . 55 proteasome 56 function each of these cellular functions contributes to the overall health of the cell , and the dysregulation of one or more could contribute to the pathology and clinical presentation in ad . 0 ###LEFT-WALL### 5 functions 0 ###LEFT-WALL### 20 or 0 ###LEFT-WALL### 32 . 1 each 2 of 1 each 5 functions 2 of 5 functions 3 these 5 functions 4 cellular 5 functions 5 functions 20 or 6 contributes 7 to 6 contributes 20 or 7 to 10 health 8 the 10 health 9 overall 10 health 10 health 11 of 10 health 18 of 11 of 15 and 12 the 13 cell 13 cell 15 and 14 , 15 and 15 and 17 dysregulation 16 the 17 dysregulation 18 of 19 one 20 or 23 contribute 20 or 30 in 21 more 22 could 22 could 23 contribute 23 contribute 24 to 24 to 27 and 25 the 26 pathology 26 pathology 27 and 27 and 29 presentation 28 clinical 29 presentation 30 in 31 ad in this review , foci reside primarily on the amyloid β - [peptide] ( aβ ) induced oxidative stress hypothesis and the proteomic studies that have been conducted by our laboratory and others that contribute to the overall understanding of this devastating neurodegenerative disease . 0 ###LEFT-WALL### 5 foci 0 ###LEFT-WALL### 6 reside 0 ###LEFT-WALL### 12 - 1 in 3 review 1 in 4 , 1 in 5 foci 2 this 3 review 5 foci 6 reside 6 reside 7 primarily 7 primarily 8 on 8 on 11 β 9 the 11 β 10 amyloid 11 β 12 - 21 and 12 - 28 conducted 12 - 45 . 14 ( 15 aβ 15 aβ 16 ) 15 aβ 21 and 17 induced 19 stress 18 oxidative 19 stress 19 stress 20 hypothesis 20 hypothesis 21 and 21 and 24 studies 21 and 25 that 21 and 26 have 21 and 28 conducted 22 the 24 studies 23 proteomic 24 studies 25 that 26 have 26 have 27 been 28 conducted 29 by 28 conducted 36 to 29 by 32 and 30 our 31 laboratory 31 laboratory 32 and 32 and 33 others 32 and 34 that 32 and 35 contribute 34 that 35 contribute 36 to 39 understanding 37 the 39 understanding 38 overall 39 understanding 39 understanding 40 of 39 understanding 42 devastating 40 of 41 this 42 devastating 44 disease 43 neurodegenerative 44 disease human skin copes with harmful environmental factors that are circadian in nature , yet how circadian rhythms modulate the function of human epidermal stem cells is mostly unknown . 0 ###LEFT-WALL### 2 skin 0 ###LEFT-WALL### 3 copes 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 29 . 1 human 2 skin 2 skin 3 copes 3 copes 4 with 3 copes 11 in 4 with 7 factors 5 harmful 7 factors 6 environmental 7 factors 7 factors 8 that 7 factors 9 are 8 that 9 are 9 are 10 circadian 11 in 12 nature 13 , 14 yet 13 , 26 is 14 yet 15 how 15 how 17 rhythms 15 how 18 modulate 15 how 26 is 16 circadian 17 rhythms 17 rhythms 18 modulate 18 modulate 20 function 19 the 20 function 20 function 21 of 21 of 25 cells 22 human 25 cells 23 epidermal 24 stem 24 stem 25 cells 26 is 27 mostly 26 is 28 unknown here we show that in human epidermal stem cells and their differentiated counterparts , core clock genes peak in a successive and phased manner , establishing distinct temporal intervals during the 24 hr day period . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 36 . 1 here 2 we 2 we 3 show 3 show 4 that 4 that 17 genes 4 that 18 peak 5 in 10 and 5 in 14 , 5 in 17 genes 6 human 8 stem 7 epidermal 8 stem 8 stem 9 cells 9 cells 10 and 10 and 13 counterparts 11 their 13 counterparts 12 differentiated 13 counterparts 15 core 16 clock 16 clock 17 genes 17 genes 18 peak 18 peak 19 in 19 in 35 period 20 a 35 period 21 successive 22 and 22 and 24 manner 22 and 25 , 22 and 26 establishing 22 and 35 period 23 phased 24 manner 26 establishing 29 intervals 26 establishing 30 during 27 distinct 29 intervals 28 temporal 29 intervals 30 during 34 day 31 the 34 day 32 24 33 hr 33 hr 34 day each of these successive clock waves is associated with a peak in the expression of subsets of transcripts that temporally segregate the predisposition of epidermal stem cells to respond to cues that regulate their proliferation or differentiation , such as tgfβ and calcium . 0 ###LEFT-WALL### 1 each 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 44 . 1 each 2 of 1 each 7 is 2 of 6 waves 3 these 6 waves 4 successive 5 clock 5 clock 6 waves 7 is 8 associated 8 associated 9 with 8 associated 12 in 8 associated 30 to 9 with 11 peak 10 a 11 peak 12 in 14 expression 13 the 14 expression 14 expression 15 of 15 of 16 subsets 16 subsets 17 of 17 of 18 transcripts 18 transcripts 19 that 18 transcripts 21 segregate 19 that 21 segregate 20 temporally 21 segregate 21 segregate 23 predisposition 21 segregate 28 to 22 the 23 predisposition 23 predisposition 24 of 24 of 27 cells 25 epidermal 26 stem 26 stem 27 cells 28 to 29 respond 30 to 31 cues 31 cues 32 that 31 cues 33 regulate 32 that 33 regulate 33 regulate 42 and 34 their 35 proliferation 35 proliferation 36 or 36 or 37 differentiation 36 or 38 , 36 or 40 as 36 or 42 and 39 such 40 as 40 as 41 tgfβ 42 and 43 calcium accordingly , circadian arrhythmia profoundly affects stem cell function [in] culture [and] in vivo . 0 ###LEFT-WALL### 4 arrhythmia 0 ###LEFT-WALL### 6 affects 0 ###LEFT-WALL### 15 . 1 accordingly 2 , 1 accordingly 4 arrhythmia 3 circadian 4 arrhythmia 4 arrhythmia 6 affects 5 profoundly 6 affects 6 affects 11 culture 6 affects 14 vivo 7 stem 11 culture 8 cell 11 culture 9 function 11 culture 13 in 14 vivo we hypothesize that this intricate mechanism ensures homeostasis by providing epidermal stem cells with environmentally relevant temporal functional cues during the course of the day and that its perturbation may contribute to aging and carcinogenesis . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 hypothesize 0 ###LEFT-WALL### 36 . 1 we 2 hypothesize 2 hypothesize 6 mechanism 2 hypothesize 7 ensures 3 that 6 mechanism 4 this 5 intricate 5 intricate 6 mechanism 6 mechanism 7 ensures 7 ensures 34 and 8 homeostasis 9 by 8 homeostasis 23 of 8 homeostasis 26 and 9 by 10 providing 10 providing 13 cells 10 providing 20 during 11 epidermal 12 stem 12 stem 13 cells 13 cells 14 with 14 with 19 cues 15 environmentally 16 relevant 16 relevant 19 cues 17 temporal 19 cues 18 functional 19 cues 20 during 22 course 21 the 22 course 23 of 25 day 24 the 25 day 26 and 27 that 26 and 29 perturbation 26 and 33 aging 26 and 34 and 28 its 29 perturbation 29 perturbation 30 may 30 may 31 contribute 31 contribute 32 to 32 to 33 aging 34 and 35 carcinogenesis network - based analysis of structural and functional connections has provided a new technique to study the brains of healthy people and patients with neurological and psychiatric disorders . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 11 provided 0 ###LEFT-WALL### 29 . 1 network 2 - 1 network 4 analysis 3 based 4 analysis 4 analysis 5 of 4 analysis 10 has 5 of 9 connections 6 structural 7 and 7 and 8 functional 7 and 9 connections 10 has 11 provided 11 provided 14 technique 11 provided 15 to 11 provided 24 with 12 a 13 new 12 a 14 technique 13 new 14 technique 15 to 16 study 16 study 18 brains 17 the 18 brains 18 brains 19 of 19 of 22 and 20 healthy 21 people 21 people 22 and 22 and 23 patients 24 with 28 disorders 25 neurological 26 and 26 and 27 psychiatric 26 and 28 disorders graph theory provides a powerful method to quantitatively describe the topological organisation of brain connectivity . 0 ###LEFT-WALL### 2 theory 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 16 . 1 graph 2 theory 2 theory 3 provides 3 provides 6 method 3 provides 7 to 4 a 5 powerful 4 a 6 method 5 powerful 6 method 7 to 9 describe 8 quantitatively 9 describe 9 describe 12 organisation 10 the 12 organisation 11 topological 12 organisation 12 organisation 13 of 13 of 15 connectivity 14 brain 15 connectivity with such a framework , the brain can be depicted as a set of nodes connected by edges . 0 ###LEFT-WALL### 7 brain 0 ###LEFT-WALL### 10 depicted 0 ###LEFT-WALL### 19 . 1 with 4 framework 1 with 5 , 1 with 7 brain 2 such 3 a 3 a 4 framework 6 the 7 brain 7 brain 8 can 8 can 9 be 9 be 10 depicted 10 depicted 11 as 11 as 13 set 12 a 13 set 13 set 14 of 14 of 15 nodes 15 nodes 16 connected 16 connected 17 by 17 by 18 edges distinct modifications of network topological organisation in the brain have been identified during development and normal ageing , whereas disrupted functional and structural connectivities have been associated with several neurological and psychiatric disorders , including dementia , amyotrophic lateral sclerosis , multiple sclerosis , and schizophrenia . 0 ###LEFT-WALL### 1 distinct 0 ###LEFT-WALL### 12 identified 0 ###LEFT-WALL### 47 . 1 distinct 2 modifications 1 distinct 11 been 1 distinct 12 identified 2 modifications 3 of 2 modifications 10 have 3 of 6 organisation 4 network 6 organisation 5 topological 6 organisation 6 organisation 7 in 7 in 9 brain 8 the 9 brain 10 have 11 been 12 identified 13 during 12 identified 19 whereas 12 identified 45 and 13 during 15 and 14 development 15 and 15 and 17 ageing 15 and 18 , 16 normal 17 ageing 19 whereas 24 connectivities 19 whereas 27 associated 20 disrupted 24 connectivities 21 functional 22 and 22 and 23 structural 22 and 24 connectivities 24 connectivities 25 have 25 have 26 been 26 been 27 associated 27 associated 28 with 27 associated 38 amyotrophic 28 with 33 disorders 29 several 33 disorders 30 neurological 31 and 31 and 32 psychiatric 31 and 33 disorders 33 disorders 35 including 34 , 35 including 35 including 36 dementia 35 including 37 , 39 lateral 40 sclerosis 40 sclerosis 41 , 41 , 43 sclerosis 41 , 45 and 42 multiple 43 sclerosis 44 , 45 and 45 and 46 schizophrenia these assessments have improved understanding of the clinical manifestations noted in these patients , including disability and cognitive impairment . 0 ###LEFT-WALL### 2 assessments 0 ###LEFT-WALL### 3 have 0 ###LEFT-WALL### 20 . 1 these 2 assessments 2 assessments 3 have 3 have 5 understanding 3 have 11 in 4 improved 5 understanding 5 understanding 6 of 6 of 9 manifestations 7 the 9 manifestations 8 clinical 9 manifestations 9 manifestations 10 noted 11 in 17 and 12 these 13 patients 13 patients 14 , 14 , 16 disability 14 , 17 and 15 including 16 disability 17 and 19 impairment 18 cognitive 19 impairment future network - based research might enable indentification of different stages of disorders , subtypes for cognitive impairment , and connectivity profiles associated with different clinical outcomes . 0 ###LEFT-WALL### 2 network 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 28 . 1 future 2 network 3 - 5 research 3 - 14 , 4 based 5 research 5 research 14 , 6 might 7 enable 6 might 14 , 7 enable 8 indentification 8 indentification 9 of 9 of 11 stages 10 different 11 stages 11 stages 12 of 12 of 13 disorders 14 , 15 subtypes 14 , 16 for 14 , 22 profiles 16 for 20 and 17 cognitive 18 impairment 18 impairment 20 and 19 , 20 and 20 and 21 connectivity 22 profiles 23 associated 23 associated 24 with 24 with 27 outcomes 25 different 27 outcomes 26 clinical 27 outcomes background : the challenge of immune senescence has never been addressed in elderly cancer patients . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 challenge 2 : 11 addressed 2 : 16 . 3 the 4 challenge 4 challenge 5 of 4 challenge 8 has 5 of 7 senescence 6 immune 7 senescence 8 has 10 been 9 never 10 been 10 been 11 addressed 11 addressed 12 in 12 in 15 patients 13 elderly 14 cancer 14 cancer 15 patients this study compares the thymic output and peripheral blood telomere length in ≥70 [year] old cancer patients . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 compares 0 ###LEFT-WALL### 18 . 1 this 2 study 2 study 3 compares 3 compares 7 and 4 the 7 and 5 thymic 6 output 6 output 7 and 7 and 11 length 7 and 12 in 8 peripheral 9 blood 9 blood 10 telomere 10 telomere 11 length 12 in 17 patients 13 ≥70 16 cancer 15 old 16 cancer 16 cancer 17 patients patients and methods : fifty - two elderly cancer patients and 39 age - matched controls without personal history of cancer were enrolled . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 patients 2 and 2 and 3 methods 4 : 11 and 4 : 14 - 5 fifty 6 - 6 - 7 two 6 - 10 patients 8 elderly 9 cancer 9 cancer 10 patients 10 patients 11 and 11 and 13 age 12 39 13 age 14 - 16 controls 14 - 22 were 14 - 24 . 15 matched 16 controls 16 controls 17 without 16 controls 22 were 17 without 19 history 18 personal 19 history 19 history 20 of 20 of 21 cancer 22 were 23 enrolled all patients underwent a comprehensive geriatric assessment ( cga ) , from which a multidimensional prognostic index ( mpi ) [score] was calculated . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 underwent 1 all 2 patients 2 patients 3 underwent 3 underwent 9 cga 4 a 9 cga 5 comprehensive 6 geriatric 6 geriatric 7 assessment 7 assessment 9 cga 8 ( 9 cga 9 cga 10 ) 9 cga 12 from 11 , 12 from 12 from 13 which 12 from 17 index 12 from 23 calculated 12 from 24 . 14 a 15 multidimensional 14 a 17 index 15 multidimensional 17 index 16 prognostic 17 index 17 index 19 mpi 17 index 22 was 18 ( 19 mpi 19 mpi 20 ) 22 was 23 calculated 23 calculated 24 . peripheral blood samples were studied for naïve and recent thymic emigrant ( rte ) cd4 ( [+] [ )(and cd8 [(] [+] ) cells by flow cytometry . 0 ###LEFT-WALL### 2 blood 0 ###LEFT-WALL### 5 studied 0 ###LEFT-WALL### 19 )(and 0 ###LEFT-WALL### 28 . 1 peripheral 2 blood 2 blood 3 samples 2 blood 4 were 2 blood 5 studied 3 samples 4 were 5 studied 6 for 5 studied 15 cd4 6 for 8 and 7 naïve 8 and 8 and 11 emigrant 8 and 13 rte 9 recent 11 emigrant 10 thymic 11 emigrant 12 ( 13 rte 13 rte 14 ) 16 ( 19 )(and 19 )(and 24 cells 19 )(and 27 cytometry 20 cd8 23 ) 20 cd8 24 cells 24 cells 25 by 24 cells 27 cytometry 25 by 26 flow t - cell receptor rearrangement excision [circle] ( trec ) levels , telomere length and telomerase activity in peripheral blood cells were quantified by real - time pcr . 0 ###LEFT-WALL### 1 t 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 29 . 1 t 2 - 2 - 6 excision 3 cell 4 receptor 4 receptor 6 excision 5 rearrangement 6 excision 6 excision 9 trec 6 excision 11 levels 8 ( 9 trec 9 trec 10 ) 12 , 15 and 12 , 23 quantified 13 telomere 14 length 14 length 15 and 15 and 17 activity 15 and 18 in 15 and 21 cells 15 and 22 were 15 and 23 quantified 16 telomerase 17 activity 18 in 20 blood 19 peripheral 20 blood 21 cells 22 were 23 quantified 24 by 23 quantified 28 pcr 24 by 27 time 25 real 26 - 25 real 27 time telomere lengths in peripheral blood cells were significantly shorter in cancer patients than in controls ( p=0.046 ) and did not correlate with age in patients , whereas it did in controls ( r= - 0.354 , p=0.031 ) . 0 ###LEFT-WALL### 2 lengths 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 35 - 0 ###LEFT-WALL### 40 . 1 telomere 2 lengths 2 lengths 3 in 2 lengths 19 and 3 in 6 cells 4 peripheral 5 blood 5 blood 6 cells 7 were 8 significantly 7 were 9 shorter 7 were 19 and 9 shorter 10 in 9 shorter 13 than 10 in 12 patients 11 cancer 12 patients 13 than 14 in 14 in 15 controls 15 controls 17 p=0.046 16 ( 17 p=0.046 17 p=0.046 18 ) 19 and 20 did 20 did 21 not 20 did 22 correlate 22 correlate 23 with 22 correlate 25 in 22 correlate 28 whereas 23 with 24 age 25 in 26 patients 27 , 28 whereas 28 whereas 29 it 28 whereas 30 did 28 whereas 35 - 29 it 30 did 30 did 31 in 31 in 32 controls 32 controls 34 r= 33 ( 34 r= 34 r= 35 - 35 - 36 0.354 36 0.354 38 p=0.031 37 , 38 p=0.031 38 p=0.031 39 ) short telomere ( ≤median )/low trec ( ≤median ) profile was associated with higher risk of cancer ( or=3.68 [ 95 % ci 1.22 - 11.11 ] ; p=0.021 [ )( 0 ###LEFT-WALL### 1 short 0 ###LEFT-WALL### 12 associated 0 ###LEFT-WALL### 28 ; 0 ###LEFT-WALL### 29 p=0.021 0 ###LEFT-WALL### 31 )( 1 short 10 profile 1 short 11 was 1 short 12 associated 2 telomere 6 trec 2 telomere 9 ) 2 telomere 10 profile 3 ( 6 trec 4 ≤median 6 trec 5 )/low 6 trec 6 trec 8 ≤median 6 trec 9 ) 7 ( 8 ≤median 8 ≤median 9 ) 10 profile 11 was 12 associated 13 with 13 with 15 risk 14 higher 15 risk 15 risk 16 of 15 risk 19 or=3.68 16 of 17 cancer 18 ( 19 or=3.68 19 or=3.68 23 ci 19 or=3.68 28 ; 20 [ 23 ci 21 95 23 ci 22 % 23 ci 23 ci 25 - 23 ci 27 ] 24 1.22 25 - 25 - 26 11.11 28 ; 29 p=0.021 neither unfitness on cga nor mpi score were significantly related to thymic output or telomere length in either group . 0 ###LEFT-WALL### 5 nor 0 ###LEFT-WALL### 10 related 0 ###LEFT-WALL### 20 . 1 neither 5 nor 2 unfitness 3 on 2 unfitness 5 nor 3 on 4 cga 5 nor 7 score 5 nor 8 were 6 mpi 7 score 8 were 10 related 9 significantly 10 related 10 related 11 to 10 related 17 in 11 to 14 or 12 thymic 13 output 13 output 14 or 14 or 16 length 15 telomere 16 length 17 in 19 group 18 either 19 group conclusions : immune senescence is significantly worse in elderly cancer patients than in age - matched controls . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 4 senescence 2 : 5 is 2 : 15 - 3 immune 4 senescence 4 senescence 5 is 5 is 7 worse 6 significantly 7 worse 7 worse 8 in 7 worse 12 than 8 in 11 patients 9 elderly 10 cancer 10 cancer 11 patients 12 than 13 in 13 in 14 age 15 - 17 controls 16 matched 17 controls the low thymic output and the shorter telomeres in peripheral blood cells of cancer patients may reflect a pre - existing condition which facilitates the onset of malignancies in elderly people . 0 ###LEFT-WALL### 4 output 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 32 . 1 the 4 output 2 low 4 output 3 thymic 4 output 5 and 8 telomeres 5 and 17 reflect 6 the 8 telomeres 7 shorter 8 telomeres 8 telomeres 9 in 8 telomeres 13 of 8 telomeres 16 may 9 in 12 cells 10 peripheral 11 blood 11 blood 12 cells 13 of 15 patients 14 cancer 15 patients 16 may 17 reflect 17 reflect 22 condition 17 reflect 29 in 18 a 22 condition 19 pre 20 - 19 pre 22 condition 21 existing 22 condition 22 condition 23 which 22 condition 24 facilitates 23 which 24 facilitates 24 facilitates 26 onset 25 the 26 onset 26 onset 27 of 27 of 28 malignancies 29 in 31 people 30 elderly 31 people aim : this paper aims at supplying a scientific basis for standardizing the normal reference value of whole blood viscosity ( 230 [s] ( - 1 ) ) of chinese old women . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 4 paper 2 : 5 aims 2 : 33 . 3 this 4 paper 4 paper 5 aims 5 aims 6 at 5 aims 11 for 5 aims 16 value 6 at 7 supplying 7 supplying 10 basis 8 a 9 scientific 8 a 10 basis 9 scientific 10 basis 11 for 12 standardizing 12 standardizing 15 reference 13 the 15 reference 14 normal 15 reference 16 value 17 of 16 value 29 of 17 of 20 viscosity 18 whole 19 blood 19 blood 20 viscosity 20 viscosity 22 230 21 ( 22 230 22 230 26 1 22 230 28 ) 24 ( 26 1 25 - 26 1 26 1 27 ) 29 of 32 women 30 chinese 32 women 31 old 32 women methods : the research is made to study the relationship between the normal reference value of 6707 samples of whole blood viscosity ( 230 [s] ( - 1 ) ) of old women and seven geographical factors in 70 areas in china . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 43 . 2 : 4 research 2 : 6 made 3 the 4 research 4 research 5 is 5 is 6 made 6 made 7 to 6 made 38 in 7 to 8 study 8 study 10 relationship 8 study 11 between 9 the 10 relationship 11 between 15 value 12 the 15 value 13 normal 14 reference 14 reference 15 value 15 value 16 of 16 of 18 samples 17 6707 18 samples 18 samples 19 of 18 samples 31 of 19 of 22 viscosity 20 whole 22 viscosity 21 blood 22 viscosity 22 viscosity 24 230 23 ( 24 230 24 230 28 1 24 230 30 ) 26 ( 28 1 27 - 28 1 28 1 29 ) 31 of 34 and 32 old 33 women 33 women 34 and 34 and 37 factors 35 seven 37 factors 36 geographical 37 factors 38 in 40 areas 39 70 40 areas 40 areas 41 in 41 in 42 china results [:] it is found that the correlation between geographical factors and the normal reference value of whole blood viscosity ( 230 [s] ( - 1 ) ) of old women is quite significant [(] f=30.137 , p=0.000 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 40 . 1 results 3 it 1 results 4 is 1 results 5 found 3 it 4 is 5 found 6 that 5 found 8 correlation 7 the 8 correlation 8 correlation 9 between 9 between 11 factors 10 geographical 11 factors 12 and 16 value 12 and 32 is 13 the 16 value 14 normal 15 reference 15 reference 16 value 16 value 17 of 16 value 29 of 16 value 32 is 17 of 20 viscosity 18 whole 20 viscosity 19 blood 20 viscosity 20 viscosity 22 230 21 ( 22 230 22 230 26 1 22 230 28 ) 24 ( 26 1 25 - 26 1 26 1 27 ) 29 of 31 women 30 old 31 women 32 is 36 f=30.137 33 quite 34 significant 34 significant 36 f=30.137 36 f=30.137 38 p=0.000 37 , 38 p=0.000 38 p=0.000 39 ) according to the normal reference value of old women 's whole blood viscosity ( 230 [s] ( - 1 ) ) and geographical factors , one regression equation is inferred by using the method of enter regression analysis : ŷ=13.47+0.0006383x1 - 0.001083x2 - 0.1379x3 - 0.05098x4 - 0.0008578x5 - 0.06221x6+0.2114x7±0.55 . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 36 enter 0 ###LEFT-WALL### 39 : 0 ###LEFT-WALL### 51 . 1 according 2 to 2 to 4 normal 2 to 22 and 3 the 4 normal 5 reference 6 value 6 value 7 of 6 value 22 and 7 of 13 viscosity 8 old 9 women 9 women 10 's 10 's 13 viscosity 11 whole 13 viscosity 12 blood 13 viscosity 13 viscosity 15 230 14 ( 15 230 15 230 19 1 15 230 21 ) 17 ( 19 1 18 - 19 1 19 1 20 ) 22 and 24 factors 22 and 25 , 22 and 26 one 22 and 35 of 22 and 36 enter 23 geographical 24 factors 26 one 28 equation 26 one 29 is 26 one 30 inferred 27 regression 28 equation 28 equation 29 is 30 inferred 31 by 30 inferred 34 method 31 by 32 using 33 the 34 method 34 method 35 of 36 enter 38 analysis 37 regression 38 analysis 39 : 50 0.06221x6+0.2114x7±0.55 40 ŷ=13.47+0.0006383x1 42 0.001083x2 40 ŷ=13.47+0.0006383x1 50 0.06221x6+0.2114x7±0.55 41 - 42 0.001083x2 42 0.001083x2 44 0.1379x3 42 0.001083x2 46 0.05098x4 42 0.001083x2 49 - 43 - 44 0.1379x3 44 0.1379x3 45 - 45 - 46 0.05098x4 46 0.05098x4 48 0.0008578x5 46 0.05098x4 49 - 47 - 48 0.0008578x5 48 0.0008578x5 49 - conclusion : if geographical values are obtained in a certain area , the normal reference value of whole blood viscosity ( 230 [s] ( - 1 ) ) of old women in this area can be obtained by using the regression equation . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 7 obtained 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 36 be 0 ###LEFT-WALL### 43 . 1 conclusion 2 : 2 : 3 if 2 : 7 obtained 3 if 5 values 3 if 6 are 4 geographical 5 values 5 values 6 are 7 obtained 8 in 8 in 11 area 9 a 10 certain 9 a 11 area 10 certain 11 area 12 , 36 be 13 the 16 value 14 normal 15 reference 15 reference 16 value 16 value 17 of 16 value 29 of 16 value 32 in 16 value 35 can 17 of 20 viscosity 18 whole 19 blood 19 blood 20 viscosity 20 viscosity 22 230 21 ( 22 230 22 230 26 1 22 230 28 ) 24 ( 26 1 25 - 26 1 26 1 27 ) 29 of 31 women 30 old 31 women 32 in 34 area 33 this 34 area 35 can 36 be 36 be 37 obtained 37 obtained 38 by 38 by 39 using 39 using 42 equation 40 the 42 equation 41 regression 42 equation furthermore , according to the geographical factors , china can be divided into eight regions : northeast china region , north china region , shanxi - shaanxi - inner mongolia region , middle and lower reaches of the yangtze river region , southeast china region , northwest china region , southwest china region and qinghai - tibet plateau region . 0 ###LEFT-WALL### 9 china 0 ###LEFT-WALL### 12 divided 0 ###LEFT-WALL### 16 : 0 ###LEFT-WALL### 60 . 1 furthermore 9 china 2 , 4 to 3 according 4 to 4 to 7 factors 4 to 8 , 4 to 9 china 5 the 7 factors 6 geographical 7 factors 9 china 10 can 10 can 11 be 11 be 12 divided 12 divided 13 into 13 into 15 regions 14 eight 15 regions 16 : 19 region 16 : 56 - 17 northeast 18 china 18 china 19 region 19 region 23 region 19 region 25 shanxi 19 region 31 region 20 , 23 region 21 north 22 china 22 china 23 region 23 region 24 , 24 , 25 shanxi 25 shanxi 27 shaanxi 25 shanxi 28 - 26 - 27 shaanxi 27 shaanxi 28 - 28 - 31 region 29 inner 31 region 30 mongolia 31 region 31 region 36 reaches 31 region 56 - 32 , 36 reaches 33 middle 34 and 34 and 35 lower 34 and 36 reaches 36 reaches 37 of 36 reaches 49 region 36 reaches 56 - 37 of 41 region 38 the 41 region 39 yangtze 40 river 40 river 41 region 41 region 45 region 42 , 45 region 43 southeast 44 china 44 china 45 region 45 region 46 , 46 , 49 region 47 northwest 48 china 48 china 49 region 49 region 55 qinghai 49 region 56 - 50 , 55 qinghai 51 southwest 52 china 52 china 53 region 53 region 54 and 54 and 55 qinghai 55 qinghai 56 - 56 - 59 region 57 tibet 58 plateau 58 plateau 59 region ethnopharmacological relevance : rehmannia six formula ( r6 , chinese name [is] liu wei di huang wan ) is one of the most important classic chinese medicine formula used to treat metabolic disorders related to aging . 0 ###LEFT-WALL### 2 relevance 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 37 . 1 ethnopharmacological 2 relevance 3 : 6 formula 3 : 19 is 3 : 34 related 4 rehmannia 5 six 5 six 6 formula 6 formula 8 r6 6 formula 17 wan 6 formula 19 is 7 ( 8 r6 8 r6 9 , 9 , 17 wan 10 chinese 11 name 11 name 17 wan 13 liu 14 wei 14 wei 15 di 15 di 16 huang 16 huang 17 wan 17 wan 18 ) 19 is 20 one 20 one 21 of 20 one 29 used 21 of 28 formula 22 the 28 formula 23 most 24 important 24 important 25 classic 25 classic 28 formula 26 chinese 28 formula 27 medicine 28 formula 29 used 30 to 29 used 34 related 30 to 31 treat 32 metabolic 33 disorders 33 disorders 34 related 34 related 35 to 35 to 36 aging it was first reported in the chinese medicine book titled ['] xiao er yao zheng zhi jue by qian yi ' ( chinese song dynasty [:] 1035 - 1117 ) . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 reported 0 ###LEFT-WALL### 31 . 1 it 2 was 2 was 3 first 2 was 4 reported 4 reported 5 in 5 in 17 jue 6 the 14 yao 7 chinese 10 titled 8 medicine 10 titled 9 book 10 titled 10 titled 14 yao 12 xiao 13 er 13 er 14 yao 14 yao 17 jue 15 zheng 16 zhi 16 zhi 17 jue 17 jue 18 by 17 jue 25 dynasty 18 by 21 ' 19 qian 20 yi 20 yi 21 ' 22 ( 25 dynasty 23 chinese 25 dynasty 24 song 25 dynasty 25 dynasty 28 - 25 dynasty 30 ) 27 1035 28 - 28 - 29 1117 in modern times it is therefore often used to treat diabetes , pre - diabetes , fatigue and people [with] metabolic syndrome . 0 ###LEFT-WALL### 4 it 0 ###LEFT-WALL### 8 used 0 ###LEFT-WALL### 23 . 1 in 3 times 1 in 4 it 2 modern 3 times 4 it 5 is 5 is 8 used 6 therefore 8 used 7 often 8 used 8 used 9 to 9 to 18 and 10 treat 11 diabetes 11 diabetes 12 , 12 , 15 diabetes 12 , 16 , 13 pre 14 - 13 pre 15 diabetes 16 , 17 fatigue 16 , 18 and 18 and 22 syndrome 19 people 22 syndrome 21 metabolic 22 syndrome the aim of this study is to measure changes in symptoms , clinical parameters and serum metabolite profiles during r6 treatment of human subjects with features of metabolic syndrome . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 30 . 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 10 in 7 to 9 changes 8 measure 9 changes 10 in 11 symptoms 12 , 29 syndrome 13 clinical 14 parameters 14 parameters 15 and 15 and 16 serum 15 and 17 metabolite 15 and 27 of 15 and 29 syndrome 17 metabolite 18 profiles 18 profiles 19 during 18 profiles 21 treatment 18 profiles 25 with 19 during 20 r6 21 treatment 22 of 22 of 24 subjects 23 human 24 subjects 25 with 26 features 26 features 27 of 28 metabolic 29 syndrome materials and methods : symptoms , clinical parameters and serum metabolites were measured before and after 4 and 8 weeks of r6 treatment . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 24 . 1 materials 2 and 2 and 3 methods 4 : 9 and 4 : 13 measured 5 symptoms 6 , 6 , 8 parameters 6 , 9 and 7 clinical 8 parameters 9 and 11 metabolites 9 and 12 were 10 serum 11 metabolites 12 were 13 measured 13 measured 15 and 14 before 15 and 15 and 16 after 16 after 20 weeks 17 4 18 and 18 and 19 8 18 and 20 weeks 20 weeks 21 of 21 of 23 treatment 22 r6 23 treatment nonlinear principal component analysis was applied for the first time to conduct an integrated analysis of the three data sets . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 6 applied 0 ###LEFT-WALL### 21 . 1 nonlinear 2 principal 2 principal 3 component 3 component 4 analysis 4 analysis 5 was 5 was 6 applied 6 applied 7 for 7 for 10 time 8 the 9 first 8 the 10 time 10 time 11 to 10 time 20 sets 11 to 12 conduct 12 conduct 15 analysis 13 an 15 analysis 14 integrated 15 analysis 15 analysis 16 of 16 of 18 three 17 the 18 three 18 three 19 data 18 three 20 sets 19 data 20 sets correlation structures were compared before treatment and after 4 and 8 weeks of treatment . 0 ###LEFT-WALL### 2 structures 0 ###LEFT-WALL### 4 compared 0 ###LEFT-WALL### 15 . 1 correlation 2 structures 2 structures 3 were 3 were 4 compared 4 compared 7 and 5 before 6 treatment 5 before 7 and 7 and 8 after 8 after 12 weeks 9 4 10 and 10 and 11 8 10 and 12 weeks 12 weeks 13 of 13 of 14 treatment additionally , a state space grid approach was used to study personalized changes in symptom profiles . 0 ###LEFT-WALL### 7 approach 0 ###LEFT-WALL### 9 used 0 ###LEFT-WALL### 17 . 1 additionally 2 , 1 additionally 7 approach 3 a 7 approach 4 state 5 space 5 space 6 grid 6 grid 7 approach 7 approach 8 was 8 was 9 used 9 used 10 to 9 used 11 study 10 to 11 study 11 study 13 changes 11 study 14 in 12 personalized 13 changes 14 in 16 profiles 15 symptom 16 profiles results : the symptoms ' hectic fever ['] and ['] spontaneous sweating ['] were found to be most relieved during r6 treatment . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 9 and 2 : 17 be 3 the 4 symptoms 4 symptoms 5 ' 5 ' 7 fever 6 hectic 7 fever 7 fever 9 and 9 and 11 spontaneous 9 and 12 sweating 9 and 14 were 14 were 15 found 15 found 16 to 16 to 17 be 17 be 18 most 18 most 19 relieved 19 relieved 20 during 20 during 22 treatment 21 r6 22 treatment most of the symptoms were less correlated with other variables after 8 weeks of r6 treatment . 0 ###LEFT-WALL### 4 symptoms 0 ###LEFT-WALL### 7 correlated 0 ###LEFT-WALL### 17 . 1 most 2 of 1 most 4 symptoms 2 of 4 symptoms 3 the 4 symptoms 4 symptoms 5 were 5 were 6 less 5 were 7 correlated 7 correlated 8 with 7 correlated 11 after 8 with 10 variables 9 other 10 variables 11 after 13 weeks 12 8 13 weeks 13 weeks 14 of 14 of 16 treatment 15 r6 16 treatment ldl - c , total cholesterol , systolic blood pressure and waist size were found to decrease during r6 treatment . 0 ###LEFT-WALL### 1 ldl 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 17 decrease 0 ###LEFT-WALL### 21 . 2 - 3 c 2 - 4 , 4 , 11 and 4 , 15 found 5 total 6 cholesterol 6 cholesterol 7 , 7 , 10 pressure 7 , 11 and 8 systolic 9 blood 9 blood 10 pressure 11 and 13 size 11 and 14 were 12 waist 13 size 14 were 15 found 15 found 16 to 16 to 17 decrease 17 decrease 18 during 18 during 20 treatment 19 r6 20 treatment additionally , 10 of the 15 measured phosphatidylcholines were found to decrease . 0 ###LEFT-WALL### 3 10 0 ###LEFT-WALL### 10 found 0 ###LEFT-WALL### 13 . 1 additionally 2 , 1 additionally 3 10 3 10 4 of 3 10 9 were 4 of 8 phosphatidylcholines 5 the 6 15 6 15 8 phosphatidylcholines 7 measured 8 phosphatidylcholines 9 were 10 found 10 found 11 to 11 to 12 decrease personalized symptom profiles [as] described by chinese medical terms show that most yin deficiencies are addressed first by r6 treatment . 0 ###LEFT-WALL### 3 profiles 0 ###LEFT-WALL### 10 show 0 ###LEFT-WALL### 21 . 1 personalized 2 symptom 2 symptom 3 profiles 3 profiles 5 described 3 profiles 10 show 5 described 6 by 6 by 9 terms 7 chinese 9 terms 8 medical 9 terms 10 show 11 that 11 that 14 deficiencies 11 that 16 addressed 12 most 14 deficiencies 13 yin 14 deficiencies 14 deficiencies 15 are 15 are 16 addressed 16 addressed 17 first 16 addressed 18 by 18 by 20 treatment 19 r6 20 treatment however , in subjects [with] reduced or less yin deficiency [but] which do have a substantial qi deficiency a reduction of qi deficiency is subsequently observed . 0 ###LEFT-WALL### 20 reduction 0 ###LEFT-WALL### 26 observed 0 ###LEFT-WALL### 27 . 1 however 2 , 1 however 20 reduction 3 in 7 or 3 in 20 reduction 4 subjects 6 reduced 4 subjects 7 or 7 or 10 deficiency 7 or 12 which 7 or 13 do 8 less 10 deficiency 9 yin 10 deficiency 12 which 13 do 13 do 14 have 14 have 18 deficiency 15 a 16 substantial 15 a 18 deficiency 16 substantial 18 deficiency 17 qi 18 deficiency 19 a 20 reduction 20 reduction 21 of 20 reduction 24 is 21 of 23 deficiency 22 qi 23 deficiency 24 is 26 observed 25 subsequently 26 observed conclusions : r6 treatment was shown to improve the lipid profile indicating a reduction of cardiovascular risk . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 1 conclusions 2 : 2 : 3 r6 3 r6 4 treatment 3 r6 6 shown 4 treatment 5 was 5 was 6 shown 6 shown 7 to 7 to 8 improve 8 improve 11 profile 9 the 11 profile 10 lipid 11 profile 11 profile 12 indicating 11 profile 15 of 12 indicating 14 reduction 13 a 14 reduction 15 of 17 risk 16 cardiovascular 17 risk additionally , the changes observed in correlation structure indicate a different angle of looking at treatment effects . 0 ###LEFT-WALL### 4 changes 0 ###LEFT-WALL### 9 indicate 0 ###LEFT-WALL### 18 . 1 additionally 2 , 1 additionally 4 changes 3 the 4 changes 4 changes 5 observed 4 changes 9 indicate 5 observed 6 in 6 in 8 structure 7 correlation 8 structure 9 indicate 12 angle 10 a 12 angle 11 different 12 angle 12 angle 13 of 13 of 14 looking 14 looking 15 at 15 at 17 effects 16 treatment 17 effects less strong correlations between symptoms and metabolites suggest a healthier situation after r6 treatment . 0 ###LEFT-WALL### 3 correlations 0 ###LEFT-WALL### 8 suggest 0 ###LEFT-WALL### 15 . 1 less 2 strong 2 strong 3 correlations 3 correlations 4 between 3 correlations 8 suggest 4 between 6 and 5 symptoms 6 and 6 and 7 metabolites 8 suggest 11 situation 8 suggest 12 after 9 a 11 situation 10 healthier 11 situation 12 after 14 treatment 13 r6 14 treatment a state space grid analysis showed that the effect of r6 was different for the yin deficiency subjects and the qi deficiency subjects . 0 ###LEFT-WALL### 5 analysis 0 ###LEFT-WALL### 6 showed 0 ###LEFT-WALL### 24 . 1 a 5 analysis 2 state 3 space 3 space 4 grid 4 grid 5 analysis 5 analysis 6 showed 6 showed 7 that 7 that 9 effect 7 that 23 subjects 8 the 9 effect 9 effect 10 of 9 effect 12 was 10 of 11 r6 12 was 13 different 13 different 14 for 14 for 19 and 15 the 18 subjects 16 yin 17 deficiency 17 deficiency 18 subjects 18 subjects 19 and 19 and 21 qi 19 and 22 deficiency 19 and 23 subjects 20 the 21 qi 22 deficiency 23 subjects the observed decrease of yin deficiency related symptoms is in agreement with the use of r6 in chinese medicine to nourish yin . 0 ###LEFT-WALL### 3 decrease 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 23 . 1 the 3 decrease 2 observed 3 decrease 3 decrease 4 of 3 decrease 9 is 4 of 8 symptoms 5 yin 7 related 6 deficiency 7 related 7 related 8 symptoms 9 is 10 in 9 is 20 to 9 is 21 nourish 10 in 11 agreement 11 agreement 12 with 12 with 14 use 13 the 14 use 14 use 15 of 15 of 16 r6 16 r6 17 in 17 in 19 medicine 18 chinese 19 medicine 20 to 21 nourish 21 nourish 22 yin observing individual differences in treatment effects is therefore an essential step in the development of personalized medicine . 0 ###LEFT-WALL### 1 observing 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 18 . 1 observing 3 differences 1 observing 4 in 1 observing 7 is 2 individual 3 differences 4 in 6 effects 5 treatment 6 effects 7 is 8 therefore 7 is 11 step 9 an 10 essential 9 an 11 step 10 essential 11 step 11 step 12 in 12 in 14 development 13 the 14 development 14 development 15 of 15 of 17 medicine 16 personalized 17 medicine aim : the purpose of this study was to determine an optimal cut - off point of skeletal muscle mass , using appendicular lean body mass [(] lbm ) index , that identifies at risk individuals [with] deteriorated insulin sensitivity , using an established quantitative insulin sensitivity index ( quicki [ )(cut [-] off . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 4 purpose 2 : 14 - 3 the 4 purpose 4 purpose 5 of 4 purpose 7 study 4 purpose 10 determine 5 of 6 this 7 study 8 was 8 was 9 to 8 was 10 determine 9 to 10 determine 10 determine 13 cut 11 an 13 cut 12 optimal 13 cut 14 - 20 mass 14 - 21 , 15 off 16 point 15 off 20 mass 16 point 17 of 17 of 19 muscle 18 skeletal 19 muscle 21 , 30 index 22 using 28 lbm 22 using 29 ) 22 using 30 index 23 appendicular 25 body 24 lean 25 body 25 body 28 lbm 26 mass 28 lbm 30 index 32 that 30 index 33 identifies 30 index 38 deteriorated 31 , 32 that 32 that 33 identifies 33 identifies 34 at 33 identifies 36 individuals 34 at 35 risk 38 deteriorated 40 sensitivity 38 deteriorated 42 using 39 insulin 40 sensitivity 41 , 42 using 42 using 48 index 43 an 48 index 44 established 46 insulin 45 quantitative 46 insulin 46 insulin 47 sensitivity 47 sensitivity 48 index 48 index 50 quicki 49 ( 50 quicki 50 quicki 52 )(cut 50 quicki 55 . 52 )(cut 54 off methods : we performed a cross - sectional analysis in 231 lean and obese ( bmi : 18.7 - 51.0 kg / [m] ( 2 ) ) menopausal women . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 performed 2 : 7 - 2 : 30 . 3 we 4 performed 4 performed 6 cross 5 a 6 cross 7 - 13 and 8 sectional 9 analysis 9 analysis 10 in 9 analysis 13 and 10 in 12 lean 11 231 12 lean 13 and 29 women 14 obese 22 / 14 obese 27 ) 14 obese 29 women 15 ( 22 / 16 bmi 17 : 17 : 19 - 18 18.7 19 - 19 - 20 51.0 20 51.0 21 kg 21 kg 22 / 22 / 25 2 22 / 26 ) 24 ( 25 2 25 2 26 ) 28 menopausal 29 women fasting plasma glucose and insulin were obtained to calculate quicki as an index of insulin sensitivity . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 7 obtained 0 ###LEFT-WALL### 17 . 1 fasting 2 plasma 2 plasma 3 glucose 3 glucose 4 and 4 and 5 insulin 4 and 6 were 6 were 7 obtained 7 obtained 8 to 8 to 9 calculate 9 calculate 10 quicki 9 calculate 11 as 11 as 13 index 12 an 13 index 13 index 14 of 14 of 16 sensitivity 15 insulin 16 sensitivity skeletal muscle [mass] was measured as appendicular lbm by dxa and expressed as appendicular lbm index [ appendicular lbm ( [kg] )/height [(] [m] ( 2 ) ) ] . 0 ###LEFT-WALL### 2 muscle 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 30 . 1 skeletal 2 muscle 2 muscle 4 was 4 was 5 measured 5 measured 6 as 5 measured 9 by 6 as 8 lbm 7 appendicular 8 lbm 9 by 11 and 10 dxa 11 and 11 and 16 index 11 and 19 lbm 12 expressed 16 index 13 as 14 appendicular 14 appendicular 16 index 15 lbm 16 index 17 [ 19 lbm 18 appendicular 19 lbm 19 lbm 22 )/height 19 lbm 29 ] 20 ( 22 )/height 22 )/height 26 2 22 )/height 28 ) 25 ( 26 2 26 2 27 ) cut - offs were determined using receiver operating characteristic ( roc ) curve analyses . 0 ###LEFT-WALL### 3 offs 0 ###LEFT-WALL### 5 determined 0 ###LEFT-WALL### 15 . 1 cut 2 - 1 cut 3 offs 3 offs 4 were 4 were 5 determined 5 determined 6 using 6 using 14 analyses 7 receiver 8 operating 8 operating 13 curve 9 characteristic 11 roc 9 characteristic 13 curve 10 ( 11 roc 11 roc 12 ) 13 curve 14 analyses conclusion : our results suggest that sedentary postmenopausal women with an appendicular skeletal muscle mass index above 7.025 kg/m ( 2 ) may be at greater risk of insulin resistance . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 5 suggest 2 : 31 . 3 our 4 results 4 results 5 suggest 5 suggest 9 women 5 suggest 24 be 6 that 7 sedentary 7 sedentary 9 women 8 postmenopausal 9 women 9 women 10 with 9 women 23 may 10 with 16 index 11 an 12 appendicular 11 an 16 index 12 appendicular 14 muscle 13 skeletal 14 muscle 14 muscle 16 index 15 mass 16 index 16 index 17 above 16 index 21 2 17 above 19 kg/m 18 7.025 19 kg/m 20 ( 21 2 21 2 22 ) 23 may 24 be 24 be 25 at 25 at 27 risk 26 greater 27 risk 27 risk 28 of 28 of 30 resistance 29 insulin 30 resistance prospective studies are needed to validate our result . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 needed 0 ###LEFT-WALL### 9 . 1 prospective 2 studies 2 studies 3 are 3 are 4 needed 4 needed 5 to 5 to 6 validate 6 validate 8 result 7 our 8 result objective : diabetes among older adults causes many complications , including decreased lower - extremity function and physical disability . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 3 diabetes 2 : 7 causes 3 diabetes 4 among 3 diabetes 7 causes 4 among 6 adults 5 older 6 adults 7 causes 17 and 8 many 9 complications 9 complications 10 , 10 , 16 function 10 , 17 and 11 including 12 decreased 12 decreased 15 extremity 13 lower 14 - 13 lower 15 extremity 15 extremity 16 function 17 and 19 disability 18 physical 19 disability diabetes can cause peripheral nerve dysfunction , which might be one pathway through which diabetes leads [to] decreased physical function . 0 ###LEFT-WALL### 1 diabetes 0 ###LEFT-WALL### 3 cause 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 21 . 1 diabetes 2 can 2 can 3 cause 3 cause 6 dysfunction 4 peripheral 6 dysfunction 5 nerve 6 dysfunction 7 , 8 which 7 , 10 be 8 which 9 might 9 might 10 be 10 be 12 pathway 11 one 12 pathway 12 pathway 13 through 13 through 14 which 13 through 15 diabetes 13 through 16 leads 13 through 20 function 14 which 15 diabetes 16 leads 18 decreased 16 leads 20 function 18 decreased 19 physical the study aims were to determine the following [:] ( 1 ) whether diabetes and impaired fasting glucose are associated with objective measures of physical function in older adults , [(] [2] [ )(which peripheral nerve function ( pnf ) tests are associated with diabetes , [and] [(] 3 ) whether pnf mediates the diabetes - physical function relationship . 1 the 3 aims 2 study 3 aims 3 aims 4 were 4 were 5 to 4 were 6 determine 5 to 6 determine 6 determine 8 following 6 determine 13 whether 7 the 8 following 8 following 11 1 10 ( 11 1 11 1 12 ) 13 whether 15 and 13 whether 20 associated 14 diabetes 15 and 15 and 18 glucose 15 and 19 are 16 impaired 18 glucose 17 fasting 18 glucose 19 are 20 associated 20 associated 21 with 20 associated 27 in 21 with 23 measures 22 objective 23 measures 23 measures 24 of 24 of 26 function 25 physical 26 function 27 in 29 adults 28 older 29 adults 29 adults 34 )(which 30 , 34 )(which 34 )(which 42 are 35 peripheral 37 function 36 nerve 37 function 37 function 39 pnf 37 function 41 tests 38 ( 39 pnf 39 pnf 40 ) 41 tests 42 are 42 are 43 associated 43 associated 44 with 43 associated 51 whether 44 with 45 diabetes 45 diabetes 49 3 46 , 49 3 49 3 50 ) 51 whether 52 pnf 51 whether 53 mediates 52 pnf 53 mediates 53 mediates 55 diabetes 54 the 55 diabetes 55 diabetes 59 relationship 56 - 59 relationship 57 physical 58 function 58 function 59 relationship 59 relationship 60 . research design and methods : this study included 983 participants , age 65 years and older from the inchianti study . 0 ###LEFT-WALL### 4 methods 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 21 . 1 research 2 design 2 design 3 and 3 and 4 methods 5 : 20 study 6 this 20 study 7 study 8 included 8 included 20 study 9 983 10 participants 10 participants 11 , 11 , 14 years 11 , 15 and 12 age 14 years 13 65 14 years 15 and 16 older 15 and 20 study 16 older 17 from 17 from 19 inchianti 18 the 19 inchianti diabetes was diagnosed by clinical guidelines . 0 ###LEFT-WALL### 1 diabetes 0 ###LEFT-WALL### 3 diagnosed 0 ###LEFT-WALL### 7 . 1 diabetes 2 was 2 was 3 diagnosed 3 diagnosed 4 by 4 by 6 guidelines 5 clinical 6 guidelines physical performance was assessed using the short physical performance battery ( sppb ) , scored from 0 to 12 ( higher values , better physical function [ )(and usual walking speed ( [m] / [s] ) . 0 ###LEFT-WALL### 2 performance 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 37 . 1 physical 2 performance 2 performance 3 was 3 was 4 assessed 4 assessed 5 using 5 using 12 sppb 6 the 12 sppb 7 short 8 physical 8 physical 9 performance 9 performance 10 battery 10 battery 12 sppb 11 ( 12 sppb 12 sppb 13 ) 12 sppb 15 scored 14 , 15 scored 15 scored 16 from 15 scored 18 to 15 scored 36 ) 16 from 17 0 18 to 19 12 19 12 28 )(and 20 ( 28 )(and 21 higher 22 values 22 values 23 , 23 , 26 function 23 , 28 )(and 24 better 26 function 25 physical 26 function 28 )(and 29 usual 28 )(and 30 walking 28 )(and 36 ) 30 walking 31 speed 31 speed 34 / 32 ( 34 / 34 / 36 ) pnf was assessed via standard surface electroneurographic study of right peroneal nerve conduction velocity , vibration and touch sensitivity . 0 ###LEFT-WALL### 1 pnf 0 ###LEFT-WALL### 3 assessed 0 ###LEFT-WALL### 20 . 1 pnf 2 was 2 was 3 assessed 3 assessed 4 via 4 via 17 and 5 standard 8 study 6 surface 8 study 7 electroneurographic 8 study 8 study 9 of 8 study 15 , 9 of 14 velocity 10 right 12 nerve 11 peroneal 12 nerve 12 nerve 14 velocity 13 conduction 14 velocity 15 , 16 vibration 15 , 17 and 17 and 19 sensitivity 18 touch 19 sensitivity clinical cutpoints of pnf tests were used to create a neuropathy score from 0 to 5 ( higher values , greater neuropathy ) . 0 ###LEFT-WALL### 2 cutpoints 0 ###LEFT-WALL### 12 score 0 ###LEFT-WALL### 24 . 1 clinical 2 cutpoints 2 cutpoints 3 of 2 cutpoints 7 used 2 cutpoints 12 score 3 of 4 pnf 4 pnf 5 tests 4 pnf 6 were 5 tests 6 were 7 used 8 to 7 used 9 create 8 to 9 create 9 create 11 neuropathy 10 a 11 neuropathy 12 score 15 to 13 from 15 to 14 0 15 to 15 to 16 5 15 to 19 values 17 ( 19 values 18 higher 19 values 19 values 22 neuropathy 19 values 23 ) 20 , 22 neuropathy 21 greater 22 neuropathy 22 neuropathy 23 ) multiple linear regression models were used to test associations . 0 ###LEFT-WALL### 4 models 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 10 . 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 test 7 to 8 test 8 test 9 associations results and conclusion : one hundred twenty - six ( 12.8 % ) [participants] had diabetes . 0 ###LEFT-WALL### 3 conclusion 0 ###LEFT-WALL### 4 : 1 results 2 and 2 and 3 conclusion 4 : 7 twenty 4 : 15 had 4 : 17 . 5 one 6 hundred 6 hundred 7 twenty 7 twenty 9 six 7 twenty 15 had 8 - 9 six 9 six 12 % 9 six 13 ) 10 ( 12 % 11 12.8 12 % 12 % 13 ) 15 had 16 diabetes adjusting for nerve conduction velocity and neuropathy score decreased the effect of diabetes on sppb by 20 % , suggesting partial mediation through decreased pnf . 0 ###LEFT-WALL### 1 adjusting 0 ###LEFT-WALL### 9 decreased 1 adjusting 2 for 1 adjusting 9 decreased 2 for 6 and 3 nerve 5 velocity 4 conduction 5 velocity 5 velocity 6 and 6 and 8 score 7 neuropathy 8 score 9 decreased 11 effect 9 decreased 14 on 9 decreased 16 by 10 the 11 effect 11 effect 12 of 12 of 13 diabetes 14 on 15 sppb 16 by 18 % 17 20 18 % 18 % 20 suggesting 19 , 20 suggesting 20 suggesting 22 mediation 20 suggesting 23 through 20 suggesting 26 . 21 partial 22 mediation 23 through 25 pnf 24 decreased 25 pnf language acquisition has long been discussed as an interaction between biological preconditions and environmental input . 0 ###LEFT-WALL### 2 acquisition 0 ###LEFT-WALL### 6 discussed 0 ###LEFT-WALL### 16 . 1 language 2 acquisition 2 acquisition 3 has 3 has 5 been 4 long 5 been 5 been 6 discussed 6 discussed 7 as 6 discussed 10 between 7 as 9 interaction 8 an 9 interaction 10 between 13 and 11 biological 12 preconditions 12 preconditions 13 and 13 and 15 input 14 environmental 15 input this general interaction seems particularly salient in lexical acquisition , where infants are already able to detect unknown words in sentences at 7 months of age , guided by phonological and statistical information in the speech input . 0 ###LEFT-WALL### 3 interaction 0 ###LEFT-WALL### 4 seems 1 this 3 interaction 2 general 3 interaction 3 interaction 4 seems 4 seems 6 salient 5 particularly 6 salient 6 salient 7 in 6 salient 28 guided 7 in 9 acquisition 8 lexical 9 acquisition 9 acquisition 11 where 10 , 11 where 11 where 12 infants 11 where 17 detect 11 where 27 , 12 infants 13 are 13 are 14 already 13 are 15 able 15 able 16 to 16 to 17 detect 17 detect 19 words 18 unknown 19 words 19 words 20 in 19 words 25 of 20 in 21 sentences 21 sentences 22 at 22 at 24 months 23 7 24 months 25 of 26 age 27 , 28 guided 28 guided 29 by 28 guided 38 . 29 by 33 information 30 phonological 31 and 31 and 32 statistical 31 and 33 information 33 information 34 in 34 in 37 input 35 the 37 input 36 speech 37 input while this information results from the linguistic structure of a given language , infants also exploit situational information , such as speakers ' additional word accentuation and word repetition . 0 ###LEFT-WALL### 14 infants 0 ###LEFT-WALL### 16 exploit 1 while 3 information 1 while 4 results 1 while 13 , 1 while 14 infants 2 this 3 information 3 information 4 results 4 results 5 from 5 from 8 structure 6 the 8 structure 7 linguistic 8 structure 8 structure 9 of 9 of 12 language 10 a 12 language 11 given 12 language 14 infants 16 exploit 15 also 16 exploit 16 exploit 18 information 17 situational 18 information 18 information 21 as 19 , 21 as 20 such 21 as 21 as 27 and 21 as 30 . 22 speakers 23 ' 23 ' 26 accentuation 24 additional 25 word 25 word 26 accentuation 26 accentuation 27 and 27 and 29 repetition 28 word 29 repetition the current study investigated the developmental trajectory of infants ' sensitivity to these two situational input cues in word recognition . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 investigated 0 ###LEFT-WALL### 21 . 1 the 3 study 2 current 3 study 3 study 4 investigated 4 investigated 7 trajectory 4 investigated 12 to 4 investigated 18 in 5 the 7 trajectory 6 developmental 7 trajectory 7 trajectory 8 of 8 of 11 sensitivity 9 infants 10 ' 10 ' 11 sensitivity 12 to 17 cues 13 these 14 two 14 two 17 cues 15 situational 16 input 16 input 17 cues 18 in 20 recognition 19 word 20 recognition testing infants at 6 , 9 , and 12 months of age , we hypothesized that different age groups are differentially sensitive to accentuation and repetition . 0 ###LEFT-WALL### 14 we 0 ###LEFT-WALL### 15 hypothesized 0 ###LEFT-WALL### 27 . 1 testing 8 and 1 testing 13 , 1 testing 14 we 2 infants 3 at 2 infants 8 and 3 at 4 6 4 6 6 9 5 , 6 9 6 9 7 , 8 and 10 months 8 and 11 of 9 12 10 months 11 of 12 age 14 we 15 hypothesized 15 hypothesized 19 groups 15 hypothesized 20 are 16 that 17 different 17 different 19 groups 18 age 19 groups 19 groups 20 are 20 are 21 differentially 20 are 22 sensitive 22 sensitive 23 to 23 to 25 and 24 accentuation 25 and 25 and 26 repetition in [a] familiarization - test paradigm , event - related brain potentials ( erps ) revealed age - related differences in infants ' word recognition as a function of situational input cues : at 6 months infants only recognized previously accentuated words , at 9 months both accentuation and repetition played a role , while at 12 months only repetition was effective . 0 ###LEFT-WALL### 3 familiarization 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 63 . 1 in 3 familiarization 4 - 6 paradigm 4 - 7 , 4 - 33 : 5 test 6 paradigm 7 , 8 event 7 , 9 - 9 - 11 brain 10 related 11 brain 11 brain 12 potentials 11 brain 16 revealed 11 brain 20 differences 12 potentials 14 erps 12 potentials 16 revealed 13 ( 14 erps 14 erps 15 ) 16 revealed 17 age 18 - 20 differences 19 related 20 differences 20 differences 21 in 20 differences 29 of 20 differences 33 : 21 in 25 recognition 22 infants 23 ' 23 ' 25 recognition 24 word 25 recognition 25 recognition 26 as 26 as 28 function 27 a 28 function 29 of 32 cues 30 situational 31 input 31 input 32 cues 33 : 37 infants 33 : 41 accentuated 33 : 54 , 34 at 35 6 34 at 37 infants 36 months 37 infants 37 infants 39 recognized 37 infants 41 accentuated 38 only 39 recognized 40 previously 41 accentuated 41 accentuated 42 words 41 accentuated 44 at 43 , 44 at 44 at 46 months 44 at 54 , 45 9 46 months 46 months 49 and 46 months 51 played 47 both 49 and 48 accentuation 49 and 49 and 50 repetition 49 and 51 played 51 played 53 role 52 a 53 role 54 , 59 only 54 , 61 was 55 while 56 at 55 while 59 only 56 at 58 months 57 12 58 months 59 only 60 repetition 60 repetition 61 was 61 was 62 effective these developmental changes are suggested to result from infants ' advancing linguistic experience and parallel auditory cortex maturation . 0 ###LEFT-WALL### 3 changes 0 ###LEFT-WALL### 5 suggested 0 ###LEFT-WALL### 19 . 1 these 3 changes 2 developmental 3 changes 3 changes 4 are 4 are 5 suggested 5 suggested 6 to 6 to 7 result 7 result 8 from 8 from 14 and 9 infants 10 ' 10 ' 13 experience 11 advancing 13 experience 12 linguistic 13 experience 13 experience 14 and 14 and 18 maturation 15 parallel 18 maturation 16 auditory 17 cortex 17 cortex 18 maturation our data indicate very narrow [and] specific input - sensitive periods in infant word recognition , with accentuation being effective prior to repetition . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 24 . 1 our 2 data 2 data 3 indicate 3 indicate 8 input 3 indicate 17 with 3 indicate 22 to 4 very 5 narrow 5 narrow 8 input 7 specific 8 input 8 input 11 periods 9 - 11 periods 10 sensitive 11 periods 11 periods 12 in 11 periods 16 , 12 in 15 recognition 13 infant 14 word 14 word 15 recognition 17 with 18 accentuation 18 accentuation 19 being 19 being 20 effective 21 prior 22 to 22 to 23 repetition methods : two hundred eighty older subjects with subjective complaints of memory loss and no previous stroke ( mean age 78.3 ± 6.3 years ) were studied . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 7 subjects 2 : 27 studied 3 two 4 hundred 4 hundred 5 eighty 5 eighty 7 subjects 6 older 7 subjects 7 subjects 8 with 7 subjects 11 of 7 subjects 26 were 8 with 10 complaints 9 subjective 10 complaints 11 of 14 and 12 memory 13 loss 13 loss 14 and 14 and 17 stroke 14 and 24 years 15 no 17 stroke 16 previous 17 stroke 18 ( 24 years 19 mean 20 age 20 age 24 years 21 78.3 22 ± 22 ± 24 years 23 6.3 24 years 24 years 25 ) 26 were 27 studied global [cognitive] [function] was evaluated with the mini - mental state examination ( mmse ) . 0 ###LEFT-WALL### 1 global 0 ###LEFT-WALL### 5 evaluated 0 ###LEFT-WALL### 16 . 1 global 4 was 4 was 5 evaluated 5 evaluated 6 with 6 with 8 mini 7 the 8 mini 8 mini 14 mmse 9 - 14 mmse 10 mental 11 state 11 state 12 examination 12 examination 14 mmse 13 ( 14 mmse 14 mmse 15 ) cognitive impairment was defined as a mmse < 21 . 0 ###LEFT-WALL### 1 cognitive 0 ###LEFT-WALL### 4 defined 0 ###LEFT-WALL### 10 . 1 cognitive 2 impairment 1 cognitive 3 was 1 cognitive 4 defined 2 impairment 3 was 4 defined 5 as 4 defined 9 21 5 as 7 mmse 6 a 7 mmse 8 < 9 21 we measured [:] traditional cv risk factors [;] aorta stiffness ( pulse wave velocity , pwv ) ; [lv] mass ; presence of wml at neuroimaging [;] episodes of hypotension [(] sbp < 100 mmhg during 24 [h] ambulatory blood pressure monitoring [ )( 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 measured 0 ###LEFT-WALL### 18 ; 0 ###LEFT-WALL### 44 )( 1 we 2 measured 2 measured 10 stiffness 4 traditional 10 stiffness 5 cv 9 aorta 6 risk 7 factors 7 factors 9 aorta 9 aorta 10 stiffness 10 stiffness 14 velocity 11 ( 14 velocity 12 pulse 13 wave 13 wave 14 velocity 14 velocity 16 pwv 14 velocity 18 ; 15 , 16 pwv 16 pwv 17 ) 18 ; 20 mass 18 ; 21 ; 21 ; 22 presence 21 ; 33 < 22 presence 23 of 22 presence 25 at 22 presence 33 < 23 of 24 wml 25 at 28 episodes 26 neuroimaging 28 episodes 28 episodes 29 of 29 of 32 sbp 30 hypotension 32 sbp 33 < 35 mmhg 34 100 35 mmhg 35 mmhg 36 during 36 during 42 monitoring 37 24 42 monitoring 39 ambulatory 40 blood 40 blood 41 pressure 41 pressure 42 monitoring results : in both cross - sectional and longitudinal analyses pwv , wml , and episodes of hypotension were significantly associated with poorer cognitive [function] - controlling for age , sex , education , depression , traditional cv risk factors , and medications . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 associated 0 ###LEFT-WALL### 44 . 2 : 5 cross 2 : 6 - 3 in 4 both 3 in 5 cross 6 - 8 and 7 sectional 8 and 8 and 9 longitudinal 8 and 10 analyses 8 and 21 associated 10 analyses 15 and 10 analyses 19 were 10 analyses 21 associated 11 pwv 13 wml 12 , 13 wml 13 wml 14 , 13 wml 15 and 14 , 15 and 15 and 16 episodes 15 and 17 of 15 and 19 were 17 of 18 hypotension 20 significantly 21 associated 21 associated 22 with 22 with 27 controlling 22 with 28 for 23 poorer 27 controlling 24 cognitive 26 - 24 cognitive 27 controlling 28 for 42 and 29 age 30 , 30 , 31 sex 30 , 32 , 32 , 33 education 32 , 34 , 34 , 35 depression 34 , 36 , 36 , 40 factors 36 , 42 and 37 traditional 40 factors 38 cv 40 factors 39 risk 40 factors 41 , 42 and 42 and 43 medications lv [mass] was no longer associated with cognition in multiple regression . 0 ###LEFT-WALL### 1 lv 0 ###LEFT-WALL### 6 associated 0 ###LEFT-WALL### 12 . 1 lv 3 was 3 was 6 associated 4 no 5 longer 5 longer 6 associated 6 associated 7 with 6 associated 9 in 7 with 8 cognition 9 in 11 regression 10 multiple 11 regression older subjects with stiffer arteries or episodes of hypotension presented [a] 4 - fold and [an] 11 - fold , respectively , greater odds for progression from normal cognitive function [to] cognitive impairment . 0 ###LEFT-WALL### 2 subjects 0 ###LEFT-WALL### 10 presented 0 ###LEFT-WALL### 13 - 1 older 2 subjects 2 subjects 3 with 2 subjects 10 presented 3 with 6 or 4 stiffer 5 arteries 5 arteries 6 or 6 or 7 episodes 6 or 8 of 8 of 9 hypotension 10 presented 12 4 13 - 14 fold 13 - 15 and 13 - 34 . 15 and 17 11 15 and 18 - 17 11 18 - 18 - 19 fold 19 fold 21 respectively 19 fold 24 odds 20 , 21 respectively 21 respectively 22 , 23 greater 24 odds 24 odds 25 for 25 for 26 progression 26 progression 27 from 27 from 33 impairment 28 normal 30 function 29 cognitive 30 function 30 function 33 impairment 32 cognitive 33 impairment a synergistic effect between pwv , wml , and hypotension was observed : the occurrence of any two of pwv , wml , or hypotension was accompanied by lower mmse ; in the presence of all three factors , a further significant decline [in] cognitive function was observed . 0 ###LEFT-WALL### 3 effect 0 ###LEFT-WALL### 11 was 0 ###LEFT-WALL### 13 : 0 ###LEFT-WALL### 49 . 1 a 2 synergistic 1 a 3 effect 2 synergistic 3 effect 3 effect 4 between 3 effect 11 was 4 between 9 and 5 pwv 7 wml 6 , 7 wml 7 wml 8 , 7 wml 9 and 9 and 10 hypotension 11 was 12 observed 13 : 15 occurrence 13 : 27 accompanied 13 : 31 ; 14 the 15 occurrence 15 occurrence 16 of 15 occurrence 26 was 16 of 18 two 17 any 18 two 18 two 19 of 19 of 24 or 20 pwv 22 wml 20 pwv 24 or 21 , 22 wml 22 wml 23 , 24 or 25 hypotension 26 was 27 accompanied 27 accompanied 28 by 28 by 30 mmse 29 lower 30 mmse 31 ; 46 function 31 ; 48 observed 32 in 34 presence 32 in 39 , 32 in 46 function 33 the 34 presence 34 presence 35 of 35 of 38 factors 36 all 37 three 37 three 38 factors 40 a 46 function 41 further 43 decline 42 significant 43 decline 43 decline 46 function 45 cognitive 46 function 46 function 47 was 47 was 48 observed interpretation : systemic hemodynamic parameters ( higher pwv and hypotension ) together with cerebral microvascular damage ( wml ) are significantly associated [with] poorer [cognitive] [function] and may identify older subjects with subjective complaints of memory loss at higher risk [of] cognitive [decline] . 0 ###LEFT-WALL### 1 interpretation 0 ###LEFT-WALL### 2 : 2 : 5 parameters 2 : 29 identify 2 : 44 . 3 systemic 5 parameters 4 hemodynamic 5 parameters 5 parameters 9 and 5 parameters 20 are 6 ( 9 and 7 higher 8 pwv 8 pwv 9 and 9 and 10 hypotension 9 and 11 ) 9 and 13 with 9 and 18 wml 9 and 19 ) 12 together 13 with 13 with 16 damage 14 cerebral 16 damage 15 microvascular 16 damage 17 ( 18 wml 18 wml 19 ) 20 are 27 and 21 significantly 27 and 22 associated 24 poorer 22 associated 27 and 27 and 28 may 28 may 29 identify 29 identify 31 subjects 29 identify 32 with 30 older 31 subjects 32 with 34 complaints 32 with 42 cognitive 33 subjective 34 complaints 34 complaints 35 of 34 complaints 38 at 35 of 37 loss 36 memory 37 loss 38 at 40 risk 39 higher 40 risk background : we conducted a single - arm clinical trial in institutionalized seniors , on the effects of high - dose vitamin d3 - fortified bread daily intake ( clinicaltrials.gov registration nct00789503 ) . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 conducted 2 : 34 . 3 we 4 conducted 4 conducted 10 trial 4 conducted 11 in 4 conducted 15 on 5 a 6 single 5 a 10 trial 6 single 7 - 6 single 8 arm 8 arm 10 trial 9 clinical 10 trial 11 in 13 seniors 12 institutionalized 13 seniors 14 , 15 on 15 on 17 effects 15 on 33 ) 16 the 17 effects 17 effects 18 of 17 effects 28 intake 18 of 23 d3 19 high 20 - 19 high 21 dose 21 dose 22 vitamin 22 vitamin 23 d3 24 - 28 intake 25 fortified 26 bread 26 bread 28 intake 27 daily 28 intake 28 intake 32 nct00789503 28 intake 33 ) 29 ( 32 nct00789503 30 clinicaltrials.gov 31 registration 31 registration 32 nct00789503 32 nct00789503 33 ) methods : at 1 and 3 years after the dietary fortification was stopped , serum [25] - hydroxyvitamin d ( 25 ( oh )d ) , parathyroid hormone ( pth ) and bone mineral density were measured in 23 of the original study subjects , aged 60 - 82 years who had consumed bread buns ( 100 g ) fortified with 320 mg elemental calcium and 125 [μg] ( 5,000 iu [ )(vitamin d3 daily for one year . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 11 fortification 2 : 14 , 3 at 7 years 3 at 11 fortification 4 1 5 and 5 and 6 3 5 and 7 years 7 years 8 after 8 after 10 dietary 9 the 10 dietary 11 fortification 12 was 12 was 13 stopped 14 , 15 serum 14 , 17 - 17 - 18 hydroxyvitamin 17 - 26 , 18 hydroxyvitamin 19 d 18 hydroxyvitamin 23 oh 20 ( 23 oh 21 25 23 oh 22 ( 23 oh 23 oh 24 )d 23 oh 25 ) 23 oh 26 , 26 , 27 parathyroid 26 , 32 and 27 parathyroid 28 hormone 28 hormone 30 pth 29 ( 30 pth 30 pth 31 ) 32 and 35 density 32 and 36 were 33 bone 34 mineral 34 mineral 35 density 35 density 36 were 36 were 37 measured 37 measured 38 in 38 in 39 23 39 23 40 of 39 23 43 study 39 23 45 , 40 of 42 original 41 the 42 original 43 study 45 , 44 subjects 45 , 45 , 46 aged 45 , 48 - 45 , 53 consumed 47 60 48 - 48 - 49 82 50 years 51 who 50 years 52 had 50 years 53 consumed 51 who 52 had 53 consumed 54 bread 53 consumed 61 with 54 bread 55 buns 54 bread 60 fortified 55 buns 58 g 55 buns 60 fortified 56 ( 58 g 57 100 58 g 58 g 59 ) 61 with 66 and 62 320 63 mg 62 320 66 and 63 mg 65 calcium 64 elemental 65 calcium 66 and 67 125 66 and 74 d3 69 ( 74 d3 70 5,000 73 )(vitamin 71 iu 73 )(vitamin 73 )(vitamin 74 d3 74 d3 75 daily 74 d3 79 . 75 daily 76 for 76 for 78 year 77 one 78 year results : at the end of the 1 - year supplementation [phase] ( receiving vitamin d3 fortified bread daily ) , mean ( sd ) serum 25 ( oh )d was 127.3 ± 37.8 [nmol/l] ( baseline for this [follow] - up ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 44 . 2 : 29 oh 2 : 31 was 3 at 5 end 3 at 29 oh 4 the 5 end 6 of 8 1 6 of 29 oh 7 the 8 1 8 1 11 supplementation 9 - 11 supplementation 10 year 11 supplementation 11 supplementation 14 receiving 11 supplementation 21 , 13 ( 14 receiving 14 receiving 18 bread 14 receiving 19 daily 14 receiving 20 ) 15 vitamin 17 fortified 16 d3 17 fortified 17 fortified 18 bread 22 mean 24 sd 22 mean 25 ) 22 mean 26 serum 23 ( 24 sd 24 sd 25 ) 26 serum 29 oh 27 25 29 oh 28 ( 29 oh 29 oh 30 )d 29 oh 31 was 31 was 33 ± 31 was 42 up 32 127.3 33 ± 33 ± 34 37.8 33 ± 37 baseline 36 ( 37 baseline 37 baseline 38 for 37 baseline 41 - 38 for 39 this 41 - 42 up 42 up 43 ) [at] 1 [-] year follow [-] up , the serum 25 ( oh )d was 64.9 ± 24.8 nmol/l ( p = 0.001 , [vs] [.] baseline [ )( [and] at 3 - year [follow] [-] up [it] [was] 28.0 ± 15.0 nmol/l ( p = 0.001 [vs] [.] [baseline] ) . 0 ###LEFT-WALL### 4 year 0 ###LEFT-WALL### 8 , 2 1 4 year 4 year 5 follow 5 follow 7 up 8 , 13 oh 8 , 15 was 9 the 10 serum 10 serum 13 oh 11 25 13 oh 12 ( 13 oh 13 oh 14 )d 13 oh 15 was 15 was 27 baseline 16 64.9 27 baseline 17 ± 22 = 17 ± 24 , 17 ± 27 baseline 18 24.8 19 nmol/l 19 nmol/l 22 = 20 ( 22 = 21 p 22 = 22 = 23 0.001 22 = 24 , 27 baseline 31 at 31 at 32 3 32 3 41 ± 33 - 41 ± 34 year 41 ± 37 up 41 ± 40 28.0 41 ± 41 ± 46 = 41 ± 52 . 42 15.0 43 nmol/l 43 nmol/l 46 = 44 ( 46 = 45 p 46 = 46 = 47 0.001 46 = 51 ) serum pth was [18.8] ± 15.6 pg/ml at baseline while at year 3 it was 48.4 ± 18.4 pg/ml ( p = 0.001 [vs] . baseline [ )( 0 ###LEFT-WALL### 5 ± 0 ###LEFT-WALL### 25 . 1 serum 2 pth 2 pth 3 was 3 was 5 ± 5 ± 7 pg/ml 5 ± 10 while 6 15.6 7 pg/ml 7 pg/ml 8 at 8 at 9 baseline 10 while 14 it 10 while 15 was 11 at 12 year 11 at 14 it 12 year 13 3 14 it 15 was 15 was 17 ± 16 48.4 17 ± 17 ± 22 = 18 18.4 19 pg/ml 19 pg/ml 22 = 20 ( 22 = 21 p 22 = 22 = 23 0.001 25 . 26 baseline 25 . 28 )( lumbar spine bmd did not change from baseline to year 3 . 0 ###LEFT-WALL### 3 bmd 0 ###LEFT-WALL### 6 change 0 ###LEFT-WALL### 12 . 1 lumbar 2 spine 2 spine 3 bmd 3 bmd 4 did 4 did 5 not 4 did 6 change 6 change 7 from 6 change 9 to 7 from 8 baseline 9 to 10 year 10 year 11 3 however , by year 3 , hip bmd had decreased [(] 0.927 ± 0.130 g/cm² [vs] . 0.907 ± 0.121 g/cm² , p = 0.024 ) . 0 ###LEFT-WALL### 12 0.927 0 ###LEFT-WALL### 13 ± 0 ###LEFT-WALL### 17 . 0 ###LEFT-WALL### 27 . 1 however 8 bmd 1 however 10 decreased 1 however 12 0.927 2 , 3 by 3 by 4 year 3 by 6 , 3 by 8 bmd 4 year 5 3 7 hip 8 bmd 8 bmd 9 had 9 had 10 decreased 12 0.927 13 ± 13 ± 15 g/cm² 14 0.130 15 g/cm² 17 . 18 0.907 17 . 19 ± 18 0.907 19 ± 19 ± 24 = 20 0.121 21 g/cm² 21 g/cm² 24 = 22 , 24 = 23 p 24 = 24 = 25 0.024 24 = 26 ) conclusion : vitamin d nutritional status exhibits a long [half] - life in the body , and a true steady - state plateau may not even be reached 1 year after a discontinuation [in] dose . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 be 0 ###LEFT-WALL### 36 . 2 : 27 be 3 vitamin 4 d 3 vitamin 6 status 3 vitamin 7 exhibits 3 vitamin 24 may 5 nutritional 6 status 6 status 7 exhibits 7 exhibits 12 life 7 exhibits 13 in 8 a 9 long 8 a 12 life 9 long 11 - 9 long 12 life 13 in 17 and 14 the 15 body 15 body 17 and 16 , 17 and 17 and 23 plateau 18 a 23 plateau 19 true 22 state 20 steady 21 - 20 steady 22 state 22 state 23 plateau 24 may 25 not 24 may 27 be 26 even 27 be 27 be 28 reached 28 reached 31 after 29 1 30 year 30 year 31 after 31 after 35 dose 32 a 35 dose 33 discontinuation 35 dose furthermore , once the need for vitamin d has been established , based on a low baseline serum 25 ( oh )d concentrations , the appropriate action is to maintain corrective vitamin d supplementation over the long term . 0 ###LEFT-WALL### 27 action 0 ###LEFT-WALL### 39 . 1 furthermore 27 action 2 , 3 once 3 once 5 need 3 once 12 , 3 once 24 , 3 once 27 action 4 the 5 need 5 need 6 for 5 need 12 , 6 for 7 vitamin 7 vitamin 8 d 9 has 10 been 9 has 12 , 10 been 11 established 12 , 13 based 12 , 14 on 12 , 23 concentrations 14 on 17 baseline 15 a 17 baseline 16 low 17 baseline 18 serum 23 concentrations 19 25 21 oh 20 ( 21 oh 21 oh 22 )d 21 oh 23 concentrations 25 the 27 action 26 appropriate 27 action 27 action 28 is 28 is 29 to 28 is 30 maintain 29 to 30 maintain 30 maintain 34 supplementation 30 maintain 35 over 31 corrective 34 supplementation 32 vitamin 33 d 32 vitamin 34 supplementation 35 over 38 term 36 the 38 term 37 long 38 term objective [:] to investigate , in vitro , the effect of cathepsins specific inhibitor n [-] ( trans - epoxysuccinyl ) - l - leucine 4 - guanidinobutylamide ( e - 64 ) on dental endogenous cathepsins and to find its most effective molarity to elevate dentin - resin bonding durability . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 38 and 1 objective 3 to 1 objective 11 of 1 objective 38 and 3 to 4 investigate 4 investigate 7 vitro 4 investigate 10 effect 5 , 7 vitro 6 in 7 vitro 7 vitro 8 , 9 the 10 effect 10 effect 11 of 12 cathepsins 14 inhibitor 12 cathepsins 34 on 12 cathepsins 38 and 13 specific 14 inhibitor 14 inhibitor 15 n 14 inhibitor 18 trans 14 inhibitor 20 epoxysuccinyl 14 inhibitor 24 - 17 ( 18 trans 18 trans 19 - 19 - 20 epoxysuccinyl 20 epoxysuccinyl 21 ) 22 - 24 - 23 l 24 - 24 - 25 leucine 24 - 33 ) 25 leucine 26 4 25 leucine 28 guanidinobutylamide 27 - 28 guanidinobutylamide 28 guanidinobutylamide 31 - 28 guanidinobutylamide 33 ) 29 ( 31 - 30 e 31 - 31 - 32 64 31 - 33 ) 34 on 37 cathepsins 35 dental 37 cathepsins 36 endogenous 37 cathepsins 38 and 39 to 38 and 40 find 38 and 45 to 39 to 40 find 40 find 44 molarity 41 its 44 molarity 42 most 43 effective 43 effective 44 molarity 45 to 46 elevate 46 elevate 47 dentin 47 dentin 51 durability 48 - 51 durability 49 resin 50 bonding 50 bonding 51 durability 51 durability 52 . then 20 specimens of dentin [-] resin [composite] were fabricated in each group . 0 ###LEFT-WALL### 3 specimens 0 ###LEFT-WALL### 13 group 0 ###LEFT-WALL### 14 . 1 then 3 specimens 2 20 3 specimens 3 specimens 4 of 3 specimens 13 group 4 of 5 dentin 5 dentin 7 resin 5 dentin 11 in 7 resin 9 were 9 were 10 fabricated 10 fabricated 11 in 12 each 13 group half of the specimens were tested after 24 h water storage ( 37 °c ) and the other half were tested after 90 days water storage ( 37 °c ) followed by 3000 cycles'thermocyling ( 5 - 55 °c ) as aging treatment . 0 ###LEFT-WALL### 1 half 0 ###LEFT-WALL### 6 tested 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 44 . 1 half 2 of 1 half 5 were 2 of 4 specimens 3 the 4 specimens 5 were 6 tested 6 tested 7 after 7 after 11 storage 8 24 9 h 9 h 10 water 10 water 11 storage 11 storage 14 °c 12 ( 14 °c 13 37 14 °c 14 °c 15 ) 16 and 19 half 16 and 21 tested 17 the 18 other 18 other 19 half 19 half 20 were 20 were 21 tested 21 tested 22 after 21 tested 32 by 22 after 24 days 23 90 24 days 24 days 26 storage 24 days 31 followed 25 water 26 storage 26 storage 29 °c 26 storage 31 followed 27 ( 29 °c 28 37 29 °c 29 °c 30 ) 32 by 33 3000 33 3000 34 cycles'thermocyling 34 cycles'thermocyling 43 treatment 35 ( 37 - 36 5 37 - 37 - 39 °c 37 - 40 ) 37 - 43 treatment 38 55 39 °c 41 as 42 aging 42 aging 43 treatment fractured specimens were analyzed using scanning electron microscopy ( sem ) . 0 ###LEFT-WALL### 2 specimens 0 ###LEFT-WALL### 4 analyzed 0 ###LEFT-WALL### 12 . 1 fractured 2 specimens 2 specimens 3 were 3 were 4 analyzed 4 analyzed 5 using 5 using 8 microscopy 6 scanning 7 electron 7 electron 8 microscopy 8 microscopy 10 sem 9 ( 10 sem 10 sem 11 ) results : after 24 h water storage , no significant differences were found in micro - tensile bond strength ( µtbs ) [of] samples between different groups ( p > 0.05 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 11 differences 2 : 13 found 3 after 7 storage 3 after 8 , 3 after 11 differences 4 24 5 h 5 h 6 water 6 water 7 storage 9 no 11 differences 10 significant 11 differences 11 differences 12 were 12 were 13 found 13 found 14 in 13 found 25 between 14 in 24 samples 15 micro 19 strength 15 micro 24 samples 16 - 19 strength 17 tensile 18 bond 18 bond 19 strength 19 strength 21 µtbs 19 strength 22 ) 20 ( 21 µtbs 21 µtbs 22 ) 25 between 27 groups 26 different 27 groups 27 groups 30 > 28 ( 30 > 29 p 30 > 30 > 31 0.05 30 > 32 ) [only] in the group 5.0 µmol/l no significant difference was found between the original and the decreased value of µtbs ( p > 0.05 ) , while the µtbs in other groups decreased significantly after aging treatment ( p < 0.05 ) . 0 ###LEFT-WALL### 9 difference 0 ###LEFT-WALL### 11 found 0 ###LEFT-WALL### 43 . 2 in 6 µmol/l 2 in 9 difference 3 the 6 µmol/l 4 group 6 µmol/l 5 5.0 6 µmol/l 7 no 9 difference 8 significant 9 difference 9 difference 10 was 10 was 11 found 11 found 12 between 11 found 27 while 12 between 15 and 13 the 14 original 14 original 15 and 15 and 18 value 16 the 18 value 17 decreased 18 value 18 value 19 of 19 of 20 µtbs 20 µtbs 23 > 21 ( 23 > 22 p 23 > 23 > 24 0.05 23 > 25 ) 26 , 27 while 27 while 29 µtbs 27 while 33 decreased 27 while 42 ) 28 the 29 µtbs 29 µtbs 30 in 29 µtbs 33 decreased 30 in 32 groups 31 other 32 groups 33 decreased 34 significantly 33 decreased 35 after 33 decreased 40 < 35 after 36 aging 36 aging 37 treatment 38 ( 40 < 39 p 40 < 40 < 41 0.05 40 < 42 ) failure types were almost adhesive and mixed types . 0 ###LEFT-WALL### 2 types 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 9 . 1 failure 2 types 2 types 6 and 3 were 5 adhesive 3 were 6 and 4 almost 5 adhesive 6 and 7 mixed 6 and 8 types collagens [in] [hybrid] [layer] were less degraded in the groups using [e] - 64 after aging treatment than control group . 0 ###LEFT-WALL### 1 collagens 0 ###LEFT-WALL### 7 degraded 0 ###LEFT-WALL### 21 . 1 collagens 5 were 5 were 6 less 5 were 7 degraded 7 degraded 8 in 7 degraded 11 using 7 degraded 15 after 8 in 10 groups 9 the 10 groups 11 using 14 64 13 - 14 64 15 after 16 aging 16 aging 17 treatment 16 aging 18 than 18 than 20 group 19 control 20 group conclusions : e - 64 was effective on inhibiting cathepsins activity in dentin , and induced less collagens degradation in smear layer [for] better dentin - resin bond durability . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 and 2 : 3 e 2 : 4 - 3 e 4 - 4 - 5 64 5 64 15 and 6 was 7 effective 6 was 15 and 7 effective 8 on 8 on 9 inhibiting 9 inhibiting 11 activity 9 inhibiting 12 in 10 cathepsins 11 activity 12 in 13 dentin 14 , 15 and 15 and 16 induced 15 and 20 in 16 induced 19 degradation 17 less 19 degradation 18 collagens 19 degradation 20 in 25 dentin 21 smear 25 dentin 22 layer 25 dentin 24 better 25 dentin 25 dentin 29 durability 26 - 29 durability 27 resin 28 bond 28 bond 29 durability 29 durability 30 . epigenetics is the emergence of a new branch of genetics . 0 ###LEFT-WALL### 1 epigenetics 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 11 . 1 epigenetics 2 is 2 is 4 emergence 3 the 4 emergence 4 emergence 5 of 5 of 8 branch 6 a 7 new 6 a 8 branch 7 new 8 branch 8 branch 9 of 9 of 10 genetics epigenetics is involved in life development , maintenance of normal physiological functions of the human body and the pathology of many complex phenomena,such as inflammation , aging , tumorgenesis , etc . 0 ###LEFT-WALL### 1 epigenetics 0 ###LEFT-WALL### 3 involved 0 ###LEFT-WALL### 7 , 1 epigenetics 2 is 2 is 3 involved 3 involved 4 in 4 in 6 development 5 life 6 development 7 , 17 and 7 , 22 complex 8 maintenance 9 of 8 maintenance 17 and 9 of 12 functions 10 normal 12 functions 11 physiological 12 functions 12 functions 13 of 13 of 16 body 14 the 16 body 15 human 16 body 17 and 19 pathology 17 and 20 of 17 and 22 complex 18 the 19 pathology 20 of 21 many 22 complex 23 phenomena,such 22 complex 24 as 24 as 25 inflammation 25 inflammation 27 aging 25 inflammation 29 tumorgenesis 26 , 27 aging 27 aging 28 , 28 , 29 tumorgenesis 29 tumorgenesis 31 etc 29 tumorgenesis 32 . 30 , 31 etc 31 etc 32 . there is no doubt that the pathogenesis of complex eye diseases such as recurrence of herpes simplex keratitis , glaucoma , uveitis and amd may be associated with aberrant epigenetic regulations . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 26 be 0 ###LEFT-WALL### 32 . 1 there 2 is 2 is 4 doubt 3 no 4 doubt 4 doubt 5 that 5 that 7 pathogenesis 5 that 17 simplex 6 the 7 pathogenesis 7 pathogenesis 8 of 7 pathogenesis 17 simplex 8 of 11 diseases 9 complex 10 eye 10 eye 11 diseases 11 diseases 13 as 11 diseases 15 of 12 such 13 as 13 as 14 recurrence 15 of 16 herpes 17 simplex 18 keratitis 18 keratitis 20 glaucoma 19 , 20 glaucoma 20 glaucoma 21 , 21 , 26 be 22 uveitis 23 and 23 and 24 amd 23 and 25 may 25 may 26 be 26 be 27 associated 27 associated 28 with 28 with 31 regulations 29 aberrant 31 regulations 30 epigenetic 31 regulations therefore effect in vigorously carrying eye research on epigenetics may provide new insight of the pathogenesis of those eye diseases and development of novel treatment options . 0 ###LEFT-WALL### 2 effect 0 ###LEFT-WALL### 11 provide 0 ###LEFT-WALL### 27 . 1 therefore 2 effect 2 effect 3 in 2 effect 8 on 2 effect 10 may 3 in 5 carrying 4 vigorously 5 carrying 5 carrying 7 research 6 eye 7 research 8 on 9 epigenetics 10 may 11 provide 11 provide 13 insight 12 new 13 insight 13 insight 14 of 13 insight 23 of 14 of 16 pathogenesis 15 the 16 pathogenesis 16 pathogenesis 17 of 17 of 21 and 18 those 20 diseases 19 eye 20 diseases 20 diseases 21 and 21 and 22 development 23 of 26 options 24 novel 26 options 25 treatment 26 options background : bariatric surgery is associated with improved cognition , and it is possible that such improvements are [found] [at] extended [follow] - [ups] . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 bariatric 2 : 8 improved 2 : 11 and 2 : 25 . 3 bariatric 4 surgery 3 bariatric 7 with 3 bariatric 8 improved 4 surgery 5 is 5 is 6 associated 6 associated 7 with 8 improved 9 cognition 10 , 11 and 11 and 12 it 11 and 13 is 12 it 13 is 13 is 14 possible 14 possible 15 that 15 that 17 improvements 15 that 21 extended 16 such 17 improvements 17 improvements 18 are 18 are 21 extended 21 extended 23 - we hypothesized that cognitive improvement would be maintained 3 years after bariatric surgery . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 hypothesized 0 ###LEFT-WALL### 14 . 1 we 2 hypothesized 2 hypothesized 3 that 3 that 5 improvement 3 that 8 maintained 4 cognitive 5 improvement 5 improvement 6 would 6 would 7 be 7 be 8 maintained 8 maintained 11 after 9 3 10 years 10 years 11 after 11 after 13 surgery 12 bariatric 13 surgery methods : fifty bariatric patients were recruited from the longitudinal assessment of bariatric surgery parent project . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 patients 2 : 7 recruited 2 : 17 . 3 fifty 5 patients 4 bariatric 5 patients 5 patients 6 were 6 were 7 recruited 7 recruited 8 from 8 from 16 project 9 the 16 project 10 longitudinal 11 assessment 11 assessment 12 of 11 assessment 14 surgery 12 of 13 bariatric 14 surgery 16 project 15 parent 16 project participants completed a computerized cognitive test battery to assess cognitive function [at] 12 weeks , 12 months , 24 months , and 36 months after surgery . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 completed 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 27 . 1 participants 2 completed 2 completed 7 battery 2 completed 8 to 3 a 4 computerized 3 a 7 battery 4 computerized 6 test 5 cognitive 6 test 6 test 7 battery 8 to 9 assess 9 assess 14 weeks 10 cognitive 11 function 11 function 14 weeks 13 12 14 weeks 14 weeks 17 months 15 , 17 months 16 12 17 months 17 months 18 , 18 , 22 and 19 24 20 months 20 months 22 and 21 , 22 and 22 and 24 months 22 and 25 after 23 36 24 months 25 after 26 surgery results : repeated measures revealed main effects for attention , executive function , and memory . attention improved up to 24 months and then slightly declined although it still fell within the average range at 36 months . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 fell 0 ###LEFT-WALL### 38 . 2 : 4 measures 2 : 5 revealed 2 : 16 . 3 repeated 4 measures 4 measures 5 revealed 5 revealed 7 effects 5 revealed 8 for 6 main 7 effects 8 for 14 and 9 attention 10 , 10 , 12 function 10 , 14 and 11 executive 12 function 13 , 14 and 14 and 15 memory 16 . 17 attention 16 . 23 and 17 attention 23 and 18 improved 19 up 18 improved 23 and 19 up 20 to 20 to 22 months 21 24 22 months 23 and 26 declined 24 then 26 declined 25 slightly 26 declined 26 declined 27 although 27 although 28 it 28 it 30 fell 29 still 30 fell 30 fell 31 within 31 within 34 range 32 the 34 range 33 average 34 range 34 range 35 at 35 at 37 months 36 36 37 months improvements [in] [executive] [function] reached their peak at 36 months after surgery . 0 ###LEFT-WALL### 1 improvements 0 ###LEFT-WALL### 5 reached 0 ###LEFT-WALL### 13 . 1 improvements 5 reached 5 reached 7 peak 5 reached 8 at 5 reached 11 after 6 their 7 peak 8 at 10 months 9 36 10 months 11 after 12 surgery short - term improvements in memory were maintained at 36 months . 0 ###LEFT-WALL### 4 improvements 0 ###LEFT-WALL### 8 maintained 0 ###LEFT-WALL### 12 . 1 short 2 - 1 short 3 term 3 term 4 improvements 4 improvements 5 in 4 improvements 7 were 5 in 6 memory 7 were 8 maintained 8 maintained 9 at 9 at 11 months 10 36 11 months no main effect emerged for language . 0 ###LEFT-WALL### 3 effect 0 ###LEFT-WALL### 4 emerged 0 ###LEFT-WALL### 7 . 1 no 3 effect 2 main 3 effect 3 effect 4 emerged 4 emerged 5 for 5 for 6 language conclusions : bariatric surgery may lead to lasting improvements in cognition . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 . 1 conclusions 2 : 2 : 3 bariatric 3 bariatric 4 surgery 3 bariatric 6 lead 4 surgery 5 may 5 may 6 lead 6 lead 7 to 6 lead 10 in 7 to 9 improvements 8 lasting 9 improvements 10 in 11 cognition prospective studies [with] extended follow - [ups] [(] eg , 10 years ) should examine whether bariatric surgery can attenuate cognitive decline [in] severely obese patients . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 5 follow 0 ###LEFT-WALL### 6 - 1 prospective 2 studies 2 studies 4 extended 2 studies 5 follow 6 - 9 eg 6 - 15 examine 6 - 27 . 9 eg 12 years 9 eg 14 should 10 , 12 years 11 10 12 years 12 years 13 ) 14 should 15 examine 15 examine 16 whether 16 whether 18 surgery 16 whether 20 attenuate 17 bariatric 18 surgery 18 surgery 19 can 19 can 20 attenuate 20 attenuate 26 patients 21 cognitive 22 decline 22 decline 26 patients 24 severely 25 obese 25 obese 26 patients objective : dimension - specific objective measures are criticized for their limited perspective and failure to endorse subjective perceptions by respondents [,] but the validity and correlates of a subjective global measure of successful aging ( sa ) are still not well established . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 43 established 0 ###LEFT-WALL### 44 . 1 objective 2 : 2 : 3 dimension 4 - 7 measures 4 - 9 criticized 5 specific 6 objective 6 objective 7 measures 7 measures 8 are 8 are 9 criticized 9 criticized 10 for 10 for 14 and 11 their 13 perspective 12 limited 13 perspective 13 perspective 14 and 14 and 15 failure 14 and 16 to 14 and 27 correlates 14 and 28 of 14 and 39 are 16 to 26 and 17 endorse 19 perceptions 17 endorse 26 and 18 subjective 19 perceptions 19 perceptions 20 by 20 by 21 respondents 21 respondents 23 but 23 but 25 validity 24 the 25 validity 26 and 27 correlates 28 of 32 measure 29 a 32 measure 30 subjective 31 global 31 global 32 measure 32 measure 33 of 33 of 35 aging 34 successful 35 aging 35 aging 37 sa 36 ( 37 sa 37 sa 38 ) 39 are 41 not 39 are 42 well 39 are 43 established 40 still 41 not we evaluated the reliability and validity of a self - rated analogue scale of global sa in an elderly singaporean population . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 evaluated 0 ###LEFT-WALL### 22 . 1 we 2 evaluated 2 evaluated 13 scale 3 the 13 scale 4 reliability 5 and 5 and 6 validity 5 and 10 - 5 and 11 rated 5 and 13 scale 6 validity 7 of 7 of 9 self 8 a 9 self 12 analogue 13 scale 13 scale 14 of 14 of 21 population 15 global 21 population 16 sa 17 in 16 sa 21 population 17 in 20 singaporean 18 an 19 elderly 18 an 20 singaporean 19 elderly 20 singaporean design : cross - sectional data analysis using a comprehensive questionnaire survey . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 13 . 1 design 2 : 2 : 3 cross 4 - 7 analysis 5 sectional 6 data 6 data 7 analysis 7 analysis 8 using 8 using 12 survey 9 a 10 comprehensive 9 a 12 survey 10 comprehensive 11 questionnaire 11 questionnaire 12 survey participants and setting : 489 community - dwelling singaporeans aged 65 years [and] over . 0 ###LEFT-WALL### 3 setting 0 ###LEFT-WALL### 4 : 1 participants 2 and 2 and 3 setting 4 : 6 community 4 : 7 - 4 : 15 . 5 489 6 community 7 - 8 dwelling 8 dwelling 9 singaporeans 8 dwelling 14 over 9 singaporeans 10 aged 10 aged 12 years 10 aged 14 over 11 65 12 years results : self - rated sa [was] significantly correlated to measures of specific dimensions ( standardized β from 0.11 to 0.39 ) , most strongly with psychological functioning ( β [=] 0.391 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 1 results 2 : 2 : 3 self 2 : 25 strongly 2 : 26 with 3 self 6 sa 4 - 6 sa 5 rated 6 sa 6 sa 9 correlated 6 sa 23 , 8 significantly 9 correlated 9 correlated 10 to 10 to 11 measures 11 measures 12 of 12 of 14 dimensions 13 specific 14 dimensions 14 dimensions 17 β 15 ( 17 β 16 standardized 17 β 17 β 20 to 17 β 22 ) 18 from 20 to 19 0.11 20 to 20 to 21 0.39 24 most 25 strongly 26 with 28 functioning 27 psychological 28 functioning 28 functioning 30 β 29 ( 30 β 30 β 32 0.391 30 β 33 ) the five dimension - specific measures together accounted for 16.7 % of the variance in self [-] rated sa . 0 ###LEFT-WALL### 3 dimension 0 ###LEFT-WALL### 4 - 1 the 3 dimension 2 five 3 dimension 4 - 6 measures 4 - 8 accounted 4 - 20 . 5 specific 6 measures 6 measures 8 accounted 7 together 8 accounted 8 accounted 9 for 8 accounted 15 in 9 for 11 % 10 16.7 11 % 11 % 12 of 12 of 14 variance 13 the 14 variance 15 in 19 sa 16 self 18 rated 18 rated 19 sa self - rated sa best predicted life satisfaction [(] r ( 2 [ )(= 0.26 ) more than any dimension - specific measure [(] r ( 2 ) from 0.05 to 0.17 [ )( 0 ###LEFT-WALL### 4 sa 0 ###LEFT-WALL### 6 predicted 0 ###LEFT-WALL### 34 )( 1 self 2 - 1 self 4 sa 3 rated 4 sa 4 sa 6 predicted 5 best 6 predicted 6 predicted 8 satisfaction 6 predicted 17 more 6 predicted 18 than 6 predicted 31 to 7 life 8 satisfaction 8 satisfaction 14 )(= 10 r 14 )(= 11 ( 14 )(= 12 2 14 )(= 14 )(= 15 0.26 14 )(= 16 ) 18 than 20 dimension 19 any 20 dimension 20 dimension 23 measure 21 - 23 measure 22 specific 23 measure 23 measure 25 r 23 measure 27 2 23 measure 28 ) 26 ( 27 2 27 2 28 ) 29 from 31 to 30 0.05 31 to 31 to 32 0.17 self - rated sa , vis - [à] - vis dimension - specific measures , was related to a different set [of] [correlates] , and was notably independent of chronological age , sex , education , socioeconomic status , and medical comorbidity , but [was] significantly related to ethnicity . 0 ###LEFT-WALL### 1 self 0 ###LEFT-WALL### 2 - 2 - 4 sa 2 - 5 , 2 - 6 vis 2 - 7 - 3 rated 4 sa 5 , 6 vis 7 - 9 - 9 - 11 dimension 10 vis 11 dimension 11 dimension 14 measures 11 dimension 16 was 12 - 14 measures 13 specific 14 measures 14 measures 15 , 16 was 25 and 17 related 18 to 17 related 25 and 18 to 21 set 19 a 21 set 20 different 21 set 24 , 25 and 25 and 26 was 26 was 27 notably 26 was 28 independent 28 independent 29 of 29 of 31 age 30 chronological 31 age 31 age 40 and 32 , 40 and 33 sex 34 , 34 , 35 education 34 , 36 , 36 , 38 status 36 , 40 and 37 socioeconomic 38 status 39 , 40 and 40 and 42 comorbidity 40 and 43 , 40 and 44 but 40 and 47 related 40 and 48 to 40 and 50 . 41 medical 42 comorbidity 44 but 46 significantly 48 to 49 ethnicity conclusion : the self [-] rated analogue scale is a sensitive global measure of sa encompassing a spectrum of underlying dimensions and subjective perspectives and its validity is well supported in this study . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 8 scale 2 : 9 is 2 : 25 and 2 : 34 . 3 the 8 scale 4 self 6 rated 6 rated 7 analogue 7 analogue 8 scale 8 scale 9 is 9 is 13 measure 10 a 13 measure 11 sensitive 13 measure 12 global 13 measure 13 measure 14 of 13 measure 16 encompassing 13 measure 19 of 14 of 15 sa 16 encompassing 18 spectrum 17 a 18 spectrum 19 of 20 underlying 20 underlying 22 and 21 dimensions 22 and 22 and 24 perspectives 23 subjective 24 perspectives 25 and 27 validity 25 and 28 is 26 its 27 validity 27 validity 28 is 28 is 29 well 28 is 31 in 29 well 30 supported 31 in 33 study 32 this 33 study objective : the serotonin transporter polymorphism short [(] [s] ) allele is associated with heightened emotional reactivity and reduced emotion regulation , which increases vulnerability to depression and anxiety disorders . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 31 . 1 objective 2 : 2 : 5 transporter 3 the 5 transporter 4 serotonin 5 transporter 5 transporter 11 allele 5 transporter 18 and 6 polymorphism 11 allele 7 short 10 ) 7 short 11 allele 11 allele 12 is 12 is 13 associated 13 associated 14 with 14 with 18 and 15 heightened 17 reactivity 15 heightened 18 and 16 emotional 17 reactivity 18 and 19 reduced 19 reduced 21 regulation 20 emotion 21 regulation 22 , 23 which 22 , 24 increases 23 which 24 increases 24 increases 25 vulnerability 24 increases 26 to 26 to 28 and 27 depression 28 and 28 and 30 disorders 29 anxiety 30 disorders we investigated behavioral and neural markers of emotion regulation in community [-] dwelling older adults , contrasting [s] allele carriers and long allele homozygotes . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 25 . 1 we 2 investigated 2 investigated 3 behavioral 4 and 6 markers 4 and 23 allele 5 neural 6 markers 6 markers 7 of 6 markers 23 allele 7 of 9 regulation 8 emotion 9 regulation 9 regulation 10 in 10 in 21 and 11 community 13 dwelling 13 dwelling 15 adults 14 older 15 adults 15 adults 16 , 16 , 20 carriers 16 , 21 and 17 contrasting 20 carriers 19 allele 20 carriers 21 and 22 long 23 allele 24 homozygotes results : there were no differences between genetic groups in behavioral task performance or neural activation in postincongruent versus postcongruent trials . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 4 were 2 : 22 . 3 there 4 were 4 were 14 or 5 no 6 differences 6 differences 7 between 6 differences 10 in 6 differences 14 or 7 between 9 groups 8 genetic 9 groups 10 in 13 performance 11 behavioral 12 task 12 task 13 performance 14 or 16 activation 14 or 17 in 14 or 19 versus 15 neural 16 activation 17 in 18 postincongruent 19 versus 21 trials 20 postcongruent 21 trials by contrast , connectivity between dorsal anterior cingulate [cortex] ( acc ) and pregenual acc , regions previously implicated in emotion conflict regulation , was impaired in [s] carriers for emotional conflict adaptation . 0 ###LEFT-WALL### 15 acc 0 ###LEFT-WALL### 26 impaired 0 ###LEFT-WALL### 34 . 1 by 13 and 1 by 15 acc 2 contrast 3 , 3 , 4 connectivity 3 , 13 and 4 connectivity 5 between 5 between 8 cingulate 6 dorsal 8 cingulate 7 anterior 8 cingulate 8 cingulate 11 acc 10 ( 11 acc 11 acc 12 ) 13 and 14 pregenual 15 acc 17 regions 15 acc 25 was 16 , 17 regions 17 regions 19 implicated 17 regions 24 , 18 previously 19 implicated 19 implicated 20 in 20 in 23 regulation 21 emotion 23 regulation 22 conflict 23 regulation 25 was 26 impaired 26 impaired 27 in 27 in 29 carriers 29 carriers 30 for 30 for 33 adaptation 31 emotional 32 conflict 32 conflict 33 adaptation conclusion : this is the first demonstration of an association [between] serotonin transporter polymorphism and functional connectivity in older adults . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 this 2 : 4 is 2 : 21 . 3 this 4 is 4 is 7 demonstration 5 the 6 first 5 the 7 demonstration 7 demonstration 8 of 8 of 15 and 9 an 14 polymorphism 10 association 14 polymorphism 12 serotonin 14 polymorphism 13 transporter 14 polymorphism 14 polymorphism 15 and 15 and 17 connectivity 15 and 18 in 16 functional 17 connectivity 18 in 20 adults 19 older 20 adults poor dorsal acc - pregenual acc connectivity in [s] carriers may be one route by which these individuals experience greater difficulty in implementing effective emotional regulation , which may contribute to their vulnerability for affective disorders . 0 ###LEFT-WALL### 3 acc 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 37 . 1 poor 3 acc 2 dorsal 3 acc 4 - 7 connectivity 4 - 12 be 4 - 27 , 5 pregenual 7 connectivity 6 acc 7 connectivity 7 connectivity 8 in 7 connectivity 11 may 8 in 10 carriers 11 may 12 be 12 be 14 route 13 one 14 route 14 route 15 by 15 by 16 which 15 by 18 individuals 15 by 19 experience 17 these 18 individuals 18 individuals 19 experience 19 experience 21 difficulty 20 greater 21 difficulty 21 difficulty 22 in 22 in 23 implementing 23 implementing 26 regulation 24 effective 26 regulation 25 emotional 26 regulation 27 , 28 which 27 , 30 contribute 28 which 29 may 29 may 30 contribute 30 contribute 31 to 31 to 33 vulnerability 32 their 33 vulnerability 33 vulnerability 34 for 34 for 36 disorders 35 affective 36 disorders objectives : to investigate the psychometric properties of the executive interview ( exit ) and quick exit in community dwelling older adults . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 3 to 2 : 4 investigate 3 to 4 investigate 4 investigate 15 and 4 investigate 18 in 5 the 7 properties 6 psychometric 7 properties 7 properties 8 of 7 properties 15 and 8 of 13 exit 9 the 13 exit 10 executive 11 interview 11 interview 13 exit 12 ( 13 exit 13 exit 14 ) 15 and 17 exit 16 quick 17 exit 18 in 22 adults 19 community 20 dwelling 20 dwelling 22 adults 21 older 22 adults design : secondary analysis of data obtained as part of a longitudinal study of cognitive function [in] late - life depression . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 1 design 2 : 2 : 4 analysis 2 : 8 as 3 secondary 4 analysis 4 analysis 5 of 5 of 6 data 6 data 7 obtained 8 as 9 part 9 part 10 of 9 part 14 of 10 of 13 study 11 a 13 study 12 longitudinal 13 study 14 of 21 depression 15 cognitive 16 function 16 function 21 depression 18 late 19 - 18 late 20 life 20 life 21 depression setting : a university hospital . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 . 1 setting 2 : 2 : 5 hospital 3 a 5 hospital 4 university 5 hospital participants : community - dwelling adults ( n = 422 ) , aged 59 years and older , with current or recent history [of] [non] - psychotic unipolar major depression , and never [-] depressed comparison subjects . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 . 2 : 3 community 2 : 4 - 4 - 32 and 5 dwelling 6 adults 5 dwelling 9 = 5 dwelling 12 , 5 dwelling 32 and 7 ( 9 = 8 n 9 = 9 = 10 422 9 = 11 ) 13 aged 16 and 13 aged 32 and 14 59 15 years 15 years 16 and 16 and 17 older 17 older 19 with 18 , 19 with 19 with 23 history 19 with 31 , 20 current 21 or 21 or 22 recent 21 or 23 history 23 history 30 depression 26 - 30 depression 27 psychotic 30 depression 28 unipolar 29 major 29 major 30 depression 30 depression 31 , 32 and 35 depressed 33 never 35 depressed 35 depressed 37 subjects 36 comparison 37 subjects measurements : the exit and other measures of executive control functions ( ecf ) , [non] - executive cognitive domains , and global cognitive function . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 1 measurements 2 : 2 : 22 and 3 the 4 exit 4 exit 5 and 5 and 7 measures 5 and 15 , 5 and 20 domains 5 and 22 and 6 other 7 measures 7 measures 8 of 8 of 11 functions 9 executive 10 control 10 control 11 functions 11 functions 13 ecf 12 ( 13 ecf 13 ecf 14 ) 17 - 20 domains 18 executive 20 domains 19 cognitive 20 domains 20 domains 21 , 21 , 22 and 22 and 25 function 23 global 25 function 24 cognitive 25 function we calculated quick exit scores from the exit . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 calculated 0 ###LEFT-WALL### 9 . 1 we 2 calculated 2 calculated 5 scores 3 quick 4 exit 4 exit 5 scores 5 scores 6 from 6 from 8 exit 7 the 8 exit results : the exit demonstrated high [inter] - rater reliability [(] intraclass correlation coefficient = 0.978 [,] [f] ( 7 , 21 ) = 174.85 , p < 0.001 [ )( [and] both the exit and quick exit demonstrated moderate internal consistency ( α = 0.66 and [α] = 0.68 , respectively [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 8 - 1 results 2 : 2 : 4 exit 2 : 6 high 3 the 4 exit 4 exit 5 demonstrated 8 - 12 intraclass 9 rater 10 reliability 10 reliability 12 intraclass 12 intraclass 22 21 12 intraclass 24 = 13 correlation 14 coefficient 14 coefficient 15 = 15 = 16 0.978 16 0.978 20 7 19 ( 20 7 20 7 21 , 21 , 22 21 22 21 23 ) 24 = 25 174.85 24 = 28 < 26 , 28 < 27 p 28 < 28 < 29 0.001 29 0.001 36 and 29 0.001 40 moderate 33 both 36 and 34 the 35 exit 35 exit 36 and 36 and 38 exit 36 and 39 demonstrated 36 and 40 moderate 37 quick 38 exit 40 moderate 52 respectively 41 internal 42 consistency 42 consistency 44 α 43 ( 44 α 44 α 47 and 44 α 51 , 45 = 46 0.66 46 0.66 47 and 47 and 50 0.68 49 = 50 0.68 51 , 52 respectively 52 respectively 54 )( both tests also demonstrated acceptable convergent validity against several standard tests of ecf ( rs - 0.399 to 0.322 , except for the trail making test b , where rs was 0.057 to 0.063 ) as well as against measures of multifactorial cognitive function [(] rs - 0.432 to 0.491 ) . 0 ###LEFT-WALL### 2 tests 0 ###LEFT-WALL### 4 demonstrated 0 ###LEFT-WALL### 52 . 1 both 2 tests 2 tests 4 demonstrated 3 also 4 demonstrated 4 demonstrated 7 validity 5 acceptable 7 validity 6 convergent 7 validity 7 validity 8 against 7 validity 12 of 8 against 11 tests 9 several 11 tests 10 standard 11 tests 12 of 13 ecf 13 ecf 15 rs 14 ( 15 rs 15 rs 18 to 15 rs 21 except 15 rs 29 where 15 rs 36 as 15 rs 38 as 15 rs 51 ) 16 - 17 0.399 17 0.399 18 to 18 to 19 0.322 20 , 21 except 21 except 22 for 21 except 28 , 22 for 26 test 23 the 26 test 24 trail 25 making 25 making 26 test 26 test 27 b 28 , 29 where 29 where 30 rs 29 where 31 was 29 where 35 ) 30 rs 31 was 31 was 32 0.057 32 0.057 33 to 33 to 34 0.063 36 as 37 well 38 as 39 against 39 against 40 measures 40 measures 41 of 41 of 46 rs 42 multifactorial 44 function 43 cognitive 44 function 44 function 46 rs 46 rs 49 to 47 - 48 0.432 48 0.432 49 to 49 to 50 0.491 both tests , however , demonstrated inconsistent discriminant validity against a variety of standard [non] - ecf tests ( rs - 0.013 to 0.376 ) . 0 ###LEFT-WALL### 2 tests 0 ###LEFT-WALL### 6 demonstrated 0 ###LEFT-WALL### 26 . 1 both 2 tests 2 tests 6 demonstrated 3 , 4 however 4 however 5 , 4 however 6 demonstrated 6 demonstrated 9 validity 6 demonstrated 10 against 7 inconsistent 9 validity 8 discriminant 9 validity 10 against 12 variety 11 a 12 variety 12 variety 13 of 13 of 18 tests 14 standard 16 - 14 standard 18 tests 17 ecf 18 tests 18 tests 20 rs 19 ( 20 rs 20 rs 23 to 20 rs 25 ) 21 - 22 0.013 22 0.013 23 to 23 to 24 0.376 conclusions : both the exit and the quick exit have adequate reliability and appear to require ecf in this population . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 21 . 1 conclusions 2 : 2 : 3 both 3 both 4 the 3 both 5 exit 4 the 5 exit 6 and 9 exit 6 and 13 and 7 the 9 exit 8 quick 9 exit 9 exit 13 and 10 have 12 reliability 10 have 13 and 11 adequate 12 reliability 13 and 14 appear 13 and 15 to 15 to 16 require 16 require 17 ecf 16 require 18 in 18 in 20 population 19 this 20 population however , both the exit and the quick exit also reflect [non] - ecf domains . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 11 reflect 0 ###LEFT-WALL### 13 - 1 however 2 , 1 however 6 and 3 both 6 and 4 the 5 exit 5 exit 6 and 6 and 9 exit 6 and 11 reflect 7 the 9 exit 8 quick 9 exit 10 also 11 reflect 13 - 15 domains 13 - 16 . 14 ecf 15 domains the exit and quick exit should be considered to be measures of global cognitive function rather [than] pure ecf measures . 0 ###LEFT-WALL### 5 exit 0 ###LEFT-WALL### 8 considered 0 ###LEFT-WALL### 21 . 1 the 5 exit 2 exit 3 and 3 and 4 quick 4 quick 5 exit 5 exit 6 should 6 should 7 be 7 be 8 considered 8 considered 9 to 8 considered 10 be 9 to 10 be 10 be 11 measures 11 measures 12 of 12 of 20 measures 13 global 15 function 14 cognitive 15 function 15 function 20 measures 16 rather 18 pure 18 pure 20 measures 19 ecf 20 measures given similar reliability and validity , the quick exit is recommended clinically as it is briefer and less burdensome than the full exit . 0 ###LEFT-WALL### 8 quick 0 ###LEFT-WALL### 15 is 0 ###LEFT-WALL### 24 . 1 given 4 and 1 given 6 , 1 given 8 quick 2 similar 3 reliability 3 reliability 4 and 4 and 5 validity 7 the 8 quick 8 quick 9 exit 8 quick 10 is 8 quick 11 recommended 8 quick 15 is 9 exit 10 is 11 recommended 12 clinically 11 recommended 13 as 13 as 14 it 15 is 17 and 15 is 19 burdensome 16 briefer 17 and 17 and 18 less 19 burdensome 20 than 20 than 23 exit 21 the 23 exit 22 full 23 exit dynamic imbalance caused by external perturbations [to] [gait] can successfully be counteracted by adequate recovery responses . 0 ###LEFT-WALL### 2 imbalance 0 ###LEFT-WALL### 12 counteracted 0 ###LEFT-WALL### 17 . 1 dynamic 2 imbalance 2 imbalance 3 caused 2 imbalance 9 can 3 caused 4 by 4 by 6 perturbations 5 external 6 perturbations 9 can 11 be 10 successfully 11 be 11 be 12 counteracted 12 counteracted 13 by 13 by 16 responses 14 adequate 15 recovery 15 recovery 16 responses the current study investigated [how] the recovery response is moderated by age [,] walking speed , muscle strength and speed of information processing . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 10 moderated 0 ###LEFT-WALL### 24 . 1 the 3 study 2 current 3 study 3 study 4 investigated 3 study 8 response 3 study 9 is 3 study 10 moderated 6 the 8 response 7 recovery 8 response 8 response 9 is 10 moderated 11 by 11 by 19 and 12 age 14 walking 12 age 16 , 14 walking 15 speed 16 , 18 strength 16 , 19 and 17 muscle 18 strength 19 and 20 speed 19 and 21 of 21 of 23 processing 22 information 23 processing the gait pattern of 50 young and [45] elderly subjects was repeatedly perturbed at 20 % and 80 % of the first half of the swing phase using the timed rapid impact perturbation ( trip ) set - up . 0 ###LEFT-WALL### 3 pattern 0 ###LEFT-WALL### 13 perturbed 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 37 set 1 the 3 pattern 2 gait 3 pattern 3 pattern 4 of 3 pattern 11 was 4 of 10 subjects 5 50 10 subjects 6 young 7 and 7 and 9 elderly 7 and 10 subjects 11 was 13 perturbed 12 repeatedly 13 perturbed 13 perturbed 14 at 14 at 16 % 15 20 16 % 17 and 19 % 17 and 27 phase 18 80 19 % 19 % 20 of 19 % 27 phase 20 of 23 half 21 the 22 first 21 the 23 half 23 half 24 of 24 of 26 swing 25 the 26 swing 27 phase 28 using 27 phase 32 impact 28 using 31 rapid 29 the 31 rapid 30 timed 31 rapid 32 impact 33 perturbation 32 impact 37 set 33 perturbation 35 trip 33 perturbation 37 set 34 ( 35 trip 35 trip 36 ) 37 set 39 up 38 - 39 up 39 up 40 . recovery responses were identified using 2 d cameras . 0 ###LEFT-WALL### 2 responses 0 ###LEFT-WALL### 4 identified 0 ###LEFT-WALL### 9 . 1 recovery 2 responses 2 responses 3 were 3 were 4 identified 4 identified 5 using 5 using 8 cameras 6 2 7 d 7 d 8 cameras muscular [factors] ( dynamometer ) and speed of information processing parameters ( computer [-] based reaction time [task] ) were determined . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 20 were 0 ###LEFT-WALL### 22 . 1 muscular 4 dynamometer 1 muscular 6 and 3 ( 4 dynamometer 4 dynamometer 5 ) 6 and 7 speed 6 and 8 of 6 and 10 processing 6 and 17 time 6 and 20 were 8 of 9 information 10 processing 11 parameters 12 ( 17 time 13 computer 15 based 15 based 16 reaction 16 reaction 17 time 17 time 19 ) 20 were 21 determined the stronger , faster reacting and faster [walking] young subjects recovered more often by an elevating strategy than elderly subjects . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 21 . 1 the 5 reacting 2 stronger 3 , 2 stronger 5 reacting 4 faster 5 reacting 5 reacting 6 and 6 and 10 subjects 6 and 11 recovered 7 faster 10 subjects 9 young 10 subjects 11 recovered 13 often 11 recovered 14 by 11 recovered 18 than 12 more 13 often 14 by 17 strategy 15 an 17 strategy 16 elevating 17 strategy 18 than 20 subjects 19 elderly 20 subjects twenty three per cent of the differences in recovery responses were explained by a combination of walking speed ( [b=] - 13.85 ) , reaction time ( [b=] - 0.82 ) , maximum extension strength ( b=0.01 [ )(and rate of extension moment development ( b=0.19 ) . 0 ###LEFT-WALL### 2 three 0 ###LEFT-WALL### 12 explained 0 ###LEFT-WALL### 48 . 1 twenty 2 three 2 three 3 per 2 three 5 of 2 three 11 were 3 per 4 cent 5 of 7 differences 6 the 7 differences 7 differences 8 in 8 in 10 responses 9 recovery 10 responses 11 were 12 explained 12 explained 13 by 13 by 15 combination 14 a 15 combination 15 combination 16 of 15 combination 22 13.85 15 combination 26 time 16 of 17 walking 17 walking 18 speed 19 ( 22 13.85 21 - 22 13.85 22 13.85 23 ) 24 , 26 time 25 reaction 26 time 26 time 30 0.82 26 time 35 strength 26 time 47 ) 27 ( 30 0.82 29 - 30 0.82 30 0.82 31 ) 32 , 35 strength 33 maximum 34 extension 34 extension 35 strength 35 strength 39 )(and 35 strength 47 ) 36 ( 39 )(and 37 b=0.01 39 )(and 39 )(and 40 rate 39 )(and 41 of 39 )(and 46 b=0.19 39 )(and 47 ) 41 of 44 development 42 extension 44 development 43 moment 44 development 45 ( 46 b=0.19 46 b=0.19 47 ) the recovery response that subjects employed [when] gait was perturbed by the trip set - up was modified by several factors ; the individual contribution of walking speed , muscle strength and speed of information processing was small . 0 ###LEFT-WALL### 3 response 0 ###LEFT-WALL### 18 modified 0 ###LEFT-WALL### 22 ; 0 ###LEFT-WALL### 39 . 1 the 3 response 2 recovery 3 response 3 response 8 gait 3 response 9 was 3 response 10 perturbed 3 response 17 was 4 that 8 gait 5 subjects 6 employed 6 employed 8 gait 8 gait 9 was 10 perturbed 11 by 10 perturbed 15 - 10 perturbed 16 up 11 by 13 trip 12 the 13 trip 13 trip 14 set 17 was 18 modified 18 modified 19 by 19 by 21 factors 20 several 21 factors 22 ; 25 contribution 22 ; 37 was 23 the 25 contribution 24 individual 25 contribution 25 contribution 26 of 25 contribution 37 was 26 of 27 walking 27 walking 32 and 28 speed 29 , 29 , 31 strength 29 , 32 and 30 muscle 31 strength 32 and 33 speed 32 and 34 of 34 of 36 processing 35 information 36 processing 37 was 38 small insight into remaining modifying factors is needed to assist and optimise fall prevention programmes . 0 ###LEFT-WALL### 1 insight 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 15 . 1 insight 2 into 1 insight 4 modifying 1 insight 6 is 2 into 3 remaining 4 modifying 5 factors 6 is 10 and 7 needed 8 to 7 needed 10 and 8 to 9 assist 10 and 11 optimise 11 optimise 14 programmes 12 fall 13 prevention 13 prevention 14 programmes recent studies have shown that impairment [in] executive function ( ef ) is common in patients with amnestic mild cognitive impairment ( amci ) . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 shown 0 ###LEFT-WALL### 25 . 1 recent 2 studies 2 studies 3 have 3 have 4 shown 4 shown 9 function 4 shown 13 is 5 that 9 function 6 impairment 9 function 8 executive 9 function 9 function 11 ef 9 function 13 is 10 ( 11 ef 11 ef 12 ) 13 is 14 common 14 common 15 in 14 common 17 with 15 in 16 patients 17 with 21 impairment 18 amnestic 21 impairment 19 mild 21 impairment 20 cognitive 21 impairment 21 impairment 23 amci 22 ( 23 amci 23 amci 24 ) however , the neuroanatomic basis of executive impairment in patients with amci remains unclear . 0 ###LEFT-WALL### 5 basis 0 ###LEFT-WALL### 13 remains 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 5 basis 3 the 5 basis 4 neuroanatomic 5 basis 5 basis 6 of 5 basis 13 remains 6 of 8 impairment 7 executive 8 impairment 8 impairment 9 in 9 in 10 patients 10 patients 11 with 11 with 12 amci 13 remains 14 unclear in this study , multiple regression voxel - based morphometry analyses were used to examine the relationship between regional gray matter volumes and ef performance in 50 patients with amci and 48 healthy age - matched controls . 1 in 3 study 1 in 4 , 1 in 11 analyses 2 this 3 study 5 multiple 6 regression 6 regression 11 analyses 7 voxel 8 - 7 voxel 10 morphometry 9 based 10 morphometry 10 morphometry 11 analyses 11 analyses 12 were 12 were 13 used 13 used 14 to 13 used 15 examine 14 to 15 examine 15 examine 17 relationship 15 examine 18 between 16 the 17 relationship 18 between 23 and 19 regional 22 volumes 20 gray 21 matter 21 matter 22 volumes 22 volumes 23 and 23 and 25 performance 23 and 26 in 23 and 29 with 23 and 37 controls 24 ef 25 performance 26 in 28 patients 27 50 28 patients 29 with 31 and 30 amci 31 and 31 and 34 age 32 48 34 age 33 healthy 34 age 35 - 37 controls 36 matched 37 controls 37 controls 38 . the core ef components ( response inhibition , working memory and task switching , based on the ef model of miyake et al ) were accessed with computerized tasks . 0 ###LEFT-WALL### 4 components 0 ###LEFT-WALL### 26 accessed 0 ###LEFT-WALL### 30 . 1 the 4 components 2 core 4 components 3 ef 4 components 4 components 11 and 4 components 15 based 4 components 25 were 5 ( 11 and 6 response 7 inhibition 7 inhibition 8 , 8 , 10 memory 8 , 11 and 9 working 10 memory 11 and 12 task 11 and 13 switching 11 and 14 , 14 , 15 based 15 based 16 on 15 based 24 ) 16 on 19 model 17 the 19 model 18 ef 19 model 19 model 20 of 20 of 23 al 21 miyake 23 al 22 et 23 al 25 were 26 accessed 26 accessed 27 with 27 with 29 tasks 28 computerized 29 tasks atrophic brain areas related to decreases in the three ef components in patients with amci were located in the frontal and temporal cortices . 0 ###LEFT-WALL### 3 areas 0 ###LEFT-WALL### 4 related 0 ###LEFT-WALL### 24 . 1 atrophic 2 brain 2 brain 3 areas 3 areas 4 related 4 related 5 to 4 related 7 in 4 related 18 in 5 to 6 decreases 7 in 9 three 8 the 9 three 9 three 10 ef 9 three 17 located 10 ef 11 components 10 ef 16 were 10 ef 17 located 11 components 12 in 11 components 14 with 11 components 16 were 12 in 13 patients 14 with 15 amci 18 in 23 cortices 19 the 23 cortices 20 frontal 21 and 21 and 22 temporal 21 and 23 cortices within the frontal cortex , the brain region related to response inhibition was identified in the right inferior frontal gyrus . 0 ###LEFT-WALL### 8 region 0 ###LEFT-WALL### 14 identified 0 ###LEFT-WALL### 21 . 1 within 4 cortex 1 within 5 , 1 within 8 region 2 the 4 cortex 3 frontal 4 cortex 6 the 8 region 7 brain 8 region 8 region 9 related 8 region 13 was 9 related 10 to 10 to 12 inhibition 11 response 12 inhibition 13 was 14 identified 14 identified 15 in 15 in 20 gyrus 16 the 20 gyrus 17 right 20 gyrus 18 inferior 20 gyrus 19 frontal 20 gyrus brain regions related to working memory were located in the left anterior cingulate gyrus , left premotor cortex , and right inferior frontal gyrus , and brain regions related to task shifting were distributed in the bilateral frontal cortex . 0 ###LEFT-WALL### 2 regions 0 ###LEFT-WALL### 8 located 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 40 . 1 brain 2 regions 2 regions 3 related 2 regions 7 were 3 related 4 to 4 to 6 memory 5 working 6 memory 7 were 8 located 8 located 9 in 9 in 20 and 10 the 14 gyrus 11 left 14 gyrus 12 anterior 14 gyrus 13 cingulate 14 gyrus 14 gyrus 15 , 15 , 18 cortex 15 , 20 and 16 left 18 cortex 17 premotor 18 cortex 19 , 20 and 20 and 24 gyrus 20 and 25 , 21 right 24 gyrus 22 inferior 24 gyrus 23 frontal 24 gyrus 25 , 26 and 26 and 28 regions 26 and 34 distributed 27 brain 28 regions 28 regions 29 related 28 regions 30 to 28 regions 31 task 28 regions 32 shifting 28 regions 33 were 30 to 31 task 33 were 34 distributed 34 distributed 35 in 35 in 39 cortex 36 the 39 cortex 37 bilateral 39 cortex 38 frontal 39 cortex atrophy in the right inferior frontal gyrus was most closely associated with a decrease in all three ef components in patients with amci . 0 ###LEFT-WALL### 1 atrophy 0 ###LEFT-WALL### 11 associated 0 ###LEFT-WALL### 24 . 1 atrophy 2 in 1 atrophy 8 was 2 in 7 gyrus 3 the 7 gyrus 4 right 7 gyrus 5 inferior 7 gyrus 6 frontal 7 gyrus 8 was 10 closely 8 was 11 associated 9 most 10 closely 11 associated 12 with 11 associated 15 in 11 associated 20 in 12 with 14 decrease 13 a 14 decrease 15 in 19 components 16 all 17 three 17 three 19 components 18 ef 19 components 20 in 21 patients 21 patients 22 with 22 with 23 amci our data , from the perspective of brain morphology , contribute to a better understanding of the role of these brain areas in the neural network of ef . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 11 contribute 0 ###LEFT-WALL### 29 . 1 our 2 data 2 data 4 from 2 data 11 contribute 3 , 4 from 4 from 6 perspective 4 from 10 , 5 the 6 perspective 6 perspective 7 of 7 of 9 morphology 8 brain 9 morphology 11 contribute 12 to 11 contribute 23 in 12 to 15 understanding 13 a 15 understanding 14 better 15 understanding 15 understanding 16 of 16 of 18 role 17 the 18 role 18 role 19 of 19 of 22 areas 20 these 22 areas 21 brain 22 areas 23 in 26 network 24 the 26 network 25 neural 26 network 26 network 27 of 27 of 28 ef to assist investigators in making design choices , we modeled alzheimer 's disease prevention clinical trials . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 assist 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 17 . 1 to 2 assist 2 assist 3 investigators 2 assist 4 in 4 in 5 making 5 making 6 design 5 making 7 choices 8 , 9 we 8 , 10 modeled 9 we 10 modeled 10 modeled 16 trials 11 alzheimer 12 's 12 's 16 trials 13 disease 16 trials 14 prevention 16 trials 15 clinical 16 trials we used longitudinal clinical dementia rating scale [sum] of boxes data , retention rates , and the proportions of trial - eligible cognitively normal participants age 65 and older in the national alzheimer 's coordinating center uniform data set to model trial sample sizes , the numbers needed to enroll to account for drop out , and the numbers needed to screen to successfully complete enrollment . 1 we 2 used 2 used 7 scale 3 longitudinal 7 scale 4 clinical 5 dementia 5 dementia 6 rating 6 rating 7 scale 7 scale 9 of 9 of 11 data 10 boxes 11 data 11 data 21 - 12 , 21 - 13 retention 14 rates 14 rates 16 and 15 , 16 and 16 and 18 proportions 16 and 19 of 16 and 21 - 17 the 18 proportions 19 of 20 trial 21 - 25 participants 22 eligible 25 participants 23 cognitively 24 normal 24 normal 25 participants 25 participants 28 and 26 age 27 65 26 age 28 and 28 and 29 older 29 older 30 in 29 older 40 to 30 in 39 set 31 the 33 alzheimer 32 national 33 alzheimer 33 alzheimer 34 's 34 's 39 set 35 coordinating 36 center 36 center 37 uniform 37 uniform 38 data 38 data 39 set 40 to 45 , 41 model 44 sizes 41 model 45 , 42 trial 44 sizes 43 sample 44 sizes 45 , 50 enroll 46 the 47 numbers 47 numbers 48 needed 48 needed 49 to 49 to 50 enroll 50 enroll 51 to 50 enroll 53 for 50 enroll 57 and 51 to 52 account 53 for 54 drop 55 out 57 and 56 , 57 and 57 and 59 numbers 57 and 67 . 58 the 59 numbers 59 numbers 60 needed 59 numbers 61 to 61 to 62 screen 62 screen 63 to 62 screen 65 complete 63 to 65 complete 64 successfully 65 complete 65 complete 66 enrollment we examined how enrichment strategies affected each component of the model . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 12 . 1 we 2 examined 2 examined 3 how 3 how 5 strategies 3 how 6 affected 4 enrichment 5 strategies 5 strategies 6 affected 6 affected 8 component 7 each 8 component 8 component 9 of 9 of 11 model 10 the 11 model relative to trials enrolling 65 - year [-] old individuals , trials enriching for older [(] minimum 70 or 75 [ )(age required reduced sample sizes , numbers needed to enroll , and numbers needed to screen . 0 ###LEFT-WALL### 12 trials 0 ###LEFT-WALL### 24 reduced 0 ###LEFT-WALL### 38 . 1 relative 12 trials 2 to 3 trials 2 to 12 trials 4 enrolling 5 65 4 enrolling 11 , 4 enrolling 12 trials 5 65 10 individuals 6 - 10 individuals 7 year 9 old 9 old 10 individuals 10 individuals 11 , 12 trials 13 enriching 12 trials 23 required 12 trials 24 reduced 13 enriching 14 for 13 enriching 22 )(age 14 for 17 minimum 15 older 17 minimum 17 minimum 19 or 18 70 19 or 19 or 20 75 24 reduced 33 and 25 sample 26 sizes 26 sizes 27 , 27 , 28 numbers 27 , 33 and 28 numbers 29 needed 29 needed 30 to 30 to 31 enroll 32 , 33 and 33 and 34 numbers 33 and 36 to 33 and 37 screen 34 numbers 35 needed 36 to 37 screen enriching for subjective memory complaints reduced sample sizes and numbers needed to enroll more than age enrichment , but increased the number needed to screen . 0 ###LEFT-WALL### 1 enriching 0 ###LEFT-WALL### 19 but 0 ###LEFT-WALL### 26 . 1 enriching 2 for 1 enriching 5 complaints 1 enriching 19 but 2 for 4 memory 3 subjective 4 memory 5 complaints 9 and 6 reduced 8 sizes 6 reduced 9 and 7 sample 8 sizes 9 and 10 numbers 11 needed 12 to 11 needed 18 , 11 needed 19 but 12 to 13 enroll 13 enroll 14 more 13 enroll 15 than 15 than 17 enrichment 16 age 17 enrichment 19 but 20 increased 20 increased 22 number 21 the 22 number 22 number 23 needed 22 number 24 to 22 number 25 screen 24 to 25 screen we conclude that alzheimer 's disease prevention trials can enroll elderly participants with minimal effect on trial retention and that enriching for older individuals with memory complaints might afford efficient trial designs . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conclude 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 33 . 1 we 2 conclude 2 conclude 3 that 3 that 8 trials 3 that 10 enroll 4 alzheimer 5 's 5 's 8 trials 6 disease 8 trials 7 prevention 8 trials 8 trials 9 can 9 can 10 enroll 10 enroll 12 participants 10 enroll 13 with 10 enroll 16 on 11 elderly 12 participants 13 with 15 effect 14 minimal 15 effect 16 on 18 retention 17 trial 18 retention 19 and 21 enriching 19 and 29 afford 20 that 21 enriching 21 enriching 22 for 21 enriching 28 might 22 for 24 individuals 23 older 24 individuals 24 individuals 25 with 25 with 27 complaints 26 memory 27 complaints 28 might 29 afford 29 afford 32 designs 30 efficient 31 trial 31 trial 32 designs aging induces a decline in the ties that bind anatomical networks centered on the prefrontal cortex , which are critical for reinforcement learning and decision making . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 2 induces 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 27 . 1 aging 2 induces 2 induces 4 decline 2 induces 5 in 3 a 4 decline 5 in 7 ties 6 the 7 ties 7 ties 8 that 7 ties 12 centered 8 that 11 networks 8 that 12 centered 9 bind 11 networks 10 anatomical 11 networks 11 networks 12 centered 12 centered 13 on 13 on 16 cortex 14 the 16 cortex 15 prefrontal 16 cortex 17 , 18 which 17 , 26 making 18 which 19 are 18 which 26 making 19 are 24 and 19 are 26 making 20 critical 21 for 20 critical 23 learning 20 critical 24 and 21 for 22 reinforcement 24 and 25 decision at the neurophysiological level , the prefrontal cortex may engage electrophysiological oscillatory synchronization to coordinate other brain systems during learning . 0 ###LEFT-WALL### 8 cortex 0 ###LEFT-WALL### 10 engage 0 ###LEFT-WALL### 21 . 1 at 4 level 1 at 5 , 1 at 8 cortex 2 the 4 level 3 neurophysiological 4 level 6 the 8 cortex 7 prefrontal 8 cortex 8 cortex 9 may 9 may 10 engage 10 engage 13 synchronization 10 engage 14 to 11 electrophysiological 13 synchronization 12 oscillatory 13 synchronization 14 to 15 coordinate 15 coordinate 18 systems 15 coordinate 19 during 16 other 18 systems 17 brain 18 systems 19 during 20 learning we recorded scalp eeg from 21 [older] ( mean age 69 years ) and 20 young [(] mean age 22 years ) healthy human [adults] while they learned stimulus - response mappings by trial - [and] - error using feedback . 1 we 2 recorded 2 recorded 14 and 3 scalp 4 eeg 4 eeg 5 from 4 eeg 14 and 5 from 6 21 6 21 12 years 8 ( 12 years 9 mean 10 age 10 age 12 years 11 69 12 years 12 years 13 ) 14 and 21 years 14 and 22 ) 14 and 23 healthy 14 and 24 human 15 20 21 years 16 young 19 age 18 mean 19 age 19 age 21 years 20 22 21 years 24 human 26 while 26 while 27 they 26 while 28 learned 27 they 28 learned 28 learned 29 stimulus 29 stimulus 32 mappings 29 stimulus 40 feedback 30 - 32 mappings 31 response 32 mappings 32 mappings 33 by 32 mappings 35 - 33 by 34 trial 37 - 40 feedback 38 error 40 feedback 39 using 40 feedback 40 feedback 41 . in young adults , theta - band ( 4 - 8 hz ) oscillatory power over medial frontal and anterior frontal cortex predicted learning after errors . 0 ###LEFT-WALL### 7 band 0 ###LEFT-WALL### 27 . 1 in 3 adults 1 in 6 - 1 in 7 band 2 young 3 adults 3 adults 5 theta 4 , 5 theta 5 theta 6 - 7 band 15 power 7 band 16 over 8 ( 10 - 9 4 10 - 10 - 12 hz 10 - 13 ) 10 - 15 power 11 8 12 hz 14 oscillatory 15 power 16 over 24 learning 17 medial 24 learning 18 frontal 19 and 19 and 20 anterior 19 and 24 learning 21 frontal 22 cortex 22 cortex 23 predicted 23 predicted 24 learning 24 learning 25 after 25 after 26 errors older adults demonstrated a decrease in the theta - band learning - predictive signals [over] medial frontal but not anterior frontal cortex . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 3 demonstrated 0 ###LEFT-WALL### 9 - 1 older 2 adults 2 adults 3 demonstrated 3 demonstrated 5 decrease 3 demonstrated 6 in 4 a 5 decrease 6 in 8 theta 7 the 8 theta 9 - 10 band 9 - 12 - 10 band 11 learning 12 - 22 cortex 12 - 23 . 13 predictive 14 signals 14 signals 22 cortex 16 medial 22 cortex 17 frontal 18 but 18 but 19 not 18 but 20 anterior 18 but 22 cortex 19 not 20 anterior 21 frontal 22 cortex this age - related decrease in task [-] relevant medial frontal theta power may be related to the more general decrease in medial frontal theta power that we observed during rest . 0 ###LEFT-WALL### 15 be 0 ###LEFT-WALL### 32 . 1 this 2 age 2 age 14 may 3 - 4 related 4 related 5 decrease 4 related 14 may 5 decrease 6 in 6 in 13 power 7 task 13 power 9 relevant 12 theta 10 medial 12 theta 11 frontal 12 theta 12 theta 13 power 14 may 15 be 15 be 16 related 16 related 17 to 16 related 22 in 17 to 21 decrease 18 the 21 decrease 19 more 20 general 20 general 21 decrease 22 in 26 power 23 medial 26 power 24 frontal 25 theta 25 theta 26 power 26 power 27 that 26 power 29 observed 27 that 28 we 27 that 29 observed 28 we 29 observed 29 observed 30 during 30 during 31 rest these results demonstrate a shift in cortical networks that support reinforcement learning in older adults , and shed new light on the changes in neurophysiological ( oscillatory ) mechanisms with neurocognitive aging . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 33 . 1 these 2 results 2 results 17 and 3 demonstrate 5 shift 3 demonstrate 6 in 3 demonstrate 17 and 4 a 5 shift 6 in 8 networks 7 cortical 8 networks 8 networks 9 that 8 networks 10 support 9 that 10 support 10 support 11 reinforcement 11 reinforcement 12 learning 11 reinforcement 13 in 13 in 15 adults 14 older 15 adults 16 , 17 and 17 and 18 shed 18 shed 20 light 18 shed 21 on 18 shed 30 with 19 new 20 light 21 on 23 changes 22 the 23 changes 23 changes 24 in 24 in 29 mechanisms 25 neurophysiological 27 oscillatory 25 neurophysiological 28 ) 25 neurophysiological 29 mechanisms 26 ( 27 oscillatory 27 oscillatory 28 ) 30 with 32 aging 31 neurocognitive 32 aging in cerebral amyloid angiopathy patients , microbleeds [often] [cluster] , mostly occipital , [and] are associated with apolipoprotein e ( apoe ) [genotype] . 0 ###LEFT-WALL### 5 patients 0 ###LEFT-WALL### 16 associated 0 ###LEFT-WALL### 24 . 1 in 3 amyloid 1 in 5 patients 2 cerebral 3 amyloid 4 angiopathy 5 patients 5 patients 7 microbleeds 5 patients 12 occipital 5 patients 15 are 6 , 7 microbleeds 7 microbleeds 10 , 10 , 12 occipital 11 mostly 12 occipital 12 occipital 13 , 15 are 16 associated 16 associated 17 with 17 with 18 apolipoprotein 18 apolipoprotein 19 e 18 apolipoprotein 21 apoe 20 ( 21 apoe 21 apoe 22 ) microbleeds also frequently occur in the asymptomatic , general population . 0 ###LEFT-WALL### 1 microbleeds 0 ###LEFT-WALL### 4 occur 0 ###LEFT-WALL### 11 . 1 microbleeds 4 occur 2 also 4 occur 3 frequently 4 occur 4 occur 5 in 5 in 10 population 6 the 10 population 7 asymptomatic 8 , 7 asymptomatic 10 population 9 general 10 population in this population , we investigated spatial distribution of microbleeds and whether this is influenced by apoe [genotype] . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 investigated 0 ###LEFT-WALL### 19 . 1 in 3 population 1 in 4 , 1 in 5 we 2 this 3 population 5 we 6 investigated 6 investigated 8 distribution 6 investigated 16 by 7 spatial 8 distribution 8 distribution 9 of 8 distribution 15 influenced 9 of 11 and 10 microbleeds 11 and 11 and 12 whether 11 and 13 this 11 and 14 is 13 this 14 is 16 by 17 apoe in 292 persons with microbleeds , we labeled microbleeds on baseline and follow - up magnetic resonance images . 0 ###LEFT-WALL### 7 we 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 14 - 1 in 3 persons 1 in 6 , 1 in 7 we 2 292 3 persons 3 persons 4 with 4 with 5 microbleeds 7 we 12 and 8 labeled 9 microbleeds 8 labeled 10 on 8 labeled 12 and 10 on 11 baseline 12 and 13 follow 14 - 15 up 14 - 19 . 15 up 18 images 16 magnetic 17 resonance 17 resonance 18 images we calculated [distance] between incident [and] prevalent microbleeds [within] and between persons and performed lobar segmentation on the magnetic resonance images . 0 ###LEFT-WALL### 2 calculated 1 we 2 calculated 2 calculated 10 and 2 calculated 17 on 2 calculated 22 . 4 between 8 microbleeds 4 between 10 and 5 incident 8 microbleeds 7 prevalent 8 microbleeds 10 and 11 between 11 between 13 and 12 persons 13 and 13 and 16 segmentation 14 performed 16 segmentation 15 lobar 16 segmentation 17 on 21 images 18 the 21 images 19 magnetic 20 resonance 20 resonance 21 images subsequently , we investigated proximity and lobar distribution in strata of apoe [genotype] . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 investigated 0 ###LEFT-WALL### 14 . 1 subsequently 2 , 1 subsequently 3 we 3 we 4 investigated 4 investigated 6 and 4 investigated 9 in 5 proximity 6 and 6 and 8 distribution 7 lobar 8 distribution 9 in 10 strata 10 strata 11 of 11 of 12 apoe microbleeds occurred [closer] within persons than between persons ( - 42.2 mm , 95 % confidence interval [,] - 44.6 to - 39.9 [;] p < 0.001 ) . 0 ###LEFT-WALL### 1 microbleeds 0 ###LEFT-WALL### 2 occurred 0 ###LEFT-WALL### 29 . 1 microbleeds 2 occurred 2 occurred 4 within 2 occurred 6 than 2 occurred 7 between 4 within 5 persons 7 between 8 persons 8 persons 12 mm 8 persons 17 interval 9 ( 12 mm 10 - 11 42.2 11 42.2 12 mm 12 mm 13 , 13 , 17 interval 14 95 15 % 15 % 17 interval 16 confidence 17 interval 17 interval 21 to 17 interval 26 < 17 interval 28 ) 19 - 20 44.6 20 44.6 21 to 21 to 23 39.9 22 - 23 39.9 25 p 26 < 26 < 27 0.001 microbleeds within apoe ε2 and ε4 carriers [occurred] closer than those in persons with ε3ε3 genotype ( - 11.9 mm , 95 % confidence interval , - 24.4 to 0.6 [;] p = 0.06 [ )( 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 36 )( 1 microbleeds 2 within 1 microbleeds 5 and 2 within 4 ε2 3 apoe 4 ε2 5 and 6 ε4 5 and 7 carriers 5 and 16 genotype 5 and 20 mm 7 carriers 9 closer 7 carriers 14 with 7 carriers 16 genotype 9 closer 10 than 9 closer 12 in 10 than 11 those 12 in 13 persons 14 with 15 ε3ε3 17 ( 20 mm 18 - 19 11.9 19 11.9 20 mm 20 mm 21 , 21 , 25 interval 21 , 26 , 22 95 23 % 23 % 24 confidence 24 confidence 25 interval 26 , 27 - 26 , 33 = 27 - 29 to 28 24.4 29 to 29 to 30 0.6 29 to 33 = 32 p 33 = 33 = 34 0.06 persons with ε2 and ε4 alleles had a larger proportion of microbleeds in the occipital lobe than persons with ε3ε3 genotype . 0 ###LEFT-WALL### 1 persons 0 ###LEFT-WALL### 7 had 0 ###LEFT-WALL### 22 . 1 persons 2 with 1 persons 7 had 2 with 4 and 3 ε2 4 and 4 and 6 alleles 5 ε4 6 alleles 7 had 10 proportion 7 had 13 in 7 had 17 than 8 a 10 proportion 9 larger 10 proportion 10 proportion 11 of 11 of 12 microbleeds 13 in 16 lobe 14 the 16 lobe 15 occipital 16 lobe 17 than 18 persons 17 than 21 genotype 18 persons 19 with 18 persons 21 genotype 19 with 20 ε3ε3 similar to cerebral amyloid angiopathy patients , microbleeds in the general population cluster and the distribution is affected by apoe [genotype] . 0 ###LEFT-WALL### 1 similar 0 ###LEFT-WALL### 18 affected 0 ###LEFT-WALL### 22 . 1 similar 2 to 1 similar 17 is 2 to 14 and 3 cerebral 6 patients 4 amyloid 6 patients 5 angiopathy 6 patients 6 patients 7 , 7 , 8 microbleeds 7 , 14 and 8 microbleeds 9 in 9 in 13 cluster 10 the 13 cluster 11 general 12 population 12 population 13 cluster 14 and 16 distribution 15 the 16 distribution 17 is 18 affected 18 affected 19 by 19 by 20 apoe homozygous mutations in exon 2 of trem2 , a gene involved in nasu - hakola disease , can cause frontotemporal dementia ( ftd ) . 0 ###LEFT-WALL### 2 mutations 0 ###LEFT-WALL### 19 cause 0 ###LEFT-WALL### 25 . 1 homozygous 2 mutations 2 mutations 3 in 2 mutations 6 of 2 mutations 18 can 3 in 4 exon 4 exon 5 2 6 of 7 trem2 7 trem2 10 gene 8 , 10 gene 9 a 10 gene 10 gene 11 involved 10 gene 17 , 11 involved 12 in 12 in 13 nasu 13 nasu 16 disease 14 - 16 disease 15 hakola 16 disease 16 disease 17 , 18 can 19 cause 19 cause 21 dementia 20 frontotemporal 21 dementia 21 dementia 23 ftd 22 ( 23 ftd 23 ftd 24 ) moreover , a rare trem2 exon 2 variant ( p.r47h ) was reported to increase the risk of alzheimer 's disease ( ad ) with an odds ratio as strong as that for apoeε4 . 0 ###LEFT-WALL### 8 variant 0 ###LEFT-WALL### 20 's 0 ###LEFT-WALL### 35 . 1 moreover 2 , 1 moreover 8 variant 3 a 4 rare 3 a 8 variant 4 rare 8 variant 5 trem2 6 exon 6 exon 8 variant 7 2 8 variant 8 variant 10 p.r47h 8 variant 12 was 9 ( 10 p.r47h 10 p.r47h 11 ) 12 was 13 reported 13 reported 14 to 13 reported 20 's 14 to 15 increase 16 the 17 risk 17 risk 18 of 17 risk 20 's 18 of 19 alzheimer 20 's 21 disease 20 's 25 with 21 disease 23 ad 22 ( 23 ad 23 ad 24 ) 25 with 28 ratio 26 an 28 ratio 27 odds 28 ratio 28 ratio 30 strong 29 as 30 strong 30 strong 31 as 30 strong 33 for 31 as 32 that 33 for 34 apoeε4 we systematically screened the trem2 coding region within a belgian study on neurodegenerative brain diseases ( 1216 ad patients , 357 ftd patients , and 1094 controls ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 screened 0 ###LEFT-WALL### 29 . 1 we 3 screened 2 systematically 3 screened 3 screened 7 region 3 screened 8 within 3 screened 12 on 4 the 7 region 5 trem2 6 coding 6 coding 7 region 8 within 11 study 9 a 11 study 10 belgian 11 study 12 on 15 diseases 13 neurodegenerative 14 brain 14 brain 15 diseases 15 diseases 25 and 16 ( 25 and 17 1216 19 patients 18 ad 19 patients 19 patients 20 , 20 , 23 patients 20 , 25 and 21 357 23 patients 22 ftd 23 patients 24 , 25 and 25 and 27 controls 25 and 28 ) 26 1094 27 controls none of the rare variants individually reached significant association , but the frequency of p.r47h [was] increased ~ 3 - fold in both ad and ftd patients compared to controls , in line with previous reports . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 21 fold 0 ###LEFT-WALL### 37 . 1 none 2 of 1 none 11 but 1 none 21 fold 2 of 9 association 3 the 9 association 4 rare 5 variants 5 variants 9 association 6 individually 7 reached 7 reached 9 association 8 significant 9 association 10 , 11 but 11 but 13 frequency 11 but 20 - 12 the 13 frequency 13 frequency 14 of 14 of 15 p.r47h 15 p.r47h 17 increased 15 p.r47h 19 3 18 ~ 19 3 19 3 20 - 21 fold 22 in 21 fold 25 and 23 both 25 and 24 ad 25 and 25 and 27 patients 25 and 31 , 25 and 33 line 25 and 34 with 26 ftd 27 patients 27 patients 28 compared 28 compared 29 to 29 to 30 controls 32 in 33 line 34 with 36 reports 35 previous 36 reports meta - analysis including 11 previously screened ad cohorts confirmed the association of p.r47h with ad ( p = 2.93×10 ( - 17 ) [ )( 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 7 screened 0 ###LEFT-WALL### 26 )( 1 meta 2 - 1 meta 3 analysis 3 analysis 4 including 3 analysis 7 screened 4 including 5 11 4 including 6 previously 7 screened 8 ad 7 screened 15 with 8 ad 9 cohorts 8 ad 10 confirmed 9 cohorts 10 confirmed 10 confirmed 12 association 11 the 12 association 12 association 13 of 13 of 14 p.r47h 15 with 16 ad 16 ad 19 = 17 ( 19 = 18 p 19 = 19 = 20 2.93×10 20 2.93×10 23 17 21 ( 23 17 22 - 23 17 23 17 24 ) our data [corroborate] [and] extend previous findings to include an increased frequency of rare heterozygous trem2 variations in ad and ftd , and show that trem2 variants may play a role in neurodegenerative diseases in general . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 37 . 1 our 2 data 2 data 23 and 5 extend 7 findings 5 extend 8 to 5 extend 18 in 5 extend 23 and 6 previous 7 findings 8 to 9 include 9 include 12 frequency 10 an 12 frequency 11 increased 12 frequency 12 frequency 13 of 13 of 17 variations 14 rare 17 variations 15 heterozygous 17 variations 16 trem2 17 variations 18 in 21 ftd 19 ad 20 and 20 and 21 ftd 22 , 23 and 23 and 24 show 23 and 36 general 24 show 26 trem2 24 show 27 variants 24 show 29 play 25 that 26 trem2 27 variants 28 may 28 may 29 play 29 play 31 role 29 play 32 in 30 a 31 role 32 in 34 diseases 33 neurodegenerative 34 diseases 35 in 36 general most studies on the prevalence of supplement use in the united states were cross - sectional or evaluated trends in limited variety of supplements . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 14 cross 0 ###LEFT-WALL### 15 - 1 most 2 studies 2 studies 3 on 2 studies 13 were 3 on 5 prevalence 4 the 5 prevalence 5 prevalence 6 of 6 of 8 use 7 supplement 8 use 8 use 9 in 9 in 12 states 10 the 12 states 11 united 12 states 13 were 14 cross 15 - 17 or 15 - 25 . 16 sectional 17 or 17 or 19 trends 17 or 20 in 18 evaluated 19 trends 20 in 22 variety 21 limited 22 variety 22 variety 23 of 23 of 24 supplements the objective of this study was to describe the longitudinal and secular trend of dietary supplement use over the past 20 years in health professionals using data from two large prospective cohorts . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 33 . 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 describe 7 to 8 describe 8 describe 13 trend 8 describe 18 over 8 describe 23 in 8 describe 26 using 9 the 13 trend 10 longitudinal 11 and 11 and 12 secular 11 and 13 trend 13 trend 14 of 14 of 17 use 15 dietary 16 supplement 16 supplement 17 use 18 over 22 years 19 the 20 past 19 the 21 20 21 20 22 years 23 in 25 professionals 24 health 25 professionals 26 using 27 data 26 using 28 from 28 from 32 cohorts 29 two 32 cohorts 30 large 32 cohorts 31 prospective 32 cohorts we analyzed cohort data from 1986 to 2006 in the nurses ' health study ( nhs ) and the health professionals follow - up study ( hpfs ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 analyzed 0 ###LEFT-WALL### 23 - 1 we 2 analyzed 2 analyzed 4 data 2 analyzed 9 in 3 cohort 4 data 4 data 7 to 5 from 7 to 6 1986 7 to 7 to 8 2006 9 in 18 and 10 the 11 nurses 11 nurses 12 ' 12 ' 16 nhs 13 health 14 study 14 study 16 nhs 15 ( 16 nhs 16 nhs 17 ) 16 nhs 18 and 18 and 22 follow 19 the 22 follow 20 health 21 professionals 21 professionals 22 follow 23 - 24 up 23 - 29 . 24 up 27 hpfs 25 study 27 hpfs 26 ( 27 hpfs 27 hpfs 28 ) in 1986 , 74,194 women aged 40 to 65 years in the nhs and 50,497 men aged 40 to 75 years in the hpfs were included . 0 ###LEFT-WALL### 5 women 0 ###LEFT-WALL### 6 aged 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 26 included 0 ###LEFT-WALL### 27 . 1 in 2 1986 1 in 3 , 1 in 5 women 4 74,194 5 women 5 women 6 aged 6 aged 8 to 6 aged 10 years 7 40 8 to 8 to 9 65 10 years 11 in 11 in 13 nhs 12 the 13 nhs 14 and 16 men 14 and 17 aged 15 50,497 16 men 16 men 17 aged 17 aged 19 to 18 40 19 to 19 to 20 75 20 75 21 years 21 years 22 in 21 years 25 were 22 in 24 hpfs 23 the 24 hpfs 25 were 26 included use of dietary supplements including multivitamins , vitamins , and minerals was repeatedly asked every 4 years . 0 ###LEFT-WALL### 1 use 0 ###LEFT-WALL### 14 asked 0 ###LEFT-WALL### 18 . 1 use 2 of 1 use 12 was 2 of 10 and 3 dietary 4 supplements 4 supplements 5 including 4 supplements 10 and 5 including 6 multivitamins 6 multivitamins 8 vitamins 7 , 8 vitamins 8 vitamins 9 , 10 and 11 minerals 12 was 13 repeatedly 12 was 14 asked 14 asked 15 every 15 every 17 years 16 4 17 years generalized estimating equation models were used for repeated analysis . 0 ###LEFT-WALL### 4 models 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 10 . 1 generalized 4 models 2 estimating 4 models 3 equation 4 models 4 models 5 were 5 were 6 used 6 used 7 for 7 for 9 analysis 8 repeated 9 analysis prevalence of use of any supplement increased among both women ( 71.3 % to 88.3 % ) [and] men ( 56.4 % to 80.7 % ) from 1986 to 2006 . 0 ###LEFT-WALL### 1 prevalence 0 ###LEFT-WALL### 7 increased 0 ###LEFT-WALL### 31 . 1 prevalence 2 of 1 prevalence 7 increased 2 of 3 use 3 use 4 of 4 of 6 supplement 5 any 6 supplement 7 increased 8 among 7 increased 19 men 7 increased 29 to 8 among 10 women 9 both 10 women 10 women 13 % 11 ( 13 % 12 71.3 13 % 13 % 14 to 13 % 17 ) 14 to 16 % 15 88.3 16 % 19 men 22 % 20 ( 22 % 21 56.4 22 % 22 % 23 to 22 % 26 ) 23 to 25 % 24 80.7 25 % 27 from 29 to 28 1986 29 to 29 to 30 2006 notably , longitudinal increases in the prevalence [of] use [of] vitamin d [(] 2.2 % to 32.2 % [for] women and 1.1 % to 6.7 % for men ) , folic acid [(] 0.8 % to 10.7 % for women and 1.1 % to 13.8 % for men ) , and fish oil [(] 1.6 % to 18.1 % for women and 3.3 % to 22.2 % for men ) supplements were observed from 1990 to 2006 [.] 0 ###LEFT-WALL### 4 increases 0 ###LEFT-WALL### 9 use 1 notably 2 , 1 notably 4 increases 3 longitudinal 4 increases 4 increases 5 in 4 increases 9 use 5 in 7 prevalence 6 the 7 prevalence 9 use 11 vitamin 9 use 16 to 11 vitamin 12 d 14 2.2 15 % 14 2.2 16 to 16 to 17 32.2 17 32.2 18 % 18 % 20 women 20 women 21 and 21 and 28 men 21 and 29 ) 21 and 30 , 22 1.1 23 % 22 1.1 24 to 24 to 25 6.7 24 to 28 men 25 6.7 26 % 26 % 27 for 27 for 28 men 30 , 32 acid 30 , 41 and 31 folic 32 acid 32 acid 36 to 34 0.8 35 % 34 0.8 36 to 36 to 37 10.7 37 10.7 38 % 38 % 39 for 39 for 40 women 41 and 48 men 41 and 49 ) 41 and 51 and 42 1.1 43 % 42 1.1 44 to 44 to 45 13.8 44 to 48 men 45 13.8 46 % 46 % 47 for 47 for 48 men 50 , 51 and 51 and 53 oil 51 and 60 for 51 and 62 and 52 fish 53 oil 53 oil 57 to 55 1.6 56 % 55 1.6 57 to 57 to 58 18.1 58 18.1 59 % 60 for 61 women 62 and 69 men 62 and 70 ) 62 and 71 supplements 63 3.3 64 % 63 3.3 65 to 65 to 66 22.2 65 to 69 men 66 22.2 67 % 67 % 68 for 68 for 69 men 71 supplements 72 were 72 were 73 observed 73 observed 76 to 74 from 76 to 75 1990 76 to 76 to 77 2006 however , the use of vitamin a , beta carotene , vitamin c , and vitamin e supplements peaked in 1994 or 1998 , then declined steadily . 0 ###LEFT-WALL### 4 use 0 ###LEFT-WALL### 25 then 0 ###LEFT-WALL### 28 . 1 however 2 , 1 however 4 use 3 the 4 use 4 use 5 of 4 use 25 then 5 of 15 and 6 vitamin 7 a 6 vitamin 8 , 8 , 10 carotene 8 , 11 , 9 beta 10 carotene 11 , 12 vitamin 11 , 15 and 12 vitamin 13 c 14 , 15 and 15 and 18 supplements 16 vitamin 17 e 16 vitamin 18 supplements 19 peaked 20 in 19 peaked 25 then 20 in 22 or 21 1994 22 or 22 or 23 1998 24 , 25 then 25 then 26 declined 25 then 27 steadily a secular increase in use of multivitamins , vitamin d , folic acid , and fish oil across same age [group] was noted . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 24 . 1 a 2 secular 1 a 3 increase 2 secular 3 increase 3 increase 4 in 3 increase 6 of 3 increase 8 , 4 in 5 use 6 of 7 multivitamins 8 , 9 vitamin 8 , 11 , 9 vitamin 10 d 11 , 13 acid 11 , 15 and 12 folic 13 acid 14 , 15 and 15 and 17 oil 15 and 18 across 15 and 23 noted 16 fish 17 oil 18 across 19 same 19 same 20 age 19 same 22 was 20 age 22 was in conclusion , the use of many types of dietary supplements has increased over time , but the use of antioxidant supplements has declined . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 25 . 1 in 2 conclusion 3 , 5 use 3 , 13 increased 3 , 17 but 4 the 5 use 5 use 6 of 5 use 12 has 6 of 11 supplements 7 many 8 types 8 types 9 of 8 types 11 supplements 9 of 11 supplements 10 dietary 11 supplements 12 has 13 increased 13 increased 14 over 14 over 15 time 16 , 17 but 17 but 19 use 17 but 24 declined 18 the 19 use 19 use 20 of 19 use 23 has 20 of 22 supplements 21 antioxidant 22 supplements 23 has 24 declined the secular increase in the prevalence of use of supplements across the same age group suggests that aging of the population is not the primary reason for the increase . 0 ###LEFT-WALL### 3 increase 0 ###LEFT-WALL### 16 suggests 0 ###LEFT-WALL### 30 . 1 the 3 increase 2 secular 3 increase 3 increase 4 in 3 increase 16 suggests 4 in 6 prevalence 5 the 6 prevalence 6 prevalence 7 of 7 of 8 use 8 use 9 of 8 use 11 across 9 of 10 supplements 11 across 15 group 12 the 13 same 12 the 15 group 14 age 15 group 16 suggests 18 aging 16 suggests 22 is 17 that 18 aging 18 aging 19 of 18 aging 22 is 19 of 21 population 20 the 21 population 22 is 23 not 22 is 26 reason 24 the 26 reason 25 primary 26 reason 26 reason 27 for 27 for 29 increase 28 the 29 increase these findings in health professionals need to be replicated in the general populations . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 6 need 0 ###LEFT-WALL### 14 . 1 these 2 findings 2 findings 3 in 2 findings 6 need 3 in 5 professionals 4 health 5 professionals 6 need 7 to 6 need 9 replicated 7 to 8 be 8 be 9 replicated 9 replicated 10 in 10 in 13 populations 11 the 13 populations 12 general 13 populations the success of prosthetic surgery has led to an increase in the percentage of the population having more than one [prosthetic] [implant] . 0 ###LEFT-WALL### 2 success 0 ###LEFT-WALL### 17 having 0 ###LEFT-WALL### 23 . 1 the 2 success 2 success 3 of 2 success 6 has 3 of 5 surgery 4 prosthetic 5 surgery 6 has 7 led 7 led 8 to 7 led 11 in 8 to 10 increase 9 an 10 increase 11 in 13 percentage 12 the 13 percentage 13 percentage 14 of 14 of 16 population 15 the 16 population 16 population 17 having 17 having 20 one 18 more 19 than 19 than 20 one this , combined with an increase in the average life expectancy and functional requirements for the elderly , has led to a higher incidence of periprosthetic and interprosthetic fractures . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 , 0 ###LEFT-WALL### 30 . 2 , 18 , 3 combined 4 with 3 combined 7 in 3 combined 18 , 4 with 6 increase 5 an 6 increase 7 in 12 and 8 the 11 expectancy 9 average 10 life 10 life 11 expectancy 11 expectancy 12 and 12 and 14 requirements 12 and 15 for 13 functional 14 requirements 15 for 17 elderly 16 the 17 elderly 18 , 19 has 19 has 20 led 20 led 21 to 21 to 24 incidence 22 a 24 incidence 23 higher 24 incidence 24 incidence 25 of 25 of 29 fractures 26 periprosthetic 27 and 27 and 28 interprosthetic 27 and 29 fractures more precisely , the femoral shaft is compressed between two ipsilateral [implants] with most of these fractures being located on the supracondylar femoral shaft . 0 ###LEFT-WALL### 6 shaft 0 ###LEFT-WALL### 8 compressed 0 ###LEFT-WALL### 25 . 1 more 2 precisely 2 precisely 3 , 2 precisely 6 shaft 4 the 6 shaft 5 femoral 6 shaft 6 shaft 7 is 7 is 8 compressed 8 compressed 9 between 8 compressed 11 ipsilateral 9 between 10 two 11 ipsilateral 13 with 13 with 17 fractures 14 most 15 of 14 most 17 fractures 15 of 17 fractures 16 these 17 fractures 17 fractures 18 being 18 being 19 located 19 located 20 on 20 on 24 shaft 21 the 24 shaft 22 supracondylar 24 shaft 23 femoral 24 shaft their treatment is not only technically demanding and challenging , but can also be associated with serious complications . 0 ###LEFT-WALL### 2 treatment 0 ###LEFT-WALL### 11 but 0 ###LEFT-WALL### 19 . 1 their 2 treatment 2 treatment 11 but 3 is 4 not 3 is 5 only 3 is 6 technically 3 is 8 and 3 is 11 but 7 demanding 8 and 8 and 9 challenging 10 , 11 but 11 but 12 can 12 can 14 be 13 also 14 be 14 be 15 associated 15 associated 16 with 16 with 18 complications 17 serious 18 complications treatment must be determined and assessed according to the type of fracture , the stability of the prosthesis , the bone quality and the general condition of the patient . 0 ###LEFT-WALL### 1 treatment 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 30 . 1 treatment 2 must 2 must 3 be 3 be 5 and 4 determined 5 and 5 and 6 assessed 5 and 8 to 5 and 23 and 7 according 8 to 8 to 11 of 9 the 11 of 10 type 11 of 11 of 12 fracture 11 of 15 stability 13 , 15 stability 14 the 15 stability 15 stability 16 of 15 stability 19 , 16 of 18 prosthesis 17 the 18 prosthesis 20 the 22 quality 21 bone 22 quality 22 quality 23 and 23 and 26 condition 23 and 27 of 24 the 26 condition 25 general 26 condition 27 of 29 patient 28 the 29 patient there is little information in the literature about this type of injury : there are several published case reports detailing unconventional solutions and the case studies presented are limited and not significant . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 13 : 1 there 2 is 2 is 4 information 3 little 4 information 4 information 5 in 5 in 7 literature 6 the 7 literature 7 literature 8 about 7 literature 11 of 8 about 10 type 9 this 10 type 11 of 12 injury 13 : 14 there 13 : 15 are 13 : 23 and 13 : 33 . 14 there 15 are 15 are 19 reports 16 several 19 reports 17 published 19 reports 18 case 19 reports 19 reports 20 detailing 20 detailing 22 solutions 21 unconventional 22 solutions 23 and 26 studies 23 and 28 are 24 the 26 studies 25 case 26 studies 26 studies 27 presented 26 studies 28 are 28 are 30 and 29 limited 30 and 30 and 31 not 30 and 32 significant this review aims to provide an updated [and] comprehensive list of diagnostic and therapeutic protocols accepted today , while recognising that these protocols are being continuously updated according to experience gained . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 27 updated 0 ###LEFT-WALL### 32 . 1 this 2 review 2 review 3 aims 3 aims 4 to 3 aims 10 list 4 to 5 provide 6 an 10 list 7 updated 10 list 9 comprehensive 10 list 10 list 11 of 10 list 16 accepted 11 of 15 protocols 12 diagnostic 13 and 13 and 14 therapeutic 13 and 15 protocols 16 accepted 17 today 18 , 23 protocols 18 , 24 are 19 while 20 recognising 19 while 23 protocols 20 recognising 21 that 22 these 23 protocols 23 protocols 24 are 24 are 25 being 25 being 27 updated 26 continuously 27 updated 27 updated 29 to 28 according 29 to 29 to 30 experience 30 experience 31 gained background : the demand for health professionals continues to increase , partially due to the aging population and the high proportion of practitioners nearing retirement . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 demand 2 : 8 continues 3 the 4 demand 4 demand 5 for 4 demand 8 continues 5 for 7 professionals 6 health 7 professionals 8 continues 9 to 8 continues 10 increase 9 to 10 increase 10 increase 14 to 11 , 12 partially 11 , 14 to 13 due 14 to 14 to 18 and 14 to 26 . 15 the 17 population 16 aging 17 population 17 population 18 and 18 and 21 proportion 18 and 22 of 19 the 21 proportion 20 high 21 proportion 22 of 23 practitioners 23 practitioners 24 nearing 24 nearing 25 retirement the university of british columbia ( ubc ) has developed a program to address this demand [,] by providing support for internationally trained physiotherapists in their preparation for taking the national physiotherapy competency examinations.the aim was to create a program comprised of the educational tools and infrastructure to support internationally educated physiotherapists ( ieps ) in their preparation for entry to practice in canada [and] , to improve their pass rate on the national competency examination . 0 ###LEFT-WALL### 2 university 0 ###LEFT-WALL### 10 developed 1 the 2 university 2 university 3 of 2 university 9 has 3 of 7 ubc 4 british 7 ubc 5 columbia 7 ubc 6 ( 7 ubc 7 ubc 8 ) 9 has 10 developed 10 developed 12 program 10 developed 18 by 11 a 12 program 12 program 13 to 12 program 14 address 13 to 14 address 14 address 16 demand 15 this 16 demand 18 by 20 support 19 providing 20 support 20 support 21 for 21 for 24 physiotherapists 22 internationally 23 trained 23 trained 24 physiotherapists 24 physiotherapists 25 in 24 physiotherapists 35 aim 24 physiotherapists 36 was 25 in 27 preparation 26 their 27 preparation 27 preparation 28 for 28 for 29 taking 29 taking 31 national 30 the 31 national 32 physiotherapy 35 aim 33 competency 34 examinations.the 34 examinations.the 35 aim 35 aim 36 was 36 was 37 to 36 was 48 to 37 to 38 create 38 create 46 and 39 a 40 program 40 program 41 comprised 40 program 42 of 40 program 46 and 42 of 45 tools 43 the 45 tools 44 educational 45 tools 46 and 47 infrastructure 48 to 49 support 49 support 50 internationally 49 support 52 physiotherapists 49 support 56 in 49 support 59 for 49 support 61 to 51 educated 52 physiotherapists 52 physiotherapists 54 ieps 53 ( 54 ieps 54 ieps 55 ) 56 in 58 preparation 57 their 58 preparation 59 for 60 entry 61 to 62 practice 62 practice 63 in 62 practice 67 to 63 in 64 canada 66 , 67 to 67 to 68 improve 67 to 77 . 68 improve 71 rate 68 improve 72 on 69 their 71 rate 70 pass 71 rate 72 on 76 examination 73 the 76 examination 74 national 76 examination 75 competency 76 examination methods : the program was developed using a logic model and evaluated using program evaluation methodology . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 2 : 4 program 2 : 5 was 3 the 4 program 4 program 5 was 5 was 11 and 6 developed 7 using 6 developed 11 and 7 using 10 model 8 a 9 logic 8 a 10 model 9 logic 10 model 11 and 12 evaluated 11 and 13 using 13 using 16 methodology 14 program 16 methodology 15 evaluation 16 methodology program tools and resources included educational modules and curricular packages which were developed and refined based on feedback from clinical experts , ieps and clinical physical therapy mentors . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 included 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 29 . 1 program 2 tools 2 tools 3 and 3 and 4 resources 3 and 5 included 5 included 7 modules 6 educational 7 modules 8 and 10 packages 8 and 16 based 9 curricular 10 packages 10 packages 11 which 10 packages 12 were 10 packages 16 based 11 which 12 were 12 were 14 and 13 developed 14 and 14 and 15 refined 16 based 17 on 16 based 28 mentors 17 on 18 feedback 18 feedback 19 from 19 from 24 and 20 clinical 21 experts 21 experts 22 , 22 , 23 ieps 22 , 24 and 24 and 27 therapy 25 clinical 27 therapy 26 physical 27 therapy an examination bank was created and used to include test [-] enhanced education . 0 ###LEFT-WALL### 3 bank 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 14 . 1 an 2 examination 1 an 3 bank 2 examination 3 bank 3 bank 4 was 4 was 6 and 5 created 6 and 6 and 7 used 6 and 8 to 8 to 9 include 9 include 13 education 10 test 12 enhanced 12 enhanced 13 education clinical mentors were recruited and trained to provide clinical and cultural support for participants . 0 ###LEFT-WALL### 2 mentors 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 15 . 1 clinical 2 mentors 2 mentors 3 were 3 were 5 and 4 recruited 5 and 5 and 6 trained 5 and 7 to 5 and 12 support 7 to 8 provide 9 clinical 10 and 10 and 11 cultural 10 and 12 support 12 support 13 for 13 for 14 participants results : the iep program has recruited 124 ieps , with 69 now integrated into the canadian physiotherapy workforce , and more ieps continuing to apply to the program . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 program 2 : 7 recruited 3 the 5 program 4 iep 5 program 5 program 6 has 6 has 7 recruited 7 recruited 9 ieps 7 recruited 11 with 8 124 9 ieps 10 , 11 with 11 with 12 69 11 with 30 . 12 69 14 integrated 12 69 24 continuing 13 now 14 integrated 14 integrated 15 into 15 into 21 and 16 the 19 workforce 17 canadian 19 workforce 18 physiotherapy 19 workforce 19 workforce 21 and 20 , 21 and 21 and 23 ieps 22 more 23 ieps 24 continuing 25 to 25 to 26 apply 26 apply 27 to 27 to 29 program 28 the 29 program international graduates who participated in the program had an improved pass rate on the national physiotherapy competency examination ( pce ) ; participation in the program resulted in [them] having a 28 % [(] 95 % ci , 2 % to 59 % ) greater possibility of passing the written section than their counterparts who did not take the program . 0 ###LEFT-WALL### 2 graduates 0 ###LEFT-WALL### 22 ; 0 ###LEFT-WALL### 61 . 1 international 2 graduates 2 graduates 3 who 2 graduates 4 participated 2 graduates 8 had 3 who 4 participated 4 participated 5 in 5 in 7 program 6 the 7 program 8 had 12 rate 8 had 13 on 9 an 12 rate 10 improved 12 rate 11 pass 12 rate 13 on 20 pce 14 the 20 pce 15 national 20 pce 16 physiotherapy 17 competency 17 competency 18 examination 18 examination 20 pce 19 ( 20 pce 20 pce 21 ) 22 ; 23 participation 22 ; 27 resulted 22 ; 52 than 23 participation 24 in 23 participation 27 resulted 24 in 26 program 25 the 26 program 27 resulted 28 in 28 in 30 having 30 having 46 possibility 31 a 46 possibility 32 28 33 % 33 % 46 possibility 35 95 36 % 36 % 46 possibility 37 ci 40 % 37 ci 46 possibility 38 , 40 % 39 2 40 % 40 % 41 to 40 % 44 ) 41 to 43 % 42 59 43 % 45 greater 46 possibility 46 possibility 47 of 47 of 48 passing 48 passing 51 section 49 the 51 section 50 written 51 section 52 than 54 counterparts 52 than 58 take 53 their 54 counterparts 54 counterparts 55 who 54 counterparts 56 did 54 counterparts 58 take 55 who 56 did 56 did 57 not 58 take 60 program 59 the 60 program in 2010 , 81 % of all iep candidates who completed the ubc program passed the written component , and 82 % passed the clinical component . 0 ###LEFT-WALL### 5 % 0 ###LEFT-WALL### 15 passed 0 ###LEFT-WALL### 27 . 1 in 2 2010 1 in 3 , 1 in 5 % 4 81 5 % 5 % 6 of 5 % 15 passed 6 of 9 candidates 7 all 9 candidates 8 iep 9 candidates 9 candidates 10 who 9 candidates 11 completed 10 who 11 completed 11 completed 14 program 12 the 14 program 13 ubc 14 program 15 passed 18 component 15 passed 20 and 16 the 18 component 17 written 18 component 19 , 20 and 20 and 22 % 21 82 22 % 22 % 23 passed 23 passed 26 component 24 the 26 component 25 clinical 26 component conclusion : the program has proven to be successful and sustainable . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 program 2 : 6 proven 2 : 12 . 3 the 4 program 4 program 5 has 5 has 6 proven 6 proven 7 to 6 proven 8 be 7 to 8 be 8 be 10 and 9 successful 10 and 10 and 11 sustainable this program model could be replicated to support the successful integration of other international health professionals into the workforce . 0 ###LEFT-WALL### 3 model 0 ###LEFT-WALL### 6 replicated 0 ###LEFT-WALL### 20 . 1 this 3 model 2 program 3 model 3 model 4 could 4 could 5 be 5 be 6 replicated 6 replicated 7 to 7 to 8 support 8 support 11 integration 8 support 17 into 9 the 11 integration 10 successful 11 integration 11 integration 12 of 12 of 16 professionals 13 other 16 professionals 14 international 15 health 15 health 16 professionals 17 into 19 workforce 18 the 19 workforce objective : the aim of this study is to investigate the presenting profile of patients with carpal tunnel syndrome [(] cts [ )(at various ages . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 aim 2 : 8 is 2 : 26 . 3 the 4 aim 4 aim 5 of 4 aim 8 is 5 of 7 study 6 this 7 study 8 is 9 to 8 is 23 )(at 9 to 10 investigate 10 investigate 13 profile 10 investigate 16 with 11 the 13 profile 12 presenting 13 profile 13 profile 14 of 14 of 15 patients 16 with 21 cts 17 carpal 18 tunnel 18 tunnel 21 cts 19 syndrome 21 cts 23 )(at 25 ages 24 various 25 ages methods : we performed a cross - sectional study of cts , analysing the correlation between severity and age . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 performed 3 we 4 performed 4 performed 6 cross 5 a 6 cross 6 cross 9 study 6 cross 13 analysing 7 - 9 study 8 sectional 9 study 9 study 10 of 9 study 12 , 10 of 11 cts 12 , 13 analysing 13 analysing 15 correlation 13 analysing 16 between 13 analysing 20 . 14 the 15 correlation 16 between 18 and 17 severity 18 and 18 and 19 age results : we examined 3108 subjects with cts , whose frequency increased from 20.9 % for the age group 20 - 29 years to 61.7 % for the age group 50 - 59 years . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 - 0 ###LEFT-WALL### 35 . 2 : 3 we 2 : 4 examined 2 : 9 , 3 we 4 examined 4 examined 6 subjects 4 examined 7 with 5 3108 6 subjects 7 with 8 cts 9 , 10 whose 9 , 12 increased 10 whose 11 frequency 11 frequency 12 increased 12 increased 13 from 12 increased 16 for 12 increased 19 group 13 from 15 % 14 20.9 15 % 16 for 18 age 17 the 18 age 19 group 20 20 20 20 21 - 21 - 23 years 22 29 23 years 23 years 24 to 23 years 30 group 24 to 26 % 25 61.7 26 % 26 % 27 for 27 for 29 age 28 the 29 age 30 group 34 years 31 50 32 - 32 - 33 59 32 - 34 years it remained at almost 50 % in people aged over 80 years ( 49.2 % ) . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 remained 0 ###LEFT-WALL### 17 . 1 it 2 remained 2 remained 3 at 2 remained 7 in 3 at 6 % 4 almost 5 50 5 50 6 % 7 in 8 people 8 people 9 aged 9 aged 10 over 10 over 12 years 11 80 12 years 12 years 15 % 13 ( 15 % 14 49.2 15 % 15 % 16 ) more than 50 % of people younger than 30 years had mild cts . 0 ###LEFT-WALL### 4 % 0 ###LEFT-WALL### 11 had 0 ###LEFT-WALL### 14 . 1 more 2 than 2 than 3 50 3 50 4 % 4 % 5 of 4 % 11 had 5 of 6 people 6 people 7 younger 7 younger 8 than 8 than 10 years 9 30 10 years 11 had 13 cts 12 mild 13 cts severe cts progressively increased , reaching more than 50 % of the cts diagnoses in people over 80 years . 0 ###LEFT-WALL### 2 cts 0 ###LEFT-WALL### 4 increased 1 severe 2 cts 2 cts 4 increased 3 progressively 4 increased 4 increased 6 reaching 5 , 6 reaching 6 reaching 10 % 6 reaching 15 in 6 reaching 20 . 7 more 8 than 8 than 9 50 9 50 10 % 10 % 11 of 11 of 14 diagnoses 12 the 14 diagnoses 13 cts 14 diagnoses 15 in 16 people 16 people 17 over 17 over 19 years 18 80 19 years of the total number of cases , 80.8 % of subjects had bilateral cts . 0 ###LEFT-WALL### 9 % 0 ###LEFT-WALL### 12 had 0 ###LEFT-WALL### 15 . 1 of 6 cases 1 of 7 , 1 of 9 % 2 the 4 number 3 total 4 number 4 number 5 of 4 number 6 cases 5 of 6 cases 8 80.8 9 % 9 % 10 of 9 % 12 had 10 of 11 subjects 12 had 14 cts 13 bilateral 14 cts mild ncs - emg abnormalities were seen in 74.1 % of patients with unilateral involvement , whereas moderate and severe cts appeared in 70.3 % of patients with bilateral involvement . 0 ###LEFT-WALL### 5 abnormalities 0 ###LEFT-WALL### 22 appeared 0 ###LEFT-WALL### 31 . 1 mild 2 ncs 2 ncs 4 emg 3 - 4 emg 4 emg 5 abnormalities 5 abnormalities 6 were 6 were 7 seen 7 seen 8 in 7 seen 13 with 7 seen 17 whereas 8 in 10 % 9 74.1 10 % 10 % 11 of 11 of 12 patients 13 with 15 involvement 14 unilateral 15 involvement 16 , 17 whereas 17 whereas 21 cts 18 moderate 19 and 19 and 20 severe 19 and 21 cts 21 cts 22 appeared 22 appeared 23 in 22 appeared 28 with 23 in 25 % 24 70.3 25 % 25 % 26 of 26 of 27 patients 28 with 30 involvement 29 bilateral 30 involvement conclusion : there was a clear trend of deterioration with advancing years when comparing severity to age . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 4 was 2 : 18 . 3 there 4 was 4 was 7 trend 5 a 6 clear 5 a 7 trend 6 clear 7 trend 7 trend 8 of 7 trend 10 with 8 of 9 deterioration 10 with 11 advancing 11 advancing 12 years 11 advancing 13 when 13 when 14 comparing 14 comparing 15 severity 15 severity 16 to 15 severity 17 age 16 to 17 age significance : cts seems to be a chronic condition whose signs and symptoms may vary and progress , becoming worse over time . 0 ###LEFT-WALL### 1 significance 0 ###LEFT-WALL### 2 : 2 : 3 cts 2 : 4 seems 2 : 23 . 3 cts 4 seems 4 seems 5 to 4 seems 6 be 5 to 6 be 6 be 16 and 7 a 9 condition 8 chronic 9 condition 9 condition 10 whose 9 condition 16 and 10 whose 11 signs 11 signs 12 and 12 and 13 symptoms 12 and 14 may 14 may 15 vary 16 and 17 progress 16 and 18 , 16 and 19 becoming 19 becoming 20 worse 20 worse 21 over 21 over 22 time male hypogonadism is a clinical syndrome that results from failure to produce physiological concentrations of testosterone , normal amounts of sperm , or both . 0 ###LEFT-WALL### 2 hypogonadism 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 25 . 1 male 2 hypogonadism 2 hypogonadism 3 is 3 is 6 syndrome 3 is 11 to 4 a 5 clinical 4 a 6 syndrome 5 clinical 6 syndrome 6 syndrome 7 that 6 syndrome 8 results 7 that 8 results 8 results 9 from 9 from 10 failure 11 to 12 produce 12 produce 14 concentrations 13 physiological 14 concentrations 14 concentrations 15 of 14 concentrations 20 of 15 of 19 amounts 16 testosterone 17 , 16 testosterone 19 amounts 18 normal 19 amounts 20 of 23 or 21 sperm 23 or 22 , 23 or 23 or 24 both hypogonadism may arise from testicular disease ( primary hypogonadism [ )(or dysfunction of the hypothalamic - pituitary unit ( secondary hypogonadism ) . 0 ###LEFT-WALL### 1 hypogonadism 0 ###LEFT-WALL### 3 arise 0 ###LEFT-WALL### 23 . 1 hypogonadism 2 may 2 may 3 arise 3 arise 4 from 4 from 6 disease 5 testicular 6 disease 6 disease 11 )(or 7 ( 11 )(or 8 primary 9 hypogonadism 9 hypogonadism 11 )(or 11 )(or 12 dysfunction 11 )(or 13 of 11 )(or 22 ) 13 of 18 unit 14 the 18 unit 15 hypothalamic 16 - 15 hypothalamic 18 unit 17 pituitary 18 unit 18 unit 21 hypogonadism 19 ( 21 hypogonadism 20 secondary 21 hypogonadism 21 hypogonadism 22 ) clinical presentations vary dependent on the time [of] onset of androgen deficiency , whether the defect is in testosterone production or spermatogenesis , associated genetic factors , or history of androgen therapy . 0 ###LEFT-WALL### 1 clinical 0 ###LEFT-WALL### 24 associated 0 ###LEFT-WALL### 33 . 1 clinical 2 presentations 1 clinical 3 vary 1 clinical 4 dependent 1 clinical 24 associated 2 presentations 3 vary 4 dependent 5 on 4 dependent 14 whether 5 on 9 onset 6 the 9 onset 7 time 9 onset 9 onset 10 of 10 of 12 deficiency 11 androgen 12 deficiency 13 , 14 whether 14 whether 16 defect 14 whether 17 is 14 whether 23 , 15 the 16 defect 16 defect 17 is 17 is 18 in 18 in 21 or 19 testosterone 20 production 20 production 21 or 21 or 22 spermatogenesis 24 associated 28 or 25 genetic 26 factors 26 factors 28 or 27 , 28 or 28 or 29 history 28 or 30 of 30 of 32 therapy 31 androgen 32 therapy the clinical diagnosis of hypogonadism is made on the basis of signs and symptoms consistent with androgen deficiency and low morning testosterone concentrations in serum on multiple occasions . 0 ###LEFT-WALL### 3 diagnosis 0 ###LEFT-WALL### 7 made 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 29 . 1 the 3 diagnosis 2 clinical 3 diagnosis 3 diagnosis 4 of 3 diagnosis 6 is 4 of 5 hypogonadism 6 is 7 made 7 made 8 on 8 on 10 basis 9 the 10 basis 10 basis 11 of 11 of 12 signs 13 and 14 symptoms 13 and 22 testosterone 14 symptoms 15 consistent 14 symptoms 22 testosterone 15 consistent 16 with 16 with 19 and 17 androgen 18 deficiency 18 deficiency 19 and 19 and 21 morning 20 low 21 morning 22 testosterone 23 concentrations 22 testosterone 24 in 22 testosterone 26 on 24 in 25 serum 26 on 28 occasions 27 multiple 28 occasions several testosterone - replacement therapies are approved for treatment and should be selected according to the patient 's preference , cost , availability , and formulation - specific properties . 0 ###LEFT-WALL### 5 therapies 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 27 - 1 several 5 therapies 2 testosterone 3 - 2 testosterone 5 therapies 4 replacement 5 therapies 5 therapies 6 are 6 are 10 and 7 approved 8 for 7 approved 10 and 8 for 9 treatment 10 and 11 should 10 and 15 to 11 should 12 be 12 be 13 selected 14 according 15 to 15 to 19 preference 16 the 17 patient 17 patient 18 's 18 's 19 preference 19 preference 21 cost 19 preference 25 and 20 , 21 cost 21 cost 22 , 22 , 25 and 23 availability 25 and 24 , 25 and 25 and 26 formulation 25 and 27 - 27 - 29 properties 27 - 30 . 28 specific 29 properties contraindications to testosterone - replacement therapy include prostate [and] breast cancers , uncontrolled congestive heart failure , severe lower - urinary - tract symptoms , and erythrocytosis . 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 28 . 1 contraindications 2 to 1 contraindications 26 and 2 to 11 cancers 3 testosterone 4 - 3 testosterone 5 replacement 5 replacement 10 breast 6 therapy 8 prostate 7 include 8 prostate 8 prostate 10 breast 10 breast 11 cancers 11 cancers 16 failure 11 cancers 24 symptoms 12 , 16 failure 13 uncontrolled 15 heart 14 congestive 15 heart 15 heart 16 failure 16 failure 17 , 17 , 24 symptoms 18 severe 23 tract 19 lower 20 - 19 lower 23 tract 21 urinary 22 - 21 urinary 23 tract 23 tract 24 symptoms 24 symptoms 25 , 26 and 27 erythrocytosis treatment should be monitored for benefits and adverse effects . 0 ###LEFT-WALL### 1 treatment 0 ###LEFT-WALL### 4 monitored 0 ###LEFT-WALL### 10 . 1 treatment 2 should 2 should 3 be 3 be 4 monitored 4 monitored 5 for 5 for 7 and 6 benefits 7 and 7 and 9 effects 8 adverse 9 effects rationale and objectives : separate quantification of abdominal subcutaneous and visceral fat regions is essential to understand the role of regional adiposity as risk [factor] in epidemiological studies . 0 ###LEFT-WALL### 3 objectives 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 17 understand 0 ###LEFT-WALL### 29 . 1 rationale 2 and 2 and 3 objectives 4 : 5 separate 4 : 14 is 5 separate 14 is 6 quantification 7 of 6 quantification 14 is 7 of 13 regions 8 abdominal 13 regions 9 subcutaneous 10 and 10 and 11 visceral 10 and 13 regions 12 fat 13 regions 14 is 15 essential 15 essential 16 to 16 to 17 understand 17 understand 19 role 17 understand 23 as 17 understand 26 in 18 the 19 role 19 role 20 of 20 of 22 adiposity 21 regional 22 adiposity 23 as 24 risk 26 in 28 studies 27 epidemiological 28 studies fat quantification is often based on computed tomography ( ct ) because fat density is distinct from other tissue densities in the abdomen . 0 ###LEFT-WALL### 2 quantification 0 ###LEFT-WALL### 5 based 0 ###LEFT-WALL### 24 . 1 fat 2 quantification 2 quantification 3 is 3 is 4 often 3 is 5 based 5 based 6 on 5 based 12 because 6 on 8 tomography 7 computed 8 tomography 8 tomography 10 ct 9 ( 10 ct 10 ct 11 ) 12 because 14 density 12 because 15 is 13 fat 14 density 14 density 15 is 15 is 16 distinct 16 distinct 17 from 16 distinct 21 in 17 from 20 densities 18 other 20 densities 19 tissue 20 densities 21 in 23 abdomen 22 the 23 abdomen however , the presence of intestinal food residues with densities similar to fat may reduce fat quantification accuracy . 0 ###LEFT-WALL### 4 presence 0 ###LEFT-WALL### 15 reduce 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 4 presence 3 the 4 presence 4 presence 5 of 4 presence 14 may 5 of 8 residues 6 intestinal 7 food 7 food 8 residues 8 residues 9 with 9 with 10 densities 10 densities 11 similar 11 similar 12 to 12 to 13 fat 14 may 15 reduce 15 reduce 18 accuracy 16 fat 17 quantification 17 quantification 18 accuracy we introduce an abdominal fat quantification method in ct with interest in food residue removal . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 introduce 0 ###LEFT-WALL### 16 . 1 we 2 introduce 2 introduce 7 method 2 introduce 8 in 2 introduce 10 with 2 introduce 12 in 3 an 4 abdominal 3 an 7 method 4 abdominal 5 fat 5 fat 7 method 6 quantification 7 method 8 in 9 ct 10 with 11 interest 12 in 15 removal 13 food 15 removal 14 residue 15 removal materials and methods : total fat was identified in the feature space of hounsfield units and divided into subcutaneous and visceral components using model - based segmentation . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 6 fat 4 : 16 and 4 : 25 - 4 : 28 . 5 total 6 fat 6 fat 16 and 7 was 8 identified 7 was 16 and 8 identified 9 in 9 in 12 space 10 the 12 space 11 feature 12 space 12 space 13 of 13 of 15 units 14 hounsfield 15 units 16 and 17 divided 16 and 18 into 18 into 20 and 19 subcutaneous 20 and 20 and 24 model 21 visceral 22 components 22 components 24 model 23 using 24 model 25 - 27 segmentation 26 based 27 segmentation regions of food residues were identified and removed from visceral fat using a machine learning method integrating intensity , texture , and spatial information . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 25 . 1 regions 2 of 1 regions 19 , 2 of 4 residues 3 food 4 residues 4 residues 7 and 4 residues 9 from 5 were 6 identified 5 were 7 and 7 and 8 removed 9 from 11 fat 10 visceral 11 fat 11 fat 12 using 12 using 18 intensity 13 a 18 intensity 14 machine 16 method 15 learning 16 method 16 method 18 intensity 17 integrating 18 intensity 19 , 20 texture 19 , 22 and 21 , 22 and 22 and 24 information 23 spatial 24 information cost - weighting and bagging techniques were investigated to address class imbalance . 0 ###LEFT-WALL### 1 cost 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 13 . 2 - 3 weighting 2 - 4 and 4 and 6 techniques 4 and 8 investigated 5 bagging 6 techniques 6 techniques 7 were 7 were 8 investigated 8 investigated 9 to 9 to 10 address 10 address 12 imbalance 11 class 12 imbalance results : we validated our automated food residue removal technique against semimanual quantifications . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 validated 2 : 14 . 3 we 4 validated 4 validated 10 technique 4 validated 11 against 5 our 10 technique 6 automated 7 food 7 food 10 technique 8 residue 10 technique 9 removal 10 technique 11 against 13 quantifications 12 semimanual 13 quantifications our feature selection experiments indicated that joint intensity and texture features produce the highest classification accuracy at 95 % . 0 ###LEFT-WALL### 4 experiments 0 ###LEFT-WALL### 5 indicated 0 ###LEFT-WALL### 20 . 1 our 4 experiments 2 feature 4 experiments 3 selection 4 experiments 4 experiments 5 indicated 5 indicated 9 and 5 indicated 12 produce 6 that 8 intensity 7 joint 8 intensity 8 intensity 9 and 9 and 11 features 9 and 12 produce 10 texture 11 features 12 produce 16 accuracy 12 produce 17 at 13 the 14 highest 13 the 16 accuracy 15 classification 16 accuracy 17 at 19 % 18 95 19 % we explored generalization capability using [k] - fold cross - validation and receiver operating characteristic ( roc ) analysis [with] variable [k] . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 explored 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 23 . 1 we 2 explored 2 explored 5 using 3 generalization 5 using 4 capability 5 using 7 - 9 cross 7 - 10 - 8 fold 9 cross 10 - 12 and 11 validation 12 and 12 and 21 variable 13 receiver 14 operating 14 operating 19 analysis 15 characteristic 17 roc 15 characteristic 18 ) 15 characteristic 19 analysis 16 ( 17 roc 17 roc 18 ) 19 analysis 21 variable losses in accuracy and area under roc curve between maximum and minimum [k] were limited to 0.1 [%] and 0.3 % . 0 ###LEFT-WALL### 1 losses 0 ###LEFT-WALL### 8 curve 0 ###LEFT-WALL### 22 . 1 losses 2 in 1 losses 8 curve 2 in 4 and 3 accuracy 4 and 4 and 5 area 4 and 6 under 6 under 7 roc 8 curve 9 between 9 between 21 % 10 maximum 11 and 11 and 12 minimum 11 and 14 were 14 were 15 limited 15 limited 16 to 16 to 19 and 17 0.1 19 and 19 and 20 0.3 20 0.3 21 % we validated tissue segmentation against reference semimanual delineations . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 validated 0 ###LEFT-WALL### 9 . 1 we 2 validated 2 validated 4 segmentation 2 validated 5 against 3 tissue 4 segmentation 5 against 8 delineations 6 reference 8 delineations 7 semimanual 8 delineations the dice similarity scores were as high as 93.1 for subcutaneous fat [and] 85.6 for visceral fat . 0 ###LEFT-WALL### 4 scores 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 18 . 1 the 4 scores 2 dice 4 scores 3 similarity 4 scores 4 scores 5 were 5 were 7 high 6 as 7 high 7 high 8 as 8 as 9 93.1 8 as 10 for 10 for 12 fat 11 subcutaneous 12 fat 12 fat 14 85.6 12 fat 15 for 15 for 17 fat 16 visceral 17 fat conclusions : computer - aided regional abdominal fat quantification is a reliable computational tool for large - scale epidemiological studies . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 1 conclusions 2 : 2 : 3 computer 4 - 9 quantification 4 - 10 is 4 - 21 . 5 aided 9 quantification 6 regional 9 quantification 7 abdominal 9 quantification 8 fat 9 quantification 9 quantification 10 is 10 is 14 tool 11 a 12 reliable 11 a 14 tool 12 reliable 14 tool 13 computational 14 tool 14 tool 15 for 15 for 20 studies 16 large 17 - 16 large 18 scale 18 scale 20 studies 19 epidemiological 20 studies our proposed intestinal food residue reduction scheme is an original contribution of this work . 0 ###LEFT-WALL### 7 scheme 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 15 . 1 our 7 scheme 2 proposed 4 food 3 intestinal 4 food 4 food 7 scheme 5 residue 7 scheme 6 reduction 7 scheme 7 scheme 8 is 8 is 11 contribution 9 an 10 original 9 an 11 contribution 10 original 11 contribution 11 contribution 12 of 12 of 14 work 13 this 14 work validation experiments indicate very good accuracy and generalization capability . 0 ###LEFT-WALL### 2 experiments 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 10 . 1 validation 2 experiments 2 experiments 3 indicate 3 indicate 7 and 4 very 5 good 5 good 6 accuracy 6 accuracy 7 and 7 and 9 capability 8 generalization 9 capability background : retirement migration from northern countries to southern countries is increasing in both europe and north america , and retiree experiences will impact future migration and health services utilization . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 3 retirement 2 : 27 and 3 retirement 4 migration 3 retirement 12 increasing 4 migration 5 from 4 migration 11 is 5 from 7 countries 6 northern 7 countries 7 countries 8 to 8 to 10 countries 9 southern 10 countries 11 is 12 increasing 12 increasing 13 in 13 in 20 and 14 both 20 and 15 europe 16 and 16 and 18 america 16 and 20 and 17 north 18 america 19 , 20 and 20 and 26 migration 21 retiree 22 experiences 22 experiences 23 will 23 will 26 migration 24 impact 25 future 25 future 26 migration 27 and 28 health 27 and 29 services 28 health 29 services 29 services 30 utilization we therefore sought to describe the healthcare experiences and perceptions of retired u.s . citizens currently living in mexico and panama . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 sought 0 ###LEFT-WALL### 14 . 1 we 3 sought 2 therefore 3 sought 3 sought 4 to 3 sought 5 describe 4 to 5 describe 5 describe 9 and 6 the 8 experiences 7 healthcare 8 experiences 8 experiences 9 and 9 and 10 perceptions 9 and 11 of 11 of 13 u.s 12 retired 13 u.s 14 . 20 and 14 . 22 . 15 citizens 17 living 15 citizens 20 and 16 currently 17 living 17 living 18 in 18 in 19 mexico 20 and 21 panama methods : 46 retired u.s . citizens ( 23 per country [ )(who had been hospitalized ( 61 % ) [or] had a chronic health condition ( 78 % ) in two regions per country with large communities of retired u.s . citizens were identified . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 u.s 2 : 6 . 3 46 5 u.s 4 retired 5 u.s 6 . 7 citizens 6 . 22 had 6 . 42 . 6 . 46 . 7 citizens 9 23 7 citizens 22 had 8 ( 9 23 9 23 10 per 9 23 13 )(who 9 23 14 had 9 23 19 % 9 23 20 ) 10 per 11 country 13 )(who 14 had 14 had 15 been 15 been 16 hospitalized 17 ( 19 % 18 61 19 % 19 % 20 ) 22 had 26 condition 22 had 31 in 23 a 24 chronic 23 a 26 condition 24 chronic 25 health 25 health 26 condition 26 condition 29 % 27 ( 29 % 28 78 29 % 29 % 30 ) 31 in 33 regions 32 two 33 regions 33 regions 34 per 33 regions 36 with 33 regions 39 of 34 per 35 country 36 with 38 communities 37 large 38 communities 39 of 41 u.s 40 retired 41 u.s 42 . 43 citizens 42 . 44 were 43 citizens 44 were 44 were 45 identified detailed semi - structured interviews were conducted to explore experiences [with] , attitudes [toward] , and costs [of] healthcare . 0 ###LEFT-WALL### 5 interviews 0 ###LEFT-WALL### 7 conducted 0 ###LEFT-WALL### 20 . 1 detailed 5 interviews 2 semi 3 - 2 semi 5 interviews 4 structured 5 interviews 5 interviews 6 were 6 were 7 conducted 7 conducted 8 to 7 conducted 19 healthcare 8 to 16 and 9 explore 10 experiences 9 explore 16 and 10 experiences 13 attitudes 12 , 13 attitudes 13 attitudes 15 , 16 and 17 costs interviews were analyzed using quantitative and qualitative methods . 0 ###LEFT-WALL### 1 interviews 0 ###LEFT-WALL### 3 analyzed 0 ###LEFT-WALL### 9 . 1 interviews 2 were 2 were 3 analyzed 3 analyzed 4 using 4 using 8 methods 5 quantitative 6 and 6 and 7 qualitative 6 and 8 methods results : respondents averaged 68 - 70 years old , were well educated , had few physical dependencies , and had moderate incomes . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 21 had 0 ###LEFT-WALL### 24 . 1 results 2 : 2 : 9 old 3 respondents 4 averaged 4 averaged 6 - 5 68 6 - 6 - 7 70 7 70 8 years 8 years 9 old 10 , 14 , 11 were 12 well 11 were 14 , 12 well 13 educated 14 , 20 and 15 had 18 dependencies 15 had 20 and 16 few 18 dependencies 17 physical 18 dependencies 19 , 20 and 20 and 21 had 21 had 23 incomes 22 moderate 23 incomes they praised physician services as more personalized than in the u.s . and home care as inexpensive and widely available , expressed favorable opinions regarding outpatient and dental care , gave mixed ratings on hospital services , and expressed concerns about emergency services . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 2 praised 0 ###LEFT-WALL### 12 . 1 they 2 praised 2 praised 4 services 3 physician 4 services 4 services 5 as 4 services 7 personalized 4 services 9 in 5 as 6 more 7 personalized 8 than 9 in 11 u.s 10 the 11 u.s 12 . 13 and 12 . 44 . 13 and 27 and 13 and 31 gave 14 home 15 care 15 care 16 as 15 care 27 and 16 as 18 and 17 inexpensive 18 and 18 and 26 outpatient 19 widely 20 available 20 available 21 , 20 available 26 outpatient 22 expressed 26 outpatient 23 favorable 26 outpatient 24 opinions 26 outpatient 25 regarding 26 outpatient 27 and 29 care 27 and 30 , 27 and 31 gave 28 dental 29 care 31 gave 33 ratings 31 gave 38 and 32 mixed 33 ratings 33 ratings 34 on 34 on 36 services 35 hospital 36 services 37 , 38 and 38 and 40 concerns 38 and 43 services 39 expressed 40 concerns 40 concerns 41 about 41 about 42 emergency numerous concerns about health insurance were expressed , including the unavailability of medicare and reductions in tricare . 0 ###LEFT-WALL### 2 concerns 0 ###LEFT-WALL### 7 expressed 1 numerous 2 concerns 2 concerns 3 about 2 concerns 6 were 3 about 5 insurance 4 health 5 insurance 6 were 7 expressed 7 expressed 9 including 8 , 9 including 9 including 11 unavailability 9 including 16 in 9 including 18 . 10 the 11 unavailability 11 unavailability 12 of 12 of 14 and 13 medicare 14 and 14 and 15 reductions 16 in 17 tricare payment concerns and lack of data on local health providers made deciding where to obtain services challenging . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 18 . 1 payment 2 concerns 2 concerns 3 and 3 and 4 lack 3 and 5 of 5 of 6 data 6 data 7 on 6 data 14 to 6 data 17 challenging 7 on 10 providers 8 local 9 health 9 health 10 providers 10 providers 11 made 10 providers 12 deciding 12 deciding 13 where 14 to 15 obtain 15 obtain 16 services 16 services 17 challenging conclusions : retirees living abroad report dilemmas regarding healthcare choices , insurance availability , and quality of care . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 retirees 2 : 6 report 2 : 11 , 2 : 19 . 3 retirees 4 living 3 retirees 6 report 4 living 5 abroad 6 report 7 dilemmas 7 dilemmas 8 regarding 8 regarding 10 choices 9 healthcare 10 choices 11 , 15 and 12 insurance 13 availability 13 availability 15 and 14 , 15 and 15 and 16 quality 15 and 17 of 17 of 18 care as this population segment grows , pressure will increase for policy and business solutions to existing medical care challenges . 0 ###LEFT-WALL### 7 pressure 0 ###LEFT-WALL### 9 increase 0 ###LEFT-WALL### 20 . 1 as 4 segment 1 as 5 grows 1 as 6 , 1 as 7 pressure 2 this 4 segment 3 population 4 segment 4 segment 5 grows 7 pressure 8 will 8 will 9 increase 9 increase 10 for 9 increase 15 to 10 for 12 and 11 policy 12 and 12 and 14 solutions 13 business 14 solutions 15 to 19 challenges 16 existing 18 care 17 medical 18 care 18 care 19 challenges objectives : large tooth substance losses are frequent in posterior teeth because of primary caries or aging restorations . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 large 2 : 7 are 2 : 19 . 3 large 7 are 4 tooth 6 losses 5 substance 6 losses 6 losses 7 are 7 are 8 frequent 8 frequent 9 in 8 frequent 12 because 9 in 11 teeth 10 posterior 11 teeth 12 because 13 of 13 of 16 or 14 primary 15 caries 15 caries 16 or 16 or 18 restorations 17 aging 18 restorations inlays and onlays are often the minimal invasive solution in such cases , but the efficacy of the composite and ceramic materials used is unknown . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 14 but 0 ###LEFT-WALL### 26 . 1 inlays 2 and 2 and 3 onlays 2 and 4 are 4 are 5 often 4 are 9 solution 6 the 9 solution 7 minimal 9 solution 8 invasive 9 solution 9 solution 10 in 10 in 12 cases 11 such 12 cases 13 , 14 but 14 but 16 efficacy 14 but 24 is 15 the 16 efficacy 16 efficacy 17 of 16 efficacy 24 is 17 of 20 and 18 the 19 composite 19 composite 20 and 20 and 22 materials 20 and 23 used 21 ceramic 22 materials 24 is 25 unknown we performed a systematic review of randomized controlled trials comparing the efficacy of composite and ceramic inlays or onlays . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 performed 0 ###LEFT-WALL### 20 . 1 we 2 performed 2 performed 5 review 3 a 4 systematic 3 a 5 review 4 systematic 5 review 5 review 6 of 6 of 9 trials 7 randomized 9 trials 8 controlled 9 trials 9 trials 10 comparing 9 trials 13 of 10 comparing 12 efficacy 11 the 12 efficacy 13 of 18 or 14 composite 15 and 15 and 16 ceramic 15 and 17 inlays 17 inlays 18 or 18 or 19 onlays data sources : medline , embase and the cochrane central register of controlled trials were searched without any restriction on date or language , [as] were references of eligible studies and clinicaltrials.gov . 0 ###LEFT-WALL### 2 sources 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 26 were 0 ###LEFT-WALL### 33 . 1 data 2 sources 3 : 4 medline 3 : 5 , 5 , 22 or 5 , 24 , 6 embase 7 and 7 and 21 date 7 and 22 or 8 the 21 date 9 cochrane 10 central 10 central 11 register 11 register 12 of 11 register 21 date 12 of 13 controlled 13 controlled 14 trials 13 controlled 20 on 14 trials 15 were 15 were 16 searched 16 searched 17 without 16 searched 20 on 17 without 19 restriction 18 any 19 restriction 22 or 23 language 24 , 26 were 26 were 27 references 27 references 28 of 28 of 31 and 29 eligible 30 studies 30 studies 31 and 31 and 32 clinicaltrials.gov study selection : eligible studies were randomized trials comparing the clinical efficacy of composite to ceramic inlays or onlays in adults with any clinical outcome for at least 6 months . 0 ###LEFT-WALL### 2 selection 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 31 . 1 study 2 selection 3 : 5 studies 3 : 6 were 4 eligible 5 studies 5 studies 6 were 6 were 8 trials 7 randomized 8 trials 8 trials 9 comparing 9 comparing 12 efficacy 9 comparing 20 in 9 comparing 22 with 9 comparing 26 for 10 the 12 efficacy 11 clinical 12 efficacy 12 efficacy 13 of 13 of 18 or 14 composite 15 to 14 composite 18 or 15 to 17 inlays 16 ceramic 17 inlays 18 or 19 onlays 20 in 21 adults 22 with 25 outcome 23 any 25 outcome 24 clinical 25 outcome 26 for 30 months 27 at 28 least 28 least 29 6 29 6 30 months from 172 records identified , we examined reports of 2 randomized controlled trials involving 138 inlays ( no onlays evaluated ) in 80 patients [and] exhibiting a high - risk of bias . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 examined 0 ###LEFT-WALL### 33 . 1 from 3 records 1 from 6 we 2 172 3 records 4 identified 5 , 4 identified 6 we 6 we 7 examined 7 examined 8 reports 7 examined 22 in 8 reports 9 of 8 reports 14 involving 9 of 13 trials 10 2 13 trials 11 randomized 13 trials 12 controlled 13 trials 14 involving 16 inlays 15 138 16 inlays 16 inlays 19 onlays 17 ( 19 onlays 18 no 19 onlays 19 onlays 20 evaluated 19 onlays 21 ) 22 in 24 patients 23 80 24 patients 24 patients 26 exhibiting 24 patients 31 of 26 exhibiting 30 risk 27 a 28 high 27 a 30 risk 28 high 29 - 28 high 30 risk 31 of 32 bias outcomes were clinical scores and major failures . 0 ###LEFT-WALL### 1 outcomes 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 8 . 1 outcomes 5 and 2 were 4 scores 2 were 5 and 3 clinical 4 scores 5 and 6 major 5 and 7 failures the 3 [-] year overall failure risk ratio was 2 [ 0.38 - 10.55 ] in favor of ceramic inlays [although] [not] statistically [significant] [.] 0 ###LEFT-WALL### 8 ratio 0 ###LEFT-WALL### 9 was 1 the 8 ratio 2 3 4 year 4 year 6 failure 5 overall 6 failure 6 failure 8 ratio 7 risk 8 ratio 8 ratio 9 was 9 was 10 2 9 was 13 - 9 was 16 in 9 was 23 statistically 11 [ 13 - 12 0.38 13 - 13 - 14 10.55 13 - 15 ] 16 in 17 favor 17 favor 18 of 18 of 20 inlays 19 ceramic 20 inlays the reported clinical scores ( united states public health services and californian dental association ) showed considerable heterogeneity between trials and could not be combined . 0 ###LEFT-WALL### 4 scores 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 26 . 1 the 4 scores 2 reported 4 scores 3 clinical 4 scores 4 scores 11 and 4 scores 21 and 5 ( 11 and 6 united 7 states 7 states 8 public 8 public 9 health 9 health 10 services 10 services 11 and 11 and 14 association 11 and 15 ) 12 californian 13 dental 13 dental 14 association 16 showed 18 heterogeneity 16 showed 19 between 16 showed 21 and 17 considerable 18 heterogeneity 19 between 20 trials 21 and 22 could 22 could 23 not 22 could 24 be 24 be 25 combined conclusions : we have very limited evidence [that] [ceramics] perform better than composite material for inlays in the short term . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 perform 0 ###LEFT-WALL### 21 . 2 : 3 we 2 : 4 have 3 we 4 have 4 have 7 evidence 4 have 10 perform 5 very 6 limited 6 limited 7 evidence 10 perform 11 better 10 perform 12 than 10 perform 17 in 12 than 14 material 13 composite 14 material 14 material 15 for 15 for 16 inlays 17 in 20 term 18 the 20 term 19 short 20 term however , this result may not be valid in the long term , and other trials are needed . 0 ###LEFT-WALL### 4 result 0 ###LEFT-WALL### 7 be 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 4 result 3 this 4 result 4 result 5 may 5 may 6 not 5 may 7 be 7 be 8 valid 8 valid 9 in 9 in 12 term 10 the 12 term 11 long 12 term 13 , 14 and 14 and 16 trials 14 and 18 needed 15 other 16 trials 16 trials 17 are 17 are 18 needed trials should follow fédération dentaire internationale recommendations and enhance their methodology . 0 ###LEFT-WALL### 1 trials 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 12 . 1 trials 8 and 2 should 3 follow 2 should 8 and 3 follow 7 recommendations 4 fédération 7 recommendations 5 dentaire 7 recommendations 6 internationale 7 recommendations 8 and 9 enhance 9 enhance 11 methodology 10 their 11 methodology trials comparing composite and ceramic onlays are needed . 0 ###LEFT-WALL### 1 trials 0 ###LEFT-WALL### 8 needed 0 ###LEFT-WALL### 9 . 1 trials 2 comparing 1 trials 7 are 2 comparing 6 onlays 3 composite 4 and 4 and 5 ceramic 4 and 6 onlays 7 are 8 needed background : no standard definition exists for the concept " persistent pain self - management " or how it should be defined in relation to older adults . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 5 definition 2 : 6 exists 2 : 14 - 3 no 5 definition 4 standard 5 definition 5 definition 6 exists 6 exists 7 for 7 for 13 self 8 the 13 self 9 concept 10 " 9 concept 13 self 11 persistent 12 pain 12 pain 13 self 14 - 17 or 15 management 16 " 15 management 17 or 17 or 18 how 17 or 19 it 17 or 21 be 17 or 22 defined 17 or 23 in 19 it 20 should 20 should 21 be 23 in 24 relation 24 relation 25 to 25 to 27 adults 26 older 27 adults poorly defined concepts can result in misunderstandings in the clinical setting and can hinder research through difficulties identifying or measuring the concept . 0 ###LEFT-WALL### 3 concepts 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 23 . 1 poorly 3 concepts 2 defined 3 concepts 3 concepts 12 and 4 can 5 result 4 can 12 and 5 result 6 in 5 result 8 in 6 in 7 misunderstandings 8 in 11 setting 9 the 11 setting 10 clinical 11 setting 12 and 13 can 12 and 22 concept 13 can 14 hinder 14 hinder 15 research 14 hinder 16 through 14 hinder 19 or 16 through 17 difficulties 18 identifying 19 or 19 or 20 measuring 21 the 22 concept objective : to ascertain attributes , referents , antecedents , and consequences of the concept older adults ' persistent pain self [-] management and develop a theoretical definition . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 to 2 : 4 ascertain 3 to 4 ascertain 4 ascertain 11 and 4 ascertain 24 and 5 attributes 6 , 6 , 7 referents 6 , 8 , 8 , 9 antecedents 8 , 11 and 10 , 11 and 11 and 12 consequences 11 and 13 of 11 and 24 and 13 of 19 persistent 14 the 17 adults 15 concept 17 adults 16 older 17 adults 17 adults 18 ' 18 ' 19 persistent 20 pain 23 management 20 pain 24 and 21 self 23 management 24 and 25 develop 24 and 28 definition 26 a 28 definition 27 theoretical 28 definition design : rodgers evolutionary model [of] concept analysis was used to systematically analyze articles from the academic and grey literature ( n = 45 ) . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 13 analyze 0 ###LEFT-WALL### 26 . 1 design 2 : 2 : 3 rodgers 3 rodgers 8 analysis 3 rodgers 13 analyze 4 evolutionary 5 model 5 model 7 concept 7 concept 8 analysis 8 analysis 9 was 9 was 10 used 10 used 11 to 10 used 13 analyze 11 to 13 analyze 12 systematically 13 analyze 13 analyze 14 articles 13 analyze 15 from 13 analyze 23 = 15 from 20 literature 16 the 20 literature 17 academic 18 and 18 and 19 grey 18 and 20 literature 21 ( 23 = 22 n 23 = 23 = 24 45 23 = 25 ) data were extracted using standardized extraction forms and analyzed using thematic analysis . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 13 . 1 data 8 and 2 were 3 extracted 2 were 8 and 3 extracted 4 using 4 using 7 forms 5 standardized 6 extraction 6 extraction 7 forms 8 and 9 analyzed 8 and 10 using 10 using 12 analysis 11 thematic 12 analysis findings : this concept was discussed in three ways [:] as an intervention , in reference to everyday behaviors , and [as] an outcome . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 4 concept 2 : 6 discussed 3 this 4 concept 4 concept 5 was 5 was 6 discussed 6 discussed 7 in 7 in 21 and 8 three 9 ways 9 ways 11 as 9 ways 21 and 11 as 13 intervention 12 an 13 intervention 13 intervention 15 in 14 , 15 in 15 in 16 reference 15 in 20 , 16 reference 17 to 17 to 19 behaviors 18 everyday 19 behaviors 20 , 21 and 21 and 24 outcome 23 an 24 outcome five defining attributes were identified : multidimensional process , personal development , active individuals , symptom response , and symptom control . 0 ###LEFT-WALL### 1 five 0 ###LEFT-WALL### 5 identified 0 ###LEFT-WALL### 6 : 1 five 2 defining 1 five 4 were 2 defining 3 attributes 4 were 5 identified 6 : 19 and 6 : 22 . 7 multidimensional 8 process 8 process 9 , 9 , 11 development 9 , 12 , 10 personal 11 development 12 , 14 individuals 12 , 15 , 13 active 14 individuals 15 , 17 response 15 , 19 and 16 symptom 17 response 18 , 19 and 19 and 21 control 20 symptom 21 control patients ' perceived need and ability to manage pain with support from others is necessary for pain self [-] management to occur . 0 ###LEFT-WALL### 2 ' 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 23 . 1 patients 2 ' 2 ' 5 and 3 perceived 4 need 3 perceived 5 and 5 and 22 occur 6 ability 7 to 6 ability 8 manage 6 ability 14 is 7 to 8 manage 8 manage 9 pain 8 manage 10 with 8 manage 12 from 10 with 11 support 12 from 13 others 14 is 15 necessary 15 necessary 16 for 15 necessary 21 to 16 for 20 management 17 pain 20 management 18 self 20 management 21 to 22 occur numerous physical , psychological , and social health consequences were identified . 0 ###LEFT-WALL### 9 consequences 0 ###LEFT-WALL### 11 identified 0 ###LEFT-WALL### 12 . 1 numerous 8 health 2 physical 3 , 3 , 4 psychological 3 , 6 and 5 , 6 and 6 and 7 social 6 and 8 health 8 health 9 consequences 9 consequences 10 were 10 were 11 identified a theoretical definition is discussed . 0 ###LEFT-WALL### 3 definition 0 ###LEFT-WALL### 5 discussed 0 ###LEFT-WALL### 6 . 1 a 2 theoretical 1 a 3 definition 2 theoretical 3 definition 3 definition 4 is 4 is 5 discussed conclusions : our findings have clarified existing use and understanding regarding the concept of older adults ' persistent pain self - management . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 4 findings 2 : 6 clarified 2 : 21 - 3 our 4 findings 4 findings 5 have 5 have 6 clarified 6 clarified 9 and 7 existing 8 use 8 use 9 and 9 and 10 understanding 9 and 11 regarding 9 and 14 of 11 regarding 13 concept 12 the 13 concept 14 of 20 self 15 older 16 adults 16 adults 17 ' 17 ' 20 self 18 persistent 20 self 19 pain 20 self 21 - 22 management we have identified three areas for future development : refinement of the attributes of this concept within the context of older adults , an exploration of how providers can overcome difficulties supporting older adults ' persistent pain self - management , and [a] clarification of the overall theoretical framework of older adults ' persistent pain self - management . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 identified 0 ###LEFT-WALL### 9 : 0 ###LEFT-WALL### 59 . 1 we 2 have 2 have 3 identified 3 identified 5 areas 3 identified 6 for 4 three 5 areas 6 for 8 development 7 future 8 development 9 : 42 and 9 : 57 - 10 refinement 11 of 10 refinement 42 and 11 of 13 attributes 12 the 13 attributes 13 attributes 14 of 13 attributes 20 of 13 attributes 25 exploration 14 of 16 concept 15 this 16 concept 16 concept 17 within 17 within 19 context 18 the 19 context 20 of 22 adults 21 older 22 adults 23 , 25 exploration 24 an 25 exploration 25 exploration 26 of 25 exploration 32 supporting 25 exploration 40 management 25 exploration 41 , 26 of 27 how 27 how 28 providers 27 how 30 overcome 28 providers 29 can 29 can 30 overcome 30 overcome 31 difficulties 32 supporting 38 self 33 older 34 adults 34 adults 35 ' 35 ' 38 self 36 persistent 37 pain 37 pain 38 self 39 - 40 management 40 management 41 , 41 , 42 and 42 and 44 clarification 42 and 45 of 42 and 50 of 45 of 49 framework 46 the 49 framework 47 overall 49 framework 48 theoretical 49 framework 50 of 56 self 51 older 52 adults 52 adults 53 ' 53 ' 56 self 54 persistent 55 pain 55 pain 56 self 57 - 58 management telomerase contributes to cell proliferation [and] survival through both telomere - dependent and telomere - independent mechanisms . 0 ###LEFT-WALL### 1 telomerase 0 ###LEFT-WALL### 2 contributes 0 ###LEFT-WALL### 18 . 1 telomerase 2 contributes 2 contributes 3 to 2 contributes 8 through 3 to 7 survival 4 cell 7 survival 5 proliferation 7 survival 8 through 17 mechanisms 9 both 17 mechanisms 10 telomere 13 and 10 telomere 17 mechanisms 11 - 13 and 12 dependent 13 and 13 and 14 telomere 13 and 15 - 16 independent 17 mechanisms in this report , we discovered that endoplasmic reticulum ( er ) stress transiently activates the catalytic components of telomerase ( tert ) [expression] in human cancer cell lines and murine primary neural cells . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 discovered 0 ###LEFT-WALL### 35 . 1 in 3 report 1 in 4 , 1 in 5 we 2 this 3 report 5 we 6 discovered 6 discovered 7 that 7 that 13 stress 7 that 15 activates 8 endoplasmic 13 stress 9 reticulum 11 er 9 reticulum 13 stress 10 ( 11 er 11 er 12 ) 13 stress 15 activates 14 transiently 15 activates 15 activates 18 components 15 activates 25 in 16 the 18 components 17 catalytic 18 components 18 components 19 of 19 of 20 telomerase 20 telomerase 22 tert 21 ( 22 tert 22 tert 23 ) 25 in 34 cells 26 human 32 primary 27 cancer 32 primary 28 cell 32 primary 29 lines 30 and 30 and 31 murine 30 and 32 primary 32 primary 34 cells 33 neural 34 cells importantly , we show that depletion of htert sensitizes cells to undergo apoptosis under er stress , whereas increased htert expression reduces er stress - induced cell death independent of catalytically active enzyme or dna damage signaling . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 show 0 ###LEFT-WALL### 16 stress 1 importantly 2 , 1 importantly 3 we 3 we 4 show 4 show 5 that 5 that 6 depletion 5 that 16 stress 6 depletion 7 of 6 depletion 9 sensitizes 7 of 8 htert 9 sensitizes 10 cells 10 cells 11 to 10 cells 12 undergo 11 to 12 undergo 13 apoptosis 14 under 13 apoptosis 16 stress 14 under 15 er 16 stress 18 whereas 17 , 18 whereas 18 whereas 21 expression 18 whereas 22 reduces 18 whereas 38 . 19 increased 21 expression 20 htert 21 expression 21 expression 22 reduces 22 reduces 24 stress 23 er 24 stress 24 stress 36 damage 25 - 36 damage 26 induced 27 cell 27 cell 28 death 28 death 36 damage 29 independent 30 of 29 independent 34 or 30 of 33 enzyme 31 catalytically 32 active 32 active 33 enzyme 34 or 35 dna 34 or 36 damage 36 damage 37 signaling 36 damage 38 . our findings establish a functional link between er stress and telomerase , both of which have important implications in the pathologies associated with aging and cancer . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 establish 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 27 . 1 our 2 findings 2 findings 3 establish 3 establish 6 link 3 establish 7 between 4 a 5 functional 4 a 6 link 5 functional 6 link 7 between 10 and 8 er 9 stress 9 stress 10 and 10 and 11 telomerase 10 and 12 , 12 , 25 and 13 both 14 of 13 both 22 associated 13 both 25 and 14 of 15 which 14 of 16 have 15 which 16 have 16 have 18 implications 17 important 18 implications 18 implications 19 in 19 in 21 pathologies 20 the 21 pathologies 22 associated 23 with 23 with 24 aging 25 and 26 cancer background : a current topic in the field of geriatrics still needing a great deal of study is the changes in body posture occurring with age . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 5 topic 2 : 18 is 2 : 27 . 3 a 4 current 3 a 5 topic 4 current 5 topic 5 topic 6 in 5 topic 9 of 5 topic 12 needing 5 topic 16 of 5 topic 18 is 6 in 8 field 7 the 8 field 9 of 10 geriatrics 11 still 12 needing 12 needing 15 deal 13 a 14 great 13 a 15 deal 14 great 15 deal 16 of 17 study 18 is 20 changes 19 the 20 changes 20 changes 21 in 20 changes 24 occurring 21 in 23 posture 22 body 23 posture 24 occurring 25 with 25 with 26 age symptoms of these changes can be observed starting between the ages of 40 - 50 years with a slow progression that increases after 60 years of age . 0 ###LEFT-WALL### 1 symptoms 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 28 . 1 symptoms 2 of 1 symptoms 5 can 2 of 4 changes 3 these 4 changes 5 can 6 be 6 be 8 starting 7 observed 8 starting 8 starting 9 between 8 starting 12 of 9 between 11 ages 10 the 11 ages 12 of 16 years 13 40 14 - 14 - 15 50 14 - 16 years 16 years 17 with 17 with 20 progression 18 a 19 slow 18 a 20 progression 19 slow 20 progression 20 progression 21 that 20 progression 22 increases 20 progression 26 of 21 that 22 increases 22 increases 23 after 22 increases 25 years 23 after 24 60 26 of 27 age the aims of this study were to evaluate parameters characterizing the posture of women over the age of 60 years compared with a control group and to determine the dynamics of body posture changes in the following decades . 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 to 6 were 35 in 7 to 8 evaluate 8 evaluate 9 parameters 8 evaluate 26 and 9 parameters 10 characterizing 9 parameters 21 compared 9 parameters 26 and 10 characterizing 12 posture 10 characterizing 15 over 10 characterizing 21 compared 11 the 12 posture 12 posture 13 of 13 of 14 women 15 over 17 age 16 the 17 age 17 age 18 of 18 of 20 years 19 60 20 years 21 compared 22 with 22 with 24 control 23 a 24 control 25 group 26 and 26 and 27 to 26 and 34 changes 27 to 28 determine 28 determine 30 dynamics 29 the 30 dynamics 30 dynamics 31 of 31 of 33 posture 32 body 33 posture 35 in 38 decades 36 the 37 following 36 the 38 decades methods : the study included 260 randomly selected women . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 included 2 : 10 . 3 the 4 study 4 study 5 included 5 included 9 women 6 260 9 women 7 randomly 8 selected 8 selected 9 women the study group consisted of 130 women between the ages of 60 - 90 years ( older women ) . 0 ###LEFT-WALL### 3 group 0 ###LEFT-WALL### 4 consisted 0 ###LEFT-WALL### 20 . 1 the 3 group 2 study 3 group 3 group 4 consisted 4 consisted 5 of 5 of 7 women 6 130 7 women 7 women 8 between 7 women 11 of 8 between 10 ages 9 the 10 ages 11 of 15 years 12 60 13 - 13 - 14 90 13 - 15 years 15 years 18 women 16 ( 18 women 17 older 18 women 18 women 19 ) the control group ( younger women ) consisted of 130 women between the ages of 20 - 25 years ( posture stabilization period ) . 0 ###LEFT-WALL### 3 group 0 ###LEFT-WALL### 8 consisted 0 ###LEFT-WALL### 25 . 1 the 3 group 2 control 3 group 3 group 6 women 3 group 8 consisted 4 ( 6 women 5 younger 6 women 6 women 7 ) 8 consisted 9 of 9 of 11 women 10 130 11 women 11 women 12 between 11 women 15 of 12 between 14 ages 13 the 14 ages 15 of 19 years 16 20 17 - 17 - 18 25 17 - 19 years 19 years 23 period 20 ( 23 period 21 posture 23 period 22 stabilization 23 period 23 period 24 ) the photogrammetric method was used to evaluate body posture using the phenomenon of the projection chamber . 0 ###LEFT-WALL### 3 method 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 17 . 1 the 3 method 2 photogrammetric 3 method 3 method 4 was 4 was 5 used 5 used 6 to 5 used 7 evaluate 6 to 7 evaluate 7 evaluate 9 posture 8 body 9 posture 9 posture 10 using 10 using 12 phenomenon 11 the 12 phenomenon 12 phenomenon 13 of 13 of 16 chamber 14 the 16 chamber 15 projection 16 chamber the study was conducted according to generally accepted principles . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 conducted 0 ###LEFT-WALL### 10 . 1 the 2 study 2 study 3 was 3 was 4 conducted 4 conducted 6 to 5 according 6 to 6 to 9 principles 7 generally 8 accepted 8 accepted 9 principles results : in the analysis of parameters characterizing individual slope curves , results were varied among different age groups . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 20 . 1 results 2 : 2 : 3 in 2 : 8 characterizing 3 in 5 analysis 4 the 5 analysis 5 analysis 6 of 6 of 7 parameters 8 characterizing 11 curves 9 individual 10 slope 10 slope 11 curves 12 , 13 results 12 , 14 were 13 results 14 were 14 were 15 varied 15 varied 16 among 16 among 19 groups 17 different 18 age 18 age 19 groups the lumbar spine slope did not show significant differences between different age groups ( p = 0.6952 ) , while statistically significant differences ( p = 0.0000 ) were found in the thoracic - lumbar spine slope ( p = 0.0033 ) and upper thoracic spine slope . 0 ###LEFT-WALL### 4 slope 0 ###LEFT-WALL### 7 show 0 ###LEFT-WALL### 48 . 1 the 4 slope 2 lumbar 3 spine 3 spine 4 slope 4 slope 5 did 5 did 6 not 5 did 7 show 7 show 9 differences 7 show 10 between 7 show 20 while 7 show 37 slope 7 show 43 and 8 significant 9 differences 10 between 13 groups 11 different 12 age 12 age 13 groups 13 groups 16 = 14 ( 16 = 15 p 16 = 16 = 17 0.6952 16 = 18 ) 19 , 20 while 20 while 23 differences 20 while 30 found 20 while 34 - 21 statistically 23 differences 22 significant 23 differences 23 differences 26 = 23 differences 29 were 24 ( 26 = 25 p 26 = 26 = 27 0.0000 26 = 28 ) 29 were 30 found 30 found 31 in 31 in 33 thoracic 32 the 33 thoracic 35 lumbar 36 spine 36 spine 37 slope 37 slope 40 = 38 ( 40 = 39 p 40 = 40 = 41 0.0033 40 = 42 ) 43 and 47 slope 44 upper 47 slope 45 thoracic 46 spine 46 spine 47 slope body [angle] was shown to increase with age ( p = 0.0000 ) . 0 ###LEFT-WALL### 1 body 0 ###LEFT-WALL### 4 shown 0 ###LEFT-WALL### 14 . 1 body 3 was 3 was 4 shown 4 shown 5 to 5 to 6 increase 6 increase 7 with 7 with 8 age 8 age 11 = 9 ( 11 = 10 p 11 = 11 = 12 0.0000 11 = 13 ) thoracic kyphosis depth significantly deepened with age ( p = 0.0002 ) , however , the thoracic kyphosis angle decreased with age ( p = 0.0000 ) . 0 ###LEFT-WALL### 3 depth 0 ###LEFT-WALL### 20 decreased 0 ###LEFT-WALL### 28 . 1 thoracic 3 depth 2 kyphosis 3 depth 3 depth 5 deepened 3 depth 18 kyphosis 3 depth 19 angle 3 depth 20 decreased 4 significantly 5 deepened 5 deepened 6 with 5 deepened 10 = 5 deepened 14 however 6 with 7 age 8 ( 10 = 9 p 10 = 10 = 11 0.0002 10 = 12 ) 13 , 14 however 14 however 15 , 16 the 18 kyphosis 17 thoracic 18 kyphosis 18 kyphosis 19 angle 20 decreased 21 with 21 with 22 age 22 age 25 = 23 ( 25 = 24 p 25 = 25 = 26 0.0000 25 = 27 ) an increase in asymmetries was noticed , provided by a significantly higher angle of the shoulder line ( p = 0.0199 ) and the difference in height of the lower shoulder blade angle ( p = 0.0007 ) measurements in the group of older women . 0 ###LEFT-WALL### 2 increase 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 46 . 1 an 2 increase 2 increase 3 in 2 increase 5 was 3 in 4 asymmetries 5 was 7 , 6 noticed 7 , 7 , 8 provided 7 , 9 by 7 , 26 in 7 , 39 measurements 9 by 23 and 10 a 13 angle 11 significantly 12 higher 12 higher 13 angle 13 angle 14 of 13 angle 23 and 14 of 17 line 15 the 17 line 16 shoulder 17 line 17 line 20 = 18 ( 20 = 19 p 20 = 20 = 21 0.0199 20 = 22 ) 23 and 25 difference 24 the 25 difference 26 in 27 height 27 height 28 of 27 height 36 = 28 of 33 angle 29 the 33 angle 30 lower 31 shoulder 31 shoulder 32 blade 32 blade 33 angle 34 ( 36 = 35 p 36 = 36 = 37 0.0007 36 = 38 ) 39 measurements 40 in 40 in 45 women 41 the 42 group 42 group 43 of 42 group 45 women 43 of 45 women 44 older 45 women conclusions : changes in the parameters describing body posture throughout consecutive decades were observed . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 changes 2 : 14 observed 2 : 15 . 3 changes 4 in 3 changes 13 were 4 in 6 parameters 5 the 6 parameters 6 parameters 7 describing 7 describing 9 posture 7 describing 10 throughout 8 body 9 posture 10 throughout 12 decades 11 consecutive 12 decades 13 were 14 observed therapy for women over the age of 60 years should involve strengthening of the erector spinae muscles and controlling body posture with the aim of reducing trunk inclination and deepening of thoracic kyphosis . 0 ###LEFT-WALL### 1 therapy 0 ###LEFT-WALL### 26 reducing 0 ###LEFT-WALL### 34 . 1 therapy 2 for 1 therapy 7 of 1 therapy 10 should 2 for 3 women 3 women 4 over 4 over 6 age 5 the 6 age 7 of 9 years 8 60 9 years 10 should 11 involve 11 involve 12 strengthening 12 strengthening 13 of 13 of 16 spinae 14 the 16 spinae 15 erector 16 spinae 16 spinae 18 and 16 spinae 26 reducing 17 muscles 18 and 18 and 20 body 18 and 21 posture 19 controlling 20 body 21 posture 22 with 22 with 24 aim 23 the 24 aim 24 aim 25 of 25 of 26 reducing 26 reducing 29 and 27 trunk 28 inclination 28 inclination 29 and 29 and 30 deepening 30 deepening 31 of 31 of 33 kyphosis 32 thoracic 33 kyphosis moreover , exercises shaping lumbar lordosis should be performed to prevent its flattening . 0 ###LEFT-WALL### 3 exercises 0 ###LEFT-WALL### 9 performed 0 ###LEFT-WALL### 14 . 1 moreover 2 , 1 moreover 3 exercises 3 exercises 4 shaping 3 exercises 7 should 4 shaping 6 lordosis 5 lumbar 6 lordosis 7 should 8 be 8 be 9 performed 9 performed 10 to 10 to 11 prevent 11 prevent 13 flattening 12 its 13 flattening the bodily decline that occurs with advancing age strongly impacts on the prospects for future health and life expectancy . 0 ###LEFT-WALL### 3 decline 0 ###LEFT-WALL### 10 impacts 0 ###LEFT-WALL### 20 . 1 the 3 decline 2 bodily 3 decline 3 decline 4 that 3 decline 5 occurs 3 decline 10 impacts 4 that 5 occurs 5 occurs 6 with 6 with 7 advancing 7 advancing 8 age 7 advancing 9 strongly 10 impacts 11 on 10 impacts 19 expectancy 11 on 13 prospects 12 the 13 prospects 13 prospects 14 for 14 for 17 and 15 future 16 health 16 health 17 and 17 and 18 life despite the profound role of age in disease etiology , knowledge about the molecular mechanisms driving the process of aging in humans is limited . 0 ###LEFT-WALL### 11 knowledge 0 ###LEFT-WALL### 23 is 0 ###LEFT-WALL### 25 . 1 despite 4 role 1 despite 10 , 1 despite 11 knowledge 2 the 4 role 3 profound 4 role 4 role 5 of 5 of 6 age 6 age 7 in 7 in 9 etiology 8 disease 9 etiology 11 knowledge 12 about 11 knowledge 23 is 12 about 15 mechanisms 13 the 15 mechanisms 14 molecular 15 mechanisms 15 mechanisms 16 driving 15 mechanisms 19 of 16 driving 18 process 17 the 18 process 19 of 20 aging 20 aging 21 in 21 in 22 humans 23 is 24 limited here , we used an integrative network - based [approach] for combining multiple large - scale expression studies in blood ( 2539 individuals ) with protein - protein interaction ( ppi ) data for the detection of consistently coexpressed ppi modules that may reflect key processes that change throughout the course of normative aging . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 used 1 here 2 , 1 here 3 we 3 we 4 used 4 used 7 network 4 used 9 based 5 an 6 integrative 5 an 7 network 6 integrative 7 network 8 - 9 based 9 based 11 for 9 based 55 . 11 for 12 combining 12 combining 18 studies 12 combining 19 in 12 combining 25 with 13 multiple 18 studies 14 large 15 - 14 large 16 scale 16 scale 17 expression 17 expression 18 studies 19 in 20 blood 20 blood 23 individuals 21 ( 23 individuals 22 2539 23 individuals 23 individuals 24 ) 25 with 26 protein 26 protein 33 data 27 - 33 data 28 protein 33 data 29 interaction 31 ppi 30 ( 31 ppi 31 ppi 32 ) 31 ppi 33 data 33 data 34 for 33 data 37 of 33 data 41 modules 33 data 44 reflect 33 data 55 . 34 for 36 detection 35 the 36 detection 37 of 40 ppi 38 consistently 39 coexpressed 39 coexpressed 40 ppi 41 modules 42 that 41 modules 43 may 41 modules 44 reflect 42 that 43 may 44 reflect 46 processes 44 reflect 49 throughout 45 key 46 processes 46 processes 47 that 46 processes 48 change 47 that 48 change 49 throughout 51 course 50 the 51 course 51 course 52 of 52 of 54 aging 53 normative 54 aging module detection followed by a meta - analysis on chronological age identified fifteen consistently coexpressed ppi modules associated with chronological age , including a highly significant module ( p = 3.5 × 10 ( - 38 [ )( (enriched for ['] t - cell activation ['] marking age - associated shifts in lymphocyte blood cell counts [(] r ( 2 [ )(= 0.603 [;] p = 1.9 × 10 ( - 10 [ )( )( 0 ###LEFT-WALL### 2 detection 0 ###LEFT-WALL### 3 followed 1 module 2 detection 2 detection 3 followed 3 followed 4 by 3 followed 8 analysis 5 a 8 analysis 6 meta 7 - 6 meta 8 analysis 8 analysis 9 on 8 analysis 12 identified 8 analysis 13 fifteen 8 analysis 15 coexpressed 9 on 11 age 10 chronological 11 age 13 fifteen 15 coexpressed 14 consistently 15 coexpressed 15 coexpressed 16 ppi 16 ppi 17 modules 16 ppi 18 associated 16 ppi 23 including 17 modules 18 associated 18 associated 19 with 19 with 21 age 20 chronological 21 age 22 , 23 including 23 including 27 module 23 including 30 = 24 a 25 highly 24 a 27 module 25 highly 26 significant 26 significant 27 module 28 ( 30 = 29 p 30 = 30 = 31 3.5 31 3.5 32 × 31 3.5 39 (enriched 32 × 33 10 32 × 36 38 32 × 39 (enriched 34 ( 36 38 35 - 36 38 36 38 38 )( 39 (enriched 40 for 39 (enriched 49 - 40 for 42 t 43 - 49 - 44 cell 48 age 45 activation 47 marking 47 marking 48 age 48 age 49 - 49 - 51 shifts 50 associated 51 shifts 51 shifts 52 in 52 in 56 counts 53 lymphocyte 56 counts 54 blood 55 cell 55 cell 56 counts 56 counts 62 )(= 56 counts 66 = 58 r 62 )(= 59 ( 62 )(= 60 2 62 )(= 62 )(= 63 0.603 65 p 66 = 66 = 68 × 67 1.9 68 × 68 × 69 10 68 × 72 10 70 ( 72 10 71 - 72 10 72 10 75 )( adjusting the analysis in the compendium for [the] ['] t - cell activation ['] [module] showed five consistently coexpressed ppi modules that robustly associated with chronological age and included modules enriched for ['] translational elongation ['] , ['] cytolysis ['] and ['] dna metabolic process ['] . 0 ###LEFT-WALL### 13 activation 0 ###LEFT-WALL### 16 showed 0 ###LEFT-WALL### 47 . 1 adjusting 3 analysis 1 adjusting 4 in 1 adjusting 11 - 1 adjusting 13 activation 2 the 3 analysis 4 in 6 compendium 5 the 6 compendium 6 compendium 7 for 7 for 10 t 12 cell 13 activation 13 activation 16 showed 16 showed 21 modules 16 showed 45 process 17 five 21 modules 18 consistently 19 coexpressed 19 coexpressed 21 modules 20 ppi 21 modules 21 modules 28 and 22 that 23 robustly 23 robustly 24 associated 24 associated 25 with 24 associated 28 and 25 with 27 age 26 chronological 27 age 28 and 29 included 28 and 32 for 29 included 30 modules 30 modules 31 enriched 32 for 41 and 34 translational 35 elongation 35 elongation 37 , 37 , 39 cytolysis 37 , 41 and 41 and 43 dna 44 metabolic 45 process in an independent study of 3535 individuals , four of five modules consistently associated with chronological age , underpinning the robustness of the approach . 0 ###LEFT-WALL### 9 four 0 ###LEFT-WALL### 14 associated 1 in 4 study 1 in 8 , 1 in 9 four 2 an 3 independent 2 an 4 study 3 independent 4 study 4 study 5 of 5 of 7 individuals 6 3535 7 individuals 9 four 10 of 9 four 14 associated 10 of 12 modules 11 five 12 modules 13 consistently 14 associated 14 associated 15 with 15 with 17 age 16 chronological 17 age 17 age 19 underpinning 18 , 19 underpinning 19 underpinning 21 robustness 19 underpinning 25 . 20 the 21 robustness 21 robustness 22 of 22 of 24 approach 23 the 24 approach we found three of five modules to be significantly enriched with aging - related genes , as defined by the genage database , and association with prospective survival at high ages for one of the modules including asf1a . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 39 . 1 we 2 found 2 found 3 three 3 three 4 of 4 of 6 modules 5 five 6 modules 6 modules 7 to 6 modules 18 defined 7 to 8 be 8 be 10 enriched 9 significantly 10 enriched 10 enriched 11 with 10 enriched 17 as 11 with 12 aging 12 aging 15 genes 13 - 15 genes 14 related 15 genes 15 genes 16 , 16 , 17 as 17 as 18 defined 18 defined 19 by 18 defined 32 for 19 by 24 and 20 the 22 database 21 genage 22 database 22 database 24 and 23 , 24 and 24 and 25 association 24 and 26 with 24 and 29 at 26 with 28 survival 27 prospective 28 survival 29 at 31 ages 30 high 31 ages 32 for 33 one 33 one 34 of 34 of 36 modules 35 the 36 modules 36 modules 37 including 37 including 38 asf1a the hereby [-] detected age - associated and consistently coexpressed ppi modules therefore may provide a molecular basis for future research into mechanisms underlying human aging . 0 ###LEFT-WALL### 5 age 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 15 provide 0 ###LEFT-WALL### 27 . 1 the 5 age 2 hereby 4 detected 4 detected 5 age 6 - 8 and 7 associated 8 and 8 and 10 coexpressed 9 consistently 10 coexpressed 10 coexpressed 11 ppi 11 ppi 12 modules 11 ppi 15 provide 12 modules 14 may 13 therefore 14 may 14 may 15 provide 15 provide 18 basis 15 provide 19 for 15 provide 22 into 16 a 17 molecular 16 a 18 basis 17 molecular 18 basis 19 for 21 research 20 future 21 research 22 into 23 mechanisms 23 mechanisms 24 underlying 24 underlying 26 aging 25 human 26 aging aim : to evaluate the prevalence and risk factors of gout and hyperuricemia in an elderly community cohort in beijing . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 3 to 2 : 7 and 3 to 7 and 4 evaluate 6 prevalence 4 evaluate 7 and 5 the 6 prevalence 7 and 8 risk 7 and 14 in 7 and 19 in 8 risk 9 factors 9 factors 10 of 10 of 12 and 11 gout 12 and 12 and 13 hyperuricemia 14 in 18 cohort 15 an 18 cohort 16 elderly 17 community 17 community 18 cohort 19 in 20 beijing method : a total of 10 039 individuals aged 50 years or older participated in the study , based on the beijing longitudinal study on aging ii ( blsa ii ) cohort in 2009 . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 4 total 2 : 18 , 2 : 35 . 3 a 4 total 4 total 5 of 4 total 8 individuals 4 total 9 aged 4 total 18 , 5 of 6 10 7 039 8 individuals 8 individuals 9 aged 9 aged 12 or 10 50 11 years 11 years 12 or 12 or 13 older 14 participated 15 in 14 participated 18 , 15 in 17 study 16 the 17 study 18 , 19 based 19 based 20 on 19 based 32 cohort 20 on 24 study 21 the 24 study 22 beijing 23 longitudinal 23 longitudinal 24 study 24 study 25 on 24 study 29 blsa 25 on 26 aging 26 aging 27 ii 28 ( 29 blsa 29 blsa 30 ii 29 blsa 31 ) 32 cohort 33 in 33 in 34 2009 all participants were asked for a gout assessment questionnaire under the guidelines of the american college of rheumatology . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 4 asked 0 ###LEFT-WALL### 19 . 1 all 2 participants 2 participants 3 were 3 were 4 asked 4 asked 5 for 4 asked 10 under 5 for 9 questionnaire 6 a 9 questionnaire 7 gout 8 assessment 8 assessment 9 questionnaire 10 under 12 guidelines 11 the 12 guidelines 12 guidelines 13 of 13 of 16 college 14 the 15 american 15 american 16 college 16 college 17 of 17 of 18 rheumatology the prevalence of gout and hyperuricemia were evaluated . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 8 evaluated 0 ###LEFT-WALL### 9 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 7 were 3 of 5 and 4 gout 5 and 5 and 6 hyperuricemia 7 were 8 evaluated the potential risk factors for gout and hyperuricemia were analyzed by logistic regression . 0 ###LEFT-WALL### 4 factors 0 ###LEFT-WALL### 10 analyzed 0 ###LEFT-WALL### 14 . 1 the 4 factors 2 potential 4 factors 3 risk 4 factors 4 factors 5 for 4 factors 9 were 5 for 7 and 6 gout 7 and 7 and 8 hyperuricemia 9 were 10 analyzed 10 analyzed 11 by 11 by 13 regression 12 logistic 13 regression results : in our blsa ii cohort , the prevalence of gout and hyperuricemia were 2.8 [%] and 18.1 % , respectively . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 1 results 2 : 2 : 3 in 2 : 22 respectively 3 in 7 cohort 4 our 7 cohort 5 blsa 6 ii 5 blsa 7 cohort 7 cohort 10 prevalence 8 , 10 prevalence 9 the 10 prevalence 10 prevalence 11 of 10 prevalence 21 , 11 of 20 % 12 gout 13 and 13 and 14 hyperuricemia 13 and 15 were 15 were 18 and 16 2.8 18 and 18 and 19 18.1 19 18.1 20 % the prevalence of gout in the han population was significantly lower than that in hui population ( 2.6 % vs [.] 5.8 % ) . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 25 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 9 was 3 of 4 gout 4 gout 5 in 5 in 8 population 6 the 8 population 7 han 8 population 9 was 11 lower 10 significantly 11 lower 11 lower 12 than 11 lower 14 in 12 than 13 that 14 in 16 population 15 hui 16 population 16 population 19 % 17 ( 19 % 18 2.6 19 % 19 % 20 vs 19 % 24 ) 20 vs 23 % 22 5.8 23 % the traditional risk factors [(] age and body mass index [ bmi []] and metabolic syndrome [[] [ms] ] ) were significantly associated with the risk of gout and hyperuricemia ( age [:] or 1.2 , 95%ci 1.1 - 1.5 for gout [;] or 1.3 , 95%ci 1.1 - 1.4 for hyperuricemia , respectively [;] bmi [:] or 1.6 , 95%ci 1.3 - 2.0 [;] or 1.5 , 95%ci 1.3 - 1.8 [;] m [s] [:] or 2.6 , 95%ci 2.0 - 3.3 [;] or 2.0 , 95%ci 1.7 - 2.2 ) . 0 ###LEFT-WALL### 3 risk 0 ###LEFT-WALL### 4 factors 0 ###LEFT-WALL### 7 and 1 the 3 risk 2 traditional 3 risk 3 risk 4 factors 4 factors 6 age 7 and 10 index 8 body 9 mass 9 mass 10 index 10 index 14 and 10 index 21 were 11 [ 14 and 12 bmi 14 and 14 and 16 syndrome 14 and 19 ] 14 and 20 ) 15 metabolic 16 syndrome 21 were 23 associated 22 significantly 23 associated 23 associated 24 with 24 with 26 risk 25 the 26 risk 26 risk 27 of 26 risk 37 95%ci 27 of 29 and 28 gout 29 and 29 and 30 hyperuricemia 29 and 34 or 31 ( 34 or 32 age 34 or 34 or 35 1.2 34 or 36 , 37 95%ci 39 - 37 95%ci 41 for 37 95%ci 49 - 38 1.1 39 - 39 - 40 1.5 41 for 44 or 42 gout 44 or 44 or 45 1.3 46 , 49 - 47 95%ci 48 1.1 47 95%ci 49 - 49 - 50 1.4 50 1.4 51 for 51 for 61 95%ci 52 hyperuricemia 58 or 52 hyperuricemia 61 95%ci 53 , 54 respectively 53 , 58 or 56 bmi 58 or 58 or 59 1.6 58 or 60 , 61 95%ci 62 1.3 61 95%ci 66 or 61 95%ci 71 - 63 - 66 or 64 2.0 66 or 66 or 67 1.5 66 or 68 , 68 , 71 - 69 95%ci 70 1.3 69 95%ci 71 - 71 - 77 or 72 1.8 74 m 74 m 77 or 77 or 78 2.6 77 or 85 or 79 , 85 or 80 95%ci 85 or 81 2.0 82 - 82 - 83 3.3 82 - 85 or 85 or 86 2.0 85 or 88 95%ci 85 or 93 . 87 , 88 95%ci 88 95%ci 89 1.7 88 95%ci 91 2.2 88 95%ci 92 ) 90 - 91 2.2 91 2.2 92 ) family history was strongly associated with an increased risk of gout ( or 6.5 , 95%ci 3.9 - 10.8 ) . 0 ###LEFT-WALL### 2 history 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 21 . 1 family 2 history 2 history 3 was 3 was 4 strongly 3 was 5 associated 5 associated 6 with 6 with 9 risk 7 an 9 risk 8 increased 9 risk 9 risk 10 of 9 risk 18 - 10 of 11 gout 11 gout 13 or 12 ( 13 or 13 or 14 6.5 13 or 15 , 15 , 18 - 16 95%ci 17 3.9 16 95%ci 18 - 18 - 19 10.8 18 - 20 ) conclusion : our study showed that the prevalence of both gout and hyperuricemia in beijing remains substantial . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 4 study 2 : 5 showed 3 our 4 study 4 study 5 showed 5 showed 6 that 6 that 8 prevalence 6 that 16 remains 7 the 8 prevalence 8 prevalence 9 of 8 prevalence 16 remains 9 of 12 and 10 both 12 and 11 gout 12 and 12 and 13 hyperuricemia 12 and 14 in 14 in 15 beijing 16 remains 17 substantial the prevalence in the hui population was higher than other ethnic groups . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 13 . 1 the 2 prevalence 2 prevalence 3 in 2 prevalence 7 was 3 in 6 population 4 the 6 population 5 hui 6 population 7 was 8 higher 8 higher 9 than 9 than 12 groups 10 other 12 groups 11 ethnic 12 groups the traditional risk factors were strong risk factors for gout and hyperuricemia in china . 0 ###LEFT-WALL### 4 factors 0 ###LEFT-WALL### 7 risk 0 ###LEFT-WALL### 15 . 1 the 4 factors 2 traditional 4 factors 3 risk 4 factors 4 factors 5 were 5 were 7 risk 6 strong 7 risk 7 risk 8 factors 7 risk 13 in 8 factors 9 for 9 for 11 and 10 gout 11 and 11 and 12 hyperuricemia 13 in 14 china platelets play a central role in inflammation through their direct interaction with other cell types , such as leucocytes and endothelial cells , and by the release of many factors , that is , lipids [ such as thromboxane ( tx )a2 ] and proteins ( a wide number of angiogenic and growth factors ) stored in α - granules , and adenosine diphosphate ( adp ) , stored in dense granules . 0 ###LEFT-WALL### 1 platelets 0 ###LEFT-WALL### 2 play 0 ###LEFT-WALL### 44 and 0 ###LEFT-WALL### 73 . 1 platelets 2 play 2 play 5 role 3 a 5 role 4 central 5 role 5 role 6 in 6 in 7 inflammation 7 inflammation 8 through 8 through 11 interaction 9 their 11 interaction 10 direct 11 interaction 11 interaction 24 and 12 with 15 types 12 with 24 and 13 other 15 types 14 cell 15 types 15 types 18 as 16 , 18 as 17 such 18 as 18 as 20 and 18 as 23 , 19 leucocytes 20 and 20 and 22 cells 21 endothelial 22 cells 24 and 25 by 25 by 27 release 26 the 27 release 27 release 28 of 28 of 30 factors 29 many 30 factors 30 factors 33 is 31 , 33 is 32 that 33 is 33 is 34 , 33 is 35 lipids 33 is 43 ] 35 lipids 38 as 36 [ 38 as 37 such 38 as 38 as 39 thromboxane 38 as 43 ] 39 thromboxane 42 )a2 40 ( 42 )a2 41 tx 42 )a2 42 )a2 43 ] 44 and 45 proteins 44 and 68 , 45 proteins 54 factors 45 proteins 68 , 46 ( 54 factors 47 a 49 number 48 wide 49 number 49 number 50 of 49 number 54 factors 50 of 54 factors 51 angiogenic 52 and 52 and 53 growth 52 and 54 factors 54 factors 55 ) 56 stored 57 in 56 stored 64 diphosphate 56 stored 68 , 57 in 62 and 58 α 59 - 58 α 60 granules 60 granules 62 and 61 , 62 and 62 and 63 adenosine 64 diphosphate 66 adp 65 ( 66 adp 66 adp 67 ) 68 , 69 stored 68 , 70 in 70 in 72 granules 71 dense 72 granules these platelet actions trigger autocrine and paracrine activation processes that lead [to] leucocyte recruitment into different tissues and phenotypic changes in stromal cells which contribute to the development of different disease states , such as atherosclerosis and atherothrombosis , intestinal inflammation and cancer . 0 ###LEFT-WALL### 3 actions 0 ###LEFT-WALL### 4 trigger 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 44 . 1 these 3 actions 2 platelet 3 actions 3 actions 4 trigger 4 trigger 5 autocrine 6 and 8 activation 6 and 9 processes 7 paracrine 8 activation 8 activation 9 processes 9 processes 42 and 10 that 14 recruitment 11 lead 14 recruitment 13 leucocyte 14 recruitment 14 recruitment 15 into 14 recruitment 18 and 15 into 17 tissues 16 different 17 tissues 18 and 20 changes 18 and 21 in 18 and 24 which 18 and 25 contribute 18 and 42 and 19 phenotypic 20 changes 21 in 23 cells 22 stromal 23 cells 24 which 25 contribute 25 contribute 26 to 25 contribute 35 as 25 contribute 41 inflammation 26 to 28 development 27 the 28 development 28 development 29 of 29 of 32 states 30 different 32 states 31 disease 32 states 33 , 35 as 34 such 35 as 35 as 37 and 35 as 39 , 36 atherosclerosis 37 and 37 and 38 atherothrombosis 40 intestinal 41 inflammation 42 and 43 cancer the signals induced by platelets may [cause] [pro] - inflammatory and malignant phenotypes in other cells through the persistent induction of aberrant expression of cyclooxygenase ( cox ) - 2 and increased generation of prostanoids , mainly prostaglandin ( pg )e2 . 0 ###LEFT-WALL### 2 signals 0 ###LEFT-WALL### 6 may 0 ###LEFT-WALL### 9 - 1 the 2 signals 2 signals 3 induced 2 signals 6 may 3 induced 4 by 4 by 5 platelets 9 - 11 and 9 - 31 and 10 inflammatory 11 and 11 and 12 malignant 11 and 31 and 13 phenotypes 14 in 13 phenotypes 17 through 13 phenotypes 30 2 13 phenotypes 31 and 14 in 16 cells 15 other 16 cells 17 through 20 induction 18 the 20 induction 19 persistent 20 induction 20 induction 21 of 21 of 23 expression 22 aberrant 23 expression 23 expression 24 of 24 of 25 cyclooxygenase 25 cyclooxygenase 27 cox 26 ( 27 cox 27 cox 28 ) 29 - 30 2 31 and 32 increased 32 increased 33 generation 33 generation 34 of 34 of 35 prostanoids 35 prostanoids 38 prostaglandin 36 , 37 mainly 36 , 38 prostaglandin 38 prostaglandin 41 )e2 38 prostaglandin 42 . 39 ( 41 )e2 40 pg 41 )e2 41 )e2 42 . in addition to cardiovascular disease , enhanced platelet activation has been detected in inflammatory disease and intestinal tumourigenesis . 0 ###LEFT-WALL### 9 activation 0 ###LEFT-WALL### 12 detected 0 ###LEFT-WALL### 19 . 1 in 2 addition 1 in 6 , 1 in 9 activation 2 addition 3 to 3 to 5 disease 4 cardiovascular 5 disease 7 enhanced 9 activation 8 platelet 9 activation 9 activation 10 has 10 has 11 been 11 been 12 detected 12 detected 13 in 13 in 16 and 14 inflammatory 15 disease 15 disease 16 and 16 and 18 tumourigenesis 17 intestinal 18 tumourigenesis moreover , the results of clinical studies have shown that the antiplatelet drug aspirin reduces the incidence of vascular events and colorectal cancer . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 9 shown 0 ###LEFT-WALL### 24 . 1 moreover 2 , 1 moreover 4 results 3 the 4 results 4 results 5 of 4 results 8 have 5 of 7 studies 6 clinical 7 studies 8 have 9 shown 9 shown 10 that 10 that 14 aspirin 10 that 15 reduces 11 the 14 aspirin 12 antiplatelet 14 aspirin 13 drug 14 aspirin 14 aspirin 15 reduces 15 reduces 17 incidence 16 the 17 incidence 17 incidence 18 of 18 of 21 and 19 vascular 20 events 20 events 21 and 21 and 23 cancer 22 colorectal 23 cancer all these pieces of evidence support the notion that colorectal cancer and atherothrombosis may share a common mechanism of disease , that is , platelet activation in response to epithelial ( in tumourigenesis ) and endothelial ( in tumourigenesis and atherothrombosis ) injury . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 6 support 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 25 platelet 0 ###LEFT-WALL### 44 . 1 all 2 these 1 all 3 pieces 1 all 6 support 2 these 3 pieces 3 pieces 4 of 4 of 5 evidence 6 support 8 notion 7 the 8 notion 8 notion 9 that 9 that 12 and 9 that 15 share 10 colorectal 11 cancer 11 cancer 12 and 12 and 13 atherothrombosis 12 and 14 may 14 may 15 share 15 share 18 mechanism 15 share 23 is 16 a 17 common 16 a 18 mechanism 17 common 18 mechanism 18 mechanism 19 of 19 of 20 disease 21 , 23 is 22 that 23 is 23 is 24 , 24 , 25 platelet 25 platelet 26 activation 25 platelet 28 response 25 platelet 29 to 27 in 28 response 29 to 43 injury 30 epithelial 32 in 30 epithelial 35 and 31 ( 32 in 32 in 33 tumourigenesis 32 in 34 ) 35 and 36 endothelial 35 and 43 injury 36 endothelial 38 in 37 ( 38 in 38 in 40 and 38 in 42 ) 39 tumourigenesis 40 and 40 and 41 atherothrombosis extensive translational medicine research is necessary to obtain a definitive mechanistic demonstration of the platelet - mediated hypothesis of colon tumourigenesis . 0 ###LEFT-WALL### 4 research 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 22 . 1 extensive 3 medicine 2 translational 3 medicine 3 medicine 4 research 4 research 5 is 5 is 6 necessary 6 necessary 7 to 6 necessary 8 obtain 7 to 8 obtain 8 obtain 12 demonstration 9 a 10 definitive 9 a 12 demonstration 10 definitive 12 demonstration 11 mechanistic 12 demonstration 12 demonstration 13 of 13 of 18 hypothesis 14 the 18 hypothesis 15 platelet 16 - 15 platelet 18 hypothesis 17 mediated 18 hypothesis 18 hypothesis 19 of 19 of 21 tumourigenesis 20 colon 21 tumourigenesis the results of these studies will be fundamental to support the clinical decision to recommend the use of low - dose aspirin , and possibly other antiplatelet agents , in primary prevention , that is , even for individuals at low cardiovascular risk . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 10 support 0 ###LEFT-WALL### 44 . 1 the 2 results 2 results 3 of 2 results 6 will 3 of 5 studies 4 these 5 studies 6 will 7 be 7 be 8 fundamental 8 fundamental 9 to 8 fundamental 10 support 9 to 10 support 10 support 13 decision 10 support 40 at 11 the 13 decision 12 clinical 13 decision 13 decision 14 to 13 decision 15 recommend 14 to 15 recommend 15 recommend 24 and 15 recommend 30 in 15 recommend 35 is 15 recommend 37 even 16 the 17 use 17 use 18 of 17 use 24 and 18 of 22 aspirin 19 low 20 - 19 low 21 dose 21 dose 22 aspirin 23 , 24 and 24 and 25 possibly 24 and 28 agents 24 and 29 , 26 other 28 agents 27 antiplatelet 28 agents 30 in 32 prevention 31 primary 32 prevention 33 , 35 is 34 that 35 is 35 is 36 , 37 even 38 for 38 for 39 individuals 40 at 43 risk 41 low 43 risk 42 cardiovascular 43 risk objective : an individual 's ability to effectively manage their cancer pain is influenced by knowledge and perceptions regarding the pain experience . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 6 ability 2 : 14 influenced 3 an 4 individual 4 individual 5 's 5 's 6 ability 6 ability 7 to 6 ability 9 manage 6 ability 13 is 7 to 9 manage 8 effectively 9 manage 9 manage 12 pain 10 their 12 pain 11 cancer 12 pain 13 is 14 influenced 14 influenced 15 by 15 by 17 and 16 knowledge 17 and 17 and 18 perceptions 17 and 19 regarding 19 regarding 22 experience 20 the 22 experience 21 pain 22 experience while significance of the physician 's knowledge of cancer pain management has been reported , much less is known how a patient 's knowledge may influence their ability to optimally manage their pain . 0 ###LEFT-WALL### 7 knowledge 0 ###LEFT-WALL### 14 reported 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 31 manage 0 ###LEFT-WALL### 34 . 1 while 2 significance 1 while 7 knowledge 2 significance 3 of 3 of 6 's 4 the 5 physician 5 physician 6 's 7 knowledge 8 of 7 knowledge 12 has 8 of 11 management 9 cancer 10 pain 10 pain 11 management 12 has 13 been 13 been 14 reported 15 , 17 less 15 , 26 influence 16 much 17 less 17 less 18 is 18 is 19 known 20 how 22 patient 20 how 23 's 20 how 25 may 21 a 22 patient 22 patient 23 's 23 's 24 knowledge 25 may 26 influence 26 influence 28 ability 26 influence 29 to 27 their 28 ability 29 to 31 manage 30 optimally 31 manage 31 manage 33 pain 32 their 33 pain the purpose of this study is to determine the influence health and social factors have on the knowledge and experience of cancer pain among older adults . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 23 pain 0 ###LEFT-WALL### 27 . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 is 3 of 5 study 4 this 5 study 6 is 7 to 6 is 8 determine 7 to 8 determine 8 determine 10 influence 9 the 10 influence 10 influence 12 and 10 influence 23 pain 11 health 12 and 12 and 13 social 12 and 14 factors 12 and 15 have 12 and 23 pain 14 factors 15 have 15 have 16 on 16 on 19 and 17 the 18 knowledge 18 knowledge 19 and 19 and 20 experience 19 and 21 of 21 of 22 cancer 23 pain 24 among 24 among 26 adults 25 older 26 adults design : a prospective cross - sectional study of older black and white patients presenting for outpatient cancer treatment . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 1 design 2 : 2 : 5 cross 3 a 4 prospective 3 a 5 cross 4 prospective 5 cross 5 cross 8 study 6 - 8 study 7 sectional 8 study 8 study 9 of 8 study 20 . 9 of 14 patients 10 older 14 patients 11 black 12 and 12 and 13 white 13 white 14 patients 14 patients 15 presenting 15 presenting 16 for 15 presenting 19 treatment 16 for 18 cancer 17 outpatient 18 cancer methods : participants were surveyed on questions assessing pain severity , knowledge and experience of pain , self - efficacy for pain treatment , satisfaction with pain treatment , and additional social , health , and demographic characteristics . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 participants 2 : 5 surveyed 2 : 11 , 2 : 17 , 3 participants 4 were 4 were 5 surveyed 5 surveyed 6 on 6 on 7 questions 7 questions 8 assessing 8 assessing 10 severity 9 pain 10 severity 11 , 13 and 12 knowledge 13 and 13 and 14 experience 13 and 15 of 15 of 16 pain 17 , 18 self 17 , 19 - 19 - 36 and 19 - 39 . 20 efficacy 21 for 20 efficacy 30 and 21 for 23 treatment 22 pain 23 treatment 23 treatment 25 satisfaction 24 , 25 satisfaction 25 satisfaction 26 with 25 satisfaction 29 , 26 with 28 treatment 27 pain 28 treatment 29 , 30 and 30 and 32 social 30 and 34 health 30 and 36 and 31 additional 32 social 33 , 34 health 34 health 35 , 35 , 36 and 36 and 38 characteristics 37 demographic 38 characteristics a series of hierarchical regression models were specified to examine predictors of cancer pain knowledge and experience . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 18 . 1 a 2 series 2 series 3 of 2 series 16 and 3 of 5 regression 4 hierarchical 5 regression 5 regression 6 models 5 regression 10 examine 6 models 7 were 7 were 8 specified 8 specified 9 to 9 to 10 examine 10 examine 11 predictors 10 examine 14 pain 11 predictors 12 of 11 predictors 14 pain 12 of 13 cancer 14 pain 15 knowledge 16 and 17 experience results : education , race , and trust were significant predictors of pain knowledge , whereas self [-] efficacy for pain , pain interference , and pain severity were indicators of the experience of cancer pain . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 29 were 0 ###LEFT-WALL### 37 . 1 results 2 : 2 : 3 education 4 , 7 and 4 , 9 were 5 race 7 and 6 , 7 and 7 and 8 trust 7 and 9 were 9 were 11 predictors 9 were 16 whereas 10 significant 11 predictors 11 predictors 12 of 12 of 14 knowledge 13 pain 14 knowledge 15 , 16 whereas 16 whereas 26 and 17 self 19 efficacy 19 efficacy 20 for 19 efficacy 26 and 20 for 21 pain 21 pain 24 interference 22 , 24 interference 23 pain 24 interference 24 interference 25 , 26 and 28 severity 26 and 29 were 27 pain 28 severity 29 were 30 indicators 30 indicators 31 of 31 of 33 experience 32 the 33 experience 33 experience 34 of 34 of 36 pain 35 cancer 36 pain conclusions : knowledge and experience [of] ( cancer ) pain are contingent upon a myriad of social and clinical factors that are not exclusive but rather coexisting determinants of health . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 10 pain 2 : 11 are 2 : 31 . 3 knowledge 4 and 4 and 5 experience 4 and 8 cancer 4 and 10 pain 7 ( 8 cancer 8 cancer 9 ) 10 pain 11 are 11 are 28 determinants 12 contingent 13 upon 12 contingent 25 but 13 upon 15 myriad 14 a 15 myriad 15 myriad 16 of 16 of 20 factors 17 social 18 and 18 and 19 clinical 18 and 20 factors 20 factors 21 that 20 factors 22 are 21 that 22 are 22 are 23 not 22 are 24 exclusive 23 not 24 exclusive 25 but 26 rather 25 but 27 coexisting 25 but 28 determinants 28 determinants 29 of 29 of 30 health understanding older adults ' knowledge of pain may begin to diminish the imparities in the diagnosis and treatment of pain among this growing diverse population of older adults . 0 ###LEFT-WALL### 5 knowledge 0 ###LEFT-WALL### 11 diminish 0 ###LEFT-WALL### 29 . 1 understanding 3 adults 2 older 3 adults 3 adults 4 ' 4 ' 5 knowledge 5 knowledge 6 of 5 knowledge 8 may 6 of 7 pain 8 may 9 begin 9 begin 10 to 10 to 11 diminish 11 diminish 13 imparities 11 diminish 21 among 12 the 13 imparities 13 imparities 14 in 13 imparities 19 of 14 in 17 and 15 the 16 diagnosis 16 diagnosis 17 and 17 and 18 treatment 19 of 20 pain 21 among 25 population 22 this 25 population 23 growing 25 population 24 diverse 25 population 25 population 26 of 26 of 28 adults 27 older 28 adults it may similarly allow for programs to be tailored to fit the specific needs of the patient in the treatment and management of their cancer pain . 0 ###LEFT-WALL### 8 be 0 ###LEFT-WALL### 27 . 1 it 2 may 2 may 5 for 3 similarly 5 for 4 allow 5 for 5 for 6 programs 5 for 7 to 7 to 8 be 8 be 9 tailored 9 tailored 10 to 10 to 11 fit 11 fit 14 needs 11 fit 18 in 12 the 14 needs 13 specific 14 needs 14 needs 15 of 15 of 17 patient 16 the 17 patient 18 in 21 and 19 the 20 treatment 20 treatment 21 and 21 and 22 management 21 and 23 of 23 of 26 pain 24 their 26 pain 25 cancer 26 pain aim : to explore the usefulness of carotid ultrasound examination as a marker of aging and predictor of disability among older people . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 explore 2 : 23 . 3 to 4 explore 4 explore 6 usefulness 4 explore 11 as 5 the 6 usefulness 6 usefulness 7 of 7 of 10 examination 8 carotid 10 examination 9 ultrasound 10 examination 11 as 16 and 12 a 13 marker 13 marker 14 of 13 marker 16 and 14 of 15 aging 16 and 17 predictor 16 and 18 of 18 of 19 disability 19 disability 20 among 20 among 22 people 21 older 22 people methods : carotid ultrasound , measuring carotid intima media thickness ( cimt ) and recording the presence of plaques [,] was carried out in 152 adults aged 29 - 59 years ( 47 women ) and in 107 older adults aged 61 - 88 years ( 86 women ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 14 and 1 methods 2 : 2 : 4 ultrasound 2 : 6 measuring 3 carotid 4 ultrasound 5 , 6 measuring 6 measuring 10 thickness 6 measuring 13 ) 7 carotid 9 media 8 intima 9 media 9 media 10 thickness 10 thickness 12 cimt 11 ( 12 cimt 12 cimt 13 ) 14 and 15 recording 14 and 22 carried 15 recording 17 presence 15 recording 21 was 16 the 17 presence 17 presence 18 of 18 of 19 plaques 21 was 22 carried 22 carried 23 out 23 out 36 and 24 in 31 years 24 in 36 and 25 152 31 years 26 adults 31 years 27 aged 31 years 28 29 29 - 29 - 30 59 29 - 31 years 31 years 34 women 32 ( 34 women 33 47 34 women 34 women 35 ) 36 and 37 in 37 in 40 adults 38 107 40 adults 39 older 40 adults 40 adults 41 aged 40 adults 45 years 41 aged 42 61 43 - 45 years 44 88 45 years 45 years 48 women 45 years 50 . 46 ( 48 women 47 86 48 women 48 women 49 ) in all , clinical routine laboratory parameters and lymphocyte telomere length as t/s [ratio] were measured . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 15 were 0 ###LEFT-WALL### 17 . 1 in 8 and 1 in 15 were 2 all 3 , 3 , 7 parameters 3 , 8 and 4 clinical 5 routine 5 routine 7 parameters 6 laboratory 7 parameters 8 and 9 lymphocyte 10 telomere 11 length 11 length 12 as 11 length 15 were 12 as 13 t/s 15 were 16 measured [among] older adults , 12 - min walk , timed [up] and go , hand grip and quadriceps strength were determined . 0 ###LEFT-WALL### 3 adults 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 22 . 2 older 3 adults 4 , 5 12 4 , 6 - 4 , 9 , 5 12 6 - 6 - 8 walk 7 min 8 walk 9 , 12 and 9 , 14 , 10 timed 12 and 12 and 13 go 14 , 16 grip 14 , 17 and 15 hand 16 grip 17 and 19 strength 17 and 20 were 18 quadriceps 19 strength 19 strength 20 were 20 were 21 determined results : cimt was significantly higher among older people and t/s ratio [was] significantly higher in young women . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 2 : 3 cimt 2 : 4 was 3 cimt 4 was 4 was 5 significantly 4 was 6 higher 6 higher 7 among 7 among 10 and 8 older 9 people 9 people 10 and 10 and 12 ratio 10 and 15 higher 11 t/s 12 ratio 14 significantly 15 higher 15 higher 16 in 16 in 18 women 17 young 18 women carotid plaques were found in one adult and 17 older people . 0 ###LEFT-WALL### 2 plaques 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 12 . 1 carotid 2 plaques 2 plaques 3 were 3 were 4 found 4 found 5 in 5 in 8 and 6 one 7 adult 7 adult 8 and 8 and 11 people 9 17 11 people 10 older 11 people a multiple regression analysis accepted age , systolic blood pressure and t/s ratios as independent predictors of cimt [(] r ( 2 [ )(= 0.51 ) . 0 ###LEFT-WALL### 6 age 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 27 . 1 a 2 multiple 1 a 6 age 2 multiple 6 age 3 regression 4 analysis 4 analysis 5 accepted 5 accepted 6 age 7 , 11 and 8 systolic 9 blood 9 blood 10 pressure 10 pressure 11 and 11 and 13 ratios 11 and 14 as 11 and 17 of 12 t/s 13 ratios 14 as 16 predictors 15 independent 16 predictors 17 of 18 cimt 18 cimt 24 )(= 20 r 24 )(= 21 ( 24 )(= 22 2 24 )(= 24 )(= 25 0.51 24 )(= 26 ) among older people , a logistic regression accepted age and the presence of carotid plaques as significant predictors of a 12 [-] min walk speed below 1 m / [s] . 0 ###LEFT-WALL### 15 plaques 0 ###LEFT-WALL### 25 speed 0 ###LEFT-WALL### 31 . 1 among 10 and 1 among 15 plaques 2 older 3 people 3 people 4 , 4 , 9 age 4 , 10 and 5 a 9 age 6 logistic 7 regression 7 regression 8 accepted 8 accepted 9 age 10 and 12 presence 11 the 12 presence 12 presence 13 of 13 of 14 carotid 15 plaques 16 as 15 plaques 19 of 15 plaques 25 speed 16 as 18 predictors 17 significant 18 predictors 19 of 24 walk 20 a 24 walk 21 12 23 min 23 min 24 walk 25 speed 26 below 26 below 29 / 27 1 28 m 28 m 29 / conclusions : an abnormal [12] - min walk as an indicator of functional decline [among] older people is associated with the presence of carotid artery plaques . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 8 walk 2 : 19 associated 3 an 4 abnormal 3 an 8 walk 4 abnormal 6 - 4 abnormal 8 walk 7 min 8 walk 8 walk 9 as 8 walk 12 of 8 walk 18 is 9 as 11 indicator 10 an 11 indicator 12 of 17 people 13 functional 14 decline 14 decline 17 people 16 older 17 people 18 is 19 associated 19 associated 20 with 20 with 22 presence 21 the 22 presence 22 presence 23 of 23 of 26 plaques 24 carotid 26 plaques 25 artery 26 plaques cimt is independently associated with age . 0 ###LEFT-WALL### 1 cimt 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 7 . 1 cimt 2 is 2 is 4 associated 3 independently 4 associated 4 associated 5 with 5 with 6 age introduction : aging skeletal muscle is associated with not only a reduction in muscle size and strength but also in muscle quality [which] reflects an increase in fatty infiltration of muscle . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 not 0 ###LEFT-WALL### 32 . 1 introduction 2 : 2 : 3 aging 3 aging 5 muscle 3 aging 8 with 4 skeletal 5 muscle 5 muscle 6 is 6 is 7 associated 7 associated 8 with 9 not 10 only 9 not 24 reflects 10 only 12 reduction 11 a 12 reduction 12 reduction 18 but 12 reduction 24 reflects 13 in 16 and 13 in 18 but 14 muscle 15 size 15 size 16 and 16 and 17 strength 18 but 19 also 18 but 20 in 20 in 22 quality 21 muscle 22 quality 24 reflects 26 increase 24 reflects 27 in 25 an 26 increase 27 in 29 infiltration 28 fatty 29 infiltration 29 infiltration 30 of 30 of 31 muscle in men with prostate cancer , androgen deprivation therapy [(] [adt] ) accelerates this loss of muscle size and strength , but [it] is unknown if muscle quality is also adversely affected . 0 ###LEFT-WALL### 22 but 0 ###LEFT-WALL### 33 . 1 in 2 men 1 in 12 ) 1 in 22 but 2 men 3 with 3 with 5 cancer 4 prostate 5 cancer 5 cancer 9 therapy 6 , 9 therapy 7 androgen 8 deprivation 8 deprivation 9 therapy 9 therapy 12 ) 13 accelerates 15 loss 13 accelerates 22 but 14 this 15 loss 15 loss 16 of 16 of 19 and 17 muscle 18 size 18 size 19 and 19 and 20 strength 19 and 21 , 22 but 24 is 24 is 25 unknown 25 unknown 26 if 26 if 28 quality 26 if 32 affected 27 muscle 28 quality 28 quality 29 is 29 is 32 affected 30 also 32 affected 31 adversely 32 affected therefore , we examined the effects of [adt] on muscle attenuation , an indirect measure of intramuscular lipid content , as well as the muscle cross - sectional area ( csa ) in men with prostate cancer . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 examined 0 ###LEFT-WALL### 38 . 1 therefore 2 , 1 therefore 3 we 3 we 4 examined 4 examined 6 effects 4 examined 33 in 5 the 6 effects 6 effects 7 of 6 effects 19 content 7 of 9 on 9 on 11 attenuation 10 muscle 11 attenuation 12 , 19 content 13 an 14 indirect 13 an 15 measure 14 indirect 15 measure 15 measure 16 of 15 measure 19 content 16 of 19 content 17 intramuscular 18 lipid 18 lipid 19 content 19 content 23 as 19 content 32 ) 20 , 23 as 21 as 22 well 22 well 23 as 23 as 26 cross 23 as 32 ) 24 the 26 cross 25 muscle 26 cross 26 cross 29 area 27 - 29 area 28 sectional 29 area 29 area 31 csa 29 area 32 ) 30 ( 31 csa 31 csa 32 ) 33 in 34 men 34 men 35 with 35 with 37 cancer 36 prostate 37 cancer methods : pre - and post - ct scans of the pelvis in 39 men aged 49 - 78 years receiving leuprorelin were examined . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 - 1 methods 2 : 2 : 5 and 3 pre 5 and 4 - 5 and 5 and 6 post 5 and 7 - 5 and 8 ct 5 and 9 scans 5 and 10 of 8 ct 9 scans 10 of 12 pelvis 11 the 12 pelvis 12 pelvis 13 in 13 in 15 men 14 39 15 men 15 men 16 aged 16 aged 17 49 18 - 20 years 18 - 24 examined 18 - 25 . 19 78 20 years 20 years 21 receiving 20 years 23 were 21 receiving 22 leuprorelin 23 were 24 examined the time between baseline and [follow] [-] up scans [was] 14.6 - 20 weeks after the commencement [of] [adt] . 0 ###LEFT-WALL### 2 time 0 ###LEFT-WALL### 9 scans 0 ###LEFT-WALL### 20 . 1 the 2 time 2 time 3 between 2 time 9 scans 3 between 5 and 4 baseline 5 and 5 and 8 up 9 scans 15 after 11 14.6 12 - 12 - 13 20 12 - 14 weeks 14 weeks 15 after 15 after 17 commencement 16 the 17 commencement changes in skeletal muscle attenuation in hounsfield units of the rectus femoris and the csa of the rectus femoris , sartorius and quadricep muscles were assessed . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 25 were 0 ###LEFT-WALL### 27 . 1 changes 2 in 1 changes 20 , 2 in 13 and 3 skeletal 4 muscle 4 muscle 5 attenuation 5 attenuation 6 in 5 attenuation 13 and 6 in 8 units 7 hounsfield 8 units 8 units 9 of 9 of 12 femoris 10 the 12 femoris 11 rectus 12 femoris 13 and 15 csa 13 and 16 of 14 the 15 csa 16 of 19 femoris 17 the 19 femoris 18 rectus 19 femoris 20 , 21 sartorius 20 , 22 and 22 and 24 muscles 22 and 25 were 23 quadricep 24 muscles 25 were 26 assessed results : muscle attenuation of the rectus femoris muscle was significantly reduced following the initiation of [adt] by 18.9 % ( p < 0.001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 1 results 2 : 2 : 4 attenuation 3 muscle 4 attenuation 4 attenuation 5 of 4 attenuation 12 reduced 4 attenuation 13 following 4 attenuation 16 of 5 of 8 femoris 6 the 8 femoris 7 rectus 8 femoris 8 femoris 9 muscle 8 femoris 10 was 9 muscle 10 was 10 was 11 significantly 13 following 15 initiation 14 the 15 initiation 16 of 18 by 18 by 20 % 19 18.9 20 % 20 % 23 < 21 ( 23 < 22 p 23 < 23 < 24 0.001 23 < 25 ) in addition , there was a significant decrease ( p < 0.001 ) in the csa for the sartorius , quadriceps and rectus femoris muscles . 0 ###LEFT-WALL### 4 there 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 26 . 1 in 2 addition 1 in 3 , 1 in 4 there 4 there 5 was 5 was 8 decrease 5 was 14 in 6 a 7 significant 6 a 8 decrease 7 significant 8 decrease 8 decrease 11 < 9 ( 11 < 10 p 11 < 11 < 12 0.001 11 < 13 ) 14 in 16 csa 15 the 16 csa 16 csa 17 for 17 for 22 and 18 the 19 sartorius 19 sartorius 20 , 20 , 21 quadriceps 20 , 22 and 22 and 25 muscles 23 rectus 25 muscles 24 femoris 25 muscles there was no effect of zometa on muscle attenuation or muscle csa . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 13 . 1 there 2 was 2 was 4 effect 3 no 4 effect 4 effect 5 of 5 of 6 zometa 6 zometa 7 on 7 on 10 or 8 muscle 9 attenuation 9 attenuation 10 or 10 or 12 csa 11 muscle 12 csa conclusions : our results indicate that not only muscle size but also muscle quality may be adversely affected by the undertaking of [adt] in men with prostate cancer . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 5 indicate 2 : 29 . 3 our 4 results 4 results 5 indicate 5 indicate 6 that 6 that 7 not 6 that 8 only 6 that 18 affected 8 only 10 size 9 muscle 10 size 10 size 11 but 10 size 15 may 11 but 12 also 11 but 14 quality 13 muscle 14 quality 15 may 16 be 16 be 18 affected 17 adversely 18 affected 18 affected 19 by 18 affected 26 with 19 by 21 undertaking 20 the 21 undertaking 21 undertaking 22 of 22 of 24 in 24 in 25 men 26 with 28 cancer 27 prostate 28 cancer consequently , interventions to counteract deteriorations to both muscle mass and possibly muscle quality should be considered in men receiving [adt] . 0 ###LEFT-WALL### 3 interventions 0 ###LEFT-WALL### 10 mass 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 22 . 1 consequently 2 , 1 consequently 3 interventions 3 interventions 4 to 3 interventions 9 muscle 3 interventions 10 mass 4 to 5 counteract 5 counteract 6 deteriorations 5 counteract 7 to 7 to 9 muscle 8 both 9 muscle 11 and 12 possibly 11 and 14 quality 11 and 17 considered 13 muscle 14 quality 14 quality 15 should 15 should 16 be 16 be 17 considered 17 considered 18 in 18 in 19 men 19 men 20 receiving aim : to explore general practitioners ( gps )knowledge of ageing , attitudes towards older people and factors affecting their knowledge and attitudes in a chinese context . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 3 to 2 : 4 explore 2 : 12 , 3 to 4 explore 4 explore 6 practitioners 5 general 6 practitioners 6 practitioners 9 )knowledge 7 ( 9 )knowledge 8 gps 9 )knowledge 9 )knowledge 10 of 9 )knowledge 12 , 10 of 11 ageing 12 , 22 and 13 attitudes 14 towards 13 attitudes 17 and 14 towards 16 people 15 older 16 people 17 and 18 factors 17 and 19 affecting 17 and 22 and 19 affecting 21 knowledge 20 their 21 knowledge 22 and 23 attitudes 22 and 24 in 24 in 27 context 25 a 26 chinese 25 a 27 context 26 chinese 27 context methods : four hundred gps [were] surveyed using the chinese version of the aging semantic differential ( casd ) and the chinese version of the facts on aging quiz ( cfaq1 ) scale . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 33 scale 3 four 4 hundred 4 hundred 5 gps 5 gps 7 surveyed 5 gps 8 using 5 gps 12 of 5 gps 20 and 8 using 11 version 9 the 11 version 10 chinese 11 version 12 of 16 differential 13 the 16 differential 14 aging 15 semantic 15 semantic 16 differential 16 differential 18 casd 17 ( 18 casd 18 casd 19 ) 20 and 23 version 20 and 24 of 20 and 33 scale 21 the 23 version 22 chinese 23 version 24 of 26 facts 25 the 26 facts 26 facts 27 on 27 on 29 quiz 28 aging 29 quiz 29 quiz 31 cfaq1 30 ( 31 cfaq1 31 cfaq1 32 ) results : the casd scores indicated that gps had a neutral attitude towards older people . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 scores 2 : 6 indicated 2 : 16 . 3 the 5 scores 4 casd 5 scores 5 scores 6 indicated 6 indicated 7 that 7 that 8 gps 7 that 9 had 8 gps 9 had 9 had 12 attitude 9 had 13 towards 10 a 11 neutral 10 a 12 attitude 11 neutral 12 attitude 13 towards 15 people 14 older 15 people the cfaq1 scores indicated a low level of knowledge about ageing . 0 ###LEFT-WALL### 3 scores 0 ###LEFT-WALL### 4 indicated 0 ###LEFT-WALL### 12 . 1 the 3 scores 2 cfaq1 3 scores 3 scores 4 indicated 4 indicated 7 level 4 indicated 10 about 5 a 6 low 5 a 7 level 6 low 7 level 7 level 8 of 8 of 9 knowledge 10 about 11 ageing gps ' awareness of the mental and social facts of ageing was poorer [compared] to that of physical facts . 0 ###LEFT-WALL### 3 awareness 0 ###LEFT-WALL### 12 was 0 ###LEFT-WALL### 20 . 1 gps 2 ' 2 ' 3 awareness 3 awareness 4 of 3 awareness 12 was 4 of 9 facts 5 the 9 facts 6 mental 7 and 7 and 8 social 7 and 9 facts 9 facts 10 of 10 of 11 ageing 12 was 13 poorer 13 poorer 15 to 15 to 16 that 16 that 17 of 17 of 19 facts 18 physical 19 facts male gps had a significantly higher negative bias score than female gps . 0 ###LEFT-WALL### 2 gps 0 ###LEFT-WALL### 3 had 0 ###LEFT-WALL### 13 . 1 male 2 gps 2 gps 3 had 3 had 8 bias 3 had 9 score 4 a 8 bias 5 significantly 6 higher 6 higher 8 bias 7 negative 8 bias 9 score 10 than 9 score 12 gps 10 than 11 female no other variables had a statistically significant influence on knowledge and attitudes . 0 ###LEFT-WALL### 3 variables 0 ###LEFT-WALL### 4 had 0 ###LEFT-WALL### 13 . 1 no 2 other 2 other 3 variables 3 variables 4 had 4 had 8 influence 4 had 9 on 5 a 6 statistically 5 a 8 influence 6 statistically 7 significant 7 significant 8 influence 9 on 11 and 10 knowledge 11 and 11 and 12 attitudes conclusions : the findings suggest the need for education interventions for gps regarding knowledge of ageing and also provide evidence to guide future development of continuing medical programs for this group of medical doctors . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 guide 0 ###LEFT-WALL### 35 . 2 : 4 findings 2 : 17 and 3 the 4 findings 4 findings 17 and 5 suggest 7 need 5 suggest 17 and 6 the 7 need 7 need 8 for 8 for 10 interventions 9 education 10 interventions 10 interventions 11 for 10 interventions 15 of 11 for 12 gps 12 gps 13 regarding 13 regarding 14 knowledge 15 of 16 ageing 17 and 19 provide 17 and 21 to 18 also 19 provide 19 provide 20 evidence 21 to 22 guide 22 guide 24 development 22 guide 29 for 23 future 24 development 24 development 25 of 25 of 26 continuing 26 continuing 28 programs 27 medical 28 programs 29 for 34 doctors 30 this 31 group 31 group 32 of 31 group 34 doctors 32 of 34 doctors 33 medical 34 doctors aim : baby boomers are depicted as a cohort who will redefine the ageing process and reject segregated homes for older people . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 18 segregated 0 ###LEFT-WALL### 23 . 1 aim 2 : 2 : 3 baby 3 baby 4 boomers 3 baby 18 segregated 4 boomers 5 are 5 are 6 depicted 6 depicted 7 as 7 as 9 cohort 7 as 18 segregated 8 a 9 cohort 9 cohort 10 who 9 cohort 11 will 9 cohort 18 segregated 10 who 11 will 11 will 16 and 12 redefine 15 process 12 redefine 16 and 13 the 15 process 14 ageing 15 process 16 and 17 reject 18 segregated 19 homes 19 homes 20 for 20 for 22 people 21 older 22 people this exploratory study sought to find [and] interview friendship groups in rural australia who are actively engaged in creating alternative living arrangements conceptualised around preparations for old age . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 sought 0 ###LEFT-WALL### 29 . 1 this 2 exploratory 2 exploratory 3 study 3 study 4 sought 4 sought 5 to 4 sought 10 groups 4 sought 18 in 4 sought 26 for 5 to 6 find 6 find 9 friendship 8 interview 9 friendship 10 groups 11 in 10 groups 14 who 10 groups 15 are 11 in 13 australia 12 rural 13 australia 14 who 15 are 15 are 17 engaged 16 actively 17 engaged 18 in 19 creating 19 creating 22 arrangements 19 creating 24 around 20 alternative 22 arrangements 21 living 22 arrangements 22 arrangements 23 conceptualised 24 around 25 preparations 26 for 28 age 27 old 28 age method : a purposive sampling frame and snowballing techniques were used to identify groups of interest , who were interviewed by phone using a semistructured survey . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 7 and 2 : 11 used 2 : 17 , 2 : 27 . 3 a 6 frame 4 purposive 6 frame 5 sampling 6 frame 6 frame 7 and 7 and 9 techniques 7 and 10 were 8 snowballing 9 techniques 10 were 11 used 11 used 12 to 11 used 13 identify 12 to 13 identify 13 identify 14 groups 14 groups 15 of 15 of 16 interest 17 , 18 who 17 , 20 interviewed 18 who 19 were 19 were 20 interviewed 20 interviewed 22 phone 20 interviewed 23 using 21 by 22 phone 23 using 26 survey 24 a 26 survey 25 semistructured 26 survey results : five groups were identified , each with explicit plans to avoid segregated housing by taking care of each other . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 groups 2 : 6 identified 2 : 7 , 2 : 22 . 3 five 4 groups 4 groups 5 were 5 were 6 identified 7 , 8 each 7 , 14 segregated 8 each 9 with 8 each 14 segregated 9 with 11 plans 10 explicit 11 plans 11 plans 12 to 11 plans 13 avoid 12 to 13 avoid 14 segregated 15 housing 15 housing 16 by 16 by 17 taking 17 taking 19 of 18 care 19 of 19 of 21 other 20 each 21 other they believe segregated housing to be undesirable and unsustainable , and perceive a need for alternative solutions . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 18 . 1 they 11 and 2 believe 4 housing 2 believe 5 to 2 believe 11 and 3 segregated 4 housing 5 to 6 be 6 be 8 and 7 undesirable 8 and 8 and 9 unsustainable 10 , 11 and 11 and 12 perceive 12 perceive 14 need 13 a 14 need 14 need 15 for 15 for 17 solutions 16 alternative 17 solutions aims : c - peptide secretion is currently the only available clinical biomarker [to] measure residual β - cell function in type [1] diabetes . 0 ###LEFT-WALL### 1 aims 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 25 . 2 : 3 c 2 : 4 - 3 c 4 - 4 - 6 secretion 5 peptide 6 secretion 6 secretion 7 is 7 is 8 currently 7 is 20 function 9 the 10 only 9 the 20 function 11 available 13 biomarker 12 clinical 13 biomarker 13 biomarker 15 measure 15 measure 20 function 16 residual 19 cell 17 β 18 - 17 β 19 cell 19 cell 20 function 20 function 21 in 21 in 24 diabetes 22 type 24 diabetes however , the natural history [of] c [-] peptide decline after diagnosis can vary considerably [dependent] upon several variables . 0 ###LEFT-WALL### 10 decline 0 ###LEFT-WALL### 14 vary 0 ###LEFT-WALL### 20 . 1 however 2 , 1 however 10 decline 3 the 10 decline 4 natural 5 history 5 history 7 c 5 history 10 decline 9 peptide 10 decline 10 decline 11 after 10 decline 13 can 11 after 12 diagnosis 13 can 14 vary 14 vary 15 considerably 14 vary 17 upon 17 upon 19 variables 18 several 19 variables we investigated the shape of c - peptide decline [over] time from [type] 1 diabetes onset in relation to age at diagnosis , haemoglobin a1c ( hba1c ) levels and insulin dose . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 33 . 1 we 2 investigated 2 investigated 4 shape 3 the 4 shape 4 shape 5 of 4 shape 11 time 5 of 6 c 7 - 11 time 8 peptide 11 time 9 decline 11 time 11 time 12 from 11 time 19 to 11 time 20 age 11 time 23 , 12 from 16 onset 14 1 16 onset 15 diabetes 16 onset 16 onset 17 in 17 in 18 relation 19 to 20 age 20 age 21 at 21 at 22 diagnosis 23 , 30 and 24 haemoglobin 29 levels 25 a1c 27 hba1c 25 a1c 29 levels 26 ( 27 hba1c 27 hba1c 28 ) 29 levels 30 and 30 and 32 dose 31 insulin 32 dose methods : we analysed data from 3929 type 1 diabetes patients recruited from seven european centres representing all age groups at disease onset [(] childhood , adolescence and adulthood ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 recruited 0 ###LEFT-WALL### 31 . 2 : 3 we 2 : 4 analysed 3 we 4 analysed 4 analysed 5 data 4 analysed 8 type 5 data 6 from 5 data 8 type 6 from 7 3929 8 type 10 diabetes 9 1 10 diabetes 10 diabetes 11 patients 10 diabetes 12 recruited 11 patients 12 recruited 12 recruited 13 from 13 from 16 centres 14 seven 16 centres 15 european 16 centres 16 centres 17 representing 16 centres 28 and 17 representing 20 groups 17 representing 21 at 18 all 20 groups 19 age 20 groups 21 at 25 childhood 22 disease 25 childhood 23 onset 25 childhood 26 , 28 and 27 adolescence 28 and 28 and 29 adulthood 28 and 30 ) the influence of the age [at] onset [on] β - cell function was investigated in a longitudinal analysis at diagnosis and up to 5 - years follow - up . 0 ###LEFT-WALL### 2 influence 0 ###LEFT-WALL### 14 investigated 0 ###LEFT-WALL### 21 and 1 the 2 influence 2 influence 3 of 2 influence 13 was 3 of 12 function 4 the 12 function 5 age 12 function 7 onset 12 function 9 β 10 - 9 β 11 cell 11 cell 12 function 13 was 14 investigated 14 investigated 15 in 14 investigated 19 at 15 in 18 analysis 16 a 17 longitudinal 16 a 18 analysis 17 longitudinal 18 analysis 19 at 20 diagnosis 21 and 26 years 21 and 27 follow 22 up 26 years 23 to 24 5 23 to 25 - 23 to 26 years 26 years 27 follow 27 follow 29 up 28 - 29 up 29 up 30 . results : fasting [c] - [peptide] ( fcp ) data at diagnosis were available in 3668 patients stratified according to age at diagnosis in four groups ( < 5 years , n = 344 [;] >5 years < 10 years , n = 668 [;] >10 years < 18 years , n = 991 [;] >18 years , n = 1655 [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 1 results 2 : 2 : 3 fasting 5 - 10 data 7 ( 8 fcp 8 fcp 9 ) 8 fcp 10 data 10 data 11 at 10 data 13 were 11 at 12 diagnosis 13 were 14 available 14 available 15 in 14 available 20 to 14 available 24 in 15 in 16 3668 16 3668 17 patients 16 3668 18 stratified 17 patients 18 stratified 19 according 20 to 20 to 21 age 21 age 22 at 22 at 23 diagnosis 24 in 26 groups 25 four 26 groups 26 groups 30 years 26 groups 33 = 27 ( 30 years 28 < 29 5 29 5 30 years 30 years 31 , 32 n 33 = 33 = 37 years 34 344 37 years 36 >5 37 years 37 years 40 years 37 years 46 >10 38 < 39 10 39 10 40 years 40 years 43 = 40 years 46 >10 41 , 43 = 42 n 43 = 43 = 44 668 46 >10 47 years 47 years 50 years 47 years 56 >18 48 < 49 18 49 18 50 years 50 years 53 = 50 years 56 >18 51 , 53 = 52 n 53 = 53 = 54 991 56 >18 57 years 56 >18 60 = 58 , 60 = 59 n 60 = 60 = 61 1655 60 = 63 )( fcp levels were positively correlated with age ( p < 0.001 ) ; the subsequent decline in fcp over time was log - [linear] with a greater decline rate in younger age groups ( p < 0.0001 ) . 0 ###LEFT-WALL### 2 levels 0 ###LEFT-WALL### 5 correlated 0 ###LEFT-WALL### 13 ; 0 ###LEFT-WALL### 39 . 1 fcp 2 levels 2 levels 3 were 3 were 4 positively 3 were 5 correlated 5 correlated 6 with 5 correlated 10 < 6 with 7 age 8 ( 10 < 9 p 10 < 10 < 11 0.001 10 < 12 ) 13 ; 16 decline 13 ; 22 log 14 the 16 decline 15 subsequent 16 decline 16 decline 17 in 16 decline 19 over 16 decline 21 was 17 in 18 fcp 19 over 20 time 21 was 22 log 22 log 25 with 23 - 25 with 25 with 29 rate 25 with 30 in 25 with 38 ) 26 a 29 rate 27 greater 28 decline 28 decline 29 rate 30 in 33 groups 31 younger 32 age 32 age 33 groups 33 groups 36 < 34 ( 36 < 35 p 36 < 36 < 37 0.0001 36 < 38 ) conclusions : this study reveals a positive correlation between age at diagnosis of [type] 1 diabetes and fcp with a more rapid decline of β - cell function in the very young patients . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 4 study 2 : 5 reveals 3 this 4 study 4 study 5 reveals 5 reveals 8 correlation 5 reveals 9 between 5 reveals 11 at 5 reveals 29 in 6 a 7 positive 6 a 8 correlation 7 positive 8 correlation 9 between 10 age 11 at 12 diagnosis 12 diagnosis 13 of 13 of 28 function 15 1 28 function 16 diabetes 17 and 17 and 18 fcp 17 and 26 - 17 and 28 function 18 fcp 19 with 19 with 23 decline 20 a 23 decline 21 more 22 rapid 22 rapid 23 decline 23 decline 24 of 24 of 25 β 27 cell 28 function 29 in 33 patients 30 the 33 patients 31 very 32 young 32 young 33 patients these data can inform the design of clinical trials [using] c - peptide values as an end - point for the effect of a given treatment . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 4 inform 0 ###LEFT-WALL### 18 - 1 these 2 data 2 data 3 can 3 can 4 inform 4 inform 6 design 5 the 6 design 6 design 7 of 7 of 9 trials 8 clinical 9 trials 9 trials 11 c 9 trials 14 values 12 - 14 values 13 peptide 14 values 14 values 15 as 14 values 18 - 15 as 17 end 16 an 17 end 18 - 19 point 18 - 27 . 19 point 20 for 20 for 22 effect 21 the 22 effect 22 effect 23 of 23 of 26 treatment 24 a 26 treatment 25 given 26 treatment melatonin ( n - acetyl - 5 - methoxytryptamine ) is secreted during the dark hours at night by the pineal gland . 0 ###LEFT-WALL### 1 melatonin 0 ###LEFT-WALL### 12 secreted 0 ###LEFT-WALL### 23 . 1 melatonin 3 n 1 melatonin 5 acetyl 1 melatonin 11 is 2 ( 3 n 3 n 4 - 4 - 5 acetyl 5 acetyl 8 - 5 acetyl 10 ) 6 - 8 - 7 5 8 - 8 - 9 methoxytryptamine 8 - 10 ) 11 is 12 secreted 12 secreted 13 during 12 secreted 17 at 12 secreted 19 by 13 during 16 hours 14 the 16 hours 15 dark 16 hours 17 at 18 night 19 by 22 gland 20 the 22 gland 21 pineal 22 gland after entering the circulation , melatonin acts as an endocrine factor and a chemical messenger of light and darkness . 0 ###LEFT-WALL### 6 melatonin 0 ###LEFT-WALL### 7 acts 0 ###LEFT-WALL### 20 . 1 after 2 entering 1 after 5 , 1 after 6 melatonin 2 entering 4 circulation 3 the 4 circulation 6 melatonin 7 acts 7 acts 8 as 8 as 12 and 9 an 10 endocrine 9 an 11 factor 10 endocrine 11 factor 11 factor 12 and 12 and 15 messenger 12 and 16 of 13 a 14 chemical 13 a 15 messenger 14 chemical 15 messenger 16 of 18 and 17 light 18 and 18 and 19 darkness it regulates a variety of important central and peripheral actions related to circadian rhythms and reproduction . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 regulates 0 ###LEFT-WALL### 17 . 1 it 2 regulates 2 regulates 4 variety 2 regulates 12 to 3 a 4 variety 4 variety 5 of 5 of 10 actions 6 important 10 actions 7 central 8 and 8 and 9 peripheral 8 and 10 actions 10 actions 11 related 12 to 15 and 13 circadian 14 rhythms 14 rhythms 15 and 15 and 16 reproduction it also affects the brain , immune , gastrointestinal , cardiovascular , renal , bone and endocrine functions and acts as an oncostatic and anti - aging molecule . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 affects 0 ###LEFT-WALL### 29 . 1 it 3 affects 2 also 3 affects 3 affects 19 and 4 the 5 brain 5 brain 6 , 6 , 15 bone 6 , 16 and 7 immune 8 , 7 immune 15 bone 9 gastrointestinal 10 , 9 gastrointestinal 15 bone 11 cardiovascular 12 , 11 cardiovascular 15 bone 13 renal 14 , 13 renal 15 bone 16 and 18 functions 16 and 19 and 17 endocrine 18 functions 19 and 20 acts 19 and 21 as 21 as 28 molecule 22 an 28 molecule 23 oncostatic 24 and 24 and 27 aging 24 and 28 molecule 25 anti 26 - 25 anti 27 aging many of melatonin 's actions are mediated through interactions with specific membrane - bound receptors expressed [not] only in the central nervous system , but also in peripheral tissues . 0 ###LEFT-WALL### 5 actions 0 ###LEFT-WALL### 7 mediated 0 ###LEFT-WALL### 30 . 1 many 2 of 1 many 5 actions 2 of 5 actions 3 melatonin 4 's 4 's 5 actions 5 actions 6 are 6 are 7 mediated 7 mediated 8 through 7 mediated 25 but 8 through 9 interactions 10 with 12 membrane 10 with 25 but 11 specific 12 membrane 12 membrane 15 receptors 13 - 15 receptors 14 bound 15 receptors 15 receptors 16 expressed 15 receptors 24 , 16 expressed 18 only 16 expressed 19 in 19 in 23 system 20 the 23 system 21 central 23 system 22 nervous 23 system 25 but 26 also 25 but 27 in 27 in 29 tissues 28 peripheral 29 tissues melatonin also acts through [non] - receptor - mediated mechanisms , for example serving as a scavenger for reactive oxygen species and reactive nitrogen species . 0 ###LEFT-WALL### 1 melatonin 0 ###LEFT-WALL### 3 acts 0 ###LEFT-WALL### 6 - 1 melatonin 3 acts 2 also 3 acts 3 acts 4 through 6 - 7 receptor 6 - 8 - 8 - 10 mechanisms 9 mediated 10 mechanisms 10 mechanisms 14 serving 11 , 14 serving 12 for 13 example 13 example 14 serving 14 serving 15 as 14 serving 26 . 15 as 22 and 16 a 17 scavenger 17 scavenger 18 for 17 scavenger 22 and 18 for 21 species 19 reactive 20 oxygen 20 oxygen 21 species 22 and 25 species 23 reactive 24 nitrogen 24 nitrogen 25 species at both physiological and pharmacological concentrations , melatonin attenuates and counteracts oxidative stress and regulates cellular metabolism . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 18 . 1 at 8 melatonin 1 at 10 and 2 both 4 and 3 physiological 4 and 4 and 6 concentrations 4 and 7 , 4 and 8 melatonin 5 pharmacological 6 concentrations 9 attenuates 10 and 10 and 14 and 11 counteracts 13 stress 11 counteracts 14 and 12 oxidative 13 stress 14 and 15 regulates 15 regulates 17 metabolism 16 cellular 17 metabolism growing scientific evidence of reproductive physiology supports the role of melatonin in human reproduction . 0 ###LEFT-WALL### 1 growing 0 ###LEFT-WALL### 7 supports 0 ###LEFT-WALL### 15 . 1 growing 3 evidence 1 growing 7 supports 2 scientific 3 evidence 3 evidence 4 of 4 of 6 physiology 5 reproductive 6 physiology 7 supports 9 role 7 supports 12 in 8 the 9 role 9 role 10 of 10 of 11 melatonin 12 in 14 reproduction 13 human 14 reproduction this review was conducted to investigate the effects of melatonin on female reproduction and to summarize our findings in this field . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 22 . 1 this 2 review 2 review 3 was 3 was 4 conducted 4 conducted 5 to 5 to 14 and 6 investigate 8 effects 6 investigate 11 on 6 investigate 14 and 7 the 8 effects 8 effects 9 of 9 of 10 melatonin 11 on 13 reproduction 12 female 13 reproduction 14 and 15 to 14 and 16 summarize 15 to 16 summarize 16 summarize 18 findings 16 summarize 19 in 17 our 18 findings 19 in 21 field 20 this 21 field background : it is commonly requested that perioral and lateral canthal rhytides , which result from extrinsic and intrinsic factors , be rejuvenated . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 it 2 : 6 requested 2 : 24 . 3 it 4 is 4 is 6 requested 5 commonly 6 requested 6 requested 7 that 7 that 9 and 7 that 23 rejuvenated 8 perioral 9 and 9 and 12 rhytides 9 and 14 which 9 and 22 be 10 lateral 12 rhytides 11 canthal 12 rhytides 13 , 14 which 14 which 15 result 14 which 21 , 15 result 16 from 16 from 18 and 17 extrinsic 18 and 18 and 20 factors 19 intrinsic 20 factors 22 be 23 rejuvenated objective : to valuate the safety and efficacy [of] and patient satisfaction with injectable hyaluronic acid ( ha ) with 0.3 % lidocaine hydrochloride in reducing superficial , vertical perioral wrinkles and superficial , horizontal , lateral canthal rhytides . 0 ###LEFT-WALL### 4 valuate 0 ###LEFT-WALL### 40 . 1 objective 2 : 2 : 3 to 3 to 4 valuate 4 valuate 10 and 5 the 6 safety 6 safety 7 and 7 and 8 efficacy 7 and 10 and 10 and 12 satisfaction 10 and 13 with 10 and 20 with 10 and 25 in 11 patient 12 satisfaction 13 with 16 acid 14 injectable 16 acid 15 hyaluronic 16 acid 16 acid 18 ha 17 ( 18 ha 18 ha 19 ) 20 with 24 hydrochloride 21 0.3 22 % 22 % 24 hydrochloride 23 lidocaine 24 hydrochloride 25 in 26 reducing 26 reducing 32 and 27 superficial 28 , 27 superficial 31 wrinkles 29 vertical 31 wrinkles 30 perioral 31 wrinkles 31 wrinkles 32 and 32 and 39 rhytides 33 superficial 34 , 33 superficial 39 rhytides 35 horizontal 36 , 35 horizontal 39 rhytides 37 lateral 39 rhytides 38 canthal 39 rhytides the investigator and a blinded evaluator assessed patients 7 days after treatment and then every 30 days after the initial treatment session for 180 days . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 7 assessed 0 ###LEFT-WALL### 26 . 1 the 2 investigator 2 investigator 3 and 3 and 6 evaluator 3 and 7 assessed 4 a 6 evaluator 5 blinded 6 evaluator 7 assessed 8 patients 7 assessed 13 and 7 assessed 18 after 9 7 10 days 10 days 11 after 11 after 12 treatment 11 after 13 and 13 and 14 then 13 and 15 every 15 every 17 days 16 30 17 days 18 after 22 session 19 the 22 session 20 initial 21 treatment 21 treatment 22 session 22 session 23 for 23 for 25 days 24 180 25 days results : subjects experienced statistically significant improvement in their superficial , vertical perioral lines and superficial , horizontal , lateral canthal lines and maintained those results for 180 and 120 days , respectively . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 23 and 3 subjects 15 and 3 subjects 23 and 4 experienced 7 improvement 5 statistically 6 significant 6 significant 7 improvement 7 improvement 8 in 7 improvement 11 , 8 in 10 superficial 9 their 10 superficial 11 , 14 lines 11 , 15 and 12 vertical 14 lines 13 perioral 14 lines 15 and 22 lines 16 superficial 17 , 16 superficial 22 lines 18 horizontal 19 , 18 horizontal 22 lines 20 lateral 22 lines 21 canthal 22 lines 23 and 24 maintained 24 maintained 26 results 24 maintained 27 for 24 maintained 33 respectively 25 those 26 results 27 for 31 days 28 180 29 and 29 and 30 120 29 and 31 days 32 , 33 respectively 33 respectively 34 . three patients experienced delayed - onset periocular nodule formation associated with swelling and erythema at sites of injection , which were histologically consistent with a granulomatous reaction to the product . 0 ###LEFT-WALL### 13 and 1 three 2 patients 2 patients 3 experienced 2 patients 4 delayed 2 patients 11 with 2 patients 13 and 4 delayed 5 - 4 delayed 10 associated 6 onset 10 associated 7 periocular 8 nodule 8 nodule 10 associated 9 formation 10 associated 11 with 12 swelling 13 and 14 erythema 13 and 20 which 14 erythema 15 at 15 at 16 sites 16 sites 17 of 17 of 18 injection 19 , 20 which 20 which 21 were 20 which 31 . 21 were 22 histologically 21 were 23 consistent 23 consistent 24 with 24 with 27 reaction 25 a 26 granulomatous 25 a 27 reaction 26 granulomatous 27 reaction 27 reaction 28 to 28 to 30 product 29 the 30 product conclusion : injectable ha with a particle size of 350 μm was efficacious and resulted in high patient improvement scores in improving moderate to severe superficial , vertical perioral lines and superficial , horizontal , lateral canthal lines . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 39 . 1 conclusion 2 : 2 : 31 and 3 injectable 4 ha 4 ha 5 with 4 ha 31 and 5 with 7 particle 6 a 7 particle 7 particle 8 size 7 particle 22 improving 7 particle 23 moderate 8 size 9 of 8 size 14 and 9 of 11 μm 10 350 11 μm 12 was 13 efficacious 12 was 14 and 14 and 15 resulted 14 and 21 in 15 resulted 16 in 16 in 20 scores 17 high 20 scores 18 patient 19 improvement 19 improvement 20 scores 21 in 22 improving 23 moderate 24 to 24 to 30 lines 25 severe 30 lines 26 superficial 27 , 26 superficial 30 lines 28 vertical 30 lines 29 perioral 30 lines 31 and 38 lines 32 superficial 33 , 32 superficial 38 lines 34 horizontal 35 , 34 horizontal 38 lines 36 lateral 38 lines 37 canthal 38 lines three of the 40 enrolled patients demonstrated granuloma formation . 0 ###LEFT-WALL### 1 three 0 ###LEFT-WALL### 8 granuloma 0 ###LEFT-WALL### 10 . 1 three 2 of 1 three 8 granuloma 2 of 6 patients 3 the 4 40 4 40 6 patients 5 enrolled 6 patients 6 patients 7 demonstrated 8 granuloma 9 formation vasohibin - 2 ( vash2 ) is a homolog of vasohibin - [1] and exhibits pro - angiogenic activity . 0 ###LEFT-WALL### 1 vasohibin 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 20 . 1 vasohibin 3 2 1 vasohibin 7 is 2 - 3 2 3 2 5 vash2 3 2 6 ) 4 ( 5 vash2 5 vash2 6 ) 7 is 9 homolog 8 a 9 homolog 9 homolog 10 of 10 of 14 and 11 vasohibin 14 and 12 - 14 and 14 and 16 pro 15 exhibits 16 pro 17 - 19 activity 18 angiogenic 19 activity we recently reported that vash2 is expressed in certain ovarian cancers and promotes tumor growth through angiogenesis . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 reported 0 ###LEFT-WALL### 18 . 1 we 3 reported 2 recently 3 reported 3 reported 4 that 4 that 5 vash2 4 that 6 is 5 vash2 6 is 6 is 12 and 7 expressed 8 in 7 expressed 12 and 8 in 11 cancers 9 certain 11 cancers 10 ovarian 11 cancers 12 and 13 promotes 12 and 15 growth 12 and 16 through 14 tumor 15 growth 16 through 17 angiogenesis to further demonstrate the effectiveness of molecular targeting of vash2 for anticancer treatment , we applied in vivo delivery of sirna targeting vash2 ( sivash2 ) using atelocollagen to a [xenograft] model of ovarian cancer . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 3 demonstrate 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 36 . 1 to 3 demonstrate 2 further 3 demonstrate 3 demonstrate 5 effectiveness 4 the 5 effectiveness 5 effectiveness 6 of 6 of 8 targeting 7 molecular 8 targeting 8 targeting 9 of 9 of 10 vash2 10 vash2 11 for 11 for 13 treatment 12 anticancer 13 treatment 14 , 15 we 14 , 16 applied 15 we 16 applied 16 applied 18 vivo 16 applied 19 delivery 16 applied 27 using 17 in 18 vivo 19 delivery 20 of 19 delivery 25 sivash2 20 of 21 sirna 21 sirna 22 targeting 22 targeting 23 vash2 24 ( 25 sivash2 25 sivash2 26 ) 27 using 28 atelocollagen 27 using 29 to 29 to 32 model 30 a 32 model 32 model 33 of 33 of 35 cancer 34 ovarian 35 cancer we inoculated mice s.c [.] with diss and skov - 3 , two representative human ovarian serous adenocarcinoma cell lines . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 inoculated 1 we 2 inoculated 2 inoculated 8 and 3 mice 4 s.c 3 mice 8 and 4 s.c 6 with 6 with 7 diss 8 and 9 skov 9 skov 11 3 10 - 11 3 11 3 20 lines 11 3 21 . 12 , 20 lines 13 two 20 lines 14 representative 15 human 15 human 19 cell 16 ovarian 18 adenocarcinoma 17 serous 18 adenocarcinoma 18 adenocarcinoma 19 cell 19 cell 20 lines 20 lines 21 . when tumors were measurable , we initiated treatment with control or sivash2 mixed with atelocollagen , which enveloped the whole tumor . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 13 mixed 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 22 . 1 when 2 tumors 1 when 3 were 1 when 5 , 1 when 6 we 2 tumors 3 were 3 were 4 measurable 6 we 7 initiated 7 initiated 8 treatment 7 initiated 9 with 9 with 11 or 9 with 13 mixed 10 control 11 or 11 or 12 sivash2 13 mixed 14 with 14 with 15 atelocollagen 16 , 17 which 16 , 18 enveloped 17 which 18 enveloped 18 enveloped 21 tumor 19 the 21 tumor 20 whole 21 tumor treatment with sivash2 significantly inhibited s.c [.] tumor growth by abrogating tumor angiogenesis . 0 ###LEFT-WALL### 1 treatment 0 ###LEFT-WALL### 5 inhibited 0 ###LEFT-WALL### 14 . 1 treatment 2 with 1 treatment 5 inhibited 2 with 3 sivash2 4 significantly 5 inhibited 5 inhibited 9 growth 5 inhibited 10 by 6 s.c 9 growth 8 tumor 9 growth 10 by 11 abrogating 11 abrogating 13 angiogenesis 12 tumor 13 angiogenesis we confirmed that expression of vash2 mrna in the tumor was downregulated by sivash2 treatment . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 confirmed 0 ###LEFT-WALL### 16 . 1 we 2 confirmed 2 confirmed 3 that 3 that 4 expression 3 that 12 downregulated 4 expression 5 of 4 expression 11 was 5 of 6 vash2 6 vash2 7 mrna 7 mrna 8 in 8 in 10 tumor 9 the 10 tumor 11 was 12 downregulated 12 downregulated 13 by 13 by 15 treatment 14 sivash2 15 treatment in addition , the sivash2 - treated tumor contained more blood vessels covered with pericytes , indicating that knockdown [of] vash2 contributes to the normalization of tumor blood vessels . 0 ###LEFT-WALL### 8 tumor 0 ###LEFT-WALL### 9 contained 1 in 2 addition 1 in 3 , 1 in 8 tumor 4 the 8 tumor 5 sivash2 6 - 5 sivash2 8 tumor 7 treated 8 tumor 8 tumor 9 contained 9 contained 12 vessels 10 more 12 vessels 11 blood 12 vessels 12 vessels 13 covered 13 covered 14 with 13 covered 17 indicating 14 with 15 pericytes 16 , 17 indicating 17 indicating 18 that 17 indicating 30 . 18 that 21 vash2 18 that 22 contributes 19 knockdown 21 vash2 21 vash2 22 contributes 22 contributes 23 to 23 to 25 normalization 24 the 25 normalization 25 normalization 26 of 26 of 29 vessels 27 tumor 29 vessels 28 blood 29 vessels based on these results , vash2 may be a promising molecular target for ovarian cancer treatment . 0 ###LEFT-WALL### 6 vash2 0 ###LEFT-WALL### 8 be 0 ###LEFT-WALL### 17 . 1 based 2 on 1 based 5 , 1 based 6 vash2 2 on 4 results 3 these 4 results 6 vash2 7 may 7 may 8 be 8 be 12 target 9 a 10 promising 9 a 12 target 10 promising 12 target 11 molecular 12 target 12 target 13 for 13 for 16 treatment 14 ovarian 15 cancer 15 cancer 16 treatment mice deficient in the klotho gene ( kl/kl mice ) display the [phenotypes] [of] human ageing . 0 ###LEFT-WALL### 1 mice 0 ###LEFT-WALL### 11 display 0 ###LEFT-WALL### 17 . 1 mice 2 deficient 1 mice 11 display 2 deficient 3 in 3 in 6 gene 4 the 6 gene 5 klotho 6 gene 6 gene 9 mice 7 ( 9 mice 8 kl/kl 9 mice 9 mice 10 ) 11 display 16 ageing 12 the 16 ageing 15 human 16 ageing we found that the expression of epidermal differentiation - associated factors ( keratin 1 , keratin 10 , filaggrin and loricrin ) was lower in the skin of kl/kl mice than that of wild - type mice . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 38 . 1 we 2 found 2 found 3 that 3 that 5 expression 3 that 23 was 4 the 5 expression 5 expression 6 of 5 expression 11 factors 5 expression 23 was 6 of 8 differentiation 7 epidermal 8 differentiation 9 - 11 factors 10 associated 11 factors 11 factors 20 and 11 factors 22 ) 12 ( 20 and 13 keratin 14 1 13 keratin 15 , 15 , 16 keratin 15 , 18 , 16 keratin 17 10 18 , 19 filaggrin 18 , 20 and 20 and 21 loricrin 20 and 22 ) 23 was 24 lower 24 lower 25 in 24 lower 31 than 25 in 27 skin 26 the 27 skin 27 skin 28 of 28 of 30 mice 29 kl/kl 30 mice 31 than 32 that 32 that 33 of 33 of 37 mice 34 wild 35 - 34 wild 36 type 36 type 37 mice these findings suggest that the epidermal differentiation is deranged in kl/kl mice , and βklotho is required for the differentiation of human epidermal keratinocytes . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 25 . 1 these 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 7 differentiation 4 that 9 deranged 5 the 7 differentiation 6 epidermal 7 differentiation 7 differentiation 8 is 8 is 9 deranged 9 deranged 10 in 10 in 12 mice 11 kl/kl 12 mice 13 , 14 and 14 and 15 βklotho 14 and 17 required 15 βklotho 16 is 16 is 17 required 17 required 18 for 18 for 20 differentiation 19 the 20 differentiation 20 differentiation 21 of 21 of 24 keratinocytes 22 human 24 keratinocytes 23 epidermal 24 keratinocytes background : the use of botulinum toxin has rapidly expanded into various aesthetic applications . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 1 background 2 : 2 : 4 use 3 the 4 use 4 use 5 of 4 use 10 expanded 5 of 6 botulinum 6 botulinum 7 toxin 6 botulinum 8 has 7 toxin 8 has 8 has 9 rapidly 10 expanded 11 into 11 into 14 applications 12 various 14 applications 13 aesthetic 14 applications any guideline representing a consensus for aesthetic treatments using botulinum toxin type a ( bta ) in asians has not been published . 0 ###LEFT-WALL### 2 guideline 0 ###LEFT-WALL### 22 published 0 ###LEFT-WALL### 23 . 1 any 2 guideline 2 guideline 3 representing 2 guideline 19 has 3 representing 5 consensus 4 a 5 consensus 5 consensus 6 for 6 for 8 treatments 7 aesthetic 8 treatments 8 treatments 9 using 9 using 12 type 9 using 17 in 10 botulinum 12 type 11 toxin 12 type 12 type 13 a 12 type 15 bta 14 ( 15 bta 15 bta 16 ) 17 in 18 asians 19 has 20 not 19 has 21 been 21 been 22 published objectives : to provide consensus recommendations on common aesthetic problems which are treated by neurotoxin in asians . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 provide 2 : 18 . 3 to 4 provide 4 provide 6 recommendations 4 provide 7 on 5 consensus 6 recommendations 7 on 10 problems 8 common 10 problems 9 aesthetic 10 problems 10 problems 11 which 10 problems 12 are 11 which 12 are 12 are 13 treated 13 treated 14 by 13 treated 16 in 14 by 15 neurotoxin 16 in 17 asians methods : a panel of experienced korean dermatologists was convened to develop a clinical consensus on common aesthetic problems involving the face , neck , and calves in asians , based on their own extensive experience . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 4 panel 2 : 30 , 3 a 4 panel 4 panel 5 of 4 panel 30 , 5 of 8 dermatologists 6 experienced 7 korean 7 korean 8 dermatologists 9 was 10 convened 9 was 30 , 10 convened 11 to 10 convened 16 on 10 convened 28 in 11 to 12 develop 12 develop 15 consensus 13 a 15 consensus 14 clinical 15 consensus 16 on 26 and 17 common 19 problems 18 aesthetic 19 problems 19 problems 20 involving 19 problems 23 , 20 involving 22 face 21 the 22 face 23 , 24 neck 23 , 26 and 25 , 26 and 26 and 27 calves 28 in 29 asians 30 , 31 based 30 , 32 on 32 on 36 experience 33 their 34 own 33 their 36 experience 35 extensive 36 experience results : the consensus recommendations address general questions regarding treatment and provide specific guidelines on each common aesthetic indication . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 recommendations 2 : 11 and 2 : 20 . 3 the 5 recommendations 4 consensus 5 recommendations 5 recommendations 11 and 6 address 8 questions 6 address 11 and 7 general 8 questions 8 questions 9 regarding 9 regarding 10 treatment 11 and 12 provide 12 provide 14 guidelines 12 provide 15 on 13 specific 14 guidelines 15 on 19 indication 16 each 19 indication 17 common 19 indication 18 aesthetic 19 indication the recommended final concentration of bta was 50 u/ml after reconstitution with physiologic saline . 0 ###LEFT-WALL### 4 concentration 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 15 . 1 the 4 concentration 2 recommended 4 concentration 3 final 4 concentration 4 concentration 5 of 4 concentration 7 was 5 of 6 bta 7 was 10 after 7 was 12 with 8 50 9 u/ml 9 u/ml 10 after 10 after 11 reconstitution 12 with 14 saline 13 physiologic 14 saline for horizontal forehead lines , the members recommended nine injections in two rows into the frontalis with 1 u/point . 0 ###LEFT-WALL### 7 members 0 ###LEFT-WALL### 8 recommended 0 ###LEFT-WALL### 20 . 1 for 4 lines 1 for 5 , 1 for 7 members 2 horizontal 3 forehead 3 forehead 4 lines 6 the 7 members 7 members 8 recommended 8 recommended 10 injections 8 recommended 11 in 8 recommended 14 into 8 recommended 17 with 9 nine 10 injections 11 in 13 rows 12 two 13 rows 14 into 16 frontalis 15 the 16 frontalis 17 with 19 u/point 18 1 19 u/point for glabellar lines , the members recommended three injection points ( a total of [8] u ) . 0 ###LEFT-WALL### 6 members 0 ###LEFT-WALL### 7 recommended 0 ###LEFT-WALL### 18 . 1 for 3 lines 1 for 4 , 1 for 6 members 2 glabellar 3 lines 5 the 6 members 6 members 7 recommended 7 recommended 10 points 8 three 10 points 9 injection 10 points 10 points 13 total 11 ( 13 total 12 a 13 total 13 total 14 of 13 total 17 ) 14 of 16 u for crow 's feet , the members recommended three injections per side ( 7 u/side ) at the lateral part of the orbicularis oculi . 0 ###LEFT-WALL### 7 members 0 ###LEFT-WALL### 8 recommended 0 ###LEFT-WALL### 25 . 1 for 4 feet 1 for 5 , 1 for 7 members 2 crow 3 's 3 's 4 feet 6 the 7 members 7 members 8 recommended 8 recommended 10 injections 8 recommended 17 at 9 three 10 injections 10 injections 11 per 10 injections 15 u/side 11 per 12 side 13 ( 15 u/side 14 7 15 u/side 15 u/side 16 ) 17 at 24 oculi 18 the 20 part 19 lateral 20 part 20 part 21 of 20 part 24 oculi 21 of 24 oculi 22 the 24 oculi 23 orbicularis 24 oculi for infraorbital wrinkles , one to two points per side in the superficial subcutaneous space approximately 1 cm below the lash line were recommended ( 1 - 2 u/side ) . 0 ###LEFT-WALL### 8 points 0 ###LEFT-WALL### 24 recommended 0 ###LEFT-WALL### 31 . 1 for 3 wrinkles 1 for 4 , 1 for 8 points 2 infraorbital 3 wrinkles 5 one 6 to 6 to 7 two 6 to 8 points 8 points 9 per 8 points 11 in 8 points 23 were 9 per 10 side 11 in 15 space 12 the 15 space 13 superficial 15 space 14 subcutaneous 15 space 15 space 19 below 16 approximately 17 1 17 1 18 cm 18 cm 19 below 19 below 22 line 20 the 22 line 21 lash 22 line 23 were 24 recommended 24 recommended 27 - 25 ( 27 - 26 1 27 - 27 - 29 u/side 27 - 30 ) 28 2 29 u/side [for] nasal flare , one [injection] point in the middle of each ala nasi [was] recommended ( a total of [2] u ) . 0 ###LEFT-WALL### 3 flare 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 24 . 2 nasal 3 flare 4 , 7 point 4 , 13 ala 5 one 7 point 7 point 8 in 7 point 13 ala 8 in 10 middle 9 the 10 middle 10 middle 11 of 11 of 12 each 13 ala 14 nasi 14 nasi 16 recommended 14 nasi 19 total 17 ( 19 total 18 a 19 total 19 total 20 of 19 total 23 ) 20 of 22 u for depressed nasal tip , a single injection deep within the columella was recommended , with a dose of 3 [u] [.] for benign masseter hypertrophy , the members recommended [a] six - point injection to the masseter ( three points per side for a total of 50 - 60 [u] ) . 0 ###LEFT-WALL### 4 tip 0 ###LEFT-WALL### 5 , 1 for 3 nasal 1 for 4 tip 2 depressed 3 nasal 5 , 8 injection 5 , 14 recommended 5 , 15 , 6 a 7 single 6 a 8 injection 7 single 8 injection 8 injection 9 deep 8 injection 13 was 9 deep 10 within 10 within 12 columella 11 the 12 columella 13 was 14 recommended 15 , 26 hypertrophy 15 , 27 , 16 with 18 dose 16 with 26 hypertrophy 17 a 18 dose 18 dose 19 of 19 of 20 3 20 3 23 for 23 for 25 masseter 24 benign 25 masseter 27 , 29 members 27 , 30 recommended 27 , 33 - 28 the 29 members 29 members 30 recommended 30 recommended 32 six 33 - 34 point 34 point 35 injection 35 injection 36 to 36 to 38 masseter 37 the 38 masseter 38 masseter 41 points 39 ( 41 points 40 three 41 points 41 points 42 per 41 points 44 for 41 points 47 of 41 points 50 60 41 points 53 . 42 per 43 side 44 for 46 total 45 a 46 total 47 of 48 50 49 - 50 60 50 60 52 ) for the treatment [of] calf hypertrophy , the members recommended a total dose of 100 to 120 [u] ( 50 - 60 u/side ) , divided between six injection points ( approximately 8 - 10 u/point ) . 0 ###LEFT-WALL### 6 hypertrophy 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 38 . 1 for 5 calf 1 for 6 hypertrophy 2 the 5 calf 3 treatment 5 calf 7 , 9 members 7 , 10 recommended 8 the 9 members 9 members 10 recommended 10 recommended 13 dose 10 recommended 21 - 10 recommended 26 divided 11 a 13 dose 12 total 13 dose 13 dose 14 of 14 of 16 to 15 100 16 to 16 to 17 120 19 ( 21 - 20 50 21 - 21 - 23 u/side 21 - 24 ) 22 60 23 u/side 25 , 26 divided 26 divided 27 between 26 divided 37 ) 27 between 30 points 28 six 29 injection 29 injection 30 points 30 points 33 8 31 ( 33 8 32 approximately 33 8 33 8 36 u/point 33 8 37 ) 34 - 36 u/point 35 10 36 u/point 36 u/point 37 ) conclusion : this guideline provides a framework for physicians who wish to perform safe and efficacious injections of bta in asians . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 4 guideline 2 : 5 provides 3 this 4 guideline 4 guideline 5 provides 5 provides 7 framework 5 provides 8 for 5 provides 12 to 5 provides 20 in 6 a 7 framework 8 for 9 physicians 9 physicians 10 who 9 physicians 11 wish 10 who 11 wish 12 to 13 perform 13 perform 17 injections 14 safe 15 and 15 and 16 efficacious 15 and 17 injections 17 injections 18 of 18 of 19 bta 20 in 21 asians objectives : to examine the association between tea consumption and depressive symptoms in chinese older people and to explore the mediating role of cerebrovascular disease in the association . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 to 2 : 17 and 3 to 17 and 4 examine 6 association 4 examine 7 between 4 examine 13 in 4 examine 17 and 5 the 6 association 7 between 10 and 8 tea 9 consumption 9 consumption 10 and 10 and 12 symptoms 11 depressive 12 symptoms 13 in 16 people 14 chinese 16 people 15 older 16 people 17 and 18 to 17 and 19 explore 18 to 19 explore 19 explore 22 role 19 explore 26 in 20 the 22 role 21 mediating 22 role 22 role 23 of 23 of 25 disease 24 cerebrovascular 25 disease 26 in 28 association 27 the 28 association design : population - based cross - sectional study . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 1 design 2 : 2 : 3 population 4 - 6 cross 4 - 7 - 4 - 10 . 5 based 6 cross 7 - 9 study 8 sectional 9 study setting : a rural community near qufu in shandong , china . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 12 . 1 setting 2 : 2 : 5 community 3 a 4 rural 3 a 5 community 4 rural 5 community 5 community 6 near 6 near 7 qufu 7 qufu 8 in 8 in 9 shandong 10 , 11 china participants : community - dwelling individuals aged 60 and older [(] mean 68.6 [;] 59.3 % female ) from the confucius hometown aging project ( n = 1,368 ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 1 participants 2 : 2 : 3 community 2 : 19 from 3 community 9 and 4 - 9 and 5 dwelling 6 individuals 6 individuals 7 aged 6 individuals 9 and 7 aged 8 60 9 and 17 female 9 and 18 ) 10 older 12 mean 12 mean 17 female 13 68.6 17 female 15 59.3 16 % 16 % 17 female 19 from 24 project 20 the 24 project 21 confucius 22 hometown 22 hometown 23 aging 23 aging 24 project 24 project 27 = 25 ( 27 = 26 n 27 = 27 = 28 1,368 27 = 29 ) measurements : data were collected through interviews , clinical examinations , and psychological testing , following a standard procedure . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 2 : 3 data 2 : 4 were 2 : 20 . 3 data 4 were 4 were 5 collected 5 collected 6 through 6 through 12 and 7 interviews 8 , 8 , 10 examinations 8 , 12 and 9 clinical 10 examinations 11 , 12 and 12 and 14 testing 12 and 15 , 12 and 16 following 13 psychological 14 testing 16 following 19 procedure 17 a 19 procedure 18 standard 19 procedure presence of high depressive symptoms was defined as a score of 5 or greater on the 15 [-] item geriatric depression scale . 0 ###LEFT-WALL### 1 presence 0 ###LEFT-WALL### 7 defined 0 ###LEFT-WALL### 23 . 1 presence 2 of 1 presence 6 was 2 of 5 symptoms 3 high 5 symptoms 4 depressive 5 symptoms 6 was 7 defined 7 defined 8 as 8 as 22 scale 9 a 10 score 10 score 11 of 10 score 13 or 11 of 12 5 13 or 14 greater 13 or 19 item 14 greater 15 on 15 on 17 15 16 the 17 15 19 item 22 scale 20 geriatric 21 depression 21 depression 22 scale results : of the 1,368 participants , 165 ( 12.1 % ) were weekly and 489 ( 35.7 % ) were daily tea consumers . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 25 . 1 results 2 : 2 : 3 of 3 of 6 participants 4 the 5 1,368 5 1,368 6 participants 7 , 8 165 7 , 13 were 7 , 15 and 8 165 11 % 8 165 13 were 9 ( 11 % 10 12.1 11 % 11 % 12 ) 13 were 14 weekly 15 and 16 489 15 and 21 were 16 489 19 % 16 489 21 were 17 ( 19 % 18 35.7 19 % 19 % 20 ) 21 were 24 consumers 22 daily 24 consumers 23 tea 24 consumers compared with no [or] irregular tea consumption , [controlling] [for] age , sex , education , leisure activities , number of comorbidities , and mini - mental state examination score , the odds ratios of having high depressive symptoms were 0.86 ( 95 % confidence interval ( ci ) = 0.56 - 1.32 [ )(for weekly and 0.59 [(] 95 % ci = 0.43 - 0.81 ) for daily tea consumption [(] p for linear trend = [.] 001 [ )( the linear trend of the association remained statistically [significant] when further controlling [for] history of stroke , transient ischemic attacks , and presence of carotid plaques . 0 ###LEFT-WALL### 11 age 0 ###LEFT-WALL### 12 , 1 compared 2 with 1 compared 8 , 1 compared 11 age 2 with 7 consumption 3 no 7 consumption 5 irregular 7 consumption 6 tea 7 consumption 12 , 13 sex 12 , 14 , 14 , 15 education 14 , 16 , 16 , 18 activities 16 , 19 , 17 leisure 18 activities 19 , 24 and 19 , 26 - 20 number 21 of 20 number 24 and 21 of 22 comorbidities 23 , 24 and 24 and 25 mini 26 - 30 score 26 - 31 , 27 mental 28 state 28 state 29 examination 29 examination 30 score 31 , 40 were 32 the 34 ratios 33 odds 34 ratios 34 ratios 35 of 35 of 36 having 36 having 39 symptoms 36 having 40 were 37 high 39 symptoms 38 depressive 39 symptoms 40 were 41 0.86 40 were 52 - 41 0.86 46 interval 42 ( 46 interval 43 95 46 interval 44 % 45 confidence 45 confidence 46 interval 46 interval 48 ci 46 interval 49 ) 47 ( 48 ci 48 ci 49 ) 50 = 52 - 51 0.56 52 - 52 - 53 1.32 52 - 55 )(for 55 )(for 57 and 56 weekly 57 and 57 and 62 ci 57 and 67 ) 57 and 68 for 58 0.59 62 ci 60 95 62 ci 61 % 62 ci 62 ci 65 - 63 = 64 0.43 64 0.43 65 - 65 - 66 0.81 68 for 71 consumption 69 daily 70 tea 70 tea 71 consumption 71 consumption 73 p 71 consumption 74 for 74 for 76 trend 75 linear 76 trend 76 trend 79 001 76 trend 88 remained 77 = 79 001 79 001 83 linear 79 001 84 trend 79 001 85 of 79 001 88 remained 82 the 83 linear 83 linear 84 trend 85 of 87 association 86 the 87 association 88 remained 89 statistically 88 remained 91 when 91 when 93 controlling 92 further 93 controlling 93 controlling 103 and 95 history 96 of 95 history 103 and 96 of 97 stroke 97 stroke 101 attacks 98 , 101 attacks 99 transient 101 attacks 100 ischemic 101 attacks 101 attacks 102 , 102 , 103 and 103 and 104 presence 103 and 108 . 104 presence 105 of 105 of 107 plaques 106 carotid 107 plaques conclusions : daily tea consumption is associated with [a] lower likelihood of depressive symptoms in chinese older people living in a rural community . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 5 consumption 2 : 7 associated 3 daily 4 tea 4 tea 5 consumption 5 consumption 6 is 6 is 7 associated 7 associated 8 with 8 with 11 likelihood 8 with 19 living 10 lower 11 likelihood 11 likelihood 12 of 11 likelihood 15 in 12 of 14 symptoms 13 depressive 14 symptoms 15 in 18 people 16 chinese 18 people 17 older 18 people 19 living 20 in 20 in 23 community 21 a 23 community 22 rural 23 community the association appears to be independent of cerebrovascular disease and atherosclerosis . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 3 appears 0 ###LEFT-WALL### 12 . 1 the 2 association 2 association 3 appears 3 appears 4 to 3 appears 5 be 4 to 5 be 5 be 10 and 6 independent 7 of 6 independent 10 and 7 of 9 disease 8 cerebrovascular 9 disease 10 and 11 atherosclerosis none none none none none none none none objectives : to examine the association between hospice use and public expenditures in a sample of dually eligible assisted living ( al ) residents at the end of life . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 12 examine 0 ###LEFT-WALL### 38 . 1 none 9 objectives 1 none 11 to 1 none 12 examine 2 none 3 none 3 none 4 none 4 none 5 none 5 none 6 none 6 none 7 none 7 none 8 none 8 none 9 objectives 9 objectives 10 : 10 : 11 to 12 examine 32 residents 12 examine 33 at 13 the 14 association 14 association 15 between 14 association 18 and 15 between 17 use 16 hospice 17 use 18 and 20 expenditures 18 and 21 in 18 and 32 residents 19 public 20 expenditures 21 in 23 sample 22 a 23 sample 23 sample 24 of 24 of 28 living 25 dually 26 eligible 26 eligible 28 living 27 assisted 28 living 28 living 30 al 29 ( 30 al 30 al 31 ) 33 at 35 end 34 the 35 end 35 end 36 of 36 of 37 life design : a retrospective cohort study . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 . 1 design 2 : 2 : 6 study 3 a 4 retrospective 3 a 6 study 4 retrospective 5 cohort 5 cohort 6 study setting : florida al facilities . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 . 1 setting 2 : 2 : 5 facilities 3 florida 4 al 4 al 5 facilities participants : newly enrolled dually eligible older al residents under florida 's medicaid assisted living for the elderly waiver program who died between january 2003 and december 2004 ( n = 382 ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 2 : 26 and 2 : 34 . 3 newly 4 enrolled 4 enrolled 9 residents 5 dually 6 eligible 6 eligible 9 residents 7 older 9 residents 8 al 9 residents 9 residents 10 under 9 residents 26 and 10 under 20 program 11 florida 12 's 12 's 20 program 13 medicaid 14 assisted 14 assisted 15 living 15 living 16 for 15 living 20 program 16 for 18 elderly 17 the 18 elderly 19 waiver 20 program 20 program 21 who 20 program 22 died 21 who 22 died 22 died 23 between 23 between 24 january 24 january 25 2003 26 and 27 december 26 and 31 = 27 december 28 2004 29 ( 31 = 30 n 31 = 31 = 32 382 31 = 33 ) measurements : individual sociodemographic characteristics were obtained from florida 's medicaid comprehensive assessment data . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 2 : 5 characteristics 2 : 7 obtained 2 : 15 . 3 individual 5 characteristics 4 sociodemographic 5 characteristics 5 characteristics 6 were 6 were 7 obtained 7 obtained 8 from 8 from 14 data 9 florida 10 's 10 's 14 data 11 medicaid 14 data 12 comprehensive 13 assessment 13 assessment 14 data medicaid eligibility status , [enrollment] in the al waiver programs , international classification of diseases , ninth revision , clinical modification , codes and medicaid claims data were obtained from florida 's medicaid payment agency . 0 ###LEFT-WALL### 3 status 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 36 . 1 medicaid 3 status 2 eligibility 3 status 4 , 13 classification 4 , 26 claims 6 in 10 programs 6 in 11 , 6 in 13 classification 7 the 10 programs 8 al 10 programs 9 waiver 10 programs 12 international 13 classification 13 classification 14 of 13 classification 26 claims 14 of 24 and 15 diseases 16 , 16 , 18 revision 16 , 19 , 17 ninth 18 revision 19 , 21 modification 19 , 22 , 20 clinical 21 modification 22 , 23 codes 22 , 24 and 24 and 25 medicaid 26 claims 27 data 26 claims 29 obtained 27 data 28 were 28 were 29 obtained 29 obtained 30 from 30 from 35 agency 31 florida 32 's 32 's 35 agency 33 medicaid 35 agency 34 payment 35 agency individual characteristics and medicare and medicaid claims data were merged with vital statistics to determine diagnoses , date of death , hospice enrollment , and public expenditures . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 28 . 1 individual 2 characteristics 2 characteristics 3 and 3 and 4 medicare 5 and 6 medicaid 5 and 7 claims 6 medicaid 7 claims 7 claims 8 data 7 claims 10 merged 8 data 9 were 9 were 10 merged 10 merged 11 with 11 with 13 statistics 12 vital 13 statistics 13 statistics 14 to 13 statistics 17 , 13 statistics 19 of 14 to 17 , 15 determine 16 diagnoses 15 determine 17 , 17 , 18 date 19 of 25 and 20 death 21 , 21 , 23 enrollment 21 , 25 and 22 hospice 23 enrollment 24 , 25 and 25 and 27 expenditures 26 public 27 expenditures results : the mean age of the study sample was 84.8 ( range 65 - 102 ) ; 71.5 % were female , and 63.4 % were white . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 age 2 : 10 was 2 : 18 ; 2 : 29 . 3 the 5 age 4 mean 5 age 5 age 6 of 5 age 10 was 6 of 9 sample 7 the 9 sample 8 study 9 sample 10 was 11 84.8 11 84.8 13 range 12 ( 13 range 13 range 15 - 13 range 17 ) 14 65 15 - 15 - 16 102 18 ; 20 % 18 ; 21 were 18 ; 24 and 19 71.5 20 % 20 % 21 were 21 were 22 female 23 , 24 and 24 and 26 % 24 and 27 were 25 63.4 26 % 26 % 27 were 27 were 28 white during the average 9.6 months [of] follow - up , 35.6 % of the sample enrolled in hospice , and the average hospice length of stay was 47.9 d ; 73.3 % of the sample had been admitted to a hospital , and 38.0 % had been admitted to a nursing home [.] 0 ###LEFT-WALL### 5 months 0 ###LEFT-WALL### 7 follow 0 ###LEFT-WALL### 10 , 1 during 3 average 1 during 5 months 2 the 3 average 4 9.6 5 months 5 months 7 follow 7 follow 9 up 8 - 9 up 9 up 10 , 10 , 12 % 10 , 16 enrolled 10 , 19 , 11 35.6 12 % 12 % 13 of 12 % 16 enrolled 13 of 15 sample 14 the 15 sample 16 enrolled 17 in 17 in 18 hospice 19 , 20 and 19 , 27 was 19 , 30 ; 20 and 24 length 21 the 24 length 22 average 23 hospice 23 hospice 24 length 24 length 25 of 24 length 27 was 25 of 26 stay 27 was 29 d 28 47.9 29 d 30 ; 32 % 30 ; 38 admitted 30 ; 42 , 31 73.3 32 % 32 % 33 of 32 % 36 had 33 of 35 sample 34 the 35 sample 36 had 37 been 37 been 38 admitted 38 admitted 39 to 39 to 41 hospital 40 a 41 hospital 42 , 43 and 42 , 48 admitted 43 and 45 % 44 38.0 45 % 45 % 46 had 46 had 47 been 47 been 48 admitted 48 admitted 49 to 49 to 52 home 50 a 52 home 51 nursing 52 home the generalized linear model showed that hospice use was not significantly associated with lower public expenditures ( average marginal effect [=] - $ 1,127 , 95 % confidence interval [=] - $ 8,377 , $ 6,122 ) . 0 ###LEFT-WALL### 4 model 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 38 . 1 the 4 model 2 generalized 4 model 3 linear 4 model 4 model 5 showed 5 showed 6 that 6 that 8 use 6 that 12 associated 7 hospice 8 use 8 use 9 was 9 was 10 not 9 was 11 significantly 9 was 12 associated 12 associated 13 with 13 with 16 expenditures 14 lower 16 expenditures 15 public 16 expenditures 16 expenditures 20 effect 17 ( 20 effect 18 average 20 effect 19 marginal 20 effect 20 effect 23 $ 20 effect 25 , 22 - 23 $ 23 $ 24 1,127 23 $ 25 , 25 , 29 interval 25 , 31 - 26 95 27 % 27 % 28 confidence 28 confidence 29 interval 31 - 32 $ 32 $ 33 8,377 32 $ 35 $ 34 , 35 $ 35 $ 36 6,122 35 $ 37 ) conclusion : hospice use at the end of life may not be associated with lower public expenditures in older dually eligible al residents . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 use 2 : 13 associated 2 : 24 . 3 hospice 4 use 4 use 5 at 4 use 10 may 5 at 7 end 6 the 7 end 7 end 8 of 8 of 9 life 10 may 11 not 10 may 12 be 12 be 13 associated 13 associated 14 with 13 associated 18 in 14 with 17 expenditures 15 lower 17 expenditures 16 public 17 expenditures 18 in 23 residents 19 older 23 residents 20 dually 21 eligible 21 eligible 23 residents 22 al 23 residents future research should examine the association [between] hospice enrollment and the quality [of] end - of [-] life care . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 4 examine 0 ###LEFT-WALL### 20 . 1 future 2 research 2 research 3 should 3 should 4 examine 4 examine 10 and 4 examine 19 care 5 the 9 enrollment 6 association 9 enrollment 8 hospice 9 enrollment 9 enrollment 10 and 10 and 14 end 10 and 15 - 10 and 16 of 10 and 19 care 11 the 14 end 12 quality 14 end 16 of 18 life objectives : to describe the extent to which hospitalized nursing home ( nh ) residents with advanced dementia were [admitted] to a skilled nursing facility ( snf ) after a qualifying hospitalization [and] to identify resident and nursing home characteristics associated with [a] greater likelihood of snf admissions . 1 objectives 2 : 2 : 3 to 2 : 4 describe 3 to 4 describe 4 describe 6 extent 5 the 6 extent 6 extent 7 to 7 to 8 which 7 to 11 home 7 to 15 residents 7 to 19 were 8 which 11 home 9 hospitalized 10 nursing 10 nursing 11 home 11 home 13 nh 12 ( 13 nh 13 nh 14 ) 15 residents 16 with 15 residents 19 were 16 with 18 dementia 17 advanced 18 dementia 19 were 21 to 19 were 29 after 21 to 25 facility 22 a 23 skilled 22 a 25 facility 23 skilled 24 nursing 24 nursing 25 facility 25 facility 27 snf 26 ( 27 snf 27 snf 28 ) 29 after 32 hospitalization 30 a 32 hospitalization 31 qualifying 32 hospitalization 32 hospitalization 34 to 32 hospitalization 35 identify 34 to 35 identify 35 identify 37 and 36 resident 37 and 37 and 40 characteristics 37 and 49 . 38 nursing 40 characteristics 39 home 40 characteristics 40 characteristics 41 associated 40 characteristics 42 with 40 characteristics 46 of 42 with 45 likelihood 44 greater 45 likelihood 46 of 48 admissions 47 snf 48 admissions design : cohort study using data from the minimum data set , medicare claims , and the on - line survey certification of automated records . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 - 1 design 2 : 2 : 4 study 2 : 5 using 2 : 7 from 3 cohort 4 study 5 using 6 data 7 from 11 set 8 the 11 set 9 minimum 10 data 10 data 11 set 11 set 16 and 12 , 16 and 13 medicare 14 claims 14 claims 16 and 15 , 16 and 16 and 18 on 16 and 19 - 17 the 18 on 19 - 20 line 19 - 26 . 20 line 22 certification 21 survey 22 certification 22 certification 23 of 23 of 25 records 24 automated 25 records setting : united states , 2000 - 2006 . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 9 . 1 setting 2 : 2 : 4 states 3 united 4 states 5 , 6 2000 5 , 7 - 6 2000 7 - 7 - 8 2006 participants : nursing home residents with advanced dementia aged 65 and older with a 3 [-] day hospitalization ( n = 4,177 ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 1 participants 2 : 2 : 3 nursing 3 nursing 11 and 4 home 5 residents 5 residents 6 with 5 residents 11 and 6 with 8 dementia 7 advanced 8 dementia 8 dementia 9 aged 9 aged 10 65 11 and 12 older 12 older 13 with 13 with 18 hospitalization 14 a 18 hospitalization 15 3 17 day 17 day 18 hospitalization 18 hospitalization 21 = 19 ( 21 = 20 n 21 = 21 = 22 4,177 21 = 23 ) measurements : the likelihood of snf admission after hospitalization was calculated . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 . 1 measurements 2 : 2 : 4 likelihood 2 : 8 after 3 the 4 likelihood 4 likelihood 5 of 5 of 7 admission 6 snf 7 admission 8 after 9 hospitalization 8 after 11 calculated 9 hospitalization 10 was 10 was 11 calculated resident and nursing home factors associated with snf admission were identified using hierarchical multivariable logistic regression . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 11 identified 0 ###LEFT-WALL### 17 . 1 resident 2 and 2 and 4 home 2 and 5 factors 2 and 6 associated 2 and 10 were 3 nursing 4 home 5 factors 6 associated 6 associated 7 with 7 with 8 snf 7 with 9 admission 10 were 11 identified 11 identified 12 using 12 using 16 regression 13 hierarchical 16 regression 14 multivariable 16 regression 15 logistic 16 regression results : sixty [-] one percent of residents with advanced dementia were admitted to a snf after their hospitalization . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 6 percent 2 : 13 admitted 3 sixty 5 one 5 one 6 percent 6 percent 7 of 6 percent 9 with 6 percent 12 were 7 of 8 residents 9 with 11 dementia 10 advanced 11 dementia 12 were 13 admitted 13 admitted 14 to 13 admitted 17 after 14 to 16 snf 15 a 16 snf 17 after 19 hospitalization 18 their 19 hospitalization percutaneous endoscopic gastrostomy ( peg ) tube placement during hospitalization was strongly associated with snf admission ( adjusted odds [ratio] ( aor ) = 2.31 , 95 % confidence [interval] ( ci ) = 1.85 - 2.88 ) , [as] was better functional status ( [aor] = 1.21 , 95 % ci = 1.05 - 1.38 ) . 0 ###LEFT-WALL### 8 placement 0 ###LEFT-WALL### 39 , 1 percutaneous 8 placement 2 endoscopic 7 tube 3 gastrostomy 5 peg 3 gastrostomy 6 ) 3 gastrostomy 7 tube 4 ( 5 peg 5 peg 6 ) 7 tube 8 placement 8 placement 9 during 8 placement 39 , 9 during 10 hospitalization 11 was 13 associated 11 was 39 , 12 strongly 13 associated 13 associated 14 with 14 with 15 snf 14 with 25 2.31 15 snf 16 admission 15 snf 24 = 16 admission 19 odds 16 admission 24 = 17 ( 19 odds 18 adjusted 19 odds 19 odds 22 aor 19 odds 23 ) 21 ( 22 aor 22 aor 23 ) 25 2.31 28 % 26 , 28 % 27 95 28 % 28 % 29 confidence 28 % 34 = 28 % 38 ) 29 confidence 32 ci 29 confidence 34 = 31 ( 32 ci 32 ci 33 ) 34 = 36 - 35 1.85 36 - 36 - 37 2.88 39 , 41 was 41 was 44 status 42 better 43 functional 43 functional 44 status 44 status 48 1.21 45 ( 48 1.21 47 = 48 1.21 48 1.21 52 ci 48 1.21 58 . 49 , 52 ci 50 95 52 ci 51 % 52 ci 52 ci 55 - 52 ci 57 ) 53 = 54 1.05 54 1.05 55 - 55 - 56 1.38 the presence of diabetes mellitus was associated with lower likelihood of snf admission ( aor [=] 0.85 , 95 % ci = 0.73 - 0.99 ) . 0 ###LEFT-WALL### 2 presence 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 27 . 1 the 2 presence 2 presence 3 of 2 presence 6 was 3 of 5 mellitus 4 diabetes 5 mellitus 6 was 7 associated 7 associated 8 with 8 with 10 likelihood 9 lower 10 likelihood 10 likelihood 11 of 10 likelihood 15 aor 10 likelihood 21 ci 11 of 13 admission 12 snf 13 admission 14 ( 15 aor 15 aor 17 0.85 15 aor 18 , 18 , 21 ci 19 95 21 ci 20 % 21 ci 21 ci 24 - 21 ci 26 ) 22 = 23 0.73 23 0.73 24 - 24 - 25 0.99 conclusion : the majority of nursing home residents with advanced dementia are admitted to snfs after a qualifying hospitalization . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 8 residents 2 : 13 admitted 2 : 20 . 3 the 4 majority 4 majority 5 of 4 majority 8 residents 5 of 8 residents 6 nursing 8 residents 7 home 8 residents 8 residents 9 with 8 residents 12 are 9 with 11 dementia 10 advanced 11 dementia 12 are 13 admitted 13 admitted 14 to 13 admitted 16 after 14 to 15 snfs 16 after 19 hospitalization 17 a 19 hospitalization 18 qualifying 19 hospitalization snf admission is strongly associated with peg tube insertion during hospitalization and with nursing home factors . 0 ###LEFT-WALL### 2 admission 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 17 . 1 snf 2 admission 2 admission 3 is 3 is 5 associated 4 strongly 5 associated 5 associated 6 with 6 with 9 insertion 7 peg 9 insertion 8 tube 9 insertion 9 insertion 12 and 10 during 11 hospitalization 10 during 12 and 12 and 13 with 13 with 14 nursing 14 nursing 16 factors 15 home 16 factors efforts to optimize appropriate use of snf services in individuals with advanced dementia should focus on these factors . 0 ###LEFT-WALL### 1 efforts 0 ###LEFT-WALL### 15 focus 0 ###LEFT-WALL### 19 . 1 efforts 2 to 1 efforts 3 optimize 1 efforts 14 should 2 to 3 optimize 3 optimize 5 use 3 optimize 9 in 3 optimize 11 with 4 appropriate 5 use 5 use 6 of 6 of 8 services 7 snf 8 services 9 in 10 individuals 11 with 13 dementia 12 advanced 13 dementia 14 should 15 focus 15 focus 16 on 16 on 18 factors 17 these 18 factors chronic sulfur mustard skin lesions ( csmsls ) are the most common complications of sulfur mustard exposure ; however , its mechanism is not completely understood.according to clinical signs , there are similarities between csmsl and atopic dermatitis ( ad ) . 0 ###LEFT-WALL### 3 mustard 0 ###LEFT-WALL### 9 are 0 ###LEFT-WALL### 18 ; 0 ###LEFT-WALL### 42 . 1 chronic 3 mustard 2 sulfur 3 mustard 3 mustard 4 skin 3 mustard 5 lesions 3 mustard 7 csmsls 3 mustard 9 are 4 skin 5 lesions 6 ( 7 csmsls 7 csmsls 8 ) 9 are 13 complications 10 the 11 most 11 most 13 complications 12 common 13 complications 13 complications 14 of 14 of 17 exposure 15 sulfur 16 mustard 16 mustard 17 exposure 18 ; 22 mechanism 18 ; 23 is 18 ; 30 , 19 however 20 , 19 however 22 mechanism 21 its 22 mechanism 22 mechanism 23 is 23 is 24 not 23 is 26 understood.according 25 completely 26 understood.according 26 understood.according 27 to 27 to 29 signs 28 clinical 29 signs 30 , 31 there 30 , 32 are 31 there 32 are 32 are 36 and 33 similarities 34 between 33 similarities 36 and 34 between 35 csmsl 36 and 38 dermatitis 36 and 40 ad 37 atopic 38 dermatitis 39 ( 40 ad 40 ad 41 ) in this study , proteomic results of ad were reviewed and the ad - associated protein - protein interaction network ( pin ) was analyzed . 0 ###LEFT-WALL### 6 results 0 ###LEFT-WALL### 10 reviewed 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 26 . 1 in 3 study 1 in 4 , 1 in 6 results 2 this 3 study 5 proteomic 6 results 6 results 7 of 6 results 9 were 7 of 8 ad 9 were 10 reviewed 11 and 20 network 11 and 25 analyzed 12 the 20 network 13 ad 16 protein 13 ad 20 network 14 - 16 protein 15 associated 16 protein 16 protein 17 - 18 protein 20 network 19 interaction 20 network 20 network 22 pin 20 network 24 was 21 ( 22 pin 22 pin 23 ) 24 was 25 analyzed according to centrality measurements , 16 proteins were designated as pivotal elements in ad mechanisms . 0 ###LEFT-WALL### 7 proteins 0 ###LEFT-WALL### 9 designated 0 ###LEFT-WALL### 16 . 1 according 2 to 2 to 4 measurements 2 to 5 , 2 to 7 proteins 3 centrality 4 measurements 6 16 7 proteins 7 proteins 8 were 8 were 9 designated 9 designated 10 as 9 designated 13 in 10 as 12 elements 11 pivotal 12 elements 13 in 15 mechanisms 14 ad 15 mechanisms interestingly , most of these proteins had been reported in some sulfur mustard - related studies in late and acute phases separately . 0 ###LEFT-WALL### 6 proteins 0 ###LEFT-WALL### 9 reported 0 ###LEFT-WALL### 15 related 1 interestingly 2 , 1 interestingly 6 proteins 3 most 4 of 3 most 6 proteins 4 of 6 proteins 5 these 6 proteins 6 proteins 7 had 7 had 8 been 8 been 9 reported 9 reported 10 in 10 in 13 mustard 11 some 13 mustard 12 sulfur 13 mustard 14 - 15 related 15 related 16 studies 15 related 17 in 15 related 22 separately 15 related 23 . 17 in 21 phases 18 late 19 and 19 and 20 acute 19 and 21 phases based on the gene enrichment analysis , aging , cell response [to] stress , cancer , toll - and nod - like receptor [and] apoptosis signaling pathways have the greatest impact on the disease . 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 28 have 0 ###LEFT-WALL### 35 . 1 based 2 on 1 based 14 , 1 based 19 and 2 on 6 analysis 3 the 6 analysis 4 gene 5 enrichment 5 enrichment 6 analysis 6 analysis 8 aging 6 analysis 13 stress 7 , 8 aging 8 aging 9 , 9 , 13 stress 10 cell 13 stress 11 response 13 stress 13 stress 14 , 15 cancer 16 , 16 , 17 toll 16 , 19 and 18 - 19 and 19 and 20 nod 19 and 21 - 19 and 22 like 19 and 26 signaling 19 and 28 have 22 like 25 apoptosis 23 receptor 25 apoptosis 26 signaling 27 pathways 28 have 31 impact 28 have 32 on 29 the 30 greatest 29 the 31 impact 32 on 34 disease 33 the 34 disease by the analysis of directed protein interaction networks , it is concluded that tnf , il - 6 , akt1 , nos3 and cdkn1a are the most important proteins . 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 25 are 0 ###LEFT-WALL### 30 . 1 by 3 analysis 1 by 23 and 2 the 3 analysis 3 analysis 4 of 4 of 8 networks 5 directed 6 protein 6 protein 8 networks 7 interaction 8 networks 8 networks 17 - 9 , 17 - 10 it 11 is 11 is 12 concluded 12 concluded 13 that 13 that 16 il 13 that 17 - 14 tnf 16 il 15 , 16 il 16 il 17 - 17 - 18 6 17 - 19 , 20 akt1 21 , 21 , 22 nos3 21 , 23 and 23 and 24 cdkn1a 23 and 25 are 25 are 29 proteins 26 the 27 most 27 most 29 proteins 28 important 29 proteins it is possible that these proteins play [role] in the shared complications of ad and csmsl including xerosis and itching . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 21 . 1 it 2 is 2 is 3 possible 3 possible 4 that 4 that 6 proteins 4 that 7 play 5 these 6 proteins 6 proteins 7 play 7 play 9 in 9 in 12 complications 10 the 12 complications 11 shared 12 complications 12 complications 13 of 13 of 16 csmsl 14 ad 15 and 15 and 16 csmsl 16 csmsl 17 including 17 including 19 and 18 xerosis 19 and 19 and 20 itching a decline in energy is common in aging , and the restoration of mitochondrial bioenergetics may offer a common approach for the treatment of numerous age - associated diseases . 0 ###LEFT-WALL### 2 decline 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 10 and 1 a 2 decline 2 decline 3 in 2 decline 5 is 3 in 4 energy 5 is 6 common 6 common 7 in 7 in 8 aging 9 , 10 and 10 and 12 restoration 10 and 17 offer 11 the 12 restoration 12 restoration 13 of 12 restoration 16 may 13 of 15 bioenergetics 14 mitochondrial 15 bioenergetics 16 may 17 offer 17 offer 20 approach 18 a 19 common 18 a 20 approach 19 common 20 approach 20 approach 21 for 21 for 23 treatment 22 the 23 treatment 23 treatment 24 of 24 of 26 age 25 numerous 26 age 26 age 29 diseases 27 - 29 diseases 28 associated 29 diseases 29 diseases 30 . cardiolipin is a unique phospholipid that is exclusively expressed on the inner mitochondrial membrane where it plays an important structural role in cristae formation and the organization of the respiratory complexes into supercomplexes for optimal oxidative phosphorylation . 0 ###LEFT-WALL### 1 cardiolipin 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 38 . 1 cardiolipin 2 is 2 is 5 phospholipid 3 a 5 phospholipid 4 unique 5 phospholipid 5 phospholipid 6 that 5 phospholipid 7 is 6 that 7 is 7 is 9 expressed 8 exclusively 9 expressed 9 expressed 10 on 9 expressed 22 in 9 expressed 32 into 10 on 14 membrane 11 the 14 membrane 12 inner 14 membrane 13 mitochondrial 14 membrane 14 membrane 15 where 15 where 16 it 15 where 17 plays 16 it 17 plays 17 plays 21 role 18 an 19 important 18 an 21 role 19 important 21 role 20 structural 21 role 22 in 25 and 23 cristae 24 formation 24 formation 25 and 25 and 27 organization 25 and 28 of 26 the 27 organization 28 of 31 complexes 29 the 31 complexes 30 respiratory 31 complexes 32 into 33 supercomplexes 33 supercomplexes 34 for 34 for 37 phosphorylation 35 optimal 37 phosphorylation 36 oxidative 37 phosphorylation the interaction between cardiolipin and cytochrome [c] determines whether cytochrome [c] acts as an electron carrier or peroxidase . 0 ###LEFT-WALL### 2 interaction 0 ###LEFT-WALL### 8 determines 0 ###LEFT-WALL### 19 . 1 the 2 interaction 2 interaction 3 between 2 interaction 8 determines 3 between 5 and 4 cardiolipin 5 and 5 and 6 cytochrome 8 determines 9 whether 9 whether 10 cytochrome 9 whether 12 acts 10 cytochrome 12 acts 12 acts 13 as 13 as 17 or 14 an 16 carrier 15 electron 16 carrier 16 carrier 17 or 17 or 18 peroxidase cardiolipin peroxidation and depletion have been reported in a variety of pathological conditions associated with energy deficiency , and cardiolipin has been identified as a target for drug development . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 7 reported 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 30 . 1 cardiolipin 2 peroxidation 2 peroxidation 3 and 3 and 4 depletion 3 and 5 have 5 have 6 been 6 been 7 reported 7 reported 8 in 7 reported 15 with 8 in 10 variety 9 a 10 variety 10 variety 11 of 11 of 13 conditions 12 pathological 13 conditions 13 conditions 14 associated 15 with 17 deficiency 16 energy 17 deficiency 18 , 19 and 19 and 20 cardiolipin 19 and 23 identified 20 cardiolipin 21 has 21 has 22 been 22 been 23 identified 23 identified 24 as 24 as 26 target 25 a 26 target 26 target 27 for 27 for 29 development 28 drug 29 development this review focuses on the discovery and development of the first cardiolipin - protective compound as a therapeutic agent . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 focuses 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 20 . 1 this 2 review 2 review 3 focuses 3 focuses 4 on 4 on 7 and 5 the 6 discovery 6 discovery 7 and 7 and 8 development 7 and 9 of 9 of 12 cardiolipin 10 the 11 first 10 the 12 cardiolipin 13 - 15 compound 14 protective 15 compound 15 compound 16 as 16 as 19 agent 17 a 18 therapeutic 17 a 19 agent 18 therapeutic 19 agent ss - [31] is a member of the szeto - schiller ( ss ) peptides known to selectively target the inner mitochondrial membrane . 0 ###LEFT-WALL### 1 ss 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 16 known 0 ###LEFT-WALL### 24 . 1 ss 2 - 1 ss 4 is 4 is 6 member 4 is 15 peptides 5 a 6 member 6 member 7 of 6 member 11 schiller 7 of 9 szeto 8 the 9 szeto 10 - 11 schiller 11 schiller 13 ss 11 schiller 14 ) 12 ( 13 ss 13 ss 14 ) 15 peptides 16 known 16 known 17 to 16 known 19 target 17 to 19 target 18 selectively 19 target 19 target 23 membrane 20 the 23 membrane 21 inner 23 membrane 22 mitochondrial 23 membrane ss [-] 31 binds selectively to cardiolipin via electrostatic and hydrophobic interactions . 0 ###LEFT-WALL### 1 ss 0 ###LEFT-WALL### 4 binds 0 ###LEFT-WALL### 13 . 1 ss 3 31 1 ss 4 binds 4 binds 5 selectively 4 binds 6 to 4 binds 8 via 6 to 7 cardiolipin 8 via 12 interactions 9 electrostatic 10 and 10 and 11 hydrophobic 10 and 12 interactions by interacting with cardiolipin , ss [-] 31 prevents cardiolipin from converting cytochrome [c] into a peroxidase while protecting its electron carrying function . 0 ###LEFT-WALL### 6 ss 0 ###LEFT-WALL### 9 prevents 0 ###LEFT-WALL### 24 . 1 by 2 interacting 1 by 5 , 1 by 6 ss 2 interacting 3 with 3 with 4 cardiolipin 6 ss 8 31 6 ss 9 prevents 9 prevents 10 cardiolipin 9 prevents 11 from 11 from 12 converting 12 converting 13 cytochrome 12 converting 15 into 12 converting 18 while 15 into 17 peroxidase 16 a 17 peroxidase 18 while 19 protecting 19 protecting 23 function 20 its 23 function 21 electron 23 function 22 carrying 23 function as a result , ss - 31 protects the structure of mitochondrial cristae and promotes oxidative phosphorylation . 0 ###LEFT-WALL### 7 31 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 18 . 1 as 3 result 1 as 7 31 2 a 3 result 3 result 5 ss 4 , 5 ss 5 ss 6 - 7 31 14 and 8 protects 10 structure 8 protects 14 and 9 the 10 structure 10 structure 11 of 11 of 13 cristae 12 mitochondrial 13 cristae 14 and 15 promotes 15 promotes 17 phosphorylation 16 oxidative 17 phosphorylation ss - 31 represents a new class of compounds that can recharge the cellular powerhouse and restore bioenergetics . 0 ###LEFT-WALL### 3 31 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 19 . 1 ss 2 - 1 ss 3 31 3 31 16 and 4 represents 7 class 4 represents 16 and 5 a 6 new 5 a 7 class 6 new 7 class 7 class 8 of 8 of 9 compounds 9 compounds 10 that 9 compounds 11 can 10 that 11 can 11 can 12 recharge 12 recharge 15 powerhouse 13 the 15 powerhouse 14 cellular 15 powerhouse 16 and 17 restore 17 restore 18 bioenergetics extensive animal studies have shown that targeting such a fundamental mechanism can benefit highly complex diseases that share [a] common pathogenesis of bioenergetics failure . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 5 shown 0 ###LEFT-WALL### 25 . 1 extensive 3 studies 2 animal 3 studies 3 studies 4 have 4 have 5 shown 5 shown 6 that 6 that 7 targeting 6 that 13 benefit 7 targeting 11 mechanism 7 targeting 12 can 8 such 9 a 9 a 10 fundamental 9 a 11 mechanism 10 fundamental 11 mechanism 12 can 13 benefit 13 benefit 16 diseases 14 highly 15 complex 15 complex 16 diseases 16 diseases 17 that 16 diseases 18 share 17 that 18 share 18 share 21 pathogenesis 20 common 21 pathogenesis 21 pathogenesis 22 of 22 of 24 failure 23 bioenergetics 24 failure this review summarizes the mechanisms of action and therapeutic potential of [ss] - 31 and provides an update of its clinical development programme . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 24 . 1 this 2 review 2 review 15 and 3 summarizes 5 mechanisms 3 summarizes 15 and 4 the 5 mechanisms 5 mechanisms 6 of 5 mechanisms 11 of 6 of 8 and 7 action 8 and 8 and 10 potential 9 therapeutic 10 potential 11 of 14 31 13 - 14 31 15 and 16 provides 16 provides 18 update 17 an 18 update 18 update 19 of 19 of 23 programme 20 its 23 programme 21 clinical 22 development 22 development 23 programme background : the population is aging . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 population 2 : 5 is 2 : 7 . 3 the 4 population 4 population 5 is 5 is 6 aging we examined changes in the proportion of elderly ( ≥ 80 years ) intensive care [unit] ( icu ) [patients] during 2005 - 2011 and the association between age and mortality controlling for preexisting morbidity . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 36 . 1 we 2 examined 2 examined 25 and 2 examined 28 between 2 examined 33 for 3 changes 4 in 3 changes 25 and 4 in 6 proportion 5 the 6 proportion 6 proportion 7 of 6 proportion 21 during 7 of 15 care 8 elderly 12 years 8 elderly 13 ) 8 elderly 15 care 9 ( 12 years 10 ≥ 12 years 11 80 12 years 12 years 13 ) 14 intensive 15 care 15 care 18 icu 17 ( 18 icu 18 icu 19 ) 21 during 23 - 22 2005 23 - 23 - 24 2011 25 and 27 association 26 the 27 association 28 between 30 and 29 age 30 and 30 and 32 controlling 31 mortality 32 controlling 33 for 34 preexisting 34 preexisting 35 morbidity methods : through the danish national patient registry , we identified a cohort of 49,938 icu admissions ( 47,596 patients ) in northern denmark from 2005 to 2011 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 29 . 1 methods 2 : 2 : 3 through 3 through 8 registry 4 the 8 registry 5 danish 8 registry 6 national 7 patient 7 patient 8 registry 9 , 10 we 9 , 11 identified 10 we 11 identified 11 identified 13 cohort 11 identified 22 in 12 a 13 cohort 13 cohort 14 of 14 of 17 admissions 15 49,938 17 admissions 16 icu 17 admissions 17 admissions 20 patients 18 ( 20 patients 19 47,596 20 patients 20 patients 21 ) 22 in 24 denmark 23 northern 24 denmark 24 denmark 27 to 25 from 27 to 26 2005 27 to 27 to 28 2011 patients [were] subdivided in age groups ( 15 - 49 , 50 - 64 , 65 - 79 and ≥ 80 years ) and calendar [year] . 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 27 . 1 patients 3 subdivided 1 patients 19 and 3 subdivided 4 in 3 subdivided 9 - 3 subdivided 13 - 3 subdivided 17 - 4 in 6 groups 5 age 6 groups 7 ( 9 - 8 15 9 - 9 - 10 49 9 - 11 , 11 , 13 - 12 50 13 - 13 - 14 64 13 - 15 , 16 65 17 - 17 - 18 79 19 and 22 years 19 and 23 ) 19 and 24 and 20 ≥ 22 years 21 80 22 years 24 and 25 calendar we estimated 30 - day and 31 - 365 - day mortality and mortality rate ratios ( mrrs ) , stratified by admission [type] ( medical and elective/acute surgical patients ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 estimated 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 32 . 1 we 2 estimated 2 estimated 3 30 4 - 5 day 4 - 6 and 6 and 7 31 6 and 8 - 7 31 8 - 8 - 9 365 9 365 10 - 10 - 13 and 11 day 12 mortality 12 mortality 13 and 13 and 16 ratios 13 and 18 mrrs 13 and 21 stratified 14 mortality 16 ratios 15 rate 16 ratios 17 ( 18 mrrs 18 mrrs 19 ) 20 , 21 stratified 21 stratified 22 by 21 stratified 31 ) 22 by 23 admission 23 admission 30 patients 25 ( 30 patients 26 medical 27 and 27 and 28 elective/acute 27 and 30 patients 29 surgical 30 patients 30 patients 31 ) mortality was compared between age groups adjusting for sex and preexisting morbidity using 50 - 64 [-] year - olds as reference . 0 ###LEFT-WALL### 1 mortality 0 ###LEFT-WALL### 3 compared 0 ###LEFT-WALL### 23 . 1 mortality 2 was 2 was 3 compared 3 compared 4 between 3 compared 21 as 4 between 6 groups 5 age 6 groups 6 groups 7 adjusting 6 groups 8 for 8 for 20 olds 9 sex 10 and 10 and 12 morbidity 10 and 13 using 10 and 18 year 10 and 20 olds 11 preexisting 12 morbidity 13 using 14 50 15 - 18 year 16 64 18 year 18 year 19 - 21 as 22 reference results : the proportion of elderly patients increased from 11.7 % of all icu patients in 2005 to 13.8 % in 2011 . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 1 results 2 : 2 : 4 proportion 3 the 4 proportion 4 proportion 5 of 4 proportion 8 increased 5 of 7 patients 6 elderly 7 patients 8 increased 9 from 8 increased 16 in 9 from 11 % 10 11.7 11 % 11 % 12 of 12 of 15 patients 13 all 15 patients 14 icu 15 patients 16 in 18 to 17 2005 18 to 18 to 19 13.8 19 13.8 21 in 20 % 21 in 21 in 22 2011 among the elderly , the 30 - day mortality was 43.7 % in medical , 39.6 % in [acute] surgical , and 11.6 % in elective surgical icu patients . 0 ###LEFT-WALL### 9 mortality 0 ###LEFT-WALL### 10 was 0 ###LEFT-WALL### 30 . 1 among 8 day 1 among 9 mortality 2 the 8 day 3 elderly 6 30 3 elderly 8 day 4 , 6 30 5 the 6 30 6 30 7 - 9 mortality 10 was 10 was 12 % 11 43.7 12 % 12 % 13 in 13 in 29 patients 14 medical 15 , 14 medical 29 patients 16 39.6 18 in 17 % 18 in 18 in 29 patients 20 surgical 22 and 21 , 22 and 22 and 28 icu 22 and 29 patients 23 11.6 25 in 24 % 25 in 25 in 28 icu 26 elective 28 icu 27 surgical 28 icu the 31 - 365 [-] day mortality among elderly patients was 25.4 % in medical , 26.9 % in acute , and 11.9 % in elective surgical icu patients , corresponding to adjusted mrrs of 2.5 ( 95 % ci 2.1 - 2.9 ) , 2.2 ( 95 % ci 1.9 - 2.5 ) , [and] 1.9 ( 95 % ci 1.6 - 2.3 ) , respectively . 0 ###LEFT-WALL### 7 mortality 0 ###LEFT-WALL### 11 was 0 ###LEFT-WALL### 68 . 1 the 7 mortality 2 31 3 - 3 - 4 365 3 - 6 day 6 day 7 mortality 7 mortality 8 among 7 mortality 11 was 8 among 10 patients 9 elderly 10 patients 11 was 13 % 11 was 14 in 11 was 67 respectively 12 25.4 13 % 14 in 29 patients 15 medical 16 , 15 medical 29 patients 17 26.9 19 in 18 % 19 in 19 in 29 patients 20 acute 22 and 21 , 22 and 22 and 28 icu 22 and 29 patients 23 11.9 25 in 24 % 25 in 25 in 28 icu 26 elective 28 icu 27 surgical 28 icu 29 patients 31 corresponding 30 , 31 corresponding 31 corresponding 32 to 31 corresponding 66 , 32 to 34 mrrs 33 adjusted 34 mrrs 34 mrrs 35 of 34 mrrs 46 2.2 35 of 36 2.5 36 2.5 40 ci 37 ( 40 ci 38 95 40 ci 39 % 40 ci 40 ci 42 - 40 ci 44 ) 41 2.1 42 - 42 - 43 2.9 45 , 46 2.2 46 2.2 50 ci 46 2.2 66 , 47 ( 50 ci 48 95 50 ci 49 % 50 ci 50 ci 51 1.9 50 ci 53 2.5 50 ci 57 1.9 50 ci 64 2.3 50 ci 65 ) 52 - 53 2.5 53 2.5 54 ) 55 , 57 1.9 57 1.9 61 ci 57 1.9 63 - 58 ( 61 ci 59 95 61 ci 60 % 61 ci 61 ci 62 1.6 61 ci 63 - 63 - 64 2.3 64 2.3 65 ) conclusions : during 2005 - 2011 , there was an 18 % increase in the proportion of elderly icu patients . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 21 . 1 conclusions 2 : 2 : 3 during 3 during 5 - 4 2005 5 - 5 - 6 2011 7 , 8 there 7 , 9 was 8 there 9 was 9 was 13 increase 10 an 13 increase 11 18 12 % 12 % 13 increase 13 increase 14 in 14 in 16 proportion 15 the 16 proportion 16 proportion 17 of 17 of 20 patients 18 elderly 20 patients 19 icu 20 patients advancing age is associated with increased mortality even after controlling for preexisting morbidity . 0 ###LEFT-WALL### 1 advancing 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 14 . 1 advancing 2 age 1 advancing 3 is 3 is 4 associated 4 associated 5 with 5 with 7 mortality 6 increased 7 mortality 7 mortality 8 even 8 even 9 after 9 after 10 controlling 10 controlling 11 for 11 for 12 preexisting 12 preexisting 13 morbidity the purpose of this study is to estimate the prevalence of lifetime intimate partner violence ( ipv ) in older women and to analyze its effect on women 's health and healthcare services utilization . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 35 . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 is 3 of 5 study 4 this 5 study 6 is 7 to 6 is 22 and 7 to 22 and 8 estimate 10 prevalence 8 estimate 22 and 9 the 10 prevalence 10 prevalence 11 of 10 prevalence 19 in 11 of 15 violence 12 lifetime 13 intimate 13 intimate 14 partner 14 partner 15 violence 15 violence 17 ipv 16 ( 17 ipv 17 ipv 18 ) 19 in 21 women 20 older 21 women 22 and 23 to 22 and 24 analyze 23 to 24 analyze 24 analyze 26 effect 24 analyze 27 on 25 its 26 effect 27 on 31 and 28 women 29 's 29 's 30 health 30 health 31 and 31 and 34 utilization 32 healthcare 33 services 33 services 34 utilization women aged 55 years [and] over [(] 1,676 ) randomly sampled from primary healthcare services around spain were included . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 19 included 0 ###LEFT-WALL### 20 . 1 women 2 aged 1 women 12 from 1 women 18 were 2 aged 6 over 2 aged 9 ) 2 aged 11 sampled 3 55 4 years 4 years 6 over 6 over 8 1,676 10 randomly 11 sampled 12 from 15 services 13 primary 14 healthcare 14 healthcare 15 services 15 services 16 around 16 around 17 spain 18 were 19 included lifetime ipv prevalence , types , and duration were calculated . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 10 calculated 0 ###LEFT-WALL### 11 . 1 lifetime 2 ipv 2 ipv 3 prevalence 3 prevalence 4 , 4 , 5 types 4 , 7 and 6 , 7 and 7 and 8 duration 7 and 9 were 9 were 10 calculated descriptive and multivariate procedures using logistic and multiple lineal regression models were used . 0 ###LEFT-WALL### 1 descriptive 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 14 . 2 and 4 procedures 2 and 12 were 3 multivariate 4 procedures 4 procedures 5 using 4 procedures 12 were 5 using 11 models 6 logistic 7 and 7 and 8 multiple 7 and 10 regression 9 lineal 10 regression 10 regression 11 models 12 were 13 used of the women studied , 29.4 % experienced ipv with an average duration of 21 years . 0 ###LEFT-WALL### 7 % 0 ###LEFT-WALL### 8 experienced 0 ###LEFT-WALL### 17 . 1 of 3 women 1 of 5 , 1 of 7 % 2 the 3 women 3 women 4 studied 6 29.4 7 % 7 % 8 experienced 8 experienced 9 ipv 8 experienced 10 with 10 with 13 duration 11 an 12 average 11 an 13 duration 12 average 13 duration 13 duration 14 of 14 of 16 years 15 21 16 years regardless of the type of ipv experienced , abused women showed significantly poorer health and higher healthcare services utilization compared to women who had never been abused . 0 ###LEFT-WALL### 10 women 0 ###LEFT-WALL### 11 showed 0 ###LEFT-WALL### 28 . 1 regardless 2 of 2 of 6 ipv 2 of 10 women 3 the 4 type 4 type 5 of 4 type 6 ipv 5 of 6 ipv 6 ipv 7 experienced 7 experienced 8 , 7 experienced 9 abused 10 women 11 showed 11 showed 18 services 11 showed 19 utilization 11 showed 21 to 12 significantly 13 poorer 13 poorer 14 health 14 health 15 and 15 and 16 higher 15 and 18 services 17 healthcare 18 services 19 utilization 20 compared 21 to 22 women 22 women 23 who 22 women 24 had 23 who 24 had 24 had 26 been 25 never 26 been 26 been 27 abused the high prevalence detected long standing duration , negative health impact , and high healthcare services utilization , calling attention to a need for increased efforts aimed at addressing ipv in older women . 0 ###LEFT-WALL### 3 prevalence 0 ###LEFT-WALL### 4 detected 1 the 3 prevalence 2 high 3 prevalence 3 prevalence 4 detected 4 detected 13 and 4 detected 19 calling 5 long 6 standing 6 standing 7 duration 7 duration 8 , 8 , 11 impact 8 , 13 and 9 negative 10 health 10 health 11 impact 12 , 13 and 13 and 17 utilization 14 high 17 utilization 15 healthcare 16 services 16 services 17 utilization 18 , 19 calling 19 calling 20 attention 19 calling 21 to 19 calling 34 . 21 to 23 need 22 a 23 need 23 need 24 for 23 need 28 at 24 for 26 efforts 25 increased 26 efforts 26 efforts 27 aimed 28 at 29 addressing 29 addressing 30 ipv 30 ipv 31 in 31 in 33 women 32 older 33 women the perspectives of formerly homeless , older women are absent in the academic literature on aging and homelessness . 0 ###LEFT-WALL### 2 perspectives 0 ###LEFT-WALL### 9 are 0 ###LEFT-WALL### 19 . 1 the 2 perspectives 2 perspectives 3 of 2 perspectives 9 are 3 of 8 women 4 formerly 5 homeless 5 homeless 6 , 5 homeless 8 women 7 older 8 women 9 are 17 and 10 absent 11 in 10 absent 15 on 10 absent 17 and 11 in 14 literature 12 the 14 literature 13 academic 14 literature 15 on 16 aging 17 and 18 homelessness in this study , a group of formerly homeless women [,] aged 45 years and older were surveyed ( n = 15 ) and interviewed ( n = 11 ) about their experiences with health , housing , and aging . 0 ###LEFT-WALL### 6 group 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 41 . 1 in 3 study 1 in 4 , 1 in 6 group 2 this 3 study 5 a 6 group 6 group 7 of 6 group 12 aged 6 group 24 and 7 of 10 women 8 formerly 9 homeless 9 homeless 10 women 12 aged 15 and 13 45 14 years 14 years 15 and 15 and 16 older 17 were 18 surveyed 17 were 24 and 18 surveyed 21 = 19 ( 21 = 20 n 21 = 21 = 22 15 21 = 23 ) 24 and 25 interviewed 25 interviewed 28 = 25 interviewed 31 about 26 ( 28 = 27 n 28 = 28 = 29 11 28 = 30 ) 31 about 33 experiences 32 their 33 experiences 33 experiences 34 with 34 with 39 and 35 health 36 , 36 , 37 housing 36 , 39 and 38 , 39 and 39 and 40 aging the qualitative themes to be explored include the women 's perceptions of their current health , coping with low incomes , dealing with addictions to alcohol and drugs , and the importance of supportive housing and other community services . 0 ###LEFT-WALL### 3 themes 0 ###LEFT-WALL### 7 include 0 ###LEFT-WALL### 40 . 1 the 3 themes 2 qualitative 3 themes 3 themes 4 to 3 themes 5 be 3 themes 6 explored 3 themes 7 include 4 to 5 be 7 include 11 perceptions 7 include 25 to 8 the 9 women 9 women 10 's 10 's 11 perceptions 11 perceptions 12 of 11 perceptions 22 dealing 11 perceptions 23 with 12 of 15 health 13 their 15 health 14 current 15 health 15 health 17 coping 16 , 17 coping 17 coping 18 with 17 coping 21 , 18 with 20 incomes 19 low 20 incomes 23 with 24 addictions 25 to 30 and 26 alcohol 27 and 27 and 28 drugs 27 and 30 and 29 , 30 and 30 and 32 importance 30 and 33 of 31 the 32 importance 33 of 36 and 34 supportive 35 housing 35 housing 36 and 36 and 39 services 37 other 39 services 38 community 39 services the female participants ' views on adapting to home , planning for their elderly years , and views on growing older are also explored . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 24 explored 0 ###LEFT-WALL### 25 . 1 the 3 participants 2 female 3 participants 3 participants 4 ' 4 ' 5 views 5 views 6 on 5 views 17 and 6 on 7 adapting 7 adapting 8 to 8 to 9 home 9 home 11 planning 10 , 11 planning 11 planning 12 for 11 planning 16 , 12 for 15 years 13 their 15 years 14 elderly 15 years 17 and 18 views 17 and 19 on 17 and 22 are 19 on 20 growing 20 growing 21 older 22 are 24 explored 23 also 24 explored this research contributes knowledge regarding the options of early , normal , or delayed receipt of social security retirement benefits and research - based findings regarding women 's expected and actual timing of election of social security retirement benefits . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 3 contributes 0 ###LEFT-WALL### 40 . 1 this 2 research 2 research 3 contributes 3 contributes 4 knowledge 4 knowledge 5 regarding 4 knowledge 8 of 4 knowledge 16 of 5 regarding 7 options 6 the 7 options 8 of 13 or 9 early 10 , 10 , 11 normal 10 , 13 or 12 , 13 or 13 or 15 receipt 14 delayed 15 receipt 16 of 18 security 17 social 18 security 18 security 21 and 18 security 24 based 19 retirement 20 benefits 20 benefits 21 and 21 and 22 research 21 and 23 - 21 and 24 based 24 based 39 benefits 25 findings 26 regarding 25 findings 29 expected 25 findings 30 and 26 regarding 28 's 27 women 28 's 30 and 32 timing 30 and 33 of 30 and 35 of 30 and 38 retirement 31 actual 32 timing 33 of 34 election 35 of 37 security 36 social 37 security 38 retirement 39 benefits first , descriptive analyses of alternative retirement options , based on social security retirement benefit rules , are provided . 0 ###LEFT-WALL### 4 analyses 0 ###LEFT-WALL### 19 provided 0 ###LEFT-WALL### 20 . 1 first 2 , 1 first 4 analyses 3 descriptive 4 analyses 4 analyses 5 of 4 analyses 18 are 5 of 8 options 6 alternative 7 retirement 7 retirement 8 options 8 options 10 based 9 , 10 based 10 based 11 on 10 based 17 , 11 on 16 rules 12 social 13 security 13 security 16 rules 14 retirement 16 rules 15 benefit 16 rules 18 are 19 provided second [,] the 2000 , 2002 , 2004 , and 2006 waves of health and retirement study ( hrs ) data are used to analyze women 's anticipated and actual election of social security retirement benefits . 0 ###LEFT-WALL### 1 second 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 37 . 1 second 4 2000 3 the 4 2000 4 2000 6 2002 5 , 6 2002 6 2002 8 2004 6 2002 9 , 7 , 8 2004 8 2004 9 , 9 , 10 and 10 and 35 retirement 10 and 36 benefits 11 2006 12 waves 12 waves 13 of 12 waves 15 and 13 of 14 health 15 and 16 retirement 15 and 29 and 16 retirement 28 anticipated 17 study 19 hrs 18 ( 19 hrs 19 hrs 20 ) 19 hrs 21 data 21 data 22 are 22 are 23 used 23 used 24 to 23 used 25 analyze 24 to 25 analyze 25 analyze 27 's 25 analyze 28 anticipated 26 women 27 's 27 's 28 anticipated 29 and 31 election 29 and 32 of 29 and 35 retirement 30 actual 31 election 32 of 33 social 34 security 35 retirement 35 retirement 36 benefits third , based on these considerations , recommendations are made regarding social security retirement benefit receipt alternatives . 0 ###LEFT-WALL### 8 recommendations 0 ###LEFT-WALL### 10 made 0 ###LEFT-WALL### 18 . 1 third 8 recommendations 2 , 3 based 3 based 4 on 3 based 7 , 3 based 8 recommendations 4 on 6 considerations 5 these 6 considerations 8 recommendations 9 are 9 are 10 made 10 made 17 alternatives 11 regarding 17 alternatives 12 social 13 security 13 security 17 alternatives 14 retirement 17 alternatives 15 benefit 17 alternatives 16 receipt 17 alternatives this article analyzes the evolution of alexithymia , anxiety , and depression associated with fibromyalgia ( fm ) in three age groups in comparison to [how] they evolve in the same age groups in healthy women . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 analyzes 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 37 . 1 this 2 article 2 article 3 analyzes 3 analyzes 5 evolution 4 the 5 evolution 5 evolution 6 of 5 evolution 9 anxiety 6 of 7 alexithymia 8 , 9 anxiety 9 anxiety 10 , 10 , 11 and 11 and 12 depression 11 and 33 groups 12 depression 13 associated 12 depression 19 in 12 depression 27 they 12 depression 28 evolve 12 depression 33 groups 13 associated 14 with 14 with 15 fibromyalgia 15 fibromyalgia 17 fm 16 ( 17 fm 17 fm 18 ) 19 in 20 three 20 three 21 age 20 three 25 to 21 age 22 groups 22 groups 23 in 22 groups 25 to 23 in 24 comparison 27 they 28 evolve 28 evolve 29 in 29 in 32 age 30 the 31 same 30 the 32 age 33 groups 34 in 34 in 36 women 35 healthy 36 women a total of 240 women participated in the study ( 120 diagnosed with fibromyalgia and 120 healthy women ) , divided into three age groups ( ≤35 years,>35 and < 65 years , and ≥65 years old ) . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 6 participated 1 a 2 total 2 total 3 of 2 total 6 participated 3 of 5 women 4 240 5 women 6 participated 7 in 6 participated 21 divided 7 in 9 study 8 the 9 study 9 study 11 120 10 ( 11 120 11 120 12 diagnosed 11 120 13 with 11 120 19 ) 13 with 15 and 14 fibromyalgia 15 and 15 and 18 women 16 120 18 women 17 healthy 18 women 20 , 21 divided 21 divided 22 into 21 divided 39 . 22 into 25 groups 23 three 25 groups 24 age 25 groups 25 groups 34 and 26 ( 34 and 27 ≤35 28 years,>35 28 years,>35 29 and 29 and 32 years 29 and 34 and 30 < 31 65 31 65 32 years 33 , 34 and 34 and 35 ≥65 34 and 37 old 34 and 38 ) 36 years 37 old our analysis revealed that alexithymia , anxiety , and depression in fm patients showed increased levels compared to healthy controls . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 revealed 0 ###LEFT-WALL### 21 . 1 our 2 analysis 2 analysis 3 revealed 3 revealed 4 that 4 that 9 and 4 that 14 showed 5 alexithymia 6 , 6 , 7 anxiety 6 , 9 and 8 , 9 and 9 and 10 depression 9 and 11 in 9 and 14 showed 11 in 13 patients 12 fm 13 patients 14 showed 16 levels 14 showed 18 to 15 increased 16 levels 16 levels 17 compared 18 to 20 controls 19 healthy 20 controls also , young women with fm ( under 35 ) show lower alexithymia , anxiety , and depression levels in comparison to older patients ( ≥65 ) . 0 ###LEFT-WALL### 4 women 0 ###LEFT-WALL### 11 show 0 ###LEFT-WALL### 28 . 1 also 2 , 1 also 4 women 3 young 4 women 4 women 5 with 4 women 8 under 4 women 11 show 5 with 6 fm 7 ( 8 under 8 under 9 35 8 under 10 ) 11 show 13 alexithymia 11 show 17 and 11 show 22 to 12 lower 13 alexithymia 13 alexithymia 15 anxiety 14 , 15 anxiety 15 anxiety 16 , 17 and 18 depression 17 and 19 levels 19 levels 20 in 20 in 21 comparison 22 to 24 patients 23 older 24 patients 24 patients 26 ≥65 25 ( 26 ≥65 26 ≥65 27 ) alexithymia in fm patients follows a similar pattern as in healthy women ( [although] with significantly higher scores ) , increasing with age . 0 ###LEFT-WALL### 1 alexithymia 0 ###LEFT-WALL### 5 follows 1 alexithymia 2 in 1 alexithymia 5 follows 2 in 4 patients 3 fm 4 patients 5 follows 8 pattern 5 follows 9 as 6 a 7 similar 6 a 8 pattern 7 similar 8 pattern 9 as 10 in 10 in 12 women 11 healthy 12 women 12 women 15 with 12 women 21 increasing 13 ( 15 with 15 with 18 scores 15 with 19 ) 16 significantly 17 higher 17 higher 18 scores 20 , 21 increasing 21 increasing 22 with 21 increasing 24 . 22 with 23 age our results show that depression , anxiety , and alexithymia develop over age in a different way in fm patients than in healthy individuals , increasing over age . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 show 1 our 2 results 2 results 3 show 3 show 4 that 4 that 9 and 4 that 11 develop 5 depression 6 , 6 , 7 anxiety 6 , 9 and 8 , 9 and 9 and 10 alexithymia 9 and 11 develop 11 develop 12 over 11 develop 14 in 11 develop 21 than 12 over 13 age 14 in 17 way 15 a 17 way 16 different 17 way 17 way 18 in 18 in 20 patients 19 fm 20 patients 21 than 22 in 22 in 24 individuals 23 healthy 24 individuals 24 individuals 26 increasing 25 , 26 increasing 26 increasing 27 over 26 increasing 29 . 27 over 28 age this study characterizes the profile of women ( n = 1,789 ) ages 50 and [over] who report body size satisfaction on a figure rating scale . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 characterizes 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 27 . 1 this 2 study 2 study 3 characterizes 3 characterizes 5 profile 4 the 5 profile 5 profile 6 of 5 profile 13 ages 6 of 7 women 7 women 10 = 8 ( 10 = 9 n 10 = 10 = 11 1,789 10 = 12 ) 13 ages 14 50 15 and 17 who 15 and 18 report 17 who 18 report 18 report 21 satisfaction 18 report 22 on 19 body 21 satisfaction 20 size 21 satisfaction 22 on 26 scale 23 a 26 scale 24 figure 26 scale 25 rating 26 scale satisfied women ( 12.2 % ) had a lower body mass index and reported fewer eating disorder symptoms , dieting behaviors , and weight and appearance dissatisfaction . 0 ###LEFT-WALL### 2 women 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 28 . 1 satisfied 2 women 2 women 5 % 2 women 13 and 3 ( 5 % 4 12.2 5 % 5 % 6 ) 7 had 12 index 7 had 13 and 8 a 12 index 9 lower 12 index 10 body 11 mass 11 mass 12 index 13 and 14 reported 14 reported 18 symptoms 15 fewer 18 symptoms 16 eating 17 disorder 17 disorder 18 symptoms 19 , 25 and 20 dieting 21 behaviors 21 behaviors 23 and 22 , 23 and 23 and 24 weight 23 and 25 and 25 and 27 dissatisfaction 26 appearance 27 dissatisfaction interestingly , satisfied women exercised more than dissatisfied women , and weight and shape still played a primary role in their self - evaluation . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 16 played 0 ###LEFT-WALL### 23 - 1 interestingly 2 , 1 interestingly 13 and 3 satisfied 4 women 4 women 5 exercised 4 women 11 and 5 exercised 6 more 5 exercised 7 than 7 than 9 women 8 dissatisfied 9 women 10 , 11 and 11 and 12 weight 11 and 13 and 13 and 14 shape 13 and 16 played 15 still 16 played 16 played 19 role 16 played 20 in 17 a 18 primary 17 a 19 role 18 primary 19 role 20 in 22 self 21 their 22 self 23 - 24 evaluation 23 - 25 . weight monitoring and appearance - altering behaviors did not differ between groups . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 - 1 weight 2 monitoring 2 monitoring 3 and 3 and 4 appearance 5 - 6 altering 5 - 10 differ 5 - 13 . 6 altering 7 behaviors 6 altering 8 did 8 did 9 not 8 did 10 differ 10 differ 11 between 11 between 12 groups body satisfaction was associated with better overall functioning . 0 ###LEFT-WALL### 2 satisfaction 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 9 . 1 body 2 satisfaction 2 satisfaction 3 was 3 was 4 associated 4 associated 5 with 5 with 8 functioning 6 better 8 functioning 7 overall 8 functioning this end point appears to represent effortful body satisfaction rather than passive contentment . 0 ###LEFT-WALL### 3 point 0 ###LEFT-WALL### 4 appears 0 ###LEFT-WALL### 14 . 1 this 3 point 2 end 3 point 3 point 4 appears 4 appears 5 to 4 appears 6 represent 5 to 6 represent 6 represent 9 satisfaction 6 represent 11 than 7 effortful 9 satisfaction 8 body 9 satisfaction 10 rather 11 than 11 than 13 contentment 12 passive 13 contentment none the purpose of this qualitative study was to provide in [-] depth descriptions of preferences for receipt [of] long - term care among a small sample of information - rich cases . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 18 receipt 0 ###LEFT-WALL### 33 . 1 none 3 purpose 1 none 17 for 1 none 18 receipt 2 the 3 purpose 3 purpose 4 of 3 purpose 8 was 4 of 7 study 5 this 7 study 6 qualitative 7 study 8 was 9 to 8 was 10 provide 9 to 10 provide 10 provide 11 in 10 provide 14 descriptions 10 provide 17 for 11 in 13 depth 14 descriptions 15 of 15 of 16 preferences 18 receipt 32 cases 20 long 23 care 20 long 32 cases 21 - 23 care 22 term 23 care 23 care 24 among 23 care 30 - 24 among 27 sample 25 a 26 small 25 a 27 sample 26 small 27 sample 27 sample 28 of 28 of 29 information 31 rich 32 cases the participants in this study , women in late midlife caring for a parent or parent - in [-] law , expressed where they would prefer to receive care , who they would want to provide care , and personal traits that would be important in a caregiver . 0 ###LEFT-WALL### 39 and 0 ###LEFT-WALL### 49 . 1 the 2 participants 2 participants 3 in 2 participants 6 , 3 in 5 study 4 this 5 study 6 , 7 women 6 , 15 or 7 women 8 in 7 women 11 caring 7 women 12 for 8 in 10 midlife 9 late 10 midlife 12 for 14 parent 13 a 14 parent 15 or 16 parent 15 or 18 in 15 or 22 expressed 15 or 39 and 17 - 18 in 18 in 20 law 18 in 21 , 21 , 22 expressed 22 expressed 23 where 22 expressed 38 , 23 where 24 they 23 where 26 prefer 24 they 25 would 25 would 26 prefer 26 prefer 27 to 26 prefer 28 receive 27 to 28 receive 28 receive 29 care 29 care 31 who 30 , 31 who 31 who 32 they 31 who 36 provide 31 who 38 , 32 they 33 would 33 would 34 want 34 want 35 to 35 to 36 provide 36 provide 37 care 39 and 41 traits 39 and 42 that 39 and 43 would 40 personal 41 traits 42 that 43 would 43 would 44 be 44 be 45 important 45 important 46 in 46 in 48 caregiver 47 a 48 caregiver a major theme centered personal characteristics these women would want in a caregiver , traits such as empathy , sensitivity , and knowledgeable about elder care . 0 ###LEFT-WALL### 3 theme 0 ###LEFT-WALL### 4 centered 0 ###LEFT-WALL### 27 . 1 a 2 major 1 a 3 theme 2 major 3 theme 3 theme 4 centered 4 centered 6 characteristics 4 centered 11 in 4 centered 24 about 5 personal 6 characteristics 6 characteristics 8 women 6 characteristics 10 want 7 these 8 women 8 women 9 would 9 would 10 want 11 in 22 and 12 a 13 caregiver 12 a 20 sensitivity 13 caregiver 15 traits 13 caregiver 20 sensitivity 14 , 15 traits 15 traits 17 as 15 traits 19 , 16 such 17 as 17 as 18 empathy 20 sensitivity 22 and 21 , 22 and 22 and 23 knowledgeable 24 about 26 care 25 elder 26 care implications for social work practice are discussed . 0 ###LEFT-WALL### 1 implications 0 ###LEFT-WALL### 7 discussed 0 ###LEFT-WALL### 8 . 1 implications 2 for 1 implications 6 are 2 for 5 practice 3 social 4 work 4 work 5 practice 6 are 7 discussed previous research indicates that perception of audio [-] visual ( av ) synchrony changes in adulthood . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 3 indicates 0 ###LEFT-WALL### 17 . 1 previous 2 research 2 research 3 indicates 3 indicates 5 perception 3 indicates 15 in 4 that 5 perception 5 perception 6 of 6 of 14 changes 7 audio 14 changes 9 visual 11 av 9 visual 13 synchrony 10 ( 11 av 11 av 12 ) 13 synchrony 14 changes 15 in 16 adulthood possible explanations for these age differences include a decline in hearing acuity , a decline in cognitive processing speed , and increased experience with av binding . 0 ###LEFT-WALL### 2 explanations 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 27 . 1 possible 2 explanations 2 explanations 3 for 2 explanations 21 and 3 for 6 differences 4 these 6 differences 5 age 6 differences 7 include 9 decline 7 include 10 in 7 include 21 and 8 a 9 decline 10 in 12 acuity 11 hearing 12 acuity 12 acuity 15 decline 13 , 15 decline 14 a 15 decline 15 decline 16 in 15 decline 20 , 16 in 19 speed 17 cognitive 19 speed 18 processing 19 speed 21 and 22 increased 21 and 23 experience 23 experience 24 with 23 experience 26 binding 24 with 25 av the current study aims to isolate the effect of av experience by comparing synchrony judgments from 20 young adults ( 20 to 30 yrs ) and 20 normal - hearing middle - aged adults ( 50 to 60 yrs ) , an age range for which a decline of cognitive processing speed is expected to be minimal . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 aims 1 the 3 study 2 current 3 study 3 study 4 aims 4 aims 5 to 4 aims 6 isolate 5 to 6 isolate 6 isolate 26 and 7 the 8 effect 8 effect 9 of 8 effect 26 and 9 of 11 experience 10 av 11 experience 11 experience 12 by 12 by 15 judgments 13 comparing 14 synchrony 14 synchrony 15 judgments 15 judgments 16 from 15 judgments 24 yrs 16 from 19 adults 17 20 19 adults 18 young 19 adults 20 ( 24 yrs 21 20 22 to 22 to 23 30 22 to 24 yrs 24 yrs 25 ) 26 and 31 middle 26 and 34 adults 27 20 31 middle 28 normal 29 - 28 normal 30 hearing 30 hearing 31 middle 32 - 34 adults 33 aged 34 adults 34 adults 39 yrs 34 adults 44 range 34 adults 58 . 35 ( 39 yrs 36 50 37 to 37 to 38 60 37 to 39 yrs 39 yrs 40 ) 41 , 44 range 42 an 43 age 42 an 44 range 43 age 44 range 44 range 45 for 44 range 54 expected 44 range 58 . 45 for 46 which 46 which 48 decline 46 which 54 expected 47 a 48 decline 48 decline 49 of 48 decline 52 speed 48 decline 53 is 48 decline 54 expected 49 of 51 processing 50 cognitive 51 processing 52 speed 53 is 54 expected 55 to 54 expected 56 be 55 to 56 be 56 be 57 minimal when presented with av stop consonant syllables with asynchronies ranging from 440 m [s] [audio] [-] lead to 440 m [s] visual - lead , middle - aged adults showed significantly less tolerance for audio [-] lead than young adults . 0 ###LEFT-WALL### 24 lead 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 41 . 1 when 2 presented 1 when 23 - 1 when 24 lead 2 presented 3 with 2 presented 8 with 3 with 7 syllables 4 av 5 stop 5 stop 7 syllables 6 consonant 7 syllables 8 with 9 asynchronies 8 with 22 visual 9 asynchronies 10 ranging 9 asynchronies 11 from 11 from 20 m 12 440 13 m 12 440 18 to 13 m 17 lead 18 to 19 440 18 to 20 m 25 , 26 middle 25 , 27 - 27 - 29 adults 27 - 30 showed 28 aged 29 adults 29 adults 30 showed 30 showed 33 tolerance 31 significantly 32 less 32 less 33 tolerance 33 tolerance 34 for 34 for 40 adults 35 audio 40 adults 37 lead 40 adults 38 than 39 young 39 young 40 adults middle - aged adults also showed a greater shift in their point of subjective simultaneity than young adults . 0 ###LEFT-WALL### 4 adults 0 ###LEFT-WALL### 6 showed 0 ###LEFT-WALL### 19 . 1 middle 2 - 1 middle 4 adults 3 aged 4 adults 4 adults 6 showed 5 also 6 showed 6 showed 9 shift 6 showed 10 in 6 showed 16 than 7 a 9 shift 8 greater 9 shift 10 in 12 point 11 their 12 point 12 point 13 of 13 of 15 simultaneity 14 subjective 15 simultaneity 16 than 18 adults 17 young 18 adults natural audio - lead asynchronies are arguably more predictable than natural visual - lead asynchronies , and this predictability may render audio - lead thresholds more prone to experience - related fine - tuning . 0 ###LEFT-WALL### 2 audio 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 35 . 1 natural 2 audio 3 - 5 asynchronies 3 - 6 are 3 - 23 - 3 - 30 - 4 lead 5 asynchronies 5 asynchronies 6 are 6 are 7 arguably 6 are 8 more 6 are 9 predictable 9 predictable 10 than 10 than 22 audio 11 natural 14 lead 12 visual 13 - 12 visual 14 lead 14 lead 22 audio 15 asynchronies 17 and 16 , 17 and 17 and 18 this 17 and 19 predictability 17 and 21 render 17 and 22 audio 19 predictability 20 may 20 may 21 render 23 - 25 thresholds 24 lead 25 thresholds 25 thresholds 27 prone 26 more 27 prone 27 prone 28 to 27 prone 29 experience 28 to 29 experience 30 - 34 tuning 31 related 34 tuning 32 fine 33 - 32 fine 34 tuning in the presented model , electrical , acoustical , and mechanical elements of the cochlea are explicitly integrated into a signal transmission line where these elements convey physiological interpretations of the human cochlear structures . 0 ###LEFT-WALL### 12 elements 0 ###LEFT-WALL### 18 integrated 0 ###LEFT-WALL### 35 . 1 in 4 model 1 in 5 , 1 in 12 elements 2 the 4 model 3 presented 4 model 6 electrical 7 , 7 , 8 acoustical 7 , 10 and 9 , 10 and 10 and 11 mechanical 10 and 12 elements 12 elements 13 of 12 elements 16 are 13 of 15 cochlea 14 the 15 cochlea 16 are 18 integrated 17 explicitly 18 integrated 18 integrated 19 into 18 integrated 24 where 19 into 23 line 20 a 23 line 21 signal 22 transmission 22 transmission 23 line 24 where 26 elements 24 where 27 convey 25 these 26 elements 26 elements 27 convey 27 convey 29 interpretations 28 physiological 29 interpretations 29 interpretations 30 of 30 of 34 structures 31 the 34 structures 32 human 34 structures 33 cochlear 34 structures as a result , this physiologically [-] motivated model enables simulation of specific cochlear lesions such as presbyacusis . 0 ###LEFT-WALL### 9 model 0 ###LEFT-WALL### 10 enables 0 ###LEFT-WALL### 19 . 1 as 3 result 1 as 4 , 1 as 9 model 2 a 3 result 5 this 9 model 6 physiologically 8 motivated 8 motivated 9 model 9 model 10 enables 10 enables 11 simulation 11 simulation 12 of 12 of 15 lesions 13 specific 15 lesions 14 cochlear 15 lesions 15 lesions 17 as 16 such 17 as 17 as 18 presbyacusis the hypothesis is that high - frequency hearing loss in older adults may be due to metabolic presbyacusis whereby age [-] related cellular/chemical degenerations in the lateral wall of the cochlea cause a reduction in the endocochlear potential . 0 ###LEFT-WALL### 2 hypothesis 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 39 . 1 the 2 hypothesis 2 hypothesis 3 is 3 is 7 frequency 4 that 5 high 5 high 6 - 5 high 7 frequency 7 frequency 8 hearing 7 frequency 14 be 8 hearing 9 loss 8 hearing 10 in 8 hearing 13 may 10 in 12 adults 11 older 12 adults 13 may 14 be 14 be 16 to 14 be 19 whereby 15 due 16 to 16 to 18 presbyacusis 17 metabolic 18 presbyacusis 19 whereby 24 degenerations 19 whereby 32 cause 20 age 22 related 22 related 24 degenerations 23 cellular/chemical 24 degenerations 24 degenerations 25 in 24 degenerations 32 cause 25 in 28 wall 26 the 28 wall 27 lateral 28 wall 28 wall 29 of 29 of 31 cochlea 30 the 31 cochlea 32 cause 34 reduction 32 cause 35 in 33 a 34 reduction 35 in 38 potential 36 the 38 potential 37 endocochlear 38 potential the simulations quantitatively confirm this hypothesis and emphasize that even if the outer and inner hair cells are totally active and intact , metabolic presbyacusis alone can significantly deteriorate the cochlear functionality . 0 ###LEFT-WALL### 2 simulations 0 ###LEFT-WALL### 33 . 1 the 2 simulations 2 simulations 7 and 3 quantitatively 4 confirm 4 confirm 6 hypothesis 4 confirm 7 and 5 this 6 hypothesis 7 and 8 emphasize 7 and 32 functionality 8 emphasize 9 that 9 that 10 even 9 that 25 presbyacusis 9 that 29 deteriorate 11 if 17 cells 11 if 18 are 11 if 23 , 11 if 25 presbyacusis 12 the 17 cells 13 outer 14 and 14 and 15 inner 14 and 17 cells 16 hair 17 cells 17 cells 18 are 18 are 19 totally 18 are 21 and 20 active 21 and 21 and 22 intact 24 metabolic 25 presbyacusis 25 presbyacusis 27 can 26 alone 27 can 27 can 29 deteriorate 28 significantly 29 deteriorate 30 the 32 functionality 31 cochlear 32 functionality specifically , in the model , as the endocochlear potential decreases , the transduction mechanism produces less [receptor] [current] such that there is a reduction in the battery of the somatic motor . 0 ###LEFT-WALL### 15 mechanism 0 ###LEFT-WALL### 16 produces 0 ###LEFT-WALL### 33 . 1 specifically 2 , 1 specifically 15 mechanism 2 , 3 in 3 in 5 model 3 in 6 , 3 in 15 mechanism 4 the 5 model 6 , 7 as 7 as 10 potential 7 as 11 decreases 7 as 12 , 7 as 15 mechanism 8 the 10 potential 9 endocochlear 10 potential 10 potential 11 decreases 13 the 15 mechanism 14 transduction 15 mechanism 15 mechanism 16 produces 16 produces 17 less 16 produces 21 that 16 produces 26 in 20 such 21 that 21 that 22 there 21 that 23 is 22 there 23 is 23 is 25 reduction 24 a 25 reduction 26 in 28 battery 27 the 28 battery 28 battery 29 of 29 of 32 motor 30 the 32 motor 31 somatic 32 motor this leads to a drastic decrease in cochlear amplification and frequency sensitivity , as well as changes in position [-] frequency [map] ( tuning [pattern] ) of the cochlea . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 leads 1 this 2 leads 2 leads 3 to 2 leads 7 in 3 to 6 decrease 4 a 5 drastic 4 a 6 decrease 5 drastic 6 decrease 7 in 10 and 8 cochlear 9 amplification 9 amplification 10 and 10 and 12 sensitivity 10 and 16 as 11 frequency 12 sensitivity 13 , 16 as 14 as 15 well 15 well 16 as 16 as 17 changes 16 as 30 . 17 changes 18 in 17 changes 27 of 18 in 21 frequency 19 position 21 frequency 21 frequency 24 tuning 23 ( 24 tuning 24 tuning 26 ) 27 of 29 cochlea 28 the 29 cochlea in addition , the simulations show that the age - related reduction of the endocochlear potential significantly inhibits the firing rate of the auditory nerve which might contribute to the decline [of] temporal resolution in the aging auditory system . 0 ###LEFT-WALL### 5 simulations 0 ###LEFT-WALL### 6 show 0 ###LEFT-WALL### 10 - 1 in 2 addition 1 in 3 , 1 in 5 simulations 4 the 5 simulations 5 simulations 6 show 6 show 7 that 6 show 9 age 8 the 9 age 10 - 12 reduction 10 - 18 inhibits 10 - 40 . 11 related 12 reduction 12 reduction 13 of 12 reduction 18 inhibits 13 of 16 potential 14 the 16 potential 15 endocochlear 16 potential 17 significantly 18 inhibits 18 inhibits 21 rate 18 inhibits 35 in 19 the 21 rate 20 firing 21 rate 21 rate 22 of 22 of 25 nerve 23 the 25 nerve 24 auditory 25 nerve 25 nerve 26 which 25 nerve 27 might 26 which 27 might 27 might 28 contribute 28 contribute 29 to 29 to 34 resolution 30 the 34 resolution 31 decline 34 resolution 33 temporal 34 resolution 35 in 39 system 36 the 39 system 37 aging 39 system 38 auditory 39 system empirical studies on the development of face processing skills with age show inconsistent patterns concerning qualitative vs [.] quantitative changes over time or the age range for peak cognitive performance . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 12 show 0 ###LEFT-WALL### 31 . 1 empirical 2 studies 2 studies 3 on 2 studies 12 show 3 on 5 development 4 the 5 development 5 development 6 of 6 of 9 skills 7 face 9 skills 8 processing 9 skills 9 skills 10 with 10 with 11 age 12 show 14 patterns 12 show 26 range 13 inconsistent 14 patterns 14 patterns 15 concerning 14 patterns 26 range 15 concerning 23 or 16 qualitative 17 vs 16 qualitative 21 over 16 qualitative 23 or 17 vs 20 changes 19 quantitative 20 changes 21 over 22 time 23 or 25 age 24 the 25 age 26 range 27 for 27 for 30 performance 28 peak 30 performance 29 cognitive 30 performance in the present study , we tested the proficiency in face detection and face categorization with a large sample of participants ( n = 312 ; age range : 2 - 88 yrs ) . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 26 ; 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 13 and 7 tested 9 proficiency 7 tested 10 in 7 tested 13 and 8 the 9 proficiency 10 in 12 detection 11 face 12 detection 13 and 14 face 14 face 15 categorization 14 face 16 with 14 face 24 = 16 with 19 sample 17 a 18 large 17 a 19 sample 18 large 19 sample 19 sample 20 of 20 of 21 participants 22 ( 24 = 23 n 24 = 24 = 25 312 26 ; 28 range 26 ; 29 : 27 age 28 range 28 range 29 : 29 : 30 2 30 2 33 yrs 31 - 33 yrs 32 88 33 yrs 33 yrs 34 ) as test objects , we used so - called mooney faces , two - tone ( black and white ) images of faces lacking critical information of a local , featural and relational nature , reflecting difficult real world face processing conditions . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 14 - 1 as 3 objects 1 as 4 , 1 as 5 we 2 test 3 objects 5 we 6 used 6 used 7 so 6 used 9 called 8 - 9 called 9 called 11 faces 9 called 14 - 10 mooney 11 faces 11 faces 13 two 12 , 13 two 13 two 14 - 14 - 15 tone 15 tone 18 and 16 ( 18 and 17 black 18 and 18 and 21 images 18 and 24 lacking 18 and 34 nature 18 and 43 . 19 white 20 ) 19 white 21 images 21 images 22 of 22 of 23 faces 24 lacking 26 information 25 critical 26 information 26 information 27 of 27 of 29 local 28 a 29 local 30 , 34 nature 31 featural 32 and 32 and 33 relational 32 and 34 nature 34 nature 36 reflecting 34 nature 43 . 35 , 36 reflecting 36 reflecting 42 conditions 36 reflecting 43 . 37 difficult 39 world 38 real 39 world 39 world 42 conditions 40 face 42 conditions 41 processing 42 conditions we found that performance in the assessment of gender and age from mooney faces increases up [to] about age 15 , and decreases from 65 years on . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 28 . 1 we 2 found 2 found 3 that 3 that 4 performance 3 that 14 faces 4 performance 5 in 4 performance 8 of 4 performance 12 from 4 performance 14 faces 5 in 7 assessment 6 the 7 assessment 8 of 10 and 9 gender 10 and 10 and 11 age 12 from 13 mooney 14 faces 22 and 14 faces 27 on 15 increases 16 up 15 increases 22 and 16 up 18 about 18 about 19 age 19 age 20 15 21 , 22 and 22 and 23 decreases 22 and 24 from 24 from 26 years 25 65 26 years the implications of these findings are discussed in the light of classic and recent findings from face development literature . 0 ###LEFT-WALL### 2 implications 0 ###LEFT-WALL### 7 discussed 0 ###LEFT-WALL### 20 . 1 the 2 implications 2 implications 3 of 2 implications 6 are 3 of 5 findings 4 these 5 findings 6 are 7 discussed 7 discussed 8 in 8 in 10 light 9 the 10 light 10 light 11 of 11 of 15 findings 12 classic 13 and 13 and 14 recent 13 and 15 findings 15 findings 16 from 16 from 19 literature 17 face 19 literature 18 development 19 literature cellular senescence is an irreversible state of proliferation arrest evoked by a myriad of stresses including oncogene activation , telomere shortening/dysfunction and genotoxic insults . 0 ###LEFT-WALL### 2 senescence 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 25 . 1 cellular 2 senescence 2 senescence 3 is 3 is 22 and 4 an 5 irreversible 4 an 6 state 5 irreversible 6 state 6 state 7 of 6 state 10 evoked 6 state 16 including 6 state 19 , 7 of 9 arrest 8 proliferation 9 arrest 10 evoked 11 by 11 by 13 myriad 12 a 13 myriad 13 myriad 14 of 14 of 15 stresses 16 including 18 activation 17 oncogene 18 activation 19 , 21 shortening/dysfunction 19 , 22 and 20 telomere 21 shortening/dysfunction 22 and 24 insults 23 genotoxic 24 insults it has been associated with tumor activation , immune suppression and aging , owing to the secretion of proinflammatory mediators . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 associated 1 it 2 has 2 has 3 been 3 been 4 associated 4 associated 5 with 5 with 11 and 6 tumor 7 activation 7 activation 8 , 8 , 10 suppression 8 , 11 and 9 immune 10 suppression 11 and 12 aging 11 and 14 owing 13 , 14 owing 14 owing 15 to 14 owing 20 mediators 14 owing 21 . 15 to 17 secretion 16 the 17 secretion 17 secretion 18 of 18 of 19 proinflammatory the bacterial genotoxin colibactin [,] encoded by the pks genomic island is frequently harboured by escherichia coli strains of the b2 phylogenetic group . 0 ###LEFT-WALL### 4 colibactin 0 ###LEFT-WALL### 14 harboured 0 ###LEFT-WALL### 24 . 1 the 4 colibactin 2 bacterial 3 genotoxin 3 genotoxin 4 colibactin 4 colibactin 6 encoded 4 colibactin 12 is 6 encoded 7 by 7 by 11 island 8 the 11 island 9 pks 11 island 10 genomic 11 island 12 is 14 harboured 13 frequently 14 harboured 14 harboured 15 by 15 by 18 strains 16 escherichia 17 coli 17 coli 18 strains 18 strains 19 of 19 of 23 group 20 the 23 group 21 b2 23 group 22 phylogenetic 23 group mammalian cells exposed to live pks+ bacteria exhibit dna - double strand breaks ( dsb ) and undergo cell [-] cycle arrest and death . 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 25 . 1 mammalian 2 cells 2 cells 3 exposed 2 cells 23 and 3 exposed 4 to 4 to 6 pks+ 5 live 6 pks+ 6 pks+ 7 bacteria 6 pks+ 17 and 7 bacteria 17 and 8 exhibit 9 dna 8 exhibit 17 and 9 dna 13 breaks 10 - 13 breaks 11 double 12 strand 12 strand 13 breaks 13 breaks 15 dsb 13 breaks 16 ) 14 ( 15 dsb 15 dsb 16 ) 17 and 18 undergo 18 undergo 22 arrest 19 cell 22 arrest 21 cycle 22 arrest 23 and 24 death here we show that cells that survive the acute bacterial infection with pks+ e . coli display hallmarks of cellular senescence : chronic dsb , prolonged cell - cycle arrest , enhanced senescence - associated β - galactosidase ( sa - β - gal ) activity , expansion of promyelocytic leukemia nuclear foci and senescence - associated heterochromatin foci . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 15 . 1 here 2 we 2 we 3 show 3 show 4 that 3 show 5 cells 3 show 12 with 5 cells 6 that 5 cells 7 survive 6 that 7 survive 7 survive 11 infection 8 the 11 infection 9 acute 11 infection 10 bacterial 11 infection 12 with 13 pks+ 13 pks+ 14 e 15 . 16 coli 15 . 17 display 15 . 22 : 15 . 60 . 16 coli 17 display 17 display 18 hallmarks 18 hallmarks 19 of 19 of 21 senescence 20 cellular 21 senescence 22 : 24 dsb 22 : 25 , 22 : 31 , 23 chronic 24 dsb 25 , 27 cell 25 , 28 - 26 prolonged 27 cell 28 - 30 arrest 29 cycle 30 arrest 31 , 33 senescence 31 , 57 associated 32 enhanced 33 senescence 33 senescence 38 galactosidase 33 senescence 46 activity 33 senescence 57 associated 34 - 38 galactosidase 35 associated 38 galactosidase 36 β 37 - 36 β 38 galactosidase 38 galactosidase 40 sa 38 galactosidase 41 - 39 ( 40 sa 40 sa 41 - 41 - 46 activity 42 β 44 gal 42 β 46 activity 43 - 44 gal 44 gal 45 ) 46 activity 48 expansion 46 activity 56 - 47 , 48 expansion 48 expansion 49 of 48 expansion 56 - 49 of 54 and 50 promyelocytic 51 leukemia 51 leukemia 53 foci 52 nuclear 53 foci 53 foci 54 and 54 and 55 senescence 54 and 56 - 57 associated 59 foci 58 heterochromatin 59 foci this was accompanied by reactive oxygen species production and pro - inflammatory cytokines , chemokines and proteases secretion . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 19 . 1 this 16 and 2 was 3 accompanied 2 was 16 and 3 accompanied 4 by 4 by 15 chemokines 5 reactive 6 oxygen 6 oxygen 7 species 7 species 15 chemokines 8 production 9 and 9 and 10 pro 9 and 13 cytokines 9 and 15 chemokines 11 - 13 cytokines 12 inflammatory 13 cytokines 13 cytokines 14 , 16 and 17 proteases 17 proteases 18 secretion these mediators were able to trigger dsb and enhanced sa - β - gal activity in bystander recipient cells treated with conditioned medium from senescent cells . 0 ###LEFT-WALL### 2 mediators 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 27 . 1 these 2 mediators 2 mediators 3 were 3 were 4 able 4 able 5 to 5 to 8 and 6 trigger 7 dsb 6 trigger 8 and 8 and 9 enhanced 8 and 10 sa 10 sa 12 β 11 - 12 β 12 β 13 - 13 - 14 gal 14 gal 15 activity 14 gal 21 with 14 gal 22 conditioned 15 activity 16 in 15 activity 20 treated 16 in 19 cells 17 bystander 18 recipient 18 recipient 19 cells 20 treated 21 with 22 conditioned 23 medium 23 medium 24 from 24 from 26 cells 25 senescent 26 cells furthermore , these senescent cells promoted the growth of human tumor cells . 0 ###LEFT-WALL### 5 cells 0 ###LEFT-WALL### 6 promoted 0 ###LEFT-WALL### 13 . 1 furthermore 2 , 1 furthermore 5 cells 3 these 5 cells 4 senescent 5 cells 5 cells 6 promoted 6 promoted 8 growth 7 the 8 growth 8 growth 9 of 9 of 12 cells 10 human 11 tumor 11 tumor 12 cells in conclusion , the present data demonstrated that the [e] [.] coli genotoxin colibactin induces cellular senescence and subsequently propel bystander genotoxic and oncogenic effects . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 26 . 1 in 2 conclusion 3 , 6 data 3 , 18 and 4 the 6 data 5 present 6 data 6 data 18 and 7 demonstrated 8 that 7 demonstrated 18 and 8 that 14 colibactin 8 that 15 induces 9 the 14 colibactin 12 coli 14 colibactin 13 genotoxin 14 colibactin 14 colibactin 15 induces 15 induces 17 senescence 16 cellular 17 senescence 18 and 20 propel 19 subsequently 20 propel 20 propel 25 effects 21 bystander 25 effects 22 genotoxic 23 and 23 and 24 oncogenic 23 and 25 effects although nickel exposure results in allergic reactions , respiratory conditions , and cancer in humans and rodents , the ramifications of excess nickel in the environment [for] animal and human health remain largely undescribed . 0 ###LEFT-WALL### 3 exposure 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 35 . 1 although 2 nickel 1 although 3 exposure 3 exposure 4 results 4 results 5 in 4 results 14 in 5 in 12 and 6 allergic 7 reactions 7 reactions 8 , 8 , 10 conditions 8 , 12 and 9 respiratory 10 conditions 11 , 12 and 12 and 13 cancer 14 in 16 and 15 humans 16 and 16 and 17 rodents 18 , 20 ramifications 18 , 32 remain 19 the 20 ramifications 20 ramifications 21 of 20 ramifications 24 in 20 ramifications 32 remain 21 of 23 nickel 22 excess 23 nickel 24 in 29 and 25 the 28 animal 26 environment 28 animal 28 animal 29 and 29 and 31 health 30 human 31 health 32 remain 34 undescribed 33 largely 34 undescribed nickel and other cationic metals travel through waterways and bind to soils and sediments . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 15 . 1 nickel 2 and 2 and 5 metals 2 and 9 and 3 other 5 metals 4 cationic 5 metals 6 travel 7 through 6 travel 9 and 7 through 8 waterways 9 and 10 bind 9 and 11 to 11 to 13 and 12 soils 13 and 13 and 14 sediments to evaluate the potential toxic effects of nickel at environmental contaminant levels ( 8.9 - 7,600 µg ni/g dry weight of sediment and 50 - 800 µg nicl2/l of water ) , we conducted assays using two cosmopolitan nematodes , caenorhabditis elegans and pristionchus pacificus . 0 ###LEFT-WALL### 33 we 0 ###LEFT-WALL### 34 conducted 0 ###LEFT-WALL### 46 . 1 to 2 evaluate 1 to 32 , 1 to 33 we 2 evaluate 6 effects 3 the 6 effects 4 potential 6 effects 5 toxic 6 effects 6 effects 7 of 6 effects 9 at 7 of 8 nickel 9 at 12 levels 10 environmental 11 contaminant 11 contaminant 12 levels 12 levels 14 8.9 12 levels 23 and 12 levels 28 nicl2/l 13 ( 14 8.9 14 8.9 15 - 15 - 23 and 16 7,600 18 ni/g 16 7,600 23 and 17 µg 18 ni/g 18 ni/g 19 dry 19 dry 20 weight 20 weight 21 of 21 of 22 sediment 23 and 24 50 23 and 25 - 25 - 28 nicl2/l 26 800 28 nicl2/l 27 µg 28 nicl2/l 28 nicl2/l 29 of 28 nicl2/l 31 ) 29 of 30 water 33 we 34 conducted 34 conducted 35 assays 34 conducted 36 using 36 using 43 and 37 two 39 nematodes 38 cosmopolitan 39 nematodes 39 nematodes 40 , 40 , 42 elegans 40 , 43 and 41 caenorhabditis 42 elegans 43 and 45 pacificus 44 pristionchus 45 pacificus we assayed the effects of both sediment - [bound] and aqueous nickel upon animal growth , developmental survival , lifespan , and fecundity . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 assayed 0 ###LEFT-WALL### 24 . 1 we 2 assayed 2 assayed 4 effects 2 assayed 13 upon 3 the 4 effects 4 effects 5 of 5 of 10 and 6 both 10 and 7 sediment 10 and 8 - 10 and 10 and 12 nickel 11 aqueous 12 nickel 13 upon 22 and 14 animal 15 growth 15 growth 16 , 16 , 18 survival 16 , 19 , 17 developmental 18 survival 19 , 20 lifespan 19 , 22 and 21 , 22 and 22 and 23 fecundity uncontaminated [sediments] were collected from sites in the midwestern united states and spiked with a range of nickel concentrations . 0 ###LEFT-WALL### 1 uncontaminated 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 20 . 1 uncontaminated 12 and 3 were 4 collected 3 were 12 and 4 collected 5 from 4 collected 7 in 5 from 6 sites 7 in 11 states 8 the 11 states 9 midwestern 10 united 10 united 11 states 12 and 13 spiked 12 and 14 with 14 with 16 range 15 a 16 range 16 range 17 of 17 of 19 concentrations 18 nickel 19 concentrations we found that nickel - spiked sediment substantially impairs both survival from larval [to] adult stages and adult longevity in a concentration - dependent manner . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 26 . 1 we 2 found 2 found 4 nickel 3 that 4 nickel 5 - 7 sediment 5 - 9 impairs 5 - 23 - 6 spiked 7 sediment 7 sediment 9 impairs 8 substantially 9 impairs 9 impairs 17 and 9 impairs 20 in 10 both 17 and 11 survival 12 from 11 survival 17 and 12 from 16 stages 13 larval 15 adult 15 adult 16 stages 17 and 19 longevity 18 adult 19 longevity 20 in 22 concentration 21 a 22 concentration 23 - 25 manner 24 dependent 25 manner further , while aqueous nickel showed no adverse effects on either survivorship or longevity , we observed a significant decrease in fecundity , indicating that aqueous nickel could have a negative impact on nematode physiology . 0 ###LEFT-WALL### 5 nickel 0 ###LEFT-WALL### 6 showed 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 36 . 1 further 2 , 1 further 5 nickel 3 while 4 aqueous 3 while 5 nickel 5 nickel 6 showed 6 showed 9 effects 6 showed 13 or 7 no 9 effects 8 adverse 9 effects 9 effects 10 on 10 on 12 survivorship 11 either 12 survivorship 13 or 14 longevity 15 , 16 we 15 , 17 observed 15 , 23 , 16 we 17 observed 17 observed 20 decrease 18 a 19 significant 18 a 20 decrease 19 significant 20 decrease 20 decrease 21 in 21 in 22 fecundity 23 , 24 indicating 23 , 29 have 24 indicating 27 nickel 24 indicating 28 could 25 that 26 aqueous 26 aqueous 27 nickel 28 could 29 have 29 have 32 impact 29 have 33 on 30 a 32 impact 31 negative 32 impact 33 on 35 physiology 34 nematode 35 physiology [intriguingly] [,] c ..y elegans and p . [pacificus] exhibit similar , but not identical , responses to nickel exposure . 0 ###LEFT-WALL### 3 c 0 ###LEFT-WALL### 4 ..y 0 ###LEFT-WALL### 8 . 3 c 4 ..y 4 ..y 6 and 5 elegans 6 and 6 and 7 p 8 . 10 exhibit 8 . 21 . 10 exhibit 13 but 10 exhibit 18 to 11 similar 13 but 12 , 13 but 13 but 14 not 13 but 17 responses 14 not 15 identical 15 identical 16 , 15 identical 17 responses 18 to 19 nickel 19 nickel 20 exposure moreover , p [.] [pacificus] could be tested successfully in [sediments] inhospitable [to] [c] [.] elegans . 0 ###LEFT-WALL### 3 p 0 ###LEFT-WALL### 8 tested 0 ###LEFT-WALL### 17 . 1 moreover 2 , 1 moreover 3 p 3 p 6 could 6 could 7 be 7 be 8 tested 8 tested 9 successfully 8 tested 10 in 10 in 16 elegans 12 inhospitable 16 elegans our results add to a growing body of literature documenting the impact of nickel on animal physiology , and suggest that environmental toxicological studies could gain an advantage by widening their repertoire of nematode species . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 36 . 1 our 2 results 2 results 19 and 3 add 4 to 3 add 15 on 3 add 19 and 4 to 7 body 5 a 7 body 6 growing 7 body 7 body 8 of 7 body 13 of 8 of 9 literature 9 literature 10 documenting 10 documenting 12 impact 11 the 12 impact 13 of 14 nickel 15 on 17 physiology 16 animal 17 physiology 18 , 19 and 19 and 20 suggest 19 and 35 species 20 suggest 21 that 21 that 24 studies 21 that 26 gain 22 environmental 24 studies 23 toxicological 24 studies 24 studies 25 could 25 could 26 gain 26 gain 28 advantage 26 gain 29 by 27 an 28 advantage 29 by 30 widening 30 widening 32 repertoire 31 their 32 repertoire 32 repertoire 33 of 33 of 34 nematode the glycation process is involved in both the intrinsic ( individual , genetic [ )(and extrinsic ( ultraviolet light , polution and lifestyle ) aging processes , and can be quantified at the epidermal or dermal level by histological , immunohistochemical ( ihc ) , [or] imagistic methods . 0 ###LEFT-WALL### 3 process 0 ###LEFT-WALL### 28 and 0 ###LEFT-WALL### 49 . 1 the 3 process 2 glycation 3 process 3 process 28 and 4 is 5 involved 4 is 28 and 5 involved 6 in 6 in 22 and 7 both 22 and 8 the 21 polution 9 intrinsic 15 )(and 9 intrinsic 20 , 9 intrinsic 21 polution 10 ( 15 )(and 11 individual 12 , 12 , 13 genetic 12 , 15 )(and 15 )(and 16 extrinsic 15 )(and 19 light 15 )(and 20 , 17 ( 19 light 18 ultraviolet 19 light 19 light 20 , 21 polution 22 and 22 and 23 lifestyle 22 and 24 ) 22 and 25 aging 25 aging 26 processes 27 , 28 and 28 and 29 can 28 and 32 at 29 can 30 be 30 be 31 quantified 32 at 37 level 33 the 37 level 34 epidermal 35 or 35 or 36 dermal 35 or 37 level 37 level 38 by 38 by 48 methods 39 histological 40 , 39 histological 48 methods 41 immunohistochemical 43 ihc 41 immunohistochemical 45 , 41 immunohistochemical 48 methods 42 ( 43 ihc 43 ihc 44 ) 47 imagistic 48 methods our study is focused on a histological and immunohistological comparison of sun - protected regions versus sun - exposed regions from different age groups of skin phototype iii subjects , related to the aging process . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 focused 0 ###LEFT-WALL### 31 related 0 ###LEFT-WALL### 36 . 1 our 2 study 2 study 3 is 3 is 4 focused 4 focused 5 on 4 focused 13 - 4 focused 14 protected 5 on 10 comparison 6 a 10 comparison 7 histological 8 and 8 and 9 immunohistological 8 and 10 comparison 10 comparison 11 of 11 of 12 sun 15 regions 16 versus 15 regions 31 related 16 versus 17 sun 17 sun 20 regions 18 - 20 regions 19 exposed 20 regions 20 regions 21 from 20 regions 30 , 21 from 24 groups 22 different 23 age 23 age 24 groups 24 groups 25 of 24 groups 27 phototype 24 groups 29 subjects 25 of 26 skin 27 phototype 28 iii 27 phototype 29 subjects 31 related 32 to 32 to 35 process 33 the 35 process 34 aging 35 process skin samples collected [from] [non] - protected and uv protected regions of four experimental groups with different ages , were studied using histology and ihc methods for age - cml [[] [n] ( epsilon ) - ( carboxymethyl )lysine ] . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 10 protected 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 20 were 0 ###LEFT-WALL### 41 . 1 skin 2 samples 2 samples 3 collected 2 samples 8 and 3 collected 6 - 3 collected 7 protected 8 and 9 uv 8 and 10 protected 10 protected 11 regions 11 regions 12 of 11 regions 16 with 12 of 15 groups 13 four 15 groups 14 experimental 15 groups 16 with 18 ages 17 different 18 ages 19 , 20 were 20 were 24 and 20 were 26 methods 21 studied 23 histology 22 using 23 histology 23 histology 24 and 24 and 25 ihc 26 methods 27 for 26 methods 39 )lysine 27 for 28 age 28 age 30 cml 29 - 30 cml 30 cml 34 epsilon 30 cml 36 - 33 ( 34 epsilon 34 epsilon 35 ) 37 ( 39 )lysine 38 carboxymethyl 39 )lysine 39 )lysine 40 ] a semi - quantitative assessment of the [cml] expression in the microvascular endothelium and dermal fibroblasts was performed . 0 ###LEFT-WALL### 5 assessment 0 ###LEFT-WALL### 18 performed 0 ###LEFT-WALL### 19 . 1 a 2 semi 1 a 5 assessment 2 semi 3 - 2 semi 5 assessment 4 quantitative 5 assessment 5 assessment 6 of 5 assessment 17 was 6 of 9 expression 7 the 9 expression 9 expression 10 in 10 in 14 and 11 the 13 endothelium 12 microvascular 13 endothelium 13 endothelium 14 and 14 and 16 fibroblasts 15 dermal 16 fibroblasts 17 was 18 performed the pearson one - [way] anova was used to compare data between the groups . 0 ###LEFT-WALL### 6 anova 0 ###LEFT-WALL### 8 used 0 ###LEFT-WALL### 15 . 1 the 6 anova 2 pearson 3 one 2 pearson 6 anova 4 - 6 anova 6 anova 7 was 7 was 8 used 8 used 9 to 8 used 10 compare 9 to 10 compare 10 compare 11 data 10 compare 12 between 12 between 14 groups 13 the 14 groups in the dermis of sun - exposed skin , the number and the intensity of cml positive cells in both fibroblasts and endothelial cells ( p<0.05 ) was [higher] compared to sun - protected skin , and was significantly increased in older patients . 0 ###LEFT-WALL### 8 skin 0 ###LEFT-WALL### 37 and 0 ###LEFT-WALL### 44 . 1 in 3 dermis 1 in 6 - 1 in 8 skin 2 the 3 dermis 3 dermis 4 of 4 of 5 sun 7 exposed 8 skin 8 skin 22 and 8 skin 28 was 9 , 22 and 10 the 11 number 11 number 12 and 12 and 14 intensity 12 and 15 of 12 and 18 cells 13 the 14 intensity 15 of 16 cml 17 positive 18 cells 18 cells 19 in 18 cells 22 and 19 in 21 fibroblasts 20 both 21 fibroblasts 22 and 24 cells 22 and 26 p<0.05 22 and 27 ) 23 endothelial 24 cells 25 ( 26 p<0.05 26 p<0.05 27 ) 28 was 37 and 30 compared 31 to 30 compared 37 and 31 to 32 sun 32 sun 35 skin 33 - 35 skin 34 protected 35 skin 35 skin 36 , 37 and 38 was 38 was 40 increased 39 significantly 40 increased 40 increased 41 in 41 in 43 patients 42 older 43 patients the sun - exposed areas had a more than 10 % higher age [-] cml score than the protected areas . 0 ###LEFT-WALL### 2 sun 0 ###LEFT-WALL### 3 - 1 the 2 sun 3 - 5 areas 3 - 6 had 3 - 21 . 4 exposed 5 areas 5 areas 6 had 6 had 16 score 6 had 17 than 7 a 16 score 8 more 9 than 9 than 10 10 10 10 11 % 11 % 16 score 12 higher 16 score 13 age 15 cml 13 age 16 score 17 than 20 areas 18 the 20 areas 19 protected 20 areas no statistically significant correlation was observed between the histological score and the ihc expression of cml . 0 ###LEFT-WALL### 4 correlation 0 ###LEFT-WALL### 6 observed 0 ###LEFT-WALL### 17 . 1 no 4 correlation 2 statistically 3 significant 3 significant 4 correlation 4 correlation 5 was 5 was 6 observed 6 observed 7 between 7 between 11 and 8 the 10 score 9 histological 10 score 10 score 11 and 11 and 14 expression 11 and 15 of 12 the 14 expression 13 ihc 14 expression 15 of 16 cml we concluded that [in] healthy integument , the accumulation of final glycation products increases with age and is amplified by ultraviolet exposure . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 concluded 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 23 . 1 we 2 concluded 2 concluded 6 integument 3 that 6 integument 5 healthy 6 integument 7 , 9 accumulation 7 , 17 and 8 the 9 accumulation 9 accumulation 10 of 9 accumulation 17 and 10 of 13 products 11 final 12 glycation 12 glycation 13 products 14 increases 15 with 14 increases 17 and 15 with 16 age 17 and 18 is 18 is 19 amplified 19 amplified 20 by 20 by 22 exposure 21 ultraviolet 22 exposure the study provides new knowledge on differences of age [-] cml between age groups and protected and unprotected areas and emphasizes that endothelium and perivascular area are most affected , justifying combined topical and systemic therapies . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 30 , 0 ###LEFT-WALL### 37 . 1 the 2 study 2 study 20 and 3 provides 5 knowledge 3 provides 20 and 4 new 5 knowledge 5 knowledge 6 on 5 knowledge 8 of 6 on 7 differences 8 of 17 and 9 age 11 cml 9 age 12 between 9 age 15 and 9 age 17 and 12 between 13 age 14 groups 15 and 15 and 16 protected 17 and 19 areas 18 unprotected 19 areas 20 and 21 emphasizes 21 emphasizes 22 that 22 that 24 and 22 that 27 are 23 endothelium 24 and 24 and 26 area 24 and 27 are 25 perivascular 26 area 27 are 28 most 28 most 29 affected 30 , 31 justifying 30 , 32 combined 31 justifying 32 combined 32 combined 36 therapies 33 topical 34 and 34 and 35 systemic 34 and 36 therapies objectives : although empathy is a well - established motivation in younger adults for helping others , it is not known whether this extends to aging . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 18 it 2 : 21 known 2 : 27 . 3 although 4 empathy 3 although 5 is 3 although 17 , 3 although 18 it 4 empathy 5 is 5 is 7 well 6 a 7 well 7 well 10 motivation 8 - 10 motivation 9 established 10 motivation 10 motivation 11 in 10 motivation 17 , 11 in 13 adults 12 younger 13 adults 13 adults 14 for 14 for 15 helping 15 helping 16 others 18 it 19 is 19 is 20 not 19 is 21 known 21 known 22 whether 22 whether 23 this 22 whether 24 extends 23 this 24 extends 24 extends 25 to 25 to 26 aging prioritization of socioemotional goals with age may increase the salience of helping others ( i.e [.] , prosocial behavior ) , but older adults also experience decreased cognitive empathy . 0 ###LEFT-WALL### 1 prioritization 0 ###LEFT-WALL### 8 increase 0 ###LEFT-WALL### 25 also 0 ###LEFT-WALL### 30 . 1 prioritization 2 of 1 prioritization 7 may 2 of 4 goals 3 socioemotional 4 goals 4 goals 5 with 5 with 6 age 7 may 8 increase 8 increase 24 adults 9 the 10 salience 10 salience 11 of 10 salience 22 but 11 of 12 helping 12 helping 13 others 13 others 15 i.e 14 ( 15 i.e 15 i.e 19 behavior 15 i.e 20 ) 17 , 19 behavior 18 prosocial 19 behavior 19 behavior 20 ) 21 , 22 but 22 but 23 older 22 but 24 adults 25 also 26 experience 25 also 27 decreased 26 experience 27 decreased 27 decreased 29 empathy 28 cognitive 29 empathy thus , we investigated age - related differences in relationships among empathy and prosocial behavior . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 investigated 0 ###LEFT-WALL### 7 related 1 thus 2 , 1 thus 3 we 3 we 4 investigated 4 investigated 5 age 6 - 7 related 7 related 8 differences 7 related 9 in 7 related 11 among 7 related 16 . 9 in 10 relationships 11 among 13 and 12 empathy 13 and 13 and 15 behavior 14 prosocial 15 behavior method : participants were 24 younger ( m = 19.8 years [ )(and [24] older ( m = 77.9 years ) healthy adults . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 3 participants 2 : 4 were 2 : 24 . 3 participants 4 were 4 were 5 24 4 were 6 younger 6 younger 9 = 7 ( 9 = 8 m 9 = 9 = 23 adults 10 19.8 11 years 11 years 13 )(and 13 )(and 15 older 13 )(and 23 adults 15 older 18 = 16 ( 18 = 17 m 18 = 18 = 20 years 18 = 21 ) 19 77.9 20 years 22 healthy 23 adults whereas participants believed the study involved playing the dictator game , in reality , state emotional empathy was induced implicitly through a note from an opponent describing their experience with cancer . 0 ###LEFT-WALL### 15 state 0 ###LEFT-WALL### 32 . 1 whereas 2 participants 1 whereas 3 believed 1 whereas 14 , 1 whereas 15 state 2 participants 3 believed 3 believed 5 study 3 believed 6 involved 4 the 5 study 5 study 6 involved 6 involved 7 playing 7 playing 10 game 8 the 10 game 9 dictator 10 game 10 game 12 in 11 , 12 in 12 in 13 reality 12 in 14 , 15 state 17 empathy 15 state 19 induced 16 emotional 17 empathy 17 empathy 18 was 18 was 19 induced 19 induced 20 implicitly 19 induced 21 through 21 through 23 note 22 a 23 note 23 note 24 from 24 from 26 opponent 25 an 26 opponent 26 opponent 27 describing 27 describing 29 experience 27 describing 30 with 28 their 29 experience 30 with 31 cancer prosocial behavior was measured by participants ' monetary offers to that opponent . 0 ###LEFT-WALL### 2 behavior 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 13 . 1 prosocial 2 behavior 2 behavior 3 was 3 was 4 measured 4 measured 5 by 4 measured 10 to 5 by 9 offers 6 participants 7 ' 7 ' 9 offers 8 monetary 9 offers 10 to 12 opponent 11 that 12 opponent results : older adults showed greater prosocial behavior due to the empathy induction than younger adults . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 adults 2 : 5 showed 2 : 17 . 3 older 4 adults 4 adults 5 showed 5 showed 8 behavior 5 showed 10 to 5 showed 14 than 6 greater 8 behavior 7 prosocial 8 behavior 9 due 10 to 10 to 13 induction 11 the 13 induction 12 empathy 13 induction 14 than 16 adults 15 younger 16 adults there was a positive association between state emotional empathy ratings and prosocial behavior in [older] , but not in younger adults , and preliminary evidence for higher state emotional empathy levels in older adults with higher trait cognitive empathy . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 1 there 2 was 2 was 5 association 3 a 4 positive 3 a 5 association 4 positive 5 association 5 association 6 between 5 association 17 but 6 between 11 and 7 state 10 ratings 8 emotional 9 empathy 9 empathy 10 ratings 10 ratings 11 and 11 and 13 behavior 12 prosocial 13 behavior 14 in 17 but 16 , 17 but 17 but 18 not 17 but 19 in 17 but 23 and 20 younger 21 adults 21 adults 23 and 22 , 23 and 23 and 25 evidence 23 and 40 . 24 preliminary 25 evidence 25 evidence 26 for 26 for 31 levels 27 higher 28 state 28 state 31 levels 29 emotional 30 empathy 30 empathy 31 levels 31 levels 32 in 31 levels 35 with 32 in 34 adults 33 older 34 adults 35 with 39 empathy 36 higher 37 trait 37 trait 39 empathy 38 cognitive 39 empathy discussion : this suggests that in contexts relevant to socioemotional goals , older adults may be more motivated than younger adults to help others and state emotional empathy may be a potential mechanism for greater prosocial behavior in aging . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 2 : 3 this 2 : 25 and 2 : 40 . 3 this 4 suggests 4 suggests 5 that 5 that 14 adults 5 that 16 be 6 in 7 contexts 6 in 12 , 6 in 14 adults 7 contexts 8 relevant 8 relevant 9 to 9 to 11 goals 10 socioemotional 11 goals 13 older 14 adults 14 adults 15 may 15 may 16 be 16 be 17 more 16 be 18 motivated 18 motivated 19 than 18 motivated 22 to 19 than 21 adults 20 younger 21 adults 22 to 25 and 23 help 24 others 23 help 25 and 25 and 26 state 25 and 38 in 26 state 28 empathy 26 state 30 be 27 emotional 28 empathy 28 empathy 29 may 29 may 30 be 30 be 33 mechanism 30 be 34 for 31 a 33 mechanism 32 potential 33 mechanism 34 for 37 behavior 35 greater 37 behavior 36 prosocial 37 behavior 38 in 39 aging none none background : the association of age - related cognitive change with hospitalization is not well understood . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 8 age 0 ###LEFT-WALL### 9 - 1 none 3 background 1 none 7 of 1 none 8 age 2 none 3 background 3 background 4 : 4 : 6 association 5 the 6 association 6 association 7 of 9 - 12 change 9 - 15 is 9 - 19 . 10 related 12 change 11 cognitive 12 change 12 change 13 with 12 change 15 is 13 with 14 hospitalization 15 is 16 not 15 is 17 well 17 well 18 understood methods : at 3 - year intervals for a mean of 8.7 years , 2,273 older residents of a geographically defined urban community underwent cognitive testing from which a global measure was derived . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 17 residents 2 : 24 underwent 3 at 4 3 3 at 17 residents 4 3 7 intervals 5 - 7 intervals 6 year 7 intervals 7 intervals 8 for 7 intervals 14 , 8 for 10 mean 9 a 10 mean 10 mean 11 of 11 of 13 years 12 8.7 13 years 15 2,273 17 residents 16 older 17 residents 17 residents 18 of 17 residents 24 underwent 18 of 23 community 19 a 23 community 20 geographically 21 defined 21 defined 23 community 22 urban 23 community 24 underwent 26 testing 25 cognitive 26 testing 26 testing 27 from 27 from 28 which 27 from 31 measure 27 from 33 derived 29 a 31 measure 30 global 31 measure 31 measure 32 was 32 was 33 derived hospitalization data were obtained from part a medicare beneficiary records . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 4 obtained 0 ###LEFT-WALL### 11 . 1 hospitalization 2 data 2 data 3 were 3 were 4 obtained 4 obtained 5 from 5 from 10 records 6 part 7 a 6 part 8 medicare 8 medicare 10 records 9 beneficiary 10 records the association of level of cognitive [function] and rate [of] cognitive decline in each 3 [-] year interval with subsequent rate [of] hospitalization was assessed using mixed - effects count regression models . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 24 was 0 ###LEFT-WALL### 28 - 1 the 2 association 2 association 3 of 2 association 24 was 3 of 4 level 4 level 5 of 4 level 19 with 5 of 8 and 6 cognitive 8 and 8 and 12 decline 8 and 13 in 9 rate 12 decline 11 cognitive 12 decline 13 in 18 interval 14 each 18 interval 15 3 17 year 17 year 18 interval 19 with 23 hospitalization 20 subsequent 21 rate 21 rate 23 hospitalization 24 was 26 using 25 assessed 26 using 26 using 27 mixed 28 - 29 effects 28 - 30 count 28 - 33 . 29 effects 30 count 30 count 32 models 31 regression 32 models results : there were 9,091 hospitalizations involving 1,810 of the 2,273 individuals in the cohort ( 79.6 % ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 4 were 2 : 20 . 3 there 4 were 4 were 6 hospitalizations 5 9,091 6 hospitalizations 6 hospitalizations 7 involving 7 involving 8 1,810 7 involving 13 in 8 1,810 9 of 9 of 12 individuals 10 the 11 2,273 11 2,273 12 individuals 13 in 15 cohort 14 the 15 cohort 15 cohort 18 % 16 ( 18 % 17 79.6 18 % 18 % 19 ) rate of hospitalization increased by 9.7 % [(] 95 % confidence interval [ ci ] : 7.2 , 12.3 ) with each additional study year [;] by 32.7 % [(] 95 % ci : 26.8 , 38.0 ) for each 1 point lower on the global cognitive measure at the beginning of an observation interval [;] and by 24.3 % [(] 95 % ci [:] 16.6 , 32.6 [ )(for each [1] - point decrease in the global cognitive measure during the previous observation period . 1 rate 12 interval 2 of 3 hospitalization 2 of 12 interval 3 hospitalization 4 increased 3 hospitalization 5 by 5 by 6 9.7 7 % 11 confidence 9 95 10 % 10 % 11 confidence 11 confidence 12 interval 12 interval 14 ci 12 interval 16 : 13 [ 14 ci 14 ci 15 ] 16 : 17 7.2 16 : 21 with 17 7.2 19 12.3 18 , 19 12.3 19 12.3 20 ) 21 with 25 year 22 each 25 year 23 additional 24 study 24 study 25 year 25 year 27 by 25 year 33 ci 25 year 34 : 27 by 29 % 28 32.7 29 % 31 95 33 ci 32 % 33 ci 33 ci 34 : 34 : 35 26.8 34 : 39 for 35 26.8 37 38.0 36 , 37 38.0 37 38.0 38 ) 39 for 40 each 40 each 41 1 40 each 42 point 41 1 42 point 42 point 43 lower 42 point 44 on 44 on 48 measure 45 the 48 measure 46 global 48 measure 47 cognitive 48 measure 48 measure 57 and 49 at 51 beginning 49 at 57 and 50 the 51 beginning 51 beginning 52 of 52 of 55 interval 53 an 54 observation 53 an 55 interval 54 observation 55 interval 57 and 58 by 58 by 64 ci 59 24.3 60 % 60 % 64 ci 62 95 64 ci 63 % 64 ci 64 ci 66 16.6 64 ci 68 32.6 64 ci 75 decrease 67 , 68 32.6 68 32.6 70 )(for 68 32.6 73 - 70 )(for 71 each 73 - 75 decrease 74 point 75 decrease 75 decrease 76 in 75 decrease 81 during 75 decrease 86 . 76 in 80 measure 77 the 80 measure 78 global 80 measure 79 cognitive 80 measure 81 during 85 period 82 the 85 period 83 previous 84 observation 84 observation 85 period these associations persisted after adjustment for comorbidities and exclusion of those with a mini [-] mental state examination score less than 26 . 0 ###LEFT-WALL### 2 associations 0 ###LEFT-WALL### 3 persisted 0 ###LEFT-WALL### 23 . 1 these 2 associations 2 associations 3 persisted 3 persisted 4 after 3 persisted 20 less 3 persisted 21 than 4 after 8 and 4 after 19 score 5 adjustment 6 for 5 adjustment 8 and 6 for 7 comorbidities 8 and 9 exclusion 8 and 10 of 8 and 19 score 10 of 11 those 11 those 12 with 12 with 18 examination 13 a 18 examination 14 mini 16 mental 16 mental 17 state 17 state 18 examination 21 than 22 26 conclusion : individual differences in trajectories of cognitive aging are associated with subsequent risk of hospitalization . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 differences 2 : 11 associated 2 : 17 . 3 individual 4 differences 4 differences 5 in 4 differences 10 are 5 in 6 trajectories 6 trajectories 7 of 7 of 9 aging 8 cognitive 9 aging 10 are 11 associated 11 associated 12 with 12 with 14 risk 13 subsequent 14 risk 14 risk 15 of 15 of 16 hospitalization calorie or dietary restriction ( cr ) has attracted attention because it is the oldest [and] most robust way to extend rodent life [span] . 0 ###LEFT-WALL### 2 or 0 ###LEFT-WALL### 8 has 0 ###LEFT-WALL### 25 . 1 calorie 2 or 2 or 4 restriction 2 or 6 cr 2 or 8 has 3 dietary 4 restriction 5 ( 6 cr 6 cr 7 ) 8 has 10 attention 8 has 11 because 8 has 20 to 9 attracted 10 attention 11 because 12 it 11 because 13 is 12 it 13 is 13 is 19 way 14 the 15 oldest 14 the 19 way 17 most 18 robust 18 robust 19 way 20 to 21 extend 21 extend 23 life 22 rodent 23 life the idea that the nutrient sensors , termed sirtuins , might mediate effects of cr was proposed 13 years ago and has been challenged in the intervening years . 0 ###LEFT-WALL### 2 idea 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 29 . 1 the 2 idea 2 idea 3 that 2 idea 21 and 3 that 6 sensors 3 that 12 mediate 4 the 6 sensors 5 nutrient 6 sensors 6 sensors 8 termed 6 sensors 11 might 7 , 8 termed 8 termed 9 sirtuins 8 termed 10 , 11 might 12 mediate 12 mediate 13 effects 13 effects 14 of 14 of 15 cr 16 was 17 proposed 16 was 21 and 17 proposed 20 ago 18 13 19 years 19 years 20 ago 21 and 22 has 22 has 23 been 23 been 24 challenged 24 challenged 25 in 25 in 28 years 26 the 28 years 27 intervening 28 years this review addresses these challenges and draws from a great body of new data in the sirtuin field that shows a systematic redirection of mammalian physiology in response to diet by sirtuins . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 33 . 1 this 2 review 2 review 6 and 3 addresses 5 challenges 3 addresses 6 and 4 these 5 challenges 6 and 7 draws 6 and 31 by 7 draws 8 from 8 from 11 body 9 a 10 great 9 a 11 body 10 great 11 body 11 body 12 of 12 of 14 data 13 new 14 data 14 data 15 in 14 data 19 that 14 data 20 shows 15 in 18 field 16 the 18 field 17 sirtuin 18 field 19 that 20 shows 20 shows 23 redirection 20 shows 29 to 21 a 23 redirection 22 systematic 23 redirection 23 redirection 24 of 24 of 26 physiology 25 mammalian 26 physiology 26 physiology 28 response 27 in 28 response 29 to 30 diet 31 by 32 sirtuins [the] [prospects] for drugs that can deliver at least a subset of the benefits of cr seems very real . 0 ###LEFT-WALL### 11 subset 0 ###LEFT-WALL### 20 . 3 for 4 drugs 3 for 11 subset 4 drugs 5 that 4 drugs 6 can 5 that 6 can 6 can 7 deliver 8 at 9 least 9 least 11 subset 10 a 11 subset 11 subset 12 of 11 subset 17 seems 12 of 14 benefits 13 the 14 benefits 14 benefits 15 of 15 of 16 cr 17 seems 19 real 18 very 19 real mitochondrial dna ( mtdna ) rearrangements cause a wide variety of highly debilitating [and] often fatal disorders and have been implicated in aging and age - associated disease . 0 ###LEFT-WALL### 2 dna 0 ###LEFT-WALL### 29 . 1 mitochondrial 2 dna 2 dna 4 mtdna 2 dna 6 rearrangements 3 ( 4 mtdna 4 mtdna 5 ) 6 rearrangements 7 cause 7 cause 10 variety 7 cause 27 associated 8 a 9 wide 8 a 10 variety 9 wide 10 variety 10 variety 11 of 10 variety 27 associated 11 of 13 debilitating 12 highly 13 debilitating 13 debilitating 15 often 13 debilitating 24 and 16 fatal 18 and 16 fatal 24 and 17 disorders 18 and 18 and 19 have 19 have 20 been 20 been 21 implicated 21 implicated 22 in 22 in 23 aging 24 and 25 age 24 and 26 - 27 associated 28 disease here , we present a meta - analytical study of mtdna deletions ( n = 730 ) and partial duplications ( n = 37 ) using information from more than 300 studies published over the last 30 years . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 present 0 ###LEFT-WALL### 39 . 1 here 2 , 1 here 3 we 3 we 4 present 4 present 18 and 4 present 26 using 5 a 6 meta 5 a 9 study 6 meta 7 - 6 meta 9 study 8 analytical 9 study 9 study 10 of 9 study 18 and 10 of 12 deletions 11 mtdna 12 deletions 12 deletions 15 = 13 ( 15 = 14 n 15 = 15 = 16 730 15 = 17 ) 18 and 20 duplications 18 and 23 = 19 partial 20 duplications 21 ( 23 = 22 n 23 = 23 = 24 37 23 = 25 ) 26 using 27 information 27 information 28 from 27 information 33 published 28 from 32 studies 29 more 30 than 30 than 31 300 31 300 32 studies 33 published 34 over 34 over 38 years 35 the 36 last 35 the 37 30 37 30 38 years we show that both classes of mtdna rearrangements are unequally distributed among disorders and their breakpoints have different genomic locations . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 show 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 21 . 1 we 2 show 2 show 3 that 3 that 5 classes 3 that 11 distributed 4 both 5 classes 5 classes 6 of 5 classes 9 are 6 of 8 rearrangements 7 mtdna 8 rearrangements 9 are 10 unequally 9 are 11 distributed 11 distributed 12 among 12 among 13 disorders 14 and 16 breakpoints 14 and 17 have 15 their 16 breakpoints 16 breakpoints 17 have 17 have 20 locations 18 different 20 locations 19 genomic 20 locations we also demonstrate that 100 % of cases with sporadic mtdna deletions and 97.3 % [with] duplications have no breakpoints in the 16,071 breakage hotspot site , in contrast with deletions from healthy and aged tissues . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 demonstrate 1 we 3 demonstrate 2 also 3 demonstrate 3 demonstrate 4 that 4 that 6 % 4 that 18 have 5 100 6 % 6 % 7 of 6 % 9 with 6 % 18 have 7 of 8 cases 9 with 13 and 10 sporadic 11 mtdna 11 mtdna 12 deletions 12 deletions 13 and 13 and 17 duplications 14 97.3 17 duplications 15 % 17 duplications 18 have 20 breakpoints 18 have 28 in 19 no 20 breakpoints 20 breakpoints 21 in 21 in 26 site 22 the 26 site 23 16,071 26 site 24 breakage 25 hotspot 25 hotspot 26 site 27 , 28 in 28 in 29 contrast 28 in 37 . 29 contrast 30 with 30 with 31 deletions 31 deletions 32 from 32 from 36 tissues 33 healthy 34 and 34 and 35 aged 34 and 36 tissues notably , most deletions removing a section of [the] d [-] loop are found in tumors . 0 ###LEFT-WALL### 3 most 0 ###LEFT-WALL### 14 found 0 ###LEFT-WALL### 17 . 1 notably 2 , 1 notably 3 most 3 most 4 deletions 3 most 12 loop 3 most 13 are 4 deletions 5 removing 4 deletions 12 loop 5 removing 7 section 6 a 7 section 7 section 8 of 8 of 10 d 13 are 14 found 14 found 15 in 15 in 16 tumors deleted mtdna molecules lacking the origin of l - strand replication [(] o ( l ) ) represent only 9.5 % of all reported cases , whereas extra origins [of] [replication] occur in all duplications . 0 ###LEFT-WALL### 3 molecules 0 ###LEFT-WALL### 32 occur 0 ###LEFT-WALL### 36 . 1 deleted 2 mtdna 2 mtdna 3 molecules 3 molecules 4 lacking 3 molecules 18 represent 4 lacking 6 origin 5 the 6 origin 6 origin 7 of 6 origin 11 replication 7 of 8 l 9 - 11 replication 10 strand 11 replication 11 replication 13 o 11 replication 15 l 11 replication 17 ) 14 ( 15 l 15 l 16 ) 18 represent 21 % 18 represent 27 whereas 19 only 20 9.5 20 9.5 21 % 21 % 22 of 22 of 25 cases 23 all 25 cases 24 reported 25 cases 26 , 27 whereas 27 whereas 29 origins 28 extra 29 origins 29 origins 32 occur 32 occur 33 in 33 in 35 duplications 34 all 35 duplications as previously shown for deletions , imperfect stretches of homology are common in duplication breakpoints . 0 ###LEFT-WALL### 8 stretches 0 ###LEFT-WALL### 11 are 0 ###LEFT-WALL### 16 . 1 as 2 previously 2 previously 3 shown 3 shown 4 for 3 shown 6 , 3 shown 8 stretches 4 for 5 deletions 7 imperfect 8 stretches 8 stretches 9 of 8 stretches 11 are 9 of 10 homology 11 are 12 common 12 common 13 in 13 in 15 breakpoints 14 duplication 15 breakpoints finally , we provide a dedicated website with detailed information on deleted/duplicated mtdna regions to facilitate the design of efficient methods for identification and screening of rearranged mitochondrial genomes ( available at http://www.portugene.com/mtdnarearrangements.html ) . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 provide 0 ###LEFT-WALL### 35 . 1 finally 2 , 1 finally 3 we 3 we 4 provide 4 provide 7 website 4 provide 15 to 5 a 7 website 6 dedicated 7 website 7 website 8 with 8 with 10 information 9 detailed 10 information 10 information 11 on 11 on 14 regions 12 deleted/duplicated 14 regions 13 mtdna 14 regions 15 to 16 facilitate 16 facilitate 18 design 16 facilitate 22 for 17 the 18 design 18 design 19 of 19 of 21 methods 20 efficient 21 methods 22 for 24 and 23 identification 24 and 24 and 25 screening 25 screening 26 of 26 of 29 genomes 27 rearranged 29 genomes 28 mitochondrial 29 genomes 29 genomes 31 available 30 ( 31 available 31 available 32 at 31 available 34 ) 32 at 33 http://www.portugene.com/mtdnarearrangements.html one of the most reliable findings in psychiatry is in the incidence of anxiety and depression . 0 ###LEFT-WALL### 1 one 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 17 . 1 one 2 of 1 one 9 is 2 of 6 findings 3 the 4 most 4 most 6 findings 5 reliable 6 findings 6 findings 7 in 7 in 8 psychiatry 9 is 10 in 10 in 12 incidence 11 the 12 incidence 12 incidence 13 of 13 of 15 and 14 anxiety 15 and 15 and 16 depression beginning at puberty , women develop mood disorders twice as often as men . 0 ###LEFT-WALL### 5 women 0 ###LEFT-WALL### 6 develop 0 ###LEFT-WALL### 14 . 1 beginning 2 at 1 beginning 4 , 1 beginning 5 women 2 at 3 puberty 5 women 6 develop 6 develop 8 disorders 6 develop 11 often 6 develop 12 as 7 mood 8 disorders 9 twice 10 as 10 as 11 often 12 as 13 men [because] corticotropin - releasing factor [(] crf ) receptors are implicated , we compared crf receptor binding in pre - and postpubertal rats . 0 ###LEFT-WALL### 2 corticotropin 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 24 . 3 - 9 receptors 3 - 11 implicated 3 - 12 , 4 releasing 7 crf 4 releasing 8 ) 4 releasing 9 receptors 5 factor 7 crf 9 receptors 10 are 10 are 11 implicated 12 , 13 we 12 , 14 compared 13 we 14 compared 14 compared 17 binding 14 compared 18 in 15 crf 17 binding 16 receptor 17 binding 18 in 21 and 19 pre 21 and 20 - 21 and 21 and 23 rats 22 postpubertal 23 rats in each brain area , crf receptor binding was sexually dimorphic , but no two areas were alike in the way the sexes differed . 0 ###LEFT-WALL### 8 binding 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 13 but 0 ###LEFT-WALL### 25 . 1 in 4 area 1 in 5 , 1 in 8 binding 2 each 4 area 3 brain 4 area 6 crf 8 binding 7 receptor 8 binding 8 binding 9 was 9 was 10 sexually 9 was 11 dimorphic 12 , 13 but 13 but 16 areas 13 but 17 were 14 no 16 areas 15 two 16 areas 16 areas 17 were 17 were 18 alike 18 alike 19 in 19 in 21 way 20 the 21 way 21 way 23 sexes 21 way 24 differed 22 the 23 sexes 23 sexes 24 differed in the nucleus accumbens and olfactory tubercle , crf1 binding was initially the same in juveniles , but became greater in adult females . 0 ###LEFT-WALL### 9 crf1 0 ###LEFT-WALL### 18 but 0 ###LEFT-WALL### 24 . 1 in 5 and 1 in 8 , 1 in 9 crf1 2 the 4 accumbens 3 nucleus 4 accumbens 4 accumbens 5 and 5 and 7 tubercle 5 and 8 , 6 olfactory 7 tubercle 9 crf1 10 binding 9 crf1 18 but 11 was 12 initially 11 was 14 same 11 was 18 but 13 the 14 same 14 same 15 in 15 in 16 juveniles 17 , 18 but 18 but 19 became 19 became 20 greater 20 greater 21 in 21 in 23 females 22 adult 23 females in piriform cortex , crf1 binding increased in females and decreased in males , again becoming sexually dimorphic . 0 ###LEFT-WALL### 3 cortex 0 ###LEFT-WALL### 4 , 1 in 3 cortex 2 piriform 3 cortex 4 , 5 crf1 4 , 10 and 5 crf1 6 binding 5 crf1 10 and 7 increased 8 in 7 increased 10 and 8 in 9 females 10 and 11 decreased 10 and 12 in 12 in 13 males 13 males 16 becoming 14 , 16 becoming 15 again 16 becoming 16 becoming 18 dimorphic 16 becoming 19 . 17 sexually 18 dimorphic crf1 binding in the anterior cingulate was greater in females than in males at both ages . 0 ###LEFT-WALL### 1 crf1 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 17 . 1 crf1 2 binding 1 crf1 7 was 2 binding 3 in 3 in 6 cingulate 4 the 6 cingulate 5 anterior 6 cingulate 7 was 8 greater 8 greater 9 in 8 greater 11 than 8 greater 14 at 9 in 10 females 11 than 12 in 12 in 13 males 14 at 16 ages 15 both 16 ages in ca3 , crf1 binding was greater in males before puberty but decreased during puberty , abolishing the sex difference . 0 ###LEFT-WALL### 4 crf1 0 ###LEFT-WALL### 12 but 1 in 2 ca3 1 in 3 , 1 in 4 crf1 4 crf1 5 binding 4 crf1 12 but 6 was 7 greater 6 was 12 but 7 greater 8 in 7 greater 10 before 8 in 9 males 10 before 11 puberty 12 but 13 decreased 13 decreased 14 during 14 during 15 puberty 15 puberty 17 abolishing 16 , 17 abolishing 17 abolishing 20 difference 17 abolishing 21 . 18 the 20 difference 19 sex 20 difference crf2 binding in the posterior bed nucleus of the stria terminalis was greater in males irrespective of age . 0 ###LEFT-WALL### 1 crf2 0 ###LEFT-WALL### 12 was 0 ###LEFT-WALL### 19 . 1 crf2 2 binding 1 crf2 12 was 2 binding 3 in 3 in 7 nucleus 4 the 7 nucleus 5 posterior 6 bed 6 bed 7 nucleus 7 nucleus 8 of 8 of 11 terminalis 9 the 11 terminalis 10 stria 11 terminalis 12 was 13 greater 13 greater 14 in 13 greater 17 of 14 in 15 males 16 irrespective 17 of 17 of 18 age in contrast , in each of three subdivisions of the lateral septum , females had greater crf2 binding than males as juveniles , or [,] [as] juveniles and [as] adults . 0 ###LEFT-WALL### 14 females 0 ###LEFT-WALL### 15 had 0 ###LEFT-WALL### 31 . 1 in 2 contrast 1 in 13 , 1 in 14 females 2 contrast 4 in 3 , 4 in 4 in 5 each 4 in 13 , 5 each 6 of 6 of 8 subdivisions 7 three 8 subdivisions 8 subdivisions 9 of 9 of 12 septum 10 the 12 septum 11 lateral 12 septum 14 females 15 had 15 had 17 crf2 15 had 19 than 16 greater 17 crf2 17 crf2 18 binding 19 than 20 males 19 than 21 as 21 as 28 and 22 juveniles 24 or 23 , 24 or 24 or 27 juveniles 24 or 28 and 28 and 30 adults crf2 binding in the ventromedial hypothalamus was the same in juveniles , but binding levels increased in males , leading to an adult sex difference . 0 ###LEFT-WALL### 1 crf2 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 26 . 1 crf2 2 binding 1 crf2 7 was 2 binding 3 in 3 in 6 hypothalamus 4 the 6 hypothalamus 5 ventromedial 6 hypothalamus 7 was 9 same 8 the 9 same 9 same 10 in 9 same 20 leading 10 in 11 juveniles 11 juveniles 13 but 12 , 13 but 13 but 14 binding 13 but 19 , 14 binding 15 levels 14 binding 17 in 15 levels 16 increased 17 in 18 males 20 leading 21 to 21 to 25 difference 22 an 25 difference 23 adult 24 sex 24 sex 25 difference thus , eight crf receptor [-] expressing areas displayed eight distinct sex differences . 0 ###LEFT-WALL### 8 areas 0 ###LEFT-WALL### 9 displayed 0 ###LEFT-WALL### 14 . 1 thus 2 , 1 thus 8 areas 3 eight 8 areas 4 crf 7 expressing 5 receptor 7 expressing 7 expressing 8 areas 8 areas 9 displayed 9 displayed 13 differences 10 eight 13 differences 11 distinct 12 sex 12 sex 13 differences these results show that sex differences pervade the crf receptor system in juvenile and adult rats , and the mechanisms that control them are likely to be sex [-] , region [-] , and [subtype] [-] specific . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 38 . 1 these 2 results 2 results 3 show 3 show 5 sex 3 show 12 in 3 show 18 and 3 show 27 be 4 that 5 sex 5 sex 6 differences 5 sex 7 pervade 6 differences 7 pervade 7 pervade 11 system 8 the 11 system 9 crf 10 receptor 10 receptor 11 system 12 in 14 and 13 juvenile 14 and 14 and 15 adult 16 rats 18 and 17 , 18 and 18 and 20 mechanisms 18 and 21 that 18 and 22 control 18 and 24 are 19 the 20 mechanisms 21 that 22 control 22 control 23 them 24 are 25 likely 25 likely 26 to 26 to 27 be 27 be 34 and 28 sex 30 , 30 , 31 region 30 , 34 and 33 , 34 and 34 and 37 specific skin cancer and aging are linked to increased cellular reactive oxygen species ( ros ) , particularly following exposure to [ultraviolet] a ( uva ) in sunlight . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 6 linked 0 ###LEFT-WALL### 28 . 1 skin 2 cancer 2 cancer 3 and 3 and 4 aging 3 and 5 are 5 are 6 linked 6 linked 7 to 6 linked 18 following 6 linked 26 in 7 to 12 species 8 increased 11 oxygen 9 cellular 11 oxygen 10 reactive 11 oxygen 11 oxygen 12 species 12 species 14 ros 13 ( 14 ros 14 ros 15 ) 16 , 18 following 17 particularly 18 following 18 following 19 exposure 18 following 25 ) 19 exposure 20 to 19 exposure 24 uva 20 to 22 a 23 ( 24 uva 24 uva 25 ) 26 in 27 sunlight as mitochondria are the main [source] [of] cellular ros , this study compared the protective effects of mitochondria - targeted and [-] localized antioxidants ( mitoq and tiron , respectively ) with cellular antioxidants against oxidative stress - induced [ [uva] and hydrogen peroxide ( h2o2 [ )( mitochondrial dna ( mtdna ) damage in human dermal fibroblasts . 0 ###LEFT-WALL### 2 mitochondria 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 10 , 1 as 2 mitochondria 2 mitochondria 3 are 3 are 9 ros 4 the 5 main 4 the 9 ros 8 cellular 9 ros 10 , 12 study 10 , 19 - 11 this 12 study 12 study 13 compared 13 compared 16 effects 14 the 16 effects 15 protective 16 effects 16 effects 17 of 17 of 18 mitochondria 19 - 21 and 20 targeted 21 and 21 and 23 localized 23 localized 24 antioxidants 23 localized 30 respectively 23 localized 32 with 24 antioxidants 27 and 25 ( 27 and 26 mitoq 27 and 27 and 28 tiron 27 and 29 , 29 , 30 respectively 30 respectively 31 ) 32 with 42 and 33 cellular 34 antioxidants 34 antioxidants 35 against 34 antioxidants 42 and 35 against 37 stress 36 oxidative 37 stress 37 stress 39 induced 38 - 39 induced 40 [ 42 and 42 and 44 peroxide 42 and 50 dna 43 hydrogen 44 peroxide 45 ( 50 dna 46 h2o2 50 dna 49 mitochondrial 50 dna 50 dna 54 damage 50 dna 59 . 51 ( 54 damage 52 mtdna 53 ) 52 mtdna 54 damage 54 damage 55 in 54 damage 59 . 55 in 58 fibroblasts 56 human 58 fibroblasts 57 dermal 58 fibroblasts with the use of a long quantitative pcr assay , tiron [(] ec50 10 [mm] ) was found to confer complete ( 100 % ) protection ( p<0.001 ) against both uva - and h2o2 - induced mtdna damage , [whereas] mitoq ( [ec50] 750 nm ) provided less protection ( 17 and 32 % , respectively [;] p<0.05 ) . 1 with 3 use 1 with 9 assay 2 the 3 use 3 use 4 of 4 of 8 pcr 5 a 6 long 5 a 8 pcr 6 long 8 pcr 7 quantitative 8 pcr 9 assay 13 ec50 9 assay 17 was 10 , 13 ec50 11 tiron 13 ec50 13 ec50 14 10 13 ec50 16 ) 17 was 18 found 18 found 19 to 18 found 30 against 19 to 20 confer 20 confer 26 protection 21 complete 24 % 21 complete 25 ) 21 complete 26 protection 22 ( 24 % 23 100 24 % 24 % 25 ) 26 protection 28 p<0.001 27 ( 28 p<0.001 28 p<0.001 29 ) 30 against 38 mtdna 31 both 32 uva 32 uva 34 and 33 - 34 and 34 and 35 h2o2 34 and 36 - 34 and 37 induced 37 induced 38 mtdna 38 mtdna 39 damage 38 mtdna 48 provided 39 damage 42 mitoq 39 damage 48 provided 40 , 42 mitoq 42 mitoq 46 nm 42 mitoq 47 ) 43 ( 46 nm 45 750 46 nm 46 nm 47 ) 48 provided 50 protection 49 less 50 protection 50 protection 55 % 51 ( 55 % 52 17 53 and 53 and 54 32 53 and 55 % 55 % 59 p<0.05 55 % 61 . 56 , 57 respectively 56 , 59 p<0.05 59 p<0.05 60 ) this particular protective effect [of] tiron was greater than a range of cellular antioxidants investigated . 0 ###LEFT-WALL### 6 tiron 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 16 . 1 this 6 tiron 2 particular 4 effect 3 protective 4 effect 4 effect 6 tiron 6 tiron 7 was 7 was 8 greater 8 greater 9 than 9 than 11 range 10 a 11 range 11 range 12 of 12 of 14 antioxidants 13 cellular 14 antioxidants 14 antioxidants 15 investigated the nuclear factor erythroid [2] - related factor 2 ( nrf2 ) signaling pathway provides cellular protection against oxidative stress . 0 ###LEFT-WALL### 14 pathway 0 ###LEFT-WALL### 15 provides 0 ###LEFT-WALL### 21 . 1 the 14 pathway 2 nuclear 3 factor 3 factor 14 pathway 4 erythroid 8 factor 4 erythroid 14 pathway 6 - 8 factor 7 related 8 factor 8 factor 9 2 8 factor 11 nrf2 8 factor 12 ) 10 ( 11 nrf2 11 nrf2 12 ) 13 signaling 14 pathway 14 pathway 15 provides 15 provides 17 protection 15 provides 18 against 16 cellular 17 protection 18 against 20 stress 19 oxidative 20 stress an elisa assay for the nrf2 target gene heme oxygenase - 1 ( ho - 1 ) and studies using nrf2 small interfering rna both indicated that tiron 's mode of action was [nrf2] independent . 0 ###LEFT-WALL### 2 elisa 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 36 . 1 an 2 elisa 2 elisa 3 assay 3 assay 4 for 3 assay 10 oxygenase 4 for 7 target 5 the 7 target 6 nrf2 7 target 8 gene 10 oxygenase 9 heme 10 oxygenase 10 oxygenase 12 1 11 - 12 1 12 1 14 ho 12 1 17 ) 13 ( 14 ho 14 ho 16 1 14 ho 17 ) 15 - 16 1 16 1 17 ) 18 and 24 rna 18 and 33 was 19 studies 24 rna 20 using 24 rna 21 nrf2 24 rna 22 small 24 rna 23 interfering 24 rna 24 rna 25 both 24 rna 26 indicated 24 rna 31 of 24 rna 33 was 25 both 26 indicated 26 indicated 30 mode 27 that 28 tiron 28 tiron 29 's 29 's 30 mode 31 of 32 action 33 was 35 independent the comet assay showed that tiron 's protective effect against h2o2 - induced nuclear dna damage was greater than the cellular antioxidants and mitoq ( p<0.001 ) . 0 ###LEFT-WALL### 3 assay 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 28 . 1 the 3 assay 2 comet 3 assay 3 assay 4 showed 4 showed 9 effect 4 showed 16 damage 4 showed 17 was 5 that 6 tiron 6 tiron 7 's 7 's 9 effect 8 protective 9 effect 10 against 11 h2o2 10 against 12 - 10 against 16 damage 13 induced 16 damage 14 nuclear 16 damage 15 dna 16 damage 16 damage 17 was 17 was 18 greater 18 greater 19 than 19 than 23 and 20 the 22 antioxidants 21 cellular 22 antioxidants 22 antioxidants 23 and 23 and 24 mitoq 23 and 26 p<0.001 25 ( 26 p<0.001 26 p<0.001 27 ) this study provides a platform to investigate molecules with similar structure to [tiron] as potent and clinically relevant antioxidants . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 20 . 1 this 2 study 2 study 3 provides 3 provides 5 platform 3 provides 14 as 4 a 5 platform 5 platform 6 to 5 platform 12 to 6 to 7 investigate 7 investigate 8 molecules 7 investigate 9 with 7 investigate 12 to 9 with 11 structure 10 similar 11 structure 14 as 19 antioxidants 15 potent 16 and 16 and 18 relevant 16 and 19 antioxidants 17 clinically 18 relevant the maillard reaction includes a complex network of processes affecting food and biopharmaceutical products ; it also occurs in living organisms and has been strictly related to cell aging , to the pathogenesis of several ( chronic ) diseases , such as diabetes , uremia , cataract , liver cirrhosis and various neurodegenerative pathologies , as well as to peritoneal dialysis treatment . 0 ###LEFT-WALL### 2 maillard 0 ###LEFT-WALL### 9 processes 0 ###LEFT-WALL### 15 ; 0 ###LEFT-WALL### 63 . 1 the 2 maillard 2 maillard 3 reaction 2 maillard 8 of 2 maillard 9 processes 3 reaction 4 includes 4 includes 7 network 5 a 7 network 6 complex 7 network 7 network 8 of 9 processes 12 and 10 affecting 11 food 11 food 12 and 12 and 14 products 13 biopharmaceutical 14 products 15 ; 16 it 15 ; 22 and 16 it 22 and 17 also 18 occurs 18 occurs 19 in 18 occurs 22 and 19 in 20 living 20 living 21 organisms 22 and 23 has 22 and 62 treatment 23 has 24 been 24 been 26 related 25 strictly 26 related 26 related 27 to 26 related 31 to 26 related 42 as 26 related 56 as 26 related 59 to 27 to 29 aging 28 cell 29 aging 30 , 31 to 31 to 33 pathogenesis 31 to 40 , 32 the 33 pathogenesis 33 pathogenesis 34 of 34 of 35 several 35 several 39 diseases 36 ( 39 diseases 37 chronic 38 ) 37 chronic 39 diseases 39 diseases 40 , 40 , 42 as 41 such 42 as 42 as 51 and 42 as 55 , 43 diabetes 44 , 44 , 47 cataract 44 , 48 , 45 uremia 46 , 45 uremia 47 cataract 48 , 50 cirrhosis 48 , 51 and 49 liver 50 cirrhosis 51 and 54 pathologies 51 and 55 , 52 various 54 pathologies 53 neurodegenerative 54 pathologies 56 as 57 well 58 as 59 to 59 to 61 dialysis 60 peritoneal 61 dialysis dozens of compounds are involved in this process , among [which] a number of protein - adducted derivatives that have been simplistically defined as early , intermediate and advanced glycation end - products . 0 ###LEFT-WALL### 3 compounds 0 ###LEFT-WALL### 5 involved 0 ###LEFT-WALL### 26 , 1 dozens 2 of 1 dozens 3 compounds 2 of 3 compounds 3 compounds 4 are 4 are 5 involved 5 involved 6 in 5 involved 10 among 6 in 8 process 7 this 8 process 9 , 10 among 10 among 15 protein 10 among 26 , 12 a 13 number 13 number 14 of 13 number 15 protein 14 of 15 protein 15 protein 18 derivatives 16 - 18 derivatives 17 adducted 18 derivatives 18 derivatives 19 that 18 derivatives 20 have 18 derivatives 26 , 19 that 20 have 20 have 21 been 21 been 22 simplistically 21 been 23 defined 23 defined 25 early 24 as 25 early 26 , 28 and 27 intermediate 28 and 28 and 31 end 28 and 33 products 29 advanced 30 glycation 30 glycation 31 end 32 - 33 products 33 products 34 . in the last decade , various [bottom] - up proteomic approaches have been successfully used for the identification of glycation/glycoxidation protein targets as well as for the characterization of the corresponding [adducts] , including assignment of the modified amino acids . 0 ###LEFT-WALL### 11 approaches 0 ###LEFT-WALL### 15 used 0 ###LEFT-WALL### 41 . 1 in 4 decade 1 in 11 approaches 2 the 4 decade 3 last 4 decade 5 , 6 various 6 various 8 - 6 various 11 approaches 9 up 11 approaches 10 proteomic 11 approaches 11 approaches 12 have 12 have 13 been 13 been 15 used 14 successfully 15 used 15 used 16 for 15 used 25 as 16 for 18 identification 17 the 18 identification 18 identification 19 of 18 identification 23 as 19 of 22 targets 20 glycation/glycoxidation 21 protein 21 protein 22 targets 23 as 24 well 25 as 26 for 26 for 28 characterization 27 the 28 characterization 28 characterization 29 of 28 characterization 36 of 29 of 35 assignment 30 the 35 assignment 31 corresponding 33 , 31 corresponding 35 assignment 34 including 35 assignment 36 of 40 acids 37 the 40 acids 38 modified 40 acids 39 amino 40 acids this article provides an updated overview of the mass spectrometry - based procedures developed to this purpose , emphasizing their partial limits with respect to current proteomic approaches for the analysis of other post - translational modifications . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 35 - 0 ###LEFT-WALL### 38 . 1 this 2 article 2 article 3 provides 3 provides 6 overview 4 an 6 overview 5 updated 6 overview 6 overview 7 of 6 overview 19 emphasizing 7 of 10 spectrometry 8 the 10 spectrometry 9 mass 10 spectrometry 10 spectrometry 13 procedures 11 - 13 procedures 12 based 13 procedures 13 procedures 14 developed 13 procedures 18 , 14 developed 15 to 15 to 17 purpose 16 this 17 purpose 19 emphasizing 22 limits 19 emphasizing 23 with 19 emphasizing 25 to 20 their 22 limits 21 partial 22 limits 23 with 24 respect 25 to 28 approaches 26 current 28 approaches 27 proteomic 28 approaches 28 approaches 29 for 29 for 31 analysis 30 the 31 analysis 31 analysis 32 of 32 of 34 post 33 other 34 post 35 - 37 modifications 36 translational 37 modifications these limitations are mainly related to the concomitant sheer diversity , chemical complexity , and variable abundance of the various derivatives to be characterized . 0 ###LEFT-WALL### 2 limitations 0 ###LEFT-WALL### 5 related 0 ###LEFT-WALL### 25 . 1 these 2 limitations 2 limitations 3 are 3 are 5 related 4 mainly 5 related 5 related 6 to 5 related 22 to 6 to 15 and 7 the 10 diversity 8 concomitant 10 diversity 9 sheer 10 diversity 10 diversity 11 , 11 , 13 complexity 11 , 15 and 12 chemical 13 complexity 14 , 15 and 15 and 17 abundance 15 and 18 of 16 variable 17 abundance 18 of 21 derivatives 19 the 21 derivatives 20 various 21 derivatives 22 to 23 be 23 be 24 characterized some challenges to scientists are finally proposed for future proteomic investigations to solve main drawbacks in this research field . 0 ###LEFT-WALL### 2 challenges 0 ###LEFT-WALL### 7 proposed 0 ###LEFT-WALL### 20 . 1 some 2 challenges 2 challenges 3 to 2 challenges 5 are 3 to 4 scientists 5 are 7 proposed 6 finally 7 proposed 7 proposed 8 for 7 proposed 12 to 8 for 11 investigations 9 future 11 investigations 10 proteomic 11 investigations 12 to 13 solve 13 solve 15 drawbacks 13 solve 16 in 14 main 15 drawbacks 16 in 19 field 17 this 19 field 18 research 19 field detection and quantification of protein carbonyls present in biological samples has become a popular , [albeit] indirect , method to determine the existence of oxidative stress . 0 ###LEFT-WALL### 1 detection 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 27 . 2 and 3 quantification 2 and 12 become 3 quantification 4 of 3 quantification 11 has 4 of 6 carbonyls 5 protein 6 carbonyls 6 carbonyls 7 present 7 present 8 in 8 in 10 samples 9 biological 10 samples 11 has 12 become 12 become 19 method 12 become 20 to 13 a 14 popular 13 a 19 method 14 popular 15 , 14 popular 19 method 17 indirect 18 , 17 indirect 19 method 20 to 21 determine 21 determine 23 existence 22 the 23 existence 23 existence 24 of 24 of 26 stress 25 oxidative 26 stress moreover , the rise of proteomics has allowed the identification of the specific proteins targeted by protein carbonylation . 0 ###LEFT-WALL### 4 rise 0 ###LEFT-WALL### 8 allowed 0 ###LEFT-WALL### 19 . 1 moreover 2 , 1 moreover 4 rise 3 the 4 rise 4 rise 5 of 4 rise 7 has 5 of 6 proteomics 7 has 8 allowed 8 allowed 10 identification 8 allowed 18 carbonylation 9 the 10 identification 10 identification 11 of 11 of 14 proteins 12 the 14 proteins 13 specific 14 proteins 14 proteins 15 targeted 15 targeted 16 by 16 by 17 protein this review discusses these methodologies and proteomic strategies and then focuses on the relationship between protein carbonylation and aging and the parameters that may explain the increased sensitivity of certain proteins to protein carbonylation . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 35 . 1 this 2 review 2 review 9 and 3 discusses 6 and 3 discusses 9 and 4 these 5 methodologies 5 methodologies 6 and 6 and 8 strategies 7 proteomic 8 strategies 9 and 11 focuses 9 and 32 to 10 then 11 focuses 11 focuses 12 on 11 focuses 15 between 12 on 14 relationship 13 the 14 relationship 15 between 20 and 16 protein 17 carbonylation 17 carbonylation 18 and 18 and 19 aging 18 and 20 and 20 and 22 parameters 20 and 23 that 20 and 25 explain 21 the 22 parameters 23 that 24 may 24 may 25 explain 25 explain 28 sensitivity 26 the 28 sensitivity 27 increased 28 sensitivity 28 sensitivity 29 of 29 of 31 proteins 30 certain 31 proteins 32 to 34 carbonylation 33 protein 34 carbonylation background : allometric exponents in population pharmacokinetic analysis are regularly used but the issue of fixing or estimating an allometric exponent remains controversial . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 or 0 ###LEFT-WALL### 24 . 1 background 2 : 2 : 3 allometric 3 allometric 4 exponents 3 allometric 16 fixing 4 exponents 5 in 4 exponents 9 are 5 in 8 analysis 6 population 8 analysis 7 pharmacokinetic 8 analysis 9 are 10 regularly 9 are 11 used 11 used 12 but 12 but 14 issue 13 the 14 issue 14 issue 15 of 15 of 16 fixing 17 or 18 estimating 17 or 22 remains 18 estimating 21 exponent 18 estimating 22 remains 19 an 20 allometric 19 an 21 exponent 20 allometric 21 exponent 22 remains 23 controversial the objective of the current analysis is to evaluate the performance of a body - weight - dependent allometric exponent [(] bde ) [model] of remifentanil . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 27 . 1 the 2 objective 2 objective 3 of 2 objective 7 is 3 of 6 analysis 4 the 6 analysis 5 current 6 analysis 7 is 8 to 7 is 9 evaluate 8 to 9 evaluate 9 evaluate 11 performance 10 the 11 performance 11 performance 12 of 12 of 14 body 13 a 14 body 14 body 16 weight 14 body 22 bde 14 body 25 of 15 - 16 weight 16 weight 17 - 17 - 22 bde 18 dependent 20 exponent 19 allometric 20 exponent 20 exponent 22 bde 22 bde 23 ) 25 of 26 remifentanil methods : the study was conducted in 34 patients ( neonates to 17 years and 2.5 to 97 kg body weight ) following a single intravenous ( iv ) infusion of remifentanil ( 5 μg / [kg] ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 39 . 2 : 4 study 2 : 6 conducted 3 the 4 study 4 study 5 was 5 was 6 conducted 6 conducted 7 in 7 in 9 patients 8 34 9 patients 9 patients 15 and 10 ( 15 and 11 neonates 12 to 11 neonates 15 and 12 to 14 years 13 17 14 years 15 and 21 weight 15 and 22 ) 15 and 23 following 15 and 38 ) 16 2.5 17 to 17 to 18 97 17 to 19 kg 19 kg 21 weight 20 body 21 weight 23 following 30 infusion 24 a 25 single 24 a 30 infusion 25 single 30 infusion 26 intravenous 28 iv 26 intravenous 29 ) 26 intravenous 30 infusion 27 ( 28 iv 28 iv 29 ) 30 infusion 31 of 31 of 32 remifentanil 32 remifentanil 36 / 33 ( 36 / 34 5 35 μg 35 μg 36 / 36 / 38 ) a population pharmacokinetic approach was taken to describe drug clearance by the following bde equation : cl=clpop ( bw/14.6 [kg] )l×bw [(] - m ) . 0 ###LEFT-WALL### 4 approach 0 ###LEFT-WALL### 6 taken 0 ###LEFT-WALL### 16 : 0 ###LEFT-WALL### 26 . 1 a 2 population 1 a 4 approach 2 population 4 approach 3 pharmacokinetic 4 approach 4 approach 5 was 5 was 6 taken 6 taken 7 to 7 to 8 describe 8 describe 10 clearance 8 describe 11 by 9 drug 10 clearance 11 by 15 equation 12 the 13 following 12 the 15 equation 14 bde 15 equation 16 : 17 cl=clpop 17 cl=clpop 21 )l×bw 17 cl=clpop 24 m 18 ( 21 )l×bw 19 bw/14.6 21 )l×bw 21 )l×bw 23 - 23 - 24 m 24 m 25 ) three allometric models were used to explore the impact of allometric exponents on the total clearance of remifentanil . 0 ###LEFT-WALL### 3 models 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 19 . 1 three 3 models 2 allometric 3 models 3 models 4 were 4 were 5 used 5 used 6 to 5 used 7 explore 6 to 7 explore 7 explore 9 impact 7 explore 13 on 8 the 9 impact 9 impact 10 of 10 of 12 exponents 11 allometric 12 exponents 13 on 16 clearance 14 the 16 clearance 15 total 16 clearance 16 clearance 17 of 17 of 18 remifentanil results : all model [-] fitted structural , covariate , and statistical parameters were estimated with good to excellent precision ( %rse ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 11 and 2 : 24 . 3 all 9 covariate 4 model 6 fitted 6 fitted 9 covariate 7 structural 8 , 7 structural 9 covariate 9 covariate 11 and 10 , 11 and 11 and 12 statistical 11 and 13 parameters 11 and 16 with 11 and 17 good 13 parameters 14 were 14 were 15 estimated 15 estimated 16 with 17 good 18 to 18 to 20 precision 19 excellent 20 precision 20 precision 22 %rse 21 ( 22 %rse 22 %rse 23 ) however , on the basis of calculated akaike weights ( 0.000 for model 1 , 0.004 for model 2 [,] and 0.996 for model 3 ) , model 3 is the most robust model to describe individual clearance estimates . 0 ###LEFT-WALL### 38 clearance 0 ###LEFT-WALL### 39 estimates 0 ###LEFT-WALL### 40 . 1 however 28 model 1 however 30 is 1 however 38 clearance 2 , 3 on 3 on 5 basis 3 on 27 , 3 on 28 model 4 the 5 basis 5 basis 6 of 6 of 9 weights 7 calculated 9 weights 8 akaike 9 weights 9 weights 11 0.000 9 weights 16 0.004 10 ( 11 0.000 11 0.000 12 for 11 0.000 15 , 12 for 13 model 13 model 14 1 15 , 16 0.004 16 0.004 17 for 16 0.004 23 for 16 0.004 26 ) 17 for 18 model 18 model 21 and 19 2 21 and 21 and 22 0.996 23 for 24 model 24 model 25 3 28 model 29 3 28 model 30 is 30 is 34 model 31 the 34 model 32 most 33 robust 33 robust 34 model 34 model 35 to 34 model 36 describe 35 to 36 describe 37 individual 38 clearance 38 clearance 39 estimates conclusions : the bde model performed best for the estimation of remifentanil clearance and is realistic and [of] practical value . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 model 2 : 14 and 2 : 21 . 3 the 5 model 4 bde 5 model 5 model 14 and 6 performed 7 best 6 performed 14 and 7 best 8 for 8 for 10 estimation 9 the 10 estimation 10 estimation 11 of 11 of 13 clearance 12 remifentanil 13 clearance 14 and 15 is 15 is 20 value 16 realistic 17 and 17 and 19 practical 17 and 20 value further investigation should be conducted for such models . 0 ###LEFT-WALL### 2 investigation 0 ###LEFT-WALL### 5 conducted 0 ###LEFT-WALL### 9 . 1 further 2 investigation 2 investigation 3 should 3 should 4 be 4 be 5 conducted 5 conducted 6 for 6 for 8 models 7 such 8 models bioelectrical impedance analysis ( bia ) has been used to estimate skeletal muscle [mass] , but its application in the elderly is not optimal . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 9 used 0 ###LEFT-WALL### 16 but 0 ###LEFT-WALL### 25 . 1 bioelectrical 3 analysis 2 impedance 3 analysis 3 analysis 5 bia 3 analysis 7 has 4 ( 5 bia 5 bia 6 ) 7 has 8 been 8 been 9 used 9 used 10 to 9 used 11 estimate 10 to 11 estimate 11 estimate 13 muscle 12 skeletal 13 muscle 15 , 16 but 16 but 18 application 16 but 22 is 17 its 18 application 18 application 19 in 18 application 22 is 19 in 21 elderly 20 the 21 elderly 22 is 23 not 22 is 24 optimal 23 not 24 optimal the accuracy of bia may be influenced by the expansion of extracellular water ( ecw ) relative to [muscle] mass with aging . 0 ###LEFT-WALL### 2 accuracy 0 ###LEFT-WALL### 7 influenced 0 ###LEFT-WALL### 23 . 1 the 2 accuracy 2 accuracy 3 of 2 accuracy 5 may 3 of 4 bia 5 may 6 be 6 be 7 influenced 7 influenced 8 by 7 influenced 17 relative 8 by 10 expansion 9 the 10 expansion 10 expansion 11 of 11 of 13 water 12 extracellular 13 water 13 water 15 ecw 14 ( 15 ecw 15 ecw 16 ) 17 relative 18 to 17 relative 22 aging 18 to 20 mass 20 mass 21 with 21 with 22 aging multifrequency bia ( mfbia ) can evaluate the distribution between ecw and intracellular water ( icw ) , and thus may be superior to single - frequency bia ( sfbia ) to estimate muscle [mass] in the elderly . 0 ###LEFT-WALL### 22 be 0 ###LEFT-WALL### 39 . 1 multifrequency 2 bia 2 bia 4 mfbia 2 bia 19 and 3 ( 4 mfbia 4 mfbia 5 ) 6 can 7 evaluate 6 can 19 and 7 evaluate 9 distribution 7 evaluate 10 between 8 the 9 distribution 10 between 12 and 11 ecw 12 and 12 and 14 water 12 and 16 icw 13 intracellular 14 water 15 ( 16 icw 16 icw 17 ) 18 , 19 and 19 and 21 may 20 thus 21 may 21 may 22 be 22 be 23 superior 23 superior 24 to 23 superior 32 to 23 superior 33 estimate 24 to 28 bia 25 single 26 - 25 single 27 frequency 27 frequency 28 bia 28 bia 30 sfbia 29 ( 30 sfbia 30 sfbia 31 ) 32 to 33 estimate 33 estimate 34 muscle 33 estimate 36 in 36 in 38 elderly 37 the 38 elderly a total of 58 elderly participants aged 65 - 85 years were recruited . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 7 aged 0 ###LEFT-WALL### 14 . 1 a 2 total 2 total 3 of 2 total 7 aged 3 of 6 participants 4 58 6 participants 5 elderly 6 participants 7 aged 9 - 8 65 9 - 9 - 10 85 10 85 11 years 11 years 12 were 12 were 13 recruited muscle cross - sectional area ( csa ) was obtained from computed tomography [scans] at the mid - thigh . 0 ###LEFT-WALL### 2 cross 0 ###LEFT-WALL### 3 - 1 muscle 2 cross 3 - 5 area 3 - 10 obtained 3 - 20 . 4 sectional 5 area 5 area 7 csa 5 area 9 was 6 ( 7 csa 7 csa 8 ) 9 was 10 obtained 10 obtained 11 from 10 obtained 15 at 11 from 13 tomography 12 computed 13 tomography 15 at 19 thigh 16 the 19 thigh 17 mid 18 - 17 mid 19 thigh segmental sfbia and mfbia were measured for the upper legs . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 11 . 1 segmental 2 sfbia 2 sfbia 3 and 3 and 4 mfbia 3 and 5 were 5 were 6 measured 6 measured 7 for 7 for 10 legs 8 the 10 legs 9 upper 10 legs an index of the ratio of ecw and icw was calculated using mfbia . 0 ###LEFT-WALL### 2 index 0 ###LEFT-WALL### 11 calculated 0 ###LEFT-WALL### 14 . 1 an 2 index 2 index 3 of 2 index 6 of 2 index 10 was 3 of 5 ratio 4 the 5 ratio 6 of 8 and 7 ecw 8 and 8 and 9 icw 10 was 11 calculated 11 calculated 12 using 12 using 13 mfbia the correlation between muscle csa and sfbia was moderate ( r = 0.68 ) , but strong between muscle csa and mfbia ( r = 0.85 ) . 0 ###LEFT-WALL### 2 correlation 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 28 . 1 the 2 correlation 2 correlation 3 between 2 correlation 8 was 3 between 6 and 4 muscle 5 csa 5 csa 6 and 6 and 7 sfbia 8 was 22 mfbia 9 moderate 12 = 9 moderate 16 but 10 ( 12 = 11 r 12 = 12 = 13 0.68 12 = 14 ) 15 , 16 but 16 but 17 strong 16 but 22 mfbia 17 strong 18 between 18 between 19 muscle 20 csa 21 and 21 and 22 mfbia 22 mfbia 25 = 23 ( 25 = 24 r 25 = 25 = 26 0.85 25 = 27 ) ecw/icw [index] was significantly and positively correlated with age ( p < 0.001 ) . 0 ###LEFT-WALL### 1 ecw/icw 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 15 . 1 ecw/icw 5 and 3 was 4 significantly 3 was 5 and 5 and 7 correlated 5 and 8 with 6 positively 7 correlated 8 with 9 age 9 age 12 < 10 ( 12 < 11 p 12 < 12 < 13 0.001 12 < 14 ) sfbia tends to significantly overestimate muscle csa in subjects who had relative expansion of ecw in the thigh segment ( p < 0.001 ) . 0 ###LEFT-WALL### 1 sfbia 0 ###LEFT-WALL### 2 tends 0 ###LEFT-WALL### 25 . 1 sfbia 2 tends 2 tends 3 to 2 tends 5 overestimate 3 to 5 overestimate 4 significantly 5 overestimate 5 overestimate 7 csa 5 overestimate 8 in 6 muscle 7 csa 8 in 9 subjects 9 subjects 10 who 9 subjects 11 had 10 who 11 had 11 had 13 expansion 11 had 16 in 12 relative 13 expansion 13 expansion 14 of 14 of 15 ecw 16 in 19 segment 17 the 19 segment 18 thigh 19 segment 19 segment 22 < 20 ( 22 < 21 p 22 < 22 < 23 0.001 22 < 24 ) this trend was not observed for mfbia ( p = 0.42 ) . 0 ###LEFT-WALL### 2 trend 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 13 . 1 this 2 trend 2 trend 3 was 3 was 4 not 3 was 6 for 4 not 5 observed 6 for 7 mfbia 7 mfbia 10 = 8 ( 10 = 9 p 10 = 10 = 11 0.42 10 = 12 ) relative expansion of ecw was observed in older participants . 0 ###LEFT-WALL### 2 expansion 0 ###LEFT-WALL### 6 observed 0 ###LEFT-WALL### 10 . 1 relative 2 expansion 2 expansion 3 of 2 expansion 5 was 3 of 4 ecw 5 was 6 observed 6 observed 7 in 7 in 9 participants 8 older 9 participants the relative expansion of ecw affects the validity of traditional sfbia , which is lowered when estimating muscle csa in the elderly . 0 ###LEFT-WALL### 3 expansion 0 ###LEFT-WALL### 6 affects 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 23 . 1 the 3 expansion 2 relative 3 expansion 3 expansion 4 of 3 expansion 6 affects 4 of 5 ecw 6 affects 8 validity 7 the 8 validity 8 validity 9 of 9 of 11 sfbia 10 traditional 11 sfbia 12 , 13 which 12 , 15 lowered 13 which 14 is 14 is 15 lowered 15 lowered 16 when 16 when 17 estimating 17 estimating 19 csa 17 estimating 20 in 18 muscle 19 csa 20 in 22 elderly 21 the 22 elderly by contrast , mfbia was not affected by water distribution in thigh segments , thus rendering the validity of mfbia for estimating thigh muscle csa higher than sfbia in the elderly . 0 ###LEFT-WALL### 4 mfbia 0 ###LEFT-WALL### 7 affected 1 by 2 contrast 1 by 3 , 1 by 4 mfbia 4 mfbia 5 was 5 was 6 not 5 was 7 affected 7 affected 8 by 7 affected 11 in 8 by 10 distribution 9 water 10 distribution 11 in 13 segments 12 thigh 13 segments 13 segments 16 rendering 14 , 16 rendering 15 thus 16 rendering 16 rendering 18 validity 16 rendering 21 for 16 rendering 26 higher 16 rendering 27 than 16 rendering 32 . 17 the 18 validity 18 validity 19 of 19 of 20 mfbia 21 for 22 estimating 22 estimating 25 csa 23 thigh 24 muscle 24 muscle 25 csa 27 than 28 sfbia 27 than 29 in 29 in 31 elderly 30 the 31 elderly background : despite the availability of effective preventive and curative medications for osteoporosis , and guidelines for its diagnosis and management , few individuals are treated for osteoporosis , even among those who have already had a fracture . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 39 . 1 background 2 : 2 : 3 despite 2 : 12 for 3 despite 5 availability 4 the 5 availability 5 availability 6 of 6 of 11 medications 7 effective 11 medications 8 preventive 9 and 9 and 10 curative 9 and 11 medications 12 for 20 and 13 osteoporosis 15 and 14 , 15 and 15 and 16 guidelines 15 and 17 for 15 and 20 and 17 for 19 diagnosis 18 its 19 diagnosis 20 and 21 management 22 , 24 individuals 22 , 29 , 23 few 24 individuals 24 individuals 25 are 25 are 29 , 26 treated 27 for 26 treated 29 , 27 for 28 osteoporosis 29 , 30 even 29 , 31 among 31 among 32 those 32 those 33 who 32 those 34 have 33 who 34 have 34 have 36 had 35 already 36 had 36 had 38 fracture 37 a 38 fracture objectives : our objective was to describe the patterns of use of medication for osteoporosis , i.e [.] , calcium supplements [,] vitamin d supplements , and specific anti - osteoporotic drugs , such as bisphosphonates , in a large sample of french older women living at home , [and] to identify individual factors associated with use of these medications overall and [in] two specific clinical situations . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 was 2 : 4 objective 3 our 4 objective 4 objective 5 was 5 was 6 to 6 to 7 describe 7 describe 9 patterns 8 the 9 patterns 9 patterns 10 of 9 patterns 12 of 9 patterns 20 calcium 9 patterns 21 supplements 10 of 11 use 12 of 13 medication 13 medication 14 for 14 for 15 osteoporosis 15 osteoporosis 17 i.e 16 , 17 i.e 17 i.e 19 , 20 calcium 21 supplements 21 supplements 27 and 23 vitamin 24 d 23 vitamin 25 supplements 25 supplements 27 and 26 , 27 and 27 and 28 specific 27 and 37 , 27 and 38 in 29 anti 30 - 29 anti 32 drugs 31 osteoporotic 32 drugs 32 drugs 35 as 33 , 35 as 34 such 35 as 35 as 36 bisphosphonates 35 as 37 , 38 in 46 living 39 a 40 large 39 a 46 living 40 large 41 sample 41 sample 42 of 42 of 43 french 44 older 45 women 45 women 46 living 46 living 47 at 46 living 55 associated 47 at 48 home 48 home 51 to 49 , 51 to 51 to 52 identify 52 identify 54 factors 53 individual 54 factors 55 associated 56 with 56 with 57 use 56 with 62 and 57 use 58 of 58 of 60 medications 59 these 60 medications 61 overall 62 and 62 and 67 situations 62 and 68 . 64 two 67 situations 65 specific 67 situations 66 clinical 67 situations methods : cross - sectional analysis of data from 4,221 women aged 75 - 85 years who participated in a balance and mobility examination as part of the screening procedure for the ossébo study , a randomized controlled trial testing the effectiveness of exercise for the prevention of fall - related injuries . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 51 related 0 ###LEFT-WALL### 53 . 1 methods 2 : 2 : 16 years 3 cross 6 analysis 3 cross 16 years 4 - 6 analysis 5 sectional 6 analysis 6 analysis 7 of 6 analysis 14 - 7 of 8 data 8 data 9 from 8 data 12 aged 9 from 11 women 10 4,221 11 women 12 aged 13 75 15 85 16 years 16 years 17 who 16 years 18 participated 17 who 18 participated 18 participated 19 in 18 participated 25 as 18 participated 31 for 19 in 22 and 20 a 21 balance 21 balance 22 and 22 and 24 examination 23 mobility 24 examination 25 as 30 procedure 26 part 27 of 26 part 30 procedure 27 of 30 procedure 28 the 30 procedure 29 screening 30 procedure 31 for 34 study 32 the 34 study 33 ossébo 34 study 34 study 39 trial 35 , 39 trial 36 a 39 trial 37 randomized 39 trial 38 controlled 39 trial 39 trial 40 testing 39 trial 50 - 40 testing 42 effectiveness 40 testing 45 for 41 the 42 effectiveness 42 effectiveness 43 of 43 of 44 exercise 45 for 47 prevention 46 the 47 prevention 47 prevention 48 of 48 of 49 fall 50 - 51 related 51 related 52 injuries electoral rolls were used to invite women in 16 towns [to] [participate] ( participation rate 10.3 [%] ) . 0 ###LEFT-WALL### 2 rolls 0 ###LEFT-WALL### 4 used 0 ###LEFT-WALL### 19 . 1 electoral 2 rolls 2 rolls 3 were 3 were 4 used 4 used 5 to 4 used 6 invite 5 to 6 invite 6 invite 7 women 6 invite 8 in 8 in 10 towns 9 16 10 towns 10 towns 15 rate 13 ( 15 rate 14 participation 15 rate 15 rate 16 10.3 15 rate 18 ) information collected through questionnaires included current medication use and , in particular , use of osteoporosis medications ( specific osteoporosis drugs , calcium and vitamin d supplementation ) in the past 6 months , and history [of] fracture since the age of 50 , including fracture locations . 0 ###LEFT-WALL### 1 information 0 ###LEFT-WALL### 9 and 1 information 2 collected 1 information 5 included 2 collected 3 through 3 through 4 questionnaires 5 included 8 use 6 current 7 medication 7 medication 8 use 9 and 10 , 9 and 24 and 9 and 38 fracture 10 , 11 in 11 in 14 use 11 in 22 , 11 in 24 and 12 particular 13 , 12 particular 14 use 14 use 15 of 14 use 21 drugs 15 of 17 medications 16 osteoporosis 17 medications 18 ( 21 drugs 19 specific 20 osteoporosis 20 osteoporosis 21 drugs 21 drugs 22 , 23 calcium 24 and 24 and 27 supplementation 24 and 28 ) 24 and 29 in 24 and 38 fracture 25 vitamin 26 d 25 vitamin 27 supplementation 29 in 35 and 30 the 31 past 30 the 32 6 32 6 33 months 33 months 35 and 34 , 35 and 35 and 36 history 38 fracture 39 since 38 fracture 45 including 39 since 41 age 40 the 41 age 41 age 42 of 42 of 43 50 44 , 45 including 45 including 47 locations 45 including 48 . 46 fracture 47 locations fractures were categorized in three groups : no fracture , major osteoporotic [fracture] ( hip , humerus , wrist , pelvis , and vertebra ) , and other fracture . 0 ###LEFT-WALL### 1 fractures 0 ###LEFT-WALL### 3 categorized 0 ###LEFT-WALL### 7 : 1 fractures 2 were 2 were 3 categorized 3 categorized 4 in 4 in 6 groups 5 three 6 groups 7 : 27 and 7 : 29 fracture 7 : 30 . 8 no 9 fracture 9 fracture 10 , 10 , 19 wrist 10 , 20 , 11 major 19 wrist 12 osteoporotic 17 humerus 12 osteoporotic 18 , 12 osteoporotic 19 wrist 14 ( 17 humerus 15 hip 16 , 15 hip 17 humerus 17 humerus 18 , 20 , 21 pelvis 20 , 23 and 22 , 23 and 23 and 24 vertebra 23 and 25 ) 23 and 27 and 26 , 27 and 27 and 28 other 27 and 29 fracture results : nearly 48 % of the participants reported they did not take calcium or vitamin d supplements or any specific osteoporosis drugs . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 5 % 2 : 9 reported 3 nearly 4 48 4 48 5 % 5 % 6 of 5 % 9 reported 6 of 8 participants 7 the 8 participants 9 reported 10 they 9 reported 13 take 10 they 11 did 11 did 12 not 11 did 13 take 13 take 15 or 14 calcium 15 or 15 or 23 drugs 16 vitamin 17 d 16 vitamin 18 supplements 18 supplements 19 or 19 or 22 osteoporosis 19 or 23 drugs 20 any 22 osteoporosis 21 specific 22 osteoporosis of the 2,133 women who reported using osteoporosis medication , 85 % used vitamin d supplements ( 25 % as the sole medication against this disease ) , 59 % calcium supplements , and 42 % [a] specific anti - osteoporotic drug ( 75 % of them combining it with vitamin d supplementation ) . 0 ###LEFT-WALL### 12 % 0 ###LEFT-WALL### 13 used 0 ###LEFT-WALL### 28 , 0 ###LEFT-WALL### 55 . 1 of 4 women 1 of 10 , 1 of 12 % 2 the 3 2,133 3 2,133 4 women 4 women 5 who 4 women 6 reported 5 who 6 reported 6 reported 7 using 6 reported 9 medication 7 using 8 osteoporosis 11 85 12 % 12 % 13 used 13 used 16 supplements 14 vitamin 15 d 14 vitamin 16 supplements 16 supplements 19 % 17 ( 19 % 18 25 19 % 19 % 20 as 19 % 24 against 19 % 27 ) 20 as 23 medication 21 the 22 sole 21 the 23 medication 24 against 26 disease 25 this 26 disease 28 , 34 and 29 59 32 supplements 30 % 31 calcium 31 calcium 32 supplements 32 supplements 34 and 33 , 34 and 34 and 42 drug 34 and 45 % 35 42 36 % 36 % 42 drug 38 specific 42 drug 39 anti 40 - 39 anti 42 drug 41 osteoporotic 42 drug 43 ( 45 % 44 75 45 % 45 % 46 of 45 % 48 combining 45 % 54 ) 46 of 47 them 48 combining 49 it 48 combining 50 with 50 with 53 supplementation 51 vitamin 52 d 51 vitamin 53 supplementation the use of any osteoporosis medication was significantly associated ( p < 0.001 ) with a history of a major osteoporotic fracture , lower weight , dual - energy x - ray absorptiometry ( dxa ) bone - density measurement in the past 5 years , a cancer - screening examination in the past 5 years , and a positive attitude toward medication use in general . 0 ###LEFT-WALL### 2 use 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 23 , 1 the 2 use 2 use 3 of 2 use 6 medication 2 use 7 was 2 use 9 associated 3 of 5 osteoporosis 4 any 5 osteoporosis 6 medication 7 was 7 was 8 significantly 9 associated 12 < 9 associated 15 with 10 ( 12 < 11 p 12 < 12 < 13 0.001 12 < 14 ) 15 with 17 history 16 a 17 history 17 history 18 of 18 of 22 fracture 19 a 20 major 19 a 22 fracture 20 major 22 fracture 21 osteoporotic 22 fracture 23 , 24 lower 23 , 31 - 24 lower 25 weight 25 weight 29 energy 26 , 29 energy 27 dual 28 - 27 dual 29 energy 29 energy 30 x 29 energy 31 - 31 - 37 bone 31 - 38 - 31 - 67 . 32 ray 37 bone 33 absorptiometry 35 dxa 33 absorptiometry 37 bone 34 ( 35 dxa 35 dxa 36 ) 38 - 40 measurement 39 density 40 measurement 40 measurement 41 in 40 measurement 50 screening 41 in 45 years 42 the 45 years 43 past 45 years 44 5 45 years 45 years 48 cancer 46 , 48 cancer 47 a 48 cancer 48 cancer 49 - 50 screening 51 examination 50 screening 52 in 50 screening 62 toward 52 in 58 and 53 the 54 past 53 the 55 5 55 5 56 years 56 years 58 and 57 , 58 and 58 and 61 attitude 59 a 60 positive 59 a 61 attitude 60 positive 61 attitude 62 toward 64 use 63 medication 64 use 64 use 66 general 65 in 66 general living alone was associated with [a] lower likelihood of using a specific anti - osteoporotic drug , and a higher education level was associated with [a] higher likelihood of vitamin d supplementation . 0 ###LEFT-WALL### 1 living 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 33 . 1 living 2 alone 1 living 3 was 3 was 4 associated 4 associated 5 with 5 with 8 likelihood 7 lower 8 likelihood 8 likelihood 9 of 9 of 10 using 10 using 16 drug 11 a 12 specific 11 a 16 drug 12 specific 16 drug 13 anti 14 - 13 anti 16 drug 15 osteoporotic 16 drug 17 , 18 and 18 and 22 level 18 and 24 associated 19 a 22 level 20 higher 21 education 21 education 22 level 22 level 23 was 23 was 24 associated 24 associated 25 with 25 with 28 likelihood 27 higher 28 likelihood 28 likelihood 29 of 29 of 32 supplementation 30 vitamin 31 d 30 vitamin 32 supplementation of the 1,553 women who had already had a major osteoporotic fracture , one - third ( 34.8 % ) were not taking any osteoporosis medication . 0 ###LEFT-WALL### 4 women 0 ###LEFT-WALL### 21 were 0 ###LEFT-WALL### 27 . 1 of 3 1,553 1 of 4 women 2 the 3 1,553 4 women 5 who 4 women 6 had 4 women 19 % 4 women 21 were 5 who 6 had 6 had 8 had 7 already 8 had 8 had 12 fracture 8 had 16 third 9 a 10 major 9 a 12 fracture 10 major 12 fracture 11 osteoporotic 12 fracture 12 fracture 14 one 13 , 14 one 14 one 15 - 17 ( 19 % 18 34.8 19 % 19 % 20 ) 21 were 22 not 21 were 23 taking 23 taking 26 medication 24 any 26 medication 25 osteoporosis 26 medication in this subgroup , use of this medication was associated with the same factors as in the overall study population . 0 ###LEFT-WALL### 5 use 0 ###LEFT-WALL### 10 associated 0 ###LEFT-WALL### 21 . 1 in 3 subgroup 1 in 4 , 1 in 5 use 2 this 3 subgroup 5 use 6 of 5 use 9 was 6 of 8 medication 7 this 8 medication 9 was 10 associated 10 associated 11 with 10 associated 15 as 11 with 14 factors 12 the 13 same 13 same 14 factors 15 as 16 in 16 in 20 population 17 the 20 population 18 overall 19 study 19 study 20 population in particular , neither older age nor a history of [falls] in the previous 12 months was associated with [a] higher likelihood of using osteoporosis medication . 0 ###LEFT-WALL### 2 particular 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 27 . 1 in 2 particular 3 , 7 nor 3 , 18 associated 4 neither 7 nor 5 older 6 age 6 age 7 nor 7 nor 9 history 7 nor 17 was 8 a 9 history 9 history 10 of 10 of 12 in 12 in 16 months 13 the 14 previous 13 the 15 12 15 12 16 months 17 was 18 associated 18 associated 19 with 19 with 22 likelihood 19 with 26 medication 21 higher 22 likelihood 22 likelihood 23 of 23 of 24 using 24 using 25 osteoporosis among the 909 women who reported using a specific osteoporosis drug , vitamin d use was associated with a higher educational level and a more frequent preventive attitude . 0 ###LEFT-WALL### 15 use 0 ###LEFT-WALL### 17 associated 0 ###LEFT-WALL### 29 . 1 among 4 women 1 among 12 , 1 among 15 use 2 the 3 909 3 909 4 women 4 women 5 who 4 women 6 reported 5 who 6 reported 6 reported 7 using 7 using 11 drug 8 a 9 specific 8 a 11 drug 9 specific 10 osteoporosis 10 osteoporosis 11 drug 13 vitamin 14 d 13 vitamin 15 use 15 use 16 was 16 was 17 associated 17 associated 18 with 18 with 23 and 19 a 22 level 20 higher 22 level 21 educational 22 level 22 level 23 and 23 and 28 attitude 24 a 28 attitude 25 more 26 frequent 26 frequent 28 attitude 27 preventive 28 attitude conclusion : in france , as in other western countries , women aged 75 years [and] [over] are not managed according to guidelines . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 4 france 2 : 5 , 3 in 4 france 5 , 15 years 5 , 18 are 6 as 12 women 6 as 13 aged 6 as 15 years 7 in 10 countries 7 in 11 , 7 in 12 women 8 other 10 countries 9 western 10 countries 12 women 13 aged 14 75 15 years 15 years 18 are 18 are 19 not 18 are 22 to 19 not 20 managed 21 according 22 to 22 to 23 guidelines further studies should address the barriers encountered in improving quality of care in osteoporosis management . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 address 0 ###LEFT-WALL### 16 . 1 further 2 studies 2 studies 3 should 3 should 4 address 4 address 6 barriers 5 the 6 barriers 6 barriers 7 encountered 7 encountered 8 in 8 in 9 improving 9 improving 10 quality 9 improving 13 in 10 quality 11 of 11 of 12 care 13 in 15 management 14 osteoporosis 15 management since the earliest descriptions of alzheimer 's disease ( ad ) , many theories have been advanced as to its cause . 0 ###LEFT-WALL### 14 theories 0 ###LEFT-WALL### 16 been 0 ###LEFT-WALL### 22 . 1 since 4 descriptions 1 since 12 , 1 since 14 theories 2 the 3 earliest 2 the 4 descriptions 4 descriptions 5 of 5 of 8 disease 6 alzheimer 7 's 7 's 8 disease 8 disease 10 ad 9 ( 10 ad 10 ad 11 ) 13 many 14 theories 14 theories 15 have 15 have 16 been 16 been 17 advanced 17 advanced 19 to 18 as 19 to 19 to 21 cause 20 its 21 cause the consequent degeneration of neurons and blood vessels results in the formation of abnormally aggregated ['] reactive ['] proteins such as β - amyloid ( aβ ) and tau . 0 ###LEFT-WALL### 3 degeneration 0 ###LEFT-WALL### 9 results 0 ###LEFT-WALL### 30 . 1 the 3 degeneration 2 consequent 3 degeneration 3 degeneration 4 of 3 degeneration 9 results 4 of 6 and 5 neurons 6 and 6 and 8 vessels 7 blood 8 vessels 9 results 10 in 10 in 12 formation 11 the 12 formation 12 formation 13 of 13 of 28 and 14 abnormally 15 aggregated 15 aggregated 19 proteins 17 reactive 19 proteins 19 proteins 21 as 19 proteins 28 and 20 such 21 as 21 as 24 amyloid 22 β 23 - 22 β 24 amyloid 24 amyloid 26 aβ 25 ( 26 aβ 26 aβ 27 ) 28 and 29 tau gene mutations influence the outcome of age - related neuronal degeneration to cause early onset familial ad ( eo - fad ) . 0 ###LEFT-WALL### 2 mutations 0 ###LEFT-WALL### 3 influence 0 ###LEFT-WALL### 9 related 0 ###LEFT-WALL### 23 . 1 gene 2 mutations 2 mutations 3 influence 3 influence 5 outcome 4 the 5 outcome 5 outcome 6 of 6 of 7 age 8 - 9 related 9 related 11 degeneration 9 related 12 to 9 related 22 ) 10 neuronal 11 degeneration 12 to 21 fad 13 cause 21 fad 14 early 15 onset 15 onset 21 fad 16 familial 21 fad 17 ad 19 eo 18 ( 19 eo 19 eo 20 - 19 eo 21 fad where gene mutations are absent and a combination of risk factors present , aβ and tau only slowly accumulate not overwhelming cellular protection systems until later [in] life causing late - onset sporadic ad ( lo - sad ) . 0 ###LEFT-WALL### 1 where 0 ###LEFT-WALL### 10 risk 0 ###LEFT-WALL### 40 . 1 where 3 mutations 1 where 10 risk 2 gene 3 mutations 3 mutations 4 are 3 mutations 9 of 3 mutations 10 risk 4 are 6 and 5 absent 6 and 6 and 8 combination 6 and 9 of 7 a 8 combination 10 risk 11 factors 10 risk 25 until 11 factors 15 and 11 factors 19 accumulate 11 factors 20 not 12 present 13 , 13 , 14 aβ 13 , 15 and 15 and 16 tau 15 and 19 accumulate 17 only 19 accumulate 18 slowly 19 accumulate 20 not 21 overwhelming 21 overwhelming 24 systems 22 cellular 23 protection 23 protection 24 systems 25 until 28 life 26 later 28 life 28 life 29 causing 28 life 36 lo 29 causing 34 ad 30 late 31 - 30 late 32 onset 32 onset 34 ad 33 sporadic 34 ad 35 ( 36 lo 36 lo 38 sad 36 lo 39 ) 37 - 38 sad 38 sad 39 ) aβ and tau spread through the brain via cell [to] cell transfer along anatomical pathways , variation in the pathways of spread leading to the disease heterogeneity characteristic of ad . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 4 spread 1 aβ 2 and 2 and 3 tau 2 and 4 spread 4 spread 5 through 4 spread 8 via 4 spread 13 along 5 through 7 brain 6 the 7 brain 8 via 12 transfer 9 cell 12 transfer 11 cell 12 transfer 13 along 15 pathways 14 anatomical 15 pathways 15 pathways 17 variation 16 , 17 variation 17 variation 18 in 17 variation 21 of 17 variation 31 . 18 in 20 pathways 19 the 20 pathways 21 of 23 leading 22 spread 23 leading 23 leading 24 to 24 to 28 characteristic 25 the 28 characteristic 26 disease 28 characteristic 27 heterogeneity 28 characteristic 28 characteristic 29 of 29 of 30 ad cellular senescence , a state of irreversible cell cycle arrest , is a robust mechanism used to mediate tumor suppression and control the tissue damage response following short - term insults . 0 ###LEFT-WALL### 2 senescence 0 ###LEFT-WALL### 12 is 0 ###LEFT-WALL### 32 . 1 cellular 2 senescence 2 senescence 5 state 2 senescence 12 is 3 , 5 state 4 a 5 state 5 state 6 of 5 state 11 , 6 of 10 arrest 7 irreversible 8 cell 8 cell 10 arrest 9 cycle 10 arrest 12 is 15 mechanism 12 is 17 to 13 a 14 robust 13 a 15 mechanism 14 robust 15 mechanism 15 mechanism 16 used 17 to 21 and 18 mediate 20 suppression 18 mediate 21 and 19 tumor 20 suppression 21 and 22 control 22 control 26 response 23 the 26 response 24 tissue 26 response 25 damage 26 response 26 response 27 following 27 following 31 insults 28 short 29 - 28 short 30 term 30 term 31 insults in addition , the senescence associated - secretory [phenotype] ( sasp ) , one of the most profound characteristics of the senescence program , facilitates the immunosurveillance of senescent cells . 0 ###LEFT-WALL### 5 senescence 0 ###LEFT-WALL### 25 facilitates 0 ###LEFT-WALL### 31 . 1 in 2 addition 1 in 3 , 1 in 5 senescence 4 the 5 senescence 5 senescence 6 associated 5 senescence 11 sasp 5 senescence 14 one 5 senescence 25 facilitates 6 associated 7 - 6 associated 8 secretory 10 ( 11 sasp 11 sasp 12 ) 13 , 14 one 14 one 15 of 14 one 24 , 15 of 19 characteristics 16 the 17 most 17 most 19 characteristics 18 profound 19 characteristics 19 characteristics 20 of 20 of 23 program 21 the 23 program 22 senescence 23 program 25 facilitates 27 immunosurveillance 26 the 27 immunosurveillance 27 immunosurveillance 28 of 28 of 30 cells 29 senescent 30 cells the sasp includes many chemokines , cytokines and adhesion molecules that can recruit and activate distinct immune cells from both the innate and adaptive immune system such as nk cells , monocytes/macrophages and t cells . 0 ###LEFT-WALL### 2 sasp 0 ###LEFT-WALL### 3 includes 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 36 . 1 the 2 sasp 2 sasp 3 includes 3 includes 5 chemokines 4 many 5 chemokines 6 , 8 and 7 cytokines 8 and 8 and 10 molecules 8 and 11 that 8 and 14 and 8 and 19 from 9 adhesion 10 molecules 11 that 14 and 12 can 13 recruit 12 can 14 and 14 and 15 activate 15 activate 18 cells 16 distinct 18 cells 17 immune 18 cells 19 from 23 and 20 both 23 and 21 the 22 innate 22 innate 23 and 23 and 26 system 23 and 28 as 24 adaptive 26 system 25 immune 26 system 27 such 28 as 28 as 35 cells 29 nk 30 cells 30 cells 31 , 31 , 32 monocytes/macrophages 31 , 33 and 33 and 34 t 33 and 35 cells furthermore , senescent cells can upregulate specific immune [ligands] on their cell surface that can mediate the recognition of these cells by specific immune cell subsets and lead to activation of the immune cells . 0 ###LEFT-WALL### 4 cells 0 ###LEFT-WALL### 6 upregulate 0 ###LEFT-WALL### 35 . 1 furthermore 2 , 1 furthermore 4 cells 3 senescent 4 cells 4 cells 5 can 5 can 6 upregulate 6 upregulate 27 and 6 upregulate 29 to 7 specific 8 immune 7 specific 27 and 8 immune 10 on 8 immune 22 by 10 on 13 surface 11 their 13 surface 12 cell 13 surface 13 surface 14 that 13 surface 15 can 14 that 15 can 15 can 16 mediate 16 mediate 18 recognition 17 the 18 recognition 18 recognition 19 of 19 of 21 cells 20 these 21 cells 22 by 26 subsets 23 specific 26 subsets 24 immune 25 cell 25 cell 26 subsets 27 and 28 lead 29 to 30 activation 30 activation 31 of 31 of 34 cells 32 the 34 cells 33 immune 34 cells consequently , the activated immune cells engage explicit regulatory mechanisms to eliminate senescent cells . 0 ###LEFT-WALL### 6 cells 0 ###LEFT-WALL### 7 engage 0 ###LEFT-WALL### 15 . 1 consequently 2 , 1 consequently 6 cells 3 the 6 cells 4 activated 6 cells 5 immune 6 cells 6 cells 7 engage 7 engage 10 mechanisms 7 engage 11 to 8 explicit 10 mechanisms 9 regulatory 10 mechanisms 11 to 12 eliminate 12 eliminate 14 cells 13 senescent 14 cells for example , recent work from our laboratory showed that perforin - granzyme exocytosis [mediates] nk - cell killing of senescent cells . 0 ###LEFT-WALL### 5 work 0 ###LEFT-WALL### 9 showed 0 ###LEFT-WALL### 23 . 1 for 2 example 2 example 3 , 2 example 5 work 4 recent 5 work 5 work 6 from 5 work 9 showed 6 from 8 laboratory 7 our 8 laboratory 9 showed 11 perforin 9 showed 19 killing 10 that 11 perforin 11 perforin 16 nk 12 - 16 nk 13 granzyme 14 exocytosis 14 exocytosis 16 nk 16 nk 17 - 18 cell 19 killing 19 killing 20 of 20 of 22 cells 21 senescent 22 cells here , we summarize the current advances in our knowledge of the mechanisms underlying specific immune - mediated elimination of senescent cells . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 summarize 0 ###LEFT-WALL### 23 . 1 here 2 , 1 here 3 we 3 we 4 summarize 4 summarize 7 advances 4 summarize 8 in 5 the 7 advances 6 current 7 advances 8 in 10 knowledge 9 our 10 knowledge 10 knowledge 11 of 11 of 13 mechanisms 12 the 13 mechanisms 13 mechanisms 14 underlying 14 underlying 19 elimination 15 specific 19 elimination 16 immune 17 - 16 immune 19 elimination 18 mediated 19 elimination 19 elimination 20 of 20 of 22 cells 21 senescent 22 cells the negative relation between metabolism and life span is a fundamental gerontological discovery well documented in a variety of ontogenetic and phylogenetic models . 0 ###LEFT-WALL### 3 relation 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 24 . 1 the 3 relation 2 negative 3 relation 3 relation 4 between 3 relation 9 is 4 between 6 and 5 metabolism 6 and 6 and 8 span 7 life 8 span 9 is 13 discovery 10 a 13 discovery 11 fundamental 13 discovery 12 gerontological 13 discovery 13 discovery 15 documented 13 discovery 19 of 14 well 15 documented 15 documented 16 in 16 in 18 variety 17 a 18 variety 19 of 21 and 20 ontogenetic 21 and 21 and 23 models 22 phylogenetic 23 models but [how] the long [-] lived species and populations [sustain] lower metabolic rate [and] , in more general terms , what is the efficient way to decline the metabolism ? 0 ###LEFT-WALL### 1 but 0 ###LEFT-WALL### 6 lived 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 30 ? 1 but 4 long 1 but 6 lived 3 the 4 long 6 lived 8 and 7 species 8 and 8 and 13 rate 8 and 16 in 9 populations 13 rate 11 lower 13 rate 12 metabolic 13 rate 15 , 16 in 16 in 19 terms 16 in 20 , 17 more 19 terms 18 general 19 terms 20 , 21 what 20 , 22 is 21 what 22 is 22 is 25 way 23 the 25 way 24 efficient 25 way 25 way 26 to 25 way 27 decline 26 to 27 decline 27 decline 29 metabolism 28 the 29 metabolism the suggested ['] pull and push back ['] hypothesis assumes that decreased po2 ( hypoxia ) and/or increased [[] formula : see text []] ( hypercapnia ) may create preconditions for the [declined] metabolic and aging rates . 0 ###LEFT-WALL### 4 pull 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 22 see 0 ###LEFT-WALL### 38 . 1 the 4 pull 2 suggested 4 pull 5 and 9 hypothesis 5 and 10 assumes 6 push 7 back 7 back 9 hypothesis 9 hypothesis 10 assumes 10 assumes 11 that 10 assumes 12 decreased 11 that 12 decreased 12 decreased 13 po2 12 decreased 17 and/or 13 po2 15 hypoxia 14 ( 15 hypoxia 15 hypoxia 16 ) 17 and/or 20 formula 18 increased 20 formula 20 formula 21 : 21 : 22 see 22 see 23 text 22 see 29 create 23 text 26 hypercapnia 23 text 28 may 25 ( 26 hypercapnia 26 hypercapnia 27 ) 28 may 29 create 29 create 35 and 30 preconditions 31 for 30 preconditions 35 and 31 for 34 metabolic 32 the 34 metabolic 35 and 37 rates 36 aging 37 rates however , wider implementation of such ideas [is] compromised because of little advances in modification of the metabolic rate . 0 ###LEFT-WALL### 4 implementation 0 ###LEFT-WALL### 9 compromised 0 ###LEFT-WALL### 20 . 1 however 2 , 1 however 4 implementation 3 wider 4 implementation 4 implementation 5 of 4 implementation 9 compromised 5 of 7 ideas 6 such 7 ideas 9 compromised 10 because 9 compromised 14 in 10 because 11 of 11 of 13 advances 12 little 13 advances 14 in 15 modification 15 modification 16 of 16 of 19 rate 17 the 19 rate 18 metabolic 19 rate artificial atmosphere [with] controlled [[] formula : see text []] and [[] formula : see text []] could be a promising approach because of the minimal external invasions and involvement of [the] backward and forward [loops] ensuring physiological self - regulation of the metabolic perturbations . 0 ###LEFT-WALL### 6 formula 0 ###LEFT-WALL### 11 and 1 artificial 6 formula 2 atmosphere 4 controlled 4 controlled 6 formula 6 formula 7 : 7 : 11 and 8 see 9 text 8 see 11 and 11 and 15 see 11 and 23 because 13 formula 14 : 14 : 15 see 15 see 16 text 15 see 19 be 16 text 18 could 18 could 19 be 19 be 22 approach 20 a 21 promising 20 a 22 approach 21 promising 22 approach 23 because 24 of 24 of 34 and 25 the 28 invasions 26 minimal 28 invasions 27 external 28 invasions 28 invasions 29 and 29 and 30 involvement 29 and 31 of 29 and 34 and 31 of 33 backward 34 and 39 self 34 and 41 regulation 35 forward 39 self 37 ensuring 39 self 38 physiological 39 self 40 - 41 regulation 41 regulation 42 of 41 regulation 46 . 42 of 45 perturbations 43 the 45 perturbations 44 metabolic 45 perturbations general considerations and existing data indicate [that] manipulations of [ formula : see text []] may be more efficient in life span extension than [[] formula : see text []] . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 12 : 1 general 2 considerations 2 considerations 3 and 3 and 4 existing 3 and 5 data 3 and 9 of 3 and 11 formula 5 data 6 indicate 6 indicate 8 manipulations 8 manipulations 9 of 10 [ 11 formula 11 formula 12 : 12 : 13 see 12 : 27 : 13 see 14 text 13 see 17 be 14 text 16 may 16 may 17 be 17 be 19 efficient 18 more 19 efficient 19 efficient 20 in 19 efficient 24 than 20 in 23 extension 21 life 23 extension 22 span 23 extension 24 than 26 formula 27 : 28 see 27 : 31 . 28 see 29 text thus , maximum life [span] of mammals positively correlates with the blood [ formula : see text []] and hco3 [(] - [ )(but not with [[] formula : see text []] . 0 ###LEFT-WALL### 4 life 0 ###LEFT-WALL### 9 correlates 0 ###LEFT-WALL### 15 : 1 thus 2 , 1 thus 4 life 3 maximum 4 life 4 life 6 of 4 life 9 correlates 6 of 7 mammals 8 positively 9 correlates 9 correlates 10 with 10 with 12 blood 11 the 12 blood 12 blood 14 formula 13 [ 14 formula 14 formula 15 : 15 : 16 see 15 : 29 : 16 see 19 and 16 see 24 )(but 16 see 26 with 17 text 19 and 19 and 20 hco3 19 and 22 - 24 )(but 25 not 26 with 28 formula 29 : 30 see 29 : 33 . 30 see 31 text yet , [proportional] decease [of] the body [ formula : see text []] and increase of [[] formula : see [text] []] [seems] the most optimal regime ensuring lower losses of the energy equivalents . 0 ###LEFT-WALL### 4 decease 0 ###LEFT-WALL### 10 : 1 yet 2 , 1 yet 4 decease 4 decease 7 body 6 the 7 body 7 body 9 formula 8 [ 9 formula 9 formula 10 : 10 : 11 see 10 : 19 : 11 see 14 and 12 text 14 and 14 and 15 increase 14 and 16 of 16 of 18 formula 19 : 20 see 19 : 35 . 20 see 27 regime 24 the 27 regime 25 most 26 optimal 26 optimal 27 regime 27 regime 28 ensuring 28 ensuring 30 losses 29 lower 30 losses 30 losses 31 of 31 of 34 equivalents 32 the 34 equivalents 33 energy 34 equivalents furthermore , especially rewarding results could be expected when such changes are modeled without major external invasions using the animals ' inner capacity to consume o2 and generate co2 , as it is typical for the extreme longevity . 0 ###LEFT-WALL### 4 rewarding 0 ###LEFT-WALL### 8 expected 0 ###LEFT-WALL### 39 . 1 furthermore 2 , 1 furthermore 4 rewarding 3 especially 4 rewarding 4 rewarding 5 results 4 rewarding 7 be 4 rewarding 8 expected 5 results 6 could 6 could 7 be 8 expected 9 when 8 expected 18 using 8 expected 38 longevity 9 when 11 changes 9 when 13 modeled 10 such 11 changes 11 changes 12 are 12 are 13 modeled 13 modeled 14 without 14 without 17 invasions 15 major 17 invasions 16 external 17 invasions 18 using 23 capacity 19 the 20 animals 20 animals 21 ' 21 ' 23 capacity 22 inner 23 capacity 23 capacity 24 to 23 capacity 27 and 24 to 27 and 25 consume 26 o2 25 consume 27 and 27 and 28 generate 27 and 35 for 28 generate 29 co2 30 , 31 as 31 as 32 it 31 as 33 is 32 it 33 is 33 is 34 typical 34 typical 35 for 36 the 38 longevity 37 extreme 38 longevity although epigenetic aberrations frequently occur in aging and cancer and form a core component of these conditions , perhaps the most useful aspect of epigenetic processes is that [they] [are] readily reversible . 0 ###LEFT-WALL### 23 aspect 0 ###LEFT-WALL### 27 is 0 ###LEFT-WALL### 33 . 1 although 3 aberrations 1 although 10 and 1 although 23 aspect 2 epigenetic 3 aberrations 3 aberrations 10 and 4 frequently 5 occur 5 occur 6 in 5 occur 10 and 6 in 8 and 7 aging 8 and 8 and 9 cancer 10 and 11 form 10 and 14 component 12 a 14 component 13 core 14 component 15 of 17 conditions 15 of 18 , 15 of 23 aspect 16 these 17 conditions 19 perhaps 23 aspect 20 the 23 aspect 21 most 22 useful 22 useful 23 aspect 23 aspect 24 of 23 aspect 27 is 24 of 26 processes 25 epigenetic 26 processes 27 is 31 readily 27 is 32 reversible 28 that 31 readily unlike genetic effects that also play a role in cancer and aging , epigenetic aberrations can be relatively easily corrected . 0 ###LEFT-WALL### 15 aberrations 0 ###LEFT-WALL### 20 corrected 0 ###LEFT-WALL### 21 . 1 unlike 3 effects 1 unlike 13 , 1 unlike 15 aberrations 2 genetic 3 effects 3 effects 4 that 3 effects 6 play 4 that 6 play 5 also 6 play 6 play 8 role 6 play 9 in 7 a 8 role 9 in 11 and 10 cancer 11 and 11 and 12 aging 14 epigenetic 15 aberrations 15 aberrations 16 can 16 can 17 be 17 be 19 easily 17 be 20 corrected 18 relatively 19 easily one of the most widespread approaches to the epigenetic alterations in cancer and aging is dietary control . 0 ###LEFT-WALL### 1 one 0 ###LEFT-WALL### 15 is 0 ###LEFT-WALL### 18 . 1 one 2 of 1 one 15 is 2 of 6 approaches 3 the 4 most 4 most 6 approaches 5 widespread 6 approaches 6 approaches 7 to 7 to 10 alterations 8 the 10 alterations 9 epigenetic 10 alterations 10 alterations 11 in 11 in 13 and 12 cancer 13 and 13 and 14 aging 15 is 17 control 16 dietary 17 control this can be achieved [not] only through the quality of the diet , but also through the quantity of calories that are consumed . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 4 achieved 0 ###LEFT-WALL### 24 . 1 this 2 can 2 can 3 be 3 be 4 achieved 4 achieved 6 only 6 only 14 but 7 through 9 quality 7 through 14 but 8 the 9 quality 9 quality 10 of 10 of 12 diet 11 the 12 diet 13 , 14 but 14 but 15 also 14 but 16 through 16 through 20 calories 17 the 18 quantity 18 quantity 19 of 18 quantity 20 calories 19 of 20 calories 20 calories 21 that 20 calories 22 are 21 that 22 are 22 are 23 consumed many phytochemicals such as sulforaphane from cruciferous vegetables and green tea have anticancer epigenetic effects [and] are also efficacious for preventing or treating the epigenetic aberrations of other age [-] associated diseases besides cancer . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 12 have 0 ###LEFT-WALL### 22 or 0 ###LEFT-WALL### 35 . 1 many 2 phytochemicals 2 phytochemicals 4 as 2 phytochemicals 9 and 3 such 4 as 4 as 5 sulforaphane 5 sulforaphane 6 from 6 from 8 vegetables 7 cruciferous 8 vegetables 9 and 11 tea 9 and 12 have 10 green 11 tea 12 have 13 anticancer 13 anticancer 15 effects 13 anticancer 21 preventing 14 epigenetic 15 effects 15 effects 17 are 17 are 18 also 17 are 19 efficacious 19 efficacious 20 for 20 for 21 preventing 22 or 23 treating 22 or 31 associated 23 treating 26 aberrations 23 treating 31 associated 24 the 26 aberrations 25 epigenetic 26 aberrations 26 aberrations 27 of 27 of 29 age 28 other 29 age 31 associated 32 diseases 31 associated 33 besides 33 besides 34 cancer likewise , the quantity of calories that are consumed has proven to be advantageous in preventing cancer and extending the lifespan through control of epigenetic mediators . 0 ###LEFT-WALL### 4 quantity 0 ###LEFT-WALL### 11 proven 0 ###LEFT-WALL### 27 . 1 likewise 2 , 1 likewise 4 quantity 3 the 4 quantity 4 quantity 5 of 4 quantity 10 has 5 of 6 calories 6 calories 7 that 6 calories 8 are 7 that 8 are 8 are 9 consumed 10 has 11 proven 11 proven 12 to 11 proven 21 lifespan 11 proven 22 through 12 to 13 be 13 be 18 and 14 advantageous 15 in 14 advantageous 18 and 15 in 16 preventing 16 preventing 17 cancer 18 and 19 extending 20 the 21 lifespan 22 through 23 control 23 control 24 of 24 of 26 mediators 25 epigenetic 26 mediators the purpose of this chapter is to review some of the most recent advances in the epigenetics of cancer and aging and to provide insights into advances being made with respect to dietary intervention into these biological processes that have vast health implications and high translational potential . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 48 . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 is 3 of 5 chapter 4 this 5 chapter 6 is 7 to 7 to 22 and 8 review 14 advances 8 review 22 and 9 some 10 of 9 some 14 advances 10 of 14 advances 11 the 14 advances 12 most 13 recent 13 recent 14 advances 14 advances 15 in 14 advances 18 of 15 in 17 epigenetics 16 the 17 epigenetics 18 of 20 and 19 cancer 20 and 20 and 21 aging 22 and 23 to 22 and 24 provide 22 and 32 to 23 to 24 provide 24 provide 25 insights 24 provide 26 into 26 into 27 advances 27 advances 28 being 28 being 29 made 29 made 30 with 30 with 31 respect 32 to 44 and 33 dietary 34 intervention 34 intervention 35 into 34 intervention 44 and 35 into 38 processes 36 these 38 processes 37 biological 38 processes 38 processes 39 that 38 processes 40 have 39 that 40 have 40 have 43 implications 41 vast 42 health 42 health 43 implications 44 and 47 potential 45 high 47 potential 46 translational 47 potential objective : estrogen stimulates pulsatile secretion of gh , via mechanisms that are largely unknown . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 estrogen 2 : 4 stimulates 3 estrogen 4 stimulates 4 stimulates 6 secretion 5 pulsatile 6 secretion 6 secretion 7 of 7 of 8 gh 8 gh 10 via 9 , 10 via 10 via 11 mechanisms 10 via 16 . 11 mechanisms 12 that 11 mechanisms 13 are 12 that 13 are 13 are 15 unknown 14 largely 15 unknown an untested hypothesis is that estradiol ( e₂ ) drives gh secretion by amplifying interactions among gh - releasing hormone [(] ghrh ) , somatostatin ( ss ) , and gh - releasing peptide [(] ghrp ) . 0 ###LEFT-WALL### 3 hypothesis 0 ###LEFT-WALL### 38 . 1 an 2 untested 1 an 3 hypothesis 2 untested 3 hypothesis 3 hypothesis 4 is 4 is 5 that 5 that 6 estradiol 5 that 10 drives 6 estradiol 8 e₂ 6 estradiol 10 drives 7 ( 8 e₂ 8 e₂ 9 ) 10 drives 12 secretion 10 drives 33 releasing 11 gh 12 secretion 12 secretion 13 by 13 by 14 amplifying 14 amplifying 30 and 15 interactions 16 among 15 interactions 30 and 16 among 17 gh 17 gh 22 ghrh 17 gh 25 somatostatin 18 - 22 ghrh 19 releasing 22 ghrh 20 hormone 22 ghrh 22 ghrh 23 ) 24 , 25 somatostatin 25 somatostatin 27 ss 25 somatostatin 29 , 26 ( 27 ss 27 ss 28 ) 29 , 30 and 30 and 31 gh 32 - 33 releasing 33 releasing 36 ghrp 33 releasing 37 ) 34 peptide 36 ghrp design : the design comprised double - blind randomized prospective administration of transdermal e₂ vs placebo [to] healthy postmenopausal women ( n=24 ) followed by pulsatile ghrh or ss infusions for 13 h overnight with [or] [without] continuous ghrp2 stimulation . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 41 . 2 : 28 or 3 the 11 administration 4 design 11 administration 5 comprised 11 administration 6 double 7 - 6 double 11 administration 8 blind 11 administration 9 randomized 11 administration 10 prospective 11 administration 11 administration 12 of 11 administration 28 or 12 of 14 e₂ 13 transdermal 14 e₂ 14 e₂ 15 vs 14 e₂ 24 followed 15 vs 20 women 16 placebo 20 women 18 healthy 20 women 19 postmenopausal 20 women 20 women 22 n=24 21 ( 22 n=24 22 n=24 23 ) 24 followed 25 by 25 by 27 ghrh 26 pulsatile 27 ghrh 28 or 30 infusions 29 ss 30 infusions 30 infusions 31 for 30 infusions 34 overnight 31 for 33 h 32 13 33 h 34 overnight 35 with 35 with 39 ghrp2 35 with 40 stimulation 38 continuous 39 ghrp2 methods : end points were mean concentrations , deconvolved secretion , and approximate entropy ( apen ; a regularity measure [ )( [gh] . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 points 2 : 12 and 2 : 17 ; 2 : 24 . 3 end 4 points 4 points 5 were 5 were 12 and 6 mean 7 concentrations 6 mean 12 and 7 concentrations 10 secretion 8 , 10 secretion 9 deconvolved 10 secretion 10 secretion 11 , 11 , 12 and 12 and 13 approximate 13 approximate 14 entropy 14 entropy 16 apen 15 ( 16 apen 16 apen 17 ; 17 ; 20 measure 18 a 20 measure 19 regularity 20 measure results : by generalized anova models , it was observed that e₂ vs placebo supplementation : [i] [ )(augmented mean ( 13 - h ) gh concentrations ( p=0.023 ) , ghrh - induced pulsatile gh secretion over the first 3 h [(] p=0.0085 [ )(and pulsatile gh secretion over the next 10 [h] ( p=0.054 [ )( ii ) increased ghrp - modulated ( p=0.022 [ )(and ss - modulated [(] p<0.001 [ )(gh apen [;] and iii ) did not amplify ghrh/ghrp synergy during pulsatile gh secretion [.] 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 10 observed 1 results 2 : 2 : 3 by 3 by 6 models 4 generalized 6 models 5 anova 6 models 7 , 8 it 8 it 9 was 9 was 10 observed 10 observed 11 that 11 that 12 e₂ 11 that 16 : 12 e₂ 13 vs 12 e₂ 16 : 13 vs 15 supplementation 14 placebo 15 supplementation 16 : 27 concentrations 19 )(augmented 20 mean 20 mean 27 concentrations 21 ( 23 - 22 13 23 - 23 - 24 h 23 - 25 ) 23 - 27 concentrations 26 gh 27 concentrations 27 concentrations 29 p=0.023 27 concentrations 33 - 28 ( 29 p=0.023 29 p=0.023 30 ) 31 , 33 - 32 ghrh 33 - 33 - 37 secretion 34 induced 35 pulsatile 35 pulsatile 37 secretion 36 gh 37 secretion 37 secretion 38 over 38 over 49 secretion 39 the 40 first 39 the 49 secretion 41 3 42 h 42 h 49 secretion 44 p=0.0085 46 )(and 46 )(and 48 gh 46 )(and 49 secretion 47 pulsatile 48 gh 49 secretion 50 over 50 over 52 next 51 the 52 next 52 next 53 10 52 next 64 modulated 53 10 62 ghrp 53 10 64 modulated 55 ( 62 ghrp 56 p=0.054 62 ghrp 59 ii 60 ) 59 ii 62 ghrp 61 increased 62 ghrp 62 ghrp 63 - 64 modulated 70 - 65 ( 70 - 66 p=0.022 68 )(and 68 )(and 69 ss 69 ss 70 - 70 - 75 )(gh 71 modulated 75 )(gh 73 p<0.001 75 )(gh 75 )(gh 78 and 75 )(gh 83 amplify 75 )(gh 86 during 76 apen 78 and 78 and 79 iii 78 and 80 ) 78 and 81 did 81 did 82 not 81 did 83 amplify 83 amplify 85 synergy 84 ghrh/ghrp 85 synergy 86 during 89 secretion 87 pulsatile 89 secretion 88 gh 89 secretion by linear regression , e₂ concentrations were found to be positively correlated with gh secretion during ghrp2 infusion ( p=0.022 ) , whereas bmi was found to be negatively correlated with gh secretion during ghrh ( p=0.006 ) and combined ghrh/ghrp ( p=0.015 ) stimulation . 0 ###LEFT-WALL### 6 concentrations 0 ###LEFT-WALL### 39 and 0 ###LEFT-WALL### 46 . 1 by 3 regression 1 by 4 , 1 by 6 concentrations 2 linear 3 regression 5 e₂ 6 concentrations 6 concentrations 7 were 7 were 8 found 8 found 9 to 9 to 10 be 10 be 12 correlated 11 positively 12 correlated 12 correlated 13 with 12 correlated 23 whereas 13 with 15 secretion 13 with 16 during 14 gh 15 secretion 16 during 18 infusion 17 ghrp2 18 infusion 18 infusion 20 p=0.022 19 ( 20 p=0.022 20 p=0.022 21 ) 22 , 23 whereas 23 whereas 24 bmi 24 bmi 39 and 25 was 26 found 25 was 39 and 26 found 27 to 26 found 31 with 27 to 28 be 28 be 30 correlated 29 negatively 30 correlated 31 with 33 secretion 32 gh 33 secretion 33 secretion 34 during 33 secretion 37 p=0.006 34 during 35 ghrh 36 ( 37 p=0.006 37 p=0.006 38 ) 39 and 40 combined 39 and 45 stimulation 41 ghrh/ghrp 43 p=0.015 41 ghrh/ghrp 45 stimulation 42 ( 43 p=0.015 43 p=0.015 44 ) e₂ and bmi jointly determined triple ( [combined] l - arginine , ghrh , and ghrp2 ) stimulation of gh secretion after saline ( r²=0.44 and p=0.003 ) and pulsatile ghrh ( r²=0.39 and p=0.013 ) infusions . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 5 determined 0 ###LEFT-WALL### 38 . 1 e₂ 2 and 2 and 3 bmi 2 and 5 determined 4 jointly 5 determined 5 determined 18 stimulation 6 triple 10 - 6 triple 18 stimulation 7 ( 10 - 9 l 10 - 10 - 15 and 10 - 17 ) 11 arginine 12 , 12 , 13 ghrh 12 , 15 and 14 , 15 and 15 and 16 ghrp2 18 stimulation 19 of 19 of 29 and 20 gh 21 secretion 21 secretion 22 after 21 secretion 29 and 22 after 23 saline 23 saline 26 and 24 ( 26 and 25 r²=0.44 26 and 26 and 27 p=0.003 26 and 28 ) 29 and 37 infusions 30 pulsatile 37 infusions 31 ghrh 35 p=0.013 31 ghrh 37 infusions 32 ( 35 p=0.013 33 r²=0.39 34 and 34 and 35 p=0.013 35 p=0.013 36 ) conclusion : in summary , [in] postmenopausal women , e₂ supplementation augments the amount [(] mass [ )(and alters the pattern ( regularity ) of gh secretion via interactions among ghrh , ss , ghrp , and bmi . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 39 . 1 conclusion 2 : 2 : 3 in 2 : 28 via 2 : 30 among 3 in 11 supplementation 4 summary 8 women 4 summary 11 supplementation 5 , 8 women 7 postmenopausal 8 women 8 women 9 , 10 e₂ 11 supplementation 11 supplementation 18 )(and 11 supplementation 25 of 12 augments 16 mass 12 augments 18 )(and 13 the 16 mass 14 amount 16 mass 18 )(and 19 alters 18 )(and 21 pattern 20 the 21 pattern 21 pattern 23 regularity 22 ( 23 regularity 23 regularity 24 ) 25 of 27 secretion 26 gh 27 secretion 28 via 29 interactions 30 among 37 and 31 ghrh 33 ss 32 , 33 ss 33 ss 34 , 33 ss 35 ghrp 34 , 35 ghrp 35 ghrp 36 , 35 ghrp 37 and 37 and 38 bmi these outcomes introduce a more complex model of e₂ supplementation in coordinating gh secretion in aging women . 0 ###LEFT-WALL### 2 outcomes 0 ###LEFT-WALL### 3 introduce 0 ###LEFT-WALL### 18 . 1 these 2 outcomes 2 outcomes 3 introduce 3 introduce 7 model 3 introduce 11 in 4 a 7 model 5 more 6 complex 6 complex 7 model 7 model 8 of 8 of 10 supplementation 9 e₂ 10 supplementation 11 in 12 coordinating 12 coordinating 14 secretion 12 coordinating 15 in 13 gh 14 secretion 15 in 16 aging 16 aging 17 women objective : several cross - sectional studies on populations with iodine deficiency showed that tsh - levels are negatively associated with age , while in populations with high iodine intake tsh is positively associated with age . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 3 several 2 : 4 cross 2 : 5 - 2 : 23 , 3 several 4 cross 5 - 7 studies 5 - 13 showed 5 - 16 - 6 sectional 7 studies 7 studies 8 on 7 studies 10 with 7 studies 13 showed 8 on 9 populations 10 with 12 deficiency 11 iodine 12 deficiency 13 showed 14 that 13 showed 15 tsh 16 - 17 levels 16 - 20 associated 17 levels 18 are 18 are 19 negatively 18 are 20 associated 20 associated 21 with 21 with 22 age 23 , 31 tsh 23 , 34 associated 24 while 25 in 24 while 31 tsh 25 in 26 populations 26 populations 27 with 27 with 30 intake 28 high 30 intake 29 iodine 30 intake 31 tsh 32 is 32 is 33 positively 32 is 34 associated 34 associated 35 with 35 with 36 age the question is whether such an age [-] thyroid function relation is an ongoing process apparent also in longitudinal studies and whether it reflects an actual iodine deficiency or an iodine insufficiency in the past . 0 ###LEFT-WALL### 2 question 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 36 . 1 the 2 question 2 question 3 is 3 is 4 whether 4 whether 11 relation 4 whether 12 is 5 such 6 an 6 an 11 relation 7 age 11 relation 9 thyroid 10 function 10 function 11 relation 11 relation 12 is 12 is 15 process 13 an 15 process 14 ongoing 15 process 15 process 16 apparent 15 process 23 it 15 process 24 reflects 16 apparent 17 also 16 apparent 18 in 18 in 21 and 19 longitudinal 20 studies 20 studies 21 and 21 and 22 whether 23 it 24 reflects 24 reflects 29 or 24 reflects 33 in 25 an 28 deficiency 26 actual 28 deficiency 27 iodine 28 deficiency 28 deficiency 29 or 29 or 32 insufficiency 30 an 32 insufficiency 31 iodine 32 insufficiency 33 in 35 past 34 the 35 past methods : in an area with a borderline iodine status in the past , we studied 980 participants of the nijmegen biomedical study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 24 . 1 methods 2 : 2 : 3 in 2 : 6 with 2 : 11 in 3 in 5 area 4 an 5 area 6 with 8 borderline 6 with 10 status 7 a 8 borderline 9 iodine 10 status 11 in 13 past 12 the 13 past 14 , 15 we 14 , 16 studied 15 we 16 studied 16 studied 18 participants 17 980 18 participants 18 participants 19 of 19 of 23 study 20 the 23 study 21 nijmegen 22 biomedical 22 biomedical 23 study we measured serum tsh , free thyroxine ( ft₄ ) , total triiodothyronine ( t₃ ) , peroxidase antibodies , and the urine iodine and creatinine concentration 4 years after our initial survey [of] thyroid function , in which we reported a negative association between tsh and age . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 measured 0 ###LEFT-WALL### 5 , 1 we 2 measured 2 measured 4 tsh 3 serum 4 tsh 5 , 6 free 5 , 11 , 6 free 7 thyroxine 7 thyroxine 9 ft₄ 8 ( 9 ft₄ 9 ft₄ 10 ) 11 , 12 total 12 total 13 triiodothyronine 13 triiodothyronine 15 t₃ 13 triiodothyronine 25 and 14 ( 15 t₃ 15 t₃ 16 ) 17 , 25 and 18 peroxidase 19 antibodies 19 antibodies 21 and 20 , 21 and 21 and 24 iodine 21 and 25 and 22 the 24 iodine 23 urine 24 iodine 25 and 27 concentration 25 and 38 in 25 and 49 . 26 creatinine 27 concentration 27 concentration 28 4 27 concentration 30 after 29 years 30 after 30 after 36 function 31 our 36 function 32 initial 33 survey 33 survey 35 thyroid 35 thyroid 36 function 37 , 38 in 38 in 39 which 38 in 40 we 38 in 47 and 38 in 49 . 40 we 47 and 41 reported 44 association 41 reported 47 and 42 a 43 negative 42 a 44 association 43 negative 44 association 44 association 45 between 45 between 46 tsh 47 and 48 age only ft₄ appeared to be somewhat higher at lower urine iodine levels : a 1.01 % [(] 95 % ci 0.17 - 1.84 % ) higher ft₄ for each lower iodine quintile . 0 ###LEFT-WALL### 1 only 0 ###LEFT-WALL### 3 appeared 0 ###LEFT-WALL### 13 : 0 ###LEFT-WALL### 33 . 1 only 2 ft₄ 2 ft₄ 3 appeared 3 appeared 4 to 3 appeared 5 be 4 to 5 be 5 be 7 higher 6 somewhat 7 higher 7 higher 8 at 8 at 12 levels 9 lower 10 urine 10 urine 12 levels 11 iodine 12 levels 13 : 27 ft₄ 14 a 27 ft₄ 15 1.01 16 % 16 % 27 ft₄ 18 95 19 % 19 % 27 ft₄ 20 ci 21 0.17 20 ci 24 % 20 ci 27 ft₄ 22 - 24 % 23 1.84 24 % 24 % 25 ) 26 higher 27 ft₄ 27 ft₄ 28 for 28 for 32 quintile 29 each 32 quintile 30 lower 32 quintile 31 iodine 32 quintile conclusions : in this longitudinal study , we found an ongoing decrease in tsh and increase in ft₄ in a previously [iodine] insufficient population [,] despite the adequate iodine status at present . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 8 we 2 : 15 and 2 : 33 . 3 in 6 study 3 in 7 , 3 in 8 we 4 this 6 study 5 longitudinal 6 study 8 we 15 and 9 found 12 decrease 9 found 13 in 9 found 15 and 10 an 12 decrease 11 ongoing 12 decrease 13 in 14 tsh 15 and 16 increase 16 increase 17 in 16 increase 19 in 16 increase 26 despite 16 increase 32 present 17 in 18 ft₄ 19 in 24 population 20 a 21 previously 20 a 24 population 21 previously 23 insufficient 23 insufficient 24 population 26 despite 30 status 27 the 30 status 28 adequate 29 iodine 29 iodine 30 status 31 at 32 present this suggests that low iodine intake at young age leads to thyroid autonomy ( and a tendency to hyperthyroidism ) that persists despite normal iodine intake later in life . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 suggests 0 ###LEFT-WALL### 30 . 1 this 2 suggests 2 suggests 3 that 2 suggests 4 low 4 low 6 intake 4 low 7 at 4 low 11 to 5 iodine 6 intake 7 at 10 leads 8 young 9 age 9 age 10 leads 11 to 15 and 12 thyroid 13 autonomy 13 autonomy 15 and 14 ( 15 and 15 and 17 tendency 15 and 20 ) 15 and 21 that 15 and 22 persists 16 a 17 tendency 17 tendency 18 to 18 to 19 hyperthyroidism 21 that 22 persists 22 persists 23 despite 22 persists 27 later 22 persists 28 in 23 despite 26 intake 24 normal 25 iodine 25 iodine 26 intake 28 in 29 life unlabelled : buttock reshaping has received a lot of attention , although to date there are no anthropometric [gender] - specific datasets to show the aging of the gluteal region from infancy to old age to guide surgical planning of gender - specific buttock reshaping . 0 ###LEFT-WALL### 1 unlabelled 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 46 . 2 : 3 buttock 2 : 6 received 2 : 11 , 2 : 42 - 3 buttock 4 reshaping 3 buttock 5 has 3 buttock 6 received 4 reshaping 5 has 6 received 8 lot 7 a 8 lot 8 lot 9 of 9 of 10 attention 11 , 37 guide 12 although 15 there 12 although 16 are 12 although 37 guide 13 to 14 date 14 date 15 there 15 there 16 are 16 are 22 datasets 17 no 22 datasets 18 anthropometric 20 - 18 anthropometric 22 datasets 21 specific 22 datasets 22 datasets 23 to 22 datasets 36 to 23 to 24 show 24 show 26 aging 24 show 36 to 25 the 26 aging 26 aging 27 of 27 of 30 region 28 the 30 region 29 gluteal 30 region 30 region 31 from 31 from 32 infancy 32 infancy 33 to 33 to 35 age 34 old 35 age 37 guide 39 planning 38 surgical 39 planning 39 planning 40 of 40 of 41 gender 42 - 45 reshaping 43 specific 44 buttock 44 buttock 45 reshaping to make surgical planning easier , we analyzed the characteristics of the aging buttock in 280 volunteers ranging in age from 15 to 85 years and classified the age characteristics of the gluteal region into gender [-] specific categories to establish a classification system that could guide surgical techniques needed to reshape and rejuvenate the buttock . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 57 . 1 to 6 , 2 make 4 planning 2 make 5 easier 2 make 6 , 3 surgical 4 planning 6 , 41 establish 7 we 8 analyzed 8 analyzed 10 characteristics 9 the 10 characteristics 10 characteristics 11 of 11 of 14 buttock 12 the 14 buttock 13 aging 14 buttock 14 buttock 15 in 15 in 16 280 16 280 26 and 17 volunteers 18 ranging 17 volunteers 26 and 18 ranging 19 in 18 ranging 21 from 19 in 20 age 21 from 22 15 22 15 23 to 23 to 25 years 24 85 25 years 26 and 27 classified 26 and 39 categories 26 and 40 to 27 classified 30 characteristics 27 classified 35 into 28 the 30 characteristics 29 age 30 characteristics 30 characteristics 31 of 31 of 34 region 32 the 34 region 33 gluteal 34 region 35 into 36 gender 36 gender 38 specific 40 to 41 establish 41 establish 44 system 42 a 43 classification 42 a 44 system 43 classification 44 system 44 system 45 that 44 system 54 rejuvenate 45 that 46 could 46 could 53 and 47 guide 49 techniques 47 guide 53 and 48 surgical 49 techniques 49 techniques 50 needed 49 techniques 51 to 49 techniques 52 reshape 51 to 52 reshape 53 and 54 rejuvenate 54 rejuvenate 56 buttock 55 the 56 buttock based on our measurements it was evident that males showed fewer signs of atrophy and less ptosis of their buttock with less reduction of the gluteal volume as they aged than did females . 0 ###LEFT-WALL### 1 based 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 34 . 1 based 2 on 1 based 6 was 2 on 4 measurements 3 our 4 measurements 5 it 6 was 6 was 7 evident 7 evident 8 that 8 that 9 males 8 that 10 showed 9 males 10 showed 10 showed 17 ptosis 10 showed 32 did 11 fewer 17 ptosis 12 signs 13 of 12 signs 15 and 13 of 14 atrophy 15 and 16 less 15 and 17 ptosis 17 ptosis 18 of 17 ptosis 32 did 18 of 20 buttock 19 their 20 buttock 20 buttock 21 with 20 buttock 24 of 21 with 23 reduction 22 less 23 reduction 24 of 27 volume 25 the 27 volume 26 gluteal 27 volume 27 volume 30 aged 28 as 29 they 28 as 30 aged 29 they 30 aged 31 than 32 did 32 did 33 females based on the results , it is concluded [that] gender - specific surgical rejuvenation of the buttock area should include shortening of the gluteal crease , lifting the gluteal mass , adding volume , and smoothening of curvature to the lateral sides of the gluteal region . 0 ###LEFT-WALL### 6 it 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 11 - 1 based 2 on 1 based 5 , 1 based 6 it 2 on 4 results 3 the 4 results 6 it 7 is 7 is 10 gender 8 concluded 10 gender 11 - 14 rejuvenation 11 - 20 include 11 - 47 . 12 specific 14 rejuvenation 13 surgical 14 rejuvenation 14 rejuvenation 15 of 14 rejuvenation 19 should 15 of 18 area 16 the 18 area 17 buttock 18 area 19 should 20 include 20 include 35 and 21 shortening 22 of 21 shortening 35 and 22 of 25 crease 23 the 25 crease 24 gluteal 25 crease 25 crease 27 lifting 26 , 27 lifting 27 lifting 30 mass 27 lifting 32 adding 27 lifting 34 , 28 the 30 mass 29 gluteal 30 mass 31 , 32 adding 32 adding 33 volume 32 adding 34 , 35 and 36 smoothening 35 and 37 of 35 and 39 to 37 of 38 curvature 39 to 42 sides 40 the 42 sides 41 lateral 42 sides 42 sides 43 of 43 of 46 region 44 the 46 region 45 gluteal 46 region level of evidence iv : this journal requires that authors assign a level of evidence to each article . 0 ###LEFT-WALL### 4 iv 0 ###LEFT-WALL### 5 : 1 level 2 of 2 of 3 evidence 3 evidence 4 iv 5 : 7 journal 5 : 8 requires 5 : 19 . 6 this 7 journal 7 journal 8 requires 8 requires 9 that 9 that 10 authors 9 that 11 assign 11 assign 13 level 11 assign 16 to 12 a 13 level 13 level 14 of 14 of 15 evidence 16 to 18 article 17 each 18 article for a full description of these evidence - based medicine ratings , please refer to the table of contents or the online instructions to authors www.springer.com/00266 . 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 27 . 1 for 4 description 1 for 8 - 1 for 12 , 2 a 3 full 2 a 4 description 3 full 4 description 4 description 5 of 5 of 7 evidence 6 these 7 evidence 9 based 11 ratings 9 based 12 , 10 medicine 11 ratings 12 , 14 refer 13 please 14 refer 14 refer 15 to 14 refer 24 to 15 to 17 table 16 the 17 table 17 table 18 of 18 of 20 or 19 contents 20 or 20 or 23 instructions 21 the 23 instructions 22 online 23 instructions 24 to 26 www.springer.com/00266 25 authors 26 www.springer.com/00266 despite the link between inactivity and premature mortality , most adults exercise less than the centers for disease control and prevention ( 2008 ) recommends ; thus , interventions to increase exercise are needed . 0 ###LEFT-WALL### 11 adults 0 ###LEFT-WALL### 12 exercise 0 ###LEFT-WALL### 26 ; 0 ###LEFT-WALL### 35 . 1 despite 6 and 1 despite 9 , 1 despite 11 adults 2 the 3 link 3 link 4 between 3 link 6 and 4 between 5 inactivity 6 and 8 mortality 7 premature 8 mortality 10 most 11 adults 11 adults 12 exercise 12 exercise 13 less 12 exercise 14 than 14 than 16 centers 14 than 25 recommends 15 the 16 centers 16 centers 17 for 16 centers 23 2008 16 centers 25 recommends 17 for 21 prevention 18 disease 19 control 19 control 20 and 20 and 21 prevention 22 ( 23 2008 23 2008 24 ) 26 ; 29 interventions 26 ; 33 are 27 thus 28 , 27 thus 29 interventions 29 interventions 30 to 29 interventions 33 are 30 to 32 exercise 31 increase 32 exercise 33 are 34 needed the present study employed an internet - based intervention to increase walking in 12 sedentary adults over 50 years of age . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 employed 1 the 3 study 2 present 3 study 3 study 4 employed 4 employed 6 internet 5 an 6 internet 6 internet 9 intervention 7 - 9 intervention 8 based 9 intervention 9 intervention 10 to 9 intervention 11 increase 9 intervention 12 walking 9 intervention 22 . 10 to 11 increase 12 walking 13 in 12 walking 17 over 13 in 16 adults 14 12 16 adults 15 sedentary 16 adults 17 over 19 years 18 50 19 years 19 years 20 of 20 of 21 age in experiment 1 , participants received monetary consequences for meeting an increasing series of step goals on at least 3 days during consecutive 5 [-] day blocks . 0 ###LEFT-WALL### 5 participants 0 ###LEFT-WALL### 6 received 0 ###LEFT-WALL### 28 . 1 in 2 experiment 1 in 4 , 1 in 5 participants 2 experiment 3 1 5 participants 6 received 6 received 8 consequences 7 monetary 8 consequences 8 consequences 9 for 9 for 10 meeting 10 meeting 13 series 10 meeting 17 on 10 meeting 22 during 11 an 13 series 12 increasing 13 series 13 series 14 of 14 of 16 goals 15 step 16 goals 17 on 21 days 18 at 19 least 19 least 20 3 20 3 21 days 22 during 27 blocks 23 consecutive 27 blocks 24 5 26 day 26 day 27 blocks across participants , steps increased 182 % from screening to the end of the intervention , and 87 % of step goals were met . 0 ###LEFT-WALL### 4 steps 0 ###LEFT-WALL### 5 increased 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 25 . 1 across 2 participants 1 across 3 , 1 across 4 steps 4 steps 5 increased 5 increased 7 % 5 increased 10 to 6 182 7 % 7 % 8 from 8 from 9 screening 10 to 12 end 11 the 12 end 12 end 13 of 13 of 15 intervention 14 the 15 intervention 16 , 17 and 17 and 19 % 17 and 24 met 18 87 19 % 19 % 20 of 19 % 23 were 20 of 22 goals 21 step 22 goals 23 were 24 met in experiment 2 , goals were set using the same schedule as in experiment 1 , but no monetary consequences were provided for meeting them . 0 ###LEFT-WALL### 5 goals 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 17 but 0 ###LEFT-WALL### 26 . 1 in 2 experiment 1 in 4 , 1 in 5 goals 2 experiment 3 2 5 goals 6 were 6 were 7 set 7 set 8 using 8 using 11 schedule 8 using 12 as 9 the 10 same 9 the 11 schedule 12 as 13 in 13 in 14 experiment 14 experiment 15 1 16 , 17 but 17 but 20 consequences 17 but 22 provided 18 no 20 consequences 19 monetary 20 consequences 20 consequences 21 were 21 were 22 provided 22 provided 23 for 23 for 24 meeting 24 meeting 25 them across participants , steps increased 108 % , and 52 % of goals were met . 0 ###LEFT-WALL### 4 steps 0 ###LEFT-WALL### 5 increased 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 16 . 1 across 2 participants 1 across 3 , 1 across 4 steps 4 steps 5 increased 5 increased 7 % 6 108 7 % 8 , 9 and 9 and 11 % 9 and 15 met 10 52 11 % 11 % 12 of 11 % 14 were 12 of 13 goals 14 were 15 met across both studies , 11 of 12 participants increased their steps according to experimenter [-] arranged criteria . 0 ###LEFT-WALL### 5 11 0 ###LEFT-WALL### 9 increased 0 ###LEFT-WALL### 18 . 1 across 3 studies 1 across 4 , 1 across 5 11 2 both 3 studies 5 11 6 of 5 11 9 increased 6 of 8 participants 7 12 8 participants 9 increased 11 steps 9 increased 13 to 10 their 11 steps 12 according 13 to 13 to 17 criteria 14 experimenter 16 arranged 16 arranged 17 criteria these results support the efficacy of an internet - based intervention to increase walking in sedentary adults . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 support 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 18 . 1 these 2 results 2 results 3 support 3 support 5 efficacy 4 the 5 efficacy 5 efficacy 6 of 6 of 8 internet 7 an 8 internet 9 - 11 intervention 10 based 11 intervention 11 intervention 12 to 11 intervention 13 increase 11 intervention 14 walking 12 to 13 increase 14 walking 15 in 15 in 17 adults 16 sedentary 17 adults simplified measurement of macular pigment optical density ( mpod ) is important because of the ocular health benefits that are attributed to these retinal carotenoids . 0 ###LEFT-WALL### 1 simplified 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 26 . 1 simplified 11 is 2 measurement 3 of 2 measurement 11 is 3 of 7 density 4 macular 5 pigment 5 pigment 7 density 6 optical 7 density 7 density 9 mpod 8 ( 9 mpod 9 mpod 10 ) 11 is 12 important 12 important 13 because 13 because 14 of 14 of 18 benefits 15 the 18 benefits 16 ocular 17 health 17 health 18 benefits 18 benefits 19 that 18 benefits 20 are 19 that 20 are 20 are 21 attributed 21 attributed 22 to 22 to 25 carotenoids 23 these 25 carotenoids 24 retinal 25 carotenoids here , we describe a novel instrument designed for this purpose , based on heterochromatic flicker photometry ( hfp ) , which removes a number of difficulties that subjects often experience with traditional hfp . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 describe 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 35 . 1 here 2 , 1 here 3 we 3 we 4 describe 4 describe 7 instrument 4 describe 13 based 5 a 6 novel 5 a 7 instrument 6 novel 7 instrument 7 instrument 8 designed 8 designed 9 for 9 for 11 purpose 10 this 11 purpose 12 , 13 based 13 based 14 on 13 based 21 , 14 on 17 photometry 15 heterochromatic 16 flicker 16 flicker 17 photometry 17 photometry 19 hfp 18 ( 19 hfp 19 hfp 20 ) 21 , 22 which 21 , 23 removes 22 which 23 removes 23 removes 27 difficulties 24 a 25 number 25 number 26 of 25 number 27 difficulties 26 of 27 difficulties 27 difficulties 28 that 27 difficulties 31 experience 28 that 29 subjects 28 that 31 experience 29 subjects 31 experience 30 often 31 experience 31 experience 32 with 32 with 34 hfp 33 traditional 34 hfp the instrument generates 1.5 - and 15 - deg diameter [,] centrally viewed stimuli that alternate between blue and green colors generated by light emitting diodes ( led ) . 0 ###LEFT-WALL### 2 instrument 0 ###LEFT-WALL### 3 generates 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 9 deg 0 ###LEFT-WALL### 30 . 1 the 2 instrument 2 instrument 3 generates 3 generates 4 1.5 5 - 6 and 6 and 7 15 6 and 8 - 7 15 8 - 8 - 9 deg 9 deg 14 stimuli 9 deg 17 between 10 diameter 14 stimuli 12 centrally 13 viewed 13 viewed 14 stimuli 14 stimuli 15 that 14 stimuli 16 alternate 15 that 16 alternate 17 between 21 colors 18 blue 19 and 19 and 20 green 19 and 21 colors 21 colors 22 generated 21 colors 25 emitting 21 colors 28 led 22 generated 23 by 23 by 24 light 25 emitting 26 diodes 27 ( 28 led 28 led 29 ) the 15 deg stimulus replaces the small , eccentrically viewed stimulus used in traditional hfp . 0 ###LEFT-WALL### 4 stimulus 0 ###LEFT-WALL### 5 replaces 0 ###LEFT-WALL### 16 . 1 the 4 stimulus 2 15 4 stimulus 3 deg 4 stimulus 4 stimulus 5 replaces 5 replaces 11 stimulus 6 the 11 stimulus 7 small 8 , 7 small 11 stimulus 9 eccentrically 10 viewed 10 viewed 11 stimulus 11 stimulus 12 used 12 used 13 in 13 in 15 hfp 14 traditional 15 hfp subjects adjust the blue led intensity [until] flicker [is] eliminated in the case of the 1.5 deg stimulus and eliminated around the periphery in the case of the 15 deg stimulus . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 32 . 1 subjects 19 and 2 adjust 8 flicker 2 adjust 11 in 2 adjust 19 and 3 the 8 flicker 4 blue 8 flicker 5 led 8 flicker 6 intensity 8 flicker 8 flicker 10 eliminated 11 in 13 case 12 the 13 case 13 case 14 of 14 of 18 stimulus 15 the 18 stimulus 16 1.5 18 stimulus 17 deg 18 stimulus 19 and 20 eliminated 19 and 21 around 19 and 24 in 19 and 31 stimulus 21 around 23 periphery 22 the 23 periphery 24 in 26 case 25 the 26 case 26 case 27 of 27 of 29 15 28 the 29 15 30 deg 31 stimulus a microprocessor computes the subject 's mpod , in addition to the lens [od] , and uses the latter to correct the mpod . 0 ###LEFT-WALL### 2 microprocessor 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 24 . 1 a 2 microprocessor 2 microprocessor 16 and 3 computes 7 mpod 3 computes 16 and 4 the 5 subject 5 subject 6 's 6 's 7 mpod 7 mpod 9 in 8 , 9 in 9 in 10 addition 9 in 15 , 10 addition 11 to 11 to 13 lens 12 the 13 lens 15 , 16 and 16 and 17 uses 17 uses 19 latter 17 uses 20 to 17 uses 21 correct 18 the 19 latter 20 to 21 correct 21 correct 23 mpod 22 the 23 mpod good repeatability was confirmed through [test] - retest measurements on 52 subjects . 0 ###LEFT-WALL### 2 repeatability 0 ###LEFT-WALL### 4 confirmed 0 ###LEFT-WALL### 7 - 1 good 2 repeatability 2 repeatability 3 was 3 was 4 confirmed 4 confirmed 5 through 7 - 8 retest 7 - 13 . 8 retest 9 measurements 8 retest 10 on 10 on 12 subjects 11 52 12 subjects the overwhelming majority of them stated that they found the test easy . 0 ###LEFT-WALL### 3 majority 0 ###LEFT-WALL### 6 stated 0 ###LEFT-WALL### 13 . 1 the 3 majority 2 overwhelming 3 majority 3 majority 4 of 3 majority 6 stated 4 of 5 them 6 stated 7 that 7 that 8 they 7 that 9 found 8 they 9 found 9 found 11 test 9 found 12 easy 10 the 11 test the importance of the lens correction on mpod measurements was confirmed in a simulation study . 0 ###LEFT-WALL### 2 importance 0 ###LEFT-WALL### 11 confirmed 0 ###LEFT-WALL### 16 . 1 the 2 importance 2 importance 3 of 2 importance 10 was 3 of 6 correction 4 the 6 correction 5 lens 6 correction 6 correction 7 on 7 on 9 measurements 8 mpod 9 measurements 10 was 11 confirmed 11 confirmed 12 in 12 in 15 study 13 a 14 simulation 13 a 15 study 14 simulation 15 study the study showed that , without the correction , mpod would show an apparent age [-] related decline in a population for whom there was no real age dependence . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 30 . 1 the 2 study 2 study 3 showed 3 showed 4 that 3 showed 6 without 5 , 6 without 6 without 8 correction 6 without 9 , 7 the 8 correction 9 , 10 mpod 9 , 12 show 10 mpod 11 would 11 would 12 show 12 show 18 decline 12 show 29 dependence 13 an 14 apparent 13 an 18 decline 14 apparent 18 decline 15 age 17 related 17 related 18 decline 18 decline 19 in 18 decline 22 for 19 in 21 population 20 a 21 population 22 for 23 whom 22 for 24 there 22 for 25 was 24 there 25 was 25 was 28 age 26 no 28 age 27 real 28 age the maturation of in vivo neuroimaging has led to incredible quantities of digital information about the human brain . 0 ###LEFT-WALL### 2 maturation 0 ###LEFT-WALL### 8 led 0 ###LEFT-WALL### 19 . 1 the 2 maturation 2 maturation 3 of 2 maturation 7 has 3 of 6 neuroimaging 4 in 5 vivo 5 vivo 6 neuroimaging 7 has 8 led 8 led 9 to 8 led 15 about 9 to 14 information 10 incredible 11 quantities 11 quantities 12 of 11 quantities 14 information 12 of 14 information 13 digital 14 information 15 about 18 brain 16 the 18 brain 17 human 18 brain while much is made of the data deluge in science , neuroimaging represents the leading edge of this onslaught of " big data " . 0 ###LEFT-WALL### 12 neuroimaging 0 ###LEFT-WALL### 13 represents 0 ###LEFT-WALL### 25 . 1 while 2 much 1 while 5 of 1 while 11 , 1 while 12 neuroimaging 2 much 3 is 3 is 5 of 4 made 5 of 5 of 8 deluge 5 of 9 in 6 the 8 deluge 7 data 8 deluge 9 in 10 science 12 neuroimaging 13 represents 13 represents 16 edge 14 the 16 edge 15 leading 16 edge 16 edge 17 of 17 of 19 onslaught 18 this 19 onslaught 19 onslaught 20 of 20 of 21 " 20 of 23 data 22 big 23 data 23 data 24 " a range of neuroimaging databasing approaches has streamlined the transmission , storage , and dissemination of data from such brain imaging studies . 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 23 . 1 a 2 range 2 range 3 of 2 range 11 , 3 of 4 neuroimaging 4 neuroimaging 5 databasing 4 neuroimaging 8 streamlined 5 databasing 6 approaches 5 databasing 7 has 7 has 8 streamlined 8 streamlined 10 transmission 9 the 10 transmission 11 , 12 storage 11 , 14 and 13 , 14 and 14 and 15 dissemination 14 and 16 of 16 of 17 data 17 data 18 from 17 data 21 imaging 18 from 20 brain 19 such 20 brain 21 imaging 22 studies yet [few] , [if] any [,] common solutions exist to support the science of neuroimaging . 0 ###LEFT-WALL### 8 solutions 0 ###LEFT-WALL### 9 exist 0 ###LEFT-WALL### 16 . 1 yet 3 , 1 yet 8 solutions 5 any 8 solutions 7 common 8 solutions 8 solutions 9 exist 9 exist 10 to 10 to 11 support 11 support 13 science 12 the 13 science 13 science 14 of 14 of 15 neuroimaging as neuroimaging advances further [,] e.g . aging , genetics , and age - related disease [,] new vision is needed to manage and process this information while marshalling [of] these resources into novel results . 0 ###LEFT-WALL### 4 further 0 ###LEFT-WALL### 7 . 0 ###LEFT-WALL### 36 . 1 as 3 advances 1 as 4 further 2 neuroimaging 3 advances 4 further 6 e.g 7 . 12 and 7 . 24 and 8 aging 9 , 8 aging 12 and 10 genetics 12 and 11 , 12 and 12 and 13 age 12 and 14 - 12 and 24 and 15 related 16 disease 15 related 24 and 16 disease 19 vision 16 disease 23 manage 18 new 19 vision 19 vision 20 is 20 is 21 needed 21 needed 22 to 22 to 23 manage 24 and 25 process 24 and 28 while 24 and 33 into 25 process 27 information 26 this 27 information 28 while 29 marshalling 29 marshalling 32 resources 31 these 32 resources 33 into 35 results 34 novel 35 results thus , " big data " can become " big " brain science . 0 ###LEFT-WALL### 5 data 0 ###LEFT-WALL### 8 become 0 ###LEFT-WALL### 14 . 1 thus 2 , 1 thus 5 data 2 , 3 " 4 big 5 data 5 data 6 " 5 data 7 can 7 can 8 become 8 become 9 " 8 become 13 science 10 big 11 " 10 big 12 brain 12 brain 13 science none [unlabelled] : this report describes epidemiology , burden , and treatment of osteoporosis in each of the 27 countries of the european union ( eu27 ) . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 28 . 3 : 5 report 3 : 6 describes 4 this 5 report 5 report 6 describes 6 describes 11 and 6 describes 15 in 7 epidemiology 8 , 8 , 9 burden 8 , 11 and 10 , 11 and 11 and 12 treatment 11 and 13 of 13 of 14 osteoporosis 15 in 20 countries 16 each 17 of 16 each 20 countries 17 of 20 countries 18 the 19 27 19 27 20 countries 20 countries 21 of 21 of 24 union 22 the 23 european 23 european 24 union 24 union 26 eu27 25 ( 26 eu27 26 eu27 27 ) introduction : in 2010 , 22 million women and 5.5 million men were estimated to have osteoporosis in the eu ; and 3.5 million new fragility fractures were sustained , comprising 620,000 hip fractures , 520,000 vertebral fractures , 560,000 forearm fractures and 1,800,000 other fractures . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 2 : 9 and 2 : 14 estimated 2 : 21 ; 2 : 47 . 3 in 4 2010 3 in 5 , 3 in 9 and 6 22 7 million 7 million 8 women 8 women 9 and 9 and 12 men 9 and 13 were 10 5.5 11 million 11 million 12 men 13 were 14 estimated 14 estimated 15 to 15 to 16 have 16 have 17 osteoporosis 16 have 18 in 18 in 20 eu 19 the 20 eu 21 ; 22 and 21 ; 35 , 22 and 27 fractures 22 and 29 sustained 23 3.5 24 million 24 million 27 fractures 25 new 26 fragility 26 fragility 27 fractures 27 fractures 28 were 28 were 29 sustained 29 sustained 31 comprising 30 , 31 comprising 31 comprising 34 fractures 31 comprising 35 , 32 620,000 33 hip 33 hip 34 fractures 35 , 43 and 36 520,000 38 fractures 37 vertebral 38 fractures 38 fractures 39 , 39 , 42 fractures 39 , 43 and 40 560,000 42 fractures 41 forearm 42 fractures 43 and 46 fractures 44 1,800,000 45 other 45 other 46 fractures the economic burden of incident [and] prior fragility fractures was estimated at € 37 billion . 0 ###LEFT-WALL### 3 burden 0 ###LEFT-WALL### 11 estimated 0 ###LEFT-WALL### 16 . 1 the 3 burden 2 economic 3 burden 3 burden 4 of 3 burden 10 was 4 of 9 fractures 5 incident 9 fractures 7 prior 8 fragility 8 fragility 9 fractures 10 was 11 estimated 11 estimated 12 at 12 at 13 € 13 € 15 billion 14 37 15 billion previous [and] incident fractures also accounted for 1,180,000 quality - adjusted life years lost during 2010 . 0 ###LEFT-WALL### 4 fractures 0 ###LEFT-WALL### 6 accounted 0 ###LEFT-WALL### 10 - 1 previous 3 incident 3 incident 4 fractures 4 fractures 6 accounted 5 also 6 accounted 6 accounted 7 for 7 for 9 quality 8 1,180,000 9 quality 10 - 13 years 10 - 14 lost 10 - 17 . 11 adjusted 12 life 12 life 13 years 13 years 14 lost 14 lost 15 during 15 during 16 2010 the costs are expected to increase by 25 % in 2025 . 0 ###LEFT-WALL### 2 costs 0 ###LEFT-WALL### 4 expected 0 ###LEFT-WALL### 12 . 1 the 2 costs 2 costs 3 are 3 are 4 expected 4 expected 5 to 4 expected 6 increase 5 to 6 increase 6 increase 7 by 6 increase 10 in 7 by 9 % 8 25 9 % 10 in 11 2025 the majority of individuals who have sustained an osteoporosis [-] related fracture or who are at high risk [of] [fracture] are untreated and the number of patients on treatment is declining . 0 ###LEFT-WALL### 2 majority 0 ###LEFT-WALL### 21 are 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 32 . 1 the 2 majority 2 majority 3 of 2 majority 21 are 3 of 4 individuals 3 of 13 or 3 of 15 are 4 individuals 5 who 4 individuals 6 have 4 individuals 7 sustained 5 who 6 have 8 an 12 fracture 9 osteoporosis 12 fracture 11 related 12 fracture 12 fracture 13 or 13 or 14 who 13 or 15 are 15 are 16 at 16 at 18 risk 17 high 18 risk 21 are 22 untreated 23 and 25 number 23 and 30 is 24 the 25 number 25 number 26 of 25 number 28 on 25 number 30 is 26 of 27 patients 28 on 29 treatment 30 is 31 declining the aim of this report was to characterize the burden of osteoporosis in each of the eu27 countries in 2010 [and] [beyond] . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 23 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 report 4 this 5 report 6 was 7 to 6 was 8 characterize 7 to 8 characterize 8 characterize 10 burden 8 characterize 13 in 8 characterize 19 in 9 the 10 burden 10 burden 11 of 11 of 12 osteoporosis 13 in 18 countries 14 each 15 of 14 each 18 countries 15 of 18 countries 16 the 18 countries 17 eu27 18 countries 19 in 20 2010 methods : the data on fracture incidence [and] costs of fractures in the eu27 were taken from a concurrent publication in this journal ( osteoporosis in the european union : medical management , epidemiology and economic burden ) and country specific information extracted . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 43 extracted 0 ###LEFT-WALL### 44 . 2 : 4 data 2 : 16 taken 2 : 30 : 2 : 33 , 3 the 4 data 4 data 5 on 4 data 15 were 5 on 9 costs 6 fracture 7 incidence 7 incidence 9 costs 9 costs 10 of 10 of 11 fractures 11 fractures 12 in 12 in 14 eu27 13 the 14 eu27 15 were 16 taken 16 taken 17 from 16 taken 21 in 17 from 20 publication 18 a 19 concurrent 18 a 20 publication 19 concurrent 20 publication 21 in 23 journal 22 this 23 journal 23 journal 25 osteoporosis 24 ( 25 osteoporosis 25 osteoporosis 26 in 25 osteoporosis 30 : 26 in 29 union 27 the 28 european 28 european 29 union 30 : 32 management 31 medical 32 management 33 , 39 and 34 epidemiology 35 and 35 and 37 burden 35 and 38 ) 35 and 39 and 36 economic 37 burden 39 and 40 country 39 and 42 information 39 and 43 extracted 41 specific 42 information 42 information 43 extracted results : the clinical and economic burden of osteoporotic fractures in 2010 is given for each of the 27 countries of the eu . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 7 burden 2 : 14 given 3 the 7 burden 4 clinical 5 and 5 and 6 economic 5 and 7 burden 7 burden 8 of 7 burden 11 in 7 burden 13 is 8 of 10 fractures 9 osteoporotic 10 fractures 11 in 12 2010 13 is 14 given 14 given 15 for 15 for 16 each 16 each 17 of 16 each 21 of 17 of 20 countries 18 the 19 27 19 27 20 countries 21 of 23 eu 22 the 23 eu the costs are expected to increase on average by 25 % in 2025 . 0 ###LEFT-WALL### 2 costs 0 ###LEFT-WALL### 4 expected 0 ###LEFT-WALL### 14 . 1 the 2 costs 2 costs 3 are 3 are 4 expected 4 expected 5 to 4 expected 6 increase 5 to 6 increase 6 increase 8 average 6 increase 9 by 6 increase 12 in 7 on 8 average 9 by 11 % 10 25 11 % 12 in 13 2025 the majority of individuals who have sustained an osteoporosis [-] related fracture or who are at high risk [of] [fracture] are untreated and the number of patients on treatment is declining . 0 ###LEFT-WALL### 2 majority 0 ###LEFT-WALL### 21 are 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 32 . 1 the 2 majority 2 majority 3 of 2 majority 21 are 3 of 4 individuals 3 of 13 or 3 of 15 are 4 individuals 5 who 4 individuals 6 have 4 individuals 7 sustained 5 who 6 have 8 an 12 fracture 9 osteoporosis 12 fracture 11 related 12 fracture 12 fracture 13 or 13 or 14 who 13 or 15 are 15 are 16 at 16 at 18 risk 17 high 18 risk 21 are 22 untreated 23 and 25 number 23 and 30 is 24 the 25 number 25 number 26 of 25 number 28 on 25 number 30 is 26 of 27 patients 28 on 29 treatment 30 is 31 declining conclusions : in spite of the high cost of osteoporosis , a substantial treatment gap and projected increase of the economic burden driven by aging populations , the use of pharmacological prevention of osteoporosis has decreased in recent years , suggesting that a change in healthcare policy concerning the disease is warranted . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 , 1 conclusions 2 : 2 : 3 in 2 : 24 by 3 in 16 and 4 spite 5 of 4 spite 11 , 5 of 8 cost 6 the 8 cost 7 high 8 cost 8 cost 9 of 9 of 10 osteoporosis 11 , 15 gap 11 , 16 and 12 a 13 substantial 12 a 15 gap 13 substantial 14 treatment 14 treatment 15 gap 16 and 18 increase 16 and 19 of 17 projected 18 increase 19 of 22 burden 20 the 22 burden 21 economic 22 burden 22 burden 23 driven 24 by 25 aging 25 aging 26 populations 27 , 29 use 27 , 36 decreased 28 the 29 use 29 use 30 of 29 use 35 has 30 of 32 prevention 31 pharmacological 32 prevention 32 prevention 33 of 33 of 34 osteoporosis 35 has 36 decreased 36 decreased 37 in 37 in 39 years 38 recent 39 years 39 years 41 suggesting 40 , 41 suggesting 41 suggesting 42 that 41 suggesting 53 . 42 that 44 change 42 that 52 warranted 43 a 44 change 44 change 45 in 44 change 48 concerning 44 change 51 is 45 in 47 policy 46 healthcare 47 policy 48 concerning 50 disease 49 the 50 disease 51 is 52 warranted unlabelled : this report describes the epidemiology , burden , and treatment of osteoporosis in the 27 countries of the european union ( eu27 ) . 0 ###LEFT-WALL### 1 unlabelled 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 4 report 2 : 5 describes 3 this 4 report 4 report 5 describes 5 describes 11 and 5 describes 15 in 6 the 11 and 7 epidemiology 8 , 8 , 9 burden 8 , 11 and 10 , 11 and 11 and 12 treatment 11 and 13 of 13 of 14 osteoporosis 15 in 18 countries 16 the 17 27 17 27 18 countries 18 countries 19 of 19 of 22 union 20 the 21 european 21 european 22 union 22 union 24 eu27 23 ( 24 eu27 24 eu27 25 ) introduction : osteoporosis is characterized by reduced bone mass [and] disruption of bone architecture , resulting in increased risk of fragility fractures which represent the main clinical consequence of the disease . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 2 : 3 osteoporosis 2 : 5 characterized 3 osteoporosis 4 is 4 is 5 characterized 5 characterized 6 by 6 by 11 disruption 7 reduced 8 bone 8 bone 11 disruption 9 mass 11 disruption 11 disruption 12 of 12 of 14 architecture 13 bone 14 architecture 14 architecture 16 resulting 15 , 16 resulting 16 resulting 17 in 16 resulting 32 . 17 in 19 risk 18 increased 19 risk 19 risk 20 of 20 of 22 fractures 21 fragility 22 fractures 22 fractures 23 which 22 fractures 24 represent 23 which 24 represent 24 represent 28 consequence 25 the 26 main 25 the 28 consequence 27 clinical 28 consequence 28 consequence 29 of 29 of 31 disease 30 the 31 disease fragility fractures are associated with substantial pain and suffering , disability and even death for affected patients and substantial costs to society . 0 ###LEFT-WALL### 2 fractures 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 23 . 1 fragility 2 fractures 2 fractures 3 are 3 are 4 associated 4 associated 5 with 5 with 8 and 6 substantial 7 pain 7 pain 8 and 8 and 9 suffering 10 , 12 and 11 disability 12 and 12 and 14 death 12 and 15 for 12 and 21 to 13 even 14 death 15 for 18 and 16 affected 17 patients 17 patients 18 and 18 and 20 costs 19 substantial 20 costs 21 to 22 society the aim of this report was to characterize the burden of osteoporosis in the eu27 in 2010 [and] [beyond] . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 20 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 report 4 this 5 report 6 was 7 to 6 was 8 characterize 7 to 8 characterize 8 characterize 10 burden 8 characterize 13 in 8 characterize 16 in 9 the 10 burden 10 burden 11 of 11 of 12 osteoporosis 13 in 15 eu27 14 the 15 eu27 16 in 17 2010 methods : the literature on fracture incidence [and] costs of fractures in the eu27 was reviewed and incorporated into a model estimating the clinical and economic burden of osteoporotic fractures in 2010 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 4 literature 2 : 17 and 3 the 4 literature 4 literature 5 on 4 literature 12 in 4 literature 15 was 5 on 9 costs 6 fracture 7 incidence 7 incidence 9 costs 9 costs 10 of 10 of 11 fractures 12 in 14 eu27 13 the 14 eu27 15 was 17 and 16 reviewed 17 and 17 and 18 incorporated 17 and 19 into 17 and 27 burden 19 into 21 model 20 a 21 model 21 model 22 estimating 23 the 27 burden 24 clinical 25 and 25 and 26 economic 25 and 27 burden 27 burden 28 of 27 burden 31 in 28 of 30 fractures 29 osteoporotic 30 fractures 31 in 32 2010 results : twenty - two million women and 5.5 million men were estimated to have osteoporosis [;] and 3.5 million new fragility fractures were sustained , comprising 610,000 hip fractures , 520,000 vertebral fractures , 560,000 forearm fractures and 1,800,000 other fractures [(] i.e [.] fractures of the pelvis , rib , humerus , tibia , fibula , clavicle , scapula , sternum and other femoral fractures ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 twenty 2 : 4 - 4 - 7 women 4 - 8 and 5 two 6 million 6 million 7 women 8 and 10 million 8 and 13 estimated 9 5.5 10 million 10 million 11 men 10 million 12 were 10 million 13 estimated 11 men 12 were 13 estimated 14 to 13 estimated 18 and 13 estimated 25 sustained 14 to 15 have 16 osteoporosis 18 and 18 and 23 fractures 18 and 24 were 19 3.5 20 million 20 million 23 fractures 21 new 22 fragility 22 fragility 23 fractures 24 were 25 sustained 25 sustained 27 comprising 26 , 27 comprising 27 comprising 39 and 28 610,000 30 fractures 29 hip 30 fractures 30 fractures 31 , 31 , 34 fractures 31 , 35 , 32 520,000 34 fractures 33 vertebral 34 fractures 35 , 38 fractures 35 , 39 and 36 560,000 38 fractures 37 forearm 38 fractures 39 and 42 fractures 39 and 44 i.e 39 and 46 fractures 39 and 47 of 40 1,800,000 41 other 41 other 42 fractures 44 i.e 46 fractures 47 of 49 pelvis 48 the 49 pelvis 49 pelvis 51 rib 49 pelvis 57 fibula 50 , 51 rib 51 rib 53 humerus 51 rib 54 , 52 , 53 humerus 53 humerus 54 , 54 , 57 fibula 55 tibia 56 , 55 tibia 57 fibula 57 fibula 64 and 57 fibula 69 . 58 , 64 and 59 clavicle 60 , 60 , 61 scapula 60 , 62 , 62 , 63 sternum 62 , 64 and 64 and 67 fractures 64 and 68 ) 65 other 67 fractures 66 femoral 67 fractures the economic burden of incident [and] prior fragility fractures was estimated at [<] euro [>] 37 billion . 0 ###LEFT-WALL### 3 burden 0 ###LEFT-WALL### 11 estimated 0 ###LEFT-WALL### 18 . 1 the 3 burden 2 economic 3 burden 3 burden 4 of 3 burden 10 was 4 of 9 fractures 5 incident 9 fractures 7 prior 8 fragility 8 fragility 9 fractures 10 was 11 estimated 11 estimated 12 at 12 at 14 euro 14 euro 17 billion 16 37 17 billion incident fractures represented 66 % of this cost , long - term fracture care 29 % and pharmacological prevention 5 % . 0 ###LEFT-WALL### 2 fractures 0 ###LEFT-WALL### 3 represented 0 ###LEFT-WALL### 11 - 1 incident 2 fractures 2 fractures 3 represented 3 represented 5 % 3 represented 10 long 4 66 5 % 5 % 6 of 6 of 8 cost 7 this 8 cost 9 , 10 long 10 long 11 - 11 - 12 term 11 - 22 . 12 term 14 care 12 term 16 % 12 term 17 and 13 fracture 14 care 15 29 16 % 17 and 19 prevention 17 and 21 % 18 pharmacological 19 prevention 20 5 21 % previous [and] incident fractures also accounted for 1,180,000 quality - adjusted life years lost during 2010 . 0 ###LEFT-WALL### 4 fractures 0 ###LEFT-WALL### 6 accounted 0 ###LEFT-WALL### 10 - 1 previous 3 incident 3 incident 4 fractures 4 fractures 6 accounted 5 also 6 accounted 6 accounted 7 for 7 for 9 quality 8 1,180,000 9 quality 10 - 13 years 10 - 14 lost 10 - 17 . 11 adjusted 12 life 12 life 13 years 13 years 14 lost 14 lost 15 during 15 during 16 2010 the costs are expected to increase by 25 % in 2025 . 0 ###LEFT-WALL### 2 costs 0 ###LEFT-WALL### 4 expected 0 ###LEFT-WALL### 12 . 1 the 2 costs 2 costs 3 are 3 are 4 expected 4 expected 5 to 4 expected 6 increase 5 to 6 increase 6 increase 7 by 6 increase 10 in 7 by 9 % 8 25 9 % 10 in 11 2025 the majority of individuals who have sustained an osteoporosis [-] related fracture or who are at high risk [of] [fracture] are untreated and the number of patients on treatment is declining . 0 ###LEFT-WALL### 2 majority 0 ###LEFT-WALL### 21 are 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 32 . 1 the 2 majority 2 majority 3 of 2 majority 21 are 3 of 4 individuals 3 of 13 or 3 of 15 are 4 individuals 5 who 4 individuals 6 have 4 individuals 7 sustained 5 who 6 have 8 an 12 fracture 9 osteoporosis 12 fracture 11 related 12 fracture 12 fracture 13 or 13 or 14 who 13 or 15 are 15 are 16 at 16 at 18 risk 17 high 18 risk 21 are 22 untreated 23 and 25 number 23 and 30 is 24 the 25 number 25 number 26 of 25 number 28 on 25 number 30 is 26 of 27 patients 28 on 29 treatment 30 is 31 declining conclusions : in spite of the high social and economic cost of osteoporosis , a substantial treatment gap and projected increase of the economic burden driven by the aging populations , the use of pharmacological interventions to prevent fractures has decreased in recent years , suggesting that a change in healthcare policy is warranted . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 , 1 conclusions 2 : 2 : 3 in 3 in 9 and 4 spite 5 of 4 spite 9 and 5 of 8 social 6 the 8 social 7 high 8 social 9 and 11 cost 9 and 12 of 10 economic 11 cost 12 of 19 and 13 osteoporosis 14 , 14 , 18 gap 14 , 19 and 15 a 18 gap 16 substantial 18 gap 17 treatment 18 gap 19 and 21 increase 19 and 22 of 20 projected 21 increase 22 of 25 burden 23 the 25 burden 24 economic 25 burden 25 burden 26 driven 26 driven 27 by 27 by 30 populations 28 the 30 populations 29 aging 30 populations 31 , 33 use 31 , 41 decreased 32 the 33 use 33 use 34 of 33 use 40 has 34 of 36 interventions 35 pharmacological 36 interventions 36 interventions 37 to 36 interventions 38 prevent 37 to 38 prevent 38 prevent 39 fractures 40 has 41 decreased 41 decreased 42 in 42 in 44 years 43 recent 44 years 44 years 46 suggesting 45 , 46 suggesting 46 suggesting 47 that 46 suggesting 55 . 47 that 49 change 47 that 54 warranted 48 a 49 change 49 change 50 in 49 change 53 is 50 in 52 policy 51 healthcare 52 policy 53 is 54 warranted background : emerging health care reform initiatives are of growing importance amidst concerns about providing care to increasing numbers of adults with multiple chronic conditions . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 7 initiatives 2 : 8 are 2 : 26 . 3 emerging 4 health 4 health 7 initiatives 5 care 7 initiatives 6 reform 7 initiatives 7 initiatives 8 are 8 are 9 of 8 are 12 amidst 8 are 14 about 9 of 10 growing 10 growing 11 importance 12 amidst 13 concerns 14 about 15 providing 15 providing 16 care 16 care 17 to 17 to 18 increasing 18 increasing 19 numbers 18 increasing 22 with 19 numbers 20 of 20 of 21 adults 22 with 25 conditions 23 multiple 25 conditions 24 chronic 25 conditions evidence [-] based self - management strategies are recognized as central to managing a variety of chronic diseases by improving the medical , emotional , and social role management demands of chronic conditions . 0 ###LEFT-WALL### 4 self 0 ###LEFT-WALL### 9 recognized 0 ###LEFT-WALL### 34 . 1 evidence 3 based 3 based 4 self 5 - 9 recognized 6 management 7 strategies 6 management 8 are 6 management 9 recognized 7 strategies 8 are 9 recognized 10 as 10 as 26 and 11 central 12 to 11 central 23 , 12 to 13 managing 13 managing 15 variety 13 managing 19 by 14 a 15 variety 15 variety 16 of 16 of 18 diseases 17 chronic 18 diseases 19 by 20 improving 20 improving 22 medical 21 the 22 medical 23 , 24 emotional 23 , 26 and 25 , 26 and 26 and 30 demands 26 and 31 of 27 social 28 role 28 role 30 demands 29 management 30 demands 31 of 33 conditions 32 chronic 33 conditions objectives : to examine the effectiveness of the chronic disease self - management program ( cdsmp ) among a national sample of participants organized around the triple aim goals of better health , better health care , and better value in terms of reduced health care utilization . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 examine 2 : 33 , 2 : 48 . 3 to 4 examine 4 examine 6 effectiveness 4 examine 25 around 5 the 6 effectiveness 6 effectiveness 7 of 6 effectiveness 18 among 7 of 11 self 8 the 11 self 9 chronic 10 disease 10 disease 11 self 11 self 16 cdsmp 12 - 16 cdsmp 13 management 14 program 14 program 16 cdsmp 15 ( 16 cdsmp 16 cdsmp 17 ) 18 among 21 sample 19 a 21 sample 20 national 21 sample 21 sample 22 of 22 of 23 participants 23 participants 24 organized 25 around 29 goals 26 the 29 goals 27 triple 29 goals 28 aim 29 goals 29 goals 30 of 30 of 32 health 31 better 32 health 33 , 38 and 34 better 35 health 35 health 36 care 36 care 38 and 37 , 38 and 38 and 40 value 38 and 41 in 38 and 43 of 39 better 40 value 41 in 42 terms 43 of 47 utilization 44 reduced 47 utilization 45 health 46 care 46 care 47 utilization research design : utilizing data collected from small - group cdsmp workshops , baseline , 6 - [month] , and 12 - month assessments were examined using 3 types [of] mixed - effects models to provide unbiased estimates of intervention effects . 0 ###LEFT-WALL### 2 design 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 26 examined 1 research 2 design 2 design 3 : 3 : 5 data 3 : 7 from 4 utilizing 5 data 5 data 6 collected 7 from 12 workshops 8 small 9 - 8 small 10 group 10 group 12 workshops 11 cdsmp 12 workshops 13 , 14 baseline 13 , 15 , 15 , 16 6 15 , 17 - 16 6 17 - 17 - 20 and 19 , 20 and 20 and 21 12 20 and 22 - 21 12 22 - 22 - 24 assessments 23 month 24 assessments 24 assessments 25 were 25 were 26 examined 26 examined 27 using 27 using 29 types 28 3 29 types 29 types 31 mixed 29 types 34 models 32 - 34 models 33 effects 34 models 34 models 35 to 34 models 36 provide 34 models 42 . 35 to 36 provide 36 provide 38 estimates 37 unbiased 38 estimates 38 estimates 39 of 39 of 41 effects 40 intervention 41 effects subjects : data were analyzed from 1170 community [-] dwelling cdsmp participants . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 2 : 2 : 3 data 2 : 5 analyzed 2 : 13 . 3 data 4 were 4 were 5 analyzed 5 analyzed 6 from 6 from 12 participants 7 1170 12 participants 8 community 12 participants 10 dwelling 12 participants 11 cdsmp 12 participants measures : triple aim - related outcome measures : better health ( eg , self - reported health , pain , fatigue , depression ) , better health care ( eg , patient - physician communication , medication compliance , confidence completing medical forms ) , and better value [ eg , reductions in emergency room ( er ) visits and hospitalizations in the past 6 [mo] ] . 0 ###LEFT-WALL### 1 measures 0 ###LEFT-WALL### 3 triple 0 ###LEFT-WALL### 6 related 0 ###LEFT-WALL### 9 : 0 ###LEFT-WALL### 69 . 1 measures 2 : 2 : 3 triple 3 triple 4 aim 5 - 6 related 6 related 8 measures 7 outcome 8 measures 9 : 10 better 9 : 14 , 10 better 11 health 11 health 13 eg 12 ( 13 eg 13 eg 14 , 14 , 15 self 14 , 16 - 16 - 18 health 16 - 26 , 17 reported 18 health 18 health 20 pain 18 health 22 fatigue 19 , 20 pain 20 pain 21 , 21 , 22 fatigue 22 fatigue 24 depression 22 fatigue 25 ) 23 , 24 depression 24 depression 25 ) 26 , 47 and 27 better 29 care 27 better 47 and 28 health 29 care 29 care 36 communication 30 ( 36 communication 31 eg 32 , 31 eg 35 physician 33 patient 34 - 33 patient 35 physician 35 physician 36 communication 36 communication 39 compliance 36 communication 41 confidence 36 communication 46 , 37 , 39 compliance 38 medication 39 compliance 39 compliance 40 , 40 , 41 confidence 41 confidence 42 completing 41 confidence 45 ) 42 completing 44 forms 43 medical 44 forms 47 and 48 better 48 better 49 value 49 value 61 and 50 [ 61 and 51 eg 53 reductions 51 eg 60 visits 52 , 53 reductions 53 reductions 54 in 53 reductions 59 ) 54 in 56 room 55 emergency 56 room 56 room 58 er 57 ( 58 er 58 er 59 ) 60 visits 61 and 61 and 62 hospitalizations 61 and 63 in 61 and 68 ] 63 in 66 6 64 the 65 past 64 the 66 6 results : significant improvements for all better health and better health care outcome measures were observed from baseline to 12 [-] month follow - up . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 1 results 2 : 2 : 9 and 3 significant 4 improvements 4 improvements 5 for 4 improvements 9 and 5 for 8 health 6 all 8 health 7 better 8 health 9 and 11 health 9 and 12 care 9 and 23 follow 10 better 11 health 12 care 14 measures 12 care 15 were 12 care 16 observed 13 outcome 14 measures 14 measures 15 were 16 observed 17 from 16 observed 19 to 16 observed 23 follow 17 from 18 baseline 19 to 22 month 20 12 22 month 23 follow 25 up 24 - 25 up 25 up 26 . the odds of er visits significantly reduced from baseline to 12 [-] month follow - up , whereas significant reductions in hospitalization were only observed from baseline to 6 [-] month follow - up . 0 ###LEFT-WALL### 2 odds 0 ###LEFT-WALL### 32 follow 1 the 2 odds 2 odds 3 of 2 odds 32 follow 3 of 4 er 4 er 5 visits 4 er 14 follow 5 visits 7 reduced 5 visits 8 from 5 visits 14 follow 6 significantly 7 reduced 8 from 9 baseline 9 baseline 10 to 10 to 13 month 11 12 13 month 14 follow 16 up 14 follow 18 whereas 15 - 16 up 16 up 17 , 18 whereas 20 reductions 18 whereas 25 observed 19 significant 20 reductions 20 reductions 21 in 20 reductions 23 were 21 in 22 hospitalization 23 were 24 only 23 were 25 observed 25 observed 26 from 25 observed 28 to 26 from 27 baseline 28 to 31 month 29 6 31 month 32 follow 34 up 33 - 34 up 34 up 35 . conclusions : this national study of cdsmp ( national study ) demonstrates the successful translation of cdsmp into widespread practice and its potential for helping the nation achieve the triple aims of health care reform . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 study 2 : 12 demonstrates 2 : 36 . 3 this 5 study 4 national 5 study 5 study 6 of 5 study 12 demonstrates 6 of 7 cdsmp 7 cdsmp 10 study 8 ( 10 study 9 national 10 study 10 study 11 ) 12 demonstrates 21 and 12 demonstrates 28 achieve 13 the 15 translation 14 successful 15 translation 15 translation 16 of 15 translation 21 and 16 of 17 cdsmp 17 cdsmp 18 into 18 into 20 practice 19 widespread 20 practice 21 and 23 potential 21 and 24 for 21 and 28 achieve 22 its 23 potential 24 for 25 helping 25 helping 27 nation 26 the 27 nation 28 achieve 31 aims 29 the 31 aims 30 triple 31 aims 31 aims 32 of 32 of 35 reform 33 health 34 care 34 care 35 reform patients with phenylketonuria ( pku ) encompass an ['] [at] risk ['] group for micronutrient imbalances . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 7 encompass 0 ###LEFT-WALL### 17 . 1 patients 2 with 1 patients 7 encompass 2 with 3 phenylketonuria 3 phenylketonuria 5 pku 4 ( 5 pku 5 pku 6 ) 7 encompass 13 group 8 an 13 group 11 risk 13 group 13 group 14 for 14 for 16 imbalances 15 micronutrient 16 imbalances optimal nutrient status is challenging particularly when a substantial proportion of nutrient intake is from [non] [-] natural sources . 0 ###LEFT-WALL### 3 status 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 20 . 1 optimal 2 nutrient 2 nutrient 3 status 3 status 4 is 4 is 5 challenging 5 challenging 6 particularly 6 particularly 7 when 7 when 10 proportion 7 when 14 is 8 a 10 proportion 9 substantial 10 proportion 10 proportion 11 of 10 proportion 14 is 11 of 13 intake 12 nutrient 13 intake 14 is 15 from 15 from 19 sources 18 natural 19 sources in pku patients following dietary treatment , supplementation with micronutrients is a necessity and vitamins and minerals should either be added to supplement phenylalanine - free [l] - amino acids [or] given separately . 0 ###LEFT-WALL### 8 supplementation 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 16 and 1 in 3 patients 1 in 7 , 1 in 8 supplementation 2 pku 3 patients 3 patients 4 following 4 following 6 treatment 5 dietary 6 treatment 8 supplementation 9 with 8 supplementation 11 is 9 with 10 micronutrients 11 is 14 and 12 a 13 necessity 13 necessity 14 and 14 and 15 vitamins 16 and 17 minerals 16 and 21 added 17 minerals 18 should 18 should 20 be 19 either 20 be 20 be 21 added 21 added 22 to 21 added 23 supplement 22 to 23 supplement 23 supplement 24 phenylalanine 24 phenylalanine 30 acids 25 - 30 acids 26 free 28 - 26 free 30 acids 29 amino 30 acids 30 acids 32 given 30 acids 34 . 32 given 33 separately in this literature review of papers published since 1990 , the prevalence [of] vitamin and mineral deficiency is described , with reference to age of treatment [commencement] , type of treatment , dietary compliance , and dietary practices . 0 ###LEFT-WALL### 17 deficiency 0 ###LEFT-WALL### 19 described 0 ###LEFT-WALL### 28 , 0 ###LEFT-WALL### 39 . 1 in 4 review 1 in 17 deficiency 2 this 4 review 3 literature 4 review 4 review 5 of 5 of 15 and 6 papers 7 published 6 papers 8 since 6 papers 10 , 8 since 9 1990 10 , 14 vitamin 10 , 15 and 11 the 14 vitamin 12 prevalence 14 vitamin 15 and 16 mineral 17 deficiency 18 is 18 is 19 described 19 described 21 with 20 , 21 with 21 with 22 reference 21 with 23 to 21 with 28 , 23 to 24 age 24 age 25 of 25 of 26 treatment 28 , 36 and 29 type 30 of 30 of 31 treatment 30 of 32 , 32 , 34 compliance 32 , 36 and 33 dietary 34 compliance 35 , 36 and 36 and 38 practices 37 dietary 38 practices biological micronutrient inadequacies have been mainly reported for zinc , selenium , iron , vitamin b12 and folate . 0 ###LEFT-WALL### 3 inadequacies 0 ###LEFT-WALL### 7 reported 0 ###LEFT-WALL### 19 . 1 biological 3 inadequacies 2 micronutrient 3 inadequacies 3 inadequacies 4 have 4 have 5 been 5 been 7 reported 6 mainly 7 reported 7 reported 8 for 8 for 17 and 9 zinc 10 , 10 , 11 selenium 10 , 12 , 12 , 13 iron 12 , 14 , 14 , 16 b12 14 , 17 and 15 vitamin 16 b12 17 and 18 folate the aetiology of these results and possible clinical and biological implications are discussed . 0 ###LEFT-WALL### 11 implications 0 ###LEFT-WALL### 13 discussed 0 ###LEFT-WALL### 14 . 1 the 2 aetiology 2 aetiology 3 of 2 aetiology 6 and 3 of 5 results 4 these 5 results 6 and 7 possible 6 and 11 implications 8 clinical 9 and 9 and 10 biological 9 and 11 implications 11 implications 12 are 12 are 13 discussed in pku there is not a simple relationship between the dietary intake and nutritional status , and there are many independent and interrelated complex factors that should be considered other than quantitative nutritional intake . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 29 considered 0 ###LEFT-WALL### 35 . 1 in 2 pku 1 in 3 there 3 there 4 is 4 is 5 not 4 is 8 relationship 4 is 9 between 6 a 7 simple 6 a 8 relationship 7 simple 8 relationship 9 between 13 and 10 the 12 intake 11 dietary 12 intake 12 intake 13 and 13 and 15 status 13 and 16 , 14 nutritional 15 status 17 and 18 there 17 and 19 are 18 there 19 are 19 are 22 and 20 many 22 and 21 independent 22 and 22 and 24 complex 22 and 25 factors 22 and 29 considered 23 interrelated 24 complex 25 factors 26 that 25 factors 27 should 25 factors 29 considered 26 that 27 should 27 should 28 be 29 considered 31 than 30 other 31 than 31 than 34 intake 32 quantitative 34 intake 33 nutritional 34 intake somatic stem cells ensure tissue renewal along life and healing of injuries . 0 ###LEFT-WALL### 3 cells 0 ###LEFT-WALL### 4 ensure 0 ###LEFT-WALL### 13 . 1 somatic 2 stem 2 stem 3 cells 3 cells 4 ensure 4 ensure 6 renewal 4 ensure 7 along 5 tissue 6 renewal 7 along 9 and 8 life 9 and 9 and 10 healing 10 healing 11 of 11 of 12 injuries their safe isolation , genetic manipulation [ex] [vivo] and reinfusion in patients suffering from life threatening immune deficiencies ( for example , severe combined immunodeficiency ( scid ) ) have demonstrated the efficacy [of] ex vivo gene therapy . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 39 . 1 their 3 isolation 2 safe 3 isolation 3 isolation 4 , 4 , 6 manipulation 4 , 9 and 5 genetic 6 manipulation 9 and 10 reinfusion 9 and 11 in 11 in 12 patients 12 patients 13 suffering 13 suffering 14 from 13 suffering 36 vivo 13 suffering 38 therapy 14 from 15 life 15 life 16 threatening 16 threatening 18 deficiencies 16 threatening 31 demonstrated 17 immune 18 deficiencies 18 deficiencies 21 example 18 deficiencies 30 have 19 ( 21 example 20 for 21 example 21 example 22 , 21 example 25 immunodeficiency 21 example 29 ) 23 severe 25 immunodeficiency 24 combined 25 immunodeficiency 25 immunodeficiency 27 scid 26 ( 27 scid 27 scid 28 ) 30 have 31 demonstrated 31 demonstrated 33 efficacy 32 the 33 efficacy 35 ex 36 vivo 37 gene 38 therapy similarly , adult epidermal stem cells have the capacity to renew epidermis , the fully differentiated [,] protective envelope of our body . 0 ###LEFT-WALL### 6 cells 0 ###LEFT-WALL### 7 have 1 similarly 2 , 1 similarly 6 cells 3 adult 6 cells 4 epidermal 5 stem 5 stem 6 cells 6 cells 7 have 7 have 9 capacity 8 the 9 capacity 9 capacity 10 to 9 capacity 11 renew 10 to 11 renew 11 renew 12 epidermis 12 epidermis 19 envelope 13 , 19 envelope 14 the 19 envelope 15 fully 16 differentiated 16 differentiated 19 envelope 18 protective 19 envelope 19 envelope 20 of 19 envelope 23 . 20 of 22 body 21 our 22 body stable skin replacement [of] severely burned patients have proven life saving . 0 ###LEFT-WALL### 1 stable 0 ###LEFT-WALL### 12 . 1 stable 3 replacement 2 skin 3 replacement 3 replacement 6 burned 3 replacement 7 patients 3 replacement 11 saving 5 severely 6 burned 7 patients 8 have 8 have 9 proven 9 proven 10 life 10 life 11 saving xeroderma pigmentosum ( xp ) is a devastating disease due to severe defects in the repair of mutagenic dna lesions introduced upon exposure to solar radiations . 0 ###LEFT-WALL### 2 pigmentosum 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 27 . 1 xeroderma 2 pigmentosum 2 pigmentosum 4 xp 2 pigmentosum 6 is 3 ( 4 xp 4 xp 5 ) 6 is 9 disease 6 is 11 to 6 is 22 upon 7 a 9 disease 8 devastating 9 disease 10 due 11 to 11 to 13 defects 12 severe 13 defects 13 defects 14 in 13 defects 17 of 13 defects 21 introduced 14 in 16 repair 15 the 16 repair 17 of 20 lesions 18 mutagenic 20 lesions 19 dna 20 lesions 22 upon 23 exposure 23 exposure 24 to 24 to 26 radiations 25 solar 26 radiations most patients die from the consequences of budding hundreds of skin cancers in the absence of photoprotection . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 die 0 ###LEFT-WALL### 18 . 1 most 2 patients 2 patients 3 die 3 die 4 from 4 from 6 consequences 5 the 6 consequences 6 consequences 7 of 7 of 8 budding 8 budding 12 cancers 8 budding 13 in 9 hundreds 10 of 9 hundreds 12 cancers 10 of 12 cancers 11 skin 12 cancers 13 in 15 absence 14 the 15 absence 15 absence 16 of 16 of 17 photoprotection we have developed a safe procedure of genetic correction of epidermal stem cells isolated from xp patients . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 developed 0 ###LEFT-WALL### 18 . 1 we 2 have 2 have 3 developed 3 developed 6 procedure 4 a 5 safe 4 a 6 procedure 5 safe 6 procedure 6 procedure 7 of 6 procedure 10 of 7 of 9 correction 8 genetic 9 correction 10 of 13 cells 11 epidermal 12 stem 12 stem 13 cells 13 cells 14 isolated 14 isolated 15 from 15 from 17 patients 16 xp 17 patients preclinical and safety assessments indicate successful correction of xp epidermal stem cells in the long term and their capacity to regenerate a normal skin with full capacities of dna repair . 0 ###LEFT-WALL### 1 preclinical 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 21 regenerate 0 ###LEFT-WALL### 31 . 2 and 4 assessments 2 and 5 indicate 3 safety 4 assessments 4 assessments 5 indicate 5 indicate 7 correction 5 indicate 13 in 5 indicate 20 to 6 successful 7 correction 7 correction 8 of 8 of 12 cells 9 xp 12 cells 10 epidermal 11 stem 11 stem 12 cells 13 in 17 and 14 the 16 term 15 long 16 term 16 term 17 and 17 and 19 capacity 18 their 19 capacity 20 to 21 regenerate 21 regenerate 24 skin 21 regenerate 25 with 22 a 23 normal 22 a 24 skin 23 normal 24 skin 25 with 27 capacities 26 full 27 capacities 27 capacities 28 of 28 of 30 repair 29 dna 30 repair aberrant psychological and behavioral symptoms are common in patients with dementia . 0 ###LEFT-WALL### 5 symptoms 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 12 . 1 aberrant 5 symptoms 2 psychological 3 and 3 and 4 behavioral 3 and 5 symptoms 5 symptoms 6 are 6 are 7 common 7 common 8 in 7 common 10 with 8 in 9 patients 10 with 11 dementia these symptoms have negative consequences for family caregivers , causing stress and burden . 0 ###LEFT-WALL### 2 symptoms 0 ###LEFT-WALL### 3 have 0 ###LEFT-WALL### 14 . 1 these 2 symptoms 2 symptoms 3 have 3 have 5 consequences 4 negative 5 consequences 5 consequences 6 for 6 for 12 and 7 family 8 caregivers 8 caregivers 9 , 9 , 11 stress 9 , 12 and 10 causing 11 stress 12 and 13 burden frontotemporal dementia ( ftd ) symptoms cause more pronounced stress and burden on caregivers than those associated with alzheimer dementia . 0 ###LEFT-WALL### 6 symptoms 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 21 . 1 frontotemporal 6 symptoms 2 dementia 4 ftd 2 dementia 6 symptoms 3 ( 4 ftd 4 ftd 5 ) 6 symptoms 11 and 7 cause 10 stress 7 cause 11 and 8 more 10 stress 9 pronounced 10 stress 11 and 12 burden 11 and 13 on 11 and 15 than 13 on 14 caregivers 15 than 16 those 16 those 17 associated 17 associated 18 with 17 associated 20 dementia 18 with 19 alzheimer in this randomized , attention control pilot study , [we] delivered 5 - weekly , one - on - one , positive [affect] intervention sessions to family caregivers of people with ftd . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 11 delivered 1 in 3 randomized 1 in 8 study 1 in 11 delivered 2 this 3 randomized 4 , 8 study 5 attention 8 study 6 control 8 study 7 pilot 8 study 8 study 9 , 11 delivered 12 5 12 5 25 sessions 13 - 25 sessions 14 weekly 16 one 14 weekly 21 , 14 weekly 25 sessions 15 , 16 one 16 one 18 on 16 one 21 , 17 - 18 on 18 on 20 one 18 on 21 , 19 - 20 one 22 positive 25 sessions 24 intervention 25 sessions 25 sessions 26 to 25 sessions 29 of 25 sessions 33 . 26 to 28 caregivers 27 family 28 caregivers 29 of 30 people 30 people 31 with 31 with 32 ftd the program , life enhancing activities for family caregivers : leaf was conducted in - [person] or by videoconference with caregivers across the united states . 0 ###LEFT-WALL### 2 program 0 ###LEFT-WALL### 3 , 1 the 2 program 3 , 9 caregivers 3 , 10 : 4 life 5 enhancing 5 enhancing 6 activities 6 activities 7 for 6 activities 9 caregivers 7 for 8 family 10 : 11 leaf 10 : 13 conducted 10 : 26 . 11 leaf 12 was 12 was 13 conducted 13 conducted 17 or 13 conducted 20 with 13 conducted 22 across 14 in 17 or 15 - 17 or 17 or 18 by 17 or 19 videoconference 20 with 21 caregivers 22 across 25 states 23 the 25 states 24 united 25 states measures [of] [affect] , caregiver mood , stress , distress , and caregiver burden were assessed at baseline , [end] of sessions , and 1 month after completion . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 16 assessed 0 ###LEFT-WALL### 29 . 1 measures 4 , 4 , 6 mood 4 , 7 , 5 caregiver 6 mood 7 , 8 stress 7 , 9 , 9 , 10 distress 9 , 12 and 11 , 12 and 12 and 14 burden 12 and 15 were 13 caregiver 14 burden 15 were 16 assessed 16 assessed 24 and 17 at 18 baseline 17 at 24 and 18 baseline 21 of 19 , 21 of 21 of 22 sessions 21 of 23 , 23 , 24 and 24 and 27 after 25 1 26 month 26 month 27 after 27 after 28 completion twenty - four caregivers ( 12 intervention and 12 attention control ) participated . 0 ###LEFT-WALL### 4 caregivers 0 ###LEFT-WALL### 13 participated 0 ###LEFT-WALL### 14 . 1 twenty 2 - 2 - 3 four 2 - 4 caregivers 4 caregivers 8 and 4 caregivers 13 participated 5 ( 8 and 6 12 7 intervention 7 intervention 8 and 8 and 11 control 8 and 12 ) 9 12 11 control 10 attention 11 control at the end of the intervention , scores on positive [affect] , negative [affect] , burden , and stress all improved in the intervention compared with the control group . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 29 group 0 ###LEFT-WALL### 30 . 1 at 3 end 1 at 7 , 1 at 18 and 2 the 3 end 3 end 4 of 4 of 6 intervention 5 the 6 intervention 8 scores 9 on 8 scores 18 and 9 on 16 burden 10 positive 12 , 10 positive 16 burden 13 negative 15 , 13 negative 16 burden 17 , 18 and 18 and 19 stress 18 and 21 improved 18 and 29 group 20 all 21 improved 21 improved 22 in 22 in 24 intervention 23 the 24 intervention 24 intervention 25 compared 24 intervention 26 with 26 with 28 control 27 the 28 control these scores continued to show improvement at the assessment done 1 month after intervention . 0 ###LEFT-WALL### 2 scores 0 ###LEFT-WALL### 3 continued 0 ###LEFT-WALL### 15 . 1 these 2 scores 2 scores 3 continued 3 continued 4 to 3 continued 5 show 4 to 5 show 5 show 6 improvement 5 show 12 month 5 show 13 after 6 improvement 7 at 7 at 9 assessment 8 the 9 assessment 9 assessment 10 done 11 1 12 month 13 after 14 intervention subjects were receptive to the skills and the delivery methods . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 11 . 1 subjects 2 were 2 were 3 receptive 3 receptive 4 to 4 to 7 and 5 the 6 skills 6 skills 7 and 7 and 10 methods 8 the 10 methods 9 delivery 10 methods the positive emotion skill - building intervention proved feasible especially in the internet videoconference delivery format . 0 ###LEFT-WALL### 4 skill 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 8 proved 0 ###LEFT-WALL### 17 . 1 the 4 skill 2 positive 3 emotion 3 emotion 4 skill 5 - 6 building 5 - 8 proved 6 building 7 intervention 6 building 8 proved 8 proved 9 feasible 9 feasible 10 especially 10 especially 11 in 11 in 16 format 12 the 16 format 13 internet 14 videoconference 14 videoconference 16 format 15 delivery 16 format the intervention promoted positive [affect] and improved psychological outcomes for family caregivers of people with ftd . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 17 . 1 the 2 intervention 2 intervention 3 promoted 2 intervention 6 and 3 promoted 4 positive 6 and 9 outcomes 6 and 10 for 7 improved 9 outcomes 8 psychological 9 outcomes 10 for 12 caregivers 11 family 12 caregivers 12 caregivers 13 of 12 caregivers 15 with 13 of 14 people 15 with 16 ftd purpose : recently , a large genome - wide association study has revealed that polymorphism of alleles and genotypes in rs3,764,650 within abca7 [gene] is associated with alzheimer disease in whites . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 32 . 1 purpose 2 : 2 : 3 recently 4 , 7 genome 4 , 8 - 5 a 7 genome 6 large 7 genome 8 - 11 study 8 - 13 revealed 9 wide 10 association 10 association 11 study 11 study 12 has 12 has 13 revealed 13 revealed 15 polymorphism 13 revealed 26 associated 14 that 15 polymorphism 15 polymorphism 16 of 15 polymorphism 25 is 16 of 18 and 17 alleles 18 and 18 and 19 genotypes 18 and 20 in 18 and 21 rs3,764,650 21 rs3,764,650 22 within 22 within 23 abca7 25 is 26 associated 26 associated 27 with 27 with 28 alzheimer 27 with 29 disease 29 disease 30 in 30 in 31 whites we conducted a case - control study to investigate whether these susceptible genetic variants are risk factors for sporadic alzheimer disease ( sad ) in chinese han population . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conducted 0 ###LEFT-WALL### 5 - 1 we 2 conducted 2 conducted 4 case 3 a 4 case 5 - 6 control 5 - 29 . 6 control 7 study 6 control 8 to 6 control 10 whether 8 to 9 investigate 10 whether 14 variants 10 whether 16 risk 11 these 14 variants 12 susceptible 14 variants 13 genetic 14 variants 14 variants 15 are 15 are 16 risk 16 risk 17 factors 16 risk 18 for 16 risk 25 in 18 for 21 disease 19 sporadic 21 disease 20 alzheimer 21 disease 21 disease 23 sad 22 ( 23 sad 23 sad 24 ) 25 in 28 population 26 chinese 28 population 27 han 28 population design and methods : a total of 633 participants consisting of 350 sad and 283 nondemented elderly controls matched for sex and age were recruited and genetic variants in abca7 ( rs3,764,650 ) were genotyped using dna sequencing . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 39 . 1 design 2 and 2 and 3 methods 4 : 14 and 4 : 22 and 4 : 26 and 5 a 6 total 6 total 7 of 6 total 10 consisting 6 total 14 and 7 of 9 participants 8 633 9 participants 10 consisting 11 of 11 of 13 sad 12 350 13 sad 14 and 18 controls 15 283 18 controls 16 nondemented 18 controls 17 elderly 18 controls 18 controls 19 matched 18 controls 20 for 20 for 21 sex 22 and 23 age 22 and 25 recruited 23 age 24 were 24 were 25 recruited 26 and 28 variants 26 and 35 genotyped 27 genetic 28 variants 28 variants 29 in 28 variants 32 rs3,764,650 28 variants 34 were 29 in 30 abca7 31 ( 32 rs3,764,650 32 rs3,764,650 33 ) 34 were 35 genotyped 35 genotyped 36 using 36 using 38 sequencing 37 dna 38 sequencing results : on the basis of allele and [genotype] frequencies in both groups , we found a significant association ( p=0.004 ) between abca7 [genotypes] and sad in chinese han population , and the results were influenced by age and apoeε4 status . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 1 results 2 : 2 : 3 on 3 on 8 and 4 the 5 basis 5 basis 6 of 5 basis 8 and 6 of 7 allele 8 and 10 frequencies 8 and 14 , 8 and 15 we 8 and 16 found 10 frequencies 11 in 11 in 13 groups 12 both 13 groups 15 we 16 found 16 found 19 association 16 found 23 between 17 a 19 association 18 significant 19 association 19 association 21 p=0.004 20 ( 21 p=0.004 21 p=0.004 22 ) 23 between 27 sad 24 abca7 26 and 26 and 27 sad 27 sad 28 in 27 sad 37 influenced 28 in 29 chinese 29 chinese 33 and 29 chinese 36 were 30 han 31 population 31 population 33 and 32 , 33 and 33 and 35 results 33 and 36 were 34 the 35 results 37 influenced 38 by 38 by 40 and 39 age 40 and 40 and 42 status 40 and 43 . 41 apoeε4 42 status apoeε4 - carrier and aging [are] linked to enhancing abca7 risk - associated sad . 0 ###LEFT-WALL### 1 apoeε4 0 ###LEFT-WALL### 2 - 2 - 3 carrier 2 - 4 and 2 - 12 - 4 and 5 aging 4 and 7 linked 5 aging 7 linked 7 linked 8 to 7 linked 11 risk 8 to 9 enhancing 9 enhancing 10 abca7 12 - 14 sad 12 - 15 . 13 associated 14 sad however , the prevalence of the minor allele g in rs3,764,650 within abca7 showed no significant difference between the 2 groups in this study . 0 ###LEFT-WALL### 4 prevalence 0 ###LEFT-WALL### 21 groups 0 ###LEFT-WALL### 25 . 1 however 2 , 1 however 4 prevalence 3 the 4 prevalence 4 prevalence 5 of 4 prevalence 21 groups 5 of 7 minor 6 the 7 minor 7 minor 8 allele 7 minor 14 showed 8 allele 9 g 8 allele 10 in 8 allele 14 showed 10 in 11 rs3,764,650 11 rs3,764,650 12 within 12 within 13 abca7 14 showed 17 difference 14 showed 18 between 15 no 17 difference 16 significant 17 difference 18 between 20 2 19 the 20 2 21 groups 22 in 22 in 24 study 23 this 24 study conclusions : abca7 ( rs3,764,650 ) was associated with sad in the chinese population , with both apoeε4 - [carrier] and aging being factors enhancing its risk . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 abca7 2 : 8 associated 2 : 28 . 3 abca7 5 rs3,764,650 3 abca7 7 was 4 ( 5 rs3,764,650 5 rs3,764,650 6 ) 7 was 8 associated 8 associated 9 with 9 with 21 and 9 with 23 being 10 sad 11 in 10 sad 21 and 11 in 14 population 12 the 14 population 13 chinese 14 population 14 population 16 with 15 , 16 with 16 with 17 both 16 with 18 apoeε4 16 with 19 - 21 and 22 aging 23 being 24 factors 24 factors 25 enhancing 25 enhancing 27 risk 26 its 27 risk background : dementia and mild cognitive impairment ( mci ) are underrecognized in community settings . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 and 2 : 12 underrecognized 2 : 16 . 3 dementia 4 and 4 and 7 impairment 4 and 9 mci 4 and 11 are 5 mild 7 impairment 6 cognitive 7 impairment 8 ( 9 mci 9 mci 10 ) 11 are 12 underrecognized 12 underrecognized 13 in 13 in 15 settings 14 community 15 settings this may be due in part to the lack of brief dementia screening tools available to clinicians . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 be 0 ###LEFT-WALL### 18 . 1 this 2 may 2 may 3 be 3 be 4 due 4 due 6 part 5 in 6 part 6 part 7 to 7 to 9 lack 8 the 9 lack 9 lack 10 of 10 of 12 dementia 11 brief 12 dementia 12 dementia 13 screening 13 screening 14 tools 14 tools 15 available 15 available 16 to 16 to 17 clinicians we compared 2 brief , informant [-] based screening tests : the ad8 and the informant questionnaire on cognitive decline in the elderly ( iqcode ) in a community - based neurology practice in the midwestern united states . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 compared 0 ###LEFT-WALL### 11 : 0 ###LEFT-WALL### 39 . 1 we 2 compared 2 compared 10 tests 3 2 10 tests 4 brief 5 , 4 brief 6 informant 6 informant 8 based 8 based 10 tests 9 screening 10 tests 11 : 14 and 11 : 31 based 12 the 13 ad8 13 ad8 14 and 14 and 17 questionnaire 14 and 30 - 14 and 31 based 15 the 17 questionnaire 16 informant 17 questionnaire 17 questionnaire 18 on 17 questionnaire 27 in 18 on 20 decline 19 cognitive 20 decline 20 decline 21 in 21 in 25 iqcode 22 the 25 iqcode 23 elderly 25 iqcode 24 ( 25 iqcode 25 iqcode 26 ) 27 in 29 community 28 a 29 community 31 based 33 practice 31 based 34 in 32 neurology 33 practice 34 in 38 states 35 the 36 midwestern 36 midwestern 38 states 37 united 38 states methods : we examined 186 consecutive patients ( 44 controls , 13 with mci , and [129] with dementia ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 examined 2 : 21 . 3 we 4 examined 4 examined 7 patients 5 186 7 patients 6 consecutive 7 patients 7 patients 10 controls 7 patients 12 13 8 ( 10 controls 9 44 10 controls 10 controls 11 , 11 , 12 13 12 13 16 and 12 13 20 ) 13 with 14 mci 13 with 16 and 15 , 16 and 16 and 18 with 18 with 19 dementia receiver operator characteristic curves were used to examine the ability of ad8 and iqcode to discriminate between controls [and] mci or dementia . 0 ###LEFT-WALL### 4 curves 0 ###LEFT-WALL### 16 discriminate 0 ###LEFT-WALL### 23 . 1 receiver 4 curves 2 operator 4 curves 3 characteristic 4 curves 4 curves 5 were 5 were 6 used 6 used 7 to 6 used 8 examine 7 to 8 examine 8 examine 13 and 8 examine 15 to 9 the 13 and 10 ability 11 of 10 ability 13 and 11 of 12 ad8 13 and 14 iqcode 15 to 16 discriminate 16 discriminate 17 between 17 between 21 or 18 controls 20 mci 18 controls 21 or 21 or 22 dementia sensitivity , specificity , predictive values , and likelihood ratios were reported . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 12 reported 0 ###LEFT-WALL### 13 . 1 sensitivity 2 , 2 , 3 specificity 2 , 4 , 4 , 6 values 4 , 8 and 5 predictive 6 values 7 , 8 and 8 and 10 ratios 8 and 11 were 9 likelihood 10 ratios 11 were 12 reported results : ad8 differentiated healthy controls from mci ( p<0.001 [ )(or dementia ( p<0.001 ) , and [mci] from dementia ( p=0.008 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 3 ad8 2 : 4 differentiated 3 ad8 4 differentiated 4 differentiated 6 controls 4 differentiated 18 and 5 healthy 6 controls 7 from 8 mci 7 from 18 and 8 mci 12 )(or 9 ( 12 )(or 10 p<0.001 12 )(or 12 )(or 13 dementia 12 )(or 15 p<0.001 12 )(or 17 , 14 ( 15 p<0.001 15 p<0.001 16 ) 17 , 18 and 18 and 20 from 20 from 21 dementia 21 dementia 23 p=0.008 22 ( 23 p=0.008 23 p=0.008 24 ) the iqcode differentiated controls [and] mci from dementia ( both p<0.001 ) , and between controls [and] mci ( p=0.002 ) . 0 ###LEFT-WALL### 2 iqcode 0 ###LEFT-WALL### 3 differentiated 0 ###LEFT-WALL### 22 . 1 the 2 iqcode 2 iqcode 3 differentiated 3 differentiated 4 controls 4 controls 6 mci 4 controls 14 and 7 from 8 dementia 7 from 14 and 8 dementia 11 p<0.001 9 ( 11 p<0.001 10 both 11 p<0.001 11 p<0.001 12 ) 13 , 14 and 14 and 15 between 15 between 16 controls 16 controls 18 mci 16 controls 20 p=0.002 19 ( 20 p=0.002 20 p=0.002 21 ) both ad8 [(] auc=0.953 ; 95 % confidence interval , 0.92 - 0.99 [ )(and iqcode ( auc=0.930 , 95 % confidence interval , 0.88 - 0.97 ) provided discrimination between controls and patients with dementia [;] however , the ad8 [had] superior sensitivity detecting dementia ( 99.2 % ) [and] [mci] ( 100 % ) compared with the iqcode ( 79.1 % for dementia , 46.1 % for mci [ )(with nonoverlapping confidence intervals . 0 ###LEFT-WALL### 4 auc=0.953 0 ###LEFT-WALL### 5 ; 1 both 4 auc=0.953 2 ad8 4 auc=0.953 5 ; 9 interval 5 ; 10 , 6 95 9 interval 7 % 9 interval 8 confidence 9 interval 10 , 11 0.92 10 , 12 - 10 , 15 )(and 11 0.92 12 - 12 - 13 0.99 15 )(and 19 , 15 )(and 23 interval 16 iqcode 18 auc=0.930 17 ( 18 auc=0.930 18 auc=0.930 19 , 20 95 21 % 21 % 22 confidence 22 confidence 23 interval 23 interval 25 0.88 23 interval 27 0.97 23 interval 29 provided 24 , 25 0.88 25 0.88 26 - 26 - 27 0.97 27 0.97 28 ) 29 provided 30 discrimination 29 provided 31 between 29 provided 35 with 31 between 33 and 32 controls 33 and 33 and 34 patients 35 with 36 dementia 35 with 38 however 35 with 45 detecting 38 however 39 , 40 the 45 detecting 41 ad8 45 detecting 43 superior 45 detecting 44 sensitivity 45 detecting 45 detecting 46 dementia 45 detecting 57 compared 46 dementia 49 % 46 dementia 55 % 46 dementia 57 compared 47 ( 49 % 48 99.2 49 % 49 % 50 ) 53 ( 55 % 54 100 55 % 55 % 56 ) 57 compared 58 with 58 with 60 iqcode 59 the 60 iqcode 60 iqcode 63 % 60 iqcode 68 % 61 ( 63 % 62 79.1 63 % 63 % 64 for 63 % 66 , 64 for 65 dementia 66 , 68 % 67 46.1 68 % 68 % 69 for 68 % 72 )(with 68 % 76 . 69 for 70 mci 72 )(with 75 intervals 73 nonoverlapping 75 intervals 74 confidence 75 intervals using published cut - offs ( ad8≥2 , iqcode≥3.4 ) , only 1 case of dementia was missed with the ad8 , whereas the iqcode failed to detect dementia in 27 individuals . 0 ###LEFT-WALL### 3 cut 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 33 . 1 using 2 published 2 published 3 cut 4 - 5 offs 4 - 11 , 5 offs 7 ad8≥2 6 ( 7 ad8≥2 7 ad8≥2 9 iqcode≥3.4 7 ad8≥2 11 , 8 , 9 iqcode≥3.4 9 iqcode≥3.4 10 ) 11 , 12 only 11 , 26 failed 12 only 14 case 13 1 14 case 14 case 15 of 14 case 17 was 15 of 16 dementia 17 was 18 missed 18 missed 19 with 18 missed 23 whereas 19 with 21 ad8 20 the 21 ad8 22 , 23 whereas 23 whereas 25 iqcode 24 the 25 iqcode 25 iqcode 26 failed 26 failed 27 to 26 failed 28 detect 27 to 28 detect 28 detect 29 dementia 28 detect 30 in 30 in 32 individuals 31 27 32 individuals the ad8 detected mci in all 13 individuals , whereas the iqcode misclassified 7 individuals . 0 ###LEFT-WALL### 2 ad8 0 ###LEFT-WALL### 13 misclassified 0 ###LEFT-WALL### 16 . 1 the 2 ad8 2 ad8 3 detected 3 detected 4 mci 3 detected 5 in 3 detected 10 whereas 5 in 8 individuals 6 all 7 13 7 13 8 individuals 9 , 10 whereas 10 whereas 12 iqcode 11 the 12 iqcode 12 iqcode 13 misclassified 13 misclassified 15 individuals 14 7 15 individuals conclusions : both the ad8 and iqcode were able to detect dementia in a community setting . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 2 : 6 and 2 : 8 were 3 both 6 and 4 the 5 ad8 5 ad8 6 and 6 and 7 iqcode 6 and 8 were 8 were 9 able 9 able 10 to 9 able 11 detect 10 to 11 detect 11 detect 12 dementia 11 detect 13 in 13 in 15 community 14 a 15 community 15 community 16 setting the ad8 , however , was more successful than iqcode in detecting mci . 0 ###LEFT-WALL### 2 ad8 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 14 . 1 the 2 ad8 2 ad8 6 was 3 , 4 however 4 however 5 , 4 however 6 was 6 was 8 successful 7 more 8 successful 8 successful 9 than 8 successful 11 in 9 than 10 iqcode 11 in 12 detecting 12 detecting 13 mci background and purpose : the extensive application of advanced mr imaging techniques has undoubtedly improved our knowledge of the pathophysiology of amyotrophic lateral sclerosis . 0 ###LEFT-WALL### 3 purpose 0 ###LEFT-WALL### 4 : 1 background 2 and 2 and 3 purpose 4 : 7 application 4 : 15 improved 4 : 25 . 5 the 7 application 6 extensive 7 application 7 application 8 of 7 application 13 has 8 of 10 mr 9 advanced 10 mr 10 mr 11 imaging 11 imaging 12 techniques 13 has 15 improved 14 undoubtedly 15 improved 15 improved 17 knowledge 16 our 17 knowledge 17 knowledge 18 of 18 of 20 pathophysiology 19 the 20 pathophysiology 20 pathophysiology 21 of 21 of 24 sclerosis 22 amyotrophic 24 sclerosis 23 lateral 24 sclerosis nevertheless , the precise extent of [neurodegeneration] throughout the central nervous system is not fully understood . 0 ###LEFT-WALL### 5 extent 0 ###LEFT-WALL### 16 understood 0 ###LEFT-WALL### 17 . 1 nevertheless 2 , 1 nevertheless 5 extent 3 the 5 extent 4 precise 5 extent 5 extent 6 of 5 extent 13 is 6 of 8 throughout 8 throughout 12 system 9 the 12 system 10 central 12 system 11 nervous 12 system 13 is 14 not 13 is 16 understood 15 fully 16 understood in the present study , we assessed the spatial distribution of cortical damage in amyotrophic lateral sclerosis by using a cortical thickness measurement approach . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 assessed 0 ###LEFT-WALL### 25 . 1 in 4 study 1 in 5 , 1 in 6 we 2 the 4 study 3 present 4 study 6 we 7 assessed 7 assessed 10 distribution 7 assessed 14 in 7 assessed 18 by 8 the 10 distribution 9 spatial 10 distribution 10 distribution 11 of 11 of 13 damage 12 cortical 13 damage 14 in 17 sclerosis 15 amyotrophic 17 sclerosis 16 lateral 17 sclerosis 18 by 19 using 19 using 24 approach 20 a 21 cortical 20 a 24 approach 21 cortical 22 thickness 22 thickness 24 approach 23 measurement 24 approach materials and methods : surface - based morphometry was performed on 20 patients with amyotrophic lateral sclerosis and 18 age - and sex - matched healthy control participants . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 29 . 1 materials 2 and 2 and 3 methods 3 methods 4 : 4 : 5 surface 6 - 8 morphometry 6 - 10 performed 6 - 18 and 7 based 8 morphometry 8 morphometry 9 was 9 was 10 performed 10 performed 11 on 11 on 13 patients 12 20 13 patients 13 patients 14 with 14 with 17 sclerosis 15 amyotrophic 17 sclerosis 16 lateral 17 sclerosis 18 and 22 and 18 and 25 matched 19 18 20 age 20 age 22 and 21 - 22 and 22 and 23 sex 22 and 24 - 22 and 25 matched 25 matched 28 participants 26 healthy 27 control 27 control 28 participants clinical scores of disability and disease progression were correlated with measures of cortical thickness . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 9 correlated 0 ###LEFT-WALL### 15 . 1 clinical 2 scores 2 scores 3 of 2 scores 5 and 3 of 5 and 4 disability 5 and 5 and 7 progression 5 and 8 were 6 disease 7 progression 8 were 9 correlated 9 correlated 10 with 10 with 11 measures 11 measures 12 of 12 of 14 thickness 13 cortical 14 thickness results : the patients with amyotrophic lateral sclerosis showed a significant cortical thinning [in] multiple motor and extramotor cortical areas when compared with healthy control participants . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 patients 2 : 9 showed 2 : 27 . 3 the 4 patients 4 patients 5 with 4 patients 9 showed 5 with 8 sclerosis 6 amyotrophic 8 sclerosis 7 lateral 8 sclerosis 9 showed 17 and 9 showed 20 areas 9 showed 21 when 10 a 11 significant 10 a 16 motor 11 significant 15 multiple 12 cortical 15 multiple 13 thinning 15 multiple 15 multiple 16 motor 16 motor 17 and 17 and 18 extramotor 19 cortical 20 areas 21 when 22 compared 22 compared 23 with 23 with 26 participants 24 healthy 25 control 25 control 26 participants gray matter loss was significantly related to disease disability in the left lateral orbitofrontal cortex ( p = [.] 04 [ )( to disease duration in the right premotor cortex ( p = [.] 007 ) , [and] [to] disease progression rate in the left parahippocampal cortex ( [p] = [.] 03 ) . 0 ###LEFT-WALL### 1 gray 0 ###LEFT-WALL### 6 related 2 matter 3 loss 2 matter 4 was 2 matter 6 related 3 loss 4 was 5 significantly 6 related 6 related 7 to 6 related 10 in 7 to 9 disability 8 disease 9 disability 10 in 15 cortex 11 the 15 cortex 12 left 15 cortex 13 lateral 15 cortex 14 orbitofrontal 15 cortex 15 cortex 18 = 16 ( 18 = 17 p 18 = 18 = 20 04 20 04 23 to 23 to 25 duration 24 disease 25 duration 25 duration 26 in 26 in 30 cortex 27 the 30 cortex 28 right 30 cortex 29 premotor 30 cortex 30 cortex 33 = 30 cortex 42 rate 31 ( 33 = 32 p 33 = 33 = 35 007 33 = 36 ) 37 , 42 rate 40 disease 41 progression 41 progression 42 rate 42 rate 43 in 42 rate 54 . 43 in 47 cortex 44 the 47 cortex 45 left 47 cortex 46 parahippocampal 47 cortex 47 cortex 52 03 48 ( 52 03 50 = 52 03 52 03 53 ) conclusions : cortical thinning of the motor cortex might reflect upper motor neuron impairment , whereas the extramotor involvement seems to be related to disease disability , progression , and duration . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 3 cortical 2 : 10 reflect 2 : 15 , 2 : 27 , 3 cortical 4 thinning 3 cortical 5 of 3 cortical 9 might 5 of 8 cortex 6 the 8 cortex 7 motor 8 cortex 9 might 10 reflect 10 reflect 14 impairment 11 upper 12 motor 12 motor 13 neuron 13 neuron 14 impairment 15 , 19 involvement 15 , 20 seems 16 whereas 18 extramotor 16 whereas 19 involvement 17 the 18 extramotor 19 involvement 20 seems 20 seems 21 to 20 seems 23 related 21 to 22 be 22 be 23 related 23 related 24 to 24 to 26 disability 25 disease 26 disability 27 , 30 and 28 progression 30 and 29 , 30 and 30 and 31 duration the cortical pattern of neurodegeneration depicted resembles what has already been described in frontotemporal dementia , thereby providing further structural evidence of [a] [continuum] between amyotrophic lateral sclerosis and frontotemporal dementia . 0 ###LEFT-WALL### 3 pattern 0 ###LEFT-WALL### 7 resembles 1 the 3 pattern 2 cortical 3 pattern 3 pattern 4 of 3 pattern 6 depicted 3 pattern 7 resembles 4 of 5 neurodegeneration 7 resembles 8 what 7 resembles 18 providing 8 what 9 has 9 has 11 been 10 already 11 been 11 been 12 described 12 described 13 in 13 in 15 dementia 14 frontotemporal 15 dementia 16 , 18 providing 17 thereby 18 providing 18 providing 21 evidence 18 providing 32 . 19 further 21 evidence 20 structural 21 evidence 21 evidence 22 of 22 of 25 between 25 between 29 and 26 amyotrophic 28 sclerosis 27 lateral 28 sclerosis 28 sclerosis 29 and 29 and 31 dementia 30 frontotemporal 31 dementia objective : to examine baseline prestroke weight loss and poststroke mortality among men . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 . 2 : 3 to 2 : 4 examine 3 to 4 examine 4 examine 9 and 4 examine 12 among 5 baseline 8 loss 6 prestroke 7 weight 7 weight 8 loss 8 loss 9 and 9 and 11 mortality 10 poststroke 11 mortality 12 among 13 men design : longitudinal study of late - life prestroke body mass index [(] bmi ) , weight loss , and bmi change ( midlife to late life ) with up to 8 - year incident stroke [and] mortality [follow] - up . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 42 . 1 design 2 : 2 : 4 study 2 : 29 with 2 : 41 up 3 longitudinal 4 study 4 study 5 of 5 of 17 weight 6 late 14 bmi 6 late 16 , 6 late 17 weight 7 - 14 bmi 8 life 9 prestroke 9 prestroke 10 body 10 body 12 index 11 mass 12 index 12 index 14 bmi 14 bmi 15 ) 17 weight 20 and 17 weight 22 change 17 weight 24 midlife 18 loss 20 and 19 , 20 and 20 and 21 bmi 20 and 22 change 23 ( 24 midlife 24 midlife 25 to 24 midlife 28 ) 25 to 27 life 26 late 27 life 29 with 32 8 30 up 31 to 31 to 32 8 32 8 38 mortality 33 - 38 mortality 34 year 38 mortality 35 incident 36 stroke 36 stroke 38 mortality 38 mortality 40 - setting : community - based aging study data . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 1 setting 2 : 2 : 3 community 4 - 8 data 4 - 9 . 5 based 7 study 6 aging 7 study 7 study 8 data participants : japanese - american men ( n=3581 ; age range , 71 - [93y] [ )(who were stroke free at baseline . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 ; 0 ###LEFT-WALL### 19 stroke 0 ###LEFT-WALL### 23 . 1 participants 2 : 2 : 6 men 3 japanese 4 - 3 japanese 5 american 5 american 6 men 6 men 8 n=3581 7 ( 8 n=3581 8 n=3581 9 ; 9 ; 10 age 9 ; 12 , 10 age 11 range 12 , 13 71 12 , 14 - 13 71 14 - 14 - 17 )(who 17 )(who 18 were 17 )(who 19 stroke 18 were 19 stroke 19 stroke 20 free 19 stroke 21 at 21 at 22 baseline interventions : not applicable . 0 ###LEFT-WALL### 1 interventions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 . 1 interventions 2 : 2 : 3 not 2 : 4 applicable main outcome measure : poststroke mortality : 30 days poststroke , analyzed with stepwise multivariable logistic regression [;] and long - term poststroke ( up to 8y ) , analyzed with stepwise multivariable cox regression . 0 ###LEFT-WALL### 3 measure 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 36 . 1 main 2 outcome 2 outcome 3 measure 4 : 6 mortality 4 : 7 : 5 poststroke 6 mortality 6 mortality 7 : 7 : 9 days 8 30 9 days 9 days 10 poststroke 9 days 30 analyzed 10 poststroke 12 analyzed 10 poststroke 30 analyzed 11 , 12 analyzed 12 analyzed 13 with 12 analyzed 29 , 13 with 19 and 14 stepwise 17 regression 15 multivariable 17 regression 16 logistic 17 regression 17 regression 19 and 19 and 20 long 19 and 23 poststroke 21 - 23 poststroke 22 term 23 poststroke 23 poststroke 25 up 23 poststroke 29 , 24 ( 25 up 25 up 26 to 25 up 28 ) 26 to 27 8y 30 analyzed 31 with 30 analyzed 35 regression 31 with 34 cox 32 stepwise 34 cox 33 multivariable 34 cox results : weight loss ( 4.5 kg [decrements] ) was associated with increased 30 [-] day poststroke mortality ( adjusted odds ratio=1.48 [;] 95 % confidence interval [ ci ] , 1.14 - 1.92 [ )(, long - term mortality after incident stroke ( all types , n=225 [;] adjusted hazards ratio ( ahr )=1.25 [;] 95 % ci , 1.09 - 1.44 ) [,] [and] long - term mortality after incident thromboembolic stroke ( n=153 [;] ahr=1.19 [;] 95 % ci , 1.01 to 1.40 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 loss 2 : 11 associated 3 weight 4 loss 4 loss 7 kg 4 loss 10 was 5 ( 7 kg 6 4.5 7 kg 7 kg 9 ) 10 was 11 associated 11 associated 12 with 12 with 18 mortality 13 increased 18 mortality 14 30 16 day 16 day 18 mortality 17 poststroke 18 mortality 18 mortality 27 interval 19 ( 27 interval 20 adjusted 27 interval 21 odds 26 confidence 22 ratio=1.48 26 confidence 24 95 25 % 25 % 26 confidence 26 confidence 27 interval 27 interval 29 ci 27 interval 31 , 28 [ 29 ci 29 ci 30 ] 31 , 33 - 32 1.14 33 - 33 - 34 1.92 33 - 36 )(, 33 - 39 term 37 long 38 - 37 long 39 term 39 term 40 mortality 40 mortality 41 after 40 mortality 51 hazards 41 after 43 stroke 42 incident 43 stroke 43 stroke 46 types 44 ( 46 types 45 all 46 types 46 types 47 , 47 , 51 hazards 48 n=225 51 hazards 50 adjusted 51 hazards 51 hazards 60 , 52 ratio 59 ci 53 ( 59 ci 54 ahr 55 )=1.25 55 )=1.25 59 ci 57 95 59 ci 58 % 59 ci 59 ci 60 , 60 , 62 - 61 1.09 62 - 62 - 63 1.44 62 - 64 ) 62 - 70 mortality 67 long 68 - 67 long 69 term 69 term 70 mortality 70 mortality 71 after 70 mortality 82 ci 71 after 74 stroke 72 incident 74 stroke 73 thromboembolic 74 stroke 75 ( 82 ci 76 n=153 82 ci 78 ahr=1.19 82 ci 80 95 82 ci 81 % 82 ci 82 ci 85 to 82 ci 88 . 83 , 85 to 84 1.01 85 to 85 to 86 1.40 85 to 87 ) men with overweight/obese late - life bmi ( ≥25 [kg] / [m] ( 2 ) , compared with healthy/underweight bmi ) had increased long - term mortality after incident hemorrhagic stroke [(] n=54 ; ahr=2.27 ; 95 % ci , 1.07 - 4.82 [ )( 0 ###LEFT-WALL### 1 men 0 ###LEFT-WALL### 23 increased 0 ###LEFT-WALL### 34 ; 0 ###LEFT-WALL### 45 )( 1 men 2 with 1 men 23 increased 2 with 6 life 3 overweight/obese 6 life 4 late 5 - 4 late 6 life 6 life 7 bmi 6 life 22 had 7 bmi 11 / 7 bmi 22 had 8 ( 11 / 9 ≥25 11 / 11 / 14 2 11 / 17 compared 11 / 21 ) 13 ( 14 2 14 2 15 ) 16 , 17 compared 17 compared 18 with 17 compared 21 ) 18 with 19 healthy/underweight 18 with 20 bmi 23 increased 27 mortality 24 long 25 - 24 long 26 term 26 term 27 mortality 27 mortality 28 after 28 after 33 n=54 29 incident 33 n=54 30 hemorrhagic 31 stroke 31 stroke 33 n=54 34 ; 35 ahr=2.27 34 ; 36 ; 36 ; 39 ci 36 ; 40 , 37 95 39 ci 38 % 39 ci 40 , 41 1.07 40 , 42 - 41 1.07 42 - 42 - 43 4.82 neither desirable nor excessive bmi reductions ( [vs] no change/increased bmi ) were associated with poststroke mortality . 0 ###LEFT-WALL### 6 reductions 0 ###LEFT-WALL### 14 associated 0 ###LEFT-WALL### 18 . 1 neither 3 nor 2 desirable 3 nor 3 nor 4 excessive 3 nor 6 reductions 5 bmi 6 reductions 6 reductions 11 bmi 6 reductions 13 were 7 ( 11 bmi 9 no 11 bmi 10 change/increased 11 bmi 11 bmi 12 ) 13 were 14 associated 14 associated 15 with 15 with 17 mortality 16 poststroke 17 mortality conclusions : although obesity is a risk factor for stroke incidence [,] prestroke weight loss was associated with increased poststroke ( all types and thromboembolic ) mortality . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 15 loss 2 : 17 associated 3 although 4 obesity 3 although 5 is 3 although 15 loss 4 obesity 5 is 5 is 8 factor 6 a 8 factor 7 risk 8 factor 9 for 13 prestroke 9 for 15 loss 10 stroke 13 prestroke 11 incidence 13 prestroke 14 weight 15 loss 15 loss 16 was 16 was 17 associated 17 associated 18 with 18 with 20 poststroke 19 increased 20 poststroke 20 poststroke 24 and 21 ( 24 and 22 all 23 types 23 types 24 and 24 and 27 mortality 24 and 28 . 25 thromboembolic 26 ) 25 thromboembolic 27 mortality overweight/obese late - life bmi was associated with increased posthemorrhagic stroke mortality . 0 ###LEFT-WALL### 5 bmi 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 13 . 1 overweight/obese 5 bmi 2 late 3 - 2 late 4 life 4 life 5 bmi 5 bmi 6 was 6 was 7 associated 7 associated 8 with 8 with 12 mortality 9 increased 11 stroke 10 posthemorrhagic 11 stroke 11 stroke 12 mortality desirable and excessive bmi reductions were not associated with poststroke mortality . 0 ###LEFT-WALL### 5 reductions 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 12 . 1 desirable 2 and 2 and 3 excessive 2 and 5 reductions 4 bmi 5 reductions 5 reductions 6 were 6 were 7 not 6 were 9 with 7 not 8 associated 9 with 11 mortality 10 poststroke 11 mortality weight loss , underweight late - life bmi , and any bmi reduction were all associated with increased long - term mortality in the overall sample . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 14 were 0 ###LEFT-WALL### 27 . 1 weight 2 loss 2 loss 3 , 3 , 8 bmi 3 , 10 and 4 underweight 7 life 5 late 6 - 5 late 7 life 7 life 8 bmi 9 , 10 and 10 and 13 reduction 10 and 14 were 11 any 13 reduction 12 bmi 13 reduction 14 were 15 all 15 all 16 associated 15 all 17 with 17 with 22 mortality 18 increased 21 term 19 long 20 - 19 long 21 term 21 term 22 mortality 22 mortality 23 in 23 in 26 sample 24 the 26 sample 25 overall 26 sample elevated risk of death from any cause and stroke associated [with] high body mass index ( bmi ) values decline with aging . 0 ###LEFT-WALL### 19 values 0 ###LEFT-WALL### 20 decline 0 ###LEFT-WALL### 23 . 1 elevated 2 risk 2 risk 3 of 2 risk 8 and 3 of 4 death 4 death 5 from 5 from 7 cause 6 any 7 cause 8 and 15 index 8 and 17 bmi 8 and 19 values 9 stroke 10 associated 10 associated 13 body 12 high 13 body 13 body 15 index 14 mass 15 index 16 ( 17 bmi 17 bmi 18 ) 19 values 20 decline 20 decline 21 with 21 with 22 aging however , it is not clear whether the effect of obesity on the incidence [of] hypertension varies by sex or age . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 22 . 1 however 2 , 1 however 3 it 3 it 4 is 4 is 5 not 4 is 6 clear 5 not 6 clear 6 clear 7 whether 7 whether 9 effect 7 whether 17 varies 8 the 9 effect 9 effect 10 of 9 effect 17 varies 10 of 11 obesity 11 obesity 12 on 12 on 16 hypertension 13 the 16 hypertension 14 incidence 16 hypertension 17 varies 18 by 18 by 20 or 19 sex 20 or 20 or 21 age cox regression analyses were performed using a large historical cohort composed of 6803 men and 22,800 women . 0 ###LEFT-WALL### 3 analyses 0 ###LEFT-WALL### 5 performed 0 ###LEFT-WALL### 18 . 1 cox 2 regression 2 regression 3 analyses 3 analyses 4 were 4 were 5 performed 5 performed 6 using 6 using 15 and 7 a 8 large 7 a 10 cohort 8 large 10 cohort 9 historical 10 cohort 10 cohort 12 of 10 cohort 15 and 11 composed 12 of 12 of 14 men 13 6803 14 men 15 and 17 women 16 22,800 17 women in the next step , the effect of bmi on the incidence [of] hypertension stratified by sex was evaluated . 0 ###LEFT-WALL### 7 effect 0 ###LEFT-WALL### 19 evaluated 0 ###LEFT-WALL### 20 . 1 in 4 step 1 in 5 , 1 in 7 effect 2 the 3 next 2 the 4 step 6 the 7 effect 7 effect 8 of 7 effect 18 was 8 of 9 bmi 9 bmi 10 on 10 on 14 hypertension 11 the 14 hypertension 12 incidence 14 hypertension 14 hypertension 15 stratified 15 stratified 16 by 16 by 17 sex 18 was 19 evaluated the effect of obesity on the incidence [of] hypertension is stronger in women than in men . 0 ###LEFT-WALL### 2 effect 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 17 . 1 the 2 effect 2 effect 3 of 2 effect 10 is 3 of 4 obesity 4 obesity 5 on 5 on 9 hypertension 6 the 9 hypertension 7 incidence 9 hypertension 10 is 11 stronger 11 stronger 12 in 11 stronger 14 than 12 in 13 women 14 than 15 in 15 in 16 men background : vitamin e includes eight natural antioxidant compounds ( four tocopherols and four tocotrienols ) , but α - tocopherol has been the main focus of investigation in studies of cognitive impairment and alzheimer 's disease . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 vitamin 2 : 5 includes 2 : 20 - 2 : 38 . 3 vitamin 4 e 3 vitamin 5 includes 5 includes 9 compounds 5 includes 18 but 6 eight 9 compounds 7 natural 9 compounds 8 antioxidant 9 compounds 9 compounds 13 and 10 ( 13 and 11 four 12 tocopherols 12 tocopherols 13 and 13 and 15 tocotrienols 13 and 16 ) 14 four 15 tocotrienols 17 , 18 but 18 but 19 α 18 but 20 - 20 - 21 tocopherol 20 - 23 been 21 tocopherol 22 has 22 has 23 been 23 been 26 focus 23 been 29 in 24 the 26 focus 25 main 26 focus 26 focus 27 of 27 of 28 investigation 29 in 30 studies 30 studies 31 of 31 of 34 and 32 cognitive 33 impairment 33 impairment 34 and 34 and 37 disease 35 alzheimer 36 's 36 's 37 disease objective : to investigate the association between serum levels of tocopherols and tocotrienols , markers of vitamin e oxidative/nitrosative damage ( α - tocopherylquinone , 5 [-] nitro - γ - tocopherol ) and incidence of cognitive impairment in a population - based study . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 45 . 2 : 3 to 2 : 4 investigate 2 : 14 , 2 : 42 - 3 to 4 investigate 4 investigate 6 association 4 investigate 7 between 5 the 6 association 7 between 9 levels 8 serum 9 levels 9 levels 10 of 10 of 12 and 11 tocopherols 12 and 12 and 13 tocotrienols 14 , 34 and 15 markers 16 of 15 markers 34 and 16 of 20 damage 17 vitamin 18 e 17 vitamin 20 damage 19 oxidative/nitrosative 20 damage 20 damage 32 tocopherol 21 ( 32 tocopherol 22 α 23 - 22 α 32 tocopherol 24 tocopherylquinone 30 γ 24 tocopherylquinone 32 tocopherol 25 , 30 γ 26 5 30 γ 28 nitro 29 - 28 nitro 30 γ 30 γ 31 - 32 tocopherol 33 ) 34 and 35 incidence 34 and 36 of 36 of 38 impairment 37 cognitive 38 impairment 38 impairment 39 in 39 in 41 population 40 a 41 population 42 - 44 study 43 based 44 study design : a sample of 140 [non] - cognitively impaired elderly subjects derived from the cardiovascular risk factors , aging , and dementia ( caide ) study was followed - up for 8years to detect cognitive impairment , defined as development of mild cognitive impairment ( mci ) or alzheimer 's dementia . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 - 1 design 2 : 2 : 4 sample 3 a 4 sample 4 sample 5 of 5 of 6 140 8 - 12 subjects 9 cognitively 10 impaired 10 impaired 12 subjects 11 elderly 12 subjects 12 subjects 13 derived 12 subjects 14 from 14 from 22 and 15 the 18 factors 16 cardiovascular 17 risk 17 risk 18 factors 18 factors 19 , 19 , 20 aging 19 , 22 and 21 , 22 and 22 and 25 caide 22 and 27 study 22 and 28 was 22 and 29 followed 23 dementia 25 caide 24 ( 25 caide 25 caide 26 ) 27 study 28 was 29 followed 31 up 29 followed 39 defined 29 followed 40 as 30 - 31 up 31 up 32 for 31 up 38 , 32 for 33 8years 33 8years 34 to 33 8years 35 detect 34 to 35 detect 35 detect 37 impairment 36 cognitive 37 impairment 38 , 39 defined 40 as 49 or 41 development 42 of 41 development 49 or 42 of 45 impairment 43 mild 45 impairment 44 cognitive 45 impairment 45 impairment 47 mci 46 ( 47 mci 47 mci 48 ) 49 or 52 dementia 49 or 53 . 50 alzheimer 51 's 51 's 52 dementia the association between baseline serum vitamin e and cognitive impairment was analyzed with multiple logistic regression after adjusting for several confounders . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 12 analyzed 0 ###LEFT-WALL### 22 . 1 the 2 association 2 association 3 between 2 association 11 was 3 between 8 and 4 baseline 5 serum 5 serum 6 vitamin 6 vitamin 7 e 6 vitamin 8 and 8 and 10 impairment 9 cognitive 10 impairment 11 was 12 analyzed 12 analyzed 13 with 12 analyzed 17 after 13 with 16 regression 14 multiple 16 regression 15 logistic 16 regression 17 after 18 adjusting 18 adjusting 19 for 19 for 21 confounders 20 several 21 confounders results : the risk of cognitive impairment was lower in subjects in the middle tertile of the [γ] [-] tocopherol/cholesterol ratio than in those in the lowest tertile : the multiadjusted odds ratio ( or ) with 95 % confidence [interval] ( ci ) was 0.27 ( 0.10 - 0.78 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 52 . 2 : 4 risk 2 : 8 was 2 : 22 than 3 the 4 risk 4 risk 5 of 4 risk 8 was 5 of 7 impairment 6 cognitive 7 impairment 8 was 9 lower 9 lower 10 in 9 lower 12 in 10 in 11 subjects 12 in 15 tertile 13 the 15 tertile 14 middle 15 tertile 15 tertile 16 of 16 of 21 ratio 17 the 21 ratio 20 tocopherol/cholesterol 21 ratio 22 than 40 confidence 22 than 45 was 23 in 24 those 23 in 40 confidence 25 in 27 lowest 25 in 40 confidence 26 the 27 lowest 27 lowest 28 tertile 27 lowest 37 with 28 tertile 29 : 29 : 33 ratio 29 : 37 with 30 the 33 ratio 31 multiadjusted 32 odds 32 odds 33 ratio 33 ratio 35 or 34 ( 35 or 35 or 36 ) 38 95 39 % 39 % 40 confidence 40 confidence 43 ci 40 confidence 45 was 42 ( 43 ci 43 ci 44 ) 45 was 46 0.27 45 was 49 - 47 ( 49 - 48 0.10 49 - 49 - 50 0.78 49 - 51 ) higher incidence [of] cognitive impairment was found in the middle [ or ( 95 % ci ) : 3.41 ( 1.29 - 9.06 ) ] [and] [highest] [ or ( 95 % ci ) : 2.89 ( 1.05 - 7.97 ) []] tertiles of the 5 - no2 - [γ] - tocopherol/γ - tocopherol ratio . 0 ###LEFT-WALL### 5 impairment 0 ###LEFT-WALL### 18 : 1 higher 2 incidence 2 incidence 5 impairment 4 cognitive 5 impairment 5 impairment 6 was 6 was 7 found 7 found 8 in 8 in 10 middle 9 the 10 middle 10 middle 12 or 11 [ 12 or 12 or 16 ci 12 or 17 ) 13 ( 16 ci 14 95 16 ci 15 % 16 ci 16 ci 17 ) 18 : 19 3.41 18 : 35 : 19 3.41 21 1.29 19 3.41 29 or 20 ( 21 1.29 21 1.29 23 9.06 21 1.29 25 ] 22 - 23 9.06 23 9.06 24 ) 28 [ 29 or 29 or 33 ci 29 or 35 : 30 ( 33 ci 31 95 33 ci 32 % 33 ci 33 ci 34 ) 35 : 43 tertiles 35 : 51 - 36 2.89 43 tertiles 37 ( 39 - 38 1.05 39 - 39 - 40 7.97 39 - 41 ) 39 - 43 tertiles 43 tertiles 44 of 43 tertiles 48 no2 44 of 46 5 45 the 46 5 47 - 48 no2 48 no2 49 - 51 - 52 tocopherol/γ 51 - 53 - 51 - 56 . 53 - 55 ratio 54 tocopherol 55 ratio analyses of absolute serum levels of vitamin e showed lower risk of cognitive impairment in subjects with higher levels of [γ] [-] tocopherol , β - tocotrienol , and total tocotrienols . 0 ###LEFT-WALL### 1 analyses 0 ###LEFT-WALL### 9 showed 0 ###LEFT-WALL### 32 . 1 analyses 2 of 1 analyses 9 showed 2 of 5 levels 3 absolute 4 serum 4 serum 5 levels 5 levels 6 of 6 of 7 vitamin 7 vitamin 8 e 9 showed 11 risk 10 lower 11 risk 11 risk 12 of 11 risk 15 in 12 of 14 impairment 13 cognitive 14 impairment 15 in 29 and 16 subjects 17 with 16 subjects 29 and 17 with 19 levels 18 higher 19 levels 19 levels 20 of 20 of 23 tocopherol 23 tocopherol 25 β 24 , 25 β 25 β 27 tocotrienol 25 β 28 , 26 - 27 tocotrienol 27 tocotrienol 28 , 29 and 31 tocotrienols 30 total 31 tocotrienols conclusions : elevated levels of tocopherol and tocotrienol forms are associated with reduced risk of cognitive impairment in older adults . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 7 and 2 : 11 associated 2 : 21 . 3 elevated 4 levels 4 levels 5 of 4 levels 7 and 5 of 6 tocopherol 7 and 9 forms 7 and 10 are 8 tocotrienol 9 forms 10 are 11 associated 11 associated 12 with 11 associated 18 in 12 with 14 risk 13 reduced 14 risk 14 risk 15 of 15 of 17 impairment 16 cognitive 17 impairment 18 in 20 adults 19 older 20 adults the association is modulated by concurrent cholesterol concentration . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 4 modulated 0 ###LEFT-WALL### 9 . 1 the 2 association 2 association 3 is 3 is 4 modulated 4 modulated 5 by 5 by 8 concentration 6 concurrent 7 cholesterol 7 cholesterol 8 concentration various vitamin e forms might play a role in cognitive impairment , and their evaluation can provide a more accurate measure of vitamin e status in humans . 0 ###LEFT-WALL### 4 forms 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 28 . 1 various 2 vitamin 2 vitamin 3 e 2 vitamin 4 forms 4 forms 5 might 5 might 13 and 6 play 8 role 6 play 9 in 6 play 13 and 7 a 8 role 9 in 11 impairment 10 cognitive 11 impairment 12 , 13 and 13 and 17 provide 13 and 26 in 14 their 15 evaluation 15 evaluation 16 can 16 can 17 provide 17 provide 25 status 18 a 21 measure 19 more 20 accurate 20 accurate 21 measure 21 measure 22 of 21 measure 25 status 22 of 25 status 23 vitamin 24 e 23 vitamin 25 status 26 in 27 humans objective : to elucidate the etiology of acute respiratory tract infection ( ari ) in hospitalized children in suzhou from 2005 to 2011 . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 3 to 2 : 4 elucidate 3 to 4 elucidate 4 elucidate 6 etiology 4 elucidate 18 in 5 the 6 etiology 6 etiology 7 of 6 etiology 15 in 7 of 11 infection 8 acute 10 tract 9 respiratory 10 tract 10 tract 11 infection 11 infection 13 ari 12 ( 13 ari 13 ari 14 ) 15 in 17 children 16 hospitalized 17 children 18 in 19 suzhou 19 suzhou 22 to 20 from 22 to 21 2005 22 to 22 to 23 2011 methods : a total of 10 243 hospitalized children with ari in children 's hospital affiliated to soochow university from september 2005 to october 2011 were enrolled in the study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 total 2 : 27 enrolled 2 : 31 . 3 a 4 total 4 total 5 of 4 total 7 243 4 total 8 hospitalized 4 total 27 enrolled 5 of 6 10 7 243 8 hospitalized 8 hospitalized 9 children 8 hospitalized 10 with 8 hospitalized 17 to 10 with 11 ari 11 ari 12 in 12 in 16 affiliated 13 children 14 's 14 's 16 affiliated 15 hospital 16 affiliated 17 to 19 university 18 soochow 19 university 19 university 20 from 19 university 23 to 19 university 25 2011 19 university 26 were 20 from 21 september 21 september 22 2005 23 to 24 october 25 2011 26 were 27 enrolled 28 in 28 in 30 study 29 the 30 study the clinical information was collected ; and the nasopharyngeal aspiration fluid and serum samples were sent for multi - pathogen detection . 0 ###LEFT-WALL### 3 information 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 6 ; 0 ###LEFT-WALL### 22 . 1 the 3 information 2 clinical 3 information 3 information 4 was 4 was 5 collected 6 ; 7 and 7 and 12 and 7 and 16 sent 8 the 11 fluid 9 nasopharyngeal 10 aspiration 10 aspiration 11 fluid 11 fluid 12 and 12 and 14 samples 12 and 15 were 13 serum 14 samples 15 were 16 sent 16 sent 17 for 17 for 21 detection 18 multi 19 - 18 multi 20 pathogen 20 pathogen 21 detection respiratory syncytial virus ( rsv ) , influenza virus type [a] [and] b ( iv - a , iv - b ) , parainfluenza virus type 1 - 3 ( piv - 1 - piv - 3 ) and adenovirus ( adv ) were detected by direct immunofluorescence [assay] . 0 ###LEFT-WALL### 3 virus 0 ###LEFT-WALL### 45 detected 0 ###LEFT-WALL### 50 . 1 respiratory 3 virus 2 syncytial 3 virus 3 virus 5 rsv 3 virus 10 type 3 virus 44 were 4 ( 5 rsv 5 rsv 6 ) 7 , 10 type 8 influenza 9 virus 9 virus 10 type 10 type 13 b 10 type 16 - 10 type 20 - 10 type 26 type 10 type 43 ) 14 ( 16 - 15 iv 16 - 16 - 17 a 16 - 18 , 18 , 20 - 19 iv 20 - 20 - 21 b 20 - 22 ) 23 , 26 type 24 parainfluenza 26 type 25 virus 26 type 26 type 28 - 26 type 31 piv 26 type 33 1 26 type 43 ) 27 1 28 - 28 - 29 3 30 ( 31 piv 31 piv 32 - 32 - 33 1 33 1 39 and 33 1 43 ) 34 - 39 and 35 piv 37 3 35 piv 39 and 36 - 37 3 37 3 38 ) 39 and 40 adenovirus 39 and 42 adv 39 and 43 ) 41 ( 42 adv 42 adv 43 ) 44 were 45 detected 45 detected 46 by 46 by 48 immunofluorescence 47 direct 48 immunofluorescence human bocavirus ( hbov [ )(, mycoplasma pneumoniae ( mp ) and chlamydia pneumoniae ( cp ) were detected by fluorescent quantitative pcr while human metapneumovirus ( hmpv ) was detected by reverse transcription pcr ( rt - pcr ) . 0 ###LEFT-WALL### 2 bocavirus 0 ###LEFT-WALL### 19 detected 0 ###LEFT-WALL### 41 . 1 human 2 bocavirus 2 bocavirus 12 and 2 bocavirus 18 were 3 ( 12 and 4 hbov 8 pneumoniae 4 hbov 12 and 6 )(, 8 pneumoniae 7 mycoplasma 8 pneumoniae 8 pneumoniae 10 mp 8 pneumoniae 11 ) 9 ( 10 mp 10 mp 11 ) 12 and 14 pneumoniae 12 and 16 cp 12 and 17 ) 13 chlamydia 14 pneumoniae 15 ( 16 cp 16 cp 17 ) 18 were 19 detected 19 detected 20 by 19 detected 24 while 19 detected 32 by 20 by 23 pcr 21 fluorescent 23 pcr 22 quantitative 23 pcr 24 while 26 metapneumovirus 24 while 31 detected 25 human 26 metapneumovirus 26 metapneumovirus 28 hmpv 26 metapneumovirus 30 was 27 ( 28 hmpv 28 hmpv 29 ) 30 was 31 detected 32 by 39 pcr 33 reverse 34 transcription 34 transcription 39 pcr 35 pcr 37 rt 36 ( 37 rt 37 rt 39 pcr 38 - 39 pcr 39 pcr 40 ) sputum culture was applied to detect bacterial infection and quantitative elisa was adopted to detect the specific antibodies of mp and cp . 0 ###LEFT-WALL### 2 culture 0 ###LEFT-WALL### 4 applied 1 sputum 2 culture 2 culture 3 was 3 was 4 applied 4 applied 5 to 5 to 9 and 6 detect 8 infection 6 detect 9 and 7 bacterial 8 infection 9 and 15 detect 10 quantitative 11 elisa 11 elisa 12 was 12 was 13 adopted 13 adopted 14 to 14 to 15 detect 15 detect 18 antibodies 16 the 18 antibodies 17 specific 18 antibodies 18 antibodies 19 of 19 of 22 cp 20 mp 21 and 21 and 22 cp 22 cp 23 . the results of [the] above detections were analyzed , and thereby to explore the prevalent pathogens among different aging children and the seasonal distribution and characteristics of the disease . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 30 . 1 the 2 results 2 results 3 of 2 results 10 and 3 of 5 above 5 above 6 detections 7 were 8 analyzed 7 were 10 and 9 , 10 and 10 and 12 to 10 and 13 explore 11 thereby 12 to 12 to 13 explore 13 explore 16 pathogens 13 explore 17 among 14 the 16 pathogens 15 prevalent 16 pathogens 17 among 25 and 18 different 20 children 19 aging 20 children 20 children 21 and 21 and 24 distribution 21 and 25 and 22 the 24 distribution 23 seasonal 24 distribution 25 and 26 characteristics 25 and 27 of 27 of 29 disease 28 the 29 disease mp was the most common pathogen,whose detected rate was 25.74 % ( 2637/10 [243] ) . 0 ###LEFT-WALL### 1 mp 0 ###LEFT-WALL### 16 . 1 mp 9 was 2 was 8 rate 2 was 9 was 3 the 8 rate 4 most 5 common 5 common 6 pathogen,whose 6 pathogen,whose 7 detected 7 detected 8 rate 9 was 11 % 10 25.74 11 % 11 % 13 2637/10 12 ( 13 2637/10 13 2637/10 15 ) the median age of children with rsv ( 6 months ) or piv - 3 ( 8 months ) infection was younger than the median age of all hospitalized children ( 12 months ) ( χ ( 2 ) = 380.992 , 34.826 , p < 0.05 ) . 0 ###LEFT-WALL### 3 age 0 ###LEFT-WALL### 21 was 0 ###LEFT-WALL### 23 than 0 ###LEFT-WALL### 49 . 1 the 3 age 2 median 3 age 3 age 4 of 3 age 21 was 4 of 5 children 5 children 6 with 6 with 20 infection 7 rsv 10 months 7 rsv 12 or 8 ( 10 months 9 6 10 months 10 months 11 ) 12 or 13 piv 12 or 20 infection 13 piv 15 3 14 - 15 3 15 3 18 months 15 3 19 ) 16 ( 18 months 17 8 18 months 18 months 19 ) 21 was 22 younger 23 than 26 age 23 than 40 = 24 the 26 age 25 median 26 age 26 age 27 of 26 age 40 = 27 of 30 children 28 all 29 hospitalized 29 hospitalized 30 children 30 children 33 months 30 children 36 χ 31 ( 33 months 32 12 33 months 33 months 34 ) 35 ( 36 χ 36 χ 38 2 36 χ 39 ) 37 ( 38 2 38 2 39 ) 40 = 41 380.992 41 380.992 43 34.826 42 , 43 34.826 43 34.826 46 < 43 34.826 48 ) 44 , 46 < 45 p 46 < 46 < 47 0.05 while the median age [of] children with adv ( 42 months ) [,] hbov [(] 14 months [ )( iv [-] a ( 24 months ) infection was older than [it] of all hospitalized children ( χ ( 2 [ )(= 83.583 , 13.169 , 18.012 , p < 0.05 ) . 0 ###LEFT-WALL### 4 age 1 while 3 median 1 while 4 age 2 the 3 median 4 age 6 children 4 age 7 with 7 with 17 months 8 adv 11 months 8 adv 17 months 9 ( 11 months 10 42 11 months 11 months 12 ) 14 hbov 16 14 14 hbov 17 months 17 months 27 infection 17 months 28 was 20 iv 22 a 20 iv 25 months 20 iv 27 infection 23 ( 25 months 24 24 25 months 25 months 26 ) 27 infection 28 was 28 was 29 older 29 older 30 than 30 than 32 of 32 of 35 children 33 all 35 children 34 hospitalized 35 children 35 children 37 χ 35 children 44 13.169 36 ( 37 χ 37 χ 41 )(= 37 χ 43 , 38 ( 41 )(= 39 2 41 )(= 41 )(= 42 83.583 41 )(= 43 , 43 , 44 13.169 44 13.169 46 18.012 44 13.169 52 . 45 , 46 18.012 46 18.012 49 < 46 18.012 51 ) 47 , 49 < 48 p 49 < 49 < 50 0.05 49 < 51 ) the median age of children with mp ( 30 months ),streptococcus pneumoniae ( 17 months ) or haemophilus parainfluenzae ( 21 months [ )(infection was [older] than it of all hospitalized children ( χ ( 2 ) = 728.299 , 60.463 , 8.803 , p < 0.05 ) . 0 ###LEFT-WALL### 19 parainfluenzae 0 ###LEFT-WALL### 38 = 0 ###LEFT-WALL### 49 . 1 the 3 age 2 median 3 age 3 age 4 of 3 age 17 or 4 of 5 children 5 children 6 with 6 with 7 mp 7 mp 12 pneumoniae 8 ( 12 pneumoniae 9 30 10 months 10 months 11 ),streptococcus 11 ),streptococcus 12 pneumoniae 12 pneumoniae 15 months 12 pneumoniae 16 ) 13 ( 15 months 14 17 15 months 15 months 16 ) 17 or 18 haemophilus 17 or 19 parainfluenzae 19 parainfluenzae 22 months 19 parainfluenzae 38 = 20 ( 22 months 21 21 22 months 22 months 24 )(infection 22 months 25 was 22 months 34 χ 22 months 37 ) 24 )(infection 25 was 25 was 27 than 25 was 28 it 28 it 29 of 29 of 32 children 30 all 32 children 31 hospitalized 32 children 33 ( 34 χ 34 χ 36 2 34 χ 37 ) 35 ( 36 2 36 2 37 ) 38 = 39 728.299 39 728.299 41 60.463 39 728.299 46 < 40 , 41 60.463 41 60.463 43 8.803 41 60.463 44 , 42 , 43 8.803 43 8.803 44 , 44 , 46 < 45 p 46 < 46 < 47 0.05 46 < 48 ) conversely , the positive rate of mp increased with the age growing ( χ ( 2 ) = 379.21 , p < 0.01 ) . 0 ###LEFT-WALL### 5 rate 0 ###LEFT-WALL### 18 = 0 ###LEFT-WALL### 25 . 1 conversely 2 , 1 conversely 5 rate 3 the 5 rate 4 positive 5 rate 5 rate 6 of 5 rate 18 = 6 of 7 mp 7 mp 8 increased 8 increased 9 with 9 with 11 age 10 the 11 age 11 age 12 growing 11 age 14 χ 13 ( 14 χ 14 χ 16 2 14 χ 17 ) 15 ( 16 2 16 2 17 ) 18 = 19 379.21 19 379.21 22 < 20 , 22 < 21 p 22 < 22 < 23 0.01 22 < 24 ) the rate in the [above] groups was 8.25 % ( 271/3283 ) , 19.46 % ( 380/1953 ) , 33.00 % ( 863/2615 ) , 41.43 % ( 558/1347 ) , 54.07 % ( 565/1045 ) , respectively . 0 ###LEFT-WALL### 2 rate 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 39 . 1 the 2 rate 2 rate 3 in 2 rate 7 was 3 in 6 groups 4 the 6 groups 7 was 9 % 7 was 38 respectively 8 8.25 9 % 9 % 11 271/3283 9 % 15 % 9 % 21 % 10 ( 11 271/3283 11 271/3283 12 ) 13 , 15 % 14 19.46 15 % 15 % 17 380/1953 15 % 19 , 16 ( 17 380/1953 17 380/1953 18 ) 19 , 21 % 20 33.00 21 % 21 % 23 863/2615 21 % 27 % 21 % 33 % 21 % 37 , 22 ( 23 863/2615 23 863/2615 24 ) 25 , 27 % 26 41.43 27 % 27 % 29 558/1347 27 % 31 , 28 ( 29 558/1347 29 558/1347 30 ) 31 , 33 % 32 54.07 33 % 33 % 35 565/1045 33 % 37 , 34 ( 35 565/1045 35 565/1045 36 ) rsv and iv [-] a were prevalent in winter , whose detected rates were 35.73 % ( 941/2634 ) and 4.44 % ( 117/2634 ) respectively.hmpv infection was common in spring [,] with the detected rate at 10.55 % ( 278/2634 ) [;] [while] hbov infection was common in summer and autumn , with the positive rate at 9.99 % ( 149/1491 ) and 9.71 % ( 98/1009 [ )( 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 10 , 1 rsv 2 and 2 and 3 iv 2 and 6 were 3 iv 5 a 6 were 7 prevalent 7 prevalent 8 in 8 in 9 winter 10 , 11 whose 11 whose 13 rates 12 detected 13 rates 13 rates 14 were 14 were 20 and 15 35.73 16 % 15 35.73 20 and 16 % 18 941/2634 17 ( 18 941/2634 18 941/2634 19 ) 20 and 21 4.44 20 and 27 infection 20 and 28 was 20 and 29 common 21 4.44 22 % 22 % 24 117/2634 22 % 26 respectively.hmpv 23 ( 24 117/2634 24 117/2634 25 ) 27 infection 28 was 29 common 30 in 29 common 33 with 30 in 31 spring 33 with 36 rate 34 the 36 rate 35 detected 36 rate 36 rate 37 at 36 rate 46 infection 36 rate 47 was 36 rate 48 common 37 at 39 % 38 10.55 39 % 39 % 41 278/2634 40 ( 41 278/2634 41 278/2634 42 ) 45 hbov 46 infection 46 infection 47 was 48 common 49 in 48 common 54 with 49 in 51 and 50 summer 51 and 51 and 52 autumn 51 and 53 , 54 with 66 % 55 the 56 positive 56 positive 57 rate 57 rate 58 at 58 at 64 and 59 9.99 60 % 59 9.99 64 and 60 % 62 149/1491 61 ( 62 149/1491 62 149/1491 63 ) 64 and 65 9.71 65 9.71 66 % 66 % 68 98/1009 67 ( 68 98/1009 68 98/1009 70 )( mp and cp were frequently detected in summer , up to 31.27 % ( 819/2619 [ )(and 10.07 % ( 43/427 ) respectively . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 6 detected 0 ###LEFT-WALL### 24 . 1 mp 2 and 2 and 3 cp 2 and 4 were 4 were 5 frequently 4 were 6 detected 6 detected 7 in 6 detected 23 respectively 7 in 8 summer 8 summer 13 % 9 , 13 % 10 up 11 to 11 to 12 31.27 12 31.27 13 % 13 % 19 % 13 % 22 ) 14 ( 19 % 15 819/2619 17 )(and 17 )(and 18 10.07 17 )(and 19 % 19 % 21 43/427 19 % 22 ) 20 ( 21 43/427 21 43/427 22 ) rsv was the most common pathogen in bronchiolitis ( 33.27 % ( 866/2603 ) ) and mp was the most common pathogen in bronchopneumonia ( 26.05 % ( 1152/4422 ) ) and lober pneumonia ( 52.25 % ( 267/511 ) ) . 0 ###LEFT-WALL### 1 rsv 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 42 . 1 rsv 2 was 2 was 6 pathogen 3 the 6 pathogen 4 most 5 common 5 common 6 pathogen 6 pathogen 7 in 7 in 8 bronchiolitis 8 bronchiolitis 11 % 9 ( 11 % 10 33.27 11 % 11 % 13 866/2603 11 % 15 ) 12 ( 13 866/2603 13 866/2603 14 ) 16 and 17 mp 16 and 18 was 17 mp 18 was 18 was 32 and 19 the 22 pathogen 20 most 21 common 21 common 22 pathogen 22 pathogen 23 in 22 pathogen 32 and 23 in 24 bronchopneumonia 24 bronchopneumonia 27 % 25 ( 27 % 26 26.05 27 % 27 % 29 1152/4422 27 % 31 ) 28 ( 29 1152/4422 29 1152/4422 30 ) 32 and 34 pneumonia 32 and 37 % 33 lober 34 pneumonia 35 ( 37 % 36 52.25 37 % 37 % 39 267/511 37 % 41 ) 38 ( 39 267/511 39 267/511 40 ) conclusion : mp and rsv were the most common pathogens in respiratory tract infection in hospitalized children . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 and 2 : 6 were 2 : 18 . 3 mp 4 and 4 and 5 rsv 4 and 6 were 6 were 10 pathogens 7 the 8 most 8 most 10 pathogens 9 common 10 pathogens 10 pathogens 11 in 11 in 14 infection 12 respiratory 13 tract 13 tract 14 infection 14 infection 15 in 15 in 17 children 16 hospitalized 17 children the novel virus included hmpv and hbov , which also played an important role in ari . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 17 . 1 the 3 virus 2 novel 3 virus 3 virus 4 included 3 virus 6 and 4 included 5 hmpv 6 and 7 hbov 8 , 9 which 8 , 11 played 9 which 11 played 10 also 11 played 11 played 14 role 12 an 13 important 12 an 14 role 13 important 14 role 14 role 15 in 15 in 16 ari different pathogens were prevalent in different ages [;] with respective seasonal distribution and characteristics . 0 ###LEFT-WALL### 2 pathogens 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 15 . 1 different 2 pathogens 2 pathogens 3 were 3 were 4 prevalent 4 prevalent 5 in 4 prevalent 9 with 5 in 7 ages 6 different 7 ages 9 with 13 and 10 respective 12 distribution 11 seasonal 12 distribution 12 distribution 13 and 13 and 14 characteristics cost - effective strategies to maintain healthy active lifestyle in aging populations are required to address the global burden of age - related diseases . 0 ###LEFT-WALL### 4 strategies 0 ###LEFT-WALL### 14 required 0 ###LEFT-WALL### 23 related 1 cost 2 - 1 cost 4 strategies 3 effective 4 strategies 4 strategies 5 to 4 strategies 6 maintain 4 strategies 13 are 5 to 6 maintain 6 maintain 9 lifestyle 6 maintain 10 in 7 healthy 9 lifestyle 8 active 9 lifestyle 10 in 11 aging 11 aging 12 populations 13 are 14 required 14 required 15 to 14 required 16 address 15 to 16 address 16 address 19 burden 17 the 19 burden 18 global 19 burden 19 burden 20 of 20 of 21 age 22 - 23 related 23 related 24 diseases 23 related 25 . aspree will examine whether the potential primary prevention benefits of low dose aspirin outweigh the risks in older healthy individuals . 0 ###LEFT-WALL### 1 aspree 0 ###LEFT-WALL### 3 examine 0 ###LEFT-WALL### 21 . 1 aspree 2 will 2 will 3 examine 3 examine 4 whether 4 whether 9 benefits 4 whether 14 outweigh 5 the 9 benefits 6 potential 9 benefits 7 primary 8 prevention 8 prevention 9 benefits 9 benefits 10 of 9 benefits 14 outweigh 10 of 13 aspirin 11 low 12 dose 12 dose 13 aspirin 14 outweigh 16 risks 14 outweigh 17 in 15 the 16 risks 17 in 20 individuals 18 older 20 individuals 19 healthy 20 individuals to 20 september 2013 14,383 participants have been recruited . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 8 been 0 ###LEFT-WALL### 10 . 1 to 3 september 1 to 8 been 2 20 3 september 3 september 4 2013 5 14,383 6 participants 6 participants 7 have 7 have 8 been 8 been 9 recruited recruitment and study completion are anticipated in july 2014 and december 2018 respectively . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 6 anticipated 0 ###LEFT-WALL### 14 . 1 recruitment 2 and 2 and 4 completion 2 and 5 are 3 study 4 completion 5 are 6 anticipated 6 anticipated 7 in 6 anticipated 13 respectively 7 in 10 and 8 july 9 2014 8 july 10 and 10 and 11 december 11 december 12 2018 in contrast to other aspirin trials that have largely focused on cardiovascular endpoints , aspree has a unique composite primary endpoint to better capture the overall risk and benefit of aspirin to extend healthy independent lifespan in older adults in the us and australia . 0 ###LEFT-WALL### 15 aspree 0 ###LEFT-WALL### 16 has 0 ###LEFT-WALL### 45 . 1 in 2 contrast 1 in 15 aspree 2 contrast 3 to 2 contrast 10 focused 3 to 6 trials 4 other 6 trials 5 aspirin 6 trials 6 trials 7 that 6 trials 8 have 7 that 8 have 9 largely 10 focused 11 on 13 endpoints 11 on 14 , 11 on 15 aspree 12 cardiovascular 13 endpoints 15 aspree 16 has 16 has 21 endpoint 16 has 22 to 16 has 32 to 17 a 21 endpoint 18 unique 20 primary 19 composite 20 primary 20 primary 21 endpoint 22 to 24 capture 23 better 24 capture 24 capture 28 and 25 the 28 and 26 overall 27 risk 27 risk 28 and 28 and 29 benefit 28 and 30 of 30 of 31 aspirin 32 to 33 extend 33 extend 36 lifespan 33 extend 40 in 34 healthy 36 lifespan 35 independent 36 lifespan 36 lifespan 37 in 37 in 39 adults 38 older 39 adults 40 in 44 australia 41 the 44 australia 42 us 43 and 43 and 44 australia mammalian cells produce reactive oxygen and nitrogen species ( ros/rnos ) in response to an oxidative environment . 0 ###LEFT-WALL### 2 cells 0 ###LEFT-WALL### 3 produce 0 ###LEFT-WALL### 18 . 1 mammalian 2 cells 2 cells 3 produce 3 produce 6 and 3 produce 14 to 4 reactive 5 oxygen 5 oxygen 6 and 6 and 8 species 6 and 10 ros/rnos 7 nitrogen 8 species 9 ( 10 ros/rnos 10 ros/rnos 11 ) 12 in 13 response 13 response 14 to 14 to 17 environment 15 an 16 oxidative 15 an 17 environment 16 oxidative 17 environment powerful antioxidant mechanisms have been developed in order to avoid oxidative stress by contributing to the maintenance of redox homeostasis . 0 ###LEFT-WALL### 3 mechanisms 0 ###LEFT-WALL### 6 developed 0 ###LEFT-WALL### 21 . 1 powerful 3 mechanisms 2 antioxidant 3 mechanisms 3 mechanisms 4 have 4 have 5 been 5 been 6 developed 6 developed 7 in 6 developed 9 to 6 developed 13 by 7 in 8 order 9 to 10 avoid 10 avoid 12 stress 11 oxidative 12 stress 13 by 14 contributing 14 contributing 15 to 15 to 17 maintenance 16 the 17 maintenance 17 maintenance 18 of 18 of 20 homeostasis 19 redox 20 homeostasis traditionally , accumulation of ros/rnos is considered deleterious for cells [as] it can lead to loss of cellular [function] , aging , and cell death . 0 ###LEFT-WALL### 3 accumulation 0 ###LEFT-WALL### 7 considered 0 ###LEFT-WALL### 26 . 1 traditionally 2 , 1 traditionally 3 accumulation 3 accumulation 4 of 3 accumulation 6 is 4 of 5 ros/rnos 6 is 7 considered 7 considered 8 deleterious 8 deleterious 9 for 8 deleterious 15 to 9 for 10 cells 10 cells 12 it 10 cells 14 lead 12 it 13 can 13 can 14 lead 15 to 23 and 16 loss 17 of 16 loss 23 and 17 of 21 aging 18 cellular 20 , 18 cellular 21 aging 22 , 23 and 23 and 25 death 24 cell 25 death consequently , ros/rnos imbalance has been implicated in the etiology [and/or] progression of numerous pathologies such as cardiovascular diseases , inflammation , and cancer . 0 ###LEFT-WALL### 4 imbalance 0 ###LEFT-WALL### 7 implicated 0 ###LEFT-WALL### 25 . 1 consequently 2 , 1 consequently 4 imbalance 3 ros/rnos 4 imbalance 4 imbalance 5 has 5 has 6 been 6 been 7 implicated 7 implicated 8 in 7 implicated 17 as 8 in 12 progression 9 the 12 progression 10 etiology 12 progression 12 progression 13 of 13 of 15 pathologies 14 numerous 15 pathologies 16 such 17 as 17 as 23 and 18 cardiovascular 19 diseases 19 diseases 20 , 20 , 21 inflammation 20 , 23 and 22 , 23 and 23 and 24 cancer an interesting concept that has emerged more recently is that not only have cells developed efficient systems to cope with ros/rnos accumulation but [they] have also learned to profit of them under certain circumstances . 0 ###LEFT-WALL### 3 concept 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 11 not 0 ###LEFT-WALL### 23 but 0 ###LEFT-WALL### 35 . 1 an 2 interesting 1 an 3 concept 2 interesting 3 concept 3 concept 4 that 3 concept 5 has 3 concept 9 is 4 that 5 has 5 has 6 emerged 7 more 8 recently 8 recently 9 is 9 is 10 that 11 not 12 only 11 not 13 have 11 not 15 developed 13 have 14 cells 13 have 15 developed 15 developed 17 systems 15 developed 18 to 16 efficient 17 systems 18 to 23 but 19 cope 20 with 19 cope 23 but 20 with 22 accumulation 21 ros/rnos 22 accumulation 23 but 25 have 25 have 27 learned 26 also 27 learned 27 learned 28 to 27 learned 30 of 27 learned 32 under 28 to 29 profit 30 of 31 them 32 under 34 circumstances 33 certain 34 circumstances this notion is supported by data showing that ros/rnos can act as signaling molecules affecting the function and activity of a multiplicity of protein kinases and phosphatases controlling cellular homeostasis . 0 ###LEFT-WALL### 2 notion 0 ###LEFT-WALL### 4 supported 0 ###LEFT-WALL### 31 . 1 this 2 notion 2 notion 3 is 3 is 4 supported 4 supported 5 by 5 by 18 and 6 data 7 showing 6 data 18 and 7 showing 8 that 8 that 9 ros/rnos 8 that 11 act 9 ros/rnos 10 can 10 can 11 act 11 act 12 as 12 as 14 molecules 13 signaling 14 molecules 14 molecules 15 affecting 15 affecting 17 function 16 the 17 function 18 and 19 activity 19 activity 20 of 19 activity 23 of 20 of 22 multiplicity 21 a 22 multiplicity 23 of 26 and 24 protein 25 kinases 25 kinases 26 and 26 and 27 phosphatases 26 and 28 controlling 28 controlling 30 homeostasis 29 cellular 30 homeostasis this review does not provide an exhaustive overview of molecular mechanisms linked to ros/rnos generation and processing but includes relevant examples highlighting the dichotomic nature of these small molecules and the multitude of effects elicited by their accumulation . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 18 but 0 ###LEFT-WALL### 39 . 1 this 2 review 2 review 18 but 3 does 4 not 3 does 5 provide 3 does 18 but 5 provide 8 overview 5 provide 13 to 6 an 8 overview 7 exhaustive 8 overview 8 overview 9 of 9 of 11 mechanisms 10 molecular 11 mechanisms 11 mechanisms 12 linked 13 to 16 and 14 ros/rnos 15 generation 15 generation 16 and 16 and 17 processing 18 but 19 includes 19 includes 21 examples 20 relevant 21 examples 21 examples 22 highlighting 22 highlighting 25 nature 22 highlighting 36 by 23 the 25 nature 24 dichotomic 25 nature 25 nature 26 of 25 nature 33 of 26 of 30 and 27 these 29 molecules 28 small 29 molecules 29 molecules 30 and 30 and 32 multitude 31 the 32 multitude 33 of 34 effects 34 effects 35 elicited 36 by 38 accumulation 37 their 38 accumulation this aspect of ros/rnos ought to be taken into account particularly in novel therapeutic setups that aim to achieve high efficiency and minimal or no side effects . 0 ###LEFT-WALL### 2 aspect 0 ###LEFT-WALL### 5 ought 0 ###LEFT-WALL### 28 . 1 this 2 aspect 2 aspect 3 of 2 aspect 5 ought 3 of 4 ros/rnos 5 ought 6 to 5 ought 8 taken 6 to 7 be 7 be 8 taken 8 taken 10 account 8 taken 11 particularly 9 into 10 account 11 particularly 12 in 12 in 15 setups 13 novel 15 setups 14 therapeutic 15 setups 15 setups 16 that 15 setups 17 aim 16 that 17 aim 17 aim 18 to 17 aim 19 achieve 18 to 19 achieve 19 achieve 24 or 20 high 21 efficiency 21 efficiency 22 and 22 and 23 minimal 22 and 24 or 24 or 27 effects 25 no 27 effects 26 side 27 effects aim : the purpose of this study was to explore the effects of three commonly used positions on grip strength measurement in older people . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 4 purpose 2 : 8 was 2 : 25 . 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 22 in 9 to 10 explore 10 explore 12 effects 10 explore 18 on 11 the 12 effects 12 effects 13 of 13 of 17 positions 14 three 17 positions 15 commonly 16 used 16 used 17 positions 18 on 21 measurement 19 grip 21 measurement 20 strength 21 measurement 22 in 24 people 23 older 24 people method : a total of 249 ( 113 women , 136 men [ )(older participants , 72.8 ± 6.5 years old , participated in this study . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 4 total 2 : 23 participated 2 : 27 . 3 a 4 total 4 total 5 of 4 total 9 women 4 total 23 participated 5 of 6 249 7 ( 9 women 8 113 9 women 9 women 15 participants 9 women 22 , 10 , 15 participants 11 136 15 participants 12 men 15 participants 14 )(older 15 participants 15 participants 18 ± 15 participants 22 , 16 , 18 ± 17 72.8 18 ± 18 ± 21 old 18 ± 22 , 19 6.5 20 years 20 years 21 old 23 participated 24 in 24 in 26 study 25 this 26 study grip strength ( [kg] [ )( measured in three positions : [(] [i] [ )(the standard posture ( sitting , elbow flexed 90 ° [ )(suggested by the american society of hand therapists [;] ( ii ) standing , elbow flexed 90 [°] [;] [and] ( 3 ) standing , elbow fully extended . 0 ###LEFT-WALL### 1 grip 0 ###LEFT-WALL### 11 : 1 grip 2 strength 2 strength 7 measured 3 ( 7 measured 7 measured 8 in 7 measured 11 : 8 in 10 positions 9 three 10 positions 11 : 21 elbow 15 )(the 21 elbow 16 standard 20 , 16 standard 21 elbow 17 posture 19 sitting 18 ( 19 sitting 19 sitting 20 , 21 elbow 22 flexed 21 elbow 27 by 21 elbow 31 of 22 flexed 26 )(suggested 23 90 24 ° 24 ° 26 )(suggested 27 by 30 society 28 the 29 american 29 american 30 society 31 of 40 elbow 32 hand 38 standing 32 hand 40 elbow 33 therapists 36 ii 33 therapists 38 standing 35 ( 36 ii 36 ii 37 ) 38 standing 39 , 40 elbow 41 flexed 40 elbow 49 standing 40 elbow 51 elbow 42 90 47 3 42 90 49 standing 46 ( 47 3 47 3 48 ) 49 standing 50 , 50 , 51 elbow 51 elbow 53 extended 51 elbow 54 . 52 fully 53 extended 53 extended 54 . results : one - way repeated measures analysis of variance showed that grip strength was significantly greater in the standing position with the elbow fully extended than in the other two positions . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 one 2 : 4 - 4 - 8 analysis 4 - 11 showed 4 - 33 . 5 way 8 analysis 6 repeated 7 measures 7 measures 8 analysis 8 analysis 9 of 8 analysis 11 showed 9 of 10 variance 11 showed 12 that 12 that 14 strength 12 that 15 was 13 grip 14 strength 14 strength 15 was 15 was 16 significantly 15 was 17 greater 17 greater 18 in 17 greater 22 with 18 in 21 position 19 the 21 position 20 standing 21 position 22 with 24 elbow 23 the 24 elbow 24 elbow 26 extended 24 elbow 28 in 25 fully 26 extended 26 extended 27 than 28 in 32 positions 29 the 30 other 30 other 31 two 31 two 32 positions conclusions : the grip strengths obtained from the three positions were not all comparable in our community - dwelling older adults . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 strengths 2 : 11 were 2 : 18 - 3 the 5 strengths 4 grip 5 strengths 5 strengths 6 obtained 5 strengths 11 were 6 obtained 7 from 7 from 10 positions 8 the 9 three 9 three 10 positions 11 were 12 not 11 were 13 all 13 all 14 comparable 14 comparable 15 in 15 in 17 community 16 our 17 community 18 - 21 adults 18 - 22 . 19 dwelling 21 adults 20 older 21 adults clinicians and researchers need to be cautious when choosing testing position for assessing and interpreting grip strength results obtained from these positions . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 4 need 0 ###LEFT-WALL### 23 . 1 clinicians 2 and 2 and 3 researchers 2 and 4 need 4 need 5 to 4 need 8 when 5 to 6 be 6 be 7 cautious 8 when 9 choosing 9 choosing 14 and 9 choosing 20 from 10 testing 11 position 11 position 12 for 11 position 14 and 12 for 13 assessing 14 and 18 results 14 and 19 obtained 15 interpreting 18 results 16 grip 17 strength 17 strength 18 results 20 from 22 positions 21 these 22 positions context : the best evidence suggests that feeding tubes are ineffective in persons with advanced dementia . 0 ###LEFT-WALL### 1 context 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 2 : 5 evidence 2 : 6 suggests 3 the 4 best 3 the 5 evidence 5 evidence 6 suggests 6 suggests 7 that 7 that 9 tubes 7 that 10 are 8 feeding 9 tubes 9 tubes 10 are 10 are 11 ineffective 11 ineffective 12 in 11 ineffective 14 with 12 in 13 persons 14 with 16 dementia 15 advanced 16 dementia little is known about their health care costs . 0 ###LEFT-WALL### 1 little 0 ###LEFT-WALL### 3 known 0 ###LEFT-WALL### 9 . 1 little 2 is 2 is 3 known 3 known 4 about 4 about 8 costs 5 their 8 costs 6 health 8 costs 7 care 8 costs objectives : to estimate medicare costs attributable to inpatient care among nursing home ( nh ) [residents] with advanced dementia during the year following the placement of a percutaneous endoscopic gastrostomy ( peg ) tube during an index hospitalization . 0 ###LEFT-WALL### 9 inpatient 0 ###LEFT-WALL### 40 . 1 objectives 2 : 2 : 3 to 2 : 7 attributable 3 to 4 estimate 4 estimate 6 costs 5 medicare 6 costs 7 attributable 8 to 8 to 9 inpatient 9 inpatient 10 care 9 inpatient 11 among 11 among 12 nursing 12 nursing 13 home 12 nursing 18 with 12 nursing 21 during 12 nursing 36 during 13 home 15 nh 14 ( 15 nh 15 nh 16 ) 18 with 20 dementia 19 advanced 20 dementia 21 during 23 year 22 the 23 year 23 year 24 following 24 following 26 placement 25 the 26 placement 26 placement 27 of 27 of 35 tube 28 a 35 tube 29 percutaneous 35 tube 30 endoscopic 35 tube 31 gastrostomy 33 peg 31 gastrostomy 34 ) 31 gastrostomy 35 tube 32 ( 33 peg 33 peg 34 ) 36 during 39 hospitalization 37 an 39 hospitalization 38 index 39 hospitalization methods : medicare claims ( 1999 - 2009 ) and minimum data set data ( 1999 - 2009 ) were used to estimate medicare costs attributable to inpatient care among nh residents with advanced dementia during the year following the placement of a peg tube and compared with those who did not get a peg tube . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 57 . 1 methods 2 : 2 : 4 claims 3 medicare 4 claims 4 claims 7 - 5 ( 7 - 6 1999 7 - 7 - 8 2009 7 - 9 ) 10 and 14 data 10 and 23 estimate 11 minimum 12 data 12 data 13 set 13 set 14 data 14 data 17 - 14 data 20 were 15 ( 17 - 16 1999 17 - 17 - 18 2009 17 - 19 ) 20 were 21 used 21 used 22 to 22 to 23 estimate 23 estimate 25 costs 23 estimate 29 care 24 medicare 25 costs 25 costs 26 attributable 25 costs 29 care 26 attributable 27 to 26 attributable 28 inpatient 27 to 28 inpatient 29 care 30 among 30 among 32 residents 31 nh 32 residents 32 residents 33 with 33 with 46 and 34 advanced 35 dementia 34 advanced 46 and 35 dementia 36 during 36 during 38 year 37 the 38 year 38 year 39 following 38 year 42 of 39 following 41 placement 40 the 41 placement 42 of 45 tube 43 a 45 tube 44 peg 45 tube 46 and 47 compared 47 compared 48 with 48 with 49 those 49 those 50 who 49 those 51 did 50 who 51 did 51 did 52 not 51 did 53 get 53 get 56 tube 54 a 56 tube 55 peg 56 tube the study used a 3:1 propensity - matched cohort design . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 used 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 11 . 1 the 2 study 2 study 3 used 3 used 6 propensity 4 a 6 propensity 5 3:1 6 propensity 7 - 10 design 8 matched 9 cohort 9 cohort 10 design results : matched residents [with] ( n=1924 , 68.9 % female , 28.8 % african american , average age 83.1 years [ )(and without [(] weighted n=1924 , unique n=4337 ) peg insertion showed comparable sociodemographic characteristics [,] similar rates of feeding tube risk factors , and similar mortality [(] 51.9 % 180 day mortality among those with a feeding tube vs [.] 49.8 % among those without a feeding tube , p=0.11 [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 8 , 1 results 2 : 2 : 4 residents 3 matched 4 residents 4 residents 7 n=1924 6 ( 7 n=1924 7 n=1924 8 , 8 , 11 female 8 , 12 , 9 68.9 10 % 10 % 11 female 12 , 16 american 12 , 17 , 13 28.8 16 american 14 % 15 african 15 african 16 american 17 , 18 average 17 , 23 )(and 18 average 21 years 19 age 21 years 20 83.1 21 years 23 )(and 33 insertion 23 )(and 34 showed 24 without 32 peg 24 without 33 insertion 26 weighted 32 peg 27 n=1924 30 n=4337 27 n=1924 31 ) 27 n=1924 32 peg 28 , 30 n=4337 29 unique 30 n=4337 30 n=4337 31 ) 33 insertion 34 showed 34 showed 37 characteristics 34 showed 40 rates 35 comparable 37 characteristics 36 sociodemographic 37 characteristics 39 similar 40 rates 40 rates 41 of 41 of 47 and 42 feeding 43 tube 43 tube 45 factors 44 risk 45 factors 45 factors 47 and 46 , 47 and 47 and 55 mortality 47 and 58 with 48 similar 55 mortality 49 mortality 55 mortality 51 51.9 52 % 52 % 55 mortality 53 180 54 day 54 day 55 mortality 55 mortality 56 among 56 among 57 those 58 with 61 tube 59 a 61 tube 60 feeding 61 tube 61 tube 62 vs 61 tube 66 among 62 vs 65 % 64 49.8 65 % 66 among 67 those 67 those 68 without 67 those 73 p=0.11 68 without 71 tube 69 a 71 tube 70 feeding 71 tube 72 , 73 p=0.11 73 p=0.11 75 )( one year hospital costs were $ 2224 higher in nh residents with a feeding tube ( $ 10,191 vs [.] $ 7967 , 95 % ci of difference=$1514 , $ 2933 ) , with those with a feeding tube likely to spend more time in an intensive care unit ( 1.92 vs [.] 1.29 days , 95 % ci of difference=0.34 , 0.92 days ) . 1 one 2 year 2 year 4 costs 3 hospital 4 costs 4 costs 5 were 5 were 6 $ 5 were 8 higher 5 were 9 in 6 $ 7 2224 9 in 11 residents 10 nh 11 residents 11 residents 12 with 11 residents 17 $ 11 residents 26 ci 12 with 15 tube 13 a 15 tube 14 feeding 15 tube 16 ( 17 $ 17 $ 18 10,191 17 $ 19 vs 17 $ 23 , 19 vs 21 $ 21 $ 22 7967 23 , 26 ci 24 95 26 ci 25 % 26 ci 26 ci 27 of 26 ci 66 . 27 of 28 difference=$1514 28 difference=$1514 30 $ 28 difference=$1514 34 with 29 , 30 $ 30 $ 31 2933 30 $ 32 ) 33 , 34 with 34 with 35 those 34 with 40 likely 34 with 66 . 35 those 36 with 36 with 39 tube 37 a 39 tube 38 feeding 39 tube 40 likely 41 to 40 likely 42 spend 41 to 42 spend 42 spend 43 more 42 spend 44 time 42 spend 45 in 45 in 49 unit 46 an 47 intensive 46 an 49 unit 47 intensive 49 unit 48 care 49 unit 49 unit 51 1.92 49 unit 59 ci 49 unit 64 days 50 ( 51 1.92 51 1.92 52 vs 51 1.92 56 , 52 vs 55 days 54 1.29 55 days 56 , 59 ci 57 95 59 ci 58 % 59 ci 59 ci 60 of 59 ci 62 , 60 of 61 difference=0.34 62 , 64 days 63 0.92 64 days 64 days 65 ) conclusion : in an analysis controlling for selection bias , peg tube insertion is associated with a small but significant increase in annual inpatient health care costs , as well as in hospital [and] intensive care unit days , postinsertion . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 41 . 1 conclusion 2 : 2 : 3 in 2 : 6 controlling 3 in 5 analysis 4 an 5 analysis 6 controlling 7 for 6 controlling 16 with 6 controlling 40 postinsertion 7 for 9 bias 8 selection 9 bias 9 bias 15 associated 10 , 15 associated 11 peg 13 insertion 11 peg 14 is 11 peg 15 associated 12 tube 13 insertion 13 insertion 14 is 16 with 21 increase 17 a 21 increase 18 small 19 but 19 but 20 significant 19 but 21 increase 21 increase 22 in 22 in 25 health 23 annual 25 health 24 inpatient 25 health 25 health 26 care 25 health 27 costs 25 health 29 as 26 care 27 costs 28 , 29 as 29 as 30 well 29 as 39 , 30 well 31 as 31 as 32 in 32 in 38 days 33 hospital 38 days 35 intensive 36 care 36 care 38 days 37 unit 38 days the driving theoretical framework of alzheimer 's disease ( ad ) has been built around the amyloid - β ( aβ ) cascade in which amyloid pathology precedes and drives tau pathology . 0 ###LEFT-WALL### 4 framework 0 ###LEFT-WALL### 14 built 0 ###LEFT-WALL### 33 . 1 the 4 framework 2 driving 4 framework 3 theoretical 4 framework 4 framework 5 of 4 framework 12 has 5 of 8 disease 6 alzheimer 7 's 7 's 8 disease 8 disease 10 ad 9 ( 10 ad 10 ad 11 ) 12 has 13 been 13 been 14 built 14 built 15 around 15 around 23 cascade 16 the 23 cascade 17 amyloid 18 - 17 amyloid 23 cascade 19 β 21 aβ 19 β 22 ) 19 β 23 cascade 20 ( 21 aβ 21 aβ 22 ) 23 cascade 24 in 24 in 25 which 24 in 26 amyloid 24 in 27 pathology 24 in 29 and 25 which 26 amyloid 27 pathology 29 and 28 precedes 29 and 29 and 30 drives 29 and 32 pathology 31 tau 32 pathology other evidence has suggested that tau and amyloid pathology may arise independently . 0 ###LEFT-WALL### 2 evidence 0 ###LEFT-WALL### 4 suggested 0 ###LEFT-WALL### 13 . 1 other 2 evidence 2 evidence 3 has 3 has 4 suggested 4 suggested 5 that 5 that 7 and 5 that 11 arise 6 tau 7 and 7 and 9 pathology 7 and 10 may 8 amyloid 9 pathology 10 may 11 arise 11 arise 12 independently both lines of research suggest that there may be epistatic relationships between genes involved in amyloid and tau pathophysiology . 0 ###LEFT-WALL### 2 lines 0 ###LEFT-WALL### 5 suggest 0 ###LEFT-WALL### 20 . 1 both 2 lines 2 lines 3 of 2 lines 5 suggest 3 of 4 research 5 suggest 6 that 6 that 7 there 6 that 9 be 7 there 8 may 8 may 9 be 9 be 19 pathophysiology 10 epistatic 11 relationships 11 relationships 12 between 11 relationships 17 and 12 between 13 genes 13 genes 14 involved 13 genes 15 in 15 in 16 amyloid 17 and 18 tau 17 and 19 pathophysiology in the current study , we hypothesized that genes coding glycogen synthase kinase 3 ( gsk - 3 ) and comparable tau kinases would modify genetic risk for amyloid plaque pathology . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 hypothesized 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 32 . 1 in 4 study 1 in 5 , 1 in 6 we 2 the 4 study 3 current 4 study 6 we 7 hypothesized 7 hypothesized 8 that 8 that 9 genes 8 that 11 glycogen 9 genes 10 coding 9 genes 11 glycogen 11 glycogen 13 kinase 12 synthase 13 kinase 13 kinase 14 3 13 kinase 16 gsk 13 kinase 18 3 15 ( 16 gsk 16 gsk 17 - 17 - 18 3 18 3 19 ) 20 and 23 kinases 20 and 25 modify 21 comparable 22 tau 22 tau 23 kinases 23 kinases 24 would 24 would 25 modify 25 modify 27 risk 25 modify 28 for 26 genetic 27 risk 28 for 31 pathology 29 amyloid 30 plaque 30 plaque 31 pathology quantitative amyloid positron emission tomography data from the alzheimer 's disease neuroimaging initiative served as the quantitative outcome in regression analyses , covarying for age , gender , and diagnosis . 0 ###LEFT-WALL### 29 and 0 ###LEFT-WALL### 31 . 1 quantitative 4 emission 2 amyloid 3 positron 3 positron 4 emission 4 emission 6 data 5 tomography 6 data 6 data 7 from 6 data 14 served 6 data 15 as 6 data 19 in 6 data 29 and 7 from 13 initiative 8 the 9 alzheimer 9 alzheimer 10 's 10 's 13 initiative 11 disease 12 neuroimaging 12 neuroimaging 13 initiative 15 as 18 outcome 16 the 18 outcome 17 quantitative 18 outcome 19 in 21 analyses 20 regression 21 analyses 21 analyses 23 covarying 22 , 23 covarying 23 covarying 24 for 23 covarying 28 , 24 for 25 age 25 age 27 gender 26 , 27 gender 27 gender 28 , 29 and 30 diagnosis three interactions reached statistical significance , all involving the gsk3β single nucleotide polymorphism rs334543 - 2 with apbb2 ( rs2585590 , rs3098914 ) and [1] with app ( rs457581 ) . 0 ###LEFT-WALL### 2 interactions 0 ###LEFT-WALL### 3 reached 0 ###LEFT-WALL### 6 , 1 three 2 interactions 2 interactions 3 reached 3 reached 5 significance 4 statistical 5 significance 6 , 7 all 6 , 11 single 7 all 8 involving 7 all 11 single 8 involving 10 gsk3β 9 the 10 gsk3β 11 single 14 rs334543 12 nucleotide 14 rs334543 13 polymorphism 14 rs334543 14 rs334543 16 2 15 - 16 2 16 2 24 and 16 2 31 . 17 with 18 apbb2 17 with 24 and 18 apbb2 22 rs3098914 19 ( 22 rs3098914 20 rs2585590 21 , 20 rs2585590 22 rs3098914 22 rs3098914 23 ) 24 and 26 with 26 with 27 app 27 app 29 rs457581 28 ( 29 rs457581 29 rs457581 30 ) these interactions explained 1.2 % , 1.5 % , and 1.5 % of the variance [in] amyloid deposition respectively . 0 ###LEFT-WALL### 2 interactions 0 ###LEFT-WALL### 3 explained 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 20 . 1 these 2 interactions 2 interactions 3 explained 3 explained 5 % 4 1.2 5 % 5 % 8 % 6 , 8 % 7 1.5 8 % 8 % 9 , 9 , 10 and 10 and 12 % 10 and 17 amyloid 11 1.5 12 % 12 % 13 of 12 % 17 amyloid 13 of 15 variance 14 the 15 variance 17 amyloid 18 deposition 17 amyloid 19 respectively age [-] related cognitive [decline] is accompanied by an increase of neuronal apoptosis and a dysregulation of neuroplasticity - related molecules such as brain - derived neurotrophic [factor] and neurotoxic factors including beta amyloid ( aβ ) peptide . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 7 accompanied 0 ###LEFT-WALL### 39 . 1 age 3 related 1 age 6 is 3 related 4 cognitive 6 is 7 accompanied 7 accompanied 8 by 8 by 14 and 9 an 10 increase 10 increase 11 of 10 increase 14 and 11 of 13 apoptosis 12 neuronal 13 apoptosis 14 and 16 dysregulation 14 and 17 of 15 a 16 dysregulation 17 of 29 and 18 neuroplasticity 26 derived 18 neuroplasticity 29 and 19 - 20 related 20 related 21 molecules 20 related 25 - 20 related 26 derived 21 molecules 23 as 22 such 23 as 23 as 24 brain 26 derived 27 neurotrophic 29 and 38 peptide 30 neurotoxic 31 factors 31 factors 33 beta 32 including 33 beta 33 beta 38 peptide 34 amyloid 36 aβ 34 amyloid 37 ) 34 amyloid 38 peptide 35 ( 36 aβ 36 aβ 37 ) because it has been previously demonstrated that phosphodiesterase - 5 inhibitors ( pde5 - is [ )(protect against hippocampal synaptic dysfunction and memory deficits in mouse models of alzheimer 's disease and physiological aging , [we] investigated the effect of a treatment with the pde5 [-] i , sildenafil , on cell death , pro - and antiapoptotic molecules , and aβ production . 0 ###LEFT-WALL### 1 because 0 ###LEFT-WALL### 6 demonstrated 1 because 2 it 2 it 3 has 3 has 4 been 4 been 5 previously 4 been 6 demonstrated 6 demonstrated 7 that 7 that 8 phosphodiesterase 7 that 17 )(protect 8 phosphodiesterase 11 inhibitors 8 phosphodiesterase 15 is 9 - 11 inhibitors 10 5 11 inhibitors 11 inhibitors 13 pde5 11 inhibitors 14 - 12 ( 13 pde5 13 pde5 14 - 15 is 17 )(protect 17 )(protect 18 against 17 )(protect 24 deficits 18 against 22 and 19 hippocampal 21 dysfunction 20 synaptic 21 dysfunction 21 dysfunction 22 and 22 and 23 memory 24 deficits 25 in 24 deficits 28 of 24 deficits 34 aging 25 in 27 models 26 mouse 27 models 28 of 32 and 29 alzheimer 30 's 30 's 31 disease 31 disease 32 and 32 and 33 physiological 34 aging 37 investigated 34 aging 39 effect 35 , 37 investigated 38 the 39 effect 39 effect 40 of 40 of 42 treatment 41 a 42 treatment 42 treatment 43 with 42 treatment 51 on 43 with 45 pde5 44 the 45 pde5 45 pde5 47 i 45 pde5 49 sildenafil 48 , 49 sildenafil 49 sildenafil 50 , 51 on 61 and 52 cell 53 death 53 death 54 , 54 , 55 pro 54 , 57 and 56 - 57 and 57 and 59 molecules 57 and 61 and 58 antiapoptotic 59 molecules 60 , 61 and 61 and 63 production 61 and 64 . 62 aβ 63 production also , sildenafil reverted the shifting of amyloid precursor protein processing toward aβ42 production and the increase of the aβ42:aβ40 ratio in aged mice . 0 ###LEFT-WALL### 3 sildenafil 0 ###LEFT-WALL### 4 reverted 0 ###LEFT-WALL### 25 . 1 also 2 , 1 also 3 sildenafil 3 sildenafil 4 reverted 4 reverted 6 shifting 4 reverted 22 in 5 the 6 shifting 6 shifting 7 of 6 shifting 11 processing 6 shifting 18 of 7 of 10 protein 8 amyloid 10 protein 9 precursor 10 protein 11 processing 12 toward 11 processing 15 and 12 toward 13 aβ42 14 production 15 and 15 and 17 increase 16 the 17 increase 18 of 21 ratio 19 the 21 ratio 20 aβ42:aβ40 21 ratio 22 in 24 mice 23 aged 24 mice our data suggest that pde5 - i might be beneficial to treat age - related detrimental features in a physiological mouse model of aging . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 25 . 1 our 2 data 2 data 3 suggest 3 suggest 5 pde5 4 that 5 pde5 6 - 7 i 6 - 9 be 6 - 15 related 7 i 8 might 8 might 9 be 9 be 10 beneficial 10 beneficial 11 to 11 to 12 treat 12 treat 13 age 14 - 15 related 15 related 17 features 15 related 18 in 16 detrimental 17 features 18 in 22 model 19 a 20 physiological 19 a 22 model 20 physiological 21 mouse 21 mouse 22 model 22 model 23 of 23 of 24 aging the mechanism by which amyloid - β ( aβ ) produces brain dysfunction in patients with alzheimer 's disease is largely unknown . 0 ###LEFT-WALL### 2 mechanism 0 ###LEFT-WALL### 20 is 0 ###LEFT-WALL### 23 . 1 the 2 mechanism 2 mechanism 3 by 2 mechanism 20 is 3 by 4 which 3 by 7 β 3 by 11 produces 5 amyloid 6 - 5 amyloid 7 β 7 β 9 aβ 7 β 11 produces 8 ( 9 aβ 9 aβ 10 ) 11 produces 13 dysfunction 11 produces 16 with 12 brain 13 dysfunction 13 dysfunction 14 in 14 in 15 patients 16 with 19 disease 17 alzheimer 18 's 18 's 19 disease 20 is 21 largely 20 is 22 unknown according to previous studies , aβ might share perforating properties with gramicidin , a well - accepted membrane - disrupting peptide . 0 ###LEFT-WALL### 6 aβ 0 ###LEFT-WALL### 8 share 0 ###LEFT-WALL### 19 - 1 according 2 to 2 to 4 studies 2 to 5 , 2 to 6 aβ 3 previous 4 studies 6 aβ 7 might 7 might 8 share 8 share 10 properties 8 share 11 with 9 perforating 10 properties 11 with 12 gramicidin 12 gramicidin 15 well 13 , 15 well 14 a 15 well 15 well 18 membrane 15 well 19 - 16 - 18 membrane 17 accepted 18 membrane 18 membrane 19 - 19 - 21 peptide 19 - 22 . 20 disrupting 21 peptide therefore , we hypothesize that the key steps leading to synaptotoxicity by aβ and gramicidin involve peptide aggregation , pore formation , and calcium dysregulation . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 hypothesize 0 ###LEFT-WALL### 26 . 1 therefore 2 , 1 therefore 3 we 3 we 4 hypothesize 4 hypothesize 5 that 5 that 8 steps 5 that 16 involve 6 the 8 steps 7 key 8 steps 8 steps 9 leading 8 steps 16 involve 9 leading 10 to 9 leading 12 by 10 to 11 synaptotoxicity 12 by 14 and 13 aβ 14 and 14 and 15 gramicidin 16 involve 23 and 17 peptide 18 aggregation 18 aggregation 19 , 19 , 21 formation 19 , 23 and 20 pore 21 formation 22 , 23 and 23 and 25 dysregulation 24 calcium 25 dysregulation here , we show that aβ and gramicidin form aggregates enriched in β - sheet structures using electron microscopy , and thioflavin and congo red staining techniques . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 show 0 ###LEFT-WALL### 28 . 1 here 2 , 1 here 3 we 3 we 4 show 4 show 5 that 5 that 7 and 5 that 9 form 6 aβ 7 and 7 and 8 gramicidin 7 and 9 form 9 form 10 aggregates 9 form 12 in 10 aggregates 11 enriched 12 in 21 and 13 β 14 - 13 β 15 sheet 15 sheet 16 structures 16 structures 17 using 16 structures 21 and 17 using 19 microscopy 18 electron 19 microscopy 20 , 21 and 21 and 25 red 21 and 26 staining 22 thioflavin 23 and 23 and 24 congo 24 congo 25 red 26 staining 27 techniques also , we found that aβ and gramicidin display fairly similar actions in hippocampal cell membranes , i.e . inducing ca ( 2+ ) entry and synaptoxicity characterized by the loss of synaptic proteins and a decrease in neuronal viability . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 18 i.e 0 ###LEFT-WALL### 19 . 1 also 2 , 1 also 3 we 3 we 4 found 4 found 7 and 4 found 12 actions 5 that 7 and 6 aβ 7 and 7 and 9 display 8 gramicidin 9 display 10 fairly 11 similar 11 similar 12 actions 12 actions 13 in 13 in 16 membranes 14 hippocampal 15 cell 15 cell 16 membranes 17 , 18 i.e 19 . 26 and 19 . 41 . 20 inducing 25 entry 21 ca 23 2+ 21 ca 25 entry 22 ( 23 2+ 23 2+ 24 ) 25 entry 26 and 26 and 27 synaptoxicity 27 synaptoxicity 28 characterized 27 synaptoxicity 32 of 27 synaptoxicity 38 in 28 characterized 29 by 29 by 31 loss 30 the 31 loss 32 of 35 and 33 synaptic 34 proteins 34 proteins 35 and 35 and 37 decrease 36 a 37 decrease 38 in 40 viability 39 neuronal 40 viability these effects were not observed in a ca ( 2+ ) free solution , indicating that both aβ and gramicidin induce neurotoxicity by a ca ( 2+ ) - dependent mechanism . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 5 observed 0 ###LEFT-WALL### 29 - 0 ###LEFT-WALL### 32 . 1 these 2 effects 2 effects 3 were 3 were 4 not 3 were 5 observed 5 observed 6 in 6 in 13 solution 7 a 13 solution 8 ca 10 2+ 8 ca 13 solution 9 ( 10 2+ 10 2+ 11 ) 12 free 13 solution 13 solution 15 indicating 14 , 15 indicating 15 indicating 16 that 15 indicating 29 - 16 that 19 and 16 that 21 induce 17 both 19 and 18 aβ 19 and 19 and 20 gramicidin 19 and 21 induce 21 induce 22 neurotoxicity 21 induce 23 by 23 by 25 ca 24 a 25 ca 25 ca 27 2+ 26 ( 27 2+ 27 2+ 28 ) 29 - 31 mechanism 30 dependent 31 mechanism using combined perforated patch clamp and imaging recordings , we found that only aβ produced a perforation that progressed from a small ( cl [(] - ) [-] selective pore [ )(to a larger perforation that allowed the entry of fluorescent molecules . 0 ###LEFT-WALL### 5 clamp 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 43 . 1 using 2 combined 2 combined 4 patch 3 perforated 4 patch 4 patch 5 clamp 6 and 10 we 6 and 11 found 7 imaging 8 recordings 7 imaging 9 , 7 imaging 10 we 10 we 11 found 11 found 12 that 12 that 13 only 12 that 14 aβ 12 that 15 produced 14 aβ 15 produced 15 produced 17 perforation 15 produced 32 )(to 16 a 17 perforation 17 perforation 18 that 17 perforation 19 progressed 18 that 19 progressed 19 progressed 20 from 20 from 30 pore 21 a 22 small 21 a 30 pore 22 small 24 cl 22 small 27 ) 22 small 30 pore 23 ( 24 cl 24 cl 26 - 29 selective 30 pore 32 )(to 35 perforation 33 a 35 perforation 34 larger 35 perforation 35 perforation 36 that 35 perforation 37 allowed 36 that 37 allowed 37 allowed 39 entry 38 the 39 entry 39 entry 40 of 40 of 42 molecules 41 fluorescent 42 molecules therefore , based on these results , we propose that the perforation at the plasma membrane by aβ is a dynamic process that is critical in producing neurotoxicity similar to that found in the brains of ad patients . 0 ###LEFT-WALL### 8 we 0 ###LEFT-WALL### 27 producing 0 ###LEFT-WALL### 39 . 1 therefore 2 , 1 therefore 8 we 2 , 3 based 3 based 4 on 3 based 7 , 3 based 8 we 4 on 6 results 5 these 6 results 8 we 9 propose 9 propose 10 that 10 that 12 perforation 10 that 19 is 11 the 12 perforation 12 perforation 13 at 12 perforation 19 is 13 at 16 membrane 14 the 16 membrane 15 plasma 16 membrane 16 membrane 17 by 17 by 18 aβ 19 is 22 process 20 a 21 dynamic 20 a 22 process 21 dynamic 22 process 22 process 23 that 22 process 27 producing 23 that 24 is 24 is 25 critical 25 critical 26 in 26 in 27 producing 27 producing 28 neurotoxicity 28 neurotoxicity 29 similar 28 neurotoxicity 32 found 29 similar 30 to 30 to 31 that 32 found 33 in 33 in 35 brains 34 the 35 brains 35 brains 36 of 36 of 38 patients 37 ad 38 patients alterations in the expression and signaling of brain - derived neurotrophic factor ( bdnf ) and the precursor to nerve growth [factor] ( ngf ) , prongf , play a role in the neuronal and cognitive dysfunction of alzheimer 's disease . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 29 play 0 ###LEFT-WALL### 42 . 1 alterations 2 in 1 alterations 16 and 2 in 12 factor 3 the 12 factor 4 expression 5 and 5 and 6 signaling 5 and 9 - 5 and 10 derived 6 signaling 7 of 7 of 8 brain 10 derived 12 factor 11 neurotrophic 12 factor 12 factor 14 bdnf 13 ( 14 bdnf 14 bdnf 15 ) 16 and 18 precursor 16 and 19 to 16 and 24 ngf 16 and 27 prongf 16 and 29 play 17 the 18 precursor 19 to 21 growth 20 nerve 21 growth 23 ( 24 ngf 24 ngf 25 ) 26 , 27 prongf 27 prongf 28 , 29 play 31 role 29 play 32 in 30 a 31 role 32 in 35 and 33 the 34 neuronal 34 neuronal 35 and 35 and 37 dysfunction 36 cognitive 37 dysfunction 37 dysfunction 38 of 38 of 41 disease 39 alzheimer 40 's 40 's 41 disease aggregated amyloid - β has been shown to down - [regulate] specific bdnf transcripts in alzheimer 's disease , but the role of tau pathology in neurotrophin dysregulation has not been investigated . 0 ###LEFT-WALL### 4 β 0 ###LEFT-WALL### 7 shown 0 ###LEFT-WALL### 20 but 0 ###LEFT-WALL### 33 . 1 aggregated 4 β 2 amyloid 3 - 2 amyloid 4 β 4 β 5 has 5 has 6 been 6 been 7 shown 7 shown 8 to 7 shown 15 in 8 to 14 transcripts 9 down 10 - 9 down 14 transcripts 12 specific 14 transcripts 13 bdnf 14 transcripts 15 in 18 disease 16 alzheimer 17 's 17 's 18 disease 19 , 20 but 20 but 22 role 20 but 32 investigated 21 the 22 role 22 role 23 of 22 role 29 has 23 of 25 pathology 24 tau 25 pathology 25 pathology 26 in 26 in 28 dysregulation 27 neurotrophin 28 dysregulation 29 has 30 not 29 has 31 been 31 been 32 investigated we measured levels of bdnf mrna and protein using real - time quantitative reverse transcription - polymerase chain reaction and enzyme - linked immunosorbent assay and prongf protein using western blotting in parietal cortex [of] subjects with tauopathies , neurodegenerative diseases exhibiting tau pathology without amyloid - β accumulation . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 measured 0 ###LEFT-WALL### 50 . 1 we 2 measured 2 measured 26 and 2 measured 29 using 3 levels 4 of 3 levels 7 and 4 of 6 mrna 5 bdnf 6 mrna 7 and 25 assay 7 and 26 and 8 protein 24 immunosorbent 9 using 18 chain 10 real 15 transcription 10 real 18 chain 11 - 15 transcription 12 time 14 reverse 13 quantitative 14 reverse 14 reverse 15 transcription 15 transcription 16 - 17 polymerase 18 chain 18 chain 23 linked 19 reaction 20 and 20 and 21 enzyme 20 and 22 - 20 and 23 linked 23 linked 24 immunosorbent 24 immunosorbent 25 assay 26 and 28 protein 27 prongf 28 protein 29 using 30 western 30 western 31 blotting 31 blotting 32 in 31 blotting 37 with 31 blotting 49 accumulation 32 in 36 subjects 33 parietal 34 cortex 34 cortex 36 subjects 37 with 38 tauopathies 38 tauopathies 41 diseases 39 , 41 diseases 40 neurodegenerative 41 diseases 41 diseases 42 exhibiting 41 diseases 47 - 42 exhibiting 44 pathology 42 exhibiting 45 without 43 tau 44 pathology 45 without 46 amyloid 48 β 49 accumulation we observed a significant increase in the level of prongf protein in pick 's disease and a significant decrease in bdnf mrna and protein levels in pick 's disease and corticobasal degeneration , but no neurotrophin alterations in progressive supranuclear palsy . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 observed 1 we 2 observed 2 observed 5 increase 2 observed 25 levels 3 a 5 increase 4 significant 5 increase 5 increase 6 in 5 increase 20 in 5 increase 25 levels 6 in 8 level 7 the 8 level 8 level 9 of 9 of 11 protein 10 prongf 11 protein 11 protein 12 in 12 in 16 and 13 pick 14 's 14 's 15 disease 15 disease 16 and 16 and 19 decrease 17 a 19 decrease 18 significant 19 decrease 20 in 23 and 21 bdnf 22 mrna 22 mrna 23 and 23 and 24 protein 25 levels 26 in 25 levels 30 and 25 levels 34 but 27 pick 28 's 28 's 30 and 29 disease 30 and 30 and 32 degeneration 31 corticobasal 32 degeneration 33 , 34 but 34 but 37 alterations 34 but 42 . 35 no 37 alterations 36 neurotrophin 37 alterations 37 alterations 38 in 38 in 41 palsy 39 progressive 41 palsy 40 supranuclear 41 palsy the decrease in total bdnf mrna levels in these tauopathies was predominantly due to down - regulation of transcript iv . 0 ###LEFT-WALL### 2 decrease 0 ###LEFT-WALL### 11 was 0 ###LEFT-WALL### 21 . 1 the 2 decrease 2 decrease 3 in 2 decrease 11 was 3 in 7 levels 4 total 7 levels 5 bdnf 7 levels 6 mrna 7 levels 7 levels 8 in 8 in 10 tauopathies 9 these 10 tauopathies 11 was 13 due 12 predominantly 13 due 13 due 14 to 14 to 17 regulation 15 down 16 - 15 down 17 regulation 17 regulation 18 of 18 of 20 iv 19 transcript 20 iv these findings implicate tau pathology in neurotrophin dysregulation , which may represent a mechanism through which tau confers toxicity in alzheimer 's disease and related [non] - alzheimer 's dementias . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 implicate 0 ###LEFT-WALL### 27 - 0 ###LEFT-WALL### 31 . 1 these 2 findings 2 findings 3 implicate 3 implicate 5 pathology 4 tau 5 pathology 5 pathology 6 in 6 in 8 dysregulation 7 neurotrophin 8 dysregulation 8 dysregulation 10 which 9 , 10 which 10 which 11 may 10 which 27 - 11 may 24 and 12 represent 14 mechanism 12 represent 24 and 13 a 14 mechanism 14 mechanism 15 through 15 through 16 which 15 through 17 tau 15 through 18 confers 17 tau 18 confers 18 confers 19 toxicity 18 confers 20 in 20 in 23 disease 21 alzheimer 22 's 22 's 23 disease 24 and 25 related 27 - 30 dementias 28 alzheimer 29 's 29 's 30 dementias mutations in fbxo7 ( park15 ) have been associated with a syndrome characterized by early - onset progressive parkinsonism [with] and without pyramidal tract signs . 0 ###LEFT-WALL### 1 mutations 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 26 . 1 mutations 2 in 1 mutations 5 park15 1 mutations 7 have 2 in 3 fbxo7 4 ( 5 park15 5 park15 6 ) 7 have 8 been 8 been 9 associated 9 associated 10 with 10 with 12 syndrome 11 a 12 syndrome 12 syndrome 13 characterized 12 syndrome 21 and 14 by 19 parkinsonism 14 by 21 and 15 early 16 - 15 early 17 onset 17 onset 19 parkinsonism 18 progressive 19 parkinsonism 21 and 22 without 22 without 25 signs 23 pyramidal 24 tract 24 tract 25 signs therefore , our aim was to analyze this gene in a population from southern spain ( 338 parkinson 's disease [ pd ] patients and 330 unrelated control subjects ) to elucidate the potential involvement of fbxo7 in pd pathogenesis . 0 ###LEFT-WALL### 4 aim 0 ###LEFT-WALL### 32 elucidate 0 ###LEFT-WALL### 41 . 1 therefore 2 , 1 therefore 4 aim 3 our 4 aim 4 aim 5 was 5 was 6 to 5 was 7 analyze 6 to 7 analyze 7 analyze 9 gene 7 analyze 13 from 7 analyze 31 to 8 this 9 gene 9 gene 10 in 10 in 12 population 11 a 12 population 13 from 25 and 14 southern 24 patients 15 spain 20 disease 15 spain 24 patients 16 ( 20 disease 17 338 18 parkinson 18 parkinson 19 's 19 's 20 disease 20 disease 22 pd 20 disease 23 ] 21 [ 22 pd 22 pd 23 ] 24 patients 25 and 25 and 29 subjects 25 and 30 ) 26 330 29 subjects 27 unrelated 28 control 28 control 29 subjects 31 to 32 elucidate 32 elucidate 35 involvement 33 the 35 involvement 34 potential 35 involvement 35 involvement 36 of 35 involvement 38 in 36 of 37 fbxo7 38 in 40 pathogenesis 39 pd 40 pathogenesis we identified 17 variants ( 11 [novel] ) , including 10 missense substitutions , [3] synonymous , and 4 intronic alterations . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 identified 1 we 2 identified 2 identified 4 variants 3 17 4 variants 4 variants 6 11 4 variants 10 including 5 ( 6 11 6 11 8 ) 9 , 10 including 10 including 18 and 10 including 22 . 11 10 13 substitutions 12 missense 13 substitutions 13 substitutions 14 , 14 , 16 synonymous 14 , 18 and 17 , 18 and 18 and 21 alterations 18 and 22 . 19 4 21 alterations 20 intronic 21 alterations six substitutions were described as putatively damaging by the bioinformatics tools and 1 intronic variation was described to affect splicing . 0 ###LEFT-WALL### 2 substitutions 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 21 . 1 six 2 substitutions 2 substitutions 12 and 3 were 4 described 3 were 12 and 4 described 5 as 5 as 7 damaging 6 putatively 7 damaging 7 damaging 8 by 7 damaging 11 tools 8 by 10 bioinformatics 9 the 10 bioinformatics 12 and 19 affect 13 1 15 variation 14 intronic 15 variation 15 variation 16 was 16 was 17 described 17 described 18 to 18 to 19 affect 19 affect 20 splicing minor allele frequencies of the highly polymorphic coding single nucleotide polymorphisms ( snps ) in pd patients and control subjects were similar . 0 ###LEFT-WALL### 3 frequencies 0 ###LEFT-WALL### 21 were 0 ###LEFT-WALL### 23 . 1 minor 3 frequencies 2 allele 3 frequencies 3 frequencies 4 of 3 frequencies 15 in 3 frequencies 21 were 4 of 11 polymorphisms 5 the 11 polymorphisms 6 highly 7 polymorphic 7 polymorphic 11 polymorphisms 8 coding 11 polymorphisms 9 single 11 polymorphisms 10 nucleotide 11 polymorphisms 11 polymorphisms 13 snps 12 ( 13 snps 13 snps 14 ) 15 in 18 and 16 pd 17 patients 17 patients 18 and 18 and 20 subjects 19 control 20 subjects 21 were 22 similar all rare variants were heterozygous . 0 ###LEFT-WALL### 3 variants 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 6 . 1 all 3 variants 2 rare 3 variants 3 variants 4 were 4 were 5 heterozygous no deletions or duplications involving fbxo7 exons were identified . 0 ###LEFT-WALL### 3 or 0 ###LEFT-WALL### 9 identified 0 ###LEFT-WALL### 10 . 1 no 2 deletions 2 deletions 3 or 3 or 4 duplications 3 or 5 involving 3 or 8 were 5 involving 7 exons 6 fbxo7 7 exons 8 were 9 identified our results suggest that the involvement of the fbxo7 gene in pd is very rare , at least in this population from southern spain . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 1 our 2 results 2 results 3 suggest 3 suggest 4 that 4 that 6 involvement 4 that 13 is 5 the 6 involvement 6 involvement 7 of 6 involvement 13 is 7 of 10 gene 8 the 10 gene 9 fbxo7 10 gene 10 gene 11 in 11 in 12 pd 13 is 15 rare 14 very 15 rare 15 rare 19 in 16 , 18 least 16 , 19 in 17 at 18 least 19 in 21 population 19 in 25 . 20 this 21 population 21 population 22 from 22 from 24 spain 23 southern 24 spain infertility is a major , [multifaceted] issue worldwide whose prevalence is increasing in both high - and low - income countries . 0 ###LEFT-WALL### 1 infertility 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 22 . 1 infertility 2 is 2 is 4 major 3 a 4 major 5 , 7 issue 7 issue 17 and 8 worldwide 9 whose 8 worldwide 12 increasing 8 worldwide 17 and 9 whose 10 prevalence 10 prevalence 11 is 12 increasing 13 in 12 increasing 15 high 13 in 14 both 16 - 17 and 17 and 21 countries 18 low 19 - 18 low 20 income 20 income 21 countries the reasons are numerous , [and] may differ among world regions , but lifestyle and nutritional factors , epidemic infections , and sexually transmitted diseases are major determinants in most latitudes . 0 ###LEFT-WALL### 2 reasons 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 32 . 1 the 2 reasons 2 reasons 3 are 3 are 4 numerous 5 , 22 and 7 may 8 differ 7 may 22 and 8 differ 9 among 9 among 11 regions 10 world 11 regions 11 regions 13 but 11 regions 20 infections 12 , 13 but 13 but 15 and 13 but 18 , 14 lifestyle 15 and 15 and 17 factors 16 nutritional 17 factors 18 , 20 infections 19 epidemic 20 infections 20 infections 21 , 22 and 27 major 23 sexually 24 transmitted 24 transmitted 25 diseases 25 diseases 26 are 26 are 27 major 27 major 28 determinants 27 major 29 in 29 in 31 latitudes 30 most 31 latitudes three other reasons may explain the increasing incidence of infertility . 0 ###LEFT-WALL### 3 reasons 0 ###LEFT-WALL### 5 explain 0 ###LEFT-WALL### 11 . 1 three 2 other 2 other 3 reasons 3 reasons 4 may 4 may 5 explain 5 explain 8 incidence 6 the 8 incidence 7 increasing 8 incidence 8 incidence 9 of 9 of 10 infertility first , owing to the widespread use of contraception , the choice of delaying the first pregnancy until the third decade of life places men and women at higher risk for sexually transmitted diseases , and women at higher risk for uterine fibroids , endometriosis , polycystic ovary syndrome , and chronic anovulation . 0 ###LEFT-WALL### 12 choice 0 ###LEFT-WALL### 24 places 0 ###LEFT-WALL### 54 . 1 first 2 , 1 first 12 choice 3 owing 4 to 3 owing 7 use 3 owing 10 , 3 owing 12 choice 4 to 6 widespread 5 the 6 widespread 7 use 8 of 8 of 9 contraception 11 the 12 choice 12 choice 13 of 12 choice 24 places 13 of 14 delaying 14 delaying 17 pregnancy 14 delaying 18 until 15 the 17 pregnancy 16 first 17 pregnancy 18 until 21 decade 19 the 21 decade 20 third 21 decade 21 decade 22 of 22 of 23 life 24 places 26 and 24 places 28 at 24 places 41 for 25 men 26 and 26 and 27 women 28 at 36 and 29 higher 30 risk 30 risk 31 for 30 risk 36 and 31 for 34 diseases 32 sexually 33 transmitted 33 transmitted 34 diseases 35 , 36 and 36 and 37 women 37 women 38 at 38 at 40 risk 39 higher 40 risk 41 for 51 and 42 uterine 43 fibroids 43 fibroids 44 , 44 , 45 endometriosis 44 , 46 , 46 , 49 syndrome 46 , 51 and 47 polycystic 49 syndrome 48 ovary 49 syndrome 50 , 51 and 51 and 53 anovulation 52 chronic 53 anovulation second , prolonged exposure to chronic stress and environmental pollutants may play a critical role in decreasing fertility . 0 ###LEFT-WALL### 4 exposure 0 ###LEFT-WALL### 12 play 0 ###LEFT-WALL### 19 . 1 second 2 , 1 second 4 exposure 3 prolonged 4 exposure 4 exposure 5 to 4 exposure 11 may 5 to 8 and 6 chronic 7 stress 7 stress 8 and 8 and 10 pollutants 9 environmental 10 pollutants 11 may 12 play 12 play 15 role 12 play 16 in 13 a 14 critical 13 a 15 role 14 critical 15 role 16 in 17 decreasing 17 decreasing 18 fertility third , gonadotoxic oncologic treatments allow many patients to survive cancer , at the cost of their fertility . 0 ###LEFT-WALL### 5 treatments 0 ###LEFT-WALL### 6 allow 1 third 2 , 1 third 5 treatments 3 gonadotoxic 5 treatments 4 oncologic 5 treatments 5 treatments 6 allow 6 allow 8 patients 6 allow 9 to 6 allow 10 survive 7 many 8 patients 9 to 10 survive 10 survive 11 cancer 11 cancer 13 at 12 , 13 at 13 at 15 cost 13 at 19 . 14 the 15 cost 15 cost 16 of 16 of 18 fertility 17 their 18 fertility this consideration may justify the development of treatments that preserve fertility . 0 ###LEFT-WALL### 2 consideration 0 ###LEFT-WALL### 4 justify 0 ###LEFT-WALL### 12 . 1 this 2 consideration 2 consideration 3 may 3 may 4 justify 4 justify 6 development 5 the 6 development 6 development 7 of 7 of 8 treatments 8 treatments 9 that 8 treatments 10 preserve 9 that 10 preserve 10 preserve 11 fertility none [aim] : we aimed to determine whether there was a blue zone , an area characterized by extreme longevity , in menorca , spain . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 7 determine 3 : 4 we 3 : 5 aimed 4 we 5 aimed 5 aimed 6 to 6 to 7 determine 7 determine 8 whether 7 determine 22 in 8 whether 9 there 8 whether 10 was 9 there 10 was 10 was 13 zone 11 a 13 zone 12 blue 13 zone 13 zone 16 area 14 , 16 area 15 an 16 area 16 area 17 characterized 16 area 18 by 16 area 21 , 18 by 20 longevity 19 extreme 20 longevity 21 , 22 in 22 in 23 menorca 22 in 26 . 23 menorca 25 spain 24 , 25 spain 25 spain 26 . methods : we explored official statistics of the balearic islands , spain , and calculated life expectancy from 1991 to 2009 , by sex and island , among other demographic estimators . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 14 and 3 we 14 and 4 explored 6 statistics 4 explored 14 and 5 official 6 statistics 6 statistics 7 of 7 of 10 islands 8 the 10 islands 9 balearic 10 islands 10 islands 12 spain 11 , 12 spain 12 spain 13 , 14 and 15 calculated 14 and 28 among 15 calculated 17 expectancy 16 life 17 expectancy 17 expectancy 20 to 17 expectancy 23 by 18 from 20 to 19 1991 20 to 20 to 21 2009 22 , 23 by 23 by 25 and 23 by 27 , 24 sex 25 and 25 and 26 island 27 , 28 among 28 among 31 estimators 28 among 32 . 29 other 31 estimators 30 demographic 31 estimators results : the life expectancy at birth in menorca reached a peak in 2007 with 82.3 years , but since 2001 in females and 2007 in males , it plateaued and then descended . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 expectancy 2 : 31 and 2 : 34 . 3 the 5 expectancy 4 life 5 expectancy 5 expectancy 6 at 5 expectancy 31 and 6 at 7 birth 7 birth 8 in 8 in 9 menorca 10 reached 12 peak 10 reached 13 in 10 reached 31 and 11 a 12 peak 13 in 14 2007 14 2007 15 with 14 2007 30 plateaued 15 with 17 years 16 82.3 17 years 17 years 29 it 17 years 30 plateaued 18 , 19 but 19 but 20 since 19 but 28 , 19 but 29 it 20 since 21 2001 21 2001 22 in 22 in 24 and 23 females 24 and 24 and 27 males 25 2007 26 in 26 in 27 males 29 it 30 plateaued 31 and 33 descended 32 then 33 descended the percentage of centenarians in es migjorn gran was 0.17 % in 2001 , only because of the 0.33 % male contribution , and it returned [to] within the average balearic rates . 0 ###LEFT-WALL### 2 percentage 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 32 rates 0 ###LEFT-WALL### 33 . 1 the 2 percentage 2 percentage 3 of 2 percentage 9 was 3 of 4 centenarians 4 centenarians 5 in 5 in 8 gran 6 es 7 migjorn 7 migjorn 8 gran 9 was 11 % 9 was 12 in 9 was 16 because 10 0.17 11 % 12 in 13 2001 14 , 15 only 14 , 16 because 16 because 17 of 16 because 23 , 17 of 22 contribution 18 the 22 contribution 19 0.33 20 % 20 % 22 contribution 21 male 22 contribution 24 and 25 it 24 and 26 returned 25 it 26 returned 26 returned 28 within 28 within 30 average 29 the 30 average 30 average 31 balearic 30 average 32 rates 31 balearic 32 rates there is no record of any other surviving centenarian after 2006 in es migjorn gran . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 16 . 1 there 2 is 2 is 4 record 3 no 4 record 4 record 5 of 5 of 9 centenarian 6 any 7 other 7 other 9 centenarian 8 surviving 9 centenarian 9 centenarian 10 after 10 after 11 2006 11 2006 12 in 12 in 15 gran 13 es 14 migjorn 14 migjorn 15 gran results obtained with other demographic indices are confirmatory . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 7 are 0 ###LEFT-WALL### 9 . 1 results 2 obtained 1 results 7 are 2 obtained 3 with 3 with 6 indices 4 other 6 indices 5 demographic 6 indices 7 are 8 confirmatory conclusions : it [appears] [there] was no extreme longevity or blue zone in es migjorn gran and the surrounding villages in menorca . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 3 it 2 : 6 was 3 it 6 was 6 was 10 or 6 was 13 in 6 was 21 in 7 no 9 longevity 8 extreme 9 longevity 9 longevity 10 or 10 or 12 zone 11 blue 12 zone 13 in 17 and 14 es 15 migjorn 15 migjorn 16 gran 16 gran 17 and 17 and 20 villages 18 the 20 villages 19 surrounding 20 villages 21 in 22 menorca we describe a methodology for detecting differentially methylated regions ( dmrs ) and variably methylated regions ( vmrs ) , in data from infinium 450 k arrays that are very widely used in epigenetic studies . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 13 and 1 we 13 and 2 describe 4 methodology 2 describe 13 and 3 a 4 methodology 4 methodology 5 for 4 methodology 11 dmrs 5 for 6 detecting 6 detecting 9 regions 7 differentially 8 methylated 8 methylated 9 regions 10 ( 11 dmrs 11 dmrs 12 ) 13 and 15 methylated 13 and 16 regions 14 variably 15 methylated 16 regions 18 vmrs 16 regions 21 in 17 ( 18 vmrs 18 vmrs 19 ) 20 , 21 in 21 in 22 data 21 in 36 . 22 data 23 from 22 data 28 that 22 data 29 are 23 from 27 arrays 24 infinium 27 arrays 25 450 26 k 26 k 27 arrays 28 that 29 are 29 are 32 used 30 very 31 widely 31 widely 32 used 32 used 33 in 33 in 35 studies 34 epigenetic 35 studies region detection is more specific than single cpg analysis as it increases the extent of common findings between studies , and is more powerful as it reduces the multiple testing problem inherent in epigenetic whole - genome association studies ( ewas ) . 0 ###LEFT-WALL### 1 region 0 ###LEFT-WALL### 6 than 0 ###LEFT-WALL### 43 . 2 detection 3 is 3 is 5 specific 4 more 5 specific 5 specific 6 than 6 than 8 cpg 6 than 27 reduces 7 single 8 cpg 8 cpg 9 analysis 8 cpg 22 is 8 cpg 24 powerful 8 cpg 27 reduces 9 analysis 10 as 9 analysis 21 and 10 as 11 it 12 increases 14 extent 12 increases 18 between 12 increases 21 and 13 the 14 extent 14 extent 15 of 15 of 17 findings 16 common 17 findings 18 between 19 studies 20 , 21 and 21 and 22 is 22 is 23 more 24 powerful 25 as 25 as 26 it 27 reduces 31 problem 28 the 31 problem 29 multiple 31 problem 30 testing 31 problem 31 problem 32 inherent 31 problem 41 ewas 32 inherent 33 in 33 in 39 studies 34 epigenetic 37 genome 35 whole 36 - 35 whole 37 genome 37 genome 38 association 38 association 39 studies 40 ( 41 ewas 41 ewas 42 ) in addition , results driven by single erroneous probes are removed . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 11 removed 0 ###LEFT-WALL### 12 . 1 in 2 addition 1 in 3 , 1 in 4 results 4 results 5 driven 4 results 10 are 5 driven 6 by 6 by 9 probes 7 single 9 probes 8 erroneous 9 probes 10 are 11 removed we have used multiple publicly available infinium 450 k data sets to generate a consensus list of dmrs for age , supporting the hypothesis that aging is associated with specific epigenetic modifications . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 used 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 33 . 1 we 2 have 2 have 3 used 3 used 11 sets 3 used 12 to 3 used 13 generate 4 multiple 11 sets 5 publicly 6 available 6 available 11 sets 7 infinium 10 data 8 450 9 k 9 k 10 data 10 data 11 sets 12 to 13 generate 13 generate 16 list 13 generate 19 for 14 a 16 list 15 consensus 16 list 16 list 17 of 17 of 18 dmrs 19 for 20 age 21 , 22 supporting 21 , 28 associated 22 supporting 24 hypothesis 22 supporting 27 is 23 the 24 hypothesis 24 hypothesis 26 aging 25 that 26 aging 27 is 28 associated 28 associated 29 with 29 with 32 modifications 30 specific 32 modifications 31 epigenetic 32 modifications the consensus aging dmrs are significantly enriched for muscle biogenesis pathways . 0 ###LEFT-WALL### 2 consensus 0 ###LEFT-WALL### 7 enriched 0 ###LEFT-WALL### 12 . 1 the 2 consensus 2 consensus 3 aging 2 consensus 4 dmrs 2 consensus 5 are 2 consensus 7 enriched 4 dmrs 5 are 5 are 6 significantly 7 enriched 8 for 7 enriched 11 pathways 8 for 10 biogenesis 9 muscle 10 biogenesis we find a massive increase in vmrs with age and in regions of the genome associated with open chromatin and neurotransmission . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 find 0 ###LEFT-WALL### 22 . 1 we 2 find 2 find 5 increase 2 find 6 in 3 a 4 massive 3 a 5 increase 4 massive 5 increase 6 in 20 and 7 vmrs 10 and 7 vmrs 20 and 8 with 9 age 8 with 10 and 10 and 11 in 11 in 12 regions 12 regions 13 of 13 of 15 genome 14 the 15 genome 15 genome 16 associated 16 associated 17 with 17 with 19 chromatin 18 open 19 chromatin 20 and 21 neurotransmission old age vmrs are significantly enriched for neurotransmission pathways . 0 ###LEFT-WALL### 3 vmrs 0 ###LEFT-WALL### 6 enriched 0 ###LEFT-WALL### 10 . 1 old 2 age 2 age 3 vmrs 3 vmrs 4 are 4 are 6 enriched 5 significantly 6 enriched 6 enriched 7 for 7 for 9 pathways 8 neurotransmission 9 pathways ewas studies should investigate the role of this interindividual variation in dna methylation , in the age - associated diseases of sarcopenia and dementia . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 investigate 0 ###LEFT-WALL### 25 . 1 ewas 2 studies 2 studies 3 should 3 should 4 investigate 4 investigate 6 role 4 investigate 11 in 4 investigate 23 and 5 the 6 role 6 role 7 of 7 of 10 variation 8 this 9 interindividual 9 interindividual 10 variation 11 in 12 dna 12 dna 13 methylation 12 dna 21 of 13 methylation 15 in 13 methylation 19 associated 14 , 15 in 15 in 17 age 15 in 18 - 16 the 17 age 19 associated 20 diseases 20 diseases 21 of 22 sarcopenia 23 and 23 and 24 dementia this article discusses the first nations sample of a larger study on dementia care decisions and knowledge sharing.the purpose is to enhance understanding of the process of knowledge sharing among health care practitioners ( hcps ) , care partners , and persons with dementia ( pwds ) within a rural first nations community . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 discusses 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 22 enhance 0 ###LEFT-WALL### 54 . 1 this 2 article 2 article 3 discusses 3 discusses 7 sample 3 discusses 12 on 4 the 7 sample 5 first 6 nations 6 nations 7 sample 7 sample 8 of 8 of 11 study 9 a 11 study 10 larger 11 study 12 on 15 decisions 13 dementia 15 decisions 14 care 15 decisions 16 and 19 purpose 16 and 20 is 17 knowledge 19 purpose 18 sharing.the 19 purpose 19 purpose 20 is 20 is 21 to 21 to 22 enhance 22 enhance 23 understanding 22 enhance 30 among 22 enhance 48 within 23 understanding 24 of 23 understanding 27 of 24 of 26 process 25 the 26 process 27 of 29 sharing 28 knowledge 29 sharing 30 among 33 practitioners 31 health 32 care 32 care 33 practitioners 33 practitioners 35 hcps 33 practitioners 41 and 34 ( 35 hcps 35 hcps 36 ) 37 , 41 and 38 care 39 partners 39 partners 41 and 40 , 41 and 41 and 42 persons 41 and 43 with 41 and 47 ) 43 with 44 dementia 44 dementia 46 pwds 45 ( 46 pwds 46 pwds 47 ) 48 within 53 community 49 a 50 rural 49 a 53 community 50 rural 53 community 51 first 52 nations 52 nations 53 community a constructivist grounded theory methodology was used . 0 ###LEFT-WALL### 5 methodology 0 ###LEFT-WALL### 7 used 0 ###LEFT-WALL### 8 . 1 a 5 methodology 2 constructivist 3 grounded 3 grounded 5 methodology 4 theory 5 methodology 5 methodology 6 was 6 was 7 used nineteen interviews were conducted at three points in time with two dementia care networks that included two pwds , three care partners , and two hcps . 0 ###LEFT-WALL### 2 interviews 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 27 . 1 nineteen 2 interviews 2 interviews 3 were 3 were 4 conducted 4 conducted 5 at 4 conducted 10 with 5 at 7 points 6 three 7 points 7 points 8 in 8 in 9 time 10 with 14 networks 11 two 14 networks 12 dementia 13 care 13 care 14 networks 14 networks 15 that 14 networks 16 included 15 that 16 included 16 included 18 pwds 17 two 18 pwds 19 , 24 and 20 three 22 partners 21 care 22 partners 22 partners 24 and 23 , 24 and 24 and 26 hcps 25 two 26 hcps a sharing dementia care knowledge model was conceived , with the pwds and their care partners at the centre . 0 ###LEFT-WALL### 6 model 0 ###LEFT-WALL### 8 conceived 1 a 6 model 2 sharing 6 model 3 dementia 4 care 4 care 6 model 5 knowledge 6 model 6 model 7 was 7 was 8 conceived 8 conceived 10 with 9 , 10 with 10 with 13 and 10 with 20 . 11 the 12 pwds 12 pwds 13 and 13 and 16 partners 13 and 17 at 14 their 16 partners 15 care 16 partners 17 at 19 centre 18 the 19 centre knowledge sharing in the model was represented by three broad themes [:] ( 1 [ )(developing trusting relationships , ( 2 ) accessing [and] adapting the information [,] [and] ( 3 ) applying the information . 0 ###LEFT-WALL### 1 knowledge 0 ###LEFT-WALL### 7 represented 0 ###LEFT-WALL### 36 . 1 knowledge 2 sharing 1 knowledge 6 was 1 knowledge 7 represented 2 sharing 3 in 2 sharing 6 was 3 in 5 model 4 the 5 model 7 represented 8 by 7 represented 23 accessing 8 by 11 themes 9 three 11 themes 10 broad 11 themes 11 themes 14 1 11 themes 21 2 13 ( 14 1 14 1 16 )(developing 14 1 17 trusting 14 1 19 , 17 trusting 18 relationships 20 ( 21 2 21 2 22 ) 23 accessing 25 adapting 23 accessing 33 applying 25 adapting 27 information 26 the 27 information 27 information 31 3 30 ( 31 3 31 3 32 ) 33 applying 35 information 34 the 35 information culturally sensitive approaches were essential to developing trusting relationships . 0 ###LEFT-WALL### 3 approaches 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 10 . 1 culturally 3 approaches 2 sensitive 3 approaches 3 approaches 4 were 4 were 5 essential 5 essential 6 to 6 to 7 developing 7 developing 9 relationships 8 trusting 9 relationships once developed , knowledge sharing through accessing , adapting , and applying the information was possible . 0 ###LEFT-WALL### 4 knowledge 0 ###LEFT-WALL### 15 was 0 ###LEFT-WALL### 17 . 1 once 2 developed 2 developed 3 , 2 developed 4 knowledge 4 knowledge 5 sharing 4 knowledge 15 was 5 sharing 6 through 5 sharing 14 information 6 through 11 and 7 accessing 8 , 8 , 9 adapting 8 , 11 and 10 , 11 and 11 and 12 applying 13 the 14 information 15 was 16 possible the classic theories of aging such as the free radical theory , including its mitochondria - related versions , have largely focused on a few specific processes of senescence . 0 ###LEFT-WALL### 3 theories 0 ###LEFT-WALL### 22 focused 0 ###LEFT-WALL### 30 . 1 the 3 theories 2 classic 3 theories 3 theories 4 of 3 theories 13 including 3 theories 20 have 4 of 5 aging 5 aging 7 as 6 such 7 as 7 as 11 theory 8 the 11 theory 9 free 11 theory 10 radical 11 theory 12 , 13 including 13 including 15 mitochondria 13 including 16 - 14 its 15 mitochondria 16 - 17 related 17 related 18 versions 17 related 19 , 17 related 20 have 20 have 22 focused 21 largely 22 focused 22 focused 23 on 23 on 27 processes 24 a 25 few 25 few 27 processes 26 specific 27 processes 27 processes 28 of 28 of 29 senescence meanwhile , numerous interconnections have become apparent between age - dependent changes previously thought to proceed more or less independently . 0 ###LEFT-WALL### 4 interconnections 0 ###LEFT-WALL### 6 become 0 ###LEFT-WALL### 14 thought 1 meanwhile 2 , 1 meanwhile 4 interconnections 3 numerous 4 interconnections 4 interconnections 5 have 5 have 6 become 6 become 7 apparent 7 apparent 8 between 8 between 9 age 10 - 14 thought 11 dependent 12 changes 12 changes 14 thought 13 previously 14 thought 14 thought 15 to 14 thought 21 . 15 to 16 proceed 16 proceed 18 or 16 proceed 20 independently 17 more 18 or 18 or 19 less increased damage by free radicals is not only linked to impairments of mitochondrial function , but also [to] inflammaging as it occurs during immune remodeling and by release of proinflammatory cytokines from mitotically arrested [,] dna - damaged cells that exhibit the senescence - associated secretory phenotype ( sasp ) . 0 ###LEFT-WALL### 1 increased 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 7 not 1 increased 6 is 2 damage 3 by 2 damage 6 is 3 by 5 radicals 4 free 5 radicals 7 not 8 only 7 not 19 inflammaging 9 linked 10 to 9 linked 15 , 9 linked 19 inflammaging 10 to 11 impairments 11 impairments 12 of 12 of 14 function 13 mitochondrial 14 function 16 but 17 also 16 but 19 inflammaging 19 inflammaging 20 as 19 inflammaging 22 occurs 20 as 21 it 22 occurs 26 and 22 occurs 32 from 23 during 25 remodeling 23 during 26 and 24 immune 25 remodeling 26 and 27 by 27 by 28 release 28 release 29 of 29 of 31 cytokines 30 proinflammatory 31 cytokines 32 from 36 dna 33 mitotically 34 arrested 34 arrested 36 dna 36 dna 39 cells 37 - 39 cells 38 damaged 39 cells 39 cells 40 that 39 cells 41 exhibit 39 cells 51 . 40 that 41 exhibit 41 exhibit 43 senescence 42 the 43 senescence 43 senescence 47 phenotype 44 - 47 phenotype 45 associated 47 phenotype 46 secretory 47 phenotype 47 phenotype 49 sasp 47 phenotype 51 . 48 ( 49 sasp 49 sasp 50 ) among other effects , sasp can cause mutations in stem cells that reduce the capacity for tissue regeneration or [,] [in] [worst] case , lead to cancer stem cells . 0 ###LEFT-WALL### 5 sasp 0 ###LEFT-WALL### 7 cause 0 ###LEFT-WALL### 30 . 1 among 3 effects 1 among 4 , 1 among 5 sasp 2 other 3 effects 5 sasp 6 can 6 can 7 cause 7 cause 8 mutations 8 mutations 9 in 8 mutations 12 that 8 mutations 24 , 9 in 11 cells 10 stem 11 cells 12 that 24 , 13 reduce 15 capacity 13 reduce 16 for 13 reduce 24 , 14 the 15 capacity 16 for 19 or 17 tissue 18 regeneration 18 regeneration 19 or 19 or 23 case 24 , 25 lead 25 lead 26 to 26 to 29 cells 27 cancer 29 cells 28 stem 29 cells oxidative stress has also been shown to promote telomere attrition . 0 ###LEFT-WALL### 2 stress 0 ###LEFT-WALL### 6 shown 0 ###LEFT-WALL### 11 . 1 oxidative 2 stress 2 stress 3 has 3 has 5 been 4 also 5 been 5 been 6 shown 6 shown 7 to 7 to 8 promote 8 promote 10 attrition 9 telomere 10 attrition moreover , damage by free radicals is connected to impaired circadian rhythmicity . 0 ###LEFT-WALL### 3 damage 0 ###LEFT-WALL### 8 connected 0 ###LEFT-WALL### 13 . 1 moreover 2 , 1 moreover 3 damage 3 damage 4 by 3 damage 7 is 4 by 6 radicals 5 free 6 radicals 7 is 8 connected 8 connected 9 to 9 to 12 rhythmicity 10 impaired 12 rhythmicity 11 circadian 12 rhythmicity another nexus exists between cellular oscillators and metabolic sensing , in particular to the aging - suppressor sirt1 , which acts as an accessory clock protein . 0 ###LEFT-WALL### 2 nexus 0 ###LEFT-WALL### 3 exists 0 ###LEFT-WALL### 27 . 1 another 2 nexus 2 nexus 3 exists 3 exists 4 between 4 between 7 and 5 cellular 6 oscillators 6 oscillators 7 and 7 and 9 sensing 7 and 10 , 7 and 12 particular 7 and 13 to 7 and 20 which 7 and 21 acts 8 metabolic 9 sensing 11 in 12 particular 13 to 15 aging 14 the 15 aging 15 aging 18 sirt1 16 - 18 sirt1 17 suppressor 18 sirt1 18 sirt1 19 , 20 which 21 acts 21 acts 22 as 22 as 26 protein 23 an 26 protein 24 accessory 26 protein 25 clock 26 protein melatonin , being a highly pleiotropic regulator molecule , interacts directly or indirectly with all the processes mentioned . 0 ###LEFT-WALL### 1 melatonin 0 ###LEFT-WALL### 10 interacts 0 ###LEFT-WALL### 19 . 1 melatonin 3 being 1 melatonin 10 interacts 2 , 3 being 3 being 8 molecule 3 being 9 , 4 a 5 highly 4 a 8 molecule 5 highly 6 pleiotropic 6 pleiotropic 7 regulator 7 regulator 8 molecule 10 interacts 12 or 10 interacts 14 with 11 directly 12 or 12 or 13 indirectly 14 with 15 all 15 all 16 the 15 all 17 processes 16 the 17 processes 17 processes 18 mentioned these influences are critically reviewed , with emphasis on data from aged organisms and senescence - accelerated animals . 0 ###LEFT-WALL### 2 influences 0 ###LEFT-WALL### 5 reviewed 0 ###LEFT-WALL### 16 - 0 ###LEFT-WALL### 19 . 1 these 2 influences 2 influences 3 are 3 are 5 reviewed 4 critically 5 reviewed 5 reviewed 7 with 6 , 7 with 7 with 8 emphasis 7 with 16 - 8 emphasis 9 on 9 on 10 data 10 data 11 from 11 from 14 and 12 aged 13 organisms 13 organisms 14 and 14 and 15 senescence 16 - 18 animals 17 accelerated 18 animals [the] sometimes - controversial findings obtained either in a nongerontological context or in comparisons of tumor [with] nontumor cells are discussed in light of evidence obtained in senescent organisms . 0 ###LEFT-WALL### 5 findings 0 ###LEFT-WALL### 21 discussed 0 ###LEFT-WALL### 30 . 2 sometimes 3 - 2 sometimes 5 findings 4 controversial 5 findings 5 findings 6 obtained 5 findings 20 are 6 obtained 12 or 7 either 12 or 8 in 11 context 8 in 12 or 9 a 10 nongerontological 9 a 11 context 10 nongerontological 11 context 12 or 13 in 13 in 14 comparisons 14 comparisons 15 of 15 of 19 cells 16 tumor 19 cells 18 nontumor 19 cells 20 are 21 discussed 21 discussed 22 in 22 in 23 light 23 light 24 of 24 of 25 evidence 25 evidence 26 obtained 26 obtained 27 in 27 in 29 organisms 28 senescent 29 organisms although , in mammals , lifetime extension by melatonin has been rarely documented in a fully conclusive way , a support of healthy aging has been observed in rodents and is highly likely in humans . 0 ###LEFT-WALL### 21 support 0 ###LEFT-WALL### 30 and 0 ###LEFT-WALL### 36 . 1 although 7 extension 1 although 13 documented 1 although 19 , 1 although 21 support 2 , 3 in 3 in 4 mammals 3 in 5 , 3 in 7 extension 6 lifetime 7 extension 7 extension 8 by 7 extension 10 has 8 by 9 melatonin 10 has 11 been 11 been 13 documented 12 rarely 13 documented 13 documented 14 in 14 in 18 way 15 a 16 fully 15 a 18 way 16 fully 17 conclusive 17 conclusive 18 way 20 a 21 support 21 support 22 of 21 support 30 and 22 of 24 aging 23 healthy 24 aging 25 has 26 been 25 has 30 and 26 been 27 observed 27 observed 28 in 28 in 29 rodents 30 and 31 is 31 is 33 likely 32 highly 33 likely 33 likely 34 in 34 in 35 humans oncocytomas are benign tumors most often occurring in salivary or lacrimal glands and thyroid tissue . 0 ###LEFT-WALL### 1 oncocytomas 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 16 . 1 oncocytomas 2 are 2 are 4 tumors 3 benign 4 tumors 4 tumors 7 occurring 5 most 6 often 6 often 7 occurring 7 occurring 8 in 8 in 13 and 9 salivary 10 or 10 or 11 lacrimal 10 or 12 glands 12 glands 13 and 13 and 15 tissue 14 thyroid 15 tissue as cutaneous oncocytoma is exceptionally rare , this tumor is uncommonly encountered by dermatopathologists . 0 ###LEFT-WALL### 9 tumor 0 ###LEFT-WALL### 12 encountered 0 ###LEFT-WALL### 15 . 1 as 3 oncocytoma 1 as 4 is 1 as 7 , 1 as 9 tumor 2 cutaneous 3 oncocytoma 3 oncocytoma 4 is 4 is 6 rare 5 exceptionally 6 rare 8 this 9 tumor 9 tumor 10 is 10 is 12 encountered 11 uncommonly 12 encountered 12 encountered 13 by 13 by 14 dermatopathologists herein , we illustrate the case of an 80 [-] year [-] old man [who] presented with a slowly growing papule of the lower eyelid . 0 ###LEFT-WALL### 1 herein 0 ###LEFT-WALL### 2 , 0 ###LEFT-WALL### 26 . 2 , 3 we 2 , 4 illustrate 3 we 4 illustrate 4 illustrate 6 case 4 illustrate 17 with 5 the 6 case 6 case 7 of 7 of 14 man 8 an 14 man 9 80 11 year 11 year 14 man 13 old 14 man 14 man 16 presented 17 with 21 papule 18 a 21 papule 19 slowly 20 growing 20 growing 21 papule 21 papule 22 of 22 of 25 eyelid 23 the 25 eyelid 24 lower 25 eyelid histopathologically , the adenomatous tumor was composed of large monomorphic cells with eosinophilic granular cytoplasm . 0 ###LEFT-WALL### 5 tumor 0 ###LEFT-WALL### 7 composed 0 ###LEFT-WALL### 16 . 1 histopathologically 2 , 1 histopathologically 5 tumor 3 the 5 tumor 4 adenomatous 5 tumor 5 tumor 6 was 6 was 7 composed 7 composed 8 of 7 composed 12 with 8 of 11 cells 9 large 11 cells 10 monomorphic 11 cells 12 with 15 cytoplasm 13 eosinophilic 15 cytoplasm 14 granular 15 cytoplasm electron microscopy revealed abundant , enlarged [and] abnormally shaped mitochondria . 0 ###LEFT-WALL### 2 microscopy 0 ###LEFT-WALL### 3 revealed 0 ###LEFT-WALL### 11 . 1 electron 2 microscopy 2 microscopy 3 revealed 3 revealed 10 mitochondria 4 abundant 5 , 4 abundant 10 mitochondria 6 enlarged 10 mitochondria 8 abnormally 9 shaped 9 shaped 10 mitochondria these findings were consistent with an oncocytoma of the skin . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 11 . 1 these 2 findings 2 findings 3 were 3 were 4 consistent 4 consistent 5 with 5 with 7 oncocytoma 6 an 7 oncocytoma 7 oncocytoma 8 of 8 of 10 skin 9 the 10 skin the presented case is unique in that the thorough work - up of the tumor tissue revealed not only hyperplastic mitochondria , representing the ultrastructural correlate [of] the observed granular cytoplasm , but additionally disclosed functional consequences with elevated levels of reactive oxygen [specimen] ( ros ) within the tumor . 0 ###LEFT-WALL### 3 case 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 11 - 1 the 3 case 2 presented 3 case 3 case 4 is 4 is 5 unique 5 unique 7 that 6 in 7 that 7 that 9 thorough 7 that 10 work 8 the 9 thorough 9 thorough 10 work 11 - 25 ultrastructural 11 - 33 but 11 - 51 . 12 up 25 ultrastructural 13 of 16 tissue 13 of 25 ultrastructural 14 the 16 tissue 15 tumor 16 tissue 16 tissue 17 revealed 18 not 23 representing 18 not 25 ultrastructural 19 only 20 hyperplastic 20 hyperplastic 23 representing 21 mitochondria 22 , 21 mitochondria 23 representing 24 the 25 ultrastructural 25 ultrastructural 33 but 26 correlate 31 cytoplasm 26 correlate 33 but 28 the 31 cytoplasm 29 observed 31 cytoplasm 30 granular 31 cytoplasm 32 , 33 but 33 but 35 disclosed 34 additionally 35 disclosed 35 disclosed 37 consequences 35 disclosed 38 with 35 disclosed 48 within 36 functional 37 consequences 38 with 40 levels 39 elevated 40 levels 40 levels 41 of 41 of 43 oxygen 42 reactive 43 oxygen 43 oxygen 46 ros 45 ( 46 ros 46 ros 47 ) 48 within 50 tumor 49 the 50 tumor disrupted oxygen metabolism may result from cellular aging processes and may putatively represent the underlying pathogenesis of oncocytoma . 0 ###LEFT-WALL### 3 metabolism 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 19 . 1 disrupted 2 oxygen 2 oxygen 3 metabolism 3 metabolism 10 and 4 may 5 result 4 may 10 and 5 result 6 from 6 from 9 processes 7 cellular 9 processes 8 aging 9 processes 10 and 11 may 10 and 16 pathogenesis 11 may 13 represent 12 putatively 13 represent 13 represent 15 underlying 14 the 15 underlying 16 pathogenesis 17 of 17 of 18 oncocytoma the current study used [falls] direction to categorize [falls] and explore age - related effects on the biomechanics of medio - lateral balance control . 0 ###LEFT-WALL### 2 current 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 14 related 1 the 2 current 2 current 10 and 3 study 6 direction 3 study 10 and 4 used 6 direction 6 direction 7 to 6 direction 8 categorize 7 to 8 categorize 10 and 11 explore 11 explore 12 age 13 - 14 related 14 related 15 effects 14 related 16 on 14 related 25 . 16 on 18 biomechanics 17 the 18 biomechanics 18 biomechanics 19 of 19 of 24 control 20 medio 21 - 20 medio 23 balance 22 lateral 23 balance 23 balance 24 control lateral [center] of pressure ( cop ) displacement from [toe] [-] off [to] mlm was also monitored to assess the risk of medio - lateral balance perturbation . 0 ###LEFT-WALL### 8 displacement 0 ###LEFT-WALL### 17 monitored 0 ###LEFT-WALL### 24 - 1 lateral 8 displacement 3 of 4 pressure 3 of 8 displacement 4 pressure 6 cop 5 ( 6 cop 6 cop 7 ) 8 displacement 9 from 8 displacement 15 was 9 from 12 off 12 off 14 mlm 15 was 17 monitored 16 also 17 monitored 17 monitored 18 to 18 to 19 assess 19 assess 21 risk 20 the 21 risk 21 risk 22 of 22 of 23 medio 24 - 27 perturbation 24 - 28 . 25 lateral 26 balance 26 balance 27 perturbation gait testing involving 30 young and 26 older male subjects was conducted under the three step width conditions [:] preferred and ± 50 % wider and narrower . 0 ###LEFT-WALL### 2 testing 0 ###LEFT-WALL### 12 conducted 0 ###LEFT-WALL### 28 . 1 gait 2 testing 2 testing 3 involving 2 testing 11 was 3 involving 6 and 4 30 6 and 5 young 6 and 6 and 10 subjects 7 26 10 subjects 8 older 9 male 9 male 10 subjects 11 was 12 conducted 12 conducted 13 under 12 conducted 26 and 13 under 24 % 14 the 15 three 15 three 18 conditions 16 step 18 conditions 17 width 18 conditions 18 conditions 20 preferred 18 conditions 21 and 21 and 22 ± 21 and 24 % 22 ± 23 50 25 wider 26 and 26 and 27 narrower for an overall description [of] gait , spatio - temporal parameters were also obtained . 0 ###LEFT-WALL### 1 for 0 ###LEFT-WALL### 12 were 0 ###LEFT-WALL### 15 . 1 for 6 gait 1 for 12 were 2 an 3 overall 2 an 6 gait 3 overall 4 description 4 description 6 gait 6 gait 8 spatio 7 , 8 spatio 8 spatio 9 - 10 temporal 11 parameters 11 parameters 12 were 12 were 13 also 12 were 14 obtained typical ageing effects on spatio - temporal parameters such as lower step velocity , shorter step length and prolonged double support time were found [,] emerging most clearly [in] narrower , followed by wider [and] least in preferred width walking . 0 ###LEFT-WALL### 21 support 0 ###LEFT-WALL### 31 , 0 ###LEFT-WALL### 41 . 1 typical 3 effects 2 ageing 3 effects 3 effects 4 on 3 effects 14 , 4 on 8 parameters 5 spatio 6 - 5 spatio 8 parameters 7 temporal 8 parameters 8 parameters 10 as 9 such 10 as 10 as 13 velocity 11 lower 12 step 12 step 13 velocity 14 , 17 length 14 , 18 and 15 shorter 17 length 16 step 17 length 18 and 20 double 18 and 21 support 19 prolonged 20 double 21 support 22 time 21 support 23 were 21 support 31 , 22 time 23 were 24 found 26 emerging 24 found 27 most 24 found 28 clearly 24 found 30 narrower 24 found 31 , 31 , 32 followed 32 followed 33 by 32 followed 34 wider 32 followed 37 in 34 wider 36 least 37 in 39 width 38 preferred 39 width 39 width 40 walking mlm and cop lateral displacement were not differentiated between the two age groups , but older adults demonstrated significantly more variable mlm and cop in their [non] [-] dominant limb when walking with [non] [-] preferred widths . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 18 demonstrated 0 ###LEFT-WALL### 38 . 1 mlm 2 and 2 and 3 cop 2 and 9 between 2 and 18 demonstrated 3 cop 8 differentiated 4 lateral 5 displacement 5 displacement 6 were 6 were 7 not 7 not 8 differentiated 9 between 17 adults 10 the 11 two 11 two 17 adults 12 age 13 groups 13 groups 15 but 14 , 15 but 15 but 16 older 15 but 17 adults 18 demonstrated 23 and 18 demonstrated 25 in 18 demonstrated 31 when 18 demonstrated 33 with 19 significantly 20 more 20 more 23 and 21 variable 22 mlm 22 mlm 23 and 23 and 24 cop 25 in 30 limb 26 their 30 limb 29 dominant 30 limb 31 when 32 walking 33 with 37 widths 36 preferred 37 widths variability of step width reduced in increased and decreased step width conditions while mlm and cop variability increased , suggesting less consistent medio - lateral com control despite consistent foot control in altered width conditions . 0 ###LEFT-WALL### 1 variability 0 ###LEFT-WALL### 12 conditions 0 ###LEFT-WALL### 36 . 1 variability 2 of 1 variability 12 conditions 2 of 4 width 3 step 4 width 4 width 5 reduced 5 reduced 6 in 6 in 8 and 7 increased 8 and 8 and 9 decreased 8 and 11 width 10 step 11 width 12 conditions 13 while 12 conditions 20 suggesting 12 conditions 27 control 12 conditions 28 despite 12 conditions 32 in 13 while 15 and 13 while 18 increased 14 mlm 15 and 15 and 17 variability 15 and 18 increased 16 cop 17 variability 19 , 20 suggesting 20 suggesting 23 medio 20 suggesting 24 - 21 less 23 medio 22 consistent 23 medio 25 lateral 27 control 26 com 27 control 28 despite 31 control 29 consistent 30 foot 30 foot 31 control 32 in 35 conditions 33 altered 35 conditions 34 width 35 conditions in summary , older adults were found to have less consistent control of com with respect to the [non] [-] dominant stance foot when walking with narrower and wider widths possibly due to more variable medio - lateral cop control . 0 ###LEFT-WALL### 2 summary 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 9 have 0 ###LEFT-WALL### 41 . 1 in 2 summary 3 , 5 adults 3 , 7 found 4 older 5 adults 5 adults 6 were 6 were 7 found 7 found 8 to 8 to 9 have 9 have 12 control 9 have 24 when 10 less 12 control 11 consistent 12 control 12 control 13 of 13 of 14 com 14 com 15 with 15 with 16 respect 16 respect 17 to 17 to 23 foot 18 the 23 foot 21 dominant 22 stance 22 stance 23 foot 24 when 25 walking 25 walking 26 with 26 with 30 widths 26 with 31 possibly 26 with 33 to 27 narrower 28 and 28 and 29 wider 28 and 30 widths 32 due 33 to 33 to 40 control 34 more 35 variable 35 variable 40 control 36 medio 37 - 36 medio 40 control 38 lateral 40 control 39 cop 40 control the rapid increase in the ageing population of most developed countries is presenting significant challenges to policymakers [of] [public] [healthcare] . 0 ###LEFT-WALL### 2 rapid 0 ###LEFT-WALL### 13 presenting 0 ###LEFT-WALL### 21 . 1 the 2 rapid 2 rapid 3 increase 3 increase 4 in 4 in 6 ageing 5 the 6 ageing 6 ageing 7 population 6 ageing 13 presenting 7 population 8 of 7 population 12 is 8 of 11 countries 9 most 10 developed 10 developed 11 countries 12 is 13 presenting 13 presenting 15 challenges 13 presenting 16 to 14 significant 15 challenges 16 to 17 policymakers to address this problem , we propose a smarter safer home solution that enables ageing australians to live independently longer in their own homes . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 propose 0 ###LEFT-WALL### 25 . 1 to 2 address 1 to 5 , 1 to 6 we 2 address 4 problem 3 this 4 problem 6 we 7 propose 7 propose 12 solution 8 a 12 solution 9 smarter 10 safer 10 safer 11 home 11 home 12 solution 12 solution 13 that 12 solution 14 enables 13 that 14 enables 14 enables 16 australians 14 enables 17 to 14 enables 18 live 15 ageing 16 australians 17 to 18 live 18 live 19 independently 18 live 20 longer 18 live 21 in 21 in 24 homes 22 their 23 own 22 their 24 homes the primary aim of our approach is to enhance the quality of life ( qol ) of aged citizens and the family quality of life ( fqol ) for the adult children supporting their aged parents . 0 ###LEFT-WALL### 3 aim 0 ###LEFT-WALL### 37 . 1 the 3 aim 2 primary 3 aim 3 aim 4 of 3 aim 7 is 4 of 6 approach 5 our 6 approach 7 is 8 to 7 is 9 enhance 8 to 9 enhance 9 enhance 11 quality 10 the 11 quality 11 quality 12 of 11 quality 17 of 12 of 13 life 13 life 15 qol 14 ( 15 qol 15 qol 16 ) 17 of 20 and 18 aged 19 citizens 19 citizens 20 and 20 and 23 quality 20 and 24 of 20 and 29 for 20 and 33 supporting 21 the 23 quality 22 family 23 quality 24 of 25 life 25 life 27 fqol 26 ( 27 fqol 27 fqol 28 ) 29 for 32 children 30 the 32 children 31 adult 32 children 33 supporting 36 parents 34 their 36 parents 35 aged 36 parents to achieve this , we use environmentally placed sensors for [non] [-] intrusive monitoring of human behaviour . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 achieve 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 18 . 1 to 2 achieve 2 achieve 3 this 4 , 5 we 4 , 6 use 5 we 6 use 6 use 9 sensors 7 environmentally 8 placed 8 placed 9 sensors 9 sensors 10 for 10 for 14 monitoring 13 intrusive 14 monitoring 14 monitoring 15 of 15 of 17 behaviour 16 human 17 behaviour subsequently , these estimated adls would be correlated with reported and recorded health events to predicate health [decline] or critical health situations from the changes in adls . 0 ###LEFT-WALL### 5 adls 0 ###LEFT-WALL### 16 predicate 0 ###LEFT-WALL### 28 . 1 subsequently 2 , 1 subsequently 5 adls 3 these 5 adls 4 estimated 5 adls 5 adls 6 would 6 would 7 be 7 be 8 correlated 8 correlated 9 with 8 correlated 15 to 9 with 11 and 10 reported 11 and 11 and 12 recorded 12 recorded 14 events 13 health 14 events 15 to 16 predicate 16 predicate 19 or 16 predicate 23 from 16 predicate 26 in 17 health 19 or 19 or 22 situations 20 critical 21 health 21 health 22 situations 23 from 25 changes 24 the 25 changes 26 in 27 adls australia has an ever increasing ageing population due to advances in healthcare and post - war booms in fertility . 0 ###LEFT-WALL### 1 australia 0 ###LEFT-WALL### 2 has 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 20 . 1 australia 2 has 2 has 7 population 2 has 9 to 2 has 11 in 3 an 7 population 4 ever 5 increasing 5 increasing 6 ageing 6 ageing 7 population 8 due 9 to 9 to 10 advances 11 in 13 and 12 healthcare 13 and 13 and 14 post 15 - 16 war 15 - 17 booms 16 war 17 booms 17 booms 18 in 18 in 19 fertility estimations that over 22 % of the population will be aged 65+ in 2050 provide a strong incentive to develop innovative assistive technologies to support elderly people to live safely at home longer . 0 ###LEFT-WALL### 1 estimations 0 ###LEFT-WALL### 15 provide 0 ###LEFT-WALL### 34 . 1 estimations 2 that 1 estimations 9 will 1 estimations 15 provide 2 that 3 over 2 that 9 will 3 over 5 % 4 22 5 % 5 % 6 of 6 of 8 population 7 the 8 population 9 will 10 be 10 be 12 65+ 11 aged 12 65+ 12 65+ 13 in 13 in 14 2050 15 provide 18 incentive 15 provide 28 to 16 a 17 strong 16 a 18 incentive 17 strong 18 incentive 18 incentive 19 to 18 incentive 20 develop 19 to 20 develop 20 develop 23 technologies 20 develop 24 to 21 innovative 23 technologies 22 assistive 23 technologies 24 to 25 support 25 support 27 people 26 elderly 27 people 28 to 29 live 29 live 30 safely 29 live 31 at 29 live 33 longer 31 at 32 home extended independent living can improve quality of life for elders and their families and reduce costs associated with health and aged care . 0 ###LEFT-WALL### 3 living 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 23 . 1 extended 3 living 2 independent 3 living 3 living 4 can 4 can 14 and 5 improve 6 quality 5 improve 9 for 5 improve 14 and 6 quality 7 of 7 of 8 life 9 for 11 and 10 elders 11 and 11 and 13 families 12 their 13 families 14 and 15 reduce 14 and 16 costs 16 costs 20 and 17 associated 18 with 17 associated 20 and 18 with 19 health 20 and 21 aged 20 and 22 care there is however , the need to monitor the elderly resident 's safety , physical health and brain function . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 20 . 1 there 2 is 2 is 3 however 2 is 6 need 3 however 4 , 5 the 6 need 6 need 7 to 6 need 8 monitor 7 to 8 monitor 8 monitor 13 safety 9 the 11 resident 10 elderly 11 resident 11 resident 12 's 12 's 13 safety 14 , 17 and 14 , 19 function 15 physical 16 health 16 health 17 and 17 and 18 brain 17 and 19 function the smarter safer homes project aims to develop a platform to facilitate independent living . 0 ###LEFT-WALL### 5 project 0 ###LEFT-WALL### 6 aims 0 ###LEFT-WALL### 15 . 1 the 5 project 2 smarter 3 safer 3 safer 4 homes 4 homes 5 project 5 project 6 aims 6 aims 7 to 6 aims 11 to 6 aims 12 facilitate 7 to 8 develop 8 develop 10 platform 9 a 10 platform 11 to 12 facilitate 12 facilitate 14 living 13 independent 14 living the platform will aggregate sensor information at environmental , cognitive , physical , and physiological levels , allowing changes and trends in activities of daily living to be monitored . 0 ###LEFT-WALL### 2 platform 0 ###LEFT-WALL### 4 aggregate 1 the 2 platform 2 platform 3 will 3 will 4 aggregate 4 aggregate 6 information 5 sensor 6 information 6 information 7 at 6 information 18 allowing 7 at 16 levels 8 environmental 9 , 8 environmental 16 levels 10 cognitive 11 , 10 cognitive 16 levels 12 physical 14 and 13 , 14 and 14 and 15 physiological 14 and 16 levels 17 , 18 allowing 18 allowing 20 and 18 allowing 27 to 18 allowing 28 be 18 allowing 30 . 19 changes 20 and 20 and 21 trends 21 trends 22 in 22 in 23 activities 23 activities 24 of 24 of 26 living 25 daily 26 living 27 to 28 be 28 be 29 monitored such monitoring could potentially predict decline [of] brain [function] . 0 ###LEFT-WALL### 2 monitoring 0 ###LEFT-WALL### 5 predict 0 ###LEFT-WALL### 10 . 1 such 2 monitoring 2 monitoring 3 could 3 could 5 predict 4 potentially 5 predict 5 predict 8 brain 6 decline 8 brain here we present [how] data derived from a sensor - based in [-] home monitoring [system] may be able to be used to provide a measure of neurological health . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 present 0 ###LEFT-WALL### 30 . 1 here 2 we 2 we 3 present 3 present 5 data 3 present 12 in 5 data 6 derived 6 derived 7 from 6 derived 10 - 6 derived 11 based 7 from 9 sensor 8 a 9 sensor 12 in 14 home 14 home 15 monitoring 14 home 24 provide 15 monitoring 17 may 17 may 18 be 18 be 19 able 19 able 20 to 19 able 22 used 20 to 21 be 21 be 22 used 22 used 23 to 22 used 24 provide 23 to 24 provide 24 provide 29 health 25 a 26 measure 26 measure 27 of 26 measure 29 health 27 of 29 health 28 neurological 29 health this measure could then facilitate tailoring of the home to meet the resident 's changing needs , or to determine when a move to residential care is required . 0 ###LEFT-WALL### 2 measure 0 ###LEFT-WALL### 18 or 0 ###LEFT-WALL### 29 . 1 this 2 measure 2 measure 3 could 3 could 5 facilitate 4 then 5 facilitate 5 facilitate 6 tailoring 5 facilitate 10 to 6 tailoring 7 of 7 of 9 home 8 the 9 home 10 to 18 or 11 meet 16 needs 11 meet 18 or 12 the 13 resident 13 resident 14 's 14 's 16 needs 15 changing 16 needs 17 , 18 or 18 or 19 to 18 or 20 determine 19 to 20 determine 20 determine 21 when 21 when 23 move 21 when 28 required 22 a 23 move 23 move 24 to 23 move 27 is 24 to 26 care 25 residential 26 care 27 is 28 required this study investigated the relationship between neuropsychological test scores and gait speed in three gait tasks using baseline cross - sectional data from 4694 healthy adults ( 54 % women , age ( mean±sd ) 62.4±8.2 ) from the irish longitudinal study on aging ( tilda ) . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 48 . 1 this 2 study 2 study 3 investigated 3 investigated 5 relationship 3 investigated 13 in 4 the 5 relationship 5 relationship 6 between 6 between 10 and 7 neuropsychological 8 test 8 test 9 scores 9 scores 10 and 10 and 12 speed 11 gait 12 speed 13 in 14 three 14 three 16 tasks 14 three 19 cross 14 three 22 data 15 gait 16 tasks 16 tasks 17 using 16 tasks 19 cross 17 using 18 baseline 20 - 22 data 21 sectional 22 data 22 data 23 from 22 data 38 from 22 data 47 ) 23 from 26 adults 24 4694 26 adults 25 healthy 26 adults 26 adults 30 women 26 adults 32 age 27 ( 30 women 28 54 30 women 29 % 30 women 30 women 31 , 31 , 32 age 32 age 36 62.4±8.2 32 age 37 ) 33 ( 36 62.4±8.2 34 mean±sd 35 ) 34 mean±sd 36 62.4±8.2 36 62.4±8.2 37 ) 38 from 42 study 39 the 40 irish 40 irish 41 longitudinal 41 longitudinal 42 study 42 study 43 on 42 study 46 tilda 43 on 44 aging 45 ( 46 tilda 46 tilda 47 ) global cognition , short term memory , speed of processing , executive function and sustained attention were measured by a detailed battery of neuropsychological tests . 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 18 measured 0 ###LEFT-WALL### 26 . 1 global 2 cognition 2 cognition 3 , 3 , 6 memory 3 , 7 , 4 short 6 memory 5 term 6 memory 7 , 8 speed 7 , 11 , 8 speed 9 of 9 of 10 processing 11 , 13 function 11 , 14 and 12 executive 13 function 14 and 16 attention 14 and 17 were 15 sustained 16 attention 17 were 18 measured 18 measured 19 by 19 by 22 battery 20 a 21 detailed 20 a 22 battery 21 detailed 22 battery 22 battery 23 of 23 of 25 tests 24 neuropsychological 25 tests gait speed was recorded from a gaitrite ™ pressure sensing mat during a single walk and two dual [walking] tasks ; dual cognitive walk [(] alternate letters [ )(and dual motor walk ( carrying a glass of water ) . 0 ###LEFT-WALL### 2 speed 0 ###LEFT-WALL### 4 recorded 0 ###LEFT-WALL### 21 ; 0 ###LEFT-WALL### 40 . 1 gait 2 speed 2 speed 3 was 3 was 4 recorded 4 recorded 5 from 4 recorded 12 during 5 from 11 mat 6 a 11 mat 7 gaitrite 11 mat 8 ™ 11 mat 9 pressure 11 mat 10 sensing 11 mat 12 during 16 and 13 a 14 single 13 a 15 walk 14 single 15 walk 15 walk 16 and 16 and 20 tasks 16 and 21 ; 17 two 20 tasks 18 dual 20 tasks 21 ; 29 )(and 21 ; 32 walk 22 dual 27 letters 23 cognitive 24 walk 24 walk 26 alternate 26 alternate 27 letters 27 letters 29 )(and 29 )(and 31 motor 29 )(and 32 walk 30 dual 31 motor 32 walk 34 carrying 33 ( 34 carrying 34 carrying 36 glass 34 carrying 39 ) 35 a 36 glass 36 glass 37 of 37 of 38 water correlations between neuropsychological test scores and the three gait speed outcomes were investigated using univariate and multiple linear regressions models [;] firstly adjusting for age , gender , height , education and depression only and then including all neuropsychological test scores in the same regression model and adjusting as previously . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 51 . 1 correlations 2 between 1 correlations 6 and 2 between 5 scores 3 neuropsychological 5 scores 4 test 5 scores 6 and 9 gait 6 and 10 speed 6 and 13 investigated 7 the 9 gait 8 three 9 gait 10 speed 11 outcomes 10 speed 12 were 10 speed 13 investigated 11 outcomes 12 were 13 investigated 14 using 14 using 35 and 14 using 42 in 14 using 50 previously 15 univariate 16 and 16 and 20 models 16 and 23 adjusting 16 and 35 and 17 multiple 19 regressions 18 linear 19 regressions 19 regressions 20 models 22 firstly 23 adjusting 23 adjusting 24 for 23 adjusting 34 only 24 for 32 and 25 age 26 , 26 , 27 gender 26 , 28 , 28 , 29 height 28 , 30 , 30 , 31 education 30 , 32 and 32 and 33 depression 35 and 36 then 35 and 41 scores 37 including 41 scores 38 all 39 neuropsychological 39 neuropsychological 40 test 40 test 41 scores 42 in 47 and 43 the 44 same 43 the 46 model 45 regression 46 model 46 model 47 and 47 and 48 adjusting 49 as 50 previously it was found that short term memory , speed of processing and attention were significantly correlated with gait speed in all three gait conditions , with global cognition and executive function also significantly correlated with gait speed in the dual cognitive walk . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 found 0 ###LEFT-WALL### 8 , 1 it 2 was 2 was 3 found 3 found 7 memory 4 that 5 short 5 short 6 term 6 term 7 memory 8 , 12 and 8 , 16 correlated 9 speed 10 of 9 speed 12 and 10 of 11 processing 12 and 13 attention 12 and 14 were 14 were 16 correlated 15 significantly 16 correlated 16 correlated 17 with 17 with 19 speed 17 with 20 in 18 gait 19 speed 20 in 24 conditions 21 all 22 three 22 three 24 conditions 23 gait 24 conditions 24 conditions 26 with 25 , 26 with 26 with 29 and 26 with 43 . 27 global 28 cognition 28 cognition 29 and 29 and 31 function 29 and 34 correlated 30 executive 31 function 32 also 34 correlated 33 significantly 34 correlated 34 correlated 35 with 34 correlated 38 in 35 with 37 speed 36 gait 37 speed 38 in 42 walk 39 the 42 walk 40 dual 42 walk 41 cognitive 42 walk the nature and complexity of the task performed affected gait speed with the addition of the cognitive task while walking causing a larger reduction in gait speed than the addition of the motor task . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 11 speed 0 ###LEFT-WALL### 35 . 1 the 2 nature 2 nature 3 and 3 and 4 complexity 3 and 5 of 3 and 11 speed 5 of 10 gait 6 the 10 gait 7 task 8 performed 8 performed 10 gait 9 affected 10 gait 11 speed 12 with 11 speed 19 while 11 speed 24 reduction 11 speed 25 in 11 speed 28 than 12 with 14 addition 13 the 14 addition 14 addition 15 of 15 of 18 task 16 the 18 task 17 cognitive 18 task 19 while 20 walking 20 walking 21 causing 22 a 24 reduction 23 larger 24 reduction 25 in 27 speed 26 gait 27 speed 28 than 30 addition 29 the 30 addition 30 addition 31 of 31 of 34 task 32 the 34 task 33 motor 34 task this indicates that for this healthy nationally representative population sample there is a link between neural processes involved in movement and cognition and this association differs [depending] on the gait task performed . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 indicates 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 33 . 1 this 2 indicates 2 indicates 3 that 2 indicates 12 is 3 that 4 for 3 that 12 is 4 for 10 sample 5 this 10 sample 6 healthy 9 population 7 nationally 8 representative 8 representative 9 population 9 population 10 sample 10 sample 11 there 12 is 14 link 12 is 15 between 12 is 19 in 13 a 14 link 15 between 17 processes 16 neural 17 processes 17 processes 18 involved 19 in 21 and 20 movement 21 and 21 and 22 cognition 23 and 25 association 23 and 26 differs 24 this 25 association 25 association 26 differs 26 differs 28 on 28 on 31 task 29 the 31 task 30 gait 31 task 31 task 32 performed sleep is a physiological process with an internal program of a number of well defined sleep stages and intermediate wakefulness periods . 0 ###LEFT-WALL### 1 sleep 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 22 . 1 sleep 2 is 2 is 5 process 3 a 4 physiological 3 a 5 process 4 physiological 5 process 5 process 6 with 5 process 10 of 5 process 13 of 6 with 9 program 7 an 8 internal 7 an 9 program 8 internal 9 program 10 of 12 number 11 a 12 number 13 of 18 and 14 well 17 stages 15 defined 16 sleep 16 sleep 17 stages 17 stages 18 and 18 and 21 periods 19 intermediate 20 wakefulness 20 wakefulness 21 periods the sleep stages modulate the autonomous nervous system and thereby the sleep stages are accompanied by different regulation regimes for the cardiovascular and respiratory system . 0 ###LEFT-WALL### 3 stages 0 ###LEFT-WALL### 4 modulate 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 26 . 1 the 3 stages 2 sleep 3 stages 3 stages 4 modulate 4 modulate 8 system 5 the 8 system 6 autonomous 8 system 7 nervous 8 system 9 and 10 thereby 9 and 13 stages 9 and 15 accompanied 11 the 13 stages 12 sleep 13 stages 13 stages 14 are 14 are 15 accompanied 15 accompanied 16 by 16 by 19 regimes 17 different 18 regulation 18 regulation 19 regimes 19 regimes 20 for 20 for 25 system 21 the 25 system 22 cardiovascular 23 and 23 and 24 respiratory 23 and 25 system the differences in regulation can be distinguished by new techniques of cardiovascular physics . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 14 . 1 the 2 differences 2 differences 3 in 2 differences 5 can 3 in 4 regulation 5 can 6 be 6 be 7 distinguished 7 distinguished 8 by 8 by 10 techniques 9 new 10 techniques 10 techniques 11 of 11 of 13 physics 12 cardiovascular 13 physics the number of patients suffering from sleep disorders increases unproportionally with the increase of the human population and aging , leading to very high expenses in the public health system . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 31 . 1 the 2 number 2 number 3 of 2 number 18 and 3 of 4 patients 4 patients 5 suffering 4 patients 14 of 5 suffering 6 from 5 suffering 9 increases 5 suffering 10 unproportionally 5 suffering 11 with 6 from 8 disorders 7 sleep 8 disorders 11 with 13 increase 12 the 13 increase 14 of 17 population 15 the 17 population 16 human 17 population 18 and 19 aging 18 and 20 , 18 and 21 leading 21 leading 22 to 21 leading 26 in 22 to 25 expenses 23 very 24 high 24 high 25 expenses 26 in 30 system 27 the 30 system 28 public 30 system 29 health 30 system therefore , the challenge of cardiovascular physics is to develop highly - sophisticated methods which are able [to] , on the one hand , supplement and [replace] expensive medical devices [and] , on the other hand , [improve] the medical diagnostics with decreasing the patient 's risk . 0 ###LEFT-WALL### 4 challenge 0 ###LEFT-WALL### 12 - 1 therefore 2 , 1 therefore 4 challenge 3 the 4 challenge 4 challenge 5 of 4 challenge 8 is 5 of 7 physics 6 cardiovascular 7 physics 8 is 9 to 8 is 10 develop 9 to 10 develop 10 develop 11 highly 12 - 14 methods 12 - 19 , 13 sophisticated 14 methods 14 methods 15 which 14 methods 16 are 15 which 16 are 16 are 17 able 19 , 23 hand 19 , 24 , 20 on 22 one 20 on 23 hand 21 the 22 one 24 , 26 and 25 supplement 26 and 26 and 30 devices 26 and 32 , 26 and 33 on 28 expensive 30 devices 29 medical 30 devices 33 on 36 hand 34 the 35 other 35 other 36 hand 36 hand 41 diagnostics 37 , 41 diagnostics 39 the 41 diagnostics 40 medical 41 diagnostics 41 diagnostics 42 with 41 diagnostics 48 . 42 with 43 decreasing 43 decreasing 47 risk 44 the 45 patient 45 patient 46 's 46 's 47 risk methods of cardiovascular physics are used to analyze heart [rate] , blood pressure and respiration to detect changes of the autonomous nervous system in different diseases . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 27 . 1 methods 2 of 1 methods 5 are 2 of 4 physics 3 cardiovascular 4 physics 5 are 6 used 6 used 7 to 6 used 16 to 6 used 17 detect 7 to 11 , 8 analyze 9 heart 8 analyze 11 , 11 , 12 blood 12 blood 14 and 13 pressure 14 and 14 and 15 respiration 16 to 17 detect 17 detect 18 changes 17 detect 24 in 18 changes 19 of 19 of 23 system 20 the 23 system 21 autonomous 23 system 22 nervous 23 system 24 in 26 diseases 25 different 26 diseases data driven modeling analysis , synchronization and coupling analysis and their applications to biosignals in healthy subjects and patients with different sleep disorders are presented . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 24 are 0 ###LEFT-WALL### 26 . 1 data 2 driven 1 data 3 modeling 1 data 5 , 3 modeling 4 analysis 5 , 6 synchronization 5 , 7 and 7 and 9 analysis 7 and 10 and 8 coupling 9 analysis 10 and 12 applications 10 and 13 to 10 and 15 in 10 and 24 are 11 their 12 applications 13 to 14 biosignals 15 in 18 and 16 healthy 17 subjects 17 subjects 18 and 18 and 19 patients 18 and 20 with 20 with 23 disorders 21 different 22 sleep 22 sleep 23 disorders 24 are 25 presented newly derived methods of cardiovascular physics can help to find indicators for these health risks . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 8 help 0 ###LEFT-WALL### 16 . 1 newly 2 derived 2 derived 3 methods 3 methods 4 of 3 methods 7 can 4 of 6 physics 5 cardiovascular 6 physics 7 can 8 help 8 help 9 to 8 help 10 find 9 to 10 find 10 find 11 indicators 11 indicators 12 for 12 for 15 risks 13 these 15 risks 14 health 15 risks aging is a process that is inevitable , and makes our body vulnerable to age - related diseases . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 17 related 1 aging 2 is 2 is 4 process 3 a 4 process 4 process 5 that 4 process 10 makes 5 that 9 and 6 is 7 inevitable 6 is 9 and 8 , 9 and 9 and 10 makes 10 makes 12 body 11 our 12 body 12 body 13 vulnerable 13 vulnerable 14 to 13 vulnerable 15 age 14 to 15 age 16 - 17 related 17 related 18 diseases 17 related 19 . age is the most consistent factor affecting the sleep structure . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 11 . 1 age 2 is 2 is 6 factor 3 the 6 factor 4 most 5 consistent 5 consistent 6 factor 6 factor 7 affecting 7 affecting 10 structure 8 the 10 structure 9 sleep 10 structure therefore , new automatic sleep staging methods , to be used in both of young and elderly patients , are needed . 0 ###LEFT-WALL### 7 methods 0 ###LEFT-WALL### 21 needed 0 ###LEFT-WALL### 22 . 1 therefore 2 , 1 therefore 7 methods 3 new 5 sleep 4 automatic 5 sleep 5 sleep 7 methods 6 staging 7 methods 7 methods 9 to 7 methods 20 are 8 , 9 to 9 to 10 be 9 to 19 , 10 be 11 used 11 used 12 in 12 in 13 both 13 both 14 of 14 of 18 patients 15 young 16 and 16 and 17 elderly 16 and 18 patients 20 are 21 needed this study proposes an automatic sleep stage detector , which can separate wakefulness , rapid - eye - movement ( rem ) [sleep] and [non] - rem ( nrem ) sleep using only eeg and eog . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 proposes 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 37 . 1 this 2 study 2 study 3 proposes 3 proposes 8 detector 4 an 5 automatic 4 an 8 detector 5 automatic 7 stage 6 sleep 7 stage 7 stage 8 detector 8 detector 10 which 9 , 10 which 10 which 11 can 10 which 14 , 11 can 12 separate 12 separate 13 wakefulness 14 , 17 eye 14 , 18 - 15 rapid 16 - 15 rapid 17 eye 18 - 19 movement 18 - 24 and 19 movement 21 rem 20 ( 21 rem 21 rem 22 ) 24 and 26 - 24 and 31 sleep 26 - 27 rem 27 rem 29 nrem 27 rem 31 sleep 28 ( 29 nrem 29 nrem 30 ) 31 sleep 32 using 32 using 33 only 32 using 36 eog 34 eeg 35 and 35 and 36 eog most sleep events , which define the sleep stages , are reduced with age . 0 ###LEFT-WALL### 3 events 0 ###LEFT-WALL### 12 reduced 0 ###LEFT-WALL### 15 . 1 most 3 events 2 sleep 3 events 3 events 5 which 3 events 11 are 4 , 5 which 5 which 6 define 5 which 10 , 6 define 9 stages 7 the 9 stages 8 sleep 9 stages 11 are 12 reduced 12 reduced 13 with 13 with 14 age this is addressed by focusing on the amplitude of the clinical eeg bands , and not the affected sleep events . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 addressed 0 ###LEFT-WALL### 21 . 1 this 2 is 2 is 3 addressed 3 addressed 4 by 4 by 5 focusing 5 focusing 6 on 5 focusing 15 and 6 on 8 amplitude 7 the 8 amplitude 8 amplitude 9 of 9 of 12 eeg 10 the 12 eeg 11 clinical 12 eeg 13 bands 15 and 14 , 15 and 15 and 16 not 15 and 20 events 17 the 20 events 18 affected 19 sleep 19 sleep 20 events the age - related influences are then reduced by robust subject - specific scaling . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 3 - 1 the 2 age 3 - 5 influences 3 - 8 reduced 3 - 15 . 4 related 5 influences 5 influences 6 are 6 are 8 reduced 7 then 8 reduced 8 reduced 9 by 9 by 14 scaling 10 robust 14 scaling 11 subject 12 - 11 subject 14 scaling 13 specific 14 scaling the classification of the three sleep stages are achieved [by] a multi - class support vector machine using the one - [versus] - rest scheme . 0 ###LEFT-WALL### 2 classification 0 ###LEFT-WALL### 23 - 0 ###LEFT-WALL### 26 . 1 the 2 classification 2 classification 3 of 2 classification 9 achieved 3 of 5 three 4 the 5 three 5 three 7 stages 5 three 8 are 6 sleep 7 stages 7 stages 8 are 9 achieved 17 machine 11 a 12 multi 11 a 17 machine 12 multi 13 - 12 multi 14 class 14 class 17 machine 15 support 17 machine 16 vector 17 machine 17 machine 18 using 18 using 21 - 19 the 21 - 20 one 21 - 21 - 23 - 23 - 25 scheme 24 rest 25 scheme it was possible to obtain a high classification accuracy of 0.91 . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 12 . 1 it 2 was 2 was 3 possible 3 possible 4 to 3 possible 5 obtain 4 to 5 obtain 5 obtain 9 accuracy 6 a 7 high 6 a 9 accuracy 7 high 8 classification 8 classification 9 accuracy 9 accuracy 10 of 10 of 11 0.91 validation of the sleep stage detector in other sleep disorders , such as apnea and narcolepsy , should be considered in future work . 0 ###LEFT-WALL### 1 validation 0 ###LEFT-WALL### 20 considered 0 ###LEFT-WALL### 24 . 1 validation 2 of 1 validation 18 should 2 of 6 detector 3 the 6 detector 4 sleep 6 detector 5 stage 6 detector 6 detector 7 in 6 detector 13 as 7 in 10 disorders 8 other 10 disorders 9 sleep 10 disorders 11 , 13 as 12 such 13 as 13 as 15 and 13 as 17 , 14 apnea 15 and 15 and 16 narcolepsy 18 should 19 be 19 be 20 considered 20 considered 21 in 21 in 23 work 22 future 23 work [falls] prevention is important for older individuals to maintain healthy lifestyles and is an essential challenge in sustaining the socioeconomic structure of many advanced nations . 0 ###LEFT-WALL### 2 prevention 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 26 . 2 prevention 12 and 3 is 4 important 3 is 12 and 4 important 5 for 4 important 8 to 5 for 7 individuals 6 older 7 individuals 8 to 9 maintain 9 maintain 11 lifestyles 10 healthy 11 lifestyles 12 and 13 is 12 and 17 in 13 is 16 challenge 14 an 15 essential 14 an 16 challenge 15 essential 16 challenge 17 in 18 sustaining 18 sustaining 21 structure 19 the 21 structure 20 socioeconomic 21 structure 21 structure 22 of 22 of 25 nations 23 many 25 nations 24 advanced 25 nations tripping has been recognized as the largest cause [of] [falls] and accordingly , understanding tripping - induced anterior balance loss is necessary in reducing the overall frequency of falls among older adults . 0 ###LEFT-WALL### 1 tripping 0 ###LEFT-WALL### 4 recognized 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 33 . 1 tripping 2 has 2 has 3 been 3 been 4 recognized 4 recognized 5 as 5 as 8 cause 6 the 7 largest 6 the 8 cause 11 and 19 balance 11 and 29 falls 12 accordingly 13 , 12 accordingly 19 balance 14 understanding 15 tripping 14 understanding 16 - 14 understanding 19 balance 17 induced 19 balance 18 anterior 19 balance 19 balance 20 loss 19 balance 28 of 19 balance 29 falls 20 loss 21 is 21 is 22 necessary 22 necessary 23 in 23 in 24 reducing 24 reducing 27 frequency 25 the 27 frequency 26 overall 27 frequency 27 frequency 28 of 29 falls 30 among 30 among 32 adults 31 older 32 adults hazardous anterior balance loss due to tripping can be attributed to the mid - swing phase event , minimum foot clearance ( mfc ) . 0 ###LEFT-WALL### 4 loss 0 ###LEFT-WALL### 10 attributed 0 ###LEFT-WALL### 25 . 1 hazardous 4 loss 2 anterior 4 loss 3 balance 4 loss 4 loss 5 due 4 loss 8 can 5 due 6 to 6 to 7 tripping 8 can 9 be 9 be 10 attributed 10 attributed 11 to 11 to 17 event 12 the 17 event 13 mid 14 - 13 mid 15 swing 15 swing 17 event 16 phase 17 event 17 event 21 clearance 18 , 21 clearance 19 minimum 20 foot 20 foot 21 clearance 21 clearance 23 mfc 21 clearance 24 ) 22 ( 23 mfc 23 mfc 24 ) the mechanism of tripping - induced anterior balance loss can be described as anterior movement of the center [of] mass ( com ) passing the frontal boundary of the supporting base between the swing and stance toes . 0 ###LEFT-WALL### 2 mechanism 0 ###LEFT-WALL### 12 described 0 ###LEFT-WALL### 38 . 1 the 2 mechanism 2 mechanism 3 of 2 mechanism 10 can 3 of 9 loss 4 tripping 5 - 4 tripping 8 balance 6 induced 8 balance 7 anterior 8 balance 8 balance 9 loss 10 can 11 be 11 be 12 described 12 described 13 as 13 as 15 movement 14 anterior 15 movement 15 movement 16 of 15 movement 24 passing 16 of 20 mass 17 the 20 mass 18 center 20 mass 20 mass 22 com 21 ( 22 com 22 com 23 ) 24 passing 35 and 24 passing 37 toes 25 the 27 boundary 26 frontal 27 boundary 27 boundary 28 of 27 boundary 31 base 27 boundary 35 and 28 of 30 supporting 29 the 30 supporting 31 base 32 between 32 between 34 swing 33 the 34 swing 35 and 36 stance the first aim of the current study was to establish a computational method for determining available response time ( art ) to anterior balance loss due to tripping at mfc , in other words , the time taken for com to reach the anterior boundary and therefore [,] the time limit for balance recovery . 1 the 2 first 2 first 3 aim 2 first 9 to 2 first 10 establish 3 aim 4 of 3 aim 8 was 4 of 7 study 5 the 7 study 6 current 7 study 8 was 9 to 10 establish 46 and 11 a 12 computational 11 a 13 method 12 computational 13 method 13 method 14 for 13 method 26 due 13 method 46 and 14 for 15 determining 15 determining 18 time 15 determining 22 to 15 determining 25 loss 16 available 17 response 17 response 18 time 18 time 20 art 19 ( 20 art 20 art 21 ) 22 to 24 balance 23 anterior 24 balance 26 due 27 to 26 due 34 words 26 due 37 time 27 to 28 tripping 28 tripping 29 at 29 at 30 mfc 31 , 34 words 32 in 33 other 33 other 34 words 34 words 35 , 36 the 37 time 37 time 38 taken 38 taken 39 for 38 taken 41 to 39 for 40 com 41 to 42 reach 42 reach 45 boundary 43 the 45 boundary 44 anterior 45 boundary 46 and 47 therefore 46 and 51 limit 46 and 55 . 49 the 51 limit 50 time 51 limit 51 limit 52 for 52 for 54 recovery 53 balance 54 recovery kinematic information of com and both toes in addition to simulated impact force due to tripping at mfc were used to estimate art . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 22 estimate 0 ###LEFT-WALL### 24 . 1 kinematic 2 information 2 information 3 of 2 information 5 and 3 of 4 com 5 and 7 toes 5 and 19 were 6 both 7 toes 7 toes 8 in 7 toes 17 at 8 in 9 addition 9 addition 10 to 9 addition 14 due 10 to 13 force 11 simulated 12 impact 12 impact 13 force 14 due 15 to 15 to 16 tripping 17 at 18 mfc 19 were 20 used 20 used 21 to 21 to 22 estimate 22 estimate 23 art the second aim was to apply correlation analysis to a range of gait parameters to identify the factors influencing art . 0 ###LEFT-WALL### 3 aim 0 ###LEFT-WALL### 16 identify 0 ###LEFT-WALL### 21 . 1 the 3 aim 2 second 3 aim 3 aim 4 was 4 was 5 to 4 was 6 apply 5 to 6 apply 6 apply 8 analysis 6 apply 15 to 7 correlation 8 analysis 8 analysis 9 to 8 analysis 12 of 9 to 11 range 10 a 11 range 12 of 14 parameters 13 gait 14 parameters 15 to 16 identify 16 identify 18 factors 17 the 18 factors 18 factors 19 influencing 19 influencing 20 art art for balance loss in the forward direction due to tripping was on average . 0 ###LEFT-WALL### 1 art 0 ###LEFT-WALL### 12 was 0 ###LEFT-WALL### 15 . 1 art 2 for 1 art 9 due 1 art 12 was 2 for 4 loss 3 balance 4 loss 4 loss 5 in 5 in 8 direction 6 the 8 direction 7 forward 8 direction 9 due 10 to 10 to 11 tripping 12 was 14 average 13 on 14 average correlation analysis revealed five factors at mfc that prolong art including : 1 [ )(greater fore - [aft] distance from com to stance toe , 2 ) greater sideway distance from com to swing toe , 3 ) longer [distance] from com to the frontal boundary of the supporting base , 4 ) slower com forward velocity and 5 [ )(slower horizontal toe velocity . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 revealed 0 ###LEFT-WALL### 12 : 1 correlation 2 analysis 2 analysis 3 revealed 3 revealed 5 factors 3 revealed 6 at 4 five 5 factors 6 at 7 mfc 7 mfc 8 that 7 mfc 9 prolong 8 that 9 prolong 9 prolong 11 including 10 art 11 including 12 : 16 fore 12 : 17 - 13 1 16 fore 15 )(greater 16 fore 17 - 19 distance 19 distance 20 from 19 distance 22 to 19 distance 30 distance 19 distance 31 from 20 from 21 com 22 to 24 toe 23 stance 24 toe 24 toe 26 2 25 , 26 2 26 2 27 ) 28 greater 30 distance 29 sideway 30 distance 31 from 32 com 32 com 33 to 32 com 39 longer 33 to 35 toe 34 swing 35 toe 35 toe 37 3 36 , 37 3 37 3 38 ) 39 longer 41 from 41 from 42 com 42 com 43 to 42 com 47 of 43 to 46 boundary 44 the 46 boundary 45 frontal 46 boundary 47 of 58 and 48 the 57 velocity 49 supporting 57 velocity 50 base 52 4 50 base 57 velocity 51 , 52 4 52 4 53 ) 54 slower 56 forward 55 com 56 forward 56 forward 57 velocity 57 velocity 58 and 58 and 64 velocity 58 and 65 . 59 5 64 velocity 61 )(slower 63 toe 62 horizontal 63 toe 63 toe 64 velocity the established art computation method can be utilized to examine the effects of ageing and various gait tasks on the likelihood of tripping - induced anterior balance loss and associated falls . 0 ###LEFT-WALL### 3 art 0 ###LEFT-WALL### 31 falls 0 ###LEFT-WALL### 32 . 1 the 3 art 2 established 3 art 3 art 5 method 3 art 10 examine 3 art 31 falls 4 computation 5 method 5 method 6 can 6 can 7 be 7 be 8 utilized 8 utilized 9 to 9 to 10 examine 10 examine 15 and 10 examine 29 and 11 the 12 effects 12 effects 13 of 12 effects 15 and 13 of 14 ageing 15 and 17 gait 15 and 29 and 16 various 17 gait 18 tasks 19 on 18 tasks 21 likelihood 18 tasks 29 and 20 the 21 likelihood 21 likelihood 22 of 22 of 28 loss 23 tripping 24 - 23 tripping 27 balance 25 induced 27 balance 26 anterior 27 balance 27 balance 28 loss 29 and 30 associated the increasing age of the world population is posing new challenges to our society [,] such as how to keep this aging population healthy and active despite [of] the age . 0 ###LEFT-WALL### 3 age 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 31 . 1 the 3 age 2 increasing 3 age 3 age 4 of 3 age 8 is 4 of 7 population 5 the 7 population 6 world 7 population 8 is 9 posing 9 posing 11 challenges 10 new 11 challenges 11 challenges 12 to 11 challenges 25 and 12 to 14 society 13 our 14 society 14 society 17 as 16 such 17 as 17 as 18 how 18 how 19 to 18 how 20 keep 19 to 20 keep 20 keep 23 population 21 this 22 aging 22 aging 23 population 24 healthy 25 and 25 and 26 active 26 active 27 despite 27 despite 30 age 29 the 30 age in recent years , there has been a lot of interest for gait analysis for rehabilitation purposes as well as for performance assessment of this aging population . 0 ###LEFT-WALL### 5 there 0 ###LEFT-WALL### 7 been 0 ###LEFT-WALL### 28 . 1 in 3 years 1 in 4 , 1 in 5 there 2 recent 3 years 5 there 6 has 6 has 7 been 7 been 9 lot 7 been 18 as 7 been 20 as 8 a 9 lot 9 lot 10 of 10 of 11 interest 11 interest 12 for 11 interest 15 for 12 for 14 analysis 13 gait 14 analysis 15 for 17 purposes 16 rehabilitation 17 purposes 18 as 19 well 20 as 21 for 21 for 23 assessment 22 performance 23 assessment 23 assessment 24 of 24 of 27 population 25 this 27 population 26 aging 27 population while current systems work well , they still have several limitations . 0 ###LEFT-WALL### 7 they 0 ###LEFT-WALL### 9 have 0 ###LEFT-WALL### 12 . 1 while 3 systems 1 while 4 work 1 while 6 , 1 while 7 they 2 current 3 systems 3 systems 4 work 4 work 5 well 7 they 9 have 8 still 9 have 9 have 11 limitations 10 several 11 limitations cost , need for [specialized] personnel , need to be used in a research center , and sporadic measurement prevent these systems from being widely used . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 20 prevent 0 ###LEFT-WALL### 27 . 1 cost 3 need 1 cost 17 and 2 , 3 need 3 need 4 for 3 need 16 , 4 for 6 personnel 6 personnel 8 need 7 , 8 need 8 need 9 to 8 need 11 used 8 need 16 , 9 to 10 be 10 be 11 used 11 used 12 in 12 in 15 center 13 a 14 research 13 a 15 center 14 research 15 center 16 , 17 and 17 and 19 measurement 17 and 20 prevent 18 sporadic 19 measurement 20 prevent 22 systems 21 these 22 systems 22 systems 23 from 23 from 24 being 24 being 26 used 25 widely 26 used the authors propose the use [of] extremely miniaturized , portable measurement systems , which can be worn by the users during their everyday life , and can monitor their gait over a long timespan . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 35 . 1 the 2 authors 2 authors 26 and 3 propose 5 use 3 propose 26 and 4 the 5 use 5 use 8 miniaturized 5 use 12 systems 7 extremely 8 miniaturized 9 , 12 systems 10 portable 11 measurement 11 measurement 12 systems 12 systems 14 which 12 systems 25 , 13 , 14 which 14 which 15 can 14 which 25 , 15 can 16 be 16 be 17 worn 17 worn 18 by 17 worn 21 during 18 by 20 users 19 the 20 users 21 during 24 life 22 their 24 life 23 everyday 24 life 26 and 27 can 26 and 31 over 27 can 28 monitor 28 monitor 30 gait 29 their 30 gait 31 over 34 timespan 32 a 33 long 32 a 34 timespan 33 long 34 timespan this paper presents the preliminary experiments with such a system . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 presents 0 ###LEFT-WALL### 11 . 1 this 2 paper 2 paper 3 presents 3 presents 6 experiments 3 presents 7 with 4 the 6 experiments 5 preliminary 6 experiments 7 with 10 system 8 such 9 a 9 a 10 system physicians use ultrasound scans to obtain real - time images of internal organs , [because] [such] scans are safe and inexpensive . 0 ###LEFT-WALL### 1 physicians 0 ###LEFT-WALL### 18 are 0 ###LEFT-WALL### 22 . 1 physicians 3 ultrasound 1 physicians 4 scans 1 physicians 18 are 2 use 3 ultrasound 3 ultrasound 4 scans 4 scans 5 to 5 to 14 , 6 obtain 10 images 6 obtain 14 , 7 real 8 - 7 real 10 images 9 time 10 images 10 images 11 of 11 of 13 organs 12 internal 13 organs 14 , 17 scans 18 are 20 and 19 safe 20 and 20 and 21 inexpensive however , people in remote areas face difficulties to be scanned due to aging society and physician ['s] shortage . 0 ###LEFT-WALL### 3 people 0 ###LEFT-WALL### 7 face 0 ###LEFT-WALL### 20 . 1 however 2 , 1 however 3 people 3 people 4 in 3 people 7 face 4 in 6 areas 5 remote 6 areas 7 face 8 difficulties 7 face 9 to 7 face 13 to 9 to 10 be 10 be 11 scanned 11 scanned 12 due 13 to 14 aging 14 aging 16 and 15 society 16 and 16 and 19 shortage 17 physician 19 shortage hence , it is important to develop an autonomous robotic system to perform remote ultrasound [scans] . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 17 . 1 hence 2 , 1 hence 3 it 3 it 4 is 4 is 5 important 5 important 6 to 5 important 13 perform 6 to 7 develop 7 develop 11 system 7 develop 12 to 8 an 9 autonomous 8 an 11 system 9 autonomous 11 system 10 robotic 11 system 12 to 13 perform 13 perform 15 ultrasound 14 remote 15 ultrasound previously , we developed a robotic system for automatic ultrasound [scan] focusing on human ['s] liver . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 developed 0 ###LEFT-WALL### 17 . 1 previously 2 , 1 previously 3 we 3 we 4 developed 4 developed 7 system 5 a 6 robotic 5 a 7 system 6 robotic 7 system 7 system 8 for 8 for 10 ultrasound 9 automatic 10 ultrasound 10 ultrasound 12 focusing 12 focusing 13 on 13 on 16 liver 14 human 16 liver in order to make it a completely autonomous system , we present in this paper a way to autonomously localize the epigastric region as the starting position for the automatic ultrasound scan . 0 ###LEFT-WALL### 32 scan 0 ###LEFT-WALL### 33 . 1 in 2 order 1 in 32 scan 2 order 3 to 2 order 10 , 3 to 10 , 4 make 5 it 4 make 9 system 4 make 10 , 6 a 7 completely 6 a 9 system 7 completely 8 autonomous 8 autonomous 9 system 10 , 20 localize 11 we 12 present 12 present 13 in 12 present 17 way 12 present 18 to 13 in 15 paper 14 this 15 paper 16 a 17 way 18 to 20 localize 19 autonomously 20 localize 20 localize 23 region 20 localize 24 as 20 localize 28 for 21 the 23 region 22 epigastric 23 region 24 as 27 position 25 the 27 position 26 starting 27 position 28 for 31 ultrasound 29 the 31 ultrasound 30 automatic 31 ultrasound an image processing algorithm marks the umbilicus and mammary papillae on a digital photograph of the patient 's abdomen . 0 ###LEFT-WALL### 4 algorithm 0 ###LEFT-WALL### 5 marks 0 ###LEFT-WALL### 20 . 1 an 4 algorithm 2 image 4 algorithm 3 processing 4 algorithm 4 algorithm 5 marks 5 marks 8 and 5 marks 11 on 6 the 7 umbilicus 7 umbilicus 8 and 8 and 10 papillae 9 mammary 10 papillae 11 on 14 photograph 12 a 13 digital 12 a 14 photograph 13 digital 14 photograph 14 photograph 15 of 15 of 19 abdomen 16 the 17 patient 17 patient 18 's 18 's 19 abdomen then , we made estimation for the location of the epigastric region using the distances between these landmarks . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 made 0 ###LEFT-WALL### 19 . 1 then 2 , 1 then 3 we 3 we 4 made 4 made 5 estimation 5 estimation 6 for 6 for 8 location 7 the 8 location 8 location 9 of 9 of 12 region 10 the 12 region 11 epigastric 12 region 12 region 13 using 13 using 15 distances 13 using 16 between 14 the 15 distances 16 between 18 landmarks 17 these 18 landmarks a supporting algorithm distinguishes rib position from epigastrium using the relationship between force and displacement . 0 ###LEFT-WALL### 3 algorithm 0 ###LEFT-WALL### 4 distinguishes 0 ###LEFT-WALL### 16 . 1 a 3 algorithm 2 supporting 3 algorithm 3 algorithm 4 distinguishes 4 distinguishes 14 and 5 rib 6 position 6 position 7 from 6 position 14 and 7 from 8 epigastrium 8 epigastrium 9 using 9 using 11 relationship 9 using 12 between 10 the 11 relationship 12 between 13 force 14 and 15 displacement we implemented these algorithms with the automatic scanning system into an apparatus : a mitsubishi electric 's melfa rv - 1 six axis manipulator . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 implemented 0 ###LEFT-WALL### 13 : 1 we 2 implemented 2 implemented 4 algorithms 2 implemented 10 into 3 these 4 algorithms 4 algorithms 5 with 5 with 9 system 6 the 9 system 7 automatic 8 scanning 8 scanning 9 system 10 into 12 apparatus 11 an 12 apparatus 13 : 19 rv 13 : 20 - 13 : 25 . 14 a 16 electric 15 mitsubishi 16 electric 16 electric 17 's 17 's 19 rv 18 melfa 19 rv 20 - 24 manipulator 21 1 24 manipulator 22 six 23 axis 23 axis 24 manipulator tests on 14 healthy male subjects showed the apparatus located the epigastric region with a success rate of 94 % . 0 ###LEFT-WALL### 1 tests 0 ###LEFT-WALL### 7 showed 0 ###LEFT-WALL### 21 . 1 tests 2 on 1 tests 7 showed 2 on 6 subjects 3 14 6 subjects 4 healthy 6 subjects 5 male 6 subjects 7 showed 9 apparatus 7 showed 10 located 8 the 9 apparatus 9 apparatus 10 located 10 located 13 region 10 located 14 with 11 the 13 region 12 epigastric 13 region 14 with 17 rate 15 a 16 success 15 a 17 rate 16 success 17 rate 17 rate 18 of 18 of 20 % 19 94 20 % the results suggest that image recognition was effective in localizing a human body part . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 15 . 1 the 2 results 2 results 3 suggest 3 suggest 4 that 4 that 6 recognition 4 that 7 was 5 image 6 recognition 6 recognition 7 was 7 was 8 effective 8 effective 9 in 9 in 10 localizing 10 localizing 14 part 11 a 12 human 11 a 14 part 12 human 13 body 13 body 14 part recent studies have investigated changes in the human brain network organization during the normal aging . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 investigated 0 ###LEFT-WALL### 16 . 1 recent 2 studies 2 studies 3 have 3 have 4 investigated 4 investigated 5 changes 4 investigated 6 in 4 investigated 12 during 6 in 11 organization 7 the 11 organization 8 human 11 organization 9 brain 11 organization 10 network 11 organization 12 during 15 aging 13 the 15 aging 14 normal 15 aging a reduction of the connectivity between brain areas was demonstrated by combining neuroimaging technologies and graph theory . 0 ###LEFT-WALL### 2 reduction 0 ###LEFT-WALL### 10 demonstrated 0 ###LEFT-WALL### 18 . 1 a 2 reduction 2 reduction 3 of 2 reduction 9 was 3 of 5 connectivity 4 the 5 connectivity 5 connectivity 6 between 6 between 8 areas 7 brain 8 areas 9 was 10 demonstrated 10 demonstrated 11 by 11 by 12 combining 12 combining 15 and 13 neuroimaging 14 technologies 14 technologies 15 and 15 and 17 theory 16 graph 17 theory clustering , characteristic path length and small - worldness are key topological measures and they are widely used in literature . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 11 key 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 21 . 1 clustering 2 , 1 clustering 6 and 3 characteristic 4 path 4 path 5 length 5 length 6 and 6 and 9 worldness 6 and 10 are 7 small 8 - 7 small 9 worldness 10 are 11 key 11 key 13 measures 12 topological 13 measures 14 and 15 they 14 and 18 used 15 they 16 are 16 are 18 used 17 widely 18 used 18 used 19 in 19 in 20 literature in this paper we propose a new methodology that combine advanced techniques of effective connectivity estimation , graph theoretical approach and classification by svm method . 0 ###LEFT-WALL### 10 combine 0 ###LEFT-WALL### 11 advanced 0 ###LEFT-WALL### 26 . 1 in 3 paper 1 in 10 combine 2 this 3 paper 3 paper 4 we 3 paper 5 propose 4 we 5 propose 5 propose 8 methodology 6 a 7 new 6 a 8 methodology 7 new 8 methodology 9 that 10 combine 10 combine 11 advanced 11 advanced 12 techniques 11 advanced 23 by 12 techniques 13 of 13 of 21 and 14 effective 15 connectivity 15 connectivity 16 estimation 16 estimation 17 , 17 , 20 approach 17 , 21 and 18 graph 20 approach 19 theoretical 20 approach 21 and 22 classification 23 by 25 method 24 svm 25 method eeg signals recording during rest condition from 20 young subjects and 20 mid - aged adults were studied . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 18 studied 0 ###LEFT-WALL### 19 . 1 eeg 2 signals 2 signals 3 recording 2 signals 11 and 3 recording 4 during 3 recording 6 condition 3 recording 7 from 4 during 5 rest 7 from 10 subjects 8 20 10 subjects 9 young 10 subjects 11 and 16 adults 11 and 17 were 12 20 16 adults 13 mid 14 - 13 mid 16 adults 15 aged 16 adults 17 were 18 studied partial directed coherence was computed by means of general linear kalman filter and graph indexes were extracted from estimated patterns . 0 ###LEFT-WALL### 3 coherence 0 ###LEFT-WALL### 5 computed 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 21 . 1 partial 2 directed 2 directed 3 coherence 3 coherence 4 was 4 was 5 computed 5 computed 6 by 6 by 7 means 7 means 8 of 8 of 12 filter 9 general 12 filter 10 linear 11 kalman 11 kalman 12 filter 13 and 15 indexes 13 and 17 extracted 14 graph 15 indexes 15 indexes 16 were 16 were 17 extracted 17 extracted 18 from 18 from 20 patterns 19 estimated 20 patterns at last small - worldness was used as [feature] for the svm classifier . 0 ###LEFT-WALL### 5 worldness 0 ###LEFT-WALL### 7 used 0 ###LEFT-WALL### 14 . 1 at 2 last 1 at 5 worldness 3 small 4 - 3 small 5 worldness 5 worldness 6 was 6 was 7 used 7 used 8 as 8 as 10 for 10 for 13 classifier 11 the 13 classifier 12 svm 13 classifier results show that topological differences of brain networks exist between young and mid - aged adults : small - worldness is significantly different between the two populations and it can be used to classify the subjects with respect to age with an accuracy of 69 % . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 show 0 ###LEFT-WALL### 14 - 1 results 2 show 2 show 5 differences 2 show 8 networks 2 show 9 exist 3 that 4 topological 4 topological 5 differences 5 differences 6 of 6 of 7 brain 8 networks 9 exist 9 exist 10 between 10 between 12 and 11 young 12 and 12 and 13 mid 14 - 16 adults 14 - 17 : 14 - 47 . 15 aged 16 adults 17 : 20 worldness 17 : 21 is 17 : 28 and 18 small 19 - 18 small 20 worldness 20 worldness 21 is 21 is 23 different 22 significantly 23 different 23 different 24 between 24 between 27 populations 25 the 26 two 26 two 27 populations 28 and 29 it 28 and 32 used 29 it 30 can 30 can 31 be 31 be 32 used 32 used 33 to 32 used 40 age 33 to 34 classify 34 classify 36 subjects 34 classify 37 with 34 classify 39 to 35 the 36 subjects 37 with 38 respect 39 to 40 age 40 age 41 with 41 with 43 accuracy 42 an 43 accuracy 43 accuracy 44 of 44 of 46 % 45 69 46 % blood pressure ( bp ) [variability] is generally considered to be due to neurogenic influences on arterioles modulating peripheral resistance , as well as variations in stroke volume ( sv ) . 0 ###LEFT-WALL### 2 pressure 0 ###LEFT-WALL### 9 considered 0 ###LEFT-WALL### 32 . 1 blood 2 pressure 2 pressure 4 bp 2 pressure 7 is 3 ( 4 bp 4 bp 5 ) 7 is 8 generally 7 is 9 considered 9 considered 10 to 9 considered 11 be 10 to 11 be 11 be 13 to 12 due 13 to 13 to 15 influences 14 neurogenic 15 influences 15 influences 16 on 16 on 20 resistance 17 arterioles 20 resistance 18 modulating 20 resistance 19 peripheral 20 resistance 20 resistance 24 as 21 , 24 as 22 as 23 well 23 well 24 as 24 as 25 variations 24 as 31 ) 25 variations 26 in 26 in 28 volume 27 stroke 28 volume 28 volume 30 sv 29 ( 30 sv 30 sv 31 ) however , for a given change in peripheral resistance or sv , the degree of bp variability is modulated by the stiffness of large conduit arteries . 0 ###LEFT-WALL### 17 variability 0 ###LEFT-WALL### 19 modulated 0 ###LEFT-WALL### 27 . 1 however 2 , 1 however 17 variability 2 , 3 for 3 for 6 change 3 for 12 , 3 for 17 variability 4 a 6 change 5 given 6 change 6 change 7 in 7 in 10 or 8 peripheral 9 resistance 9 resistance 10 or 10 or 11 sv 13 the 14 degree 14 degree 15 of 14 degree 17 variability 15 of 17 variability 16 bp 17 variability 17 variability 18 is 18 is 19 modulated 19 modulated 20 by 20 by 22 stiffness 21 the 22 stiffness 22 stiffness 23 of 23 of 26 arteries 24 large 25 conduit 25 conduit 26 arteries recent epidemiological evidence shows that cardiovascular risk is not only related to the average arterial pressure , but also to the degree of diurnal variability . 0 ###LEFT-WALL### 3 evidence 0 ###LEFT-WALL### 4 shows 0 ###LEFT-WALL### 26 . 1 recent 3 evidence 2 epidemiological 3 evidence 3 evidence 4 shows 4 shows 5 that 5 that 7 risk 5 that 11 related 6 cardiovascular 7 risk 7 risk 8 is 8 is 9 not 8 is 11 related 10 only 11 related 11 related 18 but 12 to 16 pressure 12 to 18 but 13 the 16 pressure 14 average 16 pressure 15 arterial 16 pressure 17 , 18 but 18 but 19 also 18 but 20 to 20 to 25 variability 21 the 22 degree 22 degree 23 of 22 degree 25 variability 23 of 25 variability 24 diurnal 25 variability in addition , short - term variability has been shown to be related to aortic stiffness measured as pulse wave velocity , a strong independent predictor of cardiovascular risk . 0 ###LEFT-WALL### 7 variability 0 ###LEFT-WALL### 10 shown 1 in 2 addition 1 in 3 , 1 in 7 variability 4 short 5 - 4 short 7 variability 6 term 7 variability 7 variability 8 has 8 has 9 been 9 been 10 shown 10 shown 11 to 11 to 12 be 12 be 13 related 13 related 14 to 13 related 17 measured 14 to 16 stiffness 15 aortic 16 stiffness 17 measured 18 as 18 as 21 velocity 19 pulse 21 velocity 20 wave 21 velocity 21 velocity 26 predictor 22 , 26 predictor 23 a 24 strong 23 a 26 predictor 24 strong 26 predictor 25 independent 26 predictor 26 predictor 27 of 26 predictor 30 . 27 of 29 risk 28 cardiovascular 29 risk this study addresses the relation between large artery stiffness and bp variability using a lumped parameter model of the systemic circulation described by total arterial compliance , total peripheral resistance ( tpr ) and aortic characteristic impedance . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 addresses 0 ###LEFT-WALL### 38 . 1 this 2 study 2 study 3 addresses 3 addresses 5 relation 3 addresses 6 between 3 addresses 13 using 4 the 5 relation 6 between 12 variability 7 large 8 artery 8 artery 12 variability 9 stiffness 10 and 10 and 11 bp 10 and 12 variability 13 using 17 model 14 a 17 model 15 lumped 16 parameter 16 parameter 17 model 17 model 18 of 18 of 34 and 19 the 21 circulation 20 systemic 21 circulation 21 circulation 22 described 21 circulation 34 and 22 described 23 by 23 by 26 compliance 24 total 26 compliance 25 arterial 26 compliance 26 compliance 30 resistance 27 , 30 resistance 28 total 30 resistance 29 peripheral 30 resistance 30 resistance 32 tpr 30 resistance 33 ) 31 ( 32 tpr 32 tpr 33 ) 34 and 37 impedance 35 aortic 36 characteristic 36 characteristic 37 impedance the variability in tpr is simulated using a random function with a gaussian distribution and changes in arterial stiffness are simulated by variation in compliance , where compliance is either linear [(] pressure independent ) or nonlinear [(] pressure dependent ) . 0 ###LEFT-WALL### 2 variability 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 42 . 1 the 2 variability 2 variability 3 in 2 variability 5 is 3 in 4 tpr 5 is 7 using 6 simulated 7 using 7 using 15 and 7 using 20 are 7 using 21 simulated 7 using 22 by 8 a 9 random 8 a 10 function 9 random 10 function 10 function 11 with 10 function 15 and 11 with 14 distribution 12 a 14 distribution 13 gaussian 14 distribution 15 and 16 changes 15 and 17 in 15 and 20 are 17 in 19 stiffness 18 arterial 19 stiffness 22 by 36 or 23 variation 24 in 23 variation 36 or 24 in 25 compliance 25 compliance 27 where 26 , 27 where 27 where 28 compliance 27 where 29 is 27 where 35 ) 28 compliance 29 is 29 is 34 independent 30 either 34 independent 31 linear 33 pressure 33 pressure 34 independent 36 or 40 dependent 36 or 41 ) 37 nonlinear 40 dependent 39 pressure 40 dependent these findings suggest that interventions aimed at reducing bp variability will need to consider large artery stiffness for optimal efficacy . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 21 . 1 these 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 5 interventions 4 that 12 need 5 interventions 6 aimed 6 aimed 7 at 7 at 8 reducing 8 reducing 11 will 9 bp 10 variability 10 variability 11 will 12 need 13 to 12 need 14 consider 13 to 14 consider 14 consider 17 stiffness 15 large 16 artery 16 artery 17 stiffness 17 stiffness 18 for 18 for 20 efficacy 19 optimal 20 efficacy evaluation of arterial compliance is significant in cardiovascular diagnosis for early detection of coronary heart disease . 0 ###LEFT-WALL### 1 evaluation 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 17 . 1 evaluation 2 of 1 evaluation 5 is 2 of 4 compliance 3 arterial 4 compliance 5 is 6 significant 6 significant 7 in 7 in 9 diagnosis 8 cardiovascular 9 diagnosis 9 diagnosis 10 for 10 for 12 detection 11 early 12 detection 12 detection 13 of 13 of 16 disease 14 coronary 15 heart 15 heart 16 disease we present artsens , an image - free [system] for [non] [-] invasive evaluation [of] arterial compliance in [-] vivo . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 present 0 ###LEFT-WALL### 21 . 1 we 2 present 2 present 3 artsens 2 present 8 free 2 present 10 for 2 present 20 vivo 3 artsens 6 image 4 , 6 image 5 an 6 image 6 image 7 - 10 for 17 compliance 13 invasive 14 evaluation 14 evaluation 17 compliance 16 arterial 17 compliance 18 in 20 vivo the system utilizes a single element ultrasound probe with intelligent measurement algorithms to ensure accurate evaluation [of] local arterial compliance without an image . 0 ###LEFT-WALL### 2 system 0 ###LEFT-WALL### 3 utilizes 0 ###LEFT-WALL### 24 . 1 the 2 system 2 system 3 utilizes 3 utilizes 8 probe 3 utilizes 13 to 4 a 5 single 4 a 8 probe 5 single 6 element 6 element 8 probe 7 ultrasound 8 probe 8 probe 9 with 9 with 12 algorithms 10 intelligent 11 measurement 11 measurement 12 algorithms 13 to 14 ensure 14 ensure 20 compliance 15 accurate 16 evaluation 16 evaluation 20 compliance 18 local 20 compliance 19 arterial 20 compliance 20 compliance 21 without 21 without 23 image 22 an 23 image the ability of the system to detect artery anatomy and measure compliance was verified [by] in [-] vivo measurements conducted on 106 subjects . 0 ###LEFT-WALL### 2 ability 0 ###LEFT-WALL### 14 verified 0 ###LEFT-WALL### 24 . 1 the 2 ability 2 ability 3 of 2 ability 6 to 2 ability 7 detect 2 ability 14 verified 3 of 5 system 4 the 5 system 6 to 7 detect 7 detect 10 and 8 artery 9 anatomy 9 anatomy 10 and 10 and 11 measure 10 and 12 compliance 10 and 13 was 12 compliance 13 was 14 verified 18 vivo 14 verified 19 measurements 14 verified 20 conducted 16 in 18 vivo 19 measurements 20 conducted 20 conducted 21 on 21 on 23 subjects 22 106 23 subjects the accuracy of compliance estimates were evaluated by comparison with a state [of] art imaging system . 0 ###LEFT-WALL### 2 accuracy 0 ###LEFT-WALL### 7 evaluated 0 ###LEFT-WALL### 17 . 1 the 2 accuracy 2 accuracy 3 of 2 accuracy 6 were 3 of 5 estimates 4 compliance 5 estimates 6 were 7 evaluated 7 evaluated 8 by 7 evaluated 10 with 8 by 9 comparison 10 with 16 system 11 a 16 system 12 state 16 system 14 art 16 system 15 imaging 16 system the measurements made using artsens showed strong [correlation] with those made using the imaging system . 0 ###LEFT-WALL### 2 measurements 0 ###LEFT-WALL### 6 showed 0 ###LEFT-WALL### 16 . 1 the 2 measurements 2 measurements 3 made 2 measurements 6 showed 3 made 4 using 4 using 5 artsens 6 showed 7 strong 6 showed 9 with 9 with 10 those 10 those 11 made 11 made 12 using 12 using 15 system 13 the 15 system 14 imaging 15 system the ability of artsens to detect age - related trends in arterial compliance was also investigated . 0 ###LEFT-WALL### 2 ability 0 ###LEFT-WALL### 16 investigated 0 ###LEFT-WALL### 17 . 1 the 2 ability 2 ability 3 of 2 ability 5 to 2 ability 6 detect 2 ability 14 was 3 of 4 artsens 5 to 6 detect 6 detect 7 age 8 - 9 related 9 related 10 trends 9 related 11 in 9 related 14 was 11 in 13 compliance 12 arterial 13 compliance 14 was 15 also 14 was 16 investigated our purpose in this study is to achieve an independent life and a social involvement for the elderly using keiroka technology ( fatigue - reduction ) which makes it possible to improve the quality of chores and occupations by removing excessive strain and tiredness . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 45 . 1 our 2 purpose 2 purpose 3 in 2 purpose 6 is 3 in 5 study 4 this 5 study 6 is 7 to 6 is 8 achieve 7 to 8 achieve 8 achieve 37 and 8 achieve 39 by 9 an 11 life 10 independent 11 life 11 life 12 and 12 and 15 involvement 12 and 16 for 12 and 19 using 12 and 27 which 12 and 28 makes 12 and 37 and 13 a 14 social 13 a 15 involvement 14 social 15 involvement 16 for 18 elderly 17 the 18 elderly 19 using 21 technology 20 keiroka 21 technology 21 technology 23 fatigue 21 technology 25 reduction 22 ( 23 fatigue 23 fatigue 24 - 24 - 25 reduction 25 reduction 26 ) 27 which 28 makes 28 makes 29 it 28 makes 30 possible 30 possible 31 to 30 possible 32 improve 31 to 32 improve 32 improve 34 quality 33 the 34 quality 34 quality 35 of 35 of 36 chores 37 and 38 occupations 39 by 40 removing 40 removing 43 and 41 excessive 42 strain 42 strain 43 and 43 and 44 tiredness the authors have developed power [assist] suits named " [smart] suit " . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 4 developed 0 ###LEFT-WALL### 13 . 1 the 2 authors 2 authors 3 have 3 have 4 developed 4 developed 5 power 5 power 7 suits 5 power 11 suit 7 suits 8 named 7 suits 11 suit 8 named 9 " 11 suit 12 " the authors have evaluated the effect that the purpose of dairy work assistance , to measure emg of the worker , compared to the potential of the surface of the [non] [-] wearing and wearing " smart suit " . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 4 evaluated 0 ###LEFT-WALL### 40 . 1 the 2 authors 2 authors 3 have 3 have 4 evaluated 4 evaluated 6 effect 4 evaluated 23 to 5 the 6 effect 6 effect 7 that 6 effect 22 compared 7 that 9 purpose 7 that 22 compared 8 the 9 purpose 9 purpose 10 of 9 purpose 15 to 9 purpose 22 compared 10 of 13 assistance 11 dairy 13 assistance 12 work 13 assistance 14 , 15 to 15 to 16 measure 15 to 21 , 16 measure 17 emg 17 emg 18 of 18 of 20 worker 19 the 20 worker 23 to 25 potential 24 the 25 potential 25 potential 26 of 26 of 28 surface 27 the 28 surface 28 surface 29 of 29 of 38 suit 30 the 38 suit 33 wearing 34 and 34 and 35 wearing 34 and 38 suit 35 wearing 36 " 37 smart 38 suit 38 suit 39 " this study investigated bone marrow perfusion at proximal femur varying with bone mineral density ( bmd ) and aging over 4 years . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 23 . 1 this 2 study 2 study 3 investigated 3 investigated 6 perfusion 3 investigated 7 at 3 investigated 20 over 4 bone 6 perfusion 5 marrow 6 perfusion 7 at 18 and 8 proximal 9 femur 9 femur 10 varying 10 varying 11 with 10 varying 18 and 11 with 14 density 12 bone 14 density 13 mineral 14 density 14 density 16 bmd 15 ( 16 bmd 16 bmd 17 ) 18 and 19 aging 20 over 22 years 21 4 22 years dynamic contrast enhanced mri data was extracted [pixel] [-] by - [pixel] and classified into 3 patterns to indicate the perfusion function . 0 ###LEFT-WALL### 2 contrast 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 23 . 1 dynamic 2 contrast 2 contrast 13 and 3 enhanced 4 mri 3 enhanced 13 and 4 mri 5 data 4 mri 10 by 5 data 6 was 6 was 7 extracted 7 extracted 10 by 11 - 13 and 13 and 14 classified 13 and 15 into 13 and 18 to 15 into 17 patterns 16 3 17 patterns 18 to 19 indicate 19 indicate 22 function 20 the 22 function 21 perfusion 22 function eighty - seven elderly females were involved . 0 ###LEFT-WALL### 5 females 0 ###LEFT-WALL### 7 involved 0 ###LEFT-WALL### 8 . 1 eighty 2 - 2 - 3 seven 2 - 5 females 4 elderly 5 females 5 females 6 were 6 were 7 involved a notable reduced perfusion as a whole was observed in osteoporotic subjects . 0 ###LEFT-WALL### 2 notable 0 ###LEFT-WALL### 3 reduced 0 ###LEFT-WALL### 13 . 1 a 2 notable 2 notable 3 reduced 3 reduced 4 perfusion 3 reduced 10 in 4 perfusion 9 observed 5 as 7 whole 5 as 9 observed 6 a 7 whole 7 whole 8 was 8 was 9 observed 10 in 12 subjects 11 osteoporotic 12 subjects moreover , perfusion distribution varies as bmd decreases , especially at the area crossing the femoral neck to the shaft . 0 ###LEFT-WALL### 4 distribution 0 ###LEFT-WALL### 5 varies 1 moreover 2 , 1 moreover 4 distribution 3 perfusion 4 distribution 4 distribution 5 varies 5 varies 6 as 6 as 8 decreases 7 bmd 8 decreases 8 decreases 11 at 9 , 10 especially 9 , 11 at 11 at 13 area 11 at 21 . 12 the 13 area 13 area 14 crossing 14 crossing 17 neck 14 crossing 18 to 15 the 17 neck 16 femoral 17 neck 18 to 20 shaft 19 the 20 shaft consistent for all subjects , the perfusion decreases significantly from the lesser trochanter to the greater trochanter . 0 ###LEFT-WALL### 7 perfusion 0 ###LEFT-WALL### 8 decreases 0 ###LEFT-WALL### 18 . 1 consistent 2 for 1 consistent 5 , 1 consistent 7 perfusion 2 for 4 subjects 3 all 4 subjects 6 the 7 perfusion 7 perfusion 8 decreases 8 decreases 9 significantly 8 decreases 10 from 8 decreases 14 to 10 from 13 trochanter 11 the 13 trochanter 12 lesser 13 trochanter 14 to 17 trochanter 15 the 17 trochanter 16 greater 17 trochanter further , the subjects with good bone marrow perfusion would keep stable bmd after 4 years , while for those with bad perfusion , their bmd consistently decreased over 4 years . 0 ###LEFT-WALL### 4 subjects 0 ###LEFT-WALL### 11 keep 0 ###LEFT-WALL### 32 . 1 further 2 , 1 further 4 subjects 3 the 4 subjects 4 subjects 5 with 4 subjects 10 would 5 with 9 perfusion 6 good 7 bone 7 bone 8 marrow 8 marrow 9 perfusion 10 would 11 keep 11 keep 13 bmd 11 keep 14 after 11 keep 29 over 12 stable 13 bmd 14 after 16 years 15 4 16 years 16 years 26 bmd 16 years 28 decreased 17 , 18 while 18 while 19 for 18 while 24 , 18 while 26 bmd 19 for 20 those 20 those 21 with 21 with 23 perfusion 22 bad 23 perfusion 25 their 26 bmd 26 bmd 28 decreased 27 consistently 28 decreased 29 over 31 years 30 4 31 years the results indicated that the bone marrow perfusion function interacts with bone modeling and could have a long term effect on bmd . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 23 . 1 the 2 results 2 results 14 and 3 indicated 4 that 3 indicated 14 and 4 that 9 function 4 that 10 interacts 5 the 9 function 6 bone 8 perfusion 7 marrow 8 perfusion 8 perfusion 9 function 9 function 10 interacts 10 interacts 11 with 11 with 13 modeling 12 bone 13 modeling 14 and 15 could 14 and 21 on 15 could 16 have 16 have 20 effect 17 a 18 long 17 a 20 effect 18 long 19 term 19 term 20 effect 21 on 22 bmd a good perfusion function would help to keep the bone health . 0 ###LEFT-WALL### 4 function 0 ###LEFT-WALL### 6 help 0 ###LEFT-WALL### 12 . 1 a 2 good 1 a 4 function 2 good 3 perfusion 3 perfusion 4 function 4 function 5 would 5 would 6 help 6 help 7 to 6 help 8 keep 7 to 8 keep 8 keep 11 health 9 the 11 health 10 bone 11 health in modern society , aging and chronic disease is becoming common [phenomenon] due to the increasing numbers of elderly patients . 0 ###LEFT-WALL### 8 disease 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 21 . 1 in 3 society 1 in 4 , 1 in 8 disease 2 modern 3 society 5 aging 6 and 6 and 7 chronic 6 and 8 disease 8 disease 9 is 9 is 10 becoming 10 becoming 11 common 11 common 14 to 13 due 14 to 14 to 20 patients 15 the 17 numbers 16 increasing 17 numbers 17 numbers 18 of 17 numbers 20 patients 18 of 20 patients 19 elderly 20 patients to best treat this growing segment of the population , medical care should be based on constant vital sign monitoring . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 3 treat 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 21 . 1 to 3 treat 2 best 3 treat 3 treat 6 segment 4 this 6 segment 5 growing 6 segment 6 segment 7 of 7 of 9 population 8 the 9 population 10 , 12 care 10 , 15 based 11 medical 12 care 12 care 13 should 13 should 14 be 14 be 15 based 15 based 16 on 16 on 20 monitoring 17 constant 19 sign 18 vital 19 sign 19 sign 20 monitoring in this study , we propose a mobile vital sign measurement and data collection system for chronic disease management [.] . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 propose 0 ###LEFT-WALL### 21 . 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 propose 6 propose 12 and 6 propose 16 for 7 a 8 mobile 7 a 11 measurement 8 mobile 10 sign 9 vital 10 sign 10 sign 11 measurement 11 measurement 12 and 12 and 15 system 13 data 14 collection 14 collection 15 system 16 for 19 management 17 chronic 18 disease 18 disease 19 management and we implemented a middle ware using multi - agent [platform] in sos ( self - organizing system ) platform that transmits patient clinical data for services . 0 ###LEFT-WALL### 1 and 0 ###LEFT-WALL### 22 transmits 0 ###LEFT-WALL### 28 . 1 and 2 we 1 and 3 implemented 2 we 3 implemented 3 implemented 20 platform 4 a 20 platform 5 middle 20 platform 6 ware 20 platform 7 using 20 platform 8 multi 10 agent 8 multi 17 organizing 8 multi 20 platform 9 - 10 agent 10 agent 12 in 10 agent 16 - 12 in 13 sos 13 sos 15 self 14 ( 15 self 15 self 16 - 16 - 17 organizing 17 organizing 18 system 17 organizing 19 ) 20 platform 21 that 20 platform 22 transmits 21 that 22 transmits 22 transmits 25 data 23 patient 25 data 24 clinical 25 data 25 data 26 for 26 for 27 services we also implemented a hl7 messaging interface for interoperability of clinical data exchange . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 implemented 0 ###LEFT-WALL### 14 . 1 we 3 implemented 2 also 3 implemented 3 implemented 7 interface 4 a 7 interface 5 hl7 7 interface 6 messaging 7 interface 7 interface 8 for 8 for 9 interoperability 9 interoperability 10 of 10 of 13 exchange 11 clinical 12 data 12 data 13 exchange we propose health services on a self - organized software platform . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 propose 0 ###LEFT-WALL### 8 - 1 we 2 propose 2 propose 4 services 2 propose 5 on 3 health 4 services 5 on 7 self 6 a 7 self 8 - 11 platform 8 - 12 . 9 organized 10 software 10 software 11 platform cardiac autonomic dysfunction is a serious condition in the elder subjects . 0 ###LEFT-WALL### 3 dysfunction 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 12 . 1 cardiac 3 dysfunction 2 autonomic 3 dysfunction 3 dysfunction 4 is 4 is 7 condition 5 a 6 serious 5 a 7 condition 6 serious 7 condition 7 condition 8 in 8 in 11 subjects 9 the 11 subjects 10 elder 11 subjects baroreflex [sensitivity] ( brs ) by measuring pulse intervals and blood pressure has been proven as an effective indicator . 0 ###LEFT-WALL### 12 pressure 0 ###LEFT-WALL### 15 proven 0 ###LEFT-WALL### 20 . 1 baroreflex 4 brs 3 ( 4 brs 4 brs 5 ) 4 brs 6 by 4 brs 10 and 6 by 7 measuring 7 measuring 9 intervals 8 pulse 9 intervals 10 and 11 blood 10 and 12 pressure 12 pressure 13 has 13 has 14 been 14 been 15 proven 15 proven 16 as 16 as 19 indicator 17 an 18 effective 17 an 19 indicator 18 effective 19 indicator this paper proposes a novel index by substitution blood pressure with amplitudes of pressure pulse . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 proposes 0 ###LEFT-WALL### 16 . 1 this 2 paper 2 paper 3 proposes 3 proposes 6 index 3 proposes 15 pulse 4 a 5 novel 4 a 6 index 5 novel 6 index 6 index 7 by 7 by 10 pressure 8 substitution 10 pressure 9 blood 10 pressure 10 pressure 11 with 11 with 12 amplitudes 12 amplitudes 13 of 13 of 14 pressure we recruited 61 subjects divided into two groups : healthy young subjects ( group1 , n=33 ) , healthy elders ( group2 , n=28 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 recruited 0 ###LEFT-WALL### 9 : 0 ###LEFT-WALL### 26 . 1 we 2 recruited 2 recruited 4 subjects 2 recruited 6 into 3 61 4 subjects 4 subjects 5 divided 6 into 8 groups 7 two 8 groups 9 : 12 subjects 10 healthy 12 subjects 11 young 12 subjects 12 subjects 14 group1 13 ( 14 group1 14 group1 16 n=33 14 group1 20 elders 14 group1 24 n=28 14 group1 25 ) 15 , 16 n=33 16 n=33 17 ) 18 , 20 elders 19 healthy 20 elders 20 elders 22 group2 20 elders 23 , 21 ( 22 group2 22 group2 23 , 23 , 24 n=28 24 n=28 25 ) the wrist pulse pressures of each subject were measured for 5 minutes to obtain pulse - pulse intervals and amplitudes then applied within the spontaneous sequence technique to calculate the pulse [-] pulse interval and amplitude ratio ( par ) . 0 ###LEFT-WALL### 4 pressures 0 ###LEFT-WALL### 15 pulse 0 ###LEFT-WALL### 16 - 1 the 4 pressures 2 wrist 4 pressures 3 pulse 4 pressures 4 pressures 5 of 4 pressures 8 were 5 of 7 subject 6 each 7 subject 8 were 9 measured 9 measured 10 for 10 for 12 minutes 11 5 12 minutes 12 minutes 13 to 12 minutes 14 obtain 12 minutes 15 pulse 13 to 14 obtain 16 - 19 and 16 - 22 applied 16 - 41 . 17 pulse 18 intervals 18 intervals 19 and 19 and 20 amplitudes 19 and 22 applied 21 then 22 applied 22 applied 23 within 22 applied 27 technique 22 applied 28 to 23 within 25 spontaneous 24 the 25 spontaneous 26 sequence 27 technique 28 to 29 calculate 29 calculate 35 and 30 the 34 interval 31 pulse 33 pulse 33 pulse 34 interval 34 interval 35 and 35 and 37 ratio 35 and 39 par 36 amplitude 37 ratio 38 ( 39 par 39 par 40 ) we verified the reproducibility of par and agreement with spectral analysis of heart rate variability in group1 participants . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 verified 0 ###LEFT-WALL### 19 . 1 we 2 verified 2 verified 7 and 2 verified 14 rate 3 the 4 reproducibility 4 reproducibility 5 of 4 reproducibility 7 and 5 of 6 par 7 and 8 agreement 7 and 9 with 7 and 12 of 7 and 14 rate 9 with 11 analysis 10 spectral 11 analysis 12 of 13 heart 14 rate 15 variability 14 rate 16 in 16 in 18 participants 17 group1 18 participants we discovered significant differences between different groups in par ( group1 vs [.] group2 : 0.90 ± 0.42 [vs] . 0.62 ± 0.27 , p=0.010 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 discovered 0 ###LEFT-WALL### 15 : 1 we 2 discovered 2 discovered 4 differences 2 discovered 5 between 2 discovered 8 in 3 significant 4 differences 5 between 7 groups 6 different 7 groups 8 in 9 par 9 par 11 group1 10 ( 11 group1 11 group1 12 vs 11 group1 15 : 12 vs 14 group2 15 : 16 0.90 15 : 17 ± 15 : 20 . 16 0.90 17 ± 17 ± 18 0.42 20 . 21 0.62 20 . 22 ± 20 . 27 . 21 0.62 22 ± 22 ± 23 0.27 23 0.27 25 p=0.010 24 , 25 p=0.010 25 p=0.010 26 ) in contrast with measurements of brs , this study proposes a simple approach without the necessity of blood pressure calibration or professional expertise to conduct measurements , thereby providing a convenient method for assessing autonomic function [at] home . 0 ###LEFT-WALL### 9 study 0 ###LEFT-WALL### 19 pressure 1 in 2 contrast 1 in 7 , 1 in 9 study 2 contrast 3 with 2 contrast 5 of 3 with 4 measurements 5 of 6 brs 8 this 9 study 9 study 10 proposes 10 proposes 13 approach 10 proposes 19 pressure 11 a 13 approach 12 simple 13 approach 13 approach 14 without 14 without 16 necessity 15 the 16 necessity 16 necessity 17 of 17 of 18 blood 19 pressure 21 or 20 calibration 21 or 21 or 23 expertise 21 or 24 to 22 professional 23 expertise 24 to 26 measurements 25 conduct 26 measurements 26 measurements 29 providing 27 , 29 providing 28 thereby 29 providing 29 providing 32 method 29 providing 33 for 29 providing 39 . 30 a 31 convenient 30 a 32 method 31 convenient 32 method 33 for 34 assessing 34 assessing 38 home 35 autonomic 36 function 36 function 38 home in 2002 , federal communications commission ( fcc ) was the first in defining regulations for ultra wideband ( uwb ) communications followed by europe and japan some years later . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 10 was 0 ###LEFT-WALL### 31 . 1 in 2 2002 1 in 10 was 2 2002 6 commission 3 , 6 commission 4 federal 5 communications 5 communications 6 commission 6 commission 8 fcc 6 commission 9 ) 7 ( 8 fcc 8 fcc 9 ) 10 was 12 first 11 the 12 first 12 first 13 in 13 in 14 defining 14 defining 26 and 15 regulations 16 for 15 regulations 26 and 16 for 22 communications 17 ultra 22 communications 18 wideband 20 uwb 18 wideband 21 ) 18 wideband 22 communications 19 ( 20 uwb 20 uwb 21 ) 22 communications 23 followed 22 communications 24 by 24 by 25 europe 26 and 27 japan 27 japan 30 later 28 some 29 years 29 years 30 later focusing on impulse radio ( ir ) uwb [,] in 2007 was the time for the first published standard targeting in personal area networks , released by the ieee . 0 ###LEFT-WALL### 8 uwb 0 ###LEFT-WALL### 12 was 1 focusing 2 on 1 focusing 7 ) 1 focusing 8 uwb 2 on 4 radio 3 impulse 4 radio 4 radio 6 ir 5 ( 6 ir 6 ir 7 ) 8 uwb 10 in 8 uwb 12 was 10 in 11 2007 12 was 14 time 12 was 21 in 13 the 14 time 14 time 15 for 15 for 20 targeting 16 the 17 first 16 the 20 targeting 18 published 20 targeting 19 standard 20 targeting 21 in 24 networks 22 personal 24 networks 23 area 24 networks 24 networks 26 released 25 , 26 released 26 released 27 by 26 released 30 . 27 by 29 ieee 28 the 29 ieee the second ieee released standard including uwb definitions is targeted for wireless body area networks ( wban ) and was published in 2012 . 0 ###LEFT-WALL### 5 standard 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 24 . 1 the 5 standard 2 second 4 released 3 ieee 4 released 4 released 5 standard 5 standard 6 including 5 standard 19 and 6 including 8 definitions 7 uwb 8 definitions 9 is 10 targeted 9 is 19 and 10 targeted 11 for 11 for 15 networks 12 wireless 13 body 13 body 15 networks 14 area 15 networks 15 networks 17 wban 16 ( 17 wban 17 wban 18 ) 19 and 20 was 19 and 22 in 20 was 21 published 22 in 23 2012 as the wireless communications has been and will be passing through almost any levels in society , the natural step with wban is using it in different medical , healthcare and wellbeing applications . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 34 . 1 as 4 communications 1 as 7 and 2 the 4 communications 3 wireless 4 communications 5 has 6 been 5 has 7 and 7 and 8 will 8 will 9 be 9 be 10 passing 10 passing 11 through 11 through 14 levels 12 almost 13 any 13 any 14 levels 14 levels 15 in 15 in 16 society 17 , 20 step 17 , 23 is 18 the 20 step 19 natural 20 step 20 step 21 with 20 step 23 is 21 with 22 wban 23 is 24 using 24 using 25 it 24 using 26 in 26 in 33 applications 27 different 33 applications 28 medical 29 , 28 medical 33 applications 30 healthcare 31 and 31 and 32 wellbeing 31 and 33 applications the arguments for these are related to the modern lifestyle , in which people have increasingly more free time and [are] more interested in taking care of their health and wellbeing . 0 ###LEFT-WALL### 2 arguments 0 ###LEFT-WALL### 6 related 1 the 2 arguments 2 arguments 3 for 2 arguments 5 are 3 for 4 these 5 are 6 related 6 related 7 to 7 to 10 lifestyle 8 the 10 lifestyle 9 modern 10 lifestyle 10 lifestyle 12 in 11 , 12 in 12 in 13 which 12 in 14 people 12 in 15 have 12 in 32 . 14 people 15 have 15 have 20 and 15 have 24 in 16 increasingly 18 free 17 more 18 free 18 free 19 time 19 time 20 and 20 and 22 more 20 and 23 interested 24 in 25 taking 25 taking 27 of 26 care 27 of 27 of 30 and 28 their 29 health 29 health 30 and 30 and 31 wellbeing another challenge is the population composition , i.e [.] , aging in developed countries which call for new solutions and procedures , particularly from cost [wise] . 0 ###LEFT-WALL### 2 challenge 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 8 i.e 0 ###LEFT-WALL### 27 . 1 another 2 challenge 2 challenge 3 is 3 is 6 composition 4 the 6 composition 5 population 6 composition 7 , 8 i.e 8 i.e 11 aging 8 i.e 23 particularly 10 , 11 aging 11 aging 12 in 11 aging 17 for 11 aging 22 , 12 in 14 countries 13 developed 14 countries 14 countries 15 which 14 countries 16 call 15 which 16 call 17 for 20 and 18 new 19 solutions 19 solutions 20 and 20 and 21 procedures 23 particularly 24 from 24 from 25 cost in this paper , we are evaluating uwb receivers based on the ieee 802.15.6 physical layer definitions and capable of detecting differentially encoded modulation . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 25 . 1 in 3 paper 1 in 4 , 1 in 5 we 2 this 3 paper 5 we 6 are 6 are 7 evaluating 7 evaluating 8 uwb 7 evaluating 23 encoded 8 uwb 9 receivers 8 uwb 21 detecting 8 uwb 23 encoded 9 receivers 10 based 10 based 11 on 10 based 18 and 11 on 13 ieee 12 the 13 ieee 14 802.15.6 18 and 15 physical 17 definitions 16 layer 17 definitions 17 definitions 18 and 18 and 19 capable 18 and 20 of 20 of 21 detecting 21 detecting 22 differentially 23 encoded 24 modulation the evaluation is performed using two different wban channel models . 0 ###LEFT-WALL### 2 evaluation 0 ###LEFT-WALL### 4 performed 0 ###LEFT-WALL### 11 . 1 the 2 evaluation 2 evaluation 3 is 3 is 4 performed 4 performed 5 using 5 using 10 models 6 two 10 models 7 different 10 models 8 wban 10 models 9 channel 10 models this study was designed to assess the effectiveness of a smartphone - based [audio] - biofeedback ( abf ) system for improving balance in older adults . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 designed 0 ###LEFT-WALL### 27 . 1 this 2 study 2 study 3 was 3 was 4 designed 4 designed 5 to 4 designed 6 assess 5 to 6 assess 6 assess 8 effectiveness 7 the 8 effectiveness 8 effectiveness 9 of 9 of 20 system 10 a 20 system 11 smartphone 13 based 11 smartphone 16 biofeedback 11 smartphone 20 system 12 - 13 based 13 based 15 - 15 - 16 biofeedback 16 biofeedback 18 abf 16 biofeedback 19 ) 17 ( 18 abf 18 abf 19 ) 20 system 21 for 21 for 22 improving 22 improving 23 balance 22 improving 24 in 24 in 26 adults 25 older 26 adults this so [-] called " ibalance - abf " system that we recetly developed is " all [-] inclusive " in the sense that its three main components [of] [a] balance prosthesis [,] [(] [i] [ )(the sensory input unit , [(] ii ) [the] processing unit , and [(] iii ) the sensory output unit , [are] entirely embedded into the smartphone . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 4 called 0 ###LEFT-WALL### 7 - 1 this 4 called 2 so 4 called 4 called 5 " 4 called 6 ibalance 7 - 10 system 7 - 15 is 8 abf 9 " 8 abf 10 system 10 system 11 that 10 system 14 developed 10 system 15 is 11 that 12 we 11 that 14 developed 12 we 14 developed 13 recetly 14 developed 15 is 16 " 15 is 17 all 17 all 19 inclusive 19 inclusive 20 " 19 inclusive 21 in 21 in 23 sense 22 the 23 sense 23 sense 24 that 23 sense 31 balance 24 that 28 components 24 that 31 balance 25 its 28 components 26 three 28 components 27 main 28 components 28 components 31 balance 31 balance 32 prosthesis 32 prosthesis 38 sensory 32 prosthesis 39 input 37 )(the 38 sensory 38 sensory 39 input 39 input 49 and 40 unit 41 , 41 , 47 unit 41 , 49 and 43 ii 44 ) 43 ii 47 unit 46 processing 47 unit 48 , 49 and 49 and 51 iii 49 and 52 ) 49 and 54 sensory 49 and 55 output 53 the 54 sensory 54 sensory 55 output 55 output 56 unit 55 output 60 embedded 57 , 60 embedded 59 entirely 60 embedded 60 embedded 61 into 60 embedded 64 . 61 into 63 smartphone 62 the 63 smartphone the underlying principle of this system is to supply the user with supplementary information about the medial - lateral ( ml ) trunk tilt relative to a predetermined adjustable " dead zone " through sound generation in earphones . 0 ###LEFT-WALL### 3 principle 0 ###LEFT-WALL### 39 . 1 the 3 principle 2 underlying 3 principle 3 principle 4 of 3 principle 7 is 4 of 6 system 5 this 6 system 7 is 8 to 7 is 9 supply 8 to 9 supply 9 supply 11 user 9 supply 12 with 9 supply 34 through 10 the 11 user 12 with 14 information 13 supplementary 14 information 14 information 15 about 15 about 24 tilt 16 the 24 tilt 17 medial 18 - 17 medial 23 trunk 19 lateral 21 ml 19 lateral 22 ) 19 lateral 23 trunk 20 ( 21 ml 21 ml 22 ) 23 trunk 24 tilt 24 tilt 25 relative 25 relative 26 to 26 to 32 zone 27 a 32 zone 28 predetermined 32 zone 29 adjustable 30 " 29 adjustable 32 zone 31 dead 32 zone 32 zone 33 " 34 through 36 generation 35 sound 36 generation 36 generation 37 in 37 in 38 earphones six healthy older adults voluntarily participated in this pilot study . 0 ###LEFT-WALL### 4 adults 0 ###LEFT-WALL### 6 participated 0 ###LEFT-WALL### 11 . 1 six 4 adults 2 healthy 4 adults 3 older 4 adults 4 adults 6 participated 5 voluntarily 6 participated 6 participated 7 in 7 in 10 study 8 this 10 study 9 pilot 10 study eyes closed , they were asked to stand upright and to sway as little as possible in two ( parallel and tandem ) stance conditions executed without [and] [with] the use of the ibalance - abf system . 0 ###LEFT-WALL### 1 eyes 0 ###LEFT-WALL### 2 closed 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 38 . 1 eyes 2 closed 3 , 4 they 3 , 10 and 3 , 35 - 4 they 10 and 5 were 6 asked 5 were 10 and 6 asked 7 to 7 to 8 stand 8 stand 9 upright 10 and 11 to 10 and 12 sway 11 to 12 sway 12 sway 13 as 12 sway 27 without 13 as 14 little 14 little 16 possible 14 little 25 conditions 14 little 26 executed 15 as 16 possible 16 possible 17 in 17 in 18 two 18 two 21 and 19 ( 21 and 20 parallel 21 and 21 and 22 tandem 21 and 23 ) 24 stance 25 conditions 25 conditions 26 executed 27 without 31 use 30 the 31 use 31 use 32 of 32 of 34 ibalance 33 the 34 ibalance 35 - 37 system 36 abf 37 system results showed that , without any visual information , the use of the smartphone - based abf allowed the older healthy adults to significantly decrease their ml trunk sway in the tandem stance posture and to mitigate the destabilizing effect induced by this particular stance . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 showed 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 46 . 1 results 2 showed 2 showed 3 that 4 , 8 information 4 , 16 based 5 without 6 any 5 without 8 information 7 visual 8 information 8 information 11 use 8 information 16 based 9 , 11 use 10 the 11 use 11 use 12 of 11 use 15 - 12 of 14 smartphone 13 the 14 smartphone 16 based 17 abf 16 based 23 to 16 based 42 by 17 abf 18 allowed 18 allowed 22 adults 19 the 22 adults 20 older 22 adults 21 healthy 22 adults 23 to 35 and 24 significantly 25 decrease 25 decrease 29 sway 25 decrease 35 and 26 their 29 sway 27 ml 28 trunk 28 trunk 29 sway 29 sway 30 in 30 in 34 posture 31 the 34 posture 32 tandem 34 posture 33 stance 34 posture 35 and 36 to 35 and 41 induced 36 to 37 mitigate 37 mitigate 40 effect 38 the 40 effect 39 destabilizing 40 effect 42 by 45 stance 43 this 45 stance 44 particular 45 stance although an extended study including a larger number of participants is needed to confirm these data , the present results are encouraging . 0 ###LEFT-WALL### 20 results 0 ###LEFT-WALL### 21 are 0 ###LEFT-WALL### 23 . 1 although 4 study 1 although 12 needed 1 although 17 , 1 although 20 results 2 an 4 study 3 extended 4 study 4 study 5 including 4 study 11 is 4 study 12 needed 5 including 10 participants 5 including 11 is 6 a 8 number 7 larger 8 number 8 number 9 of 8 number 10 participants 9 of 10 participants 12 needed 13 to 12 needed 17 , 13 to 14 confirm 14 confirm 16 data 15 these 16 data 18 the 20 results 19 present 20 results 20 results 21 are 21 are 22 encouraging they do suggest that smartphone - [based] abf system could be used for balance training and rehabilitation therapy in older adults . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 22 . 1 they 2 do 2 do 3 suggest 3 suggest 9 system 3 suggest 12 used 4 that 9 system 5 smartphone 8 abf 6 - 8 abf 8 abf 9 system 9 system 10 could 10 could 11 be 11 be 12 used 12 used 13 for 12 used 19 in 13 for 16 and 14 balance 15 training 15 training 16 and 16 and 18 therapy 17 rehabilitation 18 therapy 19 in 21 adults 20 older 21 adults aging population is considered to be major [problem] [in] modern [healthcare] . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 4 considered 0 ###LEFT-WALL### 12 . 1 aging 2 population 1 aging 3 is 3 is 4 considered 4 considered 5 to 4 considered 10 modern 5 to 6 be 6 be 7 major at the same time , fall incidents often occur among elderly and cause serious injuries affecting their independent living . 0 ###LEFT-WALL### 7 incidents 0 ###LEFT-WALL### 9 occur 0 ###LEFT-WALL### 20 . 1 at 4 time 1 at 5 , 1 at 7 incidents 2 the 3 same 3 same 4 time 6 fall 7 incidents 7 incidents 9 occur 8 often 9 occur 9 occur 10 among 10 among 12 and 11 elderly 12 and 12 and 15 injuries 12 and 16 affecting 13 cause 15 injuries 14 serious 15 injuries 16 affecting 18 independent 17 their 18 independent 18 independent 19 living this paper proposes a framework which uses mobile phone technology together with physiological data monitoring in order to detect falls . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 proposes 0 ###LEFT-WALL### 21 . 1 this 2 paper 2 paper 3 proposes 3 proposes 5 framework 3 proposes 20 falls 4 a 5 framework 5 framework 6 which 5 framework 7 uses 5 framework 20 falls 6 which 7 uses 7 uses 10 technology 8 mobile 9 phone 9 phone 10 technology 10 technology 12 with 10 technology 18 to 10 technology 19 detect 11 together 12 with 12 with 15 monitoring 13 physiological 14 data 14 data 15 monitoring 15 monitoring 16 in 16 in 17 order 18 to 19 detect the system carries out collecting , storing and processing of acceleration data with further alarm generating and transferring all the measurements to remote caregiver . 0 ###LEFT-WALL### 2 system 0 ###LEFT-WALL### 3 carries 0 ###LEFT-WALL### 25 . 1 the 2 system 2 system 3 carries 3 carries 4 out 3 carries 12 data 3 carries 13 with 3 carries 22 to 5 collecting 6 , 6 , 7 storing 6 , 8 and 8 and 9 processing 8 and 12 data 9 processing 10 of 10 of 11 acceleration 13 with 17 and 13 with 19 all 14 further 15 alarm 15 alarm 16 generating 16 generating 17 and 17 and 18 transferring 19 all 20 the 19 all 21 measurements 20 the 21 measurements 22 to 24 caregiver 23 remote 24 caregiver to perform [evaluation] [,] an experimental setup involving novice ice - skaters were carried out to obtain realistic fall data and examine the effects of falling on physiological parameters . 0 ###LEFT-WALL### 12 skaters 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 30 . 1 to 2 perform 1 to 11 - 1 to 12 skaters 2 perform 7 setup 5 an 6 experimental 5 an 7 setup 6 experimental 7 setup 7 setup 8 involving 8 involving 10 ice 9 novice 10 ice 12 skaters 21 and 13 were 14 carried 13 were 21 and 14 carried 15 out 14 carried 16 to 16 to 17 obtain 17 obtain 20 data 18 realistic 19 fall 19 fall 20 data 21 and 22 examine 21 and 27 on 22 examine 24 effects 23 the 24 effects 24 effects 25 of 25 of 26 falling 27 on 29 parameters 28 physiological 29 parameters a fall detection algorithm has been designed therefore to cope with large variations of movement in the torso . 0 ###LEFT-WALL### 4 algorithm 0 ###LEFT-WALL### 7 designed 0 ###LEFT-WALL### 19 . 1 a 2 fall 1 a 4 algorithm 2 fall 4 algorithm 3 detection 4 algorithm 4 algorithm 5 has 5 has 6 been 6 been 7 designed 7 designed 9 to 7 designed 10 cope 8 therefore 9 to 9 to 10 cope 10 cope 11 with 10 cope 16 in 11 with 13 variations 12 large 13 variations 13 variations 14 of 14 of 15 movement 16 in 18 torso 17 the 18 torso the online algorithm operating showed performance results of 90 % specificity , 100 % sensitivity and 94 % accuracy . 0 ###LEFT-WALL### 3 algorithm 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 20 . 1 the 3 algorithm 2 online 3 algorithm 3 algorithm 4 operating 3 algorithm 5 showed 5 showed 7 results 6 performance 7 results 7 results 8 of 8 of 16 and 9 90 10 % 10 % 11 specificity 11 specificity 12 , 12 , 15 sensitivity 12 , 16 and 13 100 14 % 14 % 15 sensitivity 16 and 19 accuracy 17 94 18 % 18 % 19 accuracy in this paper , a recording and analysis system is designed and developed for outdoor activity patterns characterization . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 19 . 1 in 7 and 1 in 12 and 2 this 3 paper 3 paper 4 , 4 , 6 recording 4 , 7 and 5 a 6 recording 7 and 9 system 8 analysis 9 system 10 is 11 designed 10 is 12 and 12 and 13 developed 13 developed 14 for 14 for 18 characterization 15 outdoor 16 activity 16 activity 18 characterization 17 patterns 18 characterization some mental problems of aging , especially the occurrence of dementia , are not easily noticed [in] early stage . 0 ###LEFT-WALL### 19 stage 0 ###LEFT-WALL### 20 . 1 some 3 problems 2 mental 3 problems 3 problems 4 of 3 problems 9 occurrence 3 problems 13 are 4 of 5 aging 6 , 7 especially 6 , 9 occurrence 8 the 9 occurrence 9 occurrence 10 of 9 occurrence 12 , 10 of 11 dementia 13 are 14 not 14 not 15 easily 15 easily 16 noticed 16 noticed 19 stage 18 early 19 stage in this study , the proposed system is employed for outdoor activity patterns analysis . 0 ###LEFT-WALL### 7 system 0 ###LEFT-WALL### 13 patterns 0 ###LEFT-WALL### 15 . 1 in 3 study 1 in 4 , 1 in 7 system 2 this 3 study 5 the 7 system 6 proposed 7 system 7 system 8 is 8 is 9 employed 9 employed 10 for 10 for 12 activity 11 outdoor 12 activity 12 activity 13 patterns 13 patterns 14 analysis from the pattern analysis , the abnormal activity which is different from the usual patterns may be differentiated and warned . 0 ###LEFT-WALL### 8 activity 0 ###LEFT-WALL### 17 be 0 ###LEFT-WALL### 21 . 1 from 4 analysis 1 from 5 , 1 from 8 activity 2 the 4 analysis 3 pattern 4 analysis 6 the 8 activity 7 abnormal 8 activity 8 activity 9 which 8 activity 10 is 8 activity 16 may 9 which 10 is 10 is 11 different 11 different 12 from 12 from 15 patterns 13 the 15 patterns 14 usual 15 patterns 16 may 17 be 17 be 19 and 18 differentiated 19 and 19 and 20 warned the proposed system integrates the tablet pc and gps [to] track [and] to detect the occurrence of abnormal condition off - line . 0 ###LEFT-WALL### 3 system 0 ###LEFT-WALL### 4 integrates 0 ###LEFT-WALL### 21 - 1 the 3 system 2 proposed 3 system 3 system 4 integrates 4 integrates 11 track 5 the 11 track 6 tablet 11 track 7 pc 8 and 8 and 9 gps 9 gps 11 track 11 track 13 to 11 track 20 off 13 to 14 detect 14 detect 16 occurrence 14 detect 20 off 15 the 16 occurrence 16 occurrence 17 of 17 of 19 condition 18 abnormal 19 condition 21 - 22 line 21 - 23 . in the beginning , the sequence of gps data is segmented in time [frame] , and represented in vector form for data reduction . 0 ###LEFT-WALL### 6 sequence 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 24 . 1 in 3 beginning 1 in 4 , 1 in 6 sequence 2 the 3 beginning 5 the 6 sequence 6 sequence 7 of 6 sequence 16 and 7 of 9 data 8 gps 9 data 10 is 11 segmented 10 is 16 and 11 segmented 12 in 12 in 13 time 15 , 16 and 16 and 17 represented 16 and 18 in 16 and 23 reduction 18 in 20 form 19 vector 20 form 20 form 21 for 21 for 22 data some filtering technique is also applied for noise reduction . 0 ###LEFT-WALL### 3 technique 0 ###LEFT-WALL### 6 applied 0 ###LEFT-WALL### 10 . 1 some 3 technique 2 filtering 3 technique 3 technique 4 is 4 is 6 applied 5 also 6 applied 6 applied 7 for 7 for 9 reduction 8 noise 9 reduction observation of a patient 's respiration signal can provide a clinician with the required information necessary to analyse a subject 's wellbeing . 0 ###LEFT-WALL### 1 observation 0 ###LEFT-WALL### 18 analyse 0 ###LEFT-WALL### 23 . 1 observation 2 of 1 observation 8 can 2 of 7 signal 3 a 4 patient 4 patient 5 's 5 's 7 signal 6 respiration 7 signal 8 can 9 provide 9 provide 11 clinician 9 provide 12 with 10 a 11 clinician 12 with 15 information 13 the 15 information 14 required 15 information 15 information 16 necessary 16 necessary 17 to 16 necessary 18 analyse 17 to 18 analyse 18 analyse 22 wellbeing 19 a 20 subject 20 subject 21 's 21 's 22 wellbeing due to an increase in population number and the aging population demographic there is an increasing stress being placed on current healthcare systems . 0 ###LEFT-WALL### 1 due 0 ###LEFT-WALL### 14 is 0 ###LEFT-WALL### 24 . 1 due 2 to 1 due 14 is 2 to 4 increase 3 an 4 increase 4 increase 5 in 5 in 8 and 6 population 7 number 7 number 8 and 8 and 11 population 8 and 12 demographic 9 the 11 population 10 aging 11 population 12 demographic 13 there 14 is 18 being 15 an 18 being 16 increasing 17 stress 17 stress 18 being 18 being 19 placed 19 placed 20 on 20 on 23 systems 21 current 23 systems 22 healthcare 23 systems there is therefore a requirement for more of the rudimentary patient testing to be performed outside of the hospital environment . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 21 . 1 there 2 is 2 is 3 therefore 2 is 5 requirement 2 is 6 for 2 is 13 to 2 is 17 of 4 a 5 requirement 6 for 12 testing 7 more 8 of 7 more 12 testing 8 of 11 patient 9 the 11 patient 10 rudimentary 11 patient 13 to 14 be 14 be 15 performed 16 outside 17 of 17 of 20 environment 18 the 20 environment 19 hospital 20 environment however due to the ambulatory nature of these recordings there is also a desire for a reduction in the number of sensors required to perform the required recording in order to be unobtrusive to the wearer , and also to use textile based systems for comfort . 0 ###LEFT-WALL### 10 there 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 47 . 1 however 10 there 2 due 3 to 3 to 6 nature 3 to 10 there 4 the 6 nature 5 ambulatory 6 nature 6 nature 7 of 7 of 9 recordings 8 these 9 recordings 10 there 11 is 11 is 12 also 11 is 14 desire 13 a 14 desire 14 desire 15 for 14 desire 21 of 14 desire 23 required 15 for 17 reduction 16 a 17 reduction 17 reduction 18 in 18 in 20 number 19 the 20 number 21 of 22 sensors 23 required 24 to 23 required 31 to 23 required 38 and 24 to 25 perform 25 perform 28 recording 26 the 28 recording 27 required 28 recording 28 recording 29 in 29 in 30 order 31 to 38 and 32 be 33 unobtrusive 32 be 38 and 33 unobtrusive 34 to 34 to 36 wearer 35 the 36 wearer 37 , 38 and 38 and 40 to 38 and 41 use 39 also 40 to 40 to 41 use 41 use 44 systems 42 textile 44 systems 43 based 44 systems 44 systems 45 for 45 for 46 comfort the extraction of a proxy for the respiration signal from a recorded electrocardiogram ( ecg ) [signal] has therefore received considerable interest from previous researchers . 0 ###LEFT-WALL### 2 extraction 0 ###LEFT-WALL### 20 received 0 ###LEFT-WALL### 26 . 1 the 2 extraction 2 extraction 3 of 2 extraction 18 has 3 of 5 proxy 4 a 5 proxy 5 proxy 6 for 6 for 9 signal 7 the 9 signal 8 respiration 9 signal 9 signal 10 from 10 from 13 electrocardiogram 11 a 13 electrocardiogram 12 recorded 13 electrocardiogram 13 electrocardiogram 15 ecg 14 ( 15 ecg 15 ecg 16 ) 18 has 20 received 19 therefore 20 received 20 received 22 interest 21 considerable 22 interest 22 interest 23 from 23 from 25 researchers 24 previous 25 researchers to allow for accurate measurements , currently employed methods rely on the availability of a clean artifact free ecg signal from which [to] extract [the] desired respiration [signal] . 0 ###LEFT-WALL### 9 methods 0 ###LEFT-WALL### 20 signal 0 ###LEFT-WALL### 26 desired 0 ###LEFT-WALL### 29 . 1 to 3 for 1 to 6 , 1 to 9 methods 2 allow 3 for 3 for 5 measurements 4 accurate 5 measurements 7 currently 8 employed 8 employed 9 methods 9 methods 10 rely 10 rely 11 on 10 rely 18 free 11 on 13 availability 12 the 13 availability 13 availability 14 of 14 of 17 artifact 15 a 17 artifact 16 clean 17 artifact 19 ecg 20 signal 20 signal 21 from 21 from 22 which 22 which 24 extract 22 which 26 desired 24 extract 26 desired 26 desired 27 respiration however , ambulatory recordings , made outside of the hospital [-] centric environment , are often corrupted with contaminating artifacts , the most [degrading] of which are due to subject motion . 0 ###LEFT-WALL### 4 recordings 0 ###LEFT-WALL### 17 corrupted 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 32 . 1 however 2 , 1 however 4 recordings 3 ambulatory 4 recordings 4 recordings 6 made 4 recordings 15 are 5 , 6 made 6 made 8 of 6 made 14 , 7 outside 8 of 8 of 13 environment 9 the 13 environment 10 hospital 13 environment 12 centric 13 environment 15 are 16 often 15 are 17 corrupted 17 corrupted 18 with 18 with 19 contaminating 19 contaminating 20 artifacts 21 , 23 most 21 , 27 are 22 the 23 most 23 most 25 of 23 most 27 are 25 of 26 which 27 are 28 due 28 due 29 to 28 due 30 subject 29 to 30 subject 30 subject 31 motion this paper presents the use of the ensemble empirical mode decomposition ( eemd ) [algorithm] to aid in the extraction of the desired respiration signal . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 presents 0 ###LEFT-WALL### 26 . 1 this 2 paper 2 paper 3 presents 3 presents 5 use 3 presents 16 to 3 presents 18 in 4 the 5 use 5 use 6 of 6 of 11 decomposition 7 the 11 decomposition 8 ensemble 11 decomposition 9 empirical 10 mode 10 mode 11 decomposition 11 decomposition 13 eemd 12 ( 13 eemd 13 eemd 14 ) 16 to 17 aid 18 in 20 extraction 19 the 20 extraction 20 extraction 21 of 21 of 25 signal 22 the 25 signal 23 desired 24 respiration 24 respiration 25 signal two separate techniques are examined ; [1] [ )(extraction of the respiration signal directly from the noisy ecg 2 ) removal of the artifact components relating to the subject movement allowing for the use of currently available respiration signal detection techniques . 0 ###LEFT-WALL### 3 techniques 0 ###LEFT-WALL### 5 examined 0 ###LEFT-WALL### 6 ; 0 ###LEFT-WALL### 42 . 1 two 3 techniques 2 separate 3 techniques 3 techniques 4 are 4 are 5 examined 6 ; 25 components 6 ; 39 signal 9 )(extraction 25 components 10 of 13 signal 10 of 25 components 11 the 13 signal 12 respiration 13 signal 14 directly 25 components 15 from 18 ecg 15 from 20 ) 15 from 25 components 16 the 18 ecg 17 noisy 18 ecg 18 ecg 19 2 21 removal 25 components 22 of 24 artifact 22 of 25 components 23 the 24 artifact 25 components 26 relating 25 components 39 signal 26 relating 27 to 27 to 30 movement 28 the 30 movement 29 subject 30 movement 30 movement 32 for 31 allowing 32 for 32 for 34 use 33 the 34 use 34 use 35 of 35 of 38 respiration 36 currently 37 available 37 available 38 respiration 39 signal 41 techniques 40 detection 41 techniques results presented illustrate [that] the two proposed techniques provide significant improvements in the accuracy of the breaths per minute ( bpm ) metric when compared to the available true respiration signal . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 9 provide 0 ###LEFT-WALL### 32 . 1 results 2 presented 1 results 3 illustrate 3 illustrate 6 two 5 the 6 two 6 two 7 proposed 6 two 8 techniques 6 two 9 provide 8 techniques 9 provide 9 provide 11 improvements 9 provide 12 in 10 significant 11 improvements 12 in 14 accuracy 13 the 14 accuracy 14 accuracy 15 of 14 accuracy 23 metric 15 of 17 breaths 16 the 17 breaths 17 breaths 18 per 17 breaths 21 bpm 18 per 19 minute 20 ( 21 bpm 21 bpm 22 ) 23 metric 24 when 23 metric 26 to 24 when 25 compared 26 to 31 signal 27 the 31 signal 28 available 30 respiration 29 true 30 respiration 30 respiration 31 signal the error reduced from ± 5.9 bpm prior to the use of the two techniques to ± 2.9 and ± 3.3 bpm post processing using the eemd algorithm techniques . 0 ###LEFT-WALL### 2 error 0 ###LEFT-WALL### 3 reduced 0 ###LEFT-WALL### 30 . 1 the 2 error 2 error 3 reduced 3 reduced 4 from 3 reduced 7 bpm 3 reduced 16 to 4 from 5 ± 5 ± 6 5.9 7 bpm 8 prior 8 prior 9 to 9 to 11 use 10 the 11 use 11 use 12 of 12 of 15 techniques 13 the 14 two 14 two 15 techniques 16 to 19 and 17 ± 18 2.9 17 ± 19 and 19 and 23 post 19 and 24 processing 20 ± 23 post 21 3.3 23 post 22 bpm 23 post 24 processing 25 using 24 processing 29 techniques 25 using 28 algorithm 26 the 28 algorithm 27 eemd 28 algorithm genome - wide epigenetic modification dynamics , including dna methylation and chromatin modification , are involved in biological processes such as development , aging , and disease . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 16 involved 0 ###LEFT-WALL### 28 . 1 genome 6 dynamics 1 genome 8 including 1 genome 11 and 2 - 6 dynamics 3 wide 5 modification 4 epigenetic 5 modification 5 modification 6 dynamics 6 dynamics 7 , 8 including 10 methylation 9 dna 10 methylation 11 and 13 modification 11 and 14 , 11 and 15 are 12 chromatin 13 modification 15 are 16 involved 16 involved 17 in 17 in 26 and 18 biological 19 processes 19 processes 21 as 19 processes 26 and 20 such 21 as 21 as 22 development 22 development 24 aging 23 , 24 aging 24 aging 25 , 25 , 26 and 26 and 27 disease quantitative identification of differential epigenetic modification regions ( demrs ) from various temporal and spatial epigenomes is a crucial step towards investigating the relationship between epigenotype and phenotype . 0 ###LEFT-WALL### 2 identification 0 ###LEFT-WALL### 17 is 0 ###LEFT-WALL### 29 . 1 quantitative 2 identification 2 identification 3 of 2 identification 11 from 2 identification 17 is 3 of 7 regions 4 differential 6 modification 5 epigenetic 6 modification 6 modification 7 regions 7 regions 9 demrs 8 ( 9 demrs 9 demrs 10 ) 11 from 16 epigenomes 12 various 16 epigenomes 13 temporal 14 and 14 and 15 spatial 14 and 16 epigenomes 17 is 20 step 17 is 21 towards 17 is 25 between 18 a 19 crucial 18 a 20 step 19 crucial 20 step 21 towards 22 investigating 22 investigating 24 relationship 23 the 24 relationship 25 between 27 and 26 epigenotype 27 and 27 and 28 phenotype here , we describe epidiff ( http://bioinfo.hrbmu.edu.cn/epidiff/ ) , an integrated software platform that supports quantification of epigenetic difference [and] identification of demrs by shannon entropy . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 describe 1 here 2 , 1 here 3 we 3 we 4 describe 4 describe 5 epidiff 5 epidiff 7 http://bioinfo.hrbmu.edu.cn/epidiff/ 5 epidiff 13 platform 6 ( 7 http://bioinfo.hrbmu.edu.cn/epidiff/ 7 http://bioinfo.hrbmu.edu.cn/epidiff/ 8 ) 9 , 13 platform 10 an 13 platform 11 integrated 12 software 12 software 13 platform 13 platform 14 that 13 platform 15 supports 13 platform 27 . 14 that 15 supports 15 supports 16 quantification 16 quantification 17 of 17 of 21 identification 18 epigenetic 19 difference 19 difference 21 identification 21 identification 22 of 22 of 23 demrs 23 demrs 24 by 24 by 26 entropy 25 shannon 26 entropy two main modules , quantitative differential chromatin modification region ( [qdcmr] [ )(and quantitative differentially methylated region ( qdmr ) are provided for bioinformatic analysis of chromatin modifications and dna methylation data , respectively . 0 ###LEFT-WALL### 13 )(and 0 ###LEFT-WALL### 22 provided 0 ###LEFT-WALL### 35 . 1 two 3 modules 2 main 3 modules 3 modules 4 , 4 , 9 region 4 , 13 )(and 5 quantitative 6 differential 6 differential 9 region 7 chromatin 8 modification 8 modification 9 region 10 ( 13 )(and 13 )(and 17 region 13 )(and 19 qdmr 13 )(and 21 are 14 quantitative 17 region 15 differentially 16 methylated 16 methylated 17 region 18 ( 19 qdmr 19 qdmr 20 ) 21 are 22 provided 22 provided 23 for 22 provided 34 respectively 23 for 25 analysis 24 bioinformatic 25 analysis 25 analysis 26 of 26 of 29 and 27 chromatin 28 modifications 28 modifications 29 and 29 and 32 data 29 and 33 , 30 dna 31 methylation 31 methylation 32 data the third module [,] quantitative differential expressed gene ( qdeg ) [,] can be used to identify differentially expressed genes . 0 ###LEFT-WALL### 8 gene 0 ###LEFT-WALL### 15 used 0 ###LEFT-WALL### 21 . 1 the 2 third 1 the 8 gene 3 module 7 expressed 5 quantitative 6 differential 6 differential 7 expressed 7 expressed 8 gene 8 gene 10 qdeg 8 gene 13 can 9 ( 10 qdeg 10 qdeg 11 ) 13 can 14 be 14 be 15 used 15 used 16 to 15 used 17 identify 16 to 17 identify 17 identify 20 genes 18 differentially 19 expressed 19 expressed 20 genes the platform - free and species - free nature of epidiff makes it [potentially] applicable to a wide variety of epigenomes at an unprecedented scale and resolution . 0 ###LEFT-WALL### 2 platform 0 ###LEFT-WALL### 3 - 1 the 2 platform 3 - 5 and 3 - 7 - 4 free 5 and 5 and 6 species 7 - 9 nature 7 - 12 makes 7 - 28 . 8 free 9 nature 9 nature 10 of 9 nature 12 makes 10 of 11 epidiff 12 makes 13 it 12 makes 15 applicable 15 applicable 16 to 15 applicable 22 at 16 to 19 variety 17 a 18 wide 17 a 19 variety 18 wide 19 variety 19 variety 20 of 20 of 21 epigenomes 22 at 26 and 23 an 24 unprecedented 23 an 25 scale 24 unprecedented 25 scale 25 scale 26 and 26 and 27 resolution the graphical user interface provides biologists with a practicable and reliable way to analyze and [visualize] epigenetic difference . 0 ###LEFT-WALL### 4 interface 0 ###LEFT-WALL### 5 provides 0 ###LEFT-WALL### 19 . 1 the 4 interface 2 graphical 3 user 3 user 4 interface 4 interface 5 provides 5 provides 15 and 6 biologists 7 with 6 biologists 15 and 7 with 12 way 8 a 12 way 9 practicable 10 and 10 and 11 reliable 10 and 12 way 12 way 13 to 12 way 14 analyze 13 to 14 analyze 15 and 18 difference 17 epigenetic 18 difference in this study , we employed diffusion tensor imaging ( dti ) to construct brain [structural] [network] and then derive the connection matrices from 96 healthy elderly subjects . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 29 . 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 employed 6 employed 9 imaging 6 employed 13 to 7 diffusion 9 imaging 8 tensor 9 imaging 9 imaging 11 dti 10 ( 11 dti 11 dti 12 ) 13 to 18 and 14 construct 15 brain 14 construct 18 and 18 and 20 derive 19 then 20 derive 20 derive 23 matrices 20 derive 24 from 21 the 23 matrices 22 connection 23 matrices 24 from 28 subjects 25 96 28 subjects 26 healthy 28 subjects 27 elderly 28 subjects the correlation analysis between these topological properties of network base [d] on graph theory and the cognitive abilities screening instrument ( casi ) index were processed to extract the significant network characteristics . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 26 processed 0 ###LEFT-WALL### 33 . 1 the 3 analysis 2 correlation 3 analysis 3 analysis 4 between 3 analysis 12 on 3 analysis 15 and 4 between 7 properties 5 these 7 properties 6 topological 7 properties 7 properties 8 of 8 of 10 base 9 network 10 base 12 on 14 theory 13 graph 14 theory 15 and 24 index 15 and 25 were 16 the 24 index 17 cognitive 18 abilities 18 abilities 19 screening 19 screening 20 instrument 20 instrument 22 casi 21 ( 22 casi 22 casi 23 ) 22 casi 24 index 25 were 26 processed 26 processed 27 to 27 to 28 extract 28 extract 32 characteristics 29 the 32 characteristics 30 significant 31 network 31 network 32 characteristics these characteristics were then integrated to estimate the models by various machine [-] learning algorithms to predict user ['s] cognitive performance . 0 ###LEFT-WALL### 2 characteristics 0 ###LEFT-WALL### 5 integrated 0 ###LEFT-WALL### 22 . 1 these 2 characteristics 2 characteristics 3 were 3 were 5 integrated 4 then 5 integrated 5 integrated 6 to 5 integrated 16 to 6 to 7 estimate 7 estimate 9 models 7 estimate 10 by 8 the 9 models 10 by 15 algorithms 11 various 12 machine 12 machine 15 algorithms 14 learning 15 algorithms 16 to 17 predict 17 predict 21 performance 18 user 21 performance 20 cognitive 21 performance from the results , linear regression model and gaussian processes model [showed] presented better abilities with lower mean absolute errors of 5.8120 and 6.25 to predict the cognitive performance respectively . 0 ###LEFT-WALL### 10 processes 0 ###LEFT-WALL### 11 model 0 ###LEFT-WALL### 31 . 1 from 8 and 1 from 10 processes 2 the 3 results 3 results 4 , 4 , 7 model 4 , 8 and 5 linear 6 regression 6 regression 7 model 8 and 9 gaussian 10 processes 11 model 11 model 15 abilities 13 presented 15 abilities 14 better 15 abilities 15 abilities 16 with 15 abilities 25 to 15 abilities 26 predict 16 with 20 errors 17 lower 20 errors 18 mean 20 errors 19 absolute 20 errors 20 errors 21 of 21 of 23 and 22 5.8120 23 and 23 and 24 6.25 25 to 26 predict 26 predict 29 performance 26 predict 30 respectively 27 the 29 performance 28 cognitive 29 performance moreover , these extracted topological properties of brain structural network derived [from] dti also could be regarded as the bio - signatures for further evaluation [of] brain degeneration in healthy aged and early diagnosis of mild cognitive impairment ( mci ) . 0 ###LEFT-WALL### 6 properties 0 ###LEFT-WALL### 42 . 1 moreover 2 , 1 moreover 6 properties 3 these 6 properties 4 extracted 6 properties 5 topological 6 properties 6 properties 7 of 6 properties 15 could 7 of 13 dti 8 brain 11 derived 9 structural 10 network 10 network 11 derived 11 derived 13 dti 14 also 15 could 15 could 16 be 16 be 17 regarded 17 regarded 18 as 18 as 20 bio 19 the 20 bio 20 bio 22 signatures 21 - 22 signatures 22 signatures 23 for 22 signatures 29 in 22 signatures 41 ) 23 for 28 degeneration 24 further 27 brain 25 evaluation 27 brain 27 brain 28 degeneration 29 in 34 diagnosis 30 healthy 34 diagnosis 31 aged 32 and 32 and 33 early 32 and 34 diagnosis 34 diagnosis 35 of 34 diagnosis 40 mci 35 of 38 impairment 36 mild 38 impairment 37 cognitive 38 impairment 39 ( 40 mci 40 mci 41 ) the usefulness of cardiovascular models is determined by their intended function with respect to elucidating underlying hemodynamic concepts and to enable simulations that will assist in understanding the effects of specific parameters . 0 ###LEFT-WALL### 2 usefulness 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 33 . 1 the 2 usefulness 2 usefulness 3 of 2 usefulness 6 is 3 of 5 models 4 cardiovascular 5 models 6 is 19 and 7 determined 8 by 7 determined 12 with 7 determined 18 concepts 7 determined 19 and 8 by 11 function 9 their 11 function 10 intended 11 function 12 with 13 respect 13 respect 14 to 14 to 15 elucidating 15 elucidating 16 underlying 17 hemodynamic 18 concepts 19 and 20 to 19 and 21 enable 20 to 21 enable 21 enable 22 simulations 21 enable 26 in 22 simulations 23 that 22 simulations 24 will 23 that 24 will 24 will 25 assist 26 in 27 understanding 27 understanding 29 effects 28 the 29 effects 29 effects 30 of 30 of 32 parameters 31 specific 32 parameters models can take different forms , including mock circulatory constructs with physical components , mathematical representations of parameter space relations employing constitutive equations , or closed form representations of electrical circuit analogs described in the time or frequency domain . 0 ###LEFT-WALL### 1 models 0 ###LEFT-WALL### 25 or 0 ###LEFT-WALL### 40 . 1 models 25 or 2 can 3 take 2 can 25 or 3 take 5 forms 4 different 5 forms 5 forms 7 including 5 forms 16 representations 6 , 7 including 7 including 10 constructs 7 including 11 with 7 including 14 , 8 mock 10 constructs 9 circulatory 10 constructs 11 with 13 components 12 physical 13 components 14 , 16 representations 15 mathematical 16 representations 16 representations 17 of 16 representations 24 , 17 of 20 relations 18 parameter 20 relations 19 space 20 relations 20 relations 21 employing 21 employing 23 equations 22 constitutive 23 equations 25 or 26 closed 25 or 34 in 26 closed 28 representations 27 form 28 representations 28 representations 29 of 28 representations 33 described 29 of 32 analogs 30 electrical 32 analogs 31 circuit 32 analogs 34 in 37 or 35 the 36 time 36 time 37 or 37 or 39 domain 38 frequency 39 domain the impedance model shows that an allometric relationship between body weight and aortic effective length can be determined by using the frequency of minimum input impedance and aortic pulse wave velocity . 0 ###LEFT-WALL### 3 model 0 ###LEFT-WALL### 4 shows 0 ###LEFT-WALL### 32 . 1 the 3 model 2 impedance 3 model 3 model 4 shows 4 shows 5 that 5 that 12 and 5 that 17 be 6 an 7 allometric 6 an 8 relationship 7 allometric 8 relationship 8 relationship 9 between 8 relationship 12 and 9 between 11 weight 10 body 11 weight 12 and 15 length 12 and 16 can 13 aortic 15 length 14 effective 15 length 16 can 17 be 17 be 18 determined 18 determined 19 by 19 by 20 using 20 using 27 and 21 the 27 and 22 frequency 23 of 22 frequency 27 and 23 of 26 impedance 24 minimum 26 impedance 25 input 26 impedance 27 and 31 velocity 28 aortic 29 pulse 29 pulse 31 velocity 30 wave 31 velocity this concept provides a background for optimal matching of body size and hemodynamic load on the heart . 0 ###LEFT-WALL### 2 concept 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 18 . 1 this 2 concept 2 concept 3 provides 3 provides 5 background 3 provides 15 on 4 a 5 background 5 background 6 for 6 for 8 matching 7 optimal 8 matching 8 matching 9 of 9 of 12 and 10 body 11 size 11 size 12 and 12 and 14 load 13 hemodynamic 14 load 15 on 17 heart 16 the 17 heart the lumped parameter model indicates that arterial stiffness , simulated by the total arterial compliance term , has a significant impact on variability of arterial pressure when changes are due to dynamic alterations of peripheral resistance . 0 ###LEFT-WALL### 4 model 0 ###LEFT-WALL### 5 indicates 0 ###LEFT-WALL### 37 . 1 the 4 model 2 lumped 3 parameter 3 parameter 4 model 4 model 5 indicates 5 indicates 8 stiffness 5 indicates 18 has 6 that 7 arterial 7 arterial 8 stiffness 8 stiffness 10 simulated 8 stiffness 18 has 9 , 10 simulated 10 simulated 11 by 10 simulated 17 , 11 by 16 term 12 the 16 term 13 total 15 compliance 14 arterial 15 compliance 15 compliance 16 term 18 has 21 impact 19 a 21 impact 20 significant 21 impact 21 impact 22 on 21 impact 27 when 22 on 23 variability 23 variability 24 of 24 of 26 pressure 25 arterial 26 pressure 27 when 28 changes 27 when 29 are 28 changes 29 are 29 are 31 to 30 due 31 to 31 to 33 alterations 32 dynamic 33 alterations 33 alterations 34 of 34 of 36 resistance 35 peripheral 36 resistance in addition , the known pressure dependency of arterial stiffness results in a curvilinear relationship between blood pressure variability and mean pressure . 0 ###LEFT-WALL### 7 dependency 0 ###LEFT-WALL### 11 results 0 ###LEFT-WALL### 23 . 1 in 2 addition 1 in 3 , 1 in 7 dependency 4 the 7 dependency 5 known 6 pressure 6 pressure 7 dependency 7 dependency 8 of 7 dependency 11 results 8 of 10 stiffness 9 arterial 10 stiffness 11 results 12 in 11 results 16 between 12 in 15 relationship 13 a 14 curvilinear 13 a 15 relationship 14 curvilinear 15 relationship 16 between 20 and 17 blood 19 variability 18 pressure 19 variability 19 variability 20 and 20 and 22 pressure 21 mean 22 pressure this has implications in hypertensive treatment where there are marked changes in arterial stiffness , [as] occurs with aging . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 20 . 1 this 15 , 2 has 3 implications 2 has 12 in 2 has 15 , 3 implications 4 in 3 implications 7 where 4 in 6 treatment 5 hypertensive 6 treatment 7 where 8 there 7 where 9 are 8 there 9 are 9 are 11 changes 10 marked 11 changes 12 in 14 stiffness 13 arterial 14 stiffness 15 , 17 occurs 15 , 18 with 18 with 19 aging however , the reason that severe hypoalbuminemia has an influence on the treatment outcome of vcm remains unknown . 0 ###LEFT-WALL### 4 reason 0 ###LEFT-WALL### 17 remains 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 4 reason 3 the 4 reason 4 reason 5 that 4 reason 17 remains 5 that 7 hypoalbuminemia 5 that 8 has 6 severe 7 hypoalbuminemia 7 hypoalbuminemia 8 has 8 has 10 influence 8 has 11 on 9 an 10 influence 11 on 14 outcome 12 the 14 outcome 13 treatment 14 outcome 14 outcome 15 of 15 of 16 vcm 17 remains 18 unknown objective : to elucidate the association between severe hypoalbuminemia and vcm treatment outcomes , we examined pharmacokinetic/pharmacodynamic ( pk/pd ) parameters in elderly patients with severe hypoalbuminemia . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 elucidate 2 : 14 , 2 : 28 . 3 to 4 elucidate 4 elucidate 6 association 4 elucidate 7 between 5 the 6 association 7 between 10 and 8 severe 9 hypoalbuminemia 9 hypoalbuminemia 10 and 10 and 13 outcomes 11 vcm 12 treatment 12 treatment 13 outcomes 14 , 15 we 14 , 16 examined 15 we 16 examined 16 examined 21 parameters 16 examined 22 in 17 pharmacokinetic/pharmacodynamic 19 pk/pd 17 pharmacokinetic/pharmacodynamic 21 parameters 18 ( 19 pk/pd 19 pk/pd 20 ) 22 in 24 patients 23 elderly 24 patients 24 patients 25 with 25 with 27 hypoalbuminemia 26 severe 27 hypoalbuminemia methods : we conducted a retrospective observational study of 94 patients with methicillin - resistant staphylococcus aureus ( mrsa ) [hospital] - acquired pneumonia who had been treated with vcm between january 2006 and december 2012 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 3 we 2 : 4 conducted 2 : 22 - 3 we 4 conducted 4 conducted 8 study 5 a 6 retrospective 5 a 8 study 6 retrospective 8 study 7 observational 8 study 8 study 9 of 8 study 12 with 8 study 17 aureus 9 of 11 patients 10 94 11 patients 12 with 13 methicillin 14 - 17 aureus 15 resistant 17 aureus 16 staphylococcus 17 aureus 17 aureus 19 mrsa 17 aureus 20 ) 18 ( 19 mrsa 19 mrsa 20 ) 22 - 24 pneumonia 23 acquired 24 pneumonia 24 pneumonia 25 who 24 pneumonia 26 had 25 who 26 had 26 had 27 been 27 been 28 treated 28 treated 29 with 28 treated 31 between 29 with 30 vcm 31 between 34 and 32 january 33 2006 32 january 34 and 34 and 35 december 35 december 36 2012 the 94 patients were divided into severe hypoalbuminemia and [non] - severe hypoalbuminemia groups . 0 ###LEFT-WALL### 3 patients 0 ###LEFT-WALL### 5 divided 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 15 . 1 the 2 94 2 94 3 patients 3 patients 4 were 4 were 5 divided 5 divided 6 into 6 into 8 hypoalbuminemia 7 severe 8 hypoalbuminemia 9 and 11 - 9 and 14 groups 11 - 13 hypoalbuminemia 12 severe 13 hypoalbuminemia 13 hypoalbuminemia 14 groups the pk/pd parameters and treatment outcomes of vcm were compared between the two groups . 0 ###LEFT-WALL### 2 pk/pd 0 ###LEFT-WALL### 10 compared 0 ###LEFT-WALL### 15 . 1 the 2 pk/pd 2 pk/pd 4 and 2 pk/pd 9 were 2 pk/pd 10 compared 3 parameters 4 and 4 and 6 outcomes 4 and 7 of 4 and 9 were 5 treatment 6 outcomes 7 of 8 vcm 10 compared 11 between 11 between 14 groups 12 the 13 two 13 two 14 groups results : the half - life of vcm in the severe hypoalbuminemia group was significantly longer than in the [non] [-] severe hypoalbuminemia group ( 33.2 + 5.4 [vs] 24.9 + 1.6 [;] p = 0.049 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 38 . 1 results 2 : 2 : 4 half 3 the 4 half 5 - 6 life 5 - 14 was 6 life 7 of 6 life 14 was 7 of 8 vcm 8 vcm 9 in 9 in 13 group 10 the 13 group 11 severe 13 group 12 hypoalbuminemia 13 group 14 was 15 significantly 14 was 16 longer 16 longer 17 than 17 than 18 in 18 in 24 group 19 the 24 group 22 severe 24 group 23 hypoalbuminemia 24 group 24 group 27 + 25 ( 27 + 26 33.2 27 + 27 + 28 5.4 27 + 37 ) 28 5.4 35 = 30 24.9 31 + 31 + 32 1.6 31 + 35 = 34 p 35 = 35 = 36 0.049 35 = 37 ) we also detected a significant difference in the increased percentage of nephrotoxicity in the severe hypoalbuminemia group ( 6 of 23 patients [ 26 % ] ) compared with the [non] [-] severe hypoalbuminemia group ( 6 of 71 patients [ 8 % ] [;] p < 0.001 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 detected 0 ###LEFT-WALL### 50 . 1 we 3 detected 2 also 3 detected 3 detected 6 difference 4 a 6 difference 5 significant 6 difference 6 difference 7 in 7 in 10 percentage 8 the 10 percentage 9 increased 10 percentage 10 percentage 11 of 11 of 12 nephrotoxicity 12 nephrotoxicity 13 in 12 nephrotoxicity 28 compared 13 in 17 group 14 the 17 group 15 severe 17 group 16 hypoalbuminemia 17 group 17 group 19 6 18 ( 19 6 19 6 20 of 19 6 25 % 19 6 27 ) 20 of 22 patients 21 23 22 patients 23 [ 25 % 24 26 25 % 25 % 26 ] 28 compared 29 with 29 with 35 group 30 the 35 group 33 severe 35 group 34 hypoalbuminemia 35 group 35 group 37 6 35 group 47 < 36 ( 37 6 37 6 38 of 37 6 44 ] 38 of 40 patients 39 71 40 patients 40 patients 43 % 41 [ 43 % 42 8 43 % 43 % 44 ] 46 p 47 < 47 < 48 0.001 47 < 49 ) conclusion : these findings indicate that severe hypoalbuminemia influences the half - life of vcm and treatment outcomes in elderly patients ( ≥75 years of age ) . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 4 findings 2 : 5 indicate 2 : 12 - 3 these 4 findings 4 findings 5 indicate 5 indicate 6 that 6 that 8 hypoalbuminemia 6 that 9 influences 7 severe 8 hypoalbuminemia 8 hypoalbuminemia 9 influences 9 influences 11 half 10 the 11 half 12 - 16 and 13 life 14 of 13 life 16 and 14 of 15 vcm 16 and 18 outcomes 16 and 19 in 16 and 24 years 17 treatment 18 outcomes 19 in 21 patients 20 elderly 21 patients 22 ( 24 years 23 ≥75 24 years 24 years 25 of 24 years 27 ) 25 of 26 age to establish a more effective and safer treatment protocol , the issue of malnutrition in elderly patients needs to be addressed and improved . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 establish 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 24 . 1 to 2 establish 2 establish 9 protocol 3 a 9 protocol 4 more 5 effective 5 effective 6 and 6 and 7 safer 6 and 8 treatment 8 treatment 9 protocol 10 , 12 issue 10 , 18 needs 11 the 12 issue 12 issue 13 of 12 issue 18 needs 13 of 14 malnutrition 14 malnutrition 15 in 15 in 17 patients 16 elderly 17 patients 18 needs 19 to 18 needs 22 and 19 to 22 and 20 be 21 addressed 20 be 22 and 22 and 23 improved complex cognitive abilities such as planning are known to critically rely on activity of bilateral mid - dorsolateral prefrontal cortex [(] mid - dlpfc [ )( 0 ###LEFT-WALL### 3 abilities 0 ###LEFT-WALL### 8 known 0 ###LEFT-WALL### 26 )( 1 complex 3 abilities 2 cognitive 3 abilities 3 abilities 5 as 3 abilities 7 are 4 such 5 as 5 as 6 planning 7 are 8 known 8 known 9 to 8 known 11 rely 9 to 11 rely 10 critically 11 rely 11 rely 12 on 12 on 13 activity 13 activity 14 of 14 of 24 dlpfc 15 bilateral 20 cortex 16 mid 17 - 16 mid 20 cortex 18 dorsolateral 20 cortex 19 prefrontal 20 cortex 20 cortex 24 dlpfc 22 mid 23 - 22 mid 24 dlpfc however , the functional relevance of the structural connectivity between left and right mid - dlpfc is yet unknown . 0 ###LEFT-WALL### 5 relevance 0 ###LEFT-WALL### 17 is 0 ###LEFT-WALL### 20 . 1 however 2 , 1 however 5 relevance 3 the 5 relevance 4 functional 5 relevance 5 relevance 6 of 5 relevance 17 is 6 of 9 connectivity 7 the 9 connectivity 8 structural 9 connectivity 9 connectivity 10 between 10 between 16 dlpfc 11 left 12 and 12 and 13 right 12 and 16 dlpfc 14 mid 15 - 14 mid 16 dlpfc 17 is 18 yet 17 is 19 unknown here , we applied global tractography to derive streamline counts as estimates of the structural connectivity between mid - dlpfc homologs and [related] it to planning performance in the tower of london task across early to midadulthood , assuming a moderating effect of age . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 37 midadulthood 1 here 2 , 1 here 3 we 3 we 4 applied 4 applied 6 tractography 4 applied 7 to 4 applied 11 as 5 global 6 tractography 7 to 8 derive 8 derive 10 counts 9 streamline 10 counts 11 as 22 and 11 as 33 task 12 estimates 13 of 12 estimates 22 and 13 of 16 connectivity 14 the 16 connectivity 15 structural 16 connectivity 16 connectivity 17 between 17 between 21 homologs 18 mid 19 - 18 mid 20 dlpfc 20 dlpfc 21 homologs 22 and 24 it 22 and 25 to 22 and 31 of 22 and 33 task 25 to 27 performance 26 planning 27 performance 27 performance 28 in 28 in 30 tower 29 the 30 tower 31 of 32 london 33 task 34 across 33 task 35 early 35 early 36 to 35 early 37 midadulthood 36 to 37 midadulthood 37 midadulthood 39 assuming 38 , 39 assuming 39 assuming 42 effect 39 assuming 45 . 40 a 42 effect 41 moderating 42 effect 42 effect 43 of 43 of 44 age multiple regression analyses with interaction effects revealed that streamline counts between left and right mid - dlpfc were negatively associated with planning performance specifically in early postadolescence . 0 ###LEFT-WALL### 3 analyses 0 ###LEFT-WALL### 7 revealed 0 ###LEFT-WALL### 28 . 1 multiple 2 regression 2 regression 3 analyses 3 analyses 4 with 3 analyses 7 revealed 4 with 6 effects 5 interaction 6 effects 7 revealed 8 that 8 that 10 counts 8 that 20 associated 9 streamline 10 counts 10 counts 11 between 10 counts 18 were 11 between 17 dlpfc 12 left 13 and 13 and 14 right 13 and 17 dlpfc 15 mid 16 - 15 mid 17 dlpfc 18 were 19 negatively 18 were 20 associated 20 associated 21 with 21 with 22 planning 22 planning 23 performance 22 planning 24 specifically 22 planning 25 in 25 in 27 postadolescence 26 early 27 postadolescence from the fourth life decade [on] , there was a trend for a reversed [,] positive association . 0 ###LEFT-WALL### 8 there 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 18 . 1 from 5 decade 1 from 7 , 1 from 8 there 2 the 5 decade 3 fourth 4 life 4 life 5 decade 8 there 9 was 9 was 11 trend 10 a 11 trend 11 trend 12 for 12 for 17 association 13 a 17 association 14 reversed 17 association 16 positive 17 association these differential findings were corroborated by converging results from fractional anisotropy and white - matter density estimates in the genu of the corpus callosum [where] fibers connecting mid - dlpfc homologs traversed . 0 ###LEFT-WALL### 3 findings 0 ###LEFT-WALL### 5 corroborated 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 32 traversed 0 ###LEFT-WALL### 33 . 1 these 3 findings 2 differential 3 findings 3 findings 4 were 4 were 5 corroborated 5 corroborated 6 by 5 corroborated 9 from 6 by 7 converging 7 converging 8 results 9 from 12 and 10 fractional 11 anisotropy 11 anisotropy 12 and 12 and 13 white 14 - 16 density 14 - 17 estimates 15 matter 16 density 16 density 17 estimates 17 estimates 18 in 17 estimates 30 dlpfc 18 in 20 genu 19 the 20 genu 20 genu 21 of 21 of 26 fibers 22 the 26 fibers 23 corpus 26 fibers 24 callosum 26 fibers 27 connecting 30 dlpfc 28 mid 29 - 28 mid 30 dlpfc 30 dlpfc 31 homologs 30 dlpfc 32 traversed 31 homologs 32 traversed moreover , the results for streamline counts were regionally specific , marking the strength of mid - dlpfc connectivity as critical in predicting interindividual differences in planning performance across different stages of adulthood . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 8 were 1 moreover 2 , 1 moreover 4 results 3 the 4 results 4 results 5 for 4 results 8 were 5 for 7 counts 6 streamline 7 counts 8 were 9 regionally 8 were 10 specific 10 specific 12 marking 11 , 12 marking 12 marking 14 strength 12 marking 34 . 13 the 14 strength 14 strength 15 of 14 strength 21 critical 15 of 19 connectivity 16 mid 17 - 16 mid 19 connectivity 18 dlpfc 19 connectivity 20 as 21 critical 21 critical 22 in 21 critical 26 in 22 in 23 predicting 23 predicting 25 differences 24 interindividual 25 differences 26 in 27 planning 27 planning 28 performance 27 planning 29 across 29 across 31 stages 30 different 31 stages 31 stages 32 of 32 of 33 adulthood taken together , present findings provide first evidence for nonadditive effects of age on the relation between complex cognitive abilities and the structural connectivity of mid - dlpfc homologs . 0 ###LEFT-WALL### 5 findings 0 ###LEFT-WALL### 6 provide 0 ###LEFT-WALL### 30 . 1 taken 2 together 1 taken 3 , 1 taken 5 findings 4 present 5 findings 5 findings 6 provide 6 provide 8 evidence 6 provide 9 for 6 provide 14 on 6 provide 17 between 7 first 8 evidence 9 for 11 effects 10 nonadditive 11 effects 11 effects 12 of 12 of 13 age 14 on 16 relation 15 the 16 relation 17 between 21 and 18 complex 20 abilities 19 cognitive 20 abilities 20 abilities 21 and 21 and 24 connectivity 21 and 25 of 22 the 24 connectivity 23 structural 24 connectivity 25 of 29 homologs 26 mid 27 - 26 mid 28 dlpfc 28 dlpfc 29 homologs importance : this article provides new data on a controversial issue , the influence of doses on the diffusion characteristics of 2 botulinum toxins type [a] [.] objective to assess the fields of effect of abobotulinumtoxina and onabotulinumtoxina at the same labeled unit dose ( 1:1 [u] ) comparing sweat gland and muscle activity . 0 ###LEFT-WALL### 1 importance 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 55 . 2 : 4 article 2 : 5 provides 3 this 4 article 4 article 5 provides 5 provides 52 and 6 new 7 data 7 data 8 on 7 data 12 , 8 on 11 issue 9 a 10 controversial 9 a 11 issue 10 controversial 11 issue 12 , 51 gland 12 , 52 and 13 the 14 influence 14 influence 15 of 14 influence 37 and 15 of 16 doses 16 doses 17 on 16 doses 20 characteristics 16 doses 30 assess 17 on 19 diffusion 18 the 19 diffusion 20 characteristics 21 of 20 characteristics 30 assess 21 of 29 to 22 2 24 toxins 23 botulinum 24 toxins 24 toxins 25 type 25 type 29 to 28 objective 29 to 30 assess 32 fields 31 the 32 fields 32 fields 33 of 33 of 34 effect 34 effect 35 of 35 of 36 abobotulinumtoxina 37 and 38 onabotulinumtoxina 37 and 39 at 37 and 49 comparing 39 at 44 dose 40 the 41 same 40 the 44 dose 42 labeled 43 unit 43 unit 44 dose 44 dose 46 1:1 45 ( 46 1:1 46 1:1 48 ) 49 comparing 51 gland 50 sweat 51 gland 52 and 54 activity 53 muscle 54 activity design , setting , and participants : a prospective , single - center , randomized , double - blind study was conducted at the brazilian center for studies in dermatology in porto alegre , brazil . 0 ###LEFT-WALL### 6 participants 0 ###LEFT-WALL### 7 : 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 36 . 1 design 3 setting 2 , 3 setting 3 setting 4 , 3 setting 5 and 5 and 6 participants 6 participants 7 : 7 : 11 single 8 a 11 single 9 prospective 10 , 9 prospective 11 single 12 - 13 center 12 - 14 , 12 - 34 , 14 , 20 study 14 , 22 conducted 15 randomized 16 , 15 randomized 20 study 17 double 18 - 17 double 20 study 19 blind 20 study 20 study 21 was 21 was 22 conducted 22 conducted 23 at 22 conducted 27 for 22 conducted 29 in 22 conducted 31 in 23 at 26 center 24 the 25 brazilian 25 brazilian 26 center 27 for 28 studies 29 in 30 dermatology 31 in 33 alegre 32 porto 33 alegre 34 , 35 brazil the participants included 19 women . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 3 included 0 ###LEFT-WALL### 6 . 1 the 2 participants 2 participants 3 included 3 included 5 women 4 19 5 women interventions : each patient received 2 [u] of abobotulinumtoxina on one side of the forehead and 2 [u] of onabotulinumtoxina on the other side . 0 ###LEFT-WALL### 1 interventions 0 ###LEFT-WALL### 2 : 2 : 4 patient 2 : 5 received 2 : 16 and 2 : 25 . 3 each 4 patient 4 patient 5 received 5 received 6 2 5 received 10 on 6 2 8 of 8 of 9 abobotulinumtoxina 10 on 12 side 11 one 12 side 12 side 13 of 13 of 15 forehead 14 the 15 forehead 16 and 17 2 16 and 24 side 17 2 19 of 17 2 24 side 19 of 20 onabotulinumtoxina 20 onabotulinumtoxina 21 on 21 on 23 other 22 the 23 other main outcomes and measures : horizontal and vertical diameter and area of the fields of anhidrotic effect , the amplitude of evoked compound muscle action potentials , and the 4 [-] point validated wrinkle severity scale were assessed at 28 days . 0 ###LEFT-WALL### 4 measures 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 42 . 1 main 4 measures 2 outcomes 3 and 3 and 4 measures 4 measures 5 : 5 : 28 and 6 horizontal 7 and 7 and 9 diameter 7 and 10 and 8 vertical 9 diameter 10 and 11 area 10 and 12 of 10 and 15 of 10 and 20 amplitude 10 and 28 and 12 of 14 fields 13 the 14 fields 15 of 17 effect 16 anhidrotic 17 effect 18 , 20 amplitude 19 the 20 amplitude 20 amplitude 21 of 20 amplitude 27 , 21 of 26 potentials 22 evoked 26 potentials 23 compound 26 potentials 24 muscle 25 action 25 action 26 potentials 27 , 28 and 28 and 32 point 28 and 34 wrinkle 28 and 38 assessed 29 the 32 point 30 4 32 point 33 validated 34 wrinkle 34 wrinkle 36 scale 34 wrinkle 37 were 34 wrinkle 38 assessed 35 severity 36 scale 36 scale 37 were 38 assessed 39 at 39 at 41 days 40 28 41 days results : the horizontal and vertical diameters of the fields of effect and the areas were significantly larger for onabotulinumtoxina than those obtained for abobotulinumtoxina . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 26 . 1 results 2 : 2 : 7 diameters 3 the 7 diameters 4 horizontal 5 and 5 and 6 vertical 5 and 7 diameters 7 diameters 8 of 8 of 10 fields 9 the 10 fields 10 fields 11 of 11 of 12 effect 13 and 15 areas 13 and 16 were 14 the 15 areas 15 areas 16 were 16 were 18 larger 17 significantly 18 larger 18 larger 19 for 18 larger 21 than 18 larger 24 for 19 for 20 onabotulinumtoxina 21 than 22 those 22 those 23 obtained 24 for 25 abobotulinumtoxina there were no significant differences between the products in the wrinkle severity scale scores and evoked compound muscle action potentials . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 21 . 1 there 2 were 2 were 5 differences 3 no 5 differences 4 significant 5 differences 5 differences 6 between 6 between 15 and 7 the 8 products 8 products 9 in 8 products 15 and 9 in 12 severity 10 the 12 severity 11 wrinkle 12 severity 12 severity 13 scale 12 severity 14 scores 13 scale 14 scores 15 and 20 potentials 16 evoked 17 compound 17 compound 18 muscle 18 muscle 19 action 19 action 20 potentials onabotulinumtoxina had significantly more diffusion than abobotulinumtoxina when isovolumetric injections of the same labeled unit dose of the products were injected . 0 ###LEFT-WALL### 1 onabotulinumtoxina 0 ###LEFT-WALL### 2 had 0 ###LEFT-WALL### 22 . 1 onabotulinumtoxina 2 had 2 had 5 diffusion 2 had 6 than 2 had 8 when 3 significantly 4 more 4 more 5 diffusion 6 than 7 abobotulinumtoxina 8 when 10 injections 8 when 21 injected 9 isovolumetric 10 injections 10 injections 11 of 10 injections 20 were 11 of 16 dose 12 the 13 same 13 same 16 dose 14 labeled 15 unit 15 unit 16 dose 16 dose 17 of 17 of 19 products 18 the 19 products 20 were 21 injected conclusions and relevance although many studies state that diffusion [is] product dependent and abobotulinumtoxina diffuses more than onabotulinumtoxina , findings from the present study confirm that diffusion is dose dependent and the more potent dose tested diffuses more . 0 ###LEFT-WALL### 4 although 0 ###LEFT-WALL### 15 diffuses 0 ###LEFT-WALL### 31 and 0 ###LEFT-WALL### 39 . 1 conclusions 2 and 2 and 3 relevance 3 relevance 4 although 4 although 6 studies 4 although 7 state 4 although 15 diffuses 5 many 6 studies 6 studies 7 state 7 state 11 product 7 state 13 and 8 that 11 product 9 diffusion 11 product 12 dependent 13 and 13 and 14 abobotulinumtoxina 15 diffuses 16 more 15 diffuses 17 than 17 than 20 findings 17 than 29 dose 17 than 30 dependent 18 onabotulinumtoxina 19 , 18 onabotulinumtoxina 20 findings 20 findings 21 from 20 findings 25 confirm 21 from 24 study 22 the 24 study 23 present 24 study 25 confirm 27 diffusion 25 confirm 29 dose 26 that 27 diffusion 27 diffusion 28 is 28 is 29 dose 31 and 35 dose 31 and 37 diffuses 32 the 35 dose 33 more 34 potent 34 potent 35 dose 35 dose 36 tested 35 dose 37 diffuses 37 diffuses 38 more trial registration clinicaltrials.gov identifier : nct01732809 . 0 ###LEFT-WALL### 4 identifier 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 7 . 1 trial 2 registration 2 registration 4 identifier 3 clinicaltrials.gov 4 identifier 4 identifier 5 : 5 : 6 nct01732809 [none] cerebral amyloid angiopathy ( caa ) is cerebrovascular amyloid deposition . 0 ###LEFT-WALL### 4 angiopathy 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 12 . 2 cerebral 4 angiopathy 3 amyloid 4 angiopathy 4 angiopathy 6 caa 4 angiopathy 8 is 5 ( 6 caa 6 caa 7 ) 8 is 11 deposition 9 cerebrovascular 11 deposition 10 amyloid 11 deposition it is classified into several types according to the cerebrovascular amyloid proteins involved . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 14 . 1 it 2 is 2 is 3 classified 3 classified 4 into 3 classified 8 to 4 into 6 types 5 several 6 types 7 according 8 to 8 to 12 proteins 9 the 12 proteins 10 cerebrovascular 12 proteins 11 amyloid 12 proteins 12 proteins 13 involved sporadic amyloid β - protein ( aβ ) - type caa is commonly found in elderly individuals and patients with alzheimer disease . 0 ###LEFT-WALL### 11 caa 0 ###LEFT-WALL### 14 found 0 ###LEFT-WALL### 23 . 1 sporadic 11 caa 2 amyloid 11 caa 3 β 5 protein 3 β 9 - 3 β 10 type 4 - 5 protein 5 protein 7 aβ 5 protein 9 - 6 ( 7 aβ 7 aβ 8 ) 10 type 11 caa 11 caa 12 is 12 is 14 found 13 commonly 14 found 14 found 15 in 14 found 20 with 15 in 18 and 16 elderly 17 individuals 17 individuals 18 and 18 and 19 patients 20 with 22 disease 21 alzheimer 22 disease caa - related disorders include hemorrhagic and ischemic stroke and dementia . 0 ###LEFT-WALL### 4 disorders 0 ###LEFT-WALL### 5 include 0 ###LEFT-WALL### 12 . 1 caa 2 - 1 caa 4 disorders 3 related 4 disorders 4 disorders 5 include 5 include 10 and 6 hemorrhagic 7 and 7 and 9 stroke 7 and 10 and 8 ischemic 9 stroke 10 and 11 dementia caa - related hemorrhages include intracerebral lobar macrohemorrhages , cortical microhemorrhages , and focal subarachnoidal hemorrhages/superficial siderosis . 0 ###LEFT-WALL### 4 hemorrhages 0 ###LEFT-WALL### 5 include 0 ###LEFT-WALL### 18 . 1 caa 2 - 1 caa 4 hemorrhages 3 related 4 hemorrhages 4 hemorrhages 5 include 5 include 13 and 6 intracerebral 8 macrohemorrhages 7 lobar 8 macrohemorrhages 8 macrohemorrhages 9 , 9 , 11 microhemorrhages 9 , 13 and 10 cortical 11 microhemorrhages 12 , 13 and 13 and 17 siderosis 14 focal 17 siderosis 15 subarachnoidal 17 siderosis 16 hemorrhages/superficial 17 siderosis caa - associated vasculopathies , such as microaneurysmal formation with fibrinoid necrosis , underlie such cerebrovascular events . 0 ###LEFT-WALL### 4 vasculopathies 0 ###LEFT-WALL### 14 underlie 0 ###LEFT-WALL### 18 . 1 caa 2 - 1 caa 4 vasculopathies 3 associated 4 vasculopathies 4 vasculopathies 7 as 4 vasculopathies 14 underlie 5 , 7 as 6 such 7 as 7 as 9 formation 7 as 13 , 8 microaneurysmal 9 formation 9 formation 10 with 10 with 12 necrosis 11 fibrinoid 12 necrosis 14 underlie 17 events 15 such 17 events 16 cerebrovascular 17 events sensitive magnetic resonance imaging procedures , such as gradient [-] echo t2* imaging and susceptibility - weighted images , are useful to detect microhemorrhagic lesions . 0 ###LEFT-WALL### 5 procedures 0 ###LEFT-WALL### 23 detect 0 ###LEFT-WALL### 26 . 1 sensitive 3 resonance 2 magnetic 3 resonance 3 resonance 5 procedures 4 imaging 5 procedures 5 procedures 8 as 5 procedures 18 images 5 procedures 20 are 6 , 8 as 7 such 8 as 8 as 14 and 8 as 16 - 9 gradient 13 imaging 11 echo 13 imaging 12 t2* 13 imaging 13 imaging 14 and 14 and 15 susceptibility 16 - 18 images 17 weighted 18 images 18 images 19 , 20 are 21 useful 21 useful 22 to 21 useful 23 detect 22 to 23 detect 23 detect 25 lesions 24 microhemorrhagic 25 lesions amyloid images with amyloid - binding positron emission tomography ligands can detect caa , although they cannot discriminate [vascular] from parenchymal amyloid deposits . 0 ###LEFT-WALL### 2 images 0 ###LEFT-WALL### 12 detect 1 amyloid 2 images 2 images 3 with 2 images 11 can 3 with 8 emission 4 amyloid 5 - 4 amyloid 7 positron 6 binding 7 positron 7 positron 8 emission 8 emission 9 tomography 8 emission 10 ligands 9 tomography 10 ligands 11 can 12 detect 12 detect 13 caa 12 detect 15 although 14 , 15 although 15 although 16 they 15 although 18 discriminate 15 although 24 . 16 they 17 cannot 17 cannot 18 discriminate 18 discriminate 20 from 20 from 23 deposits 21 parenchymal 23 deposits 22 amyloid 23 deposits hemorrhage - inducing factors for sporadic aβ - type caa include apolipoprotein e [genotype] , thrombolytic , anticoagulation , and antiplatelet therapies , hypertension , minor head trauma , and antiamyloid therapies . 0 ###LEFT-WALL### 30 and 0 ###LEFT-WALL### 33 . 1 hemorrhage 8 - 1 hemorrhage 20 and 2 - 8 - 3 inducing 4 factors 3 inducing 5 for 3 inducing 8 - 5 for 7 aβ 6 sporadic 7 aβ 8 - 12 apolipoprotein 8 - 19 , 9 type 12 apolipoprotein 10 caa 12 apolipoprotein 11 include 12 apolipoprotein 12 apolipoprotein 13 e 12 apolipoprotein 18 anticoagulation 15 , 18 anticoagulation 16 thrombolytic 17 , 16 thrombolytic 18 anticoagulation 18 anticoagulation 19 , 20 and 22 therapies 20 and 23 , 21 antiplatelet 22 therapies 23 , 24 hypertension 23 , 25 , 25 , 28 trauma 25 , 30 and 26 minor 27 head 27 head 28 trauma 29 , 30 and 30 and 32 therapies 31 antiamyloid 32 therapies we need future strategies for protection of vessel walls against amyloid - related vascular damage , such as toxicity of aβ oligomers , aβ - induced oxidative stress , and inflammation , as well as development of antiamyloid therapies for caa . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 need 0 ###LEFT-WALL### 13 related 1 we 2 need 2 need 4 strategies 2 need 5 for 3 future 4 strategies 5 for 6 protection 6 protection 7 of 7 of 9 walls 8 vessel 9 walls 9 walls 10 against 10 against 11 amyloid 12 - 13 related 13 related 15 damage 13 related 18 as 13 related 33 as 13 related 42 . 14 vascular 15 damage 16 , 18 as 17 such 18 as 18 as 30 and 18 as 32 , 19 toxicity 20 of 19 toxicity 30 and 20 of 22 oligomers 21 aβ 22 oligomers 22 oligomers 24 aβ 23 , 24 aβ 24 aβ 28 stress 24 aβ 29 , 25 - 28 stress 26 induced 28 stress 27 oxidative 28 stress 28 stress 29 , 30 and 31 inflammation 33 as 34 well 34 well 35 as 34 well 37 of 35 as 36 development 37 of 39 therapies 38 antiamyloid 39 therapies 39 therapies 40 for 40 for 41 caa importance : more than one - third of all us inpatient operations are performed on patients aged 65 years and older . 0 ###LEFT-WALL### 1 importance 0 ###LEFT-WALL### 2 : 2 : 5 one 2 : 6 - 3 more 4 than 4 than 5 one 6 - 12 operations 6 - 14 performed 6 - 22 . 7 third 12 operations 8 of 11 inpatient 8 of 12 operations 9 all 11 inpatient 10 us 11 inpatient 12 operations 13 are 13 are 14 performed 14 performed 15 on 14 performed 17 aged 15 on 16 patients 17 aged 20 and 18 65 19 years 19 years 20 and 20 and 21 older existing preoperative risk assessment strategies are not adequate to meet the needs of the aging population . 0 ###LEFT-WALL### 5 strategies 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 17 . 1 existing 5 strategies 2 preoperative 5 strategies 3 risk 5 strategies 4 assessment 5 strategies 5 strategies 6 are 6 are 7 not 6 are 8 adequate 7 not 8 adequate 8 adequate 9 to 9 to 10 meet 10 meet 12 needs 11 the 12 needs 12 needs 13 of 13 of 16 population 14 the 16 population 15 aging 16 population objectives : to evaluate the relationship of a history [of] [falls] ( a geriatric syndrome ) to postoperative outcomes in older adults undergoing major elective operations . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 evaluate 2 : 27 . 3 to 4 evaluate 4 evaluate 6 relationship 4 evaluate 17 to 4 evaluate 20 in 5 the 6 relationship 6 relationship 7 of 7 of 9 history 8 a 9 history 9 history 15 syndrome 12 ( 15 syndrome 13 a 14 geriatric 13 a 15 syndrome 14 geriatric 15 syndrome 15 syndrome 16 ) 17 to 19 outcomes 18 postoperative 19 outcomes 20 in 22 adults 21 older 22 adults 22 adults 23 undergoing 23 undergoing 26 operations 24 major 26 operations 25 elective 26 operations design , setting , and participants : this prospective , cohort study was conducted at a referral medical center . 0 ###LEFT-WALL### 6 participants 0 ###LEFT-WALL### 7 : 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 20 . 1 design 3 setting 2 , 3 setting 3 setting 4 , 3 setting 5 and 4 , 5 and 5 and 6 participants 6 participants 7 : 7 : 9 prospective 8 this 9 prospective 10 , 12 study 10 , 14 conducted 11 cohort 12 study 12 study 13 was 13 was 14 conducted 14 conducted 15 at 15 at 19 center 16 a 17 referral 16 a 19 center 17 referral 19 center 18 medical 19 center persons aged 65 years and older undergoing elective colorectal and cardiac operations were enrolled . 0 ###LEFT-WALL### 1 persons 0 ###LEFT-WALL### 15 . 1 persons 2 aged 1 persons 7 undergoing 1 persons 13 were 2 aged 5 and 3 65 4 years 4 years 5 and 5 and 6 older 7 undergoing 12 operations 8 elective 12 operations 9 colorectal 10 and 10 and 11 cardiac 10 and 12 operations 13 were 14 enrolled the predictor variable was having fallen in the 6 months prior to the operation . 0 ###LEFT-WALL### 3 variable 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 15 . 1 the 3 variable 2 predictor 3 variable 3 variable 4 was 4 was 5 having 5 having 6 fallen 6 fallen 7 in 6 fallen 12 to 7 in 10 months 8 the 9 6 9 6 10 months 11 prior 12 to 12 to 14 operation 13 the 14 operation main outcomes and measures : postoperative outcomes measured included 30 - day complications , the need for discharge institutionalization , and 30 - day readmission . 0 ###LEFT-WALL### 4 measures 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 26 . 1 main 2 outcomes 2 outcomes 3 and 3 and 4 measures 4 measures 5 : 5 : 6 postoperative 6 postoperative 7 outcomes 6 postoperative 9 included 6 postoperative 16 need 7 outcomes 8 measured 7 outcomes 9 included 9 included 10 30 10 30 13 complications 11 - 13 complications 12 day 13 complications 13 complications 14 , 14 , 16 need 15 the 16 need 16 need 17 for 16 need 20 , 17 for 19 institutionalization 18 discharge 19 institutionalization 20 , 21 and 21 and 22 30 21 and 23 - 22 30 23 - 23 - 25 readmission 24 day 25 readmission results : there were 235 subjects with a mean ( sd ) age of 74 ( 6 ) years . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 4 were 2 : 20 . 3 there 4 were 4 were 6 subjects 4 were 7 with 5 235 6 subjects 7 with 13 age 7 with 19 years 8 a 9 mean 8 a 13 age 9 mean 11 sd 9 mean 13 age 10 ( 11 sd 11 sd 12 ) 13 age 14 of 14 of 15 74 15 74 17 6 16 ( 17 6 17 6 18 ) preoperative falls [occurred] in 33 % . 0 ###LEFT-WALL### 1 preoperative 0 ###LEFT-WALL### 2 falls 0 ###LEFT-WALL### 7 . 1 preoperative 2 falls 2 falls 4 in 4 in 6 % 5 33 6 % one or more postoperative complications occurred more frequently in the group [with] prior [falls] compared with the nonfallers following both colorectal ( 59 % vs 25 % ; p = .004[!] [ )( cardiac ( 39 % vs 15 % [;] p = .002[!] ) operations . 0 ###LEFT-WALL### 5 complications 0 ###LEFT-WALL### 28 ; 0 ###LEFT-WALL### 30 = 0 ###LEFT-WALL### 47 . 1 one 2 or 2 or 3 more 2 or 5 complications 4 postoperative 5 complications 5 complications 6 occurred 6 occurred 7 more 6 occurred 8 frequently 6 occurred 9 in 9 in 13 prior 10 the 13 prior 11 group 13 prior 13 prior 15 compared 13 prior 24 % 15 compared 16 with 15 compared 21 colorectal 16 with 18 nonfallers 17 the 18 nonfallers 18 nonfallers 19 following 19 following 20 both 22 ( 24 % 23 59 24 % 24 % 25 vs 24 % 28 ; 25 vs 27 % 26 25 27 % 28 ; 29 p 29 p 30 = 30 = 46 operations 31 .004[!] 46 operations 34 cardiac 37 % 34 cardiac 45 ) 34 cardiac 46 operations 35 ( 37 % 36 39 37 % 37 % 38 vs 37 % 45 ) 38 vs 40 % 39 15 40 % 40 % 43 = 42 p 43 = 43 = 44 .002[!] these findings were [independent] of advancing chronologic age . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 9 . 1 these 2 findings 2 findings 3 were 3 were 5 of 5 of 6 advancing 6 advancing 8 age 7 chronologic 8 age the need for discharge to an institutional care facility occurred more frequently in the group that had fallen in comparison with the nonfallers in both the colorectal ( 52 % vs 6 % [;] p < .001[!] ) and cardiac ( 62 % vs 32 % [;] p = .001[!] ) groups . 0 ###LEFT-WALL### 39 and 0 ###LEFT-WALL### 53 . 1 the 2 need 2 need 3 for 2 need 39 and 3 for 4 discharge 4 discharge 5 to 4 discharge 19 in 5 to 8 care 6 an 7 institutional 6 an 8 care 7 institutional 8 care 8 care 9 facility 8 care 13 in 8 care 18 fallen 9 facility 10 occurred 10 occurred 12 frequently 10 occurred 13 in 11 more 12 frequently 14 the 15 group 15 group 16 that 15 group 17 had 15 group 18 fallen 16 that 17 had 19 in 20 comparison 20 comparison 21 with 21 with 23 nonfallers 22 the 23 nonfallers 23 nonfallers 24 in 23 nonfallers 30 % 24 in 25 both 25 both 26 the 25 both 27 colorectal 26 the 27 colorectal 28 ( 30 % 29 52 30 % 30 % 31 vs 30 % 38 ) 31 vs 33 % 32 6 33 % 33 % 36 < 35 p 36 < 36 < 37 .001[!] 39 and 52 groups 40 cardiac 43 % 40 cardiac 52 groups 41 ( 43 % 42 62 43 % 43 % 44 vs 43 % 51 ) 44 vs 46 % 45 32 46 % 46 % 49 = 48 p 49 = 49 = 50 .001[!] 49 = 51 ) similarly , 30 [-] day readmission was higher in the group with prior [falls] following both colorectal ( p = .04[!] ) and cardiac ( p = .02[!] ) operations . 0 ###LEFT-WALL### 6 readmission 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 31 . 1 similarly 2 , 1 similarly 6 readmission 3 30 5 day 5 day 6 readmission 6 readmission 7 was 7 was 8 higher 8 higher 9 in 8 higher 12 with 9 in 11 group 10 the 11 group 12 with 15 following 12 with 30 operations 13 prior 15 following 16 both 30 operations 17 colorectal 20 = 17 colorectal 23 and 18 ( 20 = 19 p 20 = 20 = 21 .04[!] 20 = 22 ) 23 and 24 cardiac 23 and 30 operations 24 cardiac 27 = 25 ( 27 = 26 p 27 = 27 = 28 .02[!] 27 = 29 ) conclusions and relevance : a history of 1 or more falls in the 6 months prior to an operation forecasts increased postoperative complications , the need for discharge institutionalization , and 30 [-] day readmission across surgical specialties . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 11 falls 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 39 . 1 conclusions 3 relevance 1 conclusions 4 : 1 conclusions 11 falls 2 and 3 relevance 3 relevance 4 : 4 : 9 or 5 a 6 history 6 history 7 of 6 history 9 or 7 of 8 1 9 or 10 more 11 falls 12 in 12 in 15 months 13 the 14 6 14 6 15 months 15 months 20 forecasts 15 months 21 increased 16 prior 17 to 17 to 19 operation 17 to 20 forecasts 18 an 19 operation 20 forecasts 21 increased 21 increased 23 complications 22 postoperative 23 complications 24 , 31 and 25 the 26 need 26 need 27 for 26 need 31 and 27 for 29 institutionalization 28 discharge 29 institutionalization 30 , 31 and 31 and 35 readmission 31 and 36 across 32 30 34 day 34 day 35 readmission 36 across 38 specialties 37 surgical 38 specialties using a history [of] prior falls in preoperative risk assessment for an older adult represents a shift from current preoperative assessment strategies . 0 ###LEFT-WALL### 1 using 0 ###LEFT-WALL### 6 falls 0 ###LEFT-WALL### 23 . 1 using 5 prior 1 using 6 falls 2 a 3 history 2 a 5 prior 3 history 5 prior 6 falls 7 in 6 falls 18 from 7 in 9 risk 8 preoperative 9 risk 9 risk 10 assessment 9 risk 15 represents 10 assessment 11 for 10 assessment 15 represents 11 for 14 adult 12 an 14 adult 13 older 14 adult 15 represents 17 shift 16 a 17 shift 18 from 22 strategies 19 current 21 assessment 20 preoperative 21 assessment 21 assessment 22 strategies context : studies examining whether vitamin d supplementation increases muscle [mass] or muscle [-] specific vitamin d receptor ( vdr ) concentration are lacking . 0 ###LEFT-WALL### 1 context 0 ###LEFT-WALL### 2 : 2 : 3 studies 2 : 23 are 2 : 25 . 3 studies 4 examining 3 studies 23 are 4 examining 5 whether 5 whether 8 supplementation 5 whether 9 increases 6 vitamin 7 d 6 vitamin 8 supplementation 8 supplementation 9 increases 9 increases 22 concentration 10 muscle 12 or 12 or 18 receptor 12 or 20 vdr 12 or 22 concentration 13 muscle 18 receptor 15 specific 16 vitamin 16 vitamin 17 d 16 vitamin 18 receptor 19 ( 20 vdr 20 vdr 21 ) 23 are 24 lacking objective : our objective was to determine whether vitamin d₃ 4000 iu/d alters muscle fiber [cross] - sectional area ( fcsa [ )(and intramyonuclear vdr concentration over 4 months . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 determine 2 : 4 objective 2 : 5 was 3 our 4 objective 4 objective 5 was 5 was 6 to 6 to 7 determine 7 determine 8 whether 8 whether 12 iu/d 8 whether 13 alters 9 vitamin 12 iu/d 10 d₃ 12 iu/d 11 4000 12 iu/d 12 iu/d 13 alters 13 alters 15 fiber 14 muscle 15 fiber 15 fiber 19 area 17 - 19 area 18 sectional 19 area 19 area 23 )(and 19 area 30 . 20 ( 23 )(and 21 fcsa 23 )(and 23 )(and 26 concentration 23 )(and 27 over 23 )(and 30 . 24 intramyonuclear 26 concentration 25 vdr 26 concentration 27 over 29 months 28 4 29 months design and setting : this was a randomized [,] double - blind , placebo - controlled study in a single center . 0 ###LEFT-WALL### 3 setting 0 ###LEFT-WALL### 4 : 1 design 2 and 2 and 3 setting 4 : 5 this 4 : 6 was 4 : 15 - 4 : 22 . 5 this 6 was 6 was 14 placebo 7 a 14 placebo 8 randomized 14 placebo 10 double 11 - 10 double 14 placebo 12 blind 13 , 12 blind 14 placebo 15 - 17 study 16 controlled 17 study 17 study 18 in 18 in 21 center 19 a 20 single 19 a 21 center 20 single 21 center participants : participants were 21 mobility - limited women ( aged ≥ 65 years ) with serum 25 - hydroxyvitamin d ( 25ohd ) levels of 22.5 to 60 nmol/l . main outcome measures : baseline and 4 - month fcsa and intramyonuclear vdr were measured from vastus lateralis muscle cross [-] sections probed for muscle fiber type ( i/iia/iix ) and vdr using immunofluorescence . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 31 . 0 ###LEFT-WALL### 66 . 1 participants 2 : 2 : 30 nmol/l 3 participants 4 were 4 were 6 mobility 4 were 16 with 5 21 6 mobility 6 mobility 9 women 7 - 9 women 8 limited 9 women 9 women 14 years 9 women 15 ) 10 ( 14 years 11 aged 14 years 12 ≥ 14 years 13 65 14 years 14 years 15 ) 16 with 17 serum 16 with 25 levels 17 serum 18 25 17 serum 20 hydroxyvitamin 19 - 20 hydroxyvitamin 20 hydroxyvitamin 21 d 20 hydroxyvitamin 23 25ohd 20 hydroxyvitamin 24 ) 22 ( 23 25ohd 23 25ohd 24 ) 25 levels 26 of 26 of 28 to 27 22.5 28 to 28 to 29 60 29 60 30 nmol/l 31 . 34 measures 31 . 37 and 32 main 33 outcome 33 outcome 34 measures 34 measures 35 : 35 : 36 baseline 37 and 38 4 37 and 39 - 38 4 39 - 39 - 62 and 40 month 41 fcsa 41 fcsa 42 and 42 and 43 intramyonuclear 42 and 44 vdr 42 and 45 were 42 and 46 measured 42 and 47 from 42 and 62 and 44 vdr 45 were 47 from 48 vastus 48 vastus 49 lateralis 48 vastus 58 type 48 vastus 60 i/iia/iix 49 lateralis 53 sections 49 lateralis 54 probed 49 lateralis 55 for 49 lateralis 58 type 50 muscle 53 sections 51 cross 53 sections 53 sections 54 probed 55 for 57 fiber 56 muscle 57 fiber 59 ( 60 i/iia/iix 60 i/iia/iix 61 ) 62 and 63 vdr 62 and 64 using 64 using 65 immunofluorescence by treatment group [,] percent change in intramyonuclear vdr concentration was 7.8 % ± 18.2 % ( placebo [ )( 29.7 % ± 11.7 [%] ( vd ; p = [.] 03 [ )(with a more pronounced group difference in type ii vs [i] fibers . 0 ###LEFT-WALL### 13 % 0 ###LEFT-WALL### 28 ; 0 ###LEFT-WALL### 30 = 0 ###LEFT-WALL### 46 . 1 by 6 change 1 by 13 % 2 treatment 6 change 3 group 6 change 5 percent 6 change 7 in 9 vdr 7 in 13 % 8 intramyonuclear 9 vdr 9 vdr 10 concentration 9 vdr 11 was 10 concentration 11 was 12 7.8 13 % 13 % 14 ± 14 ± 16 % 15 18.2 16 % 16 % 23 ± 17 ( 23 ± 18 placebo 23 ± 21 29.7 22 % 22 % 23 ± 23 ± 24 11.7 23 ± 27 vd 23 ± 28 ; 26 ( 27 vd 27 vd 28 ; 28 ; 29 p 29 p 30 = 30 = 32 03 32 03 34 )(with 32 03 40 in 34 )(with 39 difference 35 a 39 difference 36 more 37 pronounced 37 pronounced 38 group 38 group 39 difference 40 in 41 type 41 type 42 ii 41 type 43 vs 43 vs 45 fibers percent change in total ( type i/ii ) fcsa was - 7.4 % ± 18.9 % ( placebo [ )( 10.6 % ± 20.0 % [(] vd ; p = . 048 [ )( 0 ###LEFT-WALL### 2 change 0 ###LEFT-WALL### 10 was 0 ###LEFT-WALL### 11 - 1 percent 2 change 2 change 3 in 2 change 10 was 3 in 9 fcsa 4 total 7 i/ii 4 total 9 fcsa 5 ( 7 i/ii 6 type 7 i/ii 7 i/ii 8 ) 11 - 13 % 11 - 14 ± 11 - 28 ; 11 - 31 . 12 7.4 13 % 13 % 14 ± 14 ± 16 % 15 18.9 16 % 16 % 27 vd 17 ( 27 vd 18 placebo 23 ± 21 10.6 22 % 22 % 23 ± 23 ± 27 vd 24 20.0 25 % 25 % 27 vd 27 vd 28 ; 28 ; 29 p 28 ; 30 = 29 p 30 = 31 . 32 048 31 . 34 )( conclusion : vitamin d₃ supplementation increased intramyonuclear vdr concentration by 30 % and increased muscle fiber size by 10 % in older , mobility - limited , vitamin d - insufficient women . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 33 . 1 conclusion 2 : 2 : 5 supplementation 3 vitamin 5 supplementation 4 d₃ 5 supplementation 5 supplementation 13 and 6 increased 9 concentration 6 increased 13 and 7 intramyonuclear 9 concentration 8 vdr 9 concentration 9 concentration 10 by 10 by 12 % 11 30 12 % 13 and 14 increased 13 and 18 by 13 and 21 in 13 and 32 women 14 increased 17 size 15 muscle 16 fiber 16 fiber 17 size 18 by 20 % 19 10 20 % 21 in 24 mobility 22 older 23 , 22 older 24 mobility 24 mobility 26 limited 24 mobility 28 vitamin 25 - 26 limited 26 limited 27 , 27 , 28 vitamin 28 vitamin 29 d 28 vitamin 30 - 31 insufficient 32 women further work is needed to determine whether the observed effect of vitamin d on fiber size is mediated by the vdr and to identify [which] signaling pathways are involved . 0 ###LEFT-WALL### 2 work 0 ###LEFT-WALL### 6 determine 0 ###LEFT-WALL### 30 . 1 further 2 work 2 work 3 is 3 is 4 needed 4 needed 5 to 5 to 6 determine 6 determine 7 whether 7 whether 10 effect 7 whether 22 and 8 the 10 effect 9 observed 10 effect 10 effect 11 of 10 effect 17 is 11 of 12 vitamin 12 vitamin 13 d 12 vitamin 14 on 14 on 16 size 15 fiber 16 size 17 is 22 and 18 mediated 19 by 18 mediated 22 and 19 by 21 vdr 20 the 21 vdr 22 and 23 to 22 and 29 involved 23 to 24 identify 24 identify 26 signaling 26 signaling 27 pathways 26 signaling 28 are 27 pathways 28 are context : ig superfamily member 1 ( igsf1 [ )(deficiency was recently discovered as a novel x - linked cause of central hypothyroidism ( ceh ) and macro - orchidism . 0 ###LEFT-WALL### 1 context 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 1 context 2 : 2 : 27 and 3 ig 5 member 4 superfamily 5 member 5 member 6 1 5 member 19 linked 5 member 27 and 7 ( 13 discovered 8 igsf1 10 )(deficiency 8 igsf1 11 was 8 igsf1 13 discovered 10 )(deficiency 11 was 12 recently 13 discovered 13 discovered 14 as 13 discovered 18 - 13 discovered 19 linked 14 as 16 novel 15 a 16 novel 16 novel 17 x 19 linked 20 cause 20 cause 21 of 21 of 23 hypothyroidism 22 central 23 hypothyroidism 23 hypothyroidism 25 ceh 24 ( 25 ceh 25 ceh 26 ) 27 and 30 orchidism 28 macro 29 - 28 macro 30 orchidism however , clinical and biochemical data regarding growth , puberty , and metabolic outcome , as well as features of female carriers , are scarce . 0 ###LEFT-WALL### 6 data 0 ###LEFT-WALL### 24 are 0 ###LEFT-WALL### 26 . 1 however 2 , 1 however 6 data 3 clinical 4 and 4 and 5 biochemical 4 and 6 data 6 data 7 regarding 6 data 24 are 7 regarding 8 growth 7 regarding 18 as 8 growth 12 and 9 , 12 and 10 puberty 12 and 11 , 12 and 12 and 14 outcome 12 and 15 , 13 metabolic 14 outcome 15 , 18 as 16 as 17 well 17 well 18 as 18 as 19 features 18 as 23 , 19 features 20 of 20 of 22 carriers 21 female 22 carriers 24 are 25 scarce objective : our objective was to investigate clinical and biochemical characteristics associated with igsf1 deficiency in both sexes . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 objective 2 : 12 associated 2 : 19 . 3 our 4 objective 4 objective 5 was 5 was 6 to 5 was 12 associated 6 to 7 investigate 7 investigate 11 characteristics 8 clinical 9 and 9 and 10 biochemical 9 and 11 characteristics 12 associated 13 with 12 associated 16 in 13 with 15 deficiency 14 igsf1 15 deficiency 16 in 18 sexes 17 both 18 sexes methods : all patients ( n = 42 , 24 males ) from 10 families examined in the university clinics of leiden , amsterdam , cambridge , and milan were included in this case series . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 36 . 1 methods 2 : 2 : 4 patients 2 : 7 = 2 : 13 from 2 : 17 in 3 all 4 patients 5 ( 7 = 6 n 7 = 7 = 8 42 8 42 11 males 9 , 11 males 10 24 11 males 11 males 12 ) 13 from 15 families 14 10 15 families 15 families 16 examined 17 in 20 clinics 18 the 20 clinics 19 university 20 clinics 20 clinics 21 of 21 of 22 leiden 23 , 28 and 23 , 31 included 24 amsterdam 26 cambridge 24 amsterdam 28 and 25 , 26 cambridge 26 cambridge 27 , 28 and 29 milan 28 and 30 were 30 were 31 included 31 included 32 in 32 in 35 series 33 this 35 series 34 case 35 series detailed clinical data were collected with an identical protocol , and biochemical measurements were performed in a central laboratory . 0 ###LEFT-WALL### 3 data 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 20 . 1 detailed 3 data 2 clinical 3 data 3 data 4 were 4 were 5 collected 5 collected 6 with 6 with 9 protocol 7 an 8 identical 7 an 9 protocol 8 identical 9 protocol 10 , 11 and 11 and 13 measurements 11 and 15 performed 12 biochemical 13 measurements 13 measurements 14 were 14 were 15 performed 15 performed 16 in 16 in 19 laboratory 17 a 18 central 17 a 19 laboratory 18 central 19 laboratory results : male patients ( age 0 - 87 years , 17 index cases and 7 [from] family studies ) showed ceh ( 100 % ) , hypoprolactinemia ( n = 16 , 67 % ) , and transient partial gh deficiency ( n = 3 , 13 % ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 patients 2 : 21 showed 2 : 51 . 3 male 4 patients 4 patients 6 age 4 patients 10 years 4 patients 21 showed 5 ( 6 age 6 age 7 0 6 age 8 - 8 - 10 years 9 87 10 years 10 years 15 and 10 years 20 ) 11 , 15 and 12 17 14 cases 13 index 14 cases 14 cases 15 and 15 and 19 studies 15 and 20 ) 16 7 19 studies 18 family 19 studies 21 showed 22 ceh 21 showed 38 and 22 ceh 25 % 22 ceh 28 hypoprolactinemia 23 ( 25 % 24 100 25 % 25 % 26 ) 27 , 28 hypoprolactinemia 28 hypoprolactinemia 31 = 28 hypoprolactinemia 35 % 28 hypoprolactinemia 37 , 29 ( 31 = 30 n 31 = 31 = 32 16 33 , 35 % 34 67 35 % 35 % 36 ) 37 , 38 and 38 and 41 gh 38 and 42 deficiency 39 transient 41 gh 40 partial 41 gh 42 deficiency 45 = 42 deficiency 49 % 43 ( 45 = 44 n 45 = 45 = 46 3 47 , 49 % 48 13 49 % 49 % 50 ) pubertal testosterone production was delayed , [as] were the growth spurt and pubic hair development . 0 ###LEFT-WALL### 3 production 0 ###LEFT-WALL### 5 delayed 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 8 were 0 ###LEFT-WALL### 16 . 1 pubertal 3 production 2 testosterone 3 production 3 production 4 was 4 was 5 delayed 6 , 8 were 8 were 12 and 9 the 11 spurt 10 growth 11 spurt 11 spurt 12 and 12 and 15 development 13 pubic 14 hair 14 hair 15 development however , testicular growth started at a normal age and attained macro - orchid size in all evaluable adults . 0 ###LEFT-WALL### 4 growth 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 20 . 1 however 2 , 1 however 4 growth 3 testicular 4 growth 4 growth 10 and 5 started 6 at 5 started 10 and 6 at 9 age 7 a 8 normal 7 a 9 age 8 normal 9 age 10 and 11 attained 11 attained 15 size 11 attained 16 in 12 macro 13 - 12 macro 14 orchid 14 orchid 15 size 16 in 19 adults 17 all 19 adults 18 evaluable 19 adults body mass index , percent fat , and waist circumference tended to be elevated . 0 ###LEFT-WALL### 3 index 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 15 . 1 body 3 index 2 mass 3 index 4 , 8 and 4 , 11 tended 5 percent 6 fat 6 fat 8 and 7 , 8 and 8 and 10 circumference 8 and 11 tended 9 waist 10 circumference 11 tended 12 to 11 tended 14 elevated 12 to 13 be 13 be 14 elevated the metabolic syndrome was present in 4 of 5 patients over 55 years of age . 0 ###LEFT-WALL### 3 syndrome 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 16 . 1 the 3 syndrome 2 metabolic 3 syndrome 3 syndrome 4 was 4 was 5 present 5 present 6 in 5 present 11 over 6 in 7 4 7 4 8 of 8 of 10 patients 9 5 10 patients 11 over 13 years 12 55 13 years 13 years 14 of 14 of 15 age heterozygous female carriers ( age 32 - 80 years ) showed ceh in 6 of 18 cases ( 33 % ) , hypoprolactinemia in 2 ( 11 % ) , and gh deficiency in none . 0 ###LEFT-WALL### 3 carriers 0 ###LEFT-WALL### 11 showed 0 ###LEFT-WALL### 36 . 1 heterozygous 3 carriers 2 female 3 carriers 3 carriers 9 years 3 carriers 11 showed 4 ( 9 years 5 age 9 years 6 32 7 - 7 - 8 80 7 - 9 years 9 years 10 ) 11 showed 12 ceh 11 showed 31 and 11 showed 34 in 12 ceh 13 in 13 in 14 6 14 6 15 of 14 6 20 % 14 6 23 hypoprolactinemia 15 of 17 cases 16 18 17 cases 18 ( 20 % 19 33 20 % 20 % 21 ) 22 , 23 hypoprolactinemia 23 hypoprolactinemia 24 in 23 hypoprolactinemia 30 , 24 in 25 2 25 2 28 % 26 ( 28 % 27 11 28 % 28 % 29 ) 31 and 32 gh 31 and 33 deficiency 34 in 35 none as in men , body mass index [,] percent fat , and waist circumference were relatively high , and the metabolic syndrome was present in 3 cases . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 15 were 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 28 . 1 as 2 in 1 as 4 , 1 as 12 and 2 in 3 men 5 body 10 fat 6 mass 10 fat 7 index 10 fat 9 percent 10 fat 10 fat 12 and 11 , 12 and 12 and 14 circumference 12 and 15 were 13 waist 14 circumference 15 were 16 relatively 15 were 17 high 18 , 19 and 19 and 22 syndrome 19 and 23 was 20 the 22 syndrome 21 metabolic 22 syndrome 22 syndrome 23 was 23 was 24 present 24 present 25 in 25 in 27 cases 26 3 27 cases conclusion : in male patients , [the] x - linked igsf1 deficiency [syndrome] is characterized by ceh , hypoprolactinemia , delayed puberty , macro - orchidism , and increased body weight . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 12 deficiency 2 : 15 characterized 2 : 18 , 2 : 20 , 3 in 5 patients 3 in 12 deficiency 4 male 5 patients 5 patients 8 x 6 , 8 x 8 x 9 - 10 linked 12 deficiency 11 igsf1 12 deficiency 12 deficiency 14 is 14 is 15 characterized 15 characterized 16 by 16 by 17 ceh 18 , 19 hypoprolactinemia 20 , 28 and 21 delayed 22 puberty 22 puberty 23 , 23 , 26 orchidism 23 , 28 and 24 macro 25 - 24 macro 26 orchidism 27 , 28 and 28 and 31 weight 29 increased 30 body 30 body 31 weight a subset of female carriers also exhibits ceh . 0 ###LEFT-WALL### 2 subset 0 ###LEFT-WALL### 7 exhibits 0 ###LEFT-WALL### 9 . 1 a 2 subset 2 subset 3 of 2 subset 7 exhibits 3 of 5 carriers 4 female 5 carriers 6 also 7 exhibits 7 exhibits 8 ceh the interaction between a functional apolipoprotein a2 gene ( apoa2 ) [variant] [and] saturated fatty acids ( sfas ) for the outcome [of] body mass index ( bmi ) is among the most widely replicated gene - nutrient interactions . 0 ###LEFT-WALL### 2 interaction 0 ###LEFT-WALL### 30 is 0 ###LEFT-WALL### 37 - 1 the 2 interaction 2 interaction 3 between 2 interaction 10 apoa2 2 interaction 14 saturated 3 between 8 gene 4 a 8 gene 5 functional 6 apolipoprotein 6 apolipoprotein 8 gene 7 a2 8 gene 9 ( 10 apoa2 10 apoa2 11 ) 14 saturated 16 acids 14 saturated 20 for 15 fatty 16 acids 16 acids 18 sfas 17 ( 18 sfas 18 sfas 19 ) 20 for 26 index 21 the 26 index 22 outcome 26 index 24 body 25 mass 25 mass 26 index 26 index 28 bmi 26 index 30 is 27 ( 28 bmi 28 bmi 29 ) 30 is 31 among 31 among 36 gene 32 the 36 gene 33 most 34 widely 34 widely 35 replicated 35 replicated 36 gene 37 - 39 interactions 37 - 40 . 38 nutrient 39 interactions whether this interaction can be extrapolated to food - based sources of sfas , specifically dairy foods , is unexplored . 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 21 . 1 whether 3 interaction 1 whether 5 be 1 whether 18 , 2 this 3 interaction 3 interaction 4 can 4 can 5 be 6 extrapolated 7 to 6 extrapolated 15 specifically 6 extrapolated 17 foods 6 extrapolated 18 , 7 to 8 food 8 food 11 sources 9 - 11 sources 10 based 11 sources 11 sources 12 of 11 sources 14 , 12 of 13 sfas 16 dairy 17 foods 18 , 19 is 19 is 20 unexplored cross - sectional analyses were performed in 2 u.s . population - based samples . 0 ###LEFT-WALL### 4 analyses 0 ###LEFT-WALL### 6 performed 0 ###LEFT-WALL### 10 . 1 cross 2 - 1 cross 4 analyses 3 sectional 4 analyses 4 analyses 5 were 5 were 6 performed 6 performed 7 in 7 in 9 u.s 8 2 9 u.s 10 . 11 population 10 . 12 - 12 - 14 samples 12 - 15 . 13 based 14 samples we evaluated interactions between dairy foods and apoa2 - 265 t > c ( rs5082 ) for bmi in the boston puerto rican health study ( n = 955 ) and tested [for] replication in the genetics of lipid lowering drugs and diet network ( goldn ) study ( n = 1116 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 54 . 1 we 2 evaluated 2 evaluated 3 interactions 3 interactions 4 between 3 interactions 17 for 4 between 7 and 5 dairy 6 foods 6 foods 7 and 7 and 8 apoa2 7 and 9 - 7 and 12 > 7 and 15 rs5082 9 - 12 > 10 265 11 t 11 t 12 > 12 > 13 c 14 ( 15 rs5082 15 rs5082 16 ) 17 for 31 and 18 bmi 19 in 18 bmi 31 and 19 in 25 study 20 the 25 study 21 boston 22 puerto 22 puerto 23 rican 23 rican 24 health 24 health 25 study 25 study 28 = 26 ( 28 = 27 n 28 = 28 = 29 955 28 = 30 ) 31 and 34 replication 31 and 35 in 32 tested 34 replication 35 in 37 genetics 36 the 37 genetics 37 genetics 38 of 37 genetics 42 and 37 genetics 48 study 37 genetics 51 = 38 of 39 lipid 40 lowering 41 drugs 41 drugs 42 and 42 and 46 goldn 42 and 48 study 43 diet 44 network 44 network 46 goldn 45 ( 46 goldn 46 goldn 47 ) 49 ( 51 = 50 n 51 = 51 = 52 1116 51 = 53 ) dairy products were evaluated as total dairy [,] higher - fat dairy ( >1 [%] ) , and low - fat dairy ( ≤ 1 % [ )(in servings per day , dichotomized into high and low based on each population median and also as continuous variables . 0 ###LEFT-WALL### 2 products 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 10 - 1 dairy 2 products 2 products 3 were 3 were 7 dairy 3 were 9 higher 4 evaluated 7 dairy 5 as 6 total 6 total 7 dairy 10 - 12 dairy 10 - 17 , 11 fat 12 dairy 12 dairy 14 >1 13 ( 14 >1 14 >1 16 ) 17 , 18 and 18 and 22 dairy 19 low 20 - 19 low 22 dairy 21 fat 22 dairy 22 dairy 29 servings 22 dairy 33 dichotomized 23 ( 29 servings 24 ≤ 29 servings 25 1 28 )(in 26 % 28 )(in 28 )(in 29 servings 29 servings 30 per 29 servings 32 , 30 per 31 day 33 dichotomized 34 into 33 dichotomized 39 on 34 into 36 and 35 high 36 and 36 and 37 low 36 and 38 based 39 on 43 and 40 each 42 median 41 population 42 median 42 median 43 and 43 and 47 variables 43 and 48 . 44 also 46 continuous 45 as 46 continuous 46 continuous 47 variables we identified a statistically significant interaction between the apoa2 - 265 t > c variant and higher - fat dairy food intake in the boston puerto ricans ( p - [interaction] = 0.028 ) and replicated this relation in the goldn study ( p - interaction = 0.001 [ )( 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 35 and 0 ###LEFT-WALL### 45 - 0 ###LEFT-WALL### 50 )( 1 we 35 and 2 identified 16 and 2 identified 30 - 2 identified 35 and 3 a 6 interaction 4 statistically 5 significant 5 significant 6 interaction 6 interaction 7 between 6 interaction 16 and 7 between 15 variant 8 the 15 variant 9 apoa2 13 > 9 apoa2 15 variant 10 - 11 265 11 265 12 t 12 t 13 > 13 > 14 c 16 and 22 intake 16 and 23 in 17 higher 18 - 17 higher 20 dairy 19 fat 20 dairy 20 dairy 22 intake 21 food 22 intake 23 in 27 ricans 24 the 27 ricans 25 boston 26 puerto 26 puerto 27 ricans 28 ( 30 - 29 p 30 - 30 - 32 = 30 - 34 ) 32 = 33 0.028 35 and 36 replicated 35 and 39 in 36 replicated 38 relation 37 this 38 relation 39 in 42 study 40 the 42 study 41 goldn 42 study 42 study 44 p 43 ( 44 p 44 p 45 - 45 - 46 interaction 45 - 47 = 46 interaction 47 = 47 = 48 0.001 the results expand the understanding of the metabolic influence of dairy products , an important food group for which variable relations to body weight may be in part genetically based . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 expand 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 31 . 1 the 2 results 2 results 3 expand 3 expand 5 understanding 4 the 5 understanding 5 understanding 6 of 6 of 9 influence 7 the 9 influence 8 metabolic 9 influence 9 influence 10 of 10 of 12 products 11 dairy 12 products 13 , 17 group 13 , 26 be 14 an 17 group 15 important 16 food 16 food 17 group 17 group 18 for 17 group 26 be 18 for 19 which 18 for 21 relations 18 for 25 may 20 variable 21 relations 21 relations 22 to 21 relations 25 may 22 to 24 weight 23 body 24 weight 26 be 28 part 26 be 30 based 27 in 28 part 29 genetically 30 based moreover , these findings suggest that other strongly demonstrated gene [-] nutrient relations might be investigated through appropriate food - based , translatable avenues and may be relevant to dietary management of obesity . 0 ###LEFT-WALL### 4 findings 0 ###LEFT-WALL### 27 be 0 ###LEFT-WALL### 34 . 1 moreover 2 , 1 moreover 4 findings 3 these 4 findings 4 findings 5 suggest 5 suggest 6 that 6 that 13 relations 6 that 15 be 7 other 13 relations 8 strongly 9 demonstrated 9 demonstrated 10 gene 10 gene 12 nutrient 12 nutrient 13 relations 13 relations 14 might 14 might 15 be 15 be 25 and 16 investigated 17 through 16 investigated 21 based 16 investigated 24 avenues 16 investigated 25 and 17 through 19 food 18 appropriate 19 food 20 - 21 based 21 based 22 , 23 translatable 24 avenues 25 and 26 may 26 may 27 be 27 be 28 relevant 28 relevant 29 to 29 to 31 management 30 dietary 31 management 31 management 32 of 32 of 33 obesity posterior vitreous detachment ( pvd ) is a common phenomenon in the aging eye . 0 ###LEFT-WALL### 3 detachment 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 15 . 1 posterior 3 detachment 2 vitreous 3 detachment 3 detachment 5 pvd 3 detachment 7 is 4 ( 5 pvd 5 pvd 6 ) 7 is 10 phenomenon 8 a 9 common 8 a 10 phenomenon 9 common 10 phenomenon 10 phenomenon 11 in 11 in 14 eye 12 the 14 eye 13 aging 14 eye however , this may be complicated by persistent symptomatic vitreomacular adhesions that exert tractional forces on the macula ( vitreomacular traction ; vmt [ )( 0 ###LEFT-WALL### 3 this 0 ###LEFT-WALL### 5 be 0 ###LEFT-WALL### 22 ; 0 ###LEFT-WALL### 25 )( 1 however 2 , 1 however 3 this 3 this 4 may 4 may 5 be 5 be 6 complicated 6 complicated 7 by 7 by 11 adhesions 8 persistent 11 adhesions 9 symptomatic 11 adhesions 10 vitreomacular 11 adhesions 11 adhesions 12 that 11 adhesions 13 exert 12 that 13 exert 13 exert 15 forces 13 exert 16 on 14 tractional 15 forces 16 on 18 macula 17 the 18 macula 18 macula 21 traction 19 ( 21 traction 20 vitreomacular 21 traction 21 traction 22 ; 22 ; 23 vmt vmt itself may be associated with epiretinal membrane formation and the development of idiopathic macular holes ( imh ) . 0 ###LEFT-WALL### 1 vmt 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 20 . 1 vmt 3 may 2 itself 3 may 3 may 4 be 4 be 5 associated 5 associated 6 with 6 with 10 and 7 epiretinal 8 membrane 8 membrane 9 formation 9 formation 10 and 10 and 12 development 10 and 13 of 11 the 12 development 13 of 16 holes 14 idiopathic 16 holes 15 macular 16 holes 16 holes 18 imh 17 ( 18 imh 18 imh 19 ) such pathologies may cause visual disturbances , including metamorphopsia , photopsia , blurred vision , and decreased visual acuity , which impact an individual 's quality of life . 0 ###LEFT-WALL### 2 pathologies 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 29 . 1 such 2 pathologies 2 pathologies 16 and 3 may 4 cause 3 may 16 and 4 cause 6 disturbances 4 cause 8 including 5 visual 6 disturbances 7 , 8 including 8 including 14 vision 8 including 15 , 9 metamorphopsia 10 , 9 metamorphopsia 14 vision 11 photopsia 12 , 11 photopsia 14 vision 13 blurred 14 vision 16 and 17 decreased 16 and 19 acuity 18 visual 19 acuity 20 , 21 which 20 , 22 impact 21 which 22 impact 22 impact 26 quality 23 an 24 individual 24 individual 25 's 25 's 26 quality 26 quality 27 of 27 of 28 life technologies such as optical coherence tomography allow an increasingly more accurate visualisation of the macular anatomy , including quantification of macular hole characteristics , and this facilitates treatment [decision] - making . 0 ###LEFT-WALL### 1 technologies 0 ###LEFT-WALL### 7 allow 0 ###LEFT-WALL### 17 , 1 technologies 3 as 1 technologies 7 allow 2 such 3 as 3 as 6 tomography 4 optical 5 coherence 5 coherence 6 tomography 7 allow 12 visualisation 8 an 12 visualisation 9 increasingly 11 accurate 10 more 11 accurate 11 accurate 12 visualisation 12 visualisation 13 of 13 of 16 anatomy 14 the 16 anatomy 15 macular 16 anatomy 17 , 18 including 17 , 27 facilitates 18 including 19 quantification 18 including 27 facilitates 19 quantification 20 of 20 of 25 and 21 macular 22 hole 22 hole 23 characteristics 23 characteristics 25 and 24 , 25 and 25 and 26 this 27 facilitates 28 treatment 28 treatment 31 making 30 - 31 making 31 making 32 . pars plana vitrectomy remains the primary treatment option for many patients with vmt or imh ; for the latter , peeling of the inner limiting membrane ( ilm ) of the retina has shown improved outcomes when compared with no ilm peeling . 0 ###LEFT-WALL### 3 vitrectomy 0 ###LEFT-WALL### 4 remains 0 ###LEFT-WALL### 16 ; 0 ###LEFT-WALL### 43 . 1 pars 3 vitrectomy 2 plana 3 vitrectomy 3 vitrectomy 4 remains 4 remains 8 option 4 remains 9 for 4 remains 12 with 5 the 8 option 6 primary 7 treatment 7 treatment 8 option 9 for 11 patients 10 many 11 patients 12 with 14 or 13 vmt 14 or 14 or 15 imh 16 ; 21 peeling 16 ; 34 shown 17 for 19 latter 17 for 20 , 17 for 21 peeling 18 the 19 latter 21 peeling 22 of 21 peeling 30 of 21 peeling 33 has 22 of 26 membrane 23 the 26 membrane 24 inner 26 membrane 25 limiting 26 membrane 26 membrane 28 ilm 27 ( 28 ilm 28 ilm 29 ) 30 of 32 retina 31 the 32 retina 33 has 34 shown 34 shown 36 outcomes 34 shown 37 when 34 shown 39 with 35 improved 36 outcomes 37 when 38 compared 39 with 41 ilm 39 with 42 peeling 40 no 41 ilm the development of narrow - gauge transconjunctival vitrectomy systems has improved the rate of visual recovery following surgery . 0 ###LEFT-WALL### 2 development 0 ###LEFT-WALL### 11 improved 0 ###LEFT-WALL### 19 . 1 the 2 development 2 development 3 of 2 development 10 has 3 of 9 systems 4 narrow 5 - 4 narrow 6 gauge 6 gauge 9 systems 7 transconjunctival 8 vitrectomy 8 vitrectomy 9 systems 10 has 11 improved 11 improved 13 rate 12 the 13 rate 13 rate 14 of 14 of 16 recovery 15 visual 16 recovery 16 recovery 17 following 17 following 18 surgery ocriplasmin , by degrading laminin and fibronectin at the vitreoretinal interface , may allow induction of pvd in a [non] [-] invasive manner . 0 ###LEFT-WALL### 1 ocriplasmin 0 ###LEFT-WALL### 14 allow 0 ###LEFT-WALL### 24 . 1 ocriplasmin 3 by 1 ocriplasmin 13 may 2 , 3 by 3 by 4 degrading 3 by 12 , 4 degrading 6 and 4 degrading 8 at 5 laminin 6 and 6 and 7 fibronectin 8 at 11 interface 9 the 11 interface 10 vitreoretinal 11 interface 13 may 14 allow 14 allow 15 induction 14 allow 18 in 15 induction 16 of 16 of 17 pvd 18 in 23 manner 19 a 23 manner 22 invasive 23 manner indeed , clinical studies have supported its use as an alternative to surgery in certain patient populations . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 6 supported 0 ###LEFT-WALL### 18 . 1 indeed 2 , 1 indeed 4 studies 3 clinical 4 studies 4 studies 5 have 5 have 6 supported 6 supported 8 use 6 supported 9 as 6 supported 12 to 6 supported 14 in 7 its 8 use 9 as 11 alternative 10 an 11 alternative 12 to 13 surgery 14 in 17 populations 15 certain 17 populations 16 patient 17 populations however , further research is still needed with respect to greater understanding of the pathophysiology underlying the development of vmt and imh . 0 ###LEFT-WALL### 4 research 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 23 . 1 however 2 , 1 however 4 research 3 further 4 research 4 research 5 is 5 is 6 still 5 is 8 with 5 is 10 to 6 still 7 needed 8 with 9 respect 10 to 12 understanding 11 greater 12 understanding 12 understanding 13 of 13 of 15 pathophysiology 14 the 15 pathophysiology 15 pathophysiology 16 underlying 15 pathophysiology 19 of 16 underlying 18 development 17 the 18 development 19 of 22 imh 20 vmt 21 and 21 and 22 imh the retinal pigment epithelium ( rpe ) is [a] highly specialized cns tissue that plays crucial roles in retinal homeostasis . 0 ###LEFT-WALL### 3 pigment 0 ###LEFT-WALL### 11 specialized 0 ###LEFT-WALL### 21 . 1 the 3 pigment 2 retinal 3 pigment 3 pigment 4 epithelium 3 pigment 8 is 3 pigment 11 specialized 4 epithelium 6 rpe 4 epithelium 8 is 5 ( 6 rpe 6 rpe 7 ) 10 highly 11 specialized 11 specialized 13 tissue 12 cns 13 tissue 13 tissue 14 that 13 tissue 15 plays 14 that 15 plays 15 plays 17 roles 15 plays 18 in 16 crucial 17 roles 18 in 20 homeostasis 19 retinal 20 homeostasis age - related morphological changes in the rpe have been associated with retinal degenerative disorders ; our understanding of the underlying molecular mechanisms , however , remains incomplete . 0 ###LEFT-WALL### 5 changes 0 ###LEFT-WALL### 11 associated 0 ###LEFT-WALL### 16 ; 0 ###LEFT-WALL### 29 . 1 age 2 - 1 age 5 changes 3 related 5 changes 4 morphological 5 changes 5 changes 6 in 5 changes 9 have 6 in 8 rpe 7 the 8 rpe 9 have 10 been 10 been 11 associated 11 associated 12 with 12 with 15 disorders 13 retinal 15 disorders 14 degenerative 15 disorders 16 ; 18 understanding 16 ; 27 remains 17 our 18 understanding 18 understanding 19 of 18 understanding 27 remains 19 of 23 mechanisms 20 the 23 mechanisms 21 underlying 23 mechanisms 22 molecular 23 mechanisms 24 , 25 however 25 however 26 , 25 however 27 remains 27 remains 28 incomplete here we report on a key role of klotho ( kl ) , an aging [-] suppressor gene , in retinal health and rpe physiology . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 report 0 ###LEFT-WALL### 26 . 1 here 2 we 2 we 3 report 3 report 4 on 3 report 20 in 4 on 7 role 5 a 7 role 6 key 7 role 7 role 8 of 8 of 9 klotho 9 klotho 11 kl 9 klotho 18 gene 10 ( 11 kl 11 kl 12 ) 13 , 18 gene 14 an 18 gene 15 aging 17 suppressor 17 suppressor 18 gene 18 gene 19 , 20 in 23 and 21 retinal 22 health 22 health 23 and 23 and 25 physiology 24 rpe 25 physiology kl [(] - [/] - [ )(mice show rpe and photoreceptor degeneration , reduced pigment synthesis in the rpe , and impaired phagocytosis of the outer segment of the photoreceptors . 0 ###LEFT-WALL### 1 kl 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 31 . 3 - 5 - 3 - 21 and 5 - 7 )(mice 7 )(mice 21 and 8 show 9 rpe 8 show 10 and 8 show 21 and 10 and 12 degeneration 11 photoreceptor 12 degeneration 12 degeneration 16 synthesis 13 , 16 synthesis 14 reduced 15 pigment 15 pigment 16 synthesis 16 synthesis 17 in 16 synthesis 20 , 17 in 19 rpe 18 the 19 rpe 21 and 22 impaired 21 and 23 phagocytosis 23 phagocytosis 24 of 23 phagocytosis 28 of 24 of 27 segment 25 the 27 segment 26 outer 27 segment 28 of 30 photoreceptors 29 the 30 photoreceptors klotho protein ( kl ) is expressed in primary cultured human rpe , and regulates pigment synthesis by increasing the expression of mitf ( microphthalmia transcription [factor] ) and tyr ( tyrosinase ) , two pivotal genes in melanogenesis . 0 ###LEFT-WALL### 2 protein 0 ###LEFT-WALL### 14 and 1 klotho 2 protein 2 protein 4 kl 2 protein 14 and 3 ( 4 kl 4 kl 5 ) 6 is 7 expressed 6 is 14 and 7 expressed 8 in 8 in 12 rpe 9 primary 10 cultured 10 cultured 12 rpe 11 human 12 rpe 13 , 14 and 14 and 15 regulates 14 and 17 synthesis 16 pigment 17 synthesis 17 synthesis 18 by 17 synthesis 22 of 18 by 19 increasing 19 increasing 21 expression 20 the 21 expression 22 of 29 and 23 mitf 26 transcription 23 mitf 29 and 24 ( 26 transcription 25 microphthalmia 26 transcription 26 transcription 28 ) 29 and 30 tyr 29 and 32 tyrosinase 29 and 37 genes 31 ( 32 tyrosinase 32 tyrosinase 33 ) 34 , 37 genes 35 two 37 genes 36 pivotal 37 genes 37 genes 38 in 37 genes 40 . 38 in 39 melanogenesis importantly , kl increases phagocytosis in cultured rpe by inducing gene expression of mertk/axl/tyro3 . 0 ###LEFT-WALL### 3 kl 0 ###LEFT-WALL### 4 increases 0 ###LEFT-WALL### 15 . 1 importantly 2 , 1 importantly 3 kl 3 kl 4 increases 4 increases 5 phagocytosis 4 increases 6 in 4 increases 9 by 6 in 8 rpe 7 cultured 8 rpe 9 by 10 inducing 10 inducing 12 expression 11 gene 12 expression 12 expression 13 of 13 of 14 mertk/axl/tyro3 these effects of kl are mediated through camp - pka - dependent phosphorylation of transcription factor creb . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 6 mediated 0 ###LEFT-WALL### 18 . 1 these 2 effects 2 effects 3 of 2 effects 5 are 3 of 4 kl 5 are 6 mediated 6 mediated 7 through 7 through 13 phosphorylation 8 camp 10 pka 8 camp 13 phosphorylation 9 - 10 pka 10 pka 11 - 12 dependent 13 phosphorylation 13 phosphorylation 14 of 14 of 17 creb 15 transcription 17 creb 16 factor 17 creb in cultured human rpe , kl increases the l - 3,4 [-] dihydroxyphenylalanine synthesis and [inhibits] vascular endothelial growth factor ( vegf ) secretion from basal membrane by inhibiting igf - 1 signaling and vegf receptor 2 phosphorylation . 0 ###LEFT-WALL### 4 rpe 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 39 . 1 in 2 cultured 2 cultured 4 rpe 3 human 4 rpe 5 , 6 kl 5 , 7 increases 6 kl 7 increases 7 increases 24 secretion 7 increases 25 from 7 increases 28 by 8 the 24 secretion 9 l 10 - 10 - 11 3,4 10 - 13 dihydroxyphenylalanine 13 dihydroxyphenylalanine 14 synthesis 14 synthesis 15 and 15 and 20 factor 15 and 22 vegf 15 and 24 secretion 17 vascular 19 growth 18 endothelial 19 growth 19 growth 20 factor 21 ( 22 vegf 22 vegf 23 ) 25 from 27 membrane 26 basal 27 membrane 28 by 29 inhibiting 29 inhibiting 38 phosphorylation 30 igf 38 phosphorylation 31 - 32 1 32 1 33 signaling 33 signaling 34 and 34 and 36 receptor 34 and 38 phosphorylation 35 vegf 36 receptor 36 receptor 37 2 kl also regulates the expression of stress - related genes in rpe , lowers the production of reactive oxygen species , and thereby [,] protects rpe from oxidative stress . 0 ###LEFT-WALL### 1 kl 0 ###LEFT-WALL### 3 regulates 0 ###LEFT-WALL### 8 - 1 kl 3 regulates 2 also 3 regulates 3 regulates 5 expression 4 the 5 expression 5 expression 6 of 6 of 7 stress 8 - 13 , 8 - 30 . 9 related 10 genes 9 related 11 in 9 related 13 , 11 in 12 rpe 13 , 22 and 14 lowers 16 production 14 lowers 22 and 15 the 16 production 16 production 17 of 17 of 20 species 18 reactive 19 oxygen 19 oxygen 20 species 21 , 22 and 22 and 25 protects 23 thereby 25 protects 25 protects 26 rpe 26 rpe 27 from 27 from 29 stress 28 oxidative 29 stress together , our results demonstrate a critical function for kl in mouse retinal health [in] [vivo] , and a protective role toward human rpe cells in vitro . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 5 demonstrate 0 ###LEFT-WALL### 28 . 1 together 2 , 1 together 4 results 3 our 4 results 4 results 5 demonstrate 5 demonstrate 8 function 5 demonstrate 11 in 5 demonstrate 22 toward 5 demonstrate 27 vitro 6 a 8 function 7 critical 8 function 8 function 9 for 9 for 10 kl 11 in 18 and 12 mouse 14 health 13 retinal 14 health 14 health 18 and 17 , 18 and 18 and 21 role 19 a 20 protective 19 a 21 role 20 protective 21 role 22 toward 25 cells 23 human 25 cells 24 rpe 25 cells 26 in 27 vitro we conclude that kl is an important regulator of rpe homeostasis , and propose that an age [-] dependent decline of kl expression may contribute to rpe degeneration and retinal pathology . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 32 . 1 we 13 and 2 conclude 3 that 2 conclude 13 and 3 that 4 kl 3 that 5 is 4 kl 5 is 5 is 8 regulator 6 an 7 important 6 an 8 regulator 7 important 8 regulator 8 regulator 9 of 9 of 11 homeostasis 10 rpe 11 homeostasis 12 , 13 and 13 and 14 propose 13 and 26 to 14 propose 15 that 15 that 20 decline 15 that 25 contribute 16 an 17 age 16 an 20 decline 17 age 19 dependent 19 dependent 20 decline 20 decline 21 of 20 decline 24 may 21 of 23 expression 22 kl 23 expression 24 may 25 contribute 26 to 29 and 27 rpe 28 degeneration 28 degeneration 29 and 29 and 31 pathology 30 retinal 31 pathology we used the self - concept enhancement tactician ( scent ) model to explore whether older norwegians and canadians would tactically [self] - [enhance] on qualities considered significant within their cultures in their self - perceptions of aging . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 39 . 1 we 2 used 2 used 12 model 2 used 13 to 2 used 14 explore 3 the 12 model 4 self 10 scent 4 self 12 model 5 - 10 scent 6 concept 10 scent 7 enhancement 8 tactician 8 tactician 10 scent 9 ( 10 scent 10 scent 11 ) 13 to 14 explore 14 explore 15 whether 14 explore 21 tactically 14 explore 25 on 14 explore 36 perceptions 15 whether 18 and 15 whether 20 would 16 older 17 norwegians 17 norwegians 18 and 18 and 19 canadians 18 and 20 would 23 - 25 on 25 on 26 qualities 25 on 35 - 26 qualities 27 considered 27 considered 28 significant 28 significant 29 within 28 significant 32 in 29 within 31 cultures 30 their 31 cultures 32 in 34 self 33 their 34 self 36 perceptions 37 of 37 of 38 aging qualities were measured using the whoqol - bref and whoqol - old . 0 ###LEFT-WALL### 1 qualities 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 13 . 1 qualities 2 were 2 were 3 measured 3 measured 4 using 4 using 12 old 5 the 12 old 6 whoqol 8 bref 7 - 8 bref 8 bref 9 and 9 and 10 whoqol 10 whoqol 12 old 11 - 12 old self - perceptions of aging were measured by the attitudes to aging questionnaire . 0 ###LEFT-WALL### 3 perceptions 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 14 . 1 self 2 - 1 self 3 perceptions 3 perceptions 4 of 3 perceptions 6 were 4 of 5 aging 6 were 7 measured 7 measured 8 by 7 measured 11 to 8 by 10 attitudes 9 the 10 attitudes 11 to 13 questionnaire 12 aging 13 questionnaire the study is a secondary analysis of data collected in a larger study ; 393 older norwegians and 202 older canadians were included . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 14 ; 0 ###LEFT-WALL### 24 . 1 the 2 study 2 study 3 is 3 is 6 analysis 4 a 5 secondary 4 a 6 analysis 5 secondary 6 analysis 6 analysis 7 of 7 of 8 data 8 data 9 collected 9 collected 10 in 10 in 13 study 11 a 13 study 12 larger 13 study 14 ; 18 and 14 ; 23 included 15 393 17 norwegians 16 older 17 norwegians 17 norwegians 18 and 18 and 21 canadians 18 and 22 were 19 202 21 canadians 20 older 21 canadians 22 were 23 included the norwegian and canadian group self - enhanced their perceptions of psychosocial loss based on harmonious social relationships and being part of a larger social group . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 8 enhanced 0 ###LEFT-WALL### 27 . 1 the 2 norwegian 2 norwegian 3 and 3 and 6 self 3 and 7 - 3 and 8 enhanced 4 canadian 6 self 5 group 6 self 8 enhanced 10 perceptions 8 enhanced 15 on 9 their 10 perceptions 10 perceptions 11 of 11 of 13 loss 12 psychosocial 13 loss 13 loss 14 based 15 on 19 and 16 harmonious 17 social 17 social 18 relationships 18 relationships 19 and 19 and 21 part 19 and 22 of 20 being 21 part 22 of 26 group 23 a 26 group 24 larger 26 group 25 social 26 group for [self] - perceptions of physical change , both groups [self] - enhanced on being [self] - sufficient and being part of a larger social group . 0 ###LEFT-WALL### 1 for 0 ###LEFT-WALL### 26 group 0 ###LEFT-WALL### 27 . 1 for 3 - 3 - 19 and 4 perceptions 5 of 4 perceptions 13 enhanced 4 perceptions 19 and 5 of 7 change 6 physical 7 change 7 change 10 groups 8 , 10 groups 9 both 10 groups 10 groups 12 - 13 enhanced 14 on 13 enhanced 17 - 13 enhanced 18 sufficient 14 on 15 being 19 and 21 part 19 and 22 of 19 and 26 group 20 being 21 part 22 of 25 social 23 a 25 social 24 larger 25 social our findings suggest that norwegians and canadians are not highly individualistic people and also provide evidence of a bicultural self - perception of aging . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 21 - 0 ###LEFT-WALL### 25 . 1 our 2 findings 2 findings 13 and 3 suggest 4 that 3 suggest 13 and 4 that 6 and 4 that 8 are 5 norwegians 6 and 6 and 7 canadians 6 and 8 are 8 are 9 not 8 are 12 people 10 highly 11 individualistic 11 individualistic 12 people 13 and 15 provide 14 also 15 provide 15 provide 16 evidence 16 evidence 17 of 17 of 20 self 18 a 19 bicultural 18 a 20 self 19 bicultural 20 self 21 - 22 perception 22 perception 23 of 23 of 24 aging nurses should consider how [cultural] and individual perspectives affect the care priorities of older people . 0 ###LEFT-WALL### 1 nurses 0 ###LEFT-WALL### 3 consider 0 ###LEFT-WALL### 16 . 1 nurses 2 should 2 should 3 consider 3 consider 6 and 3 consider 12 priorities 4 how 6 and 6 and 7 individual 6 and 8 perspectives 6 and 9 affect 8 perspectives 9 affect 9 affect 11 care 10 the 11 care 12 priorities 13 of 13 of 15 people 14 older 15 people this article explores the influence of health literacy on medication [adherence] . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 explores 0 ###LEFT-WALL### 12 . 1 this 2 article 2 article 3 explores 3 explores 5 influence 3 explores 9 on 4 the 5 influence 5 influence 6 of 6 of 8 literacy 7 health 8 literacy 9 on 10 medication with health literacy skills nearly flat for over a decade and an aging population receiving multiple and complex medication regimens , literacy is becoming a more important factor in nursing assessment and intervention . 0 ###LEFT-WALL### 22 literacy 0 ###LEFT-WALL### 23 is 0 ###LEFT-WALL### 34 . 1 with 11 and 1 with 22 literacy 2 health 4 skills 3 literacy 4 skills 4 skills 6 flat 4 skills 11 and 5 nearly 6 flat 6 flat 7 for 7 for 10 decade 8 over 10 decade 9 a 10 decade 11 and 14 population 12 an 14 population 13 aging 14 population 15 receiving 17 and 15 receiving 20 regimens 15 receiving 21 , 15 receiving 22 literacy 16 multiple 17 and 17 and 18 complex 19 medication 20 regimens 22 literacy 23 is 23 is 24 becoming 24 becoming 28 factor 24 becoming 29 in 25 a 28 factor 26 more 27 important 27 important 28 factor 29 in 32 and 30 nursing 31 assessment 31 assessment 32 and 32 and 33 intervention concrete tools are provided to help the clinical nurse specialist ( cns ) assess literacy and evaluate written resources for patient education and to improve medication [adherence] . 0 ###LEFT-WALL### 2 tools 0 ###LEFT-WALL### 4 provided 0 ###LEFT-WALL### 28 . 1 concrete 2 tools 2 tools 3 are 3 are 4 provided 4 provided 5 to 5 to 16 and 6 help 10 specialist 6 help 14 assess 6 help 16 and 7 the 10 specialist 8 clinical 9 nurse 9 nurse 10 specialist 10 specialist 12 cns 11 ( 12 cns 12 cns 13 ) 14 assess 15 literacy 16 and 23 and 17 evaluate 19 resources 17 evaluate 23 and 18 written 19 resources 19 resources 20 for 20 for 22 education 21 patient 22 education 23 and 24 to 23 and 25 improve 24 to 25 improve 25 improve 26 medication background/aims : this study aimed to investigate whether the serial position effects in memory can differentiate patients with different [subtypes] [of] mild cognitive impairment ( mci ) from healthy controls and patients with different stages of alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 1 background/aims 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 43 . 1 background/aims 2 : 2 : 4 study 2 : 18 with 3 this 4 study 4 study 5 aimed 5 aimed 6 to 5 aimed 8 whether 6 to 7 investigate 8 whether 12 effects 8 whether 16 differentiate 9 the 12 effects 10 serial 12 effects 11 position 12 effects 12 effects 13 in 12 effects 15 can 13 in 14 memory 15 can 16 differentiate 16 differentiate 17 patients 18 with 24 impairment 18 with 28 from 19 different 24 impairment 22 mild 24 impairment 23 cognitive 24 impairment 24 impairment 26 mci 25 ( 26 mci 26 mci 27 ) 28 from 31 and 29 healthy 30 controls 30 controls 31 and 31 and 32 patients 31 and 33 with 31 and 36 of 33 with 35 stages 34 different 35 stages 36 of 39 disease 37 alzheimer 38 's 38 's 39 disease 39 disease 41 ad 40 ( 41 ad 41 ad 42 ) methods : the serial position effects [was] tested with the cerad word list task in 184 persons ( 39 healthy control subjects , 15 amnestic [mci] single domain subjects [,] 23 amnestic [mci] multiple domain subjects [,] 31 nonamnestic [mci] subjects , 45 early or mild ad patients , and 31 moderate ad patients ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 6 effects 2 : 14 task 3 the 6 effects 4 serial 5 position 5 position 6 effects 6 effects 8 tested 6 effects 9 with 6 effects 14 task 9 with 13 list 10 the 13 list 11 cerad 13 list 12 word 13 list 14 task 15 in 14 task 24 15 15 in 17 persons 16 184 17 persons 17 persons 22 subjects 18 ( 22 subjects 19 39 22 subjects 20 healthy 22 subjects 21 control 22 subjects 22 subjects 23 , 24 15 35 domain 24 15 36 subjects 25 amnestic 28 domain 27 single 28 domain 28 domain 35 domain 29 subjects 35 domain 31 23 35 domain 32 amnestic 35 domain 34 multiple 35 domain 35 domain 36 subjects 36 subjects 41 subjects 38 31 41 subjects 39 nonamnestic 41 subjects 41 subjects 50 and 42 , 50 and 43 45 48 patients 44 early 45 or 45 or 46 mild 45 or 48 patients 47 ad 48 patients 48 patients 50 and 49 , 50 and 50 and 54 patients 50 and 55 ) 50 and 56 . 51 31 52 moderate 52 moderate 54 patients 53 ad 54 patients results : with progression of dementia , memory deficits increased and the impairment in the primacy effect during the learning trials advanced , whereas the recall of recent items was less impaired . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 10 increased 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 33 . 1 results 2 : 2 : 3 with 2 : 10 increased 3 with 4 progression 4 progression 5 of 5 of 9 deficits 6 dementia 7 , 6 dementia 8 memory 8 memory 9 deficits 11 and 13 impairment 11 and 30 was 12 the 13 impairment 13 impairment 14 in 13 impairment 18 during 13 impairment 22 advanced 14 in 17 effect 15 the 17 effect 16 primacy 17 effect 18 during 21 trials 19 the 21 trials 20 learning 21 trials 22 advanced 24 whereas 23 , 24 whereas 24 whereas 26 recall 25 the 26 recall 26 recall 27 of 26 recall 30 was 27 of 29 items 28 recent 29 items 30 was 32 impaired 31 less 32 impaired the serial position profile of nonamnestic [mci] patients resembled that of healthy control subjects , whereas amnestic [mci] patients showed poorer performance in all 3 positions but no significant difference as a function [of] serial word position . 0 ###LEFT-WALL### 4 profile 0 ###LEFT-WALL### 20 showed 0 ###LEFT-WALL### 38 . 1 the 4 profile 2 serial 4 profile 3 position 4 profile 4 profile 5 of 4 profile 9 resembled 5 of 8 patients 6 nonamnestic 8 patients 9 resembled 10 that 9 resembled 16 whereas 10 that 11 of 11 of 14 subjects 12 healthy 14 subjects 13 control 14 subjects 15 , 16 whereas 16 whereas 19 patients 17 amnestic 19 patients 19 patients 20 showed 20 showed 22 performance 20 showed 23 in 20 showed 27 but 20 showed 31 as 21 poorer 22 performance 23 in 26 positions 24 all 25 3 25 3 26 positions 27 but 30 difference 28 no 30 difference 29 significant 30 difference 31 as 37 position 32 a 37 position 33 function 35 serial 35 serial 37 position 36 word 37 position conclusion : analyses of the serial position effect may be a useful complement to clinical neuropsychological measures for distinguishing amnestic [mci] patients from normal aging and patients with different stages of dementia . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 be 0 ###LEFT-WALL### 33 . 2 : 10 be 3 analyses 4 of 3 analyses 9 may 4 of 8 effect 5 the 8 effect 6 serial 7 position 7 position 8 effect 9 may 10 be 10 be 13 complement 10 be 23 from 11 a 13 complement 12 useful 13 complement 13 complement 14 to 13 complement 18 for 14 to 17 measures 15 clinical 17 measures 16 neuropsychological 17 measures 18 for 19 distinguishing 19 distinguishing 22 patients 20 amnestic 22 patients 23 from 26 and 24 normal 25 aging 24 normal 26 and 26 and 27 patients 26 and 28 with 26 and 31 of 28 with 30 stages 29 different 30 stages 31 of 32 dementia background : glycogenosis type ii ( gsdii or pompe disease ) is an autosomal recessive disease , often characterized by a progressive accumulation of glycogen within lysosomes caused by a deficiency of α - 1,4 - glucosidase ( gaa [;] acid maltase ) , a key enzyme of the glycogen degradation pathway . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 53 . 2 : 4 type 2 : 17 , 3 glycogenosis 4 type 4 type 5 ii 4 type 8 or 4 type 17 , 6 ( 8 or 7 gsdii 8 or 8 or 10 disease 8 or 11 ) 9 pompe 10 disease 12 is 16 disease 12 is 17 , 13 an 14 autosomal 13 an 16 disease 14 autosomal 16 disease 15 recessive 16 disease 17 , 19 characterized 18 often 19 characterized 19 characterized 20 by 19 characterized 29 by 19 characterized 47 enzyme 20 by 23 accumulation 21 a 23 accumulation 22 progressive 23 accumulation 23 accumulation 24 of 24 of 25 glycogen 25 glycogen 26 within 26 within 27 lysosomes 27 lysosomes 28 caused 29 by 31 deficiency 30 a 31 deficiency 31 deficiency 32 of 32 of 33 α 33 α 35 1,4 33 α 37 glucosidase 34 - 35 1,4 35 1,4 36 - 36 - 37 glucosidase 37 glucosidase 42 maltase 37 glucosidase 44 , 38 ( 42 maltase 39 gaa 41 acid 41 acid 42 maltase 42 maltase 43 ) 45 a 47 enzyme 46 key 47 enzyme 47 enzyme 48 of 48 of 52 pathway 49 the 52 pathway 50 glycogen 51 degradation 51 degradation 52 pathway to date , more than 326 different mutations in the gaa gene have been identified in patients with gsdii but the course of the disease is difficult to be predicted on the basis of molecular genetic changes . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 date 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 38 . 1 to 2 date 3 , 8 mutations 3 , 15 identified 3 , 20 but 4 more 5 than 5 than 6 326 6 326 8 mutations 7 different 8 mutations 8 mutations 9 in 8 mutations 13 have 9 in 12 gene 10 the 12 gene 11 gaa 12 gene 13 have 14 been 14 been 15 identified 15 identified 16 in 15 identified 18 with 16 in 17 patients 18 with 19 gsdii 20 but 22 course 20 but 30 predicted 21 the 22 course 22 course 23 of 22 course 26 is 23 of 25 disease 24 the 25 disease 26 is 27 difficult 27 difficult 28 to 28 to 29 be 29 be 30 predicted 30 predicted 31 on 31 on 33 basis 32 the 33 basis 33 basis 34 of 34 of 37 changes 35 molecular 37 changes 36 genetic 37 changes studies on large informative families are advisable to better define [how] genetics and [non] genetics factors like exercise and diet may influence the clinical phenotype . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 22 influence 0 ###LEFT-WALL### 26 . 1 studies 2 on 1 studies 6 are 2 on 5 families 3 large 5 families 4 informative 5 families 6 are 7 advisable 7 advisable 8 to 7 advisable 13 and 8 to 13 and 9 better 10 define 10 define 12 genetics 10 define 13 and 13 and 15 genetics 13 and 22 influence 16 factors 17 like 16 factors 19 and 17 like 18 exercise 19 and 20 diet 19 and 21 may 21 may 22 influence 22 influence 25 phenotype 23 the 25 phenotype 24 clinical 25 phenotype methods and results : in this study , we report on clinical , instrumental , and pathological features as well as on molecular analysis of a family with 10 out of 13 siblings affected by late - onset pompe disease . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 34 affected 0 ###LEFT-WALL### 41 . 1 methods 2 and 2 and 3 results 3 results 4 : 4 : 5 in 5 in 7 study 6 this 7 study 8 , 9 we 8 , 10 report 9 we 10 report 10 report 11 on 10 report 19 as 11 on 18 features 12 clinical 13 , 13 , 14 instrumental 13 , 16 and 15 , 16 and 16 and 17 pathological 16 and 18 features 19 as 20 well 20 well 21 as 21 as 22 on 22 on 24 analysis 23 molecular 24 analysis 24 analysis 25 of 24 analysis 31 of 25 of 27 family 26 a 27 family 27 family 28 with 28 with 29 10 30 out 31 of 31 of 32 13 32 13 33 siblings 32 13 34 affected 33 siblings 34 affected 34 affected 35 by 35 by 40 disease 36 late 37 - 36 late 38 onset 38 onset 40 disease 39 pompe 40 disease three mutations segregated in the family [,] two of which are novel mutations . 0 ###LEFT-WALL### 2 mutations 0 ###LEFT-WALL### 11 are 0 ###LEFT-WALL### 14 . 1 three 2 mutations 2 mutations 3 segregated 2 mutations 11 are 3 segregated 4 in 4 in 6 family 5 the 6 family 6 family 8 two 6 family 9 of 9 of 10 which 11 are 13 mutations 12 novel 13 mutations siblings showing a more severe phenotype were compound heterozygous for c.118c [>] t [ p.r40x ] and c.2647 - 7g > [a] [ [p.n882fs] []] on gaa , whereas [,] two patients showing a mild phenotype were compound heterozygous c.2647 - 7g > [a] [ p.n882fs []] and c.2276g [>] c [ p.g759 [a] ] mutations . 0 ###LEFT-WALL### 1 siblings 0 ###LEFT-WALL### 7 were 1 siblings 2 showing 1 siblings 7 were 2 showing 6 phenotype 3 a 6 phenotype 4 more 5 severe 5 severe 6 phenotype 7 were 17 and 8 compound 9 heterozygous 8 compound 17 and 9 heterozygous 10 for 10 for 11 c.118c 11 c.118c 13 t 11 c.118c 15 p.r40x 14 [ 15 p.r40x 15 p.r40x 16 ] 17 and 18 c.2647 17 and 19 - 17 and 20 7g 17 and 21 > 20 7g 21 > 21 > 26 on 21 > 29 whereas 23 [ 26 on 26 on 27 gaa 26 on 28 , 29 whereas 32 patients 29 whereas 37 were 31 two 32 patients 32 patients 33 showing 32 patients 37 were 33 showing 36 phenotype 34 a 35 mild 34 a 36 phenotype 35 mild 36 phenotype 37 were 38 compound 38 compound 42 7g 38 compound 43 > 38 compound 48 and 39 heterozygous 42 7g 40 c.2647 41 - 40 c.2647 42 7g 42 7g 43 > 45 [ 48 and 46 p.n882fs 48 and 48 and 49 c.2276g 48 and 56 mutations 48 and 57 . 49 c.2276g 51 c 52 [ 56 mutations 53 p.g759 55 ] 53 p.g759 56 mutations 56 mutations 57 . quantitative expression analysis showed , in the patients carrying p.r40x/ p.n882fs , a significant ( [p] 0.01 ) correlation between the levels of expression of the mutated allele and the age [at] onset of the disease . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 37 . 1 quantitative 2 expression 2 expression 3 analysis 3 analysis 4 showed 4 showed 6 in 4 showed 19 correlation 4 showed 20 between 5 , 6 in 6 in 8 patients 6 in 12 , 7 the 8 patients 8 patients 9 carrying 9 carrying 11 p.n882fs 10 p.r40x/ 11 p.n882fs 13 a 14 significant 13 a 19 correlation 14 significant 17 0.01 14 significant 18 ) 14 significant 19 correlation 15 ( 17 0.01 17 0.01 18 ) 20 between 29 and 21 the 22 levels 22 levels 23 of 22 levels 29 and 23 of 24 expression 24 expression 25 of 25 of 28 allele 26 the 28 allele 27 mutated 28 allele 29 and 33 onset 30 the 33 onset 31 age 33 onset 33 onset 34 of 34 of 36 disease 35 the 36 disease conclusions : as far as we know , this is the largest informative family with late - onset pompe disease described in the literature showing a peculiar complex set of mutations of gaa [gene] that may partially elucidate the clinical heterogeneity of this family . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 know 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 45 . 1 conclusions 2 : 2 : 4 far 2 : 5 as 3 as 4 far 5 as 6 we 5 as 7 know 6 we 7 know 8 , 9 this 8 , 10 is 9 this 10 is 10 is 14 family 11 the 12 largest 11 the 14 family 13 informative 14 family 14 family 15 with 14 family 21 described 15 with 20 disease 16 late 17 - 16 late 18 onset 18 onset 20 disease 19 pompe 20 disease 21 described 22 in 22 in 24 literature 23 the 24 literature 24 literature 25 showing 25 showing 28 complex 25 showing 35 that 25 showing 38 elucidate 26 a 28 complex 27 peculiar 28 complex 28 complex 29 set 28 complex 30 of 30 of 31 mutations 31 mutations 32 of 32 of 33 gaa 35 that 36 may 36 may 38 elucidate 37 partially 38 elucidate 38 elucidate 41 heterogeneity 39 the 41 heterogeneity 40 clinical 41 heterogeneity 41 heterogeneity 42 of 42 of 44 family 43 this 44 family the sexes often have different phenotypic optima for important life - history traits , and because of a largely shared genome this can lead to a conflict over trait expression . 0 ###LEFT-WALL### 2 sexes 0 ###LEFT-WALL### 4 have 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 31 . 1 the 2 sexes 2 sexes 4 have 3 often 4 have 4 have 7 optima 5 different 7 optima 6 phenotypic 7 optima 7 optima 8 for 8 for 10 life 9 important 10 life 10 life 13 traits 11 - 13 traits 12 history 13 traits 13 traits 14 , 14 , 15 and 15 and 22 this 15 and 24 lead 16 because 17 of 16 because 22 this 17 of 21 genome 18 a 19 largely 18 a 21 genome 19 largely 20 shared 20 shared 21 genome 22 this 23 can 23 can 24 lead 24 lead 25 to 24 lead 28 over 25 to 27 conflict 26 a 27 conflict 28 over 30 expression 29 trait 30 expression in mammals , the [obligate] costs of reproduction are higher for females , making reproductive timing and rate especially liable to conflict between the sexes . 0 ###LEFT-WALL### 6 costs 0 ###LEFT-WALL### 9 are 1 in 2 mammals 1 in 3 , 1 in 6 costs 4 the 6 costs 6 costs 7 of 6 costs 9 are 7 of 8 reproduction 9 are 10 higher 10 higher 11 for 11 for 12 females 12 females 14 making 13 , 14 making 14 making 17 and 14 making 20 liable 14 making 26 . 15 reproductive 16 timing 16 timing 17 and 17 and 18 rate 19 especially 20 liable 20 liable 21 to 21 to 22 conflict 22 conflict 23 between 23 between 25 sexes 24 the 25 sexes while studies from wild vertebrates support such sexual conflict , it remains unexplored in humans . 0 ###LEFT-WALL### 11 it 0 ###LEFT-WALL### 12 remains 0 ###LEFT-WALL### 16 . 1 while 2 studies 1 while 6 support 1 while 10 , 1 while 11 it 2 studies 3 from 2 studies 6 support 3 from 5 vertebrates 4 wild 5 vertebrates 6 support 9 conflict 7 such 9 conflict 8 sexual 9 conflict 11 it 12 remains 12 remains 13 unexplored 13 unexplored 14 in 14 in 15 humans we used a pedigreed human population from preindustrial finland to estimate sexual conflict over age at first and last reproduction , reproductive lifespan and reproductive rate . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 27 . 1 we 2 used 2 used 6 population 2 used 7 from 2 used 10 to 2 used 18 and 3 a 6 population 4 pedigreed 5 human 5 human 6 population 7 from 9 finland 8 preindustrial 9 finland 10 to 18 and 11 estimate 13 conflict 11 estimate 17 first 11 estimate 18 and 12 sexual 13 conflict 13 conflict 14 over 14 over 15 age 16 at 17 first 18 and 19 last 18 and 20 reproduction 21 , 24 and 22 reproductive 23 lifespan 23 lifespan 24 and 24 and 26 rate 25 reproductive 26 rate we found that the phenotypic selection gradients differed between the sexes . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 12 . 1 we 2 found 2 found 3 that 3 that 7 gradients 3 that 8 differed 4 the 7 gradients 5 phenotypic 6 selection 6 selection 7 gradients 7 gradients 8 differed 8 differed 9 between 9 between 11 sexes 10 the 11 sexes we next established significant heritabilities in both sexes for all traits . 0 ###LEFT-WALL### 2 next 0 ###LEFT-WALL### 3 established 0 ###LEFT-WALL### 12 . 1 we 2 next 2 next 3 established 3 established 5 heritabilities 3 established 6 in 4 significant 5 heritabilities 6 in 8 sexes 7 both 8 sexes 8 sexes 9 for 9 for 11 traits 10 all 11 traits all traits , [except] reproductive rate , showed strongly positive intersexual genetic correlations and were strongly genetically correlated with fitness in both sexes . 0 ###LEFT-WALL### 2 traits 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 24 . 1 all 2 traits 3 , 6 rate 3 , 7 , 5 reproductive 6 rate 7 , 14 and 8 showed 9 strongly 8 showed 13 correlations 8 showed 14 and 10 positive 13 correlations 11 intersexual 13 correlations 12 genetic 13 correlations 14 and 15 were 15 were 18 correlated 16 strongly 18 correlated 17 genetically 18 correlated 18 correlated 19 with 18 correlated 21 in 19 with 20 fitness 21 in 23 sexes 22 both 23 sexes moreover , the genetic correlations with fitness were almost identical in men and women . 0 ###LEFT-WALL### 5 correlations 0 ###LEFT-WALL### 8 were 0 ###LEFT-WALL### 15 . 1 moreover 2 , 1 moreover 5 correlations 3 the 5 correlations 4 genetic 5 correlations 5 correlations 6 with 5 correlations 8 were 6 with 7 fitness 8 were 10 identical 9 almost 10 identical 10 identical 11 in 11 in 13 and 12 men 13 and 13 and 14 women [for] reproductive rate , the intersexual correlation and the correlation with fitness [were] weaker but again similar between the sexes . 0 ###LEFT-WALL### 3 rate 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 21 . 2 reproductive 3 rate 4 , 8 and 5 the 7 correlation 6 intersexual 7 correlation 7 correlation 8 and 8 and 10 correlation 8 and 11 with 9 the 10 correlation 11 with 12 fitness 12 fitness 14 weaker 12 fitness 17 similar 14 weaker 15 but 15 but 16 again 17 similar 18 between 18 between 20 sexes 19 the 20 sexes thus , in this population , an apparent sexual conflict at the phenotypic level did not reflect an underlying genetic conflict over the studied reproductive traits . 0 ###LEFT-WALL### 10 conflict 0 ###LEFT-WALL### 17 reflect 0 ###LEFT-WALL### 27 . 1 thus 2 , 1 thus 10 conflict 2 , 3 in 3 in 5 population 3 in 6 , 3 in 10 conflict 4 this 5 population 7 an 8 apparent 7 an 10 conflict 8 apparent 10 conflict 9 sexual 10 conflict 10 conflict 11 at 10 conflict 15 did 11 at 14 level 12 the 14 level 13 phenotypic 14 level 15 did 16 not 15 did 17 reflect 17 reflect 21 conflict 17 reflect 22 over 18 an 21 conflict 19 underlying 21 conflict 20 genetic 21 conflict 22 over 26 traits 23 the 26 traits 24 studied 26 traits 25 reproductive 26 traits these findings emphasize the need for incorporating genetic perspectives into studies of human life - history evolution . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 emphasize 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 18 . 1 these 2 findings 2 findings 3 emphasize 3 emphasize 5 need 4 the 5 need 5 need 6 for 6 for 7 incorporating 7 incorporating 9 perspectives 7 incorporating 10 into 8 genetic 9 perspectives 10 into 11 studies 11 studies 12 of 12 of 14 life 13 human 14 life 15 - 17 evolution 16 history 17 evolution lateral spatial interactions among elements of a scene , which either enhance [or] [degrade] visual performance , are ubiquitous in vision . 0 ###LEFT-WALL### 3 interactions 0 ###LEFT-WALL### 18 are 0 ###LEFT-WALL### 22 . 1 lateral 3 interactions 2 spatial 3 interactions 3 interactions 4 among 3 interactions 18 are 4 among 5 elements 5 elements 6 of 5 elements 10 which 6 of 8 scene 7 a 8 scene 9 , 10 which 10 which 12 enhance 10 which 17 , 11 either 12 enhance 12 enhance 16 performance 15 visual 16 performance 18 are 19 ubiquitous 19 ubiquitous 20 in 20 in 21 vision the neural mechanisms underlying lateral spatial interactions are a matter of debate , and various hypotheses have been proposed . 0 ###LEFT-WALL### 3 mechanisms 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 20 . 1 the 3 mechanisms 2 neural 3 mechanisms 3 mechanisms 4 underlying 3 mechanisms 8 are 4 underlying 7 interactions 5 lateral 7 interactions 6 spatial 7 interactions 8 are 10 matter 9 a 10 matter 10 matter 11 of 11 of 12 debate 13 , 14 and 14 and 16 hypotheses 14 and 19 proposed 15 various 16 hypotheses 16 hypotheses 17 have 17 have 18 been 18 been 19 proposed suppressive effects may be due to local inhibitory interactions , whereas facilitatory effects are typically ascribed either to the function of long - range horizontal projections in v1 or to uncertainty reduction . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 4 be 1 suppressive 2 effects 2 effects 3 may 3 may 4 be 4 be 6 to 4 be 11 whereas 4 be 17 either 4 be 18 to 5 due 6 to 6 to 9 interactions 7 local 9 interactions 8 inhibitory 9 interactions 10 , 11 whereas 11 whereas 13 effects 11 whereas 16 ascribed 11 whereas 17 either 12 facilitatory 13 effects 13 effects 14 are 14 are 16 ascribed 15 typically 16 ascribed 17 either 18 to 18 to 20 function 18 to 33 . 19 the 20 function 20 function 21 of 21 of 26 projections 22 long 23 - 22 long 24 range 24 range 26 projections 25 horizontal 26 projections 26 projections 29 or 27 in 28 v1 27 in 29 or 29 or 30 to 30 to 32 reduction 31 uncertainty 32 reduction we investigated the development of lateral spatial interactions , facilitation and suppression , and compared their developmental profiles to those of potential underlying mechanisms in the visual system of infant macaques . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 32 . 1 we 14 and 2 investigated 4 development 2 investigated 14 and 3 the 4 development 4 development 5 of 5 of 11 and 6 lateral 8 interactions 7 spatial 8 interactions 8 interactions 9 , 9 , 10 facilitation 9 , 11 and 11 and 12 suppression 13 , 14 and 14 and 15 compared 15 compared 18 profiles 15 compared 19 to 15 compared 25 in 16 their 18 profiles 17 developmental 18 profiles 19 to 20 those 20 those 21 of 20 those 23 underlying 21 of 22 potential 23 underlying 24 mechanisms 25 in 28 system 26 the 28 system 27 visual 28 system 28 system 29 of 29 of 31 macaques 30 infant 31 macaques animals ranging in age from 10 weeks to 3 years were tested with a lateral masking paradigm . 0 ###LEFT-WALL### 1 animals 0 ###LEFT-WALL### 12 tested 0 ###LEFT-WALL### 18 . 1 animals 2 ranging 1 animals 11 were 2 ranging 3 in 2 ranging 5 from 3 in 4 age 5 from 8 to 6 10 7 weeks 7 weeks 8 to 8 to 10 years 9 3 10 years 11 were 12 tested 12 tested 13 with 13 with 17 paradigm 14 a 15 lateral 14 a 17 paradigm 15 lateral 17 paradigm 16 masking 17 paradigm we found that suppressive interactions are present [from] very early in postnatal life , showing no change over the age range tested . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 1 we 2 found 2 found 3 that 3 that 5 interactions 3 that 6 are 4 suppressive 5 interactions 5 interactions 6 are 6 are 7 present 7 present 10 early 7 present 11 in 9 very 10 early 11 in 13 life 12 postnatal 13 life 13 life 15 showing 14 , 15 showing 15 showing 17 change 15 showing 18 over 15 showing 23 . 16 no 17 change 18 over 21 range 19 the 21 range 20 age 21 range 21 range 22 tested however , facilitation develops slowly over the first year after birth . 0 ###LEFT-WALL### 3 facilitation 0 ###LEFT-WALL### 4 develops 0 ###LEFT-WALL### 12 . 1 however 2 , 1 however 3 facilitation 3 facilitation 4 develops 4 develops 5 slowly 4 develops 6 over 4 develops 10 after 6 over 9 year 7 the 9 year 8 first 9 year 10 after 11 birth our data suggest that the early maturation of suppressive interactions is related to the relatively mature receptive field properties of neurons in early visual cortical areas near birth in infant macaques , whereas the later maturation of facilitation is unlikely to be explained by development of local or long - range connectivity [in] primary visual cortex . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 39 is 0 ###LEFT-WALL### 57 . 1 our 2 data 2 data 3 suggest 3 suggest 4 that 4 that 7 maturation 4 that 27 near 5 the 7 maturation 6 early 7 maturation 7 maturation 8 of 7 maturation 11 is 8 of 10 interactions 9 suppressive 10 interactions 11 is 12 related 12 related 13 to 13 to 18 field 14 the 18 field 15 relatively 16 mature 16 mature 18 field 17 receptive 18 field 19 properties 20 of 19 properties 22 in 19 properties 27 near 20 of 21 neurons 22 in 26 areas 23 early 26 areas 24 visual 26 areas 25 cortical 26 areas 27 near 28 birth 27 near 29 in 27 near 33 whereas 29 in 31 macaques 30 infant 31 macaques 32 , 33 whereas 33 whereas 36 maturation 34 the 36 maturation 35 later 36 maturation 36 maturation 37 of 36 maturation 39 is 37 of 38 facilitation 39 is 40 unlikely 40 unlikely 41 to 40 unlikely 43 explained 41 to 42 be 42 be 43 explained 43 explained 44 by 44 by 45 development 45 development 46 of 46 of 48 or 47 local 48 or 48 or 56 cortex 49 long 50 - 49 long 51 range 51 range 52 connectivity 52 connectivity 56 cortex 54 primary 56 cortex 55 visual 56 cortex instead our data favor a late developing feedback or top - down cognitive process to explain the origin of facilitation . 0 ###LEFT-WALL### 3 data 0 ###LEFT-WALL### 4 favor 0 ###LEFT-WALL### 21 . 1 instead 3 data 2 our 3 data 3 data 4 favor 4 favor 20 facilitation 5 a 6 late 5 a 20 facilitation 6 late 8 feedback 7 developing 8 feedback 8 feedback 9 or 9 or 14 process 9 or 15 to 9 or 19 of 9 or 20 facilitation 10 top 11 - 10 top 14 process 12 down 14 process 13 cognitive 14 process 15 to 16 explain 16 explain 18 origin 17 the 18 origin 18 origin 19 of background : fear of falling has been linked to activity restriction , functional decline , decreased quality of life and increased risk of falling . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 fear 2 : 8 linked 2 : 25 . 3 fear 4 of 3 fear 6 has 4 of 5 falling 6 has 7 been 7 been 8 linked 8 linked 9 to 9 to 20 and 10 activity 11 restriction 11 restriction 12 , 12 , 14 decline 12 , 15 , 13 functional 14 decline 15 , 17 quality 15 , 20 and 16 decreased 17 quality 17 quality 18 of 18 of 19 life 20 and 22 risk 20 and 23 of 21 increased 22 risk 23 of 24 falling factors that distinguish persons with a high concern about falling from those with low concern have not been systematically studied . 0 ###LEFT-WALL### 1 factors 0 ###LEFT-WALL### 20 studied 0 ###LEFT-WALL### 21 . 1 factors 2 that 1 factors 3 distinguish 1 factors 16 have 2 that 3 distinguish 3 distinguish 4 persons 3 distinguish 5 with 3 distinguish 9 about 5 with 8 concern 6 a 8 concern 7 high 8 concern 9 about 10 falling 10 falling 11 from 10 falling 13 with 11 from 12 those 13 with 15 concern 14 low 15 concern 16 have 17 not 16 have 18 been 18 been 20 studied 19 systematically 20 studied objective : this study aimed to expose potential health - related , functional and psychosocial factors that correlate with fear of falling among independently living older women who had fallen in the past year . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 35 . 1 objective 2 : 2 : 4 study 3 this 4 study 4 study 5 aimed 4 study 6 to 4 study 7 expose 6 to 7 expose 7 expose 9 health 8 potential 9 health 9 health 11 related 10 - 11 related 11 related 12 , 12 , 14 and 13 functional 14 and 14 and 16 factors 14 and 17 that 14 and 18 correlate 15 psychosocial 16 factors 17 that 18 correlate 18 correlate 19 with 18 correlate 23 among 18 correlate 27 women 18 correlate 31 in 19 with 20 fear 20 fear 21 of 21 of 22 falling 23 among 25 living 24 independently 25 living 26 older 27 women 27 women 28 who 27 women 29 had 28 who 29 had 29 had 30 fallen 31 in 34 year 32 the 34 year 33 past 34 year methods : baseline data of 409 women aged 70 - 80 years recruited to a randomised [falls] prevention trial ( dex ) ( nct00986466 ) were used . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 - 1 methods 2 : 2 : 4 data 3 baseline 4 data 4 data 5 of 4 data 8 aged 5 of 7 women 6 409 7 women 8 aged 9 70 10 - 12 years 10 - 26 were 10 - 28 . 11 80 12 years 12 years 13 recruited 12 years 26 were 13 recruited 14 to 14 to 19 trial 15 a 19 trial 16 randomised 18 prevention 18 prevention 19 trial 19 trial 21 dex 19 trial 24 nct00986466 20 ( 21 dex 21 dex 22 ) 23 ( 24 nct00986466 24 nct00986466 25 ) 26 were 27 used participants were classified according to their level of concern about falling using the falls efficacy scale international ( fes - i ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 23 . 1 participants 2 were 2 were 3 classified 3 classified 5 to 3 classified 10 about 4 according 5 to 5 to 7 level 6 their 7 level 7 level 8 of 8 of 9 concern 10 about 11 falling 11 falling 12 using 12 using 17 international 12 using 20 - 13 the 17 international 14 falls 15 efficacy 15 efficacy 16 scale 16 scale 17 international 18 ( 20 - 19 fes 20 - 20 - 21 i 20 - 22 ) multinomial logistic regression analyses were performed to explore associations between health - related variables , functional performance tests , amount of physical activity , quality of life and fes - [i] scores . 0 ###LEFT-WALL### 1 multinomial 0 ###LEFT-WALL### 32 scores 0 ###LEFT-WALL### 33 . 1 multinomial 3 regression 1 multinomial 6 performed 1 multinomial 32 scores 2 logistic 3 regression 3 regression 4 analyses 3 regression 5 were 3 regression 6 performed 4 analyses 5 were 6 performed 7 to 6 performed 10 between 7 to 8 explore 8 explore 9 associations 10 between 11 health 11 health 14 variables 12 - 14 variables 13 related 14 variables 14 variables 18 tests 14 variables 28 and 14 variables 30 - 15 , 18 tests 16 functional 17 performance 17 performance 18 tests 18 tests 19 , 19 , 28 and 20 amount 21 of 20 amount 24 , 21 of 23 activity 22 physical 23 activity 24 , 25 quality 24 , 28 and 25 quality 26 of 26 of 27 life 28 and 29 fes 28 and 30 - results : 68 % of the participants reported a moderate to high concern ( fes - i ≥ 20 [ )(about falls . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 % 2 : 8 reported 2 : 23 . 3 68 4 % 4 % 5 of 4 % 8 reported 5 of 7 participants 6 the 7 participants 8 reported 10 moderate 8 reported 22 falls 9 a 10 moderate 10 moderate 11 to 10 moderate 17 i 10 moderate 21 )(about 10 moderate 22 falls 11 to 13 concern 12 high 13 concern 13 concern 15 fes 14 ( 15 fes 15 fes 16 - 17 i 18 ≥ 18 ≥ 19 20 18 ≥ 21 )(about multinomial logistic regression showed that highly concerned women were significantly more likely to have poorer health and quality of life and lower functional ability . 0 ###LEFT-WALL### 3 regression 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 25 . 1 multinomial 2 logistic 2 logistic 3 regression 3 regression 4 showed 4 showed 6 highly 4 showed 8 women 4 showed 9 were 5 that 6 highly 7 concerned 8 women 8 women 9 were 9 were 11 more 9 were 12 likely 10 significantly 11 more 12 likely 13 to 12 likely 14 have 13 to 14 have 14 have 17 and 15 poorer 16 health 16 health 17 and 17 and 18 quality 17 and 19 of 19 of 24 ability 20 life 21 and 21 and 22 lower 21 and 24 ability 23 functional 24 ability reported difficulties in instrumental activities of daily living , balance , outdoor mobility and poorer quality of life contributed independently to a greater concern about falling . 0 ###LEFT-WALL### 16 quality 0 ###LEFT-WALL### 19 contributed 0 ###LEFT-WALL### 27 . 1 reported 2 difficulties 2 difficulties 3 in 2 difficulties 9 , 3 in 5 activities 4 instrumental 5 activities 5 activities 6 of 6 of 8 living 7 daily 8 living 9 , 10 balance 9 , 11 , 11 , 13 mobility 11 , 14 and 12 outdoor 13 mobility 14 and 15 poorer 14 and 16 quality 16 quality 17 of 16 quality 19 contributed 17 of 18 life 19 contributed 20 independently 19 contributed 21 to 19 contributed 25 about 21 to 24 concern 22 a 24 concern 23 greater 24 concern 25 about 26 falling conclusions : concern about falling was highly prevalent in our sample of community [-] living older women . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 concern 2 : 6 was 2 : 18 . 3 concern 4 about 3 concern 6 was 4 about 5 falling 6 was 8 prevalent 7 highly 8 prevalent 8 prevalent 9 in 9 in 11 sample 10 our 11 sample 11 sample 12 of 12 of 17 women 13 community 15 living 15 living 17 women 16 older 17 women in particular , poor perceived general health and mobility constraints contributed independently to the difference between high and low concern of falling . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 11 contributed 0 ###LEFT-WALL### 23 . 1 in 2 particular 2 particular 3 , 2 particular 8 and 4 poor 6 general 5 perceived 6 general 6 general 7 health 7 health 8 and 8 and 10 constraints 8 and 11 contributed 9 mobility 10 constraints 11 contributed 12 independently 12 independently 13 to 13 to 15 difference 14 the 15 difference 15 difference 16 between 16 between 20 concern 17 high 18 and 18 and 19 low 18 and 20 concern 20 concern 21 of 21 of 22 falling knowledge of these associations may help in developing interventions to reduce fear of falling and activity avoidance in old age . 0 ###LEFT-WALL### 1 knowledge 0 ###LEFT-WALL### 6 help 0 ###LEFT-WALL### 21 . 1 knowledge 2 of 1 knowledge 5 may 2 of 4 associations 3 these 4 associations 5 may 6 help 6 help 7 in 6 help 10 to 6 help 11 reduce 7 in 8 developing 8 developing 9 interventions 10 to 11 reduce 11 reduce 17 avoidance 12 fear 13 of 12 fear 15 and 13 of 14 falling 15 and 16 activity 15 and 17 avoidance 17 avoidance 18 in 18 in 20 age 19 old 20 age a low birthrate and aging society have led to a decrease in the japanese work force . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 8 led 0 ###LEFT-WALL### 17 . 1 a 2 low 1 a 3 birthrate 2 low 3 birthrate 3 birthrate 4 and 4 and 6 society 4 and 7 have 5 aging 6 society 7 have 8 led 8 led 9 to 8 led 12 in 9 to 11 decrease 10 a 11 decrease 12 in 16 force 13 the 16 force 14 japanese 15 work 15 work 16 force therefore , maintaining the environment surrounding working women has become an important priority of the occupational physician . 0 ###LEFT-WALL### 3 maintaining 0 ###LEFT-WALL### 10 become 0 ###LEFT-WALL### 18 . 1 therefore 2 , 1 therefore 3 maintaining 3 maintaining 6 surrounding 3 maintaining 9 has 4 the 6 surrounding 5 environment 6 surrounding 6 surrounding 7 working 7 working 8 women 9 has 10 become 10 become 13 priority 11 an 12 important 11 an 13 priority 12 important 13 priority 13 priority 14 of 14 of 17 physician 15 the 17 physician 16 occupational 17 physician as for laws on women 's healthcare , revision allows adaptation to fit changes in the times . 0 ###LEFT-WALL### 9 revision 0 ###LEFT-WALL### 10 allows 0 ###LEFT-WALL### 18 . 1 as 2 for 1 as 9 revision 2 for 3 laws 3 laws 4 on 4 on 6 's 5 women 6 's 7 healthcare 8 , 7 healthcare 9 revision 9 revision 10 allows 10 allows 11 adaptation 10 allows 12 to 10 allows 13 fit 12 to 13 fit 13 fit 14 changes 13 fit 15 in 15 in 17 times 16 the 17 times in 2012 , a revision of the " labour standards for women " included the addition of several harmful chemical substances and acceptable safety levels were established according to current toxicology study . 0 ###LEFT-WALL### 5 revision 0 ###LEFT-WALL### 14 included 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 33 . 1 in 2 2012 1 in 3 , 1 in 5 revision 4 a 5 revision 5 revision 6 of 5 revision 11 for 5 revision 14 included 6 of 10 standards 7 the 8 " 7 the 10 standards 9 labour 10 standards 11 for 12 women 12 women 13 " 14 included 16 addition 15 the 16 addition 16 addition 17 of 17 of 21 substances 18 several 21 substances 19 harmful 21 substances 20 chemical 21 substances 22 and 25 levels 22 and 27 established 23 acceptable 24 safety 24 safety 25 levels 25 levels 26 were 26 were 27 established 27 established 29 to 28 according 29 to 29 to 32 study 30 current 32 study 31 toxicology 32 study in this report , we examine the effect on women 's health of three laws ; " labour standards act " , " labour standards for women " and " act on securing , etc . [of] equal opportunity and treatment between men and women in employment " . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 examine 0 ###LEFT-WALL### 16 ; 0 ###LEFT-WALL### 36 . 1 in 3 report 1 in 4 , 1 in 5 we 2 this 3 report 5 we 6 examine 6 examine 8 effect 6 examine 9 on 7 the 8 effect 9 on 12 health 10 women 11 's 11 's 12 health 12 health 13 of 13 of 15 laws 14 three 15 laws 16 ; 17 " 16 ; 20 act 16 ; 22 , 18 labour 19 standards 19 standards 20 act 20 act 21 " 22 , 23 " 22 , 29 and 22 , 34 , 24 labour 25 standards 25 standards 26 for 25 standards 29 and 26 for 27 women 27 women 28 " 29 and 30 " 29 and 31 act 31 act 32 on 32 on 33 securing 34 , 35 etc 36 . 40 and 36 . 49 . 38 equal 39 opportunity 39 opportunity 40 and 40 and 41 treatment 40 and 46 in 41 treatment 42 between 42 between 44 and 43 men 44 and 44 and 45 women 46 in 47 employment 47 employment 48 " finally , the details of the 2012 revision of " labour standards for women " are described . 0 ###LEFT-WALL### 4 details 0 ###LEFT-WALL### 17 described 0 ###LEFT-WALL### 18 . 1 finally 2 , 1 finally 4 details 3 the 4 details 4 details 5 of 4 details 16 are 5 of 8 revision 6 the 8 revision 7 2012 8 revision 8 revision 9 of 9 of 10 " 9 of 12 standards 11 labour 12 standards 12 standards 13 for 13 for 14 women 14 women 15 " 16 are 17 described results of annual health checkups at workplaces revealed a steady increase in the incidence of cardiovascular risk factors such as dyslipidemia and hypertension in japan . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 8 revealed 0 ###LEFT-WALL### 26 . 1 results 2 of 1 results 8 revealed 2 of 5 checkups 3 annual 5 checkups 4 health 5 checkups 5 checkups 6 at 6 at 7 workplaces 8 revealed 11 increase 8 revealed 12 in 9 a 10 steady 9 a 11 increase 10 steady 11 increase 12 in 14 incidence 13 the 14 incidence 14 incidence 15 of 15 of 22 and 16 cardiovascular 18 factors 17 risk 18 factors 18 factors 20 as 18 factors 22 and 19 such 20 as 20 as 21 dyslipidemia 22 and 23 hypertension 22 and 24 in 24 in 25 japan with the aging of the workforce , the incidence is expected to increase further . 0 ###LEFT-WALL### 9 incidence 0 ###LEFT-WALL### 11 expected 0 ###LEFT-WALL### 15 . 1 with 3 aging 1 with 7 , 1 with 9 incidence 2 the 3 aging 3 aging 4 of 4 of 6 workforce 5 the 6 workforce 8 the 9 incidence 9 incidence 10 is 10 is 11 expected 11 expected 12 to 11 expected 13 increase 12 to 13 increase 13 increase 14 further these risk factors are modifiable through a lifestyle modification program including mild exercise and nutritional guidance . 0 ###LEFT-WALL### 3 factors 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 17 . 1 these 3 factors 2 risk 3 factors 3 factors 4 are 4 are 5 modifiable 5 modifiable 6 through 6 through 14 and 7 a 8 lifestyle 7 a 10 program 8 lifestyle 10 program 9 modification 10 program 10 program 11 including 10 program 14 and 11 including 13 exercise 12 mild 13 exercise 14 and 16 guidance 15 nutritional 16 guidance in 1988 , the japanese government revised the industrial safety and health law to promote health in the workplace and implemented the total health promotion plan ( thp ) . 0 ###LEFT-WALL### 6 government 0 ###LEFT-WALL### 7 revised 0 ###LEFT-WALL### 30 . 1 in 2 1988 1 in 3 , 1 in 6 government 4 the 6 government 5 japanese 6 government 6 government 7 revised 7 revised 13 law 7 revised 14 to 8 the 13 law 9 industrial 10 safety 10 safety 11 and 11 and 12 health 12 health 13 law 14 to 20 and 15 promote 16 health 15 promote 17 in 15 promote 20 and 17 in 19 workplace 18 the 19 workplace 20 and 21 implemented 21 implemented 26 plan 22 the 26 plan 23 total 24 health 24 health 25 promotion 25 promotion 26 plan 26 plan 28 thp 27 ( 28 thp 28 thp 29 ) however , only 5.0 % of workplaces were implementing thp programs according to a survey conducted in 2007 . 0 ###LEFT-WALL### 5 % 0 ###LEFT-WALL### 8 were 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 5 % 3 only 4 5.0 4 5.0 5 % 5 % 6 of 5 % 8 were 6 of 7 workplaces 8 were 9 implementing 9 implementing 11 programs 9 implementing 13 to 10 thp 11 programs 12 according 13 to 13 to 15 survey 14 a 15 survey 15 survey 16 conducted 15 survey 17 in 17 in 18 2007 therefore , we have recommended some measures for worksite health [promotion] , such as collaboration between community health and occupational health for implementing health promotion activities especially in small and medium scale enterprises , environmental improvement to promote occupational health , and an approach to increase physical activity that includes walking to work and using the stairs . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 46 increase 0 ###LEFT-WALL### 58 . 1 therefore 2 , 1 therefore 3 we 3 we 4 have 4 have 5 recommended 5 recommended 42 and 5 recommended 45 to 6 some 7 measures 7 measures 8 for 7 measures 42 and 8 for 10 health 9 worksite 10 health 10 health 14 as 12 , 14 as 13 such 14 as 14 as 19 and 14 as 41 , 15 collaboration 16 between 15 collaboration 19 and 16 between 18 health 17 community 18 health 19 and 21 health 20 occupational 21 health 21 health 22 for 22 for 23 implementing 23 implementing 26 activities 23 implementing 27 especially 24 health 25 promotion 25 promotion 26 activities 27 especially 28 in 28 in 33 enterprises 29 small 30 and 30 and 31 medium 30 and 32 scale 32 scale 33 enterprises 33 enterprises 36 improvement 34 , 36 improvement 35 environmental 36 improvement 36 improvement 37 to 36 improvement 38 promote 36 improvement 41 , 37 to 38 promote 38 promote 40 health 39 occupational 40 health 41 , 42 and 42 and 44 approach 43 an 44 approach 45 to 46 increase 46 increase 48 activity 47 physical 48 activity 48 activity 49 that 48 activity 50 includes 48 activity 51 walking 49 that 50 includes 51 walking 52 to 51 walking 57 stairs 52 to 54 and 53 work 54 and 54 and 55 using 56 the 57 stairs worksite health [promotion] should be considered an important company initiative in terms of work - related outcomes such as job satisfaction , work ability , and absenteeism in addition to cardiovascular risk factors . 0 ###LEFT-WALL### 2 health 0 ###LEFT-WALL### 6 considered 0 ###LEFT-WALL### 16 related 0 ###LEFT-WALL### 34 . 1 worksite 2 health 2 health 4 should 4 should 5 be 5 be 6 considered 6 considered 10 initiative 7 an 8 important 7 an 10 initiative 8 important 9 company 9 company 10 initiative 10 initiative 11 in 11 in 12 terms 12 terms 13 of 13 of 14 work 15 - 16 related 16 related 26 and 16 related 30 to 17 outcomes 19 as 17 outcomes 22 , 18 such 19 as 19 as 21 satisfaction 20 job 21 satisfaction 22 , 24 ability 22 , 26 and 23 work 24 ability 25 , 26 and 26 and 27 absenteeism 26 and 28 in 28 in 29 addition 30 to 33 factors 31 cardiovascular 33 factors 32 risk 33 factors objectives : life review can be implemented within a group as well as on an individual level . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 4 review 2 : 7 implemented 3 life 4 review 4 review 5 can 5 can 6 be 6 be 7 implemented 7 implemented 8 within 7 implemented 11 as 7 implemented 13 as 7 implemented 17 level 8 within 10 group 9 a 10 group 11 as 12 well 13 as 14 on 14 on 16 individual 15 an 16 individual there have been few discussions about which the format is most effective . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 3 been 0 ###LEFT-WALL### 13 . 1 there 2 have 2 have 3 been 3 been 5 discussions 4 few 5 discussions 5 discussions 6 about 6 about 7 which 6 about 9 format 6 about 10 is 8 the 9 format 9 format 10 is 10 is 12 effective 11 most 12 effective this study investigates the social aspects of a life - review group intervention from the perspective of the client within the context of a large , randomized controlled trial . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 investigates 0 ###LEFT-WALL### 10 - 1 this 2 study 2 study 3 investigates 3 investigates 6 aspects 4 the 6 aspects 5 social 6 aspects 6 aspects 7 of 7 of 9 life 8 a 9 life 10 - 11 review 10 - 30 . 11 review 13 intervention 11 review 20 within 12 group 13 intervention 13 intervention 14 from 14 from 16 perspective 15 the 16 perspective 16 perspective 17 of 17 of 19 client 18 the 19 client 20 within 22 context 21 the 22 context 22 context 23 of 23 of 29 trial 24 a 25 large 24 a 29 trial 25 large 26 , 25 large 29 trial 27 randomized 29 trial 28 controlled 29 trial method : this was an exploratory study using a qualitative methodology . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 3 this 2 : 4 was 2 : 12 . 3 this 4 was 4 was 7 study 5 an 6 exploratory 5 an 7 study 6 exploratory 7 study 7 study 8 using 8 using 11 methodology 9 a 10 qualitative 9 a 11 methodology 10 qualitative 11 methodology we conducted semi - structured interviews to explore [how] participants felt about the benefits and barriers of receiving life review in a group . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 8 explore 0 ###LEFT-WALL### 24 . 1 we 2 conducted 2 conducted 6 interviews 2 conducted 7 to 3 semi 4 - 3 semi 6 interviews 5 structured 6 interviews 7 to 8 explore 8 explore 10 participants 8 explore 12 about 10 participants 11 felt 12 about 15 and 13 the 14 benefits 14 benefits 15 and 15 and 16 barriers 16 barriers 17 of 17 of 20 review 18 receiving 19 life 19 life 20 review 20 review 21 in 21 in 23 group 22 a 23 group transcripts of the interviews were analyzed using inductive analysis . 0 ###LEFT-WALL### 1 transcripts 0 ###LEFT-WALL### 6 analyzed 0 ###LEFT-WALL### 10 . 1 transcripts 2 of 1 transcripts 5 were 2 of 4 interviews 3 the 4 interviews 5 were 6 analyzed 6 analyzed 7 using 7 using 9 analysis 8 inductive 9 analysis results : the social processes of life review in a group included experiencing a sense of belonging , feeling accepted , finding good company , disclosing oneself , learning to express oneself , finding recognition , realizing that others have problems too , being more successful at coping than others , learning from others , and being able to help others . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 62 . 1 results 2 : 2 : 5 processes 2 : 9 in 3 the 5 processes 4 social 5 processes 5 processes 6 of 6 of 8 review 7 life 8 review 9 in 11 group 10 a 11 group 11 group 12 included 11 group 13 experiencing 11 group 16 of 13 experiencing 15 sense 14 a 15 sense 16 of 17 belonging 17 belonging 30 to 17 belonging 31 express 18 , 29 learning 19 feeling 20 accepted 20 accepted 22 finding 20 accepted 29 learning 21 , 22 finding 22 finding 24 company 22 finding 28 , 23 good 24 company 24 company 26 disclosing 25 , 26 disclosing 26 disclosing 27 oneself 26 disclosing 28 , 29 learning 30 to 30 to 31 express 31 express 32 oneself 31 express 44 being 33 , 44 being 34 finding 35 recognition 34 finding 44 being 35 recognition 37 realizing 36 , 37 realizing 37 realizing 38 that 37 realizing 43 , 38 that 39 others 38 that 40 have 39 others 40 have 40 have 41 problems 40 have 42 too 44 being 46 successful 45 more 46 successful 46 successful 47 at 47 at 48 coping 48 coping 49 than 49 than 56 and 50 others 51 , 51 , 52 learning 51 , 56 and 52 learning 53 from 53 from 54 others 55 , 56 and 56 and 57 being 56 and 58 able 58 able 59 to 58 able 60 help 59 to 60 help 60 help 61 others negative processes were less often mentioned and included having difficulties with sharing in a group , finding no recognition , and anxiety caused by the prospect of finding no recognition . 0 ###LEFT-WALL### 1 negative 0 ###LEFT-WALL### 31 . 1 negative 2 processes 1 negative 11 with 1 negative 13 in 2 processes 7 and 3 were 6 mentioned 3 were 7 and 4 less 5 often 5 often 6 mentioned 7 and 8 included 7 and 10 difficulties 9 having 10 difficulties 11 with 12 sharing 13 in 21 and 14 a 15 group 15 group 16 , 16 , 19 recognition 16 , 21 and 17 finding 19 recognition 18 no 19 recognition 20 , 21 and 21 and 22 anxiety 21 and 23 caused 21 and 27 of 23 caused 24 by 24 by 26 prospect 25 the 26 prospect 27 of 28 finding 28 finding 30 recognition 29 no 30 recognition these social processes can be divided into three categories [:] first , having a good atmosphere in the group ; second , disclosure [to] peers [;] [and] third , relating to others . 0 ###LEFT-WALL### 3 processes 0 ###LEFT-WALL### 6 divided 0 ###LEFT-WALL### 20 ; 1 these 3 processes 2 social 3 processes 3 processes 4 can 4 can 5 be 5 be 6 divided 6 divided 7 into 6 divided 11 first 6 divided 13 having 7 into 9 categories 8 three 9 categories 12 , 13 having 13 having 16 atmosphere 13 having 17 in 13 having 20 ; 14 a 15 good 14 a 16 atmosphere 15 good 16 atmosphere 17 in 19 group 18 the 19 group 20 ; 23 disclosure 20 ; 25 peers 21 second 22 , 21 second 23 disclosure 23 disclosure 25 peers 25 peers 28 third 25 peers 30 relating 29 , 30 relating 30 relating 31 to 30 relating 33 . 31 to 32 others conclusion : our results reveal a variety of social processes that may facilitate the effects of life - review therapy . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 4 results 2 : 5 reveal 2 : 18 - 3 our 4 results 4 results 5 reveal 5 reveal 7 variety 6 a 7 variety 7 variety 8 of 7 variety 11 that 7 variety 12 may 8 of 10 processes 9 social 10 processes 11 that 12 may 12 may 13 facilitate 13 facilitate 15 effects 14 the 15 effects 15 effects 16 of 16 of 17 life 18 - 19 review 19 review 20 therapy future research , however , is needed to further examine the importance of these social processes and their effects on depression . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 7 needed 0 ###LEFT-WALL### 22 . 1 future 2 research 2 research 6 is 3 , 4 however 4 however 5 , 4 however 6 is 6 is 7 needed 7 needed 8 to 7 needed 20 on 8 to 10 examine 9 further 10 examine 10 examine 12 importance 11 the 12 importance 12 importance 13 of 13 of 17 and 14 these 16 processes 15 social 16 processes 16 processes 17 and 17 and 19 effects 18 their 19 effects 20 on 21 depression background : with an increased life expectancy for the general population as well as for those ageing with chronic diseases , there are major challenges to the affected individuals and their families , but also to health care and societal planning . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 22 there 2 : 23 are 2 : 42 . 3 with 7 expectancy 3 with 17 ageing 3 with 22 there 4 an 7 expectancy 5 increased 6 life 6 life 7 expectancy 7 expectancy 8 for 7 expectancy 14 as 8 for 11 population 9 the 11 population 10 general 11 population 11 population 12 as 12 as 13 well 14 as 15 for 15 for 16 those 18 with 20 diseases 18 with 21 , 18 with 22 there 19 chronic 20 diseases 22 there 23 are 23 are 25 challenges 24 major 25 challenges 25 challenges 34 but 26 to 30 and 26 to 34 but 27 the 29 individuals 28 affected 29 individuals 29 individuals 30 and 30 and 32 families 31 their 32 families 33 , 34 but 34 but 35 also 34 but 36 to 36 to 39 and 37 health 38 care 38 care 39 and 39 and 41 planning 40 societal 41 planning most important , an increasing proportion of older people [remain] living in their ordinary homes despite health [decline] and disability . 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 21 . 1 most 2 important 2 important 3 , 3 , 6 proportion 3 , 19 and 4 an 6 proportion 5 increasing 6 proportion 6 proportion 7 of 6 proportion 11 living 7 of 9 people 8 older 9 people 11 living 12 in 11 living 16 despite 12 in 15 homes 13 their 15 homes 14 ordinary 15 homes 16 despite 17 health 19 and 20 disability however , little is known about the home and health situation of people ageing with parkinson 's disease ( pd ) , and older people are often excluded from pd - research . 0 ###LEFT-WALL### 3 little 0 ###LEFT-WALL### 5 known 0 ###LEFT-WALL### 23 and 1 however 2 , 1 however 3 little 3 little 4 is 4 is 5 known 5 known 6 about 5 known 15 with 6 about 9 and 7 the 8 home 8 home 9 and 9 and 11 situation 9 and 12 of 10 health 11 situation 12 of 14 ageing 13 people 14 ageing 15 with 18 disease 16 parkinson 17 's 17 's 18 disease 18 disease 20 pd 19 ( 20 pd 20 pd 21 ) 22 , 23 and 23 and 25 people 23 and 28 excluded 24 older 25 people 25 people 26 are 26 are 27 often 26 are 28 excluded 28 excluded 29 from 29 from 30 pd 30 pd 32 research 31 - 32 research 32 research 33 . methods/design : the overall aim of the present project is to generate knowledge on home and health dynamics in people with pd , with [an] explicit attention to pd - specific symptomatology . 0 ###LEFT-WALL### 1 methods/design 0 ###LEFT-WALL### 2 : 1 methods/design 2 : 2 : 4 overall 3 the 4 overall 4 overall 5 aim 4 overall 12 generate 5 aim 6 of 5 aim 10 is 6 of 9 project 7 the 9 project 8 present 9 project 10 is 11 to 10 is 12 generate 11 to 12 generate 12 generate 13 knowledge 13 knowledge 14 on 14 on 16 and 15 home 16 and 16 and 18 dynamics 16 and 19 in 17 health 18 dynamics 19 in 20 people 20 people 21 with 20 people 32 symptomatology 21 with 22 pd 22 pd 24 with 23 , 24 with 24 with 27 attention 24 with 30 - 26 explicit 27 attention 27 attention 28 to 28 to 29 pd 30 - 32 symptomatology 31 specific 32 symptomatology 32 symptomatology 33 . we will concentrate on aspects of home and health captured [by] state - of [-] the [-] art methodology from gerontology as well as pd - research , health science and rehabilitation . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 concentrate 0 ###LEFT-WALL### 26 - 1 we 2 will 2 will 3 concentrate 3 concentrate 4 on 4 on 8 and 5 aspects 6 of 5 aspects 8 and 6 of 7 home 8 and 12 state 8 and 14 of 9 health 10 captured 10 captured 12 state 13 - 14 of 14 of 19 methodology 14 of 26 - 16 the 19 methodology 18 art 19 methodology 19 methodology 20 from 20 from 21 gerontology 21 gerontology 22 as 22 as 23 well 23 well 24 as 24 as 25 pd 26 - 31 and 26 - 33 . 27 research 28 , 28 , 30 science 28 , 31 and 29 health 30 science 31 and 32 rehabilitation this study protocol describes a longitudinal cohort survey study that includes a baseline data collection and a [3] [-] year follow - up . 0 ###LEFT-WALL### 3 protocol 0 ###LEFT-WALL### 4 describes 0 ###LEFT-WALL### 16 and 1 this 3 protocol 2 study 3 protocol 3 protocol 4 describes 4 describes 9 study 5 a 9 study 6 longitudinal 8 survey 7 cohort 8 survey 8 survey 9 study 9 study 10 that 9 study 11 includes 10 that 11 includes 11 includes 15 collection 12 a 15 collection 13 baseline 15 collection 14 data 15 collection 16 and 20 year 16 and 21 follow 17 a 20 year 20 year 21 follow 21 follow 23 up 22 - 23 up 23 up 24 . both data collection waves include self [-] administered questionnaires , structured interviews , clinical assessments and observations during home visits effectuated by research staff with project - specific training . 0 ###LEFT-WALL### 4 waves 0 ###LEFT-WALL### 5 include 0 ###LEFT-WALL### 10 , 1 both 4 waves 2 data 4 waves 3 collection 4 waves 4 waves 5 include 5 include 9 questionnaires 6 self 8 administered 8 administered 9 questionnaires 10 , 16 and 10 , 26 project 10 , 27 - 11 structured 12 interviews 12 interviews 13 , 13 , 15 assessments 13 , 16 and 14 clinical 15 assessments 16 and 17 observations 16 and 18 during 16 and 26 project 18 during 19 home 19 home 20 visits 19 home 25 with 20 visits 21 effectuated 21 effectuated 22 by 21 effectuated 24 staff 21 effectuated 25 with 22 by 23 research 27 - 29 training 27 - 30 . 28 specific 29 training in order to arrive at a [follow] [-] up sample of n=160 , 250 participants identified by pd specialist nurses are being recruited from three hospitals in southern sweden . 0 ###LEFT-WALL### 15 participants 0 ###LEFT-WALL### 21 are 0 ###LEFT-WALL### 30 . 1 in 2 order 1 in 15 participants 2 order 3 to 2 order 4 arrive 3 to 4 arrive 4 arrive 5 at 5 at 10 sample 6 a 10 sample 9 up 10 sample 11 of 12 n=160 11 of 13 , 11 of 15 participants 14 250 15 participants 15 participants 16 identified 15 participants 17 by 15 participants 21 are 17 by 20 nurses 18 pd 20 nurses 19 specialist 20 nurses 21 are 22 being 22 being 23 recruited 23 recruited 24 from 24 from 26 hospitals 25 three 26 hospitals 26 hospitals 27 in 27 in 29 sweden 28 southern 29 sweden with no lower [or] upper age limit , [only] those diagnosed with pd since at least one year were included . 0 ###LEFT-WALL### 10 those 0 ###LEFT-WALL### 20 included 0 ###LEFT-WALL### 21 . 1 with 7 limit 1 with 8 , 1 with 10 those 2 no 7 limit 3 lower 5 upper 5 upper 6 age 6 age 7 limit 10 those 11 diagnosed 10 those 19 were 11 diagnosed 12 with 11 diagnosed 14 since 12 with 13 pd 14 since 18 year 15 at 16 least 16 least 18 year 17 one 18 year 19 were 20 included the exclusion criteria were : difficulties in understanding or speaking swedish [and/or] cognitive difficulties/other reasons making the individual unable to give informed consent or to take part in the majority of the data collection . 0 ###LEFT-WALL### 2 exclusion 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 9 or 0 ###LEFT-WALL### 35 . 1 the 2 exclusion 2 exclusion 3 criteria 2 exclusion 4 were 2 exclusion 5 : 3 criteria 4 were 5 : 6 difficulties 6 difficulties 7 in 7 in 8 understanding 9 or 15 reasons 9 or 24 or 10 speaking 11 swedish 11 swedish 15 reasons 13 cognitive 14 difficulties/other 14 difficulties/other 15 reasons 15 reasons 16 making 15 reasons 20 to 15 reasons 21 give 15 reasons 24 or 16 making 18 individual 16 making 19 unable 17 the 18 individual 20 to 21 give 22 informed 23 consent 22 informed 24 or 24 or 25 to 24 or 27 part 25 to 27 part 26 take 27 part 27 part 28 in 28 in 30 majority 29 the 30 majority 30 majority 31 of 31 of 34 collection 32 the 34 collection 33 data 34 collection the data collection targets environmental factors such as assistive devices , social support , physical environmental barriers , accessibility problems and perceived aspects of home . 0 ###LEFT-WALL### 3 collection 0 ###LEFT-WALL### 4 targets 0 ###LEFT-WALL### 26 . 1 the 3 collection 2 data 3 collection 3 collection 4 targets 4 targets 6 factors 4 targets 8 as 5 environmental 6 factors 7 such 8 as 8 as 21 and 9 assistive 10 devices 10 devices 11 , 11 , 13 support 11 , 14 , 12 social 13 support 14 , 17 barriers 14 , 18 , 15 physical 17 barriers 16 environmental 17 barriers 18 , 20 problems 18 , 21 and 19 accessibility 20 problems 21 and 23 aspects 21 and 24 of 22 perceived 23 aspects 24 of 25 home a broad variety of instruments tap pd - specific problems ( e.g [.] freezing of gait [,] fear of falling ) and health - related issues such as general [self] - efficacy , body functions , activities and participation . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 25 related 0 ###LEFT-WALL### 40 . 1 a 3 variety 2 broad 3 variety 3 variety 4 of 3 variety 22 and 4 of 7 pd 5 instruments 6 tap 6 tap 7 pd 7 pd 10 problems 8 - 10 problems 9 specific 10 problems 10 problems 12 e.g 10 problems 21 ) 11 ( 12 e.g 12 e.g 14 freezing 12 e.g 15 of 12 e.g 19 of 12 e.g 21 ) 15 of 18 fear 16 gait 18 fear 19 of 20 falling 22 and 23 health 24 - 25 related 25 related 38 and 26 issues 28 as 26 issues 33 , 27 such 28 as 28 as 32 efficacy 29 general 31 - 29 general 32 efficacy 33 , 35 functions 33 , 36 , 34 body 35 functions 36 , 37 activities 36 , 38 and 38 and 39 participation discussion : this project will produce knowledge to the benefit of the development of health care and societal planning that targets people ageing with pd , ultimately promoting activity and participation and an increase of the number of healthy life years for this sub - group of the population . 1 discussion 2 : 2 : 7 knowledge 2 : 8 to 3 this 7 knowledge 4 project 7 knowledge 5 will 6 produce 6 produce 7 knowledge 8 to 17 and 9 the 10 benefit 10 benefit 11 of 10 benefit 17 and 11 of 13 development 12 the 13 development 13 development 14 of 14 of 16 care 15 health 16 care 17 and 19 planning 17 and 20 that 17 and 22 people 18 societal 19 planning 20 that 21 targets 20 that 22 people 21 targets 22 people 22 people 23 ageing 23 ageing 24 with 23 ageing 28 promoting 24 with 25 pd 26 , 28 promoting 27 ultimately 28 promoting 28 promoting 30 and 28 promoting 50 . 29 activity 30 and 30 and 46 group 31 participation 32 and 32 and 34 increase 32 and 45 - 32 and 46 group 33 an 34 increase 34 increase 35 of 34 increase 38 of 35 of 37 number 36 the 37 number 38 of 41 years 39 healthy 40 life 40 life 41 years 41 years 42 for 42 for 44 sub 43 this 44 sub 46 group 47 of 47 of 49 population 48 the 49 population background : with increasing age neuromuscular deficits ( e.g [.] , sarcopenia ) may result in impaired physical performance and an increased risk [for] falls . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 7 deficits 2 : 15 result 2 : 20 and 2 : 26 . 3 with 4 increasing 3 with 7 deficits 4 increasing 5 age 6 neuromuscular 7 deficits 7 deficits 12 sarcopenia 7 deficits 14 may 8 ( 12 sarcopenia 9 e.g 11 , 9 e.g 12 sarcopenia 12 sarcopenia 13 ) 14 may 15 result 15 result 16 in 16 in 19 performance 17 impaired 19 performance 18 physical 19 performance 20 and 23 risk 20 and 25 falls 21 an 23 risk 22 increased 23 risk 23 risk 25 falls prominent intrinsic fall - risk factors are age - related decreases in balance and strength / power performance as well as cognitive decline . 0 ###LEFT-WALL### 3 fall 0 ###LEFT-WALL### 10 related 0 ###LEFT-WALL### 24 . 1 prominent 3 fall 2 intrinsic 3 fall 3 fall 5 risk 3 fall 10 related 4 - 5 risk 5 risk 6 factors 5 risk 8 age 5 risk 9 - 6 factors 7 are 7 are 8 age 10 related 11 decreases 10 related 12 in 12 in 14 and 13 balance 14 and 14 and 15 strength 14 and 16 / 16 / 23 decline 17 power 23 decline 18 performance 23 decline 19 as 20 well 20 well 22 cognitive 21 as 22 cognitive 22 cognitive 23 decline additional studies are needed to develop specifically tailored exercise programs for older adults that can easily be implemented into clinical practice . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 6 develop 0 ###LEFT-WALL### 22 . 1 additional 2 studies 2 studies 3 are 3 are 4 needed 4 needed 5 to 5 to 6 develop 6 develop 10 programs 6 develop 11 for 7 specifically 8 tailored 8 tailored 9 exercise 9 exercise 10 programs 11 for 13 adults 12 older 13 adults 13 adults 14 that 13 adults 15 can 14 that 15 can 15 can 17 be 16 easily 17 be 17 be 18 implemented 18 implemented 19 into 19 into 21 practice 20 clinical 21 practice thus , the objective of the present trial is to assess the effects of a fall prevention program that was developed by an interdisciplinary expert panel on measures of balance , strength / power , body composition , cognition , psychosocial well - being , and falls self [-] efficacy in healthy older adults . 0 ###LEFT-WALL### 4 objective 0 ###LEFT-WALL### 55 . 1 thus 2 , 1 thus 4 objective 3 the 4 objective 4 objective 5 of 4 objective 46 and 5 of 8 trial 6 the 8 trial 7 present 8 trial 9 is 10 to 9 is 11 assess 9 is 46 and 10 to 11 assess 11 assess 13 effects 12 the 13 effects 13 effects 14 of 13 effects 29 of 14 of 18 program 15 a 16 fall 15 a 18 program 16 fall 18 program 17 prevention 18 program 18 program 19 that 18 program 20 was 19 that 20 was 20 was 21 developed 21 developed 22 by 22 by 26 panel 23 an 24 interdisciplinary 23 an 26 panel 24 interdisciplinary 26 panel 25 expert 26 panel 26 panel 27 on 27 on 28 measures 29 of 30 balance 30 balance 32 strength 30 balance 37 composition 31 , 32 strength 32 strength 33 / 32 strength 35 , 33 / 34 power 35 , 37 composition 36 body 37 composition 37 composition 39 cognition 37 composition 45 , 38 , 39 cognition 39 cognition 43 - 39 cognition 45 , 40 , 43 - 41 psychosocial 42 well 42 well 43 - 43 - 44 being 43 - 45 , 45 , 46 and 46 and 47 falls 46 and 50 efficacy 48 self 50 efficacy 50 efficacy 51 in 51 in 54 adults 52 healthy 54 adults 53 older 54 adults additionally , the time - related effects of detraining are tested . 0 ###LEFT-WALL### 7 effects 0 ###LEFT-WALL### 11 tested 0 ###LEFT-WALL### 12 . 1 additionally 2 , 1 additionally 7 effects 2 , 4 time 3 the 4 time 4 time 5 - 4 time 7 effects 6 related 7 effects 7 effects 8 of 7 effects 10 are 8 of 9 detraining 10 are 11 tested methods/design : healthy old people ( n = 54 ) between the age of 65 to 80 years will participate in this trial . 0 ###LEFT-WALL### 1 methods/design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 1 methods/design 2 : 2 : 5 people 2 : 11 between 3 healthy 5 people 4 old 5 people 5 people 8 = 6 ( 8 = 7 n 8 = 8 = 9 54 8 = 10 ) 11 between 13 age 12 the 13 age 13 age 14 of 14 of 16 to 15 65 16 to 16 to 17 80 17 80 18 years 18 years 19 will 19 will 20 participate 20 participate 21 in 21 in 23 trial 22 this 23 trial further , body composition will be analysed using a bioelectrical impedance analysis system . 0 ###LEFT-WALL### 4 composition 0 ###LEFT-WALL### 7 analysed 0 ###LEFT-WALL### 14 . 1 further 2 , 1 further 4 composition 3 body 4 composition 4 composition 5 will 5 will 6 be 6 be 7 analysed 7 analysed 8 using 8 using 13 system 9 a 10 bioelectrical 9 a 13 system 10 bioelectrical 11 impedance 11 impedance 13 system 12 analysis 13 system in addition , questionnaires for the [assessment] [of] psychosocial [(] i.e . [,] world health organisation quality of life assessment - bref [ )(, cognitive ( i.e [.] , mini mental state examination [ )(, and fall risk determinants ( i.e [.] , fall efficacy scale - international ) will be included in the study protocol . 0 ###LEFT-WALL### 2 addition 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 12 . 1 in 2 addition 3 , 4 questionnaires 4 questionnaires 5 for 4 questionnaires 11 i.e 5 for 9 psychosocial 6 the 9 psychosocial 12 . 20 assessment 12 . 21 - 14 world 15 health 15 health 16 organisation 16 organisation 17 quality 17 quality 18 of 17 quality 20 assessment 18 of 19 life 21 - 22 bref 21 - 24 )(, 24 )(, 36 and 25 cognitive 27 i.e 25 cognitive 33 examination 26 ( 27 i.e 27 i.e 29 , 30 mini 31 mental 31 mental 32 state 32 state 33 examination 33 examination 36 and 35 )(, 36 and 36 and 37 fall 36 and 43 , 36 and 45 efficacy 38 risk 39 determinants 39 determinants 41 i.e 40 ( 41 i.e 41 i.e 43 , 43 , 45 efficacy 44 fall 45 efficacy 45 efficacy 50 will 45 efficacy 51 be 45 efficacy 52 included 45 efficacy 53 in 45 efficacy 57 . 46 scale 48 international 46 scale 50 will 47 - 48 international 48 international 49 ) 50 will 51 be 53 in 56 protocol 54 the 56 protocol 55 study 56 protocol participants will be randomized into two intervention groups or the control / waiting group . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 4 randomized 0 ###LEFT-WALL### 15 . 1 participants 2 will 2 will 3 be 3 be 4 randomized 4 randomized 5 into 5 into 9 or 6 two 8 groups 7 intervention 8 groups 8 groups 9 or 9 or 11 control 9 or 12 / 10 the 11 control 12 / 14 group 13 waiting 14 group after baseline measures , participants in the intervention groups will conduct a 12 [-] week balance and strength / power exercise intervention 3 times per week , with each training session lasting 30 min . ( actual training time ) . 0 ###LEFT-WALL### 5 participants 0 ###LEFT-WALL### 11 conduct 0 ###LEFT-WALL### 41 . 1 after 3 measures 1 after 4 , 1 after 5 participants 2 baseline 3 measures 5 participants 6 in 5 participants 10 will 6 in 9 groups 7 the 9 groups 8 intervention 9 groups 10 will 11 conduct 11 conduct 17 and 11 conduct 24 times 11 conduct 28 with 12 a 16 balance 13 12 15 week 15 week 16 balance 16 balance 17 and 17 and 18 strength 17 and 19 / 19 / 22 intervention 20 power 22 intervention 21 exercise 22 intervention 23 3 24 times 24 times 25 per 25 per 26 week 27 , 28 with 28 with 31 session 28 with 40 ) 29 each 31 session 30 training 31 session 31 session 32 lasting 31 session 39 time 32 lasting 34 min 33 30 34 min 34 min 35 . 36 ( 39 time 37 actual 38 training 38 training 39 time 39 time 40 ) one intervention group will complete an extensive supervised training program , while the other intervention group will complete a short version ( ['] 3 times 3 ['] [ )(that is home - based [and] [controlled] by weekly phone calls . 0 ###LEFT-WALL### 3 group 0 ###LEFT-WALL### 5 complete 0 ###LEFT-WALL### 11 , 1 one 3 group 2 intervention 3 group 3 group 4 will 4 will 5 complete 5 complete 10 program 6 an 7 extensive 6 an 10 program 7 extensive 9 training 8 supervised 9 training 9 training 10 program 11 , 18 complete 12 while 16 group 12 while 17 will 12 while 18 complete 13 the 14 other 14 other 16 group 15 intervention 16 group 16 group 17 will 18 complete 21 version 19 a 21 version 20 short 21 version 21 version 25 times 21 version 33 based 22 ( 25 times 24 3 25 times 25 times 26 3 25 times 31 home 25 times 32 - 26 3 31 home 29 )(that 30 is 30 is 31 home 32 - 33 based 33 based 36 by 33 based 40 . 36 by 39 calls 37 weekly 39 calls 38 phone 39 calls post - tests will be conducted right after the intervention period . 0 ###LEFT-WALL### 3 tests 0 ###LEFT-WALL### 6 conducted 0 ###LEFT-WALL### 12 . 1 post 2 - 1 post 3 tests 3 tests 4 will 4 will 5 be 5 be 6 conducted 6 conducted 7 right 7 right 8 after 8 after 11 period 9 the 11 period 10 intervention 11 period additionally , detraining effects will be measured 12 weeks after program cessation . 0 ###LEFT-WALL### 4 effects 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 13 . 1 additionally 2 , 1 additionally 4 effects 3 detraining 4 effects 4 effects 5 will 5 will 6 be 6 be 7 measured 7 measured 10 after 8 12 9 weeks 9 weeks 10 after 10 after 12 cessation 11 program 12 cessation the control group / waiting group will not participate in any specific intervention during the experimental period , but will receive the extensive supervised program after the experimental period . 0 ###LEFT-WALL### 3 group 0 ###LEFT-WALL### 19 but 0 ###LEFT-WALL### 30 . 1 the 3 group 2 control 3 group 3 group 4 / 3 group 19 but 4 / 6 group 5 waiting 6 group 7 will 8 not 7 will 9 participate 7 will 19 but 9 participate 10 in 9 participate 14 during 10 in 13 intervention 11 any 13 intervention 12 specific 13 intervention 14 during 17 period 15 the 17 period 16 experimental 17 period 18 , 19 but 19 but 20 will 20 will 21 receive 21 receive 25 program 21 receive 26 after 22 the 25 program 23 extensive 25 program 24 supervised 25 program 26 after 29 period 27 the 29 period 28 experimental 29 period discussion : it is expected that particularly the supervised combination of balance and strength / power training will improve performance in variables of balance , strength / power , body composition , cognitive function , psychosocial well - being , and [falls] self - efficacy of older adults . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 49 . 2 : 3 it 2 : 5 expected 2 : 29 , 2 : 32 , 3 it 4 is 4 is 5 expected 5 expected 6 that 6 that 13 and 6 that 19 improve 7 particularly 13 and 8 the 10 combination 9 supervised 10 combination 10 combination 11 of 10 combination 13 and 11 of 12 balance 13 and 14 strength 13 and 15 / 13 and 17 training 13 and 19 improve 15 / 16 power 17 training 18 will 19 improve 20 performance 20 performance 21 in 20 performance 23 of 20 performance 26 strength 21 in 22 variables 23 of 24 balance 25 , 26 strength 26 strength 27 / 26 strength 29 , 27 / 28 power 29 , 31 composition 30 body 31 composition 32 , 34 function 32 , 35 , 33 cognitive 34 function 35 , 37 well 35 , 38 - 36 psychosocial 37 well 38 - 41 and 38 - 44 - 39 being 41 and 40 , 41 and 41 and 43 self 44 - 45 efficacy 45 efficacy 46 of 46 of 48 adults 47 older 48 adults in addition , information regarding fall risk assessment , dose - response - relations , detraining effects , and supervision of training will be provided . 0 ###LEFT-WALL### 2 addition 0 ###LEFT-WALL### 3 , 1 in 2 addition 3 , 8 assessment 3 , 9 , 4 information 6 fall 5 regarding 6 fall 6 fall 8 assessment 7 risk 8 assessment 9 , 10 dose 9 , 11 - 11 - 12 response 11 - 13 - 11 - 24 be 11 - 26 . 13 - 24 be 14 relations 15 , 15 , 17 effects 15 , 19 and 16 detraining 17 effects 18 , 19 and 19 and 20 supervision 19 and 21 of 19 and 23 will 21 of 22 training 23 will 24 be 24 be 25 provided further , training - induced health - relevant changes , such as improved performance in activities of daily living , cognitive function , and quality of life , as well as a reduced risk [for] falls may help to lower costs in the health care system . 0 ###LEFT-WALL### 3 training 0 ###LEFT-WALL### 47 . 1 further 2 , 1 further 3 training 3 training 7 - 3 training 14 performance 3 training 15 in 3 training 30 well 3 training 31 as 3 training 37 may 4 - 7 - 5 induced 6 health 6 health 7 - 7 - 9 changes 7 - 10 , 8 relevant 9 changes 11 such 14 performance 12 as 13 improved 13 improved 14 performance 15 in 24 and 16 activities 17 of 16 activities 20 , 17 of 19 living 18 daily 19 living 20 , 22 function 20 , 24 and 21 cognitive 22 function 23 , 24 and 24 and 25 quality 24 and 28 , 25 quality 26 of 26 of 27 life 29 as 30 well 31 as 34 risk 31 as 36 falls 32 a 34 risk 33 reduced 34 risk 34 risk 36 falls 37 may 38 help 38 help 39 to 39 to 40 lower 40 lower 41 costs 40 lower 42 in 42 in 46 system 43 the 46 system 44 health 45 care 45 care 46 system finally , practitioners , therapists , and instructors will be provided with a scientifically evaluated feasible , safe , and easy - to - administer exercise [program] for fall prevention . 0 ###LEFT-WALL### 3 practitioners 0 ###LEFT-WALL### 25 administer 0 ###LEFT-WALL### 31 . 1 finally 2 , 1 finally 3 practitioners 3 practitioners 7 and 3 practitioners 25 administer 4 , 7 and 5 therapists 7 and 6 , 7 and 7 and 8 instructors 7 and 9 will 7 and 23 to 7 and 24 - 9 will 10 be 10 be 11 provided 11 provided 12 with 11 provided 23 to 12 with 20 and 13 a 14 scientifically 13 a 18 safe 14 scientifically 15 evaluated 16 feasible 17 , 16 feasible 18 safe 18 safe 20 and 19 , 20 and 20 and 21 easy 20 and 22 - 25 administer 26 exercise 26 exercise 28 for 28 for 30 prevention 29 fall 30 prevention background : the purpose of this study was to examine whether a multidisciplinary intervention targeting drug - related problems , cognitive impairment , and discharge miscommunication could reduce readmissions in a general hospital population . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 purpose 2 : 8 was 2 : 35 . 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 30 in 9 to 10 examine 10 examine 11 whether 11 whether 16 drug 11 whether 29 readmissions 12 a 13 multidisciplinary 12 a 16 drug 13 multidisciplinary 14 intervention 14 intervention 16 drug 15 targeting 16 drug 16 drug 29 readmissions 17 - 18 related 18 related 24 and 18 related 29 readmissions 19 problems 20 , 20 , 22 impairment 20 , 24 and 21 cognitive 22 impairment 23 , 24 and 24 and 25 discharge 24 and 26 miscommunication 24 and 28 reduce 26 miscommunication 27 could 27 could 28 reduce 30 in 34 population 31 a 32 general 31 a 34 population 32 general 33 hospital 33 hospital 34 population methods : this prospective , [non] - randomized intervention study was carried out at the department of general internal medicine at a tertiary university hospital . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 26 . 1 methods 2 : 2 : 4 prospective 3 this 4 prospective 5 , 7 - 5 , 12 carried 7 - 10 study 8 randomized 9 intervention 9 intervention 10 study 10 study 11 was 11 was 12 carried 12 carried 13 out 12 carried 14 at 12 carried 21 at 14 at 16 department 15 the 16 department 16 department 17 of 17 of 20 medicine 18 general 20 medicine 19 internal 20 medicine 21 at 25 hospital 22 a 23 tertiary 22 a 25 hospital 23 tertiary 24 university 24 university 25 hospital two hundred medical inpatients living in the community and aged over 60 years were included . 0 ###LEFT-WALL### 4 inpatients 0 ###LEFT-WALL### 15 included 0 ###LEFT-WALL### 16 . 1 two 2 hundred 2 hundred 4 inpatients 3 medical 4 inpatients 4 inpatients 5 living 4 inpatients 14 were 5 living 6 in 5 living 11 over 6 in 9 and 7 the 8 community 8 community 9 and 9 and 10 aged 11 over 13 years 12 60 13 years 14 were 15 included ninety - nine patients received interventions and 101 received standard care . 0 ###LEFT-WALL### 4 patients 0 ###LEFT-WALL### 5 received 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 12 . 1 ninety 2 - 2 - 3 nine 2 - 4 patients 4 patients 5 received 5 received 6 interventions 7 and 8 101 7 and 9 received 8 101 9 received 9 received 11 care 10 standard 11 care control/intervention allocation was determined by geographic selection . 0 ###LEFT-WALL### 2 allocation 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 8 . 1 control/intervention 2 allocation 2 allocation 3 was 3 was 4 determined 4 determined 5 by 5 by 7 selection 6 geographic 7 selection interventions consisted of a comprehensive medication review , improved discharge planning , post - discharge telephone [follow] - up , and liaison with the patient 's general practitioner . 0 ###LEFT-WALL### 1 interventions 0 ###LEFT-WALL### 2 consisted 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 29 . 1 interventions 2 consisted 2 consisted 3 of 3 of 7 review 4 a 7 review 5 comprehensive 6 medication 6 medication 7 review 7 review 10 discharge 8 , 10 discharge 9 improved 10 discharge 10 discharge 11 planning 10 discharge 13 post 10 discharge 14 - 12 , 13 post 13 post 14 - 14 - 16 telephone 14 - 18 - 15 discharge 16 telephone 18 - 21 and 19 up 21 and 20 , 21 and 21 and 22 liaison 21 and 23 with 23 with 28 practitioner 24 the 25 patient 25 patient 26 's 26 's 28 practitioner 27 general 28 practitioner the main outcome measures recorded were readmissions and hospital nights 12 months after discharge . 0 ###LEFT-WALL### 4 measures 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 15 . 1 the 2 main 1 the 4 measures 3 outcome 4 measures 4 measures 5 recorded 4 measures 6 were 6 were 8 and 7 readmissions 8 and 8 and 10 nights 9 hospital 10 nights 10 nights 13 after 11 12 12 months 12 months 13 after 13 after 14 discharge separate analyses were made for 12 [-] month survivors and from an intention - to [-] treat perspective . 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 4 made 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 19 . 1 separate 2 analyses 2 analyses 3 were 3 were 4 made 4 made 10 and 5 for 9 survivors 5 for 10 and 6 12 8 month 8 month 9 survivors 10 and 11 from 11 from 13 intention 12 an 13 intention 14 - 15 to 14 - 17 treat 15 to 17 treat 17 treat 18 perspective comparative analyses were made between groups as well as within groups over time . 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 4 made 0 ###LEFT-WALL### 14 . 1 comparative 2 analyses 2 analyses 3 were 3 were 4 made 4 made 5 between 4 made 7 as 4 made 9 as 4 made 12 over 5 between 6 groups 7 as 8 well 9 as 10 within 10 within 11 groups 12 over 13 time results : after 12 months , survivors in the control group had 125 readmissions in total , compared with 58 in the intervention group ( mann - whitney u [test] , p = 0.02 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 36 . 1 results 2 : 2 : 3 after 3 after 5 months 4 12 5 months 6 , 7 survivors 6 , 12 had 7 survivors 8 in 7 survivors 12 had 8 in 11 group 9 the 11 group 10 control 11 group 12 had 13 125 12 had 17 , 14 readmissions 16 total 14 readmissions 17 , 15 in 16 total 17 , 18 compared 18 compared 19 with 19 with 20 58 20 58 21 in 21 in 24 group 22 the 24 group 23 intervention 24 group 24 group 26 mann 25 ( 26 mann 26 mann 28 whitney 26 mann 35 ) 27 - 28 whitney 28 whitney 33 = 28 whitney 35 ) 29 u 33 = 31 , 33 = 32 p 33 = 33 = 34 0.02 for hospital nights , the numbers were 1,228 and 492 , respectively [(] p = 0.009 ) . 0 ###LEFT-WALL### 6 numbers 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 18 . 1 for 3 nights 1 for 4 , 1 for 6 numbers 2 hospital 3 nights 5 the 6 numbers 6 numbers 7 were 7 were 9 and 8 1,228 9 and 9 and 10 492 9 and 15 = 11 , 12 respectively 11 , 15 = 14 p 15 = 15 = 16 0.009 15 = 17 ) yearly admissions had increased from the previous year in the control group from 77 to 125 ( wilcoxon signed - rank [test] , p = 0.002 ) and decreased from 75 to 58 in the intervention group ( p = 0.25 ) . 0 ###LEFT-WALL### 1 yearly 0 ###LEFT-WALL### 4 increased 0 ###LEFT-WALL### 20 - 1 yearly 2 admissions 1 yearly 3 had 1 yearly 4 increased 2 admissions 3 had 4 increased 5 from 4 increased 9 in 4 increased 12 group 5 from 8 year 6 the 7 previous 6 the 8 year 9 in 11 control 10 the 11 control 12 group 15 to 12 group 18 wilcoxon 13 from 15 to 14 77 15 to 15 to 16 125 17 ( 18 wilcoxon 18 wilcoxon 19 signed 18 wilcoxon 20 - 20 - 28 and 20 - 43 . 21 rank 25 = 21 rank 28 and 23 , 25 = 24 p 25 = 25 = 26 0.002 25 = 27 ) 28 and 29 decreased 29 decreased 32 to 29 decreased 34 in 29 decreased 40 = 30 from 32 to 31 75 32 to 32 to 33 58 34 in 37 group 35 the 37 group 36 intervention 37 group 38 ( 40 = 39 p 40 = 40 = 41 0.25 40 = 42 ) from the intention - to [-] treat perspective , the same general pattern was observed but was not significant ( 1,827 versus 1,008 hospital nights , mann - whitney [test] , p = 0.054 ) . 0 ###LEFT-WALL### 13 pattern 0 ###LEFT-WALL### 16 but 0 ###LEFT-WALL### 36 . 1 from 3 intention 1 from 9 , 1 from 13 pattern 2 the 3 intention 3 intention 5 to 4 - 5 to 5 to 7 treat 5 to 9 , 7 treat 8 perspective 10 the 11 same 10 the 13 pattern 12 general 13 pattern 13 pattern 14 was 14 was 16 but 15 observed 16 but 16 but 17 was 17 was 18 not 17 was 27 mann 19 significant 21 1,827 19 significant 26 , 19 significant 27 mann 20 ( 21 1,827 21 1,827 22 versus 21 1,827 26 , 22 versus 25 nights 23 1,008 25 nights 24 hospital 25 nights 27 mann 29 whitney 28 - 29 whitney 29 whitney 33 = 29 whitney 35 ) 31 , 33 = 32 p 33 = 33 = 34 0.054 33 = 35 ) conclusion : a multidisciplinary approach , targeting several different areas , could substantially lower readmissions and hospital costs in a [non] [-] terminal general hospital population . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 5 approach 2 : 14 lower 2 : 27 . 3 a 5 approach 4 multidisciplinary 5 approach 5 approach 7 targeting 5 approach 12 could 6 , 7 targeting 7 targeting 10 areas 7 targeting 11 , 8 several 10 areas 9 different 10 areas 12 could 14 lower 13 substantially 14 lower 14 lower 16 and 14 lower 19 in 15 readmissions 16 and 16 and 18 costs 17 hospital 18 costs 19 in 26 population 20 a 26 population 23 terminal 24 general 24 general 26 population 25 hospital 26 population background : [pulsed] electromagnetic [field] ( pemf ) therapy has shown promising therapeutic effectiveness [on] [bone] - and cartilage - related pathologies , being also safe for management of knee osteoarthritis . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 9 therapy 2 : 11 shown 4 electromagnetic 7 pemf 4 electromagnetic 9 therapy 6 ( 7 pemf 7 pemf 8 ) 9 therapy 10 has 10 has 11 shown 11 shown 14 effectiveness 11 shown 18 and 12 promising 14 effectiveness 13 therapeutic 14 effectiveness 17 - 18 and 18 and 19 cartilage 19 cartilage 24 being 19 cartilage 29 of 20 - 21 related 21 related 22 pathologies 21 related 23 , 21 related 24 being 24 being 25 also 24 being 26 safe 26 safe 27 for 27 for 28 management 29 of 31 osteoarthritis 30 knee 31 osteoarthritis aim : the aim of this study was to investigate the clinical efficacy of a pemf device for management of knee osteoarthritis in elderly patients . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 4 aim 2 : 8 was 2 : 26 . 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 23 in 9 to 10 investigate 10 investigate 13 efficacy 11 the 13 efficacy 12 clinical 13 efficacy 13 efficacy 14 of 14 of 17 device 15 a 17 device 16 pemf 17 device 17 device 18 for 17 device 20 of 18 for 19 management 20 of 22 osteoarthritis 21 knee 22 osteoarthritis 23 in 25 patients 24 elderly 25 patients materials and methods : a total of 33 patients were screened , and 28 patients , aged between 60 and 83 and affected by bilateral knee osteoarthritis , were enrolled in this study . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 13 and 4 : 28 , 4 : 34 . 5 a 6 total 6 total 7 of 6 total 13 and 7 of 8 33 8 33 9 patients 8 33 10 were 8 33 11 screened 9 patients 10 were 12 , 13 and 13 and 15 patients 13 and 16 , 13 and 22 and 13 and 28 , 14 28 15 patients 17 aged 18 between 17 aged 22 and 18 between 20 and 19 60 20 and 20 and 21 83 22 and 23 affected 22 and 24 by 22 and 25 bilateral 26 knee 27 osteoarthritis 26 knee 28 , 28 , 29 were 29 were 30 enrolled 30 enrolled 31 in 31 in 33 study 32 this 33 study they received pemf therapy on the right leg for a total of [three] 30 - minute sessions per week for a period of 6 weeks , while the left leg did not receive any treatment and served as control . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 36 and 0 ###LEFT-WALL### 40 . 1 they 36 and 2 received 4 therapy 2 received 5 on 2 received 27 while 2 received 36 and 3 pemf 4 therapy 5 on 8 leg 6 the 8 leg 7 right 8 leg 8 leg 9 for 8 leg 12 of 8 leg 17 sessions 9 for 11 total 10 a 11 total 12 of 14 30 15 - 17 sessions 16 minute 17 sessions 17 sessions 18 per 17 sessions 20 for 17 sessions 23 of 17 sessions 26 , 18 per 19 week 20 for 22 period 21 a 22 period 23 of 25 weeks 24 6 25 weeks 27 while 30 leg 27 while 33 receive 28 the 30 leg 29 left 30 leg 30 leg 31 did 31 did 32 not 31 did 33 receive 33 receive 35 treatment 34 any 35 treatment 36 and 37 served 36 and 38 as 38 as 39 control an intravenous drip containing ketoprofen , sodium clodronate , glucosamine [sulfate] , calcitonin , and ascorbic acid , for a total volume of 500 ml , was administered during pemf therapy . 0 ###LEFT-WALL### 3 drip 0 ###LEFT-WALL### 28 administered 0 ###LEFT-WALL### 32 . 1 an 3 drip 2 intravenous 3 drip 3 drip 4 containing 3 drip 8 clodronate 3 drip 10 glucosamine 3 drip 27 was 4 containing 5 ketoprofen 6 , 8 clodronate 7 sodium 8 clodronate 8 clodronate 9 , 9 , 10 glucosamine 10 glucosamine 15 and 10 glucosamine 26 , 12 , 15 and 13 calcitonin 15 and 14 , 15 and 15 and 17 acid 15 and 18 , 15 and 19 for 15 and 26 , 16 ascorbic 17 acid 18 , 19 for 19 for 22 volume 19 for 26 , 20 a 22 volume 21 total 22 volume 22 volume 23 of 23 of 25 ml 24 500 25 ml 27 was 28 administered 28 administered 29 during 29 during 31 therapy 30 pemf 31 therapy at baseline and 3 months post - pemf therapy , visual analog scale ( vas ) was used to assess knee pain and western ontario mcmaster universities osteoarthritis index ( womac ) was used to measure knee pain , stiffness and physical function . 0 ###LEFT-WALL### 6 post 0 ###LEFT-WALL### 18 used 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 36 measure 0 ###LEFT-WALL### 44 . 1 at 3 and 1 at 6 post 2 baseline 3 and 3 and 5 months 4 3 5 months 6 post 9 therapy 6 post 15 vas 6 post 17 was 7 - 9 therapy 8 pemf 9 therapy 9 therapy 10 , 10 , 15 vas 11 visual 12 analog 12 analog 13 scale 13 scale 15 vas 14 ( 15 vas 15 vas 16 ) 17 was 18 used 18 used 19 to 18 used 20 assess 19 to 20 assess 20 assess 22 pain 21 knee 22 pain 23 and 31 womac 23 and 34 used 24 western 25 ontario 25 ontario 26 mcmaster 26 mcmaster 27 universities 27 universities 28 osteoarthritis 28 osteoarthritis 29 index 29 index 31 womac 30 ( 31 womac 31 womac 32 ) 31 womac 33 was 33 was 34 used 34 used 35 to 35 to 36 measure 36 measure 41 and 37 knee 38 pain 38 pain 39 , 39 , 40 stiffness 39 , 41 and 41 and 43 function 42 physical 43 function results : changes in vas and womac scores were calculated for both knees as baseline minus post - treatment . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 and 1 results 2 : 2 : 3 changes 2 : 4 in 4 in 5 vas 6 and 8 scores 6 and 10 calculated 7 womac 8 scores 8 scores 9 were 9 were 10 calculated 10 calculated 11 for 11 for 13 knees 12 both 13 knees 13 knees 14 as 13 knees 19 treatment 14 as 17 post 15 baseline 16 minus 16 minus 17 post 18 - 19 treatment 19 treatment 20 . a two sample student 's [t] [-] test , comparing change in knee - related vas pain for pemf - treated leg ( 49.8 ± 2.03 ) vs control leg ( 11 ± 1.1 ) , [showed] a significant difference in favor of pemf therapy ( p < 0.001 ) . 1 a 3 sample 2 two 3 sample 3 sample 5 's 3 sample 8 test 3 sample 15 related 4 student 5 's 5 's 8 test 8 test 10 comparing 9 , 10 comparing 10 comparing 11 change 10 comparing 14 - 11 change 12 in 12 in 13 knee 15 related 17 pain 16 vas 17 pain 17 pain 18 for 17 pain 28 vs 18 for 19 pemf 19 pemf 22 leg 20 - 22 leg 21 treated 22 leg 22 leg 25 ± 22 leg 27 ) 23 ( 25 ± 24 49.8 25 ± 25 ± 26 2.03 25 ± 27 ) 28 vs 30 leg 29 control 30 leg 30 leg 33 ± 30 leg 40 difference 31 ( 33 ± 32 11 33 ± 33 ± 34 1.1 33 ± 35 ) 36 , 40 difference 38 a 39 significant 38 a 40 difference 39 significant 40 difference 40 difference 41 in 40 difference 43 of 40 difference 48 < 40 difference 51 . 41 in 42 favor 43 of 45 therapy 44 pemf 45 therapy 46 ( 48 < 47 p 48 < 48 < 49 0.001 48 < 50 ) [a] two sample student 's [t] - test comparing change in knee - related womac pain , stiffness , and physical function for pemf - treated leg ( 8.5 ± 0.4 , 3.5 ± 0.2 , 38.5 ± 2.08 , respectively [ )( control leg ( 2.6 ± 0.2 ; 1.6 ± 0.1 ; 4.5 ± 0.5 respectively [ )( also showed a significant difference in favor of pemf therapy ( p < 0.001 [ )( 0 ###LEFT-WALL### 2 two 0 ###LEFT-WALL### 3 sample 0 ###LEFT-WALL### 7 - 2 two 3 sample 3 sample 5 's 4 student 5 's 7 - 8 test 7 - 13 - 7 - 17 , 8 test 10 change 8 test 11 in 9 comparing 10 change 11 in 12 knee 13 - 16 pain 14 related 16 pain 15 womac 16 pain 17 , 20 and 17 , 22 function 17 , 25 - 18 stiffness 20 and 19 , 20 and 20 and 21 physical 20 and 22 function 22 function 23 for 23 for 24 pemf 25 - 27 leg 25 - 32 , 26 treated 27 leg 27 leg 30 ± 28 ( 30 ± 29 8.5 30 ± 30 ± 31 0.4 30 ± 32 , 32 , 33 3.5 32 , 34 ± 32 , 40 , 33 3.5 34 ± 34 ± 35 0.2 35 0.2 38 ± 36 , 38 ± 37 38.5 38 ± 38 ± 39 2.08 38 ± 40 , 40 , 44 control 40 , 50 ; 41 respectively 44 control 44 control 45 leg 45 leg 48 ± 46 ( 48 ± 47 2.6 48 ± 48 ± 49 0.2 48 ± 50 ; 50 ; 51 1.6 50 ; 52 ± 50 ; 54 ; 51 1.6 52 ± 52 ± 53 0.1 54 ; 56 ± 54 ; 62 showed 55 4.5 56 ± 56 ± 57 0.5 56 ± 62 showed 58 respectively 62 showed 61 also 62 showed 62 showed 65 difference 62 showed 66 in 62 showed 70 therapy 63 a 65 difference 64 significant 65 difference 66 in 67 favor 67 favor 68 of 68 of 69 pemf 70 therapy 73 < 71 ( 73 < 72 p 73 < 73 < 74 0.001 73 < 76 )( no adverse reactions to therapy were observed . 0 ###LEFT-WALL### 3 reactions 0 ###LEFT-WALL### 7 observed 0 ###LEFT-WALL### 8 . 1 no 3 reactions 2 adverse 3 reactions 3 reactions 4 to 3 reactions 6 were 4 to 5 therapy 6 were 7 observed conclusion : the present study shows that pemf therapy improves pain , stiffness and physical function in elderly patients affected by knee osteoarthritis . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 5 study 2 : 6 shows 2 : 24 . 3 the 5 study 4 present 5 study 5 study 6 shows 6 shows 7 that 7 that 9 therapy 7 that 10 improves 8 pemf 9 therapy 9 therapy 10 improves 10 improves 14 and 11 pain 12 , 12 , 13 stiffness 12 , 14 and 14 and 16 function 14 and 17 in 14 and 20 affected 14 and 21 by 15 physical 16 function 17 in 19 patients 18 elderly 19 patients 21 by 23 osteoarthritis 22 knee 23 osteoarthritis background : patients with nursing home acquired pneumonia ( nhap ) present a distinct group of lower respiratory track infections with different risk factors , clinical presentation , and mortality rates . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 3 patients 2 : 12 present 3 patients 4 with 3 patients 6 home 3 patients 7 acquired 3 patients 12 present 4 with 5 nursing 6 home 7 acquired 7 acquired 8 pneumonia 8 pneumonia 10 nhap 9 ( 10 nhap 10 nhap 11 ) 12 present 20 infections 12 present 21 with 13 a 14 distinct 13 a 15 group 14 distinct 15 group 15 group 16 of 15 group 20 infections 16 of 20 infections 17 lower 19 track 18 respiratory 19 track 19 track 20 infections 21 with 29 and 22 different 24 factors 23 risk 24 factors 24 factors 25 , 25 , 27 presentation 25 , 29 and 26 clinical 27 presentation 28 , 29 and 29 and 31 rates 30 mortality 31 rates objectives : to evaluate the diagnostic value of clinical pulmonary infection [score] ( cpis ) , c - reactive protein , and procalcitonin [and] to compare the accuracy of pneumonia severity scores ( confusion , urea nitrogen , breathing frequency , blood pressure [,] ≥ 65 [y] of age [ curb - 65 []] [;] pneumonia severity index [;] nhap index [;] systolic blood pressure , multilobar involvement , albumin , breathing frequency , tachycardia , confusion , oxygen , arterial ph [[] smart - cop []] [;] and systolic blood pressure , oxygen , age > [65] [y] , breathing frequency [ soar ] ) in predicting [in] - patient mortality from nhap . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 1 objectives 2 : 2 : 3 to 3 to 4 evaluate 4 evaluate 7 value 5 the 7 value 6 diagnostic 7 value 7 value 8 of 7 value 14 cpis 7 value 18 - 8 of 11 infection 9 clinical 11 infection 10 pulmonary 11 infection 13 ( 14 cpis 14 cpis 15 ) 16 , 18 - 17 c 18 - 18 - 30 pneumonia 19 reactive 20 protein 20 protein 22 and 21 , 22 and 22 and 23 procalcitonin 22 and 25 to 22 and 29 of 22 and 30 pneumonia 25 to 26 compare 26 compare 28 accuracy 27 the 28 accuracy 28 accuracy 29 of 30 pneumonia 32 scores 30 pneumonia 42 blood 31 severity 32 scores 32 scores 34 confusion 32 scores 37 nitrogen 32 scores 42 blood 33 ( 34 confusion 34 confusion 35 , 35 , 37 nitrogen 36 urea 37 nitrogen 37 nitrogen 40 frequency 37 nitrogen 41 , 38 , 40 frequency 39 breathing 40 frequency 40 frequency 41 , 42 blood 45 ≥ 42 blood 52 - 43 pressure 45 ≥ 45 ≥ 46 65 45 ≥ 48 of 48 of 49 age 50 [ 52 - 51 curb 52 - 52 - 56 pneumonia 53 65 56 pneumonia 56 pneumonia 60 nhap 56 pneumonia 61 index 57 severity 60 nhap 58 index 60 nhap 60 nhap 61 index 61 index 73 frequency 63 systolic 70 albumin 63 systolic 71 , 63 systolic 73 frequency 64 blood 65 pressure 65 pressure 68 involvement 66 , 68 involvement 67 multilobar 68 involvement 68 involvement 69 , 69 , 70 albumin 70 albumin 71 , 72 breathing 73 frequency 73 frequency 85 - 74 , 85 - 75 tachycardia 77 confusion 75 tachycardia 80 , 75 tachycardia 82 ph 76 , 77 confusion 77 confusion 79 oxygen 77 confusion 80 , 78 , 79 oxygen 79 oxygen 80 , 81 arterial 82 ph 82 ph 84 smart 84 smart 85 - 85 - 89 and 86 cop 89 and 89 and 91 blood 89 and 95 , 89 and 96 age 89 and 97 > 90 systolic 91 blood 92 pressure 94 oxygen 93 , 94 oxygen 94 oxygen 95 , 96 age 97 > 97 > 101 breathing 97 > 107 in 100 , 101 breathing 101 breathing 102 frequency 101 breathing 106 ) 102 frequency 104 soar 103 [ 104 soar 104 soar 105 ] 107 in 108 predicting 108 predicting 112 mortality 110 - 112 mortality 111 patient 112 mortality 112 mortality 113 from 112 mortality 115 . 113 from 114 nhap methods : nursing home residents admitted to the hospital with acute respiratory illness were enrolled in the study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 residents 2 : 15 enrolled 2 : 19 . 3 nursing 5 residents 4 home 5 residents 5 residents 6 admitted 5 residents 7 to 5 residents 10 with 5 residents 14 were 7 to 9 hospital 8 the 9 hospital 10 with 13 illness 11 acute 13 illness 12 respiratory 13 illness 14 were 15 enrolled 15 enrolled 16 in 16 in 18 study 17 the 18 study subjects were classified as having nhap ( group a ) or other pulmonary disorders ( group b ) . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 19 . 1 subjects 2 were 2 were 3 classified 3 classified 4 as 4 as 14 disorders 5 having 14 disorders 6 nhap 8 group 6 nhap 11 or 7 ( 8 group 8 group 9 a 8 group 10 ) 11 or 12 other 11 or 14 disorders 13 pulmonary 14 disorders 14 disorders 16 group 15 ( 16 group 16 group 17 b 16 group 18 ) clinical , imaging , and laboratory data were assessed to compute cpis and severity scores . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 9 assessed 0 ###LEFT-WALL### 16 . 1 clinical 2 , 2 , 3 imaging 2 , 5 and 4 , 5 and 5 and 7 data 5 and 8 were 6 laboratory 7 data 8 were 9 assessed 9 assessed 10 to 10 to 11 compute 11 compute 13 and 12 cpis 13 and 13 and 15 scores 14 severity 15 scores c - reactive protein and procalcitonin were measured by immunonephelometry and immunoassay , respectively . 0 ###LEFT-WALL### 1 c 0 ###LEFT-WALL### 2 - 1 c 2 - 2 - 5 and 3 reactive 4 protein 4 protein 5 and 5 and 6 procalcitonin 5 and 11 and 7 were 8 measured 7 were 11 and 8 measured 9 by 9 by 10 immunonephelometry 11 and 12 immunoassay 11 and 14 respectively 13 , 14 respectively 14 respectively 15 . results : fifty - eight subjects were diagnosed with nhap ( group a ) and 29 [with] other pulmonary disorders ( group b ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 subjects 2 : 8 diagnosed 2 : 25 . 3 fifty 4 - 4 - 5 eight 4 - 6 subjects 6 subjects 7 were 7 were 8 diagnosed 8 diagnosed 9 with 9 with 15 and 10 nhap 12 group 10 nhap 15 and 11 ( 12 group 12 group 13 a 12 group 14 ) 15 and 20 disorders 15 and 22 group 16 29 18 other 18 other 20 disorders 19 pulmonary 20 disorders 21 ( 22 group 22 group 23 b 22 group 24 ) the mean [c] - reactive protein ± sd was 16.38 ± [8.6] mg/dl in group a and 5.2 ± 5.6 mg/dl in group b ( p < [.] 001 ) . 0 ###LEFT-WALL### 8 sd 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 31 . 1 the 7 ± 2 mean 4 - 2 mean 6 protein 5 reactive 6 protein 6 protein 7 ± 7 ± 8 sd 8 sd 9 was 9 was 13 mg/dl 9 was 14 in 10 16.38 13 mg/dl 11 ± 13 mg/dl 14 in 15 group 15 group 16 a 17 and 18 5.2 17 and 19 ± 18 5.2 19 ± 19 ± 21 mg/dl 19 ± 22 in 19 ± 27 < 20 5.6 21 mg/dl 22 in 23 group 24 b 27 < 25 ( 27 < 26 p 27 < 27 < 29 001 27 < 30 ) the mean procalcitonin ± sd was [1.52] ± 2.75 ng/ml in group a and 0.24 ± 0.21 ng/ml in group b ( p = [.] 001 ) . 0 ###LEFT-WALL### 5 sd 0 ###LEFT-WALL### 8 ± 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 28 . 1 the 4 ± 2 mean 3 procalcitonin 3 procalcitonin 4 ± 4 ± 5 sd 5 sd 6 was 6 was 8 ± 8 ± 10 ng/ml 8 ± 11 in 9 2.75 10 ng/ml 11 in 12 group 12 group 13 a 14 and 15 0.24 14 and 16 ± 15 0.24 16 ± 16 ± 18 ng/ml 16 ± 19 in 16 ± 24 = 17 0.21 18 ng/ml 19 in 20 group 21 b 24 = 22 ( 24 = 23 p 24 = 24 = 26 001 24 = 27 ) the mean cpis ± sd was 5.4 ± 1.2 in group a and 2.3 ± 1.5 in group b ( p < [.] 001 ) . 0 ###LEFT-WALL### 5 sd 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 26 . 1 the 4 ± 2 mean 4 ± 3 cpis 4 ± 4 ± 5 sd 5 sd 6 was 6 was 8 ± 6 was 10 in 6 was 17 in 7 5.4 8 ± 8 ± 9 1.2 10 in 13 and 11 group 12 a 11 group 13 and 13 and 15 ± 14 2.3 15 ± 15 ± 16 1.5 17 in 18 group 18 group 22 < 19 b 22 < 20 ( 22 < 21 p 22 < 22 < 24 001 22 < 25 ) at a cutoff value of 0.475 ng/ml , procalcitonin had a sensitivity of 83 % and a specificity of 72 % . 0 ###LEFT-WALL### 9 procalcitonin 0 ###LEFT-WALL### 10 had 0 ###LEFT-WALL### 22 . 1 at 4 value 1 at 8 , 1 at 9 procalcitonin 2 a 3 cutoff 2 a 4 value 3 cutoff 4 value 4 value 5 of 5 of 7 ng/ml 6 0.475 7 ng/ml 9 procalcitonin 10 had 10 had 16 and 11 a 12 sensitivity 12 sensitivity 13 of 12 sensitivity 16 and 13 of 15 % 14 83 15 % 16 and 18 specificity 16 and 19 of 17 a 18 specificity 19 of 21 % 20 72 21 % at a cutoff value [of] 8.05 mg/dl , c - reactive protein had a sensitivity of 81 % and a specificity of 79 % . 0 ###LEFT-WALL### 4 value 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 13 had 0 ###LEFT-WALL### 25 . 1 at 3 cutoff 1 at 4 value 2 a 3 cutoff 4 value 7 mg/dl 6 8.05 7 mg/dl 8 , 9 c 8 , 10 - 9 c 10 - 10 - 12 protein 11 reactive 12 protein 12 protein 13 had 13 had 19 and 14 a 15 sensitivity 15 sensitivity 16 of 15 sensitivity 19 and 16 of 18 % 17 81 18 % 19 and 21 specificity 19 and 22 of 20 a 21 specificity 22 of 24 % 23 79 24 % procalcitonin and c - reactive protein levels were significantly higher in gram - positive nhap . 0 ###LEFT-WALL### 1 procalcitonin 0 ###LEFT-WALL### 2 and 2 and 3 c 2 and 4 - 3 c 4 - 4 - 7 levels 5 reactive 6 protein 6 protein 7 levels 7 levels 8 were 8 were 10 higher 9 significantly 10 higher 10 higher 11 in 11 in 12 gram 12 gram 15 nhap 13 - 15 nhap 14 positive 15 nhap 15 nhap 16 . the [in] [-] patient mortality was 17.2 % in group a [.] procalcitonin levels were 4.67 ± 5.4 ng/ml in [non] - survivors and 0.86 ± 0.9 ng/ml in survivors ( p < [.] 001 ) . 0 ###LEFT-WALL### 5 mortality 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 22 - 0 ###LEFT-WALL### 37 . 1 the 5 mortality 4 patient 5 mortality 5 mortality 6 was 6 was 14 levels 7 17.2 9 in 8 % 9 in 9 in 14 levels 10 group 11 a 10 group 13 procalcitonin 13 procalcitonin 14 levels 14 levels 15 were 14 levels 20 in 15 were 16 4.67 15 were 19 ng/ml 15 were 20 in 16 4.67 17 ± 18 5.4 19 ng/ml 22 - 23 survivors 22 - 24 and 24 and 25 0.86 24 and 26 ± 25 0.86 26 ± 26 ± 28 ng/ml 26 ± 29 in 26 ± 33 < 27 0.9 28 ng/ml 29 in 30 survivors 31 ( 33 < 32 p 33 < 33 < 35 001 33 < 36 ) the area under the curve for procalcitonin in predicting in [-] patient mortality was 0.84 ( 95 % ci 0.70 - 0.98 , p = [.] 001 ) . 0 ###LEFT-WALL### 2 area 0 ###LEFT-WALL### 14 was 0 ###LEFT-WALL### 29 . 1 the 2 area 2 area 3 under 2 area 8 in 2 area 14 was 3 under 5 curve 4 the 5 curve 5 curve 6 for 6 for 7 procalcitonin 8 in 9 predicting 9 predicting 10 in 10 in 13 mortality 12 patient 13 mortality 14 was 15 0.84 15 0.84 19 ci 16 ( 19 ci 17 95 19 ci 18 % 19 ci 19 ci 21 - 19 ci 25 = 19 ci 28 ) 20 0.70 21 - 21 - 22 0.98 23 , 25 = 24 p 25 = 25 = 27 001 a procalcitonin level upon [admission] > 1.1 ng/ml was an independent predictor of in [-] patient mortality . 0 ###LEFT-WALL### 2 procalcitonin 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 18 . 1 a 2 procalcitonin 2 procalcitonin 3 level 2 procalcitonin 9 was 3 level 4 upon 4 upon 8 ng/ml 6 > 7 1.1 7 1.1 8 ng/ml 9 was 12 predictor 10 an 11 independent 10 an 12 predictor 11 independent 12 predictor 12 predictor 13 of 13 of 14 in 14 in 17 mortality 16 patient 17 mortality of the pneumonia severity scores , curb - 65 showed greater accuracy in predicting in - patient mortality ( area under the curve of 0.68 , 95 % ci 0.53 - 0.84 , p = . 06 [ )( 0 ###LEFT-WALL### 34 p 0 ###LEFT-WALL### 35 = 0 ###LEFT-WALL### 36 . 1 of 5 scores 1 of 33 , 1 of 34 p 2 the 5 scores 3 pneumonia 5 scores 4 severity 5 scores 5 scores 7 curb 5 scores 18 mortality 6 , 7 curb 7 curb 9 65 7 curb 15 in 7 curb 16 - 8 - 9 65 9 65 10 showed 10 showed 12 accuracy 10 showed 13 in 10 showed 15 in 11 greater 12 accuracy 13 in 14 predicting 16 - 18 mortality 17 patient 18 mortality 18 mortality 20 area 18 mortality 29 ci 18 mortality 33 , 19 ( 20 area 20 area 21 under 20 area 26 , 21 under 23 curve 22 the 23 curve 23 curve 24 of 24 of 25 0.68 26 , 29 ci 27 95 29 ci 28 % 29 ci 29 ci 31 - 29 ci 33 , 30 0.53 31 - 31 - 32 0.84 34 p 35 = 36 . 37 06 36 . 39 )( conclusions : cpis , procalcitonin , and [c] [-] reactive protein are reliable for the diagnosis of nhap . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 19 . 1 conclusions 2 : 2 : 3 cpis 4 , 7 and 4 , 12 are 5 procalcitonin 7 and 6 , 7 and 7 and 11 protein 7 and 12 are 10 reactive 11 protein 12 are 13 reliable 13 reliable 14 for 14 for 16 diagnosis 15 the 16 diagnosis 16 diagnosis 17 of 17 of 18 nhap procalcitonin and curb - 65 are accurate in predicting in - patient mortality in nhap . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 16 . 1 procalcitonin 2 and 2 and 3 curb 2 and 5 65 2 and 10 in 4 - 5 65 5 65 6 are 6 are 7 accurate 7 accurate 8 in 7 accurate 10 in 8 in 9 predicting 11 - 13 mortality 12 patient 13 mortality 13 mortality 14 in 14 in 15 nhap the aryl hydrocarbon receptor ( ahr ) is a nuclear receptor that regulates xenobiotic metabolism and detoxification . 0 ###LEFT-WALL### 4 receptor 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 18 . 1 the 4 receptor 2 aryl 4 receptor 3 hydrocarbon 4 receptor 4 receptor 6 ahr 4 receptor 8 is 5 ( 6 ahr 6 ahr 7 ) 8 is 11 receptor 9 a 10 nuclear 9 a 11 receptor 10 nuclear 11 receptor 11 receptor 12 that 11 receptor 13 regulates 12 that 13 regulates 13 regulates 16 and 14 xenobiotic 15 metabolism 15 metabolism 16 and 16 and 17 detoxification herein , we report a previously undescribed role for the ahr signaling pathway as an essential defense mechanism in the pathogenesis of early dry age - related macular degeneration ( amd ) , the leading cause of vision loss in the elderly . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 report 1 herein 2 , 1 herein 3 we 3 we 4 report 4 report 8 role 4 report 14 as 4 report 19 in 5 a 6 previously 5 a 8 role 6 previously 7 undescribed 7 undescribed 8 role 8 role 9 for 9 for 13 pathway 10 the 13 pathway 11 ahr 13 pathway 12 signaling 13 pathway 14 as 18 mechanism 15 an 16 essential 15 an 18 mechanism 16 essential 17 defense 17 defense 18 mechanism 19 in 21 pathogenesis 20 the 21 pathogenesis 21 pathogenesis 22 of 21 pathogenesis 29 degeneration 21 pathogenesis 36 cause 22 of 25 age 23 early 25 age 24 dry 25 age 26 - 29 degeneration 27 related 29 degeneration 28 macular 29 degeneration 29 degeneration 31 amd 29 degeneration 32 ) 30 ( 31 amd 31 amd 32 ) 33 , 36 cause 34 the 36 cause 35 leading 36 cause 36 cause 37 of 36 cause 43 . 37 of 39 loss 38 vision 39 loss 39 loss 40 in 40 in 42 elderly 41 the 42 elderly we found that ahr activity and protein levels in human retinal pigment epithelial ( rpe ) cells , cells vulnerable in amd , decrease with age . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 27 . 1 we 2 found 2 found 5 activity 3 that 5 activity 4 ahr 5 activity 6 and 7 protein 6 and 8 levels 7 protein 8 levels 8 levels 9 in 8 levels 12 pigment 10 human 12 pigment 11 retinal 12 pigment 12 pigment 17 cells 12 pigment 24 decrease 13 epithelial 15 rpe 13 epithelial 16 ) 13 epithelial 17 cells 14 ( 15 rpe 15 rpe 16 ) 17 cells 19 cells 17 cells 24 decrease 18 , 19 cells 19 cells 20 vulnerable 19 cells 23 , 20 vulnerable 21 in 21 in 22 amd 24 decrease 25 with 25 with 26 age this finding is [significant] [given] that age is the most established risk factor for development of amd . 0 ###LEFT-WALL### 2 finding 0 ###LEFT-WALL### 18 . 1 this 2 finding 2 finding 3 is 3 is 6 that 6 that 7 age 6 that 8 is 7 age 8 is 8 is 13 factor 9 the 13 factor 10 most 11 established 11 established 13 factor 12 risk 13 factor 13 factor 14 for 13 factor 16 of 14 for 15 development 16 of 17 amd high - serum low - density lipoprotein levels were also observed in ahr [(] - [/] - [ )(mice . 0 ###LEFT-WALL### 3 serum 0 ###LEFT-WALL### 11 observed 0 ###LEFT-WALL### 17 - 1 high 2 - 1 high 3 serum 4 low 5 - 4 low 6 density 6 density 7 lipoprotein 7 lipoprotein 8 levels 7 lipoprotein 9 were 7 lipoprotein 11 observed 8 levels 9 were 10 also 11 observed 11 observed 12 in 11 observed 15 - 12 in 13 ahr 17 - 19 )(mice 17 - 20 . in its oxidized form , this lipoprotein can stimulate increased secretion of extracellular matrix molecules commonly found in deposits from rpe cells , in an ahr - dependent manner . 0 ###LEFT-WALL### 7 lipoprotein 0 ###LEFT-WALL### 9 stimulate 0 ###LEFT-WALL### 27 - 0 ###LEFT-WALL### 30 . 1 in 4 form 1 in 5 , 1 in 7 lipoprotein 2 its 4 form 3 oxidized 4 form 6 this 7 lipoprotein 7 lipoprotein 8 can 8 can 9 stimulate 9 stimulate 11 secretion 9 stimulate 18 in 10 increased 11 secretion 11 secretion 12 of 11 secretion 17 found 12 of 15 molecules 13 extracellular 14 matrix 14 matrix 15 molecules 16 commonly 17 found 18 in 19 deposits 19 deposits 20 from 20 from 22 cells 21 rpe 22 cells 22 cells 24 in 23 , 24 in 24 in 26 ahr 24 in 27 - 25 an 26 ahr 27 - 29 manner 28 dependent 29 manner this study demonstrates the importance of cellular clearance via the ahr signaling pathway in dry amd pathogenesis , implicating ahr as a potential target , and the mouse model as a useful platform for validating future therapies . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 demonstrates 0 ###LEFT-WALL### 38 . 1 this 2 study 2 study 3 demonstrates 3 demonstrates 26 and 3 demonstrates 30 as 3 demonstrates 34 for 4 the 5 importance 5 importance 6 of 5 importance 26 and 6 of 8 clearance 7 cellular 8 clearance 8 clearance 9 via 8 clearance 19 implicating 9 via 13 pathway 10 the 13 pathway 11 ahr 13 pathway 12 signaling 13 pathway 13 pathway 14 in 14 in 17 pathogenesis 15 dry 17 pathogenesis 16 amd 17 pathogenesis 18 , 19 implicating 19 implicating 20 ahr 19 implicating 21 as 19 implicating 25 , 21 as 24 target 22 a 24 target 23 potential 24 target 26 and 29 model 27 the 29 model 28 mouse 29 model 30 as 33 platform 31 a 33 platform 32 useful 33 platform 34 for 35 validating 35 validating 37 therapies 36 future 37 therapies context : several studies suggested that low serum concentrations of 25 - hydroxyvitamin d ( 25 ( oh )d ) are associated with an increased risk of cardiovascular disease ( cvd ) . 0 ###LEFT-WALL### 1 context 0 ###LEFT-WALL### 2 : 2 : 4 studies 2 : 5 suggested 2 : 33 . 3 several 4 studies 4 studies 5 suggested 5 suggested 6 that 6 that 9 concentrations 6 that 22 associated 7 low 8 serum 8 serum 9 concentrations 9 concentrations 10 of 9 concentrations 21 are 10 of 11 25 11 25 13 hydroxyvitamin 12 - 13 hydroxyvitamin 13 hydroxyvitamin 14 d 13 hydroxyvitamin 18 oh 13 hydroxyvitamin 20 ) 15 ( 18 oh 16 25 18 oh 17 ( 18 oh 18 oh 19 )d 18 oh 20 ) 21 are 22 associated 22 associated 23 with 23 with 26 risk 24 an 26 risk 25 increased 26 risk 26 risk 27 of 26 risk 31 cvd 27 of 29 disease 28 cardiovascular 29 disease 30 ( 31 cvd 31 cvd 32 ) however , the evidence is still inconclusive , mostly based on cvd mortality and studies with single 25 ( oh )d measurements . 0 ###LEFT-WALL### 4 evidence 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 23 . 1 however 2 , 1 however 4 evidence 3 the 4 evidence 4 evidence 8 , 5 is 6 still 5 is 7 inconclusive 5 is 8 , 8 , 10 based 8 , 11 on 8 , 16 with 9 mostly 10 based 11 on 14 and 12 cvd 13 mortality 13 mortality 14 and 14 and 15 studies 16 with 22 measurements 17 single 22 measurements 18 25 20 oh 19 ( 20 oh 20 oh 21 )d 20 oh 22 measurements objective : we aimed to assess the association of 25 ( oh )d with fatal and nonfatal cvd in the same study population , using repeated 25 ( oh )d measurements and competing risks analysis . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 assess 2 : 3 we 2 : 4 aimed 3 we 4 aimed 4 aimed 5 to 5 to 6 assess 6 assess 8 association 6 assess 25 using 7 the 8 association 8 association 9 of 8 association 14 with 8 association 19 in 9 of 12 oh 10 25 12 oh 11 ( 12 oh 12 oh 13 )d 14 with 18 cvd 15 fatal 16 and 16 and 17 nonfatal 16 and 18 cvd 19 in 23 population 20 the 21 same 21 same 23 population 22 study 23 population 24 , 25 using 25 using 35 analysis 25 using 36 . 26 repeated 31 measurements 27 25 29 oh 28 ( 29 oh 29 oh 30 )d 29 oh 31 measurements 31 measurements 32 and 32 and 34 risks 32 and 35 analysis 33 competing 34 risks design : this was a population - based cohort study ( esther study , baseline 2000 - 2002 ) . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 2 : 3 this 2 : 4 was 2 : 20 . 3 this 4 was 4 was 6 population 5 a 6 population 6 population 10 study 6 population 15 baseline 7 - 10 study 8 based 9 cohort 9 cohort 10 study 10 study 13 study 10 study 14 , 11 ( 13 study 12 esther 13 study 13 study 14 , 14 , 15 baseline 15 baseline 17 - 15 baseline 19 ) 16 2000 17 - 17 - 18 2002 follow - up data , including survival status , were collected after 2 , 5 , and 8 years . 0 ###LEFT-WALL### 1 follow 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 10 were 0 ###LEFT-WALL### 20 . 1 follow 3 up 1 follow 6 including 2 - 3 up 3 up 4 data 3 up 5 , 5 , 6 including 6 including 8 status 6 including 9 , 7 survival 8 status 9 , 10 were 10 were 17 and 11 collected 12 after 11 collected 17 and 12 after 13 2 13 2 15 5 14 , 15 5 15 5 16 , 16 , 17 and 17 and 19 years 18 8 19 years the response rate for survival was 99.9 % . 0 ###LEFT-WALL### 3 rate 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 9 . 1 the 3 rate 2 response 3 rate 3 rate 4 for 3 rate 6 was 4 for 5 survival 6 was 8 % 7 99.9 8 % setting : participants were recruited during a health screening examination by their general practitioners . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 2 : 3 participants 2 : 5 recruited 2 : 15 . 3 participants 4 were 4 were 5 recruited 5 recruited 6 during 5 recruited 11 by 6 during 10 examination 7 a 8 health 7 a 10 examination 8 health 10 examination 9 screening 10 examination 11 by 14 practitioners 12 their 14 practitioners 13 general 14 practitioners patients or other participants : a total of 9949 men and women , aged 50 to 74 years at baseline , with sufficient knowledge of the german language and resident in the german state of saarland were included in the study . 0 ###LEFT-WALL### 4 participants 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 42 . 1 patients 2 or 2 or 3 other 3 other 4 participants 5 : 29 and 5 : 38 included 6 a 7 total 7 total 8 of 7 total 22 with 7 total 29 and 8 of 11 and 9 9949 10 men 10 men 11 and 11 and 12 women 11 and 14 aged 13 , 14 aged 14 aged 15 50 14 aged 16 to 14 aged 19 at 14 aged 21 , 16 to 18 years 17 74 18 years 19 at 20 baseline 22 with 24 knowledge 23 sufficient 24 knowledge 24 knowledge 25 of 25 of 28 language 26 the 28 language 27 german 28 language 29 and 30 resident 29 and 31 in 29 and 35 of 29 and 37 were 31 in 34 state 32 the 34 state 33 german 34 state 35 of 36 saarland 37 were 38 included 38 included 39 in 39 in 41 study 40 the 41 study main outcome measures : outcomes included cvd , coronary heart disease ( chd ) , and stroke , in total and differentiated into fatal and nonfatal events . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 28 . 1 main 2 outcome 2 outcome 3 measures 4 : 5 outcomes 5 outcomes 21 and 6 included 16 and 6 included 20 total 6 included 21 and 7 cvd 11 disease 7 cvd 16 and 8 , 11 disease 9 coronary 11 disease 10 heart 11 disease 11 disease 13 chd 11 disease 14 ) 12 ( 13 chd 13 chd 14 ) 15 , 16 and 16 and 17 stroke 16 and 18 , 19 in 20 total 21 and 22 differentiated 22 differentiated 23 into 23 into 27 events 24 fatal 25 and 25 and 26 nonfatal 25 and 27 events results : overall , 854 study participants had a nonfatal and [176] a fatal cvd event during 8 years of follow - up . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 24 . 1 results 2 : 2 : 3 overall 4 , 5 854 4 , 21 follow 4 , 22 - 5 854 7 participants 5 854 20 of 5 854 21 follow 6 study 7 participants 7 participants 8 had 8 had 16 event 8 had 17 during 9 a 16 event 10 nonfatal 11 and 11 and 15 cvd 11 and 16 event 13 a 14 fatal 13 a 15 cvd 14 fatal 15 cvd 17 during 19 years 18 8 19 years 19 years 20 of 22 - 23 up comparing subjects with 25 ( oh )d levels below 30 nmol/l and above 50 nmol/l [resulted] in a hazard ratio of 1.27 [(] 95 % confidence interval = 1.05 - 1.54 ) for total cvd and 1.62 [(] 95 % confidence interval = 1.07 - 2.48 ) for fatal cvd in a model adjusted for important potential confounders [.] 0 ###LEFT-WALL### 1 comparing 0 ###LEFT-WALL### 8 levels 1 comparing 2 subjects 1 comparing 8 levels 2 subjects 3 with 3 with 6 oh 4 25 6 oh 5 ( 6 oh 6 oh 7 )d 8 levels 12 and 8 levels 15 nmol/l 9 below 11 nmol/l 9 below 12 and 10 30 11 nmol/l 12 and 13 above 14 50 15 nmol/l 15 nmol/l 17 in 17 in 20 ratio 18 a 19 hazard 18 a 20 ratio 19 hazard 20 ratio 20 ratio 21 of 21 of 22 1.27 22 1.27 25 % 22 1.27 34 total 24 95 25 % 25 % 27 interval 25 % 33 for 25 % 34 total 26 confidence 27 interval 27 interval 28 = 28 = 29 1.05 28 = 33 for 29 1.05 31 1.54 30 - 31 1.54 31 1.54 32 ) 34 total 36 and 35 cvd 36 and 36 and 42 interval 36 and 47 ) 36 and 48 for 37 1.62 41 confidence 39 95 40 % 40 % 41 confidence 41 confidence 42 interval 42 interval 45 - 43 = 44 1.07 44 1.07 45 - 45 - 46 2.48 48 for 50 cvd 49 fatal 50 cvd 50 cvd 51 in 50 cvd 54 adjusted 50 cvd 55 for 51 in 53 model 52 a 53 model 55 for 58 confounders 56 important 58 confounders 57 potential 58 confounders no significant association for nonfatal cvd was observed . 0 ###LEFT-WALL### 3 association 0 ###LEFT-WALL### 8 observed 0 ###LEFT-WALL### 9 . 1 no 3 association 2 significant 3 association 3 association 4 for 3 association 7 was 4 for 6 cvd 5 nonfatal 6 cvd 7 was 8 observed in dose - response analysis , we observed an increased cardiovascular risk at 25 ( oh )d levels below 75 nmol/l . results for chd and stroke were comparable to the results obtained for the composite outcome cvd . 0 ###LEFT-WALL### 2 dose 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 22 . 1 in 2 dose 3 - 5 analysis 3 - 6 , 4 response 5 analysis 6 , 7 we 6 , 8 observed 7 we 8 observed 8 observed 12 risk 8 observed 13 at 8 observed 19 below 9 an 12 risk 10 increased 12 risk 11 cardiovascular 12 risk 13 at 18 levels 14 25 16 oh 15 ( 16 oh 16 oh 17 )d 16 oh 18 levels 19 below 21 nmol/l 20 75 21 nmol/l 22 . 23 results 22 . 28 were 22 . 39 . 23 results 24 for 23 results 28 were 24 for 26 and 25 chd 26 and 26 and 27 stroke 28 were 29 comparable 29 comparable 30 to 30 to 32 results 31 the 32 results 32 results 33 obtained 33 obtained 34 for 34 for 38 cvd 35 the 37 outcome 36 composite 37 outcome 37 outcome 38 cvd conclusions : our results support evidence that low 25 ( oh )d levels are associated with moderately increased risk of cvd and [indicate] that the observed association is much stronger for fatal than for nonfatal events . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 4 results 2 : 5 support 3 our 4 results 4 results 5 support 5 support 6 evidence 5 support 16 with 6 evidence 7 that 7 that 13 levels 7 that 15 associated 8 low 13 levels 9 25 11 oh 10 ( 11 oh 11 oh 12 )d 11 oh 13 levels 13 levels 14 are 14 are 15 associated 16 with 19 risk 16 with 32 fatal 17 moderately 18 increased 18 increased 19 risk 19 risk 20 of 19 risk 27 association 19 risk 31 for 20 of 22 and 21 cvd 22 and 22 and 24 that 25 the 27 association 26 observed 27 association 27 association 28 is 28 is 30 stronger 29 much 30 stronger 30 stronger 31 for 32 fatal 33 than 32 fatal 34 for 34 for 36 events 35 nonfatal 36 events while temporal and perceptual processing abnormalities , identified in a number of electrophysiological and brain imaging studies of individuals [with] ( asd ) , are likely to impact on speech perception , surprisingly little is known about the behavioral outcomes of such abnormalities . 0 ###LEFT-WALL### 34 little 0 ###LEFT-WALL### 36 known 0 ###LEFT-WALL### 44 . 1 while 6 abnormalities 1 while 25 are 1 while 34 little 2 temporal 3 and 3 and 4 perceptual 3 and 6 abnormalities 5 processing 6 abnormalities 6 abnormalities 8 identified 6 abnormalities 25 are 7 , 8 identified 8 identified 9 in 8 identified 24 , 9 in 17 studies 10 a 11 number 11 number 12 of 11 number 17 studies 12 of 17 studies 13 electrophysiological 14 and 14 and 16 imaging 14 and 17 studies 15 brain 16 imaging 17 studies 18 of 18 of 19 individuals 19 individuals 22 asd 21 ( 22 asd 22 asd 23 ) 25 are 26 likely 26 likely 27 to 27 to 28 impact 29 on 31 perception 29 on 32 , 29 on 34 little 30 speech 31 perception 33 surprisingly 34 little 34 little 35 is 35 is 36 known 36 known 37 about 37 about 40 outcomes 38 the 40 outcomes 39 behavioral 40 outcomes 40 outcomes 41 of 41 of 43 abnormalities 42 such 43 abnormalities it has been hypothesized that rapid temporal processing deficits may be linked to impaired language development through interference with acoustic information during speech perception . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 hypothesized 0 ###LEFT-WALL### 25 . 1 it 2 has 2 has 3 been 3 been 4 hypothesized 4 hypothesized 5 that 5 that 9 deficits 5 that 12 linked 6 rapid 9 deficits 7 temporal 9 deficits 8 processing 9 deficits 9 deficits 10 may 10 may 11 be 11 be 12 linked 12 linked 13 to 13 to 16 development 14 impaired 15 language 15 language 16 development 16 development 17 through 17 through 18 interference 18 interference 19 with 18 interference 22 during 19 with 21 information 20 acoustic 21 information 22 during 24 perception 23 speech 24 perception the present study aimed to investigate the impact of temporal changes on encoding and recall of speech , and [the] associated cognitive , clinical , and behavioral correlates in adults with asd . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 28 correlates 0 ###LEFT-WALL### 33 . 1 the 3 study 2 present 3 study 3 study 4 aimed 3 study 5 to 3 study 19 and 3 study 28 correlates 5 to 19 and 6 investigate 8 impact 6 investigate 12 on 6 investigate 19 and 7 the 8 impact 8 impact 9 of 9 of 11 changes 10 temporal 11 changes 12 on 14 and 13 encoding 14 and 14 and 15 recall 14 and 16 of 16 of 17 speech 18 , 19 and 19 and 21 associated 19 and 26 and 22 cognitive 23 , 23 , 24 clinical 23 , 26 and 25 , 26 and 26 and 27 behavioral 28 correlates 29 in 28 correlates 31 with 29 in 30 adults 31 with 32 asd research carried out with typically developing ( td ) [adults] has shown that word recall diminishes as the speed of speech increases , and it was predicted that the magnitude of this effect would be far greater in those with asd because of a preexisting rapid temporal processing deficit . 0 ###LEFT-WALL### 1 research 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 50 . 1 research 2 carried 1 research 8 td 1 research 11 has 2 carried 3 out 2 carried 4 with 4 with 6 developing 5 typically 6 developing 7 ( 8 td 8 td 9 ) 11 has 12 shown 12 shown 13 that 13 that 15 recall 13 that 16 diminishes 14 word 15 recall 15 recall 16 diminishes 16 diminishes 17 as 17 as 19 speed 18 the 19 speed 19 speed 20 of 20 of 22 increases 21 speech 22 increases 23 , 24 and 24 and 25 it 24 and 27 predicted 25 it 26 was 26 was 27 predicted 27 predicted 28 that 28 that 33 effect 28 that 35 be 29 the 30 magnitude 30 magnitude 31 of 30 magnitude 33 effect 31 of 33 effect 32 this 33 effect 33 effect 34 would 34 would 35 be 35 be 37 greater 36 far 37 greater 37 greater 38 in 37 greater 40 with 37 greater 43 of 38 in 39 those 40 with 41 asd 42 because 43 of 43 of 49 deficit 44 a 49 deficit 45 preexisting 49 deficit 46 rapid 49 deficit 47 temporal 49 deficit 48 processing 49 deficit nineteen high - functioning adults with asd , and age - and intelligence - matched td controls performed verbatim recall of temporally manipulated sentences . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 18 performed 0 ###LEFT-WALL### 25 . 1 nineteen 5 adults 2 high 3 - 2 high 5 adults 4 functioning 5 adults 5 adults 6 with 5 adults 12 and 6 with 9 and 7 asd 9 and 8 , 9 and 9 and 10 age 11 - 12 and 12 and 13 intelligence 12 and 14 - 12 and 15 matched 12 and 16 td 12 and 17 controls 12 and 18 performed 16 td 17 controls 18 performed 20 recall 19 verbatim 20 recall 20 recall 21 of 21 of 24 sentences 22 temporally 23 manipulated 23 manipulated 24 sentences reduced levels of word recall in response to increases in presentation speed were observed , and this effect was greater in the older participants in the asd group than in the control group . 0 ###LEFT-WALL### 2 levels 0 ###LEFT-WALL### 14 observed 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 34 . 1 reduced 2 levels 2 levels 3 of 2 levels 13 were 3 of 5 recall 4 word 5 recall 5 recall 7 response 5 recall 8 to 6 in 7 response 8 to 9 increases 9 increases 10 in 10 in 12 speed 11 presentation 12 speed 13 were 14 observed 15 , 16 and 16 and 18 effect 16 and 19 was 17 this 18 effect 18 effect 19 was 19 was 20 greater 20 greater 21 in 20 greater 25 in 20 greater 29 than 21 in 24 participants 22 the 24 participants 23 older 24 participants 25 in 28 group 26 the 28 group 27 asd 28 group 29 than 30 in 30 in 33 group 31 the 33 group 32 control 33 group this is the first study to show that both sensory abnormalities and aging impact on speech encoding in asd . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 20 . 1 this 2 is 2 is 5 study 3 the 5 study 4 first 5 study 5 study 6 to 5 study 17 encoding 6 to 7 show 7 show 8 that 7 show 11 abnormalities 7 show 12 and 9 both 11 abnormalities 10 sensory 11 abnormalities 12 and 13 aging 12 and 14 impact 14 impact 15 on 15 on 16 speech 16 speech 17 encoding 17 encoding 18 in 18 in 19 asd auditory processing deficits in asd may be indicative of an association with the sensory abnormalities and social and communication impairments characterizing the disorder . 0 ###LEFT-WALL### 1 auditory 0 ###LEFT-WALL### 7 be 0 ###LEFT-WALL### 24 . 1 auditory 2 processing 1 auditory 6 may 2 processing 3 deficits 3 deficits 4 in 4 in 5 asd 6 may 7 be 7 be 18 and 8 indicative 9 of 8 indicative 16 and 9 of 11 association 10 an 11 association 11 association 12 with 12 with 15 abnormalities 13 the 15 abnormalities 14 sensory 15 abnormalities 16 and 17 social 16 and 18 and 18 and 20 impairments 18 and 21 characterizing 19 communication 20 impairments 21 characterizing 23 disorder 22 the 23 disorder purpose : we evaluated the choroidal thickness and volume in healthy pediatric individuals by swept [-] source optical coherence tomography ( ss - oct ) and compared the findings to those of adults . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 3 we 2 : 26 and 3 we 26 and 4 evaluated 8 and 4 evaluated 10 in 4 evaluated 14 by 4 evaluated 26 and 5 the 7 thickness 6 choroidal 7 thickness 7 thickness 8 and 8 and 9 volume 10 in 13 individuals 11 healthy 13 individuals 12 pediatric 13 individuals 14 by 20 tomography 15 swept 17 source 17 source 20 tomography 18 optical 19 coherence 19 coherence 20 tomography 20 tomography 22 ss 21 ( 22 ss 22 ss 24 oct 22 ss 25 ) 23 - 24 oct 24 oct 25 ) 26 and 27 compared 27 compared 29 findings 28 the 29 findings 29 findings 30 to 30 to 31 those 31 those 32 of 32 of 33 adults methods : we examined 100 eyes of 100 healthy pediatric volunteers ( 3 - 15 years ) and 83 eyes of 83 healthy adult volunteers ( 24 - 87 years ) by ss - oct with a tunable long wavelength laser source . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 examined 2 : 43 . 3 we 4 examined 4 examined 18 and 4 examined 32 by 4 examined 36 with 5 100 18 and 6 eyes 7 of 6 eyes 18 and 7 of 11 volunteers 8 100 11 volunteers 9 healthy 11 volunteers 10 pediatric 11 volunteers 11 volunteers 14 - 12 ( 14 - 13 3 14 - 14 - 16 years 14 - 17 ) 15 15 16 years 18 and 20 eyes 19 83 20 eyes 20 eyes 21 of 21 of 25 volunteers 22 83 25 volunteers 23 healthy 24 adult 24 adult 25 volunteers 25 volunteers 30 years 26 ( 30 years 27 24 28 - 28 - 29 87 28 - 30 years 30 years 31 ) 32 by 35 oct 33 ss 35 oct 34 - 35 oct 36 with 42 source 37 a 42 source 38 tunable 40 wavelength 39 long 40 wavelength 40 wavelength 41 laser 41 laser 42 source [the] three - dimensional raster [scan] protocol was used to construct a choroidal thickness map . 0 ###LEFT-WALL### 2 three 0 ###LEFT-WALL### 3 - 3 - 7 protocol 3 - 9 used 3 - 16 . 4 dimensional 7 protocol 5 raster 7 protocol 7 protocol 8 was 8 was 9 used 9 used 10 to 9 used 11 construct 10 to 11 construct 11 construct 15 map 12 a 13 choroidal 12 a 15 map 13 choroidal 14 thickness 14 thickness 15 map when the built [-] [in] software delineated an erroneous chorioscleral border in [the] b - scan images , manual segmentation was used . 0 ###LEFT-WALL### 16 scan 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 23 . 1 when 6 software 1 when 7 delineated 1 when 15 - 1 when 16 scan 2 the 6 software 3 built 6 software 6 software 7 delineated 7 delineated 11 border 7 delineated 12 in 8 an 9 erroneous 8 an 11 border 9 erroneous 11 border 10 chorioscleral 11 border 12 in 14 b 16 scan 17 images 18 , 20 segmentation 18 , 22 used 19 manual 20 segmentation 20 segmentation 21 was 21 was 22 used results : the central choroidal thickness and volume within [a] 1.0 - [mm] [circle] were significantly larger [in] [the] children [(] 260.4 ± 57.2 [μm] , 0.205 ± 0.045 [mm] ( 3 ) ) than in the adults ( 206.1 ± 72.5 [μm] , 0.160 ± 0.056 [mm] ( 3 ) , [both] p < 0.0001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 12 - 1 results 2 : 2 : 7 and 3 the 6 thickness 4 central 6 thickness 5 choroidal 6 thickness 6 thickness 7 and 7 and 8 volume 7 and 9 within 9 within 11 1.0 12 - 15 were 15 were 20 children 15 were 23 ± 16 significantly 17 larger 17 larger 20 children 20 children 22 260.4 23 ± 24 57.2 23 ± 35 than 24 57.2 28 ± 26 , 28 ± 27 0.205 28 ± 28 ± 29 0.045 28 ± 32 3 28 ± 34 ) 31 ( 32 3 32 3 33 ) 35 than 36 in 36 in 38 adults 37 the 38 adults 38 adults 41 ± 38 adults 46 ± 39 ( 41 ± 40 206.1 41 ± 41 ± 42 72.5 41 ± 44 , 44 , 46 ± 45 0.160 46 ± 46 ± 47 0.056 46 ± 50 3 46 ± 55 < 46 ± 58 . 49 ( 50 3 50 3 51 ) 52 , 55 < 54 p 55 < 55 < 56 0.0001 55 < 57 ) in the children , the mean choroidal thickness of the nasal area was significantly thinner than that of all other areas ( p < 0.005 ) . 0 ###LEFT-WALL### 8 thickness 0 ###LEFT-WALL### 13 was 0 ###LEFT-WALL### 27 . 1 in 3 children 1 in 4 , 1 in 8 thickness 2 the 3 children 5 the 8 thickness 6 mean 8 thickness 7 choroidal 8 thickness 8 thickness 9 of 8 thickness 13 was 9 of 12 area 10 the 12 area 11 nasal 12 area 13 was 15 thinner 14 significantly 15 thinner 15 thinner 16 than 16 than 17 that 16 than 18 of 18 of 21 areas 19 all 20 other 20 other 21 areas 21 areas 24 < 22 ( 24 < 23 p 24 < 24 < 25 0.005 24 < 26 ) pediatric choroidal thinning with increasing age in the central area was faster than that in the outer areas . 0 ###LEFT-WALL### 3 thinning 0 ###LEFT-WALL### 11 was 0 ###LEFT-WALL### 19 . 1 pediatric 3 thinning 2 choroidal 3 thinning 3 thinning 4 with 3 thinning 11 was 4 with 5 increasing 5 increasing 6 age 5 increasing 7 in 7 in 10 area 8 the 10 area 9 central 10 area 11 was 12 faster 12 faster 13 than 12 faster 15 in 13 than 14 that 15 in 18 areas 16 the 18 areas 17 outer 18 areas stepwise regression analysis showed that the axial length and body mass index had the highest correlation with the choroidal thickness [(] r ( 2 ) = 0.313 , p < 0.0001 ) . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 33 . 1 stepwise 2 regression 2 regression 3 analysis 3 analysis 4 showed 4 showed 5 that 4 showed 26 = 5 that 9 and 5 that 13 had 5 that 26 = 6 the 8 length 7 axial 8 length 8 length 9 and 9 and 12 index 9 and 13 had 10 body 12 index 11 mass 12 index 13 had 16 correlation 14 the 15 highest 14 the 16 correlation 16 correlation 17 with 17 with 20 thickness 18 the 20 thickness 19 choroidal 20 thickness 20 thickness 22 r 20 thickness 24 2 23 ( 24 2 24 2 25 ) 26 = 27 0.313 27 0.313 30 < 28 , 30 < 29 p 30 < 30 < 31 0.0001 30 < 32 ) conclusions : the macular choroidal thickness and volume in the pediatric individuals were significantly larger than those in the adults . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 7 and 2 : 13 were 3 the 6 thickness 4 macular 6 thickness 5 choroidal 6 thickness 6 thickness 7 and 7 and 8 volume 7 and 9 in 7 and 13 were 9 in 12 individuals 10 the 12 individuals 11 pediatric 12 individuals 13 were 14 significantly 13 were 15 larger 15 larger 16 than 15 larger 18 in 16 than 17 those 18 in 20 adults 19 the 20 adults the pediatric choroidal thinning with increasing age is more rapid in the central area . 0 ###LEFT-WALL### 4 thinning 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 15 . 1 the 4 thinning 2 pediatric 4 thinning 3 choroidal 4 thinning 4 thinning 5 with 4 thinning 8 is 5 with 6 increasing 6 increasing 7 age 8 is 10 rapid 9 more 10 rapid 10 rapid 11 in 11 in 14 area 12 the 14 area 13 central 14 area pediatric choroidal thickness is associated with several systemic or ocular parameters , especially the axial length and body mass index . 0 ###LEFT-WALL### 3 thickness 0 ###LEFT-WALL### 5 associated 1 pediatric 3 thickness 2 choroidal 3 thickness 3 thickness 4 is 4 is 5 associated 5 associated 6 with 6 with 11 parameters 7 several 11 parameters 8 systemic 9 or 9 or 10 ocular 9 or 11 parameters 11 parameters 17 and 12 , 13 especially 12 , 17 and 14 the 16 length 15 axial 16 length 16 length 17 and 17 and 20 index 17 and 21 . 18 body 20 index 19 mass 20 index these differences should be remembered when the choroidal thickness is evaluated in pediatric patients with retinochoroidal diseases . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 5 remembered 0 ###LEFT-WALL### 18 . 1 these 2 differences 2 differences 3 should 3 should 4 be 4 be 5 remembered 5 remembered 6 when 6 when 9 thickness 6 when 11 evaluated 7 the 9 thickness 8 choroidal 9 thickness 9 thickness 10 is 10 is 11 evaluated 11 evaluated 12 in 11 evaluated 15 with 12 in 14 patients 13 pediatric 14 patients 15 with 17 diseases 16 retinochoroidal 17 diseases in response to stress conditions , many mammalian mrnas accumulate in stress granules ( sgs ) together with numerous [rna] - binding proteins that control mrna turnover and translation . 0 ###LEFT-WALL### 9 mrnas 0 ###LEFT-WALL### 10 accumulate 0 ###LEFT-WALL### 30 . 1 in 2 response 2 response 3 to 3 to 5 conditions 3 to 6 , 3 to 9 mrnas 4 stress 5 conditions 7 many 9 mrnas 8 mammalian 9 mrnas 9 mrnas 10 accumulate 10 accumulate 11 in 10 accumulate 17 together 10 accumulate 18 with 11 in 13 granules 12 stress 13 granules 13 granules 15 sgs 14 ( 15 sgs 15 sgs 16 ) 18 with 23 proteins 18 with 28 and 19 numerous 21 - 19 numerous 23 proteins 22 binding 23 proteins 24 that 27 turnover 25 control 27 turnover 26 mrna 27 turnover 27 turnover 28 and 28 and 29 translation however , the signaling cascades that modulate the presence of ribonucleoprotein ( rnp ) complexes in sgs are poorly understood . 0 ###LEFT-WALL### 5 cascades 0 ###LEFT-WALL### 20 understood 0 ###LEFT-WALL### 21 . 1 however 2 , 1 however 5 cascades 3 the 5 cascades 4 signaling 5 cascades 5 cascades 6 that 5 cascades 7 modulate 5 cascades 20 understood 6 that 7 modulate 7 modulate 9 presence 8 the 9 presence 9 presence 10 of 9 presence 15 complexes 9 presence 18 are 10 of 11 ribonucleoprotein 11 ribonucleoprotein 13 rnp 12 ( 13 rnp 13 rnp 14 ) 15 complexes 16 in 15 complexes 18 are 16 in 17 sgs 18 are 19 poorly here , we investigated the localization of human antigen r ( hur ) , an mrna - stabilizing rna - binding protein , in sgs following exposure to the stress agent arsenite . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 investigated 0 ###LEFT-WALL### 33 . 1 here 2 , 1 here 3 we 3 we 4 investigated 4 investigated 6 localization 5 the 6 localization 6 localization 7 of 6 localization 18 stabilizing 7 of 9 antigen 8 human 9 antigen 9 antigen 10 r 9 antigen 12 hur 9 antigen 16 mrna 11 ( 12 hur 12 hur 13 ) 14 , 16 mrna 15 an 16 mrna 16 mrna 17 - 18 stabilizing 19 rna 18 stabilizing 21 binding 18 stabilizing 24 in 18 stabilizing 28 to 20 - 21 binding 21 binding 22 protein 21 binding 23 , 24 in 27 exposure 25 sgs 26 following 26 following 27 exposure 28 to 32 arsenite 29 the 32 arsenite 30 stress 31 agent 31 agent 32 arsenite unexpectedly , the mobilization of hur to sgs was prevented through the activation of janus kinase 3 ( jak3 ) by the vitamin k3 analog menadione . 0 ###LEFT-WALL### 4 mobilization 0 ###LEFT-WALL### 10 prevented 0 ###LEFT-WALL### 27 . 1 unexpectedly 2 , 1 unexpectedly 4 mobilization 3 the 4 mobilization 4 mobilization 5 of 4 mobilization 9 was 5 of 6 hur 6 hur 7 to 7 to 8 sgs 9 was 10 prevented 10 prevented 11 through 10 prevented 21 by 11 through 13 activation 12 the 13 activation 13 activation 14 of 14 of 16 kinase 15 janus 16 kinase 16 kinase 17 3 16 kinase 19 jak3 18 ( 19 jak3 19 jak3 20 ) 21 by 26 menadione 22 the 26 menadione 23 vitamin 26 menadione 24 k3 26 menadione 25 analog 26 menadione jak3 phosphorylated hur at tyrosine 200 , in turn inhibiting hur localization in sgs , reducing hur interaction with targets sirt1 and vhl mrnas , and accelerating target mrna decay . 0 ###LEFT-WALL### 1 jak3 0 ###LEFT-WALL### 2 phosphorylated 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 31 . 1 jak3 2 phosphorylated 2 phosphorylated 3 hur 3 hur 4 at 3 hur 16 reducing 3 hur 19 with 4 at 5 tyrosine 5 tyrosine 6 200 5 tyrosine 10 inhibiting 7 , 10 inhibiting 8 in 9 turn 9 turn 10 inhibiting 10 inhibiting 12 localization 10 inhibiting 13 in 10 inhibiting 15 , 11 hur 12 localization 13 in 14 sgs 16 reducing 18 interaction 17 hur 18 interaction 19 with 21 sirt1 20 targets 21 sirt1 22 and 26 and 22 and 29 mrna 23 vhl 24 mrnas 24 mrnas 26 and 25 , 26 and 26 and 28 target 26 and 29 mrna 27 accelerating 28 target 29 mrna 30 decay our findings indicate that hur is tyrosine - phosphorylated by jak3 , and link this modification to hur subcytoplasmic localization and to the fate of hur target mrnas . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 29 . 1 our 2 findings 2 findings 13 and 3 indicate 4 that 3 indicate 13 and 4 that 5 hur 4 that 6 is 5 hur 6 is 6 is 7 tyrosine 7 tyrosine 9 phosphorylated 8 - 9 phosphorylated 9 phosphorylated 10 by 9 phosphorylated 12 , 10 by 11 jak3 12 , 13 and 13 and 14 link 13 and 28 mrnas 14 link 16 modification 14 link 21 and 15 this 16 modification 17 to 20 localization 17 to 21 and 18 hur 20 localization 19 subcytoplasmic 20 localization 21 and 22 to 22 to 24 fate 23 the 24 fate 24 fate 25 of 25 of 26 hur 27 target 28 mrnas aging is associated with a reduction in skeletal muscle [mass] - sarcopenia - the etiology of which is multifactorial . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 3 associated 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 20 . 1 aging 2 is 2 is 3 associated 3 associated 4 with 3 associated 7 in 3 associated 11 - 3 associated 12 sarcopenia 4 with 6 reduction 5 a 6 reduction 7 in 9 muscle 8 skeletal 9 muscle 13 - 15 etiology 14 the 15 etiology 15 etiology 16 of 16 of 17 which 17 which 18 is 18 is 19 multifactorial one mechanism is that aging [has] , as one of its hallmarks , a reduced sensitivity of skeletal muscle to the normally potent anabolic effects of protein feeding and resistance exercise , and to the anticatabolic effects of insulin , the combination of which has been termed " anabolic resistance . " 0 ###LEFT-WALL### 2 mechanism 0 ###LEFT-WALL### 3 is 1 one 2 mechanism 2 mechanism 3 is 3 is 4 that 3 is 33 and 4 that 5 aging 5 aging 8 as 5 aging 16 sensitivity 7 , 8 as 8 as 9 one 8 as 13 , 9 one 10 of 10 of 12 hallmarks 11 its 12 hallmarks 14 a 16 sensitivity 15 reduced 16 sensitivity 16 sensitivity 17 of 17 of 19 muscle 18 skeletal 19 muscle 20 to 29 and 20 to 33 and 21 the 25 effects 22 normally 23 potent 23 potent 25 effects 24 anabolic 25 effects 25 effects 26 of 25 effects 29 and 26 of 28 feeding 27 protein 28 feeding 29 and 31 exercise 29 and 32 , 30 resistance 31 exercise 32 , 33 and 33 and 34 to 34 to 37 effects 35 the 37 effects 36 anticatabolic 37 effects 37 effects 38 of 38 of 39 insulin 39 insulin 42 combination 40 , 42 combination 41 the 42 combination 42 combination 43 of 42 combination 51 . 43 of 44 which 44 which 45 has 45 has 46 been 46 been 50 resistance 47 termed 48 " 47 termed 50 resistance 49 anabolic 50 resistance 51 . 52 " however , this reduced sensitivity of skeletal muscle to anabolic stimuli may , in some cases , be overcome by providing a greater quantity of the nutrition [and/or] exercise stimulus . 0 ###LEFT-WALL### 5 sensitivity 0 ###LEFT-WALL### 12 may 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 31 . 1 however 2 , 1 however 5 sensitivity 3 this 4 reduced 4 reduced 5 sensitivity 5 sensitivity 6 of 5 sensitivity 12 may 6 of 8 muscle 7 skeletal 8 muscle 8 muscle 9 to 9 to 11 stimuli 10 anabolic 11 stimuli 13 , 17 , 14 in 15 some 14 in 17 , 16 cases 17 , 17 , 18 be 18 be 19 overcome 19 overcome 20 by 19 overcome 30 stimulus 20 by 21 providing 21 providing 27 nutrition 22 a 24 quantity 23 greater 24 quantity 24 quantity 25 of 24 quantity 27 nutrition 25 of 27 nutrition 26 the 27 nutrition 29 exercise 30 stimulus daily habitual physical activity appears to be a primary determinant of anabolic resistance as we have recently shown that as little as 14 days of reduced ambulatory activity was sufficient to induce anabolic resistance in the elderly by attenuating the postprandial increase in muscle protein synthesis ( mps ) . 0 ###LEFT-WALL### 4 activity 0 ###LEFT-WALL### 32 induce 0 ###LEFT-WALL### 50 . 1 daily 4 activity 2 habitual 4 activity 3 physical 4 activity 4 activity 5 appears 5 appears 6 to 5 appears 7 be 6 to 7 be 7 be 10 determinant 7 be 14 as 7 be 20 as 8 a 10 determinant 9 primary 10 determinant 10 determinant 11 of 11 of 13 resistance 12 anabolic 13 resistance 14 as 18 shown 15 we 16 have 16 have 18 shown 17 recently 18 shown 18 shown 19 that 20 as 21 little 20 as 29 was 21 little 22 as 21 little 25 of 21 little 29 was 22 as 24 days 23 14 24 days 25 of 28 activity 26 reduced 28 activity 27 ambulatory 28 activity 29 was 30 sufficient 30 sufficient 31 to 31 to 32 induce 32 induce 34 resistance 33 anabolic 34 resistance 34 resistance 35 in 34 resistance 38 by 34 resistance 43 in 34 resistance 48 mps 35 in 37 elderly 36 the 37 elderly 38 by 39 attenuating 39 attenuating 42 increase 40 the 42 increase 41 postprandial 42 increase 43 in 46 synthesis 44 muscle 45 protein 45 protein 46 synthesis 47 ( 48 mps 48 mps 49 ) the etiology of anabolic resistance is complex and may include alterations in amino acid uptake/utilization , cell signaling status , muscle blood flow , and microvascular perfusion ( impacting amino acid delivery and availability ) . 0 ###LEFT-WALL### 2 etiology 0 ###LEFT-WALL### 10 include 0 ###LEFT-WALL### 36 . 1 the 2 etiology 2 etiology 3 of 2 etiology 8 and 3 of 5 resistance 4 anabolic 5 resistance 6 is 7 complex 6 is 8 and 8 and 9 may 9 may 10 include 10 include 11 alterations 10 include 12 in 10 include 29 impacting 12 in 25 and 13 amino 15 uptake/utilization 14 acid 15 uptake/utilization 15 uptake/utilization 16 , 16 , 19 status 16 , 20 , 17 cell 19 status 18 signaling 19 status 20 , 23 flow 20 , 25 and 21 muscle 22 blood 22 blood 23 flow 24 , 25 and 25 and 27 perfusion 26 microvascular 27 perfusion 28 ( 29 impacting 29 impacting 33 and 29 impacting 35 ) 30 amino 31 acid 31 acid 32 delivery 32 delivery 33 and 33 and 34 availability further , there appears to be sexual dimorphism with advancing age in the response of mps to amino acid/insulin provision . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 appears 0 ###LEFT-WALL### 21 . 1 further 2 , 1 further 3 there 3 there 4 appears 4 appears 5 to 4 appears 6 be 5 to 6 be 6 be 8 dimorphism 7 sexual 8 dimorphism 8 dimorphism 9 with 8 dimorphism 15 of 9 with 10 advancing 10 advancing 11 age 10 advancing 12 in 12 in 14 response 13 the 14 response 15 of 16 mps 16 mps 17 to 17 to 20 provision 18 amino 19 acid/insulin 19 acid/insulin 20 provision maintenance of physical activity during aging is of fundamental importance for skeletal muscle to allow it to appropriately respond to the anabolic effects of nutrition . 0 ###LEFT-WALL### 1 maintenance 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 26 . 1 maintenance 2 of 1 maintenance 7 is 2 of 4 activity 3 physical 4 activity 4 activity 5 during 5 during 6 aging 7 is 8 of 7 is 17 to 8 of 10 importance 9 fundamental 10 importance 10 importance 11 for 10 importance 14 to 10 importance 15 allow 11 for 13 muscle 12 skeletal 13 muscle 14 to 15 allow 15 allow 16 it 17 to 19 respond 18 appropriately 19 respond 19 respond 20 to 20 to 23 effects 21 the 23 effects 22 anabolic 23 effects 23 effects 24 of 24 of 25 nutrition the principles of treating rheumatoid arthritis [(] [ra] [ )(have changed considerably in recent years . 0 ###LEFT-WALL### 2 principles 0 ###LEFT-WALL### 11 changed 0 ###LEFT-WALL### 16 . 1 the 2 principles 2 principles 3 of 2 principles 10 )(have 3 of 4 treating 4 treating 6 arthritis 5 rheumatoid 6 arthritis 10 )(have 11 changed 11 changed 12 considerably 11 changed 13 in 13 in 15 years 14 recent 15 years disease - modifying treatment ( if possible , methotrexate ) should be started as soon as the diagnosis [of] [ra] is made . 0 ###LEFT-WALL### 1 disease 0 ###LEFT-WALL### 13 started 0 ###LEFT-WALL### 23 . 1 disease 3 modifying 1 disease 9 methotrexate 1 disease 11 should 2 - 3 modifying 3 modifying 4 treatment 3 modifying 7 possible 3 modifying 8 , 5 ( 7 possible 6 if 7 possible 7 possible 8 , 8 , 9 methotrexate 9 methotrexate 10 ) 11 should 12 be 12 be 13 started 13 started 15 soon 13 started 16 as 14 as 15 soon 16 as 18 diagnosis 16 as 22 made 17 the 18 diagnosis 18 diagnosis 21 is 21 is 22 made the purpose of treatment is to achieve remission or , alternatively , low disease activity , and patients should be assessed every 1 - 3 months if they have early [ra] in order to achieve this aim . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 21 assessed 0 ###LEFT-WALL### 38 . 1 the 2 purpose 2 purpose 3 of 2 purpose 5 is 3 of 4 treatment 5 is 6 to 5 is 21 assessed 6 to 9 or 7 achieve 8 remission 7 achieve 9 or 9 or 13 low 10 , 11 alternatively 11 alternatively 12 , 11 alternatively 13 low 13 low 14 disease 14 disease 17 and 14 disease 20 be 15 activity 17 and 16 , 17 and 17 and 18 patients 17 and 19 should 19 should 20 be 21 assessed 22 every 21 assessed 27 if 22 every 26 months 23 1 24 - 24 - 25 3 24 - 26 months 27 if 28 they 27 if 29 have 28 they 29 have 29 have 30 early 29 have 32 in 29 have 34 to 29 have 35 achieve 32 in 33 order 34 to 35 achieve 35 achieve 37 aim 36 this 37 aim the same principles of treatment should apply in the elderly . 0 ###LEFT-WALL### 3 principles 0 ###LEFT-WALL### 7 apply 0 ###LEFT-WALL### 11 . 1 the 2 same 2 same 3 principles 3 principles 4 of 3 principles 6 should 4 of 5 treatment 6 should 7 apply 7 apply 8 in 8 in 10 elderly 9 the 10 elderly however , it is more difficult to assess [ra] activity in the elderly . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 14 . 1 however 2 , 1 however 3 it 3 it 4 is 4 is 6 difficult 5 more 6 difficult 6 difficult 7 to 6 difficult 8 assess 7 to 8 assess 8 assess 10 activity 8 assess 11 in 11 in 13 elderly 12 the 13 elderly overall disease activity [and/or] pain may be overestimated , as elderly patients may suffer from other diseases . 0 ###LEFT-WALL### 5 pain 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 18 . 1 overall 2 disease 2 disease 5 pain 3 activity 5 pain 5 pain 6 may 6 may 9 , 7 be 8 overestimated 7 be 9 , 9 , 14 suffer 10 as 11 elderly 11 elderly 12 patients 12 patients 13 may 13 may 14 suffer 14 suffer 15 from 15 from 17 diseases 16 other 17 diseases conversely , the number of joints with synovitis can be underestimated [compared] with young patients , and regular ultrasound assessment should therefore be considered . 0 ###LEFT-WALL### 6 joints 0 ###LEFT-WALL### 11 underestimated 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 25 . 1 conversely 2 , 1 conversely 6 joints 3 the 4 number 4 number 5 of 4 number 6 joints 5 of 6 joints 6 joints 7 with 6 joints 9 can 7 with 8 synovitis 9 can 10 be 10 be 11 underestimated 11 underestimated 13 with 13 with 15 patients 14 young 15 patients 16 , 17 and 17 and 20 assessment 17 and 24 considered 18 regular 20 assessment 19 ultrasound 20 assessment 20 assessment 21 should 21 should 23 be 22 therefore 23 be 23 be 24 considered treatment may be more difficult because of concomitant diseases and the increase [in] drug - related side effects . 0 ###LEFT-WALL### 1 treatment 0 ###LEFT-WALL### 3 be 0 ###LEFT-WALL### 16 related 1 treatment 2 may 2 may 3 be 3 be 5 difficult 4 more 5 difficult 5 difficult 7 of 6 because 7 of 7 of 10 and 8 concomitant 9 diseases 9 diseases 10 and 10 and 14 drug 11 the 14 drug 12 increase 14 drug 15 - 16 related 16 related 18 effects 16 related 19 . 17 side 18 effects the role of corticosteroids is still controversial as their short - term symptomatic effects on clinical activity and potential medium - term effect on structural deterioration are counter - balanced by their side effects . 0 ###LEFT-WALL### 2 role 0 ###LEFT-WALL### 5 is 1 the 2 role 2 role 3 of 2 role 5 is 3 of 4 corticosteroids 5 is 6 still 5 is 7 controversial 6 still 7 controversial 7 controversial 8 as 8 as 12 term 9 their 12 term 10 short 11 - 10 short 12 term 12 term 14 effects 12 term 28 counter 13 symptomatic 14 effects 14 effects 15 on 14 effects 27 are 15 on 18 and 16 clinical 17 activity 17 activity 18 and 18 and 23 effect 18 and 24 on 19 potential 23 effect 20 medium 21 - 20 medium 22 term 22 term 23 effect 24 on 26 deterioration 25 structural 26 deterioration 27 are 28 counter 28 counter 30 balanced 29 - 30 balanced 30 balanced 31 by 30 balanced 35 . 31 by 34 effects 32 their 34 effects 33 side 34 effects dosages of methotrexate need to be adjusted for creatinine clearance . 0 ###LEFT-WALL### 1 dosages 0 ###LEFT-WALL### 7 adjusted 0 ###LEFT-WALL### 11 . 1 dosages 2 of 1 dosages 7 adjusted 2 of 4 need 3 methotrexate 4 need 4 need 5 to 4 need 6 be 5 to 6 be 7 adjusted 8 for 8 for 10 clearance 9 creatinine 10 clearance the anti - tumor necrosis factors ( tnfs ) appear to be slightly less effective in the elderly . 0 ###LEFT-WALL### 6 factors 0 ###LEFT-WALL### 10 appear 0 ###LEFT-WALL### 19 . 1 the 6 factors 2 anti 3 - 2 anti 4 tumor 4 tumor 6 factors 5 necrosis 6 factors 6 factors 8 tnfs 6 factors 10 appear 7 ( 8 tnfs 8 tnfs 9 ) 10 appear 11 to 10 appear 12 be 11 to 12 be 12 be 13 slightly 12 be 15 effective 14 less 15 effective 15 effective 16 in 16 in 18 elderly 17 the 18 elderly