instead , in elderly patients , there are numerous physiological conditions that determine a bone metabolism alteration . 0 ###LEFT-WALL### 7 there 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 18 . 1 instead 2 , 1 instead 7 there 2 , 3 in 3 in 5 patients 3 in 6 , 3 in 7 there 4 elderly 5 patients 7 there 8 are 8 are 11 conditions 9 numerous 11 conditions 10 physiological 11 conditions 11 conditions 12 that 11 conditions 13 determine 12 that 13 determine 13 determine 17 alteration 14 a 17 alteration 15 bone 17 alteration 16 metabolism 17 alteration this is the main reason for the structural changes in trabecular and cortical bone , which is reflected in reduced biomechanical strength . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 23 . 1 this 2 is 2 is 5 reason 2 is 10 in 3 the 4 main 3 the 5 reason 5 reason 6 for 6 for 9 changes 7 the 9 changes 8 structural 9 changes 10 in 12 and 11 trabecular 12 and 12 and 14 bone 13 cortical 14 bone 15 , 16 which 15 , 18 reflected 16 which 17 is 17 is 18 reflected 18 reflected 19 in 19 in 22 strength 20 reduced 22 strength 21 biomechanical 22 strength in addition [,] muscular [situation] , such as muscle fiber atrophy , is unable to correctly support bone tissue , leading to the development of insufficiency fractures . 0 ###LEFT-WALL### 2 addition 0 ###LEFT-WALL### 13 is 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 28 . 1 in 2 addition 2 addition 4 muscular 2 addition 13 is 4 muscular 8 as 6 , 8 as 7 such 8 as 8 as 11 atrophy 8 as 12 , 9 muscle 11 atrophy 10 fiber 11 atrophy 13 is 14 unable 14 unable 15 to 14 unable 17 support 15 to 17 support 16 correctly 17 support 17 support 19 tissue 18 bone 19 tissue 20 , 21 leading 20 , 27 fractures 21 leading 22 to 21 leading 27 fractures 22 to 24 development 23 the 24 development 24 development 25 of 25 of 26 insufficiency proximal femur fractures are common in elderly osteoporotic patients . 0 ###LEFT-WALL### 3 fractures 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 10 . 1 proximal 2 femur 2 femur 3 fractures 3 fractures 4 are 4 are 5 common 5 common 6 in 6 in 9 patients 7 elderly 9 patients 8 osteoporotic 9 patients the consequences of hip fractures in elderly individuals are significant in terms of years of life lost and reduction of the quality of life . 0 ###LEFT-WALL### 2 consequences 0 ###LEFT-WALL### 9 are 0 ###LEFT-WALL### 25 . 1 the 2 consequences 2 consequences 3 of 2 consequences 9 are 3 of 5 fractures 4 hip 5 fractures 5 fractures 6 in 6 in 8 individuals 7 elderly 8 individuals 9 are 10 significant 10 significant 11 in 11 in 18 and 12 terms 13 of 12 terms 18 and 13 of 14 years 14 years 15 of 15 of 16 life 16 life 17 lost 18 and 19 reduction 18 and 20 of 20 of 22 quality 21 the 22 quality 22 quality 23 of 23 of 24 life the goal of the treatment is to return the patients to their pre - fracture level of quality of life and avoid complications during the surgery . 0 ###LEFT-WALL### 2 goal 0 ###LEFT-WALL### 27 . 1 the 2 goal 2 goal 3 of 2 goal 6 is 3 of 5 treatment 4 the 5 treatment 6 is 7 to 6 is 21 and 7 to 21 and 8 return 10 patients 8 return 21 and 9 the 10 patients 10 patients 11 to 11 to 16 level 12 their 16 level 13 pre 14 - 13 pre 15 fracture 15 fracture 16 level 16 level 17 of 17 of 18 quality 18 quality 19 of 19 of 20 life 21 and 22 avoid 21 and 24 during 22 avoid 23 complications 24 during 26 surgery 25 the 26 surgery to achieve this goal , surgery is usually required for the vast majority of hip fracture patients . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 achieve 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 18 . 1 to 2 achieve 2 achieve 4 goal 3 this 4 goal 5 , 6 surgery 5 , 7 is 6 surgery 7 is 7 is 8 usually 7 is 10 for 8 usually 9 required 10 for 17 patients 11 the 13 majority 12 vast 13 majority 13 majority 14 of 13 majority 17 patients 14 of 17 patients 15 hip 16 fracture 16 fracture 17 patients the proximal femur fractures are classified into medial and lateral fractures ; usually the former fractures are treated with hip replacement and the latter are treated with osteosynthesis . 0 ###LEFT-WALL### 4 fractures 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 12 ; 0 ###LEFT-WALL### 29 . 1 the 4 fractures 2 proximal 3 femur 3 femur 4 fractures 4 fractures 5 are 5 are 6 classified 6 classified 7 into 7 into 11 fractures 8 medial 9 and 9 and 10 lateral 9 and 11 fractures 12 ; 16 fractures 12 ; 18 treated 12 ; 22 and 13 usually 16 fractures 14 the 16 fractures 15 former 16 fractures 16 fractures 17 are 17 are 18 treated 18 treated 19 with 19 with 21 replacement 20 hip 21 replacement 22 and 24 latter 22 and 26 treated 23 the 24 latter 24 latter 25 are 25 are 26 treated 26 treated 27 with 27 with 28 osteosynthesis the best way to treat this type of injury is mandatory and requires an accurate pre - operative classification of the lesion , considering also the comorbidity associated with the hip fractures . 0 ###LEFT-WALL### 3 way 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 33 . 1 the 2 best 1 the 3 way 3 way 4 to 3 way 5 treat 3 way 12 and 4 to 5 treat 5 treat 9 injury 6 this 7 type 7 type 8 of 7 type 9 injury 8 of 9 injury 10 is 11 mandatory 10 is 12 and 12 and 13 requires 12 and 16 pre 14 an 15 accurate 14 an 16 pre 15 accurate 16 pre 16 pre 19 classification 17 - 19 classification 18 operative 19 classification 19 classification 20 of 19 classification 23 , 20 of 22 lesion 21 the 22 lesion 23 , 24 considering 23 , 32 fractures 24 considering 25 also 24 considering 27 comorbidity 24 considering 29 with 24 considering 32 fractures 26 the 27 comorbidity 27 comorbidity 28 associated 29 with 31 hip 30 the 31 hip osseointegration is a term that refers to the formation of a direct interface between an [implant] [and] bone [without] intervening soft tissue . 0 ###LEFT-WALL### 1 osseointegration 0 ###LEFT-WALL### 6 refers 0 ###LEFT-WALL### 23 . 1 osseointegration 2 is 2 is 4 term 3 a 4 term 4 term 5 that 4 term 6 refers 5 that 6 refers 6 refers 7 to 6 refers 14 between 7 to 9 formation 8 the 9 formation 9 formation 10 of 10 of 13 interface 11 a 12 direct 11 a 13 interface 12 direct 13 interface 14 between 22 tissue 15 an 22 tissue 18 bone 20 intervening 20 intervening 22 tissue 21 soft 22 tissue cementless femoral fixation in total hip arthroplasty is dependent on mechanical and biological factors that affect [implant] stability and long - term outcome . 0 ###LEFT-WALL### 3 fixation 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 24 . 1 cementless 3 fixation 2 femoral 3 fixation 3 fixation 4 in 3 fixation 8 is 4 in 7 arthroplasty 5 total 7 arthroplasty 6 hip 7 arthroplasty 8 is 9 dependent 9 dependent 10 on 10 on 14 factors 11 mechanical 12 and 12 and 13 biological 12 and 14 factors 14 factors 15 that 14 factors 16 affect 15 that 16 affect 16 affect 19 and 18 stability 19 and 19 and 23 outcome 20 long 21 - 20 long 23 outcome 22 term 23 outcome osteoporosis leads to morphological and biological alterations in the proximal femur that adversely affect both mechanical stability of [implant] and biological response [of] bone , making it more challenging to achieve a valid osseointegration . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 24 bone 1 osteoporosis 2 leads 2 leads 3 to 2 leads 20 and 3 to 5 and 4 morphological 5 and 5 and 6 biological 5 and 7 alterations 5 and 18 of 7 alterations 8 in 7 alterations 14 affect 8 in 11 femur 9 the 11 femur 10 proximal 11 femur 12 that 13 adversely 13 adversely 14 affect 14 affect 17 stability 15 both 16 mechanical 16 mechanical 17 stability 17 stability 18 of 20 and 22 response 20 and 24 bone 21 biological 22 response 24 bone 26 making 25 , 26 making 26 making 27 it 26 making 34 osseointegration 26 making 35 . 27 it 29 challenging 28 more 29 challenging 29 challenging 30 to 29 challenging 31 achieve 30 to 31 achieve 32 a 33 valid 32 a 34 osseointegration 33 valid 34 osseointegration we performed a pilot study with the purpose to evaluate the prevalence of sarcopenia in osteoporotic women with vertebral fractures . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 performed 0 ###LEFT-WALL### 21 . 1 we 2 performed 2 performed 5 study 2 performed 6 with 2 performed 9 to 3 a 5 study 4 pilot 5 study 6 with 8 purpose 7 the 8 purpose 9 to 10 evaluate 10 evaluate 12 prevalence 10 evaluate 15 in 10 evaluate 18 with 11 the 12 prevalence 12 prevalence 13 of 13 of 14 sarcopenia 15 in 17 women 16 osteoporotic 17 women 18 with 20 fractures 19 vertebral 20 fractures dual - energy x - ray absorptiometry ( dxa ) was used to measure the whole and regional body composition . 0 ###LEFT-WALL### 3 energy 0 ###LEFT-WALL### 12 used 0 ###LEFT-WALL### 21 . 1 dual 2 - 1 dual 3 energy 3 energy 4 x 3 energy 7 absorptiometry 3 energy 11 was 5 - 7 absorptiometry 6 ray 7 absorptiometry 7 absorptiometry 9 dxa 7 absorptiometry 10 ) 8 ( 9 dxa 9 dxa 10 ) 11 was 12 used 12 used 13 to 12 used 14 measure 13 to 14 measure 14 measure 20 composition 15 the 20 composition 16 whole 17 and 17 and 18 regional 17 and 20 composition 19 body 20 composition appendicular lean [mass] ( alm ) was calculated as the sum of lean [mass] in arms and legs . 0 ###LEFT-WALL### 2 lean 0 ###LEFT-WALL### 8 calculated 0 ###LEFT-WALL### 19 . 1 appendicular 2 lean 2 lean 5 alm 2 lean 7 was 4 ( 5 alm 5 alm 6 ) 7 was 8 calculated 8 calculated 9 as 9 as 17 and 10 the 11 sum 11 sum 12 of 11 sum 13 lean 12 of 13 lean 13 lean 15 in 13 lean 17 and 15 in 16 arms 17 and 18 legs we calculated the skeletal muscle mass index [(] [alm/h] ( 2 ) [ )(, and we measured bone mineral density and t scores by dxa scan at total - [body] and [at] femoral neck . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 calculated 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 35 . 1 we 2 calculated 2 calculated 7 index 3 the 7 index 4 skeletal 5 muscle 5 muscle 7 index 6 mass 7 index 7 index 11 2 10 ( 11 2 11 2 12 ) 14 )(, 15 and 15 and 16 we 15 and 17 measured 16 we 17 measured 17 measured 21 and 17 measured 27 at 18 bone 19 mineral 19 mineral 20 density 20 density 21 and 21 and 22 t 21 and 23 scores 21 and 26 scan 23 scores 24 by 23 scores 26 scan 24 by 25 dxa 27 at 31 and 28 total 31 and 29 - 31 and 31 and 34 neck 33 femoral 34 neck participants were divided according to the number of vertebral fractures ( single or multiple fractures ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 divided 0 ###LEFT-WALL### 17 . 1 participants 2 were 2 were 3 divided 3 divided 5 to 4 according 5 to 5 to 7 number 6 the 7 number 7 number 8 of 8 of 10 fractures 9 vertebral 10 fractures 10 fractures 15 fractures 11 ( 15 fractures 12 single 13 or 13 or 14 multiple 13 or 15 fractures 15 fractures 16 ) a total of 67 women were included . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 7 included 0 ###LEFT-WALL### 8 . 1 a 2 total 2 total 3 of 2 total 6 were 3 of 5 women 4 67 5 women 6 were 7 included thirty - five women ( 52.23 % ) had a vertebral fracture , of them 8 ( 22.85 % ) were sarcopenic and 32 women ( 47.76 % ) had multiple vertebral fractures , of them 14 ( 43.75 % ) were sarcopenic . 0 ###LEFT-WALL### 1 thirty 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 44 . 2 - 4 women 2 - 9 had 2 - 13 , 2 - 34 , 3 five 4 women 4 women 7 % 4 women 9 had 5 ( 7 % 6 52.23 7 % 7 % 8 ) 9 had 12 fracture 10 a 12 fracture 11 vertebral 12 fracture 13 , 16 8 13 , 21 were 13 , 23 and 14 of 15 them 14 of 16 8 16 8 19 % 16 8 21 were 17 ( 19 % 18 22.85 19 % 19 % 20 ) 21 were 22 sarcopenic 23 and 25 women 23 and 30 had 24 32 25 women 25 women 28 % 25 women 30 had 26 ( 28 % 27 47.76 28 % 28 % 29 ) 30 had 33 fractures 31 multiple 33 fractures 32 vertebral 33 fractures 34 , 37 14 34 , 42 were 35 of 36 them 35 of 37 14 37 14 40 % 37 14 42 were 38 ( 40 % 39 43.75 40 % 40 % 41 ) 42 were 43 sarcopenic our results suggest that sarcopenia is common among osteoporotic women increasing along with the number of vertebral fragility fractures . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 20 . 1 our 2 results 2 results 3 suggest 3 suggest 4 that 4 that 5 sarcopenia 4 that 6 is 5 sarcopenia 6 is 6 is 7 common 7 common 8 among 8 among 10 women 9 osteoporotic 10 women 10 women 11 increasing 11 increasing 13 with 12 along 13 with 13 with 19 fractures 14 the 15 number 15 number 16 of 15 number 19 fractures 16 of 19 fractures 17 vertebral 18 fragility 18 fragility 19 fractures bone is a tissue that dynamically adapts mass [and] architecture to the mechanical loads that occur in daily life in a world with gravity . 0 ###LEFT-WALL### 1 bone 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 25 . 1 bone 2 is 2 is 4 tissue 3 a 4 tissue 4 tissue 5 that 4 tissue 7 adapts 5 that 7 adapts 6 dynamically 7 adapts 7 adapts 10 architecture 7 adapts 20 in 7 adapts 23 with 8 mass 10 architecture 10 architecture 11 to 11 to 14 loads 12 the 14 loads 13 mechanical 14 loads 14 loads 15 that 14 loads 16 occur 15 that 16 occur 16 occur 17 in 17 in 19 life 18 daily 19 life 20 in 22 world 21 a 22 world 23 with 24 gravity bone architecture and mass are influenced by the applied tension peak , whereas the bone formation rate is modulated by the stimulus frequency . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 19 modulated 0 ###LEFT-WALL### 24 . 1 bone 2 architecture 2 architecture 3 and 3 and 4 mass 3 and 5 are 5 are 6 influenced 6 influenced 7 by 6 influenced 13 whereas 7 by 11 peak 8 the 11 peak 9 applied 10 tension 10 tension 11 peak 12 , 13 whereas 13 whereas 17 rate 14 the 17 rate 15 bone 17 rate 16 formation 17 rate 17 rate 18 is 18 is 19 modulated 19 modulated 20 by 20 by 23 frequency 21 the 23 frequency 22 stimulus 23 frequency in bone tissue , osteocytes govern the detection of mechanical afferents and their transformation into biochemical messages , therefore these cells can be considered a mechanosensor that directs osteogenesis to where it is most needed to increase bone strength . 0 ###LEFT-WALL### 5 osteocytes 0 ###LEFT-WALL### 6 govern 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 37 increase 0 ###LEFT-WALL### 40 . 1 in 3 tissue 1 in 4 , 1 in 5 osteocytes 2 bone 3 tissue 5 osteocytes 6 govern 6 govern 12 and 6 govern 15 into 7 the 12 and 8 detection 9 of 8 detection 12 and 9 of 11 afferents 10 mechanical 11 afferents 12 and 14 transformation 13 their 14 transformation 15 into 17 messages 16 biochemical 17 messages 18 , 21 cells 18 , 24 considered 19 therefore 21 cells 20 these 21 cells 21 cells 22 can 22 can 23 be 23 be 24 considered 24 considered 26 mechanosensor 24 considered 31 where 24 considered 36 to 25 a 26 mechanosensor 26 mechanosensor 27 that 26 mechanosensor 30 to 27 that 28 directs 28 directs 29 osteogenesis 28 directs 30 to 31 where 32 it 31 where 33 is 32 it 33 is 33 is 34 most 34 most 35 needed 36 to 37 increase 37 increase 39 strength 38 bone 39 strength the stimulation of osteocytes occurs with several modalities : shear stress and stretch , extracellular pressure modifications , strains , variations [of] [electric] field in and around osteocytes lacunae . 0 ###LEFT-WALL### 2 stimulation 0 ###LEFT-WALL### 5 occurs 0 ###LEFT-WALL### 9 : 1 the 2 stimulation 2 stimulation 3 of 2 stimulation 5 occurs 3 of 4 osteocytes 5 occurs 6 with 6 with 8 modalities 7 several 8 modalities 9 : 10 shear 9 : 20 , 9 : 30 . 10 shear 12 and 11 stress 12 and 12 and 13 stretch 12 and 17 modifications 14 , 17 modifications 15 extracellular 17 modifications 16 pressure 17 modifications 17 modifications 19 strains 17 modifications 20 , 18 , 19 strains 19 strains 20 , 20 , 21 variations 20 , 24 field 21 variations 24 field 24 field 26 and 25 in 26 and 26 and 27 around 26 and 29 lacunae 28 osteocytes 29 lacunae the osteocyte network , under physiological conditions , activates osteoclastogenesis and suppresses osteoblast function enhancing bone resorption and inhibiting bone formation . 0 ###LEFT-WALL### 3 network 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 22 . 1 the 3 network 2 osteocyte 3 network 3 network 5 under 3 network 11 and 4 , 5 under 5 under 7 conditions 5 under 8 , 6 physiological 7 conditions 9 activates 10 osteoclastogenesis 9 activates 11 and 11 and 12 suppresses 12 suppresses 18 and 13 osteoblast 17 resorption 14 function 17 resorption 15 enhancing 17 resorption 16 bone 17 resorption 17 resorption 18 and 18 and 21 formation 19 inhibiting 21 formation 20 bone 21 formation in the unloaded condition , the functions of the osteocyte network are augmented , whereas exercise could decrease inhibitory effects on bone mass [by] reducing both osteoclastogenesis and inhibition on osteoblast function . 0 ###LEFT-WALL### 7 functions 0 ###LEFT-WALL### 13 augmented 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 33 . 1 in 4 condition 1 in 5 , 1 in 7 functions 2 the 4 condition 3 unloaded 4 condition 6 the 7 functions 7 functions 8 of 7 functions 12 are 8 of 11 network 9 the 11 network 10 osteocyte 11 network 12 are 13 augmented 14 , 28 and 14 , 32 function 15 whereas 16 exercise 15 whereas 18 decrease 15 whereas 28 and 16 exercise 17 could 17 could 18 decrease 18 decrease 20 effects 18 decrease 21 on 19 inhibitory 20 effects 21 on 25 reducing 22 bone 25 reducing 23 mass 25 reducing 26 both 28 and 27 osteoclastogenesis 28 and 28 and 29 inhibition 28 and 30 on 28 and 32 function 30 on 31 osteoblast fragility fractures and their care are a major burden on individuals , health systems , and social care systems in industrialized countries . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 23 . 1 fragility 2 fractures 2 fractures 3 and 3 and 5 care 3 and 6 are 4 their 5 care 6 are 9 burden 7 a 9 burden 8 major 9 burden 9 burden 10 on 9 burden 20 in 10 on 16 and 11 individuals 12 , 12 , 14 systems 12 , 16 and 13 health 14 systems 15 , 16 and 16 and 19 systems 17 social 18 care 18 care 19 systems 20 in 22 countries 21 industrialized 22 countries fragility [fracture] can lead to long lasting painful and disabling condition . 0 ###LEFT-WALL### 1 fragility 0 ###LEFT-WALL### 4 lead 0 ###LEFT-WALL### 12 . 1 fragility 3 can 3 can 4 lead 4 lead 5 to 5 to 11 condition 6 long 11 condition 7 lasting 11 condition 8 painful 9 and 9 and 10 disabling 9 and 11 condition the level of pain is a major determinant for the outcome of any treatment of these fractures regardless of its location . 0 ###LEFT-WALL### 2 level 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 22 . 1 the 2 level 2 level 3 of 2 level 5 is 3 of 4 pain 5 is 8 determinant 5 is 9 for 5 is 19 of 6 a 7 major 6 a 8 determinant 7 major 8 determinant 9 for 11 outcome 10 the 11 outcome 11 outcome 12 of 12 of 14 treatment 13 any 14 treatment 14 treatment 15 of 15 of 17 fractures 16 these 17 fractures 18 regardless 19 of 19 of 21 location 20 its 21 location the treatment of pain [in] patient with fragility [fracture] is rarely considered a priority in the care pathway . 0 ###LEFT-WALL### 2 treatment 0 ###LEFT-WALL### 12 considered 0 ###LEFT-WALL### 19 . 1 the 2 treatment 2 treatment 3 of 2 treatment 10 is 3 of 4 pain 4 pain 6 patient 6 patient 7 with 7 with 8 fragility 10 is 11 rarely 10 is 12 considered 12 considered 14 priority 12 considered 15 in 13 a 14 priority 15 in 18 pathway 16 the 18 pathway 17 care 18 pathway purpose : to investigate the optical intensities of all retinal layers on three - dimensional ( 3 d ) spectral - domain optical coherence tomography ( sd - oct ) in normal subjects using an automatic measurement . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 . 2 : 3 to 2 : 4 investigate 3 to 4 investigate 4 investigate 7 intensities 4 investigate 31 in 5 the 7 intensities 6 optical 7 intensities 7 intensities 8 of 8 of 11 layers 9 all 11 layers 10 retinal 11 layers 11 layers 12 on 12 on 13 three 13 three 25 tomography 14 - 25 tomography 15 dimensional 18 d 15 dimensional 19 ) 15 dimensional 22 domain 16 ( 18 d 17 3 18 d 18 d 19 ) 20 spectral 21 - 20 spectral 22 domain 22 domain 25 tomography 23 optical 24 coherence 24 coherence 25 tomography 25 tomography 29 oct 25 tomography 30 ) 26 ( 29 oct 27 sd 29 oct 28 - 29 oct 29 oct 30 ) 31 in 33 subjects 32 normal 33 subjects 33 subjects 34 using 34 using 37 measurement 35 an 36 automatic 35 an 37 measurement 36 automatic 37 measurement methods : forty normal subjects underwent topcon 3 [d] oct - 1000 macula - centered scan . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 subjects 2 : 16 scan 2 : 17 . 3 forty 5 subjects 4 normal 5 subjects 5 subjects 6 underwent 6 underwent 7 topcon 7 topcon 8 3 7 topcon 16 scan 8 3 10 oct 8 3 15 centered 8 3 16 scan 10 oct 13 macula 10 oct 15 centered 11 - 13 macula 12 1000 13 macula 13 macula 14 - the raw data were automatically segmented into 10 layers using the 3 d graph search approach . 0 ###LEFT-WALL### 3 data 0 ###LEFT-WALL### 6 segmented 0 ###LEFT-WALL### 17 . 1 the 3 data 2 raw 3 data 3 data 4 were 4 were 6 segmented 5 automatically 6 segmented 6 segmented 7 into 7 into 9 layers 8 10 9 layers 9 layers 10 using 10 using 16 approach 11 the 16 approach 12 3 13 d 13 d 16 approach 14 graph 16 approach 15 search 16 approach then the mean and standard deviation of intensities of each layer were calculated . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 13 calculated 0 ###LEFT-WALL### 14 . 1 then 4 and 2 the 3 mean 3 mean 4 and 4 and 6 deviation 4 and 7 of 4 and 9 of 4 and 12 were 5 standard 6 deviation 7 of 8 intensities 9 of 11 layer 10 each 11 layer 12 were 13 calculated the image quality index was given by the oct software . 0 ###LEFT-WALL### 4 index 0 ###LEFT-WALL### 6 given 0 ###LEFT-WALL### 11 . 1 the 4 index 2 image 4 index 3 quality 4 index 4 index 5 was 5 was 6 given 6 given 7 by 7 by 10 software 8 the 10 software 9 oct 10 software correlation analysis was performed between the optical intensities in each layer and image quality and subject 's age . 0 ###LEFT-WALL### 1 correlation 0 ###LEFT-WALL### 17 's 0 ###LEFT-WALL### 19 . 1 correlation 2 analysis 1 correlation 16 subject 1 correlation 17 's 2 analysis 3 was 3 was 12 and 4 performed 5 between 4 performed 9 in 4 performed 12 and 5 between 8 intensities 6 the 8 intensities 7 optical 8 intensities 9 in 11 layer 10 each 11 layer 12 and 15 and 13 image 14 quality 13 image 15 and 15 and 16 subject 17 's 18 age results : the correlation of optical intensities was strong from ganglion cell layer ( gcl ) to outer nuclear layer ( onl ) [with] r > 0.934 [;] moderate among retinal nerve fiber layer ( rnfl [ )(, photoreceptor [,] retinal pigment [epithelium] ( rpe ) , [and] choroid ( 0.410 < [r] < 0.800 [ )( [and] low in the vitreous ( 0.251 < r < 0.541 [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 was 2 : 4 correlation 3 the 4 correlation 4 correlation 5 of 4 correlation 8 was 5 of 7 intensities 6 optical 7 intensities 8 was 9 strong 9 strong 10 from 9 strong 17 to 10 from 13 layer 11 ganglion 12 cell 12 cell 13 layer 13 layer 15 gcl 14 ( 15 gcl 15 gcl 16 ) 17 to 20 layer 18 outer 20 layer 19 nuclear 20 layer 20 layer 22 onl 20 layer 26 > 21 ( 22 onl 22 onl 23 ) 25 r 26 > 26 > 27 0.934 27 0.934 29 moderate 29 moderate 30 among 30 among 42 pigment 31 retinal 38 )(, 31 retinal 39 photoreceptor 32 nerve 34 layer 33 fiber 34 layer 34 layer 36 rnfl 35 ( 36 rnfl 36 rnfl 38 )(, 39 photoreceptor 42 pigment 41 retinal 42 pigment 42 pigment 45 rpe 42 pigment 54 < 44 ( 45 rpe 45 rpe 46 ) 47 , 54 < 49 choroid 52 < 50 ( 52 < 51 0.410 52 < 52 < 54 < 54 < 55 0.800 55 0.800 59 low 59 low 60 in 59 low 65 < 59 low 67 < 60 in 62 vitreous 61 the 62 vitreous 63 ( 65 < 64 0.251 65 < 65 < 67 < 66 r 67 < 67 < 68 0.541 67 < 70 )( the optical intensities were also correlated with the image quality , r > 0.869 from gcl to onl , 0.748 < r < 0.802 for rnfl , photoreceptor layer , rpe , and the choroid , r = 0.528 for the vitreous . 0 ###LEFT-WALL### 3 intensities 0 ###LEFT-WALL### 6 correlated 0 ###LEFT-WALL### 43 . 1 the 3 intensities 2 optical 3 intensities 3 intensities 4 were 4 were 6 correlated 5 also 6 correlated 6 correlated 7 with 6 correlated 38 = 7 with 10 quality 8 the 10 quality 9 image 10 quality 10 quality 13 > 11 , 13 > 12 r 13 > 13 > 14 0.869 14 0.869 15 from 15 from 16 gcl 16 gcl 17 to 16 gcl 25 for 17 to 18 onl 18 onl 21 < 18 onl 23 < 19 , 21 < 20 0.748 21 < 21 < 23 < 22 r 23 < 23 < 24 0.802 25 for 33 and 26 rnfl 27 , 27 , 29 layer 27 , 30 , 28 photoreceptor 29 layer 30 , 31 rpe 30 , 33 and 32 , 33 and 33 and 35 choroid 34 the 35 choroid 36 , 38 = 37 r 38 = 38 = 39 0.528 39 0.528 40 for 40 for 42 vitreous 41 the 42 vitreous the optical intensity in rnfl was negatively correlated with age ( r = - 0.365 ) . 0 ###LEFT-WALL### 3 intensity 0 ###LEFT-WALL### 8 correlated 0 ###LEFT-WALL### 17 . 1 the 3 intensity 2 optical 3 intensity 3 intensity 4 in 3 intensity 6 was 4 in 5 rnfl 6 was 7 negatively 6 was 8 correlated 8 correlated 9 with 9 with 10 age 10 age 14 - 11 ( 14 - 12 r 13 = 13 = 14 - 14 - 15 0.365 14 - 16 ) conclusions : automatic assessment of the layers ' intensities was achieved . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 assessment 2 : 11 achieved 2 : 12 . 3 automatic 4 assessment 4 assessment 5 of 4 assessment 10 was 5 of 9 intensities 6 the 7 layers 7 layers 8 ' 8 ' 9 intensities 10 was 11 achieved in normal subjects , the retinal layers ' optical intensities were affected by image quality . 0 ###LEFT-WALL### 10 intensities 0 ###LEFT-WALL### 12 affected 0 ###LEFT-WALL### 16 . 1 in 3 subjects 1 in 4 , 1 in 10 intensities 2 normal 3 subjects 5 the 7 layers 6 retinal 7 layers 7 layers 8 ' 8 ' 10 intensities 9 optical 10 intensities 10 intensities 11 were 11 were 12 affected 12 affected 13 by 13 by 15 quality 14 image 15 quality normalization with optical intensity [of] onl , all areas , or image quality index is recommended . 0 ###LEFT-WALL### 11 or 0 ###LEFT-WALL### 16 recommended 0 ###LEFT-WALL### 17 . 1 normalization 2 with 1 normalization 7 , 2 with 6 onl 3 optical 6 onl 4 intensity 6 onl 7 , 9 areas 7 , 11 or 8 all 9 areas 10 , 11 or 11 or 14 index 11 or 15 is 12 image 14 index 13 quality 14 index 15 is 16 recommended the optical intensity of rnfl decreased with age . 0 ###LEFT-WALL### 3 intensity 0 ###LEFT-WALL### 6 decreased 0 ###LEFT-WALL### 9 . 1 the 3 intensity 2 optical 3 intensity 3 intensity 4 of 3 intensity 6 decreased 4 of 5 rnfl 6 decreased 7 with 7 with 8 age although some studies suggest that a linear [dose] - response relationship exists between exercise and insulin sensitivity , the exercise dose required to enhance pancreatic β - [cell] [function] is unknown . 0 ###LEFT-WALL### 4 suggest 0 ###LEFT-WALL### 32 . 1 although 3 studies 1 although 4 suggest 2 some 3 studies 4 suggest 5 that 4 suggest 30 is 5 that 11 relationship 5 that 12 exists 5 that 30 is 6 a 7 linear 6 a 11 relationship 7 linear 9 - 7 linear 10 response 10 response 11 relationship 11 relationship 12 exists 12 exists 13 between 13 between 15 and 14 exercise 15 and 15 and 17 sensitivity 15 and 21 dose 16 insulin 17 sensitivity 18 , 21 dose 19 the 21 dose 20 exercise 21 dose 21 dose 22 required 21 dose 27 - 22 required 23 to 22 required 24 enhance 23 to 24 enhance 24 enhance 26 β 25 pancreatic 26 β 30 is 31 unknown thirty - five older obese adults with prediabetes underwent a progressive 12 [-] wk supervised exercise intervention ( 5 days / [wk] for 60 min at ~85 % hrmax ) . 0 ###LEFT-WALL### 6 adults 0 ###LEFT-WALL### 9 underwent 0 ###LEFT-WALL### 31 . 1 thirty 2 - 2 - 3 five 2 - 4 older 4 older 6 adults 5 obese 6 adults 6 adults 7 with 6 adults 9 underwent 7 with 8 prediabetes 9 underwent 17 intervention 10 a 11 progressive 10 a 17 intervention 11 progressive 16 exercise 12 12 14 wk 14 wk 15 supervised 15 supervised 16 exercise 16 exercise 17 intervention 17 intervention 21 / 18 ( 21 / 19 5 20 days 20 days 21 / 21 / 23 for 21 / 30 ) 23 for 25 min 24 60 25 min 25 min 26 at 26 at 29 hrmax 27 ~85 29 hrmax 28 % 29 hrmax [insulin] and c - peptide responses to an ogtt were used to define the first - and second - phase disposition index [(] di ; β - cell function [=] glucose - stimulated insulin secretion × [clamp] - derived insulin sensitivity ) . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 26 β 0 ###LEFT-WALL### 43 . 2 and 3 c 2 and 4 - 3 c 4 - 4 - 6 responses 5 peptide 6 responses 6 responses 7 to 6 responses 17 and 7 to 9 ogtt 8 an 9 ogtt 10 were 11 used 10 were 17 and 11 used 12 to 11 used 13 define 12 to 13 define 13 define 15 first 14 the 15 first 16 - 17 and 17 and 18 second 19 - 22 index 19 - 25 ; 20 phase 22 index 21 disposition 22 index 22 index 24 di 25 ; 26 β 26 β 32 - 27 - 32 - 28 cell 29 function 29 function 31 glucose 31 glucose 32 - 32 - 36 × 32 - 42 ) 33 stimulated 36 × 34 insulin 36 × 35 secretion 36 × 36 × 41 sensitivity 38 - 41 sensitivity 39 derived 41 sensitivity 40 insulin 41 sensitivity 41 sensitivity 42 ) maximum oxygen consumption ( vo2max [ )(and body composition ( dual - energy x - ray absorptiometry and computed tomography ) were also measured before and after the intervention . 0 ###LEFT-WALL### 3 consumption 0 ###LEFT-WALL### 22 were 0 ###LEFT-WALL### 30 . 1 maximum 2 oxygen 2 oxygen 3 consumption 3 consumption 7 )(and 3 consumption 22 were 4 ( 7 )(and 5 vo2max 7 )(and 7 )(and 9 composition 7 )(and 13 energy 7 )(and 21 ) 8 body 9 composition 10 ( 13 energy 11 dual 12 - 11 dual 13 energy 13 energy 14 x 13 energy 18 and 13 energy 21 ) 15 - 18 and 16 ray 17 absorptiometry 17 absorptiometry 18 and 18 and 20 tomography 18 and 21 ) 19 computed 20 tomography 22 were 23 also 22 were 24 measured 24 measured 26 and 25 before 26 and 26 and 27 after 27 after 29 intervention 28 the 29 intervention exercise [dose] was computed using vo2/heart - rate derived linear regression equations . 0 ###LEFT-WALL### 1 exercise 0 ###LEFT-WALL### 4 computed 0 ###LEFT-WALL### 7 - 1 exercise 3 was 3 was 4 computed 4 computed 5 using 5 using 6 vo2/heart 7 - 8 rate 7 - 13 . 8 rate 12 equations 9 derived 11 regression 10 linear 11 regression 11 regression 12 equations subjects expended 474.5 ± 8.8 kcal/session ( 2,372.5 ± 44.1 kcal / [wk] ) during the intervention and lost ~8 % body weight . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 24 . 1 subjects 18 and 2 expended 6 kcal/session 2 expended 15 during 2 expended 18 and 3 474.5 6 kcal/session 4 ± 6 kcal/session 5 8.8 6 kcal/session 6 kcal/session 12 / 7 ( 12 / 8 2,372.5 12 / 9 ± 12 / 10 44.1 11 kcal 11 kcal 12 / 12 / 14 ) 15 during 17 intervention 16 the 17 intervention 18 and 19 lost 19 lost 23 weight 20 ~8 22 body 21 % 22 body 22 body 23 weight exercise increased first - and second [-] phase di ( p < 0.05 ) , and these changes in di were linearly related to exercise dose [(] difirst phase : [r] = 0.54 , p < 0.001 ; disecond phase : [r] = 0.56 , p = 0.0005 ) . 0 ###LEFT-WALL### 29 phase 0 ###LEFT-WALL### 30 : 0 ###LEFT-WALL### 50 . 1 exercise 2 increased 1 exercise 5 and 2 increased 3 first 4 - 5 and 5 and 8 phase 5 and 12 < 5 and 16 and 6 second 8 phase 8 phase 9 di 10 ( 12 < 11 p 12 < 12 < 13 0.05 12 < 14 ) 15 , 16 and 16 and 17 these 16 and 18 changes 16 and 25 exercise 16 and 26 dose 18 changes 19 in 18 changes 21 were 19 in 20 di 21 were 23 related 22 linearly 23 related 23 related 24 to 24 to 25 exercise 26 dose 29 phase 28 difirst 29 phase 30 : 33 0.54 30 : 38 ; 32 = 33 0.54 33 0.54 36 < 34 , 36 < 35 p 36 < 36 < 37 0.001 38 ; 40 phase 38 ; 41 : 39 disecond 40 phase 41 : 44 0.56 43 = 44 0.56 44 0.56 47 = 45 , 47 = 46 p 47 = 47 = 48 0.0005 47 = 49 ) enhanced di was also associated with increased vo2max ( difirst phase : [r] = 0.36 , p = 0.04 ; disecond phase : r = 0.41 , p < 0.02 ) but not lower body fat ( difirst phase : r = - 0.21 , p = 0.25 [;] disecond phase : r = - 0.30 , p = 0.10 [ )(after training . 0 ###LEFT-WALL### 1 enhanced 0 ###LEFT-WALL### 12 : 1 enhanced 3 was 1 enhanced 6 with 2 di 3 was 3 was 5 associated 4 also 5 associated 6 with 8 vo2max 7 increased 8 vo2max 8 vo2max 11 phase 9 ( 11 phase 10 difirst 11 phase 11 phase 12 : 12 : 15 0.36 12 : 20 ; 14 = 15 0.36 15 0.36 18 = 16 , 18 = 17 p 18 = 18 = 19 0.04 18 = 20 ; 20 ; 22 phase 20 ; 23 : 20 ; 32 but 21 disecond 22 phase 22 phase 23 : 23 : 25 = 23 : 29 < 24 r 25 = 25 = 26 0.41 25 = 27 , 28 p 29 < 29 < 30 0.02 29 < 31 ) 32 but 39 phase 32 but 40 : 33 not 36 fat 33 not 39 phase 34 lower 35 body 35 body 36 fat 37 ( 38 difirst 38 difirst 39 phase 39 phase 40 : 40 : 42 = 41 r 42 = 42 = 44 0.21 43 - 44 0.21 44 0.21 55 - 45 , 55 - 46 p 47 = 47 = 48 0.25 48 0.25 51 phase 48 0.25 52 : 48 0.25 54 = 50 disecond 51 phase 51 phase 52 : 53 r 54 = 54 = 55 - 55 - 56 0.30 55 - 64 . 56 0.30 59 = 57 , 59 = 58 p 59 = 59 = 60 0.10 60 0.10 62 )(after 62 )(after 63 training low baseline di predicted an increase in di after the intervention ( difirst [phase] : r = - 0.37 ; disecond [phase] : r = - 0.41 , each p < 0.04 ) . 0 ###LEFT-WALL### 2 baseline 0 ###LEFT-WALL### 4 predicted 0 ###LEFT-WALL### 20 ; 0 ###LEFT-WALL### 34 . 1 low 2 baseline 2 baseline 3 di 2 baseline 4 predicted 4 predicted 6 increase 4 predicted 9 after 4 predicted 18 - 5 an 6 increase 6 increase 7 in 7 in 8 di 9 after 11 intervention 10 the 11 intervention 12 ( 18 - 13 difirst 15 : 15 : 17 = 16 r 17 = 17 = 18 - 18 - 19 0.37 18 - 20 ; 20 ; 21 disecond 20 ; 23 : 21 disecond 23 : 23 : 25 = 24 r 25 = 25 = 27 0.41 26 - 27 0.41 27 0.41 29 each 28 , 29 each 29 each 31 < 29 each 33 ) 30 p 31 < 31 < 32 0.04 thus , exercise training plus weight loss increased pancreatic β - [cell] function in a linear dose - response manner in adults with prediabetes . 0 ###LEFT-WALL### 3 exercise 0 ###LEFT-WALL### 8 increased 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 25 . 1 thus 2 , 1 thus 3 exercise 3 exercise 4 training 3 exercise 8 increased 4 training 7 loss 5 plus 6 weight 6 weight 7 loss 8 increased 10 β 9 pancreatic 10 β 11 - 13 function 11 - 18 - 13 function 14 in 14 in 17 dose 15 a 16 linear 15 a 17 dose 16 linear 17 dose 18 - 20 manner 19 response 20 manner 20 manner 21 in 20 manner 23 with 21 in 22 adults 23 with 24 prediabetes our data suggest that higher exercise doses ( i.e [.] , >2,000 [kcal] / [wk] ) are necessary to enhance β - cell function [in] adults with poor insulin secretion capacity . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 32 . 1 our 2 data 2 data 3 suggest 3 suggest 4 that 4 that 7 doses 4 that 17 are 5 higher 7 doses 6 exercise 7 doses 7 doses 14 / 7 doses 17 are 8 ( 14 / 9 i.e 11 , 9 i.e 12 >2,000 12 >2,000 14 / 14 / 16 ) 17 are 18 necessary 18 necessary 19 to 18 necessary 20 enhance 19 to 20 enhance 20 enhance 26 adults 20 enhance 27 with 21 β 22 - 21 β 23 cell 23 cell 26 adults 24 function 26 adults 27 with 31 capacity 28 poor 29 insulin 29 insulin 30 secretion 30 secretion 31 capacity purpose : maintenance of cognitive abilities is important [for] [elderly] to stay independent . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 3 maintenance 2 : 7 is 2 : 14 . 3 maintenance 4 of 3 maintenance 7 is 4 of 6 abilities 5 cognitive 6 abilities 7 is 8 important 8 important 11 to 11 to 12 stay 12 stay 13 independent with the aging of the population , the call for modifiable factors is emerging . 0 ###LEFT-WALL### 9 call 0 ###LEFT-WALL### 13 is 0 ###LEFT-WALL### 15 . 1 with 3 aging 1 with 7 , 1 with 9 call 2 the 3 aging 3 aging 4 of 4 of 6 population 5 the 6 population 8 the 9 call 9 call 10 for 9 call 13 is 10 for 12 factors 11 modifiable 12 factors 13 is 14 emerging dietary protein might improve cognitive performance ; however , this has hardly been studied . 0 ###LEFT-WALL### 2 protein 0 ###LEFT-WALL### 4 improve 0 ###LEFT-WALL### 7 ; 0 ###LEFT-WALL### 15 . 1 dietary 2 protein 2 protein 3 might 3 might 4 improve 4 improve 6 performance 5 cognitive 6 performance 7 ; 10 this 7 ; 14 studied 8 however 9 , 8 however 10 this 10 this 11 has 11 has 13 been 12 hardly 13 been 13 been 14 studied therefore , we studied the impact of 24 - week dietary protein supplementation on cognitive performance in pre - frail and frail elderly people . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 studied 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 25 . 1 therefore 2 , 1 therefore 3 we 3 we 4 studied 4 studied 6 impact 5 the 6 impact 6 impact 7 of 7 of 8 24 9 - 13 supplementation 10 week 13 supplementation 11 dietary 12 protein 12 protein 13 supplementation 13 supplementation 14 on 14 on 16 performance 15 cognitive 16 performance 16 performance 17 in 17 in 24 people 18 pre 19 - 18 pre 24 people 20 frail 21 and 21 and 22 frail 21 and 24 people 23 elderly 24 people methods : pre - frail and frail elderly subjects , according to the fried criteria , randomly received a protein drink containing 15 g protein or a placebo drink twice a day . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 33 . 1 methods 2 : 2 : 3 pre 4 - 9 subjects 4 - 18 received 5 frail 6 and 6 and 7 frail 6 and 9 subjects 8 elderly 9 subjects 9 subjects 11 according 9 subjects 18 received 10 , 11 according 11 according 12 to 11 according 15 criteria 11 according 16 , 12 to 14 fried 13 the 14 fried 17 randomly 18 received 18 received 21 drink 19 a 20 protein 19 a 21 drink 20 protein 21 drink 21 drink 22 containing 21 drink 32 day 22 containing 29 drink 22 containing 30 twice 23 15 24 g 24 g 29 drink 25 protein 26 or 26 or 28 placebo 26 or 29 drink 27 a 28 placebo 31 a 32 day cognitive performance was measured at baseline and after 24 weeks by means of a sensitive neuropsychological test battery . 0 ###LEFT-WALL### 2 performance 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 19 . 1 cognitive 2 performance 2 performance 3 was 3 was 4 measured 4 measured 7 and 4 measured 11 by 5 at 6 baseline 5 at 7 and 7 and 8 after 8 after 10 weeks 9 24 10 weeks 11 by 12 means 12 means 13 of 13 of 18 battery 14 a 15 sensitive 14 a 18 battery 15 sensitive 17 test 16 neuropsychological 17 test 17 test 18 battery in addition , reaction time was assessed after both 12 and 24 weeks of intervention . 0 ###LEFT-WALL### 4 reaction 0 ###LEFT-WALL### 7 assessed 0 ###LEFT-WALL### 16 . 1 in 2 addition 1 in 3 , 1 in 4 reaction 4 reaction 5 time 4 reaction 6 was 4 reaction 7 assessed 5 time 6 was 7 assessed 8 after 7 assessed 13 weeks 8 after 9 both 10 12 11 and 11 and 12 24 11 and 13 weeks 13 weeks 14 of 14 of 15 intervention domain scores were calculated for the domains episodic memory , attention and working memory , information processing speed , and executive functioning . 0 ###LEFT-WALL### 1 domain 0 ###LEFT-WALL### 4 calculated 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 23 . 1 domain 2 scores 1 domain 3 were 1 domain 4 calculated 2 scores 3 were 4 calculated 5 for 4 calculated 12 and 5 for 7 domains 6 the 7 domains 8 episodic 9 memory 9 memory 10 , 10 , 11 attention 10 , 12 and 12 and 14 memory 13 working 14 memory 15 , 20 and 16 information 17 processing 16 information 20 and 17 processing 18 speed 19 , 20 and 20 and 21 executive 20 and 22 functioning analyses of covariance were used to determine differences between groups . 0 ###LEFT-WALL### 1 analyses 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 11 . 1 analyses 2 of 1 analyses 4 were 2 of 3 covariance 4 were 5 used 5 used 6 to 5 used 7 determine 6 to 7 determine 7 determine 8 differences 7 determine 9 between 9 between 10 groups linear mixed models were used to determine differences in reaction time over time and [per] treatment . 0 ###LEFT-WALL### 3 models 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 17 . 1 linear 3 models 2 mixed 3 models 3 models 4 were 4 were 5 used 5 used 6 to 5 used 7 determine 6 to 7 determine 7 determine 8 differences 7 determine 9 in 9 in 14 and 10 reaction 11 time 11 time 12 over 11 time 14 and 12 over 13 time 14 and 16 treatment results : in total , 65 subjects ( 79 ± 8 years ) with a median mini - mental state examination [score] of 28 ( interquartile range 26 - 30 ) were included . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 18 - 1 results 2 : 2 : 3 in 2 : 14 with 3 in 7 subjects 4 total 5 , 4 total 7 subjects 6 65 7 subjects 7 subjects 12 years 8 ( 12 years 9 79 12 years 10 ± 12 years 11 8 12 years 12 years 13 ) 14 with 17 mini 15 a 17 mini 16 median 17 mini 18 - 21 examination 18 - 33 included 18 - 34 . 19 mental 20 state 20 state 21 examination 21 examination 23 of 21 examination 32 were 23 of 24 28 24 28 27 range 25 ( 27 range 26 interquartile 27 range 27 range 28 26 27 range 30 30 27 range 31 ) 29 - 30 30 30 30 31 ) 32 were 33 included reaction time improved more in the protein group ( 68 m [s] ) than in the placebo group ( 18 m [s] , p = 0.03 ) . 0 ###LEFT-WALL### 2 time 0 ###LEFT-WALL### 3 improved 0 ###LEFT-WALL### 28 . 1 reaction 2 time 2 time 3 improved 3 improved 4 more 3 improved 5 in 3 improved 14 than 5 in 8 group 6 the 8 group 7 protein 8 group 8 group 11 m 9 ( 11 m 10 68 11 m 11 m 13 ) 14 than 15 in 15 in 18 group 16 the 18 group 17 placebo 18 group 18 group 21 m 18 group 25 = 19 ( 21 m 20 18 21 m 21 m 23 , 23 , 25 = 24 p 25 = 25 = 26 0.03 25 = 27 ) dietary protein had no significant effect on any of the cognitive domain scores . 0 ###LEFT-WALL### 2 protein 0 ###LEFT-WALL### 3 had 0 ###LEFT-WALL### 14 . 1 dietary 2 protein 2 protein 3 had 3 had 6 effect 3 had 7 on 4 no 6 effect 5 significant 6 effect 7 on 8 any 8 any 9 of 9 of 13 scores 10 the 13 scores 11 cognitive 12 domain 12 domain 13 scores conclusions [:] protein supplementation might improve reaction time performance in pre - frail and [frail] elderly , but did not improve other cognitive functions . 0 ###LEFT-WALL### 4 supplementation 0 ###LEFT-WALL### 25 . 1 conclusions 4 supplementation 3 protein 4 supplementation 4 supplementation 18 but 5 might 6 improve 5 might 18 but 6 improve 9 performance 7 reaction 9 performance 8 time 9 performance 9 performance 10 in 9 performance 14 and 10 in 11 pre 12 - 14 and 13 frail 14 and 14 and 16 elderly 14 and 17 , 18 but 19 did 19 did 20 not 19 did 21 improve 21 improve 24 functions 22 other 24 functions 23 cognitive 24 functions none the purpose of this qualitative systematic review was to more fully understand intimate partner abuse ( ipa ) among older women and to explicate strategies for enhancing their well - being . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 31 - 1 none 3 purpose 1 none 9 was 1 none 23 and 2 the 3 purpose 3 purpose 4 of 3 purpose 9 was 4 of 8 review 5 this 8 review 6 qualitative 8 review 7 systematic 8 review 9 was 10 to 10 to 11 more 12 fully 13 understand 13 understand 16 abuse 13 understand 20 among 13 understand 23 and 14 intimate 15 partner 15 partner 16 abuse 16 abuse 18 ipa 17 ( 18 ipa 18 ipa 19 ) 20 among 22 women 21 older 22 women 23 and 24 to 23 and 25 explicate 24 to 25 explicate 25 explicate 26 strategies 26 strategies 27 for 27 for 28 enhancing 28 enhancing 30 well 29 their 30 well 31 - 32 being 31 - 33 . the sample ( n = 20 ) was assembled [based] on an expansive search of the peer - reviewed literature using multiple electronic databases . 0 ###LEFT-WALL### 2 sample 0 ###LEFT-WALL### 9 assembled 0 ###LEFT-WALL### 18 - 0 ###LEFT-WALL### 25 . 1 the 2 sample 2 sample 5 = 2 sample 8 was 3 ( 5 = 4 n 5 = 5 = 6 20 5 = 7 ) 8 was 9 assembled 9 assembled 11 on 11 on 14 search 12 an 13 expansive 12 an 14 search 13 expansive 14 search 14 search 15 of 15 of 17 peer 16 the 17 peer 18 - 20 literature 19 reviewed 20 literature 20 literature 21 using 21 using 24 databases 22 multiple 24 databases 23 electronic 24 databases qualitative findings were extracted and coded/categorized . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 7 . 1 qualitative 2 findings 2 findings 3 were 3 were 5 and 4 extracted 5 and 5 and 6 coded/categorized reflective memos were developed , and a cohesive interpretation of the raw data emerged . 0 ###LEFT-WALL### 2 memos 0 ###LEFT-WALL### 4 developed 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 15 . 1 reflective 2 memos 2 memos 3 were 3 were 4 developed 5 , 6 and 6 and 9 interpretation 6 and 14 emerged 7 a 8 cohesive 7 a 9 interpretation 8 cohesive 9 interpretation 9 interpretation 10 of 9 interpretation 14 emerged 10 of 13 data 11 the 13 data 12 raw 13 data ipa tends to be a multigenerational problem that older women are reluctant to discuss . 0 ###LEFT-WALL### 1 ipa 0 ###LEFT-WALL### 2 tends 0 ###LEFT-WALL### 15 . 1 ipa 2 tends 2 tends 3 to 2 tends 4 be 3 to 4 be 4 be 7 problem 5 a 6 multigenerational 5 a 7 problem 6 multigenerational 7 problem 7 problem 8 that 7 problem 14 discuss 8 that 10 women 8 that 11 are 9 older 10 women 10 women 11 are 11 are 12 reluctant 12 reluctant 13 to 12 reluctant 14 discuss 13 to 14 discuss with age , ipa assumes different forms , and many older women actively choose to make the best of their situations . 0 ###LEFT-WALL### 4 ipa 0 ###LEFT-WALL### 5 assumes 0 ###LEFT-WALL### 22 . 1 with 2 age 1 with 3 , 1 with 4 ipa 4 ipa 5 assumes 5 assumes 9 and 5 assumes 14 choose 6 different 7 forms 7 forms 9 and 8 , 9 and 9 and 12 women 9 and 14 choose 10 many 12 women 11 older 12 women 13 actively 14 choose 14 choose 15 to 14 choose 16 make 15 to 16 make 16 make 18 best 17 the 18 best 18 best 19 of 19 of 21 situations 20 their 21 situations older women cope by trying to make sense of their lives and nurturing themselves in small ways . 0 ###LEFT-WALL### 2 women 0 ###LEFT-WALL### 3 cope 0 ###LEFT-WALL### 18 . 1 older 2 women 2 women 3 cope 3 cope 4 by 4 by 5 trying 5 trying 6 to 5 trying 7 make 6 to 7 make 7 make 8 sense 7 make 14 themselves 7 make 15 in 8 sense 9 of 9 of 12 and 10 their 11 lives 11 lives 12 and 12 and 13 nurturing 15 in 17 ways 16 small 17 ways occasionally , events [occur] [that] enable permanent change . 0 ###LEFT-WALL### 3 events 0 ###LEFT-WALL### 6 enable 0 ###LEFT-WALL### 9 . 1 occasionally 2 , 1 occasionally 3 events 3 events 6 enable 6 enable 8 change 7 permanent 8 change nurses are encouraged to nonjudgmentally assist older women to enhance their well [-] being , despite ipa . 0 ###LEFT-WALL### 1 nurses 0 ###LEFT-WALL### 3 encouraged 1 nurses 2 are 2 are 3 encouraged 3 encouraged 4 to 3 encouraged 9 to 3 encouraged 10 enhance 4 to 6 assist 5 nonjudgmentally 6 assist 6 assist 8 women 7 older 8 women 9 to 10 enhance 10 enhance 14 being 10 enhance 16 despite 11 their 14 being 12 well 14 being 15 , 16 despite 16 despite 17 ipa 16 despite 18 . they are also urged to actively intervene when opportunities for significant change arise . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 4 urged 0 ###LEFT-WALL### 14 . 1 they 2 are 2 are 4 urged 3 also 4 urged 4 urged 5 to 4 urged 7 intervene 5 to 7 intervene 6 actively 7 intervene 7 intervene 8 when 8 when 9 opportunities 8 when 13 arise 9 opportunities 10 for 9 opportunities 13 arise 10 for 12 change 11 significant 12 change none osteoarthritis ( oa ) is a condition found worldwide , is strongly associated with aging and is the most common type of arthritis . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 25 . 1 none 4 oa 1 none 12 is 1 none 17 and 2 osteoarthritis 4 oa 3 ( 4 oa 4 oa 5 ) 4 oa 11 , 6 is 8 condition 6 is 11 , 7 a 8 condition 8 condition 9 found 9 found 10 worldwide 11 , 12 is 12 is 13 strongly 14 associated 15 with 14 associated 17 and 15 with 16 aging 17 and 18 is 18 is 24 arthritis 19 the 20 most 20 most 22 type 21 common 22 type 22 type 23 of 22 type 24 arthritis 23 of 24 arthritis because of its effect on ambulation and mobility , it has significant functional impact and is associated with considerable medical costs . 0 ###LEFT-WALL### 10 it 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 22 . 1 because 2 of 1 because 9 , 1 because 10 it 2 of 4 effect 3 its 4 effect 4 effect 5 on 5 on 7 and 6 ambulation 7 and 7 and 8 mobility 10 it 15 and 11 has 14 impact 11 has 15 and 12 significant 14 impact 13 functional 14 impact 15 and 16 is 16 is 17 associated 17 associated 18 with 18 with 21 costs 19 considerable 21 costs 20 medical 21 costs because of the aging of the society and the obesity epidemic , the burden of oa can be expected to increase over the next 20 years . 0 ###LEFT-WALL### 14 burden 0 ###LEFT-WALL### 19 expected 0 ###LEFT-WALL### 27 . 1 because 2 of 2 of 8 and 2 of 12 , 2 of 14 burden 3 the 4 aging 4 aging 5 of 4 aging 8 and 5 of 7 society 6 the 7 society 8 and 11 epidemic 8 and 12 , 9 the 11 epidemic 10 obesity 11 epidemic 13 the 14 burden 14 burden 15 of 14 burden 17 can 15 of 16 oa 17 can 18 be 18 be 19 expected 19 expected 20 to 19 expected 21 increase 20 to 21 increase 21 increase 22 over 22 over 26 years 23 the 24 next 23 the 25 20 25 20 26 years although the cartilage lesion is present at sites remote from synovium , the fibroblast - and macrophage - like synovial cells , as well as the chondrocytes itself , are potential sources of cytokines that could induce chondrocytes to synthesize and secrete cartilage - degrading proteases , cytokines , and other inflammatory mediators . 0 ###LEFT-WALL### 6 present 0 ###LEFT-WALL### 29 , 0 ###LEFT-WALL### 30 are 0 ###LEFT-WALL### 54 . 1 although 4 lesion 1 although 5 is 1 although 6 present 2 the 4 lesion 3 cartilage 4 lesion 4 lesion 5 is 6 present 7 at 6 present 16 and 6 present 28 itself 7 at 8 sites 9 remote 10 from 9 remote 16 and 10 from 11 synovium 11 synovium 14 fibroblast 12 , 14 fibroblast 13 the 14 fibroblast 14 fibroblast 15 - 15 - 16 and 16 and 17 macrophage 17 macrophage 19 like 17 macrophage 25 as 18 - 19 like 19 like 21 cells 19 like 22 , 20 synovial 21 cells 23 as 24 well 24 well 25 as 25 as 27 chondrocytes 26 the 27 chondrocytes 29 , 30 are 30 are 32 sources 30 are 53 mediators 31 potential 32 sources 32 sources 33 of 32 sources 35 that 32 sources 36 could 33 of 34 cytokines 35 that 36 could 36 could 41 and 37 induce 38 chondrocytes 37 induce 41 and 38 chondrocytes 39 to 38 chondrocytes 40 synthesize 39 to 40 synthesize 41 and 42 secrete 41 and 50 and 42 secrete 43 cartilage 42 secrete 45 degrading 44 - 45 degrading 45 degrading 46 proteases 45 degrading 47 , 48 cytokines 50 and 49 , 50 and 50 and 51 other 52 inflammatory 53 mediators the bio - identical progesterone shows its anti - inflammatory effects in oa by suppressing gene expressions in the production of inflammatory cytokines through the negative interaction between nuclear transcription factor and the progesterone receptor [and/or] the progesterone - induced increase of nuclear transcription factor inhibition in the nucleus . 0 ###LEFT-WALL### 2 bio 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 50 . 1 the 2 bio 3 - 5 progesterone 3 - 6 shows 4 identical 5 progesterone 5 progesterone 6 shows 6 shows 11 effects 6 shows 32 and 6 shows 47 in 7 its 11 effects 8 anti 9 - 8 anti 11 effects 10 inflammatory 11 effects 11 effects 12 in 12 in 13 oa 13 oa 14 by 14 by 15 suppressing 15 suppressing 17 expressions 15 suppressing 31 factor 16 gene 17 expressions 17 expressions 18 in 17 expressions 31 factor 18 in 20 production 19 the 20 production 20 production 21 of 21 of 23 cytokines 22 inflammatory 23 cytokines 23 cytokines 24 through 24 through 27 interaction 25 the 27 interaction 26 negative 27 interaction 27 interaction 28 between 28 between 30 transcription 29 nuclear 30 transcription 32 and 35 receptor 32 and 41 increase 33 the 35 receptor 34 progesterone 35 receptor 37 the 41 increase 38 progesterone 39 - 38 progesterone 41 increase 40 induced 41 increase 41 increase 42 of 42 of 46 inhibition 43 nuclear 44 transcription 44 transcription 46 inhibition 45 factor 46 inhibition 47 in 49 nucleus 48 the 49 nucleus the bio - identical progesterone may indirectly regulate bone remodeling and may also play a role in the development and maintenance of cartilage . 0 ###LEFT-WALL### 2 bio 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 24 . 1 the 2 bio 3 - 5 progesterone 4 identical 5 progesterone 5 progesterone 11 and 6 may 8 regulate 6 may 11 and 7 indirectly 8 regulate 8 regulate 10 remodeling 9 bone 10 remodeling 11 and 12 may 12 may 14 play 13 also 14 play 14 play 16 role 14 play 17 in 15 a 16 role 17 in 20 and 18 the 19 development 19 development 20 and 20 and 21 maintenance 20 and 22 of 22 of 23 cartilage this review will discuss about transdermal [bio] - identical progesterone cream as suggested hormonal treatment of oa , based on its pathogenic process . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 4 discuss 0 ###LEFT-WALL### 24 . 1 this 2 review 2 review 3 will 3 will 4 discuss 4 discuss 5 about 4 discuss 11 cream 4 discuss 20 on 5 about 10 progesterone 6 transdermal 8 - 6 transdermal 10 progesterone 9 identical 10 progesterone 11 cream 12 as 12 as 18 , 13 suggested 15 treatment 13 suggested 18 , 14 hormonal 15 treatment 15 treatment 16 of 16 of 17 oa 18 , 19 based 20 on 23 process 21 its 23 process 22 pathogenic 23 process objectives : later life is often accompanied by experiences of loss and bereavement in several life domains . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 4 life 2 : 7 accompanied 3 later 4 life 4 life 5 is 5 is 6 often 5 is 7 accompanied 7 accompanied 8 by 7 accompanied 14 in 8 by 9 experiences 9 experiences 10 of 10 of 12 and 11 loss 12 and 12 and 13 bereavement 14 in 17 domains 15 several 17 domains 16 life 17 domains in spite of this , older adults experience less [negative] [affect] than their younger counterparts . 0 ###LEFT-WALL### 7 adults 0 ###LEFT-WALL### 8 experience 0 ###LEFT-WALL### 16 . 1 in 2 spite 1 in 5 , 1 in 7 adults 2 spite 3 of 3 of 4 this 6 older 7 adults 7 adults 8 experience 8 experience 9 less 8 experience 12 than 12 than 15 counterparts 13 their 15 counterparts 14 younger 15 counterparts several explanations for this paradoxical finding have been put forward , but the mechanisms underlying the association between age and negative affect remain largely unclear . 0 ###LEFT-WALL### 2 explanations 0 ###LEFT-WALL### 9 put 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 26 . 1 several 2 explanations 2 explanations 3 for 2 explanations 7 have 3 for 6 finding 4 this 6 finding 5 paradoxical 6 finding 7 have 8 been 8 been 9 put 9 put 10 forward 11 , 23 remain 12 but 15 underlying 12 but 23 remain 13 the 15 underlying 14 mechanisms 15 underlying 15 underlying 20 and 15 underlying 22 affect 16 the 17 association 17 association 18 between 17 association 20 and 18 between 19 age 20 and 21 negative 20 and 22 affect 23 remain 25 unclear 24 largely 25 unclear in the present study , we propose that mindfulness may be an important mediator of this association . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 propose 0 ###LEFT-WALL### 18 . 1 in 4 study 1 in 5 , 1 in 6 we 2 the 4 study 3 present 4 study 6 we 7 propose 7 propose 8 that 8 that 9 mindfulness 8 that 11 be 9 mindfulness 10 may 10 may 11 be 11 be 14 mediator 12 an 13 important 12 an 14 mediator 13 important 14 mediator 14 mediator 15 of 15 of 17 association 16 this 17 association method : a cross - sectional sample [of] 507 participants ( age range 18 - 85 years ) was used to investigate this question . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 4 cross 2 : 20 used 3 a 4 cross 4 cross 10 participants 4 cross 17 years 4 cross 19 was 5 - 10 participants 6 sectional 7 sample 7 sample 10 participants 9 507 10 participants 10 participants 13 range 10 participants 15 - 11 ( 13 range 12 age 13 range 13 range 14 18 13 range 15 - 15 - 17 years 16 85 17 years 17 years 18 ) 19 was 20 used 20 used 21 to 20 used 22 investigate 21 to 22 investigate 22 investigate 24 question 23 this 24 question participants completed a range of self [-] report questionnaires on demographic variables , mindfulness , [affect] , quality of life ( qol ) , and personality . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 completed 0 ###LEFT-WALL### 27 . 1 participants 2 completed 2 completed 25 and 3 a 4 range 4 range 5 of 4 range 10 on 4 range 25 and 5 of 9 questionnaires 6 self 9 questionnaires 8 report 9 questionnaires 10 on 12 variables 11 demographic 12 variables 12 variables 14 mindfulness 12 variables 18 quality 13 , 14 mindfulness 14 mindfulness 15 , 17 , 18 quality 18 quality 19 of 18 quality 24 , 19 of 20 life 20 life 22 qol 21 ( 22 qol 22 qol 23 ) 25 and 26 personality in our mediation analysis , we used an advanced statistical technique called [g] - estimation to control for the impact of confounding variables such as personality dimensions and qol . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 used 0 ###LEFT-WALL### 14 - 1 in 4 analysis 1 in 5 , 1 in 6 we 2 our 4 analysis 3 mediation 4 analysis 6 we 7 used 7 used 11 technique 8 an 9 advanced 8 an 11 technique 9 advanced 11 technique 10 statistical 11 technique 11 technique 12 called 14 - 28 and 14 - 30 . 15 estimation 16 to 15 estimation 28 and 16 to 17 control 17 control 18 for 17 control 21 of 18 for 20 impact 19 the 20 impact 21 of 22 confounding 22 confounding 23 variables 23 variables 25 as 24 such 25 as 25 as 27 dimensions 26 personality 27 dimensions 28 and 29 qol results : our findings indicate [that] the age - related decrease in negative [affect] [is] mediated [by] mindfulness . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 findings 2 : 5 indicate 2 : 10 related 3 our 4 findings 4 findings 5 indicate 5 indicate 8 age 7 the 8 age 9 - 10 related 10 related 11 decrease 10 related 19 . 11 decrease 12 in 12 in 18 mindfulness 13 negative 16 mediated 16 mediated 18 mindfulness the results remain significant when we control [for] qol and personality . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 remain 0 ###LEFT-WALL### 12 . 1 the 2 results 2 results 3 remain 3 remain 4 significant 4 significant 5 when 5 when 6 we 5 when 7 control 6 we 7 control 7 control 10 and 9 qol 10 and 10 and 11 personality discussion : these findings imply that mindfulness skills may be an important link between age and negative [affect] . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 2 : 4 findings 2 : 5 imply 2 : 19 . 3 these 4 findings 4 findings 5 imply 5 imply 6 that 6 that 8 skills 6 that 10 be 7 mindfulness 8 skills 8 skills 9 may 9 may 10 be 10 be 13 link 11 an 12 important 11 an 13 link 12 important 13 link 13 link 14 between 14 between 16 and 15 age 16 and 16 and 17 negative implications of these findings for the understanding of the well [-] being paradox are discussed . 0 ###LEFT-WALL### 1 implications 0 ###LEFT-WALL### 15 discussed 0 ###LEFT-WALL### 16 . 1 implications 2 of 1 implications 14 are 2 of 4 findings 3 these 4 findings 4 findings 5 for 5 for 7 understanding 6 the 7 understanding 7 understanding 8 of 8 of 13 paradox 9 the 13 paradox 10 well 13 paradox 12 being 13 paradox 14 are 15 discussed [none] cognitive [decline] is very common in age and particularly in subjects with neurodegenerative conditions . 0 ###LEFT-WALL### 2 cognitive 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 16 . 2 cognitive 4 is 4 is 6 common 5 very 6 common 6 common 9 and 6 common 13 with 7 in 8 age 7 in 9 and 9 and 10 particularly 9 and 11 in 11 in 12 subjects 13 with 15 conditions 14 neurodegenerative 15 conditions besides memory and language , executive functions are very often affected in elderly and patients with alzheimer 's disease or parkinson 's disease . 0 ###LEFT-WALL### 7 functions 0 ###LEFT-WALL### 11 affected 0 ###LEFT-WALL### 24 . 1 besides 3 and 1 besides 5 , 1 besides 7 functions 2 memory 3 and 3 and 4 language 6 executive 7 functions 7 functions 8 are 8 are 11 affected 9 very 10 often 10 often 11 affected 11 affected 12 in 11 affected 16 with 12 in 14 and 13 elderly 14 and 14 and 15 patients 16 with 20 or 17 alzheimer 18 's 18 's 19 disease 19 disease 20 or 20 or 23 disease 21 parkinson 22 's 22 's 23 disease however , the neural alterations associated with these executive deficits are still not fully understood . 0 ###LEFT-WALL### 5 alterations 0 ###LEFT-WALL### 15 understood 0 ###LEFT-WALL### 16 . 1 however 2 , 1 however 5 alterations 3 the 5 alterations 4 neural 5 alterations 5 alterations 6 associated 5 alterations 11 are 6 associated 7 with 7 with 10 deficits 8 these 10 deficits 9 executive 10 deficits 11 are 13 not 11 are 15 understood 12 still 13 not 14 fully 15 understood therefore , we measured cortical activation using functional near - infrared spectroscopy ( fnirs [ )(in 16 healthy elderly subjects ( 50 - 75 years ) performing the trail making test ( tmt ) , a widely used neuropsychological instrument measuring executive function . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 measured 1 therefore 2 , 1 therefore 3 we 3 we 4 measured 4 measured 6 activation 4 measured 7 using 5 cortical 6 activation 7 using 12 spectroscopy 8 functional 12 spectroscopy 9 near 10 - 9 near 12 spectroscopy 11 infrared 12 spectroscopy 12 spectroscopy 14 fnirs 13 ( 14 fnirs 14 fnirs 16 )(in 14 fnirs 27 performing 14 fnirs 44 . 16 )(in 20 subjects 17 16 20 subjects 18 healthy 20 subjects 19 elderly 20 subjects 20 subjects 25 years 21 ( 25 years 22 50 23 - 23 - 24 75 23 - 25 years 25 years 26 ) 27 performing 31 test 28 the 31 test 29 trail 30 making 30 making 31 test 31 test 33 tmt 31 test 43 function 32 ( 33 tmt 33 tmt 34 ) 35 , 43 function 36 a 43 function 37 widely 38 used 38 used 40 instrument 39 neuropsychological 40 instrument 40 instrument 42 executive 41 measuring 42 executive 42 executive 43 function 43 function 44 . [in] line with previous studies focusing on younger subjects , the results showed frontal activation during the tmt a and the tmt b in the dorsolateral prefrontal cortex , the frontopolar area and also broca 's area . 0 ###LEFT-WALL### 2 line 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 38 . 2 line 3 with 3 with 5 studies 3 with 6 focusing 4 previous 5 studies 6 focusing 7 on 7 on 9 subjects 8 younger 9 subjects 10 , 12 results 10 , 13 showed 11 the 12 results 12 results 13 showed 13 showed 33 and 14 frontal 15 activation 15 activation 16 during 15 activation 29 , 16 during 20 and 17 the 18 tmt 18 tmt 19 a 18 tmt 20 and 20 and 22 tmt 20 and 24 in 21 the 22 tmt 22 tmt 23 b 24 in 28 cortex 25 the 28 cortex 26 dorsolateral 28 cortex 27 prefrontal 28 cortex 29 , 32 area 29 , 33 and 30 the 32 area 31 frontopolar 32 area 33 and 34 also 33 and 37 area 35 broca 36 's 36 's 37 area furthermore , significant activation in the left motor , somatosensory cortices and somatosensory association cortices was demonstrated . 0 ###LEFT-WALL### 4 activation 0 ###LEFT-WALL### 17 demonstrated 0 ###LEFT-WALL### 18 . 1 furthermore 2 , 1 furthermore 4 activation 3 significant 4 activation 4 activation 5 in 4 activation 16 was 5 in 12 and 6 the 8 motor 7 left 8 motor 8 motor 9 , 9 , 11 cortices 9 , 12 and 10 somatosensory 11 cortices 12 and 15 cortices 13 somatosensory 15 cortices 14 association 15 cortices 16 was 17 demonstrated additionally , after a median split the differences between younger [(] < 58 years [ )(and older [(] >58 years ) subjects were analyzed with the older subjects showing [a] less focused prefrontal activation . 0 ###LEFT-WALL### 22 subjects 0 ###LEFT-WALL### 35 . 1 additionally 2 , 1 additionally 22 subjects 3 after 5 median 3 after 6 split 3 after 21 ) 3 after 22 subjects 4 a 5 median 5 median 6 split 6 split 8 differences 7 the 8 differences 8 differences 9 between 9 between 20 years 10 younger 20 years 12 < 13 58 13 58 14 years 14 years 16 )(and 16 )(and 17 older 16 )(and 19 >58 19 >58 20 years 22 subjects 23 were 23 were 24 analyzed 24 analyzed 25 with 25 with 28 subjects 25 with 29 showing 26 the 28 subjects 27 older 28 subjects 29 showing 31 less 29 showing 34 activation 32 focused 34 activation 33 prefrontal 34 activation altogether , fnirs was found to be suitable to detect cortical activation in elderly subjects during performance of the tmt as well as aging - related differences in prefrontal activation topography . 0 ###LEFT-WALL### 3 fnirs 0 ###LEFT-WALL### 10 detect 0 ###LEFT-WALL### 26 related 1 altogether 2 , 1 altogether 3 fnirs 3 fnirs 4 was 4 was 5 found 5 found 6 to 6 to 7 be 7 be 8 suitable 8 suitable 9 to 8 suitable 10 detect 9 to 10 detect 10 detect 12 activation 10 detect 13 in 10 detect 16 during 10 detect 22 well 10 detect 23 as 11 cortical 12 activation 13 in 15 subjects 14 elderly 15 subjects 16 during 17 performance 17 performance 18 of 18 of 20 tmt 19 the 20 tmt 21 as 22 well 23 as 24 aging 25 - 26 related 26 related 27 differences 26 related 32 . 27 differences 28 in 28 in 31 topography 29 prefrontal 31 topography 30 activation 31 topography these neural [correlates] [of] executive functions should be further investigated as a potential prodromal neural marker of executive deficits and neurodegenerative processes . 0 ###LEFT-WALL### 6 functions 0 ###LEFT-WALL### 10 investigated 0 ###LEFT-WALL### 23 . 1 these 6 functions 2 neural 6 functions 5 executive 6 functions 6 functions 7 should 7 should 8 be 8 be 9 further 8 be 10 investigated 10 investigated 11 as 11 as 16 marker 12 a 13 potential 12 a 16 marker 13 potential 16 marker 14 prodromal 16 marker 15 neural 16 marker 16 marker 17 of 17 of 20 and 18 executive 19 deficits 19 deficits 20 and 20 and 22 processes 21 neurodegenerative 22 processes the recent growth of interest in developmental programming of physiological systems has generally focused on the cardiovascular system ( especially [hypertension] [ )(and predisposition to metabolic dysfunction ( mainly obesity and diabetes ) . 0 ###LEFT-WALL### 3 growth 0 ###LEFT-WALL### 14 focused 0 ###LEFT-WALL### 34 . 1 the 3 growth 2 recent 3 growth 3 growth 4 of 3 growth 12 has 4 of 5 interest 5 interest 6 in 6 in 8 programming 7 developmental 8 programming 8 programming 9 of 9 of 11 systems 10 physiological 11 systems 12 has 14 focused 13 generally 14 focused 14 focused 15 on 14 focused 25 to 15 on 23 )(and 16 the 18 system 17 cardiovascular 18 system 18 system 23 )(and 19 ( 20 especially 19 ( 23 )(and 23 )(and 24 predisposition 25 to 27 dysfunction 26 metabolic 27 dysfunction 27 dysfunction 31 and 28 ( 29 mainly 28 ( 31 and 30 obesity 31 and 31 and 32 diabetes 31 and 33 ) however , it is now clear that the full range of altered offspring phenotypes includes impaired reproductive [function] . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 3 it 3 it 4 is 4 is 5 now 4 is 6 clear 6 clear 7 that 7 that 10 range 7 that 14 phenotypes 8 the 10 range 9 full 10 range 10 range 11 of 10 range 14 phenotypes 11 of 13 offspring 12 altered 13 offspring 14 phenotypes 15 includes 15 includes 16 impaired 16 impaired 17 reproductive in rats , sheep and nonhuman primates , reproductive capacity is altered by challenges experienced during critical periods of development . 0 ###LEFT-WALL### 10 capacity 0 ###LEFT-WALL### 12 altered 0 ###LEFT-WALL### 21 . 1 in 5 and 1 in 8 , 1 in 10 capacity 2 rats 3 , 2 rats 4 sheep 4 sheep 5 and 5 and 7 primates 6 nonhuman 7 primates 9 reproductive 10 capacity 10 capacity 11 is 11 is 12 altered 12 altered 13 by 12 altered 16 during 13 by 14 challenges 14 challenges 15 experienced 16 during 18 periods 17 critical 18 periods 18 periods 19 of 19 of 20 development this review will examine available experimental evidence across commonly studied experimental species for developmental programming of female and male reproductive function throughout an individual 's life - course . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 4 examine 0 ###LEFT-WALL### 27 - 1 this 2 review 2 review 3 will 3 will 4 examine 4 examine 7 evidence 4 examine 8 across 4 examine 22 throughout 5 available 7 evidence 6 experimental 7 evidence 8 across 12 species 9 commonly 10 studied 10 studied 12 species 11 experimental 12 species 12 species 13 for 13 for 15 programming 14 developmental 15 programming 15 programming 16 of 16 of 18 and 17 female 18 and 18 and 21 function 19 male 21 function 20 reproductive 21 function 22 throughout 26 life 23 an 24 individual 24 individual 25 's 25 's 26 life 27 - 28 course 27 - 29 . it is necessary to consider events that occur during fetal development , early neonatal life and prior to and during puberty , during active reproductive life and aging as reproductive performance declines . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 33 . 1 it 2 is 2 is 3 necessary 3 necessary 4 to 3 necessary 18 to 4 to 5 consider 5 consider 6 events 5 consider 18 to 6 events 7 that 6 events 8 occur 7 that 8 occur 8 occur 9 during 9 during 16 and 10 fetal 11 development 11 development 12 , 12 , 15 life 12 , 16 and 13 early 15 life 14 neonatal 15 life 16 and 17 prior 19 and 31 performance 19 and 32 declines 20 during 21 puberty 20 during 22 , 20 during 31 performance 23 during 27 and 23 during 31 performance 24 active 26 life 25 reproductive 26 life 26 life 27 and 27 and 28 aging 29 as 30 reproductive 30 reproductive 31 performance 31 performance 32 declines spatial variation of the haemodynamic stresses acting on the arterial wall is commonly assumed to explain the focal development of atherosclerosis . 0 ###LEFT-WALL### 2 variation 0 ###LEFT-WALL### 6 stresses 0 ###LEFT-WALL### 22 . 1 spatial 2 variation 2 variation 3 of 2 variation 6 stresses 3 of 5 haemodynamic 4 the 5 haemodynamic 6 stresses 7 acting 6 stresses 14 assumed 7 acting 8 on 7 acting 12 is 8 on 11 wall 9 the 11 wall 10 arterial 11 wall 12 is 14 assumed 13 commonly 14 assumed 14 assumed 15 to 15 to 16 explain 16 explain 19 development 17 the 19 development 18 focal 19 development 19 development 20 of 20 of 21 atherosclerosis disturbed flow in particular is thought to play a key role . 0 ###LEFT-WALL### 2 flow 0 ###LEFT-WALL### 6 thought 0 ###LEFT-WALL### 12 . 1 disturbed 2 flow 2 flow 4 particular 2 flow 5 is 3 in 4 particular 5 is 6 thought 6 thought 7 to 7 to 8 play 8 play 11 role 9 a 11 role 10 key 11 role however , widely [-] used metrics developed to quantify its extent are unable to distinguish between uniaxial and multidirectional flows . 0 ###LEFT-WALL### 6 metrics 0 ###LEFT-WALL### 12 are 0 ###LEFT-WALL### 21 . 1 however 2 , 1 however 6 metrics 3 widely 5 used 5 used 6 metrics 6 metrics 7 developed 6 metrics 12 are 7 developed 8 to 8 to 9 quantify 9 quantify 11 extent 10 its 11 extent 12 are 13 unable 13 unable 14 to 13 unable 15 distinguish 14 to 15 distinguish 15 distinguish 16 between 16 between 20 flows 17 uniaxial 18 and 18 and 19 multidirectional 18 and 20 flows we analysed pulsatile flow fields obtained [in] idealised and anatomically - realistic arterial geometries using computational fluid dynamics techniques , and [in] particular investigated the multidirectionality of the flow fields , capturing this aspect of near - wall blood flow with a new metric - [the] transverse wall [shear] stress ( transwss ) - calculated as the time - average of wall [shear] stress components perpendicular to the mean flow direction . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 9 and 1 we 2 analysed 2 analysed 4 flow 3 pulsatile 4 flow 4 flow 5 fields 4 flow 8 idealised 5 fields 6 obtained 5 fields 8 idealised 9 and 14 geometries 10 anatomically 11 - 10 anatomically 14 geometries 12 realistic 14 geometries 13 arterial 14 geometries 14 geometries 15 using 14 geometries 24 investigated 15 using 21 and 16 computational 17 fluid 17 fluid 19 techniques 18 dynamics 19 techniques 19 techniques 21 and 20 , 21 and 21 and 23 particular 24 investigated 26 multidirectionality 25 the 26 multidirectionality 26 multidirectionality 27 of 26 multidirectionality 32 capturing 27 of 30 fields 28 the 30 fields 29 flow 30 fields 31 , 32 capturing 32 capturing 34 aspect 32 capturing 41 with 33 this 34 aspect 34 aspect 35 of 35 of 40 flow 36 near 37 - 36 near 38 wall 38 wall 39 blood 39 blood 40 flow 41 with 50 stress 42 a 43 new 42 a 50 stress 43 new 48 wall 44 metric 45 - 44 metric 48 wall 47 transverse 48 wall 48 wall 50 stress 50 stress 52 transwss 50 stress 55 calculated 50 stress 60 average 51 ( 52 transwss 52 transwss 53 ) 54 - 55 calculated 55 calculated 56 as 55 calculated 59 - 56 as 58 time 57 the 58 time 59 - 60 average 60 average 61 of 60 average 72 . 61 of 65 components 62 wall 64 stress 64 stress 65 components 65 components 66 perpendicular 66 perpendicular 67 to 67 to 71 direction 68 the 71 direction 69 mean 70 flow 70 flow 71 direction in the idealised branching geometry , multidirectional flow was observed downstream of the branch ostium , a region of flow stagnation , and [to] the sides of the ostium . 0 ###LEFT-WALL### 8 flow 0 ###LEFT-WALL### 10 observed 0 ###LEFT-WALL### 30 . 1 in 5 geometry 1 in 6 , 1 in 8 flow 2 the 5 geometry 3 idealised 5 geometry 4 branching 5 geometry 7 multidirectional 8 flow 8 flow 9 was 9 was 10 observed 10 observed 11 downstream 11 downstream 12 of 12 of 23 and 13 the 15 ostium 14 branch 15 ostium 15 ostium 16 , 16 , 18 region 16 , 23 and 17 a 18 region 18 region 19 of 19 of 21 stagnation 20 flow 21 stagnation 22 , 23 and 23 and 26 sides 23 and 27 of 25 the 26 sides 27 of 29 ostium 28 the 29 ostium the distribution of the transwss was different from the pattern of traditional haemodynamic metrics and more dependent on the velocity waveform imposed at the branch outlet . 0 ###LEFT-WALL### 2 distribution 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 27 . 1 the 2 distribution 2 distribution 3 of 2 distribution 6 was 3 of 5 transwss 4 the 5 transwss 6 was 21 waveform 7 different 8 from 7 different 15 and 8 from 10 pattern 9 the 10 pattern 10 pattern 11 of 11 of 14 metrics 12 traditional 14 metrics 13 haemodynamic 14 metrics 15 and 17 dependent 15 and 21 waveform 16 more 17 dependent 17 dependent 18 on 18 on 20 velocity 19 the 20 velocity 21 waveform 22 imposed 22 imposed 23 at 23 at 26 outlet 24 the 26 outlet 25 branch 26 outlet in rabbit aortas , transwss patterns were again different from patterns of traditional metrics . 0 ###LEFT-WALL### 6 patterns 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 15 . 1 in 3 aortas 1 in 4 , 1 in 6 patterns 2 rabbit 3 aortas 5 transwss 6 patterns 6 patterns 7 were 7 were 8 again 7 were 9 different 9 different 10 from 10 from 11 patterns 11 patterns 12 of 12 of 14 metrics 13 traditional 14 metrics the near - branch pattern varied between intercostal ostia , [as] is the case for lesion distribution ; for some branches there were striking resemblances to the age - dependent patterns of disease seen in rabbit and human aortas . 0 ###LEFT-WALL### 5 pattern 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 18 ; 1 the 5 pattern 2 near 3 - 2 near 4 branch 4 branch 5 pattern 5 pattern 10 , 6 varied 7 between 6 varied 10 , 7 between 9 ostia 8 intercostal 9 ostia 10 , 12 is 10 , 15 for 12 is 14 case 13 the 14 case 15 for 17 distribution 16 lesion 17 distribution 18 ; 21 branches 18 ; 23 were 18 ; 29 - 19 for 20 some 19 for 21 branches 21 branches 22 there 21 branches 23 were 23 were 24 striking 24 striking 25 resemblances 24 striking 26 to 26 to 28 age 27 the 28 age 29 - 37 and 29 - 40 . 30 dependent 31 patterns 31 patterns 32 of 31 patterns 37 and 32 of 33 disease 33 disease 34 seen 34 seen 35 in 35 in 36 rabbit 37 and 39 aortas 38 human 39 aortas the new [metric] may lead to improved understanding of atherogenesis . 0 ###LEFT-WALL### 2 new 0 ###LEFT-WALL### 5 lead 0 ###LEFT-WALL### 11 . 1 the 2 new 2 new 4 may 4 may 5 lead 5 lead 6 to 6 to 8 understanding 7 improved 8 understanding 8 understanding 9 of 9 of 10 atherogenesis rationale : myocardial [function] is enhanced by adoptive transfer of human cardiac progenitor cells ( hcpcs ) into a pathologically challenged heart . 0 ###LEFT-WALL### 1 rationale 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 3 myocardial 2 : 6 enhanced 3 myocardial 5 is 5 is 6 enhanced 6 enhanced 7 by 6 enhanced 18 into 7 by 9 transfer 8 adoptive 9 transfer 9 transfer 10 of 10 of 14 cells 11 human 13 progenitor 12 cardiac 13 progenitor 13 progenitor 14 cells 14 cells 16 hcpcs 15 ( 16 hcpcs 16 hcpcs 17 ) 18 into 22 heart 19 a 22 heart 20 pathologically 21 challenged 21 challenged 22 heart however , advanced age , comorbidities , and myocardial injury in patients with heart failure constrain the proliferation , survival , and regenerative capacity of hcpcs . 0 ###LEFT-WALL### 16 constrain 0 ###LEFT-WALL### 27 . 1 however 16 constrain 2 , 3 advanced 3 advanced 8 and 3 advanced 11 in 3 advanced 13 with 3 advanced 16 constrain 4 age 5 , 5 , 6 comorbidities 5 , 8 and 7 , 8 and 8 and 10 injury 9 myocardial 10 injury 11 in 12 patients 13 with 15 failure 14 heart 15 failure 16 constrain 22 and 17 the 18 proliferation 18 proliferation 19 , 19 , 20 survival 19 , 22 and 21 , 22 and 22 and 24 capacity 22 and 25 of 23 regenerative 24 capacity 25 of 26 hcpcs rejuvenation of senescent hcpcs will improve the outcome of regenerative therapy for a substantial patient population possessing functionally impaired stem cells . 0 ###LEFT-WALL### 1 rejuvenation 0 ###LEFT-WALL### 6 improve 0 ###LEFT-WALL### 22 . 1 rejuvenation 2 of 1 rejuvenation 5 will 2 of 4 hcpcs 3 senescent 4 hcpcs 5 will 6 improve 6 improve 8 outcome 6 improve 12 for 7 the 8 outcome 8 outcome 9 of 9 of 11 therapy 10 regenerative 11 therapy 12 for 16 population 13 a 14 substantial 13 a 16 population 14 substantial 16 population 15 patient 16 population 16 population 17 possessing 17 possessing 21 cells 18 functionally 19 impaired 19 impaired 20 stem 20 stem 21 cells objective : reverse phenotypic and functional senescence of hcpcs by [ex] [vivo] modification with pim - 1 . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 3 reverse 0 ###LEFT-WALL### 18 . 1 objective 2 : 2 : 3 reverse 3 reverse 7 senescence 3 reverse 10 by 3 reverse 14 with 4 phenotypic 5 and 5 and 6 functional 5 and 7 senescence 7 senescence 8 of 8 of 9 hcpcs 10 by 13 modification 14 with 15 pim 14 with 17 1 16 - 17 1 methods and results : c - kit - positive hcpcs were isolated from heart [biopsy] samples of patients undergoing left [ventricular] [assist] device implantation . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 25 . 1 methods 2 and 2 and 3 results 4 : 5 c 4 : 6 - 4 : 8 - 5 c 6 - 6 - 7 kit 8 - 9 positive 8 - 11 were 9 positive 11 were 10 hcpcs 11 were 11 were 12 isolated 12 isolated 13 from 13 from 16 samples 14 heart 16 samples 16 samples 17 of 17 of 18 patients 18 patients 19 undergoing 19 undergoing 24 implantation 20 left 24 implantation 23 device 24 implantation growth kinetics , telomere lengths , and expression of cell cycle regulators showed significant variation between hcpc isolated from multiple patients . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 13 showed 0 ###LEFT-WALL### 22 . 1 growth 2 kinetics 2 kinetics 3 , 3 , 5 lengths 3 , 7 and 4 telomere 5 lengths 6 , 7 and 7 and 8 expression 7 and 9 of 7 and 13 showed 9 of 12 regulators 10 cell 12 regulators 11 cycle 12 regulators 13 showed 15 variation 13 showed 16 between 14 significant 15 variation 16 between 17 hcpc 17 hcpc 18 isolated 18 isolated 19 from 19 from 21 patients 20 multiple 21 patients telomere length was significantly decreased in hcpc with slow - growth kinetics concomitant with decreased proliferation [and] upregulation of senescent markers compared with hcpc with fast - growth kinetics . 0 ###LEFT-WALL### 1 telomere 0 ###LEFT-WALL### 15 decreased 0 ###LEFT-WALL### 30 . 1 telomere 2 length 1 telomere 14 with 1 telomere 15 decreased 2 length 3 was 3 was 5 decreased 4 significantly 5 decreased 5 decreased 6 in 5 decreased 13 concomitant 6 in 7 hcpc 7 hcpc 8 with 8 with 12 kinetics 9 slow 10 - 9 slow 11 growth 11 growth 12 kinetics 13 concomitant 14 with 15 decreased 18 upregulation 15 decreased 25 with 16 proliferation 18 upregulation 18 upregulation 19 of 18 upregulation 22 compared 19 of 21 markers 20 senescent 21 markers 22 compared 23 with 23 with 24 hcpc 25 with 29 kinetics 26 fast 27 - 26 fast 28 growth 28 growth 29 kinetics desirable youthful characteristics were conferred on hcpcs by genetic modification using pim - 1 kinase , including increases in proliferation [,] telomere length , survival , and decreased expression of senescence markers . 0 ###LEFT-WALL### 3 characteristics 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 33 . 1 desirable 3 characteristics 2 youthful 3 characteristics 3 characteristics 27 and 4 were 5 conferred 4 were 27 and 5 conferred 6 on 5 conferred 8 by 5 conferred 11 using 6 on 7 hcpcs 8 by 10 modification 9 genetic 10 modification 11 using 12 pim 11 using 17 including 12 pim 15 kinase 13 - 15 kinase 14 1 15 kinase 15 kinase 16 , 16 , 17 including 17 including 18 increases 17 including 19 in 17 including 26 , 19 in 23 length 20 proliferation 23 length 22 telomere 23 length 23 length 25 survival 24 , 25 survival 25 survival 26 , 27 and 28 decreased 27 and 29 expression 29 expression 30 of 30 of 32 markers 31 senescence 32 markers conclusions : senescence characteristics of hcpcs are ameliorated by pim - 1 kinase resulting in rejuvenation of phenotypic and functional properties . hcpcs show improved cellular properties resulting from pim - 1 modification , but benefits were more pronounced in hcpc with slow - growth kinetics relative to hcpc with fast - growth kinetics . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 0 ###LEFT-WALL### 55 . 1 conclusions 2 : 2 : 3 senescence 2 : 9 by 3 senescence 4 characteristics 3 senescence 7 are 3 senescence 8 ameliorated 4 characteristics 5 of 4 characteristics 7 are 5 of 6 hcpcs 9 by 16 rejuvenation 10 pim 16 rejuvenation 11 - 12 1 12 1 15 in 13 kinase 14 resulting 14 resulting 15 in 15 in 16 rejuvenation 16 rejuvenation 17 of 17 of 21 properties 18 phenotypic 19 and 19 and 20 functional 19 and 21 properties 22 . 27 properties 22 . 39 pronounced 23 hcpcs 24 show 24 show 25 improved 25 improved 27 properties 26 cellular 27 properties 27 properties 28 resulting 27 properties 37 were 28 resulting 29 from 28 resulting 35 but 29 from 30 pim 30 pim 33 modification 31 - 33 modification 32 1 33 modification 33 modification 34 , 35 but 36 benefits 37 were 38 more 37 were 39 pronounced 39 pronounced 40 in 39 pronounced 42 with 39 pronounced 47 relative 40 in 41 hcpc 42 with 46 kinetics 43 slow 44 - 43 slow 46 kinetics 45 growth 46 kinetics 47 relative 48 to 47 relative 49 hcpc 48 to 49 hcpc 49 hcpc 50 with 50 with 54 kinetics 51 fast 52 - 51 fast 54 kinetics 53 growth 54 kinetics with the majority of patients with heart failure presenting advanced age , infirmity , and impaired regenerative capacity , the use of pim - 1 modification should be incorporated into cell - based therapeutic approaches to broaden inclusion criteria and address limitations associated with the senescent phenotype of aged hcpc . 0 ###LEFT-WALL### 9 presenting 0 ###LEFT-WALL### 10 advanced 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 51 . 1 with 5 patients 1 with 9 presenting 2 the 3 majority 3 majority 4 of 3 majority 5 patients 4 of 5 patients 5 patients 6 with 6 with 8 failure 7 heart 8 failure 9 presenting 10 advanced 10 advanced 11 age 12 , 31 cell 12 , 32 - 13 infirmity 15 and 14 , 15 and 15 and 18 capacity 15 and 19 , 15 and 21 use 15 and 30 into 15 and 31 cell 16 impaired 18 capacity 17 regenerative 18 capacity 20 the 21 use 21 use 22 of 21 use 26 modification 21 use 28 be 21 use 29 incorporated 22 of 23 pim 24 - 25 1 25 1 26 modification 26 modification 27 should 27 should 28 be 29 incorporated 30 into 32 - 40 and 33 based 35 approaches 33 based 36 to 33 based 40 and 34 therapeutic 35 approaches 36 to 37 broaden 37 broaden 39 criteria 38 inclusion 39 criteria 40 and 41 address 41 address 42 limitations 41 address 44 with 42 limitations 43 associated 44 with 47 phenotype 45 the 47 phenotype 46 senescent 47 phenotype 47 phenotype 48 of 48 of 50 hcpc 49 aged 50 hcpc spontaneous protein deamidation of labile asparagines ( asn ) , generating abnormal [l] - isoaspartyl residues ( isoasp ) , is associated with cell aging and enhanced by an oxidative microenvironment . 0 ###LEFT-WALL### 3 deamidation 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 32 . 1 spontaneous 2 protein 2 protein 3 deamidation 3 deamidation 4 of 3 deamidation 11 generating 3 deamidation 26 and 4 of 6 asparagines 5 labile 6 asparagines 6 asparagines 8 asn 7 ( 8 asn 8 asn 9 ) 10 , 11 generating 11 generating 16 residues 11 generating 20 , 12 abnormal 14 - 12 abnormal 15 isoaspartyl 15 isoaspartyl 16 residues 16 residues 18 isoasp 17 ( 18 isoasp 18 isoasp 19 ) 21 is 22 associated 21 is 26 and 22 associated 23 with 23 with 25 aging 24 cell 25 aging 26 and 27 enhanced 26 and 28 by 28 by 31 microenvironment 29 an 30 oxidative 29 an 31 microenvironment 30 oxidative 31 microenvironment the presence of isopeptide bonds impairs protein structure/function . 0 ###LEFT-WALL### 2 presence 0 ###LEFT-WALL### 6 impairs 0 ###LEFT-WALL### 9 . 1 the 2 presence 2 presence 3 of 2 presence 6 impairs 3 of 5 bonds 4 isopeptide 5 bonds 6 impairs 8 structure/function 7 protein 8 structure/function to minimize the damage , isoasp can be " repaired " by the protein [l] - isoaspartyl/d - aspartyl o - methyltransferase ( pimt ) and s - adenosylmethionine ( adomet ) is the methyl donor of this reaction . 0 ###LEFT-WALL### 6 isoasp 0 ###LEFT-WALL### 10 repaired 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 40 . 1 to 2 minimize 1 to 5 , 1 to 6 isoasp 2 minimize 4 damage 3 the 4 damage 6 isoasp 7 can 7 can 8 be 8 be 9 " 8 be 10 repaired 10 repaired 11 " 10 repaired 12 by 12 by 14 protein 13 the 14 protein 14 protein 19 aspartyl 16 - 19 aspartyl 17 isoaspartyl/d 18 - 17 isoaspartyl/d 19 aspartyl 19 aspartyl 20 o 19 aspartyl 22 methyltransferase 19 aspartyl 25 ) 21 - 22 methyltransferase 22 methyltransferase 24 pimt 22 methyltransferase 25 ) 23 ( 24 pimt 24 pimt 25 ) 26 and 27 s 26 and 28 - 27 s 28 - 28 - 29 adenosylmethionine 29 adenosylmethionine 31 adomet 29 adenosylmethionine 33 is 30 ( 31 adomet 31 adomet 32 ) 33 is 36 donor 34 the 36 donor 35 methyl 36 donor 36 donor 37 of 37 of 39 reaction 38 this 39 reaction pimt is a repair enzyme that initiates the conversion of [l] - isoasp ( [or] d - asp ) residues [to] [l] - asp residues . 0 ###LEFT-WALL### 1 pimt 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 26 . 1 pimt 2 is 2 is 5 enzyme 2 is 25 residues 3 a 4 repair 3 a 5 enzyme 4 repair 5 enzyme 5 enzyme 6 that 5 enzyme 10 of 5 enzyme 20 residues 6 that 7 initiates 7 initiates 9 conversion 8 the 9 conversion 9 conversion 10 of 12 - 20 residues 13 isoasp 17 - 13 isoasp 20 residues 14 ( 17 - 16 d 17 - 17 - 18 asp 17 - 19 ) 20 residues 23 - 24 asp 25 residues amyotrophic lateral sclerosis ( als ) is a severe neurodegenerative disease principally affecting motor neurons . 0 ###LEFT-WALL### 3 sclerosis 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 16 . 1 amyotrophic 3 sclerosis 2 lateral 3 sclerosis 3 sclerosis 5 als 3 sclerosis 7 is 4 ( 5 als 5 als 6 ) 7 is 11 disease 8 a 9 severe 8 a 11 disease 9 severe 11 disease 10 neurodegenerative 11 disease 11 disease 13 affecting 12 principally 13 affecting 13 affecting 15 neurons 14 motor 15 neurons the condition of oxidative stress reported in familial and sporadic forms of als prompted us to investigate asn deamidation in als tissue . 0 ###LEFT-WALL### 2 condition 0 ###LEFT-WALL### 23 . 1 the 2 condition 2 condition 3 of 2 condition 7 in 2 condition 12 of 2 condition 14 prompted 3 of 5 stress 4 oxidative 5 stress 5 stress 6 reported 7 in 11 forms 8 familial 9 and 9 and 10 sporadic 9 and 11 forms 12 of 13 als 14 prompted 15 us 14 prompted 16 to 14 prompted 17 investigate 16 to 17 investigate 17 investigate 19 deamidation 17 investigate 20 in 18 asn 19 deamidation 20 in 22 tissue 21 als 22 tissue erythrocytes ( rbcs ) were selected as a model system since they are unable to replace damaged proteins and protein methylesterification is [virtually] the only adomet - consuming reaction operating in these cells . 0 ###LEFT-WALL### 1 erythrocytes 0 ###LEFT-WALL### 6 selected 1 erythrocytes 3 rbcs 1 erythrocytes 5 were 2 ( 3 rbcs 3 rbcs 4 ) 5 were 6 selected 6 selected 7 as 6 selected 11 since 6 selected 28 consuming 7 as 10 system 8 a 10 system 9 model 10 system 11 since 19 and 11 since 22 is 12 they 13 are 12 they 19 and 13 are 14 unable 14 unable 15 to 14 unable 16 replace 15 to 16 replace 16 replace 18 proteins 17 damaged 18 proteins 19 and 21 methylesterification 20 protein 21 methylesterification 21 methylesterification 22 is 22 is 26 adomet 24 the 25 only 24 the 26 adomet 27 - 28 consuming 28 consuming 29 reaction 28 consuming 34 . 29 reaction 30 operating 29 reaction 31 in 31 in 33 cells 32 these 33 cells our data show that , in vitro assay , abnormal isoasp residues were significantly higher in als patients erythrocyte membrane proteins with an increased methyl accepting capability relative to controls ( p<0.05 ) . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 26 accepting 0 ###LEFT-WALL### 34 . 1 our 2 data 2 data 5 , 3 show 4 that 3 show 5 , 5 , 8 assay 6 in 7 vitro 7 vitro 8 assay 9 , 12 residues 9 , 13 were 10 abnormal 12 residues 11 isoasp 12 residues 12 residues 13 were 13 were 14 significantly 13 were 15 higher 15 higher 16 in 16 in 17 als 17 als 18 patients 17 als 26 accepting 18 patients 19 erythrocyte 19 erythrocyte 21 proteins 19 erythrocyte 22 with 20 membrane 21 proteins 22 with 25 methyl 23 an 25 methyl 24 increased 25 methyl 25 methyl 26 accepting 26 accepting 27 capability 27 capability 28 relative 27 capability 32 p<0.05 28 relative 29 to 29 to 30 controls 31 ( 32 p<0.05 32 p<0.05 33 ) moreover , we observed a reduction in adomet levels , while adohcy concentration was comparable to that detected in the control , resulting in a lower [[] [adomet] ]/ [ adohcy ] ratio . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 observed 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 34 . 1 moreover 2 , 1 moreover 3 we 3 we 4 observed 4 observed 6 reduction 4 observed 9 levels 5 a 6 reduction 6 reduction 7 in 6 reduction 9 levels 7 in 8 adomet 10 , 13 concentration 10 , 14 was 11 while 12 adohcy 11 while 13 concentration 13 concentration 14 was 14 was 15 comparable 15 comparable 16 to 15 comparable 24 in 16 to 17 that 17 that 18 detected 18 detected 19 in 18 detected 22 , 18 detected 23 resulting 19 in 21 control 20 the 21 control 24 in 33 ratio 25 a 33 ratio 26 lower 33 ratio 29 ]/ 31 adohcy 29 ]/ 32 ] 29 ]/ 33 ratio 30 [ 31 adohcy 31 adohcy 32 ] then , the accumulation of altered aspartyl residues in als patients is probably related to a reduced efficiency of [the] s - adenosylmethionine ( adomet ) - dependent repair system causing increased protein instability at asn sites . 0 ###LEFT-WALL### 4 accumulation 0 ###LEFT-WALL### 14 related 0 ###LEFT-WALL### 27 - 0 ###LEFT-WALL### 38 . 1 then 2 , 1 then 4 accumulation 3 the 4 accumulation 4 accumulation 5 of 4 accumulation 9 in 4 accumulation 12 is 5 of 8 residues 6 altered 7 aspartyl 7 aspartyl 8 residues 9 in 11 patients 10 als 11 patients 12 is 14 related 13 probably 14 related 14 related 15 to 15 to 18 efficiency 16 a 18 efficiency 17 reduced 18 efficiency 18 efficiency 19 of 18 efficiency 23 adenosylmethionine 19 of 21 s 22 - 23 adenosylmethionine 23 adenosylmethionine 25 adomet 23 adenosylmethionine 26 ) 24 ( 25 adomet 25 adomet 26 ) 27 - 34 instability 28 dependent 33 protein 29 repair 32 increased 30 system 32 increased 31 causing 32 increased 32 increased 33 protein 33 protein 34 instability 34 instability 35 at 35 at 37 sites 36 asn 37 sites the increase of abnormal residues represents a new protein alteration that may be present [not] only in red blood cells but also in other cell types of patients suffering from als . 0 ###LEFT-WALL### 2 increase 0 ###LEFT-WALL### 6 represents 0 ###LEFT-WALL### 32 . 1 the 2 increase 2 increase 3 of 2 increase 6 represents 3 of 5 residues 4 abnormal 5 residues 6 represents 10 alteration 7 a 8 new 7 a 10 alteration 8 new 10 alteration 9 protein 10 alteration 10 alteration 11 that 10 alteration 14 present 11 that 12 may 12 may 13 be 13 be 14 present 14 present 16 only 14 present 21 but 17 in 20 cells 17 in 21 but 18 red 19 blood 19 blood 20 cells 21 but 22 also 21 but 23 in 23 in 26 types 24 other 26 types 25 cell 26 types 26 types 27 of 27 of 28 patients 28 patients 29 suffering 29 suffering 30 from 30 from 31 als background : with increasing age , physical capacity decreases , while the need [and] time for recovery increases . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 1 background 2 : 2 : 3 with 2 : 11 while 3 with 4 increasing 4 increasing 5 age 5 age 9 decreases 6 , 9 decreases 7 physical 8 capacity 8 capacity 9 decreases 9 decreases 10 , 11 while 15 time 11 while 18 increases 12 the 15 time 13 need 15 time 15 time 16 for 15 time 18 increases 16 for 17 recovery at the same time , the demands of work usually do not change with age . 0 ###LEFT-WALL### 7 demands 0 ###LEFT-WALL### 13 change 0 ###LEFT-WALL### 16 . 1 at 4 time 1 at 5 , 1 at 7 demands 2 the 3 same 3 same 4 time 6 the 7 demands 7 demands 8 of 7 demands 11 do 8 of 9 work 10 usually 11 do 11 do 12 not 11 do 13 change 13 change 14 with 14 with 15 age in the near future , an aging [and] physically changing workforce risks reduced work ability . 0 ###LEFT-WALL### 11 workforce 0 ###LEFT-WALL### 12 risks 0 ###LEFT-WALL### 16 . 1 in 4 future 1 in 5 , 1 in 11 workforce 2 the 4 future 3 near 4 future 6 an 11 workforce 7 aging 11 workforce 9 physically 10 changing 10 changing 11 workforce 11 workforce 12 risks 12 risks 15 ability 13 reduced 14 work 14 work 15 ability therefore , the impact of different factors , such as physical activity , on work ability is of interest . 0 ###LEFT-WALL### 4 impact 0 ###LEFT-WALL### 17 is 0 ###LEFT-WALL### 20 . 1 therefore 2 , 1 therefore 4 impact 3 the 4 impact 4 impact 5 of 4 impact 14 on 4 impact 17 is 5 of 7 factors 6 different 7 factors 7 factors 10 as 8 , 10 as 9 such 10 as 10 as 12 activity 10 as 13 , 11 physical 12 activity 14 on 16 ability 15 work 16 ability 17 is 18 of 18 of 19 interest thus , the aim of this study was to evaluate the association between physical activity and work ability using both cross sectional and prospective analyses . 0 ###LEFT-WALL### 4 aim 0 ###LEFT-WALL### 10 evaluate 0 ###LEFT-WALL### 26 . 1 thus 2 , 1 thus 4 aim 3 the 4 aim 4 aim 5 of 4 aim 8 was 5 of 7 study 6 this 7 study 8 was 9 to 9 to 10 evaluate 10 evaluate 16 and 10 evaluate 21 cross 11 the 12 association 12 association 13 between 12 association 16 and 13 between 15 activity 14 physical 15 activity 16 and 18 ability 16 and 19 using 16 and 21 cross 17 work 18 ability 19 using 20 both 21 cross 25 analyses 22 sectional 23 and 23 and 24 prospective 23 and 25 analyses methods : this study was based on an extensive questionnaire survey . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 6 based 2 : 12 . 3 this 4 study 4 study 5 was 5 was 6 based 6 based 7 on 7 on 11 survey 8 an 9 extensive 8 an 11 survey 9 extensive 10 questionnaire 10 questionnaire 11 survey the number of participants included in the analysis at baseline in 2004 was 2.783 , of whom 2.597 were also included in [the] follow - up in 2006 . 0 ###LEFT-WALL### 2 number 0 ###LEFT-WALL### 13 was 0 ###LEFT-WALL### 15 , 1 the 2 number 2 number 3 of 2 number 13 was 3 of 4 participants 4 participants 5 included 5 included 6 in 5 included 9 at 5 included 11 in 6 in 8 analysis 7 the 8 analysis 9 at 10 baseline 11 in 12 2004 13 was 14 2.783 15 , 24 follow 16 of 17 whom 16 of 24 follow 17 whom 18 2.597 17 whom 22 in 18 2.597 19 were 19 were 21 included 20 also 21 included 21 included 22 in 24 follow 26 up 25 - 26 up 26 up 27 in 26 up 29 . 27 in 28 2006 the primary outcome measure was the work ability index ( wai ) , and the level of physical activity was measured using a single - item question . 0 ###LEFT-WALL### 4 measure 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 28 . 1 the 4 measure 2 primary 3 outcome 3 outcome 4 measure 4 measure 5 was 5 was 11 wai 6 the 11 wai 7 work 8 ability 8 ability 9 index 9 index 11 wai 10 ( 11 wai 11 wai 12 ) 13 , 14 and 14 and 16 level 14 and 20 was 15 the 16 level 16 level 17 of 16 level 20 was 17 of 19 activity 18 physical 19 activity 20 was 21 measured 21 measured 22 using 22 using 27 question 23 a 24 single 23 a 27 question 24 single 25 - 24 single 26 item 26 item 27 question in the cross - sectional analysis [we] calculated the level of physical activity and the prevalence of poor or moderate work ability as reported by the participants . 0 ###LEFT-WALL### 6 analysis 0 ###LEFT-WALL### 8 calculated 0 ###LEFT-WALL### 28 . 1 in 3 cross 1 in 4 - 1 in 6 analysis 2 the 3 cross 5 sectional 6 analysis 6 analysis 8 calculated 8 calculated 14 and 8 calculated 25 by 9 the 10 level 10 level 11 of 10 level 14 and 11 of 13 activity 12 physical 13 activity 14 and 16 prevalence 14 and 17 of 15 the 16 prevalence 17 of 22 ability 18 poor 19 or 19 or 20 moderate 19 or 22 ability 21 work 22 ability 22 ability 24 reported 23 as 24 reported 25 by 27 participants 26 the 27 participants in the prospective analysis we calculated different levels of physical activity and the prevalence of positive changes in wai - [category] from baseline to follow - up . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 calculated 0 ###LEFT-WALL### 28 . 1 in 4 analysis 1 in 5 we 2 the 4 analysis 3 prospective 4 analysis 5 we 6 calculated 6 calculated 8 levels 6 calculated 18 in 6 calculated 27 up 7 different 8 levels 8 levels 9 of 8 levels 15 of 9 of 12 and 10 physical 11 activity 11 activity 12 and 12 and 14 prevalence 13 the 14 prevalence 15 of 17 changes 16 positive 17 changes 18 in 19 wai 19 wai 22 from 20 - 22 from 22 from 23 baseline 22 from 26 - 23 baseline 24 to 23 baseline 25 follow 24 to 25 follow in both the cross sectional and the prospective analyses the prevalence ratio was calculated using generalized linear models . 0 ###LEFT-WALL### 12 ratio 0 ###LEFT-WALL### 14 calculated 0 ###LEFT-WALL### 19 . 1 in 2 both 1 in 12 ratio 2 both 3 the 2 both 9 analyses 3 the 9 analyses 4 cross 9 analyses 5 sectional 6 and 6 and 8 prospective 6 and 9 analyses 7 the 8 prospective 10 the 12 ratio 11 prevalence 12 ratio 12 ratio 13 was 13 was 14 calculated 14 calculated 15 using 15 using 18 models 16 generalized 17 linear 17 linear 18 models results : the cross - sectional analysis showed that with an increased level of physical activity , the reporting of poor or moderate work ability decreased . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 27 . 1 results 2 : 2 : 4 cross 3 the 4 cross 5 - 7 analysis 5 - 8 showed 5 - 17 , 6 sectional 7 analysis 7 analysis 8 showed 8 showed 9 that 8 showed 10 with 10 with 13 level 11 an 13 level 12 increased 13 level 13 level 14 of 14 of 16 activity 15 physical 16 activity 17 , 19 reporting 17 , 26 decreased 18 the 19 reporting 19 reporting 20 of 19 reporting 26 decreased 20 of 25 ability 21 poor 22 or 22 or 23 moderate 22 or 24 work 24 work 25 ability in the prospective analysis , participants reporting a higher level of physical activity were more likely to have made an improvement in wai from 2004 to 2006 . 0 ###LEFT-WALL### 6 participants 0 ###LEFT-WALL### 14 were 0 ###LEFT-WALL### 28 . 1 in 4 analysis 1 in 5 , 1 in 6 participants 2 the 4 analysis 3 prospective 4 analysis 6 participants 7 reporting 6 participants 14 were 7 reporting 10 level 8 a 10 level 9 higher 10 level 10 level 11 of 11 of 13 activity 12 physical 13 activity 14 were 16 likely 15 more 16 likely 16 likely 17 to 16 likely 26 to 17 to 18 have 18 have 19 made 19 made 21 improvement 19 made 22 in 20 an 21 improvement 22 in 23 wai 24 from 26 to 25 2004 26 to 26 to 27 2006 conclusions : the level of physical activity seems to be related to work ability . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 level 2 : 8 seems 2 : 15 . 3 the 4 level 4 level 5 of 4 level 8 seems 5 of 7 activity 6 physical 7 activity 8 seems 9 to 8 seems 11 related 9 to 10 be 10 be 11 related 11 related 12 to 12 to 13 work 13 work 14 ability assessment of physical activity may also be useful as a predictive tool , potentially making it possible to prevent poor work ability and improve future work ability . 0 ###LEFT-WALL### 1 assessment 0 ###LEFT-WALL### 7 be 1 assessment 2 of 1 assessment 5 may 2 of 4 activity 3 physical 4 activity 5 may 7 be 6 also 7 be 7 be 8 useful 8 useful 9 as 8 useful 15 making 9 as 12 tool 10 a 11 predictive 10 a 12 tool 11 predictive 12 tool 13 , 15 making 14 potentially 15 making 15 making 16 it 15 making 17 possible 15 making 28 . 17 possible 18 to 17 possible 23 and 18 to 23 and 19 prevent 22 ability 19 prevent 23 and 20 poor 21 work 21 work 22 ability 23 and 24 improve 23 and 27 ability 24 improve 26 work 25 future 26 work for employers , the main implications of this study are the importance of promoting [and] facilitating the employees ' engagement in physical activity , and the importance of the employees ' maintaining a physically active lifestyle . 0 ###LEFT-WALL### 6 implications 0 ###LEFT-WALL### 10 are 0 ###LEFT-WALL### 37 . 1 for 2 employers 1 for 3 , 1 for 6 implications 4 the 5 main 4 the 6 implications 6 implications 7 of 6 implications 10 are 7 of 9 study 8 this 9 study 10 are 12 importance 11 the 12 importance 12 importance 13 of 12 importance 28 of 13 of 14 promoting 14 promoting 16 facilitating 16 facilitating 20 engagement 16 facilitating 21 in 17 the 18 employees 18 employees 19 ' 19 ' 20 engagement 21 in 25 and 22 physical 23 activity 23 activity 25 and 24 , 25 and 25 and 27 importance 26 the 27 importance 28 of 32 maintaining 29 the 30 employees 30 employees 31 ' 31 ' 32 maintaining 32 maintaining 36 lifestyle 33 a 36 lifestyle 34 physically 35 active 35 active 36 lifestyle the relationship of higher order problem solving to basic neuropsychological processes likely depends on the type of problems to be solved . 0 ###LEFT-WALL### 2 relationship 0 ###LEFT-WALL### 13 depends 0 ###LEFT-WALL### 22 . 1 the 2 relationship 2 relationship 3 of 2 relationship 13 depends 3 of 7 solving 4 higher 5 order 5 order 6 problem 6 problem 7 solving 7 solving 8 to 8 to 11 processes 9 basic 11 processes 10 neuropsychological 11 processes 12 likely 13 depends 13 depends 14 on 13 depends 19 to 14 on 18 problems 15 the 16 type 16 type 17 of 16 type 18 problems 17 of 18 problems 19 to 20 be 20 be 21 solved well - defined problems ( e.g [.] , completing a series of errands ) may rely primarily on executive functions . 0 ###LEFT-WALL### 1 well 0 ###LEFT-WALL### 16 rely 0 ###LEFT-WALL### 21 . 1 well 4 problems 1 well 9 completing 1 well 15 may 2 - 4 problems 3 defined 4 problems 4 problems 6 e.g 4 problems 8 , 5 ( 6 e.g 6 e.g 8 , 8 , 9 completing 9 completing 11 series 9 completing 14 ) 10 a 11 series 11 series 12 of 12 of 13 errands 15 may 16 rely 16 rely 17 primarily 17 primarily 18 on 18 on 20 functions 19 executive 20 functions conversely , ill - defined problems ( e.g [.] , navigating socially awkward situations ) may , in addition , rely on medial temporal [lobe] ( mtl ) mediated episodic memory processes . 0 ###LEFT-WALL### 3 ill 0 ###LEFT-WALL### 16 may 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 33 . 1 conversely 2 , 1 conversely 3 ill 3 ill 6 problems 3 ill 11 navigating 3 ill 16 may 4 - 6 problems 5 defined 6 problems 6 problems 8 e.g 6 problems 10 , 7 ( 8 e.g 8 e.g 10 , 10 , 11 navigating 11 navigating 14 situations 11 navigating 15 ) 12 socially 13 awkward 13 awkward 14 situations 17 , 21 rely 18 in 19 addition 18 in 20 , 18 in 21 rely 21 rely 22 on 22 on 32 processes 23 medial 31 memory 24 temporal 27 mtl 24 temporal 31 memory 26 ( 27 mtl 27 mtl 28 ) 29 mediated 31 memory 30 episodic 31 memory 31 memory 32 processes correlation analyses and age group comparisons demonstrated differential contributions of executive and autobiographical episodic memory function to well - [defined] and ill - defined problem solving and evidence for an episodic simulation mechanism underlying ill - defined problem solving efficacy . 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 41 . 1 correlation 2 analyses 3 and 6 comparisons 3 and 7 demonstrated 4 age 6 comparisons 5 group 6 comparisons 6 comparisons 7 demonstrated 7 demonstrated 12 and 7 demonstrated 16 function 8 differential 9 contributions 9 contributions 10 of 9 contributions 12 and 10 of 11 executive 12 and 15 memory 12 and 16 function 13 autobiographical 15 memory 14 episodic 15 memory 16 function 17 to 16 function 29 for 17 to 27 and 18 well 21 and 19 - 21 and 21 and 26 solving 21 and 27 and 22 ill 23 - 22 ill 26 solving 24 defined 25 problem 25 problem 26 solving 27 and 28 evidence 29 for 33 mechanism 30 an 33 mechanism 31 episodic 33 mechanism 32 simulation 33 mechanism 33 mechanism 34 underlying 34 underlying 40 efficacy 35 ill 36 - 35 ill 40 efficacy 37 defined 38 problem 38 problem 40 efficacy 39 solving 40 efficacy findings are consistent with the emerging idea that mtl - mediated episodic simulation processes support the effective solution of ill - defined problems , over and above the contribution of frontally mediated executive functions . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 35 . 1 findings 2 are 2 are 3 consistent 3 consistent 4 with 4 with 7 idea 4 with 9 mtl 5 the 7 idea 6 emerging 7 idea 8 that 9 mtl 10 - 13 simulation 10 - 26 and 11 mediated 13 simulation 12 episodic 13 simulation 13 simulation 14 processes 13 simulation 25 over 14 processes 15 support 15 support 18 solution 15 support 25 over 16 the 18 solution 17 effective 18 solution 18 solution 19 of 19 of 20 ill 20 ill 23 problems 21 - 23 problems 22 defined 23 problems 23 problems 24 , 26 and 29 contribution 26 and 34 functions 27 above 29 contribution 28 the 29 contribution 29 contribution 30 of 29 contribution 34 functions 30 of 33 executive 31 frontally 32 mediated 32 mediated 33 executive implications for the development of intervention strategies that target preservation of functional independence in older adults are discussed . 0 ###LEFT-WALL### 1 implications 0 ###LEFT-WALL### 18 discussed 0 ###LEFT-WALL### 19 . 1 implications 2 for 1 implications 17 are 2 for 4 development 3 the 4 development 4 development 5 of 5 of 7 strategies 6 intervention 7 strategies 7 strategies 8 that 7 strategies 9 target 8 that 9 target 9 target 10 preservation 9 target 14 in 10 preservation 11 of 11 of 13 independence 12 functional 13 independence 14 in 16 adults 15 older 16 adults 17 are 18 discussed objectives : the primary purposes of the present study were ( 1 ) to assess the living arrangements among urban chinese elders [,] ( 2 ) to examine the relationship between household living arrangement and elders ' mental health , [and] ( [3] [ )(to investigate [how] individuals ' neighborhood identity affects their mental health . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 1 objectives 2 : 2 : 5 purposes 2 : 14 to 3 the 5 purposes 4 primary 5 purposes 5 purposes 6 of 6 of 8 present 7 the 8 present 8 present 9 study 8 present 10 were 8 present 12 1 9 study 10 were 11 ( 12 1 12 1 13 ) 14 to 15 assess 15 assess 18 arrangements 15 assess 19 among 15 assess 27 to 16 the 18 arrangements 17 living 18 arrangements 19 among 22 elders 20 urban 22 elders 21 chinese 22 elders 22 elders 25 2 24 ( 25 2 25 2 26 ) 27 to 28 examine 28 examine 30 relationship 28 examine 31 between 29 the 30 relationship 31 between 35 and 32 household 33 living 33 living 34 arrangement 34 arrangement 35 and 35 and 39 health 35 and 40 , 35 and 45 )(to 36 elders 37 ' 37 ' 39 health 38 mental 39 health 42 ( 45 )(to 45 )(to 46 investigate 45 )(to 56 . 46 investigate 50 neighborhood 48 individuals 49 ' 49 ' 50 neighborhood 50 neighborhood 51 identity 50 neighborhood 52 affects 51 identity 52 affects 52 affects 55 health 53 their 55 health 54 mental 55 health method : the random sample was collected in 2011 , including 939 respondents aged 60 [and] above who lived in the jing'an district of shanghai , china . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 5 sample 2 : 6 was 2 : 26 , 2 : 28 . 3 the 5 sample 4 random 5 sample 5 sample 6 was 6 was 7 collected 7 collected 8 in 8 in 9 2011 9 2011 11 including 10 , 11 including 11 including 13 respondents 11 including 26 , 12 939 13 respondents 13 respondents 14 aged 13 respondents 17 above 13 respondents 18 who 13 respondents 19 lived 14 aged 15 60 18 who 19 lived 19 lived 20 in 20 in 23 district 21 the 23 district 22 jing'an 23 district 23 district 24 of 24 of 25 shanghai 26 , 27 china the study examined well - being and depression of elders . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 5 - 1 the 2 study 2 study 3 examined 3 examined 4 well 5 - 7 and 5 - 11 . 6 being 7 and 7 and 8 depression 7 and 9 of 9 of 10 elders the domestic living arrangements were assessed by a single item with five options : ['] with [whom] are you living together ? ['] 0 ###LEFT-WALL### 4 arrangements 0 ###LEFT-WALL### 6 assessed 0 ###LEFT-WALL### 14 : 0 ###LEFT-WALL### 22 ? 1 the 4 arrangements 2 domestic 4 arrangements 3 living 4 arrangements 4 arrangements 5 were 5 were 6 assessed 6 assessed 7 by 6 assessed 11 with 7 by 10 item 8 a 9 single 8 a 10 item 9 single 10 item 11 with 13 options 12 five 13 options 14 : 16 with 14 : 18 are 16 with 18 are 18 are 19 you 18 are 20 living 20 living 21 together the neighborhood identity was measured by four items : the sense of belonging , the sense of pride , volunteer work , and monetary donation for the neighborhood . 0 ###LEFT-WALL### 3 identity 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 9 : 0 ###LEFT-WALL### 29 . 1 the 3 identity 2 neighborhood 3 identity 3 identity 4 was 4 was 5 measured 5 measured 6 by 6 by 8 items 7 four 8 items 9 : 11 sense 9 : 14 , 10 the 11 sense 11 sense 12 of 12 of 13 belonging 14 , 23 and 15 the 16 sense 16 sense 17 of 16 sense 19 , 17 of 18 pride 19 , 21 work 19 , 23 and 20 volunteer 21 work 22 , 23 and 23 and 25 donation 24 monetary 25 donation 25 donation 26 for 26 for 28 neighborhood 27 the 28 neighborhood results : urban chinese elders ' living arrangement had transited from a traditional intergenerational co - residence pattern to a [more] self - independent style . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 1 results 2 : 2 : 7 living 3 urban 5 elders 4 chinese 5 elders 5 elders 6 ' 6 ' 7 living 7 living 8 arrangement 7 living 10 transited 8 arrangement 9 had 9 had 10 transited 10 transited 11 from 10 transited 19 to 11 from 18 pattern 12 a 13 traditional 12 a 18 pattern 13 traditional 17 residence 14 intergenerational 17 residence 15 co 16 - 15 co 17 residence 17 residence 18 pattern 19 to 22 self 20 a 22 self 22 self 25 style 23 - 25 style 24 independent 25 style 25 style 26 . however , living with children was positively associated with elders ' mental health after controlling for demographic variables . 0 ###LEFT-WALL### 3 living 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 3 living 3 living 4 with 3 living 6 was 4 with 5 children 6 was 7 positively 6 was 8 associated 8 associated 9 with 8 associated 14 after 9 with 13 health 10 elders 11 ' 11 ' 13 health 12 mental 13 health 14 after 15 controlling 15 controlling 16 for 16 for 18 variables 17 demographic 18 variables although the neighborhood identity had no interaction with living arrangement , it also contributed to elders ' mental health . 0 ###LEFT-WALL### 12 it 0 ###LEFT-WALL### 14 contributed 0 ###LEFT-WALL### 20 . 1 although 4 identity 1 although 5 had 1 although 11 , 1 although 12 it 2 the 4 identity 3 neighborhood 4 identity 4 identity 5 had 5 had 7 interaction 5 had 8 with 6 no 7 interaction 8 with 10 arrangement 9 living 10 arrangement 12 it 14 contributed 13 also 14 contributed 14 contributed 15 to 15 to 19 health 16 elders 17 ' 17 ' 19 health 18 mental 19 health conclusion : the study highlighted the importance of living with children and spouse , the sense of belonging , volunteer work , and the feelings of pride on elders ' mental health . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 highlighted 2 : 33 . 3 the 4 study 4 study 5 highlighted 5 highlighted 7 importance 5 highlighted 10 with 6 the 7 importance 7 importance 8 of 8 of 9 living 10 with 23 and 11 children 12 and 12 and 13 spouse 12 and 16 sense 12 and 21 work 12 and 23 and 14 , 16 sense 15 the 16 sense 16 sense 17 of 16 sense 19 , 17 of 18 belonging 19 , 21 work 20 volunteer 21 work 21 work 22 , 23 and 25 feelings 23 and 26 of 23 and 28 on 24 the 25 feelings 26 of 27 pride 28 on 32 health 29 elders 30 ' 30 ' 32 health 31 mental 32 health results of the current study suggested implications for both government and [non] [-] governmental organizations to design family - based support for eldercare and improve neighborhood identity for elders . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 6 suggested 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 30 . 1 results 2 of 1 results 6 suggested 2 of 5 study 3 the 5 study 4 current 5 study 6 suggested 7 implications 6 suggested 8 for 6 suggested 16 to 8 for 11 and 9 both 11 and 10 government 11 and 11 and 15 organizations 14 governmental 15 organizations 16 to 17 design 17 design 18 family 19 - 24 and 20 based 21 support 20 based 24 and 21 support 22 for 22 for 23 eldercare 24 and 25 improve 25 improve 27 identity 26 neighborhood 27 identity 27 identity 28 for 28 for 29 elders objective : calorie restriction and intermittent fasting are two dietary interventions that can improve aging . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 5 and 2 : 8 are 2 : 16 . 3 calorie 4 restriction 4 restriction 5 and 5 and 6 intermittent 5 and 7 fasting 5 and 8 are 8 are 11 interventions 9 two 11 interventions 10 dietary 11 interventions 11 interventions 12 that 11 interventions 13 can 11 interventions 15 aging 12 that 13 can 13 can 14 improve religious fasting also suggested [having] similar benefit ; however , such studies are still scarce . 0 ###LEFT-WALL### 7 benefit 0 ###LEFT-WALL### 8 ; 0 ###LEFT-WALL### 16 . 1 religious 7 benefit 2 fasting 7 benefit 3 also 4 suggested 4 suggested 7 benefit 6 similar 7 benefit 8 ; 12 studies 8 ; 13 are 9 however 10 , 9 however 12 studies 11 such 12 studies 12 studies 13 are 13 are 14 still 13 are 15 scarce 14 still 15 scarce thus , this study aimed to determine the effect [of] fasting calorie restriction ( fcr ) on metabolic parameters and dna damage among healthy older adult men . 0 ###LEFT-WALL### 4 study 0 ###LEFT-WALL### 5 aimed 0 ###LEFT-WALL### 28 . 1 thus 2 , 1 thus 4 study 3 this 4 study 4 study 5 aimed 5 aimed 6 to 5 aimed 7 determine 6 to 7 determine 7 determine 13 restriction 7 determine 17 on 7 determine 23 among 8 the 13 restriction 9 effect 11 fasting 11 fasting 12 calorie 12 calorie 13 restriction 13 restriction 15 fcr 14 ( 15 fcr 15 fcr 16 ) 17 on 20 and 18 metabolic 19 parameters 19 parameters 20 and 20 and 22 damage 21 dna 22 damage 23 among 27 men 24 healthy 26 adult 25 older 26 adult 26 adult 27 men methods : a randomized controlled study was done on men , aged 50 - 70 years in klang valley , malaysia . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 6 study 2 : 11 , 3 a 6 study 4 randomized 6 study 5 controlled 6 study 6 study 11 , 7 was 8 done 7 was 11 , 8 done 9 on 9 on 10 men 11 , 12 aged 11 , 17 in 12 aged 16 years 13 50 14 - 14 - 15 70 14 - 16 years 17 in 19 valley 18 klang 19 valley 19 valley 21 malaysia 20 , 21 malaysia 21 malaysia 22 . subjects were divided into two groups ; fcr ( reduction of 300 - 500 kcal / d combined with 2 [days] / week of muslim sunnah fasting ) and control . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 3 divided 0 ###LEFT-WALL### 7 ; 0 ###LEFT-WALL### 31 . 1 subjects 2 were 2 were 3 divided 3 divided 4 into 4 into 6 groups 5 two 6 groups 7 ; 29 and 8 fcr 10 reduction 8 fcr 29 and 9 ( 10 reduction 10 reduction 11 of 10 reduction 18 combined 10 reduction 28 ) 11 of 17 d 12 300 13 - 13 - 14 500 13 - 17 d 14 500 15 kcal 15 kcal 16 / 18 combined 19 with 19 with 23 week 20 2 23 week 22 / 23 week 23 week 24 of 24 of 27 fasting 25 muslim 27 fasting 26 sunnah 27 fasting 29 and 30 control assessment was ascertained at three time point [;] baseline , weeks 6 and 12 . 0 ###LEFT-WALL### 1 assessment 0 ###LEFT-WALL### 3 ascertained 1 assessment 2 was 2 was 3 ascertained 3 ascertained 4 at 4 at 9 baseline 5 three 9 baseline 6 time 9 baseline 7 point 9 baseline 9 baseline 11 weeks 10 , 11 weeks 11 weeks 13 and 11 weeks 15 . 12 6 13 and 13 and 14 12 blood samples were analyzed for lipid profile , dna damage and malondialdehyde ( mda ) . 0 ###LEFT-WALL### 2 samples 0 ###LEFT-WALL### 4 analyzed 0 ###LEFT-WALL### 16 . 1 blood 2 samples 2 samples 3 were 3 were 4 analyzed 4 analyzed 5 for 5 for 11 and 6 lipid 7 profile 7 profile 8 , 8 , 10 damage 8 , 11 and 9 dna 10 damage 11 and 12 malondialdehyde 11 and 14 mda 13 ( 14 mda 14 mda 15 ) results : the fcr group reduced their energy intake for approximately 18 % upon completion of the study . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 group 2 : 6 reduced 2 : 19 . 3 the 5 group 4 fcr 5 group 5 group 6 reduced 6 reduced 9 intake 6 reduced 14 upon 7 their 9 intake 8 energy 9 intake 9 intake 10 for 10 for 13 % 11 approximately 12 18 12 18 13 % 14 upon 15 completion 15 completion 16 of 16 of 18 study 17 the 18 study a significant interaction effect was found in body weight , body mass index , fat percentage , fat mass , blood pressure , total cholesterol , low - density lipoprotein cholesterol and the ratio of total cholesterol/high - density lipoprotein cholesterol ( p < 0.05 ) . 0 ###LEFT-WALL### 32 and 0 ###LEFT-WALL### 47 . 1 a 2 significant 1 a 9 weight 2 significant 3 interaction 3 interaction 4 effect 4 effect 5 was 5 was 6 found 6 found 7 in 8 body 9 weight 9 weight 10 , 10 , 13 index 10 , 14 , 11 body 12 mass 12 mass 13 index 14 , 16 percentage 14 , 17 , 15 fat 16 percentage 17 , 19 mass 17 , 20 , 18 fat 19 mass 20 , 22 pressure 20 , 23 , 21 blood 22 pressure 23 , 25 cholesterol 23 , 26 , 24 total 25 cholesterol 26 , 31 cholesterol 26 , 32 and 27 low 28 - 27 low 29 density 29 density 31 cholesterol 30 lipoprotein 31 cholesterol 32 and 34 ratio 32 and 35 of 32 and 41 cholesterol 33 the 34 ratio 35 of 37 cholesterol/high 36 total 37 cholesterol/high 38 - 41 cholesterol 39 density 41 cholesterol 40 lipoprotein 41 cholesterol 41 cholesterol 44 < 41 cholesterol 46 ) 42 ( 44 < 43 p 44 < 44 < 45 0.05 44 < 46 ) a significant [improvement] ( p < 0.001 ) in total dna rejoining cells and mda ( p < 0.05 ) was also observed in the fcr group . 0 ###LEFT-WALL### 9 in 0 ###LEFT-WALL### 10 total 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 28 . 1 a 9 in 2 significant 6 < 2 significant 9 in 4 ( 6 < 5 p 6 < 6 < 7 0.001 6 < 8 ) 9 in 10 total 10 total 11 dna 11 dna 12 rejoining 12 rejoining 13 cells 14 and 15 mda 14 and 23 observed 15 mda 18 < 15 mda 21 was 16 ( 18 < 17 p 18 < 18 < 19 0.05 18 < 20 ) 21 was 23 observed 22 also 23 observed 23 observed 24 in 24 in 27 group 25 the 27 group 26 fcr 27 group conclusion : fcr improved metabolic parameters and dna damage in healthy older adult men . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 1 conclusion 2 : 2 : 3 fcr 3 fcr 4 improved 3 fcr 7 and 3 fcr 9 damage 4 improved 5 metabolic 6 parameters 7 and 7 and 8 dna 7 and 9 damage 9 damage 10 in 10 in 14 men 11 healthy 13 adult 12 older 13 adult 13 adult 14 men therefore , there is a need to further examine the mechanism of fcr . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 14 . 1 therefore 2 , 1 therefore 3 there 3 there 4 is 4 is 6 need 5 a 6 need 6 need 7 to 6 need 9 examine 7 to 9 examine 8 further 9 examine 9 examine 11 mechanism 10 the 11 mechanism 11 mechanism 12 of 12 of 13 fcr [none] fungi are major causes of infections among immunocompromised or hospitalized patients with serious underlying diseases and comorbidities . 0 ###LEFT-WALL### 2 fungi 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 19 . 2 fungi 3 are 3 are 5 causes 3 are 8 among 3 are 13 with 4 major 5 causes 5 causes 6 of 6 of 7 infections 8 among 10 or 9 immunocompromised 10 or 10 or 11 hospitalized 11 hospitalized 12 patients 13 with 17 and 14 serious 15 underlying 14 serious 17 and 15 underlying 16 diseases 17 and 18 comorbidities candida species remain the most important cause of opportunistic infections worldwide , affecting [predominantly] patients over 65 years old , while they are considered to be the fourth most common cause of nosocomial bloodstream infections . 0 ###LEFT-WALL### 2 species 0 ###LEFT-WALL### 26 be 0 ###LEFT-WALL### 36 . 1 candida 2 species 2 species 3 remain 3 remain 7 cause 4 the 7 cause 5 most 6 important 6 important 7 cause 7 cause 8 of 7 cause 11 worldwide 8 of 10 infections 9 opportunistic 10 infections 11 worldwide 13 affecting 11 worldwide 21 while 11 worldwide 25 to 12 , 13 affecting 13 affecting 15 patients 13 affecting 16 over 13 affecting 20 , 16 over 17 65 17 65 19 old 18 years 19 old 21 while 22 they 21 while 24 considered 22 they 23 are 23 are 24 considered 25 to 26 be 26 be 31 cause 27 the 31 cause 28 fourth 31 cause 29 most 30 common 30 common 31 cause 31 cause 32 of 32 of 35 infections 33 nosocomial 35 infections 34 bloodstream 35 infections the rapidly growing elderly population has specific physiological characteristics , which makes it susceptible to colonization and subsequent infection due to candida species . 0 ###LEFT-WALL### 5 population 0 ###LEFT-WALL### 6 has 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 24 . 1 the 5 population 2 rapidly 3 growing 3 growing 5 population 4 elderly 5 population 5 population 6 has 6 has 9 characteristics 7 specific 9 characteristics 8 physiological 9 characteristics 10 , 11 which 10 , 12 makes 11 which 12 makes 12 makes 13 it 13 it 14 susceptible 14 susceptible 15 to 14 susceptible 21 to 15 to 17 and 16 colonization 17 and 17 and 19 infection 18 subsequent 19 infection 20 due 21 to 21 to 23 species 22 candida 23 species comorbidities and multidrug use should be taken into account any time the therapeutic regimen is under consideration . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 7 taken 0 ###LEFT-WALL### 18 . 1 comorbidities 2 and 2 and 4 use 2 and 5 should 3 multidrug 4 use 5 should 6 be 6 be 7 taken 7 taken 9 account 7 taken 11 time 8 into 9 account 10 any 11 time 11 time 14 regimen 11 time 15 is 12 the 14 regimen 13 therapeutic 14 regimen 14 regimen 15 is 15 is 16 under 16 under 17 consideration different classes of antifungal drugs are available for the treatment of invasive fungal infections but echinocandins , apart from their activity against resistant strains ( candida glabrata and candida krusei ) , seem to be safe , with limited adverse events and minimal drug - drug interactions in comparison to the other regimens . 0 ###LEFT-WALL### 2 classes 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 15 but 1 different 2 classes 2 classes 3 of 2 classes 6 are 3 of 5 drugs 4 antifungal 5 drugs 6 are 7 available 7 available 8 for 8 for 10 treatment 9 the 10 treatment 10 treatment 11 of 11 of 14 infections 12 invasive 14 infections 13 fungal 14 infections 15 but 16 echinocandins 15 but 33 seem 16 echinocandins 33 seem 17 , 19 from 18 apart 19 from 19 from 21 activity 19 from 32 , 19 from 33 seem 20 their 21 activity 21 activity 22 against 21 activity 28 and 22 against 24 strains 23 resistant 24 strains 25 ( 28 and 26 candida 27 glabrata 27 glabrata 28 and 28 and 30 krusei 28 and 31 ) 29 candida 30 krusei 33 seem 34 to 33 seem 35 be 34 to 35 be 35 be 36 safe 36 safe 38 with 37 , 38 with 38 with 42 and 38 with 54 . 39 limited 41 events 40 adverse 41 events 41 events 42 and 42 and 44 drug 42 and 47 interactions 43 minimal 44 drug 45 - 47 interactions 46 drug 47 interactions 47 interactions 48 in 47 interactions 54 . 48 in 49 comparison 49 comparison 50 to 50 to 53 regimens 51 the 52 other 52 other 53 regimens therefore , these agents are strongly recommended when dealing with elderly patients suffering from an invasive form of candida infection . 0 ###LEFT-WALL### 4 agents 0 ###LEFT-WALL### 7 recommended 0 ###LEFT-WALL### 21 . 1 therefore 2 , 1 therefore 4 agents 3 these 4 agents 4 agents 5 are 5 are 7 recommended 6 strongly 7 recommended 7 recommended 8 when 8 when 9 dealing 9 dealing 10 with 10 with 12 patients 11 elderly 12 patients 12 patients 13 suffering 13 suffering 14 from 14 from 17 form 15 an 16 invasive 15 an 17 form 16 invasive 17 form 17 form 18 of 18 of 20 infection 19 candida 20 infection oxidative stress , an imbalance between reactive oxygen species production and antioxidative defense activity , is believed to have a role in the development and pathogenesis of nasal polyps ( nps ) . 0 ###LEFT-WALL### 2 stress 0 ###LEFT-WALL### 17 believed 0 ###LEFT-WALL### 33 . 1 oxidative 2 stress 2 stress 11 and 2 stress 16 is 3 , 11 and 4 an 5 imbalance 5 imbalance 6 between 5 imbalance 11 and 6 between 10 production 7 reactive 8 oxygen 8 oxygen 9 species 9 species 10 production 11 and 14 activity 11 and 15 , 12 antioxidative 13 defense 13 defense 14 activity 16 is 17 believed 17 believed 18 to 17 believed 19 have 18 to 19 have 19 have 21 role 20 a 21 role 21 role 22 in 21 role 27 of 21 role 31 nps 22 in 25 and 23 the 24 development 24 development 25 and 25 and 26 pathogenesis 27 of 29 polyps 28 nasal 29 polyps 30 ( 31 nps 31 nps 32 ) based on this assumption , several known oxidants and antioxidants have been studied in patients with nps . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 13 studied 0 ###LEFT-WALL### 18 . 1 based 2 on 1 based 5 , 1 based 9 and 2 on 4 assumption 3 this 4 assumption 6 several 8 oxidants 7 known 8 oxidants 8 oxidants 9 and 9 and 10 antioxidants 9 and 11 have 11 have 12 been 12 been 13 studied 13 studied 14 in 13 studied 16 with 14 in 15 patients 16 with 17 nps the purpose of this study was to evaluate the association between oxidative stress parameters with [a] more valid and reliable method in patients with nps . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 26 . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 evaluate 7 to 8 evaluate 8 evaluate 10 association 8 evaluate 15 with 8 evaluate 22 in 9 the 10 association 10 association 11 between 11 between 14 parameters 12 oxidative 13 stress 13 stress 14 parameters 15 with 21 method 17 more 21 method 18 valid 19 and 19 and 20 reliable 19 and 21 method 22 in 23 patients 23 patients 24 with 24 with 25 nps seventy - three patients with nps , septal deviations and middle concha hypertrophies were recruited . 0 ###LEFT-WALL### 4 patients 0 ###LEFT-WALL### 15 recruited 0 ###LEFT-WALL### 16 . 1 seventy 2 - 2 - 3 three 2 - 4 patients 4 patients 5 with 4 patients 14 were 5 with 10 and 6 nps 7 , 7 , 9 deviations 7 , 10 and 8 septal 9 deviations 10 and 11 middle 10 and 12 concha 10 and 13 hypertrophies 12 concha 13 hypertrophies 14 were 15 recruited patients were divided into two groups ; group 1 ( n = 38 ) consisted of patients with nps , and group 2 ( n = 35 ) included patients with septal deviations and middle concha hypertrophies . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 3 divided 0 ###LEFT-WALL### 7 ; 0 ###LEFT-WALL### 38 . 1 patients 2 were 2 were 3 divided 3 divided 4 into 4 into 6 groups 5 two 6 groups 7 ; 8 group 7 ; 15 consisted 7 ; 21 and 8 group 9 1 8 group 12 = 8 group 15 consisted 10 ( 12 = 11 n 12 = 12 = 13 38 12 = 14 ) 15 consisted 16 of 16 of 17 patients 17 patients 18 with 18 with 19 nps 20 , 21 and 21 and 22 group 21 and 29 included 22 group 23 2 22 group 26 = 22 group 29 included 24 ( 26 = 25 n 26 = 26 = 27 35 26 = 28 ) 29 included 30 patients 29 included 31 with 31 with 34 and 32 septal 33 deviations 33 deviations 34 and 34 and 35 middle 34 and 36 concha 34 and 37 hypertrophies 36 concha 37 hypertrophies polyp specimens were taken from all patients who underwent endoscopic surgery for nps . 0 ###LEFT-WALL### 2 specimens 0 ###LEFT-WALL### 4 taken 0 ###LEFT-WALL### 14 . 1 polyp 2 specimens 2 specimens 3 were 3 were 4 taken 4 taken 5 from 5 from 7 patients 6 all 7 patients 7 patients 8 who 7 patients 9 underwent 8 who 9 underwent 9 underwent 11 surgery 10 endoscopic 11 surgery 11 surgery 12 for 12 for 13 nps control specimens were obtained from patients who underwent an operation for septoplasty or middle concha hypertrophy . 0 ###LEFT-WALL### 2 specimens 0 ###LEFT-WALL### 16 hypertrophy 0 ###LEFT-WALL### 17 . 1 control 2 specimens 2 specimens 3 were 3 were 4 obtained 4 obtained 5 from 4 obtained 11 for 5 from 6 patients 6 patients 7 who 6 patients 8 underwent 7 who 8 underwent 8 underwent 10 operation 9 an 10 operation 11 for 13 or 12 septoplasty 13 or 13 or 15 concha 13 or 16 hypertrophy 14 middle 15 concha blood and tissue samples were obtained to assess total oxidant status ( tos ) , total antioxidant status ( tas ) and oxidative stress index ( osi ) . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 29 . 1 blood 2 and 2 and 3 tissue 2 and 4 samples 2 and 15 , 2 and 22 and 4 samples 5 were 5 were 6 obtained 6 obtained 7 to 7 to 8 assess 8 assess 15 , 9 total 11 status 9 total 15 , 10 oxidant 11 status 11 status 13 tos 12 ( 13 tos 13 tos 14 ) 15 , 16 total 16 total 18 status 17 antioxidant 18 status 18 status 20 tas 19 ( 20 tas 20 tas 21 ) 22 and 25 index 22 and 27 osi 23 oxidative 24 stress 24 stress 25 index 26 ( 27 osi 27 osi 28 ) compared to group 2 , group 1 had significantly higher tos and osi and lower tas levels both in serum and tissue samples ( p < 0.001 for all [ )( 0 ###LEFT-WALL### 6 group 0 ###LEFT-WALL### 8 had 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 31 )( 1 compared 2 to 1 compared 5 , 1 compared 6 group 2 to 3 group 3 group 4 2 6 group 7 1 6 group 8 had 8 had 11 tos 9 significantly 10 higher 10 higher 11 tos 12 and 16 tas 12 and 17 levels 13 osi 14 and 14 and 15 lower 14 and 16 tas 16 tas 17 levels 17 levels 18 both 17 levels 19 in 17 levels 26 < 17 levels 28 for 19 in 21 and 20 serum 21 and 21 and 23 samples 22 tissue 23 samples 24 ( 26 < 25 p 26 < 26 < 27 0.001 28 for 29 all in group 1 , serum osi levels were significantly correlated with age ( r = 0.442 , p = 0.005 ) . 0 ###LEFT-WALL### 7 levels 0 ###LEFT-WALL### 10 correlated 0 ###LEFT-WALL### 22 . 1 in 2 group 1 in 4 , 1 in 7 levels 2 group 3 1 5 serum 7 levels 6 osi 7 levels 7 levels 8 were 8 were 10 correlated 9 significantly 10 correlated 10 correlated 11 with 11 with 12 age 12 age 15 = 12 age 19 = 13 ( 15 = 14 r 15 = 15 = 16 0.442 15 = 17 , 17 , 19 = 18 p 19 = 19 = 20 0.005 19 = 21 ) our study demonstrated that oxidative stress , both in serum and tissues in patients with nps , was higher than in patients without nps . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 demonstrated 0 ###LEFT-WALL### 25 . 1 our 2 study 2 study 3 demonstrated 3 demonstrated 6 stress 3 demonstrated 18 was 4 that 5 oxidative 5 oxidative 6 stress 6 stress 8 both 6 stress 18 was 7 , 8 both 8 both 9 in 8 both 17 , 9 in 11 and 10 serum 11 and 11 and 12 tissues 11 and 13 in 13 in 14 patients 14 patients 15 with 15 with 16 nps 18 was 19 higher 19 higher 20 than 19 higher 23 without 20 than 21 in 21 in 22 patients 23 without 24 nps our study differs from previous studies in that we used a more reliable method that measures both tos and tas . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 differs 0 ###LEFT-WALL### 21 . 1 our 2 study 2 study 3 differs 3 differs 4 from 3 differs 8 that 4 from 6 studies 5 previous 6 studies 7 in 8 that 8 that 9 we 8 that 10 used 9 we 10 used 10 used 14 method 11 a 14 method 12 more 13 reliable 13 reliable 14 method 14 method 15 that 14 method 16 measures 15 that 16 measures 16 measures 19 and 17 both 19 and 18 tos 19 and 19 and 20 tas background : the importance of chronic inflammation as a determinant of aging [phenotypes] may have been underestimated in previous studies that used a single measurement of inflammatory markers . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 1 background 2 : 2 : 4 importance 3 the 4 importance 4 importance 5 of 4 importance 18 in 5 of 7 inflammation 6 chronic 7 inflammation 7 inflammation 17 underestimated 8 as 10 determinant 8 as 17 underestimated 9 a 10 determinant 10 determinant 11 of 10 determinant 14 may 11 of 12 aging 14 may 15 have 15 have 16 been 16 been 17 underestimated 18 in 20 studies 19 previous 20 studies 20 studies 21 that 20 studies 22 used 21 that 22 used 22 used 25 measurement 23 a 24 single 23 a 25 measurement 24 single 25 measurement 25 measurement 26 of 26 of 28 markers 27 inflammatory 28 markers we assessed inflammatory markers twice over a 5 [-] year exposure period to examine the association between chronic inflammation and future aging phenotypes in a large population of men and women . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 assessed 0 ###LEFT-WALL### 32 . 1 we 2 assessed 2 assessed 4 markers 2 assessed 5 twice 2 assessed 6 over 2 assessed 13 to 2 assessed 17 between 2 assessed 24 in 3 inflammatory 4 markers 6 over 12 period 7 a 12 period 8 5 10 year 10 year 12 period 11 exposure 12 period 13 to 14 examine 14 examine 16 association 15 the 16 association 17 between 20 and 18 chronic 19 inflammation 19 inflammation 20 and 20 and 21 future 20 and 22 aging 20 and 23 phenotypes 22 aging 23 phenotypes 24 in 30 and 25 a 26 large 25 a 27 population 26 large 27 population 27 population 28 of 27 population 30 and 28 of 29 men 30 and 31 women interleukin [-] 6 was measured at baseline and 5 years earlier . 0 ###LEFT-WALL### 1 interleukin 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 12 . 1 interleukin 3 6 1 interleukin 4 was 4 was 5 measured 5 measured 6 at 6 at 8 and 7 baseline 8 and 8 and 10 years 8 and 11 earlier 9 5 10 years cause - specific mortality , chronic disease and functioning were ascertained from hospital data , register linkage and clinical examinations . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 11 ascertained 0 ###LEFT-WALL### 21 . 1 cause 2 - 1 cause 8 and 3 specific 4 mortality 4 mortality 5 , 5 , 7 disease 5 , 8 and 6 chronic 7 disease 8 and 9 functioning 8 and 10 were 10 were 11 ascertained 11 ascertained 12 from 12 from 18 and 13 hospital 14 data 14 data 15 , 15 , 17 linkage 15 , 18 and 16 register 17 linkage 18 and 20 examinations 19 clinical 20 examinations we used these data to create 4 aging phenotypes at the 10 [-] year [follow] [-] up ( 2007 - 2009 ) [:] successful aging [(] free of major chronic disease [and] with optimal physical , mental and cognitive functioning ) , incident fatal or nonfatal cardiovascular disease , death from noncardiovascular causes and normal aging ( all other participants ) . 1 we 2 used 2 used 4 data 2 used 5 to 3 these 4 data 5 to 6 create 6 create 7 4 6 create 10 at 6 create 17 up 7 4 8 aging 7 4 9 phenotypes 8 aging 9 phenotypes 10 at 14 year 11 the 14 year 12 10 14 year 17 up 25 aging 18 ( 20 - 19 2007 20 - 20 - 21 2009 20 - 22 ) 20 - 25 aging 24 successful 25 aging 25 aging 27 free 27 free 28 of 27 free 33 with 28 of 31 disease 29 major 31 disease 30 chronic 31 disease 33 with 43 incident 33 with 45 or 34 optimal 43 incident 35 physical 38 and 35 physical 42 , 35 physical 43 incident 36 , 38 and 37 mental 38 and 38 and 39 cognitive 38 and 41 ) 38 and 42 , 39 cognitive 40 functioning 44 fatal 45 or 45 or 48 disease 45 or 50 death 46 nonfatal 48 disease 47 cardiovascular 48 disease 49 , 50 death 50 death 51 from 50 death 56 aging 50 death 60 participants 50 death 62 . 51 from 54 and 52 noncardiovascular 53 causes 53 causes 54 and 54 and 55 normal 57 ( 60 participants 58 all 59 other 59 other 60 participants 60 participants 61 ) results : of the 3044 participants , 721 ( 23.7 % ) met the criteria for successful aging at the 10 - [year] follow - up , 321 ( 10.6 % ) had cardiovascular disease events , 147 ( 4.8 % ) died from noncardiovascular causes , and the remaining 1855 ( 60.9 % ) were included in the normal aging phenotype . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 63 . 2 : 8 721 2 : 13 met 2 : 22 - 3 of 6 participants 3 of 7 , 3 of 8 721 4 the 5 3044 5 3044 6 participants 8 721 11 % 8 721 13 met 9 ( 11 % 10 23.7 11 % 11 % 12 ) 13 met 15 criteria 13 met 16 for 13 met 19 at 14 the 15 criteria 16 for 18 aging 17 successful 18 aging 19 at 21 10 20 the 21 10 22 - 24 follow 22 - 25 - 25 - 28 321 25 - 33 had 25 - 37 , 26 up 27 , 26 up 28 321 28 321 31 % 28 321 33 had 29 ( 31 % 30 10.6 31 % 31 % 32 ) 33 had 36 events 34 cardiovascular 36 events 35 disease 36 events 37 , 38 147 37 , 43 died 37 , 48 and 38 147 41 % 38 147 43 died 39 ( 41 % 40 4.8 41 % 41 % 42 ) 43 died 44 from 44 from 46 causes 45 noncardiovascular 46 causes 47 , 48 and 48 and 51 1855 48 and 57 included 49 the 50 remaining 49 the 51 1855 51 1855 54 % 51 1855 56 were 52 ( 54 % 53 60.9 54 % 54 % 55 ) 56 were 57 included 57 included 58 in 58 in 62 phenotype 59 the 62 phenotype 60 normal 62 phenotype 61 aging 62 phenotype [after] adjustment for potential confounders , having a high interleukin - 6 level [(] > 2.0 ng/l [ )(twice over the 5 - year exposure period nearly halved [the] odds of successful aging at the 10 [-] year follow - up [(] odds ratio [ or ] 0.53 , 95 % confidence interval [ ci ] [0.38] - 0.74 [ )( increased [the] risk of future cardiovascular events [(] or 1.64 , 95 % ci 1.15 - 2.33 [ )(and noncardiovascular death ( or 2.43 , 95 % ci 1.58 - 3.80 ) . 0 ###LEFT-WALL### 2 adjustment 0 ###LEFT-WALL### 5 confounders 0 ###LEFT-WALL### 11 - 2 adjustment 3 for 2 adjustment 5 confounders 3 for 4 potential 5 confounders 7 having 6 , 7 having 7 having 10 interleukin 7 having 11 - 8 a 9 high 8 a 10 interleukin 9 high 10 interleukin 11 - 12 6 11 - 23 - 12 6 13 level 13 level 17 ng/l 13 level 19 )(twice 13 level 20 over 15 > 16 2.0 16 2.0 17 ng/l 20 over 22 5 21 the 22 5 23 - 30 odds 24 year 30 odds 25 exposure 30 odds 26 period 30 odds 27 nearly 28 halved 28 halved 30 odds 30 odds 31 of 30 odds 39 follow 31 of 33 aging 32 successful 33 aging 33 aging 34 at 34 at 38 year 35 the 38 year 36 10 38 year 39 follow 41 up 39 follow 48 0.53 40 - 41 up 41 up 44 ratio 41 up 47 ] 43 odds 44 ratio 44 ratio 46 or 45 [ 46 or 46 or 47 ] 48 0.53 58 - 49 , 58 - 50 95 51 % 51 % 52 confidence 52 confidence 53 interval 53 interval 55 ci 53 interval 58 - 54 [ 55 ci 55 ci 56 ] 58 - 64 risk 59 0.74 62 increased 62 increased 64 risk 64 risk 65 of 65 of 70 or 66 future 68 events 67 cardiovascular 68 events 68 events 70 or 70 or 71 1.64 70 or 82 death 72 , 82 death 73 95 82 death 74 % 82 death 75 ci 77 - 75 ci 80 )(and 76 1.15 77 - 77 - 78 2.33 80 )(and 81 noncardiovascular 80 )(and 82 death 82 death 84 or 82 death 94 . 83 ( 84 or 84 or 85 2.43 84 or 89 ci 84 or 92 3.80 84 or 94 . 86 , 89 ci 87 95 89 ci 88 % 89 ci 89 ci 90 1.58 89 ci 91 - 91 - 92 3.80 92 3.80 93 ) interpretation : chronic inflammation , [as] ascertained by repeat measurements , was associated with a range of unhealthy aging phenotypes and [a] decreased likelihood of successful aging . 0 ###LEFT-WALL### 1 interpretation 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 4 inflammation 2 : 13 associated 3 chronic 4 inflammation 4 inflammation 7 ascertained 4 inflammation 12 was 5 , 7 ascertained 7 ascertained 8 by 7 ascertained 11 , 8 by 10 measurements 9 repeat 10 measurements 12 was 13 associated 13 associated 14 with 14 with 16 range 15 a 16 range 16 range 17 of 16 range 25 of 17 of 19 aging 18 unhealthy 19 aging 19 aging 21 and 20 phenotypes 21 and 21 and 23 decreased 23 decreased 24 likelihood 25 of 27 aging 26 successful 27 aging our results suggest that assessing long - term chronic inflammation by repeat measurement of interleukin [-] 6 has the potential to guide clinical practice . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 25 . 1 our 2 results 2 results 3 suggest 3 suggest 4 that 4 that 5 assessing 4 that 22 guide 5 assessing 10 inflammation 5 assessing 11 by 5 assessing 18 has 6 long 7 - 6 long 8 term 8 term 10 inflammation 9 chronic 10 inflammation 11 by 13 measurement 12 repeat 13 measurement 13 measurement 14 of 14 of 15 interleukin 15 interleukin 17 6 18 has 20 potential 18 has 21 to 19 the 20 potential 21 to 22 guide 22 guide 24 practice 23 clinical 24 practice background : benign [prostate] [syndrome] ( bps ) is a common phenomenon in the aging male . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 7 bps 2 : 9 is 2 : 17 . 3 benign 7 bps 6 ( 7 bps 7 bps 8 ) 7 bps 9 is 9 is 12 phenomenon 10 a 11 common 10 a 12 phenomenon 11 common 12 phenomenon 12 phenomenon 13 in 13 in 16 male 14 the 16 male 15 aging 16 male transurethral resection of the prostate ( turp ) remains the international standard of care for [-] patients requiring surgical intervention for bps . 0 ###LEFT-WALL### 2 resection 0 ###LEFT-WALL### 9 remains 0 ###LEFT-WALL### 23 . 1 transurethral 2 resection 2 resection 3 of 2 resection 7 turp 2 resection 9 remains 3 of 5 prostate 4 the 5 prostate 6 ( 7 turp 7 turp 8 ) 9 remains 12 standard 10 the 12 standard 11 international 12 standard 12 standard 13 of 12 standard 18 requiring 13 of 14 care 14 care 15 for 15 for 17 patients 18 requiring 20 intervention 19 surgical 20 intervention 20 intervention 21 for 21 for 22 bps although the voiding improvement following turp is well - documented , controversy [exists] regarding its effect on post - operative sexual function . 0 ###LEFT-WALL### 4 improvement 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 23 . 1 although 3 voiding 1 although 4 improvement 2 the 3 voiding 4 improvement 5 following 4 improvement 7 is 5 following 6 turp 7 is 8 well 8 well 10 documented 8 well 12 controversy 9 - 10 documented 10 documented 11 , 11 , 12 controversy 12 controversy 14 regarding 12 controversy 19 - 14 regarding 16 effect 14 regarding 17 on 15 its 16 effect 17 on 18 post 19 - 22 function 20 operative 22 function 21 sexual 22 function in this study we investigated the possible influence of individual surgeons on clinical voiding parameters and post - operative sexual function after turp . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 investigated 0 ###LEFT-WALL### 24 . 1 in 3 study 1 in 4 we 2 this 3 study 4 we 5 investigated 5 investigated 21 function 5 investigated 22 after 6 the 21 function 7 possible 8 influence 8 influence 9 of 8 influence 16 and 9 of 11 surgeons 10 individual 11 surgeons 11 surgeons 12 on 12 on 15 parameters 13 clinical 15 parameters 14 voiding 15 parameters 16 and 17 post 16 and 18 - 16 and 21 function 19 operative 21 function 20 sexual 21 function 22 after 23 turp patients/materials and methods : we analyzed 123 patients with a mean age of 70 years ( 46 - 88 years ) who had undergone turp secondary to bps . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 patients/materials 2 and 2 and 3 methods 4 : 5 we 4 : 6 analyzed 4 : 29 . 5 we 6 analyzed 6 analyzed 8 patients 7 123 8 patients 8 patients 9 with 9 with 12 age 10 a 11 mean 10 a 12 age 11 mean 12 age 12 age 13 of 12 age 22 who 12 age 23 had 13 of 15 years 14 70 15 years 15 years 20 years 16 ( 20 years 17 46 18 - 18 - 19 88 18 - 20 years 20 years 21 ) 22 who 23 had 23 had 24 undergone 24 undergone 25 turp 25 turp 26 secondary 26 secondary 27 to 27 to 28 bps to evaluate the clinical parameters , patients completed the ipss and iief - 15 questionnaires [preoperatively] and 1 year postoperatively . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 evaluate 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 21 . 1 to 2 evaluate 2 evaluate 5 parameters 3 the 5 parameters 4 clinical 5 parameters 6 , 7 patients 6 , 8 completed 7 patients 8 completed 8 completed 17 and 8 completed 20 postoperatively 9 the 10 ipss 10 ipss 11 and 11 and 12 iief 11 and 13 - 11 and 15 questionnaires 14 15 15 questionnaires 15 questionnaires 17 and 17 and 19 year 18 1 19 year additional parameters including urinary flow and post voiding residual volume were also collected . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 11 were 0 ###LEFT-WALL### 14 . 1 additional 2 parameters 2 parameters 3 including 2 parameters 6 and 3 including 5 flow 4 urinary 5 flow 6 and 7 post 6 and 8 voiding 6 and 11 were 8 voiding 10 volume 9 residual 10 volume 11 were 12 also 11 were 13 collected results : a statistically significant improvement [in] voiding function was noted postoperatively . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 9 function 2 : 11 noted 2 : 13 . 3 a 4 statistically 3 a 9 function 4 statistically 5 significant 5 significant 6 improvement 6 improvement 9 function 8 voiding 9 function 9 function 10 was 10 was 11 noted 11 noted 12 postoperatively the mean ipss improved from 19.35 to 6.49 ( p<0.05 ) . 0 ###LEFT-WALL### 3 ipss 0 ###LEFT-WALL### 4 improved 0 ###LEFT-WALL### 12 . 1 the 2 mean 2 mean 3 ipss 3 ipss 4 improved 4 improved 5 from 5 from 7 to 6 19.35 7 to 7 to 8 6.49 7 to 10 p<0.05 9 ( 10 p<0.05 10 p<0.05 11 ) objective flow parameters also improved ; qmax [10.43] - 19.46 ml/s ( p<0.05 ) and residual volume 95 - 11 [ml] ( p<0.05 ) . 0 ###LEFT-WALL### 3 parameters 0 ###LEFT-WALL### 5 improved 0 ###LEFT-WALL### 6 ; 0 ###LEFT-WALL### 25 . 1 objective 2 flow 2 flow 3 parameters 3 parameters 5 improved 4 also 5 improved 6 ; 15 and 7 qmax 11 ml/s 7 qmax 15 and 9 - 11 ml/s 10 19.46 11 ml/s 11 ml/s 13 p<0.05 11 ml/s 14 ) 12 ( 13 p<0.05 13 p<0.05 14 ) 15 and 17 volume 15 and 23 p<0.05 16 residual 17 volume 17 volume 19 - 18 95 19 - 19 - 20 11 22 ( 23 p<0.05 23 p<0.05 24 ) the mean pre - operative prostate volume was 41.8 cm³ . 0 ###LEFT-WALL### 7 volume 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 11 . 1 the 7 volume 2 mean 5 operative 3 pre 4 - 3 pre 5 operative 5 operative 7 volume 6 prostate 7 volume 7 volume 8 was 8 was 10 cm³ 9 41.8 10 cm³ the mean resected tissue weight was 21.1 g . 0 ###LEFT-WALL### 5 weight 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 9 . 1 the 5 weight 2 mean 3 resected 3 resected 4 tissue 4 tissue 5 weight 5 weight 6 was 6 was 8 g 7 21.1 8 g the pa - tients showed no significant change in the frequency of their sexual activity following turp , [however] iief - 15 sexual function and erectile function scores declined mildly . 0 ###LEFT-WALL### 4 tients 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 31 . 1 the 4 tients 2 pa 3 - 2 pa 4 tients 4 tients 5 showed 5 showed 8 change 5 showed 9 in 5 showed 28 scores 5 showed 29 declined 6 no 8 change 7 significant 8 change 9 in 11 frequency 10 the 11 frequency 11 frequency 12 of 12 of 25 and 13 their 24 function 14 sexual 15 activity 15 activity 16 following 16 following 24 function 17 turp 20 iief 18 , 20 iief 20 iief 21 - 20 iief 24 function 22 15 24 function 23 sexual 24 function 24 function 25 and 25 and 26 erectile 27 function 28 scores 28 scores 29 declined 29 declined 30 mildly this was statistically significant with pre - [op] iief - 15=30.52 and post - [op] 26.24 ( p<0.05 ) . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 20 . 1 this 2 was 2 was 3 statistically 2 was 4 significant 4 significant 5 with 5 with 12 and 6 pre 9 iief 6 pre 10 - 6 pre 11 15=30.52 7 - 9 iief 9 iief 10 - 11 15=30.52 12 and 12 and 13 post 12 and 16 26.24 14 - 16 26.24 16 26.24 18 p<0.05 16 26.24 19 ) 17 ( 18 p<0.05 18 p<0.05 19 ) comparing individual surgeons , no statistically significant difference was noted in ipss and iief - 15 functional outcome scores . 0 ###LEFT-WALL### 8 difference 0 ###LEFT-WALL### 10 noted 0 ###LEFT-WALL### 15 - 1 comparing 3 surgeons 1 comparing 4 , 1 comparing 8 difference 2 individual 3 surgeons 5 no 8 difference 6 statistically 7 significant 7 significant 8 difference 8 difference 9 was 9 was 10 noted 10 noted 11 in 11 in 14 iief 12 ipss 13 and 13 and 14 iief 15 - 19 scores 15 - 20 . 16 15 19 scores 17 functional 18 outcome 18 outcome 19 scores although significant differences existed in the total amount of resected tissue , the percentage of resected adenoma in relation to total prostate volume was not statistically significant . 0 ###LEFT-WALL### 14 percentage 0 ###LEFT-WALL### 24 was 0 ###LEFT-WALL### 28 . 1 although 3 differences 1 although 4 existed 1 although 12 , 1 although 14 percentage 2 significant 3 differences 3 differences 4 existed 4 existed 5 in 5 in 8 amount 6 the 8 amount 7 total 8 amount 8 amount 9 of 9 of 11 tissue 10 resected 11 tissue 13 the 14 percentage 14 percentage 15 of 14 percentage 24 was 15 of 17 adenoma 16 resected 17 adenoma 17 adenoma 20 to 18 in 19 relation 19 relation 20 to 20 to 23 volume 21 total 22 prostate 22 prostate 23 volume 24 was 25 not 24 was 27 significant 26 statistically 27 significant conclusion : overall , ipss scores improved significantly following turp and sexual function scored declined mildly . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 1 conclusion 2 : 2 : 6 scores 3 overall 5 ipss 4 , 5 ipss 5 ipss 6 scores 6 scores 7 improved 6 scores 9 following 7 improved 8 significantly 9 following 11 and 9 following 16 mildly 10 turp 11 and 11 and 13 function 11 and 14 scored 11 and 15 declined 12 sexual 13 function we detected no influence between surgeons on clinical voiding parameters and postoperative sexual function after turp using the ipss and iief - 15 questionnaires . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 detected 0 ###LEFT-WALL### 22 - 0 ###LEFT-WALL### 25 . 1 we 2 detected 2 detected 4 influence 2 detected 5 between 2 detected 7 on 3 no 4 influence 5 between 6 surgeons 7 on 11 and 8 clinical 10 parameters 9 voiding 10 parameters 10 parameters 11 and 11 and 14 function 11 and 15 after 12 postoperative 14 function 13 sexual 14 function 15 after 16 turp 16 turp 17 using 17 using 21 iief 18 the 21 iief 19 ipss 20 and 20 and 21 iief 22 - 24 questionnaires 23 15 24 questionnaires two kinds of dental stem cells ( dscs ) , dental pulp stem cells ( dpscs ) and stem cells from human - exfoliated deciduous teeth ( shed ) , have been identified as novel populations of mesenchymal stem cells that can be induced to differentiate into osteoblasts , chondrocytes , adipocytes , and neuron - like cells in vitro . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 46 differentiate 0 ###LEFT-WALL### 61 . 1 two 2 kinds 2 kinds 3 of 2 kinds 18 and 3 of 6 cells 4 dental 5 stem 5 stem 6 cells 6 cells 8 dscs 6 cells 14 cells 7 ( 8 dscs 8 dscs 9 ) 10 , 14 cells 11 dental 12 pulp 12 pulp 14 cells 13 stem 14 cells 14 cells 16 dpscs 14 cells 17 ) 15 ( 16 dpscs 16 dpscs 17 ) 18 and 20 cells 18 and 30 , 18 and 31 have 19 stem 20 cells 20 cells 21 from 21 from 26 teeth 22 human 23 - 22 human 26 teeth 24 exfoliated 26 teeth 25 deciduous 26 teeth 26 teeth 28 shed 27 ( 28 shed 28 shed 29 ) 31 have 32 been 32 been 36 populations 33 identified 36 populations 34 as 35 novel 35 novel 36 populations 36 populations 37 of 36 populations 41 that 36 populations 46 differentiate 37 of 40 cells 38 mesenchymal 39 stem 39 stem 40 cells 41 that 42 can 42 can 43 be 43 be 44 induced 44 induced 45 to 44 induced 46 differentiate 45 to 46 differentiate 46 differentiate 47 into 46 differentiate 57 like 46 differentiate 60 vitro 47 into 48 osteoblasts 48 osteoblasts 54 and 49 , 54 and 50 chondrocytes 51 , 51 , 52 adipocytes 51 , 54 and 53 , 54 and 54 and 55 neuron 54 and 56 - 57 like 58 cells 59 in 60 vitro as we know , both of them originate from the neural crest , but have distinct characteristics and functions in vitro and in vivo . 0 ###LEFT-WALL### 5 both 0 ###LEFT-WALL### 14 but 0 ###LEFT-WALL### 25 . 1 as 2 we 1 as 3 know 1 as 4 , 1 as 5 both 2 we 3 know 5 both 6 of 5 both 14 but 6 of 7 them 8 originate 9 from 8 originate 14 but 9 from 12 crest 10 the 12 crest 11 neural 12 crest 13 , 14 but 14 but 15 have 15 have 18 and 15 have 22 and 16 distinct 17 characteristics 17 characteristics 18 and 18 and 19 functions 20 in 21 vitro 21 vitro 22 and 22 and 24 vivo 23 in 24 vivo the regeneration potential of dscs declines with advanced age ; however , the mechanism of the impaired potential in dscs has not been fully explored . 0 ###LEFT-WALL### 3 potential 0 ###LEFT-WALL### 6 declines 0 ###LEFT-WALL### 10 ; 0 ###LEFT-WALL### 26 . 1 the 3 potential 2 regeneration 3 potential 3 potential 4 of 3 potential 6 declines 4 of 5 dscs 6 declines 7 with 7 with 9 age 8 advanced 9 age 10 ; 14 mechanism 10 ; 25 explored 11 however 12 , 11 however 14 mechanism 13 the 14 mechanism 14 mechanism 15 of 14 mechanism 21 has 15 of 18 potential 16 the 18 potential 17 impaired 18 potential 18 potential 19 in 19 in 20 dscs 21 has 22 not 21 has 23 been 23 been 25 explored 24 fully 25 explored in this study , we investigated whether [declined] neurogenic differentiation capacity is associated with an altered expression of wnt signaling - related proteins in vitro . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 investigated 0 ###LEFT-WALL### 22 related 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 investigated 6 investigated 7 whether 6 investigated 14 with 7 whether 11 capacity 7 whether 12 is 9 neurogenic 10 differentiation 10 differentiation 11 capacity 11 capacity 12 is 12 is 13 associated 14 with 17 expression 15 an 17 expression 16 altered 17 expression 17 expression 18 of 18 of 19 wnt 19 wnt 20 signaling 21 - 22 related 22 related 23 proteins 22 related 25 vitro 22 related 26 . 24 in 25 vitro we compared stem cells isolated from human dental pulp in two age groups : the exfoliated deciduous [teeth] ( 5 - 12 years ) , and the third permanent teeth ( 45 - 50 years ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 compared 0 ###LEFT-WALL### 14 : 0 ###LEFT-WALL### 37 . 1 we 2 compared 2 compared 4 cells 3 stem 4 cells 4 cells 5 isolated 5 isolated 6 from 6 from 9 pulp 7 human 9 pulp 8 dental 9 pulp 9 pulp 10 in 10 in 13 groups 11 two 13 groups 12 age 13 groups 14 : 30 teeth 15 the 30 teeth 16 exfoliated 30 teeth 17 deciduous 21 - 17 deciduous 26 and 19 ( 21 - 20 5 21 - 21 - 23 years 21 - 24 ) 22 12 23 years 25 , 26 and 26 and 27 the 26 and 30 teeth 27 the 28 third 29 permanent 30 teeth 30 teeth 35 years 31 ( 35 years 32 45 33 - 33 - 34 50 33 - 35 years 35 years 36 ) we found that the expression levels of neuron markers , such as βiii - tubulin , microtubule - associated protein 2 ( map2 ) , tyrosine hydroxylase ( th ) , and nestin were lower in the dpscs group compared with that in the shed group ; however , in supplementation with human recombinant wnt1 in the medium , the dpscs were prone to neural differentiation and expressed higher levels of neurogenic markers . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 47 ; 0 ###LEFT-WALL### 74 . 1 we 2 found 2 found 3 that 3 that 32 and 3 that 34 were 4 the 6 levels 5 expression 6 levels 6 levels 7 of 6 levels 32 and 7 of 9 markers 8 neuron 9 markers 9 markers 15 tubulin 10 , 15 tubulin 11 such 15 tubulin 12 as 13 βiii 13 βiii 14 - 13 βiii 15 tubulin 15 tubulin 20 protein 15 tubulin 27 hydroxylase 15 tubulin 31 , 16 , 20 protein 17 microtubule 18 - 17 microtubule 20 protein 19 associated 20 protein 20 protein 21 2 20 protein 23 map2 20 protein 24 ) 22 ( 23 map2 23 map2 24 ) 25 , 27 hydroxylase 26 tyrosine 27 hydroxylase 27 hydroxylase 29 th 27 hydroxylase 30 ) 28 ( 29 th 29 th 30 ) 31 , 32 and 32 and 33 nestin 32 and 34 were 34 were 35 lower 35 lower 36 in 36 in 39 group 37 the 39 group 38 dpscs 39 group 39 group 40 compared 39 group 43 in 40 compared 41 with 41 with 42 that 43 in 46 group 44 the 46 group 45 shed 46 group 47 ; 61 dpscs 48 however 49 , 48 however 61 dpscs 49 , 50 in 50 in 51 supplementation 50 in 59 , 50 in 61 dpscs 51 supplementation 52 with 51 supplementation 56 in 52 with 55 wnt1 53 human 55 wnt1 54 recombinant 55 wnt1 56 in 58 medium 57 the 58 medium 60 the 61 dpscs 61 dpscs 62 were 62 were 63 prone 63 prone 64 to 64 to 67 and 65 neural 66 differentiation 66 differentiation 67 and 67 and 70 levels 67 and 71 of 68 expressed 70 levels 69 higher 70 levels 71 of 73 markers 72 neurogenic 73 markers in summary , our study demonstrated that wnt/β - catenin signaling may play a vital role in the age - dependent neural differentiation of dscs . 0 ###LEFT-WALL### 2 summary 0 ###LEFT-WALL### 3 , 1 in 2 summary 3 , 5 study 3 , 6 demonstrated 3 , 9 - 4 our 5 study 5 study 6 demonstrated 6 demonstrated 8 wnt/β 7 that 8 wnt/β 9 - 10 catenin 9 - 13 play 9 - 20 - 9 - 26 . 10 catenin 11 signaling 10 catenin 12 may 12 may 13 play 13 play 16 role 13 play 17 in 14 a 15 vital 14 a 16 role 15 vital 16 role 17 in 19 age 18 the 19 age 20 - 23 differentiation 21 dependent 23 differentiation 22 neural 23 differentiation 23 differentiation 24 of 24 of 25 dscs therefore , dscs may provide an ideal source of stem cells that can further extend their therapeutic application in nerve injury and neurodegenerative diseases . 0 ###LEFT-WALL### 3 dscs 0 ###LEFT-WALL### 5 provide 0 ###LEFT-WALL### 25 . 1 therefore 2 , 1 therefore 3 dscs 3 dscs 4 may 4 may 5 provide 5 provide 8 source 5 provide 19 in 6 an 7 ideal 6 an 8 source 7 ideal 8 source 8 source 9 of 9 of 11 cells 10 stem 11 cells 11 cells 12 that 11 cells 13 can 12 that 13 can 13 can 15 extend 14 further 15 extend 15 extend 18 application 16 their 18 application 17 therapeutic 18 application 19 in 22 and 20 nerve 21 injury 21 injury 22 and 22 and 24 diseases 23 neurodegenerative 24 diseases the potential options for [igf] - 1 therapy arise as a promising strategy in a wide list of human diseases . 0 ###LEFT-WALL### 3 options 0 ###LEFT-WALL### 9 arise 0 ###LEFT-WALL### 21 . 1 the 3 options 2 potential 3 options 3 options 4 for 3 options 9 arise 4 for 8 therapy 6 - 7 1 7 1 8 therapy 9 arise 10 as 10 as 13 strategy 11 a 12 promising 11 a 13 strategy 12 promising 13 strategy 13 strategy 14 in 14 in 17 list 15 a 17 list 16 wide 17 list 17 list 18 of 18 of 20 diseases 19 human 20 diseases however , deeper studies are needed from a suitable animal model . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 6 needed 0 ###LEFT-WALL### 12 . 1 however 2 , 1 however 4 studies 3 deeper 4 studies 4 studies 5 are 5 are 6 needed 6 needed 7 from 7 from 11 model 8 a 9 suitable 8 a 11 model 9 suitable 10 animal 10 animal 11 model all human conditions [of] igf - 1 deficiency [consist] in partially decreased igf - 1 levels since total absence of this hormone is hardly compatible with life . 0 ###LEFT-WALL### 5 igf 0 ###LEFT-WALL### 6 - 1 all 5 igf 2 human 5 igf 3 conditions 5 igf 6 - 8 deficiency 6 - 14 - 7 1 8 deficiency 8 deficiency 10 in 10 in 13 igf 11 partially 12 decreased 12 decreased 13 igf 14 - 19 absence 14 - 23 is 14 - 28 . 15 1 19 absence 16 levels 19 absence 17 since 18 total 18 total 19 absence 19 absence 20 of 19 absence 23 is 20 of 22 hormone 21 this 22 hormone 23 is 25 compatible 24 hardly 25 compatible 25 compatible 26 with 26 with 27 life the aim of this work was to confirm that heterozygous igf - 1 ( +/ - [ )(mice [(] [hz] ) may be considered as an appropriate animal model to study conditions of igf - 1 deficiency , focusing on early ages . 0 ###LEFT-WALL### 23 be 0 ###LEFT-WALL### 35 - 1 the 2 aim 2 aim 3 of 2 aim 5 work 2 aim 8 confirm 2 aim 22 may 3 of 4 this 5 work 6 was 6 was 7 to 6 was 8 confirm 7 to 8 confirm 8 confirm 11 igf 9 that 10 heterozygous 10 heterozygous 11 igf 11 igf 13 1 11 igf 18 )(mice 12 - 13 1 13 1 15 +/ 13 1 16 - 14 ( 15 +/ 15 +/ 16 - 16 - 18 )(mice 18 )(mice 21 ) 22 may 23 be 23 be 24 considered 24 considered 25 as 24 considered 30 to 24 considered 31 study 25 as 29 model 26 an 27 appropriate 26 an 29 model 27 appropriate 28 animal 28 animal 29 model 30 to 31 study 31 study 32 conditions 32 conditions 33 of 33 of 34 igf 35 - 37 deficiency 36 1 37 deficiency 37 deficiency 39 focusing 38 , 39 focusing 39 focusing 40 on 39 focusing 43 . 40 on 42 ages 41 early 42 ages heterozygous igf - 1 ( +/ - ) mice were compared to homozygous igf - 1 ( +/+ ) by assessing gene expression by quantitative pcr , serum circulating levels by elisa , and tissue staining . 0 ###LEFT-WALL### 9 mice 0 ###LEFT-WALL### 11 compared 0 ###LEFT-WALL### 27 , 0 ###LEFT-WALL### 37 . 1 heterozygous 9 mice 2 igf 4 1 2 igf 9 mice 3 - 4 1 4 1 6 +/ 4 1 8 ) 5 ( 6 +/ 6 +/ 7 - 9 mice 10 were 10 were 11 compared 11 compared 12 to 11 compared 20 by 12 to 14 igf 13 homozygous 14 igf 14 igf 16 1 15 - 16 1 16 1 18 +/+ 16 1 19 ) 17 ( 18 +/+ 18 +/+ 19 ) 20 by 21 assessing 21 assessing 23 expression 22 gene 23 expression 23 expression 24 by 24 by 26 pcr 25 quantitative 26 pcr 27 , 34 and 28 serum 29 circulating 28 serum 34 and 29 circulating 30 levels 30 levels 31 by 31 by 32 elisa 33 , 34 and 34 and 35 tissue 35 tissue 36 staining compared to controls , [hz] mice ( 25 days old ) showed a partial but significant reduction of igf - 1 circulating levels , correlating with a reduced body weight and diminished serum igfbp - 3 levels . 0 ###LEFT-WALL### 6 mice 0 ###LEFT-WALL### 12 showed 0 ###LEFT-WALL### 38 . 1 compared 2 to 1 compared 4 , 1 compared 6 mice 2 to 3 controls 6 mice 10 old 6 mice 12 showed 7 ( 10 old 8 25 9 days 9 days 10 old 10 old 11 ) 12 showed 17 reduction 12 showed 31 and 13 a 17 reduction 14 partial 15 but 15 but 16 significant 15 but 17 reduction 17 reduction 18 of 17 reduction 25 correlating 18 of 19 igf 19 igf 23 levels 20 - 23 levels 21 1 23 levels 22 circulating 23 levels 23 levels 24 , 25 correlating 26 with 26 with 30 weight 27 a 30 weight 28 reduced 30 weight 29 body 30 weight 31 and 34 igfbp 31 and 37 levels 32 diminished 34 igfbp 33 serum 34 igfbp 35 - 36 3 36 3 37 levels [hz] mice presented a significant decrease of igf - 1 gene expression in related organs ( liver , bone , testicles , and brain ) while [igf] - 1 receptor showed a normal expression . 0 ###LEFT-WALL### 2 mice 0 ###LEFT-WALL### 3 presented 0 ###LEFT-WALL### 35 . 2 mice 3 presented 3 presented 6 decrease 3 presented 26 while 4 a 5 significant 4 a 6 decrease 5 significant 6 decrease 6 decrease 7 of 7 of 8 igf 8 igf 12 expression 9 - 12 expression 10 1 12 expression 11 gene 12 expression 12 expression 13 in 12 expression 25 ) 13 in 15 organs 14 related 15 organs 15 organs 23 and 16 ( 23 and 17 liver 18 , 18 , 19 bone 18 , 20 , 20 , 21 testicles 20 , 23 and 22 , 23 and 23 and 24 brain 23 and 25 ) 26 while 30 receptor 26 while 31 showed 28 - 29 1 29 1 30 receptor 30 receptor 31 showed 31 showed 34 expression 32 a 33 normal 32 a 34 expression 33 normal 34 expression however , gene expression of growth [hormone] [receptor] ( ghr ) was increased in the liver but [reduced] in the bone , testicles , and brain . 0 ###LEFT-WALL### 4 expression 0 ###LEFT-WALL### 13 increased 0 ###LEFT-WALL### 27 . 1 however 2 , 1 however 4 expression 3 gene 4 expression 4 expression 5 of 4 expression 10 ghr 4 expression 12 was 5 of 6 growth 9 ( 10 ghr 10 ghr 11 ) 12 was 13 increased 13 increased 14 in 13 increased 17 but 14 in 16 liver 15 the 16 liver 17 but 19 in 19 in 25 and 20 the 21 bone 21 bone 22 , 22 , 23 testicles 22 , 25 and 24 , 25 and 25 and 26 brain in addition , a significant reduction of cortical bone thickness and histopathological alterations in the testicles were found in [hz] mice when compared to controls . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 18 found 0 ###LEFT-WALL### 26 . 1 in 2 addition 1 in 3 , 1 in 11 and 4 a 5 significant 4 a 6 reduction 5 significant 6 reduction 6 reduction 7 of 6 reduction 11 and 7 of 10 thickness 8 cortical 9 bone 9 bone 10 thickness 11 and 13 alterations 11 and 14 in 11 and 17 were 12 histopathological 13 alterations 14 in 16 testicles 15 the 16 testicles 17 were 18 found 18 found 19 in 18 found 22 when 19 in 21 mice 22 when 23 compared 23 compared 24 to 24 to 25 controls finally , the lifelong evolution of igf - 1 serum levels showed significant differences throughout life until aging in mice . 0 ###LEFT-WALL### 5 evolution 0 ###LEFT-WALL### 12 showed 0 ###LEFT-WALL### 21 . 1 finally 2 , 1 finally 5 evolution 3 the 5 evolution 4 lifelong 5 evolution 5 evolution 6 of 5 evolution 12 showed 6 of 7 igf 7 igf 10 serum 7 igf 11 levels 8 - 9 1 9 1 10 serum 10 serum 11 levels 12 showed 14 differences 12 showed 15 throughout 12 showed 17 until 13 significant 14 differences 15 throughout 16 life 17 until 18 aging 18 aging 19 in 19 in 20 mice results in this paper provide evidence for considering heterozygous mice as a suitable experimental model , from early stages , to get more insight into the mechanisms of the beneficial actions induced by igf - 1 replacement therapy . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 5 provide 0 ###LEFT-WALL### 39 . 1 results 2 in 1 results 5 provide 2 in 4 paper 3 this 4 paper 5 provide 6 evidence 5 provide 7 for 7 for 8 considering 8 considering 10 mice 8 considering 21 to 8 considering 22 get 9 heterozygous 10 mice 10 mice 11 as 11 as 15 model 12 a 15 model 13 suitable 15 model 14 experimental 15 model 15 model 17 from 16 , 17 from 17 from 19 stages 17 from 20 , 18 early 19 stages 21 to 22 get 22 get 24 insight 22 get 38 therapy 23 more 24 insight 24 insight 25 into 24 insight 28 of 25 into 27 mechanisms 26 the 27 mechanisms 28 of 31 actions 29 the 31 actions 30 beneficial 31 actions 31 actions 32 induced 32 induced 33 by 33 by 34 igf 35 - 36 1 36 1 38 therapy 37 replacement 38 therapy objectives : although previous research theorizes that cross [-] national variation in the relationship between family ties and health is due to nation - level differences in culture and policy/economics , no study has examined this theorization empirically . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 11 variation 3 although 5 research 3 although 6 theorizes 3 although 11 variation 4 previous 5 research 5 research 6 theorizes 7 that 11 variation 8 cross 10 national 10 national 11 variation 11 variation 12 in 11 variation 15 between 11 variation 20 is 12 in 14 relationship 13 the 14 relationship 15 between 18 and 16 family 17 ties 17 ties 18 and 18 and 19 health 20 is 22 to 21 due 22 to 22 to 23 nation 23 nation 29 and 24 - 29 and 25 level 26 differences 26 differences 27 in 26 differences 29 and 27 in 28 culture 29 and 30 policy/economics 29 and 31 , 29 and 33 study 29 and 35 examined 29 and 39 . 32 no 33 study 33 study 34 has 34 has 35 examined 35 examined 37 theorization 35 examined 38 empirically 36 this 37 theorization method : using data from the survey of health , ageing , and retirement in europe ( share ) and the organization for economic co [-] operation and development ( oecd ) , this study uses multilevel modeling to analyze individual [-] , nation [-] , and cross - level effects for 30,291 older adults in 14 nations . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 , 1 method 2 : 2 : 3 using 3 using 4 data 4 data 5 from 4 data 8 of 5 from 7 survey 6 the 7 survey 8 of 9 health 10 , 13 and 11 ageing 13 and 12 , 13 and 13 and 14 retirement 13 and 15 in 15 in 20 and 16 europe 18 share 17 ( 18 share 18 share 19 ) 18 share 20 and 20 and 22 organization 21 the 22 organization 22 organization 23 for 23 for 28 and 24 economic 25 co 25 co 27 operation 27 operation 28 and 28 and 29 development 28 and 33 , 28 and 35 study 28 and 40 analyze 29 development 31 oecd 30 ( 31 oecd 31 oecd 32 ) 34 this 35 study 35 study 36 uses 36 uses 38 modeling 36 uses 39 to 36 uses 40 analyze 37 multilevel 38 modeling 39 to 40 analyze 40 analyze 47 and 41 individual 43 , 43 , 44 nation 43 , 47 and 46 , 47 and 47 and 48 cross 47 and 51 effects 49 - 51 effects 50 level 51 effects 51 effects 52 for 51 effects 56 in 51 effects 59 . 52 for 55 adults 53 30,291 55 adults 54 older 55 adults 56 in 58 nations 57 14 58 nations results : family ties to spouses/partners and parents are associated with better health , but ties to coresident children are associated with poorer health in certain contexts . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 7 and 2 : 10 associated 2 : 15 but 3 family 4 ties 4 ties 5 to 4 ties 7 and 5 to 6 spouses/partners 7 and 8 parents 7 and 9 are 9 are 10 associated 10 associated 11 with 11 with 13 health 12 better 13 health 14 , 15 but 15 but 16 ties 15 but 21 associated 16 ties 17 to 16 ties 20 are 17 to 19 children 18 coresident 19 children 20 are 21 associated 21 associated 22 with 22 with 24 health 23 poorer 24 health 24 health 25 in 25 in 27 contexts 26 certain 27 contexts familistic culture and public pension spending have a weak but statistically significant moderating effect on the relationship between intergenerational family ties and health . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 7 have 0 ###LEFT-WALL### 24 . 1 familistic 2 culture 2 culture 3 and 3 and 6 spending 3 and 7 have 4 public 6 spending 5 pension 6 spending 7 have 14 effect 7 have 15 on 8 a 14 effect 9 weak 10 but 10 but 12 significant 10 but 14 effect 11 statistically 12 significant 13 moderating 14 effect 15 on 22 and 16 the 17 relationship 17 relationship 18 between 17 relationship 22 and 18 between 21 ties 19 intergenerational 20 family 20 family 21 ties 22 and 23 health discussion : this article underscores the complexity of family and highlights the need for continued theorization and measurement at the nation level to promote older adults ' health in diverse contexts . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 1 discussion 2 : 2 : 4 article 2 : 14 for 2 : 19 at 3 this 4 article 4 article 10 and 5 underscores 7 complexity 5 underscores 10 and 6 the 7 complexity 7 complexity 8 of 8 of 9 family 10 and 11 highlights 11 highlights 13 need 12 the 13 need 14 for 17 and 15 continued 16 theorization 16 theorization 17 and 17 and 18 measurement 19 at 21 nation 20 the 21 nation 21 nation 22 level 22 level 23 to 22 level 24 promote 23 to 24 promote 24 promote 28 health 24 promote 29 in 25 older 26 adults 26 adults 27 ' 27 ' 28 health 29 in 31 contexts 30 diverse 31 contexts sirtuins are a family of protein deacetylases , deacylases , and adp - ribosyltransferases that regulate life span , control the onset of numerous age - associated diseases , and mediate metabolic homeostasis . 0 ###LEFT-WALL### 1 sirtuins 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 34 . 1 sirtuins 2 are 2 are 4 family 3 a 4 family 4 family 5 of 5 of 11 and 6 protein 7 deacetylases 7 deacetylases 8 , 8 , 9 deacylases 8 , 11 and 10 , 11 and 11 and 12 adp 11 and 13 - 11 and 14 ribosyltransferases 11 and 18 span 14 ribosyltransferases 15 that 14 ribosyltransferases 16 regulate 14 ribosyltransferases 18 span 15 that 16 regulate 16 regulate 17 life 19 , 30 and 20 control 22 onset 20 control 30 and 21 the 22 onset 22 onset 23 of 23 of 25 age 24 numerous 25 age 25 age 28 diseases 26 - 28 diseases 27 associated 28 diseases 28 diseases 29 , 30 and 31 mediate 31 mediate 33 homeostasis 32 metabolic 33 homeostasis we have uncovered a novel role for the mitochondrial sirtuin sirt4 in the regulation of hepatic lipid metabolism during changes in nutrient availability . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 uncovered 0 ###LEFT-WALL### 24 . 1 we 2 have 2 have 3 uncovered 3 uncovered 6 role 3 uncovered 7 for 3 uncovered 12 in 3 uncovered 19 during 4 a 5 novel 4 a 6 role 5 novel 6 role 7 for 11 sirt4 8 the 10 sirtuin 9 mitochondrial 10 sirtuin 10 sirtuin 11 sirt4 12 in 14 regulation 13 the 14 regulation 14 regulation 15 of 15 of 18 metabolism 16 hepatic 17 lipid 17 lipid 18 metabolism 19 during 20 changes 20 changes 21 in 21 in 23 availability 22 nutrient 23 availability we show that sirt4 levels decrease in the liver during fasting and that sirt4 null mice display increased expression of hepatic peroxisome proliferator - activated receptor α ( pparα ) target genes associated with fatty acid catabolism . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 show 0 ###LEFT-WALL### 38 . 1 we 2 show 2 show 6 decrease 2 show 32 genes 2 show 34 with 3 that 6 decrease 4 sirt4 5 levels 5 levels 6 decrease 6 decrease 7 in 7 in 23 proliferator 8 the 23 proliferator 9 liver 10 during 9 liver 12 and 10 during 11 fasting 12 and 13 that 12 and 14 sirt4 12 and 20 of 12 and 23 proliferator 14 sirt4 16 mice 14 sirt4 17 display 14 sirt4 18 increased 15 null 16 mice 16 mice 17 display 18 increased 19 expression 19 expression 20 of 21 hepatic 23 proliferator 22 peroxisome 23 proliferator 23 proliferator 27 α 24 - 27 α 25 activated 26 receptor 26 receptor 27 α 27 α 29 pparα 27 α 30 ) 28 ( 29 pparα 29 pparα 30 ) 31 target 32 genes 32 genes 33 associated 34 with 37 catabolism 35 fatty 37 catabolism 36 acid 37 catabolism accordingly , primary hepatocytes from sirt4 knockout [(] [ko] [ )(mice exhibit higher rates of fatty acid oxidation than wild - type hepatocytes , and sirt4 overexpression decreases fatty acid oxidation rates . 0 ###LEFT-WALL### 4 hepatocytes 0 ###LEFT-WALL### 12 exhibit 0 ###LEFT-WALL### 33 . 1 accordingly 2 , 1 accordingly 4 hepatocytes 3 primary 4 hepatocytes 4 hepatocytes 5 from 4 hepatocytes 12 exhibit 5 from 11 )(mice 6 sirt4 7 knockout 7 knockout 11 )(mice 12 exhibit 14 rates 12 exhibit 19 than 13 higher 14 rates 14 rates 15 of 15 of 18 oxidation 16 fatty 18 oxidation 17 acid 18 oxidation 19 than 27 overexpression 19 than 28 decreases 19 than 32 rates 20 wild 21 - 20 wild 22 type 22 type 27 overexpression 23 hepatocytes 25 and 24 , 25 and 25 and 26 sirt4 25 and 27 overexpression 27 overexpression 28 decreases 29 fatty 30 acid 30 acid 32 rates 31 oxidation 32 rates the enhanced fatty acid oxidation observed in sirt4 [ko] hepatocytes requires functional sirt1 , demonstrating a clear cross talk between mitochondrial and nuclear sirtuins . 0 ###LEFT-WALL### 5 oxidation 0 ###LEFT-WALL### 11 requires 1 the 5 oxidation 2 enhanced 5 oxidation 3 fatty 5 oxidation 4 acid 5 oxidation 5 oxidation 6 observed 5 oxidation 11 requires 6 observed 7 in 7 in 10 hepatocytes 8 sirt4 10 hepatocytes 11 requires 13 sirt1 12 functional 13 sirt1 13 sirt1 15 demonstrating 14 , 15 demonstrating 15 demonstrating 19 talk 15 demonstrating 20 between 15 demonstrating 25 . 16 a 17 clear 16 a 19 talk 17 clear 18 cross 18 cross 19 talk 20 between 24 sirtuins 21 mitochondrial 22 and 22 and 23 nuclear 22 and 24 sirtuins thus , sirt4 is a new component of mitochondrial signaling in the liver and functions as an important regulator of lipid metabolism . 0 ###LEFT-WALL### 3 sirt4 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 23 . 1 thus 2 , 1 thus 3 sirt4 3 sirt4 14 and 4 is 7 component 4 is 14 and 5 a 6 new 5 a 7 component 6 new 7 component 7 component 8 of 8 of 10 signaling 9 mitochondrial 10 signaling 10 signaling 11 in 11 in 13 liver 12 the 13 liver 14 and 15 functions 14 and 16 as 16 as 19 regulator 17 an 18 important 17 an 19 regulator 18 important 19 regulator 19 regulator 20 of 20 of 22 metabolism 21 lipid 22 metabolism the ubiquitin ligase chip [(] carboxyl terminus of hsp70 - interacting protein ) regulates protein quality control , and chip deletion accelerates aging and reduces the life span in mice . 0 ###LEFT-WALL### 7 terminus 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 31 . 1 the 7 terminus 2 ubiquitin 7 terminus 3 ligase 7 terminus 4 chip 6 carboxyl 6 carboxyl 7 terminus 7 terminus 8 of 7 terminus 24 and 8 of 9 hsp70 9 hsp70 12 protein 10 - 12 protein 11 interacting 12 protein 12 protein 13 ) 14 regulates 19 and 14 regulates 24 and 15 protein 16 quality 16 quality 17 control 17 control 19 and 18 , 19 and 19 and 20 chip 19 and 21 deletion 19 and 22 accelerates 19 and 23 aging 21 deletion 22 accelerates 24 and 25 reduces 25 reduces 28 span 26 the 28 span 27 life 28 span 28 span 29 in 29 in 30 mice here , we reveal a mechanism for chip 's influence on longevity by demonstrating that chip stabilizes the sirtuin family member sirt6 , a lysine deacetylase/adp ribosylase involved in dna repair , metabolism , and longevity . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 reveal 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 37 . 1 here 2 , 1 here 3 we 3 we 4 reveal 4 reveal 6 mechanism 5 a 6 mechanism 6 mechanism 7 for 6 mechanism 11 on 7 for 10 influence 8 chip 9 's 9 's 10 influence 11 on 12 longevity 12 longevity 13 by 13 by 14 demonstrating 14 demonstrating 15 that 15 that 16 chip 15 that 17 stabilizes 16 chip 17 stabilizes 17 stabilizes 22 sirt6 18 the 21 member 19 sirtuin 20 family 20 family 21 member 21 member 22 sirt6 23 , 35 and 24 a 29 in 25 lysine 26 deacetylase/adp 26 deacetylase/adp 28 involved 27 ribosylase 28 involved 28 involved 29 in 29 in 31 repair 30 dna 31 repair 31 repair 32 , 32 , 33 metabolism 32 , 35 and 34 , 35 and 35 and 36 longevity in chip - deficient cells , sirt6 protein [half] - life is substantially reduced due to increased proteasome - mediated degradation , but chip overexpression in these cells increases sirt6 protein expression without affecting sirt6 transcription . 0 ###LEFT-WALL### 11 life 0 ###LEFT-WALL### 14 reduced 0 ###LEFT-WALL### 23 but 0 ###LEFT-WALL### 37 . 1 in 2 chip 1 in 11 life 2 chip 5 cells 3 - 5 cells 4 deficient 5 cells 5 cells 8 protein 5 cells 10 - 6 , 8 protein 7 sirt6 8 protein 8 protein 10 - 11 life 12 is 12 is 13 substantially 12 is 14 reduced 14 reduced 16 to 15 due 16 to 16 to 18 proteasome 17 increased 18 proteasome 18 proteasome 21 degradation 19 - 21 degradation 20 mediated 21 degradation 21 degradation 22 , 23 but 25 overexpression 23 but 29 increases 24 chip 25 overexpression 25 overexpression 26 in 25 overexpression 29 increases 26 in 28 cells 27 these 28 cells 29 increases 32 expression 29 increases 33 without 30 sirt6 31 protein 31 protein 32 expression 33 without 34 affecting 34 affecting 36 transcription 35 sirt6 36 transcription chip noncanonically ubiquitinates sirt6 at k170 , which stabilizes sirt6 and prevents sirt6 canonical ubiquitination by other ubiquitin ligases . 0 ###LEFT-WALL### 1 chip 0 ###LEFT-WALL### 3 ubiquitinates 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 20 . 1 chip 3 ubiquitinates 2 noncanonically 3 ubiquitinates 3 ubiquitinates 4 sirt6 3 ubiquitinates 5 at 5 at 6 k170 7 , 8 which 7 , 11 and 8 which 11 and 9 stabilizes 10 sirt6 9 stabilizes 11 and 11 and 12 prevents 12 prevents 13 sirt6 13 sirt6 15 ubiquitination 13 sirt6 19 ligases 14 canonical 15 ubiquitination 15 ubiquitination 16 by 15 ubiquitination 19 ligases 16 by 18 ubiquitin 17 other 18 ubiquitin in chip - depleted cells , sirt6 k170 mutation increases sirt6 [half] - life and [prevents] proteasome - mediated degradation . 0 ###LEFT-WALL### 9 mutation 0 ###LEFT-WALL### 10 increases 0 ###LEFT-WALL### 18 - 0 ###LEFT-WALL### 21 . 1 in 2 chip 1 in 9 mutation 2 chip 5 cells 3 - 5 cells 4 depleted 5 cells 5 cells 6 , 7 sirt6 8 k170 8 k170 9 mutation 9 mutation 10 increases 10 increases 11 sirt6 11 sirt6 15 and 13 - 15 and 14 life 15 and 15 and 17 proteasome 15 and 18 - 18 - 20 degradation 19 mediated 20 degradation the global decrease in sirt6 expression in the absence of chip is associated with decreased sirt6 [promoter] [occupancy] , which increases histone acetylation and promotes downstream gene transcription in chip - depleted cells . 0 ###LEFT-WALL### 3 decrease 0 ###LEFT-WALL### 15 decreased 1 the 3 decrease 2 global 3 decrease 3 decrease 4 in 3 decrease 6 expression 3 decrease 14 with 3 decrease 15 decreased 4 in 5 sirt6 6 expression 7 in 6 expression 10 of 6 expression 12 is 7 in 9 absence 8 the 9 absence 10 of 11 chip 12 is 13 associated 13 associated 14 with 15 decreased 16 sirt6 16 sirt6 20 which 19 , 20 which 20 which 24 and 20 which 34 . 21 increases 23 acetylation 21 increases 24 and 22 histone 23 acetylation 24 and 25 promotes 25 promotes 28 transcription 25 promotes 29 in 26 downstream 27 gene 27 gene 28 transcription 29 in 30 chip 30 chip 33 cells 31 - 33 cells 32 depleted 33 cells 33 cells 34 . cells lacking chip are hypersensitive to dna - damaging agents , but dna repair and cell viability are rescued by enforced expression of sirt6 . 0 ###LEFT-WALL### 1 cells 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 12 but 0 ###LEFT-WALL### 25 . 1 cells 2 lacking 1 cells 4 are 2 lacking 3 chip 4 are 5 hypersensitive 5 hypersensitive 6 to 5 hypersensitive 9 damaging 6 to 7 dna 8 - 9 damaging 9 damaging 10 agents 9 damaging 11 , 11 , 12 but 12 but 15 and 12 but 19 rescued 13 dna 14 repair 14 repair 15 and 15 and 17 viability 15 and 18 are 16 cell 17 viability 18 are 19 rescued 19 rescued 20 by 20 by 22 expression 21 enforced 22 expression 22 expression 23 of 23 of 24 sirt6 the discovery of this chip - sirt6 interaction represents a novel protein - stabilizing mechanism and [defines] an intersection between protein quality control and epigenetic regulation to influence pathways that regulate the biology of aging . 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 36 . 1 the 2 discovery 2 discovery 3 of 2 discovery 16 and 3 of 15 mechanism 4 this 15 mechanism 5 chip 7 sirt6 5 chip 14 stabilizing 6 - 7 sirt6 7 sirt6 8 interaction 7 sirt6 9 represents 7 sirt6 13 - 8 interaction 9 represents 9 represents 12 protein 10 a 12 protein 11 novel 12 protein 14 stabilizing 15 mechanism 16 and 19 intersection 16 and 20 between 16 and 24 and 18 an 19 intersection 20 between 23 control 21 protein 22 quality 22 quality 23 control 24 and 26 regulation 24 and 27 to 24 and 30 that 24 and 31 regulate 25 epigenetic 26 regulation 27 to 29 pathways 28 influence 29 pathways 30 that 31 regulate 31 regulate 33 biology 32 the 33 biology 33 biology 34 of 34 of 35 aging overcoming acquired resistance to epidermal growth factor receptor tyrosine kinase inhibitors ( egfr ‑ tkis ) is an emerging issue in lung cancer treatment . 0 ###LEFT-WALL### 1 overcoming 0 ###LEFT-WALL### 17 is 0 ###LEFT-WALL### 25 . 1 overcoming 3 resistance 1 overcoming 4 to 1 overcoming 17 is 2 acquired 3 resistance 4 to 11 inhibitors 5 epidermal 6 growth 6 growth 8 receptor 7 factor 8 receptor 8 receptor 11 inhibitors 9 tyrosine 11 inhibitors 10 kinase 11 inhibitors 11 inhibitors 15 tkis 12 ( 15 tkis 13 egfr 14 ‑ 14 ‑ 15 tkis 15 tkis 16 ) 17 is 20 issue 18 an 20 issue 19 emerging 20 issue 20 issue 21 in 21 in 24 treatment 22 lung 24 treatment 23 cancer 24 treatment we report evidence that a gtpase - activating protein , p190 - a rhogap ( p190 ) , is a potential molecular target for the treatment of lung adenocarcinoma . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 report 0 ###LEFT-WALL### 30 . 1 we 2 report 2 report 3 evidence 2 report 24 for 3 evidence 4 that 4 that 6 gtpase 4 that 19 is 5 a 6 gtpase 6 gtpase 8 activating 6 gtpase 19 is 7 - 8 activating 8 activating 9 protein 8 activating 18 , 9 protein 11 p190 10 , 11 p190 11 p190 14 rhogap 11 p190 18 , 12 - 14 rhogap 13 a 14 rhogap 14 rhogap 16 p190 14 rhogap 18 , 15 ( 16 p190 16 p190 17 ) 19 is 23 target 20 a 21 potential 20 a 23 target 21 potential 23 target 22 molecular 23 target 24 for 26 treatment 25 the 26 treatment 26 treatment 27 of 27 of 29 adenocarcinoma 28 lung 29 adenocarcinoma we documented inhibition of phosphorylation of p190 by egfr - tki treatment in lung adenocarcinoma cell lines . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 documented 0 ###LEFT-WALL### 18 . 1 we 2 documented 2 documented 3 inhibition 2 documented 8 by 2 documented 13 in 3 inhibition 4 of 4 of 5 phosphorylation 5 phosphorylation 6 of 6 of 7 p190 8 by 12 treatment 9 egfr 11 tki 10 - 11 tki 11 tki 12 treatment 13 in 17 lines 14 lung 17 lines 15 adenocarcinoma 17 lines 16 cell 17 lines small interfering rna [-] mediated knockdown of p190 leads lung adenocarcinoma cells to growth suppression and to inhibition of invasion/migration through inducing cell cycle arrest but not apoptosis . 0 ###LEFT-WALL### 3 rna 0 ###LEFT-WALL### 9 leads 0 ###LEFT-WALL### 29 . 1 small 3 rna 2 interfering 3 rna 3 rna 5 mediated 3 rna 7 of 3 rna 9 leads 5 mediated 6 knockdown 7 of 8 p190 9 leads 26 but 10 lung 12 cells 11 adenocarcinoma 12 cells 12 cells 16 and 12 cells 19 of 12 cells 21 through 12 cells 26 but 13 to 15 suppression 13 to 16 and 14 growth 15 suppression 16 and 17 to 17 to 18 inhibition 19 of 20 invasion/migration 21 through 25 arrest 22 inducing 25 arrest 23 cell 25 arrest 24 cycle 25 arrest 26 but 27 not 26 but 28 apoptosis these findings were observed not only in egfr - tki - sensitive cells but also in egfr - tki - resistant cells [;] even in cell lines harboring k - ras mutations . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 observed 0 ###LEFT-WALL### 5 not 1 these 2 findings 2 findings 3 were 3 were 4 observed 5 not 6 only 5 not 22 cells 5 not 24 even 7 in 13 cells 7 in 14 but 8 egfr 10 tki 9 - 10 tki 10 tki 11 - 10 tki 13 cells 12 sensitive 13 cells 14 but 15 also 14 but 16 in 14 but 20 - 14 but 22 cells 16 in 17 egfr 17 egfr 19 tki 18 - 19 tki 19 tki 20 - 21 resistant 22 cells 22 cells 24 even 24 even 25 in 25 in 27 lines 26 cell 27 lines 27 lines 28 harboring 27 lines 32 mutations 28 harboring 29 k 30 - 32 mutations 31 ras 32 mutations 32 mutations 33 . the mechanism of this inhibitory effect on growth and invasion/migration was ras inactivation through [disrupting] the p190 - a rhogap/p120rasgap complex . 0 ###LEFT-WALL### 2 mechanism 0 ###LEFT-WALL### 11 was 0 ###LEFT-WALL### 18 - 1 the 2 mechanism 2 mechanism 3 of 2 mechanism 11 was 3 of 9 and 4 this 6 effect 5 inhibitory 6 effect 6 effect 7 on 6 effect 9 and 7 on 8 growth 9 and 10 invasion/migration 11 was 13 inactivation 11 was 14 through 12 ras 13 inactivation 14 through 17 p190 16 the 17 p190 18 - 21 complex 18 - 22 . 19 a 21 complex 20 rhogap/p120rasgap 21 complex in addition , a high level of p190 mrna expression was observed in majority [of] surgically obtained tissue from lung adenocarcinoma patients . 0 ###LEFT-WALL### 6 level 0 ###LEFT-WALL### 12 observed 0 ###LEFT-WALL### 23 . 1 in 2 addition 1 in 3 , 1 in 6 level 4 a 5 high 4 a 6 level 5 high 6 level 6 level 7 of 6 level 11 was 7 of 10 expression 8 p190 9 mrna 9 mrna 10 expression 11 was 12 observed 12 observed 13 in 12 observed 19 from 13 in 18 tissue 14 majority 18 tissue 16 surgically 17 obtained 17 obtained 18 tissue 19 from 22 patients 20 lung 21 adenocarcinoma 21 adenocarcinoma 22 patients overexpression of p190 mrna associated with poor disease - free survival . 0 ###LEFT-WALL### 1 overexpression 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 9 - 1 overexpression 2 of 1 overexpression 5 associated 2 of 4 mrna 3 p190 4 mrna 5 associated 6 with 6 with 8 disease 7 poor 8 disease 9 - 10 free 9 - 12 . 10 free 11 survival the results suggest that overexpression of p190 mrna may be involved in the carcinogenesis of lung adenocarcinoma . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 18 . 1 the 2 results 2 results 3 suggest 3 suggest 4 that 4 that 5 overexpression 4 that 11 involved 5 overexpression 6 of 5 overexpression 9 may 6 of 8 mrna 7 p190 8 mrna 9 may 10 be 10 be 11 involved 11 involved 12 in 12 in 14 carcinogenesis 13 the 14 carcinogenesis 14 carcinogenesis 15 of 15 of 17 adenocarcinoma 16 lung 17 adenocarcinoma these findings indicate that p190 is a possible molecular target for treatment of lung adenocarcinoma . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 16 . 1 these 2 findings 2 findings 3 indicate 3 indicate 4 that 4 that 5 p190 4 that 6 is 5 p190 6 is 6 is 10 target 7 a 8 possible 7 a 10 target 8 possible 10 target 9 molecular 10 target 10 target 11 for 11 for 12 treatment 12 treatment 13 of 13 of 15 adenocarcinoma 14 lung 15 adenocarcinoma the aim of this study was to evaluate the effect of aging on the changes to the structure and function of coronary arteries in senile elderly patients [with] essential hypertension . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 31 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 evaluate 7 to 8 evaluate 8 evaluate 10 effect 9 the 10 effect 10 effect 11 of 11 of 12 aging 12 aging 13 on 12 aging 16 to 13 on 15 changes 14 the 15 changes 16 to 30 hypertension 17 the 30 hypertension 18 structure 19 and 19 and 20 function 19 and 21 of 19 and 30 hypertension 21 of 23 arteries 22 coronary 23 arteries 23 arteries 24 in 24 in 27 patients 25 senile 27 patients 26 elderly 27 patients 29 essential 30 hypertension patients ( aged 60 - 80 years ) were divided into three groups . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 10 divided 0 ###LEFT-WALL### 14 . 1 patients 3 aged 1 patients 7 years 1 patients 9 were 2 ( 3 aged 3 aged 4 60 3 aged 5 - 5 - 7 years 6 80 7 years 7 years 8 ) 9 were 10 divided 10 divided 11 into 11 into 13 groups 12 three 13 groups the 195 hypertensive patients were divided into four sub - groups according to the duration [of] hypertension . 0 ###LEFT-WALL### 2 195 0 ###LEFT-WALL### 9 sub 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 18 . 1 the 2 195 2 195 4 patients 2 195 5 were 2 195 6 divided 2 195 9 sub 3 hypertensive 4 patients 4 patients 5 were 6 divided 7 into 7 into 8 four 10 - 12 according 11 groups 12 according 12 according 13 to 13 to 17 hypertension 14 the 17 hypertension 15 duration 17 hypertension the changes to the coronary arteries ( left and right ) of all those patients were tested using the following index by 64 coronary computed tomography ( ct ) scans . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 17 tested 0 ###LEFT-WALL### 31 . 1 the 2 changes 2 changes 3 to 2 changes 12 of 2 changes 17 tested 3 to 6 arteries 4 the 6 arteries 5 coronary 6 arteries 6 arteries 9 and 7 ( 9 and 8 left 9 and 9 and 10 right 9 and 11 ) 12 of 13 all 13 all 15 patients 13 all 16 were 14 those 15 patients 15 patients 16 were 17 tested 18 using 17 tested 22 by 17 tested 26 tomography 17 tested 30 scans 18 using 21 index 19 the 20 following 19 the 21 index 22 by 23 64 24 coronary 26 tomography 25 computed 26 tomography 26 tomography 28 ct 26 tomography 30 scans 27 ( 28 ct 28 ct 29 ) the 24 h [systolic] blood pressure ( sbp ) and other blood biochemical parameters were assayed for all patients . 0 ###LEFT-WALL### 3 h 0 ###LEFT-WALL### 5 blood 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 20 . 1 the 3 h 2 24 3 h 3 h 5 blood 5 blood 6 pressure 6 pressure 8 sbp 7 ( 8 sbp 8 sbp 9 ) 10 and 14 parameters 10 and 16 assayed 11 other 14 parameters 12 blood 14 parameters 13 biochemical 14 parameters 14 parameters 15 were 15 were 16 assayed 16 assayed 17 for 17 for 19 patients 18 all 19 patients we found that the value of the body mass index [(] bmi [ )( total cholesterol ( tc ) and low density lipoproteins ( ldl ) were lower [,] but age and high density lipoproteins ( hdl ) were higher in the group of very elderly patients with hypertension ( group i [;] p<0.05 ) compared with those of a group of elderly patients with hypertension ( group iii [ )( 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 1 we 2 found 2 found 3 that 2 found 5 value 4 the 5 value 5 value 6 of 6 of 10 index 7 the 10 index 8 body 9 mass 9 mass 10 index 10 index 12 bmi 10 index 20 and 12 bmi 20 and 15 total 16 cholesterol 15 total 20 and 16 cholesterol 18 tc 17 ( 18 tc 18 tc 19 ) 20 and 21 low 20 and 30 but 21 low 22 density 22 density 23 lipoproteins 22 density 28 lower 23 lipoproteins 25 ldl 23 lipoproteins 27 were 24 ( 25 ldl 25 ldl 26 ) 27 were 28 lower 30 but 32 and 31 age 32 and 32 and 34 density 32 and 35 lipoproteins 32 and 39 were 33 high 34 density 35 lipoproteins 37 hdl 35 lipoproteins 39 were 36 ( 37 hdl 37 hdl 38 ) 39 were 40 higher 39 were 41 in 41 in 43 group 42 the 43 group 43 group 44 of 44 of 47 patients 45 very 46 elderly 46 elderly 47 patients 47 patients 48 with 47 patients 56 compared 47 patients 59 of 48 with 49 hypertension 49 hypertension 54 p<0.05 50 ( 54 p<0.05 51 group 52 i 51 group 54 p<0.05 54 p<0.05 55 ) 56 compared 57 with 57 with 58 those 59 of 61 group 60 a 61 group 61 group 62 of 61 group 68 group 62 of 64 patients 63 elderly 64 patients 64 patients 65 with 65 with 66 hypertension 67 ( 68 group 68 group 69 iii 68 group 71 )( the left anterior descending branch calcification score ( cslad ) , total calcification [score] [(] [cst] ) , pulse pressure ( pp ) , the left main branch calcification score ( cslm ) , the left circumflex branch calcification score ( cslcx ) were significantly increased in group i compared with group iii ( p<0.01 and p<0.05 , respectively ) . 0 ###LEFT-WALL### 7 score 0 ###LEFT-WALL### 61 . 1 the 7 score 2 left 6 calcification 3 anterior 6 calcification 4 descending 6 calcification 5 branch 6 calcification 6 calcification 7 score 7 score 9 cslad 7 score 13 calcification 7 score 20 pressure 7 score 44 were 8 ( 9 cslad 9 cslad 10 ) 11 , 13 calcification 12 total 13 calcification 13 calcification 17 ) 18 , 20 pressure 19 pulse 20 pressure 20 pressure 22 pp 20 pressure 30 score 20 pressure 43 ) 21 ( 22 pp 22 pp 23 ) 24 , 30 score 25 the 30 score 26 left 30 score 27 main 30 score 28 branch 29 calcification 29 calcification 30 score 30 score 32 cslm 30 score 40 score 30 score 43 ) 31 ( 32 cslm 32 cslm 33 ) 34 , 40 score 35 the 40 score 36 left 37 circumflex 37 circumflex 38 branch 38 branch 40 score 39 calcification 40 score 40 score 42 cslcx 40 score 43 ) 41 ( 42 cslcx 42 cslcx 43 ) 44 were 46 increased 45 significantly 46 increased 46 increased 47 in 46 increased 51 with 46 increased 59 respectively 47 in 48 group 48 group 49 i 48 group 50 compared 49 i 50 compared 51 with 52 group 52 group 53 iii 52 group 56 and 54 ( 56 and 55 p<0.01 56 and 56 and 57 p<0.05 56 and 58 , 58 , 59 respectively 59 respectively 60 ) in addition , the 24 h sbp value for group i was higher than in the ['] very elderly [without] hypertension ['] group ( group ii ) . 0 ###LEFT-WALL### 8 value 0 ###LEFT-WALL### 12 was 0 ###LEFT-WALL### 28 . 1 in 2 addition 1 in 3 , 1 in 8 value 4 the 8 value 5 24 6 h 6 h 8 value 7 sbp 8 value 8 value 9 for 8 value 12 was 9 for 10 group 10 group 11 i 12 was 13 higher 13 higher 14 than 14 than 15 in 15 in 23 group 16 the 23 group 18 very 19 elderly 19 elderly 21 hypertension 21 hypertension 23 group 23 group 25 group 24 ( 25 group 25 group 26 ii 25 group 27 ) hence , in elderly patients , a decrease in the levels of bmi , hdl , tc and ldl accompanies aging . 0 ###LEFT-WALL### 8 decrease 0 ###LEFT-WALL### 20 accompanies 0 ###LEFT-WALL### 22 . 1 hence 2 , 1 hence 8 decrease 2 , 3 in 3 in 5 patients 3 in 6 , 3 in 8 decrease 4 elderly 5 patients 7 a 8 decrease 8 decrease 9 in 8 decrease 12 of 8 decrease 20 accompanies 9 in 11 levels 10 the 11 levels 12 of 18 and 13 bmi 15 hdl 14 , 15 hdl 15 hdl 17 tc 16 , 17 tc 17 tc 18 and 18 and 19 ldl 20 accompanies 21 aging furthermore , the decline of arterial compliance and increase in arterial stiffness develops with age . 0 ###LEFT-WALL### 4 decline 0 ###LEFT-WALL### 13 develops 0 ###LEFT-WALL### 16 . 1 furthermore 2 , 1 furthermore 4 decline 3 the 4 decline 4 decline 5 of 4 decline 13 develops 5 of 8 and 6 arterial 7 compliance 7 compliance 8 and 8 and 9 increase 8 and 10 in 10 in 12 stiffness 11 arterial 12 stiffness 13 develops 14 with 14 with 15 age aging is more likely to lead to atherosclerosis in the coronary arteries , particularly in the left main coronary artery and its main branches . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 2 is 1 aging 2 is 2 is 3 more 2 is 4 likely 4 likely 5 to 4 likely 6 lead 5 to 6 lead 6 lead 7 to 7 to 8 atherosclerosis 8 atherosclerosis 9 in 9 in 12 arteries 10 the 12 arteries 11 coronary 12 arteries 12 arteries 15 in 13 , 14 particularly 13 , 15 in 15 in 21 and 15 in 25 . 16 the 20 artery 17 left 18 main 18 main 20 artery 19 coronary 20 artery 20 artery 21 and 21 and 24 branches 22 its 24 branches 23 main 24 branches aging is an uncontrollable risk factor , which plays a crucial role in coronary artery atherosclerosis . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 17 . 1 aging 2 is 2 is 6 factor 3 an 4 uncontrollable 3 an 6 factor 4 uncontrollable 6 factor 5 risk 6 factor 7 , 8 which 7 , 9 plays 8 which 9 plays 9 plays 12 role 9 plays 13 in 10 a 11 crucial 10 a 12 role 11 crucial 12 role 13 in 16 atherosclerosis 14 coronary 15 artery 15 artery 16 atherosclerosis white matter changes are one of the several aging brain alterations . 0 ###LEFT-WALL### 3 changes 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 12 . 1 white 2 matter 2 matter 3 changes 3 changes 4 are 4 are 5 one 5 one 6 of 6 of 11 alterations 7 the 8 several 8 several 11 alterations 9 aging 10 brain 10 brain 11 alterations actually , magnetic resonance imaging is the best diagnostic tool in investigation [and] monitoring these lesions that determine some common clinical manifestations in the elderly population . 0 ###LEFT-WALL### 5 imaging 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 27 . 1 actually 2 , 1 actually 5 imaging 3 magnetic 4 resonance 4 resonance 5 imaging 5 imaging 6 is 6 is 10 tool 7 the 8 best 7 the 10 tool 9 diagnostic 10 tool 10 tool 11 in 10 tool 14 monitoring 11 in 12 investigation 14 monitoring 16 lesions 14 monitoring 23 in 15 these 16 lesions 16 lesions 17 that 16 lesions 18 determine 17 that 18 determine 18 determine 22 manifestations 19 some 22 manifestations 20 common 22 manifestations 21 clinical 22 manifestations 23 in 26 population 24 the 26 population 25 elderly 26 population blood vessels are often overlooked in analyses of skeletal muscle [biopsies] . 0 ###LEFT-WALL### 2 vessels 0 ###LEFT-WALL### 5 overlooked 0 ###LEFT-WALL### 12 . 1 blood 2 vessels 2 vessels 3 are 3 are 4 often 3 are 5 overlooked 5 overlooked 6 in 6 in 7 analyses 7 analyses 8 of 8 of 10 muscle 9 skeletal 10 muscle however , there are many vascular features in skeletal muscle biopsies that , [when] interpreted in the context of other histologic patterns and clinical history , provide useful information that allows muscle pathologists to narrow their differential diagnoses and provide more accurate guidance to treating physicians . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 47 . 1 however 2 , 1 however 3 there 3 there 4 are 4 are 5 many 5 many 7 features 5 many 15 interpreted 6 vascular 7 features 7 features 8 in 7 features 13 , 8 in 10 muscle 9 skeletal 10 muscle 11 biopsies 12 that 11 biopsies 13 , 13 , 15 interpreted 15 interpreted 16 in 16 in 23 and 17 the 18 context 18 context 19 of 18 context 23 and 19 of 22 patterns 20 other 22 patterns 21 histologic 22 patterns 23 and 25 history 24 clinical 25 history 26 , 27 provide 27 provide 29 information 27 provide 34 to 27 provide 44 to 28 useful 29 information 29 information 30 that 29 information 31 allows 30 that 31 allows 31 allows 32 muscle 31 allows 33 pathologists 34 to 39 and 35 narrow 38 diagnoses 35 narrow 39 and 36 their 38 diagnoses 37 differential 38 diagnoses 39 and 40 provide 39 and 43 guidance 41 more 43 guidance 42 accurate 43 guidance 44 to 45 treating 45 treating 46 physicians here , we provide a review of normal skeletal muscle vasculature with details of the ultrastructure of vessel walls . 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 6 review 5 a 6 review 6 review 7 of 7 of 10 muscle 8 normal 10 muscle 9 skeletal 10 muscle 10 muscle 11 vasculature 11 vasculature 12 with 12 with 13 details 13 details 14 of 14 of 16 ultrastructure 15 the 16 ultrastructure 16 ultrastructure 17 of 17 of 19 walls 18 vessel 19 walls we discuss the vascular effects of factors common to many patients undergoing muscle biopsy , for example , diabetes mellitus , hypertension , and aging . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 discuss 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 26 . 1 we 2 discuss 2 discuss 5 effects 3 the 5 effects 4 vascular 5 effects 5 effects 6 of 6 of 7 factors 7 factors 8 common 8 common 9 to 9 to 10 many 10 many 11 patients 10 many 14 biopsy 11 patients 12 undergoing 11 patients 14 biopsy 12 undergoing 13 muscle 14 biopsy 17 example 15 , 17 example 16 for 17 example 17 example 18 , 18 , 24 and 19 diabetes 20 mellitus 20 mellitus 21 , 21 , 22 hypertension 21 , 24 and 23 , 24 and 24 and 25 aging we then discuss vascular findings relevant to diagnostic muscle [biopsy] [evaluation] , with current theories of pathogenesis and detailed descriptions of the important features . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 discuss 1 we 3 discuss 2 then 3 discuss 3 discuss 5 findings 4 vascular 5 findings 5 findings 6 relevant 6 relevant 7 to 6 relevant 13 with 7 to 9 muscle 8 diagnostic 9 muscle 12 , 13 with 13 with 15 theories 13 with 25 . 14 current 15 theories 15 theories 16 of 16 of 18 and 17 pathogenesis 18 and 18 and 20 descriptions 18 and 21 of 19 detailed 20 descriptions 21 of 24 features 22 the 24 features 23 important 24 features introduction : self - rated health is part of the comprehensive concept of quality of life and is a valid measurement of health status . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 1 introduction 2 : 2 : 3 self 4 - 6 health 4 - 17 and 4 - 25 . 5 rated 6 health 6 health 17 and 7 is 8 part 7 is 17 and 8 part 9 of 9 of 12 concept 10 the 12 concept 11 comprehensive 12 concept 12 concept 13 of 12 concept 15 of 13 of 14 quality 15 of 16 life 17 and 18 is 17 and 24 status 18 is 21 measurement 19 a 20 valid 19 a 21 measurement 20 valid 21 measurement 21 measurement 22 of 22 of 23 health the main objective of this study was to test the predictive value of some different variables on the poor self - rated health among elders . 0 ###LEFT-WALL### 3 objective 0 ###LEFT-WALL### 21 - 0 ###LEFT-WALL### 26 . 1 the 2 main 1 the 3 objective 3 objective 4 of 3 objective 7 was 4 of 6 study 5 this 6 study 7 was 8 to 7 was 9 test 8 to 9 test 9 test 12 value 9 test 17 on 10 the 12 value 11 predictive 12 value 12 value 13 of 13 of 16 variables 14 some 16 variables 15 different 16 variables 17 on 20 self 18 the 20 self 19 poor 20 self 21 - 23 health 22 rated 23 health 23 health 24 among 24 among 25 elders material and methods : we performed a cross - sectional study on a sample consisting of 140 participants . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 material 2 and 2 and 3 methods 4 : 5 we 4 : 6 performed 4 : 9 - 4 : 19 . 5 we 6 performed 6 performed 8 cross 7 a 8 cross 9 - 11 study 10 sectional 11 study 11 study 12 on 12 on 14 sample 13 a 14 sample 14 sample 15 consisting 15 consisting 16 of 16 of 18 participants 17 140 18 participants measurements : age , gender , level of education , environment , cognitive status , physical impairment , diseases , health perception and social support . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 26 . 1 measurements 2 : 2 : 3 age 3 age 5 gender 4 , 5 gender 5 gender 6 , 6 , 23 and 7 level 8 of 7 level 10 , 8 of 9 education 10 , 11 environment 10 , 12 , 12 , 14 status 12 , 15 , 13 cognitive 14 status 15 , 17 impairment 15 , 18 , 16 physical 17 impairment 18 , 19 diseases 18 , 20 , 20 , 22 perception 20 , 23 and 21 health 22 perception 23 and 25 support 24 social 25 support the influence of the studied variables on the poor self [-] rated health was performed with a logistic regression analysis and a roc curve to establish the cut - off values for these variables with the best sensitivity and specificity to predict the poor self - rated health . 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 49 . 1 the 2 influence 2 influence 3 of 2 influence 7 on 2 influence 15 performed 2 influence 21 and 3 of 6 variables 4 the 6 variables 5 studied 6 variables 7 on 10 self 8 the 10 self 9 poor 10 self 10 self 12 rated 10 self 13 health 10 self 14 was 13 health 14 was 15 performed 16 with 16 with 20 analysis 17 a 18 logistic 17 a 20 analysis 18 logistic 19 regression 19 regression 20 analysis 21 and 24 curve 21 and 25 to 21 and 26 establish 22 a 24 curve 23 roc 24 curve 25 to 26 establish 26 establish 28 cut 26 establish 47 rated 27 the 28 cut 28 cut 30 off 28 cut 47 rated 29 - 30 off 30 off 31 values 30 off 46 - 31 values 32 for 32 for 34 variables 33 these 34 variables 34 variables 35 with 34 variables 41 to 34 variables 42 predict 35 with 39 and 36 the 37 best 36 the 38 sensitivity 38 sensitivity 39 and 39 and 40 specificity 41 to 42 predict 42 predict 45 self 43 the 45 self 44 poor 45 self 47 rated 48 health results : a poor self - rated health was significantly associated with age , comorbidity , and the perception of poor functional social support , whereas no association was found with gender , environment and educational level . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 30 found 0 ###LEFT-WALL### 38 . 1 results 2 : 2 : 5 self 3 a 4 poor 3 a 5 self 4 poor 5 self 6 - 8 health 6 - 11 associated 7 rated 8 health 8 health 9 was 9 was 10 significantly 9 was 11 associated 11 associated 12 with 11 associated 26 whereas 12 with 13 age 13 age 17 and 14 , 17 and 15 comorbidity 17 and 16 , 17 and 17 and 19 perception 17 and 20 of 17 and 25 , 18 the 19 perception 20 of 24 support 21 poor 23 social 22 functional 23 social 23 social 24 support 25 , 26 whereas 26 whereas 28 association 27 no 28 association 28 association 29 was 29 was 30 found 30 found 31 with 31 with 35 and 32 gender 33 , 33 , 34 environment 33 , 35 and 35 and 37 level 36 educational 37 level conclusions : old age , the number of diagnosed diseases , and functional social support are self - rated health risk factors , while the characteristics and repercussions of the diseases should not be considered . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 36 . 1 conclusions 2 : 2 : 4 age 3 old 4 age 5 , 12 and 5 , 16 are 6 the 7 number 7 number 8 of 7 number 12 and 8 of 10 diseases 9 diagnosed 10 diseases 11 , 12 and 12 and 15 support 12 and 16 are 13 functional 15 support 14 social 15 support 16 are 17 self 16 are 24 while 17 self 22 factors 18 - 22 factors 19 rated 22 factors 20 health 22 factors 21 risk 22 factors 22 factors 23 , 24 while 27 and 24 while 35 considered 25 the 26 characteristics 26 characteristics 27 and 27 and 28 repercussions 27 and 29 of 27 and 32 should 29 of 31 diseases 30 the 31 diseases 32 should 33 not 32 should 34 be 34 be 35 considered objective : to identify sensorimotor [and] psychosocial determinants of 3 - year incident mobility disability . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 identify 2 : 11 - 2 : 16 . 3 to 4 identify 4 identify 8 determinants 5 sensorimotor 8 determinants 7 psychosocial 8 determinants 8 determinants 9 of 9 of 10 3 11 - 15 disability 12 year 15 disability 13 incident 15 disability 14 mobility 15 disability design : prospective . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 . 1 design 2 : 2 : 3 prospective setting : population - based sample [of] community - dwelling older persons . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 1 setting 2 : 2 : 3 population 4 - 8 community 4 - 9 - 5 based 6 sample 6 sample 8 community 9 - 12 persons 9 - 13 . 10 dwelling 12 persons 11 older 12 persons participants : community - living middle - aged and older persons ( age : 50 - 85 years [ )(without baseline mobility disability ( n = 622 ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 2 : 3 community 2 : 4 - 4 - 6 middle 4 - 7 - 5 living 6 middle 7 - 9 and 7 - 14 : 7 - 29 . 8 aged 9 and 9 and 11 persons 9 and 13 age 10 older 11 persons 12 ( 13 age 13 age 14 : 14 : 18 years 15 50 16 - 16 - 17 85 16 - 18 years 18 years 20 )(without 20 )(without 23 disability 21 baseline 23 disability 22 mobility 23 disability 23 disability 26 = 24 ( 26 = 25 n 26 = 26 = 27 622 26 = 28 ) potential baseline determinant characteristics included demographics , education , social support , financial condition , knee extensor strength , visual contrast sensitivity , cognition , depression , presence of chronic conditions and history [of] falls . 0 ###LEFT-WALL### 4 characteristics 0 ###LEFT-WALL### 5 included 0 ###LEFT-WALL### 27 , 0 ###LEFT-WALL### 36 . 1 potential 3 determinant 2 baseline 3 determinant 3 determinant 4 characteristics 4 characteristics 5 included 5 included 6 demographics 6 demographics 8 education 6 demographics 11 support 6 demographics 18 strength 7 , 8 education 8 education 9 , 9 , 11 support 10 social 11 support 11 support 14 condition 11 support 15 , 12 , 14 condition 13 financial 14 condition 14 condition 15 , 15 , 18 strength 16 knee 17 extensor 17 extensor 18 strength 18 strength 22 sensitivity 18 strength 27 , 19 , 22 sensitivity 20 visual 21 contrast 21 contrast 22 sensitivity 22 sensitivity 24 cognition 22 sensitivity 26 depression 22 sensitivity 27 , 23 , 24 cognition 24 cognition 25 , 25 , 26 depression 26 depression 27 , 27 , 28 presence 27 , 35 falls 28 presence 29 of 28 presence 35 falls 29 of 32 and 30 chronic 31 conditions 31 conditions 32 and 32 and 33 history results : a total of 13.5 % participant [reported] 3 - year incident mobility disability . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 16 . 2 : 4 total 3 a 4 total 4 total 5 of 5 of 8 participant 6 13.5 7 % 7 % 8 participant 8 participant 10 3 10 3 11 - 11 - 15 disability 12 year 14 mobility 13 incident 14 mobility 14 mobility 15 disability age ≥75 years , female sex , knee extensor strength in the lowest quartile , visual contrast sensitivity < 1.7 on the pelli - robson chart or significant depressive symptoms ( cesd score >16 ) were independent determinants of 3 - year incident mobility disability ( ors 1.84 - 16.51 ) . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 52 . 1 age 3 years 2 ≥75 3 years 3 years 6 sex 4 , 6 sex 5 female 6 sex 6 sex 7 , 7 , 10 strength 7 , 19 < 7 , 24 - 8 knee 10 strength 9 extensor 10 strength 10 strength 11 in 10 strength 19 < 11 in 18 sensitivity 12 the 13 lowest 12 the 18 sensitivity 14 quartile 15 , 14 quartile 17 contrast 16 visual 17 contrast 17 contrast 18 sensitivity 19 < 20 1.7 20 1.7 21 on 21 on 23 pelli 22 the 23 pelli 24 - 26 chart 24 - 27 or 25 robson 26 chart 27 or 30 symptoms 27 or 36 were 28 significant 30 symptoms 29 depressive 30 symptoms 30 symptoms 34 >16 30 symptoms 36 were 31 ( 34 >16 32 cesd 34 >16 33 score 34 >16 34 >16 35 ) 36 were 38 determinants 37 independent 38 determinants 38 determinants 39 of 39 of 40 3 40 3 45 disability 40 3 50 16.51 41 - 45 disability 42 year 45 disability 43 incident 45 disability 44 mobility 45 disability 45 disability 47 ors 45 disability 49 - 46 ( 47 ors 47 ors 48 1.84 47 ors 49 - 49 - 50 16.51 50 16.51 51 ) conclusions : low visual contrast sensitivity , poor knee extensor strength and significant depressive symptoms are independent determinants of future onset [of] mobility disability . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 3 low 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 25 . 1 conclusions 2 : 2 : 3 low 3 low 6 sensitivity 4 visual 5 contrast 5 contrast 6 sensitivity 7 , 12 and 7 , 16 are 8 poor 10 extensor 9 knee 10 extensor 10 extensor 11 strength 11 strength 12 and 12 and 15 symptoms 12 and 16 are 13 significant 14 depressive 14 depressive 15 symptoms 16 are 18 determinants 17 independent 18 determinants 18 determinants 19 of 19 of 24 disability 20 future 23 mobility 21 onset 23 mobility 23 mobility 24 disability microtubule - associated protein tau ( mapt ) positive neuropathology is the characteristic feature [of] majority of frontotemporal dementia ( ftd ) cases , which is due to the mutations or haplotypic variations in the gene encoding mapt ( mapt ) . 0 ###LEFT-WALL### 10 neuropathology 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 42 . 1 microtubule 5 tau 1 microtubule 10 neuropathology 2 - 5 tau 3 associated 5 tau 4 protein 5 tau 5 tau 7 mapt 5 tau 8 ) 6 ( 7 mapt 7 mapt 8 ) 9 positive 10 neuropathology 10 neuropathology 11 is 11 is 16 majority 12 the 16 majority 13 characteristic 14 feature 14 feature 16 majority 16 majority 17 of 16 majority 25 which 17 of 23 cases 18 frontotemporal 23 cases 19 dementia 21 ftd 19 dementia 23 cases 20 ( 21 ftd 21 ftd 22 ) 24 , 25 which 25 which 26 is 25 which 41 ) 26 is 28 to 26 is 34 in 27 due 28 to 28 to 31 or 29 the 30 mutations 30 mutations 31 or 31 or 33 variations 32 haplotypic 33 variations 34 in 40 mapt 35 the 37 encoding 36 gene 37 encoding 37 encoding 40 mapt 38 mapt 40 mapt 39 ( 40 mapt the present study was aimed at determining the frequency of genetic variations in mapt in a south indian ftd cohort . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 5 aimed 0 ###LEFT-WALL### 21 . 1 the 3 study 2 present 3 study 3 study 4 was 4 was 5 aimed 5 aimed 6 at 6 at 7 determining 7 determining 9 frequency 7 determining 13 in 7 determining 15 in 8 the 9 frequency 9 frequency 10 of 10 of 12 variations 11 genetic 12 variations 13 in 14 mapt 15 in 20 cohort 16 a 17 south 16 a 20 cohort 17 south 18 indian 18 indian 20 cohort 19 ftd 20 cohort the frequency of mutations were determined in 116 ftd , 8 progressive supranuclear palsy ( psp ) and 3 corticobasal syndrome ( cbs ) patients and haplotype diversity were analyzed in a study cohort comprising 116 ftd , 8 psp , 3 cbs , 194 other dementia groups , 78 mild cognitive impairment ( mci ) and 130 cognitively normal individuals and report no pathogenic mutations in ftd/psp/cbs or haplotypic association with disease risk in ftd or other dementia patients . 0 ###LEFT-WALL### 2 frequency 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 74 risk 0 ###LEFT-WALL### 81 . 1 the 2 frequency 2 frequency 3 of 2 frequency 5 were 3 of 4 mutations 5 were 25 patients 6 determined 7 in 6 determined 18 and 7 in 9 ftd 8 116 9 ftd 9 ftd 14 palsy 10 , 14 palsy 11 8 14 palsy 12 progressive 14 palsy 13 supranuclear 14 palsy 14 palsy 16 psp 14 palsy 17 ) 15 ( 16 psp 16 psp 17 ) 18 and 21 syndrome 18 and 23 cbs 18 and 25 patients 19 3 21 syndrome 20 corticobasal 21 syndrome 22 ( 23 cbs 23 cbs 24 ) 26 and 27 haplotype 26 and 30 analyzed 27 haplotype 28 diversity 27 haplotype 29 were 27 haplotype 30 analyzed 28 diversity 29 were 30 analyzed 31 in 30 analyzed 62 and 31 in 34 cohort 32 a 34 cohort 33 study 34 cohort 34 cohort 35 comprising 35 comprising 36 116 37 ftd 40 psp 37 ftd 57 and 38 , 40 psp 39 8 40 psp 40 psp 43 cbs 40 psp 53 impairment 40 psp 56 ) 41 , 43 cbs 42 3 43 cbs 43 cbs 48 groups 43 cbs 49 , 44 , 48 groups 45 194 46 other 46 other 48 groups 47 dementia 48 groups 48 groups 49 , 49 , 53 impairment 50 78 53 impairment 51 mild 53 impairment 52 cognitive 53 impairment 53 impairment 55 mci 53 impairment 56 ) 54 ( 55 mci 55 mci 56 ) 57 and 61 individuals 57 and 62 and 58 130 61 individuals 59 cognitively 60 normal 60 normal 61 individuals 62 and 63 report 62 and 66 mutations 62 and 74 risk 64 no 66 mutations 65 pathogenic 66 mutations 66 mutations 67 in 66 mutations 72 with 66 mutations 74 risk 67 in 69 or 68 ftd/psp/cbs 69 or 69 or 71 association 70 haplotypic 71 association 72 with 73 disease 74 risk 75 in 75 in 77 or 76 ftd 77 or 77 or 80 patients 78 other 80 patients 79 dementia 80 patients these findings suggest that there may be other genetic or epigenetic factors contributing to the pathogenesis of ftd in the south indian population . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 24 . 1 these 2 findings 2 findings 3 suggest 3 suggest 4 that 3 suggest 7 be 4 that 5 there 4 that 6 may 6 may 7 be 7 be 12 factors 8 other 12 factors 9 genetic 10 or 10 or 11 epigenetic 10 or 12 factors 12 factors 13 contributing 13 contributing 14 to 14 to 16 pathogenesis 15 the 16 pathogenesis 16 pathogenesis 17 of 17 of 18 ftd 18 ftd 19 in 19 in 23 population 20 the 23 population 21 south 22 indian 22 indian 23 population abberant lipid metabolism is implicated in alzheimer 's disease ( ad ) pathophysiology , but the connections between ad and lipid metabolic pathways are not fully understood . 0 ###LEFT-WALL### 3 metabolism 0 ###LEFT-WALL### 5 implicated 0 ###LEFT-WALL### 15 but 0 ###LEFT-WALL### 28 . 1 abberant 3 metabolism 2 lipid 3 metabolism 3 metabolism 4 is 4 is 5 implicated 5 implicated 6 in 5 implicated 13 pathophysiology 6 in 9 disease 7 alzheimer 8 's 8 's 9 disease 9 disease 11 ad 10 ( 11 ad 11 ad 12 ) 14 , 15 but 15 but 20 and 15 but 27 understood 16 the 17 connections 17 connections 18 between 17 connections 20 and 18 between 19 ad 20 and 23 pathways 20 and 24 are 21 lipid 23 pathways 22 metabolic 23 pathways 24 are 25 not 24 are 26 fully 24 are 27 understood to investigate plasma lipids in ad , [a] multiplatform screen ( n = 35 by liquid chromatography - mass spectrometry [and] n = 35 by nuclear magnetic resonance [ )( developed , which enabled the comprehensive analysis of plasma from 3 groups ( individuals with ad , [individuals] with mild cognitive impairment ( mci ) , [and] age - matched controls ) . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 investigate 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 9 multiplatform 1 to 2 investigate 2 investigate 4 lipids 2 investigate 5 in 3 plasma 4 lipids 5 in 6 ad 7 , 9 multiplatform 9 multiplatform 10 screen 9 multiplatform 13 = 9 multiplatform 15 by 11 ( 13 = 12 n 13 = 13 = 14 35 15 by 20 spectrometry 16 liquid 20 spectrometry 17 chromatography 18 - 17 chromatography 19 mass 19 mass 20 spectrometry 20 spectrometry 23 = 22 n 23 = 23 = 24 35 24 35 25 by 24 35 31 developed 24 35 33 which 25 by 28 resonance 26 nuclear 28 resonance 27 magnetic 28 resonance 32 , 33 which 33 which 34 enabled 34 enabled 37 analysis 35 the 37 analysis 36 comprehensive 37 analysis 37 analysis 38 of 38 of 39 plasma 39 plasma 40 from 39 plasma 49 with 40 from 42 groups 41 3 42 groups 42 groups 44 individuals 43 ( 44 individuals 44 individuals 45 with 44 individuals 47 , 45 with 46 ad 49 with 52 impairment 50 mild 52 impairment 51 cognitive 52 impairment 52 impairment 54 mci 52 impairment 58 age 53 ( 54 mci 54 mci 55 ) 56 , 58 age 58 age 61 controls 58 age 63 . 59 - 61 controls 60 matched 61 controls 61 controls 62 ) this screen identified 3 phosphatidylcholine ( pc [ )(molecules that were significantly diminished in ad cases . 0 ###LEFT-WALL### 2 screen 0 ###LEFT-WALL### 3 identified 1 this 2 screen 2 screen 3 identified 3 identified 5 phosphatidylcholine 4 3 5 phosphatidylcholine 5 phosphatidylcholine 9 )(molecules 6 ( 9 )(molecules 7 pc 9 )(molecules 9 )(molecules 10 that 9 )(molecules 11 were 9 )(molecules 17 . 10 that 11 were 11 were 13 diminished 12 significantly 13 diminished 13 diminished 14 in 14 in 16 cases 15 ad 16 cases in a subsequent validation study ( n = 141 ) , pc variation in a bigger sample set was investigated , and the same 3 pcs were found to be significantly lower in ad patients : pc 16:0/20:5 ( p < 0.001 ) , 16:0/22:6 ( p < 0.05 ) , and 18:0/22:6 ( p < 0.01 ) . 0 ###LEFT-WALL### 12 pc 0 ###LEFT-WALL### 28 found 0 ###LEFT-WALL### 59 . 1 in 5 study 1 in 11 , 1 in 12 pc 2 a 3 subsequent 2 a 5 study 3 subsequent 4 validation 4 validation 5 study 5 study 8 = 6 ( 8 = 7 n 8 = 8 = 9 141 8 = 10 ) 12 pc 22 and 12 pc 27 were 12 pc 28 found 13 variation 14 in 13 variation 22 and 14 in 17 sample 15 a 17 sample 16 bigger 17 sample 17 sample 18 set 17 sample 19 was 17 sample 20 investigated 18 set 19 was 21 , 22 and 22 and 26 pcs 22 and 27 were 23 the 24 same 23 the 25 3 25 3 26 pcs 28 found 29 to 28 found 36 : 29 to 30 be 29 to 36 : 30 be 32 lower 31 significantly 32 lower 32 lower 33 in 33 in 35 patients 34 ad 35 patients 36 : 37 pc 36 : 52 and 36 : 56 < 38 16:0/20:5 41 < 38 16:0/20:5 44 , 39 ( 41 < 40 p 41 < 41 < 42 0.001 41 < 43 ) 44 , 45 16:0/22:6 44 , 52 and 45 16:0/22:6 48 < 46 ( 48 < 47 p 48 < 48 < 49 0.05 48 < 50 ) 51 , 52 and 52 and 53 18:0/22:6 54 ( 56 < 55 p 56 < 56 < 57 0.01 56 < 58 ) a receiver operating characteristic ( roc ) analysis of the pcs , combined with apolipoprotein e ( apoe ) data , produced an area under the curve predictive value of 0.828 . 0 ###LEFT-WALL### 2 receiver 0 ###LEFT-WALL### 22 produced 0 ###LEFT-WALL### 32 . 1 a 2 receiver 2 receiver 3 operating 2 receiver 22 produced 3 operating 8 analysis 4 characteristic 6 roc 4 characteristic 8 analysis 5 ( 6 roc 6 roc 7 ) 8 analysis 9 of 9 of 11 pcs 10 the 11 pcs 11 pcs 13 combined 12 , 13 combined 13 combined 14 with 13 combined 21 , 14 with 15 apolipoprotein 14 with 20 data 15 apolipoprotein 16 e 15 apolipoprotein 18 apoe 17 ( 18 apoe 18 apoe 19 ) 22 produced 24 area 22 produced 25 under 23 an 24 area 25 under 29 value 26 the 29 value 27 curve 29 value 28 predictive 29 value 29 value 30 of 30 of 31 0.828 confirmatory investigations into the background biochemistry indiciated no significant change in plasma levels of 3 additional pcs of similar structure , total choline containing compounds or total plasma omega fatty acids , adding to the evidence that specific pcs play a role in ad pathology . 0 ###LEFT-WALL### 2 investigations 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 46 . 1 confirmatory 2 investigations 2 investigations 3 into 2 investigations 21 , 3 into 6 biochemistry 4 the 6 biochemistry 5 background 6 biochemistry 7 indiciated 10 change 7 indiciated 11 in 7 indiciated 21 , 8 no 10 change 9 significant 10 change 11 in 13 levels 12 plasma 13 levels 13 levels 14 of 14 of 17 pcs 15 3 17 pcs 16 additional 17 pcs 17 pcs 18 of 18 of 20 structure 19 similar 20 structure 21 , 22 total 22 total 26 or 23 choline 25 compounds 24 containing 25 compounds 25 compounds 26 or 26 or 31 acids 26 or 32 , 26 or 33 adding 26 or 34 to 27 total 28 plasma 28 plasma 31 acids 29 omega 31 acids 30 fatty 31 acids 34 to 36 evidence 35 the 36 evidence 36 evidence 37 that 37 that 39 pcs 37 that 40 play 38 specific 39 pcs 39 pcs 40 play 40 play 42 role 41 a 42 role 42 role 43 in 43 in 45 pathology 44 ad 45 pathology a [non] - synonymous genetic rare variant , rs75932628 [-] t ( p.r47h ) , [in] the trem2 gene has recently [been] reported to be a strong genetic risk factor for alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 1 a 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 38 . 1 a 3 - 3 - 9 rs75932628 4 synonymous 9 rs75932628 5 genetic 9 rs75932628 6 rare 9 rs75932628 7 variant 8 , 7 variant 9 rs75932628 9 rs75932628 11 t 9 rs75932628 13 p.r47h 9 rs75932628 33 's 12 ( 13 p.r47h 13 p.r47h 14 ) 15 , 23 reported 17 the 19 gene 18 trem2 19 gene 19 gene 20 has 20 has 23 reported 21 recently 23 reported 23 reported 24 to 23 reported 31 for 23 reported 33 's 24 to 25 be 25 be 30 factor 26 a 27 strong 26 a 30 factor 27 strong 30 factor 28 genetic 30 factor 29 risk 30 factor 31 for 32 alzheimer 33 's 34 disease 34 disease 36 ad 35 ( 36 ad 36 ad 37 ) also , rare recessive mutations have been associated with frontotemporal dementia ( ftd ) . 0 ###LEFT-WALL### 5 mutations 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 15 . 1 also 2 , 1 also 5 mutations 3 rare 5 mutations 4 recessive 5 mutations 5 mutations 6 have 6 have 7 been 7 been 8 associated 8 associated 9 with 9 with 11 dementia 10 frontotemporal 11 dementia 11 dementia 13 ftd 12 ( 13 ftd 13 ftd 14 ) we aimed to investigate the role of p.r47h variant in ad and ftd through a multi - center study comprising 3172 ad and 682 ftd patients and 2169 healthy controls from spain . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 aimed 0 ###LEFT-WALL### 33 . 1 we 2 aimed 2 aimed 3 to 2 aimed 4 investigate 3 to 4 investigate 4 investigate 12 and 5 the 6 role 6 role 7 of 6 role 12 and 7 of 8 p.r47h 8 p.r47h 9 variant 9 variant 10 in 10 in 11 ad 12 and 13 ftd 13 ftd 14 through 14 through 27 and 15 a 19 study 16 multi 17 - 16 multi 19 study 18 center 19 study 19 study 20 comprising 19 study 23 and 20 comprising 22 ad 21 3172 22 ad 23 and 26 patients 23 and 27 and 24 682 26 patients 25 ftd 26 patients 27 and 30 controls 27 and 31 from 28 2169 30 controls 29 healthy 30 controls 31 from 32 spain we found that 0.6 % of ad patients carried this variant compared to 0.1 % of controls ( odds [ratio] [ or ] = 4.12 , 95 % confidence [interval] [ ci ] = 1.21 - 14.00 , p = 0.014 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 43 . 1 we 2 found 2 found 3 that 2 found 24 = 3 that 5 % 3 that 9 carried 3 that 24 = 4 0.6 5 % 5 % 6 of 5 % 9 carried 6 of 8 patients 7 ad 8 patients 9 carried 11 variant 10 this 11 variant 11 variant 12 compared 11 variant 13 to 11 variant 16 of 11 variant 19 odds 13 to 15 % 14 0.1 15 % 16 of 17 controls 18 ( 19 odds 19 odds 22 or 19 odds 23 ] 21 [ 22 or 22 or 23 ] 24 = 25 4.12 24 = 36 - 24 = 40 = 25 4.12 29 confidence 26 , 29 confidence 27 95 28 % 28 % 29 confidence 29 confidence 32 ci 29 confidence 33 ] 31 [ 32 ci 32 ci 33 ] 34 = 35 1.21 35 1.21 36 - 36 - 37 14.00 38 , 40 = 39 p 40 = 40 = 41 0.014 40 = 42 ) a meta - analysis comprising 32,598 subjects from 4 previous studies demonstrated the large effect of the p.r47h variant in ad risk ( or [=] 4.11 , 95 % ci = 2.99 - 5.68 , p = 5.27×10 ( - 18 ) ) . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 12 demonstrated 0 ###LEFT-WALL### 44 . 1 a 4 analysis 2 meta 3 - 2 meta 4 analysis 4 analysis 5 comprising 4 analysis 12 demonstrated 5 comprising 7 subjects 6 32,598 7 subjects 7 subjects 8 from 8 from 11 studies 9 4 11 studies 10 previous 11 studies 12 demonstrated 15 effect 12 demonstrated 20 in 13 the 15 effect 14 large 15 effect 15 effect 16 of 16 of 19 variant 17 the 19 variant 18 p.r47h 19 variant 20 in 22 risk 21 ad 22 risk 22 risk 24 or 22 risk 30 ci 23 ( 24 or 24 or 26 4.11 24 or 27 , 27 , 30 ci 28 95 30 ci 29 % 30 ci 30 ci 33 - 30 ci 37 = 30 ci 43 ) 31 = 32 2.99 32 2.99 33 - 33 - 34 5.68 35 , 37 = 36 p 37 = 37 = 38 5.27×10 38 5.27×10 41 18 39 ( 41 18 40 - 41 18 41 18 42 ) we did not find an association between p.r47h and age [of] onset of ad or family history of dementia . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 4 find 0 ###LEFT-WALL### 20 . 1 we 2 did 2 did 3 not 2 did 4 find 4 find 6 association 4 find 7 between 5 an 6 association 7 between 9 and 8 p.r47h 9 and 9 and 12 onset 9 and 13 of 9 and 18 of 10 age 12 onset 13 of 15 or 14 ad 15 or 15 or 17 history 16 family 17 history 18 of 19 dementia finally , none of the ftd patients harbored this genetic variant . 0 ###LEFT-WALL### 7 patients 0 ###LEFT-WALL### 8 harbored 0 ###LEFT-WALL### 12 . 1 finally 2 , 1 finally 7 patients 3 none 4 of 3 none 7 patients 4 of 7 patients 5 the 7 patients 6 ftd 7 patients 7 patients 8 harbored 8 harbored 11 variant 9 this 11 variant 10 genetic 11 variant these data strongly support the important role of p.r47h in ad risk , and suggest that this rare genetic variant is not related to ftd . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 26 . 1 these 2 data 2 data 14 and 3 strongly 4 support 4 support 7 role 4 support 10 in 4 support 14 and 5 the 7 role 6 important 7 role 7 role 8 of 8 of 9 p.r47h 10 in 12 risk 11 ad 12 risk 13 , 14 and 14 and 15 suggest 15 suggest 16 that 16 that 20 variant 16 that 21 is 17 this 20 variant 18 rare 20 variant 19 genetic 20 variant 20 variant 21 is 21 is 22 not 21 is 24 to 22 not 23 related 24 to 25 ftd recently , α - synuclein ( α - syn [ )(and dj - 1 , 2 proteins critically involved in parkinson 's disease ( pd ) , have been shown to be present in saliva , suggesting their potential utility as biomarkers of pd . 0 ###LEFT-WALL### 11 )(and 0 ###LEFT-WALL### 30 shown 1 recently 2 , 1 recently 11 )(and 3 α 5 synuclein 3 α 9 syn 4 - 5 synuclein 5 synuclein 7 α 5 synuclein 8 - 6 ( 7 α 7 α 8 - 9 syn 11 )(and 11 )(and 12 dj 11 )(and 28 have 12 dj 14 1 13 - 14 1 14 1 16 2 14 1 27 , 15 , 16 2 16 2 17 proteins 16 2 19 involved 16 2 25 pd 16 2 26 ) 17 proteins 19 involved 18 critically 19 involved 19 involved 20 in 20 in 23 disease 21 parkinson 22 's 22 's 23 disease 24 ( 25 pd 25 pd 26 ) 28 have 29 been 29 been 30 shown 30 shown 31 to 30 shown 34 in 31 to 32 be 32 be 33 present 34 in 35 saliva 35 saliva 37 suggesting 36 , 37 suggesting 37 suggesting 40 utility 37 suggesting 45 . 38 their 40 utility 39 potential 40 utility 40 utility 41 as 40 utility 43 of 41 as 42 biomarkers 43 of 44 pd however , the origin and influence of demographic characteristics ( e.g [.] , age or sex ) on these proteins are unknown . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 21 are 0 ###LEFT-WALL### 23 . 1 however 2 , 1 however 5 and 3 the 4 origin 4 origin 5 and 5 and 6 influence 5 and 7 of 5 and 18 on 5 and 21 are 7 of 9 characteristics 8 demographic 9 characteristics 9 characteristics 15 or 10 ( 15 or 11 e.g 13 , 13 , 14 age 13 , 15 or 15 or 16 sex 15 or 17 ) 18 on 20 proteins 19 these 20 proteins 21 are 22 unknown we identified cheek epithelium , which forms the majority of the cellular component of saliva and is readily accessible clinically , as 1 of several potential sources of salivary α - syn and dj - 1 . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 identified 1 we 2 identified 2 identified 4 epithelium 3 cheek 4 epithelium 4 epithelium 6 which 5 , 6 which 6 which 16 and 6 which 37 . 7 forms 9 majority 7 forms 16 and 8 the 9 majority 9 majority 10 of 10 of 13 component 11 the 13 component 12 cellular 13 component 13 component 14 of 14 of 15 saliva 16 and 17 is 16 and 20 clinically 16 and 35 - 17 is 19 accessible 18 readily 19 accessible 21 , 35 - 22 as 23 1 22 as 35 - 23 1 24 of 23 1 28 of 23 1 35 - 24 of 27 sources 25 several 27 sources 26 potential 27 sources 28 of 33 and 29 salivary 32 syn 30 α 31 - 30 α 32 syn 32 syn 33 and 33 and 34 dj 35 - 36 1 35 - 37 . however , no pd [-] related trend in the cellular component was present . 0 ###LEFT-WALL### 7 trend 0 ###LEFT-WALL### 12 was 0 ###LEFT-WALL### 14 . 1 however 2 , 1 however 7 trend 3 no 7 trend 4 pd 6 related 6 related 7 trend 7 trend 8 in 7 trend 12 was 8 in 11 component 9 the 11 component 10 cellular 11 component 12 was 13 present in the supernatant collected from 198 healthy subjects , no correlation was seen between salivary dj [-] 1 or α - syn with age . 0 ###LEFT-WALL### 11 correlation 0 ###LEFT-WALL### 13 seen 0 ###LEFT-WALL### 25 . 1 in 3 supernatant 1 in 9 , 1 in 11 correlation 2 the 3 supernatant 3 supernatant 4 collected 4 collected 5 from 5 from 8 subjects 6 198 8 subjects 7 healthy 8 subjects 10 no 11 correlation 11 correlation 12 was 12 was 13 seen 13 seen 14 between 13 seen 23 with 14 between 19 or 15 salivary 16 dj 16 dj 18 1 16 dj 19 or 19 or 22 syn 20 α 21 - 20 α 22 syn 23 with 24 age when male and female subjects were analyzed separately , a weak [age] - dependent increase in dj - 1 level was present in male subjects , along with slightly increased α - syn in female subjects . 0 ###LEFT-WALL### 15 increase 0 ###LEFT-WALL### 21 was 1 when 5 subjects 1 when 7 analyzed 1 when 9 , 1 when 15 increase 2 male 3 and 3 and 4 female 3 and 5 subjects 5 subjects 6 were 6 were 7 analyzed 7 analyzed 8 separately 10 a 11 weak 10 a 15 increase 11 weak 13 - 11 weak 15 increase 14 dependent 15 increase 15 increase 16 in 15 increase 19 1 15 increase 20 level 15 increase 21 was 16 in 17 dj 18 - 19 1 19 1 20 level 21 was 22 present 22 present 23 in 23 in 25 subjects 24 male 25 subjects 25 subjects 28 with 26 , 28 with 27 along 28 with 28 with 31 α 28 with 37 . 29 slightly 30 increased 30 increased 31 α 31 α 33 syn 32 - 33 syn 33 syn 34 in 33 syn 37 . 34 in 36 subjects 35 female 36 subjects these results , [albeit] largely negative , provide critical information for understanding the salivary gland pathology and saliva as a pd biomarker source , and must be considered in future investigations of salivary changes in pd . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 37 . 1 these 2 results 2 results 6 negative 2 results 25 and 3 , 6 negative 5 largely 6 negative 6 negative 7 , 8 provide 17 and 8 provide 19 as 8 provide 25 and 9 critical 10 information 10 information 11 for 10 information 17 and 11 for 12 understanding 12 understanding 16 pathology 13 the 16 pathology 14 salivary 16 pathology 15 gland 16 pathology 17 and 18 saliva 19 as 23 source 20 a 23 source 21 pd 22 biomarker 22 biomarker 23 source 24 , 25 and 25 and 26 must 26 must 27 be 27 be 28 considered 28 considered 29 in 28 considered 35 in 29 in 31 investigations 30 future 31 investigations 31 investigations 32 of 32 of 34 changes 33 salivary 34 changes 35 in 36 pd trinucleotide repeat disorders are a heterogeneous group of diseases caused by the expansion , beyond a pathogenic threshold , of unstable dna tracts in different genes . 0 ###LEFT-WALL### 3 disorders 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 27 . 1 trinucleotide 3 disorders 2 repeat 3 disorders 3 disorders 4 are 4 are 9 diseases 5 a 7 group 6 heterogeneous 7 group 7 group 8 of 7 group 9 diseases 8 of 9 diseases 9 diseases 10 caused 10 caused 11 by 10 caused 24 in 11 by 13 expansion 12 the 13 expansion 13 expansion 15 beyond 13 expansion 20 of 14 , 15 beyond 15 beyond 18 threshold 15 beyond 19 , 16 a 17 pathogenic 16 a 18 threshold 17 pathogenic 18 threshold 20 of 23 tracts 21 unstable 23 tracts 22 dna 23 tracts 24 in 26 genes 25 different 26 genes sequence interruptions in the repeats have been described in the majority of these disorders and may influence disease phenotype [and] heritability . 0 ###LEFT-WALL### 1 sequence 0 ###LEFT-WALL### 22 . 1 sequence 2 interruptions 1 sequence 3 in 3 in 5 repeats 4 the 5 repeats 5 repeats 15 and 6 have 7 been 6 have 15 and 7 been 8 described 8 described 9 in 9 in 14 disorders 10 the 11 majority 11 majority 12 of 11 majority 14 disorders 12 of 14 disorders 13 these 14 disorders 15 and 16 may 15 and 21 heritability 16 may 17 influence 17 influence 18 disease 19 phenotype 21 heritability spinal bulbar muscular atrophy ( sbma ) is a motor neuron disease caused by a cag trinucleotide expansion in the androgen receptor ( ar ) [gene] . 0 ###LEFT-WALL### 4 atrophy 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 27 . 1 spinal 4 atrophy 2 bulbar 4 atrophy 3 muscular 4 atrophy 4 atrophy 6 sbma 4 atrophy 8 is 5 ( 6 sbma 6 sbma 7 ) 8 is 12 disease 9 a 12 disease 10 motor 12 disease 11 neuron 12 disease 12 disease 13 caused 12 disease 14 by 12 disease 24 ar 14 by 18 expansion 15 a 18 expansion 16 cag 17 trinucleotide 17 trinucleotide 18 expansion 18 expansion 19 in 19 in 22 receptor 20 the 22 receptor 21 androgen 22 receptor 23 ( 24 ar 24 ar 25 ) diagnostic testing and previous research have relied on fragment analysis polymerase chain reaction to determine the ar cag repeat size , and have therefore not been able to assess the presence of interruptions . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 34 . 1 diagnostic 2 testing 2 testing 3 and 3 and 5 research 3 and 6 have 4 previous 5 research 6 have 22 and 7 relied 8 on 7 relied 14 to 7 relied 22 and 8 on 13 reaction 9 fragment 11 polymerase 10 analysis 11 polymerase 11 polymerase 13 reaction 12 chain 13 reaction 14 to 15 determine 15 determine 20 size 16 the 20 size 17 ar 18 cag 18 cag 20 size 19 repeat 20 size 21 , 22 and 22 and 23 have 23 have 25 not 23 have 26 been 24 therefore 25 not 26 been 27 able 27 able 28 to 27 able 29 assess 28 to 29 assess 29 assess 31 presence 30 the 31 presence 31 presence 32 of 32 of 33 interruptions we [here] report a sequencing study of the ar cag repeat in a cohort of sbma patients and control subjects in the united kingdom . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 25 . 1 we 18 and 3 report 6 study 3 report 12 in 3 report 18 and 4 a 6 study 5 sequencing 6 study 6 study 7 of 7 of 11 repeat 8 the 11 repeat 9 ar 10 cag 10 cag 11 repeat 12 in 14 cohort 13 a 14 cohort 14 cohort 15 of 15 of 17 patients 16 sbma 17 patients 18 and 19 control 18 and 24 kingdom 19 control 20 subjects 19 control 21 in 21 in 23 united 22 the 23 united we found no repeat interruptions to be present , and we describe differences between sequencing and traditional sizing methods . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 20 . 1 we 2 found 2 found 5 interruptions 2 found 6 to 3 no 5 interruptions 4 repeat 5 interruptions 6 to 7 be 7 be 8 present 9 , 10 and 10 and 11 we 10 and 12 describe 11 we 12 describe 12 describe 13 differences 13 differences 14 between 13 differences 18 sizing 14 between 16 and 15 sequencing 16 and 16 and 17 traditional 18 sizing 19 methods background : little is known about coronary plaque in human immunodeficiency virus ( hiv ) - infected women . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 little 2 : 5 known 2 : 16 - 3 little 4 is 4 is 5 known 5 known 6 about 5 known 9 in 6 about 8 plaque 7 coronary 8 plaque 9 in 12 virus 10 human 11 immunodeficiency 11 immunodeficiency 12 virus 12 virus 14 hiv 13 ( 14 hiv 14 hiv 15 ) 16 - 18 women 16 - 19 . 17 infected 18 women methods : sixty hiv - infected and 30 [non] - hiv - infected women without symptoms or history of cardiovascular disease were recruited to assess coronary plaque with coronary computed tomographic angiography and immune activation . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 hiv 2 : 5 - 2 : 36 . 3 sixty 4 hiv 5 - 7 and 6 infected 7 and 7 and 25 assess 8 30 11 hiv 10 - 11 hiv 11 hiv 12 - 11 hiv 13 infected 13 infected 14 women 14 women 15 without 14 women 19 of 14 women 22 were 15 without 17 or 16 symptoms 17 or 17 or 18 history 19 of 21 disease 20 cardiovascular 21 disease 22 were 23 recruited 23 recruited 24 to 24 to 25 assess 25 assess 33 and 26 coronary 27 plaque 27 plaque 28 with 27 plaque 33 and 28 with 32 angiography 29 coronary 30 computed 30 computed 32 angiography 31 tomographic 32 angiography 33 and 35 activation 34 immune 35 activation data from 102 hiv - infected men and 41 [non] - hiv - infected male controls were compared . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 18 compared 0 ###LEFT-WALL### 19 . 1 data 2 from 1 data 4 hiv 1 data 14 infected 1 data 17 were 2 from 3 102 4 hiv 8 and 4 hiv 14 infected 5 - 8 and 6 infected 7 men 7 men 8 and 8 and 12 hiv 8 and 13 - 9 41 12 hiv 11 - 12 hiv 14 infected 16 controls 15 male 16 controls 17 were 18 compared results : hiv - infected women demonstrated significantly higher percentages of segments with noncalcified plaque ( mean ± sd , 74 % ± 28 % vs 23 % ± 39 % compared to female control subjects [;] median [ interquartile range ] [,] [75] [%] [ 63 % - 100 % []] vs 0 % [ 0 % - 56 % ] [;] p = [.] 007 [ )( more segments with noncalcified plaque ( mean ± sd , 0.92 ± 1.48 vs 0.40 ± 1.44 [;] median [ interquartile range ] , 0 [ 0 - 2 []] vs 0 [ 0 - 0 ] [;] p = . [04] [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 7 demonstrated 1 results 2 : 2 : 3 hiv 4 - 6 women 5 infected 6 women 6 women 7 demonstrated 7 demonstrated 10 percentages 7 demonstrated 13 with 8 significantly 9 higher 9 higher 10 percentages 10 percentages 11 of 11 of 12 segments 13 with 15 plaque 13 with 23 ± 14 noncalcified 15 plaque 15 plaque 19 sd 16 ( 19 sd 17 mean 18 ± 18 ± 19 sd 19 sd 20 , 21 74 23 ± 22 % 23 ± 23 ± 25 % 23 ± 35 control 24 28 25 % 25 % 26 vs 25 % 31 % 25 % 32 compared 25 % 33 to 25 % 35 control 26 vs 29 ± 27 23 28 % 28 % 29 ± 30 39 31 % 31 % 32 compared 33 to 34 female 35 control 38 median 36 subjects 38 median 38 median 41 range 38 median 49 - 39 [ 41 range 40 interquartile 41 range 41 range 42 ] 46 [ 49 - 47 63 48 % 48 % 49 - 49 - 51 % 50 100 51 % 51 % 53 vs 53 vs 55 % 54 0 55 % 55 % 58 % 55 % 61 % 55 % 65 = 56 [ 58 % 57 0 58 % 58 % 59 - 59 - 61 % 60 56 61 % 61 % 62 ] 64 p 65 = 65 = 67 007 67 007 70 more 67 007 71 segments 70 more 71 segments 71 segments 72 with 72 with 74 plaque 72 with 81 ± 73 noncalcified 74 plaque 74 plaque 78 sd 75 ( 78 sd 76 mean 77 ± 77 ± 78 sd 78 sd 79 , 80 0.92 81 ± 81 ± 82 1.48 81 ± 83 vs 83 vs 88 median 84 0.40 88 median 85 ± 88 median 86 1.44 88 median 88 median 91 range 88 median 94 0 88 median 98 2 89 [ 91 range 90 interquartile 91 range 91 range 92 ] 93 , 94 0 94 0 96 0 94 0 97 - 95 [ 96 0 96 0 97 - 97 - 98 2 98 2 100 vs 98 2 108 p 98 2 109 = 98 2 110 . 100 vs 101 0 101 0 104 - 102 [ 104 - 103 0 104 - 104 - 105 0 104 - 106 ] 108 p 109 = among hiv - infected women with noncalcified coronary plaque , scd163 levels were significantly higher than in hiv - infected women without noncalcified plaque ( p = [.] 04 ) . 0 ###LEFT-WALL### 1 among 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 31 . 1 among 2 hiv 1 among 13 were 2 hiv 5 women 3 - 5 women 4 infected 5 women 5 women 6 with 5 women 10 , 6 with 9 plaque 7 noncalcified 9 plaque 8 coronary 9 plaque 11 scd163 12 levels 12 levels 13 were 13 were 15 higher 14 significantly 15 higher 15 higher 16 than 16 than 17 in 17 in 18 hiv 18 hiv 21 women 19 - 21 women 20 infected 21 women 21 women 22 without 21 women 27 = 21 women 30 ) 22 without 24 plaque 23 noncalcified 24 plaque 25 ( 27 = 26 p 27 = 27 = 29 04 in multivariate modeling for scd163 levels among male and female subjects , significant effects of hiv ( p < [.] 0001 ) , age ( p = [.] 002 ) , and sex ( p = [.] 0002 ) were seen . 0 ###LEFT-WALL### 3 modeling 0 ###LEFT-WALL### 6 levels 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 42 . 1 in 2 multivariate 1 in 3 modeling 3 modeling 4 for 3 modeling 6 levels 4 for 5 scd163 6 levels 7 among 7 among 11 subjects 8 male 9 and 9 and 10 female 9 and 11 subjects 12 , 32 and 12 , 41 seen 13 significant 14 effects 14 effects 15 of 14 effects 32 and 15 of 16 hiv 16 hiv 19 < 16 hiv 24 age 17 ( 19 < 18 p 19 < 19 < 21 0001 19 < 22 ) 23 , 24 age 24 age 27 = 24 age 31 , 25 ( 27 = 26 p 27 = 27 = 29 002 27 = 30 ) 32 and 33 sex 32 and 36 = 32 and 40 were 34 ( 36 = 35 p 36 = 36 = 38 0002 36 = 39 ) 40 were 41 seen conclusions : young , asymptomatic , hiv - infected women , demonstrate increased noncalcified coronary plaque and increased immune activation , particularly monocyte activation . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 25 . 1 conclusions 2 : 2 : 3 young 4 , 7 hiv 4 , 17 and 4 , 21 , 5 asymptomatic 6 , 5 asymptomatic 7 hiv 7 hiv 10 women 7 hiv 17 and 8 - 10 women 9 infected 10 women 10 women 11 , 12 demonstrate 16 plaque 12 demonstrate 17 and 13 increased 16 plaque 14 noncalcified 16 plaque 15 coronary 16 plaque 17 and 18 increased 18 increased 20 activation 19 immune 20 activation 21 , 24 activation 22 particularly 23 monocyte 23 monocyte 24 activation independent effects of sex , hiv status , and aging on immune activation may contribute to cardiovascular disease in this population . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 15 contribute 0 ###LEFT-WALL### 22 . 1 independent 2 effects 2 effects 3 of 2 effects 14 may 3 of 9 and 4 sex 5 , 5 , 7 status 5 , 9 and 6 hiv 7 status 8 , 9 and 9 and 10 aging 9 and 11 on 11 on 13 activation 12 immune 13 activation 14 may 15 contribute 15 contribute 16 to 15 contribute 19 in 16 to 18 disease 17 cardiovascular 18 disease 19 in 21 population 20 this 21 population clinical trials registration : nct00455793 . 0 ###LEFT-WALL### 3 registration 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 6 . 1 clinical 2 trials 2 trials 3 registration 3 registration 4 : 4 : 5 nct00455793 background : normative values for fractional exhaled nitric oxide ( feno ) and the associated co - factors are important in understanding the role of feno as a biomarker in airway disease . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 33 . 1 background 2 : 2 : 4 values 3 normative 4 values 4 values 5 for 5 for 9 oxide 6 fractional 9 oxide 7 exhaled 9 oxide 8 nitric 9 oxide 9 oxide 11 feno 10 ( 11 feno 11 feno 12 ) 13 and 18 factors 13 and 19 are 14 the 18 factors 15 associated 18 factors 16 co 17 - 16 co 18 factors 18 factors 19 are 19 are 20 important 20 important 21 in 20 important 27 as 21 in 22 understanding 22 understanding 24 role 23 the 24 role 24 role 25 of 25 of 26 feno 27 as 32 disease 28 a 30 in 29 biomarker 30 in 30 in 32 disease 31 airway 32 disease the objective of this study is to establish reference feno values for youth and adult asymptomatic , lifetime nonsmokers in the united states , [and] to describe the factors affecting these levels . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 33 . 1 the 2 objective 2 objective 3 of 2 objective 6 is 3 of 5 study 4 this 5 study 6 is 7 to 6 is 8 establish 7 to 8 establish 8 establish 11 values 9 reference 11 values 10 feno 11 values 11 values 12 for 12 for 14 and 13 youth 14 and 14 and 19 nonsmokers 14 and 20 in 15 adult 19 nonsmokers 16 asymptomatic 17 , 16 asymptomatic 19 nonsmokers 18 lifetime 19 nonsmokers 20 in 23 states 21 the 23 states 22 united 23 states 24 , 26 to 24 , 27 describe 26 to 27 describe 27 describe 29 factors 28 the 29 factors 29 factors 30 affecting 30 affecting 32 levels 31 these 32 levels methods : cross - sectional analyses of the national health and nutrition examination survey from 2007 to 2010 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 1 methods 2 : 2 : 3 cross 4 - 11 and 4 - 19 . 5 sectional 6 analyses 6 analyses 7 of 6 analyses 11 and 7 of 10 health 8 the 10 health 9 national 10 health 11 and 14 survey 12 nutrition 13 examination 13 examination 14 survey 14 survey 17 to 15 from 17 to 16 2007 17 to 17 to 18 2010 the analytic sample consisted of 4718 youth and adults , ages 6 - 79 years , who were lifelong nonsmokers , and free of asthma , and other respiratory conditions and symptoms . 0 ###LEFT-WALL### 3 sample 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 18 were 0 ###LEFT-WALL### 33 . 1 the 3 sample 2 analytic 3 sample 3 sample 10 , 4 consisted 5 of 4 consisted 10 , 5 of 8 and 6 4718 7 youth 7 youth 8 and 8 and 9 adults 10 , 11 ages 11 ages 15 years 12 6 13 - 13 - 14 79 13 - 15 years 16 , 17 who 16 , 18 were 17 who 18 were 18 were 31 and 19 lifelong 20 nonsmokers 20 nonsmokers 22 and 21 , 22 and 22 and 23 free 22 and 24 of 22 and 27 and 24 of 25 asthma 26 , 27 and 27 and 30 conditions 27 and 31 and 28 other 30 conditions 29 respiratory 30 conditions 31 and 32 symptoms loge feno values were used as dependent variables to test associations of demographic and health related - covariates . 0 ###LEFT-WALL### 1 loge 0 ###LEFT-WALL### 18 covariates 0 ###LEFT-WALL### 19 . 1 loge 16 related 1 loge 18 covariates 2 feno 3 values 2 feno 4 were 2 feno 5 used 3 values 4 were 5 used 8 variables 5 used 9 to 5 used 10 test 6 as 7 dependent 7 dependent 8 variables 9 to 10 test 10 test 11 associations 10 test 16 related 11 associations 12 of 11 associations 16 related 12 of 14 and 13 demographic 14 and 14 and 15 health 16 related 17 - multivariable regression models were used to assess the independent effect and covariate - adjusted contribution of the factors . 0 ###LEFT-WALL### 3 models 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 19 . 1 multivariable 3 models 2 regression 3 models 3 models 4 were 4 were 5 used 5 used 6 to 5 used 7 assess 6 to 7 assess 7 assess 11 and 8 the 10 effect 9 independent 10 effect 10 effect 11 and 11 and 15 contribution 11 and 16 of 12 covariate 13 - 12 covariate 15 contribution 14 adjusted 15 contribution 16 of 18 factors 17 the 18 factors results : the geometric mean feno level was 8.3 , 12.1 , and 16.2 ppb for males 6 - 11 , 12 - 19 , and 20 - 79 years , [and] 8.4 , 10.9 , and 12.6 ppb for females in the corresponding age groups . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 47 . 2 : 7 level 2 : 8 was 2 : 13 and 2 : 19 - 2 : 26 and 3 the 7 level 4 geometric 7 level 5 mean 7 level 6 feno 7 level 7 level 8 was 8 was 9 8.3 9 8.3 11 12.1 10 , 11 12.1 11 12.1 12 , 12 , 13 and 13 and 14 16.2 13 and 15 ppb 14 16.2 15 ppb 15 ppb 16 for 16 for 17 males 17 males 18 6 18 6 19 - 19 - 20 11 20 11 23 - 21 , 23 - 22 12 23 - 23 - 24 19 23 - 25 , 26 and 37 and 26 and 45 age 27 20 28 - 28 - 29 79 28 - 30 years 30 years 33 8.4 30 years 35 10.9 30 years 37 and 31 , 33 8.4 33 8.4 34 , 34 , 35 10.9 35 10.9 36 , 37 and 39 ppb 37 and 40 for 37 and 42 in 37 and 45 age 38 12.6 39 ppb 40 for 41 females 42 in 44 corresponding 43 the 44 corresponding 45 age 46 groups overall , feno levels increased with increasing age ( p < 0.001 ) , and height ( p < 0.001 ) . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 22 . 1 overall 4 levels 1 overall 15 and 2 , 4 levels 3 feno 4 levels 4 levels 5 increased 4 levels 13 ) 5 increased 6 with 6 with 7 increasing 7 increasing 8 age 8 age 11 < 9 ( 11 < 10 p 11 < 11 < 12 0.001 11 < 13 ) 14 , 15 and 15 and 16 height 15 and 19 < 17 ( 19 < 18 p 19 < 19 < 20 0.001 19 < 21 ) in all age groups , feno levels were positively associated with eosinophil counts , and with testing in the morning . 0 ###LEFT-WALL### 7 levels 0 ###LEFT-WALL### 10 associated 0 ###LEFT-WALL### 21 . 1 in 4 groups 1 in 5 , 1 in 7 levels 2 all 4 groups 3 age 4 groups 6 feno 7 levels 7 levels 8 were 8 were 10 associated 9 positively 10 associated 10 associated 15 and 10 associated 18 in 11 with 13 counts 11 with 15 and 12 eosinophil 13 counts 14 , 15 and 15 and 16 with 16 with 17 testing 18 in 20 morning 19 the 20 morning among youths 6 - 11 and 12 - 19 years , [non] - hispanics whites had lower feno values than [non] - hispanic blacks and hispanic youths . 0 ###LEFT-WALL### 15 whites 0 ###LEFT-WALL### 16 had 0 ###LEFT-WALL### 22 - 0 ###LEFT-WALL### 28 . 1 among 2 youths 1 among 15 whites 2 youths 3 6 2 youths 6 and 4 - 6 and 5 11 6 and 6 and 7 12 6 and 10 years 6 and 13 - 8 - 10 years 9 19 10 years 10 years 11 , 14 hispanics 15 whites 15 whites 16 had 16 had 19 values 16 had 20 than 17 lower 19 values 18 feno 19 values 22 - 25 and 23 hispanic 24 blacks 24 blacks 25 and 25 and 27 youths 26 hispanic 27 youths no race [-] ethnic difference in feno levels was evident for adults 20 - 79 years . 0 ###LEFT-WALL### 5 difference 0 ###LEFT-WALL### 9 was 1 no 5 difference 2 race 5 difference 4 ethnic 5 difference 5 difference 6 in 5 difference 9 was 6 in 8 levels 7 feno 8 levels 9 was 10 evident 10 evident 11 for 11 for 12 adults 12 adults 13 20 12 adults 16 years 14 - 16 years 15 79 16 years 16 years 17 . among adolescents and adults , feno levels were higher for males than for females , controlling for all other factors . 0 ###LEFT-WALL### 7 levels 0 ###LEFT-WALL### 8 were 1 among 3 and 1 among 5 , 1 among 7 levels 2 adolescents 3 and 3 and 4 adults 6 feno 7 levels 7 levels 8 were 8 were 9 higher 9 higher 10 for 9 higher 12 than 10 for 11 males 12 than 13 for 13 for 14 females 14 females 16 controlling 15 , 16 controlling 16 controlling 17 for 16 controlling 20 factors 16 controlling 21 . 17 for 18 all 19 other 20 factors conclusions : these reference values and associated attributes in youths and adults are useful in evaluating the role of feno in airway diseases . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 6 and 2 : 13 are 2 : 24 . 3 these 5 values 4 reference 5 values 5 values 6 and 6 and 8 attributes 6 and 9 in 6 and 13 are 7 associated 8 attributes 9 in 11 and 10 youths 11 and 11 and 12 adults 13 are 14 useful 14 useful 15 in 15 in 16 evaluating 16 evaluating 18 role 16 evaluating 21 in 17 the 18 role 18 role 19 of 19 of 20 feno 21 in 23 diseases 22 airway 23 diseases with aging , a general decline [in] immune function is observed leading to immune - senescence . 0 ###LEFT-WALL### 9 function 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 17 . 1 with 2 aging 1 with 3 , 1 with 9 function 4 a 5 general 4 a 9 function 5 general 6 decline 6 decline 9 function 8 immune 9 function 9 function 10 is 10 is 12 leading 11 observed 12 leading 12 leading 13 to 13 to 16 senescence 14 immune 15 - 14 immune 16 senescence several of these changes are gender specific [affecting] postmenopausal women . 0 ###LEFT-WALL### 1 several 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 11 . 1 several 2 of 1 several 5 are 2 of 4 changes 3 these 4 changes 5 are 10 women 6 gender 10 women 7 specific 10 women 9 postmenopausal 10 women menopause is a normal part of a woman 's lifecycle and consists of a series of body changes that can last from one to ten years . 0 ###LEFT-WALL### 1 menopause 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 27 . 1 menopause 11 and 2 is 5 part 2 is 11 and 3 a 5 part 4 normal 5 part 5 part 6 of 6 of 10 lifecycle 7 a 8 woman 8 woman 9 's 9 's 10 lifecycle 11 and 12 consists 12 consists 13 of 13 of 15 series 14 a 15 series 15 series 16 of 15 series 19 that 15 series 20 can 16 of 18 changes 17 body 18 changes 19 that 20 can 20 can 21 last 21 last 26 years 22 from 24 to 23 one 24 to 24 to 25 ten 24 to 26 years it is known that loss of sex hormones due to aging results in a reduction of immune functions . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 known 0 ###LEFT-WALL### 19 . 1 it 2 is 2 is 3 known 3 known 4 that 4 that 5 loss 4 that 12 results 5 loss 6 of 5 loss 12 results 6 of 8 hormones 7 sex 8 hormones 8 hormones 9 due 9 due 10 to 10 to 11 aging 12 results 13 in 13 in 15 reduction 14 a 15 reduction 15 reduction 16 of 16 of 18 functions 17 immune 18 functions however , there remains [a] major [gap] in our understanding regarding the loss of immune functions particularly in the female reproductive [tract] ( frt ) following menopause and the role of menopausal hormone therapy ( mht ) in protecting against immune senescence . 0 ###LEFT-WALL### 4 remains 0 ###LEFT-WALL### 6 major 0 ###LEFT-WALL### 43 . 1 however 2 , 1 however 4 remains 3 there 4 remains 4 remains 6 major 6 major 8 in 8 in 10 understanding 9 our 10 understanding 10 understanding 11 regarding 11 regarding 13 loss 11 regarding 17 particularly 12 the 13 loss 13 loss 14 of 14 of 16 functions 15 immune 16 functions 17 particularly 18 in 18 in 28 and 19 the 27 menopause 20 female 27 menopause 21 reproductive 24 frt 21 reproductive 26 following 23 ( 24 frt 24 frt 25 ) 26 following 27 menopause 27 menopause 28 and 28 and 30 role 28 and 40 against 29 the 30 role 30 role 31 of 30 role 38 in 31 of 34 therapy 32 menopausal 34 therapy 33 hormone 34 therapy 34 therapy 36 mht 35 ( 36 mht 36 mht 37 ) 38 in 39 protecting 40 against 42 senescence 41 immune 42 senescence the current review presents an overview of changes in the immune system due to aging , focusing on genital tract immunity in menopausal women and the risks and benefits of using mht . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 4 presents 1 the 3 review 2 current 3 review 3 review 4 presents 4 presents 6 overview 4 presents 17 focusing 5 an 6 overview 6 overview 7 of 7 of 8 changes 8 changes 9 in 8 changes 14 to 9 in 12 system 10 the 12 system 11 immune 12 system 13 due 14 to 14 to 15 aging 16 , 17 focusing 17 focusing 18 on 17 focusing 22 in 17 focusing 33 . 18 on 21 immunity 19 genital 20 tract 20 tract 21 immunity 22 in 28 and 23 menopausal 24 women 24 women 25 and 25 and 27 risks 25 and 28 and 26 the 27 risks 28 and 29 benefits 28 and 33 . 29 benefits 30 of 30 of 31 using 31 using 32 mht this article is part of a special issue entitled ['] menopause ['] . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 13 . 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 9 entitled 11 menopause prelamin a accumulation causes nuclear abnormalities , impairs nuclear functions , and eventually promotes cellular senescence . 0 ###LEFT-WALL### 3 accumulation 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 17 . 1 prelamin 2 a 1 prelamin 3 accumulation 3 accumulation 7 , 4 causes 6 abnormalities 4 causes 7 , 5 nuclear 6 abnormalities 7 , 12 and 8 impairs 10 functions 8 impairs 12 and 9 nuclear 10 functions 11 , 12 and 12 and 14 promotes 13 eventually 14 promotes 14 promotes 16 senescence 15 cellular 16 senescence however , the underlying mechanism of how prelamin a promotes cellular senescence is still poorly understood . 0 ###LEFT-WALL### 5 mechanism 0 ###LEFT-WALL### 16 understood 0 ###LEFT-WALL### 17 . 1 however 2 , 1 however 5 mechanism 3 the 5 mechanism 4 underlying 5 mechanism 5 mechanism 6 of 5 mechanism 13 is 6 of 7 how 7 how 8 prelamin 7 how 10 promotes 8 prelamin 9 a 8 prelamin 10 promotes 10 promotes 12 senescence 11 cellular 12 senescence 13 is 16 understood 14 still 16 understood 15 poorly 16 understood here we carried out a yeast two [-] hybrid screen using a human skeletal muscle cdna library to search for prelamin a binding partners , and identified fam96b as a prelamin a binding partner . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 35 . 1 here 2 we 2 we 26 and 3 carried 4 out 3 carried 10 screen 3 carried 11 using 3 carried 26 and 5 a 10 screen 6 yeast 10 screen 7 two 9 hybrid 9 hybrid 10 screen 11 using 17 library 11 using 18 to 11 using 20 for 12 a 13 human 12 a 17 library 13 human 15 muscle 14 skeletal 15 muscle 15 muscle 17 library 16 cdna 17 library 18 to 19 search 20 for 21 prelamin 21 prelamin 22 a 21 prelamin 23 binding 21 prelamin 24 partners 23 binding 24 partners 25 , 26 and 26 and 27 identified 26 and 29 as 27 identified 28 fam96b 29 as 34 partner 30 a 34 partner 31 prelamin 32 a 31 prelamin 33 binding 33 binding 34 partner the interaction of fam96b with prelamin a was confirmed by gst [pull] - down and co - immunoprecipitation experiments . 0 ###LEFT-WALL### 2 interaction 0 ###LEFT-WALL### 9 confirmed 0 ###LEFT-WALL### 17 - 1 the 2 interaction 2 interaction 3 of 2 interaction 8 was 3 of 4 fam96b 4 fam96b 5 with 5 with 6 prelamin 6 prelamin 7 a 8 was 9 confirmed 9 confirmed 10 by 10 by 11 gst 11 gst 15 and 13 - 15 and 14 down 15 and 15 and 16 co 15 and 17 - 17 - 18 immunoprecipitation 17 - 19 experiments 17 - 20 . 18 immunoprecipitation 19 experiments furthermore , co - localization experiments by fluorescent confocal microscopy revealed that fam96b colocalized with prelamin a in hek - 293 cells . 0 ###LEFT-WALL### 5 localization 0 ###LEFT-WALL### 6 experiments 0 ###LEFT-WALL### 20 - 1 furthermore 2 , 1 furthermore 5 localization 3 co 4 - 3 co 5 localization 5 localization 6 experiments 6 experiments 7 by 7 by 10 microscopy 8 fluorescent 10 microscopy 9 confocal 10 microscopy 10 microscopy 11 revealed 10 microscopy 12 that 10 microscopy 14 colocalized 12 that 13 fam96b 12 that 14 colocalized 13 fam96b 14 colocalized 14 colocalized 15 with 14 colocalized 18 in 15 with 16 prelamin 16 prelamin 17 a 18 in 19 hek 20 - 22 cells 20 - 23 . 21 293 22 cells taken together , our data demonstrated the physical interaction between fam96b and prelamin a , which may provide some clues to the mechanisms of prelamin a in premature aging . 0 ###LEFT-WALL### 5 data 0 ###LEFT-WALL### 6 demonstrated 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 30 . 1 taken 2 together 1 taken 3 , 1 taken 5 data 4 our 5 data 5 data 6 demonstrated 6 demonstrated 9 interaction 6 demonstrated 10 between 7 the 9 interaction 8 physical 9 interaction 10 between 12 and 11 fam96b 12 and 12 and 13 prelamin 13 prelamin 14 a 15 , 16 which 15 , 18 provide 16 which 17 may 17 may 18 provide 18 provide 20 clues 18 provide 21 to 18 provide 27 in 19 some 20 clues 21 to 23 mechanisms 22 the 23 mechanisms 23 mechanisms 24 of 24 of 25 prelamin 25 prelamin 26 a 27 in 29 aging 28 premature 29 aging oxidative stress is considered to be critically involved in the normal aging process but also in the development and progression of various human pathologies like cardiovascular and neurodegenerative diseases , as well as of infections and malignant tumors . 0 ###LEFT-WALL### 2 stress 0 ###LEFT-WALL### 4 considered 0 ###LEFT-WALL### 39 . 1 oxidative 2 stress 2 stress 3 is 3 is 4 considered 4 considered 5 to 4 considered 8 involved 5 to 6 be 6 be 8 involved 7 critically 8 involved 8 involved 9 in 8 involved 16 in 8 involved 25 like 8 involved 32 well 8 involved 34 of 9 in 13 process 10 the 13 process 11 normal 13 process 12 aging 13 process 13 process 14 but 14 but 15 also 16 in 19 and 17 the 18 development 18 development 19 and 19 and 20 progression 19 and 21 of 21 of 24 pathologies 22 various 24 pathologies 23 human 24 pathologies 25 like 27 and 26 cardiovascular 27 and 27 and 29 diseases 27 and 30 , 28 neurodegenerative 29 diseases 31 as 32 well 33 as 34 of 34 of 36 and 35 infections 36 and 36 and 38 tumors 37 malignant 38 tumors these pathological conditions involve an overwhelming production of reactive oxygen species ( ros ) , which are released as part of an anti - proliferative strategy [during] pro - inflammatory immune responses . 0 ###LEFT-WALL### 3 conditions 0 ###LEFT-WALL### 4 involve 0 ###LEFT-WALL### 29 - 0 ###LEFT-WALL### 33 . 1 these 3 conditions 2 pathological 3 conditions 3 conditions 4 involve 4 involve 7 production 5 an 7 production 6 overwhelming 7 production 7 production 8 of 8 of 11 species 9 reactive 10 oxygen 10 oxygen 11 species 11 species 13 ros 11 species 16 which 12 ( 13 ros 13 ros 14 ) 15 , 16 which 16 which 17 are 16 which 29 - 17 are 18 released 18 released 19 as 19 as 20 part 20 part 21 of 21 of 28 pro 22 an 23 anti 22 an 28 pro 23 anti 24 - 23 anti 26 strategy 25 proliferative 26 strategy 26 strategy 28 pro 29 - 32 responses 30 inflammatory 32 responses 31 immune 32 responses moreover , ros themselves are autocrine forward regulators of the immune response . 0 ###LEFT-WALL### 3 ros 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 13 . 1 moreover 2 , 1 moreover 3 ros 3 ros 5 are 4 themselves 5 are 5 are 8 regulators 6 autocrine 8 regulators 7 forward 8 regulators 8 regulators 9 of 9 of 12 response 10 the 12 response 11 immune 12 response most of the beneficial effects of antioxidants are considered to derive from their influence on the immune system . 0 ###LEFT-WALL### 5 effects 0 ###LEFT-WALL### 9 considered 0 ###LEFT-WALL### 19 . 1 most 2 of 1 most 5 effects 2 of 5 effects 3 the 5 effects 4 beneficial 5 effects 5 effects 6 of 5 effects 8 are 6 of 7 antioxidants 8 are 9 considered 9 considered 10 to 9 considered 11 derive 10 to 11 derive 11 derive 12 from 11 derive 15 on 12 from 14 influence 13 their 14 influence 15 on 18 system 16 the 18 system 17 immune 18 system due to their antioxidant [and/or] radical scavenging nature , phytochemicals , botanicals and herbal preparations can be of great importance to prevent oxidation processes and to counteract the activation of redox - regulated signaling pathways . 0 ###LEFT-WALL### 8 nature 0 ###LEFT-WALL### 12 botanicals 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 36 . 1 due 2 to 2 to 4 antioxidant 2 to 8 nature 3 their 4 antioxidant 6 radical 7 scavenging 7 scavenging 8 nature 8 nature 10 phytochemicals 8 nature 12 botanicals 9 , 10 phytochemicals 10 phytochemicals 11 , 13 and 15 preparations 13 and 17 be 14 herbal 15 preparations 15 preparations 16 can 16 can 17 be 17 be 18 of 17 be 21 to 18 of 20 importance 19 great 20 importance 21 to 25 and 22 prevent 24 processes 22 prevent 25 and 23 oxidation 24 processes 25 and 26 to 25 and 27 counteract 26 to 27 counteract 27 counteract 29 activation 28 the 29 activation 29 activation 30 of 30 of 35 pathways 31 redox 32 - 31 redox 35 pathways 33 regulated 35 pathways 34 signaling 35 pathways antioxidants can antagonize the activation of t - cells and macrophages during the immune response and this anti - inflammatory activity could be of utmost importance for the treatment of above [-] mentioned disorders and for the development of immunotolerance . 0 ###LEFT-WALL### 1 antioxidants 0 ###LEFT-WALL### 3 antagonize 0 ###LEFT-WALL### 8 - 1 antioxidants 2 can 2 can 3 antagonize 3 antagonize 5 activation 4 the 5 activation 5 activation 6 of 6 of 7 t 8 - 16 and 8 - 23 be 8 - 41 . 9 cells 10 and 10 and 11 macrophages 10 and 12 during 10 and 16 and 12 during 15 response 13 the 15 response 14 immune 15 response 16 and 21 activity 16 and 22 could 17 this 21 activity 18 anti 19 - 18 anti 21 activity 20 inflammatory 21 activity 22 could 23 be 23 be 24 of 24 of 26 importance 25 utmost 26 importance 26 importance 35 and 27 for 29 treatment 27 for 35 and 28 the 29 treatment 29 treatment 30 of 30 of 31 above 31 above 34 disorders 33 mentioned 34 disorders 35 and 36 for 36 for 38 development 37 the 38 development 38 development 39 of 39 of 40 immunotolerance herein , we provide an overview of in [vitro] assays for the measurement of antioxidant and anti - inflammatory activities of plant [-] derived substances and extracts , by discussing possibilities and limitations of these methods . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 provide 0 ###LEFT-WALL### 37 . 1 herein 2 , 1 herein 3 we 3 we 4 provide 4 provide 6 overview 5 an 6 overview 6 overview 7 of 6 overview 11 for 6 overview 14 of 6 overview 21 of 7 of 8 in 8 in 10 assays 11 for 13 measurement 12 the 13 measurement 14 of 16 and 15 antioxidant 16 and 16 and 20 activities 17 anti 18 - 17 anti 20 activities 19 inflammatory 20 activities 21 of 32 and 22 plant 24 derived 24 derived 25 substances 25 substances 26 and 26 and 27 extracts 26 and 28 , 26 and 29 by 26 and 32 and 29 by 30 discussing 30 discussing 31 possibilities 32 and 33 limitations 32 and 34 of 34 of 36 methods 35 these 36 methods to determine the capacity of antioxidants , the oxygen radical absorbance capacity [(] orac [ )(assay and the cell - based antioxidant activity ( caa ) [assay] are widely applied . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 28 are 0 ###LEFT-WALL### 31 . 1 to 2 determine 1 to 7 , 1 to 17 and 2 determine 4 capacity 3 the 4 capacity 4 capacity 5 of 5 of 6 antioxidants 8 the 16 )(assay 9 oxygen 12 capacity 10 radical 12 capacity 11 absorbance 12 capacity 12 capacity 16 )(assay 14 orac 16 )(assay 16 )(assay 17 and 17 and 19 cell 17 and 23 activity 17 and 28 are 18 the 19 cell 20 - 23 activity 21 based 23 activity 22 antioxidant 23 activity 23 activity 25 caa 23 activity 26 ) 24 ( 25 caa 25 caa 26 ) 28 are 30 applied 29 widely 30 applied to examine the influence of compounds on the human immune response more closely , the model of mitogen stimulated human peripheral blood mononuclear ( pbmc ) cells can be applied , and the production of the inflammatory marker neopterin as well as the breakdown of the amino acid tryptophan in culture supernatants can be used as readout to indicate an immunomodulatory potential of the tested compound . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 examine 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 29 be 0 ###LEFT-WALL### 67 . 1 to 2 examine 2 examine 4 influence 2 examine 7 on 2 examine 13 closely 3 the 4 influence 4 influence 5 of 5 of 6 compounds 7 on 11 response 8 the 11 response 9 human 11 response 10 immune 11 response 12 more 13 closely 14 , 29 be 15 the 16 model 16 model 17 of 16 model 28 can 17 of 27 cells 18 mitogen 19 stimulated 19 stimulated 20 human 20 human 27 cells 21 peripheral 22 blood 22 blood 27 cells 23 mononuclear 25 pbmc 23 mononuclear 26 ) 23 mononuclear 27 cells 24 ( 25 pbmc 25 pbmc 26 ) 28 can 29 be 29 be 32 and 30 applied 32 and 31 , 32 and 32 and 59 indicate 33 the 34 production 34 production 35 of 34 production 53 can 35 of 39 neopterin 36 the 39 neopterin 37 inflammatory 39 neopterin 38 marker 39 neopterin 39 neopterin 40 as 39 neopterin 45 of 39 neopterin 48 acid 39 neopterin 52 supernatants 40 as 41 well 41 well 42 as 42 as 44 breakdown 43 the 44 breakdown 45 of 47 amino 46 the 47 amino 48 acid 49 tryptophan 48 acid 52 supernatants 49 tryptophan 50 in 50 in 51 culture 53 can 54 be 54 be 55 used 55 used 56 as 55 used 58 to 56 as 57 readout 58 to 59 indicate 59 indicate 62 potential 60 an 62 potential 61 immunomodulatory 62 potential 62 potential 63 of 63 of 66 compound 64 the 66 compound 65 tested 66 compound these two biomarkers of immune system activation are robust and [correlate] with the course of cardiovascular , neurodegenerative and malignant tumor diseases [,] but also with the normal aging process , and they are strongly predictive . 0 ###LEFT-WALL### 3 biomarkers 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 37 . 1 these 2 two 2 two 3 biomarkers 3 biomarkers 4 of 3 biomarkers 8 are 4 of 7 activation 5 immune 6 system 6 system 7 activation 8 are 9 robust 10 and 22 diseases 10 and 34 are 12 with 14 course 12 with 22 diseases 13 the 14 course 14 course 15 of 15 of 19 and 16 cardiovascular 17 , 17 , 18 neurodegenerative 17 , 19 and 19 and 21 tumor 20 malignant 21 tumor 22 diseases 24 but 22 diseases 26 with 22 diseases 29 aging 22 diseases 34 are 24 but 25 also 26 with 28 normal 27 the 28 normal 29 aging 32 and 30 process 32 and 31 , 32 and 32 and 33 they 34 are 35 strongly 34 are 36 predictive thus , while the simpler orac and caa assays provide insight into one peculiar chemical aspect , namely the neutralization of peroxyl radicals [,] the more complex pbmc assay is closer to [the] in vivo conditions as the assay comprehensively enlights several properties of immunomodulatory test compounds . 0 ###LEFT-WALL### 9 assays 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 48 . 1 thus 2 , 1 thus 9 assays 3 while 7 and 3 while 9 assays 4 the 6 orac 5 simpler 6 orac 6 orac 7 and 7 and 8 caa 9 assays 10 provide 10 provide 11 insight 10 provide 12 into 12 into 16 aspect 13 one 16 aspect 14 peculiar 16 aspect 15 chemical 16 aspect 17 , 20 neutralization 17 , 46 test 18 namely 20 neutralization 19 the 20 neutralization 20 neutralization 21 of 20 neutralization 36 conditions 21 of 23 radicals 22 peroxyl 23 radicals 23 radicals 29 assay 23 radicals 32 to 25 the 29 assay 26 more 27 complex 27 complex 29 assay 28 pbmc 29 assay 29 assay 30 is 30 is 31 closer 31 closer 32 to 34 in 35 vivo 35 vivo 36 conditions 36 conditions 37 as 36 conditions 40 comprehensively 36 conditions 41 enlights 37 as 39 assay 38 the 39 assay 41 enlights 42 several 41 enlights 43 properties 41 enlights 46 test 43 properties 44 of 43 properties 46 test 44 of 45 immunomodulatory 46 test 47 compounds background : the ability to measure surgical quality of care is important and can lead to improvements in patient safety . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 ability 2 : 13 and 2 : 21 . 3 the 4 ability 4 ability 5 to 4 ability 6 measure 4 ability 13 and 5 to 6 measure 6 measure 8 quality 7 surgical 8 quality 8 quality 9 of 9 of 10 care 11 is 12 important 11 is 13 and 13 and 14 can 13 and 18 in 14 can 15 lead 15 lead 16 to 16 to 17 improvements 18 in 20 safety 19 patient 20 safety as such [,] processes should be carried out in an identical fashion for all patients , regardless of how [vulnerable] or complex they are . 0 ###LEFT-WALL### 23 they 0 ###LEFT-WALL### 24 are 0 ###LEFT-WALL### 25 . 1 as 4 processes 1 as 7 carried 1 as 16 , 1 as 23 they 2 such 4 processes 4 processes 5 should 5 should 6 be 6 be 7 carried 7 carried 8 out 7 carried 9 in 9 in 12 fashion 10 an 11 identical 10 an 12 fashion 11 identical 12 fashion 12 fashion 13 for 13 for 15 patients 14 all 15 patients 17 regardless 18 of 18 of 21 or 18 of 23 they 19 how 21 or 21 or 22 complex 23 they 24 are our objectives were to assess quality of surgical care delivered to elderly patients and to determine the association between patient characteristics and quality of care . 0 ###LEFT-WALL### 2 objectives 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 26 . 1 our 2 objectives 2 objectives 14 and 3 were 4 to 3 were 5 assess 3 were 14 and 4 to 5 assess 5 assess 6 quality 6 quality 7 of 7 of 9 care 8 surgical 9 care 9 care 10 delivered 10 delivered 11 to 11 to 13 patients 12 elderly 13 patients 14 and 15 to 14 and 16 determine 14 and 19 between 15 to 16 determine 16 determine 18 association 17 the 18 association 19 between 22 and 20 patient 21 characteristics 21 characteristics 22 and 22 and 23 quality 22 and 24 of 24 of 25 care study design : this is a retrospective pilot cohort study , conducted in a single university - affiliated hospital . 0 ###LEFT-WALL### 2 design 0 ###LEFT-WALL### 3 : 1 study 2 design 3 : 4 this 3 : 5 is 3 : 17 - 4 this 5 is 5 is 10 study 6 a 7 retrospective 6 a 10 study 7 retrospective 8 pilot 8 pilot 9 cohort 9 cohort 10 study 10 study 12 conducted 11 , 12 conducted 12 conducted 13 in 12 conducted 17 - 13 in 16 university 14 a 16 university 15 single 16 university 17 - 19 hospital 17 - 20 . 18 affiliated 19 hospital using the institution 's national surgical quality improvement program ( nsqip ) database ( 2009 to 2010 ) , 143 consecutive patients 65 years or older , undergoing [elective] major abdominal surgery , were selected . 0 ###LEFT-WALL### 25 or 0 ###LEFT-WALL### 33 , 0 ###LEFT-WALL### 36 . 1 using 13 database 1 using 19 , 1 using 25 or 2 the 3 institution 3 institution 4 's 4 's 13 database 5 national 6 surgical 6 surgical 7 quality 7 quality 13 database 8 improvement 9 program 9 program 11 nsqip 10 ( 11 nsqip 11 nsqip 12 ) 11 nsqip 13 database 13 database 16 to 14 ( 16 to 15 2009 16 to 16 to 17 2010 16 to 18 ) 20 143 24 years 21 consecutive 22 patients 22 patients 24 years 23 65 24 years 24 years 25 or 25 or 28 undergoing 25 or 33 , 26 older 27 , 26 older 28 undergoing 30 major 32 surgery 30 major 33 , 31 abdominal 32 surgery 33 , 34 were 34 were 35 selected adherence to 15 process - based quality indicators ( qis ) was measured , and a pass rate was calculated for each individual qi . 0 ###LEFT-WALL### 1 adherence 0 ###LEFT-WALL### 12 was 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 25 . 1 adherence 2 to 1 adherence 12 was 2 to 4 process 3 15 4 process 4 process 8 indicators 5 - 8 indicators 6 based 7 quality 7 quality 8 indicators 8 indicators 10 qis 8 indicators 11 ) 9 ( 10 qis 10 qis 11 ) 12 was 13 measured 14 , 15 and 15 and 18 rate 15 and 20 calculated 16 a 18 rate 17 pass 18 rate 18 rate 19 was 19 was 20 calculated 20 calculated 21 for 21 for 24 qi 22 each 24 qi 23 individual 24 qi the association between patient characteristics ( age , sex , charlson comorbidity index , functional status , wound class ) and patient quality score [was] assessed using multiple linear regression . 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 31 . 1 the 2 association 2 association 3 between 2 association 21 and 3 between 5 characteristics 4 patient 5 characteristics 5 characteristics 7 age 5 characteristics 9 sex 5 characteristics 13 index 6 ( 7 age 7 age 8 , 8 , 9 sex 9 sex 10 , 10 , 13 index 11 charlson 12 comorbidity 12 comorbidity 13 index 13 index 16 status 13 index 19 class 13 index 20 ) 14 , 16 status 15 functional 16 status 16 status 17 , 17 , 19 class 18 wound 19 class 19 class 20 ) 21 and 24 score 21 and 26 assessed 21 and 27 using 22 patient 23 quality 23 quality 24 score 27 using 30 regression 28 multiple 30 regression 29 linear 30 regression results : quality indicators with the lowest pass rates included postoperative delirium screening ( 0 % ) , level of care documentation ( 0.7 % ) , cognition and functional assessment at discharge ( 4.9 % ) , oral intake documentation ( 12.6 % ) , and pressure ulcer risk assessment ( 35.0 % ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 56 . 1 results 2 : 2 : 47 and 3 quality 4 indicators 4 indicators 5 with 4 indicators 27 , 5 with 7 lowest 6 the 7 lowest 7 lowest 9 rates 7 lowest 13 screening 7 lowest 16 % 7 lowest 19 level 8 pass 9 rates 9 rates 10 included 10 included 12 delirium 11 postoperative 12 delirium 12 delirium 13 screening 14 ( 16 % 15 0 16 % 16 % 17 ) 18 , 19 level 19 level 20 of 19 level 26 ) 20 of 22 documentation 21 care 22 documentation 22 documentation 25 % 23 ( 25 % 24 0.7 25 % 25 % 26 ) 27 , 28 cognition 27 , 29 and 29 and 31 assessment 29 and 32 at 29 and 47 and 30 functional 31 assessment 32 at 33 discharge 33 discharge 36 % 33 discharge 41 documentation 34 ( 36 % 35 4.9 36 % 36 % 37 ) 38 , 41 documentation 39 oral 40 intake 40 intake 41 documentation 41 documentation 44 % 41 documentation 45 ) 42 ( 44 % 43 12.6 44 % 44 % 45 ) 46 , 47 and 47 and 51 assessment 47 and 54 % 48 pressure 49 ulcer 49 ulcer 51 assessment 50 risk 51 assessment 52 ( 54 % 53 35.0 54 % 54 % 55 ) the mean patient quality score was 46.8 % ± 10.7 [%] ( range 16.7 [%] to 75.0 % ) . 0 ###LEFT-WALL### 5 score 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 20 . 1 the 5 score 2 mean 4 quality 3 patient 4 quality 4 quality 5 score 5 score 6 was 6 was 9 ± 7 46.8 8 % 8 % 9 ± 9 ± 10 10.7 9 ± 13 range 12 ( 13 range 13 range 14 16.7 13 range 16 to 13 range 19 ) 16 to 18 % 17 75.0 18 % no association was found between patient characteristics and patient quality score . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 12 . 1 no 2 association 2 association 3 was 3 was 4 found 4 found 5 between 5 between 8 and 6 patient 7 characteristics 7 characteristics 8 and 8 and 11 score 9 patient 10 quality 10 quality 11 score conclusions : quality of care delivered to elderly patients undergoing major surgery at our institution was generally poor and independent of patient characteristics . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 quality 2 : 6 delivered 2 : 24 . 3 quality 4 of 3 quality 6 delivered 4 of 5 care 6 delivered 7 to 7 to 9 patients 8 elderly 9 patients 9 patients 10 undergoing 9 patients 16 was 9 patients 21 of 10 undergoing 12 surgery 10 undergoing 13 at 10 undergoing 16 was 11 major 12 surgery 13 at 15 institution 14 our 15 institution 16 was 17 generally 16 was 19 and 18 poor 19 and 19 and 20 independent 21 of 23 characteristics 22 patient 23 characteristics although quality appears to be uniform across different patients , these results provide targets for quality improvement initiatives . 0 ###LEFT-WALL### 12 results 0 ###LEFT-WALL### 13 provide 0 ###LEFT-WALL### 19 . 1 although 2 quality 1 although 3 appears 1 although 10 , 1 although 12 results 2 quality 3 appears 3 appears 4 to 3 appears 5 be 4 to 5 be 5 be 6 uniform 6 uniform 7 across 7 across 9 patients 8 different 9 patients 11 these 12 results 12 results 13 provide 13 provide 14 targets 14 targets 15 for 15 for 18 initiatives 16 quality 18 initiatives 17 improvement 18 initiatives a decline in the mitochondrial functions and aging are two closely related processes . 0 ###LEFT-WALL### 2 decline 0 ###LEFT-WALL### 6 functions 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 14 . 1 a 2 decline 2 decline 3 in 2 decline 6 functions 3 in 5 mitochondrial 4 the 5 mitochondrial 7 and 8 aging 7 and 9 are 8 aging 9 are 9 are 13 processes 10 two 13 processes 11 closely 12 related 12 related 13 processes the presence of estrogen and androgen receptors and hormone - responsive elements in the mitochondria represents the starting point for the investigation of the effects of 17β - estradiol and testosterone on the mitochondrial functions and their relationships with aging . 0 ###LEFT-WALL### 2 presence 0 ###LEFT-WALL### 16 represents 0 ###LEFT-WALL### 41 . 1 the 2 presence 2 presence 3 of 2 presence 16 represents 3 of 5 and 4 estrogen 5 and 5 and 12 elements 5 and 13 in 6 androgen 7 receptors 7 receptors 8 and 8 and 9 hormone 8 and 10 - 8 and 12 elements 11 responsive 12 elements 13 in 15 mitochondria 14 the 15 mitochondria 16 represents 19 point 16 represents 20 for 16 represents 32 on 17 the 19 point 18 starting 19 point 20 for 30 and 21 the 22 investigation 22 investigation 23 of 22 investigation 26 of 22 investigation 30 and 23 of 25 effects 24 the 25 effects 26 of 29 estradiol 27 17β 28 - 27 17β 29 estradiol 30 and 31 testosterone 32 on 36 and 33 the 35 functions 34 mitochondrial 35 functions 35 functions 36 and 36 and 38 relationships 37 their 38 relationships 38 relationships 39 with 39 with 40 aging both steroids trigger a complex molecular mechanism that involves crosstalk between the mitochondria , nucleus , and plasma membrane , and the cytoskeleton plays a key role in these interactions . 0 ###LEFT-WALL### 2 steroids 0 ###LEFT-WALL### 3 trigger 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 31 . 1 both 2 steroids 2 steroids 3 trigger 3 trigger 7 mechanism 4 a 7 mechanism 5 complex 7 mechanism 6 molecular 7 mechanism 7 mechanism 8 that 7 mechanism 9 involves 7 mechanism 17 and 8 that 9 involves 9 involves 10 crosstalk 9 involves 11 between 11 between 13 mitochondria 12 the 13 mitochondria 14 , 17 and 15 nucleus 17 and 16 , 17 and 17 and 19 membrane 17 and 20 , 18 plasma 19 membrane 20 , 21 and 21 and 23 cytoskeleton 21 and 24 plays 22 the 23 cytoskeleton 23 cytoskeleton 24 plays 24 plays 27 role 25 a 27 role 26 key 27 role 27 role 28 in 28 in 30 interactions 29 these 30 interactions the result of this signaling is mitochondrial protection . 0 ###LEFT-WALL### 2 result 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 9 . 1 the 2 result 2 result 3 of 2 result 6 is 3 of 5 signaling 4 this 5 signaling 6 is 8 protection 7 mitochondrial 8 protection therefore , the molecular components of the pathways activated by the sexual steroids could represent targets for anti - aging therapies . 0 ###LEFT-WALL### 5 components 0 ###LEFT-WALL### 15 represent 0 ###LEFT-WALL### 22 . 1 therefore 2 , 1 therefore 5 components 3 the 5 components 4 molecular 5 components 5 components 6 of 5 components 14 could 6 of 8 pathways 7 the 8 pathways 8 pathways 9 activated 9 activated 10 by 10 by 13 steroids 11 the 13 steroids 12 sexual 13 steroids 14 could 15 represent 15 represent 16 targets 16 targets 17 for 17 for 21 therapies 18 anti 19 - 18 anti 21 therapies 20 aging 21 therapies in this review , we discuss previous studies that describe the estrogen - and testosterone - dependent actions on the mitochondrial processes implicated in aging . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 discuss 0 ###LEFT-WALL### 26 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 discuss 6 discuss 8 studies 6 discuss 24 in 7 previous 8 studies 8 studies 9 that 8 studies 10 describe 9 that 10 describe 10 describe 14 and 10 describe 19 on 11 the 12 estrogen 12 estrogen 14 and 13 - 14 and 14 and 18 actions 15 testosterone 16 - 15 testosterone 18 actions 17 dependent 18 actions 19 on 22 processes 20 the 22 processes 21 mitochondrial 22 processes 22 processes 23 implicated 24 in 25 aging artistic ability and creativity are defining characteristics of human behavior . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 11 . 1 artistic 2 ability 2 ability 3 and 3 and 4 creativity 3 and 5 are 5 are 6 defining 6 defining 7 characteristics 7 characteristics 8 of 8 of 10 behavior 9 human 10 behavior behavioral neurology , as a specialty , believes that even the most complex behaviors can be modeled and understood as the summation of smaller cognitive functions . 0 ###LEFT-WALL### 2 neurology 0 ###LEFT-WALL### 8 believes 0 ###LEFT-WALL### 27 . 1 behavioral 2 neurology 2 neurology 4 as 2 neurology 8 believes 3 , 4 as 4 as 6 specialty 4 as 7 , 5 a 6 specialty 8 believes 9 that 9 that 10 even 9 that 18 and 10 even 14 behaviors 11 the 12 most 12 most 14 behaviors 13 complex 14 behaviors 14 behaviors 15 can 15 can 18 and 16 be 17 modeled 16 be 18 and 18 and 19 understood 18 and 20 as 20 as 22 summation 21 the 22 summation 22 summation 23 of 23 of 26 functions 24 smaller 26 functions 25 cognitive 26 functions literature from individuals with specific brain lesions has helped to map out these smaller regions of cognitive abilities . 0 ###LEFT-WALL### 1 literature 0 ###LEFT-WALL### 9 helped 0 ###LEFT-WALL### 19 . 1 literature 2 from 1 literature 8 has 2 from 3 individuals 3 individuals 4 with 4 with 7 lesions 5 specific 6 brain 6 brain 7 lesions 8 has 9 helped 9 helped 10 to 9 helped 11 map 10 to 11 map 11 map 12 out 11 map 15 regions 13 these 15 regions 14 smaller 15 regions 15 regions 16 of 16 of 18 abilities 17 cognitive 18 abilities more recently , models based on neurodegenerative conditions , especially from the frontotemporal dementias , have allowed for greater nuanced investigations into the various functional anatomies necessary for artistic behavior and possibly the underlying networks that promote creativity . 0 ###LEFT-WALL### 4 models 0 ###LEFT-WALL### 17 allowed 0 ###LEFT-WALL### 39 . 1 more 2 recently 2 recently 3 , 2 recently 4 models 4 models 5 based 4 models 16 have 5 based 6 on 6 on 8 conditions 7 neurodegenerative 8 conditions 8 conditions 11 from 9 , 10 especially 9 , 11 from 11 from 14 dementias 11 from 15 , 12 the 14 dementias 13 frontotemporal 14 dementias 16 have 17 allowed 17 allowed 18 for 17 allowed 22 into 17 allowed 35 networks 18 for 21 investigations 19 greater 21 investigations 20 nuanced 21 investigations 22 into 26 anatomies 23 the 26 anatomies 24 various 26 anatomies 25 functional 26 anatomies 27 necessary 28 for 27 necessary 31 and 28 for 30 behavior 29 artistic 30 behavior 31 and 32 possibly 31 and 34 underlying 31 and 35 networks 33 the 34 underlying 35 networks 36 that 35 networks 37 promote 36 that 37 promote 37 promote 38 creativity this chapter reviews the changes produced by age on various aspects of artistic painting , particularly creativity and actual production . 0 ###LEFT-WALL### 2 chapter 0 ###LEFT-WALL### 3 reviews 1 this 2 chapter 2 chapter 3 reviews 3 reviews 5 changes 4 the 5 changes 5 changes 6 produced 6 produced 7 by 6 produced 9 on 7 by 8 age 9 on 11 aspects 10 various 11 aspects 11 aspects 12 of 12 of 14 painting 13 artistic 14 painting 14 painting 18 and 15 , 16 particularly 15 , 18 and 17 creativity 18 and 18 and 20 production 18 and 21 . 19 actual 20 production aging in trained painters is often accompanied by a decline in creativity , which in turn is due to the cognitive decline related to aging . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 7 accompanied 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 26 . 1 aging 2 in 1 aging 5 is 2 in 4 painters 3 trained 4 painters 5 is 7 accompanied 6 often 7 accompanied 7 accompanied 8 by 7 accompanied 11 in 8 by 10 decline 9 a 10 decline 11 in 12 creativity 13 , 14 which 13 , 17 is 14 which 17 is 15 in 16 turn 16 turn 17 is 17 is 19 to 18 due 19 to 19 to 22 decline 20 the 22 decline 21 cognitive 22 decline 22 decline 23 related 23 related 24 to 24 to 25 aging it has been argued , however , that aging does not cause a decline , but only changes in style and content . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 argued 0 ###LEFT-WALL### 23 . 1 it 2 has 2 has 3 been 3 been 4 argued 4 argued 6 however 4 argued 8 that 5 , 6 however 6 however 7 , 8 that 9 aging 8 that 12 cause 9 aging 10 does 10 does 11 not 10 does 12 cause 12 cause 16 but 12 cause 19 in 13 a 14 decline 14 decline 16 but 15 , 16 but 16 but 17 only 16 but 18 changes 19 in 21 and 20 style 21 and 21 and 22 content the two views are not mutually exclusive , and we present examples illustrating both aspects . 0 ###LEFT-WALL### 3 views 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 16 . 1 the 2 two 2 two 3 views 3 views 4 are 4 are 5 not 4 are 7 exclusive 5 not 6 mutually 8 , 9 and 9 and 10 we 9 and 11 present 10 we 11 present 11 present 12 examples 12 examples 13 illustrating 13 illustrating 15 aspects 14 both 15 aspects we also show that , in addition to cognitive changes , impairment of sensory organs , especially vision , and [of] the bones and joints , may also produce marked changes in an artist 's production and style . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 20 and 1 we 20 and 2 also 3 show 3 show 4 that 3 show 6 in 3 show 12 impairment 3 show 20 and 5 , 6 in 6 in 7 addition 6 in 11 , 7 addition 8 to 8 to 10 changes 9 cognitive 10 changes 12 impairment 13 of 12 impairment 18 vision 13 of 15 organs 14 sensory 15 organs 16 , 17 especially 16 , 18 vision 18 vision 19 , 20 and 29 produce 20 and 32 in 22 the 23 bones 23 bones 24 and 24 and 25 joints 24 and 26 , 24 and 27 may 27 may 29 produce 28 also 29 produce 29 produce 31 changes 30 marked 31 changes 32 in 37 and 33 an 34 artist 34 artist 35 's 35 's 36 production 36 production 37 and 37 and 38 style 37 and 39 . we conclude by showing that finding ways to induce creativity in persons who do not consider themselves artists can be a way of stimulating creativity and contribute to successful aging . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conclude 0 ###LEFT-WALL### 31 . 1 we 2 conclude 2 conclude 3 by 2 conclude 5 that 3 by 4 showing 5 that 6 finding 5 that 26 and 6 finding 7 ways 6 finding 11 in 6 finding 19 can 7 ways 8 to 7 ways 9 induce 8 to 9 induce 9 induce 10 creativity 11 in 12 persons 12 persons 13 who 12 persons 14 do 13 who 14 do 14 do 15 not 14 do 16 consider 16 consider 17 themselves 16 consider 18 artists 19 can 26 and 20 be 22 way 20 be 26 and 21 a 22 way 22 way 23 of 23 of 25 creativity 24 stimulating 25 creativity 26 and 27 contribute 27 contribute 28 to 28 to 30 aging 29 successful 30 aging to compare the pharmacokinetics of coadministered intraperitoneal ketamine and xylazine in [young] [(] 8 to 10 wk [;] n = 6 [ )( old rats [(] 2 to 2.4 y [;] n = 6 [ )(, blood samples obtained at 15 and 30 min [and] 1 , 2 , and 4 h after drug administration were analyzed by hplc - tandem mass spectrometry . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 compare 1 to 2 compare 2 compare 9 and 3 the 4 pharmacokinetics 4 pharmacokinetics 5 of 4 pharmacokinetics 9 and 5 of 8 ketamine 6 coadministered 8 ketamine 7 intraperitoneal 8 ketamine 9 and 10 xylazine 9 and 20 = 10 xylazine 11 in 11 in 17 wk 14 8 15 to 15 to 16 10 15 to 17 wk 19 n 20 = 20 = 25 rats 21 6 25 rats 24 old 25 rats 25 rats 28 to 25 rats 37 blood 27 2 28 to 28 to 29 2.4 28 to 33 = 28 to 37 blood 30 y 33 = 32 n 33 = 33 = 34 6 33 = 36 )(, 37 blood 38 samples 38 samples 39 obtained 38 samples 50 and 40 at 42 and 40 at 50 and 41 15 42 and 42 and 43 30 42 and 48 2 43 30 44 min 44 min 46 1 47 , 48 2 48 2 49 , 50 and 53 after 51 4 52 h 52 h 53 after 53 after 54 drug 54 drug 55 administration 54 drug 56 were 54 drug 57 analyzed 54 drug 63 spectrometry 55 administration 56 were 57 analyzed 58 by 58 by 59 hplc 60 - 63 spectrometry 61 tandem 63 spectrometry 62 mass 63 spectrometry 63 spectrometry 64 . in both groups , the withdrawal reflex was absent during anesthesia and was present at 1.1 ( ± 0.2 ) and 2.6 [(] ± 0.7 [ )(h after drug administration in young and old rats , respectively , with the first voluntary movement at 1.5 ± 0.2 and 4.9 ± 1.0 [h] . 0 ###LEFT-WALL### 7 reflex 0 ###LEFT-WALL### 12 and 1 in 3 groups 1 in 4 , 1 in 7 reflex 2 both 3 groups 5 the 7 reflex 6 withdrawal 7 reflex 7 reflex 12 and 8 was 9 absent 8 was 12 and 9 absent 10 during 10 during 11 anesthesia 12 and 13 was 13 was 21 and 14 present 15 at 14 present 21 and 15 at 16 1.1 16 1.1 18 ± 17 ( 18 ± 18 ± 19 0.2 18 ± 20 ) 21 and 24 ± 22 2.6 24 ± 24 ± 28 after 24 ± 35 rats 25 0.7 27 )(h 27 )(h 28 after 28 after 30 administration 29 drug 30 administration 30 administration 31 in 31 in 33 and 32 young 33 and 33 and 34 old 35 rats 37 respectively 35 rats 39 with 36 , 37 respectively 37 respectively 38 , 39 with 43 movement 39 with 44 at 40 the 43 movement 41 first 42 voluntary 42 voluntary 43 movement 44 at 48 and 45 1.5 46 ± 46 ± 47 0.2 46 ± 48 and 48 and 50 ± 48 and 53 . 49 4.9 50 ± 50 ± 51 1.0 drug availability of ketamine and xylazine was 6.0 and 6.7 times greater , respectively , in old than young rats . 0 ###LEFT-WALL### 2 availability 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 21 . 1 drug 2 availability 2 availability 3 of 2 availability 7 was 3 of 5 and 4 ketamine 5 and 5 and 6 xylazine 7 was 12 greater 8 6.0 9 and 9 and 10 6.7 9 and 11 times 11 times 12 greater 12 greater 14 respectively 12 greater 16 in 13 , 14 respectively 14 respectively 15 , 16 in 20 rats 17 old 20 rats 18 than 19 young 19 young 20 rats the rate constant of elimination of both drugs was greatly decreased and the elimination half [-] life was significantly greater in [old] compared with young rats . 0 ###LEFT-WALL### 3 constant 0 ###LEFT-WALL### 11 decreased 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 27 . 1 the 3 constant 2 rate 3 constant 3 constant 4 of 3 constant 9 was 4 of 5 elimination 5 elimination 6 of 6 of 8 drugs 7 both 8 drugs 9 was 11 decreased 10 greatly 11 decreased 12 and 14 elimination 12 and 26 rats 13 the 14 elimination 14 elimination 15 half 14 elimination 24 with 14 elimination 26 rats 15 half 17 life 15 half 21 in 15 half 23 compared 17 life 18 was 18 was 19 significantly 18 was 20 greater 20 greater 21 in 23 compared 24 with 25 young 26 rats in conclusion , age and associated factors affect the availability of ketamine and xylazine when coadministered to attain clinical anesthesia , changing the pharmacokinetics of these drugs and prolonging anesthesia duration and recovery times with aging . 0 ###LEFT-WALL### 8 affect 1 in 5 and 1 in 8 affect 2 conclusion 3 , 3 , 4 age 3 , 5 and 5 and 7 factors 6 associated 7 factors 8 affect 13 and 8 affect 15 when 8 affect 22 changing 9 the 13 and 10 availability 11 of 10 availability 13 and 11 of 12 ketamine 13 and 14 xylazine 15 when 16 coadministered 16 coadministered 17 to 17 to 18 attain 18 attain 20 anesthesia 19 clinical 20 anesthesia 21 , 22 changing 22 changing 32 and 22 changing 35 with 22 changing 37 . 23 the 32 and 24 pharmacokinetics 25 of 24 pharmacokinetics 28 and 25 of 27 drugs 26 these 27 drugs 28 and 31 duration 28 and 32 and 29 prolonging 31 duration 30 anesthesia 31 duration 32 and 34 times 33 recovery 34 times 35 with 36 aging compared with their young counterparts , aged rats required much higher doses to attain a similar level of anesthesia . 0 ###LEFT-WALL### 8 rats 0 ###LEFT-WALL### 9 required 0 ###LEFT-WALL### 20 . 1 compared 2 with 1 compared 6 , 1 compared 8 rats 2 with 5 counterparts 3 their 5 counterparts 4 young 5 counterparts 7 aged 8 rats 8 rats 9 required 9 required 12 doses 9 required 13 to 9 required 14 attain 10 much 11 higher 11 higher 12 doses 13 to 14 attain 14 attain 17 level 15 a 16 similar 15 a 17 level 16 similar 17 level 17 level 18 of 18 of 19 anesthesia finally , the long [half] - life of both ketamine and xylazine , when coadministered to old rats , may be a factor in research protocols because residual plasma concentrations could still be present for as long as 3 and 5 d , respectively , after administration . 0 ###LEFT-WALL### 7 life 0 ###LEFT-WALL### 21 be 1 finally 2 , 1 finally 7 life 3 the 7 life 4 long 6 - 4 long 7 life 7 life 8 of 7 life 20 may 8 of 11 and 9 both 11 and 10 ketamine 11 and 11 and 12 xylazine 13 , 14 when 14 when 15 coadministered 14 when 19 , 14 when 20 may 15 coadministered 16 to 16 to 18 rats 17 old 18 rats 20 may 21 be 21 be 23 factor 21 be 24 in 21 be 27 because 22 a 23 factor 24 in 26 protocols 25 research 26 protocols 27 because 30 concentrations 27 because 33 be 28 residual 29 plasma 29 plasma 30 concentrations 30 concentrations 31 could 31 could 33 be 32 still 33 be 33 be 34 present 34 present 35 for 34 present 38 as 34 present 44 respectively 34 present 46 after 35 for 37 long 36 as 37 long 38 as 42 d 39 3 40 and 40 and 41 5 40 and 42 d 43 , 44 respectively 44 respectively 45 , 45 , 46 after 46 after 47 administration 46 after 48 . the objective of this study was to examine practice effects and longitudinal cognitive change in a population - based cohort classified as clinically normal at their initial evaluation . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 29 . 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 11 and 9 practice 10 effects 10 effects 11 and 11 and 14 change 11 and 18 - 11 and 19 based 11 and 24 normal 12 longitudinal 14 change 13 cognitive 14 change 14 change 15 in 15 in 17 population 16 a 17 population 19 based 21 classified 20 cohort 21 classified 22 as 23 clinically 23 clinically 24 normal 24 normal 25 at 25 at 28 evaluation 26 their 28 evaluation 27 initial 28 evaluation we examined 1390 individuals with a median age of 78.1 years and re - [evaluated] them up to four times at [approximate] 15 - month intervals , with an average follow - up time of 5 years . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 32 - 0 ###LEFT-WALL### 38 . 1 we 2 examined 2 examined 4 individuals 2 examined 31 follow 3 1390 4 individuals 4 individuals 12 and 4 individuals 17 up 4 individuals 31 follow 5 with 8 age 5 with 12 and 6 a 7 median 6 a 8 age 7 median 8 age 8 age 9 of 9 of 11 years 10 78.1 11 years 12 and 13 re 13 re 14 - 13 re 16 them 17 up 18 to 17 up 20 times 17 up 28 with 18 to 19 four 20 times 21 at 21 at 23 15 23 15 26 intervals 24 - 26 intervals 25 month 26 intervals 26 intervals 27 , 28 with 30 average 29 an 30 average 32 - 33 up 33 up 34 time 34 time 35 of 35 of 37 years 36 5 37 years of the 1390 participants , 947 ( 69 % ) individuals remained cognitively normal , 397 ( 29 % ) progressed to mild cognitive impairment ( mci ) , [and] 46 ( 3 % ) to dementia . 0 ###LEFT-WALL### 11 individuals 0 ###LEFT-WALL### 12 remained 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 38 . 1 of 4 participants 1 of 11 individuals 2 the 3 1390 3 1390 4 participants 4 participants 6 947 5 , 6 947 6 947 9 % 6 947 10 ) 7 ( 9 % 8 69 9 % 9 % 10 ) 11 individuals 12 remained 12 remained 13 cognitively 12 remained 14 normal 15 , 16 397 15 , 21 progressed 16 397 19 % 16 397 21 progressed 17 ( 19 % 18 29 19 % 19 % 20 ) 21 progressed 22 to 21 progressed 36 to 22 to 25 impairment 23 mild 25 impairment 24 cognitive 25 impairment 25 impairment 27 mci 25 impairment 31 46 26 ( 27 mci 27 mci 28 ) 29 , 31 46 31 46 34 % 31 46 35 ) 32 ( 34 % 33 3 34 % 34 % 35 ) 36 to 37 dementia the stable normal group showed an initial practice effect in all domains which was sustained in memory and visuospatial reasoning . 0 ###LEFT-WALL### 4 group 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 21 . 1 the 4 group 2 stable 4 group 3 normal 4 group 4 group 5 showed 5 showed 7 initial 5 showed 9 effect 5 showed 16 in 6 an 7 initial 8 practice 9 effect 9 effect 10 in 9 effect 13 which 9 effect 14 was 10 in 12 domains 11 all 12 domains 13 which 14 was 14 was 15 sustained 16 in 18 and 17 memory 18 and 18 and 20 reasoning 19 visuospatial 20 reasoning there was only a slight decline in attention and language after visit 3 . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 14 . 1 there 2 was 2 was 3 only 2 was 6 decline 4 a 5 slight 4 a 6 decline 5 slight 6 decline 6 decline 7 in 7 in 9 and 8 attention 9 and 9 and 10 language 9 and 11 after 11 after 12 visit 12 visit 13 3 we combined individuals with incident mci and dementia to form one group representing those who declined . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 combined 0 ###LEFT-WALL### 17 . 1 we 2 combined 2 combined 3 individuals 2 combined 4 with 2 combined 9 to 4 with 7 and 5 incident 6 mci 5 incident 7 and 7 and 8 dementia 9 to 10 form 10 form 12 group 11 one 12 group 12 group 13 representing 13 representing 14 those 14 those 15 who 14 those 16 declined 15 who 16 declined the incident mci/dementia group showed an unexpected practice effect in memory from baseline to visit 2 [,] with a significant decline thereafter . 0 ###LEFT-WALL### 4 group 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 23 . 1 the 4 group 2 incident 4 group 3 mci/dementia 4 group 4 group 5 showed 5 showed 8 practice 5 showed 9 effect 5 showed 10 in 5 showed 22 thereafter 6 an 7 unexpected 6 an 8 practice 7 unexpected 8 practice 10 in 11 memory 11 memory 12 from 11 memory 14 to 12 from 13 baseline 14 to 15 visit 15 visit 16 2 15 visit 18 with 18 with 21 decline 19 a 20 significant 19 a 21 decline 20 significant 21 decline this group did not demonstrate practice effects in any other domain and showed a [downward] trajectory in all domains at each evaluation . 0 ###LEFT-WALL### 2 group 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 23 . 1 this 2 group 2 group 12 and 3 did 4 not 3 did 5 demonstrate 3 did 12 and 5 demonstrate 7 effects 5 demonstrate 8 in 6 practice 7 effects 8 in 11 domain 9 any 10 other 10 other 11 domain 12 and 13 showed 13 showed 16 trajectory 13 showed 17 in 13 showed 20 at 14 a 16 trajectory 17 in 19 domains 18 all 19 domains 20 at 22 evaluation 21 each 22 evaluation modeling cognitive change in an epidemiologic sample may serve as a useful benchmark for evaluating cognitive change in future intervention studies . 0 ###LEFT-WALL### 1 modeling 0 ###LEFT-WALL### 9 serve 0 ###LEFT-WALL### 22 . 1 modeling 3 change 1 modeling 4 in 1 modeling 8 may 2 cognitive 3 change 4 in 7 sample 5 an 6 epidemiologic 5 an 7 sample 6 epidemiologic 7 sample 8 may 9 serve 9 serve 10 as 9 serve 18 in 10 as 13 benchmark 11 a 13 benchmark 12 useful 13 benchmark 13 benchmark 14 for 14 for 15 evaluating 15 evaluating 17 change 16 cognitive 17 change 18 in 21 studies 19 future 20 intervention 20 intervention 21 studies emotion recognition is impaired in dementia and there is some initial evidence to suggest that milder deficits may be present in mild cognitive impairment ( mci ) patients , an " [at] risk " population for transition to dementia . 0 ###LEFT-WALL### 2 recognition 0 ###LEFT-WALL### 4 impaired 0 ###LEFT-WALL### 7 and 1 emotion 2 recognition 2 recognition 3 is 3 is 4 impaired 4 impaired 5 in 5 in 6 dementia 7 and 8 there 7 and 14 suggest 8 there 9 is 9 is 12 evidence 9 is 13 to 10 some 12 evidence 11 initial 12 evidence 13 to 14 suggest 14 suggest 15 that 15 that 17 deficits 15 that 20 present 16 milder 17 deficits 17 deficits 18 may 18 may 19 be 19 be 20 present 20 present 21 in 20 present 28 patients 21 in 24 impairment 22 mild 23 cognitive 23 cognitive 24 impairment 24 impairment 26 mci 25 ( 26 mci 26 mci 27 ) 28 patients 35 population 29 , 35 population 30 an 31 " 30 an 35 population 33 risk 34 " 33 risk 35 population 35 population 36 for 35 population 40 . 36 for 37 transition 37 transition 38 to 38 to 39 dementia in this study , we investigated the emotion recognition profile of mci subgroups . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 investigated 0 ###LEFT-WALL### 14 . 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 investigated 6 investigated 8 emotion 7 the 8 emotion 8 emotion 10 profile 8 emotion 13 subgroups 9 recognition 10 profile 10 profile 11 of 10 profile 13 subgroups 11 of 12 mci results show emotion recognition deficits exist for the amnestic subtype with impairment in multiple domains , with an emotion - specific [deficit] for anger recognition . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 show 0 ###LEFT-WALL### 26 . 1 results 2 show 2 show 3 emotion 2 show 4 recognition 4 recognition 5 deficits 4 recognition 10 subtype 5 deficits 6 exist 6 exist 7 for 7 for 9 amnestic 8 the 9 amnestic 9 amnestic 10 subtype 10 subtype 11 with 11 with 12 impairment 12 impairment 13 in 12 impairment 21 specific 13 in 15 domains 14 multiple 15 domains 15 domains 17 with 16 , 17 with 17 with 19 emotion 17 with 20 - 18 an 19 emotion 21 specific 23 for 23 for 25 recognition 24 anger 25 recognition impaired emotion recognition in amci was [independent] of patient [mood] and cognitive deficits . 0 ###LEFT-WALL### 3 recognition 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 14 . 1 impaired 2 emotion 2 emotion 3 recognition 3 recognition 4 in 3 recognition 6 was 4 in 5 amci 6 was 8 of 8 of 13 deficits 9 patient 11 and 11 and 12 cognitive 11 and 13 deficits the study is the first to examine the nonamnestic subtype . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 11 . 1 the 2 study 2 study 3 is 3 is 5 first 4 the 5 first 5 first 6 to 5 first 10 subtype 6 to 7 examine 7 examine 9 nonamnestic 7 examine 10 subtype 8 the 9 nonamnestic 9 nonamnestic 10 subtype no emotion recognition deficits were found . 0 ###LEFT-WALL### 4 deficits 0 ###LEFT-WALL### 6 found 0 ###LEFT-WALL### 7 . 1 no 4 deficits 2 emotion 4 deficits 3 recognition 4 deficits 4 deficits 5 were 5 were 6 found this finding is surprising given the association between the nonamnestic [subtype] and frontal systems dysfunction . 0 ###LEFT-WALL### 2 finding 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 16 . 1 this 2 finding 2 finding 3 is 3 is 4 surprising 4 surprising 15 dysfunction 5 given 15 dysfunction 6 the 7 association 7 association 8 between 7 association 12 and 8 between 10 nonamnestic 9 the 10 nonamnestic 12 and 14 systems 12 and 15 dysfunction 13 frontal 14 systems impaired emotion recognition could be related to the selective pathophysiology in neural pathways , particularly the temporal lobe and connected limbic and prefrontal regions , implicated in both amci and emotion processing . 0 ###LEFT-WALL### 5 be 0 ###LEFT-WALL### 33 . 1 impaired 2 emotion 2 emotion 3 recognition 3 recognition 4 could 4 could 5 be 5 be 6 related 6 related 7 to 6 related 27 in 7 to 10 pathophysiology 8 the 10 pathophysiology 9 selective 10 pathophysiology 10 pathophysiology 11 in 10 pathophysiology 26 implicated 11 in 13 pathways 12 neural 13 pathways 13 pathways 19 and 14 , 15 particularly 14 , 19 and 16 the 18 lobe 17 temporal 18 lobe 18 lobe 19 and 19 and 24 regions 19 and 25 , 20 connected 24 regions 21 limbic 22 and 22 and 23 prefrontal 22 and 24 regions 27 in 30 and 28 both 30 and 29 amci 30 and 30 and 32 processing 31 emotion 32 processing these findings may have implications for early diagnosis , prognosis , and clinical management . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 have 0 ###LEFT-WALL### 15 . 1 these 2 findings 2 findings 3 may 3 may 4 have 4 have 5 implications 5 implications 6 for 6 for 12 and 7 early 8 diagnosis 8 diagnosis 9 , 9 , 10 prognosis 9 , 12 and 11 , 12 and 12 and 14 management 13 clinical 14 management the present meta - analysis investigated whether event [-] based prospective memory [(] [pm] [ )(age effects differ by task order specificity . 0 ###LEFT-WALL### 5 analysis 0 ###LEFT-WALL### 6 investigated 0 ###LEFT-WALL### 23 . 1 the 5 analysis 2 present 5 analysis 3 meta 4 - 3 meta 5 analysis 5 analysis 6 investigated 6 investigated 7 whether 7 whether 17 effects 7 whether 18 differ 8 event 10 based 10 based 12 memory 11 prospective 12 memory 12 memory 17 effects 16 )(age 17 effects 17 effects 18 differ 18 differ 19 by 19 by 22 specificity 20 task 22 specificity 21 order 22 specificity in specified [pm] tasks , the order of the ongoing and the [pm] task response is predetermined , which imposes demands on cognitive control to navigate the possible response options . 0 ###LEFT-WALL### 7 order 0 ###LEFT-WALL### 16 is 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 31 . 1 in 4 tasks 1 in 5 , 1 in 7 order 2 specified 4 tasks 6 the 7 order 7 order 8 of 7 order 16 is 8 of 11 and 9 the 10 ongoing 10 ongoing 11 and 11 and 15 response 12 the 15 response 14 task 15 response 16 is 17 predetermined 18 , 19 which 18 , 20 imposes 19 which 20 imposes 20 imposes 21 demands 20 imposes 22 on 20 imposes 25 to 22 on 24 control 23 cognitive 24 control 25 to 26 navigate 26 navigate 30 options 27 the 30 options 28 possible 29 response 29 response 30 options in contrast , unspecified [pm] tasks do not require responding in a particular order . 0 ###LEFT-WALL### 6 tasks 0 ###LEFT-WALL### 9 require 0 ###LEFT-WALL### 15 . 1 in 2 contrast 1 in 3 , 1 in 6 tasks 4 unspecified 6 tasks 6 tasks 7 do 7 do 8 not 7 do 9 require 9 require 10 responding 9 require 11 in 11 in 14 order 12 a 13 particular 12 a 14 order 13 particular 14 order based on 57 studies and more than 5,500 younger and older adults , results showed larger [pm] age effects [in] specified compared with unspecified [pm] tasks . 0 ###LEFT-WALL### 14 results 0 ###LEFT-WALL### 15 showed 0 ###LEFT-WALL### 27 . 1 based 2 on 1 based 13 , 1 based 14 results 2 on 5 and 3 57 4 studies 4 studies 5 and 5 and 12 adults 6 more 7 than 7 than 8 5,500 8 5,500 12 adults 9 younger 10 and 10 and 11 older 10 and 12 adults 14 results 15 showed 15 showed 18 age 15 showed 19 effects 15 showed 22 compared 16 larger 18 age 19 effects 21 specified 19 effects 22 compared 22 compared 23 with 23 with 26 tasks 24 unspecified 26 tasks additionally , the effect of task focality on age differences was replicated . 0 ###LEFT-WALL### 4 effect 0 ###LEFT-WALL### 12 replicated 0 ###LEFT-WALL### 13 . 1 additionally 2 , 1 additionally 4 effect 3 the 4 effect 4 effect 5 of 4 effect 11 was 5 of 7 focality 6 task 7 focality 7 focality 8 on 8 on 10 differences 9 age 10 differences 11 was 12 replicated results suggest that both pre - and postretrieval processes independently affect [pm] age effects . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 suggest 0 ###LEFT-WALL### 15 . 1 results 2 suggest 2 suggest 3 that 3 that 7 and 3 that 11 affect 4 both 7 and 5 pre 7 and 6 - 7 and 7 and 9 processes 8 postretrieval 9 processes 10 independently 11 affect 11 affect 14 effects 13 age 14 effects participants performed a motor sequencing task that included prepotent pairs of key presses , and conflicting pairs that started with the same first key press of the prepotent pair , but ended in an unexpected alternate response . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 performed 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 38 . 1 participants 2 performed 2 performed 4 motor 3 a 4 motor 4 motor 5 sequencing 4 motor 11 of 5 sequencing 10 pairs 6 task 10 pairs 7 that 8 included 8 included 10 pairs 9 prepotent 10 pairs 11 of 13 presses 12 key 13 presses 14 , 15 and 15 and 16 conflicting 15 and 31 but 16 conflicting 31 but 17 pairs 18 that 17 pairs 31 but 18 that 19 started 19 started 20 with 20 with 25 press 21 the 22 same 22 same 25 press 23 first 25 press 24 key 25 press 25 press 26 of 26 of 29 pair 27 the 29 pair 28 prepotent 29 pair 30 , 31 but 31 but 32 ended 32 ended 33 in 33 in 37 response 34 an 35 unexpected 34 an 37 response 35 unexpected 37 response 36 alternate 37 response erp analyses were used to measure the p3b component as an electrophysiological [correlate] [of] context updating . 0 ###LEFT-WALL### 1 erp 0 ###LEFT-WALL### 4 used 0 ###LEFT-WALL### 17 . 1 erp 2 analyses 1 erp 3 were 1 erp 4 used 2 analyses 3 were 4 used 5 to 4 used 16 updating 5 to 6 measure 6 measure 8 p3b 7 the 8 p3b 8 p3b 9 component 9 component 10 as 10 as 15 context 11 an 12 electrophysiological 11 an 15 context 12 electrophysiological 15 context the results revealed an age - related reduction in the ability to reprogram a response as younger , but [not] older , adults exhibited a negative correlation between planning and execution time for conflicting responses , such that shortened execution time led to better performance by the younger group . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 7 related 1 the 2 results 2 results 3 revealed 3 revealed 5 age 4 an 5 age 6 - 7 related 7 related 8 reduction 7 related 9 in 7 related 12 to 7 related 16 as 9 in 11 ability 10 the 11 ability 12 to 13 reprogram 13 reprogram 15 response 14 a 15 response 16 as 23 adults 17 younger 19 but 18 , 19 but 19 but 21 older 19 but 22 , 19 but 23 adults 23 adults 24 exhibited 23 adults 30 and 23 adults 32 time 25 a 27 correlation 26 negative 27 correlation 27 correlation 28 between 27 correlation 30 and 28 between 29 planning 30 and 31 execution 30 and 32 time 32 time 33 for 33 for 35 responses 34 conflicting 35 responses 35 responses 41 time 36 , 41 time 37 such 41 time 38 that 39 shortened 39 shortened 40 execution 40 execution 41 time 41 time 42 led 41 time 43 to 41 time 44 better 41 time 50 . 43 to 44 better 44 better 45 performance 45 performance 46 by 46 by 49 group 47 the 49 group 48 younger 49 group both age groups demonstrated a large p3b component following conflicting , but not prepotent stimuli . 0 ###LEFT-WALL### 3 groups 0 ###LEFT-WALL### 4 demonstrated 0 ###LEFT-WALL### 16 . 1 both 3 groups 2 age 3 groups 3 groups 4 demonstrated 4 demonstrated 12 but 5 a 6 large 5 a 8 component 6 large 8 component 7 p3b 8 component 8 component 9 following 8 component 10 conflicting 8 component 12 but 11 , 12 but 12 but 13 not 12 but 15 stimuli 14 prepotent 15 stimuli the peak of this p3b [was] delayed , and its amplitude reduced in the older , compared [with] younger , adults . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 22 . 1 the 2 peak 2 peak 3 of 2 peak 9 and 3 of 5 p3b 4 this 5 p3b 5 p3b 7 delayed 8 , 9 and 9 and 11 amplitude 9 and 12 reduced 10 its 11 amplitude 12 reduced 13 in 13 in 21 adults 14 the 21 adults 15 older 16 , 15 older 21 adults 17 compared 21 adults 19 younger 20 , 19 younger 21 adults noteworthy was that conflicting responses with faster execution time were associated with a larger p3b component than responses with slower execution time in younger , but not older , adults , suggesting that better context updating led to more efficient response reprogramming . 0 ###LEFT-WALL### 1 noteworthy 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 26 but 0 ###LEFT-WALL### 43 . 1 noteworthy 2 was 2 was 5 responses 2 was 6 with 3 that 4 conflicting 4 conflicting 5 responses 6 with 8 execution 6 with 11 associated 7 faster 8 execution 8 execution 9 time 8 execution 10 were 9 time 10 were 11 associated 12 with 11 associated 24 younger 12 with 15 p3b 12 with 16 component 13 a 15 p3b 14 larger 15 p3b 16 component 17 than 17 than 18 responses 17 than 22 time 17 than 23 in 18 responses 19 with 18 responses 22 time 19 with 21 execution 20 slower 21 execution 25 , 26 but 26 but 32 suggesting 26 but 37 led 27 not 30 adults 27 not 31 , 27 not 32 suggesting 28 older 29 , 28 older 30 adults 32 suggesting 33 that 32 suggesting 34 better 32 suggesting 37 led 34 better 36 updating 35 context 36 updating 37 led 38 to 38 to 42 reprogramming 39 more 42 reprogramming 40 efficient 41 response 41 response 42 reprogramming these findings are novel in showing that context updating is associated with adjustments in response execution , and that older adults were less able to use these context - updating processes to support successful movement reprogramming . 1 these 2 findings 2 findings 3 are 3 are 4 novel 4 novel 5 in 4 novel 12 with 5 in 6 showing 6 showing 7 that 7 that 8 context 7 that 11 associated 8 context 9 updating 8 context 10 is 8 context 11 associated 9 updating 10 is 12 with 13 adjustments 12 with 14 in 14 in 28 context 15 response 28 context 16 execution 18 and 17 , 18 and 18 and 19 that 18 and 21 adults 18 and 22 were 18 and 24 able 18 and 28 context 20 older 21 adults 21 adults 22 were 22 were 23 less 24 able 25 to 24 able 26 use 25 to 26 use 26 use 27 these 28 context 30 updating 29 - 30 updating 30 updating 31 processes 30 updating 37 . 31 processes 32 to 31 processes 36 reprogramming 32 to 33 support 33 support 35 movement 34 successful 35 movement 35 movement 36 reprogramming recent research has emphasized the critical role of personality in the caregiving situation , but not much is known about how individual differences shape the transitions [into] and out of caregiving . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 4 emphasized 0 ###LEFT-WALL### 15 but 0 ###LEFT-WALL### 32 . 1 recent 2 research 2 research 3 has 3 has 4 emphasized 4 emphasized 7 role 4 emphasized 10 in 5 the 7 role 6 critical 7 role 7 role 8 of 8 of 9 personality 10 in 13 situation 11 the 13 situation 12 caregiving 13 situation 14 , 15 but 15 but 17 much 15 but 19 known 16 not 17 much 17 much 18 is 18 is 19 known 19 known 28 and 20 about 21 how 20 about 28 and 21 how 23 differences 21 how 24 shape 22 individual 23 differences 23 differences 24 shape 24 shape 26 transitions 25 the 26 transitions 28 and 30 of 29 out 30 of 30 of 31 caregiving based on longitudinal data from the german socio - economic panel ( soep , n= 14,495 ) , we explored [how] personality [is] associated with adopting and maintaining the caregiving role . 0 ###LEFT-WALL### 19 we 0 ###LEFT-WALL### 20 explored 0 ###LEFT-WALL### 32 . 1 based 2 on 1 based 5 from 1 based 18 , 1 based 19 we 2 on 4 data 3 longitudinal 4 data 5 from 8 socio 6 the 8 socio 7 german 8 socio 8 socio 13 soep 9 - 13 soep 10 economic 11 panel 11 panel 13 soep 12 ( 13 soep 13 soep 14 , 13 soep 15 n= 13 soep 17 ) 14 , 15 n= 15 n= 16 14,495 15 n= 17 ) 19 we 20 explored 20 explored 22 personality 20 explored 25 with 22 personality 24 associated 25 with 27 and 25 with 31 role 26 adopting 27 and 27 and 28 maintaining 29 the 31 role 30 caregiving 31 role the results revealed that individuals with less emotional stability were more likely to take over the responsibility to provide care . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 revealed 0 ###LEFT-WALL### 21 . 1 the 2 results 2 results 3 revealed 3 revealed 4 that 4 that 5 individuals 4 that 10 were 5 individuals 6 with 5 individuals 10 were 6 with 9 stability 7 less 9 stability 8 emotional 9 stability 10 were 11 more 10 were 12 likely 12 likely 13 to 12 likely 14 take 13 to 14 take 14 take 15 over 14 take 17 responsibility 16 the 17 responsibility 17 responsibility 18 to 17 responsibility 19 provide 18 to 19 provide 19 provide 20 care moreover , care - related personality change was affected by sex and age . 0 ###LEFT-WALL### 3 care 0 ###LEFT-WALL### 9 affected 0 ###LEFT-WALL### 14 . 1 moreover 2 , 1 moreover 3 care 3 care 8 was 4 - 5 related 5 related 7 change 5 related 8 was 6 personality 7 change 8 was 9 affected 9 affected 10 by 10 by 12 and 11 sex 12 and 12 and 13 age in detail , female care entrants were more burdened than their male counterparts , and younger caregivers seemed to adapt better to the caregiving role than older ones . 0 ###LEFT-WALL### 6 entrants 0 ###LEFT-WALL### 9 burdened 0 ###LEFT-WALL### 10 than 0 ###LEFT-WALL### 29 . 1 in 2 detail 1 in 3 , 1 in 6 entrants 4 female 5 care 5 care 6 entrants 6 entrants 7 were 7 were 8 more 7 were 9 burdened 9 burdened 10 than 10 than 15 and 10 than 18 seemed 11 their 13 counterparts 12 male 13 counterparts 13 counterparts 15 and 14 , 15 and 15 and 17 caregivers 15 and 18 seemed 16 younger 17 caregivers 18 seemed 19 to 18 seemed 20 adapt 19 to 20 adapt 20 adapt 21 better 20 adapt 22 to 20 adapt 26 than 22 to 25 role 23 the 25 role 24 caregiving 25 role 26 than 28 ones 27 older 28 ones the findings point to the interplay of personality and sociostructural conditions in the caregiving role over time . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 point 0 ###LEFT-WALL### 18 . 1 the 2 findings 2 findings 3 point 3 point 4 to 3 point 12 in 3 point 16 over 4 to 9 and 5 the 6 interplay 6 interplay 7 of 6 interplay 9 and 7 of 8 personality 9 and 11 conditions 10 sociostructural 11 conditions 12 in 15 role 13 the 15 role 14 caregiving 15 role 16 over 17 time although mind - wandering is common , engaging [in] task - irrelevant thoughts can have negative functional consequences . 0 ###LEFT-WALL### 4 wandering 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 7 , 1 although 2 mind 1 although 3 - 1 although 4 wandering 4 wandering 5 is 5 is 6 common 7 , 10 task 7 , 11 - 8 engaging 10 task 11 - 13 thoughts 11 - 15 have 11 - 19 . 12 irrelevant 13 thoughts 13 thoughts 14 can 14 can 15 have 15 have 18 consequences 16 negative 18 consequences 17 functional 18 consequences we examined whether mind [-] wandering frequency may be related to falls - a major [health] - care problem . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 20 . 1 we 2 examined 2 examined 3 whether 3 whether 4 mind 3 whether 12 falls 4 mind 6 wandering 4 mind 7 frequency 4 mind 11 to 4 mind 12 falls 7 frequency 8 may 8 may 9 be 9 be 10 related 10 related 11 to 13 - 19 problem 14 a 15 major 14 a 19 problem 15 major 17 - 15 major 18 care 18 care 19 problem seniors completed a sustained attention task and self - reported their current attentional states . 0 ###LEFT-WALL### 1 seniors 0 ###LEFT-WALL### 2 completed 0 ###LEFT-WALL### 10 reported 1 seniors 2 completed 2 completed 7 and 3 a 6 task 4 sustained 5 attention 5 attention 6 task 6 task 7 and 7 and 8 self 9 - 10 reported 10 reported 14 states 10 reported 15 . 11 their 14 states 12 current 14 states 13 attentional 14 states monthly [falls] reports were collected over 12 months . 0 ###LEFT-WALL### 3 reports 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 9 . 1 monthly 3 reports 3 reports 4 were 4 were 5 collected 5 collected 6 over 6 over 8 months 7 12 8 months [falls] [were] [associated] with an increased frequency [of] mind - wandering . 0 ###LEFT-WALL### 9 mind 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 12 . 4 with 7 frequency 4 with 9 mind 5 an 7 frequency 6 increased 7 frequency 10 - 11 wandering in addition , poorer performance on the sustained attention task [was] associated with more falls over 12 months . 0 ###LEFT-WALL### 5 performance 0 ###LEFT-WALL### 15 falls 0 ###LEFT-WALL### 19 . 1 in 2 addition 1 in 3 , 1 in 5 performance 4 poorer 5 performance 5 performance 6 on 5 performance 15 falls 6 on 10 task 7 the 10 task 8 sustained 9 attention 9 attention 10 task 10 task 12 associated 12 associated 13 with 13 with 14 more 15 falls 16 over 16 over 18 months 17 12 18 months given that fallers are known to have impaired executive cognitive functioning , our results are consistent with the current theory that poor attentional control may contribute to the occurrence of mind - wandering . 0 ###LEFT-WALL### 1 given 0 ###LEFT-WALL### 7 have 0 ###LEFT-WALL### 12 , 1 given 2 that 1 given 4 are 1 given 6 to 3 fallers 4 are 4 are 5 known 6 to 7 have 7 have 11 functioning 8 impaired 11 functioning 9 executive 11 functioning 10 cognitive 11 functioning 12 , 14 results 12 , 26 contribute 13 our 14 results 14 results 15 are 15 are 16 consistent 16 consistent 17 with 17 with 20 theory 18 the 20 theory 19 current 20 theory 20 theory 24 control 20 theory 26 contribute 21 that 22 poor 22 poor 24 control 23 attentional 24 control 24 control 25 may 25 may 26 contribute 26 contribute 27 to 26 contribute 33 wandering 27 to 29 occurrence 28 the 29 occurrence 29 occurrence 30 of 30 of 31 mind 32 - 33 wandering 33 wandering 34 . investment personality traits are thought to positively affect cognitive performance in old age , even after controlling for prior cognitive ability . 0 ###LEFT-WALL### 3 traits 0 ###LEFT-WALL### 5 thought 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 22 . 1 investment 3 traits 2 personality 3 traits 3 traits 4 are 4 are 5 thought 5 thought 6 to 5 thought 11 in 6 to 8 affect 7 positively 8 affect 8 affect 10 performance 9 cognitive 10 performance 11 in 13 age 12 old 13 age 14 , 15 even 15 even 16 after 16 after 17 controlling 17 controlling 18 for 18 for 21 ability 19 prior 21 ability 20 cognitive 21 ability in the lothian birth cohort 1936 ( n = 1,091 ) , a cross - lagged model tested [for] reciprocal effects of the investment trait intellect on verbal fluency , an indicator of crystallized intelligence , at age 70 and 73 years , while adjusting for general iq at age 11 and 70 years . 0 ###LEFT-WALL### 5 cohort 0 ###LEFT-WALL### 16 lagged 0 ###LEFT-WALL### 55 . 1 in 3 lothian 1 in 5 cohort 2 the 3 lothian 4 birth 5 cohort 5 cohort 6 1936 5 cohort 9 = 5 cohort 14 cross 5 cohort 16 lagged 7 ( 9 = 8 n 9 = 9 = 10 1,091 9 = 11 ) 12 , 14 cross 13 a 14 cross 14 cross 15 - 16 lagged 21 effects 16 lagged 44 while 16 lagged 49 at 17 model 18 tested 18 tested 21 effects 20 reciprocal 21 effects 21 effects 22 of 21 effects 27 on 22 of 26 intellect 23 the 25 trait 24 investment 25 trait 25 trait 26 intellect 27 on 29 fluency 28 verbal 29 fluency 29 fluency 32 indicator 30 , 32 indicator 31 an 32 indicator 32 indicator 33 of 32 indicator 43 , 33 of 35 intelligence 34 crystallized 35 intelligence 35 intelligence 37 at 36 , 37 at 37 at 42 years 37 at 43 , 38 age 40 and 38 age 42 years 39 70 40 and 40 and 41 73 44 while 45 adjusting 45 adjusting 46 for 45 adjusting 48 iq 46 for 47 general 49 at 54 years 50 age 52 and 50 age 54 years 51 11 52 and 52 and 53 70 intellect at age 70 was weakly associated with contemporaneous verbal fluency but had no significant effects on fluency at age 73 . 0 ###LEFT-WALL### 1 intellect 0 ###LEFT-WALL### 13 had 0 ###LEFT-WALL### 22 . 1 intellect 2 at 1 intellect 5 was 2 at 3 age 3 age 4 70 5 was 12 but 6 weakly 7 associated 7 associated 8 with 7 associated 12 but 8 with 11 fluency 9 contemporaneous 11 fluency 10 verbal 11 fluency 12 but 13 had 13 had 16 effects 13 had 17 on 13 had 19 at 14 no 16 effects 15 significant 16 effects 17 on 18 fluency 19 at 20 age 20 age 21 73 conversely , verbal fluency at age 70 was significantly , positively related to intellect at age 73 . 0 ###LEFT-WALL### 4 fluency 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 18 . 1 conversely 2 , 1 conversely 4 fluency 3 verbal 4 fluency 4 fluency 5 at 4 fluency 10 , 5 at 6 age 6 age 7 70 8 was 9 significantly 8 was 10 , 10 , 12 related 10 , 13 to 10 , 15 at 11 positively 12 related 13 to 14 intellect 15 at 16 age 16 age 17 73 the results suggest that better verbal fluency precedes intellectual investment in old age rather than the other way around . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 20 . 1 the 2 results 2 results 3 suggest 3 suggest 4 that 4 that 7 fluency 4 that 8 precedes 5 better 7 fluency 6 verbal 7 fluency 7 fluency 8 precedes 8 precedes 10 investment 8 precedes 11 in 8 precedes 15 than 8 precedes 19 around 9 intellectual 10 investment 11 in 13 age 12 old 13 age 14 rather 15 than 15 than 18 way 16 the 17 other 17 other 18 way fluid intelligence decreases with age , yet evidence about age declines in decision [-] making quality is mixed : depending on the study , older adults make worse , equally good , or even better decisions than younger adults . 0 ###LEFT-WALL### 2 intelligence 0 ###LEFT-WALL### 17 is 0 ###LEFT-WALL### 19 : 0 ###LEFT-WALL### 40 . 1 fluid 2 intelligence 2 intelligence 3 decreases 3 decreases 4 with 3 decreases 7 yet 4 with 5 age 6 , 7 yet 7 yet 8 evidence 8 evidence 9 about 8 evidence 17 is 9 about 11 declines 10 age 11 declines 11 declines 12 in 12 in 16 quality 13 decision 16 quality 15 making 16 quality 17 is 18 mixed 19 : 26 adults 19 : 27 make 20 depending 21 on 20 depending 24 , 20 depending 26 adults 21 on 23 study 22 the 23 study 25 older 26 adults 26 adults 27 make 27 make 36 decisions 27 make 37 than 28 worse 29 , 28 worse 36 decisions 30 equally 31 good 31 good 33 or 32 , 33 or 33 or 35 better 33 or 36 decisions 34 even 35 better 37 than 39 adults 38 younger 39 adults specifically , we hypothesized that older adults ' higher levels of crystallized intelligence can provide an alternate pathway to good decisions when the fluid intelligence pathway declines . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 hypothesized 0 ###LEFT-WALL### 28 . 1 specifically 2 , 1 specifically 3 we 3 we 4 hypothesized 4 hypothesized 5 that 5 that 10 levels 5 that 15 provide 6 older 7 adults 7 adults 8 ' 8 ' 10 levels 9 higher 10 levels 10 levels 11 of 10 levels 14 can 11 of 13 intelligence 12 crystallized 13 intelligence 14 can 15 provide 15 provide 18 pathway 15 provide 19 to 16 an 18 pathway 17 alternate 18 pathway 19 to 21 decisions 20 good 21 decisions 21 decisions 22 when 22 when 26 pathway 22 when 27 declines 23 the 26 pathway 24 fluid 25 intelligence 25 intelligence 26 pathway 26 pathway 27 declines the performance of older adults relative to younger adults therefore depends on the relative importance of each type of intelligence for the decision at hand . 0 ###LEFT-WALL### 2 performance 0 ###LEFT-WALL### 11 depends 0 ###LEFT-WALL### 26 . 1 the 2 performance 2 performance 3 of 2 performance 11 depends 3 of 5 adults 4 older 5 adults 5 adults 6 relative 6 relative 7 to 7 to 9 adults 8 younger 9 adults 10 therefore 11 depends 11 depends 12 on 12 on 15 importance 13 the 15 importance 14 relative 15 importance 15 importance 16 of 16 of 20 intelligence 17 each 18 type 18 type 19 of 18 type 20 intelligence 19 of 20 intelligence 20 intelligence 21 for 21 for 23 decision 22 the 23 decision 23 decision 25 hand 24 at 25 hand we tested this complementary capabilities hypothesis in a broad sample of younger and older adults , collecting a battery of standard cognitive measures and measures [of] economically important decision - making " traits " -- including temporal discounting , loss aversion , financial literacy , and debt literacy . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 tested 1 we 2 tested 2 tested 6 hypothesis 3 this 6 hypothesis 4 complementary 5 capabilities 5 capabilities 6 hypothesis 6 hypothesis 7 in 6 hypothesis 11 of 7 in 10 sample 8 a 9 broad 8 a 10 sample 9 broad 10 sample 11 of 15 adults 12 younger 13 and 13 and 14 older 13 and 15 adults 15 adults 17 collecting 15 adults 31 making 16 , 17 collecting 17 collecting 19 battery 17 collecting 30 - 18 a 19 battery 19 battery 20 of 20 of 24 and 21 standard 23 measures 22 cognitive 23 measures 23 measures 24 and 24 and 29 decision 25 measures 29 decision 27 economically 28 important 28 important 29 decision 30 - 31 making 31 making 32 " 31 making 33 traits 31 making 36 including 31 making 49 . 33 traits 34 " 35 -- 36 including 36 including 38 discounting 36 including 49 . 37 temporal 38 discounting 38 discounting 41 aversion 38 discounting 46 and 39 , 41 aversion 40 loss 41 aversion 41 aversion 42 , 42 , 46 and 43 financial 44 literacy 44 literacy 46 and 45 , 46 and 46 and 48 literacy 46 and 49 . 47 debt 48 literacy we found that older participants performed as well [as] or better than younger participants on these four decision - making measures . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 1 we 2 found 2 found 18 decision 2 found 20 making 3 that 18 decision 4 older 5 participants 5 participants 6 performed 5 participants 10 or 6 performed 8 well 7 as 8 well 10 or 11 better 10 or 18 decision 11 better 12 than 12 than 14 participants 12 than 15 on 13 younger 14 participants 15 on 17 four 16 these 17 four 19 - 20 making 20 making 21 measures 20 making 22 . structural equation modeling verified our hypothesis : older participants ' greater crystallized intelligence offset their lower levels of fluid intelligence for temporal discounting , financial literacy , and debt literacy , but not for loss aversion . 0 ###LEFT-WALL### 3 modeling 0 ###LEFT-WALL### 4 verified 0 ###LEFT-WALL### 37 . 1 structural 3 modeling 2 equation 3 modeling 3 modeling 4 verified 4 verified 6 hypothesis 5 our 6 hypothesis 6 hypothesis 7 : 7 : 13 intelligence 7 : 14 offset 8 older 9 participants 9 participants 10 ' 10 ' 13 intelligence 11 greater 13 intelligence 12 crystallized 13 intelligence 13 intelligence 14 offset 14 offset 17 levels 14 offset 32 but 15 their 17 levels 16 lower 17 levels 17 levels 18 of 18 of 20 intelligence 19 fluid 20 intelligence 21 for 28 and 21 for 32 but 22 temporal 23 discounting 23 discounting 24 , 24 , 26 literacy 24 , 28 and 25 financial 26 literacy 27 , 28 and 28 and 30 literacy 28 and 31 , 29 debt 30 literacy 32 but 33 not 32 but 34 for 34 for 36 aversion 35 loss 36 aversion these results have important implications for public policy and for the design of effective decision environments for older adults . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 have 0 ###LEFT-WALL### 20 . 1 these 2 results 2 results 3 have 3 have 5 implications 4 important 5 implications 5 implications 9 and 6 for 8 policy 6 for 9 and 7 public 8 policy 9 and 10 for 10 for 12 design 11 the 12 design 12 design 13 of 13 of 16 environments 14 effective 16 environments 15 decision 16 environments 16 environments 17 for 17 for 19 adults 18 older 19 adults objective : early biomarkers of alzheimer 's disease ( ad ) are needed for developing therapeutic interventions . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 biomarkers 2 : 13 needed 2 : 18 . 3 early 4 biomarkers 4 biomarkers 5 of 4 biomarkers 12 are 5 of 8 disease 6 alzheimer 7 's 7 's 8 disease 8 disease 10 ad 9 ( 10 ad 10 ad 11 ) 12 are 13 needed 13 needed 14 for 14 for 15 developing 15 developing 17 interventions 16 therapeutic 17 interventions measures of attentional control in stroop - type tasks discriminate healthy aging from early stage ad and predict future development of ad in cognitively normal individuals . 0 ###LEFT-WALL### 9 tasks 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 27 . 1 measures 9 tasks 2 of 4 control 2 of 7 - 2 of 9 tasks 3 attentional 4 control 4 control 5 in 5 in 6 stroop 8 type 9 tasks 9 tasks 17 and 10 discriminate 12 aging 10 discriminate 17 and 11 healthy 12 aging 12 aging 13 from 13 from 16 ad 14 early 15 stage 15 stage 16 ad 17 and 18 predict 17 and 23 in 18 predict 20 development 19 future 20 development 20 development 21 of 21 of 22 ad 23 in 26 individuals 24 cognitively 25 normal 25 normal 26 individuals disruption in resting state functional connectivity mri ( rs - fcmri ) has been reported in ad and in healthy controls at risk for ad . 0 ###LEFT-WALL### 1 disruption 0 ###LEFT-WALL### 15 reported 0 ###LEFT-WALL### 26 . 1 disruption 2 in 1 disruption 13 has 2 in 7 mri 3 resting 7 mri 4 state 7 mri 5 functional 6 connectivity 6 connectivity 7 mri 7 mri 9 rs 8 ( 9 rs 9 rs 11 fcmri 9 rs 12 ) 10 - 11 fcmri 11 fcmri 12 ) 13 has 14 been 14 been 15 reported 15 reported 18 and 15 reported 22 at 16 in 17 ad 16 in 18 and 18 and 19 in 19 in 21 controls 20 healthy 21 controls 22 at 23 risk 23 risk 24 for 24 for 25 ad we explored the relationship among stroop performance , rs - fcmri , and csf aβ₄₂ levels in cognitively normal older adults . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 explored 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 22 . 1 we 2 explored 2 explored 4 relationship 3 the 4 relationship 4 relationship 5 among 5 among 7 performance 6 stroop 7 performance 8 , 13 and 8 , 15 aβ₄₂ 9 rs 10 - 9 rs 11 fcmri 11 fcmri 13 and 12 , 13 and 13 and 14 csf 13 and 15 aβ₄₂ 15 aβ₄₂ 16 levels 15 aβ₄₂ 17 in 17 in 21 adults 18 cognitively 19 normal 19 normal 21 adults 20 older 21 adults method : a computerized stroop task ( along with standard neuropsychological measures ) , rs - fcmri , and csf were obtained in 237 cognitively normal older adults . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 6 task 2 : 14 , 3 a 4 computerized 3 a 6 task 4 computerized 6 task 5 stroop 6 task 6 task 9 with 7 ( 9 with 8 along 9 with 9 with 12 measures 9 with 13 ) 10 standard 12 measures 11 neuropsychological 12 measures 14 , 19 and 14 , 22 obtained 15 rs 16 - 15 rs 17 fcmri 17 fcmri 19 and 18 , 19 and 19 and 20 csf 19 and 21 were 21 were 22 obtained 22 obtained 23 in 23 in 28 adults 24 237 28 adults 25 cognitively 26 normal 26 normal 28 adults 27 older 28 adults we compared the relationship between stroop performance , including measures from reaction distributional analyses , and composite scores from four resting state networks ( rsns ; default mode [ dmn ] , salience [ sal ] , dorsal attention [ dan []] , and sensory - motor [ smn []] [ )(, and the modulatory influence of csf aβ₄₂ levels . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 8 , 1 we 2 compared 2 compared 4 relationship 3 the 4 relationship 4 relationship 5 between 5 between 7 performance 6 stroop 7 performance 8 , 9 including 8 , 10 measures 8 , 15 , 9 including 10 measures 10 measures 11 from 10 measures 14 analyses 11 from 12 reaction 13 distributional 14 analyses 15 , 16 and 15 , 22 state 15 , 26 ; 16 and 18 scores 17 composite 18 scores 18 scores 19 from 18 scores 22 state 19 from 20 four 20 four 21 resting 22 state 23 networks 23 networks 25 rsns 24 ( 25 rsns 25 rsns 26 ; 26 ; 27 default 26 ; 37 , 27 default 28 mode 28 mode 30 dmn 28 mode 33 salience 29 [ 30 dmn 30 dmn 31 ] 32 , 33 salience 33 salience 35 sal 33 salience 37 , 34 [ 35 sal 35 sal 36 ] 37 , 44 and 38 dorsal 44 and 39 attention 41 dan 40 [ 41 dan 41 dan 43 , 43 , 44 and 44 and 47 motor 44 and 53 and 45 sensory 46 - 45 sensory 47 motor 48 [ 53 and 49 smn 53 and 52 )(, 53 and 53 and 56 influence 53 and 57 of 53 and 61 . 54 the 56 influence 55 modulatory 56 influence 57 of 58 csf 58 csf 59 aβ₄₂ 58 csf 60 levels 59 aβ₄₂ 60 levels results : a larger stroop effect in errors was associated with reduced rs - fcmri within the dmn and sal . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 effect 2 : 10 associated 3 a 6 effect 4 larger 6 effect 5 stroop 6 effect 6 effect 7 in 6 effect 9 was 7 in 8 errors 9 was 10 associated 10 associated 11 with 10 associated 14 - 10 associated 15 fcmri 11 with 13 rs 12 reduced 13 rs 15 fcmri 16 within 16 within 20 sal 17 the 20 sal 18 dmn 19 and 19 and 20 sal 20 sal 21 . reaction [time] ( rt ) distributional analyses indicated the slow tail of the rt distribution was related to reduced rs - fcmri functional connectivity within the sal . 0 ###LEFT-WALL### 7 analyses 0 ###LEFT-WALL### 19 reduced 0 ###LEFT-WALL### 28 . 1 reaction 4 rt 3 ( 4 rt 4 rt 5 ) 4 rt 7 analyses 6 distributional 7 analyses 7 analyses 8 indicated 7 analyses 11 tail 7 analyses 18 to 7 analyses 19 reduced 9 the 11 tail 10 slow 11 tail 11 tail 12 of 11 tail 16 was 12 of 15 distribution 13 the 15 distribution 14 rt 15 distribution 16 was 17 related 17 related 18 to 19 reduced 24 connectivity 20 rs 21 - 20 rs 24 connectivity 22 fcmri 24 connectivity 23 functional 24 connectivity 24 connectivity 25 within 25 within 27 sal 26 the 27 sal standard psychometric measures were not related to rsn composite scores . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 11 . 1 standard 3 measures 2 psychometric 3 measures 3 measures 4 were 4 were 5 not 4 were 7 to 5 not 6 related 7 to 10 scores 8 rsn 10 scores 9 composite 10 scores a relationship between stroop performance and dmn ( but not sal ) functional connectivity was stronger in csf aβ₄₂ - positive individuals . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 9 but 0 ###LEFT-WALL### 23 . 1 a 2 relationship 2 relationship 3 between 2 relationship 6 and 3 between 5 performance 4 stroop 5 performance 6 and 7 dmn 8 ( 9 but 9 but 14 connectivity 9 but 15 was 10 not 11 sal 10 not 12 ) 10 not 14 connectivity 13 functional 14 connectivity 14 connectivity 15 was 15 was 16 stronger 16 stronger 17 in 17 in 22 individuals 18 csf 22 individuals 19 aβ₄₂ 20 - 19 aβ₄₂ 22 individuals 21 positive 22 individuals conclusions : a link exists between rsn composite scores and specific attentional performance measures . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 2 : 4 link 2 : 5 exists 3 a 4 link 4 link 5 exists 5 exists 6 between 6 between 10 and 7 rsn 9 scores 8 composite 9 scores 9 scores 10 and 10 and 14 measures 11 specific 13 performance 12 attentional 13 performance 13 performance 14 measures both measures may be sensitive biomarkers for ad . 0 ###LEFT-WALL### 2 measures 0 ###LEFT-WALL### 4 be 0 ###LEFT-WALL### 9 . 1 both 2 measures 2 measures 3 may 3 may 4 be 4 be 6 biomarkers 5 sensitive 6 biomarkers 6 biomarkers 7 for 7 for 8 ad objective : this study investigated whether the observed absence of emotional memory enhancement in recognition tasks in patients with amnestic mild cognitive impairment ( amci ) could be related to their greater proportion of familiarity - based responses for all stimuli , and whether recognition tests with emotional items had better discriminative power for amci patients than those with neutral items . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 62 . 1 objective 2 : 2 : 4 study 2 : 6 whether 2 : 30 to 2 : 57 than 3 this 4 study 4 study 5 investigated 6 whether 9 absence 6 whether 29 related 7 the 9 absence 8 observed 9 absence 9 absence 10 of 9 absence 27 could 10 of 13 enhancement 11 emotional 12 memory 12 memory 13 enhancement 13 enhancement 14 in 13 enhancement 25 amci 14 in 16 tasks 15 recognition 16 tasks 16 tasks 17 in 17 in 18 patients 18 patients 19 with 19 with 23 impairment 20 amnestic 23 impairment 21 mild 23 impairment 22 cognitive 23 impairment 24 ( 25 amci 25 amci 26 ) 27 could 28 be 28 be 29 related 30 to 45 recognition 31 their 33 proportion 32 greater 33 proportion 33 proportion 34 of 33 proportion 43 and 34 of 35 familiarity 35 familiarity 38 responses 36 - 38 responses 37 based 38 responses 38 responses 39 for 38 responses 42 , 39 for 41 stimuli 40 all 41 stimuli 43 and 44 whether 43 and 45 recognition 45 recognition 46 tests 45 recognition 50 had 46 tests 47 with 46 tests 50 had 47 with 49 items 48 emotional 49 items 50 had 51 better 51 better 53 power 51 better 54 for 52 discriminative 53 power 54 for 56 patients 55 amci 56 patients 57 than 58 those 58 those 59 with 59 with 61 items 60 neutral 61 items method : in total , 31 amci patients and 30 healthy older adults participated in a recognition test followed by remember/know judgments . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 23 . 1 method 2 : 2 : 4 total 3 in 4 total 5 , 9 and 5 , 14 participated 6 31 8 patients 7 amci 8 patients 8 patients 9 and 9 and 13 adults 9 and 14 participated 10 30 13 adults 11 healthy 13 adults 12 older 13 adults 14 participated 15 in 14 participated 20 by 15 in 18 test 16 a 17 recognition 16 a 18 test 17 recognition 18 test 18 test 19 followed 20 by 22 judgments 21 remember/know 22 judgments positive , neutral , and negative faces were used as stimuli . 0 ###LEFT-WALL### 7 faces 0 ###LEFT-WALL### 9 used 0 ###LEFT-WALL### 12 . 1 positive 2 , 2 , 3 neutral 2 , 5 and 4 , 5 and 5 and 6 negative 5 and 7 faces 7 faces 8 were 8 were 9 used 9 used 10 as 10 as 11 stimuli results : for overall recognition performance , emotional memory enhancement was found only in healthy controls ; they remembered more negative and positive stimuli than neutral ones . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 28 . 1 results 2 : 2 : 3 for 3 for 6 performance 4 overall 6 performance 5 recognition 6 performance 7 , 10 enhancement 7 , 12 found 7 , 17 ; 8 emotional 10 enhancement 9 memory 10 enhancement 10 enhancement 11 was 11 was 12 found 12 found 13 only 13 only 14 in 14 in 16 controls 15 healthy 16 controls 17 ; 18 they 17 ; 19 remembered 18 they 19 remembered 19 remembered 24 stimuli 19 remembered 25 than 20 more 24 stimuli 21 negative 22 and 22 and 23 positive 22 and 24 stimuli 25 than 27 ones 26 neutral 27 ones [for] ["] remember " responses , we found equivalent emotional memory enhancement in both groups , though a greater proportion of " [remember] ["] responses was observed in normal controls . 0 ###LEFT-WALL### 3 remember 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 31 . 3 remember 4 " 3 remember 5 responses 6 , 7 we 6 , 8 found 6 , 16 , 7 we 8 found 8 found 11 memory 8 found 12 enhancement 8 found 13 in 9 equivalent 11 memory 10 emotional 11 memory 13 in 15 groups 14 both 15 groups 16 , 20 proportion 16 , 27 observed 17 though 20 proportion 18 a 20 proportion 19 greater 20 proportion 20 proportion 21 of 20 proportion 26 was 21 of 22 " 21 of 25 responses 26 was 27 observed 27 observed 28 in 28 in 30 controls 29 normal 30 controls for " [know] ["] responses , amci patients presented a larger proportion than normal controls did , and [their] ["] know " responses were not affected by emotion . 0 ###LEFT-WALL### 8 patients 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 21 know 0 ###LEFT-WALL### 29 . 1 for 2 " 1 for 5 responses 1 for 6 , 1 for 8 patients 7 amci 8 patients 8 patients 18 and 9 presented 12 proportion 9 presented 13 than 9 presented 18 and 10 a 12 proportion 11 larger 12 proportion 13 than 16 did 14 normal 15 controls 15 controls 16 did 17 , 18 and 18 and 21 know 21 know 22 " 21 know 23 responses 21 know 24 were 23 responses 24 were 24 were 25 not 24 were 27 by 25 not 26 affected 27 by 28 emotion a negative correlation was found between emotional enhancement effect and the memory performance related to " know " responses . 0 ###LEFT-WALL### 3 correlation 0 ###LEFT-WALL### 14 related 0 ###LEFT-WALL### 17 know 0 ###LEFT-WALL### 20 . 1 a 3 correlation 2 negative 3 correlation 3 correlation 4 was 4 was 5 found 5 found 6 between 6 between 10 and 7 emotional 8 enhancement 8 enhancement 9 effect 9 effect 10 and 10 and 12 memory 11 the 12 memory 13 performance 14 related 14 related 15 to 15 to 16 " 15 to 17 know 17 know 18 " 17 know 19 responses in addition , receiver operating characteristic curve analysis revealed higher diagnostic accuracy for recognition [test] with emotional stimuli than with neutral stimuli . 0 ###LEFT-WALL### 8 analysis 0 ###LEFT-WALL### 9 revealed 0 ###LEFT-WALL### 23 . 1 in 2 addition 1 in 3 , 1 in 8 analysis 4 receiver 5 operating 5 operating 6 characteristic 6 characteristic 7 curve 7 curve 8 analysis 8 analysis 9 revealed 9 revealed 12 accuracy 9 revealed 13 for 9 revealed 16 with 9 revealed 19 than 10 higher 11 diagnostic 11 diagnostic 12 accuracy 13 for 14 recognition 16 with 18 stimuli 17 emotional 18 stimuli 19 than 20 with 20 with 22 stimuli 21 neutral 22 stimuli conclusions : the present results implied that the absence of the emotional memory enhancement effect in amci patients might be related to their tendency to rely more on familiarity - based ["] know " responses for all stimuli . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 results 2 : 33 know 2 : 39 . 3 the 5 results 4 present 5 results 5 results 6 implied 5 results 7 that 5 results 20 be 5 results 21 related 5 results 33 know 7 that 9 absence 7 that 20 be 8 the 9 absence 9 absence 10 of 9 absence 19 might 10 of 15 effect 11 the 15 effect 12 emotional 13 memory 13 memory 15 effect 14 enhancement 15 effect 15 effect 16 in 16 in 18 patients 17 amci 18 patients 19 might 20 be 21 related 22 to 21 related 25 to 21 related 27 more 21 related 28 on 21 related 30 - 21 related 31 based 22 to 24 tendency 23 their 24 tendency 25 to 26 rely 28 on 29 familiarity 33 know 34 " 33 know 35 responses 35 responses 36 for 36 for 38 stimuli 37 all 38 stimuli furthermore , recognition memory tests using emotional stimuli may be better able than neutral stimuli to differentiate people with amci from cognitively normal older adults . 0 ###LEFT-WALL### 5 tests 0 ###LEFT-WALL### 10 be 0 ###LEFT-WALL### 26 . 1 furthermore 2 , 1 furthermore 5 tests 3 recognition 4 memory 4 memory 5 tests 5 tests 6 using 5 tests 9 may 6 using 8 stimuli 7 emotional 8 stimuli 9 may 10 be 10 be 11 better 10 be 12 able 12 able 13 than 12 able 16 to 12 able 17 differentiate 13 than 15 stimuli 14 neutral 15 stimuli 16 to 17 differentiate 17 differentiate 18 people 18 people 19 with 18 people 21 from 19 with 20 amci 21 from 25 adults 22 cognitively 23 normal 23 normal 25 adults 24 older 25 adults background : the choice of the best conduit for root/ascending disease and its impact on longevity remain controversial in quinquagenarians . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 12 and 2 : 17 remain 2 : 21 . 3 the 4 choice 4 choice 5 of 4 choice 12 and 5 of 8 conduit 6 the 7 best 6 the 8 conduit 8 conduit 9 for 9 for 11 disease 10 root/ascending 11 disease 12 and 14 impact 12 and 15 on 12 and 17 remain 13 its 14 impact 15 on 16 longevity 17 remain 18 controversial 18 controversial 19 in 19 in 20 quinquagenarians methods and results : a total of 205 patients ( men=155 ) between 50 and 60 years ( mean , 55.7 ± 2.9 years ) received either a stentless porcine xenoroot ( n=78 ) or [a] mechanically valved composite prosthesis ( n=127 ) between february 1998 and july 2011 . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 50 . 1 methods 2 and 2 and 3 results 4 : 15 and 4 : 35 or 5 a 6 total 6 total 7 of 6 total 13 between 6 total 15 and 7 of 9 patients 8 205 9 patients 9 patients 11 men=155 10 ( 11 men=155 11 men=155 12 ) 13 between 14 50 15 and 17 years 15 and 35 or 16 60 17 years 17 years 24 years 18 ( 24 years 19 mean 20 , 19 mean 24 years 21 55.7 24 years 22 ± 24 years 23 2.9 24 years 24 years 25 ) 26 received 27 either 26 received 31 xenoroot 26 received 35 or 28 a 29 stentless 28 a 31 xenoroot 29 stentless 31 xenoroot 30 porcine 31 xenoroot 31 xenoroot 33 n=78 32 ( 33 n=78 33 n=78 34 ) 35 or 38 valved 37 mechanically 38 valved 38 valved 40 prosthesis 38 valved 44 between 39 composite 40 prosthesis 40 prosthesis 42 n=127 41 ( 42 n=127 42 n=127 43 ) 44 between 47 and 45 february 46 1998 45 february 47 and 47 and 48 july 48 july 49 2011 the predominant aortic valve pathology was stenosis in 19 % ( n=38 ) , regurgitation in 50 % ( n=102 ) , combined valvular dysfunction in 26 % ( n=54 ) , and normal aortic valve function in 5 % ( n=11 ) . 0 ###LEFT-WALL### 5 pathology 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 44 . 1 the 5 pathology 2 predominant 4 valve 3 aortic 4 valve 4 valve 5 pathology 5 pathology 6 was 6 was 7 stenosis 7 stenosis 8 in 7 stenosis 15 regurgitation 8 in 10 % 9 19 10 % 10 % 12 n=38 11 ( 12 n=38 12 n=38 13 ) 14 , 15 regurgitation 15 regurgitation 16 in 15 regurgitation 21 ) 16 in 18 % 17 50 18 % 18 % 20 n=102 19 ( 20 n=102 20 n=102 21 ) 22 , 33 and 22 , 37 function 23 combined 25 dysfunction 24 valvular 25 dysfunction 25 dysfunction 26 in 25 dysfunction 33 and 26 in 28 % 27 26 28 % 28 % 30 n=54 29 ( 30 n=54 30 n=54 31 ) 32 , 33 and 33 and 36 valve 33 and 37 function 34 normal 36 valve 35 aortic 36 valve 37 function 38 in 38 in 40 % 39 5 40 % 40 % 42 n=11 41 ( 42 n=11 42 n=11 43 ) concomitant procedures included coronary artery bypass grafting ( 13 % ) , mitral valve repair ( 7 % ) , [and] partial/complete arch replacement ( 12%/4 [%] ) , with no significant differences between porcine and mechanical root replacement . 0 ###LEFT-WALL### 2 procedures 0 ###LEFT-WALL### 40 . 1 concomitant 2 procedures 2 procedures 3 included 3 included 7 grafting 3 included 30 with 4 coronary 7 grafting 5 artery 7 grafting 6 bypass 7 grafting 7 grafting 10 % 7 grafting 15 repair 8 ( 10 % 9 13 10 % 10 % 11 ) 12 , 15 repair 13 mitral 14 valve 14 valve 15 repair 15 repair 18 % 15 repair 24 replacement 15 repair 29 , 16 ( 18 % 17 7 18 % 18 % 19 ) 20 , 24 replacement 22 partial/complete 23 arch 23 arch 24 replacement 24 replacement 26 12%/4 24 replacement 29 , 25 ( 26 12%/4 26 12%/4 28 ) 30 with 33 differences 31 no 33 differences 32 significant 33 differences 33 differences 34 between 34 between 39 replacement 35 porcine 36 and 36 and 37 mechanical 36 and 39 replacement 38 root 39 replacement overall hospital mortality was 7.3 % , with no difference between the 2 types of valve prostheses ( 7.7 % for porcine and 7.1 % [for] mechanical root replacement ; p=1.0 [ )( 0 ###LEFT-WALL### 3 mortality 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 30 ; 0 ###LEFT-WALL### 33 )( 1 overall 3 mortality 2 hospital 3 mortality 3 mortality 4 was 4 was 6 % 5 7.3 6 % 6 % 8 with 7 , 8 with 8 with 10 difference 8 with 11 between 8 with 30 ; 9 no 10 difference 11 between 14 types 12 the 13 2 13 2 14 types 14 types 15 of 15 of 17 prostheses 16 valve 17 prostheses 17 prostheses 20 % 18 ( 20 % 19 7.7 20 % 20 % 21 for 20 % 30 ; 21 for 23 and 22 porcine 23 and 23 and 29 replacement 24 7.1 25 % 25 % 29 replacement 27 mechanical 28 root 28 root 29 replacement 30 ; 31 p=1.0 follow - up averaged 5.4 ± 3.7 years ( 1096 patient - years ) and was 100 % [complete] . 0 ###LEFT-WALL### 1 follow 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 20 . 2 - 15 and 3 up 15 and 4 averaged 8 years 4 averaged 15 and 5 5.4 8 years 6 ± 8 years 7 3.7 8 years 8 years 13 years 9 ( 13 years 10 1096 13 years 11 patient 12 - 11 patient 13 years 13 years 14 ) 15 and 16 was 16 was 18 % 17 100 18 % freedom from aorta [-] related reoperation at 12 years was not statistically different between the groups ( [porcine] [:] 94.9 % versus mechanical [:] [96.1] % [;] p=0.73 ) . 0 ###LEFT-WALL### 1 freedom 0 ###LEFT-WALL### 10 was 0 ###LEFT-WALL### 30 . 1 freedom 2 from 1 freedom 7 at 1 freedom 10 was 2 from 6 reoperation 3 aorta 5 related 5 related 6 reoperation 7 at 9 years 8 12 9 years 10 was 11 not 10 was 12 statistically 10 was 13 different 13 different 14 between 14 between 16 groups 15 the 16 groups 16 groups 21 % 17 ( 21 % 20 94.9 21 % 21 % 22 versus 21 % 29 ) 22 versus 28 p=0.73 23 mechanical 28 p=0.73 26 % 28 p=0.73 the linearized mortality rate was 3.1%/patient - year [(] porcine [:] 2.9%/patient - year [;] mechanical [:] 3.2%/patient - [year] ) . 0 ###LEFT-WALL### 4 rate 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 22 . 1 the 4 rate 2 linearized 3 mortality 3 mortality 4 rate 4 rate 5 was 5 was 6 3.1%/patient 6 3.1%/patient 12 2.9%/patient 7 - 12 2.9%/patient 8 year 12 2.9%/patient 10 porcine 12 2.9%/patient 12 2.9%/patient 18 3.2%/patient 12 2.9%/patient 21 ) 13 - 18 3.2%/patient 14 year 18 3.2%/patient 16 mechanical 18 3.2%/patient 18 3.2%/patient 19 - conclusions : in quinquagenerians , long - term survival after stentless porcine [xenograft] aortic root replacement is equivalent to that after a mechanical bentall procedure . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 - 1 conclusions 2 : 2 : 3 in 2 : 6 long 3 in 4 quinquagenerians 5 , 6 long 6 long 7 - 7 - 9 survival 7 - 17 is 7 - 26 . 8 term 9 survival 9 survival 10 after 9 survival 17 is 10 after 16 replacement 11 stentless 16 replacement 12 porcine 16 replacement 14 aortic 15 root 15 root 16 replacement 17 is 18 equivalent 18 equivalent 19 to 18 equivalent 21 after 19 to 20 that 21 after 25 procedure 22 a 25 procedure 23 mechanical 25 procedure 24 bentall 25 procedure these results bring into [question] the predominance of mechanical composite conduits for root replacement in quinquagenerians , particularly in the current era of transcatheter [valve] - in [-] valve procedures for structural valve deterioration . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 bring 0 ###LEFT-WALL### 35 . 1 these 2 results 2 results 3 bring 3 bring 4 into 3 bring 12 for 3 bring 15 in 3 bring 27 in 4 into 7 predominance 6 the 7 predominance 7 predominance 8 of 8 of 11 conduits 9 mechanical 10 composite 10 composite 11 conduits 12 for 14 replacement 13 root 14 replacement 15 in 16 quinquagenerians 16 quinquagenerians 19 in 17 , 18 particularly 17 , 19 in 19 in 22 era 19 in 26 - 20 the 22 era 21 current 22 era 22 era 23 of 23 of 24 transcatheter 27 in 30 procedures 29 valve 30 procedures 30 procedures 31 for 31 for 34 deterioration 32 structural 33 valve 33 valve 34 deterioration ageing is associated with a variety of pathophysiological changes , including development of insulin resistance , progressive decline [in] β - cell function and chronic inflammation , all of which affect metabolic homeostasis in response to nutritional and environmental stimuli . 0 ###LEFT-WALL### 1 ageing 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 41 . 1 ageing 2 is 2 is 3 associated 3 associated 4 with 4 with 6 variety 5 a 6 variety 6 variety 7 of 7 of 9 changes 8 pathophysiological 9 changes 10 , 28 all 10 , 31 affect 11 including 24 and 11 including 27 , 11 including 28 all 12 development 13 of 12 development 16 , 13 of 15 resistance 14 insulin 15 resistance 16 , 23 function 16 , 24 and 17 progressive 23 function 18 decline 23 function 20 β 21 - 20 β 22 cell 22 cell 23 function 24 and 26 inflammation 25 chronic 26 inflammation 28 all 29 of 28 all 31 affect 29 of 30 which 31 affect 33 homeostasis 32 metabolic 33 homeostasis 33 homeostasis 35 response 33 homeostasis 36 to 34 in 35 response 36 to 38 and 37 nutritional 38 and 38 and 40 stimuli 39 environmental 40 stimuli sirt1 , the mammalian nicotinamide adenine dinucleotide ( nad ) - dependent protein deacetylase , and nicotinamide phosphoribosyltransferase ( nampt ) , the rate - limiting nad biosynthetic enzyme , together comprise a novel systemic regulatory network , named the ['] nad world ['] , that orchestrates physiological responses to internal and external perturbations and maintains the robustness of the physiological system in mammals . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 32 comprise 0 ###LEFT-WALL### 38 , 0 ###LEFT-WALL### 65 . 1 sirt1 7 dinucleotide 1 sirt1 16 and 2 , 7 dinucleotide 3 the 7 dinucleotide 4 mammalian 7 dinucleotide 5 nicotinamide 6 adenine 6 adenine 7 dinucleotide 7 dinucleotide 9 nad 7 dinucleotide 14 deacetylase 7 dinucleotide 15 , 8 ( 9 nad 9 nad 10 ) 11 - 14 deacetylase 12 dependent 14 deacetylase 13 protein 14 deacetylase 14 deacetylase 15 , 15 , 16 and 16 and 18 phosphoribosyltransferase 16 and 20 nampt 16 and 24 rate 16 and 26 limiting 16 and 32 comprise 17 nicotinamide 18 phosphoribosyltransferase 19 ( 20 nampt 20 nampt 21 ) 22 , 24 rate 23 the 24 rate 24 rate 25 - 25 - 26 limiting 26 limiting 29 enzyme 26 limiting 30 , 27 nad 29 enzyme 28 biosynthetic 29 enzyme 31 together 32 comprise 32 comprise 37 network 33 a 34 novel 33 a 37 network 34 novel 37 network 35 systemic 37 network 36 regulatory 37 network 38 , 46 that 38 , 55 and 39 named 43 world 39 named 45 , 39 named 46 that 40 the 43 world 42 nad 43 world 46 that 55 and 47 orchestrates 49 responses 47 orchestrates 55 and 48 physiological 49 responses 49 responses 50 to 50 to 54 perturbations 51 internal 52 and 52 and 53 external 52 and 54 perturbations 55 and 56 maintains 55 and 63 in 56 maintains 58 robustness 57 the 58 robustness 58 robustness 59 of 59 of 62 system 60 the 62 system 61 physiological 62 system 63 in 64 mammals in the past decade , an accumulating body of evidence has demonstrated that sirt1 and nampt , two essential components in the nad world , play a critical role in regulating insulin sensitivity and insulin secretion throughout the body . 0 ###LEFT-WALL### 8 body 0 ###LEFT-WALL### 12 demonstrated 0 ###LEFT-WALL### 40 . 1 in 4 decade 1 in 5 , 1 in 8 body 2 the 4 decade 3 past 4 decade 6 an 8 body 7 accumulating 8 body 8 body 9 of 8 body 11 has 9 of 10 evidence 11 has 12 demonstrated 12 demonstrated 13 that 13 that 15 and 13 that 26 play 14 sirt1 15 and 15 and 16 nampt 15 and 26 play 16 nampt 20 components 17 , 20 components 18 two 20 components 19 essential 20 components 20 components 21 in 20 components 25 , 21 in 24 world 22 the 24 world 23 nad 24 world 26 play 29 role 27 a 29 role 28 critical 29 role 29 role 30 in 30 in 31 regulating 31 regulating 34 and 31 regulating 37 throughout 32 insulin 33 sensitivity 33 sensitivity 34 and 34 and 36 secretion 35 insulin 36 secretion 37 throughout 39 body 38 the 39 body in this article , we will summarize the physiological significance of sirt1 and nampt - mediated nad biosynthesis in metabolic regulation and discuss the ideas of functional hierarchy [and] frailty in determining the robustness of the system . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 38 . 1 in 3 article 1 in 4 , 1 in 5 we 2 this 3 article 5 we 13 and 6 will 7 summarize 6 will 13 and 7 summarize 10 significance 8 the 10 significance 9 physiological 10 significance 10 significance 11 of 11 of 12 sirt1 13 and 22 and 13 and 31 in 14 nampt 15 - 14 nampt 22 and 16 mediated 18 biosynthesis 16 mediated 19 in 16 mediated 22 and 17 nad 18 biosynthesis 19 in 21 regulation 20 metabolic 21 regulation 22 and 23 discuss 23 discuss 25 ideas 24 the 25 ideas 25 ideas 26 of 26 of 30 frailty 27 functional 28 hierarchy 28 hierarchy 30 frailty 31 in 32 determining 32 determining 34 robustness 33 the 34 robustness 34 robustness 35 of 35 of 37 system 36 the 37 system we will also discuss the potential of key nad intermediates as effective nutriceuticals for the prevention and the treatment of age - associated metabolic complications , such as type 2 diabetes . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 4 discuss 0 ###LEFT-WALL### 32 . 1 we 2 will 2 will 4 discuss 3 also 4 discuss 4 discuss 6 potential 4 discuss 11 as 5 the 6 potential 6 potential 7 of 7 of 10 intermediates 8 key 10 intermediates 9 nad 10 intermediates 11 as 13 nutriceuticals 12 effective 13 nutriceuticals 13 nutriceuticals 14 for 13 nutriceuticals 20 of 13 nutriceuticals 28 as 14 for 17 and 15 the 16 prevention 16 prevention 17 and 17 and 19 treatment 18 the 19 treatment 20 of 21 age 21 age 25 complications 22 - 25 complications 23 associated 25 complications 24 metabolic 25 complications 25 complications 26 , 27 such 28 as 28 as 31 diabetes 29 type 31 diabetes 30 2 31 diabetes some features of sporadic inclusion body myositis ( s - ibm ) suggest that there is acceleration of the normal ageing process in muscle tissue . 0 ###LEFT-WALL### 16 is 0 ###LEFT-WALL### 26 . 1 some 2 features 2 features 3 of 2 features 13 suggest 3 of 7 myositis 4 sporadic 5 inclusion 5 inclusion 6 body 6 body 7 myositis 7 myositis 10 - 8 ( 10 - 9 s 10 - 10 - 11 ibm 10 - 12 ) 13 suggest 14 that 14 that 15 there 14 that 16 is 16 is 17 acceleration 16 is 22 process 17 acceleration 18 of 18 of 21 ageing 19 the 21 ageing 20 normal 21 ageing 22 process 23 in 23 in 25 tissue 24 muscle 25 tissue lmna encodes the nuclear lamina proteins lamin a/c through alternative splicing , and aberrant splicing of exon 11 leads to the premature ageing disease , hutchinson - gilford progeria syndrome . 0 ###LEFT-WALL### 1 lmna 0 ###LEFT-WALL### 2 encodes 0 ###LEFT-WALL### 25 , 1 lmna 2 encodes 2 encodes 8 a/c 2 encodes 9 through 3 the 8 a/c 4 nuclear 6 proteins 5 lamina 6 proteins 6 proteins 8 a/c 7 lamin 8 a/c 9 through 13 and 10 alternative 11 splicing 10 alternative 13 and 12 , 13 and 13 and 15 splicing 14 aberrant 15 splicing 15 splicing 16 of 16 of 19 leads 17 exon 19 leads 18 11 19 leads 19 leads 20 to 20 to 24 disease 21 the 24 disease 22 premature 23 ageing 23 ageing 24 disease 25 , 26 hutchinson 25 , 27 - 27 - 30 syndrome 27 - 31 . 28 gilford 30 syndrome 29 progeria 30 syndrome progerin , the pathogenic isoform expressed in hgps tissues , has also been detected at low levels in tissues of normal individuals with aging . 0 ###LEFT-WALL### 1 progerin 0 ###LEFT-WALL### 14 detected 0 ###LEFT-WALL### 25 . 1 progerin 5 isoform 1 progerin 11 has 2 , 5 isoform 3 the 5 isoform 4 pathogenic 5 isoform 5 isoform 6 expressed 5 isoform 10 , 6 expressed 7 in 7 in 9 tissues 8 hgps 9 tissues 11 has 13 been 12 also 13 been 13 been 14 detected 14 detected 15 at 14 detected 18 in 14 detected 23 with 15 at 17 levels 16 low 17 levels 18 in 19 tissues 19 tissues 20 of 20 of 22 individuals 21 normal 22 individuals 23 with 24 aging we therefore investigated the alternative splicing of lmna gene transcripts , and the post - translational processing of prelamin a , [in] s - ibm and control muscle samples . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 15 - 1 we 3 investigated 2 therefore 3 investigated 3 investigated 5 alternative 4 the 5 alternative 5 alternative 6 splicing 5 alternative 7 of 7 of 12 and 8 lmna 10 transcripts 9 gene 10 transcripts 10 transcripts 12 and 11 , 12 and 12 and 14 post 13 the 14 post 15 - 17 processing 16 translational 17 processing 17 processing 18 of 17 processing 24 - 18 of 19 prelamin 19 prelamin 20 a 21 , 24 - 23 s 24 - 24 - 29 samples 24 - 30 . 25 ibm 26 and 26 and 28 muscle 26 and 29 samples 27 control 28 muscle however , an age - related [shift] in the balance of splicing towards lamin a - related transcripts , which was present in normal muscles , was not found in [s] - ibm . 0 ###LEFT-WALL### 4 age 0 ###LEFT-WALL### 17 related 0 ###LEFT-WALL### 19 , 1 however 2 , 1 however 4 age 3 an 4 age 4 age 6 related 4 age 17 related 5 - 6 related 6 related 8 in 6 related 16 - 8 in 10 balance 9 the 10 balance 10 balance 11 of 11 of 12 splicing 12 splicing 13 towards 13 towards 14 lamin 14 lamin 15 a 17 related 18 transcripts 19 , 20 which 19 , 26 , 19 , 32 - 20 which 26 , 21 was 22 present 21 was 26 , 22 present 23 in 23 in 25 muscles 24 normal 25 muscles 26 , 27 was 27 was 28 not 27 was 29 found 29 found 30 in 32 - 33 ibm 32 - 34 . despite improvements in human leukocyte antigen matching and pharmacologic prophylaxis , acute graft - [versus] - host disease ( gvhd ) is often a fatal complication following hematopoietic stem cell transplant ( hsct ) . 0 ###LEFT-WALL### 18 disease 0 ###LEFT-WALL### 22 is 0 ###LEFT-WALL### 35 . 1 despite 8 and 1 despite 16 - 1 despite 18 disease 2 improvements 3 in 2 improvements 8 and 3 in 6 antigen 4 human 6 antigen 5 leukocyte 6 antigen 6 antigen 7 matching 8 and 10 prophylaxis 8 and 13 graft 9 pharmacologic 10 prophylaxis 11 , 13 graft 12 acute 13 graft 13 graft 14 - 17 host 18 disease 18 disease 20 gvhd 18 disease 22 is 19 ( 20 gvhd 20 gvhd 21 ) 22 is 23 often 22 is 31 transplant 24 a 25 fatal 24 a 31 transplant 25 fatal 31 transplant 26 complication 27 following 27 following 31 transplant 28 hematopoietic 31 transplant 29 stem 31 transplant 30 cell 31 transplant 31 transplant 33 hsct 32 ( 33 hsct 33 hsct 34 ) older hsct recipients experience significantly increased morbidity and mortality compared to young recipients . 0 ###LEFT-WALL### 3 recipients 0 ###LEFT-WALL### 4 experience 0 ###LEFT-WALL### 14 . 1 older 3 recipients 2 hsct 3 recipients 3 recipients 4 experience 4 experience 8 and 5 significantly 6 increased 6 increased 7 morbidity 7 morbidity 8 and 8 and 9 mortality 8 and 10 compared 10 compared 11 to 11 to 13 recipients 12 young 13 recipients prophylaxis with syngeneic regulatory dendritic cells ( dcreg ) in young bone marrow transplanted ( bmt ) [mice] has been shown to decrease gvhd - associated mortality . 0 ###LEFT-WALL### 1 prophylaxis 0 ###LEFT-WALL### 21 shown 0 ###LEFT-WALL### 25 - 0 ###LEFT-WALL### 28 . 1 prophylaxis 2 with 1 prophylaxis 10 in 1 prophylaxis 14 transplanted 1 prophylaxis 16 bmt 1 prophylaxis 19 has 2 with 6 cells 3 syngeneic 6 cells 4 regulatory 6 cells 5 dendritic 6 cells 6 cells 8 dcreg 7 ( 8 dcreg 8 dcreg 9 ) 10 in 13 marrow 11 young 12 bone 12 bone 13 marrow 15 ( 16 bmt 16 bmt 17 ) 19 has 20 been 20 been 21 shown 21 shown 22 to 22 to 23 decrease 23 decrease 24 gvhd 25 - 27 mortality 26 associated 27 mortality to evaluate this approach in older bmt recipients , young ( 3 - 4 months ) and older ( 14 - 18 months ) dcreg were generated using gm - csf , il - 10 , and tgfβ . 0 ###LEFT-WALL### 25 dcreg 0 ###LEFT-WALL### 27 generated 1 to 2 evaluate 1 to 9 , 1 to 25 dcreg 2 evaluate 4 approach 2 evaluate 5 in 3 this 4 approach 5 in 8 recipients 6 older 8 recipients 7 bmt 8 recipients 10 young 13 - 10 young 17 and 11 ( 13 - 12 3 13 - 13 - 15 months 13 - 16 ) 14 4 15 months 17 and 18 older 17 and 25 dcreg 18 older 21 - 19 ( 21 - 20 14 21 - 21 - 23 months 21 - 24 ) 22 18 23 months 25 dcreg 26 were 26 were 27 generated 27 generated 28 using 28 using 31 csf 29 gm 31 csf 30 - 31 csf 31 csf 37 and 32 , 37 and 33 il 35 10 33 il 37 and 34 - 35 10 35 10 36 , 37 and 38 tgfβ 37 and 39 . analysis of young [versus] older dcreg following culture revealed no differences in phenotype . 0 ###LEFT-WALL### 13 phenotype 0 ###LEFT-WALL### 14 . 1 analysis 2 of 1 analysis 13 phenotype 2 of 6 dcreg 3 young 5 older 5 older 6 dcreg 6 dcreg 7 following 6 dcreg 8 culture 6 dcreg 12 in 8 culture 9 revealed 9 revealed 11 differences 9 revealed 12 in 10 no 11 differences the efficacy of dcreg treatment in older bmt mice was evaluated in a balb/c→c57bl/6 model of gvhd ; on day 2 post - bmt ( [d] +2 ) , mice received syngeneic , age - matched dcreg . 0 ###LEFT-WALL### 2 efficacy 0 ###LEFT-WALL### 11 evaluated 0 ###LEFT-WALL### 18 ; 1 the 2 efficacy 2 efficacy 3 of 2 efficacy 6 in 2 efficacy 10 was 3 of 5 treatment 4 dcreg 5 treatment 6 in 9 mice 7 older 9 mice 8 bmt 9 mice 10 was 11 evaluated 11 evaluated 12 in 12 in 15 model 13 a 15 model 14 balb/c→c57bl/6 15 model 15 model 16 of 16 of 17 gvhd 18 ; 30 mice 18 ; 33 , 18 ; 35 - 19 on 22 post 19 on 29 , 19 on 30 mice 20 day 21 2 20 day 22 post 22 post 24 bmt 23 - 24 bmt 24 bmt 27 +2 24 bmt 29 , 25 ( 27 +2 27 +2 28 ) 30 mice 33 , 31 received 32 syngeneic 31 received 33 , 33 , 34 age 35 - 37 dcreg 35 - 38 . 36 matched 37 dcreg although older dcreg - treated bmt mice showed decreased morbidity and mortality compared to untreated bmt mice ( all of which died ) , there was a small but significant decrease in the survival of older dcreg - treated bmt mice ( 75 % survival ) compared to young dcreg - treated bmt mice ( 90 % survival ) . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 13 compared 0 ###LEFT-WALL### 24 , 1 although 3 dcreg 1 although 11 and 2 older 3 dcreg 3 dcreg 9 decreased 4 - 9 decreased 5 treated 6 bmt 6 bmt 7 mice 6 bmt 8 showed 6 bmt 9 decreased 7 mice 8 showed 10 morbidity 11 and 11 and 12 mortality 11 and 13 compared 13 compared 14 to 14 to 17 mice 15 untreated 17 mice 16 bmt 17 mice 17 mice 19 all 18 ( 19 all 19 all 20 of 19 all 23 ) 20 of 21 which 21 which 22 died 24 , 25 there 24 , 26 was 25 there 26 was 26 was 31 decrease 27 a 31 decrease 28 small 29 but 29 but 30 significant 29 but 31 decrease 31 decrease 32 in 31 decrease 47 compared 32 in 34 survival 33 the 34 survival 34 survival 35 of 34 survival 41 mice 35 of 37 dcreg 36 older 37 dcreg 38 - 41 mice 39 treated 41 mice 40 bmt 41 mice 41 mice 45 survival 41 mice 46 ) 42 ( 45 survival 43 75 44 % 44 % 45 survival 45 survival 46 ) 47 compared 48 to 48 to 50 dcreg 49 young 50 dcreg 50 dcreg 54 mice 51 - 54 mice 52 treated 54 mice 53 bmt 54 mice 54 mice 58 survival 54 mice 60 . 55 ( 58 survival 56 90 57 % 57 % 58 survival 58 survival 59 ) to investigate differences between dendritic cells ( [dc] [ )(in young and older dcreg - treated bmt mice that may play a role in dcreg function in vivo , [dc] phenotypes were assessed following dcreg adoptive transfer . 0 ###LEFT-WALL### 17 bmt 0 ###LEFT-WALL### 32 were 0 ###LEFT-WALL### 38 . 1 to 2 investigate 1 to 15 - 1 to 17 bmt 2 investigate 3 differences 3 differences 4 between 3 differences 10 )(in 4 between 6 cells 5 dendritic 6 cells 7 ( 10 )(in 10 )(in 14 dcreg 10 )(in 15 - 11 young 12 and 12 and 13 older 12 and 14 dcreg 16 treated 17 bmt 17 bmt 18 mice 17 bmt 29 , 17 bmt 32 were 18 mice 19 that 18 mice 20 may 18 mice 29 , 19 that 20 may 20 may 21 play 21 play 23 role 21 play 24 in 22 a 23 role 24 in 25 dcreg 26 function 28 vivo 26 function 29 , 27 in 28 vivo 29 , 31 phenotypes 32 were 37 transfer 33 assessed 34 following 34 following 37 transfer 35 dcreg 37 transfer 36 adoptive 37 transfer transferred dcreg identified in older dcreg - treated bmt mice at [d] +3 showed significantly lower expression of pd - l1 and pir b compared to dcreg from young dcreg - treated bmt mice . 0 ###LEFT-WALL### 2 dcreg 0 ###LEFT-WALL### 32 treated 0 ###LEFT-WALL### 35 . 1 transferred 2 dcreg 2 dcreg 3 identified 2 dcreg 10 mice 2 dcreg 14 showed 2 dcreg 32 treated 3 identified 4 in 3 identified 7 - 3 identified 8 treated 4 in 6 dcreg 5 older 6 dcreg 9 bmt 10 mice 10 mice 11 at 10 mice 14 showed 11 at 13 +3 14 showed 17 expression 15 significantly 16 lower 16 lower 17 expression 17 expression 18 of 18 of 19 pd 19 pd 23 pir 20 - 23 pir 21 l1 22 and 22 and 23 pir 23 pir 24 b 23 pir 25 compared 23 pir 28 from 23 pir 31 - 25 compared 26 to 26 to 27 dcreg 28 from 30 dcreg 29 young 30 dcreg 32 treated 34 mice 33 bmt 34 mice in addition , donor [dc] identified [in] [d] +21 dcreg - treated bmt mice displayed increased inhibitory molecule and decreased co - stimulatory molecule expression compared to [d] +3 , suggesting induction of a regulatory phenotype on the donor [dc] . 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 26 compared 1 in 2 addition 2 addition 3 , 3 , 18 molecule 3 , 19 and 4 donor 6 identified 6 identified 9 +21 9 +21 18 molecule 10 dcreg 16 increased 10 dcreg 18 molecule 11 - 16 increased 12 treated 13 bmt 13 bmt 14 mice 13 bmt 15 displayed 13 bmt 16 increased 14 mice 15 displayed 17 inhibitory 18 molecule 19 and 25 expression 19 and 26 compared 20 decreased 23 stimulatory 21 co 22 - 21 co 23 stimulatory 23 stimulatory 24 molecule 24 molecule 25 expression 26 compared 27 to 26 compared 31 suggesting 27 to 29 +3 30 , 31 suggesting 31 suggesting 32 induction 31 suggesting 37 on 31 suggesting 41 . 32 induction 33 of 33 of 36 phenotype 34 a 35 regulatory 34 a 36 phenotype 35 regulatory 36 phenotype 37 on 39 donor 38 the 39 donor in conclusion , these data indicate dcreg treatment is effective in the modulation of gvhd in older bmt recipients and provide evidence for inhibitory pathways that dcreg and donor [dc] may utilize to induce and maintain tolerance to gvhd . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 40 . 1 in 2 conclusion 3 , 5 data 3 , 20 and 4 these 5 data 5 data 20 and 6 indicate 8 treatment 6 indicate 9 is 6 indicate 20 and 7 dcreg 8 treatment 8 treatment 9 is 9 is 10 effective 10 effective 11 in 10 effective 16 in 11 in 13 modulation 12 the 13 modulation 13 modulation 14 of 14 of 15 gvhd 16 in 19 recipients 17 older 19 recipients 18 bmt 19 recipients 20 and 35 and 21 provide 22 evidence 21 provide 35 and 22 evidence 23 for 22 evidence 33 to 22 evidence 34 induce 23 for 25 pathways 24 inhibitory 25 pathways 25 pathways 26 that 25 pathways 32 utilize 26 that 28 and 26 that 32 utilize 27 dcreg 28 and 28 and 29 donor 28 and 31 may 31 may 32 utilize 33 to 34 induce 35 and 36 maintain 36 maintain 37 tolerance 36 maintain 38 to 38 to 39 gvhd community - acquired lower respiratory tract infections ( lrti ) and pneumonia ( cap ) are common causes of morbidity and mortality among those aged ≥65 years ; a growing [population] in [many] countries . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 16 are 0 ###LEFT-WALL### 28 ; 0 ###LEFT-WALL### 35 . 1 community 7 infections 1 community 11 and 2 - 7 infections 3 acquired 6 tract 4 lower 6 tract 5 respiratory 6 tract 6 tract 7 infections 7 infections 9 lrti 7 infections 10 ) 8 ( 9 lrti 9 lrti 10 ) 11 and 12 pneumonia 11 and 14 cap 11 and 16 are 13 ( 14 cap 14 cap 15 ) 16 are 18 causes 16 are 23 among 17 common 18 causes 18 causes 19 of 19 of 21 and 20 morbidity 21 and 21 and 22 mortality 23 among 27 years 24 those 27 years 25 aged 27 years 26 ≥65 27 years 28 ; 34 countries 29 a 32 in 30 growing 32 in 32 in 34 countries detailed incidence estimates for these infections among older adults in the united kingdom ( uk ) are lacking . 0 ###LEFT-WALL### 3 estimates 0 ###LEFT-WALL### 17 are 0 ###LEFT-WALL### 19 . 1 detailed 2 incidence 2 incidence 3 estimates 3 estimates 4 for 3 estimates 17 are 4 for 6 infections 5 these 6 infections 6 infections 7 among 6 infections 10 in 7 among 9 adults 8 older 9 adults 10 in 13 kingdom 11 the 13 kingdom 12 united 13 kingdom 13 kingdom 15 uk 14 ( 15 uk 15 uk 16 ) 17 are 18 lacking we used electronic general practice records from the clinical practice research data link [,] linked to hospital episode statistics inpatient data , to estimate incidence of community - acquired lrti and cap among uk older adults between april 1997 - march 2011 , by age , sex , region and deprivation quintile . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 1 we 2 used 2 used 6 records 2 used 7 from 3 electronic 6 records 4 general 5 practice 5 practice 6 records 7 from 9 clinical 8 the 9 clinical 9 clinical 13 link 9 clinical 15 linked 10 practice 13 link 11 research 12 data 12 data 13 link 13 link 15 linked 15 linked 16 to 16 to 18 episode 17 hospital 18 episode 18 episode 21 data 18 episode 29 acquired 19 statistics 21 data 20 inpatient 21 data 21 data 23 to 21 data 29 acquired 22 , 23 to 23 to 24 estimate 23 to 28 - 24 estimate 25 incidence 25 incidence 26 of 26 of 27 community 29 acquired 32 cap 29 acquired 33 among 30 lrti 31 and 31 and 32 cap 33 among 34 uk 34 uk 44 by 35 older 36 adults 36 adults 37 between 36 adults 41 march 37 between 38 april 38 april 39 1997 40 - 41 march 41 march 42 2011 41 march 43 , 43 , 44 by 44 by 50 and 44 by 53 . 45 age 46 , 46 , 47 sex 46 , 48 , 48 , 49 region 48 , 50 and 50 and 52 quintile 50 and 53 . 51 deprivation 52 quintile levels of antibiotic prescribing were also assessed . 0 ###LEFT-WALL### 1 levels 0 ###LEFT-WALL### 7 assessed 0 ###LEFT-WALL### 8 . 1 levels 2 of 1 levels 5 were 2 of 4 prescribing 3 antibiotic 4 prescribing 5 were 7 assessed 6 also 7 assessed lrti [incidence] increased with fluctuations over time , was higher in men than women aged ≥70 and increased with age from 92.21 episodes/1000 person [-] years ( 65 - 69 years ) to 187.91/1000 ( 85 - 89 years ) . 0 ###LEFT-WALL### 1 lrti 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 13 than 0 ###LEFT-WALL### 41 . 1 lrti 8 , 3 increased 4 with 3 increased 6 over 3 increased 8 , 4 with 5 fluctuations 6 over 7 time 8 , 9 was 8 , 13 than 9 was 10 higher 10 higher 11 in 11 in 12 men 13 than 14 women 13 than 17 and 14 women 17 and 15 aged 16 ≥70 15 aged 17 and 17 and 18 increased 18 increased 19 with 18 increased 33 to 18 increased 37 - 19 with 20 age 19 with 26 years 20 age 21 from 21 from 22 92.21 23 episodes/1000 24 person 24 person 26 years 26 years 31 years 27 ( 31 years 28 65 29 - 29 - 30 69 29 - 31 years 31 years 32 ) 33 to 34 187.91/1000 35 ( 37 - 36 85 37 - 37 - 39 years 37 - 40 ) 38 89 39 years cap [incidence] increased more markedly with age , from 2.81 to 21.81 episodes/1000 [person] - years respectively , and was higher among men . 0 ###LEFT-WALL### 1 cap 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 24 . 1 cap 19 and 3 increased 5 markedly 3 increased 6 with 3 increased 17 respectively 3 increased 19 and 4 more 5 markedly 6 with 7 age 6 with 16 years 7 age 9 from 8 , 9 from 9 from 10 2.81 9 from 15 - 10 2.81 11 to 11 to 13 episodes/1000 12 21.81 13 episodes/1000 18 , 19 and 19 and 20 was 20 was 21 higher 21 higher 22 among 22 among 23 men for both infection groups , increases over time were attenuated after age - standardisation , indicating that [these] rises were largely due to population aging . 0 ###LEFT-WALL### 6 increases 0 ###LEFT-WALL### 10 attenuated 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 26 . 1 for 4 groups 1 for 5 , 1 for 6 increases 2 both 4 groups 3 infection 4 groups 6 increases 7 over 6 increases 9 were 7 over 8 time 9 were 10 attenuated 10 attenuated 11 after 11 after 12 age 12 age 14 standardisation 13 - 14 standardisation 14 standardisation 15 , 15 , 16 indicating 15 , 20 were 16 indicating 17 that 16 indicating 19 rises 16 indicating 20 were 17 that 19 rises 20 were 21 largely 20 were 23 to 22 due 23 to 23 to 24 population 24 population 25 aging rates among those in the most deprived quintile were around 70 % higher than the least deprived and were generally higher in the north of england . 0 ###LEFT-WALL### 1 rates 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 27 . 1 rates 2 among 1 rates 9 were 2 among 3 those 3 those 4 in 4 in 8 quintile 5 the 6 most 6 most 8 quintile 7 deprived 8 quintile 9 were 12 % 10 around 11 70 11 70 12 % 12 % 13 higher 12 % 18 and 13 higher 14 than 13 higher 16 least 15 the 16 least 17 deprived 18 and 18 and 19 were 19 were 20 generally 19 were 21 higher 21 higher 22 in 22 in 24 north 23 the 24 north 24 north 25 of 25 of 26 england gp antibiotic prescribing rates were high for lrti but lower for cap ( mostly due to immediate hospitalisation ) . 0 ###LEFT-WALL### 4 rates 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 20 . 1 gp 2 antibiotic 2 antibiotic 4 rates 3 prescribing 4 rates 4 rates 5 were 5 were 9 but 6 high 7 for 6 high 9 but 7 for 8 lrti 9 but 10 lower 10 lower 11 for 10 lower 16 to 11 for 12 cap 13 ( 14 mostly 13 ( 16 to 15 due 16 to 16 to 18 hospitalisation 16 to 19 ) 17 immediate 18 hospitalisation this is the first study to provide long - term detailed incidence estimates of community [-] acquired lrti and cap in uk older individuals , taking person [-] time at risk into account . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 34 . 1 this 2 is 2 is 5 study 3 the 5 study 4 first 5 study 5 study 6 to 5 study 7 provide 6 to 7 provide 7 provide 13 estimates 7 provide 33 account 8 long 9 - 8 long 10 term 10 term 13 estimates 11 detailed 13 estimates 12 incidence 13 estimates 13 estimates 14 of 13 estimates 26 taking 14 of 19 and 15 community 17 acquired 17 acquired 18 lrti 18 lrti 19 and 19 and 20 cap 19 and 25 , 20 cap 21 in 21 in 24 individuals 22 uk 24 individuals 23 older 24 individuals 26 taking 29 time 26 taking 30 at 27 person 29 time 30 at 31 risk 32 into 33 account the summary incidence commonly presented for the ≥65 age group considerably underestimates lrti/cap rates , particularly among older individuals within this group . 0 ###LEFT-WALL### 3 incidence 0 ###LEFT-WALL### 12 underestimates 1 the 3 incidence 2 summary 3 incidence 3 incidence 5 presented 3 incidence 12 underestimates 4 commonly 5 presented 5 presented 6 for 6 for 10 group 7 the 10 group 8 ≥65 10 group 9 age 10 group 11 considerably 12 underestimates 12 underestimates 14 rates 13 lrti/cap 14 rates 14 rates 17 among 15 , 16 particularly 15 , 17 among 17 among 19 individuals 17 among 23 . 18 older 19 individuals 19 individuals 20 within 20 within 22 group 21 this 22 group our methodology and findings are likely to be highly relevant to health planners and researchers in other countries with aging populations . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 22 . 1 our 2 methodology 2 methodology 3 and 3 and 4 findings 3 and 5 are 5 are 6 likely 6 likely 7 to 6 likely 8 be 7 to 8 be 8 be 9 highly 8 be 10 relevant 10 relevant 11 to 10 relevant 16 in 11 to 14 and 12 health 13 planners 13 planners 14 and 14 and 15 researchers 16 in 18 countries 17 other 18 countries 18 countries 19 with 19 with 20 aging 20 aging 21 populations with ageing populations , it becomes [increasingly] important to understand the determinants of cognitive ability among the elderly . 0 ###LEFT-WALL### 5 it 0 ###LEFT-WALL### 6 becomes 0 ###LEFT-WALL### 19 . 1 with 3 populations 1 with 4 , 1 with 5 it 2 ageing 3 populations 5 it 6 becomes 6 becomes 8 important 8 important 9 to 8 important 10 understand 9 to 10 understand 10 understand 12 determinants 10 understand 16 among 11 the 12 determinants 12 determinants 13 of 13 of 15 ability 14 cognitive 15 ability 16 among 18 elderly 17 the 18 elderly we apply survey data of 17,070 respondents from ten countries to examine several domains of cognitive functioning at ages 60+ , and we link them to the macro - economic deviations in the year of birth . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 apply 0 ###LEFT-WALL### 37 . 1 we 2 apply 2 apply 4 data 2 apply 8 from 2 apply 11 to 3 survey 4 data 4 data 5 of 5 of 7 respondents 6 17,070 7 respondents 8 from 10 countries 9 ten 10 countries 11 to 12 examine 12 examine 14 domains 12 examine 24 link 13 several 14 domains 14 domains 15 of 14 domains 24 link 15 of 17 functioning 16 cognitive 17 functioning 17 functioning 18 at 18 at 22 and 19 ages 20 60+ 20 60+ 22 and 21 , 22 and 22 and 23 we 24 link 25 them 24 link 26 to 24 link 32 in 26 to 31 deviations 27 the 31 deviations 28 macro 29 - 28 macro 31 deviations 30 economic 31 deviations 32 in 34 year 33 the 34 year 34 year 35 of 35 of 36 birth we find that economic conditions at birth significantly influence cognitive functioning late in life in various domains . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 find 0 ###LEFT-WALL### 18 . 1 we 2 find 2 find 3 that 3 that 5 conditions 3 that 9 influence 4 economic 5 conditions 5 conditions 6 at 5 conditions 9 influence 6 at 7 birth 8 significantly 9 influence 9 influence 11 functioning 10 cognitive 11 functioning 11 functioning 12 late 12 late 13 in 12 late 15 in 13 in 14 life 15 in 17 domains 16 various 17 domains recessions negatively influence numeracy , verbal fluency , recall abilities , as well as the score on the omnibus cognitive indicator . 0 ###LEFT-WALL### 1 recessions 0 ###LEFT-WALL### 3 influence 0 ###LEFT-WALL### 22 . 1 recessions 3 influence 2 negatively 3 influence 3 influence 4 numeracy 3 influence 14 as 3 influence 17 on 4 numeracy 7 fluency 5 , 7 fluency 6 verbal 7 fluency 7 fluency 10 abilities 7 fluency 11 , 8 , 10 abilities 9 recall 10 abilities 10 abilities 11 , 12 as 13 well 13 well 14 as 14 as 16 score 15 the 16 score 17 on 21 indicator 18 the 21 indicator 19 omnibus 21 indicator 20 cognitive 21 indicator the results are robust ; controlling for current characteristics does not change effect sizes and significance . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 5 ; 0 ###LEFT-WALL### 17 . 1 the 2 results 2 results 3 are 3 are 4 robust 5 ; 6 controlling 5 ; 12 change 6 controlling 7 for 6 controlling 10 does 7 for 9 characteristics 8 current 9 characteristics 10 does 11 not 10 does 12 change 12 change 15 and 13 effect 14 sizes 14 sizes 15 and 15 and 16 significance we discuss possible causal social and biological pathways . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 discuss 0 ###LEFT-WALL### 9 . 1 we 2 discuss 2 discuss 8 pathways 3 possible 8 pathways 4 causal 8 pathways 5 social 6 and 6 and 7 biological 6 and 8 pathways introduction : foot disorders [are] common among older adults and may lead to outcomes such as [falls] [and] functional limitation . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 21 . 1 introduction 2 : 2 : 10 and 3 foot 4 disorders 3 foot 10 and 4 disorders 6 common 6 common 7 among 7 among 9 adults 8 older 9 adults 10 and 11 may 11 may 12 lead 12 lead 13 to 13 to 14 outcomes 14 outcomes 16 as 15 such 16 as 16 as 20 limitation 19 functional 20 limitation however , the associations of foot posture and foot function to specific foot disorders at the population level remain poorly understood . 0 ###LEFT-WALL### 4 associations 0 ###LEFT-WALL### 19 remain 0 ###LEFT-WALL### 22 . 1 however 2 , 1 however 4 associations 3 the 4 associations 4 associations 5 of 4 associations 11 to 4 associations 19 remain 5 of 8 and 6 foot 7 posture 7 posture 8 and 8 and 10 function 9 foot 10 function 11 to 14 disorders 12 specific 13 foot 13 foot 14 disorders 14 disorders 15 at 15 at 18 level 16 the 18 level 17 population 18 level 19 remain 20 poorly 19 remain 21 understood the purpose of this study was to assess the relation between specific foot disorders , foot posture , and foot function . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 22 . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 assess 7 to 8 assess 8 assess 10 relation 9 the 10 relation 10 relation 11 between 11 between 19 and 12 specific 13 foot 13 foot 14 disorders 14 disorders 15 , 15 , 17 posture 15 , 19 and 16 foot 17 posture 18 , 19 and 19 and 21 function 20 foot 21 function methods : participants were from the population - based framingham foot study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 participants 2 : 4 were 2 : 8 - 2 : 13 . 3 participants 4 were 4 were 5 from 5 from 7 population 6 the 7 population 8 - 12 study 9 based 12 study 10 framingham 11 foot 11 foot 12 study quintiles of the modified arch index and center of pressure excursion index [from] plantar pressure scans were used to create foot posture and function subgroups . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 26 . 1 quintiles 2 of 1 quintiles 7 and 2 of 6 index 3 the 6 index 4 modified 6 index 5 arch 6 index 7 and 8 center 7 and 9 of 7 and 23 and 9 of 10 pressure 10 pressure 15 pressure 10 pressure 16 scans 11 excursion 15 pressure 12 index 15 pressure 14 plantar 15 pressure 15 pressure 16 scans 17 were 18 used 17 were 23 and 18 used 19 to 18 used 20 create 19 to 20 create 20 create 22 posture 21 foot 22 posture 23 and 24 function 23 and 25 subgroups adjusted odds ratios of having each specific disorder were calculated for foot posture and function subgroups relative to a referent 3 quintiles . 0 ###LEFT-WALL### 2 odds 0 ###LEFT-WALL### 10 calculated 0 ###LEFT-WALL### 23 . 1 adjusted 2 odds 2 odds 3 ratios 2 odds 9 were 2 odds 10 calculated 3 ratios 4 of 3 ratios 9 were 4 of 5 having 5 having 6 each 5 having 8 disorder 7 specific 8 disorder 10 calculated 11 for 10 calculated 22 quintiles 11 for 16 subgroups 12 foot 13 posture 13 posture 14 and 14 and 15 function 14 and 16 subgroups 16 subgroups 17 relative 17 relative 18 to 18 to 20 referent 19 a 20 referent 21 3 22 quintiles results : pes planus foot posture was associated with increased odds of hammer toes and overlapping toes . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 planus 2 : 8 associated 2 : 18 . 3 pes 4 planus 4 planus 6 posture 4 planus 7 was 4 planus 8 associated 5 foot 6 posture 6 posture 7 was 8 associated 9 with 9 with 15 and 10 increased 11 odds 11 odds 12 of 11 odds 15 and 12 of 14 toes 13 hammer 14 toes 15 and 17 toes 16 overlapping 17 toes cavus foot posture was not associated with the foot disorders evaluated . 0 ###LEFT-WALL### 3 posture 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 12 . 1 cavus 3 posture 2 foot 3 posture 3 posture 4 was 4 was 5 not 4 was 7 with 5 not 6 associated 7 with 10 disorders 8 the 10 disorders 9 foot 10 disorders 10 disorders 11 evaluated odds of having hallux valgus and overlapping toes were significantly increased in those with pronated foot function , while odds of hallux valgus and hallux rigidus were significantly decreased in those with supinated function . 0 ###LEFT-WALL### 17 function 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 35 . 1 odds 2 of 1 odds 6 and 2 of 3 having 3 having 5 valgus 4 hallux 5 valgus 6 and 7 overlapping 6 and 8 toes 6 and 14 with 6 and 15 pronated 8 toes 9 were 9 were 10 significantly 9 were 11 increased 11 increased 12 in 11 increased 14 with 12 in 13 those 15 pronated 17 function 16 foot 17 function 18 , 34 function 19 while 20 odds 19 while 33 supinated 19 while 34 function 20 odds 21 of 20 odds 24 and 20 odds 32 with 20 odds 33 supinated 21 of 22 hallux 23 valgus 24 and 24 and 26 rigidus 24 and 27 were 25 hallux 26 rigidus 27 were 28 significantly 27 were 29 decreased 29 decreased 30 in 29 decreased 32 with 30 in 31 those conclusions : foot posture and foot function were associated with the presence of specific foot disorders . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 and 2 : 9 associated 2 : 17 . 3 foot 4 posture 4 posture 5 and 5 and 7 function 5 and 8 were 6 foot 7 function 8 were 9 associated 9 associated 10 with 10 with 12 presence 11 the 12 presence 12 presence 13 of 13 of 16 disorders 14 specific 15 foot 15 foot 16 disorders introduction : studies have shown that perceived discrimination has an impact on our physical and mental health . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 2 : 3 studies 2 : 5 shown 2 : 18 . 3 studies 4 have 4 have 5 shown 5 shown 6 that 6 that 8 discrimination 6 that 9 has 7 perceived 8 discrimination 8 discrimination 9 has 9 has 11 impact 9 has 12 on 10 an 11 impact 12 on 17 health 13 our 17 health 14 physical 15 and 15 and 16 mental 15 and 17 health a relevant part of literature has highlighted the influence of discrimination based on race or ethnicity on mental and physical health outcomes . 0 ###LEFT-WALL### 5 literature 0 ###LEFT-WALL### 7 highlighted 0 ###LEFT-WALL### 23 . 1 a 3 part 2 relevant 3 part 3 part 4 of 3 part 5 literature 4 of 5 literature 5 literature 6 has 6 has 7 highlighted 7 highlighted 9 influence 7 highlighted 13 on 7 highlighted 17 on 8 the 9 influence 9 influence 10 of 10 of 11 discrimination 11 discrimination 12 based 13 on 15 or 14 race 15 or 15 or 16 ethnicity 17 on 22 outcomes 18 mental 19 and 19 and 20 physical 19 and 21 health 21 health 22 outcomes however , the influence of other types of discrimination on health has been understudied . 0 ###LEFT-WALL### 4 influence 0 ###LEFT-WALL### 14 understudied 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 4 influence 3 the 4 influence 4 influence 5 of 4 influence 12 has 5 of 9 discrimination 6 other 7 types 7 types 8 of 7 types 9 discrimination 8 of 9 discrimination 9 discrimination 10 on 10 on 11 health 12 has 13 been 13 been 14 understudied this study is aimed to explore [how] different types of discrimination [are] related to our subjective state of health , and so to compare the intensity of these relationships in the european context . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 aimed 0 ###LEFT-WALL### 34 . 1 this 2 study 2 study 3 is 3 is 4 aimed 4 aimed 5 to 5 to 21 and 6 explore 11 discrimination 6 explore 14 to 6 explore 21 and 8 different 9 types 9 types 10 of 9 types 11 discrimination 10 of 11 discrimination 11 discrimination 13 related 14 to 17 state 15 our 17 state 16 subjective 17 state 17 state 18 of 18 of 19 health 20 , 21 and 21 and 23 to 21 and 24 compare 21 and 30 in 22 so 23 to 23 to 24 compare 24 compare 26 intensity 25 the 26 intensity 26 intensity 27 of 27 of 29 relationships 28 these 29 relationships 30 in 33 context 31 the 33 context 32 european 33 context methods : we have performed a multilevel ordered analysis on the fifth wave of the european social survey ( ess 2010 ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 5 performed 2 : 23 . 3 we 4 have 4 have 5 performed 5 performed 9 analysis 5 performed 10 on 6 a 7 multilevel 6 a 9 analysis 7 multilevel 9 analysis 8 ordered 9 analysis 10 on 13 wave 11 the 12 fifth 11 the 13 wave 13 wave 14 of 14 of 18 survey 15 the 16 european 16 european 18 survey 17 social 18 survey 18 survey 20 ess 19 ( 20 ess 20 ess 21 2010 20 ess 22 ) this dataset has 52,458 units at individual level that are grouped in 26 european countries . 0 ###LEFT-WALL### 2 dataset 0 ###LEFT-WALL### 3 has 0 ###LEFT-WALL### 16 . 1 this 2 dataset 2 dataset 3 has 3 has 5 units 4 52,458 5 units 5 units 6 at 5 units 9 that 5 units 10 are 6 at 8 level 7 individual 8 level 9 that 10 are 10 are 11 grouped 11 grouped 12 in 12 in 15 countries 13 26 15 countries 14 european 15 countries in this study , the dependent variable [is] self - rated health ( srh ) that is analyzed in relationship [to] ten explanatory variables of perceived discrimination : color or race , nationality , religion , language , ethnic group , age , gender , sexuality , disability and others . 0 ###LEFT-WALL### 9 self 0 ###LEFT-WALL### 18 analyzed 0 ###LEFT-WALL### 28 : 1 in 3 study 1 in 4 , 1 in 9 self 2 this 3 study 5 the 9 self 6 dependent 7 variable 7 variable 9 self 9 self 12 health 9 self 18 analyzed 10 - 12 health 11 rated 12 health 12 health 14 srh 12 health 15 ) 13 ( 14 srh 14 srh 15 ) 16 that 17 is 17 is 18 analyzed 18 analyzed 19 in 18 analyzed 24 variables 19 in 20 relationship 20 relationship 22 ten 23 explanatory 24 variables 24 variables 25 of 25 of 27 discrimination 26 perceived 27 discrimination 28 : 30 or 28 : 32 , 28 : 51 . 29 color 30 or 30 or 31 race 32 , 33 nationality 32 , 34 , 34 , 35 religion 34 , 36 , 36 , 49 and 37 language 38 , 38 , 40 group 38 , 41 , 39 ethnic 40 group 41 , 42 age 41 , 43 , 43 , 44 gender 43 , 45 , 45 , 46 sexuality 45 , 47 , 47 , 48 disability 47 , 49 and 49 and 50 others results : the model identifies statistically significant differences in the effect that diverse types of perceived discrimination can generate on the self - rated health of europeans . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 model 2 : 5 identifies 3 the 4 model 4 model 5 identifies 5 identifies 8 differences 5 identifies 20 on 6 statistically 7 significant 7 significant 8 differences 8 differences 9 in 9 in 11 effect 10 the 11 effect 11 effect 12 that 11 effect 19 generate 12 that 17 discrimination 12 that 19 generate 13 diverse 14 types 14 types 15 of 14 types 17 discrimination 15 of 17 discrimination 16 perceived 17 discrimination 17 discrimination 18 can 18 can 19 generate 20 on 22 self 21 the 22 self 22 self 25 health 23 - 25 health 24 rated 25 health 25 health 26 of 25 health 28 . 26 of 27 europeans specifically , this study identifies three well - defined types of perceived discrimination that can be related to poor health outcomes [:] ( 1 ) age discrimination ; [(] 2 [ )(disability discrimination ; [and] [(] 3 [ )(sexuality discrimination . 0 ###LEFT-WALL### 4 study 0 ###LEFT-WALL### 5 identifies 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 41 . 1 specifically 2 , 1 specifically 4 study 3 this 4 study 4 study 5 identifies 5 identifies 6 three 5 identifies 7 well 8 - 10 types 8 - 17 related 8 - 28 ; 8 - 34 ; 9 defined 10 types 10 types 11 of 10 types 17 related 11 of 13 discrimination 12 perceived 13 discrimination 13 discrimination 14 that 13 discrimination 15 can 14 that 15 can 15 can 16 be 17 related 18 to 17 related 27 discrimination 18 to 20 health 19 poor 20 health 20 health 21 outcomes 20 health 26 age 21 outcomes 24 1 21 outcomes 26 age 23 ( 24 1 24 1 25 ) 28 ; 33 discrimination 30 2 33 discrimination 32 )(disability 33 discrimination 34 ; 40 discrimination 37 3 40 discrimination 39 )(sexuality 40 discrimination in this sense , the effect on self [-] rated health of perceived discrimination related to aging and disabilities seems to be more relevant than other types of discrimination in the european context with a longer tradition in literature ( e.g [.] ethnic [and/or] race - based ) . 0 ###LEFT-WALL### 6 effect 0 ###LEFT-WALL### 20 seems 0 ###LEFT-WALL### 49 . 1 in 3 sense 1 in 4 , 1 in 6 effect 2 this 3 sense 5 the 6 effect 6 effect 7 on 6 effect 12 of 6 effect 20 seems 7 on 11 health 8 self 10 rated 10 rated 11 health 12 of 18 and 13 perceived 14 discrimination 14 discrimination 15 related 14 discrimination 16 to 14 discrimination 18 and 16 to 17 aging 18 and 19 disabilities 20 seems 21 to 20 seems 22 be 21 to 22 be 22 be 23 more 22 be 24 relevant 24 relevant 25 than 24 relevant 47 based 25 than 27 types 26 other 27 types 27 types 28 of 28 of 29 discrimination 29 discrimination 30 in 29 discrimination 34 with 29 discrimination 38 in 29 discrimination 45 race 30 in 33 context 31 the 33 context 32 european 33 context 34 with 37 tradition 35 a 37 tradition 36 longer 37 tradition 38 in 39 literature 40 ( 45 race 41 e.g 45 race 43 ethnic 45 race 45 race 46 - 46 - 47 based 47 based 48 ) conclusion : the present study shows that the relationship between perceived discrimination and health inequities in europe are not random , but systematically distributed depending on factors such as age , sexuality and disabilities . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 35 . 2 : 5 study 2 : 6 shows 3 the 5 study 4 present 5 study 5 study 6 shows 6 shows 7 that 6 shows 13 and 6 shows 18 are 8 the 9 relationship 9 relationship 10 between 9 relationship 13 and 10 between 12 discrimination 11 perceived 12 discrimination 13 and 15 inequities 13 and 16 in 13 and 18 are 14 health 15 inequities 16 in 17 europe 18 are 19 not 18 are 22 but 18 are 26 on 18 are 29 as 20 random 22 but 21 , 22 but 22 but 25 depending 23 systematically 24 distributed 24 distributed 25 depending 26 on 27 factors 28 such 29 as 29 as 33 and 30 age 31 , 31 , 32 sexuality 31 , 33 and 33 and 34 disabilities therefore the future orientation of eu social policies should aim to reduce the impact of these social determinants on health equity . 0 ###LEFT-WALL### 4 orientation 0 ###LEFT-WALL### 10 aim 0 ###LEFT-WALL### 22 . 1 therefore 4 orientation 2 the 4 orientation 3 future 4 orientation 4 orientation 5 of 4 orientation 9 should 5 of 8 policies 6 eu 8 policies 7 social 8 policies 9 should 10 aim 10 aim 11 to 10 aim 12 reduce 11 to 12 reduce 12 reduce 14 impact 12 reduce 19 on 13 the 14 impact 14 impact 15 of 15 of 18 determinants 16 these 18 determinants 17 social 18 determinants 19 on 21 equity 20 health 21 equity maintaining adequate levels of physical activity is known to preserve health status and functional independence [as] individuals grow older . 0 ###LEFT-WALL### 1 maintaining 0 ###LEFT-WALL### 8 known 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 20 . 1 maintaining 3 levels 1 maintaining 7 is 2 adequate 3 levels 3 levels 4 of 4 of 6 activity 5 physical 6 activity 7 is 8 known 8 known 9 to 8 known 10 preserve 9 to 10 preserve 10 preserve 12 status 11 health 12 status 13 and 17 individuals 13 and 18 grow 14 functional 15 independence 15 independence 17 individuals 17 individuals 18 grow 18 grow 19 older however , the relationship between determinants of physical activity ( volume and intensity ) and physiological factors underlying mobility ( cardio - respiratory fitness , neuromuscular function and functional abilities ) is still unclear . 0 ###LEFT-WALL### 4 relationship 0 ###LEFT-WALL### 32 is 0 ###LEFT-WALL### 35 . 1 however 2 , 1 however 4 relationship 3 the 4 relationship 4 relationship 5 between 4 relationship 18 underlying 4 relationship 32 is 5 between 15 and 6 determinants 7 of 6 determinants 15 and 7 of 9 activity 8 physical 9 activity 9 activity 12 and 10 ( 12 and 11 volume 12 and 12 and 13 intensity 12 and 14 ) 15 and 17 factors 16 physiological 17 factors 18 underlying 19 mobility 19 mobility 28 and 20 ( 28 and 21 cardio 22 - 21 cardio 24 fitness 23 respiratory 24 fitness 24 fitness 25 , 25 , 27 function 25 , 28 and 26 neuromuscular 27 function 28 and 30 abilities 28 and 31 ) 29 functional 30 abilities 32 is 33 still 32 is 34 unclear 33 still 34 unclear the aim of this study was to investigate the association between objectively quantified physical activity and a spectrum of physiological factors underlying mobility in young , middle [-] aged and older individuals living in a city district . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 38 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 investigate 7 to 8 investigate 8 investigate 10 association 9 the 10 association 10 association 11 between 10 association 22 underlying 11 between 16 and 12 objectively 13 quantified 13 quantified 15 activity 14 physical 15 activity 15 activity 16 and 16 and 18 spectrum 16 and 19 of 17 a 18 spectrum 19 of 21 factors 20 physiological 21 factors 22 underlying 23 mobility 23 mobility 24 in 24 in 32 individuals 25 young 26 , 25 young 27 middle 27 middle 32 individuals 29 aged 30 and 30 and 31 older 30 and 32 individuals 32 individuals 33 living 32 individuals 34 in 34 in 37 district 35 a 37 district 36 city 37 district experiments were carried out on 24 young ( 28 ± 2 years ) , 24 middle - aged [(] 48 ± 2 years [ )(and [24] older ( 70 ± 3 years [ )(gender - matched volunteers . 0 ###LEFT-WALL### 1 experiments 0 ###LEFT-WALL### 3 carried 1 experiments 2 were 2 were 3 carried 3 carried 4 out 3 carried 5 on 5 on 16 middle 6 24 16 middle 7 young 12 years 7 young 14 , 7 young 16 middle 8 ( 12 years 9 28 12 years 10 ± 12 years 11 2 12 years 12 years 13 ) 15 24 16 middle 16 middle 18 aged 17 - 18 aged 18 aged 25 )(and 20 48 23 years 21 ± 23 years 22 2 23 years 23 years 25 )(and 25 )(and 27 older 27 older 35 - 28 ( 35 - 29 70 30 ± 30 ± 34 )(gender 31 3 32 years 32 years 34 )(gender 34 )(gender 35 - 35 - 37 volunteers 35 - 38 . 36 matched 37 volunteers physical activity was monitored by a wearable activity monitor to quantify volume and intensity of overall physical activity and selected habitual activities over 24 hours . 0 ###LEFT-WALL### 2 activity 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 26 . 1 physical 2 activity 2 activity 19 and 3 was 4 monitored 3 was 19 and 4 monitored 5 by 4 monitored 10 to 5 by 9 monitor 6 a 7 wearable 6 a 9 monitor 7 wearable 8 activity 8 activity 9 monitor 10 to 11 quantify 11 quantify 13 and 12 volume 13 and 13 and 14 intensity 13 and 15 of 15 of 18 activity 16 overall 18 activity 17 physical 18 activity 19 and 20 selected 19 and 22 activities 21 habitual 22 activities 22 activities 23 over 23 over 25 hours 24 24 25 hours ventilatory [threshold] was assessed during an incremental cycling test . 0 ###LEFT-WALL### 1 ventilatory 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 10 . 1 ventilatory 3 was 3 was 4 assessed 4 assessed 5 during 5 during 9 test 6 an 7 incremental 6 an 9 test 7 incremental 9 test 8 cycling 9 test torque , muscle fiber conduction velocity and agonist - antagonist coactivation were measured during maximal voluntary contraction of knee extensors and flexors . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 23 . 1 torque 2 , 2 , 6 velocity 2 , 7 and 3 muscle 6 velocity 4 fiber 5 conduction 5 conduction 6 velocity 7 and 8 agonist 9 - 11 coactivation 10 antagonist 11 coactivation 11 coactivation 21 and 12 were 13 measured 12 were 21 and 13 measured 14 during 14 during 17 contraction 15 maximal 17 contraction 16 voluntary 17 contraction 17 contraction 18 of 18 of 20 extensors 19 knee 20 extensors 21 and 22 flexors ground reaction forces were measured during [sit] - to [-] stand and counter - movement jump . 0 ###LEFT-WALL### 1 ground 0 ###LEFT-WALL### 14 - 1 ground 2 reaction 2 reaction 3 forces 2 reaction 6 during 2 reaction 9 to 3 forces 4 were 4 were 5 measured 5 measured 6 during 8 - 9 to 9 to 12 and 9 to 14 - 11 stand 12 and 12 and 13 counter 14 - 16 jump 14 - 17 . 15 movement 16 jump k - means cluster analysis was used to classify the participants ' physical activity levels based on parameters of volume and intensity . 0 ###LEFT-WALL### 1 k 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 23 . 1 k 2 - 2 - 5 analysis 3 means 4 cluster 4 cluster 5 analysis 5 analysis 6 was 6 was 7 used 7 used 8 to 7 used 9 classify 8 to 9 classify 9 classify 15 levels 9 classify 17 on 10 the 11 participants 11 participants 12 ' 12 ' 15 levels 13 physical 14 activity 14 activity 15 levels 15 levels 16 based 17 on 18 parameters 18 parameters 19 of 19 of 21 and 20 volume 21 and 21 and 22 intensity two clusters of physical activity volume ( i.e [.] , high and low volume ) and three clusters of physical activity intensity [(] i.e . high , medium and low intensity ) were identified in all participants . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 25 . 1 two 2 clusters 2 clusters 3 of 2 clusters 16 and 3 of 6 volume 4 physical 6 volume 5 activity 6 volume 6 volume 14 volume 7 ( 14 volume 8 i.e 10 , 10 , 11 high 10 , 12 and 12 and 13 low 12 and 14 volume 14 volume 15 ) 16 and 18 clusters 16 and 19 of 17 three 18 clusters 19 of 24 i.e 20 physical 24 i.e 21 activity 24 i.e 22 intensity 24 i.e 25 . 26 high 25 . 27 , 25 . 38 . 27 , 29 and 27 , 34 identified 28 medium 29 and 29 and 31 intensity 29 and 32 ) 29 and 33 were 30 low 31 intensity 33 were 34 identified 34 identified 35 in 35 in 37 participants 36 all 37 participants cardio - respiratory fitness was associated with volume of overall physical activity as well as lying , sitting , standing , walking and stair climbing . 0 ###LEFT-WALL### 1 cardio 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 26 . 2 - 4 fitness 2 - 6 associated 3 respiratory 4 fitness 4 fitness 5 was 5 was 6 associated 6 associated 7 with 7 with 23 and 8 volume 9 of 8 volume 23 and 9 of 12 activity 10 overall 12 activity 11 physical 12 activity 12 activity 15 as 12 activity 22 walking 13 as 14 well 14 well 15 as 15 as 16 lying 16 lying 18 sitting 17 , 18 sitting 18 sitting 20 standing 18 sitting 21 , 19 , 20 standing 20 standing 21 , 23 and 24 stair 23 and 25 climbing on the other hand , neuromuscular function and functional abilities showed a significant association [with] intensity of overall physical activity as well as postural transition [,] walking and stair climbing . 0 ###LEFT-WALL### 10 abilities 0 ###LEFT-WALL### 11 showed 0 ###LEFT-WALL### 31 . 1 on 8 and 1 on 10 abilities 2 the 3 other 3 other 4 hand 4 hand 5 , 5 , 7 function 5 , 8 and 6 neuromuscular 7 function 8 and 9 functional 10 abilities 11 showed 11 showed 16 intensity 11 showed 20 activity 11 showed 21 as 12 a 16 intensity 13 significant 14 association 14 association 16 intensity 16 intensity 17 of 17 of 18 overall 19 physical 20 activity 21 as 28 and 22 well 23 as 22 well 28 and 23 as 25 transition 24 postural 25 transition 25 transition 27 walking 28 and 29 stair 28 and 30 climbing as a practical application , the relative role played by volume and intensity of overall physical activity and selected habitual activities should be taken into account in the design of preventative training interventions to preserve mobility as individuals grow older . 0 ###LEFT-WALL### 39 grow 0 ###LEFT-WALL### 41 . 1 as 18 and 1 as 24 taken 1 as 39 grow 2 a 4 application 3 practical 4 application 4 application 5 , 5 , 8 role 5 , 12 and 6 the 8 role 7 relative 8 role 8 role 9 played 9 played 10 by 10 by 11 volume 12 and 13 intensity 12 and 14 of 12 and 18 and 14 of 17 activity 15 overall 17 activity 16 physical 17 activity 18 and 21 activities 18 and 22 should 19 selected 21 activities 20 habitual 21 activities 22 should 23 be 23 be 24 taken 24 taken 26 account 24 taken 27 in 24 taken 34 to 24 taken 37 as 25 into 26 account 27 in 29 design 28 the 29 design 29 design 30 of 30 of 33 interventions 31 preventative 33 interventions 32 training 33 interventions 34 to 35 preserve 35 preserve 36 mobility 37 as 38 individuals 39 grow 40 older xenoestrogens are either natural or synthetic compounds that mimic the effects of endogenous estrogen . 0 ###LEFT-WALL### 1 xenoestrogens 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 15 . 1 xenoestrogens 2 are 2 are 7 compounds 3 either 5 or 4 natural 5 or 5 or 6 synthetic 5 or 7 compounds 7 compounds 8 that 7 compounds 9 mimic 8 that 9 mimic 9 mimic 11 effects 10 the 11 effects 11 effects 12 of 12 of 14 estrogen 13 endogenous 14 estrogen these compounds , such as bisphenol - [a] ( bpa [ )(, and phthalates , are commonly found in plastic wares . 0 ###LEFT-WALL### 2 compounds 0 ###LEFT-WALL### 18 found 0 ###LEFT-WALL### 22 . 1 these 2 compounds 2 compounds 5 as 2 compounds 13 and 2 compounds 16 are 3 , 5 as 4 such 5 as 5 as 6 bisphenol 5 as 7 - 9 ( 13 and 10 bpa 13 and 12 )(, 13 and 13 and 14 phthalates 13 and 15 , 16 are 18 found 17 commonly 18 found 18 found 19 in 19 in 21 wares 20 plastic 21 wares exposure to these compounds poses major risk to human health because of the potential to cause endocrine disruption . 0 ###LEFT-WALL### 1 exposure 0 ###LEFT-WALL### 5 poses 0 ###LEFT-WALL### 19 . 1 exposure 2 to 1 exposure 5 poses 2 to 4 compounds 3 these 4 compounds 5 poses 7 risk 5 poses 8 to 5 poses 12 of 5 poses 15 to 6 major 7 risk 8 to 10 health 9 human 10 health 11 because 12 of 12 of 14 potential 13 the 14 potential 15 to 16 cause 16 cause 18 disruption 17 endocrine 18 disruption there is huge demand for a wide range of chemicals to be assessed for such potential for the sake of public health . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 23 . 1 there 2 is 2 is 4 demand 3 huge 4 demand 4 demand 5 for 4 demand 13 assessed 5 for 8 range 6 a 7 wide 6 a 8 range 7 wide 8 range 8 range 9 of 8 range 11 to 8 range 12 be 9 of 10 chemicals 11 to 12 be 13 assessed 14 for 13 assessed 17 for 14 for 16 potential 15 such 16 potential 17 for 19 sake 18 the 19 sake 19 sake 20 of 20 of 22 health 21 public 22 health classical in vivo assays for endocrine disruption are comprehensive but time - consuming and [require] sacrifice of experimental animals . 0 ###LEFT-WALL### 1 classical 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 12 - 1 classical 3 vivo 1 classical 8 are 2 in 3 vivo 4 assays 5 for 4 assays 8 are 5 for 7 disruption 6 endocrine 7 disruption 8 are 9 comprehensive 9 comprehensive 10 but 10 but 11 time 12 - 14 and 12 - 20 . 13 consuming 14 and 14 and 16 sacrifice 14 and 17 of 17 of 19 animals 18 experimental 19 animals simple [preliminary] in vitro screening assays can reduce the time and expense involved . 0 ###LEFT-WALL### 1 simple 0 ###LEFT-WALL### 8 reduce 0 ###LEFT-WALL### 14 . 1 simple 5 screening 1 simple 7 can 3 in 4 vitro 4 vitro 5 screening 5 screening 6 assays 7 can 8 reduce 8 reduce 11 and 9 the 10 time 10 time 11 and 11 and 12 expense 11 and 13 involved we previously demonstrated that catechol - o - methyltransferase ( comt ) is transcriptionally regulated by estrogen via estrogen [receptor] ( er ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 demonstrated 0 ###LEFT-WALL### 24 . 1 we 3 demonstrated 2 previously 3 demonstrated 3 demonstrated 4 that 4 that 5 catechol 4 that 15 regulated 5 catechol 8 - 5 catechol 13 is 6 - 8 - 7 o 8 - 8 - 9 methyltransferase 8 - 12 ) 9 methyltransferase 11 comt 10 ( 11 comt 11 comt 12 ) 13 is 15 regulated 14 transcriptionally 15 regulated 15 regulated 16 by 15 regulated 18 via 16 by 17 estrogen 18 via 19 estrogen 19 estrogen 22 er 21 ( 22 er 22 er 23 ) therefore , detecting corresponding changes of comt expression in estrogen - responsive cells may be a useful method to estimate estrogenic effects of various compounds . 0 ###LEFT-WALL### 3 detecting 0 ###LEFT-WALL### 15 be 0 ###LEFT-WALL### 26 . 1 therefore 2 , 1 therefore 3 detecting 3 detecting 5 changes 3 detecting 9 in 3 detecting 14 may 4 corresponding 5 changes 5 changes 6 of 6 of 8 expression 7 comt 8 expression 9 in 13 cells 10 estrogen 11 - 10 estrogen 13 cells 12 responsive 13 cells 14 may 15 be 15 be 18 method 16 a 18 method 17 useful 18 method 18 method 19 to 18 method 20 estimate 19 to 20 estimate 20 estimate 22 effects 21 estrogenic 22 effects 22 effects 23 of 23 of 25 compounds 24 various 25 compounds we developed a novel cell - based elisa to evaluate cellular response [to] estrogenicity by reduction of soluble - comt expression in er - positive mcf - 7 cells exposed to estrogenic compounds . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 developed 1 we 2 developed 2 developed 5 cell 3 a 4 novel 3 a 5 cell 4 novel 5 cell 5 cell 8 elisa 6 - 8 elisa 7 based 8 elisa 8 elisa 9 to 8 elisa 10 evaluate 8 elisa 34 . 9 to 10 evaluate 10 evaluate 14 estrogenicity 11 cellular 12 response 12 response 14 estrogenicity 14 estrogenicity 15 by 14 estrogenicity 17 of 15 by 16 reduction 17 of 26 mcf 18 soluble 21 expression 18 soluble 24 - 18 soluble 26 mcf 19 - 21 expression 20 comt 21 expression 21 expression 22 in 21 expression 24 - 22 in 23 er 25 positive 26 mcf 26 mcf 29 cells 27 - 29 cells 28 7 29 cells 29 cells 30 exposed 29 cells 31 to 29 cells 34 . 31 to 33 compounds 32 estrogenic 33 compounds in contrast to various existing methods that only detect bioactivity , this method elucidates direct physiological effect in a living cell in response to a compound . 0 ###LEFT-WALL### 13 method 0 ###LEFT-WALL### 14 elucidates 0 ###LEFT-WALL### 27 . 1 in 2 contrast 1 in 11 , 1 in 13 method 2 contrast 3 to 3 to 6 methods 4 various 6 methods 5 existing 6 methods 6 methods 7 that 6 methods 9 detect 7 that 9 detect 8 only 9 detect 9 detect 10 bioactivity 12 this 13 method 13 method 14 elucidates 14 elucidates 17 effect 14 elucidates 18 in 14 elucidates 24 to 15 direct 17 effect 16 physiological 17 effect 18 in 21 cell 19 a 21 cell 20 living 21 cell 22 in 23 response 23 response 24 to 24 to 26 compound 25 a 26 compound we validated our assay using three well - characterized estrogenic plasticizers - bpa , benzyl butyl phthalate ( bbp ) , and di - n - butyl phthalate ( dbp ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 validated 0 ###LEFT-WALL### 12 - 1 we 2 validated 2 validated 4 assay 3 our 4 assay 4 assay 5 using 5 using 7 well 6 three 7 well 7 well 11 plasticizers 8 - 11 plasticizers 9 characterized 11 plasticizers 10 estrogenic 11 plasticizers 11 plasticizers 12 - 12 - 22 and 12 - 32 . 13 bpa 17 phthalate 13 bpa 22 and 14 , 17 phthalate 15 benzyl 17 phthalate 16 butyl 17 phthalate 17 phthalate 19 bbp 17 phthalate 20 ) 18 ( 19 bbp 19 bbp 20 ) 21 , 22 and 22 and 23 di 22 and 26 - 24 - 26 - 25 n 26 - 26 - 28 phthalate 26 - 31 ) 27 butyl 28 phthalate 28 phthalate 30 dbp 29 ( 30 dbp 30 dbp 31 ) cells were exposed to either these plasticizers or 17β - estradiol ( e2 ) in estrogen [-] depleted medium [with] or without an er - antagonist , ici 182,780 , and comt expression assayed . 0 ###LEFT-WALL### 1 cells 0 ###LEFT-WALL### 3 exposed 0 ###LEFT-WALL### 25 - 0 ###LEFT-WALL### 35 . 1 cells 2 were 2 were 3 exposed 3 exposed 4 to 3 exposed 21 or 4 to 8 or 5 either 8 or 6 these 7 plasticizers 7 plasticizers 8 or 8 or 11 estradiol 8 or 13 e2 9 17β 10 - 9 17β 11 estradiol 12 ( 13 e2 13 e2 14 ) 15 in 16 estrogen 15 in 21 or 16 estrogen 18 depleted 18 depleted 19 medium 21 or 22 without 22 without 24 er 23 an 24 er 25 - 26 antagonist 25 - 27 , 27 , 31 and 28 ici 29 182,780 28 ici 31 and 30 , 31 and 31 and 33 expression 31 and 34 assayed 32 comt 33 expression exposure to each of these plasticizers ( 10 ( - 9 ) - 10 [(] - 7 )m ) dose - dependently reduced comt expression ( p<0.05 ) , which was blocked by ici 182,780 . 0 ###LEFT-WALL### 1 exposure 0 ###LEFT-WALL### 6 plasticizers 0 ###LEFT-WALL### 16 - 1 exposure 2 to 1 exposure 4 of 1 exposure 6 plasticizers 2 to 3 each 4 of 5 these 6 plasticizers 13 - 7 ( 13 - 8 10 10 - 9 ( 10 - 10 - 11 9 10 - 12 ) 10 - 13 - 13 - 14 10 13 - 16 - 16 - 20 dose 16 - 21 - 16 - 36 . 17 7 20 dose 18 )m 19 ) 18 )m 20 dose 21 - 25 expression 21 - 29 , 22 dependently 23 reduced 23 reduced 25 expression 24 comt 25 expression 25 expression 27 p<0.05 26 ( 27 p<0.05 27 p<0.05 28 ) 29 , 30 which 29 , 32 blocked 30 which 31 was 31 was 32 blocked 32 blocked 33 by 33 by 34 ici 34 ici 35 182,780 reduction of comt expression was readily detectable in cells exposed to picomolar level of e2 , comparable to other [in] [vitro] assays of similar sensitivity . 0 ###LEFT-WALL### 1 reduction 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 26 . 1 reduction 2 of 1 reduction 5 was 2 of 4 expression 3 comt 4 expression 5 was 6 readily 5 was 7 detectable 7 detectable 8 in 8 in 9 cells 9 cells 10 exposed 10 exposed 11 to 10 exposed 16 , 10 exposed 17 comparable 11 to 13 level 12 picomolar 13 level 13 level 14 of 14 of 15 e2 17 comparable 18 to 18 to 22 assays 19 other 22 assays 22 assays 23 of 23 of 25 sensitivity 24 similar 25 sensitivity to satisfy the demand for in vitro assays targeting different cellular components , a cell - based comt assay [provides] useful initial screening to supplement the current assessments of xenoestrogens for potential estrogenic activity . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 17 based 0 ###LEFT-WALL### 35 . 1 to 2 satisfy 2 satisfy 4 demand 2 satisfy 5 for 3 the 4 demand 5 for 8 assays 6 in 7 vitro 7 vitro 8 assays 8 assays 9 targeting 8 assays 15 cell 8 assays 17 based 9 targeting 12 components 10 different 12 components 11 cellular 12 components 13 , 15 cell 14 a 15 cell 15 cell 16 - 17 based 23 screening 17 based 24 to 17 based 31 for 18 comt 23 screening 19 assay 23 screening 21 useful 22 initial 22 initial 23 screening 24 to 25 supplement 25 supplement 28 assessments 26 the 28 assessments 27 current 28 assessments 28 assessments 29 of 29 of 30 xenoestrogens 31 for 34 activity 32 potential 34 activity 33 estrogenic 34 activity excessive reactive oxygen species ( ros ) induce apoptosis and [are] associated with various diseases and with aging . 0 ###LEFT-WALL### 4 species 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 19 . 1 excessive 3 oxygen 2 reactive 3 oxygen 3 oxygen 4 species 4 species 6 ros 4 species 10 and 5 ( 6 ros 6 ros 7 ) 8 induce 9 apoptosis 8 induce 10 and 10 and 12 associated 10 and 16 and 13 with 15 diseases 13 with 16 and 14 various 15 diseases 16 and 17 with 17 with 18 aging sirt1 ( sirtuin - 1 ) , an nad+ - dependent protein deacetylase , decreases ros levels and participates in cell survival under oxidative stress conditions . 0 ###LEFT-WALL### 1 sirt1 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 27 . 1 sirt1 3 sirtuin 1 sirt1 18 and 2 ( 3 sirtuin 3 sirtuin 5 1 3 sirtuin 9 nad+ 3 sirtuin 13 deacetylase 3 sirtuin 14 , 4 - 5 1 5 1 6 ) 7 , 9 nad+ 8 an 9 nad+ 9 nad+ 10 - 10 - 13 deacetylase 11 dependent 12 protein 12 protein 13 deacetylase 13 deacetylase 14 , 15 decreases 17 levels 15 decreases 18 and 16 ros 17 levels 18 and 19 participates 18 and 20 in 20 in 22 survival 21 cell 22 survival 22 survival 23 under 23 under 26 conditions 24 oxidative 25 stress 25 stress 26 conditions sirt1 modulates the transcription factors p53 , a tumor suppressor and inducer of apoptosis , and the forkhead [o] ( foxo ) family , both of which play roles for cell survival and cell death . 0 ###LEFT-WALL### 1 sirt1 0 ###LEFT-WALL### 2 modulates 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 36 . 1 sirt1 2 modulates 2 modulates 4 transcription 3 the 4 transcription 4 transcription 5 factors 4 transcription 6 p53 5 factors 6 p53 7 , 11 and 7 , 24 , 8 a 10 suppressor 9 tumor 10 suppressor 10 suppressor 11 and 11 and 12 inducer 11 and 13 of 13 of 16 and 14 apoptosis 16 and 15 , 16 and 16 and 23 family 17 the 23 family 18 forkhead 21 foxo 18 forkhead 22 ) 18 forkhead 23 family 20 ( 21 foxo 21 foxo 22 ) 24 , 25 both 24 , 28 play 25 both 26 of 25 both 28 play 26 of 27 which 28 play 29 roles 28 play 30 for 30 for 33 and 31 cell 32 survival 32 survival 33 and 33 and 35 death 34 cell 35 death in this study , we aimed to know which is working greatly among p53 and foxos transcription factors in sirt1 's cell protective functions under oxidative stress conditions . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 aimed 0 ###LEFT-WALL### 8 know 0 ###LEFT-WALL### 29 . 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 aimed 6 aimed 7 to 6 aimed 8 know 7 to 8 know 8 know 9 which 9 which 10 is 10 is 11 working 11 working 12 greatly 11 working 13 among 11 working 19 in 13 among 15 and 14 p53 15 and 15 and 18 factors 16 foxos 17 transcription 17 transcription 18 factors 19 in 24 functions 20 sirt1 21 's 21 's 24 functions 22 cell 24 functions 23 protective 24 functions 24 functions 25 under 25 under 28 conditions 26 oxidative 27 stress 27 stress 28 conditions the antimycin a [-] induced increase in ros levels and apoptosis was enhanced by sirt1 inhibitors nicotinamide and splitomicin , whereas it was suppressed by a sirt1 activator , resveratrol , and a sirt1 cofactor , nad+ . 0 ###LEFT-WALL### 6 increase 0 ###LEFT-WALL### 24 suppressed 0 ###LEFT-WALL### 38 . 1 the 6 increase 2 antimycin 3 a 2 antimycin 6 increase 5 induced 6 increase 6 increase 7 in 6 increase 12 was 7 in 10 and 8 ros 9 levels 9 levels 10 and 10 and 11 apoptosis 12 was 13 enhanced 13 enhanced 14 by 13 enhanced 21 whereas 14 by 18 and 15 sirt1 17 nicotinamide 16 inhibitors 17 nicotinamide 17 nicotinamide 18 and 18 and 19 splitomicin 20 , 21 whereas 21 whereas 22 it 22 it 23 was 23 was 24 suppressed 24 suppressed 25 by 24 suppressed 36 , 24 suppressed 37 nad+ 25 by 32 and 26 a 28 activator 27 sirt1 28 activator 28 activator 29 , 29 , 30 resveratrol 29 , 32 and 31 , 32 and 32 and 35 cofactor 33 a 35 cofactor 34 sirt1 35 cofactor sirt1 - sirna abolished the effects of splitomicin and resveratrol [.] p53 - knockdown experiment in c2c12 cells and experiment using p53 - deficient hct116 cells showed that splitomicin and resveratrol modulated apoptosis by p53 - dependent and p53 - independent pathways . 0 ###LEFT-WALL### 3 sirna 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 43 . 1 sirt1 2 - 1 sirt1 3 sirna 3 sirna 4 abolished 4 abolished 9 and 4 abolished 16 in 5 the 9 and 6 effects 7 of 6 effects 9 and 7 of 8 splitomicin 9 and 15 experiment 10 resveratrol 15 experiment 12 p53 13 - 12 p53 15 experiment 14 knockdown 15 experiment 16 in 18 cells 17 c2c12 18 cells 19 and 26 cells 19 and 27 showed 20 experiment 26 cells 21 using 26 cells 22 p53 23 - 22 p53 26 cells 24 deficient 26 cells 25 hct116 26 cells 26 cells 27 showed 27 showed 28 that 27 showed 30 and 27 showed 32 modulated 29 splitomicin 30 and 30 and 31 resveratrol 30 and 32 modulated 32 modulated 33 apoptosis 33 apoptosis 34 by 34 by 42 pathways 35 p53 38 and 35 p53 40 - 35 p53 41 independent 36 - 38 and 37 dependent 38 and 38 and 39 p53 38 and 40 - 41 independent 42 pathways in p53 - independent cell protective pathway , we found that foxo1 , foxo3a , and foxo4 were involved in sod2 's upregulation by resveratrol . 0 ###LEFT-WALL### 7 pathway 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 26 . 1 in 7 pathway 2 p53 3 - 2 p53 5 cell 4 independent 5 cell 5 cell 7 pathway 6 protective 7 pathway 8 , 9 we 8 , 10 found 9 we 10 found 10 found 11 that 11 that 16 and 11 that 19 involved 12 foxo1 13 , 13 , 14 foxo3a 13 , 16 and 15 , 16 and 16 and 17 foxo4 16 and 18 were 18 were 19 involved 19 involved 20 in 19 involved 24 by 20 in 23 upregulation 21 sod2 22 's 22 's 23 upregulation 24 by 25 resveratrol the knockdown of these three foxos by sirnas completely abolished the sod2 induction , ros reduction , and anti - apoptotic function of resveratrol . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 25 . 1 the 2 knockdown 2 knockdown 3 of 2 knockdown 14 , 3 of 5 three 4 these 5 three 5 three 6 foxos 5 three 10 abolished 6 foxos 7 by 6 foxos 10 abolished 7 by 8 sirnas 9 completely 10 abolished 10 abolished 13 induction 11 the 13 induction 12 sod2 13 induction 14 , 16 reduction 14 , 18 and 15 ros 16 reduction 17 , 18 and 18 and 22 function 18 and 23 of 19 anti 20 - 19 anti 22 function 21 apoptotic 22 function 23 of 24 resveratrol our results indicate that foxo1 , foxo3a and foxo4 , are indispensable for sirt1 - dependent cell survival against oxidative stress , although deacetylation of p53 has [also] some role [for] cell protective function of sirt1 . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 27 has 0 ###LEFT-WALL### 37 . 1 our 2 results 2 results 3 indicate 3 indicate 4 that 4 that 8 and 4 that 11 are 5 foxo1 6 , 6 , 7 foxo3a 6 , 8 and 8 and 9 foxo4 8 and 10 , 8 and 11 are 11 are 12 indispensable 11 are 23 although 12 indispensable 13 for 13 for 14 sirt1 14 sirt1 18 survival 15 - 18 survival 16 dependent 18 survival 17 cell 18 survival 18 survival 19 against 18 survival 22 , 19 against 21 stress 20 oxidative 21 stress 22 , 23 although 23 although 24 deacetylation 24 deacetylation 25 of 24 deacetylation 27 has 25 of 26 p53 27 has 34 function 29 some 34 function 30 role 34 function 32 cell 34 function 33 protective 34 function 34 function 35 of 35 of 36 sirt1 amyotrophic lateral sclerosis ( als ) is a fatal progressive neurodegenerative disorder . 0 ###LEFT-WALL### 3 sclerosis 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 13 . 1 amyotrophic 3 sclerosis 2 lateral 3 sclerosis 3 sclerosis 5 als 3 sclerosis 7 is 4 ( 5 als 5 als 6 ) 7 is 12 disorder 8 a 9 fatal 8 a 12 disorder 9 fatal 12 disorder 10 progressive 12 disorder 11 neurodegenerative 12 disorder current diagnosis time is about 12 - months due to lack of objective methods . 0 ###LEFT-WALL### 3 time 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 15 . 1 current 2 diagnosis 2 diagnosis 3 time 3 time 4 is 4 is 6 12 5 about 6 12 7 - 8 months 8 months 9 due 8 months 12 of 9 due 10 to 9 due 11 lack 10 to 11 lack 12 of 14 methods 13 objective 14 methods previous brain white matter voxel based morphometry ( vbm ) studies in als reported inconsistent results . 0 ###LEFT-WALL### 5 voxel 0 ###LEFT-WALL### 6 based 0 ###LEFT-WALL### 17 . 1 previous 2 brain 2 brain 5 voxel 3 white 4 matter 4 matter 5 voxel 5 voxel 6 based 6 based 11 studies 6 based 12 in 7 morphometry 9 vbm 7 morphometry 10 ) 7 morphometry 11 studies 8 ( 9 vbm 9 vbm 10 ) 12 in 16 results 13 als 14 reported 14 reported 16 results 15 inconsistent 16 results fractal [dimension] ( fd ) has successfully been used to quantify brain wm shape complexity in various neurological disorders and aging , but not yet studied in als . 0 ###LEFT-WALL### 4 fd 0 ###LEFT-WALL### 9 used 0 ###LEFT-WALL### 29 . 1 fractal 4 fd 3 ( 4 fd 4 fd 5 ) 4 fd 6 has 6 has 8 been 7 successfully 8 been 8 been 9 used 9 used 10 to 9 used 11 quantify 10 to 11 quantify 11 quantify 15 complexity 11 quantify 16 in 11 quantify 27 in 12 brain 14 shape 13 wm 14 shape 14 shape 15 complexity 16 in 20 and 17 various 19 disorders 18 neurological 19 disorders 19 disorders 20 and 20 and 21 aging 20 and 22 , 20 and 23 but 20 and 26 studied 23 but 24 not 25 yet 26 studied 27 in 28 als therefore , we investigated wm morphometric changes using fd analyses in als patients with [different] [clinical] phenotypes . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 18 . 1 therefore 2 , 1 therefore 3 we 3 we 4 investigated 4 investigated 5 wm 5 wm 8 using 5 wm 17 phenotypes 6 morphometric 7 changes 7 changes 8 using 8 using 9 fd 8 using 14 with 8 using 17 phenotypes 9 fd 10 analyses 10 analyses 11 in 10 analyses 13 patients 10 analyses 14 with 11 in 12 als we hypothesized that fd would better capture clinical features of the wm morphometry in different als phenotypes than vbm analysis . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 hypothesized 0 ###LEFT-WALL### 21 . 1 we 2 hypothesized 2 hypothesized 3 that 3 that 4 fd 3 that 7 capture 4 fd 5 would 5 would 7 capture 6 better 7 capture 7 capture 9 features 8 clinical 9 features 9 features 10 of 9 features 13 morphometry 9 features 17 phenotypes 10 of 12 wm 11 the 12 wm 13 morphometry 14 in 13 morphometry 17 phenotypes 14 in 16 als 15 different 16 als 17 phenotypes 18 than 18 than 20 analysis 19 vbm 20 analysis high resolution mri t1 [-] weighted images were acquired in controls ( n = 11 ) , and als patients ( n = 89 ) . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 26 . 1 high 9 acquired 1 high 10 in 1 high 18 and 2 resolution 3 mri 3 mri 7 images 3 mri 8 were 3 mri 9 acquired 4 t1 6 weighted 6 weighted 7 images 7 images 8 were 10 in 11 controls 11 controls 14 = 12 ( 14 = 13 n 14 = 14 = 15 11 14 = 16 ) 17 , 18 and 18 and 20 patients 18 and 23 = 19 als 20 patients 21 ( 23 = 22 n 23 = 23 = 24 89 23 = 25 ) als patients were assigned into four subgroups based on their clinical phenotypes.vbm analysis was carried out using spm8 . 0 ###LEFT-WALL### 1 als 0 ###LEFT-WALL### 19 . 1 als 2 patients 1 als 4 assigned 1 als 14 was 2 patients 3 were 3 were 4 assigned 4 assigned 5 into 4 assigned 9 on 5 into 7 subgroups 6 four 7 subgroups 7 subgroups 8 based 9 on 13 analysis 10 their 13 analysis 11 clinical 12 phenotypes.vbm 12 phenotypes.vbm 13 analysis 14 was 15 carried 15 carried 16 out 15 carried 17 using 17 using 18 spm8 fd values were estimated for brain wm [skeleton] , surface and general structure in both controls and als patients using our previously published algorithm . 0 ###LEFT-WALL### 2 values 0 ###LEFT-WALL### 4 estimated 0 ###LEFT-WALL### 25 . 1 fd 2 values 2 values 3 were 3 were 4 estimated 4 estimated 5 for 4 estimated 20 using 5 for 11 and 6 brain 7 wm 7 wm 9 , 9 , 10 surface 9 , 11 and 11 and 13 structure 11 and 14 in 12 general 13 structure 14 in 17 and 15 both 17 and 16 controls 17 and 17 and 19 patients 18 als 19 patients 20 using 24 algorithm 21 our 24 algorithm 22 previously 23 published 23 published 24 algorithm no significant vbm wm changes were observed between controls and als patients and among the als subgroups . 0 ###LEFT-WALL### 5 changes 0 ###LEFT-WALL### 7 observed 0 ###LEFT-WALL### 18 . 1 no 5 changes 2 significant 5 changes 3 vbm 4 wm 4 wm 5 changes 5 changes 6 were 6 were 7 observed 7 observed 13 and 8 between 10 and 8 between 13 and 9 controls 10 and 10 and 12 patients 11 als 12 patients 13 and 14 among 14 among 17 subgroups 15 the 17 subgroups 16 als 17 subgroups in contrast , significant ( p<0.05 ) fd reductions [in] skeleton and general structure were observed between als with dementia and other als subgroups . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 16 observed 0 ###LEFT-WALL### 25 . 1 in 2 contrast 2 contrast 3 , 3 , 11 skeleton 3 , 12 and 4 significant 6 p<0.05 4 significant 11 skeleton 5 ( 6 p<0.05 6 p<0.05 7 ) 8 fd 11 skeleton 9 reductions 11 skeleton 12 and 14 structure 12 and 15 were 13 general 14 structure 15 were 16 observed 16 observed 17 between 16 observed 19 with 17 between 18 als 19 with 21 and 20 dementia 21 and 21 and 24 subgroups 22 other 24 subgroups 23 als 24 subgroups no significant differences in any of the fd measures were observed between control and als patients . 0 ###LEFT-WALL### 3 differences 0 ###LEFT-WALL### 11 observed 0 ###LEFT-WALL### 17 . 1 no 3 differences 2 significant 3 differences 3 differences 4 in 3 differences 10 were 4 in 5 any 5 any 6 of 6 of 9 measures 7 the 9 measures 8 fd 9 measures 10 were 11 observed 11 observed 12 between 12 between 14 and 13 control 14 and 14 and 16 patients 15 als 16 patients fd correlated significantly with revised als functional rating [scale] ( alsfrs - r ) score a clinical measure [of] function . 0 ###LEFT-WALL### 1 fd 0 ###LEFT-WALL### 15 score 0 ###LEFT-WALL### 21 . 1 fd 2 correlated 1 fd 8 rating 1 fd 11 alsfrs 1 fd 15 score 2 correlated 3 significantly 2 correlated 4 with 2 correlated 7 functional 4 with 6 als 5 revised 6 als 10 ( 11 alsfrs 11 alsfrs 13 r 11 alsfrs 14 ) 12 - 13 r 13 r 14 ) 15 score 20 function 16 a 17 clinical 16 a 20 function 17 clinical 18 measure 18 measure 20 function results suggest that brain wm shape complexity is more sensitive to als disease process when compared to volumetric vbm analysis and fd changes are dependent on the als phenotype . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 suggest 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 30 . 1 results 2 suggest 2 suggest 3 that 3 that 7 complexity 3 that 8 is 4 brain 6 shape 5 wm 6 shape 6 shape 7 complexity 7 complexity 8 is 8 is 10 sensitive 9 more 10 sensitive 10 sensitive 11 to 10 sensitive 15 when 11 to 14 process 12 als 13 disease 13 disease 14 process 15 when 16 compared 16 compared 17 to 17 to 20 analysis 18 volumetric 20 analysis 19 vbm 20 analysis 21 and 23 changes 21 and 24 are 22 fd 23 changes 23 changes 24 are 24 are 25 dependent 25 dependent 26 on 26 on 29 phenotype 27 the 29 phenotype 28 als 29 phenotype correlation between fd and clinical measures suggests that fd could potentially serve as a biomarker of als pathophysiology , especially after confirmation by longitudinal studies . 0 ###LEFT-WALL### 1 correlation 0 ###LEFT-WALL### 7 suggests 1 correlation 2 between 1 correlation 7 suggests 2 between 4 and 3 fd 4 and 4 and 6 measures 5 clinical 6 measures 7 suggests 8 that 8 that 9 fd 8 that 12 serve 9 fd 10 could 10 could 12 serve 11 potentially 12 serve 12 serve 13 as 13 as 15 biomarker 14 a 15 biomarker 15 biomarker 16 of 16 of 18 pathophysiology 17 als 18 pathophysiology 18 pathophysiology 21 after 19 , 20 especially 19 , 21 after 21 after 22 confirmation 21 after 26 . 22 confirmation 23 by 23 by 25 studies 24 longitudinal 25 studies partial deletions of the gene encoding the neuronal splicing regulator rbfox1 have been reported in a range of neurodevelopmental diseases , including idiopathic generalized epilepsy . 0 ###LEFT-WALL### 2 deletions 0 ###LEFT-WALL### 14 reported 1 partial 2 deletions 2 deletions 3 of 2 deletions 6 encoding 2 deletions 12 have 3 of 5 gene 4 the 5 gene 6 encoding 11 rbfox1 7 the 10 regulator 8 neuronal 10 regulator 9 splicing 10 regulator 10 regulator 11 rbfox1 12 have 13 been 13 been 14 reported 14 reported 15 in 15 in 17 range 16 a 17 range 17 range 18 of 17 range 22 including 18 of 20 diseases 19 neurodevelopmental 20 diseases 21 , 22 including 22 including 25 epilepsy 22 including 26 . 23 idiopathic 25 epilepsy 24 generalized 25 epilepsy the rbfox1 protein and its homologues ( rbfox2 and rbfox3 ) regulate alternative splicing of many neuronal transcripts involved in the homeostatic control of neuronal excitability . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 12 regulate 0 ###LEFT-WALL### 27 . 1 the 3 protein 2 rbfox1 3 protein 3 protein 4 and 4 and 6 homologues 4 and 9 and 4 and 12 regulate 5 its 6 homologues 7 ( 9 and 8 rbfox2 9 and 9 and 10 rbfox3 9 and 11 ) 12 regulate 14 splicing 13 alternative 14 splicing 14 splicing 15 of 14 splicing 19 involved 15 of 18 transcripts 16 many 18 transcripts 17 neuronal 18 transcripts 19 involved 20 in 20 in 23 control 21 the 23 control 22 homeostatic 23 control 23 control 24 of 24 of 26 excitability 25 neuronal 26 excitability in this study , we explored if structural microdeletions and exonic sequence variations in rbfox1 , rbfox2 , rbfox3 confer susceptibility to rolandic epilepsy ( re ) , a common idiopathic focal childhood [epilepsy] . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 explored 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 35 . 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 explored 6 explored 7 if 7 if 10 and 7 if 12 sequence 8 structural 9 microdeletions 9 microdeletions 10 and 10 and 11 exonic 10 and 12 sequence 12 sequence 13 variations 12 sequence 14 in 14 in 15 rbfox1 15 rbfox1 17 rbfox2 16 , 17 rbfox2 17 rbfox2 18 , 18 , 20 confer 18 , 28 , 19 rbfox3 20 confer 20 confer 21 susceptibility 20 confer 22 to 22 to 24 epilepsy 23 rolandic 24 epilepsy 24 epilepsy 26 re 25 ( 26 re 26 re 27 ) 28 , 33 childhood 29 a 30 common 29 a 33 childhood 30 common 33 childhood 31 idiopathic 33 childhood 32 focal 33 childhood by high - density snp array screening of 289 unrelated re patients , we identified two hemizygous deletions , a 365 kb deletion affecting two untranslated [5] ['] - terminal exons of rbfox1 and a 43 kb deletion spanning exon 3 of rbfox3 . 0 ###LEFT-WALL### 5 snp 0 ###LEFT-WALL### 6 array 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 44 . 1 by 4 density 1 by 5 snp 2 high 3 - 2 high 4 density 5 snp 6 array 6 array 7 screening 7 screening 8 of 8 of 12 patients 9 289 12 patients 10 unrelated 12 patients 11 re 12 patients 13 , 14 we 13 , 15 identified 13 , 19 , 14 we 15 identified 15 identified 18 deletions 16 two 18 deletions 17 hemizygous 18 deletions 19 , 34 and 20 a 23 deletion 21 365 22 kb 22 kb 23 deletion 23 deletion 24 affecting 23 deletion 34 and 24 affecting 31 exons 25 two 31 exons 26 untranslated 29 - 26 untranslated 30 terminal 30 terminal 31 exons 31 exons 32 of 32 of 33 rbfox1 34 and 38 deletion 34 and 42 of 35 a 38 deletion 36 43 37 kb 37 kb 38 deletion 38 deletion 39 spanning 39 spanning 40 exon 40 exon 41 3 42 of 43 rbfox3 exome sequencing of 242 re patients revealed two novel probably deleterious variants in rbfox1 , a frameshift mutation ( p.a233vfs*74 ) and a hexanucleotide deletion ( p.a299_a300del ) , and a novel nonsense mutation in rbfox3 ( p.y287* ) . 0 ###LEFT-WALL### 2 sequencing 0 ###LEFT-WALL### 7 revealed 0 ###LEFT-WALL### 40 . 1 exome 2 sequencing 2 sequencing 3 of 2 sequencing 7 revealed 3 of 6 patients 4 242 6 patients 5 re 6 patients 7 revealed 30 and 7 revealed 35 in 8 two 12 variants 9 novel 12 variants 10 probably 11 deleterious 11 deleterious 12 variants 12 variants 13 in 12 variants 22 and 13 in 14 rbfox1 14 rbfox1 18 mutation 15 , 18 mutation 16 a 18 mutation 17 frameshift 18 mutation 18 mutation 20 p.a233vfs*74 18 mutation 21 ) 19 ( 20 p.a233vfs*74 20 p.a233vfs*74 21 ) 22 and 25 deletion 22 and 27 p.a299_a300del 22 and 30 and 23 a 25 deletion 24 hexanucleotide 25 deletion 26 ( 27 p.a299_a300del 27 p.a299_a300del 28 ) 29 , 30 and 30 and 34 mutation 31 a 32 novel 31 a 34 mutation 32 novel 33 nonsense 33 nonsense 34 mutation 35 in 36 rbfox3 36 rbfox3 38 p.y287* 37 ( 38 p.y287* 38 p.y287* 39 ) although the three variants were inherited from unaffected parents , they were present in all family members exhibiting the re trait clinically or electroencephalographically with only one exception . 0 ###LEFT-WALL### 11 they 0 ###LEFT-WALL### 12 were 0 ###LEFT-WALL### 29 . 1 although 4 variants 1 although 6 inherited 1 although 10 , 1 although 11 they 2 the 3 three 3 three 4 variants 4 variants 5 were 5 were 6 inherited 6 inherited 7 from 7 from 9 parents 8 unaffected 9 parents 11 they 12 were 12 were 13 present 13 present 14 in 14 in 17 members 15 all 17 members 16 family 17 members 17 members 18 exhibiting 18 exhibiting 21 trait 18 exhibiting 23 or 18 exhibiting 25 with 19 the 21 trait 20 re 21 trait 22 clinically 23 or 23 or 24 electroencephalographically 25 with 28 exception 26 only 27 one 27 one 28 exception in contrast , no deleterious mutations of rbfox1 and rbfox3 were found in the exomes of 6503 [non] - re subjects deposited in the exome variant server database . 0 ###LEFT-WALL### 6 mutations 0 ###LEFT-WALL### 12 found 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 29 . 1 in 2 contrast 1 in 3 , 1 in 6 mutations 4 no 6 mutations 5 deleterious 6 mutations 6 mutations 7 of 6 mutations 11 were 7 of 10 rbfox3 8 rbfox1 9 and 9 and 10 rbfox3 11 were 12 found 12 found 13 in 13 in 15 exomes 14 the 15 exomes 15 exomes 16 of 16 of 17 6503 19 - 21 subjects 20 re 21 subjects 21 subjects 22 deposited 21 subjects 23 in 23 in 28 database 24 the 28 database 25 exome 26 variant 26 variant 27 server 27 server 28 database the observed rbfox3 exon 3 deletion and nonsense mutation suggest that rbfox3 represents a novel risk factor for re , indicating that exon deletions and truncating mutations of rbfox1 and rbfox3 contribute to the genetic variance of partial and generalized idiopathic epilepsy syndromes . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 10 suggest 1 the 6 deletion 2 observed 6 deletion 3 rbfox3 4 exon 4 exon 6 deletion 5 3 6 deletion 6 deletion 7 and 7 and 9 mutation 7 and 10 suggest 8 nonsense 9 mutation 10 suggest 11 that 11 that 12 rbfox3 11 that 13 represents 12 rbfox3 13 represents 13 represents 17 factor 14 a 17 factor 15 novel 17 factor 16 risk 17 factor 17 factor 18 for 17 factor 21 indicating 18 for 19 re 20 , 21 indicating 21 indicating 22 that 21 indicating 44 . 22 that 30 and 22 that 32 contribute 23 exon 24 deletions 24 deletions 25 and 25 and 27 mutations 25 and 28 of 25 and 30 and 26 truncating 27 mutations 28 of 29 rbfox1 30 and 31 rbfox3 30 and 32 contribute 32 contribute 33 to 33 to 36 variance 34 the 36 variance 35 genetic 36 variance 36 variance 37 of 37 of 39 and 38 partial 39 and 39 and 43 syndromes 40 generalized 42 epilepsy 41 idiopathic 42 epilepsy 42 epilepsy 43 syndromes the proto - oncogene [c] - myc is vital for vascular development and promotes tumor angiogenesis , but the mechanisms by which it controls blood vessel growth remain unclear . 0 ###LEFT-WALL### 4 oncogene 0 ###LEFT-WALL### 6 - 1 the 4 oncogene 2 proto 3 - 2 proto 4 oncogene 6 - 7 myc 6 - 13 and 6 - 18 but 6 - 30 . 7 myc 13 and 8 is 9 vital 8 is 13 and 9 vital 10 for 10 for 12 development 11 vascular 12 development 13 and 14 promotes 13 and 16 angiogenesis 15 tumor 16 angiogenesis 17 , 18 but 18 but 20 mechanisms 18 but 28 remain 19 the 20 mechanisms 20 mechanisms 21 by 20 mechanisms 28 remain 21 by 22 which 21 by 23 it 21 by 24 controls 23 it 24 controls 24 controls 27 growth 25 blood 27 growth 26 vessel 27 growth 28 remain 29 unclear in the present work we investigated the effects of [c] [-] myc knockdown in endothelial cell functions essential for angiogenesis to define its role in the vasculature . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 investigated 0 ###LEFT-WALL### 28 . 1 in 4 work 1 in 5 we 2 the 4 work 3 present 4 work 5 we 6 investigated 6 investigated 8 effects 6 investigated 21 to 7 the 8 effects 8 effects 9 of 8 effects 13 knockdown 8 effects 18 essential 9 of 12 myc 13 knockdown 14 in 14 in 17 functions 15 endothelial 16 cell 16 cell 17 functions 18 essential 19 for 19 for 20 angiogenesis 21 to 22 define 22 define 24 role 22 define 25 in 23 its 24 role 25 in 27 vasculature 26 the 27 vasculature we provide the first evidence that reduction in [c] [-] myc expression in endothelial cells leads to a pro - inflammatory senescent phenotype , features typically observed during vascular aging and pathologies associated with endothelial dysfunction . [c] - myc [knockdown] in human umbilical vein endothelial cells using lentivirus expressing specific anti - c - myc shrna reduced proliferation and tube formation . 1 we 2 provide 2 provide 5 evidence 3 the 5 evidence 4 first 5 evidence 5 evidence 6 that 5 evidence 16 leads 5 evidence 17 to 6 that 7 reduction 6 that 16 leads 7 reduction 8 in 7 reduction 16 leads 8 in 12 expression 11 myc 12 expression 12 expression 13 in 13 in 15 cells 14 endothelial 15 cells 17 to 19 pro 18 a 19 pro 19 pro 23 phenotype 20 - 23 phenotype 21 inflammatory 23 phenotype 22 senescent 23 phenotype 23 phenotype 24 , 24 , 27 observed 25 features 27 observed 26 typically 27 observed 27 observed 28 during 27 observed 37 . 28 during 31 and 29 vascular 30 aging 30 aging 31 and 31 and 32 pathologies 32 pathologies 33 associated 33 associated 34 with 34 with 36 dysfunction 35 endothelial 36 dysfunction 37 . 48 using 39 - 40 myc 40 myc 48 using 42 in 47 cells 42 in 48 using 43 human 47 cells 44 umbilical 45 vein 45 vein 47 cells 46 endothelial 47 cells 48 using 57 shrna 48 using 58 reduced 49 lentivirus 50 expressing 50 expressing 57 shrna 51 specific 57 shrna 52 anti 55 - 52 anti 57 shrna 53 - 55 - 54 c 55 - 55 - 56 myc 58 reduced 60 and 59 proliferation 60 and 60 and 62 formation 60 and 63 . 61 tube 62 formation these functional defects were associated with morphological changes , increase in senescence - associated - β - galactosidase activity , upregulation of cell cycle inhibitors and accumulation [of] [c] - myc - deficient cells in g1 - phase , indicating that [c] - myc knockdown in endothelial cells induces senescence . 0 ###LEFT-WALL### 3 defects 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 32 - 0 ###LEFT-WALL### 51 . 1 these 3 defects 2 functional 3 defects 3 defects 9 , 4 were 5 associated 4 were 9 , 5 associated 6 with 6 with 8 changes 7 morphological 8 changes 9 , 10 increase 9 , 11 in 9 , 14 associated 9 , 21 upregulation 11 in 12 senescence 13 - 14 associated 14 associated 15 - 16 β 19 activity 16 β 21 upregulation 17 - 19 activity 18 galactosidase 19 activity 19 activity 20 , 21 upregulation 22 of 21 upregulation 31 myc 22 of 26 and 23 cell 25 inhibitors 24 cycle 25 inhibitors 25 inhibitors 26 and 26 and 27 accumulation 30 - 31 myc 31 myc 32 - 32 - 34 cells 32 - 37 - 33 deficient 34 cells 34 cells 35 in 35 in 36 g1 37 - 38 phase 37 - 39 , 39 , 44 myc 39 , 49 induces 40 indicating 41 that 40 indicating 43 - 40 indicating 44 myc 44 myc 45 knockdown 44 myc 49 induces 45 knockdown 46 in 46 in 48 cells 47 endothelial 48 cells 49 induces 50 senescence gene expression analysis [of] [c] - myc - deficient endothelial cells showed that senescent phenotype was accompanied by significant upregulation of growth factors , adhesion molecules , extracellular - matrix components and remodeling proteins , [and] a cluster of pro - inflammatory mediators , which include angptl4 , cxcl12 , mdk , tgfb2 and tnfsf15 . 1 gene 3 analysis 2 expression 3 analysis 3 analysis 8 - 3 analysis 12 showed 6 - 8 - 7 myc 8 - 8 - 11 cells 9 deficient 11 cells 10 endothelial 11 cells 12 showed 14 senescent 12 showed 18 by 13 that 14 senescent 14 senescent 15 phenotype 14 senescent 16 was 14 senescent 17 accompanied 15 phenotype 16 was 18 by 20 upregulation 19 significant 20 upregulation 20 upregulation 21 of 21 of 32 and 22 growth 23 factors 23 factors 24 , 24 , 26 molecules 24 , 27 , 25 adhesion 26 molecules 27 , 31 components 27 , 32 and 28 extracellular 29 - 28 extracellular 31 components 30 matrix 31 components 32 and 34 proteins 32 and 41 - 33 remodeling 34 proteins 35 , 41 - 37 a 38 cluster 38 cluster 39 of 38 cluster 41 - 39 of 40 pro 41 - 43 mediators 42 inflammatory 43 mediators 43 mediators 45 which 43 mediators 49 cxcl12 44 , 45 which 45 which 46 include 46 include 47 angptl4 48 , 49 cxcl12 49 cxcl12 51 mdk 49 cxcl12 56 . 50 , 51 mdk 51 mdk 54 and 51 mdk 56 . 52 , 54 and 53 tgfb2 54 and 54 and 55 tnfsf15 54 and 56 . at the peak of expression of these cytokines , transcription factors known to be involved in growth control ( e2f1 , id1 and myb ) were downregulated , while those involved in inflammatory responses ( relb , stat1 , stat2 and stat4 ) were upregulated . 1 at 3 peak 1 at 9 , 1 at 11 factors 2 the 3 peak 3 peak 4 of 3 peak 6 of 4 of 5 expression 6 of 8 cytokines 7 these 8 cytokines 10 transcription 11 factors 11 factors 12 known 11 factors 15 involved 11 factors 26 were 12 known 13 to 12 known 14 be 13 to 14 be 15 involved 16 in 16 in 18 control 17 growth 18 control 18 control 23 and 19 ( 23 and 20 e2f1 21 , 21 , 22 id1 21 , 23 and 23 and 24 myb 23 and 25 ) 26 were 27 downregulated 27 downregulated 29 while 28 , 29 while 29 while 30 those 29 while 45 upregulated 29 while 46 . 30 those 31 involved 30 those 44 were 31 involved 32 in 32 in 34 responses 33 inflammatory 34 responses 34 responses 36 relb 35 ( 36 relb 36 relb 41 and 36 relb 43 ) 37 , 41 and 38 stat1 39 , 39 , 40 stat2 39 , 41 and 41 and 42 stat4 41 and 43 ) 44 were 45 upregulated 45 upregulated 46 . our results demonstrate a novel role for [c] [-] myc in the prevention [of] vascular pro - inflammatory phenotype , supporting an important physiological function as a central regulator of inflammation and endothelial dysfunction . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 demonstrate 0 ###LEFT-WALL### 17 - 1 our 2 results 2 results 3 demonstrate 3 demonstrate 6 role 3 demonstrate 11 in 4 a 5 novel 4 a 6 role 5 novel 6 role 6 role 7 for 7 for 10 myc 11 in 16 pro 12 the 16 pro 13 prevention 16 pro 15 vascular 16 pro 17 - 19 phenotype 17 - 20 , 17 - 35 . 18 inflammatory 19 phenotype 20 , 34 dysfunction 21 supporting 34 dysfunction 22 an 23 important 22 an 25 function 23 important 25 function 24 physiological 25 function 25 function 26 as 25 function 32 and 26 as 29 regulator 27 a 28 central 27 a 29 regulator 28 central 29 regulator 29 regulator 30 of 30 of 31 inflammation 32 and 33 endothelial 32 and 34 dysfunction [protein] n - glycosylation patterns are known to show vast genetic as well as physiological and pathological variation and represent a large pool of potential biomarkers . 0 ###LEFT-WALL### 2 n 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 27 . 2 n 3 - 3 - 4 glycosylation 4 glycosylation 5 patterns 4 glycosylation 20 represent 4 glycosylation 26 biomarkers 5 patterns 6 are 6 are 7 known 7 known 8 to 7 known 19 and 8 to 19 and 9 show 18 variation 9 show 19 and 10 vast 18 variation 11 genetic 13 well 11 genetic 14 as 11 genetic 16 and 12 as 13 well 14 as 15 physiological 16 and 17 pathological 16 and 18 variation 19 and 20 represent 20 represent 23 pool 21 a 22 large 21 a 23 pool 22 large 23 pool 23 pool 24 of 24 of 25 potential large - scale studies are needed for the identification and validation of biomarkers , and the analytical techniques required have recently been developed . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 6 needed 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 24 . 1 large 2 - 1 large 3 scale 3 scale 4 studies 4 studies 5 are 5 are 6 needed 6 needed 7 for 7 for 10 and 8 the 9 identification 9 identification 10 and 10 and 11 validation 10 and 12 of 12 of 13 biomarkers 14 , 15 and 15 and 18 techniques 15 and 23 developed 16 the 18 techniques 17 analytical 18 techniques 18 techniques 19 required 18 techniques 20 have 20 have 22 been 21 recently 22 been 22 been 23 developed such methods have [up] [to] now mainly been applied to complex mixtures of glycoproteins in biofluids ( e.g [.] plasma ) . 0 ###LEFT-WALL### 2 methods 0 ###LEFT-WALL### 9 applied 0 ###LEFT-WALL### 22 . 1 such 2 methods 2 methods 3 have 3 have 8 been 6 now 8 been 7 mainly 8 been 8 been 9 applied 9 applied 10 to 10 to 11 complex 11 complex 12 mixtures 11 complex 15 in 12 mixtures 13 of 13 of 14 glycoproteins 15 in 16 biofluids 16 biofluids 20 plasma 17 ( 20 plasma 18 e.g 20 plasma 20 plasma 21 ) here , we analyzed n - glycosylation profiles of alpha1 - antitrypsin ( aat ) and immunoglobulin a ( iga ) enriched fractions by 96 - well microtitration plate based high - throughput [immuno] - affinity capturing and n - glycan analysis using multiplexed capillary gel electrophoresis with laser - induced fluorescence detection ( cge - lif ) . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 analyzed 0 ###LEFT-WALL### 6 - 1 here 2 , 1 here 3 we 3 we 4 analyzed 4 analyzed 5 n 6 - 16 and 6 - 22 enriched 6 - 26 - 6 - 35 - 7 glycosylation 8 profiles 8 profiles 9 of 8 profiles 16 and 9 of 10 alpha1 10 alpha1 12 antitrypsin 11 - 12 antitrypsin 12 antitrypsin 14 aat 12 antitrypsin 15 ) 13 ( 14 aat 14 aat 15 ) 16 and 17 immunoglobulin 16 and 20 iga 16 and 22 enriched 17 immunoglobulin 18 a 19 ( 20 iga 20 iga 21 ) 22 enriched 23 fractions 23 fractions 24 by 24 by 25 96 26 - 27 well 27 well 33 throughput 28 microtitration 30 based 29 plate 30 based 30 based 33 throughput 31 high 32 - 31 high 33 throughput 35 - 49 laser 35 - 50 - 35 - 59 . 36 affinity 49 laser 37 capturing 38 and 38 and 39 n 38 and 40 - 38 and 43 using 38 and 48 with 38 and 49 laser 41 glycan 42 analysis 42 analysis 43 using 43 using 44 multiplexed 44 multiplexed 47 electrophoresis 44 multiplexed 48 with 45 capillary 47 electrophoresis 46 gel 47 electrophoresis 50 - 53 detection 51 induced 53 detection 52 fluorescence 53 detection 53 detection 55 cge 54 ( 55 cge 55 cge 57 lif 55 cge 58 ) 56 - 57 lif 57 lif 58 ) human plasma samples were from the leiden longevity study comprising 2415 participants of different chronological and biological ages . 0 ###LEFT-WALL### 3 samples 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 19 . 1 human 2 plasma 2 plasma 3 samples 3 samples 4 were 4 were 5 from 5 from 9 study 6 the 9 study 7 leiden 8 longevity 8 longevity 9 study 9 study 10 comprising 10 comprising 12 participants 11 2415 12 participants 12 participants 13 of 13 of 18 ages 14 different 18 ages 15 chronological 16 and 16 and 17 biological 16 and 18 ages glycosylation patterns of aat enriched fractions were found to be associated with chronological [(] calendar [ )(age and they differed between females and males . 0 ###LEFT-WALL### 2 patterns 0 ###LEFT-WALL### 20 differed 0 ###LEFT-WALL### 25 . 1 glycosylation 2 patterns 2 patterns 3 of 2 patterns 6 fractions 2 patterns 8 found 2 patterns 20 differed 3 of 4 aat 4 aat 5 enriched 6 fractions 7 were 7 were 8 found 8 found 9 to 9 to 10 be 10 be 11 associated 11 associated 12 with 12 with 18 and 13 chronological 17 )(age 15 calendar 17 )(age 17 )(age 18 and 18 and 19 they 20 differed 21 between 21 between 23 and 22 females 23 and 23 and 24 males moreover , several glycans in the aat enriched fraction were associated with physiological parameters marking cardiovascular and metabolic diseases . 0 ###LEFT-WALL### 4 glycans 0 ###LEFT-WALL### 11 associated 0 ###LEFT-WALL### 20 . 1 moreover 2 , 1 moreover 4 glycans 3 several 4 glycans 4 glycans 5 in 4 glycans 10 were 5 in 9 fraction 6 the 9 fraction 7 aat 8 enriched 8 enriched 9 fraction 10 were 11 associated 11 associated 12 with 12 with 14 parameters 13 physiological 14 parameters 14 parameters 15 marking 15 marking 19 diseases 16 cardiovascular 17 and 17 and 18 metabolic 17 and 19 diseases pronounced differences were found between males and females in the glycosylation profiles of iga enriched fractions . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 17 . 1 pronounced 2 differences 2 differences 3 were 3 were 4 found 4 found 5 between 4 found 9 in 5 between 7 and 6 males 7 and 7 and 8 females 9 in 12 profiles 10 the 12 profiles 11 glycosylation 12 profiles 12 profiles 13 of 13 of 16 fractions 14 iga 15 enriched 15 enriched 16 fractions our results demonstrate that large - scale [immuno] - affinity capturing of proteins from human plasma using a bead - based method combined with high - throughput n - glycan analysis is a powerful tool for the discovery of glycosylation - based biomarker candidates . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 demonstrate 0 ###LEFT-WALL### 45 . 1 our 2 results 2 results 3 demonstrate 3 demonstrate 7 scale 3 demonstrate 42 based 4 that 7 scale 5 large 6 - 5 large 7 scale 7 scale 20 - 7 scale 42 based 9 - 20 - 10 affinity 11 capturing 11 capturing 12 of 11 capturing 20 - 12 of 13 proteins 13 proteins 14 from 13 proteins 17 using 14 from 16 plasma 15 human 16 plasma 17 using 19 bead 18 a 19 bead 20 - 22 method 20 - 41 - 21 based 22 method 22 method 23 combined 23 combined 24 with 23 combined 36 for 24 with 30 glycan 24 with 35 tool 25 high 27 throughput 25 high 29 - 25 high 30 glycan 26 - 27 throughput 27 throughput 28 n 27 throughput 29 - 30 glycan 31 analysis 30 glycan 32 is 31 analysis 32 is 33 a 35 tool 34 powerful 35 tool 36 for 38 discovery 37 the 38 discovery 38 discovery 39 of 39 of 40 glycosylation 42 based 44 candidates 43 biomarker 44 candidates telomeres protect the chromosome ends from degradation and play crucial roles in cellular aging and disease . 0 ###LEFT-WALL### 1 telomeres 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 17 . 1 telomeres 8 and 2 protect 5 ends 2 protect 8 and 3 the 5 ends 4 chromosome 5 ends 5 ends 6 from 6 from 7 degradation 8 and 9 play 9 play 11 roles 9 play 12 in 10 crucial 11 roles 12 in 15 and 13 cellular 14 aging 13 cellular 15 and 15 and 16 disease recent studies have additionally found a correlation between psychological stress , telomere length , and health outcome in humans . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 20 . 1 recent 2 studies 2 studies 3 have 3 have 5 found 4 additionally 5 found 5 found 7 correlation 5 found 8 between 5 found 18 in 6 a 7 correlation 8 between 15 and 9 psychological 10 stress 10 stress 11 , 11 , 13 length 11 , 15 and 12 telomere 13 length 14 , 15 and 15 and 17 outcome 16 health 17 outcome 18 in 19 humans however , studies have not yet explored the causal relationship between stress and telomere length , or the molecular mechanisms underlying that relationship . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 7 explored 0 ###LEFT-WALL### 24 . 1 however 2 , 1 however 3 studies 3 studies 4 have 4 have 5 not 4 have 7 explored 6 yet 7 explored 7 explored 10 relationship 7 explored 11 between 8 the 10 relationship 9 causal 10 relationship 11 between 17 or 12 stress 13 and 13 and 15 length 13 and 17 or 14 telomere 15 length 16 , 17 or 17 or 20 mechanisms 17 or 21 underlying 18 the 20 mechanisms 19 molecular 20 mechanisms 21 underlying 23 relationship 22 that 23 relationship using yeast as a model organism , we show that stresses may have very different outcomes : alcohol and acetic acid elongate telomeres , whereas caffeine and high temperatures shorten telomeres . 0 ###LEFT-WALL### 8 we 0 ###LEFT-WALL### 9 show 0 ###LEFT-WALL### 17 : 0 ###LEFT-WALL### 30 shorten 0 ###LEFT-WALL### 32 . 1 using 2 yeast 1 using 3 as 1 using 7 , 1 using 8 we 3 as 6 organism 4 a 6 organism 5 model 6 organism 8 we 9 show 9 show 10 that 10 that 11 stresses 10 that 13 have 11 stresses 12 may 12 may 13 have 13 have 16 outcomes 14 very 15 different 15 different 16 outcomes 17 : 19 and 17 : 22 elongate 18 alcohol 19 and 19 and 21 acid 19 and 22 elongate 20 acetic 21 acid 22 elongate 23 telomeres 22 elongate 25 whereas 24 , 25 whereas 25 whereas 27 and 26 caffeine 27 and 27 and 29 temperatures 27 and 30 shorten 28 high 29 temperatures 30 shorten 31 telomeres additional treatments , such as oxidative stress , show no effect . 0 ###LEFT-WALL### 2 treatments 0 ###LEFT-WALL### 9 show 0 ###LEFT-WALL### 12 . 1 additional 2 treatments 2 treatments 5 as 2 treatments 9 show 3 , 5 as 4 such 5 as 5 as 7 stress 5 as 8 , 6 oxidative 7 stress 9 show 11 effect 10 no 11 effect by combining genome [-] wide expression measurements with a systematic genetic screen , we identify the rap1/rif1 pathway as the central mediator of the telomeric response to environmental signals . 0 ###LEFT-WALL### 14 we 0 ###LEFT-WALL### 15 identify 0 ###LEFT-WALL### 30 . 1 by 2 combining 1 by 13 , 1 by 14 we 2 combining 7 measurements 2 combining 8 with 3 genome 7 measurements 5 wide 6 expression 6 expression 7 measurements 8 with 12 screen 9 a 10 systematic 9 a 12 screen 10 systematic 12 screen 11 genetic 12 screen 14 we 15 identify 15 identify 18 pathway 15 identify 19 as 16 the 18 pathway 17 rap1/rif1 18 pathway 19 as 22 mediator 20 the 22 mediator 21 central 22 mediator 22 mediator 23 of 23 of 26 response 24 the 26 response 25 telomeric 26 response 26 response 27 to 27 to 29 signals 28 environmental 29 signals these results demonstrate that telomere length can be manipulated , and that [a] carefully regulated homeostasis may become markedly deregulated in opposing directions in response to different environmental cues . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 demonstrate 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 30 . 1 these 2 results 2 results 3 demonstrate 3 demonstrate 4 that 4 that 6 length 4 that 9 manipulated 5 telomere 6 length 6 length 7 can 7 can 8 be 8 be 9 manipulated 9 manipulated 10 , 11 and 16 homeostasis 11 and 18 become 12 that 14 carefully 14 carefully 15 regulated 15 regulated 16 homeostasis 16 homeostasis 17 may 17 may 18 become 18 become 20 deregulated 18 become 26 to 19 markedly 20 deregulated 20 deregulated 21 in 21 in 22 opposing 22 opposing 23 directions 24 in 25 response 25 response 26 to 26 to 29 cues 27 different 29 cues 28 environmental 29 cues cell heterogeneity and the inherent complexity due to the interplay of multiple molecular processes within the cell pose difficult challenges for current single - cell biology . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 18 pose 0 ###LEFT-WALL### 27 . 1 cell 2 heterogeneity 2 heterogeneity 3 and 3 and 6 complexity 3 and 7 due 3 and 18 pose 4 the 6 complexity 5 inherent 6 complexity 7 due 8 to 8 to 10 interplay 9 the 10 interplay 10 interplay 11 of 11 of 14 processes 12 multiple 14 processes 13 molecular 14 processes 14 processes 15 within 15 within 17 cell 16 the 17 cell 18 pose 20 challenges 19 difficult 20 challenges 20 challenges 21 for 21 for 26 biology 22 current 26 biology 23 single 24 - 23 single 25 cell 25 cell 26 biology we introduce an approach that identifies a disease phenotype from multiparameter single - cell measurements , which is based on the concept of " supercell statistics " , a single - cell - based averaging procedure followed by a machine learning classification scheme . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 6 identifies 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 44 . 1 we 2 introduce 2 introduce 4 approach 3 an 4 approach 4 approach 5 that 4 approach 6 identifies 5 that 6 identifies 6 identifies 9 phenotype 7 a 8 disease 7 a 9 phenotype 8 disease 9 phenotype 9 phenotype 10 from 10 from 15 measurements 11 multiparameter 14 cell 12 single 13 - 12 single 14 cell 14 cell 15 measurements 16 , 17 which 16 , 19 based 17 which 18 is 18 is 19 based 19 based 20 on 19 based 38 by 20 on 22 concept 21 the 22 concept 22 concept 23 of 22 concept 34 based 22 concept 35 averaging 23 of 24 " 23 of 26 statistics 25 supercell 26 statistics 26 statistics 27 " 26 statistics 32 cell 28 , 32 cell 29 a 32 cell 30 single 31 - 30 single 32 cell 32 cell 33 - 35 averaging 36 procedure 36 procedure 37 followed 38 by 43 scheme 39 a 43 scheme 40 machine 43 scheme 41 learning 43 scheme 42 classification 43 scheme we are able to assess the optimal tradeoff between the number of single cells averaged and the number of measurements needed to capture phenotypic differences between healthy and diseased patients , as well as between different diseases that are difficult to diagnose otherwise . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 23 capture 1 we 2 are 2 are 3 able 3 able 4 to 3 able 5 assess 4 to 5 assess 5 assess 8 tradeoff 5 assess 9 between 5 assess 22 to 6 the 8 tradeoff 7 optimal 8 tradeoff 9 between 16 and 10 the 11 number 11 number 12 of 11 number 16 and 12 of 14 cells 13 single 14 cells 14 cells 15 averaged 16 and 18 number 16 and 19 of 17 the 18 number 19 of 20 measurements 20 measurements 21 needed 22 to 23 capture 23 capture 25 differences 24 phenotypic 25 differences 25 differences 26 between 25 differences 32 as 26 between 28 and 27 healthy 28 and 28 and 30 patients 29 diseased 30 patients 31 , 32 as 32 as 33 well 32 as 44 . 33 well 34 as 34 as 35 between 35 between 37 diseases 36 different 37 diseases 37 diseases 38 that 37 diseases 39 are 38 that 39 are 39 are 40 difficult 40 difficult 41 to 40 difficult 42 diagnose 41 to 42 diagnose 42 diagnose 43 otherwise we apply our approach to two kinds of single - cell datasets , addressing the diagnosis of a premature aging disorder using images of cell nuclei , as well as [the] [phenotypes] of two [non] - infectious uveitides ( the ocular manifestations of behçet 's disease and sarcoidosis ) based on multicolor flow cytometry . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 apply 0 ###LEFT-WALL### 10 - 1 we 2 apply 2 apply 4 approach 2 apply 5 to 3 our 4 approach 5 to 8 of 6 two 8 of 7 kinds 8 of 8 of 9 single 10 - 12 datasets 11 cell 12 datasets 12 datasets 14 addressing 13 , 14 addressing 14 addressing 16 diagnosis 14 addressing 22 using 15 the 16 diagnosis 16 diagnosis 17 of 17 of 21 disorder 18 a 19 premature 18 a 21 disorder 19 premature 21 disorder 20 aging 21 disorder 22 using 23 images 23 images 24 of 24 of 26 nuclei 25 cell 26 nuclei 26 nuclei 36 - 27 , 36 - 28 as 29 well 28 as 36 - 29 well 30 as 29 well 36 - 30 as 33 of 33 of 34 two 36 - 38 uveitides 37 infectious 38 uveitides 38 uveitides 47 and 39 ( 47 and 40 the 42 manifestations 41 ocular 42 manifestations 42 manifestations 43 of 42 manifestations 47 and 43 of 46 disease 44 behçet 45 's 45 's 46 disease 47 and 48 sarcoidosis 47 and 49 ) 47 and 50 based 47 and 55 . 50 based 51 on 50 based 54 cytometry 51 on 53 flow 52 multicolor 53 flow in the former case , one nuclear shape measurement taken over a group of 30 cells is sufficient to classify samples as healthy or diseased , in agreement with usual laboratory practice . 0 ###LEFT-WALL### 9 measurement 0 ###LEFT-WALL### 17 is 0 ###LEFT-WALL### 33 . 1 in 4 case 1 in 5 , 1 in 9 measurement 2 the 4 case 3 former 4 case 6 one 9 measurement 7 nuclear 8 shape 8 shape 9 measurement 9 measurement 10 taken 9 measurement 17 is 10 taken 11 over 11 over 16 cells 12 a 13 group 13 group 14 of 13 group 16 cells 14 of 16 cells 15 30 16 cells 17 is 18 sufficient 18 sufficient 19 to 18 sufficient 20 classify 19 to 20 classify 20 classify 21 samples 20 classify 22 as 22 as 24 or 23 healthy 24 or 24 or 25 diseased 24 or 26 , 24 or 27 in 27 in 28 agreement 28 agreement 29 with 29 with 32 practice 30 usual 31 laboratory 31 laboratory 32 practice in the latter , our method is able to identify a minimal set of 5 markers that accurately predict behçet 's disease and sarcoidosis . 0 ###LEFT-WALL### 6 method 0 ###LEFT-WALL### 21 's 0 ###LEFT-WALL### 25 . 1 in 3 latter 1 in 4 , 1 in 6 method 2 the 3 latter 5 our 6 method 6 method 7 is 7 is 8 able 8 able 9 to 8 able 19 predict 9 to 10 identify 10 identify 13 set 11 a 12 minimal 11 a 13 set 12 minimal 13 set 13 set 14 of 14 of 15 5 16 markers 19 predict 17 that 18 accurately 18 accurately 19 predict 19 predict 20 behçet 19 predict 21 's 20 behçet 21 's 21 's 23 and 22 disease 23 and 23 and 24 sarcoidosis this is the first time that a quantitative phenotypic distinction between these two diseases has been achieved . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 18 . 1 this 2 is 2 is 5 time 3 the 5 time 4 first 5 time 5 time 6 that 6 that 10 distinction 6 that 17 achieved 7 a 8 quantitative 7 a 10 distinction 8 quantitative 10 distinction 9 phenotypic 10 distinction 10 distinction 11 between 10 distinction 15 has 11 between 14 diseases 12 these 13 two 13 two 14 diseases 15 has 16 been 16 been 17 achieved to obtain this clear phenotypic signature , about one hundred cd8 [(] [+] [ )(t cells need to be measured . 0 ###LEFT-WALL### 16 cells 0 ###LEFT-WALL### 17 need 0 ###LEFT-WALL### 21 . 1 to 2 obtain 1 to 7 , 1 to 16 cells 2 obtain 6 signature 3 this 6 signature 4 clear 6 signature 5 phenotypic 6 signature 8 about 10 hundred 9 one 10 hundred 10 hundred 16 cells 11 cd8 15 )(t 11 cd8 16 cells 16 cells 17 need 17 need 18 to 17 need 19 be 18 to 19 be 19 be 20 measured although the molecular markers identified have been reported to be important players in autoimmune disorders , this is the first report pointing out that cd8 [(] [+] [ )(t cells can be used to distinguish two systemic inflammatory diseases . 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 40 . 1 although 4 markers 1 although 8 reported 1 although 16 , 2 the 4 markers 3 molecular 4 markers 4 markers 5 identified 4 markers 6 have 6 have 7 been 7 been 8 reported 8 reported 9 to 8 reported 10 be 9 to 10 be 10 be 12 players 11 important 12 players 12 players 13 in 13 in 14 autoimmune 15 disorders 16 , 16 , 35 distinguish 17 this 18 is 18 is 21 report 19 the 20 first 19 the 21 report 21 report 22 pointing 21 report 24 that 21 report 33 used 22 pointing 23 out 24 that 30 cells 24 that 32 be 25 cd8 29 )(t 25 cd8 30 cells 30 cells 31 can 31 can 32 be 33 used 34 to 34 to 35 distinguish 35 distinguish 39 diseases 36 two 39 diseases 37 systemic 39 diseases 38 inflammatory 39 diseases beyond these specific cases , the approach proposed here is applicable to datasets generated by other kinds of state [-] of [-] the [-] art and forthcoming single - cell technologies , such as multidimensional mass cytometry , single - cell gene expression , and single - cell full genome sequencing techniques . 0 ###LEFT-WALL### 7 approach 0 ###LEFT-WALL### 10 is 1 beyond 4 cases 1 beyond 5 , 1 beyond 7 approach 2 these 4 cases 3 specific 4 cases 6 the 7 approach 7 approach 8 proposed 7 approach 9 here 7 approach 10 is 10 is 11 applicable 11 applicable 12 to 11 applicable 15 by 12 to 13 datasets 13 datasets 14 generated 15 by 17 kinds 16 other 17 kinds 17 kinds 18 of 17 kinds 21 of 18 of 19 state 21 of 26 and 23 the 25 art 25 art 26 and 26 and 31 technologies 26 and 32 , 26 and 34 as 27 forthcoming 31 technologies 28 single 29 - 28 single 31 technologies 30 cell 31 technologies 33 such 34 as 34 as 39 single 35 multidimensional 36 mass 36 mass 39 single 37 cytometry 38 , 37 cytometry 39 single 39 single 45 and 40 - 45 and 41 cell 42 gene 42 gene 43 expression 43 expression 45 and 44 , 45 and 45 and 50 genome 45 and 51 sequencing 45 and 53 . 46 single 47 - 46 single 48 cell 48 cell 50 genome 49 full 50 genome 51 sequencing 52 techniques we conducted a quasi [-] experimental study to compare the effectiveness of a new short - term residential care option for stroke rehabilitation with that of usual day hospital care . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conducted 0 ###LEFT-WALL### 31 . 1 we 2 conducted 2 conducted 7 study 2 conducted 8 to 2 conducted 21 for 3 a 7 study 4 quasi 7 study 6 experimental 7 study 8 to 9 compare 9 compare 11 effectiveness 10 the 11 effectiveness 11 effectiveness 12 of 12 of 20 option 13 a 14 new 13 a 20 option 14 new 17 term 15 short 16 - 15 short 17 term 17 term 20 option 18 residential 19 care 19 care 20 option 21 for 23 rehabilitation 22 stroke 23 rehabilitation 23 rehabilitation 24 with 23 rehabilitation 26 of 24 with 25 that 26 of 30 care 27 usual 30 care 28 day 30 care 29 hospital 30 care primary data were collected from stroke patients and their caregivers from june 2009 to may 2012 . 0 ###LEFT-WALL### 1 primary 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 17 . 1 primary 3 were 2 data 3 were 3 were 4 collected 4 collected 5 from 4 collected 14 to 5 from 8 and 6 stroke 7 patients 7 patients 8 and 8 and 10 caregivers 8 and 11 from 9 their 10 caregivers 11 from 12 june 12 june 13 2009 14 to 15 may 15 may 16 2012 new service option users and their caregivers were recruited for the intervention group , while users of usual public geriatric day hospital care and their caregivers were recruited for the control group . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 9 recruited 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 33 . 1 new 2 service 2 service 4 users 3 option 4 users 4 users 5 and 5 and 7 caregivers 5 and 8 were 6 their 7 caregivers 8 were 9 recruited 9 recruited 10 for 10 for 13 group 11 the 13 group 12 intervention 13 group 14 , 32 group 15 while 16 users 15 while 28 recruited 15 while 32 group 16 users 17 of 16 users 24 and 16 users 27 were 16 users 28 recruited 17 of 21 day 18 usual 21 day 19 public 21 day 20 geriatric 21 day 22 hospital 23 care 23 care 24 and 24 and 26 caregivers 24 and 27 were 25 their 26 caregivers 28 recruited 29 for 29 for 31 control 30 the 31 control the primary outcome measures were modified barthel index ( mbi ) and mini - mental status examination ( mmse ) scores . 0 ###LEFT-WALL### 4 measures 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 14 - 1 the 4 measures 2 primary 3 outcome 3 outcome 4 measures 4 measures 5 were 5 were 13 mini 6 modified 7 barthel 7 barthel 8 index 8 index 10 mbi 9 ( 10 mbi 10 mbi 11 ) 10 mbi 12 and 12 and 13 mini 14 - 19 mmse 14 - 21 scores 14 - 22 . 15 mental 16 status 16 status 17 examination 17 examination 19 mmse 18 ( 19 mmse 19 mmse 20 ) 19 mmse 21 scores trained research assistants assessed the outcome measures at the beginning of the rehabilitation program ( baseline ) and at a 4 [-] month follow - up . 0 ###LEFT-WALL### 3 assistants 0 ###LEFT-WALL### 4 assessed 1 trained 2 research 2 research 3 assistants 3 assistants 4 assessed 4 assessed 7 measures 4 assessed 24 follow 5 the 7 measures 6 outcome 7 measures 7 measures 18 and 7 measures 24 follow 8 at 10 beginning 8 at 18 and 9 the 10 beginning 10 beginning 11 of 11 of 14 program 12 the 14 program 13 rehabilitation 14 program 14 program 16 baseline 15 ( 16 baseline 16 baseline 17 ) 18 and 19 at 19 at 23 month 20 a 23 month 21 4 23 month 24 follow 26 up 25 - 26 up 26 up 27 . sixty and 128 stroke patients were recruited for the intervention and control groups , respectively ; 50 and 105 participants , respectively , completed the 4 - [month] follow - up . 0 ###LEFT-WALL### 5 patients 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 16 ; 0 ###LEFT-WALL### 32 . 1 sixty 2 and 2 and 3 128 2 and 5 patients 4 stroke 5 patients 5 patients 11 and 6 were 7 recruited 6 were 11 and 7 recruited 8 for 8 for 10 intervention 9 the 10 intervention 11 and 12 control 12 control 13 groups 12 control 15 respectively 14 , 15 respectively 15 respectively 16 ; 16 ; 20 participants 16 ; 24 completed 16 ; 27 - 17 50 18 and 18 and 19 105 18 and 20 participants 20 participants 24 completed 21 , 22 respectively 22 respectively 23 , 22 respectively 24 completed 24 completed 26 4 25 the 26 4 27 - 29 follow 27 - 30 - 30 - 31 up at 4 [-] month follow - up , the intervention group had an increased mbi score of 15.3 ( 95 % confidence [interval] [ ci []] 10.8 - 19.8 ) and an mmse score of 1.3 ( 95 % ci 0.4 - 2.1 ) . 0 ###LEFT-WALL### 5 follow 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 45 . 1 at 4 month 1 at 5 follow 2 4 4 month 6 - 7 up 6 - 8 , 8 , 11 group 8 , 12 had 9 the 11 group 10 intervention 11 group 11 group 12 had 12 had 31 and 13 an 16 score 14 increased 16 score 15 mbi 16 score 16 score 17 of 16 score 31 and 17 of 18 15.3 18 15.3 22 confidence 19 ( 22 confidence 20 95 21 % 21 % 22 confidence 22 confidence 25 ci 22 confidence 29 19.8 22 confidence 30 ) 24 [ 25 ci 25 ci 27 10.8 25 ci 28 - 28 - 29 19.8 29 19.8 30 ) 31 and 34 score 31 and 35 of 31 and 40 ci 32 an 34 score 33 mmse 34 score 35 of 36 1.3 37 ( 40 ci 38 95 40 ci 39 % 40 ci 40 ci 42 - 40 ci 44 ) 41 0.4 42 - 42 - 43 2.1 in comparison , the control group had an increased mbi score of 13.3 ( 95 % ci 9.7 - 16.8 ) and an mmse score of 1.1 ( 95 % ci 0.4 - 1.9 ) . 0 ###LEFT-WALL### 6 group 0 ###LEFT-WALL### 7 had 0 ###LEFT-WALL### 36 . 1 in 2 comparison 1 in 3 , 1 in 6 group 4 the 6 group 5 control 6 group 6 group 7 had 7 had 22 and 8 an 11 score 9 increased 11 score 10 mbi 11 score 11 score 12 of 11 score 22 and 12 of 13 13.3 13 13.3 17 ci 14 ( 17 ci 15 95 17 ci 16 % 17 ci 17 ci 19 - 17 ci 21 ) 18 9.7 19 - 19 - 20 16.8 22 and 25 score 22 and 26 of 22 and 31 ci 23 an 25 score 24 mmse 25 score 26 of 27 1.1 28 ( 31 ci 29 95 31 ci 30 % 31 ci 31 ci 33 - 31 ci 35 ) 32 0.4 33 - 33 - 34 1.9 both groups showed a significant improvement in mbi and mmse scores after 4 months , and there was no significant [between] - group difference . 0 ###LEFT-WALL### 2 groups 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 25 . 1 both 2 groups 2 groups 3 showed 3 showed 6 improvement 3 showed 11 scores 4 a 5 significant 4 a 6 improvement 5 significant 6 improvement 6 improvement 7 in 6 improvement 11 scores 7 in 10 mmse 8 mbi 9 and 9 and 10 mmse 11 scores 12 after 12 after 14 months 13 4 14 months 15 , 16 and 16 and 17 there 16 and 18 was 17 there 18 was 18 was 24 difference 19 no 24 difference 20 significant 22 - 20 significant 24 difference 23 group 24 difference to conclude [,] the new service option and the usual care option showed similar improvement in rehabilitation outcomes at 4 months after baseline . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 conclude 0 ###LEFT-WALL### 24 . 1 to 2 conclude 2 conclude 8 and 2 conclude 13 showed 4 the 7 option 5 new 6 service 6 service 7 option 7 option 8 and 8 and 12 option 8 and 13 showed 9 the 12 option 10 usual 11 care 11 care 12 option 13 showed 15 improvement 14 similar 15 improvement 15 improvement 16 in 15 improvement 19 at 16 in 18 outcomes 17 rehabilitation 18 outcomes 19 at 21 months 20 4 21 months 21 months 22 after 22 after 23 baseline initiatives to provide alternative care options on a user [-] pay model should be encouraged to ensure a sustainable health care system . 0 ###LEFT-WALL### 1 initiatives 0 ###LEFT-WALL### 15 encouraged 0 ###LEFT-WALL### 23 . 1 initiatives 2 to 1 initiatives 3 provide 1 initiatives 13 should 2 to 3 provide 3 provide 6 options 3 provide 7 on 4 alternative 5 care 5 care 6 options 7 on 12 model 8 a 12 model 9 user 11 pay 11 pay 12 model 13 should 14 be 14 be 15 encouraged 15 encouraged 16 to 15 encouraged 17 ensure 16 to 17 ensure 17 ensure 22 system 18 a 19 sustainable 18 a 22 system 19 sustainable 20 health 20 health 22 system 21 care 22 system lips and the perioral area are of outstanding importance in youthful [appearance] , attractiveness , and beauty . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 18 . 1 lips 2 and 2 and 5 area 2 and 6 are 3 the 5 area 4 perioral 5 area 6 are 7 of 6 are 10 in 7 of 9 importance 8 outstanding 9 importance 10 in 16 and 11 youthful 13 , 11 youthful 14 attractiveness 14 attractiveness 16 and 15 , 16 and 16 and 17 beauty in contrast to younger [and] middle aged females [,] there is only scant published data on minimally invasive procedures to restore and revitalize lips and perioral soft tissue in elderly females . 0 ###LEFT-WALL### 2 contrast 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 32 . 1 in 2 contrast 2 contrast 3 to 2 contrast 10 there 2 contrast 11 is 3 to 8 females 4 younger 6 middle 6 middle 8 females 7 aged 8 females 11 is 22 and 12 only 13 scant 13 scant 15 data 13 scant 22 and 14 published 15 data 15 data 16 on 15 data 20 to 15 data 21 restore 16 on 19 procedures 17 minimally 18 invasive 18 invasive 19 procedures 20 to 21 restore 22 and 23 revitalize 22 and 29 in 23 revitalize 25 and 24 lips 25 and 25 and 28 tissue 26 perioral 28 tissue 27 soft 28 tissue 29 in 31 females 30 elderly 31 females in this review we report the signs of aging in this particular region and the underlying anatomy . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 report 0 ###LEFT-WALL### 18 . 1 in 3 review 1 in 4 we 2 this 3 review 4 we 5 report 5 report 7 signs 6 the 7 signs 7 signs 8 of 8 of 9 aging 9 aging 10 in 10 in 14 and 11 this 13 region 12 particular 13 region 13 region 14 and 14 and 17 anatomy 15 the 17 anatomy 16 underlying 17 anatomy we review studies on lip restoration in younger females and present our techniques for elderly women . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 17 . 1 we 10 and 2 review 3 studies 2 review 4 on 2 review 7 in 2 review 10 and 4 on 6 restoration 5 lip 6 restoration 7 in 9 females 8 younger 9 females 10 and 11 present 11 present 13 techniques 12 our 13 techniques 13 techniques 14 for 14 for 16 women 15 elderly 16 women with an individually tailored approach , elderly females benefit from minimally invasive techniques . 0 ###LEFT-WALL### 8 females 0 ###LEFT-WALL### 9 benefit 0 ###LEFT-WALL### 14 . 1 with 5 approach 1 with 6 , 1 with 8 females 2 an 5 approach 3 individually 4 tailored 4 tailored 5 approach 7 elderly 8 females 8 females 9 benefit 9 benefit 10 from 10 from 13 techniques 11 minimally 12 invasive 12 invasive 13 techniques background : both low dietary protein intake and inadequate distribution of protein over the three mealtimes have been reported in older caucasian adults , but the association between protein intake at each meal and muscle mass has not been studied . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 4 low 0 ###LEFT-WALL### 19 reported 0 ###LEFT-WALL### 25 but 0 ###LEFT-WALL### 41 . 1 background 2 : 2 : 4 low 3 both 4 low 4 low 6 protein 5 dietary 6 protein 7 intake 8 and 8 and 10 distribution 8 and 16 mealtimes 8 and 18 been 8 and 19 reported 9 inadequate 10 distribution 10 distribution 11 of 11 of 12 protein 12 protein 13 over 13 over 15 three 14 the 15 three 16 mealtimes 17 have 17 have 18 been 19 reported 20 in 19 reported 24 , 20 in 23 adults 21 older 22 caucasian 22 caucasian 23 adults 25 but 27 association 25 but 40 studied 26 the 27 association 27 association 28 between 27 association 30 intake 27 association 39 been 27 association 40 studied 28 between 29 protein 30 intake 31 at 30 intake 37 has 31 at 34 and 32 each 33 meal 33 meal 34 and 34 and 36 mass 35 muscle 36 mass 37 has 38 not 37 has 39 been the purpose of this study was to evaluate dietary protein intake and distribution by mealtimes , and to explore their association with appendicular skeletal muscle mass in apparently healthy older adults . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 32 . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 17 and 7 to 17 and 8 evaluate 12 and 8 evaluate 14 by 8 evaluate 17 and 9 dietary 10 protein 10 protein 11 intake 11 intake 12 and 12 and 13 distribution 14 by 15 mealtimes 16 , 17 and 17 and 18 to 17 and 26 mass 18 to 19 explore 19 explore 21 association 19 explore 22 with 20 their 21 association 22 with 25 muscle 23 appendicular 25 muscle 24 skeletal 25 muscle 26 mass 27 in 27 in 31 adults 28 apparently 29 healthy 29 healthy 31 adults 30 older 31 adults methods : this was a cross - sectional pilot study that included 78 people over the age of 60 years . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 3 this 2 : 4 was 2 : 7 - 3 this 4 was 4 was 6 cross 5 a 6 cross 7 - 10 study 8 sectional 9 pilot 9 pilot 10 study 10 study 11 that 10 study 12 included 11 that 12 included 12 included 14 people 12 included 15 over 13 78 14 people 15 over 17 age 16 the 17 age 17 age 18 of 18 of 20 years 19 60 20 years caloric and protein intake were estimated on the basis of three nonconsecutive 24 [-] hour diet recalls and appendicular skeletal muscle mass by dual - energy x - ray absorptiometry . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 6 estimated 1 caloric 2 and 2 and 4 intake 2 and 5 were 3 protein 4 intake 5 were 6 estimated 6 estimated 7 on 7 on 9 basis 8 the 9 basis 9 basis 10 of 10 of 18 and 11 three 17 recalls 12 nonconsecutive 17 recalls 13 24 15 hour 15 hour 16 diet 16 diet 17 recalls 17 recalls 18 and 18 and 22 mass 18 and 23 by 18 and 30 absorptiometry 19 appendicular 22 mass 20 skeletal 22 mass 21 muscle 22 mass 23 by 26 energy 24 dual 25 - 24 dual 26 energy 26 energy 27 x 28 - 30 absorptiometry 29 ray 30 absorptiometry 30 absorptiometry 31 . results : men consumed 13.4 g [of] [protein/day] more than women ( p < 0.05 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 1 results 2 : 2 : 3 men 3 men 4 consumed 4 consumed 9 more 4 consumed 10 than 5 13.4 6 g 6 g 9 more 10 than 11 women 11 women 14 < 12 ( 14 < 13 p 14 < 14 < 15 0.05 14 < 16 ) the estimated value of dietary protein intake was 0.9 g/kg/day . 0 ###LEFT-WALL### 3 value 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 11 . 1 the 3 value 2 estimated 3 value 3 value 4 of 3 value 8 was 4 of 7 intake 5 dietary 6 protein 6 protein 7 intake 8 was 10 g/kg/day 9 0.9 10 g/kg/day in this sample , 28 % of subjects did not cover 100 % of the dietary reference intake for protein . 0 ###LEFT-WALL### 6 % 0 ###LEFT-WALL### 11 cover 0 ###LEFT-WALL### 21 . 1 in 3 sample 1 in 4 , 1 in 6 % 2 this 3 sample 5 28 6 % 6 % 7 of 6 % 9 did 7 of 8 subjects 9 did 10 not 9 did 11 cover 11 cover 13 % 12 100 13 % 13 % 14 of 14 of 18 intake 15 the 18 intake 16 dietary 17 reference 17 reference 18 intake 18 intake 19 for 19 for 20 protein lower consumption of dietary protein was found at breakfast and dinnertime compared with the recommended amount of 25 - 30 g ( p < 0.05 ) . 0 ###LEFT-WALL### 2 consumption 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 27 . 1 lower 2 consumption 2 consumption 3 of 2 consumption 6 was 3 of 5 protein 4 dietary 5 protein 6 was 7 found 7 found 8 at 8 at 10 and 9 breakfast 10 and 10 and 11 dinnertime 10 and 12 compared 12 compared 13 with 13 with 16 amount 14 the 16 amount 15 recommended 16 amount 16 amount 17 of 16 amount 24 < 17 of 19 - 18 25 19 - 19 - 20 30 20 30 21 g 21 g 24 < 22 ( 24 < 23 p 24 < 24 < 25 0.05 24 < 26 ) also , the study observed that appendicular skeletal muscle mass in men and women who consumed < 25 g of protein at each mealtime was different from that found in the group that consumed >25 [g] of protein at one , two , or three mealtimes . 0 ###LEFT-WALL### 10 mass 0 ###LEFT-WALL### 25 was 0 ###LEFT-WALL### 47 . 1 also 10 mass 2 , 5 observed 3 the 4 study 4 study 5 observed 5 observed 10 mass 6 that 10 mass 7 appendicular 9 muscle 8 skeletal 9 muscle 9 muscle 10 mass 10 mass 11 in 10 mass 20 of 10 mass 25 was 11 in 13 and 12 men 13 and 13 and 14 women 13 and 15 who 13 and 16 consumed 15 who 16 consumed 16 consumed 19 g 17 < 18 25 18 25 19 g 20 of 21 protein 21 protein 22 at 22 at 24 mealtime 23 each 24 mealtime 25 was 26 different 26 different 27 from 27 from 28 that 28 that 29 found 29 found 30 in 30 in 35 >25 31 the 35 >25 32 group 35 >25 33 that 34 consumed 34 consumed 35 >25 35 >25 37 of 37 of 44 or 38 protein 39 at 38 protein 44 or 39 at 40 one 40 one 42 two 41 , 42 two 42 two 43 , 43 , 44 or 44 or 46 mealtimes 45 three 46 mealtimes conclusion : while protein intake was higher than current recommendations , it failed to achieve the values reported as necessary to prevent sarcopenia . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 5 intake 2 : 6 was 2 : 11 , 2 : 22 prevent 3 while 4 protein 3 while 5 intake 5 intake 6 was 6 was 7 higher 7 higher 8 than 8 than 10 recommendations 9 current 10 recommendations 11 , 12 it 11 , 15 achieve 12 it 13 failed 14 to 15 achieve 15 achieve 17 values 16 the 17 values 17 values 18 reported 17 values 20 necessary 19 as 20 necessary 20 necessary 21 to 20 necessary 22 prevent 21 to 22 prevent 22 prevent 23 sarcopenia in addition , there was [under] [-] consumption of protein per mealtime , especially at breakfast and dinner . 0 ###LEFT-WALL### 4 there 0 ###LEFT-WALL### 5 was 1 in 2 addition 1 in 3 , 1 in 4 there 4 there 5 was 5 was 8 consumption 8 consumption 9 of 9 of 10 protein 10 protein 11 per 10 protein 15 at 11 per 12 mealtime 13 , 14 especially 13 , 15 at 15 at 17 and 15 at 19 . 16 breakfast 17 and 17 and 18 dinner background : use of intensive anticoagulation and antiplatelet therapy in acute myocardial infarction ( ami ) potentially increases the risk of bleeding complications during percutaneous coronary intervention via the transfemoral route . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 32 . 1 background 2 : 2 : 3 use 3 use 4 of 4 of 6 anticoagulation 5 intensive 6 anticoagulation 7 and 9 therapy 7 and 18 increases 8 antiplatelet 9 therapy 9 therapy 10 in 9 therapy 15 ami 9 therapy 18 increases 10 in 13 infarction 11 acute 13 infarction 12 myocardial 13 infarction 14 ( 15 ami 15 ami 16 ) 17 potentially 18 increases 18 increases 20 risk 18 increases 28 via 19 the 20 risk 20 risk 21 of 21 of 22 bleeding 22 bleeding 23 complications 22 bleeding 24 during 24 during 27 intervention 25 percutaneous 27 intervention 26 coronary 27 intervention 28 via 31 route 29 the 31 route 30 transfemoral 31 route recently , the transradial access has been intensively employed as an alternative means for diagnostic and interventional procedures . 0 ###LEFT-WALL### 5 access 0 ###LEFT-WALL### 9 employed 0 ###LEFT-WALL### 19 . 1 recently 2 , 1 recently 5 access 3 the 5 access 4 transradial 5 access 5 access 6 has 6 has 7 been 7 been 8 intensively 7 been 9 employed 9 employed 10 as 10 as 13 means 11 an 12 alternative 11 an 13 means 12 alternative 13 means 13 means 14 for 14 for 18 procedures 15 diagnostic 16 and 16 and 17 interventional 16 and 18 procedures a low incidence of vascular access site bleeding complications suggests that the transradial access is a safe alternative to the transfemoral technique in patients with ami . 0 ###LEFT-WALL### 3 incidence 0 ###LEFT-WALL### 10 suggests 0 ###LEFT-WALL### 27 . 1 a 3 incidence 2 low 3 incidence 3 incidence 4 of 3 incidence 10 suggests 4 of 9 complications 5 vascular 9 complications 6 access 7 site 7 site 8 bleeding 8 bleeding 9 complications 10 suggests 11 that 11 that 14 access 11 that 15 is 12 the 14 access 13 transradial 14 access 14 access 15 is 15 is 17 safe 16 a 17 safe 17 safe 18 alternative 17 safe 23 in 18 alternative 19 to 19 to 22 technique 20 the 22 technique 21 transfemoral 22 technique 23 in 24 patients 24 patients 25 with 25 with 26 ami the safety [and] efficacy of transradial access for emergent percutaneous coronary intervention in patients with ami has not been investigated in the people 's republic of china . 0 ###LEFT-WALL### 4 efficacy 0 ###LEFT-WALL### 20 investigated 0 ###LEFT-WALL### 28 . 1 the 4 efficacy 2 safety 4 efficacy 4 efficacy 5 of 4 efficacy 8 for 4 efficacy 13 in 4 efficacy 17 has 5 of 7 access 6 transradial 7 access 8 for 12 intervention 9 emergent 12 intervention 10 percutaneous 12 intervention 11 coronary 12 intervention 13 in 14 patients 14 patients 15 with 15 with 16 ami 17 has 18 not 17 has 19 been 19 been 20 investigated 20 investigated 21 in 21 in 25 republic 22 the 23 people 23 people 24 's 24 's 25 republic 25 republic 26 of 26 of 27 china methods : we analyzed data from our single - center registry on 596 consecutive patients between october 2003 and october 2010 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 3 we 2 : 4 analyzed 3 we 4 analyzed 4 analyzed 5 data 4 analyzed 6 from 4 analyzed 12 on 4 analyzed 16 between 6 from 11 registry 7 our 11 registry 8 single 9 - 8 single 10 center 10 center 11 registry 12 on 15 patients 13 596 15 patients 14 consecutive 15 patients 16 between 19 and 17 october 18 2003 17 october 19 and 19 and 20 october 20 october 21 2010 the patients [were] retrospectively divided into a transradial group ( n = 296 ) and a transfemoral group ( n = 300 ) . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 24 . 1 the 2 patients 2 patients 5 divided 2 patients 15 and 4 retrospectively 5 divided 5 divided 6 into 6 into 9 group 7 a 8 transradial 7 a 9 group 8 transradial 9 group 9 group 12 = 10 ( 12 = 11 n 12 = 12 = 13 296 12 = 14 ) 15 and 18 group 15 and 21 = 16 a 17 transfemoral 16 a 18 group 17 transfemoral 18 group 19 ( 21 = 20 n 21 = 21 = 22 300 21 = 23 ) a dedicated doctor was appointed to collect the following data : puncture time , coronary angiography time , percutaneous coronary intervention time , x - ray exposure time , duration of hospitalization , and complication rates associated with puncture , such as puncture site bleeding , hematoma , pseudoaneurysm , and major adverse cardiac events . 0 ###LEFT-WALL### 3 doctor 0 ###LEFT-WALL### 5 appointed 0 ###LEFT-WALL### 11 : 0 ###LEFT-WALL### 25 - 1 a 3 doctor 2 dedicated 3 doctor 3 doctor 4 was 4 was 5 appointed 5 appointed 6 to 5 appointed 7 collect 6 to 7 collect 7 collect 10 data 8 the 9 following 8 the 10 data 11 : 13 time 12 puncture 13 time 13 time 17 time 13 time 24 x 14 , 17 time 15 coronary 16 angiography 16 angiography 17 time 17 time 22 time 17 time 23 , 18 , 22 time 19 percutaneous 21 intervention 20 coronary 21 intervention 21 intervention 22 time 22 time 23 , 24 x 25 - 25 - 34 and 26 ray 27 exposure 27 exposure 28 time 28 time 29 , 29 , 30 duration 29 , 34 and 30 duration 31 of 31 of 32 hospitalization 33 , 34 and 34 and 35 complication 34 and 36 rates 34 and 38 with 34 and 39 puncture 36 rates 37 associated 37 associated 38 with 39 puncture 42 as 40 , 42 as 41 such 42 as 42 as 51 and 42 as 56 . 43 puncture 45 bleeding 44 site 45 bleeding 45 bleeding 46 , 46 , 49 pseudoaneurysm 46 , 51 and 47 hematoma 48 , 47 hematoma 49 pseudoaneurysm 50 , 51 and 51 and 55 events 52 major 55 events 53 adverse 55 events 54 cardiac 55 events results : there were no significant differences in baseline characteristics and angiographic findings between the two groups . 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 differences 5 no 7 differences 6 significant 7 differences 7 differences 8 in 7 differences 14 between 8 in 11 and 9 baseline 10 characteristics 10 characteristics 11 and 11 and 13 findings 12 angiographic 13 findings 14 between 17 groups 15 the 16 two 16 two 17 groups there were also no significant differences in coronary angiography time ( 8.2 ± 2.4 versus 7.6 ± 2.0 minutes ) , percutaneous coronary intervention time ( 30 ± 6.8 versus 29.6 ± 8.1 minutes ) , or x - ray exposure time ( 4.6 ± 1.4 versus 4.4 ± 1.3 minutes ) between the groups . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 37 or 0 ###LEFT-WALL### 56 . 1 there 2 were 2 were 3 also 2 were 6 differences 2 were 7 in 4 no 6 differences 5 significant 6 differences 7 in 10 time 8 coronary 9 angiography 9 angiography 10 time 10 time 13 ± 10 time 25 time 11 ( 13 ± 12 8.2 13 ± 13 ± 14 2.4 13 ± 15 versus 13 ± 20 ) 15 versus 19 minutes 16 7.6 19 minutes 17 ± 19 minutes 18 2.0 19 minutes 21 , 25 time 22 percutaneous 24 intervention 23 coronary 24 intervention 24 intervention 25 time 25 time 28 ± 25 time 35 ) 26 ( 28 ± 27 30 28 ± 28 ± 29 6.8 28 ± 30 versus 28 ± 35 ) 30 versus 34 minutes 31 29.6 34 minutes 32 ± 34 minutes 33 8.1 34 minutes 36 , 37 or 37 or 38 x 37 or 39 - 38 x 39 - 39 - 40 ray 40 ray 42 time 40 ray 53 between 41 exposure 42 time 42 time 44 4.6 43 ( 44 4.6 44 4.6 45 ± 44 4.6 51 minutes 44 4.6 52 ) 45 ± 46 1.4 45 ± 47 versus 45 ± 51 minutes 47 versus 49 ± 48 4.4 49 ± 49 ± 50 1.3 53 between 55 groups 54 the 55 groups there were significant differences in puncture time ( 4.4 ± 1.6 versus 2.4 ± 0.8 minutes ) and duration of hospitalization ( 3.2 ± 1.6 versus 5.4 ± 1.8 days ) between the groups ( p < 0.001 ) . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 40 . 1 there 2 were 2 were 18 and 3 significant 4 differences 4 differences 5 in 4 differences 18 and 5 in 7 time 6 puncture 7 time 7 time 10 ± 8 ( 10 ± 9 4.4 10 ± 10 ± 11 1.6 10 ± 12 versus 10 ± 17 ) 12 versus 16 minutes 13 2.4 16 minutes 14 ± 16 minutes 15 0.8 16 minutes 18 and 19 duration 18 and 20 of 18 and 32 between 20 of 21 hospitalization 21 hospitalization 24 ± 22 ( 24 ± 23 3.2 24 ± 24 ± 25 1.6 24 ± 26 versus 24 ± 31 ) 26 versus 30 days 27 5.4 30 days 28 ± 30 days 29 1.8 30 days 32 between 34 groups 33 the 34 groups 34 groups 37 < 35 ( 37 < 36 p 37 < 37 < 38 0.001 37 < 39 ) the complication rate using transradial access was 2.03 % ( 6/296 [ )(versus 6.0 % ( 18/300 ) using transfemoral access ( p < 0.0001 ) . 0 ###LEFT-WALL### 3 rate 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 27 . 1 the 3 rate 2 complication 3 rate 3 rate 4 using 3 rate 7 was 4 using 6 access 5 transradial 6 access 7 was 9 % 8 2.03 9 % 9 % 11 6/296 10 ( 11 6/296 11 6/296 13 )(versus 11 6/296 19 using 11 6/296 26 ) 13 )(versus 15 % 14 6.0 15 % 15 % 17 18/300 16 ( 17 18/300 17 18/300 18 ) 19 using 21 access 20 transfemoral 21 access 21 access 24 < 22 ( 24 < 23 p 24 < 24 < 25 0.0001 conclusion : transradial access for emergent percutaneous coronary intervention is safe and effective in patients with ami , and it is suggested that this route could be used more widely in these patients . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 access 2 : 10 is 2 : 19 and 2 : 34 . 3 transradial 4 access 4 access 5 for 4 access 10 is 5 for 9 intervention 6 emergent 8 coronary 7 percutaneous 8 coronary 8 coronary 9 intervention 10 is 12 and 11 safe 12 and 12 and 13 effective 13 effective 14 in 13 effective 16 with 14 in 15 patients 16 with 17 ami 18 , 19 and 19 and 20 it 19 and 22 suggested 20 it 21 is 21 is 22 suggested 22 suggested 23 that 23 that 25 route 23 that 28 used 24 this 25 route 25 route 26 could 26 could 27 be 27 be 28 used 28 used 29 more 28 used 30 widely 28 used 31 in 31 in 33 patients 32 these 33 patients background : dysfunction of the meibomian gland ( mg ) is among the most frequent causes of ophthalmological symptoms . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 dysfunction 2 : 11 is 2 : 20 . 3 dysfunction 4 of 3 dysfunction 11 is 4 of 7 gland 5 the 7 gland 6 meibomian 7 gland 7 gland 9 mg 8 ( 9 mg 9 mg 10 ) 11 is 12 among 12 among 16 causes 13 the 14 most 14 most 16 causes 15 frequent 16 causes 16 causes 17 of 17 of 19 symptoms 18 ophthalmological 19 symptoms the inflammation seen in meibomian gland dysfunction ( mgd ) is part of its pathogenesis , and evidence of the antioxidant - inflammatory properties of [omega] - 3 fatty acids suggests this to be an appropriate treatment for mgd . 0 ###LEFT-WALL### 2 inflammation 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 34 be 0 ###LEFT-WALL### 40 . 1 the 2 inflammation 2 inflammation 3 seen 2 inflammation 4 in 2 inflammation 11 is 4 in 7 dysfunction 5 meibomian 6 gland 6 gland 7 dysfunction 7 dysfunction 9 mgd 8 ( 9 mgd 9 mgd 10 ) 11 is 15 pathogenesis 12 part 13 of 12 part 15 pathogenesis 13 of 15 pathogenesis 14 its 15 pathogenesis 16 , 17 and 17 and 18 evidence 17 and 31 suggests 18 evidence 19 of 18 evidence 25 of 18 evidence 31 suggests 19 of 24 properties 20 the 24 properties 21 antioxidant 22 - 21 antioxidant 24 properties 23 inflammatory 24 properties 25 of 30 acids 27 - 28 3 28 3 30 acids 29 fatty 30 acids 31 suggests 32 this 31 suggests 33 to 33 to 34 be 34 be 37 treatment 35 an 37 treatment 36 appropriate 37 treatment 37 treatment 38 for 38 for 39 mgd objective : we aimed to assess the effectiveness of omega - 3 fatty acids [versus] [placebo] , in improving the symptoms and signs of mgd . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 3 we 2 : 4 aimed 3 we 4 aimed 4 aimed 5 to 4 aimed 6 assess 5 to 6 assess 6 assess 22 and 7 the 8 effectiveness 8 effectiveness 9 of 8 effectiveness 18 in 8 effectiveness 22 and 9 of 10 omega 10 omega 14 acids 11 - 14 acids 12 3 14 acids 13 fatty 14 acids 14 acids 17 , 18 in 19 improving 19 improving 21 symptoms 20 the 21 symptoms 22 and 23 signs 22 and 24 of 24 of 25 mgd methods : we conducted a randomized [and] double - mask trial of 3 months duration . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 conducted 2 : 16 . 3 we 4 conducted 4 conducted 11 trial 5 a 11 trial 6 randomized 10 mask 8 double 9 - 8 double 10 mask 10 mask 11 trial 11 trial 12 of 12 of 15 duration 13 3 14 months 14 months 15 duration we enrolled 61 patients who presented with symptomatic mgd and no tear instability ( defined as tear breakup time [ tbut ] < 10 seconds [ )( 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 enrolled 0 ###LEFT-WALL### 27 )( 1 we 2 enrolled 2 enrolled 4 patients 3 61 4 patients 4 patients 5 who 4 patients 6 presented 5 who 6 presented 6 presented 7 with 6 presented 25 seconds 7 with 10 and 8 symptomatic 9 mgd 9 mgd 10 and 10 and 13 instability 10 and 15 defined 11 no 13 instability 12 tear 13 instability 14 ( 15 defined 15 defined 16 as 15 defined 22 ] 16 as 19 time 17 tear 19 time 18 breakup 19 time 19 time 21 tbut 20 [ 21 tbut 21 tbut 22 ] 23 < 24 10 24 10 25 seconds participants were randomly assigned to two homogeneous subgroups . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 9 . 1 participants 2 were 2 were 3 randomly 2 were 4 assigned 4 assigned 5 to 5 to 8 subgroups 6 two 8 subgroups 7 homogeneous 8 subgroups for patients in group a , the study treatment included [cleaning] the lid margins with neutral baby shampoo and use of artificial tears without preservatives , plus a placebo oral agent . 0 ###LEFT-WALL### 9 treatment 0 ###LEFT-WALL### 10 included 1 for 2 patients 1 for 6 , 1 for 9 treatment 2 patients 3 in 3 in 4 group 4 group 5 a 7 the 9 treatment 8 study 9 treatment 9 treatment 10 included 10 included 14 margins 10 included 15 with 12 the 14 margins 13 lid 14 margins 15 with 19 and 16 neutral 18 shampoo 17 baby 18 shampoo 18 shampoo 19 and 19 and 20 use 19 and 21 of 21 of 23 tears 22 artificial 23 tears 23 tears 24 without 23 tears 27 plus 24 without 25 preservatives 26 , 27 plus 27 plus 31 agent 27 plus 32 . 28 a 31 agent 29 placebo 30 oral 30 oral 31 agent [for] patients in group b , the study treatment included cleaning the lid margins with neutral baby shampoo and use of artificial tears without preservatives , plus oral supplementation with omega - 3 fatty acids . 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 32 - 0 ###LEFT-WALL### 36 . 2 patients 3 in 2 patients 6 , 3 in 4 group 4 group 5 b 6 , 9 treatment 6 , 19 and 7 the 9 treatment 8 study 9 treatment 9 treatment 10 included 9 treatment 11 cleaning 11 cleaning 14 margins 11 cleaning 15 with 12 the 14 margins 13 lid 14 margins 15 with 18 shampoo 16 neutral 18 shampoo 17 baby 18 shampoo 19 and 20 use 19 and 21 of 19 and 29 supplementation 21 of 23 tears 22 artificial 23 tears 23 tears 24 without 24 without 25 preservatives 26 , 29 supplementation 27 plus 28 oral 28 oral 29 supplementation 29 supplementation 30 with 29 supplementation 32 - 30 with 31 omega 32 - 35 acids 33 3 35 acids 34 fatty 35 acids results : after 3 months of evaluation [,] the mean osdi , tbut , lid margin inflammation , and mg expression presented improvement from the baseline values , in group b ( p < 0.01 , p < 0.001 , p < 0.0001 , p < 0.0001 , respectively ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 51 . 2 : 5 months 2 : 22 presented 2 : 28 , 2 : 40 , 3 after 4 3 3 after 5 months 5 months 6 of 5 months 22 presented 6 of 21 expression 7 evaluation 21 expression 9 the 11 osdi 10 mean 11 osdi 11 osdi 12 , 12 , 13 tbut 12 , 19 and 13 tbut 17 inflammation 14 , 17 inflammation 15 lid 16 margin 16 margin 17 inflammation 17 inflammation 18 , 19 and 20 mg 19 and 21 expression 22 presented 23 improvement 23 improvement 24 from 24 from 27 values 25 the 27 values 26 baseline 27 values 28 , 37 p 28 , 38 < 29 in 30 group 29 in 36 , 29 in 37 p 30 group 31 b 30 group 34 < 32 ( 34 < 33 p 34 < 34 < 35 0.01 37 p 38 < 38 < 39 0.001 40 , 41 p 40 , 42 < 40 , 44 , 41 p 42 < 42 < 43 0.0001 44 , 45 p 44 , 46 < 45 p 46 < 46 < 47 0.0001 46 < 49 respectively 48 , 49 respectively 49 respectively 50 ) the schirmer test results were also improved [and] statistically significant ( p < 0.01 ) . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 7 improved 0 ###LEFT-WALL### 16 . 1 the 4 results 2 schirmer 4 results 3 test 4 results 4 results 5 were 5 were 6 also 5 were 7 improved 7 improved 10 significant 9 statistically 10 significant 10 significant 13 < 11 ( 13 < 12 p 13 < 13 < 14 0.01 13 < 15 ) conclusion : oral omega - 3 fatty acids , 1.5 grams per day , may be beneficial in the treatment of mgd , mainly by improving tear stability . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 be 2 : 16 be 3 oral 4 omega 4 omega 8 acids 4 omega 11 grams 4 omega 15 may 5 - 8 acids 6 3 8 acids 7 fatty 8 acids 8 acids 9 , 9 , 11 grams 10 1.5 11 grams 11 grams 12 per 11 grams 14 , 12 per 13 day 15 may 16 be 16 be 17 beneficial 17 beneficial 18 in 17 beneficial 25 by 18 in 20 treatment 19 the 20 treatment 20 treatment 21 of 21 of 22 mgd 23 , 24 mainly 23 , 25 by 25 by 28 stability 25 by 29 . 26 improving 27 tear 27 tear 28 stability this study aimed to characterize the mechanical properties of aged human anterior mitral leaflets ( aml ) and posterior mitral leaflets ( pml ) . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 aimed 0 ###LEFT-WALL### 25 . 1 this 2 study 2 study 3 aimed 3 aimed 4 to 3 aimed 5 characterize 4 to 5 characterize 5 characterize 18 and 6 the 18 and 7 mechanical 8 properties 8 properties 9 of 8 properties 18 and 9 of 14 leaflets 10 aged 14 leaflets 11 human 14 leaflets 12 anterior 14 leaflets 13 mitral 14 leaflets 14 leaflets 16 aml 15 ( 16 aml 16 aml 17 ) 18 and 21 leaflets 18 and 23 pml 19 posterior 21 leaflets 20 mitral 21 leaflets 22 ( 23 pml 23 pml 24 ) the aml and pml samples [from] explanted human hearts ( n = 21 , mean age of 82.62 ± 8.77 - years [-] old ) were subjected to planar biaxial mechanical tests . 0 ###LEFT-WALL### 5 samples 0 ###LEFT-WALL### 7 explanted 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 33 . 1 the 5 samples 2 aml 3 and 3 and 4 pml 3 and 5 samples 5 samples 7 explanted 7 explanted 9 hearts 7 explanted 12 = 8 human 9 hearts 10 ( 12 = 11 n 12 = 12 = 13 21 14 , 15 mean 15 mean 16 age 15 mean 27 subjected 16 age 17 of 16 age 24 old 16 age 26 were 17 of 19 ± 18 82.62 19 ± 19 ± 20 8.77 21 - 24 old 22 years 24 old 24 old 25 ) 26 were 27 subjected 27 subjected 28 to 28 to 32 tests 29 planar 32 tests 30 biaxial 32 tests 31 mechanical 32 tests the material stiffness , extensibility , and degree of anisotropy of the leaflet samples were quantified . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 16 quantified 0 ###LEFT-WALL### 17 . 1 the 3 stiffness 2 material 3 stiffness 3 stiffness 4 , 4 , 5 extensibility 4 , 7 and 6 , 7 and 7 and 8 degree 7 and 9 of 7 and 15 were 9 of 10 anisotropy 10 anisotropy 11 of 11 of 14 samples 12 the 14 samples 13 leaflet 14 samples 15 were 16 quantified the microstructure of the samples was assessed through histology . 0 ###LEFT-WALL### 2 microstructure 0 ###LEFT-WALL### 7 assessed 0 ###LEFT-WALL### 10 . 1 the 2 microstructure 2 microstructure 3 of 2 microstructure 6 was 3 of 5 samples 4 the 5 samples 6 was 7 assessed 7 assessed 8 through 8 through 9 histology both the aml and pml samples exhibited a nonlinear and anisotropic behavior with the circumferential direction being stiffer than the radial direction . 0 ###LEFT-WALL### 1 both 0 ###LEFT-WALL### 7 exhibited 0 ###LEFT-WALL### 23 . 1 both 2 the 1 both 6 samples 1 both 7 exhibited 2 the 6 samples 3 aml 4 and 4 and 5 pml 5 pml 6 samples 7 exhibited 12 behavior 8 a 12 behavior 9 nonlinear 10 and 10 and 11 anisotropic 10 and 12 behavior 12 behavior 13 with 12 behavior 17 being 13 with 16 direction 14 the 16 direction 15 circumferential 16 direction 17 being 18 stiffer 18 stiffer 19 than 19 than 22 direction 20 the 22 direction 21 radial 22 direction the aml samples were significantly stiffer than the pml samples in both directions , suggesting that they should be modeled with separate sets of material properties in computational studies . 0 ###LEFT-WALL### 3 samples 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 30 . 1 the 3 samples 2 aml 3 samples 3 samples 4 were 4 were 5 significantly 4 were 6 stiffer 6 stiffer 7 than 7 than 10 samples 7 than 11 in 8 the 10 samples 9 pml 10 samples 11 in 13 directions 12 both 13 directions 14 , 15 suggesting 14 , 20 modeled 15 suggesting 16 that 15 suggesting 19 be 16 that 17 they 16 that 18 should 17 they 18 should 19 be 20 modeled 20 modeled 21 with 20 modeled 27 in 21 with 23 sets 22 separate 23 sets 23 sets 24 of 24 of 26 properties 25 material 26 properties 27 in 29 studies 28 computational 29 studies histological analysis indicated the changes in the tissue elastic constituents , including [the] fragmented and disorganized elastin network , the presence of fibrosis and proteoglycan/glycosaminoglycan infiltration and calcification , suggesting possible valvular degenerative characteristics in the aged human leaflet samples . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 indicated 0 ###LEFT-WALL### 11 , 1 histological 2 analysis 2 analysis 3 indicated 3 indicated 5 changes 3 indicated 6 in 4 the 5 changes 6 in 10 constituents 7 the 10 constituents 8 tissue 10 constituents 9 elastic 10 constituents 11 , 12 including 12 including 15 and 14 fragmented 15 and 15 and 16 disorganized 16 disorganized 18 network 17 elastin 18 network 18 network 27 and 18 network 30 suggesting 19 , 27 and 20 the 21 presence 21 presence 22 of 21 presence 24 and 22 of 23 fibrosis 24 and 26 infiltration 24 and 27 and 25 proteoglycan/glycosaminoglycan 26 infiltration 27 and 28 calcification 27 and 29 , 29 , 30 suggesting 30 suggesting 34 characteristics 30 suggesting 35 in 30 suggesting 41 . 31 possible 34 characteristics 32 valvular 34 characteristics 33 degenerative 34 characteristics 35 in 40 samples 36 the 40 samples 37 aged 38 human 38 human 40 samples 39 leaflet 40 samples overall , stiffness increased and areal strain decreased with calcification severity . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 8 decreased 0 ###LEFT-WALL### 12 . 1 overall 2 , 1 overall 5 and 3 stiffness 4 increased 3 stiffness 5 and 5 and 7 strain 5 and 8 decreased 6 areal 7 strain 8 decreased 9 with 9 with 11 severity 10 calcification 11 severity in addition , leaflet tissues from hypertensive individuals also exhibited a higher stiffness and low areal strain than normotensive individuals . 0 ###LEFT-WALL### 5 tissues 0 ###LEFT-WALL### 10 exhibited 0 ###LEFT-WALL### 21 . 1 in 2 addition 1 in 3 , 1 in 5 tissues 4 leaflet 5 tissues 5 tissues 6 from 5 tissues 10 exhibited 6 from 8 individuals 7 hypertensive 8 individuals 9 also 10 exhibited 10 exhibited 17 strain 10 exhibited 18 than 11 a 17 strain 12 higher 13 stiffness 13 stiffness 14 and 14 and 15 low 14 and 17 strain 16 areal 17 strain 18 than 20 individuals 19 normotensive 20 individuals there are significant differences in the mechanical properties of the two human mitral valve leaflets from this advanced age group . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 21 . 1 there 2 are 2 are 4 differences 2 are 16 from 3 significant 4 differences 4 differences 5 in 4 differences 9 of 5 in 8 properties 6 the 8 properties 7 mechanical 8 properties 9 of 15 leaflets 10 the 11 two 11 two 15 leaflets 12 human 14 valve 13 mitral 14 valve 14 valve 15 leaflets 16 from 20 group 17 this 20 group 18 advanced 19 age 19 age 20 group the morphologic changes in the tissue composition and structure also infer the structural and functional difference between aged human valves and those of animals . 0 ###LEFT-WALL### 3 changes 0 ###LEFT-WALL### 11 infer 0 ###LEFT-WALL### 25 . 1 the 3 changes 2 morphologic 3 changes 3 changes 4 in 3 changes 11 infer 4 in 8 and 5 the 7 composition 6 tissue 7 composition 7 composition 8 and 8 and 9 structure 10 also 11 infer 11 infer 16 difference 11 infer 17 between 12 the 16 difference 13 structural 14 and 14 and 15 functional 14 and 16 difference 17 between 21 and 18 aged 20 valves 19 human 20 valves 20 valves 21 and 21 and 22 those 21 and 23 of 23 of 24 animals background : little is known about the impact of pain on physical functioning among the oldest - old subjects . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 3 little 2 : 5 known 3 little 4 is 4 is 5 known 5 known 6 about 5 known 11 on 5 known 14 among 6 about 8 impact 7 the 8 impact 8 impact 9 of 9 of 10 pain 11 on 13 functioning 12 physical 13 functioning 14 among 19 subjects 15 the 16 oldest 15 the 19 subjects 16 oldest 17 - 18 old 19 subjects in this study , we first examined the associations between the number of painful sites and measures of physical functioning reflecting different stages of the disablement process ( physical impairment , functional limitation and disability ) among nonagenarians ( more than ninety years old persons ) . 0 ###LEFT-WALL### 6 first 0 ###LEFT-WALL### 7 examined 0 ###LEFT-WALL### 31 , 0 ###LEFT-WALL### 47 . 1 in 3 study 1 in 4 , 1 in 6 first 2 this 3 study 5 we 6 first 6 first 7 examined 7 examined 9 associations 7 examined 10 between 8 the 9 associations 10 between 16 and 11 the 12 number 12 number 13 of 12 number 16 and 13 of 15 sites 14 painful 15 sites 16 and 17 measures 16 and 18 of 16 and 30 impairment 18 of 20 functioning 19 physical 20 functioning 20 functioning 21 reflecting 20 functioning 24 of 21 reflecting 23 stages 22 different 23 stages 24 of 27 process 25 the 27 process 26 disablement 27 process 28 ( 30 impairment 29 physical 30 impairment 30 impairment 31 , 31 , 34 and 32 functional 33 limitation 33 limitation 34 and 34 and 35 disability 34 and 36 ) 34 and 37 among 34 and 45 persons 37 among 38 nonagenarians 39 ( 45 persons 40 more 41 than 41 than 42 ninety 42 ninety 43 years 43 years 45 persons 44 old 45 persons 45 persons 46 ) second , we described the effect of painful sites on disability during a 2 [-] year [follow] - up period . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 described 0 ###LEFT-WALL### 18 - 0 ###LEFT-WALL### 21 . 1 second 2 , 1 second 3 we 3 we 4 described 4 described 6 effect 4 described 10 on 4 described 12 during 5 the 6 effect 6 effect 7 of 7 of 9 sites 8 painful 9 sites 10 on 11 disability 12 during 16 year 13 a 16 year 14 2 16 year 18 - 19 up 19 up 20 period methods : this study is based on baseline ( n = 1177 ) and 2 - [year] follow - up ( n = 709 ) data of the nationwide danish 1905 cohort study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 6 based 2 : 14 and 2 : 19 - 3 this 4 study 4 study 5 is 5 is 6 based 6 based 7 on 7 on 8 baseline 8 baseline 11 = 9 ( 11 = 10 n 11 = 11 = 12 1177 11 = 13 ) 14 and 15 2 14 and 16 - 15 2 16 - 16 - 18 follow 19 - 26 data 19 - 33 study 19 - 34 . 20 up 23 = 20 up 26 data 21 ( 23 = 22 n 23 = 23 = 24 709 23 = 25 ) 26 data 27 of 26 data 33 study 27 of 32 cohort 28 the 32 cohort 29 nationwide 30 danish 30 danish 32 cohort 31 1905 32 cohort musculoskeletal pain was assessed as reported pain in back , hips or knees when moving or resting . 0 ###LEFT-WALL### 1 musculoskeletal 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 18 . 1 musculoskeletal 2 pain 1 musculoskeletal 3 was 1 musculoskeletal 4 assessed 2 pain 3 was 4 assessed 5 as 4 assessed 14 when 4 assessed 16 or 5 as 12 or 6 reported 7 pain 7 pain 9 back 7 pain 10 , 8 in 9 back 10 , 11 hips 10 , 12 or 12 or 13 knees 15 moving 16 or 16 or 17 resting physical performance measures included maximum grip strength and habitual walking speed . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 6 grip 0 ###LEFT-WALL### 12 . 1 physical 2 performance 2 performance 3 measures 3 measures 4 included 3 measures 6 grip 4 included 5 maximum 6 grip 8 and 7 strength 8 and 8 and 9 habitual 8 and 10 walking 10 walking 11 speed disability in performing activities of daily living was defined as the need [for] assistive device or personal help in transferring , dressing , washing , using [toilet] [and/or] walking indoors . 0 ###LEFT-WALL### 1 disability 0 ###LEFT-WALL### 9 defined 0 ###LEFT-WALL### 31 . 1 disability 2 in 1 disability 5 of 1 disability 8 was 2 in 3 performing 3 performing 4 activities 5 of 7 living 6 daily 7 living 8 was 9 defined 9 defined 10 as 10 as 26 using 11 the 15 device 12 need 15 device 14 assistive 15 device 15 device 16 or 16 or 18 help 16 or 24 washing 16 or 26 using 17 personal 18 help 18 help 19 in 19 in 20 transferring 20 transferring 22 dressing 21 , 22 dressing 22 dressing 23 , 23 , 24 washing 24 washing 25 , 26 using 29 walking 29 walking 30 indoors results : at baseline , the number of painful sites was significantly associated with measured grip strength and walking speed as well as self [-] reported disability in a stepwise manner ; [the] more sites with pain [,] the poorer [the] physical functioning . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 44 . 2 : 7 number 2 : 13 associated 2 : 32 ; 3 at 4 baseline 3 at 5 , 3 at 7 number 6 the 7 number 7 number 8 of 7 number 11 was 8 of 10 sites 9 painful 10 sites 11 was 13 associated 12 significantly 13 associated 13 associated 14 with 13 associated 23 as 14 with 18 and 15 measured 17 strength 15 measured 18 and 16 grip 17 strength 18 and 19 walking 18 and 20 speed 21 as 22 well 22 well 23 as 23 as 27 disability 24 self 26 reported 26 reported 27 disability 27 disability 28 in 28 in 31 manner 29 a 31 manner 30 stepwise 31 manner 32 ; 34 more 32 ; 35 sites 34 more 35 sites 35 sites 36 with 35 sites 43 functioning 36 with 37 pain 39 the 43 functioning 40 poorer 43 functioning 42 physical 43 functioning conclusions : the findings of this study suggest that musculoskeletal pain in nonagenarians is highly prevalent and is associated with poor physical performance and disability . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 findings 2 : 8 suggest 2 : 26 . 3 the 4 findings 4 findings 5 of 4 findings 8 suggest 5 of 7 study 6 this 7 study 8 suggest 9 that 9 that 11 pain 9 that 17 and 10 musculoskeletal 11 pain 11 pain 12 in 11 pain 17 and 12 in 13 nonagenarians 14 is 16 prevalent 14 is 17 and 15 highly 16 prevalent 17 and 18 is 18 is 19 associated 19 associated 20 with 20 with 24 and 21 poor 23 performance 22 physical 23 performance 23 performance 24 and 24 and 25 disability previous studies have shown that hippocampal volume is an early marker for dementia . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 shown 0 ###LEFT-WALL### 14 . 1 previous 2 studies 2 studies 3 have 3 have 4 shown 4 shown 5 that 5 that 7 volume 5 that 8 is 6 hippocampal 7 volume 7 volume 8 is 8 is 11 marker 9 an 10 early 9 an 11 marker 10 early 11 marker 11 marker 12 for 12 for 13 dementia we investigated whether hippocampal shape characteristics extracted from mri [scans] are predictive for the development of dementia during [follow] up in subjects who were nondemented at baseline . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 28 . 1 we 2 investigated 2 investigated 3 whether 3 whether 5 shape 3 whether 25 nondemented 4 hippocampal 5 shape 5 shape 6 characteristics 5 shape 18 during 5 shape 20 up 5 shape 25 nondemented 6 characteristics 7 extracted 6 characteristics 11 are 7 extracted 8 from 8 from 9 mri 11 are 12 predictive 12 predictive 13 for 12 predictive 18 during 13 for 15 development 14 the 15 development 15 development 16 of 16 of 17 dementia 20 up 21 in 21 in 22 subjects 22 subjects 23 who 22 subjects 24 were 23 who 24 were 25 nondemented 26 at 26 at 27 baseline furthermore , we assessed whether hippocampal shape provides additional predictive value [independent] of hippocampal volume . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 16 . 1 furthermore 2 , 1 furthermore 3 we 3 we 4 assessed 4 assessed 5 whether 5 whether 7 shape 5 whether 8 provides 6 hippocampal 7 shape 7 shape 8 provides 8 provides 11 value 9 additional 11 value 10 predictive 11 value 11 value 13 of 13 of 15 volume 14 hippocampal 15 volume five hundred eleven brain mri scans from elderly nondemented participants of a prospective population - based imaging study were used . 0 ###LEFT-WALL### 5 mri 0 ###LEFT-WALL### 6 scans 0 ###LEFT-WALL### 15 - 1 five 2 hundred 2 hundred 3 eleven 3 eleven 5 mri 4 brain 5 mri 5 mri 6 scans 6 scans 7 from 7 from 10 participants 8 elderly 10 participants 9 nondemented 10 participants 10 participants 11 of 11 of 14 population 12 a 13 prospective 12 a 14 population 13 prospective 14 population 15 - 16 based 15 - 19 were 15 - 21 . 16 based 19 were 17 imaging 18 study 17 imaging 19 were 19 were 20 used during the 10 - [year] follow - up period , 52 of these subjects developed dementia . 0 ###LEFT-WALL### 6 follow 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 17 . 1 during 3 10 1 during 4 - 1 during 6 follow 2 the 3 10 6 follow 8 up 7 - 8 up 8 up 9 period 8 up 10 , 10 , 11 52 10 , 15 developed 11 52 12 of 11 52 15 developed 12 of 14 subjects 13 these 14 subjects 15 developed 16 dementia for training and evaluation independent of age and gender , a subset of 50 cases and 150 matched controls was selected . 0 ###LEFT-WALL### 12 subset 0 ###LEFT-WALL### 21 selected 0 ###LEFT-WALL### 22 . 1 for 8 and 1 for 10 , 1 for 12 subset 2 training 3 and 3 and 5 independent 3 and 6 of 3 and 8 and 4 evaluation 5 independent 6 of 7 age 8 and 9 gender 11 a 12 subset 12 subset 13 of 12 subset 20 was 13 of 16 and 14 50 15 cases 15 cases 16 and 16 and 19 controls 17 150 19 controls 18 matched 19 controls 20 was 21 selected the hippocampus was segmented using an automated method . 0 ###LEFT-WALL### 2 hippocampus 0 ###LEFT-WALL### 4 segmented 0 ###LEFT-WALL### 9 . 1 the 2 hippocampus 2 hippocampus 3 was 3 was 4 segmented 4 segmented 5 using 5 using 8 method 6 an 8 method 7 automated 8 method from the segmentation , the volume was determined and a statistical shape model was constructed . 0 ###LEFT-WALL### 6 volume 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 16 . 1 from 3 segmentation 1 from 4 , 1 from 6 volume 2 the 3 segmentation 5 the 6 volume 6 volume 7 was 7 was 8 determined 9 and 13 model 9 and 15 constructed 10 a 11 statistical 10 a 13 model 11 statistical 12 shape 12 shape 13 model 13 model 14 was 14 was 15 constructed we trained a classifier to distinguish between subjects who developed dementia and subjects who stayed cognitively healthy . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 trained 0 ###LEFT-WALL### 18 . 1 we 2 trained 2 trained 4 classifier 2 trained 5 to 2 trained 6 distinguish 3 a 4 classifier 5 to 6 distinguish 6 distinguish 7 between 7 between 8 subjects 8 subjects 9 who 8 subjects 10 developed 9 who 10 developed 10 developed 12 and 11 dementia 12 and 12 and 13 subjects 12 and 14 who 12 and 15 stayed 14 who 15 stayed 15 stayed 16 cognitively 15 stayed 17 healthy for all subjects the a posteriori probability to [develop] dementia was estimated using the classifier in a cross - validation experiment . 0 ###LEFT-WALL### 7 probability 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 22 . 1 for 3 subjects 1 for 7 probability 2 all 3 subjects 4 the 7 probability 5 a 6 posteriori 6 posteriori 7 probability 7 probability 8 to 7 probability 11 was 8 to 10 dementia 11 was 12 estimated 12 estimated 13 using 13 using 15 classifier 13 using 16 in 14 the 15 classifier 16 in 18 cross 17 a 18 cross 19 - 21 experiment 20 validation 21 experiment the area under the roc curve for volume , shape , and the combination of both were , respectively , 0.724 , 0.743 , [and] 0.766 . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 17 were 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 27 . 1 the 2 area 2 area 3 under 2 area 9 , 3 under 6 curve 4 the 6 curve 5 roc 6 curve 6 curve 7 for 7 for 8 volume 9 , 10 shape 9 , 12 and 11 , 12 and 12 and 14 combination 12 and 15 of 12 and 17 were 13 the 14 combination 15 of 16 both 17 were 19 respectively 17 were 21 0.724 18 , 19 respectively 19 respectively 20 , 22 , 23 0.743 22 , 24 , 24 , 26 0.766 a logistic regression model showed that adding shape to a model using volume corrected for age and gender increased the global model - fit significantly ( p = 0.0063 ) . 0 ###LEFT-WALL### 4 model 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 31 . 1 a 2 logistic 1 a 4 model 2 logistic 3 regression 3 regression 4 model 4 model 5 showed 5 showed 6 that 6 that 7 adding 6 that 14 corrected 7 adding 8 shape 7 adding 9 to 7 adding 12 using 7 adding 14 corrected 9 to 11 model 10 a 11 model 12 using 13 volume 14 corrected 15 for 15 for 16 age 17 and 18 gender 17 and 19 increased 18 gender 19 increased 19 increased 22 model 19 increased 24 fit 20 the 22 model 21 global 22 model 23 - 24 fit 24 fit 25 significantly 24 fit 28 = 24 fit 30 ) 26 ( 28 = 27 p 28 = 28 = 29 0.0063 28 = 30 ) we conclude that hippocampal shape derived from mri [scans] is predictive for dementia before clinical symptoms arise , independent of age and gender . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conclude 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 24 . 1 we 2 conclude 2 conclude 3 that 3 that 5 shape 3 that 10 is 4 hippocampal 5 shape 5 shape 6 derived 5 shape 10 is 6 derived 7 from 7 from 8 mri 10 is 11 predictive 11 predictive 12 for 11 predictive 14 before 12 for 13 dementia 14 before 16 symptoms 14 before 17 arise 15 clinical 16 symptoms 16 symptoms 17 arise 18 , 22 and 19 independent 20 of 19 independent 22 and 20 of 21 age 22 and 23 gender furthermore , the results suggest that hippocampal shape provides additional predictive value over hippocampal volume and that combining shape and volume leads to better prediction . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 5 suggest 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 24 better 0 ###LEFT-WALL### 26 . 1 furthermore 2 , 1 furthermore 4 results 3 the 4 results 4 results 5 suggest 5 suggest 8 shape 5 suggest 9 provides 6 that 7 hippocampal 7 hippocampal 8 shape 8 shape 9 provides 9 provides 12 value 9 provides 13 over 10 additional 12 value 11 predictive 12 value 13 over 16 and 14 hippocampal 15 volume 15 volume 16 and 16 and 19 shape 17 that 18 combining 18 combining 19 shape 20 and 21 volume 20 and 22 leads 21 volume 22 leads 22 leads 23 to 23 to 24 better 24 better 25 prediction background : cardiorespiratory fitness is associated with increased frontal and parietal activation during executive function tasks . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 2 : 3 cardiorespiratory 2 : 8 increased 3 cardiorespiratory 4 fitness 3 cardiorespiratory 7 with 3 cardiorespiratory 8 increased 4 fitness 5 is 5 is 6 associated 6 associated 7 with 8 increased 12 activation 8 increased 13 during 9 frontal 10 and 10 and 11 parietal 10 and 12 activation 13 during 16 tasks 14 executive 15 function 15 function 16 tasks while these findings suggest fitness - related enhancement [of] neuronal response , the utility of functional magnetic resonance imaging ( fmri ) may be limited by potential fitness - related differences in global vascular reactivity . 0 ###LEFT-WALL### 4 suggest 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 36 . 1 while 3 findings 1 while 4 suggest 2 these 3 findings 4 suggest 5 fitness 6 - 11 response 6 - 12 , 7 related 8 enhancement 8 enhancement 11 response 10 neuronal 11 response 12 , 14 utility 12 , 24 be 12 , 29 - 13 the 14 utility 14 utility 15 of 14 utility 21 fmri 14 utility 23 may 15 of 19 imaging 16 functional 18 resonance 17 magnetic 18 resonance 18 resonance 19 imaging 20 ( 21 fmri 21 fmri 22 ) 23 may 24 be 24 be 25 limited 25 limited 26 by 26 by 28 fitness 27 potential 28 fitness 29 - 31 differences 30 related 31 differences 31 differences 32 in 32 in 35 reactivity 33 global 35 reactivity 34 vascular 35 reactivity the aim of this study was to determine if highly fit adults display differential activation during working memory after calibration for vascular reactivity relative to their sedentary counterparts . 0 ###LEFT-WALL### 8 determine 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 determine 7 to 8 determine 8 determine 9 if 8 determine 16 during 8 determine 29 . 9 if 12 adults 9 if 13 display 10 highly 11 fit 11 fit 12 adults 12 adults 13 display 13 display 15 activation 14 differential 15 activation 16 during 18 memory 17 working 18 memory 18 memory 19 after 19 after 20 calibration 20 calibration 21 for 21 for 23 reactivity 22 vascular 23 reactivity 23 reactivity 24 relative 24 relative 25 to 25 to 28 counterparts 26 their 28 counterparts 27 sedentary 28 counterparts methods : thirty - two endurance - trained [and] 24 sedentary adults , aged 40 - 65 years , completed a 2 [-] back verbal working memory task and a breath - hold [challenge] during fmri . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 3 thirty 2 : 8 trained 2 : 13 , 2 : 32 - 3 thirty 6 endurance 3 thirty 8 trained 4 - 6 endurance 5 two 6 endurance 6 endurance 7 - 8 trained 12 adults 10 24 12 adults 11 sedentary 12 adults 13 , 19 , 14 aged 16 - 14 aged 18 years 14 aged 19 , 15 40 16 - 16 - 17 65 19 , 20 completed 20 completed 29 and 21 a 28 task 22 2 24 back 24 back 28 task 25 verbal 28 task 26 working 28 task 27 memory 28 task 28 task 29 and 29 and 31 breath 29 and 32 - 30 a 31 breath 32 - 33 hold 33 hold 35 during 35 during 36 fmri group differences in blood oxygen level - dependent ( bold ) response [during] working memory were examined across the whole brain and in a priori regions of interest ( roi ) before and after breath - hold calibration using [non] - parametric permutation testing . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 17 examined 0 ###LEFT-WALL### 36 - 0 ###LEFT-WALL### 45 . 1 group 2 differences 2 differences 3 in 2 differences 16 were 3 in 15 memory 4 blood 14 working 5 oxygen 14 working 6 level 7 - 6 level 12 response 8 dependent 10 bold 8 dependent 12 response 9 ( 10 bold 10 bold 11 ) 12 response 14 working 14 working 15 memory 16 were 17 examined 17 examined 22 and 17 examined 33 and 18 across 21 brain 18 across 22 and 19 the 21 brain 20 whole 21 brain 22 and 23 in 23 in 26 regions 24 a 25 priori 25 priori 26 regions 26 regions 27 of 26 regions 30 roi 27 of 28 interest 29 ( 30 roi 30 roi 31 ) 32 before 33 and 33 and 34 after 34 after 35 breath 36 - 39 using 36 - 41 - 37 hold 39 using 38 calibration 39 using 41 - 44 testing 42 parametric 44 testing 43 permutation 44 testing multiple regression was used to explore the association between cardiorespiratory fitness ( vo2 [max] ) , age , and calibrated 2 - back - related activation within the one a priori roi with significant group effects . 0 ###LEFT-WALL### 2 regression 0 ###LEFT-WALL### 22 - 0 ###LEFT-WALL### 37 . 1 multiple 2 regression 2 regression 3 was 3 was 16 , 4 used 5 to 4 used 8 association 4 used 9 between 4 used 16 , 5 to 6 explore 7 the 8 association 9 between 11 fitness 10 cardiorespiratory 11 fitness 11 fitness 13 vo2 12 ( 13 vo2 13 vo2 15 ) 16 , 19 and 17 age 19 and 18 , 19 and 19 and 20 calibrated 20 calibrated 21 2 22 - 23 back 22 - 24 - 24 - 26 activation 25 related 26 activation 26 activation 27 within 27 within 32 roi 28 the 29 one 29 one 32 roi 30 a 31 priori 31 priori 32 roi 32 roi 33 with 33 with 36 effects 34 significant 35 group 35 group 36 effects results : in comparison to the endurance - trained group , the sedentary group exhibited greater bold signal changes in response to the breath - hold task . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 28 . 1 results 2 : 2 : 3 in 3 in 4 comparison 4 comparison 5 to 5 to 7 endurance 6 the 7 endurance 8 - 10 group 8 - 11 , 8 - 25 - 9 trained 10 group 11 , 17 bold 11 , 18 signal 12 the 17 bold 13 sedentary 14 group 14 group 15 exhibited 15 exhibited 17 bold 16 greater 17 bold 17 bold 18 signal 18 signal 19 changes 18 signal 22 to 20 in 21 response 21 response 22 to 22 to 24 breath 23 the 24 breath 25 - 27 task 26 hold 27 task after , [but] not before calibration , the endurance - trained group displayed significantly higher [2] - back - related activation in the right middle frontal gyrus ( p = 0.049 ) . 0 ###LEFT-WALL### 25 middle 0 ###LEFT-WALL### 33 . 1 after 9 endurance 1 after 20 related 1 after 25 middle 2 , 4 not 2 , 5 before 5 before 6 calibration 5 before 7 , 5 before 9 endurance 8 the 9 endurance 9 endurance 18 back 9 endurance 20 related 10 - 18 back 11 trained 12 group 12 group 18 back 13 displayed 18 back 14 significantly 15 higher 15 higher 17 - 15 higher 18 back 18 back 19 - 20 related 21 activation 20 related 22 in 22 in 24 right 23 the 24 right 25 middle 27 gyrus 26 frontal 27 gyrus 27 gyrus 30 = 28 ( 30 = 29 p 30 = 30 = 31 0.049 30 = 32 ) older age predicted lower 2 - back - related activation [(] ß = - 0.308 , p = 0.031 ) , whereas fitness predicted higher activation ( [ß] = 0.372 , p = 0.021 ) in this region . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 24 predicted 0 ###LEFT-WALL### 39 . 1 older 2 age 2 age 3 predicted 3 predicted 4 lower 3 predicted 5 2 3 predicted 13 = 5 2 7 back 5 2 9 related 6 - 7 back 7 back 8 - 9 related 10 activation 12 ß 13 = 13 = 15 0.308 13 = 22 whereas 14 - 15 0.308 15 0.308 18 = 16 , 18 = 17 p 18 = 18 = 19 0.031 18 = 20 ) 21 , 22 whereas 22 whereas 23 fitness 23 fitness 24 predicted 24 predicted 26 activation 24 predicted 33 = 24 predicted 36 in 25 higher 26 activation 26 activation 30 0.372 27 ( 30 0.372 29 = 30 0.372 30 0.372 31 , 31 , 33 = 32 p 33 = 33 = 34 0.021 33 = 35 ) 36 in 38 region 37 this 38 region conclusions : breath - hold calibration increased detection of working memory - related bold response differences between sedentary and endurance - trained adults . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 related 0 ###LEFT-WALL### 21 - 0 ###LEFT-WALL### 24 . 1 conclusions 2 : 2 : 3 breath 3 breath 8 detection 4 - 8 detection 5 hold 6 calibration 6 calibration 7 increased 7 increased 8 detection 8 detection 9 of 8 detection 12 - 9 of 10 working 10 working 11 memory 12 - 13 related 13 related 16 differences 13 related 17 between 14 bold 16 differences 15 response 16 differences 17 between 19 and 18 sedentary 19 and 19 and 20 endurance 21 - 23 adults 22 trained 23 adults moreover , cardiorespiratory fitness appeared to mitigate age - related changes in bold during working memory in this region . 0 ###LEFT-WALL### 4 fitness 0 ###LEFT-WALL### 5 appeared 0 ###LEFT-WALL### 10 related 1 moreover 2 , 1 moreover 4 fitness 3 cardiorespiratory 4 fitness 4 fitness 5 appeared 5 appeared 6 to 5 appeared 7 mitigate 6 to 7 mitigate 7 mitigate 8 age 9 - 10 related 10 related 11 changes 10 related 12 in 10 related 14 during 10 related 20 . 12 in 13 bold 14 during 16 memory 15 working 16 memory 16 memory 17 in 17 in 19 region 18 this 19 region as indicated by several recent studies , magnetic susceptibility of the brain is influenced mainly by myelin in the white matter and by iron deposits in the deep nuclei . 0 ###LEFT-WALL### 9 susceptibility 0 ###LEFT-WALL### 14 influenced 0 ###LEFT-WALL### 30 . 1 as 2 indicated 1 as 9 susceptibility 3 by 6 studies 3 by 7 , 3 by 9 susceptibility 4 several 6 studies 5 recent 6 studies 8 magnetic 9 susceptibility 9 susceptibility 10 of 9 susceptibility 13 is 10 of 12 brain 11 the 12 brain 13 is 14 influenced 14 influenced 15 mainly 14 influenced 26 in 15 mainly 16 by 16 by 17 myelin 17 myelin 22 and 18 in 21 matter 18 in 22 and 19 the 21 matter 20 white 21 matter 22 and 23 by 23 by 25 deposits 24 iron 25 deposits 26 in 29 nuclei 27 the 29 nuclei 28 deep 29 nuclei myelination and iron deposition in the brain evolve both spatially [and] temporally . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 8 evolve 0 ###LEFT-WALL### 13 . 1 myelination 2 and 2 and 4 deposition 2 and 5 in 2 and 8 evolve 3 iron 4 deposition 5 in 7 brain 6 the 7 brain 8 evolve 9 both 8 evolve 10 spatially 8 evolve 12 temporally this evolution reflects an important characteristic of normal brain development and ageing . 0 ###LEFT-WALL### 2 evolution 0 ###LEFT-WALL### 3 reflects 0 ###LEFT-WALL### 13 . 1 this 2 evolution 2 evolution 3 reflects 3 reflects 6 characteristic 4 an 5 important 4 an 6 characteristic 5 important 6 characteristic 6 characteristic 7 of 7 of 11 and 8 normal 9 brain 9 brain 10 development 10 development 11 and 11 and 12 ageing in this study , we assessed the changes of regional susceptibility in the human brain in vivo by examining the developmental and ageing process from 1 to 83 years of age . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 assessed 0 ###LEFT-WALL### 32 . 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 assessed 6 assessed 8 changes 6 assessed 12 in 6 assessed 17 vivo 6 assessed 18 by 7 the 8 changes 8 changes 9 of 9 of 11 susceptibility 10 regional 11 susceptibility 12 in 15 brain 13 the 15 brain 14 human 15 brain 16 in 17 vivo 18 by 19 examining 19 examining 22 and 19 examining 24 process 20 the 21 developmental 21 developmental 22 and 22 and 23 ageing 22 and 24 process 24 process 29 years 25 from 27 to 26 1 27 to 27 to 28 83 27 to 29 years 29 years 30 of 30 of 31 age the evolution of magnetic susceptibility over this lifespan was found to display differential trajectories between the gray and the white matter . 0 ###LEFT-WALL### 2 evolution 0 ###LEFT-WALL### 10 found 0 ###LEFT-WALL### 22 . 1 the 2 evolution 2 evolution 3 of 2 evolution 6 over 2 evolution 9 was 3 of 5 susceptibility 4 magnetic 5 susceptibility 6 over 8 lifespan 7 this 8 lifespan 9 was 10 found 10 found 11 to 11 to 12 display 12 display 14 trajectories 12 display 15 between 13 differential 14 trajectories 15 between 18 and 16 the 17 gray 17 gray 18 and 18 and 21 matter 19 the 21 matter 20 white 21 matter in both cortical and subcortical white matter , an initial decrease followed by a subsequent increase in magnetic susceptibility was observed , which could be fitted by a poisson curve . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 7 matter 0 ###LEFT-WALL### 21 observed 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 31 . 1 in 2 both 1 in 4 and 3 cortical 4 and 4 and 6 white 4 and 7 matter 5 subcortical 6 white 8 , 21 observed 9 an 11 decrease 10 initial 11 decrease 11 decrease 12 followed 11 decrease 16 increase 11 decrease 20 was 11 decrease 21 observed 12 followed 13 by 14 a 15 subsequent 14 a 16 increase 15 subsequent 16 increase 16 increase 17 in 16 increase 20 was 17 in 19 susceptibility 18 magnetic 19 susceptibility 22 , 23 which 22 , 26 fitted 23 which 24 could 24 could 25 be 25 be 26 fitted 26 fitted 27 by 27 by 30 curve 28 a 30 curve 29 poisson 30 curve in the gray matter , including the cortical gray matter and the iron - rich deep nuclei , magnetic susceptibility displayed a monotonic increase that can be described by an exponential growth . 0 ###LEFT-WALL### 20 susceptibility 0 ###LEFT-WALL### 21 displayed 0 ###LEFT-WALL### 33 . 1 in 4 matter 1 in 20 susceptibility 2 the 4 matter 3 gray 4 matter 5 , 6 including 6 including 11 and 6 including 18 , 6 including 20 susceptibility 7 the 9 gray 8 cortical 9 gray 9 gray 10 matter 10 matter 11 and 11 and 13 iron 11 and 17 nuclei 12 the 13 iron 14 - 17 nuclei 15 rich 17 nuclei 16 deep 17 nuclei 17 nuclei 18 , 19 magnetic 20 susceptibility 20 susceptibility 21 displayed 21 displayed 24 increase 21 displayed 29 by 22 a 24 increase 23 monotonic 24 increase 24 increase 25 that 24 increase 26 can 25 that 26 can 26 can 27 be 27 be 28 described 29 by 32 growth 30 an 32 growth 31 exponential 32 growth the rate of change varied according to functional and anatomical regions of the brain . 0 ###LEFT-WALL### 2 rate 0 ###LEFT-WALL### 5 varied 0 ###LEFT-WALL### 15 . 1 the 2 rate 2 rate 3 of 2 rate 5 varied 3 of 4 change 5 varied 7 to 6 according 7 to 7 to 11 regions 8 functional 9 and 9 and 10 anatomical 9 and 11 regions 11 regions 12 of 12 of 14 brain 13 the 14 brain for the brain nuclei , the age - related changes of susceptibility were in good agreement with the findings from r2* measurement . 0 ###LEFT-WALL### 4 nuclei 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 23 . 1 for 3 brain 1 for 4 nuclei 2 the 3 brain 4 nuclei 7 age 4 nuclei 13 were 5 , 7 age 6 the 7 age 7 age 8 - 8 - 9 related 9 related 10 changes 9 related 13 were 10 changes 11 of 11 of 12 susceptibility 13 were 14 in 13 were 17 with 14 in 16 agreement 15 good 16 agreement 17 with 19 findings 18 the 19 findings 19 findings 20 from 20 from 22 measurement 21 r2* 22 measurement our results suggest that magnetic susceptibility may provide valuable information regarding the spatial and temporal patterns of brain myelination and iron deposition during brain maturation and ageing . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 28 . 1 our 2 results 2 results 20 and 3 suggest 4 that 3 suggest 20 and 4 that 6 susceptibility 4 that 8 provide 5 magnetic 6 susceptibility 6 susceptibility 7 may 7 may 8 provide 8 provide 10 information 9 valuable 10 information 10 information 11 regarding 10 information 17 of 11 regarding 16 patterns 12 the 16 patterns 13 spatial 14 and 14 and 15 temporal 14 and 16 patterns 17 of 19 myelination 18 brain 19 myelination 20 and 21 iron 20 and 23 during 21 iron 22 deposition 23 during 26 and 24 brain 25 maturation 25 maturation 26 and 26 and 27 ageing objective : we examined the diagnostic accuracy of different methods of body temperature measurement to diagnose infection in geriatric patients presenting to the emergency department ( ed ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 we 2 : 4 examined 3 we 4 examined 4 examined 7 accuracy 5 the 7 accuracy 6 diagnostic 7 accuracy 7 accuracy 8 of 8 of 10 methods 9 different 10 methods 10 methods 11 of 11 of 14 measurement 12 body 13 temperature 13 temperature 14 measurement 14 measurement 15 to 14 measurement 21 presenting 15 to 16 diagnose 16 diagnose 17 infection 16 diagnose 18 in 18 in 20 patients 19 geriatric 20 patients 20 patients 21 presenting 21 presenting 22 to 22 to 25 department 23 the 25 department 24 emergency 25 department 25 department 27 ed 26 ( 27 ed 27 ed 28 ) methods : this observational study was done in consecutive patients ≥75 years old presenting to the ed . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 5 study 2 : 7 done 3 this 5 study 4 observational 5 study 5 study 6 was 6 was 7 done 7 done 8 in 7 done 14 presenting 8 in 12 years 9 consecutive 10 patients 10 patients 11 ≥75 11 ≥75 12 years 13 old 14 presenting 14 presenting 15 to 15 to 17 ed 16 the 17 ed body temperature was determined by tympanal thermometry , temporal artery thermometry and rectal temperature measurement . 0 ###LEFT-WALL### 2 temperature 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 16 . 1 body 2 temperature 2 temperature 3 was 3 was 4 determined 4 determined 5 by 5 by 12 and 6 tympanal 10 artery 7 thermometry 8 , 7 thermometry 10 artery 9 temporal 10 artery 10 artery 11 thermometry 11 thermometry 12 and 12 and 15 measurement 13 rectal 14 temperature 14 temperature 15 measurement adjudicated final diagnosis of infection was done by two experts including patient history , clinical and laboratory findings as well as radiographic studies . 0 ###LEFT-WALL### 1 adjudicated 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 24 . 1 adjudicated 6 was 2 final 3 diagnosis 3 diagnosis 4 of 3 diagnosis 6 was 4 of 5 infection 6 was 7 done 7 done 8 by 8 by 10 experts 9 two 10 experts 10 experts 11 including 11 including 13 history 12 patient 13 history 14 , 16 and 15 clinical 16 and 16 and 18 findings 16 and 21 as 17 laboratory 18 findings 19 as 20 well 20 well 21 as 21 as 23 studies 22 radiographic 23 studies results : a total of 427 patients were included in the data analysis ( age : 82.7 ± 5.1 years [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 )( 2 : 4 total 2 : 16 : 3 a 4 total 4 total 5 of 4 total 9 included 4 total 15 age 5 of 6 427 6 427 7 patients 6 427 8 were 7 patients 8 were 9 included 10 in 10 in 13 analysis 11 the 13 analysis 12 data 13 analysis 14 ( 15 age 15 age 16 : 16 : 20 years 17 82.7 20 years 18 ± 20 years 19 5.1 20 years infection was present in 105 patients ( 24.6 % ) . 0 ###LEFT-WALL### 1 infection 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 11 . 1 infection 2 was 2 was 3 present 3 present 4 in 4 in 6 patients 5 105 6 patients 6 patients 9 % 7 ( 9 % 8 24.6 9 % 9 % 10 ) respiratory rate , heart rate and body temperature were significantly higher in patients with infection , blood pressure was lower ( p < 0.01 ) . 0 ###LEFT-WALL### 2 rate 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 26 . 1 respiratory 2 rate 3 , 5 rate 3 , 6 and 4 heart 5 rate 6 and 8 temperature 6 and 9 were 7 body 8 temperature 8 temperature 9 were 9 were 10 significantly 9 were 11 higher 11 higher 12 in 11 higher 14 with 12 in 13 patients 14 with 15 infection 15 infection 17 blood 16 , 17 blood 17 blood 18 pressure 17 blood 20 lower 17 blood 25 ) 18 pressure 19 was 19 was 20 lower 20 lower 23 < 21 ( 23 < 22 p 23 < 23 < 24 0.01 body temperature measured by tympanal and temporal artery thermometry was correlated with rectal thermometry . 0 ###LEFT-WALL### 2 temperature 0 ###LEFT-WALL### 11 correlated 0 ###LEFT-WALL### 15 . 1 body 2 temperature 2 temperature 3 measured 2 temperature 10 was 3 measured 4 by 4 by 9 thermometry 5 tympanal 6 and 6 and 7 temporal 6 and 8 artery 8 artery 9 thermometry 10 was 11 correlated 11 correlated 12 with 12 with 14 thermometry 13 rectal 14 thermometry body temperature was significantly higher in patients with infection compared with those without infection independent of the method of body temperature measurement ( p < 0.001 ) . 0 ###LEFT-WALL### 2 temperature 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 28 . 1 body 2 temperature 2 temperature 3 was 3 was 4 significantly 3 was 5 higher 5 higher 6 in 5 higher 8 with 6 in 7 patients 8 with 9 infection 9 infection 10 compared 9 infection 16 of 9 infection 25 < 10 compared 11 with 10 compared 15 independent 11 with 12 those 12 those 13 without 13 without 14 infection 16 of 18 method 17 the 18 method 18 method 19 of 19 of 22 measurement 20 body 21 temperature 21 temperature 22 measurement 23 ( 25 < 24 p 25 < 25 < 26 0.001 25 < 27 ) compared with rectal measurement tympanal thermometry showed a higher bias than temporal artery thermometry ( 0.54 versus 0.03 °c ) , while its limits of agreement were more narrow ( - 0.14 to 1.21 °c versus - 0.94 - 1.01 °c ) . 0 ###LEFT-WALL### 28 more 0 ###LEFT-WALL### 29 narrow 0 ###LEFT-WALL### 43 . 1 compared 2 with 1 compared 11 than 1 compared 21 , 1 compared 28 more 2 with 4 measurement 3 rectal 4 measurement 4 measurement 6 thermometry 4 measurement 7 showed 5 tympanal 6 thermometry 6 thermometry 7 showed 7 showed 10 bias 8 a 10 bias 9 higher 10 bias 11 than 14 thermometry 12 temporal 13 artery 13 artery 14 thermometry 14 thermometry 16 0.54 15 ( 16 0.54 16 0.54 17 versus 16 0.54 20 ) 17 versus 19 °c 18 0.03 19 °c 22 while 24 limits 22 while 27 were 22 while 28 more 23 its 24 limits 24 limits 25 of 24 limits 27 were 25 of 26 agreement 28 more 29 narrow 29 narrow 39 - 30 ( 39 - 31 - 32 0.14 32 0.14 33 to 33 to 34 1.21 33 to 35 °c 35 °c 36 versus 35 °c 39 - 36 versus 38 0.94 37 - 38 0.94 39 - 41 °c 39 - 42 ) 40 1.01 41 °c conclusion : diagnostic accuracy for the identification of infection was comparable among tympanal and rectal thermometry and lower for temporal artery thermometry . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 diagnostic 2 : 10 was 2 : 23 . 3 diagnostic 10 was 4 accuracy 5 for 4 accuracy 8 of 4 accuracy 10 was 5 for 7 identification 6 the 7 identification 8 of 9 infection 10 was 17 and 11 comparable 12 among 11 comparable 17 and 12 among 16 thermometry 13 tympanal 14 and 14 and 15 rectal 14 and 16 thermometry 17 and 18 lower 18 lower 19 for 19 for 22 thermometry 20 temporal 21 artery 21 artery 22 thermometry different cut - [off] points should be used to identify infection using tympanal ( 37.3 °c ) [or] rectal ( 37.9 °c ) thermometry . 0 ###LEFT-WALL### 2 cut 0 ###LEFT-WALL### 3 - 1 different 2 cut 3 - 5 points 3 - 8 used 3 - 25 . 5 points 6 should 6 should 7 be 7 be 8 used 8 used 9 to 8 used 10 identify 9 to 10 identify 10 identify 11 infection 11 infection 12 using 12 using 24 thermometry 13 tympanal 16 °c 13 tympanal 24 thermometry 14 ( 16 °c 15 37.3 16 °c 16 °c 17 ) 19 rectal 22 °c 19 rectal 24 thermometry 20 ( 22 °c 21 37.9 22 °c 22 °c 23 ) in general , temperature measurement is an insensitive method to identify geriatric patients with infection . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 16 . 1 in 5 measurement 1 in 6 is 2 general 3 , 2 general 4 temperature 4 temperature 5 measurement 6 is 9 method 7 an 8 insensitive 7 an 9 method 8 insensitive 9 method 9 method 10 to 9 method 11 identify 10 to 11 identify 11 identify 13 patients 11 identify 14 with 12 geriatric 13 patients 14 with 15 infection registration number clinicaltrials.com : ksmc - tempger - 1 . 0 ###LEFT-WALL### 3 clinicaltrials.com 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 7 tempger 0 ###LEFT-WALL### 10 . 1 registration 3 clinicaltrials.com 2 number 3 clinicaltrials.com 3 clinicaltrials.com 4 : 4 : 5 ksmc 6 - 7 tempger 7 tempger 9 1 8 - 9 1 children exposed to ionizing radiation have a substantially greater breast cancer risk than adults ; the mechanism for this strong age dependence is not known . 0 ###LEFT-WALL### 1 children 0 ###LEFT-WALL### 6 have 0 ###LEFT-WALL### 15 ; 0 ###LEFT-WALL### 26 . 1 children 2 exposed 1 children 6 have 2 exposed 3 to 3 to 4 ionizing 4 ionizing 5 radiation 6 have 12 risk 6 have 13 than 7 a 12 risk 8 substantially 9 greater 9 greater 12 risk 10 breast 11 cancer 11 cancer 12 risk 13 than 14 adults 15 ; 17 mechanism 15 ; 23 is 16 the 17 mechanism 17 mechanism 18 for 17 mechanism 23 is 18 for 22 dependence 19 this 20 strong 20 strong 22 dependence 21 age 22 dependence 23 is 24 not 23 is 25 known 24 not 25 known we developed a mammary lineage agent [-] based model ( abm ) to evaluate cell inactivation , self - renewal , or dedifferentiation via epithelial - mesenchymal transition ( emt ) as mechanisms by which radiation could increase stem cells . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 14 evaluate 0 ###LEFT-WALL### 17 , 1 we 2 developed 2 developed 9 model 2 developed 13 to 3 a 4 mammary 3 a 9 model 4 mammary 9 model 5 lineage 6 agent 6 agent 8 based 8 based 9 model 9 model 11 abm 10 ( 11 abm 11 abm 12 ) 13 to 14 evaluate 14 evaluate 16 inactivation 15 cell 16 inactivation 17 , 18 self 17 , 19 - 19 - 22 or 19 - 38 increase 19 - 41 . 20 renewal 22 or 21 , 22 or 22 or 23 dedifferentiation 22 or 24 via 22 or 32 as 22 or 34 by 22 or 38 increase 24 via 28 transition 25 epithelial 26 - 25 epithelial 28 transition 27 mesenchymal 28 transition 28 transition 30 emt 29 ( 30 emt 30 emt 31 ) 32 as 33 mechanisms 34 by 35 which 34 by 36 radiation 34 by 37 could 36 radiation 37 could 38 increase 40 cells 39 stem 40 cells abm rejected cell inactivation and predicted increased self - renewal would only affect juveniles while dedifferentiation could act in both juveniles and adults . 0 ###LEFT-WALL### 1 abm 0 ###LEFT-WALL### 2 rejected 0 ###LEFT-WALL### 9 - 1 abm 2 rejected 2 rejected 5 and 3 cell 4 inactivation 4 inactivation 5 and 5 and 8 self 6 predicted 8 self 7 increased 8 self 9 - 10 renewal 9 - 13 affect 9 - 24 . 10 renewal 11 would 11 would 13 affect 12 only 13 affect 13 affect 14 juveniles 13 affect 15 while 15 while 16 dedifferentiation 15 while 18 act 16 dedifferentiation 17 could 17 could 18 act 18 act 19 in 19 in 22 and 20 both 21 juveniles 21 juveniles 22 and 22 and 23 adults abm simulation of population dynamics of double cytokeratin cells supported increased self [-] renewal in irradiated mcf10a treated with tgfβ . 0 ###LEFT-WALL### 2 simulation 0 ###LEFT-WALL### 16 irradiated 0 ###LEFT-WALL### 21 . 1 abm 2 simulation 2 simulation 3 of 2 simulation 16 irradiated 3 of 5 dynamics 4 population 5 dynamics 5 dynamics 6 of 5 dynamics 9 cells 5 dynamics 15 in 6 of 8 cytokeratin 7 double 8 cytokeratin 9 cells 10 supported 9 cells 11 increased 11 increased 14 renewal 11 increased 15 in 12 self 14 renewal 16 irradiated 17 mcf10a 16 irradiated 19 with 17 mcf10a 18 treated 19 with 20 tgfβ radiation - induced notch concomitant with tgfβ was necessary for increased self [-] renewal of let - 7c negative mcf10a cells but not for emt , indicating that these are independent processes . 0 ###LEFT-WALL### 1 radiation 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 33 . 2 - 3 induced 2 - 8 was 3 induced 8 was 4 notch 5 concomitant 4 notch 8 was 5 concomitant 6 with 6 with 7 tgfβ 8 was 9 necessary 9 necessary 10 for 10 for 14 renewal 11 increased 12 self 12 self 14 renewal 14 renewal 15 of 14 renewal 27 indicating 15 of 16 let 16 let 21 cells 17 - 21 cells 18 7c 21 cells 19 negative 21 cells 20 mcf10a 21 cells 21 cells 22 but 21 cells 24 for 21 cells 26 , 22 but 23 not 24 for 25 emt 27 indicating 28 that 28 that 29 these 28 that 30 are 29 these 30 are 30 are 32 processes 31 independent 32 processes consistent with these data , irradiating adult mice did not increase mammary repopulating activity or er - negative tumors . 0 ###LEFT-WALL### 6 irradiating 0 ###LEFT-WALL### 15 or 0 ###LEFT-WALL### 20 . 1 consistent 2 with 1 consistent 5 , 1 consistent 6 irradiating 2 with 4 data 3 these 4 data 6 irradiating 8 mice 6 irradiating 9 did 7 adult 8 mice 9 did 10 not 9 did 15 or 11 increase 14 activity 11 increase 15 or 12 mammary 14 activity 13 repopulating 14 activity 15 or 18 negative 16 er 17 - 16 er 18 negative 18 negative 19 tumors these studies suggest that irradiation during puberty transiently increases stem cell self [-] renewal , which increases susceptibility to developing er - negative breast cancer . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 suggest 1 these 2 studies 2 studies 3 suggest 3 suggest 4 that 4 that 5 irradiation 4 that 9 increases 5 irradiation 6 during 5 irradiation 9 increases 6 during 7 puberty 8 transiently 9 increases 9 increases 14 renewal 10 stem 14 renewal 11 cell 14 renewal 12 self 14 renewal 14 renewal 16 which 15 , 16 which 16 which 17 increases 16 which 26 . 17 increases 18 susceptibility 17 increases 19 to 19 to 20 developing 20 developing 21 er 21 er 25 cancer 22 - 25 cancer 23 negative 25 cancer 24 breast 25 cancer 25 cancer 26 . background : care home residents are aged , many have multiple co - morbidities and low levels of functioning . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 5 residents 2 : 7 aged 2 : 8 , 2 : 20 . 3 care 5 residents 4 home 5 residents 5 residents 6 are 6 are 7 aged 8 , 9 many 8 , 15 and 9 many 15 and 10 have 14 morbidities 10 have 15 and 11 multiple 14 morbidities 12 co 13 - 12 co 14 morbidities 15 and 16 low 16 low 17 levels 17 levels 18 of 18 of 19 functioning yet , the uk has no routinely available , national data on health in care homes . 0 ###LEFT-WALL### 4 uk 0 ###LEFT-WALL### 5 has 0 ###LEFT-WALL### 17 . 1 yet 2 , 1 yet 4 uk 3 the 4 uk 4 uk 5 has 5 has 11 data 5 has 12 on 5 has 14 in 6 no 11 data 7 routinely 8 available 8 available 9 , 8 available 11 data 10 national 11 data 12 on 13 health 14 in 16 homes 15 care 16 homes the aim of this study is to identify longitudinal or nationally representative cross - sectional sources of information on the health and wellbeing of older adults residing in care homes in the uk and ireland . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 30 homes 0 ###LEFT-WALL### 36 . 1 the 2 aim 2 aim 3 of 2 aim 6 is 3 of 5 study 4 this 5 study 6 is 7 to 6 is 8 identify 7 to 8 identify 8 identify 10 or 9 longitudinal 10 or 10 or 13 cross 11 nationally 12 representative 12 representative 13 cross 14 - 22 and 15 sectional 16 sources 16 sources 17 of 16 sources 22 and 17 of 18 information 18 information 19 on 19 on 21 health 20 the 21 health 22 and 23 wellbeing 22 and 24 of 24 of 26 adults 25 older 26 adults 26 adults 27 residing 26 adults 30 homes 27 residing 28 in 27 residing 30 homes 28 in 29 care 30 homes 31 in 31 in 35 ireland 32 the 35 ireland 33 uk 34 and 34 and 35 ireland methods : searches were made of health databases ( medline , embase ) , websites of the economic and social data service and uk office for national statistics , and selected journals . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 searches 2 : 30 and 2 : 33 . 3 searches 30 and 4 were 6 of 4 were 30 and 5 made 6 of 6 of 8 databases 7 health 8 databases 8 databases 10 medline 8 databases 12 embase 8 databases 23 and 9 ( 10 medline 10 medline 11 , 11 , 12 embase 12 embase 13 ) 14 , 23 and 15 websites 16 of 15 websites 19 and 16 of 18 economic 17 the 18 economic 19 and 22 service 19 and 23 and 20 social 21 data 21 data 22 service 23 and 28 statistics 23 and 29 , 24 uk 25 office 25 office 26 for 25 office 28 statistics 26 for 27 national 29 , 30 and 30 and 31 selected 30 and 32 journals on [-] going longitudinal or repeated cross - sectional studies were sought in the uk and ireland , that included participants aged over 65 and reported one or more health - related variables . 0 ###LEFT-WALL### 10 studies 0 ###LEFT-WALL### 12 sought 0 ###LEFT-WALL### 32 related 0 ###LEFT-WALL### 34 . 1 on 3 going 1 on 10 studies 4 longitudinal 5 or 5 or 7 cross 5 or 8 - 5 or 10 studies 6 repeated 7 cross 9 sectional 10 studies 10 studies 11 were 11 were 12 sought 12 sought 13 in 13 in 28 or 14 the 17 ireland 15 uk 16 and 16 and 17 ireland 17 ireland 18 , 18 , 19 that 18 , 28 or 19 that 25 and 20 included 21 participants 20 included 23 over 20 included 25 and 21 participants 22 aged 23 over 24 65 25 and 26 reported 26 reported 27 one 28 or 30 health 29 more 30 health 31 - 32 related 32 related 33 variables data were extracted on studies that included older adults in care homes . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 3 extracted 0 ###LEFT-WALL### 13 . 1 data 2 were 2 were 3 extracted 3 extracted 4 on 4 on 5 studies 5 studies 6 that 5 studies 7 included 6 that 7 included 7 included 9 adults 7 included 10 in 8 older 9 adults 10 in 12 homes 11 care 12 homes if necessary , study teams were contacted for information . 0 ###LEFT-WALL### 5 teams 0 ###LEFT-WALL### 7 contacted 0 ###LEFT-WALL### 10 . 1 if 2 necessary 2 necessary 3 , 2 necessary 5 teams 4 study 5 teams 5 teams 6 were 6 were 7 contacted 7 contacted 8 for 8 for 9 information results : we identified 42 longitudinal [cohort] or repeated cross - sectional studies in the uk that involved older adults . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 identified 2 : 21 . 3 we 4 identified 4 identified 13 studies 4 identified 14 in 5 42 13 studies 6 longitudinal 8 or 8 or 10 cross 8 or 11 - 8 or 13 studies 9 repeated 10 cross 12 sectional 13 studies 14 in 16 uk 15 the 16 uk 16 uk 17 that 16 uk 18 involved 17 that 18 involved 18 involved 20 adults 19 older 20 adults of these , 17 studies provided data from care home residents . 0 ###LEFT-WALL### 5 studies 0 ###LEFT-WALL### 6 provided 0 ###LEFT-WALL### 12 . 1 of 2 these 1 of 3 , 1 of 5 studies 4 17 5 studies 5 studies 6 provided 6 provided 7 data 7 data 8 from 8 from 11 residents 9 care 11 residents 10 home 11 residents the time period of data [collection] ranged from 2 to 40 years . 0 ###LEFT-WALL### 3 period 0 ###LEFT-WALL### 7 ranged 0 ###LEFT-WALL### 13 . 1 the 2 time 2 time 3 period 3 period 4 of 3 period 7 ranged 4 of 5 data 7 ranged 8 from 8 from 12 years 9 2 10 to 10 to 11 40 10 to 12 years proxy interviews were used to capture the majority of data in care homes . 0 ###LEFT-WALL### 2 interviews 0 ###LEFT-WALL### 4 used 0 ###LEFT-WALL### 14 . 1 proxy 2 interviews 2 interviews 3 were 3 were 4 used 4 used 5 to 4 used 6 capture 5 to 6 capture 6 capture 10 data 6 capture 11 in 7 the 8 majority 8 majority 9 of 8 majority 10 data 9 of 10 data 11 in 13 homes 12 care 13 homes conclusion : in the uk and ireland , most longitudinal and nationally representative [cross] - sectional studies do not [include] or follow - up older adults in care homes . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 11 and 1 conclusion 2 : 2 : 3 in 2 : 10 longitudinal 3 in 6 and 4 the 5 uk 5 uk 6 and 6 and 7 ireland 6 and 8 , 9 most 10 longitudinal 11 and 17 studies 11 and 21 or 12 nationally 13 representative 13 representative 15 - 13 representative 17 studies 16 sectional 17 studies 17 studies 21 or 18 do 19 not 18 do 21 or 21 or 22 follow 22 follow 24 up 23 - 24 up 24 up 26 adults 24 up 30 . 25 older 26 adults 26 adults 27 in 27 in 29 homes 28 care 29 homes systematic data [collection] on the health of older adults in care homes should be a priority , to inform policy development and enable monitoring of care delivery and health outcomes . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 14 be 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 31 . 1 systematic 2 data 2 data 4 on 2 data 7 of 2 data 13 should 4 on 6 health 5 the 6 health 7 of 9 adults 8 older 9 adults 9 adults 10 in 10 in 12 homes 11 care 12 homes 13 should 14 be 14 be 16 priority 15 a 16 priority 17 , 18 to 17 , 22 and 18 to 22 and 19 inform 21 development 19 inform 22 and 20 policy 21 development 22 and 23 enable 22 and 30 outcomes 23 enable 24 monitoring 24 monitoring 25 of 25 of 28 and 26 care 27 delivery 27 delivery 28 and 28 and 29 health the stroop interference task is a widely used paradigm to examine cognitive inhibition , which is a key component [of] goal - directed behavior . 0 ###LEFT-WALL### 4 task 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 25 . 1 the 4 task 2 stroop 4 task 3 interference 4 task 4 task 5 is 5 is 9 paradigm 6 a 9 paradigm 7 widely 8 used 8 used 9 paradigm 9 paradigm 10 to 9 paradigm 11 examine 10 to 11 examine 11 examine 13 inhibition 11 examine 23 directed 12 cognitive 13 inhibition 13 inhibition 15 which 13 inhibition 23 directed 14 , 15 which 15 which 16 is 15 which 22 - 16 is 21 goal 17 a 21 goal 18 key 21 goal 19 component 21 goal 23 directed 24 behavior with increasing age , reaction times in the stroop interference task are usually slowed . 0 ###LEFT-WALL### 6 times 0 ###LEFT-WALL### 14 slowed 0 ###LEFT-WALL### 15 . 1 with 2 increasing 1 with 4 , 1 with 6 times 2 increasing 3 age 5 reaction 6 times 6 times 7 in 6 times 12 are 7 in 11 task 8 the 11 task 9 stroop 11 task 10 interference 11 task 12 are 14 slowed 13 usually 14 slowed however , to date it is still under debate [if] age - related increases in reaction times are merely an artifact of general slowing . 0 ###LEFT-WALL### 3 to 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 13 related 1 however 2 , 1 however 3 to 3 to 4 date 3 to 6 is 4 date 5 it 6 is 7 still 6 is 8 under 8 under 11 age 9 debate 11 age 12 - 13 related 13 related 14 increases 13 related 15 in 13 related 25 . 15 in 16 reaction 16 reaction 17 times 16 reaction 24 slowing 17 times 18 are 18 are 19 merely 18 are 21 artifact 20 an 21 artifact 21 artifact 22 of 21 artifact 24 slowing 22 of 23 general the current study was conducted to investigate the role of general slowing , as measured by trail - making - test - a , in age - related alterations of stroop interference . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 5 conducted 0 ###LEFT-WALL### 28 related 1 the 3 study 2 current 3 study 3 study 4 was 4 was 5 conducted 5 conducted 6 to 5 conducted 13 , 5 conducted 15 measured 6 to 7 investigate 7 investigate 9 role 8 the 9 role 9 role 10 of 10 of 11 general 11 general 12 slowing 14 as 15 measured 15 measured 16 by 16 by 17 trail 17 trail 19 making 17 trail 22 - 17 trail 25 in 18 - 19 making 19 making 20 - 20 - 22 - 21 test 22 - 22 - 23 a 22 - 24 , 24 , 25 in 25 in 26 age 25 in 27 - 27 - 28 related 28 related 29 alterations 28 related 33 . 29 alterations 30 of 30 of 32 interference 31 stroop 32 interference we applied diffusion tensor imaging ( dti ) to determine the topography of neuronal networks underlying stroop interference under control of general slowing . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 applied 0 ###LEFT-WALL### 24 . 1 we 2 applied 2 applied 7 dti 2 applied 9 to 2 applied 19 under 3 diffusion 4 tensor 4 tensor 5 imaging 5 imaging 7 dti 6 ( 7 dti 7 dti 8 ) 9 to 10 determine 10 determine 12 topography 11 the 12 topography 12 topography 13 of 13 of 15 networks 14 neuronal 15 networks 15 networks 16 underlying 16 underlying 18 interference 17 stroop 18 interference 19 under 20 control 20 control 21 of 20 control 23 slowing 21 of 22 general on the behavioral level , linear regression analysis demonstrated that age accounted for significant variance on stroop interference , whereas tmt - a performance did [not] . 0 ###LEFT-WALL### 8 analysis 0 ###LEFT-WALL### 9 demonstrated 0 ###LEFT-WALL### 13 for 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 27 . 1 on 4 level 1 on 5 , 1 on 8 analysis 2 the 4 level 3 behavioral 4 level 6 linear 7 regression 7 regression 8 analysis 8 analysis 9 demonstrated 9 demonstrated 10 that 10 that 11 age 10 that 13 for 11 age 13 for 12 accounted 13 for 13 for 15 variance 14 significant 15 variance 15 variance 16 on 16 on 18 interference 17 stroop 18 interference 19 , 24 performance 19 , 25 did 20 whereas 21 tmt 20 whereas 22 - 20 whereas 24 performance 23 a 24 performance 24 performance 25 did controlling for tmt [-] a , dti based white matter analyses demonstrated a strong association of stroop interference with integrity measures of genu of corpus callosum , bilateral anterior corona radiata , and bilateral anterior limb of capsula interna . 0 ###LEFT-WALL### 1 controlling 0 ###LEFT-WALL### 12 demonstrated 0 ###LEFT-WALL### 40 . 1 controlling 2 for 1 controlling 12 demonstrated 2 for 11 analyses 3 tmt 5 a 3 tmt 7 dti 6 , 7 dti 7 dti 8 based 8 based 11 analyses 9 white 11 analyses 10 matter 11 analyses 12 demonstrated 15 association 12 demonstrated 19 with 13 a 14 strong 13 a 15 association 14 strong 15 association 15 association 16 of 16 of 18 interference 17 stroop 18 interference 19 with 33 and 20 integrity 21 measures 21 measures 22 of 21 measures 24 of 21 measures 33 and 22 of 23 genu 24 of 26 callosum 25 corpus 26 callosum 26 callosum 31 radiata 27 , 31 radiata 28 bilateral 30 corona 29 anterior 30 corona 30 corona 31 radiata 31 radiata 32 , 33 and 36 limb 33 and 37 of 34 bilateral 36 limb 35 anterior 36 limb 37 of 39 interna 38 capsula 39 interna these pathways are associated with frontal brain regions by either connecting the bilateral dorsolateral prefrontal cortex or the anterior cingulate cortex with frontal and subcortical regions or by containing fibers which are part of cortico - thalamic circuits that cross prefrontal regions . 0 ###LEFT-WALL### 2 pathways 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 36 - 0 ###LEFT-WALL### 43 . 1 these 2 pathways 2 pathways 3 are 3 are 4 associated 4 associated 5 with 4 associated 9 by 5 with 8 regions 6 frontal 7 brain 7 brain 8 regions 9 by 11 connecting 10 either 11 connecting 11 connecting 17 or 12 the 16 cortex 13 bilateral 16 cortex 14 dorsolateral 16 cortex 15 prefrontal 16 cortex 16 cortex 17 or 17 or 21 cortex 17 or 36 - 18 the 21 cortex 19 anterior 20 cingulate 20 cingulate 21 cortex 21 cortex 27 or 21 cortex 34 of 22 with 26 regions 22 with 27 or 23 frontal 24 and 24 and 25 subcortical 24 and 26 regions 27 or 28 by 28 by 29 containing 29 containing 30 fibers 30 fibers 31 which 30 fibers 32 are 31 which 32 are 32 are 33 part 34 of 35 cortico 36 - 38 circuits 37 thalamic 38 circuits 38 circuits 39 that 38 circuits 40 cross 39 that 40 cross 40 cross 42 regions 41 prefrontal 42 regions importantly , results expand our knowledge of the neural basis of stroop interference and emphasize the importance of white matter integrity of frontal pathways in the modulation of stroop interference . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 31 . 1 importantly 2 , 1 importantly 3 results 3 results 14 and 4 expand 6 knowledge 4 expand 14 and 5 our 6 knowledge 6 knowledge 7 of 7 of 10 basis 8 the 10 basis 9 neural 10 basis 10 basis 11 of 11 of 13 interference 12 stroop 13 interference 14 and 15 emphasize 14 and 25 in 14 and 30 interference 15 emphasize 17 importance 16 the 17 importance 17 importance 18 of 18 of 21 integrity 19 white 20 matter 20 matter 21 integrity 21 integrity 22 of 22 of 24 pathways 23 frontal 24 pathways 25 in 27 modulation 26 the 27 modulation 27 modulation 28 of 28 of 29 stroop combining behavioral and dti findings our results further suggest that cognitive inhibition , as measured by stroop [task] , is a qualitatively distinct cognitive process that declines with age . 0 ###LEFT-WALL### 5 findings 0 ###LEFT-WALL### 9 suggest 0 ###LEFT-WALL### 30 . 1 combining 5 findings 2 behavioral 3 and 3 and 4 dti 3 and 5 findings 5 findings 7 results 5 findings 8 further 5 findings 9 suggest 6 our 7 results 7 results 8 further 9 suggest 10 that 10 that 12 inhibition 10 that 20 is 11 cognitive 12 inhibition 12 inhibition 15 measured 12 inhibition 20 is 13 , 15 measured 14 as 15 measured 15 measured 16 by 15 measured 19 , 16 by 17 stroop 20 is 25 process 21 a 22 qualitatively 21 a 25 process 22 qualitatively 23 distinct 24 cognitive 25 process 25 process 26 that 25 process 27 declines 26 that 27 declines 27 declines 28 with 28 with 29 age proper nutrition offers one of the most effective and least costly ways to decrease the burden of many diseases and their associated risk factors , including obesity . 0 ###LEFT-WALL### 2 nutrition 0 ###LEFT-WALL### 3 offers 1 proper 2 nutrition 2 nutrition 3 offers 3 offers 4 one 3 offers 12 ways 3 offers 20 and 3 offers 26 including 4 one 5 of 5 of 7 most 6 the 7 most 8 effective 9 and 9 and 11 costly 9 and 12 ways 10 least 11 costly 12 ways 13 to 12 ways 14 decrease 13 to 14 decrease 14 decrease 16 burden 15 the 16 burden 16 burden 17 of 17 of 19 diseases 18 many 19 diseases 20 and 23 risk 20 and 24 factors 21 their 23 risk 22 associated 23 risk 25 , 26 including 26 including 27 obesity 26 including 28 . nutrition research holds the key to increasing our understanding of the causes of obesity and its related comorbidities and thus [holds] promise to markedly influence global health and economies . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 3 holds 0 ###LEFT-WALL### 30 . 1 nutrition 2 research 2 research 3 holds 3 holds 5 key 3 holds 6 to 4 the 5 key 6 to 7 increasing 7 increasing 19 and 7 increasing 23 to 8 our 9 understanding 9 understanding 10 of 9 understanding 13 of 9 understanding 15 and 10 of 12 causes 11 the 12 causes 13 of 14 obesity 15 and 18 comorbidities 15 and 19 and 16 its 18 comorbidities 17 related 18 comorbidities 19 and 20 thus 19 and 22 promise 23 to 25 influence 24 markedly 25 influence 25 influence 28 and 26 global 27 health 27 health 28 and 28 and 29 economies after outreach to 75 thought leaders , the american society for nutrition ( asn ) convened a working group to identify the nutrition research needs whose advancement will have the greatest projected impact on the future health and well - being of global populations . 0 ###LEFT-WALL### 24 research 0 ###LEFT-WALL### 45 . 1 after 2 outreach 1 after 16 convened 1 after 24 research 2 outreach 3 to 2 outreach 10 society 2 outreach 16 convened 3 to 6 leaders 4 75 6 leaders 5 thought 6 leaders 7 , 10 society 8 the 10 society 9 american 10 society 10 society 11 for 10 society 14 asn 10 society 15 ) 11 for 12 nutrition 13 ( 14 asn 14 asn 15 ) 16 convened 19 group 16 convened 20 to 17 a 19 group 18 working 19 group 20 to 21 identify 21 identify 23 nutrition 22 the 23 nutrition 24 research 25 needs 25 needs 26 whose 25 needs 34 on 25 needs 41 being 26 whose 27 advancement 27 advancement 28 will 28 will 29 have 29 have 33 impact 30 the 31 greatest 30 the 33 impact 32 projected 33 impact 34 on 38 and 35 the 37 health 36 future 37 health 37 health 38 and 38 and 39 well 38 and 40 - 41 being 42 of 42 of 44 populations 43 global 44 populations asn hopes the nutrition research needs will prompt collaboration among scientists across all disciplines to advance this challenging research agenda given the high potential for translation and impact on public health . 0 ###LEFT-WALL### 1 asn 0 ###LEFT-WALL### 2 hopes 0 ###LEFT-WALL### 32 . 1 asn 2 hopes 2 hopes 6 needs 2 hopes 8 prompt 3 the 6 needs 4 nutrition 5 research 5 research 6 needs 6 needs 7 will 7 will 8 prompt 8 prompt 9 collaboration 8 prompt 10 among 8 prompt 12 across 8 prompt 15 to 8 prompt 16 advance 10 among 11 scientists 12 across 14 disciplines 13 all 14 disciplines 15 to 16 advance 16 advance 20 agenda 17 this 20 agenda 18 challenging 19 research 19 research 20 agenda 20 agenda 21 given 20 agenda 25 for 21 given 24 potential 22 the 24 potential 23 high 24 potential 25 for 27 and 26 translation 27 and 27 and 28 impact 28 impact 29 on 29 on 31 health 30 public 31 health furthermore , asn hopes the findings from the nutrition research needs will stimulate the development and adoption of new and innovative strategies that can be applied toward the prevention and treatment of nutrition - related diseases . 0 ###LEFT-WALL### 3 asn 0 ###LEFT-WALL### 4 hopes 0 ###LEFT-WALL### 35 related 1 furthermore 2 , 1 furthermore 3 asn 3 asn 4 hopes 4 hopes 6 findings 4 hopes 13 stimulate 5 the 6 findings 6 findings 7 from 6 findings 13 stimulate 7 from 12 will 8 the 12 will 9 nutrition 10 research 10 research 12 will 11 needs 12 will 13 stimulate 16 and 13 stimulate 27 toward 14 the 15 development 15 development 16 and 16 and 17 adoption 17 adoption 18 of 18 of 22 strategies 19 new 20 and 20 and 21 innovative 20 and 22 strategies 22 strategies 23 that 22 strategies 24 can 23 that 24 can 24 can 25 be 25 be 26 applied 27 toward 30 and 28 the 29 prevention 29 prevention 30 and 30 and 31 treatment 31 treatment 32 of 32 of 33 nutrition 34 - 35 related 35 related 36 diseases 35 related 37 . the multidisciplinary nature of nutrition research requires stakeholders with differing areas of expertise to collaborate on multifaceted approaches to establish the evidence - based nutrition guidance and policies that will lead to better health for the global population . 0 ###LEFT-WALL### 3 nature 0 ###LEFT-WALL### 7 requires 0 ###LEFT-WALL### 23 - 0 ###LEFT-WALL### 31 lead 0 ###LEFT-WALL### 39 . 1 the 3 nature 2 multidisciplinary 3 nature 3 nature 4 of 3 nature 7 requires 4 of 6 research 5 nutrition 6 research 7 requires 8 stakeholders 7 requires 14 to 7 requires 20 establish 8 stakeholders 9 with 9 with 11 areas 10 differing 11 areas 11 areas 12 of 12 of 13 expertise 14 to 15 collaborate 15 collaborate 16 on 15 collaborate 19 to 16 on 18 approaches 17 multifaceted 18 approaches 19 to 20 establish 20 establish 22 evidence 21 the 22 evidence 23 - 27 and 24 based 25 nutrition 25 nutrition 26 guidance 26 guidance 27 and 27 and 28 policies 27 and 29 that 27 and 31 lead 29 that 30 will 30 will 31 lead 31 lead 32 to 31 lead 35 for 32 to 34 health 33 better 34 health 35 for 38 population 36 the 38 population 37 global 38 population in addition to the identified research needs , asn also identified 5 tools that are critical to the advancement of the nutrition research needs [:] 1 [ )(omics , 2 [ )(bioinformatics , 3 ) databases , 4 [ )(biomarkers , [and] 5 ) cost - effectiveness analysis . 0 ###LEFT-WALL### 2 addition 0 ###LEFT-WALL### 7 needs 0 ###LEFT-WALL### 8 , 1 in 2 addition 2 addition 3 to 2 addition 7 needs 3 to 6 research 4 the 6 research 5 identified 6 research 8 , 9 asn 9 asn 11 identified 10 also 11 identified 11 identified 13 tools 12 5 13 tools 13 tools 14 that 13 tools 15 are 14 that 15 are 15 are 16 critical 16 critical 17 to 16 critical 20 of 17 to 19 advancement 18 the 19 advancement 20 of 28 )(omics 21 the 28 )(omics 22 nutrition 28 )(omics 23 research 24 needs 24 needs 26 1 24 needs 28 )(omics 28 )(omics 30 2 28 )(omics 38 4 29 , 30 2 30 2 32 )(bioinformatics 30 2 36 databases 30 2 37 , 32 )(bioinformatics 34 3 32 )(bioinformatics 36 databases 33 , 34 3 34 3 35 ) 37 , 38 4 38 4 40 )(biomarkers 38 4 45 cost 38 4 48 analysis 38 4 49 . 40 )(biomarkers 43 5 40 )(biomarkers 45 cost 41 , 43 5 43 5 44 ) 46 - 48 analysis 47 effectiveness 48 analysis 48 analysis 49 . the united states population is aging rapidly , and understanding the potential impact and feasibility of lifestyle interventions on the aging process is of central importance for addressing future population health and health care costs . 0 ###LEFT-WALL### 4 population 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 36 . 1 the 4 population 2 united 3 states 3 states 4 population 4 population 5 is 5 is 6 aging 6 aging 7 rapidly 8 , 9 and 8 , 35 costs 9 and 10 understanding 9 and 23 is 10 understanding 14 and 10 understanding 19 on 10 understanding 23 is 11 the 13 impact 12 potential 13 impact 13 impact 14 and 14 and 15 feasibility 14 and 16 of 16 of 18 interventions 17 lifestyle 18 interventions 19 on 22 process 20 the 22 process 21 aging 22 process 23 is 24 of 24 of 26 importance 25 central 26 importance 26 importance 27 for 27 for 28 addressing 28 addressing 32 and 29 future 30 population 30 population 31 health 31 health 32 and 32 and 33 health 32 and 34 care 32 and 35 costs 34 care 35 costs this symposium addressed the question of [whether] caloric restriction [may] [be] [a] feasible strategy to improve human health by reductions in rates of primary and secondary aging in humans , viewed from the perspective of existing data in animal models , and by using emerging data from the human comprehensive assessment of long - term reduction in energy intake trial , which is a randomized trial of human caloric restriction in free - living men and women . 0 ###LEFT-WALL### 2 symposium 0 ###LEFT-WALL### 3 addressed 1 this 2 symposium 2 symposium 3 addressed 3 addressed 5 question 3 addressed 15 to 4 the 5 question 5 question 6 of 6 of 14 strategy 8 caloric 9 restriction 9 restriction 14 strategy 13 feasible 14 strategy 15 to 16 improve 16 improve 18 health 16 improve 19 by 16 improve 21 in 17 human 18 health 19 by 20 reductions 21 in 25 and 22 rates 23 of 22 rates 25 and 23 of 24 primary 25 and 26 secondary 25 and 28 in 26 secondary 27 aging 28 in 29 humans 29 humans 31 viewed 30 , 31 viewed 31 viewed 32 from 31 viewed 42 and 32 from 34 perspective 33 the 34 perspective 34 perspective 35 of 35 of 37 data 36 existing 37 data 38 in 40 models 38 in 42 and 39 animal 40 models 41 , 42 and 42 and 43 by 43 by 44 using 44 using 46 data 44 using 47 from 45 emerging 46 data 47 from 51 assessment 48 the 51 assessment 49 human 51 assessment 50 comprehensive 51 assessment 51 assessment 52 of 51 assessment 62 which 51 assessment 63 is 52 of 53 long 53 long 60 trial 54 - 60 trial 55 term 56 reduction 56 reduction 57 in 56 reduction 60 trial 57 in 58 energy 59 intake 60 trial 60 trial 61 , 62 which 63 is 63 is 66 trial 64 a 66 trial 65 randomized 66 trial 66 trial 67 of 67 of 76 and 68 human 70 restriction 69 caloric 70 restriction 70 restriction 71 in 70 restriction 76 and 71 in 75 men 72 free 73 - 72 free 75 men 74 living 75 men 76 and 77 women 76 and 78 . throughout the life span , the brain is a [metabolically] highly active organ that uses a large proportion of total nutrient and energy intake . 0 ###LEFT-WALL### 7 brain 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 25 . 1 throughout 4 span 1 throughout 5 , 1 throughout 7 brain 2 the 4 span 3 life 4 span 6 the 7 brain 7 brain 8 is 8 is 13 organ 9 a 13 organ 11 highly 12 active 12 active 13 organ 13 organ 14 that 13 organ 15 uses 14 that 15 uses 15 uses 18 proportion 16 a 18 proportion 17 large 18 proportion 18 proportion 19 of 19 of 24 intake 20 total 24 intake 21 nutrient 22 and 22 and 23 energy 22 and 24 intake furthermore , the development and repair of neural tissue depend on the proper intake of essential structural nutrients , minerals , and vitamins . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 10 depend 0 ###LEFT-WALL### 24 . 1 furthermore 2 , 1 furthermore 5 and 3 the 4 development 4 development 5 and 5 and 6 repair 5 and 7 of 5 and 10 depend 7 of 9 tissue 8 neural 9 tissue 10 depend 11 on 11 on 14 intake 12 the 14 intake 13 proper 14 intake 14 intake 15 of 15 of 22 and 16 essential 18 nutrients 17 structural 18 nutrients 18 nutrients 19 , 19 , 20 minerals 19 , 22 and 21 , 22 and 22 and 23 vitamins therefore , [what] we eat , or refrain from eating , may have an important impact on our cognitive ability and mental performance . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 7 or 0 ###LEFT-WALL### 24 . 1 therefore 2 , 1 therefore 4 we 4 we 7 or 5 eat 7 or 6 , 7 or 7 or 8 refrain 8 refrain 9 from 9 from 11 , 10 eating 11 , 11 , 12 may 12 may 13 have 13 have 16 impact 13 have 17 on 14 an 15 important 14 an 16 impact 15 important 16 impact 17 on 21 and 18 our 20 ability 19 cognitive 20 ability 20 ability 21 and 21 and 23 performance 22 mental 23 performance two of the key areas in which diet [is] thought to play an important role [are] in optimizing neurodevelopment in children and in preventing neurodegeneration and cognitive decline during aging . 0 ###LEFT-WALL### 1 two 0 ###LEFT-WALL### 8 diet 0 ###LEFT-WALL### 31 . 1 two 2 of 1 two 8 diet 2 of 5 areas 3 the 5 areas 4 key 5 areas 5 areas 6 in 6 in 7 which 8 diet 10 thought 10 thought 11 to 10 thought 18 optimizing 11 to 12 play 12 play 15 role 12 play 17 in 13 an 15 role 14 important 15 role 17 in 18 optimizing 18 optimizing 19 neurodevelopment 18 optimizing 22 and 18 optimizing 29 during 20 in 21 children 20 in 22 and 22 and 23 in 23 in 24 preventing 24 preventing 26 and 25 neurodegeneration 26 and 26 and 28 decline 27 cognitive 28 decline 29 during 30 aging from early development to aging , brain imaging can detect structural , functional , and metabolic changes in humans and modifications due to altered nutrition or to additional nutritional supplementation . 0 ###LEFT-WALL### 8 imaging 0 ###LEFT-WALL### 10 detect 0 ###LEFT-WALL### 31 . 1 from 3 development 1 from 6 , 1 from 8 imaging 2 early 3 development 3 development 4 to 4 to 5 aging 7 brain 8 imaging 8 imaging 9 can 9 can 10 detect 10 detect 17 changes 10 detect 18 in 11 structural 12 , 11 structural 17 changes 13 functional 15 and 14 , 15 and 15 and 16 metabolic 15 and 17 changes 18 in 20 and 19 humans 20 and 20 and 21 modifications 21 modifications 26 or 22 due 23 to 23 to 25 nutrition 23 to 26 or 24 altered 25 nutrition 26 or 27 to 27 to 30 supplementation 28 additional 30 supplementation 29 nutritional 30 supplementation inclusion of imaging measures in clinical studies can increase understanding with regard to the modification of brain structure , metabolism , and functional endpoints and may provide early sensitive measures of long - term effects . 0 ###LEFT-WALL### 1 inclusion 0 ###LEFT-WALL### 27 provide 0 ###LEFT-WALL### 36 . 1 inclusion 2 of 1 inclusion 5 in 1 inclusion 8 can 2 of 3 imaging 3 imaging 4 measures 5 in 7 studies 6 clinical 7 studies 8 can 9 increase 9 increase 10 understanding 9 increase 11 with 9 increase 13 to 11 with 12 regard 13 to 15 modification 14 the 15 modification 15 modification 16 of 15 modification 22 and 15 modification 25 and 16 of 17 brain 18 structure 19 , 19 , 20 metabolism 19 , 22 and 21 , 22 and 22 and 23 functional 22 and 25 and 24 endpoints 25 and 25 and 26 may 25 and 27 provide 26 may 27 provide 27 provide 30 measures 28 early 30 measures 29 sensitive 30 measures 30 measures 31 of 31 of 35 effects 32 long 33 - 32 long 34 term 34 term 35 effects in this symposium , the utility of existing brain imaging technologies to assess the effects of nutritional intervention in humans is described . 0 ###LEFT-WALL### 6 utility 0 ###LEFT-WALL### 22 described 0 ###LEFT-WALL### 23 . 1 in 3 symposium 1 in 4 , 1 in 6 utility 2 this 3 symposium 5 the 6 utility 6 utility 7 of 6 utility 12 to 6 utility 13 assess 6 utility 21 is 7 of 9 brain 8 existing 9 brain 9 brain 10 imaging 10 imaging 11 technologies 12 to 13 assess 13 assess 15 effects 13 assess 19 in 14 the 15 effects 15 effects 16 of 16 of 18 intervention 17 nutritional 18 intervention 19 in 20 humans 21 is 22 described examples of current research showing the utility of these markers are reviewed . 0 ###LEFT-WALL### 1 examples 0 ###LEFT-WALL### 12 reviewed 0 ###LEFT-WALL### 13 . 1 examples 2 of 1 examples 11 are 2 of 4 research 3 current 4 research 4 research 5 showing 5 showing 7 utility 6 the 7 utility 7 utility 8 of 8 of 10 markers 9 these 10 markers 11 are 12 reviewed humans are exposed to a complex and changing combination of nutritional factors during the life course , necessitating their investigation over time to capture " critical periods of sensitivity . " 0 ###LEFT-WALL### 1 humans 0 ###LEFT-WALL### 3 exposed 1 humans 2 are 2 are 3 exposed 3 exposed 4 to 3 exposed 13 during 4 to 7 and 5 a 6 complex 6 complex 7 and 7 and 9 combination 7 and 10 of 8 changing 9 combination 10 of 12 factors 11 nutritional 12 factors 13 during 16 course 14 the 16 course 15 life 16 course 16 course 18 necessitating 17 , 18 necessitating 18 necessitating 20 investigation 18 necessitating 21 over 18 necessitating 30 . 19 their 20 investigation 21 over 22 time 22 time 23 to 22 time 24 capture 23 to 24 capture 24 capture 25 " 24 capture 27 periods 26 critical 27 periods 27 periods 28 of 28 of 29 sensitivity 30 . 31 " a life course approach provides a framework to examine trajectories and long - term effects of nutritional and other risk factors , particularly the role of timing , accumulation , and temporal relationships of these exposures in relation to chronic disease development . 0 ###LEFT-WALL### 4 approach 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 13 - 1 a 2 life 1 a 4 approach 2 life 4 approach 3 course 4 approach 4 approach 5 provides 5 provides 7 framework 5 provides 8 to 6 a 7 framework 8 to 11 and 9 examine 10 trajectories 9 examine 11 and 11 and 12 long 13 - 31 and 13 - 43 . 14 term 15 effects 15 effects 16 of 15 effects 31 and 16 of 18 and 17 nutritional 18 and 18 and 21 factors 18 and 25 role 19 other 21 factors 20 risk 21 factors 22 , 23 particularly 22 , 25 role 24 the 25 role 25 role 26 of 25 role 29 accumulation 25 role 30 , 26 of 27 timing 28 , 29 accumulation 29 accumulation 30 , 30 , 31 and 31 and 33 relationships 32 temporal 33 relationships 33 relationships 34 of 33 relationships 39 to 34 of 36 exposures 35 these 36 exposures 37 in 38 relation 38 relation 39 to 39 to 42 development 40 chronic 41 disease 41 disease 42 development currently , most epidemiologic research does not sufficiently address this issue in relation to disease etiology . 0 ###LEFT-WALL### 5 research 0 ###LEFT-WALL### 9 address 0 ###LEFT-WALL### 17 . 1 currently 2 , 1 currently 5 research 3 most 4 epidemiologic 4 epidemiologic 5 research 5 research 6 does 6 does 7 not 6 does 9 address 8 sufficiently 9 address 9 address 11 issue 9 address 14 to 10 this 11 issue 12 in 13 relation 13 relation 14 to 14 to 16 etiology 15 disease 16 etiology although applying a life course approach would augment our knowledge about disease development , this approach presents major challenges in designing , conducting , and analyzing studies . 0 ###LEFT-WALL### 8 augment 0 ###LEFT-WALL### 28 . 1 although 2 applying 1 although 7 would 1 although 8 augment 2 applying 6 approach 2 applying 7 would 3 a 4 life 3 a 6 approach 4 life 6 approach 5 course 6 approach 8 augment 25 and 9 our 25 and 10 knowledge 11 about 10 knowledge 25 and 11 about 13 development 12 disease 13 development 13 development 16 approach 13 development 23 conducting 14 , 16 approach 15 this 16 approach 16 approach 17 presents 16 approach 21 designing 16 approach 22 , 17 presents 18 major 18 major 19 challenges 18 major 20 in 20 in 21 designing 22 , 23 conducting 23 conducting 24 , 24 , 25 and 25 and 27 studies 26 analyzing 27 studies a scientific symposium was held that reviewed emerging research and discussed methodological concerns in applying the life course approach . 0 ###LEFT-WALL### 3 symposium 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 20 . 1 a 3 symposium 2 scientific 3 symposium 3 symposium 4 was 4 was 10 and 5 held 9 research 5 held 10 and 6 that 7 reviewed 7 reviewed 9 research 8 emerging 9 research 10 and 11 discussed 10 and 13 concerns 10 and 14 in 12 methodological 13 concerns 14 in 15 applying 15 applying 19 approach 16 the 19 approach 17 life 19 approach 18 course 19 approach the research presented at this session focused on the role of timing , with the pre - and postnatal and pubertal periods as critical windows of exposure for chronic conditions . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 31 . 1 the 2 research 2 research 3 presented 2 research 7 focused 2 research 8 on 2 research 11 of 2 research 18 and 3 presented 4 at 4 at 6 session 5 this 6 session 8 on 10 role 9 the 10 role 11 of 12 timing 12 timing 14 with 13 , 14 with 14 with 16 pre 14 with 17 - 15 the 16 pre 18 and 22 periods 18 and 23 as 19 postnatal 20 and 20 and 21 pubertal 20 and 22 periods 23 as 25 windows 24 critical 25 windows 25 windows 26 of 26 of 27 exposure 27 exposure 28 for 28 for 30 conditions 29 chronic 30 conditions methodological issues and complexities in analyzing and selecting datasets were highlighted . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 11 highlighted 0 ###LEFT-WALL### 12 . 1 methodological 2 issues 2 issues 3 and 3 and 4 complexities 3 and 5 in 3 and 10 were 5 in 7 and 6 analyzing 7 and 7 and 9 datasets 8 selecting 9 datasets 10 were 11 highlighted this symposium elucidated unique study designs and statistical strategies to demonstrate the strengths of this methodology , and served as a catalyst for new research in the area of nutrition and chronic disease epidemiology . 0 ###LEFT-WALL### 2 symposium 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 35 . 1 this 2 symposium 2 symposium 18 and 3 elucidated 7 and 3 elucidated 18 and 4 unique 5 study 5 study 6 designs 6 designs 7 and 7 and 9 strategies 7 and 10 to 7 and 11 demonstrate 8 statistical 9 strategies 10 to 11 demonstrate 11 demonstrate 13 strengths 12 the 13 strengths 13 strengths 14 of 14 of 16 methodology 15 this 16 methodology 17 , 18 and 18 and 19 served 18 and 20 as 18 and 26 in 20 as 22 catalyst 21 a 22 catalyst 22 catalyst 23 for 23 for 25 research 24 new 25 research 26 in 31 and 27 the 28 area 28 area 29 of 28 area 31 and 29 of 30 nutrition 31 and 34 epidemiology 32 chronic 33 disease 33 disease 34 epidemiology epigenetics can be defined as inheritable and reversible phenomena that affect gene expression without altering the underlying base pair sequence . 0 ###LEFT-WALL### 3 be 0 ###LEFT-WALL### 21 . 1 epigenetics 2 can 2 can 3 be 3 be 4 defined 4 defined 5 as 4 defined 14 without 5 as 9 phenomena 6 inheritable 7 and 7 and 8 reversible 7 and 9 phenomena 9 phenomena 10 that 9 phenomena 11 affect 10 that 11 affect 11 affect 13 expression 12 gene 13 expression 14 without 15 altering 15 altering 20 sequence 16 the 20 sequence 17 underlying 20 sequence 18 base 19 pair 19 pair 20 sequence epigenomics is the study of genome [-] wide epigenetic modifications . 0 ###LEFT-WALL### 1 epigenomics 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 11 . 1 epigenomics 2 is 2 is 4 study 3 the 4 study 4 study 5 of 5 of 10 modifications 6 genome 10 modifications 8 wide 10 modifications 9 epigenetic 10 modifications because gene expression changes are critical in both normal development and disease progression , epigenetics is widely applicable to many aspects of biological research . 0 ###LEFT-WALL### 1 because 0 ###LEFT-WALL### 16 is 0 ###LEFT-WALL### 25 . 1 because 3 expression 2 gene 3 expression 3 expression 4 changes 3 expression 5 are 3 expression 6 critical 3 expression 16 is 4 changes 5 are 6 critical 7 in 7 in 15 epigenetics 8 both 11 and 9 normal 10 development 10 development 11 and 11 and 13 progression 11 and 14 , 11 and 15 epigenetics 12 disease 13 progression 16 is 17 widely 16 is 18 applicable 18 applicable 19 to 19 to 21 aspects 20 many 21 aspects 21 aspects 22 of 22 of 24 research 23 biological 24 research the influences of nutrients and bioactive food components on epigenetic phenomena such as dna methylation and various types of histone modifications have been extensively investigated . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 25 investigated 0 ###LEFT-WALL### 26 . 1 the 2 influences 2 influences 3 of 2 influences 5 and 3 of 4 nutrients 5 and 8 components 5 and 9 on 5 and 16 and 6 bioactive 7 food 7 food 8 components 9 on 11 phenomena 10 epigenetic 11 phenomena 11 phenomena 13 as 12 such 13 as 13 as 15 methylation 14 dna 15 methylation 16 and 18 types 16 and 19 of 16 and 22 have 17 various 18 types 19 of 21 modifications 20 histone 21 modifications 22 have 23 been 23 been 24 extensively 23 been 25 investigated because an individual 's epigenetic patterns are established during early gestation [and] [are] changed and personalized by environmental factors during our lifetime , epigenetic mechanisms are quite important in the development of transgenerational and adult obesity as well as in the development of diabetes mellitus . 0 ###LEFT-WALL### 25 mechanisms 0 ###LEFT-WALL### 26 are 0 ###LEFT-WALL### 46 . 1 because 6 patterns 1 because 8 established 1 because 23 , 1 because 25 mechanisms 2 an 3 individual 3 individual 4 's 4 's 6 patterns 5 epigenetic 6 patterns 6 patterns 7 are 7 are 8 established 8 established 9 during 9 during 11 gestation 10 early 11 gestation 11 gestation 15 and 14 changed 15 and 15 and 16 personalized 15 and 17 by 15 and 19 factors 15 and 20 during 18 environmental 19 factors 20 during 22 lifetime 21 our 22 lifetime 24 epigenetic 25 mechanisms 25 mechanisms 26 are 26 are 28 important 27 quite 28 important 28 important 29 in 28 important 38 well 28 important 39 as 29 in 31 development 30 the 31 development 31 development 32 of 32 of 36 obesity 33 transgenerational 34 and 34 and 35 adult 34 and 36 obesity 37 as 38 well 39 as 40 in 40 in 42 development 41 the 42 development 42 development 43 of 43 of 45 mellitus 44 diabetes 45 mellitus aging and cancer [demonstrate] profound genome - wide dna methylation changes , suggesting that nutrition may affect the aging process and cancer development through epigenetic mechanisms . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 27 . 1 aging 2 and 2 and 6 genome 2 and 11 changes 3 cancer 6 genome 5 profound 6 genome 7 - 11 changes 8 wide 11 changes 9 dna 11 changes 10 methylation 11 changes 11 changes 12 , 12 , 13 suggesting 12 , 17 affect 13 suggesting 15 nutrition 13 suggesting 16 may 14 that 15 nutrition 16 may 17 affect 17 affect 23 development 17 affect 24 through 18 the 20 process 19 aging 20 process 20 process 21 and 21 and 22 cancer 21 and 23 development 24 through 26 mechanisms 25 epigenetic 26 mechanisms objective : motivational aspects , emotional factors , and cognition , all of which require intact cognitive functioning may be essential in sexual functioning . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 25 . 1 objective 2 : 2 : 9 and 3 motivational 4 aspects 4 aspects 5 , 5 , 7 factors 5 , 9 and 6 emotional 7 factors 8 , 9 and 9 and 10 cognition 11 , 12 all 11 , 20 be 12 all 13 of 12 all 19 may 13 of 14 which 13 of 15 require 14 which 15 require 15 require 18 functioning 16 intact 18 functioning 17 cognitive 18 functioning 19 may 20 be 20 be 21 essential 21 essential 22 in 22 in 24 functioning 23 sexual 24 functioning however , little is known about the association between cognitive functioning and sexual behavior . 0 ###LEFT-WALL### 3 little 0 ###LEFT-WALL### 5 known 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 3 little 3 little 4 is 4 is 5 known 5 known 6 about 5 known 9 between 6 about 8 association 7 the 8 association 9 between 12 and 10 cognitive 11 functioning 10 cognitive 12 and 12 and 14 behavior 13 sexual 14 behavior the aim of this article is to review the current evidence for the influence of cognitive functioning on sexual behavior in normal aging and dementia . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 26 . 1 the 2 aim 2 aim 3 of 2 aim 6 is 3 of 5 article 4 this 5 article 6 is 7 to 6 is 8 review 7 to 8 review 8 review 11 evidence 8 review 12 for 8 review 18 on 8 review 21 in 9 the 11 evidence 10 current 11 evidence 12 for 14 influence 13 the 14 influence 14 influence 15 of 15 of 17 functioning 16 cognitive 17 functioning 18 on 20 behavior 19 sexual 20 behavior 21 in 24 and 22 normal 23 aging 22 normal 24 and 24 and 25 dementia methods : a systematic literature search was conducted in pubmed , ovid , cochrane , and psycinfo databases . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 6 search 2 : 8 conducted 2 : 19 . 3 a 4 systematic 3 a 6 search 4 systematic 5 literature 5 literature 6 search 6 search 7 was 7 was 8 conducted 8 conducted 9 in 9 in 16 and 10 pubmed 11 , 11 , 12 ovid 11 , 13 , 13 , 14 cochrane 13 , 16 and 15 , 16 and 16 and 18 databases 17 psycinfo 18 databases the databases were searched for english language papers focusing on human studies published relating cognitive functioning to sexual behavior in the aging population . 0 ###LEFT-WALL### 2 databases 0 ###LEFT-WALL### 4 searched 0 ###LEFT-WALL### 24 . 1 the 2 databases 2 databases 3 were 3 were 4 searched 4 searched 5 for 4 searched 17 to 4 searched 20 in 5 for 8 papers 6 english 8 papers 7 language 8 papers 8 papers 9 focusing 8 papers 14 relating 9 focusing 10 on 10 on 12 studies 11 human 12 studies 12 studies 13 published 14 relating 16 functioning 15 cognitive 16 functioning 17 to 19 behavior 18 sexual 19 behavior 20 in 23 population 21 the 23 population 22 aging 23 population keywords included sexual behavior , sexuality , cognitive functioning , healthy elderly , elderly , aging and dementia . 0 ###LEFT-WALL### 1 keywords 0 ###LEFT-WALL### 2 included 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 19 . 1 keywords 2 included 2 included 4 behavior 3 sexual 4 behavior 4 behavior 6 sexuality 5 , 6 sexuality 6 sexuality 7 , 7 , 17 and 8 cognitive 9 functioning 8 cognitive 10 , 10 , 16 aging 10 , 17 and 11 healthy 16 aging 12 elderly 13 , 12 elderly 16 aging 14 elderly 15 , 14 elderly 16 aging 17 and 18 dementia results : eight studies fulfilled our inclusion criteria . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 studies 2 : 5 fulfilled 2 : 9 . 3 eight 4 studies 4 studies 5 fulfilled 5 fulfilled 8 criteria 6 our 8 criteria 7 inclusion 8 criteria of these studies , five included dementia patients [and/or] [their] partners , whereas only three studies included healthy older persons . 0 ###LEFT-WALL### 16 studies 0 ###LEFT-WALL### 17 included 0 ###LEFT-WALL### 21 . 1 of 3 studies 1 of 12 , 1 of 16 studies 2 these 3 studies 3 studies 11 partners 4 , 11 partners 5 five 11 partners 6 included 8 patients 7 dementia 8 patients 8 patients 11 partners 11 partners 12 , 13 whereas 15 three 13 whereas 16 studies 14 only 15 three 16 studies 17 included 17 included 20 persons 18 healthy 20 persons 19 older 20 persons [although] not consistently , results indicated a trend that older people who are not demented [and] continue to engage in sexual activity [have] better overall cognitive functioning . 0 ###LEFT-WALL### 2 not 0 ###LEFT-WALL### 28 . 2 not 5 results 2 not 6 indicated 3 consistently 4 , 3 consistently 5 results 5 results 6 indicated 6 indicated 8 trend 6 indicated 20 in 7 a 8 trend 8 trend 9 that 8 trend 19 engage 9 that 11 people 9 that 17 continue 10 older 11 people 11 people 12 who 11 people 13 are 11 people 17 continue 12 who 13 are 13 are 14 not 13 are 15 demented 17 continue 18 to 17 continue 19 engage 18 to 19 engage 20 in 27 functioning 21 sexual 22 activity 22 activity 27 functioning 24 better 25 overall 25 overall 27 functioning 26 cognitive 27 functioning cognitive [decline] and dementia seem to be associated with diminished sexual behavior in older persons . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 seem 0 ###LEFT-WALL### 16 . 1 cognitive 3 and 3 and 4 dementia 3 and 5 seem 5 seem 6 to 5 seem 8 associated 6 to 7 be 7 be 8 associated 8 associated 9 with 8 associated 13 in 9 with 12 behavior 10 diminished 12 behavior 11 sexual 12 behavior 13 in 15 persons 14 older 15 persons conclusions : the association between cognitive functioning and sexual behavior in the aging population is understudied . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 2 : 4 association 2 : 16 understudied 3 the 4 association 4 association 5 between 4 association 15 is 5 between 8 and 6 cognitive 7 functioning 6 cognitive 8 and 8 and 10 behavior 8 and 11 in 9 sexual 10 behavior 11 in 14 population 12 the 14 population 13 aging 14 population 15 is 16 understudied the results found are inconclusive . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 6 . 1 the 2 results 2 results 3 found 2 results 4 are 4 are 5 inconclusive [none] varicella - zoster virus ( vzv ) causes chickenpox after which the virus remains latent in neural ganglia . 0 ###LEFT-WALL### 2 varicella 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 20 . 3 - 4 zoster 4 zoster 5 virus 4 zoster 15 remains 4 zoster 16 latent 5 virus 7 vzv 5 virus 9 causes 6 ( 7 vzv 7 vzv 8 ) 9 causes 10 chickenpox 9 causes 11 after 11 after 12 which 12 which 14 virus 12 which 15 remains 13 the 14 virus 14 virus 15 remains 16 latent 17 in 17 in 19 ganglia 18 neural 19 ganglia subsequent reactivation episodes occur , leading mainly to subclinical detection of vzv , but also to the clinical entity herpes zoster . 0 ###LEFT-WALL### 3 episodes 0 ###LEFT-WALL### 4 occur 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 22 . 1 subsequent 3 episodes 2 reactivation 3 episodes 3 episodes 4 occur 5 , 6 leading 5 , 20 herpes 6 leading 7 mainly 6 leading 20 herpes 7 mainly 14 but 8 to 10 detection 8 to 14 but 9 subclinical 10 detection 10 detection 11 of 11 of 12 vzv 13 , 14 but 14 but 15 also 14 but 16 to 16 to 19 entity 17 the 19 entity 18 clinical 19 entity 20 herpes 21 zoster these reactivations are known to occur most frequently amongst immunocompromised individuals , but the incidence of herpes zoster is also known to increase with age , [supposedly] as a consequence of immunosenescence . 0 ###LEFT-WALL### 2 reactivations 0 ###LEFT-WALL### 4 known 0 ###LEFT-WALL### 33 . 1 these 2 reactivations 2 reactivations 3 are 3 are 4 known 4 known 5 to 4 known 6 occur 5 to 6 occur 6 occur 8 frequently 6 occur 9 amongst 6 occur 13 but 6 occur 28 as 7 most 8 frequently 9 amongst 11 individuals 10 immunocompromised 11 individuals 12 , 13 but 13 but 15 incidence 13 but 26 , 14 the 15 incidence 15 incidence 16 of 15 incidence 21 known 16 of 17 herpes 17 herpes 18 zoster 17 herpes 19 is 18 zoster 19 is 19 is 20 also 21 known 22 to 21 known 23 increase 22 to 23 increase 23 increase 24 with 24 with 25 age 28 as 30 consequence 29 a 30 consequence 30 consequence 31 of 31 of 32 immunosenescence our analysis aims to explore associations between cytomegalovirus ( cmv ) infection and vzv reactivation by analyzing vzv - specific antibody titers as a function of age , gender , and [cmv] serostatus . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 34 . 1 our 2 analysis 2 analysis 3 aims 3 aims 4 to 3 aims 13 and 3 aims 16 by 4 to 5 explore 5 explore 6 associations 5 explore 7 between 7 between 8 cytomegalovirus 8 cytomegalovirus 10 cmv 9 ( 10 cmv 10 cmv 11 ) 12 infection 13 and 13 and 15 reactivation 14 vzv 15 reactivation 16 by 17 analyzing 17 analyzing 31 and 18 vzv 22 titers 18 vzv 31 and 19 - 22 titers 20 specific 21 antibody 21 antibody 22 titers 22 titers 23 as 22 titers 26 of 22 titers 30 , 23 as 25 function 24 a 25 function 26 of 27 age 27 age 29 gender 28 , 29 gender 29 gender 30 , 31 and 33 serostatus the analysis was repeated on measles and parvovirus b19 antibody titers . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 4 repeated 0 ###LEFT-WALL### 12 . 1 the 2 analysis 2 analysis 3 was 3 was 4 repeated 4 repeated 5 on 5 on 7 and 6 measles 7 and 7 and 11 titers 8 parvovirus 11 titers 9 b19 11 titers 10 antibody 11 titers at the time of the observations , measles virus circulation was virtually eliminated , whereas parvovirus b19 circulated at lower levels than vzv . 0 ###LEFT-WALL### 17 b19 0 ###LEFT-WALL### 18 circulated 0 ###LEFT-WALL### 24 . 1 at 3 time 1 at 14 , 1 at 17 b19 2 the 3 time 3 time 10 circulation 3 time 13 eliminated 4 of 6 observations 4 of 7 , 4 of 10 circulation 5 the 6 observations 8 measles 10 circulation 9 virus 10 circulation 10 circulation 11 was 11 was 13 eliminated 12 virtually 13 eliminated 15 whereas 16 parvovirus 15 whereas 17 b19 17 b19 18 circulated 18 circulated 19 at 18 circulated 22 than 19 at 21 levels 20 lower 21 levels 22 than 23 vzv multiple linear regression analyses , using the log - transformed antibody titers , identified a positive association between ageing and vzv antibody titers suggesting that ageing increasingly stimulates vzv reactivation . 0 ###LEFT-WALL### 4 analyses 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 31 . 1 multiple 4 analyses 2 linear 3 regression 3 regression 4 analyses 4 analyses 6 using 4 analyses 13 , 5 , 6 using 6 using 8 log 6 using 9 - 7 the 8 log 10 transformed 12 titers 10 transformed 13 , 11 antibody 12 titers 13 , 14 identified 14 identified 17 association 14 identified 18 between 15 a 17 association 16 positive 17 association 18 between 20 and 19 ageing 20 and 20 and 23 titers 20 and 24 suggesting 21 vzv 23 titers 22 antibody 23 titers 24 suggesting 25 that 25 that 26 ageing 25 that 28 stimulates 26 ageing 28 stimulates 27 increasingly 28 stimulates 28 stimulates 30 reactivation 29 vzv 30 reactivation cmv [infection] further amplified the positive association between ageing and the reactivation rate . 0 ###LEFT-WALL### 1 cmv 0 ###LEFT-WALL### 4 amplified 0 ###LEFT-WALL### 14 . 1 cmv 4 amplified 3 further 4 amplified 4 amplified 7 association 4 amplified 8 between 5 the 7 association 6 positive 7 association 8 between 10 and 9 ageing 10 and 10 and 13 rate 11 the 13 rate 12 reactivation 13 rate a negative association between [cmv] infection and vzv antibody titers was found in young individuals , thereby supporting the hypothesis that [cmv] infection may have a negative effect on the number of b - cells . 0 ###LEFT-WALL### 3 association 0 ###LEFT-WALL### 12 found 1 a 3 association 2 negative 3 association 3 association 4 between 3 association 11 was 4 between 7 and 6 infection 7 and 7 and 10 titers 8 vzv 10 titers 9 antibody 10 titers 11 was 12 found 12 found 13 in 12 found 18 supporting 13 in 15 individuals 14 young 15 individuals 16 , 18 supporting 17 thereby 18 supporting 18 supporting 20 hypothesis 18 supporting 36 . 19 the 20 hypothesis 20 hypothesis 21 that 21 that 23 infection 21 that 25 have 23 infection 24 may 24 may 25 have 25 have 28 effect 25 have 29 on 26 a 27 negative 26 a 28 effect 27 negative 28 effect 29 on 31 number 30 the 31 number 31 number 32 of 31 number 35 cells 32 of 33 b 34 - 35 cells 35 cells 36 . however , no associations between cmv infection and measles or parvovirus b19 antibody titers occurred , but ageing tended to be associated with a decrease in the antibody titer against parvovirus b19 . 0 ###LEFT-WALL### 4 associations 0 ###LEFT-WALL### 15 occurred 0 ###LEFT-WALL### 17 but 0 ###LEFT-WALL### 33 . 1 however 2 , 1 however 4 associations 3 no 4 associations 4 associations 5 between 4 associations 10 or 4 associations 14 titers 4 associations 15 occurred 5 between 6 cmv 7 infection 8 and 8 and 9 measles 8 and 10 or 10 or 13 antibody 10 or 14 titers 11 parvovirus 13 antibody 12 b19 13 antibody 16 , 17 but 17 but 18 ageing 17 but 19 tended 18 ageing 19 tended 19 tended 20 to 19 tended 22 associated 20 to 21 be 21 be 22 associated 22 associated 23 with 22 associated 29 titer 23 with 25 decrease 24 a 25 decrease 25 decrease 26 in 26 in 28 antibody 27 the 28 antibody 29 titer 30 against 30 against 32 b19 31 parvovirus 32 b19 the combined results thus suggest [that] both [cmv] - dependent and cmv - independent immunosenescence occurs . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 5 suggest 0 ###LEFT-WALL### 9 - 1 the 3 results 2 combined 3 results 3 results 5 suggest 4 thus 5 suggest 5 suggest 7 both 9 - 10 dependent 9 - 11 and 9 - 16 occurs 9 - 17 . 11 and 12 cmv 11 and 13 - 12 cmv 13 - 13 - 15 immunosenescence 14 independent 15 immunosenescence 15 immunosenescence 16 occurs this is supported by an in - depth analysis of vzv , measles and parvovirus b19 antibody titers . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 supported 0 ###LEFT-WALL### 7 - 1 this 2 is 2 is 3 supported 3 supported 4 by 4 by 6 in 5 an 6 in 7 - 14 and 7 - 19 . 8 depth 9 analysis 9 analysis 10 of 9 analysis 12 , 10 of 11 vzv 12 , 13 measles 12 , 14 and 14 and 18 titers 15 parvovirus 18 titers 16 b19 18 titers 17 antibody 18 titers context and objective : because it has been suggested that osteocalcin ( oc ) , an osteoblast - derived hormone , is a new link between bone and glucose metabolism , we tested whether serum carboxylated osteocalcin ( coc ) and undercarboxylated osteocalcin [(] ucoc ) levels are independently associated with the development of type 2 diabetes in subjects at high cardiovascular risk [.] 0 ###LEFT-WALL### 3 objective 0 ###LEFT-WALL### 4 : 1 context 2 and 2 and 3 objective 4 : 5 because 4 : 9 suggested 5 because 6 it 6 it 7 has 7 has 8 been 8 been 9 suggested 9 suggested 10 that 10 that 11 osteocalcin 10 that 21 , 11 osteocalcin 13 oc 11 osteocalcin 17 osteoblast 11 osteocalcin 21 , 12 ( 13 oc 13 oc 14 ) 15 , 17 osteoblast 16 an 17 osteoblast 17 osteoblast 18 - 19 derived 20 hormone 19 derived 21 , 21 , 22 is 21 , 26 between 22 is 25 link 23 a 24 new 23 a 25 link 24 new 25 link 26 between 28 and 27 bone 28 and 28 and 30 metabolism 28 and 31 , 28 and 32 we 28 and 33 tested 29 glucose 30 metabolism 32 we 33 tested 33 tested 34 whether 34 whether 35 serum 34 whether 41 and 35 serum 41 and 36 carboxylated 37 osteocalcin 36 carboxylated 41 and 37 osteocalcin 39 coc 38 ( 39 coc 39 coc 40 ) 41 and 42 undercarboxylated 41 and 51 with 42 undercarboxylated 43 osteocalcin 43 osteocalcin 47 levels 43 osteocalcin 48 are 43 osteocalcin 50 associated 45 ucoc 46 ) 45 ucoc 47 levels 47 levels 48 are 49 independently 50 associated 51 with 53 development 52 the 53 development 53 development 54 of 54 of 57 diabetes 55 type 57 diabetes 56 2 57 diabetes 57 diabetes 58 in 58 in 59 subjects 59 subjects 60 at 60 at 63 risk 61 high 63 risk 62 cardiovascular 63 risk design , setting , and participants : a prospective , [nested] case - control study was conducted using data from the prevención con dieta mediterránea ( predimed ) study . 0 ###LEFT-WALL### 6 participants 0 ###LEFT-WALL### 7 : 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 30 . 1 design 3 setting 2 , 3 setting 3 setting 4 , 3 setting 5 and 5 and 6 participants 6 participants 7 : 7 : 12 case 8 a 9 prospective 8 a 12 case 9 prospective 10 , 9 prospective 12 case 13 - 14 control 13 - 17 conducted 14 control 15 study 14 control 16 was 14 control 17 conducted 15 study 16 was 17 conducted 18 using 18 using 19 data 18 using 20 from 20 from 29 study 21 the 29 study 22 prevención 29 study 23 con 29 study 24 dieta 25 mediterránea 25 mediterránea 27 predimed 26 ( 27 predimed 27 predimed 28 ) 27 predimed 29 study we included 153 case subjects with newly diagnosed diabetes and 306 individually matched control subjects free of diabetes identified during a mean 5 - [year] follow - up . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 included 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 24 - 1 we 2 included 2 included 5 subjects 2 included 6 with 3 153 4 case 4 case 5 subjects 6 with 9 diabetes 7 newly 8 diagnosed 8 diagnosed 9 diabetes 10 and 11 306 10 and 14 control 11 306 13 matched 11 306 14 control 12 individually 13 matched 14 control 15 subjects 15 subjects 16 free 16 free 17 of 16 free 20 during 17 of 18 diabetes 18 diabetes 19 identified 20 during 22 mean 21 a 22 mean 22 mean 23 5 23 5 24 - 24 - 26 follow 26 follow 28 up 27 - 28 up 28 up 29 . conditional logistic regression models were used to estimate matched odds ratios for incident diabetes according to categories of both forms of oc measured by elisas . 0 ###LEFT-WALL### 3 regression 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 26 . 1 conditional 3 regression 2 logistic 3 regression 3 regression 4 models 3 regression 5 were 3 regression 6 used 4 models 5 were 6 used 7 to 6 used 8 estimate 7 to 8 estimate 8 estimate 11 ratios 8 estimate 12 for 8 estimate 16 to 9 matched 10 odds 10 odds 11 ratios 12 for 14 diabetes 13 incident 14 diabetes 15 according 16 to 16 to 17 categories 17 categories 18 of 17 categories 21 of 17 categories 23 measured 18 of 20 forms 19 both 20 forms 21 of 22 oc 23 measured 24 by 24 by 25 elisas results : baseline serum concentrations of both forms of oc were significantly lower in case subjects than in control subjects . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 concentrations 2 : 11 were 2 : 21 . 3 baseline 5 concentrations 4 serum 5 concentrations 5 concentrations 6 of 5 concentrations 11 were 6 of 8 forms 7 both 8 forms 8 forms 9 of 9 of 10 oc 11 were 13 lower 12 significantly 13 lower 13 lower 14 in 13 lower 17 than 14 in 16 subjects 15 case 16 subjects 17 than 18 in 18 in 20 subjects 19 control 20 subjects in subjects with incident cases of diabetes , concentrations of coc , [but] not of ucoc , were inversely and significantly associated with homeostasis model assessment of insulin resistance levels ( β [=] - 0.335 ) [and] with fasting glucose concentrations ( β [=] - 0.044 ) in control subjects , independent of other relevant confounders . 1 in 2 subjects 1 in 8 , 1 in 9 concentrations 2 subjects 3 with 3 with 5 cases 4 incident 5 cases 5 cases 6 of 6 of 7 diabetes 9 concentrations 10 of 9 concentrations 15 of 9 concentrations 20 and 10 of 11 coc 12 , 14 not 12 , 15 of 15 of 16 ucoc 15 of 17 , 18 were 19 inversely 18 were 20 and 20 and 22 associated 20 and 23 with 20 and 26 assessment 21 significantly 22 associated 23 with 24 homeostasis 25 model 26 assessment 26 assessment 27 of 26 assessment 29 resistance 26 assessment 30 levels 27 of 28 insulin 29 resistance 30 levels 30 levels 34 - 30 levels 38 with 31 ( 34 - 32 β 34 - 34 - 35 0.335 34 - 36 ) 38 with 39 fasting 39 fasting 41 concentrations 39 fasting 45 - 39 fasting 48 in 40 glucose 41 concentrations 42 ( 45 - 43 β 45 - 45 - 46 0.044 45 - 47 ) 48 in 50 subjects 49 control 50 subjects 50 subjects 52 independent 51 , 52 independent 52 independent 53 of 52 independent 57 . 53 of 56 confounders 54 other 56 confounders 55 relevant 56 confounders in the conditional logistic model that took into account the matching factors , the odds ratios for diabetes [incidence] in the lowest vs the highest tertile of coc and ucoc were 2.03 ( 95 % confidence [interval] , 1.32 - 3.13 [ )(and 1.88 ( 1.23 - 2.85 ) , respectively . 0 ###LEFT-WALL### 16 ratios 0 ###LEFT-WALL### 31 were 0 ###LEFT-WALL### 52 . 1 in 5 model 1 in 13 , 1 in 16 ratios 2 the 5 model 3 conditional 4 logistic 4 logistic 5 model 5 model 6 that 5 model 7 took 6 that 7 took 7 took 9 account 7 took 12 factors 8 into 9 account 10 the 12 factors 11 matching 12 factors 14 the 16 ratios 15 odds 16 ratios 16 ratios 17 for 16 ratios 31 were 17 for 18 diabetes 18 diabetes 20 in 18 diabetes 23 vs 20 in 22 lowest 21 the 22 lowest 23 vs 29 and 24 the 25 highest 24 the 26 tertile 26 tertile 27 of 26 tertile 29 and 27 of 28 coc 29 and 30 ucoc 31 were 32 2.03 31 were 51 respectively 32 2.03 36 confidence 33 ( 36 confidence 34 95 35 % 35 % 36 confidence 36 confidence 40 - 36 confidence 50 , 38 , 40 - 39 1.32 40 - 40 - 43 )(and 40 - 50 , 41 3.13 43 )(and 43 )(and 44 1.88 43 )(and 46 1.23 43 )(and 48 2.85 45 ( 46 1.23 46 1.23 47 - 47 - 48 2.85 48 2.85 49 ) further adjustment for family history of diabetes , lifestyle , and other confounding factors did not appreciably change the magnitude of these associations . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 18 change 0 ###LEFT-WALL### 24 . 1 further 2 adjustment 2 adjustment 3 for 2 adjustment 8 , 3 for 5 history 4 family 5 history 5 history 6 of 6 of 7 diabetes 8 , 9 lifestyle 8 , 11 and 10 , 11 and 11 and 12 other 11 and 13 confounding 11 and 15 did 13 confounding 14 factors 15 did 16 not 15 did 18 change 17 appreciably 18 change 18 change 20 magnitude 19 the 20 magnitude 20 magnitude 21 of 21 of 23 associations 22 these 23 associations conclusion : in a population at high cardiovascular risk , low concentrations of serum coc and ucoc were strongly associated with an increased risk of incident diabetes . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 28 . 1 conclusion 2 : 2 : 3 in 3 in 5 population 4 a 5 population 5 population 6 at 6 at 9 risk 7 high 9 risk 8 cardiovascular 9 risk 10 , 11 low 11 low 12 concentrations 11 low 21 with 12 concentrations 13 of 12 concentrations 20 associated 13 of 14 serum 14 serum 16 and 14 serum 18 were 15 coc 16 and 16 and 17 ucoc 16 and 18 were 18 were 19 strongly 21 with 24 risk 22 an 24 risk 23 increased 24 risk 24 risk 25 of 25 of 27 diabetes 26 incident 27 diabetes traditional methods of aging adult skeletons suffer from the problem of age mimicry of the reference collection , as described by bocquet - appel and masset ( 1982 ) . 0 ###LEFT-WALL### 2 methods 0 ###LEFT-WALL### 7 suffer 0 ###LEFT-WALL### 30 . 1 traditional 2 methods 2 methods 3 of 2 methods 7 suffer 3 of 4 aging 4 aging 6 skeletons 5 adult 6 skeletons 7 suffer 8 from 7 suffer 21 by 8 from 10 problem 9 the 10 problem 10 problem 11 of 10 problem 14 of 11 of 13 mimicry 12 age 13 mimicry 14 of 17 collection 15 the 17 collection 16 reference 17 collection 17 collection 20 described 18 , 20 described 19 as 20 described 21 by 22 bocquet 22 bocquet 25 and 23 - 25 and 24 appel 25 and 25 and 26 masset 25 and 28 1982 25 and 29 ) 27 ( 28 1982 28 1982 29 ) transition analysis ( boldsen et al . , 2002 ) is a method of aging adult skeletons that addresses the problem of age mimicry of the reference collection by allowing users to select an appropriate prior probability . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 38 . 1 transition 2 analysis 2 analysis 6 al 2 analysis 11 is 3 ( 6 al 4 boldsen 6 al 5 et 6 al 6 al 7 . 6 al 9 2002 6 al 10 ) 8 , 9 2002 9 2002 10 ) 11 is 13 method 12 a 13 method 13 method 14 of 13 method 18 that 13 method 19 addresses 14 of 15 aging 15 aging 17 skeletons 16 adult 17 skeletons 18 that 19 addresses 19 addresses 21 problem 19 addresses 29 by 20 the 21 problem 21 problem 22 of 22 of 24 mimicry 23 age 24 mimicry 24 mimicry 25 of 25 of 28 collection 26 the 28 collection 27 reference 28 collection 29 by 30 allowing 30 allowing 31 users 30 allowing 32 to 30 allowing 33 select 32 to 33 select 33 select 37 probability 34 an 37 probability 35 appropriate 36 prior 36 prior 37 probability in order to evaluate whether transition analysis results in significantly different age estimates for adults , the method was applied to skeletal collections from postclassic cholula and contact - period xochimilco . 0 ###LEFT-WALL### 18 method 0 ###LEFT-WALL### 20 applied 0 ###LEFT-WALL### 29 - 0 ###LEFT-WALL### 32 . 1 in 2 order 1 in 18 method 2 order 3 to 2 order 4 evaluate 3 to 4 evaluate 4 evaluate 5 whether 4 evaluate 9 in 5 whether 7 analysis 5 whether 8 results 6 transition 7 analysis 7 analysis 8 results 9 in 13 estimates 10 significantly 11 different 11 different 12 age 12 age 13 estimates 14 for 15 adults 14 for 16 , 14 for 18 method 17 the 18 method 18 method 19 was 19 was 20 applied 20 applied 21 to 20 applied 24 from 21 to 23 collections 22 skeletal 23 collections 24 from 28 contact 25 postclassic 26 cholula 26 cholula 27 and 27 and 28 contact 29 - 31 xochimilco 30 period 31 xochimilco the resulting age - at [-] death distributions were then compared with age - at [-] death distributions for the two populations constructed using traditional aging methods . 0 ###LEFT-WALL### 3 age 0 ###LEFT-WALL### 4 - 1 the 3 age 2 resulting 3 age 4 - 8 distributions 4 - 11 compared 5 at 7 death 5 at 8 distributions 8 distributions 9 were 9 were 10 then 9 were 11 compared 11 compared 12 with 11 compared 15 at 12 with 13 age 14 - 15 at 15 at 18 distributions 15 at 28 . 17 death 18 distributions 18 distributions 19 for 18 distributions 23 constructed 18 distributions 24 using 19 for 22 populations 20 the 21 two 21 two 22 populations 24 using 27 methods 25 traditional 27 methods 26 aging 27 methods understanding aging and how it affects an organism 's lifespan is a fundamental problem in biology . 0 ###LEFT-WALL### 10 lifespan 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 17 . 1 understanding 2 aging 1 understanding 3 and 3 and 4 how 3 and 5 it 3 and 6 affects 3 and 10 lifespan 5 it 6 affects 6 affects 9 's 7 an 8 organism 8 organism 9 's 10 lifespan 11 is 11 is 14 problem 12 a 13 fundamental 12 a 14 problem 13 fundamental 14 problem 14 problem 15 in 15 in 16 biology a hallmark of aging is stem cell senescence , the decline of functionality , and number of somatic stem cells , resulting in an impaired regenerative capacity and reduced tissue function . 0 ###LEFT-WALL### 2 hallmark 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 32 . 1 a 2 hallmark 2 hallmark 3 of 2 hallmark 5 is 3 of 4 aging 5 is 15 and 6 stem 8 senescence 7 cell 8 senescence 8 senescence 9 , 9 , 11 decline 9 , 15 and 10 the 11 decline 11 decline 12 of 12 of 13 functionality 14 , 15 and 15 and 16 number 15 and 21 , 15 and 22 resulting 15 and 23 in 16 number 17 of 17 of 20 cells 18 somatic 19 stem 19 stem 20 cells 23 in 28 and 24 an 27 capacity 25 impaired 27 capacity 26 regenerative 27 capacity 27 capacity 28 and 28 and 31 function 29 reduced 30 tissue 30 tissue 31 function in addition , aging is characterized by profound remodeling of the immune system and a quantitative decline of adequate immune responses , a phenomenon referred to as immune - senescence . 0 ###LEFT-WALL### 4 aging 0 ###LEFT-WALL### 6 characterized 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 31 . 1 in 2 addition 1 in 3 , 1 in 4 aging 4 aging 5 is 5 is 6 characterized 6 characterized 7 by 7 by 9 remodeling 8 profound 9 remodeling 9 remodeling 10 of 9 remodeling 18 of 10 of 14 and 11 the 13 system 12 immune 13 system 13 system 14 and 14 and 17 decline 15 a 16 quantitative 15 a 17 decline 16 quantitative 17 decline 18 of 21 responses 19 adequate 21 responses 20 immune 21 responses 22 , 24 phenomenon 22 , 25 referred 23 a 24 phenomenon 24 phenomenon 25 referred 25 referred 26 to 26 to 30 senescence 27 as 28 immune 28 immune 29 - 28 immune 30 senescence [yet] [,] what is causing stem cell [and] immune - senescence ? 0 ###LEFT-WALL### 3 what 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 12 ? 3 what 4 is 4 is 5 causing 5 causing 11 senescence 6 stem 11 senescence 7 cell 11 senescence 9 immune 10 - 9 immune 11 senescence this review discusses experimental studies of potentially immortal hydra which have made contributions to answering this question . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 discusses 0 ###LEFT-WALL### 18 . 1 this 2 review 2 review 3 discusses 3 discusses 5 studies 4 experimental 5 studies 5 studies 6 of 5 studies 10 which 5 studies 11 have 6 of 9 hydra 7 potentially 8 immortal 8 immortal 9 hydra 10 which 11 have 11 have 12 made 12 made 13 contributions 12 made 14 to 14 to 15 answering 15 answering 17 question 16 this 17 question hydra transcription factor foxo has been shown to modulate both stem cell proliferation [and] innate immunity , lending strong support to a role [of] foxo as critical rate - [of] - aging regulator [from] hydra [to] human . 0 ###LEFT-WALL### 4 foxo 0 ###LEFT-WALL### 7 shown 0 ###LEFT-WALL### 31 - 1 hydra 3 factor 2 transcription 3 factor 3 factor 4 foxo 4 foxo 5 has 5 has 6 been 6 been 7 shown 7 shown 8 to 7 shown 16 immunity 7 shown 18 lending 8 to 9 modulate 9 modulate 10 both 11 stem 16 immunity 12 cell 13 proliferation 13 proliferation 16 immunity 15 innate 16 immunity 17 , 18 lending 18 lending 20 support 18 lending 21 to 18 lending 29 - 19 strong 20 support 21 to 28 rate 22 a 28 rate 23 role 28 rate 25 foxo 28 rate 26 as 27 critical 27 critical 28 rate 31 - 37 human 31 - 38 . 32 aging 33 regulator 33 regulator 37 human 35 hydra 37 human constructing a model of how foxo responds to diverse environmental factors provides a framework for [how] stem cell factors might contribute to aging . 0 ###LEFT-WALL### 1 constructing 0 ###LEFT-WALL### 21 contribute 0 ###LEFT-WALL### 24 . 1 constructing 3 model 1 constructing 12 provides 2 a 3 model 3 model 4 of 4 of 5 how 5 how 6 foxo 5 how 7 responds 6 foxo 7 responds 7 responds 8 to 8 to 11 factors 9 diverse 11 factors 10 environmental 11 factors 12 provides 14 framework 12 provides 15 for 13 a 14 framework 15 for 19 factors 17 stem 19 factors 18 cell 19 factors 19 factors 20 might 20 might 21 contribute 21 contribute 22 to 22 to 23 aging recent reports from pulmonary arterial [hypertension] ( pah ) registries suggest that the mean age at diagnosis is increasing , outlining a growing proportion of elderly male patients . 0 ###LEFT-WALL### 2 reports 0 ###LEFT-WALL### 11 suggest 1 recent 2 reports 2 reports 3 from 2 reports 11 suggest 3 from 10 registries 4 pulmonary 10 registries 5 arterial 8 pah 5 arterial 10 registries 7 ( 8 pah 8 pah 9 ) 11 suggest 12 that 12 that 15 age 12 that 18 is 13 the 15 age 14 mean 15 age 15 age 16 at 15 age 18 is 16 at 17 diagnosis 18 is 19 increasing 19 increasing 21 outlining 20 , 21 outlining 21 outlining 24 proportion 21 outlining 29 . 22 a 24 proportion 23 growing 24 proportion 24 proportion 25 of 25 of 28 patients 26 elderly 28 patients 27 male 28 patients as a consequence , the classical description of the disease is shifting and [may] no more be described as a rare disease typically affecting young women . 0 ###LEFT-WALL### 7 description 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 27 . 1 as 3 consequence 1 as 4 , 1 as 7 description 2 a 3 consequence 5 the 7 description 6 classical 7 description 7 description 8 of 7 description 11 is 8 of 10 disease 9 the 10 disease 11 is 12 shifting 13 and 16 more 13 and 18 described 15 no 16 more 16 more 17 be 17 be 18 described 18 described 19 as 19 as 22 disease 20 a 21 rare 20 a 22 disease 21 rare 22 disease 22 disease 24 affecting 23 typically 24 affecting 24 affecting 26 women 25 young 26 women potential explanations of this changing picture may include an aging of populations in western countries , the increase in life expectancy and the growing awareness of pah and emergence of potential efficient treatments . 0 ###LEFT-WALL### 2 explanations 0 ###LEFT-WALL### 8 include 1 potential 2 explanations 2 explanations 3 of 2 explanations 7 may 3 of 6 picture 4 this 6 picture 5 changing 6 picture 7 may 8 include 8 include 10 aging 9 an 10 aging 10 aging 11 of 10 aging 13 in 11 of 12 populations 13 in 15 countries 14 western 15 countries 15 countries 28 and 16 , 28 and 17 the 18 increase 18 increase 19 in 18 increase 22 and 19 in 21 expectancy 20 life 21 expectancy 22 and 25 awareness 22 and 26 of 22 and 28 and 23 the 25 awareness 24 growing 25 awareness 26 of 27 pah 28 and 29 emergence 28 and 30 of 28 and 34 . 30 of 33 treatments 31 potential 33 treatments 32 efficient 33 treatments diagnostic workup of severe pulmonary hypertension [(] ph [ )(in the elderly should be performed in such a way as to discriminate between the expected consequences of aging , pulmonary vascular disease , and other frequent causes of secondary ph ( left heart failure or lung disease ) . 0 ###LEFT-WALL### 14 be 0 ###LEFT-WALL### 49 . 1 diagnostic 2 workup 2 workup 3 of 2 workup 13 should 3 of 8 ph 4 severe 6 hypertension 5 pulmonary 6 hypertension 6 hypertension 8 ph 8 ph 10 )(in 10 )(in 12 elderly 11 the 12 elderly 13 should 14 be 14 be 15 performed 15 performed 16 in 15 performed 20 as 16 in 19 way 17 such 18 a 18 a 19 way 20 as 21 to 21 to 22 discriminate 22 discriminate 23 between 23 between 34 and 24 the 26 consequences 25 expected 26 consequences 26 consequences 27 of 26 consequences 29 , 27 of 28 aging 29 , 32 disease 29 , 34 and 30 pulmonary 32 disease 31 vascular 32 disease 33 , 34 and 34 and 37 causes 34 and 38 of 35 other 37 causes 36 frequent 37 causes 38 of 40 ph 39 secondary 40 ph 40 ph 45 or 41 ( 45 or 42 left 44 failure 43 heart 44 failure 44 failure 45 or 45 or 47 disease 45 or 48 ) 46 lung 47 disease careful exploration by right heart catheterization is mandatory , but special attention should be paid to several pitfalls specific to this procedure in this age group . 0 ###LEFT-WALL### 14 be 0 ###LEFT-WALL### 27 . 1 careful 2 exploration 1 careful 7 is 1 careful 10 but 2 exploration 3 by 2 exploration 7 is 3 by 6 catheterization 4 right 6 catheterization 5 heart 6 catheterization 7 is 8 mandatory 9 , 10 but 10 but 11 special 10 but 12 attention 12 attention 13 should 13 should 14 be 14 be 15 paid 15 paid 16 to 15 paid 23 in 16 to 18 pitfalls 17 several 18 pitfalls 18 pitfalls 19 specific 19 specific 20 to 20 to 22 procedure 21 this 22 procedure 23 in 26 group 24 this 26 group 25 age 26 group this is a matter of concern as clinical trials that aim to study new specific drug therapy for pah might be biased by the inclusion of misdiagnosed patients . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 29 . 1 this 2 is 2 is 4 matter 3 a 4 matter 4 matter 5 of 5 of 6 concern 6 concern 7 as 6 concern 10 that 7 as 9 trials 8 clinical 9 trials 10 that 11 aim 10 that 22 biased 11 aim 12 to 11 aim 13 study 11 aim 20 might 12 to 13 study 13 study 17 therapy 13 study 18 for 14 new 16 drug 15 specific 16 drug 16 drug 17 therapy 18 for 19 pah 20 might 21 be 21 be 22 biased 22 biased 23 by 23 by 25 inclusion 24 the 25 inclusion 25 inclusion 26 of 26 of 28 patients 27 misdiagnosed 28 patients the aim of this review is to highlight the main difficulties in diagnosing pah in the elderly and to propose a practical approach to distinguish pah from the other frequent causes of ph in this population . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 25 distinguish 0 ###LEFT-WALL### 37 . 1 the 2 aim 2 aim 3 of 2 aim 6 is 3 of 5 review 4 this 5 review 6 is 7 to 6 is 18 and 7 to 18 and 8 highlight 11 difficulties 8 highlight 12 in 8 highlight 15 in 8 highlight 18 and 9 the 10 main 9 the 11 difficulties 12 in 13 diagnosing 13 diagnosing 14 pah 15 in 17 elderly 16 the 17 elderly 18 and 19 to 18 and 20 propose 19 to 20 propose 20 propose 23 approach 20 propose 24 to 21 a 22 practical 21 a 23 approach 22 practical 23 approach 24 to 25 distinguish 25 distinguish 26 pah 26 pah 27 from 27 from 31 causes 28 the 29 other 29 other 31 causes 30 frequent 31 causes 31 causes 32 of 32 of 33 ph 33 ph 34 in 34 in 36 population 35 this 36 population sirtuins are a conserved family of deacetylases whose activities are dependent on nicotinamide adenine dinucleotide ( nad+ ) . 0 ###LEFT-WALL### 1 sirtuins 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 19 . 1 sirtuins 2 are 2 are 5 family 3 a 5 family 4 conserved 5 family 5 family 6 of 6 of 7 deacetylases 7 deacetylases 8 whose 8 whose 9 activities 9 activities 10 are 10 are 11 dependent 11 dependent 12 on 12 on 15 dinucleotide 13 nicotinamide 15 dinucleotide 14 adenine 15 dinucleotide 15 dinucleotide 17 nad+ 16 ( 17 nad+ 17 nad+ 18 ) sirtuins act in different cellular compartments , such as the nucleus where they deacetylate histones and transcriptional factors , in the cytoplasm where they modulate cytoskeletal and signaling molecules , and in the mitochondria where they engage components of the metabolic machinery . 0 ###LEFT-WALL### 1 sirtuins 0 ###LEFT-WALL### 2 act 0 ###LEFT-WALL### 43 . 1 sirtuins 2 act 2 act 3 in 2 act 9 as 2 act 31 and 2 act 35 where 3 in 6 compartments 4 different 6 compartments 5 cellular 6 compartments 7 , 9 as 8 such 9 as 9 as 16 and 9 as 19 , 10 the 11 nucleus 11 nucleus 12 where 11 nucleus 16 and 12 where 13 they 12 where 14 deacetylate 13 they 14 deacetylate 14 deacetylate 15 histones 16 and 18 factors 17 transcriptional 18 factors 20 in 22 cytoplasm 20 in 31 and 21 the 22 cytoplasm 22 cytoplasm 23 where 23 where 24 they 23 where 25 modulate 24 they 25 modulate 25 modulate 27 and 26 cytoskeletal 27 and 27 and 29 molecules 28 signaling 29 molecules 30 , 31 and 31 and 32 in 32 in 34 mitochondria 33 the 34 mitochondria 35 where 36 they 35 where 37 engage 36 they 37 engage 37 engage 38 components 38 components 39 of 39 of 42 machinery 40 the 42 machinery 41 metabolic 42 machinery collectively , they tune metabolic processes to energy availability , and modulate stress responses , protein aggregation , inflammatory processes , and genome stability . 0 ###LEFT-WALL### 3 they 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 25 . 1 collectively 2 , 1 collectively 3 they 3 they 11 and 4 tune 6 processes 4 tune 7 to 4 tune 11 and 5 metabolic 6 processes 7 to 9 availability 8 energy 9 availability 10 , 11 and 11 and 12 modulate 11 and 22 and 12 modulate 13 stress 14 responses 15 , 15 , 17 aggregation 15 , 18 , 16 protein 17 aggregation 18 , 20 processes 18 , 22 and 19 inflammatory 20 processes 21 , 22 and 22 and 24 stability 23 genome 24 stability as [such] [,] they have garnered much interest [and] have been widely studied in aging and age - related neurodegeneration . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 19 related 0 ###LEFT-WALL### 21 . 1 as 4 they 1 as 6 garnered 1 as 16 and 4 they 5 have 5 have 6 garnered 6 garnered 8 interest 7 much 8 interest 10 have 11 been 10 have 16 and 11 been 12 widely 11 been 13 studied 13 studied 14 in 14 in 15 aging 16 and 17 age 18 - 19 related 19 related 20 neurodegeneration in this chapter , we review the identification of sirtuins and their biological targets . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 review 0 ###LEFT-WALL### 15 . 1 in 3 chapter 1 in 4 , 1 in 5 we 2 this 3 chapter 5 we 6 review 6 review 8 identification 7 the 8 identification 8 identification 9 of 9 of 11 and 10 sirtuins 11 and 11 and 14 targets 12 their 14 targets 13 biological 14 targets we focus on their biological mechanisms of action and how they might be regulated , including via nad metabolism , transcriptional and posttranscriptional control , [and] as targets of pharmacological agents . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 focus 1 we 2 focus 2 focus 3 on 2 focus 16 including 2 focus 27 as 3 on 6 mechanisms 4 their 6 mechanisms 5 biological 6 mechanisms 6 mechanisms 7 of 6 mechanisms 11 they 6 mechanisms 13 be 6 mechanisms 14 regulated 7 of 9 and 8 action 9 and 9 and 10 how 11 they 12 might 12 might 13 be 15 , 16 including 16 including 17 via 16 including 19 metabolism 16 including 25 , 17 via 18 nad 19 metabolism 24 control 20 , 24 control 21 transcriptional 22 and 22 and 23 posttranscriptional 22 and 24 control 24 control 25 , 25 , 27 as 27 as 28 targets 27 as 32 . 28 targets 29 of 29 of 31 agents 30 pharmacological 31 agents lastly , we highlight the numerous studies suggesting that sirtuins are efficacious therapeutic targets in neurodegenerative disease and injury . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 highlight 0 ###LEFT-WALL### 20 . 1 lastly 2 , 1 lastly 3 we 3 we 4 highlight 4 highlight 7 studies 4 highlight 15 in 5 the 7 studies 6 numerous 7 studies 7 studies 8 suggesting 8 suggesting 9 that 9 that 10 sirtuins 9 that 11 are 10 sirtuins 11 are 11 are 14 targets 12 efficacious 14 targets 13 therapeutic 14 targets 15 in 18 and 16 neurodegenerative 17 disease 17 disease 18 and 18 and 19 injury to identify genes that promote facial skin youthfulness ( sy ) , a genome - wide association study on an ashkenazi jewish discovery group ( n=428 ) was performed using affymetrix 6.0 single - nucleotide polymorphism ( snp ) array . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 identify 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 41 . 1 to 2 identify 2 identify 3 genes 3 genes 4 that 3 genes 5 promote 3 genes 10 sy 4 that 5 promote 5 promote 8 youthfulness 6 facial 7 skin 7 skin 8 youthfulness 9 ( 10 sy 10 sy 11 ) 12 , 14 genome 12 , 29 performed 12 , 34 - 13 a 14 genome 14 genome 18 study 14 genome 28 was 15 - 18 study 16 wide 17 association 17 association 18 study 18 study 19 on 18 study 26 n=428 18 study 27 ) 19 on 24 group 20 an 24 group 21 ashkenazi 24 group 22 jewish 24 group 23 discovery 24 group 25 ( 26 n=428 26 n=428 27 ) 28 was 29 performed 29 performed 30 using 30 using 33 single 31 affymetrix 32 6.0 31 affymetrix 33 single 34 - 40 array 35 nucleotide 36 polymorphism 36 polymorphism 38 snp 37 ( 38 snp 38 snp 39 ) 38 snp 40 array after snp quality controls , 901,470 snps remained for analysis . 0 ###LEFT-WALL### 7 snps 0 ###LEFT-WALL### 8 remained 0 ###LEFT-WALL### 11 . 1 after 4 controls 1 after 5 , 1 after 7 snps 2 snp 4 controls 3 quality 4 controls 6 901,470 7 snps 7 snps 8 remained 8 remained 9 for 9 for 10 analysis the eigenstrat method showed no stratification . 0 ###LEFT-WALL### 3 method 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 7 . 1 the 3 method 2 eigenstrat 3 method 3 method 4 showed 4 showed 6 stratification 5 no 6 stratification cases and controls were identified by global facial skin aging severity including intrinsic and extrinsic parameters . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 5 identified 0 ###LEFT-WALL### 17 . 1 cases 2 and 2 and 3 controls 2 and 4 were 4 were 5 identified 5 identified 6 by 6 by 9 skin 7 global 9 skin 8 facial 9 skin 9 skin 10 aging 9 skin 12 including 10 aging 11 severity 12 including 16 parameters 13 intrinsic 14 and 14 and 15 extrinsic 14 and 16 parameters linear regression adjusted for age and gender , with no significant differences in smoking history , body mass index , menopausal status , or personal or family history of centenarians . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 31 . 1 linear 2 regression 2 regression 3 adjusted 2 regression 4 for 2 regression 6 and 4 for 5 age 6 and 7 gender 6 and 9 with 8 , 9 with 9 with 12 differences 9 with 16 , 10 no 12 differences 11 significant 12 differences 12 differences 13 in 13 in 14 smoking 14 smoking 15 history 16 , 19 index 16 , 20 , 17 body 19 index 18 mass 19 index 20 , 26 or 21 menopausal 22 status 22 status 24 or 23 , 24 or 24 or 25 personal 24 or 26 or 26 or 28 history 26 or 29 of 27 family 28 history 29 of 30 centenarians six snps met the bonferroni threshold with pallele<10 ( - 8 ) ; two of these six had pgenotype<10 ( - 8 ) . 0 ###LEFT-WALL### 2 snps 0 ###LEFT-WALL### 3 met 0 ###LEFT-WALL### 13 ; 0 ###LEFT-WALL### 24 . 1 six 2 snps 2 snps 3 met 3 met 6 threshold 3 met 7 with 4 the 6 threshold 5 bonferroni 6 threshold 7 with 8 pallele<10 8 pallele<10 11 8 9 ( 11 8 10 - 11 8 11 8 12 ) 13 ; 14 two 13 ; 18 had 14 two 15 of 14 two 18 had 15 of 17 six 16 these 17 six 18 had 19 pgenotype<10 19 pgenotype<10 22 8 20 ( 22 8 21 - 22 8 22 8 23 ) quantitative trait loci mapping confirmed linkage disequilibrium . 0 ###LEFT-WALL### 7 disequilibrium 0 ###LEFT-WALL### 8 . 1 quantitative 2 trait 2 trait 5 confirmed 3 loci 5 confirmed 4 mapping 5 confirmed 5 confirmed 6 linkage 6 linkage 7 disequilibrium the six snps were interrogated by massarray in a replication group ( n=436 ) with confirmation of rs6975107 , an intronic region of kcnd2 ( potassium voltage - gated [channel] , shal - related family member 2 ) ( pgenotype=0.023 ) . 0 ###LEFT-WALL### 3 snps 0 ###LEFT-WALL### 5 interrogated 0 ###LEFT-WALL### 42 . 1 the 2 six 2 six 3 snps 3 snps 4 were 4 were 5 interrogated 5 interrogated 6 by 5 interrogated 8 in 5 interrogated 15 with 6 by 7 massarray 8 in 11 group 9 a 11 group 10 replication 11 group 11 group 13 n=436 12 ( 13 n=436 13 n=436 14 ) 15 with 16 confirmation 16 confirmation 17 of 17 of 18 rs6975107 18 rs6975107 22 region 18 rs6975107 32 shal 19 , 22 region 20 an 22 region 21 intronic 22 region 22 region 23 of 22 region 27 voltage 22 region 29 gated 22 region 31 , 23 of 24 kcnd2 25 ( 27 voltage 26 potassium 27 voltage 27 voltage 28 - 28 - 29 gated 29 gated 31 , 31 , 32 shal 32 shal 36 member 32 shal 40 pgenotype=0.023 32 shal 41 ) 33 - 36 member 34 related 35 family 35 family 36 member 36 member 37 2 36 member 38 ) 39 ( 40 pgenotype=0.023 40 pgenotype=0.023 41 ) a second replication group ( n=371 ) confirmed rs318125 , downstream of diaph2 ( diaphanous homolog 2 ( drosophila ) ) ( pallele=0.010 , pgenotype=0.002 ) and rs7616661 , downstream of edem1 ( er degradation enhancer , mannosidase α - like 1 ) ( pgenotype=0.042 ) . 0 ###LEFT-WALL### 4 group 0 ###LEFT-WALL### 8 confirmed 0 ###LEFT-WALL### 47 . 1 a 4 group 2 second 4 group 3 replication 4 group 4 group 6 n=371 4 group 8 confirmed 5 ( 6 n=371 6 n=371 7 ) 8 confirmed 9 rs318125 8 confirmed 11 downstream 10 , 11 downstream 11 downstream 12 of 11 downstream 46 ) 12 of 13 diaph2 13 diaph2 16 homolog 13 diaph2 27 and 14 ( 16 homolog 15 diaphanous 16 homolog 16 homolog 17 2 16 homolog 19 drosophila 16 homolog 21 ) 18 ( 19 drosophila 19 drosophila 20 ) 22 ( 27 and 23 pallele=0.010 25 pgenotype=0.002 23 pallele=0.010 27 and 24 , 25 pgenotype=0.002 25 pgenotype=0.002 26 ) 27 and 28 rs7616661 27 and 30 downstream 27 and 39 α 27 and 46 ) 29 , 30 downstream 30 downstream 31 of 30 downstream 37 , 31 of 32 edem1 32 edem1 36 enhancer 33 ( 36 enhancer 34 er 36 enhancer 35 degradation 36 enhancer 36 enhancer 37 , 37 , 39 α 38 mannosidase 39 α 39 α 41 like 39 α 45 pgenotype=0.042 39 α 46 ) 40 - 41 like 41 like 42 1 41 like 43 ) 44 ( 45 pgenotype=0.042 45 pgenotype=0.042 46 ) diaph2 has been associated with premature ovarian insufficiency , an aging phenotype in humans . 0 ###LEFT-WALL### 1 diaph2 0 ###LEFT-WALL### 4 associated 1 diaph2 2 has 2 has 3 been 3 been 4 associated 4 associated 5 with 5 with 8 insufficiency 6 premature 8 insufficiency 7 ovarian 8 insufficiency 8 insufficiency 12 phenotype 9 , 12 phenotype 10 an 12 phenotype 11 aging 12 phenotype 12 phenotype 13 in 12 phenotype 15 . 13 in 14 humans edem1 associates with lifespan in animal models , [although] not humans . 0 ###LEFT-WALL### 1 edem1 0 ###LEFT-WALL### 2 associates 1 edem1 2 associates 2 associates 3 with 2 associates 5 in 3 with 4 lifespan 5 in 7 models 6 animal 7 models 7 models 11 humans 8 , 10 not 8 , 11 humans 11 humans 12 . kcnd2 is expressed in human skin , but has not been associated with aging . 0 ###LEFT-WALL### 1 kcnd2 0 ###LEFT-WALL### 8 but 0 ###LEFT-WALL### 15 . 1 kcnd2 8 but 2 is 3 expressed 2 is 8 but 3 expressed 4 in 4 in 6 skin 5 human 6 skin 7 , 8 but 8 but 9 has 9 has 10 not 9 has 11 been 11 been 12 associated 12 associated 13 with 13 with 14 aging these genes represent new candidate genes to study the molecular basis of healthy skin aging . 0 ###LEFT-WALL### 2 genes 0 ###LEFT-WALL### 3 represent 0 ###LEFT-WALL### 16 . 1 these 2 genes 2 genes 3 represent 3 represent 6 genes 3 represent 7 to 4 new 5 candidate 5 candidate 6 genes 7 to 8 study 8 study 11 basis 9 the 11 basis 10 molecular 11 basis 11 basis 12 of 12 of 14 skin 13 healthy 14 skin 14 skin 15 aging the tp53 gene encodes 12 distinct isoforms , some of which can alter p53 activity in the absence of genomic alteration . 0 ###LEFT-WALL### 3 gene 0 ###LEFT-WALL### 4 encodes 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 22 . 1 the 3 gene 2 tp53 3 gene 3 gene 4 encodes 4 encodes 7 isoforms 5 12 7 isoforms 6 distinct 7 isoforms 8 , 9 some 8 , 14 p53 9 some 10 of 9 some 14 p53 10 of 11 which 11 which 12 can 12 can 13 alter 14 p53 15 activity 14 p53 16 in 16 in 18 absence 17 the 18 absence 18 absence 19 of 19 of 21 alteration 20 genomic 21 alteration endogenous p53 isoforms have been identified in cancers ; however , the function of these isoforms remains unclear . 0 ###LEFT-WALL### 3 isoforms 0 ###LEFT-WALL### 6 identified 0 ###LEFT-WALL### 9 ; 0 ###LEFT-WALL### 19 . 1 endogenous 3 isoforms 2 p53 3 isoforms 3 isoforms 4 have 4 have 5 been 5 been 6 identified 6 identified 7 in 7 in 8 cancers 9 ; 13 function 9 ; 17 remains 10 however 11 , 10 however 13 function 12 the 13 function 13 function 14 of 13 function 17 remains 14 of 16 isoforms 15 these 16 isoforms 17 remains 18 unclear in melanoma , the frequency of tp53 mutations is relatively low compared with other cancers , suggesting that these isoforms may have a larger role in regulating tp53 activity . 0 ###LEFT-WALL### 5 frequency 0 ###LEFT-WALL### 12 compared 1 in 2 melanoma 1 in 3 , 1 in 5 frequency 4 the 5 frequency 5 frequency 6 of 5 frequency 9 is 6 of 8 mutations 7 tp53 8 mutations 9 is 11 low 9 is 12 compared 10 relatively 11 low 12 compared 13 with 13 with 15 cancers 14 other 15 cancers 15 cancers 17 suggesting 16 , 17 suggesting 17 suggesting 18 that 17 suggesting 30 . 18 that 20 isoforms 18 that 22 have 19 these 20 isoforms 20 isoforms 21 may 21 may 22 have 22 have 25 role 22 have 26 in 23 a 25 role 24 larger 25 role 26 in 27 regulating 27 regulating 29 activity 28 tp53 29 activity we hypothesized that p53 function and therefore cell fate might be altered by the presence of δ40p53 , an embryonic isoform missing the first 40 n - terminal amino acids of the full - length protein including the transactivation and mdm2 - binding domains . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 hypothesized 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 45 . 1 we 2 hypothesized 2 hypothesized 5 function 3 that 5 function 4 p53 5 function 6 and 7 therefore 6 and 9 fate 6 and 12 altered 8 cell 9 fate 9 fate 10 might 10 might 11 be 11 be 12 altered 12 altered 13 by 13 by 15 presence 14 the 15 presence 15 presence 16 of 15 presence 31 of 16 of 30 acids 17 δ40p53 21 isoform 17 δ40p53 28 terminal 18 , 21 isoform 19 an 21 isoform 20 embryonic 21 isoform 21 isoform 22 missing 21 isoform 27 - 22 missing 26 n 23 the 24 first 23 the 26 n 25 40 26 n 28 terminal 29 amino 29 amino 30 acids 31 of 36 protein 32 the 36 protein 33 full 34 - 33 full 36 protein 35 length 36 protein 36 protein 37 including 36 protein 43 binding 37 including 40 and 38 the 40 and 39 transactivation 40 and 40 and 41 mdm2 40 and 42 - 43 binding 44 domains to test this hypothesis , [we] transduced tumor and normal cells with a lentivirus encoding δ40p53 . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 test 0 ###LEFT-WALL### 17 . 1 to 2 test 2 test 9 and 2 test 12 with 3 this 4 hypothesis 4 hypothesis 5 , 5 , 8 tumor 5 , 9 and 7 transduced 8 tumor 9 and 11 cells 10 normal 11 cells 12 with 14 lentivirus 13 a 14 lentivirus 14 lentivirus 15 encoding 15 encoding 16 δ40p53 we found that exogenous δ40p53 caused apoptosis and increased the levels of endogenous , activated p53 in both cancerous and [non] [-] cancerous cells , which led to significant levels of cell death , particularly in cancer cells . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 39 . 1 we 2 found 2 found 5 δ40p53 2 found 17 in 2 found 35 particularly 3 that 4 exogenous 4 exogenous 5 δ40p53 5 δ40p53 8 and 5 δ40p53 12 of 6 caused 7 apoptosis 6 caused 8 and 8 and 9 increased 8 and 11 levels 10 the 11 levels 12 of 16 p53 13 endogenous 14 , 13 endogenous 16 p53 15 activated 16 p53 17 in 24 cells 18 both 24 cells 19 cancerous 20 and 20 and 23 cancerous 20 and 24 cells 24 cells 26 which 25 , 26 which 26 which 27 led 26 which 34 , 27 led 28 to 28 to 30 levels 29 significant 30 levels 30 levels 31 of 31 of 33 death 32 cell 33 death 35 particularly 36 in 36 in 38 cells 37 cancer 38 cells activated p53 molecules formed nuclear heterotetramers with δ40p53 and altered downstream p53 transcription target levels including p53 - induced protein with death [domain] and cyclin - dependent kinase inhibitor , p21 . 0 ###LEFT-WALL### 3 molecules 0 ###LEFT-WALL### 12 p53 0 ###LEFT-WALL### 26 - 0 ###LEFT-WALL### 32 . 1 activated 3 molecules 2 p53 3 molecules 3 molecules 9 and 3 molecules 12 p53 4 formed 6 heterotetramers 4 formed 9 and 5 nuclear 6 heterotetramers 6 heterotetramers 7 with 7 with 8 δ40p53 9 and 10 altered 9 and 11 downstream 12 p53 15 levels 12 p53 21 with 13 transcription 15 levels 14 target 15 levels 15 levels 16 including 16 including 20 protein 17 p53 18 - 17 p53 20 protein 19 induced 20 protein 21 with 24 and 22 death 24 and 24 and 25 cyclin 26 - 29 inhibitor 26 - 30 , 26 - 31 p21 27 dependent 29 inhibitor 28 kinase 29 inhibitor 30 , 31 p21 δ40p53 altered the promoter occupancy of these downstream p53 target genes in such a way that it shifted cell fate toward apoptosis and [away] from cell cycle arrest . 0 ###LEFT-WALL### 1 δ40p53 0 ###LEFT-WALL### 2 altered 0 ###LEFT-WALL### 29 . 1 δ40p53 2 altered 2 altered 5 occupancy 3 the 5 occupancy 4 promoter 5 occupancy 5 occupancy 6 of 6 of 11 genes 7 these 11 genes 8 downstream 9 p53 9 p53 11 genes 10 target 11 genes 11 genes 23 and 12 in 15 way 12 in 23 and 13 such 14 a 14 a 15 way 15 way 16 that 16 that 17 it 16 that 18 shifted 17 it 18 shifted 18 shifted 20 fate 18 shifted 21 toward 19 cell 20 fate 21 toward 22 apoptosis 23 and 25 from 25 from 28 arrest 26 cell 28 arrest 27 cycle 28 arrest we show that tumor suppression by p53 can occur via an alternate route that relies on its interaction with δ40p53 . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 show 0 ###LEFT-WALL### 21 . 1 we 2 show 2 show 3 that 3 that 5 suppression 3 that 9 occur 4 tumor 5 suppression 5 suppression 6 by 5 suppression 8 can 6 by 7 p53 8 can 9 occur 9 occur 10 via 10 via 13 route 11 an 13 route 12 alternate 13 route 13 route 14 that 13 route 15 relies 14 that 15 relies 15 relies 16 on 15 relies 19 with 16 on 18 interaction 17 its 18 interaction 19 with 20 δ40p53 during visual fixation , the eyes are never completely still , but produce small involuntary movements , called " fixational eye movements , " including microsaccades , drift , and tremor . 0 ###LEFT-WALL### 6 eyes 0 ###LEFT-WALL### 7 are 1 during 3 fixation 1 during 4 , 1 during 6 eyes 2 visual 3 fixation 5 the 6 eyes 6 eyes 7 are 7 are 8 never 7 are 10 still 9 completely 10 still 10 still 12 but 10 still 18 called 10 still 25 including 11 , 12 but 12 but 16 movements 12 but 17 , 13 produce 16 movements 14 small 16 movements 15 involuntary 16 movements 17 , 18 called 18 called 19 " 18 called 22 movements 18 called 23 , 20 fixational 21 eye 21 eye 22 movements 23 , 24 " 23 , 25 including 25 including 30 and 25 including 32 . 26 microsaccades 27 , 27 , 28 drift 27 , 30 and 29 , 30 and 30 and 31 tremor in certain neurological disorders , attempted fixation results in abnormal fixational eye movements with distinctive characteristics . 0 ###LEFT-WALL### 7 fixation 0 ###LEFT-WALL### 8 results 0 ###LEFT-WALL### 17 . 1 in 4 disorders 1 in 5 , 1 in 7 fixation 2 certain 4 disorders 3 neurological 4 disorders 6 attempted 7 fixation 7 fixation 8 results 8 results 9 in 8 results 14 with 9 in 13 movements 10 abnormal 12 eye 11 fixational 12 eye 12 eye 13 movements 14 with 16 characteristics 15 distinctive 16 characteristics thus , determining how normal fixation differs from pathological fixation has the potential to aid early and differential noninvasive diagnosis of neurological disease as well as the quantification of its progression and response to treatment . 0 ###LEFT-WALL### 3 determining 0 ###LEFT-WALL### 11 has 0 ###LEFT-WALL### 36 . 1 thus 2 , 1 thus 3 determining 3 determining 4 how 3 determining 8 from 3 determining 11 has 4 how 6 fixation 4 how 7 differs 5 normal 6 fixation 6 fixation 7 differs 8 from 10 fixation 9 pathological 10 fixation 11 has 20 diagnosis 12 the 20 diagnosis 13 potential 14 to 13 potential 16 early 13 potential 17 and 14 to 15 aid 17 and 18 differential 17 and 20 diagnosis 19 noninvasive 20 diagnosis 20 diagnosis 21 of 20 diagnosis 26 as 21 of 23 disease 22 neurological 23 disease 23 disease 24 as 24 as 25 well 26 as 32 and 27 the 28 quantification 28 quantification 29 of 28 quantification 32 and 29 of 31 progression 30 its 31 progression 32 and 33 response 32 and 34 to 34 to 35 treatment here , we recorded the eye movements produced by patients with alzheimer 's disease , patients with mild cognitive impairment , and healthy age - matched individuals during attempted fixation . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 recorded 0 ###LEFT-WALL### 31 . 1 here 2 , 1 here 3 we 3 we 4 recorded 4 recorded 7 movements 5 the 7 movements 6 eye 7 movements 7 movements 8 produced 8 produced 9 by 8 produced 11 with 8 produced 28 during 9 by 10 patients 11 with 14 disease 11 with 27 individuals 12 alzheimer 13 's 13 's 14 disease 14 disease 24 age 15 , 24 age 16 patients 17 with 16 patients 22 and 17 with 20 impairment 18 mild 20 impairment 19 cognitive 20 impairment 21 , 22 and 22 and 23 healthy 22 and 24 age 24 age 25 - 26 matched 27 individuals 28 during 30 fixation 29 attempted 30 fixation we found that microsaccade magnitudes , velocities , durations , and intersaccadic intervals were comparable in the three subject groups , but microsaccade direction differed in patients versus healthy subjects . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 31 . 1 we 2 found 2 found 5 magnitudes 3 that 4 microsaccade 4 microsaccade 5 magnitudes 5 magnitudes 7 velocities 6 , 7 velocities 7 velocities 8 , 8 , 11 and 8 , 14 were 8 , 22 but 9 durations 11 and 10 , 11 and 11 and 13 intervals 11 and 14 were 12 intersaccadic 13 intervals 14 were 15 comparable 15 comparable 16 in 16 in 20 groups 17 the 18 three 18 three 20 groups 19 subject 20 groups 21 , 22 but 22 but 24 direction 22 but 25 differed 23 microsaccade 24 direction 24 direction 25 differed 25 differed 26 in 26 in 27 patients 27 patients 28 versus 28 versus 30 subjects 29 healthy 30 subjects our results indicate that microsaccades are more prevalently oblique in patients with alzheimer 's disease or mild cognitive impairment than in healthy subjects . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 24 . 1 our 2 results 2 results 3 indicate 3 indicate 4 that 4 that 5 microsaccades 4 that 6 are 5 microsaccades 6 are 6 are 9 oblique 7 more 8 prevalently 8 prevalently 9 oblique 9 oblique 10 in 9 oblique 12 with 9 oblique 20 than 10 in 11 patients 12 with 16 or 13 alzheimer 14 's 14 's 15 disease 15 disease 16 or 16 or 19 impairment 17 mild 19 impairment 18 cognitive 19 impairment 20 than 21 in 21 in 23 subjects 22 healthy 23 subjects these findings extended to those microsaccades paired in square - wave jerks , supporting the hypothesis that microsaccades and square - wave jerks form [a] [continuum] , both in healthy subjects and in neurological patients . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 7 paired 0 ###LEFT-WALL### 36 . 1 these 2 findings 2 findings 3 extended 2 findings 4 to 2 findings 7 paired 4 to 6 microsaccades 5 those 6 microsaccades 7 paired 8 in 7 paired 14 supporting 7 paired 28 both 7 paired 32 and 8 in 12 jerks 9 square 10 - 9 square 11 wave 11 wave 12 jerks 13 , 14 supporting 14 supporting 16 hypothesis 14 supporting 27 , 15 the 16 hypothesis 16 hypothesis 17 that 17 that 19 and 17 that 24 form 18 microsaccades 19 and 19 and 23 jerks 19 and 24 form 20 square 21 - 20 square 22 wave 22 wave 23 jerks 29 in 31 subjects 29 in 32 and 30 healthy 31 subjects 32 and 33 in 33 in 35 patients 34 neurological 35 patients recently , many healthcare or health monitoring systems are proposed to improve life quality of the elderly in the aging process . 0 ###LEFT-WALL### 3 many 0 ###LEFT-WALL### 10 proposed 0 ###LEFT-WALL### 22 . 1 recently 2 , 1 recently 3 many 3 many 5 or 3 many 9 are 3 many 10 proposed 4 healthcare 5 or 5 or 6 health 5 or 7 monitoring 5 or 9 are 7 monitoring 8 systems 10 proposed 11 to 10 proposed 12 improve 11 to 12 improve 12 improve 14 quality 12 improve 18 in 13 life 14 quality 14 quality 15 of 15 of 17 elderly 16 the 17 elderly 18 in 21 process 19 the 21 process 20 aging 21 process the elderly are generally with poor health and low information literacy . 0 ###LEFT-WALL### 2 elderly 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 12 . 1 the 2 elderly 2 elderly 3 are 3 are 4 generally 3 are 5 with 5 with 8 and 6 poor 7 health 7 health 8 and 8 and 11 literacy 9 low 10 information 10 information 11 literacy low information literacy might be an obstacle of using such systems . 0 ###LEFT-WALL### 3 literacy 0 ###LEFT-WALL### 5 be 0 ###LEFT-WALL### 12 . 1 low 2 information 2 information 3 literacy 3 literacy 4 might 4 might 5 be 5 be 7 obstacle 6 an 7 obstacle 7 obstacle 8 of 8 of 9 using 9 using 11 systems 10 such 11 systems this research considered the characteristics and the needs of the elderly and developed an intelligent health monitoring system for the elderly with low information literacy living in the nursing home . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 31 . 1 this 2 research 2 research 12 and 3 considered 6 and 3 considered 12 and 4 the 6 and 5 characteristics 6 and 6 and 8 needs 6 and 9 of 7 the 8 needs 9 of 11 elderly 10 the 11 elderly 12 and 13 developed 13 developed 18 system 14 an 15 intelligent 14 an 18 system 15 intelligent 16 health 16 health 18 system 17 monitoring 18 system 18 system 19 for 18 system 22 with 19 for 21 elderly 20 the 21 elderly 22 with 25 literacy 23 low 24 information 24 information 25 literacy 25 literacy 26 living 26 living 27 in 27 in 30 home 28 the 30 home 29 nursing 30 home the system is intelligent since it can monitor the health status of the elderly based on clinical and medical knowledge , [provide] [an] easy - to [-] understand and easy - to [-] use user interface for the elderly , and automatically send important or emergency feedback to caregivers . 0 ###LEFT-WALL### 2 system 0 ###LEFT-WALL### 3 is 1 the 2 system 2 system 3 is 3 is 4 intelligent 4 intelligent 5 since 5 since 6 it 5 since 8 monitor 6 it 7 can 7 can 8 monitor 8 monitor 10 health 8 monitor 16 on 9 the 10 health 10 health 11 status 10 health 15 based 11 status 12 of 11 status 15 based 12 of 14 elderly 13 the 14 elderly 16 on 20 knowledge 17 clinical 18 and 18 and 19 medical 18 and 20 knowledge 20 knowledge 29 and 20 knowledge 32 to 21 , 29 and 24 easy 26 to 24 easy 29 and 25 - 26 to 26 to 28 understand 29 and 30 easy 29 and 31 - 31 - 32 to 32 to 41 and 34 use 36 interface 34 use 37 for 34 use 41 and 35 user 36 interface 37 for 39 elderly 38 the 39 elderly 40 , 41 and 41 and 43 send 41 and 45 or 42 automatically 43 send 44 important 45 or 45 or 47 feedback 45 or 50 . 46 emergency 47 feedback 47 feedback 48 to 48 to 49 caregivers finally , we explored the user acceptance for the elderly using our proposed system based on the unified theory of acceptance and user of technology model . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 explored 0 ###LEFT-WALL### 27 . 1 finally 2 , 1 finally 3 we 3 we 4 explored 4 explored 7 acceptance 4 explored 8 for 5 the 7 acceptance 6 user 7 acceptance 8 for 11 using 9 the 11 using 10 elderly 11 using 11 using 22 and 11 using 26 model 12 our 14 system 13 proposed 14 system 14 system 15 based 14 system 22 and 15 based 16 on 16 on 19 theory 17 the 19 theory 18 unified 19 theory 19 theory 20 of 20 of 21 acceptance 22 and 23 user 22 and 24 of 22 and 26 model 24 of 25 technology the experimental results indicate the developed system is highly accepted by the elderly in terms of performance expectation , endeavor expectation , social influence , and facilitating condition . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 29 . 1 the 3 results 2 experimental 3 results 3 results 19 , 4 indicate 7 system 4 indicate 10 accepted 4 indicate 19 , 5 the 7 system 6 developed 7 system 7 system 8 is 8 is 10 accepted 9 highly 10 accepted 10 accepted 11 by 10 accepted 14 in 11 by 13 elderly 12 the 13 elderly 14 in 15 terms 15 terms 16 of 16 of 18 expectation 17 performance 18 expectation 19 , 20 endeavor 19 , 26 and 21 expectation 22 , 22 , 24 influence 22 , 26 and 23 social 24 influence 25 , 26 and 26 and 28 condition 27 facilitating 28 condition objective : this study aimed to evaluate the effects of heat treatment on the tribochemical silica coating and silane surface conditioning and the bond strength of rebonded alumina monocrystalline brackets . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 aimed 2 : 31 . 3 this 4 study 4 study 5 aimed 5 aimed 6 to 5 aimed 13 on 6 to 7 evaluate 7 evaluate 9 effects 8 the 9 effects 9 effects 10 of 10 of 12 treatment 11 heat 12 treatment 13 on 22 and 14 the 17 coating 15 tribochemical 16 silica 16 silica 17 coating 17 coating 18 and 18 and 21 conditioning 18 and 22 and 19 silane 20 surface 20 surface 21 conditioning 22 and 25 strength 22 and 26 of 23 the 25 strength 24 bond 25 strength 26 of 30 brackets 27 rebonded 29 monocrystalline 28 alumina 29 monocrystalline 29 monocrystalline 30 brackets material and methods : sixty alumina monocrystalline brackets were randomly divided according to adhesive base surface treatments ( n=20 ) : gc , no treatment ( control ) ; gt , tribochemical silica coating [+] silane application ; gh , as per gt [+] post - heat treatment ( air flux at 100ºc for 60 s ) . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 58 . 1 material 2 and 2 and 3 methods 4 : 5 sixty 4 : 15 base 4 : 21 : 5 sixty 7 monocrystalline 5 sixty 11 divided 5 sixty 15 base 6 alumina 7 monocrystalline 7 monocrystalline 8 brackets 7 monocrystalline 9 were 7 monocrystalline 11 divided 8 brackets 9 were 10 randomly 11 divided 11 divided 13 to 12 according 13 to 13 to 14 adhesive 15 base 17 treatments 16 surface 17 treatments 17 treatments 19 n=20 18 ( 19 n=20 19 n=20 20 ) 21 : 22 gc 21 : 29 ; 22 gc 25 treatment 23 , 25 treatment 24 no 25 treatment 25 treatment 27 control 25 treatment 28 ) 26 ( 27 control 27 control 28 ) 29 ; 30 gt 29 ; 31 , 31 , 37 application 31 , 38 ; 32 tribochemical 37 application 33 silica 36 silane 34 coating 36 silane 36 silane 37 application 38 ; 39 gh 38 ; 40 , 40 , 47 heat 41 as 42 per 41 as 46 - 41 as 47 heat 42 per 45 post 43 gt 45 post 47 heat 48 treatment 48 treatment 51 flux 49 ( 51 flux 50 air 51 flux 51 flux 52 at 51 flux 57 ) 52 at 53 100ºc 53 100ºc 54 for 54 for 56 s 55 60 56 s brackets were bonded to the enamel premolars surface with a light - polymerized resin and stored in distilled water at 37ºc for 100 days . 0 ###LEFT-WALL### 1 brackets 0 ###LEFT-WALL### 19 water 0 ###LEFT-WALL### 25 . 1 brackets 15 and 1 brackets 19 water 2 were 3 bonded 2 were 15 and 3 bonded 4 to 3 bonded 9 with 4 to 8 surface 5 the 8 surface 6 enamel 8 surface 7 premolars 8 surface 9 with 14 resin 10 a 11 light 10 a 14 resin 11 light 12 - 11 light 14 resin 13 polymerized 14 resin 15 and 16 stored 15 and 17 in 15 and 18 distilled 19 water 20 at 19 water 22 for 20 at 21 37ºc 22 for 24 days 23 100 24 days additionally , half the specimens of each group were thermocycled [(] 6,000 cycles between 5 - 55ºc ) ( tc ) . 0 ###LEFT-WALL### 3 half 0 ###LEFT-WALL### 13 cycles 0 ###LEFT-WALL### 22 . 1 additionally 2 , 1 additionally 3 half 3 half 4 the 3 half 12 6,000 3 half 13 cycles 4 the 5 specimens 5 specimens 6 of 5 specimens 9 were 6 of 8 group 7 each 8 group 9 were 10 thermocycled 13 cycles 14 between 14 between 15 5 15 5 17 55ºc 15 5 20 tc 16 - 17 55ºc 17 55ºc 18 ) 19 ( 20 tc 20 tc 21 ) the specimens were submitted to [the] shear bond strength ( sbs ) [test] using a universal testing machine ( 1 mm/min ) . 0 ###LEFT-WALL### 2 specimens 0 ###LEFT-WALL### 4 submitted 0 ###LEFT-WALL### 23 . 1 the 2 specimens 2 specimens 3 were 3 were 4 submitted 4 submitted 5 to 5 to 7 shear 7 shear 9 strength 7 shear 14 using 8 bond 9 strength 9 strength 11 sbs 10 ( 11 sbs 11 sbs 12 ) 14 using 18 machine 15 a 18 machine 16 universal 17 testing 17 testing 18 machine 18 machine 21 mm/min 19 ( 21 mm/min 20 1 21 mm/min 21 mm/min 22 ) failure [mode] was assessed using optical and scanning electron microscopy ( sem ) , together with the surface [roughness] ( ra ) of the resin cement in the bracket using interference microscopy ( im ) . 0 ###LEFT-WALL### 1 failure 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 36 . 1 failure 3 was 3 was 4 assessed 4 assessed 5 using 5 using 7 and 6 optical 7 and 7 and 10 microscopy 7 and 12 sem 8 scanning 10 microscopy 9 electron 10 microscopy 11 ( 12 sem 12 sem 13 ) 14 , 26 cement 15 together 16 with 16 with 18 surface 16 with 26 cement 17 the 18 surface 18 surface 21 ra 18 surface 23 of 20 ( 21 ra 21 ra 22 ) 23 of 25 resin 24 the 25 resin 26 cement 27 in 26 cement 30 using 26 cement 32 microscopy 27 in 29 bracket 28 the 29 bracket 30 using 31 interference 32 microscopy 34 im 33 ( 34 im 34 im 35 ) results : the strategies used to treat the bracket surface had an effect on the sbs results ( p=0.0 ) , but thermocycling did not [(] p=0.6974 [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 strategies 2 : 11 had 2 : 22 but 2 : 29 )( 3 the 4 strategies 4 strategies 5 used 4 strategies 11 had 5 used 6 to 5 used 7 treat 6 to 7 treat 7 treat 10 surface 8 the 10 surface 9 bracket 10 surface 11 had 13 effect 11 had 14 on 12 an 13 effect 14 on 17 results 15 the 17 results 16 sbs 17 results 17 results 19 p=0.0 18 ( 19 p=0.0 19 p=0.0 20 ) 21 , 22 but 22 but 23 thermocycling 22 but 27 p=0.6974 23 thermocycling 24 did 24 did 25 not 24 did 27 p=0.6974 considering the sbs results ( mpa ) , gh - tc and gc showed the highest values ( 27.59±6.4 and 27.18±2.9 ) and gt - tc showed the lowest ( 8.45±6.7 ) . 0 ###LEFT-WALL### 13 gc 0 ###LEFT-WALL### 14 showed 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 33 . 1 considering 3 sbs 1 considering 4 results 1 considering 8 , 1 considering 13 gc 2 the 3 sbs 4 results 6 mpa 5 ( 6 mpa 6 mpa 7 ) 9 gh 10 - 9 gh 13 gc 11 tc 12 and 12 and 13 gc 13 gc 14 showed 14 showed 16 highest 14 showed 17 values 15 the 16 highest 17 values 20 and 18 ( 20 and 19 27.59±6.4 20 and 20 and 21 27.18±2.9 20 and 22 ) 23 and 26 tc 23 and 27 showed 24 gt 26 tc 25 - 26 tc 26 tc 27 showed 27 showed 29 lowest 28 the 29 lowest 29 lowest 31 8.45±6.7 30 ( 31 8.45±6.7 31 8.45±6.7 32 ) for the ra parameter , anova revealed that the aging method had an effect ( p=0.0157 ) but the surface treatments did [not] ( p=0.458 ) . 0 ###LEFT-WALL### 6 anova 0 ###LEFT-WALL### 7 revealed 0 ###LEFT-WALL### 27 . 1 for 4 parameter 1 for 5 , 1 for 6 anova 2 the 4 parameter 3 ra 4 parameter 6 anova 7 revealed 7 revealed 8 that 8 that 11 method 8 that 12 had 9 the 11 method 10 aging 11 method 11 method 12 had 12 had 14 effect 12 had 18 but 13 an 14 effect 14 effect 16 p=0.0157 15 ( 16 p=0.0157 16 p=0.0157 17 ) 18 but 20 surface 19 the 20 surface 20 surface 21 treatments 20 surface 22 did 20 surface 25 p=0.458 21 treatments 22 did 24 ( 25 p=0.458 25 p=0.458 26 ) for [the] thermocycled and [non] [-] thermocycled groups , ra ( µm ) was 0.69±0.16 and 1.12±0.52 , respectively . 0 ###LEFT-WALL### 10 ra 0 ###LEFT-WALL### 14 was 1 for 4 and 1 for 9 , 1 for 10 ra 3 thermocycled 4 and 4 and 7 thermocycled 4 and 8 groups 10 ra 12 µm 10 ra 14 was 11 ( 12 µm 12 µm 13 ) 14 was 16 and 15 0.69±0.16 16 and 16 and 17 1.12±0.52 17 1.12±0.52 19 respectively 18 , 19 respectively 19 respectively 20 . the most frequent failure mode exhibited was mixed failure involving the enamel - resin - bracket interfaces . 0 ###LEFT-WALL### 5 mode 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 15 - 1 the 5 mode 2 most 3 frequent 3 frequent 4 failure 4 failure 5 mode 5 mode 6 exhibited 5 mode 7 was 7 was 9 failure 8 mixed 9 failure 9 failure 10 involving 10 involving 12 enamel 11 the 12 enamel 12 enamel 14 resin 13 - 14 resin 14 resin 15 - 15 - 16 bracket 15 - 18 . 16 bracket 17 interfaces conclusion : regardless of the aging method , gh promoted similar sbs results to gc , suggesting that rebonded ceramic brackets are a more effective strategy . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 9 gh 2 : 10 promoted 3 regardless 4 of 4 of 7 method 4 of 8 , 4 of 9 gh 5 the 7 method 6 aging 7 method 9 gh 10 promoted 10 promoted 13 results 11 similar 13 results 12 sbs 13 results 13 results 14 to 13 results 17 suggesting 14 to 15 gc 16 , 17 suggesting 17 suggesting 18 that 17 suggesting 27 . 18 that 21 brackets 18 that 22 are 19 rebonded 20 ceramic 20 ceramic 21 brackets 21 brackets 22 are 22 are 26 strategy 23 a 26 strategy 24 more 25 effective 25 effective 26 strategy objectives : to assess the distribution of dementia subtypes in brazil using a population - based clinicopathological study . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 assess 2 : 15 - 2 : 19 . 3 to 4 assess 4 assess 6 distribution 4 assess 9 subtypes 5 the 6 distribution 6 distribution 7 of 6 distribution 9 subtypes 7 of 8 dementia 9 subtypes 10 in 9 subtypes 14 population 10 in 12 using 11 brazil 12 using 13 a 14 population 15 - 18 study 16 based 18 study 17 clinicopathological 18 study method : brains from [deceased] individuals aged ≥50 years old were collected after the next of kin signed an informed consent form and provided information through standardized questionnaires . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 23 and 3 brains 4 from 3 brains 23 and 4 from 6 individuals 6 individuals 8 ≥50 6 individuals 11 were 6 individuals 12 collected 7 aged 8 ≥50 8 ≥50 10 old 8 ≥50 11 were 9 years 10 old 12 collected 13 after 13 after 15 next 13 after 18 signed 14 the 15 next 15 next 16 of 15 next 18 signed 16 of 17 kin 18 signed 22 form 19 an 22 form 20 informed 21 consent 21 consent 22 form 23 and 25 information 23 and 26 through 24 provided 25 information 26 through 28 questionnaires 27 standardized 28 questionnaires post [-] mortem clinical diagnoses were established in consensus meetings , and only cases with moderate or severe dementia or without cognitive impairment were included in the analysis . 0 ###LEFT-WALL### 5 diagnoses 0 ###LEFT-WALL### 7 established 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 29 . 1 post 3 mortem 3 mortem 5 diagnoses 4 clinical 5 diagnoses 5 diagnoses 6 were 6 were 7 established 7 established 8 in 8 in 10 meetings 9 consensus 10 meetings 11 , 12 and 12 and 13 only 12 and 14 cases 12 and 25 included 14 cases 20 or 14 cases 24 were 15 with 19 dementia 15 with 20 or 16 moderate 17 or 17 or 18 severe 17 or 19 dementia 20 or 21 without 21 without 23 impairment 22 cognitive 23 impairment 24 were 25 included 25 included 26 in 26 in 28 analysis 27 the 28 analysis immunohistochemical neuropathological examinations were performed [following] the universally accepted guidelines . 0 ###LEFT-WALL### 1 immunohistochemical 0 ###LEFT-WALL### 5 performed 0 ###LEFT-WALL### 11 . 1 immunohistochemical 3 examinations 1 immunohistochemical 4 were 1 immunohistochemical 5 performed 2 neuropathological 3 examinations 3 examinations 4 were 5 performed 10 guidelines 7 the 10 guidelines 8 universally 9 accepted 9 accepted 10 guidelines a diagnosis of alzheimer 's disease was made when there were at least both a moderate density of neuritic plaques ( consortium to establish [a] register for alzheimer 's disease [b] [or] c ) and braak stage iii for neurofibrillary tangle distribution . 0 ###LEFT-WALL### 2 diagnosis 0 ###LEFT-WALL### 8 made 0 ###LEFT-WALL### 43 . 1 a 2 diagnosis 2 diagnosis 3 of 2 diagnosis 6 disease 2 diagnosis 7 was 2 diagnosis 8 made 3 of 5 's 4 alzheimer 5 's 6 disease 7 was 8 made 9 when 8 made 35 and 9 when 10 there 9 when 11 were 10 there 11 were 11 were 13 least 11 were 14 both 12 at 13 least 15 a 16 moderate 15 a 17 density 16 moderate 17 density 17 density 18 of 17 density 35 and 18 of 20 plaques 19 neuritic 20 plaques 20 plaques 22 consortium 21 ( 22 consortium 22 consortium 23 to 22 consortium 27 for 22 consortium 34 ) 23 to 26 register 24 establish 26 register 27 for 30 disease 28 alzheimer 29 's 29 's 30 disease 30 disease 33 c 35 and 37 stage 35 and 39 for 36 braak 37 stage 37 stage 38 iii 39 for 42 distribution 40 neurofibrillary 41 tangle 41 tangle 42 distribution for the diagnosis of vascular dementia , at least three zones or strategic areas had to be affected by infarcts , lacunae , or microinfarcts . 0 ###LEFT-WALL### 1 for 0 ###LEFT-WALL### 20 infarcts 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 26 . 1 for 3 diagnosis 2 the 3 diagnosis 3 diagnosis 4 of 3 diagnosis 20 infarcts 4 of 12 or 5 vascular 6 dementia 6 dementia 7 , 7 , 11 zones 7 , 12 or 8 at 9 least 9 least 10 three 10 three 11 zones 12 or 13 strategic 12 or 14 areas 12 or 19 by 14 areas 15 had 15 had 16 to 15 had 18 affected 16 to 17 be 17 be 18 affected 18 affected 19 by 21 , 24 or 22 lacunae 24 or 23 , 24 or 24 or 25 microinfarcts results : from 1,291 subjects , 113 cases were classified as having moderate or severe dementia , and 972 cases were free of cognitive impairment . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 8 cases 2 : 10 classified 2 : 14 or 3 from 5 subjects 3 from 6 , 3 from 8 cases 4 1,291 5 subjects 7 113 8 cases 8 cases 9 were 9 were 10 classified 10 classified 11 as 10 classified 13 moderate 11 as 12 having 14 or 18 and 14 or 21 were 15 severe 16 dementia 16 dementia 18 and 17 , 18 and 18 and 20 cases 18 and 21 were 19 972 20 cases 21 were 22 free 22 free 23 of 23 of 25 impairment 24 cognitive 25 impairment the neuropathological diagnoses of the dementia sub - group [were] alzheimer 's disease ( 35.4 % ) , vascular dementia ( 21.2 % ) , alzheimer 's disease plus vascular dementia ( 13.3 % ) , and other causes of dementia ( 30.1 % ) . 0 ###LEFT-WALL### 37 and 0 ###LEFT-WALL### 46 . 1 the 3 diagnoses 2 neuropathological 3 diagnoses 3 diagnoses 4 of 3 diagnoses 37 and 4 of 7 sub 5 the 7 sub 6 dementia 7 sub 7 sub 13 disease 8 - 13 disease 9 group 11 alzheimer 11 alzheimer 12 's 12 's 13 disease 13 disease 16 % 13 disease 20 dementia 13 disease 28 disease 13 disease 36 , 14 ( 16 % 15 35.4 16 % 16 % 17 ) 18 , 20 dementia 19 vascular 20 dementia 20 dementia 23 % 20 dementia 24 ) 21 ( 23 % 22 21.2 23 % 23 % 24 ) 25 , 28 disease 26 alzheimer 27 's 27 's 28 disease 28 disease 29 plus 28 disease 35 ) 29 plus 31 dementia 30 vascular 31 dementia 31 dementia 34 % 32 ( 34 % 33 13.3 34 % 34 % 35 ) 37 and 39 causes 37 and 40 of 37 and 44 % 38 other 39 causes 40 of 41 dementia 42 ( 44 % 43 30.1 44 % 44 % 45 ) conclusions : the relatively high frequencies of vascular dementia and small - vessel disease in the dementia sub - group constitute relevant findings for public health initiatives because control of vascular risk factors could decrease the prevalence of dementia in developing countries . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 43 . 2 : 6 frequencies 2 : 21 constitute 3 the 6 frequencies 4 relatively 5 high 5 high 6 frequencies 6 frequencies 7 of 6 frequencies 21 constitute 7 of 10 and 8 vascular 9 dementia 9 dementia 10 and 10 and 20 group 11 small 14 disease 11 small 20 group 12 - 14 disease 13 vessel 14 disease 14 disease 15 in 14 disease 19 - 15 in 18 sub 16 the 18 sub 17 dementia 18 sub 21 constitute 23 findings 21 constitute 24 for 21 constitute 28 because 21 constitute 40 in 22 relevant 23 findings 24 for 27 initiatives 25 public 26 health 26 health 27 initiatives 28 because 29 control 28 because 35 decrease 29 control 30 of 29 control 34 could 30 of 33 factors 31 vascular 33 factors 32 risk 33 factors 34 could 35 decrease 35 decrease 37 prevalence 36 the 37 prevalence 37 prevalence 38 of 38 of 39 dementia 40 in 41 developing 41 developing 42 countries to define the role of rare variants in advanced age - related macular [degeneration] ( amd ) risk , we sequenced the exons of 681 genes within all reported amd loci and related pathways in 2,493 cases and controls . 0 ###LEFT-WALL### 20 we 0 ###LEFT-WALL### 21 sequenced 0 ###LEFT-WALL### 40 . 1 to 2 define 1 to 11 - 1 to 20 we 2 define 4 role 2 define 8 in 3 the 4 role 4 role 5 of 5 of 7 variants 6 rare 7 variants 8 in 10 age 9 advanced 10 age 11 - 12 related 12 related 18 risk 12 related 19 , 12 related 20 we 13 macular 16 amd 13 macular 17 ) 13 macular 18 risk 15 ( 16 amd 16 amd 17 ) 20 we 21 sequenced 21 sequenced 23 exons 21 sequenced 27 within 21 sequenced 35 in 22 the 23 exons 23 exons 24 of 24 of 26 genes 25 681 26 genes 27 within 28 all 28 all 32 and 29 reported 31 loci 29 reported 32 and 30 amd 31 loci 32 and 33 related 32 and 34 pathways 35 in 36 2,493 36 2,493 38 and 37 cases 38 and 38 and 39 controls we first tested each gene for increased or decreased burden of rare variants in cases compared to controls . 0 ###LEFT-WALL### 2 first 0 ###LEFT-WALL### 3 tested 0 ###LEFT-WALL### 19 . 1 we 2 first 2 first 3 tested 3 tested 5 gene 3 tested 6 for 4 each 5 gene 6 for 8 or 7 increased 8 or 8 or 9 decreased 9 decreased 10 burden 9 decreased 14 in 10 burden 11 of 11 of 13 variants 12 rare 13 variants 14 in 15 cases 15 cases 16 compared 16 compared 17 to 17 to 18 controls we found that 7.8 % of amd cases compared to 2.3 % of controls are carriers of rare missense cfi variants ( odds [ratio] ( or ) = 3.6 ; p = 2 × 10 ( - 8 [ )( ( 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 30 ; 0 ###LEFT-WALL### 32 = 0 ###LEFT-WALL### 41 ( 1 we 2 found 2 found 3 that 2 found 28 = 3 that 12 % 3 that 15 are 3 that 28 = 4 7.8 5 % 4 7.8 10 to 5 % 6 of 5 % 9 compared 6 of 8 cases 7 amd 8 cases 10 to 11 2.3 10 to 12 % 12 % 13 of 12 % 15 are 13 of 14 controls 15 are 16 carriers 16 carriers 17 of 17 of 21 variants 18 rare 19 missense 19 missense 21 variants 20 cfi 21 variants 21 variants 23 odds 22 ( 23 odds 23 odds 26 or 23 odds 27 ) 25 ( 26 or 26 or 27 ) 28 = 29 3.6 30 ; 31 p 31 p 32 = 32 = 34 × 33 2 34 × 34 × 35 10 34 × 38 8 36 ( 38 8 37 - 38 8 38 8 40 )( there was a predominance of dysfunctional variants in cases compared to controls . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 13 . 1 there 2 was 2 was 4 predominance 3 a 4 predominance 4 predominance 5 of 5 of 7 variants 6 dysfunctional 7 variants 7 variants 8 in 8 in 9 cases 9 cases 10 compared 10 compared 11 to 11 to 12 controls we then tested individual variants for association [with] disease . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 tested 0 ###LEFT-WALL### 10 . 1 we 3 tested 2 then 3 tested 3 tested 5 variants 4 individual 5 variants 5 variants 6 for 6 for 9 disease 7 association 9 disease we observed significant association [with] rare missense alleles in genes other than cfi . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 observed 0 ###LEFT-WALL### 14 . 1 we 2 observed 2 observed 8 alleles 2 observed 9 in 2 observed 12 than 3 significant 4 association 4 association 8 alleles 6 rare 7 missense 7 missense 8 alleles 9 in 10 genes 11 other 12 than 12 than 13 cfi genotyping in 5,115 independent samples confirmed associations with amd of an allele in c3 encoding p.lys155gln ( [replication] p = 3.5 × [10] ( - 5 ) , or = 2.8 [;] joint p = 5.2 × 10 ( - 9 [ )(, [or] = 3.8 ) and [an] allele in c9 encoding p.pro167ser ( [replication] p = 2.4 × [10] ( - 5 ) , or = 2.2 [;] joint p = 6.5 × 10 ( - 7 ) , [or] = 2.2 [ )( 1 genotyping 2 in 1 genotyping 5 samples 1 genotyping 6 confirmed 2 in 3 5,115 4 independent 5 samples 6 confirmed 7 associations 6 confirmed 8 with 6 confirmed 13 in 6 confirmed 16 p.lys155gln 8 with 9 amd 9 amd 10 of 10 of 12 allele 11 an 12 allele 13 in 15 encoding 14 c3 15 encoding 16 p.lys155gln 20 = 17 ( 20 = 19 p 20 = 20 = 29 or 21 3.5 29 or 22 × 26 5 22 × 28 , 22 × 29 or 24 ( 26 5 25 - 26 5 26 5 27 ) 29 or 31 2.8 29 or 33 joint 29 or 35 = 30 = 31 2.8 31 2.8 33 joint 34 p 35 = 35 = 36 5.2 36 5.2 48 and 37 × 45 = 37 × 48 and 38 10 40 - 39 ( 40 - 40 - 41 9 40 - 43 )(, 40 - 45 = 45 = 46 3.8 45 = 47 ) 48 and 50 allele 50 allele 51 in 50 allele 58 = 51 in 52 c9 52 c9 53 encoding 53 encoding 54 p.pro167ser 55 ( 58 = 57 p 58 = 58 = 67 or 59 2.4 67 or 60 × 64 5 60 × 66 , 60 × 67 or 62 ( 64 5 63 - 64 5 64 5 65 ) 67 or 69 2.2 67 or 71 joint 68 = 69 2.2 69 2.2 71 joint 71 joint 73 = 72 p 73 = 73 = 75 × 74 6.5 75 × 75 × 76 10 75 × 79 7 75 × 84 2.2 77 ( 79 7 78 - 79 7 79 7 80 ) 81 , 84 2.2 83 = 84 2.2 84 2.2 86 )( finally , we show that the allele of c3 encoding gln155 results in resistance to proteolytic inactivation by cfh and cfi . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 show 1 finally 2 , 1 finally 3 we 3 we 4 show 4 show 5 that 5 that 7 allele 5 that 12 results 6 the 7 allele 7 allele 8 of 7 allele 12 results 8 of 9 c3 9 c3 10 encoding 10 encoding 11 gln155 12 results 13 in 12 results 15 to 12 results 18 by 13 in 14 resistance 15 to 17 inactivation 16 proteolytic 17 inactivation 18 by 21 cfi 19 cfh 20 and 20 and 21 cfi 21 cfi 22 . these results implicate loss of c3 protein regulation and excessive alternative complement activation in amd pathogenesis , thus informing both the direction of effect and mechanistic underpinnings of this disorder . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 implicate 1 these 2 results 2 results 3 implicate 3 implicate 4 loss 3 implicate 14 in 3 implicate 19 informing 4 loss 5 of 5 of 9 and 6 c3 7 protein 7 protein 8 regulation 8 regulation 9 and 9 and 13 activation 10 excessive 12 complement 11 alternative 12 complement 12 complement 13 activation 14 in 16 pathogenesis 15 amd 16 pathogenesis 17 , 18 thus 17 , 19 informing 19 informing 25 and 19 informing 28 of 19 informing 31 . 20 both 25 and 21 the 22 direction 22 direction 23 of 22 direction 25 and 23 of 24 effect 25 and 27 underpinnings 26 mechanistic 27 underpinnings 28 of 30 disorder 29 this 30 disorder none objectives : the objective of this study was to evaluate the clinical outcome [of] rejuvenation surgery through double eyelid incision instead of face [-] lifting for the correction of different types of the upper eyelid sagging in older east asian patients . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 11 evaluate 0 ###LEFT-WALL### 43 . 1 none 2 objectives 1 none 10 to 1 none 11 evaluate 2 objectives 3 : 3 : 5 objective 4 the 5 objective 5 objective 6 of 5 objective 8 study 5 objective 9 was 6 of 7 this 8 study 9 was 9 was 10 to 11 evaluate 21 incision 11 evaluate 23 of 12 the 21 incision 13 clinical 14 outcome 14 outcome 17 surgery 16 rejuvenation 17 surgery 17 surgery 21 incision 18 through 20 eyelid 19 double 20 eyelid 20 eyelid 21 incision 22 instead 23 of 23 of 26 lifting 24 face 26 lifting 26 lifting 27 for 26 lifting 30 of 26 lifting 37 sagging 27 for 29 correction 28 the 29 correction 30 of 32 types 31 different 32 types 32 types 33 of 33 of 36 eyelid 34 the 36 eyelid 35 upper 36 eyelid 37 sagging 38 in 38 in 42 patients 39 older 41 asian 40 east 41 asian 41 asian 42 patients materials and methods : a total of 40 patients ( 80 aging upper eyelids ) with upper eyelid sagging were retrospectively examined . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 6 total 4 : 22 examined 4 : 23 . 5 a 6 total 6 total 7 of 6 total 16 with 6 total 20 were 7 of 9 patients 8 40 9 patients 9 patients 14 eyelids 10 ( 14 eyelids 11 80 14 eyelids 12 aging 14 eyelids 13 upper 14 eyelids 14 eyelids 15 ) 16 with 19 sagging 17 upper 18 eyelid 18 eyelid 19 sagging 20 were 22 examined 21 retrospectively 22 examined the age of the patients ranged from 53 to 85 years ( mean age , 65 [y] ) . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 6 ranged 0 ###LEFT-WALL### 19 . 1 the 2 age 2 age 3 of 2 age 6 ranged 3 of 5 patients 4 the 5 patients 6 ranged 7 from 7 from 11 years 8 53 9 to 9 to 10 85 9 to 11 years 11 years 14 age 11 years 16 65 12 ( 14 age 13 mean 14 age 14 age 15 , 15 , 16 65 16 65 18 ) after a thorough preoperative evaluation , the corresponding operations were performed and [the] follow - up results were obtained . 0 ###LEFT-WALL### 9 operations 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 15 - 1 after 5 evaluation 1 after 6 , 1 after 9 operations 2 a 3 thorough 2 a 5 evaluation 3 thorough 5 evaluation 4 preoperative 5 evaluation 7 the 9 operations 8 corresponding 9 operations 9 operations 12 and 10 were 11 performed 10 were 12 and 12 and 14 follow 15 - 17 results 15 - 19 obtained 15 - 20 . 16 up 17 results 17 results 18 were 18 were 19 obtained results : the operation of each patient with a mean [follow] - up period of 6 months was combined for a total of 80 rejuvenation operations . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 4 operation 2 : 19 combined 3 the 4 operation 4 operation 5 of 4 operation 7 patient 4 operation 18 was 5 of 6 each 7 patient 8 with 8 with 14 period 9 a 14 period 10 mean 12 - 10 mean 14 period 13 up 14 period 14 period 15 of 15 of 17 months 16 6 17 months 18 was 19 combined 19 combined 20 for 20 for 22 total 21 a 22 total 22 total 23 of 23 of 26 operations 24 80 26 operations 25 rejuvenation 26 operations a total of 34 patients ( 85 % ) were satisfied with the postoperative appearance , 3 patients ( 7.5 % ) showed inadequate skin reduction , 1 patient ( 2.5 % ) had asymmetry between 2 blepharoplasty lines , and 2 patients ( 5 % ) showed obvious scars . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 11 satisfied 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 51 . 1 a 2 total 2 total 3 of 2 total 10 were 3 of 5 patients 4 34 5 patients 5 patients 8 % 6 ( 8 % 7 85 8 % 8 % 9 ) 10 were 11 satisfied 11 satisfied 12 with 12 with 15 appearance 13 the 15 appearance 14 postoperative 15 appearance 16 , 18 patients 16 , 23 showed 16 , 41 and 17 3 18 patients 18 patients 21 % 18 patients 23 showed 19 ( 21 % 20 7.5 21 % 21 % 22 ) 23 showed 25 skin 23 showed 35 asymmetry 23 showed 36 between 24 inadequate 25 skin 25 skin 26 reduction 25 skin 34 had 26 reduction 29 patient 26 reduction 34 had 27 , 29 patient 28 1 29 patient 29 patient 32 % 29 patient 33 ) 30 ( 32 % 31 2.5 32 % 32 % 33 ) 36 between 39 lines 37 2 39 lines 38 blepharoplasty 39 lines 40 , 41 and 41 and 43 patients 41 and 48 showed 42 2 43 patients 43 patients 46 % 43 patients 48 showed 44 ( 46 % 45 5 46 % 46 % 47 ) 48 showed 50 scars 49 obvious 50 scars conclusions : through a thorough preoperative evaluation , rejuvenation surgery through blepharoplasty [incision] is an effective solution for mild to moderate upper eyelid sagging in older asian patients . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 1 conclusions 2 : 2 : 3 through 3 through 7 evaluation 4 a 5 thorough 4 a 7 evaluation 5 thorough 7 evaluation 6 preoperative 7 evaluation 7 evaluation 10 surgery 8 , 10 surgery 9 rejuvenation 10 surgery 10 surgery 12 blepharoplasty 10 surgery 18 for 10 surgery 19 mild 10 surgery 29 . 11 through 12 blepharoplasty 12 blepharoplasty 14 is 14 is 17 solution 14 is 18 for 15 an 17 solution 16 effective 17 solution 19 mild 20 to 19 mild 25 in 20 to 24 sagging 21 moderate 24 sagging 22 upper 24 sagging 23 eyelid 24 sagging 25 in 28 patients 26 older 27 asian 27 asian 28 patients background : in consideration of the distinctive structural characteristics of the eyelid , the optimally matching donor site to the original recipient site skin should be selected when a full - thickness skin graft is anticipated in a small - sized [or] medium - sized eyelid defect in middle [-] aged or elderly patients . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 26 be 0 ###LEFT-WALL### 55 . 1 background 2 : 2 : 3 in 3 in 4 consideration 4 consideration 5 of 5 of 9 characteristics 6 the 9 characteristics 7 distinctive 9 characteristics 8 structural 9 characteristics 9 characteristics 10 of 10 of 12 eyelid 11 the 12 eyelid 13 , 26 be 14 the 18 site 15 optimally 16 matching 16 matching 17 donor 17 donor 18 site 18 site 19 to 18 site 25 should 19 to 24 skin 20 the 24 skin 21 original 23 site 22 recipient 23 site 23 site 24 skin 25 should 26 be 26 be 27 selected 27 selected 28 when 27 selected 37 in 27 selected 48 in 28 when 34 graft 28 when 36 anticipated 29 a 30 full 29 a 34 graft 30 full 31 - 30 full 34 graft 32 thickness 34 graft 33 skin 34 graft 34 graft 35 is 35 is 36 anticipated 37 in 47 defect 38 a 39 small 38 a 47 defect 39 small 40 - 39 small 47 defect 41 sized 46 eyelid 43 medium 44 - 43 medium 46 eyelid 45 sized 46 eyelid 46 eyelid 47 defect 48 in 54 patients 49 middle 54 patients 51 aged 52 or 52 or 53 elderly 52 or 54 patients methods : eight patients ranging in age from 47 to 71 years suffered singular eyelid defects of different causes . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 patients 2 : 13 suffered 2 : 20 . 3 eight 4 patients 4 patients 5 ranging 4 patients 8 from 4 patients 13 suffered 5 ranging 6 in 6 in 7 age 8 from 12 years 9 47 10 to 10 to 11 71 10 to 12 years 13 suffered 16 defects 14 singular 16 defects 15 eyelid 16 defects 16 defects 17 of 17 of 19 causes 18 different 19 causes based on the location , shape , and degree of the defects , we removed the redundant skin as a skin graft from the same side in the contralateral eyelid in a routine blepharoplasty procedure and transferred the graft to repair the defect . 0 ###LEFT-WALL### 14 we 0 ###LEFT-WALL### 36 and 0 ###LEFT-WALL### 44 . 1 based 2 on 1 based 13 , 1 based 14 we 2 on 4 location 3 the 4 location 4 location 8 and 5 , 8 and 6 shape 8 and 7 , 8 and 8 and 9 degree 8 and 10 of 8 and 13 , 10 of 12 defects 11 the 12 defects 14 we 36 and 15 removed 18 skin 15 removed 19 as 15 removed 27 in 15 removed 31 in 15 removed 36 and 16 the 18 skin 17 redundant 18 skin 19 as 22 graft 20 a 21 skin 20 a 22 graft 21 skin 22 graft 22 graft 23 from 23 from 26 side 24 the 25 same 24 the 26 side 27 in 30 eyelid 28 the 30 eyelid 29 contralateral 30 eyelid 31 in 35 procedure 32 a 35 procedure 33 routine 34 blepharoplasty 34 blepharoplasty 35 procedure 36 and 37 transferred 36 and 40 to 37 transferred 39 graft 38 the 39 graft 40 to 41 repair 41 repair 43 defect 42 the 43 defect results : the skin grafts survived in all cases , and the incisions healed [primarily] . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 . 1 results 2 : 2 : 5 grafts 3 the 5 grafts 4 skin 5 grafts 5 grafts 6 survived 6 survived 7 in 7 in 11 and 8 all 9 cases 9 cases 11 and 10 , 11 and 11 and 13 incisions 11 and 14 healed 12 the 13 incisions the eyelid laxity improved , and no complications occurred . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 9 occurred 0 ###LEFT-WALL### 10 . 1 the 3 laxity 2 eyelid 3 laxity 3 laxity 4 improved 3 laxity 6 and 5 , 6 and 6 and 8 complications 6 and 9 occurred 7 no 8 complications all cases were followed up for 3 months to 2 years , the quality of skin grafts was similar to that of the surrounding skin , and the activity was ideal . 0 ###LEFT-WALL### 2 cases 0 ###LEFT-WALL### 4 followed 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 32 . 1 all 2 cases 2 cases 3 were 3 were 4 followed 4 followed 5 up 4 followed 6 for 6 for 9 to 7 3 8 months 8 months 9 to 9 to 11 years 10 2 11 years 12 , 14 quality 12 , 18 was 12 , 27 and 13 the 14 quality 14 quality 15 of 14 quality 18 was 15 of 17 grafts 16 skin 17 grafts 18 was 19 similar 19 similar 20 to 20 to 21 that 21 that 22 of 22 of 25 skin 23 the 25 skin 24 surrounding 25 skin 26 , 27 and 27 and 29 activity 27 and 30 was 28 the 29 activity 29 activity 30 was 30 was 31 ideal conclusions : when an eyelid defect is not amenable to direct closure and skin grafting is selected , the proper donor site is vital to the final outcome . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 22 site 2 : 23 is 2 : 29 . 3 when 15 grafting 3 when 17 selected 3 when 22 site 4 an 6 defect 5 eyelid 6 defect 6 defect 7 is 7 is 8 not 7 is 9 amenable 9 amenable 10 to 9 amenable 13 and 10 to 13 and 11 direct 12 closure 11 direct 13 and 13 and 14 skin 13 and 15 grafting 15 grafting 16 is 16 is 17 selected 17 selected 18 , 19 the 22 site 20 proper 21 donor 21 donor 22 site 22 site 23 is 23 is 24 vital 24 vital 25 to 25 to 28 outcome 26 the 28 outcome 27 final 28 outcome the same facial aesthetic subunits , such as sufficient laxity in the contralateral eyelid skin [in] middle - aged and elderly patients , can provide the best match with the recipient skin and represent the best donor site for defect reconstruction . 0 ###LEFT-WALL### 5 subunits 0 ###LEFT-WALL### 33 and 0 ###LEFT-WALL### 42 . 1 the 2 same 2 same 5 subunits 3 facial 5 subunits 4 aesthetic 5 subunits 5 subunits 8 as 5 subunits 20 and 5 subunits 33 and 6 , 8 as 7 such 8 as 8 as 10 laxity 8 as 18 - 9 sufficient 10 laxity 10 laxity 11 in 11 in 17 middle 12 the 17 middle 13 contralateral 14 eyelid 14 eyelid 17 middle 15 skin 17 middle 18 - 20 and 19 aged 20 and 20 and 22 patients 20 and 23 , 21 elderly 22 patients 24 can 25 provide 24 can 33 and 25 provide 28 match 25 provide 29 with 26 the 27 best 26 the 28 match 29 with 32 skin 30 the 32 skin 31 recipient 32 skin 33 and 34 represent 33 and 39 for 34 represent 38 site 35 the 36 best 35 the 38 site 37 donor 38 site 39 for 41 reconstruction 40 defect 41 reconstruction our recently published work suggests that dna helicases such as the werner syndrome helicase ( wrn ) represent a novel class of proteins to target for anticancer therapy . 0 ###LEFT-WALL### 4 work 0 ###LEFT-WALL### 5 suggests 0 ###LEFT-WALL### 29 . 1 our 4 work 2 recently 3 published 3 published 4 work 4 work 5 suggests 5 suggests 6 that 6 that 8 helicases 6 that 18 represent 7 dna 8 helicases 8 helicases 10 as 9 such 10 as 10 as 14 helicase 11 the 14 helicase 12 werner 14 helicase 13 syndrome 14 helicase 14 helicase 16 wrn 15 ( 16 wrn 16 wrn 17 ) 18 represent 21 class 19 a 20 novel 19 a 21 class 20 novel 21 class 21 class 22 of 21 class 24 to 21 class 25 target 22 of 23 proteins 24 to 25 target 25 target 26 for 26 for 28 therapy 27 anticancer 28 therapy specifically , pharmacological inhibition of wrn helicase activity in human cells defective in the fanconi anemia ( fa ) pathway of interstrand [cross] - link [(] icl ) repair [are] sensitized to the dna cross [-] linking agent and chemotherapy drug mitomycin c ( mmc ) by the wrn helicase inhibitor nsc 617145 . 0 ###LEFT-WALL### 39 and 0 ###LEFT-WALL### 41 drug 0 ###LEFT-WALL### 54 . 1 specifically 2 , 1 specifically 39 and 3 pharmacological 4 inhibition 4 inhibition 5 of 4 inhibition 39 and 5 of 8 activity 6 wrn 7 helicase 7 helicase 8 activity 8 activity 9 in 8 activity 12 defective 9 in 11 cells 10 human 11 cells 12 defective 13 in 13 in 20 pathway 14 the 20 pathway 15 fanconi 20 pathway 16 anemia 18 fa 16 anemia 19 ) 16 anemia 20 pathway 17 ( 18 fa 18 fa 19 ) 20 pathway 21 of 21 of 29 repair 22 interstrand 27 icl 22 interstrand 28 ) 22 interstrand 29 repair 24 - 27 icl 25 link 27 icl 27 icl 28 ) 29 repair 31 sensitized 31 sensitized 32 to 32 to 35 cross 33 the 35 cross 34 dna 35 cross 35 cross 37 linking 37 linking 38 agent 39 and 40 chemotherapy 39 and 41 drug 41 drug 42 mitomycin 41 drug 47 by 42 mitomycin 43 c 42 mitomycin 45 mmc 44 ( 45 mmc 45 mmc 46 ) 47 by 52 nsc 48 the 51 inhibitor 49 wrn 51 inhibitor 50 helicase 51 inhibitor 51 inhibitor 52 nsc 52 nsc 53 617145 [(] [1] [ )(the mechanistic basis for the synergistic interaction between nsc 617145 [and] mmc is discussed in this paper and extrapolated to potential implications for genetic or chemically induced synthetic lethality provoked by cellular exposure to the wrn helicase inhibitor under the context of relevant dna repair deficiencies associated with cancers or induced by small - molecule inhibitors . 0 ###LEFT-WALL### 6 basis 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 60 . 4 )(the 6 basis 5 mechanistic 6 basis 6 basis 7 for 6 basis 21 and 7 for 10 interaction 8 the 10 interaction 9 synergistic 10 interaction 10 interaction 11 between 10 interaction 15 mmc 10 interaction 16 is 11 between 12 nsc 12 nsc 13 617145 15 mmc 16 is 17 discussed 18 in 17 discussed 20 paper 17 discussed 21 and 18 in 19 this 21 and 22 extrapolated 22 extrapolated 23 to 22 extrapolated 34 by 23 to 25 implications 24 potential 25 implications 25 implications 26 for 26 for 28 or 27 genetic 28 or 28 or 32 lethality 28 or 33 provoked 29 chemically 30 induced 30 induced 32 lethality 31 synthetic 32 lethality 34 by 36 exposure 35 cellular 36 exposure 36 exposure 37 to 36 exposure 42 under 36 exposure 45 of 37 to 41 inhibitor 38 the 41 inhibitor 39 wrn 40 helicase 40 helicase 41 inhibitor 42 under 44 context 43 the 44 context 45 of 48 repair 46 relevant 48 repair 47 dna 48 repair 48 repair 49 deficiencies 48 repair 54 induced 48 repair 55 by 49 deficiencies 53 or 50 associated 51 with 50 associated 53 or 51 with 52 cancers 53 or 54 induced 55 by 59 inhibitors 56 small 57 - 56 small 59 inhibitors 58 molecule 59 inhibitors experimental data are presented showing that small - molecule inhibition of wrn helicase elevates sensitivity to mmc - induced stress in human cells that are deficient in both fancd2 and dna protein kinase catalytic subunit ( dna - pkcs ) . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 18 - 0 ###LEFT-WALL### 41 . 1 experimental 2 data 2 data 3 are 3 are 5 showing 3 are 16 to 4 presented 5 showing 5 showing 6 that 5 showing 14 elevates 6 that 10 inhibition 6 that 14 elevates 7 small 8 - 7 small 9 molecule 9 molecule 10 inhibition 10 inhibition 11 of 10 inhibition 14 elevates 11 of 13 helicase 12 wrn 13 helicase 14 elevates 15 sensitivity 16 to 17 mmc 18 - 30 and 19 induced 20 stress 20 stress 21 in 20 stress 30 and 21 in 23 cells 22 human 23 cells 23 cells 24 that 23 cells 25 are 24 that 25 are 25 are 26 deficient 26 deficient 27 in 27 in 29 fancd2 28 both 29 fancd2 30 and 35 subunit 30 and 37 dna 30 and 39 pkcs 31 dna 32 protein 32 protein 35 subunit 33 kinase 35 subunit 34 catalytic 35 subunit 36 ( 37 dna 37 dna 38 - 38 - 39 pkcs 39 pkcs 40 ) these findings suggest a model in which drug - mediated inhibition of wrn helicase activity exacerbates the deleterious effects of mmc - induced dna damage [when] both the fa and nhej pathways are defective . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 35 . 1 these 2 findings 2 findings 3 suggest 3 suggest 32 pathways 3 suggest 33 are 4 a 5 model 5 model 6 in 5 model 30 and 6 in 7 which 6 in 8 drug 6 in 24 dna 6 in 25 damage 7 which 8 drug 8 drug 11 inhibition 9 - 11 inhibition 10 mediated 11 inhibition 11 inhibition 12 of 11 inhibition 22 - 12 of 14 helicase 13 wrn 14 helicase 14 helicase 15 activity 14 helicase 16 exacerbates 15 activity 16 exacerbates 16 exacerbates 19 effects 17 the 19 effects 18 deleterious 19 effects 19 effects 20 of 20 of 21 mmc 23 induced 24 dna 24 dna 25 damage 25 damage 27 both 27 both 28 the 27 both 29 fa 28 the 29 fa 30 and 31 nhej 30 and 32 pathways 32 pathways 33 are 33 are 34 defective we conclude with a perspective for the fa pathway and synthetic lethality and implications for dna repair helicase inhibitors that can be developed for anticancer strategies . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conclude 0 ###LEFT-WALL### 27 . 1 we 2 conclude 2 conclude 3 with 2 conclude 13 and 2 conclude 17 repair 3 with 5 perspective 4 a 5 perspective 5 perspective 6 for 6 for 10 and 7 the 9 pathway 8 fa 9 pathway 9 pathway 10 and 10 and 11 synthetic 12 lethality 13 and 13 and 14 implications 13 and 17 repair 14 implications 15 for 15 for 16 dna 17 repair 19 inhibitors 18 helicase 19 inhibitors 19 inhibitors 20 that 19 inhibitors 21 can 20 that 21 can 21 can 22 be 22 be 23 developed 23 developed 24 for 24 for 26 strategies 25 anticancer 26 strategies none telomeres play a central role in cellular senescence and [are] associated with a variety of age - related disorders such as dementia , alzheimer 's disease and atherosclerosis . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 17 age 0 ###LEFT-WALL### 19 related 1 none 2 telomeres 1 none 10 and 1 none 17 age 2 telomeres 10 and 3 play 6 role 3 play 7 in 3 play 10 and 4 a 5 central 4 a 6 role 5 central 6 role 7 in 9 senescence 8 cellular 9 senescence 10 and 12 associated 10 and 13 with 10 and 16 of 13 with 15 variety 14 a 15 variety 15 variety 16 of 18 - 19 related 19 related 28 and 19 related 30 . 20 disorders 22 as 20 disorders 24 , 21 such 22 as 22 as 23 dementia 24 , 27 disease 24 , 28 and 25 alzheimer 26 's 26 's 27 disease 28 and 29 atherosclerosis telomere length varies greatly among individuals of the same age , and is heritable . 0 ###LEFT-WALL### 2 length 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 15 . 1 telomere 2 length 2 length 12 and 3 varies 4 greatly 3 varies 5 among 3 varies 12 and 5 among 6 individuals 6 individuals 7 of 7 of 10 age 8 the 9 same 9 same 10 age 11 , 12 and 12 and 13 is 13 is 14 heritable here we performed a genome - wide linkage [scan] to identify quantitative trait loci ( qtl ) influencing leukocyte telomere length ( ltl ) measured by quantitative pcr in 3,665 american indians ( aged 14 - 93 years ) from 94 large , multi - generational families . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 performed 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 48 . 1 here 2 we 2 we 3 performed 3 performed 5 genome 4 a 5 genome 6 - 8 linkage 7 wide 8 linkage 8 linkage 10 to 8 linkage 11 identify 8 linkage 18 influencing 10 to 11 identify 11 identify 14 loci 12 quantitative 14 loci 13 trait 14 loci 14 loci 16 qtl 15 ( 16 qtl 16 qtl 17 ) 18 influencing 20 telomere 18 influencing 26 by 18 influencing 40 from 19 leukocyte 20 telomere 20 telomere 21 length 20 telomere 25 measured 21 length 23 ltl 21 length 25 measured 22 ( 23 ltl 23 ltl 24 ) 26 by 28 pcr 27 quantitative 28 pcr 28 pcr 29 in 29 in 32 indians 30 3,665 32 indians 31 american 32 indians 32 indians 38 years 33 ( 38 years 34 aged 38 years 35 14 36 - 36 - 37 93 36 - 38 years 38 years 39 ) 40 from 47 families 41 94 47 families 42 large 43 , 42 large 47 families 44 multi 45 - 44 multi 47 families 46 generational 47 families all participants were recruited by the strong heart family study ( shfs ) , a prospective study to identify genetic factors for cardiovascular disease and its risk factors in american indians residing in oklahoma , arizona and dakota . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 39 . 1 all 2 participants 2 participants 3 were 3 were 4 recruited 4 recruited 5 by 5 by 12 shfs 6 the 12 shfs 7 strong 8 heart 8 heart 9 family 9 family 10 study 10 study 12 shfs 11 ( 12 shfs 12 shfs 13 ) 14 , 17 study 14 , 28 factors 14 , 35 , 15 a 16 prospective 15 a 17 study 16 prospective 17 study 17 study 18 to 17 study 19 identify 17 study 28 factors 18 to 19 identify 19 identify 21 factors 19 identify 22 for 20 genetic 21 factors 22 for 25 and 23 cardiovascular 24 disease 24 disease 25 and 25 and 27 risk 26 its 27 risk 28 factors 29 in 28 factors 31 indians 28 factors 33 in 30 american 31 indians 31 indians 32 residing 33 in 34 oklahoma 35 , 37 and 36 arizona 37 and 37 and 38 dakota ltl heritability was estimated to be between 51 [%] and 62 % , suggesting a strong genetic predisposition to interindividual variation of ltl in this population . 0 ###LEFT-WALL### 1 ltl 0 ###LEFT-WALL### 6 be 1 ltl 2 heritability 1 ltl 5 to 1 ltl 6 be 2 heritability 3 was 3 was 4 estimated 4 estimated 5 to 6 be 12 % 7 between 10 and 8 51 10 and 10 and 11 62 10 and 12 % 12 % 14 suggesting 13 , 14 suggesting 14 suggesting 18 predisposition 14 suggesting 19 to 14 suggesting 24 in 14 suggesting 27 . 15 a 16 strong 15 a 18 predisposition 16 strong 18 predisposition 17 genetic 18 predisposition 19 to 21 variation 20 interindividual 21 variation 21 variation 22 of 22 of 23 ltl 24 in 26 population 25 this 26 population significant qtls were localized to chromosome 13 ( logarithm of odds [score] ( lod )=3.9 ) at 13q12.11 , to 18q22.2 ( lod=3.2 ) and to 3p14.1 ( lod=3.0 ) for oklahoma . 0 ###LEFT-WALL### 2 qtls 0 ###LEFT-WALL### 4 localized 0 ###LEFT-WALL### 33 . 1 significant 2 qtls 2 qtls 3 were 3 were 4 localized 4 localized 5 to 4 localized 25 and 4 localized 31 for 5 to 6 chromosome 6 chromosome 7 13 6 chromosome 9 logarithm 8 ( 9 logarithm 9 logarithm 10 of 9 logarithm 15 )=3.9 9 logarithm 16 ) 10 of 11 odds 13 ( 15 )=3.9 14 lod 15 )=3.9 15 )=3.9 16 ) 17 at 18 13q12.11 17 at 25 and 18 13q12.11 20 to 19 , 20 to 20 to 21 18q22.2 20 to 24 ) 21 18q22.2 23 lod=3.2 22 ( 23 lod=3.2 23 lod=3.2 24 ) 25 and 26 to 26 to 27 3p14.1 27 3p14.1 29 lod=3.0 28 ( 29 lod=3.0 29 lod=3.0 30 ) 31 for 32 oklahoma this is the first study to identify susceptibility loci influencing leukocyte telomere variation in american indians , a minority group suffering from a disproportionately high rate of type 2 diabetes and other age - related disorders . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 35 related 0 ###LEFT-WALL### 37 . 1 this 2 is 2 is 5 study 2 is 6 to 2 is 14 in 3 the 5 study 4 first 5 study 6 to 7 identify 7 identify 9 loci 8 susceptibility 9 loci 9 loci 10 influencing 10 influencing 13 variation 11 leukocyte 12 telomere 12 telomere 13 variation 14 in 16 indians 15 american 16 indians 16 indians 20 group 17 , 20 group 18 a 20 group 19 minority 20 group 20 group 21 suffering 20 group 27 of 20 group 31 and 20 group 33 age 20 group 34 - 21 suffering 22 from 22 from 26 rate 23 a 24 disproportionately 23 a 26 rate 24 disproportionately 25 high 25 high 26 rate 27 of 28 type 28 type 29 2 30 diabetes 31 and 31 and 32 other 31 and 33 age 34 - 35 related 35 related 36 disorders the levels of micrornas ( mirnas ) are altered under different conditions such as cancer , senescence , and aging . 0 ###LEFT-WALL### 2 levels 0 ###LEFT-WALL### 9 altered 0 ###LEFT-WALL### 21 . 1 the 2 levels 2 levels 3 of 2 levels 8 are 3 of 4 micrornas 4 micrornas 6 mirnas 5 ( 6 mirnas 6 mirnas 7 ) 8 are 9 altered 9 altered 10 under 10 under 12 conditions 11 different 12 conditions 12 conditions 14 as 13 such 14 as 14 as 19 and 15 cancer 16 , 16 , 17 senescence 16 , 19 and 18 , 19 and 19 and 20 aging here , we have identified differentially expressed mirnas in skeletal muscle from young and old rhesus monkeys using rna sequencing . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 5 identified 0 ###LEFT-WALL### 21 . 1 here 2 , 1 here 3 we 3 we 4 have 4 have 5 identified 5 identified 8 mirnas 5 identified 9 in 6 differentially 7 expressed 7 expressed 8 mirnas 9 in 11 muscle 10 skeletal 11 muscle 11 muscle 12 from 11 muscle 16 rhesus 11 muscle 20 sequencing 12 from 14 and 13 young 14 and 14 and 15 old 16 rhesus 17 monkeys 17 monkeys 18 using 18 using 19 rna 19 rna 20 sequencing in old muscle , several mirnas were upregulated , including mir - 451 , mir - 144 , mir - 18a and mir - 15a , while a few mirnas were downregulated , including mir - 181a and mir - 181b . 0 ###LEFT-WALL### 6 mirnas 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 42 . 1 in 3 muscle 1 in 4 , 1 in 6 mirnas 2 old 3 muscle 5 several 6 mirnas 6 mirnas 7 were 7 were 8 upregulated 9 , 22 and 9 , 41 181b 10 including 15 mir 10 including 18 , 10 including 22 and 11 mir 13 451 11 mir 15 mir 12 - 13 451 13 451 14 , 15 mir 17 144 16 - 17 144 17 144 18 , 19 mir 20 - 19 mir 21 18a 21 18a 22 and 22 and 25 15a 22 and 34 including 22 and 38 and 22 and 41 181b 23 mir 24 - 23 mir 25 15a 26 , 27 while 27 while 30 mirnas 27 while 32 downregulated 27 while 33 , 27 while 34 including 28 a 29 few 29 few 30 mirnas 30 mirnas 31 were 31 were 32 downregulated 32 downregulated 33 , 34 including 35 mir 36 - 38 and 37 181a 38 and 38 and 39 mir 38 and 40 - a number of novel mirnas were also identified , particularly in old muscle . 0 ###LEFT-WALL### 2 number 0 ###LEFT-WALL### 8 identified 1 a 2 number 2 number 3 of 2 number 6 were 3 of 5 mirnas 4 novel 5 mirnas 6 were 8 identified 7 also 8 identified 8 identified 11 in 9 , 10 particularly 9 , 11 in 11 in 13 muscle 11 in 14 . 12 old 13 muscle we also examined the impact [of] caloric restriction ( cr ) on mirna abundance by reverse transcription ( rt ) followed by real - time , quantitative [(] [q] )pcr analysis and [found] that cr rescued the levels of mir - 181b and chr1:205580546 , and also dampened the age - induced increase in mir - 451 and [mir] - 144 levels . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 examined 1 we 3 examined 2 also 3 examined 3 examined 8 restriction 3 examined 12 on 4 the 8 restriction 5 impact 8 restriction 7 caloric 8 restriction 8 restriction 10 cr 9 ( 10 cr 10 cr 11 ) 12 on 13 mirna 13 mirna 14 abundance 13 mirna 21 followed 14 abundance 15 by 14 abundance 21 followed 15 by 17 transcription 16 reverse 17 transcription 17 transcription 19 rt 18 ( 19 rt 19 rt 20 ) 21 followed 22 by 22 by 32 and 23 real 25 time 23 real 30 )pcr 24 - 25 time 25 time 26 , 27 quantitative 30 )pcr 30 )pcr 31 analysis 31 analysis 32 and 32 and 35 cr 34 that 35 cr 35 cr 46 and 36 rescued 38 levels 36 rescued 46 and 37 the 38 levels 38 levels 39 of 38 levels 43 and 39 of 40 mir 41 - 43 and 42 181b 43 and 43 and 44 chr1:205580546 43 and 45 , 46 and 48 dampened 46 and 50 age 46 and 56 - 47 also 48 dampened 49 the 50 age 51 - 56 - 52 induced 53 increase 53 increase 54 in 53 increase 56 - 54 in 55 mir 56 - 62 levels 56 - 63 . 57 451 58 and 58 and 61 144 58 and 62 levels 60 - 61 144 our results reveal that there are changes in expression [of] known and novel mirnas with skeletal muscle aging and that cr may reverse some of these changes to a younger phenotype . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 32 . 1 our 2 results 2 results 12 and 3 reveal 4 that 3 reveal 12 and 4 that 5 there 4 that 6 are 5 there 6 are 6 are 7 changes 6 are 8 in 8 in 9 expression 9 expression 11 known 12 and 23 reverse 13 novel 14 mirnas 14 mirnas 15 with 14 mirnas 19 and 15 with 17 muscle 16 skeletal 17 muscle 17 muscle 18 aging 19 and 21 cr 19 and 22 may 20 that 21 cr 22 may 23 reverse 23 reverse 24 some 23 reverse 28 to 24 some 25 of 25 of 27 changes 26 these 27 changes 28 to 31 phenotype 29 a 31 phenotype 30 younger 31 phenotype background : aging and sedentary lifestyles lead to cardiac atrophy , [ventricular] stiffening , and impaired diastolic function . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 19 . 1 background 2 : 2 : 3 aging 4 and 6 lifestyles 4 and 7 lead 5 sedentary 6 lifestyles 6 lifestyles 7 lead 7 lead 8 to 8 to 15 and 9 cardiac 10 atrophy 10 atrophy 11 , 11 , 13 stiffening 11 , 15 and 14 , 15 and 15 and 18 function 16 impaired 18 function 17 diastolic 18 function both conditions are marked by increased adiposity , which can lead to ectopic fat deposition in nonadipocyte tissues including the myocardium . 0 ###LEFT-WALL### 2 conditions 0 ###LEFT-WALL### 4 marked 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 22 . 1 both 2 conditions 2 conditions 3 are 3 are 4 marked 4 marked 5 by 5 by 7 adiposity 6 increased 7 adiposity 8 , 9 which 8 , 11 lead 9 which 10 can 10 can 11 lead 11 lead 12 to 11 lead 16 in 12 to 15 deposition 13 ectopic 15 deposition 14 fat 15 deposition 16 in 18 tissues 17 nonadipocyte 18 tissues 18 tissues 19 including 19 including 21 myocardium 20 the 21 myocardium the effect of excess intramyocardial fat on cardiac function [in] nonobese individuals is unknown . 0 ###LEFT-WALL### 2 effect 0 ###LEFT-WALL### 13 is 0 ###LEFT-WALL### 15 . 1 the 2 effect 2 effect 3 of 2 effect 13 is 3 of 6 fat 4 excess 6 fat 5 intramyocardial 6 fat 6 fat 7 on 7 on 12 individuals 8 cardiac 9 function 9 function 12 individuals 11 nonobese 12 individuals 13 is 14 unknown methods and results : cardiac lipid content was measured by magnetic resonance spectroscopy in 153 healthy nonobese subjects with varying fitness levels quantified by peak oxygen uptake during treadmill exercise . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 4 : 1 methods 2 and 2 and 3 results 4 : 7 content 4 : 27 uptake 4 : 31 . 5 cardiac 7 content 6 lipid 7 content 7 content 8 was 8 was 9 measured 9 measured 10 by 9 measured 14 in 10 by 13 spectroscopy 11 magnetic 12 resonance 12 resonance 13 spectroscopy 14 in 18 subjects 15 153 18 subjects 16 healthy 17 nonobese 17 nonobese 18 subjects 18 subjects 19 with 19 with 20 varying 20 varying 21 fitness 21 fitness 22 levels 21 fitness 27 uptake 22 levels 23 quantified 22 levels 27 uptake 23 quantified 24 by 24 by 26 oxygen 25 peak 26 oxygen 27 uptake 28 during 28 during 30 exercise 29 treadmill 30 exercise cardiac function ( [echo] [ )(and left [ventricular] ( lv ) filling pressures ( right heart catheterization ) were measured under varying [preloads] . 0 ###LEFT-WALL### 2 function 0 ###LEFT-WALL### 6 )(and 0 ###LEFT-WALL### 24 . 1 cardiac 2 function 3 ( 6 )(and 6 )(and 13 pressures 6 )(and 19 were 7 left 10 lv 7 left 12 filling 9 ( 10 lv 10 lv 11 ) 12 filling 13 pressures 13 pressures 17 catheterization 13 pressures 19 were 14 ( 17 catheterization 15 right 16 heart 16 heart 17 catheterization 17 catheterization 18 ) 19 were 20 measured 20 measured 21 under 21 under 22 varying [lv] stiffness was calculated from a curve fit of the diastolic portion of the pressure - volume curve . 0 ###LEFT-WALL### 2 stiffness 0 ###LEFT-WALL### 4 calculated 0 ###LEFT-WALL### 16 - 2 stiffness 3 was 3 was 4 calculated 4 calculated 5 from 5 from 7 curve 6 a 7 curve 7 curve 8 fit 7 curve 9 of 9 of 12 portion 10 the 12 portion 11 diastolic 12 portion 12 portion 13 of 13 of 15 pressure 14 the 15 pressure 16 - 18 curve 16 - 19 . 17 volume 18 curve the strongest clinical predictors of lipid content were body mass index [(] β=+0.03 ; 95 % confidence interval , 0.001 - 0.06 ) [and] peak oxygen uptake ( β= - 0.02 ; 95 % confidence interval , - 0.03 [to] - 0.009 ; [r] [(] 2 )=0.14 ; p<0.001 [ )( 0 ###LEFT-WALL### 4 predictors 0 ###LEFT-WALL### 8 were 0 ###LEFT-WALL### 14 ; 0 ###LEFT-WALL### 51 )( 1 the 2 strongest 1 the 4 predictors 3 clinical 4 predictors 4 predictors 5 of 4 predictors 8 were 5 of 7 content 6 lipid 7 content 8 were 13 β=+0.03 9 body 13 β=+0.03 10 mass 13 β=+0.03 11 index 13 β=+0.03 14 ; 18 interval 14 ; 19 , 15 95 16 % 16 % 17 confidence 17 confidence 18 interval 19 , 20 0.001 19 , 25 peak 19 , 30 - 20 0.001 22 0.06 20 0.001 25 peak 21 - 22 0.06 22 0.06 23 ) 25 peak 27 uptake 26 oxygen 27 uptake 27 uptake 29 β= 28 ( 29 β= 29 β= 30 - 30 - 31 0.02 30 - 32 ; 30 - 48 ; 32 ; 36 interval 32 ; 37 , 33 95 34 % 34 % 36 interval 35 confidence 36 interval 37 , 38 - 37 , 41 - 37 , 43 ; 38 - 39 0.03 39 0.03 41 - 41 - 42 0.009 43 ; 46 2 43 ; 47 )=0.14 46 2 47 )=0.14 48 ; 49 p<0.001 subjects in the highest quintile had [smaller] lv end - diastolic volumes ( 68±13 versus 58±12 [ml] / [m] ( 2 ) [;] p<0.01 ) and decreased peak early mitral annular and increased peak late mitral inflow velocities . 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 39 . 1 subjects 2 in 1 subjects 26 and 2 in 4 highest 3 the 4 highest 4 highest 5 quintile 4 highest 9 end 4 highest 12 volumes 5 quintile 6 had 6 had 8 lv 6 had 9 end 10 - 12 volumes 11 diastolic 12 volumes 12 volumes 14 68±13 12 volumes 25 ) 13 ( 14 68±13 14 68±13 15 versus 14 68±13 25 ) 15 versus 24 p<0.01 16 58±12 24 p<0.01 18 / 21 2 18 / 22 ) 18 / 24 p<0.01 20 ( 21 2 21 2 22 ) 26 and 38 velocities 27 decreased 28 peak 28 peak 38 velocities 29 early 38 velocities 30 mitral 38 velocities 31 annular 32 and 32 and 34 peak 32 and 38 velocities 33 increased 34 peak 35 late 37 inflow 36 mitral 37 inflow 37 inflow 38 velocities [there] were no differences in lv stiffness , but a [leftward] shift in the pressure [-] volume curve suggested a less distensible ventricle with increasing myocardial lipid levels . 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 9 but 0 ###LEFT-WALL### 29 . 2 were 4 differences 2 were 7 stiffness 3 no 4 differences 4 differences 5 in 5 in 6 lv 8 , 9 but 9 but 12 shift 9 but 19 suggested 10 a 12 shift 12 shift 13 in 12 shift 19 suggested 13 in 18 curve 14 the 18 curve 15 pressure 18 curve 17 volume 18 curve 19 suggested 23 ventricle 19 suggested 24 with 20 a 23 ventricle 21 less 22 distensible 22 distensible 23 ventricle 24 with 25 increasing 25 increasing 28 levels 26 myocardial 27 lipid 27 lipid 28 levels after adjusting for age , fitness , and body mass index , echocardiographic and morphometric differences among groups were attenuated [and] no longer significant . 0 ###LEFT-WALL### 16 differences 0 ###LEFT-WALL### 20 attenuated 0 ###LEFT-WALL### 25 . 1 after 2 adjusting 1 after 16 differences 2 adjusting 3 for 3 for 4 age 4 age 8 and 5 , 8 and 6 fitness 8 and 7 , 8 and 8 and 11 index 8 and 12 , 9 body 11 index 10 mass 11 index 13 echocardiographic 14 and 14 and 15 morphometric 14 and 16 differences 16 differences 17 among 16 differences 19 were 17 among 18 groups 19 were 20 attenuated 20 attenuated 23 longer 20 attenuated 24 significant 22 no 23 longer conclusions : body mass index and fitness levels are the strongest predictors of myocardial lipid content in nonobese humans . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 index 2 : 6 and 2 : 20 . 3 body 5 index 4 mass 5 index 6 and 8 levels 6 and 9 are 7 fitness 8 levels 8 levels 9 are 9 are 12 predictors 10 the 11 strongest 10 the 12 predictors 12 predictors 13 of 13 of 16 content 14 myocardial 15 lipid 15 lipid 16 content 16 content 17 in 17 in 19 humans 18 nonobese 19 humans cardiac lipid content is associated with decreased [ventricular] distensibility , and it may provide a causal mechanism linking changes in lv [function] related to age and fitness . 0 ###LEFT-WALL### 3 content 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 28 . 1 cardiac 3 content 2 lipid 3 content 3 content 4 is 4 is 11 and 5 associated 6 with 5 associated 11 and 6 with 9 distensibility 7 decreased 9 distensibility 10 , 11 and 11 and 14 provide 12 it 13 may 13 may 14 provide 14 provide 17 mechanism 15 a 16 causal 15 a 17 mechanism 16 causal 17 mechanism 17 mechanism 18 linking 17 mechanism 20 in 17 mechanism 23 related 17 mechanism 24 to 18 linking 19 changes 20 in 21 lv 24 to 26 and 25 age 26 and 26 and 27 fitness objective : lipomatosis of nerve ( ln ) is a condition of massive peripheral nerve enlargement due to proliferation [of] fibrous and adipose tissue within the nerve , the natural history of which is currently unknown . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 lipomatosis 2 : 9 is 2 : 28 , 2 : 37 . 3 lipomatosis 4 of 3 lipomatosis 9 is 4 of 5 nerve 5 nerve 7 ln 6 ( 7 ln 7 ln 8 ) 9 is 11 condition 10 a 11 condition 11 condition 12 of 11 condition 18 to 12 of 16 enlargement 13 massive 15 nerve 14 peripheral 15 nerve 15 nerve 16 enlargement 17 due 18 to 18 to 24 tissue 19 proliferation 24 tissue 21 fibrous 22 and 22 and 23 adipose 22 and 24 tissue 24 tissue 25 within 25 within 27 nerve 26 the 27 nerve 28 , 31 history 28 , 34 is 29 the 31 history 30 natural 31 history 31 history 32 of 31 history 34 is 32 of 33 which 34 is 35 currently 34 is 36 unknown we measured the pattern of growth in individuals [with] long - [term] [radiologic] follow - up . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 measured 0 ###LEFT-WALL### 11 - 1 we 2 measured 2 measured 4 pattern 2 measured 7 in 2 measured 10 long 3 the 4 pattern 4 pattern 5 of 5 of 6 growth 7 in 8 individuals 11 - 14 follow 14 follow 16 up 15 - 16 up 16 up 17 . methods : review of the searchable records for ln at our institution found 52 patients , confirmed by pathology or pathognomic appearance on mri . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 review 2 : 16 , 2 : 25 . 3 review 4 of 3 review 10 at 3 review 16 , 4 of 7 records 5 the 7 records 6 searchable 7 records 7 records 8 for 8 for 9 ln 10 at 12 institution 11 our 12 institution 13 found 14 52 13 found 15 patients 13 found 16 , 16 , 17 confirmed 16 , 18 by 16 , 23 on 18 by 20 or 19 pathology 20 or 20 or 22 appearance 21 pathognomic 22 appearance 23 on 24 mri ten patients had serial mri of the same anatomic region for more than 2 years of [clinical] follow - up . 0 ###LEFT-WALL### 1 ten 0 ###LEFT-WALL### 18 follow 1 ten 2 patients 1 ten 16 of 1 ten 18 follow 2 patients 3 had 3 had 5 mri 4 serial 5 mri 5 mri 6 of 5 mri 16 of 6 of 10 region 7 the 8 same 7 the 10 region 9 anatomic 10 region 10 region 11 for 11 for 15 years 12 more 13 than 13 than 14 2 14 2 15 years 18 follow 20 up 19 - 20 up 20 up 21 . volumetric analysis was performed using regions of interest on serially imaged segments of affected nerves . 0 ###LEFT-WALL### 1 volumetric 0 ###LEFT-WALL### 14 affected 0 ###LEFT-WALL### 16 . 1 volumetric 2 analysis 1 volumetric 13 of 1 volumetric 14 affected 2 analysis 3 was 3 was 4 performed 4 performed 5 using 5 using 6 regions 6 regions 7 of 6 regions 9 on 6 regions 13 of 7 of 8 interest 9 on 12 segments 10 serially 11 imaged 11 imaged 12 segments 14 affected 15 nerves adjustment for skeletal growth was performed for pediatric patients . 0 ###LEFT-WALL### 1 adjustment 0 ###LEFT-WALL### 6 performed 0 ###LEFT-WALL### 10 . 1 adjustment 2 for 1 adjustment 5 was 2 for 4 growth 3 skeletal 4 growth 5 was 6 performed 6 performed 7 for 7 for 9 patients 8 pediatric 9 patients results : ln enlarged in 7 of 10 individuals , [often] both longitudinally along the nerve and in cross [-] sectional volume . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 1 results 2 : 2 : 3 ln 2 : 13 longitudinally 2 : 17 and 3 ln 4 enlarged 4 enlarged 5 in 4 enlarged 10 , 4 enlarged 12 both 5 in 6 7 6 7 7 of 7 of 9 individuals 8 10 9 individuals 14 along 16 nerve 14 along 17 and 15 the 16 nerve 17 and 18 in 18 in 22 volume 19 cross 22 volume 21 sectional 22 volume regarding cross - sectional volume , 2 of the 10 patients demonstrated volume growth more than doubling and 5 additional patients had a >20 % increase in nerve volume ; the remaining 3 patients were quiescent , where change in the nerve volume was within the error range of volumetric analysis . 0 ###LEFT-WALL### 2 cross 0 ###LEFT-WALL### 3 - 1 regarding 2 cross 3 - 5 volume 3 - 6 , 4 sectional 5 volume 6 , 7 2 6 , 12 demonstrated 6 , 30 ; 7 2 8 of 7 2 12 demonstrated 8 of 11 patients 9 the 10 10 10 10 11 patients 12 demonstrated 18 and 12 demonstrated 22 had 13 volume 14 growth 14 growth 17 doubling 14 growth 18 and 15 more 16 than 16 than 17 doubling 18 and 21 patients 18 and 22 had 19 5 21 patients 20 additional 21 patients 22 had 26 increase 22 had 27 in 23 a 26 increase 24 >20 26 increase 25 % 26 increase 27 in 29 volume 28 nerve 29 volume 30 ; 34 patients 30 ; 35 were 31 the 32 remaining 31 the 33 3 33 3 34 patients 34 patients 35 were 35 were 36 quiescent 36 quiescent 38 where 37 , 38 where 38 where 39 change 38 where 44 was 38 where 52 . 39 change 40 in 39 change 44 was 40 in 43 volume 41 the 43 volume 42 nerve 43 volume 44 was 45 within 45 within 48 range 46 the 48 range 47 error 48 range 48 range 49 of 49 of 51 analysis 50 volumetric 51 analysis all cases with growth remained >20 [%] after adjustment for skeletal growth . 0 ###LEFT-WALL### 2 cases 0 ###LEFT-WALL### 5 remained 0 ###LEFT-WALL### 13 . 1 all 2 cases 2 cases 3 with 2 cases 5 remained 3 with 4 growth 5 remained 6 >20 5 remained 8 after 8 after 9 adjustment 9 adjustment 10 for 10 for 12 growth 11 skeletal 12 growth five of 10 individuals had longitudinal extension , even with correction for skeletal growth . 0 ###LEFT-WALL### 1 five 0 ###LEFT-WALL### 5 had 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 15 . 1 five 2 of 1 five 5 had 2 of 4 individuals 3 10 4 individuals 5 had 7 extension 6 longitudinal 7 extension 8 , 9 even 9 even 10 with 10 with 11 correction 11 correction 12 for 12 for 14 growth 13 skeletal 14 growth more significant growth was noted in younger patients ( p=0.02 ) . 0 ###LEFT-WALL### 3 growth 0 ###LEFT-WALL### 5 noted 0 ###LEFT-WALL### 12 . 1 more 2 significant 2 significant 3 growth 3 growth 4 was 4 was 5 noted 5 noted 6 in 6 in 8 patients 7 younger 8 patients 8 patients 10 p=0.02 9 ( 10 p=0.02 10 p=0.02 11 ) growth rates more than 5 % per year correlated with surgery , without statistical significance in this small population ( p=0.14 ) . 0 ###LEFT-WALL### 1 growth 0 ###LEFT-WALL### 2 rates 0 ###LEFT-WALL### 23 . 1 growth 2 rates 2 rates 6 % 3 more 4 than 4 than 5 5 5 5 6 % 6 % 7 per 6 % 9 correlated 7 per 8 year 9 correlated 10 with 9 correlated 13 without 10 with 11 surgery 12 , 13 without 13 without 15 significance 13 without 22 ) 14 statistical 15 significance 15 significance 16 in 16 in 19 population 17 this 19 population 18 small 19 population 19 population 21 p=0.14 20 ( 21 p=0.14 21 p=0.14 22 ) conclusions : serial mri reveals progressive enlargement of ln . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 mri 2 : 5 reveals 2 : 10 . 3 serial 4 mri 4 mri 5 reveals 5 reveals 7 enlargement 6 progressive 7 enlargement 7 enlargement 8 of 8 of 9 ln the rate of growth was more profound in youth , but also occurred in early adulthood . 0 ###LEFT-WALL### 2 rate 0 ###LEFT-WALL### 11 but 0 ###LEFT-WALL### 17 . 1 the 2 rate 2 rate 3 of 2 rate 11 but 3 of 4 growth 5 was 7 profound 5 was 11 but 6 more 7 profound 7 profound 8 in 8 in 9 youth 10 , 11 but 11 but 13 occurred 12 also 13 occurred 13 occurred 14 in 14 in 16 adulthood 15 early 16 adulthood neurocognitive aging studies have focused on age - related changes in neural activity or neural structure but few studies have focused on relationships between the two . 0 ###LEFT-WALL### 1 neurocognitive 0 ###LEFT-WALL### 5 focused 0 ###LEFT-WALL### 9 related 0 ###LEFT-WALL### 17 but 0 ###LEFT-WALL### 27 . 1 neurocognitive 2 aging 1 neurocognitive 3 studies 1 neurocognitive 4 have 1 neurocognitive 5 focused 3 studies 4 have 5 focused 6 on 6 on 7 age 8 - 9 related 9 related 10 changes 10 changes 11 in 11 in 14 or 12 neural 13 activity 13 activity 14 or 14 or 16 structure 15 neural 16 structure 17 but 19 studies 17 but 21 focused 18 few 19 studies 19 studies 20 have 20 have 21 focused 21 focused 22 on 21 focused 24 between 22 on 23 relationships 24 between 26 two 25 the 26 two the present study quantitatively reviewed 24 studies of age - related changes in fmri activation across a broad spectrum of executive function tasks using activation likelihood estimation ( ale ) and 22 separate studies of age - related changes in gray matter using voxel - based morphometry ( vbm ) . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 5 reviewed 0 ###LEFT-WALL### 11 related 0 ###LEFT-WALL### 31 and 0 ###LEFT-WALL### 51 . 1 the 3 study 2 present 3 study 3 study 5 reviewed 4 quantitatively 5 reviewed 5 reviewed 7 studies 6 24 7 studies 7 studies 8 of 8 of 9 age 10 - 11 related 11 related 12 changes 11 related 30 ) 12 changes 13 in 12 changes 20 of 13 in 15 activation 14 fmri 15 activation 15 activation 16 across 16 across 19 spectrum 17 a 19 spectrum 18 broad 19 spectrum 20 of 23 tasks 21 executive 23 tasks 22 function 23 tasks 23 tasks 24 using 23 tasks 29 ale 24 using 27 estimation 25 activation 27 estimation 26 likelihood 27 estimation 28 ( 29 ale 29 ale 30 ) 31 and 34 studies 31 and 46 based 32 22 34 studies 33 separate 34 studies 34 studies 35 of 34 studies 46 based 35 of 36 age 36 age 39 changes 37 - 39 changes 38 related 39 changes 39 changes 40 in 39 changes 45 - 40 in 42 matter 41 gray 42 matter 42 matter 43 using 43 using 44 voxel 46 based 47 morphometry 47 morphometry 49 vbm 48 ( 49 vbm 49 vbm 50 ) conjunction analyses between functional and structural alteration maps were constructed . 0 ###LEFT-WALL### 1 conjunction 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 11 . 1 conjunction 2 analyses 2 analyses 3 between 2 analyses 8 maps 2 analyses 10 constructed 3 between 7 alteration 4 functional 5 and 5 and 6 structural 5 and 7 alteration 8 maps 9 were 9 were 10 constructed overlaps were only observed in the conjunction of dorsolateral prefrontal [cortex] ( dlpfc ) gray matter reduction and functional hyperactivation but not hypoactivation . 0 ###LEFT-WALL### 1 overlaps 0 ###LEFT-WALL### 4 observed 0 ###LEFT-WALL### 24 . 1 overlaps 2 were 2 were 4 observed 3 only 4 observed 4 observed 5 in 4 observed 21 but 5 in 7 conjunction 6 the 7 conjunction 7 conjunction 8 of 8 of 18 and 9 dorsolateral 16 matter 10 prefrontal 13 dlpfc 10 prefrontal 14 ) 10 prefrontal 16 matter 12 ( 13 dlpfc 13 dlpfc 14 ) 15 gray 16 matter 16 matter 17 reduction 17 reduction 18 and 18 and 20 hyperactivation 19 functional 20 hyperactivation 21 but 22 not 21 but 23 hypoactivation it was not evident that the conjunctions between gray matter and activation were related to task performance . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 18 . 1 it 2 was 2 was 3 not 2 was 4 evident 4 evident 5 that 5 that 7 conjunctions 5 that 14 related 6 the 7 conjunctions 7 conjunctions 8 between 7 conjunctions 13 were 8 between 11 and 9 gray 10 matter 10 matter 11 and 11 and 12 activation 13 were 14 related 14 related 15 to 15 to 16 task 16 task 17 performance theoretical implications of these results are discussed . 0 ###LEFT-WALL### 2 implications 0 ###LEFT-WALL### 7 discussed 0 ###LEFT-WALL### 8 . 1 theoretical 2 implications 2 implications 3 of 2 implications 6 are 3 of 5 results 4 these 5 results 6 are 7 discussed background : evidence supports the role for mitochondrial impairment in the pathophysiology of bipolar disorder ( bd ) . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 evidence 2 : 4 supports 2 : 19 . 3 evidence 4 supports 4 supports 6 role 4 supports 10 in 5 the 6 role 6 role 7 for 7 for 9 impairment 8 mitochondrial 9 impairment 10 in 12 pathophysiology 11 the 12 pathophysiology 12 pathophysiology 13 of 13 of 15 disorder 14 bipolar 15 disorder 15 disorder 17 bd 16 ( 17 bd 17 bd 18 ) bd has been associated with decreased mitochondrial electron transport chain activity and increased oxidative stress . 0 ###LEFT-WALL### 1 bd 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 16 . 1 bd 2 has 2 has 3 been 3 been 4 associated 4 associated 5 with 5 with 12 and 6 decreased 11 activity 6 decreased 12 and 7 mitochondrial 8 electron 8 electron 11 activity 9 transport 11 activity 10 chain 11 activity 12 and 13 increased 12 and 15 stress 13 increased 14 oxidative also , mitochondrial dna ( mtdna ) encodes mitochondrial electron transport chain proteins and has been associated with altered oxidative stress . 0 ###LEFT-WALL### 4 dna 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 22 . 1 also 2 , 1 also 4 dna 3 mitochondrial 4 dna 4 dna 6 mtdna 4 dna 14 and 5 ( 6 mtdna 6 mtdna 7 ) 8 encodes 13 proteins 8 encodes 14 and 9 mitochondrial 10 electron 10 electron 13 proteins 11 transport 13 proteins 12 chain 13 proteins 14 and 15 has 15 has 16 been 16 been 17 associated 17 associated 18 with 18 with 21 stress 19 altered 21 stress 20 oxidative 21 stress preclinical studies showed that lithium treatment increased mtdna content , but no study has directly assessed mtdna content in subjects with bd in vivo . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 11 but 0 ###LEFT-WALL### 25 . 1 preclinical 2 studies 2 studies 3 showed 3 showed 4 that 4 that 6 treatment 4 that 7 increased 5 lithium 6 treatment 6 treatment 7 increased 7 increased 9 content 8 mtdna 9 content 10 , 11 but 11 but 13 study 11 but 16 assessed 12 no 13 study 13 study 14 has 14 has 16 assessed 15 directly 16 assessed 16 assessed 17 mtdna 17 mtdna 18 content 18 content 19 in 18 content 21 with 18 content 24 vivo 19 in 20 subjects 21 with 22 bd 23 in 24 vivo also , the effects of lithium treatment on mtdna content have never been evaluated in humans . 0 ###LEFT-WALL### 4 effects 0 ###LEFT-WALL### 14 evaluated 0 ###LEFT-WALL### 17 . 1 also 2 , 1 also 4 effects 3 the 4 effects 4 effects 5 of 4 effects 11 have 5 of 7 treatment 6 lithium 7 treatment 7 treatment 8 on 8 on 10 content 9 mtdna 10 content 11 have 13 been 12 never 13 been 13 been 14 evaluated 14 evaluated 15 in 15 in 16 humans methods : leukocyte mtdna content using real time - pcr was evaluated in subjects with bd ( n=23 ) in a depressive episode ( ≥18 in the 21 - item hamilton depression rating scale ) before and after 6 - week lithium treatment versus healthy controls ( n=24 ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 - 1 methods 2 : 2 : 5 content 3 leukocyte 5 content 4 mtdna 5 content 5 content 6 using 6 using 8 time 7 real 8 time 9 - 10 pcr 9 - 12 evaluated 9 - 50 . 10 pcr 11 was 11 was 12 evaluated 12 evaluated 13 in 13 in 14 subjects 14 subjects 15 with 14 subjects 20 in 15 with 16 bd 16 bd 18 n=23 17 ( 18 n=23 18 n=23 19 ) 20 in 23 episode 21 a 23 episode 22 depressive 23 episode 23 episode 25 ≥18 24 ( 25 ≥18 25 ≥18 26 in 25 ≥18 37 and 25 ≥18 49 ) 26 in 28 21 27 the 28 21 28 21 34 scale 29 - 34 scale 30 item 34 scale 31 hamilton 32 depression 32 depression 33 rating 33 rating 34 scale 34 scale 35 ) 36 before 37 and 37 and 38 after 38 after 39 6 39 6 43 treatment 40 - 43 treatment 41 week 42 lithium 42 lithium 43 treatment 43 treatment 44 versus 43 treatment 49 ) 44 versus 46 controls 45 healthy 46 controls 46 controls 48 n=24 47 ( 48 n=24 48 n=24 49 ) results : mtdna content showed no significant difference between subjects with bd at baseline and controls ( p=0.46 ) ; also no difference was observed when comparing before and after lithium treatment . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 ; 0 ###LEFT-WALL### 33 . 1 results 2 : 2 : 4 content 3 mtdna 4 content 4 content 15 and 4 content 18 p=0.46 5 showed 8 difference 5 showed 15 and 6 no 8 difference 7 significant 8 difference 8 difference 9 between 9 between 10 subjects 10 subjects 11 with 11 with 12 bd 12 bd 13 at 13 at 14 baseline 15 and 16 controls 17 ( 18 p=0.46 18 p=0.46 19 ) 20 ; 23 difference 20 ; 25 observed 21 also 23 difference 22 no 23 difference 23 difference 24 was 24 was 25 observed 25 observed 26 when 25 observed 29 and 26 when 27 comparing 28 before 29 and 29 and 30 after 30 after 32 treatment 31 lithium 32 treatment a trend for decreased mtdna content was specifically observed in bd type i compared to controls and bd type ii ( p=0.05 ) . 0 ###LEFT-WALL### 2 trend 0 ###LEFT-WALL### 9 observed 0 ###LEFT-WALL### 24 . 1 a 2 trend 2 trend 3 for 2 trend 7 was 3 for 6 content 4 decreased 5 mtdna 5 mtdna 6 content 7 was 8 specifically 7 was 9 observed 9 observed 10 in 10 in 17 and 11 bd 12 type 12 type 13 i 12 type 14 compared 12 type 15 to 12 type 17 and 15 to 16 controls 17 and 19 type 17 and 22 p=0.05 18 bd 19 type 19 type 20 ii 21 ( 22 p=0.05 22 p=0.05 23 ) importantly , endpoint mtdna [copy] [number] was significantly correlated with age . 0 ###LEFT-WALL### 4 mtdna 0 ###LEFT-WALL### 9 correlated 0 ###LEFT-WALL### 12 . 1 importantly 2 , 1 importantly 4 mtdna 3 endpoint 4 mtdna 4 mtdna 7 was 7 was 8 significantly 7 was 9 correlated 9 correlated 10 with 10 with 11 age conclusion : in bd subjects who were younger , unmedicated and had a shorter duration of illness , no change was observed in mtdna [copy] [number] . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 20 change 2 : 22 observed 2 : 27 . 3 in 5 subjects 3 in 18 , 3 in 20 change 4 bd 5 subjects 5 subjects 6 who 5 subjects 9 , 6 who 9 , 7 were 8 younger 7 were 9 , 9 , 11 and 10 unmedicated 11 and 11 and 12 had 12 had 15 duration 13 a 15 duration 14 shorter 15 duration 15 duration 16 of 16 of 17 illness 19 no 20 change 20 change 21 was 21 was 22 observed 22 observed 23 in 23 in 24 mtdna more studies with larger samples are warranted to evaluate mtdna content changes in bd and its potential role as a treatment target , especially in bd type i and its association with aging . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 7 warranted 0 ###LEFT-WALL### 34 . 1 more 2 studies 2 studies 3 with 2 studies 6 are 3 with 5 samples 4 larger 5 samples 6 are 7 warranted 7 warranted 8 to 7 warranted 24 especially 7 warranted 32 with 8 to 9 evaluate 9 evaluate 11 content 9 evaluate 12 changes 10 mtdna 11 content 11 content 12 changes 12 changes 13 in 13 in 15 and 14 bd 15 and 15 and 18 role 15 and 23 , 16 its 18 role 17 potential 18 role 18 role 19 as 19 as 22 target 20 a 21 treatment 20 a 22 target 21 treatment 22 target 24 especially 25 in 25 in 29 and 26 bd 27 type 27 type 28 i 27 type 29 and 29 and 31 association 30 its 31 association 32 with 33 aging objective : to conduct a systematic review and meta - analysis of longitudinal studies on the association of 25 ( oh )d with total cancer [incidence] and mortality . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 to 2 : 4 conduct 3 to 4 conduct 4 conduct 8 and 4 conduct 15 on 5 a 6 systematic 5 a 7 review 6 systematic 7 review 7 review 8 and 8 and 11 analysis 8 and 12 of 9 meta 10 - 9 meta 11 analysis 12 of 14 studies 13 longitudinal 14 studies 15 on 17 association 16 the 17 association 17 association 18 of 18 of 27 and 19 25 21 oh 20 ( 21 oh 21 oh 22 )d 21 oh 23 with 21 oh 27 and 23 with 25 cancer 24 total 25 cancer 27 and 28 mortality method : relevant longitudinal observational studies were identified by systematically searching ovid medline , embase , and isi web of knowledge databases . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 23 . 1 method 2 : 2 : 3 relevant 3 relevant 6 studies 3 relevant 7 were 3 relevant 8 identified 3 relevant 9 by 4 longitudinal 6 studies 5 observational 6 studies 6 studies 7 were 9 by 11 searching 10 systematically 11 searching 11 searching 15 embase 12 ovid 13 medline 13 medline 15 embase 14 , 15 embase 15 embase 16 , 17 and 19 web 17 and 22 databases 18 isi 19 web 19 web 20 of 19 web 22 databases 20 of 21 knowledge in sex - specific analyses no significant association [with] total cancer incidence was observed among men or women . 0 ###LEFT-WALL### 2 sex 0 ###LEFT-WALL### 14 observed 0 ###LEFT-WALL### 19 . 1 in 2 sex 3 - 14 observed 4 specific 5 analyses 5 analyses 12 incidence 5 analyses 13 was 5 analyses 14 observed 6 no 12 incidence 7 significant 8 association 8 association 12 incidence 10 total 11 cancer 11 cancer 12 incidence 12 incidence 13 was 14 observed 15 among 15 among 17 or 16 men 17 or 17 or 18 women a clear inverse association with total cancer mortality was observed among women ( 0.76 ( 0.60 , 0.98 ) ) but not among men ( 0.92 ( 0.65 , 1.32 ) ) . 0 ###LEFT-WALL### 4 association 0 ###LEFT-WALL### 10 observed 0 ###LEFT-WALL### 33 . 1 a 2 clear 1 a 4 association 2 clear 4 association 3 inverse 4 association 4 association 5 with 4 association 9 was 5 with 8 mortality 6 total 7 cancer 7 cancer 8 mortality 9 was 10 observed 10 observed 21 but 11 among 12 women 11 among 21 but 12 women 14 0.76 13 ( 14 0.76 14 0.76 16 0.60 14 0.76 20 ) 15 ( 16 0.60 16 0.60 18 0.98 16 0.60 19 ) 17 , 18 0.98 18 0.98 19 ) 21 but 22 not 21 but 23 among 23 among 24 men 24 men 26 0.92 25 ( 26 0.92 26 0.92 28 0.65 26 0.92 32 ) 27 ( 28 0.65 28 0.65 30 1.32 28 0.65 31 ) 29 , 30 1.32 30 1.32 31 ) large heterogeneity was observed for studies on total cancer mortality ( p<0.01 ) but not for studies on cancer [incidence] ( p=0.41 ) . 0 ###LEFT-WALL### 2 heterogeneity 0 ###LEFT-WALL### 4 observed 0 ###LEFT-WALL### 24 . 1 large 2 heterogeneity 2 heterogeneity 3 was 3 was 4 observed 4 observed 5 for 4 observed 18 on 5 for 6 studies 6 studies 14 but 7 on 10 mortality 7 on 14 but 8 total 9 cancer 9 cancer 10 mortality 10 mortality 12 p<0.01 11 ( 12 p<0.01 12 p<0.01 13 ) 14 but 15 not 14 but 16 for 16 for 17 studies 18 on 19 cancer 19 cancer 22 p=0.41 21 ( 22 p=0.41 22 p=0.41 23 ) no publication bias was found . 0 ###LEFT-WALL### 3 bias 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 6 . 1 no 3 bias 2 publication 3 bias 3 bias 4 was 4 was 5 found conclusion : the meta - analysis suggests a moderate inverse association of 25 ( oh )d concentration with total cancer [incidence] and mortality . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 6 analysis 2 : 7 suggests 2 : 24 . 3 the 6 analysis 4 meta 5 - 4 meta 6 analysis 6 analysis 7 suggests 7 suggests 11 association 7 suggests 18 with 8 a 9 moderate 8 a 11 association 9 moderate 11 association 10 inverse 11 association 11 association 12 of 12 of 17 concentration 13 25 15 oh 14 ( 15 oh 15 oh 16 )d 15 oh 17 concentration 18 with 22 and 19 total 20 cancer 20 cancer 22 and 22 and 23 mortality the striatum and medial temporal lobe play important roles in implicit and explicit memory , respectively . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 7 play 1 the 2 striatum 2 striatum 3 and 3 and 6 lobe 3 and 7 play 4 medial 6 lobe 5 temporal 6 lobe 7 play 9 roles 7 play 10 in 7 play 16 respectively 8 important 9 roles 10 in 14 memory 11 implicit 12 and 12 and 13 explicit 12 and 14 memory 15 , 16 respectively 16 respectively 17 . furthermore , recent studies have linked striatal dopamine modulation to both implicit as well as explicit sequence learning and suggested a potential role of the striatum in the emergence of explicit memory during sequence learning . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 36 . 1 furthermore 2 , 1 furthermore 4 studies 3 recent 4 studies 4 studies 19 and 5 have 6 linked 5 have 19 and 6 linked 9 modulation 7 striatal 8 dopamine 8 dopamine 9 modulation 9 modulation 10 to 9 modulation 12 implicit 9 modulation 18 learning 10 to 11 both 12 implicit 15 as 13 as 14 well 14 well 15 as 15 as 17 sequence 16 explicit 17 sequence 19 and 20 suggested 19 and 33 during 20 suggested 23 role 20 suggested 27 in 21 a 23 role 22 potential 23 role 23 role 24 of 24 of 26 striatum 25 the 26 striatum 27 in 29 emergence 28 the 29 emergence 29 emergence 30 of 30 of 32 memory 31 explicit 32 memory 33 during 34 sequence 34 sequence 35 learning with respect to aging , previous findings indicated that implicit memory is less impaired than explicit memory in older adults and that genetic effects on cognition are magnified by aging . 0 ###LEFT-WALL### 7 findings 0 ###LEFT-WALL### 8 indicated 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 31 . 1 with 2 respect 1 with 3 to 1 with 5 , 1 with 7 findings 3 to 4 aging 6 previous 7 findings 7 findings 8 indicated 8 indicated 11 memory 8 indicated 14 impaired 9 that 10 implicit 10 implicit 11 memory 11 memory 12 is 12 is 13 less 12 is 14 impaired 14 impaired 15 than 15 than 17 memory 16 explicit 17 memory 17 memory 18 in 18 in 20 adults 19 older 20 adults 21 and 24 effects 21 and 28 magnified 22 that 23 genetic 23 genetic 24 effects 24 effects 25 on 24 effects 27 are 25 on 26 cognition 27 are 28 magnified 28 magnified 29 by 29 by 30 aging to understand the links between these findings , we investigated effects of aging and genotypes relevant for striatal dopamine on the implicit and explicit components of sequence learning . 0 ###LEFT-WALL### 9 we 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 29 . 1 to 2 understand 1 to 8 , 1 to 9 we 2 understand 4 links 2 understand 5 between 3 the 4 links 5 between 7 findings 6 these 7 findings 9 we 14 and 10 investigated 11 effects 10 investigated 14 and 11 effects 12 of 12 of 13 aging 14 and 15 genotypes 15 genotypes 25 components 16 relevant 17 for 16 relevant 20 on 16 relevant 23 and 17 for 19 dopamine 18 striatal 19 dopamine 20 on 22 implicit 21 the 22 implicit 23 and 24 explicit 23 and 25 components 25 components 26 of 26 of 27 sequence 27 sequence 28 learning reaction [time] ( rt ) and error data from 80 younger ( 20 - 30 years [ )(and 70 older adults ( 60 - 71 years ) during a serial reaction time task showed that age differences in learning - related reduction of rts emerged gradually over the course of learning . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 34 showed 0 ###LEFT-WALL### 52 . 1 reaction 4 rt 1 reaction 6 and 3 ( 4 rt 4 rt 5 ) 6 and 8 data 6 and 11 younger 6 and 34 showed 7 error 8 data 8 data 9 from 9 from 10 80 11 younger 14 - 11 younger 28 during 12 ( 14 - 13 20 14 - 14 - 18 )(and 14 - 27 ) 15 30 18 )(and 16 years 18 )(and 18 )(and 21 adults 18 )(and 24 - 19 70 21 adults 20 older 21 adults 22 ( 24 - 23 60 24 - 24 - 26 years 24 - 27 ) 25 71 26 years 28 during 33 task 29 a 30 serial 29 a 33 task 30 serial 31 reaction 31 reaction 33 task 32 time 33 task 34 showed 36 age 34 showed 37 differences 34 showed 45 emerged 35 that 36 age 37 differences 38 in 37 differences 45 emerged 38 in 39 learning 40 - 41 related 41 related 42 reduction 41 related 45 emerged 42 reduction 43 of 43 of 44 rts 45 emerged 46 gradually 45 emerged 47 over 47 over 49 course 48 the 49 course 49 course 50 of 50 of 51 learning verbal recall and measures derived from the process - dissociation procedure revealed that younger adults acquired more explicit memory about the sequence than older adults , potentially causing age differences in rt gains in later stages of learning . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 39 . 1 verbal 2 recall 2 recall 3 and 3 and 4 measures 3 and 5 derived 3 and 13 that 3 and 16 acquired 5 derived 6 from 5 derived 9 - 5 derived 12 revealed 6 from 8 process 7 the 8 process 10 dissociation 12 revealed 11 procedure 12 revealed 13 that 15 adults 13 that 16 acquired 14 younger 15 adults 15 adults 16 acquired 16 acquired 19 memory 16 acquired 20 about 16 acquired 23 than 17 more 18 explicit 18 explicit 19 memory 20 about 22 sequence 21 the 22 sequence 23 than 25 adults 24 older 25 adults 26 , 28 causing 26 , 33 gains 27 potentially 28 causing 28 causing 30 differences 28 causing 31 in 28 causing 33 gains 29 age 30 differences 31 in 32 rt 33 gains 34 in 34 in 36 stages 35 later 36 stages 36 stages 37 of 37 of 38 learning of specific interest , polymorphisms of the dopamine - and camp - regulated neuronal phosphoprotein ( darpp - 32 , rs907094 ) and dopamine transporter ( dat , vntr ) genes showed interactive effects on overall rts and verbal recall of the sequence in [older] but not in younger adults . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 13 regulated 0 ###LEFT-WALL### 28 , 0 ###LEFT-WALL### 51 . 1 of 3 interest 1 of 4 , 1 of 10 and 2 specific 3 interest 5 polymorphisms 6 of 5 polymorphisms 10 and 6 of 8 dopamine 7 the 8 dopamine 9 - 10 and 10 and 11 camp 10 and 12 - 10 and 13 regulated 13 regulated 15 phosphoprotein 14 neuronal 15 phosphoprotein 15 phosphoprotein 23 and 16 ( 23 and 17 darpp 19 32 17 darpp 23 and 18 - 19 32 19 32 21 rs907094 19 32 22 ) 20 , 21 rs907094 21 rs907094 22 ) 23 and 25 transporter 23 and 27 dat 23 and 28 , 24 dopamine 25 transporter 26 ( 27 dat 27 dat 28 , 28 , 31 genes 28 , 32 showed 29 vntr 30 ) 29 vntr 31 genes 31 genes 32 showed 32 showed 34 effects 33 interactive 34 effects 34 effects 35 on 35 on 38 and 36 overall 37 rts 37 rts 38 and 38 and 40 recall 38 and 41 of 38 and 46 but 39 verbal 40 recall 41 of 43 sequence 42 the 43 sequence 44 in 46 but 46 but 47 not 46 but 48 in 46 but 50 adults 49 younger 50 adults together our findings show that variations [in] [genotypes] relevant for dopamine functions are associated more with aging - related impairments in the explicit than the implicit component of sequence learning , providing support for theories emphasizing the role of dopaminergic modulation in cognitive aging and the magnification of genetic effects in human aging . 0 ###LEFT-WALL### 3 findings 0 ###LEFT-WALL### 4 show 1 together 3 findings 2 our 3 findings 3 findings 4 show 4 show 5 that 5 that 6 variations 5 that 14 associated 6 variations 9 relevant 6 variations 12 functions 6 variations 13 are 6 variations 14 associated 9 relevant 10 for 10 for 11 dopamine 12 functions 13 are 14 associated 15 more 14 associated 16 with 16 with 17 aging 17 aging 19 related 17 aging 20 impairments 17 aging 21 in 17 aging 24 than 18 - 19 related 21 in 23 explicit 22 the 23 explicit 24 than 27 component 24 than 28 of 25 the 27 component 26 implicit 27 component 28 of 29 sequence 29 sequence 30 learning 30 learning 32 providing 30 learning 39 of 30 learning 42 in 31 , 32 providing 32 providing 33 support 32 providing 34 for 34 for 35 theories 35 theories 36 emphasizing 36 emphasizing 38 role 37 the 38 role 39 of 41 modulation 40 dopaminergic 41 modulation 42 in 45 and 43 cognitive 44 aging 44 aging 45 and 45 and 47 magnification 45 and 54 . 46 the 47 magnification 47 magnification 48 of 48 of 50 effects 49 genetic 50 effects 50 effects 51 in 50 effects 53 aging 51 in 52 human background : resveratrol is a key component of red wine that has been reported to have anti - carcinogenic and anti - aging properties . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 have 0 ###LEFT-WALL### 25 . 2 : 3 resveratrol 2 : 4 is 2 : 14 reported 3 resveratrol 4 is 4 is 7 component 4 is 8 of 5 a 7 component 6 key 7 component 8 of 9 red 10 wine 11 that 10 wine 13 been 10 wine 14 reported 11 that 12 has 12 has 13 been 14 reported 15 to 15 to 16 have 16 have 24 properties 17 anti 20 and 17 anti 22 - 17 anti 24 properties 18 - 20 and 19 carcinogenic 20 and 20 and 21 anti 20 and 22 - 23 aging 24 properties additional studies conducted in [vitro] and in animal models suggested anti - inflammatory properties . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 10 suggested 0 ###LEFT-WALL### 15 . 1 additional 2 studies 2 studies 3 conducted 2 studies 10 suggested 3 conducted 6 and 4 in 6 and 6 and 7 in 6 and 9 models 8 animal 9 models 10 suggested 14 properties 11 anti 12 - 11 anti 14 properties 13 inflammatory 14 properties however , data from primary human immune cells and in [vivo] studies are limited . 0 ###LEFT-WALL### 3 data 0 ###LEFT-WALL### 13 are 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 3 data 3 data 9 and 3 data 13 are 4 from 8 cells 4 from 9 and 5 primary 8 cells 6 human 8 cells 7 immune 8 cells 9 and 10 in 10 in 12 studies 13 are 14 limited methods : a pilot study was performed including 10 healthy volunteers . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 . 1 methods 2 : 2 : 4 pilot 3 a 4 pilot 4 pilot 5 study 4 pilot 6 was 4 pilot 7 performed 4 pilot 8 including 5 study 6 was 8 including 11 volunteers 9 10 11 volunteers 10 healthy 11 volunteers plasma cytokine levels were measured over 48 h after oral application of 5 g resveratrol . 0 ###LEFT-WALL### 3 levels 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 16 . 1 plasma 3 levels 2 cytokine 3 levels 3 levels 4 were 4 were 5 measured 5 measured 9 after 6 over 7 48 7 48 8 h 8 h 9 after 9 after 11 application 10 oral 11 application 11 application 12 of 12 of 15 resveratrol 13 5 14 g 14 g 15 resveratrol to verify [the] in vivo findings , cytokine release and gene expression in human peripheral blood mononuclear cells ( pbmc ) [and/or] monocytes was assessed after treatment with resveratrol or its metabolites and stimulation with several toll - like receptor [(] tlr ) - agonists . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 25 assessed 0 ###LEFT-WALL### 44 - 1 to 2 verify 1 to 24 was 2 verify 5 vivo 2 verify 12 expression 2 verify 23 monocytes 4 in 5 vivo 6 findings 7 , 7 , 9 release 7 , 10 and 8 cytokine 9 release 10 and 11 gene 10 and 12 expression 12 expression 13 in 12 expression 20 pbmc 12 expression 23 monocytes 13 in 18 cells 14 human 16 blood 15 peripheral 16 blood 16 blood 18 cells 17 mononuclear 18 cells 19 ( 20 pbmc 20 pbmc 21 ) 24 was 25 assessed 25 assessed 26 after 26 after 33 and 26 after 37 toll 27 treatment 28 with 27 treatment 33 and 28 with 30 or 29 resveratrol 30 or 30 or 32 metabolites 31 its 32 metabolites 33 and 34 stimulation 33 and 35 with 33 and 37 toll 35 with 36 several 37 toll 39 like 38 - 39 like 39 like 42 tlr 39 like 43 ) 40 receptor 42 tlr 44 - 45 agonists 44 - 46 . additionally , the impact on intracellular signaling pathways was analyzed using a reporter cell line and western blotting . 0 ###LEFT-WALL### 4 impact 0 ###LEFT-WALL### 10 analyzed 0 ###LEFT-WALL### 19 . 1 additionally 2 , 1 additionally 4 impact 3 the 4 impact 4 impact 5 on 4 impact 9 was 5 on 8 pathways 6 intracellular 8 pathways 7 signaling 8 pathways 9 was 10 analyzed 10 analyzed 11 using 11 using 16 and 12 a 15 line 13 reporter 15 line 14 cell 15 line 15 line 16 and 16 and 18 blotting 17 western 18 blotting results : resveratrol treated individuals showed a significant increase in tumor necrosis [factor] - α ( tnf - α ) levels 24 h after treatment compared to baseline . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 29 . 1 results 2 : 2 : 3 resveratrol 2 : 10 in 3 resveratrol 4 treated 3 resveratrol 5 individuals 3 resveratrol 6 showed 5 individuals 6 showed 6 showed 9 increase 7 a 8 significant 7 a 9 increase 8 significant 9 increase 10 in 12 necrosis 11 tumor 12 necrosis 14 - 21 levels 15 α 17 tnf 15 α 20 ) 15 α 21 levels 16 ( 17 tnf 17 tnf 19 α 17 tnf 20 ) 18 - 19 α 19 α 20 ) 21 levels 24 after 21 levels 26 compared 22 24 23 h 23 h 24 after 24 after 25 treatment 26 compared 27 to 27 to 28 baseline studies using human pbmc or isolated monocytes confirmed potentiation of tnf - α production with different tlr agonists , [while] interleukin ( il ) - 10 was inhibited . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 28 inhibited 0 ###LEFT-WALL### 29 . 1 studies 2 using 1 studies 27 was 2 using 14 production 2 using 15 with 3 human 14 production 4 pbmc 5 or 5 or 9 potentiation 5 or 12 - 5 or 14 production 6 isolated 9 potentiation 7 monocytes 8 confirmed 8 confirmed 9 potentiation 9 potentiation 10 of 10 of 11 tnf 13 α 14 production 15 with 18 agonists 15 with 26 10 16 different 18 agonists 17 tlr 18 agonists 18 agonists 21 interleukin 19 , 21 interleukin 21 interleukin 23 il 21 interleukin 24 ) 22 ( 23 il 23 il 24 ) 25 - 26 10 27 was 28 inhibited moreover , we observed significantly enhanced nuclear factor ['] kappa - light - chain - enhancer ['] of [activated] b - cells ( nf - κb ) activation using a reporter cell line and found increased phosphorylation of p105 , which is indicative of alternative nf - κb pathway activation . 0 ###LEFT-WALL### 10 kappa 0 ###LEFT-WALL### 11 - 1 moreover 6 enhanced 2 , 4 observed 3 we 4 observed 4 observed 6 enhanced 5 significantly 6 enhanced 6 enhanced 8 factor 7 nuclear 8 factor 8 factor 10 kappa 11 - 12 light 11 - 21 - 12 light 15 - 13 - 15 - 14 chain 15 - 15 - 16 enhancer 16 enhancer 18 of 18 of 20 b 21 - 22 cells 22 cells 25 - 22 cells 34 and 23 ( 25 - 24 nf 25 - 25 - 28 activation 26 κb 27 ) 26 κb 28 activation 28 activation 29 using 29 using 32 cell 30 a 32 cell 31 reporter 32 cell 33 line 34 and 34 and 35 found 35 found 37 phosphorylation 35 found 46 nf 36 increased 37 phosphorylation 37 phosphorylation 38 of 37 phosphorylation 44 of 38 of 39 p105 39 p105 41 which 40 , 41 which 41 which 42 is 42 is 43 indicative 44 of 45 alternative 46 nf 50 activation 47 - 50 activation 48 κb 50 activation 49 pathway 50 activation 50 activation 51 . general significance : by administering resveratrol to healthy humans and utilizing primary immune cells we were able to detect tnf - α enhancing properties of the agent . 0 ###LEFT-WALL### 2 significance 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 10 and 1 general 2 significance 2 significance 3 : 3 : 4 by 3 : 7 to 4 by 5 administering 5 administering 6 resveratrol 7 to 9 humans 8 healthy 9 humans 10 and 14 cells 10 and 19 detect 11 utilizing 14 cells 12 primary 14 cells 13 immune 14 cells 14 cells 15 we 14 cells 18 to 14 cells 19 detect 15 we 16 were 16 were 17 able 17 able 18 to 19 detect 20 tnf 20 tnf 22 α 21 - 22 α 22 α 23 enhancing 22 α 25 of 22 α 28 . 23 enhancing 24 properties 25 of 27 agent 26 the 27 agent in parallel , we found enhanced alternative nf - κb activation . 0 ###LEFT-WALL### 2 parallel 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 10 κb 0 ###LEFT-WALL### 12 . 1 in 2 parallel 3 , 4 we 3 , 5 found 3 , 9 - 4 we 5 found 5 found 8 nf 6 enhanced 8 nf 7 alternative 8 nf 9 - 10 κb 10 κb 11 activation we report on a novel pro - inflammatory property of resveratrol which has to be considered in concepts of its biologic activity . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 report 1 we 2 report 2 report 3 on 3 on 6 pro 4 a 6 pro 5 novel 6 pro 6 pro 9 property 7 - 9 property 8 inflammatory 9 property 9 property 10 of 9 property 12 which 9 property 13 has 9 property 23 . 10 of 11 resveratrol 12 which 13 has 13 has 14 to 13 has 16 considered 14 to 15 be 15 be 16 considered 16 considered 17 in 17 in 18 concepts 18 concepts 19 of 19 of 22 activity 20 its 22 activity 21 biologic 22 activity clinical feature selection problem is the task of selecting and [identifying] a subset of informative clinical features that are useful for promoting accurate clinical diagnosis . 0 ###LEFT-WALL### 4 problem 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 26 . 1 clinical 4 problem 2 feature 4 problem 3 selection 4 problem 4 problem 5 is 5 is 7 task 6 the 7 task 7 task 8 of 8 of 10 and 9 selecting 10 and 10 and 13 subset 10 and 14 of 10 and 18 that 10 and 19 are 10 and 21 for 12 a 13 subset 14 of 17 features 15 informative 17 features 16 clinical 17 features 18 that 19 are 19 are 20 useful 21 for 22 promoting 22 promoting 25 diagnosis 23 accurate 25 diagnosis 24 clinical 25 diagnosis this is a significant task of pragmatic value in the clinical settings as each clinical test is associated with a different financial cost , diagnostic value , and risk for obtaining the measurement . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 34 . 1 this 2 is 2 is 5 task 2 is 19 with 3 a 4 significant 3 a 5 task 4 significant 5 task 5 task 6 of 5 task 18 associated 6 of 8 value 7 pragmatic 8 value 8 value 9 in 9 in 12 settings 10 the 12 settings 11 clinical 12 settings 13 as 16 test 13 as 18 associated 14 each 16 test 15 clinical 16 test 16 test 17 is 17 is 18 associated 19 with 28 and 20 a 23 cost 21 different 23 cost 22 financial 23 cost 23 cost 24 , 24 , 26 value 24 , 28 and 25 diagnostic 26 value 27 , 28 and 28 and 29 risk 29 risk 30 for 30 for 31 obtaining 31 obtaining 33 measurement 32 the 33 measurement moreover , with continual introduction of new clinical features , the need to repeat the feature selection task can be [very] time consuming . 0 ###LEFT-WALL### 12 need 0 ###LEFT-WALL### 20 be 0 ###LEFT-WALL### 24 . 1 moreover 2 , 1 moreover 12 need 2 , 3 with 3 with 5 introduction 3 with 10 , 3 with 12 need 4 continual 5 introduction 5 introduction 6 of 6 of 9 features 7 new 9 features 8 clinical 9 features 11 the 12 need 12 need 13 to 12 need 14 repeat 12 need 19 can 13 to 14 repeat 14 repeat 18 task 15 the 18 task 16 feature 18 task 17 selection 18 task 19 can 20 be 20 be 23 consuming 22 time 23 consuming therefore to address this issue , we propose a novel feature selection technique for diagnosis of myocardial infarction - one of the leading causes of morbidity and mortality in many high - income countries . 0 ###LEFT-WALL### 7 we 0 ###LEFT-WALL### 8 propose 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 35 . 1 therefore 7 we 2 to 3 address 2 to 6 , 2 to 7 we 3 address 5 issue 4 this 5 issue 7 we 8 propose 8 propose 13 technique 9 a 10 novel 9 a 13 technique 10 novel 11 feature 11 feature 12 selection 12 selection 13 technique 13 technique 14 for 13 technique 16 of 14 for 15 diagnosis 16 of 18 infarction 17 myocardial 18 infarction 19 - 27 and 20 one 21 of 20 one 25 of 20 one 27 and 21 of 24 causes 22 the 24 causes 23 leading 24 causes 25 of 26 morbidity 27 and 28 mortality 27 and 29 in 29 in 34 countries 30 many 34 countries 31 high 32 - 31 high 33 income 33 income 34 countries this method adopts the conceptual framework of biological [continuum] , the optimization capability of genetic algorithm [for] performing feature selection and the classification ability [of] support vector machine . 0 ###LEFT-WALL### 2 method 0 ###LEFT-WALL### 3 adopts 0 ###LEFT-WALL### 29 . 1 this 2 method 2 method 3 adopts 3 adopts 6 framework 4 the 6 framework 5 conceptual 6 framework 6 framework 7 of 7 of 21 and 8 biological 10 , 10 , 13 capability 10 , 21 and 11 the 13 capability 12 optimization 13 capability 13 capability 14 of 14 of 20 selection 15 genetic 16 algorithm 16 algorithm 18 performing 18 performing 19 feature 19 feature 20 selection 21 and 28 machine 22 the 28 machine 23 classification 28 machine 24 ability 28 machine 26 support 28 machine 27 vector 28 machine together , a network of clinical risk factors , called the biological [continuum] based etiological network ( bcen ) , was constructed . 0 ###LEFT-WALL### 4 network 0 ###LEFT-WALL### 22 constructed 0 ###LEFT-WALL### 23 . 1 together 2 , 1 together 4 network 3 a 4 network 4 network 5 of 4 network 21 was 5 of 8 factors 6 clinical 8 factors 7 risk 8 factors 8 factors 10 called 9 , 10 called 10 called 16 network 10 called 20 , 11 the 16 network 12 biological 16 network 14 based 16 network 15 etiological 16 network 16 network 18 bcen 17 ( 18 bcen 18 bcen 19 ) 21 was 22 constructed evaluation of the proposed methods was carried out using the cardiovascular heart study ( chs ) [dataset] . 0 ###LEFT-WALL### 1 evaluation 0 ###LEFT-WALL### 7 carried 0 ###LEFT-WALL### 18 . 1 evaluation 2 of 1 evaluation 6 was 2 of 5 methods 3 the 5 methods 4 proposed 5 methods 6 was 7 carried 7 carried 8 out 7 carried 9 using 9 using 13 study 10 the 13 study 11 cardiovascular 12 heart 12 heart 13 study 13 study 15 chs 14 ( 15 chs 15 chs 16 ) results demonstrate a significant speedup [of] 4.73 [-] [fold] can be achieved for the development of mi classification model . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 demonstrate 0 ###LEFT-WALL### 20 . 1 results 2 demonstrate 2 demonstrate 19 model 3 a 4 significant 3 a 19 model 4 significant 5 speedup 5 speedup 7 4.73 5 speedup 10 can 10 can 11 be 11 be 12 achieved 12 achieved 13 for 13 for 15 development 14 the 15 development 15 development 16 of 16 of 17 mi 18 classification 19 model the key advantage of this methodology is the provision of a reusable [(] feature subset [ )(paradigm for efficient development of up [-] to [-] date and efficacious clinical classification models . 0 ###LEFT-WALL### 3 advantage 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 32 . 1 the 3 advantage 2 key 3 advantage 3 advantage 4 of 3 advantage 7 is 4 of 6 methodology 5 this 6 methodology 7 is 9 provision 8 the 9 provision 9 provision 10 of 9 provision 21 of 10 of 17 )(paradigm 11 a 12 reusable 11 a 17 )(paradigm 12 reusable 14 feature 14 feature 17 )(paradigm 15 subset 17 )(paradigm 17 )(paradigm 18 for 18 for 20 development 19 efficient 20 development 21 of 31 models 22 up 26 date 22 up 27 and 24 to 26 date 27 and 28 efficacious 27 and 31 models 29 clinical 30 classification 30 classification 31 models because of the wide variation in multiple myeloma ( [mm] [ )(survival , numerous studies have focused over the past 40 years on the biological and cytogenetic prognostic values in [mm] patients . 0 ###LEFT-WALL### 15 studies 0 ###LEFT-WALL### 17 focused 0 ###LEFT-WALL### 33 . 1 because 2 of 1 because 15 studies 2 of 5 variation 3 the 5 variation 4 wide 5 variation 5 variation 6 in 5 variation 12 )(survival 6 in 8 myeloma 7 multiple 8 myeloma 9 ( 12 )(survival 12 )(survival 13 , 14 numerous 15 studies 15 studies 16 have 16 have 17 focused 17 focused 18 over 17 focused 23 on 18 over 22 years 19 the 20 past 19 the 21 40 21 40 22 years 23 on 29 values 24 the 29 values 25 biological 26 and 26 and 27 cytogenetic 26 and 29 values 28 prognostic 29 values 29 values 30 in 30 in 32 patients since 2005 , the mm international staging system ( iss ) has recognized the combination of beta - 2 microglobulin ( β2 [m] ) with serum albumin ( sa ) concentrations as the most simple and potent combination to determine the prognosis in [mm] patients . 0 ###LEFT-WALL### 10 iss 0 ###LEFT-WALL### 13 recognized 0 ###LEFT-WALL### 46 . 1 since 2 2005 1 since 3 , 1 since 10 iss 4 the 10 iss 5 mm 6 international 6 international 7 staging 7 staging 8 system 8 system 10 iss 9 ( 10 iss 10 iss 11 ) 10 iss 12 has 12 has 13 recognized 13 recognized 15 combination 13 recognized 25 with 13 recognized 32 as 14 the 15 combination 15 combination 16 of 16 of 17 beta 17 beta 20 microglobulin 18 - 20 microglobulin 19 2 20 microglobulin 20 microglobulin 22 β2 20 microglobulin 24 ) 21 ( 22 β2 22 β2 24 ) 25 with 27 albumin 25 with 31 concentrations 26 serum 27 albumin 27 albumin 29 sa 28 ( 29 sa 29 sa 30 ) 32 as 36 and 33 the 35 simple 34 most 35 simple 35 simple 36 and 36 and 38 combination 36 and 39 to 36 and 40 determine 37 potent 38 combination 39 to 40 determine 40 determine 42 prognosis 40 determine 43 in 41 the 42 prognosis 43 in 45 patients curiously , the reasons for the efficiency of the combination of β2 [m] with sa remain [not] clear - cut . 0 ###LEFT-WALL### 4 reasons 0 ###LEFT-WALL### 16 remain 1 curiously 2 , 1 curiously 4 reasons 3 the 4 reasons 4 reasons 5 for 4 reasons 16 remain 5 for 7 efficiency 6 the 7 efficiency 7 efficiency 8 of 8 of 10 combination 9 the 10 combination 10 combination 11 of 11 of 12 β2 12 β2 14 with 14 with 15 sa 16 remain 18 clear 18 clear 20 cut 19 - 20 cut 20 cut 21 . [in] 2007 , fonseca and san miguel ( prognostic factors and staging in multiple myeloma . 0 ###LEFT-WALL### 2 2007 0 ###LEFT-WALL### 3 , 3 , 5 and 4 fonseca 5 and 5 and 7 miguel 6 san 7 miguel 7 miguel 11 and 8 ( 11 and 9 prognostic 10 factors 10 factors 11 and 11 and 12 staging 11 and 13 in 11 and 16 . 13 in 15 myeloma 14 multiple 15 myeloma hematol oncol clin north am [2007] ; 21:1115 - 40 ) underlined that cytogenetic assessment might also be useful for evaluating [mm] [prognosis] . 0 ###LEFT-WALL### 5 am 0 ###LEFT-WALL### 7 ; 0 ###LEFT-WALL### 24 . 1 hematol 2 oncol 2 oncol 3 clin 3 clin 4 north 4 north 5 am 7 ; 15 assessment 7 ; 18 be 8 21:1115 10 40 8 21:1115 15 assessment 9 - 10 40 10 40 11 ) 12 underlined 15 assessment 13 that 14 cytogenetic 14 cytogenetic 15 assessment 15 assessment 16 might 16 might 18 be 17 also 18 be 18 be 19 useful 19 useful 20 for 20 for 21 evaluating furthermore , new perspectives recently appeared with the genomic approach . 0 ###LEFT-WALL### 4 perspectives 0 ###LEFT-WALL### 6 appeared 0 ###LEFT-WALL### 11 . 1 furthermore 2 , 1 furthermore 4 perspectives 3 new 4 perspectives 4 perspectives 6 appeared 5 recently 6 appeared 6 appeared 7 with 7 with 10 approach 8 the 10 approach 9 genomic 10 approach thus , we suggest that : [(] 1 [ )(cytogenetics with the superscript [mm] - iss could be the standard method ; ( 2 [ )(some factors discovered using genomics could reflect the comorbidity burden and the intrinsic malignancy of [mm] clone , and thus [needs] more investigation [;] [and] ( 3 [ )( waiting for standard genomic classification . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 suggest 0 ###LEFT-WALL### 6 : 1 thus 2 , 1 thus 3 we 3 we 4 suggest 4 suggest 5 that 6 : 8 1 6 : 10 )(cytogenetics 6 : 15 - 8 1 10 )(cytogenetics 10 )(cytogenetics 11 with 11 with 13 superscript 12 the 13 superscript 15 - 16 iss 15 - 18 be 15 - 22 ; 16 iss 17 could 17 could 18 be 18 be 21 method 19 the 21 method 20 standard 21 method 22 ; 29 using 22 ; 32 reflect 23 ( 28 discovered 24 2 26 )(some 24 2 27 factors 24 2 28 discovered 26 )(some 27 factors 28 discovered 29 using 29 using 30 genomics 29 using 31 could 31 could 32 reflect 32 reflect 36 and 33 the 36 and 34 comorbidity 35 burden 35 burden 36 and 36 and 39 malignancy 36 and 40 of 37 the 39 malignancy 38 intrinsic 39 malignancy 40 of 48 investigation 42 clone 44 and 43 , 44 and 44 and 45 thus 44 and 47 more 44 and 48 investigation 48 investigation 52 3 51 ( 52 3 52 3 55 waiting 52 3 56 for 52 3 60 . 56 for 59 classification 57 standard 59 classification 58 genomic 59 classification background : c - reactive protein ( crp ) , an inflammatory biomarker , is influenced by many factors , including socioeconomic position , genetics , and diet . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 c 2 : 4 - 3 c 4 - 4 - 6 protein 5 reactive 6 protein 6 protein 8 crp 6 protein 13 biomarker 6 protein 15 is 7 ( 8 crp 8 crp 9 ) 10 , 13 biomarker 11 an 12 inflammatory 11 an 13 biomarker 12 inflammatory 13 biomarker 13 biomarker 14 , 15 is 16 influenced 16 influenced 17 by 17 by 19 factors 18 many 19 factors 19 factors 21 including 20 , 21 including 21 including 27 and 21 including 29 . 22 socioeconomic 23 position 23 position 24 , 24 , 25 genetics 24 , 27 and 26 , 27 and 27 and 28 diet the inverse association [between] diet and crp is biologically feasible because micronutrients with antioxidative properties may enable the body to manage the balance between production and accumulation of reactive species that cause oxidative stress . 0 ###LEFT-WALL### 5 diet 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 35 . 1 the 5 diet 2 inverse 5 diet 3 association 5 diet 6 and 7 crp 6 and 8 is 7 crp 8 is 8 is 9 biologically 8 is 10 feasible 10 feasible 11 because 10 feasible 20 to 10 feasible 21 manage 11 because 12 micronutrients 11 because 17 enable 12 micronutrients 13 with 12 micronutrients 16 may 13 with 15 properties 14 antioxidative 15 properties 16 may 17 enable 17 enable 19 body 18 the 19 body 20 to 21 manage 21 manage 23 balance 21 manage 24 between 22 the 23 balance 24 between 26 and 25 production 26 and 26 and 27 accumulation 26 and 28 of 28 of 30 species 29 reactive 30 species 30 species 31 that 30 species 32 cause 31 that 32 cause 32 cause 34 stress 33 oxidative 34 stress objective : to determine the quality of the diet consumed by urban , low - income [african] - american and white adults aged 30 to 64 years , and association of diet quality with crp . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 36 . 1 objective 2 : 2 : 3 to 2 : 4 determine 3 to 4 determine 4 determine 6 quality 4 determine 11 by 4 determine 25 to 4 determine 34 with 5 the 6 quality 6 quality 7 of 6 quality 10 consumed 7 of 9 diet 8 the 9 diet 11 by 22 adults 12 urban 16 income 12 urban 18 - 12 urban 22 adults 13 , 16 income 14 low 15 - 14 low 16 income 16 income 18 - 19 american 20 and 20 and 21 white 20 and 22 adults 22 adults 23 aged 23 aged 24 30 25 to 29 and 26 64 27 years 27 years 29 and 28 , 29 and 29 and 30 association 29 and 31 of 31 of 33 quality 32 diet 33 quality 34 with 35 crp design : data from a cross - sectional study were used to evaluate diet quality assessed by mean adequacy [ratio] ( mar ) . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 1 design 2 : 2 : 3 data 3 data 4 from 3 data 17 by 4 from 6 cross 5 a 6 cross 6 cross 16 assessed 7 - 16 assessed 8 sectional 9 study 9 study 10 were 10 were 11 used 11 used 12 to 11 used 13 evaluate 12 to 13 evaluate 13 evaluate 15 quality 13 evaluate 16 assessed 14 diet 15 quality 15 quality 16 assessed 17 by 19 adequacy 18 mean 19 adequacy 19 adequacy 22 mar 21 ( 22 mar 22 mar 23 ) two 24 [-] hour recalls were collected by trained interviewers using the us department of agriculture automated multiple pass method . 0 ###LEFT-WALL### 5 recalls 0 ###LEFT-WALL### 7 collected 0 ###LEFT-WALL### 21 . 1 two 5 recalls 2 24 4 hour 4 hour 5 recalls 5 recalls 6 were 6 were 7 collected 7 collected 8 by 7 collected 11 using 8 by 10 interviewers 9 trained 10 interviewers 11 using 14 department 12 the 14 department 13 us 14 department 14 department 15 of 15 of 20 method 16 agriculture 17 automated 17 automated 18 multiple 18 multiple 20 method 19 pass 20 method participants : the sample consisted of healthy aging in neighborhoods of diversity across the life span baseline study participants , 2004 - 2009 , who completed both recalls ( n=2,017 ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 4 sample 2 : 5 consisted 3 the 4 sample 4 sample 5 consisted 5 consisted 6 of 6 of 8 aging 7 healthy 8 aging 8 aging 9 in 8 aging 13 across 9 in 10 neighborhoods 10 neighborhoods 11 of 11 of 12 diversity 13 across 19 participants 14 the 19 participants 15 life 16 span 16 span 19 participants 17 baseline 19 participants 18 study 19 participants 19 participants 22 - 20 , 22 - 21 2004 22 - 22 - 23 2009 22 - 25 who 22 - 31 ) 24 , 25 who 25 who 26 completed 25 who 31 ) 26 completed 28 recalls 27 both 28 recalls 28 recalls 30 n=2,017 29 ( 30 n=2,017 30 n=2,017 31 ) main outcome measures : mar equaled the average of the ratio of intakes to recommended dietary allowance for 15 vitamins and minerals . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 4 : 1 main 2 outcome 2 outcome 3 measures 4 : 5 mar 4 : 6 equaled 4 : 23 . 5 mar 6 equaled 6 equaled 8 average 6 equaled 14 to 7 the 8 average 8 average 9 of 9 of 11 ratio 10 the 11 ratio 11 ratio 12 of 12 of 13 intakes 14 to 17 allowance 15 recommended 16 dietary 16 dietary 17 allowance 17 allowance 18 for 18 for 21 and 19 15 20 vitamins 20 vitamins 21 and 21 and 22 minerals crp levels were assessed by the nephelometric method utilizing latex particles coated with crp monoclonal antibodies . 0 ###LEFT-WALL### 1 crp 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 17 . 1 crp 2 levels 1 crp 3 were 1 crp 4 assessed 2 levels 3 were 4 assessed 5 by 4 assessed 11 particles 4 assessed 12 coated 5 by 8 method 6 the 8 method 7 nephelometric 8 method 8 method 9 utilizing 9 utilizing 10 latex 11 particles 12 coated 12 coated 13 with 12 coated 16 antibodies 13 with 14 crp 15 monoclonal 16 antibodies results : mar scores ranged from 74.3 to 82.2 . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 . 1 results 2 : 2 : 4 scores 3 mar 4 scores 4 scores 5 ranged 5 ranged 8 to 6 from 8 to 7 74.3 8 to 8 to 9 82.2 intakes of magnesium and vitamins a , [c] , and [e] were the most [inadequate] compared with estimated average requirements . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 21 . 1 intakes 2 of 1 intakes 4 and 2 of 3 magnesium 4 and 5 vitamins 4 and 7 , 5 vitamins 6 a 9 , 10 and 10 and 12 were 10 and 16 compared 12 were 14 most 12 were 16 compared 13 the 14 most 16 compared 17 with 17 with 20 requirements 18 estimated 19 average 19 average 20 requirements crp levels were significantly associated with mar , dual - energy x - ray absorptiometry - measured body fat , and hypertension . 0 ###LEFT-WALL### 2 levels 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 23 . 1 crp 2 levels 2 levels 3 were 3 were 5 associated 4 significantly 5 associated 5 associated 6 with 6 with 21 and 7 mar 11 energy 7 mar 21 and 8 , 11 energy 9 dual 10 - 9 dual 11 energy 11 energy 12 x 11 energy 17 measured 11 energy 20 , 12 x 15 absorptiometry 12 x 17 measured 13 - 15 absorptiometry 14 ray 15 absorptiometry 15 absorptiometry 16 - 17 measured 19 fat 18 body 19 fat 21 and 22 hypertension a 10 % increase in mar was associated with a 4 % decrease in crp . 0 ###LEFT-WALL### 4 increase 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 16 . 1 a 4 increase 2 10 3 % 3 % 4 increase 4 increase 5 in 4 increase 7 was 5 in 6 mar 7 was 8 associated 8 associated 9 with 8 associated 14 in 9 with 13 decrease 10 a 13 decrease 11 4 12 % 12 % 13 decrease 14 in 15 crp conclusions : the mar was independently and significantly inversely associated with crp , suggesting [diet] is associated with the regulation of inflammation . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 mar 2 : 7 and 2 : 13 , 2 : 23 . 3 the 4 mar 4 mar 7 and 5 was 6 independently 5 was 7 and 7 and 10 associated 7 and 11 with 8 significantly 10 associated 9 inversely 10 associated 11 with 12 crp 13 , 14 suggesting 13 , 17 associated 14 suggesting 16 is 16 is 17 associated 17 associated 18 with 18 with 20 regulation 19 the 20 regulation 20 regulation 21 of 21 of 22 inflammation interventions to [assist] people make better food choices may not only improve diet quality but also their health , thereby possibly reducing risk for cardiovascular disease . 0 ###LEFT-WALL### 1 interventions 0 ###LEFT-WALL### 5 make 1 interventions 2 to 1 interventions 5 make 2 to 4 people 5 make 7 food 5 make 15 but 5 make 22 reducing 6 better 7 food 7 food 8 choices 7 food 12 improve 8 choices 9 may 9 may 10 not 9 may 12 improve 11 only 12 improve 13 diet 14 quality 14 quality 15 but 15 but 16 also 15 but 18 health 17 their 18 health 19 , 22 reducing 20 thereby 22 reducing 21 possibly 22 reducing 22 reducing 23 risk 22 reducing 27 . 23 risk 24 for 24 for 26 disease 25 cardiovascular 26 disease background & aims : metabolic [syndrome] ( mets ) is associated with incident disability in middle [-] aged subjects . 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 4 : 1 background 2 & 2 & 3 aims 4 : 5 metabolic 4 : 11 associated 4 : 20 . 5 metabolic 8 mets 5 metabolic 10 is 7 ( 8 mets 8 mets 9 ) 10 is 11 associated 11 associated 12 with 11 associated 15 in 12 with 14 disability 13 incident 14 disability 15 in 19 subjects 16 middle 18 aged 18 aged 19 subjects we evaluated the association of mets with functional ability in an older population . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 evaluated 0 ###LEFT-WALL### 14 . 1 we 2 evaluated 2 evaluated 4 association 2 evaluated 7 with 2 evaluated 10 in 3 the 4 association 4 association 5 of 5 of 6 mets 7 with 9 ability 8 functional 9 ability 10 in 13 population 11 an 13 population 12 older 13 population methods : we enrolled 1155 participants aged 65+ , derived from the inchianti study , and followed for 3 years . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 3 we 2 : 4 enrolled 3 we 4 enrolled 4 enrolled 6 participants 5 1155 6 participants 6 participants 16 and 7 aged 8 65+ 7 aged 16 and 8 65+ 10 derived 9 , 10 derived 10 derived 11 from 10 derived 15 , 11 from 14 study 12 the 14 study 13 inchianti 14 study 16 and 17 followed 16 and 18 for 18 for 20 years 19 3 20 years mets was diagnosed according to the national cholesterol education program 's atp [-] iii criteria . 0 ###LEFT-WALL### 1 mets 0 ###LEFT-WALL### 3 diagnosed 0 ###LEFT-WALL### 16 . 1 mets 2 was 2 was 3 diagnosed 3 diagnosed 5 to 4 according 5 to 5 to 15 criteria 6 the 10 program 7 national 8 cholesterol 8 cholesterol 9 education 9 education 10 program 10 program 11 's 11 's 15 criteria 12 atp 14 iii 12 atp 15 criteria functional ability was estimated using the katz 's activities of daily living ( adls ) , and the lawton and brody for the instrumental activities of daily living ( iadls ) scales . 0 ###LEFT-WALL### 2 ability 0 ###LEFT-WALL### 4 estimated 0 ###LEFT-WALL### 33 . 1 functional 2 ability 2 ability 3 was 3 was 4 estimated 4 estimated 5 using 5 using 17 and 6 the 7 katz 7 katz 8 's 8 's 17 and 9 activities 10 of 9 activities 17 and 10 of 12 living 11 daily 12 living 12 living 14 adls 13 ( 14 adls 14 adls 15 ) 16 , 17 and 17 and 32 scales 18 the 32 scales 19 lawton 20 and 20 and 21 brody 20 and 26 of 20 and 30 iadls 20 and 32 scales 21 brody 22 for 22 for 25 activities 23 the 25 activities 24 instrumental 25 activities 26 of 28 living 27 daily 28 living 29 ( 30 iadls 30 iadls 31 ) the association between disability and mets at baseline and after [follow] - up was assessed by logistic regression . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 15 assessed 0 ###LEFT-WALL### 19 . 1 the 2 association 2 association 3 between 2 association 14 was 3 between 5 and 4 disability 5 and 5 and 6 mets 5 and 9 and 7 at 8 baseline 7 at 9 and 9 and 10 after 10 after 13 up 12 - 13 up 14 was 15 assessed 15 assessed 16 by 16 by 18 regression 17 logistic 18 regression also , mets was associated with reduced probability of incident adls disability [(] or = . 61 , 95 % ci . 41 - [.] 91 [;] p = [.] 016 ) , but [neither] with prevalent , [nor] incident iadls disability . 0 ###LEFT-WALL### 3 mets 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 16 . 1 also 2 , 1 also 3 mets 3 mets 4 was 4 was 5 associated 5 associated 6 with 6 with 8 probability 7 reduced 8 probability 8 probability 9 of 8 probability 14 or 8 probability 15 = 9 of 12 disability 10 incident 12 disability 11 adls 12 disability 14 or 15 = 16 . 17 61 16 . 18 , 16 . 22 . 18 , 21 ci 19 95 21 ci 20 % 21 ci 22 . 23 41 22 . 24 - 24 - 26 91 26 91 29 = 26 91 34 but 28 p 29 = 29 = 31 016 29 = 32 ) 33 , 34 but 34 but 36 with 34 but 43 . 36 with 42 disability 37 prevalent 38 , 37 prevalent 42 disability 40 incident 42 disability 41 iadls 42 disability conclusions : in older persons , mets is associated with reduced probability of prevalent and incident adls disability . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 19 . 1 conclusions 2 : 2 : 3 in 3 in 5 persons 4 older 5 persons 6 , 7 mets 6 , 9 associated 7 mets 8 is 8 is 9 associated 9 associated 10 with 10 with 12 probability 11 reduced 12 probability 12 probability 13 of 13 of 15 and 14 prevalent 15 and 15 and 18 disability 16 incident 18 disability 17 adls 18 disability whether older persons with mets should receive treatment and whether the current diagnostic criteria for mets apply to older individuals need further investigation . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 21 need 0 ###LEFT-WALL### 24 . 1 whether 3 persons 1 whether 7 receive 1 whether 9 and 2 older 3 persons 3 persons 4 with 3 persons 6 should 4 with 5 mets 6 should 7 receive 8 treatment 9 and 9 and 10 whether 9 and 14 criteria 9 and 17 apply 9 and 21 need 11 the 14 criteria 12 current 14 criteria 13 diagnostic 14 criteria 14 criteria 15 for 14 criteria 17 apply 15 for 16 mets 17 apply 18 to 18 to 20 individuals 19 older 20 individuals 21 need 23 investigation 22 further 23 investigation previous literature suggests that age - related deficits of dual - task [walking] [are] particularly pronounced [with] second tasks that require continuous visual processing . 0 ###LEFT-WALL### 2 literature 0 ###LEFT-WALL### 3 suggests 0 ###LEFT-WALL### 7 related 1 previous 2 literature 2 literature 3 suggests 3 suggests 4 that 3 suggests 5 age 6 - 7 related 7 related 8 deficits 7 related 25 . 8 deficits 9 of 9 of 19 tasks 10 dual 11 - 10 dual 12 task 12 task 19 tasks 15 particularly 16 pronounced 16 pronounced 19 tasks 18 second 19 tasks 19 tasks 20 that 19 tasks 21 require 20 that 21 require 21 require 24 processing 22 continuous 24 processing 23 visual 24 processing here we evaluate whether the difficulty of the [walking] task matters as well . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 evaluate 0 ###LEFT-WALL### 14 . 1 here 2 we 2 we 3 evaluate 3 evaluate 4 whether 4 whether 6 difficulty 4 whether 11 matters 5 the 6 difficulty 6 difficulty 7 of 6 difficulty 11 matters 7 of 10 task 8 the 10 task 11 matters 12 as 12 as 13 well to this end , participants were asked to walk along a straight pathway of 20 m length in four different [walking] conditions : [(] a [ )(wide path [and] preferred pace [;] [(] [b] [ )(narrow path and preferred pace , ( [c] [ )(wide path and fast pace , [(] [d] [ )(obstacled wide path and preferred pace . 0 ###LEFT-WALL### 5 participants 0 ###LEFT-WALL### 7 asked 1 to 3 end 1 to 4 , 1 to 5 participants 2 this 3 end 5 participants 6 were 6 were 7 asked 7 asked 8 to 8 to 9 walk 9 walk 10 along 9 walk 17 length 9 walk 18 in 10 along 13 pathway 11 a 13 pathway 12 straight 13 pathway 13 pathway 14 of 14 of 16 m 15 20 16 m 18 in 22 conditions 19 four 22 conditions 20 different 22 conditions 22 conditions 23 : 23 : 28 path 23 : 30 preferred 25 a 28 path 27 )(wide 28 path 28 path 30 preferred 30 preferred 38 and 31 pace 37 path 36 )(narrow 37 path 37 path 38 and 38 and 40 pace 38 and 41 , 38 and 49 pace 39 preferred 40 pace 42 ( 49 pace 45 )(wide 49 pace 46 path 47 and 47 and 48 fast 47 and 49 pace 49 pace 57 and 49 pace 60 . 50 , 57 and 54 )(obstacled 56 path 55 wide 56 path 56 path 57 and 57 and 59 pace 57 and 60 . 58 preferred 59 pace each condition was performed concurrently with a task requiring visual processing or fine motor control , and all tasks [were] also performed alone which allowed us to calculate the dual - task costs ( dtc ) . 0 ###LEFT-WALL### 2 condition 0 ###LEFT-WALL### 12 or 0 ###LEFT-WALL### 37 . 1 each 2 condition 2 condition 3 was 3 was 12 or 4 performed 5 concurrently 4 performed 6 with 4 performed 12 or 6 with 8 task 6 with 9 requiring 7 a 8 task 9 requiring 11 processing 10 visual 11 processing 12 or 13 fine 12 or 27 to 13 fine 15 control 13 fine 17 and 14 motor 15 control 16 , 17 and 17 and 19 tasks 18 all 19 tasks 19 tasks 22 performed 19 tasks 24 which 19 tasks 25 allowed 21 also 22 performed 22 performed 23 alone 24 which 25 allowed 25 allowed 26 us 27 to 28 calculate 28 calculate 33 costs 29 the 33 costs 30 dual 31 - 30 dual 32 task 32 task 33 costs 33 costs 35 dtc 34 ( 35 dtc 35 dtc 36 ) results showed that the age - related increase of dtc is substantially larger with [the] visually demanding than with the motor - demanding task , more so when walking on [a] narrow or obstacled path . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 showed 1 results 2 showed 2 showed 3 that 3 that 5 age 3 that 11 is 4 the 5 age 5 age 11 is 6 - 7 related 7 related 8 increase 7 related 11 is 8 increase 9 of 9 of 10 dtc 11 is 12 substantially 11 is 13 larger 13 larger 14 with 14 with 17 demanding 16 visually 17 demanding 17 demanding 18 than 17 demanding 23 demanding 17 demanding 26 more 17 demanding 27 so 17 demanding 28 when 18 than 19 with 19 with 21 motor 20 the 21 motor 22 - 23 demanding 23 demanding 24 task 23 demanding 25 , 28 when 29 walking 29 walking 30 on 30 on 33 or 32 narrow 33 or 33 or 35 path 33 or 36 . 34 obstacled 35 path we attribute these observations to the fact that visual scanning of the environment becomes more crucial when walking in difficult terrains : the higher visual demand of those conditions accentuates the age - related deficits in coordinating them with a visual [non] - [walking] task . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 attribute 0 ###LEFT-WALL### 22 : 0 ###LEFT-WALL### 46 . 1 we 2 attribute 2 attribute 4 observations 2 attribute 19 in 3 these 4 observations 4 observations 5 to 4 observations 10 scanning 4 observations 18 walking 5 to 7 fact 6 the 7 fact 8 that 10 scanning 9 visual 10 scanning 10 scanning 11 of 10 scanning 14 becomes 11 of 13 environment 12 the 13 environment 14 becomes 16 crucial 15 more 16 crucial 16 crucial 17 when 17 when 18 walking 19 in 21 terrains 20 difficult 21 terrains 22 : 26 demand 22 : 30 accentuates 22 : 34 related 23 the 26 demand 24 higher 26 demand 25 visual 26 demand 26 demand 27 of 26 demand 30 accentuates 27 of 29 conditions 28 those 29 conditions 30 accentuates 32 age 31 the 32 age 33 - 34 related 34 related 35 deficits 35 deficits 36 in 36 in 37 coordinating 37 coordinating 38 them 37 coordinating 39 with 39 with 45 task 40 a 45 task 41 visual 43 - 41 visual 45 task several studies have quantified and compared balance recovery between healthy younger and older adults , using a variety of large postural perturbations and loss of balance directions . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 28 . 1 several 2 studies 2 studies 3 have 3 have 5 and 4 quantified 5 and 5 and 6 compared 5 and 9 between 6 compared 8 recovery 7 balance 8 recovery 9 between 14 adults 10 healthy 14 adults 11 younger 12 and 12 and 13 older 12 and 14 adults 15 , 27 directions 16 using 27 directions 17 a 18 variety 18 variety 19 of 18 variety 23 and 19 of 22 perturbations 20 large 22 perturbations 21 postural 22 perturbations 23 and 24 loss 23 and 25 of 23 and 27 directions 25 of 26 balance however , to the best of our knowledge , no studies at the threshold of balance recovery , where avoiding a fall is not always possible , have included middle [-] aged adults . 0 ###LEFT-WALL### 11 studies 0 ###LEFT-WALL### 29 included 0 ###LEFT-WALL### 34 . 1 however 2 , 1 however 11 studies 2 , 3 to 3 to 5 best 3 to 9 , 3 to 11 studies 4 the 5 best 5 best 6 of 6 of 8 knowledge 7 our 8 knowledge 10 no 11 studies 11 studies 12 at 11 studies 28 have 12 at 14 threshold 13 the 14 threshold 14 threshold 15 of 15 of 17 recovery 16 balance 17 recovery 17 recovery 19 where 18 , 19 where 19 where 20 avoiding 19 where 23 is 19 where 27 , 20 avoiding 22 fall 20 avoiding 23 is 21 a 22 fall 23 is 24 not 23 is 25 always 23 is 26 possible 28 have 29 included 29 included 33 adults 30 middle 32 aged 32 aged 33 adults we thus determined the maximum lean angle from [which] 20 [younger] , 16 middle - aged and 16 older healthy adults could be suddenly released and still recover balance using a single step for forward , [sideways] [and] backward [leans] . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 determined 0 ###LEFT-WALL### 12 , 1 we 3 determined 2 thus 3 determined 3 determined 7 angle 3 determined 8 from 4 the 7 angle 5 maximum 7 angle 6 lean 7 angle 8 from 10 20 12 , 14 middle 12 , 15 - 13 16 14 middle 15 - 17 and 15 - 26 and 16 aged 17 and 17 and 21 adults 17 and 22 could 18 16 21 adults 19 older 21 adults 20 healthy 21 adults 22 could 23 be 23 be 26 and 24 suddenly 26 and 25 released 26 and 26 and 28 recover 27 still 28 recover 28 recover 29 balance 28 recover 30 using 28 recover 34 for 28 recover 39 backward 30 using 33 step 31 a 32 single 31 a 33 step 32 single 33 step 34 for 35 forward 36 , 39 backward 39 backward 41 . results showed that the maximum lean angles of younger adults were 23 % greater than middle - aged adults and 48 % greater than older adults . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 showed 1 results 2 showed 2 showed 3 that 3 that 7 angles 3 that 11 were 4 the 7 angles 5 maximum 7 angles 6 lean 7 angles 7 angles 8 of 7 angles 11 were 8 of 10 adults 9 younger 10 adults 11 were 13 % 12 23 13 % 13 % 14 greater 13 % 20 and 14 greater 15 than 15 than 16 middle 17 - 20 and 18 aged 19 adults 19 adults 20 and 20 and 26 adults 20 and 27 . 21 48 26 adults 22 % 26 adults 23 greater 26 adults 24 than 25 older 25 older 26 adults the maximum lean angles [for] forward leans were 23 % greater than sideways leans and 22 % greater than backward leans . 0 ###LEFT-WALL### 2 maximum 0 ###LEFT-WALL### 8 were 0 ###LEFT-WALL### 22 . 1 the 2 maximum 2 maximum 3 lean 2 maximum 7 leans 2 maximum 8 were 3 lean 4 angles 3 lean 6 forward 3 lean 7 leans 4 angles 6 forward 8 were 15 and 9 23 10 % 9 23 15 and 10 % 11 greater 10 % 14 leans 11 greater 12 than 11 greater 13 sideways 15 and 16 22 16 22 17 % 17 % 18 greater 17 % 21 leans 18 greater 19 than 18 greater 20 backward these declines with age and lean direction were associated with declines in response initiation , execution and geometry . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 19 . 1 these 2 declines 2 declines 3 with 2 declines 5 and 3 with 4 age 5 and 7 direction 5 and 8 were 6 lean 7 direction 8 were 9 associated 9 associated 10 with 9 associated 12 in 10 with 11 declines 12 in 17 and 13 response 14 initiation 14 initiation 15 , 15 , 16 execution 15 , 17 and 17 and 18 geometry finally exponential regressions showed that the critical ages at which the ability to recover balance and avoid a fall significantly decreases were 51.0 , 60.6 and 69.9 yrs [for] forward , sideways and [backward] leans [,] respectively . 0 ###LEFT-WALL### 3 regressions 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 38 . 1 finally 2 exponential 2 exponential 3 regressions 3 regressions 4 showed 4 showed 5 that 5 that 7 critical 5 that 33 and 6 the 7 critical 7 critical 33 and 8 ages 9 at 8 ages 22 were 8 ages 33 and 9 at 10 which 10 which 12 ability 10 which 22 were 11 the 12 ability 12 ability 13 to 12 ability 16 and 12 ability 21 decreases 13 to 16 and 14 recover 15 balance 14 recover 16 and 16 and 17 avoid 17 avoid 19 fall 18 a 19 fall 20 significantly 21 decreases 22 were 23 51.0 22 were 32 sideways 23 51.0 26 and 24 , 26 and 25 60.6 26 and 26 and 27 69.9 26 and 30 forward 26 and 31 , 27 69.9 28 yrs 28 yrs 30 forward 33 and 35 leans 35 leans 37 respectively therefore , we have demonstrated that age affects the ability to recover balance nearly a decade earlier than the rate [of] falls . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 5 demonstrated 0 ###LEFT-WALL### 23 . 1 therefore 2 , 1 therefore 3 we 3 we 4 have 4 have 5 demonstrated 5 demonstrated 6 that 6 that 7 age 6 that 8 affects 7 age 8 affects 8 affects 10 ability 9 the 10 ability 10 ability 11 to 10 ability 12 recover 11 to 12 recover 12 recover 13 balance 12 recover 17 earlier 12 recover 18 than 14 nearly 16 decade 15 a 16 decade 16 decade 17 earlier 18 than 20 rate 18 than 22 falls 19 the 20 rate 20 rate 22 falls future studies should thus not only include older adults over 65 yrs , but also middle - aged adults under 65 yrs , or recruit all ages from 18 to 85 yrs . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 7 include 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 27 ages 1 future 2 studies 2 studies 3 should 3 should 5 not 3 should 7 include 4 thus 5 not 6 only 7 include 7 include 14 but 8 older 9 adults 9 adults 10 over 9 adults 14 but 10 over 12 yrs 11 65 12 yrs 13 , 14 but 14 but 15 also 14 but 16 middle 17 - 24 or 18 aged 19 adults 19 adults 20 under 19 adults 24 or 20 under 22 yrs 21 65 22 yrs 23 , 24 or 24 or 25 recruit 24 or 26 all 24 or 27 ages 26 all 27 ages 27 ages 28 from 28 from 32 yrs 29 18 30 to 30 to 31 85 30 to 32 yrs 32 yrs 33 . finally , the critical ages identified in this study may justify an earlier screening of aging adults to prevent [future] [falls] , especially the first fall . 0 ###LEFT-WALL### 5 ages 0 ###LEFT-WALL### 11 justify 1 finally 2 , 1 finally 5 ages 3 the 5 ages 4 critical 5 ages 5 ages 6 identified 5 ages 7 in 5 ages 10 may 7 in 9 study 8 this 9 study 10 may 11 justify 11 justify 14 screening 12 an 14 screening 13 earlier 14 screening 14 screening 15 of 14 screening 18 to 14 screening 19 prevent 14 screening 26 fall 15 of 16 aging 16 aging 17 adults 18 to 19 prevent 22 , 23 especially 22 , 26 fall 24 the 25 first 24 the 26 fall 26 fall 27 . objective : the objective of this study was to obtain external validation of the only available midlife dementia risk score cardiovascular risk factors , aging and dementia study ( caide ) constituting age , education , hypertension , obesity , and hyperlipidemia in a larger , more diverse population . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 50 . 1 objective 2 : 2 : 4 objective 3 the 4 objective 4 objective 5 of 4 objective 7 study 4 objective 10 obtain 5 of 6 this 7 study 8 was 8 was 9 to 8 was 10 obtain 9 to 10 obtain 10 obtain 41 and 11 external 12 validation 12 validation 13 of 12 validation 24 , 13 of 18 dementia 14 the 15 only 14 the 18 dementia 16 available 18 dementia 17 midlife 18 dementia 18 dementia 22 risk 18 dementia 23 factors 19 risk 22 risk 20 score 22 risk 21 cardiovascular 22 risk 22 risk 23 factors 24 , 25 aging 24 , 26 and 26 and 28 study 26 and 30 caide 26 and 33 age 27 dementia 28 study 29 ( 30 caide 30 caide 31 ) 32 constituting 33 age 33 age 34 , 34 , 35 education 34 , 36 , 36 , 37 hypertension 36 , 38 , 38 , 39 obesity 38 , 41 and 40 , 41 and 41 and 42 hyperlipidemia 41 and 43 in 43 in 49 population 44 a 49 population 45 larger 46 , 45 larger 49 population 47 more 48 diverse 48 diverse 49 population our second aim was to improve the caide risk score by additional midlife risk factors . 0 ###LEFT-WALL### 2 second 0 ###LEFT-WALL### 10 score 0 ###LEFT-WALL### 16 . 1 our 2 second 2 second 3 aim 2 second 9 risk 2 second 10 score 3 aim 4 was 4 was 5 to 4 was 9 risk 5 to 6 improve 7 the 8 caide 8 caide 9 risk 10 score 11 by 11 by 15 factors 12 additional 13 midlife 13 midlife 15 factors 14 risk 15 factors methods : this retrospective cohort study was conducted in an integrated health care delivery system . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 6 study 2 : 8 conducted 2 : 16 . 3 this 6 study 4 retrospective 5 cohort 5 cohort 6 study 6 study 7 was 7 was 8 conducted 8 conducted 9 in 9 in 15 system 10 an 15 system 11 integrated 12 health 12 health 15 system 13 care 15 system 14 delivery 15 system a total of 9480 kaiser permanente members who participated in a health survey study ( age range , 40 - 55 years ) from 1964 to 1973 were included in this study . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 29 included 0 ###LEFT-WALL### 33 . 1 a 2 total 2 total 3 of 2 total 28 were 3 of 7 members 4 9480 7 members 5 kaiser 6 permanente 6 permanente 7 members 7 members 8 who 7 members 9 participated 8 who 9 participated 9 participated 10 in 9 participated 20 - 9 participated 26 to 10 in 14 study 11 a 12 health 11 a 14 study 12 health 13 survey 13 survey 14 study 14 study 17 range 15 ( 17 range 16 age 17 range 17 range 18 , 18 , 20 - 19 40 20 - 20 - 22 years 20 - 23 ) 21 55 22 years 24 from 26 to 25 1964 26 to 26 to 27 1973 28 were 29 included 29 included 30 in 30 in 32 study 31 this 32 study dementia diagnoses from primary care and medical specialist visits were collected from january 1 , 1994 to january 16 , 2006 , using international classification of diseases 9 codes 290.0 , 290.1 for " possible dementia , " [and] 331.0 and 290.4 for " specialist confirmed dementia . " 0 ###LEFT-WALL### 1 dementia 0 ###LEFT-WALL### 2 diagnoses 0 ###LEFT-WALL### 48 . 1 dementia 2 diagnoses 2 diagnoses 3 from 2 diagnoses 23 using 2 diagnoses 41 and 2 diagnoses 43 for 3 from 6 and 4 primary 5 care 5 care 6 and 6 and 8 specialist 6 and 9 visits 6 and 10 were 6 and 11 collected 6 and 16 1994 7 medical 8 specialist 9 visits 10 were 11 collected 12 from 12 from 13 january 13 january 14 1 15 , 16 1994 16 1994 17 to 16 1994 22 , 17 to 18 january 18 january 19 16 18 january 21 2006 20 , 21 2006 21 2006 22 , 23 using 25 classification 24 international 25 classification 25 classification 26 of 25 classification 32 290.1 26 of 29 codes 27 diseases 28 9 27 diseases 29 codes 29 codes 30 290.0 31 , 32 290.1 32 290.1 33 for 32 290.1 37 , 33 for 34 " 33 for 36 dementia 35 possible 36 dementia 37 , 38 " 40 331.0 41 and 41 and 42 290.4 43 for 44 " 43 for 47 dementia 45 specialist 46 confirmed 46 confirmed 47 dementia 48 . 49 " risk model prediction and validation were examined with the [c] statistic , net reclassification improvement , and integrated discrimination improvement . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 7 examined 0 ###LEFT-WALL### 21 . 1 risk 3 prediction 2 model 3 prediction 3 prediction 4 and 4 and 5 validation 4 and 6 were 6 were 7 examined 7 examined 8 with 8 with 17 and 9 the 11 statistic 11 statistic 12 , 12 , 15 improvement 12 , 17 and 13 net 15 improvement 14 reclassification 15 improvement 16 , 17 and 17 and 20 improvement 18 integrated 19 discrimination 19 discrimination 20 improvement dementia risk per sum score was calculated with kaplan - meier estimates . 0 ###LEFT-WALL### 2 risk 0 ###LEFT-WALL### 7 calculated 0 ###LEFT-WALL### 10 - 1 dementia 2 risk 2 risk 3 per 2 risk 6 was 3 per 5 score 4 sum 5 score 6 was 7 calculated 7 calculated 8 with 8 with 9 kaplan 10 - 11 meier 10 - 12 estimates 10 - 13 . 11 meier 12 estimates results : a total of 2767 participants ( 25 % ) were diagnosed with any type of dementia , of which 1011 diagnoses ( 10.7 % ) were specialist [-] confirmed diagnoses . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 4 total 2 : 13 diagnosed 2 : 19 , 3 a 4 total 4 total 5 of 4 total 12 were 5 of 7 participants 6 2767 7 participants 7 participants 10 % 8 ( 10 % 9 25 10 % 10 % 11 ) 12 were 13 diagnosed 13 diagnosed 14 with 14 with 16 type 15 any 16 type 16 type 17 of 17 of 18 dementia 19 , 20 of 19 , 28 were 20 of 21 which 20 of 23 diagnoses 20 of 28 were 21 which 23 diagnoses 22 1011 23 diagnoses 23 diagnoses 26 % 24 ( 26 % 25 10.7 26 % 26 % 27 ) 28 were 32 diagnoses 29 specialist 31 confirmed 31 confirmed 32 diagnoses average time between midlife examination and end of [follow] - up was 36.1 years . 0 ###LEFT-WALL### 2 time 0 ###LEFT-WALL### 12 was 0 ###LEFT-WALL### 15 . 1 average 2 time 2 time 3 between 2 time 12 was 3 between 6 and 4 midlife 5 examination 5 examination 6 and 6 and 7 end 6 and 8 of 8 of 11 up 10 - 11 up 12 was 14 years 13 36.1 14 years the caide risk score replicated well with a [c] statistic of 0.75 , quite similar to the original caide c statistic of 0.78 . 0 ###LEFT-WALL### 2 caide 0 ###LEFT-WALL### 3 risk 1 the 2 caide 2 caide 3 risk 3 risk 6 well 3 risk 7 with 4 score 5 replicated 5 replicated 6 well 7 with 10 statistic 8 a 10 statistic 10 statistic 11 of 11 of 12 0.75 12 0.75 15 similar 13 , 15 similar 14 quite 15 similar 15 similar 16 to 15 similar 24 . 16 to 21 statistic 17 the 21 statistic 18 original 21 statistic 19 caide 20 c 19 caide 21 statistic 21 statistic 22 of 22 of 23 0.78 the caide score also predicted well within different race strata . 0 ###LEFT-WALL### 2 caide 0 ###LEFT-WALL### 3 score 0 ###LEFT-WALL### 11 . 1 the 2 caide 2 caide 3 score 3 score 6 well 3 score 7 within 4 also 5 predicted 5 predicted 6 well 7 within 10 strata 8 different 9 race 9 race 10 strata other midlife risk factors ( central obesity , depressed [mood] , diabetes mellitus , head trauma , lung function , and smoking ) did not improve predictability . 0 ###LEFT-WALL### 2 midlife 0 ###LEFT-WALL### 26 improve 0 ###LEFT-WALL### 28 . 1 other 2 midlife 2 midlife 3 risk 2 midlife 4 factors 2 midlife 7 obesity 2 midlife 24 did 3 risk 4 factors 5 ( 7 obesity 6 central 7 obesity 7 obesity 9 depressed 7 obesity 21 and 7 obesity 23 ) 8 , 9 depressed 9 depressed 11 , 11 , 21 and 12 diabetes 13 mellitus 13 mellitus 14 , 14 , 16 trauma 14 , 17 , 15 head 16 trauma 17 , 19 function 17 , 21 and 18 lung 19 function 20 , 21 and 21 and 22 smoking 21 and 23 ) 24 did 25 not 24 did 26 improve 26 improve 27 predictability the risk score allowed stratification of participants into those with 40 - year low ( 9 % ) [and] high ( 29 % ) dementia risk . 0 ###LEFT-WALL### 3 score 0 ###LEFT-WALL### 4 allowed 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 27 . 1 the 3 score 2 risk 3 score 3 score 4 allowed 4 allowed 5 stratification 4 allowed 8 into 4 allowed 10 with 5 stratification 6 of 6 of 7 participants 8 into 9 those 10 with 11 40 12 - 26 risk 13 year 26 risk 14 low 17 % 14 low 25 dementia 15 ( 17 % 16 9 17 % 17 % 18 ) 20 high 23 % 20 high 25 dementia 21 ( 23 % 22 29 23 % 23 % 24 ) 25 dementia 26 risk conclusions : a combination of modifiable vascular risk factors in midlife is highly predictive [of] [the] likelihood of dementia decades later . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 4 combination 2 : 12 is 3 a 4 combination 4 combination 5 of 4 combination 12 is 5 of 9 factors 6 modifiable 9 factors 7 vascular 9 factors 8 risk 9 factors 9 factors 10 in 10 in 11 midlife 12 is 17 likelihood 13 highly 14 predictive 14 predictive 17 likelihood 17 likelihood 18 of 18 of 20 decades 19 dementia 20 decades 20 decades 21 later possible dementia prevention strategies should point to a life course perspective on maintaining vascular health . 0 ###LEFT-WALL### 4 strategies 0 ###LEFT-WALL### 6 point 0 ###LEFT-WALL### 16 . 1 possible 2 dementia 2 dementia 4 strategies 3 prevention 4 strategies 4 strategies 5 should 5 should 6 point 6 point 7 to 6 point 12 on 7 to 11 perspective 8 a 11 perspective 9 life 11 perspective 10 course 11 perspective 12 on 13 maintaining 13 maintaining 15 health 14 vascular 15 health objective : the objective of this study was to examine the association of plasma estradiol and testosterone with risk for dementia in elderly men . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 examine 0 ###LEFT-WALL### 25 . 2 : 4 objective 3 the 4 objective 4 objective 5 of 4 objective 7 study 4 objective 10 examine 5 of 6 this 7 study 8 was 8 was 9 to 8 was 10 examine 9 to 10 examine 10 examine 12 association 10 examine 18 with 10 examine 22 in 11 the 12 association 12 association 13 of 13 of 16 and 14 plasma 15 estradiol 15 estradiol 16 and 16 and 17 testosterone 18 with 19 risk 19 risk 20 for 20 for 21 dementia 22 in 24 men 23 elderly 24 men methods : within the population based three - city study , including 3650 men age 65 years and older , a case - cohort design was set up after 4 - years [of] follow - up . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 37 . 1 methods 2 : 2 : 3 within 3 within 7 three 4 the 7 three 5 population 6 based 6 based 7 three 7 three 10 study 8 - 10 study 9 city 10 study 10 study 11 , 11 , 14 men 11 , 15 age 11 , 20 , 12 including 14 men 13 3650 14 men 14 men 15 age 15 age 18 and 16 65 17 years 17 years 18 and 18 and 19 older 20 , 22 case 20 , 23 - 21 a 22 case 23 - 25 design 23 - 27 set 23 - 31 - 24 cohort 25 design 25 design 26 was 26 was 27 set 27 set 28 up 27 set 29 after 29 after 30 4 31 - 32 years 31 - 34 follow 31 - 35 - 32 years 34 follow 35 - 36 up cox regression models were used to estimate multivariate steroid sex [hormone] [-] associated hazard ratios ( hr ) and 95 % confidence intervals of dementia . 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 26 . 1 cox 13 associated 1 cox 19 and 2 regression 3 models 3 models 4 were 4 were 5 used 5 used 6 to 5 used 7 estimate 6 to 7 estimate 7 estimate 10 sex 7 estimate 13 associated 8 multivariate 9 steroid 9 steroid 10 sex 10 sex 13 associated 13 associated 15 ratios 13 associated 18 ) 14 hazard 15 ratios 15 ratios 17 hr 16 ( 17 hr 17 hr 18 ) 19 and 23 intervals 19 and 24 of 20 95 23 intervals 21 % 22 confidence 22 confidence 23 intervals 24 of 25 dementia results : there was a reverse j - shaped relationship [between] total - t and risk for dementia ( p=.007 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 8 - 2 : 13 - 3 there 4 was 4 was 6 reverse 5 a 6 reverse 6 reverse 7 j 7 j 8 - 8 - 12 total 9 shaped 10 relationship 10 relationship 12 total 13 - 15 and 13 - 22 . 14 t 15 and 15 and 16 risk 15 and 17 for 15 and 20 p=.007 17 for 18 dementia 19 ( 20 p=.007 20 p=.007 21 ) compared with the median tertile , the hrs associated with total [-] t in the lower [and] upper tertile were increased ( hr , 2.33 ; p=.026 ; hr , 1.9 , p=.126 [;] [respectively] [ )( 0 ###LEFT-WALL### 8 hrs 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 37 )( 1 compared 2 with 1 compared 6 , 1 compared 8 hrs 2 with 5 tertile 3 the 5 tertile 4 median 5 tertile 7 the 8 hrs 8 hrs 9 associated 9 associated 10 with 10 with 11 total 11 total 13 t 11 total 14 in 11 total 21 increased 11 total 23 hr 14 in 18 upper 15 the 18 upper 16 lower 18 upper 18 upper 19 tertile 18 upper 20 were 19 tertile 20 were 22 ( 23 hr 23 hr 24 , 24 , 25 2.33 24 , 26 ; 26 ; 27 p=.026 26 ; 28 ; 28 ; 29 hr 28 ; 30 , 30 , 31 1.9 30 , 32 , 32 , 33 p=.126 low bio - t was associated with a greater risk for dementia ( hr for one standard deviation of decreasing log [(] bio [-] t ) , 1.29 ; 95 % confidence interval , 1.03 - 1.62 [ )( 0 ###LEFT-WALL### 2 bio 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 39 )( 1 low 2 bio 3 - 4 t 3 - 6 associated 3 - 27 , 4 t 5 was 5 was 6 associated 6 associated 7 with 7 with 10 risk 8 a 10 risk 9 greater 10 risk 10 risk 11 for 11 for 12 dementia 12 dementia 14 hr 13 ( 14 hr 14 hr 15 for 14 hr 19 of 14 hr 26 ) 15 for 18 deviation 16 one 18 deviation 17 standard 18 deviation 19 of 20 decreasing 20 decreasing 23 bio 21 log 23 bio 23 bio 25 t 27 , 28 1.29 27 , 29 ; 29 ; 33 interval 29 ; 34 , 30 95 31 % 31 % 33 interval 32 confidence 33 interval 34 , 35 1.03 34 , 36 - 35 1.03 36 - 36 - 37 1.62 an interaction was found between bio [-] t and age ( p<.0001 ) , and bio - t and education ( p=.044 ) . 0 ###LEFT-WALL### 2 interaction 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 24 . 1 an 2 interaction 2 interaction 3 was 3 was 4 found 4 found 5 between 5 between 15 and 6 bio 8 t 6 bio 9 and 9 and 10 age 9 and 12 p<.0001 9 and 15 and 11 ( 12 p<.0001 12 p<.0001 13 ) 14 , 15 and 15 and 16 bio 15 and 19 and 17 - 19 and 18 t 19 and 19 and 20 education 19 and 22 p=.044 19 and 23 ) 21 ( 22 p=.044 22 p=.044 23 ) no significant association was found between total - e2 and dementia . 0 ###LEFT-WALL### 3 association 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 8 - 1 no 3 association 2 significant 3 association 3 association 4 was 4 was 5 found 5 found 6 between 6 between 7 total 8 - 10 and 8 - 12 . 9 e2 10 and 10 and 11 dementia conclusions : low levels of testosterone are associated with a risk for dementia in elderly men . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 levels 2 : 8 associated 2 : 17 . 3 low 4 levels 4 levels 5 of 4 levels 7 are 5 of 6 testosterone 7 are 8 associated 8 associated 9 with 8 associated 14 in 9 with 11 risk 10 a 11 risk 11 risk 12 for 12 for 13 dementia 14 in 16 men 15 elderly 16 men the association between low bio [-] t and dementia may be more relevant to men 80 years or older and men with a high level [of] education . 0 ###LEFT-WALL### 11 be 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 28 . 1 the 2 association 2 association 3 between 2 association 8 and 3 between 5 bio 4 low 5 bio 5 bio 7 t 8 and 9 dementia 8 and 10 may 10 may 11 be 11 be 13 relevant 12 more 13 relevant 13 relevant 14 to 13 relevant 18 or 14 to 15 men 15 men 16 80 17 years 18 or 18 or 19 older 20 and 21 men 20 and 25 level 21 men 22 with 21 men 25 level 22 with 24 high 23 a 24 high 25 level 27 education early detection of alzheimer 's disease ( ad ) is important since treatments are more efficacious when used at the beginning of the disease . 0 ###LEFT-WALL### 2 detection 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 25 . 1 early 2 detection 2 detection 3 of 2 detection 10 is 3 of 6 disease 4 alzheimer 5 's 5 's 6 disease 6 disease 8 ad 7 ( 8 ad 8 ad 9 ) 10 is 11 important 11 important 12 since 12 since 13 treatments 12 since 14 are 13 treatments 14 are 14 are 16 efficacious 15 more 16 efficacious 16 efficacious 17 when 16 efficacious 19 at 17 when 18 used 19 at 21 beginning 20 the 21 beginning 21 beginning 22 of 22 of 24 disease 23 the 24 disease despite significant advances in diagnostic methods for ad , there is no single diagnostic method for ad with high accuracy . 0 ###LEFT-WALL### 10 there 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 21 . 1 despite 3 advances 1 despite 9 , 1 despite 10 there 2 significant 3 advances 3 advances 4 in 4 in 6 methods 5 diagnostic 6 methods 6 methods 7 for 7 for 8 ad 10 there 11 is 11 is 15 method 12 no 15 method 13 single 15 method 14 diagnostic 15 method 15 method 16 for 16 for 17 ad 17 ad 18 with 18 with 20 accuracy 19 high 20 accuracy we developed a support vector machine [(] svm [ )(model that classifies mild cognitive impairment ( mci ) and normal control subjects using probabilistic tractography and tract - based spatial statistics of diffusion tensor imaging ( dti ) data . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 40 . 1 we 2 developed 2 developed 10 )(model 3 a 4 support 3 a 10 )(model 4 support 10 )(model 5 vector 6 machine 6 machine 10 )(model 8 svm 10 )(model 10 )(model 11 that 10 )(model 12 classifies 10 )(model 17 mci 11 that 12 classifies 12 classifies 15 impairment 13 mild 15 impairment 14 cognitive 15 impairment 16 ( 17 mci 17 mci 18 ) 19 and 21 control 19 and 22 subjects 20 normal 21 control 21 control 22 subjects 22 subjects 23 using 22 subjects 39 data 23 using 26 and 24 probabilistic 25 tractography 25 tractography 26 and 26 and 27 tract 26 and 31 statistics 28 - 31 statistics 29 based 31 statistics 30 spatial 31 statistics 31 statistics 32 of 31 statistics 37 dti 31 statistics 38 ) 32 of 35 imaging 33 diffusion 35 imaging 34 tensor 35 imaging 36 ( 37 dti 37 dti 38 ) mci is an intermediate state between normal aging and ad , so finding mci is important for an early diagnosis of ad . 0 ###LEFT-WALL### 1 mci 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 23 . 1 mci 2 is 2 is 5 state 2 is 6 between 3 an 4 intermediate 3 an 5 state 4 intermediate 5 state 6 between 9 and 7 normal 8 aging 7 normal 9 and 9 and 10 ad 11 , 12 so 11 , 15 is 12 so 15 is 13 finding 14 mci 13 finding 15 is 15 is 16 important 16 important 17 for 17 for 20 diagnosis 18 an 20 diagnosis 19 early 20 diagnosis 20 diagnosis 21 of 21 of 22 ad the key features of dti data we identified through extensive analysis include the fractional anisotropy ( fa ) values of selected voxels , their average fa value , and the volume of fiber pathways from a pre - defined seed region . 0 ###LEFT-WALL### 3 features 0 ###LEFT-WALL### 12 include 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 42 . 1 the 3 features 2 key 3 features 3 features 4 of 3 features 7 we 3 features 8 identified 3 features 12 include 4 of 6 data 5 dti 6 data 7 we 8 identified 8 identified 9 through 9 through 11 analysis 10 extensive 11 analysis 12 include 19 values 13 the 19 values 14 fractional 19 values 15 anisotropy 17 fa 15 anisotropy 19 values 16 ( 17 fa 17 fa 18 ) 19 values 20 of 20 of 22 voxels 21 selected 22 voxels 23 , 29 and 24 their 27 value 25 average 27 value 26 fa 27 value 27 value 29 and 28 , 29 and 29 and 31 volume 29 and 32 of 30 the 31 volume 32 of 34 pathways 33 fiber 34 pathways 34 pathways 35 from 35 from 41 region 36 a 37 pre 36 a 41 region 37 pre 38 - 37 pre 40 seed 39 defined 40 seed 40 seed 41 region in particular , the volume of the fiber pathways [to] thalamus is the most powerful single feature in classifying mci and normal subjects regardless of the age of the subjects . 0 ###LEFT-WALL### 5 volume 0 ###LEFT-WALL### 12 is 0 ###LEFT-WALL### 31 . 1 in 2 particular 2 particular 3 , 2 particular 5 volume 4 the 5 volume 5 volume 6 of 5 volume 12 is 6 of 11 thalamus 7 the 11 thalamus 8 fiber 11 thalamus 9 pathways 11 thalamus 12 is 21 and 12 is 25 of 13 the 17 feature 14 most 15 powerful 15 powerful 17 feature 16 single 17 feature 17 feature 18 in 17 feature 21 and 18 in 19 classifying 19 classifying 20 mci 21 and 23 subjects 22 normal 23 subjects 24 regardless 25 of 25 of 27 age 26 the 27 age 27 age 28 of 28 of 30 subjects 29 the 30 subjects the best performance achieved by the svm model in a 10 [-] fold cross validation and in independent testing was sensitivity of 100 % , specificity of 100 % and accuracy of 100 % . 0 ###LEFT-WALL### 3 performance 0 ###LEFT-WALL### 20 was 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 35 . 1 the 2 best 1 the 3 performance 3 performance 4 achieved 3 performance 20 was 4 achieved 5 by 4 achieved 16 and 5 by 8 model 6 the 8 model 7 svm 8 model 9 in 15 validation 9 in 16 and 10 a 15 validation 11 10 15 validation 13 fold 15 validation 14 cross 15 validation 16 and 17 in 17 in 19 testing 18 independent 19 testing 20 was 21 sensitivity 21 sensitivity 22 of 22 of 24 % 23 100 24 % 25 , 30 and 26 specificity 27 of 26 specificity 30 and 27 of 29 % 28 100 29 % 30 and 31 accuracy 30 and 32 of 32 of 34 % 33 100 34 % background : under the circumstance of global population aging , the issue on how to facilitate the quality of life ( qol ) for older people brings us grand [challenge] . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 31 . 1 background 2 : 2 : 3 under 3 under 5 circumstance 4 the 5 circumstance 5 circumstance 6 of 6 of 8 population 7 global 8 population 8 population 9 aging 10 , 12 issue 10 , 27 brings 11 the 12 issue 12 issue 13 on 12 issue 27 brings 13 on 14 how 14 how 15 to 14 how 16 facilitate 15 to 16 facilitate 16 facilitate 18 quality 17 the 18 quality 18 quality 19 of 18 quality 24 for 19 of 20 life 20 life 22 qol 21 ( 22 qol 22 qol 23 ) 24 for 26 people 25 older 26 people 27 brings 29 grand 28 us 29 grand on the way to solve this problem , it is inextricable to measure qol for older people accurately at [onset] . 0 ###LEFT-WALL### 9 it 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 21 . 1 on 3 way 1 on 8 , 1 on 9 it 2 the 3 way 3 way 4 to 3 way 5 solve 4 to 5 solve 5 solve 7 problem 6 this 7 problem 9 it 10 is 10 is 11 inextricable 11 inextricable 12 to 11 inextricable 19 at 12 to 13 measure 13 measure 14 qol 13 measure 18 accurately 13 measure 19 at 14 qol 15 for 15 for 17 people 16 older 17 people this study is aimed at evaluating the reliability and validity of the chinese version of the world health organization quality of life instrument - older adults module ( whoqol - old ) . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 aimed 0 ###LEFT-WALL### 33 . 1 this 2 study 2 study 3 is 3 is 4 aimed 4 aimed 5 at 5 at 6 evaluating 6 evaluating 9 and 7 the 9 and 8 reliability 9 and 9 and 10 validity 9 and 11 of 11 of 14 version 12 the 14 version 13 chinese 14 version 14 version 15 of 14 version 21 of 15 of 20 quality 16 the 20 quality 17 world 18 health 18 health 19 organization 19 organization 20 quality 21 of 23 instrument 22 life 23 instrument 23 instrument 29 whoqol 24 - 29 whoqol 25 older 29 whoqol 26 adults 27 module 27 module 29 whoqol 28 ( 29 whoqol 29 whoqol 30 - 29 whoqol 31 old 29 whoqol 32 ) 30 - 31 old 31 old 32 ) methods : we received 1005 valid whoqol - old questionnaires from 1050 respondents who were 60 and older by quota sampling method . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 received 2 : 23 . 3 we 4 received 4 received 17 and 5 1005 10 questionnaires 6 valid 10 questionnaires 7 whoqol 9 old 8 - 9 old 9 old 10 questionnaires 10 questionnaires 11 from 10 questionnaires 17 and 11 from 13 respondents 12 1050 13 respondents 13 respondents 14 who 13 respondents 15 were 14 who 15 were 15 were 16 60 17 and 18 older 18 older 19 by 19 by 22 method 20 quota 22 method 21 sampling 22 method to calculate the test - retest [correlation] [coefficient] we re - interviewed 101 participants from the community . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 calculate 0 ###LEFT-WALL### 5 - 1 to 2 calculate 2 calculate 4 test 3 the 4 test 5 - 6 retest 5 - 18 . 6 retest 9 we 6 retest 10 re 10 re 11 - 10 re 14 participants 12 interviewed 14 participants 13 101 14 participants 14 participants 15 from 15 from 17 community 16 the 17 community psychometric properties were evaluated from the aspect of feasibility , internal consistency reliability , test - retest reliability , content validity , construct validity and discriminant validity . 0 ###LEFT-WALL### 2 properties 0 ###LEFT-WALL### 4 evaluated 0 ###LEFT-WALL### 14 , 1 psychometric 2 properties 2 properties 3 were 3 were 4 evaluated 4 evaluated 5 from 5 from 7 aspect 6 the 7 aspect 7 aspect 8 of 8 of 9 feasibility 9 feasibility 13 reliability 10 , 13 reliability 11 internal 12 consistency 12 consistency 13 reliability 13 reliability 14 , 14 , 15 test 14 , 16 - 16 - 17 retest 16 - 19 , 16 - 28 . 17 retest 18 reliability 19 , 25 and 20 content 21 validity 21 validity 22 , 22 , 24 validity 22 , 25 and 23 construct 24 validity 25 and 27 validity 26 discriminant 27 validity results : missing item responses took up 0.0 % - 2.7 % in the scale . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 missing 2 : 6 took 2 : 10 - 2 : 16 . 3 missing 5 responses 3 missing 6 took 4 item 5 responses 6 took 7 up 6 took 9 % 8 0.0 9 % 10 - 12 % 11 2.7 12 % 12 % 13 in 13 in 15 scale 14 the 15 scale the whoqol - old showed satisfactory reliability with cronbach 's alpha coefficients ranging from 0.711 ( social participation ) to 0.842 ( sensory ability ) for each domain . 0 ###LEFT-WALL### 4 old 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 29 . 1 the 4 old 2 whoqol 4 old 3 - 4 old 4 old 5 showed 5 showed 7 reliability 6 satisfactory 7 reliability 7 reliability 8 with 7 reliability 13 ranging 8 with 12 coefficients 9 cronbach 10 's 10 's 12 coefficients 11 alpha 12 coefficients 13 ranging 14 from 13 ranging 20 to 13 ranging 26 for 14 from 15 0.711 15 0.711 18 participation 16 ( 18 participation 17 social 18 participation 18 participation 19 ) 20 to 21 0.842 21 0.842 24 ability 22 ( 24 ability 23 sensory 24 ability 24 ability 25 ) 26 for 28 domain 27 each 28 domain the [intra] [-] class correlation coefficients ( icc ) [presenting] test [-] [retest] reliability were all over 0.7 . 0 ###LEFT-WALL### 6 coefficients 0 ###LEFT-WALL### 11 test 0 ###LEFT-WALL### 19 . 1 the 6 coefficients 4 class 5 correlation 5 correlation 6 coefficients 6 coefficients 8 icc 6 coefficients 11 test 7 ( 8 icc 8 icc 9 ) 11 test 14 reliability 11 test 15 were 14 reliability 15 were 15 were 17 over 16 all 17 over 17 over 18 0.7 in confirmatory factor analysis ( cfa ) , root mean square error of approximation ( rmsea ) was 0.084 ( a little more than 0.08 ) and comparative fit index [(] cfi [ )(0.95 ( >0.90 ) [which] meant acceptable construct validity . 0 ###LEFT-WALL### 12 error 0 ###LEFT-WALL### 18 was 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 43 . 1 in 6 cfa 1 in 8 , 1 in 12 error 2 confirmatory 3 factor 3 factor 4 analysis 4 analysis 6 cfa 5 ( 6 cfa 6 cfa 7 ) 9 root 10 mean 10 mean 11 square 11 square 12 error 12 error 13 of 12 error 18 was 13 of 16 rmsea 14 approximation 16 rmsea 15 ( 16 rmsea 16 rmsea 17 ) 18 was 19 0.084 19 0.084 23 more 20 ( 23 more 21 a 22 little 22 little 23 more 23 more 24 than 23 more 26 ) 24 than 25 0.08 27 and 32 cfi 27 and 39 meant 28 comparative 29 fit 29 fit 32 cfi 30 index 32 cfi 32 cfi 34 )(0.95 32 cfi 36 >0.90 32 cfi 39 meant 35 ( 36 >0.90 36 >0.90 37 ) 39 meant 42 validity 40 acceptable 42 validity 41 construct 42 validity there were higher correlation coefficients between items and their hypothesized domains than other domains ( p < 0.001 ) , indicating good content validity . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 1 there 2 were 2 were 5 coefficients 2 were 6 between 2 were 12 than 3 higher 4 correlation 4 correlation 5 coefficients 6 between 8 and 7 items 8 and 8 and 11 domains 9 their 11 domains 10 hypothesized 11 domains 12 than 14 domains 13 other 14 domains 14 domains 17 < 14 domains 21 indicating 15 ( 17 < 16 p 17 < 17 < 18 0.001 17 < 19 ) 20 , 21 indicating 21 indicating 24 validity 21 indicating 25 . 22 good 24 validity 23 content 24 validity the results of [t] [-] test [showed] good discriminant validity of the whoqol - old between the healthy group and the unhealthy group ( p < 0.0083 ) . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 29 . 1 the 2 results 2 results 3 of 2 results 20 and 3 of 10 validity 6 test 10 validity 8 good 9 discriminant 9 discriminant 10 validity 10 validity 11 of 10 validity 16 between 11 of 15 old 12 the 15 old 13 whoqol 15 old 14 - 15 old 16 between 19 group 17 the 19 group 18 healthy 19 group 20 and 23 group 20 and 26 < 21 the 23 group 22 unhealthy 23 group 24 ( 26 < 25 p 26 < 26 < 27 0.0083 26 < 28 ) conclusion : the chinese version of whoqol - old showed good feasibility , reliability and validity in this study . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 5 version 2 : 10 showed 3 the 5 version 4 chinese 5 version 5 version 6 of 5 version 10 showed 6 of 9 old 7 whoqol 9 old 8 - 9 old 10 showed 15 and 10 showed 17 in 11 good 12 feasibility 12 feasibility 13 , 13 , 14 reliability 13 , 15 and 15 and 16 validity 17 in 19 study 18 this 19 study however , before it can be used national - widely , further research should be conducted in other areas of china . 0 ###LEFT-WALL### 13 research 0 ###LEFT-WALL### 16 conducted 0 ###LEFT-WALL### 22 . 1 however 2 , 1 however 13 research 3 before 4 it 3 before 7 used 3 before 13 research 4 it 5 can 5 can 6 be 6 be 7 used 8 national 10 widely 8 national 11 , 8 national 13 research 9 - 10 widely 10 widely 11 , 12 further 13 research 13 research 14 should 14 should 15 be 15 be 16 conducted 16 conducted 17 in 17 in 19 areas 18 other 19 areas 19 areas 20 of 20 of 21 china the authors aimed to compare renal [function] by estimated glomerular filtration rate and albuminuria in 3 groups of women : nulliparous women , women with a history of normotensive pregnancies , and women with a history of at least one hypertensive pregnancy . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 12 rate 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 43 . 1 the 2 authors 2 authors 3 aimed 2 authors 6 renal 2 authors 12 rate 3 aimed 4 to 4 to 5 compare 6 renal 8 by 8 by 11 filtration 9 estimated 11 filtration 10 glomerular 11 filtration 13 and 14 albuminuria 13 and 20 : 14 albuminuria 15 in 14 albuminuria 20 : 15 in 17 groups 16 3 17 groups 17 groups 18 of 18 of 19 women 20 : 32 and 20 : 34 with 21 nulliparous 22 women 22 women 23 , 23 , 24 women 23 , 32 and 24 women 25 with 24 women 28 of 25 with 27 history 26 a 27 history 28 of 30 pregnancies 29 normotensive 30 pregnancies 31 , 32 and 32 and 33 women 34 with 36 history 35 a 36 history 36 history 37 of 37 of 42 pregnancy 38 at 39 least 39 least 40 one 40 one 42 pregnancy 41 hypertensive 42 pregnancy women who reported having had at least one pregnancy with hypertension were significantly more likely to be hypertensive ( 75.6 % vs 59.4 % , p<.001 ) , diabetic [(] 34.2 % vs 27.3 % , p≤.001 ) [,] [and] have higher [body] mass index ( 32.8 vs 30.5 , p<.001 ) than [those] who reported normotensive pregnancies . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 12 were 1 women 2 who 1 women 3 reported 1 women 12 were 2 who 3 reported 3 reported 4 having 3 reported 5 had 4 having 5 had 5 had 9 pregnancy 5 had 10 with 6 at 7 least 7 least 8 one 8 one 9 pregnancy 10 with 11 hypertension 12 were 13 significantly 12 were 14 more 12 were 15 likely 15 likely 16 to 15 likely 17 be 16 to 17 be 17 be 29 diabetic 18 hypertensive 21 % 18 hypertensive 28 , 18 hypertensive 29 diabetic 19 ( 21 % 20 75.6 21 % 21 % 22 vs 21 % 26 p<.001 21 % 27 ) 22 vs 24 % 23 59.4 24 % 25 , 26 p<.001 26 p<.001 27 ) 29 diabetic 32 % 29 diabetic 41 have 31 34.2 32 % 32 % 33 vs 32 % 37 p≤.001 32 % 41 have 33 vs 35 % 34 27.3 35 % 36 , 37 p≤.001 37 p≤.001 38 ) 41 have 42 higher 41 have 44 mass 44 mass 45 index 45 index 47 32.8 46 ( 47 32.8 47 32.8 48 vs 47 32.8 53 than 47 32.8 55 who 47 32.8 56 reported 47 32.8 59 . 48 vs 49 30.5 49 30.5 51 p<.001 50 , 51 p<.001 51 p<.001 52 ) 55 who 56 reported 56 reported 58 pregnancies 57 normotensive 58 pregnancies there was a significantly greater risk [of] microalbuminuria ( urine albumin - creatinine ratio >25 [mg/g] ) in those who reported at least one pregnancy with hypertension ( odds ratio , 1.37 [;] confidence interval , 1.02 - 1.85 [;] p=.04 [ )(than in those with normotensive pregnancies , after adjusting for risk factors for chronic kidney and cardiovascular disease . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 1 there 2 was 2 was 6 risk 2 was 8 microalbuminuria 3 a 6 risk 4 significantly 5 greater 5 greater 6 risk 8 microalbuminuria 12 - 8 microalbuminuria 18 in 9 ( 12 - 10 urine 11 albumin 11 albumin 12 - 12 - 15 >25 12 - 17 ) 13 creatinine 15 >25 14 ratio 15 >25 18 in 19 those 19 those 20 who 19 those 21 reported 20 who 21 reported 21 reported 25 pregnancy 21 reported 26 with 22 at 23 least 23 least 24 one 24 one 25 pregnancy 26 with 27 hypertension 26 with 35 interval 27 hypertension 30 ratio 28 ( 30 ratio 29 odds 30 ratio 30 ratio 31 , 32 1.37 35 interval 34 confidence 35 interval 35 interval 38 - 36 , 38 - 37 1.02 38 - 38 - 41 p=.04 39 1.85 41 p=.04 41 p=.04 43 )(than 41 p=.04 44 in 41 p=.04 50 after 44 in 45 those 45 those 46 with 46 with 48 pregnancies 47 normotensive 48 pregnancies 49 , 50 after 50 after 51 adjusting 50 after 61 . 51 adjusting 52 for 51 adjusting 54 factors 52 for 53 risk 54 factors 55 for 55 for 58 and 56 chronic 57 kidney 57 kidney 58 and 58 and 60 disease 58 and 61 . 59 cardiovascular 60 disease hypertension in pregnancy is associated with an increased risk of future microalbuminuria . 0 ###LEFT-WALL### 1 hypertension 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 13 . 1 hypertension 2 in 1 hypertension 4 is 2 in 3 pregnancy 4 is 5 associated 5 associated 6 with 6 with 9 risk 7 an 9 risk 8 increased 9 risk 9 risk 10 of 10 of 12 microalbuminuria 11 future 12 microalbuminuria women with a history of [hypertension] in pregnancy are at increased risk of microalbuminuria later in life . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 9 are 0 ###LEFT-WALL### 18 . 1 women 2 with 1 women 9 are 2 with 4 history 3 a 4 history 4 history 5 of 5 of 7 in 7 in 8 pregnancy 9 are 10 at 9 are 16 in 10 at 12 risk 11 increased 12 risk 12 risk 13 of 13 of 14 microalbuminuria 14 microalbuminuria 15 later 16 in 17 life microalbuminuria is a marker of kidney dysfunction frequently related to an inflammatory event . 0 ###LEFT-WALL### 1 microalbuminuria 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 14 . 1 microalbuminuria 2 is 2 is 4 marker 3 a 4 marker 4 marker 5 of 5 of 7 dysfunction 6 kidney 7 dysfunction 7 dysfunction 9 related 8 frequently 9 related 9 related 10 to 10 to 13 event 11 an 12 inflammatory 11 an 13 event 12 inflammatory 13 event pregnancy is a dynamic process characterized by immune tolerance , angiogenesis , and hormonal regulation . 0 ###LEFT-WALL### 1 pregnancy 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 16 . 1 pregnancy 2 is 2 is 5 process 3 a 5 process 4 dynamic 5 process 5 process 6 characterized 6 characterized 7 by 7 by 13 and 8 immune 9 tolerance 9 tolerance 10 , 10 , 11 angiogenesis 10 , 13 and 12 , 13 and 13 and 15 regulation 14 hormonal 15 regulation menstruation and pregnancy are associated with a physiological inflammation , which is altered in preeclampsia and probably in other hypertensive situations of pregnancy . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 24 . 1 menstruation 2 and 2 and 3 pregnancy 2 and 4 are 4 are 5 associated 5 associated 6 with 6 with 9 inflammation 7 a 8 physiological 7 a 9 inflammation 8 physiological 9 inflammation 10 , 11 which 10 , 13 altered 11 which 12 is 12 is 13 altered 13 altered 16 and 14 in 15 preeclampsia 14 in 16 and 16 and 17 probably 16 and 18 in 18 in 21 situations 19 other 21 situations 20 hypertensive 21 situations 21 situations 22 of 22 of 23 pregnancy an imbalance [between] pro - oxidant factors and the ability to scavenge these factors produces oxidative stress , which has been evaluated in many cells , but leukocytes [are] the main source of inflammatory cytokines and experimental and clinical evidence support a possible role of aldosterone as a mediator of placental and renal damage mediated by growth factors , reactive oxygen species , and cytokines . 0 ###LEFT-WALL### 4 pro 0 ###LEFT-WALL### 5 - 1 an 4 pro 2 imbalance 4 pro 5 - 7 factors 5 - 8 and 5 - 15 produces 6 oxidant 7 factors 8 and 10 ability 9 the 10 ability 10 ability 11 to 10 ability 12 scavenge 10 ability 15 produces 11 to 12 scavenge 12 scavenge 14 factors 13 these 14 factors 15 produces 17 stress 16 oxidative 17 stress 17 stress 19 which 18 , 19 which 19 which 27 but 20 has 21 been 20 has 27 but 21 been 22 evaluated 22 evaluated 23 in 23 in 25 cells 24 many 25 cells 26 , 27 but 27 but 28 leukocytes 28 leukocytes 31 main 30 the 31 main 31 main 38 and 31 main 41 support 32 source 33 of 32 source 36 and 33 of 35 cytokines 34 inflammatory 35 cytokines 36 and 37 experimental 36 and 38 and 38 and 40 evidence 38 and 41 support 39 clinical 40 evidence 41 support 44 role 42 a 43 possible 42 a 44 role 43 possible 44 role 44 role 45 of 44 role 50 of 45 of 46 aldosterone 46 aldosterone 47 as 47 as 49 mediator 48 a 49 mediator 50 of 58 factors 51 placental 52 and 52 and 54 damage 52 and 55 mediated 52 and 58 factors 53 renal 54 damage 55 mediated 56 by 56 by 57 growth 58 factors 64 and 59 , 64 and 60 reactive 62 species 61 oxygen 62 species 62 species 64 and 63 , 64 and 64 and 65 cytokines 64 and 66 . angiotensin - converting enzyme inhibitors and aldosterone receptor blockers are frequently effective in reducing the risk of progression of cardiovascular and renal disease . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 10 are 0 ###LEFT-WALL### 24 . 1 angiotensin 2 - 1 angiotensin 6 and 3 converting 4 enzyme 4 enzyme 5 inhibitors 5 inhibitors 6 and 6 and 9 blockers 6 and 10 are 7 aldosterone 9 blockers 8 receptor 9 blockers 10 are 11 frequently 10 are 12 effective 12 effective 13 in 13 in 14 reducing 14 reducing 16 risk 15 the 16 risk 16 risk 17 of 16 risk 19 of 17 of 18 progression 19 of 23 disease 20 cardiovascular 21 and 21 and 22 renal 21 and 23 disease background : dna methylation is an epigenetic modification that changes with age in human tissues , although the mechanisms and specificity of this process are still poorly understood . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 are 0 ###LEFT-WALL### 29 . 2 : 4 methylation 2 : 10 changes 3 dna 4 methylation 4 methylation 5 is 5 is 8 modification 6 an 7 epigenetic 6 an 8 modification 7 epigenetic 8 modification 9 that 10 changes 10 changes 11 with 10 changes 17 although 11 with 12 age 12 age 13 in 13 in 15 tissues 14 human 15 tissues 16 , 17 although 17 although 20 and 18 the 19 mechanisms 19 mechanisms 20 and 20 and 21 specificity 20 and 22 of 20 and 25 are 22 of 24 process 23 this 24 process 25 are 26 still 25 are 28 understood 27 poorly 28 understood we compared cpg methylation changes with age across 283 human blood , brain , kidney , and skeletal muscle samples using methylation arrays to identify tissue - specific age effects . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 compared 0 ###LEFT-WALL### 31 . 1 we 2 compared 2 compared 3 cpg 2 compared 6 with 3 cpg 4 methylation 3 cpg 5 changes 4 methylation 5 changes 6 with 7 age 6 with 8 across 8 across 17 and 9 283 10 human 10 human 11 blood 11 blood 12 , 12 , 13 brain 12 , 14 , 14 , 15 kidney 14 , 17 and 16 , 17 and 17 and 20 samples 17 and 27 - 17 and 29 age 17 and 30 effects 18 skeletal 19 muscle 19 muscle 20 samples 20 samples 21 using 21 using 23 arrays 21 using 24 to 21 using 25 identify 22 methylation 23 arrays 24 to 25 identify 25 identify 26 tissue 28 specific 29 age 29 age 30 effects results : we found age - associated cpgs ( agecgs [ )(that are both [tissue] - specific and common across tissues . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 3 we 2 : 4 found 3 we 4 found 4 found 5 age 4 found 18 and 5 age 8 cpgs 6 - 8 cpgs 7 associated 8 cpgs 8 cpgs 10 agecgs 8 cpgs 16 - 9 ( 10 agecgs 10 agecgs 12 )(that 10 agecgs 13 are 10 agecgs 16 - 12 )(that 13 are 13 are 14 both 17 specific 18 and 18 and 19 common 19 common 20 across 20 across 21 tissues tissue - specific age cgs are frequently located outside cpg islands with decreased methylation , and common agecgs show the opposite trend . 0 ###LEFT-WALL### 4 age 0 ###LEFT-WALL### 13 decreased 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 23 . 1 tissue 2 - 1 tissue 4 age 3 specific 4 age 4 age 5 cgs 4 age 12 with 4 age 13 decreased 5 cgs 6 are 6 are 7 frequently 6 are 8 located 8 located 9 outside 8 located 12 with 9 outside 11 islands 10 cpg 11 islands 13 decreased 14 methylation 15 , 16 and 16 and 18 agecgs 16 and 19 show 17 common 18 agecgs 18 agecgs 19 show 19 show 22 trend 20 the 22 trend 21 opposite 22 trend agecgs are significantly associated with poorly expressed genes , but those with decreasing methylation are linked with higher tissue - specific expression levels compared with increasing methylation . 0 ###LEFT-WALL### 1 agecgs 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 10 but 1 agecgs 2 are 2 are 4 associated 3 significantly 4 associated 4 associated 5 with 5 with 8 genes 6 poorly 7 expressed 7 expressed 8 genes 9 , 10 but 10 but 11 those 10 but 16 linked 11 those 12 with 11 those 15 are 12 with 13 decreasing 13 decreasing 14 methylation 15 are 16 linked 16 linked 17 with 17 with 19 tissue 18 higher 19 tissue 19 tissue 23 levels 20 - 23 levels 21 specific 22 expression 22 expression 23 levels 23 levels 24 compared 23 levels 28 . 24 compared 25 with 25 with 26 increasing 26 increasing 27 methylation therefore , tissue [-] specific gene expression may protect [against] common age - dependent methylation . 0 ###LEFT-WALL### 7 expression 0 ###LEFT-WALL### 9 protect 0 ###LEFT-WALL### 13 - 1 therefore 2 , 1 therefore 7 expression 3 tissue 7 expression 5 specific 6 gene 6 gene 7 expression 7 expression 8 may 8 may 9 protect 9 protect 12 age 11 common 12 age 13 - 15 methylation 13 - 16 . 14 dependent 15 methylation distinguished from other tissues , skeletal muscle age cgs are more associated with expression , enriched near genes related to myofiber contraction , and closer to muscle - specific ctcf binding sites . 0 ###LEFT-WALL### 8 age 0 ###LEFT-WALL### 21 myofiber 0 ###LEFT-WALL### 33 . 1 distinguished 2 from 1 distinguished 5 , 1 distinguished 8 age 2 from 4 tissues 3 other 4 tissues 6 skeletal 7 muscle 7 muscle 8 age 8 age 9 cgs 8 age 10 are 8 age 15 , 9 cgs 10 are 10 are 11 more 12 associated 13 with 12 associated 15 , 13 with 14 expression 15 , 16 enriched 15 , 20 to 16 enriched 18 genes 17 near 18 genes 18 genes 19 related 20 to 21 myofiber 21 myofiber 32 sites 22 contraction 24 and 23 , 24 and 24 and 25 closer 24 and 32 sites 25 closer 26 to 26 to 27 muscle 27 muscle 31 binding 28 - 31 binding 29 specific 30 ctcf 30 ctcf 31 binding kidney - specific agecgs are more increasingly methylated [compared] to other tissues as measured by affiliation with kidney [-] specific expressed genes . 0 ###LEFT-WALL### 4 agecgs 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 23 . 1 kidney 2 - 1 kidney 4 agecgs 3 specific 4 agecgs 4 agecgs 5 are 5 are 6 more 5 are 7 increasingly 5 are 8 methylated 8 methylated 10 to 8 methylated 17 with 10 to 12 tissues 11 other 12 tissues 12 tissues 14 measured 13 as 14 measured 14 measured 15 by 15 by 16 affiliation 17 with 22 genes 18 kidney 22 genes 20 specific 22 genes 21 expressed 22 genes underlying chromatin features also mark common and tissue - specific age effects reflective [of] poised and active chromatin states , respectively . 0 ###LEFT-WALL### 11 age 0 ###LEFT-WALL### 12 effects 1 underlying 2 chromatin 1 underlying 9 - 1 underlying 11 age 2 chromatin 3 features 2 chromatin 5 mark 3 features 5 mark 4 also 5 mark 5 mark 7 and 6 common 7 and 7 and 8 tissue 10 specific 11 age 11 age 12 effects 12 effects 16 and 12 effects 21 respectively 13 reflective 15 poised 13 reflective 16 and 16 and 19 states 17 active 18 chromatin 18 chromatin 19 states 20 , 21 respectively 21 respectively 22 . in contrast with decreasingly methylated agecgs , increasingly methylated agecgs are also generally further from ctcf binding sites and enriched within lamina associated domains . 0 ###LEFT-WALL### 10 agecgs 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 25 . 1 in 2 contrast 1 in 10 agecgs 2 contrast 3 with 3 with 7 , 4 decreasingly 5 methylated 5 methylated 6 agecgs 5 methylated 7 , 7 , 9 methylated 8 increasingly 9 methylated 10 agecgs 11 are 11 are 19 and 12 also 14 further 13 generally 14 further 14 further 15 from 14 further 18 sites 14 further 19 and 15 from 16 ctcf 16 ctcf 17 binding 19 and 20 enriched 19 and 21 within 19 and 24 domains 21 within 22 lamina 22 lamina 23 associated conclusions : our data identified common and tissue - specific dna methylation changes with age that are reflective of cpg landscape and suggests both common and unique alterations within human tissues . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 4 data 2 : 22 and 3 our 4 data 4 data 22 and 5 identified 11 dna 5 identified 22 and 6 common 7 and 7 and 8 tissue 7 and 9 - 7 and 11 dna 10 specific 11 dna 11 dna 13 changes 11 dna 21 landscape 12 methylation 13 changes 13 changes 14 with 13 changes 16 that 13 changes 17 are 13 changes 19 of 13 changes 21 landscape 14 with 15 age 16 that 17 are 17 are 18 reflective 19 of 20 cpg 22 and 23 suggests 22 and 29 within 23 suggests 28 alterations 24 both 28 alterations 25 common 26 and 26 and 27 unique 26 and 28 alterations 29 within 31 tissues 30 human 31 tissues our findings also indicate that a simple epigenetic drift model is insufficient to explain all age - related changes in dna methylation . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 indicate 0 ###LEFT-WALL### 18 related 0 ###LEFT-WALL### 23 . 1 our 2 findings 2 findings 4 indicate 3 also 4 indicate 4 indicate 5 that 5 that 10 model 5 that 14 explain 6 a 7 simple 6 a 10 model 7 simple 9 drift 8 epigenetic 9 drift 9 drift 10 model 10 model 11 is 11 is 12 insufficient 12 insufficient 13 to 12 insufficient 14 explain 13 to 14 explain 14 explain 16 age 15 all 16 age 17 - 18 related 18 related 19 changes 18 related 20 in 20 in 22 methylation 21 dna 22 methylation the incidence of oral fungal infections has increased in recent years as a result of factors such as increased number of solid organ transplantations and the widespread use of immunosuppressive drug therapies . 0 ###LEFT-WALL### 2 incidence 0 ###LEFT-WALL### 8 increased 0 ###LEFT-WALL### 33 . 1 the 2 incidence 2 incidence 3 of 2 incidence 7 has 3 of 6 infections 4 oral 6 infections 5 fungal 6 infections 7 has 8 increased 8 increased 9 in 8 increased 12 as 9 in 11 years 10 recent 11 years 12 as 14 result 13 a 14 result 14 result 15 of 14 result 18 as 14 result 29 of 15 of 16 factors 17 such 18 as 18 as 25 and 19 increased 20 number 20 number 21 of 20 number 25 and 21 of 24 transplantations 22 solid 23 organ 23 organ 24 transplantations 25 and 28 use 26 the 28 use 27 widespread 28 use 29 of 32 therapies 30 immunosuppressive 31 drug 31 drug 32 therapies this article reviews the diagnosis and treatment of oral fungal infections . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 reviews 0 ###LEFT-WALL### 12 . 1 this 2 article 2 article 3 reviews 3 reviews 6 and 4 the 5 diagnosis 5 diagnosis 6 and 6 and 7 treatment 6 and 8 of 8 of 11 infections 9 oral 11 infections 10 fungal 11 infections at one time oral fungal infections were a relatively uncommon event , but with advances in health care and polypharmacy in an increasingly aging population , these infections are becoming a more routine clinical finding . 0 ###LEFT-WALL### 28 infections 0 ###LEFT-WALL### 29 are 0 ###LEFT-WALL### 36 . 1 at 3 time 1 at 28 infections 2 one 3 time 3 time 6 infections 3 time 7 were 3 time 13 but 4 oral 6 infections 5 fungal 6 infections 6 infections 7 were 7 were 11 event 8 a 9 relatively 8 a 11 event 9 relatively 10 uncommon 10 uncommon 11 event 12 , 13 but 13 but 14 with 13 but 26 , 14 with 19 and 15 advances 16 in 15 advances 19 and 16 in 18 care 17 health 18 care 19 and 20 polypharmacy 19 and 21 in 21 in 25 population 22 an 25 population 23 increasingly 24 aging 24 aging 25 population 27 these 28 infections 28 infections 29 are 29 are 30 becoming 30 becoming 35 finding 31 a 35 finding 32 more 33 routine 33 routine 35 finding 34 clinical 35 finding the dental practitioner therefore needs to be familiar with the diagnosis and management of oral fungal infections . 0 ###LEFT-WALL### 3 practitioner 0 ###LEFT-WALL### 5 needs 0 ###LEFT-WALL### 18 . 1 the 3 practitioner 2 dental 3 practitioner 3 practitioner 5 needs 4 therefore 5 needs 5 needs 6 to 5 needs 7 be 6 to 7 be 7 be 8 familiar 8 familiar 9 with 9 with 12 and 10 the 11 diagnosis 11 diagnosis 12 and 12 and 13 management 12 and 14 of 14 of 17 infections 15 oral 17 infections 16 fungal 17 infections using a sample of 2925 stroke - free participants drawn from a national population - based study , we examined cross - sectional associations of obstructive sleep apnea ( osa ) risk with cognition and quality of life and whether these vary with age , while [controlling] for demographics and comorbidities . 0 ###LEFT-WALL### 8 free 1 using 3 sample 1 using 7 - 1 using 8 free 2 a 3 sample 3 sample 4 of 4 of 6 stroke 5 2925 6 stroke 8 free 9 participants 9 participants 10 drawn 10 drawn 11 from 11 from 14 population 12 a 14 population 13 national 14 population 14 population 17 study 14 population 22 - 14 population 25 of 15 - 17 study 16 based 17 study 17 study 18 , 18 , 22 - 19 we 20 examined 20 examined 21 cross 20 examined 22 - 21 cross 22 - 22 - 24 associations 23 sectional 24 associations 25 of 35 and 26 obstructive 27 sleep 27 sleep 32 risk 28 apnea 30 osa 28 apnea 31 ) 28 apnea 32 risk 29 ( 30 osa 30 osa 31 ) 32 risk 33 with 32 risk 35 and 33 with 34 cognition 35 and 36 quality 35 and 41 these 35 and 42 vary 36 quality 37 of 37 of 39 and 38 life 39 and 39 and 40 whether 41 these 42 vary 42 vary 43 with 42 vary 46 while 43 with 44 age 45 , 46 while 46 while 48 for 46 while 52 . 48 for 50 and 49 demographics 50 and 50 and 51 comorbidities included participants from the reasons for geographic and racial differences in stroke ( regards ) study were aged 47 - 93 years . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 17 were 0 ###LEFT-WALL### 20 - 0 ###LEFT-WALL### 23 . 1 included 2 participants 2 participants 3 from 2 participants 6 for 2 participants 17 were 3 from 5 reasons 4 the 5 reasons 6 for 10 differences 7 geographic 8 and 8 and 9 racial 9 racial 10 differences 10 differences 11 in 11 in 16 study 12 stroke 14 regards 13 ( 14 regards 14 regards 15 ) 14 regards 16 study 17 were 18 aged 18 aged 19 47 20 - 22 years 21 93 22 years osa risk was categorized as high or low based on responses to the berlin sleep questionnaire . 0 ###LEFT-WALL### 2 risk 0 ###LEFT-WALL### 4 categorized 0 ###LEFT-WALL### 17 . 1 osa 2 risk 2 risk 3 was 3 was 4 categorized 4 categorized 5 as 5 as 7 or 6 high 7 or 7 or 8 low 7 or 9 based 9 based 10 on 10 on 11 responses 11 responses 12 to 12 to 16 questionnaire 13 the 16 questionnaire 14 berlin 15 sleep 15 sleep 16 questionnaire cognitive [function] was assessed with standardized fluency and recall measures . 0 ###LEFT-WALL### 1 cognitive 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 11 . 1 cognitive 3 was 3 was 4 assessed 4 assessed 5 with 5 with 8 and 6 standardized 7 fluency 7 fluency 8 and 8 and 10 measures 9 recall 10 measures depressive symptoms were assessed with the four - item center for epidemiologic studies depression scale . 0 ###LEFT-WALL### 2 symptoms 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 16 . 1 depressive 2 symptoms 2 symptoms 3 were 3 were 4 assessed 4 assessed 5 with 5 with 7 four 6 the 7 four 8 - 10 center 9 item 10 center 10 center 11 for 11 for 15 scale 12 epidemiologic 13 studies 13 studies 14 depression 14 depression 15 scale health - related quality of life ( hrqol ) was assessed with the medical outcomes study short form - 12 ( sf - 12 ) . 0 ###LEFT-WALL### 1 health 0 ###LEFT-WALL### 11 assessed 0 ###LEFT-WALL### 26 . 1 health 10 was 2 - 3 related 3 related 4 quality 3 related 10 was 4 quality 5 of 4 quality 8 hrqol 5 of 6 life 7 ( 8 hrqol 8 hrqol 9 ) 10 was 11 assessed 11 assessed 12 with 12 with 18 form 13 the 18 form 14 medical 15 outcomes 15 outcomes 16 study 16 study 17 short 17 short 18 form 18 form 20 12 18 form 24 12 19 - 20 12 20 12 22 sf 20 12 23 - 21 ( 22 sf 22 sf 23 - 23 - 24 12 24 12 25 ) multivariate analyses of covariance ( mancova ) statistics were applied separately to the cognitive and quality of life dependent variables while accounting for potential confounders ( demographics , comorbidities ) . 0 ###LEFT-WALL### 1 multivariate 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 31 . 1 multivariate 2 analyses 2 analyses 8 statistics 2 analyses 10 applied 3 of 4 covariance 3 of 8 statistics 4 covariance 6 mancova 5 ( 6 mancova 6 mancova 7 ) 8 statistics 9 were 9 were 10 applied 10 applied 11 separately 10 applied 12 to 10 applied 21 while 12 to 15 and 13 the 14 cognitive 14 cognitive 15 and 15 and 16 quality 15 and 17 of 17 of 20 variables 18 life 20 variables 19 dependent 20 variables 21 while 22 accounting 22 accounting 23 for 23 for 25 confounders 24 potential 25 confounders 25 confounders 27 demographics 26 ( 27 demographics 27 demographics 29 comorbidities 27 demographics 30 ) 28 , 29 comorbidities 29 comorbidities 30 ) in fully adjusted models , those at high risk for osa had significantly lower cognitive [scores] ( wilks ' [lambda] = 0.996 , f3,2786 = 3.31 , p < 0.05 ) [and] lower [quality] of life [ depressive symptoms and hrqol ] ( wilks ' lambda = 0.989 [,] f3,2786 = 10.02 , p < 0.0001 ) . 0 ###LEFT-WALL### 6 those 0 ###LEFT-WALL### 12 had 1 in 4 models 1 in 5 , 1 in 6 those 2 fully 3 adjusted 3 adjusted 4 models 6 those 7 at 6 those 12 had 7 at 9 risk 8 high 9 risk 9 risk 10 for 10 for 11 osa 12 had 24 f3,2786 13 significantly 14 lower 14 lower 24 f3,2786 15 cognitive 22 0.996 15 cognitive 24 f3,2786 17 ( 22 0.996 18 wilks 19 ' 19 ' 22 0.996 21 = 22 0.996 22 0.996 23 , 24 f3,2786 26 3.31 24 f3,2786 33 lower 24 f3,2786 35 of 25 = 26 3.31 26 3.31 29 < 26 3.31 33 lower 27 , 29 < 28 p 29 < 29 < 30 0.05 29 < 31 ) 35 of 36 life 36 life 40 and 36 life 46 lambda 37 [ 40 and 38 depressive 39 symptoms 39 symptoms 40 and 40 and 41 hrqol 40 and 42 ] 43 ( 46 lambda 44 wilks 45 ' 45 ' 46 lambda 46 lambda 50 f3,2786 46 lambda 51 = 46 lambda 58 . 47 = 48 0.989 48 0.989 50 f3,2786 50 f3,2786 51 = 51 = 55 < 52 10.02 55 < 53 , 55 < 54 p 55 < 55 < 56 0.0001 55 < 57 ) however , some of the associations were age - dependent . 0 ###LEFT-WALL### 6 associations 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 9 - 1 however 2 , 1 however 6 associations 3 some 4 of 3 some 6 associations 4 of 6 associations 5 the 6 associations 6 associations 7 were 7 were 8 age 9 - 10 dependent 9 - 11 . differences in cognition and quality of life between those at high and low obstructive sleep apnea risk were most pronounced during middle age , with attenuated effects after age 70 years . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 18 were 1 differences 2 in 1 differences 4 and 2 in 3 cognition 4 and 5 quality 4 and 6 of 4 and 8 between 4 and 18 were 6 of 7 life 8 between 9 those 9 those 10 at 10 at 17 risk 11 high 12 and 12 and 13 low 12 and 16 apnea 14 obstructive 15 sleep 15 sleep 16 apnea 16 apnea 17 risk 18 were 19 most 19 most 20 pronounced 20 pronounced 21 during 20 pronounced 25 with 21 during 23 age 22 middle 23 age 24 , 25 with 25 with 27 effects 25 with 32 . 26 attenuated 27 effects 27 effects 28 after 28 after 31 years 29 age 31 years 30 70 31 years background : studies suggest that better cognitive and verbal abilities in childhood predict earlier experimentation with alcohol and higher levels of drinking in adolescence , whereas poorer ability is related to a higher likelihood [of] remaining abstinent . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 predict 0 ###LEFT-WALL### 38 . 2 : 3 studies 2 : 4 suggest 3 studies 4 suggest 4 suggest 5 that 5 that 10 abilities 5 that 13 predict 6 better 10 abilities 7 cognitive 8 and 8 and 9 verbal 8 and 10 abilities 10 abilities 11 in 11 in 12 childhood 13 predict 15 experimentation 13 predict 16 with 13 predict 26 whereas 13 predict 31 to 14 earlier 15 experimentation 16 with 18 and 17 alcohol 18 and 18 and 20 levels 18 and 25 , 19 higher 20 levels 20 levels 21 of 21 of 22 drinking 22 drinking 23 in 23 in 24 adolescence 26 whereas 28 ability 26 whereas 29 is 27 poorer 28 ability 28 ability 29 is 29 is 30 related 31 to 37 abstinent 32 a 37 abstinent 33 higher 37 abstinent 34 likelihood 36 remaining 36 remaining 37 abstinent whether individual differences in language development in childhood predict differences in adolescent drinking behaviors has not been [studied] . 0 ###LEFT-WALL### 1 whether 0 ###LEFT-WALL### 17 been 0 ###LEFT-WALL### 19 . 1 whether 3 differences 1 whether 9 predict 1 whether 15 has 2 individual 3 differences 3 differences 4 in 3 differences 9 predict 4 in 6 development 5 language 6 development 6 development 7 in 7 in 8 childhood 9 predict 10 differences 9 predict 11 in 11 in 14 behaviors 12 adolescent 14 behaviors 13 drinking 14 behaviors 15 has 16 not 15 has 17 been data from 2 longitudinal population - based samples of twin families were used , with verbal developmental differences in childhood reported by the parents when the twins were 12 and 16 years of age , respectively . 0 ###LEFT-WALL### 8 samples 0 ###LEFT-WALL### 13 used 0 ###LEFT-WALL### 37 . 1 data 8 samples 2 from 5 population 2 from 6 - 2 from 8 samples 3 2 5 population 4 longitudinal 5 population 7 based 8 samples 8 samples 9 of 8 samples 12 were 9 of 11 families 10 twin 11 families 12 were 13 used 13 used 15 with 13 used 36 respectively 14 , 15 with 15 with 18 differences 15 with 35 , 16 verbal 18 differences 17 developmental 18 differences 18 differences 19 in 18 differences 22 by 18 differences 25 when 18 differences 33 of 19 in 20 childhood 20 childhood 21 reported 22 by 24 parents 23 the 24 parents 25 when 27 twins 25 when 28 were 26 the 27 twins 27 twins 28 were 28 were 32 years 29 12 30 and 30 and 31 16 30 and 32 years 33 of 34 age results : conditional logistic regression analyses and within [-] pair correlation analyses suggested positive associations between verbal development and drinking behaviors in both data sets . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 26 . 1 results 2 : 2 : 6 analyses 3 conditional 5 regression 4 logistic 5 regression 5 regression 6 analyses 7 and 24 data 7 and 25 sets 8 within 12 analyses 8 within 24 data 10 pair 11 correlation 11 correlation 12 analyses 12 analyses 19 and 13 suggested 15 associations 13 suggested 16 between 13 suggested 19 and 14 positive 15 associations 16 between 18 development 17 verbal 18 development 19 and 20 drinking 19 and 21 behaviors 22 in 23 both 22 in 24 data 24 data 25 sets in analyses adjusted for birth order and birth weight , the co - twin reported to be verbally more advanced in childhood tended to report more frequent drinking and intoxication in adolescence in both samples . 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 3 adjusted 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 17 be 0 ###LEFT-WALL### 36 . 1 in 2 analyses 2 analyses 3 adjusted 3 adjusted 4 for 4 for 7 and 5 birth 6 order 6 order 7 and 7 and 9 weight 8 birth 9 weight 10 , 17 be 11 the 14 twin 12 co 13 - 12 co 14 twin 14 twin 15 reported 15 reported 16 to 16 to 17 be 17 be 19 more 17 be 20 advanced 18 verbally 19 more 20 advanced 21 in 20 advanced 24 to 20 advanced 27 frequent 21 in 22 childhood 22 childhood 23 tended 24 to 25 report 25 report 26 more 25 report 27 frequent 26 more 27 frequent 27 frequent 29 and 27 frequent 31 in 27 frequent 33 in 28 drinking 29 and 29 and 30 intoxication 31 in 32 adolescence 33 in 35 samples 34 both 35 samples better verbal development also was associated with the likelihood of having friends who drink in adolescence . 0 ###LEFT-WALL### 3 development 0 ###LEFT-WALL### 11 having 0 ###LEFT-WALL### 17 . 1 better 3 development 2 verbal 3 development 3 development 5 was 4 also 5 was 5 was 6 associated 6 associated 7 with 7 with 9 likelihood 8 the 9 likelihood 9 likelihood 10 of 10 of 11 having 11 having 12 friends 12 friends 13 who 12 friends 14 drink 13 who 14 drink 14 drink 15 in 15 in 16 adolescence conclusions : these findings suggest that , adjusting for familial and other factors shared by co - twins , better verbal development in childhood predicts more frequent drinking and intoxication in adolescence and young adulthood , possibly due , [in] part , to peer associations . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 46 . 2 : 4 findings 2 : 5 suggest 2 : 19 , 3 these 4 findings 4 findings 5 suggest 5 suggest 6 that 5 suggest 8 adjusting 7 , 8 adjusting 8 adjusting 9 for 8 adjusting 15 by 8 adjusting 19 , 9 for 11 and 10 familial 11 and 11 and 13 factors 11 and 14 shared 12 other 13 factors 15 by 18 twins 16 co 17 - 16 co 18 twins 19 , 22 development 19 , 25 predicts 20 better 22 development 21 verbal 22 development 22 development 23 in 22 development 25 predicts 23 in 24 childhood 25 predicts 29 and 26 more 27 frequent 27 frequent 28 drinking 28 drinking 29 and 29 and 41 part 29 and 42 , 29 and 43 to 30 intoxication 31 in 30 intoxication 33 and 31 in 32 adolescence 33 and 35 adulthood 33 and 36 , 33 and 41 part 34 young 35 adulthood 37 possibly 38 due 38 due 39 , 38 due 41 part 43 to 45 associations 44 peer 45 associations none an obvious sign [of] ageing is hair greying , or the loss of pigment production and deposition within the hair shafts . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 15 pigment 0 ###LEFT-WALL### 23 . 1 none 6 ageing 1 none 14 of 1 none 15 pigment 2 an 6 ageing 3 obvious 4 sign 4 sign 6 ageing 6 ageing 7 is 7 is 11 or 8 hair 9 greying 8 hair 11 or 10 , 11 or 11 or 13 loss 11 or 14 of 12 the 13 loss 15 pigment 17 and 15 pigment 19 within 16 production 17 and 17 and 18 deposition 19 within 22 shafts 20 the 22 shafts 21 hair 22 shafts numerous mechanisms , acting at different levels and follicular locations , contribute to hair greying , ranging from melanocyte stem cells defects to follicular melanocyte death . 0 ###LEFT-WALL### 2 mechanisms 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 27 . 1 numerous 2 mechanisms 3 , 12 contribute 3 , 16 , 4 acting 5 at 4 acting 11 , 4 acting 12 contribute 5 at 8 and 6 different 7 levels 7 levels 8 and 8 and 10 locations 9 follicular 10 locations 12 contribute 13 to 13 to 14 hair 14 hair 15 greying 16 , 17 ranging 16 , 22 defects 17 ranging 18 from 17 ranging 22 defects 18 from 21 cells 19 melanocyte 21 cells 20 stem 21 cells 22 defects 23 to 23 to 26 death 24 follicular 26 death 25 melanocyte 26 death one key issue that is in common to these processes is oxidative damage . 0 ###LEFT-WALL### 3 issue 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 14 . 1 one 3 issue 2 key 3 issue 3 issue 4 that 3 issue 5 is 3 issue 7 common 3 issue 11 is 4 that 5 is 5 is 6 in 7 common 8 to 8 to 10 processes 9 these 10 processes 11 is 13 damage 12 oxidative 13 damage at the hair follicle stem cells niche , oxidative stress , accelerated by b - cell lymphoma 2 [gene] ( bcl - 2 ) depletion , leads to selective apoptosis and diminution of melanocyte stem cells , reducing the repopulation of newly formed anagen follicles . 0 ###LEFT-WALL### 4 follicle 0 ###LEFT-WALL### 27 leads 0 ###LEFT-WALL### 46 . 1 at 3 hair 1 at 4 follicle 2 the 3 hair 4 follicle 6 cells 4 follicle 7 niche 4 follicle 10 stress 4 follicle 27 leads 5 stem 6 cells 6 cells 7 niche 8 , 10 stress 9 oxidative 10 stress 10 stress 12 accelerated 10 stress 17 lymphoma 10 stress 26 , 11 , 12 accelerated 12 accelerated 13 by 12 accelerated 15 - 13 by 14 b 15 - 17 lymphoma 16 cell 17 lymphoma 17 lymphoma 18 2 17 lymphoma 25 depletion 17 lymphoma 26 , 20 ( 25 depletion 21 bcl 23 2 21 bcl 25 depletion 22 - 23 2 23 2 24 ) 25 depletion 26 , 27 leads 28 to 27 leads 45 follicles 28 to 31 and 29 selective 30 apoptosis 30 apoptosis 31 and 31 and 32 diminution 31 and 37 , 31 and 38 reducing 32 diminution 33 of 33 of 36 cells 34 melanocyte 36 cells 35 stem 36 cells 38 reducing 40 repopulation 39 the 40 repopulation 40 repopulation 41 of 41 of 44 anagen 42 newly 43 formed 43 formed 44 anagen melanotic bulbar melanocytes express high levels of bcl - 2 [to] enable survival from melanogenesis - and ultraviolet [a] ( uva ) - induced reactive oxygen species ( ros ) attacks . 0 ###LEFT-WALL### 3 melanocytes 0 ###LEFT-WALL### 4 express 0 ###LEFT-WALL### 9 - 1 melanotic 3 melanocytes 2 bulbar 3 melanocytes 3 melanocytes 4 express 4 express 6 levels 5 high 6 levels 6 levels 7 of 7 of 8 bcl 9 - 10 2 9 - 12 enable 9 - 32 . 10 2 12 enable 12 enable 31 attacks 13 survival 14 from 13 survival 17 and 14 from 15 melanogenesis 16 - 17 and 17 and 27 species 17 and 29 ros 17 and 31 attacks 18 ultraviolet 21 uva 18 ultraviolet 23 - 18 ultraviolet 26 oxygen 20 ( 21 uva 21 uva 22 ) 24 induced 26 oxygen 25 reactive 26 oxygen 26 oxygen 27 species 28 ( 29 ros 29 ros 30 ) with ageing , the bulbar melanocyte expression [of] anti - oxidant proteins such as bcl - 2 , and possibly trp - 2 , is reduced , and the dedicated enzymatic anti - oxidant defence system [throughout] [the] follicle weakens , resulting in enhanced oxidative stress . 0 ###LEFT-WALL### 5 bulbar 0 ###LEFT-WALL### 6 melanocyte 0 ###LEFT-WALL### 10 - 1 with 2 ageing 1 with 3 , 1 with 5 bulbar 4 the 5 bulbar 5 bulbar 6 melanocyte 6 melanocyte 7 expression 7 expression 9 anti 10 - 11 oxidant 10 - 16 - 10 - 18 , 11 oxidant 12 proteins 11 oxidant 14 as 13 such 14 as 14 as 15 bcl 16 - 17 2 18 , 19 and 18 , 26 reduced 18 , 28 and 19 and 21 trp 20 possibly 21 trp 21 trp 23 2 21 trp 25 is 22 - 23 2 23 2 24 , 25 is 26 reduced 27 , 28 and 28 and 39 follicle 28 and 40 weakens 29 the 39 follicle 30 dedicated 39 follicle 31 enzymatic 39 follicle 32 anti 33 - 32 anti 34 oxidant 34 oxidant 35 defence 35 defence 39 follicle 36 system 39 follicle 39 follicle 40 weakens 40 weakens 42 resulting 41 , 42 resulting 42 resulting 43 in 42 resulting 47 . 43 in 46 stress 44 enhanced 46 stress 45 oxidative 46 stress a marked reduction in [catalase] expression and activity results in millimolar accumulation of hydrogen peroxide , contributing to bulbar melanocyte malfunction and death . 0 ###LEFT-WALL### 3 reduction 0 ###LEFT-WALL### 9 results 1 a 3 reduction 2 marked 3 reduction 3 reduction 4 in 3 reduction 9 results 4 in 7 and 6 expression 7 and 7 and 8 activity 9 results 10 in 9 results 17 contributing 10 in 12 accumulation 11 millimolar 12 accumulation 12 accumulation 13 of 13 of 15 peroxide 14 hydrogen 15 peroxide 16 , 17 contributing 17 contributing 18 to 17 contributing 24 . 18 to 22 and 19 bulbar 21 malfunction 20 melanocyte 21 malfunction 21 malfunction 22 and 22 and 23 death interestingly , amelanotic melanocytes at the outer root sheath ( ors ) are somewhat less affected by these processes and [survive] for longer time even within the white , ageing hair follicles . 0 ###LEFT-WALL### 4 melanocytes 0 ###LEFT-WALL### 16 affected 0 ###LEFT-WALL### 33 . 1 interestingly 2 , 1 interestingly 4 melanocytes 3 amelanotic 4 melanocytes 4 melanocytes 5 at 4 melanocytes 13 are 5 at 9 sheath 6 the 9 sheath 7 outer 8 root 8 root 9 sheath 9 sheath 11 ors 10 ( 11 ors 11 ors 12 ) 13 are 15 less 13 are 16 affected 14 somewhat 15 less 16 affected 20 and 17 by 19 processes 17 by 20 and 18 these 19 processes 20 and 22 for 22 for 24 time 23 longer 24 time 24 time 31 hair 24 time 32 follicles 25 even 26 within 25 even 29 , 25 even 31 hair 26 within 28 white 27 the 28 white 30 ageing 31 hair 31 hair 32 follicles better understanding of the overtime susceptibility of melanocytes to oxidative stress at the different follicular locations might yield clues to possible therapies for the prevention and reversal of hair greying . 0 ###LEFT-WALL### 2 understanding 0 ###LEFT-WALL### 18 yield 0 ###LEFT-WALL### 31 . 1 better 2 understanding 2 understanding 3 of 2 understanding 17 might 3 of 6 susceptibility 4 the 6 susceptibility 5 overtime 6 susceptibility 6 susceptibility 7 of 7 of 8 melanocytes 8 melanocytes 9 to 8 melanocytes 12 at 9 to 11 stress 10 oxidative 11 stress 12 at 16 locations 13 the 16 locations 14 different 16 locations 15 follicular 16 locations 17 might 18 yield 18 yield 19 clues 19 clues 20 to 19 clues 30 greying 20 to 26 and 21 possible 22 therapies 22 therapies 23 for 22 therapies 26 and 23 for 25 prevention 24 the 25 prevention 26 and 27 reversal 26 and 28 of 28 of 29 hair recent discoveries indicate that disorders of protein folding and degradation play a particularly important role in the development of lung diseases and their associated complications . 0 ###LEFT-WALL### 2 discoveries 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 26 . 1 recent 2 discoveries 2 discoveries 3 indicate 3 indicate 4 that 4 that 9 and 4 that 11 play 5 disorders 6 of 5 disorders 9 and 6 of 7 protein 7 protein 8 folding 9 and 10 degradation 9 and 11 play 11 play 15 role 11 play 16 in 12 a 13 particularly 12 a 15 role 13 particularly 14 important 14 important 15 role 16 in 18 development 17 the 18 development 18 development 19 of 19 of 22 and 20 lung 21 diseases 21 diseases 22 and 22 and 25 complications 23 their 25 complications 24 associated 25 complications the overarching purpose of the national heart , lung , and blood institute workshop on " malformed protein structure and proteostasis in lung diseases " was to identify mechanistic and clinical research opportunities indicated by these recent discoveries in proteostasis science that will advance our molecular understanding of lung pathobiology and facilitate the development of new diagnostic and therapeutic strategies for the prevention and treatment of lung disease . 0 ###LEFT-WALL### 3 purpose 0 ###LEFT-WALL### 69 . 1 the 3 purpose 2 overarching 3 purpose 3 purpose 4 of 3 purpose 26 was 4 of 14 workshop 5 the 14 workshop 6 national 7 heart 7 heart 8 , 8 , 9 lung 8 , 11 and 10 , 11 and 11 and 12 blood 11 and 14 workshop 13 institute 14 workshop 14 workshop 15 on 14 workshop 22 in 15 on 16 " 15 on 21 proteostasis 17 malformed 18 protein 18 protein 19 structure 19 structure 20 and 20 and 21 proteostasis 22 in 24 diseases 23 lung 24 diseases 24 diseases 25 " 26 was 27 to 26 was 34 indicated 27 to 28 identify 28 identify 32 research 29 mechanistic 30 and 30 and 31 clinical 30 and 32 research 32 research 33 opportunities 32 research 34 indicated 33 opportunities 34 indicated 34 indicated 35 by 35 by 38 discoveries 36 these 38 discoveries 37 recent 38 discoveries 38 discoveries 39 in 38 discoveries 42 that 38 discoveries 51 and 39 in 41 science 40 proteostasis 41 science 42 that 51 and 43 will 44 advance 43 will 51 and 44 advance 47 understanding 45 our 47 understanding 46 molecular 47 understanding 47 understanding 48 of 48 of 50 pathobiology 49 lung 50 pathobiology 51 and 52 facilitate 52 facilitate 54 development 53 the 54 development 54 development 55 of 55 of 60 strategies 56 new 60 strategies 57 diagnostic 58 and 58 and 59 therapeutic 58 and 60 strategies 60 strategies 61 for 60 strategies 66 of 61 for 64 and 62 the 63 prevention 63 prevention 64 and 64 and 65 treatment 66 of 68 disease 67 lung 68 disease the workshop 's discussion focused on identifying gaps in scientific knowledge with respect to proteostasis and lung disease , discussing new research advances and opportunities in protein folding science , and highlighting novel technologies with potential therapeutic applications for diagnosis and treatment . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 43 . 1 the 2 workshop 2 workshop 3 's 3 's 4 discussion 4 discussion 5 focused 4 discussion 9 in 4 discussion 16 and 5 focused 6 on 6 on 7 identifying 7 identifying 8 gaps 9 in 11 knowledge 10 scientific 11 knowledge 11 knowledge 12 with 11 knowledge 14 to 12 with 13 respect 14 to 15 proteostasis 16 and 18 disease 16 and 19 , 16 and 20 discussing 16 and 28 folding 17 lung 18 disease 20 discussing 24 and 20 discussing 26 in 21 new 23 advances 22 research 23 advances 23 advances 24 and 24 and 25 opportunities 26 in 27 protein 28 folding 31 and 29 science 31 and 30 , 31 and 31 and 34 technologies 32 highlighting 34 technologies 33 novel 34 technologies 34 technologies 35 with 35 with 38 applications 36 potential 38 applications 37 therapeutic 38 applications 38 applications 39 for 39 for 41 and 40 diagnosis 41 and 41 and 42 treatment objectives : older adults complain of sleep disturbances more often than younger adults do . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 4 adults 2 : 5 complain 2 : 15 . 3 older 4 adults 4 adults 5 complain 5 complain 6 of 5 complain 10 often 5 complain 11 than 6 of 8 disturbances 7 sleep 8 disturbances 9 more 10 often 11 than 14 do 12 younger 13 adults 13 adults 14 do it is not clear whether the age - related rise [in] sleep problems is related to aging itself or to health - related quality of life . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 23 related 1 it 2 is 2 is 3 not 2 is 4 clear 4 clear 5 whether 5 whether 7 age 5 whether 15 related 6 the 7 age 7 age 14 is 8 - 9 related 9 related 13 problems 9 related 14 is 10 rise 13 problems 12 sleep 13 problems 14 is 15 related 15 related 19 or 16 to 17 aging 16 to 19 or 17 aging 18 itself 19 or 20 to 20 to 21 health 22 - 23 related 23 related 24 quality 23 related 27 . 24 quality 25 of 25 of 26 life the aim of this study was to explore the presence of self [-] reported sleep problems in healthy elderly individuals and to evaluate whether changes occurred over a 3 [-] year follow - up . 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 21 and 7 to 21 and 8 explore 10 presence 8 explore 17 in 8 explore 21 and 9 the 10 presence 10 presence 11 of 11 of 16 problems 12 self 16 problems 14 reported 15 sleep 15 sleep 16 problems 17 in 20 individuals 18 healthy 20 individuals 19 elderly 20 individuals 21 and 22 to 21 and 32 follow 22 to 23 evaluate 23 evaluate 24 whether 24 whether 25 changes 24 whether 26 occurred 25 changes 26 occurred 26 occurred 27 over 27 over 31 year 28 a 31 year 29 3 31 year 32 follow 34 up 33 - 34 up 34 up 35 . methods : a total [of] 314 older community - dwelling volunteers , aged 71.6±1.0 years old , were examined and followed for 3 years . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 - 1 methods 2 : 2 : 8 community 3 a 8 community 4 total 8 community 6 314 8 community 7 older 8 community 9 - 10 dwelling 9 - 11 volunteers 9 - 12 , 9 - 25 . 10 dwelling 11 volunteers 12 , 17 , 13 aged 14 71.6±1.0 13 aged 17 , 14 71.6±1.0 16 old 15 years 16 old 17 , 18 were 18 were 20 and 19 examined 20 and 20 and 21 followed 20 and 22 for 22 for 24 years 23 3 24 years all of the subjects completed questionnaires evaluating anxiety , depression , and sleepiness and the pittsburgh sleep quality index ( psqi ) at the first and second evaluations . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 29 . 1 all 2 of 1 all 26 and 2 of 4 subjects 3 the 4 subjects 5 completed 6 questionnaires 5 completed 23 at 5 completed 26 and 6 questionnaires 7 evaluating 6 questionnaires 14 and 7 evaluating 8 anxiety 9 , 14 and 10 depression 12 and 11 , 12 and 12 and 13 sleepiness 12 and 14 and 14 and 21 psqi 14 and 22 ) 15 the 21 psqi 16 pittsburgh 17 sleep 17 sleep 18 quality 18 quality 19 index 19 index 21 psqi 20 ( 21 psqi 23 at 25 first 24 the 25 first 26 and 27 second 27 second 28 evaluations on the basis of the psqi items , the subjects were classified as good or bad sleepers and as short , normal , or long sleepers . 0 ###LEFT-WALL### 10 subjects 0 ###LEFT-WALL### 11 were 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 27 . 1 on 3 basis 1 on 8 , 1 on 10 subjects 2 the 3 basis 3 basis 4 of 4 of 7 items 5 the 7 items 6 psqi 7 items 9 the 10 subjects 10 subjects 11 were 11 were 18 and 12 classified 13 as 12 classified 18 and 13 as 17 sleepers 14 good 15 or 15 or 16 bad 15 or 17 sleepers 18 and 20 short 19 as 20 short 21 , 24 or 22 normal 24 or 23 , 24 or 24 or 26 sleepers 25 long 26 sleepers results : at baseline , 53 % of the subjects reported good sleep , with 61 % reporting a sleep duration of approximately 7 hr . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 1 results 2 : 2 : 3 at 2 : 15 with 3 at 4 baseline 4 baseline 7 % 5 , 7 % 6 53 7 % 7 % 8 of 7 % 14 , 8 of 13 sleep 9 the 13 sleep 10 subjects 11 reported 11 reported 13 sleep 12 good 13 sleep 15 with 17 % 16 61 17 % 17 % 18 reporting 18 reporting 21 duration 19 a 20 sleep 19 a 21 duration 20 sleep 21 duration 21 duration 22 of 22 of 25 hr 23 approximately 24 7 24 7 25 hr the total sleep time and the numbers of short , normal , and long sleepers were similar at baseline and at 3 years later . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 16 were 0 ###LEFT-WALL### 25 . 1 the 4 time 2 total 3 sleep 3 sleep 4 time 4 time 5 and 5 and 7 numbers 5 and 8 of 5 and 16 were 6 the 7 numbers 8 of 15 sleepers 9 short 10 , 9 short 15 sleepers 11 normal 13 and 12 , 13 and 13 and 14 long 13 and 15 sleepers 16 were 17 similar 17 similar 20 and 17 similar 24 later 18 at 19 baseline 18 at 20 and 20 and 21 at 21 at 23 years 22 3 23 years over time , there was a slight increase ( p<0.001 [ )(in bad sleepers ( 53 % ) and a rise in the occasional hypnotic intake ( p<0.001 ) . 0 ###LEFT-WALL### 4 there 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 30 . 1 over 2 time 1 over 3 , 1 over 4 there 4 there 5 was 5 was 8 increase 6 a 8 increase 7 slight 8 increase 8 increase 19 and 9 ( 19 and 10 p<0.001 12 )(in 10 p<0.001 19 and 12 )(in 14 sleepers 13 bad 14 sleepers 14 sleepers 17 % 15 ( 17 % 16 53 17 % 17 % 18 ) 19 and 21 rise 19 and 22 in 19 and 29 ) 20 a 21 rise 22 in 26 intake 23 the 26 intake 24 occasional 26 intake 25 hypnotic 26 intake 26 intake 28 p<0.001 27 ( 28 p<0.001 28 p<0.001 29 ) considering individual variation , the majority of subjects remained stable at [follow] - up for sleep duration ( 65 % ) , sleep quality ( 75 % ) , and medication ( 83 % ) . 0 ###LEFT-WALL### 8 subjects 0 ###LEFT-WALL### 9 remained 0 ###LEFT-WALL### 36 . 1 considering 3 variation 1 considering 4 , 1 considering 8 subjects 2 individual 3 variation 5 the 6 majority 6 majority 7 of 6 majority 8 subjects 7 of 8 subjects 8 subjects 9 remained 9 remained 30 and 10 stable 11 at 10 stable 15 for 10 stable 30 and 11 at 14 up 13 - 14 up 15 for 17 duration 16 sleep 17 duration 17 duration 20 % 17 duration 24 quality 18 ( 20 % 19 65 20 % 20 % 21 ) 22 , 24 quality 23 sleep 24 quality 24 quality 27 % 24 quality 29 , 25 ( 27 % 26 75 27 % 27 % 28 ) 29 , 30 and 30 and 31 medication 30 and 34 % 32 ( 34 % 33 83 34 % 34 % 35 ) conclusions : in a healthy older population , the majority of the subjects did not report bad and short sleep at baseline and did not have significant changes in [self] - perceived sleep 3 years later . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 - 0 ###LEFT-WALL### 37 . 1 conclusions 2 : 2 : 3 in 3 in 7 population 4 a 5 healthy 4 a 7 population 5 healthy 7 population 6 older 7 population 7 population 13 subjects 8 , 13 subjects 9 the 10 majority 10 majority 11 of 10 majority 13 subjects 11 of 13 subjects 12 the 13 subjects 13 subjects 23 and 13 subjects 31 - 14 did 15 not 14 did 16 report 14 did 23 and 16 report 20 sleep 16 report 21 at 17 bad 18 and 18 and 19 short 18 and 20 sleep 21 at 22 baseline 23 and 24 did 23 and 29 in 24 did 25 not 24 did 26 have 26 have 28 changes 27 significant 28 changes 31 - 33 sleep 32 perceived 33 sleep 33 sleep 34 3 33 sleep 36 later 35 years 36 later these findings suggest that the reported sleep disturbances described in the elderly are more dependent on physical , environmental , and health factors rather than on age - dependent sleep changes . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 28 - 1 these 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 8 disturbances 4 that 13 are 5 the 8 disturbances 6 reported 7 sleep 7 sleep 8 disturbances 8 disturbances 9 described 8 disturbances 13 are 9 described 10 in 10 in 12 elderly 11 the 12 elderly 13 are 15 dependent 14 more 15 dependent 15 dependent 16 on 15 dependent 25 than 16 on 21 and 17 physical 18 , 18 , 19 environmental 18 , 21 and 20 , 21 and 21 and 23 factors 22 health 23 factors 24 rather 25 than 25 than 26 on 26 on 27 age 28 - 30 sleep 28 - 31 changes 28 - 32 . 29 dependent 30 sleep 30 sleep 31 changes clinical trial registration : nct 00759304 and nct 00766584 . 0 ###LEFT-WALL### 3 registration 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 10 . 1 clinical 2 trial 2 trial 3 registration 3 registration 4 : 4 : 8 nct 5 nct 6 00759304 5 nct 7 and 7 and 8 nct 8 nct 9 00766584 none background : although many studies have shown that diabetes increases the risk for urinary incontinence , it is unclear whether poor glycemic control in women with diabetes is associated with incontinence . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 11 increases 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 33 . 1 none 2 background 1 none 3 : 1 none 11 increases 2 background 3 : 3 : 4 although 4 although 6 studies 4 although 8 shown 5 many 6 studies 6 studies 7 have 7 have 8 shown 8 shown 9 that 8 shown 10 diabetes 11 increases 13 risk 12 the 13 risk 13 risk 14 for 14 for 16 incontinence 15 urinary 16 incontinence 17 , 18 it 17 , 19 is 18 it 19 is 19 is 20 unclear 20 unclear 21 whether 21 whether 24 control 21 whether 30 associated 22 poor 24 control 23 glycemic 24 control 24 control 25 in 24 control 29 is 25 in 26 women 26 women 27 with 27 with 28 diabetes 29 is 30 associated 30 associated 31 with 31 with 32 incontinence this study aims to determine the relationship between the hemoglobin a1c ( hba1c ) level and urinary incontinence in a large , diverse cohort of older women . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 28 . 1 this 2 study 2 study 3 aims 3 aims 4 to 3 aims 5 determine 4 to 5 determine 5 determine 7 relationship 5 determine 8 between 5 determine 19 in 6 the 7 relationship 8 between 16 and 9 the 15 level 10 hemoglobin 15 level 11 a1c 13 hba1c 11 a1c 15 level 12 ( 13 hba1c 13 hba1c 14 ) 15 level 16 and 16 and 18 incontinence 17 urinary 18 incontinence 19 in 24 cohort 20 a 21 large 20 a 24 cohort 21 large 22 , 21 large 24 cohort 23 diverse 24 cohort 24 cohort 25 of 25 of 27 women 26 older 27 women methods : we examined 6026 older women who responded to a survey ( 62 % [response] [rate] ) and were enrolled in the diabetes and aging study , an ethnically stratified random sample of patients with diabetes enrolled in kaiser permanente northern california . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 21 enrolled 2 : 28 , 2 : 44 . 3 we 19 and 4 examined 7 women 4 examined 19 and 5 6026 7 women 6 older 7 women 7 women 8 who 7 women 9 responded 7 women 15 % 8 who 9 responded 9 responded 10 to 10 to 12 survey 11 a 12 survey 13 ( 15 % 14 62 15 % 15 % 18 ) 19 and 20 were 20 were 21 enrolled 21 enrolled 22 in 22 in 27 study 23 the 27 study 24 diabetes 25 and 25 and 26 aging 26 aging 27 study 28 , 33 sample 28 , 38 enrolled 29 an 33 sample 30 ethnically 31 stratified 31 stratified 33 sample 32 random 33 sample 33 sample 34 of 33 sample 36 with 33 sample 38 enrolled 34 of 35 patients 36 with 37 diabetes 38 enrolled 39 in 39 in 43 california 40 kaiser 41 permanente 41 permanente 42 northern 42 northern 43 california our primary independent variable was the mean of all hba1c measurements in the year preceding the survey . 0 ###LEFT-WALL### 4 variable 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 18 . 1 our 4 variable 2 primary 4 variable 3 independent 4 variable 4 variable 5 was 5 was 7 mean 6 the 7 mean 7 mean 8 of 8 of 11 measurements 9 all 11 measurements 10 hba1c 11 measurements 11 measurements 12 in 12 in 14 year 13 the 14 year 14 year 15 preceding 15 preceding 17 survey 16 the 17 survey outcomes included the presence/absence of incontinence and limitations in daily activities due to incontinence . 0 ###LEFT-WALL### 1 outcomes 0 ###LEFT-WALL### 2 included 0 ###LEFT-WALL### 15 . 1 outcomes 2 included 2 included 4 presence/absence 2 included 9 in 2 included 13 to 3 the 4 presence/absence 4 presence/absence 5 of 5 of 7 and 6 incontinence 7 and 7 and 8 limitations 9 in 11 activities 10 daily 11 activities 12 due 13 to 13 to 14 incontinence we used modified poisson regression and ordinal logistic regression models to account for age , race , body mass index , parity , diabetes treatment , duration of diabetes , and comorbidity . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 33 . 1 we 2 used 2 used 6 and 2 used 11 to 2 used 12 account 3 modified 5 regression 4 poisson 5 regression 5 regression 6 and 6 and 10 models 7 ordinal 8 logistic 8 logistic 10 models 9 regression 10 models 11 to 12 account 12 account 13 for 13 for 14 age 15 , 31 and 16 race 17 , 17 , 20 index 17 , 21 , 18 body 19 mass 19 mass 20 index 21 , 22 parity 21 , 23 , 23 , 25 treatment 23 , 26 , 24 diabetes 25 treatment 26 , 27 duration 26 , 31 and 27 duration 28 of 28 of 29 diabetes 30 , 31 and 31 and 32 comorbidity results : sixty - five percent of women reported incontinence ( mean age 59±10 years ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 percent 2 : 9 reported 2 : 17 . 3 sixty 4 - 4 - 5 five 4 - 6 percent 6 percent 7 of 6 percent 9 reported 7 of 8 women 9 reported 10 incontinence 10 incontinence 15 years 11 ( 15 years 12 mean 13 age 13 age 15 years 14 59±10 15 years 15 years 16 ) after adjustment , hba1c levels were not associated with the presence or absence of incontinence . 0 ###LEFT-WALL### 5 levels 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 16 . 1 after 2 adjustment 1 after 3 , 1 after 5 levels 4 hba1c 5 levels 5 levels 6 were 6 were 7 not 6 were 9 with 7 not 8 associated 9 with 12 or 10 the 11 presence 11 presence 12 or 12 or 13 absence 12 or 14 of 14 of 15 incontinence however , among women reporting incontinence , hba1c ≥9 [%] was associated with more limitations due to incontinence than hba1c < 6 % ( adjusted odds ratio 1.67 , 95 % confidence interval : 1.09 - 2.57 ) . 0 ###LEFT-WALL### 20 hba1c 0 ###LEFT-WALL### 21 < 0 ###LEFT-WALL### 29 , 0 ###LEFT-WALL### 39 . 1 however 8 hba1c 1 however 12 associated 1 however 20 hba1c 2 , 3 among 3 among 4 women 3 among 7 , 3 among 8 hba1c 4 women 5 reporting 5 reporting 6 incontinence 8 hba1c 9 ≥9 8 hba1c 11 was 8 hba1c 12 associated 9 ≥9 11 was 12 associated 13 with 13 with 15 limitations 14 more 15 limitations 15 limitations 16 due 16 due 17 to 16 due 19 than 17 to 18 incontinence 20 hba1c 21 < 21 < 23 % 22 6 23 % 23 % 27 ratio 24 ( 27 ratio 25 adjusted 26 odds 26 odds 27 ratio 27 ratio 28 1.67 27 ratio 29 , 29 , 33 interval 29 , 34 : 30 95 31 % 31 % 32 confidence 32 confidence 33 interval 34 : 35 1.09 35 1.09 37 2.57 36 - 37 2.57 37 2.57 38 ) conclusion : in this cross - sectional analysis , hba1c level is not associated with the presence or absence of incontinence . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 22 . 1 conclusion 2 : 2 : 3 in 3 in 5 cross 4 this 5 cross 5 cross 8 analysis 6 - 8 analysis 7 sectional 8 analysis 8 analysis 9 , 9 , 10 hba1c 9 , 14 associated 10 hba1c 11 level 10 hba1c 12 is 10 hba1c 14 associated 11 level 12 is 12 is 13 not 14 associated 15 with 15 with 18 or 16 the 17 presence 17 presence 18 or 18 or 19 absence 18 or 20 of 20 of 21 incontinence however , for women with incontinence , poor glycemic control ( hba1c ≥9 [%] ) is associated with more limitations in daily activities due to incontinence . 0 ###LEFT-WALL### 10 control 0 ###LEFT-WALL### 17 associated 0 ###LEFT-WALL### 27 . 1 however 10 control 2 , 3 for 3 for 4 women 3 for 7 , 3 for 10 control 4 women 5 with 5 with 6 incontinence 8 poor 10 control 9 glycemic 10 control 10 control 13 ≥9 10 control 16 is 11 ( 13 ≥9 12 hba1c 13 ≥9 13 ≥9 15 ) 16 is 17 associated 17 associated 18 with 17 associated 21 in 17 associated 25 to 18 with 20 limitations 19 more 20 limitations 21 in 23 activities 22 daily 23 activities 24 due 25 to 25 to 26 incontinence longitudinal studies are needed to determine whether improving glycemic control to hba1c < 9 % leads to fewer limitations in daily activities due to incontinence . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 26 . 1 longitudinal 2 studies 2 studies 3 are 3 are 4 needed 4 needed 5 to 4 needed 17 to 5 to 6 determine 6 determine 7 whether 7 whether 8 improving 7 whether 13 < 8 improving 10 control 8 improving 11 to 8 improving 13 < 9 glycemic 10 control 11 to 12 hba1c 13 < 16 leads 14 9 15 % 15 % 16 leads 17 to 19 limitations 18 fewer 19 limitations 19 limitations 20 in 20 in 22 activities 21 daily 22 activities 22 activities 23 due 23 due 24 to 24 to 25 incontinence studies of oxidative damage during the progression of alzheimer 's disease ( ad ) suggest its central role in disease pathogenesis . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 15 suggest 0 ###LEFT-WALL### 22 . 1 studies 2 of 1 studies 15 suggest 2 of 4 damage 3 oxidative 4 damage 4 damage 5 during 5 during 7 progression 6 the 7 progression 7 progression 8 of 8 of 11 disease 9 alzheimer 10 's 10 's 11 disease 11 disease 13 ad 12 ( 13 ad 13 ad 14 ) 15 suggest 18 role 15 suggest 19 in 16 its 18 role 17 central 18 role 19 in 21 pathogenesis 20 disease 21 pathogenesis median levels of multiple dna [adducts] in nuclear and mitochondrial dna were significantly ( [p] ≤ 0.05 [ )(elevated in the smtg , ipl , and cer in multiple stages of ad and in [dc] subjects . 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 37 . 1 median 2 levels 2 levels 3 of 2 levels 26 and 3 of 5 dna 4 multiple 5 dna 5 dna 7 in 5 dna 11 dna 5 dna 12 were 5 dna 16 ≤ 7 in 9 and 8 nuclear 9 and 9 and 10 mitochondrial 11 dna 12 were 12 were 13 significantly 14 ( 16 ≤ 16 ≤ 17 0.05 16 ≤ 19 )(elevated 16 ≤ 20 in 16 ≤ 25 , 17 0.05 19 )(elevated 20 in 22 smtg 21 the 22 smtg 22 smtg 24 ipl 23 , 24 ipl 24 ipl 25 , 26 and 27 cer 26 and 33 and 28 in 30 stages 28 in 33 and 29 multiple 30 stages 30 stages 31 of 31 of 32 ad 33 and 34 in 34 in 36 subjects elevated levels of fapyguanine and fapyadenine in mitochondrial dna suggest a hypoxic environment early in the progression of ad and in [dc] subjects . 0 ###LEFT-WALL### 2 levels 0 ###LEFT-WALL### 10 suggest 0 ###LEFT-WALL### 24 . 1 elevated 2 levels 2 levels 3 of 2 levels 10 suggest 3 of 5 and 4 fapyguanine 5 and 5 and 6 fapyadenine 5 and 7 in 7 in 9 dna 8 mitochondrial 9 dna 10 suggest 13 environment 11 a 12 hypoxic 11 a 13 environment 12 hypoxic 13 environment 13 environment 14 early 14 early 20 and 15 in 17 progression 15 in 20 and 16 the 17 progression 17 progression 18 of 18 of 19 ad 20 and 21 in 21 in 23 subjects overall , these data suggest that oxidative damage is an early event not only in the pathogenesis of ad but [is] also present in neurodegenerative diseases in general . 0 ###LEFT-WALL### 1 overall 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 29 . 1 overall 2 , 1 overall 9 is 3 these 4 data 4 data 5 suggest 5 suggest 6 that 6 that 8 damage 6 that 9 is 7 oxidative 8 damage 9 is 12 event 9 is 13 not 9 is 14 only 9 is 23 present 10 an 11 early 10 an 12 event 11 early 12 event 14 only 15 in 15 in 17 pathogenesis 16 the 17 pathogenesis 17 pathogenesis 18 of 18 of 19 ad 19 ad 20 but 20 but 22 also 23 present 24 in 23 present 28 general 24 in 26 diseases 25 neurodegenerative 26 diseases 27 in 28 general nucleic acid oxidation peaked early in disease progression and remained elevated . 0 ###LEFT-WALL### 3 oxidation 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 12 . 1 nucleic 3 oxidation 2 acid 3 oxidation 3 oxidation 9 and 4 peaked 5 early 4 peaked 9 and 5 early 6 in 6 in 8 progression 7 disease 8 progression 9 and 10 remained 10 remained 11 elevated the study suggests nucleic acid oxidation is a general event in neurodegeneration . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 suggests 0 ###LEFT-WALL### 13 . 1 the 2 study 2 study 3 suggests 3 suggests 6 oxidation 3 suggests 7 is 4 nucleic 6 oxidation 5 acid 6 oxidation 6 oxidation 7 is 7 is 10 event 8 a 9 general 8 a 10 event 9 general 10 event 10 event 11 in 11 in 12 neurodegeneration autonomic dysfunction is common in hiv . 0 ###LEFT-WALL### 2 dysfunction 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 7 . 1 autonomic 2 dysfunction 2 dysfunction 3 is 3 is 4 common 4 common 5 in 5 in 6 hiv however , its clinical impact is not well understood and its protean symptoms make it difficult to diagnose . 0 ###LEFT-WALL### 5 impact 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 5 impact 3 its 5 impact 4 clinical 5 impact 5 impact 6 is 6 is 7 not 6 is 8 well 8 well 9 understood 10 and 13 symptoms 10 and 14 make 11 its 13 symptoms 12 protean 13 symptoms 13 symptoms 14 make 14 make 15 it 15 it 16 difficult 16 difficult 17 to 16 difficult 18 diagnose 17 to 18 diagnose we sought to determine [:] [(] 1 [ )(whether autonomic neuropathy is associated with morbidity and predicted mortality in hiv as measured by the veterans aging cohort study ( vacs ) index [;] [and] ( 2 [ )( healthcare providers recognize the diagnosis of autonomic neuropathy . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 sought 1 we 2 sought 2 sought 3 to 2 sought 4 determine 3 to 4 determine 4 determine 7 1 4 determine 9 )(whether 4 determine 14 with 9 )(whether 11 neuropathy 9 )(whether 13 associated 10 autonomic 11 neuropathy 11 neuropathy 12 is 12 is 13 associated 14 with 16 and 14 with 19 in 15 morbidity 16 and 16 and 18 mortality 17 predicted 18 mortality 19 in 20 hiv 20 hiv 22 measured 21 as 22 measured 22 measured 23 by 23 by 32 index 24 the 32 index 25 veterans 26 aging 26 aging 27 cohort 27 cohort 28 study 28 study 30 vacs 28 study 32 index 29 ( 30 vacs 30 vacs 31 ) 32 index 36 2 35 ( 36 2 36 2 40 providers 36 2 41 recognize 36 2 47 . 39 healthcare 40 providers 40 providers 41 recognize 41 recognize 43 diagnosis 42 the 43 diagnosis 43 diagnosis 44 of 44 of 46 neuropathy 45 autonomic 46 neuropathy data were obtained from 102 hiv - infected adults enrolled in a prevalence study of autonomic dysfunction from 2011 - 2012 . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 3 obtained 0 ###LEFT-WALL### 7 - 1 data 2 were 2 were 3 obtained 3 obtained 4 from 4 from 6 hiv 5 102 6 hiv 7 - 9 adults 7 - 10 enrolled 7 - 22 . 8 infected 9 adults 9 adults 10 enrolled 10 enrolled 11 in 11 in 14 study 12 a 14 study 13 prevalence 14 study 14 study 15 of 15 of 17 dysfunction 16 autonomic 17 dysfunction 17 dysfunction 20 - 18 from 20 - 19 2011 20 - 20 - 21 2012 participants were [predominantly] minority with nearly equal numbers of men and women . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 13 . 1 participants 2 were 2 were 11 and 4 minority 5 with 4 minority 11 and 5 with 10 men 6 nearly 7 equal 7 equal 8 numbers 8 numbers 9 of 8 numbers 10 men 9 of 10 men 11 and 12 women most were receiving an antiretroviral regimen with a nucleoside reverse transcriptase inhibitor backbone and a base of a [non] [-] nucleoside reverse transcriptase inhibitor , protease inhibitor , or integrase inhibitor . 0 ###LEFT-WALL### 1 most 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 32 . 1 most 2 were 2 were 3 receiving 3 receiving 6 regimen 3 receiving 7 with 4 an 5 antiretroviral 4 an 6 regimen 5 antiretroviral 6 regimen 7 with 14 and 8 a 13 backbone 9 nucleoside 12 inhibitor 10 reverse 12 inhibitor 11 transcriptase 12 inhibitor 12 inhibitor 13 backbone 13 backbone 14 and 14 and 16 base 14 and 17 of 15 a 16 base 17 of 29 or 18 a 24 inhibitor 21 nucleoside 24 inhibitor 22 reverse 24 inhibitor 23 transcriptase 24 inhibitor 24 inhibitor 25 , 25 , 27 inhibitor 25 , 29 or 26 protease 27 inhibitor 28 , 29 or 29 or 31 inhibitor 30 integrase 31 inhibitor autonomic neuropathy was defined using a laboratory - based autonomic assessment , the composite autonomic severity score ( cass ) . 0 ###LEFT-WALL### 2 neuropathy 0 ###LEFT-WALL### 4 defined 0 ###LEFT-WALL### 21 . 1 autonomic 2 neuropathy 2 neuropathy 3 was 3 was 4 defined 4 defined 5 using 5 using 7 laboratory 6 a 7 laboratory 7 laboratory 11 assessment 7 laboratory 19 cass 8 - 11 assessment 9 based 11 assessment 10 autonomic 11 assessment 11 assessment 12 , 12 , 19 cass 13 the 19 cass 14 composite 15 autonomic 15 autonomic 16 severity 16 severity 17 score 17 score 19 cass 18 ( 19 cass 19 cass 20 ) medical records were reviewed for the year prior to the autonomic assessment . 0 ###LEFT-WALL### 2 records 0 ###LEFT-WALL### 4 reviewed 0 ###LEFT-WALL### 13 . 1 medical 2 records 2 records 3 were 3 were 4 reviewed 4 reviewed 5 for 4 reviewed 9 to 5 for 7 year 6 the 7 year 8 prior 9 to 9 to 12 assessment 10 the 12 assessment 11 autonomic 12 assessment we found that the autonomic neuropathy score ( cass ) was associated with the vacs index . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 17 . 1 we 2 found 2 found 3 that 3 that 7 score 3 that 12 associated 4 the 7 score 5 autonomic 7 score 6 neuropathy 7 score 7 score 9 cass 7 score 11 was 8 ( 9 cass 9 cass 10 ) 11 was 12 associated 12 associated 13 with 13 with 16 index 14 the 16 index 15 vacs 16 index we also found that among 53 participants with symptomatic autonomic neuropathy , the diagnosis had been considered for only one . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 found 0 ###LEFT-WALL### 21 . 1 we 3 found 2 also 3 found 3 found 4 that 4 that 14 diagnosis 4 that 17 considered 5 among 7 participants 5 among 12 , 5 among 14 diagnosis 6 53 7 participants 7 participants 8 with 8 with 11 neuropathy 9 symptomatic 11 neuropathy 10 autonomic 11 neuropathy 13 the 14 diagnosis 14 diagnosis 15 had 15 had 16 been 16 been 17 considered 17 considered 18 for 18 for 20 one 19 only 20 one the majority of the symptoms were [either] unexplained or attributed to medication side effects . 0 ###LEFT-WALL### 5 symptoms 0 ###LEFT-WALL### 9 or 0 ###LEFT-WALL### 15 . 1 the 2 majority 2 majority 3 of 2 majority 5 symptoms 3 of 5 symptoms 4 the 5 symptoms 5 symptoms 9 or 6 were 8 unexplained 6 were 9 or 9 or 10 attributed 9 or 11 to 9 or 14 effects 11 to 12 medication 13 side 14 effects this study demonstrates that autonomic neuropathy in hiv is associated with serious co - morbid illnesses known to increase mortality risk , and that hiv healthcare providers rarely consider autonomic neuropathy in their differential diagnoses . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 demonstrates 0 ###LEFT-WALL### 17 known 0 ###LEFT-WALL### 36 . 1 this 2 study 2 study 3 demonstrates 3 demonstrates 4 that 4 that 6 neuropathy 4 that 10 associated 5 autonomic 6 neuropathy 6 neuropathy 7 in 6 neuropathy 9 is 7 in 8 hiv 9 is 10 associated 10 associated 11 with 11 with 16 illnesses 12 serious 16 illnesses 13 co 14 - 13 co 16 illnesses 15 morbid 16 illnesses 16 illnesses 17 known 17 known 18 to 17 known 19 increase 18 to 19 increase 19 increase 25 hiv 19 increase 32 in 20 mortality 21 risk 21 risk 23 and 22 , 23 and 23 and 24 that 23 and 25 hiv 25 hiv 27 providers 25 hiv 29 consider 26 healthcare 27 providers 27 providers 29 consider 28 rarely 29 consider 29 consider 31 neuropathy 30 autonomic 31 neuropathy 32 in 35 diagnoses 33 their 35 diagnoses 34 differential 35 diagnoses future studies are needed to determine if autonomic neuropathy is an independent risk factor for mortality in hiv , and to raise awareness of its signs and symptoms . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 needed 0 ###LEFT-WALL### 29 . 1 future 2 studies 2 studies 3 are 3 are 4 needed 4 needed 5 to 5 to 6 determine 6 determine 7 if 7 if 9 neuropathy 7 if 10 is 8 autonomic 9 neuropathy 9 neuropathy 10 is 10 is 14 factor 11 an 14 factor 12 independent 14 factor 13 risk 14 factor 14 factor 15 for 14 factor 24 of 15 for 16 mortality 16 mortality 20 and 17 in 18 hiv 17 in 20 and 19 , 20 and 20 and 21 to 21 to 23 awareness 22 raise 23 awareness 24 of 27 and 25 its 26 signs 26 signs 27 and 27 and 28 symptoms the population is aging . 0 ###LEFT-WALL### 2 population 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 5 . 1 the 2 population 2 population 3 is 3 is 4 aging over the coming years , the incidence of age - related chronic diseases such as cancer is expected to continue to increase . 0 ###LEFT-WALL### 7 incidence 0 ###LEFT-WALL### 18 expected 0 ###LEFT-WALL### 23 . 1 over 4 years 1 over 5 , 1 over 7 incidence 2 the 4 years 3 coming 4 years 6 the 7 incidence 7 incidence 8 of 7 incidence 17 is 8 of 9 age 10 - 11 related 11 related 13 diseases 11 related 17 is 12 chronic 13 diseases 13 diseases 15 as 14 such 15 as 15 as 16 cancer 17 is 18 expected 18 expected 19 to 18 expected 20 continue 19 to 20 continue 20 continue 21 to 20 continue 22 increase 21 to 22 increase phytochemicals , which are [non] - nutritive chemicals found in plants and food , have emerged as modulators of key cellular signaling pathways exerting proven anticancer effects . 0 ###LEFT-WALL### 1 phytochemicals 0 ###LEFT-WALL### 2 , 0 ###LEFT-WALL### 28 . 2 , 3 which 2 , 4 are 2 , 6 - 3 which 4 are 6 - 12 and 6 - 14 , 7 nutritive 8 chemicals 8 chemicals 9 found 8 chemicals 12 and 9 found 10 in 10 in 11 plants 12 and 13 food 14 , 15 have 15 have 16 emerged 16 emerged 17 as 17 as 18 modulators 18 modulators 19 of 18 modulators 24 exerting 19 of 23 pathways 20 key 23 pathways 21 cellular 23 pathways 22 signaling 23 pathways 24 exerting 27 effects 25 proven 27 effects 26 anticancer 27 effects the challenge now is to develop personalized supplements comprised of specific phytochemicals for each clinical situation . 0 ###LEFT-WALL### 2 challenge 0 ###LEFT-WALL### 9 comprised 0 ###LEFT-WALL### 17 . 1 the 2 challenge 2 challenge 4 is 3 now 4 is 4 is 5 to 4 is 9 comprised 5 to 6 develop 6 develop 8 supplements 7 personalized 8 supplements 9 comprised 10 of 10 of 12 phytochemicals 11 specific 12 phytochemicals 12 phytochemicals 13 for 13 for 16 situation 14 each 16 situation 15 clinical 16 situation this will be possible once a better understanding is gained of the molecular basis explaining the impact of phytochemicals on human health . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 be 0 ###LEFT-WALL### 23 . 1 this 2 will 2 will 3 be 3 be 4 possible 4 possible 5 once 5 once 8 understanding 5 once 10 gained 6 a 8 understanding 7 better 8 understanding 8 understanding 9 is 9 is 10 gained 10 gained 11 of 11 of 14 basis 12 the 14 basis 13 molecular 14 basis 14 basis 15 explaining 15 explaining 17 impact 15 explaining 20 on 16 the 17 impact 17 impact 18 of 18 of 19 phytochemicals 20 on 22 health 21 human 22 health the aim of the present literature review is to summarize current knowledge of the dietary phytochemicals with proven antitumor activity , with a special emphasis placed on their molecular targets . 1 the 2 aim 2 aim 3 of 2 aim 8 is 3 of 7 review 4 the 7 review 5 present 7 review 6 literature 7 review 8 is 9 to 8 is 10 summarize 9 to 10 summarize 10 summarize 12 knowledge 10 summarize 17 with 11 current 12 knowledge 12 knowledge 13 of 13 of 16 phytochemicals 14 the 16 phytochemicals 15 dietary 16 phytochemicals 17 with 20 activity 18 proven 20 activity 19 antitumor 20 activity 20 activity 22 with 21 , 22 with 22 with 25 emphasis 22 with 31 . 23 a 24 special 23 a 25 emphasis 24 special 25 emphasis 25 emphasis 26 placed 25 emphasis 27 on 27 on 30 targets 28 their 30 targets 29 molecular 30 targets also discussed are the limits of existing research strategies and the future directions of this field . 0 ###LEFT-WALL### 2 discussed 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 17 . 1 also 2 discussed 2 discussed 3 are 3 are 10 and 4 the 5 limits 5 limits 6 of 5 limits 10 and 6 of 9 strategies 7 existing 8 research 8 research 9 strategies 10 and 13 directions 10 and 14 of 11 the 13 directions 12 future 13 directions 14 of 16 field 15 this 16 field self - injurious behavior ( sib ) is a distressing type of problem behavior that may be exhibited in individuals with intellectual disabilities ( ids ) . 0 ###LEFT-WALL### 1 self 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 27 . 1 self 4 behavior 1 self 8 is 2 - 4 behavior 3 injurious 4 behavior 4 behavior 6 sib 4 behavior 7 ) 5 ( 6 sib 6 sib 7 ) 8 is 11 type 9 a 11 type 10 distressing 11 type 11 type 12 of 11 type 15 that 11 type 16 may 11 type 25 ids 12 of 14 behavior 13 problem 14 behavior 15 that 16 may 16 may 17 be 17 be 18 exhibited 18 exhibited 19 in 18 exhibited 21 with 19 in 20 individuals 21 with 23 disabilities 22 intellectual 23 disabilities 24 ( 25 ids 25 ids 26 ) this article provides an overview of sib , its underlying causes and functions , as well as other key variables associated with its manifestation . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 provides 1 this 2 article 2 article 3 provides 3 provides 5 overview 3 provides 17 as 4 an 5 overview 5 overview 6 of 6 of 7 sib 7 sib 12 and 8 , 12 and 9 its 11 causes 10 underlying 11 causes 11 causes 12 and 12 and 13 functions 12 and 14 , 14 , 17 as 15 as 16 well 16 well 17 as 17 as 20 variables 17 as 25 . 18 other 20 variables 19 key 20 variables 20 variables 21 associated 21 associated 22 with 22 with 24 manifestation 23 its 24 manifestation adults with ids are routinely living longer . 0 ###LEFT-WALL### 1 adults 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 8 . 1 adults 2 with 1 adults 4 are 2 with 3 ids 4 are 6 living 5 routinely 6 living 6 living 7 longer given this rapidly emerging and expanding population , special attention is given to sib in aging adults with ids that may result from age - related risk factors . 0 ###LEFT-WALL### 10 attention 0 ###LEFT-WALL### 12 given 0 ###LEFT-WALL### 26 related 0 ###LEFT-WALL### 29 . 1 given 5 and 1 given 8 , 1 given 10 attention 2 this 4 emerging 2 this 5 and 3 rapidly 4 emerging 5 and 7 population 5 and 8 , 6 expanding 7 population 9 special 10 attention 10 attention 11 is 11 is 12 given 12 given 13 to 12 given 15 in 12 given 18 with 13 to 14 sib 15 in 16 aging 16 aging 17 adults 18 with 19 ids 18 with 23 from 19 ids 20 that 19 ids 21 may 20 that 21 may 21 may 22 result 23 from 24 age 25 - 26 related 26 related 28 factors 27 risk 28 factors risks include increasing and unresolved health issues , physical changes , declining physical abilities , transitions to new residential environments , and the potential for experiencing loss and bereavement . 0 ###LEFT-WALL### 1 risks 0 ###LEFT-WALL### 2 include 0 ###LEFT-WALL### 30 . 1 risks 2 include 2 include 28 and 3 increasing 4 and 4 and 7 issues 4 and 10 changes 4 and 12 declining 4 and 16 transitions 4 and 22 and 5 unresolved 6 health 6 health 7 issues 8 , 10 changes 9 physical 10 changes 10 changes 11 , 11 , 12 declining 12 declining 14 abilities 12 declining 15 , 13 physical 14 abilities 15 , 16 transitions 16 transitions 17 to 16 transitions 21 , 17 to 20 environments 18 new 20 environments 19 residential 20 environments 22 and 24 potential 22 and 25 for 22 and 28 and 23 the 24 potential 25 for 26 experiencing 26 experiencing 27 loss 28 and 29 bereavement the article concludes with practice implications for social workers who may encounter older individuals with ids and sib . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 concludes 0 ###LEFT-WALL### 19 . 1 the 2 article 2 article 3 concludes 3 concludes 4 with 3 concludes 6 implications 3 concludes 12 encounter 4 with 5 practice 6 implications 7 for 6 implications 12 encounter 7 for 9 workers 8 social 9 workers 9 workers 10 who 9 workers 11 may 10 who 11 may 12 encounter 14 individuals 12 encounter 15 with 13 older 14 individuals 15 with 18 sib 16 ids 17 and 17 and 18 sib the response of skeletal muscle to unaccustomed eccentric exercise has been studied widely , yet it is incompletely understood . 0 ###LEFT-WALL### 2 response 0 ###LEFT-WALL### 19 understood 0 ###LEFT-WALL### 20 . 1 the 2 response 2 response 3 of 2 response 10 has 3 of 5 muscle 4 skeletal 5 muscle 5 muscle 6 to 6 to 9 exercise 7 unaccustomed 9 exercise 8 eccentric 9 exercise 10 has 11 been 11 been 12 studied 12 studied 13 widely 12 studied 15 yet 14 , 15 yet 15 yet 16 it 16 it 17 is 17 is 18 incompletely 17 is 19 understood this review is intended to provide an up [-] [to] - date overview of our understanding of how skeletal muscle responds to eccentric actions , with particular emphasis on the underlying molecular and cellular mechanisms of damage and recovery . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 4 intended 1 this 2 review 2 review 3 is 3 is 4 intended 4 intended 5 to 4 intended 6 provide 5 to 6 provide 6 provide 13 overview 7 an 13 overview 8 up 11 - 8 up 12 date 12 date 13 overview 13 overview 14 of 13 overview 17 of 13 overview 26 with 14 of 16 understanding 15 our 16 understanding 17 of 18 how 18 how 20 muscle 18 how 21 responds 19 skeletal 20 muscle 20 muscle 21 responds 21 responds 22 to 22 to 24 actions 23 eccentric 24 actions 25 , 26 with 26 with 28 emphasis 26 with 29 on 26 with 40 . 27 particular 28 emphasis 29 on 35 mechanisms 30 the 35 mechanisms 31 underlying 35 mechanisms 32 molecular 33 and 33 and 34 cellular 33 and 35 mechanisms 35 mechanisms 36 of 36 of 38 and 37 damage 38 and 38 and 39 recovery this review begins by addressing the question of whether eccentric actions result in physical damage to muscle fibers [and/or] connective tissue . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 begins 0 ###LEFT-WALL### 22 . 1 this 2 review 2 review 3 begins 3 begins 4 by 3 begins 16 to 3 begins 17 muscle 4 by 5 addressing 5 addressing 7 question 5 addressing 13 in 6 the 7 question 7 question 8 of 8 of 9 whether 9 whether 11 actions 9 whether 12 result 10 eccentric 11 actions 11 actions 12 result 13 in 15 damage 14 physical 15 damage 16 to 17 muscle 17 muscle 21 tissue 18 fibers 21 tissue 20 connective 21 tissue we next review the symptomatic manifestations of eccentric exercise ( i.e [.] , indirect damage markers , such as delayed onset muscle soreness ) , with emphasis on their relatively poorly understood molecular underpinnings . 0 ###LEFT-WALL### 2 next 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 35 . 1 we 2 next 2 next 3 review 3 review 6 manifestations 3 review 26 with 3 review 28 on 4 the 6 manifestations 5 symptomatic 6 manifestations 6 manifestations 7 of 6 manifestations 11 i.e 7 of 9 exercise 8 eccentric 9 exercise 10 ( 11 i.e 11 i.e 16 markers 11 i.e 25 , 13 , 16 markers 14 indirect 15 damage 15 damage 16 markers 16 markers 19 as 16 markers 24 ) 17 , 19 as 18 such 19 as 19 as 23 soreness 19 as 24 ) 20 delayed 21 onset 21 onset 23 soreness 22 muscle 23 soreness 26 with 27 emphasis 28 on 34 underpinnings 29 their 34 underpinnings 30 relatively 31 poorly 31 poorly 32 understood 32 understood 34 underpinnings 33 molecular 34 underpinnings we then highlight factors that potentially modify the muscle damage response following eccentric exercise . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 highlight 0 ###LEFT-WALL### 15 . 1 we 3 highlight 2 then 3 highlight 3 highlight 4 factors 4 factors 5 that 4 factors 7 modify 5 that 7 modify 6 potentially 7 modify 7 modify 11 response 8 the 11 response 9 muscle 11 response 10 damage 11 response 11 response 12 following 12 following 14 exercise 13 eccentric 14 exercise finally , we explore the utility of using eccentric training to improve muscle [function] in populations of healthy and aging individuals , as well as those living with neuromuscular disorders . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 12 improve 1 finally 2 , 1 finally 3 we 3 we 4 explore 4 explore 6 utility 4 explore 11 to 5 the 6 utility 6 utility 7 of 7 of 8 using 8 using 10 training 9 eccentric 10 training 11 to 12 improve 12 improve 13 muscle 13 muscle 15 in 13 muscle 17 of 15 in 16 populations 17 of 19 and 18 healthy 19 and 19 and 21 individuals 19 and 25 as 20 aging 21 individuals 22 , 25 as 23 as 24 well 24 well 25 as 25 as 26 those 25 as 31 . 26 those 27 living 27 living 28 with 28 with 30 disorders 29 neuromuscular 30 disorders speech perception in background noise is a common challenge across individuals and health conditions ( e.g [.] , hearing impairment , aging , etc [.] ) . 0 ###LEFT-WALL### 2 perception 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 27 . 1 speech 2 perception 2 perception 3 in 2 perception 6 is 3 in 5 noise 4 background 5 noise 6 is 9 challenge 7 a 8 common 7 a 9 challenge 8 common 9 challenge 9 challenge 10 across 9 challenge 19 hearing 10 across 12 and 11 individuals 12 and 12 and 14 conditions 12 and 16 e.g 13 health 14 conditions 15 ( 16 e.g 16 e.g 18 , 18 , 19 hearing 19 hearing 20 impairment 19 hearing 22 aging 19 hearing 24 etc 19 hearing 26 ) 21 , 22 aging 22 aging 23 , 23 , 24 etc 24 etc 26 ) both behavioral and physiological measures have been used to understand the important factors that contribute to perception - in [-] noise abilities . 0 ###LEFT-WALL### 5 measures 0 ###LEFT-WALL### 8 used 1 both 5 measures 2 behavioral 3 and 3 and 4 physiological 3 and 5 measures 5 measures 6 have 6 have 7 been 7 been 8 used 8 used 9 to 8 used 10 understand 9 to 10 understand 10 understand 13 factors 11 the 13 factors 12 important 13 factors 13 factors 14 that 13 factors 15 contribute 13 factors 19 in 14 that 15 contribute 15 contribute 16 to 16 to 17 perception 18 - 19 in 19 in 22 abilities 19 in 23 . 21 noise 22 abilities the addition of a physiological measure provides additional information about [signal] - in - noise encoding in the auditory system [and] may be useful in clarifying some of the variability in perception - in [-] noise abilities across individuals . 0 ###LEFT-WALL### 2 addition 0 ###LEFT-WALL### 7 provides 0 ###LEFT-WALL### 40 . 1 the 2 addition 2 addition 3 of 2 addition 7 provides 3 of 6 measure 4 a 5 physiological 4 a 6 measure 5 physiological 6 measure 7 provides 9 information 7 provides 34 in 7 provides 38 across 8 additional 9 information 9 information 10 about 9 information 15 noise 10 about 13 in 12 - 13 in 14 - 15 noise 15 noise 16 encoding 15 noise 26 clarifying 15 noise 33 - 16 encoding 17 in 16 encoding 22 may 17 in 20 system 18 the 20 system 19 auditory 20 system 22 may 23 be 23 be 24 useful 24 useful 25 in 25 in 26 clarifying 26 clarifying 27 some 26 clarifying 31 in 27 some 28 of 28 of 30 variability 29 the 30 variability 31 in 32 perception 34 in 37 abilities 36 noise 37 abilities 38 across 39 individuals three correlation/regression approaches were used to determine how well caeps predicted behavior . 0 ###LEFT-WALL### 3 approaches 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 13 . 1 three 3 approaches 2 correlation/regression 3 approaches 3 approaches 4 were 4 were 5 used 5 used 6 to 5 used 7 determine 6 to 7 determine 7 determine 8 how 8 how 9 well 9 well 10 caeps 9 well 11 predicted 10 caeps 11 predicted 11 predicted 12 behavior main effects of snr were found for both electrophysiology and speech perception measures , while signal level effects were found generally only for speech testing . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 6 found 1 main 2 effects 2 effects 3 of 2 effects 5 were 3 of 4 snr 5 were 6 found 6 found 7 for 6 found 15 while 7 for 10 and 8 both 10 and 9 electrophysiology 10 and 10 and 13 measures 11 speech 13 measures 12 perception 13 measures 14 , 15 while 15 while 18 effects 15 while 20 found 15 while 26 . 16 signal 17 level 17 level 18 effects 18 effects 19 were 19 were 20 found 20 found 21 generally 20 found 22 only 22 only 23 for 23 for 25 testing 24 speech 25 testing these results demonstrate that when signals are presented in noise , sensitivity to snr cues obscures any encoding of signal level cues . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 demonstrate 0 ###LEFT-WALL### 23 . 1 these 2 results 2 results 3 demonstrate 3 demonstrate 4 that 4 that 12 sensitivity 4 that 16 obscures 5 when 6 signals 5 when 8 presented 5 when 11 , 5 when 12 sensitivity 6 signals 7 are 7 are 8 presented 8 presented 9 in 9 in 10 noise 12 sensitivity 13 to 12 sensitivity 16 obscures 13 to 15 cues 14 snr 15 cues 16 obscures 18 encoding 17 any 18 encoding 18 encoding 19 of 19 of 22 cues 20 signal 22 cues 21 level 22 cues electrophysiology and behavioral measures were strongly correlated . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 7 correlated 0 ###LEFT-WALL### 8 . 1 electrophysiology 2 and 2 and 4 measures 2 and 5 were 3 behavioral 4 measures 5 were 6 strongly 5 were 7 correlated the best physiological predictors ( e.g [.] , latency , amplitude , and area of caep waves ) of behavior ( snr at which 50 % of the sentence is understood ) were n1 latency and n1 amplitude measures . 0 ###LEFT-WALL### 4 predictors 0 ###LEFT-WALL### 33 were 0 ###LEFT-WALL### 40 . 1 the 2 best 1 the 4 predictors 3 physiological 4 predictors 4 predictors 13 and 4 predictors 33 were 5 ( 13 and 6 e.g 9 latency 6 e.g 10 , 6 e.g 11 amplitude 8 , 9 latency 9 latency 10 , 11 amplitude 13 and 12 , 13 and 13 and 14 area 13 and 18 ) 13 and 19 of 13 and 22 snr 13 and 32 ) 14 area 15 of 15 of 17 waves 16 caep 17 waves 19 of 20 behavior 21 ( 22 snr 22 snr 23 at 22 snr 32 ) 23 at 24 which 23 at 26 % 23 at 31 understood 25 50 26 % 26 % 27 of 26 % 30 is 27 of 29 sentence 28 the 29 sentence 30 is 31 understood 31 understood 32 ) 33 were 39 measures 34 n1 39 measures 35 latency 36 and 36 and 37 n1 36 and 39 measures 38 amplitude 39 measures in addition , behavior was best predicted by the 70 [-] [db] signal/5 - db snr caep condition . 0 ###LEFT-WALL### 4 behavior 0 ###LEFT-WALL### 7 predicted 0 ###LEFT-WALL### 19 . 1 in 2 addition 1 in 3 , 1 in 4 behavior 4 behavior 5 was 5 was 6 best 5 was 7 predicted 7 predicted 8 by 8 by 18 condition 9 the 18 condition 10 70 15 db 13 signal/5 14 - 13 signal/5 15 db 15 db 18 condition 16 snr 17 caep 17 caep 18 condition it will be important in future studies to determine the relationship of electrophysiology and behavior in populations who experience difficulty understanding speech in noise such as those with hearing impairment or age - related deficits . 0 ###LEFT-WALL### 3 be 0 ###LEFT-WALL### 34 related 1 it 2 will 2 will 3 be 3 be 4 important 4 important 5 in 4 important 8 to 4 important 23 in 4 important 26 as 5 in 7 studies 6 future 7 studies 8 to 9 determine 9 determine 11 relationship 9 determine 16 in 10 the 11 relationship 11 relationship 12 of 12 of 14 and 13 electrophysiology 14 and 14 and 15 behavior 16 in 17 populations 17 populations 18 who 17 populations 19 experience 18 who 19 experience 19 experience 20 difficulty 20 difficulty 21 understanding 21 understanding 22 speech 23 in 24 noise 25 such 26 as 26 as 31 or 27 those 28 with 27 those 31 or 28 with 30 impairment 29 hearing 30 impairment 31 or 32 age 33 - 34 related 34 related 35 deficits 34 related 36 . physical activity is associated with cardiovascular risk reduction , but the effects of exercise on platelet activation remain controversial . 0 ###LEFT-WALL### 2 activity 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 10 but 0 ###LEFT-WALL### 20 . 1 physical 2 activity 2 activity 3 is 3 is 4 associated 4 associated 5 with 5 with 8 reduction 6 cardiovascular 8 reduction 7 risk 8 reduction 9 , 10 but 10 but 12 effects 10 but 18 remain 11 the 12 effects 12 effects 13 of 12 effects 18 remain 13 of 14 exercise 14 exercise 15 on 15 on 17 activation 16 platelet 17 activation 18 remain 19 controversial exercise training had a clear beneficial effect on hdl cholesterol ( +10 [%] , p=0.027 ) and triglyceride ( - 27 % , p=0.008 ) concentration . 0 ###LEFT-WALL### 2 training 0 ###LEFT-WALL### 3 had 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 27 . 1 exercise 2 training 2 training 3 had 3 had 17 and 4 a 5 clear 4 a 7 effect 5 clear 7 effect 6 beneficial 7 effect 7 effect 8 on 7 effect 17 and 8 on 10 cholesterol 9 hdl 10 cholesterol 10 cholesterol 12 +10 11 ( 12 +10 12 +10 15 p=0.027 12 +10 16 ) 14 , 15 p=0.027 15 p=0.027 16 ) 17 and 18 triglyceride 17 and 22 % 19 ( 22 % 20 - 21 27 21 27 22 % 22 % 23 , 23 , 26 concentration 24 p=0.008 25 ) 24 p=0.008 26 concentration in addition , a significant ( p<0.0001 ) decrease in urinary [11] - dehydro - txb₂ ( 26 % ) , 8 - iso - pgf ( 2α ) ( 21 % ) , plasma p - selectin ( 27 % ) , cd40l ( 35 % ) and a 61 % increase in esrage were observed . 0 ###LEFT-WALL### 49 and 0 ###LEFT-WALL### 57 observed 0 ###LEFT-WALL### 58 . 1 in 2 addition 1 in 3 , 1 in 49 and 4 a 9 decrease 5 significant 7 p<0.0001 5 significant 8 ) 5 significant 9 decrease 6 ( 7 p<0.0001 7 p<0.0001 8 ) 9 decrease 10 in 9 decrease 43 , 10 in 14 dehydro 11 urinary 13 - 11 urinary 14 dehydro 14 dehydro 16 txb₂ 14 dehydro 22 8 15 - 16 txb₂ 16 txb₂ 19 % 16 txb₂ 21 , 17 ( 19 % 18 26 19 % 19 % 20 ) 21 , 22 8 22 8 35 plasma 22 8 42 ) 23 - 35 plasma 24 iso 26 pgf 24 iso 34 , 24 iso 35 plasma 25 - 26 pgf 26 pgf 28 2α 26 pgf 32 % 26 pgf 33 ) 27 ( 28 2α 28 2α 29 ) 30 ( 32 % 31 21 32 % 32 % 33 ) 35 plasma 36 p 35 plasma 38 selectin 35 plasma 42 ) 37 - 38 selectin 38 selectin 41 % 38 selectin 42 ) 39 ( 41 % 40 27 41 % 41 % 42 ) 43 , 44 cd40l 43 , 49 and 44 cd40l 47 % 45 ( 47 % 46 35 47 % 47 % 48 ) 49 and 53 increase 49 and 54 in 49 and 56 were 50 a 53 increase 51 61 52 % 52 % 53 increase 54 in 55 esrage 56 were 57 observed in conclusion , regular high - amount - high - intensity exercise training has broad beneficial effects on platelet activation markers , paralleled and possibly associated with changes in the lipoprotein profile and in markers of lipid peroxidation and age/rage axis . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 1 in 2 conclusion 3 , 7 amount 3 , 8 - 4 regular 7 amount 5 high 6 - 5 high 7 amount 8 - 13 training 8 - 14 has 8 - 22 , 8 - 42 . 9 high 10 - 9 high 13 training 11 intensity 13 training 12 exercise 13 training 13 training 14 has 14 has 17 effects 14 has 18 on 15 broad 17 effects 16 beneficial 17 effects 18 on 21 markers 19 platelet 20 activation 20 activation 21 markers 22 , 24 and 23 paralleled 24 and 24 and 26 associated 25 possibly 26 associated 26 associated 27 with 27 with 41 axis 28 changes 33 and 28 changes 39 and 29 in 32 profile 29 in 33 and 30 the 32 profile 31 lipoprotein 32 profile 33 and 34 in 34 in 35 markers 35 markers 36 of 36 of 38 peroxidation 37 lipid 38 peroxidation 39 and 40 age/rage 39 and 41 axis our findings may help explaining [why] a similar amount of exercise exerts significant benefits in preventing cardiovascular events . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 help 0 ###LEFT-WALL### 19 . 1 our 2 findings 2 findings 3 may 3 may 4 help 4 help 5 explaining 5 explaining 11 exercise 5 explaining 12 exerts 7 a 8 similar 7 a 9 amount 8 similar 9 amount 9 amount 10 of 9 amount 11 exercise 10 of 11 exercise 11 exercise 12 exerts 12 exerts 14 benefits 12 exerts 15 in 13 significant 14 benefits 15 in 16 preventing 16 preventing 18 events 17 cardiovascular 18 events dual antiplatelet therapy with aspirin and clopidogrel reduces cardiovascular events following an acute coronary syndrome or stent implantation , but the associated increased risk of gastro - intestinal bleeding often leads to the co - administration of proton pump inhibitors ( ppis ) . 0 ###LEFT-WALL### 3 therapy 0 ###LEFT-WALL### 8 reduces 0 ###LEFT-WALL### 20 but 0 ###LEFT-WALL### 44 . 1 dual 3 therapy 2 antiplatelet 3 therapy 3 therapy 4 with 3 therapy 8 reduces 4 with 6 and 5 aspirin 6 and 6 and 7 clopidogrel 8 reduces 10 events 9 cardiovascular 10 events 10 events 11 following 11 following 16 or 12 an 15 syndrome 13 acute 14 coronary 14 coronary 15 syndrome 15 syndrome 16 or 16 or 18 implantation 16 or 19 , 17 stent 18 implantation 20 but 24 risk 20 but 31 leads 21 the 24 risk 22 associated 24 risk 23 increased 24 risk 24 risk 25 of 24 risk 31 leads 25 of 29 bleeding 26 gastro 27 - 26 gastro 29 bleeding 28 intestinal 29 bleeding 30 often 31 leads 31 leads 32 to 32 to 36 administration 33 the 36 administration 34 co 35 - 34 co 36 administration 36 administration 37 of 37 of 40 inhibitors 38 proton 39 pump 39 pump 40 inhibitors 40 inhibitors 42 ppis 41 ( 42 ppis 42 ppis 43 ) ppis have been shown to decrease antiplatelet effects of clopidogrel ex vivo , raising concerns about the cardiovascular safety of this drug combination . 0 ###LEFT-WALL### 1 ppis 0 ###LEFT-WALL### 4 shown 1 ppis 2 have 2 have 3 been 3 been 4 shown 4 shown 5 to 5 to 6 decrease 6 decrease 8 effects 6 decrease 12 vivo 6 decrease 14 raising 7 antiplatelet 8 effects 8 effects 9 of 9 of 10 clopidogrel 11 ex 12 vivo 13 , 14 raising 14 raising 15 concerns 14 raising 16 about 14 raising 24 . 16 about 19 safety 17 the 19 safety 18 cardiovascular 19 safety 19 safety 20 of 20 of 23 combination 21 this 23 combination 22 drug 23 combination clinical trials investigating ppi - clopidogrel interactions have provided conflicting results and are all subject [to] methodological critiques . 0 ###LEFT-WALL### 4 ppi 0 ###LEFT-WALL### 5 - 1 clinical 4 ppi 2 trials 3 investigating 3 investigating 4 ppi 5 - 7 interactions 5 - 8 have 5 - 12 and 5 - 19 . 6 clopidogrel 7 interactions 7 interactions 8 have 8 have 11 results 9 provided 11 results 10 conflicting 11 results 12 and 13 are 12 and 15 subject 13 are 14 all 13 are 15 subject 15 subject 18 critiques 17 methodological 18 critiques the [much] desired [and] [much] needed prospective , double - bind , randomized , placebo - controlled trials with adequate [follow] - up and sample size have not yet been performed . 0 ###LEFT-WALL### 9 double 0 ###LEFT-WALL### 10 - 1 the 9 double 3 desired 9 double 6 needed 9 double 7 prospective 8 , 7 prospective 9 double 10 - 11 bind 10 - 14 , 11 bind 13 randomized 12 , 13 randomized 13 randomized 14 , 14 , 15 placebo 14 , 16 - 16 - 18 trials 16 - 31 performed 16 - 32 . 17 controlled 18 trials 18 trials 19 with 18 trials 27 have 19 with 26 size 20 adequate 22 - 20 adequate 26 size 23 up 24 and 24 and 25 sample 24 and 26 size 27 have 28 not 27 have 30 been 29 yet 30 been 30 been 31 performed indeed , the clopidogrel and the optimization of gi events trial , which would have had such characteristics , was stopped prematurely . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 21 stopped 0 ###LEFT-WALL### 23 . 1 indeed 2 , 1 indeed 5 and 3 the 4 clopidogrel 4 clopidogrel 5 and 5 and 7 optimization 5 and 8 of 5 and 21 stopped 6 the 7 optimization 8 of 9 gi 9 gi 11 trial 9 gi 20 was 10 events 11 trial 11 trial 13 which 11 trial 20 was 12 , 13 which 13 which 14 would 13 which 19 , 14 would 15 have 15 have 16 had 16 had 18 characteristics 17 such 18 characteristics 21 stopped 22 prematurely as a consequence , the question of the ppi - clopidogrel interaction is still unresolved , and clinical consequences cannot be excluded . 0 ###LEFT-WALL### 12 interaction 0 ###LEFT-WALL### 13 is 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 23 . 1 as 3 consequence 1 as 12 interaction 2 a 3 consequence 3 consequence 6 question 4 , 6 question 5 the 6 question 6 question 7 of 6 question 10 - 7 of 9 ppi 8 the 9 ppi 11 clopidogrel 12 interaction 12 interaction 13 is 13 is 14 still 13 is 15 unresolved 14 still 15 unresolved 16 , 17 and 17 and 19 consequences 17 and 22 excluded 18 clinical 19 consequences 19 consequences 20 cannot 20 cannot 21 be 21 be 22 excluded at this time such combination therapy should , therefore , be provisionally advocated only for patients at high risk of bleeding ( prior upper gastro - intestinal bleeding , advanced age , concomitant use of warfarin , steroidal or [non] [-] steroidal anti - inflammatory drugs and helicobacter pylori infection ) [and] avoiding ppis with strong affinity for cytochrome cyp2c19 , such as omeprazole and esomeprazole . 1 at 2 this 1 at 3 time 3 time 6 therapy 3 time 7 should 3 time 11 be 4 such 6 therapy 5 combination 6 therapy 6 therapy 7 should 8 , 9 therefore 9 therefore 10 , 9 therefore 11 be 11 be 13 advocated 12 provisionally 13 advocated 13 advocated 14 only 14 only 15 for 15 for 16 patients 16 patients 17 at 16 patients 20 of 16 patients 26 - 17 at 19 risk 18 high 19 risk 20 of 21 bleeding 22 ( 26 - 23 prior 25 gastro 24 upper 25 gastro 25 gastro 26 - 26 - 34 use 27 intestinal 32 , 27 intestinal 34 use 28 bleeding 31 age 29 , 31 age 30 advanced 31 age 31 age 32 , 33 concomitant 34 use 34 use 35 of 35 of 47 and 36 warfarin 37 , 37 , 38 steroidal 37 , 39 or 39 or 46 drugs 39 or 47 and 42 steroidal 46 drugs 43 anti 44 - 43 anti 46 drugs 45 inflammatory 46 drugs 47 and 50 infection 47 and 51 ) 47 and 53 avoiding 47 and 55 with 48 helicobacter 49 pylori 49 pylori 50 infection 53 avoiding 54 ppis 55 with 57 affinity 56 strong 57 affinity 57 affinity 58 for 57 affinity 63 as 58 for 60 cyp2c19 59 cytochrome 60 cyp2c19 61 , 63 as 62 such 63 as 63 as 65 and 63 as 67 . 64 omeprazole 65 and 65 and 66 esomeprazole background : studies of hypertension [and] cognition variously report adverse , null , and protective associations . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 studies 2 : 9 report 2 : 17 . 3 studies 4 of 3 studies 9 report 4 of 7 cognition 5 hypertension 7 cognition 8 variously 9 report 9 report 16 associations 10 adverse 11 , 11 , 12 null 11 , 14 and 13 , 14 and 14 and 15 protective 14 and 16 associations we evaluated evidence supporting three potential explanations for this variation : an effect of hypertension duration , an effect of age at hypertension initiation , and selection bias due to dependent censoring . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 evaluated 0 ###LEFT-WALL### 11 : 0 ###LEFT-WALL### 33 . 1 we 2 evaluated 2 evaluated 3 evidence 2 evaluated 8 for 3 evidence 4 supporting 4 supporting 7 explanations 5 three 7 explanations 6 potential 7 explanations 8 for 10 variation 9 this 10 variation 11 : 26 and 12 an 13 effect 13 effect 14 of 13 effect 26 and 14 of 16 duration 15 hypertension 16 duration 16 duration 19 effect 17 , 19 effect 18 an 19 effect 19 effect 20 of 19 effect 22 at 19 effect 25 , 20 of 21 age 22 at 24 initiation 23 hypertension 24 initiation 25 , 26 and 26 and 28 bias 26 and 30 to 27 selection 28 bias 29 due 30 to 30 to 32 censoring 31 dependent 32 censoring methods : the normative aging study is a prospective cohort study of men in the greater boston area . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 6 study 2 : 7 is 2 : 19 . 3 the 6 study 4 normative 5 aging 5 aging 6 study 6 study 7 is 7 is 11 study 8 a 9 prospective 8 a 11 study 9 prospective 10 cohort 10 cohort 11 study 11 study 12 of 12 of 13 men 13 men 14 in 14 in 18 area 15 the 18 area 16 greater 18 area 17 boston 18 area participants completed study visits , including hypertension assessment , every 3 - 5 years starting in 1961 . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 visits 0 ###LEFT-WALL### 18 . 1 participants 2 completed 2 completed 3 study 3 study 4 visits 4 visits 6 including 4 visits 10 every 4 visits 15 starting 5 , 6 including 6 including 8 assessment 6 including 9 , 7 hypertension 8 assessment 10 every 14 years 11 3 12 - 12 - 13 5 12 - 14 years 15 starting 16 in 16 in 17 1961 [seven] [hundred] fifty - eight of 1,284 men eligible at baseline completed cognitive assessment between 1992 and 2005 ; we used the mean age [-] adjusted cognitive test z score from their first assessment to quantify cognition . 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 12 completed 0 ###LEFT-WALL### 19 ; 0 ###LEFT-WALL### 38 . 3 fifty 4 - 4 - 5 eight 4 - 6 of 4 - 9 eligible 4 - 12 completed 6 of 8 men 7 1,284 8 men 9 eligible 10 at 10 at 11 baseline 12 completed 14 assessment 13 cognitive 14 assessment 14 assessment 17 and 15 between 17 and 16 1992 17 and 17 and 18 2005 19 ; 20 we 19 ; 21 used 20 we 21 used 21 used 30 score 21 used 31 from 21 used 35 to 21 used 36 quantify 22 the 30 score 23 mean 24 age 24 age 26 adjusted 26 adjusted 28 test 27 cognitive 28 test 28 test 29 z 28 test 30 score 31 from 34 assessment 32 their 34 assessment 33 first 34 assessment 35 to 36 quantify 36 quantify 37 cognition we estimated how [becoming] hypertensive and increasing age [at] onset and duration since hypertension initiation affect cognition . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 estimated 0 ###LEFT-WALL### 18 . 1 we 2 estimated 2 estimated 3 how 3 how 11 and 3 how 16 affect 5 hypertensive 6 and 6 and 10 onset 6 and 11 and 7 increasing 8 age 8 age 10 onset 11 and 12 duration 11 and 13 since 11 and 16 affect 13 since 15 initiation 14 hypertension 15 initiation 16 affect 17 cognition we used inverse probability of censoring weights to reduce and quantify selection bias . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 14 . 1 we 10 and 2 used 4 probability 2 used 10 and 3 inverse 4 probability 4 probability 5 of 5 of 6 censoring 6 censoring 7 weights 7 weights 8 to 7 weights 9 reduce 8 to 9 reduce 10 and 11 quantify 11 quantify 13 bias 12 selection 13 bias results : a history of hypertension diagnosis predicted lower cognition . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 . 1 results 2 : 2 : 4 history 3 a 4 history 4 history 5 of 5 of 10 cognition 6 hypertension 8 predicted 7 diagnosis 8 predicted 8 predicted 10 cognition 9 lower 10 cognition increasing duration since hypertension initiation predicted lower mean cognitive z [score] [(] - 0.02 standard units per year increase [ 95 % confidence interval= - 0.04 to - 0.001 ] ) , independent [of] age [at] onset . 0 ###LEFT-WALL### 1 increasing 0 ###LEFT-WALL### 6 predicted 0 ###LEFT-WALL### 32 , 0 ###LEFT-WALL### 38 . 1 increasing 2 duration 1 increasing 3 since 1 increasing 6 predicted 3 since 5 initiation 4 hypertension 5 initiation 6 predicted 16 units 7 lower 16 units 8 mean 16 units 9 cognitive 16 units 10 z 13 - 13 - 14 0.02 13 - 16 units 15 standard 16 units 16 units 17 per 16 units 24 interval= 17 per 19 increase 18 year 19 increase 20 [ 24 interval= 21 95 22 % 22 % 24 interval= 23 confidence 24 interval= 24 interval= 27 to 24 interval= 31 ) 25 - 27 to 26 0.04 27 to 27 to 29 0.001 27 to 30 ] 28 - 29 0.001 32 , 37 onset 33 independent 37 onset 35 age 37 onset comparing participants [with] and [without] hypertension , we observed noteworthy differences in mean [cognitive] [score] only for those with a long duration since hypertension initiation , regardless of age [at] [onset] . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 13 mean 1 comparing 2 participants 2 participants 4 and 4 and 6 hypertension 4 and 7 , 4 and 8 we 4 and 12 in 4 and 13 mean 8 we 9 observed 9 observed 11 differences 9 observed 12 in 10 noteworthy 11 differences 13 mean 16 only 13 mean 17 for 13 mean 19 with 13 mean 23 since 13 mean 25 initiation 13 mean 28 of 17 for 18 those 19 with 22 duration 20 a 21 long 20 a 22 duration 21 long 22 duration 24 hypertension 25 initiation 26 , 28 of 27 regardless 28 of 28 of 29 age 28 of 32 . age [at] [onset] was not associated with cognition [independent] of duration . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 12 . 1 age 4 was 4 was 5 not 4 was 7 with 5 not 6 associated 7 with 8 cognition 8 cognition 10 of 10 of 11 duration analyses designed to quantify selection bias suggested upward bias . 0 ###LEFT-WALL### 1 analyses 0 ###LEFT-WALL### 7 suggested 0 ###LEFT-WALL### 10 . 1 analyses 2 designed 1 analyses 7 suggested 2 designed 3 to 2 designed 4 quantify 3 to 4 quantify 4 quantify 6 bias 5 selection 6 bias 7 suggested 9 bias 8 upward 9 bias conclusions : previous findings of null or protective associations between hypertension [and] cognition likely reflect the study of persons with short duration since hypertension initiation . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 4 findings 2 : 15 reflect 3 previous 4 findings 4 findings 5 of 4 findings 15 reflect 5 of 9 associations 6 null 7 or 7 or 8 protective 7 or 9 associations 9 associations 10 between 10 between 13 cognition 11 hypertension 13 cognition 14 likely 15 reflect 15 reflect 17 study 15 reflect 20 with 16 the 17 study 17 study 18 of 18 of 19 persons 20 with 22 duration 21 short 22 duration 22 duration 23 since 23 since 25 initiation 24 hypertension 25 initiation selection bias may also contribute to cross - study heterogeneity . 0 ###LEFT-WALL### 2 bias 0 ###LEFT-WALL### 5 contribute 0 ###LEFT-WALL### 8 - 1 selection 2 bias 2 bias 3 may 3 may 5 contribute 4 also 5 contribute 5 contribute 6 to 6 to 7 cross 8 - 9 study 8 - 11 . 9 study 10 heterogeneity rationale : there is a substantial body of literature documenting the deleterious effects of both alcohol consumption and age on driving performance . 0 ###LEFT-WALL### 1 rationale 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 3 there 2 : 4 is 3 there 4 is 4 is 7 body 5 a 6 substantial 5 a 7 body 6 substantial 7 body 7 body 8 of 7 body 10 documenting 8 of 9 literature 10 documenting 13 effects 10 documenting 20 on 11 the 13 effects 12 deleterious 13 effects 13 effects 14 of 14 of 18 and 15 both 18 and 16 alcohol 17 consumption 17 consumption 18 and 18 and 19 age 20 on 21 driving 21 driving 22 performance there is , however , limited work examining the interaction of age and acute alcohol consumption . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 17 . 1 there 2 is 2 is 4 however 2 is 7 work 3 , 4 however 4 however 5 , 6 limited 7 work 7 work 8 examining 7 work 11 of 8 examining 10 interaction 9 the 10 interaction 11 of 13 and 12 age 13 and 13 and 16 consumption 14 acute 15 alcohol 15 alcohol 16 consumption objectives : the current study was conducted to determine if moderate alcohol doses differentially affect the driving performance of older and younger adults . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 5 study 2 : 9 determine 2 : 24 . 3 the 5 study 4 current 5 study 5 study 6 was 6 was 7 conducted 7 conducted 8 to 8 to 9 determine 9 determine 10 if 10 if 13 doses 10 if 15 affect 11 moderate 12 alcohol 12 alcohol 13 doses 13 doses 15 affect 14 differentially 15 affect 15 affect 18 performance 16 the 18 performance 17 driving 18 performance 18 performance 19 of 19 of 23 adults 20 older 21 and 21 and 22 younger 21 and 23 adults measures of driving precision and average speed were recorded . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 9 recorded 0 ###LEFT-WALL### 10 . 1 measures 2 of 1 measures 5 and 2 of 3 driving 3 driving 4 precision 5 and 7 speed 5 and 8 were 6 average 7 speed 8 were 9 recorded results : older adults performed more poorly on precision driving measures and drove more slowly than younger adults at baseline . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 1 results 2 : 2 : 4 adults 3 older 4 adults 4 adults 5 performed 4 adults 8 on 4 adults 10 driving 5 performed 7 poorly 6 more 7 poorly 8 on 9 precision 10 driving 12 and 10 driving 15 slowly 10 driving 16 than 11 measures 12 and 12 and 13 drove 14 more 15 slowly 16 than 18 adults 17 younger 18 adults 18 adults 19 at 19 at 20 baseline after controlling for baseline performance , interactions between alcohol and age were observed following beverage consumption on two measures of driving precision with older adults exhibiting greater impairment as a result of alcohol consumption . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 12 were 0 ###LEFT-WALL### 35 . 1 after 2 controlling 1 after 6 , 1 after 10 and 2 controlling 3 for 2 controlling 5 performance 3 for 4 baseline 7 interactions 8 between 7 interactions 10 and 8 between 9 alcohol 10 and 11 age 10 and 12 were 12 were 16 consumption 13 observed 14 following 14 following 16 consumption 15 beverage 16 consumption 16 consumption 17 on 16 consumption 20 of 17 on 19 measures 18 two 19 measures 20 of 21 driving 21 driving 22 precision 22 precision 23 with 22 precision 26 exhibiting 23 with 25 adults 24 older 25 adults 26 exhibiting 28 impairment 26 exhibiting 29 as 27 greater 28 impairment 29 as 31 result 30 a 31 result 31 result 32 of 32 of 34 consumption 33 alcohol 34 consumption conclusions : these data provide evidence that older adults may be more susceptible to the effects of alcohol on certain measures of driving performance . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 4 data 2 : 5 provide 3 these 4 data 4 data 5 provide 5 provide 6 evidence 5 provide 19 on 6 evidence 7 that 7 that 9 adults 7 that 11 be 8 older 9 adults 9 adults 10 may 10 may 11 be 11 be 13 susceptible 12 more 13 susceptible 13 susceptible 14 to 14 to 16 effects 15 the 16 effects 16 effects 17 of 17 of 18 alcohol 19 on 21 measures 20 certain 21 measures 21 measures 22 of 22 of 23 driving 23 driving 24 performance an investigation of mechanisms accounting for alcohol 's effects on driving in older and younger adults is required . 0 ###LEFT-WALL### 2 investigation 0 ###LEFT-WALL### 18 required 0 ###LEFT-WALL### 19 . 1 an 2 investigation 2 investigation 3 of 2 investigation 5 accounting 2 investigation 17 is 3 of 4 mechanisms 5 accounting 6 for 5 accounting 10 on 6 for 9 effects 7 alcohol 8 's 8 's 9 effects 10 on 11 driving 11 driving 12 in 12 in 16 adults 13 older 14 and 14 and 15 younger 14 and 16 adults 17 is 18 required further evaluation using more complex driving environments is needed to assess the real - world implication of this interaction . 0 ###LEFT-WALL### 3 using 0 ###LEFT-WALL### 9 needed 0 ###LEFT-WALL### 20 . 1 further 2 evaluation 2 evaluation 3 using 3 using 4 more 3 using 5 complex 3 using 8 is 4 more 5 complex 5 complex 7 environments 6 driving 7 environments 8 is 9 needed 9 needed 10 to 10 to 11 assess 11 assess 16 implication 12 the 16 implication 13 real 14 - 13 real 15 world 15 world 16 implication 16 implication 17 of 17 of 19 interaction 18 this 19 interaction summary : this study used the " functional [muscle] - bone unit " concept to investigate muscle - bone interaction of the lumbar spine in subjects of varying bone mineral density . 0 ###LEFT-WALL### 1 summary 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 used 2 : 18 - 2 : 32 . 3 this 4 study 4 study 5 used 5 used 14 concept 5 used 15 to 5 used 16 investigate 6 the 7 " 6 the 14 concept 8 functional 10 - 8 functional 11 bone 11 bone 14 concept 12 unit 13 " 12 unit 14 concept 15 to 16 investigate 16 investigate 17 muscle 18 - 19 bone 19 bone 20 interaction 19 bone 25 in 20 interaction 21 of 21 of 24 spine 22 the 24 spine 23 lumbar 24 spine 25 in 26 subjects 26 subjects 27 of 27 of 28 varying 28 varying 31 density 29 bone 30 mineral 30 mineral 31 density it [was] found that unit bone mass corresponded to a relatively more [muscle] mass in subjects with reduced bone mineral density , indicating a relatively higher mechanical load [from] muscles exerted [on] trabecular bone . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 found 1 it 3 found 3 found 7 mass 3 found 8 corresponded 4 that 7 mass 5 unit 7 mass 6 bone 7 mass 7 mass 8 corresponded 8 corresponded 9 to 9 to 21 density 10 a 11 relatively 10 a 21 density 11 relatively 12 more 12 more 14 mass 14 mass 15 in 14 mass 17 with 15 in 16 subjects 17 with 21 density 18 reduced 19 bone 19 bone 20 mineral 20 mineral 21 density 21 density 23 indicating 22 , 23 indicating 23 indicating 34 bone 23 indicating 35 . 24 a 25 relatively 24 a 34 bone 25 relatively 26 higher 26 higher 30 muscles 27 mechanical 28 load 28 load 30 muscles 30 muscles 31 exerted 31 exerted 34 bone 33 trabecular 34 bone introduction : bone is an architecturally adaptive tissue which responds to mechanical loading . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 2 : 3 bone 2 : 4 is 2 : 14 . 3 bone 4 is 4 is 8 tissue 5 an 6 architecturally 5 an 8 tissue 6 architecturally 7 adaptive 7 adaptive 8 tissue 8 tissue 9 which 8 tissue 10 responds 9 which 10 responds 10 responds 11 to 11 to 13 loading 12 mechanical 13 loading this study [is] proposed to use " functional muscle - bone unit " to reflect this muscle - bone interaction at spine [in] subjects with different bone mineral density . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 proposed 0 ###LEFT-WALL### 18 - 1 this 2 study 2 study 4 proposed 4 proposed 5 to 4 proposed 7 " 4 proposed 9 muscle 4 proposed 10 - 4 proposed 13 " 5 to 6 use 8 functional 9 muscle 10 - 12 unit 11 bone 12 unit 13 " 14 to 13 " 15 reflect 14 to 15 reflect 15 reflect 17 muscle 16 this 17 muscle 18 - 19 bone 18 - 30 . 19 bone 20 interaction 19 bone 21 at 19 bone 25 with 21 at 24 subjects 22 spine 24 subjects 25 with 29 density 26 different 27 bone 27 bone 29 density 28 mineral 29 density methods : the study was carried out in young normal subjects ( 21 females ; age , 29 ± 3 [ )(and elderly subjects ( 155 females ; age , 73 ± 3.9 [ )(with varying bone mineral density . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 40 . 2 : 4 study 2 : 6 carried 2 : 15 ; 3 the 4 study 4 study 5 was 5 was 6 carried 6 carried 7 out 6 carried 8 in 8 in 11 subjects 9 young 11 subjects 10 normal 11 subjects 11 subjects 14 females 12 ( 14 females 13 21 14 females 14 females 15 ; 15 ; 22 )(and 15 ; 28 ; 16 age 17 , 17 , 19 ± 17 , 22 )(and 18 29 19 ± 19 ± 20 3 22 )(and 24 subjects 22 )(and 27 females 23 elderly 24 subjects 25 ( 27 females 26 155 27 females 27 females 28 ; 28 ; 29 age 28 ; 30 , 30 , 31 73 30 , 32 ± 31 73 32 ± 32 ± 33 3.9 33 3.9 35 )(with 35 )(with 36 varying 36 varying 39 density 37 bone 39 density 38 mineral 39 density cross - sectional area of paravertebral muscle groups was measured in mr images to indicate the muscle mass , while the bone mineral content by dual [x] - ray absorptiometry was used to represent the bone mass . 0 ###LEFT-WALL### 4 area 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 38 . 1 cross 2 - 1 cross 4 area 3 sectional 4 area 4 area 5 of 4 area 9 was 5 of 8 groups 6 paravertebral 7 muscle 7 muscle 8 groups 9 was 10 measured 10 measured 11 in 10 measured 14 to 10 measured 15 indicate 11 in 13 images 12 mr 13 images 14 to 15 indicate 15 indicate 18 mass 16 the 18 mass 17 muscle 18 mass 19 , 37 mass 20 while 24 content 20 while 32 used 20 while 37 mass 21 the 24 content 22 bone 23 mineral 23 mineral 24 content 24 content 25 by 24 content 31 was 25 by 30 absorptiometry 26 dual 28 - 26 dual 30 absorptiometry 29 ray 30 absorptiometry 31 was 32 used 32 used 33 to 32 used 34 represent 33 to 34 represent 34 represent 36 bone 35 the 36 bone the functional muscle [-] bone unit was calculated as the ratio between the bone mass [to] muscle mass . 0 ###LEFT-WALL### 6 unit 0 ###LEFT-WALL### 8 calculated 0 ###LEFT-WALL### 19 . 1 the 6 unit 2 functional 3 muscle 3 muscle 6 unit 5 bone 6 unit 6 unit 7 was 7 was 8 calculated 8 calculated 9 as 8 calculated 12 between 9 as 11 ratio 10 the 11 ratio 12 between 18 mass 13 the 18 mass 14 bone 18 mass 15 mass 17 muscle 17 muscle 18 mass results : it showed that with aging , the muscle mass decreased with the bone mass losing . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 3 it 2 : 4 showed 3 it 4 showed 4 showed 5 that 5 that 11 mass 5 that 12 decreased 6 with 7 aging 6 with 8 , 6 with 11 mass 9 the 11 mass 10 muscle 11 mass 11 mass 12 decreased 12 decreased 13 with 13 with 15 bone 13 with 17 losing 14 the 15 bone 16 mass 17 losing however , more pronounced reduction was found in [bone] [mass] than [in] muscle mass in the subjects with lower bone mineral density . 0 ###LEFT-WALL### 5 reduction 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 23 . 1 however 2 , 1 however 5 reduction 3 more 4 pronounced 4 pronounced 5 reduction 5 reduction 6 was 6 was 7 found 7 found 8 in 7 found 11 than 7 found 15 in 7 found 18 with 11 than 14 mass 13 muscle 14 mass 15 in 17 subjects 16 the 17 subjects 18 with 22 density 19 lower 20 bone 20 bone 22 density 21 mineral 22 density conclusions : muscle - bone interaction [was] changed in elderly , especially in those with osteoporosis . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 1 conclusions 2 : 2 : 3 muscle 4 - 6 interaction 4 - 8 changed 5 bone 6 interaction 6 interaction 8 changed 8 changed 9 in 8 changed 10 elderly 10 elderly 13 in 11 , 12 especially 11 , 13 in 13 in 14 those 13 in 17 . 14 those 15 with 15 with 16 osteoporosis unit [bone] [mass] corresponded to a higher muscle mass in subjects with reduced bone mineral density than those normal subjects . 0 ###LEFT-WALL### 1 unit 0 ###LEFT-WALL### 4 corresponded 0 ###LEFT-WALL### 21 . 1 unit 4 corresponded 4 corresponded 5 to 4 corresponded 10 in 4 corresponded 12 with 4 corresponded 17 than 5 to 9 mass 6 a 9 mass 7 higher 8 muscle 8 muscle 9 mass 10 in 11 subjects 12 with 16 density 13 reduced 14 bone 14 bone 16 density 15 mineral 16 density 17 than 20 subjects 18 those 20 subjects 19 normal 20 subjects this may be contributory to the occurrence of nontraumatic vertebral fractures in elderly subjects with reduced bone mineral density . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 be 0 ###LEFT-WALL### 20 . 1 this 2 may 2 may 3 be 3 be 4 contributory 4 contributory 5 to 4 contributory 12 in 4 contributory 15 with 5 to 7 occurrence 6 the 7 occurrence 7 occurrence 8 of 8 of 11 fractures 9 nontraumatic 11 fractures 10 vertebral 11 fractures 12 in 14 subjects 13 elderly 14 subjects 15 with 19 density 16 reduced 17 bone 17 bone 19 density 18 mineral 19 density adult oligodendrocyte precursor cells ( opcs ) are located adjacent to demyelinated [lesion] and contribute to myelin repair . 0 ###LEFT-WALL### 4 cells 0 ###LEFT-WALL### 15 contribute 0 ###LEFT-WALL### 19 . 1 adult 4 cells 2 oligodendrocyte 4 cells 3 precursor 4 cells 4 cells 6 opcs 4 cells 8 are 5 ( 6 opcs 6 opcs 7 ) 8 are 9 located 9 located 10 adjacent 10 adjacent 11 to 10 adjacent 15 contribute 11 to 14 and 12 demyelinated 14 and 14 and 15 contribute 15 contribute 16 to 16 to 18 repair 17 myelin 18 repair the crucial step in remyelination is the migration of opcs to the demyelinated area ; however , the mechanism of opc migration remains to be fully elucidated . 0 ###LEFT-WALL### 3 step 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 15 ; 0 ###LEFT-WALL### 28 . 1 the 3 step 2 crucial 3 step 3 step 4 in 3 step 6 is 4 in 5 remyelination 6 is 8 migration 7 the 8 migration 8 migration 9 of 9 of 10 opcs 10 opcs 11 to 11 to 14 area 12 the 14 area 13 demyelinated 14 area 15 ; 19 mechanism 15 ; 23 remains 16 however 17 , 16 however 19 mechanism 18 the 19 mechanism 19 mechanism 20 of 19 mechanism 23 remains 20 of 22 migration 21 opc 22 migration 23 remains 24 to 24 to 25 be 25 be 27 elucidated 26 fully 27 elucidated here we show that prostacyclin ( prostaglandin i2 , pgi2 ) promotes opc migration , thereby promoting remyelination and functional recovery in mice after demyelination induced by injecting lysophosphatidylcholine ( lpc ) into the spinal cord . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 37 . 1 here 2 we 2 we 3 show 3 show 4 that 4 that 5 prostacyclin 4 that 12 promotes 5 prostacyclin 8 i2 5 prostacyclin 12 promotes 6 ( 8 i2 7 prostaglandin 8 i2 8 i2 10 pgi2 8 i2 11 ) 9 , 10 pgi2 10 pgi2 11 ) 12 promotes 14 migration 12 promotes 17 promoting 12 promotes 33 into 13 opc 14 migration 15 , 17 promoting 16 thereby 17 promoting 17 promoting 19 and 17 promoting 24 after 17 promoting 27 by 17 promoting 32 ) 18 remyelination 19 and 19 and 21 recovery 19 and 22 in 20 functional 21 recovery 22 in 23 mice 24 after 25 demyelination 25 demyelination 26 induced 27 by 28 injecting 28 injecting 29 lysophosphatidylcholine 29 lysophosphatidylcholine 31 lpc 30 ( 31 lpc 31 lpc 32 ) 33 into 36 cord 34 the 36 cord 35 spinal 36 cord prostacyclin analogs enhanced opc migration via a protein kinase a ( pka ) - dependent mechanism , and prostacyclin synthase expression was increased in the spinal cord after lpc injection . 0 ###LEFT-WALL### 2 analogs 0 ###LEFT-WALL### 3 enhanced 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 31 . 1 prostacyclin 2 analogs 2 analogs 3 enhanced 3 enhanced 5 migration 3 enhanced 6 via 4 opc 5 migration 6 via 9 kinase 7 a 8 protein 7 a 9 kinase 8 protein 9 kinase 9 kinase 10 a 9 kinase 12 pka 11 ( 12 pka 12 pka 13 ) 14 - 16 mechanism 14 - 18 and 15 dependent 16 mechanism 17 , 18 and 18 and 21 expression 18 and 23 increased 19 prostacyclin 21 expression 20 synthase 21 expression 21 expression 22 was 22 was 23 increased 23 increased 24 in 23 increased 28 after 24 in 27 cord 25 the 27 cord 26 spinal 27 cord 28 after 30 injection 29 lpc 30 injection notably , pharmacological inhibition of prostacyclin [receptor] ( ip [receptor] ) impaired remyelination and motor recovery , whereas the administration of a prostacyclin analog promoted remyelination and motor recovery after lpc injection . 0 ###LEFT-WALL### 4 inhibition 0 ###LEFT-WALL### 25 promoted 0 ###LEFT-WALL### 33 . 1 notably 2 , 1 notably 4 inhibition 3 pharmacological 4 inhibition 4 inhibition 5 of 4 inhibition 12 impaired 5 of 6 prostacyclin 6 prostacyclin 9 ip 8 ( 9 ip 9 ip 11 ) 12 impaired 14 and 12 impaired 18 whereas 13 remyelination 14 and 14 and 16 recovery 15 motor 16 recovery 17 , 18 whereas 18 whereas 20 administration 19 the 20 administration 20 administration 21 of 20 administration 25 promoted 21 of 24 analog 22 a 24 analog 23 prostacyclin 24 analog 25 promoted 27 and 25 promoted 30 after 26 remyelination 27 and 27 and 29 recovery 28 motor 29 recovery 30 after 32 injection 31 lpc 32 injection our results suggest that prostacyclin could be a key molecule for facilitating the migration of opcs that are essential for repairing demyelinated areas , and it may be useful in treating disorders characterized by demyelination . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 36 . 1 our 2 results 2 results 3 suggest 3 suggest 4 that 4 that 5 prostacyclin 4 that 28 be 5 prostacyclin 6 could 6 could 7 be 7 be 10 molecule 8 a 10 molecule 9 key 10 molecule 10 molecule 11 for 11 for 12 facilitating 12 facilitating 14 migration 12 facilitating 20 for 13 the 14 migration 14 migration 15 of 15 of 16 opcs 16 opcs 17 that 16 opcs 18 are 17 that 18 are 18 are 19 essential 20 for 21 repairing 21 repairing 28 be 22 demyelinated 23 areas 23 areas 25 and 24 , 25 and 25 and 26 it 25 and 27 may 27 may 28 be 28 be 29 useful 29 useful 30 in 30 in 31 treating 31 treating 32 disorders 31 treating 34 by 32 disorders 33 characterized 34 by 35 demyelination none purpose of the study : this study examined whether participating in productive activities was associated with better health outcomes among older adults in urban china , including analysis of potential gender differences . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 18 better 1 none 5 study 1 none 17 with 1 none 18 better 2 purpose 3 of 3 of 4 the 4 the 5 study 5 study 6 : 6 : 8 study 6 : 10 whether 6 : 17 with 7 this 8 study 8 study 9 examined 10 whether 11 participating 10 whether 15 was 11 participating 12 in 11 participating 15 was 12 in 14 activities 13 productive 14 activities 15 was 16 associated 18 better 20 outcomes 18 better 21 among 18 better 24 in 18 better 28 including 19 health 20 outcomes 21 among 23 adults 22 older 23 adults 24 in 26 china 25 urban 26 china 27 , 28 including 28 including 29 analysis 28 including 34 . 29 analysis 30 of 30 of 33 differences 31 potential 32 gender 32 gender 33 differences design and methods : using a sample of 10,016 urban chinese adults aged 60 years or older from the 2006 sample survey of the aged population in urban/rural china [,] we regressed measures of self - rated health , functional health , and depression on productive activities ( paid employment , helping with family , and volunteering ) , controlling for sociodemographic variables . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 64 . 1 design 2 and 2 and 3 methods 4 : 5 using 4 : 13 aged 5 using 7 sample 5 using 13 aged 6 a 7 sample 7 sample 8 of 8 of 12 adults 9 10,016 12 adults 10 urban 11 chinese 11 chinese 12 adults 13 aged 16 or 13 aged 52 helping 13 aged 60 controlling 13 aged 61 for 14 60 15 years 15 years 16 or 16 or 17 older 17 older 18 from 18 from 22 survey 19 the 22 survey 20 2006 21 sample 21 sample 22 survey 22 survey 23 of 22 survey 38 health 23 of 35 self 24 the 35 self 25 aged 26 population 26 population 27 in 26 population 35 self 27 in 29 china 28 urban/rural 29 china 29 china 31 we 29 china 34 of 31 we 32 regressed 32 regressed 33 measures 33 measures 34 of 36 - 38 health 37 rated 38 health 38 health 43 and 38 health 51 , 39 , 43 and 40 functional 41 health 41 health 43 and 42 , 43 and 43 and 44 depression 43 and 45 on 43 and 51 , 45 on 47 activities 46 productive 47 activities 47 activities 49 paid 48 ( 49 paid 49 paid 50 employment 49 paid 51 , 51 , 52 helping 52 helping 53 with 52 helping 59 , 53 with 56 and 54 family 56 and 55 , 56 and 56 and 57 volunteering 56 and 58 ) 61 for 63 variables 62 sociodemographic 63 variables results : those who provided assistance to family members or volunteered had significantly lower levels of depression and better functional and self - rated health than their counterparts . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 those 2 : 12 had 3 those 4 who 3 those 10 or 3 those 12 had 4 who 10 or 5 provided 6 assistance 5 provided 10 or 6 assistance 7 to 7 to 9 members 8 family 9 members 10 or 11 volunteered 12 had 15 levels 12 had 26 than 13 significantly 14 lower 14 lower 15 levels 15 levels 16 of 16 of 18 and 17 depression 18 and 18 and 25 health 19 better 25 health 20 functional 21 and 21 and 22 self 21 and 23 - 21 and 24 rated 24 rated 25 health 26 than 28 counterparts 27 their 28 counterparts older adults with paid job [,] providing family assistance , or volunteering reported significantly lower levels of depression and better functional and self - rated health than those without those activities . 0 ###LEFT-WALL### 11 or 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 32 . 1 older 2 adults 2 adults 3 with 2 adults 11 or 3 with 9 assistance 4 paid 5 job 5 job 9 assistance 7 providing 8 family 8 family 9 assistance 10 , 11 or 11 or 12 volunteering 11 or 13 reported 11 or 19 and 13 reported 14 significantly 15 lower 16 levels 15 lower 19 and 16 levels 17 of 17 of 18 depression 19 and 20 better 20 better 26 health 20 better 27 than 20 better 29 without 21 functional 22 and 22 and 23 self 22 and 24 - 22 and 25 rated 22 and 26 health 27 than 28 those 29 without 31 activities 30 those 31 activities however , only older men with paid employment reported significantly less depression , and the effect of family assistance on functional health also differed by gender . 0 ###LEFT-WALL### 3 only 0 ###LEFT-WALL### 9 reported 0 ###LEFT-WALL### 27 . 1 however 2 , 1 however 3 only 3 only 5 men 4 older 5 men 5 men 6 with 5 men 9 reported 6 with 8 employment 7 paid 8 employment 9 reported 14 and 9 reported 24 differed 10 significantly 14 and 11 less 12 depression 12 depression 14 and 13 , 14 and 14 and 16 effect 14 and 17 of 14 and 24 differed 15 the 16 effect 17 of 19 assistance 18 family 19 assistance 19 assistance 20 on 20 on 22 health 21 functional 22 health 23 also 24 differed 24 differed 25 by 25 by 26 gender implications : as research increasingly demonstrates the role of productive activities in maintaining health among older adults , our findings can help practitioners or policy makers strategically select or develop health programs to promote productive activities among older adults in urban china . 0 ###LEFT-WALL### 1 implications 0 ###LEFT-WALL### 2 : 2 : 20 findings 2 : 34 promote 2 : 43 . 3 as 4 research 3 as 6 demonstrates 3 as 18 , 3 as 20 findings 4 research 6 demonstrates 5 increasingly 6 demonstrates 6 demonstrates 8 role 6 demonstrates 12 in 7 the 8 role 8 role 9 of 9 of 11 activities 10 productive 11 activities 12 in 13 maintaining 13 maintaining 14 health 14 health 15 among 15 among 17 adults 16 older 17 adults 19 our 20 findings 20 findings 29 or 21 can 22 help 21 can 29 or 22 help 24 or 23 practitioners 24 or 24 or 25 policy 24 or 26 makers 24 or 28 select 26 makers 28 select 27 strategically 28 select 29 or 30 develop 29 or 33 to 30 develop 32 programs 31 health 32 programs 33 to 34 promote 34 promote 36 activities 34 promote 37 among 34 promote 40 in 35 productive 36 activities 37 among 39 adults 38 older 39 adults 40 in 42 china 41 urban 42 china background : the mean heart rate ( mhr ) tends to decrease with age . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 8 mhr 2 : 10 tends 2 : 15 . 3 the 8 mhr 4 mean 5 heart 5 heart 6 rate 6 rate 8 mhr 7 ( 8 mhr 8 mhr 9 ) 8 mhr 10 tends 10 tends 11 to 10 tends 12 decrease 11 to 12 decrease 12 decrease 13 with 13 with 14 age when adjusted for gender and diseases , the magnitude of this effect is unclear . 0 ###LEFT-WALL### 9 magnitude 0 ###LEFT-WALL### 13 is 0 ###LEFT-WALL### 15 . 1 when 2 adjusted 1 when 7 , 1 when 9 magnitude 2 adjusted 3 for 3 for 5 and 4 gender 5 and 5 and 6 diseases 8 the 9 magnitude 9 magnitude 10 of 9 magnitude 13 is 10 of 12 effect 11 this 12 effect 13 is 14 unclear objectives : to analyze the mhr in a stratified sample of active and functionally independent individuals . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 analyze 2 : 17 . 3 to 4 analyze 4 analyze 6 mhr 4 analyze 7 in 5 the 6 mhr 7 in 10 sample 8 a 10 sample 9 stratified 10 sample 10 sample 11 of 11 of 16 individuals 12 active 13 and 13 and 15 independent 13 and 16 individuals 14 functionally 15 independent methods : a total of 1,172 patients aged > 40 years underwent holter monitoring and were stratified by age group : 1 = 40 - 49 , 2 = 50 - 59 , 3 = 60 - 69 , 4 = 70 - 79 , 5 = > 80 years . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 51 . 2 : 4 total 2 : 9 > 2 : 21 : 2 : 25 - 3 a 4 total 4 total 5 of 4 total 9 > 5 of 7 patients 6 1,172 7 patients 7 patients 8 aged 9 > 10 40 10 40 11 years 10 40 20 group 11 years 15 and 11 years 20 group 12 underwent 14 monitoring 12 underwent 15 and 13 holter 14 monitoring 15 and 16 were 16 were 17 stratified 17 stratified 18 by 18 by 19 age 21 : 22 1 21 : 23 = 22 1 23 = 23 = 24 40 25 - 26 49 25 - 48 > 26 49 29 = 26 49 35 = 26 49 41 = 26 49 47 = 27 , 29 = 28 2 29 = 29 = 30 50 29 = 31 - 32 59 35 = 33 , 35 = 34 3 35 = 35 = 37 - 35 = 39 , 36 60 37 - 37 - 38 69 40 4 41 = 41 = 43 - 41 = 45 , 42 70 43 - 43 - 44 79 46 5 47 = 47 = 48 > 48 > 50 years 49 80 50 years the mhr was evaluated according to age and gender , adjusted for hypertension ( sah ) , dyslipidemia [and] [non] - insulin dependent diabetes mellitus ( niddm ) . 0 ###LEFT-WALL### 2 mhr 0 ###LEFT-WALL### 4 evaluated 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 29 . 1 the 2 mhr 2 mhr 3 was 3 was 4 evaluated 4 evaluated 6 to 5 according 6 to 6 to 8 and 7 age 8 and 8 and 9 gender 8 and 11 adjusted 10 , 11 adjusted 11 adjusted 12 for 11 adjusted 17 , 12 for 15 sah 13 hypertension 15 sah 14 ( 15 sah 15 sah 16 ) 17 , 18 dyslipidemia 17 , 21 - 21 - 25 mellitus 22 insulin 25 mellitus 23 dependent 24 diabetes 24 diabetes 25 mellitus 25 mellitus 27 niddm 26 ( 27 niddm 27 niddm 28 ) several models of anova , correlation and linear regression were employed . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 11 employed 0 ###LEFT-WALL### 12 . 1 several 2 models 2 models 3 of 2 models 5 , 3 of 4 anova 5 , 6 correlation 5 , 7 and 7 and 9 regression 7 and 10 were 8 linear 9 regression 10 were 11 employed a [two] - [tailed] p value < 0.05 [was] considered significant ( 95 % ci ) . 0 ###LEFT-WALL### 6 value 0 ###LEFT-WALL### 7 < 0 ###LEFT-WALL### 17 . 1 a 3 - 3 - 5 p 3 - 6 value 6 value 7 < 7 < 8 0.05 8 0.05 10 considered 8 0.05 15 ci 10 considered 11 significant 12 ( 15 ci 13 95 15 ci 14 % 15 ci 15 ci 16 ) results : the mhr tended to decrease with the age range : 1 = 77.20 ± 7.10 ; 2 = 76.66 ± 7.07 [;] 3 = 74.02 ± 7.46 ; 4 = 72.93 ± 7.35 [;] 5 = 73.41 ± 7.98 ( p < 0.001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 : 1 results 2 : 2 : 4 mhr 3 the 4 mhr 4 mhr 5 tended 4 mhr 6 to 6 to 7 decrease 7 decrease 8 with 8 with 11 range 9 the 11 range 10 age 11 range 12 : 13 1 12 : 14 = 12 : 18 ; 12 : 47 . 13 1 14 = 14 = 16 ± 15 77.20 16 ± 16 ± 17 7.10 18 ; 19 2 18 ; 28 ± 18 ; 30 ; 19 2 21 76.66 19 2 22 ± 19 2 26 = 19 2 28 ± 20 = 21 76.66 21 76.66 22 ± 23 7.07 26 = 25 3 26 = 26 = 27 74.02 28 ± 29 7.46 30 ; 31 4 30 ; 40 ± 31 4 33 72.93 31 4 34 ± 31 4 40 ± 32 = 33 72.93 33 72.93 34 ± 34 ± 38 = 35 7.35 38 = 37 5 38 = 38 = 39 73.41 40 ± 41 7.98 41 7.98 44 < 42 ( 44 < 43 p 44 < 44 < 45 0.001 44 < 46 ) women showed a correlation with higher mhr ( p < 0.001 ) . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 2 showed 0 ###LEFT-WALL### 13 . 1 women 2 showed 2 showed 4 correlation 2 showed 5 with 3 a 4 correlation 5 with 7 mhr 6 higher 7 mhr 7 mhr 10 < 8 ( 10 < 9 p 10 < 10 < 11 0.001 10 < 12 ) in the anova and regression models , age and gender were predictors ( p < 0.001 ) . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 11 were 0 ###LEFT-WALL### 18 . 1 in 4 and 1 in 9 and 2 the 3 anova 3 anova 4 and 4 and 5 regression 6 models 7 , 7 , 8 age 7 , 9 and 9 and 10 gender 9 and 11 were 11 were 12 predictors 12 predictors 15 < 13 ( 15 < 14 p 15 < 15 < 16 0.001 15 < 17 ) however , r² [and] eta² < 0.10 , as well as discrete standardized beta coefficients indicated reduced effect . 0 ###LEFT-WALL### 5 eta² 0 ###LEFT-WALL### 6 < 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 5 eta² 3 r² 5 eta² 5 eta² 6 < 6 < 7 0.10 8 , 15 coefficients 8 , 17 reduced 9 as 10 well 9 as 15 coefficients 11 as 14 beta 11 as 15 coefficients 12 discrete 14 beta 13 standardized 14 beta 15 coefficients 16 indicated 15 coefficients 17 reduced 17 reduced 18 effect dyslipidemia , hypertension and dm did not influence the findings . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 8 influence 0 ###LEFT-WALL### 11 . 1 dyslipidemia 2 , 2 , 3 hypertension 2 , 4 and 4 and 5 dm 4 and 6 did 6 did 7 not 6 did 8 influence 8 influence 10 findings 9 the 10 findings conclusion : the mhr decreased with age . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 . 1 conclusion 2 : 2 : 4 mhr 3 the 4 mhr 4 mhr 5 decreased 5 decreased 6 with 6 with 7 age women had higher values of mhr , regardless of the age group . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 2 had 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 13 . 1 women 2 had 2 had 4 values 3 higher 4 values 4 values 5 of 5 of 6 mhr 7 , 12 group 8 regardless 9 of 9 of 11 age 9 of 12 group 10 the 11 age correlations between mhr and age or gender , [albeit] significant , [showed] [the] effect magnitude had little statistical relevance . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 20 . 1 correlations 2 between 1 correlations 4 and 2 between 3 mhr 4 and 19 relevance 5 age 6 or 6 or 7 gender 6 or 8 , 6 or 15 magnitude 6 or 16 had 6 or 19 relevance 10 significant 11 , 10 significant 14 effect 14 effect 15 magnitude 15 magnitude 16 had 16 had 17 little 18 statistical 19 relevance the prevalence of sah , dyslipidemia and diabetes mellitus did not influence the results . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 12 influence 0 ###LEFT-WALL### 15 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 5 , 3 of 4 sah 5 , 6 dyslipidemia 5 , 7 and 7 and 9 mellitus 7 and 10 did 8 diabetes 9 mellitus 10 did 11 not 10 did 12 influence 12 influence 14 results 13 the 14 results objectives : age - related arterial stiffening and reduction of arterial elasticity [are] attenuated in individuals with high levels of cardiorespiratory fitness . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 related 1 objectives 2 : 2 : 3 age 4 - 5 related 5 related 8 and 5 related 15 in 5 related 17 with 5 related 23 . 6 arterial 7 stiffening 6 arterial 8 and 8 and 9 reduction 8 and 10 of 10 of 12 elasticity 11 arterial 12 elasticity 12 elasticity 14 attenuated 15 in 16 individuals 17 with 19 levels 18 high 19 levels 19 levels 20 of 20 of 22 fitness 21 cardiorespiratory 22 fitness viscosity is another mechanical characteristic of the arterial wall ; however , the effects of age and cardiorespiratory fitness have not been determined . 0 ###LEFT-WALL### 1 viscosity 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 10 ; 0 ###LEFT-WALL### 24 . 1 viscosity 2 is 2 is 5 characteristic 3 another 5 characteristic 4 mechanical 5 characteristic 5 characteristic 6 of 6 of 9 wall 7 the 9 wall 8 arterial 9 wall 10 ; 14 effects 10 ; 22 been 11 however 12 , 11 however 14 effects 13 the 14 effects 14 effects 15 of 14 effects 20 have 15 of 17 and 16 age 17 and 17 and 19 fitness 18 cardiorespiratory 19 fitness 20 have 21 not 20 have 22 been 22 been 23 determined we examined the associations among age , cardiorespiratory fitness and carotid arterial wall viscosity . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 15 . 1 we 2 examined 2 examined 4 associations 2 examined 5 among 3 the 4 associations 5 among 10 and 6 age 7 , 7 , 9 fitness 7 , 10 and 8 cardiorespiratory 9 fitness 10 and 14 viscosity 11 carotid 14 viscosity 12 arterial 13 wall 13 wall 14 viscosity the common carotid artery was measured noninvasively by tonometry and automatic tracking of b - mode images to obtain instantaneous pressure and diameter hysteresis loops , and [we] calculated the effective compliance , isobaric compliance and viscosity index . 0 ###LEFT-WALL### 4 artery 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 39 . 1 the 4 artery 2 common 3 carotid 3 carotid 4 artery 4 artery 5 was 5 was 12 tracking 6 measured 7 noninvasively 6 measured 8 by 6 measured 10 and 8 by 9 tonometry 10 and 11 automatic 10 and 12 tracking 12 tracking 13 of 13 of 14 b 15 - 17 images 15 - 22 and 16 mode 17 images 17 images 18 to 17 images 19 obtain 18 to 19 obtain 19 obtain 21 pressure 20 instantaneous 21 pressure 22 and 24 hysteresis 22 and 27 and 23 diameter 24 hysteresis 24 hysteresis 27 and 25 loops 27 and 26 , 27 and 27 and 29 calculated 27 and 36 and 30 the 36 and 31 effective 32 compliance 32 compliance 33 , 33 , 35 compliance 33 , 36 and 34 isobaric 35 compliance 36 and 38 index 37 viscosity 38 index results : in the middle - aged men , the viscosity index was larger in the unfit group than in the fit group ( 2533 vs [.] 2018 mmhg·s/mm , respectively : p<0.05 [ )(, but this was not the case in the young men . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 6 - 1 results 2 : 2 : 3 in 3 in 5 middle 4 the 5 middle 6 - 8 men 6 - 9 , 6 - 46 . 7 aged 8 men 9 , 12 index 9 , 13 was 9 , 32 : 10 the 12 index 11 viscosity 12 index 12 index 13 was 13 was 14 larger 14 larger 15 in 14 larger 19 than 14 larger 20 in 14 larger 31 respectively 15 in 18 group 16 the 18 group 17 unfit 18 group 20 in 23 group 21 the 23 group 22 fit 23 group 23 group 25 2533 24 ( 25 2533 25 2533 26 vs 25 2533 30 , 26 vs 29 mmhg·s/mm 28 2018 29 mmhg·s/mm 30 , 31 respectively 31 respectively 32 : 32 : 33 p<0.05 32 : 36 but 35 )(, 36 but 36 but 37 this 36 but 38 was 37 this 38 was 38 was 39 not 38 was 41 case 40 the 41 case 41 case 42 in 42 in 45 men 43 the 45 men 44 young 45 men in addition , effective and isobaric compliance were increased , and viscosity index [was] increased with advancing age , but these parameters were unaffected by cardiorespiratory fitness level . 0 ###LEFT-WALL### 18 age 0 ###LEFT-WALL### 20 but 0 ###LEFT-WALL### 29 . 1 in 11 and 1 in 18 age 2 addition 3 , 3 , 4 effective 3 , 5 and 5 and 6 isobaric 5 and 7 compliance 5 and 8 were 5 and 9 increased 5 and 11 and 7 compliance 8 were 10 , 11 and 11 and 13 index 11 and 15 increased 12 viscosity 13 index 15 increased 16 with 16 with 17 advancing 19 , 20 but 20 but 22 parameters 20 but 23 were 21 these 22 parameters 22 parameters 23 were 23 were 24 unaffected 24 unaffected 25 by 25 by 28 level 26 cardiorespiratory 27 fitness 27 fitness 28 level conclusion : these results suggest that the wall viscosity in the central artery is increased with advancing age and that the age - associated increase [in] wall viscosity may be attenuated in cardiorespiratory fit men . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 5 suggest 2 : 23 - 2 : 30 be 2 : 36 . 3 these 4 results 4 results 5 suggest 5 suggest 6 that 6 that 9 viscosity 6 that 15 increased 7 the 9 viscosity 8 wall 9 viscosity 9 viscosity 10 in 9 viscosity 14 is 10 in 13 artery 11 the 13 artery 12 central 13 artery 14 is 15 increased 15 increased 16 with 16 with 19 and 16 with 22 age 17 advancing 18 age 18 age 19 and 19 and 20 that 21 the 22 age 23 - 30 be 24 associated 28 viscosity 25 increase 28 viscosity 27 wall 28 viscosity 28 viscosity 29 may 29 may 30 be 30 be 31 attenuated 31 attenuated 32 in 32 in 35 men 33 cardiorespiratory 34 fit 34 fit 35 men cross - sectional studies have found that obesity is associated with low intellectual ability and neuroimaging abnormalities in adolescence and adulthood . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 22 . 1 cross 10 associated 1 cross 11 with 1 cross 15 and 2 - 10 associated 3 sectional 4 studies 4 studies 5 have 5 have 6 found 6 found 7 that 7 that 8 obesity 7 that 10 associated 8 obesity 9 is 9 is 10 associated 11 with 14 ability 12 low 14 ability 13 intellectual 14 ability 15 and 17 abnormalities 15 and 18 in 15 and 20 and 16 neuroimaging 17 abnormalities 18 in 19 adolescence 20 and 21 adulthood some have interpreted these associations to suggest that obesity causes intellectual decline in the first half of the life course . 0 ###LEFT-WALL### 1 some 0 ###LEFT-WALL### 7 suggest 0 ###LEFT-WALL### 21 . 1 some 2 have 2 have 3 interpreted 3 interpreted 5 associations 3 interpreted 6 to 4 these 5 associations 6 to 7 suggest 7 suggest 11 intellectual 7 suggest 12 decline 8 that 11 intellectual 9 obesity 11 intellectual 10 causes 11 intellectual 12 decline 13 in 13 in 16 half 14 the 15 first 14 the 16 half 16 half 17 of 17 of 20 course 18 the 20 course 19 life 20 course we analyzed data from a prospective longitudinal study to test whether becoming obese was associated with intellectual decline [from] childhood to midlife . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 analyzed 0 ###LEFT-WALL### 23 . 1 we 2 analyzed 2 analyzed 3 data 2 analyzed 9 to 3 data 4 from 4 from 8 study 5 a 6 prospective 5 a 8 study 6 prospective 8 study 7 longitudinal 8 study 9 to 10 test 10 test 11 whether 10 test 21 to 11 whether 12 becoming 11 whether 15 associated 12 becoming 13 obese 12 becoming 14 was 14 was 15 associated 15 associated 16 with 16 with 20 childhood 17 intellectual 18 decline 18 decline 20 childhood 21 to 22 midlife we used data from the ongoing dunedin multidisciplinary health and development study , a population - representative birth cohort study of 1,037 children in new zealand who were followed prospectively from birth ( 1972 - 1973 ) through their fourth decade of life with a 95 % retention rate . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 16 - 1 we 2 used 2 used 3 data 2 used 4 from 4 from 10 and 5 the 9 health 6 ongoing 9 health 7 dunedin 8 multidisciplinary 8 multidisciplinary 9 health 9 health 10 and 10 and 12 study 10 and 15 population 11 development 12 study 13 , 15 population 14 a 15 population 15 population 16 - 16 - 20 study 16 - 29 followed 16 - 50 . 17 representative 20 study 18 birth 19 cohort 19 cohort 20 study 20 study 21 of 20 study 29 followed 21 of 23 children 22 1,037 23 children 23 children 24 in 23 children 27 who 23 children 28 were 24 in 26 zealand 25 new 26 zealand 27 who 28 were 29 followed 30 prospectively 29 followed 31 from 29 followed 38 through 29 followed 44 with 31 from 32 birth 32 birth 35 - 33 ( 35 - 34 1972 35 - 35 - 36 1973 35 - 37 ) 38 through 41 decade 39 their 40 fourth 39 their 41 decade 41 decade 42 of 42 of 43 life 44 with 49 rate 45 a 49 rate 46 95 49 rate 47 % 48 retention 48 retention 49 rate intelligence [quotient] ( iq ) was measured in childhood and adulthood . 0 ###LEFT-WALL### 1 intelligence 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 12 . 1 intelligence 4 iq 1 intelligence 6 was 3 ( 4 iq 4 iq 5 ) 6 was 7 measured 7 measured 8 in 8 in 10 and 9 childhood 10 and 10 and 11 adulthood anthropometric measurements were taken at birth and at 12 subsequent in - person assessments . 0 ###LEFT-WALL### 2 measurements 0 ###LEFT-WALL### 4 taken 0 ###LEFT-WALL### 12 - 1 anthropometric 2 measurements 2 measurements 3 were 3 were 4 taken 4 taken 7 and 5 at 6 birth 5 at 7 and 7 and 8 at 8 at 11 in 9 12 11 in 10 subsequent 11 in 12 - 14 assessments 12 - 15 . 13 person 14 assessments as expected , cohort members who became obese had lower adulthood iq scores . 0 ###LEFT-WALL### 5 members 0 ###LEFT-WALL### 9 had 0 ###LEFT-WALL### 14 . 1 as 2 expected 1 as 3 , 1 as 5 members 2 expected 3 , 4 cohort 5 members 5 members 6 who 5 members 7 became 5 members 9 had 6 who 7 became 7 became 8 obese 9 had 11 adulthood 10 lower 11 adulthood 11 adulthood 12 iq 11 adulthood 13 scores 12 iq 13 scores however , obese cohort members exhibited no excess decline in iq . 0 ###LEFT-WALL### 5 members 0 ###LEFT-WALL### 6 exhibited 0 ###LEFT-WALL### 12 . 1 however 2 , 1 however 5 members 3 obese 4 cohort 4 cohort 5 members 5 members 6 exhibited 6 exhibited 9 decline 6 exhibited 10 in 7 no 9 decline 8 excess 9 decline 10 in 11 iq instead , these cohort members had lower iq scores since childhood . 0 ###LEFT-WALL### 5 members 0 ###LEFT-WALL### 6 had 0 ###LEFT-WALL### 12 . 1 instead 2 , 1 instead 5 members 3 these 5 members 4 cohort 5 members 5 members 6 had 6 had 9 scores 6 had 10 since 7 lower 9 scores 8 iq 9 scores 10 since 11 childhood this pattern remained consistent when we accounted for children 's birth weights and growth during the first years of life , as well as for childhood - onset obesity . 0 ###LEFT-WALL### 2 pattern 0 ###LEFT-WALL### 3 remained 0 ###LEFT-WALL### 27 - 0 ###LEFT-WALL### 30 . 1 this 2 pattern 2 pattern 3 remained 3 remained 4 consistent 4 consistent 5 when 4 consistent 8 for 4 consistent 22 as 5 when 6 we 5 when 7 accounted 6 we 7 accounted 8 for 13 and 9 children 10 's 10 's 12 weights 11 birth 12 weights 12 weights 13 and 13 and 14 growth 13 and 15 during 13 and 19 of 15 during 18 years 16 the 18 years 17 first 18 years 19 of 20 life 21 , 22 as 22 as 23 well 22 as 27 - 23 well 24 as 24 as 25 for 25 for 26 childhood 27 - 29 obesity 28 onset 29 obesity lower iq scores among children who later developed obesity were present as early as 3 years of age . 0 ###LEFT-WALL### 3 scores 0 ###LEFT-WALL### 10 were 0 ###LEFT-WALL### 19 . 1 lower 3 scores 2 iq 3 scores 3 scores 4 among 3 scores 10 were 4 among 5 children 5 children 6 who 5 children 8 developed 6 who 8 developed 7 later 8 developed 8 developed 9 obesity 10 were 11 present 11 present 13 early 11 present 14 as 12 as 13 early 14 as 16 years 15 3 16 years 16 years 17 of 17 of 18 age we observed no evidence that obesity contributed to a decline in iq , even among obese individuals who displayed evidence of the metabolic syndrome [and/or] elevated systemic inflammation . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 observed 0 ###LEFT-WALL### 29 . 1 we 2 observed 2 observed 4 evidence 3 no 4 evidence 4 evidence 5 that 5 that 6 obesity 5 that 26 elevated 6 obesity 7 contributed 6 obesity 18 who 6 obesity 19 displayed 6 obesity 26 elevated 7 contributed 8 to 7 contributed 13 , 7 contributed 14 even 8 to 10 decline 9 a 10 decline 10 decline 11 in 11 in 12 iq 14 even 15 among 15 among 17 individuals 16 obese 17 individuals 18 who 19 displayed 19 displayed 20 evidence 20 evidence 21 of 21 of 24 syndrome 22 the 24 syndrome 23 metabolic 24 syndrome 26 elevated 28 inflammation 27 systemic 28 inflammation significant progress has been made in understanding the neurobiological mechanisms through which exercise protects and restores the brain . 0 ###LEFT-WALL### 1 significant 0 ###LEFT-WALL### 5 made 0 ###LEFT-WALL### 19 . 1 significant 2 progress 1 significant 4 been 1 significant 5 made 2 progress 3 has 3 has 4 been 5 made 6 in 5 made 10 mechanisms 6 in 7 understanding 8 the 10 mechanisms 9 neurobiological 10 mechanisms 10 mechanisms 11 through 11 through 12 which 11 through 13 exercise 11 through 15 and 13 exercise 15 and 14 protects 15 and 15 and 16 restores 15 and 18 brain 17 the 18 brain in this feature review , we integrate animal [and] human research , examining physical activity effects across multiple levels of description [(] neurons up to inter - regional pathways ) . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 integrate 0 ###LEFT-WALL### 31 . 1 in 4 review 1 in 5 , 1 in 6 we 2 this 4 review 3 feature 4 review 6 we 7 integrate 7 integrate 11 research 8 animal 11 research 10 human 11 research 11 research 13 examining 12 , 13 examining 13 examining 16 effects 13 examining 17 across 13 examining 30 ) 14 physical 15 activity 15 activity 16 effects 17 across 19 levels 18 multiple 19 levels 19 levels 20 of 20 of 23 neurons 21 description 23 neurons 23 neurons 24 up 23 neurons 29 pathways 24 up 25 to 24 up 26 inter 25 to 26 inter 27 - 29 pathways 28 regional 29 pathways 29 pathways 30 ) we evaluate the influence of exercise on hippocampal structure and function , addressing common themes such as spatial memory and pattern separation , brain structure and plasticity , neurotrophic factors , and vasculature . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 evaluate 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 34 . 1 we 2 evaluate 2 evaluate 4 influence 2 evaluate 7 on 2 evaluate 13 addressing 3 the 4 influence 4 influence 5 of 5 of 6 exercise 7 on 10 and 8 hippocampal 9 structure 9 structure 10 and 10 and 11 function 12 , 13 addressing 13 addressing 15 themes 13 addressing 17 as 13 addressing 23 , 14 common 15 themes 16 such 17 as 17 as 20 and 18 spatial 19 memory 19 memory 20 and 20 and 22 separation 21 pattern 22 separation 23 , 24 brain 24 brain 32 and 25 structure 26 and 26 and 27 plasticity 26 and 28 , 28 , 30 factors 28 , 32 and 29 neurotrophic 30 factors 31 , 32 and 32 and 33 vasculature areas of research focused more within species , such as hippocampal neurogenesis in rodents , also provide crucial insight into the protective role of physical activity . 0 ###LEFT-WALL### 1 areas 0 ###LEFT-WALL### 17 provide 0 ###LEFT-WALL### 27 . 1 areas 2 of 1 areas 17 provide 2 of 3 research 3 research 4 focused 4 focused 5 more 4 focused 6 within 6 within 7 species 7 species 10 as 8 , 10 as 9 such 10 as 10 as 12 neurogenesis 10 as 15 , 11 hippocampal 12 neurogenesis 12 neurogenesis 13 in 13 in 14 rodents 16 also 17 provide 17 provide 19 insight 17 provide 20 into 18 crucial 19 insight 20 into 23 role 21 the 23 role 22 protective 23 role 23 role 24 of 24 of 26 activity 25 physical 26 activity overall , converging evidence suggests exercise benefits brain function [and] cognition across the mammalian lifespan , which may translate into reduced risk for alzheimer 's disease ( ad ) in humans . 0 ###LEFT-WALL### 1 overall 0 ###LEFT-WALL### 2 , 0 ###LEFT-WALL### 8 brain 2 , 4 evidence 2 , 5 suggests 3 converging 4 evidence 4 evidence 5 suggests 5 suggests 7 benefits 5 suggests 8 brain 6 exercise 7 benefits 8 brain 11 cognition 8 brain 12 across 9 function 11 cognition 12 across 15 lifespan 13 the 15 lifespan 14 mammalian 15 lifespan 15 lifespan 17 which 16 , 17 which 17 which 18 may 17 which 32 . 18 may 19 translate 19 translate 20 into 20 into 22 risk 21 reduced 22 risk 22 risk 23 for 22 risk 30 in 23 for 26 disease 24 alzheimer 25 's 25 's 26 disease 26 disease 28 ad 27 ( 28 ad 28 ad 29 ) 30 in 31 humans toxicity is the most frequently reported reason for modifying or discontinuing the first combined antiretroviral therapy regimens , and it can cause significant morbidity , poor quality of life and also can be an important barrier [to] adherence , ultimately resulting in treatment failure and viral resistance . 0 ###LEFT-WALL### 1 toxicity 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 10 or 1 toxicity 2 is 2 is 7 reason 3 the 4 most 4 most 5 frequently 5 frequently 6 reported 6 reported 7 reason 7 reason 8 for 8 for 9 modifying 10 or 11 discontinuing 10 or 33 be 11 discontinuing 30 and 11 discontinuing 33 be 12 the 13 first 12 the 17 regimens 14 combined 16 therapy 15 antiretroviral 16 therapy 16 therapy 17 regimens 17 regimens 19 and 18 , 19 and 19 and 20 it 19 and 21 can 21 can 22 cause 22 cause 24 morbidity 23 significant 24 morbidity 24 morbidity 25 , 25 , 27 quality 25 , 30 and 26 poor 27 quality 27 quality 28 of 28 of 29 life 30 and 31 also 30 and 32 can 33 be 38 adherence 34 an 35 important 34 an 38 adherence 35 important 38 adherence 36 barrier 38 adherence 38 adherence 41 resulting 39 , 41 resulting 40 ultimately 41 resulting 41 resulting 42 in 41 resulting 48 . 42 in 45 and 43 treatment 44 failure 44 failure 45 and 45 and 47 resistance 46 viral 47 resistance elderly patients with hiv/aids ( ≥ 50 years ) may have a different profile in terms of treatment modification due to higher incidence [of] comorbidities and polypharmacy . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 11 have 0 ###LEFT-WALL### 28 . 1 elderly 2 patients 2 patients 3 with 2 patients 10 may 3 with 4 hiv/aids 4 hiv/aids 8 years 5 ( 8 years 6 ≥ 8 years 7 50 8 years 8 years 9 ) 10 may 11 have 11 have 14 profile 11 have 15 in 11 have 21 to 12 a 14 profile 13 different 14 profile 15 in 16 terms 16 terms 17 of 17 of 19 modification 18 treatment 19 modification 20 due 21 to 21 to 26 and 22 higher 23 incidence 23 incidence 25 comorbidities 25 comorbidities 26 and 26 and 27 polypharmacy the aim of this study was to describe the incidence of modifying or discontinuing first combined antiretroviral therapy regimen due to toxicity ( tox - mod ) during the first year of treatment at the ipec - fiocruz hiv/aids cohort , rio de janeiro , brazil , stratified by age . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 41 , 0 ###LEFT-WALL### 51 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 20 due 7 to 8 describe 8 describe 13 or 9 the 10 incidence 10 incidence 11 of 10 incidence 13 or 11 of 12 modifying 13 or 19 regimen 14 discontinuing 19 regimen 15 first 16 combined 16 combined 18 therapy 17 antiretroviral 18 therapy 18 therapy 19 regimen 20 due 21 to 20 due 28 during 20 due 34 at 21 to 22 toxicity 22 toxicity 26 mod 23 ( 26 mod 24 tox 26 mod 25 - 26 mod 26 mod 27 ) 28 during 31 year 29 the 30 first 29 the 31 year 31 year 32 of 32 of 33 treatment 34 at 40 cohort 35 the 40 cohort 36 ipec 38 fiocruz 37 - 38 fiocruz 38 fiocruz 40 cohort 39 hiv/aids 40 cohort 41 , 44 janeiro 41 , 48 stratified 42 rio 43 de 43 de 44 janeiro 44 janeiro 46 brazil 44 janeiro 48 stratified 45 , 46 brazil 46 brazil 47 , 48 stratified 49 by 49 by 50 age demographic , clinical and treatment characteristics from antiretroviral - naïve patients who first received combined antiretroviral therapy between jan/1996 and dec/2010 were collected . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 22 were 0 ###LEFT-WALL### 24 . 1 demographic 2 , 2 , 3 clinical 2 , 4 and 4 and 6 characteristics 4 and 7 from 4 and 12 who 4 and 14 received 4 and 22 were 5 treatment 6 characteristics 7 from 11 patients 8 antiretroviral 9 - 8 antiretroviral 11 patients 10 naïve 11 patients 12 who 14 received 13 first 14 received 14 received 17 therapy 14 received 18 between 15 combined 17 therapy 16 antiretroviral 17 therapy 18 between 21 dec/2010 19 jan/1996 20 and 20 and 21 dec/2010 22 were 23 collected incidence [rate] and confidence interval of each event [were] estimated using quasipoisson model . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 14 . 1 incidence 3 and 3 and 5 interval 3 and 6 of 4 confidence 5 interval 6 of 13 model 7 each 13 model 8 event 10 estimated 10 estimated 13 model 11 using 13 model 12 quasipoisson 13 model to estimate hazard [ratio] ( hr ) of tox - mod during the first year of combined antiretroviral therapy cox 's proportional hazards regression was applied . 0 ###LEFT-WALL### 24 regression 0 ###LEFT-WALL### 25 was 0 ###LEFT-WALL### 27 . 1 to 2 estimate 1 to 7 ) 1 to 24 regression 2 estimate 3 hazard 3 hazard 6 hr 5 ( 6 hr 6 hr 7 ) 8 of 11 mod 8 of 24 regression 9 tox 11 mod 10 - 11 mod 12 during 15 year 12 during 24 regression 13 the 14 first 13 the 15 year 15 year 16 of 16 of 19 therapy 17 combined 19 therapy 18 antiretroviral 19 therapy 20 cox 21 's 21 's 24 regression 22 proportional 23 hazards 23 hazards 24 regression 24 regression 25 was 25 was 26 applied overall , 1558 patients were included [;] 957 ( 61.4 % ) , 420 ( 27.0 % ) and 181 ( 11.6 % ) were aged [<] 40 , 40 - 49 , and ≥ 50 years , respectively . 0 ###LEFT-WALL### 1 overall 0 ###LEFT-WALL### 2 , 2 , 3 1558 2 , 6 included 2 , 19 and 3 1558 4 patients 3 1558 5 were 3 1558 6 included 4 patients 5 were 6 included 8 957 8 957 11 % 8 957 14 420 9 ( 11 % 10 61.4 11 % 11 % 12 ) 13 , 14 420 14 420 17 % 14 420 18 ) 15 ( 17 % 16 27.0 17 % 17 % 18 ) 19 and 20 181 19 and 25 were 20 181 23 % 20 181 25 were 21 ( 23 % 22 11.6 23 % 23 % 24 ) 25 were 37 years 25 were 39 respectively 26 aged 28 40 26 aged 31 - 26 aged 34 and 29 , 31 - 30 40 31 - 31 - 32 49 31 - 33 , 33 , 34 and 34 and 35 ≥ 34 and 37 years 36 50 37 years 38 , 39 respectively 39 respectively 40 . the most frequent tox - mod during first combined antiretroviral therapy regimen were hematologic ( [59] [;] 26.3 % ) , central nervous system [(] 47 ; 20.9 % [ )( rash [(] 42 [;] [19.1] [%] [ )(and gastrointestinal ( gi ) ( [38] [;] 16.7 % ) . 0 ###LEFT-WALL### 12 regimen 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 27 ; 0 ###LEFT-WALL### 50 . 1 the 12 regimen 2 most 3 frequent 3 frequent 12 regimen 4 tox 9 combined 4 tox 12 regimen 5 - 9 combined 6 mod 7 during 6 mod 9 combined 7 during 8 first 10 antiretroviral 11 therapy 11 therapy 12 regimen 12 regimen 13 were 13 were 24 system 14 hematologic 19 % 14 hematologic 21 , 14 hematologic 24 system 15 ( 19 % 18 26.3 19 % 19 % 20 ) 22 central 24 system 23 nervous 24 system 24 system 26 47 27 ; 39 )(and 28 20.9 29 % 29 % 32 rash 32 rash 34 42 32 rash 39 )(and 39 )(and 40 gastrointestinal 39 )(and 42 gi 39 )(and 48 % 41 ( 42 gi 42 gi 43 ) 44 ( 48 % 47 16.7 48 % 48 % 49 ) in multivariate analysis , incidence ratio [of] tox - mod during the first year of combined antiretroviral therapy progressively increases with age , [albeit] not reaching statistical significance . 0 ###LEFT-WALL### 10 mod 0 ###LEFT-WALL### 20 increases 1 in 3 analysis 1 in 10 mod 2 multivariate 3 analysis 3 analysis 8 tox 4 , 8 tox 5 incidence 8 tox 6 ratio 8 tox 8 tox 9 - 10 mod 11 during 10 mod 20 increases 11 during 14 year 12 the 14 year 13 first 14 year 14 year 15 of 15 of 18 therapy 16 combined 18 therapy 17 antiretroviral 18 therapy 19 progressively 20 increases 20 increases 21 with 20 increases 26 reaching 21 with 22 age 23 , 25 not 23 , 26 reaching 26 reaching 28 significance 26 reaching 29 . 27 statistical 28 significance this profile was maintained after adjusting the model for sex , combined antiretroviral therapy regimen and year [of] combined antiretroviral therapy initiation . 0 ###LEFT-WALL### 2 profile 0 ###LEFT-WALL### 4 maintained 0 ###LEFT-WALL### 23 . 1 this 2 profile 2 profile 3 was 3 was 4 maintained 4 maintained 5 after 5 after 6 adjusting 6 adjusting 8 model 6 adjusting 9 for 7 the 8 model 9 for 16 and 10 sex 11 , 11 , 15 regimen 11 , 16 and 12 combined 14 therapy 13 antiretroviral 14 therapy 14 therapy 15 regimen 16 and 22 initiation 17 year 19 combined 19 combined 21 therapy 20 antiretroviral 21 therapy 21 therapy 22 initiation these results are important because [not] only patients are living longer and aging with hiv , but also new diagnoses are being made among the elderly . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 23 made 0 ###LEFT-WALL### 27 . 1 these 2 results 2 results 3 are 3 are 4 important 4 important 5 because 5 because 7 only 5 because 9 are 7 only 8 patients 8 patients 9 are 9 are 10 living 10 living 11 longer 12 and 20 diagnoses 12 and 21 are 13 aging 14 with 13 aging 16 , 13 aging 20 diagnoses 14 with 15 hiv 17 but 18 also 17 but 20 diagnoses 19 new 20 diagnoses 20 diagnoses 21 are 21 are 22 being 22 being 23 made 23 made 24 among 24 among 26 elderly 25 the 26 elderly prospective studies are needed to evaluate the safety profile of first line combined antiretroviral therapy on elderly individuals , especially in resource [-] limited countries , where initial regimens are mostly nnrti - based . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 6 evaluate 1 prospective 2 studies 2 studies 3 are 3 are 4 needed 4 needed 5 to 5 to 6 evaluate 6 evaluate 9 profile 6 evaluate 34 based 7 the 9 profile 8 safety 9 profile 9 profile 10 of 10 of 15 therapy 11 first 12 line 12 line 13 combined 13 combined 15 therapy 14 antiretroviral 15 therapy 15 therapy 16 on 16 on 18 individuals 17 elderly 18 individuals 18 individuals 21 in 19 , 20 especially 19 , 21 in 21 in 25 countries 21 in 33 - 22 resource 24 limited 24 limited 25 countries 25 countries 27 where 26 , 27 where 27 where 29 regimens 27 where 30 are 27 where 33 - 28 initial 29 regimens 29 regimens 30 are 30 are 31 mostly 30 are 32 nnrti 33 - 34 based 34 based 35 . objective : to investigate [how] the chronic disease self - management program ( cdsmp ) changes health outcomes , lifestyle behaviors , and health care service utilization over a 6 month period . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 33 . 1 objective 2 : 2 : 3 to 2 : 4 investigate 3 to 4 investigate 4 investigate 9 self 6 the 9 self 7 chronic 8 disease 8 disease 9 self 9 self 18 outcomes 10 - 18 outcomes 11 management 12 program 12 program 14 cdsmp 13 ( 14 cdsmp 14 cdsmp 15 ) 14 cdsmp 18 outcomes 16 changes 17 health 17 health 18 outcomes 18 outcomes 19 , 19 , 23 and 19 , 26 service 20 lifestyle 21 behaviors 21 behaviors 23 and 22 , 23 and 23 and 25 care 23 and 26 service 24 health 25 care 26 service 27 utilization 26 service 28 over 28 over 32 period 29 a 32 period 30 6 31 month 31 month 32 period method : the participants were 1,170 adults enrolled in the national study of cdsmp in 2010 - 2012 ( [m] age=65.4 years ) . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 4 participants 2 : 5 were 2 : 24 . 3 the 4 participants 4 participants 5 were 5 were 7 adults 5 were 9 in 5 were 15 in 6 1,170 7 adults 7 adults 8 enrolled 9 in 12 study 10 the 12 study 11 national 12 study 12 study 13 of 13 of 14 cdsmp 15 in 17 - 16 2010 17 - 17 - 18 2012 17 - 22 years 19 ( 22 years 21 age=65.4 22 years 22 years 23 ) six - month assessments were available for 903 participants . 0 ###LEFT-WALL### 1 six 0 ###LEFT-WALL### 2 - 2 - 4 assessments 2 - 5 were 2 - 10 . 3 month 4 assessments 4 assessments 5 were 5 were 6 available 6 available 7 for 7 for 9 participants 8 903 9 participants linear mixed models and generalized linear mixed models were used to assess the changes between baseline and 6 [-] month assessment for primary and secondary outcomes among cdsmp participants . 0 ###LEFT-WALL### 1 linear 0 ###LEFT-WALL### 2 mixed 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 12 assess 0 ###LEFT-WALL### 30 . 1 linear 2 mixed 2 mixed 3 models 4 and 8 models 4 and 10 used 5 generalized 8 models 6 linear 8 models 7 mixed 8 models 8 models 9 were 9 were 10 used 10 used 11 to 11 to 12 assess 12 assess 14 changes 12 assess 15 between 12 assess 22 for 12 assess 27 among 13 the 14 changes 15 between 17 and 16 baseline 17 and 17 and 21 assessment 18 6 20 month 20 month 21 assessment 22 for 26 outcomes 23 primary 24 and 24 and 25 secondary 24 and 26 outcomes 27 among 29 participants 28 cdsmp 29 participants results : social/role activities limitations , depression , and communication with physicians improved significantly from baseline to 6 [-] month follow - up . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 activities 2 : 21 follow 3 social/role 4 activities 4 activities 9 and 4 activities 13 improved 4 activities 21 follow 5 limitations 6 , 6 , 7 depression 6 , 9 and 8 , 9 and 9 and 10 communication 9 and 11 with 9 and 13 improved 11 with 12 physicians 13 improved 14 significantly 13 improved 15 from 15 from 16 baseline 16 baseline 17 to 17 to 20 month 18 6 20 month 21 follow 23 up 22 - 23 up 23 up 24 . study participants reported significant improvements in more physical activity and less emergency room ( er ) visits and hospitalization during that period . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 3 reported 0 ###LEFT-WALL### 23 . 1 study 2 participants 2 participants 3 reported 3 reported 5 improvements 3 reported 6 in 3 reported 20 during 4 significant 5 improvements 6 in 18 and 7 more 8 physical 8 physical 9 activity 9 activity 10 and 10 and 12 emergency 10 and 13 room 10 and 17 visits 10 and 18 and 11 less 12 emergency 13 room 15 er 13 room 17 visits 14 ( 15 er 15 er 16 ) 18 and 19 hospitalization 20 during 22 period 21 that 22 period discussion : nationally , cdsmp not only improves health outcomes and lifestyle behaviors but also decreases costly er visits and hospitalization . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 2 : 5 cdsmp 2 : 15 also 2 : 22 . 3 nationally 4 , 3 nationally 5 cdsmp 5 cdsmp 15 also 6 not 7 only 7 only 15 also 8 improves 11 and 8 improves 15 also 9 health 10 outcomes 10 outcomes 11 and 11 and 13 behaviors 12 lifestyle 13 behaviors 14 but 15 also 15 also 16 decreases 16 decreases 20 and 17 costly 19 visits 18 er 19 visits 19 visits 20 and 20 and 21 hospitalization geriatricians and other primary care providers should be encouraged to refer patients with chronic conditions to such self [-] management programs . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 9 encouraged 0 ###LEFT-WALL### 22 . 1 geriatricians 2 and 2 and 6 providers 2 and 7 should 3 other 6 providers 4 primary 5 care 5 care 6 providers 7 should 8 be 8 be 9 encouraged 9 encouraged 10 to 9 encouraged 11 refer 10 to 11 refer 11 refer 12 patients 11 refer 13 with 13 with 15 conditions 14 chronic 15 conditions 15 conditions 16 to 16 to 21 programs 17 such 21 programs 18 self 21 programs 20 management 21 programs objectives : postoperative delirium is a common psychiatric disorder among patients who undergo cardiac surgery . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 4 delirium 2 : 5 is 2 : 16 . 3 postoperative 4 delirium 4 delirium 5 is 5 is 9 disorder 6 a 7 common 6 a 9 disorder 7 common 9 disorder 8 psychiatric 9 disorder 9 disorder 10 among 10 among 11 patients 11 patients 12 who 11 patients 13 undergo 12 who 13 undergo 13 undergo 15 surgery 14 cardiac 15 surgery although several studies have investigated risk factors for delirium after cardiac surgery , the association between delirium and cerebral white - matter hyperintensities ( wmh ) on magnetic resonance ( mr ) imaging has not been previously studied . 0 ###LEFT-WALL### 33 imaging 0 ###LEFT-WALL### 38 studied 0 ###LEFT-WALL### 39 . 1 although 2 several 1 although 5 investigated 1 although 32 ) 1 although 33 imaging 2 several 3 studies 2 several 4 have 2 several 5 investigated 3 studies 4 have 5 investigated 7 factors 6 risk 7 factors 7 factors 8 for 7 factors 15 association 8 for 9 delirium 9 delirium 10 after 10 after 12 surgery 11 cardiac 12 surgery 13 , 15 association 14 the 15 association 15 association 16 between 15 association 27 on 15 association 31 mr 15 association 32 ) 16 between 18 and 17 delirium 18 and 18 and 20 white 18 and 23 hyperintensities 19 cerebral 20 white 21 - 23 hyperintensities 22 matter 23 hyperintensities 23 hyperintensities 25 wmh 23 hyperintensities 26 ) 24 ( 25 wmh 25 wmh 26 ) 27 on 29 resonance 28 magnetic 29 resonance 30 ( 31 mr 31 mr 32 ) 33 imaging 34 has 34 has 35 not 34 has 36 been 36 been 37 previously 36 been 38 studied the aim of this study was to identify general risk factors for delirium , [as] well as to examine the specific relationship between wmh and delirium . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 19 examine 0 ###LEFT-WALL### 27 . 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 14 , 7 to 14 , 8 identify 11 factors 8 identify 12 for 8 identify 14 , 9 general 11 factors 10 risk 11 factors 12 for 13 delirium 14 , 16 well 14 , 17 as 17 as 18 to 18 to 19 examine 19 examine 22 relationship 20 the 22 relationship 21 specific 22 relationship 22 relationship 23 between 23 between 25 and 24 wmh 25 and 25 and 26 delirium design : retrospective chart review . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 . 1 design 2 : 2 : 5 review 3 retrospective 4 chart 4 chart 5 review setting : university hospital . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 2 : 4 hospital 2 : 5 . 3 university 4 hospital participants : a total of 130 patients who underwent cardiac surgery . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 . 1 participants 2 : 2 : 4 total 3 a 4 total 4 total 5 of 5 of 7 patients 6 130 7 patients 7 patients 8 who 7 patients 9 underwent 8 who 9 underwent 9 underwent 11 surgery 10 cardiac 11 surgery measurements : variables recorded included patient demographics , comorbidities , mental health , laboratory data , surgical information , and cerebrovascular disease . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 2 : 20 and 2 : 23 . 3 variables 4 recorded 4 recorded 7 demographics 5 included 7 demographics 6 patient 7 demographics 7 demographics 8 , 8 , 9 comorbidities 8 , 10 , 10 , 12 health 10 , 13 , 11 mental 12 health 13 , 15 data 13 , 16 , 14 laboratory 15 data 16 , 18 information 16 , 20 and 17 surgical 18 information 19 , 20 and 20 and 22 disease 21 cerebrovascular 22 disease the presence of wmh was assessed using mr images . 0 ###LEFT-WALL### 2 presence 0 ###LEFT-WALL### 6 assessed 0 ###LEFT-WALL### 10 . 1 the 2 presence 2 presence 3 of 2 presence 5 was 3 of 4 wmh 5 was 6 assessed 6 assessed 7 using 7 using 9 images 8 mr 9 images two groups of patients were compared ( [patients] [with] [and] without delirium ) using both univariate and multiple logistic analyses . 0 ###LEFT-WALL### 2 groups 0 ###LEFT-WALL### 6 compared 0 ###LEFT-WALL### 21 . 1 two 2 groups 2 groups 3 of 2 groups 5 were 3 of 4 patients 5 were 6 compared 6 compared 11 without 6 compared 14 using 7 ( 11 without 11 without 12 delirium 11 without 13 ) 14 using 20 analyses 15 both 20 analyses 16 univariate 17 and 17 and 18 multiple 17 and 19 logistic 19 logistic 20 analyses results : delirium occurred in 18 patients ( 13.8 % ) and patients with delirium were significantly older than patients who did not develop delirium . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 delirium 2 : 4 occurred 2 : 12 and 2 : 26 . 3 delirium 4 occurred 4 occurred 5 in 5 in 7 patients 6 18 7 patients 7 patients 10 % 8 ( 10 % 9 13.8 10 % 10 % 11 ) 12 and 13 patients 12 and 16 were 13 patients 14 with 13 patients 16 were 14 with 15 delirium 16 were 17 significantly 16 were 18 older 18 older 19 than 19 than 20 patients 20 patients 21 who 20 patients 22 did 21 who 22 did 22 did 23 not 22 did 24 develop 24 develop 25 delirium the prevalence of severe wmh ( fazekas score [=] 3 ) was significantly higher in patients with delirium . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 12 was 0 ###LEFT-WALL### 19 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 12 was 3 of 5 wmh 4 severe 5 wmh 5 wmh 8 score 6 ( 8 score 7 fazekas 8 score 8 score 10 3 8 score 11 ) 12 was 14 higher 13 significantly 14 higher 14 higher 15 in 14 higher 17 with 15 in 16 patients 17 with 18 delirium three independent predictors of delirium were identified : abnormal creatinine ( odds ratio [ or ] : 4.5 ; 95 % confidence interval [ ci ] : 1.4 - 13.9 [ )(, severe wmh ( or : 3.9 ; 95 % ci : 1.2 - 12.5 ) , [and] duration of surgery ( or : 1.4 ; 95 % ci : 1.0 - 1.8 ) . 0 ###LEFT-WALL### 3 predictors 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 8 : 1 three 3 predictors 2 independent 3 predictors 3 predictors 4 of 3 predictors 6 were 4 of 5 delirium 6 were 7 identified 8 : 10 creatinine 8 : 17 : 9 abnormal 10 creatinine 10 creatinine 13 ratio 11 ( 13 ratio 12 odds 13 ratio 13 ratio 15 or 13 ratio 17 : 14 [ 15 or 15 or 16 ] 17 : 18 4.5 17 : 19 ; 17 : 27 : 17 : 29 - 19 ; 23 interval 20 95 23 interval 21 % 23 interval 22 confidence 23 interval 23 interval 25 ci 23 interval 27 : 24 [ 25 ci 25 ci 26 ] 27 : 28 1.4 29 - 30 13.9 29 - 32 )(, 29 - 37 : 29 - 39 ; 32 )(, 36 or 33 severe 36 or 34 wmh 36 or 35 ( 36 or 36 or 37 : 37 : 38 3.9 39 ; 42 ci 39 ; 43 : 40 95 42 ci 41 % 42 ci 43 : 44 1.2 43 : 55 : 44 1.2 46 12.5 44 1.2 50 duration 45 - 46 12.5 46 12.5 47 ) 48 , 50 duration 50 duration 51 of 50 duration 55 : 51 of 52 surgery 52 surgery 54 or 53 ( 54 or 54 or 55 : 55 : 56 1.4 55 : 57 ; 55 : 66 . 57 ; 60 ci 57 ; 61 : 58 95 60 ci 59 % 60 ci 61 : 62 1.0 62 1.0 64 1.8 63 - 64 1.8 64 1.8 65 ) conclusions : the results of this study suggest that white - matter abnormality is one of the most important risk factors for development of delirium after cardiac surgery . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 14 is 2 : 29 . 3 the 4 results 4 results 5 of 4 results 8 suggest 5 of 7 study 6 this 7 study 8 suggest 13 abnormality 8 suggest 14 is 9 that 10 white 10 white 11 - 10 white 12 matter 12 matter 13 abnormality 14 is 15 one 14 is 21 factors 15 one 16 of 16 of 20 risk 17 the 20 risk 18 most 19 important 19 important 20 risk 21 factors 22 for 21 factors 24 of 22 for 23 development 24 of 25 delirium 25 delirium 26 after 26 after 28 surgery 27 cardiac 28 surgery these factors can be used for prediction and prevention of delirium following cardiac surgery . 0 ###LEFT-WALL### 2 factors 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 15 . 1 these 2 factors 2 factors 3 can 3 can 4 be 4 be 5 used 5 used 6 for 6 for 8 and 7 prediction 8 and 8 and 9 prevention 8 and 10 of 10 of 11 delirium 11 delirium 12 following 12 following 14 surgery 13 cardiac 14 surgery none previous studies indicate an important role for the cellular prion protein ( prp [(] c [ )( (in the development of alzheimer 's disease ( ad ) [pathology] . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 4 indicate 0 ###LEFT-WALL### 30 . 1 none 2 previous 1 none 3 studies 1 none 4 indicate 2 previous 3 studies 4 indicate 7 role 4 indicate 19 (in 5 an 6 important 5 an 7 role 6 important 7 role 7 role 8 for 8 for 12 protein 9 the 12 protein 10 cellular 11 prion 11 prion 12 protein 12 protein 14 prp 13 ( 14 prp 14 prp 16 c 14 prp 18 )( 19 (in 21 development 20 the 21 development 21 development 22 of 22 of 25 disease 23 alzheimer 24 's 24 's 25 disease 25 disease 27 ad 26 ( 27 ad 27 ad 28 ) in the present study , we analyzed the involvement of prp [(] c [ )(in different pathological mechanisms underlying ad : [the] processing of the amyloid - β protein precursor ( [aβpp] [ )(and its interaction with aβpp , tau , and different phosphorylated forms of the tau protein ( p - tau ) . 1 in 4 study 1 in 5 , 1 in 6 we 2 the 4 study 3 present 4 study 6 we 7 analyzed 7 analyzed 9 involvement 7 analyzed 15 )(in 8 the 9 involvement 9 involvement 10 of 10 of 11 prp 11 prp 13 c 15 )(in 18 mechanisms 16 different 18 mechanisms 17 pathological 18 mechanisms 18 mechanisms 19 underlying 18 mechanisms 23 processing 18 mechanisms 24 of 19 underlying 20 ad 19 underlying 21 : 21 : 23 processing 24 of 34 )(and 25 the 30 precursor 26 amyloid 27 - 26 amyloid 30 precursor 28 β 30 precursor 29 protein 30 precursor 30 precursor 34 )(and 31 ( 34 )(and 34 )(and 36 interaction 34 )(and 37 with 34 )(and 45 forms 35 its 36 interaction 37 with 38 aβpp 39 , 45 forms 40 tau 42 and 41 , 42 and 42 and 43 different 42 and 45 forms 44 phosphorylated 45 forms 45 forms 46 of 45 forms 55 . 46 of 49 protein 47 the 49 protein 48 tau 49 protein 49 protein 52 - 50 ( 52 - 51 p 52 - 52 - 53 tau 52 - 54 ) the effect of prp [(] c [ )(on tau expression was investigated in various cellular compartments using a hek293 cell model expressing a tau mutant ( 3po - tau ) or wild type ( wt ) - tau . 0 ###LEFT-WALL### 31 or 1 the 2 effect 2 effect 3 of 2 effect 31 or 3 of 4 prp 4 prp 6 c 4 prp 8 )(on 4 prp 12 investigated 8 )(on 9 tau 9 tau 10 expression 9 tau 11 was 10 expression 11 was 12 investigated 13 in 12 investigated 17 using 13 in 16 compartments 14 various 16 compartments 15 cellular 16 compartments 17 using 21 model 18 a 21 model 19 hek293 21 model 20 cell 21 model 21 model 22 expressing 21 model 29 tau 22 expressing 25 mutant 23 a 25 mutant 24 tau 25 mutant 26 ( 29 tau 27 3po 28 - 27 3po 29 tau 29 tau 30 ) 31 or 33 type 31 or 35 wt 31 or 38 tau 32 wild 33 type 34 ( 35 wt 35 wt 36 ) 37 - 38 tau 38 tau 39 . we could show that prp [(] c [ )(reduces aβpp [cleavage] , leading to decreased levels of aβ40 and saβpp without changing the protein expression of aβpp , β - secretase , [or] [γ] - secretase . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 35 - 0 ###LEFT-WALL### 37 . 1 we 2 could 2 could 3 show 3 show 4 that 4 that 5 prp 4 that 9 )(reduces 5 prp 7 c 5 prp 9 )(reduces 9 )(reduces 10 aβpp 9 )(reduces 13 leading 12 , 13 leading 13 leading 14 to 13 leading 21 without 13 leading 35 - 14 to 19 and 15 decreased 16 levels 16 levels 17 of 16 levels 19 and 17 of 18 aβ40 19 and 20 saβpp 21 without 22 changing 22 changing 25 expression 23 the 25 expression 24 protein 25 expression 25 expression 26 of 25 expression 29 β 26 of 27 aβpp 28 , 29 β 29 β 31 secretase 29 β 35 - 30 - 31 secretase 31 secretase 32 , 35 - 36 secretase tau and its phosphorylated forms were identified as interactions partners for prp [(] c [ )(, raising the question as to whether prp [(] c [ )(might also be involved in tau pathology . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 7 identified 0 ###LEFT-WALL### 16 )(, 0 ###LEFT-WALL### 34 . 1 tau 2 and 2 and 5 forms 2 and 6 were 3 its 5 forms 4 phosphorylated 5 forms 6 were 7 identified 7 identified 8 as 8 as 10 partners 9 interactions 10 partners 10 partners 11 for 11 for 12 prp 12 prp 14 c 16 )(, 17 raising 16 )(, 30 involved 17 raising 19 question 17 raising 21 to 17 raising 29 be 18 the 19 question 20 as 21 to 21 to 22 whether 22 whether 23 prp 22 whether 27 )(might 23 prp 25 c 23 prp 27 )(might 28 also 29 be 29 be 30 involved 30 involved 31 in 31 in 33 pathology 32 tau 33 pathology overexpression of prp [(] c [ )(in prnp and 3po - tau transfected cells resulted in a reduction of 3po - tau and [p] [-] tau as well as a decrease of 3po - tau - related toxicity . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 11 - 1 overexpression 2 of 1 overexpression 9 and 2 of 3 prp 3 prp 5 c 3 prp 7 )(in 7 )(in 8 prnp 9 and 10 3po 11 - 14 cells 11 - 15 resulted 11 - 21 - 12 tau 13 transfected 13 transfected 14 cells 14 cells 15 resulted 15 resulted 16 in 16 in 18 reduction 17 a 18 reduction 18 reduction 19 of 19 of 20 3po 21 - 23 and 22 tau 23 and 23 and 26 tau 23 and 27 as 27 as 28 well 28 well 29 as 28 well 32 of 29 as 31 decrease 30 a 31 decrease 32 of 35 tau 33 3po 34 - 33 3po 35 tau 35 tau 38 toxicity 36 - 38 toxicity 37 related 38 toxicity 38 toxicity 39 . in addition , we used the transgenic prp [(] c [ )( ( prnp0/0 ) mouse line to study the dynamics of tau phosphorylation , an important pathological hallmark in the pathogenesis of ad [in] [vivo] . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 used 1 in 2 addition 1 in 3 , 1 in 4 we 4 we 5 used 5 used 17 line 5 used 18 to 5 used 19 study 6 the 17 line 7 transgenic 16 mouse 8 prp 10 c 8 prp 14 prnp0/0 8 prp 16 mouse 13 ( 14 prnp0/0 14 prnp0/0 15 ) 16 mouse 17 line 18 to 19 study 19 study 21 dynamics 20 the 21 dynamics 21 dynamics 22 of 22 of 24 phosphorylation 23 tau 24 phosphorylation 24 phosphorylation 29 hallmark 25 , 29 hallmark 26 an 27 important 26 an 29 hallmark 27 important 29 hallmark 28 pathological 29 hallmark 29 hallmark 30 in 29 hallmark 33 of 29 hallmark 37 . 30 in 32 pathogenesis 31 the 32 pathogenesis 33 of 34 ad there , an effect of prp [(] c [ )(on tau expression could be observed under oxidative stress conditions but not during aging . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 , 0 ###LEFT-WALL### 24 . 2 , 4 effect 2 , 15 observed 3 an 4 effect 4 effect 5 of 4 effect 13 could 5 of 6 prp 6 prp 8 c 6 prp 10 )(on 10 )(on 12 expression 11 tau 12 expression 13 could 14 be 14 be 15 observed 15 observed 20 but 16 under 19 conditions 16 under 20 but 17 oxidative 18 stress 18 stress 19 conditions 20 but 21 not 20 but 22 during 22 during 23 aging in summary , we provide further evidence for interactions of prp [(] c [ )(with proteins that are known to be the key players in ad pathogenesis . 0 ###LEFT-WALL### 2 summary 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 28 . 1 in 2 summary 3 , 4 we 3 , 5 provide 4 we 5 provide 5 provide 7 evidence 6 further 7 evidence 7 evidence 8 for 8 for 9 interactions 9 interactions 10 of 9 interactions 15 )(with 9 interactions 17 that 9 interactions 18 are 10 of 11 prp 11 prp 13 c 15 )(with 16 proteins 17 that 18 are 18 are 19 known 19 known 20 to 19 known 21 be 20 to 21 be 21 be 24 players 22 the 24 players 23 key 24 players 24 players 25 in 25 in 27 pathogenesis 26 ad 27 pathogenesis we identified tau and its phosphorylated forms as potential prp - interactors and report a novel protective function of prp ( [c] [ )(in ad - like tau pathology . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 identified 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 30 . 1 we 2 identified 2 identified 4 and 2 identified 8 as 3 tau 4 and 4 and 7 forms 5 its 7 forms 6 phosphorylated 7 forms 8 as 10 prp 9 potential 10 prp 11 - 13 and 12 interactors 13 and 13 and 14 report 14 report 18 function 15 a 16 novel 15 a 18 function 16 novel 18 function 17 protective 18 function 18 function 19 of 18 function 27 like 19 of 20 prp 20 prp 24 )(in 21 ( 24 )(in 24 )(in 25 ad 24 )(in 26 - 27 like 29 pathology 28 tau 29 pathology mechanical loading of muscle action is concentrated at muscle attachment sites ; thus there may be a potential [for] site - specific variation in cortical bone thickness . 0 ###LEFT-WALL### 2 loading 0 ###LEFT-WALL### 7 concentrated 0 ###LEFT-WALL### 12 ; 1 mechanical 2 loading 2 loading 3 of 2 loading 6 is 3 of 5 action 4 muscle 5 action 6 is 7 concentrated 7 concentrated 8 at 8 at 9 muscle 9 muscle 10 attachment 9 muscle 11 sites 10 attachment 11 sites 12 ; 14 there 12 ; 16 be 13 thus 14 there 14 there 15 may 15 may 16 be 16 be 20 site 17 a 20 site 18 potential 20 site 20 site 23 variation 21 - 23 variation 22 specific 23 variation 23 variation 24 in 23 variation 28 . 24 in 27 thickness 25 cortical 27 thickness 26 bone 27 thickness humeri from an early [20th] - century finnish ( helsinki ) and two medieval english ( newcastle , blackgate and york , barbican [ )(populations were subjected to pqct scanning to calculate [site] - specific cross - sectional cortical bone area [(] ca [ )(for four locations and to measure cortical thickness at muscle attachment sites [and] [non] - attachment sites . 0 ###LEFT-WALL### 12 and 1 humeri 2 from 1 humeri 12 and 2 from 8 finnish 3 an 7 century 4 early 6 - 4 early 7 century 7 century 8 finnish 8 finnish 10 helsinki 9 ( 10 helsinki 10 helsinki 11 ) 12 and 15 english 12 and 20 and 13 two 15 english 14 medieval 15 english 16 ( 20 and 17 newcastle 18 , 18 , 19 blackgate 18 , 20 and 20 and 21 york 20 and 22 , 22 , 32 calculate 23 barbican 25 )(populations 25 )(populations 26 were 26 were 27 subjected 27 subjected 28 to 28 to 29 pqct 29 pqct 30 scanning 29 pqct 31 to 31 to 32 calculate 32 calculate 37 - 34 - 37 - 35 specific 36 cross 36 cross 37 - 37 - 43 ca 38 sectional 41 area 39 cortical 41 area 40 bone 41 area 41 area 43 ca 43 ca 48 and 43 ca 53 at 45 )(for 47 locations 45 )(for 48 and 46 four 47 locations 48 and 49 to 49 to 52 thickness 50 measure 52 thickness 51 cortical 52 thickness 53 at 56 sites 54 muscle 56 sites 55 attachment 56 sites 56 sites 61 sites 59 - 61 sites 60 attachment 61 sites 61 sites 62 . we found that ca at 80 % of humerus length was significantly reduced compared to more distal [cross] - sections , which can be due to reduced stresses at the proximal shaft . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 33 . 1 we 2 found 2 found 3 that 2 found 4 ca 2 found 5 at 5 at 7 % 6 80 7 % 7 % 8 of 8 of 9 humerus 9 humerus 10 length 9 humerus 11 was 9 humerus 13 reduced 9 humerus 14 compared 9 humerus 20 sections 10 length 11 was 11 was 12 significantly 14 compared 15 to 14 compared 17 distal 15 to 16 more 19 - 20 sections 20 sections 21 , 21 , 22 which 21 , 24 be 22 which 23 can 23 can 24 be 24 be 26 to 24 be 29 at 25 due 26 to 26 to 28 stresses 27 reduced 28 stresses 29 at 32 shaft 30 the 32 shaft 31 proximal 32 shaft the principal direction of loading at 80 % humerus length was towards mediolateral [plane] , likely due [to] fixing [the] humerus close to the torso . 0 ###LEFT-WALL### 3 direction 0 ###LEFT-WALL### 11 was 0 ###LEFT-WALL### 26 . 1 the 3 direction 2 principal 3 direction 3 direction 4 of 3 direction 11 was 4 of 5 loading 5 loading 6 at 5 loading 10 length 6 at 9 humerus 7 80 8 % 8 % 9 humerus 11 was 12 towards 11 was 23 to 12 towards 21 humerus 13 mediolateral 15 , 13 mediolateral 21 humerus 16 likely 21 humerus 17 due 21 humerus 19 fixing 21 humerus 22 close 23 to 23 to 25 torso 24 the 25 torso at 35 % the main direction of loading was towards anteroposterior plane [,] reflecting elbow flexing forces . 0 ###LEFT-WALL### 6 direction 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 18 . 1 at 3 % 1 at 6 direction 2 35 3 % 4 the 5 main 4 the 6 direction 6 direction 7 of 6 direction 9 was 7 of 8 loading 9 was 10 towards 10 towards 17 forces 11 anteroposterior 16 flexing 12 plane 16 flexing 14 reflecting 16 flexing 15 elbow 16 flexing 16 flexing 17 forces the principal direction of loading varied between populations , sides and sexes at 50 % humerus length due to preference [between] elbow and shoulder joint ; thus this location might be useful when trying to infer differences in activity . 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 26 ; 0 ###LEFT-WALL### 36 infer 0 ###LEFT-WALL### 40 . 1 the 3 direction 2 principal 3 direction 3 direction 4 of 3 direction 9 , 4 of 5 loading 5 loading 6 varied 5 loading 7 between 7 between 8 populations 9 , 22 elbow 9 , 23 and 10 sides 11 and 11 and 12 sexes 11 and 13 at 11 and 22 elbow 13 at 17 length 14 50 17 length 15 % 16 humerus 16 humerus 17 length 17 length 18 due 18 due 19 to 19 to 20 preference 23 and 25 joint 24 shoulder 25 joint 26 ; 27 thus 26 ; 31 be 27 thus 31 be 28 this 29 location 29 location 30 might 30 might 31 be 31 be 32 useful 32 useful 33 when 32 useful 35 to 32 useful 36 infer 33 when 34 trying 35 to 36 infer 36 infer 37 differences 36 infer 38 in 38 in 39 activity these changes are likely due to overall shaft adaptation to forces acting at the humerus . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 16 . 1 these 2 changes 2 changes 3 are 3 are 4 likely 4 likely 6 to 4 likely 10 to 5 due 6 to 6 to 9 adaptation 7 overall 8 shaft 8 shaft 9 adaptation 10 to 11 forces 11 forces 12 acting 12 acting 13 at 13 at 15 humerus 14 the 15 humerus in addition , we found a potential [for] site - specific variation in cortical thickness ; cortical bone [at] muscle attachment sites was significantly thicker compared [to] [non] [-] attachment sites . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 16 ; 0 ###LEFT-WALL### 32 . 1 in 2 addition 1 in 3 , 1 in 4 we 4 we 5 found 5 found 9 site 6 a 7 potential 6 a 9 site 7 potential 9 site 9 site 12 variation 10 - 12 variation 11 specific 12 variation 12 variation 13 in 12 variation 16 ; 13 in 15 thickness 14 cortical 15 thickness 16 ; 20 muscle 16 ; 23 was 17 cortical 20 muscle 18 bone 20 muscle 20 muscle 21 attachment 20 muscle 22 sites 20 muscle 23 was 21 attachment 22 sites 23 was 24 significantly 23 was 31 sites 25 thicker 30 attachment 26 compared 30 attachment 30 attachment 31 sites lastly , ca at 35 % of humerus length and cortical thickness at [non] [-] attachment sites decreased with age . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 18 decreased 0 ###LEFT-WALL### 21 . 1 lastly 2 , 1 lastly 10 and 3 ca 4 at 3 ca 10 and 4 at 6 % 5 35 6 % 6 % 7 of 7 of 9 length 8 humerus 9 length 10 and 12 thickness 10 and 13 at 10 and 18 decreased 11 cortical 12 thickness 13 at 17 sites 16 attachment 17 sites 18 decreased 19 with 19 with 20 age these results underline the importance of muscle loading for bone mass preservation as well as [indicate] that a site - specific variation [of] [bone] [mass] is possible . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 underline 0 ###LEFT-WALL### 20 - 1 these 2 results 2 results 3 underline 3 underline 5 importance 4 the 5 importance 5 importance 6 of 5 importance 8 loading 6 of 7 muscle 8 loading 9 for 8 loading 14 well 8 loading 15 as 8 loading 19 site 9 for 12 preservation 10 bone 12 preservation 11 mass 12 preservation 13 as 14 well 15 as 17 that 18 a 19 site 20 - 22 variation 20 - 26 is 20 - 28 . 21 specific 22 variation 22 variation 26 is 26 is 27 possible changes in subsistence strategy have caused some of the profoundest changes to the structure and health of humans . 0 ###LEFT-WALL### 1 changes 0 ###LEFT-WALL### 6 caused 0 ###LEFT-WALL### 19 . 1 changes 2 in 1 changes 5 have 2 in 4 strategy 3 subsistence 4 strategy 5 have 6 caused 6 caused 11 changes 6 caused 12 to 7 some 8 of 7 some 11 changes 8 of 11 changes 9 the 10 profoundest 9 the 11 changes 12 to 15 and 13 the 14 structure 14 structure 15 and 15 and 16 health 15 and 17 of 17 of 18 humans this study aims to test whether these changes have reduced work - load as assessed by entheseal changes . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 12 - 1 this 2 study 2 study 3 aims 3 aims 4 to 3 aims 5 test 4 to 5 test 5 test 6 whether 6 whether 8 changes 6 whether 10 reduced 7 these 8 changes 8 changes 9 have 9 have 10 reduced 10 reduced 11 work 12 - 13 load 12 - 19 . 13 load 15 assessed 13 load 16 by 14 as 15 assessed 16 by 18 changes 17 entheseal 18 changes entheseal changes , formerly called musculoskeletal stress markers , are thought to reflect muscle usage throughout life , although it is widely agreed that they have a multifactorial origin . 0 ###LEFT-WALL### 2 changes 0 ###LEFT-WALL### 11 thought 1 entheseal 2 changes 2 changes 5 called 2 changes 10 are 3 , 5 called 4 formerly 5 called 5 called 8 markers 5 called 9 , 6 musculoskeletal 7 stress 7 stress 8 markers 10 are 11 thought 11 thought 12 to 11 thought 16 throughout 11 thought 19 although 12 to 13 reflect 13 reflect 15 usage 14 muscle 15 usage 16 throughout 17 life 18 , 19 although 19 although 20 it 19 although 23 agreed 19 although 30 . 20 it 21 is 21 is 22 widely 21 is 23 agreed 23 agreed 24 that 24 that 25 they 24 that 26 have 25 they 26 have 26 have 29 origin 27 a 29 origin 28 multifactorial 29 origin this paper uses a meta - analysis of comparable published data to plot trends in time by muscle , enthesis type and sex . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 uses 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 24 . 1 this 2 paper 2 paper 3 uses 3 uses 7 analysis 3 uses 12 to 3 uses 13 plot 4 a 5 meta 4 a 7 analysis 5 meta 6 - 5 meta 7 analysis 7 analysis 8 of 8 of 11 data 9 comparable 11 data 10 published 11 data 12 to 13 plot 13 plot 14 trends 13 plot 15 in 13 plot 17 by 15 in 16 time 17 by 18 muscle 19 , 20 enthesis 19 , 22 and 20 enthesis 22 and 21 type 22 and 22 and 23 sex the results show that agriculturalists have the lowest scores for entheseal changes , with hunte - gatherers next [highest] and [those] working in industry the highest . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 27 . 1 the 2 results 2 results 3 show 3 show 4 that 4 that 5 agriculturalists 4 that 6 have 5 agriculturalists 6 have 6 have 8 lowest 7 the 8 lowest 8 lowest 20 and 9 scores 10 for 9 scores 17 gatherers 9 scores 18 next 9 scores 20 and 10 for 12 changes 11 entheseal 12 changes 12 changes 14 with 13 , 14 with 14 with 15 hunte 14 with 16 - 20 and 22 working 20 and 23 in 20 and 26 highest 23 in 24 industry 25 the 26 highest these findings are the same for males and females , for most muscles and muscle groups . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 are 1 these 2 findings 2 findings 3 are 3 are 5 same 4 the 5 same 5 same 6 for 5 same 11 for 6 for 8 and 7 males 8 and 8 and 9 females 10 , 11 for 11 for 14 and 11 for 17 . 12 most 13 muscles 13 muscles 14 and 14 and 16 groups 15 muscle 16 groups however , entheseal changes are highly correlated with increased age and the age distributions of the samples analysed could not be compared . 0 ###LEFT-WALL### 4 changes 0 ###LEFT-WALL### 7 correlated 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 23 . 1 however 2 , 1 however 4 changes 3 entheseal 4 changes 4 changes 5 are 5 are 6 highly 5 are 7 correlated 7 correlated 8 with 8 with 10 age 9 increased 10 age 11 and 14 distributions 11 and 22 compared 12 the 14 distributions 13 age 14 distributions 14 distributions 15 of 14 distributions 19 could 15 of 17 samples 16 the 17 samples 17 samples 18 analysed 19 could 20 not 19 could 21 be 21 be 22 compared it is , therefore , possible that differences in age distribution of the samples are one of the reasons for this finding . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 23 . 1 it 2 is 2 is 4 therefore 2 is 6 possible 3 , 4 therefore 4 therefore 5 , 6 possible 7 that 7 that 8 differences 7 that 15 are 8 differences 9 in 8 differences 15 are 9 in 11 distribution 10 age 11 distribution 11 distribution 12 of 12 of 14 samples 13 the 14 samples 15 are 16 one 16 one 17 of 17 of 19 reasons 18 the 19 reasons 19 reasons 20 for 20 for 22 finding 21 this 22 finding recommendations are provided to reduce this and other limitations for future meta - analyses . 0 ###LEFT-WALL### 1 recommendations 0 ###LEFT-WALL### 3 provided 0 ###LEFT-WALL### 15 . 1 recommendations 2 are 2 are 3 provided 3 provided 4 to 4 to 5 reduce 5 reduce 7 and 6 this 7 and 7 and 9 limitations 7 and 10 for 8 other 9 limitations 10 for 14 analyses 11 future 14 analyses 12 meta 13 - 12 meta 14 analyses this study aimed to create a thick hydroxyapatite ( ha ) film on the surface of a human tooth via a powder jet deposition ( pjd ) [device] for dental handpieces , and to [examine] the microstructural and mechanical properties of the ha film . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 aimed 0 ###LEFT-WALL### 45 . 1 this 2 study 2 study 3 aimed 3 aimed 4 to 3 aimed 5 create 4 to 5 create 5 create 12 film 5 create 13 on 5 create 20 via 5 create 33 and 6 a 7 thick 6 a 12 film 7 thick 12 film 8 hydroxyapatite 10 ha 8 hydroxyapatite 11 ) 8 hydroxyapatite 12 film 9 ( 10 ha 10 ha 11 ) 13 on 15 surface 14 the 15 surface 15 surface 16 of 16 of 19 tooth 17 a 19 tooth 18 human 19 tooth 20 via 24 deposition 21 a 22 powder 21 a 24 deposition 22 powder 23 jet 23 jet 24 deposition 24 deposition 26 pjd 25 ( 26 pjd 26 pjd 27 ) 29 for 31 handpieces 29 for 33 and 30 dental 31 handpieces 32 , 33 and 33 and 34 to 34 to 40 properties 36 the 40 properties 37 microstructural 38 and 38 and 39 mechanical 38 and 40 properties 40 properties 41 of 41 of 44 film 42 the 44 film 43 ha 44 film in particular , the effects of thermal stress on this film were evaluated . 0 ###LEFT-WALL### 5 effects 0 ###LEFT-WALL### 13 evaluated 0 ###LEFT-WALL### 14 . 1 in 2 particular 2 particular 3 , 2 particular 5 effects 4 the 5 effects 5 effects 6 of 5 effects 12 were 6 of 8 stress 7 thermal 8 stress 8 stress 9 on 9 on 11 film 10 this 11 film 12 were 13 evaluated the ha film was created by blasting 3.18 [-] μm ha particles , calcinated at 1,200 °c , onto the enamel substrate at room temperature and atmospheric pressure . 0 ###LEFT-WALL### 3 film 0 ###LEFT-WALL### 13 , 1 the 3 film 2 ha 3 film 3 film 13 , 4 was 5 created 4 was 13 , 5 created 6 by 6 by 7 blasting 7 blasting 12 particles 8 3.18 10 μm 10 μm 12 particles 11 ha 12 particles 13 , 14 calcinated 13 , 15 at 13 , 19 onto 15 at 17 °c 16 1,200 17 °c 18 , 19 onto 19 onto 22 substrate 19 onto 29 . 20 the 22 substrate 21 enamel 22 substrate 22 substrate 23 at 23 at 26 and 24 room 25 temperature 25 temperature 26 and 26 and 28 pressure 27 atmospheric 28 pressure an ha film with an area of 3 mm × 3 [mm] was prepared and polished . 0 ###LEFT-WALL### 3 film 0 ###LEFT-WALL### 13 was 0 ###LEFT-WALL### 17 . 1 an 3 film 2 ha 3 film 3 film 4 with 3 film 13 was 4 with 6 area 5 an 6 area 6 area 7 of 7 of 10 × 8 3 9 mm 9 mm 10 × 10 × 11 3 13 was 15 and 14 prepared 15 and 15 and 16 polished the following ha film parameters were evaluated from the three - dimensional surface profile : surface roughness , vickers hardness , and bonding strength before and after artificial aging induced by 500 cycles of thermal cycling ( 5 - 55 °c ) . 0 ###LEFT-WALL### 5 parameters 0 ###LEFT-WALL### 7 evaluated 0 ###LEFT-WALL### 15 : 0 ###LEFT-WALL### 43 . 1 the 5 parameters 2 following 5 parameters 3 ha 4 film 4 film 5 parameters 5 parameters 6 were 6 were 7 evaluated 7 evaluated 8 from 8 from 10 three 9 the 10 three 10 three 14 profile 11 - 14 profile 12 dimensional 13 surface 13 surface 14 profile 14 profile 15 : 15 : 22 and 16 surface 17 roughness 17 roughness 18 , 18 , 20 hardness 18 , 22 and 19 vickers 20 hardness 21 , 22 and 22 and 24 strength 22 and 26 and 22 and 30 induced 22 and 34 of 23 bonding 24 strength 25 before 26 and 26 and 27 after 27 after 29 aging 28 artificial 29 aging 30 induced 31 by 31 by 33 cycles 32 500 33 cycles 34 of 36 cycling 35 thermal 36 cycling 36 cycling 38 5 36 cycling 41 °c 37 ( 38 5 38 5 39 - 39 - 41 °c 40 55 41 °c 41 °c 42 ) the ha particles in the deposited film were densely packed , and the surface of the ha film was unchanged after thermal cycling . 0 ###LEFT-WALL### 3 particles 0 ###LEFT-WALL### 10 packed 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 24 . 1 the 3 particles 2 ha 3 particles 3 particles 4 in 3 particles 8 were 4 in 7 film 5 the 7 film 6 deposited 7 film 8 were 9 densely 8 were 10 packed 11 , 12 and 12 and 14 surface 12 and 19 was 13 the 14 surface 14 surface 15 of 14 surface 19 was 15 of 18 film 16 the 18 film 17 ha 18 film 19 was 20 unchanged 20 unchanged 21 after 21 after 23 cycling 22 thermal 23 cycling there were also no significant differences in the hardness and the bonding strength of the ha film before and after thermal cycling . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 23 . 1 there 2 were 2 were 3 also 2 were 6 differences 2 were 7 in 4 no 6 differences 5 significant 6 differences 7 in 10 and 8 the 9 hardness 9 hardness 10 and 10 and 13 strength 10 and 14 of 11 the 13 strength 12 bonding 13 strength 14 of 17 film 15 the 17 film 16 ha 17 film 17 film 19 and 18 before 19 and 19 and 20 after 20 after 22 cycling 21 thermal 22 cycling the ha film created in this study demonstrated excellent microstructural and mechanical properties , even after the application of thermal stress . 0 ###LEFT-WALL### 3 film 0 ###LEFT-WALL### 8 demonstrated 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 22 . 1 the 3 film 2 ha 3 film 3 film 4 created 3 film 8 demonstrated 4 created 5 in 5 in 7 study 6 this 7 study 8 demonstrated 13 properties 9 excellent 13 properties 10 microstructural 11 and 11 and 12 mechanical 11 and 13 properties 14 , 15 even 15 even 16 after 16 after 18 application 17 the 18 application 18 application 19 of 19 of 21 stress 20 thermal 21 stress in an aging society , research involving neurodegenerative disorders is of paramount importance . 0 ###LEFT-WALL### 6 research 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 14 . 1 in 4 society 1 in 5 , 1 in 6 research 2 an 4 society 3 aging 4 society 6 research 7 involving 6 research 10 is 7 involving 9 disorders 8 neurodegenerative 9 disorders 10 is 11 of 11 of 13 importance 12 paramount 13 importance over the past few years , research on alzheimer ['s] and parkinson 's diseases has made tremendous progress . 0 ###LEFT-WALL### 7 research 0 ###LEFT-WALL### 16 made 0 ###LEFT-WALL### 19 . 1 over 5 years 1 over 6 , 1 over 7 research 2 the 3 past 2 the 4 few 4 few 5 years 7 research 8 on 7 research 15 has 8 on 11 and 9 alzheimer 11 and 11 and 14 diseases 12 parkinson 13 's 13 's 14 diseases 15 has 16 made 16 made 18 progress 17 tremendous 18 progress experimental studies , however , rely mostly on transgenic animal models , preferentially using mice . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 6 rely 1 experimental 2 studies 2 studies 6 rely 3 , 4 however 4 however 5 , 4 however 6 rely 6 rely 7 mostly 7 mostly 8 on 8 on 11 models 9 transgenic 10 animal 10 animal 11 models 11 models 14 using 12 , 14 using 13 preferentially 14 using 14 using 15 mice 14 using 16 . although experiments on mice have enormous advantages , they also have some inherent limitations , some of which can be overcome by the use of drosophila [melanogaster] as an experimental animal . 0 ###LEFT-WALL### 9 they 0 ###LEFT-WALL### 11 have 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 32 . 1 although 2 experiments 1 although 5 have 1 although 8 , 1 although 9 they 2 experiments 3 on 2 experiments 5 have 3 on 4 mice 5 have 7 advantages 6 enormous 7 advantages 9 they 11 have 10 also 11 have 11 have 14 limitations 12 some 14 limitations 13 inherent 14 limitations 15 , 16 some 15 , 21 overcome 16 some 17 of 16 some 19 can 17 of 18 which 19 can 20 be 20 be 21 overcome 21 overcome 22 by 21 overcome 28 as 22 by 24 use 23 the 24 use 24 use 25 of 25 of 26 drosophila 28 as 31 animal 29 an 30 experimental 29 an 31 animal 30 experimental 31 animal among the major advantages of using the fly is its small genome , which can also be modified very easily . 0 ###LEFT-WALL### 1 among 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 21 . 1 among 4 advantages 1 among 9 is 2 the 4 advantages 3 major 4 advantages 4 advantages 5 of 5 of 6 using 6 using 8 fly 7 the 8 fly 9 is 12 genome 10 its 12 genome 11 small 12 genome 13 , 14 which 13 , 18 modified 14 which 15 can 15 can 17 be 16 also 17 be 17 be 18 modified 18 modified 20 easily 19 very 20 easily the fact that its genome lends itself to diverse alterations ( [e] [.] [g] [.] mutagenesis , transposons ) has made the fly a useful organism to perform large - [scale] and genome - wide screening approaches . 0 ###LEFT-WALL### 2 fact 0 ###LEFT-WALL### 21 made 0 ###LEFT-WALL### 34 - 1 the 2 fact 2 fact 3 that 2 fact 6 lends 2 fact 18 transposons 2 fact 20 has 3 that 5 genome 3 that 6 lends 4 its 5 genome 5 genome 6 lends 6 lends 7 itself 6 lends 8 to 8 to 10 alterations 9 diverse 10 alterations 10 alterations 16 mutagenesis 11 ( 16 mutagenesis 16 mutagenesis 17 , 17 , 18 transposons 18 transposons 19 ) 20 has 21 made 21 made 23 fly 21 made 26 organism 21 made 27 to 22 the 23 fly 24 a 26 organism 25 useful 26 organism 27 to 28 perform 28 perform 32 and 29 large 32 and 30 - 32 and 32 and 33 genome 34 - 37 approaches 34 - 38 . 35 wide 37 approaches 36 screening 37 approaches this has opened up an entirely new field of experimental research aiming to elucidate genetic interactions and screen for modifiers of disease processes in vivo . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 opened 0 ###LEFT-WALL### 26 . 1 this 2 has 2 has 3 opened 3 opened 4 up 3 opened 8 field 3 opened 19 for 3 opened 25 vivo 5 an 6 entirely 5 an 8 field 6 entirely 7 new 7 new 8 field 8 field 9 of 8 field 12 aiming 9 of 11 research 10 experimental 11 research 12 aiming 13 to 12 aiming 17 and 13 to 17 and 14 elucidate 16 interactions 14 elucidate 17 and 15 genetic 16 interactions 17 and 18 screen 19 for 20 modifiers 20 modifiers 21 of 21 of 23 processes 22 disease 23 processes 24 in 25 vivo here , we provide a brief overview of how flies can be used to analyze molecular mechanisms underlying human neurodegenerative diseases . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 provide 0 ###LEFT-WALL### 22 . 1 here 2 , 1 here 3 we 3 we 4 provide 4 provide 7 overview 5 a 7 overview 6 brief 7 overview 7 overview 8 of 8 of 9 how 9 how 10 flies 9 how 13 used 10 flies 11 can 11 can 12 be 12 be 13 used 13 used 14 to 13 used 15 analyze 14 to 15 analyze 15 analyze 17 mechanisms 16 molecular 17 mechanisms 17 mechanisms 18 underlying 18 underlying 21 diseases 19 human 21 diseases 20 neurodegenerative 21 diseases this discussion paper identifies four core factors currently impeding the application of the dignity of risk principle in residential aged care settings in victoria , [australia] [:] the fluctuating decision - making ability of residents [;] multiple participants in decision [-] making [;] discordance between espoused values and actions [;] and confusion and fear around legal responsibilities of care providers . 0 ###LEFT-WALL### 3 paper 0 ###LEFT-WALL### 4 identifies 1 this 3 paper 2 discussion 3 paper 3 paper 4 identifies 4 identifies 7 factors 5 four 6 core 6 core 7 factors 7 factors 9 impeding 8 currently 9 impeding 9 impeding 11 application 9 impeding 18 in 10 the 11 application 11 application 12 of 12 of 14 dignity 13 the 14 dignity 14 dignity 15 of 15 of 17 principle 16 risk 17 principle 18 in 22 settings 19 residential 22 settings 20 aged 22 settings 21 care 22 settings 22 settings 23 in 22 settings 32 making 23 in 24 victoria 24 victoria 30 decision 25 , 30 decision 28 the 30 decision 29 fluctuating 30 decision 30 decision 31 - 32 making 33 ability 33 ability 34 of 33 ability 45 between 34 of 38 participants 35 residents 38 participants 37 multiple 38 participants 38 participants 39 in 39 in 44 discordance 40 decision 44 discordance 42 making 44 discordance 45 between 53 and 46 espoused 47 values 47 values 48 and 48 and 49 actions 48 and 51 and 51 and 52 confusion 51 and 53 and 53 and 54 fear 53 and 61 . 54 fear 55 around 54 fear 58 of 55 around 57 responsibilities 56 legal 57 responsibilities 58 of 60 providers 59 care 60 providers potential solutions identified include a conceptual shift in approach [and] consensus between key stakeholders , as well as more tangible solutions such as education and point - of [-] care decision support tools . 0 ###LEFT-WALL### 2 solutions 0 ###LEFT-WALL### 4 include 1 potential 2 solutions 2 solutions 3 identified 2 solutions 4 include 4 include 7 shift 4 include 8 in 4 include 12 between 4 include 16 as 5 a 6 conceptual 5 a 7 shift 6 conceptual 7 shift 8 in 11 consensus 9 approach 11 consensus 12 between 14 stakeholders 13 key 14 stakeholders 15 , 16 as 16 as 25 and 16 as 34 . 17 well 18 as 17 well 23 as 17 well 25 and 18 as 21 solutions 19 more 20 tangible 20 tangible 21 solutions 22 such 23 as 23 as 24 education 25 and 26 point 25 and 28 of 27 - 28 of 28 of 33 tools 28 of 34 . 30 care 32 support 31 decision 32 support 32 support 33 tools aim : to investigate processes at the end of life for patients who died in a subacute evaluation and management facility for older people . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 3 to 2 : 4 investigate 3 to 4 investigate 4 investigate 5 processes 4 investigate 6 at 4 investigate 15 in 6 at 8 end 7 the 8 end 8 end 9 of 9 of 10 life 10 life 11 for 11 for 12 patients 12 patients 13 who 12 patients 14 died 13 who 14 died 15 in 19 and 16 a 17 subacute 16 a 18 evaluation 17 subacute 18 evaluation 18 evaluation 19 and 19 and 21 facility 19 and 22 for 20 management 21 facility 22 for 24 people 23 older 24 people methods : a retrospective chart audit for patients ( n = 55 ) who died in the previous 2 years was undertaken , recording a number of significant variables . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 6 audit 2 : 22 undertaken 3 a 4 retrospective 3 a 6 audit 4 retrospective 5 chart 5 chart 6 audit 6 audit 7 for 6 audit 14 who 6 audit 15 died 6 audit 21 was 7 for 8 patients 8 patients 11 = 9 ( 11 = 10 n 11 = 11 = 12 55 11 = 13 ) 14 who 15 died 15 died 16 in 16 in 20 years 17 the 18 previous 17 the 19 2 19 2 20 years 21 was 22 undertaken 22 undertaken 24 recording 23 , 24 recording 24 recording 29 variables 24 recording 30 . 25 a 26 number 26 number 27 of 26 number 29 variables 27 of 29 variables 28 significant 29 variables results : despite diagnosis of comorbid medical conditions , most participants were admitted for improved functioning or assessment for alternative accommodation . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 10 most 2 : 15 improved 2 : 22 . 3 despite 4 diagnosis 3 despite 9 , 3 despite 10 most 4 diagnosis 5 of 5 of 8 conditions 6 comorbid 8 conditions 7 medical 8 conditions 10 most 11 participants 10 most 14 for 10 most 15 improved 11 participants 12 were 12 were 13 admitted 13 admitted 14 for 15 improved 17 or 16 functioning 17 or 17 or 18 assessment 17 or 19 for 19 for 21 accommodation 20 alternative 21 accommodation consistent with this focus , the key contact person was most often an allied health team member . 0 ###LEFT-WALL### 9 person 0 ###LEFT-WALL### 10 was 0 ###LEFT-WALL### 18 . 1 consistent 2 with 1 consistent 5 , 1 consistent 9 person 2 with 4 focus 3 this 4 focus 6 the 9 person 7 key 9 person 8 contact 9 person 9 person 10 was 10 was 12 often 10 was 17 member 11 most 12 often 13 an 17 member 14 allied 15 health 15 health 17 member 16 team 17 member not for resuscitation order [and/or] power of attorney documents on admission were uncommon ( < 30 % ) [as] [were] referrals to palliative care specialist staff ( 13 % ) , [although] an end - of [-] life discussion was recorded [(] 90 % [ )(and often included as a new goal of care ( 71 % [ )( 0 ###LEFT-WALL### 3 resuscitation 0 ###LEFT-WALL### 12 were 1 not 2 for 1 not 3 resuscitation 3 resuscitation 6 power 3 resuscitation 9 documents 3 resuscitation 12 were 4 order 6 power 6 power 7 of 6 power 9 documents 7 of 8 attorney 9 documents 10 on 10 on 11 admission 12 were 21 referrals 13 uncommon 17 % 13 uncommon 21 referrals 14 ( 17 % 15 < 16 30 16 30 17 % 17 % 18 ) 21 referrals 22 to 22 to 26 staff 23 palliative 26 staff 24 care 25 specialist 25 specialist 26 staff 26 staff 29 % 26 staff 34 end 26 staff 36 of 27 ( 29 % 28 13 29 % 29 % 30 ) 31 , 34 end 33 an 34 end 34 end 35 - 36 of 38 life 38 life 39 discussion 38 life 46 )(and 39 discussion 40 was 40 was 46 )(and 41 recorded 44 % 41 recorded 46 )(and 43 90 44 % 46 )(and 48 included 46 )(and 49 as 47 often 48 included 49 as 52 goal 50 a 52 goal 51 new 52 goal 52 goal 53 of 53 of 54 care 54 care 57 % 55 ( 57 % 56 71 57 % 57 % 59 )( conclusion : factors likely to improve end - of [-] life care include advance care planning , earlier recognition [of] short prognosis and staff education . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 factors 2 : 7 end 2 : 8 - 3 factors 4 likely 3 factors 7 end 4 likely 5 to 4 likely 6 improve 5 to 6 improve 8 - 13 include 8 - 26 . 9 of 12 care 9 of 13 include 11 life 12 care 13 include 23 and 14 advance 16 planning 15 care 16 planning 16 planning 17 , 17 , 22 prognosis 17 , 23 and 18 earlier 19 recognition 19 recognition 21 short 21 short 22 prognosis 23 and 25 education 24 staff 25 education aim : to quantify the size and scope of the operational burden for a large ambulance service arising from older people who have fallen and to describe this population . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 quantify 2 : 30 . 3 to 4 quantify 4 quantify 7 and 4 quantify 19 from 5 the 6 size 6 size 7 and 7 and 8 scope 7 and 9 of 9 of 12 burden 10 the 12 burden 11 operational 12 burden 12 burden 13 for 13 for 17 service 14 a 15 large 14 a 17 service 15 large 16 ambulance 16 ambulance 17 service 17 service 18 arising 19 from 21 people 20 older 21 people 21 people 22 who 21 people 25 and 22 who 25 and 23 have 24 fallen 23 have 25 and 25 and 26 to 25 and 27 describe 26 to 27 describe 27 describe 29 population 28 this 29 population methods : retrospective analysis of ambulance records from new south wales , australia for emergency calls classified [as] ['] falls ['] in the period 1 july 2008 to 30 june 2009 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 32 . 1 methods 2 : 2 : 4 analysis 3 retrospective 4 analysis 4 analysis 5 of 4 analysis 8 from 5 of 7 records 6 ambulance 7 records 8 from 11 wales 9 new 10 south 10 south 11 wales 12 , 13 australia 12 , 20 falls 13 australia 14 for 13 australia 17 classified 13 australia 20 falls 14 for 16 calls 15 emergency 16 calls 20 falls 22 in 20 falls 26 july 20 falls 28 to 22 in 24 period 23 the 24 period 25 1 26 july 26 july 27 2008 28 to 30 june 29 30 30 june 30 june 31 2009 results : there were 42 331 responses to people aged 65 years or older , constituting 5.1 % of total emergency workload . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 were 2 : 3 there 2 : 4 were 3 there 4 were 4 were 7 responses 4 were 13 or 5 42 7 responses 6 331 7 responses 7 responses 8 to 7 responses 10 aged 8 to 9 people 10 aged 11 65 12 years 13 or 13 or 14 older 14 older 16 constituting 15 , 16 constituting 16 constituting 18 % 16 constituting 23 . 17 5.1 18 % 18 % 19 of 19 of 22 workload 20 total 21 emergency 21 emergency 22 workload the median age of patients was 83 ( interquartile range 76 - 87 ) and 62 % were women . 0 ###LEFT-WALL### 3 age 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 20 . 1 the 3 age 2 median 3 age 3 age 4 of 3 age 6 was 4 of 5 patients 6 was 7 83 7 83 10 range 8 ( 10 range 9 interquartile 10 range 10 range 12 - 10 range 14 ) 11 76 12 - 12 - 13 87 15 and 17 % 15 and 18 were 16 62 17 % 17 % 18 were 18 were 19 women the transport rate was 76 % . 0 ###LEFT-WALL### 3 rate 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 7 . 1 the 3 rate 2 transport 3 rate 3 rate 4 was 4 was 6 % 5 76 6 % transport to hospital was more likely during the day [(] odds ratio [(] or [ )(1.8 , 95 % confidence interval ( ci ) [1.7] - 1.9 [ )( on weekends ( or 1.06 , 95%ci 1.0 - 1.1 ) . 0 ###LEFT-WALL### 1 transport 0 ###LEFT-WALL### 4 was 1 transport 2 to 1 transport 4 was 2 to 3 hospital 4 was 5 more 4 was 6 likely 6 likely 7 during 7 during 14 or 8 the 12 ratio 9 day 12 ratio 11 odds 12 ratio 12 ratio 14 or 14 or 16 )(1.8 14 or 26 - 17 , 26 - 18 95 21 interval 19 % 20 confidence 20 confidence 21 interval 21 interval 23 ci 21 interval 26 - 22 ( 23 ci 23 ci 24 ) 26 - 27 1.9 27 1.9 30 on 30 on 31 weekends 31 weekends 33 or 32 ( 33 or 33 or 34 1.06 33 or 36 95%ci 33 or 41 . 35 , 36 95%ci 36 95%ci 38 - 36 95%ci 40 ) 37 1.0 38 - 38 - 39 1.1 conclusion : [falls] by older people constitute approximately 5 % of all emergency responses , of which one quarter are not transported to emergency [department] ( ed ) after paramedic assessment . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 7 constitute 4 by 6 people 4 by 7 constitute 5 older 6 people 7 constitute 10 % 7 constitute 29 after 8 approximately 9 5 9 5 10 % 10 % 11 of 11 of 14 responses 12 all 14 responses 13 emergency 14 responses 14 responses 16 of 15 , 16 of 16 of 17 which 16 of 28 ) 17 which 19 quarter 17 which 20 are 18 one 19 quarter 19 quarter 20 are 20 are 21 not 20 are 23 to 21 not 22 transported 23 to 24 emergency 24 emergency 27 ed 26 ( 27 ed 27 ed 28 ) 29 after 31 assessment 30 paramedic 31 assessment increasing the sophistication of ambulance dispatch processes to older people who have fallen , and continuing with the development of new models of care aimed at decreasing unnecessary transports to the eds , should be a priority when planning ambulance service delivery for older people who have fallen . 0 ###LEFT-WALL### 1 increasing 0 ###LEFT-WALL### 33 , 0 ###LEFT-WALL### 49 . 1 increasing 15 and 1 increasing 17 with 1 increasing 33 , 2 the 3 sophistication 3 sophistication 4 of 3 sophistication 8 to 3 sophistication 15 and 4 of 7 processes 5 ambulance 6 dispatch 6 dispatch 7 processes 8 to 10 people 9 older 10 people 10 people 11 who 10 people 12 have 11 who 12 have 12 have 13 fallen 14 , 15 and 15 and 16 continuing 17 with 19 development 18 the 19 development 19 development 20 of 19 development 23 of 20 of 22 models 21 new 22 models 23 of 24 care 25 aimed 26 at 25 aimed 33 , 26 at 27 decreasing 27 decreasing 29 transports 27 decreasing 30 to 28 unnecessary 29 transports 30 to 32 eds 31 the 32 eds 33 , 34 should 33 , 38 when 33 , 43 for 34 should 35 be 35 be 37 priority 36 a 37 priority 38 when 39 planning 39 planning 42 delivery 40 ambulance 41 service 41 service 42 delivery 43 for 45 people 44 older 45 people 45 people 46 who 45 people 47 have 46 who 47 have 47 have 48 fallen aims [:] ( 1 ) [to] identify factors that older adults find encouraging or discouraging about the prospect of relocation to a retirement village [;] [and] ( 2 ) to identify features or facilities often associated with retirement communities that are most appealing to prospective residents [.] 0 ###LEFT-WALL### 1 aims 0 ###LEFT-WALL### 7 identify 1 aims 4 1 1 aims 7 identify 3 ( 4 1 4 1 5 ) 7 identify 8 factors 8 factors 9 that 8 factors 12 find 9 that 11 adults 9 that 12 find 10 older 11 adults 11 adults 12 find 12 find 14 or 12 find 16 about 13 encouraging 14 or 14 or 15 discouraging 16 about 18 prospect 17 the 18 prospect 18 prospect 19 of 19 of 20 relocation 20 relocation 21 to 20 relocation 30 to 20 relocation 31 identify 21 to 24 village 22 a 23 retirement 22 a 24 village 23 retirement 24 village 24 village 28 2 27 ( 28 2 28 2 29 ) 30 to 31 identify 31 identify 33 or 32 features 33 or 33 or 34 facilities 33 or 36 associated 33 or 37 with 33 or 40 that 33 or 41 are 35 often 36 associated 37 with 39 communities 38 retirement 39 communities 40 that 41 are 41 are 42 most 41 are 43 appealing 43 appealing 44 to 44 to 46 residents 45 prospective 46 residents method : randomly selected community residents ( n = 517 ) , aged 55 - 94 years , from the australian capital territory completed postal surveys to identify the characteristics associated with retirement villages that influence relocation decisions . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 39 . 1 method 2 : 2 : 12 , 3 randomly 4 selected 4 selected 6 residents 4 selected 9 = 4 selected 12 , 5 community 6 residents 7 ( 9 = 8 n 9 = 9 = 10 517 9 = 11 ) 12 , 13 aged 13 aged 17 years 14 55 15 - 15 - 16 94 15 - 17 years 18 , 23 territory 18 , 28 identify 19 from 21 australian 19 from 23 territory 20 the 21 australian 22 capital 23 territory 23 territory 24 completed 24 completed 26 surveys 24 completed 27 to 25 postal 26 surveys 27 to 28 identify 28 identify 30 characteristics 28 identify 32 with 29 the 30 characteristics 30 characteristics 31 associated 32 with 34 villages 33 retirement 34 villages 34 villages 35 that 34 villages 36 influence 35 that 36 influence 36 influence 38 decisions 37 relocation 38 decisions results : the provision of outdoor living areas , support in maintaining independence , assisted living facilities and accessibility to medical facilities were identified as factors that would encourage relocation . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 31 . 1 results 2 : 2 : 4 provision 3 the 4 provision 4 provision 5 of 5 of 8 areas 6 outdoor 8 areas 7 living 8 areas 9 , 10 support 10 support 11 in 10 support 25 as 10 support 30 relocation 11 in 12 maintaining 12 maintaining 18 and 12 maintaining 24 identified 13 independence 14 , 14 , 17 facilities 14 , 18 and 15 assisted 16 living 16 living 17 facilities 18 and 19 accessibility 18 and 20 to 18 and 23 were 20 to 22 facilities 21 medical 22 facilities 23 were 24 identified 25 as 26 factors 26 factors 27 that 26 factors 29 encourage 27 that 28 would 28 would 29 encourage luxury services ( e.g [.] heated swimming pools ) were indicated as least likely to encourage relocation . 0 ###LEFT-WALL### 2 services 0 ###LEFT-WALL### 11 indicated 0 ###LEFT-WALL### 18 . 1 luxury 2 services 2 services 4 e.g 2 services 10 were 3 ( 4 e.g 4 e.g 6 heated 4 e.g 7 swimming 4 e.g 9 ) 7 swimming 8 pools 10 were 11 indicated 11 indicated 12 as 12 as 15 to 13 least 14 likely 14 likely 15 to 15 to 16 encourage 16 encourage 17 relocation negative perceptions most influential in discouraging relocation reflected a fear of losing independence and privacy . 0 ###LEFT-WALL### 2 perceptions 0 ###LEFT-WALL### 8 reflected 0 ###LEFT-WALL### 16 . 1 negative 2 perceptions 2 perceptions 4 influential 2 perceptions 8 reflected 3 most 4 influential 4 influential 5 in 5 in 6 discouraging 6 discouraging 7 relocation 8 reflected 10 fear 9 a 10 fear 10 fear 11 of 11 of 14 and 12 losing 13 independence 13 independence 14 and 14 and 15 privacy conclusions : through identifying the expectations of prospective residents , retirement village providers may better tailor facilities to the needs of their target demographic . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 25 . 1 conclusions 2 : 2 : 3 through 3 through 4 identifying 4 identifying 6 expectations 5 the 6 expectations 6 expectations 7 of 7 of 9 residents 8 prospective 9 residents 10 , 13 providers 10 , 16 tailor 11 retirement 13 providers 12 village 13 providers 13 providers 14 may 14 may 16 tailor 15 better 16 tailor 16 tailor 17 facilities 16 tailor 18 to 18 to 20 needs 19 the 20 needs 20 needs 21 of 21 of 24 demographic 22 their 24 demographic 23 target 24 demographic aim : the purpose of this paper is to explore the immigrant experiences of older korean people and their intergenerational family relationships in the new zealand context . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 4 purpose 2 : 8 is 2 : 28 . 3 the 4 purpose 4 purpose 5 of 4 purpose 8 is 5 of 7 paper 6 this 7 paper 8 is 9 to 9 to 10 explore 10 explore 13 experiences 10 explore 23 in 11 the 13 experiences 12 immigrant 13 experiences 13 experiences 14 of 14 of 18 and 15 older 16 korean 16 korean 17 people 17 people 18 and 18 and 22 relationships 19 their 22 relationships 20 intergenerational 21 family 21 family 22 relationships 23 in 27 context 24 the 27 context 25 new 26 zealand 26 zealand 27 context methods : data were collected from qualitative interviews with older people , community leaders and professionals in christchurch and auckland . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 data 2 : 4 were 2 : 21 . 3 data 4 were 4 were 5 collected 5 collected 6 from 5 collected 9 with 5 collected 17 in 6 from 8 interviews 7 qualitative 8 interviews 9 with 15 and 10 older 11 people 11 people 12 , 12 , 14 leaders 12 , 15 and 13 community 14 leaders 15 and 16 professionals 17 in 20 auckland 18 christchurch 19 and 19 and 20 auckland data analysis was conducted using concept mapping techniques in the cross - cultural context where two languages were simultaneously used . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 4 conducted 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 21 . 1 data 2 analysis 1 data 3 was 1 data 4 conducted 2 analysis 3 was 4 conducted 5 using 4 conducted 9 in 5 using 8 techniques 6 concept 8 techniques 7 mapping 8 techniques 9 in 11 cross 10 the 11 cross 12 - 14 context 13 cultural 14 context 14 context 15 where 15 where 17 languages 15 where 20 used 16 two 17 languages 17 languages 18 were 18 were 19 simultaneously 18 were 20 used results : the findings of the study show that older korean people in new zealand were likely to face multiple challenges due to the combined effects of immigration and ageing in a new country . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 35 . 2 : 29 and 3 the 4 findings 4 findings 5 of 4 findings 17 likely 4 findings 29 and 5 of 8 show 6 the 8 show 7 study 8 show 8 show 9 that 8 show 16 were 9 that 12 people 9 that 16 were 10 older 11 korean 11 korean 12 people 12 people 13 in 12 people 16 were 13 in 15 zealand 14 new 15 zealand 17 likely 18 to 17 likely 23 to 18 to 19 face 19 face 21 challenges 20 multiple 21 challenges 22 due 23 to 23 to 26 effects 24 the 26 effects 25 combined 26 effects 26 effects 27 of 27 of 28 immigration 29 and 30 ageing 29 and 31 in 31 in 34 country 32 a 33 new 32 a 34 country 33 new 34 country some older people experienced difficulties in managing their immigrant lives and intergenerational relationships in the transnational family context in which their family members were dispersed across two or more nations . 0 ###LEFT-WALL### 3 people 0 ###LEFT-WALL### 4 experienced 0 ###LEFT-WALL### 31 . 1 some 3 people 2 older 3 people 3 people 4 experienced 4 experienced 5 difficulties 4 experienced 14 in 5 difficulties 6 in 6 in 7 managing 7 managing 11 and 8 their 10 lives 9 immigrant 10 lives 10 lives 11 and 11 and 13 relationships 12 intergenerational 13 relationships 14 in 28 or 15 the 18 context 16 transnational 18 context 17 family 18 context 18 context 19 in 18 context 28 or 19 in 20 which 19 in 23 members 19 in 25 dispersed 21 their 23 members 22 family 23 members 23 members 24 were 24 were 25 dispersed 25 dispersed 26 across 26 across 27 two 28 or 30 nations 29 more 30 nations conclusion : the immigrant experiences of older migrants might be affected by an ['] invisible ['] source of isolation and exclusion at familial , community , societal and transnational levels . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 5 experiences 2 : 11 affected 3 the 5 experiences 4 immigrant 5 experiences 5 experiences 6 of 5 experiences 9 might 6 of 8 migrants 7 older 8 migrants 9 might 10 be 10 be 11 affected 11 affected 12 by 11 affected 22 at 12 by 17 source 13 an 17 source 15 invisible 17 source 17 source 18 of 18 of 20 and 19 isolation 20 and 20 and 21 exclusion 22 at 28 and 23 familial 24 , 24 , 25 community 24 , 26 , 26 , 27 societal 26 , 28 and 28 and 30 levels 29 transnational 30 levels aim : to review the evidence regarding [non] - transported older people who have fallen in relation [to] [non] - transportation rates , outcomes and impact of alternate care pathways . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 3 to 2 : 4 review 2 : 20 - 3 to 4 review 4 review 7 regarding 5 the 7 regarding 6 evidence 7 regarding 7 regarding 12 people 9 - 12 people 10 transported 12 people 11 older 12 people 12 people 13 who 12 people 14 have 12 people 20 - 13 who 14 have 14 have 15 fallen 15 fallen 16 in 16 in 17 relation 20 - 25 and 21 transportation 22 rates 22 rates 23 , 23 , 24 outcomes 23 , 25 and 25 and 26 impact 26 impact 27 of 27 of 30 pathways 28 alternate 29 care 29 care 30 pathways method : electronic databases and reference lists of included studies ( up to december 2011 ) were systematically searched . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 20 . 1 method 2 : 2 : 4 databases 3 electronic 4 databases 5 and 7 lists 5 and 19 searched 6 reference 7 lists 7 lists 8 of 7 lists 17 were 8 of 10 studies 9 included 10 studies 10 studies 12 up 11 ( 12 up 12 up 13 to 12 up 16 ) 13 to 14 december 14 december 15 2011 17 were 18 systematically 17 were 19 searched studies were eligible if they included data on [non] [-] transportation rates , information on outcomes or alternate care pathways for older people who have fallen . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 27 . 1 studies 2 were 2 were 3 eligible 3 eligible 4 if 3 eligible 8 on 4 if 5 they 4 if 6 included 5 they 6 included 6 included 7 data 8 on 17 or 11 transportation 12 rates 12 rates 13 , 13 , 14 information 13 , 17 or 14 information 15 on 15 on 16 outcomes 17 or 20 pathways 17 or 21 for 18 alternate 20 pathways 19 care 20 pathways 21 for 23 people 22 older 23 people 23 people 24 who 23 people 25 have 24 who 25 have 25 have 26 fallen results : twelve studies were included . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 studies 2 : 6 included 2 : 7 . 3 twelve 4 studies 4 studies 5 were 5 were 6 included [non] - transportation rates following a fall ranged from 11 % to 56 % . 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 8 ranged 0 ###LEFT-WALL### 15 . 2 - 4 rates 3 transportation 4 rates 4 rates 5 following 4 rates 8 ranged 5 following 7 fall 6 a 7 fall 8 ranged 9 from 8 ranged 12 to 9 from 11 % 10 11 11 % 12 to 14 % 13 56 14 % up to 49 % of [non] [-] transported people who have fallen had unplanned health - care contact within 28 days of the initial incident . 0 ###LEFT-WALL### 4 % 0 ###LEFT-WALL### 13 had 0 ###LEFT-WALL### 16 - 0 ###LEFT-WALL### 26 . 1 up 2 to 2 to 3 49 3 49 4 % 4 % 5 of 4 % 13 had 5 of 9 people 8 transported 9 people 9 people 10 who 9 people 11 have 10 who 11 have 11 have 12 fallen 13 had 15 health 14 unplanned 15 health 16 - 18 contact 17 care 18 contact 18 contact 19 within 19 within 21 days 20 28 21 days 21 days 22 of 22 of 25 incident 23 the 25 incident 24 initial 25 incident attendance by specially trained paramedics and individualised multifactorial interventions significantly reduced adverse events including subsequent [falls] , emergency ambulance calls , emergency department attendance and hospital admission . 0 ###LEFT-WALL### 1 attendance 0 ###LEFT-WALL### 11 reduced 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 28 . 1 attendance 2 by 1 attendance 11 reduced 2 by 6 and 3 specially 4 trained 4 trained 5 paramedics 4 trained 6 and 6 and 7 individualised 7 individualised 9 interventions 7 individualised 10 significantly 8 multifactorial 9 interventions 11 reduced 13 events 12 adverse 13 events 13 events 14 including 14 including 20 calls 15 subsequent 17 , 15 subsequent 18 emergency 18 emergency 20 calls 19 ambulance 20 calls 21 , 25 and 22 emergency 23 department 23 department 24 attendance 24 attendance 25 and 25 and 27 admission 26 hospital 27 admission conclusion : limited but promising evidence shows that appropriate interventions can improve health outcomes of [non] - transported older people who have fallen . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 24 . 1 conclusion 2 : 2 : 3 limited 3 limited 4 but 4 but 5 promising 5 promising 7 shows 6 evidence 7 shows 7 shows 8 that 7 shows 15 of 8 that 10 interventions 8 that 12 improve 9 appropriate 10 interventions 10 interventions 11 can 11 can 12 improve 12 improve 14 outcomes 13 health 14 outcomes 14 outcomes 15 of 17 - 20 people 18 transported 20 people 19 older 20 people 20 people 21 who 20 people 22 have 21 who 22 have 22 have 23 fallen further studies are needed to explore alternate care pathways and promote more efficient use of health services . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 18 . 1 further 2 studies 2 studies 3 are 3 are 10 and 4 needed 5 to 4 needed 6 explore 4 needed 10 and 5 to 6 explore 6 explore 9 pathways 7 alternate 9 pathways 8 care 9 pathways 10 and 11 promote 11 promote 14 use 12 more 13 efficient 13 efficient 14 use 14 use 15 of 15 of 17 services 16 health 17 services the images were then analyzed with 3dste software . 0 ###LEFT-WALL### 2 images 0 ###LEFT-WALL### 5 analyzed 0 ###LEFT-WALL### 9 . 1 the 2 images 2 images 3 were 3 were 4 then 3 were 5 analyzed 5 analyzed 6 with 6 with 8 software 7 3dste 8 software compared with the young adult and middle - aged groups , elderly adults demonstrated lower gls , grs , gcs , and gat . 0 ###LEFT-WALL### 13 adults 0 ###LEFT-WALL### 15 lower 1 compared 2 with 1 compared 11 , 1 compared 13 adults 2 with 6 and 3 the 5 adult 4 young 5 adult 5 adult 6 and 6 and 7 middle 6 and 10 groups 8 - 10 groups 9 aged 10 groups 10 groups 11 , 12 elderly 13 adults 13 adults 14 demonstrated 13 adults 15 lower 15 lower 23 gat 16 gls 18 grs 17 , 18 grs 18 grs 19 , 18 grs 20 gcs 19 , 20 gcs 20 gcs 21 , 20 gcs 22 and 22 and 23 gat 23 gat 24 . significant differences were not noted in gls , grs , and gcs between the young adult and middle - aged groups ; however , the gat of the middle [-] aged group was lower than that of the young adult group . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 19 - 1 significant 2 differences 2 differences 3 were 3 were 4 not 3 were 6 in 3 were 13 between 4 not 5 noted 6 in 11 and 7 gls 8 , 8 , 9 grs 8 , 11 and 10 , 11 and 11 and 12 gcs 13 between 17 and 14 the 16 adult 15 young 16 adult 16 adult 17 and 17 and 18 middle 17 and 19 - 19 - 21 groups 19 - 22 ; 19 - 42 . 20 aged 21 groups 22 ; 26 gat 23 however 24 , 23 however 26 gat 25 the 26 gat 26 gat 27 of 26 gat 33 was 27 of 32 group 28 the 32 group 29 middle 31 aged 31 aged 32 group 33 was 34 lower 34 lower 35 than 35 than 36 that 35 than 37 of 37 of 41 group 38 the 41 group 39 young 40 adult 40 adult 41 group the longitudinal strain ( ls [ )(, radial strain ( rs ) , and area tracking [(] at ) of 16 lv segments of the young adult group decreased gradually in level from the mitral valve to the apex , [and] increased in circular strain ( cs ) . 0 ###LEFT-WALL### 3 strain 0 ###LEFT-WALL### 42 increased 0 ###LEFT-WALL### 49 . 1 the 3 strain 2 longitudinal 3 strain 3 strain 14 and 3 strain 42 increased 4 ( 14 and 5 ls 9 strain 5 ls 14 and 7 )(, 9 strain 8 radial 9 strain 9 strain 11 rs 9 strain 13 , 10 ( 11 rs 11 rs 12 ) 14 and 15 area 14 and 19 ) 14 and 20 of 14 and 24 of 14 and 40 , 15 area 16 tracking 16 tracking 18 at 20 of 21 16 21 16 22 lv 21 16 23 segments 22 lv 23 segments 24 of 28 group 25 the 28 group 26 young 27 adult 27 adult 28 group 28 group 29 decreased 29 decreased 30 gradually 29 decreased 31 in 29 decreased 33 from 29 decreased 37 to 31 in 32 level 33 from 36 valve 34 the 36 valve 35 mitral 36 valve 37 to 39 apex 38 the 39 apex 42 increased 43 in 43 in 45 strain 44 circular 45 strain 45 strain 47 cs 46 ( 47 cs 47 cs 48 ) the ls , rs , cs , and at of the middle - aged group also decreased gradually . 0 ###LEFT-WALL### 15 group 0 ###LEFT-WALL### 17 decreased 0 ###LEFT-WALL### 19 . 1 the 15 group 2 ls 8 and 2 ls 14 aged 3 , 8 and 4 rs 5 , 5 , 6 cs 5 , 8 and 7 , 8 and 8 and 9 at 8 and 10 of 8 and 13 - 10 of 12 middle 11 the 12 middle 14 aged 15 group 15 group 17 decreased 16 also 17 decreased 17 decreased 18 gradually the ls , rs , cs , and at of the elderly people were [highest] from the mitral valve to the apex level and lowest at the papillary muscle . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 14 were 0 ###LEFT-WALL### 30 . 1 the 2 ls 2 ls 3 , 3 , 4 rs 3 , 5 , 5 , 6 cs 5 , 8 and 7 , 8 and 8 and 9 at 8 and 10 of 8 and 14 were 10 of 13 people 11 the 13 people 12 elderly 13 people 14 were 16 from 14 were 20 to 14 were 24 and 14 were 26 at 16 from 19 valve 17 the 19 valve 18 mitral 19 valve 20 to 22 apex 21 the 22 apex 23 level 24 and 24 and 25 lowest 26 at 29 muscle 27 the 29 muscle 28 papillary 29 muscle the results of this study demonstrated that [lv] gls , grs , gcs , and gat decrease with age . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 6 demonstrated 0 ###LEFT-WALL### 20 . 1 the 2 results 2 results 3 of 2 results 6 demonstrated 3 of 5 study 4 this 5 study 6 demonstrated 7 that 7 that 15 and 7 that 17 decrease 9 gls 11 grs 10 , 11 grs 11 grs 12 , 12 , 13 gcs 12 , 15 and 14 , 15 and 15 and 16 gat 15 and 17 decrease 17 decrease 18 with 18 with 19 age none objectives : to operationalize frailty using eight scales and to compare their content validity , feasibility , prevalence estimates of frailty , and ability to predict all - cause mortality . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 30 cause 0 ###LEFT-WALL### 32 . 1 none 2 objectives 1 none 3 : 1 none 17 feasibility 1 none 30 cause 2 objectives 3 : 3 : 4 to 4 to 10 and 5 operationalize 6 frailty 5 operationalize 10 and 6 frailty 7 using 7 using 9 scales 8 eight 9 scales 10 and 11 to 10 and 12 compare 11 to 12 compare 12 compare 15 validity 13 their 15 validity 14 content 15 validity 16 , 17 feasibility 17 feasibility 20 estimates 17 feasibility 29 - 18 , 20 estimates 19 prevalence 20 estimates 20 estimates 21 of 20 estimates 26 to 20 estimates 27 predict 20 estimates 29 - 21 of 24 and 22 frailty 24 and 23 , 24 and 24 and 25 ability 26 to 27 predict 27 predict 28 all 30 cause 31 mortality design : secondary analysis of the survey of health , ageing and retirement in europe ( share ) . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 1 design 2 : 2 : 4 analysis 3 secondary 4 analysis 4 analysis 5 of 4 analysis 8 of 4 analysis 17 share 5 of 7 survey 6 the 7 survey 8 of 12 and 9 health 10 , 10 , 11 ageing 10 , 12 and 12 and 13 retirement 12 and 14 in 14 in 15 europe 16 ( 17 share 17 share 18 ) setting : eleven european countries . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 . 1 setting 2 : 2 : 5 countries 3 eleven 5 countries 4 european 5 countries participants : individuals aged 50 to 104 ( mean age 65.3 ± 10.5 , 54.8 % [female] , n = 27,527 ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 1 participants 2 : 2 : 3 individuals 3 individuals 4 aged 3 individuals 12 ± 3 individuals 16 % 4 aged 6 to 5 50 6 to 6 to 7 104 8 ( 12 ± 9 mean 12 ± 10 age 12 ± 11 65.3 12 ± 12 ± 13 10.5 12 ± 14 , 14 , 16 % 15 54.8 16 % 16 % 20 = 16 % 23 . 18 , 20 = 19 n 20 = 20 = 21 27,527 20 = 22 ) measurements : frailty was operationalized using share data based on the groningen frailty indicator , the tilburg frailty indicator , [a] 70 - item frailty index ( fi ) , [a] 44 - item fi based on a comprehensive geriatric assessment ( fi - cga [ )(, the clinical frailty scale , frailty phenotype ( weighted [and] unweighted versions ) , the edmonton frail scale , and the frail scale . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 2 : 3 frailty 3 frailty 4 was 4 was 5 operationalized 5 operationalized 6 using 6 using 8 data 6 using 10 on 7 share 8 data 8 data 9 based 10 on 14 indicator 11 the 14 indicator 12 groningen 13 frailty 13 frailty 14 indicator 14 indicator 19 indicator 14 indicator 23 - 15 , 19 indicator 16 the 19 indicator 17 tilburg 18 frailty 18 frailty 19 indicator 19 indicator 20 , 20 , 23 - 22 70 23 - 23 - 34 item 24 item 34 item 25 frailty 34 item 26 index 28 fi 26 index 32 44 26 index 34 item 27 ( 28 fi 28 fi 29 ) 30 , 32 44 32 44 33 - 34 item 35 fi 34 item 36 based 34 item 37 on 34 item 44 - 35 fi 36 based 37 on 41 assessment 38 a 41 assessment 39 comprehensive 40 geriatric 40 geriatric 41 assessment 42 ( 44 - 43 fi 44 - 44 - 54 phenotype 45 cga 51 scale 45 cga 54 phenotype 47 )(, 51 scale 48 the 51 scale 49 clinical 50 frailty 50 frailty 51 scale 51 scale 52 , 53 frailty 54 phenotype 54 phenotype 59 versions 54 phenotype 64 frail 55 ( 59 versions 56 weighted 59 versions 58 unweighted 59 versions 59 versions 60 ) 61 , 64 frail 62 the 64 frail 63 edmonton 64 frail 64 frail 67 and 64 frail 70 scale 64 frail 71 . 65 scale 67 and 66 , 67 and 67 and 69 frail 67 and 70 scale 68 the 69 frail results : all scales had fewer than 6 % of cases with at least one missing item , except [the] share - frailty [phenotype] ( 11.1 % ) and the share - tilburg ( 12.2 % ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 scales 2 : 5 had 2 : 38 . 3 all 4 scales 4 scales 5 had 5 had 9 % 5 had 12 with 6 fewer 7 than 7 than 8 6 8 6 9 % 9 % 10 of 10 of 11 cases 12 with 17 item 13 at 14 least 14 least 15 one 15 one 17 item 16 missing 17 item 17 item 19 except 18 , 19 except 19 except 29 and 19 except 37 ) 21 share 23 frailty 21 share 29 and 22 - 23 frailty 23 frailty 27 % 23 frailty 28 ) 25 ( 27 % 26 11.1 27 % 27 % 28 ) 29 and 31 share 29 and 33 tilburg 30 the 31 share 32 - 33 tilburg 33 tilburg 36 % 33 tilburg 37 ) 34 ( 36 % 35 12.2 36 % 36 % 37 ) in the share - groningen , share - tilburg , share - frailty phenotype , and share - frail scales , death rates were 3 to 5 times as high in excluded cases as in included ones . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 24 were 0 ###LEFT-WALL### 38 . 1 in 3 share 1 in 4 - 1 in 16 and 2 the 3 share 5 groningen 6 , 6 , 14 phenotype 6 , 16 and 7 share 9 tilburg 7 share 11 share 7 share 13 frailty 8 - 9 tilburg 9 tilburg 10 , 10 , 11 share 11 share 12 - 13 frailty 14 phenotype 15 , 16 and 16 and 17 share 16 and 22 death 16 and 23 rates 16 and 24 were 17 share 20 scales 18 - 20 scales 19 frail 20 scales 20 scales 21 , 22 death 23 rates 24 were 28 times 25 3 26 to 26 to 27 5 26 to 28 times 28 times 30 high 29 as 30 high 30 high 31 in 30 high 34 as 31 in 33 cases 32 excluded 33 cases 34 as 35 in 35 in 37 ones 36 included 37 ones frailty prevalence estimates ranged from 6 % ( share - frail ) to 44 % ( share - groningen ) . 0 ###LEFT-WALL### 3 estimates 0 ###LEFT-WALL### 4 ranged 0 ###LEFT-WALL### 21 . 1 frailty 3 estimates 2 prevalence 3 estimates 3 estimates 4 ranged 4 ranged 5 from 4 ranged 13 to 5 from 7 % 6 6 7 % 7 % 11 frail 8 ( 11 frail 9 share 11 frail 10 - 11 frail 11 frail 12 ) 13 to 15 % 14 44 15 % 15 % 17 share 16 ( 17 share 17 share 19 groningen 17 share 20 ) 18 - 19 groningen 19 groningen 20 ) all scales categorized 2.4 % of participants [as] [frail] . 0 ###LEFT-WALL### 2 scales 0 ###LEFT-WALL### 3 categorized 0 ###LEFT-WALL### 10 . 1 all 2 scales 2 scales 3 categorized 3 categorized 5 % 4 2.4 5 % 5 % 6 of 6 of 7 participants conclusion : substantive differences exist between scales in their content validity , feasibility , and ability to predict all - cause mortality . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 differences 2 : 5 exist 2 : 20 - 2 : 23 . 3 substantive 4 differences 4 differences 5 exist 5 exist 6 between 5 exist 8 in 6 between 7 scales 8 in 11 validity 9 their 11 validity 10 content 11 validity 11 validity 15 and 12 , 15 and 13 feasibility 15 and 14 , 15 and 15 and 16 ability 15 and 17 to 15 and 18 predict 15 and 20 - 17 to 18 predict 18 predict 19 all 20 - 21 cause 21 cause 22 mortality these frailty scales capture related but distinct groups . 0 ###LEFT-WALL### 3 scales 0 ###LEFT-WALL### 5 related 1 these 3 scales 2 frailty 3 scales 4 capture 5 related 5 related 6 but 5 related 9 . 6 but 8 groups 7 distinct 8 groups weighting items in frailty scales can improve their predictive ability , but the trade - off between specificity , predictive power , and generalizability [requires] additional evaluation . 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 28 . 1 weighting 2 items 2 items 3 in 2 items 17 between 2 items 19 , 3 in 4 frailty 4 frailty 5 scales 4 frailty 16 off 5 scales 6 can 6 can 7 improve 7 improve 10 ability 7 improve 16 off 8 their 10 ability 9 predictive 10 ability 10 ability 12 but 11 , 12 but 12 but 14 trade 12 but 15 - 13 the 14 trade 17 between 18 specificity 19 , 21 power 19 , 23 and 20 predictive 21 power 22 , 23 and 23 and 27 evaluation 24 generalizability 27 evaluation 26 additional 27 evaluation the average age of patients receiving renal transplantation is increasing as programmes have been [established] which support the donation of organs from elderly donors to older recipients . 0 ###LEFT-WALL### 3 age 0 ###LEFT-WALL### 28 . 1 the 3 age 2 average 3 age 3 age 4 of 3 age 9 is 4 of 5 patients 5 patients 6 receiving 6 receiving 8 transplantation 7 renal 8 transplantation 9 is 10 increasing 10 increasing 11 as 10 increasing 19 donation 10 increasing 22 from 11 as 17 support 12 programmes 13 have 13 have 14 been 14 been 16 which 16 which 17 support 18 the 19 donation 19 donation 20 of 20 of 21 organs 22 from 24 donors 23 elderly 24 donors 24 donors 25 to 25 to 27 recipients 26 older 27 recipients little is known about the effect of immunosuppressive therapy on the immune system of older patients . 0 ###LEFT-WALL### 1 little 0 ###LEFT-WALL### 3 known 0 ###LEFT-WALL### 17 . 1 little 2 is 2 is 3 known 3 known 4 about 3 known 10 on 4 about 6 effect 5 the 6 effect 6 effect 7 of 7 of 9 therapy 8 immunosuppressive 9 therapy 10 on 13 system 11 the 13 system 12 immune 13 system 13 system 14 of 14 of 16 patients 15 older 16 patients in this study , [t] cell function and the composition of the [t] cell repertoire were analysed in immunosuppressed renal transplant recipients of different age and cytomegalovirus ( cmv ) status in comparison to age - and cmv - matched controls . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 17 analysed 0 ###LEFT-WALL### 37 and 0 ###LEFT-WALL### 42 . 1 in 2 this 1 in 8 and 3 study 4 , 4 , 7 function 4 , 8 and 6 cell 7 function 8 and 10 composition 8 and 11 of 8 and 16 were 9 the 10 composition 11 of 15 repertoire 12 the 15 repertoire 14 cell 15 repertoire 16 were 17 analysed 17 analysed 18 in 17 analysed 32 in 17 analysed 34 to 18 in 22 recipients 19 immunosuppressed 21 transplant 20 renal 21 transplant 21 transplant 22 recipients 22 recipients 23 of 23 of 31 status 24 different 25 age 25 age 26 and 26 and 27 cytomegalovirus 26 and 29 cmv 26 and 31 status 28 ( 29 cmv 29 cmv 30 ) 32 in 33 comparison 34 to 35 age 36 - 37 and 37 and 38 cmv 37 and 39 - 38 cmv 39 - 39 - 41 controls 40 matched 41 controls independent of age and [cmv] status , the production of interleukin ( il ) - [2] and interferon ( ifn ) - [γ] by t cells [was] decreased in the patient groups and autologous serum from patients was capable of inhibiting the proliferation of cd3⁺ t cells . 0 ###LEFT-WALL### 26 cells 0 ###LEFT-WALL### 28 decreased 0 ###LEFT-WALL### 48 . 1 independent 26 cells 2 of 4 and 2 of 22 - 2 of 26 cells 3 age 4 and 4 and 6 status 4 and 7 , 4 and 17 and 7 , 17 and 8 the 9 production 9 production 10 of 9 production 17 and 10 of 11 interleukin 11 interleukin 13 il 12 ( 13 il 13 il 14 ) 15 - 17 and 17 and 18 interferon 17 and 20 ifn 17 and 22 - 19 ( 20 ifn 20 ifn 21 ) 24 by 25 t 24 by 26 cells 26 cells 28 decreased 28 decreased 29 in 28 decreased 47 cells 29 in 33 and 30 the 32 groups 31 patient 32 groups 32 groups 33 and 33 and 34 autologous 33 and 35 serum 33 and 41 inhibiting 35 serum 36 from 35 serum 38 was 36 from 37 patients 38 was 39 capable 39 capable 40 of 40 of 41 inhibiting 41 inhibiting 43 proliferation 42 the 43 proliferation 43 proliferation 44 of 44 of 45 cd3⁺ 45 cd3⁺ 46 t cxcr5 expression on t [cells] was increased in patients versus controls reflecting reduced endogenous il - 2 signalling under immunosuppressive therapy . 0 ###LEFT-WALL### 1 cxcr5 0 ###LEFT-WALL### 13 reduced 1 cxcr5 2 expression 1 cxcr5 12 reflecting 1 cxcr5 13 reduced 2 expression 3 on 2 expression 6 was 3 on 4 t 6 was 7 increased 7 increased 8 in 8 in 9 patients 9 patients 10 versus 10 versus 11 controls 11 controls 12 reflecting 13 reduced 15 il 14 endogenous 15 il 15 il 17 2 16 - 17 2 17 2 18 signalling 17 2 22 . 18 signalling 19 under 19 under 21 therapy 20 immunosuppressive 21 therapy in cmv - seronegative patients kidney transplantation and immunosuppressive therapy did not induce changes in the cd8⁺ [t] cell pool , but there was a moderate increase in cd4⁺cd28⁻ effector t cells when compared to age - matched controls . 0 ###LEFT-WALL### 5 patients 0 ###LEFT-WALL### 22 but 0 ###LEFT-WALL### 37 - 0 ###LEFT-WALL### 40 . 1 in 2 cmv 1 in 3 - 1 in 5 patients 4 seronegative 5 patients 5 patients 8 and 5 patients 13 induce 5 patients 22 but 6 kidney 7 transplantation 7 transplantation 8 and 8 and 10 therapy 8 and 11 did 9 immunosuppressive 10 therapy 11 did 12 not 11 did 13 induce 14 changes 15 in 14 changes 22 but 15 in 20 pool 16 the 20 pool 17 cd8⁺ 20 pool 19 cell 20 pool 21 , 22 but 22 but 36 age 23 there 24 was 24 was 27 increase 24 was 28 in 24 was 33 when 24 was 35 to 25 a 27 increase 26 moderate 27 increase 28 in 32 cells 29 cd4⁺cd28⁻ 30 effector 30 effector 31 t 30 effector 32 cells 33 when 34 compared 35 to 36 age 37 - 39 controls 38 matched 39 controls in contrast , latent [cmv] infection triggered a shift from early to late differentiated cd4⁺ and cd8⁺ t cells in patients and controls . 0 ###LEFT-WALL### 6 infection 0 ###LEFT-WALL### 7 triggered 0 ###LEFT-WALL### 24 . 1 in 2 contrast 1 in 3 , 1 in 6 infection 4 latent 6 infection 6 infection 7 triggered 7 triggered 9 shift 7 triggered 20 in 8 a 9 shift 9 shift 10 from 10 from 19 cells 11 early 12 to 11 early 16 and 12 to 15 cd4⁺ 13 late 15 cd4⁺ 14 differentiated 15 cd4⁺ 16 and 17 cd8⁺ 16 and 19 cells 17 cd8⁺ 18 t 20 in 22 and 21 patients 22 and 22 and 23 controls this shift was most pronounced in elderly transplant patients under immunosuppressive therapy . 0 ###LEFT-WALL### 2 shift 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 13 . 1 this 2 shift 2 shift 3 was 3 was 4 most 4 most 5 pronounced 5 pronounced 6 in 5 pronounced 10 under 6 in 9 patients 7 elderly 8 transplant 8 transplant 9 patients 10 under 12 therapy 11 immunosuppressive 12 therapy in conclusion , our results demonstrate that immunosuppressive therapy following kidney transplantation is effective in patients older than 65 years . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 21 . 1 in 2 conclusion 3 , 5 results 3 , 6 demonstrate 4 our 5 results 5 results 6 demonstrate 6 demonstrate 7 that 7 that 9 therapy 7 that 13 is 8 immunosuppressive 9 therapy 9 therapy 10 following 9 therapy 13 is 10 following 12 transplantation 11 kidney 12 transplantation 13 is 14 effective 14 effective 15 in 15 in 16 patients 16 patients 17 older 17 older 18 than 18 than 20 years 19 65 20 years latent cmv infection , however , accelerates age - related changes in the [t] cell repertoire in elderly people under immunosuppressive therapy . 0 ###LEFT-WALL### 3 infection 0 ###LEFT-WALL### 7 accelerates 0 ###LEFT-WALL### 10 related 1 latent 2 cmv 1 latent 3 infection 3 infection 7 accelerates 4 , 5 however 5 however 6 , 5 however 7 accelerates 7 accelerates 8 age 9 - 10 related 10 related 11 changes 10 related 12 in 10 related 17 in 10 related 20 under 10 related 23 . 12 in 16 repertoire 13 the 16 repertoire 15 cell 16 repertoire 17 in 19 people 18 elderly 19 people 20 under 22 therapy 21 immunosuppressive 22 therapy these patients should therefore be monitored with special care . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 6 monitored 0 ###LEFT-WALL### 10 . 1 these 2 patients 2 patients 3 should 3 should 5 be 4 therefore 5 be 5 be 6 monitored 6 monitored 7 with 7 with 9 care 8 special 9 care in an aging society , the incidence of brain ischemia increases dramatically . 0 ###LEFT-WALL### 7 incidence 0 ###LEFT-WALL### 11 increases 0 ###LEFT-WALL### 13 . 1 in 4 society 1 in 5 , 1 in 7 incidence 2 an 4 society 3 aging 4 society 6 the 7 incidence 7 incidence 8 of 7 incidence 11 increases 8 of 10 ischemia 9 brain 10 ischemia 11 increases 12 dramatically despite progress in pathophysiology mechanisms , the medical therapy for brain ischemia has not been satisfactory . 0 ###LEFT-WALL### 9 therapy 0 ###LEFT-WALL### 15 been 0 ###LEFT-WALL### 17 . 1 despite 2 progress 1 despite 6 , 1 despite 9 therapy 2 progress 3 in 3 in 5 mechanisms 4 pathophysiology 5 mechanisms 7 the 9 therapy 8 medical 9 therapy 9 therapy 10 for 9 therapy 13 has 10 for 12 ischemia 11 brain 12 ischemia 13 has 14 not 13 has 15 been 15 been 16 satisfactory recanalization using tissue plasminogen activator only modestly [improves] patient outcome , and inhibiting excitotoxicity has shown no clinical benefit . 0 ###LEFT-WALL### 10 outcome 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 20 . 1 recanalization 10 outcome 2 using 10 outcome 3 tissue 10 outcome 4 plasminogen 10 outcome 5 activator 10 outcome 6 only 9 patient 7 modestly 9 patient 9 patient 10 outcome 11 , 12 and 12 and 13 inhibiting 12 and 16 shown 13 inhibiting 14 excitotoxicity 13 inhibiting 15 has 15 has 16 shown 16 shown 19 benefit 17 no 19 benefit 18 clinical 19 benefit both do not provide an adequate time window for effective stroke therapy in clinical practice . 0 ###LEFT-WALL### 2 do 0 ###LEFT-WALL### 16 . 1 both 2 do 2 do 3 not 2 do 4 provide 4 provide 8 window 4 provide 13 in 5 an 6 adequate 5 an 8 window 6 adequate 8 window 7 time 8 window 8 window 9 for 9 for 12 therapy 10 effective 11 stroke 11 stroke 12 therapy 13 in 15 practice 14 clinical 15 practice a more reasonable therapeutic window , and hence a greater potential for clinical success , is likely to be attained by placing emphasis on ameliorating the effects of the synergistic processes of programmed cell death ( pcd ) that is active for hours to days after ischemia . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 16 is 0 ###LEFT-WALL### 48 . 1 a 5 window 2 more 3 reasonable 3 reasonable 5 window 4 therapeutic 5 window 5 window 7 and 6 , 7 and 7 and 8 hence 7 and 11 potential 7 and 15 , 7 and 16 is 9 a 11 potential 10 greater 11 potential 11 potential 12 for 12 for 14 success 13 clinical 14 success 16 is 17 likely 17 likely 18 to 17 likely 20 attained 18 to 19 be 19 be 20 attained 20 attained 21 by 20 attained 46 after 21 by 22 placing 22 placing 23 emphasis 22 placing 24 on 24 on 25 ameliorating 25 ameliorating 27 effects 26 the 27 effects 27 effects 28 of 28 of 31 processes 29 the 31 processes 30 synergistic 31 processes 31 processes 32 of 31 processes 39 that 31 processes 44 to 32 of 35 death 33 programmed 34 cell 34 cell 35 death 35 death 37 pcd 36 ( 37 pcd 37 pcd 38 ) 39 that 40 is 40 is 41 active 41 active 42 for 41 active 44 to 42 for 43 hours 45 days 46 after 46 after 47 ischemia it is necessary to identify molecular mediators of ischemic neuroprotection suitable for translation to human clinical trials . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 5 identify 0 ###LEFT-WALL### 18 . 1 it 2 is 2 is 3 necessary 3 necessary 4 to 3 necessary 5 identify 4 to 5 identify 5 identify 7 mediators 6 molecular 7 mediators 7 mediators 8 of 8 of 10 neuroprotection 9 ischemic 10 neuroprotection 10 neuroprotection 11 suitable 11 suitable 12 for 11 suitable 14 to 12 for 13 translation 14 to 17 trials 15 human 17 trials 16 clinical 17 trials in this review , the mechanisms of cell death/survival signaling pathways after ischemia and the potential therapeutic targets will be discussed . 0 ###LEFT-WALL### 6 mechanisms 0 ###LEFT-WALL### 21 discussed 0 ###LEFT-WALL### 22 . 1 in 3 review 1 in 4 , 1 in 6 mechanisms 2 this 3 review 5 the 6 mechanisms 6 mechanisms 7 of 6 mechanisms 12 after 6 mechanisms 19 will 7 of 11 pathways 8 cell 11 pathways 9 death/survival 11 pathways 10 signaling 11 pathways 12 after 14 and 13 ischemia 14 and 14 and 18 targets 15 the 18 targets 16 potential 18 targets 17 therapeutic 18 targets 19 will 20 be 20 be 21 discussed to provide evidence - based guidance regarding the efficacy and safety of dietary protein supplement ( ps ) [use] by members of the u.s . armed forces , a panel of internationally recognized experts in the fields of protein metabolism and dietary supplement research was convened by the department of defense center alliance for dietary supplement research and the u.s . army medical research and material command . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 provide 0 ###LEFT-WALL### 25 . 0 ###LEFT-WALL### 61 . 1 to 2 provide 2 provide 3 evidence 2 provide 20 by 3 evidence 6 guidance 4 - 6 guidance 5 based 6 guidance 6 guidance 7 regarding 6 guidance 18 ) 7 regarding 15 supplement 8 the 15 supplement 9 efficacy 10 and 10 and 11 safety 10 and 12 of 10 and 15 supplement 12 of 14 protein 13 dietary 14 protein 15 supplement 17 ps 16 ( 17 ps 17 ps 18 ) 20 by 21 members 21 members 22 of 22 of 24 u.s 23 the 24 u.s 25 . 27 forces 25 . 28 , 26 armed 27 forces 28 , 44 research 28 , 46 convened 29 a 30 panel 30 panel 31 of 30 panel 41 and 31 of 34 experts 32 internationally 33 recognized 33 recognized 34 experts 34 experts 35 in 34 experts 38 of 35 in 37 fields 36 the 37 fields 38 of 40 metabolism 39 protein 40 metabolism 41 and 43 supplement 41 and 44 research 42 dietary 43 supplement 44 research 45 was 45 was 46 convened 46 convened 47 by 47 by 49 department 48 the 49 department 49 department 50 of 50 of 53 alliance 51 defense 52 center 52 center 53 alliance 53 alliance 54 for 54 for 58 and 55 dietary 56 supplement 56 supplement 57 research 57 research 58 and 58 and 60 u.s 59 the 60 u.s 61 . 67 command 61 . 68 . 62 army 63 medical 63 medical 64 research 64 research 65 and 65 and 66 material 66 material 67 command to develop a consensus statement , potential benefits , risks , and strategies to optimize military performance through ps use were considered in the context of specific warfighter populations and occupational demands . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 develop 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 33 . 1 to 2 develop 2 develop 5 statement 3 a 5 statement 4 consensus 5 statement 5 statement 8 benefits 5 statement 10 risks 6 , 8 benefits 7 potential 8 benefits 8 benefits 9 , 9 , 10 risks 10 risks 11 , 11 , 12 and 12 and 13 strategies 12 and 22 considered 13 strategies 14 to 13 strategies 15 optimize 13 strategies 21 were 14 to 15 optimize 15 optimize 17 performance 15 optimize 18 through 16 military 17 performance 18 through 20 use 19 ps 20 use 21 were 22 considered 22 considered 23 in 23 in 25 context 24 the 25 context 25 context 26 of 26 of 30 and 27 specific 29 populations 28 warfighter 29 populations 29 populations 30 and 30 and 32 demands 31 occupational 32 demands to maintain muscle [mass] , strength , and performance during periods of substantial metabolic demand and concomitant negative energy balance the panel recommended that warfighters consume 1.5 - 2.0 g · kg ( - 1 [ )(· d [(] - 1 ) [of] protein . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 45 . 1 to 2 maintain 2 maintain 3 muscle 3 muscle 6 strength 5 , 6 strength 6 strength 7 , 8 and 16 and 8 and 20 balance 9 performance 10 during 9 performance 16 and 10 during 11 periods 11 periods 12 of 12 of 15 demand 13 substantial 15 demand 14 metabolic 15 demand 16 and 19 energy 16 and 20 balance 17 concomitant 18 negative 18 negative 19 energy 20 balance 22 panel 21 the 22 panel 22 panel 23 recommended 22 panel 24 that 22 panel 26 consume 24 that 25 warfighters 24 that 26 consume 25 warfighters 26 consume 26 consume 44 protein 27 1.5 28 - 28 - 29 2.0 28 - 32 kg 29 2.0 30 g 30 g 31 · 32 kg 44 protein 33 ( 40 - 34 - 35 1 35 1 38 d 37 )(· 38 d 38 d 40 - 40 - 41 1 40 - 42 ) 40 - 44 protein however , if metabolic demand is low , [such] as in garrison [,] protein intake should equal the current military dietary reference intake ( 0.8 - 1.5 [g] · kg ( - 1 ) [·] d ( - 1 ) ) . 0 ###LEFT-WALL### 15 intake 0 ###LEFT-WALL### 17 equal 0 ###LEFT-WALL### 42 . 1 however 2 , 1 however 15 intake 2 , 3 if 3 if 5 demand 3 if 6 is 3 if 8 , 3 if 15 intake 4 metabolic 5 demand 5 demand 6 is 6 is 7 low 10 as 11 in 10 as 15 intake 11 in 14 protein 12 garrison 14 protein 15 intake 16 should 16 should 17 equal 17 equal 23 intake 18 the 19 current 19 current 23 intake 20 military 21 dietary 21 dietary 22 reference 22 reference 23 intake 23 intake 26 - 24 ( 26 - 25 0.8 26 - 26 - 27 1.5 26 - 39 1 26 - 41 ) 27 1.5 30 kg 29 · 30 kg 30 kg 32 - 31 ( 32 - 32 - 33 1 32 - 34 ) 32 - 36 d 37 ( 39 1 38 - 39 1 39 1 40 ) although ps use generally appears to be safe for healthy adults , warfighters should be educated on ps quality , given quality - control and contamination concerns with commercial dietary supplements . 0 ###LEFT-WALL### 13 warfighters 0 ###LEFT-WALL### 15 be 0 ###LEFT-WALL### 23 - 0 ###LEFT-WALL### 32 . 1 although 3 use 1 although 5 appears 1 although 12 , 1 although 13 warfighters 2 ps 3 use 3 use 5 appears 4 generally 5 appears 5 appears 6 to 5 appears 7 be 6 to 7 be 7 be 8 safe 8 safe 9 for 9 for 11 adults 10 healthy 11 adults 13 warfighters 14 should 14 should 15 be 15 be 16 educated 16 educated 17 on 17 on 19 quality 18 ps 19 quality 19 quality 21 given 20 , 21 given 21 given 22 quality 21 given 23 - 23 - 25 and 24 control 25 and 25 and 27 concerns 25 and 28 with 26 contamination 27 concerns 28 with 31 supplements 29 commercial 31 supplements 30 dietary 31 supplements to achieve recommended protein intakes , the panel strongly urges consumption of high - quality protein - containing whole foods . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 achieve 0 ###LEFT-WALL### 6 , 1 to 2 achieve 2 achieve 5 intakes 3 recommended 4 protein 4 protein 5 intakes 6 , 8 panel 6 , 10 urges 7 the 8 panel 8 panel 10 urges 9 strongly 10 urges 10 urges 11 consumption 10 urges 18 containing 11 consumption 12 of 12 of 16 protein 13 high 14 - 13 high 15 quality 15 quality 16 protein 17 - 18 containing 18 containing 20 foods 18 containing 21 . 19 whole 20 foods however , [when] impractical , the use of pss ( 20 - 25 g [per] [serving] or 0.25 - 0.3 g · kg ( - 1 [ )(per meal ) , particularly after periods of strenuous physical activity ( e.g [.] , military training , combat patrols , and exercise ) , is acceptable . 0 ###LEFT-WALL### 7 use 0 ###LEFT-WALL### 53 is 0 ###LEFT-WALL### 55 . 1 however 2 , 1 however 7 use 2 , 4 impractical 4 impractical 5 , 4 impractical 7 use 6 the 7 use 7 use 8 of 7 use 53 is 8 of 9 pss 9 pss 17 or 10 ( 17 or 11 20 12 - 12 - 13 25 12 - 14 g 14 g 17 or 17 or 23 kg 17 or 26 1 17 or 33 after 17 or 52 , 18 0.25 19 - 19 - 20 0.3 19 - 23 kg 20 0.3 21 g 21 g 22 · 24 ( 26 1 25 - 26 1 26 1 28 )(per 26 1 30 ) 28 )(per 29 meal 31 , 32 particularly 31 , 33 after 33 after 49 and 33 after 51 ) 34 periods 35 of 34 periods 49 and 35 of 38 activity 36 strenuous 38 activity 37 physical 38 activity 38 activity 44 training 39 ( 44 training 40 e.g 42 , 40 e.g 44 training 43 military 44 training 44 training 47 patrols 44 training 48 , 45 , 47 patrols 46 combat 47 patrols 47 patrols 48 , 48 , 49 and 49 and 50 exercise 53 is 54 acceptable the committee acknowledges the need for further study of protein requirements for extreme , military - specific environmental conditions and whether unique metabolic stressors associated with military service alter protein requirements for aging warfighters . 0 ###LEFT-WALL### 2 committee 0 ###LEFT-WALL### 3 acknowledges 0 ###LEFT-WALL### 35 . 1 the 2 committee 2 committee 3 acknowledges 3 acknowledges 31 requirements 3 acknowledges 32 for 4 the 5 need 5 need 6 for 5 need 20 and 6 for 8 study 7 further 8 study 8 study 9 of 8 study 12 for 9 of 11 requirements 10 protein 11 requirements 12 for 19 conditions 13 extreme 14 , 13 extreme 19 conditions 15 military 16 - 15 military 19 conditions 17 specific 19 conditions 18 environmental 19 conditions 20 and 21 whether 20 and 24 stressors 20 and 29 alter 20 and 31 requirements 22 unique 24 stressors 23 metabolic 24 stressors 24 stressors 25 associated 24 stressors 29 alter 25 associated 26 with 26 with 28 service 27 military 28 service 30 protein 31 requirements 32 for 33 aging 33 aging 34 warfighters special operations are so designated for the [specialized] military missions they address . 0 ###LEFT-WALL### 2 operations 0 ###LEFT-WALL### 5 designated 0 ###LEFT-WALL### 13 . 1 special 2 operations 2 operations 3 are 3 are 5 designated 4 so 5 designated 5 designated 6 for 6 for 10 missions 7 the 10 missions 9 military 10 missions 10 missions 11 they 10 missions 12 address 11 they 12 address as a result , special operations present some unique metabolic challenges . 0 ###LEFT-WALL### 6 operations 0 ###LEFT-WALL### 7 present 0 ###LEFT-WALL### 12 . 1 as 3 result 1 as 4 , 1 as 6 operations 2 a 3 result 5 special 6 operations 6 operations 7 present 7 present 11 challenges 8 some 11 challenges 9 unique 11 challenges 10 metabolic 11 challenges in particular , soldiers often operate in a negative energy balance in stressful and demanding conditions with little opportunity for rest or recovery . 0 ###LEFT-WALL### 6 operate 0 ###LEFT-WALL### 24 . 1 in 4 soldiers 1 in 6 operate 2 particular 3 , 2 particular 4 soldiers 5 often 6 operate 6 operate 7 in 6 operate 12 in 6 operate 17 with 7 in 11 balance 8 a 9 negative 8 a 11 balance 9 negative 10 energy 10 energy 11 balance 12 in 16 conditions 13 stressful 14 and 14 and 15 demanding 14 and 16 conditions 17 with 19 opportunity 17 with 20 for 18 little 19 opportunity 20 for 22 or 21 rest 22 or 22 or 23 recovery in this framework , findings inferred from the performance literature suggest that increased protein intake may be beneficial . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 17 be 0 ###LEFT-WALL### 19 . 1 in 3 framework 1 in 17 be 2 this 3 framework 3 framework 13 increased 4 , 13 increased 5 findings 6 inferred 5 findings 11 suggest 6 inferred 7 from 7 from 10 literature 8 the 10 literature 9 performance 10 literature 11 suggest 12 that 11 suggest 13 increased 12 that 13 increased 14 protein 15 intake 15 intake 16 may 16 may 17 be 17 be 18 beneficial in particular , increased protein intake during negative caloric balance maintains lean body mass [and] blood glucose production . 0 ###LEFT-WALL### 6 intake 0 ###LEFT-WALL### 11 maintains 0 ###LEFT-WALL### 19 . 1 in 5 protein 1 in 6 intake 2 particular 3 , 2 particular 5 protein 4 increased 5 protein 6 intake 7 during 6 intake 11 maintains 7 during 10 balance 8 negative 10 balance 9 caloric 10 balance 11 maintains 18 production 12 lean 13 body 13 body 18 production 14 mass 18 production 16 blood 18 production 17 glucose 18 production the addition of protein to mixed macronutrient supplements is beneficial for muscle endurance and power endpoints , and the use of amino acids improves gross and fine motor skills . 0 ###LEFT-WALL### 2 addition 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 30 . 1 the 2 addition 2 addition 3 of 2 addition 9 is 3 of 4 protein 4 protein 5 to 5 to 8 supplements 6 mixed 7 macronutrient 7 macronutrient 8 supplements 9 is 10 beneficial 10 beneficial 11 for 11 for 14 and 12 muscle 13 endurance 13 endurance 14 and 14 and 16 endpoints 14 and 17 , 15 power 16 endpoints 17 , 18 and 18 and 20 use 18 and 24 improves 19 the 20 use 20 use 21 of 20 use 24 improves 21 of 23 acids 22 amino 23 acids 24 improves 29 skills 25 gross 26 and 26 and 27 fine 26 and 28 motor 28 motor 29 skills increasing protein intake during periods of intense training [and/or] metabolic demand improves subsequent performance , improves muscular recovery , and reduces symptoms of psychological stress . 0 ###LEFT-WALL### 1 increasing 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 26 . 1 increasing 3 intake 1 increasing 4 during 1 increasing 15 , 2 protein 3 intake 4 during 5 periods 5 periods 6 of 6 of 11 demand 7 intense 8 training 8 training 11 demand 10 metabolic 11 demand 12 improves 14 performance 12 improves 15 , 13 subsequent 14 performance 15 , 20 and 16 improves 18 recovery 16 improves 20 and 17 muscular 18 recovery 19 , 20 and 20 and 21 reduces 21 reduces 22 symptoms 22 symptoms 23 of 23 of 25 stress 24 psychological 25 stress consumption of protein before sleep confers the anabolic responses required for the maintenance of lean mass and muscle recovery . 0 ###LEFT-WALL### 9 responses 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 20 . 1 consumption 9 responses 2 of 3 protein 2 of 9 responses 4 before 5 sleep 4 before 6 confers 4 before 9 responses 5 sleep 6 confers 7 the 9 responses 8 anabolic 9 responses 9 responses 10 required 9 responses 17 and 10 required 11 for 11 for 13 maintenance 12 the 13 maintenance 13 maintenance 14 of 14 of 15 lean 16 mass 17 and 17 and 18 muscle 18 muscle 19 recovery a maximal response in muscle protein synthesis is achieved with the consumption of 20 - 25 g of protein alone . 0 ###LEFT-WALL### 3 response 0 ###LEFT-WALL### 9 achieved 0 ###LEFT-WALL### 21 . 1 a 2 maximal 1 a 3 response 2 maximal 3 response 3 response 4 in 3 response 8 is 4 in 7 synthesis 5 muscle 7 synthesis 6 protein 7 synthesis 8 is 9 achieved 9 achieved 10 with 9 achieved 20 alone 10 with 12 consumption 11 the 12 consumption 12 consumption 13 of 13 of 17 g 14 20 15 - 15 - 16 25 15 - 17 g 17 g 18 of 18 of 19 protein however , higher protein intakes in the context of mixed [-] nutrient ingestion also confer anabolic benefits by reducing protein breakdown . 0 ###LEFT-WALL### 5 intakes 0 ###LEFT-WALL### 15 confer 0 ###LEFT-WALL### 22 . 1 however 2 , 1 however 5 intakes 3 higher 4 protein 4 protein 5 intakes 5 intakes 6 in 5 intakes 9 of 5 intakes 15 confer 6 in 8 context 7 the 8 context 9 of 13 ingestion 10 mixed 13 ingestion 12 nutrient 13 ingestion 14 also 15 confer 15 confer 17 benefits 15 confer 18 by 16 anabolic 17 benefits 18 by 19 reducing 19 reducing 21 breakdown 20 protein 21 breakdown restricted rations issued to special operators provide less than the rda for protein ( [∼] 0.6 g/kg ) , and these soldiers often rely on commercial products to augment their rations . 0 ###LEFT-WALL### 2 rations 0 ###LEFT-WALL### 7 provide 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 32 . 1 restricted 2 rations 2 rations 3 issued 2 rations 7 provide 3 issued 4 to 4 to 6 operators 5 special 6 operators 7 provide 8 less 7 provide 9 than 7 provide 12 for 9 than 11 rda 10 the 11 rda 12 for 13 protein 13 protein 17 g/kg 14 ( 17 g/kg 16 0.6 17 g/kg 17 g/kg 18 ) 19 , 20 and 20 and 22 soldiers 20 and 24 rely 21 these 22 soldiers 22 soldiers 24 rely 23 often 24 rely 24 rely 25 on 24 rely 28 to 25 on 27 products 26 commercial 27 products 28 to 29 augment 29 augment 31 rations 30 their 31 rations the provision of reasonable alternatives [and/or] certification [of] approved supplements by the u.s . department of defense would be prudent . 0 ###LEFT-WALL### 2 provision 0 ###LEFT-WALL### 9 approved 0 ###LEFT-WALL### 14 . 1 the 2 provision 2 provision 3 of 2 provision 9 approved 3 of 7 certification 4 reasonable 5 alternatives 5 alternatives 7 certification 9 approved 10 supplements 9 approved 11 by 11 by 13 u.s 12 the 13 u.s 14 . 15 department 14 . 19 be 14 . 21 . 15 department 16 of 15 department 18 would 16 of 17 defense 18 would 19 be 19 be 20 prudent the demographic shift of the average age in the united states and worldwide mandates that careful attention be paid to the nutritional and health needs of all segments of our older adult population . 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 34 . 1 the 3 shift 2 demographic 3 shift 3 shift 4 of 3 shift 12 and 4 of 7 age 5 the 7 age 6 average 7 age 7 age 8 in 8 in 11 states 9 the 11 states 10 united 11 states 12 and 14 mandates 12 and 15 that 12 and 19 paid 12 and 23 and 13 worldwide 14 mandates 15 that 17 attention 15 that 19 paid 16 careful 17 attention 17 attention 18 be 18 be 19 paid 19 paid 20 to 20 to 22 nutritional 21 the 22 nutritional 23 and 25 needs 24 health 25 needs 25 needs 26 of 26 of 28 segments 27 all 28 segments 28 segments 29 of 29 of 33 population 30 our 33 population 31 older 32 adult 32 adult 33 population well - defined changes in body composition occur in aging animals and humans . 0 ###LEFT-WALL### 4 changes 0 ###LEFT-WALL### 8 occur 0 ###LEFT-WALL### 14 . 1 well 2 - 1 well 4 changes 3 defined 4 changes 4 changes 5 in 4 changes 8 occur 5 in 7 composition 6 body 7 composition 8 occur 9 in 9 in 12 and 10 aging 11 animals 11 animals 12 and 12 and 13 humans characteristic of this change is the age - associated decline [in] skeletal muscle mass , sarcopenia . 0 ###LEFT-WALL### 1 characteristic 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 8 - 1 characteristic 2 of 1 characteristic 5 is 2 of 4 change 3 this 4 change 5 is 7 age 6 the 7 age 8 - 14 mass 8 - 15 , 8 - 16 sarcopenia 8 - 17 . 9 associated 10 decline 10 decline 14 mass 12 skeletal 13 muscle 13 muscle 14 mass 15 , 16 sarcopenia data from observational studies of dietary intake and body composition suggest that a substantial proportion of adults over the age of 60 [y] consume less than the u.s . - recommended dietary allowance [for] protein and that greater dietary protein intake appears to reduce the decline in lean/muscle mass with aging . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 24 consume 0 ###LEFT-WALL### 29 . 1 data 2 from 1 data 8 and 2 from 4 studies 3 observational 4 studies 4 studies 5 of 5 of 7 intake 6 dietary 7 intake 8 and 10 composition 8 and 11 suggest 9 body 10 composition 11 suggest 12 that 12 that 15 proportion 12 that 24 consume 13 a 14 substantial 13 a 15 proportion 14 substantial 15 proportion 15 proportion 16 of 15 proportion 21 of 16 of 17 adults 17 adults 18 over 18 over 20 age 19 the 20 age 21 of 22 60 24 consume 25 less 24 consume 26 than 26 than 28 u.s 27 the 28 u.s 29 . 30 - 29 . 49 mass 29 . 52 . 30 - 36 and 31 recommended 33 allowance 32 dietary 33 allowance 33 allowance 35 protein 35 protein 36 and 36 and 37 that 36 and 41 intake 36 and 44 reduce 36 and 49 mass 38 greater 40 protein 39 dietary 40 protein 40 protein 41 intake 41 intake 42 appears 42 appears 43 to 42 appears 44 reduce 43 to 44 reduce 44 reduce 46 decline 44 reduce 47 in 45 the 46 decline 47 in 48 lean/muscle 49 mass 50 with 50 with 51 aging studies of acute ingestion of high - quality dietary protein in healthy older adults suggest that the age - related blunting of protein synthetic capacity can be overcome with increased dietary protein intake . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 15 suggest 0 ###LEFT-WALL### 34 . 1 studies 2 of 1 studies 15 suggest 2 of 4 ingestion 3 acute 4 ingestion 4 ingestion 5 of 4 ingestion 11 in 5 of 10 protein 6 high 7 - 6 high 8 quality 8 quality 10 protein 9 dietary 10 protein 11 in 14 adults 12 healthy 14 adults 13 older 14 adults 15 suggest 16 that 16 that 18 age 16 that 28 overcome 17 the 18 age 18 age 26 can 19 - 20 related 20 related 21 blunting 20 related 26 can 21 blunting 22 of 22 of 25 capacity 23 protein 25 capacity 24 synthetic 25 capacity 26 can 27 be 27 be 28 overcome 28 overcome 29 with 29 with 33 intake 30 increased 32 protein 31 dietary 32 protein 32 protein 33 intake however , studies on chronic administration of high - quality protein supplements in cohorts of older adults are more equivocal with respect to improving or preserving muscle mass . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 18 are 0 ###LEFT-WALL### 29 . 1 however 2 , 1 however 3 studies 3 studies 4 on 3 studies 7 of 3 studies 13 in 3 studies 18 are 4 on 6 administration 5 chronic 6 administration 7 of 12 supplements 8 high 9 - 8 high 10 quality 10 quality 11 protein 11 protein 12 supplements 13 in 14 cohorts 14 cohorts 15 of 15 of 17 adults 16 older 17 adults 18 are 20 equivocal 19 more 20 equivocal 20 equivocal 21 with 21 with 25 or 22 respect 23 to 22 respect 25 or 23 to 24 improving 25 or 28 mass 26 preserving 27 muscle 27 muscle 28 mass this review highlights selective aspects of protein supplementation in older adults . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 highlights 0 ###LEFT-WALL### 12 . 1 this 2 review 2 review 3 highlights 3 highlights 5 aspects 3 highlights 9 in 4 selective 5 aspects 5 aspects 6 of 6 of 8 supplementation 7 protein 8 supplementation 9 in 11 adults 10 older 11 adults understanding how the mammalian neocortex creates cognition largely depends on knowledge about large - scale cortical organization . 0 ###LEFT-WALL### 1 understanding 0 ###LEFT-WALL### 9 depends 0 ###LEFT-WALL### 18 . 1 understanding 2 how 1 understanding 9 depends 2 how 5 neocortex 2 how 6 creates 3 the 5 neocortex 4 mammalian 5 neocortex 5 neocortex 6 creates 6 creates 7 cognition 8 largely 9 depends 9 depends 10 on 9 depends 12 about 10 on 11 knowledge 12 about 17 organization 13 large 14 - 13 large 15 scale 15 scale 17 organization 16 cortical 17 organization accumulated evidence has illuminated cortical substrates of cognition across the lifespan , but [how] topological properties of cortical networks support structure - function relationships [in] normal aging remains an open question . 0 ###LEFT-WALL### 2 evidence 0 ###LEFT-WALL### 4 illuminated 0 ###LEFT-WALL### 22 - 1 accumulated 2 evidence 2 evidence 3 has 3 has 4 illuminated 4 illuminated 6 substrates 4 illuminated 9 across 5 cortical 6 substrates 6 substrates 7 of 7 of 8 cognition 9 across 16 properties 10 the 16 properties 11 lifespan 13 but 12 , 13 but 13 but 15 topological 13 but 16 properties 16 properties 17 of 17 of 21 structure 18 cortical 20 support 19 networks 20 support 20 support 21 structure 22 - 27 aging 22 - 28 remains 22 - 32 . 23 function 24 relationships 24 relationships 27 aging 26 normal 27 aging 27 aging 28 remains 28 remains 31 question 29 an 30 open 29 an 31 question 30 open 31 question here we investigate the role of connections ( i.e [.] , short/long and direct/indirect ) and node properties ( i.e [.] , centrality and modularity ) in predicting functional - structural connectivity coupling in healthy elderly subjects . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 investigate 0 ###LEFT-WALL### 38 . 1 here 2 we 2 we 3 investigate 3 investigate 16 and 3 investigate 27 in 4 the 5 role 5 role 6 of 5 role 16 and 6 of 7 connections 7 connections 13 and 8 ( 13 and 9 i.e 11 , 11 , 12 short/long 11 , 13 and 13 and 14 direct/indirect 13 and 15 ) 16 and 18 properties 16 and 20 i.e 16 and 24 and 17 node 18 properties 19 ( 20 i.e 20 i.e 22 , 22 , 24 and 23 centrality 24 and 24 and 25 modularity 24 and 26 ) 27 in 28 predicting 28 predicting 33 coupling 28 predicting 34 in 29 functional 30 - 29 functional 32 connectivity 31 structural 32 connectivity 32 connectivity 33 coupling 34 in 37 subjects 35 healthy 37 subjects 36 elderly 37 subjects connectivity networks were derived from correlations of cortical thickness and cortical glucose consumption in resting [state] . 0 ###LEFT-WALL### 2 networks 0 ###LEFT-WALL### 4 derived 0 ###LEFT-WALL### 17 . 1 connectivity 2 networks 2 networks 3 were 3 were 4 derived 4 derived 5 from 4 derived 14 in 5 from 10 and 6 correlations 7 of 6 correlations 10 and 7 of 9 thickness 8 cortical 9 thickness 10 and 13 consumption 11 cortical 12 glucose 12 glucose 13 consumption 14 in 15 resting local - direct connections ( i.e [.] , nodes separated by less than 30 mm [ )(and node [modularity] ( i.e [.] , a set of nodes highly interconnected within a topological community and sparsely interconnected with nodes from other modules [ )(in the functional network were identified as the main determinants of coupling between cortical networks , suggesting that the structural network in aging is mainly constrained by functional topological properties involved in the segregation of information , likely due to aging - related deficits in functional integration . 0 ###LEFT-WALL### 1 local 0 ###LEFT-WALL### 2 - 2 - 3 direct 2 - 8 , 3 direct 4 connections 4 connections 6 i.e 5 ( 6 i.e 6 i.e 8 , 8 , 9 nodes 8 , 17 )(and 9 nodes 10 separated 10 separated 11 by 10 separated 13 than 11 by 12 less 13 than 15 mm 14 30 15 mm 17 )(and 23 , 17 )(and 25 set 18 node 21 i.e 20 ( 21 i.e 21 i.e 23 , 24 a 25 set 25 set 26 of 25 set 34 and 26 of 27 nodes 28 highly 29 interconnected 29 interconnected 30 within 29 interconnected 34 and 30 within 33 community 31 a 33 community 32 topological 33 community 34 and 36 interconnected 35 sparsely 36 interconnected 36 interconnected 37 with 37 with 38 nodes 38 nodes 39 from 38 nodes 46 network 38 nodes 47 were 38 nodes 48 identified 38 nodes 49 as 39 from 41 modules 40 other 41 modules 41 modules 43 )(in 43 )(in 45 functional 44 the 45 functional 46 network 47 were 49 as 52 determinants 50 the 51 main 50 the 52 determinants 52 determinants 53 of 53 of 54 coupling 54 coupling 55 between 54 coupling 59 suggesting 55 between 57 networks 56 cortical 57 networks 58 , 59 suggesting 59 suggesting 60 that 60 that 63 network 60 that 66 is 61 the 63 network 62 structural 63 network 63 network 64 in 63 network 66 is 64 in 65 aging 66 is 67 mainly 66 is 68 constrained 68 constrained 69 by 69 by 72 properties 70 functional 72 properties 71 topological 72 properties 72 properties 73 involved 73 involved 74 in 74 in 76 segregation 75 the 76 segregation 76 segregation 77 of 77 of 78 information 78 information 80 likely 78 information 86 deficits 79 , 80 likely 80 likely 82 to 80 likely 84 - 81 due 82 to 82 to 83 aging 84 - 86 deficits 85 related 86 deficits 86 deficits 87 in 86 deficits 90 . 87 in 89 integration 88 functional 89 integration this hypothesis is supported by an enhanced connectivity between cortical regions of different resting - state networks involved in sensorimotor [and] memory functions in detrimental [to] associations between fronto - parietal regions supporting executive processes . 0 ###LEFT-WALL### 2 hypothesis 0 ###LEFT-WALL### 4 supported 0 ###LEFT-WALL### 36 . 1 this 2 hypothesis 2 hypothesis 3 is 3 is 4 supported 4 supported 5 by 4 supported 9 between 4 supported 19 in 4 supported 24 in 5 by 8 connectivity 6 an 8 connectivity 7 enhanced 8 connectivity 9 between 11 regions 10 cortical 11 regions 11 regions 12 of 12 of 14 resting 13 different 14 resting 14 resting 18 involved 15 - 16 state 16 state 17 networks 16 state 18 involved 19 in 23 functions 20 sensorimotor 22 memory 22 memory 23 functions 24 in 27 associations 25 detrimental 27 associations 27 associations 28 between 27 associations 33 supporting 28 between 32 regions 29 fronto 30 - 29 fronto 32 regions 31 parietal 32 regions 33 supporting 35 processes 34 executive 35 processes taken collectively , these findings open new avenues to identify aging - related failures in the anatomo - functional organization of the neocortical mantle , and might contribute to early detection of prevalent neurodegenerative conditions occurring in the late life . 0 ###LEFT-WALL### 5 findings 0 ###LEFT-WALL### 6 open 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 41 . 1 taken 2 collectively 1 taken 3 , 1 taken 5 findings 4 these 5 findings 5 findings 6 open 6 open 8 avenues 7 new 8 avenues 8 avenues 9 to 8 avenues 10 identify 8 avenues 11 aging 9 to 10 identify 12 - 26 and 13 related 14 failures 13 related 15 in 13 related 26 and 15 in 17 anatomo 16 the 17 anatomo 17 anatomo 20 organization 18 - 20 organization 19 functional 20 organization 20 organization 21 of 20 organization 25 , 21 of 24 mantle 22 the 24 mantle 23 neocortical 24 mantle 26 and 27 might 27 might 28 contribute 28 contribute 29 to 28 contribute 37 in 29 to 31 detection 30 early 31 detection 31 detection 32 of 32 of 35 conditions 33 prevalent 35 conditions 34 neurodegenerative 35 conditions 35 conditions 36 occurring 37 in 40 life 38 the 40 life 39 late 40 life muscle weakness associated with aging implicates central neural degeneration . 0 ###LEFT-WALL### 2 weakness 0 ###LEFT-WALL### 6 implicates 0 ###LEFT-WALL### 10 . 1 muscle 2 weakness 2 weakness 3 associated 2 weakness 6 implicates 3 associated 4 with 4 with 5 aging 6 implicates 9 degeneration 7 central 9 degeneration 8 neural 9 degeneration however , [role] [of] the primary motor cortex ( m1 ) is poorly understood , despite evidence that gains in strength in younger adults are associated with its adaptations . 0 ###LEFT-WALL### 8 cortex 0 ###LEFT-WALL### 14 understood 1 however 2 , 1 however 8 cortex 5 the 8 cortex 6 primary 7 motor 7 motor 8 cortex 8 cortex 10 m1 8 cortex 12 is 9 ( 10 m1 10 m1 11 ) 12 is 14 understood 13 poorly 14 understood 14 understood 16 despite 15 , 16 despite 16 despite 17 evidence 16 despite 30 . 17 evidence 18 that 18 that 19 gains 18 that 26 associated 19 gains 20 in 19 gains 25 are 20 in 21 strength 21 strength 22 in 22 in 24 adults 23 younger 24 adults 25 are 26 associated 26 associated 27 with 27 with 29 adaptations 28 its 29 adaptations we investigated whether weakness of biceps brachii in aging analogously relates to processes in m1 . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 16 . 1 we 2 investigated 2 investigated 3 whether 3 whether 4 weakness 3 whether 11 relates 4 weakness 5 of 4 weakness 11 relates 5 of 7 brachii 6 biceps 7 brachii 7 brachii 8 in 8 in 9 aging 9 aging 10 analogously 11 relates 12 to 11 relates 14 in 12 to 13 processes 14 in 15 m1 we enrolled [20] young ( 22.6 ± 0.87 [yr] [ )(and 28 old ( 74.79 ± [1.37] yr ) right - handed participants . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 enrolled 1 we 2 enrolled 2 enrolled 20 right 4 young 11 )(and 4 young 19 ) 4 young 20 right 5 ( 11 )(and 6 22.6 7 ± 7 ± 8 0.87 7 ± 11 )(and 11 )(and 13 old 11 )(and 18 yr 11 )(and 19 ) 12 28 13 old 14 ( 18 yr 15 74.79 18 yr 16 ± 18 yr 18 yr 19 ) 20 right 22 handed 21 - 22 handed 22 handed 23 participants 22 handed 24 . using transcranial magnetic stimulation , representation of biceps in m1 was identified . 0 ###LEFT-WALL### 6 representation 0 ###LEFT-WALL### 12 identified 0 ###LEFT-WALL### 13 . 1 using 4 stimulation 1 using 5 , 1 using 6 representation 2 transcranial 4 stimulation 3 magnetic 4 stimulation 6 representation 7 of 6 representation 11 was 7 of 8 biceps 8 biceps 9 in 9 in 10 m1 11 was 12 identified we examined the effect of age and sex on strength of left elbow flexion , voluntary activation of biceps , corticospinal excitability and output , and short - interval intracortical and interhemispheric inhibition . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 34 . 1 we 2 examined 2 examined 26 and 3 the 4 effect 4 effect 5 of 4 effect 7 and 5 of 6 age 7 and 8 sex 7 and 17 activation 7 and 26 and 8 sex 9 on 9 on 10 strength 10 strength 11 of 11 of 14 flexion 12 left 14 flexion 13 elbow 14 flexion 15 , 17 activation 16 voluntary 17 activation 17 activation 18 of 17 activation 23 and 17 activation 25 , 18 of 19 biceps 20 , 23 and 21 corticospinal 22 excitability 22 excitability 23 and 23 and 24 output 23 and 25 , 25 , 26 and 26 and 33 inhibition 27 short 28 - 27 short 29 interval 29 interval 33 inhibition 30 intracortical 31 and 31 and 32 interhemispheric 31 and 33 inhibition interhemispheric inhibition was significantly exaggerated in the old ( p = 0.047 ) , while strength tended to be lower ( p = 0.075 ) . 0 ###LEFT-WALL### 2 inhibition 0 ###LEFT-WALL### 5 exaggerated 0 ###LEFT-WALL### 26 . 1 interhemispheric 2 inhibition 2 inhibition 3 was 3 was 5 exaggerated 4 significantly 5 exaggerated 5 exaggerated 6 in 5 exaggerated 15 while 6 in 8 old 7 the 8 old 8 old 11 = 9 ( 11 = 10 p 11 = 11 = 12 0.047 11 = 13 ) 14 , 15 while 15 while 16 strength 15 while 17 tended 15 while 25 ) 16 strength 17 tended 17 tended 18 to 17 tended 19 be 18 to 19 be 19 be 20 lower 20 lower 23 = 21 ( 23 = 22 p 23 = 23 = 24 0.075 23 = 25 ) overall , women were weaker ( p < 0.001 ) . 0 ###LEFT-WALL### 3 women 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 11 . 1 overall 2 , 1 overall 3 women 3 women 4 were 4 were 5 weaker 5 weaker 8 < 6 ( 8 < 7 p 8 < 8 < 9 0.001 8 < 10 ) processes of m1 related to strength or voluntary activation of biceps , but only in older adults . 0 ###LEFT-WALL### 1 processes 0 ###LEFT-WALL### 4 related 0 ###LEFT-WALL### 18 . 1 processes 2 of 1 processes 4 related 2 of 3 m1 4 related 13 but 5 to 7 or 5 to 13 but 6 strength 7 or 7 or 9 activation 7 or 10 of 8 voluntary 9 activation 10 of 11 biceps 12 , 13 but 13 but 14 only 13 but 15 in 15 in 17 adults 16 older 17 adults corticospinal excitability was lower in weaker individuals ( r = 0.38 ) , and corticospinal output , intracortical inhibition and interhemispheric inhibition were reduced too in individuals who poorly activated biceps ( r = 0.43 , 0.54 and 0.38 ) . 0 ###LEFT-WALL### 2 excitability 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 41 . 1 corticospinal 2 excitability 2 excitability 3 was 3 was 4 lower 4 lower 5 in 5 in 7 individuals 6 weaker 7 individuals 7 individuals 10 = 8 ( 10 = 9 r 10 = 10 = 11 0.38 10 = 12 ) 13 , 14 and 14 and 20 and 14 and 24 reduced 15 corticospinal 16 output 16 output 17 , 17 , 19 inhibition 17 , 20 and 18 intracortical 19 inhibition 20 and 22 inhibition 20 and 23 were 21 interhemispheric 22 inhibition 23 were 24 reduced 24 reduced 25 too 24 reduced 26 in 26 in 27 individuals 27 individuals 28 who 27 individuals 30 activated 28 who 30 activated 29 poorly 30 activated 30 activated 31 biceps 31 biceps 34 = 31 biceps 38 and 32 ( 34 = 33 r 34 = 34 = 35 0.43 34 = 36 , 36 , 38 and 37 0.54 38 and 38 and 39 0.38 38 and 40 ) lower intracortical inhibition may reflect compensation for reduced corticospinal excitability , allowing weaker older adults to spread activity in m1 to recruit synergists and attempt to sustain motor output . 0 ###LEFT-WALL### 3 inhibition 0 ###LEFT-WALL### 5 reflect 1 lower 3 inhibition 2 intracortical 3 inhibition 3 inhibition 4 may 4 may 5 reflect 5 reflect 6 compensation 6 compensation 7 for 6 compensation 12 allowing 7 for 10 excitability 8 reduced 10 excitability 9 corticospinal 10 excitability 11 , 12 allowing 12 allowing 15 adults 12 allowing 16 to 12 allowing 24 and 12 allowing 30 . 13 weaker 15 adults 14 older 15 adults 16 to 24 and 17 spread 18 activity 17 spread 24 and 18 activity 19 in 18 activity 21 to 18 activity 22 recruit 19 in 20 m1 21 to 22 recruit 22 recruit 23 synergists 24 and 25 attempt 25 attempt 26 to 25 attempt 27 sustain 26 to 27 sustain 27 sustain 29 output 28 motor 29 output exaggerated interhemispheric inhibition , however , conflicts with previous evidence , potentially related to greater callosal damage in our older sample , our choice of proximal vs [.] distal muscle and differing influence of measurement of inhibition in rest vs [.] active states of muscle . 0 ###LEFT-WALL### 3 inhibition 0 ###LEFT-WALL### 7 conflicts 0 ###LEFT-WALL### 46 . 1 exaggerated 3 inhibition 2 interhemispheric 3 inhibition 3 inhibition 7 conflicts 4 , 5 however 5 however 6 , 5 however 7 conflicts 7 conflicts 8 with 7 conflicts 38 in 8 with 10 evidence 8 with 24 choice 9 previous 10 evidence 10 evidence 13 related 11 , 13 related 12 potentially 13 related 13 related 14 to 13 related 18 in 13 related 22 , 14 to 17 damage 15 greater 17 damage 16 callosal 17 damage 18 in 21 sample 19 our 21 sample 20 older 21 sample 23 our 24 choice 24 choice 25 of 25 of 31 and 26 proximal 27 vs 26 proximal 31 and 27 vs 30 muscle 29 distal 30 muscle 31 and 33 influence 31 and 34 of 31 and 36 of 32 differing 33 influence 34 of 35 measurement 36 of 37 inhibition 38 in 39 rest 39 rest 40 vs 40 vs 43 states 42 active 43 states 43 states 44 of 44 of 45 muscle overall , age - specific relation of m1 to strength and muscle activation emphasizes that its adaptations only emerge when necessitated , as in a weakening neuromuscular system in aging . 0 ###LEFT-WALL### 1 overall 0 ###LEFT-WALL### 2 , 2 , 3 age 2 , 4 - 4 - 6 relation 4 - 14 emphasizes 5 specific 6 relation 6 relation 7 of 6 relation 14 emphasizes 7 of 8 m1 8 m1 9 to 9 to 11 and 10 strength 11 and 11 and 13 activation 12 muscle 13 activation 14 emphasizes 15 that 15 that 17 adaptations 15 that 19 emerge 16 its 17 adaptations 17 adaptations 19 emerge 18 only 19 emerge 19 emerge 20 when 20 when 21 necessitated 21 necessitated 23 as 22 , 23 as 23 as 24 in 23 as 31 . 24 in 28 system 25 a 28 system 26 weakening 28 system 27 neuromuscular 28 system 28 system 29 in 29 in 30 aging objective : to evaluate the episodic [migraine] ( em ) - obesity association and the influence of age , race , and sex on this relationship . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 3 to 2 : 4 evaluate 3 to 4 evaluate 4 evaluate 14 and 4 evaluate 24 on 5 the 13 association 6 episodic 9 em 6 episodic 11 - 6 episodic 12 obesity 8 ( 9 em 9 em 10 ) 12 obesity 13 association 13 association 14 and 14 and 16 influence 14 and 17 of 15 the 16 influence 17 of 22 and 18 age 19 , 19 , 20 race 19 , 22 and 21 , 22 and 22 and 23 sex 24 on 26 relationship 25 this 26 relationship methods : we examined the em - obesity association and the influence of age , race , and sex in 3,862 adult participants of both black and white race interviewed in the national comorbidity survey replication . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 3 we 2 : 4 examined 2 : 7 - 3 we 4 examined 4 examined 6 em 5 the 6 em 7 - 9 association 7 - 10 and 8 obesity 9 association 10 and 18 and 10 and 30 interviewed 11 the 12 influence 12 influence 13 of 12 influence 18 and 13 of 14 age 14 age 16 race 15 , 16 race 16 race 17 , 17 , 18 and 18 and 19 sex 18 and 20 in 18 and 24 of 18 and 30 interviewed 20 in 23 participants 21 3,862 23 participants 22 adult 23 participants 24 of 27 and 25 both 27 and 26 black 27 and 27 and 29 race 28 white 29 race 30 interviewed 31 in 30 interviewed 36 replication 31 in 35 survey 32 the 35 survey 33 national 34 comorbidity 34 comorbidity 35 survey em diagnostic criteria were based on the international classification of headache disorders . 0 ###LEFT-WALL### 3 criteria 0 ###LEFT-WALL### 5 based 0 ###LEFT-WALL### 13 . 1 em 3 criteria 2 diagnostic 3 criteria 3 criteria 4 were 4 were 5 based 5 based 6 on 6 on 9 classification 7 the 9 classification 8 international 9 classification 9 classification 10 of 10 of 12 disorders 11 headache 12 disorders body [mass] [index] was classified as underweight [(] < 18.5 kg / [m] ( 2 ) [ )(, normal ( 18.5 - 24.9 kg / [m] ( 2 [ )( (, overweight ( 25 - 29.9 kg / [m] ( 2 ) ) , or obese ( ≥30 [kg/m] ( 2 ) ) . 0 ###LEFT-WALL### 1 body 0 ###LEFT-WALL### 54 . 1 body 4 was 4 was 45 or 5 classified 6 as 5 classified 45 or 6 as 12 / 7 underweight 12 / 9 < 10 18.5 10 18.5 11 kg 11 kg 12 / 12 / 15 2 12 / 25 / 14 ( 15 2 15 2 16 ) 18 )(, 25 / 19 normal 21 18.5 19 normal 22 - 19 normal 25 / 20 ( 21 18.5 21 18.5 22 - 23 24.9 24 kg 24 kg 25 / 25 / 28 2 25 / 38 / 25 / 44 , 27 ( 28 2 28 2 30 )( 31 (, 38 / 32 overweight 34 25 32 overweight 35 - 32 overweight 38 / 33 ( 34 25 34 25 35 - 36 29.9 37 kg 37 kg 38 / 38 / 41 2 38 / 43 ) 40 ( 41 2 41 2 42 ) 45 or 46 obese 45 or 48 ≥30 47 ( 48 ≥30 48 ≥30 51 2 48 ≥30 53 ) 50 ( 51 2 51 2 52 ) adjusted odds ratios ( ors [ )(and 95 % confidence intervals ( cis ) [for] [em] were estimated using logistic regression . 0 ###LEFT-WALL### 3 ratios 0 ###LEFT-WALL### 18 estimated 0 ###LEFT-WALL### 22 . 1 adjusted 2 odds 2 odds 3 ratios 3 ratios 7 )(and 3 ratios 17 were 4 ( 7 )(and 5 ors 7 )(and 7 )(and 11 intervals 7 )(and 13 cis 7 )(and 14 ) 8 95 11 intervals 9 % 10 confidence 10 confidence 11 intervals 12 ( 13 cis 13 cis 14 ) 17 were 18 estimated 18 estimated 19 using 19 using 21 regression 20 logistic 21 regression models were stratified by age ( [<] 50/≥50 years [ )(, race ( white/black ) , and sex ( male/female ) . 0 ###LEFT-WALL### 1 models 0 ###LEFT-WALL### 3 stratified 0 ###LEFT-WALL### 22 . 1 models 2 were 2 were 3 stratified 3 stratified 4 by 4 by 5 age 5 age 17 and 6 ( 17 and 8 50/≥50 9 years 9 years 12 race 9 years 17 and 11 )(, 12 race 12 race 14 white/black 12 race 16 , 13 ( 14 white/black 14 white/black 15 ) 16 , 17 and 17 and 18 sex 17 and 20 male/female 17 and 21 ) 19 ( 20 male/female 20 male/female 21 ) results : a total of 188 participants fulfilled criteria for em . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 total 2 : 8 fulfilled 2 : 12 . 3 a 4 total 4 total 5 of 4 total 8 fulfilled 5 of 7 participants 6 188 7 participants 8 fulfilled 9 criteria 9 criteria 10 for 10 for 11 em in addition , stratified analyses demonstrated that the odds of em were greater in obese as compared [with] normal - weight individuals who were 1 [ )(younger than 50 years of age [(] or 1.86 [;] 95 % ci : 1.20 - 2.89 [;] [p] for trend = 0.008 [ )(, 2 ) white ( or 2.06 [;] 95 % ci : [1.41] - 3.01 [;] [p] for trend ≤0.001 [ )(, [or] 3 ) female ( or 1.95 [;] 95 % ci [:] 1.38 - 2.76 [;] [p] for trend ≤0.001 ) . 0 ###LEFT-WALL### 2 addition 0 ###LEFT-WALL### 3 , 1 in 2 addition 3 , 5 analyses 3 , 6 demonstrated 4 stratified 5 analyses 5 analyses 6 demonstrated 6 demonstrated 7 that 7 that 9 odds 7 that 12 were 8 the 9 odds 9 odds 10 of 9 odds 12 were 10 of 11 em 12 were 13 greater 13 greater 14 in 14 in 22 individuals 15 obese 22 individuals 16 as 17 compared 17 compared 21 weight 19 normal 20 - 19 normal 21 weight 21 weight 22 individuals 22 individuals 23 who 22 individuals 24 were 23 who 24 were 24 were 25 1 25 1 27 )(younger 25 1 31 of 27 )(younger 28 than 28 than 30 years 29 50 30 years 31 of 34 or 32 age 34 or 34 or 39 ci 34 or 40 : 35 1.86 39 ci 37 95 39 ci 38 % 39 ci 39 ci 40 : 40 : 42 - 40 : 46 for 41 1.20 42 - 42 - 43 2.89 46 for 47 trend 47 trend 49 0.008 47 trend 54 white 48 = 49 0.008 49 0.008 52 2 49 0.008 54 white 51 )(, 52 2 52 2 53 ) 54 white 64 - 55 ( 64 - 56 or 57 2.06 56 or 61 ci 56 or 62 : 56 or 64 - 59 95 61 ci 60 % 61 ci 61 ci 62 : 64 - 65 3.01 65 3.01 68 for 68 for 76 female 69 trend 76 female 70 ≤0.001 74 3 70 ≤0.001 75 ) 70 ≤0.001 76 female 72 )(, 74 3 74 3 75 ) 76 female 83 ci 77 ( 83 ci 78 or 79 1.95 78 or 83 ci 81 95 83 ci 82 % 83 ci 83 ci 85 1.38 83 ci 87 2.76 83 ci 94 . 86 - 87 2.76 87 2.76 90 for 87 2.76 93 ) 90 for 92 ≤0.001 91 trend 92 ≤0.001 conclusion : the odds of em are increased in those with obesity , with the strongest relationships among those younger than 50 years , white individuals , and women . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 4 odds 2 : 8 increased 2 : 24 , 3 the 4 odds 4 odds 5 of 4 odds 7 are 5 of 6 em 7 are 8 increased 8 increased 9 in 8 increased 14 with 9 in 10 those 10 those 11 with 11 with 12 obesity 13 , 14 with 14 with 17 relationships 14 with 18 among 14 with 24 , 15 the 16 strongest 15 the 17 relationships 18 among 19 those 19 those 20 younger 20 younger 21 than 21 than 23 years 22 50 23 years 24 , 25 white 25 white 28 and 26 individuals 28 and 27 , 28 and 28 and 29 women many newly diagnosed prostate cancers present as low gleason score tumors that require no treatment intervention . 0 ###LEFT-WALL### 1 many 0 ###LEFT-WALL### 3 diagnosed 0 ###LEFT-WALL### 17 . 1 many 3 diagnosed 2 newly 3 diagnosed 3 diagnosed 5 cancers 4 prostate 5 cancers 5 cancers 6 present 6 present 7 as 7 as 11 tumors 8 low 11 tumors 9 gleason 11 tumors 10 score 11 tumors 11 tumors 12 that 11 tumors 13 require 12 that 13 require 13 require 16 intervention 14 no 16 intervention 15 treatment 16 intervention distinguishing the many indolent tumors from the minority of lethal ones remains a major clinical challenge . 0 ###LEFT-WALL### 1 distinguishing 0 ###LEFT-WALL### 12 remains 0 ###LEFT-WALL### 17 . 1 distinguishing 5 tumors 1 distinguishing 12 remains 2 the 3 many 3 many 5 tumors 4 indolent 5 tumors 5 tumors 6 from 6 from 8 minority 7 the 8 minority 8 minority 9 of 9 of 11 ones 10 lethal 11 ones 12 remains 16 challenge 13 a 14 major 13 a 16 challenge 14 major 16 challenge 15 clinical 16 challenge we now show that low gleason score prostate tumors can be distinguished as indolent and aggressive subgroups on the basis of their expression of genes associated with aging and senescence . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 31 . 1 we 3 show 2 now 3 show 3 show 8 prostate 3 show 9 tumors 3 show 12 distinguished 4 that 8 prostate 5 low 8 prostate 6 gleason 8 prostate 7 score 8 prostate 9 tumors 10 can 10 can 11 be 11 be 12 distinguished 12 distinguished 13 as 12 distinguished 18 on 13 as 15 and 14 indolent 15 and 15 and 17 subgroups 16 aggressive 17 subgroups 18 on 29 and 19 the 20 basis 20 basis 21 of 20 basis 26 associated 20 basis 27 with 20 basis 29 and 21 of 23 expression 22 their 23 expression 23 expression 24 of 24 of 25 genes 27 with 28 aging 29 and 30 senescence using gene set enrichment analysis , we identified a 19 [-] gene signature enriched in indolent prostate tumors . 0 ###LEFT-WALL### 7 we 0 ###LEFT-WALL### 8 identified 0 ###LEFT-WALL### 19 . 1 using 5 analysis 1 using 6 , 1 using 7 we 2 gene 3 set 3 set 5 analysis 4 enrichment 5 analysis 7 we 8 identified 8 identified 13 signature 9 a 13 signature 10 19 13 signature 12 gene 13 signature 13 signature 14 enriched 14 enriched 15 in 15 in 18 tumors 16 indolent 17 prostate 17 prostate 18 tumors we then further classified this signature with a decision tree learning model to identify three genes -- fgfr1 , pmp22 , and cdkn1a -- that together accurately predicted outcome of low gleason score tumors . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 4 classified 1 we 4 classified 2 then 4 classified 3 further 4 classified 4 classified 6 signature 4 classified 13 to 5 this 6 signature 6 signature 7 with 7 with 12 model 8 a 12 model 9 decision 12 model 10 tree 12 model 11 learning 12 model 13 to 14 identify 14 identify 16 genes 15 three 16 genes 16 genes 22 and 17 -- 22 and 18 fgfr1 19 , 19 , 20 pmp22 19 , 22 and 21 , 22 and 22 and 23 cdkn1a 22 and 29 outcome 22 and 35 . 24 -- 29 outcome 25 that 29 outcome 26 together 28 predicted 27 accurately 28 predicted 28 predicted 29 outcome 29 outcome 30 of 29 outcome 35 . 30 of 34 tumors 31 low 34 tumors 32 gleason 33 score 33 score 34 tumors validation of this three [-] gene panel on independent cohorts confirmed its independent prognostic value as well as its ability to improve [prognosis] with currently used clinical nomograms . 0 ###LEFT-WALL### 1 validation 0 ###LEFT-WALL### 11 confirmed 0 ###LEFT-WALL### 29 . 1 validation 2 of 1 validation 8 on 1 validation 11 confirmed 2 of 7 panel 3 this 7 panel 4 three 6 gene 6 gene 7 panel 8 on 10 cohorts 9 independent 10 cohorts 11 confirmed 15 value 11 confirmed 26 used 12 its 15 value 13 independent 15 value 14 prognostic 15 value 15 value 18 as 15 value 26 used 16 as 17 well 17 well 18 as 18 as 20 ability 19 its 20 ability 20 ability 21 to 20 ability 24 with 21 to 22 improve 22 improve 24 with 25 currently 26 used 26 used 28 nomograms 27 clinical 28 nomograms furthermore , protein expression of this three [-] gene panel in [biopsy] samples distinguished gleason 6 patients who failed surveillance over a 10 [-] year period . 0 ###LEFT-WALL### 4 expression 0 ###LEFT-WALL### 14 distinguished 0 ###LEFT-WALL### 27 . 1 furthermore 2 , 1 furthermore 4 expression 3 protein 4 expression 4 expression 5 of 4 expression 14 distinguished 5 of 10 panel 6 this 10 panel 7 three 9 gene 9 gene 10 panel 10 panel 11 in 11 in 13 samples 14 distinguished 17 patients 15 gleason 16 6 15 gleason 17 patients 17 patients 18 who 17 patients 19 failed 18 who 19 failed 19 failed 20 surveillance 19 failed 21 over 21 over 26 period 22 a 26 period 23 10 25 year 25 year 26 period we propose that this signature may be incorporated into prognostic assays for monitoring patients on active surveillance to facilitate appropriate courses of treatment . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 propose 0 ###LEFT-WALL### 24 . 1 we 2 propose 2 propose 3 that 3 that 5 signature 3 that 8 incorporated 4 this 5 signature 5 signature 6 may 6 may 7 be 7 be 8 incorporated 8 incorporated 9 into 8 incorporated 12 for 9 into 11 assays 10 prognostic 11 assays 12 for 13 monitoring 13 monitoring 14 patients 13 monitoring 15 on 15 on 17 surveillance 16 active 17 surveillance 17 surveillance 18 to 17 surveillance 19 facilitate 18 to 19 facilitate 19 facilitate 21 courses 20 appropriate 21 courses 21 courses 22 of 22 of 23 treatment none genetic lipodystrophic syndromes are rare diseases characterized by generalized or partial fat atrophy ( lipoatrophy ) associated with severe metabolic complications such as insulin resistance ( ir ) , diabetes , dyslipidemia , nonalcoholic fatty liver disease , and ovarian hyperandrogenism . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 10 generalized 0 ###LEFT-WALL### 11 or 1 none 4 syndromes 1 none 9 by 1 none 10 generalized 2 genetic 4 syndromes 3 lipodystrophic 4 syndromes 4 syndromes 5 are 5 are 7 diseases 5 are 9 by 6 rare 7 diseases 7 diseases 8 characterized 11 or 14 atrophy 11 or 18 associated 12 partial 14 atrophy 13 fat 14 atrophy 14 atrophy 16 lipoatrophy 14 atrophy 18 associated 15 ( 16 lipoatrophy 16 lipoatrophy 17 ) 18 associated 19 with 18 associated 24 as 19 with 22 complications 20 severe 22 complications 21 metabolic 22 complications 23 such 24 as 24 as 26 resistance 25 insulin 26 resistance 26 resistance 28 ir 26 resistance 40 and 27 ( 28 ir 28 ir 29 ) 30 , 40 and 31 diabetes 32 , 32 , 33 dyslipidemia 32 , 34 , 34 , 38 disease 34 , 40 and 35 nonalcoholic 37 liver 36 fatty 37 liver 37 liver 38 disease 39 , 40 and 40 and 42 hyperandrogenism 40 and 43 . 41 ovarian 42 hyperandrogenism during the last 15 years , mutations in several genes have been shown to be responsible for monogenic forms of lipodystrophic syndromes , of autosomal dominant or recessive transmission . 0 ###LEFT-WALL### 7 mutations 0 ###LEFT-WALL### 13 shown 1 during 5 years 1 during 6 , 1 during 7 mutations 2 the 5 years 3 last 5 years 4 15 5 years 7 mutations 8 in 7 mutations 11 have 8 in 10 genes 9 several 10 genes 11 have 12 been 12 been 13 shown 13 shown 14 to 14 to 15 be 15 be 16 responsible 16 responsible 17 for 17 for 19 forms 18 monogenic 19 forms 19 forms 20 of 20 of 22 syndromes 21 lipodystrophic 22 syndromes 22 syndromes 24 of 23 , 24 of 24 of 29 transmission 24 of 30 . 25 autosomal 29 transmission 26 dominant 27 or 27 or 28 recessive 27 or 29 transmission although the molecular basis of lipodystrophies is heterogeneous , most mutated genes lead to impaired adipogenesis , adipocyte lipid storage , and/or formation or maintenance of the adipocyte lipid droplet ( ld ) , showing that primary alterations of adipose tissue ( at ) can result in severe systemic metabolic and endocrine consequences . 0 ###LEFT-WALL### 13 lead 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 46 result 0 ###LEFT-WALL### 54 . 1 although 4 basis 1 although 7 is 1 although 13 lead 2 the 4 basis 3 molecular 4 basis 4 basis 5 of 4 basis 7 is 5 of 6 lipodystrophies 7 is 12 genes 8 heterogeneous 9 , 8 heterogeneous 12 genes 10 most 11 mutated 11 mutated 12 genes 13 lead 14 to 14 to 16 adipogenesis 15 impaired 16 adipogenesis 17 , 18 adipocyte 18 adipocyte 20 storage 18 adipocyte 22 and/or 19 lipid 20 storage 21 , 22 and/or 22 and/or 24 or 23 formation 24 or 24 or 25 maintenance 24 or 34 , 24 or 35 showing 24 or 46 result 25 maintenance 26 of 26 of 30 droplet 27 the 30 droplet 28 adipocyte 30 droplet 29 lipid 30 droplet 30 droplet 32 ld 31 ( 32 ld 32 ld 33 ) 35 showing 38 alterations 35 showing 45 can 36 that 37 primary 37 primary 38 alterations 38 alterations 39 of 38 alterations 45 can 39 of 41 tissue 40 adipose 41 tissue 41 tissue 43 at 42 ( 43 at 43 at 44 ) 46 result 47 in 47 in 53 consequences 48 severe 53 consequences 49 systemic 53 consequences 50 metabolic 51 and 51 and 52 endocrine 51 and 53 consequences the reduced expandability of at alters its ability to buffer excess caloric intake , leading to ectopic lipid storage that impairs insulin signaling and other cellular functions ( " lipotoxicity " ) . 0 ###LEFT-WALL### 3 expandability 0 ###LEFT-WALL### 6 alters 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 33 . 1 the 3 expandability 2 reduced 3 expandability 3 expandability 4 of 3 expandability 6 alters 4 of 5 at 6 alters 8 ability 7 its 8 ability 8 ability 9 to 8 ability 10 buffer 9 to 10 buffer 10 buffer 13 intake 11 excess 13 intake 12 caloric 13 intake 14 , 15 leading 14 , 21 impairs 15 leading 16 to 15 leading 20 that 15 leading 21 impairs 16 to 19 storage 17 ectopic 18 lipid 18 lipid 19 storage 21 impairs 24 and 22 insulin 23 signaling 22 insulin 24 and 24 and 27 functions 24 and 30 lipotoxicity 25 other 27 functions 26 cellular 27 functions 28 ( 29 " 28 ( 30 lipotoxicity 30 lipotoxicity 31 " 30 lipotoxicity 32 ) genetic studies have also pointed out the close relationships between ageing , inflammatory processes , lipodystrophy , and ir . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 5 pointed 0 ###LEFT-WALL### 20 . 1 genetic 2 studies 2 studies 3 have 3 have 5 pointed 4 also 5 pointed 5 pointed 6 out 5 pointed 9 relationships 5 pointed 10 between 7 the 9 relationships 8 close 9 relationships 10 between 18 and 11 ageing 12 , 12 , 14 processes 12 , 15 , 13 inflammatory 14 processes 15 , 16 lipodystrophy 15 , 18 and 17 , 18 and 18 and 19 ir cigarette smoking causes various diseases , including lung cancer and cardiovascular disease , and [reduces] life span , though the mechanisms are not well understood . 0 ###LEFT-WALL### 2 smoking 0 ###LEFT-WALL### 3 causes 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 26 . 1 cigarette 2 smoking 2 smoking 3 causes 3 causes 5 diseases 3 causes 7 including 4 various 5 diseases 6 , 7 including 7 including 14 and 7 including 18 , 8 lung 9 cancer 9 cancer 10 and 10 and 12 disease 10 and 14 and 11 cardiovascular 12 disease 13 , 14 and 14 and 17 span 16 life 17 span 18 , 24 well 18 , 25 understood 19 though 21 mechanisms 19 though 22 are 19 though 24 well 20 the 21 mechanisms 21 mechanisms 22 are 22 are 23 not 24 well 25 understood we hypothesize that smoking may cause cellular mitochondrial dysfunction and oxidative stress , leading to aging acceleration . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 hypothesize 0 ###LEFT-WALL### 18 . 1 we 2 hypothesize 2 hypothesize 3 that 3 that 4 smoking 3 that 6 cause 4 smoking 5 may 5 may 6 cause 6 cause 10 and 6 cause 15 to 7 cellular 9 dysfunction 8 mitochondrial 9 dysfunction 9 dysfunction 10 and 10 and 12 stress 10 and 13 , 10 and 14 leading 11 oxidative 12 stress 15 to 16 aging 16 aging 17 acceleration in the present study , we tested the effects of acrolein , a major representative smoking toxicant , on human lung fibroblast imr - 90 cells with regard to cellular senescence , oxidative stress , and mitochondrial function . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 tested 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 39 . 1 in 4 study 1 in 5 , 1 in 6 we 2 the 4 study 3 present 4 study 6 we 7 tested 7 tested 9 effects 8 the 9 effects 9 effects 10 of 10 of 11 acrolein 12 , 36 and 13 a 15 representative 14 major 15 representative 15 representative 16 smoking 15 representative 36 and 16 smoking 17 toxicant 16 smoking 19 on 18 , 19 on 19 on 23 imr 19 on 35 , 20 human 21 lung 21 lung 23 imr 22 fibroblast 23 imr 23 imr 26 cells 23 imr 34 stress 24 - 26 cells 25 90 26 cells 26 cells 27 with 26 cells 32 , 27 with 28 regard 28 regard 29 to 29 to 31 senescence 30 cellular 31 senescence 32 , 34 stress 33 oxidative 34 stress 34 stress 35 , 35 , 36 and 36 and 38 function 37 mitochondrial 38 function background and aims : the aim of this prospective study is to evaluate the safety of both diagnostic and therapeutic endosonography ( eus ) in geriatric population . 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 4 : 1 background 2 and 2 and 3 aims 4 : 6 aim 4 : 11 is 4 : 28 . 5 the 6 aim 6 aim 7 of 6 aim 11 is 7 of 10 study 8 this 10 study 9 prospective 10 study 11 is 12 to 11 is 25 in 12 to 13 evaluate 13 evaluate 15 safety 14 the 15 safety 15 safety 16 of 15 safety 23 eus 16 of 19 and 17 both 19 and 18 diagnostic 19 and 19 and 21 endosonography 20 therapeutic 21 endosonography 22 ( 23 eus 23 eus 24 ) 25 in 27 population 26 geriatric 27 population methods : the study population , consisting of 222 patients who underwent endosonographic evaluation [for] different indications , was divided into two groups . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 population 2 : 20 divided 2 : 24 . 3 the 5 population 4 study 5 population 5 population 7 consisting 5 population 19 was 6 , 7 consisting 7 consisting 8 of 7 consisting 18 , 8 of 10 patients 9 222 10 patients 10 patients 11 who 10 patients 12 underwent 11 who 12 underwent 12 underwent 17 indications 13 endosonographic 14 evaluation 14 evaluation 17 indications 16 different 17 indications 19 was 20 divided 20 divided 21 into 21 into 23 groups 22 two 23 groups group i consisted of 165 patients , ≥ 65 years old ; group ii consisted of 57 controls , < 65 years old . 0 ###LEFT-WALL### 1 group 0 ###LEFT-WALL### 3 consisted 0 ###LEFT-WALL### 12 ; 1 group 2 i 1 group 3 consisted 3 consisted 4 of 4 of 6 patients 5 165 6 patients 6 patients 8 ≥ 7 , 8 ≥ 8 ≥ 11 old 8 ≥ 12 ; 9 65 10 years 10 years 11 old 12 ; 13 group 12 ; 15 consisted 13 group 14 ii 13 group 15 consisted 15 consisted 16 of 16 of 18 controls 17 57 18 controls 18 controls 23 old 19 , 23 old 20 < 21 65 21 65 22 years 22 years 23 old 23 old 24 . the demographic information with clinical parameters , procedure medication used and complications was noted . 0 ###LEFT-WALL### 3 information 0 ###LEFT-WALL### 14 noted 0 ###LEFT-WALL### 15 . 1 the 3 information 2 demographic 3 information 3 information 4 with 3 information 13 was 4 with 11 and 5 clinical 6 parameters 6 parameters 7 , 7 , 9 medication 7 , 11 and 8 procedure 9 medication 9 medication 10 used 11 and 12 complications 13 was 14 noted results : the median age of group i was 72 years ( range 65 - 93 years ) [vs] . 46 years [(] range 26 - 64 years ) for group ii . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 5 age 2 : 9 was 3 the 5 age 4 median 5 age 5 age 6 of 5 age 9 was 6 of 7 group 7 group 8 i 9 was 11 years 10 72 11 years 11 years 13 range 12 ( 13 range 13 range 14 65 13 range 17 years 13 range 18 ) 15 - 17 years 16 93 17 years 17 years 18 ) 20 . 22 years 20 . 24 range 20 . 33 . 21 46 22 years 22 years 24 range 24 range 25 26 24 range 30 for 25 26 28 years 26 - 28 years 27 64 28 years 28 years 29 ) 30 for 31 group 31 group 32 ii female - [to] [-] male ratio [was] 82/83 in group i , [while] 32/25 in group ii . 0 ###LEFT-WALL### 1 female 0 ###LEFT-WALL### 2 - 2 - 6 ratio 5 male 6 ratio 6 ratio 8 82/83 6 ratio 9 in 9 in 10 group 10 group 11 i 10 group 14 32/25 12 , 14 32/25 14 32/25 15 in 14 32/25 18 . 15 in 16 group 16 group 17 ii pulse rate ( 84 vs [.] 89 beats/min , p = 0.024 [ )( basal oxygen saturation ( 94 vs [.] 97 % , p < 0.001 [ )(levels were lower in group i when compared with the control group [,] [while] systolic blood pressure measurements [(] 150 vs [.] 130 mmhg , p < 0.001 ) were significantly higher in group i [.] no cases of procedure - related bleeding , perforation and mortality were observed in both groups . 0 ###LEFT-WALL### 1 pulse 1 pulse 2 rate 2 rate 4 84 2 rate 11 = 3 ( 4 84 4 84 5 vs 4 84 9 , 5 vs 8 beats/min 7 89 8 beats/min 10 p 11 = 11 = 17 saturation 12 0.024 17 saturation 15 basal 16 oxygen 16 oxygen 17 saturation 17 saturation 19 94 17 saturation 26 < 18 ( 19 94 19 94 20 vs 19 94 24 , 20 vs 23 % 22 97 23 % 25 p 26 < 26 < 27 0.001 27 0.001 29 )(levels 27 0.001 31 lower 29 )(levels 30 were 30 were 31 lower 31 lower 32 in 31 lower 35 when 31 lower 37 with 32 in 33 group 33 group 34 i 35 when 36 compared 37 with 46 measurements 38 the 46 measurements 39 control 46 measurements 40 group 45 pressure 43 systolic 45 pressure 44 blood 45 pressure 45 pressure 46 measurements 46 measurements 48 150 46 measurements 58 were 48 150 49 vs 48 150 55 < 48 150 58 were 49 vs 52 mmhg 51 130 52 mmhg 53 , 55 < 54 p 55 < 55 < 56 0.001 55 < 57 ) 58 were 59 significantly 58 were 60 higher 58 were 61 in 61 in 66 cases 62 group 63 i 62 group 66 cases 65 no 66 cases 66 cases 67 of 66 cases 71 bleeding 67 of 68 procedure 69 - 71 bleeding 70 related 71 bleeding 71 bleeding 72 , 72 , 77 observed 73 perforation 74 and 74 and 75 mortality 74 and 76 were 76 were 77 observed 77 observed 78 in 77 observed 81 . 78 in 80 groups 79 both 80 groups conclusion : despite the well - known relative increased procedural risks , advanced age is not a contraindication for advanced endoscopic interventions . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 14 age 2 : 15 is 2 : 23 . 3 despite 5 well 3 despite 12 , 3 despite 14 age 4 the 5 well 5 well 11 risks 6 - 11 risks 7 known 11 risks 8 relative 9 increased 9 increased 11 risks 10 procedural 11 risks 11 risks 12 , 13 advanced 14 age 14 age 15 is 15 is 16 not 15 is 18 contraindication 17 a 18 contraindication 18 contraindication 19 for 19 for 22 interventions 20 advanced 22 interventions 21 endoscopic 22 interventions eus can be regarded as a safe and effective procedure in ≥ 65 years old population . 0 ###LEFT-WALL### 1 eus 0 ###LEFT-WALL### 4 regarded 0 ###LEFT-WALL### 17 . 1 eus 2 can 2 can 3 be 3 be 4 regarded 4 regarded 5 as 4 regarded 11 in 5 as 8 and 6 a 7 safe 7 safe 8 and 8 and 10 procedure 9 effective 10 procedure 11 in 16 population 12 ≥ 16 population 13 65 14 years 14 years 16 population 15 old 16 population long - term treatment with bisphosphonates has been related to atypical femoral fractures . 0 ###LEFT-WALL### 4 treatment 0 ###LEFT-WALL### 9 related 0 ###LEFT-WALL### 14 . 1 long 2 - 1 long 3 term 3 term 4 treatment 4 treatment 5 with 4 treatment 7 has 5 with 6 bisphosphonates 7 has 8 been 8 been 9 related 9 related 10 to 10 to 13 fractures 11 atypical 13 fractures 12 femoral 13 fractures we report the clinical case of a woman who suffered a proximal diaphyseal oblique fracture of the left femur after uninterrupted [13] - year treatment with alendronate . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 report 0 ###LEFT-WALL### 28 . 1 we 2 report 2 report 5 case 2 report 20 after 2 report 26 with 3 the 5 case 4 clinical 5 case 5 case 6 of 5 case 9 who 5 case 10 suffered 6 of 8 woman 7 a 8 woman 9 who 10 suffered 10 suffered 15 fracture 11 a 12 proximal 11 a 15 fracture 12 proximal 15 fracture 13 diaphyseal 15 fracture 14 oblique 15 fracture 15 fracture 16 of 16 of 19 femur 17 the 19 femur 18 left 19 femur 20 after 25 treatment 21 uninterrupted 23 - 21 uninterrupted 25 treatment 24 year 25 treatment 26 with 27 alendronate shortly after surgery , a painful lytic image in the external cortex of her right femur diaphysis was detected . 0 ###LEFT-WALL### 8 image 0 ###LEFT-WALL### 19 detected 0 ###LEFT-WALL### 20 . 1 shortly 2 after 2 after 3 surgery 2 after 4 , 2 after 8 image 5 a 6 painful 5 a 8 image 6 painful 8 image 7 lytic 8 image 8 image 9 in 8 image 18 was 9 in 12 cortex 10 the 12 cortex 11 external 12 cortex 12 cortex 13 of 13 of 17 diaphysis 14 her 17 diaphysis 15 right 16 femur 16 femur 17 diaphysis 18 was 19 detected some papers have suggested surgical treatment to repair femur fractures after long - term treatment with bisphosphonates . 0 ###LEFT-WALL### 2 papers 0 ###LEFT-WALL### 8 repair 0 ###LEFT-WALL### 18 . 1 some 2 papers 2 papers 3 have 3 have 4 suggested 4 suggested 6 treatment 4 suggested 7 to 5 surgical 6 treatment 7 to 8 repair 8 repair 10 fractures 8 repair 11 after 8 repair 16 with 9 femur 10 fractures 11 after 15 treatment 12 long 13 - 12 long 14 term 14 term 15 treatment 16 with 17 bisphosphonates otherwise , two studies have shown healing acceleration of bone fractures with teriparatide . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 6 shown 0 ###LEFT-WALL### 14 . 1 otherwise 2 , 1 otherwise 4 studies 3 two 4 studies 4 studies 5 have 5 have 6 shown 6 shown 8 acceleration 6 shown 12 with 7 healing 8 acceleration 8 acceleration 9 of 9 of 11 fractures 10 bone 11 fractures 12 with 13 teriparatide a lytic lesion was treated with teriparatide obtaining progressive disappearance [of] symptoms as well as bone healing . 0 ###LEFT-WALL### 3 lesion 0 ###LEFT-WALL### 5 treated 0 ###LEFT-WALL### 18 . 1 a 2 lytic 1 a 3 lesion 2 lytic 3 lesion 3 lesion 4 was 4 was 5 treated 5 treated 6 with 5 treated 14 well 5 treated 15 as 6 with 7 teriparatide 7 teriparatide 8 obtaining 8 obtaining 12 symptoms 9 progressive 10 disappearance 10 disappearance 12 symptoms 13 as 14 well 15 as 17 healing 16 bone 17 healing this outcome may suggest a way of prevention of complete fractures in symptomatic patients with long - term treatment with bisphosphonates . 0 ###LEFT-WALL### 2 outcome 0 ###LEFT-WALL### 4 suggest 0 ###LEFT-WALL### 22 . 1 this 2 outcome 2 outcome 3 may 3 may 4 suggest 4 suggest 6 way 4 suggest 12 in 4 suggest 15 with 4 suggest 20 with 5 a 6 way 6 way 7 of 7 of 8 prevention 8 prevention 9 of 9 of 11 fractures 10 complete 11 fractures 12 in 14 patients 13 symptomatic 14 patients 15 with 19 treatment 16 long 17 - 16 long 18 term 18 term 19 treatment 20 with 21 bisphosphonates background : heading impairs cognition in the short and medium - terms ; however , little is known about the long - term consequences . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 heading 2 : 4 impairs 2 : 13 ; 2 : 18 known 2 : 25 . 3 heading 4 impairs 4 impairs 5 cognition 4 impairs 6 in 6 in 9 and 7 the 8 short 8 short 9 and 9 and 12 terms 10 medium 11 - 10 medium 12 terms 13 ; 16 little 14 however 15 , 14 however 16 little 16 little 17 is 17 is 18 known 18 known 19 about 19 about 24 consequences 20 the 24 consequences 21 long 22 - 21 long 24 consequences 23 term 24 consequences this study aimed to investigate the hypothesis that chronic low - level head trauma [is] associated [with] persistent cognitive decline . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 21 . 1 this 2 study 2 study 3 aimed 3 aimed 4 to 3 aimed 5 investigate 4 to 5 investigate 5 investigate 20 decline 6 the 20 decline 7 hypothesis 16 associated 8 that 9 chronic 9 chronic 12 level 10 low 11 - 10 low 12 level 12 level 16 associated 13 head 16 associated 14 trauma 16 associated 16 associated 20 decline 18 persistent 20 decline 19 cognitive 20 decline methods : all members of former player associations ( fpas ) from four professional football clubs in the uk were contacted to participate in the study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 4 members 2 : 21 contacted 3 all 4 members 4 members 5 of 4 members 12 from 4 members 17 in 4 members 20 were 5 of 8 associations 6 former 7 player 7 player 8 associations 8 associations 10 fpas 9 ( 10 fpas 10 fpas 11 ) 12 from 16 clubs 13 four 16 clubs 14 professional 15 football 15 football 16 clubs 17 in 19 uk 18 the 19 uk 20 were 21 contacted 21 contacted 22 to 22 to 23 participate 23 participate 24 in 24 in 26 study 25 the 26 study participants were required to complete a self [-] assessed test of cognition , the test your memory questionnaire . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 required 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 19 . 1 participants 2 were 2 were 3 required 3 required 4 to 3 required 5 complete 4 to 5 complete 5 complete 10 test 6 a 10 test 7 self 9 assessed 9 assessed 10 test 10 test 11 of 11 of 12 cognition 13 , 18 questionnaire 14 the 18 questionnaire 15 test 16 your 16 your 17 memory 17 memory 18 questionnaire further information was collected from respondents in order to analyse the potential effect of a number of variables on cognition . 0 ###LEFT-WALL### 2 information 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 21 . 1 further 2 information 2 information 3 was 3 was 4 collected 4 collected 5 from 4 collected 7 in 4 collected 9 to 4 collected 10 analyse 5 from 6 respondents 7 in 8 order 9 to 10 analyse 10 analyse 13 effect 10 analyse 19 on 11 the 13 effect 12 potential 13 effect 13 effect 14 of 14 of 18 variables 15 a 16 number 16 number 17 of 16 number 18 variables 17 of 18 variables 19 on 20 cognition results : 10 of 92 respondents ( 10.87 % ) screened positive for possible mild cognitive impairment ( mci ) or dementia . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 10 2 : 11 screened 2 : 23 . 3 10 4 of 3 10 11 screened 4 of 6 respondents 5 92 6 respondents 6 respondents 9 % 7 ( 9 % 8 10.87 9 % 9 % 10 ) 11 screened 21 or 12 positive 13 for 12 positive 21 or 13 for 17 impairment 14 possible 17 impairment 15 mild 17 impairment 16 cognitive 17 impairment 17 impairment 19 mci 18 ( 19 mci 19 mci 20 ) 21 or 22 dementia there was no association between low - risk and high - risk playing positions ( hr [=] 0.40 , p = 0.456 ) or length of playing career [(] hr = 1.051 95 % ci 0.879 to 1.257 , p = 0.586 ) and a positive screening result . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 49 . 1 there 2 was 2 was 4 association 3 no 4 association 4 association 5 between 5 between 9 and 6 low 7 - 6 low 8 risk 8 risk 9 and 9 and 10 high 11 - 12 risk 11 - 24 or 12 risk 14 positions 12 risk 21 = 13 playing 14 positions 14 positions 16 hr 15 ( 16 hr 16 hr 18 0.40 16 hr 19 , 20 p 21 = 21 = 22 0.456 21 = 23 ) 24 or 25 length 24 or 31 = 25 length 26 of 25 length 31 = 26 of 27 playing 27 playing 30 hr 28 career 30 hr 31 = 44 and 32 1.051 35 ci 33 95 35 ci 34 % 35 ci 35 ci 36 0.879 35 ci 37 to 35 ci 44 and 37 to 38 1.257 38 1.257 41 = 39 , 41 = 40 p 41 = 41 = 42 0.586 41 = 43 ) 44 and 48 result 45 a 48 result 46 positive 48 result 47 screening 48 result age was a risk factor ( hr [=] 1.137 per additional year , 95 % ci 1.030 to 1.255 , p < 0.05 ) , although this was not significantly different from the population prevalence across age groups . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 39 . 1 age 2 was 2 was 5 factor 2 was 26 although 3 a 5 factor 4 risk 5 factor 5 factor 7 hr 5 factor 16 ci 6 ( 7 hr 7 hr 9 1.137 7 hr 10 per 7 hr 13 , 10 per 12 year 11 additional 12 year 13 , 16 ci 14 95 16 ci 15 % 16 ci 16 ci 18 to 16 ci 22 < 16 ci 25 , 17 1.030 18 to 18 to 19 1.255 20 , 22 < 21 p 22 < 22 < 23 0.05 22 < 24 ) 26 although 27 this 26 although 28 was 27 this 28 was 28 was 29 not 28 was 30 significantly 28 was 31 different 29 not 30 significantly 31 different 32 from 31 different 36 across 32 from 35 prevalence 33 the 35 prevalence 34 population 35 prevalence 36 across 38 groups 37 age 38 groups conclusions : these results suggest that once a player ends their playing career , their risk of harm falls in line with the population , suggesting either that changes are reversible or that heading may not be as harmful as commonly thought [.] 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 5 suggest 2 : 14 , 3 these 4 results 4 results 5 suggest 5 suggest 6 that 5 suggest 7 once 7 once 9 player 7 once 10 ends 8 a 9 player 9 player 10 ends 10 ends 13 career 11 their 13 career 12 playing 13 career 14 , 16 risk 14 , 19 falls 14 , 25 , 15 their 16 risk 16 risk 17 of 16 risk 19 falls 17 of 18 harm 19 falls 21 line 19 falls 22 with 20 in 21 line 22 with 24 population 23 the 24 population 25 , 26 suggesting 25 , 30 are 25 , 32 or 26 suggesting 27 either 26 suggesting 28 that 26 suggesting 30 are 29 changes 30 are 30 are 31 reversible 32 or 34 heading 33 that 34 heading 34 heading 35 may 35 may 36 not 35 may 37 be 37 be 39 harmful 38 as 39 harmful 39 harmful 40 as 40 as 42 thought 41 commonly 42 thought future longitudinal studies of large numbers of professional football players are needed to support the findings from this study . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 12 needed 0 ###LEFT-WALL### 20 . 1 future 3 studies 2 longitudinal 3 studies 3 studies 4 of 3 studies 7 of 3 studies 11 are 4 of 6 numbers 5 large 6 numbers 7 of 10 players 8 professional 10 players 9 football 10 players 11 are 12 needed 12 needed 13 to 13 to 14 support 14 support 16 findings 15 the 16 findings 16 findings 17 from 17 from 19 study 18 this 19 study drug addiction is often underestimated among the aged . 0 ###LEFT-WALL### 2 addiction 0 ###LEFT-WALL### 5 underestimated 0 ###LEFT-WALL### 9 . 1 drug 2 addiction 2 addiction 3 is 3 is 5 underestimated 4 often 5 underestimated 5 underestimated 6 among 6 among 8 aged 7 the 8 aged opiate drugs ( mostly pain killers ) are the most frequently implicated in drug addiction after benzodiazepines ( bzd ) in the aged . 0 ###LEFT-WALL### 2 drugs 0 ###LEFT-WALL### 12 implicated 0 ###LEFT-WALL### 24 . 1 opiate 2 drugs 2 drugs 6 killers 2 drugs 8 are 3 ( 4 mostly 3 ( 6 killers 5 pain 6 killers 6 killers 7 ) 8 are 10 most 8 are 12 implicated 9 the 10 most 11 frequently 12 implicated 12 implicated 13 in 12 implicated 16 after 12 implicated 21 in 13 in 15 addiction 14 drug 15 addiction 16 after 17 benzodiazepines 17 benzodiazepines 19 bzd 18 ( 19 bzd 19 bzd 20 ) 21 in 23 aged 22 the 23 aged the subjects aged [of] 65 years or more are the most represented among the bzd users in france . 0 ###LEFT-WALL### 2 subjects 0 ###LEFT-WALL### 3 aged 0 ###LEFT-WALL### 7 or 0 ###LEFT-WALL### 19 . 1 the 2 subjects 2 subjects 3 aged 3 aged 6 years 5 65 6 years 7 or 8 more 7 or 12 represented 8 more 9 are 9 are 11 most 9 are 12 represented 10 the 11 most 12 represented 13 among 12 represented 17 in 13 among 16 users 14 the 16 users 15 bzd 16 users 17 in 18 france frequency of bzd use varies according to various studies from 39 to 55 % in this age group . 0 ###LEFT-WALL### 1 frequency 0 ###LEFT-WALL### 5 varies 0 ###LEFT-WALL### 19 . 1 frequency 2 of 1 frequency 5 varies 2 of 4 use 3 bzd 4 use 5 varies 7 to 5 varies 12 to 6 according 7 to 7 to 9 studies 8 various 9 studies 10 from 12 to 11 39 12 to 12 to 13 55 13 55 14 % 14 % 15 in 14 % 18 group 15 in 17 age 16 this 17 age leading a lonely life is associated with the use of psychotropic drugs among retired people ( or=1.7 ) . 0 ###LEFT-WALL### 1 leading 0 ###LEFT-WALL### 6 associated 0 ###LEFT-WALL### 19 . 1 leading 4 life 1 leading 5 is 2 a 3 lonely 2 a 4 life 3 lonely 4 life 5 is 6 associated 6 associated 7 with 6 associated 13 among 7 with 9 use 8 the 9 use 9 use 10 of 10 of 12 drugs 11 psychotropic 12 drugs 13 among 15 people 14 retired 15 people 15 people 17 or=1.7 16 ( 17 or=1.7 17 or=1.7 18 ) vulnerability at this age must take into account not only polypathology , but also the faster aging of a minority of the population under opiate drugs substitution treatment ( ost ) , more subjects to drugs interaction . 0 ###LEFT-WALL### 1 vulnerability 0 ###LEFT-WALL### 6 take 0 ###LEFT-WALL### 32 , 0 ###LEFT-WALL### 38 . 1 vulnerability 2 at 1 vulnerability 5 must 2 at 4 age 3 this 4 age 5 must 6 take 6 take 8 account 6 take 14 also 6 take 24 under 7 into 8 account 9 not 10 only 10 only 14 also 11 polypathology 14 also 12 , 14 also 13 but 14 also 14 also 17 aging 15 the 17 aging 16 faster 17 aging 17 aging 18 of 17 aging 21 of 18 of 20 minority 19 a 20 minority 21 of 23 population 22 the 23 population 24 under 28 treatment 25 opiate 27 substitution 26 drugs 27 substitution 27 substitution 28 treatment 28 treatment 30 ost 29 ( 30 ost 30 ost 31 ) 32 , 33 more 32 , 34 subjects 33 more 34 subjects 34 subjects 35 to 34 subjects 37 interaction 35 to 36 drugs drug addiction [among] [elderly] often reflects the drift of " lawful " doctor 's instructions that leads to an increase in drugs use . 0 ###LEFT-WALL### 1 drug 0 ###LEFT-WALL### 14 's 0 ###LEFT-WALL### 24 . 1 drug 2 addiction 1 drug 6 reflects 1 drug 14 's 2 addiction 6 reflects 5 often 6 reflects 6 reflects 8 drift 7 the 8 drift 8 drift 9 of 9 of 10 " 9 of 13 doctor 11 lawful 12 " 11 lawful 13 doctor 14 's 15 instructions 15 instructions 16 that 15 instructions 17 leads 15 instructions 18 to 15 instructions 21 in 16 that 17 leads 18 to 20 increase 19 an 20 increase 21 in 23 use 22 drugs 23 use the difficulty has to do with a lack of specificity of diagnosis of addiction at this age , but perhaps also [with] physicans'instructions in the aged . 0 ###LEFT-WALL### 2 difficulty 0 ###LEFT-WALL### 19 but 0 ###LEFT-WALL### 27 . 1 the 2 difficulty 2 difficulty 19 but 3 has 4 to 3 has 6 with 3 has 15 at 3 has 19 but 4 to 5 do 6 with 8 lack 7 a 8 lack 8 lack 9 of 9 of 10 specificity 10 specificity 11 of 11 of 12 diagnosis 12 diagnosis 13 of 13 of 14 addiction 15 at 17 age 16 this 17 age 18 , 19 but 19 but 23 physicans'instructions 20 perhaps 23 physicans'instructions 21 also 23 physicans'instructions 23 physicans'instructions 24 in 24 in 26 aged 25 the 26 aged some authors suggest that continued and prolonged use should be considered the main criterion for bzd addiction at this age , [with] or [without] increase in doses and failed attempt at cessation . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 33 . 1 some 2 authors 2 authors 3 suggest 3 suggest 4 that 3 suggest 5 continued 4 that 5 continued 6 and 8 use 6 and 23 or 7 prolonged 8 use 8 use 9 should 9 should 10 be 10 be 23 or 11 considered 14 criterion 11 considered 17 addiction 11 considered 18 at 11 considered 23 or 12 the 14 criterion 13 main 14 criterion 14 criterion 15 for 15 for 16 bzd 18 at 20 age 19 this 20 age 21 , 23 or 23 or 25 increase 23 or 31 at 25 increase 26 in 26 in 28 and 27 doses 28 and 28 and 30 attempt 29 failed 30 attempt 31 at 32 cessation besides , the prescription of bzd increases after retirement and loneliness . 0 ###LEFT-WALL### 4 prescription 0 ###LEFT-WALL### 7 increases 0 ###LEFT-WALL### 12 . 1 besides 2 , 1 besides 4 prescription 3 the 4 prescription 4 prescription 5 of 4 prescription 7 increases 5 of 6 bzd 7 increases 8 after 8 after 10 and 9 retirement 10 and 10 and 11 loneliness we previously reported that aging and/or cytochrome p450 2d6 [polymorphism] are responsible for the interindividual variability in the systemic clearance ( cl ) and bioavailability [(] f ) of metoprolol . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 11 are 0 ###LEFT-WALL### 31 . 1 we 3 reported 2 previously 3 reported 3 reported 4 that 4 that 5 aging 5 aging 6 and/or 6 and/or 9 2d6 7 cytochrome 9 2d6 8 p450 9 2d6 9 2d6 11 are 11 are 24 and 12 responsible 13 for 12 responsible 24 and 13 for 16 variability 14 the 16 variability 15 interindividual 16 variability 16 variability 17 in 17 in 20 clearance 18 the 20 clearance 19 systemic 20 clearance 20 clearance 22 cl 21 ( 22 cl 22 cl 23 ) 24 and 25 bioavailability 24 and 28 ) 24 and 29 of 25 bioavailability 27 f 29 of 30 metoprolol the aim of the present study was to evaluate the residual variability of f of metoprolol in routinely treated japanese patients and to investigate the intestinal absorption mechanism of the drug using human intestinal epithelial ls180 cells . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 38 . 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 22 and 8 to 22 and 9 evaluate 12 variability 9 evaluate 17 in 9 evaluate 22 and 10 the 12 variability 11 residual 12 variability 12 variability 13 of 12 variability 15 of 13 of 14 f 15 of 16 metoprolol 17 in 21 patients 18 routinely 19 treated 19 treated 21 patients 20 japanese 21 patients 22 and 23 to 22 and 24 investigate 22 and 32 using 23 to 24 investigate 24 investigate 28 mechanism 25 the 28 mechanism 26 intestinal 27 absorption 27 absorption 28 mechanism 28 mechanism 29 of 29 of 31 drug 30 the 31 drug 32 using 37 cells 33 human 37 cells 34 intestinal 37 cells 35 epithelial 37 cells 36 ls180 37 cells we first [re] [-] analyzed the blood concentration data for metoprolol in 34 japanese patients using a nonlinear mixed effects model . 0 ###LEFT-WALL### 2 first 0 ###LEFT-WALL### 5 analyzed 0 ###LEFT-WALL### 22 . 1 we 2 first 2 first 5 analyzed 5 analyzed 9 data 5 analyzed 12 in 5 analyzed 16 using 6 the 9 data 7 blood 9 data 8 concentration 9 data 9 data 10 for 10 for 11 metoprolol 12 in 15 patients 13 34 15 patients 14 japanese 15 patients 16 using 21 model 17 a 18 nonlinear 17 a 21 model 18 nonlinear 20 effects 19 mixed 20 effects 20 effects 21 model furthermore , the cellular uptake of metoprolol was saturable , and was significantly decreased in the presence of hydrophobic cationic drugs such as diphenhydramine , procainamide , bisoprolol , and quinidine . 0 ###LEFT-WALL### 5 uptake 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 32 . 1 furthermore 2 , 1 furthermore 5 uptake 3 the 5 uptake 4 cellular 5 uptake 5 uptake 6 of 5 uptake 11 and 6 of 7 metoprolol 8 was 9 saturable 8 was 11 and 10 , 11 and 11 and 12 was 12 was 14 decreased 13 significantly 14 decreased 14 decreased 15 in 15 in 17 presence 16 the 17 presence 17 presence 18 of 18 of 21 drugs 19 hydrophobic 21 drugs 20 cationic 21 drugs 21 drugs 23 as 22 such 23 as 23 as 30 and 24 diphenhydramine 25 , 25 , 26 procainamide 25 , 27 , 27 , 28 bisoprolol 27 , 30 and 29 , 30 and 30 and 31 quinidine these findings indicate that residual variability of f is one of the causes of the interindividual pharmacokinetic variability of metoprolol , and that [the] interindividual variability [of] not only presystemic first - pass metabolism , but also intestinal absorption , may be responsible for the variable f of the drug . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 28 not 0 ###LEFT-WALL### 51 . 1 these 2 findings 2 findings 3 indicate 3 indicate 4 that 4 that 6 variability 4 that 9 is 5 residual 6 variability 6 variability 7 of 6 variability 9 is 7 of 8 f 9 is 10 one 10 one 11 of 10 one 14 of 10 one 19 of 11 of 13 causes 12 the 13 causes 14 of 18 variability 15 the 18 variability 16 interindividual 18 variability 17 pharmacokinetic 18 variability 19 of 22 and 20 metoprolol 22 and 21 , 22 and 22 and 26 variability 23 that 25 interindividual 25 interindividual 26 variability 28 not 29 only 28 not 34 metabolism 28 not 42 be 30 presystemic 31 first 30 presystemic 32 - 30 presystemic 34 metabolism 33 pass 34 metabolism 34 metabolism 36 but 34 metabolism 41 may 35 , 36 but 36 but 37 also 36 but 39 absorption 36 but 40 , 38 intestinal 39 absorption 41 may 42 be 42 be 43 responsible 43 responsible 44 for 44 for 46 variable 45 the 46 variable 46 variable 47 f 46 variable 48 of 48 of 50 drug 49 the 50 drug quantitative magnetic resonance ( mr ) [imaging] allows visualization of age - related changes in the normal human brain from functional , biochemical , and morphologic perspectives . 0 ###LEFT-WALL### 3 resonance 0 ###LEFT-WALL### 8 allows 0 ###LEFT-WALL### 13 related 0 ###LEFT-WALL### 28 . 1 quantitative 3 resonance 2 magnetic 3 resonance 3 resonance 5 mr 3 resonance 8 allows 4 ( 5 mr 5 mr 6 ) 8 allows 9 visualization 9 visualization 10 of 10 of 11 age 12 - 13 related 13 related 14 changes 13 related 15 in 15 in 19 brain 16 the 19 brain 17 normal 19 brain 18 human 19 brain 19 brain 20 from 20 from 27 perspectives 21 functional 22 , 21 functional 27 perspectives 23 biochemical 25 and 24 , 25 and 25 and 26 morphologic 25 and 27 perspectives findings at quantitative mr imaging support age - related microstructural changes in the brain [:] ( a [ )(volume expansion , increased myelination , and axonal growth , which establish neural connectivity in neurodevelopment , followed by [(] [b] [ )(volume loss , myelin breakdown , and axonal degradation , leading to the disruption of neural integrity later in life . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 7 age 0 ###LEFT-WALL### 8 - 1 findings 2 at 1 findings 5 imaging 1 findings 7 age 2 at 4 mr 3 quantitative 4 mr 5 imaging 6 support 8 - 11 changes 9 related 11 changes 10 microstructural 11 changes 11 changes 12 in 11 changes 20 expansion 11 changes 22 increased 12 in 14 brain 13 the 14 brain 16 ( 20 expansion 17 a 20 expansion 19 )(volume 20 expansion 20 expansion 21 , 22 increased 25 and 23 myelination 25 and 24 , 25 and 25 and 27 growth 25 and 29 which 26 axonal 27 growth 28 , 29 which 29 which 35 , 30 establish 32 connectivity 30 establish 33 in 30 establish 35 , 31 neural 32 connectivity 33 in 34 neurodevelopment 35 , 36 followed 35 , 37 by 35 , 47 and 37 by 41 )(volume 42 loss 43 , 43 , 45 breakdown 43 , 47 and 44 myelin 45 breakdown 46 , 47 and 47 and 49 degradation 47 and 51 leading 48 axonal 49 degradation 50 , 51 leading 51 leading 52 to 51 leading 58 later 51 leading 59 in 51 leading 61 . 52 to 54 disruption 53 the 54 disruption 54 disruption 55 of 55 of 57 integrity 56 neural 57 integrity 59 in 60 life a rapid growth change followed by a continuous slower change in quantitative mr parameters can be modeled with a logarithmic or exponential decay function . 0 ###LEFT-WALL### 4 change 0 ###LEFT-WALL### 17 modeled 0 ###LEFT-WALL### 25 . 1 a 2 rapid 1 a 4 change 2 rapid 3 growth 3 growth 4 change 4 change 5 followed 4 change 6 by 4 change 11 in 4 change 15 can 6 by 10 change 7 a 8 continuous 7 a 10 change 8 continuous 10 change 9 slower 10 change 11 in 14 parameters 12 quantitative 14 parameters 13 mr 14 parameters 15 can 16 be 16 be 17 modeled 17 modeled 18 with 18 with 24 function 19 a 24 function 20 logarithmic 21 or 21 or 22 exponential 21 or 23 decay 23 decay 24 function the age dependencies during adulthood often fit a quadratic model for transitional changes with accelerated aging effects or a linear model for steady changes.understanding these general trends over the human life span can improve assessment for a specific disease by helping determine appropriate study settings . 0 ###LEFT-WALL### 3 dependencies 0 ###LEFT-WALL### 18 or 0 ###LEFT-WALL### 46 . 1 the 3 dependencies 2 age 3 dependencies 3 dependencies 4 during 3 dependencies 18 or 4 during 5 adulthood 6 often 7 fit 7 fit 10 model 7 fit 14 with 7 fit 18 or 8 a 10 model 9 quadratic 10 model 10 model 11 for 11 for 13 changes 12 transitional 13 changes 14 with 17 effects 15 accelerated 17 effects 16 aging 17 effects 18 or 34 improve 18 or 36 for 19 a 21 model 20 linear 21 model 21 model 22 for 21 model 33 can 22 for 24 changes.understanding 23 steady 24 changes.understanding 24 changes.understanding 27 trends 24 changes.understanding 32 span 25 these 27 trends 26 general 27 trends 27 trends 28 over 27 trends 32 span 28 over 31 life 29 the 31 life 30 human 31 life 33 can 34 improve 34 improve 35 assessment 36 for 39 disease 37 a 38 specific 37 a 39 disease 38 specific 39 disease 39 disease 40 by 40 by 41 helping 41 helping 42 determine 42 determine 45 settings 43 appropriate 44 study 44 study 45 settings once a consensus on acquisition techniques and image processing algorithms has been reached , quantitative mr imaging can play an important role in the assessment of disease states affecting the brain . 0 ###LEFT-WALL### 17 imaging 0 ###LEFT-WALL### 19 play 0 ###LEFT-WALL### 32 . 1 once 3 consensus 1 once 13 reached 1 once 17 imaging 2 a 3 consensus 3 consensus 4 on 3 consensus 9 processing 3 consensus 11 has 4 on 7 and 5 acquisition 6 techniques 6 techniques 7 and 7 and 8 image 9 processing 10 algorithms 11 has 12 been 12 been 13 reached 13 reached 14 , 15 quantitative 17 imaging 16 mr 17 imaging 17 imaging 18 can 18 can 19 play 19 play 22 role 19 play 23 in 20 an 21 important 20 an 22 role 21 important 22 role 23 in 25 assessment 24 the 25 assessment 25 assessment 26 of 26 of 28 states 27 disease 28 states 28 states 29 affecting 29 affecting 31 brain 30 the 31 brain background : resveratrol , a natural polyphenol , has gained attention in recent years because of its connection with the health benefits of red wine and its anticancer activity in vitro . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 resveratrol 2 : 10 gained 2 : 32 . 3 resveratrol 7 polyphenol 3 resveratrol 9 has 4 , 7 polyphenol 5 a 6 natural 5 a 7 polyphenol 6 natural 7 polyphenol 7 polyphenol 8 , 9 has 10 gained 10 gained 11 attention 10 gained 12 in 10 gained 16 of 10 gained 19 with 10 gained 31 vitro 12 in 14 years 13 recent 14 years 15 because 16 of 16 of 18 connection 17 its 18 connection 19 with 26 and 20 the 22 benefits 21 health 22 benefits 22 benefits 23 of 22 benefits 26 and 23 of 25 wine 24 red 25 wine 26 and 29 activity 27 its 29 activity 28 anticancer 29 activity 30 in 31 vitro studies in animal models have demonstrated beneficial effects on glucose metabolism , vascular function and anti - inflammatory and antioxidant properties . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 6 demonstrated 0 ###LEFT-WALL### 22 . 1 studies 2 in 1 studies 5 have 2 in 4 models 3 animal 4 models 5 have 6 demonstrated 6 demonstrated 8 effects 6 demonstrated 9 on 7 beneficial 8 effects 9 on 15 and 10 glucose 11 metabolism 11 metabolism 12 , 12 , 14 function 12 , 15 and 13 vascular 14 function 15 and 21 properties 16 anti 17 - 16 anti 21 properties 18 inflammatory 19 and 19 and 20 antioxidant 19 and 21 properties human studies designed to understand the role of resveratrol in the prevention and treatment of age - related conditions such as diabetes , heart disease , and cancer have recently been undertaken . 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 32 undertaken 0 ###LEFT-WALL### 33 . 1 human 2 studies 2 studies 3 designed 2 studies 13 and 3 designed 4 to 3 designed 5 understand 4 to 5 understand 5 understand 7 role 6 the 7 role 7 role 8 of 7 role 10 in 8 of 9 resveratrol 10 in 12 prevention 11 the 12 prevention 13 and 14 treatment 13 and 15 of 13 and 19 conditions 13 and 27 and 15 of 16 age 17 - 19 conditions 18 related 19 conditions 19 conditions 21 as 19 conditions 25 disease 19 conditions 26 , 20 such 21 as 21 as 22 diabetes 23 , 25 disease 24 heart 25 disease 25 disease 26 , 26 , 27 and 27 and 28 cancer 27 and 29 have 29 have 31 been 30 recently 31 been 31 been 32 undertaken methods : we searched pubmed for original articles that reported studies of resveratrol in humans , using search terms , including resveratrol , human studies , glucose metabolism , vascular function , and inflammation . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 35 . 2 : 3 we 2 : 4 searched 2 : 26 , 3 we 4 searched 4 searched 5 pubmed 5 pubmed 6 for 5 pubmed 9 that 5 pubmed 10 reported 5 pubmed 17 using 6 for 8 articles 7 original 8 articles 9 that 10 reported 10 reported 11 studies 10 reported 14 in 11 studies 12 of 12 of 13 resveratrol 14 in 15 humans 16 , 17 using 17 using 19 terms 17 using 21 including 17 using 26 , 18 search 19 terms 20 , 21 including 21 including 22 resveratrol 21 including 26 , 22 resveratrol 25 studies 23 , 25 studies 24 human 25 studies 25 studies 26 , 26 , 33 and 27 glucose 28 metabolism 28 metabolism 29 , 29 , 31 function 29 , 33 and 30 vascular 31 function 32 , 33 and 33 and 34 inflammation we also searched the reference lists of identified articles for additional papers and sought expert opinion on relevant studies . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 searched 0 ###LEFT-WALL### 20 . 1 we 3 searched 2 also 3 searched 3 searched 6 lists 4 the 6 lists 5 reference 6 lists 6 lists 7 of 7 of 13 and 8 identified 9 articles 8 identified 13 and 9 articles 10 for 10 for 12 papers 11 additional 12 papers 13 and 14 sought 13 and 16 opinion 13 and 17 on 15 expert 16 opinion 17 on 19 studies 18 relevant 19 studies results : resveratrol treatment has shown beneficial effects on glucose and lipid metabolism in some , but not all studies . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 shown 0 ###LEFT-WALL### 21 . 2 : 3 resveratrol 3 resveratrol 4 treatment 3 resveratrol 6 shown 4 treatment 5 has 5 has 6 shown 6 shown 8 effects 6 shown 17 but 7 beneficial 8 effects 8 effects 9 on 9 on 11 and 10 glucose 11 and 11 and 12 lipid 13 metabolism 14 in 13 metabolism 17 but 14 in 15 some 16 , 17 but 17 but 18 not 17 but 20 studies 19 all 20 studies study population , resveratrol source , and dose have varied widely , potentially explaining inconsistent findings . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 10 varied 1 study 2 population 2 population 3 , 3 , 5 source 3 , 7 and 4 resveratrol 5 source 6 , 7 and 7 and 8 dose 7 and 9 have 9 have 10 varied 10 varied 11 widely 10 varied 14 explaining 12 , 14 explaining 13 potentially 14 explaining 14 explaining 16 findings 14 explaining 17 . 15 inconsistent 16 findings improvements were noted in endothelial function [,] systolic blood pressure , and markers of oxidative stress and inflammation in several studies . 0 ###LEFT-WALL### 1 improvements 0 ###LEFT-WALL### 3 noted 0 ###LEFT-WALL### 22 . 1 improvements 2 were 2 were 3 noted 3 noted 4 in 3 noted 19 in 4 in 12 and 5 endothelial 6 function 6 function 10 pressure 8 systolic 9 blood 9 blood 10 pressure 10 pressure 12 and 11 , 12 and 12 and 13 markers 12 and 14 of 14 of 17 and 15 oxidative 16 stress 16 stress 17 and 17 and 18 inflammation 19 in 21 studies 20 several 21 studies conclusions : despite the strong preclinical evidence of positive cardiometabolic effects , studies to date have not confirmed resveratrol 's benefit in humans . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 13 studies 2 : 18 confirmed 2 : 24 . 3 despite 7 evidence 3 despite 12 , 3 despite 13 studies 4 the 7 evidence 5 strong 7 evidence 6 preclinical 7 evidence 7 evidence 8 of 8 of 11 effects 9 positive 11 effects 10 cardiometabolic 11 effects 13 studies 15 date 13 studies 16 have 14 to 15 date 16 have 17 not 16 have 18 confirmed 18 confirmed 21 benefit 18 confirmed 22 in 19 resveratrol 20 's 20 's 21 benefit 22 in 23 humans study variability and methodological issues limit interpretation of available results . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 6 limit 0 ###LEFT-WALL### 11 . 1 study 2 variability 2 variability 3 and 3 and 5 issues 3 and 6 limit 4 methodological 5 issues 6 limit 7 interpretation 7 interpretation 8 of 8 of 10 results 9 available 10 results additional research , focusing on subjects with defined metabolic defects and using a range of doses , is needed to advance the field . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 19 needed 0 ###LEFT-WALL### 24 . 1 additional 2 research 2 research 4 focusing 2 research 18 is 3 , 4 focusing 4 focusing 5 on 4 focusing 7 with 4 focusing 17 , 5 on 6 subjects 7 with 11 and 7 with 14 range 8 defined 10 defects 9 metabolic 10 defects 10 defects 11 and 11 and 12 using 13 a 14 range 14 range 15 of 15 of 16 doses 18 is 19 needed 19 needed 20 to 20 to 21 advance 21 advance 23 field 22 the 23 field fsp27 ( cide - 3 in humans ) plays critical roles in lipid metabolism and apoptosis and is known to be involved in regulation of lipid droplet ( ld ) size and lipid storage and apoptotic dna fragmentation . 0 ###LEFT-WALL### 3 cide 0 ###LEFT-WALL### 19 known 0 ###LEFT-WALL### 39 . 1 fsp27 3 cide 2 ( 3 cide 3 cide 4 - 3 cide 7 humans 3 cide 17 and 4 - 7 humans 5 3 6 in 6 in 7 humans 7 humans 8 ) 9 plays 11 roles 9 plays 12 in 9 plays 17 and 10 critical 11 roles 12 in 15 and 13 lipid 14 metabolism 14 metabolism 15 and 15 and 16 apoptosis 17 and 18 is 18 is 19 known 19 known 20 to 19 known 22 involved 20 to 21 be 21 be 22 involved 22 involved 23 in 23 in 24 regulation 24 regulation 25 of 25 of 35 and 26 lipid 31 size 27 droplet 29 ld 27 droplet 31 size 28 ( 29 ld 29 ld 30 ) 31 size 32 and 32 and 34 storage 32 and 35 and 33 lipid 34 storage 35 and 38 fragmentation 36 apoptotic 38 fragmentation 37 dna 38 fragmentation given that cide - containing proteins including fsp27 are associated with many human diseases including cancer , aging , diabetes , and obesity , studies of fsp27 and other cide - containing proteins are of great biological importance . 0 ###LEFT-WALL### 6 proteins 0 ###LEFT-WALL### 10 associated 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 39 . 1 given 3 cide 1 given 4 - 1 given 6 proteins 2 that 3 cide 5 containing 6 proteins 6 proteins 7 including 6 proteins 9 are 7 including 8 fsp27 9 are 10 associated 10 associated 11 with 11 with 14 diseases 12 many 14 diseases 13 human 14 diseases 14 diseases 15 including 14 diseases 20 diabetes 15 including 16 cancer 15 including 18 aging 17 , 18 aging 18 aging 19 , 19 , 20 diabetes 20 diabetes 21 , 21 , 22 and 22 and 28 and 22 and 34 are 23 obesity 24 , 24 , 25 studies 24 , 28 and 25 studies 26 of 26 of 27 fsp27 28 and 30 cide 28 and 31 - 28 and 32 containing 28 and 34 are 29 other 30 cide 32 containing 33 proteins 34 are 35 of 35 of 38 importance 36 great 38 importance 37 biological 38 importance as a first step toward elucidating the molecular mechanisms of fsp27 - mediated lipid droplet growth and apoptosis , we report the crystal structure of the cide [-] n domain of fsp27 at a resolution of 2.0 å . 0 ###LEFT-WALL### 20 we 0 ###LEFT-WALL### 21 report 0 ###LEFT-WALL### 39 . 1 as 4 step 1 as 20 we 2 a 4 step 3 first 4 step 4 step 5 toward 4 step 10 of 5 toward 6 elucidating 6 elucidating 9 mechanisms 7 the 9 mechanisms 8 molecular 9 mechanisms 10 of 11 fsp27 11 fsp27 17 and 12 - 17 and 13 mediated 14 lipid 14 lipid 16 growth 15 droplet 16 growth 16 growth 17 and 17 and 18 apoptosis 17 and 19 , 20 we 21 report 21 report 24 structure 21 report 33 at 22 the 24 structure 23 crystal 24 structure 24 structure 25 of 24 structure 31 of 25 of 30 domain 26 the 30 domain 27 cide 29 n 27 cide 30 domain 31 of 32 fsp27 33 at 35 resolution 34 a 35 resolution 35 resolution 36 of 36 of 38 å 37 2.0 38 å the structure revealed a possible biologically important [homo] - dimeric interface similar to that formed by the hetero - dimeric complex , cad/icad . 0 ###LEFT-WALL### 2 structure 0 ###LEFT-WALL### 3 revealed 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 24 . 1 the 2 structure 2 structure 3 revealed 3 revealed 11 interface 3 revealed 15 formed 4 a 5 possible 4 a 11 interface 5 possible 11 interface 6 biologically 7 important 7 important 9 - 7 important 11 interface 10 dimeric 11 interface 11 interface 12 similar 11 interface 15 formed 12 similar 13 to 13 to 14 that 15 formed 16 by 16 by 21 complex 17 the 21 complex 18 hetero 19 - 18 hetero 21 complex 20 dimeric 21 complex 22 , 23 cad/icad comparison with other structural homologues revealed that the pb1 domain of bem1p , ubiquitin - like [domain] of bag6 and ubiquitin are structurally similar proteins . 0 ###LEFT-WALL### 1 comparison 0 ###LEFT-WALL### 6 revealed 0 ###LEFT-WALL### 26 . 1 comparison 2 with 1 comparison 6 revealed 2 with 5 homologues 3 other 5 homologues 4 structural 5 homologues 6 revealed 7 that 7 that 20 and 7 that 22 are 8 the 10 domain 9 pb1 10 domain 10 domain 11 of 10 domain 16 like 10 domain 20 and 11 of 12 bem1p 12 bem1p 14 ubiquitin 13 , 14 ubiquitin 14 ubiquitin 15 - 16 like 18 of 18 of 19 bag6 20 and 21 ubiquitin 20 and 22 are 22 are 25 proteins 23 structurally 24 similar 24 similar 25 proteins our homo - dimeric structure of the cide [-] n domain of fsp27 will provide important information that will enable better understanding of the function of fsp27 . 0 ###LEFT-WALL### 2 homo 0 ###LEFT-WALL### 3 - 1 our 2 homo 3 - 5 structure 3 - 15 provide 3 - 28 . 4 dimeric 5 structure 5 structure 6 of 5 structure 14 will 6 of 11 domain 7 the 11 domain 8 cide 10 n 8 cide 11 domain 11 domain 12 of 12 of 13 fsp27 14 will 15 provide 15 provide 17 information 16 important 17 information 17 information 18 that 17 information 19 will 18 that 19 will 19 will 20 enable 20 enable 22 understanding 21 better 22 understanding 22 understanding 23 of 23 of 25 function 24 the 25 function 25 function 26 of 26 of 27 fsp27 background : in 2006 , dual - eligible nursing home residents were randomly assigned to a medicare part d prescription drug plan ( pdp ) . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 11 residents 2 : 14 assigned 2 : 26 . 3 in 4 2006 3 in 5 , 3 in 11 residents 6 dual 7 - 6 dual 9 nursing 8 eligible 9 nursing 9 nursing 11 residents 10 home 11 residents 11 residents 12 were 12 were 13 randomly 12 were 14 assigned 14 assigned 15 to 15 to 22 plan 16 a 22 plan 17 medicare 18 part 18 part 19 d 18 part 22 plan 20 prescription 21 drug 21 drug 22 plan 22 plan 24 pdp 23 ( 24 pdp 24 pdp 25 ) subsequently , residents not enrolled in qualified plans at the start of the next year were rerandomized . 0 ###LEFT-WALL### 3 residents 0 ###LEFT-WALL### 17 rerandomized 0 ###LEFT-WALL### 18 . 1 subsequently 2 , 1 subsequently 3 residents 3 residents 4 not 3 residents 16 were 4 not 5 enrolled 5 enrolled 6 in 5 enrolled 9 at 6 in 8 plans 7 qualified 8 plans 9 at 11 start 10 the 11 start 11 start 12 of 12 of 15 year 13 the 14 next 14 next 15 year 16 were 17 rerandomized pdps vary in generosity through differences in medication coverage and utilization management . 0 ###LEFT-WALL### 1 pdps 0 ###LEFT-WALL### 2 vary 0 ###LEFT-WALL### 13 . 1 pdps 2 vary 2 vary 3 in 2 vary 5 through 2 vary 7 in 3 in 4 generosity 5 through 6 differences 7 in 10 and 8 medication 9 coverage 9 coverage 10 and 10 and 12 management 11 utilization 12 management therefore , residents ' assigned plans may be relatively more or less generous for their particular drugs . 0 ###LEFT-WALL### 6 plans 0 ###LEFT-WALL### 8 be 0 ###LEFT-WALL### 18 . 1 therefore 2 , 1 therefore 6 plans 3 residents 4 ' 4 ' 6 plans 5 assigned 6 plans 6 plans 7 may 7 may 8 be 8 be 9 relatively 8 be 11 or 8 be 13 generous 10 more 11 or 11 or 12 less 13 generous 14 for 14 for 17 drugs 15 their 17 drugs 16 particular 17 drugs the impact of generosity on residents ' medication use and health outcomes is unknown . 0 ###LEFT-WALL### 2 impact 0 ###LEFT-WALL### 13 is 0 ###LEFT-WALL### 15 . 1 the 2 impact 2 impact 3 of 2 impact 13 is 3 of 4 generosity 4 generosity 5 on 5 on 10 and 6 residents 7 ' 7 ' 9 use 8 medication 9 use 9 use 10 and 10 and 12 outcomes 11 health 12 outcomes 13 is 14 unknown methods : using data from 2005 to 2008 , we estimated logistic regression models of the impact of coverage and utilization management on the risk for medication changes and gaps in use , hospitalizations , and death among elderly nursing home residents using 1 of 6 selected drug classes , adjusting for patient characteristics . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 10 we 2 : 11 estimated 2 : 20 and 2 : 33 , 3 using 4 data 3 using 9 , 3 using 10 we 4 data 7 to 5 from 7 to 6 2005 7 to 7 to 8 2008 10 we 11 estimated 11 estimated 14 models 12 logistic 13 regression 13 regression 14 models 14 models 15 of 15 of 17 impact 16 the 17 impact 17 impact 18 of 18 of 19 coverage 20 and 22 management 20 and 29 and 21 utilization 22 management 22 management 23 on 22 management 26 for 22 management 29 and 23 on 25 risk 24 the 25 risk 26 for 27 medication 28 changes 29 and 29 and 30 gaps 29 and 31 in 31 in 32 use 33 , 36 and 33 , 47 selected 34 hospitalizations 36 and 35 , 36 and 36 and 37 death 36 and 45 of 36 and 47 selected 37 death 38 among 38 among 42 residents 39 elderly 40 nursing 40 nursing 41 home 41 home 42 residents 42 residents 43 using 43 using 44 1 45 of 46 6 47 selected 49 classes 48 drug 49 classes 49 classes 51 adjusting 50 , 51 adjusting 51 adjusting 52 for 51 adjusting 55 . 52 for 54 characteristics 53 patient 54 characteristics results : few current medication users faced noncoverage of their drug ( 0.4 % to 8.7 % ) or prior authorization or step therapy requirements [if] the drug was covered ( 1.1 % to 37.4 % ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 users 2 : 7 faced 2 : 38 . 3 few 6 users 4 current 5 medication 5 medication 6 users 6 users 7 faced 7 faced 22 or 8 noncoverage 9 of 8 noncoverage 19 or 9 of 11 drug 10 their 11 drug 11 drug 14 % 12 ( 14 % 13 0.4 14 % 14 % 15 to 14 % 18 ) 15 to 17 % 16 8.7 17 % 19 or 21 authorization 19 or 22 or 20 prior 21 authorization 22 or 25 requirements 22 or 28 drug 22 or 29 was 22 or 30 covered 22 or 33 % 23 step 24 therapy 24 therapy 25 requirements 27 the 28 drug 28 drug 29 was 31 ( 33 % 32 1.1 33 % 33 % 34 to 33 % 37 ) 34 to 36 % 35 37.4 36 % after adjusting for individual - level covariates , residents with noncovered drugs were more likely than residents with covered drugs to change medications in most classes studied ( eg , for 2006 angiotensin receptor blocker users , the adjusted average probability of medication change was 0.35 [when] uncovered vs [.] 0.11 [when] covered ) . 0 ###LEFT-WALL### 9 residents 0 ###LEFT-WALL### 13 were 1 after 2 adjusting 1 after 7 covariates 1 after 8 , 1 after 9 residents 2 adjusting 3 for 2 adjusting 7 covariates 3 for 6 level 4 individual 5 - 4 individual 6 level 9 residents 10 with 9 residents 13 were 10 with 12 drugs 11 noncovered 12 drugs 13 were 15 likely 14 more 15 likely 15 likely 16 than 15 likely 18 with 15 likely 21 to 15 likely 22 change 16 than 17 residents 18 with 20 drugs 19 covered 20 drugs 21 to 22 change 22 change 23 medications 22 change 31 for 23 medications 24 in 23 medications 29 eg 24 in 26 classes 25 most 26 classes 26 classes 27 studied 28 ( 29 eg 29 eg 30 , 30 , 31 for 31 for 36 users 31 for 55 . 32 2006 36 users 33 angiotensin 36 users 34 receptor 36 users 35 blocker 36 users 36 users 41 probability 37 , 41 probability 38 the 41 probability 39 adjusted 41 probability 40 average 41 probability 41 probability 42 of 41 probability 46 0.35 41 probability 48 uncovered 41 probability 49 vs 41 probability 54 ) 42 of 43 medication 43 medication 44 change 43 medication 45 was 44 change 45 was 46 0.35 48 uncovered 49 vs 51 0.11 51 0.11 53 covered those subjected to prior authorization or step therapy were more likely to change in a subset of classes . 0 ###LEFT-WALL### 6 or 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 19 . 1 those 2 subjected 1 those 6 or 2 subjected 3 to 3 to 5 authorization 4 prior 5 authorization 6 or 8 therapy 6 or 9 were 7 step 8 therapy 9 were 11 likely 10 more 11 likely 11 likely 12 to 11 likely 13 change 12 to 13 change 13 change 14 in 14 in 16 subset 15 a 16 subset 16 subset 17 of 17 of 18 classes there were no statistically significant differences in the rates of hospitalization or death after correcting for multiple comparisons . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 19 . 1 there 2 were 2 were 12 or 2 were 14 after 3 no 6 differences 4 statistically 5 significant 5 significant 6 differences 6 differences 7 in 6 differences 12 or 7 in 9 rates 8 the 9 rates 9 rates 10 of 10 of 11 hospitalization 12 or 13 death 14 after 15 correcting 15 correcting 16 for 16 for 18 comparisons 17 multiple 18 comparisons conclusions : the part d benefit 's special protections for nursing home residents may have ameliorated the health impact of coverage limits on this frail elderly population . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 9 protections 2 : 16 ameliorated 3 the 6 benefit 4 part 5 d 4 part 6 benefit 6 benefit 7 's 7 's 9 protections 8 special 9 protections 9 protections 10 for 9 protections 14 may 10 for 11 nursing 11 nursing 13 residents 12 home 13 residents 14 may 15 have 15 have 16 ameliorated 16 ameliorated 19 impact 16 ameliorated 23 on 17 the 19 impact 18 health 19 impact 19 impact 20 of 20 of 22 limits 21 coverage 22 limits 23 on 27 population 24 this 25 frail 25 frail 27 population 26 elderly 27 population hydrogen peroxide was - and is still - considered toxic for a wide range of living organisms . 0 ###LEFT-WALL### 2 peroxide 0 ###LEFT-WALL### 5 and 1 hydrogen 2 peroxide 2 peroxide 5 and 3 was 5 and 4 - 5 and 5 and 6 is 6 is 7 still 7 still 9 considered 8 - 9 considered 9 considered 10 toxic 9 considered 18 . 10 toxic 11 for 11 for 14 range 12 a 13 wide 12 a 14 range 13 wide 14 range 14 range 15 of 15 of 17 organisms 16 living 17 organisms oxidative stress occurs when there is an excess [of] pro - oxidants over antioxidants and it has been implicated in several diseases . 0 ###LEFT-WALL### 2 stress 0 ###LEFT-WALL### 3 occurs 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 23 . 1 oxidative 2 stress 2 stress 3 occurs 3 occurs 4 when 4 when 5 there 4 when 6 is 5 there 6 is 6 is 10 pro 7 an 8 excess 7 an 10 pro 8 excess 10 pro 11 - 12 oxidants 11 - 15 and 12 oxidants 13 over 13 over 14 antioxidants 15 and 16 it 15 and 19 implicated 16 it 17 has 17 has 18 been 18 been 19 implicated 19 implicated 20 in 20 in 22 diseases 21 several 22 diseases [catalase] is involved in hydrogen peroxide catabolism and is important in defense against oxidative stress . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 16 . 2 is 3 involved 2 is 8 and 3 involved 4 in 4 in 7 catabolism 5 hydrogen 7 catabolism 6 peroxide 7 catabolism 8 and 9 is 9 is 10 important 10 important 11 in 10 important 13 against 11 in 12 defense 13 against 15 stress 14 oxidative 15 stress acatalasemia means the inherited near - total deficiency of [catalase] activity , usually in reference to red [cell] [catalase] . 0 ###LEFT-WALL### 1 acatalasemia 0 ###LEFT-WALL### 2 means 1 acatalasemia 2 means 2 means 8 deficiency 3 the 8 deficiency 4 inherited 8 deficiency 5 near 6 - 5 near 8 deficiency 7 total 8 deficiency 8 deficiency 9 of 9 of 11 activity 11 activity 14 in 12 , 13 usually 12 , 14 in 14 in 15 reference 14 in 20 . 15 reference 16 to 15 reference 17 red 16 to 17 red acatalasemia was thought at first to be an asymptotic disorder . 0 ###LEFT-WALL### 1 acatalasemia 0 ###LEFT-WALL### 3 thought 0 ###LEFT-WALL### 11 . 1 acatalasemia 2 was 2 was 3 thought 3 thought 6 to 4 at 5 first 5 first 6 to 6 to 7 be 7 be 10 disorder 8 an 9 asymptotic 8 an 10 disorder 9 asymptotic 10 disorder [in] the absence [of] [catalase] , neither the japanese , or hungarian acatalasemics nor acatalasemic mice had significantly increased blood glutathione peroxidase activity . 0 ###LEFT-WALL### 3 absence 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 24 . 2 the 3 absence 6 , 14 nor 6 , 19 increased 7 neither 14 nor 8 the 9 japanese 9 japanese 11 or 10 , 11 or 11 or 13 acatalasemics 11 or 14 nor 12 hungarian 13 acatalasemics 14 nor 16 mice 14 nor 17 had 15 acatalasemic 16 mice 17 had 19 increased 18 significantly 19 increased 19 increased 23 activity 20 blood 21 glutathione 21 glutathione 22 peroxidase 22 peroxidase 23 activity in animal models , [catalase] deficient tissues show much slower rates of removal of extracellular hydrogen peroxide . 0 ###LEFT-WALL### 7 tissues 0 ###LEFT-WALL### 8 show 0 ###LEFT-WALL### 18 . 1 in 3 models 1 in 4 , 1 in 7 tissues 2 animal 3 models 6 deficient 7 tissues 7 tissues 8 show 8 show 11 rates 8 show 17 peroxide 9 much 10 slower 10 slower 11 rates 11 rates 12 of 12 of 13 removal 13 removal 14 of 14 of 16 hydrogen 15 extracellular 16 hydrogen in [catalase] knock - out mice , a decreased hydrogen peroxide removing capacity and increased reactive oxygen species formation were reported . 0 ###LEFT-WALL### 3 knock 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 22 . 1 in 3 knock 4 - 6 mice 4 - 7 , 5 out 6 mice 7 , 14 and 7 , 21 reported 8 a 11 peroxide 9 decreased 10 hydrogen 10 hydrogen 11 peroxide 11 peroxide 12 removing 11 peroxide 14 and 12 removing 13 capacity 14 and 19 formation 14 and 20 were 15 increased 17 oxygen 16 reactive 17 oxygen 17 oxygen 18 species 18 species 19 formation 20 were 21 reported hydrogen peroxide may cause methemoglobinemia in patients with [catalase] deficiency . 0 ###LEFT-WALL### 2 peroxide 0 ###LEFT-WALL### 4 cause 0 ###LEFT-WALL### 11 . 1 hydrogen 2 peroxide 2 peroxide 3 may 3 may 4 cause 4 cause 5 methemoglobinemia 4 cause 6 in 4 cause 8 with 6 in 7 patients 8 with 10 deficiency during anesthesia for a japanese acatalasemic patient the disinfection [with] hydrogen peroxide solution caused severe methemoglobinemia . 0 ###LEFT-WALL### 13 solution 0 ###LEFT-WALL### 14 caused 0 ###LEFT-WALL### 17 . 1 during 2 anesthesia 1 during 13 solution 2 anesthesia 3 for 3 for 7 patient 4 a 5 japanese 4 a 7 patient 5 japanese 7 patient 6 acatalasemic 7 patient 8 the 13 solution 9 disinfection 13 solution 11 hydrogen 13 solution 12 peroxide 13 solution 13 solution 14 caused 14 caused 16 methemoglobinemia 15 severe 16 methemoglobinemia patients with inherited [catalase] deficiency , who are treated with uric acid oxidase ( rasburicase ) may experience very high concentrations of hydrogen peroxide and may suffer from methemoglobinemia and hemolysis . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 32 . 1 patients 2 with 1 patients 7 who 1 patients 25 and 2 with 5 deficiency 3 inherited 5 deficiency 6 , 7 who 7 who 8 are 7 who 16 ) 8 are 9 treated 9 treated 10 with 10 with 13 oxidase 11 uric 13 oxidase 12 acid 13 oxidase 13 oxidase 15 rasburicase 14 ( 15 rasburicase 15 rasburicase 16 ) 17 may 18 experience 17 may 25 and 18 experience 21 concentrations 19 very 20 high 20 high 21 concentrations 21 concentrations 22 of 22 of 24 peroxide 23 hydrogen 24 peroxide 25 and 26 may 26 may 27 suffer 27 suffer 28 from 28 from 30 and 29 methemoglobinemia 30 and 30 and 31 hemolysis the high ( 18.5 % ) prevalence of diabetes mellitus in inherited [catalase] deficient individuals and the earlier [(] 10 years [ )(manifestation of the disease may be attributed to the oxidative damage of oxidant sensitive , insulin producing pancreatic beta - cells . 0 ###LEFT-WALL### 28 be 0 ###LEFT-WALL### 44 . 1 the 7 prevalence 2 high 5 % 2 high 6 ) 2 high 7 prevalence 3 ( 5 % 4 18.5 5 % 5 % 6 ) 7 prevalence 8 of 7 prevalence 11 in 7 prevalence 27 may 8 of 10 mellitus 9 diabetes 10 mellitus 11 in 16 and 12 inherited 15 individuals 14 deficient 15 individuals 15 individuals 16 and 16 and 23 )(manifestation 16 and 24 of 17 the 23 )(manifestation 18 earlier 23 )(manifestation 20 10 21 years 21 years 23 )(manifestation 24 of 26 disease 25 the 26 disease 27 may 28 be 28 be 29 attributed 29 attributed 30 to 30 to 33 damage 31 the 33 damage 32 oxidative 33 damage 33 damage 34 of 34 of 43 cells 35 oxidant 43 cells 36 sensitive 38 insulin 36 sensitive 43 cells 37 , 38 insulin 38 insulin 39 producing 38 insulin 42 - 39 producing 41 beta 40 pancreatic 41 beta ninety - seven of 114 acatalasemics had diseases related to oxidative stress and aging . 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 7 had 0 ###LEFT-WALL### 15 . 1 ninety 2 - 2 - 3 seven 2 - 4 of 2 - 7 had 4 of 6 acatalasemics 5 114 6 acatalasemics 7 had 8 diseases 8 diseases 9 related 9 related 10 to 10 to 13 and 11 oxidative 12 stress 12 stress 13 and 13 and 14 aging the oxidative stress due to [catalase] deficiency could contribute to the manifestation of diabetes while for the other diseases it may be one of the factors in their causations . 0 ###LEFT-WALL### 3 stress 0 ###LEFT-WALL### 9 contribute 0 ###LEFT-WALL### 30 . 1 the 3 stress 2 oxidative 3 stress 3 stress 5 to 3 stress 8 could 4 due 5 to 5 to 7 deficiency 8 could 9 contribute 9 contribute 10 to 9 contribute 15 while 9 contribute 27 in 10 to 12 manifestation 11 the 12 manifestation 12 manifestation 13 of 13 of 14 diabetes 15 while 20 it 15 while 22 be 16 for 19 diseases 16 for 20 it 17 the 18 other 18 other 19 diseases 20 it 21 may 21 may 22 be 22 be 23 one 23 one 24 of 24 of 26 factors 25 the 26 factors 27 in 29 causations 28 their 29 causations in summary , inherited [catalase] deficiency is associated with clinical features , pathologic laboratory test results , age and oxidative stress related disorders . 0 ###LEFT-WALL### 6 deficiency 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 24 . 1 in 6 deficiency 2 summary 3 , 2 summary 6 deficiency 4 inherited 6 deficiency 6 deficiency 7 is 7 is 8 associated 8 associated 9 with 9 with 19 and 10 clinical 11 features 11 features 12 , 12 , 16 results 12 , 17 , 13 pathologic 14 laboratory 14 laboratory 16 results 15 test 16 results 17 , 18 age 17 , 19 and 19 and 23 disorders 20 oxidative 21 stress 21 stress 22 related 22 related 23 disorders rather than considering it a benign condition , it should be considered as a complicating condition for aging and oxidative stress . 0 ###LEFT-WALL### 9 it 0 ###LEFT-WALL### 12 considered 0 ###LEFT-WALL### 22 . 1 rather 2 than 2 than 3 considering 2 than 8 , 2 than 9 it 3 considering 4 it 3 considering 7 condition 5 a 6 benign 5 a 7 condition 6 benign 7 condition 9 it 10 should 10 should 11 be 11 be 12 considered 12 considered 13 as 13 as 19 and 14 a 16 condition 15 complicating 16 condition 16 condition 17 for 16 condition 19 and 17 for 18 aging 19 and 21 stress 20 oxidative 21 stress [by] and large , the immune systems of people infected with hiv are being protected and maintained by advances in highly active antiretroviral therapy [;] [as] [such] , this is extending the lives of people into old age . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 15 protected 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 39 . 2 and 7 systems 2 and 13 are 3 large 4 , 3 large 7 systems 5 the 7 systems 6 immune 7 systems 7 systems 8 of 7 systems 13 are 8 of 9 people 9 people 10 infected 10 infected 11 with 11 with 12 hiv 13 are 14 being 14 being 15 protected 16 and 29 this 16 and 30 is 17 maintained 18 by 17 maintained 20 in 17 maintained 28 , 17 maintained 29 this 18 by 19 advances 20 in 24 therapy 21 highly 22 active 22 active 24 therapy 23 antiretroviral 24 therapy 29 this 30 is 30 is 31 extending 31 extending 33 lives 32 the 33 lives 33 lives 34 of 34 of 35 people 35 people 36 into 36 into 38 age 37 old 38 age unfortunately , for many living with this disease , hiv is associated with neuroinflammation , co - morbidities , and accelerated aging which can compromise brain function , resulting in cognitive deficits . 0 ###LEFT-WALL### 10 hiv 0 ###LEFT-WALL### 12 associated 0 ###LEFT-WALL### 15 , 1 unfortunately 2 , 1 unfortunately 10 hiv 2 , 3 for 3 for 4 many 3 for 9 , 3 for 10 hiv 4 many 5 living 5 living 6 with 6 with 8 disease 7 this 8 disease 10 hiv 11 is 11 is 12 associated 12 associated 13 with 13 with 14 neuroinflammation 15 , 20 and 15 , 27 function 16 co 17 - 16 co 18 morbidities 18 morbidities 20 and 19 , 20 and 20 and 22 aging 20 and 23 which 20 and 24 can 20 and 27 function 21 accelerated 22 aging 23 which 24 can 24 can 25 compromise 25 compromise 26 brain 27 function 29 resulting 28 , 29 resulting 29 resulting 30 in 29 resulting 33 . 30 in 32 deficits 31 cognitive 32 deficits the purpose of this article is to highlight [how] to interpret these deficits within the framework of neuroplasticity and cognitive reserve for this clinical population . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 26 . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 is 3 of 5 article 4 this 5 article 6 is 7 to 6 is 8 highlight 7 to 8 highlight 8 highlight 10 to 8 highlight 13 deficits 8 highlight 14 within 10 to 11 interpret 12 these 13 deficits 14 within 19 and 15 the 16 framework 16 framework 17 of 16 framework 19 and 17 of 18 neuroplasticity 19 and 21 reserve 19 and 22 for 20 cognitive 21 reserve 22 for 25 population 23 this 24 clinical 24 clinical 25 population we suggest several recommendations for cognitive rehabilitation and mitigation such as addressing lifestyle factors , psychostimulants , cognitive remediation therapy , and treatment of depression and anxiety . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 suggest 0 ###LEFT-WALL### 28 . 1 we 2 suggest 2 suggest 4 recommendations 2 suggest 11 as 3 several 4 recommendations 4 recommendations 5 for 5 for 8 and 6 cognitive 7 rehabilitation 7 rehabilitation 8 and 8 and 9 mitigation 10 such 11 as 11 as 22 and 12 addressing 14 factors 13 lifestyle 14 factors 14 factors 15 , 15 , 16 psychostimulants 15 , 17 , 17 , 20 therapy 17 , 22 and 18 cognitive 19 remediation 19 remediation 20 therapy 21 , 22 and 22 and 23 treatment 22 and 24 of 24 of 26 and 25 depression 26 and 26 and 27 anxiety implications for nursing research and practice are posited . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 8 posited 0 ###LEFT-WALL### 9 . 1 implications 2 for 1 implications 5 and 2 for 3 nursing 3 nursing 4 research 5 and 6 practice 5 and 7 are 7 are 8 posited this study investigated the molecular prevalence of trypanosoma lewisi and t . evansi in wild rodents from cambodia , lao pdr and thailand . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 12 . 1 this 2 study 2 study 3 investigated 3 investigated 6 prevalence 4 the 6 prevalence 5 molecular 6 prevalence 6 prevalence 7 of 7 of 10 and 8 trypanosoma 9 lewisi 9 lewisi 10 and 10 and 11 t 12 . 22 and 12 . 24 . 13 evansi 14 in 13 evansi 19 , 14 in 16 rodents 15 wild 16 rodents 16 rodents 17 from 17 from 18 cambodia 19 , 21 pdr 19 , 22 and 20 lao 21 pdr 22 and 23 thailand based on the size of the pcr products using tryp1 , 17 % were positive for t . lewisi and 1·0 [%] positive for trypanozoon . 0 ###LEFT-WALL### 13 % 0 ###LEFT-WALL### 14 were 0 ###LEFT-WALL### 18 . 1 based 2 on 1 based 11 , 1 based 13 % 2 on 4 size 3 the 4 size 4 size 5 of 5 of 8 products 6 the 8 products 7 pcr 8 products 8 products 9 using 9 using 10 tryp1 12 17 13 % 13 % 14 were 14 were 15 positive 15 positive 16 for 16 for 17 t 18 . 20 and 18 . 26 . 19 lewisi 20 and 20 and 21 1·0 20 and 23 positive 23 positive 24 for 24 for 25 trypanozoon results were confirmed by sequencing pcr products and by using more specific primers ( lew1 and tbr ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 3 confirmed 0 ###LEFT-WALL### 19 . 1 results 2 were 2 were 3 confirmed 3 confirmed 8 and 4 by 5 sequencing 4 by 8 and 5 sequencing 7 products 6 pcr 7 products 8 and 9 by 9 by 10 using 10 using 13 primers 11 more 12 specific 12 specific 13 primers 13 primers 16 and 14 ( 16 and 15 lew1 16 and 16 and 17 tbr 16 and 18 ) the specificity of tryp1 primers , however , failed as rodent dna was amplified in some instances , giving unexpected product sizes . 0 ###LEFT-WALL### 2 specificity 0 ###LEFT-WALL### 14 amplified 1 the 2 specificity 2 specificity 3 of 2 specificity 9 failed 2 specificity 13 was 3 of 5 primers 4 tryp1 5 primers 6 , 7 however 7 however 8 , 7 however 9 failed 9 failed 10 as 10 as 12 dna 11 rodent 12 dna 13 was 14 amplified 14 amplified 15 in 15 in 17 instances 16 some 17 instances 17 instances 19 giving 18 , 19 giving 19 giving 22 sizes 19 giving 23 . 20 unexpected 21 product 21 product 22 sizes using lew1 primers , 13·3 [%] of the samples were confirmed positive for t . lewisi , both by pcr and sequencing . 0 ###LEFT-WALL### 5 13·3 0 ###LEFT-WALL### 11 confirmed 0 ###LEFT-WALL### 15 . 1 using 3 primers 1 using 4 , 1 using 5 13·3 2 lew1 3 primers 5 13·3 7 of 5 13·3 10 were 7 of 9 samples 8 the 9 samples 10 were 11 confirmed 11 confirmed 12 positive 12 positive 13 for 13 for 14 t 15 . 16 lewisi 15 . 17 , 15 . 23 . 17 , 18 both 18 both 19 by 19 by 21 and 20 pcr 21 and 21 and 22 sequencing in thailand , t ..y lewisi [was] found in rattus tanezumi , r ..y exulans and berylmys [;] in lao pdr , in r . tanezumi and r . exulans , and [in] cambodia in r . tanezumi , r ..y exulans and r . norvegicus . 0 ###LEFT-WALL### 2 thailand 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 25 . 1 in 2 thailand 3 , 4 t 3 , 5 ..y 3 , 12 , 4 t 5 ..y 5 ..y 6 lewisi 6 lewisi 8 found 8 found 9 in 8 found 11 tanezumi 10 rattus 11 tanezumi 12 , 13 r 12 , 14 ..y 13 r 14 ..y 14 ..y 16 and 15 exulans 16 and 16 and 17 berylmys 16 and 22 , 16 and 23 in 17 berylmys 19 in 19 in 21 pdr 20 lao 21 pdr 23 in 24 r 25 . 27 and 25 . 29 . 26 tanezumi 27 and 27 and 28 r 29 . 32 and 29 . 37 . 30 exulans 32 and 31 , 32 and 32 and 34 cambodia 32 and 35 in 35 in 36 r 37 . 38 tanezumi 37 . 39 , 37 . 45 . 39 , 40 r 39 , 41 ..y 40 r 41 ..y 41 ..y 43 and 42 exulans 43 and 43 and 44 r 45 . 46 norvegicus 45 . 47 . using tbr , 1·3 [%] of the samples tested positive for trypanozoon by pcr and sequencing [;] t . [evansi] is the only species of the trypanozoon subgenus possibly present in wild asian rodents . 0 ###LEFT-WALL### 4 1·3 0 ###LEFT-WALL### 9 tested 0 ###LEFT-WALL### 19 . 1 using 2 tbr 1 using 3 , 1 using 4 1·3 4 1·3 6 of 4 1·3 9 tested 6 of 8 samples 7 the 8 samples 9 tested 15 and 9 tested 18 t 10 positive 11 for 10 positive 13 by 10 positive 15 and 11 for 12 trypanozoon 13 by 14 pcr 15 and 16 sequencing 19 . 21 is 19 . 35 . 21 is 24 species 21 is 29 possibly 21 is 30 present 22 the 23 only 22 the 24 species 24 species 25 of 25 of 28 subgenus 26 the 28 subgenus 27 trypanozoon 28 subgenus 30 present 31 in 31 in 34 rodents 32 wild 33 asian 33 asian 34 rodents these results confirmed its presence in rodents from thailand ( r [.] [tanezumi] ) , lao pdr [(] r [.] tanezumi , r ..y nitidus [ )(and cambodia [(] r [.] tanezumi , niviventer fulvescens , maxomys surifer ) . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 confirmed 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 40 . 1 these 2 results 2 results 3 confirmed 3 confirmed 5 presence 3 confirmed 6 in 3 confirmed 8 from 4 its 5 presence 6 in 7 rodents 8 from 9 thailand 9 thailand 11 r 9 thailand 21 tanezumi 10 ( 11 r 11 r 14 ) 15 , 21 tanezumi 16 lao 21 tanezumi 17 pdr 19 r 17 pdr 21 tanezumi 21 tanezumi 22 , 22 , 23 r 22 , 24 ..y 23 r 24 ..y 24 ..y 27 )(and 25 nitidus 27 )(and 27 )(and 32 tanezumi 27 )(and 35 fulvescens 27 )(and 38 surifer 28 cambodia 30 r 28 cambodia 32 tanezumi 33 , 35 fulvescens 34 niviventer 35 fulvescens 35 fulvescens 36 , 36 , 38 surifer 37 maxomys 38 surifer 38 surifer 39 ) based on the information related to rodent trapping , it [was] found that rodent species trapped in and around human dwellings had a higher prevalence of t . lewisi infection . 0 ###LEFT-WALL### 10 it 0 ###LEFT-WALL### 12 found 0 ###LEFT-WALL### 28 . 0 ###LEFT-WALL### 31 . 1 based 2 on 1 based 9 , 1 based 10 it 2 on 4 information 3 the 4 information 4 information 5 related 4 information 6 to 6 to 8 trapping 7 rodent 8 trapping 10 it 12 found 12 found 13 that 13 that 15 species 13 that 22 had 14 rodent 15 species 15 species 16 trapped 15 species 22 had 16 trapped 18 and 17 in 18 and 18 and 19 around 18 and 21 dwellings 20 human 21 dwellings 22 had 25 prevalence 23 a 25 prevalence 24 higher 25 prevalence 25 prevalence 26 of 26 of 27 t 28 . 30 infection 29 lewisi 30 infection r ..y tanezumi and r . exulans , two synanthropic species , were mainly found [infected] in this habitat suggesting a role as a reservoir and thus a potential source of t [.] lewisi for human infection . 0 ###LEFT-WALL### 1 r 0 ###LEFT-WALL### 2 ..y 0 ###LEFT-WALL### 6 . 0 ###LEFT-WALL### 38 . 1 r 2 ..y 2 ..y 4 and 3 tanezumi 4 and 4 and 5 r 6 . 7 exulans 6 . 15 found 7 exulans 11 species 7 exulans 13 were 8 , 11 species 9 two 11 species 10 synanthropic 11 species 11 species 12 , 13 were 15 found 14 mainly 15 found 15 found 17 in 15 found 34 lewisi 17 in 19 habitat 18 this 19 habitat 19 habitat 20 suggesting 19 habitat 31 of 20 suggesting 26 and 21 a 22 role 22 role 23 as 22 role 26 and 23 as 25 reservoir 24 a 25 reservoir 26 and 27 thus 26 and 30 source 28 a 29 potential 28 a 30 source 29 potential 30 source 31 of 32 t 34 lewisi 35 for 35 for 37 infection 36 human 37 infection biomarkers play a critical role in the diagnosis of acute myocardial infarction ( ami ) , especially in patients with atypical clinical [and/or] electrocardiographic presentation or co - morbidities , like the elderly . 0 ###LEFT-WALL### 1 biomarkers 0 ###LEFT-WALL### 2 play 0 ###LEFT-WALL### 34 . 1 biomarkers 2 play 2 play 5 role 2 play 6 in 2 play 18 in 2 play 31 like 3 a 4 critical 3 a 5 role 4 critical 5 role 6 in 8 diagnosis 7 the 8 diagnosis 8 diagnosis 9 of 9 of 12 infarction 10 acute 12 infarction 11 myocardial 12 infarction 12 infarction 14 ami 13 ( 14 ami 14 ami 15 ) 16 , 17 especially 16 , 18 in 18 in 26 or 18 in 30 , 19 patients 20 with 19 patients 26 or 20 with 25 presentation 21 atypical 25 presentation 22 clinical 25 presentation 24 electrocardiographic 25 presentation 26 or 29 morbidities 27 co 28 - 27 co 29 morbidities 31 like 33 elderly 32 the 33 elderly high - sensitivity assays based on specific biomarkers ( e.g [.] cardiac troponins ) enabling earlier ami diagnosis have recently become available in clinical practice . 0 ###LEFT-WALL### 4 assays 0 ###LEFT-WALL### 21 become 0 ###LEFT-WALL### 26 . 1 high 2 - 1 high 3 sensitivity 3 sensitivity 4 assays 4 assays 5 based 4 assays 15 enabling 4 assays 19 have 5 based 6 on 6 on 8 biomarkers 7 specific 8 biomarkers 8 biomarkers 13 troponins 9 ( 13 troponins 10 e.g 13 troponins 12 cardiac 13 troponins 13 troponins 14 ) 15 enabling 18 diagnosis 16 earlier 18 diagnosis 17 ami 18 diagnosis 19 have 21 become 20 recently 21 become 21 become 22 available 22 available 23 in 23 in 25 practice 24 clinical 25 practice although no single biomarker of myocardial necrosis is ever likely to afford ami diagnosis , a combination including different biomarkers for necrosis and ischemia , like new circulating molecules ( micrornas ) , could enhance diagnostic specificity . 0 ###LEFT-WALL### 4 biomarker 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 38 . 1 although 3 single 1 although 4 biomarker 2 no 3 single 4 biomarker 5 of 4 biomarker 8 is 5 of 7 necrosis 6 myocardial 7 necrosis 8 is 9 ever 8 is 10 likely 10 likely 11 to 11 to 12 afford 12 afford 14 diagnosis 13 ami 14 diagnosis 15 , 23 and 15 , 35 enhance 16 a 17 combination 17 combination 18 including 17 combination 23 and 18 including 20 biomarkers 19 different 20 biomarkers 20 biomarkers 21 for 21 for 22 necrosis 23 and 24 ischemia 23 and 26 like 23 and 34 could 25 , 26 like 26 like 29 molecules 26 like 33 , 27 new 29 molecules 28 circulating 29 molecules 29 molecules 31 micrornas 30 ( 31 micrornas 31 micrornas 32 ) 34 could 35 enhance 35 enhance 37 specificity 36 diagnostic 37 specificity we review the recent literature on conventional and novel ami biomarkers , with special emphasis on circulating micrornas . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 review 1 we 2 review 2 review 5 literature 2 review 6 on 2 review 13 with 3 the 5 literature 4 recent 5 literature 6 on 11 biomarkers 7 conventional 8 and 8 and 9 novel 8 and 11 biomarkers 10 ami 11 biomarkers 12 , 13 with 13 with 15 emphasis 13 with 19 . 14 special 15 emphasis 15 emphasis 16 on 16 on 17 circulating 17 circulating 18 micrornas background : few studies have examined how various lifestyle factors in midlife predict longevity , and none of these studies have examined the impact of physical fitness . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 studies 2 : 6 examined 2 : 16 and 2 : 28 . 3 few 4 studies 4 studies 5 have 5 have 6 examined 6 examined 7 how 7 how 10 factors 7 how 13 predict 8 various 9 lifestyle 9 lifestyle 10 factors 10 factors 11 in 10 factors 13 predict 11 in 12 midlife 13 predict 14 longevity 15 , 16 and 16 and 20 studies 16 and 22 examined 17 none 18 of 17 none 20 studies 18 of 20 studies 19 these 20 studies 20 studies 21 have 21 have 22 examined 22 examined 24 impact 23 the 24 impact 24 impact 25 of 25 of 27 fitness 26 physical 27 fitness the present study aimed to examine longevity in relation to smoking , overweight and physical fitness . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 aimed 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 17 . 1 the 3 study 2 present 3 study 3 study 4 aimed 4 aimed 5 to 4 aimed 6 examine 5 to 6 examine 6 examine 7 longevity 6 examine 10 to 8 in 9 relation 9 relation 10 to 10 to 11 smoking 12 , 16 fitness 13 overweight 14 and 14 and 15 physical 14 and 16 fitness methods : we prospectively studied longevity ( defined as reaching at least 85 years [of] age ) in relation to smoking status , body mass index and physical fitness in 821 healthy men between 51 and 59 years of age . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 5 studied 2 : 41 . 3 we 5 studied 4 prospectively 5 studied 5 studied 6 longevity 5 studied 8 defined 5 studied 18 in 7 ( 8 defined 8 defined 9 as 8 defined 17 ) 9 as 16 age 10 reaching 16 age 11 at 12 least 12 least 13 85 13 85 14 years 14 years 16 age 18 in 27 and 19 relation 20 to 19 relation 23 , 20 to 21 smoking 21 smoking 22 status 23 , 26 index 23 , 27 and 24 body 26 index 25 mass 26 index 27 and 29 fitness 27 and 30 in 27 and 34 between 28 physical 29 fitness 30 in 33 men 31 821 33 men 32 healthy 33 men 34 between 38 years 35 51 36 and 36 and 37 59 36 and 38 years 38 years 39 of 39 of 40 age of these , 369 were smokers , 320 were overweight , and 31 were obese . 0 ###LEFT-WALL### 4 369 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 16 . 1 of 2 these 1 of 3 , 1 of 4 369 4 369 5 were 5 were 6 smokers 7 , 8 320 7 , 9 were 7 , 12 and 8 320 9 were 9 were 10 overweight 11 , 12 and 12 and 13 31 12 and 14 were 13 31 14 were 14 were 15 obese the associations were adjusted for age , systolic blood pressure and cholesterol level , using multivariate logistic regression analysis . 0 ###LEFT-WALL### 2 associations 0 ###LEFT-WALL### 4 adjusted 0 ###LEFT-WALL### 20 . 1 the 2 associations 2 associations 3 were 3 were 4 adjusted 4 adjusted 5 for 4 adjusted 15 using 5 for 6 age 6 age 11 and 7 , 11 and 8 systolic 10 pressure 9 blood 10 pressure 10 pressure 11 and 11 and 13 level 11 and 14 , 12 cholesterol 13 level 15 using 19 analysis 16 multivariate 18 regression 17 logistic 18 regression 18 regression 19 analysis deaths were registered until the 31st of december , 2006 . 0 ###LEFT-WALL### 1 deaths 0 ###LEFT-WALL### 3 registered 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 11 . 1 deaths 2 were 2 were 3 registered 3 registered 4 until 4 until 6 31st 5 the 6 31st 6 31st 7 of 7 of 8 december 9 , 10 2006 physical fitness was measured as the total work performed in a maximal exercise tolerance bicycle test . 0 ###LEFT-WALL### 2 fitness 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 17 . 1 physical 2 fitness 2 fitness 3 was 3 was 4 measured 4 measured 5 as 5 as 8 work 6 the 8 work 7 total 8 work 8 work 9 performed 9 performed 10 in 10 in 16 test 11 a 12 maximal 11 a 16 test 12 maximal 13 exercise 13 exercise 16 test 14 tolerance 16 test 15 bicycle 16 test results : 252 men survived to the age of 85 years ( 30.7 % ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 . 1 results 2 : 2 : 4 men 3 252 4 men 4 men 5 survived 4 men 6 to 4 men 14 % 6 to 8 age 7 the 8 age 8 age 9 of 9 of 11 years 10 85 11 years 12 ( 14 % 13 30.7 14 % 14 % 15 ) smoking status was significantly and independently related to longevity ; 37.2 % of the [non] [-] smokers survived to the age of 85 [,] and 22.8 % of the smokers . 0 ###LEFT-WALL### 1 smoking 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 10 ; 0 ###LEFT-WALL### 31 . 1 smoking 2 status 1 smoking 5 and 3 was 4 significantly 3 was 5 and 5 and 7 related 5 and 8 to 6 independently 7 related 8 to 9 longevity 10 ; 12 % 10 ; 18 survived 11 37.2 12 % 12 % 13 of 12 % 18 survived 13 of 17 smokers 14 the 17 smokers 18 survived 19 to 19 to 21 age 20 the 21 age 21 age 22 of 22 of 27 % 23 85 25 and 25 and 26 22.8 25 and 27 % 27 % 28 of 28 of 30 smokers 29 the 30 smokers among [non] [-] smokers , overweight and physical fitness were significantly and independently related to longevity after adjustment for age , blood pressure and cholesterol level , but not among smokers . 0 ###LEFT-WALL### 9 fitness 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 32 . 1 among 4 smokers 1 among 5 , 1 among 9 fitness 6 overweight 7 and 7 and 8 physical 7 and 9 fitness 9 fitness 12 and 10 were 11 significantly 10 were 12 and 12 and 14 related 12 and 28 but 13 independently 14 related 14 related 15 to 14 related 17 after 15 to 16 longevity 17 after 18 adjustment 19 for 24 and 19 for 28 but 20 age 21 , 21 , 23 pressure 21 , 24 and 22 blood 23 pressure 24 and 26 level 24 and 27 , 25 cholesterol 26 level 27 , 28 but 28 but 29 not 28 but 30 among 30 among 31 smokers among [non] [-] smokers with high physical fitness , 48.8 % reached the age of 85 years , compared to 27.9 % among [non] [-] smokers with low physical fitness . 0 ###LEFT-WALL### 11 % 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 31 . 1 among 4 smokers 1 among 9 , 1 among 11 % 4 smokers 5 with 5 with 8 fitness 6 high 8 fitness 7 physical 8 fitness 10 48.8 11 % 11 % 18 , 12 reached 14 age 12 reached 18 , 13 the 14 age 14 age 15 of 15 of 17 years 16 85 17 years 18 , 19 compared 18 , 27 with 19 compared 20 to 19 compared 23 among 20 to 22 % 21 27.9 22 % 23 among 26 smokers 27 with 30 fitness 28 low 30 fitness 29 physical 30 fitness conclusion : lifestyle variables appear to be strong and independent predictors of longevity in initially healthy [middle] - aged men . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 variables 2 : 5 appear 2 : 21 . 3 lifestyle 4 variables 4 variables 5 appear 5 appear 6 to 5 appear 7 be 6 to 7 be 7 be 11 predictors 8 strong 9 and 9 and 10 independent 9 and 11 predictors 11 predictors 12 of 12 of 13 longevity 13 longevity 14 in 14 in 20 men 15 initially 16 healthy 16 healthy 18 - 16 healthy 20 men 19 aged 20 men the probability of longevity may be a useful concept when informing the general public about the benefits of a healthy lifestyle . 0 ###LEFT-WALL### 2 probability 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 22 . 1 the 2 probability 2 probability 3 of 2 probability 5 may 3 of 4 longevity 5 may 6 be 6 be 9 concept 6 be 10 when 7 a 9 concept 8 useful 9 concept 10 when 11 informing 11 informing 13 general 12 the 13 general 13 general 14 public 14 public 15 about 15 about 17 benefits 16 the 17 benefits 17 benefits 18 of 18 of 21 lifestyle 19 a 20 healthy 19 a 21 lifestyle 20 healthy 21 lifestyle the mtor signaling pathway integrates inputs from a variety of upstream stimuli to regulate diverse cellular processes including proliferation [,] growth , survival , motility , autophagy , protein synthesis and metabolism . 0 ###LEFT-WALL### 4 pathway 0 ###LEFT-WALL### 5 integrates 0 ###LEFT-WALL### 33 . 1 the 4 pathway 2 mtor 4 pathway 3 signaling 4 pathway 4 pathway 5 integrates 5 integrates 6 inputs 5 integrates 7 from 5 integrates 13 to 7 from 9 variety 8 a 9 variety 9 variety 10 of 10 of 12 stimuli 11 upstream 12 stimuli 13 to 14 regulate 14 regulate 17 processes 15 diverse 17 processes 16 cellular 17 processes 17 processes 18 including 18 including 31 and 19 proliferation 21 growth 21 growth 22 , 22 , 23 survival 22 , 24 , 24 , 25 motility 24 , 26 , 26 , 27 autophagy 26 , 28 , 28 , 30 synthesis 28 , 31 and 29 protein 30 synthesis 31 and 32 metabolism the mtor pathway is dysregulated in a number of human pathologies including cancer , diabetes , obesity , autoimmune disorders , neurological disease and aging . 0 ###LEFT-WALL### 3 pathway 0 ###LEFT-WALL### 5 dysregulated 0 ###LEFT-WALL### 26 . 1 the 3 pathway 2 mtor 3 pathway 3 pathway 4 is 4 is 5 dysregulated 5 dysregulated 6 in 6 in 8 number 7 a 8 number 8 number 9 of 9 of 24 and 10 human 11 pathologies 11 pathologies 12 including 11 pathologies 14 , 12 including 13 cancer 14 , 15 diabetes 14 , 16 , 16 , 17 obesity 16 , 18 , 18 , 20 disorders 18 , 21 , 19 autoimmune 20 disorders 21 , 23 disease 21 , 24 and 22 neurological 23 disease 24 and 25 aging ongoing clinical trials testing mtor - targeted treatments number [in] the hundreds and underscore its therapeutic potential . 0 ###LEFT-WALL### 3 trials 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 18 . 1 ongoing 3 trials 2 clinical 3 trials 3 trials 4 testing 3 trials 13 and 4 testing 8 treatments 5 mtor 6 - 5 mtor 8 treatments 7 targeted 8 treatments 9 number 12 hundreds 9 number 13 and 11 the 12 hundreds 13 and 14 underscore 14 underscore 17 potential 15 its 17 potential 16 therapeutic 17 potential to date mtor inhibitors are clinically approved to prevent organ rejection , to inhibit restenosis after angioplasty , and to treat several advanced cancers . 0 ###LEFT-WALL### 4 inhibitors 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 25 . 1 to 2 date 2 date 4 inhibitors 3 mtor 4 inhibitors 4 inhibitors 5 are 5 are 19 and 6 clinically 7 approved 7 approved 8 to 7 approved 13 to 7 approved 19 and 8 to 9 prevent 9 prevent 11 rejection 10 organ 11 rejection 12 , 13 to 13 to 14 inhibit 13 to 18 , 14 inhibit 15 restenosis 14 inhibit 16 after 16 after 17 angioplasty 19 and 20 to 19 and 23 advanced 20 to 21 treat 21 treat 22 several 23 advanced 24 cancers in this review we discuss the continuously evolving field of mtor pharmacogenomics , as well [as] highlight the emerging efforts in identifying diagnostic and prognostic markers , including mirnas , in order to assess successful therapeutic responses . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 38 . 1 in 3 review 1 in 4 we 2 this 3 review 4 we 13 , 5 discuss 9 field 5 discuss 13 , 6 the 9 field 7 continuously 8 evolving 8 evolving 9 field 9 field 10 of 10 of 12 pharmacogenomics 11 mtor 12 pharmacogenomics 13 , 17 highlight 13 , 21 in 14 as 15 well 15 well 17 highlight 17 highlight 20 efforts 18 the 20 efforts 19 emerging 20 efforts 21 in 22 identifying 22 identifying 26 markers 22 identifying 31 in 23 diagnostic 24 and 24 and 25 prognostic 24 and 26 markers 26 markers 28 including 27 , 28 including 28 including 29 mirnas 28 including 30 , 31 in 32 order 32 order 33 to 32 order 34 assess 33 to 34 assess 34 assess 37 responses 35 successful 37 responses 36 therapeutic 37 responses the risk of fragility fractures exponentially increases with aging . 0 ###LEFT-WALL### 2 risk 0 ###LEFT-WALL### 7 increases 0 ###LEFT-WALL### 10 . 1 the 2 risk 2 risk 3 of 2 risk 7 increases 3 of 5 fractures 4 fragility 5 fractures 6 exponentially 7 increases 7 increases 8 with 8 with 9 aging reduced mass and strength of both bone [in] osteoporosis and skeletal muscle in sarcopenia play a key role in the age [-] related incidence of fragility fractures . 0 ###LEFT-WALL### 2 mass 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 28 . 1 reduced 2 mass 3 and 10 and 3 and 15 play 4 strength 5 of 4 strength 10 and 5 of 9 osteoporosis 6 both 9 osteoporosis 7 bone 9 osteoporosis 10 and 12 muscle 10 and 13 in 10 and 15 play 11 skeletal 12 muscle 13 in 14 sarcopenia 15 play 18 role 15 play 19 in 16 a 18 role 17 key 18 role 19 in 24 incidence 20 the 24 incidence 21 age 23 related 23 related 24 incidence 24 incidence 25 of 25 of 27 fractures 26 fragility 27 fractures undernutrition is often observed in the elderly , particularly in those subjects experiencing osteoporotic fractures , more likely as a cause than a consequence . 0 ###LEFT-WALL### 1 undernutrition 0 ###LEFT-WALL### 4 observed 1 undernutrition 2 is 2 is 3 often 2 is 4 observed 4 observed 5 in 4 observed 10 in 5 in 7 elderly 6 the 7 elderly 8 , 9 particularly 8 , 10 in 10 in 12 subjects 10 in 25 . 11 those 12 subjects 12 subjects 13 experiencing 13 experiencing 15 fractures 14 osteoporotic 15 fractures 15 fractures 18 likely 16 , 18 likely 17 more 18 likely 18 likely 19 as 18 likely 22 than 18 likely 25 . 19 as 21 cause 20 a 21 cause 22 than 24 consequence 23 a 24 consequence calcium ( ca ) , inorganic phosphate ( pi ) , vitamin d , and protein are nutrients that impact bone and skeletal muscle integrity . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 17 are 0 ###LEFT-WALL### 26 . 1 calcium 3 ca 1 calcium 7 phosphate 1 calcium 12 vitamin 2 ( 3 ca 3 ca 4 ) 5 , 7 phosphate 6 inorganic 7 phosphate 7 phosphate 9 pi 7 phosphate 11 , 8 ( 9 pi 9 pi 10 ) 12 vitamin 13 d 12 vitamin 15 and 14 , 15 and 15 and 16 protein 15 and 17 are 17 are 18 nutrients 18 nutrients 22 and 18 nutrients 24 muscle 19 that 21 bone 20 impact 21 bone 21 bone 22 and 22 and 23 skeletal 22 and 24 muscle 24 muscle 25 integrity deficiency in the supply of these nutrients increases with aging . 0 ###LEFT-WALL### 1 deficiency 0 ###LEFT-WALL### 8 increases 0 ###LEFT-WALL### 11 . 1 deficiency 2 in 1 deficiency 8 increases 2 in 4 supply 3 the 4 supply 4 supply 5 of 5 of 7 nutrients 6 these 7 nutrients 8 increases 9 with 9 with 10 aging dairy foods are rich in ca , pi , and proteins and in many countries are fortified with vitamin d . dairy foods are important souces of these nutrients and [go] a long way to meeting the recommendations , which increase with aging . 0 ###LEFT-WALL### 2 foods 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 21 . 1 dairy 2 foods 2 foods 3 are 3 are 4 rich 4 rich 5 in 5 in 6 ca 7 , 10 and 7 , 12 and 8 pi 10 and 9 , 10 and 10 and 11 proteins 12 and 15 countries 12 and 17 fortified 13 in 14 many 13 in 15 countries 15 countries 16 are 16 are 17 fortified 17 fortified 18 with 18 with 19 vitamin 19 vitamin 20 d 21 . 23 foods 21 . 24 are 21 . 39 , 21 . 44 . 22 dairy 23 foods 23 foods 24 are 24 are 30 and 24 are 35 to 25 important 26 souces 26 souces 27 of 26 souces 30 and 27 of 29 nutrients 28 these 29 nutrients 30 and 34 way 32 a 34 way 33 long 34 way 35 to 36 meeting 36 meeting 38 recommendations 37 the 38 recommendations 39 , 40 which 39 , 41 increase 40 which 41 increase 41 increase 42 with 42 with 43 aging this review emphaszes the interactions between these 4 nutrients , which , along with physical activity , act through cellular and physiological pathways favoring the maintenance of both bone and skeletal muscle structure and function . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 emphaszes 1 this 2 review 2 review 3 emphaszes 3 emphaszes 5 interactions 3 emphaszes 6 between 4 the 5 interactions 6 between 9 nutrients 7 these 8 4 8 4 9 nutrients 9 nutrients 11 which 10 , 11 which 11 which 14 with 11 which 18 act 11 which 36 . 12 , 14 with 13 along 14 with 14 with 16 activity 14 with 17 , 15 physical 16 activity 18 act 19 through 19 through 34 and 20 cellular 21 and 21 and 22 physiological 21 and 23 pathways 21 and 29 bone 21 and 30 and 23 pathways 24 favoring 23 pathways 29 bone 24 favoring 26 maintenance 25 the 26 maintenance 26 maintenance 27 of 27 of 28 both 30 and 33 structure 30 and 34 and 31 skeletal 32 muscle 32 muscle 33 structure 34 and 35 function background : research shows that there is a basic gap in the knowledge of nursing home staff about urinary incontinence and the previous societal belief that urinary incontinence is a normal part of aging . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 35 . 2 : 3 research 3 research 4 shows 4 shows 5 that 4 shows 15 nursing 5 that 6 there 5 that 7 is 7 is 10 gap 7 is 11 in 8 a 9 basic 8 a 10 gap 9 basic 10 gap 11 in 13 knowledge 12 the 13 knowledge 13 knowledge 14 of 14 of 15 nursing 15 nursing 21 and 16 home 17 staff 17 staff 18 about 17 staff 21 and 18 about 20 incontinence 19 urinary 20 incontinence 21 and 25 belief 21 and 26 that 21 and 34 aging 22 the 25 belief 23 previous 25 belief 24 societal 25 belief 26 that 28 incontinence 26 that 29 is 27 urinary 28 incontinence 28 incontinence 29 is 29 is 32 part 30 a 32 part 31 normal 32 part 32 part 33 of 33 of 34 aging this study examines the knowledge of nursing home staff about the types and treatment of urinary incontinence as well as attitudes toward urinary incontinence . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examines 0 ###LEFT-WALL### 25 . 1 this 2 study 2 study 3 examines 3 examines 5 knowledge 3 examines 10 about 4 the 5 knowledge 5 knowledge 6 of 6 of 7 nursing 7 nursing 9 staff 8 home 9 staff 10 about 13 and 11 the 12 types 12 types 13 and 13 and 14 treatment 13 and 15 of 15 of 17 incontinence 16 urinary 17 incontinence 17 incontinence 20 as 18 as 19 well 19 well 20 as 20 as 21 attitudes 21 attitudes 22 toward 22 toward 24 incontinence 23 urinary 24 incontinence methods : a [quasi] - experimental , within [-] subject , longitudinal pretest/posttest design was used . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 2 : 3 a 2 : 5 - 3 a 5 - 5 - 14 design 6 experimental 7 , 6 experimental 14 design 8 within 13 pretest/posttest 8 within 14 design 10 subject 11 , 10 subject 13 pretest/posttest 12 longitudinal 13 pretest/posttest 14 design 15 was 15 was 16 used nursing home staff members received a 6 [-] week educational intervention on the types and treatment of urinary incontinence and attitudes toward urinary incontinence . 0 ###LEFT-WALL### 1 nursing 0 ###LEFT-WALL### 5 received 0 ###LEFT-WALL### 25 . 1 nursing 4 members 1 nursing 5 received 2 home 3 staff 3 staff 4 members 5 received 11 intervention 5 received 12 on 5 received 22 toward 6 a 11 intervention 7 6 9 week 9 week 11 intervention 10 educational 11 intervention 12 on 20 and 13 the 14 types 14 types 15 and 15 and 16 treatment 15 and 17 of 15 and 20 and 17 of 19 incontinence 18 urinary 19 incontinence 20 and 21 attitudes 22 toward 24 incontinence 23 urinary 24 incontinence results : changes in knowledge about the types of urinary incontinence showed statistical significance for stress ( p < [.] 001 ) , functional ( p < [.] 003 ) , [and] overflow ( p < [.] 00 ) urinary incontinence . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 42 . 2 : 3 changes 2 : 12 showed 2 : 23 , 3 changes 4 in 3 changes 6 about 3 changes 12 showed 4 in 5 knowledge 6 about 8 types 7 the 8 types 8 types 9 of 9 of 11 incontinence 10 urinary 11 incontinence 12 showed 14 significance 13 statistical 14 significance 14 significance 15 for 14 significance 19 < 15 for 16 stress 17 ( 19 < 18 p 19 < 19 < 21 001 19 < 22 ) 23 , 33 overflow 24 functional 27 < 24 functional 31 , 24 functional 33 overflow 25 ( 27 < 26 p 27 < 27 < 29 003 27 < 30 ) 33 overflow 36 < 33 overflow 41 incontinence 34 ( 36 < 35 p 36 < 36 < 38 00 36 < 39 ) 40 urinary 41 incontinence changes in attitudes toward urinary incontinence showed statistical significance ( p < [.] 000 ) . 0 ###LEFT-WALL### 1 changes 0 ###LEFT-WALL### 7 showed 0 ###LEFT-WALL### 16 . 1 changes 2 in 1 changes 7 showed 2 in 3 attitudes 3 attitudes 4 toward 4 toward 6 incontinence 5 urinary 6 incontinence 7 showed 9 significance 8 statistical 9 significance 9 significance 12 < 10 ( 12 < 11 p 12 < 12 < 14 000 12 < 15 ) changes in staff knowledge of the assessment and treatment of urinary incontinence did not reach statistical significance . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 18 . 1 changes 2 in 1 changes 8 and 2 in 4 knowledge 3 staff 4 knowledge 4 knowledge 5 of 5 of 7 assessment 6 the 7 assessment 8 and 15 reach 9 treatment 10 of 9 treatment 13 did 10 of 12 incontinence 11 urinary 12 incontinence 13 did 14 not 13 did 15 reach 15 reach 17 significance 16 statistical 17 significance conclusion : this study showed that creative , evidence - based educational programming can improve staff knowledge about urinary incontinence and change staff attitudes toward urinary incontinence . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 4 study 2 : 5 showed 3 this 4 study 4 study 5 showed 5 showed 13 programming 5 showed 21 and 6 that 13 programming 7 creative 9 evidence 7 creative 10 - 7 creative 13 programming 8 , 9 evidence 9 evidence 10 - 11 based 13 programming 12 educational 13 programming 13 programming 14 can 14 can 21 and 15 improve 17 knowledge 15 improve 18 about 15 improve 21 and 16 staff 17 knowledge 18 about 20 incontinence 19 urinary 20 incontinence 21 and 22 change 21 and 24 attitudes 22 change 23 staff 24 attitudes 25 toward 25 toward 27 incontinence 26 urinary 27 incontinence further research is needed on staff knowledge about the assessment and treatment of urinary incontinence . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 4 needed 0 ###LEFT-WALL### 16 . 1 further 2 research 2 research 3 is 3 is 4 needed 4 needed 5 on 4 needed 8 about 5 on 7 knowledge 6 staff 7 knowledge 8 about 11 and 9 the 10 assessment 10 assessment 11 and 11 and 12 treatment 11 and 13 of 13 of 15 incontinence 14 urinary 15 incontinence none none none due to its short lifespan , ease of use and age - related pathologies that mirror those observed in humans , the common marmoset ( callithrix jacchus ) is poised to become a standard nonhuman primate model of aging . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 21 observed 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 43 . 2 none 3 none 3 none 4 due 4 due 5 to 4 due 13 and 5 to 10 ease 6 its 10 ease 7 short 10 ease 8 lifespan 9 , 8 lifespan 10 ease 10 ease 11 of 11 of 12 use 13 and 14 age 13 and 21 observed 15 - 16 related 16 related 17 pathologies 16 related 21 observed 17 pathologies 18 that 17 pathologies 19 mirror 18 that 19 mirror 19 mirror 20 those 21 observed 22 in 22 in 23 humans 24 , 27 marmoset 24 , 35 become 25 the 27 marmoset 26 common 27 marmoset 27 marmoset 30 jacchus 27 marmoset 32 is 28 ( 30 jacchus 29 callithrix 30 jacchus 30 jacchus 31 ) 32 is 33 poised 33 poised 34 to 34 to 35 become 35 become 40 model 36 a 37 standard 36 a 40 model 37 standard 40 model 38 nonhuman 40 model 39 primate 40 model 40 model 41 of 41 of 42 aging blood and extracellular fluid possess two major thiol - dependent redox nodes involving cysteine ( cys ) , cystine ( cyss ) , glutathione ( gsh ) and glutathione disulfide ( gssg ) . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 5 possess 0 ###LEFT-WALL### 9 - 1 blood 2 and 2 and 4 fluid 2 and 5 possess 3 extracellular 4 fluid 5 possess 8 thiol 6 two 8 thiol 7 major 8 thiol 9 - 28 and 9 - 34 . 10 dependent 12 nodes 11 redox 12 nodes 12 nodes 13 involving 12 nodes 28 and 13 involving 14 cysteine 14 cysteine 16 cys 14 cysteine 19 cystine 14 cysteine 24 glutathione 15 ( 16 cys 16 cys 17 ) 18 , 19 cystine 19 cystine 21 cyss 19 cystine 23 , 20 ( 21 cyss 21 cyss 22 ) 23 , 24 glutathione 24 glutathione 26 gsh 24 glutathione 27 ) 25 ( 26 gsh 26 gsh 27 ) 28 and 30 disulfide 28 and 32 gssg 29 glutathione 30 disulfide 31 ( 32 gssg 32 gssg 33 ) alteration in these plasma redox nodes significantly affects cellular physiology , and oxidation of the plasma cys/cyss redox potential ( [e] hcyss ) is associated with aging and disease risk in humans . 0 ###LEFT-WALL### 1 alteration 0 ###LEFT-WALL### 8 affects 0 ###LEFT-WALL### 33 . 1 alteration 2 in 1 alteration 8 affects 2 in 6 nodes 3 these 6 nodes 4 plasma 6 nodes 5 redox 6 nodes 7 significantly 8 affects 8 affects 28 and 9 cellular 10 physiology 10 physiology 12 and 11 , 12 and 12 and 13 oxidation 12 and 14 of 12 and 25 associated 12 and 28 and 14 of 18 redox 15 the 18 redox 16 plasma 18 redox 17 cys/cyss 18 redox 18 redox 19 potential 18 redox 24 is 19 potential 22 hcyss 19 potential 24 is 20 ( 22 hcyss 22 hcyss 23 ) 25 associated 26 with 26 with 27 aging 28 and 30 risk 29 disease 30 risk 30 risk 31 in 31 in 32 humans the purpose of this study was to determine age - related changes in plasma redox metabolites and corresponding redox potentials [(] e [h] ) to further validate the marmoset as a nonhuman primate model of aging . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 8 determine 0 ###LEFT-WALL### 11 related 1 the 2 purpose 2 purpose 3 of 2 purpose 6 was 3 of 5 study 4 this 5 study 6 was 7 to 7 to 8 determine 8 determine 9 age 10 - 11 related 11 related 12 changes 11 related 13 in 11 related 25 to 11 related 30 as 11 related 37 . 13 in 17 and 14 plasma 15 redox 15 redox 16 metabolites 16 metabolites 17 and 17 and 20 potentials 17 and 24 ) 18 corresponding 20 potentials 19 redox 20 potentials 20 potentials 22 e 25 to 27 validate 26 further 27 validate 27 validate 29 marmoset 28 the 29 marmoset 30 as 34 model 31 a 32 nonhuman 31 a 34 model 32 nonhuman 33 primate 33 primate 34 model 34 model 35 of 35 of 36 aging we measured plasma thiol redox states in marmosets and used existing human data with multivariate adaptive regression splines ( mars ) to model the relationships between age and redox metabolites . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 measured 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 31 . 1 we 2 measured 2 measured 6 states 2 measured 7 in 3 plasma 4 thiol 4 thiol 5 redox 5 redox 6 states 7 in 8 marmosets 9 and 13 data 9 and 30 metabolites 10 used 13 data 11 existing 13 data 12 human 13 data 13 data 14 with 13 data 22 to 13 data 23 model 13 data 30 metabolites 14 with 18 splines 15 multivariate 17 regression 16 adaptive 17 regression 17 regression 18 splines 18 splines 20 mars 19 ( 20 mars 20 mars 21 ) 22 to 23 model 23 model 25 relationships 24 the 25 relationships 25 relationships 26 between 26 between 28 and 27 age 28 and 28 and 29 redox a classification accuracy of 70.2 % and an auc of 0.703 were achieved using the mars model built from the marmoset redox data to classify the human samples as young or old . 0 ###LEFT-WALL### 2 classification 0 ###LEFT-WALL### 13 achieved 0 ###LEFT-WALL### 33 . 1 a 2 classification 2 classification 7 and 2 classification 12 were 2 classification 13 achieved 3 accuracy 4 of 3 accuracy 7 and 4 of 6 % 5 70.2 6 % 7 and 9 auc 7 and 10 of 7 and 12 were 8 an 9 auc 10 of 11 0.703 13 achieved 14 using 13 achieved 28 samples 13 achieved 29 as 14 using 17 model 14 using 19 from 14 using 24 to 14 using 25 classify 15 the 17 model 16 mars 17 model 17 model 18 built 19 from 23 data 20 the 23 data 21 marmoset 23 data 22 redox 23 data 24 to 25 classify 25 classify 27 human 26 the 27 human 29 as 31 or 30 young 31 or 31 or 32 old these results show that common marmosets provide a useful model for thiol redox biology of aging . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 17 . 1 these 2 results 2 results 3 show 3 show 4 that 4 that 6 marmosets 4 that 7 provide 5 common 6 marmosets 6 marmosets 7 provide 7 provide 10 model 8 a 10 model 9 useful 10 model 10 model 11 for 11 for 14 biology 12 thiol 14 biology 13 redox 14 biology 14 biology 15 of 15 of 16 aging the elimination of oxidatively modified proteins is a crucial process in maintaining cellular homeostasis , especially during stress . 0 ###LEFT-WALL### 2 elimination 0 ###LEFT-WALL### 7 is 1 the 2 elimination 2 elimination 3 of 2 elimination 7 is 3 of 6 proteins 4 oxidatively 5 modified 5 modified 6 proteins 7 is 10 process 8 a 9 crucial 8 a 10 process 9 crucial 10 process 10 process 11 in 11 in 12 maintaining 12 maintaining 14 homeostasis 13 cellular 14 homeostasis 14 homeostasis 17 during 15 , 16 especially 15 , 17 during 17 during 18 stress 17 during 19 . mitochondria are protein [-] dense , high traffic compartments , whose polypeptides are constantly exposed to superoxide , hydrogen peroxide , and other reactive species , generated by ['] electron leakage ['] from the respiratory chain . 0 ###LEFT-WALL### 1 mitochondria 0 ###LEFT-WALL### 2 are 1 mitochondria 2 are 2 are 9 compartments 2 are 22 and 3 protein 9 compartments 5 dense 6 , 5 dense 7 high 7 high 9 compartments 8 traffic 9 compartments 9 compartments 11 whose 10 , 11 whose 11 whose 12 polypeptides 11 whose 18 , 12 polypeptides 13 are 13 are 15 exposed 14 constantly 15 exposed 15 exposed 16 to 16 to 17 superoxide 19 hydrogen 20 peroxide 20 peroxide 22 and 21 , 22 and 22 and 25 species 22 and 27 generated 23 other 25 species 24 reactive 25 species 26 , 27 generated 27 generated 28 by 27 generated 37 . 28 by 31 leakage 30 electron 31 leakage 31 leakage 33 from 33 from 36 chain 34 the 36 chain 35 respiratory 36 chain the level of oxidative stress to mitochondrial proteins is not constant , but instead varies greatly with numerous metabolic and environmental factors . 0 ###LEFT-WALL### 2 level 0 ###LEFT-WALL### 13 but 0 ###LEFT-WALL### 23 . 1 the 2 level 2 level 3 of 2 level 13 but 3 of 5 stress 4 oxidative 5 stress 5 stress 6 to 6 to 8 proteins 7 mitochondrial 8 proteins 9 is 10 not 9 is 11 constant 9 is 13 but 12 , 13 but 13 but 15 varies 14 instead 15 varies 15 varies 16 greatly 15 varies 17 with 17 with 22 factors 18 numerous 22 factors 19 metabolic 20 and 20 and 21 environmental 20 and 22 factors oxidized mitochondrial proteins must be removed rapidly ( by proteolytic degradation ) or they will aggregate , cross - link , [and] cause toxicity . 0 ###LEFT-WALL### 3 proteins 0 ###LEFT-WALL### 13 or 0 ###LEFT-WALL### 19 - 1 oxidized 3 proteins 2 mitochondrial 3 proteins 3 proteins 13 or 4 must 5 be 4 must 13 or 5 be 6 removed 6 removed 7 rapidly 6 removed 9 by 8 ( 9 by 9 by 11 degradation 9 by 12 ) 10 proteolytic 11 degradation 13 or 17 , 14 they 15 will 15 will 17 , 16 aggregate 17 , 17 , 18 cross 19 - 20 link 19 - 21 , 19 - 25 . 21 , 23 cause 23 cause 24 toxicity the lon protease is a key enzyme in the degradation of oxidized proteins within the mitochondrial matrix . 0 ###LEFT-WALL### 3 protease 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 18 . 1 the 3 protease 2 lon 3 protease 3 protease 4 is 4 is 7 enzyme 5 a 7 enzyme 6 key 7 enzyme 7 enzyme 8 in 8 in 10 degradation 9 the 10 degradation 10 degradation 11 of 11 of 13 proteins 12 oxidized 13 proteins 13 proteins 14 within 14 within 17 matrix 15 the 17 matrix 16 mitochondrial 17 matrix under conditions of acute stress lon is highly inducible , possibly with the oxidant acting as the signal inducer , thereby providing increased protection . 0 ###LEFT-WALL### 1 under 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 25 . 1 under 2 conditions 1 under 7 is 2 conditions 3 of 3 of 5 stress 4 acute 5 stress 6 lon 7 is 7 is 9 inducible 8 highly 9 inducible 9 inducible 12 with 10 , 11 possibly 10 , 12 with 12 with 14 oxidant 12 with 20 , 13 the 14 oxidant 14 oxidant 15 acting 15 acting 16 as 15 acting 19 inducer 16 as 18 signal 17 the 18 signal 20 , 22 providing 20 , 23 increased 21 thereby 22 providing 22 providing 23 increased 23 increased 24 protection it seems that under chronic stress conditions , however , lon levels actually decline . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 seems 0 ###LEFT-WALL### 15 . 1 it 2 seems 2 seems 3 that 3 that 12 levels 3 that 14 decline 4 under 7 conditions 4 under 8 , 4 under 12 levels 5 chronic 6 stress 6 stress 7 conditions 8 , 9 however 9 however 10 , 9 however 12 levels 11 lon 12 levels 12 levels 14 decline 13 actually 14 decline lon levels also decline with age and with senescence , and senescent cells even lose the ability to induce lon during acute stress . 0 ###LEFT-WALL### 2 levels 0 ###LEFT-WALL### 4 decline 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 24 . 1 lon 2 levels 2 levels 4 decline 3 also 4 decline 4 decline 7 and 5 with 6 age 5 with 7 and 7 and 8 with 8 with 9 senescence 10 , 11 and 11 and 13 cells 11 and 15 lose 12 senescent 13 cells 13 cells 15 lose 14 even 15 lose 15 lose 17 ability 16 the 17 ability 17 ability 18 to 17 ability 19 induce 18 to 19 induce 19 induce 20 lon 19 induce 21 during 21 during 23 stress 22 acute 23 stress [we] propose that the regulation of lon is biphasic , in that it is up - regulated during transient stress and down - regulated during chronic stress and aging , and we suggest that the loss of lon responsiveness may be a significant factor in aging , and in age - related diseases . 0 ###LEFT-WALL### 2 propose 0 ###LEFT-WALL### 10 , 2 propose 3 that 3 that 5 regulation 3 that 8 is 4 the 5 regulation 5 regulation 6 of 5 regulation 8 is 6 of 7 lon 8 is 9 biphasic 10 , 21 and 11 in 12 that 12 that 13 it 12 that 14 is 12 that 21 and 13 it 14 is 14 is 15 up 15 up 17 regulated 16 - 17 regulated 18 during 19 transient 18 during 21 and 20 stress 21 and 21 and 22 down 21 and 23 - 21 and 24 regulated 21 and 33 suggest 23 - 24 regulated 24 regulated 25 during 25 during 31 and 26 chronic 27 stress 27 stress 28 and 28 and 29 aging 28 and 31 and 30 , 31 and 31 and 32 we 33 suggest 34 that 34 that 36 loss 34 that 41 be 35 the 36 loss 36 loss 37 of 36 loss 40 may 37 of 39 responsiveness 38 lon 39 responsiveness 40 may 41 be 41 be 44 factor 42 a 43 significant 42 a 44 factor 43 significant 44 factor 44 factor 48 and 44 factor 53 diseases 45 in 46 aging 45 in 48 and 47 , 48 and 48 and 49 in 49 in 50 age 51 - 53 diseases 52 related 53 diseases 53 diseases 54 . although the nrf2 ( nuclear factor - erythroid 2 p45 subunit - related factor 2 ) regulated expression of multiple antioxidant and cytoprotective genes through the electrophile responsive element ( epre ) is well established , interaction of nrf2/epre with nrf1 , a [closely] - related transcription factor , [is] less well understood . 1 although 3 nrf2 1 although 11 subunit 2 the 3 nrf2 3 nrf2 6 factor 4 ( 6 factor 5 nuclear 6 factor 6 factor 7 - 8 erythroid 11 subunit 9 2 11 subunit 10 p45 11 subunit 11 subunit 14 factor 11 subunit 17 regulated 12 - 14 factor 13 related 14 factor 14 factor 15 2 14 factor 16 ) 17 regulated 18 expression 17 regulated 25 through 18 expression 19 of 19 of 24 genes 20 multiple 24 genes 21 antioxidant 22 and 22 and 23 cytoprotective 22 and 24 genes 25 through 27 electrophile 26 the 27 electrophile 27 electrophile 29 element 27 electrophile 33 is 28 responsive 29 element 29 element 31 epre 29 element 33 is 30 ( 31 epre 31 epre 32 ) 33 is 45 - 34 well 35 established 34 well 37 interaction 36 , 37 interaction 37 interaction 38 of 37 interaction 42 , 38 of 39 nrf2/epre 39 nrf2/epre 40 with 40 with 41 nrf1 42 , 45 - 43 a 45 - 45 - 48 factor 46 related 47 transcription 47 transcription 48 factor 48 factor 52 well 49 , 51 less 49 , 52 well 52 well 53 understood 52 well 54 . due to either proteolysis or alternative translation , nrf1 has been found as proteins of varying size , p120 , p95 , and p65 , which have been described as either activators of epre or competitive inhibitors of nrf2 . 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 40 . 1 due 2 to 1 due 12 found 1 due 23 and 2 to 5 or 3 either 5 or 4 proteolysis 5 or 5 or 7 translation 5 or 8 , 5 or 9 nrf1 5 or 11 been 6 alternative 7 translation 9 nrf1 10 has 10 has 11 been 12 found 13 as 13 as 14 proteins 14 proteins 15 of 14 proteins 21 p95 15 of 17 size 16 varying 17 size 18 , 21 p95 19 p120 20 , 19 p120 21 p95 21 p95 22 , 23 and 24 p65 23 and 25 , 23 and 26 which 23 and 27 have 26 which 27 have 27 have 28 been 28 been 29 described 29 described 30 as 30 as 35 or 31 either 35 or 32 activators 33 of 32 activators 35 or 33 of 34 epre 35 or 37 inhibitors 35 or 38 of 36 competitive 37 inhibitors 38 of 39 nrf2 we investigated the effect of nrf1 on epre - regulated gene expression using the catalytic and modifier subunits of glutamate cysteine ligase ( gclc and gclm ) as models and explored the potential role of nrf1 in altering their expression in aging and upon chronic exposure to airborne nano - sized particulate matter ( npm ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 57 . 1 we 2 investigated 2 investigated 4 effect 2 investigated 7 on 3 the 4 effect 4 effect 5 of 5 of 6 nrf1 7 on 8 epre 9 - 30 and 10 regulated 12 expression 10 regulated 13 using 10 regulated 30 and 11 gene 12 expression 13 using 16 and 13 using 28 as 14 the 16 and 15 catalytic 16 and 16 and 18 subunits 16 and 19 of 17 modifier 18 subunits 19 of 22 ligase 20 glutamate 22 ligase 21 cysteine 22 ligase 22 ligase 26 gclm 23 ( 26 gclm 24 gclc 25 and 25 and 26 gclm 26 gclm 27 ) 28 as 29 models 30 and 31 explored 31 explored 34 role 31 explored 47 to 32 the 34 role 33 potential 34 role 34 role 35 of 34 role 37 in 35 of 36 nrf1 37 in 38 altering 38 altering 40 expression 39 their 40 expression 40 expression 43 and 41 in 42 aging 41 in 43 and 43 and 44 upon 44 upon 46 exposure 45 chronic 46 exposure 47 to 53 matter 48 airborne 53 matter 49 nano 50 - 49 nano 53 matter 51 sized 53 matter 52 particulate 53 matter 53 matter 55 npm 54 ( 55 npm 55 npm 56 ) nrf1 [knockout] resulted in the increased expression of gclc and gclm in human bronchial epithelial ( hbe1 ) cells . 0 ###LEFT-WALL### 1 nrf1 0 ###LEFT-WALL### 3 resulted 0 ###LEFT-WALL### 20 . 1 nrf1 3 resulted 3 resulted 4 in 3 resulted 12 in 4 in 10 and 5 the 7 expression 6 increased 7 expression 7 expression 8 of 7 expression 10 and 8 of 9 gclc 10 and 11 gclm 12 in 19 cells 13 human 19 cells 14 bronchial 19 cells 15 epithelial 17 hbe1 15 epithelial 19 cells 16 ( 17 hbe1 17 hbe1 18 ) overexpression nrf2 in combination [with] [either] p120 or p65 diminished or failed to further increase the gclc - and glcm - epre luciferase activity . 0 ###LEFT-WALL### 8 or 0 ###LEFT-WALL### 11 or 0 ###LEFT-WALL### 21 - 0 ###LEFT-WALL### 25 . 1 overexpression 2 nrf2 2 nrf2 3 in 2 nrf2 8 or 3 in 7 p120 4 combination 7 p120 8 or 9 p65 8 or 11 or 10 diminished 11 or 11 or 12 failed 11 or 13 to 11 or 19 and 13 to 15 increase 14 further 15 increase 16 the 19 and 17 gclc 19 and 18 - 19 and 19 and 20 glcm 21 - 24 activity 22 epre 23 luciferase 23 luciferase 24 activity all known forms of nrf1 protein [,] remained unchanged in the lungs of mice with age or in response to npm . 0 ###LEFT-WALL### 3 forms 0 ###LEFT-WALL### 8 remained 0 ###LEFT-WALL### 22 . 1 all 3 forms 2 known 3 forms 3 forms 4 of 3 forms 8 remained 4 of 6 protein 5 nrf1 6 protein 8 remained 9 unchanged 9 unchanged 10 in 9 unchanged 20 to 10 in 12 lungs 11 the 12 lungs 12 lungs 13 of 13 of 14 mice 14 mice 17 or 15 with 16 age 15 with 17 or 17 or 19 response 18 in 19 response 20 to 21 npm our study shows that nrf1 could inhibit epre activity in vitro , whereas the precise role of nrf1 in vivo requires further investigations . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 shows 0 ###LEFT-WALL### 24 . 1 our 2 study 2 study 3 shows 3 shows 4 that 4 that 5 nrf1 4 that 21 requires 5 nrf1 6 could 6 could 7 inhibit 7 inhibit 9 activity 7 inhibit 11 vitro 7 inhibit 13 whereas 8 epre 9 activity 10 in 11 vitro 12 , 13 whereas 13 whereas 16 role 14 the 16 role 15 precise 16 role 16 role 17 of 16 role 21 requires 17 of 18 nrf1 19 in 20 vivo 20 vivo 21 requires 21 requires 23 investigations 22 further 23 investigations we conclude that nrf1 may not be directly responsible for the loss of nrf2 - dependent inducibility of antioxidant and cytoprotective genes observed in aged animals . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conclude 0 ###LEFT-WALL### 23 observed 1 we 2 conclude 2 conclude 3 that 3 that 4 nrf1 3 that 7 be 4 nrf1 5 may 5 may 6 not 5 may 7 be 7 be 8 directly 7 be 9 responsible 9 responsible 10 for 10 for 12 loss 11 the 12 loss 12 loss 13 of 13 of 14 nrf2 15 - 23 observed 16 dependent 17 inducibility 17 inducibility 18 of 17 inducibility 20 and 18 of 19 antioxidant 20 and 22 genes 20 and 23 observed 21 cytoprotective 22 genes 23 observed 24 in 23 observed 27 . 24 in 26 animals 25 aged 26 animals oxidative stress plays a crucial role in the development of the aging process and age dependent diseases . 0 ###LEFT-WALL### 2 stress 0 ###LEFT-WALL### 3 plays 0 ###LEFT-WALL### 18 . 1 oxidative 2 stress 2 stress 3 plays 3 plays 6 role 3 plays 7 in 4 a 5 crucial 4 a 6 role 5 crucial 6 role 7 in 14 and 8 the 9 development 9 development 10 of 9 development 14 and 10 of 13 process 11 the 13 process 12 aging 13 process 14 and 17 diseases 15 age 17 diseases 16 dependent 17 diseases both are closely connected to disturbances of proteostasis by protein oxidation and [an] impairment of the proteasomal system . 0 ###LEFT-WALL### 1 both 0 ###LEFT-WALL### 4 connected 0 ###LEFT-WALL### 19 . 1 both 2 are 2 are 3 closely 2 are 4 connected 4 connected 5 to 4 connected 9 by 5 to 6 disturbances 6 disturbances 7 of 7 of 8 proteostasis 9 by 12 and 10 protein 11 oxidation 11 oxidation 12 and 12 and 14 impairment 12 and 15 of 15 of 18 system 16 the 18 system 17 proteasomal 18 system the final consequence is the accumulation of [highly] cross [-] linked undegradable aggregates such as lipofuscin . 0 ###LEFT-WALL### 3 consequence 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 17 . 1 the 3 consequence 2 final 3 consequence 3 consequence 4 is 4 is 6 accumulation 5 the 6 accumulation 6 accumulation 7 of 7 of 13 aggregates 9 cross 11 linked 11 linked 13 aggregates 12 undegradable 13 aggregates 13 aggregates 15 as 14 such 15 as 15 as 16 lipofuscin these aggregates of damaged proteins are detrimental to normal cell functions . 0 ###LEFT-WALL### 2 aggregates 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 12 . 1 these 2 aggregates 2 aggregates 3 of 2 aggregates 6 are 3 of 5 proteins 4 damaged 5 proteins 6 are 7 detrimental 7 detrimental 8 to 8 to 11 functions 9 normal 10 cell 10 cell 11 functions here we provide an overview about effect of these aggregates on the proteasomal system , followed by transcription factor activation and loss of cell viability . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 26 . 1 here 2 we 2 we 15 , 3 provide 5 overview 3 provide 6 about 3 provide 11 on 3 provide 15 , 4 an 5 overview 6 about 7 effect 7 effect 8 of 8 of 10 aggregates 9 these 10 aggregates 11 on 14 system 12 the 14 system 13 proteasomal 14 system 15 , 16 followed 15 , 17 by 17 by 21 and 18 transcription 20 activation 19 factor 20 activation 20 activation 21 and 21 and 22 loss 21 and 23 of 23 of 25 viability 24 cell 25 viability furthermore , findings on the mechanism of radical genesis , proteasomal inhibition and the required components of lipofuscin formation were resumed . 0 ###LEFT-WALL### 3 findings 0 ###LEFT-WALL### 21 resumed 0 ###LEFT-WALL### 22 . 1 furthermore 2 , 1 furthermore 3 findings 3 findings 4 on 3 findings 7 of 3 findings 20 were 4 on 6 mechanism 5 the 6 mechanism 7 of 13 and 8 radical 9 genesis 9 genesis 10 , 10 , 12 inhibition 10 , 13 and 11 proteasomal 12 inhibition 13 and 16 components 13 and 17 of 14 the 16 components 15 required 16 components 17 of 19 formation 18 lipofuscin 19 formation 20 were 21 resumed alzheimer disease ( ad ) is an age - related neurodegenerative disease characterized by the presence of three pathological hallmarks : synapse loss , extracellular senile plaques ( sp [ )(and intracellular neurofibrillary tangles ( nfts ) . 0 ###LEFT-WALL### 2 disease 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 10 related 0 ###LEFT-WALL### 21 : 0 ###LEFT-WALL### 38 . 1 alzheimer 2 disease 2 disease 4 ad 2 disease 6 is 3 ( 4 ad 4 ad 5 ) 6 is 8 age 7 an 8 age 9 - 10 related 10 related 12 disease 10 related 21 : 11 neurodegenerative 12 disease 12 disease 13 characterized 13 characterized 14 by 14 by 16 presence 15 the 16 presence 16 presence 17 of 17 of 20 hallmarks 18 three 20 hallmarks 19 pathological 20 hallmarks 21 : 22 synapse 22 synapse 23 loss 23 loss 27 plaques 24 , 27 plaques 25 extracellular 27 plaques 26 senile 27 plaques 27 plaques 31 )(and 27 plaques 37 ) 28 ( 31 )(and 29 sp 31 )(and 31 )(and 34 tangles 31 )(and 36 nfts 31 )(and 37 ) 32 intracellular 34 tangles 33 neurofibrillary 34 tangles 35 ( 36 nfts 36 nfts 37 ) the major component of sp is amyloid β - peptide [(] aβ ) , which has been shown to induce oxidative stress . 0 ###LEFT-WALL### 3 component 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 23 . 1 the 3 component 2 major 3 component 3 component 4 of 3 component 6 is 4 of 5 sp 6 is 8 β 7 amyloid 8 β 8 β 12 aβ 9 - 12 aβ 10 peptide 12 aβ 12 aβ 13 ) 14 , 15 which 14 , 18 shown 15 which 16 has 16 has 17 been 17 been 18 shown 18 shown 19 to 19 to 20 induce 20 induce 22 stress 21 oxidative 22 stress the ad brain shows increased levels of lipid peroxidation products , including 4 - hydroxy - 2 - [nonenal] [(] [hne] ) . 0 ###LEFT-WALL### 3 brain 0 ###LEFT-WALL### 4 shows 0 ###LEFT-WALL### 23 . 1 the 3 brain 2 ad 3 brain 3 brain 4 shows 4 shows 6 levels 4 shows 14 - 5 increased 6 levels 6 levels 7 of 7 of 10 products 8 lipid 10 products 9 peroxidation 10 products 11 , 14 - 12 including 13 4 12 including 14 - 14 - 15 hydroxy 14 - 22 ) 15 hydroxy 17 2 16 - 17 2 17 2 18 - [hne] [can] react covalently with cys , his , or lys residues on proteins , altering structure and function of the latter . 0 ###LEFT-WALL### 3 react 0 ###LEFT-WALL### 23 . 3 react 4 covalently 3 react 5 with 3 react 13 on 5 with 10 or 6 cys 7 , 7 , 8 his 7 , 10 or 9 , 10 or 10 or 12 residues 11 lys 12 residues 13 on 18 and 14 proteins 15 , 15 , 17 structure 15 , 18 and 16 altering 17 structure 18 and 19 function 18 and 20 of 20 of 22 latter 21 the 22 latter in the present study we measured the levels of the [hne] [-] modified lipoic acid in brain of subjects with ad and age - matched controls . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 measured 0 ###LEFT-WALL### 24 - 1 in 4 study 1 in 5 we 2 the 4 study 3 present 4 study 5 we 6 measured 6 measured 8 levels 6 measured 16 in 6 measured 20 with 7 the 8 levels 8 levels 9 of 9 of 15 acid 10 the 15 acid 13 modified 15 acid 14 lipoic 15 acid 16 in 17 brain 17 brain 18 of 18 of 19 subjects 20 with 22 and 21 ad 22 and 22 and 23 age 24 - 26 controls 24 - 27 . 25 matched 26 controls lipoic acid is a key co - factor for a number of proteins including pyruvate [dehydrogenase] and α - ketoglutarate dehydrogenase , key complexes for cellular energetics . 0 ###LEFT-WALL### 2 acid 0 ###LEFT-WALL### 3 is 1 lipoic 2 acid 2 acid 3 is 3 is 8 factor 3 is 9 for 4 a 8 factor 5 key 8 factor 6 co 7 - 6 co 8 factor 9 for 13 proteins 10 a 11 number 11 number 12 of 11 number 13 proteins 12 of 13 proteins 13 proteins 14 including 14 including 17 and 15 pyruvate 17 and 17 and 21 dehydrogenase 17 and 24 complexes 18 α 19 - 18 α 21 dehydrogenase 20 ketoglutarate 21 dehydrogenase 22 , 24 complexes 23 key 24 complexes 24 complexes 25 for 24 complexes 28 . 25 for 27 energetics 26 cellular 27 energetics we observed a significant decrease in the levels [of] [hne] - lipoic acid in the ad brain compared to that of age - matched controls . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 observed 0 ###LEFT-WALL### 26 . 1 we 2 observed 2 observed 5 decrease 2 observed 24 matched 3 a 5 decrease 4 significant 5 decrease 5 decrease 6 in 5 decrease 13 acid 5 decrease 24 matched 6 in 8 levels 7 the 8 levels 11 - 13 acid 12 lipoic 13 acid 13 acid 14 in 13 acid 18 compared 13 acid 19 to 13 acid 21 of 13 acid 23 - 14 in 17 brain 15 the 17 brain 16 ad 17 brain 19 to 20 that 21 of 22 age 24 matched 25 controls to investigate this phenomenon further , the levels and activity of lipoamide dehydrogenase ( ladh ) were measured in ad and control brains . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 investigate 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 24 . 1 to 2 investigate 2 investigate 4 phenomenon 2 investigate 5 further 3 this 4 phenomenon 6 , 13 dehydrogenase 6 , 18 measured 7 the 13 dehydrogenase 8 levels 9 and 9 and 10 activity 9 and 11 of 9 and 13 dehydrogenase 11 of 12 lipoamide 13 dehydrogenase 15 ladh 13 dehydrogenase 17 were 14 ( 15 ladh 15 ladh 16 ) 17 were 18 measured 18 measured 19 in 19 in 21 and 20 ad 21 and 21 and 23 brains 22 control 23 brains additionally , ladh activities were measured [after] in [-] vitro [hne] - treatment to mice brains . 0 ###LEFT-WALL### 4 activities 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 17 . 1 additionally 2 , 1 additionally 4 activities 3 ladh 4 activities 4 activities 5 were 5 were 6 measured 6 measured 10 vitro 8 in 10 vitro 12 - 13 treatment 13 treatment 14 to 14 to 16 brains 15 mice 16 brains both ladh levels and activities were found to be significantly reduced in ad brain compared to age - matched control . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 18 - 0 ###LEFT-WALL### 21 . 1 both 3 levels 2 ladh 3 levels 3 levels 4 and 4 and 5 activities 4 and 6 were 6 were 7 found 7 found 8 to 7 found 16 to 8 to 9 be 9 be 10 significantly 9 be 11 reduced 11 reduced 12 in 12 in 14 brain 13 ad 14 brain 14 brain 15 compared 16 to 17 age 18 - 20 control 19 matched 20 control [hne] - treatment also reduced the ladh activity in mice brain . 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 5 reduced 0 ###LEFT-WALL### 12 . 2 - 3 treatment 3 treatment 5 reduced 4 also 5 reduced 5 reduced 8 activity 5 reduced 9 in 6 the 8 activity 7 ladh 8 activity 9 in 11 brain 10 mice 11 brain these data are consistent with a two [-] hit hypothesis of ad : oxidative stress leads to lipid peroxidation that , in turn , causes oxidative dysfunction of key energy - related complexes in mitochondria , triggering neurodegeneration . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 39 . 1 these 2 data 2 data 3 are 3 are 4 consistent 4 consistent 5 with 5 with 10 hypothesis 5 with 17 to 6 a 10 hypothesis 7 two 10 hypothesis 9 hit 10 hypothesis 10 hypothesis 11 of 10 hypothesis 13 : 11 of 12 ad 13 : 15 stress 13 : 16 leads 14 oxidative 15 stress 15 stress 16 leads 17 to 19 peroxidation 18 lipid 19 peroxidation 19 peroxidation 20 that 19 peroxidation 25 causes 20 that 25 causes 21 , 23 turn 22 in 23 turn 23 turn 24 , 23 turn 25 causes 25 causes 27 dysfunction 26 oxidative 27 dysfunction 27 dysfunction 28 of 28 of 30 energy 29 key 30 energy 30 energy 37 triggering 31 - 32 related 32 related 33 complexes 32 related 36 , 32 related 37 triggering 33 complexes 34 in 34 in 35 mitochondria 37 triggering 38 neurodegeneration this study is consonant with the notion that lipoic acid supplementation could be a potential treatment for the observed loss of cellular energetics in ad and potentiate the antioxidant defense system to prevent or delay the oxidative stress in [and] progression of this devastating dementing disorder . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 47 . 1 this 2 study 2 study 3 is 3 is 4 consonant 4 consonant 5 with 5 with 7 notion 6 the 7 notion 7 notion 8 that 8 that 11 supplementation 8 that 26 and 9 lipoic 11 supplementation 10 acid 11 supplementation 11 supplementation 12 could 12 could 26 and 13 be 16 treatment 13 be 26 and 14 a 15 potential 14 a 16 treatment 15 potential 16 treatment 16 treatment 17 for 16 treatment 21 of 17 for 20 loss 18 the 20 loss 19 observed 20 loss 21 of 23 energetics 22 cellular 23 energetics 23 energetics 24 in 24 in 25 ad 26 and 34 or 26 and 39 in 27 potentiate 31 system 27 potentiate 34 or 28 the 31 system 29 antioxidant 31 system 30 defense 31 system 31 system 32 to 31 system 33 prevent 32 to 33 prevent 34 or 35 delay 35 delay 38 stress 36 the 38 stress 37 oxidative 38 stress 39 in 41 progression 41 progression 42 of 42 of 46 disorder 43 this 44 devastating 44 devastating 46 disorder 45 dementing 46 disorder aging and age - related diseases are associated with cellular senescence that results in variable apoptosis susceptibility to oxidative stress . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 21 . 1 aging 2 and 2 and 3 age 4 - 6 diseases 4 - 8 associated 5 related 6 diseases 6 diseases 7 are 7 are 8 associated 8 associated 9 with 8 associated 18 to 9 with 11 senescence 9 with 17 susceptibility 10 cellular 11 senescence 11 senescence 12 that 11 senescence 13 results 12 that 13 results 13 results 14 in 14 in 16 apoptosis 15 variable 16 apoptosis 18 to 20 stress 19 oxidative 20 stress although fibroblast senescence has been associated with apoptosis resistance , mechanisms for this have not been well defined . 0 ###LEFT-WALL### 11 mechanisms 0 ###LEFT-WALL### 16 been 0 ###LEFT-WALL### 19 . 1 although 3 senescence 1 although 6 associated 1 although 10 , 1 although 11 mechanisms 2 fibroblast 3 senescence 3 senescence 4 has 4 has 5 been 5 been 6 associated 6 associated 7 with 7 with 8 apoptosis 7 with 9 resistance 11 mechanisms 12 for 11 mechanisms 14 have 12 for 13 this 14 have 15 not 14 have 16 been 16 been 17 well 17 well 18 defined in this report , we studied epigenetic mechanisms involving histone modifications that confer apoptosis resistance to senescent human diploid fibroblasts ( hdfs ) . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 studied 0 ###LEFT-WALL### 24 . 1 in 3 report 1 in 4 , 1 in 5 we 2 this 3 report 5 we 6 studied 6 studied 8 mechanisms 6 studied 16 to 7 epigenetic 8 mechanisms 8 mechanisms 9 involving 9 involving 11 modifications 10 histone 11 modifications 11 modifications 12 that 11 modifications 13 confer 12 that 13 confer 13 confer 15 resistance 14 apoptosis 15 resistance 16 to 20 fibroblasts 17 senescent 20 fibroblasts 18 human 20 fibroblasts 19 diploid 20 fibroblasts 20 fibroblasts 22 hdfs 21 ( 22 hdfs 22 hdfs 23 ) hdfs that undergo replicative senescence display typical morphological features , express senescence - associated β - galactosidase , and increased levels of the tumor suppressor genes , p16 , p21 , and caveolin - 1 . 0 ###LEFT-WALL### 1 hdfs 0 ###LEFT-WALL### 6 display 0 ###LEFT-WALL### 13 - 1 hdfs 2 that 1 hdfs 3 undergo 1 hdfs 6 display 2 that 3 undergo 3 undergo 5 senescence 4 replicative 5 senescence 6 display 9 features 7 typical 9 features 8 morphological 9 features 9 features 12 senescence 10 , 12 senescence 11 express 12 senescence 12 senescence 13 - 13 - 19 and 13 - 36 . 14 associated 15 β 14 associated 19 and 15 β 17 galactosidase 16 - 17 galactosidase 17 galactosidase 18 , 19 and 20 increased 19 and 35 1 20 increased 21 levels 21 levels 22 of 22 of 26 genes 23 the 26 genes 24 tumor 25 suppressor 25 suppressor 26 genes 26 genes 32 and 27 , 32 and 28 p16 29 , 28 p16 30 p21 30 p21 32 and 31 , 32 and 32 and 33 caveolin 32 and 34 - senescent hdfs are more resistant to oxidative stress ( exogenous h2o2 ) - induced apoptosis in comparison [to] [non] - senescent ( control ) hdfs ; this is associated with constitutively high levels of the anti - apoptotic gene , bcl - 2 , and low expression of the pro - apoptotic gene , bax . 0 ###LEFT-WALL### 2 hdfs 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 20 - 0 ###LEFT-WALL### 56 . 1 senescent 2 hdfs 2 hdfs 3 are 3 are 4 more 3 are 5 resistant 5 resistant 6 to 6 to 8 stress 7 oxidative 8 stress 8 stress 11 h2o2 8 stress 15 apoptosis 9 ( 11 h2o2 10 exogenous 11 h2o2 11 h2o2 12 ) 13 - 15 apoptosis 14 induced 15 apoptosis 15 apoptosis 16 in 15 apoptosis 20 - 16 in 17 comparison 20 - 25 hdfs 20 - 26 ; 21 senescent 23 control 21 senescent 25 hdfs 22 ( 23 control 23 control 24 ) 26 ; 27 this 26 ; 29 associated 26 ; 51 - 27 this 28 is 28 is 29 associated 29 associated 30 with 30 with 45 and 31 constitutively 32 high 32 high 33 levels 33 levels 34 of 33 levels 40 , 34 of 39 gene 35 the 39 gene 36 anti 37 - 36 anti 39 gene 38 apoptotic 39 gene 40 , 41 bcl 40 , 45 and 41 bcl 43 2 42 - 43 2 43 2 44 , 44 , 45 and 45 and 47 expression 45 and 48 of 46 low 47 expression 48 of 50 pro 49 the 50 pro 51 - 53 gene 51 - 54 , 52 apoptotic 53 gene 54 , 55 bax cellular senescence is characterized by global increases in h4k20 trimethylation and decreases in h4k16 acetylation in association with increased activity of suv420h2 histone methyltransferase ( which targets h4k20 ) , decreased activity of the histone acetyltransferase , mof ( which targets h4k16 ) , as well as decreased total histone acetyltransferase activity . 0 ###LEFT-WALL### 2 senescence 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 53 . 1 cellular 2 senescence 2 senescence 3 is 3 is 11 and 4 characterized 5 by 4 characterized 8 in 4 characterized 10 trimethylation 4 characterized 11 and 5 by 7 increases 6 global 7 increases 8 in 9 h4k20 11 and 12 decreases 12 decreases 13 in 13 in 15 acetylation 14 h4k16 15 acetylation 15 acetylation 17 association 15 acetylation 18 with 16 in 17 association 18 with 30 , 19 increased 20 activity 19 increased 30 , 20 activity 21 of 20 activity 26 which 21 of 24 methyltransferase 22 suv420h2 24 methyltransferase 23 histone 24 methyltransferase 25 ( 26 which 26 which 27 targets 26 which 29 ) 27 targets 28 h4k20 30 , 31 decreased 31 decreased 32 activity 32 activity 33 of 32 activity 47 as 33 of 36 acetyltransferase 34 the 36 acetyltransferase 35 histone 36 acetyltransferase 36 acetyltransferase 38 mof 37 , 38 mof 38 mof 40 which 38 mof 44 , 39 ( 40 which 40 which 41 targets 40 which 43 ) 41 targets 42 h4k16 45 as 46 well 46 well 47 as 47 as 52 activity 48 decreased 49 total 49 total 51 acetyltransferase 50 histone 51 acetyltransferase 51 acetyltransferase 52 activity in contrast to bax gene [,] chromatin immunoprecipitation studies demonstrate marked enrichment of the bcl [-] 2 gene with h4k16ac , and depletion with h4k20me3 , predicting active transcription of this gene in senescent hdfs . 0 ###LEFT-WALL### 9 studies 0 ###LEFT-WALL### 10 demonstrate 1 in 2 contrast 1 in 9 studies 3 to 8 immunoprecipitation 3 to 9 studies 4 bax 5 gene 5 gene 7 chromatin 7 chromatin 8 immunoprecipitation 9 studies 10 demonstrate 10 demonstrate 12 enrichment 10 demonstrate 19 with 10 demonstrate 24 with 11 marked 12 enrichment 12 enrichment 13 of 13 of 18 gene 14 the 18 gene 15 bcl 17 2 15 bcl 18 gene 19 with 22 and 20 h4k16ac 22 and 21 , 22 and 22 and 23 depletion 24 with 25 h4k20me3 25 h4k20me3 27 predicting 26 , 27 predicting 27 predicting 29 transcription 27 predicting 33 in 27 predicting 36 . 28 active 29 transcription 29 transcription 30 of 30 of 32 gene 31 this 32 gene 33 in 35 hdfs 34 senescent 35 hdfs these data indicate that both global and locus - specific histone modifications of chromatin regulate altered bcl - 2:bax gene expression in senescent fibroblasts , contributing to its apoptosis - resistant phenotype . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 33 . 1 these 2 data 2 data 3 indicate 3 indicate 7 and 4 that 7 and 5 both 7 and 6 global 7 and 7 and 8 locus 9 - 11 histone 9 - 16 altered 9 - 18 - 9 - 19 2:bax 9 - 30 - 10 specific 11 histone 11 histone 12 modifications 11 histone 15 regulate 11 histone 16 altered 12 modifications 13 of 12 modifications 15 regulate 13 of 14 chromatin 16 altered 17 bcl 18 - 19 2:bax 19 2:bax 21 expression 19 2:bax 22 in 19 2:bax 26 contributing 20 gene 21 expression 22 in 24 fibroblasts 23 senescent 24 fibroblasts 25 , 26 contributing 26 contributing 27 to 26 contributing 30 - 27 to 29 apoptosis 28 its 29 apoptosis 30 - 32 phenotype 31 resistant 32 phenotype it has been shown that healthy aging affects the ability to focus attention on a given task and to ignore distractors . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 shown 0 ###LEFT-WALL### 22 . 1 it 2 has 2 has 3 been 3 been 4 shown 4 shown 7 aging 4 shown 8 affects 5 that 7 aging 6 healthy 7 aging 7 aging 8 affects 8 affects 10 ability 9 the 10 ability 10 ability 11 to 10 ability 18 and 11 to 18 and 12 focus 13 attention 12 focus 14 on 12 focus 18 and 14 on 17 task 15 a 17 task 16 given 17 task 18 and 19 to 18 and 20 ignore 19 to 20 ignore 20 ignore 21 distractors here , we asked whether long - term physical activity is associated with lower susceptibility to distraction of auditory attention , and how physically active and inactive seniors may differ regarding subcomponents of auditory attention . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 asked 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 36 . 1 here 2 , 1 here 3 we 3 we 4 asked 4 asked 5 whether 5 whether 10 activity 5 whether 12 associated 6 long 7 - 6 long 8 term 8 term 10 activity 9 physical 10 activity 10 activity 11 is 11 is 12 associated 12 associated 13 with 12 associated 16 to 12 associated 24 physically 12 associated 25 active 13 with 15 susceptibility 14 lower 15 susceptibility 16 to 17 distraction 17 distraction 18 of 18 of 22 and 19 auditory 20 attention 20 attention 22 and 21 , 22 and 22 and 23 how 26 and 28 seniors 26 and 30 differ 27 inactive 28 seniors 28 seniors 29 may 29 may 30 differ 30 differ 32 subcomponents 31 regarding 32 subcomponents 32 subcomponents 33 of 33 of 35 attention 34 auditory 35 attention an auditory duration discrimination task was employed , and involuntary attentional shifts to task - irrelevant rare frequency deviations and subsequent reorientation were studied by analysis of behavioral data and event - related potential measures . 0 ###LEFT-WALL### 5 task 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 36 . 1 an 5 task 2 auditory 3 duration 3 duration 5 task 4 discrimination 5 task 5 task 6 was 6 was 7 employed 8 , 9 and 9 and 12 shifts 9 and 33 related 10 involuntary 12 shifts 11 attentional 12 shifts 12 shifts 13 to 12 shifts 14 task 12 shifts 18 frequency 12 shifts 33 related 13 to 14 task 15 - 18 frequency 16 irrelevant 18 frequency 17 rare 18 frequency 18 frequency 20 and 18 frequency 23 were 18 frequency 24 studied 18 frequency 27 of 18 frequency 32 - 19 deviations 20 and 20 and 22 reorientation 20 and 23 were 21 subsequent 22 reorientation 24 studied 25 by 25 by 26 analysis 27 of 30 and 28 behavioral 29 data 29 data 30 and 30 and 31 event 33 related 35 measures 34 potential 35 measures the frequency deviations impaired performance more in physically inactive than active seniors . 0 ###LEFT-WALL### 3 deviations 0 ###LEFT-WALL### 4 impaired 0 ###LEFT-WALL### 13 . 1 the 3 deviations 2 frequency 3 deviations 3 deviations 4 impaired 4 impaired 5 performance 4 impaired 6 more 4 impaired 7 in 7 in 12 seniors 8 physically 9 inactive 9 inactive 12 seniors 10 than 11 active 11 active 12 seniors this was accompanied by a stronger frontal positivity ( p3a ) and increased activation of anterior cingulate [cortex] , suggesting a stronger involuntary shift of attention towards task [-] irrelevant stimulus features in inactive compared [to] active seniors . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 12 and 1 this 12 and 2 was 3 accompanied 2 was 12 and 3 accompanied 4 by 4 by 8 positivity 5 a 8 positivity 6 stronger 8 positivity 7 frontal 8 positivity 8 positivity 10 p3a 9 ( 10 p3a 10 p3a 11 ) 12 and 13 increased 12 and 14 activation 14 activation 15 of 15 of 17 cingulate 16 anterior 17 cingulate 17 cingulate 20 suggesting 19 , 20 suggesting 20 suggesting 24 shift 20 suggesting 27 towards 20 suggesting 33 in 20 suggesting 39 . 21 a 24 shift 22 stronger 24 shift 23 involuntary 24 shift 24 shift 25 of 25 of 26 attention 27 towards 32 features 28 task 32 features 30 irrelevant 31 stimulus 31 stimulus 32 features 33 in 38 seniors 34 inactive 38 seniors 35 compared 38 seniors 37 active 38 seniors these results indicate a positive relationship between physical fitness and attentional control in elderly , presumably due [to] more focused attentional resources and enhanced inhibition of irrelevant stimulus features . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 30 . 1 these 2 results 2 results 3 indicate 3 indicate 6 relationship 3 indicate 7 between 3 indicate 13 in 4 a 5 positive 4 a 6 relationship 5 positive 6 relationship 7 between 10 and 8 physical 9 fitness 9 fitness 10 and 10 and 12 control 11 attentional 12 control 13 in 23 and 14 elderly 15 , 14 elderly 22 resources 16 presumably 17 due 17 due 22 resources 19 more 20 focused 20 focused 22 resources 21 attentional 22 resources 22 resources 23 and 23 and 25 inhibition 23 and 26 of 24 enhanced 25 inhibition 26 of 29 features 27 irrelevant 28 stimulus 28 stimulus 29 features objective : to investigate the temporal ordering of cognitive and functional declines separately in older adults [with] or without alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 investigate 2 : 26 . 3 to 4 investigate 4 investigate 7 ordering 4 investigate 13 separately 4 investigate 18 or 5 the 7 ordering 6 temporal 7 ordering 7 ordering 8 of 8 of 12 declines 9 cognitive 10 and 10 and 11 functional 10 and 12 declines 14 in 16 adults 14 in 18 or 15 older 16 adults 18 or 19 without 19 without 22 disease 20 alzheimer 21 's 21 's 22 disease 22 disease 24 ad 23 ( 24 ad 24 ad 25 ) design and setting : a community - based longitudinal study of aging and dementia in northern manhattan ( washington heights/hamilton heights inwood columbia aging project ) and a multicenter , clinic - based longitudinal study of prevalent ad at columbia university medical center , johns hopkins school of medicine , massachusetts general hospital , and the hôpital de la salpêtrière in paris , france ( the predictors study ) . 0 ###LEFT-WALL### 3 setting 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 7 - 1 design 2 and 2 and 3 setting 3 setting 4 : 4 : 6 community 5 a 6 community 7 - 27 and 7 - 33 based 7 - 70 . 8 based 10 study 9 longitudinal 10 study 10 study 11 of 10 study 13 and 11 of 12 aging 13 and 14 dementia 13 and 15 in 13 and 27 and 15 in 17 manhattan 16 northern 17 manhattan 17 manhattan 25 project 18 ( 25 project 19 washington 20 heights/hamilton 20 heights/hamilton 21 heights 21 heights 22 inwood 22 inwood 23 columbia 23 columbia 24 aging 24 aging 25 project 25 project 26 ) 27 and 31 clinic 27 and 32 - 27 and 33 based 28 a 29 multicenter 28 a 31 clinic 29 multicenter 30 , 29 multicenter 31 clinic 33 based 35 study 33 based 39 at 34 longitudinal 35 study 35 study 36 of 36 of 38 ad 37 prevalent 38 ad 39 at 55 and 40 columbia 41 university 41 university 42 medical 42 medical 43 center 43 center 44 , 44 , 47 school 44 , 55 and 45 johns 46 hopkins 46 hopkins 47 school 47 school 48 of 48 of 49 medicine 49 medicine 53 hospital 50 , 53 hospital 51 massachusetts 52 general 52 general 53 hospital 53 hospital 54 , 54 , 55 and 55 and 60 salpêtrière 55 and 63 , 55 and 64 france 56 the 60 salpêtrière 57 hôpital 58 de 58 de 59 la 59 la 60 salpêtrière 60 salpêtrière 61 in 61 in 62 paris 63 , 64 france 64 france 68 study 64 france 69 ) 65 ( 68 study 66 the 68 study 67 predictors 68 study 68 study 69 ) participants : 3,443 initially [non] - demented older adults ( 612 with eventual incident dementia [ )(and 517 patients with ad . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 - 1 participants 2 : 2 : 3 3,443 2 : 4 initially 6 - 9 adults 7 demented 9 adults 8 older 9 adults 9 adults 11 612 10 ( 11 612 11 612 12 with 11 612 22 . 12 with 17 )(and 13 eventual 14 incident 14 incident 15 dementia 15 dementia 17 )(and 17 )(and 19 patients 17 )(and 20 with 18 517 19 patients 20 with 21 ad main outcome measures : cognitive measures included the modified mini - mental state exam and composite scores of memory and language derived from a standardized neuropsychological battery . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 4 : 1 main 2 outcome 2 outcome 3 measures 4 : 6 measures 4 : 7 included 4 : 11 - 4 : 28 . 5 cognitive 6 measures 6 measures 7 included 7 included 10 mini 8 the 10 mini 9 modified 10 mini 11 - 14 exam 11 - 15 and 12 mental 13 state 13 state 14 exam 15 and 20 and 15 and 22 derived 16 composite 17 scores 17 scores 18 of 17 scores 20 and 18 of 20 and 19 memory 20 and 20 and 21 language 20 and 22 derived 22 derived 23 from 23 from 27 battery 24 a 27 battery 25 standardized 27 battery 26 neuropsychological 27 battery function was measured with the blessed dementia rating scale , completed by the participant ( in the sample of [non] [-] demented older adults ) or an informant ( in the sample of prevalent ad patients ) . 0 ###LEFT-WALL### 1 function 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 38 . 1 function 2 was 2 was 3 measured 3 measured 4 with 4 with 8 rating 4 with 26 or 5 the 8 rating 6 blessed 7 dementia 7 dementia 8 rating 9 scale 11 completed 9 scale 26 or 10 , 11 completed 11 completed 12 by 11 completed 25 ) 12 by 14 participant 13 the 14 participant 14 participant 16 in 15 ( 16 in 16 in 18 sample 16 in 25 ) 17 the 18 sample 18 sample 19 of 19 of 24 adults 22 demented 24 adults 23 older 24 adults 26 or 28 informant 26 or 30 in 27 an 28 informant 29 ( 30 in 30 in 32 sample 30 in 37 ) 31 the 32 sample 32 sample 33 of 33 of 36 patients 34 prevalent 36 patients 35 ad 36 patients data were analyzed with autoregressive cross [-] [lagged] panel analysis . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 3 analyzed 0 ###LEFT-WALL### 11 . 1 data 2 were 2 were 3 analyzed 3 analyzed 4 with 4 with 10 analysis 5 autoregressive 6 cross 6 cross 10 analysis 9 panel 10 analysis results : cognitive scores more consistently predicted subsequent functional abilities than vice versa in [non] - demented older adults , participants with eventual incident dementia , and patients with prevalent ad . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 3 cognitive 2 : 20 , 3 cognitive 4 scores 3 cognitive 14 in 3 cognitive 19 adults 4 scores 7 predicted 5 more 6 consistently 6 consistently 7 predicted 7 predicted 10 abilities 7 predicted 14 in 8 subsequent 10 abilities 9 functional 10 abilities 10 abilities 13 versa 11 than 13 versa 12 vice 13 versa 16 - 19 adults 17 demented 19 adults 18 older 19 adults 19 adults 20 , 20 , 27 and 21 participants 22 with 21 participants 27 and 22 with 25 dementia 23 eventual 24 incident 24 incident 25 dementia 26 , 27 and 27 and 28 patients 27 and 29 with 29 with 31 ad 30 prevalent 31 ad conclusions : cognitive declines appear to precede [and] cause functional declines prior to [and] following dementia diagnosis . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 4 declines 2 : 5 appear 3 cognitive 4 declines 4 declines 5 appear 5 appear 6 to 5 appear 13 to 6 to 7 precede 7 precede 11 declines 9 cause 11 declines 10 functional 11 declines 12 prior 13 to 13 to 15 following 15 following 17 diagnosis 16 dementia 17 diagnosis standardized neuropsychological tests are valid predictors of later functional changes in both [non] - demented and demented older adults . 0 ###LEFT-WALL### 3 tests 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 14 - 1 standardized 3 tests 2 neuropsychological 3 tests 3 tests 4 are 4 are 6 predictors 5 valid 6 predictors 6 predictors 7 of 7 of 10 changes 8 later 10 changes 9 functional 10 changes 10 changes 11 in 11 in 12 both 14 - 19 adults 14 - 20 . 15 demented 16 and 16 and 17 demented 16 and 19 adults 18 older 19 adults introduction : masp - 1 is the first protein in the activation of the lectin pathway and masp - 1 is , like its isoforms masp - 3 and map44 , encoded by the masp1 gene . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 37 . 1 introduction 2 : 2 : 3 masp 4 - 5 1 4 - 6 is 4 - 22 , 4 - 32 encoded 5 1 6 is 6 is 9 protein 6 is 10 in 7 the 9 protein 8 first 9 protein 10 in 12 activation 11 the 12 activation 12 activation 13 of 12 activation 20 1 12 activation 21 is 13 of 17 and 14 the 16 pathway 15 lectin 16 pathway 16 pathway 17 and 17 and 18 masp 19 - 20 1 20 1 21 is 22 , 23 like 23 like 25 isoforms 24 its 25 isoforms 25 isoforms 26 masp 25 isoforms 32 encoded 26 masp 30 map44 26 masp 32 encoded 27 - 30 map44 28 3 29 and 29 and 30 map44 30 map44 31 , 32 encoded 33 by 33 by 36 gene 34 the 36 gene 35 masp1 36 gene our aim was to explore associations between polymorphisms in masp1 and corresponding concentrations of masp - 1 , masp - 3 , and map44 in plasma as well as the genetic contribution to the equilibrium between the three proteins . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 40 . 1 our 2 aim 2 aim 3 was 3 was 4 to 3 was 5 explore 4 to 5 explore 5 explore 6 associations 5 explore 7 between 5 explore 25 in 7 between 23 and 8 polymorphisms 9 in 8 polymorphisms 11 and 9 in 10 masp1 11 and 13 concentrations 11 and 14 of 11 and 17 1 11 and 20 - 11 and 23 and 12 corresponding 13 concentrations 14 of 15 masp 16 - 17 1 17 1 18 , 18 , 20 - 19 masp 20 - 20 - 21 3 20 - 22 , 23 and 24 map44 25 in 26 plasma 26 plasma 29 as 27 as 28 well 28 well 29 as 29 as 32 contribution 30 the 32 contribution 31 genetic 32 contribution 32 contribution 33 to 32 contribution 36 between 33 to 35 equilibrium 34 the 35 equilibrium 36 between 39 proteins 37 the 39 proteins 38 three 39 proteins methods : fifteen snps were genotyped in the masp1 gene in 350 blood donors . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 snps 2 : 6 genotyped 2 : 15 . 3 fifteen 4 snps 4 snps 5 were 5 were 6 genotyped 6 genotyped 7 in 6 genotyped 11 in 7 in 10 gene 8 the 10 gene 9 masp1 10 gene 11 in 14 donors 12 350 14 donors 13 blood 14 donors corresponding plasma concentrations of masp - 1 , masp - 3 , and map44 were measured . 0 ###LEFT-WALL### 3 concentrations 0 ###LEFT-WALL### 16 measured 0 ###LEFT-WALL### 17 . 1 corresponding 2 plasma 2 plasma 3 concentrations 3 concentrations 4 of 3 concentrations 15 were 4 of 13 and 5 masp 7 1 5 masp 13 and 6 - 7 1 7 1 9 masp 7 1 12 , 8 , 9 masp 9 masp 11 3 9 masp 12 , 10 - 11 3 11 3 12 , 12 , 13 and 13 and 14 map44 15 were 16 measured results : a total of 10 different snps showed associations with the concentration of one or some of the three proteins ( rs113938200 , rs190590338 , rs35089177 , rs3774275 , rs67143992 , rs698090 , rs72549154 , rs72549254 , rs75284004 , rs7625133 ) , and several of these were in strong linkage . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 total 2 : 9 showed 2 : 44 and 2 : 52 . 3 a 4 total 4 total 5 of 4 total 9 showed 5 of 8 snps 6 10 8 snps 7 different 8 snps 9 showed 10 associations 9 showed 11 with 9 showed 21 proteins 11 with 13 concentration 12 the 13 concentration 13 concentration 14 of 13 concentration 18 of 14 of 16 or 15 one 16 or 16 or 17 some 18 of 20 three 19 the 20 three 21 proteins 25 rs190590338 22 ( 25 rs190590338 23 rs113938200 24 , 23 rs113938200 25 rs190590338 25 rs190590338 37 rs72549254 25 rs190590338 43 , 26 , 37 rs72549254 27 rs35089177 28 , 27 rs35089177 37 rs72549254 29 rs3774275 31 rs67143992 29 rs3774275 32 , 29 rs3774275 37 rs72549254 30 , 31 rs67143992 31 rs67143992 32 , 33 rs698090 35 rs72549154 33 rs698090 37 rs72549254 34 , 35 rs72549154 35 rs72549154 36 , 37 rs72549254 41 rs7625133 37 rs72549254 42 ) 38 , 41 rs7625133 39 rs75284004 40 , 39 rs75284004 41 rs7625133 41 rs7625133 42 ) 43 , 44 and 44 and 45 several 44 and 48 were 45 several 46 of 45 several 48 were 46 of 47 these 48 were 49 in 49 in 51 linkage 50 strong 51 linkage snps located in the mutually exclusive splice region had opposite effects on the protein concentrations . 0 ###LEFT-WALL### 1 snps 0 ###LEFT-WALL### 9 had 0 ###LEFT-WALL### 16 . 1 snps 2 located 1 snps 9 had 2 located 3 in 3 in 8 region 4 the 8 region 5 mutually 6 exclusive 6 exclusive 7 splice 7 splice 8 region 9 had 11 effects 9 had 12 on 10 opposite 11 effects 12 on 15 concentrations 13 the 15 concentrations 14 protein 15 concentrations being e.g [.] homozygote for the minor allele of rs3774275 was associated with an increase in median concentration of 13 % in masp - 1 ( p=0.03 ) , 29 % in map44 ( p<0.001 ) , and a decrease in masp - 3 of 26 % ( p<0.001 ) compared to homozygosis for the major allele . 0 ###LEFT-WALL### 1 being 0 ###LEFT-WALL### 24 - 1 being 4 homozygote 1 being 11 was 1 being 13 with 1 being 16 in 1 being 22 in 2 e.g 4 homozygote 4 homozygote 5 for 5 for 7 minor 6 the 7 minor 8 allele 9 of 8 allele 11 was 9 of 10 rs3774275 11 was 12 associated 13 with 15 increase 14 an 15 increase 16 in 18 concentration 17 median 18 concentration 18 concentration 19 of 19 of 21 % 20 13 21 % 22 in 23 masp 24 - 25 1 24 - 51 compared 24 - 58 . 25 1 27 p=0.03 25 1 31 % 25 1 51 compared 26 ( 27 p=0.03 27 p=0.03 28 ) 29 , 31 % 30 29 31 % 31 % 32 in 31 % 41 in 31 % 50 ) 32 in 38 and 33 map44 35 p<0.001 33 map44 38 and 34 ( 35 p<0.001 35 p<0.001 36 ) 37 , 38 and 38 and 40 decrease 39 a 40 decrease 41 in 42 masp 42 masp 44 3 43 - 44 3 44 3 45 of 44 3 50 ) 45 of 47 % 46 26 47 % 47 % 49 p<0.001 48 ( 49 p<0.001 49 p<0.001 50 ) 51 compared 52 to 51 compared 57 allele 52 to 53 homozygosis 53 homozygosis 54 for 54 for 56 major 55 the 56 major heterozygosis of rs113938200 ( p.asn368asp in map44 ) was associated with a reduced map44 concentration of 61 % ( p=0.005 ) . 0 ###LEFT-WALL### 1 heterozygosis 0 ###LEFT-WALL### 10 associated 0 ###LEFT-WALL### 22 . 1 heterozygosis 2 of 1 heterozygosis 9 was 2 of 3 rs113938200 3 rs113938200 5 p.asn368asp 4 ( 5 p.asn368asp 5 p.asn368asp 6 in 5 p.asn368asp 8 ) 6 in 7 map44 9 was 10 associated 10 associated 11 with 11 with 15 concentration 12 a 15 concentration 13 reduced 15 concentration 14 map44 15 concentration 15 concentration 16 of 16 of 18 % 17 61 18 % 18 % 20 p=0.005 19 ( 20 p=0.005 20 p=0.005 21 ) rs190590338 located in the promoter region was associated in the heterozygote form with an increased masp - 1 concentration of 35 % ( p = 0.002 ) . 0 ###LEFT-WALL### 1 rs190590338 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 28 . 1 rs190590338 2 located 1 rs190590338 7 was 2 located 3 in 3 in 6 region 4 the 6 region 5 promoter 6 region 7 was 8 associated 8 associated 9 in 8 associated 13 with 9 in 12 form 10 the 12 form 11 heterozygote 12 form 13 with 16 masp 14 an 16 masp 15 increased 16 masp 16 masp 19 concentration 17 - 19 concentration 18 1 19 concentration 19 concentration 20 of 19 concentration 27 ) 20 of 22 % 21 35 22 % 22 % 25 = 23 ( 25 = 24 p 25 = 25 = 26 0.002 a multivariate linear regression model including sex , age , m - and h - ficolin , mbl , and the 15 snps explained 20 - 48 % of the variation in the concentration of the three proteins and the snps investigated contributed with the most explanatory power ( 12 - 23 % ) . 0 ###LEFT-WALL### 7 sex 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 24 explained 0 ###LEFT-WALL### 55 . 1 a 7 sex 2 multivariate 4 regression 3 linear 4 regression 4 regression 7 sex 5 model 7 sex 6 including 7 sex 8 , 9 age 8 , 10 , 10 , 11 m 10 , 12 - 11 m 12 - 12 - 13 and 13 and 14 h 13 and 15 - 14 h 15 - 15 - 20 and 16 ficolin 17 , 17 , 18 mbl 17 , 20 and 19 , 20 and 20 and 23 snps 20 and 24 explained 21 the 23 snps 22 15 23 snps 24 explained 28 % 24 explained 32 in 24 explained 44 with 25 20 26 - 26 - 27 48 26 - 28 % 28 % 29 of 29 of 31 variation 30 the 31 variation 32 in 39 and 33 the 34 concentration 34 concentration 35 of 34 concentration 39 and 35 of 38 proteins 36 the 37 three 37 three 38 proteins 39 and 41 snps 39 and 42 investigated 39 and 43 contributed 40 the 41 snps 44 with 48 power 45 the 48 power 46 most 47 explanatory 47 explanatory 48 power 48 power 53 % 49 ( 53 % 50 12 51 - 51 - 52 23 51 - 53 % 53 % 54 ) discussion : the present study described 10 snps , which were associated with the concentration of one or some of the three proteins originating from the masp1 gene and in a multivariate model it was shown that the snps contributed with the most explanatory power to the protein concentrations . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 50 . 2 : 5 study 2 : 6 described 2 : 9 , 2 : 29 and 3 the 5 study 4 present 5 study 5 study 6 described 6 described 8 snps 7 10 8 snps 9 , 10 which 9 , 12 associated 10 which 11 were 11 were 12 associated 12 associated 13 with 13 with 18 or 13 with 25 from 14 the 15 concentration 15 concentration 16 of 15 concentration 18 or 16 of 17 one 18 or 19 some 18 or 20 of 18 or 24 originating 20 of 23 proteins 21 the 22 three 22 three 23 proteins 25 from 28 gene 26 the 28 gene 27 masp1 28 gene 29 and 34 it 29 and 36 shown 30 in 33 model 30 in 34 it 31 a 33 model 32 multivariate 33 model 34 it 35 was 35 was 36 shown 36 shown 37 that 37 that 39 snps 37 that 40 contributed 38 the 39 snps 39 snps 40 contributed 40 contributed 41 with 41 with 43 most 41 with 45 power 42 the 43 most 44 explanatory 45 power 45 power 46 to 46 to 49 concentrations 47 the 49 concentrations 48 protein 49 concentrations typically , studies of cognitive advantages in bilinguals have been conducted previously by using executive and inhibitory tasks ( e.g [.] simon [task] ) and applying cross - sectional designs . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 11 conducted 0 ###LEFT-WALL### 28 - 1 typically 2 , 1 typically 3 studies 3 studies 4 of 3 studies 9 have 4 of 6 advantages 5 cognitive 6 advantages 6 advantages 7 in 7 in 8 bilinguals 9 have 10 been 10 been 11 conducted 11 conducted 12 previously 11 conducted 13 by 13 by 14 using 14 using 25 and 15 executive 16 and 16 and 18 tasks 16 and 22 simon 16 and 25 and 17 inhibitory 18 tasks 19 ( 22 simon 20 e.g 22 simon 22 simon 24 ) 25 and 27 cross 26 applying 27 cross 28 - 30 designs 28 - 31 . 29 sectional 30 designs this study longitudinally investigated bilingual advantages on episodic memory recall , verbal letter and categorical fluency during the trajectory of life . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 investigated 0 ###LEFT-WALL### 22 . 1 this 2 study 2 study 4 investigated 3 longitudinally 4 investigated 4 investigated 6 advantages 4 investigated 7 on 4 investigated 17 during 5 bilingual 6 advantages 7 on 14 and 8 episodic 9 memory 9 memory 10 recall 10 recall 11 , 11 , 13 letter 11 , 14 and 12 verbal 13 letter 14 and 16 fluency 15 categorical 16 fluency 17 during 19 trajectory 18 the 19 trajectory 19 trajectory 20 of 20 of 21 life monolingual and bilingual participants ( n=178 [ )(between 35 - 70 years at baseline were drawn from the betula prospective cohort study of aging , memory , and health . 0 ###LEFT-WALL### 28 and 0 ###LEFT-WALL### 30 . 1 monolingual 2 and 2 and 4 participants 2 and 6 n=178 2 and 28 and 3 bilingual 4 participants 5 ( 6 n=178 6 n=178 10 - 6 n=178 12 years 6 n=178 16 drawn 6 n=178 27 , 8 )(between 10 - 9 35 10 - 10 - 11 70 12 years 13 at 12 years 15 were 13 at 14 baseline 15 were 16 drawn 16 drawn 17 from 17 from 22 study 18 the 22 study 19 betula 20 prospective 20 prospective 21 cohort 21 cohort 22 study 22 study 23 of 22 study 26 memory 23 of 24 aging 25 , 26 memory 26 memory 27 , 28 and 29 health results showed that bilinguals outperformed monolinguals at the first testing session and [across] time both in episodic memory recall and in letter fluency . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 showed 0 ###LEFT-WALL### 24 . 1 results 2 showed 2 showed 3 that 3 that 4 bilinguals 3 that 12 and 4 bilinguals 12 and 5 outperformed 6 monolinguals 5 outperformed 7 at 5 outperformed 12 and 7 at 11 session 8 the 11 session 9 first 11 session 10 testing 11 session 12 and 14 time 14 time 15 both 15 both 20 and 16 in 19 recall 16 in 20 and 17 episodic 19 recall 18 memory 19 recall 20 and 21 in 21 in 23 fluency 22 letter 23 fluency no interaction with age was found indicating that the rate of change across ages was similar for bilinguals and monolinguals . 0 ###LEFT-WALL### 2 interaction 0 ###LEFT-WALL### 6 found 0 ###LEFT-WALL### 21 . 1 no 2 interaction 2 interaction 3 with 2 interaction 5 was 3 with 4 age 5 was 6 found 6 found 7 indicating 7 indicating 8 that 8 that 10 rate 8 that 15 was 9 the 10 rate 10 rate 11 of 10 rate 15 was 11 of 12 change 12 change 13 across 13 across 14 ages 15 was 16 similar 16 similar 17 for 17 for 19 and 18 bilinguals 19 and 19 and 20 monolinguals as predicted [and] in line with studies applying cross - sectional designs , no advantages associated with bilingualism were found in the categorical fluency task . 0 ###LEFT-WALL### 9 cross 0 ###LEFT-WALL### 10 - 1 as 2 predicted 1 as 9 cross 2 predicted 5 line 2 predicted 6 with 2 predicted 8 applying 4 in 5 line 6 with 7 studies 10 - 12 designs 10 - 13 , 10 - 26 . 11 sectional 12 designs 13 , 15 advantages 13 , 20 found 14 no 15 advantages 15 advantages 16 associated 15 advantages 19 were 16 associated 17 with 17 with 18 bilingualism 19 were 20 found 20 found 21 in 21 in 25 task 22 the 25 task 23 categorical 24 fluency 24 fluency 25 task the results are discussed in the light of successful aging . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 discussed 0 ###LEFT-WALL### 11 . 1 the 2 results 2 results 3 are 3 are 4 discussed 4 discussed 5 in 5 in 7 light 6 the 7 light 7 light 8 of 8 of 10 aging 9 successful 10 aging dihydroxyacetone ( dha ) is one of the carbonyl species which reacts rapidly with the free amino groups of proteins to form advanced glycation end products ( ages ) . 0 ###LEFT-WALL### 1 dihydroxyacetone 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 30 . 1 dihydroxyacetone 3 dha 1 dihydroxyacetone 5 is 2 ( 3 dha 3 dha 4 ) 5 is 6 one 6 one 7 of 6 one 11 which 6 one 12 reacts 7 of 10 species 8 the 10 species 9 carbonyl 10 species 11 which 12 reacts 12 reacts 13 rapidly 12 reacts 14 with 12 reacts 21 to 14 with 18 groups 15 the 18 groups 16 free 18 groups 17 amino 18 groups 18 groups 19 of 19 of 20 proteins 21 to 22 form 22 form 26 products 23 advanced 24 glycation 24 glycation 25 end 25 end 26 products 26 products 28 ages 27 ( 28 ages 28 ages 29 ) the highly reactive dihydroxyacetone phosphate is a derivative of dihydroxyacetone ( dha ) , and a product of glycolysis , having potential glycating effects to form ages . 0 ###LEFT-WALL### 5 phosphate 0 ###LEFT-WALL### 21 having 0 ###LEFT-WALL### 28 . 1 the 5 phosphate 2 highly 3 reactive 3 reactive 5 phosphate 4 dihydroxyacetone 5 phosphate 5 phosphate 6 is 6 is 15 and 7 a 8 derivative 8 derivative 9 of 8 derivative 15 and 9 of 10 dihydroxyacetone 10 dihydroxyacetone 12 dha 11 ( 12 dha 12 dha 13 ) 14 , 15 and 15 and 17 product 15 and 20 , 15 and 21 having 16 a 17 product 17 product 18 of 18 of 19 glycolysis 21 having 22 potential 21 having 25 to 22 potential 23 glycating 23 glycating 24 effects 25 to 26 form 26 form 27 ages the formation of ages results in the generation of free radicals which play an important role in the pathophysiology of aging and diabetic complications . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 25 . 1 the 2 formation 2 formation 3 of 2 formation 22 and 3 of 5 results 4 ages 5 results 5 results 6 in 5 results 9 of 5 results 12 which 5 results 13 play 6 in 8 generation 7 the 8 generation 9 of 11 radicals 10 free 11 radicals 12 which 13 play 13 play 16 role 13 play 17 in 14 an 15 important 14 an 16 role 15 important 16 role 17 in 19 pathophysiology 18 the 19 pathophysiology 19 pathophysiology 20 of 20 of 21 aging 22 and 24 complications 23 diabetic 24 complications while the formation of dha - ages has been demonstrated previously , no extensive studies have been performed to assess the inhibition of age inhibitors at all the three stages of glycation ( early , intermediate and late ) using metformin ( mf ) and pyridoxamine [(] [pm] ) as a novel inhibitor . 0 ###LEFT-WALL### 7 ages 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 54 . 1 while 3 formation 1 while 6 - 1 while 7 ages 2 the 3 formation 3 formation 4 of 4 of 5 dha 7 ages 8 has 8 has 9 been 9 been 10 demonstrated 10 demonstrated 11 previously 12 , 15 studies 12 , 20 assess 13 no 15 studies 14 extensive 15 studies 15 studies 16 have 16 have 17 been 17 been 18 performed 18 performed 19 to 19 to 20 assess 20 assess 22 inhibition 20 assess 26 at 20 assess 50 as 21 the 22 inhibition 22 inhibition 23 of 23 of 25 inhibitors 24 age 25 inhibitors 26 at 27 all 27 all 28 the 27 all 30 stages 28 the 29 three 29 three 30 stages 30 stages 31 of 31 of 32 glycation 32 glycation 45 and 33 ( 45 and 34 early 35 , 35 , 36 intermediate 35 , 37 and 37 and 41 metformin 37 and 43 mf 37 and 45 and 38 late 39 ) 38 late 41 metformin 40 using 41 metformin 42 ( 43 mf 43 mf 44 ) 45 and 46 pyridoxamine 45 and 49 ) 50 as 53 inhibitor 51 a 53 inhibitor 52 novel 53 inhibitor methodology/principal findings : in this study we report glycation of human serum albumin ( hsa ) [&] [its] [characterization] by various spectroscopic techniques . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 : 1 methodology/principal 2 findings 3 : 7 we 3 : 8 report 3 : 24 . 4 in 6 study 4 in 7 we 5 this 6 study 7 we 8 report 8 report 9 glycation 8 report 20 by 9 glycation 10 of 10 of 13 albumin 11 human 13 albumin 12 serum 13 albumin 13 albumin 15 hsa 14 ( 15 hsa 15 hsa 16 ) 20 by 23 techniques 21 various 23 techniques 22 spectroscopic 23 techniques furthermore , inhibition of glycation products at all the stages of glycation was also studied . 0 ###LEFT-WALL### 3 inhibition 0 ###LEFT-WALL### 15 studied 0 ###LEFT-WALL### 16 . 1 furthermore 2 , 1 furthermore 3 inhibition 3 inhibition 4 of 3 inhibition 13 was 4 of 6 products 5 glycation 6 products 6 products 7 at 7 at 8 all 8 all 9 the 8 all 10 stages 9 the 10 stages 10 stages 11 of 11 of 12 glycation 13 was 14 also 13 was 15 studied spectroscopic analysis suggests structural perturbations in the hsa as a result of modification which might be due to generation of free radicals and formation of ages . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 suggests 0 ###LEFT-WALL### 27 . 1 spectroscopic 2 analysis 2 analysis 3 suggests 3 suggests 5 perturbations 3 suggests 6 in 3 suggests 18 to 4 structural 5 perturbations 6 in 8 hsa 7 the 8 hsa 8 hsa 9 as 8 hsa 12 of 9 as 11 result 10 a 11 result 12 of 13 modification 13 modification 14 which 13 modification 15 might 14 which 15 might 15 might 16 be 17 due 18 to 18 to 19 generation 19 generation 20 of 19 generation 25 of 20 of 23 and 21 free 22 radicals 22 radicals 23 and 23 and 24 formation 25 of 26 ages conclusion : the inhibition in the formation of glycation reaction reveals that pyridoxamine is a better antiglycating agent than metformin at all stages of the glycation ( early , intermediate and late stages ) . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 35 . 2 : 4 inhibition 2 : 11 reveals 3 the 4 inhibition 4 inhibition 5 in 4 inhibition 11 reveals 5 in 7 formation 6 the 7 formation 7 formation 8 of 8 of 10 reaction 9 glycation 10 reaction 11 reveals 12 that 12 that 13 pyridoxamine 12 that 14 is 13 pyridoxamine 14 is 14 is 18 agent 14 is 19 than 15 a 18 agent 16 better 18 agent 17 antiglycating 18 agent 19 than 20 metformin 19 than 23 stages 19 than 24 of 20 metformin 21 at 20 metformin 23 stages 21 at 22 all 24 of 26 glycation 25 the 26 glycation 26 glycation 31 and 27 ( 31 and 28 early 29 , 29 , 30 intermediate 29 , 31 and 31 and 33 stages 31 and 34 ) 32 late 33 stages amyotrophic lateral sclerosis ( als ) is a fatal neurodegenerative disorder characterized by the selective loss of motor neurons in the spinal cord , brain stem , and motor cortex . 0 ###LEFT-WALL### 3 sclerosis 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 31 . 1 amyotrophic 3 sclerosis 2 lateral 3 sclerosis 3 sclerosis 5 als 3 sclerosis 7 is 4 ( 5 als 5 als 6 ) 7 is 11 disorder 8 a 9 fatal 8 a 11 disorder 9 fatal 11 disorder 10 neurodegenerative 11 disorder 11 disorder 12 characterized 11 disorder 17 of 12 characterized 13 by 13 by 16 loss 14 the 16 loss 15 selective 16 loss 17 of 19 neurons 18 motor 19 neurons 19 neurons 20 in 20 in 28 and 21 the 23 cord 22 spinal 23 cord 23 cord 24 , 24 , 26 stem 24 , 28 and 25 brain 26 stem 27 , 28 and 28 and 30 cortex 29 motor 30 cortex mutations in superoxide dismutase ( sod1 ) are associated with familial als and lead to sod1 protein misfolding and aggregation . 0 ###LEFT-WALL### 1 mutations 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 21 . 1 mutations 2 in 1 mutations 8 are 2 in 4 dismutase 3 superoxide 4 dismutase 4 dismutase 6 sod1 5 ( 6 sod1 6 sod1 7 ) 8 are 9 associated 9 associated 10 with 9 associated 15 to 10 with 13 and 11 familial 12 als 12 als 13 and 13 and 14 lead 15 to 19 and 16 sod1 17 protein 17 protein 18 misfolding 17 protein 19 and 19 and 20 aggregation here we show that the molecular [chaperone] , hsj1 ( dnajb2 ) , mutations in which cause distal hereditary motor neuropathy , can reduce mutant sod1 aggregation and improve motor neuron survival in mutant sod1 models of als . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 39 . 1 here 2 we 2 we 3 show 3 show 4 that 3 show 6 molecular 5 the 6 molecular 8 , 9 hsj1 8 , 28 and 9 hsj1 11 dnajb2 9 hsj1 14 mutations 9 hsj1 23 can 10 ( 11 dnajb2 11 dnajb2 12 ) 13 , 14 mutations 14 mutations 15 in 14 mutations 17 cause 14 mutations 22 , 15 in 16 which 16 which 17 cause 17 cause 21 neuropathy 18 distal 20 motor 19 hereditary 20 motor 20 motor 21 neuropathy 23 can 28 and 24 reduce 27 aggregation 24 reduce 28 and 25 mutant 27 aggregation 26 sod1 27 aggregation 28 and 29 improve 29 improve 32 survival 29 improve 33 in 30 motor 31 neuron 31 neuron 32 survival 33 in 36 models 34 mutant 36 models 35 sod1 36 models 36 models 37 of 37 of 38 als overexpression of human hsj1a ( hhsj1a ) in vivo in motor neurons of sod1 ( g93a ) transgenic mice ameliorated disease . 0 ###LEFT-WALL### 19 mice 0 ###LEFT-WALL### 20 ameliorated 0 ###LEFT-WALL### 22 . 1 overexpression 19 mice 2 of 4 hsj1a 2 of 19 mice 3 human 4 hsj1a 4 hsj1a 6 hhsj1a 5 ( 6 hhsj1a 6 hhsj1a 7 ) 8 in 9 vivo 9 vivo 19 mice 10 in 12 neurons 10 in 19 mice 11 motor 12 neurons 12 neurons 13 of 13 of 14 sod1 14 sod1 16 g93a 15 ( 16 g93a 16 g93a 17 ) 18 transgenic 19 mice 19 mice 20 ameliorated 20 ameliorated 21 disease in particular , there was a significant improvement in muscle force , increased motor unit number and enhanced motor neuron survival . hhsj1a was present in a complex with sod1 ( g93a ) and led to reduced sod1 aggregation at late stages of disease progression . 0 ###LEFT-WALL### 4 there 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 22 . 1 in 2 particular 2 particular 3 , 2 particular 4 there 4 there 5 was 5 was 8 improvement 5 was 9 in 6 a 7 significant 6 a 8 improvement 7 significant 8 improvement 9 in 17 and 10 muscle 11 force 11 force 12 , 12 , 16 number 12 , 17 and 13 increased 14 motor 14 motor 15 unit 15 unit 16 number 17 and 21 survival 18 enhanced 19 motor 19 motor 20 neuron 20 neuron 21 survival 22 . 23 hhsj1a 22 . 34 and 22 . 46 . 23 hhsj1a 34 and 24 was 25 present 24 was 34 and 25 present 26 in 25 present 29 with 26 in 28 complex 27 a 28 complex 29 with 30 sod1 30 sod1 32 g93a 31 ( 32 g93a 32 g93a 33 ) 34 and 35 led 34 and 36 to 34 and 40 at 36 to 39 aggregation 37 reduced 39 aggregation 38 sod1 39 aggregation 40 at 42 stages 41 late 42 stages 42 stages 43 of 43 of 45 progression 44 disease 45 progression we also observed altered ubiquitin immunoreactivity in the double transgenic animals , suggesting that ubiquitin modification might be important for the observed improvements . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 observed 1 we 3 observed 2 also 3 observed 3 observed 6 immunoreactivity 3 observed 7 in 4 altered 5 ubiquitin 5 ubiquitin 6 immunoreactivity 7 in 11 animals 8 the 11 animals 9 double 11 animals 10 transgenic 11 animals 11 animals 13 suggesting 12 , 13 suggesting 13 suggesting 14 that 13 suggesting 24 . 14 that 16 modification 14 that 18 be 15 ubiquitin 16 modification 16 modification 17 might 17 might 18 be 18 be 19 important 19 important 20 for 20 for 23 improvements 21 the 23 improvements 22 observed 23 improvements in a cell model of sod1 ( g93a ) aggregation , hsj1a preferentially bound to mutant sod1 , enhanced sod1 ubiquitylation and reduced sod1 aggregation in a j - [domain] and ubiquitin interaction motif ( uim ) dependent manner . 0 ###LEFT-WALL### 10 aggregation 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 40 . 1 in 4 model 1 in 10 aggregation 2 a 4 model 3 cell 4 model 4 model 5 of 5 of 6 sod1 6 sod1 8 g93a 7 ( 8 g93a 8 g93a 9 ) 10 aggregation 12 hsj1a 10 aggregation 22 and 11 , 12 hsj1a 12 hsj1a 14 bound 12 hsj1a 18 , 13 preferentially 14 bound 14 bound 15 to 15 to 17 sod1 16 mutant 17 sod1 19 enhanced 21 ubiquitylation 19 enhanced 22 and 20 sod1 21 ubiquitylation 22 and 23 reduced 22 and 26 in 23 reduced 25 aggregation 24 sod1 25 aggregation 26 in 39 manner 27 a 39 manner 28 j 31 and 29 - 31 and 31 and 34 motif 31 and 36 uim 31 and 39 manner 32 ubiquitin 34 motif 33 interaction 34 motif 35 ( 36 uim 36 uim 37 ) 38 dependent 39 manner collectively , the data suggest that hsj1a acts on mutant sod1 through a combination [of] chaperone , co - [chaperone] and pro - ubiquitylation activity . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 5 suggest 0 ###LEFT-WALL### 23 - 0 ###LEFT-WALL### 26 . 1 collectively 2 , 1 collectively 4 data 3 the 4 data 4 data 5 suggest 5 suggest 7 hsj1a 6 that 7 hsj1a 7 hsj1a 8 acts 7 hsj1a 16 chaperone 7 hsj1a 21 and 8 acts 9 on 8 acts 16 chaperone 9 on 11 sod1 10 mutant 11 sod1 11 sod1 12 through 12 through 14 combination 13 a 14 combination 17 , 21 and 18 co 21 and 19 - 21 and 21 and 22 pro 21 and 23 - 23 - 25 activity 24 ubiquitylation 25 activity these results [show] that targeting sod1 protein misfolding and aggregation in vivo can be neuroprotective and suggest that manipulation of dnaj [molecular] chaperones might be useful in the treatment of als . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 32 . 1 these 2 results 2 results 4 that 2 results 16 and 2 results 24 might 4 that 9 and 4 that 16 and 5 targeting 7 protein 6 sod1 7 protein 7 protein 8 misfolding 7 protein 9 and 9 and 10 aggregation 9 and 16 and 11 in 12 vivo 12 vivo 13 can 13 can 14 be 13 can 16 and 14 be 15 neuroprotective 16 and 17 suggest 16 and 23 chaperones 17 suggest 19 manipulation 17 suggest 23 chaperones 18 that 19 manipulation 19 manipulation 20 of 19 manipulation 23 chaperones 20 of 21 dnaj 24 might 25 be 25 be 26 useful 26 useful 27 in 27 in 29 treatment 28 the 29 treatment 29 treatment 30 of 30 of 31 als language - and culture - specific norms are needed for research on emotion - laden stimuli . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 - 1 language 3 and 2 - 3 and 3 and 4 culture 5 - 7 norms 5 - 9 needed 5 - 14 - 6 specific 7 norms 7 norms 8 are 8 are 9 needed 9 needed 10 for 9 needed 12 on 10 for 11 research 12 on 13 emotion 14 - 16 stimuli 14 - 17 . 15 laden 16 stimuli we present valence [and] arousal ratings for 420 finnish nouns for a sample of 996 finnish speakers . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 present 0 ###LEFT-WALL### 18 . 1 we 2 present 2 present 6 ratings 3 valence 6 ratings 5 arousal 6 ratings 6 ratings 7 for 7 for 10 nouns 8 420 10 nouns 9 finnish 10 nouns 10 nouns 11 for 11 for 13 sample 12 a 13 sample 13 sample 14 of 14 of 17 speakers 15 996 17 speakers 16 finnish 17 speakers ratings are provided both for the whole sample and for subgroups divided by age and gender in light of previous research suggesting age - and gender - specific reactivity to the emotional content in stimuli . 0 ###LEFT-WALL### 1 ratings 0 ###LEFT-WALL### 2 are 1 ratings 2 are 2 are 3 provided 2 are 17 in 3 provided 4 both 3 provided 12 divided 4 both 9 and 4 both 12 divided 5 for 8 sample 5 for 9 and 6 the 8 sample 7 whole 8 sample 9 and 10 for 10 for 11 subgroups 12 divided 13 by 12 divided 15 and 14 age 15 and 15 and 16 gender 17 in 25 and 18 light 19 of 18 light 25 and 19 of 21 research 20 previous 21 research 21 research 22 suggesting 22 suggesting 23 age 24 - 25 and 25 and 26 gender 25 and 29 reactivity 27 - 29 reactivity 28 specific 29 reactivity 29 reactivity 30 to 29 reactivity 34 in 29 reactivity 36 . 30 to 33 content 31 the 33 content 32 emotional 33 content 34 in 35 stimuli moreover , corpus [-] based frequency values and word length are provided as objective psycholinguistic measures of the nouns . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 12 provided 0 ###LEFT-WALL### 20 . 1 moreover 2 , 1 moreover 8 and 3 corpus 5 based 5 based 6 frequency 6 frequency 7 values 7 values 8 and 8 and 10 length 8 and 11 are 9 word 10 length 11 are 12 provided 12 provided 13 as 13 as 16 measures 14 objective 16 measures 15 psycholinguistic 16 measures 16 measures 17 of 17 of 19 nouns 18 the 19 nouns the relationship [between] valence and arousal mainly showed the curvilinear relationship reported in previous studies . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 8 showed 0 ###LEFT-WALL### 16 . 1 the 4 valence 2 relationship 4 valence 4 valence 5 and 5 and 6 arousal 5 and 8 showed 7 mainly 8 showed 8 showed 11 relationship 9 the 11 relationship 10 curvilinear 11 relationship 11 relationship 12 reported 12 reported 13 in 13 in 15 studies 14 previous 15 studies age and gender effects [on] valence and arousal ratings were statistically significant but weak . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 10 were 0 ###LEFT-WALL### 15 . 1 age 2 and 2 and 6 valence 2 and 7 and 3 gender 6 valence 4 effects 6 valence 7 and 9 ratings 7 and 10 were 8 arousal 9 ratings 10 were 11 statistically 10 were 13 but 12 significant 13 but 13 but 14 weak the inherent affective properties of the words in terms of mean [valence] and arousal ratings explained more of the variance in the ratings . 0 ###LEFT-WALL### 4 properties 0 ###LEFT-WALL### 16 explained 0 ###LEFT-WALL### 24 . 1 the 4 properties 2 inherent 4 properties 3 affective 4 properties 4 properties 5 of 4 properties 16 explained 5 of 7 words 6 the 7 words 7 words 8 in 8 in 9 terms 9 terms 10 of 10 of 15 ratings 11 mean 13 and 13 and 14 arousal 13 and 15 ratings 16 explained 23 ratings 17 more 18 of 17 more 23 ratings 18 of 20 variance 19 the 20 variance 20 variance 21 in 21 in 23 ratings 22 the 23 ratings in all , the findings suggest that language - and culture - related factors influence the way affective properties of words are rated to a greater degree than demographic factors . 0 ###LEFT-WALL### 5 findings 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 13 related 0 ###LEFT-WALL### 31 . 1 in 2 all 1 in 3 , 1 in 5 findings 4 the 5 findings 5 findings 10 and 6 suggest 8 language 6 suggest 10 and 7 that 8 language 9 - 10 and 10 and 11 culture 12 - 13 related 13 related 15 influence 13 related 17 way 14 factors 15 influence 16 the 17 way 17 way 19 properties 17 way 23 rated 18 affective 19 properties 19 properties 20 of 19 properties 22 are 20 of 21 words 22 are 23 rated 23 rated 24 to 23 rated 28 than 24 to 27 degree 25 a 27 degree 26 greater 27 degree 28 than 30 factors 29 demographic 30 factors this database will provide researchers with normative data for finnish emotion - laden and emotionally neutral words . 0 ###LEFT-WALL### 2 database 0 ###LEFT-WALL### 4 provide 0 ###LEFT-WALL### 12 - 1 this 2 database 2 database 3 will 3 will 4 provide 4 provide 5 researchers 4 provide 6 with 6 with 8 data 7 normative 8 data 8 data 9 for 9 for 11 emotion 10 finnish 11 emotion 12 - 17 words 12 - 18 . 13 laden 14 and 14 and 16 neutral 14 and 17 words 15 emotionally 16 neutral the normative database is available in database s1 . 0 ###LEFT-WALL### 3 database 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 9 . 1 the 3 database 2 normative 3 database 3 database 4 is 4 is 5 available 5 available 6 in 6 in 8 s1 7 database 8 s1 objective : there are numerous reports about the leptin concentration ( lc ) in postmenopausal women [(] [pw] [ )( 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 there 2 : 4 are 2 : 20 )( 3 there 4 are 4 are 6 reports 5 numerous 6 reports 6 reports 7 about 6 reports 14 in 7 about 10 concentration 8 the 10 concentration 9 leptin 10 concentration 10 concentration 12 lc 11 ( 12 lc 12 lc 13 ) 14 in 16 women 15 postmenopausal 16 women changes in lc can elicit different clinical outcomes . 0 ###LEFT-WALL### 1 changes 0 ###LEFT-WALL### 5 elicit 0 ###LEFT-WALL### 9 . 1 changes 2 in 1 changes 4 can 2 in 3 lc 4 can 5 elicit 5 elicit 8 outcomes 6 different 8 outcomes 7 clinical 8 outcomes we systematically analyzed the lc [in] [pw] . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 analyzed 0 ###LEFT-WALL### 8 . 1 we 3 analyzed 2 systematically 3 analyzed 3 analyzed 5 lc 4 the 5 lc methods : a search was conducted in original english - language studies published from 1994 to october 2012 in the following databases : medline ( 78 ) , cochrane center ( 123 [ )(embase ( 505 ) , biological abstracts ( 108 ) , cochrane ( 53 ) and science finder scholar ( 0 ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 56 . 2 : 4 search 2 : 6 conducted 2 : 10 - 2 : 23 : 3 a 4 search 4 search 5 was 5 was 6 conducted 6 conducted 7 in 7 in 9 english 8 original 9 english 10 - 12 studies 11 language 12 studies 12 studies 13 published 13 published 14 from 14 from 15 1994 15 1994 16 to 15 1994 19 in 16 to 17 october 17 october 18 2012 19 in 22 databases 20 the 22 databases 21 following 22 databases 23 : 24 medline 23 : 44 , 24 medline 26 78 24 medline 30 center 24 medline 40 abstracts 25 ( 26 78 26 78 27 ) 28 , 30 center 29 cochrane 30 center 30 center 34 )(embase 30 center 38 , 31 ( 34 )(embase 32 123 34 )(embase 34 )(embase 36 505 34 )(embase 38 , 35 ( 36 505 36 505 37 ) 38 , 40 abstracts 39 biological 40 abstracts 40 abstracts 42 108 40 abstracts 43 ) 41 ( 42 108 42 108 43 ) 44 , 49 and 45 cochrane 47 53 45 cochrane 49 and 46 ( 47 53 47 53 48 ) 49 and 52 scholar 49 and 54 0 50 science 51 finder 51 finder 52 scholar 53 ( 54 0 54 0 55 ) a meta - analysis was undertaken on the correction coefficient ( [r] [ )(between the serum lc and body mass index ( bmi ) for healthy [pw] across studies containing a dataset and sample size . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 6 undertaken 0 ###LEFT-WALL### 36 . 1 a 2 meta 1 a 4 analysis 2 meta 3 - 2 meta 4 analysis 4 analysis 5 was 5 was 6 undertaken 6 undertaken 7 on 6 undertaken 25 for 7 on 10 coefficient 8 the 10 coefficient 9 correction 10 coefficient 10 coefficient 14 )(between 11 ( 14 )(between 14 )(between 18 and 14 )(between 24 ) 15 the 17 lc 16 serum 17 lc 17 lc 18 and 18 and 21 index 18 and 23 bmi 19 body 21 index 20 mass 21 index 22 ( 23 bmi 23 bmi 24 ) 25 for 33 and 26 healthy 28 across 26 healthy 33 and 28 across 29 studies 29 studies 30 containing 30 containing 32 dataset 31 a 32 dataset 33 and 35 size 34 sample 35 size pre - analytical and analytical variations were examined . 0 ###LEFT-WALL### 6 variations 0 ###LEFT-WALL### 8 examined 0 ###LEFT-WALL### 9 . 1 pre 2 - 1 pre 6 variations 3 analytical 4 and 4 and 5 analytical 4 and 6 variations 6 variations 7 were 7 were 8 examined pre - analytical variables included fasting status ( fs ) and sampling timing . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 14 . 1 pre 4 variables 1 pre 11 and 2 - 4 variables 3 analytical 4 variables 4 variables 5 included 4 variables 6 fasting 4 variables 10 ) 6 fasting 7 status 7 status 9 fs 8 ( 9 fs 9 fs 10 ) 11 and 13 timing 12 sampling 13 timing analytical variation comprised assay methodology , lc in those undertaking hormone replacement therapy ( hrt ) and those not having hrt as well as lc change according to age . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 19 not 0 ###LEFT-WALL### 30 . 1 analytical 5 methodology 2 variation 5 methodology 3 comprised 4 assay 4 assay 5 methodology 5 methodology 6 , 6 , 7 lc 6 , 17 and 7 lc 8 in 8 in 9 those 9 those 10 undertaking 9 those 15 hrt 10 undertaking 13 therapy 11 hormone 12 replacement 12 replacement 13 therapy 14 ( 15 hrt 15 hrt 16 ) 17 and 18 those 19 not 21 hrt 19 not 26 change 20 having 21 hrt 21 hrt 24 as 21 hrt 26 change 22 as 23 well 23 well 24 as 24 as 25 lc 26 change 28 to 27 according 28 to 28 to 29 age results : twenty - seven studies met the inclusion criteria . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 studies 2 : 7 met 2 : 11 . 3 twenty 4 - 4 - 5 seven 4 - 6 studies 6 studies 7 met 7 met 10 criteria 8 the 10 criteria 9 inclusion 10 criteria eighteen studies detected lc in the morning in a fs , 15 studies denoted [the] [r] between leptin and the bmi . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 detected 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 22 . 1 eighteen 2 studies 2 studies 3 detected 3 detected 4 lc 3 detected 5 in 3 detected 8 in 5 in 7 morning 6 the 7 morning 8 in 10 fs 9 a 10 fs 11 , 19 and 12 15 13 studies 13 studies 14 denoted 13 studies 19 and 14 denoted 17 between 17 between 18 leptin 19 and 21 bmi 20 the 21 bmi [a] [combined] [r] [was] [counted] for the 15 studies [(] [r] [=] 0.51 [[] 95 % confidence interval ( ci ) , 0.46 - 0.54 ] , [p] = 0.025 [ )( [and] if sampling [collection] [was] in the fsat morning , [a] combined [r] was form 10 studies ( r = 0.54 [ 95 % ci , 0.45 - 0.54 []] , p = 0.299 [ )( heterogeneity was diminished . 0 ###LEFT-WALL### 6 for 6 for 18 interval 7 the 18 interval 8 15 17 confidence 9 studies 17 confidence 13 0.51 17 confidence 15 95 16 % 16 % 17 confidence 17 confidence 18 interval 18 interval 20 ci 18 interval 23 0.46 18 interval 29 = 19 ( 20 ci 20 ci 21 ) 22 , 23 0.46 23 0.46 25 0.54 23 0.46 27 , 24 - 25 0.54 25 0.54 26 ] 29 = 30 0.025 29 = 34 if 34 if 35 sampling 34 if 46 was 35 sampling 38 in 35 sampling 41 morning 35 sampling 44 combined 35 sampling 46 was 38 in 40 fsat 39 the 40 fsat 42 , 44 combined 46 was 49 studies 47 form 49 studies 48 10 49 studies 49 studies 52 = 50 ( 52 = 51 r 52 = 52 = 53 0.54 53 0.54 57 ci 53 0.54 60 - 54 [ 57 ci 55 95 57 ci 56 % 57 ci 57 ci 58 , 58 , 60 - 59 0.45 60 - 60 - 61 0.54 60 - 65 = 60 - 72 . 63 , 65 = 64 p 65 = 65 = 66 0.299 66 0.299 69 heterogeneity 66 0.299 70 was 66 0.299 71 diminished 69 heterogeneity 70 was lc did not change between hrt users and [non] [-] users in 7 studies . 0 ###LEFT-WALL### 1 lc 0 ###LEFT-WALL### 4 change 0 ###LEFT-WALL### 15 . 1 lc 2 did 2 did 3 not 2 did 4 change 4 change 5 between 4 change 12 in 5 between 8 and 6 hrt 7 users 7 users 8 and 8 and 11 users 12 in 14 studies 13 7 14 studies five studies analyzed changes in lc according to age . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 analyzed 0 ###LEFT-WALL### 10 . 1 five 2 studies 2 studies 3 analyzed 3 analyzed 4 changes 3 analyzed 5 in 3 analyzed 8 to 5 in 6 lc 7 according 8 to 8 to 9 age conclusion : based on all studies that investigated both lc and bmi , lc was positively correlated with the bmi . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 3 based 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 21 . 1 conclusion 2 : 2 : 3 based 3 based 4 on 4 on 6 studies 5 all 6 studies 6 studies 7 that 6 studies 8 investigated 7 that 8 investigated 8 investigated 10 lc 9 both 10 lc 11 and 14 lc 11 and 17 correlated 12 bmi 14 lc 13 , 14 lc 14 lc 15 was 15 was 16 positively 15 was 17 correlated 17 correlated 18 with 18 with 20 bmi 19 the 20 bmi no studies established reference ranges according to the clinical and laboratory standards institute ( clsi ) [in] healthy [pw] , and there was a wide variation in lc values . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 established 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 30 . 1 no 2 studies 2 studies 3 established 3 established 4 reference 3 established 5 ranges 4 reference 5 ranges 5 ranges 7 to 6 according 7 to 7 to 10 and 8 the 9 clinical 9 clinical 10 and 10 and 15 clsi 10 and 16 ) 10 and 18 healthy 11 laboratory 12 standards 12 standards 13 institute 13 institute 15 clsi 14 ( 15 clsi 15 clsi 16 ) 20 , 21 and 21 and 22 there 21 and 23 was 22 there 23 was 23 was 26 variation 23 was 27 in 24 a 25 wide 24 a 26 variation 25 wide 26 variation 27 in 29 values 28 lc 29 values these differences suggest that caution should be used in the interpretation and comparison between studies . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 16 . 1 these 2 differences 2 differences 3 suggest 3 suggest 4 that 4 that 5 caution 4 that 8 used 5 caution 6 should 6 should 7 be 7 be 8 used 8 used 9 in 8 used 14 between 9 in 12 and 10 the 11 interpretation 11 interpretation 12 and 12 and 13 comparison 14 between 15 studies exposure of human skin to solar ultraviolet ( uv ) irradiation induces matrix metalloproteinase - 1 ( mmp - 1 ) activity , which degrades type i collagen fibrils . 0 ###LEFT-WALL### 1 exposure 0 ###LEFT-WALL### 12 induces 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 30 . 1 exposure 2 of 1 exposure 12 induces 2 of 4 skin 3 human 4 skin 4 skin 5 to 5 to 11 irradiation 6 solar 11 irradiation 7 ultraviolet 9 uv 7 ultraviolet 11 irradiation 8 ( 9 uv 9 uv 10 ) 12 induces 14 metalloproteinase 13 matrix 14 metalloproteinase 14 metalloproteinase 16 1 15 - 16 1 16 1 22 activity 16 1 23 , 17 ( 22 activity 18 mmp 20 1 18 mmp 22 activity 19 - 20 1 20 1 21 ) 22 activity 23 , 23 , 24 which 23 , 25 degrades 24 which 25 degrades 25 degrades 26 type 26 type 27 i 26 type 28 collagen 26 type 29 fibrils 28 collagen 29 fibrils type i collagen is the most abundant protein in skin and constitutes the majority of skin connective tissue ( dermis ) . 0 ###LEFT-WALL### 1 type 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 22 . 1 type 2 i 1 type 3 collagen 1 type 11 and 2 i 3 collagen 4 is 8 protein 4 is 11 and 5 the 8 protein 6 most 7 abundant 7 abundant 8 protein 8 protein 9 in 9 in 10 skin 11 and 12 constitutes 11 and 18 tissue 13 the 14 majority 14 majority 15 of 14 majority 18 tissue 15 of 18 tissue 16 skin 18 tissue 17 connective 18 tissue 18 tissue 20 dermis 19 ( 20 dermis 20 dermis 21 ) degradation of collagen fibrils impairs the structure and function of skin that characterize skin aging . 0 ###LEFT-WALL### 1 degradation 0 ###LEFT-WALL### 5 impairs 0 ###LEFT-WALL### 16 . 1 degradation 2 of 1 degradation 5 impairs 2 of 4 fibrils 3 collagen 4 fibrils 5 impairs 8 and 6 the 7 structure 7 structure 8 and 8 and 9 function 8 and 10 of 8 and 12 that 8 and 13 characterize 10 of 11 skin 12 that 13 characterize 13 characterize 14 skin 14 skin 15 aging decorin is the predominant proteoglycan in human dermis . 0 ###LEFT-WALL### 1 decorin 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 9 . 1 decorin 2 is 2 is 5 proteoglycan 3 the 5 proteoglycan 4 predominant 5 proteoglycan 5 proteoglycan 6 in 6 in 8 dermis 7 human 8 dermis in model systems , decorin binds [to] and protects type i collagen fibrils from proteolytic degradation by enzymes such as mmp - 1 . 0 ###LEFT-WALL### 5 decorin 0 ###LEFT-WALL### 13 fibrils 0 ###LEFT-WALL### 24 . 1 in 3 systems 1 in 4 , 1 in 5 decorin 2 model 3 systems 5 decorin 8 and 5 decorin 13 fibrils 6 binds 8 and 8 and 9 protects 8 and 12 collagen 9 protects 10 type 10 type 11 i 13 fibrils 14 from 13 fibrils 17 by 13 fibrils 23 1 14 from 16 degradation 15 proteolytic 16 degradation 17 by 18 enzymes 18 enzymes 20 as 19 such 20 as 20 as 21 mmp 22 - 23 1 little is known regarding alterations of decorin in response to uv irradiation . 0 ###LEFT-WALL### 1 little 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 13 . 1 little 2 is 2 is 5 alterations 2 is 10 to 3 known 5 alterations 4 regarding 5 alterations 5 alterations 6 of 6 of 7 decorin 8 in 9 response 9 response 10 to 10 to 12 irradiation 11 uv 12 irradiation we found that solar - simulated uv irradiation of human skin in vivo stimulated substantial decorin degradation , with kinetics similar to infiltration of polymorphonuclear ( pmn ) cells . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 1 we 2 found 2 found 3 that 3 that 8 irradiation 3 that 14 stimulated 4 solar 5 - 4 solar 8 irradiation 6 simulated 8 irradiation 7 uv 8 irradiation 8 irradiation 9 of 8 irradiation 14 stimulated 9 of 11 skin 10 human 11 skin 12 in 13 vivo 13 vivo 14 stimulated 14 stimulated 17 degradation 15 substantial 17 degradation 16 decorin 17 degradation 17 degradation 19 with 18 , 19 with 19 with 20 kinetics 19 with 30 . 20 kinetics 21 similar 21 similar 22 to 22 to 23 infiltration 23 infiltration 24 of 24 of 29 cells 25 polymorphonuclear 27 pmn 25 polymorphonuclear 29 cells 26 ( 27 pmn 27 pmn 28 ) proteases that were released from isolated pmn cells degraded decorin in vitro . 0 ###LEFT-WALL### 1 proteases 0 ###LEFT-WALL### 9 degraded 0 ###LEFT-WALL### 13 . 1 proteases 2 that 1 proteases 3 were 1 proteases 9 degraded 2 that 3 were 3 were 4 released 4 released 5 from 5 from 8 cells 6 isolated 8 cells 7 pmn 8 cells 9 degraded 10 decorin 9 degraded 12 vitro 11 in 12 vitro a highly selective inhibitor of neutrophil elastase blocked decorin breakdown by proteases released from pmn cells . 0 ###LEFT-WALL### 4 inhibitor 0 ###LEFT-WALL### 8 blocked 0 ###LEFT-WALL### 17 . 1 a 2 highly 1 a 4 inhibitor 2 highly 3 selective 3 selective 4 inhibitor 4 inhibitor 5 of 4 inhibitor 8 blocked 5 of 7 elastase 6 neutrophil 7 elastase 8 blocked 10 breakdown 8 blocked 11 by 9 decorin 10 breakdown 11 by 12 proteases 12 proteases 13 released 13 released 14 from 14 from 16 cells 15 pmn 16 cells furthermore , purified neutrophil elastase cleaved decorin in vitro and generated fragments with similar molecular weights as those resulting from protease activity released from pmn cells , [and] as observed in uv - irradiated human skin . 0 ###LEFT-WALL### 5 elastase 0 ###LEFT-WALL### 12 fragments 0 ###LEFT-WALL### 30 observed 0 ###LEFT-WALL### 33 - 1 furthermore 2 , 1 furthermore 5 elastase 3 purified 5 elastase 4 neutrophil 5 elastase 5 elastase 10 and 5 elastase 12 fragments 6 cleaved 7 decorin 6 cleaved 9 vitro 6 cleaved 10 and 8 in 9 vitro 10 and 11 generated 12 fragments 13 with 12 fragments 17 as 13 with 16 weights 14 similar 16 weights 15 molecular 16 weights 17 as 18 those 17 as 30 observed 18 those 19 resulting 18 those 23 released 19 resulting 20 from 20 from 22 activity 21 protease 22 activity 23 released 24 from 23 released 26 cells 23 released 29 as 24 from 25 pmn 27 , 29 as 29 as 30 observed 30 observed 31 in 30 observed 33 - 31 in 32 uv 33 - 36 skin 33 - 37 . 34 irradiated 36 skin 35 human 36 skin cleavage of decorin by neutrophil elastase significantly augmented fragmentation of type i collagen fibrils by mmp - 1 . 0 ###LEFT-WALL### 1 cleavage 0 ###LEFT-WALL### 8 augmented 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 19 . 1 cleavage 2 of 1 cleavage 8 augmented 2 of 3 decorin 3 decorin 4 by 4 by 6 elastase 5 neutrophil 6 elastase 7 significantly 8 augmented 8 augmented 9 fragmentation 9 fragmentation 10 of 10 of 11 type 11 type 12 i 11 type 13 collagen 11 type 14 fibrils 13 collagen 14 fibrils 14 fibrils 15 by 15 by 16 mmp 17 - 18 1 taken together , these data indicate that pmn cell proteases , especially neutrophil elastase , degrade decorin , and this degradation renders collagen fibrils more susceptible to mmp - 1 cleavage . 0 ###LEFT-WALL### 5 data 0 ###LEFT-WALL### 6 indicate 0 ###LEFT-WALL### 19 and 1 taken 2 together 1 taken 3 , 1 taken 5 data 4 these 5 data 5 data 6 indicate 6 indicate 7 that 7 that 10 proteases 7 that 16 degrade 8 pmn 9 cell 9 cell 10 proteases 10 proteases 14 elastase 10 proteases 16 degrade 11 , 14 elastase 12 especially 13 neutrophil 13 neutrophil 14 elastase 14 elastase 15 , 16 degrade 17 decorin 18 , 19 and 19 and 21 degradation 19 and 22 renders 20 this 21 degradation 21 degradation 22 renders 22 renders 24 fibrils 22 renders 25 more 22 renders 26 susceptible 22 renders 27 to 23 collagen 24 fibrils 27 to 28 mmp 28 mmp 31 cleavage 29 - 31 cleavage 30 1 31 cleavage 31 cleavage 32 . these data identify decorin degradation and neutrophil elastase as potential therapeutic targets for mitigating sun exposure - induced collagen fibril degradation in human skin . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 identify 1 these 2 data 2 data 3 identify 3 identify 6 and 3 identify 9 as 4 decorin 5 degradation 5 degradation 6 and 6 and 8 elastase 7 neutrophil 8 elastase 9 as 12 targets 10 potential 12 targets 11 therapeutic 12 targets 12 targets 13 for 13 for 16 exposure 14 mitigating 15 sun 15 sun 16 exposure 16 exposure 21 degradation 17 - 21 degradation 18 induced 21 degradation 19 collagen 21 degradation 20 fibril 21 degradation 21 degradation 22 in 21 degradation 25 . 22 in 24 skin 23 human 24 skin purpose : this article reports on a systematic review and meta - analysis of the effects of spaced retrieval training ( srt ) on semantic memory in people with alzheimer ’s disease ( ad ) or related disorder . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 39 . 1 purpose 2 : 2 : 10 and 2 : 24 on 2 : 27 in 3 this 10 and 4 article 5 reports 5 reports 6 on 5 reports 10 and 6 on 9 review 7 a 9 review 8 systematic 9 review 10 and 13 analysis 10 and 14 of 10 and 17 of 11 meta 12 - 11 meta 13 analysis 14 of 16 effects 15 the 16 effects 17 of 20 training 18 spaced 19 retrieval 19 retrieval 20 training 20 training 22 srt 21 ( 22 srt 22 srt 23 ) 24 on 26 memory 25 semantic 26 memory 27 in 36 or 28 people 29 with 28 people 36 or 29 with 32 disease 30 alzheimer 31 ’s 31 ’s 32 disease 32 disease 34 ad 33 ( 34 ad 34 ad 35 ) 36 or 38 disorder 37 related 38 disorder method : an initial systematic database search identified 454 potential studies . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 7 search 2 : 8 identified 2 : 12 . 3 an 4 initial 3 an 7 search 4 initial 6 database 5 systematic 6 database 6 database 7 search 7 search 8 identified 8 identified 11 studies 9 454 11 studies 10 potential 11 studies after screening and [de] [-] duplication , 35 studies that used srt with the population of interest remained . 0 ###LEFT-WALL### 9 studies 0 ###LEFT-WALL### 18 remained 0 ###LEFT-WALL### 19 . 1 after 3 and 1 after 7 , 1 after 9 studies 2 screening 3 and 3 and 6 duplication 8 35 9 studies 9 studies 10 that 9 studies 11 used 9 studies 18 remained 10 that 11 used 11 used 12 srt 11 used 13 with 13 with 15 population 14 the 15 population 15 population 16 of 16 of 17 interest the authors used an appraisal point system to evaluate the quality of the studies . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 3 used 0 ###LEFT-WALL### 15 . 1 the 2 authors 2 authors 3 used 3 used 7 system 3 used 8 to 3 used 9 evaluate 4 an 7 system 5 appraisal 7 system 6 point 7 system 8 to 9 evaluate 9 evaluate 11 quality 10 the 11 quality 11 quality 12 of 12 of 14 studies 13 the 14 studies twelve of the 35 studies met inclusion and exclusion criteria and passed the appraisal point system cutoff . 0 ###LEFT-WALL### 1 twelve 0 ###LEFT-WALL### 15 point 0 ###LEFT-WALL### 18 . 1 twelve 2 of 1 twelve 15 point 2 of 5 studies 3 the 4 35 4 35 5 studies 5 studies 11 and 6 met 8 and 6 met 11 and 7 inclusion 8 and 8 and 10 criteria 9 exclusion 10 criteria 11 and 12 passed 11 and 14 appraisal 13 the 14 appraisal 15 point 17 cutoff 16 system 17 cutoff the 12 studies were classified as level i and [ii] evidence . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 12 . 1 the 2 12 2 12 3 studies 3 studies 4 were 4 were 5 classified 5 classified 6 as 6 as 9 and 7 level 8 i 7 level 9 and 9 and 11 evidence results : although the 12 studies varied in terms of design , methodology , and quality , srt was shown to have important positive effects on learning semantic information across the included studies . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 have 0 ###LEFT-WALL### 34 . 2 : 6 studies 2 : 7 varied 2 : 12 , 2 : 17 , 3 although 5 12 3 although 6 studies 4 the 5 12 6 studies 7 varied 7 varied 8 in 8 in 9 terms 9 terms 10 of 10 of 11 design 12 , 15 and 13 methodology 15 and 14 , 15 and 15 and 16 quality 17 , 18 srt 17 , 20 shown 18 srt 19 was 19 was 20 shown 20 shown 21 to 21 to 22 have 22 have 25 effects 23 important 25 effects 24 positive 25 effects 25 effects 26 on 26 on 27 learning 27 learning 29 information 27 learning 30 across 28 semantic 29 information 30 across 33 studies 31 the 33 studies 32 included 33 studies conclusions : the findings indicate that srt is an effective semantic memory training technique for people with ad , and consequently , recommendations are suggested for implementing srt in practice settings . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 findings 2 : 5 indicate 2 : 20 and 2 : 32 . 3 the 4 findings 4 findings 5 indicate 5 indicate 6 that 6 that 7 srt 6 that 8 is 7 srt 8 is 8 is 12 memory 8 is 15 for 8 is 17 with 9 an 10 effective 9 an 12 memory 10 effective 12 memory 11 semantic 12 memory 12 memory 13 training 13 training 14 technique 15 for 16 people 17 with 18 ad 19 , 20 and 20 and 21 consequently 20 and 23 recommendations 20 and 25 suggested 21 consequently 22 , 23 recommendations 24 are 24 are 25 suggested 25 suggested 26 for 25 suggested 29 in 26 for 27 implementing 27 implementing 28 srt 29 in 31 settings 30 practice 31 settings continued research in this domain is also warranted to address limitations and gaps in the current body of research evidence , including variability in srt protocols , effects of dementia severity on learning outcomes , maintenance effects , generalization , and the role of explicit and implicit learning in srt . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 27 , 0 ###LEFT-WALL### 51 . 1 continued 2 research 2 research 3 in 2 research 12 and 3 in 5 domain 4 this 5 domain 6 is 8 warranted 6 is 12 and 7 also 8 warranted 8 warranted 9 to 9 to 11 limitations 10 address 11 limitations 12 and 13 gaps 12 and 14 in 12 and 22 including 14 in 17 body 15 the 17 body 16 current 17 body 17 body 18 of 18 of 20 evidence 19 research 20 evidence 21 , 22 including 22 including 23 variability 22 including 24 in 22 including 27 , 24 in 26 protocols 25 srt 26 protocols 27 , 41 and 28 effects 29 of 28 effects 35 , 29 of 31 severity 30 dementia 31 severity 31 severity 32 on 32 on 33 learning 33 learning 34 outcomes 35 , 37 effects 35 , 38 , 36 maintenance 37 effects 38 , 39 generalization 38 , 41 and 40 , 41 and 41 and 43 role 42 the 43 role 43 role 44 of 44 of 48 learning 45 explicit 46 and 46 and 47 implicit 46 and 48 learning 48 learning 49 in 49 in 50 srt purpose : effects of clicks and tonebursts on early and late auditory middle latency response ( amlr ) components were evaluated in young and older cigarette smokers and nonsmokers . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 30 . 1 purpose 2 : 2 : 3 effects 3 effects 4 of 4 of 5 clicks 6 and 7 tonebursts 6 and 21 evaluated 7 tonebursts 8 on 7 tonebursts 20 were 8 on 19 components 9 early 10 and 10 and 15 response 10 and 17 amlr 10 and 19 components 11 late 14 latency 12 auditory 14 latency 13 middle 14 latency 14 latency 15 response 16 ( 17 amlr 17 amlr 18 ) 20 were 21 evaluated 21 evaluated 22 in 22 in 28 and 23 young 24 and 24 and 25 older 24 and 26 cigarette 26 cigarette 27 smokers 27 smokers 28 and 28 and 29 nonsmokers method : participants ( n = 49 ) were categorized by smoking and age into 4 groups [:] ( [a] [ )(older smokers , ( [b] [ )(older nonsmokers , [(] [c] [ )(young smokers , and [(] [d] [ )(young nonsmokers . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 43 . 2 : 3 participants 2 : 13 and 2 : 30 , 3 participants 6 = 3 participants 13 and 4 ( 6 = 5 n 6 = 6 = 7 49 6 = 8 ) 9 were 10 categorized 9 were 13 and 10 categorized 11 by 11 by 12 smoking 13 and 14 age 13 and 15 into 15 into 17 groups 16 4 17 groups 17 groups 23 smokers 17 groups 29 nonsmokers 19 ( 23 smokers 22 )(older 23 smokers 23 smokers 24 , 25 ( 29 nonsmokers 28 )(older 29 nonsmokers 29 nonsmokers 30 , 30 , 37 and 34 )(young 35 smokers 35 smokers 37 and 36 , 37 and 37 and 42 nonsmokers 41 )(young 42 nonsmokers monaural , 2 - channel amlrs were acquired from fz and cz electrodes with 3 stimuli ( clicks , 500 hz , [and] 3000 hz ) . 0 ###LEFT-WALL### 6 amlrs 0 ###LEFT-WALL### 8 acquired 0 ###LEFT-WALL### 27 . 1 monaural 3 2 1 monaural 5 channel 2 , 3 2 3 2 4 - 5 channel 6 amlrs 6 amlrs 7 were 7 were 8 acquired 8 acquired 9 from 8 acquired 14 with 9 from 11 and 10 fz 11 and 11 and 13 electrodes 12 cz 13 electrodes 14 with 16 stimuli 15 3 16 stimuli 16 stimuli 18 clicks 16 stimuli 25 hz 17 ( 18 clicks 18 clicks 21 hz 18 clicks 22 , 19 , 21 hz 20 500 21 hz 21 hz 22 , 22 , 25 hz 24 3000 25 hz 25 hz 26 ) results : group differences included significantly higher v - na amplitude in young adults and shorter pb latency in older nonsmokers . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 differences 2 : 5 included 2 : 9 - 3 group 4 differences 4 differences 5 included 5 included 7 higher 5 included 8 v 6 significantly 7 higher 9 - 15 and 9 - 22 . 10 na 11 amplitude 11 amplitude 12 in 11 amplitude 15 and 12 in 14 adults 13 young 14 adults 15 and 18 latency 15 and 19 in 16 shorter 18 latency 17 pb 18 latency 19 in 21 nonsmokers 20 older 21 nonsmokers young smokers had a significantly higher [nb] - pb amplitude and shorter nb latency than other groups . 0 ###LEFT-WALL### 2 smokers 0 ###LEFT-WALL### 3 had 0 ###LEFT-WALL### 18 . 1 young 2 smokers 2 smokers 3 had 3 had 14 latency 3 had 15 than 4 a 14 latency 5 significantly 6 higher 6 higher 8 - 6 higher 14 latency 9 pb 10 amplitude 10 amplitude 11 and 11 and 12 shorter 11 and 14 latency 13 nb 14 latency 15 than 17 groups 16 other 17 groups toneburst stimuli yielded significantly longer v , na , and pa latencies compared to clicks . 0 ###LEFT-WALL### 2 stimuli 0 ###LEFT-WALL### 3 yielded 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 16 . 1 toneburst 2 stimuli 2 stimuli 3 yielded 3 yielded 5 longer 3 yielded 6 v 4 significantly 5 longer 7 , 10 and 8 na 10 and 9 , 10 and 10 and 12 latencies 10 and 13 compared 11 pa 12 latencies 13 compared 14 to 14 to 15 clicks pb latency was shorter at fz than at cz . 0 ###LEFT-WALL### 2 latency 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 10 . 1 pb 2 latency 2 latency 3 was 3 was 4 shorter 4 shorter 5 at 4 shorter 7 than 5 at 6 fz 7 than 8 at 8 at 9 cz relative amplitudes were significantly higher at fz than at cz overall ; pa - nb and nb - pb were significantly lower for 3000 hz than for 500 hz and clicks . 0 ###LEFT-WALL### 2 amplitudes 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 12 ; 1 relative 2 amplitudes 2 amplitudes 3 were 3 were 4 significantly 3 were 5 higher 5 higher 6 at 5 higher 8 than 5 higher 11 overall 6 at 7 fz 8 than 9 at 9 at 10 cz 12 ; 13 pa 12 ; 14 - 14 - 16 and 14 - 18 - 15 nb 16 and 16 and 17 nb 18 - 19 pb 18 - 30 and 18 - 32 . 19 pb 30 and 20 were 21 significantly 20 were 22 lower 20 were 30 and 22 lower 23 for 22 lower 26 than 23 for 25 hz 24 3000 25 hz 26 than 27 for 27 for 29 hz 28 500 29 hz 30 and 31 clicks conclusions : responses from young smokers revealed a higher amplitude and shorter latency for later amlr waves , reflecting an arousal effect of smoking in cortical and subcortical generators . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 waves 2 : 3 responses 2 : 7 revealed 3 responses 4 from 3 responses 7 revealed 4 from 6 smokers 5 young 6 smokers 7 revealed 13 latency 7 revealed 14 for 8 a 13 latency 9 higher 10 amplitude 10 amplitude 11 and 11 and 12 shorter 11 and 13 latency 14 for 16 amlr 15 later 16 amlr 16 amlr 17 waves 17 waves 19 reflecting 18 , 19 reflecting 19 reflecting 22 effect 19 reflecting 25 in 19 reflecting 30 . 20 an 22 effect 21 arousal 22 effect 22 effect 23 of 23 of 24 smoking 25 in 29 generators 26 cortical 27 and 27 and 28 subcortical 27 and 29 generators amlr differences in older adults may be due to age - related neurochemical changes in the central nervous system . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 7 be 0 ###LEFT-WALL### 12 related 1 amlr 2 differences 2 differences 3 in 2 differences 6 may 3 in 5 adults 4 older 5 adults 6 may 7 be 7 be 8 due 8 due 9 to 8 due 10 age 9 to 10 age 11 - 12 related 12 related 14 changes 12 related 15 in 12 related 20 . 13 neurochemical 14 changes 15 in 19 system 16 the 19 system 17 central 19 system 18 nervous 19 system stimulus and electrode differences plus smoking and aging effects can guide neurodiagnostic amlr protocols , especially in young adult smokers . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 11 guide 1 stimulus 2 and 2 and 4 differences 2 and 5 plus 2 and 10 can 3 electrode 4 differences 5 plus 7 and 6 smoking 7 and 7 and 9 effects 8 aging 9 effects 10 can 11 guide 11 guide 14 protocols 11 guide 17 in 12 neurodiagnostic 14 protocols 13 amlr 14 protocols 15 , 16 especially 15 , 17 in 17 in 20 smokers 17 in 21 . 18 young 19 adult 19 adult 20 smokers purpose : the study was aimed at characterizing age - related changes in speech motor performance on a nonword repetition task as a function of practice and nonword length and complexity . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 4 study 2 : 6 aimed 2 : 11 related 3 the 4 study 4 study 5 was 5 was 6 aimed 6 aimed 7 at 7 at 8 characterizing 8 characterizing 9 age 10 - 11 related 11 related 12 changes 11 related 13 in 11 related 17 on 13 in 16 performance 14 speech 16 performance 15 motor 16 performance 17 on 30 and 18 a 21 task 19 nonword 20 repetition 20 repetition 21 task 21 task 22 as 21 task 25 of 21 task 27 and 22 as 24 function 23 a 24 function 25 of 26 practice 27 and 29 length 27 and 30 and 28 nonword 29 length 30 and 31 complexity method : nonword repetition accuracy , lip aperture coordination , and nonword production durations were assessed on 2 consecutive days for 16 young and 16 elderly participants for the production of 6 novel nonwords increasing in length and complexity . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 6 , 1 method 2 : 2 : 5 accuracy 3 nonword 5 accuracy 4 repetition 5 accuracy 6 , 24 and 7 lip 9 coordination 8 aperture 9 coordination 9 coordination 11 and 10 , 11 and 11 and 12 nonword 11 and 13 production 11 and 16 assessed 11 and 24 and 13 production 14 durations 13 production 15 were 13 production 16 assessed 14 durations 15 were 16 assessed 17 on 16 assessed 21 for 16 assessed 23 young 17 on 20 days 18 2 20 days 19 consecutive 20 days 21 for 22 16 24 and 27 participants 24 and 28 for 25 16 27 participants 26 elderly 27 participants 28 for 30 production 29 the 30 production 30 production 31 of 30 production 35 increasing 31 of 34 nonwords 32 6 34 nonwords 33 novel 34 nonwords 35 increasing 36 in 36 in 38 and 37 length 38 and 38 and 39 complexity 38 and 40 . results : the effect of age on the ability to accurately [and] rapidly repeat long , complex nonwords was significant . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 effect 2 : 19 was 2 : 21 . 3 the 4 effect 4 effect 5 of 4 effect 19 was 5 of 6 age 6 age 7 on 7 on 9 ability 8 the 9 ability 9 ability 10 to 9 ability 14 repeat 10 to 14 repeat 11 accurately 14 repeat 13 rapidly 14 repeat 14 repeat 18 nonwords 15 long 16 , 15 long 18 nonwords 17 complex 18 nonwords 19 was 20 significant however , the authors found no differences between the speech motor coordinative patterns of young and elderly adults . 0 ###LEFT-WALL### 4 authors 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 4 authors 3 the 4 authors 4 authors 5 found 5 found 7 differences 5 found 13 patterns 6 no 7 differences 7 differences 8 between 8 between 11 motor 9 the 11 motor 10 speech 11 motor 12 coordinative 13 patterns 13 patterns 14 of 14 of 18 adults 15 young 16 and 16 and 17 elderly 16 and 18 adults further , the authors demonstrated age - and nonword - specific [within] - and [between] [-] session gains in speech motor performance . 0 ###LEFT-WALL### 4 authors 0 ###LEFT-WALL### 5 demonstrated 0 ###LEFT-WALL### 10 - 1 further 2 , 1 further 4 authors 3 the 4 authors 4 authors 5 demonstrated 5 demonstrated 8 and 6 age 8 and 7 - 8 and 8 and 9 nonword 10 - 14 and 10 - 23 . 11 specific 14 and 13 - 14 and 14 and 18 gains 14 and 19 in 17 session 18 gains 19 in 22 performance 20 speech 21 motor 21 motor 22 performance conclusions : the authors speculate that cognitive , sensory , and motor factors interact in complex ways in elderly individuals to produce individual differences in nonword repetition ability at the levels of both behavioral and speech motor performance . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 produce 2 : 4 authors 2 : 5 speculate 3 the 4 authors 4 authors 5 speculate 5 speculate 6 that 6 that 11 and 6 that 14 interact 7 cognitive 8 , 8 , 9 sensory 8 , 11 and 10 , 11 and 11 and 13 factors 11 and 14 interact 12 motor 13 factors 14 interact 15 in 14 interact 21 to 15 in 17 ways 16 complex 17 ways 17 ways 18 in 18 in 20 individuals 19 elderly 20 individuals 21 to 22 produce 22 produce 24 differences 23 individual 24 differences 24 differences 25 in 24 differences 32 of 25 in 28 ability 26 nonword 27 repetition 27 repetition 28 ability 28 ability 29 at 29 at 31 levels 30 the 31 levels 32 of 35 and 33 both 35 and 34 behavioral 35 and 35 and 38 performance 35 and 39 . 36 speech 37 motor 37 motor 38 performance purpose : the primary purpose of this study was to measure the 16 - year change in peak compensated static acoustic admittance ( peak y ( tm ) ) in a population - based cohort of older adults , [and] to determine whether age was associated with any observed change in peak y ( tm [ )( 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 5 purpose 2 : 14 - 3 the 5 purpose 4 primary 5 purpose 5 purpose 6 of 5 purpose 8 study 5 purpose 11 measure 6 of 7 this 8 study 9 was 9 was 10 to 9 was 11 measure 10 to 11 measure 11 measure 13 16 12 the 13 16 14 - 16 change 14 - 19 compensated 15 year 16 change 16 change 17 in 16 change 19 compensated 17 in 18 peak 19 compensated 22 admittance 19 compensated 30 in 20 static 22 admittance 21 acoustic 22 admittance 22 admittance 24 peak 23 ( 24 peak 24 peak 25 y 24 peak 27 tm 24 peak 29 ) 26 ( 27 tm 27 tm 28 ) 30 in 32 population 31 a 32 population 32 population 35 cohort 32 population 41 to 33 - 35 cohort 34 based 35 cohort 35 cohort 36 of 35 cohort 39 , 36 of 38 adults 37 older 38 adults 39 , 41 to 41 to 42 determine 42 determine 43 whether 42 determine 51 in 43 whether 44 age 43 whether 46 associated 44 age 45 was 45 was 46 associated 46 associated 47 with 47 with 48 any 47 with 50 change 49 observed 50 change 51 in 52 peak 52 peak 53 y 52 peak 55 tm 54 ( 55 tm 55 tm 57 )( other tympanometric measures also were taken and analyzed . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 9 . 1 other 3 measures 2 tympanometric 3 measures 3 measures 7 and 4 also 5 were 5 were 6 taken 5 were 7 and 7 and 8 analyzed method : data from two examinations ( 1993 - 1995 and 2009 - 2010 ) of the population - based epidemiology of hearing loss study ( n = 1,439 with data at both examinations , ages 48 - 84 years at baseline ) were utilized to assess 16 - year change . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 52 . 1 method 2 : 2 : 3 data 3 data 4 from 3 data 16 of 4 from 6 examinations 5 two 6 examinations 6 examinations 8 1993 6 examinations 11 and 7 ( 8 1993 8 1993 9 - 9 - 11 and 10 1995 11 and 11 and 12 2009 11 and 14 2010 11 and 15 ) 13 - 14 2010 14 2010 15 ) 16 of 18 population 17 the 18 population 19 - 35 , 19 - 49 - 20 based 21 epidemiology 20 based 30 with 20 based 35 , 21 epidemiology 22 of 22 of 25 study 23 hearing 24 loss 24 loss 25 study 25 study 28 = 26 ( 28 = 27 n 28 = 28 = 29 1,439 30 with 31 data 30 with 32 at 32 at 34 examinations 33 both 34 examinations 35 , 47 assess 36 ages 37 48 36 ages 40 years 36 ages 44 were 38 - 40 years 39 84 40 years 40 years 41 at 40 years 43 ) 41 at 42 baseline 44 were 45 utilized 45 utilized 46 to 46 to 47 assess 47 assess 48 16 49 - 51 change 50 year 51 change tympanometric measures were taken using a 226 [-] hz probe tone , a positive [-] [to] - negative direction of pressure change , and a measured pump speed of 600/200 dapa/s . 0 ###LEFT-WALL### 2 measures 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 32 . 1 tympanometric 2 measures 2 measures 3 were 3 were 4 taken 4 taken 5 using 5 using 11 tone 6 a 11 tone 7 226 9 hz 9 hz 10 probe 10 probe 11 tone 12 , 19 direction 12 , 31 dapa/s 13 a 14 positive 13 a 19 direction 14 positive 17 - 14 positive 18 negative 18 negative 19 direction 19 direction 20 of 19 direction 31 dapa/s 20 of 24 and 21 pressure 22 change 22 change 24 and 23 , 24 and 24 and 28 speed 24 and 29 of 25 a 26 measured 25 a 28 speed 26 measured 27 pump 27 pump 28 speed 29 of 30 600/200 results : during the 16 - year period , peak y ( tm ) declined an average of 0.009 [mmho/year] ( 0.009/year for women , 0.007/year for men ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 10 peak 2 : 15 declined 3 during 5 16 3 during 10 peak 4 the 5 16 5 16 8 period 6 - 8 period 7 year 8 period 8 period 9 , 10 peak 11 y 10 peak 13 tm 10 peak 15 declined 12 ( 13 tm 13 tm 14 ) 15 declined 17 average 16 an 17 average 17 average 18 of 18 of 19 0.009 19 0.009 22 0.009/year 21 ( 22 0.009/year 22 0.009/year 23 for 22 0.009/year 30 . 23 for 24 women 24 women 26 0.007/year 25 , 26 0.007/year 26 0.007/year 27 for 26 0.007/year 29 ) 27 for 28 men among women , older baseline age was associated with greater decline [in] peak y ( tm ) . 0 ###LEFT-WALL### 6 age 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 18 . 1 among 2 women 1 among 3 , 1 among 6 age 4 older 5 baseline 5 baseline 6 age 6 age 7 was 7 was 8 associated 8 associated 9 with 9 with 13 peak 10 greater 11 decline 11 decline 13 peak 13 peak 14 y 13 peak 16 tm 15 ( 16 tm 16 tm 17 ) among men , baseline age was associated with change in peak y ( tm ) , but in a nonlinear pattern . 0 ###LEFT-WALL### 5 age 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 22 . 1 among 2 men 1 among 3 , 1 among 5 age 4 baseline 5 age 5 age 6 was 6 was 7 associated 7 associated 8 with 8 with 9 change 9 change 17 but 10 in 11 peak 10 in 17 but 11 peak 12 y 11 peak 14 tm 13 ( 14 tm 14 tm 15 ) 16 , 17 but 17 but 18 in 18 in 21 pattern 19 a 20 nonlinear 19 a 21 pattern 20 nonlinear 21 pattern other tympanometric measures demonstrated little change after 16 years . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 4 demonstrated 0 ###LEFT-WALL### 10 . 1 other 3 measures 2 tympanometric 3 measures 3 measures 4 demonstrated 4 demonstrated 6 change 4 demonstrated 7 after 5 little 6 change 7 after 9 years 8 16 9 years conclusions : these results demonstrate a small degree [of] middle - ear stiffening after 16 years among these older adults , but not enough to [affect] function in a manner that would influence clinical decisions . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 5 demonstrate 2 : 11 - 2 : 27 function 2 : 36 . 3 these 4 results 4 results 5 demonstrate 5 demonstrate 10 middle 6 a 7 small 6 a 10 middle 7 small 10 middle 8 degree 10 middle 11 - 12 ear 12 ear 22 but 12 ear 25 to 13 stiffening 14 after 13 stiffening 22 but 14 after 16 years 15 16 16 years 16 years 17 among 17 among 20 adults 18 these 20 adults 19 older 20 adults 21 , 22 but 22 but 23 not 22 but 24 enough 25 to 27 function 27 function 28 in 28 in 30 manner 29 a 30 manner 30 manner 31 that 30 manner 33 influence 31 that 32 would 32 would 33 influence 33 influence 35 decisions 34 clinical 35 decisions background : facial aging is a dynamic process with impact on both the soft tissues and the bones . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 facial 2 : 5 is 2 : 19 . 3 facial 4 aging 3 facial 5 is 5 is 8 process 6 a 8 process 7 dynamic 8 process 8 process 9 with 9 with 16 and 10 impact 11 on 10 impact 16 and 11 on 12 both 12 both 13 the 12 both 15 tissues 13 the 15 tissues 14 soft 15 tissues 16 and 18 bones 17 the 18 bones despite a growing body of evidence , [controversy] still [exists] regarding absolute characteristics of the aging facial skeleton . 0 ###LEFT-WALL### 9 still 0 ###LEFT-WALL### 19 . 1 despite 4 body 1 despite 7 , 1 despite 9 still 2 a 4 body 3 growing 4 body 4 body 5 of 5 of 6 evidence 9 still 13 characteristics 11 regarding 13 characteristics 12 absolute 13 characteristics 13 characteristics 14 of 14 of 18 skeleton 15 the 18 skeleton 16 aging 18 skeleton 17 facial 18 skeleton objective : the purpose of this study was to investigate various mandibular measurements in different age groups and to delineate the relation of the dentition to these parameters . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 29 . 2 : 4 purpose 2 : 8 was 3 the 4 purpose 4 purpose 5 of 4 purpose 8 was 5 of 7 study 6 this 7 study 8 was 9 to 9 to 18 and 10 investigate 13 measurements 10 investigate 14 in 10 investigate 18 and 11 various 13 measurements 12 mandibular 13 measurements 14 in 17 groups 15 different 16 age 16 age 17 groups 18 and 19 to 18 and 20 delineate 18 and 26 to 19 to 20 delineate 20 delineate 22 relation 21 the 22 relation 22 relation 23 of 23 of 25 dentition 24 the 25 dentition 26 to 28 parameters 27 these 28 parameters methods : ninety caucasian mandibles were assessed for the following distance landmarks : gonion - gonion , infradentale - gnathion , mental foramen - mandibular crest , mental foramen - inferior mandibular border , gnathion - gonion , condyle - gonion , and gonial angle . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 caucasian 2 : 13 : 2 : 21 , 2 : 46 . 3 ninety 4 caucasian 4 caucasian 5 mandibles 4 caucasian 6 were 4 caucasian 7 assessed 4 caucasian 13 : 5 mandibles 6 were 7 assessed 8 for 8 for 12 landmarks 9 the 12 landmarks 10 following 12 landmarks 11 distance 12 landmarks 13 : 14 gonion 14 gonion 16 gonion 14 gonion 18 infradentale 15 - 16 gonion 16 gonion 17 , 17 , 18 infradentale 18 infradentale 20 gnathion 18 infradentale 21 , 19 - 20 gnathion 20 gnathion 21 , 21 , 26 crest 21 , 27 , 22 mental 26 crest 23 foramen 24 - 23 foramen 26 crest 25 mandibular 26 crest 27 , 33 border 27 , 34 , 28 mental 33 border 29 foramen 30 - 29 foramen 33 border 31 inferior 33 border 32 mandibular 33 border 34 , 35 gnathion 34 , 36 - 36 - 43 and 37 gonion 38 , 38 , 41 gonion 38 , 43 and 39 condyle 40 - 39 condyle 41 gonion 42 , 43 and 43 and 45 angle 44 gonial 45 angle the measurements were compared according to age , sex , and dentition . 0 ###LEFT-WALL### 2 measurements 0 ###LEFT-WALL### 4 compared 0 ###LEFT-WALL### 13 . 1 the 2 measurements 2 measurements 3 were 3 were 4 compared 4 compared 6 to 5 according 6 to 6 to 11 and 7 age 8 , 8 , 9 sex 8 , 11 and 10 , 11 and 11 and 12 dentition results : the number of teeth decreased significantly with increasing age in males ( p = [.] 002 ) and females ( p < [.] 001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 1 results 2 : 2 : 6 teeth 3 the 4 number 4 number 5 of 4 number 6 teeth 5 of 6 teeth 6 teeth 7 decreased 7 decreased 8 significantly 7 decreased 9 with 9 with 10 increasing 10 increasing 20 and 11 age 12 in 11 age 20 and 12 in 13 males 13 males 16 = 14 ( 16 = 15 p 16 = 16 = 18 002 16 = 19 ) 20 and 21 females 20 and 24 < 22 ( 24 < 23 p 24 < 24 < 26 001 24 < 27 ) there were no other statistically significant differences between age groups for the rest of the parameters . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 17 . 1 there 2 were 2 were 7 differences 3 no 4 other 4 other 7 differences 5 statistically 6 significant 6 significant 7 differences 7 differences 8 between 8 between 10 groups 9 age 10 groups 10 groups 11 for 11 for 13 rest 12 the 13 rest 13 rest 14 of 14 of 16 parameters 15 the 16 parameters the infradentale - gnathion distance [(] p = . 005 [ )(and the mental foramen - mandibular crest distance ( p < [.] 001 ) was found to increase with total number [of] teeth . 0 ###LEFT-WALL### 5 distance 0 ###LEFT-WALL### 8 = 0 ###LEFT-WALL### 9 . 1 the 5 distance 2 infradentale 3 - 2 infradentale 4 gnathion 4 gnathion 5 distance 5 distance 7 p 5 distance 8 = 9 . 10 005 9 . 12 )(and 9 . 35 . 12 )(and 19 distance 12 )(and 29 increase 13 the 19 distance 14 mental 18 crest 15 foramen 16 - 15 foramen 18 crest 17 mandibular 18 crest 18 crest 19 distance 19 distance 22 < 19 distance 26 was 20 ( 22 < 21 p 22 < 22 < 24 001 22 < 25 ) 26 was 27 found 27 found 28 to 28 to 29 increase 29 increase 30 with 30 with 34 teeth 31 total 34 teeth 32 number 34 teeth other parameters did not show a significant relation to dentition . 0 ###LEFT-WALL### 2 parameters 0 ###LEFT-WALL### 5 show 0 ###LEFT-WALL### 11 . 1 other 2 parameters 2 parameters 3 did 3 did 4 not 3 did 5 show 5 show 8 relation 5 show 9 to 6 a 7 significant 6 a 8 relation 7 significant 8 relation 9 to 10 dentition all parameters were significantly larger in the male subgroups with the exception of gnathion - gonion [distance] and gonial angle . 0 ###LEFT-WALL### 2 parameters 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 15 - 1 all 2 parameters 2 parameters 3 were 3 were 4 significantly 3 were 5 larger 5 larger 6 in 5 larger 10 with 6 in 9 subgroups 7 the 9 subgroups 8 male 9 subgroups 10 with 12 exception 11 the 12 exception 12 exception 13 of 13 of 14 gnathion 15 - 18 and 15 - 21 . 16 gonion 18 and 18 and 20 angle 19 gonial 20 angle bilateral mandibular measurements were symmetric except for the gonial angle , which was more obtuse on the right side in males ( p = [.] 007 ) and females ( p = [.] 018 ) . 0 ###LEFT-WALL### 3 measurements 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 36 . 1 bilateral 3 measurements 2 mandibular 3 measurements 3 measurements 4 were 4 were 5 symmetric 5 symmetric 6 except 6 except 7 for 7 for 10 angle 8 the 10 angle 9 gonial 10 angle 11 , 12 which 11 , 13 was 12 which 13 was 13 was 15 obtuse 14 more 15 obtuse 15 obtuse 16 on 16 on 28 and 17 the 19 side 18 right 19 side 19 side 20 in 19 side 28 and 20 in 21 males 21 males 24 = 22 ( 24 = 23 p 24 = 24 = 26 007 24 = 27 ) 28 and 29 females 28 and 32 = 30 ( 32 = 31 p 32 = 32 = 34 018 32 = 35 ) conclusions : our findings support previous evidence that dentition is the main determinant of the morphology of the mandible . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 findings 2 : 5 support 2 : 20 . 3 our 4 findings 4 findings 5 support 5 support 7 evidence 6 previous 7 evidence 7 evidence 8 that 8 that 9 dentition 8 that 10 is 9 dentition 10 is 10 is 13 determinant 11 the 12 main 11 the 13 determinant 13 determinant 14 of 14 of 16 morphology 15 the 16 morphology 16 morphology 17 of 17 of 19 mandible 18 the 19 mandible the skeletal characteristics are variable among individuals , and a longitudinal study is required to better understand age - related changes of the mandible . 0 ###LEFT-WALL### 3 characteristics 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 9 and 1 the 3 characteristics 2 skeletal 3 characteristics 3 characteristics 4 are 4 are 5 variable 5 variable 6 among 6 among 7 individuals 8 , 9 and 9 and 12 study 9 and 14 required 10 a 11 longitudinal 10 a 12 study 11 longitudinal 12 study 12 study 13 is 13 is 14 required 14 required 15 to 14 required 17 understand 15 to 17 understand 16 better 17 understand 17 understand 18 age 18 age 21 changes 19 - 21 changes 20 related 21 changes 21 changes 22 of 21 changes 25 . 22 of 24 mandible 23 the 24 mandible objective : the recent emphasis of the importance of " aging in place " has highlighted the role of transportation in health [promotion] over the life course . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 5 emphasis 2 : 16 highlighted 2 : 28 . 3 the 5 emphasis 4 recent 5 emphasis 5 emphasis 6 of 5 emphasis 15 has 6 of 8 importance 7 the 8 importance 8 importance 9 of 9 of 10 " 9 of 11 aging 11 aging 13 place 12 in 13 place 13 place 14 " 15 has 16 highlighted 16 highlighted 18 role 16 highlighted 21 in 16 highlighted 24 over 17 the 18 role 18 role 19 of 19 of 20 transportation 21 in 22 health 24 over 27 course 25 the 27 course 26 life 27 course driving cessation in later life is associated with numerous poor health outcomes including limitations in social and physical functioning and increased risk of mortality . 0 ###LEFT-WALL### 1 driving 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 25 . 1 driving 2 cessation 1 driving 20 and 2 cessation 3 in 3 in 5 life 4 later 5 life 6 is 7 associated 6 is 20 and 7 associated 8 with 7 associated 19 functioning 8 with 12 outcomes 9 numerous 11 health 10 poor 11 health 11 health 12 outcomes 12 outcomes 13 including 13 including 14 limitations 13 including 15 in 15 in 17 and 16 social 17 and 17 and 18 physical 20 and 21 increased 20 and 22 risk 22 risk 23 of 23 of 24 mortality however , little is known about the relationship between driving cessation and change in cognitive functioning in late life . 0 ###LEFT-WALL### 3 little 0 ###LEFT-WALL### 5 known 0 ###LEFT-WALL### 20 . 1 however 2 , 1 however 3 little 3 little 4 is 4 is 5 known 5 known 6 about 5 known 14 in 5 known 17 in 6 about 12 and 7 the 8 relationship 8 relationship 9 between 8 relationship 12 and 9 between 10 driving 10 driving 11 cessation 12 and 13 change 14 in 16 functioning 15 cognitive 16 functioning 17 in 19 life 18 late 19 life this study examined the association between driving mobility and trajectories of cognitive functioning among older adults . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 17 . 1 this 2 study 2 study 3 examined 3 examined 5 association 3 examined 6 between 3 examined 14 among 4 the 5 association 6 between 9 and 7 driving 8 mobility 8 mobility 9 and 9 and 10 trajectories 9 and 11 of 11 of 13 functioning 12 cognitive 13 functioning 14 among 16 adults 15 older 16 adults methods : using data from six waves [ 1998 - 2008 ] of the health and retirement study , trajectories of cognitive functioning were estimated over a 10 [-] year period using longitudinal mixed effects models [ n = 9,135 ] . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 42 . 1 methods 2 : 2 : 4 data 3 using 4 data 4 data 5 from 4 data 13 of 5 from 7 waves 6 six 7 waves 7 waves 10 - 8 [ 10 - 9 1998 10 - 10 - 11 2008 10 - 12 ] 13 of 16 and 14 the 15 health 15 health 16 and 16 and 18 study 17 retirement 18 study 19 , 20 trajectories 19 , 36 models 20 trajectories 21 of 20 trajectories 24 were 21 of 23 functioning 22 cognitive 23 functioning 24 were 25 estimated 25 estimated 26 over 26 over 31 period 27 a 31 period 28 10 30 year 30 year 31 period 31 period 32 using 31 period 36 models 32 using 35 effects 32 using 36 models 33 longitudinal 35 effects 34 mixed 35 effects 36 models 39 = 37 [ 39 = 38 n 39 = 39 = 40 9,135 39 = 41 ] cognitive [function] was assessed with a modified version of the telephone interview for cognitive status . 0 ###LEFT-WALL### 1 cognitive 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 16 . 1 cognitive 3 was 3 was 4 assessed 4 assessed 5 with 5 with 8 version 6 a 8 version 7 modified 8 version 8 version 9 of 9 of 12 interview 10 the 12 interview 11 telephone 12 interview 12 interview 13 for 13 for 15 status 14 cognitive 15 status driving status and health characteristics were assessed by self - report . 0 ###LEFT-WALL### 9 self 0 ###LEFT-WALL### 10 - 1 driving 2 status 2 status 3 and 3 and 4 health 3 and 5 characteristics 3 and 8 by 3 and 9 self 5 characteristics 6 were 6 were 7 assessed 7 assessed 8 by 10 - 11 report 10 - 12 . results : older adults who did not drive ( [former] and never drivers ) [at] baseline had lower average cognitive scores compared with active drivers . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 26 . 1 results 2 : 2 : 4 adults 3 older 4 adults 4 adults 5 who 4 adults 6 did 5 who 6 did 6 did 7 not 6 did 8 drive 9 ( 11 and 11 and 16 baseline 11 and 17 had 12 never 13 drivers 12 never 14 ) 12 never 16 baseline 16 baseline 17 had 17 had 21 scores 18 lower 21 scores 19 average 21 scores 20 cognitive 21 scores 21 scores 22 compared 22 compared 23 with 23 with 25 drivers 24 active 25 drivers former drivers had accelerated cognitive [decline] over the subsequent 10 years compared with active drivers [(] β = - 0.35 , 95 % confidence interval [ ci ] = - 0.43 to - 0.26 ) even after controlling for baseline cognitive functioning and health status . 0 ###LEFT-WALL### 1 former 0 ###LEFT-WALL### 4 accelerated 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 46 . 1 former 2 drivers 1 former 3 had 1 former 4 accelerated 2 drivers 3 had 4 accelerated 5 cognitive 5 cognitive 7 over 5 cognitive 19 - 7 over 9 subsequent 8 the 9 subsequent 10 10 11 years 10 10 19 - 11 years 12 compared 12 compared 13 with 13 with 15 drivers 14 active 15 drivers 15 drivers 17 β 15 drivers 18 = 17 β 18 = 19 - 20 0.35 21 , 23 % 21 , 36 even 22 95 23 % 23 % 25 interval 23 % 29 = 23 % 32 to 23 % 36 even 24 confidence 25 interval 25 interval 27 ci 25 interval 29 = 26 [ 27 ci 27 ci 28 ] 30 - 32 to 31 0.43 32 to 32 to 34 0.26 32 to 35 ) 33 - 34 0.26 36 even 37 after 36 even 39 for 36 even 43 and 37 after 38 controlling 39 for 40 baseline 41 cognitive 42 functioning 41 cognitive 43 and 43 and 45 status 44 health 45 status the transition to [non] [-] driving was associated with a faster cognitive decline among those who were driving at baseline ( β [=] - 0.31 , 95 % ci = - 0.40 to - 0.22 ) . 0 ###LEFT-WALL### 2 transition 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 37 . 1 the 2 transition 2 transition 3 to 2 transition 7 was 3 to 6 driving 7 was 8 associated 8 associated 9 with 8 associated 14 among 8 associated 19 at 8 associated 24 - 9 with 13 decline 10 a 13 decline 11 faster 13 decline 12 cognitive 13 decline 14 among 15 those 15 those 16 who 15 those 17 were 16 who 17 were 17 were 18 driving 19 at 20 baseline 21 ( 24 - 22 β 24 - 24 - 25 0.31 24 - 36 ) 25 0.31 28 % 26 , 28 % 27 95 28 % 28 % 29 ci 28 % 30 = 28 % 36 ) 29 ci 30 = 30 = 33 to 31 - 32 0.40 32 0.40 33 to 33 to 35 0.22 34 - 35 0.22 conclusions : older adults without driving mobility had poorer cognitive functioning at baseline and experienced accelerated cognitive decline relative to active drivers over [follow] - up . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 adults 2 : 8 had 2 : 27 . 3 older 4 adults 4 adults 5 without 4 adults 8 had 5 without 6 driving 6 driving 7 mobility 8 had 11 functioning 8 had 12 at 8 had 20 to 9 poorer 11 functioning 10 cognitive 11 functioning 12 at 14 and 13 baseline 14 and 14 and 19 relative 15 experienced 18 decline 16 accelerated 18 decline 17 cognitive 18 decline 18 decline 19 relative 20 to 22 drivers 21 active 22 drivers 22 drivers 23 over 23 over 26 up 25 - 26 up objectives : this study explores whether cardiovascular fitness levels and senescent decline are similar in the tsimane of bolivia and canadians , as well as other subsistence and industrialized populations . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 4 study 2 : 5 explores 3 this 4 study 4 study 5 explores 5 explores 6 whether 5 explores 25 as 6 whether 10 and 6 whether 13 are 7 cardiovascular 9 levels 8 fitness 9 levels 9 levels 10 and 10 and 12 decline 10 and 13 are 11 senescent 12 decline 13 are 14 similar 14 similar 15 in 15 in 17 tsimane 16 the 17 tsimane 17 tsimane 18 of 18 of 20 and 19 bolivia 20 and 20 and 21 canadians 20 and 22 , 23 as 24 well 24 well 25 as 25 as 28 and 26 other 27 subsistence 27 subsistence 28 and 28 and 30 populations 29 industrialized 30 populations among tsimane , we examine whether morbidity predicts lower levels and faster decline of cardiovascular fitness , or whether their lifestyle ( e.g [.] , high physical activity ) promotes high levels and slow decline . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 examine 0 ###LEFT-WALL### 36 . 1 among 2 tsimane 1 among 3 , 1 among 4 we 4 we 5 examine 5 examine 6 whether 5 examine 21 lifestyle 5 examine 30 promotes 6 whether 7 morbidity 6 whether 8 predicts 7 morbidity 8 predicts 8 predicts 18 or 9 lower 10 levels 10 levels 11 and 11 and 13 decline 11 and 14 of 11 and 18 or 12 faster 13 decline 14 of 16 fitness 15 cardiovascular 16 fitness 17 , 18 or 18 or 19 whether 20 their 21 lifestyle 21 lifestyle 28 activity 21 lifestyle 30 promotes 22 ( 28 activity 23 e.g 25 , 23 e.g 28 activity 26 high 28 activity 27 physical 28 activity 28 activity 29 ) 30 promotes 33 and 31 high 32 levels 32 levels 33 and 33 and 35 decline 34 slow 35 decline alternatively , high activity levels and morbidity might counterbalance such that tsimane fitness levels and decline are similar to those in industrialized populations . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 9 counterbalance 0 ###LEFT-WALL### 24 . 1 alternatively 2 , 1 alternatively 6 and 3 high 4 activity 4 activity 5 levels 5 levels 6 and 6 and 7 morbidity 6 and 8 might 8 might 9 counterbalance 9 counterbalance 11 that 9 counterbalance 23 populations 10 such 11 that 11 that 12 tsimane 11 that 22 industrialized 12 tsimane 15 and 12 tsimane 21 in 12 tsimane 22 industrialized 13 fitness 14 levels 14 levels 15 and 15 and 16 decline 15 and 17 are 17 are 18 similar 18 similar 19 to 18 similar 21 in 19 to 20 those methods : maximal oxygen uptake ( vo2 [max] ) was estimated using a step test heart rate method for 701 participants . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 3 maximal 3 maximal 5 uptake 3 maximal 10 was 3 maximal 11 estimated 4 oxygen 5 uptake 5 uptake 7 vo2 5 uptake 10 was 6 ( 7 vo2 7 vo2 9 ) 11 estimated 12 using 12 using 18 method 12 using 19 for 13 a 18 method 14 step 18 method 15 test 16 heart 16 heart 18 method 17 rate 18 method 19 for 21 participants 20 701 21 participants we compared these estimates to the canadian health measures survey and previous studies [in] industrialized and subsistence populations . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 compared 0 ###LEFT-WALL### 19 . 1 we 2 compared 2 compared 4 estimates 2 compared 5 to 3 these 4 estimates 5 to 16 and 6 the 7 canadian 7 canadian 10 survey 8 health 9 measures 9 measures 10 survey 10 survey 11 and 11 and 13 studies 11 and 15 industrialized 11 and 16 and 12 previous 13 studies 16 and 18 populations 17 subsistence 18 populations we evaluated whether health indicators and proxies for market integration were associated with vo2 max levels and rate [of] decline for the tsimane . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 evaluated 0 ###LEFT-WALL### 24 . 1 we 2 evaluated 2 evaluated 3 whether 3 whether 6 and 3 whether 20 decline 4 health 5 indicators 5 indicators 6 and 6 and 7 proxies 6 and 8 for 6 and 11 were 8 for 10 integration 9 market 10 integration 11 were 12 associated 12 associated 13 with 13 with 14 vo2 14 vo2 17 and 14 vo2 20 decline 15 max 16 levels 16 levels 17 and 17 and 18 rate 17 and 20 decline 20 decline 21 for 21 for 23 tsimane 22 the 23 tsimane results : the tsimane [have] significantly higher levels of vo2 max and slower rates [of] decline than canadians ; initial evidence suggests differences in vo2 max levels between other subsistence and industrialized populations . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 ; 0 ###LEFT-WALL### 31 and 0 ###LEFT-WALL### 34 . 1 results 2 : 2 : 8 levels 3 the 8 levels 4 tsimane 8 levels 6 significantly 7 higher 7 higher 8 levels 8 levels 9 of 8 levels 14 rates 8 levels 16 decline 9 of 10 vo2 11 max 12 and 12 and 13 slower 12 and 14 rates 14 rates 16 decline 16 decline 17 than 17 than 18 canadians 19 ; 21 evidence 19 ; 22 suggests 20 initial 21 evidence 21 evidence 22 suggests 22 suggests 23 differences 22 suggests 31 and 23 differences 24 in 24 in 25 vo2 26 max 27 levels 26 max 28 between 26 max 31 and 28 between 30 subsistence 29 other 30 subsistence 31 and 32 industrialized 32 industrialized 33 populations low hemoglobin predicts low vo2 max for tsimane women while helminth infection predicts high vo2 max for tsimane men , though results might be specific to the vo2 max scaling parameter used . 0 ###LEFT-WALL### 2 hemoglobin 0 ###LEFT-WALL### 3 predicts 1 low 2 hemoglobin 2 hemoglobin 3 predicts 3 predicts 4 low 3 predicts 5 vo2 5 vo2 6 max 5 vo2 16 max 6 max 7 for 6 max 10 while 7 for 9 women 8 tsimane 9 women 10 while 12 infection 10 while 13 predicts 11 helminth 12 infection 12 infection 13 predicts 13 predicts 14 high 13 predicts 15 vo2 16 max 17 for 16 max 21 though 17 for 19 men 18 tsimane 19 men 20 , 21 though 21 though 22 results 21 though 24 be 21 though 33 . 22 results 23 might 23 might 24 be 24 be 25 specific 25 specific 26 to 26 to 31 parameter 27 the 31 parameter 28 vo2 31 parameter 29 max 31 parameter 30 scaling 31 parameter 31 parameter 32 used no variables tested interact with age to moderate [decline] . 0 ###LEFT-WALL### 2 variables 0 ###LEFT-WALL### 4 interact 0 ###LEFT-WALL### 10 . 1 no 2 variables 2 variables 3 tested 2 variables 4 interact 4 interact 5 with 4 interact 7 to 5 with 6 age 7 to 8 moderate conclusions : the tsimane [demonstrate] higher levels of cardiovascular fitness than industrialized populations , but levels similar to other subsistence populations . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 1 conclusions 2 : 2 : 4 tsimane 3 the 4 tsimane 4 tsimane 7 levels 4 tsimane 16 levels 4 tsimane 17 similar 6 higher 7 levels 7 levels 8 of 7 levels 15 but 8 of 10 fitness 9 cardiovascular 10 fitness 11 than 12 industrialized 12 industrialized 13 populations 12 industrialized 15 but 14 , 15 but 15 but 16 levels 17 similar 18 to 18 to 21 populations 19 other 21 populations 20 subsistence 21 populations the high vo2 [max] of tsimane is consistent with their high physical activity and few indicators of cardiovascular disease , measured in previous studies . 0 ###LEFT-WALL### 3 vo2 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 25 . 1 the 2 high 2 high 3 vo2 3 vo2 5 of 3 vo2 20 , 5 of 6 tsimane 7 is 8 consistent 7 is 20 , 8 consistent 9 with 9 with 16 indicators 10 their 16 indicators 11 high 16 indicators 12 physical 13 activity 13 activity 14 and 14 and 15 few 14 and 16 indicators 16 indicators 17 of 17 of 19 disease 18 cardiovascular 19 disease 20 , 21 measured 20 , 22 in 22 in 24 studies 23 previous 24 studies [how] faces change across lengthy time periods and whether the changing appearance of a face functions as an identity category was investigated in two experiments . 0 ###LEFT-WALL### 2 faces 0 ###LEFT-WALL### 3 change 0 ###LEFT-WALL### 26 . 2 faces 3 change 3 change 4 across 4 across 6 time 5 lengthy 6 time 6 time 8 and 6 time 22 investigated 7 periods 8 and 8 and 9 whether 8 and 12 appearance 8 and 21 was 8 and 22 investigated 10 the 12 appearance 11 changing 12 appearance 12 appearance 13 of 12 appearance 16 functions 13 of 15 face 14 a 15 face 16 functions 17 as 17 as 20 category 17 as 21 was 18 an 20 category 19 identity 20 category 20 category 21 was 22 investigated 23 in 23 in 25 experiments 24 two 25 experiments in experiment 1 , the faces of 15 individuals were multidimensionally scaled at each of seven age epochs ( [roughly] < 6 months to 75 years of age ) and correlated with the same persons , but at different ages . 0 ###LEFT-WALL### 6 faces 0 ###LEFT-WALL### 30 and 0 ###LEFT-WALL### 41 . 1 in 2 experiment 1 in 4 , 1 in 6 faces 2 experiment 3 1 5 the 6 faces 6 faces 7 of 6 faces 30 and 7 of 9 individuals 8 15 9 individuals 10 were 12 scaled 10 were 30 and 11 multidimensionally 12 scaled 12 scaled 13 at 13 at 14 each 14 each 15 of 15 of 18 epochs 16 seven 18 epochs 17 age 18 epochs 18 epochs 24 to 19 ( 24 to 21 < 22 6 22 6 23 months 23 months 24 to 24 to 26 years 24 to 27 of 24 to 29 ) 25 75 26 years 27 of 28 age 30 and 31 correlated 30 and 37 but 32 with 35 persons 32 with 37 but 33 the 34 same 34 same 35 persons 36 , 37 but 37 but 38 at 38 at 40 ages 39 different 40 ages in experiment 2 , three individuals at each of seven age epochs were multidimensionally scaled , and analyses explored the conceptual structure and transformational path of each person within the space . 0 ###LEFT-WALL### 6 individuals 0 ###LEFT-WALL### 15 scaled 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 32 . 1 in 2 experiment 1 in 4 , 1 in 6 individuals 2 experiment 3 2 5 three 6 individuals 6 individuals 7 at 6 individuals 9 of 6 individuals 13 were 7 at 8 each 9 of 12 epochs 10 seven 12 epochs 11 age 12 epochs 13 were 15 scaled 14 multidimensionally 15 scaled 16 , 17 and 17 and 18 analyses 17 and 19 explored 18 analyses 19 explored 19 explored 23 and 19 explored 29 within 20 the 22 structure 21 conceptual 22 structure 22 structure 23 and 23 and 25 path 23 and 26 of 24 transformational 25 path 26 of 28 person 27 each 28 person 29 within 31 space 30 the 31 space the results revealed that even the earliest age epochs ( < 6 months ) were correlated with the later epochs , except for the most extreme age , with the correlation [highest] at intermediate ages . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 16 correlated 0 ###LEFT-WALL### 36 . 1 the 2 results 2 results 3 revealed 2 results 4 that 2 results 5 even 2 results 15 were 4 that 5 even 5 even 9 epochs 6 the 7 earliest 6 the 9 epochs 8 age 9 epochs 9 epochs 13 months 10 ( 13 months 11 < 12 6 12 6 13 months 13 months 14 ) 15 were 16 correlated 16 correlated 17 with 16 correlated 29 with 16 correlated 33 at 17 with 20 epochs 18 the 20 epochs 19 later 20 epochs 20 epochs 22 except 21 , 22 except 22 except 23 for 22 except 28 , 23 for 27 age 24 the 27 age 25 most 26 extreme 26 extreme 27 age 29 with 31 correlation 30 the 31 correlation 33 at 35 ages 34 intermediate 35 ages transformational paths were found that emerged and terminated at haphazard points in the space . 0 ###LEFT-WALL### 2 paths 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 15 . 1 transformational 2 paths 2 paths 3 were 3 were 7 and 4 found 5 that 4 found 6 emerged 4 found 7 and 5 that 6 emerged 7 and 8 terminated 7 and 9 at 7 and 12 in 9 at 11 points 10 haphazard 11 points 12 in 14 space 13 the 14 space results are discussed in terms of principled change in categories whose members systematically change across their life cycle , including suggestions for the need to incorporate systematic change in current theories of categorization . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 3 discussed 1 results 2 are 2 are 3 discussed 3 discussed 4 in 3 discussed 9 in 4 in 5 terms 5 terms 6 of 6 of 8 change 7 principled 8 change 9 in 10 categories 10 categories 11 whose 11 whose 12 members 12 members 14 change 13 systematically 14 change 14 change 15 across 14 change 18 cycle 16 their 18 cycle 17 life 18 cycle 18 cycle 20 including 19 , 20 including 20 including 21 suggestions 20 including 22 for 20 including 25 to 20 including 34 . 22 for 24 need 23 the 24 need 25 to 26 incorporate 26 incorporate 28 change 26 incorporate 29 in 27 systematic 28 change 29 in 31 theories 30 current 31 theories 31 theories 32 of 32 of 33 categorization the historical underpinnings in the field of gerontology rest on the contributions of scholars across a myriad of racial and ethnic backgrounds . 0 ###LEFT-WALL### 3 underpinnings 0 ###LEFT-WALL### 9 rest 0 ###LEFT-WALL### 23 . 1 the 3 underpinnings 2 historical 3 underpinnings 3 underpinnings 4 in 3 underpinnings 9 rest 4 in 6 field 5 the 6 field 6 field 7 of 7 of 8 gerontology 9 rest 10 on 9 rest 15 across 10 on 12 contributions 11 the 12 contributions 12 contributions 13 of 13 of 14 scholars 15 across 17 myriad 16 a 17 myriad 17 myriad 18 of 18 of 22 backgrounds 19 racial 20 and 20 and 21 ethnic 20 and 22 backgrounds with the increasing diversity of the adult population , there is a need to increase the number of researchers who study older adults from diverse racial and ethnic populations in general and black elderly people in particular . 0 ###LEFT-WALL### 10 there 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 38 . 1 with 3 increasing 1 with 4 diversity 1 with 9 , 1 with 10 there 2 the 3 increasing 4 diversity 5 of 5 of 8 population 6 the 8 population 7 adult 8 population 10 there 11 is 11 is 13 need 12 a 13 need 13 need 14 to 13 need 15 increase 14 to 15 increase 15 increase 17 number 15 increase 24 from 16 the 17 number 17 number 18 of 18 of 19 researchers 19 researchers 20 who 19 researchers 21 study 20 who 21 study 21 study 23 adults 22 older 23 adults 24 from 32 and 25 diverse 29 populations 26 racial 27 and 27 and 28 ethnic 27 and 29 populations 29 populations 31 general 29 populations 32 and 30 in 31 general 32 and 35 people 32 and 37 particular 33 black 35 people 34 elderly 35 people 36 in 37 particular furthermore , it is important to document the participation of black older adults in our earliest and continuing research efforts . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 7 document 0 ###LEFT-WALL### 21 . 1 furthermore 2 , 1 furthermore 3 it 3 it 4 is 4 is 5 important 5 important 6 to 5 important 7 document 6 to 7 document 7 document 17 and 8 the 9 participation 9 participation 10 of 9 participation 17 and 10 of 13 adults 11 black 13 adults 12 older 13 adults 13 adults 14 in 14 in 16 earliest 15 our 16 earliest 17 and 20 efforts 18 continuing 19 research 19 research 20 efforts understanding the historical context and the foundational influence of black scholars in this field is critical . 0 ###LEFT-WALL### 1 understanding 0 ###LEFT-WALL### 15 is 0 ###LEFT-WALL### 17 . 1 understanding 5 and 1 understanding 12 in 1 understanding 15 is 2 the 4 context 3 historical 4 context 4 context 5 and 5 and 8 influence 5 and 9 of 6 the 8 influence 7 foundational 8 influence 9 of 11 scholars 10 black 11 scholars 12 in 14 field 13 this 14 field 15 is 16 critical to realize its humble beginnings , one must become aware of the contributions by black scholars who have a vested interest in the aging process . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 realize 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 26 . 1 to 2 realize 2 realize 5 beginnings 3 its 5 beginnings 4 humble 5 beginnings 6 , 7 one 6 , 9 become 7 one 8 must 8 must 9 become 9 become 10 aware 10 aware 11 of 10 aware 14 by 11 of 13 contributions 12 the 13 contributions 14 by 16 scholars 15 black 16 scholars 16 scholars 17 who 16 scholars 18 have 17 who 18 have 18 have 21 interest 18 have 22 in 19 a 21 interest 20 vested 21 interest 22 in 25 process 23 the 25 process 24 aging 25 process with universal similarities and unique differences among older adults , there is a need to acknowledge the past and current scholarship of those who study the aging processes of blacks while marveling over the future possibilities . 0 ###LEFT-WALL### 1 with 0 ###LEFT-WALL### 12 is 0 ###LEFT-WALL### 37 . 1 with 4 and 1 with 12 is 2 universal 3 similarities 3 similarities 4 and 4 and 6 differences 4 and 10 , 4 and 11 there 5 unique 6 differences 6 differences 7 among 7 among 9 adults 8 older 9 adults 12 is 14 need 13 a 14 need 14 need 15 to 14 need 16 acknowledge 15 to 16 acknowledge 16 acknowledge 19 and 16 acknowledge 33 over 17 the 18 past 18 past 19 and 19 and 21 scholarship 19 and 22 of 19 and 24 who 19 and 25 study 20 current 21 scholarship 22 of 23 those 24 who 25 study 25 study 28 processes 25 study 31 while 26 the 28 processes 27 aging 28 processes 28 processes 29 of 29 of 30 blacks 31 while 32 marveling 33 over 36 possibilities 34 the 36 possibilities 35 future 36 possibilities the purpose of this review is to elucidate the legacy and current contributions , philosophies , and research of black scholars in the field of gerontology . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 27 . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 is 3 of 5 review 4 this 5 review 6 is 7 to 6 is 8 elucidate 7 to 8 elucidate 8 elucidate 17 and 8 elucidate 22 in 9 the 10 legacy 10 legacy 11 and 11 and 13 contributions 11 and 15 philosophies 11 and 17 and 12 current 13 contributions 14 , 15 philosophies 15 philosophies 16 , 17 and 18 research 17 and 19 of 19 of 21 scholars 20 black 21 scholars 22 in 24 field 23 the 24 field 24 field 25 of 25 of 26 gerontology in addition , exploration of the theoretical and conceptual frameworks used to establish national and organizational initiatives is reviewed . 0 ###LEFT-WALL### 4 exploration 0 ###LEFT-WALL### 18 is 0 ###LEFT-WALL### 20 . 1 in 2 addition 1 in 3 , 1 in 4 exploration 4 exploration 5 of 4 exploration 11 used 4 exploration 18 is 5 of 10 frameworks 6 the 10 frameworks 7 theoretical 8 and 8 and 9 conceptual 8 and 10 frameworks 11 used 12 to 12 to 13 establish 13 establish 17 initiatives 14 national 15 and 15 and 16 organizational 15 and 17 initiatives 18 is 19 reviewed the impetus in initiating and continuing this work requires a " knowledge of our roots " while moving into the future . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 22 . 1 the 2 impetus 2 impetus 3 in 2 impetus 5 and 3 in 4 initiating 5 and 6 continuing 5 and 8 work 5 and 18 moving 7 this 8 work 8 work 9 requires 9 requires 12 knowledge 9 requires 17 while 10 a 11 " 10 a 12 knowledge 12 knowledge 13 of 13 of 15 roots 14 our 15 roots 15 roots 16 " 17 while 18 moving 18 moving 19 into 19 into 21 future 20 the 21 future it is important to learn the history and significance of black scholars in gerontology , the contributions of older blacks , and [appreciate] the resiliency and [marveled] life course of this unique population . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 34 . 1 it 2 is 2 is 3 important 3 important 4 to 3 important 5 learn 4 to 5 learn 5 learn 8 and 5 learn 13 in 6 the 7 history 7 history 8 and 8 and 9 significance 9 significance 10 of 10 of 12 scholars 11 black 12 scholars 13 in 26 and 14 gerontology 15 , 15 , 17 contributions 15 , 26 and 16 the 17 contributions 17 contributions 18 of 18 of 22 and 19 older 20 blacks 20 blacks 22 and 21 , 22 and 22 and 25 resiliency 24 the 25 resiliency 26 and 29 course 26 and 30 of 28 life 29 course 30 of 33 population 31 this 33 population 32 unique 33 population objectives : this article analyzes data from interviews with anti - aging practitioners to evaluate how their descriptions of the work they do , their definitions of aging , and their goals for their patients intersect with gerontological views of " successful aging . " 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 evaluate 0 ###LEFT-WALL### 44 . 2 : 4 article 2 : 5 analyzes 3 this 4 article 4 article 5 analyzes 5 analyzes 6 data 5 analyzes 7 from 5 analyzes 14 to 7 from 8 interviews 8 interviews 9 with 9 with 13 practitioners 10 anti 11 - 10 anti 13 practitioners 12 aging 13 practitioners 14 to 15 evaluate 15 evaluate 16 how 16 how 30 and 16 how 36 intersect 17 their 18 descriptions 18 descriptions 19 of 18 descriptions 30 and 19 of 21 work 20 the 21 work 21 work 22 they 21 work 23 do 21 work 26 definitions 22 they 23 do 24 , 26 definitions 25 their 26 definitions 26 definitions 27 of 26 definitions 29 , 27 of 28 aging 29 , 30 and 30 and 32 goals 30 and 33 for 30 and 36 intersect 31 their 32 goals 33 for 35 patients 34 their 35 patients 36 intersect 37 with 37 with 39 views 38 gerontological 39 views 39 views 40 of 40 of 41 " 40 of 43 aging 42 successful 43 aging 44 . 45 " method : semistructured interviews were conducted with a sample of 31 anti - aging practitioners drawn from the directory of the american academy for anti - aging medicine . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 4 interviews 2 : 6 conducted 3 semistructured 4 interviews 4 interviews 5 were 5 were 6 conducted 6 conducted 7 with 7 with 9 sample 8 a 9 sample 9 sample 10 of 10 of 11 31 11 31 12 anti 11 31 27 aging 12 anti 14 aging 13 - 14 aging 14 aging 15 practitioners 14 aging 17 from 14 aging 26 - 15 practitioners 16 drawn 17 from 19 directory 18 the 19 directory 19 directory 20 of 20 of 23 academy 21 the 22 american 22 american 23 academy 23 academy 24 for 24 for 25 anti 27 aging 28 medicine results : qualitative analysis [of] the transcripts demonstrate [that] practitioners ' descriptions of their goals [,] intentionally or unintentionally , mimic the dominant models of " successful aging . " 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 1 results 2 : 2 : 4 analysis 3 qualitative 4 analysis 4 analysis 7 transcripts 4 analysis 20 , 6 the 7 transcripts 7 transcripts 20 , 8 demonstrate 12 descriptions 8 demonstrate 18 or 8 demonstrate 20 , 10 practitioners 11 ' 11 ' 12 descriptions 12 descriptions 13 of 13 of 15 goals 14 their 15 goals 17 intentionally 18 or 18 or 19 unintentionally 20 , 21 mimic 21 mimic 24 models 22 the 24 models 23 dominant 24 models 24 models 25 of 25 of 26 " 25 of 28 aging 27 successful 28 aging 29 . 30 " these include lowered risk of disease and disability , maintenance of high levels of mental and physical function , and continuing social engagement . 0 ###LEFT-WALL### 1 these 0 ###LEFT-WALL### 2 include 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 24 . 1 these 2 include 2 include 4 risk 3 lowered 4 risk 4 risk 5 of 5 of 7 and 6 disease 7 and 7 and 8 disability 9 , 20 and 10 maintenance 11 of 10 maintenance 20 and 11 of 13 levels 12 high 13 levels 13 levels 14 of 14 of 16 and 15 mental 16 and 16 and 18 function 17 physical 18 function 19 , 20 and 20 and 23 engagement 21 continuing 23 engagement 22 social 23 engagement yet , the means and modes of achieving these goals differ markedly between the two groups , as do the messages that each group puts forth in defending their positions . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 11 differ 1 yet 2 , 1 yet 5 and 3 the 4 means 4 means 5 and 5 and 6 modes 5 and 7 of 5 and 11 differ 7 of 8 achieving 8 achieving 10 goals 9 these 10 goals 11 differ 12 markedly 11 differ 13 between 11 differ 18 as 13 between 16 groups 14 the 15 two 15 two 16 groups 17 , 18 as 18 as 19 do 18 as 31 . 19 do 21 messages 20 the 21 messages 21 messages 22 that 21 messages 25 puts 22 that 24 group 22 that 25 puts 23 each 24 group 24 group 25 puts 25 puts 26 forth 25 puts 27 in 27 in 28 defending 28 defending 30 positions 29 their 30 positions discussion : anti - aging practitioners ' adoption of the rhetoric of successful aging reflects the success of successful aging models in shaping popular conceptions of what aging is and an ethos of management and control over the aging process . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 41 . 2 : 3 anti 2 : 4 - 4 - 8 adoption 4 - 15 reflects 5 aging 6 practitioners 6 practitioners 7 ' 7 ' 8 adoption 8 adoption 9 of 8 adoption 12 of 8 adoption 15 reflects 9 of 11 rhetoric 10 the 11 rhetoric 12 of 14 aging 13 successful 14 aging 15 reflects 35 and 15 reflects 37 over 16 the 17 success 17 success 18 of 17 success 26 of 17 success 30 and 18 of 21 models 19 successful 21 models 20 aging 21 models 21 models 22 in 22 in 23 shaping 23 shaping 25 conceptions 24 popular 25 conceptions 26 of 27 what 27 what 28 aging 27 what 29 is 28 aging 29 is 30 and 32 ethos 30 and 33 of 30 and 35 and 31 an 32 ethos 33 of 34 management 35 and 36 control 37 over 40 process 38 the 40 process 39 aging 40 process the overlap between anti - aging and successful aging rhetoric also highlights some of the most problematic social , cultural , and economic consequences of efforts made to reconceptualize old age . 0 ###LEFT-WALL### 2 overlap 0 ###LEFT-WALL### 12 highlights 0 ###LEFT-WALL### 32 . 1 the 2 overlap 2 overlap 3 between 2 overlap 12 highlights 3 between 7 and 4 anti 5 - 4 anti 6 aging 6 aging 7 and 7 and 8 successful 7 and 9 aging 9 aging 10 rhetoric 9 aging 11 also 12 highlights 24 consequences 12 highlights 28 to 13 some 14 of 13 some 24 consequences 14 of 24 consequences 15 the 24 consequences 16 most 17 problematic 17 problematic 24 consequences 18 social 19 , 19 , 20 cultural 19 , 22 and 21 , 22 and 22 and 23 economic 22 and 24 consequences 24 consequences 25 of 24 consequences 27 made 25 of 26 efforts 28 to 29 reconceptualize 29 reconceptualize 31 age 30 old 31 age [none] predicting recovery following muscle injury can be difficult because it involves consideration of multiple factors . 0 ###LEFT-WALL### 3 recovery 0 ###LEFT-WALL### 8 be 0 ###LEFT-WALL### 17 . 2 predicting 3 recovery 3 recovery 4 following 3 recovery 7 can 4 following 6 injury 5 muscle 6 injury 7 can 8 be 8 be 9 difficult 9 difficult 10 because 10 because 11 it 10 because 12 involves 11 it 12 involves 12 involves 13 consideration 13 consideration 14 of 14 of 16 factors 15 multiple 16 factors our objective was to determine if psychological factors , sex , and peak pain and disability ratings could be predictive of delayed recovery following induced muscle injury . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 28 . 1 our 2 objective 2 objective 3 was 3 was 4 to 3 was 5 determine 4 to 5 determine 5 determine 6 if 5 determine 24 following 5 determine 25 induced 6 if 15 and 6 if 19 be 7 psychological 8 factors 8 factors 9 , 9 , 10 sex 9 , 12 and 11 , 12 and 12 and 14 pain 12 and 15 and 13 peak 14 pain 15 and 17 ratings 15 and 18 could 16 disability 17 ratings 18 could 19 be 19 be 20 predictive 21 of 23 recovery 21 of 24 following 22 delayed 23 recovery 24 following 25 induced 25 induced 27 injury 26 muscle 27 injury healthy untrained volunteers ( n=126 [;] m:f 51:75 ) underwent a concentric/eccentric isokinetic exercise protocol on their dominant shoulder to induce fatigue , with individuals who reported pain ( >0/10 ) at 96 h being classified as " [not] recovered " . 0 ###LEFT-WALL### 3 volunteers 0 ###LEFT-WALL### 10 underwent 1 healthy 3 volunteers 2 untrained 3 volunteers 3 volunteers 7 m:f 3 volunteers 10 underwent 4 ( 7 m:f 5 n=126 7 m:f 7 m:f 8 51:75 7 m:f 9 ) 10 underwent 15 protocol 10 underwent 16 on 10 underwent 20 to 11 a 12 concentric/eccentric 11 a 15 protocol 12 concentric/eccentric 14 exercise 13 isokinetic 14 exercise 14 exercise 15 protocol 16 on 19 shoulder 17 their 19 shoulder 18 dominant 19 shoulder 20 to 21 induce 21 induce 22 fatigue 21 induce 24 with 21 induce 32 at 23 , 24 with 24 with 25 individuals 24 with 31 ) 25 individuals 26 who 25 individuals 27 reported 25 individuals 30 >0/10 26 who 27 reported 27 reported 28 pain 29 ( 30 >0/10 30 >0/10 31 ) 32 at 35 being 33 96 34 h 34 h 35 being 35 being 36 classified 35 being 40 recovered 36 classified 37 as 37 as 38 " 37 as 40 recovered 40 recovered 41 " 40 recovered 42 . individuals experiencing pain at 48 h were more likely not to be recovered [(] o.r.=1.62 , p<0.001 ) . 0 ###LEFT-WALL### 1 individuals 0 ###LEFT-WALL### 12 be 0 ###LEFT-WALL### 19 . 1 individuals 2 experiencing 1 individuals 7 were 2 experiencing 3 pain 2 experiencing 4 at 4 at 6 h 5 48 6 h 7 were 9 likely 8 more 9 likely 9 likely 11 to 10 not 11 to 11 to 12 be 12 be 15 o.r.=1.62 13 recovered 15 o.r.=1.62 15 o.r.=1.62 17 p<0.001 16 , 17 p<0.001 17 p<0.001 18 ) additionally , individuals with higher scores in pain catastrophizing at 48 h were more likely to experience pain at 96 h ( o.r.=1.06 , p<0.001 ) . 0 ###LEFT-WALL### 3 individuals 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 27 . 1 additionally 2 , 1 additionally 3 individuals 3 individuals 4 with 3 individuals 13 were 4 with 6 scores 5 higher 6 scores 6 scores 7 in 7 in 9 catastrophizing 8 pain 9 catastrophizing 9 catastrophizing 10 at 10 at 12 h 11 48 12 h 13 were 15 likely 14 more 15 likely 15 likely 16 to 15 likely 17 experience 16 to 17 experience 17 experience 18 pain 18 pain 19 at 18 pain 23 o.r.=1.06 18 pain 25 p<0.001 19 at 21 h 20 96 21 h 22 ( 23 o.r.=1.06 23 o.r.=1.06 24 , 24 , 25 p<0.001 25 p<0.001 26 ) pain duration ( in days ) was associated with pain scores at 48 h [(] β=0.385 , p<0.001 ) and baseline anxiety ( β=0.220 , p=0.007 ) . 0 ###LEFT-WALL### 2 duration 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 28 . 1 pain 2 duration 2 duration 4 in 2 duration 7 was 3 ( 4 in 4 in 5 days 4 in 6 ) 7 was 8 associated 8 associated 9 with 9 with 20 and 10 pain 11 scores 11 scores 12 at 11 scores 20 and 12 at 16 β=0.385 13 48 14 h 14 h 16 β=0.385 16 β=0.385 18 p<0.001 17 , 18 p<0.001 18 p<0.001 19 ) 20 and 22 anxiety 20 and 26 p=0.007 21 baseline 22 anxiety 23 ( 26 p=0.007 24 β=0.220 25 , 24 β=0.220 26 p=0.007 26 p=0.007 27 ) fear of movement/re - injury at 96 h [was] found to be associated with pain catastrophizing at 48 h ( β=0.537 , p<0.001 ) and baseline levels of fear of pain ( β=0.217 , p=0.004 ) . 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 37 . 1 fear 2 of 1 fear 10 found 1 fear 25 and 2 of 5 injury 3 movement/re 4 - 3 movement/re 5 injury 5 injury 6 at 6 at 8 h 7 96 8 h 10 found 11 to 10 found 14 with 11 to 12 be 12 be 13 associated 14 with 16 catastrophizing 15 pain 16 catastrophizing 16 catastrophizing 17 at 16 catastrophizing 23 p<0.001 17 at 19 h 18 48 19 h 20 ( 23 p<0.001 21 β=0.537 22 , 21 β=0.537 23 p<0.001 23 p<0.001 24 ) 25 and 27 levels 25 and 28 of 25 and 35 p=0.004 26 baseline 27 levels 28 of 29 fear 29 fear 30 of 29 fear 33 β=0.217 30 of 31 pain 32 ( 33 β=0.217 33 β=0.217 34 , 34 , 35 p=0.004 35 p=0.004 36 ) this study provides preliminary evidence that higher pain levels and pain catastrophizing following acute muscle injury are associated with poor recovery , higher fear of movement/re - injury and longer pain duration . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 33 . 1 this 2 study 2 study 3 provides 3 provides 5 evidence 3 provides 19 with 4 preliminary 5 evidence 5 evidence 6 that 5 evidence 18 associated 6 that 10 and 6 that 18 associated 7 higher 8 pain 8 pain 9 levels 9 levels 10 and 10 and 11 pain 10 and 12 catastrophizing 10 and 13 following 10 and 17 are 13 following 16 injury 14 acute 15 muscle 15 muscle 16 injury 17 are 18 associated 19 with 21 recovery 20 poor 21 recovery 22 , 32 duration 23 higher 31 pain 24 fear 25 of 24 fear 29 and 25 of 28 injury 26 movement/re 27 - 26 movement/re 28 injury 29 and 30 longer 29 and 31 pain 31 pain 32 duration background and objective : renal disease is a common complication in hiv - infected patients . 0 ###LEFT-WALL### 3 objective 0 ###LEFT-WALL### 4 : 1 background 2 and 2 and 3 objective 4 : 6 disease 4 : 7 is 4 : 13 - 5 renal 6 disease 6 disease 7 is 7 is 10 complication 8 a 9 common 8 a 10 complication 9 common 10 complication 10 complication 11 in 11 in 12 hiv 13 - 15 patients 13 - 16 . 14 infected 15 patients the causes and spectrum [of] kidney disease among these patients is extensive , including hiv - related [and] hiv unrelated causes . 0 ###LEFT-WALL### 7 disease 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 17 related 1 the 2 causes 2 causes 3 and 3 and 4 spectrum 3 and 7 disease 6 kidney 7 disease 7 disease 8 among 7 disease 11 is 8 among 10 patients 9 these 10 patients 11 is 12 extensive 12 extensive 14 including 13 , 14 including 14 including 15 hiv 14 including 16 - 16 - 17 related 17 related 21 causes 17 related 22 . 19 hiv 21 causes 20 unrelated 21 causes our objective was to assess the changes in distribution of renal disease under antiretroviral therapy ( art ) . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 19 . 1 our 2 objective 2 objective 3 was 3 was 4 to 3 was 5 assess 4 to 5 assess 5 assess 7 changes 5 assess 8 in 5 assess 13 under 6 the 7 changes 8 in 9 distribution 9 distribution 10 of 10 of 12 disease 11 renal 12 disease 13 under 15 therapy 14 antiretroviral 15 therapy 15 therapy 17 art 16 ( 17 art 17 art 18 ) patients and methods : retrospective analysis of all patients from the frankfurt hiv cohort ( fhc ) who underwent renal [biopsy] because of chronic , progressive renal disease between 1989 and 2012 . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 33 . 1 patients 2 and 2 and 3 methods 4 : 6 analysis 5 retrospective 6 analysis 6 analysis 7 of 6 analysis 18 who 6 analysis 19 underwent 6 analysis 20 renal 7 of 9 patients 8 all 9 patients 9 patients 10 from 9 patients 16 fhc 10 from 14 cohort 11 the 14 cohort 12 frankfurt 13 hiv 13 hiv 14 cohort 15 ( 16 fhc 16 fhc 17 ) 18 who 19 underwent 20 renal 23 of 22 because 23 of 23 of 28 disease 24 chronic 25 , 24 chronic 28 disease 26 progressive 28 disease 27 renal 28 disease 28 disease 29 between 29 between 31 and 30 1989 31 and 31 and 32 2012 two time periods were defined : 1989 - 2001 ( early period ) [and] 2000 - 2012 ( late [period] ) . 0 ###LEFT-WALL### 2 time 0 ###LEFT-WALL### 6 : 0 ###LEFT-WALL### 22 . 1 two 2 time 2 time 3 periods 2 time 5 defined 2 time 6 : 3 periods 4 were 4 were 5 defined 6 : 8 - 6 : 16 - 6 : 19 late 7 1989 8 - 8 - 9 2001 8 - 12 period 10 ( 12 period 11 early 12 period 12 period 13 ) 15 2000 16 - 16 - 17 2012 18 ( 19 late 19 late 21 ) results : 69 hiv - infected patients , mostly caucasian and male , underwent [renal] [biopsy] ( early period : 22 patients , late period : 47 patients [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 : 0 ###LEFT-WALL### 30 )( 1 results 2 : 2 : 3 69 3 69 4 hiv 3 69 14 underwent 3 69 19 period 4 hiv 7 patients 4 hiv 11 and 4 hiv 14 underwent 5 - 7 patients 6 infected 7 patients 7 patients 8 , 8 , 9 mostly 8 , 11 and 10 caucasian 11 and 11 and 12 male 11 and 13 , 17 ( 19 period 18 early 19 period 19 period 20 : 20 : 22 patients 20 : 23 , 21 22 22 patients 23 , 25 period 23 , 26 : 24 late 25 period 26 : 28 patients 27 47 28 patients during the total observation time immuncomplex - mediated glomerulonephritis ( 26.1 % ) , hypertensive ( 20.3 % ) [and] diabetic nephropathy ( 20.3 % ) were the most frequent causes of chronic renal disease . 0 ###LEFT-WALL### 9 glomerulonephritis 0 ###LEFT-WALL### 27 were 0 ###LEFT-WALL### 36 . 1 during 5 time 1 during 9 glomerulonephritis 2 the 5 time 3 total 4 observation 4 observation 5 time 6 immuncomplex 7 - 6 immuncomplex 9 glomerulonephritis 8 mediated 9 glomerulonephritis 9 glomerulonephritis 12 % 9 glomerulonephritis 22 nephropathy 9 glomerulonephritis 27 were 10 ( 12 % 11 26.1 12 % 12 % 13 ) 14 , 22 nephropathy 15 hypertensive 18 % 15 hypertensive 19 ) 15 hypertensive 22 nephropathy 16 ( 18 % 17 20.3 18 % 18 % 19 ) 21 diabetic 22 nephropathy 22 nephropathy 25 % 22 nephropathy 26 ) 23 ( 25 % 24 20.3 25 % 25 % 26 ) 27 were 31 causes 28 the 29 most 29 most 31 causes 30 frequent 31 causes 31 causes 32 of 32 of 35 disease 33 chronic 35 disease 34 renal 35 disease hiv - associated renal diseases were predominant in the first period , whereas hypertensive and diabetic kidney disease accounted for almost 50 % of cases diagnosed in the late period . 0 ###LEFT-WALL### 5 diseases 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 20 for 0 ###LEFT-WALL### 31 . 1 hiv 2 - 1 hiv 5 diseases 3 associated 5 diseases 4 renal 5 diseases 5 diseases 6 were 6 were 7 predominant 6 were 13 whereas 7 predominant 8 in 8 in 11 period 9 the 10 first 9 the 11 period 12 , 13 whereas 13 whereas 18 disease 14 hypertensive 15 and 15 and 16 diabetic 15 and 17 kidney 17 kidney 18 disease 18 disease 20 for 19 accounted 20 for 20 for 23 % 21 almost 22 50 22 50 23 % 23 % 24 of 23 % 26 diagnosed 24 of 25 cases 26 diagnosed 27 in 27 in 30 period 28 the 30 period 29 late 30 period other types of renal disease frequently encountered during the late period include renal aa - amyloidosis and tenofovir - related kidney disease . 0 ###LEFT-WALL### 2 types 0 ###LEFT-WALL### 12 include 0 ###LEFT-WALL### 20 related 1 other 2 types 2 types 3 of 2 types 12 include 3 of 5 disease 4 renal 5 disease 5 disease 7 encountered 6 frequently 7 encountered 7 encountered 8 during 8 during 11 period 9 the 11 period 10 late 11 period 12 include 14 aa 13 renal 14 aa 14 aa 17 and 15 - 17 and 16 amyloidosis 17 and 17 and 18 tenofovir 17 and 19 - 19 - 20 related 20 related 22 disease 20 related 23 . 21 kidney 22 disease conclusion : the underlying pathology of renal disease in hiv [-] infected patients is highly variable and evolving . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 2 : 5 pathology 2 : 14 is 3 the 5 pathology 4 underlying 5 pathology 5 pathology 6 of 5 pathology 14 is 6 of 8 disease 7 renal 8 disease 8 disease 9 in 9 in 13 patients 10 hiv 12 infected 12 infected 13 patients 14 is 15 highly 14 is 17 and 16 variable 17 and 17 and 18 evolving since the introduction of haart , renal disease not directly related to hiv has become the predominant cause , reflecting the growing burden of co - morbidities in this aging population . 0 ###LEFT-WALL### 8 disease 0 ###LEFT-WALL### 15 become 1 since 3 introduction 1 since 6 , 1 since 8 disease 2 the 3 introduction 3 introduction 4 of 4 of 5 haart 7 renal 8 disease 8 disease 9 not 8 disease 14 has 9 not 11 related 10 directly 11 related 11 related 12 to 12 to 13 hiv 14 has 15 become 15 become 18 cause 15 become 20 reflecting 16 the 18 cause 17 predominant 18 cause 19 , 20 reflecting 20 reflecting 23 burden 20 reflecting 32 . 21 the 23 burden 22 growing 23 burden 23 burden 24 of 24 of 27 morbidities 25 co 26 - 25 co 27 morbidities 27 morbidities 28 in 28 in 31 population 29 this 31 population 30 aging 31 population proximal humerus fractures are among the most common fractures associated with osteoporosis . 0 ###LEFT-WALL### 3 fractures 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 13 . 1 proximal 2 humerus 2 humerus 3 fractures 3 fractures 4 are 4 are 5 among 5 among 9 fractures 6 the 7 most 7 most 9 fractures 8 common 9 fractures 9 fractures 10 associated 10 associated 11 with 11 with 12 osteoporosis with an aging population [,] incidence of these fractures will only increase . 0 ###LEFT-WALL### 9 fractures 0 ###LEFT-WALL### 12 increase 0 ###LEFT-WALL### 13 . 1 with 6 incidence 1 with 9 fractures 2 an 6 incidence 3 aging 4 population 4 population 6 incidence 6 incidence 7 of 7 of 8 these 9 fractures 10 will 10 will 12 increase 11 only 12 increase the proximal humerus not only forms the lateral portion of the shoulder articulation but also has significant associations with musculoskeletal and neurovascular structures . 0 ###LEFT-WALL### 3 humerus 0 ###LEFT-WALL### 15 also 0 ###LEFT-WALL### 24 . 1 the 3 humerus 2 proximal 3 humerus 3 humerus 15 also 4 not 5 only 5 only 15 also 6 forms 9 portion 6 forms 15 also 7 the 9 portion 8 lateral 9 portion 9 portion 10 of 10 of 13 articulation 11 the 13 articulation 12 shoulder 13 articulation 14 but 15 also 15 also 16 has 16 has 18 associations 16 has 19 with 17 significant 18 associations 19 with 23 structures 20 musculoskeletal 21 and 21 and 22 neurovascular 21 and 23 structures as a result , fractures of the proximal humerus can significantly impact not only the function of the shoulder joint , but the health and function of the entire upper extremity as well . 0 ###LEFT-WALL### 5 fractures 0 ###LEFT-WALL### 12 impact 0 ###LEFT-WALL### 34 . 1 as 3 result 1 as 4 , 1 as 5 fractures 2 a 3 result 5 fractures 6 of 5 fractures 10 can 6 of 9 humerus 7 the 9 humerus 8 proximal 9 humerus 10 can 12 impact 11 significantly 12 impact 12 impact 22 but 12 impact 33 well 13 not 14 only 14 only 22 but 15 the 16 function 16 function 17 of 16 function 22 but 17 of 20 joint 18 the 20 joint 19 shoulder 20 joint 21 , 22 but 22 but 31 extremity 23 the 24 health 24 health 25 and 25 and 26 function 25 and 27 of 25 and 31 extremity 27 of 30 upper 28 the 30 upper 29 entire 30 upper 32 as 33 well understanding of these fractures , the management options , and associated nursing care , can help reduce morbidity [rate] and improve functional outcomes . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 13 care 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 24 . 1 understanding 2 of 1 understanding 10 and 2 of 4 fractures 3 these 4 fractures 4 fractures 8 options 5 , 8 options 6 the 8 options 7 management 8 options 8 options 9 , 10 and 12 nursing 10 and 13 care 11 associated 12 nursing 14 , 20 and 15 can 16 help 15 can 20 and 16 help 17 reduce 17 reduce 18 morbidity 20 and 21 improve 21 improve 23 outcomes 22 functional 23 outcomes introduction : it is well known that the prevalence of atrial fibrillation ( af ) increases with age . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 2 : 3 it 2 : 4 is 2 : 19 . 3 it 4 is 4 is 5 well 4 is 7 that 5 well 6 known 7 that 9 prevalence 7 that 16 increases 8 the 9 prevalence 9 prevalence 10 of 9 prevalence 16 increases 10 of 12 fibrillation 11 atrial 12 fibrillation 12 fibrillation 14 af 13 ( 14 af 14 af 15 ) 16 increases 17 with 17 with 18 age the purpose was to evaluate the impact of af at the 1 [-] year outcome of patients aged 80 ? who suffered from chronic heart failure ( chf ) . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 20 ? 1 the 2 purpose 2 purpose 3 was 3 was 4 to 3 was 18 aged 4 to 5 evaluate 5 evaluate 7 impact 5 evaluate 10 at 6 the 7 impact 7 impact 8 of 8 of 9 af 10 at 15 outcome 11 the 15 outcome 12 1 14 year 14 year 15 outcome 15 outcome 16 of 16 of 17 patients 18 aged 19 80 20 ? 21 who 20 ? 22 suffered 20 ? 30 . 21 who 22 suffered 22 suffered 23 from 23 from 26 failure 24 chronic 26 failure 25 heart 26 failure 26 failure 28 chf 27 ( 28 chf 28 chf 29 ) materials and methods : the study included 220 consecutive patients at age 80 – 92 ( mean 82.8 years , 45.5 % men ) hospitalized for heart failure . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 6 study 4 : 7 included 5 the 6 study 6 study 7 included 7 included 10 patients 8 220 10 patients 9 consecutive 10 patients 10 patients 11 at 11 at 12 age 12 age 13 80 12 age 15 92 14 – 15 92 15 92 17 mean 15 92 29 . 16 ( 17 mean 17 mean 18 82.8 17 mean 19 years 17 mean 25 hospitalized 17 mean 29 . 19 years 23 men 19 years 25 hospitalized 20 , 23 men 21 45.5 23 men 22 % 23 men 23 men 24 ) 25 hospitalized 26 for 26 for 28 failure 27 heart 28 failure the prospective analysis contains demographic and clinical data , basic laboratory tests with hstnt and nt - probnp , 12 - lead resting electrocardiogram , echocardiography and coronary angiography results and the number of deaths at the 1 - year followup . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 4 contains 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 42 . 1 the 3 analysis 2 prospective 3 analysis 3 analysis 4 contains 4 contains 6 and 4 contains 8 data 5 demographic 6 and 6 and 7 clinical 9 , 12 tests 9 , 18 probnp 9 , 19 , 10 basic 11 laboratory 11 laboratory 12 tests 12 tests 13 with 12 tests 18 probnp 13 with 15 and 14 hstnt 15 and 15 and 16 nt 15 and 17 - 19 , 20 12 19 , 21 - 19 , 25 , 20 12 21 - 21 - 24 electrocardiogram 22 lead 24 electrocardiogram 23 resting 24 electrocardiogram 25 , 31 and 25 , 39 - 26 echocardiography 27 and 27 and 30 results 27 and 31 and 28 coronary 30 results 29 angiography 30 results 31 and 33 number 31 and 34 of 32 the 33 number 34 of 35 deaths 35 deaths 36 at 36 at 38 1 37 the 38 1 39 - 41 followup 40 year 41 followup patients were analyzed depending on af in the resting electrocardiogram at hospital entry . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 14 . 1 patients 2 were 2 were 4 depending 2 were 5 on 2 were 7 in 2 were 11 at 3 analyzed 4 depending 5 on 6 af 7 in 10 electrocardiogram 8 the 10 electrocardiogram 9 resting 10 electrocardiogram 11 at 13 entry 12 hospital 13 entry results : af was recorded in 52 patients ( 24 % ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 af 2 : 5 recorded 2 : 13 . 3 af 4 was 4 was 5 recorded 5 recorded 6 in 6 in 8 patients 7 52 8 patients 8 patients 11 % 9 ( 11 % 10 24 11 % 11 % 12 ) annual mortality was 13 % and was higher if af occurred [(] 17 % [ )( 0 ###LEFT-WALL### 2 mortality 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 16 )( 1 annual 2 mortality 2 mortality 6 and 3 was 5 % 3 was 6 and 4 13 5 % 6 and 7 was 6 and 14 % 7 was 8 higher 8 higher 9 if 9 if 10 af 9 if 11 occurred 10 af 11 occurred 13 17 14 % however , there was no association between deaths and af ( p = 0.3297 ) . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 16 . 1 however 2 , 1 however 3 there 3 there 4 was 4 was 6 association 5 no 6 association 6 association 7 between 7 between 9 and 8 deaths 9 and 9 and 10 af 10 af 13 = 11 ( 13 = 12 p 13 = 13 = 14 0.3297 13 = 15 ) [from] the multivariate stepwise analysis , independent risk factors [for] annual mortality [were] male gender ( or [=] 3.432 [;] p = 0.043 ) , left [ventricular] systolic dimension ( or [=] 1.871 [;] p = 0.004 ) and dyslipidemia [(] or = 0.252 [;] p = 0.043 ) . 0 ###LEFT-WALL### 5 analysis 0 ###LEFT-WALL### 6 , 2 the 5 analysis 3 multivariate 5 analysis 4 stepwise 5 analysis 6 , 15 gender 7 independent 15 gender 8 risk 12 mortality 9 factors 11 annual 11 annual 12 mortality 12 mortality 15 gender 14 male 15 gender 15 gender 17 or 15 gender 26 left 16 ( 17 or 17 or 19 3.432 17 or 22 = 17 or 25 , 21 p 22 = 22 = 23 0.043 22 = 24 ) 26 left 29 dimension 28 systolic 29 dimension 29 dimension 39 and 30 ( 39 and 31 or 36 = 31 or 39 and 33 1.871 36 = 35 p 36 = 36 = 37 0.004 36 = 38 ) 39 and 40 dyslipidemia 39 and 42 or 39 and 43 = 39 and 47 = 39 and 50 . 42 or 43 = 44 0.252 47 = 46 p 47 = 47 = 48 0.043 47 = 49 ) conclusions : in the oldest patients aged 80 ? who suffered from chf , the incidence of atrial fibrillation and annual mortality was high . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 ? 0 ###LEFT-WALL### 25 . 1 conclusions 2 : 2 : 3 in 2 : 7 aged 3 in 6 patients 4 the 5 oldest 4 the 6 patients 7 aged 8 80 9 ? 10 who 9 ? 11 suffered 10 who 11 suffered 11 suffered 12 from 11 suffered 24 high 12 from 20 and 13 chf 14 , 14 , 16 incidence 14 , 20 and 15 the 16 incidence 16 incidence 17 of 17 of 19 fibrillation 18 atrial 19 fibrillation 20 and 21 annual 20 and 22 mortality 20 and 23 was 22 mortality 23 was the independent variables , which enhanced the risk of death at the 1 - [year] follow - up , were male sex and left [ventricular] systolic dimension , but not atrial fibrillation . 0 ###LEFT-WALL### 3 variables 0 ###LEFT-WALL### 16 follow 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 33 . 1 the 3 variables 2 independent 3 variables 3 variables 5 which 3 variables 16 follow 4 , 5 which 5 which 6 enhanced 5 which 14 - 6 enhanced 8 risk 7 the 8 risk 8 risk 9 of 9 of 10 death 10 death 11 at 11 at 13 1 12 the 13 1 16 follow 18 up 17 - 18 up 18 up 19 , 19 , 28 , 20 were 23 and 20 were 28 , 21 male 22 sex 22 sex 23 and 23 and 27 dimension 24 left 27 dimension 26 systolic 27 dimension 28 , 30 not 29 but 30 not 30 not 32 fibrillation 31 atrial 32 fibrillation background : the aging process is accompanied by physiological changes including reduced glomerular filtration and hepatic function , as well as changes in gastric secretions . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 5 process 2 : 7 accompanied 3 the 5 process 4 aging 5 process 5 process 6 is 6 is 7 accompanied 7 accompanied 8 by 7 accompanied 21 as 8 by 10 changes 9 physiological 10 changes 10 changes 11 including 11 including 15 and 12 reduced 14 filtration 13 glomerular 14 filtration 14 filtration 15 and 15 and 17 function 15 and 18 , 16 hepatic 17 function 19 as 20 well 20 well 21 as 21 as 22 changes 22 changes 23 in 23 in 25 secretions 24 gastric 25 secretions to investigate what effect would [aging] have on the disposition of capecitabine and its metabolites , the pharmacokinetics between patients ≥70 years and < 60 years were compared in swog0030 . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 investigate 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 31 . 1 to 2 investigate 2 investigate 3 what 2 investigate 8 on 3 what 4 effect 3 what 7 have 4 effect 5 would 5 would 7 have 8 on 13 and 9 the 10 disposition 10 disposition 11 of 10 disposition 13 and 11 of 12 capecitabine 13 and 15 metabolites 14 its 15 metabolites 16 , 18 pharmacokinetics 16 , 21 ≥70 16 , 23 and 17 the 18 pharmacokinetics 18 pharmacokinetics 19 between 18 pharmacokinetics 21 ≥70 19 between 20 patients 21 ≥70 22 years 23 and 26 years 23 and 28 compared 24 < 26 years 25 60 26 years 26 years 27 were 27 were 28 compared 28 compared 29 in 29 in 30 swog0030 methods : twenty - nine unresectable colorectal cancer patients were stratified to either ≥70 or < 60 years of age , where the disposition of capecitabine and its metabolites were compared . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 9 patients 2 : 11 stratified 3 twenty 4 - 4 - 5 nine 4 - 9 patients 6 unresectable 9 patients 7 colorectal 8 cancer 8 cancer 9 patients 9 patients 10 were 10 were 11 stratified 11 stratified 12 to 11 stratified 22 where 12 to 15 or 13 either 14 ≥70 14 ≥70 15 or 15 or 18 years 15 or 21 , 16 < 17 60 17 60 18 years 18 years 19 of 19 of 20 age 22 where 27 and 22 where 31 compared 23 the 24 disposition 24 disposition 25 of 24 disposition 27 and 25 of 26 capecitabine 27 and 29 metabolites 27 and 30 were 28 its 29 metabolites 30 were 31 compared 31 compared 32 . results : notable increase in capecitabine area under the curve ( auc ) was accompanied by reduction in capecitabine clearance in ≥70 years patients ( p<0.05 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 increase 2 : 28 . 3 notable 4 increase 4 increase 5 in 5 in 6 capecitabine 6 capecitabine 7 area 6 capecitabine 14 was 6 capecitabine 15 accompanied 7 area 8 under 7 area 12 auc 7 area 14 was 8 under 10 curve 9 the 10 curve 11 ( 12 auc 12 auc 13 ) 15 accompanied 16 by 15 accompanied 18 in 15 accompanied 21 in 16 by 17 reduction 18 in 20 clearance 19 capecitabine 20 clearance 21 in 24 patients 22 ≥70 24 patients 23 years 24 patients 24 patients 26 p<0.05 25 ( 26 p<0.05 26 p<0.05 27 ) these results suggest that metabolic enzymes involved in converting capecitabine metabolites are not altered by age . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 17 . 1 these 2 results 2 results 3 suggest 3 suggest 4 that 4 that 6 enzymes 4 that 12 are 5 metabolic 6 enzymes 6 enzymes 7 involved 6 enzymes 8 in 6 enzymes 12 are 8 in 9 converting 9 converting 11 metabolites 10 capecitabine 11 metabolites 12 are 13 not 12 are 15 by 13 not 14 altered 15 by 16 age an elevation in capecitabine cmax and reduction in clearance was seen in females , where capecitabine auc was 40.3 % higher in women . 0 ###LEFT-WALL### 2 elevation 0 ###LEFT-WALL### 11 seen 1 an 2 elevation 2 elevation 3 in 2 elevation 10 was 3 in 6 and 4 capecitabine 5 cmax 5 cmax 6 and 6 and 7 reduction 6 and 8 in 8 in 9 clearance 10 was 11 seen 11 seen 12 in 12 in 13 females 13 females 15 where 14 , 15 where 15 where 17 auc 15 where 18 was 15 where 24 . 16 capecitabine 17 auc 17 auc 18 was 18 was 20 % 19 40.3 20 % 20 % 21 higher 21 higher 22 in 22 in 23 women elevation of dfur cmax ( 45 % ) and auc ( 46 % ) ( p<0.05 ) was also noted , suggesting that cda activity may be higher in females . 0 ###LEFT-WALL### 10 auc 0 ###LEFT-WALL### 20 noted 1 elevation 2 of 1 elevation 9 and 2 of 4 cmax 3 dfur 4 cmax 4 cmax 7 % 5 ( 7 % 6 45 7 % 7 % 8 ) 9 and 10 auc 10 auc 13 % 10 auc 16 p<0.05 10 auc 18 was 11 ( 13 % 12 46 13 % 13 % 14 ) 15 ( 16 p<0.05 16 p<0.05 17 ) 18 was 20 noted 19 also 20 noted 20 noted 22 suggesting 21 , 22 suggesting 22 suggesting 23 that 22 suggesting 31 . 23 that 25 activity 23 that 27 be 24 cda 25 activity 25 activity 26 may 26 may 27 be 27 be 28 higher 28 higher 29 in 29 in 30 females conclusion : increases in capecitabine cmax and auc was observed in patients ≥70 years when compared with younger patients who were >60 years . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 3 increases 3 increases 4 in 3 increases 10 observed 4 in 5 capecitabine 5 capecitabine 8 auc 5 capecitabine 9 was 6 cmax 7 and 7 and 8 auc 8 auc 9 was 10 observed 11 in 10 observed 15 when 11 in 14 years 12 patients 14 years 13 ≥70 14 years 15 when 16 compared 16 compared 17 with 17 with 19 patients 18 younger 19 patients 19 patients 20 who 19 patients 21 were 20 who 21 were 21 were 23 years 22 >60 23 years background & aims : screening the population for colorectal cancer ( crc ) by colonoscopy could reduce the disease burden . 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 21 . 1 background 2 & 2 & 3 aims 3 aims 4 : 4 : 5 screening 5 screening 7 population 5 screening 17 reduce 6 the 7 population 7 population 8 for 7 population 14 by 7 population 16 could 8 for 10 cancer 9 colorectal 10 cancer 10 cancer 12 crc 11 ( 12 crc 12 crc 13 ) 14 by 15 colonoscopy 16 could 17 reduce 17 reduce 20 burden 18 the 20 burden 19 disease 20 burden however , targeted screening of individuals at high risk could increase its cost effectiveness . 0 ###LEFT-WALL### 4 screening 0 ###LEFT-WALL### 11 increase 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 4 screening 3 targeted 4 screening 4 screening 5 of 4 screening 10 could 5 of 6 individuals 6 individuals 7 at 7 at 9 risk 8 high 9 risk 10 could 11 increase 11 increase 14 effectiveness 12 its 14 effectiveness 13 cost 14 effectiveness methods : we developed a scoring system to identify individuals with at least 1 advanced adenoma , based on easy - to [-] collect risk factors among 7891 participants of the german screening colonoscopy program . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 developed 3 we 4 developed 4 developed 7 system 5 a 7 system 6 scoring 7 system 7 system 8 to 7 system 19 on 7 system 20 easy 8 to 17 , 9 identify 10 individuals 9 identify 17 , 10 individuals 11 with 10 individuals 15 advanced 11 with 14 1 12 at 13 least 13 least 14 1 15 advanced 16 adenoma 17 , 18 based 17 , 19 on 20 easy 22 to 21 - 22 to 22 to 24 collect 22 to 36 . 24 collect 26 factors 24 collect 27 among 25 risk 26 factors 27 among 29 participants 28 7891 29 participants 29 participants 30 of 30 of 35 program 31 the 35 program 32 german 35 program 33 screening 34 colonoscopy 34 colonoscopy 35 program the system was validated in an independent sample of 3519 participants . 0 ###LEFT-WALL### 2 system 0 ###LEFT-WALL### 4 validated 0 ###LEFT-WALL### 12 . 1 the 2 system 2 system 3 was 3 was 4 validated 4 validated 5 in 5 in 8 sample 6 an 7 independent 6 an 8 sample 7 independent 8 sample 8 sample 9 of 9 of 11 participants 10 3519 11 participants multiple logistic regression was used to develop the algorithm , and the regression coefficient - based scores were used to determine individual risks . 0 ###LEFT-WALL### 3 regression 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 24 . 1 multiple 3 regression 2 logistic 3 regression 3 regression 4 was 4 was 5 used 5 used 6 to 5 used 7 develop 6 to 7 develop 7 develop 11 and 8 the 9 algorithm 9 algorithm 11 and 10 , 11 and 11 and 14 coefficient 12 the 14 coefficient 13 regression 14 coefficient 15 - 17 scores 15 - 19 used 16 based 17 scores 17 scores 18 were 18 were 19 used 19 used 20 to 19 used 21 determine 20 to 21 determine 21 determine 23 risks 22 individual 23 risks relative risk and numbers of colonoscopies needed for detecting one or more advanced neoplasm [(] [s] ) were calculated for quintiles of the risk score . 0 ###LEFT-WALL### 11 or 0 ###LEFT-WALL### 19 calculated 0 ###LEFT-WALL### 26 . 1 relative 2 risk 2 risk 3 and 3 and 4 numbers 3 and 11 or 4 numbers 5 of 5 of 6 colonoscopies 6 colonoscopies 7 needed 6 colonoscopies 8 for 8 for 9 detecting 9 detecting 10 one 11 or 14 neoplasm 11 or 17 ) 11 or 18 were 12 more 13 advanced 13 advanced 14 neoplasm 18 were 19 calculated 19 calculated 20 for 20 for 21 quintiles 21 quintiles 22 of 22 of 25 score 23 the 25 score 24 risk 25 score the predictive ability of the scoring system was quantified by the area under the curve . 0 ###LEFT-WALL### 3 ability 0 ###LEFT-WALL### 9 quantified 0 ###LEFT-WALL### 16 . 1 the 3 ability 2 predictive 3 ability 3 ability 4 of 3 ability 8 was 4 of 7 system 5 the 7 system 6 scoring 7 system 8 was 9 quantified 9 quantified 10 by 9 quantified 13 under 10 by 12 area 11 the 12 area 13 under 15 curve 14 the 15 curve results : we identified 9 risk factors ( sex , age , first - degree relatives with a history of crc , cigarette smoking , alcohol consumption , red meat consumption , ever regular use [[] at least 2 times/wk for at least 1 [y] []] of nonsteroidal anti - inflammatory drugs , previous colonoscopy , and previous detection of polyps ) that were associated significantly with risk of advanced neoplasms [.] 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 14 - 3 we 4 identified 4 identified 7 factors 4 identified 13 first 5 9 7 factors 6 risk 7 factors 7 factors 9 sex 8 ( 9 sex 9 sex 11 age 9 sex 12 , 10 , 11 age 11 age 12 , 14 - 16 relatives 14 - 25 , 15 degree 16 relatives 16 relatives 17 with 16 relatives 20 of 17 with 19 history 18 a 19 history 20 of 21 crc 21 crc 24 smoking 22 , 24 smoking 23 cigarette 24 smoking 24 smoking 25 , 25 , 27 consumption 25 , 28 , 26 alcohol 27 consumption 28 , 31 consumption 28 , 32 , 29 red 31 consumption 30 meat 31 consumption 32 , 39 2 32 , 40 times/wk 33 ever 35 use 33 ever 39 2 34 regular 35 use 37 at 38 least 38 least 39 2 39 2 40 times/wk 40 times/wk 41 for 41 for 44 1 42 at 43 least 43 least 44 1 44 1 47 of 47 of 57 and 48 nonsteroidal 52 drugs 49 anti 50 - 49 anti 52 drugs 51 inflammatory 52 drugs 52 drugs 53 , 53 , 55 colonoscopy 53 , 57 and 54 previous 55 colonoscopy 56 , 57 and 57 and 59 detection 57 and 62 ) 57 and 63 that 57 and 64 were 58 previous 59 detection 59 detection 60 of 60 of 61 polyps 63 that 64 were 64 were 65 associated 65 associated 66 significantly 65 associated 67 with 67 with 68 risk 68 risk 69 of 69 of 71 neoplasms 70 advanced 71 neoplasms the developed score was associated strongly with the presence of advanced neoplasms . 0 ###LEFT-WALL### 3 score 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 13 . 1 the 3 score 2 developed 3 score 3 score 4 was 4 was 5 associated 5 associated 6 strongly 5 associated 7 with 7 with 9 presence 8 the 9 presence 9 presence 10 of 10 of 12 neoplasms 11 advanced 12 neoplasms in the validation sample , individuals in the highest quintile of scores had a relative risk for advanced neoplasm of 3.86 ( 95 % confidence interval [,] 2.71 - 5.49 ) , compared with individuals in the lowest quintile . 0 ###LEFT-WALL### 6 individuals 0 ###LEFT-WALL### 13 had 0 ###LEFT-WALL### 40 . 1 in 4 sample 1 in 5 , 1 in 6 individuals 2 the 4 sample 3 validation 4 sample 6 individuals 7 in 6 individuals 13 had 7 in 10 quintile 8 the 9 highest 8 the 10 quintile 10 quintile 11 of 11 of 12 scores 13 had 16 risk 14 a 15 relative 14 a 16 risk 15 relative 16 risk 16 risk 17 for 17 for 19 neoplasm 18 advanced 19 neoplasm 19 neoplasm 20 of 19 neoplasm 33 compared 20 of 21 3.86 21 3.86 26 interval 22 ( 26 interval 23 95 24 % 24 % 25 confidence 25 confidence 26 interval 26 interval 28 2.71 26 interval 30 5.49 26 interval 32 , 29 - 30 5.49 30 5.49 31 ) 33 compared 34 with 34 with 35 individuals 35 individuals 36 in 36 in 39 quintile 37 the 38 lowest 37 the 39 quintile the number needed to screen to detect 1 [or] more advanced neoplasm ( [s] [ )(varied from 20 to 5 between quintiles of the risk score . 0 ###LEFT-WALL### 2 number 0 ###LEFT-WALL### 3 needed 1 the 2 number 2 number 3 needed 3 needed 4 to 3 needed 5 screen 4 to 5 screen 5 screen 6 to 5 screen 12 neoplasm 5 screen 16 )(varied 6 to 7 detect 7 detect 8 1 10 more 11 advanced 11 advanced 12 neoplasm 13 ( 16 )(varied 16 )(varied 19 to 16 )(varied 21 between 16 )(varied 27 . 17 from 19 to 18 20 19 to 19 to 20 5 21 between 22 quintiles 22 quintiles 23 of 23 of 26 score 24 the 26 score 25 risk 26 score in the validation sample , the scoring system identified patients with crc or any advanced neoplasm with area under the curve values of 0.68 and 0.66 , respectively . 0 ###LEFT-WALL### 8 system 0 ###LEFT-WALL### 9 identified 1 in 4 sample 1 in 5 , 1 in 8 system 2 the 4 sample 3 validation 4 sample 6 the 8 system 7 scoring 8 system 8 system 9 identified 9 identified 10 patients 9 identified 11 with 11 with 13 or 11 with 15 advanced 12 crc 13 or 13 or 14 any 15 advanced 16 neoplasm 16 neoplasm 17 with 16 neoplasm 19 under 16 neoplasm 28 respectively 17 with 18 area 19 under 22 values 20 the 22 values 21 curve 22 values 22 values 23 of 23 of 25 and 24 0.68 25 and 25 and 26 0.66 27 , 28 respectively 28 respectively 29 . conclusions [:] we developed a scoring system , based on easy - to [-] collect risk factors , to identify individuals most likely to have advanced neoplasms . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 27 neoplasms 0 ###LEFT-WALL### 28 . 1 conclusions 3 we 1 conclusions 10 on 1 conclusions 11 easy 1 conclusions 27 neoplasms 3 we 8 , 4 developed 7 system 4 developed 8 , 5 a 7 system 6 scoring 7 system 8 , 9 based 8 , 10 on 11 easy 13 to 11 easy 19 to 11 easy 26 advanced 12 - 13 to 13 to 15 collect 13 to 18 , 15 collect 17 factors 16 risk 17 factors 19 to 20 identify 20 identify 21 individuals 21 individuals 23 likely 22 most 23 likely 23 likely 24 to 23 likely 26 advanced 24 to 25 have 25 have 26 advanced this system might be used to stratify individuals for crc screening . 0 ###LEFT-WALL### 2 system 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 12 . 1 this 2 system 2 system 3 might 3 might 4 be 4 be 5 used 5 used 6 to 5 used 7 stratify 6 to 7 stratify 7 stratify 8 individuals 8 individuals 9 for 9 for 11 screening 10 crc 11 screening apathy is associated with impaired neuropsychological functioning in individuals with hiv . 0 ###LEFT-WALL### 1 apathy 0 ###LEFT-WALL### 3 associated 0 ###LEFT-WALL### 12 . 1 apathy 2 is 2 is 3 associated 3 associated 4 with 3 associated 8 in 3 associated 10 with 4 with 7 functioning 5 impaired 7 functioning 6 neuropsychological 7 functioning 8 in 9 individuals 10 with 11 hiv while cognitive reserve ( cr ) delays [neurocognitive] decline , cr 's relationship with apathy has never been studied . 0 ###LEFT-WALL### 7 delays 0 ###LEFT-WALL### 9 decline 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 20 . 1 while 3 reserve 1 while 7 delays 2 cognitive 3 reserve 3 reserve 5 cr 4 ( 5 cr 5 cr 6 ) 7 delays 9 decline 10 , 13 relationship 10 , 19 studied 11 cr 12 's 12 's 13 relationship 13 relationship 14 with 13 relationship 16 has 14 with 15 apathy 16 has 18 been 17 never 18 been 18 been 19 studied we examined cr 's association with apathy in 116 hiv - positive individuals recruited from an urban aids center and assessed whether this relationship is moderated by age [and/or] disease severity . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 32 . 1 we 2 examined 2 examined 5 association 2 examined 6 with 2 examined 8 in 3 cr 4 's 4 's 5 association 6 with 7 apathy 8 in 10 hiv 9 116 10 hiv 11 - 13 individuals 12 positive 13 individuals 13 individuals 20 and 14 recruited 15 from 14 recruited 20 and 15 from 19 center 16 an 17 urban 16 an 19 center 17 urban 19 center 18 aids 19 center 20 and 21 assessed 20 and 31 severity 21 assessed 22 whether 22 whether 24 relationship 22 whether 26 moderated 23 this 24 relationship 24 relationship 25 is 25 is 26 moderated 26 moderated 27 by 27 by 28 age 30 disease 31 severity participants completed the wechsler test of adult reading and apathy evaluation scale . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 completed 0 ###LEFT-WALL### 13 . 1 participants 2 completed 2 completed 5 test 3 the 5 test 4 wechsler 5 test 5 test 6 of 6 of 9 and 7 adult 8 reading 8 reading 9 and 9 and 12 scale 10 apathy 11 evaluation 11 evaluation 12 scale a cr - composite , combining years of education and word - reading ability , significantly predicted apathy ( t = - 2.37 , p = [.] 02 ) . 0 ###LEFT-WALL### 2 cr 0 ###LEFT-WALL### 3 - 1 a 2 cr 3 - 10 and 3 - 17 predicted 3 - 30 . 4 composite 5 , 4 composite 7 years 6 combining 7 years 7 years 8 of 7 years 10 and 8 of 9 education 10 and 11 word 10 and 13 reading 12 - 13 reading 13 reading 14 ability 13 reading 15 , 15 , 17 predicted 16 significantly 17 predicted 17 predicted 18 apathy 17 predicted 22 - 17 predicted 29 ) 19 ( 22 - 20 t 21 = 21 = 22 - 22 - 23 2.37 22 - 29 ) 23 2.37 26 = 24 , 26 = 25 p 26 = 26 = 28 02 cr 's relationship with apathy was not moderated by age , but participants with nadir cd4 levels ≤ 200 demonstrated a stronger association ( t = - 3.25 , p = [.] 002 ) than those with nadir cd4 levels > 200 ( t = - 0.61 , p = [.] 55 ) . 0 ###LEFT-WALL### 3 relationship 0 ###LEFT-WALL### 8 moderated 0 ###LEFT-WALL### 12 but 0 ###LEFT-WALL### 54 . 1 cr 2 's 2 's 3 relationship 3 relationship 4 with 3 relationship 6 was 4 with 5 apathy 6 was 7 not 6 was 8 moderated 8 moderated 9 by 9 by 10 age 11 , 12 but 12 but 13 participants 12 but 18 ≤ 13 participants 14 with 13 participants 18 ≤ 14 with 17 levels 15 nadir 17 levels 16 cd4 17 levels 18 ≤ 50 = 19 200 20 demonstrated 20 demonstrated 23 association 20 demonstrated 35 than 20 demonstrated 37 with 21 a 23 association 22 stronger 23 association 23 association 27 - 23 association 31 = 24 ( 27 - 25 t 26 = 26 = 27 - 27 - 28 3.25 27 - 29 , 29 , 31 = 30 p 31 = 31 = 33 002 31 = 34 ) 35 than 36 those 37 with 40 levels 37 with 42 200 38 nadir 40 levels 39 cd4 40 levels 41 > 42 200 42 200 45 = 43 ( 45 = 44 t 45 = 45 = 46 - 46 - 47 0.61 46 - 50 = 48 , 50 = 49 p 50 = 50 = 52 55 50 = 53 ) these findings suggest a protective effect of cr against apathy in hiv - infected individuals across the age span , particularly after a certain threshold of disease severity . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 29 . 1 these 2 findings 2 findings 3 suggest 3 suggest 6 effect 3 suggest 9 against 3 suggest 11 in 3 suggest 21 particularly 4 a 5 protective 4 a 6 effect 5 protective 6 effect 6 effect 7 of 7 of 8 cr 9 against 10 apathy 11 in 12 hiv 12 hiv 15 individuals 13 - 15 individuals 14 infected 15 individuals 15 individuals 16 across 15 individuals 20 , 16 across 19 span 17 the 19 span 18 age 19 span 21 particularly 22 after 22 after 25 threshold 23 a 24 certain 23 a 25 threshold 24 certain 25 threshold 25 threshold 26 of 26 of 28 severity 27 disease 28 severity human ventral temporal cortex [(] vtc [ )(plays a pivotal role in high - level vision . 0 ###LEFT-WALL### 6 vtc 0 ###LEFT-WALL### 8 )(plays 0 ###LEFT-WALL### 17 . 1 human 6 vtc 2 ventral 6 vtc 3 temporal 6 vtc 4 cortex 6 vtc 6 vtc 8 )(plays 8 )(plays 11 role 8 )(plays 12 in 9 a 10 pivotal 9 a 11 role 10 pivotal 11 role 12 in 16 vision 13 high 14 - 13 high 15 level 15 level 16 vision an [under] [-] studied macroanatomical feature of vtc is the mid - fusiform sulcus ( mfs ) , a shallow longitudinal sulcus separating the lateral and medial fusiform gyrus ( fg ) . 0 ###LEFT-WALL### 6 feature 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 33 . 1 an 6 feature 4 studied 6 feature 5 macroanatomical 6 feature 6 feature 7 of 6 feature 9 is 7 of 8 vtc 9 is 14 sulcus 10 the 14 sulcus 11 mid 12 - 11 mid 14 sulcus 13 fusiform 14 sulcus 14 sulcus 16 mfs 14 sulcus 22 sulcus 15 ( 16 mfs 16 mfs 17 ) 18 , 22 sulcus 19 a 20 shallow 19 a 22 sulcus 20 shallow 22 sulcus 21 longitudinal 22 sulcus 22 sulcus 23 separating 22 sulcus 31 fg 22 sulcus 32 ) 23 separating 29 gyrus 24 the 29 gyrus 25 lateral 26 and 26 and 27 medial 26 and 29 gyrus 28 fusiform 29 gyrus 30 ( 31 fg 31 fg 32 ) here , we quantified the morphological features of the mfs in 69 subjects ( ages 7 - 40 ) , and investigated its relationship to both cytoarchitectonic and functional divisions of vtc with four main findings . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 37 . 1 here 2 , 1 here 3 we 3 we 21 and 4 quantified 7 features 4 quantified 17 - 4 quantified 21 and 5 the 7 features 6 morphological 7 features 7 features 8 of 7 features 11 in 8 of 10 mfs 9 the 10 mfs 11 in 13 subjects 12 69 13 subjects 14 ( 17 - 15 ages 16 7 15 ages 17 - 17 - 18 40 17 - 19 ) 20 , 21 and 21 and 22 investigated 21 and 25 to 22 investigated 24 relationship 23 its 24 relationship 25 to 30 divisions 26 both 30 divisions 27 cytoarchitectonic 28 and 28 and 29 functional 28 and 30 divisions 30 divisions 31 of 31 of 32 vtc 32 vtc 33 with 33 with 36 findings 34 four 36 findings 35 main 36 findings first , despite being a minor sulcus , we found that the mfs is a stable macroanatomical structure present in all 138 hemispheres with morphological characteristics developed by age 7 . 0 ###LEFT-WALL### 9 we 0 ###LEFT-WALL### 10 found 0 ###LEFT-WALL### 31 . 1 first 9 we 2 , 3 despite 3 despite 4 being 3 despite 8 , 3 despite 9 we 4 being 7 sulcus 5 a 7 sulcus 6 minor 7 sulcus 9 we 10 found 10 found 11 that 11 that 13 mfs 11 that 27 developed 12 the 13 mfs 13 mfs 14 is 14 is 18 structure 15 a 16 stable 15 a 18 structure 16 stable 18 structure 17 macroanatomical 18 structure 18 structure 19 present 19 present 20 in 19 present 24 with 20 in 23 hemispheres 21 all 22 138 22 138 23 hemispheres 24 with 26 characteristics 24 with 27 developed 25 morphological 26 characteristics 27 developed 28 by 28 by 29 age 29 age 30 7 second , the mfs is the locus of a lateral - medial cytoarchitectonic transition within the posterior fg serving as the boundary between cytoarchitectonic regions fg1 and fg2 . 0 ###LEFT-WALL### 4 mfs 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 29 . 1 second 2 , 1 second 4 mfs 3 the 4 mfs 4 mfs 5 is 5 is 7 locus 6 the 7 locus 7 locus 8 of 7 locus 19 serving 8 of 14 transition 9 a 10 lateral 9 a 14 transition 10 lateral 11 - 10 lateral 14 transition 12 medial 14 transition 13 cytoarchitectonic 14 transition 14 transition 15 within 15 within 18 fg 16 the 18 fg 17 posterior 18 fg 19 serving 20 as 19 serving 23 between 19 serving 27 and 20 as 22 boundary 21 the 22 boundary 23 between 25 regions 24 cytoarchitectonic 25 regions 26 fg1 27 and 27 and 28 fg2 third , the mfs predicts a lateral - medial functional transition in eccentricity bias representations in children , adolescents , and adults . 0 ###LEFT-WALL### 4 mfs 0 ###LEFT-WALL### 5 predicts 0 ###LEFT-WALL### 23 . 1 third 2 , 1 third 4 mfs 3 the 4 mfs 4 mfs 5 predicts 5 predicts 11 transition 5 predicts 12 in 5 predicts 16 in 6 a 7 lateral 6 a 11 transition 7 lateral 8 - 7 lateral 11 transition 9 medial 11 transition 10 functional 11 transition 12 in 15 representations 13 eccentricity 14 bias 14 bias 15 representations 16 in 21 and 17 children 18 , 18 , 19 adolescents 18 , 21 and 20 , 21 and 21 and 22 adults fourth , the anterior tip of the mfs predicts the location of a face - selective region , mfus - faces/ffa - 2 . 0 ###LEFT-WALL### 5 tip 0 ###LEFT-WALL### 9 predicts 0 ###LEFT-WALL### 15 - 1 fourth 2 , 1 fourth 5 tip 3 the 5 tip 4 anterior 5 tip 5 tip 6 of 5 tip 9 predicts 6 of 8 mfs 7 the 8 mfs 9 predicts 11 location 10 the 11 location 11 location 12 of 12 of 14 face 13 a 14 face 15 - 17 region 15 - 18 , 15 - 21 faces/ffa 15 - 24 . 16 selective 17 region 18 , 19 mfus 18 , 20 - 20 - 21 faces/ffa 21 faces/ffa 23 2 22 - 23 2 these findings are the first to illustrate that a macroanatomical landmark identifies both cytoarchitectonic and functional divisions of high - level sensory [cortex] in humans and have important implications for understanding functional and structural organization in the human brain . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 40 . 1 these 2 findings 2 findings 3 are 3 are 5 first 3 are 8 that 4 the 5 first 5 first 6 to 5 first 7 illustrate 6 to 7 illustrate 8 that 11 landmark 8 that 27 have 9 a 11 landmark 10 macroanatomical 11 landmark 11 landmark 26 and 12 identifies 17 divisions 12 identifies 26 and 13 both 17 divisions 14 cytoarchitectonic 15 and 15 and 16 functional 15 and 17 divisions 17 divisions 18 of 18 of 21 level 19 high 20 - 19 high 21 level 21 level 22 sensory 22 sensory 24 in 24 in 25 humans 26 and 27 have 27 have 29 implications 27 have 30 for 27 have 36 in 28 important 29 implications 30 for 31 understanding 31 understanding 33 and 31 understanding 35 organization 32 functional 33 and 33 and 34 structural 36 in 39 brain 37 the 39 brain 38 human 39 brain the mechanisms underlying aggregate formation in age - related neurodegenerative diseases remain not well understood . 0 ###LEFT-WALL### 2 mechanisms 0 ###LEFT-WALL### 12 remain 0 ###LEFT-WALL### 13 not 0 ###LEFT-WALL### 16 . 1 the 2 mechanisms 2 mechanisms 3 underlying 2 mechanisms 12 remain 3 underlying 5 formation 3 underlying 6 in 4 aggregate 5 formation 6 in 7 age 8 - 9 related 9 related 11 diseases 9 related 12 remain 10 neurodegenerative 11 diseases 13 not 14 well 13 not 15 understood 14 well 15 understood here we investigated whether dual - specificity tyrosine - [(] y ) - phosphorylation - regulated kinase 1 [a] ( dyrk1a ) is involved in the formation [of] regulator of calcineurin 1 ( rcan1 ) aggregates . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 37 . 1 here 2 we 2 we 3 investigated 3 investigated 4 whether 3 investigated 36 aggregates 4 whether 14 phosphorylation 4 whether 24 involved 5 dual 8 tyrosine 5 dual 13 - 5 dual 14 phosphorylation 6 - 8 tyrosine 7 specificity 8 tyrosine 8 tyrosine 11 y 8 tyrosine 12 ) 9 - 11 y 11 y 12 ) 14 phosphorylation 17 kinase 14 phosphorylation 23 is 15 - 17 kinase 16 regulated 17 kinase 17 kinase 18 1 17 kinase 21 dyrk1a 17 kinase 22 ) 20 ( 21 dyrk1a 21 dyrk1a 22 ) 23 is 24 involved 24 involved 25 in 25 in 29 regulator 26 the 29 regulator 27 formation 29 regulator 29 regulator 30 of 30 of 31 calcineurin 31 calcineurin 32 1 31 calcineurin 34 rcan1 33 ( 34 rcan1 34 rcan1 35 ) we show that rcan1 self - associates and forms multimers , and that this process is promoted by the dyrk1a - mediated phosphorylation of rcan1 at the thr ( 192 ) residue . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 show 0 ###LEFT-WALL### 33 . 1 we 2 show 2 show 5 self 2 show 23 phosphorylation 2 show 26 at 3 that 5 self 4 rcan1 5 self 5 self 8 and 6 - 8 and 7 associates 8 and 8 and 9 forms 8 and 12 and 8 and 17 promoted 8 and 21 - 10 multimers 12 and 11 , 12 and 12 and 13 that 12 and 15 process 12 and 16 is 12 and 17 promoted 14 this 15 process 15 process 16 is 17 promoted 18 by 18 by 20 dyrk1a 19 the 20 dyrk1a 22 mediated 23 phosphorylation 23 phosphorylation 24 of 24 of 25 rcan1 26 at 32 residue 27 the 32 residue 28 thr 30 192 28 thr 32 residue 29 ( 30 192 30 192 31 ) transgenic mice that overexpress the dyrk1a exhibited lower levels of phospho - thr ( 192 ) - rcan1 in 10 [-] month - old - [group] compared to littermate controls , when analyzed with soluble hippocampus lysates . 0 ###LEFT-WALL### 2 mice 0 ###LEFT-WALL### 7 exhibited 0 ###LEFT-WALL### 38 . 1 transgenic 2 mice 2 mice 3 that 2 mice 4 overexpress 2 mice 7 exhibited 3 that 4 overexpress 4 overexpress 6 dyrk1a 5 the 6 dyrk1a 7 exhibited 9 levels 8 lower 9 levels 9 levels 10 of 9 levels 24 old 10 of 11 phospho 11 phospho 13 thr 11 phospho 18 rcan1 12 - 13 thr 13 thr 15 192 13 thr 16 ) 14 ( 15 192 15 192 16 ) 17 - 18 rcan1 18 rcan1 19 in 18 rcan1 23 - 19 in 22 month 20 10 22 month 24 old 27 compared 24 old 32 when 24 old 34 with 25 - 27 compared 27 compared 28 to 27 compared 31 , 28 to 29 littermate 29 littermate 30 controls 32 when 33 analyzed 34 with 37 lysates 35 soluble 36 hippocampus 36 hippocampus 37 lysates these results suggest that the phosphorylation of rcan1 by dyrk1a stimulates the formation of insoluble aggregates upon aging . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 19 . 1 these 2 results 2 results 3 suggest 3 suggest 4 that 4 that 6 phosphorylation 4 that 11 stimulates 5 the 6 phosphorylation 6 phosphorylation 7 of 6 phosphorylation 11 stimulates 7 of 8 rcan1 8 rcan1 9 by 9 by 10 dyrk1a 11 stimulates 13 formation 11 stimulates 17 upon 12 the 13 formation 13 formation 14 of 14 of 16 aggregates 15 insoluble 16 aggregates 17 upon 18 aging background [:] there has been considerable interest [in] whether old age is associated with iga nephropathy ( igan ) progression , which is still controversial . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 5 been 1 background 3 there 1 background 4 has 4 has 5 been 5 been 7 interest 5 been 9 whether 5 been 14 with 6 considerable 7 interest 9 whether 11 age 9 whether 13 associated 10 old 11 age 11 age 12 is 12 is 13 associated 14 with 15 iga 14 with 20 progression 16 nephropathy 18 igan 16 nephropathy 20 progression 17 ( 18 igan 18 igan 19 ) 20 progression 22 which 21 , 22 which 22 which 23 is 22 which 26 . 23 is 24 still 23 is 25 controversial methods : we searched multiple databases for studies published from 1980 to 2012 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 searched 2 : 14 . 3 we 4 searched 4 searched 6 databases 5 multiple 6 databases 6 databases 7 for 6 databases 9 published 7 for 8 studies 9 published 12 to 10 from 12 to 11 1980 12 to 12 to 13 2012 the inclusion criteria were case [-] control , cohort studies published in any language . 0 ###LEFT-WALL### 3 criteria 0 ###LEFT-WALL### 4 were 1 the 3 criteria 2 inclusion 3 criteria 3 criteria 4 were 4 were 7 control 5 case 7 control 7 control 10 studies 8 , 10 studies 9 cohort 10 studies 10 studies 11 published 10 studies 15 . 11 published 12 in 12 in 14 language 13 any 14 language the included studies needed to have an older group . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 4 needed 0 ###LEFT-WALL### 10 . 1 the 3 studies 2 included 3 studies 3 studies 4 needed 4 needed 5 to 4 needed 6 have 5 to 6 have 6 have 9 group 7 an 9 group 8 older 9 group igan was proven [by] [biopsy] . 0 ###LEFT-WALL### 1 igan 0 ###LEFT-WALL### 3 proven 0 ###LEFT-WALL### 6 . 1 igan 2 was 2 was 3 proven results : we included 9 studies with a total of 6,543 patients . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 included 2 : 13 . 3 we 4 included 4 included 6 studies 4 included 7 with 5 9 6 studies 7 with 9 total 8 a 9 total 9 total 10 of 10 of 12 patients 11 6,543 12 patients the meta - analyses [of] [other] risk factors between the older group ( >50 years old ) and the [non] [-] older group ( 15 - 50 years old ) [found] significant differences in the presence of hypertension , proteinuria , serum cholesterol levels and baseline renal function . 0 ###LEFT-WALL### 4 analyses 0 ###LEFT-WALL### 7 risk 1 the 4 analyses 2 meta 3 - 2 meta 4 analyses 4 analyses 7 risk 7 risk 18 and 8 factors 9 between 8 factors 18 and 9 between 12 group 10 the 12 group 11 older 12 group 12 group 14 >50 13 ( 14 >50 14 >50 16 old 14 >50 17 ) 15 years 16 old 18 and 23 group 18 and 26 - 19 the 23 group 22 older 23 group 24 ( 26 - 25 15 26 - 26 - 33 differences 27 50 33 differences 28 years 33 differences 29 old 30 ) 29 old 33 differences 32 significant 33 differences 33 differences 34 in 33 differences 45 and 34 in 36 presence 35 the 36 presence 36 presence 37 of 37 of 38 hypertension 38 hypertension 40 proteinuria 39 , 40 proteinuria 40 proteinuria 41 , 41 , 45 and 42 serum 44 levels 43 cholesterol 44 levels 44 levels 45 and 45 and 48 function 45 and 49 . 46 baseline 48 function 47 renal 48 function in the subgroup analyses , we found the age limit and traditional risk factors of igan may be the sources of heterogeneity between studies . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 25 . 1 in 4 analyses 1 in 5 , 1 in 6 we 2 the 4 analyses 3 subgroup 4 analyses 6 we 7 found 7 found 11 and 7 found 14 factors 7 found 18 be 8 the 10 limit 9 age 10 limit 10 limit 11 and 11 and 12 traditional 13 risk 14 factors 14 factors 15 of 14 factors 17 may 15 of 16 igan 17 may 18 be 18 be 20 sources 19 the 20 sources 20 sources 21 of 21 of 22 heterogeneity 22 heterogeneity 23 between 23 between 24 studies moreover , the rr [(] 2.56 [ )( [the] asian [countries] was much higher than the [rr] [(] 1.11 [ )(of the european countries . 0 ###LEFT-WALL### 10 asian 0 ###LEFT-WALL### 12 was 0 ###LEFT-WALL### 25 . 1 moreover 2 , 1 moreover 10 asian 3 the 10 asian 4 rr 10 asian 6 2.56 10 asian 10 asian 12 was 12 was 14 higher 13 much 14 higher 14 higher 15 than 15 than 19 1.11 16 the 19 1.11 19 1.11 21 )(of 21 )(of 24 countries 22 the 24 countries 23 european 24 countries conclusions : this comprehensive review revealed that old age is a real risk factor for igan progression to esrd . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 9 age 2 : 10 is 2 : 20 . 3 this 9 age 4 comprehensive 5 review 5 review 6 revealed 6 revealed 9 age 7 that 8 old 8 old 9 age 9 age 10 is 10 is 14 factor 11 a 12 real 11 a 14 factor 12 real 14 factor 13 risk 14 factor 14 factor 15 for 15 for 17 progression 16 igan 17 progression 17 progression 18 to 18 to 19 esrd the incidence of esrd in the older igan patients was 1.95 times higher than that in the [non] [-] older igan patients . 0 ###LEFT-WALL### 2 incidence 0 ###LEFT-WALL### 10 was 0 ###LEFT-WALL### 23 . 1 the 2 incidence 2 incidence 3 of 2 incidence 10 was 3 of 4 esrd 4 esrd 5 in 5 in 9 patients 6 the 9 patients 7 older 9 patients 8 igan 9 patients 10 was 12 times 11 1.95 12 times 12 times 13 higher 13 higher 14 than 13 higher 16 in 14 than 15 that 16 in 22 patients 17 the 22 patients 20 older 22 patients 21 igan 22 patients moreover , the risk of igan progression to esrd of the older patients in asia was higher than that of the older patients in europe . 0 ###LEFT-WALL### 4 risk 0 ###LEFT-WALL### 16 was 0 ###LEFT-WALL### 26 . 1 moreover 2 , 1 moreover 4 risk 3 the 4 risk 4 risk 5 of 4 risk 16 was 5 of 7 progression 6 igan 7 progression 7 progression 8 to 8 to 9 esrd 9 esrd 10 of 10 of 13 patients 11 the 13 patients 12 older 13 patients 13 patients 14 in 14 in 15 asia 16 was 17 higher 17 higher 18 than 17 higher 24 in 18 than 19 that 18 than 20 of 20 of 23 patients 21 the 23 patients 22 older 23 patients 24 in 25 europe background context : previous studies reported that the erector spinae muscle is more resistant to fatigue in healthy adult women than in men . 0 ###LEFT-WALL### 2 context 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 16 fatigue 0 ###LEFT-WALL### 24 . 1 background 2 context 3 : 5 studies 3 : 6 reported 4 previous 5 studies 5 studies 6 reported 6 reported 7 that 7 that 11 muscle 7 that 12 is 8 the 11 muscle 9 erector 11 muscle 10 spinae 11 muscle 11 muscle 12 is 12 is 13 more 12 is 14 resistant 14 resistant 15 to 14 resistant 16 fatigue 15 to 16 fatigue 16 fatigue 17 in 16 fatigue 21 than 17 in 20 women 18 healthy 19 adult 19 adult 20 women 21 than 22 in 22 in 23 men however , no study has reported changes in back muscle fatigue with aging in healthy men and women . 0 ###LEFT-WALL### 4 study 0 ###LEFT-WALL### 6 reported 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 4 study 3 no 4 study 4 study 5 has 5 has 6 reported 6 reported 7 changes 6 reported 10 muscle 7 changes 9 back 7 changes 10 muscle 8 in 9 back 10 muscle 11 fatigue 10 muscle 12 with 12 with 13 aging 13 aging 14 in 14 in 17 and 15 healthy 16 men 16 men 17 and 17 and 18 women purpose : the aim of this study was to evaluate age - related changes in muscle fatigue of erector spinae muscle in men and women . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 related 0 ###LEFT-WALL### 26 . 1 purpose 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 11 age 12 - 13 related 13 related 14 changes 13 related 15 in 13 related 22 in 15 in 17 fatigue 16 muscle 17 fatigue 17 fatigue 18 of 18 of 21 muscle 19 erector 21 muscle 20 spinae 21 muscle 22 in 24 and 23 men 24 and 24 and 25 women study design/setting : this cross - sectional study was conducted in a laboratory . 0 ###LEFT-WALL### 2 design/setting 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 6 - 1 study 2 design/setting 2 design/setting 3 : 3 : 5 cross 4 this 5 cross 6 - 8 study 6 - 10 conducted 6 - 14 . 7 sectional 8 study 8 study 9 was 9 was 10 conducted 10 conducted 11 in 11 in 13 laboratory 12 a 13 laboratory patient sample : fifty - three healthy subjects ( 11 elderly men , 11 elderly women , 17 young men , and 14 young women ) without low back pain history . 0 ###LEFT-WALL### 2 sample 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 32 . 1 patient 2 sample 2 sample 3 : 3 : 8 subjects 3 : 27 without 4 fifty 5 - 5 - 6 three 5 - 8 subjects 7 healthy 8 subjects 8 subjects 12 men 8 subjects 22 and 9 ( 12 men 10 11 12 men 11 elderly 12 men 12 men 13 , 13 , 22 and 14 11 16 women 15 elderly 16 women 16 women 17 , 17 , 20 men 17 , 22 and 18 17 20 men 19 young 20 men 21 , 22 and 22 and 25 women 22 and 26 ) 23 14 25 women 24 young 25 women 27 without 31 history 28 low 31 history 29 back 31 history 30 pain 31 history outcome measures : the median frequency ( mf [ )(and mean power frequency ( mpf ) during trunk holding [test] [were] derived from the raw electromyographic ( emg ) signal using fast fourier transform spectrum analysis program . 0 ###LEFT-WALL### 2 measures 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 38 . 1 outcome 2 measures 2 measures 3 : 3 : 6 frequency 3 : 17 during 3 : 23 from 4 the 6 frequency 5 median 6 frequency 6 frequency 10 )(and 7 ( 10 )(and 8 mf 10 )(and 10 )(and 13 frequency 10 )(and 15 mpf 10 )(and 16 ) 11 mean 13 frequency 12 power 13 frequency 14 ( 15 mpf 15 mpf 16 ) 17 during 19 holding 18 trunk 19 holding 19 holding 22 derived 23 from 37 program 24 the 37 program 25 raw 37 program 26 electromyographic 28 emg 26 electromyographic 30 signal 27 ( 28 emg 28 emg 29 ) 30 signal 35 spectrum 31 using 35 spectrum 32 fast 33 fourier 33 fourier 34 transform 34 transform 35 spectrum 35 spectrum 37 program 36 analysis 37 program the rates of changes in mf and mpf were calculated . 0 ###LEFT-WALL### 2 rates 0 ###LEFT-WALL### 10 calculated 0 ###LEFT-WALL### 11 . 1 the 2 rates 2 rates 3 of 2 rates 9 were 3 of 4 changes 4 changes 5 in 5 in 7 and 6 mf 7 and 7 and 8 mpf 9 were 10 calculated methods : subjects performed the unsupported trunk holding test until exhaustion . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 subjects 2 : 4 performed 2 : 12 . 3 subjects 4 performed 4 performed 9 test 4 performed 10 until 5 the 9 test 6 unsupported 7 trunk 7 trunk 9 test 8 holding 9 test 10 until 11 exhaustion the results of power spectral analysis of the emg activity of the left erector spinae muscle were compared in both age groups and sexes . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 18 compared 0 ###LEFT-WALL### 25 . 1 the 2 results 2 results 3 of 2 results 17 were 3 of 6 analysis 4 power 6 analysis 5 spectral 6 analysis 6 analysis 7 of 6 analysis 11 of 7 of 10 activity 8 the 10 activity 9 emg 10 activity 11 of 16 muscle 12 the 16 muscle 13 left 14 erector 14 erector 16 muscle 15 spinae 16 muscle 17 were 18 compared 18 compared 19 in 19 in 23 and 20 both 22 groups 21 age 22 groups 22 groups 23 and 23 and 24 sexes results : the endurance time in young men was significantly shorter than in young women . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 time 2 : 9 was 2 : 16 . 3 the 5 time 4 endurance 5 time 5 time 6 in 5 time 9 was 6 in 8 men 7 young 8 men 9 was 10 significantly 9 was 11 shorter 11 shorter 12 than 12 than 13 in 13 in 15 women 14 young 15 women the slopes of mf and mpf in young men were significantly higher than in young women . 0 ###LEFT-WALL### 2 slopes 0 ###LEFT-WALL### 10 were 0 ###LEFT-WALL### 17 . 1 the 2 slopes 2 slopes 3 of 2 slopes 10 were 3 of 5 and 4 mf 5 and 5 and 6 mpf 5 and 7 in 7 in 9 men 8 young 9 men 10 were 11 significantly 10 were 12 higher 12 higher 13 than 13 than 14 in 14 in 16 women 15 young 16 women there were no significant differences in mf and mpf slopes of elderly men and elderly women . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 17 . 1 there 2 were 2 were 5 differences 3 no 5 differences 4 significant 5 differences 5 differences 6 in 5 differences 11 of 6 in 8 and 7 mf 8 and 8 and 10 slopes 9 mpf 10 slopes 11 of 14 and 12 elderly 13 men 13 men 14 and 14 and 16 women 15 elderly 16 women furthermore , the mf and mpf slopes were significantly lower in elderly men than young men but similar in the two women groups . 0 ###LEFT-WALL### 6 mpf 0 ###LEFT-WALL### 23 groups 0 ###LEFT-WALL### 24 . 1 furthermore 2 , 1 furthermore 6 mpf 3 the 6 mpf 4 mf 5 and 5 and 6 mpf 6 mpf 7 slopes 6 mpf 17 but 6 mpf 18 similar 6 mpf 23 groups 7 slopes 8 were 8 were 10 lower 9 significantly 10 lower 10 lower 11 in 10 lower 14 than 10 lower 17 but 11 in 13 men 12 elderly 13 men 14 than 16 men 15 young 16 men 18 similar 19 in 19 in 22 women 20 the 21 two 21 two 22 women conclusions : age - related changes in the slopes of mf and mpf of erector spinae muscle occur in healthy men but not in healthy women . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 6 changes 2 : 18 occur 3 age 4 - 3 age 6 changes 5 related 6 changes 6 changes 7 in 6 changes 10 of 6 changes 18 occur 7 in 9 slopes 8 the 9 slopes 10 of 13 mpf 11 mf 12 and 12 and 13 mpf 13 mpf 14 of 14 of 17 muscle 15 erector 17 muscle 16 spinae 17 muscle 18 occur 22 but 19 in 21 men 19 in 22 but 20 healthy 21 men 22 but 23 not 22 but 24 in 24 in 26 women 25 healthy 26 women allium cepa linn is commonly used as supplementary folk remedy [for] cancer therapy . 0 ###LEFT-WALL### 2 cepa 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 14 . 1 allium 2 cepa 2 cepa 3 linn 2 cepa 4 is 2 cepa 6 used 3 linn 4 is 4 is 5 commonly 6 used 13 therapy 7 as 8 supplementary 8 supplementary 9 folk 9 folk 13 therapy 10 remedy 13 therapy 12 cancer 13 therapy evidence suggests that allium extracts have anti - cancer properties . 0 ###LEFT-WALL### 1 evidence 0 ###LEFT-WALL### 2 suggests 0 ###LEFT-WALL### 11 . 1 evidence 2 suggests 2 suggests 3 that 3 that 5 extracts 3 that 6 have 4 allium 5 extracts 5 extracts 6 have 6 have 10 properties 7 anti 8 - 7 anti 9 cancer 9 cancer 10 properties however , the mechanisms of the anti - cancer activity of [a] [.] cepa linn are not fully elucidated in human cancer cells . 0 ###LEFT-WALL### 4 mechanisms 0 ###LEFT-WALL### 19 elucidated 0 ###LEFT-WALL### 24 . 1 however 2 , 1 however 4 mechanisms 3 the 4 mechanisms 4 mechanisms 5 of 4 mechanisms 16 are 5 of 10 activity 6 the 10 activity 7 anti 8 - 7 anti 9 cancer 9 cancer 10 activity 10 activity 11 of 11 of 15 linn 14 cepa 15 linn 16 are 17 not 16 are 19 elucidated 18 fully 19 elucidated 19 elucidated 20 in 20 in 23 cells 21 human 22 cancer 22 cancer 23 cells in this study , we investigated anti - cancer effects of polyphenols extracted from [lyophilized] a . cepa linn ( peal ) in human leukemia cells and their mechanisms . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 investigated 0 ###LEFT-WALL### 17 . 0 ###LEFT-WALL### 18 cepa 0 ###LEFT-WALL### 30 . 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 investigated 6 investigated 10 effects 7 anti 8 - 7 anti 9 cancer 9 cancer 10 effects 10 effects 11 of 10 effects 13 extracted 11 of 12 polyphenols 13 extracted 14 from 14 from 16 a 17 . 18 cepa 18 cepa 21 peal 18 cepa 23 in 19 linn 21 peal 20 ( 21 peal 21 peal 22 ) 23 in 27 and 24 human 25 leukemia 25 leukemia 26 cells 26 cells 27 and 27 and 29 mechanisms 28 their 29 mechanisms peal inhibited cancer cell growth by inducing caspase - dependent apoptosis . 0 ###LEFT-WALL### 1 peal 0 ###LEFT-WALL### 2 inhibited 0 ###LEFT-WALL### 9 - 1 peal 2 inhibited 2 inhibited 5 growth 2 inhibited 6 by 3 cancer 5 growth 4 cell 5 growth 6 by 7 inducing 7 inducing 8 caspase 9 - 11 apoptosis 9 - 12 . 10 dependent 11 apoptosis the apoptosis [was] suppressed by caspase 8 and 9 inhibitors . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 11 . 1 the 2 apoptosis 2 apoptosis 4 suppressed 2 apoptosis 8 and 4 suppressed 5 by 5 by 6 caspase 6 caspase 7 8 8 and 10 inhibitors 9 9 10 inhibitors peal also up - regulated tnf - related apoptosis - inducing [ligand] ( trail ) receptor dr5 and down - regulated survivin and cellular inhibitor of apoptosis 1 ( ciap - 1 ) . 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 34 . 1 peal 16 receptor 2 also 3 up 3 up 6 tnf 3 up 16 receptor 4 - 6 tnf 5 regulated 6 tnf 6 tnf 10 - 6 tnf 15 ) 7 - 10 - 8 related 9 apoptosis 9 apoptosis 10 - 10 - 11 inducing 10 - 15 ) 11 inducing 14 trail 13 ( 14 trail 14 trail 15 ) 16 receptor 17 dr5 17 dr5 18 and 18 and 22 survivin 18 and 23 and 19 down 20 - 19 down 22 survivin 21 regulated 22 survivin 23 and 25 inhibitor 23 and 26 of 23 and 32 1 24 cellular 25 inhibitor 26 of 27 apoptosis 27 apoptosis 28 1 27 apoptosis 30 ciap 29 ( 30 ciap 30 ciap 31 - 31 - 32 1 32 1 33 ) we confirmed these findings in other leukemic cells ( thp - 1 , k562 cells ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 confirmed 0 ###LEFT-WALL### 17 . 1 we 2 confirmed 2 confirmed 4 findings 2 confirmed 5 in 3 these 4 findings 5 in 8 cells 6 other 8 cells 7 leukemic 8 cells 8 cells 10 thp 8 cells 15 cells 9 ( 10 thp 10 thp 12 1 10 thp 13 , 11 - 12 1 12 1 13 , 13 , 15 cells 14 k562 15 cells 15 cells 16 ) in addition , peal suppressed akt activity and the peal - induced apoptosis [was] significantly attenuated in akt - overexpressing u937 cells . 0 ###LEFT-WALL### 4 peal 0 ###LEFT-WALL### 5 suppressed 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 23 . 1 in 2 addition 1 in 3 , 1 in 4 peal 4 peal 5 suppressed 5 suppressed 8 and 6 akt 7 activity 7 activity 8 and 8 and 10 peal 8 and 13 apoptosis 9 the 10 peal 11 - 13 apoptosis 12 induced 13 apoptosis 13 apoptosis 16 attenuated 13 apoptosis 19 - 15 significantly 16 attenuated 16 attenuated 17 in 17 in 18 akt 19 - 22 cells 20 overexpressing 22 cells 21 u937 22 cells in conclusion , our data suggested that peal induced caspase - dependent apoptosis in several human leukemic cells including u937 cells . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 22 . 1 in 2 conclusion 3 , 5 data 3 , 6 suggested 3 , 11 - 4 our 5 data 5 data 6 suggested 6 suggested 7 that 7 that 8 peal 7 that 9 induced 8 peal 9 induced 9 induced 10 caspase 11 - 13 apoptosis 12 dependent 13 apoptosis 13 apoptosis 14 in 14 in 18 cells 15 several 18 cells 16 human 18 cells 17 leukemic 18 cells 18 cells 19 including 19 including 21 cells 20 u937 21 cells the apoptosis [was] triggered through extrinsic pathway [by] up - regulating dr5 modulating as well as through intrinsic pathway [by] modulating iap family members . 0 ###LEFT-WALL### 2 apoptosis 0 ###LEFT-WALL### 4 triggered 0 ###LEFT-WALL### 25 . 1 the 2 apoptosis 2 apoptosis 4 triggered 4 triggered 13 modulating 5 through 7 pathway 6 extrinsic 7 pathway 7 pathway 13 modulating 9 up 10 - 9 up 13 modulating 11 regulating 13 modulating 12 dr5 13 modulating 13 modulating 16 as 14 as 15 well 15 well 16 as 16 as 24 members 17 through 19 pathway 18 intrinsic 19 pathway 19 pathway 23 family 21 modulating 23 family 22 iap 23 family 23 family 24 members in addition , peal induces caspase [-] dependent apoptosis at least in part through the inhibition of phosphatidylinositol 3 - kinase [(] pi3k )/akt signaling pathway . 0 ###LEFT-WALL### 4 peal 0 ###LEFT-WALL### 20 - 0 ###LEFT-WALL### 27 . 1 in 2 addition 1 in 3 , 1 in 4 peal 4 peal 5 induces 5 induces 9 apoptosis 5 induces 11 least 5 induces 13 part 6 caspase 9 apoptosis 8 dependent 9 apoptosis 10 at 11 least 12 in 13 part 13 part 14 through 14 through 16 inhibition 15 the 16 inhibition 16 inhibition 17 of 17 of 18 phosphatidylinositol 18 phosphatidylinositol 19 3 19 3 20 - 20 - 26 pathway 21 kinase 26 pathway 23 pi3k 26 pathway 24 )/akt 26 pathway 25 signaling 26 pathway this study provides evidence that peal might be useful for the treatment of leukemia . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 15 . 1 this 2 study 2 study 3 provides 3 provides 4 evidence 4 evidence 5 that 5 that 6 peal 5 that 8 be 6 peal 7 might 7 might 8 be 8 be 9 useful 9 useful 10 for 10 for 12 treatment 11 the 12 treatment 12 treatment 13 of 13 of 14 leukemia background : alzheimer 's disease ( ad ) is characterized pathologically by the presence of amyloid plaques and neurofibrillary tangles in the brain . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 5 disease 2 : 10 characterized 3 alzheimer 4 's 4 's 5 disease 5 disease 7 ad 5 disease 9 is 6 ( 7 ad 7 ad 8 ) 9 is 10 characterized 10 characterized 11 pathologically 10 characterized 12 by 10 characterized 21 in 12 by 14 presence 13 the 14 presence 14 presence 15 of 15 of 18 and 16 amyloid 17 plaques 17 plaques 18 and 18 and 20 tangles 19 neurofibrillary 20 tangles 21 in 23 brain 22 the 23 brain [while] once considered immunologically privileged due to the blood - brain [barrier] , it is now understood that the glial cells of the brain are capable of complex inflammatory responses . 0 ###LEFT-WALL### 14 it 0 ###LEFT-WALL### 17 understood 0 ###LEFT-WALL### 31 . 2 once 3 considered 3 considered 4 immunologically 3 considered 5 privileged 3 considered 13 , 3 considered 14 it 5 privileged 7 to 6 due 7 to 7 to 9 blood 8 the 9 blood 9 blood 11 brain 10 - 11 brain 11 brain 13 , 14 it 15 is 15 is 16 now 15 is 17 understood 17 understood 18 that 18 that 21 cells 18 that 25 are 19 the 21 cells 20 glial 21 cells 21 cells 22 of 21 cells 25 are 22 of 24 brain 23 the 24 brain 25 are 26 capable 26 capable 27 of 27 of 30 responses 28 complex 30 responses 29 inflammatory 30 responses objective : the goal of the study is to assess the neuroinflammatory state of the early and late ad brain using the macrophage categorizations of m1 , m2a , m2b and m2c . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 4 goal 2 : 8 is 3 the 4 goal 4 goal 5 of 4 goal 8 is 5 of 7 study 6 the 7 study 8 is 9 to 8 is 21 using 9 to 10 assess 10 assess 13 state 11 the 13 state 12 neuroinflammatory 13 state 13 state 14 of 14 of 20 brain 15 the 20 brain 16 early 17 and 17 and 18 late 17 and 20 brain 19 ad 20 brain 21 using 24 categorizations 22 the 24 categorizations 23 macrophage 24 categorizations 24 categorizations 25 of 25 of 31 and 26 m1 27 , 27 , 28 m2a 27 , 29 , 29 , 30 m2b 29 , 31 and 31 and 32 m2c methods : we used quantitative real - time rt - pcr to assess a number of inflammatory markers in the frontal cortex and cerebellar tissue from early and late ad patients . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 13 assess 0 ###LEFT-WALL### 32 . 1 methods 2 : 2 : 11 pcr 2 : 12 to 3 we 8 time 4 used 8 time 5 quantitative 8 time 6 real 7 - 6 real 8 time 8 time 11 pcr 9 rt 11 pcr 10 - 11 pcr 12 to 13 assess 13 assess 18 markers 13 assess 19 in 13 assess 26 from 14 a 15 number 15 number 16 of 15 number 18 markers 16 of 18 markers 17 inflammatory 18 markers 19 in 23 and 20 the 22 cortex 21 frontal 22 cortex 22 cortex 23 and 23 and 25 tissue 24 cerebellar 25 tissue 26 from 31 patients 27 early 28 and 28 and 29 late 28 and 31 patients 30 ad 31 patients we then used neuropathological and clinical outcomes to determine whether there were any correlations . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 used 0 ###LEFT-WALL### 15 . 1 we 3 used 2 then 3 used 3 used 7 outcomes 3 used 8 to 3 used 9 determine 4 neuropathological 5 and 5 and 6 clinical 5 and 7 outcomes 8 to 9 determine 9 determine 10 whether 10 whether 11 there 10 whether 12 were 11 there 12 were 12 were 14 correlations 13 any 14 correlations results : we found that the ad brain is capable of generating all macrophage - like responses . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 generating 2 : 3 we 2 : 4 found 3 we 4 found 4 found 5 that 4 found 7 ad 6 the 7 ad 7 ad 8 brain 7 ad 12 generating 8 brain 9 is 9 is 10 capable 10 capable 11 of 11 of 12 generating 12 generating 14 macrophage 13 all 14 macrophage 14 macrophage 16 like 15 - 16 like 16 like 17 responses 16 like 18 . in addition , we found that early ad is distinct from late ad with respect to the inflammatory profiles expressed in the brain . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 24 . 1 in 2 addition 1 in 3 , 1 in 4 we 4 we 5 found 5 found 7 early 5 found 8 ad 5 found 9 is 6 that 7 early 8 ad 9 is 9 is 10 distinct 10 distinct 11 from 10 distinct 16 to 11 from 13 ad 12 late 13 ad 13 ad 14 with 14 with 15 respect 16 to 19 profiles 17 the 19 profiles 18 inflammatory 19 profiles 19 profiles 20 expressed 20 expressed 21 in 21 in 23 brain 22 the 23 brain most interestingly , however , we found that the early ad samples were biased to one of two [phenotypes] , m1 or m2a . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 24 . 1 most 2 interestingly 2 interestingly 3 , 2 interestingly 6 we 3 , 4 however 4 however 5 , 4 however 6 we 6 we 7 found 7 found 8 that 8 that 12 samples 8 that 14 biased 9 the 12 samples 10 early 12 samples 11 ad 12 samples 12 samples 13 were 13 were 14 biased 14 biased 15 to 15 to 22 or 16 one 17 of 16 one 20 , 17 of 18 two 20 , 21 m1 20 , 22 or 22 or 23 m2a conclusion : heterogeneity in the neuroinflammatory state of the early ad brain . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 . 1 conclusion 2 : 2 : 3 heterogeneity 3 heterogeneity 4 in 4 in 7 state 5 the 7 state 6 neuroinflammatory 7 state 7 state 8 of 8 of 12 brain 9 the 12 brain 10 early 12 brain 11 ad 12 brain a major criticism of the " overkill " theory for the late pleistocene extinction in the americas has been the seeming implausibility of a relatively small number of humans selectively killing off millions of large - bodied mammals . 0 ###LEFT-WALL### 3 criticism 0 ###LEFT-WALL### 19 been 0 ###LEFT-WALL### 39 . 1 a 2 major 1 a 3 criticism 2 major 3 criticism 3 criticism 4 of 3 criticism 18 has 4 of 9 theory 5 the 6 " 5 the 9 theory 7 overkill 8 " 7 overkill 9 theory 9 theory 10 for 9 theory 15 in 10 for 14 extinction 11 the 14 extinction 12 late 14 extinction 13 pleistocene 14 extinction 15 in 17 americas 16 the 17 americas 18 has 19 been 19 been 22 implausibility 20 the 22 implausibility 21 seeming 22 implausibility 22 implausibility 23 of 22 implausibility 31 killing 23 of 27 number 24 a 25 relatively 24 a 27 number 25 relatively 26 small 26 small 27 number 27 number 28 of 28 of 29 humans 30 selectively 31 killing 31 killing 32 off 32 off 38 mammals 33 millions 34 of 33 millions 38 mammals 34 of 38 mammals 35 large 36 - 35 large 38 mammals 37 bodied 38 mammals critics argue that early paleoindian hunters had to be extremely selective to have produced the highly [size] [-] biased extinction pattern characteristic of this event . 0 ###LEFT-WALL### 1 critics 0 ###LEFT-WALL### 2 argue 0 ###LEFT-WALL### 26 . 1 critics 2 argue 2 argue 6 hunters 2 argue 7 had 3 that 4 early 4 early 6 hunters 5 paleoindian 6 hunters 6 hunters 7 had 7 had 8 to 7 had 14 produced 8 to 9 be 9 be 11 selective 10 extremely 11 selective 11 selective 12 to 11 selective 14 produced 12 to 13 have 13 have 14 produced 14 produced 22 characteristic 15 the 22 characteristic 16 highly 19 biased 19 biased 22 characteristic 20 extinction 21 pattern 21 pattern 22 characteristic 22 characteristic 23 of 23 of 25 event 24 this 25 event here , we derive a probabilistic extinction model that predicts the extinction risk of mammals at any body mass [without] invoking selective human harvest . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 derive 0 ###LEFT-WALL### 25 . 1 here 2 , 1 here 3 we 3 we 4 derive 4 derive 8 model 5 a 6 probabilistic 5 a 8 model 6 probabilistic 7 extinction 7 extinction 8 model 8 model 9 that 8 model 10 predicts 9 that 10 predicts 10 predicts 13 risk 10 predicts 16 at 11 the 13 risk 12 extinction 13 risk 13 risk 14 of 14 of 15 mammals 16 at 24 harvest 17 any 24 harvest 18 body 19 mass 19 mass 24 harvest 21 invoking 24 harvest 22 selective 24 harvest 23 human 24 harvest the new model systematically analyzes the variability in life - history characteristics , such as the instantaneous mortality rate , age of first reproduction , and the maximum net reproductive rate . 0 ###LEFT-WALL### 3 model 0 ###LEFT-WALL### 5 analyzes 0 ###LEFT-WALL### 32 . 1 the 3 model 2 new 3 model 3 model 5 analyzes 4 systematically 5 analyzes 5 analyzes 7 variability 5 analyzes 8 in 5 analyzes 15 as 6 the 7 variability 8 in 9 life 9 life 12 characteristics 10 - 12 characteristics 11 history 12 characteristics 12 characteristics 13 , 14 such 15 as 15 as 26 and 16 the 19 rate 17 instantaneous 18 mortality 18 mortality 19 rate 19 rate 20 , 20 , 21 age 20 , 26 and 21 age 22 of 22 of 24 reproduction 23 first 24 reproduction 25 , 26 and 26 and 31 rate 27 the 31 rate 28 maximum 31 rate 29 net 31 rate 30 reproductive 31 rate it captures the body size [-] biased extinction pattern in the late pleistocene and precisely predicts the percentage of unexpectedly persisting large mammals and extinct small ones . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 28 . 1 it 14 and 2 captures 9 pattern 2 captures 10 in 2 captures 14 and 3 the 9 pattern 4 body 5 size 5 size 7 biased 7 biased 8 extinction 8 extinction 9 pattern 10 in 13 pleistocene 11 the 13 pleistocene 12 late 13 pleistocene 14 and 16 predicts 15 precisely 16 predicts 16 predicts 18 percentage 17 the 18 percentage 18 percentage 19 of 19 of 24 and 20 unexpectedly 21 persisting 21 persisting 23 mammals 22 large 23 mammals 23 mammals 24 and 24 and 27 ones 25 extinct 27 ones 26 small 27 ones a test with a global late quaternary mammal database well supports the model . 0 ###LEFT-WALL### 2 test 0 ###LEFT-WALL### 11 supports 0 ###LEFT-WALL### 14 . 1 a 2 test 2 test 3 with 2 test 11 supports 3 with 10 well 4 a 5 global 4 a 10 well 5 global 10 well 6 late 10 well 7 quaternary 10 well 8 mammal 10 well 9 database 10 well 11 supports 13 model 12 the 13 model the model also emphasizes that quantitatively analyzing patterns of variability in ecological factors can shed light on diverse behaviors and patterns in nature . 0 ###LEFT-WALL### 2 model 0 ###LEFT-WALL### 4 emphasizes 0 ###LEFT-WALL### 24 . 1 the 2 model 2 model 4 emphasizes 3 also 4 emphasizes 4 emphasizes 5 that 5 that 7 analyzing 5 that 20 and 6 quantitatively 7 analyzing 7 analyzing 8 patterns 7 analyzing 11 in 7 analyzing 14 can 8 patterns 9 of 9 of 10 variability 11 in 13 factors 12 ecological 13 factors 14 can 20 and 15 shed 16 light 15 shed 17 on 15 shed 20 and 17 on 19 behaviors 18 diverse 19 behaviors 20 and 21 patterns 20 and 22 in 22 in 23 nature from a macro - scale conservation perspective , our model can be modified to predict the fate of biota under the pressures from both climate change and human impacts . 0 ###LEFT-WALL### 10 model 0 ###LEFT-WALL### 13 modified 0 ###LEFT-WALL### 30 . 1 from 3 macro 1 from 8 , 1 from 10 model 2 a 3 macro 3 macro 7 perspective 4 - 7 perspective 5 scale 7 perspective 6 conservation 7 perspective 7 perspective 8 , 9 our 10 model 10 model 11 can 11 can 12 be 12 be 13 modified 13 modified 14 to 13 modified 23 from 14 to 15 predict 15 predict 17 fate 15 predict 20 under 16 the 17 fate 17 fate 18 of 18 of 19 biota 20 under 22 pressures 21 the 22 pressures 23 from 27 and 24 both 27 and 25 climate 26 change 26 change 27 and 27 and 29 impacts 28 human 29 impacts objectives : to compare the prevalence of depressive symptoms and frequency of antidepressant use between a group of elderly chinese - american subjects [with] and without cognitive impairment and a group of matched white subjects . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 3 to 2 : 4 compare 3 to 4 compare 4 compare 10 and 4 compare 25 and 5 the 10 and 6 prevalence 7 of 6 prevalence 10 and 7 of 9 symptoms 8 depressive 9 symptoms 10 and 11 frequency 10 and 12 of 12 of 14 use 13 antidepressant 14 use 15 between 23 subjects 15 between 25 and 16 a 17 group 17 group 18 of 17 group 23 subjects 18 of 23 subjects 19 elderly 22 american 20 chinese 21 - 20 chinese 22 american 22 american 23 subjects 25 and 26 without 26 without 29 and 27 cognitive 28 impairment 28 impairment 29 and 29 and 31 group 29 and 32 of 30 a 31 group 32 of 35 subjects 33 matched 35 subjects 34 white 35 subjects a secondary aim was to examine the clinical and demographic predictors of depressive symptoms across these groups . 0 ###LEFT-WALL### 3 aim 0 ###LEFT-WALL### 18 . 1 a 2 secondary 1 a 3 aim 2 secondary 3 aim 3 aim 4 was 4 was 5 to 4 was 6 examine 5 to 6 examine 6 examine 11 predictors 6 examine 15 across 7 the 11 predictors 8 clinical 9 and 9 and 10 demographic 9 and 11 predictors 11 predictors 12 of 12 of 14 symptoms 13 depressive 14 symptoms 15 across 17 groups 16 these 17 groups methods : the study was conducted at an academic neurology subspecialty clinic . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 6 conducted 2 : 13 . 3 the 4 study 4 study 5 was 5 was 6 conducted 6 conducted 7 at 7 at 12 clinic 8 an 9 academic 8 an 12 clinic 9 academic 10 neurology 10 neurology 12 clinic 11 subspecialty 12 clinic this was a case - control study with 140 chinese - american subjects and 140 demographically [and] cognitively matched white subjects . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 5 - 1 this 2 was 2 was 4 case 3 a 4 case 5 - 14 and 5 - 22 . 6 control 7 study 7 study 8 with 7 study 14 and 8 with 13 subjects 9 140 13 subjects 10 chinese 11 - 10 chinese 13 subjects 12 american 13 subjects 14 and 21 subjects 15 140 21 subjects 16 demographically 19 matched 18 cognitively 19 matched 19 matched 20 white 20 white 21 subjects in each group , there were 48 cognitively normal and 92 cognitively impaired participants ( 49 with mild cognitive impairment , 43 with alzheimer disease ) . 0 ###LEFT-WALL### 5 there 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 27 . 1 in 3 group 1 in 4 , 1 in 5 there 2 each 3 group 5 there 6 were 6 were 10 and 7 48 10 and 8 cognitively 9 normal 9 normal 10 and 10 and 14 participants 10 and 16 49 10 and 22 43 11 92 14 participants 12 cognitively 13 impaired 13 impaired 14 participants 15 ( 16 49 16 49 17 with 16 49 21 , 17 with 20 impairment 18 mild 20 impairment 19 cognitive 20 impairment 21 , 22 43 22 43 23 with 22 43 26 ) 23 with 25 disease 24 alzheimer 25 disease the proportion of individuals with significant depressive symptoms , [as] indicated by a geriatric depression scale score ≥6 of 15 , and frequency of antidepressant use were compared across groups by using χ ( 2 ) analysis . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 28 compared 0 ###LEFT-WALL### 38 . 1 the 2 proportion 2 proportion 3 of 2 proportion 22 and 3 of 4 individuals 4 individuals 5 with 5 with 8 symptoms 6 significant 8 symptoms 7 depressive 8 symptoms 8 symptoms 11 indicated 9 , 11 indicated 11 indicated 12 by 11 indicated 21 , 12 by 18 ≥6 13 a 18 ≥6 14 geriatric 15 depression 15 depression 16 scale 16 scale 18 ≥6 17 score 18 ≥6 18 ≥6 19 of 19 of 20 15 21 , 22 and 22 and 23 frequency 22 and 24 of 22 and 27 were 24 of 26 use 25 antidepressant 26 use 27 were 28 compared 28 compared 29 across 28 compared 31 by 29 across 30 groups 31 by 32 using 32 using 37 analysis 33 χ 35 2 33 χ 37 analysis 34 ( 35 2 35 2 36 ) factors predicting depressive symptoms , including racial and diagnostic group , age , gender , mini - mental state examination score , level of functional impairment , education level , and medical comorbidities , were assessed by using linear regression analysis . 0 ###LEFT-WALL### 1 factors 0 ###LEFT-WALL### 12 age 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 36 assessed 0 ###LEFT-WALL### 42 . 1 factors 2 predicting 1 factors 6 including 1 factors 12 age 2 predicting 4 symptoms 3 depressive 4 symptoms 5 , 6 including 6 including 8 and 6 including 11 , 7 racial 8 and 8 and 10 group 9 diagnostic 10 group 13 , 14 gender 13 , 15 , 15 , 16 mini 15 , 17 - 17 - 21 score 17 - 22 , 18 mental 19 state 19 state 20 examination 20 examination 21 score 22 , 23 level 22 , 34 , 23 level 24 of 23 level 34 , 24 of 31 and 25 functional 26 impairment 26 impairment 27 , 27 , 29 level 27 , 31 and 28 education 29 level 30 , 31 and 31 and 32 medical 33 comorbidities 34 , 34 , 35 were 35 were 36 assessed 36 assessed 37 by 37 by 38 using 38 using 41 analysis 39 linear 40 regression 40 regression 41 analysis results : significant depressive symptoms were more common in cognitively impaired chinese - american ( 35 % ) than cognitively impaired white ( 15 % ; χ ( 2 ) [ 1 ] = 9.4 ; [p] = 0.004 [ )(subjects . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 symptoms 2 : 6 were 2 : 26 ; 2 : 42 . 3 significant 5 symptoms 4 depressive 5 symptoms 5 symptoms 6 were 6 were 8 common 7 more 8 common 8 common 9 in 9 in 12 chinese 10 cognitively 11 impaired 11 impaired 12 chinese 12 chinese 22 white 13 - 22 white 14 american 17 % 14 american 18 ) 14 american 22 white 15 ( 17 % 16 35 17 % 17 % 18 ) 19 than 21 impaired 20 cognitively 21 impaired 21 impaired 22 white 22 white 25 % 22 white 26 ; 23 ( 25 % 24 15 25 % 25 % 26 ; 26 ; 27 χ 26 ; 34 = 26 ; 36 ; 27 χ 29 2 27 χ 32 1 27 χ 34 = 28 ( 29 2 29 2 30 ) 31 [ 32 1 32 1 33 ] 34 = 35 9.4 36 ; 41 )(subjects 38 = 39 0.004 39 0.004 41 )(subjects chinese - american subjects with cognitive impairment were less likely to be receiving treatment for depression ( 12 % ) than white subjects with cognitive impairment ( 37 % ; χ ( 2 ) [ 1 ] = 15.6 [;] p = 0.002 ) . 0 ###LEFT-WALL### 12 be 0 ###LEFT-WALL### 30 ; 0 ###LEFT-WALL### 45 . 1 chinese 2 - 1 chinese 3 american 3 american 4 subjects 4 subjects 5 with 4 subjects 8 were 5 with 7 impairment 6 cognitive 7 impairment 8 were 10 likely 9 less 10 likely 10 likely 11 to 11 to 12 be 12 be 13 receiving 13 receiving 14 treatment 13 receiving 21 than 13 receiving 24 with 14 treatment 15 for 15 for 16 depression 16 depression 19 % 17 ( 19 % 18 12 19 % 19 % 20 ) 21 than 23 subjects 22 white 23 subjects 24 with 26 impairment 25 cognitive 26 impairment 26 impairment 29 % 27 ( 29 % 28 37 29 % 29 % 30 ; 30 ; 31 χ 30 ; 38 = 31 χ 33 2 31 χ 36 1 31 χ 38 = 32 ( 33 2 33 2 34 ) 35 [ 36 1 36 1 37 ] 38 = 42 = 39 15.6 42 = 41 p 42 = 42 = 43 0.002 42 = 44 ) racial and diagnostic group , age , level of functional impairment , mini - mental state examination score , and education level were all statistically significant independent predictors of geriatric depression scale score . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 14 - 1 racial 2 and 2 and 4 group 2 and 6 age 2 and 13 mini 3 diagnostic 4 group 5 , 6 age 6 age 8 level 6 age 12 , 7 , 8 level 8 level 9 of 8 level 12 , 9 of 11 impairment 10 functional 11 impairment 12 , 13 mini 13 mini 14 - 14 - 18 score 14 - 19 , 14 - 34 . 15 mental 16 state 16 state 17 examination 17 examination 18 score 19 , 20 and 19 , 33 score 20 and 22 level 20 and 23 were 21 education 22 level 22 level 23 were 23 were 24 all 24 all 28 predictors 24 all 33 score 25 statistically 26 significant 26 significant 28 predictors 27 independent 28 predictors 28 predictors 29 of 28 predictors 33 score 29 of 32 scale 30 geriatric 31 depression 31 depression 32 scale conclusions : elderly chinese - american subjects with cognitive impairment are at increased risk for unrecognized and untreated depressive symptoms compared with elderly white subjects with cognitive impairment . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 29 . 1 conclusions 2 : 2 : 4 chinese 3 elderly 4 chinese 5 - 7 subjects 5 - 11 are 6 american 7 subjects 7 subjects 8 with 7 subjects 11 are 8 with 10 impairment 9 cognitive 10 impairment 11 are 12 at 11 are 22 with 12 at 14 risk 13 increased 14 risk 14 risk 15 for 15 for 20 symptoms 16 unrecognized 17 and 17 and 18 untreated 17 and 20 symptoms 19 depressive 20 symptoms 20 symptoms 21 compared 22 with 25 subjects 23 elderly 25 subjects 24 white 25 subjects 25 subjects 26 with 26 with 28 impairment 27 cognitive 28 impairment education level may contribute to this risk or it may be a surrogate marker for other factors contributing to depressive symptoms in this group . 0 ###LEFT-WALL### 2 level 0 ###LEFT-WALL### 4 contribute 0 ###LEFT-WALL### 8 or 0 ###LEFT-WALL### 25 . 1 education 2 level 2 level 3 may 3 may 4 contribute 4 contribute 5 to 5 to 7 risk 6 this 7 risk 8 or 9 it 8 or 11 be 9 it 10 may 10 may 11 be 11 be 14 marker 12 a 14 marker 13 surrogate 14 marker 14 marker 15 for 15 for 17 factors 16 other 17 factors 17 factors 18 contributing 18 contributing 19 to 19 to 21 symptoms 20 depressive 21 symptoms 21 symptoms 22 in 22 in 24 group 23 this 24 group objective : to examine the characteristics of auditory verbal hallucinations and associated factors in older adults with schizophrenia . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 11 and 2 : 19 . 3 to 11 and 4 examine 6 characteristics 4 examine 11 and 5 the 6 characteristics 6 characteristics 7 of 7 of 10 hallucinations 8 auditory 10 hallucinations 9 verbal 10 hallucinations 11 and 12 associated 12 associated 13 factors 12 associated 14 in 12 associated 17 with 14 in 16 adults 15 older 16 adults 17 with 18 schizophrenia methods : one hundred ninety - eight persons aged 55 and older living in the community who had developed schizophrenia before age 45 years were assessed for the presence , topography , content , and subjective qualities of auditory hallucinations . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 41 . 1 methods 2 : 2 : 11 and 2 : 14 in 2 : 21 before 3 one 4 hundred 4 hundred 5 ninety 5 ninety 11 and 6 - 7 eight 7 eight 8 persons 8 persons 9 aged 8 persons 11 and 9 aged 10 55 11 and 13 living 12 older 13 living 14 in 16 community 15 the 16 community 16 community 17 who 16 community 18 had 17 who 18 had 18 had 19 developed 19 developed 20 schizophrenia 21 before 24 years 21 before 26 assessed 22 age 24 years 23 45 24 years 24 years 25 were 25 were 26 assessed 26 assessed 27 for 27 for 35 and 28 the 29 presence 29 presence 30 , 30 , 31 topography 30 , 32 , 32 , 33 content 32 , 35 and 34 , 35 and 35 and 37 qualities 36 subjective 37 qualities 37 qualities 38 of 38 of 40 hallucinations 39 auditory 40 hallucinations george 's social antecedent model of psychopathology was used to examine 17 predictor variables of auditory hallucinations . 0 ###LEFT-WALL### 5 model 0 ###LEFT-WALL### 9 used 0 ###LEFT-WALL### 18 . 1 george 2 's 2 's 5 model 3 social 4 antecedent 4 antecedent 5 model 5 model 6 of 5 model 8 was 6 of 7 psychopathology 8 was 9 used 9 used 10 to 9 used 11 examine 10 to 11 examine 11 examine 14 variables 12 17 14 variables 13 predictor 14 variables 14 variables 15 of 15 of 17 hallucinations 16 auditory 17 hallucinations results : thirty - two percent experienced auditory verbal hallucinations . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 . 1 results 2 : 2 : 10 hallucinations 3 thirty 4 - 4 - 5 two 4 - 6 percent 6 percent 7 experienced 7 experienced 10 hallucinations 8 auditory 10 hallucinations 9 verbal 10 hallucinations more than half heard voices daily , heard good/pleasant voices , or had command hallucinations ; 25 % obeyed " bad " voices , whereas 87 % obeyed " good " voices . 0 ###LEFT-WALL### 3 half 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 16 ; 0 ###LEFT-WALL### 28 obeyed 0 ###LEFT-WALL### 33 . 1 more 2 than 2 than 3 half 3 half 7 , 4 heard 5 voices 4 heard 6 daily 4 heard 7 , 7 , 12 or 8 heard 10 voices 8 heard 12 or 9 good/pleasant 10 voices 11 , 12 or 12 or 13 had 13 had 15 hallucinations 14 command 15 hallucinations 16 ; 18 % 16 ; 19 obeyed 17 25 18 % 18 % 19 obeyed 19 obeyed 20 " 19 obeyed 23 voices 19 obeyed 25 whereas 21 bad 22 " 21 bad 23 voices 24 , 25 whereas 25 whereas 27 % 26 87 27 % 27 % 28 obeyed 28 obeyed 29 " 28 obeyed 32 voices 30 good 31 " 30 good 32 voices there were no significant differences in depression and social functioning between persons judging their voices to be good [versus] bad . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 21 . 1 there 2 were 2 were 8 and 3 no 5 differences 4 significant 5 differences 5 differences 6 in 5 differences 8 and 6 in 7 depression 8 and 9 social 8 and 10 functioning 8 and 13 judging 10 functioning 11 between 11 between 12 persons 13 judging 15 voices 13 judging 16 to 13 judging 20 bad 14 their 15 voices 16 to 17 be 17 be 18 good in logistic regression analysis , depressive symptoms , positive and negative syndrome scale delusion score ( >2 ) , and male gender were associated with auditory verbal hallucinations . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 24 associated 0 ###LEFT-WALL### 29 . 1 in 3 regression 1 in 20 and 2 logistic 3 regression 4 analysis 5 , 5 , 7 symptoms 5 , 8 , 6 depressive 7 symptoms 8 , 9 positive 8 , 10 and 10 and 15 score 10 and 17 >2 10 and 20 and 11 negative 12 syndrome 12 syndrome 13 scale 13 scale 15 score 14 delusion 15 score 16 ( 17 >2 17 >2 18 ) 19 , 20 and 20 and 22 gender 20 and 23 were 21 male 22 gender 23 were 24 associated 24 associated 25 with 25 with 28 hallucinations 26 auditory 28 hallucinations 27 verbal 28 hallucinations conclusion : older adults with schizophrenia had a lower rate of auditory verbal hallucinations than had been reported previously for younger persons with schizophrenia . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 adults 2 : 7 had 2 : 25 . 3 older 4 adults 4 adults 5 with 4 adults 7 had 5 with 6 schizophrenia 7 had 10 rate 7 had 15 than 8 a 10 rate 9 lower 10 rate 10 rate 11 of 11 of 14 hallucinations 12 auditory 14 hallucinations 13 verbal 14 hallucinations 15 than 16 had 15 than 18 reported 16 had 17 been 17 been 18 reported 18 reported 19 previously 18 reported 20 for 18 reported 23 with 20 for 22 persons 21 younger 22 persons 23 with 24 schizophrenia for most features of auditory verbal hallucinations , older adults had similar rates to younger persons . 0 ###LEFT-WALL### 10 adults 0 ###LEFT-WALL### 11 had 0 ###LEFT-WALL### 17 . 1 for 3 features 1 for 8 , 1 for 10 adults 2 most 3 features 3 features 4 of 4 of 7 hallucinations 5 auditory 7 hallucinations 6 verbal 7 hallucinations 9 older 10 adults 10 adults 11 had 11 had 13 rates 11 had 14 to 12 similar 13 rates 14 to 16 persons 15 younger 16 persons however , older adults were more apt to judge their voices as good and more likely to obey the good voices than those voices perceived as bad . 0 ###LEFT-WALL### 4 adults 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 28 . 1 however 2 , 1 however 4 adults 3 older 4 adults 4 adults 5 were 5 were 6 more 5 were 7 apt 7 apt 8 to 7 apt 9 judge 8 to 9 judge 9 judge 11 voices 9 judge 14 and 9 judge 16 likely 10 their 11 voices 12 as 13 good 13 good 14 and 14 and 15 more 16 likely 17 to 16 likely 18 obey 17 to 18 obey 18 obey 21 voices 18 obey 22 than 18 obey 26 as 19 the 21 voices 20 good 21 voices 22 than 24 voices 23 those 24 voices 24 voices 25 perceived 26 as 27 bad from a clinical standpoint , this may be construed as a potentially useful coping strategy . 0 ###LEFT-WALL### 6 this 0 ###LEFT-WALL### 9 construed 0 ###LEFT-WALL### 16 . 1 from 4 standpoint 1 from 5 , 1 from 6 this 2 a 3 clinical 2 a 4 standpoint 3 clinical 4 standpoint 6 this 7 may 7 may 8 be 8 be 9 construed 9 construed 10 as 10 as 15 strategy 11 a 15 strategy 12 potentially 13 useful 13 useful 15 strategy 14 coping 15 strategy however , subjective judgments about voices did not significantly affect mood [or] functioning , and the presence of auditory verbal hallucinations was associated with more depressive symptoms . 0 ###LEFT-WALL### 4 judgments 0 ###LEFT-WALL### 10 affect 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 28 . 1 however 2 , 1 however 4 judgments 3 subjective 4 judgments 4 judgments 5 about 4 judgments 7 did 5 about 6 voices 7 did 8 not 7 did 10 affect 9 significantly 10 affect 10 affect 13 functioning 11 mood 13 functioning 14 , 15 and 15 and 17 presence 15 and 23 associated 16 the 17 presence 17 presence 18 of 17 presence 22 was 18 of 21 hallucinations 19 auditory 21 hallucinations 20 verbal 21 hallucinations 22 was 23 associated 23 associated 24 with 24 with 27 symptoms 25 more 26 depressive 26 depressive 27 symptoms objective : older adults are increasingly involved in the criminal justice system , yet there is limited research regarding their needs and experiences . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 4 adults 2 : 16 is 3 older 4 adults 4 adults 5 are 5 are 7 involved 6 increasingly 7 involved 7 involved 8 in 7 involved 14 yet 8 in 12 system 9 the 12 system 10 criminal 11 justice 11 justice 12 system 13 , 14 yet 14 yet 15 there 15 there 16 is 16 is 18 research 17 limited 18 research 18 research 19 regarding 19 regarding 22 and 20 their 22 and 21 needs 22 and 22 and 23 experiences this study examined differences in psychosocial experiences and reincarceration between older and younger adults with psychiatric disorders involved in the criminal justice system . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 24 . 1 this 2 study 2 study 3 examined 3 examined 4 differences 3 examined 5 in 3 examined 10 between 5 in 8 and 6 psychosocial 7 experiences 7 experiences 8 and 8 and 9 reincarceration 10 between 14 adults 11 older 12 and 12 and 13 younger 12 and 14 adults 14 adults 15 with 15 with 17 disorders 16 psychiatric 17 disorders 17 disorders 18 involved 18 involved 19 in 19 in 23 system 20 the 23 system 21 criminal 22 justice 22 justice 23 system methods : participants ( n = 80 ) were recruited from two mental health courts in the midwestern united states . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 participants 2 : 10 recruited 2 : 21 . 3 participants 6 = 3 participants 9 were 4 ( 6 = 5 n 6 = 6 = 7 80 6 = 8 ) 9 were 10 recruited 10 recruited 11 from 10 recruited 16 in 11 from 15 courts 12 two 15 courts 13 mental 14 health 14 health 15 courts 16 in 20 states 17 the 18 midwestern 18 midwestern 20 states 19 united 20 states bivariate analyses examined age - related differences in psychosocial experiences and reincarceration between younger and older participants . 0 ###LEFT-WALL### 1 bivariate 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 6 related 0 ###LEFT-WALL### 18 . 1 bivariate 2 analyses 2 analyses 4 age 3 examined 4 age 5 - 6 related 6 related 7 differences 6 related 8 in 6 related 13 between 8 in 11 and 9 psychosocial 10 experiences 10 experiences 11 and 11 and 12 reincarceration 13 between 17 participants 14 younger 15 and 15 and 16 older 15 and 17 participants results : older adults , on average , experienced more treatment [adherence] and fewer probation violations than younger adults during the 6 [-] month follow - up ; however , they experienced comparable risk for reincarceration . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 experienced 0 ###LEFT-WALL### 37 . 2 : 4 adults 2 : 9 experienced 2 : 17 than 2 : 28 ; 3 older 4 adults 4 adults 7 average 4 adults 9 experienced 5 , 7 average 6 on 7 average 7 average 8 , 9 experienced 16 violations 10 more 11 treatment 11 treatment 13 and 13 and 14 fewer 13 and 15 probation 15 probation 16 violations 17 than 19 adults 17 than 25 follow 18 younger 19 adults 19 adults 20 during 19 adults 25 follow 20 during 24 month 21 the 24 month 22 6 24 month 25 follow 27 up 26 - 27 up 27 up 28 ; 28 ; 31 they 29 however 30 , 29 however 31 they 31 they 32 experienced 32 experienced 34 risk 32 experienced 35 for 33 comparable 34 risk 35 for 36 reincarceration older adults ' substance use , service use , housing instability , and program retention were similar to their younger counterparts . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 16 were 0 ###LEFT-WALL### 22 . 1 older 2 adults 2 adults 3 ' 3 ' 5 use 4 substance 5 use 5 use 6 , 6 , 8 use 6 , 9 , 7 service 8 use 9 , 11 instability 9 , 13 and 10 housing 11 instability 12 , 13 and 13 and 15 retention 13 and 16 were 14 program 15 retention 16 were 17 similar 17 similar 18 to 18 to 21 counterparts 19 their 21 counterparts 20 younger 21 counterparts conclusion : despite older mental health court participants ' treatment adherence and reduced probation violations , they are at risk for incarceration , substance use , and housing instability . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 12 and 2 : 16 , 3 despite 6 health 3 despite 12 and 4 older 6 health 5 mental 6 health 7 court 11 adherence 7 court 12 and 8 participants 9 ' 9 ' 11 adherence 10 treatment 11 adherence 12 and 13 reduced 13 reduced 15 violations 14 probation 15 violations 16 , 17 they 16 , 18 are 16 , 23 , 17 they 18 are 18 are 19 at 18 are 21 for 19 at 20 risk 21 for 22 incarceration 23 , 27 and 24 substance 25 use 25 use 27 and 26 , 27 and 27 and 29 instability 28 housing 29 instability objectives : to assess the association of different diabetes - related variables , including self - and physician - reported information , as well as biomarkers , with cognitive functioning in the elderly general population in germany . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 . 2 : 3 to 2 : 4 assess 3 to 4 assess 4 assess 6 association 4 assess 20 reported 5 the 6 association 6 association 7 of 6 association 17 and 6 association 20 reported 7 of 9 diabetes 8 different 9 diabetes 10 - 17 and 11 related 12 variables 12 variables 13 , 13 , 15 self 13 , 17 and 14 including 15 self 16 - 17 and 17 and 18 physician 17 and 19 - 20 reported 21 information 20 reported 25 as 20 reported 28 with 22 , 25 as 23 as 24 well 24 well 25 as 25 as 26 biomarkers 25 as 27 , 28 with 30 functioning 29 cognitive 30 functioning 30 functioning 31 in 31 in 35 population 32 the 35 population 33 elderly 35 population 34 general 35 population 35 population 36 in 36 in 37 germany design : cross - sectional observational study . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 8 . 1 design 2 : 2 : 3 cross 4 - 7 study 5 sectional 7 study 6 observational 7 study setting and participants : a total of 1,697 subjects with a mean ± standard deviation age of 74 ± 2.8 years were included . 0 ###LEFT-WALL### 3 participants 0 ###LEFT-WALL### 4 : 1 setting 2 and 2 and 3 participants 4 : 6 total 4 : 22 were 4 : 24 . 5 a 6 total 6 total 7 of 6 total 10 with 6 total 22 were 7 of 9 subjects 8 1,697 9 subjects 10 with 16 age 11 a 16 age 12 mean 13 ± 13 ± 16 age 14 standard 15 deviation 15 deviation 16 age 16 age 17 of 17 of 21 years 18 74 21 years 19 ± 21 years 20 2.8 21 years 22 were 23 included these were recruited from among the participants of an ongoing epidemiological study of the elderly general population in saarland [state] and had been recruited 5 years earlier on the occasion of a health screening exam by their general practitioners . 0 ###LEFT-WALL### 1 these 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 40 . 1 these 21 and 2 were 3 recruited 2 were 21 and 3 recruited 4 from 3 recruited 18 in 4 from 5 among 5 among 7 participants 6 the 7 participants 7 participants 8 of 8 of 12 study 9 an 10 ongoing 9 an 12 study 10 ongoing 12 study 11 epidemiological 12 study 12 study 13 of 13 of 17 population 14 the 17 population 15 elderly 17 population 16 general 17 population 18 in 19 saarland 21 and 22 had 22 had 23 been 23 been 24 recruited 24 recruited 27 earlier 24 recruited 28 on 24 recruited 36 by 25 5 26 years 26 years 27 earlier 28 on 30 occasion 29 the 30 occasion 30 occasion 31 of 31 of 35 exam 32 a 33 health 32 a 35 exam 33 health 35 exam 34 screening 35 exam 36 by 39 practitioners 37 their 39 practitioners 38 general 39 practitioners measurements : cognitive functioning across six subdomains was assessed using the cognitive telephone screening instrument . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 2 : 3 cognitive 2 : 9 assessed 2 : 16 . 3 cognitive 4 functioning 3 cognitive 5 across 3 cognitive 8 was 5 across 7 subdomains 6 six 7 subdomains 8 was 9 assessed 9 assessed 10 using 10 using 15 instrument 11 the 15 instrument 12 cognitive 13 telephone 13 telephone 14 screening 14 screening 15 instrument data on prevalent diabetes at baseline were obtained from the study participants and their general practitioners . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 8 obtained 0 ###LEFT-WALL### 17 . 1 data 2 on 1 data 7 were 2 on 4 diabetes 3 prevalent 4 diabetes 4 diabetes 5 at 5 at 6 baseline 7 were 8 obtained 8 obtained 9 from 9 from 13 and 10 the 12 participants 11 study 12 participants 12 participants 13 and 13 and 16 practitioners 14 their 16 practitioners 15 general 16 practitioners baseline fasting glucose was assessed as part of the screening exam , and baseline hba1c was determined centrally by standardized methods . 0 ###LEFT-WALL### 3 glucose 0 ###LEFT-WALL### 5 assessed 0 ###LEFT-WALL### 17 determined 1 baseline 2 fasting 2 fasting 3 glucose 3 glucose 4 was 4 was 5 assessed 6 as 13 and 6 as 17 determined 7 part 8 of 7 part 13 and 8 of 11 exam 9 the 11 exam 10 screening 11 exam 12 , 13 and 13 and 14 baseline 13 and 15 hba1c 13 and 16 was 13 and 17 determined 15 hba1c 16 was 17 determined 18 centrally 17 determined 19 by 17 determined 22 . 19 by 21 methods 20 standardized 21 methods results : the association of cognitive functioning with self [-] reported diabetes ( n = 189 ) was more pronounced than [with] physician - reported diabetes ( n = 280 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 association 2 : 20 pronounced 2 : 25 reported 3 the 4 association 4 association 5 of 4 association 18 was 5 of 7 functioning 6 cognitive 7 functioning 7 functioning 8 with 8 with 12 diabetes 9 self 11 reported 11 reported 12 diabetes 12 diabetes 15 = 13 ( 15 = 14 n 15 = 15 = 16 189 15 = 17 ) 18 was 19 more 18 was 20 pronounced 20 pronounced 21 than 21 than 23 physician 24 - 25 reported 25 reported 26 diabetes 25 reported 29 = 25 reported 32 . 27 ( 29 = 28 n 29 = 29 = 30 280 29 = 31 ) hba1c showed a nonlinear association with cognitive functioning , with a peak of cognitive performance in the central quintile of hba1c . 0 ###LEFT-WALL### 1 hba1c 0 ###LEFT-WALL### 2 showed 1 hba1c 2 showed 2 showed 5 association 2 showed 6 with 2 showed 10 with 3 a 4 nonlinear 3 a 5 association 4 nonlinear 5 association 6 with 8 functioning 7 cognitive 8 functioning 9 , 10 with 10 with 12 peak 10 with 22 . 11 a 12 peak 12 peak 13 of 13 of 15 performance 14 cognitive 15 performance 15 performance 16 in 16 in 19 quintile 17 the 19 quintile 18 central 19 quintile 19 quintile 20 of 20 of 21 hba1c in the case of fasting glucose , lower cognitive functioning was only observed in the highest quintile . 0 ###LEFT-WALL### 10 functioning 0 ###LEFT-WALL### 13 observed 0 ###LEFT-WALL### 18 . 1 in 3 case 1 in 7 , 1 in 10 functioning 2 the 3 case 3 case 4 of 4 of 6 glucose 5 fasting 6 glucose 8 lower 10 functioning 9 cognitive 10 functioning 10 functioning 11 was 11 was 13 observed 12 only 13 observed 13 observed 14 in 14 in 17 quintile 15 the 16 highest 15 the 17 quintile the estimates were robust in confounder - adjusted models , but attentuated when excluding subjects with baseline prevalent or follow - up incident diabetes . 0 ###LEFT-WALL### 2 estimates 0 ###LEFT-WALL### 11 but 0 ###LEFT-WALL### 21 - 1 the 2 estimates 2 estimates 11 but 3 were 4 robust 3 were 11 but 4 robust 5 in 5 in 9 models 6 confounder 7 - 6 confounder 9 models 8 adjusted 9 models 10 , 11 but 11 but 19 or 12 attentuated 13 when 12 attentuated 19 or 13 when 14 excluding 14 excluding 15 subjects 14 excluding 16 with 16 with 17 baseline 16 with 18 prevalent 19 or 20 follow 21 - 22 up 21 - 25 . 22 up 24 diabetes 23 incident 24 diabetes conclusions : future studies of diabetes - related biomarkers and cognition should take possible nonlinearity of the relationships into account , [as] the strength of the associations otherwise might be underestimated . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 studies 2 : 13 take 2 : 21 , 2 : 30 be 2 : 32 . 3 future 4 studies 4 studies 5 of 4 studies 12 should 5 of 6 diabetes 7 - 8 related 8 related 10 and 8 related 12 should 9 biomarkers 10 and 10 and 11 cognition 12 should 13 take 13 take 15 nonlinearity 13 take 20 account 14 possible 15 nonlinearity 15 nonlinearity 16 of 16 of 18 relationships 17 the 18 relationships 19 into 20 account 21 , 30 be 23 the 24 strength 24 strength 25 of 24 strength 29 might 25 of 27 associations 26 the 27 associations 28 otherwise 29 might 29 might 30 be 30 be 31 underestimated objective : delusional thoughts are common among patients with alzheimer disease ( ad ) [and] may be conceptually linked to memory deficits [(] cannot recall accurate information , which leads to inaccurate beliefs ) and poor insight ( unable to appreciate the illogic [of] beliefs ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 thoughts 2 : 5 are 2 : 47 . 3 delusional 4 thoughts 4 thoughts 5 are 5 are 35 and 6 common 7 among 6 common 9 with 6 common 19 linked 6 common 35 and 7 among 8 patients 9 with 10 alzheimer 10 alzheimer 11 disease 10 alzheimer 17 be 11 disease 13 ad 11 disease 16 may 12 ( 13 ad 13 ad 14 ) 16 may 17 be 18 conceptually 19 linked 19 linked 20 to 20 to 21 memory 21 memory 22 deficits 21 memory 25 recall 21 memory 29 which 22 deficits 24 cannot 24 cannot 25 recall 25 recall 27 information 26 accurate 27 information 28 , 29 which 29 which 30 leads 29 which 34 ) 30 leads 31 to 31 to 33 beliefs 32 inaccurate 33 beliefs 35 and 37 insight 35 and 39 unable 36 poor 37 insight 38 ( 39 unable 39 unable 40 to 39 unable 41 appreciate 39 unable 46 ) 40 to 41 appreciate 41 appreciate 45 beliefs 42 the 45 beliefs 43 illogic 45 beliefs this study 's goals were to examine the clinical associations among delusions , memory deficits , and poor insight ; explore [neurobiologic] [correlates] for these symptoms ; [and] identify shared mechanisms . 0 ###LEFT-WALL### 4 goals 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 32 . 1 this 2 study 2 study 3 's 3 's 4 goals 4 goals 5 were 5 were 6 to 5 were 7 examine 6 to 7 examine 7 examine 10 associations 7 examine 11 among 8 the 10 associations 9 clinical 10 associations 11 among 12 delusions 13 , 17 and 13 , 20 ; 14 memory 15 deficits 15 deficits 17 and 16 , 17 and 17 and 19 insight 18 poor 19 insight 20 ; 21 explore 20 ; 27 ; 21 explore 24 for 24 for 26 symptoms 25 these 26 symptoms 27 ; 29 identify 29 identify 31 mechanisms 30 shared 31 mechanisms methods : in a cross - sectional analysis , 88 outpatients with ad ( mean mini - mental state exam score [:] 19.3 ) were studied . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 27 . 1 methods 2 : 2 : 3 in 3 in 5 cross 4 a 5 cross 5 cross 8 analysis 6 - 8 analysis 7 sectional 8 analysis 8 analysis 9 , 9 , 11 outpatients 9 , 25 were 10 88 11 outpatients 11 outpatients 12 with 11 outpatients 16 mini 11 outpatients 25 were 12 with 13 ad 14 ( 16 mini 15 mean 16 mini 16 mini 21 score 16 mini 24 ) 17 - 21 score 18 mental 19 state 19 state 20 exam 20 exam 21 score 21 score 23 19.3 21 score 24 ) 25 were 26 studied delusional thoughts were assessed with the neuropsychiatric inventory , level of inaccurate insight was assessed with the neurobehavioral rating scale , and memory was assessed with the mattis dementia rating scale memory subscale . 0 ###LEFT-WALL### 1 delusional 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 34 . 1 delusional 2 thoughts 1 delusional 3 were 1 delusional 4 assessed 2 thoughts 3 were 4 assessed 10 level 4 assessed 15 assessed 5 with 8 inventory 5 with 9 , 5 with 10 level 6 the 8 inventory 7 neuropsychiatric 8 inventory 10 level 11 of 10 level 14 was 11 of 13 insight 12 inaccurate 13 insight 14 was 15 assessed 15 assessed 16 with 16 with 20 scale 17 the 20 scale 18 neurobehavioral 19 rating 19 rating 20 scale 21 , 22 and 22 and 23 memory 22 and 25 assessed 23 memory 24 was 24 was 25 assessed 25 assessed 26 with 26 with 31 scale 26 with 33 subscale 27 the 31 scale 28 mattis 29 dementia 29 dementia 30 rating 30 rating 31 scale 32 memory 33 subscale [(] 18 )f - fluorodeoxyglucose positron emission tomography was used to measure regional cortical metabolism . 0 ###LEFT-WALL### 8 tomography 0 ###LEFT-WALL### 10 used 0 ###LEFT-WALL### 16 . 2 18 8 tomography 3 )f 4 - 3 )f 5 fluorodeoxyglucose 5 fluorodeoxyglucose 6 positron 6 positron 8 tomography 7 emission 8 tomography 8 tomography 9 was 9 was 10 used 10 used 11 to 10 used 12 measure 11 to 12 measure 12 measure 15 metabolism 13 regional 15 metabolism 14 cortical 15 metabolism relationships between clinical ratings and regional cortical metabolic activity ( voxel - based ) were assessed using spm2 . 0 ###LEFT-WALL### 1 relationships 0 ###LEFT-WALL### 16 assessed 0 ###LEFT-WALL### 19 . 1 relationships 2 between 1 relationships 15 were 2 between 5 and 3 clinical 4 ratings 4 ratings 5 and 5 and 9 activity 5 and 11 voxel 6 regional 9 activity 7 cortical 9 activity 8 metabolic 9 activity 10 ( 11 voxel 11 voxel 13 based 11 voxel 14 ) 12 - 13 based 13 based 14 ) 15 were 16 assessed 16 assessed 17 using 17 using 18 spm2 results : patients with delusions had lower dementia rating scale memory subscale scores . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 . 2 : 3 patients 2 : 6 had 3 patients 4 with 3 patients 6 had 4 with 5 delusions 6 had 13 scores 7 lower 13 scores 8 dementia 9 rating 9 rating 10 scale 10 scale 11 memory 11 memory 13 scores 12 subscale 13 scores neurobehavioral rating scale inaccurate insight scores were no different in those [with] and without delusions . 0 ###LEFT-WALL### 6 scores 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 16 . 1 neurobehavioral 2 rating 2 rating 3 scale 3 scale 6 scores 4 inaccurate 5 insight 5 insight 6 scores 6 scores 7 were 7 were 9 different 8 no 9 different 9 different 13 and 10 in 11 those 10 in 13 and 13 and 14 without 14 without 15 delusions cortical metabolic activity was lower in the right lateral frontal cortex , orbitofrontal cortex , and bilateral temporal cortex in patients with delusions . 0 ###LEFT-WALL### 3 activity 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 24 . 1 cortical 3 activity 2 metabolic 3 activity 3 activity 4 was 4 was 5 lower 5 lower 6 in 5 lower 20 in 5 lower 22 with 6 in 16 and 7 the 11 cortex 8 right 11 cortex 9 lateral 11 cortex 10 frontal 11 cortex 11 cortex 12 , 12 , 14 cortex 12 , 16 and 13 orbitofrontal 14 cortex 15 , 16 and 16 and 19 cortex 17 bilateral 19 cortex 18 temporal 19 cortex 20 in 21 patients 22 with 23 delusions low cortical metabolic activity in the right lateral , inferior , and medial temporal cortex was associated with poorer memory . 0 ###LEFT-WALL### 4 activity 0 ###LEFT-WALL### 17 associated 0 ###LEFT-WALL### 21 . 1 low 4 activity 2 cortical 4 activity 3 metabolic 4 activity 4 activity 5 in 4 activity 16 was 5 in 12 and 6 the 10 inferior 7 right 10 inferior 8 lateral 9 , 8 lateral 10 inferior 10 inferior 12 and 11 , 12 and 12 and 15 cortex 13 medial 15 cortex 14 temporal 15 cortex 16 was 17 associated 17 associated 18 with 18 with 20 memory 19 poorer 20 memory this region partially overlapped the region of hypometabolism associated with delusions . 0 ###LEFT-WALL### 2 region 0 ###LEFT-WALL### 4 overlapped 0 ###LEFT-WALL### 12 . 1 this 2 region 2 region 4 overlapped 3 partially 4 overlapped 4 overlapped 6 region 5 the 6 region 6 region 7 of 7 of 8 hypometabolism 8 hypometabolism 9 associated 9 associated 10 with 10 with 11 delusions in contrast , low cortical metabolic activity in bilateral medial frontal cortex [was] associated [with] poor insight . 0 ###LEFT-WALL### 4 low 0 ###LEFT-WALL### 18 . 1 in 2 contrast 1 in 3 , 1 in 4 low 4 low 7 activity 4 low 8 in 5 cortical 7 activity 6 metabolic 7 activity 8 in 17 insight 9 bilateral 12 cortex 10 medial 12 cortex 11 frontal 12 cortex 12 cortex 14 associated 14 associated 17 insight 16 poor 17 insight conclusion : delusions in ad are associated with dysfunction in specific frontal and temporal cortical regions . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 delusions 2 : 7 associated 2 : 17 . 3 delusions 4 in 3 delusions 6 are 4 in 5 ad 6 are 7 associated 7 associated 8 with 7 associated 10 in 8 with 9 dysfunction 10 in 16 regions 11 specific 16 regions 12 frontal 13 and 13 and 14 temporal 13 and 16 regions 15 cortical 16 regions delusions are partially clinically [and] neurobiologically linked to memory deficits but not to poor insight . 0 ###LEFT-WALL### 1 delusions 0 ###LEFT-WALL### 7 linked 0 ###LEFT-WALL### 16 . 1 delusions 2 are 2 are 3 partially 2 are 7 linked 4 clinically 7 linked 6 neurobiologically 7 linked 7 linked 11 but 8 to 10 deficits 8 to 11 but 9 memory 10 deficits 11 but 12 not 11 but 13 to 13 to 15 insight 14 poor 15 insight objectives : conflicting results have been reported regarding the association between white matter lesions ( wml ) and cognitive impairment . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 1 objectives 2 : 2 : 3 conflicting 3 conflicting 4 results 3 conflicting 6 been 3 conflicting 7 reported 3 conflicting 8 regarding 4 results 5 have 5 have 6 been 8 regarding 18 and 9 the 10 association 10 association 11 between 10 association 18 and 11 between 14 lesions 12 white 13 matter 13 matter 14 lesions 14 lesions 16 wml 15 ( 16 wml 16 wml 17 ) 18 and 20 impairment 19 cognitive 20 impairment we hypothesized that education , a marker of cognitive reserve ( cr ) , could modulate the effects of wml on the risk of mild cognitive impairment ( mci ) or dementia . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 hypothesized 0 ###LEFT-WALL### 33 . 1 we 2 hypothesized 2 hypothesized 3 that 3 that 4 education 3 that 16 modulate 4 education 7 marker 4 education 15 could 5 , 7 marker 6 a 7 marker 7 marker 8 of 7 marker 14 , 8 of 10 reserve 9 cognitive 10 reserve 10 reserve 12 cr 11 ( 12 cr 12 cr 13 ) 15 could 16 modulate 16 modulate 18 effects 17 the 18 effects 18 effects 19 of 19 of 31 or 20 wml 21 on 20 wml 24 of 20 wml 31 or 21 on 23 risk 22 the 23 risk 24 of 27 impairment 25 mild 27 impairment 26 cognitive 27 impairment 27 impairment 29 mci 28 ( 29 mci 29 mci 30 ) 31 or 32 dementia methods : we followed 500 healthy subjects from a cohort of community [-] dwelling persons aged 65 years [and] over ( esprit project ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 followed 2 : 25 . 3 we 4 followed 4 followed 7 subjects 5 500 7 subjects 6 healthy 7 subjects 7 subjects 8 from 7 subjects 11 of 8 from 10 cohort 9 a 10 cohort 11 of 14 dwelling 12 community 14 dwelling 14 dwelling 15 persons 14 dwelling 20 over 14 dwelling 23 project 15 persons 16 aged 16 aged 18 years 16 aged 20 over 17 65 18 years 21 ( 23 project 22 esprit 23 project 23 project 24 ) at baseline , wml volume was measured using a semi - automatic method on t2 - weighted mri . 0 ###LEFT-WALL### 5 volume 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 16 - 1 at 2 baseline 1 at 3 , 1 at 5 volume 4 wml 5 volume 5 volume 6 was 6 was 7 measured 7 measured 8 using 7 measured 14 on 8 using 13 method 9 a 10 semi 9 a 13 method 10 semi 11 - 10 semi 12 automatic 12 automatic 13 method 14 on 15 t2 16 - 18 mri 16 - 19 . 17 weighted 18 mri standardized cognitive and neurological evaluations [were] repeated after 2 , 4 , and 7 years . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 16 . 1 standardized 5 evaluations 2 cognitive 3 and 3 and 4 neurological 3 and 5 evaluations 5 evaluations 7 repeated 5 evaluations 13 and 7 repeated 8 after 8 after 9 2 9 2 11 4 10 , 11 4 11 4 12 , 12 , 13 and 13 and 15 years 14 7 15 years the sample was dichotomized according to education level into low ( ≤8 years ) [and] high ( >8 years ) education groups . 0 ###LEFT-WALL### 2 sample 0 ###LEFT-WALL### 4 dichotomized 0 ###LEFT-WALL### 23 . 1 the 2 sample 2 sample 3 was 3 was 4 dichotomized 4 dichotomized 6 to 4 dichotomized 8 level 5 according 6 to 6 to 7 education 8 level 9 into 9 into 22 groups 10 low 13 years 10 low 14 ) 10 low 21 education 11 ( 13 years 12 ≤8 13 years 13 years 14 ) 16 high 19 years 16 high 21 education 17 ( 19 years 18 >8 19 years 19 years 20 ) 21 education 22 groups cox proportional hazard models were constructed to study the association between wml and risk of mci/dementia . 0 ###LEFT-WALL### 1 cox 0 ###LEFT-WALL### 17 . 1 cox 3 hazard 2 proportional 3 hazard 3 hazard 4 models 3 hazard 8 study 4 models 5 were 5 were 6 constructed 6 constructed 7 to 7 to 8 study 8 study 10 association 9 the 10 association 10 association 11 between 10 association 15 of 11 between 13 and 12 wml 13 and 13 and 14 risk 15 of 16 mci/dementia results : the interaction between education level and wml volume reached significance ( p = 0.017 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 1 results 2 : 2 : 4 interaction 2 : 5 between 3 the 4 interaction 5 between 8 and 6 education 7 level 7 level 8 and 8 and 12 significance 8 and 15 = 9 wml 11 reached 10 volume 11 reached 11 reached 12 significance 13 ( 15 = 14 p 15 = 15 = 16 0.017 15 = 17 ) after adjustment for potential confounders , the association between severe wml and increased mci/dementia risk was significant in the low education group ( ≤8 years ) ( p = 0.02 , hazard [ratio] [ hr ] : 3.77 [ 1.29 - 10.99 ] ) , but not in the high education group ( >8 years ) ( p = 0.82 , hr : 1.07 [ 0.61 - 1.87 ] ) . 0 ###LEFT-WALL### 1 after 0 ###LEFT-WALL### 16 was 0 ###LEFT-WALL### 31 , 0 ###LEFT-WALL### 71 . 1 after 12 and 1 after 16 was 2 adjustment 3 for 2 adjustment 6 , 3 for 5 confounders 4 potential 5 confounders 6 , 8 association 6 , 12 and 7 the 8 association 8 association 9 between 9 between 11 wml 10 severe 11 wml 12 and 14 mci/dementia 13 increased 14 mci/dementia 15 risk 16 was 16 was 17 significant 17 significant 18 in 17 significant 29 = 18 in 22 group 19 the 22 group 20 low 22 group 21 education 22 group 22 group 25 years 23 ( 25 years 24 ≤8 25 years 25 years 26 ) 27 ( 29 = 28 p 29 = 29 = 30 0.02 31 , 32 hazard 31 , 37 : 31 , 46 but 32 hazard 35 hr 32 hazard 37 : 34 [ 35 hr 35 hr 36 ] 37 : 38 3.77 38 3.77 40 1.29 39 [ 40 1.29 40 1.29 42 10.99 40 1.29 44 ) 41 - 42 10.99 42 10.99 43 ] 45 , 46 but 46 but 47 not 46 but 62 hr 46 but 63 : 48 in 52 group 48 in 61 , 48 in 62 hr 49 the 52 group 50 high 51 education 51 education 52 group 52 group 55 years 52 group 59 = 53 ( 55 years 54 >8 55 years 55 years 56 ) 57 ( 59 = 58 p 59 = 59 = 60 0.82 62 hr 63 : 63 : 64 1.07 64 1.07 66 0.61 65 [ 66 0.61 66 0.61 68 1.87 66 0.61 70 ) 67 - 68 1.87 68 1.87 69 ] conclusions : severe wml significantly increases the risk of developing mci/dementia over a 7 [-] year period in low educated participants . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 wml 2 : 6 increases 2 : 22 . 3 severe 4 wml 4 wml 6 increases 5 significantly 6 increases 6 increases 8 risk 6 increases 12 over 7 the 8 risk 8 risk 9 of 9 of 10 developing 10 developing 11 mci/dementia 12 over 17 period 13 a 17 period 14 7 17 period 16 year 17 period 17 period 18 in 18 in 21 participants 19 low 20 educated 20 educated 21 participants subjects with higher education levels were seen to be more likely to be resilient to the deleterious effects of severe wml . 0 ###LEFT-WALL### 9 be 0 ###LEFT-WALL### 22 . 1 subjects 2 with 1 subjects 6 were 2 with 5 levels 3 higher 4 education 4 education 5 levels 6 were 7 seen 7 seen 8 to 8 to 9 be 9 be 11 likely 10 more 11 likely 11 likely 12 to 11 likely 13 be 12 to 13 be 13 be 14 resilient 14 resilient 15 to 15 to 18 effects 16 the 18 effects 17 deleterious 18 effects 18 effects 19 of 19 of 21 wml 20 severe 21 wml the cr hypothesis suggests several avenues for dementia prevention . 0 ###LEFT-WALL### 3 hypothesis 0 ###LEFT-WALL### 4 suggests 0 ###LEFT-WALL### 10 . 1 the 3 hypothesis 2 cr 3 hypothesis 3 hypothesis 4 suggests 4 suggests 6 avenues 5 several 6 avenues 6 avenues 7 for 7 for 9 prevention 8 dementia 9 prevention objective : to investigate the durability [of] self - etch adhesives bonded to dentin in vitro . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 investigate 2 : 9 - 3 to 4 investigate 4 investigate 8 self 5 the 8 self 6 durability 8 self 9 - 10 etch 9 - 17 . 10 etch 11 adhesives 11 adhesives 12 bonded 12 bonded 13 to 12 bonded 16 vitro 13 to 14 dentin 15 in 16 vitro methods : forty - two extracted human molars were selected and occlusal dentin surfaces were exposed . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 8 molars 2 : 10 selected 2 : 11 and 2 : 17 . 3 forty 4 - 4 - 5 two 4 - 8 molars 6 extracted 8 molars 7 human 8 molars 8 molars 9 were 9 were 10 selected 11 and 14 surfaces 11 and 16 exposed 12 occlusal 13 dentin 13 dentin 14 surfaces 14 surfaces 15 were 15 were 16 exposed the teeth were randomly distributed into three groups based on adhesives applied . 0 ###LEFT-WALL### 2 teeth 0 ###LEFT-WALL### 5 distributed 0 ###LEFT-WALL### 13 . 1 the 2 teeth 2 teeth 3 were 3 were 4 randomly 3 were 5 distributed 5 distributed 6 into 6 into 8 groups 7 three 8 groups 8 groups 9 based 9 based 10 on 10 on 11 adhesives 11 adhesives 12 applied the one - step self - etch adhesive b ( adper prompt ) [and] [c] ( g - bond ) and two - step self [-] [etch] adhesive a ( clearfil se bond ) were used . 0 ###LEFT-WALL### 2 one 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 37 . 1 the 2 one 3 - 5 self 3 - 6 - 4 step 5 self 6 - 7 etch 6 - 21 and 7 etch 8 adhesive 7 etch 18 - 8 adhesive 9 b 8 adhesive 12 prompt 10 ( 12 prompt 11 adper 12 prompt 12 prompt 13 ) 16 ( 18 - 17 g 18 - 18 - 19 bond 18 - 20 ) 21 and 22 two 21 and 36 used 22 two 28 adhesive 22 two 35 were 23 - 28 adhesive 24 step 28 adhesive 25 self 28 adhesive 28 adhesive 29 a 28 adhesive 33 bond 28 adhesive 34 ) 30 ( 33 bond 31 clearfil 32 se 32 se 33 bond 33 bond 34 ) 35 were 36 used after application of the adhesives to the dentin surfaces , composite crowns were built up , after 24 h water storage , the teeth were sectioned longitudinally into sticks ( 1.0 mm×1.0 mm bonding area ) for microtensile testing or slabs ( 1 mm [thick] ) for scanning electron microscopec ( sem ) observation . 0 ###LEFT-WALL### 12 crowns 0 ###LEFT-WALL### 14 built 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 55 . 1 after 2 application 1 after 9 surfaces 1 after 10 , 1 after 12 crowns 2 application 3 of 2 application 9 surfaces 3 of 5 adhesives 4 the 5 adhesives 5 adhesives 6 to 6 to 8 dentin 7 the 8 dentin 11 composite 12 crowns 12 crowns 13 were 13 were 14 built 14 built 15 up 14 built 17 after 16 , 17 after 17 after 21 storage 17 after 22 , 18 24 19 h 19 h 20 water 20 water 21 storage 22 , 24 teeth 22 , 26 sectioned 23 the 24 teeth 24 teeth 25 were 25 were 26 sectioned 26 sectioned 27 longitudinally 26 sectioned 28 into 26 sectioned 37 for 26 sectioned 47 for 28 into 29 sticks 29 sticks 35 area 30 ( 35 area 31 1.0 33 mm 32 mm×1.0 33 mm 33 mm 34 bonding 34 bonding 35 area 35 area 36 ) 37 for 40 or 38 microtensile 39 testing 39 testing 40 or 40 or 41 slabs 40 or 44 mm 42 ( 44 mm 43 1 44 mm 44 mm 46 ) 47 for 54 observation 48 scanning 49 electron 49 electron 54 observation 50 microscopec 52 sem 50 microscopec 54 observation 51 ( 52 sem 52 sem 53 ) bonding strength ( [mtbs] [ )(and nano - leakage were evaluated immediately after cutting or after 6 months in water . 0 ###LEFT-WALL### 6 )(and 0 ###LEFT-WALL### 11 evaluated 0 ###LEFT-WALL### 21 . 1 bonding 2 strength 2 strength 6 )(and 3 ( 6 )(and 6 )(and 9 leakage 6 )(and 10 were 7 nano 8 - 7 nano 9 leakage 10 were 11 evaluated 11 evaluated 12 immediately 11 evaluated 15 or 11 evaluated 19 in 13 after 14 cutting 13 after 15 or 15 or 16 after 16 after 18 months 17 6 18 months 19 in 20 water [the] [mtbs] was analyzed using one - way anova ( spss 13.0 ) . 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 14 . 3 was 5 using 3 was 6 one 4 analyzed 5 using 6 one 9 anova 7 - 9 anova 8 way 9 anova 9 anova 11 spss 9 anova 13 ) 10 ( 11 spss 11 spss 12 13.0 11 spss 13 ) the nanoleakage was observed by sem with a backscattered electron detector . 0 ###LEFT-WALL### 2 nanoleakage 0 ###LEFT-WALL### 4 observed 0 ###LEFT-WALL### 12 . 1 the 2 nanoleakage 2 nanoleakage 3 was 3 was 4 observed 4 observed 5 by 4 observed 7 with 5 by 6 sem 7 with 11 detector 8 a 11 detector 9 backscattered 10 electron 10 electron 11 detector results : both adhesives and water storage time affected [the] [mtbs] . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 and 2 : 12 . 3 both 4 adhesives 4 adhesives 5 and 5 and 8 time 5 and 9 affected 6 water 8 time 7 storage 8 time all adhesives showed decreased bond strength after six - month water aging [ [a] dropped from [(] 40.60 ± 5.76 ) mpa to [(] 36.04 ± [3.15] ) mpa [;] b dropped from [(] 19.06 ± [1.50] ) mpa to [(] 11.19 ± [1.97] ) mpa [;] c dropped from [(] 17.75 ± [1.10] ) mpa [to] ( 9.14 ± [1.15] ) mpa []] ( p < 0.05 ) . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 5 bond 0 ###LEFT-WALL### 9 - 1 all 2 adhesives 1 all 4 decreased 1 all 5 bond 2 adhesives 3 showed 3 showed 4 decreased 5 bond 6 strength 6 strength 7 after 7 after 8 six 9 - 11 water 10 month 11 water 11 water 12 aging 12 aging 15 dropped 12 aging 22 mpa 12 aging 23 to 13 [ 15 dropped 15 dropped 16 from 15 dropped 21 ) 16 from 19 ± 18 40.60 19 ± 19 ± 20 5.76 23 to 29 mpa 25 36.04 29 mpa 26 ± 28 ) 26 ± 29 mpa 29 mpa 31 b 29 mpa 32 dropped 29 mpa 33 from 33 from 39 mpa 35 19.06 39 mpa 36 ± 38 ) 36 ± 39 mpa 39 mpa 40 to 40 to 46 mpa 42 11.19 46 mpa 43 ± 45 ) 43 ± 46 mpa 46 mpa 48 c 46 mpa 49 dropped 49 dropped 50 from 50 from 56 mpa 52 17.75 56 mpa 53 ± 55 ) 53 ± 56 mpa 56 mpa 63 mpa 58 ( 63 mpa 59 9.14 63 mpa 60 ± 62 ) 60 ± 63 mpa 63 mpa 67 < 63 mpa 70 . 65 ( 67 < 66 p 67 < 67 < 68 0.05 67 < 69 ) [b] [and] [c] [showed] lower [mtbs] [than] a [after] aging ( p < 0.05 ) . 0 ###LEFT-WALL### 5 lower 0 ###LEFT-WALL### 16 . 5 lower 8 a 5 lower 10 aging 10 aging 13 < 11 ( 13 < 12 p 13 < 13 < 14 0.05 13 < 15 ) compared to a , nanoleakage was more obvious after aging for b and c ..y conclusions : all self [-] [etch] adhesives tested were probably influenced by water aging , however , the two - step adhesive showed better durability than the one - step adhesives . 0 ###LEFT-WALL### 5 nanoleakage 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 17 : 1 compared 2 to 1 compared 4 , 1 compared 5 nanoleakage 2 to 3 a 5 nanoleakage 6 was 6 was 7 more 6 was 8 obvious 8 obvious 9 after 9 after 10 aging 10 aging 11 for 11 for 12 b 13 and 14 c 13 and 15 ..y 14 c 15 ..y 15 ..y 16 conclusions 16 conclusions 17 : 17 : 18 all 17 : 27 by 17 : 44 - 18 all 22 adhesives 18 all 24 were 19 self 22 adhesives 22 adhesives 23 tested 23 tested 24 were 24 were 26 influenced 25 probably 26 influenced 27 by 28 water 28 water 29 aging 28 water 34 two 29 aging 31 however 30 , 31 however 31 however 32 , 32 , 34 two 33 the 34 two 34 two 35 - 35 - 44 - 36 step 37 adhesive 37 adhesive 38 showed 38 showed 40 durability 38 showed 41 than 38 showed 43 one 38 showed 44 - 39 better 40 durability 42 the 43 one 43 one 44 - 44 - 46 adhesives 44 - 47 . 45 step 46 adhesives the trend of the coincident cataract and glaucoma is likely to increase worldwide and it is a common finding in the aging population . 0 ###LEFT-WALL### 2 trend 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 24 . 1 the 2 trend 2 trend 3 of 2 trend 9 is 3 of 7 and 4 the 6 cataract 5 coincident 6 cataract 6 cataract 7 and 7 and 8 glaucoma 9 is 10 likely 10 likely 11 to 10 likely 12 increase 11 to 12 increase 12 increase 13 worldwide 14 and 15 it 14 and 16 is 15 it 16 is 16 is 19 finding 17 a 19 finding 18 common 19 finding 19 finding 20 in 20 in 23 population 21 the 23 population 22 aging 23 population the management of combined presence of cataract [and] glaucoma is a common clinical challenge . 0 ###LEFT-WALL### 2 management 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 15 . 1 the 2 management 2 management 3 of 2 management 10 is 3 of 5 presence 4 combined 5 presence 5 presence 6 of 6 of 9 glaucoma 7 cataract 9 glaucoma 10 is 14 challenge 11 a 12 common 11 a 14 challenge 12 common 14 challenge 13 clinical 14 challenge due to the development of new microscopy and cataract phacoemulsification techniques , we have more choices of surgical method . 0 ###LEFT-WALL### 13 we 0 ###LEFT-WALL### 14 have 0 ###LEFT-WALL### 20 . 1 due 2 to 2 to 4 development 2 to 12 , 2 to 13 we 3 the 4 development 4 development 5 of 5 of 8 and 6 new 7 microscopy 7 microscopy 8 and 8 and 11 techniques 9 cataract 11 techniques 10 phacoemulsification 11 techniques 13 we 14 have 14 have 16 choices 15 more 16 choices 16 choices 17 of 17 of 19 method 18 surgical 19 method and the best surgical strategy will depend on the clinicians ' surgical techniques and patients ' characteristics . 0 ###LEFT-WALL### 1 and 0 ###LEFT-WALL### 18 . 1 and 5 strategy 1 and 7 depend 2 the 3 best 2 the 5 strategy 4 surgical 5 strategy 5 strategy 6 will 6 will 7 depend 7 depend 8 on 8 on 14 and 9 the 10 clinicians 10 clinicians 11 ' 11 ' 13 techniques 12 surgical 13 techniques 13 techniques 14 and 14 and 17 characteristics 15 patients 16 ' 16 ' 17 characteristics objective : bipolar disorder ( bd ) has been associated with persistent low - grade inflammation and premature cell senescence , as shown by reduced telomere length ( tl ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 3 bipolar 2 : 10 associated 3 bipolar 4 disorder 3 bipolar 9 been 3 bipolar 10 associated 4 disorder 6 bd 4 disorder 8 has 5 ( 6 bd 6 bd 7 ) 8 has 9 been 10 associated 11 with 10 associated 24 by 11 with 17 and 12 persistent 15 grade 13 low 14 - 13 low 15 grade 15 grade 16 inflammation 16 inflammation 17 and 17 and 20 senescence 17 and 23 shown 18 premature 19 cell 19 cell 20 senescence 21 , 23 shown 22 as 23 shown 24 by 27 length 25 reduced 27 length 26 telomere 27 length 27 length 29 tl 28 ( 29 tl 29 tl 30 ) the human cytomegalovirus ( cmv ) has increasingly been implicated in accelerated immunosenescence in aging studies . 0 ###LEFT-WALL### 3 cytomegalovirus 0 ###LEFT-WALL### 10 implicated 0 ###LEFT-WALL### 17 . 1 the 3 cytomegalovirus 2 human 3 cytomegalovirus 3 cytomegalovirus 5 cmv 3 cytomegalovirus 7 has 4 ( 5 cmv 5 cmv 6 ) 7 has 9 been 8 increasingly 9 been 9 been 10 implicated 10 implicated 11 in 10 implicated 14 in 11 in 13 immunosenescence 12 accelerated 13 immunosenescence 14 in 15 aging 15 aging 16 studies here , we compared [cmv] serology and its relationships with cell senescence markers , including tl and lymphocyte subsets , in patients with type i bd and healthy controls . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 compared 0 ###LEFT-WALL### 30 . 1 here 2 , 1 here 3 we 3 we 4 compared 4 compared 7 and 4 compared 10 with 4 compared 21 in 4 compared 23 with 6 serology 7 and 7 and 9 relationships 8 its 9 relationships 10 with 13 markers 11 cell 12 senescence 12 senescence 13 markers 13 markers 15 including 14 , 15 including 15 including 17 and 15 including 20 , 16 tl 17 and 17 and 19 subsets 17 and 20 , 18 lymphocyte 19 subsets 21 in 22 patients 23 with 24 type 23 with 29 controls 24 type 25 i 26 bd 27 and 27 and 28 healthy 27 and 29 controls methods : twenty - two euthymic female patients with bd type i and 17 age - matched healthy controls were selected for the study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 8 patients 2 : 11 type 2 : 16 - 2 : 25 . 3 twenty 4 - 4 - 5 two 4 - 8 patients 6 euthymic 8 patients 7 female 8 patients 8 patients 9 with 8 patients 11 type 9 with 10 bd 11 type 13 and 12 i 13 and 13 and 15 age 14 17 15 age 16 - 19 controls 16 - 21 selected 17 matched 19 controls 18 healthy 19 controls 19 controls 20 were 20 were 21 selected 21 selected 22 for 22 for 24 study 23 the 24 study a sample of blood was collected and mononuclear cells and dna were isolated and tl measured . 0 ###LEFT-WALL### 2 sample 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 17 . 1 a 2 sample 2 sample 3 of 2 sample 5 was 3 of 4 blood 5 was 6 collected 7 and 10 and 7 and 12 were 8 mononuclear 9 cells 9 cells 10 and 10 and 11 dna 10 and 12 were 12 were 14 and 13 isolated 14 and 14 and 15 tl 14 and 16 measured [cmv] immunoglobulin m ( [igm] [ )(and igg titers were measured using chemiluminescent assays . 0 ###LEFT-WALL### 7 )(and 0 ###LEFT-WALL### 10 were 0 ###LEFT-WALL### 15 . 2 immunoglobulin 3 m 2 immunoglobulin 7 )(and 4 ( 7 )(and 7 )(and 9 titers 7 )(and 10 were 8 igg 9 titers 10 were 11 measured 11 measured 12 using 12 using 14 assays 13 chemiluminescent 14 assays lymphocyte subsets [ t , natural killer ( [nk] [ )(and nkt ] were phenotyped by flow cytometry . 0 ###LEFT-WALL### 2 subsets 0 ###LEFT-WALL### 15 phenotyped 0 ###LEFT-WALL### 19 . 1 lymphocyte 2 subsets 2 subsets 11 )(and 2 subsets 14 were 3 [ 11 )(and 4 t 5 , 5 , 7 killer 5 , 11 )(and 6 natural 7 killer 8 ( 11 )(and 11 )(and 12 nkt 11 )(and 13 ] 14 were 15 phenotyped 15 phenotyped 16 by 15 phenotyped 18 cytometry 16 by 17 flow results : individuals with bd had shorter tls but higher [cmv] igg levels than controls ( [both] p < 0.01 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 3 individuals 2 : 6 had 3 individuals 4 with 3 individuals 6 had 4 with 5 bd 6 had 13 levels 6 had 14 than 7 shorter 13 levels 8 tls 9 but 9 but 10 higher 9 but 13 levels 12 igg 13 levels 14 than 15 controls 15 controls 19 < 16 ( 19 < 18 p 19 < 19 < 20 0.01 19 < 21 ) [cmv] igg level was inversely correlated with tl . 0 ###LEFT-WALL### 3 level 0 ###LEFT-WALL### 6 correlated 0 ###LEFT-WALL### 9 . 2 igg 3 level 3 level 4 was 4 was 6 correlated 5 inversely 6 correlated 6 correlated 7 with 7 with 8 tl none of the subjects showed igm reactivity for cmv , excluding acute viral infection . 0 ###LEFT-WALL### 4 subjects 0 ###LEFT-WALL### 5 showed 1 none 2 of 1 none 4 subjects 2 of 4 subjects 3 the 4 subjects 4 subjects 5 showed 5 showed 6 igm 5 showed 7 reactivity 7 reactivity 8 for 8 for 9 cmv 9 cmv 11 excluding 10 , 11 excluding 11 excluding 14 infection 11 excluding 15 . 12 acute 14 infection 13 viral 14 infection [cmv] igg level was associated with expansion of senescent cd8+cd28 [-] t cells and nk cells , which are involved in viral control . 0 ###LEFT-WALL### 2 igg 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 24 . 2 igg 3 level 2 igg 4 was 2 igg 5 associated 3 level 4 was 5 associated 6 with 6 with 7 expansion 7 expansion 8 of 8 of 14 and 9 senescent 13 cells 10 cd8+cd28 12 t 10 cd8+cd28 13 cells 13 cells 14 and 14 and 16 cells 15 nk 16 cells 17 , 18 which 17 , 20 involved 18 which 19 are 19 are 20 involved 20 involved 21 in 21 in 23 control 22 viral 23 control conclusions : these data support the hypothesis of accelerated aging in bd , as shown by shortened telomeres , higher seropositivity for cmv , and expansion of senescent t cells . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 data 2 : 5 support 2 : 31 . 3 these 4 data 4 data 5 support 5 support 30 cells 6 the 7 hypothesis 7 hypothesis 8 of 7 hypothesis 16 by 7 hypothesis 25 and 8 of 10 aging 9 accelerated 10 aging 10 aging 11 in 11 in 12 bd 12 bd 15 shown 13 , 15 shown 14 as 15 shown 16 by 18 telomeres 17 shortened 18 telomeres 18 telomeres 21 seropositivity 19 , 21 seropositivity 20 higher 21 seropositivity 21 seropositivity 22 for 21 seropositivity 24 , 22 for 23 cmv 24 , 25 and 25 and 26 expansion 25 and 27 of 25 and 30 cells 27 of 28 senescent 28 senescent 29 t purpose : to describe a new method of measuring early phase tear clearance by anterior segment optical coherence tomography ( as - oct ) . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 describe 3 to 4 describe 4 describe 7 method 5 a 6 new 5 a 7 method 6 new 7 method 7 method 8 of 8 of 9 measuring 9 measuring 13 clearance 9 measuring 14 by 10 early 11 phase 11 phase 13 clearance 12 tear 13 clearance 14 by 19 tomography 15 anterior 16 segment 16 segment 19 tomography 17 optical 18 coherence 18 coherence 19 tomography 19 tomography 21 as 20 ( 21 as 21 as 23 oct 21 as 25 . 22 - 23 oct 23 oct 24 ) methods : sixty normal subjects were divided into a young group ( 30 subjects ; 29.6 ± 7.2 years [ )(and an elder group ( 30 subjects ; 71.4 ± 10.8 years [ )( 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 subjects 2 : 7 divided 2 : 15 ; 2 : 34 )( 3 sixty 5 subjects 4 normal 5 subjects 5 subjects 6 were 6 were 7 divided 7 divided 8 into 8 into 11 group 9 a 11 group 10 young 11 group 11 group 14 subjects 12 ( 14 subjects 13 30 14 subjects 14 subjects 15 ; 15 ; 16 29.6 15 ; 17 ± 15 ; 28 ; 16 29.6 17 ± 17 ± 18 7.2 18 7.2 21 )(and 18 7.2 24 group 18 7.2 27 subjects 19 years 21 )(and 21 )(and 23 elder 21 )(and 24 group 22 an 23 elder 25 ( 27 subjects 26 30 27 subjects 27 subjects 28 ; 28 ; 29 71.4 28 ; 30 ± 29 71.4 30 ± 30 ± 32 years 31 10.8 32 years as - oct ( casia ss - 1000 , tomey , japan ) [with] customized software was used to record the tear meniscus at the centre of the lower eyelid . 0 ###LEFT-WALL### 6 ss 0 ###LEFT-WALL### 18 used 0 ###LEFT-WALL### 31 . 1 as 3 oct 2 - 3 oct 3 oct 5 casia 4 ( 5 casia 5 casia 6 ss 6 ss 8 1000 6 ss 15 customized 6 ss 17 was 7 - 8 1000 8 1000 10 tomey 8 1000 15 customized 9 , 10 tomey 10 tomey 12 japan 10 tomey 13 ) 11 , 12 japan 12 japan 13 ) 15 customized 16 software 17 was 18 used 18 used 19 to 18 used 20 record 19 to 20 record 20 record 23 meniscus 20 record 24 at 21 the 23 meniscus 22 tear 23 meniscus 24 at 26 centre 25 the 26 centre 26 centre 27 of 27 of 30 eyelid 28 the 30 eyelid 29 lower 30 eyelid five microlitres of lukewarm saline [solution] was dropped into the lower conjunctival sac , and an image of the tear meniscus was obtained immediately [and] again 30 seconds after natural blinking . 0 ###LEFT-WALL### 5 saline 0 ###LEFT-WALL### 8 dropped 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 32 . 1 five 2 microlitres 2 microlitres 3 of 2 microlitres 5 saline 3 of 5 saline 4 lukewarm 5 saline 5 saline 7 was 7 was 8 dropped 8 dropped 9 into 9 into 13 sac 10 the 13 sac 11 lower 13 sac 12 conjunctival 13 sac 14 , 15 and 15 and 17 image 15 and 23 obtained 16 an 17 image 17 image 18 of 17 image 22 was 18 of 21 meniscus 19 the 21 meniscus 20 tear 21 meniscus 22 was 23 obtained 23 obtained 24 immediately 23 obtained 26 again 23 obtained 29 after 27 30 28 seconds 28 seconds 29 after 29 after 31 blinking 30 natural 31 blinking [the] tear meniscus height ( tmh ) and tear meniscus area ( tma ) were measured in the as - oct images , and the percentage decrease in the tmh and tma was used as a measure of the tear clearance . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 31 and 0 ###LEFT-WALL### 42 . 2 tear 4 height 2 tear 8 and 3 meniscus 4 height 4 height 6 tmh 5 ( 6 tmh 6 tmh 7 ) 8 and 9 tear 9 tear 10 meniscus 9 tear 17 in 10 meniscus 11 area 10 meniscus 15 were 10 meniscus 16 measured 11 area 13 tma 11 area 15 were 12 ( 13 tma 13 tma 14 ) 17 in 24 and 18 the 22 images 19 as 21 oct 20 - 21 oct 21 oct 22 images 22 images 24 and 23 , 24 and 24 and 27 decrease 24 and 28 in 25 the 27 decrease 26 percentage 27 decrease 28 in 30 tmh 29 the 30 tmh 31 and 32 tma 31 and 34 used 32 tma 33 was 33 was 34 used 34 used 35 as 35 as 37 measure 36 a 37 measure 37 measure 38 of 38 of 41 clearance 39 the 41 clearance 40 tear 41 clearance correlations between tear clearance and clinical features including degree of conjunctivochalasis , [degree] of protrusion [of] inferior lacrimal punctum , distance [of] lacrimal punctum from the marx line and fluorescein clearance rates were also determined in another healthy population consisting of 30 subjects . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 21 distance 0 ###LEFT-WALL### 35 determined 0 ###LEFT-WALL### 44 . 1 correlations 2 between 1 correlations 5 and 2 between 4 clearance 3 tear 4 clearance 5 and 9 degree 5 and 10 of 5 and 14 of 5 and 21 distance 6 clinical 7 features 7 features 9 degree 8 including 9 degree 10 of 11 conjunctivochalasis 12 , 14 of 14 of 19 punctum 14 of 20 , 15 protrusion 19 punctum 17 inferior 19 punctum 18 lacrimal 19 punctum 21 distance 24 punctum 21 distance 25 from 23 lacrimal 24 punctum 25 from 29 and 26 the 28 line 27 marx 28 line 28 line 29 and 29 and 30 fluorescein 31 clearance 32 rates 31 clearance 33 were 31 clearance 35 determined 32 rates 33 were 34 also 35 determined 35 determined 36 in 36 in 39 population 37 another 39 population 38 healthy 39 population 39 population 40 consisting 40 consisting 41 of 41 of 43 subjects 42 30 43 subjects results : the oct tear clearance rate was [35.2] ± 11 % for tmh and 28.1 ± 12.4 % for tma in the young group , and 12.4 ± 7.3 % and 6.2 ± 9.1 % , respectively in the elder group . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 10 ± 2 : 15 and 2 : 32 and 3 the 7 rate 4 oct 7 rate 5 tear 6 clearance 6 clearance 7 rate 7 rate 8 was 8 was 10 ± 10 ± 12 % 11 11 12 % 12 % 13 for 13 for 14 tmh 15 and 16 28.1 15 and 17 ± 16 28.1 17 ± 17 ± 19 % 18 12.4 19 % 19 % 20 for 19 % 22 in 20 for 21 tma 22 in 31 % 23 the 25 group 24 young 25 group 25 group 27 and 26 , 27 and 27 and 29 ± 27 and 31 % 28 12.4 29 ± 29 ± 30 7.3 32 and 33 6.2 32 and 34 ± 33 6.2 34 ± 34 ± 36 % 35 9.1 36 % 36 % 39 in 37 , 38 respectively 37 , 39 in 39 in 42 group 39 in 43 . 40 the 42 group 41 elder 42 group the differences were significant for both the tmh ( p = 0.017 ) and the tma ( p = 0.024 ) . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 22 . 1 the 2 differences 2 differences 3 were 3 were 14 and 4 significant 5 for 4 significant 14 and 5 for 6 both 6 both 7 the 6 both 8 tmh 7 the 8 tmh 8 tmh 11 = 9 ( 11 = 10 p 11 = 11 = 12 0.017 11 = 13 ) 14 and 16 tma 14 and 19 = 15 the 16 tma 17 ( 19 = 18 p 19 = 19 = 20 0.024 19 = 21 ) the oct - determined tear clearance was positively correlated with the fluorescein clearance rate , and negatively correlated with the distance between the lacrimal punctum and marx line [,] degree of conjunctivochalasis and degree of lacrimal punctum protrusion . 0 ###LEFT-WALL### 2 oct 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 39 . 1 the 2 oct 2 oct 7 was 3 - 4 determined 4 determined 6 clearance 4 determined 7 was 5 tear 6 clearance 7 was 16 and 8 positively 9 correlated 9 correlated 10 with 9 correlated 16 and 10 with 14 rate 11 the 14 rate 12 fluorescein 14 rate 13 clearance 14 rate 15 , 16 and 16 and 18 correlated 16 and 22 between 17 negatively 18 correlated 18 correlated 19 with 19 with 21 distance 20 the 21 distance 22 between 38 protrusion 23 the 38 protrusion 24 lacrimal 25 punctum 25 punctum 26 and 26 and 30 degree 26 and 31 of 26 and 38 protrusion 27 marx 28 line 28 line 30 degree 31 of 33 and 32 conjunctivochalasis 33 and 33 and 34 degree 33 and 35 of 35 of 37 punctum 36 lacrimal 37 punctum conclusion : as - oct can be used as a rapid [,] [non] - invasive and quantitative method of determining the early phase tear clearance rate in a normal healthy population . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 be 0 ###LEFT-WALL### 32 . 2 : 7 be 3 as 5 oct 4 - 5 oct 5 oct 6 can 6 can 7 be 7 be 8 used 8 used 9 as 9 as 18 method 10 a 11 rapid 10 a 18 method 11 rapid 14 - 11 rapid 18 method 15 invasive 16 and 16 and 17 quantitative 16 and 18 method 18 method 19 of 19 of 20 determining 20 determining 26 rate 20 determining 27 in 21 the 26 rate 22 early 23 phase 23 phase 24 tear 24 tear 25 clearance 25 clearance 26 rate 27 in 31 population 28 a 31 population 29 normal 31 population 30 healthy 31 population age is one of the key risk factors of several human neurodegenerative disorders such as alzheimer΄s disease and parkinson΄s disease . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 21 . 1 age 2 is 2 is 18 and 3 one 4 of 3 one 18 and 4 of 8 factors 5 the 8 factors 6 key 8 factors 7 risk 8 factors 8 factors 9 of 8 factors 15 as 9 of 13 disorders 10 several 13 disorders 11 human 13 disorders 12 neurodegenerative 13 disorders 14 such 15 as 15 as 17 disease 16 alzheimer΄s 17 disease 18 and 20 disease 19 parkinson΄s 20 disease during aging the immune system of the brain undergoes multiple structural and functional changes . 0 ###LEFT-WALL### 5 system 0 ###LEFT-WALL### 9 undergoes 0 ###LEFT-WALL### 15 . 1 during 2 aging 1 during 5 system 3 the 5 system 4 immune 5 system 5 system 6 of 5 system 9 undergoes 6 of 8 brain 7 the 8 brain 9 undergoes 14 changes 10 multiple 14 changes 11 structural 12 and 12 and 13 functional 12 and 14 changes the major immune cells of the brain - microglia and astrocytes - significantly change their morphology and functional state during aging . 0 ###LEFT-WALL### 4 cells 0 ###LEFT-WALL### 14 change 0 ###LEFT-WALL### 22 . 1 the 4 cells 2 major 4 cells 3 immune 4 cells 4 cells 5 of 4 cells 14 change 5 of 7 brain 6 the 7 brain 7 brain 10 and 8 - 10 and 9 microglia 10 and 10 and 11 astrocytes 10 and 12 - 13 significantly 14 change 14 change 17 and 14 change 20 during 15 their 16 morphology 16 morphology 17 and 17 and 19 state 18 functional 19 state 20 during 21 aging similarly , the blood brain barrier ( bbb ) , that is considered to be the iron curtain protecting the brain parenchyma [against] invasion of the pathogens , can be influenced by aging . 0 ###LEFT-WALL### 6 barrier 0 ###LEFT-WALL### 31 influenced 0 ###LEFT-WALL### 34 . 1 similarly 2 , 1 similarly 6 barrier 3 the 6 barrier 4 blood 6 barrier 5 brain 6 barrier 6 barrier 8 bbb 6 barrier 13 considered 6 barrier 29 can 7 ( 8 bbb 8 bbb 9 ) 10 , 13 considered 11 that 12 is 12 is 13 considered 13 considered 14 to 13 considered 15 be 13 considered 28 , 14 to 15 be 15 be 18 curtain 16 the 18 curtain 17 iron 18 curtain 18 curtain 19 protecting 19 protecting 24 invasion 20 the 24 invasion 21 brain 24 invasion 22 parenchyma 24 invasion 24 invasion 25 of 25 of 27 pathogens 26 the 27 pathogens 29 can 30 be 30 be 31 influenced 31 influenced 32 by 32 by 33 aging this state of altered brain immunity may lead to the increased brain vulnerability to viral infections , primoinfection as well as reactivation . 0 ###LEFT-WALL### 2 state 0 ###LEFT-WALL### 8 lead 1 this 2 state 2 state 3 of 2 state 7 may 3 of 6 immunity 4 altered 5 brain 5 brain 6 immunity 7 may 8 lead 8 lead 9 to 8 lead 14 to 9 to 13 vulnerability 10 the 13 vulnerability 11 increased 12 brain 12 brain 13 vulnerability 14 to 16 infections 15 viral 16 infections 16 infections 18 primoinfection 17 , 18 primoinfection 18 primoinfection 21 as 18 primoinfection 23 . 19 as 20 well 20 well 21 as 21 as 22 reactivation we hypothesize that impairment of the brain immunity and bbb integrity can create the optimal condition for viral infection that can further amplify the neuroinflammation mediated by glial cells and neurodegeneration induced and [driven] by disease modified proteins . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 hypothesize 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 39 . 1 we 2 hypothesize 2 hypothesize 4 impairment 3 that 4 impairment 4 impairment 5 of 5 of 8 immunity 6 the 8 immunity 7 brain 8 immunity 9 and 11 integrity 9 and 23 amplify 10 bbb 11 integrity 11 integrity 12 can 12 can 13 create 13 create 16 condition 14 the 16 condition 15 optimal 16 condition 16 condition 17 for 16 condition 20 that 16 condition 23 amplify 17 for 19 infection 18 viral 19 infection 20 that 21 can 21 can 23 amplify 22 further 23 amplify 23 amplify 25 neuroinflammation 23 amplify 33 and 24 the 25 neuroinflammation 25 neuroinflammation 26 mediated 27 by 30 and 27 by 33 and 28 glial 29 cells 29 cells 30 and 30 and 31 neurodegeneration 30 and 32 induced 33 and 35 by 35 by 38 proteins 36 disease 37 modified 37 modified 38 proteins valvular heart disease is a major cause of morbidity and mortality , and with an aging population , its prevalence is increasing . 0 ###LEFT-WALL### 3 disease 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 23 . 1 valvular 2 heart 2 heart 3 disease 3 disease 4 is 4 is 10 and 5 a 6 major 5 a 7 cause 6 major 7 cause 7 cause 8 of 7 cause 10 and 8 of 9 morbidity 10 and 11 mortality 12 , 13 and 13 and 20 prevalence 13 and 21 is 14 with 17 population 14 with 18 , 14 with 20 prevalence 15 an 17 population 16 aging 17 population 19 its 20 prevalence 20 prevalence 21 is 21 is 22 increasing here , we review the evolving use of positron emission tomography/computed tomography in valvular heart disease , with particular focus on calcific aortic stenosis and infective endocarditis . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 review 1 here 2 , 1 here 3 we 3 we 4 review 4 review 7 use 5 the 7 use 6 evolving 7 use 7 use 8 of 7 use 18 with 8 of 10 emission 9 positron 10 emission 10 emission 11 tomography/computed 10 emission 12 tomography 12 tomography 13 in 13 in 16 disease 14 valvular 15 heart 15 heart 16 disease 17 , 18 with 18 with 20 focus 18 with 28 . 19 particular 20 focus 20 focus 21 on 21 on 25 and 22 calcific 24 stenosis 23 aortic 24 stenosis 24 stenosis 25 and 25 and 27 endocarditis 26 infective 27 endocarditis in principle , the activity of any pathological process can be studied , as long [as] an appropriate radiotracer can be developed . 0 ###LEFT-WALL### 5 activity 0 ###LEFT-WALL### 12 studied 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 21 be 0 ###LEFT-WALL### 23 . 1 in 2 principle 1 in 3 , 1 in 5 activity 4 the 5 activity 5 activity 6 of 5 activity 10 can 6 of 9 process 7 any 9 process 8 pathological 9 process 10 can 11 be 11 be 12 studied 13 , 21 be 14 as 15 long 14 as 17 an 15 long 17 an 17 an 18 appropriate 17 an 19 radiotracer 18 appropriate 19 radiotracer 19 radiotracer 20 can 20 can 21 be 21 be 22 developed we will review some of the early data using established tracers in [the] above and other conditions , providing discussion as to the future research and clinical roles of these techniques . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 32 . 1 we 2 will 2 will 3 review 3 review 15 and 3 review 22 to 4 some 5 of 4 some 14 above 4 some 15 and 5 of 8 data 6 the 8 data 7 early 8 data 8 data 9 using 8 data 12 in 9 using 10 established 10 established 11 tracers 10 established 12 in 15 and 17 conditions 15 and 18 , 15 and 19 providing 16 other 17 conditions 19 providing 20 discussion 21 as 22 to 22 to 26 and 23 the 25 research 24 future 25 research 25 research 26 and 26 and 28 roles 26 and 29 of 27 clinical 28 roles 29 of 31 techniques 30 these 31 techniques furthermore , we will discuss the potential impact of novel tracers that are currently under development or testing in preclinical models . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 5 discuss 0 ###LEFT-WALL### 22 . 1 furthermore 2 , 1 furthermore 3 we 3 we 4 will 4 will 5 discuss 5 discuss 8 impact 6 the 8 impact 7 potential 8 impact 8 impact 9 of 9 of 11 tracers 10 novel 11 tracers 11 tracers 12 that 11 tracers 13 are 12 that 13 are 13 are 14 currently 13 are 15 under 15 under 17 or 16 development 17 or 17 or 18 testing 17 or 19 in 19 in 21 models 20 preclinical 21 models it is hoped that such advanced imaging might improve the diagnosis , treatment and outlook for patients with valvular heart disease . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 hoped 0 ###LEFT-WALL### 22 . 1 it 2 is 2 is 3 hoped 3 hoped 4 that 4 that 7 imaging 4 that 9 improve 5 such 7 imaging 6 advanced 7 imaging 7 imaging 8 might 8 might 9 improve 9 improve 14 and 9 improve 16 for 9 improve 18 with 10 the 14 and 11 diagnosis 12 , 12 , 13 treatment 12 , 14 and 14 and 15 outlook 16 for 17 patients 18 with 21 disease 19 valvular 20 heart 20 heart 21 disease the aim of this review is to summarise the evidence linking vitamin d to bone health outcomes in older adults . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 15 bone 0 ###LEFT-WALL### 21 . 1 the 2 aim 2 aim 3 of 2 aim 6 is 3 of 5 review 4 this 5 review 6 is 7 to 6 is 8 summarise 7 to 8 summarise 8 summarise 10 evidence 9 the 10 evidence 10 evidence 11 linking 11 linking 12 vitamin 11 linking 14 to 12 vitamin 13 d 14 to 15 bone 15 bone 17 outcomes 15 bone 18 in 16 health 17 outcomes 18 in 20 adults 19 older 20 adults a plethora of scientific evidence globally suggests that large proportions of people have vitamin d deficiency and [are] not meeting recommended intakes . 0 ###LEFT-WALL### 2 plethora 0 ###LEFT-WALL### 7 suggests 0 ###LEFT-WALL### 23 . 1 a 2 plethora 2 plethora 3 of 2 plethora 7 suggests 3 of 5 evidence 4 scientific 5 evidence 6 globally 7 suggests 7 suggests 8 that 8 that 10 proportions 8 that 13 have 9 large 10 proportions 10 proportions 11 of 10 proportions 13 have 11 of 12 people 13 have 17 and 14 vitamin 15 d 14 vitamin 16 deficiency 16 deficiency 17 and 17 and 19 not 17 and 22 intakes 19 not 20 meeting 21 recommended 22 intakes older adults are at particular risk of the consequences of vitamin d deficiency owing to a combination of physiological and behavioural factors . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 23 . 1 older 2 adults 2 adults 3 are 3 are 4 at 3 are 15 to 4 at 6 risk 5 particular 6 risk 6 risk 7 of 6 risk 10 of 7 of 9 consequences 8 the 9 consequences 10 of 14 owing 11 vitamin 12 d 11 vitamin 14 owing 13 deficiency 14 owing 15 to 17 combination 16 a 17 combination 17 combination 18 of 18 of 22 factors 19 physiological 20 and 20 and 21 behavioural 20 and 22 factors epidemiological studies show that low vitamin d status is associated with a variety of negative skeletal consequences in older adults including osteomalacia , reduced bone mineral density , impaired ca absorption and secondary hyperparathyroidism . 0 ###LEFT-WALL### 32 and 0 ###LEFT-WALL### 35 . 1 epidemiological 10 associated 1 epidemiological 11 with 1 epidemiological 23 , 2 studies 3 show 3 show 4 that 4 that 8 status 4 that 10 associated 5 low 8 status 6 vitamin 7 d 6 vitamin 8 status 8 status 9 is 9 is 10 associated 11 with 13 variety 12 a 13 variety 13 variety 14 of 14 of 17 consequences 15 negative 17 consequences 16 skeletal 17 consequences 17 consequences 18 in 17 consequences 21 including 18 in 20 adults 19 older 20 adults 21 including 22 osteomalacia 23 , 27 density 23 , 28 , 24 reduced 27 density 25 bone 27 density 26 mineral 27 density 28 , 31 absorption 28 , 32 and 29 impaired 31 absorption 30 ca 31 absorption 32 and 34 hyperparathyroidism 33 secondary 34 hyperparathyroidism there seems to be inconsistent evidence for a protective role of vitamin d supplementation alone [on] [bone] [mass] . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 seems 0 ###LEFT-WALL### 19 . 1 there 2 seems 2 seems 3 to 2 seems 4 be 3 to 4 be 4 be 6 evidence 4 be 15 alone 5 inconsistent 6 evidence 6 evidence 7 for 7 for 10 role 8 a 9 protective 8 a 10 role 9 protective 10 role 10 role 11 of 11 of 14 supplementation 12 vitamin 13 d 12 vitamin 14 supplementation however , it is generally accepted that vitamin d ( 17·5 [μg] / [d] [ )(in combination [with] ca ( 1200 mg/d ) reduces bone loss among older white subjects . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 6 accepted 0 ###LEFT-WALL### 31 . 1 however 2 , 1 however 3 it 3 it 4 is 4 is 6 accepted 5 generally 6 accepted 6 accepted 7 that 7 that 8 vitamin 7 that 24 reduces 8 vitamin 9 d 8 vitamin 11 17·5 8 vitamin 24 reduces 10 ( 11 17·5 11 17·5 13 / 11 17·5 23 ) 13 / 16 )(in 16 )(in 19 ca 17 combination 19 ca 19 ca 22 mg/d 20 ( 22 mg/d 21 1200 22 mg/d 22 mg/d 23 ) 24 reduces 26 loss 24 reduces 27 among 25 bone 26 loss 27 among 30 subjects 28 older 30 subjects 29 white 30 subjects evidence for a benefit of vitamin d supplementation alone on reducing fracture risk is varied . 0 ###LEFT-WALL### 1 evidence 0 ###LEFT-WALL### 14 is 0 ###LEFT-WALL### 16 . 1 evidence 2 for 1 evidence 14 is 2 for 4 benefit 3 a 4 benefit 4 benefit 5 of 5 of 8 supplementation 6 vitamin 7 d 6 vitamin 8 supplementation 8 supplementation 9 alone 9 alone 10 on 10 on 11 reducing 11 reducing 13 risk 12 fracture 13 risk 14 is 15 varied according to a recent agency for healthcare research and quality review in the usa the evidence base shows mixed results for a beneficial effect of vitamin d on decreasing overall fracture risk . 0 ###LEFT-WALL### 17 base 0 ###LEFT-WALL### 18 shows 0 ###LEFT-WALL### 33 . 1 according 2 to 2 to 5 agency 2 to 17 base 3 a 4 recent 3 a 5 agency 4 recent 5 agency 5 agency 6 for 6 for 11 review 7 healthcare 8 research 8 research 9 and 9 and 10 quality 10 quality 11 review 12 in 14 usa 12 in 17 base 13 the 14 usa 15 the 17 base 16 evidence 17 base 17 base 18 shows 18 shows 20 results 18 shows 31 fracture 19 mixed 20 results 20 results 21 for 20 results 25 of 20 results 31 fracture 21 for 24 effect 22 a 23 beneficial 22 a 24 effect 23 beneficial 24 effect 25 of 26 vitamin 26 vitamin 27 d 26 vitamin 28 on 28 on 29 decreasing 29 decreasing 30 overall 31 fracture 32 risk limitations such as poor compliance with treatment , incomplete assessment of vitamin d status and large drop - out rates [however] , have been highlighted within some studies . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 25 highlighted 0 ###LEFT-WALL### 29 . 1 limitations 3 as 1 limitations 8 , 2 such 3 as 3 as 5 compliance 4 poor 5 compliance 5 compliance 6 with 6 with 7 treatment 8 , 10 assessment 8 , 15 and 9 incomplete 10 assessment 10 assessment 11 of 11 of 14 status 12 vitamin 13 d 12 vitamin 14 status 15 and 17 drop 15 and 20 rates 15 and 23 have 16 large 17 drop 18 - 20 rates 19 out 20 rates 20 rates 22 , 23 have 24 been 24 been 25 highlighted 25 highlighted 26 within 26 within 28 studies 27 some 28 studies in conclusion , it is generally accepted that vitamin d in combination [with] ca reduces the risk of [non] [-] vertebral fractures particularly [those] in institutional care . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 28 . 1 in 2 conclusion 3 , 4 it 3 , 7 accepted 4 it 5 is 5 is 7 accepted 6 generally 7 accepted 7 accepted 8 that 8 that 9 vitamin 8 that 15 reduces 9 vitamin 10 d 9 vitamin 11 in 9 vitamin 15 reduces 11 in 14 ca 12 combination 14 ca 15 reduces 17 risk 15 reduces 23 particularly 16 the 17 risk 17 risk 18 of 18 of 22 fractures 21 vertebral 22 fractures 23 particularly 25 in 25 in 27 care 26 institutional 27 care the lack of data on vitamin d and bone health outcomes in certain population groups such as diverse racial groups warrants attention . 0 ###LEFT-WALL### 2 lack 0 ###LEFT-WALL### 21 warrants 0 ###LEFT-WALL### 23 . 1 the 2 lack 2 lack 3 of 2 lack 21 warrants 3 of 4 data 4 data 5 on 4 data 12 in 5 on 8 and 6 vitamin 7 d 6 vitamin 8 and 8 and 11 outcomes 9 bone 11 outcomes 10 health 11 outcomes 12 in 15 groups 13 certain 14 population 14 population 15 groups 15 groups 17 as 16 such 17 as 17 as 20 groups 18 diverse 20 groups 19 racial 20 groups 21 warrants 22 attention as part of the research relating personality and depression , this study seeks to predict depressive experiences in aging women according to sidney blatt 's perspective based on the five - factor model of personality . 0 ###LEFT-WALL### 12 study 0 ###LEFT-WALL### 13 seeks 0 ###LEFT-WALL### 31 - 1 as 5 research 1 as 12 study 2 part 3 of 2 part 5 research 3 of 5 research 4 the 5 research 6 relating 8 and 6 relating 10 , 6 relating 12 study 7 personality 8 and 8 and 9 depression 11 this 12 study 12 study 13 seeks 13 seeks 14 to 13 seeks 15 predict 14 to 15 predict 15 predict 17 experiences 15 predict 18 in 15 predict 22 to 16 depressive 17 experiences 18 in 19 aging 19 aging 20 women 21 according 22 to 22 to 26 perspective 23 sidney 24 blatt 24 blatt 25 's 25 's 26 perspective 26 perspective 27 based 26 perspective 28 on 28 on 30 five 29 the 30 five 31 - 32 factor 31 - 36 . 32 factor 33 model 33 model 34 of 34 of 35 personality the neo - five factor inventory and the depressive experiences questionnaire were administered . 0 ###LEFT-WALL### 2 neo 0 ###LEFT-WALL### 3 - 1 the 2 neo 3 - 7 and 3 - 13 administered 3 - 14 . 4 five 6 inventory 5 factor 6 inventory 6 inventory 7 and 7 and 11 questionnaire 7 and 12 were 8 the 11 questionnaire 9 depressive 10 experiences 10 experiences 11 questionnaire 12 were 13 administered the domains neuroticism , agreeableness , and conscientiousness predicted self - criticism , explaining 68 % of the variance ; the domains neuroticism and extraversion predicted dependency , explaining 62 % of the variance . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 20 ; 1 the 2 domains 2 domains 3 neuroticism 3 neuroticism 4 , 4 , 5 agreeableness 4 , 7 and 6 , 7 and 7 and 10 self 7 and 12 criticism 7 and 14 explaining 8 conscientiousness 9 predicted 9 predicted 10 self 11 - 12 criticism 12 criticism 13 , 13 , 14 explaining 14 explaining 16 % 14 explaining 20 ; 15 68 16 % 16 % 17 of 17 of 19 variance 18 the 19 variance 20 ; 24 and 20 ; 26 predicted 21 the 22 domains 22 domains 23 neuroticism 23 neuroticism 24 and 24 and 25 extraversion 24 and 26 predicted 26 predicted 27 dependency 26 predicted 29 explaining 28 , 29 explaining 29 explaining 31 % 29 explaining 35 . 30 62 31 % 31 % 32 of 32 of 34 variance 33 the 34 variance the subfactors neediness and connectedness were differently related to personality traits . 0 ###LEFT-WALL### 2 subfactors 0 ###LEFT-WALL### 8 related 0 ###LEFT-WALL### 12 . 1 the 2 subfactors 2 subfactors 4 and 2 subfactors 6 were 2 subfactors 8 related 3 neediness 4 and 4 and 5 connectedness 4 and 6 were 7 differently 8 related 8 related 9 to 9 to 11 traits 10 personality 11 traits these findings are relevant to the research relating personality and anaclitic / introjective depressive experiences in late adulthood . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 19 . 1 these 2 findings 2 findings 3 are 3 are 4 relevant 4 relevant 5 to 5 to 7 research 6 the 7 research 7 research 8 relating 8 relating 15 experiences 8 relating 16 in 9 personality 10 and 10 and 11 anaclitic 10 and 12 / 10 and 15 experiences 12 / 14 depressive 13 introjective 14 depressive 16 in 18 adulthood 17 late 18 adulthood in this study we explore the strategies used by older women to cope with their ill health , in order to provide insight into how they might be drawn to use modern health services . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 explore 1 in 3 study 1 in 4 we 2 this 3 study 4 we 5 explore 5 explore 7 strategies 5 explore 14 with 6 the 7 strategies 7 strategies 8 used 8 used 9 by 8 used 12 to 8 used 13 cope 9 by 11 women 10 older 11 women 12 to 13 cope 14 with 17 health 15 their 17 health 16 ill 17 health 17 health 19 in 18 , 19 in 19 in 20 order 19 in 35 . 20 order 21 to 20 order 22 provide 21 to 22 provide 22 provide 23 insight 22 provide 24 into 22 provide 30 to 24 into 25 how 25 how 26 they 25 how 29 drawn 26 they 27 might 27 might 28 be 28 be 29 drawn 30 to 31 use 31 use 33 health 31 use 34 services 32 modern 33 health 33 health 34 services we used qualitative methods to collect data from 17 older women living in bibirchar union , sherpur district , bangladesh . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 21 . 1 we 2 used 2 used 4 methods 2 used 5 to 2 used 6 collect 3 qualitative 4 methods 5 to 6 collect 6 collect 7 data 7 data 8 from 7 data 12 living 8 from 11 women 9 17 11 women 10 older 11 women 12 living 13 in 13 in 15 union 14 bibirchar 15 union 15 union 18 district 16 , 18 district 17 sherpur 18 district 18 district 19 , 19 , 20 bangladesh participants reported that they utilized both emotion [-] focused and problem - focused strategies , and that many of these were faith - based . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 reported 1 participants 2 reported 2 reported 16 and 3 that 4 they 3 that 5 utilized 3 that 16 and 4 they 5 utilized 5 utilized 10 and 6 both 10 and 7 emotion 9 focused 7 emotion 10 and 10 and 11 problem 10 and 14 strategies 12 - 14 strategies 13 focused 14 strategies 14 strategies 15 , 16 and 17 that 17 that 18 many 17 that 21 were 18 many 19 of 18 many 21 were 19 of 20 these 21 were 22 faith 22 faith 24 based 23 - 24 based 24 based 25 . health policymakers need to acknowledge these strategies in the delivery of health care if older women are to take up health promotion activities and engage with the modern health care system . 0 ###LEFT-WALL### 2 policymakers 0 ###LEFT-WALL### 3 need 1 health 2 policymakers 2 policymakers 3 need 3 need 4 to 3 need 32 . 4 to 5 acknowledge 5 acknowledge 7 strategies 5 acknowledge 14 if 6 these 7 strategies 7 strategies 8 in 8 in 10 delivery 9 the 10 delivery 10 delivery 11 of 11 of 13 care 12 health 13 care 14 if 16 women 14 if 17 are 15 older 16 women 16 women 17 are 17 are 18 to 18 to 24 and 19 take 20 up 19 take 23 activities 19 take 24 and 21 health 22 promotion 22 promotion 23 activities 24 and 25 engage 24 and 26 with 26 with 31 system 27 the 31 system 28 modern 29 health 29 health 30 care 30 care 31 system aim : aging changes sleep patterns in most elderly people . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 3 aging 2 : 4 changes 2 : 11 . 3 aging 4 changes 4 changes 6 patterns 4 changes 7 in 5 sleep 6 patterns 7 in 10 people 8 most 9 elderly 9 elderly 10 people frailty shares a number of characteristics with sleep disorders and leads to similar results . 0 ###LEFT-WALL### 1 frailty 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 15 . 1 frailty 10 and 2 shares 6 characteristics 2 shares 7 with 2 shares 10 and 3 a 4 number 4 number 5 of 4 number 6 characteristics 5 of 6 characteristics 7 with 9 disorders 8 sleep 9 disorders 10 and 11 leads 10 and 12 to 12 to 14 results 13 similar 14 results however , their relationship in residents of long - stay institutions remains unclear . 0 ###LEFT-WALL### 4 relationship 0 ###LEFT-WALL### 12 remains 0 ###LEFT-WALL### 14 . 1 however 2 , 1 however 4 relationship 3 their 4 relationship 4 relationship 5 in 4 relationship 12 remains 5 in 6 residents 6 residents 7 of 7 of 11 institutions 8 long 9 - 8 long 10 stay 10 stay 11 institutions 12 remains 13 unclear thus , the present study aimed to evaluate the relationship between sleep and frailty syndrome in residents of long - stay institutions . 0 ###LEFT-WALL### 5 study 0 ###LEFT-WALL### 6 aimed 0 ###LEFT-WALL### 23 . 1 thus 2 , 1 thus 5 study 3 the 5 study 4 present 5 study 5 study 6 aimed 6 aimed 7 to 6 aimed 8 evaluate 7 to 8 evaluate 8 evaluate 10 relationship 8 evaluate 11 between 8 evaluate 16 in 9 the 10 relationship 11 between 13 and 12 sleep 13 and 13 and 15 syndrome 14 frailty 15 syndrome 16 in 17 residents 17 residents 18 of 18 of 22 institutions 19 long 20 - 19 long 21 stay 21 stay 22 institutions methods : this was a cross - sectional study of 69 institutionalized elderly in the city of joão pessoa , brazil . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 3 this 2 : 4 was 2 : 20 , 3 this 4 was 4 was 6 cross 5 a 6 cross 6 cross 9 study 7 - 9 study 8 sectional 9 study 9 study 10 of 9 study 13 elderly 9 study 20 , 10 of 11 69 11 69 12 institutionalized 13 elderly 14 in 14 in 16 city 15 the 16 city 16 city 17 of 17 of 19 pessoa 18 joão 19 pessoa 20 , 21 brazil the pittsburg sleep quality index , actimetry and specific tests for frailty phenotype variables were used . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 16 used 0 ###LEFT-WALL### 17 . 1 the 5 index 2 pittsburg 3 sleep 3 sleep 4 quality 4 quality 5 index 5 index 6 , 6 , 7 actimetry 6 , 8 and 8 and 10 tests 8 and 11 for 8 and 15 were 9 specific 10 tests 11 for 14 variables 12 frailty 14 variables 13 phenotype 14 variables 15 were 16 used pearson 's χ ( 2 ) - test , one - way anova and multiple linear regression were applied in statistical analysis . 0 ###LEFT-WALL### 8 test 0 ###LEFT-WALL### 9 , 1 pearson 2 's 2 's 8 test 3 χ 5 2 3 χ 7 - 3 χ 8 test 4 ( 5 2 5 2 6 ) 9 , 10 one 9 , 11 - 11 - 14 and 11 - 19 applied 11 - 23 . 12 way 13 anova 13 anova 14 and 14 and 17 regression 14 and 18 were 15 multiple 17 regression 16 linear 17 regression 18 were 19 applied 19 applied 20 in 20 in 22 analysis 21 statistical 22 analysis results : the sample [was] characterized as predominantly frail ( 49.3 % ) , mainly women ( 62.3 % ) , with a mean age of 77.52 years ( ± 7.82 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 1 results 2 : 2 : 4 sample 3 the 4 sample 4 sample 6 characterized 4 sample 12 % 4 sample 16 women 6 characterized 7 as 7 as 9 frail 8 predominantly 9 frail 10 ( 12 % 11 49.3 12 % 12 % 13 ) 14 , 15 mainly 14 , 16 women 16 women 19 % 16 women 22 with 16 women 32 ) 17 ( 19 % 18 62.3 19 % 19 % 20 ) 21 , 22 with 22 with 25 age 22 with 32 ) 23 a 24 mean 23 a 25 age 24 mean 25 age 25 age 26 of 26 of 28 years 27 77.52 28 years 28 years 30 ± 29 ( 30 ± 30 ± 31 7.82 30 ± 32 ) frail [elderly] exhibited poor sleep quality , when compared with [non] [-] frail individuals ( p = 0.02 ) . 0 ###LEFT-WALL### 1 frail 0 ###LEFT-WALL### 3 exhibited 0 ###LEFT-WALL### 20 . 1 frail 3 exhibited 3 exhibited 6 quality 3 exhibited 8 when 4 poor 5 sleep 5 sleep 6 quality 7 , 8 when 8 when 9 compared 8 when 19 ) 9 compared 10 with 10 with 14 individuals 13 frail 14 individuals 14 individuals 17 = 15 ( 17 = 16 p 17 = 17 = 18 0.02 in the multiple linear regression analysis , sleep latency [(] r ( 2 ) = 0.11 , p = 0.003 ) and sleep quality [(] r ( 2 ) = 0.08 , p = 0.013 ) had an influence on frailty , especially sleep quality . 0 ###LEFT-WALL### 6 analysis 0 ###LEFT-WALL### 15 = 0 ###LEFT-WALL### 22 and 1 in 3 multiple 1 in 6 analysis 2 the 3 multiple 4 linear 5 regression 5 regression 6 analysis 6 analysis 9 latency 6 analysis 15 = 7 , 9 latency 8 sleep 9 latency 9 latency 11 r 9 latency 13 2 9 latency 14 ) 12 ( 13 2 13 2 14 ) 15 = 16 0.11 16 0.11 19 = 17 , 19 = 18 p 19 = 19 = 20 0.003 19 = 21 ) 22 and 23 sleep 22 and 37 had 23 sleep 24 quality 23 sleep 30 = 23 sleep 37 had 24 quality 26 r 24 quality 28 2 24 quality 30 = 27 ( 28 2 28 2 29 ) 30 = 34 = 31 0.08 34 = 32 , 34 = 33 p 34 = 34 = 35 0.013 34 = 36 ) 37 had 39 influence 37 had 40 on 38 an 39 influence 40 on 41 frailty 41 frailty 45 quality 42 , 43 especially 42 , 45 quality 44 sleep 45 quality 45 quality 46 . no differences were found between rest - activity [pattern] and frailty phenotype . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 7 - 1 no 2 differences 2 differences 3 were 3 were 4 found 4 found 5 between 5 between 6 rest 7 - 10 and 7 - 13 . 8 activity 10 and 10 and 12 phenotype 11 frailty 12 phenotype conclusion : sleep alterations , including poor sleep quality and prolonged latency , were related to frailty in institutionalized elderly . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 3 sleep 3 sleep 4 alterations 3 sleep 18 in 3 sleep 19 institutionalized 4 alterations 6 including 4 alterations 14 were 5 , 6 including 6 including 10 and 6 including 13 , 7 poor 8 sleep 8 sleep 9 quality 9 quality 10 and 10 and 12 latency 11 prolonged 12 latency 14 were 15 related 15 related 16 to 15 related 18 in 16 to 17 frailty 19 institutionalized 20 elderly purpose : individuals with down [syndrome] ( ds ) may be at heightened risk for stroke due to a combination of physiological conditions and lifestyle choices . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 3 individuals 2 : 11 be 2 : 27 . 3 individuals 4 with 3 individuals 10 may 4 with 8 ds 5 down 8 ds 7 ( 8 ds 8 ds 9 ) 10 may 11 be 11 be 12 at 12 at 14 risk 13 heightened 14 risk 14 risk 15 for 15 for 26 choices 16 stroke 26 choices 17 due 18 to 17 due 24 and 18 to 20 combination 19 a 20 combination 20 combination 21 of 21 of 23 conditions 22 physiological 23 conditions 24 and 25 lifestyle 24 and 26 choices there remains [a] lack [of] information regarding the effectiveness of exercise training on individuals with ds post - stroke . 0 ###LEFT-WALL### 2 remains 0 ###LEFT-WALL### 4 lack 0 ###LEFT-WALL### 18 - 1 there 2 remains 2 remains 4 lack 4 lack 6 information 4 lack 13 on 4 lack 15 with 6 information 7 regarding 6 information 10 of 7 regarding 9 effectiveness 8 the 9 effectiveness 10 of 12 training 11 exercise 12 training 13 on 14 individuals 15 with 17 post 16 ds 17 post 18 - 19 stroke 18 - 20 . this case report describes the effects of a comprehensive exercise program on an individual with ds who had sustained a stroke . 0 ###LEFT-WALL### 3 report 0 ###LEFT-WALL### 4 describes 0 ###LEFT-WALL### 22 . 1 this 3 report 2 case 3 report 3 report 4 describes 4 describes 6 effects 4 describes 12 on 4 describes 15 with 5 the 6 effects 6 effects 7 of 7 of 11 program 8 a 9 comprehensive 8 a 11 program 9 comprehensive 10 exercise 10 exercise 11 program 12 on 14 individual 13 an 14 individual 15 with 16 ds 16 ds 17 who 16 ds 18 had 17 who 18 had 18 had 19 sustained 19 sustained 21 stroke 20 a 21 stroke method : a 20 [-] year - old male [with] ds recovering from a left hemorrhagic stroke 18 months [previous] underwent a 12 [-] week land and water - based program 60 minutes/session , 5 sessions/week . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 6 year 2 : 7 - 3 a 6 year 4 20 6 year 7 - 11 ds 8 old 9 male 9 male 11 ds 11 ds 12 recovering 11 ds 21 underwent 12 recovering 13 from 12 recovering 19 months 13 from 15 left 14 a 15 left 16 hemorrhagic 19 months 17 stroke 19 months 18 18 19 months 21 underwent 25 week 22 a 25 week 23 12 25 week 25 week 27 and 25 week 30 based 26 land 27 and 27 and 28 water 27 and 29 - 27 and 30 based 30 based 33 minutes/session 31 program 33 minutes/session 32 60 33 minutes/session 33 minutes/session 36 sessions/week 34 , 36 sessions/week 35 5 36 sessions/week 36 sessions/week 37 . exercise sessions addressed specific limitations , including cardiorespiratory fitness , generalized muscle weakness , balance deficits , and reduced ambulatory ability in terms of speed , gait pattern and [walking] tolerance . 0 ###LEFT-WALL### 1 exercise 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 32 . 1 exercise 2 sessions 1 exercise 3 addressed 1 exercise 18 and 2 sessions 3 addressed 3 addressed 5 limitations 3 addressed 7 including 4 specific 5 limitations 6 , 7 including 7 including 9 fitness 7 including 10 , 8 cardiorespiratory 9 fitness 11 generalized 13 weakness 11 generalized 18 and 12 muscle 13 weakness 13 weakness 16 deficits 14 , 16 deficits 15 balance 16 deficits 16 deficits 17 , 17 , 18 and 18 and 19 reduced 18 and 22 in 19 reduced 21 ability 20 ambulatory 21 ability 22 in 29 and 23 terms 24 of 23 terms 26 , 24 of 25 speed 26 , 28 pattern 26 , 29 and 27 gait 28 pattern 29 and 31 tolerance conclusion : improved cardiorespiratory fitness , strength , balance and mobility provide preliminary evidence of the trainability of individuals with both ds and stroke . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 5 fitness 2 : 6 , 3 improved 4 cardiorespiratory 4 cardiorespiratory 5 fitness 6 , 10 and 6 , 12 provide 7 strength 8 , 8 , 9 balance 8 , 10 and 10 and 11 mobility 10 and 12 provide 12 provide 14 evidence 13 preliminary 14 evidence 14 evidence 15 of 14 evidence 20 with 15 of 17 trainability 16 the 17 trainability 17 trainability 18 of 18 of 19 individuals 20 with 23 and 21 both 23 and 22 ds 23 and 23 and 24 stroke future studies are warranted to investigate the role of exercise in risk factor reduction for primary and secondary prevention of stroke [in] people with ds . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 warranted 0 ###LEFT-WALL### 26 . 1 future 2 studies 2 studies 3 are 3 are 4 warranted 4 warranted 5 to 4 warranted 15 for 5 to 6 investigate 6 investigate 8 role 7 the 8 role 8 role 9 of 8 role 11 in 9 of 10 exercise 11 in 14 reduction 12 risk 14 reduction 13 factor 14 reduction 15 for 19 prevention 16 primary 17 and 17 and 18 secondary 17 and 19 prevention 19 prevention 20 of 20 of 23 people 21 stroke 23 people 23 people 24 with 24 with 25 ds implications for rehabilitation individuals with down [syndrome] ( ds ) may be at heightened risk of stroke due to a combination of physiological conditions and lifestyle choices which contribute to reduced exercise capacity , accelerated aging patterns , moyamoya syndrome and physical inactivity as well as high rates of obesity and related conditions . 0 ###LEFT-WALL### 1 implications 0 ###LEFT-WALL### 17 stroke 0 ###LEFT-WALL### 34 , 0 ###LEFT-WALL### 54 . 1 implications 2 for 1 implications 4 individuals 1 implications 16 of 1 implications 17 stroke 2 for 3 rehabilitation 4 individuals 5 with 4 individuals 11 may 5 with 6 down 6 down 9 ds 8 ( 9 ds 9 ds 10 ) 11 may 12 be 12 be 13 at 13 at 15 risk 14 heightened 15 risk 15 risk 16 of 17 stroke 19 to 17 stroke 33 capacity 18 due 19 to 19 to 25 and 20 a 21 combination 21 combination 22 of 21 combination 25 and 22 of 24 conditions 23 physiological 24 conditions 25 and 27 choices 25 and 28 which 25 and 29 contribute 26 lifestyle 27 choices 28 which 29 contribute 29 contribute 30 to 30 to 32 exercise 31 reduced 32 exercise 34 , 41 and 35 accelerated 37 patterns 36 aging 37 patterns 37 patterns 38 , 38 , 40 syndrome 38 , 41 and 39 moyamoya 40 syndrome 41 and 43 inactivity 42 physical 43 inactivity 43 inactivity 44 as 43 inactivity 46 as 43 inactivity 49 of 44 as 45 well 46 as 48 rates 47 high 48 rates 49 of 51 and 50 obesity 51 and 51 and 53 conditions 52 related 53 conditions more intensive fitness programs may be particularly important for people with both ds and stroke . 0 ###LEFT-WALL### 4 programs 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 16 . 1 more 4 programs 2 intensive 4 programs 3 fitness 4 programs 4 programs 5 may 5 may 6 be 6 be 8 important 7 particularly 8 important 8 important 9 for 8 important 11 with 9 for 10 people 11 with 14 and 12 both 14 and 13 ds 14 and 14 and 15 stroke participation in a comprehensive exercise program can be safe and effective in regaining pre - stroke levels of cardiorespiratory fitness , functional mobility and goal attainment . 0 ###LEFT-WALL### 1 participation 0 ###LEFT-WALL### 8 be 0 ###LEFT-WALL### 27 . 1 participation 2 in 1 participation 8 be 2 in 7 can 3 a 7 can 4 comprehensive 5 exercise 5 exercise 7 can 6 program 7 can 8 be 10 and 9 safe 10 and 10 and 11 effective 11 effective 12 in 12 in 13 regaining 13 regaining 24 and 14 pre 15 - 14 pre 16 stroke 16 stroke 17 levels 17 levels 18 of 17 levels 21 , 18 of 20 fitness 19 cardiorespiratory 20 fitness 21 , 23 mobility 21 , 24 and 22 functional 23 mobility 24 and 26 attainment 25 goal 26 attainment results suggest that a more intensive physical therapy regimen may be recommendable during out - patient rehabilitation for individuals with ds post - stroke . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 suggest 0 ###LEFT-WALL### 23 - 1 results 2 suggest 2 suggest 3 that 3 that 9 regimen 3 that 11 be 4 a 9 regimen 5 more 6 intensive 6 intensive 8 therapy 7 physical 8 therapy 8 therapy 9 regimen 9 regimen 10 may 10 may 11 be 11 be 12 recommendable 12 recommendable 13 during 12 recommendable 20 with 13 during 17 rehabilitation 14 out 15 - 14 out 17 rehabilitation 16 patient 17 rehabilitation 17 rehabilitation 18 for 18 for 19 individuals 20 with 22 post 21 ds 22 post 23 - 24 stroke 23 - 25 . alzheimer 's disease ( ad ) is characterized by intraneuronal β - amyloid plaques and hyperphosphorylated tau , leading to neuronal cell death and progressive memory losses . 0 ###LEFT-WALL### 3 disease 0 ###LEFT-WALL### 15 and 1 alzheimer 2 's 2 's 3 disease 3 disease 5 ad 3 disease 15 and 4 ( 5 ad 5 ad 6 ) 7 is 8 characterized 7 is 15 and 8 characterized 9 by 9 by 14 plaques 10 intraneuronal 14 plaques 11 β 12 - 11 β 14 plaques 13 amyloid 14 plaques 15 and 16 hyperphosphorylated 15 and 19 leading 16 hyperphosphorylated 17 tau 18 , 19 leading 19 leading 20 to 19 leading 28 . 20 to 24 and 21 neuronal 23 death 22 cell 23 death 23 death 24 and 24 and 27 losses 25 progressive 27 losses 26 memory 27 losses this exploratory work investigates if dietary resveratrol , previously shown to have broad anti - aging effects and improve ad pathology in vivo , leads to neuroprotective changes in specific protein targets in the mouse brain . 0 ###LEFT-WALL### 3 work 0 ###LEFT-WALL### 4 investigates 0 ###LEFT-WALL### 37 . 1 this 3 work 2 exploratory 3 work 3 work 4 investigates 4 investigates 5 if 4 investigates 26 to 4 investigates 29 in 5 if 7 resveratrol 5 if 25 leads 6 dietary 7 resveratrol 7 resveratrol 10 shown 7 resveratrol 25 leads 8 , 10 shown 9 previously 10 shown 10 shown 11 to 10 shown 23 vivo 10 shown 24 , 11 to 18 and 12 have 17 effects 12 have 18 and 13 broad 17 effects 14 anti 15 - 14 anti 17 effects 16 aging 17 effects 18 and 19 improve 19 improve 21 pathology 20 ad 21 pathology 22 in 23 vivo 26 to 28 changes 27 neuroprotective 28 changes 29 in 32 targets 30 specific 31 protein 31 protein 32 targets 32 targets 33 in 33 in 36 brain 34 the 36 brain 35 mouse 36 brain both wild - type and app/ps1 mice , a transgenic ad mouse model , received control ain - 93g [diet] or ain - 93g supplemented with resveratrol . 0 ###LEFT-WALL### 4 type 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 28 . 1 both 2 wild 2 wild 3 - 2 wild 4 type 5 and 7 mice 5 and 15 received 6 app/ps1 7 mice 7 mice 13 model 7 mice 15 received 8 , 13 model 9 a 10 transgenic 9 a 13 model 10 transgenic 13 model 11 ad 13 model 12 mouse 13 model 13 model 14 , 15 received 17 ain 15 received 26 with 16 control 17 ain 17 ain 21 or 17 ain 25 supplemented 18 - 21 or 19 93g 21 or 21 or 22 ain 21 or 23 - 24 93g 25 supplemented 26 with 27 resveratrol pathology parameters and ad risk were assessed via measurements on plaque burden , levels of phosphorylated glycogen synthase kinase 3 - β ( gsk3 - β ) , tau , transthyretin and drebrin . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 7 assessed 0 ###LEFT-WALL### 28 , 0 ###LEFT-WALL### 34 . 1 pathology 2 parameters 2 parameters 3 and 3 and 5 risk 3 and 6 were 4 ad 5 risk 6 were 7 assessed 7 assessed 8 via 8 via 9 measurements 9 measurements 10 on 10 on 12 burden 11 plaque 12 burden 12 burden 14 levels 13 , 14 levels 14 levels 15 of 14 levels 28 , 15 of 19 kinase 16 phosphorylated 17 glycogen 17 glycogen 19 kinase 18 synthase 19 kinase 19 kinase 20 3 19 kinase 22 β 21 - 22 β 22 β 24 gsk3 22 β 28 , 23 ( 24 gsk3 24 gsk3 26 β 24 gsk3 27 ) 25 - 26 β 26 β 27 ) 28 , 32 and 29 tau 30 , 30 , 31 transthyretin 30 , 32 and 32 and 33 drebrin dietary resveratrol treatment did not decrease plaque burden in app/ps1 mice . 0 ###LEFT-WALL### 3 treatment 0 ###LEFT-WALL### 6 decrease 0 ###LEFT-WALL### 12 . 1 dietary 2 resveratrol 2 resveratrol 3 treatment 3 treatment 4 did 4 did 5 not 4 did 6 decrease 6 decrease 8 burden 6 decrease 9 in 7 plaque 8 burden 9 in 11 mice 10 app/ps1 11 mice however , resveratrol [-] fed mice demonstrated increases in gsk3 - β phosphorylation , a 3.8 [-] fold increase in protein levels of transthyretin , and a 2.2 [-] fold increase in drebrin . 0 ###LEFT-WALL### 6 mice 0 ###LEFT-WALL### 7 demonstrated 0 ###LEFT-WALL### 34 . 1 however 2 , 1 however 6 mice 3 resveratrol 5 fed 5 fed 6 mice 6 mice 7 demonstrated 7 demonstrated 26 and 7 demonstrated 31 increase 8 increases 9 in 8 increases 26 and 9 in 10 gsk3 10 gsk3 13 phosphorylation 11 - 13 phosphorylation 12 β 13 phosphorylation 13 phosphorylation 19 increase 13 phosphorylation 25 , 14 , 19 increase 15 a 19 increase 16 3.8 19 increase 18 fold 19 increase 19 increase 20 in 19 increase 25 , 20 in 22 levels 21 protein 22 levels 22 levels 23 of 23 of 24 transthyretin 25 , 26 and 26 and 30 fold 26 and 31 increase 27 a 30 fold 28 2.2 30 fold 31 increase 32 in 32 in 33 drebrin this study broadens our understanding of specific mechanisms and targets whereby resveratrol provides neuroprotection . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 broadens 0 ###LEFT-WALL### 15 . 1 this 2 study 2 study 3 broadens 3 broadens 5 understanding 3 broadens 11 whereby 4 our 5 understanding 5 understanding 6 of 6 of 9 and 7 specific 8 mechanisms 8 mechanisms 9 and 9 and 10 targets 11 whereby 12 resveratrol 11 whereby 13 provides 12 resveratrol 13 provides 13 provides 14 neuroprotection adequate nutrition is critical to child development and institutions such as day - care centers could potentially complement children 's diets to achieve optimal daily intakes . 0 ###LEFT-WALL### 2 nutrition 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 27 . 1 adequate 2 nutrition 2 nutrition 3 is 3 is 4 critical 4 critical 5 to 4 critical 11 as 5 to 8 and 6 child 7 development 7 development 8 and 8 and 9 institutions 10 such 11 as 11 as 12 day 13 - 15 centers 13 - 23 achieve 14 care 15 centers 15 centers 16 could 16 could 18 complement 17 potentially 18 complement 18 complement 21 diets 18 complement 22 to 19 children 20 's 20 's 21 diets 22 to 23 achieve 23 achieve 26 intakes 24 optimal 25 daily 25 daily 26 intakes the aim of the study was to describe the full - day diet of children , examining and contrasting the relative contribution of home [-] derived versus institutional energy and nutrient sources . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 32 sources 0 ###LEFT-WALL### 33 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 study 4 the 5 study 6 was 7 to 6 was 8 describe 7 to 8 describe 8 describe 18 and 9 the 13 diet 10 full 11 - 10 full 13 diet 12 day 13 diet 13 diet 14 of 13 diet 16 , 14 of 15 children 16 , 17 examining 16 , 18 and 18 and 19 contrasting 18 and 22 contribution 18 and 32 sources 20 the 22 contribution 21 relative 22 contribution 22 contribution 23 of 22 contribution 32 sources 23 of 24 home 24 home 26 derived 24 home 27 versus 27 versus 30 and 28 institutional 29 energy 29 energy 30 and 30 and 31 nutrient the present comparison should be considered in the domain of a case - study format . 0 ###LEFT-WALL### 3 comparison 0 ###LEFT-WALL### 6 considered 0 ###LEFT-WALL### 13 - 1 the 3 comparison 2 present 3 comparison 3 comparison 4 should 4 should 5 be 5 be 6 considered 6 considered 7 in 7 in 9 domain 8 the 9 domain 9 domain 10 of 10 of 12 case 11 a 12 case 13 - 14 study 13 - 16 . 14 study 15 format the diets of 33 , 3 - 6 [y] old children attending low - income day - care centers serving either 3 or a single meal were examined . 0 ###LEFT-WALL### 23 or 0 ###LEFT-WALL### 28 examined 0 ###LEFT-WALL### 29 . 1 the 2 diets 2 diets 3 of 2 diets 5 , 3 of 4 33 5 , 11 children 5 , 23 or 6 3 7 - 7 - 8 6 7 - 11 children 10 old 11 children 11 children 12 attending 11 children 20 serving 12 attending 19 centers 13 low 16 day 13 low 17 - 13 low 18 care 14 - 16 day 15 income 16 day 16 day 17 - 18 care 19 centers 20 serving 21 either 20 serving 22 3 23 or 26 meal 23 or 27 were 24 a 26 meal 25 single 26 meal 27 were 28 examined the home [-] diet was assessed by means of 3 [non] - consecutive 24 [-] hr recalls . 0 ###LEFT-WALL### 4 diet 0 ###LEFT-WALL### 6 assessed 0 ###LEFT-WALL### 12 - 1 the 4 diet 2 home 4 diet 4 diet 5 was 5 was 6 assessed 6 assessed 7 by 7 by 8 means 8 means 9 of 9 of 10 3 12 - 17 recalls 12 - 18 . 13 consecutive 17 recalls 14 24 16 hr 16 hr 17 recalls estimated energy and nutrient intakes at the centers and at home were assessed and related to recommended nutrient intakes ( rni ) . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 12 were 0 ###LEFT-WALL### 23 . 1 estimated 2 energy 2 energy 3 and 3 and 5 intakes 3 and 9 and 3 and 12 were 4 nutrient 5 intakes 6 at 8 centers 6 at 9 and 7 the 8 centers 9 and 10 at 10 at 11 home 12 were 14 and 13 assessed 14 and 14 and 15 related 14 and 16 to 16 to 21 rni 17 recommended 18 nutrient 18 nutrient 19 intakes 19 intakes 21 rni 20 ( 21 rni 21 rni 22 ) nutrient densities , critical densities and main sources of nutrients were computed . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 12 computed 0 ###LEFT-WALL### 13 . 1 nutrient 2 densities 2 densities 3 , 3 , 5 densities 3 , 6 and 4 critical 5 densities 6 and 8 sources 6 and 9 of 6 and 11 were 7 main 8 sources 9 of 10 nutrients 11 were 12 computed we observed that in children attending the day - care center serving three meals , home - foods contributed less than half the daily energy ( 47.7 % ) [and] between 29.9 [%] and 53.5 % of daily nutrients . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 observed 0 ###LEFT-WALL### 40 . 1 we 2 observed 2 observed 3 that 3 that 18 foods 3 that 19 contributed 4 in 5 children 4 in 18 foods 5 children 6 attending 6 attending 8 day 7 the 8 day 8 day 14 meals 9 - 14 meals 10 care 12 serving 11 center 12 serving 12 serving 14 meals 13 three 14 meals 14 meals 16 home 14 meals 17 - 15 , 16 home 16 home 17 - 18 foods 19 contributed 19 contributed 22 half 19 contributed 31 between 20 less 21 than 21 than 22 half 22 half 23 the 22 half 25 energy 23 the 25 energy 24 daily 25 energy 25 energy 28 % 26 ( 28 % 27 47.7 28 % 28 % 29 ) 31 between 36 % 32 29.9 34 and 34 and 35 53.5 34 and 36 % 36 % 37 of 37 of 39 nutrients 38 daily 39 nutrients in children receiving only lunch outside the home [,] energy contribution from the home was 83.9 % and 304 kcal lower than for children receiving 3 meals . 0 ###LEFT-WALL### 5 lunch 0 ###LEFT-WALL### 15 was 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 28 . 1 in 2 children 1 in 5 lunch 2 children 3 receiving 3 receiving 4 only 5 lunch 6 outside 5 lunch 15 was 6 outside 11 contribution 7 the 11 contribution 8 home 10 energy 10 energy 11 contribution 11 contribution 12 from 12 from 14 home 13 the 14 home 15 was 17 % 16 83.9 17 % 18 and 20 kcal 18 and 21 lower 19 304 20 kcal 20 kcal 21 lower 21 lower 22 than 21 lower 23 for 21 lower 27 meals 23 for 24 children 24 children 25 receiving 26 3 27 meals furthermore , between 59.0 [%] and 94.8 % of daily nutrients were provided at home . 0 ###LEFT-WALL### 8 % 0 ###LEFT-WALL### 13 provided 0 ###LEFT-WALL### 16 . 1 furthermore 2 , 1 furthermore 8 % 3 between 6 and 4 59.0 6 and 6 and 7 94.8 6 and 8 % 8 % 9 of 8 % 12 were 9 of 11 nutrients 10 daily 11 nutrients 12 were 13 provided 13 provided 14 at 14 at 15 home daily energy , nutrient intakes and nutrient densities were well above the nutrient requirements for this age group , and particularly high for vitamin a . the overall dietary variety was superior in the situation [of] greater contribution of home fare , but overall the nutrient density and adequacy of the aggregate intakes did not differ in any important manner . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 10 well 0 ###LEFT-WALL### 26 . 0 ###LEFT-WALL### 61 . 1 daily 2 energy 2 energy 3 , 3 , 5 intakes 3 , 6 and 4 nutrient 5 intakes 6 and 7 nutrient 6 and 8 densities 6 and 9 were 6 and 10 well 8 densities 9 were 10 well 11 above 10 well 24 vitamin 11 above 13 nutrient 12 the 13 nutrient 13 nutrient 14 requirements 13 nutrient 23 for 14 requirements 15 for 14 requirements 17 age 15 for 16 this 17 age 20 and 17 age 23 for 18 group 20 and 19 , 20 and 20 and 21 particularly 20 and 22 high 24 vitamin 25 a 26 . 30 variety 26 . 31 was 26 . 48 and 27 the 30 variety 28 overall 30 variety 29 dietary 30 variety 30 variety 31 was 31 was 43 but 32 superior 33 in 32 superior 43 but 33 in 38 contribution 34 the 38 contribution 35 situation 38 contribution 37 greater 38 contribution 38 contribution 39 of 39 of 41 fare 40 home 41 fare 42 , 43 but 43 but 44 overall 43 but 47 density 45 the 47 density 46 nutrient 47 density 48 and 49 adequacy 48 and 56 differ 49 adequacy 50 of 49 adequacy 54 did 50 of 53 intakes 51 the 53 intakes 52 aggregate 53 intakes 54 did 55 not 54 did 56 differ 56 differ 57 in 57 in 60 manner 58 any 60 manner 59 important 60 manner structural organization of the duodenal wall was studied in older men ( aged 70 - 75 years , n=15 ) , and its lymphoid tissue was examined using the qualitative and quantitative analysis . 0 ###LEFT-WALL### 1 structural 0 ###LEFT-WALL### 8 studied 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 34 . 1 structural 2 organization 1 structural 7 was 1 structural 8 studied 2 organization 3 of 2 organization 7 was 3 of 6 wall 4 the 6 wall 5 duodenal 6 wall 8 studied 9 in 8 studied 17 years 9 in 11 men 10 older 11 men 11 men 13 aged 12 ( 13 aged 13 aged 14 70 13 aged 15 - 16 75 17 years 17 years 19 n=15 18 , 19 n=15 19 n=15 20 ) 21 , 22 and 22 and 25 tissue 22 and 27 examined 23 its 25 tissue 24 lymphoid 25 tissue 25 tissue 26 was 26 was 27 examined 27 examined 28 using 28 using 33 analysis 29 the 33 analysis 30 qualitative 31 and 31 and 32 quantitative 31 and 33 analysis deformation , flattening and sparseness of the intestinal villi were identified . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 11 identified 0 ###LEFT-WALL### 12 . 1 deformation 2 , 2 , 3 flattening 2 , 4 and 4 and 5 sparseness 4 and 6 of 4 and 10 were 6 of 9 villi 7 the 9 villi 8 intestinal 9 villi 10 were 11 identified atrophic phenomena in the organ mucous membrane were accompanied by the destruction of the cells of surface epithelium , crypts and glands . 0 ###LEFT-WALL### 2 phenomena 0 ###LEFT-WALL### 9 accompanied 0 ###LEFT-WALL### 23 . 1 atrophic 2 phenomena 2 phenomena 3 in 2 phenomena 8 were 3 in 7 membrane 4 the 7 membrane 5 organ 7 membrane 6 mucous 7 membrane 8 were 9 accompanied 9 accompanied 10 by 10 by 12 destruction 11 the 12 destruction 12 destruction 13 of 13 of 15 cells 14 the 15 cells 15 cells 16 of 16 of 21 and 17 surface 18 epithelium 18 epithelium 19 , 19 , 20 crypts 19 , 21 and 21 and 22 glands simultaneous infiltration of the lamina propria with lymphocytes , eosinophils , neutrophils and malfunctions in a microcirculatory bed is [indicative] of the presence of inflammatory processes . 0 ###LEFT-WALL### 2 infiltration 0 ###LEFT-WALL### 19 is 0 ###LEFT-WALL### 27 . 1 simultaneous 2 infiltration 2 infiltration 3 of 2 infiltration 7 with 2 infiltration 19 is 3 of 6 propria 4 the 6 propria 5 lamina 6 propria 7 with 13 and 8 lymphocytes 9 , 9 , 10 eosinophils 9 , 11 , 11 , 12 neutrophils 11 , 13 and 13 and 14 malfunctions 13 and 15 in 15 in 18 bed 16 a 18 bed 17 microcirculatory 18 bed 19 is 21 of 21 of 23 presence 22 the 23 presence 23 presence 24 of 24 of 26 processes 25 inflammatory 26 processes the duodenum of the elderly persons was characterized by the disruption of the integrity of the lamina muscularis [mucosae] that lead to the displacement of the duodenal glands from submucosa to the lamina propria . 0 ###LEFT-WALL### 2 duodenum 0 ###LEFT-WALL### 8 characterized 0 ###LEFT-WALL### 35 . 1 the 2 duodenum 2 duodenum 3 of 2 duodenum 7 was 3 of 6 persons 4 the 6 persons 5 elderly 6 persons 7 was 8 characterized 8 characterized 9 by 8 characterized 22 to 8 characterized 31 to 9 by 11 disruption 10 the 11 disruption 11 disruption 12 of 11 disruption 15 of 12 of 14 integrity 13 the 14 integrity 15 of 18 muscularis 16 the 18 muscularis 17 lamina 18 muscularis 18 muscularis 20 that 18 muscularis 21 lead 20 that 21 lead 22 to 24 displacement 23 the 24 displacement 24 displacement 25 of 25 of 28 glands 26 the 28 glands 27 duodenal 28 glands 28 glands 29 from 29 from 30 submucosa 31 to 34 propria 32 the 34 propria 33 lamina 34 propria the suppression of cell proliferative activity [,] decreased blast transformation activity , in the lymphoid tissue of the intestine , along with a high degree of cell destruction , lead to the weakening of local immunity in the elderly persons . 0 ###LEFT-WALL### 2 suppression 0 ###LEFT-WALL### 8 decreased 0 ###LEFT-WALL### 29 , 0 ###LEFT-WALL### 41 . 1 the 2 suppression 2 suppression 3 of 2 suppression 8 decreased 3 of 6 activity 4 cell 6 activity 5 proliferative 6 activity 8 decreased 11 activity 8 decreased 13 in 9 blast 10 transformation 10 transformation 11 activity 12 , 13 in 13 in 16 tissue 13 in 29 , 14 the 16 tissue 15 lymphoid 16 tissue 16 tissue 17 of 17 of 19 intestine 18 the 19 intestine 19 intestine 22 with 20 , 22 with 21 along 22 with 22 with 28 destruction 22 with 29 , 23 a 25 degree 24 high 25 degree 25 degree 26 of 25 degree 28 destruction 26 of 28 destruction 27 cell 28 destruction 29 , 30 lead 30 lead 31 to 30 lead 37 in 31 to 33 weakening 32 the 33 weakening 33 weakening 34 of 34 of 36 immunity 35 local 36 immunity 37 in 40 persons 38 the 40 persons 39 elderly 40 persons background : while the use of different cognitive strategies when encoding episodic memory information has been extensively investigated , modulation of brain activity by memory self [-] efficacy beliefs has not been studied yet . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 35 . 2 : 20 modulation 2 : 33 studied 3 while 5 use 3 while 20 modulation 4 the 5 use 5 use 6 of 6 of 9 strategies 7 different 9 strategies 8 cognitive 9 strategies 9 strategies 10 when 10 when 11 encoding 10 when 18 investigated 11 encoding 14 information 11 encoding 15 has 12 episodic 13 memory 13 memory 14 information 15 has 16 been 16 been 18 investigated 17 extensively 18 investigated 18 investigated 19 , 20 modulation 21 of 20 modulation 24 by 20 modulation 30 has 21 of 23 activity 22 brain 23 activity 24 by 29 beliefs 25 memory 28 efficacy 26 self 28 efficacy 28 efficacy 29 beliefs 30 has 31 not 30 has 32 been 32 been 33 studied 33 studied 34 yet methodology/principal findings : sixteen young adults completed the prospective and retrospective metamemory questionnaire , providing individual subjective judgments of everyday memory function . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 : 1 methodology/principal 2 findings 3 : 6 adults 3 : 7 completed 4 sixteen 6 adults 5 young 6 adults 6 adults 7 completed 7 completed 13 questionnaire 7 completed 15 providing 8 the 13 questionnaire 9 prospective 10 and 10 and 11 retrospective 10 and 13 questionnaire 12 metamemory 13 questionnaire 14 , 15 providing 15 providing 18 judgments 15 providing 22 function 15 providing 23 . 16 individual 18 judgments 17 subjective 18 judgments 18 judgments 19 of 18 judgments 22 function 19 of 21 memory 20 everyday 21 memory the day after [,] using functional magnetic resonance imaging , the participants had to memorize real - world intentions ( e.g [.] , [return] a book to the library ) , which were performed later on in a virtual environment . 0 ###LEFT-WALL### 12 participants 0 ###LEFT-WALL### 13 had 0 ###LEFT-WALL### 31 , 0 ###LEFT-WALL### 41 . 1 the 2 day 2 day 3 after 3 after 5 using 3 after 10 , 3 after 12 participants 5 using 9 imaging 6 functional 9 imaging 7 magnetic 8 resonance 8 resonance 9 imaging 11 the 12 participants 12 participants 13 had 13 had 14 to 14 to 15 memorize 15 memorize 19 intentions 16 real 17 - 16 real 18 world 18 world 19 intentions 19 intentions 21 e.g 20 ( 21 e.g 21 e.g 26 book 21 e.g 30 ) 23 , 26 book 25 a 26 book 26 book 27 to 26 book 30 ) 27 to 29 library 28 the 29 library 31 , 32 which 31 , 34 performed 32 which 33 were 33 were 34 performed 34 performed 36 on 34 performed 37 in 35 later 36 on 37 in 40 environment 38 a 39 virtual 38 a 40 environment 39 virtual 40 environment participants also performed offline cognitive tasks evaluating executive functions , working memory , and attention . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 performed 0 ###LEFT-WALL### 16 . 1 participants 3 performed 2 also 3 performed 3 performed 14 and 4 offline 6 tasks 5 cognitive 6 tasks 6 tasks 7 evaluating 6 tasks 14 and 7 evaluating 9 functions 8 executive 9 functions 9 functions 11 working 10 , 11 working 11 working 12 memory 11 working 13 , 13 , 14 and 14 and 15 attention during encoding , activity was found in medial temporal [lobe] , left prefrontal [cortex] , medial parietal regions , occipital areas , and regions involved in [(] pre )motor processes . 0 ###LEFT-WALL### 4 activity 0 ###LEFT-WALL### 6 found 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 31 . 1 during 2 encoding 1 during 3 , 1 during 4 activity 4 activity 5 was 5 was 6 found 6 found 7 in 7 in 18 regions 8 medial 18 regions 9 temporal 11 , 9 temporal 18 regions 12 left 18 regions 13 prefrontal 15 , 13 prefrontal 18 regions 16 medial 18 regions 17 parietal 18 regions 19 , 23 and 20 occipital 21 areas 21 areas 23 and 22 , 23 and 23 and 24 regions 23 and 25 involved 25 involved 26 in 26 in 30 processes 28 pre 30 processes 29 )motor 30 processes based on results from the questionnaire , the group was split into low and high memory self - efficacy believers . 0 ###LEFT-WALL### 9 group 0 ###LEFT-WALL### 11 split 0 ###LEFT-WALL### 18 - 1 based 2 on 1 based 7 , 1 based 9 group 2 on 3 results 3 results 4 from 4 from 6 questionnaire 5 the 6 questionnaire 8 the 9 group 9 group 10 was 10 was 11 split 11 split 12 into 12 into 14 and 13 low 14 and 14 and 17 self 15 high 16 memory 16 memory 17 self 18 - 20 believers 18 - 21 . 19 efficacy 20 believers comparison of encoding - related brain activity between the 2 groups revealed that the low memory self [-] efficacy believers activated more the hippocampus bilaterally , right posterior parahippocampal cortex , precuneus , and left lateral temporal cortex . 0 ###LEFT-WALL### 1 comparison 0 ###LEFT-WALL### 12 revealed 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 39 . 1 comparison 2 of 1 comparison 12 revealed 2 of 3 encoding 4 - 5 related 5 related 7 activity 5 related 8 between 5 related 12 revealed 6 brain 7 activity 8 between 11 groups 9 the 10 2 10 2 11 groups 12 revealed 13 that 13 that 20 believers 13 that 21 activated 14 the 20 believers 15 low 20 believers 16 memory 20 believers 17 self 19 efficacy 19 efficacy 20 believers 20 believers 21 activated 21 activated 22 more 21 activated 24 hippocampus 21 activated 25 bilaterally 23 the 24 hippocampus 26 , 30 cortex 26 , 31 , 27 right 30 cortex 28 posterior 30 cortex 29 parahippocampal 30 cortex 31 , 34 and 32 precuneus 34 and 33 , 34 and 34 and 38 cortex 35 left 38 cortex 36 lateral 38 cortex 37 temporal 38 cortex by contrast , more activity was found in dorsal anterior cingulate gyrus for the high - memory believers . 0 ###LEFT-WALL### 5 activity 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 19 . 1 by 2 contrast 1 by 3 , 1 by 5 activity 4 more 5 activity 5 activity 6 was 6 was 7 found 7 found 8 in 8 in 12 gyrus 9 dorsal 12 gyrus 10 anterior 12 gyrus 11 cingulate 12 gyrus 12 gyrus 13 for 13 for 18 believers 14 the 18 believers 15 high 16 - 15 high 17 memory 17 memory 18 believers in addition , the low - memory believers performed more poorly at feature binding and [(] [at] trend ) manipulating visuospatial information in working memory . 0 ###LEFT-WALL### 8 believers 0 ###LEFT-WALL### 9 performed 0 ###LEFT-WALL### 26 . 1 in 2 addition 1 in 3 , 1 in 8 believers 4 the 8 believers 5 low 6 - 5 low 8 believers 7 memory 8 believers 8 believers 9 performed 9 performed 11 poorly 9 performed 12 at 9 performed 23 in 10 more 11 poorly 12 at 15 and 13 feature 14 binding 14 binding 15 and 15 and 18 trend 15 and 19 ) 15 and 20 manipulating 20 manipulating 22 information 21 visuospatial 22 information 23 in 24 working 24 working 25 memory conclusion/significance : overall , these findings indicate that memory self - efficacy beliefs modulate brain activity during intentional encoding . 0 ###LEFT-WALL### 1 conclusion/significance 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 1 conclusion/significance 2 : 2 : 3 overall 4 , 6 findings 4 , 7 indicate 4 , 11 - 5 these 6 findings 6 findings 7 indicate 7 indicate 10 self 8 that 10 self 9 memory 10 self 11 - 13 beliefs 11 - 14 modulate 11 - 20 . 12 efficacy 13 beliefs 13 beliefs 14 modulate 14 modulate 16 activity 14 modulate 17 during 15 brain 16 activity 17 during 19 encoding 18 intentional 19 encoding low memory self - efficacy believers activated more brain areas involved in visuospatial operations such as the hippocampus . 0 ###LEFT-WALL### 3 self 0 ###LEFT-WALL### 4 - 1 low 2 memory 2 memory 3 self 4 - 6 believers 4 - 7 activated 4 - 19 . 5 efficacy 6 believers 6 believers 7 activated 7 activated 10 areas 7 activated 12 in 8 more 10 areas 9 brain 10 areas 10 areas 11 involved 12 in 14 operations 13 visuospatial 14 operations 14 operations 16 as 15 such 16 as 16 as 18 hippocampus 17 the 18 hippocampus possibly , this increase reflects attempts to compensate for poor performance of certain neurocognitive processes , such as feature binding . 0 ###LEFT-WALL### 4 increase 0 ###LEFT-WALL### 5 reflects 1 possibly 2 , 1 possibly 4 increase 3 this 4 increase 4 increase 5 reflects 5 reflects 6 attempts 6 attempts 7 to 6 attempts 8 compensate 7 to 8 compensate 8 compensate 9 for 9 for 11 performance 10 poor 11 performance 11 performance 12 of 12 of 15 processes 13 certain 15 processes 14 neurocognitive 15 processes 15 processes 18 as 16 , 18 as 17 such 18 as 18 as 20 binding 18 as 21 . 19 feature 20 binding by contrast , high - memory believers seemed to rely more on executive - [like] processes involved in cognitive control . 0 ###LEFT-WALL### 7 believers 0 ###LEFT-WALL### 8 seemed 0 ###LEFT-WALL### 21 . 1 by 2 contrast 1 by 3 , 1 by 7 believers 4 high 5 - 4 high 7 believers 6 memory 7 believers 7 believers 8 seemed 8 seemed 9 to 8 seemed 10 rely 9 to 10 rely 10 rely 11 more 10 rely 12 on 10 rely 18 in 12 on 16 processes 13 executive 14 - 13 executive 16 processes 16 processes 17 involved 18 in 20 control 19 cognitive 20 control the measurement of ovarian volume has been shown to be a useful indirect indicator of the ovarian reserve in women of reproductive age , in the diagnosis and management of a number of disorders of puberty and adult reproductive function , and is under investigation as a screening tool for ovarian cancer . 0 ###LEFT-WALL### 2 measurement 0 ###LEFT-WALL### 42 and 0 ###LEFT-WALL### 53 . 1 the 2 measurement 2 measurement 3 of 2 measurement 42 and 3 of 5 volume 4 ovarian 5 volume 6 has 7 been 6 has 42 and 7 been 8 shown 8 shown 9 to 8 shown 19 in 9 to 10 be 10 be 14 indicator 11 a 14 indicator 12 useful 14 indicator 13 indirect 14 indicator 14 indicator 15 of 15 of 18 reserve 16 the 18 reserve 17 ovarian 18 reserve 19 in 20 women 20 women 21 of 21 of 23 age 22 reproductive 23 age 23 age 25 in 24 , 25 in 25 in 28 and 25 in 41 , 26 the 27 diagnosis 27 diagnosis 28 and 28 and 29 management 28 and 30 of 28 and 33 of 30 of 32 number 31 a 32 number 33 of 37 and 34 disorders 35 of 34 disorders 37 and 35 of 36 puberty 37 and 40 function 38 adult 40 function 39 reproductive 40 function 41 , 42 and 42 and 43 is 42 and 50 for 43 is 44 under 43 is 46 as 44 under 45 investigation 46 as 49 tool 47 a 49 tool 48 screening 49 tool 50 for 52 cancer 51 ovarian 52 cancer to date there is no normative model of ovarian volume throughout life . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 13 . 1 to 2 date 1 to 4 is 2 date 3 there 4 is 7 model 4 is 11 throughout 5 no 7 model 6 normative 7 model 7 model 8 of 8 of 10 volume 9 ovarian 10 volume 11 throughout 12 life by searching the published literature for ovarian volume in healthy females , and using our own data from multiple sources ( combined n=59,994 ) we have generated and robustly validated the first model of ovarian volume from conception to 82 years of age . 0 ###LEFT-WALL### 17 data 0 ###LEFT-WALL### 28 and 0 ###LEFT-WALL### 44 . 1 by 2 searching 1 by 17 data 2 searching 5 literature 2 searching 9 in 3 the 5 literature 4 published 5 literature 5 literature 6 for 6 for 8 volume 7 ovarian 8 volume 9 in 13 and 10 healthy 11 females 11 females 13 and 12 , 13 and 13 and 14 using 15 our 16 own 15 our 17 data 17 data 18 from 17 data 25 we 17 data 26 have 17 data 28 and 18 from 20 sources 19 multiple 20 sources 20 sources 23 n=59,994 21 ( 23 n=59,994 22 combined 23 n=59,994 23 n=59,994 24 ) 25 we 26 have 27 generated 28 and 28 and 30 validated 28 and 33 model 29 robustly 30 validated 31 the 33 model 32 first 33 model 33 model 34 of 34 of 36 volume 35 ovarian 36 volume 36 volume 37 from 36 volume 39 to 37 from 38 conception 39 to 41 years 40 82 41 years 41 years 42 of 42 of 43 age this model shows that 69 % of the variation in ovarian volume is due to age alone . 0 ###LEFT-WALL### 2 model 0 ###LEFT-WALL### 3 shows 0 ###LEFT-WALL### 18 . 1 this 2 model 2 model 3 shows 3 shows 4 that 4 that 6 % 4 that 13 is 5 69 6 % 6 % 7 of 6 % 13 is 7 of 9 variation 8 the 9 variation 9 variation 10 in 10 in 12 volume 11 ovarian 12 volume 13 is 14 due 14 due 15 to 14 due 16 age 15 to 16 age 16 age 17 alone we have shown that in the average case ovarian volume rises from 0.7 ml ( 95 % ci 0.4 - 1.1 ml ) at 2 years of age to a peak of 7.7 ml ( 95 % ci 6.5 - 9.2 ml ) at 20 years of age with a subsequent decline to about 2.8 ml ( 95 % ci 2.7 - 2.9 ml ) at the menopause and smaller volumes thereafter . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 shown 0 ###LEFT-WALL### 73 . 1 we 2 have 2 have 3 shown 3 shown 4 that 4 that 10 volume 4 that 11 rises 5 in 8 case 5 in 10 volume 6 the 8 case 7 average 8 case 9 ovarian 10 volume 10 volume 11 rises 11 rises 12 from 11 rises 20 - 11 rises 24 at 11 rises 66 at 11 rises 72 thereafter 12 from 14 ml 13 0.7 14 ml 15 ( 20 - 16 95 18 ci 17 % 18 ci 18 ci 19 0.4 18 ci 20 - 20 - 22 ml 20 - 23 ) 21 1.1 22 ml 24 at 26 years 25 2 26 years 26 years 27 of 27 of 28 age 28 age 29 to 28 age 44 at 29 to 31 peak 30 a 31 peak 31 peak 32 of 31 peak 38 ci 32 of 34 ml 33 7.7 34 ml 35 ( 38 ci 36 95 38 ci 37 % 38 ci 38 ci 39 6.5 38 ci 42 ml 38 ci 43 ) 40 - 42 ml 41 9.2 42 ml 42 ml 43 ) 44 at 46 years 45 20 46 years 46 years 47 of 47 of 48 age 48 age 49 with 49 with 52 decline 50 a 51 subsequent 50 a 52 decline 51 subsequent 52 decline 52 decline 53 to 52 decline 60 ci 53 to 56 ml 54 about 55 2.8 55 2.8 56 ml 57 ( 60 ci 58 95 60 ci 59 % 60 ci 60 ci 61 2.7 60 ci 64 ml 60 ci 65 ) 62 - 64 ml 63 2.9 64 ml 64 ml 65 ) 66 at 69 and 67 the 68 menopause 68 menopause 69 and 69 and 71 volumes 70 smaller 71 volumes our model allows us to generate normal values and ranges for ovarian volume throughout life . 0 ###LEFT-WALL### 2 model 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 16 . 1 our 2 model 2 model 9 and 3 allows 4 us 3 allows 5 to 3 allows 6 generate 3 allows 9 and 5 to 6 generate 6 generate 8 values 7 normal 8 values 9 and 10 ranges 9 and 11 for 9 and 14 throughout 11 for 13 volume 12 ovarian 13 volume 14 throughout 15 life this is the first validated normative model of ovarian volume from conception to old age ; it will be of use in the diagnosis and management of a number of diverse gynaecological and reproductive conditions in females from birth [to] [menopause] [and] [beyond] . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 16 ; 0 ###LEFT-WALL### 44 . 1 this 2 is 2 is 7 model 3 the 7 model 4 first 7 model 5 validated 7 model 6 normative 7 model 7 model 8 of 8 of 10 volume 9 ovarian 10 volume 10 volume 11 from 10 volume 13 to 11 from 12 conception 13 to 15 age 14 old 15 age 16 ; 17 it 17 it 18 will 18 will 19 be 19 be 20 of 19 be 36 in 20 of 25 and 21 use 22 in 21 use 25 and 22 in 24 diagnosis 23 the 24 diagnosis 25 and 26 management 25 and 27 of 27 of 35 conditions 28 a 29 number 29 number 30 of 29 number 35 conditions 30 of 35 conditions 31 diverse 35 conditions 32 gynaecological 33 and 33 and 34 reproductive 33 and 35 conditions 36 in 37 females 37 females 38 from 38 from 39 birth sleep disorders are so frequently associated with depression that , in the absence of sleep complaints , a diagnosis of depression should be made with caution . 0 ###LEFT-WALL### 2 disorders 0 ###LEFT-WALL### 6 associated 0 ###LEFT-WALL### 27 . 1 sleep 2 disorders 2 disorders 3 are 3 are 5 frequently 3 are 6 associated 4 so 5 frequently 6 associated 7 with 6 associated 9 that 7 with 8 depression 9 that 19 diagnosis 9 that 24 made 10 , 11 in 11 in 13 absence 11 in 17 , 11 in 19 diagnosis 12 the 13 absence 13 absence 14 of 14 of 16 complaints 15 sleep 16 complaints 18 a 19 diagnosis 19 diagnosis 20 of 19 diagnosis 22 should 20 of 21 depression 22 should 23 be 23 be 24 made 24 made 25 with 25 with 26 caution insomnia , in particular , may occur in 60 % - 80 % of depressed patients . 0 ###LEFT-WALL### 1 insomnia 0 ###LEFT-WALL### 7 occur 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 17 . 1 insomnia 4 particular 1 insomnia 6 may 2 , 4 particular 3 in 4 particular 4 particular 5 , 6 may 7 occur 7 occur 8 in 8 in 10 % 9 60 10 % 11 - 13 % 12 80 13 % 13 % 14 of 14 of 16 patients 15 depressed 16 patients depressive symptoms are important risk factors for insomnia , and depression is considered an important comorbid condition in patients with chronic insomnia of any etiology . 0 ###LEFT-WALL### 2 symptoms 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 26 . 1 depressive 2 symptoms 2 symptoms 3 are 3 are 6 factors 4 important 6 factors 5 risk 6 factors 6 factors 7 for 7 for 8 insomnia 9 , 10 and 10 and 11 depression 10 and 13 considered 11 depression 12 is 12 is 13 considered 13 considered 17 condition 13 considered 18 in 13 considered 20 with 14 an 17 condition 15 important 16 comorbid 16 comorbid 17 condition 18 in 19 patients 20 with 22 insomnia 21 chronic 22 insomnia 22 insomnia 23 of 23 of 25 etiology 24 any 25 etiology in addition , some drugs commonly prescribed for the treatment of depression may worsen insomnia and impair full recovery from the illness . 0 ###LEFT-WALL### 5 drugs 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 23 . 1 in 2 addition 1 in 3 , 1 in 5 drugs 4 some 5 drugs 5 drugs 7 prescribed 5 drugs 16 and 6 commonly 7 prescribed 7 prescribed 8 for 8 for 10 treatment 9 the 10 treatment 10 treatment 11 of 11 of 12 depression 13 may 14 worsen 13 may 16 and 14 worsen 15 insomnia 16 and 17 impair 17 impair 19 recovery 18 full 19 recovery 19 recovery 20 from 20 from 22 illness 21 the 22 illness finally , we present a case report of a 65 [-] year - old caucasian woman suffering from insomnia associated with depression who was successfully treated with sleep deprivation . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 present 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 30 . 1 finally 2 , 1 finally 3 we 3 we 4 present 4 present 7 report 5 a 7 report 6 case 7 report 7 report 8 of 8 of 12 year 9 a 12 year 10 65 12 year 13 - 17 suffering 13 - 20 associated 14 old 15 caucasian 15 caucasian 17 suffering 16 woman 17 suffering 17 suffering 18 from 17 suffering 20 associated 18 from 19 insomnia 20 associated 21 with 21 with 22 depression 22 depression 23 who 22 depression 24 was 23 who 24 was 24 was 25 successfully 24 was 26 treated 26 treated 27 with 27 with 29 deprivation 28 sleep 29 deprivation hutchinson - gilford progeria syndrome and werner syndrome , also known as childhood - and adulthood - progeria , respectively , represent two of the best characterized human progeroid diseases with clinical features mimicking physiological aging at an early age . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 22 represent 0 ###LEFT-WALL### 41 . 1 hutchinson 6 and 1 hutchinson 15 and 2 - 6 and 3 gilford 4 progeria 4 progeria 5 syndrome 5 syndrome 6 and 6 and 8 syndrome 6 and 9 , 6 and 11 known 6 and 12 as 6 and 14 - 7 werner 8 syndrome 10 also 11 known 12 as 13 childhood 15 and 16 adulthood 15 and 18 progeria 15 and 22 represent 17 - 18 progeria 18 progeria 19 , 19 , 20 respectively 20 respectively 21 , 20 respectively 22 represent 22 represent 23 two 23 two 24 of 23 two 31 with 23 two 34 mimicking 24 of 30 diseases 25 the 26 best 25 the 30 diseases 27 characterized 28 human 28 human 30 diseases 29 progeroid 30 diseases 31 with 33 features 32 clinical 33 features 34 mimicking 36 aging 35 physiological 36 aging 36 aging 37 at 37 at 40 age 38 an 40 age 39 early 40 age the discovery of their genetic basis has led to the identification of several gene mutations leading to a spectrum of progeroid phenotypes ranging from moderate and mild - severe to very aggressive forms . 0 ###LEFT-WALL### 2 discovery 0 ###LEFT-WALL### 22 phenotypes 1 the 2 discovery 2 discovery 3 of 2 discovery 7 has 3 of 6 basis 4 their 6 basis 5 genetic 6 basis 7 has 8 led 8 led 9 to 9 to 11 identification 10 the 11 identification 11 identification 12 of 12 of 15 mutations 13 several 15 mutations 14 gene 15 mutations 15 mutations 16 leading 15 mutations 22 phenotypes 16 leading 17 to 16 leading 22 phenotypes 17 to 19 spectrum 18 a 19 spectrum 19 spectrum 20 of 20 of 21 progeroid 22 phenotypes 23 ranging 22 phenotypes 24 from 24 from 26 and 25 moderate 26 and 26 and 27 mild 26 and 29 severe 28 - 29 severe 29 severe 30 to 29 severe 34 . 30 to 33 forms 31 very 32 aggressive 32 aggressive 33 forms in parallel , the creation of disease registers and databases provided available data for the design of relatively large - scale epidemiological studies , thereby allowing a better understanding of the nature and frequency of the premature aging - associated signs and symptoms . 0 ###LEFT-WALL### 2 parallel 0 ###LEFT-WALL### 3 , 1 in 2 parallel 3 , 5 creation 3 , 9 and 4 the 5 creation 5 creation 6 of 5 creation 9 and 6 of 7 disease 8 registers 9 and 9 and 10 databases 10 databases 13 data 10 databases 26 allowing 11 provided 13 data 12 available 13 data 13 data 14 for 14 for 16 design 15 the 16 design 16 design 17 of 17 of 23 studies 18 relatively 19 large 19 large 20 - 19 large 21 scale 21 scale 23 studies 22 epidemiological 23 studies 24 , 25 thereby 24 , 26 allowing 26 allowing 29 understanding 26 allowing 44 . 27 a 29 understanding 28 better 29 understanding 29 understanding 30 of 29 understanding 35 of 30 of 33 and 31 the 32 nature 32 nature 33 and 33 and 34 frequency 35 of 38 aging 36 the 38 aging 37 premature 38 aging 38 aging 42 and 39 - 42 and 40 associated 41 signs 41 signs 42 and 42 and 43 symptoms 42 and 44 . the aim of this article is to review the most recent findings concerning the epidemiology of premature aging disorders , their genetic basis , and the most recent reports on the frequency of associated diseases . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 36 . 1 the 2 aim 2 aim 3 of 2 aim 6 is 3 of 5 article 4 this 5 article 6 is 7 to 6 is 30 on 7 to 8 review 8 review 12 findings 9 the 12 findings 10 most 11 recent 11 recent 12 findings 12 findings 13 concerning 12 findings 16 of 13 concerning 15 epidemiology 14 the 15 epidemiology 16 of 25 and 17 premature 19 disorders 18 aging 19 disorders 19 disorders 20 , 20 , 23 basis 20 , 25 and 21 their 23 basis 22 genetic 23 basis 24 , 25 and 25 and 29 reports 26 the 27 most 27 most 29 reports 28 recent 29 reports 30 on 32 frequency 31 the 32 frequency 32 frequency 33 of 33 of 35 diseases 34 associated 35 diseases the evaluation of spontaneous lesions in classical inbred strains of mice has become [increasingly] important because genetically engineered mice ( gems ) are created on these backgrounds . 0 ###LEFT-WALL### 2 evaluation 0 ###LEFT-WALL### 13 become 0 ###LEFT-WALL### 28 . 1 the 2 evaluation 2 evaluation 3 of 2 evaluation 12 has 3 of 5 lesions 4 spontaneous 5 lesions 5 lesions 6 in 6 in 9 strains 7 classical 9 strains 8 inbred 9 strains 9 strains 10 of 10 of 11 mice 12 has 13 become 13 become 15 important 15 important 16 because 16 because 19 mice 16 because 24 created 17 genetically 18 engineered 18 engineered 19 mice 19 mice 21 gems 19 mice 23 are 20 ( 21 gems 21 gems 22 ) 23 are 24 created 24 created 25 on 25 on 27 backgrounds 26 these 27 backgrounds novel inbred strains - genetically diverse from classic strains - are valuable [both] as a new background for gem mice and to [increase] the genetic variation found in laboratory mice . 0 ###LEFT-WALL### 1 novel 0 ###LEFT-WALL### 11 are 0 ###LEFT-WALL### 31 . 1 novel 11 are 2 inbred 3 strains 3 strains 6 diverse 3 strains 11 are 4 - 6 diverse 5 genetically 6 diverse 6 diverse 7 from 6 diverse 10 - 7 from 9 strains 8 classic 9 strains 11 are 12 valuable 12 valuable 14 as 12 valuable 21 and 12 valuable 28 in 14 as 17 background 15 a 16 new 15 a 17 background 16 new 17 background 18 for 20 mice 18 for 21 and 19 gem 20 mice 21 and 22 to 22 to 26 variation 24 the 26 variation 25 genetic 26 variation 26 variation 27 found 28 in 30 mice 29 laboratory 30 mice newly arising spontaneous genetic alterations in commonly used strains may also lead to new and valuable mouse models of disease . 0 ###LEFT-WALL### 5 alterations 0 ###LEFT-WALL### 12 lead 0 ###LEFT-WALL### 21 . 1 newly 2 arising 2 arising 5 alterations 3 spontaneous 5 alterations 4 genetic 5 alterations 5 alterations 6 in 5 alterations 10 may 6 in 9 strains 7 commonly 8 used 8 used 9 strains 10 may 12 lead 11 also 12 lead 12 lead 13 to 13 to 18 models 14 new 15 and 15 and 16 valuable 15 and 17 mouse 17 mouse 18 models 18 models 19 of 19 of 20 disease this report evaluates gross and histological lesions in relatively new , classic , and rarely explored mouse inbred strains . 0 ###LEFT-WALL### 2 report 0 ###LEFT-WALL### 3 evaluates 0 ###LEFT-WALL### 20 . 1 this 2 report 2 report 3 evaluates 3 evaluates 7 lesions 3 evaluates 8 in 4 gross 5 and 5 and 6 histological 5 and 7 lesions 8 in 19 strains 9 relatively 10 new 10 new 11 , 10 new 19 strains 12 classic 14 and 13 , 14 and 14 and 17 mouse 14 and 18 inbred 15 rarely 16 explored 16 explored 17 mouse 18 inbred 19 strains pathological lesions of 1273 mice from 12 inbred strains ( 129s1/svw , a.ca - [h2] [(] f ) /w , akr/w , balb/cw , bn/aw , c57bl/6 w , c57bl/10 w , c3h/w , c3h ( wad [ )(/w , cba/w , dba/2 w , and wom/w ) are reported . 0 ###LEFT-WALL### 1 pathological 0 ###LEFT-WALL### 9 strains 1 pathological 2 lesions 1 pathological 8 inbred 1 pathological 9 strains 2 lesions 3 of 2 lesions 8 inbred 3 of 5 mice 4 1273 5 mice 5 mice 6 from 6 from 7 12 9 strains 14 - 9 strains 19 /w 10 ( 14 - 11 129s1/svw 12 , 11 129s1/svw 13 a.ca 13 a.ca 14 - 14 - 17 f 14 - 18 ) 19 /w 21 akr/w 19 /w 25 bn/aw 19 /w 30 c57bl/10 20 , 21 akr/w 21 akr/w 23 balb/cw 21 akr/w 24 , 22 , 23 balb/cw 23 balb/cw 24 , 24 , 25 bn/aw 25 bn/aw 27 c57bl/6 25 bn/aw 29 , 26 , 27 c57bl/6 27 c57bl/6 28 w 27 c57bl/6 29 , 29 , 30 c57bl/10 30 c57bl/10 31 w 30 c57bl/10 33 c3h/w 30 c57bl/10 40 , 32 , 33 c3h/w 33 c3h/w 35 c3h 33 c3h/w 40 , 34 , 35 c3h 35 c3h 39 )(/w 35 c3h 40 , 36 ( 39 )(/w 37 wad 39 )(/w 39 )(/w 40 , 40 , 50 reported 41 cba/w 43 dba/2 41 cba/w 46 and 42 , 43 dba/2 43 dba/2 44 w 43 dba/2 45 , 46 and 47 wom/w 46 and 48 ) 46 and 49 are 49 are 50 reported 50 reported 51 . bn/aw , wom/w , and c3h [(] wad ) /w are novel inbred strains produced and maintained in the department of genetics and laboratory animal breeding at the center of oncology , warsaw , poland . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 36 . 1 bn/aw 3 wom/w 1 bn/aw 5 and 2 , 3 wom/w 3 wom/w 4 , 5 and 8 wad 5 and 9 ) 5 and 10 /w 5 and 16 and 6 c3h 8 wad 10 /w 11 are 11 are 14 strains 12 novel 14 strains 13 inbred 14 strains 14 strains 16 and 15 produced 16 and 16 and 17 maintained 16 and 18 in 16 and 27 at 18 in 20 department 19 the 20 department 20 department 21 of 21 of 26 breeding 22 genetics 23 and 23 and 24 laboratory 24 laboratory 25 animal 25 animal 26 breeding 27 at 35 poland 28 the 35 poland 29 center 30 of 29 center 35 poland 30 of 31 oncology 31 oncology 33 warsaw 32 , 33 warsaw 33 warsaw 34 , both neoplastic and nonneoplastic lesions were examined . 0 ###LEFT-WALL### 5 lesions 0 ###LEFT-WALL### 7 examined 0 ###LEFT-WALL### 8 . 1 both 5 lesions 2 neoplastic 3 and 3 and 4 nonneoplastic 3 and 5 lesions 5 lesions 6 were 6 were 7 examined the prevalence of lung neoplasms was significantly higher in a.ca - h2 ( [f] [ )(/w ( 33.3 % ) and balb/cw ( 33.8 % ) mice ( p < [.] 01 ) . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 34 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 6 was 3 of 5 neoplasms 4 lung 5 neoplasms 6 was 8 higher 7 significantly 8 higher 8 higher 9 in 9 in 10 a.ca 10 a.ca 21 and 11 - 21 and 12 h2 16 )(/w 12 h2 21 and 13 ( 16 )(/w 16 )(/w 19 % 16 )(/w 20 ) 17 ( 19 % 18 33.3 19 % 19 % 20 ) 21 and 27 mice 21 and 30 < 21 and 33 ) 22 balb/cw 25 % 22 balb/cw 27 mice 23 ( 25 % 24 33.8 25 % 25 % 26 ) 28 ( 30 < 29 p 30 < 30 < 32 01 the prevalence of liver neoplasms was significantly higher in the cba/w strain [(] p < . 01 [ )( 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 16 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 6 was 3 of 5 neoplasms 4 liver 5 neoplasms 6 was 7 significantly 6 was 8 higher 8 higher 9 in 9 in 11 cba/w 10 the 11 cba/w 11 cba/w 12 strain 11 cba/w 15 < 12 strain 14 p 12 strain 15 < 16 . 17 01 16 . 19 )( mammary gland neoplasms arose at a greater frequency in c3h/w mice [(] p < . 01 [ )( 0 ###LEFT-WALL### 3 neoplasms 0 ###LEFT-WALL### 4 arose 0 ###LEFT-WALL### 15 . 1 mammary 2 gland 2 gland 3 neoplasms 3 neoplasms 4 arose 4 arose 5 at 4 arose 9 in 5 at 8 frequency 6 a 8 frequency 7 greater 8 frequency 9 in 11 mice 10 c3h/w 11 mice 11 mice 13 p 11 mice 14 < 13 p 14 < 15 . 16 01 15 . 18 )( the occurrence of uterine neoplasms was higher in dba/w and 129s1/svw mice . 0 ###LEFT-WALL### 2 occurrence 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 13 . 1 the 2 occurrence 2 occurrence 3 of 2 occurrence 6 was 3 of 5 neoplasms 4 uterine 5 neoplasms 6 was 7 higher 7 higher 8 in 8 in 10 and 9 dba/w 10 and 10 and 12 mice 11 129s1/svw 12 mice akr/w and wom/w mice developed [t] - [cell] lymphoblastic lymphoma with high frequency ( 110/121 [ 90.9 % ] [and] 159/175 [ 90.9 % ] , respectively ) before 1 year of age . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 10 lymphoma 0 ###LEFT-WALL### 34 . 1 akr/w 2 and 2 and 4 mice 2 and 5 developed 2 and 10 lymphoma 3 wom/w 4 mice 5 developed 7 - 5 developed 9 lymphoblastic 10 lymphoma 11 with 10 lymphoma 27 respectively 10 lymphoma 29 before 11 with 13 frequency 11 with 21 159/175 12 high 13 frequency 13 frequency 15 110/121 14 ( 15 110/121 15 110/121 18 % 15 110/121 19 ] 16 [ 18 % 17 90.9 18 % 18 % 19 ] 21 159/175 24 % 22 [ 24 % 23 90.9 24 % 24 % 25 ] 26 , 27 respectively 27 respectively 28 ) 29 before 31 year 30 1 31 year 31 year 32 of 32 of 33 age the occurrence of nonneoplastic lesions in the kidneys of bn/aw mice was increased ( p < [.] 01 [ )( 0 ###LEFT-WALL### 2 occurrence 0 ###LEFT-WALL### 13 increased 0 ###LEFT-WALL### 20 )( 1 the 2 occurrence 2 occurrence 3 of 2 occurrence 12 was 3 of 5 lesions 4 nonneoplastic 5 lesions 5 lesions 6 in 6 in 8 kidneys 7 the 8 kidneys 8 kidneys 9 of 9 of 11 mice 10 bn/aw 11 mice 12 was 13 increased 13 increased 16 < 14 ( 16 < 15 p 16 < 16 < 18 01 introduction : the article presents a selected part of an analysis of health - and lifestyle - related determinants of the longevity of male residents of the city of łódź . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 2 : 4 article 2 : 5 presents 2 : 18 related 2 : 31 . 3 the 4 article 4 article 5 presents 5 presents 15 and 6 a 8 part 7 selected 8 part 8 part 9 of 8 part 15 and 9 of 15 and 10 an 11 analysis 11 analysis 12 of 11 analysis 15 and 12 of 13 health 14 - 15 and 15 and 16 lifestyle 17 - 18 related 18 related 19 determinants 19 determinants 20 of 19 determinants 23 of 20 of 22 longevity 21 the 22 longevity 23 of 25 residents 24 male 25 residents 25 residents 26 of 25 residents 29 of 26 of 28 city 27 the 28 city 29 of 30 łódź the who strategy for the european region assumes that the term ['] lifestyle ['] refers to the way of life based on the association between conditions of life understood in a broad sense and individual patterns of behaviour determined by socio - cultural factors and individual features . 0 ###LEFT-WALL### 2 who 0 ###LEFT-WALL### 39 determined 0 ###LEFT-WALL### 48 . 1 the 2 who 3 strategy 4 for 3 strategy 8 assumes 4 for 7 region 5 the 7 region 6 european 7 region 8 assumes 9 that 9 that 34 and 9 that 39 determined 10 the 11 term 11 term 13 lifestyle 11 term 15 refers 11 term 34 and 13 lifestyle 15 refers 15 refers 16 to 15 refers 25 between 16 to 18 way 17 the 18 way 18 way 19 of 19 of 20 life 20 life 21 based 20 life 22 on 22 on 24 association 23 the 24 association 25 between 26 conditions 26 conditions 27 of 27 of 28 life 28 life 29 understood 28 life 30 in 30 in 32 broad 31 a 32 broad 33 sense 34 and 34 and 36 patterns 34 and 37 of 34 and 39 determined 35 individual 36 patterns 37 of 38 behaviour 39 determined 40 by 40 by 47 features 41 socio 42 - 41 socio 44 factors 43 cultural 44 factors 44 factors 45 and 45 and 46 individual 45 and 47 features on this basis , the aim of this study is to identify the multiple statistical relationships on the mortality of men living in łódź , particularly the influence of the following variables on the probability of survival : age , subjective health assessment , nutritional habits , alcohol consumption and tobacco smoking . 0 ###LEFT-WALL### 6 aim 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 53 . 1 on 3 basis 1 on 4 , 1 on 6 aim 2 this 3 basis 5 the 6 aim 6 aim 7 of 6 aim 10 is 7 of 9 study 8 this 9 study 10 is 11 to 10 is 12 identify 11 to 12 identify 12 identify 16 relationships 12 identify 17 on 12 identify 23 in 13 the 16 relationships 14 multiple 16 relationships 15 statistical 16 relationships 17 on 19 mortality 18 the 19 mortality 19 mortality 20 of 19 mortality 22 living 20 of 21 men 23 in 24 łódź 25 , 28 influence 25 , 38 : 26 particularly 28 influence 27 the 28 influence 28 influence 29 of 28 influence 33 on 28 influence 36 of 28 influence 38 : 29 of 32 variables 30 the 31 following 30 the 32 variables 33 on 35 probability 34 the 35 probability 36 of 37 survival 38 : 50 and 39 age 40 , 40 , 43 assessment 40 , 44 , 41 subjective 42 health 42 health 43 assessment 44 , 46 habits 44 , 47 , 45 nutritional 46 habits 47 , 49 consumption 47 , 50 and 48 alcohol 49 consumption 50 and 51 tobacco 50 and 52 smoking materials and methods : the study sample ( 1004 respondents ) was selected , and the study was carried out , based on the standards of the cindi who programme . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 7 sample 4 : 12 was 4 : 15 and 4 : 31 . 5 the 7 sample 6 study 7 sample 7 sample 10 respondents 7 sample 12 was 8 ( 10 respondents 9 1004 10 respondents 10 respondents 11 ) 12 was 13 selected 14 , 15 and 15 and 17 study 15 and 21 , 16 the 17 study 17 study 21 , 18 was 19 carried 18 was 21 , 19 carried 20 out 21 , 22 based 21 , 23 on 23 on 25 standards 24 the 25 standards 25 standards 26 of 26 of 30 programme 27 the 30 programme 28 cindi 29 who 29 who 30 programme the investigations included socio - demographic data , health status , lifestyle and anthropometric measurements . 0 ###LEFT-WALL### 2 investigations 0 ###LEFT-WALL### 3 included 0 ###LEFT-WALL### 16 . 1 the 2 investigations 2 investigations 3 included 3 included 13 and 4 socio 5 - 4 socio 7 data 6 demographic 7 data 7 data 8 , 8 , 10 status 8 , 11 , 9 health 10 status 11 , 12 lifestyle 11 , 13 and 13 and 15 measurements 14 anthropometric 15 measurements conclusions : risky lifestyles and a reluctance to abandon them are responsible for a shorter lifespan among men in poland . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 and 2 : 11 are 2 : 21 . 3 risky 4 lifestyles 4 lifestyles 5 and 5 and 7 reluctance 5 and 8 to 5 and 9 abandon 5 and 11 are 6 a 7 reluctance 8 to 9 abandon 9 abandon 10 them 11 are 12 responsible 12 responsible 13 for 12 responsible 17 among 12 responsible 19 in 13 for 16 lifespan 14 a 16 lifespan 15 shorter 16 lifespan 17 among 18 men 19 in 20 poland reducing this difference between women and men is a real challenge for public health professionals and preventive medicine specialists . 0 ###LEFT-WALL### 1 reducing 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 20 . 1 reducing 3 difference 1 reducing 8 is 2 this 3 difference 3 difference 4 between 4 between 6 and 5 women 6 and 6 and 7 men 8 is 11 challenge 9 a 11 challenge 10 real 11 challenge 11 challenge 12 for 12 for 16 and 13 public 15 professionals 14 health 15 professionals 15 professionals 16 and 16 and 19 specialists 17 preventive 18 medicine 18 medicine 19 specialists importance : magnetic resonance imaging markers of incipient cognitive decline [among] healthy elderly individuals have become important for both clarifying the biological underpinnings of dementia and clinically identifying healthy individuals at high risk [of] [cognitive] decline . 0 ###LEFT-WALL### 1 importance 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 6 markers 2 : 16 become 2 : 26 and 3 magnetic 6 markers 4 resonance 6 markers 5 imaging 6 markers 6 markers 7 of 6 markers 15 have 7 of 14 individuals 8 incipient 10 decline 9 cognitive 10 decline 10 decline 14 individuals 12 healthy 14 individuals 13 elderly 14 individuals 15 have 16 become 16 become 17 important 17 important 18 for 18 for 20 clarifying 19 both 20 clarifying 20 clarifying 23 underpinnings 21 the 23 underpinnings 22 biological 23 underpinnings 23 underpinnings 24 of 24 of 25 dementia 26 and 30 individuals 26 and 36 decline 27 clinically 30 individuals 28 identifying 30 individuals 29 healthy 30 individuals 30 individuals 31 at 30 individuals 36 decline 31 at 33 risk 32 high 33 risk even though the role of hippocampal atrophy is well known in the later stages [of] decline , the ability of fornix - hippocampal markers to predict the earliest clinical deterioration is less clear . 0 ###LEFT-WALL### 19 ability 0 ###LEFT-WALL### 31 is 0 ###LEFT-WALL### 34 . 1 even 2 though 1 even 19 ability 2 though 4 role 2 though 8 is 3 the 4 role 4 role 5 of 4 role 8 is 5 of 7 atrophy 6 hippocampal 7 atrophy 8 is 9 well 9 well 10 known 11 in 16 decline 11 in 17 , 11 in 19 ability 12 the 16 decline 13 later 14 stages 14 stages 16 decline 18 the 19 ability 19 ability 20 of 19 ability 25 to 19 ability 26 predict 19 ability 31 is 20 of 24 markers 21 fornix 22 - 21 fornix 24 markers 23 hippocampal 24 markers 25 to 26 predict 26 predict 30 deterioration 27 the 28 earliest 27 the 30 deterioration 29 clinical 30 deterioration 31 is 33 clear 32 less 33 clear objectives : to examine the involvement of the hippocampus [-] fornix circuit in the very earliest stages of cognitive impairment and to determine whether the volumes of fornix white matter and hippocampal gray matter would be useful markers for understanding the onset of dementia and for clinical intervention . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 examine 2 : 21 and 2 : 49 . 3 to 4 examine 4 examine 6 involvement 5 the 6 involvement 6 involvement 7 of 6 involvement 18 of 7 of 12 circuit 8 the 12 circuit 9 hippocampus 11 fornix 11 fornix 12 circuit 12 circuit 13 in 13 in 17 stages 14 the 15 very 14 the 16 earliest 14 the 17 stages 18 of 20 impairment 19 cognitive 20 impairment 21 and 22 to 21 and 36 be 22 to 23 determine 22 to 35 would 23 determine 24 whether 24 whether 26 volumes 24 whether 29 white 25 the 26 volumes 26 volumes 27 of 26 volumes 29 white 27 of 28 fornix 29 white 31 and 30 matter 31 and 31 and 34 matter 32 hippocampal 34 matter 33 gray 34 matter 35 would 36 be 36 be 38 markers 37 useful 38 markers 38 markers 45 and 39 for 40 understanding 39 for 45 and 40 understanding 42 onset 41 the 42 onset 42 onset 43 of 43 of 44 dementia 45 and 46 for 46 for 48 intervention 47 clinical 48 intervention design : a longitudinal cohort of cognitively normal elderly participants received clinical evaluations with t1 - weighted magnetic resonance imaging and diffusivity scans during repeated visits over an average of 4 years . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 2 : 5 cohort 2 : 11 received 2 : 16 - 2 : 33 . 3 a 4 longitudinal 3 a 5 cohort 4 longitudinal 5 cohort 5 cohort 6 of 5 cohort 11 received 6 of 10 participants 7 cognitively 8 normal 8 normal 10 participants 9 elderly 10 participants 11 received 13 evaluations 11 received 14 with 12 clinical 13 evaluations 14 with 15 t1 16 - 20 imaging 16 - 21 and 17 weighted 19 resonance 18 magnetic 19 resonance 19 resonance 20 imaging 21 and 22 diffusivity 21 and 23 scans 22 diffusivity 23 scans 23 scans 24 during 23 scans 27 over 24 during 26 visits 25 repeated 26 visits 27 over 29 average 28 an 29 average 29 average 30 of 30 of 32 years 31 4 32 years regression and cox proportional hazards models were used to analyze the relationships between fornix and hippocampal measures and their predictive power for incidence [and] time of conversion from normal [to] impaired cognition . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 8 used 0 ###LEFT-WALL### 33 . 1 regression 2 and 2 and 6 models 2 and 7 were 3 cox 6 models 4 proportional 5 hazards 5 hazards 6 models 7 were 8 used 8 used 9 to 8 used 10 analyze 9 to 10 analyze 10 analyze 12 relationships 10 analyze 13 between 10 analyze 22 for 11 the 12 relationships 13 between 18 and 14 fornix 15 and 15 and 17 measures 15 and 18 and 16 hippocampal 17 measures 18 and 21 power 19 their 21 power 20 predictive 21 power 22 for 25 time 23 incidence 25 time 25 time 26 of 25 time 28 from 26 of 27 conversion 28 from 32 cognition 29 normal 32 cognition 31 impaired 32 cognition setting : a cohort [of] community - recruited elderly individuals at the alzheimer disease center of the university of california , davis . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 23 . 1 setting 2 : 2 : 6 community 3 a 6 community 4 cohort 6 community 6 community 10 individuals 7 - 10 individuals 8 recruited 10 individuals 9 elderly 10 individuals 10 individuals 11 at 10 individuals 21 , 11 at 15 center 12 the 15 center 13 alzheimer 14 disease 14 disease 15 center 15 center 16 of 16 of 18 university 17 the 18 university 18 university 19 of 19 of 20 california 21 , 22 davis participants : a total of 102 cognitively normal elderly participants , with an average age of 73 years , recruited through community outreach using methods designed to enhance ethnic diversity . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 1 participants 2 : 2 : 4 total 3 a 4 total 4 total 5 of 5 of 10 participants 6 102 10 participants 7 cognitively 8 normal 8 normal 10 participants 9 elderly 10 participants 10 participants 12 with 10 participants 23 outreach 11 , 12 with 12 with 15 age 12 with 19 , 13 an 14 average 13 an 15 age 14 average 15 age 15 age 16 of 16 of 18 years 17 73 18 years 19 , 23 outreach 20 recruited 22 community 21 through 22 community 22 community 23 outreach 23 outreach 24 using 23 outreach 31 . 24 using 25 methods 25 methods 26 designed 26 designed 27 to 26 designed 28 enhance 27 to 28 enhance 28 enhance 30 diversity 29 ethnic 30 diversity main outcomes and measures : our preliminary hypothesis was that fornix white matter volume should be a significant predictor [of] cognitive decline among normal elderly individuals and that fornix measures would be associated with gray matter changes in the hippocampus . 0 ###LEFT-WALL### 4 measures 0 ###LEFT-WALL### 5 : 1 main 2 outcomes 2 outcomes 3 and 3 and 4 measures 5 : 8 hypothesis 5 : 9 was 5 : 27 and 5 : 41 . 6 our 8 hypothesis 7 preliminary 8 hypothesis 8 hypothesis 9 was 9 was 11 fornix 10 that 11 fornix 11 fornix 14 volume 11 fornix 16 be 12 white 13 matter 13 matter 14 volume 14 volume 15 should 15 should 16 be 16 be 22 decline 17 a 18 significant 17 a 22 decline 18 significant 19 predictor 19 predictor 22 decline 21 cognitive 22 decline 22 decline 23 among 23 among 26 individuals 24 normal 26 individuals 25 elderly 26 individuals 27 and 30 measures 27 and 33 associated 28 that 29 fornix 29 fornix 30 measures 30 measures 31 would 31 would 32 be 32 be 33 associated 33 associated 34 with 34 with 37 changes 34 with 38 in 35 gray 37 changes 36 matter 37 changes 38 in 40 hippocampus 39 the 40 hippocampus results : fornix body volume and axial diffusivity were highly significant predictors [(] p = . 02 and ..y 005 , respectively ) [of] [cognitive] decline from normal cognition . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 . 2 : 6 and 2 : 9 were 3 fornix 5 volume 4 body 5 volume 5 volume 6 and 6 and 8 diffusivity 6 and 9 were 7 axial 8 diffusivity 9 were 12 predictors 10 highly 11 significant 11 significant 12 predictors 12 predictors 14 p 12 predictors 15 = 14 p 15 = 16 . 17 02 16 . 18 and 16 . 30 . 18 and 19 ..y 18 and 26 decline 19 ..y 20 005 20 005 26 decline 21 , 22 respectively 22 respectively 23 ) 22 respectively 26 decline 26 decline 27 from 27 from 29 cognition 28 normal 29 cognition hippocampal volume was not significant as a predictor [of] decline but was significantly associated with fornix volume and diffusivity ( p = [.] 004 ) . 0 ###LEFT-WALL### 2 volume 0 ###LEFT-WALL### 11 but 0 ###LEFT-WALL### 26 . 1 hippocampal 2 volume 2 volume 11 but 3 was 4 not 3 was 5 significant 3 was 11 but 4 not 5 significant 5 significant 6 as 6 as 10 decline 7 a 10 decline 8 predictor 10 decline 11 but 12 was 12 was 14 associated 13 significantly 14 associated 14 associated 15 with 15 with 18 and 16 fornix 17 volume 17 volume 18 and 18 and 19 diffusivity 18 and 22 = 20 ( 22 = 21 p 22 = 22 = 24 004 22 = 25 ) conclusions and relevance : this could be among the first studies establishing fornix degeneration as a predictor of incipient cognitive decline [among] healthy elderly individuals . 0 ###LEFT-WALL### 3 relevance 0 ###LEFT-WALL### 4 : 1 conclusions 2 and 2 and 3 relevance 4 : 5 this 4 : 7 be 4 : 26 . 5 this 6 could 6 could 7 be 7 be 8 among 8 among 11 studies 9 the 11 studies 10 first 11 studies 11 studies 12 establishing 12 establishing 14 degeneration 12 establishing 15 as 13 fornix 14 degeneration 15 as 17 predictor 16 a 17 predictor 17 predictor 18 of 18 of 25 individuals 19 incipient 21 decline 20 cognitive 21 decline 21 decline 25 individuals 23 healthy 25 individuals 24 elderly 25 individuals predictive fornix volume reductions might be explained at least in part by clinically silent hippocampus degeneration . 0 ###LEFT-WALL### 4 reductions 0 ###LEFT-WALL### 7 explained 0 ###LEFT-WALL### 17 . 1 predictive 2 fornix 2 fornix 4 reductions 3 volume 4 reductions 4 reductions 5 might 5 might 6 be 6 be 7 explained 7 explained 9 least 7 explained 11 part 8 at 9 least 10 in 11 part 11 part 12 by 12 by 16 degeneration 13 clinically 14 silent 14 silent 15 hippocampus 15 hippocampus 16 degeneration there is a significant clinical need for effective therapies for primary progressive multiple sclerosis , which presents later [in] life ( i.e [.] [,] older than 50 years [ )(and [has] symptoms that increase in severity without remission . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 1 there 2 is 2 is 6 need 3 a 4 significant 3 a 6 need 4 significant 6 need 5 clinical 6 need 6 need 7 for 6 need 16 which 7 for 9 therapies 8 effective 9 therapies 9 therapies 10 for 10 for 14 sclerosis 11 primary 14 sclerosis 12 progressive 14 sclerosis 13 multiple 14 sclerosis 15 , 16 which 16 which 17 presents 17 presents 20 life 18 later 20 life 20 life 30 )(and 21 ( 30 )(and 22 i.e 25 older 22 i.e 30 )(and 25 older 26 than 26 than 28 years 27 50 28 years 30 )(and 32 symptoms 30 )(and 33 that 30 )(and 34 increase 30 )(and 39 . 33 that 34 increase 34 increase 35 in 35 in 36 severity 36 severity 37 without 37 without 38 remission with autologous mesenchymal stem cell therapy now in the early phases of clinical trials for all forms of multiple sclerosis [(] [ms] ) [,] it is necessary to determine whether autologous stem cells from older donors have therapeutic effectiveness . 0 ###LEFT-WALL### 25 it 0 ###LEFT-WALL### 26 is 0 ###LEFT-WALL### 40 . 1 with 6 therapy 1 with 7 now 1 with 8 in 1 with 23 ) 1 with 25 it 2 autologous 5 cell 3 mesenchymal 4 stem 4 stem 5 cell 5 cell 6 therapy 8 in 11 phases 9 the 11 phases 10 early 11 phases 11 phases 12 of 12 of 14 trials 13 clinical 14 trials 14 trials 15 for 14 trials 18 of 15 for 17 forms 16 all 17 forms 18 of 20 sclerosis 19 multiple 20 sclerosis 25 it 26 is 26 is 27 necessary 27 necessary 28 to 27 necessary 29 determine 28 to 29 determine 29 determine 30 whether 30 whether 33 cells 30 whether 37 have 31 autologous 32 stem 32 stem 33 cells 33 cells 34 from 33 cells 37 have 34 from 36 donors 35 older 36 donors 37 have 39 effectiveness 38 therapeutic 39 effectiveness in this study , the therapeutic efficacy of human adipose - derived mesenchymal stem cells ( ascs ) from older donors was directly compared with that of cells from younger donors for disease prevention . 0 ###LEFT-WALL### 7 efficacy 0 ###LEFT-WALL### 24 compared 0 ###LEFT-WALL### 35 . 1 in 3 study 1 in 4 , 1 in 7 efficacy 2 this 3 study 5 the 7 efficacy 6 therapeutic 7 efficacy 7 efficacy 8 of 7 efficacy 19 from 7 efficacy 22 was 8 of 10 adipose 9 human 10 adipose 10 adipose 15 cells 11 - 15 cells 12 derived 14 stem 13 mesenchymal 14 stem 14 stem 15 cells 15 cells 17 ascs 15 cells 18 ) 16 ( 17 ascs 17 ascs 18 ) 19 from 21 donors 20 older 21 donors 22 was 23 directly 22 was 24 compared 24 compared 25 with 25 with 26 that 26 that 27 of 27 of 28 cells 28 cells 29 from 29 from 31 donors 30 younger 31 donors 31 donors 32 for 32 for 34 prevention 33 disease 34 prevention mice were induced with chronic experimental autoimmune encephalomyelitis ( eae ) using the myelin oligodendrocyte glycoprotein35 - 55 peptide and treated before disease [onset] with ascs derived [from] younger ( < 35 years ) or older [(] >60 years ) donors . 0 ###LEFT-WALL### 1 mice 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 42 . 1 mice 20 and 2 were 3 induced 2 were 20 and 3 induced 4 with 4 with 8 encephalomyelitis 4 with 12 using 5 chronic 7 autoimmune 6 experimental 7 autoimmune 7 autoimmune 8 encephalomyelitis 8 encephalomyelitis 10 eae 9 ( 10 eae 10 eae 11 ) 12 using 19 peptide 13 the 19 peptide 14 myelin 19 peptide 15 oligodendrocyte 19 peptide 16 glycoprotein35 17 - 16 glycoprotein35 19 peptide 18 55 19 peptide 20 and 21 treated 20 and 22 before 20 and 41 donors 23 disease 25 with 23 disease 35 or 25 with 26 ascs 26 ascs 27 derived 26 ascs 33 years 27 derived 29 younger 30 ( 33 years 31 < 32 35 32 35 33 years 33 years 34 ) 35 or 39 years 35 or 40 ) 35 or 41 donors 36 older 39 years 38 >60 39 years ascs from older donors failed to ameliorate the neurodegeneration associated with eae , and mice treated with older donor cells had increased central nervous system inflammation , demyelination , and splenocyte proliferation in vitro compared with the mice receiving cells from younger donors . 0 ###LEFT-WALL### 1 ascs 0 ###LEFT-WALL### 5 failed 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 44 . 1 ascs 2 from 1 ascs 5 failed 2 from 4 donors 3 older 4 donors 5 failed 6 to 5 failed 11 with 6 to 7 ameliorate 7 ameliorate 9 neurodegeneration 8 the 9 neurodegeneration 9 neurodegeneration 10 associated 11 with 12 eae 13 , 14 and 14 and 15 mice 14 and 22 increased 15 mice 16 treated 15 mice 21 had 16 treated 17 with 17 with 20 cells 18 older 19 donor 19 donor 20 cells 21 had 22 increased 22 increased 30 and 23 central 25 system 24 nervous 25 system 25 system 26 inflammation 26 inflammation 27 , 27 , 28 demyelination 27 , 30 and 29 , 30 and 30 and 32 proliferation 30 and 35 compared 30 and 39 receiving 30 and 41 from 31 splenocyte 32 proliferation 33 in 34 vitro 34 vitro 35 compared 35 compared 36 with 36 with 38 mice 37 the 38 mice 39 receiving 40 cells 41 from 43 donors 42 younger 43 donors therefore , the results of this study demonstrated that donor age significantly affects the ability of human ascs to provide neuroprotection , immunomodulation , [and/or] remyelination in eae mice . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 8 demonstrated 1 therefore 2 , 1 therefore 4 results 3 the 4 results 4 results 5 of 4 results 8 demonstrated 5 of 7 study 6 this 7 study 8 demonstrated 9 that 9 that 11 age 9 that 13 affects 10 donor 11 age 11 age 13 affects 12 significantly 13 affects 13 affects 15 ability 14 the 15 ability 15 ability 16 of 15 ability 19 to 15 ability 20 provide 16 of 18 ascs 17 human 18 ascs 19 to 20 provide 20 provide 21 neuroprotection 21 neuroprotection 23 immunomodulation 21 neuroprotection 26 remyelination 22 , 23 immunomodulation 23 immunomodulation 24 , 24 , 26 remyelination 26 remyelination 27 in 26 remyelination 30 . 27 in 29 mice 28 eae 29 mice the age - related therapeutic differences corroborate recent findings that biologic aging occurs in stem cells , and the differences are supported by evidence in this study that older ascs , compared with younger donor cells , secrete less hepatocyte growth [factor] and other bioactive molecules when stimulated in vitro . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 3 - 1 the 2 age 3 - 6 differences 3 - 7 corroborate 3 - 18 and 3 - 51 . 4 related 6 differences 5 therapeutic 6 differences 6 differences 7 corroborate 7 corroborate 9 findings 8 recent 9 findings 9 findings 10 that 10 that 12 aging 10 that 13 occurs 11 biologic 12 aging 12 aging 13 occurs 13 occurs 14 in 14 in 16 cells 15 stem 16 cells 17 , 18 and 18 and 20 differences 18 and 22 supported 19 the 20 differences 20 differences 21 are 21 are 22 supported 22 supported 23 by 22 supported 25 in 23 by 24 evidence 25 in 27 study 26 this 27 study 27 study 28 that 27 study 38 secrete 28 that 30 ascs 28 that 38 secrete 29 older 30 ascs 30 ascs 32 compared 30 ascs 38 secrete 31 , 32 compared 32 compared 33 with 32 compared 37 , 33 with 36 cells 34 younger 36 cells 35 donor 36 cells 38 secrete 43 and 38 secrete 47 when 39 less 40 hepatocyte 40 hepatocyte 41 growth 41 growth 43 and 43 and 46 molecules 44 other 46 molecules 45 bioactive 46 molecules 47 when 48 stimulated 48 stimulated 50 vitro 49 in 50 vitro these results highlight the need [for] evaluation of autologous ascs derived from older patients when used as therapy for [ms] ..y the prevalence of dementia in the aging population is increasing in japan ; therefore , expert neurologists are urgently required in dementia practice . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 30 is 0 ###LEFT-WALL### 34 ; 0 ###LEFT-WALL### 45 . 1 these 2 results 2 results 3 highlight 3 highlight 7 evaluation 4 the 7 evaluation 5 need 7 evaluation 7 evaluation 8 of 7 evaluation 11 derived 8 of 10 ascs 9 autologous 10 ascs 11 derived 12 from 11 derived 15 when 11 derived 17 as 11 derived 19 for 12 from 14 patients 13 older 14 patients 15 when 16 used 17 as 18 therapy 19 for 21 ..y 21 ..y 23 prevalence 22 the 23 prevalence 23 prevalence 24 of 23 prevalence 30 is 24 of 25 dementia 25 dementia 26 in 26 in 29 population 27 the 29 population 28 aging 29 population 30 is 31 increasing 31 increasing 32 in 32 in 33 japan 34 ; 38 neurologists 34 ; 41 required 35 therefore 36 , 35 therefore 38 neurologists 37 expert 38 neurologists 38 neurologists 39 are 39 are 41 required 40 urgently 41 required 41 required 42 in 42 in 44 practice 43 dementia 44 practice we , the neurologists , should recognize that our expertise is the core of the medical care for dementia and be prepared to lead people in other areas of medical professions , including general practitioners and psychiatrists , who are involved in dementia management . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 24 lead 0 ###LEFT-WALL### 45 . 1 we 4 neurologists 1 we 6 should 2 , 4 neurologists 3 the 4 neurologists 4 neurologists 5 , 6 should 20 and 7 recognize 8 that 7 recognize 20 and 8 that 10 expertise 8 that 11 is 9 our 10 expertise 10 expertise 11 is 11 is 13 core 12 the 13 core 13 core 14 of 14 of 17 care 15 the 17 care 16 medical 17 care 17 care 18 for 18 for 19 dementia 20 and 21 be 21 be 22 prepared 22 prepared 23 to 23 to 24 lead 24 lead 25 people 25 people 26 in 25 people 29 of 25 people 39 who 25 people 40 are 26 in 28 areas 27 other 28 areas 29 of 31 professions 30 medical 31 professions 31 professions 36 and 32 , 36 and 33 including 35 practitioners 34 general 35 practitioners 35 practitioners 36 and 36 and 37 psychiatrists 36 and 38 , 39 who 40 are 40 are 41 involved 41 involved 42 in 42 in 44 management 43 dementia 44 management expertise of neurologists in different areas , including neurological examination , neuropsychology , movement disorders , and neuroimaging , are essential , and their skills in managing both acute and chronic medical conditions are advantageous . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 36 . 1 expertise 2 of 1 expertise 17 and 2 of 3 neurologists 3 neurologists 4 in 4 in 6 areas 5 different 6 areas 6 areas 8 including 7 , 8 including 8 including 10 examination 8 including 16 , 9 neurological 10 examination 10 examination 15 disorders 11 , 15 disorders 12 neuropsychology 13 , 12 neuropsychology 14 movement 14 movement 15 disorders 15 disorders 16 , 17 and 18 neuroimaging 19 , 20 are 19 , 30 and 20 are 23 and 20 are 26 in 20 are 29 acute 21 essential 23 and 22 , 23 and 23 and 25 skills 24 their 25 skills 26 in 27 managing 27 managing 28 both 30 and 33 conditions 30 and 34 are 31 chronic 33 conditions 32 medical 33 conditions 33 conditions 34 are 34 are 35 advantageous behavioral neurology , which is a subspecialty of neurology , is committed to the care of individuals with cognitive and behavioral disturbances and plays a central role in the diagnosis and treatment of all forms of dementia . 0 ###LEFT-WALL### 2 neurology 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 38 . 1 behavioral 2 neurology 3 , 4 which 3 , 5 is 3 , 10 , 4 which 5 is 5 is 7 subspecialty 6 a 7 subspecialty 7 subspecialty 8 of 8 of 9 neurology 10 , 23 and 11 is 12 committed 11 is 23 and 12 committed 13 to 12 committed 18 with 13 to 15 care 14 the 15 care 15 care 16 of 16 of 17 individuals 18 with 22 disturbances 19 cognitive 20 and 20 and 21 behavioral 20 and 22 disturbances 23 and 24 plays 24 plays 27 role 24 plays 28 in 25 a 27 role 26 central 27 role 28 in 31 and 29 the 30 diagnosis 30 diagnosis 31 and 31 and 32 treatment 31 and 33 of 33 of 35 forms 34 all 35 forms 35 forms 36 of 36 of 37 dementia however , there is a huge scarcity of behavioral neurologists in japan , and more of them are needed urgently . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 21 . 1 however 2 , 1 however 3 there 3 there 4 is 4 is 7 scarcity 5 a 6 huge 5 a 7 scarcity 6 huge 7 scarcity 7 scarcity 8 of 8 of 10 neurologists 9 behavioral 10 neurologists 10 neurologists 11 in 11 in 12 japan 13 , 14 and 14 and 17 them 14 and 19 needed 15 more 16 of 15 more 17 them 16 of 17 them 17 them 18 are 18 are 19 needed 19 needed 20 urgently in addition , to assign a clear role for neurologists in the management of dementia , we should strongly encourage the government to involve neurologists in policy - making . 0 ###LEFT-WALL### 17 we 0 ###LEFT-WALL### 20 encourage 1 in 2 addition 1 in 17 we 2 addition 4 to 3 , 4 to 4 to 5 assign 4 to 16 , 5 assign 8 role 6 a 7 clear 6 a 8 role 7 clear 8 role 8 role 9 for 8 role 14 of 9 for 10 neurologists 10 neurologists 11 in 11 in 13 management 12 the 13 management 14 of 15 dementia 17 we 18 should 18 should 20 encourage 19 strongly 20 encourage 20 encourage 22 government 20 encourage 23 to 20 encourage 24 involve 21 the 22 government 23 to 24 involve 24 involve 25 neurologists 24 involve 26 in 26 in 27 policy 27 policy 29 making 28 - 29 making 29 making 30 . background : wearing - off [(] wo ) refers to the exacerbation of motor [and/or] [non] [-] motor symptoms of parkinson 's disease at the end [of] dose of dopaminergic medications . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 wearing 2 : 9 refers 2 : 32 . 3 wearing 5 off 3 wearing 9 refers 4 - 5 off 5 off 7 wo 5 off 8 ) 9 refers 10 to 9 refers 24 at 10 to 12 exacerbation 11 the 12 exacerbation 12 exacerbation 13 of 12 exacerbation 20 of 13 of 19 symptoms 14 motor 18 motor 18 motor 19 symptoms 20 of 23 disease 21 parkinson 22 's 22 's 23 disease 24 at 28 dose 25 the 28 dose 26 end 28 dose 28 dose 29 of 29 of 31 medications 30 dopaminergic 31 medications treatment of wo is based on modifying drug schedule [,] meal timetable [and/or] increasing dopamine replacement therapy . 0 ###LEFT-WALL### 1 treatment 0 ###LEFT-WALL### 5 based 0 ###LEFT-WALL### 18 . 1 treatment 2 of 1 treatment 4 is 2 of 3 wo 4 is 5 based 5 based 6 on 6 on 7 modifying 7 modifying 17 therapy 8 drug 11 meal 9 schedule 11 meal 11 meal 14 increasing 12 timetable 14 increasing 14 increasing 15 dopamine 15 dopamine 17 therapy 16 replacement 17 therapy in advanced [and/or] demented patients , management of wo is often limited by scarce compliance and by cognitive , psychiatric and dysautonomic side - effects that may accompany increased dopaminergic stimulation . 0 ###LEFT-WALL### 7 management 0 ###LEFT-WALL### 32 . 1 in 5 patients 1 in 6 , 1 in 7 management 2 advanced 5 patients 4 demented 5 patients 7 management 8 of 7 management 10 is 8 of 9 wo 10 is 11 often 10 is 12 limited 12 limited 16 and 13 by 15 compliance 13 by 16 and 14 scarce 15 compliance 16 and 17 by 17 by 25 effects 18 cognitive 21 and 18 cognitive 24 - 18 cognitive 25 effects 19 , 21 and 20 psychiatric 21 and 21 and 23 side 21 and 24 - 22 dysautonomic 23 side 25 effects 26 that 25 effects 27 may 26 that 27 may 27 may 28 accompany 28 accompany 31 stimulation 29 increased 31 stimulation 30 dopaminergic 31 stimulation methods : here , we report 2 patients suffering from parkinson 's disease with dementia , who experienced anxiety [as] [non] - motor symptom [of] wo under stable levodopa therapy . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 1 methods 2 : 2 : 3 here 4 , 5 we 4 , 6 report 5 we 6 report 6 report 8 patients 6 report 14 with 7 2 8 patients 8 patients 9 suffering 9 suffering 10 from 10 from 13 disease 11 parkinson 12 's 12 's 13 disease 14 with 15 dementia 15 dementia 17 who 15 dementia 26 wo 16 , 17 who 17 who 18 experienced 17 who 22 - 18 experienced 19 anxiety 22 - 26 wo 23 motor 24 symptom 24 symptom 26 wo 26 wo 27 under 26 wo 31 . 27 under 30 therapy 28 stable 29 levodopa 29 levodopa 30 therapy in both cases , transdermal rotigotine ( 4 mg/day ) was added to the original dopaminergic therapy . 0 ###LEFT-WALL### 6 rotigotine 0 ###LEFT-WALL### 12 added 0 ###LEFT-WALL### 18 . 1 in 3 cases 1 in 4 , 1 in 6 rotigotine 2 both 3 cases 5 transdermal 6 rotigotine 6 rotigotine 9 mg/day 6 rotigotine 11 was 7 ( 9 mg/day 8 4 9 mg/day 9 mg/day 10 ) 11 was 12 added 12 added 13 to 13 to 17 therapy 14 the 17 therapy 15 original 17 therapy 16 dopaminergic 17 therapy results : rotigotine proved beneficial on symptoms of anxiety in both patients , without worsening cognitive and behavioral symptoms . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 1 results 2 : 2 : 3 rotigotine 3 rotigotine 4 proved 3 rotigotine 5 beneficial 3 rotigotine 14 without 5 beneficial 6 on 5 beneficial 10 in 6 on 7 symptoms 7 symptoms 8 of 8 of 9 anxiety 10 in 12 patients 11 both 12 patients 13 , 14 without 14 without 15 worsening 14 without 20 . 15 worsening 19 symptoms 16 cognitive 17 and 17 and 18 behavioral 17 and 19 symptoms during the 9 - [month] follow - up period , there was a slight improvement of motor impairment , with no worsening [of] drug - related dyskinesia . 0 ###LEFT-WALL### 6 follow 0 ###LEFT-WALL### 7 - 1 during 3 9 1 during 4 - 1 during 6 follow 2 the 3 9 7 - 9 period 7 - 10 , 7 - 28 . 8 up 9 period 10 , 11 there 10 , 12 was 11 there 12 was 12 was 15 improvement 12 was 27 dyskinesia 13 a 14 slight 13 a 15 improvement 14 slight 15 improvement 15 improvement 16 of 15 improvement 26 related 16 of 18 impairment 17 motor 18 impairment 18 impairment 20 with 19 , 20 with 20 with 24 drug 20 with 25 - 21 no 24 drug 22 worsening 24 drug conclusions : these preliminary results suggest that rotigotine [at] low dose might improve [non] - motor symptoms of wo in elderly patients suffering from parkinson 's disease with dementia , without raising major safety issues . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 results 2 : 6 suggest 2 : 15 - 3 these 5 results 4 preliminary 5 results 5 results 6 suggest 6 suggest 11 dose 6 suggest 13 improve 7 that 11 dose 8 rotigotine 11 dose 10 low 11 dose 11 dose 12 might 12 might 13 improve 15 - 17 symptoms 16 motor 17 symptoms 17 symptoms 18 of 17 symptoms 23 suffering 17 symptoms 31 without 18 of 19 wo 19 wo 20 in 20 in 22 patients 21 elderly 22 patients 23 suffering 24 from 23 suffering 28 with 24 from 27 disease 25 parkinson 26 's 26 's 27 disease 28 with 29 dementia 30 , 31 without 31 without 32 raising 31 without 36 . 32 raising 35 issues 33 major 35 issues 34 safety 35 issues purpose : in this study , the authors ' aims were to ( [a] [ )(determine the longitudinal relationships between baseline hearing status and 4 [-] year [follow] [-] up depression and loneliness in an older population [and] ( [b] [ )( possible differences across subgroups in these relationships . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 1 purpose 2 : 2 : 3 in 3 in 5 study 4 this 5 study 6 , 10 aims 6 , 11 were 7 the 8 authors 8 authors 9 ' 9 ' 10 aims 10 aims 11 were 11 were 12 to 12 to 22 hearing 13 ( 16 )(determine 16 )(determine 19 relationships 16 )(determine 20 between 16 )(determine 22 hearing 17 the 19 relationships 18 longitudinal 19 relationships 20 between 21 baseline 22 hearing 32 and 22 hearing 34 in 23 status 24 and 24 and 31 depression 24 and 32 and 25 4 27 year 27 year 31 depression 30 up 31 depression 32 and 33 loneliness 34 in 37 population 35 an 37 population 36 older 37 population 37 population 44 differences 39 ( 44 differences 43 possible 44 differences 44 differences 45 across 44 differences 50 . 45 across 46 subgroups 46 subgroups 47 in 47 in 49 relationships 48 these 49 relationships method : the authors used data from 2 waves of the longitudinal aging study amsterdam ( 4 - year follow - up , baseline ages 63 - 93 years ) . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 1 method 2 : 2 : 4 authors 3 the 4 authors 4 authors 6 data 4 authors 20 follow 5 used 6 data 6 data 7 from 6 data 10 of 6 data 20 follow 7 from 9 waves 8 2 9 waves 10 of 19 year 11 the 19 year 12 longitudinal 13 aging 13 aging 14 study 14 study 15 amsterdam 15 amsterdam 17 4 15 amsterdam 19 year 16 ( 17 4 17 4 18 - 20 follow 22 up 20 follow 27 - 21 - 22 up 22 up 23 , 23 , 27 - 24 baseline 25 ages 25 ages 26 63 25 ages 27 - 27 - 29 years 27 - 30 ) 28 93 29 years sample sizes were 996 ( self [-] report analyses ) [and] [830] ( speech - in [-] noise test analyses ) . 0 ###LEFT-WALL### 2 sizes 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 22 . 1 sample 2 sizes 2 sizes 3 were 3 were 4 996 4 996 9 analyses 4 996 14 speech 5 ( 9 analyses 6 self 9 analyses 8 report 9 analyses 9 analyses 10 ) 13 ( 14 speech 14 speech 16 in 14 speech 21 ) 15 - 16 in 16 in 20 analyses 16 in 21 ) 18 noise 19 test 19 test 20 analyses the authors used multiple linear regression analyses to assess the associations between baseline hearing status and 4 [-] year follow - up [of] depression , social loneliness , and emotional loneliness . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 3 used 0 ###LEFT-WALL### 16 and 1 the 2 authors 2 authors 3 used 3 used 7 analyses 3 used 8 to 3 used 9 assess 4 multiple 6 regression 5 linear 6 regression 6 regression 7 analyses 8 to 9 assess 9 assess 11 associations 10 the 11 associations 11 associations 12 between 11 associations 14 hearing 12 between 13 baseline 14 hearing 15 status 16 and 19 year 16 and 20 follow 17 4 19 year 19 year 20 follow 20 follow 22 up 21 - 22 up 22 up 29 and 22 up 32 . 24 depression 25 , 25 , 27 loneliness 25 , 29 and 26 social 27 loneliness 28 , 29 and 29 and 31 loneliness 30 emotional 31 loneliness hearing was measured by self [-] report and [by] a speech - [in] - noise test . 0 ###LEFT-WALL### 1 hearing 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 14 - 1 hearing 2 was 2 was 3 measured 3 measured 4 by 4 by 8 and 5 self 7 report 7 report 8 and 8 and 11 speech 8 and 12 - 10 a 11 speech 14 - 16 test 14 - 17 . 15 noise 16 test age , gender , hearing aid use , baseline depression or loneliness , and relevant confounders and effect modifiers were incorporated . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 21 incorporated 0 ###LEFT-WALL### 22 . 1 age 2 , 2 , 3 gender 2 , 4 , 4 , 7 use 4 , 8 , 5 hearing 6 aid 6 aid 7 use 8 , 10 depression 8 , 11 or 9 baseline 10 depression 11 or 12 loneliness 11 or 13 , 11 or 14 and 14 and 16 confounders 14 and 17 and 15 relevant 16 confounders 17 and 19 modifiers 17 and 20 were 18 effect 19 modifiers 20 were 21 incorporated results : both hearing measures showed significant associations with loneliness ( [p] < [.] 05 ) , but these effects were confined to specific subgroups of older persons . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 but 0 ###LEFT-WALL### 29 . 1 results 2 : 2 : 3 both 3 both 4 hearing 4 hearing 5 measures 4 hearing 6 showed 5 measures 6 showed 6 showed 8 associations 6 showed 9 with 7 significant 8 associations 9 with 10 loneliness 10 loneliness 15 05 11 ( 15 05 13 < 15 05 15 05 16 ) 17 , 18 but 18 but 20 effects 18 but 21 were 19 these 20 effects 20 effects 21 were 21 were 22 confined 22 confined 23 to 23 to 25 subgroups 24 specific 25 subgroups 25 subgroups 26 of 26 of 28 persons 27 older 28 persons for instance , adverse effects were confined to nonusers of hearing aids ( self [-] report , social loneliness model [ )(and men ( self [-] report and speech - [in] - noise test , emotional - loneliness model [ )( 0 ###LEFT-WALL### 5 effects 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 32 - 0 ###LEFT-WALL### 41 )( 1 for 2 instance 2 instance 3 , 2 instance 5 effects 4 adverse 5 effects 5 effects 6 were 6 were 7 confined 7 confined 8 to 8 to 9 nonusers 9 nonusers 10 of 9 nonusers 22 )(and 10 of 12 aids 11 hearing 12 aids 13 ( 22 )(and 14 self 16 report 16 report 17 , 17 , 20 model 17 , 22 )(and 18 social 20 model 19 loneliness 20 model 22 )(and 23 men 22 )(and 28 and 22 )(and 30 - 24 ( 28 and 25 self 27 report 27 report 28 and 28 and 29 speech 28 and 30 - 32 - 34 test 32 - 35 , 33 noise 34 test 35 , 39 model 36 emotional 37 - 36 emotional 39 model 38 loneliness 39 model no significant effects appeared for depression . 0 ###LEFT-WALL### 3 effects 0 ###LEFT-WALL### 4 appeared 0 ###LEFT-WALL### 7 . 1 no 3 effects 2 significant 3 effects 3 effects 4 appeared 4 appeared 5 for 5 for 6 depression conclusion : significant adverse effects of poor hearing on loneliness were found for specific subgroups of older persons . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 5 effects 2 : 12 found 2 : 19 . 3 significant 5 effects 4 adverse 5 effects 5 effects 6 of 5 effects 11 were 6 of 8 hearing 7 poor 8 hearing 8 hearing 9 on 9 on 10 loneliness 11 were 12 found 12 found 13 for 13 for 15 subgroups 14 specific 15 subgroups 15 subgroups 16 of 16 of 18 persons 17 older 18 persons in future research , investigators should further examine the subgroup effects observed . 0 ###LEFT-WALL### 5 investigators 0 ###LEFT-WALL### 8 examine 0 ###LEFT-WALL### 13 . 1 in 3 research 1 in 4 , 1 in 5 investigators 2 future 3 research 5 investigators 6 should 6 should 8 examine 7 further 8 examine 8 examine 11 effects 9 the 11 effects 10 subgroup 11 effects 11 effects 12 observed eventually , this may contribute to the development of tailored prevention programs . 0 ###LEFT-WALL### 3 this 0 ###LEFT-WALL### 5 contribute 0 ###LEFT-WALL### 13 . 1 eventually 2 , 1 eventually 3 this 3 this 4 may 4 may 5 contribute 5 contribute 6 to 6 to 8 development 7 the 8 development 8 development 9 of 9 of 12 programs 10 tailored 11 prevention 11 prevention 12 programs purpose : the aim of this study was to highlight growing evidence of interactions between hormones and the structure and function of the auditory system . 0 ###LEFT-WALL### 1 purpose 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 15 between 9 to 12 evidence 10 highlight 11 growing 11 growing 12 evidence 12 evidence 13 of 13 of 14 interactions 15 between 20 and 16 hormones 17 and 17 and 19 structure 17 and 20 and 18 the 19 structure 20 and 21 function 20 and 22 of 22 of 25 system 23 the 25 system 24 auditory 25 system method : recent studies implicating sex hormones and other natural hormones in the modulation of hearing status in age - related hearing loss were reviewed . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 26 . 1 method 2 : 2 : 4 studies 3 recent 4 studies 4 studies 5 implicating 5 implicating 7 hormones 6 sex 7 hormones 8 and 11 hormones 8 and 24 were 9 other 11 hormones 10 natural 11 hormones 11 hormones 12 in 11 hormones 15 of 11 hormones 18 in 11 hormones 24 were 12 in 14 modulation 13 the 14 modulation 15 of 17 status 16 hearing 17 status 18 in 19 age 20 - 21 related 21 related 23 loss 21 related 24 were 22 hearing 23 loss 24 were 25 reviewed results : progesterone , a sex hormone , has been shown to have negative effects on the hearing of older women and aging mice , whereas , in contrast , estrogen was found in some cases to have a positive influence . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 have 2 : 3 progesterone 2 : 11 shown 3 progesterone 7 hormone 3 progesterone 9 has 4 , 7 hormone 5 a 6 sex 5 a 7 hormone 6 sex 7 hormone 7 hormone 8 , 9 has 10 been 10 been 11 shown 11 shown 12 to 12 to 13 have 13 have 15 effects 13 have 16 on 13 have 26 whereas 14 negative 15 effects 16 on 22 and 17 the 18 hearing 18 hearing 19 of 18 hearing 22 and 19 of 21 women 20 older 21 women 22 and 24 mice 23 aging 24 mice 25 , 26 whereas 26 whereas 31 estrogen 26 whereas 38 have 26 whereas 42 . 27 , 28 in 28 in 29 contrast 28 in 30 , 28 in 31 estrogen 31 estrogen 32 was 32 was 33 found 33 found 34 in 33 found 37 to 34 in 36 cases 35 some 36 cases 37 to 38 have 38 have 41 influence 39 a 40 positive 39 a 41 influence 40 positive 41 influence aldosterone , used in studies of animal models of autoimmune hearing loss , slowed the progression of hearing loss . 0 ###LEFT-WALL### 1 aldosterone 0 ###LEFT-WALL### 14 slowed 0 ###LEFT-WALL### 20 . 1 aldosterone 3 used 1 aldosterone 14 slowed 2 , 3 used 3 used 4 in 3 used 13 , 4 in 5 studies 5 studies 6 of 6 of 8 models 7 animal 8 models 8 models 9 of 9 of 10 autoimmune 10 autoimmune 11 hearing 11 hearing 12 loss 14 slowed 16 progression 15 the 16 progression 16 progression 17 of 17 of 18 hearing 18 hearing 19 loss follow - up studies in humans revealed that auditory measures varied as serum aldosterone levels shifted within the normal range , in otherwise healthy older subjects . 0 ###LEFT-WALL### 1 follow 0 ###LEFT-WALL### 27 . 1 follow 3 up 1 follow 22 in 2 - 3 up 3 up 4 studies 3 up 21 , 4 studies 5 in 4 studies 7 revealed 4 studies 8 that 4 studies 16 shifted 5 in 6 humans 8 that 10 measures 8 that 16 shifted 9 auditory 10 measures 10 measures 11 varied 10 measures 14 aldosterone 10 measures 15 levels 10 measures 16 shifted 11 varied 12 as 12 as 13 serum 14 aldosterone 15 levels 16 shifted 17 within 17 within 20 range 18 the 20 range 19 normal 20 range 22 in 26 subjects 23 otherwise 24 healthy 24 healthy 26 subjects 25 older 26 subjects this was true for simple as well as complex auditory tasks ( i.e [.] , sound spatial processing [ )(, suggesting benefits of aldosterone to postperipheral auditory processing as well . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 3 true 1 this 2 was 2 was 3 true 3 true 4 for 3 true 18 processing 4 for 11 tasks 5 simple 11 tasks 6 as 7 well 7 well 9 complex 8 as 9 complex 9 complex 11 tasks 10 auditory 11 tasks 11 tasks 13 i.e 12 ( 13 i.e 13 i.e 15 , 16 sound 18 processing 17 spatial 18 processing 18 processing 21 suggesting 20 )(, 21 suggesting 21 suggesting 22 benefits 21 suggesting 25 to 21 suggesting 29 as 21 suggesting 31 . 22 benefits 23 of 23 of 24 aldosterone 25 to 28 processing 26 postperipheral 28 processing 27 auditory 28 processing 29 as 30 well in addition , evidence suggests that this functional hearing improvement occurred in association with anatomical improvements to the stria vascularis -- an important site of anatomical change in presbycusis . 0 ###LEFT-WALL### 4 evidence 0 ###LEFT-WALL### 5 suggests 0 ###LEFT-WALL### 21 -- 0 ###LEFT-WALL### 30 . 1 in 2 addition 1 in 3 , 1 in 4 evidence 4 evidence 5 suggests 5 suggests 6 that 6 that 10 improvement 6 that 11 occurred 7 this 8 functional 8 functional 9 hearing 9 hearing 10 improvement 10 improvement 11 occurred 11 occurred 13 association 11 occurred 14 with 11 occurred 17 to 12 in 13 association 14 with 16 improvements 15 anatomical 16 improvements 17 to 20 vascularis 18 the 20 vascularis 19 stria 20 vascularis 21 -- 24 site 22 an 23 important 22 an 24 site 23 important 24 site 24 site 25 of 25 of 27 change 26 anatomical 27 change 27 change 28 in 28 in 29 presbycusis conclusions : audiology is now at the point where the search for biomedical interventions to modulate or [prevent] age - related hearing loss can move forward . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 audiology 2 : 4 is 2 : 27 . 3 audiology 4 is 4 is 5 now 4 is 6 at 4 is 9 where 4 is 26 forward 6 at 8 point 7 the 8 point 9 where 17 or 9 where 25 move 10 the 11 search 11 search 12 for 11 search 17 or 12 for 14 interventions 13 biomedical 14 interventions 14 interventions 15 to 14 interventions 16 modulate 15 to 16 modulate 17 or 19 age 17 or 25 move 20 - 21 related 21 related 22 hearing 21 related 25 move 22 hearing 23 loss 22 hearing 24 can 23 loss 24 can such interventions would require multidisciplinary collaborative initiatives by researchers in such areas as drug development , anatomy , auditory physiological and perceptual testing , and drug microdelivery systems . 0 ###LEFT-WALL### 2 interventions 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 29 . 1 such 2 interventions 2 interventions 25 and 3 would 4 require 3 would 25 and 4 require 7 initiatives 4 require 8 by 4 require 10 in 4 require 13 as 5 multidisciplinary 7 initiatives 6 collaborative 7 initiatives 8 by 9 researchers 10 in 12 areas 11 such 12 areas 13 as 15 development 14 drug 15 development 15 development 17 anatomy 15 development 23 testing 16 , 17 anatomy 17 anatomy 18 , 18 , 23 testing 19 auditory 23 testing 20 physiological 21 and 21 and 22 perceptual 21 and 23 testing 23 testing 24 , 25 and 26 drug 26 drug 28 systems 27 microdelivery 28 systems low back pain , in its acute and chronic forms , is one of the most common health problems and is frequently evaluated by rheumatologists . 0 ###LEFT-WALL### 3 pain 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 26 . 1 low 3 pain 2 back 3 pain 3 pain 5 in 3 pain 20 and 4 , 5 in 5 in 10 forms 5 in 11 , 6 its 10 forms 7 acute 8 and 8 and 9 chronic 8 and 10 forms 12 is 13 one 12 is 20 and 13 one 14 of 14 of 19 problems 15 the 16 most 16 most 19 problems 17 common 18 health 18 health 19 problems 20 and 21 is 21 is 23 evaluated 22 frequently 23 evaluated 23 evaluated 24 by 24 by 25 rheumatologists the multiple possible diagnoses associated with this symptom [make] correctly attributing back pain to a specific disease difficult . 0 ###LEFT-WALL### 4 diagnoses 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 19 . 1 the 4 diagnoses 2 multiple 4 diagnoses 3 possible 4 diagnoses 4 diagnoses 5 associated 5 associated 6 with 6 with 8 symptom 6 with 18 difficult 7 this 8 symptom 8 symptom 11 attributing 10 correctly 11 attributing 11 attributing 13 pain 11 attributing 14 to 12 back 13 pain 14 to 17 disease 15 a 17 disease 16 specific 17 disease this dilemma necessitates an organized approach to separate patients with mechanical disorders from those with rare systemic disorders . 0 ###LEFT-WALL### 2 dilemma 0 ###LEFT-WALL### 3 necessitates 0 ###LEFT-WALL### 19 . 1 this 2 dilemma 2 dilemma 3 necessitates 3 necessitates 6 approach 3 necessitates 7 to 4 an 5 organized 4 an 6 approach 5 organized 6 approach 7 to 8 separate 8 separate 9 patients 8 separate 10 with 8 separate 15 with 10 with 12 disorders 11 mechanical 12 disorders 12 disorders 13 from 13 from 14 those 15 with 18 disorders 16 rare 18 disorders 17 systemic 18 disorders the most common forms of back pain are mechanical . 0 ###LEFT-WALL### 4 forms 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 10 . 1 the 2 most 2 most 4 forms 3 common 4 forms 4 forms 5 of 4 forms 8 are 5 of 7 pain 6 back 7 pain 8 are 9 mechanical gradual modifications in the axial skeletal structures over time result in pathological disorders that generally occur later in an individual 's lifespan . 0 ###LEFT-WALL### 2 modifications 0 ###LEFT-WALL### 10 result 0 ###LEFT-WALL### 23 . 1 gradual 2 modifications 2 modifications 3 in 2 modifications 10 result 3 in 7 structures 4 the 7 structures 5 axial 7 structures 6 skeletal 7 structures 7 structures 8 over 8 over 9 time 10 result 11 in 11 in 13 disorders 12 pathological 13 disorders 13 disorders 14 that 13 disorders 16 occur 14 that 16 occur 15 generally 16 occur 16 occur 17 later 16 occur 18 in 18 in 22 lifespan 19 an 20 individual 20 individual 21 's 21 's 22 lifespan the diagnostic process that identifies these mechanical disorders is straightforward and does not require expensive radiological or laboratory tests in the early phases of the evaluation . 0 ###LEFT-WALL### 3 process 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 27 . 1 the 3 process 2 diagnostic 3 process 3 process 4 that 3 process 5 identifies 3 process 11 and 4 that 5 identifies 5 identifies 8 disorders 6 these 8 disorders 7 mechanical 8 disorders 9 is 10 straightforward 9 is 11 and 11 and 12 does 12 does 13 not 12 does 14 require 14 require 19 tests 14 require 20 in 15 expensive 19 tests 16 radiological 17 or 17 or 18 laboratory 17 or 19 tests 20 in 23 phases 21 the 23 phases 22 early 23 phases 23 phases 24 of 24 of 26 evaluation 25 the 26 evaluation most low back pain resolves without intervention , but some reports suggest that episodes of back pain are persistent or recurring for a substantial minority of patients . 0 ###LEFT-WALL### 4 pain 0 ###LEFT-WALL### 5 resolves 0 ###LEFT-WALL### 9 but 0 ###LEFT-WALL### 28 . 1 most 2 low 2 low 3 back 3 back 4 pain 4 pain 5 resolves 5 resolves 6 without 6 without 7 intervention 8 , 9 but 9 but 11 reports 9 but 12 suggest 10 some 11 reports 11 reports 12 suggest 12 suggest 13 that 13 that 14 episodes 13 that 18 are 14 episodes 15 of 14 episodes 18 are 15 of 17 pain 16 back 17 pain 18 are 20 or 18 are 22 for 19 persistent 20 or 20 or 21 recurring 22 for 27 patients 23 a 25 minority 24 substantial 25 minority 25 minority 26 of 25 minority 27 patients 26 of 27 patients therapies for back pain can be nonpharmacological , pharmacological or surgical . 0 ###LEFT-WALL### 1 therapies 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 12 . 1 therapies 2 for 1 therapies 5 can 2 for 4 pain 3 back 4 pain 5 can 6 be 6 be 10 or 7 nonpharmacological 8 , 8 , 9 pharmacological 8 , 10 or 10 or 11 surgical all interventions have limited capacity to resolve low back pain . 0 ###LEFT-WALL### 2 interventions 0 ###LEFT-WALL### 3 have 0 ###LEFT-WALL### 11 . 1 all 2 interventions 2 interventions 3 have 3 have 5 capacity 4 limited 5 capacity 5 capacity 6 to 5 capacity 7 resolve 6 to 7 resolve 7 resolve 10 pain 8 low 9 back 9 back 10 pain nonsurgical therapies are preferred for muscle injuries and osteoarthritis of the lumbar spine . 0 ###LEFT-WALL### 2 therapies 0 ###LEFT-WALL### 4 preferred 0 ###LEFT-WALL### 14 . 1 nonsurgical 2 therapies 2 therapies 3 are 3 are 4 preferred 4 preferred 5 for 5 for 8 and 6 muscle 7 injuries 7 injuries 8 and 8 and 9 osteoarthritis 8 and 10 of 10 of 13 spine 11 the 13 spine 12 lumbar 13 spine surgical interventions can resolve the pain and dysfunction of disc herniation and spinal [stenosis] more rapidly than conventional therapy , but surgical benefit wanes over time . 0 ###LEFT-WALL### 2 interventions 0 ###LEFT-WALL### 4 resolve 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 27 . 1 surgical 2 interventions 2 interventions 3 can 3 can 4 resolve 4 resolve 6 pain 5 the 6 pain 7 and 8 dysfunction 7 and 24 wanes 8 dysfunction 9 of 8 dysfunction 24 wanes 9 of 12 and 10 disc 11 herniation 11 herniation 12 and 12 and 23 benefit 13 spinal 16 rapidly 13 spinal 17 than 13 spinal 21 but 15 more 16 rapidly 17 than 19 therapy 18 conventional 19 therapy 20 , 21 but 21 but 22 surgical 21 but 23 benefit 24 wanes 25 over 25 over 26 time ageing is a potent , independent risk factor for cardiovascular disease . 0 ###LEFT-WALL### 1 ageing 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 12 . 1 ageing 2 is 2 is 8 factor 3 a 4 potent 3 a 8 factor 4 potent 5 , 4 potent 6 independent 6 independent 8 factor 7 risk 8 factor 8 factor 9 for 9 for 11 disease 10 cardiovascular 11 disease calcification of the vascular smooth muscle cell ( vsmc ) [layer] of the vessel media is a hallmark of vascular ageing . 0 ###LEFT-WALL### 1 calcification 0 ###LEFT-WALL### 16 is 0 ###LEFT-WALL### 22 . 1 calcification 2 of 1 calcification 16 is 2 of 7 cell 3 the 7 cell 4 vascular 6 muscle 5 smooth 6 muscle 6 muscle 7 cell 7 cell 9 vsmc 7 cell 12 of 8 ( 9 vsmc 9 vsmc 10 ) 12 of 15 media 13 the 15 media 14 vessel 15 media 16 is 18 hallmark 17 a 18 hallmark 18 hallmark 19 of 19 of 21 ageing 20 vascular 21 ageing young patients with chronic kidney disease ( ckd ) exhibit an extremely high cardiovascular mortality , equivalent to that seen in octogenarians in the general population . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 10 exhibit 1 young 2 patients 2 patients 3 with 2 patients 10 exhibit 3 with 6 disease 4 chronic 5 kidney 5 kidney 6 disease 6 disease 8 ckd 7 ( 8 ckd 8 ckd 9 ) 10 exhibit 15 mortality 11 an 12 extremely 11 an 15 mortality 12 extremely 13 high 13 high 15 mortality 14 cardiovascular 15 mortality 15 mortality 17 equivalent 16 , 17 equivalent 17 equivalent 18 to 17 equivalent 27 . 18 to 19 that 19 that 20 seen 20 seen 21 in 20 seen 23 in 21 in 22 octogenarians 23 in 26 population 24 the 26 population 25 general 26 population even children on dialysis develop accelerated medial vascular calcification and arterial stiffening , leading to the suggestion that patients with ckd exhibit a ['] premature ageing ['] phenotype . 0 ###LEFT-WALL### 1 even 0 ###LEFT-WALL### 5 develop 1 even 2 children 2 children 3 on 2 children 5 develop 3 on 4 dialysis 5 develop 10 and 5 develop 14 leading 6 accelerated 9 calcification 7 medial 9 calcification 8 vascular 9 calcification 9 calcification 10 and 10 and 11 arterial 10 and 12 stiffening 13 , 14 leading 14 leading 15 to 14 leading 29 . 15 to 17 suggestion 16 the 17 suggestion 17 suggestion 18 that 18 that 19 patients 18 that 22 exhibit 19 patients 20 with 19 patients 22 exhibit 20 with 21 ckd 22 exhibit 28 phenotype 23 a 28 phenotype 25 premature 26 ageing 26 ageing 28 phenotype it is now well documented that uraemic toxins , particularly those associated with dysregulated mineral metabolism , can drive vsmc damage and phenotypic changes that promote vascular calcification ; epidemiological data suggest that some of these same risk factors associate with cardiovascular mortality in the aged general population . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 29 ; 0 ###LEFT-WALL### 38 risk 0 ###LEFT-WALL### 49 . 1 it 2 is 2 is 3 now 2 is 4 well 2 is 6 that 4 well 5 documented 6 that 8 toxins 6 that 19 drive 7 uraemic 8 toxins 8 toxins 11 those 8 toxins 18 can 9 , 10 particularly 9 , 11 those 11 those 12 associated 11 those 13 with 11 those 17 , 13 with 16 metabolism 14 dysregulated 16 metabolism 15 mineral 16 metabolism 18 can 19 drive 19 drive 22 and 20 vsmc 21 damage 21 damage 22 and 22 and 24 changes 22 and 25 that 22 and 26 promote 23 phenotypic 24 changes 25 that 26 promote 26 promote 28 calcification 27 vascular 28 calcification 29 ; 31 data 29 ; 32 suggest 30 epidemiological 31 data 31 data 32 suggest 32 suggest 33 that 33 that 34 some 33 that 38 risk 34 some 35 of 35 of 37 same 36 these 37 same 38 risk 40 associate 38 risk 41 with 39 factors 40 associate 41 with 43 mortality 42 cardiovascular 43 mortality 43 mortality 44 in 44 in 48 population 45 the 48 population 46 aged 47 general 47 general 48 population importantly , emerging evidence suggests that uraemic toxins may promote dna damage , a key factor driving cellular ageing , and moreover , that these ageing mechanisms may reiterate some of those seen in patients with genetically induced progeric syndromes caused by nuclear lamina disruption . 0 ###LEFT-WALL### 4 evidence 0 ###LEFT-WALL### 5 suggests 1 importantly 2 , 1 importantly 4 evidence 3 emerging 4 evidence 4 evidence 5 suggests 5 suggests 6 that 6 that 8 toxins 6 that 10 promote 7 uraemic 8 toxins 8 toxins 9 may 9 may 10 promote 10 promote 12 damage 11 dna 12 damage 12 damage 16 factor 13 , 16 factor 14 a 16 factor 15 key 16 factor 16 factor 17 driving 16 factor 27 mechanisms 16 factor 29 reiterate 16 factor 46 . 17 driving 21 and 18 cellular 19 ageing 19 ageing 21 and 20 , 21 and 21 and 22 moreover 21 and 24 that 22 moreover 23 , 25 these 27 mechanisms 26 ageing 27 mechanisms 27 mechanisms 28 may 28 may 29 reiterate 29 reiterate 30 some 30 some 31 of 31 of 32 those 32 those 33 seen 33 seen 34 in 33 seen 36 with 33 seen 42 by 34 in 35 patients 36 with 40 syndromes 37 genetically 38 induced 38 induced 40 syndromes 39 progeric 40 syndromes 40 syndromes 41 caused 42 by 45 disruption 43 nuclear 45 disruption 44 lamina 45 disruption this new knowledge should pave the way for the development of novel therapies that target tissue - specific ageing mechanisms to treat [vascular] decline in ckd . 0 ###LEFT-WALL### 3 knowledge 0 ###LEFT-WALL### 5 pave 0 ###LEFT-WALL### 17 - 1 this 3 knowledge 2 new 3 knowledge 3 knowledge 4 should 4 should 5 pave 5 pave 7 way 6 the 7 way 7 way 8 for 8 for 10 development 9 the 10 development 10 development 11 of 11 of 13 therapies 12 novel 13 therapies 13 therapies 14 that 13 therapies 15 target 14 that 15 target 15 target 16 tissue 17 - 20 mechanisms 17 - 24 decline 17 - 27 . 18 specific 19 ageing 19 ageing 20 mechanisms 20 mechanisms 21 to 20 mechanisms 22 treat 20 mechanisms 24 decline 21 to 22 treat 24 decline 25 in 25 in 26 ckd as the aging population grows , it has become [increasingly] important to carefully characterize amnestic mild cognitive impairment ( amci ) , a preclinical stage of alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 7 it 0 ###LEFT-WALL### 9 become 0 ###LEFT-WALL### 33 . 1 as 4 population 1 as 5 grows 1 as 6 , 1 as 7 it 2 the 4 population 3 aging 4 population 4 population 5 grows 7 it 8 has 8 has 9 become 9 become 11 important 11 important 12 to 12 to 14 characterize 13 carefully 14 characterize 14 characterize 18 impairment 15 amnestic 18 impairment 16 mild 18 impairment 17 cognitive 18 impairment 18 impairment 20 amci 18 impairment 25 stage 19 ( 20 amci 20 amci 21 ) 22 , 25 stage 23 a 24 preclinical 23 a 25 stage 24 preclinical 25 stage 25 stage 26 of 25 stage 31 ad 25 stage 32 ) 26 of 29 disease 27 alzheimer 28 's 28 's 29 disease 30 ( 31 ad 31 ad 32 ) functional magnetic resonance imaging ( fmri ) is a valuable tool for monitoring disease progression in selectively vulnerable brain regions associated with ad neuropathology . 0 ###LEFT-WALL### 4 imaging 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 25 . 1 functional 3 resonance 2 magnetic 3 resonance 3 resonance 4 imaging 4 imaging 6 fmri 4 imaging 8 is 5 ( 6 fmri 6 fmri 7 ) 8 is 11 tool 8 is 12 for 8 is 16 in 9 a 10 valuable 9 a 11 tool 10 valuable 11 tool 12 for 13 monitoring 13 monitoring 15 progression 14 disease 15 progression 16 in 20 regions 17 selectively 18 vulnerable 18 vulnerable 19 brain 19 brain 20 regions 20 regions 21 associated 21 associated 22 with 21 associated 24 neuropathology 22 with 23 ad however , the reliability of fmri data in longitudinal studies of older adults with amci is largely unexplored . 0 ###LEFT-WALL### 4 reliability 0 ###LEFT-WALL### 16 is 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 4 reliability 3 the 4 reliability 4 reliability 5 of 4 reliability 16 is 5 of 7 data 6 fmri 7 data 7 data 8 in 8 in 10 studies 9 longitudinal 10 studies 10 studies 11 of 11 of 13 adults 12 older 13 adults 13 adults 14 with 14 with 15 amci 16 is 17 largely 16 is 18 unexplored to address this , amci participants completed two visual working tasks , a delayed - recognition [task] and a one - back task , on three separate scanning sessions over a three [-] month period . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 address 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 5 amci 0 ###LEFT-WALL### 36 . 1 to 2 address 2 address 3 this 4 , 5 amci 5 amci 11 tasks 5 amci 25 on 5 amci 30 over 6 participants 7 completed 7 completed 11 tasks 8 two 11 tasks 9 visual 11 tasks 10 working 11 tasks 11 tasks 23 task 12 , 23 task 13 a 23 task 14 delayed 18 and 14 delayed 22 back 15 - 18 and 16 recognition 18 and 18 and 20 one 18 and 21 - 19 a 20 one 22 back 23 task 23 task 24 , 25 on 29 sessions 26 three 29 sessions 27 separate 29 sessions 28 scanning 29 sessions 30 over 35 period 31 a 35 period 32 three 34 month 34 month 35 period test - retest reliability of the fmri blood oxygen level dependent ( bold ) activity was assessed using an intraclass [correlation] ( icc ) analysis approach . 0 ###LEFT-WALL### 1 test 0 ###LEFT-WALL### 2 - 2 - 3 retest 2 - 27 . 3 retest 4 reliability 3 retest 18 using 4 reliability 5 of 4 reliability 17 assessed 5 of 10 level 6 the 10 level 7 fmri 8 blood 8 blood 10 level 9 oxygen 10 level 10 level 15 activity 10 level 16 was 11 dependent 13 bold 11 dependent 15 activity 12 ( 13 bold 13 bold 14 ) 15 activity 16 was 18 using 26 approach 19 an 20 intraclass 19 an 26 approach 20 intraclass 23 icc 20 intraclass 24 ) 20 intraclass 25 analysis 22 ( 23 icc 23 icc 24 ) 25 analysis 26 approach results indicated that brain regions engaged during the task displayed greater reliability across sessions compared to regions that were not utilized by the task . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 10 displayed 0 ###LEFT-WALL### 25 . 1 results 2 indicated 1 results 3 that 1 results 6 engaged 1 results 10 displayed 3 that 5 regions 3 that 6 engaged 4 brain 5 regions 5 regions 6 engaged 6 engaged 7 during 7 during 9 task 8 the 9 task 10 displayed 12 reliability 10 displayed 16 to 11 greater 12 reliability 12 reliability 13 across 13 across 14 sessions 14 sessions 15 compared 16 to 17 regions 17 regions 18 that 17 regions 19 were 18 that 19 were 19 were 20 not 19 were 21 utilized 21 utilized 22 by 22 by 24 task 23 the 24 task during task [-] engagement , differential reliability scores were observed across the brain such that the frontal lobe , medial temporal lobe , and subcortical structures exhibited fair to moderate reliability ( icc=0.3 - 0.6 ) , while temporal , parietal , and occipital regions exhibited moderate to good reliability ( icc=0.4 - 0.7 ) . 0 ###LEFT-WALL### 8 scores 0 ###LEFT-WALL### 10 observed 0 ###LEFT-WALL### 56 . 1 during 4 engagement 1 during 5 , 1 during 8 scores 2 task 4 engagement 6 differential 7 reliability 7 reliability 8 scores 8 scores 9 were 9 were 10 observed 10 observed 11 across 10 observed 15 that 11 across 13 brain 12 the 13 brain 14 such 15 that 15 that 24 and 15 that 27 exhibited 16 the 18 lobe 17 frontal 18 lobe 18 lobe 19 , 19 , 22 lobe 19 , 24 and 20 medial 22 lobe 21 temporal 22 lobe 23 , 24 and 24 and 26 structures 24 and 27 exhibited 25 subcortical 26 structures 27 exhibited 45 regions 28 fair 29 to 28 fair 38 while 28 fair 40 , 29 to 30 moderate 30 moderate 31 reliability 31 reliability 33 icc=0.3 32 ( 33 icc=0.3 33 icc=0.3 35 0.6 33 icc=0.3 37 , 34 - 35 0.6 35 0.6 36 ) 38 while 39 temporal 40 , 41 parietal 40 , 43 and 42 , 43 and 43 and 44 occipital 43 and 45 regions 45 regions 46 exhibited 45 regions 47 moderate 47 moderate 48 to 48 to 50 reliability 49 good 50 reliability 50 reliability 52 icc=0.4 51 ( 52 icc=0.4 52 icc=0.4 54 0.7 52 icc=0.4 55 ) 53 - 54 0.7 54 0.7 55 ) additionally , reliability across brain regions was more stable when three fmri sessions were used in the icc calculation relative to two fmri sessions . 0 ###LEFT-WALL### 3 reliability 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 25 . 1 additionally 2 , 1 additionally 3 reliability 3 reliability 4 across 3 reliability 7 was 4 across 6 regions 5 brain 6 regions 7 was 9 stable 8 more 9 stable 9 stable 10 when 9 stable 16 in 10 when 13 sessions 10 when 15 used 11 three 13 sessions 12 fmri 13 sessions 13 sessions 14 were 14 were 15 used 16 in 19 calculation 17 the 19 calculation 18 icc 19 calculation 19 calculation 20 relative 20 relative 21 to 21 to 24 sessions 22 two 24 sessions 23 fmri 24 sessions in conclusion , the fmri bold signal is reliable across scanning sessions in this population and thus a useful tool for tracking longitudinal change in observational and interventional studies in amci . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 32 . 1 in 2 conclusion 3 , 7 signal 3 , 8 is 4 the 7 signal 5 fmri 7 signal 6 bold 7 signal 7 signal 8 is 8 is 16 and 8 is 21 for 8 is 25 in 8 is 30 in 9 reliable 10 across 9 reliable 16 and 10 across 12 sessions 11 scanning 12 sessions 12 sessions 13 in 13 in 15 population 14 this 15 population 16 and 17 thus 16 and 20 tool 18 a 20 tool 19 useful 20 tool 21 for 22 tracking 22 tracking 24 change 23 longitudinal 24 change 25 in 29 studies 26 observational 27 and 27 and 28 interventional 27 and 29 studies 30 in 31 amci complement receptor 1 ( cr1 ) has been considered to play an important role in late - onset alzheimer 's disease ( load ) pathogenesis . 0 ###LEFT-WALL### 2 receptor 0 ###LEFT-WALL### 9 considered 0 ###LEFT-WALL### 26 . 1 complement 2 receptor 2 receptor 3 1 2 receptor 5 cr1 2 receptor 7 has 4 ( 5 cr1 5 cr1 6 ) 7 has 8 been 8 been 9 considered 9 considered 10 to 9 considered 11 play 10 to 11 play 11 play 14 role 11 play 15 in 12 an 13 important 12 an 14 role 13 important 14 role 15 in 25 pathogenesis 16 late 21 disease 16 late 24 ) 16 late 25 pathogenesis 17 - 21 disease 18 onset 19 alzheimer 19 alzheimer 20 's 20 's 21 disease 21 disease 23 load 21 disease 24 ) 22 ( 23 load 23 load 24 ) to explore the correlation between the cr1 gene and load , [a] 2 - step design study was conducted in our northern han chinese population . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 explore 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 19 conducted 0 ###LEFT-WALL### 26 . 1 to 2 explore 2 explore 4 correlation 2 explore 5 between 3 the 4 correlation 5 between 9 and 6 the 8 gene 7 cr1 8 gene 8 gene 9 and 9 and 10 load 11 , 13 2 11 , 14 - 13 2 14 - 14 - 17 study 15 step 17 study 16 design 17 study 17 study 18 was 18 was 19 conducted 19 conducted 20 in 20 in 25 population 21 our 25 population 22 northern 25 population 23 han 25 population 24 chinese 25 population we first sequenced the promoter , exons , the 5 ['] and 3 ['] untranslated regions and exon - intron boundaries of cr1 in a small sample ( n = 100 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 sequenced 0 ###LEFT-WALL### 33 . 1 we 3 sequenced 2 first 3 sequenced 3 sequenced 17 and 4 the 5 promoter 5 promoter 6 , 6 , 7 exons 6 , 8 , 8 , 16 regions 8 , 17 and 9 the 12 and 10 5 12 and 12 and 13 3 12 and 16 regions 15 untranslated 16 regions 17 and 18 exon 17 and 21 boundaries 19 - 21 boundaries 20 intron 21 boundaries 21 boundaries 22 of 21 boundaries 32 ) 22 of 23 cr1 23 cr1 24 in 23 cr1 30 = 24 in 27 sample 25 a 26 small 25 a 27 sample 26 small 27 sample 28 ( 30 = 29 n 30 = 30 = 31 100 this allowed us to identify a total of 22 variants . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 allowed 0 ###LEFT-WALL### 11 . 1 this 2 allowed 2 allowed 3 us 2 allowed 4 to 2 allowed 5 identify 4 to 5 identify 5 identify 7 total 6 a 7 total 7 total 8 of 8 of 10 variants 9 22 10 variants in addition , 6 missense variants within the cr1 gene were selected to be genotyped in a total of 2292 individuals . 0 ###LEFT-WALL### 6 variants 0 ###LEFT-WALL### 12 selected 0 ###LEFT-WALL### 22 . 1 in 2 addition 1 in 3 , 1 in 6 variants 4 6 6 variants 5 missense 6 variants 6 variants 7 within 6 variants 11 were 7 within 10 gene 8 the 10 gene 9 cr1 10 gene 11 were 12 selected 12 selected 13 to 13 to 14 be 14 be 15 genotyped 15 genotyped 16 in 16 in 18 total 17 a 18 total 18 total 19 of 19 of 21 individuals 20 2292 21 individuals only 2 snps ( rs116806486 , thr→ala [;] rs6691117 , ile→val ) were significantly associated with an increased risk of load . 0 ###LEFT-WALL### 3 snps 0 ###LEFT-WALL### 15 associated 0 ###LEFT-WALL### 22 . 1 only 2 2 2 2 3 snps 3 snps 5 rs116806486 3 snps 9 rs6691117 3 snps 13 were 4 ( 5 rs116806486 5 rs116806486 6 , 6 , 9 rs6691117 7 thr→ala 9 rs6691117 9 rs6691117 11 ile→val 9 rs6691117 12 ) 10 , 11 ile→val 11 ile→val 12 ) 13 were 14 significantly 13 were 15 associated 15 associated 16 with 16 with 19 risk 17 an 19 risk 18 increased 19 risk 19 risk 20 of 20 of 21 load after stratification by apoe ε4 - carrying status , significance was observed in apoe ε4 [non] - carriers for rs116806486 and in apoe ε4 carriers for rs6691117 . 0 ###LEFT-WALL### 18 carriers 0 ###LEFT-WALL### 24 ε4 0 ###LEFT-WALL### 28 . 1 after 2 stratification 1 after 12 observed 1 after 18 carriers 2 stratification 3 by 2 stratification 11 was 3 by 10 significance 4 apoe 10 significance 5 ε4 8 status 5 ε4 10 significance 6 - 8 status 7 carrying 8 status 8 status 9 , 11 was 12 observed 12 observed 13 in 13 in 14 apoe 15 ε4 17 - 15 ε4 18 carriers 18 carriers 21 and 18 carriers 24 ε4 19 for 20 rs116806486 19 for 21 and 21 and 22 in 22 in 23 apoe 24 ε4 25 carriers 24 ε4 26 for 26 for 27 rs6691117 logistic analysis revealed that the rs116806486 polymorphism remained associated with load in a dominant model [,] whereas the rs6691117 polymorphism was associated with load in additive and recessive models but not in a dominant model after adjusting for sex , age at onset , and apoe ε4 status . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 revealed 1 logistic 2 analysis 2 analysis 3 revealed 3 revealed 4 that 4 that 7 polymorphism 4 that 8 remained 5 the 7 polymorphism 6 rs116806486 7 polymorphism 7 polymorphism 8 remained 8 remained 9 associated 9 associated 10 with 9 associated 12 in 9 associated 17 whereas 10 with 11 load 12 in 15 model 13 a 15 model 14 dominant 15 model 17 whereas 19 rs6691117 17 whereas 22 associated 18 the 19 rs6691117 19 rs6691117 20 polymorphism 19 rs6691117 21 was 19 rs6691117 22 associated 20 polymorphism 21 was 22 associated 23 with 23 with 24 load 23 with 25 in 25 in 29 models 26 additive 27 and 27 and 28 recessive 27 and 29 models 29 models 30 but 29 models 32 in 29 models 36 after 29 models 41 age 30 but 31 not 32 in 35 model 33 a 34 dominant 33 a 35 model 34 dominant 35 model 36 after 37 adjusting 37 adjusting 38 for 38 for 39 sex 40 , 41 age 41 age 42 at 41 age 49 . 42 at 48 status 43 onset 45 and 44 , 45 and 45 and 46 apoe 45 and 48 status 47 ε4 48 status examination of the haplotypes identified the risk of a 3 - snp ( rs2274567 , rs3737002 , and rs6691117 ) haplotype " atg " in cr1 was associated with an increased risk for load . 0 ###LEFT-WALL### 1 examination 0 ###LEFT-WALL### 5 identified 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 35 . 1 examination 2 of 1 examination 5 identified 2 of 4 haplotypes 3 the 4 haplotypes 5 identified 7 risk 6 the 7 risk 7 risk 8 of 8 of 12 snp 9 a 12 snp 10 3 12 snp 11 - 12 snp 12 snp 16 rs3737002 13 ( 16 rs3737002 14 rs2274567 15 , 14 rs2274567 16 rs3737002 16 rs3737002 17 , 18 and 23 atg 18 and 28 associated 19 rs6691117 20 ) 19 rs6691117 23 atg 21 haplotype 22 " 21 haplotype 23 atg 23 atg 24 " 23 atg 25 in 23 atg 27 was 25 in 26 cr1 27 was 28 associated 28 associated 29 with 28 associated 33 for 29 with 32 risk 30 an 32 risk 31 increased 32 risk 33 for 34 load these findings provide the evidence that missense variants in the cr1 gene may be involved in load pathologic process in han chinese . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 provide 0 ###LEFT-WALL### 23 . 1 these 2 findings 2 findings 3 provide 3 provide 5 evidence 4 the 5 evidence 5 evidence 6 that 6 that 8 variants 6 that 15 involved 7 missense 8 variants 8 variants 9 in 8 variants 13 may 9 in 12 gene 10 the 12 gene 11 cr1 12 gene 13 may 14 be 14 be 15 involved 15 involved 16 in 15 involved 20 in 16 in 19 process 17 load 19 process 18 pathologic 19 process 20 in 22 chinese 21 han 22 chinese microtubule - associated protein tau [gene] ( mapt ) is one of the major genes linked to frontotemporal lobar degeneration , a group of neurodegenerative diseases [clinically] , pathologically , and genetically heterogeneous . 0 ###LEFT-WALL### 1 microtubule 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 34 . 1 microtubule 5 tau 1 microtubule 10 is 2 - 5 tau 3 associated 4 protein 4 protein 5 tau 5 tau 8 mapt 5 tau 9 ) 7 ( 8 mapt 8 mapt 9 ) 10 is 31 and 11 one 12 of 11 one 31 and 12 of 15 genes 13 the 15 genes 14 major 15 genes 15 genes 16 linked 16 linked 17 to 16 linked 29 pathologically 17 to 20 degeneration 18 frontotemporal 20 degeneration 19 lobar 20 degeneration 20 degeneration 26 diseases 21 , 26 diseases 22 a 23 group 23 group 24 of 23 group 26 diseases 24 of 26 diseases 25 neurodegenerative 26 diseases 26 diseases 28 , 28 , 29 pathologically 29 pathologically 30 , 31 and 32 genetically 31 and 33 heterogeneous in particular , mapt mutations give rise to the subgroup of tauopathies . 0 ###LEFT-WALL### 4 mapt 0 ###LEFT-WALL### 7 rise 0 ###LEFT-WALL### 13 . 1 in 2 particular 2 particular 3 , 2 particular 4 mapt 4 mapt 5 mutations 4 mapt 6 give 4 mapt 7 rise 5 mutations 6 give 7 rise 8 to 8 to 10 subgroup 9 the 10 subgroup 10 subgroup 11 of 11 of 12 tauopathies the pathogenetic mechanisms underlying the mapt mutations so far described are the decreased ability of tau protein to promote microtubule polymerization ( missense mutations ) or the altered ratio of tau isoforms ( splicing mutations ) , both leading to accumulation of hyperphosphorylated filamentous tau protein . 0 ###LEFT-WALL### 3 mechanisms 0 ###LEFT-WALL### 11 are 0 ###LEFT-WALL### 26 or 1 the 3 mechanisms 2 pathogenetic 3 mechanisms 3 mechanisms 4 underlying 3 mechanisms 10 described 3 mechanisms 11 are 4 underlying 7 mutations 4 underlying 9 far 5 the 7 mutations 6 mapt 7 mutations 8 so 9 far 11 are 14 ability 12 the 14 ability 13 decreased 14 ability 14 ability 15 of 14 ability 18 to 14 ability 19 promote 15 of 17 protein 16 tau 17 protein 18 to 19 promote 19 promote 21 polymerization 20 microtubule 21 polymerization 21 polymerization 24 mutations 22 ( 24 mutations 23 missense 24 mutations 24 mutations 25 ) 26 or 29 ratio 26 or 32 isoforms 27 the 29 ratio 28 altered 29 ratio 29 ratio 30 of 29 ratio 32 isoforms 30 of 31 tau 32 isoforms 34 splicing 32 isoforms 39 leading 33 ( 34 splicing 34 splicing 35 mutations 34 splicing 36 ) 37 , 39 leading 38 both 39 leading 39 leading 40 to 39 leading 47 . 40 to 41 accumulation 41 accumulation 42 of 42 of 46 protein 43 hyperphosphorylated 45 tau 44 filamentous 45 tau 45 tau 46 protein following a genetic screening of patients affected by frontotemporal lobar degeneration , we identified 2 mapt mutations , v363i and v363a , leading to atypical clinical [phenotypes] , [such] as posterior cortical atrophy . 0 ###LEFT-WALL### 13 we 0 ###LEFT-WALL### 14 identified 0 ###LEFT-WALL### 18 , 1 following 4 screening 1 following 12 , 1 following 13 we 2 a 4 screening 3 genetic 4 screening 4 screening 5 of 5 of 6 patients 6 patients 7 affected 7 affected 8 by 8 by 11 degeneration 9 frontotemporal 11 degeneration 10 lobar 11 degeneration 13 we 14 identified 14 identified 17 mutations 15 2 17 mutations 16 mapt 17 mutations 18 , 20 and 19 v363i 20 and 20 and 21 v363a 21 v363a 23 leading 22 , 23 leading 23 leading 24 to 23 leading 34 . 24 to 33 atrophy 25 atypical 33 atrophy 26 clinical 28 , 26 clinical 33 atrophy 30 as 31 posterior 31 posterior 33 atrophy 32 cortical 33 atrophy we investigated in vitro features of the recombinant mutated tau isoforms and revealed unusual functional and structural characteristics such as an increased ability to promote microtubule polymerization and a tendency to form oligomeric instead of filamentous aggregates . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 38 . 1 we 2 investigated 2 investigated 4 vitro 2 investigated 5 features 2 investigated 24 to 3 in 4 vitro 5 features 6 of 5 features 12 and 6 of 10 tau 7 the 10 tau 8 recombinant 10 tau 9 mutated 10 tau 11 isoforms 12 and 12 and 13 revealed 13 revealed 18 characteristics 14 unusual 18 characteristics 15 functional 16 and 16 and 17 structural 16 and 18 characteristics 18 characteristics 20 as 19 such 20 as 20 as 23 ability 21 an 23 ability 22 increased 23 ability 24 to 25 promote 25 promote 28 and 25 promote 31 to 26 microtubule 27 polymerization 27 polymerization 28 and 28 and 30 tendency 29 a 30 tendency 31 to 32 form 32 form 33 oligomeric 32 form 35 of 33 oligomeric 34 instead 35 of 37 aggregates 36 filamentous 37 aggregates thus , we disclosed a greater than expected complexity of abnormal features of mutated tau isoforms . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 disclosed 0 ###LEFT-WALL### 17 . 1 thus 2 , 1 thus 3 we 3 we 4 disclosed 4 disclosed 9 complexity 5 a 9 complexity 6 greater 9 complexity 7 than 8 expected 8 expected 9 complexity 9 complexity 10 of 10 of 12 features 11 abnormal 12 features 12 features 13 of 13 of 16 isoforms 14 mutated 15 tau 15 tau 16 isoforms overall our findings suggest a high probability that these mutations are pathogenic . 0 ###LEFT-WALL### 3 findings 0 ###LEFT-WALL### 4 suggest 0 ###LEFT-WALL### 13 . 1 overall 3 findings 2 our 3 findings 3 findings 4 suggest 4 suggest 7 probability 5 a 6 high 5 a 7 probability 6 high 7 probability 7 probability 8 that 8 that 10 mutations 8 that 11 are 9 these 10 mutations 10 mutations 11 are 11 are 12 pathogenic cognitive reserve ( cr ) is a concept meant to account for the frequent discrepancy between an individual 's measured level of brain pathology and her expected cognitive performance . 0 ###LEFT-WALL### 2 reserve 0 ###LEFT-WALL### 11 account 0 ###LEFT-WALL### 30 . 1 cognitive 2 reserve 2 reserve 4 cr 2 reserve 6 is 3 ( 4 cr 4 cr 5 ) 6 is 8 concept 6 is 10 to 7 a 8 concept 8 concept 9 meant 10 to 11 account 11 account 12 for 11 account 16 between 12 for 15 discrepancy 13 the 15 discrepancy 14 frequent 15 discrepancy 16 between 25 and 17 an 18 individual 18 individual 19 's 19 's 21 level 20 measured 21 level 21 level 22 of 21 level 25 and 22 of 24 pathology 23 brain 24 pathology 25 and 29 performance 26 her 29 performance 27 expected 29 performance 28 cognitive 29 performance it is particularly important within the context of aging and dementia , but has wider applicability to all forms of brain damage . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 13 but 0 ###LEFT-WALL### 23 . 1 it 13 but 2 is 3 particularly 2 is 10 and 2 is 13 but 4 important 5 within 4 important 10 and 5 within 7 context 6 the 7 context 7 context 8 of 8 of 9 aging 10 and 11 dementia 12 , 13 but 13 but 14 has 14 has 16 applicability 14 has 17 to 15 wider 16 applicability 17 to 19 forms 18 all 19 forms 19 forms 20 of 20 of 22 damage 21 brain 22 damage as [such] [,] it has intimate links to related compensatory and neuroprotective concepts , [as] well as to the related notion of brain reserve . 0 ###LEFT-WALL### 16 well 0 ###LEFT-WALL### 25 . 1 as 4 it 1 as 5 has 1 as 14 , 1 as 16 well 4 it 5 has 5 has 7 links 5 has 8 to 6 intimate 7 links 8 to 13 concepts 9 related 13 concepts 10 compensatory 11 and 11 and 12 neuroprotective 11 and 13 concepts 16 well 18 to 16 well 24 reserve 17 as 18 to 18 to 21 notion 19 the 21 notion 20 related 21 notion 21 notion 22 of 22 of 23 brain in this article , we introduce the concept of cognitive reserve and explicate its potential cognitive and neural implementation . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 20 . 1 in 3 article 1 in 4 , 1 in 5 we 2 this 3 article 5 we 12 and 6 introduce 8 concept 6 introduce 12 and 7 the 8 concept 8 concept 9 of 9 of 11 reserve 10 cognitive 11 reserve 12 and 13 explicate 12 and 19 implementation 13 explicate 15 potential 14 its 15 potential 16 cognitive 17 and 17 and 18 neural 17 and 19 implementation we conclude that cognitive reserve is compatible and complementary with many related concepts , but that each much [draw] sharper conceptual boundaries in order to truly explain preserved cognitive function in the face of aging or brain damage . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conclude 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 39 . 1 we 2 conclude 2 conclude 5 reserve 2 conclude 12 related 3 that 4 cognitive 4 cognitive 5 reserve 5 reserve 6 is 6 is 8 and 7 compatible 8 and 8 and 9 complementary 9 complementary 10 with 10 with 11 many 10 with 12 related 12 related 13 concepts 12 related 14 , 14 , 22 boundaries 14 , 36 or 15 but 16 that 15 but 22 boundaries 17 each 20 sharper 18 much 20 sharper 20 sharper 22 boundaries 21 conceptual 22 boundaries 22 boundaries 23 in 22 boundaries 28 preserved 22 boundaries 36 or 23 in 24 order 24 order 25 to 24 order 27 explain 25 to 27 explain 26 truly 27 explain 28 preserved 29 cognitive 30 function 31 in 30 function 36 or 31 in 33 face 32 the 33 face 33 face 34 of 34 of 35 aging 36 or 37 brain 36 or 38 damage [it] is surprising how easily we are able to recognize people whom we have not seen in many years , somehow compensating for the aging - related facial changes that occurred . 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 27 related 0 ###LEFT-WALL### 32 . 2 is 3 surprising 2 is 4 how 4 how 5 easily 5 easily 10 recognize 6 we 7 are 7 are 8 able 8 able 9 to 8 able 10 recognize 9 to 10 recognize 10 recognize 11 people 10 recognize 17 in 10 recognize 22 compensating 11 people 12 whom 11 people 16 seen 12 whom 13 we 12 whom 16 seen 13 we 14 have 14 have 15 not 14 have 16 seen 17 in 19 years 18 many 19 years 20 , 22 compensating 21 somehow 22 compensating 22 compensating 23 for 22 compensating 26 - 23 for 25 aging 24 the 25 aging 26 - 27 related 27 related 29 changes 28 facial 29 changes 29 changes 30 that 29 changes 31 occurred 30 that 31 occurred we measured the limits of the ability to recognize faces across the lifespan by young versus old men and women . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 measured 0 ###LEFT-WALL### 21 . 1 we 2 measured 2 measured 4 limits 2 measured 11 across 2 measured 14 by 3 the 4 limits 4 limits 5 of 5 of 7 ability 6 the 7 ability 7 ability 8 to 7 ability 9 recognize 8 to 9 recognize 9 recognize 10 faces 11 across 13 lifespan 12 the 13 lifespan 14 by 19 and 15 young 16 versus 15 young 19 and 16 versus 18 men 17 old 18 men 19 and 20 women images of five males and five females at young and middle ages were morphed in 10 % increments to create aged face images across the lifespan . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 14 morphed 0 ###LEFT-WALL### 27 . 1 images 2 of 1 images 5 and 2 of 4 males 3 five 4 males 5 and 7 females 5 and 8 at 5 and 13 were 6 five 7 females 8 at 10 and 9 young 10 and 10 and 12 ages 11 middle 12 ages 13 were 14 morphed 14 morphed 15 in 14 morphed 19 to 15 in 18 increments 16 10 17 % 17 % 18 increments 19 to 20 create 20 create 23 images 20 create 24 across 21 aged 22 face 22 face 23 images 24 across 26 lifespan 25 the 26 lifespan fifty - eight participants ( 28 females ) judged whether pairs of photographs were of the same [or] different identity . 0 ###LEFT-WALL### 4 participants 0 ###LEFT-WALL### 9 judged 0 ###LEFT-WALL### 21 . 1 fifty 2 - 2 - 3 eight 2 - 4 participants 4 participants 7 females 4 participants 9 judged 5 ( 7 females 6 28 7 females 7 females 8 ) 9 judged 10 whether 10 whether 11 pairs 10 whether 14 were 11 pairs 12 of 11 pairs 14 were 12 of 13 photographs 14 were 15 of 15 of 20 identity 16 the 17 same 17 same 20 identity 19 different 20 identity women outperformed men for female faces [,] exhibiting a sex difference and own - sex bias . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 14 - 1 women 12 and 2 outperformed 3 men 2 outperformed 12 and 3 men 4 for 4 for 6 faces 5 female 6 faces 6 faces 8 exhibiting 8 exhibiting 11 difference 9 a 10 sex 9 a 11 difference 10 sex 11 difference 12 and 13 own 14 - 15 sex 14 - 17 . 15 sex 16 bias additionally , older participants showed [an] own - age bias and outperformed their younger counterparts with older stimuli . 0 ###LEFT-WALL### 4 participants 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 8 - 1 additionally 2 , 1 additionally 4 participants 3 older 4 participants 4 participants 5 showed 5 showed 7 own 8 - 11 and 8 - 19 . 9 age 10 bias 9 age 11 and 11 and 12 outperformed 12 outperformed 15 counterparts 12 outperformed 16 with 13 their 15 counterparts 14 younger 15 counterparts 16 with 18 stimuli 17 older 18 stimuli it appears that the recognition of faces is affected by the own - age and own - sex biases , potentially allowing us to remember some people better than others , thus mediating our interaction with the world . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 appears 0 ###LEFT-WALL### 13 - 1 it 2 appears 2 appears 3 that 3 that 5 recognition 3 that 9 affected 4 the 5 recognition 5 recognition 6 of 5 recognition 8 is 6 of 7 faces 8 is 9 affected 9 affected 10 by 10 by 12 own 11 the 12 own 13 - 15 and 13 - 17 - 14 age 15 and 15 and 16 own 17 - 18 sex 18 sex 19 biases 18 sex 22 allowing 18 sex 33 mediating 20 , 22 allowing 21 potentially 22 allowing 22 allowing 23 us 22 allowing 24 to 22 allowing 25 remember 22 allowing 31 , 24 to 25 remember 25 remember 27 people 25 remember 28 better 25 remember 29 than 26 some 27 people 29 than 30 others 31 , 33 mediating 32 thus 33 mediating 33 mediating 35 interaction 33 mediating 36 with 33 mediating 39 . 34 our 35 interaction 36 with 38 world 37 the 38 world hairlines change shape with age , starting at birth . 0 ###LEFT-WALL### 1 hairlines 0 ###LEFT-WALL### 2 change 1 hairlines 2 change 2 change 3 shape 2 change 4 with 4 with 5 age 5 age 7 starting 6 , 7 starting 7 starting 8 at 7 starting 10 . 8 at 9 birth a good head of hair is frequently present some time after ages 3 to 5 years . 0 ###LEFT-WALL### 3 head 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 17 . 1 a 2 good 1 a 3 head 2 good 3 head 3 head 4 of 3 head 6 is 4 of 5 hair 6 is 7 frequently 6 is 8 present 8 present 11 after 8 present 14 to 9 some 10 time 10 time 11 after 11 after 12 ages 12 ages 13 3 14 to 16 years 15 5 16 years the look of childhood has its corresponding hairline , and , as the child grows and develops into adulthood , facial morphology [migrate] changes from a childlike look to a more mature look . 0 ###LEFT-WALL### 2 look 0 ###LEFT-WALL### 5 has 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 34 . 1 the 2 look 2 look 3 of 2 look 5 has 3 of 4 childhood 5 has 8 hairline 6 its 8 hairline 7 corresponding 8 hairline 9 , 10 and 10 and 11 , 10 and 22 morphology 10 and 24 changes 11 , 12 as 12 as 14 child 12 as 16 and 12 as 20 , 12 as 22 morphology 13 the 14 child 14 child 16 and 15 grows 16 and 16 and 17 develops 16 and 18 into 18 into 19 adulthood 21 facial 22 morphology 22 morphology 24 changes 24 changes 25 from 24 changes 29 to 25 from 28 look 26 a 27 childlike 26 a 28 look 27 childlike 28 look 29 to 33 look 30 a 33 look 31 more 32 mature 32 mature 33 look this article discusses the dynamics of hairline evolution and the phenotypic variations of the front and side hairlines in men and women . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 discusses 0 ###LEFT-WALL### 23 . 1 this 2 article 2 article 3 discusses 3 discusses 5 dynamics 3 discusses 19 in 4 the 5 dynamics 5 dynamics 6 of 6 of 9 and 7 hairline 8 evolution 8 evolution 9 and 9 and 12 variations 9 and 13 of 10 the 12 variations 11 phenotypic 12 variations 13 of 16 and 14 the 15 front 15 front 16 and 16 and 18 hairlines 17 side 18 hairlines 19 in 21 and 20 men 21 and 21 and 22 women a modeling system [is] introduced [that] provides a common language to define the various anatomic points of the full range of hairlines . 0 ###LEFT-WALL### 3 system 0 ###LEFT-WALL### 7 provides 0 ###LEFT-WALL### 23 . 1 a 2 modeling 1 a 3 system 2 modeling 3 system 3 system 5 introduced 3 system 7 provides 7 provides 10 language 7 provides 11 to 8 a 10 language 9 common 10 language 11 to 12 define 12 define 16 points 13 the 16 points 14 various 16 points 15 anatomic 16 points 16 points 17 of 17 of 20 range 18 the 20 range 19 full 20 range 20 range 21 of 21 of 22 hairlines bubr1 is a critical component of the spindle assembly checkpoint , the surveillance mechanism that helps maintain the high fidelity of mitotic chromosome segregation by preventing cells from initiating anaphase if one or more kinetochores are not attached to the spindle . 0 ###LEFT-WALL### 1 bubr1 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 42 . 1 bubr1 2 is 2 is 5 component 3 a 5 component 4 critical 5 component 5 component 6 of 6 of 10 checkpoint 7 the 10 checkpoint 8 spindle 9 assembly 9 assembly 10 checkpoint 11 , 14 mechanism 11 , 38 attached 12 the 14 mechanism 13 surveillance 14 mechanism 14 mechanism 15 that 14 mechanism 16 helps 14 mechanism 38 attached 15 that 16 helps 16 helps 17 maintain 17 maintain 20 fidelity 18 the 20 fidelity 19 high 20 fidelity 20 fidelity 21 of 21 of 24 segregation 22 mitotic 23 chromosome 23 chromosome 24 segregation 24 segregation 25 by 24 segregation 28 from 25 by 26 preventing 26 preventing 27 cells 28 from 29 initiating 29 initiating 30 anaphase 29 initiating 31 if 31 if 35 kinetochores 31 if 36 are 32 one 33 or 33 or 34 more 33 or 35 kinetochores 35 kinetochores 36 are 36 are 37 not 38 attached 39 to 39 to 41 spindle 40 the 41 spindle bubr1 also helps promote the establishment of stable kinetochore - microtubule attachments during prometaphase . 0 ###LEFT-WALL### 1 bubr1 0 ###LEFT-WALL### 3 helps 0 ###LEFT-WALL### 15 . 1 bubr1 3 helps 2 also 3 helps 3 helps 4 promote 4 promote 6 establishment 4 promote 13 during 5 the 6 establishment 6 establishment 7 of 7 of 12 attachments 8 stable 12 attachments 9 kinetochore 10 - 9 kinetochore 12 attachments 11 microtubule 12 attachments 13 during 14 prometaphase in this chapter , we review the structure , functions , and regulation of bubr1 in these " classical roles " at the kinetochore . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 review 0 ###LEFT-WALL### 25 . 1 in 3 chapter 1 in 4 , 1 in 5 we 2 this 3 chapter 5 we 6 review 6 review 12 and 6 review 16 in 6 review 22 at 7 the 8 structure 8 structure 9 , 9 , 10 functions 9 , 12 and 11 , 12 and 12 and 13 regulation 12 and 14 of 14 of 15 bubr1 16 in 20 roles 17 these 18 " 17 these 20 roles 19 classical 20 roles 20 roles 21 " 22 at 24 kinetochore 23 the 24 kinetochore we discuss its recruitment to kinetochores , its assembly into the inhibitor of anaphase progression , and the importance of its posttranslational modifications . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 discuss 0 ###LEFT-WALL### 24 . 1 we 2 discuss 2 discuss 4 recruitment 2 discuss 5 to 3 its 4 recruitment 5 to 17 and 6 kinetochores 7 , 7 , 9 assembly 7 , 17 and 8 its 9 assembly 9 assembly 10 into 10 into 12 inhibitor 11 the 12 inhibitor 12 inhibitor 13 of 13 of 15 progression 14 anaphase 15 progression 16 , 17 and 17 and 19 importance 17 and 20 of 18 the 19 importance 20 of 23 modifications 21 its 23 modifications 22 posttranslational 23 modifications we also consider the evidence for its participation in other roles beyond mitosis , such as the meiosis - specific processes of recombination and prophase arrest of the first meiotic division , the cellular response to dna damage , and in the regulation of centrosome and basal body function . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 consider 0 ###LEFT-WALL### 32 , 0 ###LEFT-WALL### 50 . 1 we 3 consider 2 also 3 consider 3 consider 5 evidence 4 the 5 evidence 5 evidence 6 for 6 for 8 participation 7 its 8 participation 8 participation 9 in 8 participation 12 beyond 9 in 11 roles 10 other 11 roles 12 beyond 13 mitosis 13 mitosis 16 as 13 mitosis 24 and 14 , 16 as 15 such 16 as 16 as 18 meiosis 16 as 19 - 17 the 18 meiosis 19 - 24 and 20 specific 21 processes 21 processes 22 of 21 processes 24 and 22 of 23 recombination 24 and 26 arrest 24 and 27 of 24 and 32 , 25 prophase 26 arrest 27 of 31 division 28 the 29 first 28 the 31 division 30 meiotic 31 division 32 , 46 and 32 , 49 function 33 the 35 response 34 cellular 35 response 35 response 40 and 35 response 44 of 35 response 46 and 36 to 38 damage 36 to 40 and 37 dna 38 damage 39 , 40 and 40 and 41 in 41 in 43 regulation 42 the 43 regulation 44 of 45 centrosome 46 and 48 body 46 and 49 function 47 basal 48 body finally , studies are presented linking bubr1 dysfunction or misregulation to aging and human disease , particularly cancer . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 4 are 1 finally 2 , 1 finally 3 studies 3 studies 4 are 4 are 13 and 5 presented 8 dysfunction 6 linking 8 dysfunction 7 bubr1 8 dysfunction 8 dysfunction 9 or 9 or 10 misregulation 9 or 11 to 9 or 13 and 11 to 12 aging 13 and 15 disease 13 and 18 cancer 14 human 15 disease 16 , 17 particularly 16 , 18 cancer 18 cancer 19 . the cerebrospinal fluid ( csf ) biomarkers β - amyloid1 - 42 ( aβ1 - 42 ) , total tau protein ( t - tau ) and hyperphosphorylated tau ( p - tau181p ) [are] well - validated and [are] increasingly used in clinical practice as an affirmative diagnostic tool for alzheimer 's disease ( ad [ )( 0 ###LEFT-WALL### 3 fluid 0 ###LEFT-WALL### 7 biomarkers 0 ###LEFT-WALL### 9 - 1 the 3 fluid 2 cerebrospinal 3 fluid 3 fluid 5 csf 3 fluid 7 biomarkers 4 ( 5 csf 5 csf 6 ) 7 biomarkers 8 β 9 - 10 amyloid1 9 - 18 , 10 amyloid1 12 42 10 amyloid1 16 42 11 - 12 42 12 42 14 aβ1 12 42 15 - 13 ( 14 aβ1 14 aβ1 15 - 15 - 16 42 16 42 17 ) 18 , 19 total 18 , 27 and 19 total 21 protein 19 total 24 - 20 tau 21 protein 22 ( 24 - 23 t 24 - 24 - 25 tau 24 - 26 ) 27 and 29 tau 27 and 39 and 28 hyperphosphorylated 29 tau 29 tau 32 - 29 tau 39 and 30 ( 32 - 31 p 32 - 32 - 36 well 32 - 37 - 33 tau181p 34 ) 33 tau181p 36 well 38 validated 39 and 39 and 42 used 39 and 43 in 39 and 46 as 39 and 50 tool 41 increasingly 42 used 43 in 45 practice 44 clinical 45 practice 46 as 48 affirmative 47 an 48 affirmative 49 diagnostic 50 tool 50 tool 51 for 51 for 54 disease 52 alzheimer 53 's 53 's 54 disease 54 disease 56 ad 55 ( 56 ad 56 ad 58 )( these biomarkers have also been implemented in the revised diagnostic criteria of ad . 0 ###LEFT-WALL### 2 biomarkers 0 ###LEFT-WALL### 6 implemented 0 ###LEFT-WALL### 14 . 1 these 2 biomarkers 2 biomarkers 3 have 3 have 5 been 4 also 5 been 5 been 6 implemented 6 implemented 7 in 7 in 11 criteria 8 the 11 criteria 9 revised 11 criteria 10 diagnostic 11 criteria 11 criteria 12 of 12 of 13 ad the combination of the csf biomarkers aβ1 - 42 , t - tau and p - tau181p results in high levels of sensitivity , specificity and diagnostic accuracy for discriminating ad from controls ( including psychiatric disorders like depression ) . 0 ###LEFT-WALL### 2 combination 0 ###LEFT-WALL### 6 biomarkers 0 ###LEFT-WALL### 16 - 0 ###LEFT-WALL### 17 tau181p 0 ###LEFT-WALL### 41 . 1 the 2 combination 2 combination 3 of 2 combination 6 biomarkers 3 of 5 csf 4 the 5 csf 6 biomarkers 7 aβ1 7 aβ1 9 42 7 aβ1 14 and 8 - 9 42 9 42 11 t 9 42 12 - 10 , 11 t 11 t 12 - 12 - 14 and 13 tau 14 and 14 and 15 p 14 and 16 - 16 - 17 tau181p 17 tau181p 26 and 17 tau181p 32 from 18 results 19 in 18 results 24 , 19 in 21 levels 20 high 21 levels 21 levels 22 of 22 of 23 sensitivity 24 , 25 specificity 24 , 26 and 26 and 28 accuracy 26 and 29 for 27 diagnostic 28 accuracy 29 for 30 discriminating 30 discriminating 31 ad 32 from 33 controls 33 controls 35 including 34 ( 35 including 35 including 37 disorders 35 including 40 ) 36 psychiatric 37 disorders 37 disorders 38 like 38 like 39 depression these biomarkers can be applied for diagnosing ad in the prodromal phase of the disease ( mild cognitive impairment ) . 0 ###LEFT-WALL### 2 biomarkers 0 ###LEFT-WALL### 5 applied 0 ###LEFT-WALL### 21 . 1 these 2 biomarkers 2 biomarkers 3 can 3 can 4 be 4 be 5 applied 5 applied 6 for 6 for 7 diagnosing 7 diagnosing 8 ad 7 diagnosing 9 in 9 in 12 phase 10 the 12 phase 11 prodromal 12 phase 12 phase 13 of 13 of 15 disease 14 the 15 disease 15 disease 19 impairment 16 ( 19 impairment 17 mild 19 impairment 18 cognitive 19 impairment 19 impairment 20 ) in case of doubt between vascular dementia ( vad ) or mixed ad [-] vad pathology in dementia patients , the determination of csf aβ1 - 42 , t - tau and p - tau181p levels [is] of help to confirm or [exclude] the ad component in the pathophysiology of the dementia syndrome [.] 0 ###LEFT-WALL### 11 or 1 in 2 case 2 case 3 of 2 case 11 or 3 of 4 doubt 4 doubt 5 between 5 between 7 dementia 6 vascular 7 dementia 7 dementia 9 vad 8 ( 9 vad 9 vad 10 ) 11 or 16 pathology 11 or 17 in 12 mixed 16 pathology 13 ad 16 pathology 15 vad 16 pathology 17 in 19 patients 18 dementia 19 patients 19 patients 26 - 19 patients 30 - 20 , 26 - 21 the 22 determination 22 determination 23 of 22 determination 26 - 23 of 25 aβ1 24 csf 25 aβ1 26 - 27 42 26 - 28 , 28 , 30 - 29 t 30 - 30 - 42 or 31 tau 32 and 32 and 33 p 32 and 34 - 32 and 36 levels 35 tau181p 36 levels 36 levels 38 of 36 levels 42 or 38 of 39 help 39 help 40 to 39 help 41 confirm 40 to 41 confirm 42 or 45 ad 44 the 45 ad 45 ad 46 component 46 component 47 in 47 in 49 pathophysiology 48 the 49 pathophysiology 49 pathophysiology 50 of 50 of 53 syndrome 51 the 53 syndrome 52 dementia 53 syndrome however , their discriminatory power for the differential diagnosis of dementia is suboptimal . 0 ###LEFT-WALL### 5 power 0 ###LEFT-WALL### 12 is 0 ###LEFT-WALL### 14 . 1 however 2 , 1 however 5 power 3 their 5 power 4 discriminatory 5 power 5 power 6 for 5 power 12 is 6 for 9 diagnosis 7 the 9 diagnosis 8 differential 9 diagnosis 9 diagnosis 10 of 10 of 11 dementia 12 is 13 suboptimal other csf biomarkers like aβ1 - 40 , and those that are reflective of the pathology [of] [non] - ad dementias , could improve the accuracy of differential dementia diagnosis . 0 ###LEFT-WALL### 3 biomarkers 0 ###LEFT-WALL### 24 improve 0 ###LEFT-WALL### 31 . 1 other 3 biomarkers 2 csf 3 biomarkers 3 biomarkers 4 like 3 biomarkers 11 that 3 biomarkers 12 are 3 biomarkers 14 of 3 biomarkers 23 could 4 like 9 and 5 aβ1 7 40 5 aβ1 9 and 6 - 7 40 7 40 8 , 9 and 10 those 11 that 12 are 12 are 13 reflective 14 of 16 pathology 15 the 16 pathology 16 pathology 21 dementias 19 - 21 dementias 20 ad 21 dementias 21 dementias 22 , 23 could 24 improve 24 improve 26 accuracy 25 the 26 accuracy 26 accuracy 27 of 27 of 30 diagnosis 28 differential 29 dementia 29 dementia 30 diagnosis in summary , the csf biomarkers aβ1 - 42 , t - tau and p - tau181p can be used in clinical practice to discriminate ad from healthy aging ( including psychiatric disorders like depression ) , to diagnose ad in its prodromal phase or in atypical forms with prominent [non] - memory impairment , to identify ad in patients with mixed pathologies and in case of an ambiguous [(] ad [versus] [non] - ad [ )(dementia diagnosis . 0 ###LEFT-WALL### 5 csf 0 ###LEFT-WALL### 8 - 1 in 2 summary 1 in 3 , 1 in 5 csf 4 the 5 csf 5 csf 6 biomarkers 6 biomarkers 7 aβ1 8 - 9 42 8 - 10 , 8 - 16 - 10 , 11 t 10 , 12 - 10 , 14 and 11 t 12 - 12 - 13 tau 14 and 15 p 15 p 16 - 16 - 19 be 17 tau181p 18 can 18 can 19 be 19 be 20 used 20 used 21 in 20 used 24 to 21 in 23 practice 22 clinical 23 practice 24 to 25 discriminate 25 discriminate 26 ad 25 discriminate 27 from 27 from 29 aging 28 healthy 29 aging 29 aging 31 including 29 aging 38 to 30 ( 31 including 31 including 33 disorders 31 including 36 ) 32 psychiatric 33 disorders 33 disorders 34 like 34 like 35 depression 37 , 38 to 38 to 39 diagnose 39 diagnose 40 ad 39 diagnose 45 or 39 diagnose 49 with 41 in 44 phase 41 in 45 or 42 its 44 phase 43 prodromal 44 phase 45 or 46 in 46 in 48 forms 47 atypical 48 forms 49 with 54 impairment 50 prominent 52 - 50 prominent 54 impairment 53 memory 54 impairment 54 impairment 56 to 55 , 56 to 56 to 57 identify 57 identify 58 ad 58 ad 59 in 58 ad 67 of 59 in 60 patients 60 patients 64 and 61 with 63 pathologies 61 with 64 and 62 mixed 63 pathologies 64 and 65 in 65 in 66 case 67 of 71 ad 68 an 69 ambiguous 68 an 71 ad 69 ambiguous 71 ad 71 ad 78 diagnosis 74 - 78 diagnosis 75 ad 78 diagnosis 77 )(dementia 78 diagnosis 78 diagnosis 79 . objective : to explore the scope , reliability , and validity of community integration measures for older adults after traumatic brain injury ( tbi ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 3 to 2 : 4 explore 3 to 4 explore 4 explore 10 and 5 the 6 scope 6 scope 7 , 7 , 8 reliability 7 , 10 and 9 , 10 and 10 and 11 validity 10 and 12 of 10 and 16 for 12 of 15 measures 13 community 15 measures 14 integration 15 measures 16 for 18 adults 17 older 18 adults 18 adults 19 after 19 after 22 injury 20 traumatic 21 brain 21 brain 22 injury 22 injury 24 tbi 23 ( 24 tbi 24 tbi 25 ) data sources : a search of peer [-] reviewed articles in english from 1990 to april 2011 was conducted using the ebsco health and scopus databases . 0 ###LEFT-WALL### 2 sources 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 27 . 1 data 2 sources 3 : 5 search 3 : 19 conducted 4 a 5 search 5 search 6 of 5 search 11 in 5 search 15 to 5 search 18 was 6 of 10 articles 7 peer 9 reviewed 9 reviewed 10 articles 11 in 12 english 12 english 13 from 13 from 14 1990 15 to 16 april 16 april 17 2011 18 was 19 conducted 19 conducted 20 using 20 using 22 ebsco 21 the 22 ebsco 22 ebsco 25 scopus 22 ebsco 26 databases 23 health 24 and 24 and 25 scopus 25 scopus 26 databases search terms included were community integration , traumatic brain injury or tbi , 65 plus or older adults , and assessment . 0 ###LEFT-WALL### 2 terms 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 22 . 1 search 2 terms 2 terms 3 included 2 terms 4 were 4 were 20 and 5 community 6 integration 6 integration 7 , 7 , 10 injury 7 , 11 or 8 traumatic 10 injury 9 brain 10 injury 11 or 18 adults 11 or 20 and 12 tbi 13 , 13 , 15 plus 13 , 16 or 14 65 15 plus 16 or 17 older 16 or 18 adults 19 , 20 and 20 and 21 assessment study selection : forty - three eligible articles were identified , with 11 selected for full review using a standardized critical review method . 0 ###LEFT-WALL### 2 selection 0 ###LEFT-WALL### 3 : 1 study 2 selection 3 : 8 articles 3 : 10 identified 4 forty 5 - 5 - 6 three 5 - 8 articles 7 eligible 8 articles 8 articles 9 were 9 were 10 identified 10 identified 12 with 11 , 12 with 12 with 13 11 12 with 24 . 13 11 14 selected 14 selected 15 for 14 selected 18 using 15 for 17 review 16 full 17 review 18 using 23 method 19 a 23 method 20 standardized 22 review 21 critical 22 review 22 review 23 method data extraction : common community integration measures were identified and ranked for relevance [and] psychometric properties . 0 ###LEFT-WALL### 2 extraction 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 17 . 1 data 2 extraction 3 : 7 measures 4 common 5 community 5 community 7 measures 6 integration 7 measures 7 measures 10 and 8 were 9 identified 8 were 10 and 10 and 11 ranked 10 and 12 for 12 for 16 properties 13 relevance 16 properties 15 psychometric 16 properties of the 43 eligible articles , studies reporting community integration outcomes post - tbi were identified and critically reviewed . 0 ###LEFT-WALL### 14 tbi 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 20 . 1 of 5 articles 1 of 14 tbi 2 the 3 43 3 43 5 articles 4 eligible 5 articles 5 articles 7 studies 6 , 7 studies 7 studies 8 reporting 7 studies 11 outcomes 7 studies 12 post 7 studies 13 - 9 community 11 outcomes 10 integration 11 outcomes 11 outcomes 12 post 14 tbi 17 and 15 were 16 identified 15 were 17 and 17 and 19 reviewed 18 critically 19 reviewed older adults ' community integration needs post - tbi from high quality studies were summarized . 0 ###LEFT-WALL### 5 integration 0 ###LEFT-WALL### 6 needs 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 16 . 1 older 2 adults 2 adults 3 ' 3 ' 5 integration 4 community 5 integration 5 integration 6 needs 6 needs 7 post 8 - 9 tbi 9 tbi 10 from 9 tbi 15 summarized 10 from 12 quality 11 high 12 quality 12 quality 13 studies 12 quality 14 were 13 studies 14 were data synthesis : there is a relative lack of evidence pertaining to older adults post - tbi , but indicators [are] that older adults have poorer outcomes than their younger counterparts . 0 ###LEFT-WALL### 2 synthesis 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 32 . 1 data 2 synthesis 3 : 4 there 3 : 5 is 4 there 5 is 5 is 8 lack 6 a 8 lack 7 relative 8 lack 8 lack 9 of 9 of 10 evidence 10 evidence 11 pertaining 10 evidence 12 to 10 evidence 19 but 10 evidence 22 that 12 to 15 post 13 older 15 post 14 adults 15 post 15 post 17 tbi 16 - 17 tbi 17 tbi 18 , 19 but 20 indicators 22 that 24 adults 22 that 25 have 23 older 24 adults 24 adults 25 have 25 have 27 outcomes 25 have 28 than 26 poorer 27 outcomes 28 than 31 counterparts 29 their 31 counterparts 30 younger 31 counterparts the community integration questionnaire ( ciq ) is the most widely used community integration measurement tool used in research for people with tbi . 0 ###LEFT-WALL### 6 ciq 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 24 . 1 the 6 ciq 2 community 3 integration 3 integration 4 questionnaire 4 questionnaire 6 ciq 5 ( 6 ciq 6 ciq 7 ) 6 ciq 8 is 8 is 16 tool 9 the 16 tool 10 most 11 widely 11 widely 12 used 12 used 13 community 13 community 16 tool 14 integration 16 tool 15 measurement 16 tool 16 tool 17 used 17 used 18 in 17 used 22 with 18 in 19 research 19 research 20 for 20 for 21 people 22 with 23 tbi because of some limitations , many studies have used the ciq in conjunction with other measures to better quantify [and/or] monitor changes in community integration . 0 ###LEFT-WALL### 7 studies 0 ###LEFT-WALL### 9 used 0 ###LEFT-WALL### 26 . 1 because 2 of 1 because 5 , 1 because 7 studies 2 of 4 limitations 3 some 4 limitations 6 many 7 studies 7 studies 8 have 8 have 9 used 9 used 11 ciq 9 used 12 in 9 used 14 with 9 used 17 to 9 used 19 quantify 10 the 11 ciq 12 in 13 conjunction 14 with 16 measures 15 other 16 measures 17 to 19 quantify 18 better 19 quantify 19 quantify 22 changes 19 quantify 23 in 21 monitor 22 changes 23 in 25 integration 24 community 25 integration conclusions : enhancing integration of older adults after tbi into their community of choice , with particular emphasis on social integration and quality of life , should be a primary rehabilitation goal . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 1 conclusions 2 : 2 : 3 enhancing 3 enhancing 4 integration 3 enhancing 8 after 4 integration 5 of 5 of 7 adults 6 older 7 adults 8 after 9 tbi 8 after 28 be 9 tbi 10 into 9 tbi 13 of 9 tbi 27 should 10 into 12 community 11 their 12 community 13 of 14 choice 14 choice 16 with 15 , 16 with 16 with 22 and 16 with 26 , 17 particular 18 emphasis 18 emphasis 19 on 18 emphasis 22 and 19 on 21 integration 20 social 21 integration 22 and 23 quality 22 and 24 of 24 of 25 life 27 should 28 be 28 be 32 goal 29 a 30 primary 29 a 32 goal 30 primary 31 rehabilitation 31 rehabilitation 32 goal however , more research is needed to inform best practice guidelines to meet the needs of this growing tbi population . 0 ###LEFT-WALL### 4 research 0 ###LEFT-WALL### 6 needed 0 ###LEFT-WALL### 21 . 1 however 2 , 1 however 4 research 3 more 4 research 4 research 5 is 5 is 6 needed 6 needed 7 to 7 to 8 inform 8 inform 9 best 8 inform 11 guidelines 8 inform 12 to 10 practice 11 guidelines 12 to 13 meet 13 meet 15 needs 14 the 15 needs 15 needs 16 of 16 of 20 population 17 this 18 growing 18 growing 20 population 19 tbi 20 population it is recommended that subjective tools , such as quality of life measures , are used in conjunction with well - established community integration measures , such as the ciq , during the assessment process . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 recommended 0 ###LEFT-WALL### 36 . 1 it 2 is 2 is 3 recommended 3 recommended 4 that 4 that 6 tools 4 that 16 used 5 subjective 6 tools 6 tools 9 as 6 tools 15 are 7 , 9 as 8 such 9 as 9 as 10 quality 9 as 14 , 10 quality 11 of 11 of 13 measures 12 life 13 measures 15 are 16 used 16 used 19 with 16 used 32 during 17 in 18 conjunction 18 conjunction 19 with 19 with 20 well 20 well 25 measures 20 well 28 as 21 - 25 measures 22 established 23 community 23 community 24 integration 24 integration 25 measures 25 measures 26 , 26 , 28 as 27 such 28 as 28 as 30 ciq 28 as 31 , 29 the 30 ciq 32 during 35 process 33 the 35 process 34 assessment 35 process due to expanding clinical indications and an aging society there has been an increase in the use of implantable pacemakers . 0 ###LEFT-WALL### 1 due 0 ###LEFT-WALL### 12 been 0 ###LEFT-WALL### 21 . 1 due 2 to 1 due 11 has 2 to 3 expanding 3 expanding 6 and 3 expanding 10 there 4 clinical 5 indications 5 indications 6 and 6 and 9 society 7 an 9 society 8 aging 9 society 11 has 12 been 12 been 14 increase 13 an 14 increase 14 increase 15 in 14 increase 18 of 15 in 17 use 16 the 17 use 18 of 20 pacemakers 19 implantable 20 pacemakers at the same time , due to increased diagnostic yield over other imaging modalities and the absence of ionizing radiation , there has been a surge in demand for magnetic resonance imaging ( mri ) assessment , of both cardiac and noncardiac conditions . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 28 demand 1 at 4 time 1 at 5 , 1 at 15 and 2 the 3 same 3 same 4 time 6 due 7 to 7 to 10 yield 7 to 15 and 8 increased 10 yield 9 diagnostic 10 yield 11 over 13 imaging 11 over 15 and 12 other 13 imaging 14 modalities 15 and 15 and 17 absence 15 and 21 , 15 and 22 there 15 and 27 in 15 and 28 demand 16 the 17 absence 17 absence 18 of 18 of 19 ionizing 19 ionizing 20 radiation 22 there 23 has 23 has 24 been 24 been 26 surge 24 been 27 in 25 a 26 surge 28 demand 29 for 28 demand 36 assessment 29 for 32 imaging 30 magnetic 31 resonance 31 resonance 32 imaging 32 imaging 34 mri 33 ( 34 mri 34 mri 35 ) 36 assessment 38 of 37 , 38 of 38 of 43 conditions 38 of 44 . 39 both 43 conditions 40 cardiac 41 and 41 and 42 noncardiac 41 and 43 conditions patients with an implantable device have a 50 - 75 % chance of having a clinical indication for mri during the lifetime of their device . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 14 having 0 ###LEFT-WALL### 26 . 1 patients 2 with 1 patients 6 have 2 with 5 device 3 an 4 implantable 3 an 5 device 4 implantable 5 device 6 have 12 chance 7 a 12 chance 8 50 9 - 9 - 10 75 9 - 11 % 11 % 12 chance 12 chance 13 of 13 of 14 having 14 having 17 indication 14 having 18 for 14 having 20 during 15 a 16 clinical 15 a 17 indication 16 clinical 17 indication 18 for 19 mri 20 during 22 lifetime 21 the 22 lifetime 22 lifetime 23 of 23 of 25 device 24 their 25 device the presence of an implantable cardiac device has been seen as a relative contraindication to mri assessment , limiting the prognostic and diagnostic utility of mri in many patients with these devices . 0 ###LEFT-WALL### 2 presence 0 ###LEFT-WALL### 10 seen 1 the 2 presence 2 presence 3 of 2 presence 8 has 3 of 7 device 4 an 5 implantable 4 an 7 device 5 implantable 7 device 6 cardiac 7 device 8 has 9 been 9 been 10 seen 10 seen 11 as 11 as 14 contraindication 12 a 14 contraindication 13 relative 14 contraindication 14 contraindication 15 to 15 to 17 assessment 16 mri 17 assessment 17 assessment 19 limiting 18 , 19 limiting 19 limiting 24 utility 19 limiting 30 with 19 limiting 33 . 20 the 24 utility 21 prognostic 22 and 22 and 23 diagnostic 22 and 24 utility 24 utility 25 of 25 of 26 mri 26 mri 27 in 27 in 29 patients 28 many 29 patients 30 with 32 devices 31 these 32 devices the introduction of mri conditional pacemakers will enable more patients to undergo routine mri assessment without risk of morbidity or device malfunction . 0 ###LEFT-WALL### 20 or 0 ###LEFT-WALL### 22 malfunction 0 ###LEFT-WALL### 23 . 1 the 2 introduction 2 introduction 3 of 2 introduction 20 or 3 of 4 mri 4 mri 6 pacemakers 4 mri 12 undergo 5 conditional 6 pacemakers 6 pacemakers 7 will 7 will 8 enable 8 enable 10 patients 8 enable 11 to 8 enable 12 undergo 9 more 10 patients 11 to 12 undergo 12 undergo 15 assessment 12 undergo 16 without 13 routine 15 assessment 14 mri 15 assessment 16 without 17 risk 17 risk 18 of 18 of 19 morbidity 20 or 21 device 20 or 22 malfunction this review gives a general overview of the principles and current evidence for the use of mri conditional implantable cardiac devices . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 gives 0 ###LEFT-WALL### 22 . 1 this 2 review 2 review 3 gives 3 gives 6 overview 3 gives 10 and 4 a 6 overview 5 general 6 overview 6 overview 7 of 7 of 9 principles 8 the 9 principles 10 and 12 evidence 10 and 21 devices 11 current 12 evidence 12 evidence 13 for 12 evidence 16 of 13 for 15 use 14 the 15 use 16 of 17 mri 18 conditional 21 devices 19 implantable 21 devices 20 cardiac 21 devices furthermore , we appraise the differences between those pacemakers currently released to market . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 appraise 0 ###LEFT-WALL### 14 . 1 furthermore 2 , 1 furthermore 3 we 3 we 4 appraise 4 appraise 6 differences 4 appraise 7 between 5 the 6 differences 7 between 9 pacemakers 8 those 9 pacemakers 9 pacemakers 11 released 10 currently 11 released 11 released 13 market 12 to 13 market background : older people are at increased risk of vitamin b12 deficiency and the provision of fortified foods may be an effective way to ensure good vitamin b12 status in later life . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 people 2 : 5 are 2 : 13 and 2 : 33 . 3 older 4 people 4 people 5 are 5 are 6 at 6 at 8 risk 7 increased 8 risk 8 risk 9 of 9 of 12 deficiency 10 vitamin 12 deficiency 11 b12 12 deficiency 13 and 15 provision 13 and 20 be 14 the 15 provision 15 provision 16 of 15 provision 19 may 16 of 18 foods 17 fortified 18 foods 19 may 20 be 20 be 23 way 21 an 23 way 22 effective 23 way 23 way 24 to 23 way 25 ensure 24 to 25 ensure 25 ensure 29 status 25 ensure 30 in 26 good 27 vitamin 27 vitamin 29 status 28 b12 29 status 30 in 32 life 31 later 32 life aim : to evaluate the effectiveness of a vitamin b12 fortified food provided by a national program of complementary food for older people on plasma vitamin b12 levels . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 11 fortified 0 ###LEFT-WALL### 29 . 1 aim 2 : 2 : 3 to 2 : 4 evaluate 3 to 4 evaluate 4 evaluate 6 effectiveness 5 the 6 effectiveness 6 effectiveness 7 of 7 of 9 vitamin 8 a 9 vitamin 9 vitamin 10 b12 9 vitamin 11 fortified 10 b12 11 fortified 11 fortified 12 food 11 fortified 21 for 12 food 13 provided 12 food 14 by 12 food 18 of 14 by 17 program 15 a 16 national 15 a 17 program 16 national 17 program 18 of 20 food 19 complementary 20 food 21 for 23 people 22 older 23 people 23 people 24 on 24 on 28 levels 25 plasma 28 levels 26 vitamin 28 levels 27 b12 28 levels subjects and methods : a random sub - sample [of] 351 subjects aged 65 - 67 [y] from a large cluster randomised controlled trial provided blood samples at baseline and after 24 months of intervention . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 25 provided 0 ###LEFT-WALL### 36 . 1 subjects 2 and 2 and 3 methods 3 methods 4 : 4 : 7 sub 5 a 6 random 5 a 7 sub 6 random 7 sub 8 - 9 sample 9 sample 12 subjects 11 351 12 subjects 12 subjects 13 aged 12 subjects 16 67 12 subjects 25 provided 13 aged 14 65 15 - 16 67 16 67 18 from 16 67 25 provided 18 from 24 trial 19 a 20 large 19 a 24 trial 20 large 24 trial 21 cluster 22 randomised 22 randomised 24 trial 23 controlled 24 trial 25 provided 27 samples 26 blood 27 samples 27 samples 30 and 27 samples 34 of 28 at 29 baseline 28 at 30 and 30 and 31 after 31 after 33 months 32 24 33 months 34 of 35 intervention the intervention arm ( 10 clusters 186 participants ) received a vitamin b12 fortified food designed to deliver 1.4 μg / [day] , while the control arm did not receive complementary food ( 10 clusters , 165 participants ) . 0 ###LEFT-WALL### 3 arm 0 ###LEFT-WALL### 21 / 0 ###LEFT-WALL### 40 . 1 the 3 arm 2 intervention 3 arm 3 arm 8 participants 3 arm 10 received 4 ( 8 participants 5 10 8 participants 6 clusters 8 participants 7 186 8 participants 8 participants 9 ) 10 received 12 vitamin 11 a 12 vitamin 12 vitamin 13 b12 12 vitamin 21 / 13 b12 14 fortified 14 fortified 15 food 15 food 16 designed 16 designed 17 to 16 designed 21 / 17 to 18 deliver 19 1.4 20 μg 20 μg 21 / 21 / 24 while 23 , 24 while 24 while 27 arm 24 while 30 receive 24 while 39 ) 25 the 27 arm 26 control 27 arm 27 arm 28 did 28 did 29 not 28 did 30 receive 30 receive 32 food 31 complementary 32 food 32 food 35 clusters 32 food 38 participants 33 ( 35 clusters 34 10 35 clusters 35 clusters 36 , 36 , 38 participants 37 165 38 participants 38 participants 39 ) serum vitamin b12 and folate levels determined [by] radioimmunoassay were used to estimate the effect of intervention on vitamin b12 levels , adjusting for baseline levels and sex . 1 serum 2 vitamin 2 vitamin 3 b12 3 b12 4 and 4 and 5 folate 4 and 6 levels 4 and 9 radioimmunoassay 4 and 10 were 6 levels 7 determined 6 levels 9 radioimmunoassay 10 were 11 used 11 used 12 to 11 used 23 adjusting 12 to 13 estimate 13 estimate 15 effect 14 the 15 effect 15 effect 16 of 16 of 17 intervention 17 intervention 18 on 18 on 21 levels 19 vitamin 21 levels 20 b12 21 levels 22 , 23 adjusting 23 adjusting 24 for 23 adjusting 29 . 24 for 27 and 25 baseline 26 levels 26 levels 27 and 27 and 28 sex results : attrition at 24 months was 16.7 [%] and 23.6 % in the intervention and control arms respectively ( p = 0.07 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 3 attrition 2 : 7 was 3 attrition 4 at 3 attrition 7 was 4 at 6 months 5 24 6 months 7 was 12 % 7 was 13 in 7 was 19 respectively 7 was 22 = 8 16.7 10 and 10 and 11 23.6 10 and 12 % 13 in 16 and 14 the 15 intervention 15 intervention 16 and 16 and 18 arms 17 control 18 arms 20 ( 22 = 21 p 22 = 22 = 23 0.07 22 = 24 ) over 24 months of intervention , mean ( 95 % ci ) serum vitamin b12 decreased from 392 ( 359 - 425 [ )(pmol/dl to 357 ( 300 - 414 [ )(pmol/dl ( p < 0.07 ) in the intervention arm and from 395 ( 350 - 440 ) [pmol/dl] to 351 ( 308 - 395 ) [pmol/dl] in the control arm . 0 ###LEFT-WALL### 15 b12 0 ###LEFT-WALL### 16 decreased 0 ###LEFT-WALL### 63 . 1 over 3 months 1 over 6 , 1 over 15 b12 2 24 3 months 3 months 4 of 4 of 5 intervention 7 mean 11 ci 7 mean 13 serum 8 ( 11 ci 9 95 11 ci 10 % 11 ci 11 ci 12 ) 13 serum 14 vitamin 14 vitamin 15 b12 15 b12 16 decreased 16 decreased 17 from 16 decreased 21 - 16 decreased 35 < 16 decreased 42 and 16 decreased 47 - 16 decreased 51 to 16 decreased 55 - 16 decreased 59 in 17 from 18 392 19 ( 21 - 20 359 21 - 21 - 24 )(pmol/dl 21 - 29 - 22 425 24 )(pmol/dl 24 )(pmol/dl 25 to 25 to 26 357 26 357 28 300 27 ( 28 300 28 300 29 - 30 414 32 )(pmol/dl 32 )(pmol/dl 35 < 33 ( 35 < 34 p 35 < 35 < 36 0.07 35 < 37 ) 38 in 41 arm 38 in 42 and 39 the 41 arm 40 intervention 41 arm 42 and 43 from 43 from 44 395 45 ( 47 - 46 350 47 - 47 - 48 440 47 - 49 ) 51 to 52 351 53 ( 55 - 54 308 55 - 55 - 56 395 55 - 57 ) 59 in 62 arm 60 the 62 arm 61 control 62 arm there was no significant effect of the intervention on folate status . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 12 . 1 there 2 was 2 was 5 effect 3 no 5 effect 4 significant 5 effect 5 effect 6 of 6 of 8 intervention 7 the 8 intervention 8 intervention 9 on 9 on 11 status 10 folate 11 status discussion : our findings suggest that foods fortified with 1.4 μg/daily vitamin b12 as provided by chile 's national programme for older people are insufficient to ensure adequate vitamin b12 levels in this population . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 2 : 4 findings 2 : 5 suggest 2 : 35 . 3 our 4 findings 4 findings 5 suggest 5 suggest 6 that 6 that 7 foods 6 that 27 ensure 7 foods 8 fortified 8 fortified 9 with 8 fortified 11 μg/daily 8 fortified 13 b12 8 fortified 16 by 8 fortified 21 for 9 with 10 1.4 12 vitamin 13 b12 13 b12 15 provided 14 as 15 provided 16 by 20 programme 17 chile 18 's 18 's 20 programme 19 national 20 programme 21 for 23 people 22 older 23 people 23 people 24 are 24 are 25 insufficient 25 insufficient 26 to 25 insufficient 27 ensure 26 to 27 ensure 27 ensure 31 levels 27 ensure 32 in 28 adequate 29 vitamin 29 vitamin 31 levels 30 b12 31 levels 32 in 34 population 33 this 34 population chile has a long and successful experience with nutrition intervention programs ; however , the country 's changing demographic and nutritional profiles require a constant adjustment of the programs . 0 ###LEFT-WALL### 1 chile 0 ###LEFT-WALL### 2 has 0 ###LEFT-WALL### 12 ; 0 ###LEFT-WALL### 30 . 1 chile 2 has 2 has 7 experience 2 has 8 with 3 a 7 experience 4 long 5 and 5 and 6 successful 5 and 7 experience 8 with 9 nutrition 8 with 11 programs 10 intervention 11 programs 12 ; 22 profiles 12 ; 23 require 13 however 14 , 13 however 22 profiles 15 the 16 country 16 country 17 's 17 's 22 profiles 18 changing 22 profiles 19 demographic 20 and 20 and 21 nutritional 20 and 22 profiles 22 profiles 23 require 23 require 26 adjustment 24 a 26 adjustment 25 constant 26 adjustment 26 adjustment 27 of 27 of 29 programs 28 the 29 programs background : existing literature indicates that adrb2 gene is associated with health and longevity , but none of previous studies investigated associations of carrying the adrb2 minor alleles and interactions between adrb2 genotypes and [social/behavioral] factors ( gxe ) with health outcomes at advanced ages . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 but 0 ###LEFT-WALL### 46 . 1 background 2 : 2 : 3 existing 3 existing 4 literature 3 existing 9 is 3 existing 10 associated 3 existing 11 with 4 literature 5 indicates 5 indicates 8 gene 5 indicates 9 is 6 that 8 gene 7 adrb2 8 gene 8 gene 9 is 11 with 13 and 12 health 13 and 13 and 14 longevity 13 and 15 , 16 but 17 none 16 but 21 investigated 17 none 18 of 17 none 21 investigated 18 of 20 studies 19 previous 20 studies 21 investigated 42 outcomes 22 associations 23 of 22 associations 29 and 23 of 24 carrying 24 carrying 27 minor 24 carrying 28 alleles 25 the 27 minor 26 adrb2 27 minor 27 minor 28 alleles 29 and 30 interactions 29 and 42 outcomes 30 interactions 31 between 30 interactions 40 with 31 between 32 adrb2 32 adrb2 34 and 32 adrb2 38 gxe 33 genotypes 34 and 34 and 36 factors 37 ( 38 gxe 38 gxe 39 ) 40 with 41 health 42 outcomes 43 at 43 at 45 ages 44 advanced 45 ages this study intends to fill in this research gap . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 intends 0 ###LEFT-WALL### 10 . 1 this 2 study 2 study 3 intends 3 intends 4 to 3 intends 5 fill 4 to 5 fill 5 fill 6 in 6 in 9 gap 7 this 9 gap 8 research 9 gap method : we conducted an exploratory analysis , using longitudinal survey phenotype/genotype data from 877 [oldest] - old aged 90+ . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 3 we 2 : 4 conducted 2 : 17 - 3 we 4 conducted 4 conducted 7 analysis 5 an 6 exploratory 5 an 7 analysis 6 exploratory 7 analysis 7 analysis 9 using 8 , 9 using 9 using 13 data 9 using 14 from 9 using 17 - 10 longitudinal 11 survey 11 survey 13 data 12 phenotype/genotype 13 data 14 from 15 877 17 - 20 90+ 18 old 20 90+ 19 aged 20 90+ to estimate association of gxe interactions with health outcome , adjusted for the potential correlation between genotypes and [social/behavioral] factors and various [other] potentially confounding factors , we develop and test an innovative three [-] step procedure which combines logistic regression and structural equation methods . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 10 , 1 to 10 , 2 estimate 3 association 2 estimate 7 with 2 estimate 10 , 3 association 4 of 4 of 6 interactions 5 gxe 6 interactions 7 with 9 outcome 8 health 9 outcome 10 , 11 adjusted 11 adjusted 12 for 12 for 21 and 13 the 15 correlation 14 potential 15 correlation 15 correlation 16 between 15 correlation 21 and 16 between 18 and 17 genotypes 18 and 18 and 20 factors 21 and 22 various 21 and 27 , 21 and 28 we 21 and 31 test 22 various 25 confounding 24 potentially 25 confounding 25 confounding 26 factors 28 we 30 and 29 develop 30 and 30 and 31 test 31 test 37 procedure 32 an 33 innovative 32 an 37 procedure 33 innovative 36 step 34 three 36 step 36 step 37 procedure 37 procedure 38 which 37 procedure 39 combines 38 which 39 combines 39 combines 42 and 40 logistic 41 regression 41 regression 42 and 42 and 45 methods 42 and 46 . 43 structural 44 equation 44 equation 45 methods results : interaction between regular exercise and carrying rs1042718 minor allele is significantly and positively associated with good cognitive function [;] interaction between regular exercise and carrying rs1042718 or rs1042719 minor allele is significantly and positively associated with self - reported good health [;] and interaction between social - leisure activities and carrying rs1042719 minor allele is significantly and positively associated with self - reported good health . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 7 and 2 : 9 rs1042718 3 interaction 4 between 3 interaction 7 and 4 between 6 exercise 5 regular 6 exercise 7 and 8 carrying 7 and 9 rs1042718 9 rs1042718 10 minor 9 rs1042718 17 with 10 minor 11 allele 10 minor 16 associated 11 allele 14 and 12 is 13 significantly 12 is 14 and 14 and 16 associated 15 positively 16 associated 17 with 20 function 17 with 22 interaction 18 good 20 function 19 cognitive 20 function 22 interaction 23 between 23 between 29 or 24 regular 25 exercise 25 exercise 26 and 26 and 28 rs1042718 26 and 29 or 27 carrying 28 rs1042718 29 or 30 rs1042719 29 or 32 allele 29 or 37 associated 31 minor 32 allele 32 allele 35 and 33 is 34 significantly 33 is 35 and 35 and 37 associated 36 positively 37 associated 37 associated 38 with 37 associated 47 between 38 with 39 self 38 with 45 and 39 self 41 reported 40 - 41 reported 42 good 43 health 43 health 45 and 45 and 46 interaction 47 between 52 and 48 social 49 - 48 social 51 activities 50 leisure 51 activities 51 activities 52 and 52 and 53 carrying 52 and 56 allele 52 and 59 and 54 rs1042719 56 allele 55 minor 56 allele 56 allele 59 and 57 is 58 significantly 57 is 59 and 59 and 61 associated 59 and 62 with 60 positively 61 associated 62 with 63 self 63 self 67 health 64 - 67 health 65 reported 67 health 66 good 67 health 67 health 68 . carrying rs1042718 or rs1042719 minor alleles is significantly and negatively associated with negative emotion , but the adrb2 snps are not significantly associated with cognitive [function] and self - reported health . 0 ###LEFT-WALL### 3 or 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 30 reported 1 carrying 2 rs1042718 2 rs1042718 3 or 3 or 6 alleles 3 or 9 and 4 rs1042719 5 minor 5 minor 6 alleles 7 is 8 significantly 7 is 9 and 9 and 16 but 9 and 24 with 10 negatively 11 associated 11 associated 12 with 11 associated 16 but 12 with 14 emotion 13 negative 14 emotion 15 , 16 but 16 but 23 associated 17 the 19 snps 18 adrb2 19 snps 19 snps 20 are 20 are 21 not 21 not 22 significantly 22 significantly 23 associated 24 with 27 and 25 cognitive 27 and 27 and 28 self 29 - 30 reported 30 reported 31 health 30 reported 32 . our structural equation analysis found that , adjusted for the confounding effects [of] correlation of the adrb2 snps with negative emotion , interaction between negative emotion and carrying rs1042718 or rs1042719 minor allele is significantly and negatively associated with cognitive function . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 42 . 1 our 4 analysis 2 structural 3 equation 3 equation 4 analysis 4 analysis 5 found 5 found 6 that 5 found 8 adjusted 7 , 8 adjusted 8 adjusted 9 for 8 adjusted 19 with 8 adjusted 22 , 9 for 14 correlation 10 the 14 correlation 11 confounding 12 effects 12 effects 14 correlation 14 correlation 15 of 15 of 18 snps 16 the 18 snps 17 adrb2 18 snps 19 with 21 emotion 20 negative 21 emotion 22 , 27 and 23 interaction 24 between 23 interaction 27 and 24 between 26 emotion 25 negative 26 emotion 27 and 41 function 28 carrying 41 function 29 rs1042718 30 or 30 or 32 minor 30 or 33 allele 30 or 39 with 30 or 41 function 31 rs1042719 32 minor 33 allele 36 and 34 is 35 significantly 34 is 36 and 36 and 38 associated 37 negatively 38 associated 38 associated 39 with 40 cognitive 41 function the positive association of regular exercise and social - leisure activities with cognitive function and self - reported health , and negative association of negative emotion with cognitive function , were much stronger among carriers of rs1042718 or rs1042719 alleles , compared to the [non] [-] carriers . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 9 - 1 the 3 association 2 positive 3 association 3 association 4 of 3 association 7 and 4 of 6 exercise 5 regular 6 exercise 7 and 8 social 7 and 9 - 9 - 15 and 9 - 17 - 10 leisure 11 activities 11 activities 12 with 11 activities 15 and 12 with 14 function 13 cognitive 14 function 15 and 16 self 17 - 21 and 18 reported 19 health 19 health 21 and 20 , 21 and 21 and 23 association 21 and 30 , 21 and 31 were 22 negative 23 association 23 association 24 of 24 of 26 emotion 25 negative 26 emotion 26 emotion 27 with 27 with 29 function 28 cognitive 29 function 31 were 33 stronger 32 much 33 stronger 33 stronger 34 among 34 among 35 carriers 35 carriers 36 of 35 carriers 42 compared 36 of 40 alleles 37 rs1042718 38 or 38 or 39 rs1042719 38 or 40 alleles 41 , 42 compared 42 compared 43 to 42 compared 48 . 43 to 47 carriers 44 the 47 carriers conclusions : the results indicate significant positive associations of interactions between social/behavioral factors and the adrb2 genotypes with health outcomes of cognitive function and self - reported health , and negative associations [of] carrying rs1042718 or rs1042719 minor alleles with negative emotion , at advanced ages in china . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 14 and 3 the 4 results 4 results 5 indicate 5 indicate 8 associations 6 significant 8 associations 7 positive 8 associations 8 associations 9 of 8 associations 11 between 9 of 10 interactions 11 between 13 factors 12 social/behavioral 13 factors 14 and 16 adrb2 15 the 16 adrb2 16 adrb2 17 genotypes 17 genotypes 18 with 17 genotypes 24 and 18 with 19 health 20 outcomes 21 of 20 outcomes 24 and 21 of 23 function 22 cognitive 23 function 24 and 25 self 25 self 34 carrying 26 - 27 reported 27 reported 32 associations 27 reported 34 carrying 28 health 30 and 29 , 30 and 30 and 31 negative 30 and 32 associations 34 carrying 39 alleles 34 carrying 40 with 35 rs1042718 36 or 36 or 37 rs1042719 36 or 39 alleles 38 minor 39 alleles 40 with 42 emotion 41 negative 42 emotion 42 emotion 44 at 43 , 44 at 44 at 46 ages 44 at 49 . 45 advanced 46 ages 46 ages 47 in 47 in 48 china our findings are exploratory rather than causal conclusions . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 9 . 1 our 2 findings 2 findings 3 are 3 are 4 exploratory 4 exploratory 6 than 5 rather 6 than 6 than 8 conclusions 7 causal 8 conclusions this study implies that near - future health promotion programs considering individuals ' genetic profiles , with appropriate protection of privacy/confidentiality , would yield increased benefits and reduced costs to the programs and their participants . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 implies 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 36 . 1 this 2 study 2 study 3 implies 3 implies 10 programs 4 that 5 near 5 near 6 - 5 near 8 health 7 future 8 health 8 health 10 programs 9 promotion 10 programs 10 programs 11 considering 11 considering 15 profiles 12 individuals 13 ' 13 ' 15 profiles 14 genetic 15 profiles 16 , 27 and 17 with 19 protection 17 with 22 , 17 with 27 and 18 appropriate 19 protection 19 protection 20 of 20 of 21 privacy/confidentiality 23 would 24 yield 23 would 27 and 24 yield 26 benefits 25 increased 26 benefits 27 and 28 reduced 28 reduced 29 costs 28 reduced 30 to 30 to 33 and 31 the 32 programs 32 programs 33 and 33 and 35 participants 34 their 35 participants aims : microglia are the resident immune cells in the central nervous system , originating from haematopoietic - derived myeloid cells . 0 ###LEFT-WALL### 1 aims 0 ###LEFT-WALL### 2 : 2 : 3 microglia 2 : 4 are 3 microglia 4 are 4 are 8 cells 4 are 9 in 5 the 8 cells 6 resident 8 cells 7 immune 8 cells 9 in 13 system 10 the 13 system 11 central 13 system 12 nervous 13 system 13 system 15 originating 14 , 15 originating 15 originating 16 from 15 originating 22 . 16 from 21 cells 17 haematopoietic 18 - 17 haematopoietic 21 cells 19 derived 21 cells 20 myeloid 21 cells a microglial cell is a double - edged sword , which has both [pro] - inflammatory and anti - inflammatory functions . 0 ###LEFT-WALL### 3 cell 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 19 - 1 a 2 microglial 1 a 3 cell 2 microglial 3 cell 3 cell 4 is 4 is 9 sword 5 a 6 double 5 a 9 sword 6 double 7 - 6 double 9 sword 8 edged 9 sword 9 sword 11 which 9 sword 17 and 10 , 11 which 11 which 12 has 11 which 15 - 12 has 13 both 15 - 17 and 16 inflammatory 17 and 17 and 18 anti 17 and 19 - 19 - 21 functions 19 - 22 . 20 inflammatory 21 functions although understanding the role of microglia in pathological conditions has become increasingly important , histopathology has been the only way to investigate microglia in human diseases . 0 ###LEFT-WALL### 15 histopathology 0 ###LEFT-WALL### 17 been 0 ###LEFT-WALL### 27 . 1 although 2 understanding 1 although 15 histopathology 2 understanding 4 role 2 understanding 10 has 3 the 4 role 4 role 5 of 4 role 7 in 4 role 10 has 5 of 6 microglia 7 in 9 conditions 8 pathological 9 conditions 10 has 11 become 12 increasingly 15 histopathology 13 important 14 , 13 important 15 histopathology 15 histopathology 16 has 16 has 17 been 17 been 20 way 17 been 23 microglia 18 the 19 only 18 the 20 way 20 way 21 to 20 way 22 investigate 21 to 22 investigate 23 microglia 24 in 24 in 26 diseases 25 human 26 diseases methods : to enable the study of microglial cells in vitro , we [here] establish a culture system to induce microglia - like cells from haematopoietic cells [by] [coculture] with astrocytes . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 3 to 2 : 4 enable 2 : 12 , 2 : 20 induce 2 : 22 - 3 to 4 enable 4 enable 6 study 4 enable 11 vitro 5 the 6 study 6 study 7 of 7 of 9 cells 8 microglial 9 cells 10 in 11 vitro 12 , 13 we 12 , 15 establish 13 we 15 establish 15 establish 18 system 15 establish 19 to 16 a 18 system 17 culture 18 system 19 to 20 induce 20 induce 21 microglia 22 - 23 like 23 like 24 cells 23 like 25 from 23 like 30 with 25 from 27 cells 26 haematopoietic 27 cells 30 with 31 astrocytes the characteristics of microglia - [like] cells were analysed by flow cytometry and functional assay . 0 ###LEFT-WALL### 2 characteristics 0 ###LEFT-WALL### 9 analysed 0 ###LEFT-WALL### 16 . 1 the 2 characteristics 2 characteristics 3 of 2 characteristics 8 were 3 of 7 cells 4 microglia 5 - 4 microglia 7 cells 8 were 9 analysed 9 analysed 10 by 10 by 13 and 11 flow 12 cytometry 12 cytometry 13 and 13 and 15 assay 14 functional 15 assay results : we show that triggering receptor expressing on myeloid cells - 2 - expressing microglia - like cells could be induced from lineage negative cells or monocytes [by] coculture with astrocytes . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 show 2 : 33 . 3 we 4 show 4 show 7 receptor 4 show 8 expressing 4 show 30 coculture 5 that 7 receptor 6 triggering 7 receptor 8 expressing 9 on 8 expressing 15 expressing 8 expressing 18 like 8 expressing 20 could 9 on 11 cells 10 myeloid 11 cells 11 cells 13 2 12 - 13 2 13 2 14 - 14 - 15 expressing 15 expressing 16 microglia 15 expressing 17 - 18 like 19 cells 20 could 21 be 21 be 22 induced 22 induced 23 from 23 from 24 lineage 24 lineage 27 or 24 lineage 30 coculture 25 negative 26 cells 26 cells 27 or 27 or 28 monocytes 27 or 30 coculture 30 coculture 31 with 31 with 32 astrocytes microglia - like cells exhibited lower expression of cd45 and mhc class ii than macrophages , a characteristic similar to brain microglia . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 12 class 1 microglia 2 - 1 microglia 10 and 3 like 4 cells 3 like 10 and 5 exhibited 7 expression 6 lower 7 expression 7 expression 8 of 7 expression 10 and 8 of 9 cd45 10 and 11 mhc 10 and 12 class 12 class 13 ii 12 class 14 than 14 than 15 macrophages 15 macrophages 18 characteristic 16 , 18 characteristic 17 a 18 characteristic 18 characteristic 19 similar 18 characteristic 23 . 19 similar 20 to 19 similar 21 brain 20 to 21 brain 21 brain 22 microglia when introduced into brain slice cultures , these microglia - like cells changed their morphology to a ramified shape on the first day of the culture . 0 ###LEFT-WALL### 12 cells 0 ###LEFT-WALL### 13 changed 0 ###LEFT-WALL### 27 . 1 when 2 introduced 1 when 12 cells 2 introduced 3 into 3 into 4 brain 4 brain 6 cultures 4 brain 11 like 5 slice 6 cultures 6 cultures 9 microglia 6 cultures 11 like 7 , 9 microglia 8 these 9 microglia 9 microglia 10 - 12 cells 13 changed 13 changed 15 morphology 13 changed 16 to 14 their 15 morphology 16 to 19 shape 17 a 19 shape 18 ramified 19 shape 19 shape 20 on 19 shape 24 of 20 on 23 day 21 the 23 day 22 first 23 day 24 of 26 culture 25 the 26 culture moreover , we demonstrated that microglia - [like] cells could be induced from human monocytes by [coculture] [with] astrocytes . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 demonstrated 0 ###LEFT-WALL### 20 . 1 moreover 2 , 1 moreover 3 we 3 we 4 demonstrated 4 demonstrated 5 that 5 that 9 cells 5 that 12 induced 6 microglia 7 - 6 microglia 9 cells 9 cells 10 could 10 could 11 be 11 be 12 induced 12 induced 13 from 12 induced 16 by 13 from 15 monocytes 14 human 15 monocytes 16 by 19 astrocytes finally , we showed that interleukin 34 was an important factor in the induction of microglia - like cells from haematopoietic cells in addition to cell [-] cell contact with astrocytes . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 17 - 1 finally 2 , 1 finally 3 we 3 we 4 showed 4 showed 5 that 5 that 6 interleukin 5 that 8 was 6 interleukin 7 34 6 interleukin 8 was 8 was 11 factor 9 an 10 important 9 an 11 factor 10 important 11 factor 11 factor 12 in 11 factor 15 of 12 in 14 induction 13 the 14 induction 15 of 16 microglia 17 - 18 like 17 - 32 . 18 like 19 cells 18 like 23 in 18 like 30 with 19 cells 20 from 20 from 22 cells 21 haematopoietic 22 cells 23 in 24 addition 24 addition 25 to 25 to 29 contact 26 cell 28 cell 28 cell 29 contact 30 with 31 astrocytes purified microglia - [like] cells were suitable for further culture and functional analyses . 0 ###LEFT-WALL### 5 cells 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 14 . 1 purified 5 cells 2 microglia 3 - 2 microglia 5 cells 5 cells 6 were 6 were 7 suitable 7 suitable 8 for 8 for 11 and 9 further 10 culture 10 culture 11 and 11 and 13 analyses 12 functional 13 analyses conclusion : development of in [vitro] induction [system] for microglia will further promote the study of human microglial cells under pathological conditions as well as aid in the screening of drugs to target microglial cells . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 3 development 2 : 13 promote 3 development 4 of 3 development 9 for 3 development 11 will 4 of 5 in 5 in 7 induction 9 for 10 microglia 11 will 13 promote 12 further 13 promote 13 promote 15 study 13 promote 20 under 13 promote 25 as 13 promote 32 to 14 the 15 study 15 study 16 of 16 of 19 cells 17 human 19 cells 18 microglial 19 cells 20 under 22 conditions 21 pathological 22 conditions 23 as 24 well 24 well 25 as 25 as 26 aid 26 aid 27 in 27 in 29 screening 28 the 29 screening 29 screening 30 of 30 of 31 drugs 32 to 33 target 33 target 35 cells 34 microglial 35 cells faulty inhibition is implicated in age - related working memory decline . 0 ###LEFT-WALL### 2 inhibition 0 ###LEFT-WALL### 4 implicated 0 ###LEFT-WALL### 7 - 1 faulty 2 inhibition 2 inhibition 3 is 3 is 4 implicated 4 implicated 5 in 5 in 6 age 7 - 11 decline 7 - 12 . 8 related 10 memory 9 working 10 memory 10 memory 11 decline erp signs of selection and inhibition of items in working memory ( wm ) [are] , respectively , a cue - locked parietal positivity ( [∼] 350 m [s] ) and a probe - locked frontal negativity ( [∼] 520 m [s] ) . 0 ###LEFT-WALL### 31 and 0 ###LEFT-WALL### 44 . 1 erp 2 signs 2 signs 3 of 2 signs 5 and 3 of 4 selection 5 and 6 inhibition 5 and 7 of 5 and 20 cue 5 and 31 and 7 of 8 items 8 items 9 in 9 in 10 working 10 working 11 memory 10 working 17 respectively 11 memory 13 wm 12 ( 13 wm 13 wm 14 ) 16 , 17 respectively 17 respectively 18 , 18 , 20 cue 19 a 20 cue 20 cue 24 positivity 20 cue 30 ) 21 - 24 positivity 22 locked 24 positivity 23 parietal 24 positivity 24 positivity 28 m 24 positivity 30 ) 25 ( 28 m 27 350 28 m 28 m 30 ) 31 and 33 probe 31 and 34 - 31 and 37 negativity 32 a 33 probe 34 - 37 negativity 35 locked 37 negativity 36 frontal 37 negativity 37 negativity 41 m 37 negativity 43 ) 38 ( 41 m 40 520 41 m 41 m 43 ) to determine when in the older age range differences in selective and inhibitory processes might occur , erps were recorded in a wm task from 20 young ( 20 - 28 ) , 20 young - old ( 60 - 70 ) , [and] 20 old - old ( 71 - 82 ) adults . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 33 , 1 to 2 determine 2 determine 18 erps 2 determine 20 recorded 3 when 9 differences 3 when 16 occur 3 when 17 , 3 when 18 erps 4 in 8 range 4 in 9 differences 5 the 8 range 6 older 8 range 7 age 8 range 9 differences 10 in 9 differences 15 might 10 in 12 and 11 selective 12 and 12 and 14 processes 13 inhibitory 14 processes 15 might 16 occur 18 erps 19 were 19 were 20 recorded 20 recorded 21 in 20 recorded 27 young 20 recorded 30 - 21 in 24 task 22 a 24 task 23 wm 24 task 24 task 25 from 25 from 26 20 28 ( 30 - 29 20 30 - 30 - 31 28 30 - 32 ) 33 , 46 old 33 , 47 - 34 20 46 old 35 young 36 - 35 young 46 old 37 old 39 60 37 old 43 , 37 old 46 old 38 ( 39 60 39 60 41 70 39 60 42 ) 40 - 41 70 41 70 42 ) 45 20 46 old 47 - 54 adults 47 - 55 . 48 old 54 adults 49 ( 51 - 50 71 51 - 51 - 52 82 51 - 53 ) 51 - 54 adults [a] 4 - digit display was [followed] by a cue indicating which 2 of 4 digits were relevant . 0 ###LEFT-WALL### 2 4 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 19 . 2 4 3 - 3 - 5 display 4 digit 5 display 5 display 6 was 6 was 8 by 6 was 18 relevant 8 by 10 cue 9 a 10 cue 10 cue 11 indicating 10 cue 13 2 10 cue 17 were 11 indicating 12 which 13 2 14 of 13 2 17 were 14 of 16 digits 15 4 16 digits proactive interference ( pi ) , the reaction time difference between [a] matching [and] [non] - matching [to] - be - ignored [digit] [was] [larger] , relative to the young , in both older groups . 0 ###LEFT-WALL### 2 interference 0 ###LEFT-WALL### 20 be 1 proactive 2 interference 2 interference 4 pi 2 interference 10 difference 2 interference 20 be 3 ( 4 pi 4 pi 5 ) 6 , 10 difference 7 the 10 difference 8 reaction 10 difference 9 time 10 difference 10 difference 11 between 10 difference 19 - 11 between 13 matching 13 matching 17 matching 16 - 17 matching 17 matching 19 - 20 be 22 ignored 20 be 27 relative 21 - 22 ignored 22 ignored 26 , 27 relative 28 to 27 relative 32 in 28 to 30 young 29 the 30 young 31 , 32 in 32 in 35 groups 32 in 36 . 33 both 35 groups 34 older 35 groups compared to the young , both the cue - and probe - locked activities were prolonged in the older groups . 0 ###LEFT-WALL### 6 both 0 ###LEFT-WALL### 16 prolonged 0 ###LEFT-WALL### 21 . 1 compared 2 to 1 compared 5 , 1 compared 6 both 2 to 4 young 3 the 4 young 6 both 7 the 6 both 14 activities 6 both 15 were 7 the 8 cue 8 cue 10 and 9 - 10 and 10 and 11 probe 10 and 12 - 10 and 13 locked 10 and 14 activities 15 were 16 prolonged 16 prolonged 17 in 17 in 20 groups 18 the 20 groups 19 older 20 groups although there were no topographic differences among the age groups , the prolonged pi and associated erps suggest a relative age [-] related deficit in inhibition . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 18 suggest 0 ###LEFT-WALL### 27 . 1 although 2 there 1 although 3 were 1 although 15 and 2 there 3 were 3 were 6 differences 4 no 6 differences 5 topographic 6 differences 6 differences 7 among 7 among 9 age 8 the 9 age 10 groups 11 , 11 , 14 pi 11 , 15 and 12 the 14 pi 13 prolonged 14 pi 15 and 17 erps 15 and 18 suggest 16 associated 17 erps 18 suggest 24 deficit 19 a 20 relative 19 a 24 deficit 20 relative 21 age 21 age 23 related 23 related 24 deficit 24 deficit 25 in 25 in 26 inhibition none objectives : despite safety warnings on serious adverse effects and guidance advising discontinuation , antipsychotic use in nursing homes remains high . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 21 remains 0 ###LEFT-WALL### 23 . 1 none 2 objectives 1 none 3 : 1 none 21 remains 2 objectives 3 : 3 : 4 despite 3 : 7 on 4 despite 6 warnings 5 safety 6 warnings 7 on 11 and 8 serious 10 effects 9 adverse 10 effects 10 effects 11 and 11 and 12 guidance 11 and 15 , 11 and 17 use 11 and 20 homes 12 guidance 13 advising 13 advising 14 discontinuation 16 antipsychotic 17 use 17 use 18 in 17 use 20 homes 18 in 19 nursing 21 remains 22 high studies documenting the barriers experienced to antipsychotic discontinuation are rare . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 9 are 0 ###LEFT-WALL### 11 . 1 studies 2 documenting 1 studies 9 are 2 documenting 4 barriers 3 the 4 barriers 4 barriers 5 experienced 5 experienced 6 to 6 to 8 discontinuation 7 antipsychotic 8 discontinuation 9 are 10 rare this exploratory study investigates the willingness of nurses and general practitioners ( gps ) as well as the barriers to undertake antipsychotic discontinuation . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 investigates 0 ###LEFT-WALL### 24 . 1 this 2 exploratory 2 exploratory 3 study 3 study 4 investigates 4 investigates 6 willingness 5 the 6 willingness 6 willingness 7 of 6 willingness 17 as 6 willingness 20 to 6 willingness 21 undertake 7 of 9 and 8 nurses 9 and 9 and 11 practitioners 9 and 13 gps 10 general 11 practitioners 12 ( 13 gps 13 gps 14 ) 15 as 16 well 16 well 17 as 17 as 19 barriers 18 the 19 barriers 20 to 21 undertake 21 undertake 23 discontinuation 22 antipsychotic 23 discontinuation design and setting : [a] mixed - method study involving an expert meeting , followed by a survey using structured questionnaires distributed to responsible nurses ( primary caregivers ) and treating gps on selected nursing home residents in belgian nursing homes to generate case - specific information . 0 ###LEFT-WALL### 3 setting 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 48 . 1 design 2 and 2 and 3 setting 3 setting 4 : 4 : 6 mixed 7 - 9 study 7 - 45 - 8 method 9 study 9 study 10 involving 9 study 13 meeting 9 study 15 followed 10 involving 12 expert 11 an 12 expert 14 , 15 followed 15 followed 16 by 15 followed 33 on 15 followed 45 - 16 by 30 and 17 a 18 survey 18 survey 19 using 18 survey 22 distributed 18 survey 30 and 19 using 21 questionnaires 20 structured 21 questionnaires 22 distributed 23 to 23 to 25 nurses 24 responsible 25 nurses 25 nurses 28 caregivers 26 ( 28 caregivers 27 primary 28 caregivers 28 caregivers 29 ) 30 and 32 gps 31 treating 32 gps 33 on 35 nursing 34 selected 35 nursing 35 nursing 37 residents 35 nursing 44 case 36 home 37 residents 37 residents 38 in 37 residents 44 case 38 in 41 homes 39 belgian 40 nursing 40 nursing 41 homes 41 homes 42 to 41 homes 43 generate 42 to 43 generate 45 - 47 information 46 specific 47 information results : antipsychotic users ( n = 113 ) had a mean age of 81 years ( range 57 - 97 ) ; 62 % were female and 81 % had moderate to severe cognitive impairment . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 users 2 : 10 had 2 : 23 ; 2 : 37 . 3 antipsychotic 4 users 4 users 7 = 4 users 10 had 5 ( 7 = 6 n 7 = 7 = 8 113 7 = 9 ) 10 had 13 age 11 a 13 age 12 mean 13 age 13 age 14 of 13 age 18 range 14 of 16 years 15 81 16 years 17 ( 18 range 18 range 19 57 18 range 21 97 18 range 23 ; 20 - 21 97 21 97 22 ) 23 ; 28 and 23 ; 32 moderate 24 62 25 % 24 62 28 and 25 % 26 were 26 were 27 female 28 and 29 81 28 and 30 % 28 and 31 had 28 and 32 moderate 29 81 30 % 30 % 31 had 32 moderate 33 to 33 to 36 impairment 34 severe 36 impairment 35 cognitive 36 impairment nurses and gps indicated a willingness for antipsychotic discontinuation in a small proportion of residents , 13.8 [%] and 12.2 % , respectively , with a shared willingness in only 4.2 % . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 4 indicated 0 ###LEFT-WALL### 33 . 1 nurses 2 and 2 and 3 gps 2 and 4 indicated 4 indicated 6 willingness 4 indicated 10 in 4 indicated 23 respectively 4 indicated 25 with 4 indicated 29 in 5 a 6 willingness 6 willingness 7 for 7 for 9 discontinuation 8 antipsychotic 9 discontinuation 10 in 13 proportion 11 a 12 small 11 a 13 proportion 12 small 13 proportion 13 proportion 14 of 14 of 15 residents 15 residents 21 % 16 , 21 % 17 13.8 19 and 19 and 20 12.2 19 and 21 % 21 % 22 , 22 , 23 respectively 23 respectively 24 , 25 with 28 willingness 26 a 28 willingness 27 shared 28 willingness 29 in 32 % 30 only 31 4.2 31 4.2 32 % residents for whom there was a higher willingness to try antipsychotic discontinuation were generally [older] [(] mean age 84.6 vs [.] 80.3 , p = 0.07 ) [,] had high physical dependency [(] adl [>] 14 , 93.3 % vs [.] 60.9 % , p = 0.01 [ )( [resided] on a ward with controlled access ( 80.0 % vs [.] 45.7 % , p = 0.02 ) . 1 residents 2 for 1 residents 13 were 2 for 3 whom 2 for 4 there 2 for 5 was 4 there 5 was 5 was 8 willingness 5 was 9 to 6 a 8 willingness 7 higher 8 willingness 9 to 10 try 10 try 12 discontinuation 11 antipsychotic 12 discontinuation 13 were 17 mean 14 generally 17 mean 17 mean 18 age 17 mean 29 had 18 age 19 84.6 18 age 20 vs 18 age 29 had 20 vs 22 80.3 22 80.3 25 = 23 , 25 = 24 p 25 = 25 = 26 0.07 25 = 27 ) 29 had 34 adl 30 high 32 dependency 31 physical 32 dependency 32 dependency 34 adl 34 adl 36 14 34 adl 39 % 34 adl 46 = 37 , 39 % 38 93.3 39 % 39 % 40 vs 39 % 44 , 40 vs 43 % 42 60.9 43 % 44 , 46 = 45 p 46 = 46 = 47 0.01 47 0.01 51 on 47 0.01 54 with 47 0.01 59 % 51 on 53 ward 52 a 53 ward 54 with 56 access 55 controlled 56 access 57 ( 59 % 58 80.0 59 % 59 % 60 vs 59 % 66 = 59 % 69 . 60 vs 63 % 62 45.7 63 % 64 , 66 = 65 p 66 = 66 = 67 0.02 66 = 68 ) in contrast , residents for whom there was a significant lower willingness for discontinuation already had a previously failed discontinuation effort , and may present risk of harm to themselves or to others . 0 ###LEFT-WALL### 4 residents 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 34 . 1 in 2 contrast 1 in 3 , 1 in 4 residents 4 residents 5 for 4 residents 23 and 5 for 6 whom 5 for 7 there 5 for 8 was 7 there 8 was 8 was 12 willingness 9 a 12 willingness 10 significant 12 willingness 11 lower 12 willingness 12 willingness 13 for 13 for 14 discontinuation 15 already 16 had 16 had 21 effort 16 had 23 and 17 a 21 effort 18 previously 19 failed 19 failed 20 discontinuation 20 discontinuation 21 effort 22 , 23 and 23 and 24 may 23 and 31 or 24 may 25 present 25 present 26 risk 26 risk 27 of 27 of 28 harm 29 to 30 themselves 29 to 31 or 31 or 32 to 32 to 33 others nurses working longer on the ward , with lower education , presented higher barriers to discontinuation of antipsychotics . 0 ###LEFT-WALL### 1 nurses 0 ###LEFT-WALL### 12 presented 0 ###LEFT-WALL### 19 . 1 nurses 2 working 1 nurses 12 presented 2 working 3 longer 2 working 4 on 4 on 6 ward 5 the 6 ward 6 ward 8 with 7 , 8 with 8 with 10 education 8 with 11 , 9 lower 10 education 12 presented 14 barriers 12 presented 15 to 13 higher 14 barriers 15 to 16 discontinuation 16 discontinuation 17 of 17 of 18 antipsychotics conclusion : nurses and gps share a very low willingness and high barriers to antipsychotic discontinuation . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 2 : 4 and 2 : 6 share 3 nurses 4 and 4 and 5 gps 4 and 6 share 6 share 11 and 6 share 14 to 7 a 8 very 7 a 10 willingness 8 very 9 low 9 low 10 willingness 10 willingness 11 and 11 and 13 barriers 12 high 13 barriers 14 to 16 discontinuation 15 antipsychotic 16 discontinuation to implement discontinuation programs , complex multidisciplinary interventions should be offered taking existing barriers into account . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 implement 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 17 . 1 to 2 implement 2 implement 4 programs 3 discontinuation 4 programs 5 , 8 interventions 5 , 11 offered 6 complex 8 interventions 7 multidisciplinary 8 interventions 8 interventions 9 should 9 should 10 be 10 be 11 offered 11 offered 14 barriers 11 offered 16 account 12 taking 13 existing 13 existing 14 barriers 15 into 16 account objective : to study the role of hypoxia - inducible factor 1 [alpha] ( hif1alpha ) on knee cartilage degeneration,and to explore the effects and mechanisms of chinese herbal compound yiqi huayu prescription on hif - 1alpha gene knockout mice on knee cartilage degeneration . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 explore 2 : 3 to 2 : 4 study 3 to 4 study 4 study 6 role 4 study 17 on 5 the 6 role 6 role 7 of 6 role 15 hif1alpha 7 of 11 factor 8 hypoxia 9 - 8 hypoxia 11 factor 10 inducible 11 factor 11 factor 12 1 14 ( 15 hif1alpha 15 hif1alpha 16 ) 17 on 19 cartilage 18 knee 19 cartilage 19 cartilage 20 degeneration,and 20 degeneration,and 21 to 21 to 22 explore 22 explore 25 and 23 the 25 and 24 effects 25 and 25 and 26 mechanisms 25 and 27 of 25 and 40 mice 27 of 33 prescription 28 chinese 33 prescription 29 herbal 33 prescription 30 compound 33 prescription 31 yiqi 32 huayu 32 huayu 33 prescription 33 prescription 34 on 34 on 35 hif 36 - 40 mice 37 1alpha 40 mice 38 gene 39 knockout 39 knockout 40 mice 40 mice 41 on 40 mice 45 . 41 on 44 degeneration 42 knee 43 cartilage 43 cartilage 44 degeneration methods : the 4 - [month] and 6 - month hif - 1alpha gene knock out mice were obtained by interbreeding , and divided into hif - 1alpha +/+ 4 - month mice group,hif - 1alpha - / - 4 - month mice group,hif - 1alpha +/+ 6 - month mice group and hif - 1alpha - / - 6 [-] month mice group , 3 mice in each group . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 1 methods 2 : 2 : 4 4 3 the 4 4 5 - 7 and 7 and 8 6 7 and 13 1alpha 8 6 11 hif 8 6 13 1alpha 9 - 11 hif 10 month 11 hif 11 hif 12 - 13 1alpha 14 gene 14 gene 17 mice 14 gene 23 and 15 knock 17 mice 16 out 17 mice 17 mice 23 and 18 were 19 obtained 18 were 23 and 19 obtained 20 by 20 by 21 interbreeding 22 , 23 and 23 and 24 divided 23 and 25 into 25 into 26 hif 26 hif 29 +/+ 26 hif 38 / 27 - 29 +/+ 28 1alpha 29 +/+ 29 +/+ 30 4 29 +/+ 31 - 31 - 38 / 32 month 33 mice 33 mice 34 group,hif 34 group,hif 36 1alpha 34 group,hif 38 / 35 - 36 1alpha 36 1alpha 37 - 38 / 40 4 39 - 40 4 40 4 45 - 41 - 45 - 42 month 44 group,hif 43 mice 44 group,hif 44 group,hif 45 - 45 - 47 +/+ 46 1alpha 47 +/+ 47 +/+ 48 6 47 +/+ 58 / 49 - 58 / 50 month 51 mice 51 mice 52 group 52 group 53 and 53 and 54 hif 53 and 56 1alpha 53 and 58 / 55 - 56 1alpha 56 1alpha 57 - 58 / 60 6 59 - 60 6 60 6 63 mice 60 6 64 group 60 6 67 mice 62 month 63 mice 63 mice 64 group 65 , 67 mice 66 3 67 mice 67 mice 68 in 67 mice 71 . 68 in 70 group 69 each 70 group and then the 2 - month [-] old hif - 1alpha gene knock out mice were randomly divided into yiqi huayu prescription group and physiological saline group . 0 ###LEFT-WALL### 1 and 0 ###LEFT-WALL### 27 group 0 ###LEFT-WALL### 28 . 1 and 4 2 1 and 18 divided 2 then 4 2 3 the 4 2 4 2 9 hif 4 2 11 1alpha 5 - 9 hif 6 month 9 hif 8 old 9 hif 9 hif 10 - 12 gene 15 mice 13 knock 15 mice 14 out 15 mice 15 mice 16 were 16 were 17 randomly 16 were 18 divided 18 divided 19 into 19 into 21 huayu 20 yiqi 21 huayu 21 huayu 24 and 21 huayu 27 group 22 prescription 23 group 23 group 24 and 24 and 26 saline 24 and 27 group 25 physiological 26 saline there were 6 mice in each group . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 8 . 1 there 2 were 2 were 4 mice 3 6 4 mice 4 mice 5 in 5 in 7 group 6 each 7 group after 2 months ' drug administration , the knee joint of mice was collected , and the mankin score were evaluated ; safranine - fast green staining , he staining , and immunohistochemistry analysis for vegf , [col] x , [col] ii , mmp - 13 and sox - 9 were performed erespectively . 0 ###LEFT-WALL### 4 ' 0 ###LEFT-WALL### 5 drug 0 ###LEFT-WALL### 7 , 1 after 2 2 1 after 4 ' 3 months 4 ' 4 ' 5 drug 5 drug 6 administration 7 , 10 joint 7 , 13 was 7 , 15 , 8 the 10 joint 9 knee 10 joint 10 joint 11 of 10 joint 13 was 11 of 12 mice 13 was 14 collected 15 , 16 and 15 , 21 evaluated 15 , 22 ; 16 and 19 score 17 the 19 score 18 mankin 19 score 19 score 20 were 20 were 21 evaluated 22 ; 25 fast 23 safranine 24 - 23 safranine 25 fast 25 fast 32 and 26 green 27 staining 26 green 28 , 28 , 30 staining 28 , 32 and 29 he 30 staining 31 , 32 and 32 and 34 analysis 32 and 35 for 32 and 44 mmp 33 immunohistochemistry 34 analysis 35 for 36 vegf 36 vegf 39 x 36 vegf 42 ii 37 , 39 x 39 x 40 , 40 , 42 ii 42 ii 43 , 43 , 44 mmp 44 mmp 48 sox 44 mmp 54 . 45 - 48 sox 46 13 47 and 47 and 48 sox 48 sox 50 9 48 sox 51 were 48 sox 52 performed 48 sox 54 . 49 - 50 9 50 9 51 were 52 performed 53 erespectively results [:] ( 1 ) compared to the results in the hif - 1alpha+/+ mice groups , the hif - 1alpha - / - mice developed aging related cartilage loss and bony tissue appearance , cartilage defects increased,and cells reduced . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 6 compared 1 results 4 1 1 results 6 compared 3 ( 4 1 4 1 5 ) 6 compared 7 to 6 compared 10 in 7 to 9 results 8 the 9 results 10 in 12 hif 11 the 12 hif 12 hif 24 - 13 - 24 - 14 1alpha+/+ 16 groups 15 mice 16 groups 16 groups 23 / 17 , 23 / 18 the 19 hif 19 hif 21 1alpha 19 hif 23 / 20 - 21 1alpha 21 1alpha 22 - 23 / 24 - 24 - 31 and 25 mice 26 developed 26 developed 29 cartilage 27 aging 29 cartilage 28 related 29 cartilage 29 cartilage 30 loss 30 loss 31 and 31 and 34 appearance 31 and 39 cells 32 bony 33 tissue 33 tissue 34 appearance 35 , 39 cells 36 cartilage 37 defects 37 defects 39 cells 38 increased,and 39 cells 39 cells 40 reduced 39 cells 41 . in hif - 1alpha - [/] - 4 - month mice and 6 - month mice group , the expresion of [col] ii and sox9 decreased , and the expression of col [x] , mmp - 13 and vegf increased . 0 ###LEFT-WALL### 2 hif 0 ###LEFT-WALL### 3 - 1 in 2 hif 3 - 4 1alpha 3 - 9 - 4 1alpha 8 4 5 - 8 4 7 - 8 4 8 4 9 - 9 - 11 mice 9 - 12 and 9 - 17 group 9 - 18 , 10 month 11 mice 12 and 13 6 12 and 14 - 13 6 14 - 14 - 16 mice 15 month 16 mice 16 mice 17 group 18 , 28 and 19 the 20 expresion 20 expresion 21 of 20 expresion 24 and 21 of 23 ii 24 and 25 sox9 24 and 26 decreased 24 and 28 and 27 , 28 and 28 and 30 expression 28 and 31 of 29 the 30 expression 31 of 35 mmp 32 col 35 mmp 34 , 35 mmp 35 mmp 36 - 35 mmp 39 vegf 36 - 39 vegf 37 13 38 and 38 and 39 vegf 39 vegf 40 increased 39 vegf 41 . ( [2] [ )(compared to the physiological saline group , the ossification and defect of knee joint cartilage reduced of mice in the yiqi huayu prescription group , the cartilage cell distribution was more uniform , and the total number of cells increased . 0 ###LEFT-WALL### 32 distribution 0 ###LEFT-WALL### 33 was 0 ###LEFT-WALL### 44 . 1 ( 4 )(compared 4 )(compared 5 to 4 )(compared 28 , 4 )(compared 32 distribution 5 to 13 and 6 the 9 group 7 physiological 9 group 8 saline 9 group 9 group 10 , 10 , 12 ossification 10 , 13 and 11 the 12 ossification 13 and 14 defect 13 and 15 of 13 and 20 of 15 of 18 cartilage 16 knee 18 cartilage 17 joint 18 cartilage 18 cartilage 19 reduced 20 of 21 mice 21 mice 22 in 22 in 27 group 23 the 27 group 24 yiqi 25 huayu 25 huayu 26 prescription 26 prescription 27 group 29 the 32 distribution 30 cartilage 32 distribution 31 cell 32 distribution 32 distribution 33 was 33 was 34 more 33 was 37 and 35 uniform 37 and 36 , 37 and 37 and 40 number 37 and 41 of 37 and 43 increased 38 the 40 number 39 total 40 number 41 of 42 cells the expression of type [ii] collagen and sox9 protein increased , expression of [col] x , mmp - 13 and vegf protein decreased of mice in the yiqi huayu prescription group . 0 ###LEFT-WALL### 7 and 1 the 2 expression 2 expression 3 of 2 expression 7 and 3 of 6 collagen 4 type 6 collagen 7 and 9 protein 7 and 10 increased 7 and 12 expression 7 and 17 mmp 8 sox9 9 protein 11 , 12 expression 12 expression 13 of 12 expression 16 , 13 of 15 x 16 , 17 mmp 17 mmp 21 vegf 17 mmp 32 . 18 - 21 vegf 19 13 20 and 20 and 21 vegf 21 vegf 22 protein 21 vegf 23 decreased 21 vegf 24 of 21 vegf 26 in 21 vegf 32 . 22 protein 23 decreased 24 of 25 mice 26 in 31 group 27 the 31 group 28 yiqi 29 huayu 29 huayu 30 prescription 30 prescription 31 group conclusion : the knee cartilage degenerates in the hif - 1alpha cko mice , and the degeneration increased with age adding . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 15 and 3 the 6 degenerates 4 knee 5 cartilage 5 cartilage 6 degenerates 6 degenerates 7 in 6 degenerates 15 and 7 in 9 hif 8 the 9 hif 9 hif 13 mice 10 - 13 mice 11 1alpha 13 mice 12 cko 13 mice 13 mice 14 , 15 and 17 degeneration 16 the 17 degeneration 17 degeneration 18 increased 17 degeneration 21 adding 18 increased 19 with 19 with 20 age the yiqi huayu prescription can delay the degeneration of knee cartilage of hif - 1alpha cko mice . 0 ###LEFT-WALL### 4 prescription 0 ###LEFT-WALL### 6 delay 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 15 1alpha 0 ###LEFT-WALL### 18 . 1 the 4 prescription 2 yiqi 3 huayu 3 huayu 4 prescription 4 prescription 5 can 5 can 6 delay 6 delay 8 degeneration 7 the 8 degeneration 8 degeneration 9 of 9 of 11 cartilage 10 knee 11 cartilage 11 cartilage 12 of 12 of 13 hif 14 - 15 1alpha 15 1alpha 17 mice 16 cko 17 mice this study sought to characterize the elderly and their participation in group educational activities , and to verify the sociodemographic and health factors associated with [non] - participation . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 sought 0 ###LEFT-WALL### 27 - 0 ###LEFT-WALL### 29 . 1 this 2 study 2 study 3 sought 3 sought 4 to 3 sought 16 and 4 to 16 and 5 characterize 8 and 5 characterize 11 in 5 characterize 16 and 6 the 7 elderly 7 elderly 8 and 8 and 10 participation 9 their 10 participation 11 in 14 activities 12 group 14 activities 13 educational 14 activities 15 , 16 and 16 and 17 to 16 and 18 verify 17 to 18 verify 18 verify 21 and 19 the 21 and 20 sociodemographic 21 and 21 and 22 health 21 and 23 factors 21 and 25 with 23 factors 24 associated 24 associated 25 with 27 - 28 participation it was a cross [-] sectional survey carried out with 2,142 elderly individuals , using descriptive analysis , student 's [t] - test and logistical regression ( p<0.05 ) . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 30 . 1 it 2 was 2 was 24 and 3 a 7 survey 4 cross 7 survey 6 sectional 7 survey 7 survey 8 carried 7 survey 9 out 7 survey 24 and 9 out 10 with 10 with 11 2,142 11 2,142 13 individuals 11 2,142 23 test 12 elderly 13 individuals 13 individuals 15 using 13 individuals 23 test 14 , 15 using 15 using 17 analysis 15 using 22 - 16 descriptive 17 analysis 17 analysis 20 's 18 , 20 's 19 student 20 's 20 's 22 - 24 and 26 regression 24 and 28 p<0.05 25 logistical 26 regression 27 ( 28 p<0.05 28 p<0.05 29 ) in both groups , the majority of participants were women , 60 - 70 years of age , married with an income of one minimum salary . 0 ###LEFT-WALL### 6 majority 0 ###LEFT-WALL### 9 were 1 in 3 groups 1 in 4 , 1 in 6 majority 2 both 3 groups 5 the 6 majority 6 majority 7 of 6 majority 9 were 7 of 8 participants 9 were 10 women 10 women 15 years 11 , 15 years 12 60 13 - 13 - 14 70 13 - 15 years 15 years 16 of 15 years 27 . 16 of 17 age 17 age 19 married 18 , 19 married 19 married 20 with 19 married 27 . 20 with 22 income 21 an 22 income 22 income 23 of 23 of 26 salary 24 one 26 salary 25 minimum 26 salary the elderly participants predominately showed 1 - 4 years of education , with [non] [-] participants 4 - 8 . 0 ###LEFT-WALL### 3 participants 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 20 . 1 the 3 participants 2 elderly 3 participants 3 participants 5 showed 4 predominately 5 showed 5 showed 9 years 5 showed 19 8 6 1 7 - 7 - 8 4 7 - 9 years 9 years 10 of 10 of 11 education 11 education 13 with 12 , 13 with 13 with 16 participants 13 with 18 - 16 participants 17 4 the morbidities [most] cited by the elderly who participated in educational activities were : hypertension [and] vision problems . 0 ###LEFT-WALL### 2 morbidities 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 14 : 1 the 2 morbidities 2 morbidities 4 cited 2 morbidities 8 who 2 morbidities 9 participated 2 morbidities 13 were 4 cited 5 by 5 by 7 elderly 6 the 7 elderly 8 who 9 participated 9 participated 10 in 10 in 12 activities 11 educational 12 activities 14 : 18 problems 14 : 19 . 15 hypertension 18 problems 17 vision 18 problems [among] [non] - participants , vision and spinal problems prevailed . 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 10 prevailed 0 ###LEFT-WALL### 11 . 3 - 7 and 4 participants 5 , 5 , 6 vision 5 , 7 and 7 and 9 problems 7 and 10 prevailed 8 spinal 9 problems in both groups , the greatest percentage was 1 - 3 incapacities . 0 ###LEFT-WALL### 7 percentage 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 13 . 1 in 3 groups 1 in 4 , 1 in 7 percentage 2 both 3 groups 5 the 6 greatest 5 the 7 percentage 7 percentage 8 was 8 was 12 incapacities 9 1 10 - 10 - 11 3 10 - 12 incapacities the age range of 80 years [and] above was associated with a greater chance of [non] [-] participation in activities . 0 ###LEFT-WALL### 3 range 0 ###LEFT-WALL### 10 associated 0 ###LEFT-WALL### 21 . 1 the 3 range 2 age 3 range 3 range 4 of 3 range 9 was 4 of 8 above 5 80 6 years 6 years 8 above 9 was 10 associated 10 associated 11 with 10 associated 19 in 11 with 14 chance 12 a 14 chance 13 greater 14 chance 14 chance 15 of 15 of 18 participation 19 in 20 activities it is necessary to plan actions that favor participation , thereby contributing to monitor their health conditions . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 1 it 2 is 2 is 3 necessary 3 necessary 4 to 3 necessary 5 plan 4 to 5 plan 5 plan 6 actions 6 actions 7 that 6 actions 8 favor 7 that 8 favor 8 favor 9 participation 9 participation 12 contributing 10 , 12 contributing 11 thereby 12 contributing 12 contributing 13 to 12 contributing 18 . 13 to 14 monitor 14 monitor 17 conditions 15 their 17 conditions 16 health 17 conditions none [background] : it is known that long - term psychosocial stress [may] [cause] or contribute to different diseases and symptoms and accelerate aging . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 3 : 3 : 4 it 3 : 6 known 3 : 9 - 4 it 5 is 5 is 6 known 6 known 8 long 7 that 8 long 9 - 15 or 9 - 25 . 10 term 12 stress 10 term 15 or 11 psychosocial 12 stress 15 or 22 and 16 contribute 17 to 16 contribute 22 and 17 to 20 and 18 different 19 diseases 19 diseases 20 and 20 and 21 symptoms 22 and 23 accelerate 23 accelerate 24 aging one of the consequences of prolonged psychosocial stress may be a negative effect on the levels of dehydroepiandrosterone ( dhea ) and its sulphated metabolite dehydroepiandrosterone sulphate ( dhea - s ) . 0 ###LEFT-WALL### 1 one 0 ###LEFT-WALL### 10 be 0 ###LEFT-WALL### 33 . 1 one 2 of 1 one 9 may 2 of 4 consequences 3 the 4 consequences 4 consequences 5 of 5 of 8 stress 6 prolonged 8 stress 7 psychosocial 8 stress 9 may 10 be 10 be 13 effect 11 a 12 negative 11 a 13 effect 12 negative 13 effect 13 effect 14 on 14 on 22 and 15 the 16 levels 16 levels 17 of 16 levels 22 and 17 of 18 dehydroepiandrosterone 18 dehydroepiandrosterone 20 dhea 19 ( 20 dhea 20 dhea 21 ) 22 and 27 sulphate 22 and 29 dhea 22 and 31 s 23 its 27 sulphate 24 sulphated 27 sulphate 25 metabolite 27 sulphate 26 dehydroepiandrosterone 27 sulphate 28 ( 29 dhea 29 dhea 30 - 30 - 31 s 31 s 32 ) the aim of this study is to investigate whether levels of dhea and dhea [-] s differ in individuals who report perceived stress at work compared to individuals who report no perceived stress at work . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 36 . 1 the 2 aim 2 aim 3 of 2 aim 6 is 3 of 5 study 4 this 5 study 6 is 7 to 6 is 8 investigate 7 to 8 investigate 8 investigate 9 whether 8 investigate 24 at 9 whether 10 levels 9 whether 17 differ 10 levels 11 of 10 levels 17 differ 11 of 14 dhea 12 dhea 13 and 13 and 14 dhea 14 dhea 16 s 17 differ 18 in 18 in 19 individuals 19 individuals 20 who 19 individuals 21 report 20 who 21 report 21 report 23 stress 22 perceived 23 stress 24 at 25 work 25 work 26 compared 26 compared 27 to 26 compared 34 at 27 to 28 individuals 28 individuals 29 who 28 individuals 30 report 29 who 30 report 30 report 33 stress 31 no 33 stress 32 perceived 33 stress 34 at 35 work methods : morning fasting dhea - s and dhea levels were measured in serum in a [non] [-] stressed group ( n = 40 ) and a stressed group ( n = 41 ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 dhea 2 : 6 - 3 morning 4 fasting 4 fasting 5 dhea 6 - 8 and 6 - 11 were 6 - 35 . 7 s 8 and 8 and 10 levels 8 and 11 were 9 dhea 10 levels 11 were 12 measured 12 measured 13 in 13 in 26 and 14 serum 15 in 14 serum 26 and 15 in 20 group 16 a 20 group 19 stressed 20 group 20 group 23 = 21 ( 23 = 22 n 23 = 23 = 24 40 23 = 25 ) 26 and 29 group 26 and 32 = 27 a 29 group 28 stressed 29 group 30 ( 32 = 31 n 32 = 32 = 33 41 32 = 34 ) dhea and dhea - s levels were compared between the groups using ancova , controlling [for] age . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 8 compared 1 dhea 2 and 2 and 3 dhea 2 and 4 - 2 and 5 s 2 and 6 levels 2 and 7 were 5 s 6 levels 7 were 8 compared 8 compared 9 between 9 between 11 groups 10 the 11 groups 11 groups 12 using 12 using 13 ancova 13 ancova 15 controlling 14 , 15 controlling 15 controlling 17 age 15 controlling 18 . results : the mean dhea - s levels [were] 23 % lower in the subjects who reported stress at work compared to [the] [non] - stressed [group] . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 8 levels 1 results 2 : 2 : 5 dhea 3 the 5 dhea 4 mean 5 dhea 6 - 7 s 7 s 8 levels 8 levels 11 % 8 levels 12 lower 8 levels 13 in 10 23 11 % 13 in 15 subjects 14 the 15 subjects 15 subjects 16 who 15 subjects 22 to 15 subjects 26 stressed 16 who 18 stress 16 who 21 compared 17 reported 18 stress 18 stress 19 at 18 stress 21 compared 19 at 20 work 21 compared 22 to 25 - 26 stressed 26 stressed 28 . statistical analysis ( ancova ) showed a significant difference in dhea - s levels between the groups ( p = 0.010 ) . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 6 showed 0 ###LEFT-WALL### 23 . 1 statistical 2 analysis 2 analysis 4 ancova 2 analysis 6 showed 3 ( 4 ancova 4 ancova 5 ) 6 showed 9 difference 6 showed 13 s 6 showed 14 levels 7 a 8 significant 7 a 9 difference 8 significant 9 difference 10 in 11 dhea 10 in 12 - 10 in 13 s 13 s 14 levels 14 levels 15 between 15 between 17 groups 16 the 17 groups 17 groups 20 = 18 ( 20 = 19 p 20 = 20 = 21 0.010 20 = 22 ) there was no difference in dhea level between the groups . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 11 . 1 there 2 was 2 was 4 difference 3 no 4 difference 4 difference 5 in 5 in 6 dhea 6 dhea 7 level 7 level 8 between 8 between 10 groups 9 the 10 groups conclusions : this study indicates that stressed individual [have] markedly lower levels of dhea - s . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 indicates 2 : 15 - 2 : 17 . 3 this 4 study 4 study 5 indicates 5 indicates 6 that 5 indicates 7 stressed 6 that 7 stressed 7 stressed 12 levels 8 individual 12 levels 10 markedly 11 lower 11 lower 12 levels 12 levels 13 of 13 of 14 dhea 15 - 16 s given the important and beneficial functions of dhea and dhea - s , lower levels of dhea - s may constitute one link between psychosocial stress , ill health and accelerated ageing . 0 ###LEFT-WALL### 19 s 0 ###LEFT-WALL### 21 constitute 0 ###LEFT-WALL### 33 . 1 given 4 and 1 given 18 - 1 given 19 s 2 the 3 important 3 important 4 and 4 and 6 functions 4 and 7 of 5 beneficial 6 functions 7 of 10 dhea 8 dhea 9 and 9 and 10 dhea 10 dhea 12 s 10 dhea 15 levels 11 - 12 s 12 s 13 , 13 , 15 levels 14 lower 15 levels 15 levels 16 of 15 levels 18 - 16 of 17 dhea 19 s 20 may 20 may 21 constitute 21 constitute 23 link 21 constitute 24 between 22 one 23 link 24 between 30 and 25 psychosocial 26 stress 26 stress 27 , 27 , 29 health 27 , 30 and 28 ill 29 health 30 and 32 ageing 31 accelerated 32 ageing aim : the aim of this study was to investigate the prevalence of interankle systolic blood pressure [difference] ( siand ) and its influencing factors in community population . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 4 aim 2 : 8 was 2 : 29 . 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 26 in 9 to 10 investigate 10 investigate 22 and 11 the 22 and 12 prevalence 13 of 12 prevalence 22 and 13 of 17 pressure 14 interankle 16 blood 15 systolic 16 blood 16 blood 17 pressure 17 pressure 20 siand 19 ( 20 siand 20 siand 21 ) 22 and 25 factors 23 its 25 factors 24 influencing 25 factors 26 in 28 population 27 community 28 population methods : this study included 2849 ( 65.1±9.4 [y] ) subjects . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 included 3 this 4 study 4 study 5 included 5 included 6 2849 6 2849 11 subjects 7 ( 11 subjects 8 65.1±9.4 10 ) 8 65.1±9.4 11 subjects 11 subjects 12 . blood pressure ( bps [ )(of four limbs [was] simultaneously measured with 4 electronic sphygmomanometers after 10 min rest in supine position . 0 ###LEFT-WALL### 1 blood 1 blood 2 pressure 2 pressure 4 bps 3 ( 4 bps 4 bps 6 )(of 4 bps 23 . 6 )(of 7 four 7 four 8 limbs 7 four 22 position 8 limbs 11 measured 8 limbs 22 position 10 simultaneously 11 measured 11 measured 12 with 11 measured 21 supine 12 with 13 4 13 4 15 sphygmomanometers 13 4 20 in 14 electronic 15 sphygmomanometers 15 sphygmomanometers 16 after 15 sphygmomanometers 19 rest 16 after 18 min 17 10 18 min 19 rest 20 in the difference of systolic bp ( sbp ) between two ankles was calculated as detasbp . 0 ###LEFT-WALL### 2 difference 0 ###LEFT-WALL### 13 calculated 0 ###LEFT-WALL### 16 . 1 the 2 difference 2 difference 3 of 2 difference 9 between 2 difference 12 was 3 of 7 sbp 4 systolic 7 sbp 5 bp 7 sbp 6 ( 7 sbp 7 sbp 8 ) 9 between 11 ankles 10 two 11 ankles 12 was 13 calculated 13 calculated 14 as 14 as 15 detasbp the criterion for abnormal siand was ≥10 [mmhg] of absolute deltasbp , in which the criterion for 1o siand was 10 - 19 mmhg and for 2o siand was ≥20 [mmhg] . 0 ###LEFT-WALL### 2 criterion 0 ###LEFT-WALL### 6 was 1 the 2 criterion 2 criterion 3 for 2 criterion 6 was 3 for 5 siand 4 abnormal 5 siand 6 was 7 ≥10 7 ≥10 9 of 7 ≥10 13 in 9 of 11 deltasbp 10 absolute 11 deltasbp 12 , 13 in 13 in 14 which 13 in 16 criterion 13 in 30 ≥20 13 in 32 . 15 the 16 criterion 16 criterion 25 and 16 criterion 29 was 17 for 24 mmhg 17 for 25 and 18 1o 20 was 18 1o 22 - 19 siand 20 was 21 10 22 - 22 - 23 19 23 19 24 mmhg 25 and 26 for 26 for 28 siand 27 2o 28 siand 29 was 30 ≥20 age , gender , smoking , hypertension , family histories [of] hypertension and diabetes were recorded . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 16 recorded 0 ###LEFT-WALL### 17 . 1 age 2 , 2 , 3 gender 2 , 4 , 4 , 5 smoking 4 , 6 , 6 , 7 hypertension 6 , 8 , 8 , 12 hypertension 8 , 13 and 9 family 12 hypertension 10 histories 12 hypertension 13 and 14 diabetes 13 and 15 were 15 were 16 recorded fasting blood glucose and lipids , circumference [of] hip and waist , and body mass index ( bmi ) were measured . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 20 were 0 ###LEFT-WALL### 22 . 1 fasting 2 blood 2 blood 3 glucose 3 glucose 4 and 4 and 5 lipids 4 and 6 , 6 , 9 hip 6 , 10 and 7 circumference 9 hip 10 and 11 waist 10 and 13 and 12 , 13 and 13 and 16 index 13 and 18 bmi 13 and 20 were 14 body 15 mass 15 mass 16 index 17 ( 18 bmi 18 bmi 19 ) 20 were 21 measured results : the sbp was higher in the right ankle than in the left ankle ( 158.9±21.8 vs 157.3±21.6 [mmhg] , p<0.05 ) and mean deltasbp was 6.08±6.26 [mmhg] . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 sbp 2 : 5 was 2 : 24 and 2 : 30 . 3 the 4 sbp 4 sbp 5 was 5 was 6 higher 6 higher 7 in 6 higher 11 than 7 in 10 ankle 8 the 10 ankle 9 right 10 ankle 11 than 12 in 12 in 15 ankle 13 the 15 ankle 14 left 15 ankle 15 ankle 17 158.9±21.8 15 ankle 22 p<0.05 16 ( 17 158.9±21.8 17 158.9±21.8 18 vs 17 158.9±21.8 21 , 18 vs 19 157.3±21.6 21 , 22 p<0.05 22 p<0.05 23 ) 24 and 26 deltasbp 24 and 27 was 25 mean 26 deltasbp 26 deltasbp 27 was 27 was 28 6.08±6.26 similar [difference] was found in both genders . 0 ###LEFT-WALL### 1 similar 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 8 . 1 similar 3 was 3 was 4 found 4 found 5 in 5 in 7 genders 6 both 7 genders the prevalence of [abnormal] [was] 18.5 % , in which , the prevalence 1o siand was 15.3 % and that of 2o siand was 3.1 % [.] 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 19 and 3 of 7 % 3 of 15 siand 3 of 16 was 6 18.5 7 % 7 % 9 in 8 , 9 in 9 in 10 which 9 in 11 , 12 the 15 siand 13 prevalence 15 siand 14 1o 15 siand 15 siand 16 was 16 was 18 % 17 15.3 18 % 19 and 20 that 19 and 21 of 19 and 23 siand 21 of 22 2o 23 siand 24 was 24 was 26 % 25 3.1 26 % multivariate regression analysis showed that age , waist circumference and blood glucose level were the positive factors for deltasbp . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 20 . 1 multivariate 2 regression 2 regression 3 analysis 3 analysis 4 showed 4 showed 10 and 4 showed 14 were 5 that 6 age 6 age 7 , 7 , 9 circumference 7 , 10 and 8 waist 9 circumference 10 and 13 level 10 and 14 were 11 blood 13 level 12 glucose 13 level 14 were 17 factors 15 the 17 factors 16 positive 17 factors 17 factors 18 for 18 for 19 deltasbp the normal upper limit for deltasbp was 16.7 mmhg in this population , the prevalence of siand by≥16 [mmhg] was 5.8 % . 0 ###LEFT-WALL### 4 limit 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 23 . 1 the 4 limit 2 normal 4 limit 3 upper 4 limit 4 limit 5 for 4 limit 7 was 5 for 6 deltasbp 7 was 9 mmhg 8 16.7 9 mmhg 9 mmhg 10 in 10 in 12 population 11 this 12 population 13 , 15 prevalence 13 , 20 was 14 the 15 prevalence 15 prevalence 16 of 15 prevalence 20 was 16 of 18 by≥16 17 siand 18 by≥16 20 was 22 % 21 5.8 22 % conclusion : aging , hypertension , obesity and abnormal glucose metabolism are positive factors for [inter] - ankle sbp difference . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 1 conclusion 2 : 2 : 3 aging 4 , 5 hypertension 4 , 6 , 6 , 8 and 6 , 17 - 7 obesity 8 and 8 and 10 glucose 8 and 11 metabolism 8 and 15 for 9 abnormal 10 glucose 11 metabolism 12 are 12 are 14 factors 12 are 15 for 13 positive 14 factors 17 - 20 difference 17 - 21 . 18 ankle 20 difference 19 sbp 20 difference amyloid - β1 - 42 ( aβ ) peptide effects on human models of central nervous [system] ( cns ) - patrolling macrophages ( ms [ )(and cd4 memory t - cells ( cd4 - tms ) were investigated to examine immune responses to aβ in alzheimer 's disease . 0 ###LEFT-WALL### 10 effects 0 ###LEFT-WALL### 39 investigated 0 ###LEFT-WALL### 50 . 1 amyloid 2 - 1 amyloid 10 effects 3 β1 5 42 3 β1 9 peptide 4 - 5 42 5 42 7 aβ 5 42 8 ) 6 ( 7 aβ 7 aβ 8 ) 9 peptide 10 effects 10 effects 11 on 10 effects 38 were 11 on 13 models 12 human 13 models 13 models 14 of 14 of 23 macrophages 15 central 23 macrophages 16 nervous 19 cns 16 nervous 21 - 16 nervous 23 macrophages 18 ( 19 cns 19 cns 20 ) 22 patrolling 23 macrophages 23 macrophages 29 memory 24 ( 29 memory 25 ms 27 )(and 27 )(and 28 cd4 28 cd4 29 memory 29 memory 30 t 29 memory 32 cells 29 memory 36 tms 29 memory 37 ) 31 - 32 cells 32 cells 34 cd4 32 cells 35 - 33 ( 34 cd4 34 cd4 35 - 35 - 36 tms 36 tms 37 ) 38 were 39 investigated 39 investigated 40 to 40 to 41 examine 41 examine 43 responses 41 examine 44 to 41 examine 46 in 42 immune 43 responses 44 to 45 aβ 46 in 49 disease 47 alzheimer 48 's 48 's 49 disease aβ and lipopolysaccharide ( lps ) elicited similar m [cytokine] and exosomal mrna [(] [ex] - mrna ) responses . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 7 elicited 0 ###LEFT-WALL### 20 . 1 aβ 2 and 2 and 3 lipopolysaccharide 2 and 5 lps 2 and 7 elicited 4 ( 5 lps 5 lps 6 ) 7 elicited 19 responses 8 similar 19 responses 9 m 11 and 11 and 13 mrna 11 and 17 mrna 11 and 19 responses 12 exosomal 13 mrna 16 - 17 mrna 17 mrna 18 ) cd4 - tm generation of il - 2 , il - 4 , and ifn - [γ] and , for young subjects , il - 10 , but not il - 6 , evoked by aβ was significantly lower than with anti - t - cell antigen receptor antibodies ( abs [ )( 0 ###LEFT-WALL### 1 cd4 0 ###LEFT-WALL### 2 - 2 - 4 generation 2 - 7 - 3 tm 4 generation 4 generation 5 of 5 of 6 il 7 - 8 2 7 - 9 , 9 , 14 and 9 , 18 and 10 il 12 4 10 il 14 and 11 - 12 4 12 4 13 , 14 and 15 ifn 16 - 18 and 18 and 30 il 19 , 20 for 20 for 22 subjects 20 for 27 , 20 for 30 il 21 young 22 subjects 22 subjects 24 il 23 , 24 il 24 il 26 10 24 il 27 , 25 - 26 10 26 10 27 , 28 but 29 not 28 but 30 il 30 il 32 6 30 il 34 evoked 30 il 37 was 31 - 32 6 32 6 33 , 33 , 34 evoked 34 evoked 35 by 35 by 36 aβ 37 was 39 lower 37 was 40 than 38 significantly 39 lower 40 than 41 with 41 with 49 antibodies 42 anti 44 t 42 anti 49 antibodies 43 - 44 t 44 t 45 - 46 cell 47 antigen 47 antigen 49 antibodies 48 receptor 49 antibodies 49 antibodies 51 abs 50 ( 51 abs 51 abs 53 )( abs significantly increased all cd4 - tm [ex] - mrnas , but only il - 2 and il - 6 [ex] - mrnas were increased by aβ . 0 ###LEFT-WALL### 1 abs 0 ###LEFT-WALL### 3 increased 0 ###LEFT-WALL### 15 - 1 abs 3 increased 2 significantly 3 increased 3 increased 12 but 4 all 10 mrnas 5 cd4 7 tm 5 cd4 10 mrnas 6 - 7 tm 7 tm 9 - 10 mrnas 12 but 11 , 12 but 12 but 13 only 12 but 14 il 15 - 18 il 15 - 19 - 15 - 25 increased 15 - 28 . 16 2 17 and 17 and 18 il 19 - 20 6 19 - 22 - 20 6 22 - 22 - 23 mrnas 23 mrnas 24 were 24 were 25 increased 25 increased 26 by 26 by 27 aβ there were no significant differences [between] [cytokine] and [ex] - mrna responses of cd4 - tms from the old compared to the young subjects . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 25 . 1 there 2 were 2 were 5 differences 3 no 5 differences 4 significant 5 differences 8 and 10 - 8 and 11 mrna 10 - 11 mrna 11 mrna 12 responses 12 responses 13 of 12 responses 21 to 13 of 14 cd4 14 cd4 20 compared 15 - 20 compared 16 tms 17 from 16 tms 20 compared 17 from 19 old 18 the 19 old 21 to 24 subjects 22 the 24 subjects 23 young 24 subjects m - derived serum exosomes from the old subjects had significantly higher il - 6 and il - 12 [ex] - mrna levels than those from the young subjects , whereas there were no differences for cd4 - tm - derived serum exosomes . 0 ###LEFT-WALL### 1 m 0 ###LEFT-WALL### 2 - 1 m 2 - 2 - 5 exosomes 3 derived 5 exosomes 4 serum 5 exosomes 5 exosomes 6 from 5 exosomes 10 had 6 from 9 subjects 7 the 9 subjects 8 old 9 subjects 10 had 23 levels 10 had 24 than 10 had 31 whereas 11 significantly 12 higher 12 higher 23 levels 13 il 17 il 13 il 19 12 13 il 23 levels 14 - 17 il 15 6 16 and 16 and 17 il 17 il 18 - 18 - 19 12 19 12 21 - 22 mrna 23 levels 24 than 25 those 24 than 26 from 26 from 29 subjects 27 the 29 subjects 28 young 29 subjects 30 , 31 whereas 31 whereas 32 there 31 whereas 33 were 31 whereas 44 . 32 there 33 were 33 were 35 differences 34 no 35 differences 35 differences 36 for 36 for 37 cd4 37 cd4 39 tm 38 - 39 tm 39 tm 43 exosomes 39 tm 44 . 40 - 43 exosomes 41 derived 42 serum 42 serum 43 exosomes 43 exosomes 44 . an aβ level relevant [to] neurodegeneration elicited broad m cytokine and [ex] - mrna responses that were significantly greater in the old subjects , but only narrow and age - independent cd4 - tm responses . 0 ###LEFT-WALL### 10 cytokine 0 ###LEFT-WALL### 11 and 1 an 10 cytokine 2 aβ 10 cytokine 3 level 6 neurodegeneration 4 relevant 6 neurodegeneration 6 neurodegeneration 10 cytokine 7 elicited 8 broad 8 broad 9 m 8 broad 10 cytokine 11 and 13 - 11 and 15 responses 11 and 25 but 14 mrna 15 responses 15 responses 16 that 15 responses 17 were 15 responses 25 but 16 that 17 were 17 were 18 significantly 17 were 19 greater 19 greater 20 in 20 in 22 old 21 the 22 old 23 subjects 25 but 24 , 25 but 25 but 28 and 26 only 27 narrow 27 narrow 28 and 28 and 29 age 29 age 33 - 30 - 33 - 31 independent 32 cd4 32 cd4 33 - 33 - 35 responses 33 - 36 . 34 tm 35 responses background : the prevalence of sarcopenia varies widely between studies . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 prevalence 2 : 7 varies 2 : 11 . 3 the 4 prevalence 4 prevalence 5 of 4 prevalence 7 varies 5 of 6 sarcopenia 7 varies 8 widely 7 varies 9 between 9 between 10 studies the objective of this study was to assess the prevalence of sarcopenia in a representative sample of persons aged 80 years and older according to the european working group [on] sarcopenia in older people ( ewgsop ) algorithm and the proposed cut - off values . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 6 was 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 22 and 7 to 8 assess 8 assess 10 prevalence 9 the 10 prevalence 10 prevalence 11 of 10 prevalence 19 aged 11 of 12 sarcopenia 12 sarcopenia 13 in 12 sarcopenia 17 of 13 in 16 sample 14 a 16 sample 15 representative 16 sample 17 of 18 persons 20 80 21 years 21 years 22 and 22 and 23 older 23 older 25 to 23 older 44 off 24 according 25 to 25 to 39 and 26 the 38 algorithm 27 european 38 algorithm 28 working 29 group 29 group 31 sarcopenia 31 sarcopenia 32 in 31 sarcopenia 36 ewgsop 32 in 34 people 33 older 34 people 35 ( 36 ewgsop 36 ewgsop 37 ) 36 ewgsop 38 algorithm 38 algorithm 39 and 39 and 42 cut 40 the 42 cut 41 proposed 42 cut 43 - 44 off 44 off 45 values 44 off 46 . a secondary aim was to investigate the relationship between different individual criteria and low physical performance capacity . 0 ###LEFT-WALL### 3 aim 0 ###LEFT-WALL### 18 . 1 a 2 secondary 1 a 3 aim 2 secondary 3 aim 3 aim 4 was 4 was 5 to 4 was 13 and 5 to 13 and 6 investigate 8 relationship 6 investigate 9 between 6 investigate 13 and 7 the 8 relationship 9 between 12 criteria 10 different 12 criteria 11 individual 12 criteria 13 and 14 low 14 low 17 capacity 15 physical 16 performance 16 performance 17 capacity methods : baseline data of the prospective belfrail study ( bfc80+ ) were analysed . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 data 2 : 14 analysed 2 : 15 . 3 baseline 4 data 4 data 5 of 4 data 13 were 5 of 9 study 6 the 9 study 7 prospective 9 study 8 belfrail 9 study 9 study 11 bfc80+ 10 ( 11 bfc80+ 11 bfc80+ 12 ) 13 were 14 analysed sarcopenia status was determined according to the ewgsop guidelines . 0 ###LEFT-WALL### 2 status 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 10 . 1 sarcopenia 2 status 2 status 3 was 3 was 4 determined 4 determined 6 to 5 according 6 to 6 to 9 guidelines 7 the 9 guidelines 8 ewgsop 9 guidelines the skeletal muscle mass index ( smi ) was assessed according to bioelectrical impedance . 0 ###LEFT-WALL### 5 index 0 ###LEFT-WALL### 10 assessed 0 ###LEFT-WALL### 15 . 1 the 5 index 2 skeletal 3 muscle 3 muscle 5 index 4 mass 5 index 5 index 7 smi 5 index 9 was 6 ( 7 smi 7 smi 8 ) 9 was 10 assessed 10 assessed 12 to 11 according 12 to 12 to 14 impedance 13 bioelectrical 14 impedance muscle strength and muscle performance were evaluated according to grip strength and the modified short physical performance battery ( sppbm ) . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 7 evaluated 0 ###LEFT-WALL### 22 . 1 muscle 2 strength 2 strength 3 and 3 and 5 performance 3 and 6 were 4 muscle 5 performance 6 were 7 evaluated 7 evaluated 9 to 8 according 9 to 9 to 12 and 10 grip 11 strength 11 strength 12 and 12 and 18 battery 12 and 20 sppbm 13 the 18 battery 14 modified 17 performance 15 short 17 performance 16 physical 17 performance 17 performance 18 battery 19 ( 20 sppbm 20 sppbm 21 ) a logistic regression analysis was performed . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 6 performed 0 ###LEFT-WALL### 7 . 1 a 2 logistic 1 a 4 analysis 2 logistic 3 regression 3 regression 4 analysis 4 analysis 5 was 5 was 6 performed results : according to the ewgsop algorithm , 12.5 % of the participants were classified in the sarcopenia group . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 20 . 1 results 2 : 2 : 4 to 3 according 4 to 4 to 7 algorithm 5 the 7 algorithm 6 ewgsop 7 algorithm 8 , 10 % 8 , 14 were 9 12.5 10 % 10 % 11 of 10 % 14 were 11 of 13 participants 12 the 13 participants 14 were 15 classified 15 classified 16 in 16 in 19 group 17 the 19 group 18 sarcopenia 19 group sixty percent of the female participants had muscle strength values below the cut - [off] and 70 % had low sppbm values . 0 ###LEFT-WALL### 2 percent 0 ###LEFT-WALL### 7 had 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 23 . 1 sixty 2 percent 2 percent 3 of 2 percent 7 had 3 of 6 participants 4 the 6 participants 5 female 6 participants 7 had 10 values 7 had 11 below 8 muscle 10 values 9 strength 10 values 11 below 13 cut 12 the 13 cut 14 - 16 and 16 and 18 % 16 and 19 had 17 70 18 % 18 % 19 had 19 had 22 values 20 low 22 values 21 sppbm 22 values in males , these prevalence values were 49.5 % [for] grip strength and 39.7 % for sppb . 0 ###LEFT-WALL### 6 values 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 18 . 1 in 2 males 1 in 3 , 1 in 6 values 4 these 6 values 5 prevalence 6 values 6 values 7 were 7 were 15 % 8 49.5 9 % 8 49.5 13 and 9 % 11 grip 11 grip 12 strength 13 and 14 39.7 13 and 15 % 15 % 16 for 16 for 17 sppb the logistic regression analysis showed that low sppbm was associated with grip strength ( or : 0.88 , 95 % ci : 0.84 - 0.92 [ )(independent [of] smi . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 16 : 1 the 4 analysis 2 logistic 3 regression 3 regression 4 analysis 4 analysis 5 showed 5 showed 6 that 5 showed 7 low 5 showed 8 sppbm 5 showed 10 associated 8 sppbm 9 was 9 was 10 associated 10 associated 11 with 11 with 13 strength 12 grip 13 strength 13 strength 15 or 14 ( 15 or 15 or 16 : 16 : 17 0.88 16 : 22 : 17 0.88 21 ci 18 , 21 ci 19 95 21 ci 20 % 21 ci 21 ci 22 : 22 : 23 0.84 22 : 24 - 22 : 30 . 24 - 29 smi 25 0.92 29 smi 27 )(independent 29 smi conclusion : in a population [-] based sample of the very old the prevalence of sarcopenia according to the ewgsop algorithm is similar to the prevalence of sarcopenia with smi as a single criterion . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 14 prevalence 2 : 22 is 2 : 35 . 3 in 8 sample 3 in 14 prevalence 4 a 5 population 4 a 8 sample 5 population 7 based 7 based 8 sample 8 sample 9 of 9 of 12 old 10 the 11 very 10 the 12 old 13 the 14 prevalence 14 prevalence 15 of 14 prevalence 22 is 15 of 17 according 16 sarcopenia 17 according 17 according 18 to 18 to 21 algorithm 19 the 21 algorithm 20 ewgsop 21 algorithm 22 is 23 similar 23 similar 24 to 23 similar 31 as 24 to 26 prevalence 25 the 26 prevalence 26 prevalence 27 of 27 of 28 sarcopenia 28 sarcopenia 29 with 29 with 30 smi 31 as 34 criterion 32 a 33 single 32 a 34 criterion 33 single 34 criterion a large number of participants with a sufficient smi value showed low muscle strength [and/or] a poor sppbm score . 0 ###LEFT-WALL### 5 participants 0 ###LEFT-WALL### 19 score 0 ###LEFT-WALL### 20 . 1 a 2 large 1 a 3 number 2 large 3 number 3 number 4 of 3 number 5 participants 4 of 5 participants 5 participants 6 with 5 participants 10 value 5 participants 11 showed 5 participants 19 score 6 with 9 smi 7 a 8 sufficient 7 a 9 smi 8 sufficient 9 smi 10 value 11 showed 11 showed 14 strength 11 showed 18 sppbm 12 low 13 muscle 13 muscle 14 strength 16 a 17 poor 16 a 18 sppbm 17 poor 18 sppbm a low sppbm was associated with grip strength but not with smi . 0 ###LEFT-WALL### 3 sppbm 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 13 . 1 a 2 low 1 a 3 sppbm 2 low 3 sppbm 3 sppbm 4 was 4 was 5 associated 5 associated 9 but 6 with 8 strength 6 with 9 but 7 grip 8 strength 9 but 10 not 9 but 11 with 11 with 12 smi background : on 11 january 2009 , taiwan expanded its smoke - free legislation to all indoor public places and workplaces . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 22 . 1 background 2 : 2 : 3 on 3 on 5 january 4 11 5 january 5 january 6 2009 7 , 8 taiwan 7 , 9 expanded 7 , 12 - 8 taiwan 9 expanded 9 expanded 11 smoke 10 its 11 smoke 12 - 20 and 13 free 14 legislation 14 legislation 15 to 14 legislation 20 and 15 to 19 places 16 all 19 places 17 indoor 19 places 18 public 19 places 20 and 21 workplaces this study examined the impact of this policy on secondhand smoke ( shs ) [exposure] in adult [non] [-] smokers , across gender and socioeconomic status groups ( ses ) . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 31 . 1 this 2 study 2 study 3 examined 3 examined 5 impact 3 examined 9 on 3 examined 16 in 4 the 5 impact 5 impact 6 of 6 of 8 policy 7 this 8 policy 9 on 11 smoke 10 secondhand 11 smoke 11 smoke 13 shs 12 ( 13 shs 13 shs 14 ) 16 in 20 smokers 17 adult 20 smokers 20 smokers 22 across 21 , 22 across 22 across 24 and 22 across 30 ) 23 gender 24 and 24 and 27 groups 24 and 29 ses 25 socioeconomic 26 status 26 status 27 groups 28 ( 29 ses 29 ses 30 ) methods : an annual sample of about 13,000 - 14,000 [non] [-] smokers was drawn from cross [-] sectional nationwide data of taiwan adult tobacco behavior surveys during 2005 - 2011 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 sample 2 : 15 drawn 2 : 32 . 3 an 4 annual 3 an 5 sample 4 annual 5 sample 5 sample 6 of 5 sample 14 was 6 of 13 smokers 7 about 9 - 8 13,000 9 - 9 - 10 14,000 9 - 13 smokers 14 was 15 drawn 15 drawn 16 from 15 drawn 28 during 16 from 21 data 17 cross 21 data 19 sectional 21 data 20 nationwide 21 data 21 data 22 of 22 of 27 surveys 23 taiwan 24 adult 24 adult 25 tobacco 25 tobacco 26 behavior 26 behavior 27 surveys 28 during 30 - 29 2005 30 - 30 - 31 2011 logistic regressions were used to analyse the aggregate data to estimate the association between the 2009 smoke - free legislation and shs exposures in homes and workplaces . 0 ###LEFT-WALL### 2 regressions 0 ###LEFT-WALL### 4 used 1 logistic 2 regressions 2 regressions 3 were 3 were 4 used 4 used 5 to 4 used 6 analyse 5 to 6 analyse 6 analyse 9 data 6 analyse 10 to 7 the 9 data 8 aggregate 9 data 10 to 11 estimate 11 estimate 13 association 11 estimate 14 between 12 the 13 association 14 between 17 smoke 15 the 17 smoke 16 2009 17 smoke 17 smoke 26 and 18 - 26 and 19 free 20 legislation 20 legislation 21 and 21 and 23 exposures 21 and 24 in 21 and 26 and 22 shs 23 exposures 24 in 25 homes 26 and 27 workplaces 26 and 28 . interaction terms were used to examine the impact of the 2009 smoke - free policy on reducing differences in shs exposure across gender , education and income groups . 0 ###LEFT-WALL### 2 terms 0 ###LEFT-WALL### 4 used 1 interaction 2 terms 2 terms 3 were 3 were 4 used 4 used 5 to 4 used 6 examine 5 to 6 examine 6 examine 8 impact 7 the 8 impact 8 impact 9 of 9 of 12 smoke 10 the 12 smoke 11 2009 12 smoke 12 smoke 15 policy 13 - 15 policy 14 free 15 policy 15 policy 16 on 15 policy 29 . 16 on 17 reducing 17 reducing 18 differences 17 reducing 19 in 17 reducing 22 across 19 in 21 exposure 20 shs 21 exposure 22 across 26 and 23 gender 24 , 24 , 25 education 24 , 26 and 26 and 28 groups 27 income 28 groups results : the 2009 policy reduced the odds of shs exposure in homes in 2009 ( or=0.76 , 95 % ci 0.68 to 0.84 ) and in workplaces ( [year] 2009 : or=0.49 , 95 % ci 0.39 to 0.62 [;] year 2010 : or=0.79 , 95 % ci 0.66 to 0.95 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 54 . 2 : 5 policy 2 : 6 reduced 2 : 32 : 2 : 34 , 3 the 5 policy 4 2009 5 policy 5 policy 6 reduced 6 reduced 8 odds 6 reduced 12 in 6 reduced 26 and 7 the 8 odds 8 odds 9 of 9 of 11 exposure 10 shs 11 exposure 12 in 13 homes 14 in 15 2009 14 in 26 and 15 2009 17 or=0.76 16 ( 17 or=0.76 17 or=0.76 21 ci 17 or=0.76 25 ) 18 , 21 ci 19 95 21 ci 20 % 21 ci 21 ci 23 to 21 ci 25 ) 22 0.68 23 to 23 to 24 0.84 26 and 27 in 27 in 28 workplaces 28 workplaces 31 2009 29 ( 31 2009 31 2009 32 : 32 : 33 or=0.49 34 , 37 ci 34 , 44 : 35 95 37 ci 36 % 37 ci 37 ci 39 to 37 ci 44 : 38 0.39 39 to 39 to 40 0.62 40 0.62 42 year 42 year 43 2010 44 : 45 or=0.79 45 or=0.79 49 ci 46 , 49 ci 47 95 49 ci 48 % 49 ci 49 ci 51 to 49 ci 53 ) 50 0.66 51 to 51 to 52 0.95 the model with interaction terms showed that men were more likely than women to be exposed to workplace shs ( or=2.02 , 95 % ci 1.80 to 2.27 ) but were less likely to be exposed to home shs ( or=0.79 , 95 % ci 0.73 to 0.86 ) . 0 ###LEFT-WALL### 2 model 0 ###LEFT-WALL### 6 showed 0 ###LEFT-WALL### 50 . 1 the 2 model 2 model 3 with 2 model 6 showed 3 with 5 terms 4 interaction 5 terms 6 showed 7 that 7 that 8 men 7 that 9 were 8 men 9 were 9 were 10 more 9 were 11 likely 11 likely 12 than 11 likely 14 to 12 than 13 women 14 to 30 but 15 be 16 exposed 15 be 30 but 16 exposed 17 to 17 to 19 shs 18 workplace 19 shs 19 shs 21 or=2.02 19 shs 25 ci 20 ( 21 or=2.02 21 or=2.02 22 , 22 , 25 ci 23 95 25 ci 24 % 25 ci 25 ci 27 to 25 ci 29 ) 26 1.80 27 to 27 to 28 2.27 30 but 31 were 31 were 33 likely 32 less 33 likely 33 likely 34 to 33 likely 37 to 34 to 35 be 35 be 36 exposed 37 to 38 home 38 home 39 shs 39 shs 41 or=0.79 39 shs 45 ci 40 ( 41 or=0.79 41 or=0.79 42 , 42 , 45 ci 43 95 45 ci 44 % 45 ci 45 ci 47 to 45 ci 49 ) 46 0.73 47 to 47 to 48 0.86 shs exposure in homes was significantly related to lower socioeconomic status , but the 2009 smoke - free policy reduced the difference in shs exposure across education levels . 0 ###LEFT-WALL### 2 exposure 0 ###LEFT-WALL### 7 related 0 ###LEFT-WALL### 17 - 1 shs 2 exposure 2 exposure 3 in 2 exposure 5 was 3 in 4 homes 5 was 6 significantly 5 was 7 related 7 related 8 to 8 to 11 status 9 lower 11 status 10 socioeconomic 11 status 11 status 13 but 12 , 13 but 13 but 16 smoke 13 but 17 - 14 the 16 smoke 15 2009 16 smoke 17 - 19 policy 17 - 20 reduced 17 - 29 . 18 free 19 policy 19 policy 20 reduced 20 reduced 22 difference 20 reduced 23 in 20 reduced 26 across 21 the 22 difference 23 in 25 exposure 24 shs 25 exposure 26 across 28 levels 27 education 28 levels conclusions : the 2009 smoke - free policy reduced the shs exposure for [non] [-] smokers . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 smoke 2 : 6 - 2 : 17 . 3 the 4 2009 4 2009 5 smoke 6 - 8 policy 6 - 9 reduced 7 free 8 policy 8 policy 9 reduced 9 reduced 12 exposure 9 reduced 13 for 10 the 12 exposure 11 shs 12 exposure 13 for 16 smokers however , this impact on home shs did not persist after 2009 , and the effect of protection was unequal across gender and ses groups . 0 ###LEFT-WALL### 4 impact 0 ###LEFT-WALL### 10 persist 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 26 . 1 however 2 , 1 however 4 impact 3 this 4 impact 4 impact 5 on 4 impact 8 did 5 on 7 shs 6 home 7 shs 8 did 9 not 8 did 10 persist 10 persist 11 after 11 after 12 2009 13 , 14 and 14 and 16 effect 14 and 19 was 15 the 16 effect 16 effect 17 of 16 effect 19 was 17 of 18 protection 19 was 20 unequal 20 unequal 21 across 21 across 23 and 22 gender 23 and 23 and 25 groups 24 ses 25 groups thus , further enforcement of smoking restrictions would be needed to reduce the risk of shs exposure and improve protection against shs risk among parts of the population with lower socioeconomic status . 0 ###LEFT-WALL### 4 enforcement 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 33 . 1 thus 2 , 1 thus 4 enforcement 3 further 4 enforcement 4 enforcement 5 of 4 enforcement 8 would 5 of 6 smoking 6 smoking 7 restrictions 8 would 9 be 9 be 10 needed 10 needed 11 to 11 to 18 and 12 reduce 14 risk 12 reduce 18 and 13 the 14 risk 14 risk 15 of 15 of 17 exposure 16 shs 17 exposure 18 and 19 improve 18 and 21 against 18 and 23 risk 19 improve 20 protection 21 against 22 shs 23 risk 24 among 23 risk 26 of 24 among 25 parts 26 of 28 population 27 the 28 population 28 population 29 with 29 with 32 status 30 lower 32 status 31 socioeconomic 32 status objective : to examine the efficacy of cognitive speed of processing training ( sopt ) among individuals with parkinson disease ( pd ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 examine 2 : 24 . 3 to 4 examine 4 examine 6 efficacy 5 the 6 efficacy 6 efficacy 7 of 6 efficacy 10 of 7 of 9 speed 8 cognitive 9 speed 10 of 11 processing 11 processing 12 training 11 processing 16 among 11 processing 18 with 12 training 14 sopt 13 ( 14 sopt 14 sopt 15 ) 16 among 17 individuals 18 with 20 disease 19 parkinson 20 disease 20 disease 22 pd 21 ( 22 pd 22 pd 23 ) moderators of sopt were also examined . 0 ###LEFT-WALL### 1 moderators 0 ###LEFT-WALL### 6 examined 0 ###LEFT-WALL### 7 . 1 moderators 2 of 1 moderators 4 were 2 of 3 sopt 4 were 6 examined 5 also 6 examined participants were assessed at baseline and after 3 months of training ( or an equivalent delay ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 assessed 0 ###LEFT-WALL### 18 . 1 participants 2 were 2 were 3 assessed 3 assessed 6 and 4 at 5 baseline 4 at 6 and 6 and 7 after 7 after 9 months 8 3 9 months 9 months 10 of 10 of 13 or 11 training 13 or 12 ( 13 or 13 or 16 delay 13 or 17 ) 14 an 15 equivalent 14 an 16 delay 15 equivalent 16 delay the primary outcome measure [was] useful field of view [test] ( ufov [ )(performance , and secondary outcomes included cognitive self - perceptions and depressive symptoms . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 22 - 0 ###LEFT-WALL### 27 . 1 the 7 field 2 primary 3 outcome 3 outcome 4 measure 4 measure 7 field 6 useful 7 field 7 field 8 of 7 field 16 and 8 of 9 view 9 view 14 )(performance 11 ( 14 )(performance 12 ufov 14 )(performance 14 )(performance 15 , 16 and 21 self 17 secondary 18 outcomes 18 outcomes 19 included 19 included 21 self 20 cognitive 21 self 22 - 24 and 23 perceptions 24 and 24 and 26 symptoms 25 depressive 26 symptoms results : results indicated that participants randomized to sopt experienced significantly greater improvements on ufov performance relative to controls , wilks λ [=] 0.938 , f 1,72 = 4.79 , p = 0.032 , partial η ( 2 ) = 0.062 . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 results 2 : 40 = 2 : 42 . 3 results 4 indicated 3 results 5 that 3 results 10 experienced 3 results 40 = 5 that 6 participants 5 that 10 experienced 6 participants 7 randomized 6 participants 10 experienced 7 randomized 8 to 8 to 9 sopt 10 experienced 13 improvements 10 experienced 14 on 10 experienced 32 = 11 significantly 12 greater 12 greater 13 improvements 14 on 16 performance 15 ufov 16 performance 16 performance 17 relative 16 performance 28 = 17 relative 18 to 18 to 19 controls 19 controls 22 λ 20 , 22 λ 21 wilks 22 λ 22 λ 24 0.938 22 λ 25 , 26 f 28 = 27 1,72 28 = 28 = 29 4.79 30 , 32 = 31 p 32 = 32 = 33 0.032 33 0.032 36 η 34 , 36 η 35 partial 36 η 36 η 38 2 36 η 39 ) 37 ( 38 2 38 2 39 ) 40 = 41 0.062 findings indicated no significant effect of training on secondary outcomes , wilks λ = 0.987 , f2,70 < 1 , p = 0.637 , partial η ( 2 ) = 0.013 . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 2 indicated 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 32 . 1 findings 2 indicated 2 indicated 5 effect 2 indicated 8 on 3 no 5 effect 4 significant 5 effect 5 effect 6 of 6 of 7 training 8 on 10 outcomes 9 secondary 10 outcomes 11 , 12 wilks 11 , 13 λ 11 , 16 , 12 wilks 13 λ 13 λ 15 0.987 14 = 15 0.987 16 , 17 f2,70 16 , 18 < 16 , 24 , 17 f2,70 18 < 18 < 19 1 19 1 22 = 20 , 22 = 21 p 22 = 22 = 23 0.637 24 , 26 η 24 , 30 = 25 partial 26 η 26 η 28 2 26 η 30 = 27 ( 28 2 28 2 29 ) 30 = 31 0.013 conclusions : patients with mild [to] moderate stage pd can [self] - administer sopt and improve their cognitive speed of processing , as indexed by ufov ( a robust predictor of driving performance in aging and pd ) . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 patients 2 : 10 can 2 : 12 - 2 : 39 . 3 patients 4 with 3 patients 10 can 4 with 9 pd 5 mild 8 stage 7 moderate 8 stage 8 stage 9 pd 12 - 15 and 13 administer 14 sopt 13 administer 15 and 15 and 16 improve 16 improve 19 speed 16 improve 25 by 17 their 19 speed 18 cognitive 19 speed 19 speed 20 of 19 speed 24 indexed 20 of 21 processing 22 , 24 indexed 23 as 24 indexed 25 by 26 ufov 26 ufov 36 and 27 ( 36 and 28 a 30 predictor 29 robust 30 predictor 30 predictor 31 of 30 predictor 35 aging 30 predictor 36 and 31 of 32 driving 32 driving 33 performance 32 driving 34 in 36 and 37 pd 36 and 38 ) further research should establish if persons with pd experience longitudinal benefits of such training [and] if improvements translate to benefits in functional activities such as driving . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 4 establish 0 ###LEFT-WALL### 27 . 1 further 2 research 2 research 3 should 3 should 4 establish 4 establish 5 if 4 establish 16 if 5 if 6 persons 5 if 9 experience 6 persons 7 with 6 persons 9 experience 7 with 8 pd 9 experience 11 benefits 10 longitudinal 11 benefits 11 benefits 12 of 12 of 14 training 13 such 14 training 16 if 17 improvements 16 if 18 translate 17 improvements 18 translate 18 translate 19 to 18 translate 21 in 19 to 20 benefits 21 in 23 activities 22 functional 23 activities 23 activities 25 as 24 such 25 as 25 as 26 driving classification of evidence : this study provides class iii evidence that sopt improves ufov performance among persons in the mild to moderate stages of pd . 0 ###LEFT-WALL### 3 evidence 0 ###LEFT-WALL### 4 : 1 classification 2 of 2 of 3 evidence 4 : 6 study 4 : 7 provides 4 : 26 . 5 this 6 study 6 study 7 provides 7 provides 10 evidence 8 class 9 iii 8 class 10 evidence 10 evidence 11 that 11 that 12 sopt 11 that 13 improves 12 sopt 13 improves 13 improves 15 performance 13 improves 16 among 13 improves 18 in 13 improves 21 to 14 ufov 15 performance 16 among 17 persons 18 in 20 mild 19 the 20 mild 21 to 22 moderate 22 moderate 23 stages 23 stages 24 of 24 of 25 pd the sirtuins are a family of highly conserved nad [(] [+] [ )(- dependent lysine deacylases with important roles in metabolic regulation . 0 ###LEFT-WALL### 2 sirtuins 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 13 )(- 1 the 2 sirtuins 2 sirtuins 3 are 3 are 5 family 4 a 5 family 5 family 6 of 6 of 9 nad 7 highly 8 conserved 8 conserved 9 nad 13 )(- 15 lysine 13 )(- 16 deacylases 13 )(- 23 . 14 dependent 15 lysine 15 lysine 16 deacylases 16 deacylases 17 with 16 deacylases 20 in 17 with 19 roles 18 important 19 roles 20 in 22 regulation 21 metabolic 22 regulation of the seven mammalian sirtuins , three localize to the mitochondria : sirt3 , sirt4 , and sirt5 . 0 ###LEFT-WALL### 7 three 0 ###LEFT-WALL### 8 localize 0 ###LEFT-WALL### 12 : 1 of 5 sirtuins 1 of 6 , 1 of 7 three 2 the 3 seven 3 seven 5 sirtuins 4 mammalian 5 sirtuins 7 three 8 localize 8 localize 9 to 9 to 11 mitochondria 10 the 11 mitochondria 12 : 17 and 12 : 19 . 13 sirt3 14 , 14 , 15 sirt4 14 , 17 and 16 , 17 and 17 and 18 sirt5 mitochondrial sirtuins are crucial regulators of the metabolic network that controls energy homeostasis and impacts cancer , obesity , diabetes , mitochondrial diseases , metabolic disorders , and many other human diseases of aging . 0 ###LEFT-WALL### 2 sirtuins 0 ###LEFT-WALL### 35 . 1 mitochondrial 2 sirtuins 2 sirtuins 3 are 3 are 5 regulators 4 crucial 5 regulators 5 regulators 6 of 5 regulators 10 that 5 regulators 14 and 6 of 9 network 7 the 9 network 8 metabolic 9 network 10 that 14 and 11 controls 13 homeostasis 11 controls 14 and 12 energy 13 homeostasis 14 and 15 impacts 15 impacts 28 and 16 cancer 17 , 17 , 18 obesity 17 , 19 , 19 , 20 diabetes 19 , 21 , 21 , 23 diseases 21 , 24 , 22 mitochondrial 23 diseases 24 , 26 disorders 24 , 28 and 25 metabolic 26 disorders 27 , 28 and 28 and 32 diseases 28 and 33 of 29 many 30 other 30 other 32 diseases 31 human 32 diseases 33 of 34 aging to best study the mitochondrial function of the sirtuins , we have employed an oxygen flux analyzer as a tool to track and record the extracellular oxygen consumption rate and acidification rate that reflects mitochondrial respiration and glycolysis , respectfully . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 41 . 1 to 3 study 2 best 3 study 3 study 6 function 4 the 6 function 5 mitochondrial 6 function 6 function 7 of 7 of 9 sirtuins 8 the 9 sirtuins 10 , 11 we 10 , 23 and 11 we 23 and 12 have 13 employed 12 have 23 and 13 employed 16 flux 14 an 15 oxygen 14 an 16 flux 15 oxygen 16 flux 16 flux 17 analyzer 17 analyzer 18 as 17 analyzer 21 to 17 analyzer 22 track 18 as 20 tool 19 a 20 tool 21 to 22 track 23 and 24 record 24 record 37 and 24 record 40 respectfully 25 the 29 rate 26 extracellular 29 rate 27 oxygen 28 consumption 28 consumption 29 rate 29 rate 30 and 30 and 32 rate 30 and 33 that 30 and 34 reflects 30 and 37 and 31 acidification 32 rate 33 that 34 reflects 34 reflects 36 respiration 35 mitochondrial 36 respiration 37 and 38 glycolysis 37 and 39 , here we described the methods using this assay to study the substrate utilization and mitochondrial function in a human hepatocellular carcinoma cell line , huh7 . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 described 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 26 . 1 here 2 we 2 we 3 described 3 described 5 methods 3 described 6 using 4 the 5 methods 6 using 8 assay 6 using 9 to 6 using 10 study 7 this 8 assay 9 to 10 study 10 study 14 and 10 study 17 in 11 the 14 and 12 substrate 13 utilization 13 utilization 14 and 14 and 16 function 15 mitochondrial 16 function 17 in 23 line 18 a 23 line 19 human 21 carcinoma 20 hepatocellular 21 carcinoma 21 carcinoma 23 line 22 cell 23 line 24 , 25 huh7 additionally , we have generated a stable sirt4 knocked - down huh7 cell line . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 5 generated 0 ###LEFT-WALL### 10 - 1 additionally 2 , 1 additionally 3 we 3 we 4 have 4 have 5 generated 5 generated 8 sirt4 6 a 7 stable 6 a 8 sirt4 7 stable 8 sirt4 8 sirt4 9 knocked 10 - 14 line 10 - 15 . 11 down 14 line 12 huh7 14 line 13 cell 14 line with this cell line , we evaluated how the absence of sirt4 affects mitochondrial function [,] glucose utilization , glutamine oxidation , and fatty acid oxidation in these cells . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 evaluated 0 ###LEFT-WALL### 30 . 1 with 4 line 1 with 5 , 1 with 6 we 2 this 4 line 3 cell 4 line 6 we 7 evaluated 7 evaluated 8 how 7 evaluated 27 in 8 how 10 absence 8 how 13 affects 9 the 10 absence 10 absence 11 of 10 absence 13 affects 11 of 12 sirt4 13 affects 23 and 14 mitochondrial 15 function 15 function 18 utilization 17 glucose 18 utilization 18 utilization 19 , 19 , 21 oxidation 19 , 23 and 20 glutamine 21 oxidation 22 , 23 and 23 and 26 oxidation 24 fatty 26 oxidation 25 acid 26 oxidation 27 in 29 cells 28 these 29 cells nicotinamide adenine dinucleotide ( nad [(] [+] [ )( (plays a critical role in regulating numerous biological and physiological pathways including metabolism , inflammation , cancer , and aging in mammals . 0 ###LEFT-WALL### 3 dinucleotide 0 ###LEFT-WALL### 10 (plays 0 ###LEFT-WALL### 32 . 1 nicotinamide 2 adenine 2 adenine 3 dinucleotide 3 dinucleotide 5 nad 3 dinucleotide 10 (plays 4 ( 5 nad 5 nad 9 )( 10 (plays 28 and 11 a 13 role 12 critical 13 role 13 role 14 in 13 role 21 including 13 role 28 and 14 in 15 regulating 15 regulating 20 pathways 16 numerous 20 pathways 17 biological 18 and 18 and 19 physiological 18 and 20 pathways 21 including 22 metabolism 22 metabolism 24 inflammation 22 metabolism 26 cancer 23 , 24 inflammation 24 inflammation 25 , 25 , 26 cancer 26 cancer 27 , 27 , 28 and 28 and 29 aging 28 and 30 in 30 in 31 mammals here we describe a highly quantitative method with reverse - phase high - performance liquid chromatography ( hplc ) for the determination of nad ( [+] [ )(levels in cells and tissues . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 describe 1 here 2 we 2 we 3 describe 3 describe 7 method 4 a 5 highly 4 a 7 method 5 highly 6 quantitative 6 quantitative 7 method 7 method 8 with 7 method 20 for 7 method 23 of 8 with 9 reverse 9 reverse 16 chromatography 10 - 16 chromatography 11 phase 15 liquid 12 high 13 - 12 high 14 performance 14 performance 15 liquid 15 liquid 16 chromatography 16 chromatography 18 hplc 16 chromatography 19 ) 17 ( 18 hplc 18 hplc 19 ) 20 for 22 determination 21 the 22 determination 23 of 24 nad 24 nad 31 and 25 ( 31 and 28 )(levels 29 in 28 )(levels 31 and 29 in 30 cells 31 and 32 tissues 31 and 33 . this methodology provides accurate , reliable , and reproducible results of nad [(] [+] ) measurement , which enables us to analyze various pathophysiological changes in nad [(] [+] [ )(levels in vitro and in vivo . 0 ###LEFT-WALL### 2 methodology 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 37 . 1 this 2 methodology 2 methodology 3 provides 3 provides 16 measurement 4 accurate 10 results 4 accurate 16 measurement 5 , 10 results 6 reliable 8 and 7 , 8 and 8 and 9 reproducible 8 and 10 results 10 results 11 of 10 results 15 ) 11 of 12 nad 17 , 18 which 17 , 19 enables 18 which 19 enables 19 enables 20 us 19 enables 21 to 19 enables 22 analyze 21 to 22 analyze 22 analyze 25 changes 22 analyze 26 in 22 analyze 34 and 23 various 25 changes 24 pathophysiological 25 changes 26 in 31 )(levels 27 nad 31 )(levels 32 in 33 vitro 33 vitro 34 and 34 and 36 vivo 35 in 36 vivo sirtuins are a class of enzymes with important functions in regulation aging , metabolism , and genome stability . 0 ###LEFT-WALL### 1 sirtuins 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 19 . 1 sirtuins 2 are 2 are 16 and 2 are 18 stability 3 a 4 class 4 class 5 of 4 class 13 , 5 of 6 enzymes 6 enzymes 7 with 7 with 9 functions 8 important 9 functions 9 functions 10 in 10 in 11 regulation 11 regulation 12 aging 13 , 14 metabolism 13 , 16 and 15 , 16 and 16 and 17 genome they were originally known as nicotinamide adenine dinucleotide ( nad ) - dependent protein lysine deacetylases . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 4 known 0 ###LEFT-WALL### 12 - 1 they 2 were 2 were 4 known 3 originally 4 known 4 known 5 as 5 as 8 dinucleotide 6 nicotinamide 8 dinucleotide 7 adenine 8 dinucleotide 8 dinucleotide 10 nad 9 ( 10 nad 10 nad 11 ) 12 - 15 lysine 12 - 16 deacetylases 12 - 17 . 13 dependent 14 protein 14 protein 15 lysine 15 lysine 16 deacetylases however , recently it has been discovered that certain sirtuins with weak deacetylase activity also hydrolyze novel acyl lysine modifications . 0 ###LEFT-WALL### 4 it 0 ###LEFT-WALL### 7 discovered 0 ###LEFT-WALL### 21 . 1 however 2 , 1 however 4 it 3 recently 4 it 4 it 5 has 5 has 6 been 6 been 7 discovered 7 discovered 8 that 8 that 10 sirtuins 8 that 16 hydrolyze 9 certain 10 sirtuins 10 sirtuins 11 with 10 sirtuins 16 hydrolyze 11 with 14 activity 12 weak 13 deacetylase 13 deacetylase 14 activity 15 also 16 hydrolyze 16 hydrolyze 20 modifications 17 novel 18 acyl 18 acyl 20 modifications 19 lysine 20 modifications these findings indicate that other sirtuins with weak deacetylase activity may also possess novel activities on unknown protein posttranslational modifications . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 21 . 1 these 2 findings 2 findings 3 indicate 3 indicate 4 that 4 that 6 sirtuins 4 that 13 possess 5 other 6 sirtuins 6 sirtuins 7 with 6 sirtuins 11 may 7 with 10 activity 8 weak 9 deacetylase 9 deacetylase 10 activity 11 may 13 possess 12 also 13 possess 13 possess 15 activities 13 possess 16 on 14 novel 15 activities 16 on 20 modifications 17 unknown 18 protein 18 protein 20 modifications 19 posttranslational 20 modifications analytical methods that can help to identify new activity of sirtuins and new acyl lysine modifications are thus needed . 0 ###LEFT-WALL### 2 methods 0 ###LEFT-WALL### 5 help 0 ###LEFT-WALL### 19 needed 0 ###LEFT-WALL### 20 . 1 analytical 2 methods 2 methods 3 that 2 methods 4 can 2 methods 5 help 3 that 4 can 5 help 6 to 5 help 19 needed 6 to 7 identify 7 identify 9 activity 8 new 9 activity 9 activity 10 of 10 of 12 and 11 sirtuins 12 and 12 and 14 acyl 13 new 14 acyl 15 lysine 16 modifications 16 modifications 17 are 17 are 19 needed 18 thus 19 needed here we describe a sensitive method that uses ( 32 [ ] - labeled nad and thin - layer chromatography to detect sirtuin - catalyzed deacylation reactions . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 describe 0 ###LEFT-WALL### 27 reactions 1 here 2 we 2 we 3 describe 3 describe 6 method 4 a 5 sensitive 4 a 6 method 5 sensitive 6 method 6 method 7 that 6 method 13 - 7 that 8 uses 7 that 13 - 8 uses 10 32 8 uses 13 - 9 ( 10 32 10 32 12 ] 13 - 15 nad 13 - 26 deacylation 14 labeled 15 nad 15 nad 25 catalyzed 16 and 19 layer 16 and 23 sirtuin 16 and 25 catalyzed 17 thin 19 layer 18 - 19 layer 19 layer 20 chromatography 19 layer 21 to 19 layer 23 sirtuin 20 chromatography 21 to 21 to 22 detect 24 - 25 catalyzed this method can help to discover new acyl lysine modifications that can be removed by novel sirtuin activities . 0 ###LEFT-WALL### 2 method 0 ###LEFT-WALL### 4 help 0 ###LEFT-WALL### 19 . 1 this 2 method 2 method 3 can 3 can 4 help 4 help 5 to 5 to 6 discover 6 discover 10 modifications 6 discover 15 by 7 new 8 acyl 8 acyl 9 lysine 9 lysine 10 modifications 10 modifications 11 that 10 modifications 12 can 11 that 12 can 12 can 13 be 13 be 14 removed 15 by 18 activities 16 novel 17 sirtuin 17 sirtuin 18 activities improved sample preparation techniques and increasingly sensitive mass spectrometry [(] [ms] ) analysis have revolutionized the study of protein post - translational modifications ( ptms ) ( rush et al . , nat biotechnol 23:94 - 101 , 2005 ) . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 15 revolutionized 0 ###LEFT-WALL### 41 . 1 improved 2 sample 2 sample 4 techniques 3 preparation 4 techniques 4 techniques 5 and 5 and 13 analysis 5 and 14 have 6 increasingly 7 sensitive 7 sensitive 8 mass 8 mass 13 analysis 9 spectrometry 12 ) 9 spectrometry 13 analysis 14 have 15 revolutionized 15 revolutionized 17 study 16 the 17 study 17 study 18 of 18 of 20 post 19 protein 20 post 20 post 23 modifications 20 post 30 al 21 - 23 modifications 22 translational 23 modifications 23 modifications 25 ptms 23 modifications 26 ) 24 ( 25 ptms 25 ptms 26 ) 27 ( 30 al 28 rush 30 al 29 et 30 al 30 al 31 . 30 al 34 biotechnol 30 al 39 2005 30 al 40 ) 32 , 34 biotechnol 33 nat 34 biotechnol 34 biotechnol 36 - 34 biotechnol 38 , 35 23:94 36 - 36 - 37 101 38 , 39 2005 39 2005 40 ) here , we describe a general approach for immunopurification and [ms] [-] based identification of acetylated proteins in biological samples . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 21 . 1 here 2 , 1 here 3 we 3 we 10 and 4 describe 7 approach 4 describe 10 and 5 a 6 general 5 a 7 approach 6 general 7 approach 7 approach 8 for 8 for 9 immunopurification 10 and 13 based 13 based 14 identification 13 based 18 in 14 identification 15 of 15 of 17 proteins 16 acetylated 17 proteins 18 in 20 samples 19 biological 20 samples this approach is useful to characterize changes in the acetylome in response to biological interventions ( schwer et al . , aging cell 8:604 - 606 , 2009 ) . 0 ###LEFT-WALL### 2 approach 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 30 . 1 this 2 approach 2 approach 3 is 3 is 4 useful 4 useful 5 to 4 useful 8 in 4 useful 13 to 5 to 6 characterize 6 characterize 7 changes 8 in 10 acetylome 9 the 10 acetylome 11 in 12 response 12 response 13 to 13 to 15 interventions 14 biological 15 interventions 15 interventions 19 al 15 interventions 25 - 15 interventions 28 2009 16 ( 19 al 17 schwer 19 al 18 et 19 al 19 al 20 . 19 al 21 , 21 , 25 - 22 aging 23 cell 23 cell 24 8:604 24 8:604 25 - 25 - 26 606 25 - 27 , 27 , 28 2009 28 2009 29 ) the sirtuins are a family of nad ( [+] [ )( dependent deacylases with important effects on aging , cancer , and metabolism . 0 ###LEFT-WALL### 2 sirtuins 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 24 . 1 the 2 sirtuins 2 sirtuins 3 are 3 are 5 family 4 a 5 family 5 family 6 of 5 family 13 deacylases 6 of 7 nad 8 ( 13 deacylases 12 dependent 13 deacylases 13 deacylases 14 with 13 deacylases 17 on 13 deacylases 19 , 14 with 16 effects 15 important 16 effects 17 on 18 aging 19 , 22 and 20 cancer 22 and 21 , 22 and 22 and 23 metabolism sirtuins exert their biological effects by catalyzing deacetylation and/or deacylation reactions in which acyl groups are removed from lysine residues of specific proteins . 0 ###LEFT-WALL### 1 sirtuins 0 ###LEFT-WALL### 17 removed 0 ###LEFT-WALL### 24 . 1 sirtuins 2 exert 2 exert 5 effects 2 exert 6 by 2 exert 9 and/or 3 their 5 effects 4 biological 5 effects 6 by 7 catalyzing 7 catalyzing 8 deacetylation 9 and/or 11 reactions 10 deacylation 11 reactions 11 reactions 12 in 11 reactions 16 are 12 in 13 which 12 in 14 acyl 12 in 15 groups 14 acyl 15 groups 16 are 17 removed 17 removed 18 from 18 from 20 residues 19 lysine 20 residues 20 residues 21 of 21 of 23 proteins 22 specific 23 proteins a current challenge is to identify specific sirtuin target proteins against the high background of acetylated proteins recently identified by proteomic surveys . 0 ###LEFT-WALL### 3 challenge 0 ###LEFT-WALL### 19 identified 0 ###LEFT-WALL### 23 . 1 a 2 current 1 a 3 challenge 2 current 3 challenge 3 challenge 4 is 4 is 5 to 4 is 19 identified 5 to 6 identify 6 identify 10 proteins 6 identify 11 against 7 specific 8 sirtuin 8 sirtuin 9 target 9 target 10 proteins 11 against 14 background 12 the 14 background 13 high 14 background 14 background 15 of 15 of 17 proteins 16 acetylated 17 proteins 18 recently 19 identified 19 identified 20 by 20 by 22 surveys 21 proteomic 22 surveys new evidence indicates that bona fide sirtuin substrate proteins form stable physical associations with their sirtuin regulator . 0 ###LEFT-WALL### 2 evidence 0 ###LEFT-WALL### 3 indicates 0 ###LEFT-WALL### 18 . 1 new 2 evidence 2 evidence 3 indicates 3 indicates 4 that 4 that 9 proteins 4 that 10 form 5 bona 6 fide 6 fide 7 sirtuin 7 sirtuin 9 proteins 8 substrate 9 proteins 9 proteins 10 form 10 form 13 associations 10 form 14 with 11 stable 13 associations 12 physical 13 associations 14 with 17 regulator 15 their 17 regulator 16 sirtuin 17 regulator therefore , identification of sirtuin interacting proteins could be a useful aid in focusing the search for substrates . 0 ###LEFT-WALL### 3 identification 0 ###LEFT-WALL### 9 be 0 ###LEFT-WALL### 19 . 1 therefore 2 , 1 therefore 3 identification 3 identification 4 of 3 identification 8 could 4 of 7 proteins 5 sirtuin 6 interacting 6 interacting 7 proteins 8 could 9 be 9 be 12 aid 10 a 12 aid 11 useful 12 aid 12 aid 13 in 13 in 14 focusing 14 focusing 16 search 15 the 16 search 16 search 17 for 17 for 18 substrates described here is a method for identifying sirtuin protein interactors . 0 ###LEFT-WALL### 1 described 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 11 . 1 described 2 here 1 described 3 is 3 is 5 method 4 a 5 method 5 method 6 for 6 for 7 identifying 7 identifying 10 interactors 8 sirtuin 10 interactors 9 protein 10 interactors employing basic techniques of molecular cloning and immunochemistry , the method describes the generation of mammalian sirtuin protein expression plasmids and their use to overexpress and [immunoprecipitate] sirtuins with their interacting partners . 0 ###LEFT-WALL### 11 method 0 ###LEFT-WALL### 12 describes 0 ###LEFT-WALL### 33 . 1 employing 7 and 1 employing 9 , 1 employing 11 method 2 basic 3 techniques 3 techniques 4 of 3 techniques 7 and 4 of 6 cloning 5 molecular 6 cloning 7 and 8 immunochemistry 10 the 11 method 11 method 12 describes 12 describes 26 and 12 describes 29 with 13 the 14 generation 14 generation 15 of 14 generation 26 and 15 of 21 and 16 mammalian 17 sirtuin 17 sirtuin 20 plasmids 18 protein 19 expression 19 expression 20 plasmids 20 plasmids 21 and 21 and 23 use 21 and 24 to 21 and 25 overexpress 22 their 23 use 24 to 25 overexpress 26 and 28 sirtuins 29 with 32 partners 30 their 32 partners 31 interacting 32 partners also described is the use of the database for annotation , visualization , and integrated discovery for interpreting the sirtuin protein - interaction data obtained . 0 ###LEFT-WALL### 2 described 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 22 - 0 ###LEFT-WALL### 26 . 1 also 2 described 2 described 3 is 3 is 5 use 4 the 5 use 5 use 6 of 5 use 9 for 6 of 8 database 7 the 8 database 9 for 14 and 10 annotation 11 , 11 , 12 visualization 11 , 14 and 13 , 14 and 14 and 16 discovery 14 and 17 for 15 integrated 16 discovery 17 for 18 interpreting 18 interpreting 21 protein 19 the 21 protein 20 sirtuin 21 protein 22 - 24 data 23 interaction 24 data 24 data 25 obtained the nematode caenorhabditis elegans ( [c] [.] elegans ) has four sir2 paralogs , sir - 2.1 , sir - 2.2 , sir [-] 2.3 , and sir - 2.4 . 0 ###LEFT-WALL### 2 nematode 0 ###LEFT-WALL### 10 has 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 31 . 1 the 2 nematode 2 nematode 3 caenorhabditis 2 nematode 4 elegans 2 nematode 8 elegans 2 nematode 10 has 3 caenorhabditis 4 elegans 5 ( 8 elegans 8 elegans 9 ) 10 has 13 paralogs 11 four 13 paralogs 12 sir2 13 paralogs 14 , 15 sir 14 , 16 - 16 - 17 2.1 16 - 18 , 18 , 19 sir 18 , 20 - 20 - 21 2.2 20 - 22 , 22 , 27 and 22 , 29 - 23 sir 25 2.3 23 sir 27 and 26 , 27 and 27 and 28 sir 29 - 30 2.4 thus far , most of the research tools to study worm sirtuins have been developed for sir [-] 2.1 , due to its homology to yeast sir2 and human sirt1 . 0 ###LEFT-WALL### 8 tools 0 ###LEFT-WALL### 15 developed 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 31 . 1 thus 2 far 2 far 3 , 2 far 8 tools 4 most 5 of 4 most 8 tools 5 of 8 tools 6 the 8 tools 7 research 8 tools 8 tools 9 to 8 tools 13 have 9 to 12 sirtuins 10 study 11 worm 11 worm 12 sirtuins 13 have 14 been 14 been 15 developed 15 developed 16 for 16 for 17 sir 17 sir 19 2.1 20 , 30 sirt1 21 due 22 to 21 due 28 and 22 to 24 homology 23 its 24 homology 24 homology 25 to 25 to 27 sir2 26 yeast 27 sir2 28 and 29 human 28 and 30 sirt1 here , we have compiled a listing of the currently available strains ( including both [loss] - of [-] function alleles and transgenics ) , antibodies , and rnai constructs relevant to studies on [all] c . elegans sirtuin family members . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 5 compiled 0 ###LEFT-WALL### 37 . 1 here 2 , 1 here 3 we 3 we 4 have 4 have 5 compiled 5 compiled 28 and 6 a 7 listing 7 listing 8 of 7 listing 18 of 7 listing 28 and 8 of 12 strains 9 the 12 strains 10 currently 11 available 11 available 12 strains 12 strains 14 including 13 ( 14 including 14 including 15 both 14 including 17 - 18 of 22 and 20 function 21 alleles 21 alleles 22 and 22 and 23 transgenics 22 and 24 ) 22 and 26 antibodies 25 , 26 antibodies 26 antibodies 27 , 27 , 28 and 28 and 30 constructs 28 and 31 relevant 29 rnai 30 constructs 31 relevant 32 to 31 relevant 34 on 32 to 33 studies 34 on 36 c 37 . 41 members 37 . 42 . 38 elegans 41 members 39 sirtuin 40 family 40 family 41 members we also describe the methods used in the analysis of c . elegans sirtuin function , including life span analysis , various stress - resistance assays , and fat content analysis and provide an overview of all phenotypic data relevant to c . elegans sir - 2.1 . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 describe 0 ###LEFT-WALL### 12 . 0 ###LEFT-WALL### 43 . 1 we 3 describe 2 also 3 describe 3 describe 5 methods 3 describe 7 in 4 the 5 methods 5 methods 6 used 7 in 9 analysis 8 the 9 analysis 9 analysis 10 of 10 of 11 c 12 . 15 function 12 . 16 , 13 elegans 14 sirtuin 14 sirtuin 15 function 16 , 28 and 16 , 32 and 17 including 20 analysis 17 including 24 - 17 including 28 and 18 life 20 analysis 19 span 20 analysis 20 analysis 23 stress 21 , 23 stress 22 various 23 stress 23 stress 24 - 25 resistance 26 assays 26 assays 28 and 27 , 28 and 28 and 29 fat 28 and 32 and 30 content 31 analysis 30 content 32 and 32 and 33 provide 33 provide 35 overview 34 an 35 overview 35 overview 36 of 35 overview 40 relevant 36 of 39 data 37 all 39 data 38 phenotypic 39 data 40 relevant 41 to 41 to 42 c 43 . 45 sir 43 . 46 - 44 elegans 45 sir 46 - 47 2.1 46 - 48 . background and aims : studies examining predictors of survival among the oldest - old have primarily focused on objective measures , [such] as physical function and health status . 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 29 . 1 background 2 and 2 and 3 aims 3 aims 4 : 4 : 5 studies 5 studies 6 examining 6 examining 7 predictors 6 examining 17 focused 7 predictors 8 of 7 predictors 10 among 7 predictors 15 have 8 of 9 survival 10 among 14 old 11 the 12 oldest 11 the 14 old 12 oldest 13 - 15 have 17 focused 16 primarily 17 focused 17 focused 18 on 18 on 26 and 19 objective 20 measures 20 measures 21 , 21 , 25 function 21 , 26 and 23 as 24 physical 24 physical 25 function 26 and 28 status 27 health 28 status only a few studies have examined the effect of personality traits on survival , such as optimism . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 6 examined 1 only 3 few 2 a 3 few 3 few 4 studies 4 studies 5 have 5 have 6 examined 6 examined 8 effect 6 examined 12 on 7 the 8 effect 8 effect 9 of 9 of 11 traits 10 personality 11 traits 12 on 13 survival 13 survival 16 as 14 , 16 as 15 such 16 as 16 as 17 optimism 16 as 18 . the aim of this study was to examine whether an optimistic outlook predicts survival among the oldest - old . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 20 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 examine 7 to 8 examine 8 examine 9 whether 9 whether 12 outlook 9 whether 13 predicts 10 an 11 optimistic 10 an 12 outlook 11 optimistic 12 outlook 12 outlook 13 predicts 13 predicts 14 survival 13 predicts 15 among 15 among 19 old 16 the 17 oldest 16 the 19 old 17 oldest 18 - methods : the danish 1905 cohort survey is a nationwide , longitudinal survey comprising all individuals born in denmark in 1905 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 7 survey 2 : 8 is 2 : 22 . 3 the 4 danish 4 danish 7 survey 5 1905 6 cohort 6 cohort 7 survey 7 survey 8 is 8 is 13 survey 9 a 10 nationwide 9 a 13 survey 10 nationwide 11 , 10 nationwide 13 survey 12 longitudinal 13 survey 13 survey 14 comprising 13 survey 17 born 14 comprising 16 individuals 15 all 16 individuals 17 born 18 in 17 born 20 in 18 in 19 denmark 20 in 21 1905 at baseline in 1998 , a total of 2,262 persons aged 92 or 93 agreed to participate in the intake survey . 0 ###LEFT-WALL### 7 total 0 ###LEFT-WALL### 15 agreed 0 ###LEFT-WALL### 22 . 1 at 2 baseline 1 at 5 , 1 at 7 total 2 baseline 3 in 3 in 4 1998 6 a 7 total 7 total 8 of 7 total 11 aged 7 total 15 agreed 8 of 10 persons 9 2,262 10 persons 11 aged 13 or 12 92 13 or 13 or 14 93 15 agreed 16 to 15 agreed 17 participate 16 to 17 participate 17 participate 18 in 18 in 21 survey 19 the 21 survey 20 intake 21 survey the baseline in [-] person [interview] consisted of a comprehensive questionnaire including physical functioning and health , and a question about whether the respondent had an optimistic , neutral or pessimistic outlook on his or her own future . 0 ###LEFT-WALL### 2 baseline 0 ###LEFT-WALL### 7 consisted 0 ###LEFT-WALL### 39 . 1 the 2 baseline 2 baseline 7 consisted 3 in 5 person 5 person 7 consisted 7 consisted 8 of 8 of 11 questionnaire 9 a 10 comprehensive 9 a 11 questionnaire 10 comprehensive 11 questionnaire 11 questionnaire 12 including 12 including 35 or 13 physical 14 functioning 13 physical 15 and 15 and 16 health 15 and 18 and 17 , 18 and 18 and 20 question 18 and 21 about 18 and 35 or 19 a 20 question 21 about 22 whether 22 whether 24 respondent 22 whether 25 had 23 the 24 respondent 24 respondent 25 had 25 had 32 outlook 25 had 33 on 26 an 27 optimistic 26 an 32 outlook 27 optimistic 28 , 27 optimistic 32 outlook 29 neutral 30 or 30 or 31 pessimistic 30 or 32 outlook 33 on 34 his 35 or 38 future 36 her 37 own 36 her 38 future results : during the [follow] [-] up period of 12 years ( 1998 - 2010 ) there were 2,239 deaths ( 99 % ) in the 1905 cohort survey . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 17 there 2 : 18 were 2 : 30 . 3 during 8 period 3 during 16 ) 3 during 17 there 4 the 8 period 7 up 8 period 8 period 9 of 8 period 14 - 9 of 11 years 10 12 11 years 12 ( 14 - 13 1998 14 - 14 - 15 2010 14 - 16 ) 17 there 18 were 18 were 20 deaths 18 were 25 in 19 2,239 20 deaths 20 deaths 23 % 21 ( 23 % 22 99 23 % 23 % 24 ) 25 in 29 survey 26 the 29 survey 27 1905 28 cohort 28 cohort 29 survey univariable analyses revealed that optimistic women and men were at lower risk of death compared to their neutral counterparts [ hr 0.82 , 95 % ci ( 0.73 - 0.93 [ )(and 0.81 , 95 % ci ( 0.66 - 0.99 ) , respectively ] . 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 3 revealed 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 46 . 1 univariable 2 analyses 2 analyses 3 revealed 3 revealed 6 women 4 that 5 optimistic 5 optimistic 6 women 7 and 8 men 7 and 9 were 8 men 9 were 9 were 10 at 9 were 16 to 9 were 44 respectively 10 at 12 risk 11 lower 12 risk 12 risk 13 of 13 of 14 death 14 death 15 compared 16 to 19 counterparts 17 their 19 counterparts 18 neutral 19 counterparts 19 counterparts 21 hr 19 counterparts 26 ci 20 [ 21 hr 21 hr 22 0.82 21 hr 23 , 23 , 26 ci 24 95 26 ci 25 % 26 ci 26 ci 29 - 26 ci 43 , 27 ( 29 - 28 0.73 29 - 29 - 32 )(and 29 - 42 ) 30 0.93 32 )(and 32 )(and 33 0.81 32 )(and 37 ci 34 , 37 ci 35 95 37 ci 36 % 37 ci 37 ci 40 - 37 ci 42 ) 38 ( 40 - 39 0.66 40 - 40 - 41 0.99 40 - 42 ) 43 , 44 respectively 44 respectively 45 ] when confounding factors such as baseline physical and cognitive functioning and disease were taken into account the association between optimism and survival weakened in both sexes , but the general pattern persisted . 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 23 weakened 0 ###LEFT-WALL### 28 but 0 ###LEFT-WALL### 33 . 1 when 2 confounding 1 when 21 and 2 confounding 3 factors 3 factors 5 as 3 factors 14 taken 4 such 5 as 5 as 6 baseline 6 baseline 11 and 6 baseline 13 were 7 physical 8 and 8 and 9 cognitive 8 and 10 functioning 8 and 11 and 11 and 12 disease 11 and 13 were 14 taken 16 account 15 into 16 account 17 the 18 association 18 association 19 between 18 association 21 and 19 between 20 optimism 21 and 22 survival 21 and 23 weakened 23 weakened 24 in 24 in 26 sexes 25 both 26 sexes 27 , 28 but 28 but 31 pattern 28 but 32 persisted 29 the 31 pattern 30 general 31 pattern 31 pattern 32 persisted optimistic women were still at lower risk of death compared to neutral women [ hr 0.85 , 95 % ci ( 0.74 - 0.97 ) ] . 0 ###LEFT-WALL### 1 optimistic 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 27 . 1 optimistic 3 were 2 women 3 were 3 were 4 still 4 still 5 at 5 at 7 risk 6 lower 7 risk 7 risk 8 of 8 of 9 death 9 death 10 compared 10 compared 11 to 11 to 13 women 12 neutral 13 women 13 women 15 hr 13 women 20 ci 14 [ 15 hr 15 hr 16 0.85 15 hr 17 , 17 , 20 ci 18 95 20 ci 19 % 20 ci 20 ci 23 - 20 ci 26 ] 21 ( 23 - 22 0.74 23 - 23 - 24 0.97 23 - 25 ) the risk of death was also decreased for optimistic men compared to their neutral counterparts , but the effect [was] [non] - significant [ hr 0.91 , 95 % ci ( 0.73 - 1.13 ) ] . 0 ###LEFT-WALL### 2 risk 0 ###LEFT-WALL### 7 decreased 0 ###LEFT-WALL### 37 . 1 the 2 risk 2 risk 3 of 2 risk 5 was 3 of 4 death 5 was 6 also 5 was 7 decreased 7 decreased 8 for 8 for 10 men 9 optimistic 10 men 10 men 11 compared 10 men 25 hr 11 compared 12 to 11 compared 23 significant 12 to 15 counterparts 13 their 15 counterparts 14 neutral 15 counterparts 15 counterparts 17 but 16 , 17 but 17 but 19 effect 17 but 22 - 18 the 19 effect 24 [ 25 hr 25 hr 26 0.91 25 hr 30 ci 25 hr 36 ] 27 , 30 ci 28 95 30 ci 29 % 30 ci 30 ci 33 - 30 ci 35 ) 31 ( 33 - 32 0.73 33 - 33 - 34 1.13 33 - 35 ) conclusion : an optimistic outlook appears to be a significant predictor of survival among the oldest - old women . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 5 outlook 2 : 6 appears 2 : 20 . 3 an 4 optimistic 3 an 5 outlook 4 optimistic 5 outlook 5 outlook 6 appears 6 appears 7 to 6 appears 8 be 7 to 8 be 8 be 11 predictor 9 a 10 significant 9 a 11 predictor 10 significant 11 predictor 11 predictor 12 of 12 of 13 survival 13 survival 14 among 14 among 19 women 15 the 16 oldest 15 the 19 women 16 oldest 17 - 18 old 19 women it may also be a significant predictor for men but the sample size is small . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 be 0 ###LEFT-WALL### 10 but 0 ###LEFT-WALL### 16 . 1 it 2 may 2 may 4 be 3 also 4 be 4 be 7 predictor 5 a 6 significant 5 a 7 predictor 6 significant 7 predictor 7 predictor 8 for 8 for 9 men 10 but 13 size 10 but 14 is 11 the 13 size 12 sample 13 size 13 size 14 is 14 is 15 small human longevity is a multifactorial phenotype influenced by both genetic and environmental factors . 0 ###LEFT-WALL### 2 longevity 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 14 . 1 human 2 longevity 2 longevity 3 is 3 is 6 phenotype 4 a 6 phenotype 5 multifactorial 6 phenotype 6 phenotype 7 influenced 7 influenced 8 by 8 by 13 factors 9 both 13 factors 10 genetic 11 and 11 and 12 environmental 11 and 13 factors despite its heritability of 25 - 32 % , the genetic background of longevity is as yet largely unexplained . 0 ###LEFT-WALL### 12 background 0 ###LEFT-WALL### 15 is 0 ###LEFT-WALL### 20 . 1 despite 3 heritability 1 despite 9 , 1 despite 12 background 2 its 3 heritability 3 heritability 4 of 4 of 8 % 5 25 6 - 6 - 7 32 6 - 8 % 10 the 12 background 11 genetic 12 background 12 background 13 of 12 background 15 is 13 of 14 longevity 15 is 17 yet 15 is 19 unexplained 16 as 17 yet 18 largely 19 unexplained apart from apoe status , variation in the foxo3a gene is the only confirmed genetic contributor to survival into old age . 0 ###LEFT-WALL### 6 variation 0 ###LEFT-WALL### 11 is 0 ###LEFT-WALL### 22 . 1 apart 2 from 2 from 4 status 2 from 5 , 2 from 6 variation 3 apoe 4 status 6 variation 7 in 6 variation 11 is 7 in 10 gene 8 the 10 gene 9 foxo3a 10 gene 11 is 16 contributor 12 the 13 only 12 the 16 contributor 14 confirmed 16 contributor 15 genetic 16 contributor 16 contributor 17 to 17 to 18 survival 18 survival 19 into 19 into 21 age 20 old 21 age on the other hand , foxo3a activity is known to be downregulated in various cancers , and the gene was recently identified as a novel deletion hotspot in human lung adenocarcinoma . 0 ###LEFT-WALL### 7 activity 0 ###LEFT-WALL### 9 known 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 32 . 1 on 4 hand 1 on 5 , 1 on 7 activity 2 the 3 other 3 other 4 hand 6 foxo3a 7 activity 7 activity 8 is 8 is 9 known 9 known 10 to 9 known 12 downregulated 10 to 11 be 11 be 12 downregulated 12 downregulated 13 in 13 in 15 cancers 14 various 15 cancers 16 , 17 and 17 and 19 gene 17 and 22 identified 18 the 19 gene 19 gene 20 was 20 was 22 identified 21 recently 22 identified 22 identified 23 as 22 identified 28 in 23 as 27 hotspot 24 a 25 novel 24 a 27 hotspot 25 novel 26 deletion 26 deletion 27 hotspot 28 in 31 adenocarcinoma 29 human 30 lung 30 lung 31 adenocarcinoma in view of the strong association between smoking and lung cancer , we set out to explore whether smoking modifies the known association between foxo3a variation and longevity . 0 ###LEFT-WALL### 13 we 0 ###LEFT-WALL### 14 set 0 ###LEFT-WALL### 29 . 1 in 2 view 1 in 12 , 1 in 13 we 2 view 3 of 2 view 7 between 3 of 6 association 4 the 6 association 5 strong 6 association 7 between 9 and 8 smoking 9 and 9 and 11 cancer 10 lung 11 cancer 13 we 14 set 14 set 15 out 14 set 16 to 14 set 18 whether 16 to 17 explore 18 whether 19 smoking 18 whether 20 modifies 19 smoking 20 modifies 20 modifies 23 association 20 modifies 24 between 21 the 23 association 22 known 23 association 24 between 27 and 25 foxo3a 26 variation 26 variation 27 and 27 and 28 longevity to this end , we conducted a case - control study in two different populations , drawing upon extensive collections of old - aged individuals and younger controls available to us ( 1,613 german centenarians/nonagenarians and 1,104 controls ; 1,088 danish nonagenarians and 736 controls ) . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 conducted 0 ###LEFT-WALL### 39 ; 0 ###LEFT-WALL### 47 . 1 to 3 end 1 to 4 , 1 to 5 we 2 this 3 end 5 we 6 conducted 6 conducted 8 case 7 a 8 case 8 case 11 study 8 case 17 drawing 9 - 11 study 10 control 11 study 11 study 12 in 11 study 16 , 12 in 15 populations 13 two 15 populations 14 different 15 populations 16 , 17 drawing 17 drawing 18 upon 17 drawing 39 ; 18 upon 28 controls 19 extensive 28 controls 20 collections 21 of 20 collections 26 and 21 of 25 individuals 22 old 23 - 22 old 25 individuals 24 aged 25 individuals 26 and 27 younger 26 and 28 controls 28 controls 29 available 28 controls 36 and 29 available 30 to 30 to 31 us 32 ( 36 and 33 1,613 35 centenarians/nonagenarians 34 german 35 centenarians/nonagenarians 35 centenarians/nonagenarians 36 and 36 and 38 controls 36 and 39 ; 37 1,104 38 controls 39 ; 43 and 40 1,088 42 nonagenarians 41 danish 42 nonagenarians 42 nonagenarians 43 and 43 and 45 controls 43 and 46 ) 44 736 45 controls in the german sample , 21 single nucleotide polymorphisms ( snps ) from the foxo3a gene region [were] genotyped , whereas 15 foxo3a snps were analyzed in the danish sample . 0 ###LEFT-WALL### 24 snps 0 ###LEFT-WALL### 26 analyzed 0 ###LEFT-WALL### 31 . 1 in 4 sample 1 in 24 snps 2 the 4 sample 3 german 4 sample 4 sample 9 polymorphisms 5 , 9 polymorphisms 6 21 9 polymorphisms 7 single 8 nucleotide 8 nucleotide 9 polymorphisms 9 polymorphisms 11 snps 9 polymorphisms 12 ) 10 ( 11 snps 11 snps 12 ) 13 from 17 region 13 from 20 , 13 from 24 snps 14 the 17 region 15 foxo3a 17 region 16 gene 17 region 17 region 19 genotyped 21 whereas 22 15 21 whereas 24 snps 23 foxo3a 24 snps 24 snps 25 were 25 were 26 analyzed 26 analyzed 27 in 27 in 30 sample 28 the 30 sample 29 danish 30 sample eight snps were typed in both populations . 0 ###LEFT-WALL### 2 snps 0 ###LEFT-WALL### 4 typed 0 ###LEFT-WALL### 8 . 1 eight 2 snps 2 snps 3 were 3 were 4 typed 4 typed 5 in 5 in 7 populations 6 both 7 populations logistic regression analysis revealed that adjustment for smoking does not systematically alter the association between foxo3a variation and longevity in neither population . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 4 revealed 0 ###LEFT-WALL### 23 . 1 logistic 3 analysis 2 regression 3 analysis 3 analysis 4 revealed 4 revealed 5 that 5 that 6 adjustment 5 that 12 alter 6 adjustment 7 for 6 adjustment 9 does 7 for 8 smoking 9 does 10 not 9 does 12 alter 11 systematically 12 alter 12 alter 14 association 12 alter 15 between 12 alter 20 in 13 the 14 association 15 between 18 and 16 foxo3a 17 variation 17 variation 18 and 18 and 19 longevity 20 in 22 population 21 neither 22 population our analysis therefore suggests that the said association is not largely due to the confounding effects of lung cancer . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 4 suggests 0 ###LEFT-WALL### 20 . 1 our 2 analysis 2 analysis 4 suggests 3 therefore 4 suggests 4 suggests 5 that 5 that 8 association 5 that 9 is 6 the 8 association 7 said 8 association 8 association 9 is 9 is 10 not 9 is 11 largely 9 is 13 to 12 due 13 to 13 to 16 effects 14 the 16 effects 15 confounding 16 effects 16 effects 17 of 17 of 19 cancer 18 lung 19 cancer protein oxidation is typically associated with oxidative stress and aging and [affects] protein function in normal and pathological processes . 0 ###LEFT-WALL### 2 oxidation 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 20 . 1 protein 2 oxidation 2 oxidation 3 is 3 is 4 typically 3 is 6 with 3 is 15 in 4 typically 5 associated 6 with 11 and 7 oxidative 8 stress 8 stress 9 and 9 and 10 aging 9 and 11 and 11 and 14 function 13 protein 14 function 15 in 19 processes 16 normal 17 and 17 and 18 pathological 17 and 19 processes additionally , deliberate oxidative labeling is used to probe protein structure and protein - ligand interactions in hydroxyl radical protein footprinting ( hrpf ) . 0 ###LEFT-WALL### 5 labeling 0 ###LEFT-WALL### 7 used 0 ###LEFT-WALL### 25 . 1 additionally 2 , 1 additionally 5 labeling 3 deliberate 5 labeling 4 oxidative 5 labeling 5 labeling 6 is 6 is 7 used 7 used 8 to 7 used 9 probe 8 to 9 probe 9 probe 10 protein 10 protein 12 and 10 protein 21 footprinting 10 protein 23 hrpf 11 structure 12 and 12 and 13 protein 12 and 14 - 12 and 15 ligand 15 ligand 16 interactions 15 ligand 17 in 17 in 20 protein 18 hydroxyl 20 protein 19 radical 20 protein 20 protein 21 footprinting 22 ( 23 hrpf 23 hrpf 24 ) oxidation often occurs at multiple sites , leading to mixtures of oxidation isomers that differ only by the site of modification . 0 ###LEFT-WALL### 1 oxidation 0 ###LEFT-WALL### 3 occurs 1 oxidation 3 occurs 2 often 3 occurs 3 occurs 4 at 4 at 6 sites 5 multiple 6 sites 6 sites 8 leading 7 , 8 leading 8 leading 9 to 8 leading 22 . 9 to 10 mixtures 10 mixtures 11 of 11 of 13 isomers 12 oxidation 13 isomers 13 isomers 14 that 13 isomers 15 differ 14 that 15 differ 15 differ 16 only 15 differ 17 by 17 by 19 site 18 the 19 site 19 site 20 of 20 of 21 modification we utilized sets of synthetic , isomeric " oxidized " peptides to test and [compare] the ability of electron - transfer dissociation ( etd [ )(and collision - induced dissociation ( cid ) , as well as nano - ultra high performance liquid chromatography ( nanouplc ) separation , to quantitate oxidation isomers with one oxidation at multiple adjacent sites in mixtures of peptides [.] 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 utilized 1 we 2 utilized 2 utilized 3 sets 2 utilized 12 to 3 sets 4 of 4 of 11 peptides 5 synthetic 6 , 5 synthetic 11 peptides 7 isomeric 8 " 7 isomeric 11 peptides 9 oxidized 10 " 9 oxidized 11 peptides 12 to 22 dissociation 13 test 14 and 14 and 17 ability 14 and 20 - 14 and 22 dissociation 16 the 17 ability 17 ability 18 of 18 of 19 electron 21 transfer 22 dissociation 22 dissociation 28 - 23 ( 28 - 24 etd 26 )(and 26 )(and 27 collision 26 )(and 28 - 28 - 30 dissociation 29 induced 30 dissociation 30 dissociation 32 cid 30 dissociation 39 - 31 ( 32 cid 32 cid 33 ) 34 , 39 - 35 as 36 well 35 as 39 - 36 well 37 as 36 well 39 - 37 as 38 nano 39 - 43 liquid 40 ultra 41 high 41 high 43 liquid 42 performance 43 liquid 43 liquid 48 separation 43 liquid 53 isomers 44 chromatography 46 nanouplc 44 chromatography 48 separation 45 ( 46 nanouplc 46 nanouplc 47 ) 48 separation 50 to 48 separation 53 isomers 49 , 50 to 50 to 51 quantitate 51 quantitate 52 oxidation 53 isomers 54 with 54 with 55 one 54 with 56 oxidation 56 oxidation 57 at 56 oxidation 61 in 56 oxidation 63 of 57 at 60 sites 58 multiple 60 sites 59 adjacent 60 sites 61 in 62 mixtures 63 of 64 peptides tandem mass spectrometry by etd generates fragment ion ratios that accurately report on relative oxidative modification extent on specific sites , regardless of the charge state of the precursor ion . 0 ###LEFT-WALL### 3 spectrometry 0 ###LEFT-WALL### 6 generates 1 tandem 3 spectrometry 2 mass 3 spectrometry 3 spectrometry 4 by 3 spectrometry 6 generates 4 by 5 etd 6 generates 9 ratios 7 fragment 9 ratios 8 ion 9 ratios 9 ratios 10 that 9 ratios 12 report 10 that 12 report 11 accurately 12 report 12 report 13 on 12 report 18 on 12 report 23 of 13 on 17 extent 14 relative 17 extent 15 oxidative 16 modification 16 modification 17 extent 18 on 20 sites 19 specific 20 sites 21 , 23 of 22 regardless 23 of 23 of 26 state 23 of 31 . 24 the 26 state 25 charge 26 state 26 state 27 of 27 of 30 ion 28 the 30 ion 29 precursor 30 ion conversely , cid was found to generate quantitative ms/ms product ions only at the higher precursor charge state . 0 ###LEFT-WALL### 3 cid 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 19 . 1 conversely 2 , 1 conversely 3 cid 3 cid 4 was 4 was 5 found 5 found 6 to 6 to 7 generate 7 generate 11 ions 7 generate 12 only 8 quantitative 11 ions 9 ms/ms 11 ions 10 product 11 ions 12 only 13 at 13 at 18 state 14 the 18 state 15 higher 16 precursor 16 precursor 18 state 17 charge 18 state oxidized isomers having multiple sites of oxidation in each of two peptide sequences in hrpf [product] of protein robo - 1 ig1 - 2 , a protein involved in nervous system axon guidance , were also identified and the oxidation extent at each residue was quantified by etd without prior liquid chromatography ( lc ) separation . 0 ###LEFT-WALL### 2 isomers 0 ###LEFT-WALL### 37 identified 0 ###LEFT-WALL### 38 and 0 ###LEFT-WALL### 57 . 1 oxidized 2 isomers 2 isomers 3 having 2 isomers 14 in 2 isomers 17 of 2 isomers 35 were 3 having 5 sites 3 having 8 in 4 multiple 5 sites 5 sites 6 of 6 of 7 oxidation 8 in 9 each 9 each 10 of 10 of 13 sequences 11 two 13 sequences 12 peptide 13 sequences 14 in 15 hrpf 17 of 19 robo 18 protein 19 robo 19 robo 22 ig1 20 - 22 ig1 21 1 22 ig1 22 ig1 24 2 22 ig1 27 protein 22 ig1 34 , 23 - 24 2 24 2 25 , 25 , 27 protein 26 a 27 protein 27 protein 28 involved 27 protein 29 in 27 protein 34 , 29 in 33 guidance 30 nervous 31 system 31 system 33 guidance 32 axon 33 guidance 35 were 36 also 35 were 37 identified 38 and 41 extent 38 and 46 quantified 39 the 41 extent 40 oxidation 41 extent 41 extent 42 at 41 extent 45 was 42 at 44 residue 43 each 44 residue 45 was 46 quantified 46 quantified 47 by 47 by 48 etd 48 etd 49 without 49 without 56 separation 50 prior 51 liquid 51 liquid 56 separation 52 chromatography 54 lc 52 chromatography 55 ) 52 chromatography 56 separation 53 ( 54 lc 54 lc 55 ) etd has [proven] to be a reliable technique for simultaneous identification and relative quantification of a variety of functionally different oxidation isomers , and is a valuable tool for the study of oxidative stress , as well as for improving spatial resolution for hrpf studies . 0 ###LEFT-WALL### 1 etd 0 ###LEFT-WALL### 5 be 0 ###LEFT-WALL### 12 and 1 etd 2 has 2 has 4 to 4 to 5 be 5 be 8 technique 5 be 9 for 6 a 8 technique 7 reliable 8 technique 9 for 11 identification 10 simultaneous 11 identification 12 and 14 quantification 12 and 24 and 13 relative 14 quantification 14 quantification 15 of 14 quantification 24 and 15 of 17 variety 16 a 17 variety 17 variety 18 of 18 of 21 oxidation 19 functionally 20 different 20 different 21 oxidation 22 isomers 24 and 23 , 24 and 24 and 25 is 24 and 36 as 25 is 28 tool 26 a 27 valuable 26 a 28 tool 27 valuable 28 tool 28 tool 29 for 29 for 31 study 30 the 31 study 31 study 32 of 32 of 34 stress 33 oxidative 34 stress 35 , 36 as 36 as 37 well 36 as 46 . 37 well 38 as 37 well 43 for 38 as 39 for 39 for 40 improving 40 improving 42 resolution 41 spatial 42 resolution 43 for 45 studies 44 hrpf 45 studies life expectancy for persons with hemophilia ( pwh ) has considerably increased in the last decades as a direct result of the availability of modern therapies to control the clotting defect . 0 ###LEFT-WALL### 1 life 0 ###LEFT-WALL### 12 increased 0 ###LEFT-WALL### 32 . 1 life 2 expectancy 1 life 10 has 1 life 12 increased 2 expectancy 3 for 2 expectancy 10 has 3 for 4 persons 4 persons 5 with 5 with 6 hemophilia 6 hemophilia 8 pwh 7 ( 8 pwh 8 pwh 9 ) 10 has 11 considerably 12 increased 13 in 12 increased 17 as 12 increased 27 to 13 in 16 decades 14 the 15 last 14 the 16 decades 17 as 20 result 18 a 19 direct 18 a 20 result 19 direct 20 result 20 result 21 of 20 result 24 of 21 of 23 availability 22 the 23 availability 24 of 26 therapies 25 modern 26 therapies 27 to 28 control 28 control 31 defect 29 the 31 defect 30 clotting 31 defect because their life expectancy now matches that of the general population , pwh are experiencing age - related comorbidities , such as [,] cardiovascular diseases , metabolic syndrome , renal diseases , sexuality issues , malignancies , and neurologic problems , that until recently have been rarely seen in this group of patients . 0 ###LEFT-WALL### 13 pwh 0 ###LEFT-WALL### 14 are 0 ###LEFT-WALL### 18 related 1 because 4 expectancy 1 because 6 matches 1 because 13 pwh 2 their 4 expectancy 3 life 4 expectancy 4 expectancy 6 matches 5 now 6 matches 6 matches 7 that 8 of 11 population 8 of 12 , 8 of 13 pwh 9 the 11 population 10 general 11 population 13 pwh 14 are 14 are 15 experiencing 15 experiencing 16 age 17 - 18 related 18 related 19 comorbidities 18 related 54 . 19 comorbidities 22 as 20 , 22 as 21 such 22 as 22 as 38 and 22 as 54 . 24 cardiovascular 25 diseases 25 diseases 26 , 26 , 28 syndrome 26 , 29 , 27 metabolic 28 syndrome 29 , 31 diseases 29 , 32 , 30 renal 31 diseases 32 , 34 issues 32 , 35 , 33 sexuality 34 issues 35 , 36 malignancies 35 , 38 and 37 , 38 and 38 and 40 problems 38 and 42 that 38 and 45 have 39 neurologic 40 problems 41 , 42 that 42 that 43 until 42 that 45 have 43 until 44 recently 45 have 46 been 46 been 47 rarely 46 been 48 seen 48 seen 49 in 49 in 53 patients 50 this 51 group 51 group 52 of 51 group 53 patients 52 of 53 patients in this article , we present a summary of the current knowledge on the aging pwh along with the clinical approaches that may be integrated into the routine comprehensive care of these patients for preventing , diagnosing , and monitoring age - related comorbidities . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 35 preventing 0 ###LEFT-WALL### 36 , 1 in 3 article 1 in 4 , 1 in 5 we 2 this 3 article 5 we 6 present 6 present 8 summary 6 present 13 on 7 a 8 summary 8 summary 9 of 9 of 12 knowledge 10 the 12 knowledge 11 current 12 knowledge 13 on 16 pwh 14 the 16 pwh 15 aging 16 pwh 16 pwh 18 with 17 along 18 with 18 with 21 approaches 19 the 21 approaches 20 clinical 21 approaches 21 approaches 22 that 21 approaches 35 preventing 22 that 23 may 23 may 24 be 24 be 25 integrated 25 integrated 26 into 25 integrated 29 comprehensive 26 into 28 routine 27 the 28 routine 29 comprehensive 31 of 30 care 31 of 31 of 33 patients 32 these 33 patients 33 patients 34 for 34 for 35 preventing 36 , 39 and 37 diagnosing 39 and 38 , 39 and 39 and 41 age 39 and 44 comorbidities 40 monitoring 41 age 42 - 44 comorbidities 43 related 44 comorbidities 44 comorbidities 45 . in general , patients [with] and [without] hemophilia should receive similar care , with close collaboration between the physician treating pwh and the specialty expert treating the comorbid disease . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 10 receive 1 in 2 general 2 general 3 , 2 general 6 and 4 patients 6 and 6 and 8 hemophilia 6 and 9 should 9 should 10 receive 10 receive 12 care 10 receive 14 with 11 similar 12 care 13 , 14 with 14 with 22 and 14 with 30 . 15 close 16 collaboration 16 collaboration 17 between 16 collaboration 20 treating 16 collaboration 22 and 17 between 19 physician 18 the 19 physician 20 treating 21 pwh 22 and 25 expert 23 the 25 expert 24 specialty 25 expert 25 expert 26 treating 26 treating 29 disease 27 the 29 disease 28 comorbid 29 disease objective : the past decade has seen a surge in referrals of older men for consideration of testosterone therapy for late - onset hypogonadism ( loh ) to treat symptoms such as fatigue , sexual dysfunction and decreased vitality . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 5 decade 2 : 7 seen 2 : 40 . 3 the 4 past 3 the 5 decade 5 decade 6 has 6 has 7 seen 7 seen 9 surge 7 seen 10 in 7 seen 15 for 7 seen 28 to 7 seen 32 as 8 a 9 surge 10 in 11 referrals 11 referrals 12 of 12 of 14 men 13 older 14 men 15 for 16 consideration 16 consideration 17 of 16 consideration 20 for 17 of 19 therapy 18 testosterone 19 therapy 20 for 24 hypogonadism 21 late 22 - 21 late 23 onset 23 onset 24 hypogonadism 24 hypogonadism 26 loh 25 ( 26 loh 26 loh 27 ) 28 to 29 treat 29 treat 30 symptoms 31 such 32 as 32 as 37 and 33 fatigue 34 , 34 , 36 dysfunction 34 , 37 and 35 sexual 36 dysfunction 37 and 39 vitality 38 decreased 39 vitality prescription sales of testosterone have accordingly increased by 20 - fold over the same period , due [mainly] to marketing campaign as well as to the failure of clinicians to distinguish organic hypogonadism from loh . 0 ###LEFT-WALL### 1 prescription 0 ###LEFT-WALL### 7 increased 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 36 . 1 prescription 2 sales 1 prescription 5 have 1 prescription 7 increased 2 sales 3 of 2 sales 5 have 3 of 4 testosterone 5 have 6 accordingly 7 increased 8 by 8 by 9 20 10 - 11 fold 10 - 16 , 11 fold 12 over 11 fold 15 period 13 the 14 same 14 same 15 period 16 , 21 campaign 17 due 19 to 19 to 20 marketing 19 to 21 campaign 21 campaign 22 as 21 campaign 25 to 22 as 23 well 24 as 25 to 25 to 27 failure 26 the 27 failure 27 failure 28 of 27 failure 30 to 27 failure 31 distinguish 28 of 29 clinicians 30 to 31 distinguish 31 distinguish 33 hypogonadism 31 distinguish 34 from 32 organic 33 hypogonadism 34 from 35 loh this review seeks to provide a counter [-] rationale for testosterone therapy in loh . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 seeks 0 ###LEFT-WALL### 15 . 1 this 2 review 2 review 3 seeks 3 seeks 4 to 3 seeks 5 provide 4 to 5 provide 5 provide 9 rationale 5 provide 13 in 6 a 9 rationale 7 counter 9 rationale 9 rationale 10 for 10 for 12 therapy 11 testosterone 12 therapy 13 in 14 loh methods : a retrospective review of english - language epidemiologic studies , clinical trials and their relevant cited studies related to testosterone and older men was carried out . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 review 2 : 27 carried 2 : 29 . 3 a 4 retrospective 3 a 5 review 4 retrospective 5 review 5 review 6 of 5 review 26 was 6 of 11 studies 7 english 8 - 7 english 9 language 9 language 11 studies 10 epidemiologic 11 studies 12 , 20 related 13 clinical 14 trials 14 trials 15 and 15 and 19 studies 15 and 20 related 16 their 19 studies 17 relevant 19 studies 18 cited 19 studies 20 related 21 to 20 related 26 was 21 to 23 and 22 testosterone 23 and 23 and 25 men 24 older 25 men 26 was 27 carried 27 carried 28 out results : shortcomings of population studies on loh include use of multiple numeric definitions and [non] - standard testosterone assays , and measurement of testosterone at a single time point . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 3 shortcomings 2 : 9 include 2 : 15 and 3 shortcomings 4 of 3 shortcomings 9 include 4 of 6 studies 5 population 6 studies 6 studies 7 on 7 on 8 loh 9 include 10 use 10 use 11 of 11 of 14 definitions 12 multiple 14 definitions 13 numeric 14 definitions 15 and 17 - 15 and 30 point 17 - 22 and 18 standard 19 testosterone 19 testosterone 20 assays 20 assays 22 and 21 , 22 and 22 and 23 measurement 22 and 24 of 22 and 30 point 24 of 25 testosterone 25 testosterone 26 at 26 at 29 time 27 a 28 single 27 a 29 time 28 single 29 time in contrast to higher estimates of prevalence based solely on numeric values , the syndromic prevalence of loh is only 2 % . 0 ###LEFT-WALL### 16 prevalence 0 ###LEFT-WALL### 19 is 0 ###LEFT-WALL### 23 . 1 in 2 contrast 1 in 13 , 1 in 16 prevalence 2 contrast 3 to 3 to 5 estimates 4 higher 5 estimates 5 estimates 6 of 6 of 7 prevalence 7 prevalence 8 based 8 based 9 solely 9 solely 10 on 10 on 12 values 11 numeric 12 values 14 the 16 prevalence 15 syndromic 16 prevalence 16 prevalence 17 of 16 prevalence 19 is 17 of 18 loh 19 is 22 % 20 only 21 2 21 2 22 % although attrition of testicular leydig cells and slowing of gonadotropin - releasing hormone neurons both contribute to loh , obesity and other comorbidities strongly influence testosterone levels , suggesting that testosterone is a biomarker of health . 0 ###LEFT-WALL### 25 influence 1 although 7 and 1 although 16 contribute 1 although 25 influence 2 attrition 3 of 2 attrition 7 and 3 of 6 cells 4 testicular 6 cells 5 leydig 6 cells 7 and 8 slowing 7 and 11 - 7 and 12 releasing 7 and 16 contribute 8 slowing 9 of 9 of 10 gonadotropin 12 releasing 14 neurons 13 hormone 14 neurons 15 both 16 contribute 16 contribute 17 to 17 to 21 and 18 loh 19 , 19 , 20 obesity 19 , 21 and 21 and 23 comorbidities 22 other 23 comorbidities 24 strongly 25 influence 25 influence 27 levels 26 testosterone 27 levels 27 levels 29 suggesting 28 , 29 suggesting 29 suggesting 30 that 29 suggesting 37 . 30 that 31 testosterone 30 that 32 is 31 testosterone 32 is 32 is 34 biomarker 33 a 34 biomarker 34 biomarker 35 of 35 of 36 health testosterone therapy in loh has consistently resulted in improvements in muscle [mass] and strength , although data regarding effects on physical function [and] improvements in fall and fracture rates remain unknown . 0 ###LEFT-WALL### 2 therapy 0 ###LEFT-WALL### 7 resulted 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 32 . 1 testosterone 2 therapy 2 therapy 3 in 2 therapy 5 has 3 in 4 loh 5 has 7 resulted 6 consistently 7 resulted 7 resulted 8 in 8 in 13 and 9 improvements 10 in 9 improvements 13 and 10 in 11 muscle 13 and 14 strength 15 , 29 rates 15 , 30 remain 16 although 17 data 16 although 29 rates 17 data 18 regarding 18 regarding 19 effects 18 regarding 20 on 18 regarding 25 in 20 on 24 improvements 21 physical 24 improvements 22 function 24 improvements 25 in 27 and 26 fall 27 and 27 and 28 fracture 29 rates 30 remain 30 remain 31 unknown eythrocytosis is the most common adverse effect of testosterone therapy in older men , while long - term risks in the prostate and cardiovascular system remain unclear . 0 ###LEFT-WALL### 1 eythrocytosis 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 28 . 1 eythrocytosis 2 is 2 is 7 effect 3 the 4 most 4 most 7 effect 5 common 7 effect 6 adverse 7 effect 7 effect 8 of 8 of 10 therapy 9 testosterone 10 therapy 10 therapy 11 in 11 in 13 men 12 older 13 men 14 , 19 risks 14 , 26 remain 15 while 16 long 15 while 17 - 15 while 19 risks 18 term 19 risks 19 risks 20 in 19 risks 26 remain 20 in 23 and 21 the 22 prostate 22 prostate 23 and 23 and 25 system 24 cardiovascular 25 system 26 remain 27 unclear conclusion : considering the paucity of data on clinically meaningful outcomes , the number of uncertain risks , and the fact that modifiable risk factors adversely influence testosterone levels , healthy lifestyle and treatment of comorbidities might attenuate age - related declines in testosterone levels . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 41 related 1 conclusion 2 : 2 : 3 considering 3 considering 19 and 4 the 5 paucity 5 paucity 6 of 5 paucity 12 , 6 of 7 data 7 data 8 on 8 on 11 outcomes 9 clinically 10 meaningful 10 meaningful 11 outcomes 12 , 14 number 12 , 19 and 13 the 14 number 14 number 15 of 15 of 17 risks 16 uncertain 17 risks 18 , 19 and 19 and 21 fact 19 and 22 that 19 and 27 influence 20 the 21 fact 22 that 25 factors 22 that 27 influence 23 modifiable 25 factors 24 risk 25 factors 25 factors 27 influence 26 adversely 27 influence 27 influence 28 testosterone 28 testosterone 33 and 28 testosterone 38 attenuate 29 levels 30 , 30 , 32 lifestyle 30 , 33 and 31 healthy 32 lifestyle 33 and 34 treatment 33 and 35 of 33 and 37 might 35 of 36 comorbidities 37 might 38 attenuate 38 attenuate 39 age 40 - 41 related 41 related 42 declines 41 related 43 in 41 related 46 . 43 in 45 levels 44 testosterone 45 levels none objective : to provide [rationale] for testosterone replacement therapy ( trt ) in older men with low testosterone levels and symptoms consistent with testosterone deficiency . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 8 testosterone 0 ###LEFT-WALL### 27 . 1 none 2 objective 1 none 7 for 1 none 8 testosterone 2 objective 3 : 3 : 4 to 3 : 5 provide 4 to 5 provide 5 provide 7 for 8 testosterone 10 therapy 8 testosterone 14 in 9 replacement 10 therapy 10 therapy 12 trt 11 ( 12 trt 12 trt 13 ) 14 in 21 and 15 older 16 men 16 men 17 with 16 men 21 and 17 with 20 levels 18 low 20 levels 19 testosterone 20 levels 21 and 22 symptoms 21 and 23 consistent 23 consistent 24 with 24 with 26 deficiency 25 testosterone 26 deficiency methods : the relevant literature was reviewed using pubmed . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 literature 2 : 7 reviewed 2 : 10 . 3 the 5 literature 4 relevant 5 literature 5 literature 6 was 6 was 7 reviewed 7 reviewed 8 using 8 using 9 pubmed results : cross - sectional and longitudinal population - based studies indicate that total and free testosterone levels fall with aging , and they may be accompanied by symptoms consistent with androgen deficiency . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 - 1 results 2 : 2 : 3 cross 3 cross 6 and 4 - 6 and 5 sectional 6 and 6 and 8 population 6 and 9 - 7 longitudinal 8 population 9 - 11 studies 9 - 15 and 9 - 34 . 10 based 11 studies 11 studies 15 and 12 indicate 14 total 12 indicate 15 and 13 that 14 total 15 and 16 free 15 and 18 levels 16 free 17 testosterone 18 levels 23 and 18 levels 26 be 18 levels 27 accompanied 18 levels 28 by 19 fall 20 with 19 fall 23 and 20 with 21 aging 22 , 23 and 23 and 24 they 23 and 25 may 25 may 26 be 28 by 29 symptoms 29 symptoms 30 consistent 30 consistent 31 with 31 with 33 deficiency 32 androgen 33 deficiency testosterone treatment of younger men with very low testosterone levels and hypothalamic , pituitary , or testicular disease is associated with improvements in symptoms , body composition , bone density , and hematocrit/hemoglobin . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 16 or 0 ###LEFT-WALL### 34 . 1 testosterone 2 treatment 2 treatment 3 of 2 treatment 11 and 3 of 5 men 4 younger 5 men 5 men 6 with 6 with 10 levels 7 very 8 low 8 low 10 levels 9 testosterone 10 levels 11 and 14 pituitary 12 hypothalamic 13 , 12 hypothalamic 14 pituitary 15 , 16 or 16 or 18 disease 16 or 20 associated 17 testicular 18 disease 18 disease 19 is 19 is 20 associated 20 associated 21 with 21 with 32 and 22 improvements 23 in 22 improvements 25 , 23 in 24 symptoms 25 , 27 composition 25 , 28 , 26 body 27 composition 28 , 30 density 28 , 32 and 29 bone 30 density 31 , 32 and 32 and 33 hematocrit/hemoglobin conclusion : the testosterone trial should provide definitive information regarding the potential benefits of trt in men ≥65 years of age . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 5 trial 2 : 7 provide 2 : 22 . 3 the 5 trial 4 testosterone 5 trial 5 trial 6 should 6 should 7 provide 7 provide 9 information 7 provide 16 in 8 definitive 9 information 9 information 10 regarding 9 information 14 of 10 regarding 13 benefits 11 the 13 benefits 12 potential 13 benefits 14 of 15 trt 16 in 19 years 17 men 19 years 18 ≥65 19 years 19 years 20 of 20 of 21 age if efficacy is confirmed , we will still need more information regarding the risks of trt in older men . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 9 need 0 ###LEFT-WALL### 20 . 1 if 2 efficacy 1 if 4 confirmed 1 if 5 , 1 if 6 we 2 efficacy 3 is 3 is 4 confirmed 4 confirmed 5 , 6 we 7 will 7 will 9 need 8 still 9 need 9 need 11 information 9 need 17 in 10 more 11 information 11 information 12 regarding 12 regarding 14 risks 13 the 14 risks 14 risks 15 of 15 of 16 trt 17 in 19 men 18 older 19 men objective : older couples are likely to be confronted with health problems of both spouses and these health problems may negatively influence their marital satisfaction . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 4 couples 2 : 22 influence 3 older 4 couples 4 couples 5 are 5 are 6 likely 6 likely 7 to 6 likely 9 confronted 7 to 8 be 8 be 9 confronted 9 confronted 10 with 10 with 11 health 11 health 12 problems 11 health 22 influence 12 problems 13 of 12 problems 20 may 13 of 16 and 14 both 16 and 15 spouses 16 and 16 and 19 problems 17 these 19 problems 18 health 19 problems 20 may 22 influence 21 negatively 22 influence 22 influence 25 satisfaction 23 their 25 satisfaction 24 marital 25 satisfaction the present study examined these possible negative effects using a dyadic perspective . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 examined 0 ###LEFT-WALL### 13 . 1 the 3 study 2 present 3 study 3 study 4 examined 4 examined 8 effects 5 these 8 effects 6 possible 8 effects 7 negative 8 effects 8 effects 9 using 9 using 12 perspective 10 a 11 dyadic 10 a 12 perspective 11 dyadic 12 perspective method : data from 78 independently living older couples were analyzed using the actor - partner interdependence model ( apim ) . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 3 data 2 : 11 analyzed 2 : 15 - 3 data 4 from 3 data 10 were 4 from 9 couples 5 78 9 couples 6 independently 7 living 7 living 9 couples 8 older 9 couples 10 were 11 analyzed 11 analyzed 12 using 12 using 14 actor 13 the 14 actor 15 - 16 partner 16 partner 20 apim 17 interdependence 18 model 18 model 20 apim 19 ( 20 apim 20 apim 21 ) health problems were modeled as a latent factor of functional disability , the number of chronic diseases , and self - rated health . 0 ###LEFT-WALL### 2 problems 0 ###LEFT-WALL### 4 modeled 1 health 2 problems 2 problems 3 were 3 were 4 modeled 4 modeled 5 as 5 as 19 and 6 a 7 latent 6 a 8 factor 7 latent 8 factor 8 factor 9 of 8 factor 19 and 9 of 11 disability 10 functional 11 disability 11 disability 17 diseases 12 , 17 diseases 13 the 14 number 14 number 15 of 14 number 17 diseases 15 of 17 diseases 16 chronic 17 diseases 17 diseases 18 , 19 and 20 self 19 and 23 health 21 - 23 health 22 rated 23 health 23 health 24 . the couple 's health context , that is , similarity or dissimilarity , was examined with an actor - partner interaction variable . 0 ###LEFT-WALL### 5 context 0 ###LEFT-WALL### 15 examined 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 23 . 1 the 2 couple 2 couple 3 's 3 's 5 context 4 health 5 context 5 context 8 is 5 context 14 was 6 , 8 is 7 that 8 is 8 is 9 , 8 is 11 or 8 is 13 , 10 similarity 11 or 11 or 12 dissimilarity 14 was 15 examined 15 examined 16 with 16 with 18 actor 17 an 18 actor 19 - 22 variable 20 partner 22 variable 21 interaction 22 variable results : for wives , spousal health problems were negatively associated with their marital satisfaction , but only under the condition that their own health was relatively good . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 29 . 1 results 2 : 2 : 3 for 3 for 4 wives 5 , 8 problems 5 , 11 associated 6 spousal 7 health 7 health 8 problems 8 problems 9 were 9 were 10 negatively 9 were 11 associated 11 associated 17 but 12 with 15 satisfaction 12 with 17 but 13 their 15 satisfaction 14 marital 15 satisfaction 16 , 17 but 17 but 18 only 17 but 19 under 19 under 21 condition 20 the 21 condition 21 condition 22 that 22 that 25 health 22 that 26 was 23 their 24 own 23 their 25 health 25 health 26 was 26 was 27 relatively 26 was 28 good for husbands , neither own [nor] spousal health problems were associated with their marital satisfaction . 0 ###LEFT-WALL### 5 own 0 ###LEFT-WALL### 16 . 1 for 2 husbands 1 for 3 , 1 for 5 own 4 neither 5 own 5 own 8 health 7 spousal 8 health 8 health 9 problems 8 health 10 were 8 health 11 associated 9 problems 10 were 11 associated 12 with 12 with 15 satisfaction 13 their 15 satisfaction 14 marital 15 satisfaction discussion : future research focusing on older couples needs to consider the couple 's health context next to health at the individual level . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 2 : 4 research 2 : 9 needs 3 future 4 research 4 research 5 focusing 4 research 6 on 4 research 9 needs 6 on 8 couples 7 older 8 couples 9 needs 10 to 9 needs 24 . 10 to 11 consider 11 consider 16 context 11 consider 18 to 12 the 13 couple 13 couple 14 's 14 's 16 context 15 health 16 context 17 next 18 to 18 to 19 health 19 health 20 at 20 at 23 level 21 the 23 level 22 individual 23 level objective : we examined gender differences in the prevalence of disability and disability - free life expectancy ( dfle ) for bangladeshi older adults . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 3 we 2 : 12 and 3 we 12 and 4 examined 6 differences 4 examined 7 in 4 examined 12 and 5 gender 6 differences 7 in 9 prevalence 8 the 9 prevalence 9 prevalence 10 of 10 of 11 disability 12 and 15 free 13 disability 14 - 13 disability 15 free 15 free 19 dfle 15 free 21 for 16 life 17 expectancy 17 expectancy 19 dfle 18 ( 19 dfle 19 dfle 20 ) 21 for 24 adults 22 bangladeshi 24 adults 23 older 24 adults method : we used data representing 4,189 elderly subjects aged 60 years [and] over from a nationally representative survey ( bangladesh 's household income and expenditure survey - 2010 ) . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 3 we 2 : 4 used 3 we 4 used 4 used 5 data 4 used 14 over 5 data 6 representing 5 data 10 aged 6 representing 9 subjects 7 4,189 9 subjects 8 elderly 9 subjects 11 60 12 years 12 years 14 over 14 over 15 from 15 from 19 survey 16 a 17 nationally 16 a 19 survey 17 nationally 18 representative 18 representative 19 survey 19 survey 27 survey 20 ( 27 survey 21 bangladesh 22 's 22 's 27 survey 23 household 24 income 24 income 25 and 25 and 26 expenditure 26 expenditure 27 survey 27 survey 29 2010 27 survey 30 ) 28 - 29 2010 29 2010 30 ) the sullivan method was used to compute dfle . 0 ###LEFT-WALL### 3 method 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 9 . 1 the 3 method 2 sullivan 3 method 3 method 4 was 4 was 5 used 5 used 6 to 5 used 7 compute 6 to 7 compute 7 compute 8 dfle results : eyesight disability is prevalent among 28.94 and 36.47 men and women , respectively , and is the most prevalent type of disability in bangladesh . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 disability 2 : 17 and 2 : 27 . 3 eyesight 4 disability 4 disability 17 and 5 is 6 prevalent 5 is 17 and 6 prevalent 7 among 6 prevalent 15 respectively 7 among 12 and 8 28.94 9 and 9 and 10 36.47 9 and 11 men 11 men 12 and 12 and 13 women 14 , 15 respectively 15 respectively 16 , 17 and 18 is 17 and 25 in 18 is 23 of 19 the 23 of 20 most 21 prevalent 21 prevalent 23 of 22 type 23 of 23 of 24 disability 25 in 26 bangladesh women have each disability and at least one disability in significantly higher percentages than men . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 2 have 0 ###LEFT-WALL### 16 . 1 women 2 have 2 have 5 and 2 have 10 in 2 have 14 than 3 each 4 disability 4 disability 5 and 5 and 7 least 5 and 9 disability 6 at 7 least 8 one 9 disability 10 in 13 percentages 11 significantly 12 higher 12 higher 13 percentages 14 than 15 men at all ages , and in both numbers and proportion , women have longer life expectancy but shorter dfle than men . 0 ###LEFT-WALL### 12 women 0 ###LEFT-WALL### 13 have 0 ###LEFT-WALL### 22 . 1 at 3 ages 1 at 5 and 2 all 3 ages 4 , 5 and 5 and 6 in 5 and 11 , 5 and 12 women 6 in 9 and 7 both 8 numbers 8 numbers 9 and 9 and 10 proportion 12 women 13 have 13 have 19 dfle 13 have 20 than 14 longer 15 life 15 life 19 dfle 16 expectancy 17 but 17 but 18 shorter 17 but 19 dfle 20 than 21 men discussion : attention should be given to the elderly , with special care devoted to elderly women . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 2 : 3 attention 2 : 6 given 3 attention 4 should 4 should 5 be 5 be 6 given 6 given 7 to 6 given 11 with 7 to 9 elderly 8 the 9 elderly 10 , 11 with 11 with 13 care 11 with 18 . 12 special 13 care 13 care 14 devoted 14 devoted 15 to 15 to 17 women 16 elderly 17 women the findings of the current study have important implications for risk of disability and the need [for] , and use of [,] long - term care services . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 7 have 0 ###LEFT-WALL### 28 . 1 the 2 findings 2 findings 3 of 2 findings 7 have 3 of 6 study 4 the 6 study 5 current 6 study 7 have 9 implications 7 have 10 for 8 important 9 implications 10 for 19 and 11 risk 12 of 11 risk 14 and 12 of 13 disability 14 and 16 need 14 and 19 and 15 the 16 need 18 , 19 and 19 and 20 use 19 and 21 of 21 of 27 services 23 long 24 - 23 long 27 services 25 term 26 care 26 care 27 services none [objectives] : coresidence is one way that middle - aged offspring assist vulnerable , aging parents . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 3 : 3 : 4 coresidence 3 : 5 is 3 : 10 - 4 coresidence 5 is 5 is 7 way 5 is 9 middle 6 one 7 way 8 that 9 middle 10 - 12 offspring 10 - 13 assist 10 - 18 . 11 aged 12 offspring 12 offspring 13 assist 13 assist 17 parents 14 vulnerable 15 , 14 vulnerable 17 parents 16 aging 17 parents this study investigated [which] characteristics of widowed mothers and adult children predict coresidence . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 14 . 1 this 2 study 2 study 3 investigated 3 investigated 5 characteristics 5 characteristics 6 of 6 of 8 mothers 7 widowed 8 mothers 9 and 11 children 9 and 12 predict 10 adult 11 children 11 children 12 predict 12 predict 13 coresidence when coresidence occurred , the analysis explored [how] individual children 's characteristics were associated with their coresidence with the mother . 0 ###LEFT-WALL### 12 characteristics 0 ###LEFT-WALL### 14 associated 0 ###LEFT-WALL### 21 . 1 when 2 coresidence 1 when 3 occurred 1 when 4 , 1 when 12 characteristics 2 coresidence 3 occurred 5 the 10 children 6 analysis 7 explored 7 explored 10 children 9 individual 10 children 10 children 11 's 11 's 12 characteristics 12 characteristics 13 were 13 were 14 associated 14 associated 15 with 14 associated 18 with 15 with 17 coresidence 16 their 17 coresidence 18 with 20 mother 19 the 20 mother method : survey data from adults 53 - 54 years old in 1993 ( n = 2,324 ) and a random sibling reported about their living situation , other siblings , and their mother , median age 80 . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 32 and 3 survey 4 data 4 data 5 from 4 data 11 old 4 data 12 in 4 data 19 and 5 from 6 adults 6 adults 7 53 8 - 9 54 9 54 10 years 10 years 11 old 12 in 13 1993 13 1993 16 = 14 ( 16 = 15 n 16 = 16 = 17 2,324 16 = 18 ) 19 and 22 sibling 19 and 23 reported 19 and 32 and 20 a 22 sibling 21 random 22 sibling 23 reported 24 about 24 about 27 situation 25 their 27 situation 26 living 27 situation 27 situation 30 siblings 28 , 30 siblings 29 other 30 siblings 30 siblings 31 , 31 , 32 and 32 and 34 mother 32 and 37 age 33 their 34 mother 35 , 37 age 36 median 37 age 37 age 38 80 37 age 39 . results : logistic regressions revealed that mothers in poor health , who were older , and who had a daughter were more likely to live with a child . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 7 mothers 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 25 live 0 ###LEFT-WALL### 29 . 1 results 2 : 2 : 3 logistic 3 logistic 4 regressions 3 logistic 7 mothers 4 regressions 5 revealed 5 revealed 6 that 5 revealed 7 mothers 6 that 7 mothers 7 mothers 8 in 8 in 10 health 9 poor 10 health 10 health 12 who 11 , 12 who 12 who 13 were 12 who 15 , 13 were 14 older 15 , 16 and 15 , 21 were 16 and 17 who 16 and 18 had 17 who 18 had 19 a 20 daughter 20 daughter 21 were 21 were 22 more 21 were 24 to 23 likely 24 to 24 to 25 live 25 live 26 with 26 with 28 child 27 a 28 child among coresiding families , results from discrete choice conditional logit models showed that widowed mothers were more likely to live with an unmarried son than an unmarried daughter . 0 ###LEFT-WALL### 5 results 0 ###LEFT-WALL### 12 showed 0 ###LEFT-WALL### 29 . 1 among 2 coresiding 1 among 4 , 1 among 5 results 2 coresiding 3 families 5 results 6 from 5 results 12 showed 6 from 11 models 7 discrete 11 models 8 choice 11 models 9 conditional 11 models 10 logit 11 models 12 showed 15 mothers 12 showed 16 were 13 that 14 widowed 14 widowed 15 mothers 15 mothers 16 were 16 were 18 likely 17 more 18 likely 18 likely 19 to 18 likely 20 live 19 to 20 live 20 live 21 with 20 live 25 than 21 with 24 son 22 an 24 son 23 unmarried 24 son 25 than 28 daughter 26 an 27 unmarried 26 an 28 daughter 27 unmarried 28 daughter married children were less likely to coreside than unmarried children , but married daughters were more likely than married sons to coreside . 0 ###LEFT-WALL### 1 married 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 12 but 0 ###LEFT-WALL### 23 . 1 married 3 were 2 children 3 were 3 were 5 likely 4 less 5 likely 5 likely 6 to 5 likely 8 than 6 to 7 coreside 8 than 10 children 9 unmarried 10 children 11 , 12 but 12 but 14 daughters 12 but 15 were 13 married 14 daughters 14 daughters 15 were 15 were 17 likely 16 more 17 likely 17 likely 18 than 18 than 20 sons 18 than 21 to 19 married 20 sons 21 to 22 coreside past [receipt] of financial help from parents was not associated with coresidence . 0 ###LEFT-WALL### 1 past 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 13 . 1 past 3 of 1 past 8 was 3 of 5 help 4 financial 5 help 5 help 6 from 6 from 7 parents 8 was 9 not 8 was 11 with 9 not 10 associated 11 with 12 coresidence coresidence was more likely for those with a close relationship with the mother . 0 ###LEFT-WALL### 1 coresidence 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 14 . 1 coresidence 2 was 2 was 4 likely 3 more 4 likely 4 likely 5 for 4 likely 7 with 4 likely 11 with 5 for 6 those 7 with 10 relationship 8 a 9 close 8 a 10 relationship 9 close 10 relationship 11 with 13 mother 12 the 13 mother discussion : the discussion considers coresidence as an intergenerational transfer and its importance for the contemporary aging society . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 2 : 4 discussion 2 : 5 considers 3 the 4 discussion 4 discussion 5 considers 5 considers 6 coresidence 6 coresidence 7 as 6 coresidence 14 for 7 as 11 and 8 an 9 intergenerational 8 an 10 transfer 9 intergenerational 10 transfer 10 transfer 11 and 11 and 13 importance 12 its 13 importance 14 for 16 contemporary 15 the 16 contemporary 16 contemporary 17 aging 17 aging 18 society data are needed on characteristics of all offspring to test theories about parent [-] child relationships . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 3 needed 0 ###LEFT-WALL### 17 . 1 data 2 are 2 are 3 needed 3 needed 4 on 3 needed 9 to 4 on 5 characteristics 5 characteristics 6 of 6 of 8 offspring 7 all 8 offspring 9 to 10 test 10 test 11 theories 10 test 12 about 12 about 16 relationships 13 parent 15 child 15 child 16 relationships human - nucleotide - excision repair ( ner ) deficiency leads to different developmental and segmental progeroid symptoms of which the pathogenesis [is] only partially understood . 0 ###LEFT-WALL### 1 human 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 26 understood 0 ###LEFT-WALL### 27 . 2 - 3 nucleotide 2 - 4 - 2 - 11 leads 4 - 6 repair 5 excision 6 repair 6 repair 8 ner 7 ( 8 ner 8 ner 9 ) 10 deficiency 11 leads 11 leads 12 to 11 leads 18 symptoms 12 to 17 progeroid 13 different 17 progeroid 14 developmental 15 and 15 and 16 segmental 15 and 17 progeroid 18 symptoms 19 of 18 symptoms 22 pathogenesis 18 symptoms 26 understood 19 of 20 which 21 the 22 pathogenesis 22 pathogenesis 26 understood 24 only 26 understood 25 partially 26 understood to understand the biological impact of accumulating spontaneous dna damage , we studied the phenotypic consequences of dna - repair deficiency in caenorhabditis elegans . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 understand 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 25 . 1 to 2 understand 2 understand 5 impact 3 the 5 impact 4 biological 5 impact 5 impact 6 of 6 of 7 accumulating 7 accumulating 10 damage 8 spontaneous 10 damage 9 dna 10 damage 11 , 12 we 11 , 13 studied 11 , 19 - 12 we 13 studied 13 studied 16 consequences 14 the 16 consequences 15 phenotypic 16 consequences 16 consequences 17 of 17 of 18 dna 19 - 21 deficiency 19 - 24 elegans 20 repair 21 deficiency 21 deficiency 22 in 21 deficiency 24 elegans 22 in 23 caenorhabditis we find that dna damage accumulation does not decrease the adult life span of post - mitotic tissue . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 find 0 ###LEFT-WALL### 16 - 0 ###LEFT-WALL### 19 . 1 we 2 find 2 find 3 that 3 that 6 accumulation 3 that 9 decrease 4 dna 6 accumulation 5 damage 6 accumulation 6 accumulation 7 does 7 does 8 not 7 does 9 decrease 9 decrease 13 span 10 the 13 span 11 adult 13 span 12 life 13 span 13 span 14 of 14 of 15 post 16 - 18 tissue 17 mitotic 18 tissue surprisingly , loss of functional ercc [-] 1/xpf even further extends the life span of long - [lived] daf - 2 mutants , likely through [an] adaptive activation of stress signaling . 0 ###LEFT-WALL### 3 loss 0 ###LEFT-WALL### 11 extends 0 ###LEFT-WALL### 32 . 1 surprisingly 2 , 1 surprisingly 3 loss 3 loss 4 of 3 loss 11 extends 4 of 8 1/xpf 5 functional 8 1/xpf 6 ercc 8 1/xpf 9 even 11 extends 10 further 11 extends 11 extends 14 span 12 the 14 span 13 life 14 span 14 span 15 of 14 span 24 likely 15 of 19 daf 16 long 17 - 16 long 19 daf 19 daf 22 mutants 20 - 22 mutants 21 2 22 mutants 22 mutants 23 , 24 likely 25 through 25 through 28 activation 27 adaptive 28 activation 28 activation 29 of 29 of 30 stress 30 stress 31 signaling contrariwise , ner deficiency leads to a striking transgenerational decline in replicative capacity and viability of proliferating cells . 0 ###LEFT-WALL### 4 deficiency 0 ###LEFT-WALL### 5 leads 0 ###LEFT-WALL### 19 . 1 contrariwise 2 , 1 contrariwise 4 deficiency 3 ner 4 deficiency 4 deficiency 5 leads 5 leads 6 to 6 to 10 decline 7 a 8 striking 7 a 10 decline 8 striking 10 decline 9 transgenerational 10 decline 10 decline 11 in 10 decline 16 of 11 in 14 and 12 replicative 13 capacity 13 capacity 14 and 14 and 15 viability 16 of 18 cells 17 proliferating 18 cells dna damage accumulation induces severe , stochastic impairment of development and growth , which is most pronounced in ner mutants that are also impaired in their response to ionizing radiation and inter - [strand] crosslinks . 0 ###LEFT-WALL### 3 accumulation 0 ###LEFT-WALL### 4 induces 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 36 . 1 dna 3 accumulation 2 damage 3 accumulation 3 accumulation 4 induces 4 induces 8 impairment 5 severe 6 , 5 severe 8 impairment 7 stochastic 8 impairment 8 impairment 9 of 9 of 10 development 11 and 12 growth 11 and 35 crosslinks 12 growth 14 which 12 growth 35 crosslinks 13 , 14 which 14 which 15 is 14 which 33 - 15 is 16 most 15 is 17 pronounced 17 pronounced 18 in 18 in 19 ner 19 ner 20 mutants 19 ner 32 inter 20 mutants 21 that 20 mutants 22 are 20 mutants 31 and 21 that 22 are 22 are 23 also 24 impaired 25 in 24 impaired 30 radiation 24 impaired 31 and 25 in 27 response 26 their 27 response 27 response 28 to 28 to 29 ionizing 31 and 32 inter these results suggest that multiple dna - repair pathways can protect against replicative [decline] and [indicate] that there might be a direct link between the severity of symptoms and the level of dna - repair deficiency in patients . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 39 . 1 these 2 results 2 results 3 suggest 3 suggest 6 dna 4 that 5 multiple 5 multiple 6 dna 7 - 8 repair 7 - 20 be 7 - 34 - 8 repair 9 pathways 8 repair 11 protect 8 repair 19 might 9 pathways 10 can 10 can 11 protect 11 protect 12 against 12 against 15 and 13 replicative 15 and 15 and 17 that 17 that 18 there 19 might 20 be 20 be 29 and 21 a 22 direct 21 a 23 link 22 direct 23 link 23 link 24 between 23 link 27 of 23 link 29 and 24 between 26 severity 25 the 26 severity 27 of 28 symptoms 29 and 31 level 29 and 32 of 30 the 31 level 32 of 33 dna 34 - 35 repair 35 repair 36 deficiency 35 repair 37 in 37 in 38 patients the purpose of this study was to observe exercise training - induced effects on adiponectin , leptin , and ghrelin . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 21 . 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 observe 7 to 8 observe 8 observe 10 training 9 exercise 10 training 10 training 13 effects 11 - 13 effects 12 induced 13 effects 13 effects 14 on 13 effects 16 , 14 on 15 adiponectin 16 , 19 and 17 leptin 19 and 18 , 19 and 19 and 20 ghrelin twenty - nine older , healthy participants were classified as physically active [(] comparison group : n = 15 , 70.9 ± 1.2 years [ )(or physically inactive [(] exercise group : n = 14 , 70.5 ± 1.4 years ) . 0 ###LEFT-WALL### 1 twenty 0 ###LEFT-WALL### 15 group 0 ###LEFT-WALL### 16 : 0 ###LEFT-WALL### 42 . 1 twenty 3 nine 1 twenty 9 classified 1 twenty 15 group 2 - 3 nine 3 nine 7 participants 3 nine 8 were 3 nine 9 classified 4 older 5 , 4 older 7 participants 6 healthy 7 participants 7 participants 8 were 9 classified 14 comparison 10 as 11 physically 11 physically 12 active 12 active 14 comparison 16 : 17 n 16 : 18 = 16 : 32 : 17 n 18 = 18 = 19 15 19 15 26 )(or 20 , 26 )(or 21 70.9 24 years 22 ± 24 years 23 1.2 24 years 24 years 26 )(or 26 )(or 31 group 26 )(or 32 : 27 physically 28 inactive 28 inactive 30 exercise 30 exercise 31 group 32 : 33 n 32 : 34 = 33 n 34 = 34 = 35 14 35 14 40 years 36 , 40 years 37 70.5 40 years 38 ± 40 years 39 1.4 40 years 40 years 41 ) exercise group participants completed 12 weeks of combined aerobic and resistance exercise training , whereas comparison group participants maintained their current level of exercise and served as a physically active comparison group . 0 ###LEFT-WALL### 1 exercise 0 ###LEFT-WALL### 32 group 0 ###LEFT-WALL### 33 . 1 exercise 3 participants 1 exercise 7 of 1 exercise 8 combined 2 group 3 participants 3 participants 4 completed 4 completed 6 weeks 5 12 6 weeks 6 weeks 7 of 8 combined 10 and 8 combined 15 whereas 9 aerobic 10 and 10 and 13 training 11 resistance 13 training 12 exercise 13 training 14 , 15 whereas 15 whereas 18 participants 16 comparison 18 participants 17 group 18 participants 18 participants 25 and 18 participants 32 group 19 maintained 22 level 19 maintained 25 and 20 their 22 level 21 current 22 level 22 level 23 of 23 of 24 exercise 25 and 26 served 25 and 27 as 27 as 31 comparison 28 a 31 comparison 29 physically 30 active 30 active 31 comparison monocyte phenotype , as well as serum ghrelin , leptin , adiponectin , and soluble tumor necrosis factor receptor ii were analyzed prior to [and] following the 12 - week period . 0 ###LEFT-WALL### 2 phenotype 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 32 . 1 monocyte 2 phenotype 3 , 14 and 3 , 22 analyzed 3 , 29 - 4 as 5 well 4 as 14 and 6 as 8 ghrelin 6 as 9 , 6 as 14 and 7 serum 8 ghrelin 10 leptin 11 , 11 , 12 adiponectin 11 , 14 and 13 , 14 and 14 and 16 tumor 14 and 17 necrosis 14 and 18 factor 14 and 21 were 15 soluble 16 tumor 17 necrosis 18 factor 18 factor 19 receptor 19 receptor 20 ii 21 were 22 analyzed 22 analyzed 24 to 23 prior 24 to 24 to 26 following 26 following 28 12 27 the 28 12 29 - 31 period 30 week 31 period ghrelin and adiponectin increased 47 [%] and 55 % , respectively , in exercise group participants following exercise training . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 4 increased 0 ###LEFT-WALL### 20 . 1 ghrelin 2 and 2 and 3 adiponectin 2 and 4 increased 4 increased 9 % 4 increased 11 respectively 4 increased 13 in 5 47 7 and 7 and 8 55 7 and 9 % 10 , 11 respectively 11 respectively 12 , 13 in 16 participants 14 exercise 16 participants 15 group 16 participants 16 participants 17 following 17 following 19 training 18 exercise 19 training percent change in ghrelin ( post and pre ) was negatively correlated with the percent change in cd14+cd16+ monocytes ( post and pre ) in exercise group participants . 0 ###LEFT-WALL### 2 change 0 ###LEFT-WALL### 12 correlated 0 ###LEFT-WALL### 29 . 1 percent 2 change 2 change 3 in 2 change 7 and 2 change 10 was 3 in 4 ghrelin 5 ( 7 and 6 post 7 and 7 and 8 pre 7 and 9 ) 10 was 12 correlated 11 negatively 12 correlated 12 correlated 13 with 12 correlated 17 in 12 correlated 25 in 13 with 16 change 14 the 16 change 15 percent 16 change 17 in 19 monocytes 18 cd14+cd16+ 19 monocytes 19 monocytes 22 and 20 ( 22 and 21 post 22 and 22 and 23 pre 22 and 24 ) 25 in 28 participants 26 exercise 28 participants 27 group 28 participants despite no changes [in] body mass , these data contribute to evidence for the anti - inflammatory effects of exercise . 0 ###LEFT-WALL### 6 mass 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 21 . 1 despite 5 body 1 despite 6 mass 2 no 5 body 3 changes 5 body 7 , 9 data 7 , 10 contribute 8 these 9 data 9 data 10 contribute 10 contribute 11 to 11 to 12 evidence 12 evidence 13 for 13 for 18 effects 14 the 18 effects 15 anti 16 - 15 anti 18 effects 17 inflammatory 18 effects 18 effects 19 of 19 of 20 exercise background : diagnostic criteria for sarcopenia from appendicular lean mass ( alm ) , strength , and performance have been proposed , but little is [known] regarding the progression of sarcopenia . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 3 diagnostic 2 : 14 , 3 diagnostic 4 criteria 3 diagnostic 10 mass 3 diagnostic 12 alm 4 criteria 5 for 4 criteria 7 from 4 criteria 10 mass 5 for 6 sarcopenia 7 from 9 lean 8 appendicular 9 lean 11 ( 12 alm 12 alm 13 ) 14 , 17 and 14 , 21 proposed 14 , 23 but 15 strength 17 and 16 , 17 and 17 and 18 performance 17 and 19 have 19 have 20 been 20 been 21 proposed 22 , 23 but 23 but 24 little 23 but 25 is 24 little 25 is 25 is 27 regarding 27 regarding 29 progression 28 the 29 progression 29 progression 30 of 30 of 31 sarcopenia we examined the time course of sarcopenia and determinants of transitioning [toward] [and] away from sarcopenia . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 17 . 1 we 2 examined 2 examined 5 course 2 examined 14 away 2 examined 15 from 3 the 5 course 4 time 5 course 5 course 6 of 6 of 8 and 7 sarcopenia 8 and 8 and 9 determinants 8 and 10 of 10 of 11 transitioning 15 from 16 sarcopenia methods : alm , gait speed , and grip strength were assessed seven times over 9 years in 2,928 initially well - functioning adults aged 70 - 79 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 8 and 2 : 11 were 3 alm 4 , 4 , 6 speed 4 , 8 and 5 gait 6 speed 7 , 8 and 8 and 10 strength 8 and 11 were 9 grip 10 strength 11 were 14 times 11 were 27 - 12 assessed 14 times 13 seven 14 times 14 times 24 adults 14 times 25 aged 15 over 16 9 15 over 22 - 15 over 24 adults 16 9 17 years 16 9 21 well 17 years 18 in 17 years 21 well 18 in 19 2,928 20 initially 21 well 23 functioning 24 adults 24 adults 25 aged 26 70 27 - 27 - 28 79 presarcopenia was defined as low alm and sarcopenia as low alm with low performance or low strength . 0 ###LEFT-WALL### 1 presarcopenia 0 ###LEFT-WALL### 3 defined 0 ###LEFT-WALL### 18 . 1 presarcopenia 2 was 2 was 3 defined 3 defined 4 as 3 defined 9 as 4 as 7 and 5 low 6 alm 6 alm 7 and 7 and 8 sarcopenia 9 as 15 or 10 low 11 alm 11 alm 12 with 11 alm 15 or 12 with 14 performance 13 low 14 performance 15 or 17 strength 16 low 17 strength hidden markov modeling was used to characterize states of alm , strength , and performance and model transitions leading to sarcopenia and death . 0 ###LEFT-WALL### 3 modeling 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 24 . 1 hidden 3 modeling 2 markov 3 modeling 3 modeling 4 was 4 was 5 used 5 used 6 to 5 used 20 to 6 to 16 and 7 characterize 14 and 7 characterize 16 and 8 states 9 of 8 states 11 , 9 of 10 alm 11 , 12 strength 11 , 14 and 13 , 14 and 14 and 15 performance 16 and 17 model 17 model 18 transitions 18 transitions 19 leading 20 to 22 and 21 sarcopenia 22 and 22 and 23 death determinants of [transitioning] [toward] [and] away from sarcopenia were examined with logistic regression . 0 ###LEFT-WALL### 1 determinants 0 ###LEFT-WALL### 10 examined 0 ###LEFT-WALL### 14 . 1 determinants 2 of 1 determinants 7 from 1 determinants 9 were 2 of 6 away 7 from 8 sarcopenia 9 were 10 examined 10 examined 11 with 11 with 13 regression 12 logistic 13 regression results : initially , 54 % of participants had normal alm , strength , and performance ; 21 % had presarcopenia ; 5 % had sarcopenia ; and 20 % had intermediate characteristics . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 % 2 : 9 had 2 : 17 ; 2 : 34 . 3 initially 4 , 3 initially 6 % 5 54 6 % 6 % 7 of 6 % 9 had 7 of 8 participants 9 had 11 alm 10 normal 11 alm 11 alm 15 and 12 , 15 and 13 strength 15 and 14 , 15 and 15 and 16 performance 15 and 17 ; 17 ; 19 % 17 ; 20 had 17 ; 22 ; 18 21 19 % 19 % 20 had 20 had 21 presarcopenia 22 ; 24 % 22 ; 25 had 22 ; 27 ; 23 5 24 % 24 % 25 had 25 had 26 sarcopenia 27 ; 28 and 28 and 30 % 28 and 31 had 29 20 30 % 30 % 31 had 31 had 33 characteristics 32 intermediate 33 characteristics [of] participants with normal alm , strength , and performance , 1 % transitioned to presarcopenia and none transitioned to sarcopenia . 0 ###LEFT-WALL### 9 and 2 participants 3 with 2 participants 9 and 3 with 5 alm 4 normal 5 alm 5 alm 7 strength 6 , 7 strength 7 strength 8 , 8 , 9 and 9 and 10 performance 9 and 13 % 11 , 13 % 12 1 13 % 13 % 14 transitioned 13 % 19 transitioned 13 % 20 to 13 % 22 . 14 transitioned 15 to 15 to 17 and 16 presarcopenia 17 and 17 and 18 none 20 to 21 sarcopenia the greatest transition to sarcopenia ( 7 % ) was in presarcopenic individuals . 0 ###LEFT-WALL### 3 transition 0 ###LEFT-WALL### 10 was 0 ###LEFT-WALL### 14 . 1 the 2 greatest 1 the 3 transition 3 transition 4 to 3 transition 10 was 4 to 5 sarcopenia 5 sarcopenia 8 % 6 ( 8 % 7 7 8 % 8 % 9 ) 10 was 11 in 11 in 13 individuals 12 presarcopenic 13 individuals low - functioning and sarcopenia states were more likely to lead to death ( 12 [%] and 13 % ) . 0 ###LEFT-WALL### 6 states 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 21 . 1 low 2 - 1 low 6 states 3 functioning 4 and 4 and 5 sarcopenia 4 and 6 states 6 states 7 were 7 were 9 likely 8 more 9 likely 9 likely 10 to 9 likely 11 lead 10 to 11 lead 11 lead 12 to 12 to 13 death 13 death 19 % 14 ( 19 % 15 12 17 and 17 and 18 13 17 and 19 % 19 % 20 ) [higher] [body] mass [index] ( p < [.] 001 ) and pain ( [p] = [.] 05 ) predicted transition toward sarcopenia , whereas moderate activity predicted transition from presarcopenia to more normal states ( p = [.] 02 ) . 0 ###LEFT-WALL### 3 mass 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 41 . 3 mass 7 < 5 ( 7 < 6 p 7 < 7 < 9 001 7 < 10 ) 11 and 12 pain 11 and 19 predicted 12 pain 17 05 12 pain 19 predicted 13 ( 17 05 15 = 17 05 17 05 18 ) 19 predicted 20 transition 19 predicted 21 toward 19 predicted 24 whereas 21 toward 22 sarcopenia 23 , 24 whereas 24 whereas 26 activity 24 whereas 27 predicted 24 whereas 40 ) 25 moderate 26 activity 26 activity 27 predicted 27 predicted 28 transition 27 predicted 31 to 28 transition 29 from 29 from 30 presarcopenia 31 to 34 states 32 more 33 normal 33 normal 34 states 34 states 37 = 35 ( 37 = 36 p 37 = 37 = 39 02 conclusions : pain , physical activity , and body mass index , potentially modifiable factors , are determinants of transitions . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 21 . 1 conclusions 2 : 2 : 3 pain 4 , 8 and 4 , 17 are 5 physical 6 activity 6 activity 8 and 7 , 8 and 8 and 11 index 8 and 15 factors 8 and 17 are 9 body 11 index 10 mass 11 index 12 , 15 factors 13 potentially 14 modifiable 14 modifiable 15 factors 15 factors 16 , 17 are 18 determinants 18 determinants 19 of 19 of 20 transitions promotion of health approaching old age is important as few individuals transition away from their initial state . 0 ###LEFT-WALL### 1 promotion 0 ###LEFT-WALL### 12 transition 0 ###LEFT-WALL### 18 . 1 promotion 2 of 1 promotion 4 approaching 1 promotion 7 is 2 of 3 health 4 approaching 6 age 5 old 6 age 7 is 8 important 8 important 9 as 9 as 10 few 10 few 11 individuals 10 few 12 transition 11 individuals 12 transition 12 transition 13 away 12 transition 14 from 14 from 17 state 15 their 17 state 16 initial 17 state identifying the downstream effects of disease - associated snps is challenging . 0 ###LEFT-WALL### 9 snps 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 12 . 1 identifying 4 effects 1 identifying 7 - 1 identifying 9 snps 2 the 4 effects 3 downstream 4 effects 4 effects 5 of 5 of 6 disease 8 associated 9 snps 9 snps 10 is 10 is 11 challenging to help overcome this problem , we performed expression quantitative trait locus ( eqtl ) meta - analysis [in] [non] - transformed peripheral blood samples from 5,311 individuals with replication [in] 2,775 individuals . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 help 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 22 transformed 0 ###LEFT-WALL### 34 . 1 to 2 help 2 help 3 overcome 3 overcome 5 problem 4 this 5 problem 6 , 7 we 6 , 8 performed 7 we 8 performed 8 performed 9 expression 9 expression 12 locus 9 expression 22 transformed 10 quantitative 11 trait 11 trait 12 locus 12 locus 18 analysis 12 locus 22 transformed 13 ( 18 analysis 14 eqtl 15 ) 14 eqtl 18 analysis 16 meta 17 - 16 meta 18 analysis 18 analysis 21 - 22 transformed 25 samples 22 transformed 29 with 23 peripheral 24 blood 24 blood 25 samples 25 samples 26 from 26 from 28 individuals 27 5,311 28 individuals 29 with 30 replication 29 with 33 individuals 30 replication 32 2,775 we identified and replicated trans eqtls for 233 snps ( reflecting 103 independent loci ) that were previously associated with complex traits at genome [-] wide significance . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 28 . 1 we 3 and 2 identified 3 and 3 and 4 replicated 3 and 6 eqtls 5 trans 6 eqtls 6 eqtls 7 for 6 eqtls 16 that 6 eqtls 17 were 7 for 9 snps 8 233 9 snps 9 snps 11 reflecting 10 ( 11 reflecting 11 reflecting 14 loci 11 reflecting 15 ) 12 103 14 loci 13 independent 14 loci 16 that 17 were 17 were 19 associated 18 previously 19 associated 19 associated 20 with 19 associated 23 at 20 with 22 traits 21 complex 22 traits 23 at 27 significance 24 genome 27 significance 26 wide 27 significance some of these snps affect multiple genes in trans that are known to be altered in individuals with disease : rs4917014 , previously associated with systemic lupus erythematosus ( sle ) , altered gene expression of c1qb and five type i interferon response genes , both hallmarks of sle . 0 ###LEFT-WALL### 1 some 0 ###LEFT-WALL### 5 affect 0 ###LEFT-WALL### 20 : 0 ###LEFT-WALL### 21 rs4917014 1 some 2 of 1 some 5 affect 2 of 4 snps 3 these 4 snps 5 affect 7 genes 6 multiple 7 genes 7 genes 8 in 7 genes 10 that 7 genes 11 are 8 in 9 trans 10 that 11 are 11 are 12 known 12 known 13 to 12 known 16 in 12 known 18 with 13 to 14 be 14 be 15 altered 16 in 17 individuals 18 with 19 disease 20 : 21 rs4917014 21 rs4917014 24 associated 22 , 24 associated 23 previously 24 associated 24 associated 25 with 24 associated 50 . 25 with 27 lupus 25 with 28 erythematosus 26 systemic 27 lupus 28 erythematosus 30 sle 28 erythematosus 35 expression 29 ( 30 sle 30 sle 31 ) 32 , 35 expression 33 altered 34 gene 34 gene 35 expression 35 expression 36 of 35 expression 50 . 36 of 44 genes 37 c1qb 38 and 38 and 40 type 38 and 42 interferon 39 five 40 type 40 type 41 i 42 interferon 44 genes 43 response 44 genes 44 genes 47 hallmarks 45 , 47 hallmarks 46 both 47 hallmarks 47 hallmarks 48 of 47 hallmarks 50 . 48 of 49 sle deepsage rna sequencing showed that rs4917014 strongly alters the 3 ['] utr levels of ikzf1 in cis , and chromatin immunoprecipitation and sequencing analysis of the trans - regulated genes implicated ikzf1 as the causal gene . 0 ###LEFT-WALL### 3 sequencing 0 ###LEFT-WALL### 29 regulated 0 ###LEFT-WALL### 37 . 1 deepsage 3 sequencing 2 rna 3 sequencing 3 sequencing 4 showed 4 showed 5 that 5 that 6 rs4917014 5 that 8 alters 6 rs4917014 8 alters 7 strongly 8 alters 8 alters 13 levels 8 alters 16 in 9 the 10 3 10 3 13 levels 12 utr 13 levels 13 levels 14 of 14 of 15 ikzf1 16 in 19 and 17 cis 19 and 18 , 19 and 19 and 20 chromatin 19 and 22 and 19 and 29 regulated 21 immunoprecipitation 22 and 22 and 24 analysis 22 and 28 - 22 and 29 regulated 23 sequencing 24 analysis 24 analysis 25 of 25 of 27 trans 26 the 27 trans 29 regulated 32 ikzf1 29 regulated 33 as 30 genes 31 implicated 31 implicated 32 ikzf1 33 as 36 gene 34 the 36 gene 35 causal 36 gene variants associated with cholesterol metabolism and type 1 diabetes showed similar phenomena , indicating that large - scale eqtl mapping provides insight into the downstream effects of many [trait] - associated variants . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 33 . 1 variants 2 associated 1 variants 3 with 1 variants 6 and 3 with 5 metabolism 4 cholesterol 5 metabolism 6 and 7 type 6 and 9 diabetes 6 and 10 showed 8 1 9 diabetes 9 diabetes 10 showed 10 showed 12 phenomena 10 showed 32 variants 11 similar 12 phenomena 12 phenomena 14 indicating 13 , 14 indicating 14 indicating 15 that 14 indicating 30 - 15 that 20 mapping 15 that 21 provides 16 large 17 - 16 large 20 mapping 18 scale 20 mapping 19 eqtl 20 mapping 20 mapping 21 provides 21 provides 22 insight 21 provides 23 into 23 into 26 effects 24 the 26 effects 25 downstream 26 effects 26 effects 27 of 27 of 28 many 31 associated 32 variants the loss of complexity in physiological systems may be a dynamical biomarker of aging and disease . 0 ###LEFT-WALL### 2 loss 0 ###LEFT-WALL### 9 be 0 ###LEFT-WALL### 17 . 1 the 2 loss 2 loss 3 of 2 loss 8 may 3 of 4 complexity 4 complexity 5 in 5 in 7 systems 6 physiological 7 systems 8 may 9 be 9 be 15 and 10 a 11 dynamical 10 a 12 biomarker 11 dynamical 12 biomarker 12 biomarker 13 of 12 biomarker 15 and 13 of 14 aging 15 and 16 disease in this study the effects of combined strength and endurance training compared with those of endurance training or strength training alone on heart rate ( hr ) complexity and traditional hr variability indices were examined in middle - aged women . 0 ###LEFT-WALL### 5 effects 0 ###LEFT-WALL### 39 aged 0 ###LEFT-WALL### 41 . 1 in 3 study 1 in 5 effects 2 this 3 study 4 the 5 effects 5 effects 6 of 5 effects 39 aged 6 of 9 and 7 combined 8 strength 8 strength 9 and 9 and 37 middle 9 and 38 - 10 endurance 11 training 11 training 12 compared 11 training 29 and 12 compared 13 with 13 with 14 those 13 with 28 complexity 14 those 15 of 15 of 16 endurance 16 endurance 18 or 16 endurance 24 rate 16 endurance 26 hr 17 training 18 or 18 or 20 training 18 or 21 alone 18 or 24 rate 19 strength 20 training 21 alone 22 on 22 on 23 heart 25 ( 26 hr 26 hr 27 ) 29 and 31 hr 29 and 33 indices 29 and 36 in 29 and 37 middle 30 traditional 31 hr 32 variability 33 indices 33 indices 34 were 34 were 35 examined 35 examined 36 in 39 aged 40 women continuous hr time series were obtained during supine rest and submaximal steady state exercise . 0 ###LEFT-WALL### 4 series 0 ###LEFT-WALL### 6 obtained 0 ###LEFT-WALL### 15 . 1 continuous 2 hr 2 hr 4 series 3 time 4 series 4 series 5 were 5 were 6 obtained 6 obtained 7 during 7 during 10 and 8 supine 9 rest 9 rest 10 and 10 and 14 exercise 11 submaximal 13 state 12 steady 13 state 13 state 14 exercise the complexity of hr dynamics was assessed using multiscale entropy analysis . 0 ###LEFT-WALL### 2 complexity 0 ###LEFT-WALL### 7 assessed 0 ###LEFT-WALL### 12 . 1 the 2 complexity 2 complexity 3 of 2 complexity 6 was 3 of 5 dynamics 4 hr 5 dynamics 6 was 7 assessed 7 assessed 8 using 8 using 11 analysis 9 multiscale 11 analysis 10 entropy 11 analysis in addition , standard time and frequency domain measures were also computed . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 10 were 0 ###LEFT-WALL### 13 . 1 in 6 and 1 in 10 were 2 addition 3 , 3 , 5 time 3 , 6 and 4 standard 5 time 6 and 7 frequency 8 domain 9 measures 9 measures 10 were 10 were 12 computed 11 also 12 computed endurance training led to increases in hr complexity and selected time and frequency domain measures of hr variability ( p<0.01 ) when measured during exercise . 0 ###LEFT-WALL### 2 training 0 ###LEFT-WALL### 3 led 0 ###LEFT-WALL### 26 . 1 endurance 2 training 2 training 3 led 3 led 4 to 4 to 9 and 5 increases 6 in 5 increases 9 and 6 in 8 complexity 7 hr 8 complexity 9 and 10 selected 9 and 18 variability 9 and 22 when 9 and 24 during 11 time 12 and 12 and 15 measures 12 and 16 of 12 and 18 variability 13 frequency 15 measures 14 domain 15 measures 16 of 17 hr 18 variability 20 p<0.01 19 ( 20 p<0.01 20 p<0.01 21 ) 22 when 23 measured 24 during 25 exercise combined strength and endurance training or strength training alone did not produce significant changes in hr dynamics . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 18 . 1 combined 2 strength 1 combined 3 and 3 and 12 produce 4 endurance 5 training 5 training 6 or 6 or 8 training 6 or 10 did 7 strength 8 training 9 alone 10 did 10 did 11 not 10 did 12 produce 12 produce 14 changes 12 produce 15 in 13 significant 14 changes 15 in 17 dynamics 16 hr 17 dynamics [inter] - subject heterogeneity of responses was particularly noticeable in the combined training group . 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 15 . 2 - 4 heterogeneity 3 subject 4 heterogeneity 4 heterogeneity 5 of 4 heterogeneity 7 was 5 of 6 responses 7 was 9 noticeable 8 particularly 9 noticeable 9 noticeable 10 in 10 in 14 group 11 the 14 group 12 combined 13 training 13 training 14 group at supine rest , no training - induced changes in hr parameters were observed in any of the groups . 0 ###LEFT-WALL### 9 changes 0 ###LEFT-WALL### 14 observed 0 ###LEFT-WALL### 20 . 1 at 3 rest 1 at 9 changes 2 supine 3 rest 3 rest 6 training 4 , 6 training 5 no 6 training 6 training 7 - 8 induced 9 changes 9 changes 10 in 9 changes 13 were 10 in 12 parameters 11 hr 12 parameters 13 were 14 observed 14 observed 15 in 15 in 16 any 16 any 17 of 17 of 19 groups 18 the 19 groups the present findings emphasize the potential utility of endurance training in increasing the complex variability of hr in middle [-] aged women . 0 ###LEFT-WALL### 3 findings 0 ###LEFT-WALL### 4 emphasize 0 ###LEFT-WALL### 23 . 1 the 3 findings 2 present 3 findings 3 findings 4 emphasize 4 emphasize 7 utility 4 emphasize 11 in 4 emphasize 18 in 5 the 7 utility 6 potential 7 utility 7 utility 8 of 8 of 10 training 9 endurance 10 training 11 in 12 increasing 12 increasing 15 variability 13 the 15 variability 14 complex 15 variability 15 variability 16 of 16 of 17 hr 18 in 22 women 19 middle 21 aged 21 aged 22 women further studies are needed to explore the combined endurance and strength training adaptations and possible gender and age related factors , as well as other mechanisms , that may mediate the effects of different training regimens on hr dynamics . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 6 explore 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 40 . 1 further 2 studies 2 studies 3 are 3 are 4 needed 4 needed 5 to 5 to 6 explore 6 explore 9 endurance 7 the 9 endurance 8 combined 9 endurance 10 and 17 and 10 and 27 , 11 strength 12 training 11 strength 14 and 12 training 13 adaptations 14 and 16 gender 14 and 17 and 15 possible 16 gender 17 and 18 age 17 and 19 related 17 and 27 , 20 factors 21 , 20 factors 23 well 20 factors 24 as 20 factors 27 , 22 as 23 well 24 as 26 mechanisms 25 other 26 mechanisms 27 , 30 mediate 27 , 37 on 28 that 29 may 29 may 30 mediate 30 mediate 32 effects 31 the 32 effects 32 effects 33 of 33 of 36 regimens 34 different 35 training 35 training 36 regimens 37 on 39 dynamics 38 hr 39 dynamics purpose : to measure choroidal thickness ( ct ) in children of various ages by using spectral optical coherence tomography with enhanced depth imaging [and] to investigate the association between subfoveal ct and ocular axial length , age , gender , weight , and height in children . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 investigate 0 ###LEFT-WALL### 48 . 2 : 3 to 2 : 4 measure 3 to 4 measure 4 measure 6 thickness 4 measure 10 in 5 choroidal 6 thickness 6 thickness 8 ct 7 ( 8 ct 8 ct 9 ) 10 in 11 children 11 children 12 of 11 children 15 by 12 of 14 ages 13 various 14 ages 15 by 16 using 16 using 19 coherence 16 using 26 to 17 spectral 19 coherence 18 optical 19 coherence 19 coherence 20 tomography 20 tomography 21 with 21 with 24 imaging 22 enhanced 23 depth 23 depth 24 imaging 26 to 27 investigate 27 investigate 44 and 27 investigate 46 in 28 the 29 association 29 association 30 between 29 association 33 and 30 between 32 ct 31 subfoveal 32 ct 33 and 36 length 33 and 38 age 33 and 40 gender 33 and 42 weight 33 and 44 and 34 ocular 36 length 35 axial 36 length 37 , 38 age 38 age 39 , 39 , 40 gender 40 gender 41 , 41 , 42 weight 42 weight 43 , 43 , 44 and 44 and 45 height 46 in 47 children methods : healthy children were prospectively included between may and august 2012 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 children 2 : 7 included 2 : 13 . 3 healthy 4 children 4 children 5 were 5 were 6 prospectively 5 were 7 included 7 included 8 between 8 between 10 and 9 may 10 and 10 and 11 august 11 august 12 2012 optical coherence tomography with the enhanced depth imaging system ( spectralis , heidelberg , germany ) was used for choroidal imaging at nine defined points of the macula of both eyes . 0 ###LEFT-WALL### 2 coherence 0 ###LEFT-WALL### 18 used 0 ###LEFT-WALL### 32 . 1 optical 2 coherence 2 coherence 3 tomography 2 coherence 17 was 3 tomography 4 with 4 with 9 system 5 the 9 system 6 enhanced 9 system 7 depth 9 system 8 imaging 9 system 9 system 11 spectralis 9 system 15 germany 10 ( 11 spectralis 11 spectralis 13 heidelberg 11 spectralis 14 , 12 , 13 heidelberg 13 heidelberg 14 , 14 , 15 germany 15 germany 16 ) 17 was 18 used 18 used 19 for 18 used 22 at 19 for 21 imaging 20 choroidal 21 imaging 22 at 25 points 23 nine 25 points 24 defined 25 points 25 points 26 of 26 of 28 macula 27 the 28 macula 28 macula 29 of 29 of 31 eyes 30 both 31 eyes axial length was measured using iolmaster ( carl zeiss meditec , dublin , ca ) . 0 ###LEFT-WALL### 2 length 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 16 . 1 axial 2 length 2 length 3 was 3 was 4 measured 4 measured 5 using 5 using 6 iolmaster 6 iolmaster 10 meditec 6 iolmaster 12 dublin 6 iolmaster 14 ca 7 ( 10 meditec 8 carl 9 zeiss 9 zeiss 10 meditec 10 meditec 11 , 11 , 12 dublin 12 dublin 13 , 13 , 14 ca 14 ca 15 )