although many studies have investigated depression or quality of life ( qol ) in older adults with visual impairment , few have looked at the association between these two concepts for this population . 0 ###LEFT-WALL### 21 few 0 ###LEFT-WALL### 23 looked 0 ###LEFT-WALL### 34 . 1 although 3 studies 1 although 5 investigated 1 although 13 ) 1 although 21 few 2 many 3 studies 3 studies 4 have 4 have 5 investigated 5 investigated 7 or 6 depression 7 or 7 or 8 quality 7 or 9 of 9 of 10 life 10 life 12 qol 11 ( 12 qol 12 qol 13 ) 14 in 16 adults 14 in 20 , 14 in 21 few 15 older 16 adults 16 adults 17 with 17 with 19 impairment 18 visual 19 impairment 21 few 22 have 22 have 23 looked 23 looked 24 at 23 looked 27 between 24 at 26 association 25 the 26 association 27 between 30 concepts 28 these 29 two 29 two 30 concepts 30 concepts 31 for 31 for 33 population 32 this 33 population the aim of this systematized review was to describe the association between depression and qol in older adults with visual impairment . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 22 . 1 the 2 aim 2 aim 3 of 2 aim 7 was 3 of 6 review 4 this 6 review 5 systematized 6 review 7 was 8 to 7 was 9 describe 8 to 9 describe 9 describe 11 association 9 describe 12 between 9 describe 16 in 10 the 11 association 12 between 14 and 13 depression 14 and 14 and 15 qol 16 in 18 adults 17 older 18 adults 18 adults 19 with 19 with 21 impairment 20 visual 21 impairment methods : a search was done using multiple electronic databases for studies addressing the relationship between qol and depression in elders with visual impairment . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 search 2 : 5 was 2 : 25 . 3 a 4 search 4 search 5 was 5 was 6 done 6 done 7 using 7 using 18 and 7 using 22 with 8 multiple 10 databases 9 electronic 10 databases 10 databases 11 for 10 databases 18 and 11 for 12 studies 12 studies 13 addressing 13 addressing 15 relationship 13 addressing 16 between 14 the 15 relationship 16 between 17 qol 18 and 19 depression 18 and 20 in 20 in 21 elders 22 with 24 impairment 23 visual 24 impairment the concept of qol was divided into two different approaches , ie , qol [as] achievement and qol as subjective well - being . 0 ###LEFT-WALL### 2 concept 0 ###LEFT-WALL### 6 divided 0 ###LEFT-WALL### 22 - 0 ###LEFT-WALL### 24 . 1 the 2 concept 2 concept 3 of 2 concept 5 was 3 of 4 qol 5 was 6 divided 6 divided 7 into 6 divided 19 as 7 into 17 and 8 two 10 approaches 9 different 10 approaches 10 approaches 11 , 11 , 16 achievement 11 , 17 and 12 ie 13 , 12 ie 16 achievement 14 qol 16 achievement 17 and 18 qol 19 as 21 well 20 subjective 21 well 22 - 23 being comparison of qol scores between participants [with] and without depression ( cohen 's [d] ) and correlations between depression and qol ( pearson 's [r] ) were examined . 0 ###LEFT-WALL### 1 comparison 0 ###LEFT-WALL### 4 scores 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 29 . 1 comparison 2 of 1 comparison 4 scores 2 of 3 qol 4 scores 8 and 5 between 6 participants 5 between 8 and 8 and 9 without 9 without 10 depression 10 depression 13 's 11 ( 13 's 12 cohen 13 's 13 's 15 ) 16 and 17 correlations 16 and 28 examined 17 correlations 18 between 17 correlations 27 were 18 between 20 and 19 depression 20 and 20 and 21 qol 20 and 24 's 22 ( 24 's 23 pearson 24 's 24 's 26 ) 27 were 28 examined results : thirteen studies reported in 18 articles were included in the review . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 studies 2 : 5 reported 2 : 14 . 3 thirteen 4 studies 4 studies 5 reported 5 reported 6 in 5 reported 8 articles 5 reported 10 included 6 in 7 18 8 articles 9 were 9 were 10 included 10 included 11 in 11 in 13 review 12 the 13 review nearly all of the studies revealed that better qol was moderately to strongly correlated with less severe depressive symptoms ( r = 0.22 - 0.68 for qol as achievement [;] [r] = 0.68 and 0.72 for qol as subjective well - being [ )( 0 ###LEFT-WALL### 2 all 0 ###LEFT-WALL### 14 correlated 0 ###LEFT-WALL### 41 - 0 ###LEFT-WALL### 44 )( 1 nearly 2 all 2 all 3 of 2 all 14 correlated 3 of 5 studies 4 the 5 studies 5 studies 6 revealed 5 studies 7 that 5 studies 12 to 7 that 9 qol 7 that 10 was 8 better 9 qol 9 qol 10 was 10 was 11 moderately 10 was 12 to 13 strongly 14 correlated 14 correlated 15 with 14 correlated 40 well 15 with 19 symptoms 16 less 17 severe 17 severe 19 symptoms 18 depressive 19 symptoms 19 symptoms 22 = 20 ( 22 = 21 r 22 = 22 = 24 - 23 0.22 24 - 24 - 25 0.68 24 - 26 for 26 for 27 qol 27 qol 28 as 28 as 29 achievement 29 achievement 34 and 29 achievement 36 for 32 = 33 0.68 33 0.68 34 and 34 and 35 0.72 36 for 37 qol 38 as 39 subjective 39 subjective 40 well 41 - 42 being effect sizes for the qol differences between the groups [with] and without depression ranged [from] small to large ( d = 0.17 to 0.95 for qol as achievement [;] no data for qol as subjective well - being [ )( 0 ###LEFT-WALL### 1 effect 0 ###LEFT-WALL### 37 - 1 effect 2 sizes 2 sizes 3 for 3 for 5 qol 4 the 5 qol 5 qol 6 differences 5 qol 17 to 5 qol 18 large 6 differences 11 and 6 differences 14 ranged 7 between 9 groups 7 between 11 and 8 the 9 groups 11 and 12 without 12 without 13 depression 14 ranged 16 small 16 small 17 to 18 large 21 = 18 large 23 to 18 large 27 as 19 ( 21 = 20 d 21 = 21 = 22 0.17 23 to 24 0.95 24 0.95 25 for 25 for 26 qol 27 as 31 data 27 as 32 for 28 achievement 31 data 30 no 31 data 32 for 36 well 33 qol 36 well 34 as 35 subjective 35 subjective 36 well 37 - 38 being 37 - 40 )( conclusion : additional studies are necessary to pinpoint further the determinants and mediators of this relationship . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 2 : 4 studies 2 : 5 are 3 additional 4 studies 4 studies 5 are 5 are 6 necessary 6 necessary 7 to 7 to 8 pinpoint 8 pinpoint 9 further 8 pinpoint 12 and 10 the 12 and 11 determinants 12 and 12 and 13 mediators 12 and 14 of 14 of 16 relationship 15 this 16 relationship considering the high prevalence rate of depression in this community and its disabling effects on qol , interventions to prevent [and] treat depression are essential . 0 ###LEFT-WALL### 18 interventions 0 ###LEFT-WALL### 24 are 0 ###LEFT-WALL### 26 . 1 considering 5 rate 1 considering 14 effects 1 considering 15 on 1 considering 17 , 1 considering 18 interventions 2 the 5 rate 3 high 4 prevalence 4 prevalence 5 rate 5 rate 6 of 6 of 11 and 7 depression 8 in 7 depression 11 and 8 in 10 community 9 this 10 community 11 and 13 disabling 12 its 13 disabling 15 on 16 qol 18 interventions 19 to 18 interventions 20 prevent 18 interventions 24 are 19 to 20 prevent 20 prevent 23 depression 22 treat 23 depression 24 are 25 essential more efforts are needed in clinical settings to train health care practitioners to identify depressed elders with visual impairment and provide appropriate treatment . 0 ###LEFT-WALL### 2 efforts 0 ###LEFT-WALL### 9 train 0 ###LEFT-WALL### 24 . 1 more 2 efforts 2 efforts 3 are 3 are 4 needed 4 needed 5 in 4 needed 8 to 5 in 7 settings 6 clinical 7 settings 8 to 9 train 9 train 12 practitioners 9 train 13 to 9 train 20 and 10 health 12 practitioners 11 care 12 practitioners 13 to 20 and 14 identify 16 elders 14 identify 17 with 14 identify 20 and 15 depressed 16 elders 17 with 19 impairment 18 visual 19 impairment 20 and 21 provide 21 provide 23 treatment 22 appropriate 23 treatment purpose : the aim of this study was to investigate the biological and clinical significance of epidermal growth factor receptor [(] egfr ) signaling pathway in follicular dendritic cell sarcoma ( fdc - s ) . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 4 aim 2 : 8 was 2 : 36 . 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 investigate 10 investigate 25 pathway 11 the 25 pathway 12 biological 13 and 13 and 15 significance 13 and 23 ) 13 and 24 signaling 13 and 25 pathway 14 clinical 15 significance 15 significance 16 of 16 of 22 egfr 17 epidermal 22 egfr 18 growth 19 factor 19 factor 22 egfr 20 receptor 22 egfr 25 pathway 26 in 26 in 30 sarcoma 27 follicular 29 cell 28 dendritic 29 cell 29 cell 30 sarcoma 30 sarcoma 32 fdc 31 ( 32 fdc 32 fdc 34 s 32 fdc 35 ) 33 - 34 s 34 s 35 ) experimental design : expression of egfr and cognate ligands as well as activation of egfr signaling components was assessed in clinical samples and in a primary fdc - s [short] - term culture ( referred as fdc - am09 ) . 0 ###LEFT-WALL### 2 design 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 41 . 1 experimental 2 design 3 : 4 expression 3 : 9 ligands 4 expression 5 of 4 expression 9 ligands 5 of 7 and 6 egfr 7 and 7 and 8 cognate 9 ligands 11 well 9 ligands 12 as 9 ligands 33 culture 9 ligands 35 referred 10 as 11 well 12 as 19 assessed 13 activation 14 of 13 activation 16 signaling 13 activation 18 was 13 activation 19 assessed 14 of 15 egfr 16 signaling 17 components 16 signaling 18 was 19 assessed 23 and 20 in 22 samples 20 in 23 and 21 clinical 22 samples 23 and 24 in 24 in 32 term 25 a 32 term 26 primary 32 term 27 fdc 29 s 27 fdc 32 term 28 - 29 s 29 s 31 - 34 ( 35 referred 35 referred 36 as 35 referred 40 ) 36 as 37 fdc 37 fdc 39 am09 38 - 39 am09 39 am09 40 ) biological effects of the egfr antagonists cetuximab and panitumumab and the mek inhibitor uo126 on fdc [-] s cells were determined in vitro on fdc - am09 . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 7 cetuximab 0 ###LEFT-WALL### 8 and 1 biological 2 effects 2 effects 3 of 2 effects 7 cetuximab 3 of 6 antagonists 4 the 6 antagonists 5 egfr 6 antagonists 8 and 10 and 8 and 20 were 9 panitumumab 10 and 10 and 14 uo126 10 and 15 on 10 and 20 were 11 the 13 inhibitor 12 mek 13 inhibitor 13 inhibitor 14 uo126 15 on 19 cells 16 fdc 18 s 16 fdc 19 cells 20 were 21 determined 21 determined 23 vitro 21 determined 24 on 22 in 23 vitro 24 on 25 fdc 25 fdc 27 am09 26 - 27 am09 27 am09 28 . direct sequencing of kras , braf , and pi3kca was conducted on tumor dna . 0 ###LEFT-WALL### 2 sequencing 0 ###LEFT-WALL### 11 conducted 0 ###LEFT-WALL### 15 . 1 direct 2 sequencing 2 sequencing 3 of 2 sequencing 10 was 3 of 8 and 4 kras 6 braf 5 , 6 braf 6 braf 7 , 6 braf 8 and 7 , 8 and 8 and 9 pi3kca 10 was 11 conducted 11 conducted 12 on 12 on 14 dna 13 tumor 14 dna results : we found a strong egfr expression on dysplastic and neoplastic fdcs . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 found 2 : 14 . 3 we 4 found 4 found 7 egfr 4 found 8 expression 4 found 9 on 5 a 6 strong 5 a 7 egfr 6 strong 7 egfr 9 on 13 fdcs 10 dysplastic 11 and 11 and 12 neoplastic 11 and 13 fdcs on fdc - am09 , we could show that engagement of surface egfr by cognate [ligands] drives the survival and proliferation of fdc - s [cells] , by signaling to the nucleus mainly via mapk and stat pathways . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 8 show 0 ###LEFT-WALL### 39 . 1 on 2 fdc 1 on 5 , 1 on 6 we 2 fdc 4 am09 3 - 4 am09 4 am09 5 , 6 we 7 could 7 could 8 show 8 show 10 engagement 8 show 20 and 8 show 28 by 9 that 10 engagement 10 engagement 11 of 11 of 13 egfr 12 surface 13 egfr 13 egfr 14 by 14 by 17 drives 15 cognate 17 drives 18 the 19 survival 19 survival 20 and 20 and 21 proliferation 20 and 22 of 20 and 25 s 22 of 23 fdc 24 - 25 s 25 s 27 , 28 by 29 signaling 29 signaling 30 to 29 signaling 33 mainly 29 signaling 38 pathways 30 to 32 nucleus 31 the 32 nucleus 33 mainly 34 via 34 via 37 stat 35 mapk 36 and 36 and 37 stat [among] egfr ligands , heparin - binding egf - like growth factor , tgf - α and betacellulin ( btc ) [are] produced in the tumor microenvironment of fdc - s at rna level . 0 ###LEFT-WALL### 2 egfr 0 ###LEFT-WALL### 3 ligands 0 ###LEFT-WALL### 4 , 2 egfr 3 ligands 4 , 5 heparin 4 , 6 - 6 - 8 egf 6 - 9 - 7 binding 8 egf 9 - 12 factor 9 - 35 . 10 like 11 growth 10 like 12 factor 12 factor 15 - 12 factor 31 s 12 factor 32 at 13 , 15 - 14 tgf 15 - 15 - 17 and 15 - 30 - 16 α 17 and 17 and 20 btc 17 and 23 produced 17 and 24 in 18 betacellulin 20 btc 19 ( 20 btc 20 btc 21 ) 24 in 27 microenvironment 25 the 27 microenvironment 26 tumor 27 microenvironment 27 microenvironment 28 of 28 of 29 fdc 32 at 34 level 33 rna 34 level by extending this finding at protein level we found that btc [is] abundantly produced by fdc [-] s cells and surrounding stromal cells . 0 ###LEFT-WALL### 8 we 0 ###LEFT-WALL### 9 found 0 ###LEFT-WALL### 24 . 1 by 2 extending 1 by 8 we 2 extending 4 finding 3 this 4 finding 4 finding 5 at 5 at 7 level 6 protein 7 level 8 we 9 found 9 found 10 that 9 found 11 btc 9 found 15 by 11 btc 14 produced 13 abundantly 14 produced 15 by 20 and 16 fdc 18 s 16 fdc 19 cells 19 cells 20 and 20 and 23 cells 21 surrounding 23 cells 22 stromal 23 cells finally , direct sequencing of tumor [-] derived genomic dna showed that mutations in kras , nras , braf , and pi3kca , which predicts resistance to anti - egfr moab in other cancer models , are not observed in fdc - s . 0 ###LEFT-WALL### 4 sequencing 0 ###LEFT-WALL### 16 , 1 finally 2 , 1 finally 4 sequencing 3 direct 4 sequencing 4 sequencing 5 of 4 sequencing 11 showed 5 of 10 dna 6 tumor 8 derived 8 derived 10 dna 9 genomic 10 dna 11 showed 12 that 11 showed 13 mutations 11 showed 14 in 14 in 15 kras 16 , 21 and 16 , 39 observed 17 nras 18 , 18 , 19 braf 18 , 21 and 20 , 21 and 21 and 22 pi3kca 21 and 37 are 22 pi3kca 24 which 23 , 24 which 24 which 25 predicts 24 which 36 , 25 predicts 26 resistance 25 predicts 32 in 26 resistance 27 to 27 to 31 moab 28 anti 29 - 28 anti 31 moab 30 egfr 31 moab 32 in 35 models 33 other 35 models 34 cancer 35 models 37 are 38 not 37 are 39 observed 39 observed 40 in 40 in 41 fdc 41 fdc 43 s 42 - 43 s 43 s 44 . conclusion : activation of egfr by cognate [ligands] produced [in] the tumor microenvironment [sustain] viability and proliferation of fdc [-] s indicating that the receptor blockade might be clinically relevant in this neoplasm . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 1 conclusion 2 : 2 : 3 activation 3 activation 4 of 3 activation 6 by 4 of 5 egfr 6 by 22 indicating 7 cognate 9 produced 9 produced 22 indicating 11 the 15 viability 12 tumor 15 viability 13 microenvironment 15 viability 15 viability 16 and 16 and 17 proliferation 16 and 18 of 16 and 22 indicating 18 of 19 fdc 19 fdc 21 s 22 indicating 23 that 22 indicating 28 be 22 indicating 30 relevant 23 that 26 blockade 23 that 28 be 24 the 26 blockade 25 receptor 26 blockade 26 blockade 27 might 27 might 28 be 29 clinically 30 relevant 30 relevant 31 in 31 in 33 neoplasm 32 this 33 neoplasm objectives : the purpose of this study was to determine the normal value of left [ventricular] ( lv ) twist in 3 [-] dimensional ( 3 d ) geometry and to study the effects of aging on 3 d lv twist by sophisticated newly developed 3 d speckle - tracking echocardiographic techniques . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 4 purpose 3 the 4 purpose 4 purpose 5 of 4 purpose 8 was 5 of 7 study 6 this 7 study 8 was 9 to 8 was 10 determine 9 to 10 determine 10 determine 13 value 11 the 13 value 12 normal 13 value 13 value 14 of 14 of 20 twist 15 left 18 lv 15 left 19 ) 15 left 20 twist 17 ( 18 lv 18 lv 19 ) 20 twist 30 and 21 in 29 geometry 21 in 30 and 22 3 29 geometry 24 dimensional 27 d 24 dimensional 29 geometry 25 ( 27 d 26 3 27 d 27 d 28 ) 30 and 31 to 31 to 32 study 32 study 34 effects 32 study 41 twist 33 the 34 effects 34 effects 35 of 34 effects 41 twist 35 of 36 aging 36 aging 37 on 36 aging 40 lv 37 on 39 d 38 3 39 d 41 twist 42 by 41 twist 50 tracking 42 by 48 speckle 43 sophisticated 48 speckle 44 newly 45 developed 45 developed 48 speckle 46 3 47 d 47 d 48 speckle 49 - 50 tracking 50 tracking 52 techniques 50 tracking 53 . 51 echocardiographic 52 techniques methods : recent developments in miniaturized ultrasound arrays have provided us with high - quality 3 d echocardiographic data . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 1 methods 2 : 2 : 4 developments 3 recent 4 developments 4 developments 5 in 4 developments 8 arrays 4 developments 10 provided 5 in 7 ultrasound 6 miniaturized 7 ultrasound 8 arrays 9 have 9 have 10 provided 10 provided 11 us 10 provided 12 with 12 with 19 data 13 high 14 - 13 high 15 quality 15 quality 19 data 16 3 17 d 17 d 19 data 18 echocardiographic 19 data speckle tracking based on 3 d images is robust to out - [of] [-] plane motion error , whereas 2 - dimensional speckle tracking is inherently unable to analyze 3 d cardiac motion and may lead to measurement inaccuracies . 0 ###LEFT-WALL### 1 speckle 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 40 . 1 speckle 2 tracking 1 speckle 4 on 1 speckle 8 is 2 tracking 3 based 4 on 7 images 5 3 6 d 6 d 7 images 8 is 9 robust 9 robust 10 to 10 to 17 error 11 out 12 - 11 out 15 plane 15 plane 16 motion 16 motion 17 error 18 , 24 tracking 18 , 36 lead 19 whereas 20 2 19 whereas 21 - 19 whereas 24 tracking 22 dimensional 23 speckle 23 speckle 24 tracking 24 tracking 25 is 25 is 27 unable 26 inherently 27 unable 27 unable 28 to 27 unable 34 and 28 to 34 and 29 analyze 33 motion 29 analyze 34 and 30 3 31 d 31 d 33 motion 32 cardiac 33 motion 34 and 35 may 35 may 36 lead 36 lead 37 to 37 to 39 inaccuracies 38 measurement 39 inaccuracies three - dimensional [lv] volumetric images were acquired from 124 healthy volunteers ( aged 21 - 82 years ) and were analyzed by a recent speckle - tracking method . 0 ###LEFT-WALL### 1 three 0 ###LEFT-WALL### 2 - 2 - 6 images 3 dimensional 6 images 5 volumetric 6 images 6 images 20 and 7 were 8 acquired 7 were 20 and 8 acquired 9 from 9 from 12 volunteers 10 124 12 volunteers 11 healthy 12 volunteers 12 volunteers 14 aged 12 volunteers 18 years 13 ( 14 aged 14 aged 15 21 14 aged 16 - 16 - 18 years 17 82 18 years 18 years 19 ) 20 and 21 were 20 and 23 by 20 and 26 speckle 20 and 28 tracking 21 were 22 analyzed 24 a 26 speckle 25 recent 26 speckle 27 - 28 tracking 28 tracking 29 method 28 tracking 30 . left [ventricular] [twist] was analyzed as apical rotation relative to the base in the 3 d coordinates . 0 ###LEFT-WALL### 1 left 0 ###LEFT-WALL### 5 analyzed 0 ###LEFT-WALL### 18 . 1 left 4 was 4 was 5 analyzed 5 analyzed 6 as 6 as 8 rotation 7 apical 8 rotation 8 rotation 9 relative 9 relative 10 to 9 relative 13 in 10 to 12 base 11 the 12 base 13 in 17 coordinates 14 the 17 coordinates 15 3 16 d 16 d 17 coordinates the measured parameters in this study were peak apical rotation , peak basal rotation , peak lv [twist] , normalized peak [lv] twist , and peak untwist velocity . 0 ###LEFT-WALL### 3 parameters 0 ###LEFT-WALL### 8 peak 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 29 . 1 the 3 parameters 2 measured 3 parameters 3 parameters 4 in 3 parameters 7 were 4 in 6 study 5 this 6 study 7 were 8 peak 8 peak 10 rotation 9 apical 10 rotation 11 , 25 and 11 , 27 untwist 12 peak 14 rotation 13 basal 14 rotation 14 rotation 15 , 15 , 16 peak 15 , 19 , 16 peak 17 lv 19 , 23 twist 19 , 25 and 20 normalized 21 peak 21 peak 23 twist 24 , 25 and 25 and 26 peak 25 and 27 untwist 27 untwist 28 velocity results : as [seen] from the apex , [the] [normal] lv maintains a wringing systolic displacement with an initial counterclockwise rotation followed by a [clockwise] rotation in the [lv] basal plane and a [counterclockwise] rotation in the [lv] apical plane . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 41 . 2 : 21 rotation 2 : 22 followed 3 as 11 lv 3 as 12 maintains 3 as 21 rotation 5 from 7 apex 5 from 8 , 5 from 11 lv 6 the 7 apex 11 lv 12 maintains 12 maintains 16 displacement 13 a 16 displacement 14 wringing 16 displacement 15 systolic 16 displacement 16 displacement 17 with 17 with 19 initial 18 an 19 initial 20 counterclockwise 21 rotation 21 rotation 22 followed 22 followed 23 by 22 followed 36 in 23 by 32 and 24 a 26 rotation 26 rotation 27 in 26 rotation 32 and 27 in 31 plane 28 the 31 plane 30 basal 31 plane 32 and 35 rotation 33 a 35 rotation 36 in 40 plane 37 the 40 plane 39 apical 40 plane in general , the apical and basal twist increases during the aging process , leading to an increased [lv] twist value . 0 ###LEFT-WALL### 8 twist 0 ###LEFT-WALL### 9 increases 1 in 2 general 2 general 3 , 2 general 8 twist 4 the 8 twist 5 apical 6 and 6 and 7 basal 6 and 8 twist 8 twist 9 increases 9 increases 10 during 9 increases 15 leading 10 during 13 process 11 the 13 process 12 aging 13 process 14 , 15 leading 15 leading 16 to 15 leading 22 . 16 to 21 value 17 an 21 value 18 increased 20 twist 20 twist 21 value the mean peak twist ± [sd] in young participants ( 21 - 35 years ) was 11.73 ° ± 2.67 [°] , whereas the value for older participants ( >65 years ) was 18.57 ° ± 3.08 ° ( p < [.] 001 ) . 0 ###LEFT-WALL### 5 ± 0 ###LEFT-WALL### 16 was 0 ###LEFT-WALL### 45 . 1 the 5 ± 2 mean 5 ± 3 peak 4 twist 4 twist 5 ± 5 ± 7 in 5 ± 16 was 7 in 9 participants 8 young 9 participants 9 participants 11 21 9 participants 14 years 10 ( 11 21 11 21 12 - 12 - 14 years 13 35 14 years 14 years 15 ) 16 was 19 ± 16 was 23 whereas 17 11.73 18 ° 18 ° 19 ± 19 ± 20 2.67 22 , 23 whereas 23 whereas 25 value 23 whereas 33 was 23 whereas 44 ) 24 the 25 value 25 value 26 for 25 value 33 was 26 for 28 participants 27 older 28 participants 28 participants 31 years 29 ( 31 years 30 >65 31 years 31 years 32 ) 33 was 36 ± 34 18.57 35 ° 35 ° 36 ± 36 ± 41 < 37 3.08 38 ° 38 ° 41 < 39 ( 41 < 40 p 41 < 41 < 43 001 conclusions : three - dimensional speckle - tracking echocardiography can be an effective noninvasive method for assessing 3 d [lv] [twist] . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 be 0 ###LEFT-WALL### 22 . 2 : 3 three 2 : 4 - 4 - 6 speckle 4 - 7 - 4 - 11 be 5 dimensional 6 speckle 7 - 11 be 8 tracking 9 echocardiography 9 echocardiography 10 can 10 can 11 be 11 be 15 method 12 an 15 method 13 effective 15 method 14 noninvasive 15 method 15 method 16 for 16 for 17 assessing 17 assessing 19 d 18 3 19 d age - related differences in the 3 d [lv] twist may be the result of the age - related changes in the endocardial myofibers . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 12 be 0 ###LEFT-WALL### 19 related 1 age 11 may 2 - 3 related 3 related 4 differences 3 related 5 in 3 related 11 may 5 in 10 twist 6 the 10 twist 7 3 8 d 8 d 10 twist 11 may 12 be 12 be 14 result 13 the 14 result 14 result 15 of 15 of 17 age 16 the 17 age 18 - 19 related 19 related 20 changes 19 related 21 in 19 related 25 . 21 in 24 myofibers 22 the 24 myofibers 23 endocardial 24 myofibers objectives : to evaluate changes in the common duct diameter on sonography over time in patients [with] and without cholecystectomy . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 evaluate 2 : 21 . 3 to 4 evaluate 4 evaluate 5 changes 4 evaluate 6 in 4 evaluate 11 on 4 evaluate 13 over 6 in 10 diameter 7 the 10 diameter 8 common 9 duct 9 duct 10 diameter 11 on 12 sonography 13 over 14 time 14 time 18 and 15 in 16 patients 15 in 18 and 18 and 19 without 19 without 20 cholecystectomy methods : we retrospectively evaluated the common duct diameter , central biliary dilatation , and interval change in 1079 patients who underwent sonography at least 2 years apart over a 6 [-] year period . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 5 evaluated 2 : 10 , 2 : 35 . 3 we 5 evaluated 4 retrospectively 5 evaluated 5 evaluated 9 diameter 6 the 9 diameter 7 common 9 diameter 8 duct 9 diameter 10 , 15 and 10 , 17 change 11 central 13 dilatation 12 biliary 13 dilatation 13 dilatation 15 and 14 , 15 and 15 and 16 interval 15 and 17 change 17 change 18 in 17 change 20 patients 19 1079 20 patients 20 patients 21 who 20 patients 22 underwent 21 who 22 underwent 22 underwent 23 sonography 22 underwent 28 apart 22 underwent 29 over 24 at 25 least 25 least 26 2 26 2 27 years 27 years 28 apart 29 over 34 period 30 a 34 period 31 6 33 year 33 year 34 period a board - certified radiologist , blinded to clinical and laboratory data , measured the duct diameter . 0 ###LEFT-WALL### 2 board 0 ###LEFT-WALL### 3 - 1 a 2 board 3 - 5 radiologist 3 - 6 , 3 - 18 . 4 certified 5 radiologist 6 , 13 , 7 blinded 8 to 7 blinded 12 data 7 blinded 13 , 8 to 10 and 9 clinical 10 and 10 and 11 laboratory 13 , 14 measured 14 measured 17 diameter 15 the 17 diameter 16 duct 17 diameter a total of 893 patients ( 568 female and 325 male ) were divided into 3 groups [:] group 1 [,] remote cholecystectomy before sonography ( mean , 9.7 years before sonography [;] n = 117 ) [;] group 2 [,] interval cholecystectomy between the first [and] second sonographic examinations ( n = 56 ) [;] [and] group 3 , no cholecystectomy ( n = 720 ) . 1 a 2 total 2 total 3 of 2 total 5 patients 2 total 13 were 2 total 14 divided 3 of 4 893 5 patients 9 and 5 patients 13 were 6 ( 9 and 7 568 8 female 8 female 9 and 9 and 11 male 9 and 12 ) 10 325 11 male 14 divided 15 into 14 divided 23 cholecystectomy 15 into 16 3 16 3 17 groups 16 3 19 group 17 groups 19 group 20 1 23 cholecystectomy 22 remote 23 cholecystectomy 23 cholecystectomy 24 before 23 cholecystectomy 31 before 24 before 25 sonography 25 sonography 27 mean 26 ( 27 mean 27 mean 28 , 29 9.7 30 years 30 years 31 before 31 before 42 interval 32 sonography 35 = 32 sonography 42 interval 34 n 35 = 35 = 36 117 35 = 37 ) 39 group 42 interval 40 2 42 interval 42 interval 43 cholecystectomy 43 cholecystectomy 44 between 44 between 48 second 45 the 48 second 46 first 48 second 48 second 50 examinations 48 second 58 group 49 sonographic 50 examinations 50 examinations 53 = 50 examinations 58 group 51 ( 53 = 52 n 53 = 53 = 54 56 53 = 55 ) 58 group 59 3 59 3 62 cholecystectomy 60 , 62 cholecystectomy 61 no 62 cholecystectomy 62 cholecystectomy 65 = 62 cholecystectomy 68 . 63 ( 65 = 64 n 65 = 65 = 66 720 65 = 67 ) all groups were stratified by age , and group 3 was also stratified by the absence ( n = 528 ) [or] [presence] ( n=192 ) of gallstones . 0 ###LEFT-WALL### 2 groups 0 ###LEFT-WALL### 4 stratified 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 29 . 1 all 2 groups 2 groups 3 were 3 were 4 stratified 4 stratified 5 by 5 by 6 age 7 , 8 and 8 and 9 group 8 and 13 stratified 9 group 10 3 9 group 11 was 11 was 12 also 11 was 13 stratified 13 stratified 14 by 14 by 16 absence 15 the 16 absence 16 absence 19 = 16 absence 25 n=192 16 absence 27 of 17 ( 19 = 18 n 19 = 19 = 20 528 19 = 21 ) 24 ( 25 n=192 25 n=192 26 ) 27 of 28 gallstones results : duct diameters at baseline and follow - up [averaged] 4.5 and 5.2 , 3.6 and 4.9 , [and] 3.5 and 3.9 mm in groups 1 , 2 [,] and 3 , respectively . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 9 - 1 results 2 : 2 : 7 and 3 duct 4 diameters 3 duct 5 at 3 duct 7 and 5 at 6 baseline 7 and 8 follow 9 - 10 up 9 - 35 . 10 up 13 and 10 up 24 mm 10 up 25 in 10 up 34 respectively 12 4.5 13 and 13 and 14 5.2 13 and 17 and 15 , 17 and 16 3.6 17 and 17 and 18 4.9 17 and 19 , 21 3.5 22 and 22 and 23 3.9 22 and 24 mm 25 in 26 groups 26 groups 27 1 26 groups 31 and 28 , 31 and 29 2 31 and 31 and 32 3 31 and 33 , group 1 ducts were larger at baseline than in the other groups ( p < [.] 001 ) . 0 ###LEFT-WALL### 3 ducts 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 19 . 1 group 2 1 1 group 3 ducts 3 ducts 4 were 4 were 5 larger 5 larger 6 at 5 larger 8 than 6 at 7 baseline 8 than 9 in 9 in 12 groups 10 the 11 other 11 other 12 groups 12 groups 15 < 13 ( 15 < 14 p 15 < 15 < 17 001 15 < 18 ) at [follow] - up , group 2 ducts showed a greater interval diameter increase than the other groups ( p < [.] 001 ) . 0 ###LEFT-WALL### 6 group 0 ###LEFT-WALL### 18 groups 0 ###LEFT-WALL### 25 . 1 at 4 up 1 at 5 , 1 at 6 group 3 - 4 up 6 group 7 2 6 group 8 ducts 6 group 9 showed 6 group 18 groups 8 ducts 9 showed 9 showed 14 increase 9 showed 15 than 10 a 14 increase 11 greater 12 interval 12 interval 14 increase 13 diameter 14 increase 15 than 17 other 16 the 17 other 18 groups 21 < 19 ( 21 < 20 p 21 < 21 < 23 001 21 < 24 ) in [a] subanalysis of each group based on age , there was a mild increase in duct size with increasing age , [although] not clinically significant [and] within normal limits . 0 ###LEFT-WALL### 11 there 0 ###LEFT-WALL### 12 was 1 in 3 subanalysis 1 in 10 , 1 in 11 there 3 subanalysis 4 of 4 of 6 group 5 each 6 group 6 group 7 based 7 based 8 on 8 on 9 age 11 there 12 was 12 was 15 increase 13 a 14 mild 13 a 15 increase 14 mild 15 increase 15 increase 16 in 16 in 18 size 17 duct 18 size 18 size 19 with 18 size 26 significant 19 with 20 increasing 20 increasing 21 age 22 , 24 not 22 , 26 significant 25 clinically 26 significant 26 significant 28 within 26 significant 31 . 28 within 30 limits 29 normal 30 limits in group 3 patients who never had gallstones , there was a significant small increase in duct size over decades ( p < [.] 001 ) . 0 ###LEFT-WALL### 10 there 0 ###LEFT-WALL### 11 was 0 ###LEFT-WALL### 27 . 1 in 4 patients 1 in 9 , 1 in 10 there 2 group 4 patients 3 3 4 patients 4 patients 5 who 4 patients 7 had 5 who 7 had 6 never 7 had 7 had 8 gallstones 10 there 11 was 11 was 15 increase 12 a 13 significant 12 a 15 increase 13 significant 15 increase 14 small 15 increase 15 increase 16 in 16 in 18 size 17 duct 18 size 18 size 19 over 19 over 20 decades 20 decades 23 < 21 ( 23 < 22 p 23 < 23 < 25 001 23 < 26 ) the baseline duct sizes for patients with gallstones were not significantly different from those who never had gallstones ( p = [.] 15 ) . 0 ###LEFT-WALL### 4 sizes 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 25 . 1 the 4 sizes 2 baseline 4 sizes 3 duct 4 sizes 4 sizes 5 for 4 sizes 9 were 5 for 6 patients 6 patients 7 with 7 with 8 gallstones 9 were 10 not 9 were 12 different 10 not 11 significantly 11 significantly 12 different 12 different 13 from 13 from 14 those 14 those 15 who 14 those 17 had 15 who 17 had 16 never 17 had 17 had 18 gallstones 18 gallstones 21 = 19 ( 21 = 20 p 21 = 21 = 23 15 21 = 24 ) conclusions : patients with remote cholecystectomy have larger common duct diameters than those with no [or] interval cholecystectomy . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 2 : 3 patients 2 : 7 have 3 patients 4 with 3 patients 7 have 4 with 6 cholecystectomy 5 remote 6 cholecystectomy 7 have 11 diameters 7 have 12 than 8 larger 10 duct 9 common 10 duct 10 duct 11 diameters 12 than 13 those 13 those 14 with 14 with 18 cholecystectomy 15 no 18 cholecystectomy 17 interval 18 cholecystectomy most asymptomatic patients [with] or [without] cholecystectomy have a normal common duct diameter . 0 ###LEFT-WALL### 5 or 0 ###LEFT-WALL### 8 have 0 ###LEFT-WALL### 14 . 1 most 2 asymptomatic 2 asymptomatic 3 patients 3 patients 5 or 5 or 7 cholecystectomy 5 or 8 have 8 have 13 diameter 9 a 10 normal 9 a 13 diameter 10 normal 12 duct 11 common 12 duct 12 duct 13 diameter falls and associated injury and mortality [are] of increasing concern among aging americans . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 14 . 1 falls 2 and 2 and 3 associated 3 associated 5 and 4 injury 5 and 5 and 6 mortality 5 and 8 of 8 of 9 increasing 9 increasing 10 concern 9 increasing 11 among 11 among 12 aging 12 aging 13 americans early detection of fall risk can prevent [future] falls ; however , uptake of evidence [-] based screening and assessment protocols in the clinical setting has been limited . 0 ###LEFT-WALL### 2 detection 0 ###LEFT-WALL### 9 falls 0 ###LEFT-WALL### 10 ; 0 ###LEFT-WALL### 29 . 1 early 2 detection 2 detection 3 of 2 detection 5 risk 2 detection 7 prevent 2 detection 9 falls 3 of 4 fall 5 risk 6 can 6 can 7 prevent 10 ; 13 uptake 10 ; 27 been 11 however 12 , 11 however 13 uptake 13 uptake 14 of 13 uptake 26 has 14 of 15 evidence 15 evidence 17 based 17 based 25 setting 18 screening 19 and 19 and 21 protocols 19 and 22 in 19 and 25 setting 20 assessment 21 protocols 22 in 24 clinical 23 the 24 clinical 26 has 27 been 27 been 28 limited a variety of practice guidelines and financial incentives are available to health care professionals to facilitate adoption . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 9 are 0 ###LEFT-WALL### 18 . 1 a 2 variety 2 variety 3 of 2 variety 6 and 3 of 5 guidelines 4 practice 5 guidelines 6 and 8 incentives 6 and 9 are 7 financial 8 incentives 9 are 10 available 10 available 11 to 10 available 15 to 11 to 14 professionals 12 health 14 professionals 13 care 14 professionals 15 to 16 facilitate 16 facilitate 17 adoption yet , there remains [a] gap between recommended practices and current clinical activities . 0 ###LEFT-WALL### 4 remains 0 ###LEFT-WALL### 6 gap 0 ###LEFT-WALL### 14 . 1 yet 2 , 1 yet 4 remains 3 there 4 remains 4 remains 6 gap 6 gap 7 between 6 gap 13 activities 7 between 10 and 8 recommended 9 practices 9 practices 10 and 10 and 11 current 12 clinical 13 activities this commentary addresses the complexities of fall prevention practices and offers solutions that can facilitate adoption by clinical practices . 0 ###LEFT-WALL### 2 commentary 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 20 . 1 this 2 commentary 2 commentary 10 and 3 addresses 5 complexities 3 addresses 10 and 4 the 5 complexities 5 complexities 6 of 6 of 9 practices 7 fall 9 practices 8 prevention 9 practices 10 and 11 offers 10 and 17 by 11 offers 12 solutions 11 offers 16 adoption 12 solutions 13 that 12 solutions 15 facilitate 13 that 14 can 14 can 15 facilitate 17 by 19 practices 18 clinical 19 practices toward this end , this commentary will present two models ( i.e [.] , a clinical approach and a financial incentive approach ) to summarize current clinical recommendations and practice guidelines for fall risk management in clinical settings . 0 ###LEFT-WALL### 6 commentary 0 ###LEFT-WALL### 29 and 0 ###LEFT-WALL### 39 . 1 toward 3 end 1 toward 4 , 1 toward 6 commentary 2 this 3 end 5 this 6 commentary 6 commentary 7 will 7 will 8 present 8 present 10 models 8 present 24 to 9 two 10 models 10 models 12 i.e 11 ( 12 i.e 12 i.e 18 and 12 i.e 23 ) 14 , 18 and 15 a 16 clinical 15 a 17 approach 16 clinical 17 approach 17 approach 18 and 18 and 22 approach 18 and 23 ) 19 a 22 approach 20 financial 21 incentive 21 incentive 22 approach 24 to 29 and 25 summarize 28 recommendations 25 summarize 29 and 26 current 28 recommendations 27 clinical 28 recommendations 29 and 30 practice 29 and 35 management 30 practice 31 guidelines 30 practice 32 for 32 for 34 risk 33 fall 34 risk 35 management 36 in 36 in 38 settings 37 clinical 38 settings the various drivers [to] encourage adoption of evidence - based fall risk management strategies will be described . 0 ###LEFT-WALL### 3 drivers 0 ###LEFT-WALL### 5 encourage 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 16 be 0 ###LEFT-WALL### 18 . 1 the 3 drivers 2 various 3 drivers 3 drivers 5 encourage 5 encourage 6 adoption 6 adoption 7 of 7 of 8 evidence 9 - 16 be 10 based 11 fall 11 fall 14 strategies 12 risk 14 strategies 13 management 14 strategies 14 strategies 15 will 15 will 16 be 16 be 17 described in this context , we will discuss how understanding the different system wide practice improvement initiatives and factors that drive action in physician groups , can facilitate adoption and implementation of fall risk management behaviors by clinicians . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 38 . 1 in 3 context 1 in 4 , 1 in 5 we 2 this 3 context 5 we 25 , 6 will 7 discuss 6 will 25 , 7 discuss 8 how 8 how 9 understanding 8 how 24 groups 9 understanding 23 physician 9 understanding 24 groups 10 the 23 physician 11 different 12 system 12 system 15 improvement 13 wide 14 practice 14 practice 15 improvement 15 improvement 23 physician 16 initiatives 17 and 17 and 18 factors 17 and 19 that 17 and 20 drive 17 and 23 physician 19 that 20 drive 20 drive 21 action 20 drive 22 in 25 , 26 can 25 , 36 by 26 can 27 facilitate 27 facilitate 29 and 28 adoption 29 and 29 and 30 implementation 29 and 31 of 31 of 35 behaviors 32 fall 35 behaviors 33 risk 35 behaviors 34 management 35 behaviors 36 by 37 clinicians additional efforts are needed to explore and assess similar initiatives to adopt and implement fall risk management practices at different entry points into the system ( e.g [.] , community settings , patients , caregivers ) . 0 ###LEFT-WALL### 2 efforts 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 37 . 1 additional 2 efforts 2 efforts 3 are 3 are 4 needed 4 needed 5 to 5 to 7 and 6 explore 7 and 7 and 8 assess 7 and 11 to 8 assess 10 initiatives 9 similar 10 initiatives 11 to 13 and 12 adopt 13 and 13 and 14 implement 14 implement 18 practices 15 fall 18 practices 16 risk 17 management 17 management 18 practices 18 practices 19 at 18 practices 23 into 18 practices 27 e.g 19 at 22 points 20 different 21 entry 21 entry 22 points 23 into 25 system 24 the 25 system 26 ( 27 e.g 27 e.g 31 settings 27 e.g 33 patients 27 e.g 36 ) 29 , 31 settings 30 community 31 settings 31 settings 32 , 32 , 33 patients 33 patients 35 caregivers 33 patients 36 ) 34 , 35 caregivers 35 caregivers 36 ) purpose : this study compared the efficacy of complicated grief therapy ( cgt ; shear , k ..y [[] 2003 []] . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 compared 2 : 14 ; 2 : 22 . 3 this 4 study 4 study 5 compared 5 compared 7 efficacy 6 the 7 efficacy 7 efficacy 8 of 8 of 11 therapy 9 complicated 10 grief 10 grief 11 therapy 11 therapy 13 cgt 12 ( 13 cgt 13 cgt 14 ; 14 ; 15 shear 14 ; 16 , 16 , 17 k 16 , 18 ..y 17 k 18 ..y 18 ..y 20 2003 complicated grief : a guidebook for therapists [ liberty version ] . 0 ###LEFT-WALL### 2 grief 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 12 . 1 complicated 2 grief 2 grief 3 : 3 : 5 guidebook 4 a 5 guidebook 5 guidebook 6 for 6 for 7 therapists 7 therapists 10 version 8 [ 10 version 9 liberty 10 version 10 version 11 ] new york state office of mental heath ; shear , k ..y [,] frank , e ..y [,] houck , p ..y [r] ..y [,] [&] reynolds , c ..y f ..y [3rd] [[] 2005 []] . 0 ###LEFT-WALL### 7 heath 0 ###LEFT-WALL### 8 ; 0 ###LEFT-WALL### 32 ..y 0 ###LEFT-WALL### 37 . 1 new 2 york 2 york 3 state 3 state 4 office 4 office 5 of 4 office 7 heath 5 of 6 mental 8 ; 9 shear 8 ; 10 , 10 , 11 k 10 , 12 ..y 10 , 15 , 11 k 12 ..y 12 ..y 14 frank 15 , 16 e 15 , 17 ..y 15 , 20 , 16 e 17 ..y 17 ..y 19 houck 20 , 21 p 20 , 22 ..y 20 , 28 , 21 p 22 ..y 22 ..y 24 ..y 24 ..y 27 reynolds 28 , 29 c 28 , 30 ..y 29 c 30 ..y 30 ..y 31 f 31 f 32 ..y 32 ..y 35 2005 treatment of complicated grief : a randomized controlled trial . 0 ###LEFT-WALL### 1 treatment 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 10 . 1 treatment 2 of 1 treatment 5 : 2 of 4 grief 3 complicated 4 grief 5 : 9 trial 6 a 9 trial 7 randomized 9 trial 8 controlled 9 trial the journal of the american medical association , 293 , 2601 - 2608 ) administered as group therapy ( cggt ) with standard group therapy ( treatment as usual [ tau ] ) in older adults presenting with complicated grief ( cg ) . 0 ###LEFT-WALL### 2 journal 0 ###LEFT-WALL### 15 administered 0 ###LEFT-WALL### 44 . 1 the 2 journal 2 journal 3 of 2 journal 9 293 2 journal 12 - 2 journal 15 administered 3 of 7 association 4 the 5 american 5 american 7 association 6 medical 7 association 8 , 9 293 9 293 10 , 10 , 12 - 11 2601 12 - 12 - 13 2608 12 - 14 ) 15 administered 16 as 15 administered 22 with 15 administered 34 in 15 administered 37 presenting 15 administered 38 with 16 as 18 therapy 17 group 18 therapy 18 therapy 20 cggt 19 ( 20 cggt 20 cggt 21 ) 22 with 25 therapy 23 standard 25 therapy 24 group 25 therapy 25 therapy 27 treatment 26 ( 27 treatment 27 treatment 29 usual 27 treatment 31 tau 27 treatment 33 ) 28 as 29 usual 30 [ 31 tau 31 tau 32 ] 34 in 36 adults 35 older 36 adults 38 with 40 grief 39 complicated 40 grief 40 grief 42 cg 41 ( 42 cg 42 cg 43 ) methods : the design was a 2×4 , prospective , randomized controlled clinical trial . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 design 2 : 5 was 2 : 15 . 3 the 4 design 4 design 5 was 5 was 14 trial 6 a 7 2×4 6 a 14 trial 7 2×4 8 , 7 2×4 14 trial 9 prospective 10 , 9 prospective 14 trial 11 randomized 14 trial 12 controlled 14 trial 13 clinical 14 trial the independent variable [was] group type , with 1 group receiving experimental methods based on the work of shear et al . 0 ###LEFT-WALL### 5 group 0 ###LEFT-WALL### 6 type 1 the 5 group 2 independent 3 variable 3 variable 5 group 5 group 6 type 6 type 8 with 7 , 8 with 8 with 13 methods 8 with 22 . 9 1 13 methods 10 group 11 receiving 11 receiving 13 methods 12 experimental 13 methods 13 methods 14 based 14 based 15 on 15 on 17 work 16 the 17 work 17 work 18 of 18 of 21 al 19 shear 21 al 20 et 21 al [(] shear [,] k . [,] frank , e ..y [,] houck , p ..y r ..y [,] [&] reynolds [,] [c] . [f] [.] [3rd] [.] 0 ###LEFT-WALL### 2 shear 0 ###LEFT-WALL### 5 . 2 shear 4 k 5 . 7 frank 5 . 8 , 5 . 17 ..y 5 . 23 . 8 , 9 e 8 , 10 ..y 8 , 13 , 9 e 10 ..y 10 ..y 12 houck 13 , 14 p 13 , 15 ..y 14 p 15 ..y 15 ..y 16 r 16 r 17 ..y 17 ..y 20 reynolds [[] 2005 []] . 0 ###LEFT-WALL### 2 2005 0 ###LEFT-WALL### 4 . treatment of complicated grief : a randomized controlled trial . 0 ###LEFT-WALL### 1 treatment 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 10 . 1 treatment 2 of 1 treatment 5 : 2 of 4 grief 3 complicated 4 grief 5 : 9 trial 6 a 9 trial 7 randomized 9 trial 8 controlled 9 trial the journal of the american medical association , 293 , 2601 - 2608 ) , cggt [versus] . 0 ###LEFT-WALL### 16 cggt 0 ###LEFT-WALL### 18 . 1 the 16 cggt 2 journal 3 of 2 journal 16 cggt 3 of 7 association 4 the 5 american 5 american 7 association 6 medical 7 association 7 association 9 293 8 , 9 293 9 293 12 - 9 293 15 , 10 , 12 - 11 2601 12 - 12 - 13 2608 12 - 14 ) tau . 0 ###LEFT-WALL### 1 tau 0 ###LEFT-WALL### 2 . the dependent variable was treatment [response] . 0 ###LEFT-WALL### 3 variable 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 7 . 1 the 3 variable 2 dependent 3 variable 3 variable 4 was 4 was 5 treatment results : cggt participants demonstrated higher treatment [response] than tau participants . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 . 1 results 2 : 2 : 3 cggt 3 cggt 4 participants 3 cggt 5 demonstrated 4 participants 5 demonstrated 5 demonstrated 7 treatment 5 demonstrated 9 than 6 higher 7 treatment 9 than 11 participants 10 tau 11 participants although participants in both groups showed improvement in cg measures , cggt participants realized significantly greater improvement . 0 ###LEFT-WALL### 13 participants 0 ###LEFT-WALL### 14 realized 0 ###LEFT-WALL### 18 . 1 although 2 participants 1 although 6 showed 1 although 11 , 1 although 13 participants 2 participants 3 in 2 participants 6 showed 3 in 5 groups 4 both 5 groups 6 showed 7 improvement 6 showed 10 measures 7 improvement 8 in 8 in 9 cg 12 cggt 13 participants 13 participants 14 realized 14 realized 17 improvement 15 significantly 16 greater 16 greater 17 improvement more importantly , when cg was measured on prolonged grief disorder scale , nearly half of cggt participants realized clinically significant improvement . 0 ###LEFT-WALL### 15 half 0 ###LEFT-WALL### 19 realized 0 ###LEFT-WALL### 23 . 1 more 2 importantly 2 importantly 3 , 2 importantly 15 half 3 , 4 when 4 when 5 cg 4 when 6 was 4 when 13 , 4 when 15 half 5 cg 6 was 6 was 7 measured 7 measured 8 on 8 on 12 scale 9 prolonged 10 grief 10 grief 11 disorder 11 disorder 12 scale 14 nearly 15 half 15 half 16 of 15 half 19 realized 16 of 18 participants 17 cggt 18 participants 19 realized 20 clinically 19 realized 22 improvement 21 significant 22 improvement all cggt completers had brief grief questionnaire scores upon follow - up that , had they scored at that level [at] pretest , would have disqualified them for study [enrollment] . 0 ###LEFT-WALL### 3 completers 0 ###LEFT-WALL### 4 had 0 ###LEFT-WALL### 11 - 1 all 3 completers 2 cggt 3 completers 3 completers 4 had 4 had 6 grief 4 had 10 follow 5 brief 6 grief 6 grief 7 questionnaire 6 grief 9 upon 7 questionnaire 8 scores 8 scores 9 upon 11 - 12 up 11 - 14 , 11 - 31 . 12 up 13 that 14 , 23 , 15 had 16 they 15 had 17 scored 15 had 23 , 17 scored 18 at 18 at 20 level 19 that 20 level 22 pretest 23 , 23 , 24 would 24 would 25 have 25 have 26 disqualified 26 disqualified 27 them 26 disqualified 28 for 28 for 29 study implications : the high level of clinical significance suggests that cggt participants were effectively treated for cg . 0 ###LEFT-WALL### 1 implications 0 ###LEFT-WALL### 2 : 2 : 5 level 2 : 9 suggests 2 : 18 . 3 the 5 level 4 high 5 level 5 level 6 of 5 level 9 suggests 6 of 8 significance 7 clinical 8 significance 9 suggests 10 that 10 that 12 participants 10 that 15 treated 11 cggt 12 participants 12 participants 13 were 13 were 14 effectively 13 were 15 treated 15 treated 16 for 16 for 17 cg this study offers evidence that cggt holds promise for treatment of cg in older adults and merits inquiry in other populations . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 offers 0 ###LEFT-WALL### 22 . 1 this 2 study 2 study 3 offers 3 offers 4 evidence 3 offers 18 inquiry 3 offers 19 in 4 evidence 5 that 5 that 6 cggt 5 that 7 holds 6 cggt 7 holds 7 holds 16 and 8 promise 9 for 8 promise 16 and 9 for 10 treatment 10 treatment 11 of 11 of 12 cg 12 cg 13 in 13 in 15 adults 14 older 15 adults 16 and 17 merits 19 in 21 populations 20 other 21 populations purpose : experience corps baltimore city ( ec ) is a product of a partnership between the greater homewood community corporation ( ghcc ) and the johns hopkins center on aging and health ( coah ) that began in 1998 . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 41 . 2 : 6 city 2 : 10 is 3 experience 4 corps 4 corps 5 baltimore 5 baltimore 6 city 6 city 8 ec 6 city 10 is 7 ( 8 ec 8 ec 9 ) 10 is 32 and 10 is 39 in 11 a 12 product 12 product 13 of 12 product 25 and 13 of 15 partnership 14 a 15 partnership 15 partnership 16 between 15 partnership 23 ghcc 16 between 21 corporation 17 the 21 corporation 18 greater 19 homewood 19 homewood 20 community 20 community 21 corporation 22 ( 23 ghcc 23 ghcc 24 ) 25 and 29 center 25 and 30 on 25 and 32 and 26 the 29 center 27 johns 28 hopkins 28 hopkins 29 center 30 on 31 aging 32 and 33 health 32 and 37 that 32 and 38 began 33 health 35 coah 34 ( 35 coah 35 coah 36 ) 37 that 38 began 39 in 40 1998 ec recruits volunteers aged 55 and older into high - impact mentoring and tutoring roles in public elementary schools that are designed to also benefit the volunteers . 0 ###LEFT-WALL### 1 ec 0 ###LEFT-WALL### 2 recruits 0 ###LEFT-WALL### 28 . 1 ec 2 recruits 2 recruits 3 volunteers 2 recruits 6 and 2 recruits 8 into 2 recruits 16 in 4 aged 5 55 4 aged 6 and 6 and 7 older 8 into 15 roles 9 high 10 - 9 high 15 roles 11 impact 12 mentoring 12 mentoring 13 and 13 and 14 tutoring 13 and 15 roles 16 in 19 schools 17 public 19 schools 18 elementary 19 schools 19 schools 20 that 19 schools 21 are 20 that 21 are 21 are 22 designed 22 designed 23 to 22 designed 25 benefit 23 to 25 benefit 24 also 25 benefit 25 benefit 27 volunteers 26 the 27 volunteers we describe the evolution of the ghcc - coah partnership through the " courtship model . " 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 describe 0 ###LEFT-WALL### 16 . 1 we 2 describe 2 describe 4 evolution 2 describe 11 through 3 the 4 evolution 4 evolution 5 of 5 of 10 partnership 6 the 10 partnership 7 ghcc 9 coah 8 - 9 coah 9 coah 10 partnership 11 through 15 model 12 the 13 " 12 the 15 model 14 courtship 15 model 16 . 17 " design and methods : we describe how community [-] based participatory research principals , such as shared governance , were applied at the following stages [:] ( 1 ) partner selection [,] ( 2 ) getting serious , [(] 3 ) commitment , and [(] 4 [ )(leaving a legacy . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 51 . 1 design 2 and 2 and 3 methods 4 : 5 we 4 : 6 describe 5 we 6 describe 6 describe 7 how 7 how 13 principals 7 how 36 getting 8 community 10 based 10 based 13 principals 11 participatory 12 research 12 research 13 principals 13 principals 16 as 13 principals 20 were 14 , 16 as 15 such 16 as 16 as 18 governance 16 as 19 , 17 shared 18 governance 20 were 21 applied 21 applied 22 at 22 at 24 following 23 the 24 following 24 following 25 stages 24 following 30 partner 24 following 36 getting 25 stages 28 1 25 stages 30 partner 27 ( 28 1 28 1 29 ) 30 partner 31 selection 31 selection 34 2 33 ( 34 2 34 2 35 ) 36 getting 44 and 36 getting 50 legacy 37 serious 40 3 37 serious 42 commitment 38 , 40 3 40 3 41 ) 42 commitment 44 and 43 , 44 and 44 and 48 )(leaving 46 4 48 )(leaving 49 a 50 legacy results : ec could not have achieved its current level of success without academic - community partnership . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 ec 2 : 7 achieved 2 : 18 . 3 ec 4 could 4 could 5 not 4 could 6 have 6 have 7 achieved 7 achieved 10 level 7 achieved 13 without 8 its 10 level 9 current 10 level 10 level 11 of 11 of 12 success 13 without 17 partnership 14 academic 15 - 14 academic 16 community 16 community 17 partnership in early stages of the " courtship model , " ghcc and coah were able to rely on the trust developed between the leadership of the partner organizations . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 14 were 0 ###LEFT-WALL### 29 . 1 in 3 stages 1 in 14 were 2 early 3 stages 3 stages 4 of 4 of 7 courtship 5 the 6 " 5 the 7 courtship 8 model 9 , 9 , 10 " 9 , 11 ghcc 9 , 12 and 12 and 13 coah 12 and 14 were 14 were 15 able 15 able 16 to 15 able 17 rely 16 to 17 rely 17 rely 18 on 17 rely 22 between 18 on 20 trust 19 the 20 trust 20 trust 21 developed 22 between 24 leadership 23 the 24 leadership 24 leadership 25 of 25 of 28 organizations 26 the 28 organizations 27 partner 28 organizations competing missions from different [community] and academic funders led to tension in later stages of the " courtship model " and necessitated a formal memorandum of understanding between the partners as they embarked on a randomized controlled trial . 0 ###LEFT-WALL### 2 missions 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 34 on 0 ###LEFT-WALL### 39 . 1 competing 2 missions 2 missions 3 from 2 missions 21 and 3 from 8 funders 4 different 6 and 6 and 7 academic 6 and 8 funders 9 led 10 to 9 led 12 in 9 led 21 and 10 to 11 tension 12 in 14 stages 13 later 14 stages 14 stages 15 of 15 of 19 model 16 the 17 " 16 the 19 model 18 courtship 19 model 19 model 20 " 21 and 22 necessitated 21 and 31 as 22 necessitated 25 memorandum 22 necessitated 28 between 23 a 25 memorandum 24 formal 25 memorandum 25 memorandum 26 of 26 of 27 understanding 28 between 30 partners 29 the 30 partners 31 as 32 they 31 as 34 on 32 they 34 on 33 embarked 34 on 34 on 38 trial 35 a 38 trial 36 randomized 38 trial 37 controlled 38 trial implications : the ghcc - coah partnership demonstrates how academic - community partnerships can serve as an engine for social innovation . 0 ###LEFT-WALL### 1 implications 0 ###LEFT-WALL### 2 : 2 : 7 partnership 2 : 8 demonstrates 2 : 22 . 3 the 7 partnership 4 ghcc 6 coah 5 - 6 coah 6 coah 7 partnership 7 partnership 8 demonstrates 8 demonstrates 9 how 9 how 10 academic 10 academic 11 - 10 academic 12 community 12 community 13 partnerships 13 partnerships 14 can 14 can 15 serve 15 serve 16 as 16 as 18 engine 17 an 18 engine 18 engine 19 for 19 for 21 innovation 20 social 21 innovation the partnership could serve as a model for other communities seeking multiple funding sources to implement similar public health interventions that are based on national service models . 0 ###LEFT-WALL### 2 partnership 0 ###LEFT-WALL### 4 serve 0 ###LEFT-WALL### 28 . 1 the 2 partnership 2 partnership 3 could 3 could 4 serve 4 serve 5 as 4 serve 15 to 5 as 7 model 6 a 7 model 7 model 8 for 7 model 11 seeking 8 for 10 communities 9 other 10 communities 11 seeking 14 sources 12 multiple 14 sources 13 funding 14 sources 15 to 16 implement 16 implement 20 interventions 17 similar 19 health 18 public 19 health 19 health 20 interventions 20 interventions 21 that 20 interventions 22 are 21 that 22 are 22 are 23 based 23 based 24 on 24 on 27 models 25 national 26 service 26 service 27 models unified funding mechanisms would assist the formation of academic - community partnerships that could support the design , implementation , and the evaluation of community [-] based public health interventions . 0 ###LEFT-WALL### 3 mechanisms 0 ###LEFT-WALL### 15 support 0 ###LEFT-WALL### 31 . 1 unified 3 mechanisms 2 funding 3 mechanisms 3 mechanisms 4 would 4 would 5 assist 5 assist 7 formation 6 the 7 formation 7 formation 8 of 7 formation 13 that 7 formation 15 support 8 of 12 partnerships 9 academic 10 - 9 academic 11 community 11 community 12 partnerships 13 that 14 could 14 could 15 support 15 support 21 and 16 the 17 design 17 design 18 , 18 , 19 implementation 18 , 21 and 20 , 21 and 21 and 23 evaluation 21 and 24 of 22 the 23 evaluation 24 of 30 interventions 25 community 27 based 27 based 29 health 28 public 29 health 29 health 30 interventions objectives : in the context of social convoy theory , the purposes of the study were ( [a] [ )(to identify an empirical typology of the social networks evident in older korean immigrants [and] ( [b] [ )(to examine its association with self - rated health and depressive symptoms . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 10 , 1 objectives 2 : 2 : 3 in 3 in 5 context 4 the 5 context 5 context 6 of 6 of 9 theory 7 social 9 theory 8 convoy 9 theory 10 , 12 purposes 10 , 21 identify 11 the 12 purposes 12 purposes 13 of 12 purposes 16 were 13 of 15 study 14 the 15 study 16 were 20 )(to 17 ( 20 )(to 20 )(to 21 identify 21 identify 24 typology 22 an 23 empirical 22 an 24 typology 23 empirical 24 typology 24 typology 25 of 24 typology 29 evident 25 of 28 networks 26 the 28 networks 27 social 28 networks 29 evident 30 in 29 evident 38 )(to 30 in 33 immigrants 31 older 32 korean 32 korean 33 immigrants 35 ( 38 )(to 38 )(to 39 examine 38 )(to 50 . 39 examine 41 association 39 examine 42 with 40 its 41 association 42 with 43 self 43 self 47 and 44 - 47 and 45 rated 46 health 46 health 47 and 47 and 49 symptoms 47 and 50 . 48 depressive 49 symptoms method : the sample consisted of 1,092 community [-] dwelling older korean immigrants in florida and new york . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 4 sample 2 : 5 consisted 2 : 19 . 3 the 4 sample 4 sample 5 consisted 5 consisted 6 of 6 of 13 immigrants 7 1,092 13 immigrants 8 community 10 dwelling 10 dwelling 13 immigrants 11 older 12 korean 12 korean 13 immigrants 13 immigrants 14 in 14 in 16 and 15 florida 16 and 16 and 18 york 17 new 18 york latent class analyses were conducted to identify the optimal social network typology based on 8 indicators of interpersonal relationships and activities . 0 ###LEFT-WALL### 1 latent 0 ###LEFT-WALL### 5 conducted 0 ###LEFT-WALL### 22 . 1 latent 3 analyses 1 latent 4 were 1 latent 5 conducted 2 class 3 analyses 3 analyses 4 were 5 conducted 6 to 5 conducted 14 on 6 to 7 identify 7 identify 12 typology 8 the 12 typology 9 optimal 10 social 10 social 12 typology 11 network 12 typology 12 typology 13 based 14 on 20 and 15 8 16 indicators 16 indicators 17 of 16 indicators 20 and 17 of 19 relationships 18 interpersonal 19 relationships 20 and 21 activities bivariate and multivariate analyses were conducted to examine how the identified social network typology was associated with self - rating of health and depressive symptoms . 0 ###LEFT-WALL### 18 self 0 ###LEFT-WALL### 19 - 1 bivariate 2 and 2 and 3 multivariate 2 and 4 analyses 2 and 17 with 2 and 18 self 4 analyses 5 were 5 were 6 conducted 6 conducted 7 to 7 to 8 examine 8 examine 9 how 8 examine 17 with 9 how 14 typology 9 how 16 associated 10 the 14 typology 11 identified 13 network 12 social 13 network 13 network 14 typology 14 typology 15 was 15 was 16 associated 19 - 25 symptoms 19 - 26 . 20 rating 21 of 20 rating 23 and 21 of 22 health 23 and 24 depressive 23 and 25 symptoms results : results from the latent class analysis identified 6 clusters as being most optimal , and they were named diverse , unmarried/diverse , married/coresidence , family focused , unmarried/restricted , and restricted . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 results 2 : 9 identified 2 : 26 , 2 : 34 . 3 results 4 from 3 results 9 identified 4 from 8 analysis 5 the 8 analysis 6 latent 7 class 7 class 8 analysis 9 identified 11 clusters 10 6 11 clusters 11 clusters 12 as 11 clusters 14 most 11 clusters 20 named 12 as 13 being 14 most 17 and 14 most 19 were 14 most 20 named 15 optimal 17 and 16 , 17 and 17 and 18 they 17 and 19 were 20 named 25 married/coresidence 21 diverse 23 unmarried/diverse 21 diverse 24 , 21 diverse 25 married/coresidence 22 , 23 unmarried/diverse 23 unmarried/diverse 24 , 26 , 27 family 26 , 32 and 27 family 32 and 28 focused 29 , 28 focused 30 unmarried/restricted 28 focused 32 and 31 , 32 and 32 and 33 restricted memberships in the clusters of diverse and married/coresidence were significantly associated with more favorable ratings of health and lower levels of depressive symptoms . 0 ###LEFT-WALL### 1 memberships 0 ###LEFT-WALL### 11 associated 0 ###LEFT-WALL### 24 . 1 memberships 2 in 1 memberships 9 were 2 in 4 clusters 3 the 4 clusters 4 clusters 5 of 5 of 7 and 6 diverse 7 and 7 and 8 married/coresidence 9 were 11 associated 10 significantly 11 associated 11 associated 12 with 12 with 15 ratings 13 more 14 favorable 14 favorable 15 ratings 15 ratings 16 of 16 of 20 levels 17 health 18 and 18 and 19 lower 18 and 20 levels 20 levels 21 of 21 of 23 symptoms 22 depressive 23 symptoms discussion : notably , no distinct network solely composed of friends was identified in the present sample of older immigrants ; this may reflect the disruptions in social convoys caused by immigration . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 7 network 2 : 13 identified 2 : 21 ; 3 notably 4 , 3 notably 7 network 5 no 7 network 6 distinct 7 network 7 network 10 of 7 network 12 was 8 solely 10 of 9 composed 10 of 10 of 11 friends 12 was 13 identified 13 identified 14 in 14 in 17 sample 15 the 17 sample 16 present 17 sample 17 sample 18 of 18 of 20 immigrants 19 older 20 immigrants 21 ; 22 this 21 ; 24 reflect 22 this 23 may 23 may 24 reflect 24 reflect 26 disruptions 24 reflect 27 in 25 the 26 disruptions 27 in 29 convoys 28 social 29 convoys 29 convoys 30 caused 30 caused 31 by 31 by 32 immigration the findings of this study promote our understanding of the unique patterns of social connectedness in older immigrants . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 6 promote 0 ###LEFT-WALL### 19 . 1 the 2 findings 2 findings 3 of 2 findings 6 promote 3 of 5 study 4 this 5 study 6 promote 8 understanding 6 promote 16 in 7 our 8 understanding 8 understanding 9 of 9 of 12 patterns 10 the 12 patterns 11 unique 12 patterns 12 patterns 13 of 13 of 15 connectedness 14 social 15 connectedness 16 in 18 immigrants 17 older 18 immigrants we hypothesize that age - related skeletal muscle dysfunction and physical disability may be partially explained by alterations in the function of the myosin molecule . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 hypothesize 0 ###LEFT-WALL### 26 . 1 we 2 hypothesize 2 hypothesize 3 that 3 that 4 age 3 that 16 explained 4 age 13 may 5 - 6 related 6 related 10 and 6 related 13 may 7 skeletal 8 muscle 8 muscle 9 dysfunction 9 dysfunction 10 and 10 and 12 disability 11 physical 12 disability 13 may 14 be 14 be 15 partially 14 be 16 explained 16 explained 17 by 17 by 18 alterations 18 alterations 19 in 18 alterations 22 of 19 in 21 function 20 the 21 function 22 of 25 molecule 23 the 25 molecule 24 myosin 25 molecule to test this hypothesis [,] skeletal muscle function at the whole muscle , single fiber , and molecular levels was measured [in] young ( 21 - 35 yr ) and older ( 65 - 75 yr ) male and female volunteers with similar physical activity levels . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 test 0 ###LEFT-WALL### 47 . 1 to 2 test 2 test 8 function 2 test 20 was 3 this 8 function 4 hypothesis 7 muscle 6 skeletal 7 muscle 7 muscle 8 function 8 function 9 at 8 function 20 was 9 at 17 and 10 the 12 muscle 11 whole 12 muscle 12 muscle 13 , 13 , 15 fiber 13 , 17 and 14 single 15 fiber 16 , 17 and 17 and 19 levels 18 molecular 19 levels 20 was 41 volunteers 21 measured 23 young 21 measured 26 - 21 measured 30 and 24 ( 26 - 25 21 26 - 26 - 28 yr 26 - 29 ) 27 35 28 yr 30 and 31 older 30 and 41 volunteers 31 older 34 - 32 ( 34 - 33 65 34 - 34 - 36 yr 34 - 37 ) 35 75 36 yr 38 male 39 and 39 and 40 female 39 and 41 volunteers 41 volunteers 42 with 42 with 46 levels 43 similar 45 activity 44 physical 45 activity 45 activity 46 levels after adjusting for muscle size , older adults had similar knee extensor isometric torque values compared with young , but had lower isokinetic power , [most] notably in women . 0 ###LEFT-WALL### 8 adults 0 ###LEFT-WALL### 20 but 1 after 2 adjusting 1 after 6 , 1 after 8 adults 2 adjusting 3 for 3 for 5 size 4 muscle 5 size 7 older 8 adults 8 adults 20 but 9 had 14 torque 9 had 18 young 9 had 20 but 10 similar 11 knee 11 knee 14 torque 12 extensor 14 torque 13 isometric 14 torque 14 torque 15 values 14 torque 17 with 15 values 16 compared 16 compared 17 with 19 , 20 but 20 but 21 had 21 had 24 power 22 lower 24 power 23 isokinetic 24 power 24 power 28 in 25 , 27 notably 25 , 28 in 28 in 29 women 28 in 30 . at the single - fiber and molecular levels , aging was associated with increased isometric tension , slowed myosin actin cross - bridge kinetics [(] longer myosin attachment times and reduced rates of myosin force production [ )(, greater myofilament lattice stiffness , [and] reduced phosphorylation of the fast myosin regulatory light chain [;] however [,] the age effect was driven primarily by women ( i.e [.] , age - by [-] sex interaction effects ) . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 12 associated 1 at 3 single 1 at 4 - 1 at 6 and 2 the 3 single 5 fiber 6 and 6 and 8 levels 6 and 9 , 6 and 10 aging 6 and 11 was 6 and 12 associated 7 molecular 8 levels 10 aging 11 was 12 associated 13 with 13 with 16 tension 13 with 23 bridge 14 increased 16 tension 15 isometric 16 tension 16 tension 21 cross 17 , 21 cross 18 slowed 21 cross 19 myosin 20 actin 20 actin 21 cross 21 cross 22 - 23 bridge 30 and 24 kinetics 26 longer 24 kinetics 27 myosin 24 kinetics 29 times 24 kinetics 30 and 28 attachment 29 times 30 and 31 reduced 30 and 32 rates 32 rates 33 of 33 of 35 force 34 myosin 35 force 35 force 36 production 35 force 45 reduced 36 production 42 stiffness 36 production 45 reduced 38 )(, 42 stiffness 39 greater 42 stiffness 40 myofilament 42 stiffness 41 lattice 42 stiffness 42 stiffness 43 , 45 reduced 46 phosphorylation 45 reduced 55 however 46 phosphorylation 47 of 47 of 53 chain 48 the 53 chain 49 fast 52 light 50 myosin 52 light 51 regulatory 52 light 52 light 53 chain 55 however 59 effect 55 however 61 driven 57 the 59 effect 58 age 59 effect 59 effect 60 was 60 was 61 driven 61 driven 62 primarily 62 primarily 63 by 63 by 64 women 64 women 69 age 65 ( 69 age 66 i.e 68 , 66 i.e 69 age 69 age 71 by 69 age 77 . 70 - 71 by 71 by 73 sex 71 by 76 ) 73 sex 74 interaction 73 sex 75 effects 74 interaction 75 effects in myosin heavy chain iia fibers , single - fiber isometric tension and molecular level mechanical and kinetic indexes were correlated with whole muscle isokinetic power output . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 21 correlated 0 ###LEFT-WALL### 28 . 1 in 6 fibers 2 myosin 6 fibers 3 heavy 6 fibers 4 chain 6 fibers 5 iia 6 fibers 6 fibers 7 , 7 , 12 tension 7 , 13 and 8 single 9 - 8 single 10 fiber 10 fiber 12 tension 11 isometric 12 tension 13 and 15 level 13 and 19 indexes 13 and 20 were 13 and 21 correlated 14 molecular 15 level 16 mechanical 17 and 17 and 18 kinetic 17 and 19 indexes 19 indexes 20 were 21 correlated 22 with 22 with 27 output 23 whole 24 muscle 24 muscle 26 power 25 isokinetic 26 power 26 power 27 output collectively , considering that contractile dysfunction scales up through various anatomical levels , our results suggest a potential sex - specific molecular mechanism , reduced cross - bridge kinetics , contributes to the reduced physical capacity with aging in women . 0 ###LEFT-WALL### 15 results 0 ###LEFT-WALL### 16 suggest 0 ###LEFT-WALL### 20 - 0 ###LEFT-WALL### 41 . 1 collectively 2 , 1 collectively 15 results 3 considering 4 that 3 considering 13 , 3 considering 15 results 4 that 6 dysfunction 4 that 7 scales 5 contractile 6 dysfunction 6 dysfunction 7 scales 7 scales 8 up 7 scales 9 through 9 through 12 levels 10 various 12 levels 11 anatomical 12 levels 14 our 15 results 15 results 16 suggest 16 suggest 19 sex 17 a 18 potential 17 a 19 sex 18 potential 19 sex 20 - 23 mechanism 20 - 24 , 20 - 27 - 21 specific 23 mechanism 22 molecular 23 mechanism 24 , 26 cross 25 reduced 26 cross 27 - 30 , 28 bridge 29 kinetics 28 bridge 30 , 30 , 31 contributes 31 contributes 32 to 31 contributes 37 with 31 contributes 39 in 32 to 36 capacity 33 the 36 capacity 34 reduced 36 capacity 35 physical 36 capacity 37 with 38 aging 39 in 40 women thus these results support our hypothesis that age [-] related alterations in the myosin molecule contribute to skeletal muscle dysfunction and physical disability and indicate that this effect is stronger in women . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 4 support 0 ###LEFT-WALL### 33 . 1 thus 3 results 2 these 3 results 3 results 4 support 4 support 6 hypothesis 5 our 6 hypothesis 6 hypothesis 7 that 7 that 11 alterations 7 that 24 and 8 age 10 related 10 related 11 alterations 11 alterations 12 in 11 alterations 24 and 12 in 15 molecule 13 the 15 molecule 14 myosin 15 molecule 16 contribute 17 to 16 contribute 24 and 17 to 21 and 18 skeletal 19 muscle 19 muscle 20 dysfunction 20 dysfunction 21 and 21 and 23 disability 22 physical 23 disability 24 and 25 indicate 24 and 31 in 25 indicate 26 that 26 that 28 effect 26 that 29 is 27 this 28 effect 28 effect 29 is 29 is 30 stronger 31 in 32 women background and purpose : some studies have reported associations between intracranial atherosclerosis and alzheimer disease pathology . 0 ###LEFT-WALL### 3 purpose 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 17 . 1 background 2 and 2 and 3 purpose 4 : 6 studies 4 : 8 reported 5 some 6 studies 6 studies 7 have 7 have 8 reported 8 reported 9 associations 8 reported 10 between 10 between 13 and 11 intracranial 12 atherosclerosis 12 atherosclerosis 13 and 13 and 16 pathology 14 alzheimer 16 pathology 15 disease 16 pathology we aimed to correlate severity of cerebral atherosclerosis , arteriolosclerosis , and cerebral amyloid angiopathy with neurofibrillary tangles , neuritic plaques , and cerebral infarcts . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 aimed 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 26 . 1 we 2 aimed 2 aimed 3 to 2 aimed 4 correlate 3 to 4 correlate 4 correlate 5 severity 5 severity 6 of 6 of 8 atherosclerosis 7 cerebral 8 atherosclerosis 8 atherosclerosis 10 arteriolosclerosis 9 , 10 arteriolosclerosis 10 arteriolosclerosis 11 , 11 , 12 and 12 and 14 amyloid 12 and 25 infarcts 13 cerebral 14 amyloid 14 amyloid 23 and 14 amyloid 25 infarcts 15 angiopathy 16 with 15 angiopathy 23 and 16 with 18 tangles 17 neurofibrillary 18 tangles 18 tangles 21 plaques 19 , 21 plaques 20 neuritic 21 plaques 21 plaques 22 , 23 and 24 cerebral methods : this autopsy study ( n=163 ) was drawn from a longitudinal study of subcortical ischemic vascular disease , alzheimer disease , and normal aging . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 27 . 2 : 5 study 2 : 10 drawn 3 this 5 study 4 autopsy 5 study 5 study 7 n=163 5 study 9 was 6 ( 7 n=163 7 n=163 8 ) 9 was 10 drawn 10 drawn 11 from 11 from 24 and 12 a 13 longitudinal 12 a 14 study 13 longitudinal 14 study 14 study 15 of 14 study 20 , 15 of 19 disease 16 subcortical 19 disease 17 ischemic 19 disease 18 vascular 19 disease 20 , 22 disease 20 , 24 and 21 alzheimer 22 disease 23 , 24 and 24 and 25 normal 24 and 26 aging multivariable logistic regression models were used to test associations among the 3 forms of cerebrovascular disease and the presence of ischemic and neurodegenerative brain lesions . 0 ###LEFT-WALL### 4 models 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 26 . 1 multivariable 2 logistic 2 logistic 3 regression 3 regression 4 models 4 models 5 were 5 were 6 used 6 used 7 to 6 used 8 test 7 to 8 test 8 test 9 associations 8 test 10 among 10 among 13 forms 11 the 12 3 12 3 13 forms 13 forms 14 of 13 forms 20 of 14 of 17 and 15 cerebrovascular 16 disease 16 disease 17 and 17 and 19 presence 18 the 19 presence 20 of 25 lesions 21 ischemic 22 and 22 and 23 neurodegenerative 22 and 25 lesions 24 brain 25 lesions apolipoprotein e [genotype] was included as a covariate in these multivariable models . 0 ###LEFT-WALL### 1 apolipoprotein 0 ###LEFT-WALL### 5 included 0 ###LEFT-WALL### 13 . 1 apolipoprotein 2 e 1 apolipoprotein 4 was 4 was 5 included 5 included 6 as 5 included 9 in 6 as 8 covariate 7 a 8 covariate 9 in 12 models 10 these 12 models 11 multivariable 12 models results : cerebral atherosclerosis [was] positively associated with microinfarcts ( odds [ratio] [ or ] , 2.3 [;] 95 % confidence [interval] [ ci ] , 1.2 - 4.4 ) and cystic [infarcts] ( or , 2.0 ; 95 % ci , 1.0 - 4.2 [ )(but not alzheimer disease pathology . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 31 and 2 : 38 ; 2 : 52 . 3 cerebral 4 atherosclerosis 4 atherosclerosis 7 associated 4 atherosclerosis 31 and 6 positively 7 associated 7 associated 8 with 7 associated 28 - 8 with 9 microinfarcts 9 microinfarcts 11 odds 9 microinfarcts 21 confidence 10 ( 11 odds 11 odds 14 or 11 odds 16 , 13 [ 14 or 14 or 15 ] 16 , 21 confidence 17 2.3 21 confidence 19 95 20 % 20 % 21 confidence 21 confidence 24 ci 21 confidence 25 ] 23 [ 24 ci 24 ci 25 ] 26 , 28 - 27 1.2 28 - 28 - 29 4.4 28 - 30 ) 31 and 32 cystic 31 and 35 or 34 ( 35 or 35 or 37 2.0 35 or 38 ; 36 , 37 2.0 37 2.0 38 ; 38 ; 41 ci 38 ; 42 , 39 95 41 ci 40 % 41 ci 42 , 43 1.0 42 , 44 - 44 - 45 4.2 45 4.2 47 )(but 47 )(but 48 not 47 )(but 51 pathology 49 alzheimer 50 disease 50 disease 51 pathology arteriolosclerosis showed a positive correlation with lacunar [infarcts] [(] or , 2.0 [;] 95 % ci , 1.0 - 4.2 ) but not alzheimer disease pathology . 0 ###LEFT-WALL### 1 arteriolosclerosis 0 ###LEFT-WALL### 2 showed 0 ###LEFT-WALL### 27 . 1 arteriolosclerosis 2 showed 2 showed 22 but 3 a 4 positive 3 a 5 correlation 4 positive 5 correlation 5 correlation 6 with 5 correlation 22 but 6 with 10 or 7 lacunar 10 or 10 or 16 ci 10 or 19 - 11 , 16 ci 12 2.0 16 ci 14 95 16 ci 15 % 16 ci 16 ci 17 , 17 , 19 - 18 1.0 19 - 19 - 20 4.2 19 - 21 ) 22 but 23 not 22 but 26 pathology 24 alzheimer 26 pathology 25 disease 26 pathology conclusions : microinfarcts , which have been correlated with severity of cognitive impairment , were most strongly associated with atherosclerosis . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 3 microinfarcts 2 : 15 were 3 microinfarcts 5 which 3 microinfarcts 15 were 4 , 5 which 5 which 6 have 5 which 14 , 6 have 7 been 7 been 8 correlated 8 correlated 9 with 9 with 10 severity 10 severity 11 of 11 of 13 impairment 12 cognitive 13 impairment 15 were 16 most 16 most 18 associated 17 strongly 18 associated 18 associated 19 with 19 with 20 atherosclerosis possible pathogenetic mechanisms include artery - to [-] artery emboli , especially microemboli that may include atheroemboli or platelet - fibrin emboli . 0 ###LEFT-WALL### 5 artery 0 ###LEFT-WALL### 6 - 1 possible 3 mechanisms 2 pathogenetic 3 mechanisms 3 mechanisms 5 artery 4 include 5 artery 6 - 13 microemboli 6 - 16 include 6 - 23 . 7 to 10 emboli 7 to 11 , 7 to 13 microemboli 9 artery 10 emboli 12 especially 13 microemboli 13 microemboli 14 that 13 microemboli 15 may 13 microemboli 16 include 14 that 15 may 16 include 18 or 17 atheroemboli 18 or 18 or 22 emboli 19 platelet 20 - 19 platelet 21 fibrin 21 fibrin 22 emboli arteriolosclerosis was positively , whereas cerebral amyloid angiopathy was negatively correlated with [lacunar] infarcts , which might prove helpful in clinical differentiation of arteriolosclerotic [from] cerebral amyloid angiopathy - related vascular brain injury . 0 ###LEFT-WALL### 1 arteriolosclerosis 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 15 , 1 arteriolosclerosis 2 was 2 was 3 positively 2 was 5 whereas 4 , 5 whereas 5 whereas 7 amyloid 5 whereas 14 infarcts 5 whereas 15 , 6 cerebral 7 amyloid 7 amyloid 8 angiopathy 7 amyloid 12 with 7 amyloid 14 infarcts 8 angiopathy 9 was 9 was 10 negatively 9 was 11 correlated 11 correlated 12 with 15 , 16 which 15 , 18 prove 15 , 29 - 16 which 17 might 17 might 18 prove 18 prove 19 helpful 19 helpful 20 in 20 in 22 differentiation 21 clinical 22 differentiation 22 differentiation 23 of 23 of 28 angiopathy 24 arteriolosclerotic 27 amyloid 26 cerebral 27 amyloid 27 amyloid 28 angiopathy 29 - 33 injury 29 - 34 . 30 related 32 brain 31 vascular 32 brain 32 brain 33 injury implicit or automatic detection of social signals , which discriminate animate , intentional objects in the environment , is essential for higher social cognition and its development . 0 ###LEFT-WALL### 4 detection 0 ###LEFT-WALL### 19 is 0 ###LEFT-WALL### 28 . 1 implicit 2 or 2 or 3 automatic 2 or 4 detection 4 detection 5 of 4 detection 19 is 5 of 7 signals 6 social 7 signals 7 signals 9 which 8 , 9 which 9 which 10 discriminate 9 which 18 , 10 discriminate 14 objects 10 discriminate 15 in 11 animate 12 , 11 animate 14 objects 13 intentional 14 objects 15 in 17 environment 16 the 17 environment 19 is 20 essential 20 essential 21 for 21 for 25 and 22 higher 24 cognition 23 social 24 cognition 24 cognition 25 and 25 and 27 development 26 its 27 development using functional magnetic resonance imaging , we identified the neural substrate of detecting simple visual social signals and examined its functional link with the mechanism of inferring another 's mental state . 0 ###LEFT-WALL### 7 we 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 32 . 1 using 5 imaging 1 using 6 , 1 using 7 we 2 functional 4 resonance 3 magnetic 4 resonance 4 resonance 5 imaging 7 we 18 and 8 identified 11 substrate 8 identified 18 and 9 the 11 substrate 10 neural 11 substrate 11 substrate 12 of 12 of 13 detecting 13 detecting 17 signals 14 simple 17 signals 15 visual 17 signals 16 social 17 signals 18 and 19 examined 19 examined 22 link 19 examined 23 with 20 its 22 link 21 functional 22 link 23 with 25 mechanism 24 the 25 mechanism 25 mechanism 26 of 26 of 27 inferring 27 inferring 31 state 28 another 29 's 29 's 31 state 30 mental 31 state healthy participants were presented with the eye [-] gaze shift ( eg [ )(and self - propelling motion ( sp ) under both implicit and explicit task conditions . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 4 presented 0 ###LEFT-WALL### 29 . 1 healthy 2 participants 2 participants 3 were 3 were 4 presented 4 presented 5 with 4 presented 17 propelling 4 presented 22 under 5 with 10 shift 6 the 10 shift 7 eye 10 shift 9 gaze 10 shift 10 shift 14 )(and 11 ( 14 )(and 12 eg 14 )(and 14 )(and 15 self 14 )(and 16 - 16 - 17 propelling 17 propelling 18 motion 17 propelling 21 ) 18 motion 20 sp 19 ( 20 sp 20 sp 21 ) 22 under 28 conditions 23 both 28 conditions 24 implicit 25 and 25 and 26 explicit 25 and 28 conditions 27 task 28 conditions they also performed a social role - playing game in which mental inference ( mi ) was implicitly prompted during the presentation of faces ( implicit mi ) . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 performed 1 they 3 performed 2 also 3 performed 3 performed 6 role 3 performed 8 playing 4 a 5 social 4 a 6 role 5 social 6 role 7 - 8 playing 8 playing 9 game 8 playing 29 . 9 game 10 in 10 in 11 which 10 in 13 inference 10 in 19 prompted 12 mental 13 inference 13 inference 15 mi 13 inference 17 was 14 ( 15 mi 15 mi 16 ) 17 was 18 implicitly 17 was 19 prompted 19 prompted 20 during 20 during 22 presentation 21 the 22 presentation 22 presentation 23 of 23 of 24 faces 24 faces 27 mi 25 ( 27 mi 26 implicit 27 mi 27 mi 28 ) implicit detection of eg and sp activated the posterior middle temporal gyrus ( pmtg ) bilaterally , whereas the right posterior superior temporal sulcus was activated during the explicit conditions . 0 ###LEFT-WALL### 2 detection 0 ###LEFT-WALL### 26 activated 0 ###LEFT-WALL### 31 . 1 implicit 2 detection 2 detection 3 of 2 detection 7 activated 3 of 5 and 4 eg 5 and 5 and 6 sp 7 activated 12 gyrus 7 activated 16 bilaterally 7 activated 18 whereas 8 the 12 gyrus 9 posterior 10 middle 10 middle 12 gyrus 11 temporal 12 gyrus 12 gyrus 14 pmtg 13 ( 14 pmtg 14 pmtg 15 ) 17 , 18 whereas 18 whereas 24 sulcus 19 the 24 sulcus 20 right 24 sulcus 21 posterior 24 sulcus 22 superior 24 sulcus 23 temporal 24 sulcus 24 sulcus 25 was 25 was 26 activated 26 activated 27 during 27 during 30 conditions 28 the 30 conditions 29 explicit 30 conditions our results suggest that the implicit detection of visual social signals involves the pmtg and underlies the development of higher social cognition . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 23 . 1 our 2 results 2 results 15 and 3 suggest 4 that 3 suggest 15 and 4 that 7 detection 4 that 12 involves 5 the 7 detection 6 implicit 7 detection 7 detection 8 of 7 detection 12 involves 8 of 11 signals 9 visual 11 signals 10 social 11 signals 12 involves 14 pmtg 13 the 14 pmtg 15 and 16 underlies 15 and 18 development 17 the 18 development 18 development 19 of 19 of 22 cognition 20 higher 22 cognition 21 social 22 cognition there is a broad scientific consensus that amyotrophic lateral sclerosis ( als ) , a fatal neuromuscular disease , is caused by gene [--] environment interactions . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 27 . 1 there 2 is 2 is 6 consensus 2 is 22 by 3 a 4 broad 3 a 6 consensus 4 broad 6 consensus 5 scientific 6 consensus 6 consensus 7 that 6 consensus 21 caused 7 that 10 sclerosis 7 that 21 caused 8 amyotrophic 10 sclerosis 9 lateral 10 sclerosis 10 sclerosis 12 als 10 sclerosis 18 disease 10 sclerosis 20 is 11 ( 12 als 12 als 13 ) 14 , 18 disease 15 a 18 disease 16 fatal 18 disease 17 neuromuscular 18 disease 18 disease 19 , 20 is 21 caused 22 by 26 interactions 23 gene 26 interactions 25 environment 26 interactions in fact [,] given that only about 10 % of all als diagnosis has a genetic basis , gene - environmental interaction may [give] account for the remaining percentage of cases . 0 ###LEFT-WALL### 9 % 0 ###LEFT-WALL### 14 has 0 ###LEFT-WALL### 18 , 1 in 2 fact 1 in 9 % 2 fact 4 given 4 given 5 that 4 given 6 only 7 about 8 10 8 10 9 % 9 % 10 of 9 % 14 has 10 of 13 diagnosis 11 all 13 diagnosis 12 als 13 diagnosis 14 has 17 basis 15 a 16 genetic 15 a 17 basis 16 genetic 17 basis 18 , 19 gene 18 , 20 - 20 - 22 interaction 20 - 25 account 20 - 32 . 21 environmental 22 interaction 22 interaction 23 may 23 may 25 account 25 account 26 for 26 for 29 percentage 27 the 28 remaining 27 the 29 percentage 29 percentage 30 of 30 of 31 cases however , relatively little attention has been paid to environmental and lifestyle factors that may trigger the cascade of motor neuron degeneration leading to als , although exposure to chemicals -- including [lead] and pesticides - agricultural environments , smoking , intense physical activity , trauma and electromagnetic fields have been associated with an increased risk of als . 0 ###LEFT-WALL### 4 little 0 ###LEFT-WALL### 8 paid 1 however 2 , 1 however 4 little 3 relatively 4 little 4 little 5 attention 4 little 7 been 4 little 8 paid 5 attention 6 has 6 has 7 been 8 paid 9 to 8 paid 18 cascade 9 to 11 and 10 environmental 11 and 11 and 12 lifestyle 11 and 13 factors 11 and 16 trigger 13 factors 14 that 13 factors 15 may 13 factors 16 trigger 14 that 15 may 17 the 18 cascade 18 cascade 19 of 19 of 22 degeneration 20 motor 22 degeneration 21 neuron 22 degeneration 22 degeneration 23 leading 23 leading 24 to 23 leading 27 although 24 to 25 als 26 , 27 although 27 although 47 and 27 although 52 associated 27 although 59 . 28 exposure 29 to 28 exposure 40 smoking 28 exposure 41 , 29 to 30 chemicals 30 chemicals 38 environments 31 -- 38 environments 32 including 34 and 34 and 35 pesticides 34 and 36 - 34 and 38 environments 37 agricultural 38 environments 38 environments 39 , 41 , 44 activity 41 , 45 , 42 intense 44 activity 43 physical 44 activity 45 , 46 trauma 45 , 47 and 47 and 49 fields 47 and 50 have 48 electromagnetic 49 fields 50 have 51 been 51 been 52 associated 52 associated 53 with 53 with 56 risk 54 an 56 risk 55 increased 56 risk 56 risk 57 of 57 of 58 als this review provides an overview of our current knowledge of potential toxic etiologies of als with emphasis on the role of cyanobacteria , heavy metals and pesticides as potential risk factors for developing als . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 35 . 1 this 2 review 2 review 3 provides 3 provides 26 and 4 an 5 overview 5 overview 6 of 5 overview 10 of 5 overview 14 of 5 overview 23 , 6 of 9 knowledge 7 our 9 knowledge 8 current 9 knowledge 10 of 13 etiologies 11 potential 13 etiologies 12 toxic 13 etiologies 14 of 15 als 15 als 16 with 15 als 21 of 16 with 17 emphasis 17 emphasis 18 on 18 on 20 role 19 the 20 role 21 of 22 cyanobacteria 23 , 25 metals 23 , 26 and 24 heavy 25 metals 26 and 27 pesticides 26 and 28 as 26 and 32 for 28 as 31 factors 29 potential 31 factors 30 risk 31 factors 32 for 33 developing 33 developing 34 als we will summarize the most recent evidence from epidemiological studies and experimental findings from animal [and] cellular models , revealing that potential causal links between environmental toxicants and als pathogenesis have not been fully ascertained , thus justifying the need for further research . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 summarize 0 ###LEFT-WALL### 44 . 1 we 2 will 2 will 3 summarize 3 summarize 7 evidence 3 summarize 8 from 3 summarize 41 for 4 the 5 most 5 most 7 evidence 6 recent 7 evidence 8 from 11 and 9 epidemiological 10 studies 10 studies 11 and 11 and 13 findings 11 and 19 , 11 and 20 revealing 12 experimental 13 findings 13 findings 14 from 14 from 18 models 15 animal 18 models 17 cellular 18 models 20 revealing 24 links 21 that 22 potential 22 potential 24 links 23 causal 24 links 24 links 25 between 24 links 38 justifying 25 between 28 and 26 environmental 27 toxicants 27 toxicants 28 and 28 and 29 als 28 and 30 pathogenesis 28 and 33 been 28 and 35 ascertained 30 pathogenesis 31 have 31 have 32 not 31 have 33 been 34 fully 35 ascertained 35 ascertained 36 , 37 thus 38 justifying 38 justifying 40 need 39 the 40 need 41 for 43 research 42 further 43 research objective : serum levels of fibroblast growth factor - 21 ( fgf21 ) , a metabolic hormone , have been shown to be elevated in subjects with adverse lipid profiles , obesity , metabolic syndrome , impaired glucose tolerance , type 2 diabetes mellitus , and hypertension . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 48 . 2 : 4 levels 2 : 8 factor 2 : 18 , 3 serum 4 levels 4 levels 5 of 4 levels 8 factor 5 of 7 growth 6 fibroblast 7 growth 8 factor 10 21 9 - 10 21 10 21 12 fgf21 10 21 17 hormone 11 ( 12 fgf21 12 fgf21 13 ) 14 , 17 hormone 15 a 17 hormone 16 metabolic 17 hormone 17 hormone 18 , 18 , 19 have 18 , 33 , 19 have 20 been 20 been 21 shown 21 shown 22 to 21 shown 27 with 22 to 23 be 23 be 24 elevated 24 elevated 25 in 25 in 26 subjects 27 with 30 profiles 28 adverse 29 lipid 29 lipid 30 profiles 30 profiles 32 obesity 31 , 32 obesity 32 obesity 33 , 33 , 35 syndrome 33 , 36 , 34 metabolic 35 syndrome 36 , 40 , 37 impaired 39 tolerance 37 impaired 40 , 38 glucose 39 tolerance 40 , 41 type 41 type 46 and 42 2 46 and 43 diabetes 44 mellitus 44 mellitus 46 and 45 , 46 and 46 and 47 hypertension recently , elevated serum fgf21 levels have also been reported in subjects with coronary heart disease or carotid artery plaques . 0 ###LEFT-WALL### 6 levels 0 ###LEFT-WALL### 10 reported 0 ###LEFT-WALL### 21 . 1 recently 2 , 1 recently 6 levels 3 elevated 4 serum 4 serum 6 levels 5 fgf21 6 levels 6 levels 7 have 7 have 9 been 8 also 9 been 9 been 10 reported 10 reported 11 in 11 in 17 or 12 subjects 13 with 12 subjects 17 or 13 with 16 disease 14 coronary 16 disease 15 heart 16 disease 17 or 20 plaques 18 carotid 19 artery 19 artery 20 plaques however , [whether] serum fgf21 is independently associated with atherosclerotic diseases remains unclear . 0 ###LEFT-WALL### 4 serum 0 ###LEFT-WALL### 12 remains 0 ###LEFT-WALL### 14 . 1 however 2 , 1 however 4 serum 4 serum 5 fgf21 4 serum 6 is 4 serum 8 associated 4 serum 12 remains 5 fgf21 6 is 6 is 7 independently 8 associated 9 with 9 with 11 diseases 10 atherosclerotic 11 diseases 12 remains 13 unclear in this study , we examined the relationship between serum fgf21 levels and carotid intima - media thickness ( imt ) in a large cohort of southern chinese subjects . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 examined 0 ###LEFT-WALL### 30 . 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 examined 6 examined 8 relationship 7 the 8 relationship 8 relationship 9 between 8 relationship 22 in 9 between 13 and 10 serum 12 levels 11 fgf21 12 levels 12 levels 13 and 13 and 15 intima 13 and 18 thickness 14 carotid 15 intima 16 - 18 thickness 17 media 18 thickness 18 thickness 20 imt 18 thickness 21 ) 19 ( 20 imt 20 imt 21 ) 22 in 25 cohort 23 a 24 large 23 a 25 cohort 24 large 25 cohort 25 cohort 26 of 25 cohort 28 chinese 25 cohort 29 subjects 26 of 27 southern 28 chinese 29 subjects approach and results : the cohort consisted of 670 subjects who underwent carotid imt measurement . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 4 : 1 approach 2 and 2 and 3 results 4 : 6 cohort 4 : 7 consisted 4 : 16 . 5 the 6 cohort 6 cohort 7 consisted 7 consisted 8 of 8 of 10 subjects 9 670 10 subjects 10 subjects 11 who 10 subjects 12 underwent 11 who 12 underwent 12 underwent 15 measurement 13 carotid 15 measurement 14 imt 15 measurement serum fgf21 levels were measured with an elisa kit . 0 ###LEFT-WALL### 3 levels 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 10 . 1 serum 3 levels 2 fgf21 3 levels 3 levels 4 were 4 were 5 measured 5 measured 6 with 6 with 9 kit 7 an 9 kit 8 elisa 9 kit serum fgf21 levels positively correlated with carotid imt in women ( r=0.32 [;] p<0.001 ) , but not in men ( r=0.06 ; p=0.305 [ )( 0 ###LEFT-WALL### 1 serum 0 ###LEFT-WALL### 5 correlated 0 ###LEFT-WALL### 23 ; 0 ###LEFT-WALL### 26 )( 1 serum 2 fgf21 1 serum 3 levels 1 serum 5 correlated 2 fgf21 3 levels 3 levels 4 positively 5 correlated 6 with 6 with 7 carotid 6 with 8 imt 8 imt 17 but 9 in 10 women 9 in 17 but 10 women 14 p<0.001 11 ( 14 p<0.001 12 r=0.32 14 p<0.001 14 p<0.001 15 ) 16 , 17 but 17 but 18 not 17 but 19 in 19 in 20 men 20 men 22 r=0.06 21 ( 22 r=0.06 22 r=0.06 23 ; 23 ; 24 p=0.305 on multiple linear regression analysis , elevated serum fgf21 level in women was an independent risk factor for increased carotid imt ( p=0.039 [ )(, together with age ( p<0.001 [ )(and hypertension ( p=0.011 ) , in a model comprising also waist circumference , smoking history , serum creatinine , high [sensitive] c - reactive protein , dysglycemia , and dyslipidemia ( adjusted [r] ( 2 )=35.8 % [;] p<0.001 ) . 1 on 5 analysis 1 on 8 serum 2 multiple 5 analysis 3 linear 5 analysis 4 regression 5 analysis 5 analysis 7 elevated 6 , 7 elevated 8 serum 10 level 8 serum 18 for 8 serum 19 increased 9 fgf21 10 level 10 level 11 in 10 level 13 was 11 in 12 women 13 was 17 factor 13 was 18 for 14 an 17 factor 15 independent 17 factor 16 risk 17 factor 19 increased 21 imt 19 increased 26 together 19 increased 27 with 20 carotid 21 imt 21 imt 23 p=0.039 22 ( 23 p=0.039 23 p=0.039 25 )(, 27 with 28 age 27 with 38 in 28 age 32 )(and 29 ( 32 )(and 30 p<0.001 32 )(and 32 )(and 33 hypertension 32 )(and 35 p=0.011 32 )(and 37 , 34 ( 35 p=0.011 35 p=0.011 36 ) 38 in 40 model 39 a 40 model 40 model 41 comprising 41 comprising 42 also 41 comprising 44 circumference 43 waist 44 circumference 44 circumference 46 smoking 45 , 46 smoking 46 smoking 47 history 47 history 50 creatinine 47 history 55 - 48 , 50 creatinine 49 serum 50 creatinine 50 creatinine 51 , 51 , 55 - 52 high 54 c 52 high 55 - 55 - 57 protein 56 reactive 57 protein 57 protein 61 and 58 , 61 and 59 dysglycemia 61 and 60 , 61 and 61 and 62 dyslipidemia 61 and 64 adjusted 61 and 71 p<0.001 61 and 73 . 63 ( 64 adjusted 66 ( 71 p<0.001 67 2 71 p<0.001 68 )=35.8 71 p<0.001 69 % 71 p<0.001 71 p<0.001 72 ) elevated serum fgf21 levels were also a significant independent risk factor of carotid imt on multiple stepwise regression analysis ( p=0.01 ) . 0 ###LEFT-WALL### 4 levels 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 23 . 1 elevated 2 serum 2 serum 4 levels 3 fgf21 4 levels 4 levels 5 were 5 were 6 also 5 were 11 factor 7 a 8 significant 7 a 11 factor 8 significant 9 independent 9 independent 11 factor 10 risk 11 factor 11 factor 12 of 11 factor 21 p=0.01 12 of 14 imt 13 carotid 14 imt 14 imt 15 on 15 on 19 analysis 16 multiple 18 regression 17 stepwise 18 regression 18 regression 19 analysis 20 ( 21 p=0.01 21 p=0.01 22 ) conclusions : the present study is the first demonstration that elevated serum fgf21 levels are associated with carotid atherosclerosis in humans , independent of established risk factors including adverse lipid profiles and c - reactive protein . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 5 study 2 : 6 is 2 : 32 and 3 the 5 study 4 present 5 study 5 study 6 is 6 is 12 serum 7 the 12 serum 8 first 9 demonstration 9 demonstration 12 serum 10 that 11 elevated 11 elevated 12 serum 12 serum 14 levels 12 serum 15 are 12 serum 16 associated 12 serum 24 of 13 fgf21 14 levels 14 levels 15 are 16 associated 17 with 16 associated 22 , 16 associated 23 independent 17 with 19 atherosclerosis 17 with 20 in 18 carotid 19 atherosclerosis 20 in 21 humans 24 of 27 factors 25 established 27 factors 26 risk 27 factors 27 factors 28 including 28 including 31 profiles 29 adverse 30 lipid 30 lipid 31 profiles 32 and 33 c 32 and 34 - 33 c 34 - 34 - 36 protein 35 reactive 36 protein the role of fgf21 as a biomarker or therapeutic target of atherosclerotic diseases warrants further investigation . 0 ###LEFT-WALL### 2 role 0 ###LEFT-WALL### 14 warrants 0 ###LEFT-WALL### 17 . 1 the 2 role 2 role 3 of 2 role 14 warrants 3 of 4 fgf21 4 fgf21 5 as 5 as 8 or 6 a 7 biomarker 7 biomarker 8 or 8 or 10 target 8 or 11 of 9 therapeutic 10 target 11 of 13 diseases 12 atherosclerotic 13 diseases 14 warrants 16 investigation 15 further 16 investigation background/purpose : modern men have changed their beauty and grooming habits , which has resulted in an increasing demand for cosmetics for men . 0 ###LEFT-WALL### 1 background/purpose 0 ###LEFT-WALL### 2 : 2 : 4 men 2 : 6 changed 2 : 24 . 3 modern 4 men 4 men 5 have 5 have 6 changed 6 changed 9 and 6 changed 16 in 6 changed 20 for 7 their 9 and 8 beauty 9 and 9 and 11 habits 9 and 12 , 9 and 13 which 9 and 14 has 10 grooming 11 habits 13 which 14 has 14 has 15 resulted 16 in 19 demand 17 an 19 demand 18 increasing 19 demand 20 for 21 cosmetics 21 cosmetics 22 for 22 for 23 men however , very little information is available about the dermatological needs of male skin . 0 ###LEFT-WALL### 5 information 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 5 information 3 very 4 little 4 little 5 information 5 information 6 is 6 is 7 available 7 available 8 about 8 about 11 needs 9 the 11 needs 10 dermatological 11 needs 11 needs 12 of 12 of 14 skin 13 male 14 skin therefore , the aim of this present clinical study was to conduct the first systematic assessment of the skin physiology of men with special attention to lifetime changes . 0 ###LEFT-WALL### 4 aim 0 ###LEFT-WALL### 29 . 1 therefore 2 , 1 therefore 4 aim 3 the 4 aim 4 aim 5 of 4 aim 10 was 5 of 9 study 6 this 9 study 7 present 9 study 8 clinical 9 study 10 was 11 to 10 was 12 conduct 11 to 12 conduct 12 conduct 16 assessment 12 conduct 23 with 12 conduct 26 to 13 the 14 first 13 the 16 assessment 15 systematic 16 assessment 16 assessment 17 of 17 of 20 physiology 18 the 20 physiology 19 skin 20 physiology 20 physiology 21 of 21 of 22 men 23 with 25 attention 24 special 25 attention 26 to 28 changes 27 lifetime 28 changes methods : a total of 150 healthy male subjects ( aged 20 - 70 years ) were selected following strict criteria , including age , sun behavior and smoking habits . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 28 and 3 a 4 total 4 total 5 of 4 total 22 , 5 of 6 150 6 150 9 subjects 6 150 17 were 6 150 18 selected 6 150 19 following 7 healthy 9 subjects 8 male 9 subjects 9 subjects 11 aged 9 subjects 15 years 9 subjects 17 were 10 ( 11 aged 11 aged 12 20 11 aged 13 - 13 - 15 years 14 70 15 years 15 years 16 ) 19 following 21 criteria 20 strict 21 criteria 22 , 24 age 22 , 25 , 23 including 24 age 25 , 27 behavior 25 , 28 and 26 sun 27 behavior 28 and 30 habits 29 smoking 30 habits transepidermal water loss ( tewl ) , hydration level , sebum production and ph values were measured with worldwide - acknowledged biophysical measuring methods at the forehead , cheek , neck , volar forearm and dorsum [of] hand . 0 ###LEFT-WALL### 2 water 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 39 . 1 transepidermal 2 water 2 water 3 loss 3 loss 5 tewl 3 loss 9 level 4 ( 5 tewl 5 tewl 6 ) 7 , 9 level 8 hydration 9 level 9 level 10 , 10 , 13 and 10 , 17 measured 11 sebum 12 production 12 production 13 and 13 and 15 values 13 and 16 were 14 ph 15 values 16 were 17 measured 17 measured 18 with 18 with 24 methods 19 worldwide 20 - 19 worldwide 24 methods 21 acknowledged 24 methods 22 biophysical 24 methods 23 measuring 24 methods 24 methods 25 at 25 at 35 and 26 the 27 forehead 27 forehead 28 , 28 , 29 cheek 28 , 30 , 30 , 31 neck 30 , 32 , 32 , 34 forearm 32 , 35 and 33 volar 34 forearm 35 and 38 hand 36 dorsum 38 hand results : tewl and sebum production vary by localization , but [generally] not with increasing age , whereas stratum corneum ( sc ) [hydration] decreases significantly at the face and neck . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 decreases 0 ###LEFT-WALL### 32 . 2 : 4 and 2 : 7 vary 3 tewl 4 and 4 and 6 production 4 and 7 vary 5 sebum 6 production 7 vary 11 but 8 by 9 localization 8 by 11 but 10 , 11 but 11 but 13 not 11 but 14 with 14 with 15 increasing 15 increasing 16 age 15 increasing 18 whereas 17 , 18 whereas 18 whereas 20 corneum 19 stratum 20 corneum 20 corneum 22 sc 20 corneum 25 decreases 21 ( 22 sc 22 sc 23 ) 25 decreases 26 significantly 25 decreases 27 at 27 at 30 and 28 the 29 face 29 face 30 and 30 and 31 neck the greatest decrease was assessed at the forehead . 0 ###LEFT-WALL### 3 decrease 0 ###LEFT-WALL### 5 assessed 0 ###LEFT-WALL### 9 . 1 the 2 greatest 1 the 3 decrease 3 decrease 4 was 4 was 5 assessed 5 assessed 6 at 6 at 8 forehead 7 the 8 forehead skin surface ph significantly increases with aging in the face . 0 ###LEFT-WALL### 3 ph 0 ###LEFT-WALL### 5 increases 0 ###LEFT-WALL### 11 . 1 skin 3 ph 2 surface 3 ph 3 ph 5 increases 4 significantly 5 increases 5 increases 6 with 6 with 7 aging 7 aging 8 in 8 in 10 face 9 the 10 face conclusion : the present study assigns for the first time systematic reference values for standardized biophysical measuring methods and localizations reflecting the skin physiology of men in relation to age . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 4 present 3 the 4 present 4 present 5 study 4 present 6 assigns 5 study 6 assigns 6 assigns 7 for 7 for 13 values 8 the 9 first 8 the 13 values 10 time 13 values 11 systematic 12 reference 12 reference 13 values 13 values 14 for 13 values 21 reflecting 13 values 27 in 14 for 19 and 15 standardized 18 methods 16 biophysical 18 methods 17 measuring 18 methods 18 methods 19 and 19 and 20 localizations 21 reflecting 24 physiology 22 the 24 physiology 23 skin 24 physiology 24 physiology 25 of 25 of 26 men 27 in 28 relation 28 relation 29 to 29 to 30 age the results show that the physiology of male skin partly changes with aging . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 14 . 1 the 2 results 2 results 3 show 3 show 4 that 4 that 6 physiology 4 that 11 changes 5 the 6 physiology 6 physiology 7 of 6 physiology 11 changes 7 of 9 skin 8 male 9 skin 10 partly 11 changes 11 changes 12 with 12 with 13 aging while sc hydration and skin surface ph are affected by the subject 's age , tewl and sebum production show only minor variations . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 9 affected 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 24 . 1 while 2 sc 1 while 4 and 3 hydration 4 and 4 and 7 ph 4 and 8 are 5 skin 7 ph 6 surface 7 ph 8 are 9 affected 9 affected 10 by 10 by 14 age 11 the 12 subject 12 subject 13 's 13 's 14 age 15 , 17 and 15 , 20 show 16 tewl 17 and 17 and 19 production 17 and 20 show 18 sebum 19 production 20 show 23 variations 21 only 22 minor 22 minor 23 variations wernicke 's encephalopathy and korsakoff ['s] psychosis are severe unfavorable forms of alcoholic brain damage with poor prognosis . 0 ###LEFT-WALL### 18 prognosis 0 ###LEFT-WALL### 19 . 1 wernicke 2 's 2 's 3 encephalopathy 3 encephalopathy 4 and 4 and 5 korsakoff 4 and 7 psychosis 4 and 16 with 4 and 18 prognosis 7 psychosis 8 are 8 are 11 forms 8 are 16 with 9 severe 11 forms 10 unfavorable 11 forms 11 forms 12 of 12 of 15 damage 13 alcoholic 15 damage 14 brain 15 damage 17 poor 18 prognosis thiamine deficiency represents a common cause of both diseases . 0 ###LEFT-WALL### 2 deficiency 0 ###LEFT-WALL### 3 represents 0 ###LEFT-WALL### 10 . 1 thiamine 2 deficiency 2 deficiency 3 represents 3 represents 6 cause 4 a 5 common 4 a 6 cause 5 common 6 cause 6 cause 7 of 7 of 9 diseases 8 both 9 diseases in many cases , korsakoff 's [psychosis] develops in the outcome of wernicke 's encephalopathy , which , along with the general etiology , lets talk about a single disease - wernicke - korsakoff syndrome [,] acute [(] usually reversible ) stage of which is wernicke 's encephalopathy and a chronic one ( often irreversible ) [is] korsakoff psychosis . 0 ###LEFT-WALL### 6 's 0 ###LEFT-WALL### 8 develops 1 in 3 cases 1 in 4 , 1 in 6 's 2 many 3 cases 5 korsakoff 6 's 6 's 8 develops 8 develops 9 in 9 in 11 outcome 10 the 11 outcome 11 outcome 12 of 12 of 15 encephalopathy 13 wernicke 14 's 14 's 15 encephalopathy 15 encephalopathy 17 which 16 , 17 which 17 which 20 with 17 which 25 lets 18 , 20 with 19 along 20 with 20 with 23 etiology 20 with 24 , 21 the 23 etiology 22 general 23 etiology 25 lets 26 talk 26 talk 27 about 26 talk 33 - 27 about 30 disease 28 a 30 disease 29 single 30 disease 31 - 33 - 32 wernicke 33 - 33 - 42 stage 34 korsakoff 42 stage 35 syndrome 42 stage 37 acute 42 stage 39 usually 40 reversible 40 reversible 41 ) 40 reversible 42 stage 42 stage 43 of 43 of 44 which 44 which 45 is 45 is 49 and 46 wernicke 47 's 47 's 49 and 48 encephalopathy 49 and 49 and 52 one 49 and 59 psychosis 50 a 51 chronic 50 a 52 one 51 chronic 52 one 53 ( 59 psychosis 54 often 55 irreversible 55 irreversible 56 ) 55 irreversible 59 psychosis 58 korsakoff 59 psychosis 59 psychosis 60 . the dramatic paradox of wernicke 's encephalopathy is that in most cases it is difficult to detect , but early diagnosed cases are quite easy to cure . 0 ###LEFT-WALL### 3 paradox 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 19 but 0 ###LEFT-WALL### 27 cure 0 ###LEFT-WALL### 28 . 1 the 3 paradox 2 dramatic 3 paradox 3 paradox 4 of 3 paradox 8 is 4 of 7 encephalopathy 5 wernicke 6 's 6 's 7 encephalopathy 8 is 9 that 8 is 10 in 10 in 12 cases 11 most 12 cases 12 cases 13 it 12 cases 17 detect 13 it 14 is 14 is 15 difficult 15 difficult 16 to 15 difficult 17 detect 16 to 17 detect 18 , 19 but 19 but 22 cases 19 but 23 are 20 early 22 cases 21 diagnosed 22 cases 22 cases 23 are 23 are 25 easy 24 quite 25 easy 25 easy 26 to 25 easy 27 cure 26 to 27 cure unrecognized and therefore [go] untreated wernicke 's encephalopathy is a serious threat to the health and lives of patients , worsens the processes of brain aging and increases the risk of alzheimer 's disease in later life . 0 ###LEFT-WALL### 8 encephalopathy 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 38 . 1 unrecognized 2 and 2 and 3 therefore 2 and 5 untreated 2 and 6 wernicke 6 wernicke 7 's 7 's 8 encephalopathy 8 encephalopathy 9 is 9 is 12 threat 10 a 12 threat 11 serious 12 threat 12 threat 13 to 12 threat 18 of 13 to 16 and 14 the 15 health 15 health 16 and 16 and 17 lives 18 of 19 patients 20 , 27 and 21 worsens 23 processes 21 worsens 27 and 22 the 23 processes 23 processes 24 of 24 of 25 brain 25 brain 26 aging 27 and 28 increases 28 increases 30 risk 28 increases 35 in 29 the 30 risk 30 risk 31 of 31 of 34 disease 32 alzheimer 33 's 33 's 34 disease 35 in 37 life 36 later 37 life the basic approach to the treatment of wernicke - korsakoff syndrome [is] long - term parenteral administration of thiamine , often in high doses . 0 ###LEFT-WALL### 2 basic 0 ###LEFT-WALL### 3 approach 0 ###LEFT-WALL### 25 . 1 the 2 basic 2 basic 3 approach 3 approach 4 to 3 approach 21 often 3 approach 22 in 4 to 6 treatment 5 the 6 treatment 6 treatment 7 of 7 of 8 wernicke 8 wernicke 17 administration 9 - 17 administration 10 korsakoff 17 administration 11 syndrome 17 administration 13 long 14 - 13 long 15 term 15 term 17 administration 16 parenteral 17 administration 17 administration 18 of 17 administration 20 , 18 of 19 thiamine 22 in 24 doses 23 high 24 doses as an adjuvant means of therapy memantine is considered . 0 ###LEFT-WALL### 7 memantine 0 ###LEFT-WALL### 9 considered 0 ###LEFT-WALL### 10 . 1 as 4 means 1 as 7 memantine 2 an 3 adjuvant 2 an 4 means 3 adjuvant 4 means 4 means 5 of 5 of 6 therapy 7 memantine 8 is 8 is 9 considered objectives : to describe rates of pain and pain interference in a large sample of adults aging with long - standing physical disabilities , relative to a normative us population sample . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 8 and 3 to 8 and 4 describe 5 rates 4 describe 8 and 5 rates 6 of 6 of 7 pain 8 and 9 pain 8 and 18 with 8 and 23 disabilities 9 pain 10 interference 9 pain 11 in 11 in 14 sample 12 a 14 sample 13 large 14 sample 14 sample 15 of 14 sample 17 aging 15 of 16 adults 18 with 21 standing 19 long 20 - 19 long 21 standing 22 physical 23 disabilities 23 disabilities 25 relative 24 , 25 relative 25 relative 26 to 25 relative 32 . 26 to 31 sample 27 a 28 normative 27 a 31 sample 28 normative 31 sample 29 us 31 sample 30 population 31 sample methods : self - report survey data was collected for a sample of 1877 individuals with spinal cord injury , neuromuscular disease , postpolio syndrome , or multiple sclerosis . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 30 . 1 methods 2 : 2 : 3 self 4 - 7 data 4 - 9 collected 5 report 6 survey 6 survey 7 data 7 data 8 was 8 was 9 collected 9 collected 10 for 9 collected 16 with 10 for 12 sample 11 a 12 sample 12 sample 13 of 13 of 15 individuals 14 1877 15 individuals 16 with 27 or 17 spinal 18 cord 18 cord 19 injury 19 injury 20 , 20 , 22 disease 20 , 23 , 21 neuromuscular 22 disease 23 , 25 syndrome 23 , 27 or 24 postpolio 25 syndrome 26 , 27 or 27 or 29 sclerosis 28 multiple 29 sclerosis rates of pain severity and pain interference in these samples were then compared with those taken from a large normative sample ( >20,000 ) collected through the nih patient reported outcomes measurement information system ( promis ) . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 13 compared 0 ###LEFT-WALL### 38 . 1 rates 2 of 1 rates 5 and 2 of 4 severity 3 pain 4 severity 5 and 7 interference 5 and 8 in 5 and 11 were 6 pain 7 interference 8 in 10 samples 9 these 10 samples 11 were 12 then 11 were 13 compared 13 compared 14 with 13 compared 17 from 13 compared 25 collected 14 with 15 those 15 those 16 taken 17 from 21 sample 18 a 21 sample 19 large 21 sample 20 normative 21 sample 21 sample 23 >20,000 22 ( 23 >20,000 23 >20,000 24 ) 25 collected 26 through 26 through 34 system 27 the 34 system 28 nih 29 patient 29 patient 30 reported 30 reported 31 outcomes 31 outcomes 32 measurement 32 measurement 33 information 33 information 34 system 34 system 36 promis 35 ( 36 promis 36 promis 37 ) results : individuals with long - standing physical disabilities reported higher levels of pain and pain interference across the lifespan as compared with individuals in the normative sample . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 compared 0 ###LEFT-WALL### 29 . 2 : 3 individuals 2 : 15 and 3 individuals 4 with 3 individuals 15 and 4 with 9 disabilities 5 long 6 - 5 long 9 disabilities 7 standing 9 disabilities 8 physical 9 disabilities 10 reported 12 levels 10 reported 15 and 11 higher 12 levels 12 levels 13 of 13 of 14 pain 15 and 16 pain 16 pain 17 interference 16 pain 18 across 16 pain 21 as 18 across 20 lifespan 19 the 20 lifespan 21 as 22 compared 22 compared 23 with 23 with 24 individuals 24 individuals 25 in 25 in 28 sample 26 the 28 sample 27 normative 28 sample in general , individuals with disability did not experience an age - related decrease in pain and pain impact in contrast to those in the normative sample . 0 ###LEFT-WALL### 4 individuals 0 ###LEFT-WALL### 9 experience 0 ###LEFT-WALL### 13 related 0 ###LEFT-WALL### 28 . 1 in 2 general 2 general 3 , 2 general 4 individuals 4 individuals 5 with 4 individuals 7 did 5 with 6 disability 7 did 8 not 7 did 9 experience 9 experience 11 age 10 an 11 age 12 - 13 related 13 related 14 decrease 13 related 15 in 13 related 20 in 13 related 22 to 15 in 17 and 16 pain 17 and 17 and 19 impact 18 pain 19 impact 20 in 21 contrast 22 to 23 those 23 those 24 in 24 in 27 sample 25 the 27 sample 26 normative 27 sample for 3 disability groups ( neuromuscular disease , postpolio syndrome , and multiple sclerosis ) , pain interference [remained] elevated and significantly higher than national norms in the " postretirement " period ( ie , age 65 to 74 ) . 0 ###LEFT-WALL### 17 pain 0 ###LEFT-WALL### 41 . 1 for 4 groups 1 for 16 , 1 for 17 pain 2 3 4 groups 3 disability 4 groups 4 groups 12 and 5 ( 12 and 6 neuromuscular 7 disease 7 disease 8 , 8 , 10 syndrome 8 , 12 and 9 postpolio 10 syndrome 11 , 12 and 12 and 14 sclerosis 12 and 15 ) 13 multiple 14 sclerosis 17 pain 21 and 17 pain 26 norms 17 pain 27 in 18 interference 20 elevated 18 interference 21 and 21 and 22 significantly 21 and 23 higher 23 higher 24 than 24 than 25 national 27 in 32 period 28 the 29 " 28 the 32 period 30 postretirement 31 " 30 postretirement 32 period 32 period 36 age 33 ( 36 age 34 ie 35 , 34 ie 36 age 36 age 38 to 36 age 40 ) 37 65 38 to 38 to 39 74 discussion : results from this study provide a large scale data on prevalence rates of pain and pain interference in this population . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 3 results 2 : 7 provide 3 results 4 from 3 results 7 provide 4 from 6 study 5 this 6 study 7 provide 19 interference 7 provide 20 in 8 a 19 interference 9 large 10 scale 10 scale 19 interference 11 data 12 on 11 data 17 and 12 on 14 rates 13 prevalence 14 rates 14 rates 15 of 15 of 16 pain 17 and 18 pain 17 and 19 interference 20 in 22 population 21 this 22 population findings underscore the prevalence and impact of pain in persons with disabilities and suggest that individuals with disability may not experience the same degree of decrease in pain interference in later life that is typical of the us population . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 40 . 1 findings 13 and 2 underscore 5 and 2 underscore 9 in 2 underscore 11 with 2 underscore 13 and 3 the 4 prevalence 4 prevalence 5 and 5 and 6 impact 5 and 7 of 7 of 8 pain 9 in 10 persons 11 with 12 disabilities 13 and 14 suggest 13 and 30 in 14 suggest 15 that 15 that 16 individuals 15 that 21 experience 16 individuals 17 with 16 individuals 19 may 17 with 18 disability 19 may 20 not 19 may 21 experience 21 experience 26 decrease 22 the 23 same 23 same 24 degree 24 degree 25 of 24 degree 26 decrease 25 of 26 decrease 26 decrease 27 in 27 in 29 interference 28 pain 29 interference 30 in 32 life 31 later 32 life 32 life 33 that 32 life 34 is 33 that 34 is 34 is 35 typical 35 typical 36 of 36 of 39 population 37 the 39 population 38 us 39 population those aging with disability may be especially at risk for pain - related impairment in later life . 0 ###LEFT-WALL### 1 those 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 13 related 1 those 2 aging 1 those 5 may 2 aging 3 with 3 with 4 disability 5 may 6 be 6 be 7 especially 6 be 8 at 8 at 9 risk 9 risk 10 for 10 for 11 pain 12 - 13 related 13 related 14 impairment 13 related 15 in 13 related 18 . 15 in 17 life 16 later 17 life background : blood pressure ( bp ) increases with age and obesity . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 pressure 2 : 8 increases 2 : 13 . 3 blood 4 pressure 4 pressure 6 bp 4 pressure 8 increases 5 ( 6 bp 6 bp 7 ) 8 increases 9 with 9 with 11 and 10 age 11 and 11 and 12 obesity we have assessed the relative contribution of age and fatness to bp regulation in a healthy population investigated by nurse practitioners . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 assessed 0 ###LEFT-WALL### 22 . 1 we 2 have 2 have 3 assessed 3 assessed 6 contribution 3 assessed 11 to 4 the 6 contribution 5 relative 6 contribution 6 contribution 7 of 7 of 9 and 8 age 9 and 9 and 10 fatness 11 to 13 regulation 12 bp 13 regulation 13 regulation 14 in 13 regulation 18 investigated 14 in 17 population 15 a 16 healthy 15 a 17 population 16 healthy 17 population 18 investigated 19 by 19 by 21 practitioners 20 nurse 21 practitioners material and methods : preventive investigation and counseling was offered at the entrance hall of the regional authority´s office in the town of nitra by 2 nursing specialists who investigated 120 men and 276 women . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 material 2 and 2 and 3 methods 4 : 6 investigation 4 : 7 and 4 : 36 . 5 preventive 6 investigation 7 and 8 counseling 7 and 10 offered 8 counseling 9 was 9 was 10 offered 10 offered 11 at 10 offered 20 in 11 at 14 hall 12 the 14 hall 13 entrance 14 hall 14 hall 15 of 15 of 19 office 16 the 19 office 17 regional 19 office 18 authority´s 19 office 20 in 33 and 21 the 22 town 22 town 23 of 22 town 33 and 23 of 24 nitra 24 nitra 25 by 24 nitra 27 nursing 24 nitra 29 who 24 nitra 30 investigated 25 by 26 2 27 nursing 28 specialists 29 who 30 investigated 30 investigated 32 men 31 120 32 men 33 and 35 women 34 276 35 women in men the mean body mass index ( bmi ) was 26.8 kg/m2 , mean weight was 84.4 kg , mean fat percentage [was] 23.3 , mean age was 46.1 years , mean systolic bp was 133.1 mmhg , and mean diastolic bp was 82.5 mmhg . 0 ###LEFT-WALL### 7 index 0 ###LEFT-WALL### 11 was 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 47 . 1 in 2 men 1 in 7 index 3 the 7 index 4 mean 7 index 5 body 7 index 6 mass 7 index 7 index 9 bmi 7 index 11 was 8 ( 9 bmi 9 bmi 10 ) 11 was 13 kg/m2 12 26.8 13 kg/m2 14 , 20 , 15 mean 16 weight 15 mean 17 was 15 mean 20 , 16 weight 17 was 17 was 19 kg 18 84.4 19 kg 20 , 26 , 21 mean 23 percentage 21 mean 26 , 22 fat 23 percentage 23 percentage 25 23.3 26 , 32 , 27 mean 28 age 27 mean 29 was 27 mean 32 , 28 age 29 was 29 was 31 years 30 46.1 31 years 32 , 40 and 33 mean 35 bp 33 mean 36 was 33 mean 40 and 34 systolic 35 bp 35 bp 36 was 36 was 38 mmhg 37 133.1 38 mmhg 39 , 40 and 40 and 41 mean 41 mean 43 bp 41 mean 44 was 42 diastolic 43 bp 43 bp 44 was 44 was 46 mmhg 45 82.5 46 mmhg in women the mean bmi was 24.8 kg/m2 , mean weight was 67.3 kg , mean fat [percentage] was 29.4 , mean age was 45.4 years , mean systolic bp was 127.7 mmhg , and mean diastolic bp was 78.5 mmhg . 0 ###LEFT-WALL### 5 bmi 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 42 . 1 in 2 women 1 in 5 bmi 3 the 5 bmi 4 mean 5 bmi 5 bmi 6 was 6 was 8 kg/m2 7 24.8 8 kg/m2 9 , 11 weight 9 , 12 was 9 , 15 , 10 mean 11 weight 11 weight 12 was 12 was 14 kg 13 67.3 14 kg 15 , 16 mean 15 , 21 , 16 mean 17 fat 16 mean 19 was 17 fat 19 was 19 was 20 29.4 21 , 27 , 22 mean 23 age 22 mean 24 was 22 mean 27 , 23 age 24 was 24 was 26 years 25 45.4 26 years 27 , 35 and 28 mean 30 bp 28 mean 31 was 28 mean 35 and 29 systolic 30 bp 30 bp 31 was 31 was 33 mmhg 32 127.7 33 mmhg 34 , 35 and 35 and 36 mean 36 mean 38 bp 36 mean 39 was 37 diastolic 38 bp 38 bp 39 was 39 was 41 mmhg 40 78.5 41 mmhg correlation analysis was performed and in multiple regression analysis we used bp values as the dependent variable and fat percentage and age as independent variables . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 4 performed 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 26 . 1 correlation 2 analysis 2 analysis 3 was 3 was 4 performed 5 and 10 we 5 and 21 and 6 in 9 analysis 6 in 10 we 7 multiple 8 regression 8 regression 9 analysis 10 we 21 and 11 used 13 values 11 used 21 and 12 bp 13 values 13 values 14 as 14 as 20 percentage 15 the 20 percentage 16 dependent 20 percentage 17 variable 18 and 18 and 19 fat 18 and 20 percentage 21 and 22 age 22 age 25 variables 23 as 24 independent 24 independent 25 variables normality of variables distribution was checked and found satisfactorily . 0 ###LEFT-WALL### 1 normality 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 10 . 1 normality 2 of 1 normality 7 and 2 of 3 variables 3 variables 4 distribution 3 variables 5 was 4 distribution 5 was 6 checked 7 and 7 and 8 found 7 and 9 satisfactorily results : most of the subjects had an untreated component [of] metabolic syndrome . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 subjects 2 : 7 had 2 : 14 . 3 most 4 of 3 most 6 subjects 4 of 6 subjects 5 the 6 subjects 6 subjects 7 had 7 had 13 syndrome 8 an 9 untreated 8 an 13 syndrome 9 untreated 13 syndrome 10 component 13 syndrome 12 metabolic 13 syndrome there was a correlation between bp values , age , and percent body fat . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 15 . 1 there 2 was 2 was 4 correlation 2 was 5 between 3 a 4 correlation 5 between 11 and 6 bp 7 values 7 values 8 , 8 , 9 age 8 , 11 and 10 , 11 and 11 and 14 fat 12 percent 13 body 13 body 14 fat bp was regulated only to a certain degree by fatness and age , with the influence being relatively small . 0 ###LEFT-WALL### 1 bp 0 ###LEFT-WALL### 3 regulated 1 bp 2 was 2 was 3 regulated 3 regulated 4 only 3 regulated 5 to 3 regulated 9 by 5 to 8 degree 6 a 7 certain 6 a 8 degree 7 certain 8 degree 9 by 11 and 10 fatness 11 and 11 and 12 age 11 and 14 with 13 , 14 with 14 with 16 influence 14 with 20 . 15 the 16 influence 16 influence 17 being 17 being 18 relatively 17 being 19 small our results showed that bp was more influenced by fatness than age , and body fatness was more related to higher systolic than to diastolic bp . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 27 . 1 our 2 results 2 results 3 showed 3 showed 4 that 4 that 5 bp 4 that 8 influenced 5 bp 6 was 6 was 7 more 6 was 8 influenced 8 influenced 9 by 8 influenced 11 than 8 influenced 21 higher 8 influenced 22 systolic 9 by 10 fatness 11 than 14 and 12 age 14 and 13 , 14 and 14 and 15 body 14 and 16 fatness 14 and 20 to 16 fatness 17 was 17 was 18 more 17 was 19 related 19 related 20 to 22 systolic 23 than 23 than 24 to 24 to 26 bp 25 diastolic 26 bp conclusions : age and fatness could explain bp values by only 3 - 30 % , although bp was more influenced by fatness than by age . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 27 . 1 conclusions 2 : 2 : 3 age 4 and 5 fatness 4 and 21 influenced 5 fatness 6 could 6 could 7 explain 7 explain 9 values 7 explain 10 by 7 explain 17 although 8 bp 9 values 10 by 12 3 11 only 12 3 12 3 15 % 13 - 15 % 14 30 15 % 15 % 16 , 16 , 17 although 17 although 18 bp 18 bp 19 was 19 was 20 more 19 was 21 influenced 21 influenced 22 by 21 influenced 24 than 22 by 23 fatness 24 than 25 by 25 by 26 age nurse practitioners can effectively detect [and] [motivate] people [with] [metabolic] [syndrome] . 0 ###LEFT-WALL### 2 practitioners 0 ###LEFT-WALL### 5 detect 0 ###LEFT-WALL### 12 . 1 nurse 2 practitioners 2 practitioners 3 can 3 can 5 detect 4 effectively 5 detect 5 detect 8 people older people sometimes show a bias toward the processing of positive information . 0 ###LEFT-WALL### 2 people 0 ###LEFT-WALL### 4 show 0 ###LEFT-WALL### 13 . 1 older 2 people 2 people 4 show 3 sometimes 4 show 4 show 6 bias 4 show 7 toward 5 a 6 bias 7 toward 9 processing 8 the 9 processing 9 processing 10 of 10 of 12 information 11 positive 12 information in this study , we used an event - related potential [approach] to examine whether such a positivity bias is also present during feedback processing in older adults . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 10 related 0 ###LEFT-WALL### 29 . 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 used 6 used 8 event 7 an 8 event 9 - 10 related 10 related 11 potential 11 potential 13 to 11 potential 25 processing 13 to 14 examine 14 examine 15 whether 14 examine 23 during 15 whether 19 bias 15 whether 20 is 16 such 17 a 17 a 19 bias 18 positivity 19 bias 19 bias 20 is 20 is 21 also 20 is 22 present 23 during 24 feedback 24 feedback 25 processing 25 processing 26 in 26 in 28 adults 27 older 28 adults our results suggest that a fast initial monitoring process , as reflected in the feedback - related negativity ( frn ) , is sensitive to the expectancy of events irrespective of their valence [for] older ( [aged] 70 - 77 years ) as well as younger ( aged 20 - 27 years [ )(adults . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 10 , 1 our 2 results 2 results 3 suggest 3 suggest 4 that 4 that 6 fast 4 that 7 initial 5 a 6 fast 7 initial 9 process 8 monitoring 9 process 10 , 22 , 11 as 12 reflected 11 as 16 - 11 as 22 , 12 reflected 13 in 13 in 15 feedback 14 the 15 feedback 17 related 18 negativity 17 related 22 , 18 negativity 20 frn 19 ( 20 frn 20 frn 21 ) 22 , 23 is 23 is 24 sensitive 24 sensitive 25 to 24 sensitive 31 of 25 to 27 expectancy 26 the 27 expectancy 27 expectancy 28 of 28 of 29 events 30 irrespective 31 of 31 of 33 valence 32 their 33 valence 33 valence 35 older 35 older 39 - 35 older 44 well 35 older 45 as 36 ( 39 - 38 70 39 - 39 - 41 years 39 - 42 ) 40 77 41 years 43 as 44 well 45 as 46 younger 46 younger 48 aged 47 ( 48 aged 48 aged 50 - 48 aged 55 . 49 20 50 - 50 - 51 27 51 27 52 years 52 years 54 )(adults in contrast , in a later evaluation process , associated with memory updating and indexed by the p300 , both age groups preferably processed unexpected positive feedback . 0 ###LEFT-WALL### 2 contrast 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 28 . 1 in 2 contrast 2 contrast 4 in 2 contrast 14 and 3 , 4 in 4 in 8 process 4 in 9 , 5 a 8 process 6 later 7 evaluation 7 evaluation 8 process 10 associated 11 with 10 associated 14 and 11 with 13 updating 12 memory 13 updating 14 and 15 indexed 14 and 16 by 16 by 18 p300 17 the 18 p300 19 , 22 groups 19 , 24 processed 20 both 22 groups 21 age 22 groups 22 groups 24 processed 23 preferably 24 processed 24 processed 27 feedback 25 unexpected 27 feedback 26 positive 27 feedback however , younger adults additionally differentiated between unexpected negative [and] expected feedback while older adults did [not] , probably due to a lower working memory capacity . 0 ###LEFT-WALL### 4 adults 0 ###LEFT-WALL### 6 differentiated 1 however 2 , 1 however 4 adults 3 younger 4 adults 4 adults 6 differentiated 5 additionally 6 differentiated 6 differentiated 7 between 6 differentiated 13 while 6 differentiated 21 to 7 between 12 feedback 8 unexpected 9 negative 9 negative 12 feedback 11 expected 12 feedback 13 while 15 adults 13 while 16 did 14 older 15 adults 15 adults 16 did 18 , 19 probably 18 , 21 to 20 due 21 to 21 to 26 capacity 21 to 27 . 22 a 26 capacity 23 lower 25 memory 24 working 25 memory 25 memory 26 capacity protein misfolding is considered to be a potential contributing factor for motor neuron [and] muscle loss in diseases like amyotrophic lateral sclerosis ( als ) . 0 ###LEFT-WALL### 1 protein 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 26 . 1 protein 2 misfolding 1 protein 3 is 3 is 4 considered 4 considered 5 to 5 to 6 be 6 be 10 factor 6 be 11 for 6 be 17 in 6 be 19 like 7 a 8 potential 7 a 10 factor 8 potential 9 contributing 9 contributing 10 factor 11 for 16 loss 12 motor 15 muscle 13 neuron 15 muscle 15 muscle 16 loss 17 in 18 diseases 19 like 22 sclerosis 20 amyotrophic 22 sclerosis 21 lateral 22 sclerosis 22 sclerosis 24 als 23 ( 24 als 24 als 25 ) several independent studies have demonstrated using over [-] expressed mutated cu/zn - superoxide dismutase ( msod1 ) transgenic mouse models which mimic familial als ( f - als ) , that both muscle and motor neurons undergo degeneration during disease progression . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 5 demonstrated 0 ###LEFT-WALL### 42 . 1 several 2 independent 2 independent 3 studies 3 studies 4 have 4 have 5 demonstrated 5 demonstrated 6 using 5 demonstrated 36 neurons 5 demonstrated 37 undergo 6 using 7 over 6 using 31 that 7 over 11 cu/zn 9 expressed 11 cu/zn 10 mutated 11 cu/zn 11 cu/zn 14 dismutase 12 - 14 dismutase 13 superoxide 14 dismutase 14 dismutase 20 models 14 dismutase 30 , 15 ( 20 models 16 msod1 17 ) 16 msod1 19 mouse 18 transgenic 19 mouse 19 mouse 20 models 20 models 21 which 20 models 22 mimic 20 models 30 , 21 which 22 mimic 22 mimic 24 als 22 mimic 27 - 23 familial 24 als 25 ( 27 - 26 f 27 - 27 - 28 als 27 - 29 ) 32 both 36 neurons 33 muscle 34 and 34 and 35 motor 34 and 36 neurons 36 neurons 37 undergo 37 undergo 38 degeneration 38 degeneration 39 during 39 during 41 progression 40 disease 41 progression however , it is unknown whether protein [conformation] of skeletal muscle and spinal cord is equally or differentially affected by msod1 - induced toxicity . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 25 . 1 however 2 , 1 however 3 it 3 it 4 is 4 is 5 unknown 5 unknown 6 whether 6 whether 7 protein 6 whether 17 or 7 protein 9 of 7 protein 17 or 9 of 12 and 10 skeletal 11 muscle 11 muscle 12 and 12 and 14 cord 13 spinal 14 cord 15 is 16 equally 15 is 17 or 17 or 19 affected 17 or 20 by 18 differentially 19 affected 20 by 24 toxicity 21 msod1 22 - 21 msod1 24 toxicity 23 induced 24 toxicity it is also unclear whether heat shock proteins ( hsp 's ) differentially modulate skeletal muscle and spinal cord protein structure during als disease progression . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 26 . 1 it 2 is 2 is 3 also 2 is 4 unclear 4 unclear 5 whether 5 whether 8 proteins 5 whether 14 modulate 6 heat 8 proteins 7 shock 8 proteins 8 proteins 11 's 8 proteins 14 modulate 9 ( 11 's 10 hsp 11 's 11 's 12 ) 13 differentially 14 modulate 14 modulate 17 and 14 modulate 22 during 15 skeletal 16 muscle 16 muscle 17 and 17 and 21 structure 18 spinal 19 cord 19 cord 21 structure 20 protein 21 structure 22 during 25 progression 23 als 24 disease 24 disease 25 progression we report three intriguing observations utilizing [the] [f] - als mouse model and cell - free in vitro system ; [(] [i] [ )(muscle proteins are equally sensitive to misfolding as spinal cord proteins despite the presence of low level of soluble and absence of insoluble g93a protein aggregate , unlike [in] spinal cord , [(] ii ) hsp 's levels are lower in muscle compared to spinal cord at any stage of the disease , and [(] iii ) g93asod1 enzyme - induced toxicity [selectively] [affects] muscle protein conformation over spinal cord proteins . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 report 0 ###LEFT-WALL### 9 - 1 we 2 report 2 report 3 three 3 three 4 intriguing 4 intriguing 6 utilizing 5 observations 6 utilizing 9 - 13 and 9 - 16 free 9 - 20 ; 10 als 12 model 11 mouse 12 model 12 model 13 and 13 and 14 cell 13 and 15 - 13 and 16 free 16 free 18 vitro 16 free 19 system 17 in 18 vitro 20 ; 25 proteins 24 )(muscle 25 proteins 25 proteins 26 are 26 are 27 equally 26 are 28 sensitive 28 sensitive 29 to 29 to 30 misfolding 30 misfolding 34 proteins 30 misfolding 35 despite 31 as 32 spinal 32 spinal 33 cord 33 cord 34 proteins 35 despite 37 presence 36 the 37 presence 37 presence 38 of 38 of 40 level 39 low 40 level 40 level 41 of 41 of 43 and 42 soluble 43 and 43 and 44 absence 43 and 50 , 44 absence 45 of 45 of 49 aggregate 46 insoluble 49 aggregate 47 g93a 49 aggregate 48 protein 49 aggregate 50 , 51 unlike 51 unlike 54 cord 51 unlike 55 , 51 unlike 63 lower 53 spinal 54 cord 57 ii 58 ) 57 ii 59 hsp 59 hsp 60 's 60 's 61 levels 61 levels 62 are 62 are 63 lower 63 lower 64 in 63 lower 67 to 63 lower 72 stage 64 in 65 muscle 65 muscle 66 compared 67 to 69 cord 68 spinal 69 cord 69 cord 70 at 70 at 71 any 72 stage 73 of 73 of 82 enzyme 74 the 75 disease 75 disease 77 and 76 , 77 and 77 and 79 iii 77 and 80 ) 77 and 82 enzyme 81 g93asod1 82 enzyme 82 enzyme 90 conformation 83 - 90 conformation 84 induced 90 conformation 85 toxicity 88 muscle 88 muscle 89 protein 89 protein 90 conformation 90 conformation 91 over 90 conformation 95 . 91 over 94 proteins 92 spinal 94 proteins 93 cord 94 proteins together , these findings strongly suggest that differential chaperone levels between skeletal muscle and spinal cord may be a critical determinant for g93a - induced protein misfolding in als . 0 ###LEFT-WALL### 4 findings 0 ###LEFT-WALL### 6 suggest 0 ###LEFT-WALL### 14 and 1 together 2 , 1 together 4 findings 3 these 4 findings 4 findings 6 suggest 5 strongly 6 suggest 6 suggest 8 differential 6 suggest 9 chaperone 7 that 8 differential 9 chaperone 10 levels 9 chaperone 11 between 11 between 13 muscle 12 skeletal 13 muscle 14 and 16 cord 14 and 18 be 15 spinal 16 cord 16 cord 17 may 17 may 18 be 18 be 21 determinant 19 a 21 determinant 20 critical 21 determinant 21 determinant 22 for 21 determinant 26 protein 22 for 23 g93a 24 - 26 protein 25 induced 26 protein 26 protein 27 misfolding 26 protein 30 . 27 misfolding 28 in 28 in 29 als the number of criminal cases requiring facial image identification of a suspect has been increasing because a surveillance camera is installed everywhere in the city and furthermore , the intercom with the recording function is installed in the home . 0 ###LEFT-WALL### 2 number 0 ###LEFT-WALL### 14 been 0 ###LEFT-WALL### 40 . 1 the 2 number 2 number 3 of 2 number 13 has 3 of 5 cases 4 criminal 5 cases 5 cases 6 requiring 5 cases 10 of 6 requiring 9 identification 7 facial 8 image 8 image 9 identification 10 of 12 suspect 11 a 12 suspect 13 has 14 been 14 been 15 increasing 15 increasing 16 because 16 because 26 and 16 because 36 installed 17 a 19 camera 18 surveillance 19 camera 19 camera 20 is 19 camera 26 and 20 is 21 installed 21 installed 22 everywhere 21 installed 23 in 23 in 25 city 24 the 25 city 26 and 30 intercom 27 furthermore 28 , 27 furthermore 30 intercom 29 the 30 intercom 30 intercom 31 with 30 intercom 35 is 31 with 34 function 32 the 34 function 33 recording 34 function 35 is 36 installed 36 installed 37 in 37 in 39 home 38 the 39 home in this study , we aimed to analyze the usefulness of a [2d/3d] facial image superimposition system for image identification when facial aging , facial expression , and twins are under consideration . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 aimed 0 ###LEFT-WALL### 33 . 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 analyze 7 to 8 analyze 8 analyze 10 usefulness 8 analyze 18 for 8 analyze 21 when 9 the 10 usefulness 10 usefulness 11 of 11 of 17 system 12 a 17 system 14 facial 15 image 15 image 17 system 16 superimposition 17 system 18 for 20 identification 19 image 20 identification 21 when 28 and 21 when 30 are 22 facial 23 aging 22 facial 24 , 24 , 26 expression 24 , 28 and 25 facial 26 expression 27 , 28 and 28 and 29 twins 28 and 30 are 30 are 31 under 31 under 32 consideration as a result , the mean values of the average distances calculated from the 16 anatomical landmarks between the 3 d facial images of the 50 s groups and the 2 d facial images of [the] 20 s , 30 s , and 40 s groups were 2.6 , 2.3 [,] and 2.2 mm , respectively ( [facial] aging ) . 0 ###LEFT-WALL### 43 and 0 ###LEFT-WALL### 47 were 0 ###LEFT-WALL### 61 . 1 as 3 result 1 as 43 and 2 a 3 result 4 , 12 calculated 5 the 7 values 6 mean 7 values 7 values 8 of 7 values 12 calculated 8 of 11 distances 9 the 11 distances 10 average 11 distances 12 calculated 13 from 12 calculated 18 between 12 calculated 43 and 13 from 17 landmarks 14 the 15 16 15 16 17 landmarks 16 anatomical 17 landmarks 18 between 22 facial 19 the 22 facial 20 3 21 d 21 d 22 facial 23 images 24 of 23 images 29 and 24 of 28 groups 25 the 28 groups 26 50 27 s 27 s 28 groups 29 and 34 images 29 and 35 of 29 and 41 s 29 and 43 and 30 the 34 images 31 2 32 d 32 d 34 images 33 facial 34 images 35 of 38 s 37 20 38 s 39 , 41 s 40 30 41 s 41 s 42 , 43 and 46 groups 43 and 47 were 44 40 45 s 45 s 46 groups 47 were 48 2.6 47 were 56 respectively 47 were 59 aging 48 2.6 54 mm 49 , 54 mm 50 2.3 52 and 52 and 53 2.2 52 and 54 mm 54 mm 55 , 57 ( 59 aging 59 aging 60 ) the mean values of the average distances calculated from 12 anatomical landmarks between the 3 d normal facial images and four emotional expressions were 4.9 ( laughter ) , 2.9 ( anger ) , 2.9 ( sadness ) , [and] 3.6 [mm] ( surprised ) , respectively [(] facial expressions ) . 0 ###LEFT-WALL### 3 values 0 ###LEFT-WALL### 24 were 0 ###LEFT-WALL### 52 . 1 the 3 values 2 mean 3 values 3 values 4 of 3 values 24 were 4 of 20 and 5 the 7 distances 6 average 7 distances 7 distances 8 calculated 7 distances 20 and 8 calculated 9 from 9 from 12 landmarks 10 12 12 landmarks 11 anatomical 12 landmarks 12 landmarks 13 between 13 between 19 images 14 the 19 images 15 3 16 d 16 d 19 images 17 normal 18 facial 18 facial 19 images 20 and 23 expressions 21 four 23 expressions 22 emotional 23 expressions 24 were 25 4.9 25 4.9 27 laughter 25 4.9 30 2.9 25 4.9 41 3.6 26 ( 27 laughter 27 laughter 28 ) 29 , 30 2.9 30 2.9 32 anger 30 2.9 35 2.9 30 2.9 38 ) 31 ( 32 anger 32 anger 33 ) 34 , 35 2.9 35 2.9 37 sadness 35 2.9 38 ) 36 ( 37 sadness 37 sadness 38 ) 39 , 41 3.6 41 3.6 44 surprised 41 3.6 50 expressions 41 3.6 51 ) 43 ( 44 surprised 44 surprised 45 ) 46 , 47 respectively 46 , 50 expressions 49 facial 50 expressions 50 expressions 51 ) the average distance obtained from 11 anatomical landmarks between the same person in twins was 1.1 mm , while the average distance between different person [in] twins was 2.0 mm [(] twins ) . 0 ###LEFT-WALL### 3 distance 0 ###LEFT-WALL### 15 was 0 ###LEFT-WALL### 34 . 1 the 3 distance 2 average 3 distance 3 distance 4 obtained 3 distance 13 in 3 distance 15 was 4 obtained 5 from 4 obtained 9 between 5 from 8 landmarks 6 11 8 landmarks 7 anatomical 8 landmarks 9 between 12 person 10 the 11 same 11 same 12 person 13 in 14 twins 15 was 17 mm 15 was 19 while 16 1.1 17 mm 18 , 19 while 19 while 22 distance 19 while 28 was 19 while 33 ) 20 the 22 distance 21 average 22 distance 22 distance 23 between 22 distance 28 was 23 between 27 twins 24 different 25 person 25 person 27 twins 28 was 32 twins 29 2.0 30 mm 30 mm 32 twins facial image identification using the [2d/3d] facial image superimposition system demonstrated adequate statistical power and identified an individual with high accuracy , suggesting its usefulness . 0 ###LEFT-WALL### 3 identification 0 ###LEFT-WALL### 15 and 1 facial 3 identification 2 image 3 identification 3 identification 4 using 3 identification 15 and 4 using 10 system 5 the 10 system 7 facial 8 image 8 image 9 superimposition 9 superimposition 10 system 11 demonstrated 14 power 11 demonstrated 15 and 12 adequate 14 power 13 statistical 14 power 15 and 16 identified 15 and 23 suggesting 16 identified 18 individual 16 identified 19 with 17 an 18 individual 19 with 21 accuracy 20 high 21 accuracy 22 , 23 suggesting 23 suggesting 25 usefulness 23 suggesting 26 . 24 its 25 usefulness however , computer technology concerning video image processing and [superimpose] progress , there is a need to keep familiar with the morphology and anatomy as its base . 0 ###LEFT-WALL### 4 technology 0 ###LEFT-WALL### 14 is 0 ###LEFT-WALL### 28 . 1 however 2 , 1 however 4 technology 3 computer 4 technology 4 technology 5 concerning 4 technology 14 is 5 concerning 9 and 5 concerning 13 there 6 video 8 processing 7 image 8 processing 8 processing 9 and 9 and 11 progress 9 and 12 , 14 is 16 need 15 a 16 need 16 need 17 to 16 need 18 keep 17 to 18 keep 18 keep 19 familiar 19 familiar 20 with 19 familiar 25 as 20 with 23 and 21 the 22 morphology 22 morphology 23 and 23 and 24 anatomy 25 as 27 base 26 its 27 base vaccines are the most cost effective public health [measure] for preventing viral infection and limiting epidemic spread within susceptible populations . 0 ###LEFT-WALL### 1 vaccines 0 ###LEFT-WALL### 5 cost 0 ###LEFT-WALL### 21 . 1 vaccines 2 are 2 are 4 most 2 are 5 cost 3 the 4 most 5 cost 8 health 5 cost 14 and 6 effective 8 health 7 public 8 health 8 health 10 for 10 for 11 preventing 11 preventing 13 infection 12 viral 13 infection 14 and 16 epidemic 15 limiting 16 epidemic 16 epidemic 17 spread 17 spread 18 within 18 within 20 populations 19 susceptible 20 populations however , the efficacy of current protective vaccines is highly variable , particularly in aging populations . 0 ###LEFT-WALL### 4 efficacy 0 ###LEFT-WALL### 9 is 1 however 2 , 1 however 4 efficacy 3 the 4 efficacy 4 efficacy 5 of 4 efficacy 9 is 5 of 8 vaccines 6 current 8 vaccines 7 protective 8 vaccines 9 is 10 highly 9 is 11 variable 11 variable 14 in 12 , 13 particularly 12 , 14 in 14 in 15 aging 14 in 17 . 15 aging 16 populations in addition , there have been a number of challenges in the development of new vaccines due to a lack of detailed understanding of the immune [correlates] of protection . 0 ###LEFT-WALL### 4 there 0 ###LEFT-WALL### 6 been 0 ###LEFT-WALL### 30 . 1 in 2 addition 1 in 3 , 1 in 4 there 4 there 5 have 5 have 6 been 6 been 8 number 6 been 11 in 6 been 18 to 7 a 8 number 8 number 9 of 9 of 10 challenges 11 in 13 development 12 the 13 development 13 development 14 of 14 of 16 vaccines 15 new 16 vaccines 17 due 18 to 18 to 20 lack 19 a 20 lack 20 lack 21 of 21 of 23 understanding 22 detailed 23 understanding 23 understanding 24 of 23 understanding 28 of 24 of 26 immune 25 the 26 immune 28 of 29 protection to identify the mechanisms underlying the variability of the immune response to vaccines , system - level tools need to be developed that will further our understanding of virus - host interactions and correlates [of] vaccine efficacy . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 identify 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 38 . 1 to 2 identify 2 identify 4 mechanisms 2 identify 12 to 3 the 4 mechanisms 4 mechanisms 5 underlying 5 underlying 7 variability 6 the 7 variability 7 variability 8 of 8 of 11 response 9 the 11 response 10 immune 11 response 12 to 13 vaccines 14 , 15 system 14 , 16 - 16 - 17 level 16 - 30 - 17 level 18 tools 17 level 25 further 18 tools 19 need 19 need 20 to 19 need 25 further 20 to 21 be 21 be 22 developed 23 that 24 will 24 will 25 further 25 further 27 understanding 26 our 27 understanding 27 understanding 28 of 28 of 29 virus 30 - 33 and 31 host 32 interactions 31 host 33 and 33 and 34 correlates 34 correlates 37 efficacy 36 vaccine 37 efficacy this will provide critical information for rational vaccine design and allow the development of an analog to the " precision medicine " framework ( already acknowledged as a powerful approach in medicine and therapeutics ) to be applied to vaccinology . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 41 . 1 this 2 will 2 will 10 and 3 provide 5 information 3 provide 6 for 3 provide 10 and 4 critical 5 information 6 for 9 design 7 rational 8 vaccine 8 vaccine 9 design 10 and 11 allow 10 and 17 to 10 and 26 acknowledged 10 and 36 to 11 allow 13 development 12 the 13 development 13 development 14 of 14 of 16 analog 15 an 16 analog 17 to 23 framework 18 the 19 " 18 the 23 framework 20 precision 23 framework 21 medicine 22 " 21 medicine 23 framework 24 ( 26 acknowledged 25 already 26 acknowledged 26 acknowledged 27 as 26 acknowledged 35 ) 27 as 30 approach 28 a 29 powerful 28 a 30 approach 29 powerful 30 approach 30 approach 31 in 31 in 33 and 32 medicine 33 and 33 and 34 therapeutics 36 to 37 be 37 be 38 applied 38 applied 39 to 39 to 40 vaccinology obesity and aging are interrelated conditions that both cause changes in adipocyte metabolism and affect the distribution of fat in both subcutaneous and visceral depots . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 26 . 1 obesity 2 and 2 and 3 aging 2 and 4 are 4 are 14 and 5 interrelated 6 conditions 5 interrelated 11 in 5 interrelated 14 and 6 conditions 7 that 7 that 8 both 7 that 9 cause 8 both 9 cause 9 cause 10 changes 11 in 13 metabolism 12 adipocyte 13 metabolism 14 and 15 affect 15 affect 17 distribution 15 affect 20 in 16 the 17 distribution 17 distribution 18 of 18 of 19 fat 20 in 25 depots 21 both 25 depots 22 subcutaneous 23 and 23 and 24 visceral 23 and 25 depots in addition , both [weight] gain and aging can lead to similar clinical outcomes such as insulin resistance , cardiovascular disease , type 2 diabetes mellitus , atherosclerosis and stroke . 0 ###LEFT-WALL### 4 both 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 31 . 1 in 2 addition 1 in 3 , 1 in 4 both 4 both 7 and 6 gain 7 and 7 and 10 lead 7 and 11 to 8 aging 9 can 9 can 10 lead 11 to 14 outcomes 12 similar 14 outcomes 13 clinical 14 outcomes 14 outcomes 16 as 15 such 16 as 16 as 29 and 17 insulin 18 resistance 18 resistance 19 , 19 , 21 disease 19 , 22 , 20 cardiovascular 21 disease 22 , 26 mellitus 22 , 27 , 23 type 26 mellitus 24 2 26 mellitus 25 diabetes 26 mellitus 27 , 28 atherosclerosis 27 , 29 and 29 and 30 stroke our objective was to examine the changes in protein expression within the subcutaneous adipose tissue of obese patients , matched for bmi , in relation to age . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 27 age 0 ###LEFT-WALL### 28 . 1 our 2 objective 2 objective 3 was 3 was 4 to 3 was 5 examine 4 to 5 examine 5 examine 7 changes 5 examine 8 in 5 examine 11 within 5 examine 26 to 6 the 7 changes 8 in 10 expression 9 protein 10 expression 11 within 15 tissue 12 the 15 tissue 13 subcutaneous 14 adipose 14 adipose 15 tissue 15 tissue 16 of 15 tissue 24 in 16 of 18 patients 17 obese 18 patients 18 patients 20 matched 19 , 20 matched 20 matched 21 for 20 matched 23 , 21 for 22 bmi 24 in 25 relation 26 to 27 age mature adipocytes were isolated from [liposuction] samples of abdominal subcutaneous adipose tissue collected from both young ( 26.2±4.3 ( mean age±sd ) ; n=7 [ )(and old ( 52.2±4.7 ( mean age±sd ) ; n=7 ) obese individuals . 0 ###LEFT-WALL### 1 mature 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 23 ; 0 ###LEFT-WALL### 39 . 1 mature 3 were 2 adipocytes 3 were 3 were 4 isolated 4 isolated 5 from 5 from 7 samples 7 samples 8 of 7 samples 13 collected 7 samples 18 26.2±4.3 8 of 12 tissue 9 abdominal 11 adipose 10 subcutaneous 11 adipose 11 adipose 12 tissue 13 collected 14 from 13 collected 16 young 14 from 15 both 17 ( 18 26.2±4.3 18 26.2±4.3 21 age±sd 18 26.2±4.3 22 ) 19 ( 21 age±sd 20 mean 21 age±sd 21 age±sd 22 ) 23 ; 26 )(and 23 ; 34 ; 24 n=7 26 )(and 26 )(and 27 old 26 )(and 29 52.2±4.7 28 ( 29 52.2±4.7 29 52.2±4.7 32 age±sd 29 52.2±4.7 33 ) 30 ( 32 age±sd 31 mean 32 age±sd 32 age±sd 33 ) 34 ; 38 individuals 35 n=7 36 ) 35 n=7 38 individuals 37 obese 38 individuals total protein extracts were then compared by two - dimensional difference in gel electrophoresis ( 2 d dige ) . 0 ###LEFT-WALL### 3 extracts 0 ###LEFT-WALL### 6 compared 0 ###LEFT-WALL### 20 . 1 total 2 protein 2 protein 3 extracts 3 extracts 4 were 4 were 5 then 4 were 6 compared 6 compared 7 by 7 by 8 two 8 two 14 electrophoresis 9 - 14 electrophoresis 10 dimensional 11 difference 11 difference 14 electrophoresis 12 in 13 gel 13 gel 14 electrophoresis 14 electrophoresis 18 dige 14 electrophoresis 19 ) 15 ( 18 dige 16 2 17 d 17 d 18 dige 18 dige 19 ) thirty differentially expressed protein spots ( anova [test] , p≤0.05 ; fold - change ≥1.8 [ )(were detected , of which , 15 were identified by maldi - tof mass spectrometry . 0 ###LEFT-WALL### 1 thirty 0 ###LEFT-WALL### 3 expressed 0 ###LEFT-WALL### 11 ; 1 thirty 3 expressed 2 differentially 3 expressed 3 expressed 5 spots 4 protein 5 spots 5 spots 7 anova 6 ( 7 anova 7 anova 10 p≤0.05 7 anova 11 ; 9 , 10 p≤0.05 10 p≤0.05 11 ; 11 ; 12 fold 11 ; 13 - 13 - 15 ≥1.8 13 - 17 )(were 13 - 19 , 13 - 32 . 14 change 15 ≥1.8 15 ≥1.8 17 )(were 17 )(were 18 detected 19 , 23 15 19 , 25 identified 20 of 21 which 20 of 22 , 20 of 23 15 23 15 24 were 24 were 25 identified 25 identified 26 by 26 by 31 spectrometry 27 maldi 29 tof 28 - 29 tof 29 tof 30 mass 30 mass 31 spectrometry these were comprised of a total of thirteen unique protein sequences . 0 ###LEFT-WALL### 1 these 0 ###LEFT-WALL### 3 comprised 0 ###LEFT-WALL### 12 . 1 these 2 were 2 were 3 comprised 3 comprised 4 of 4 of 6 total 5 a 6 total 6 total 7 of 7 of 11 sequences 8 thirteen 11 sequences 9 unique 10 protein 10 protein 11 sequences nine proteins were more abundant in the adipocytes isolated [from] old [vs] . young individuals . 0 ###LEFT-WALL### 2 proteins 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 13 . 1 nine 2 proteins 2 proteins 3 were 3 were 5 abundant 4 more 5 abundant 5 abundant 6 in 6 in 8 adipocytes 7 the 8 adipocytes 8 adipocytes 9 isolated 9 isolated 11 old 13 . 15 individuals 13 . 16 . 14 young 15 individuals these proteins included prohibitin 1 , protein disulphide isomerase a3 , beta actin , profilin , aldo - ketoreductase 1 [c2] , alpha crystallin b and the annexins a1 , a5 and a6 . 0 ###LEFT-WALL### 2 proteins 0 ###LEFT-WALL### 3 included 0 ###LEFT-WALL### 34 . 1 these 2 proteins 2 proteins 3 included 3 included 32 and 4 prohibitin 5 1 4 prohibitin 6 , 6 , 10 a3 6 , 11 , 7 protein 9 isomerase 8 disulphide 9 isomerase 9 isomerase 10 a3 11 , 13 actin 11 , 14 , 12 beta 13 actin 14 , 15 profilin 14 , 16 , 16 , 19 ketoreductase 16 , 22 , 17 aldo 18 - 17 aldo 19 ketoreductase 19 ketoreductase 20 1 22 , 24 crystallin 22 , 26 and 23 alpha 24 crystallin 24 crystallin 25 b 26 and 29 a1 26 and 30 , 27 the 28 annexins 28 annexins 29 a1 30 , 31 a5 30 , 32 and 32 and 33 a6 four other proteins were less abundant in the adipocytes from old , [obese] [subjects] and these included keratin type 2 [cytoskeletal] [1] , [keratin] type 2 cytoskeletal 10 [and] hemoglobins a and b ..y the differentially abundant proteins were investigated by ingenuity pathway analysis ( ipa [ )(to reveal their associations with known biological functions . 0 ###LEFT-WALL### 3 proteins 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 12 , 1 four 2 other 2 other 3 proteins 3 proteins 4 were 4 were 6 abundant 5 less 6 abundant 6 abundant 7 in 6 abundant 10 from 7 in 9 adipocytes 8 the 9 adipocytes 10 from 11 old 12 , 15 and 12 , 23 , 15 and 16 these 15 and 17 included 16 these 17 included 17 included 19 type 18 keratin 19 type 19 type 20 2 23 , 25 type 23 , 32 and 25 type 26 2 25 type 30 hemoglobins 27 cytoskeletal 30 hemoglobins 28 10 30 hemoglobins 30 hemoglobins 31 a 32 and 33 b 32 and 34 ..y 33 b 34 ..y 34 ..y 38 proteins 35 the 38 proteins 36 differentially 37 abundant 37 abundant 38 proteins 38 proteins 39 were 39 were 40 investigated 40 investigated 41 by 41 by 44 analysis 42 ingenuity 43 pathway 43 pathway 44 analysis 44 analysis 46 ipa 45 ( 46 ipa 46 ipa 48 )(to 46 ipa 49 reveal 46 ipa 56 . 48 )(to 49 reveal 49 reveal 51 associations 49 reveal 52 with 50 their 51 associations 52 with 55 functions 53 known 55 functions 54 biological 55 functions this analysis identified signal transducer and activator of transcription 3 as the central molecule in the connectivity map and the apoptotic pathway as the pathway with the highest score . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 29 score 0 ###LEFT-WALL### 30 . 1 this 5 transducer 2 analysis 5 transducer 3 identified 4 signal 4 signal 5 transducer 5 transducer 6 and 6 and 7 activator 6 and 8 of 6 and 29 score 8 of 19 and 9 transcription 10 3 9 transcription 11 as 9 transcription 19 and 11 as 14 molecule 12 the 14 molecule 13 central 14 molecule 14 molecule 15 in 15 in 18 map 16 the 18 map 17 connectivity 18 map 19 and 22 pathway 19 and 23 as 20 the 22 pathway 21 apoptotic 22 pathway 23 as 25 pathway 24 the 25 pathway 25 pathway 26 with 26 with 28 highest 27 the 28 highest differences in the abundances of several proteins were confirmed by immunoblotting : i.e . [,] prohibitin 1 , protein disulphide isomerase a3 , beta actin , profilin and signal transducer and activator of transcription 3 proteins . 0 ###LEFT-WALL### 1 differences 0 ###LEFT-WALL### 12 : 0 ###LEFT-WALL### 14 . 1 differences 2 in 1 differences 7 proteins 1 differences 11 immunoblotting 1 differences 12 : 2 in 4 abundances 3 the 4 abundances 4 abundances 5 of 5 of 6 several 7 proteins 8 were 8 were 9 confirmed 9 confirmed 10 by 10 by 11 immunoblotting 12 : 13 i.e 14 . 28 and 14 . 37 . 16 prohibitin 17 1 16 prohibitin 18 , 18 , 22 a3 18 , 23 , 19 protein 21 isomerase 20 disulphide 21 isomerase 21 isomerase 22 a3 23 , 25 actin 23 , 26 , 24 beta 25 actin 26 , 27 profilin 26 , 28 and 28 and 36 proteins 29 signal 30 transducer 30 transducer 31 and 31 and 32 activator 31 and 33 of 31 and 36 proteins 33 of 34 transcription 34 transcription 35 3 in conclusion , proteomic analysis of subcutaneous adipose tissue reveals differences in the abundance of proteins in adipocytes isolated [from] young [vs] . old individuals . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 23 . 1 in 2 conclusion 3 , 5 analysis 3 , 10 reveals 4 proteomic 5 analysis 5 analysis 6 of 5 analysis 10 reveals 6 of 9 tissue 7 subcutaneous 8 adipose 8 adipose 9 tissue 10 reveals 11 differences 10 reveals 12 in 10 reveals 17 in 12 in 14 abundance 13 the 14 abundance 14 abundance 15 of 15 of 16 proteins 17 in 18 adipocytes 18 adipocytes 19 isolated 19 isolated 21 young 23 . 25 individuals 23 . 26 . 24 old 25 individuals these differentially abundant proteins are involved in the regulation of apoptosis , cellular senescence and inflammatory response . 0 ###LEFT-WALL### 4 proteins 0 ###LEFT-WALL### 6 involved 0 ###LEFT-WALL### 18 . 1 these 4 proteins 2 differentially 3 abundant 3 abundant 4 proteins 4 proteins 5 are 5 are 6 involved 6 involved 7 in 7 in 9 regulation 8 the 9 regulation 9 regulation 10 of 10 of 15 and 11 apoptosis 12 , 12 , 14 senescence 12 , 15 and 13 cellular 14 senescence 15 and 17 response 16 inflammatory 17 response all these are common pathologic events in both obesity and aging . 0 ###LEFT-WALL### 2 these 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 12 . 1 all 2 these 2 these 3 are 3 are 6 events 4 common 6 events 5 pathologic 6 events 6 events 7 in 7 in 10 and 8 both 10 and 9 obesity 10 and 10 and 11 aging the aim of this study was to compare voluntary and involuntary force generating capacity of the triceps surae muscles in healthy young and older adult participants during isometric and isokinetic contractions . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 32 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 27 during 7 to 8 compare 8 compare 10 and 8 compare 12 force 8 compare 20 in 9 voluntary 10 and 10 and 11 involuntary 12 force 13 generating 12 force 15 of 12 force 18 surae 12 force 19 muscles 13 generating 14 capacity 15 of 17 triceps 16 the 17 triceps 18 surae 19 muscles 20 in 26 participants 21 healthy 22 young 21 healthy 23 and 23 and 24 older 23 and 26 participants 25 adult 26 participants 27 during 31 contractions 28 isometric 29 and 29 and 30 isokinetic 29 and 31 contractions ultrasound was used to measure medial [gastrocnemius] ( mg ) fascicle length during maximal voluntary isometric contractions and supra - maximal isometric twitch contractions at five ankle angles throughout the available range of motion , as well as isokinetic concentric and eccentric contractions at four ankle velocities . 0 ###LEFT-WALL### 1 ultrasound 0 ###LEFT-WALL### 3 used 1 ultrasound 2 was 2 was 3 used 3 used 4 to 4 to 5 measure 5 measure 12 length 5 measure 29 throughout 5 measure 38 as 6 medial 9 mg 6 medial 11 fascicle 8 ( 9 mg 9 mg 10 ) 11 fascicle 12 length 12 length 13 during 12 length 25 at 13 during 24 contractions 14 maximal 17 contractions 15 voluntary 17 contractions 16 isometric 17 contractions 17 contractions 18 and 18 and 23 twitch 18 and 24 contractions 19 supra 20 - 19 supra 23 twitch 21 maximal 23 twitch 22 isometric 23 twitch 25 at 28 angles 26 five 28 angles 27 ankle 28 angles 29 throughout 32 range 30 the 32 range 31 available 32 range 32 range 33 of 33 of 34 motion 35 , 38 as 36 as 37 well 37 well 38 as 38 as 47 velocities 38 as 48 . 39 isokinetic 46 ankle 40 concentric 41 and 41 and 43 contractions 41 and 46 ankle 42 eccentric 43 contractions 43 contractions 44 at 44 at 45 four 46 ankle 47 velocities maximum voluntary activation of the plantar flexors was assessed using the twitch interpolation technique . 0 ###LEFT-WALL### 3 activation 0 ###LEFT-WALL### 9 assessed 0 ###LEFT-WALL### 15 . 1 maximum 3 activation 2 voluntary 3 activation 3 activation 4 of 3 activation 8 was 4 of 7 flexors 5 the 7 flexors 6 plantar 7 flexors 8 was 9 assessed 9 assessed 10 using 10 using 14 technique 11 the 14 technique 12 twitch 14 technique 13 interpolation 14 technique peak plantar flexor torque was significantly lower in older adults compared to young participants by 42 % , 28 [%] and 43 % during maximal voluntary isometric contractions , supra - maximal isometric twitch and concentric contractions [respectively] . 0 ###LEFT-WALL### 4 torque 0 ###LEFT-WALL### 5 was 1 peak 4 torque 2 plantar 3 flexor 3 flexor 4 torque 4 torque 5 was 5 was 6 significantly 5 was 7 lower 7 lower 8 in 7 lower 15 by 8 in 10 adults 9 older 10 adults 10 adults 11 compared 11 compared 12 to 12 to 14 participants 13 young 14 participants 15 by 17 % 16 42 17 % 17 % 23 % 18 , 23 % 19 28 21 and 21 and 22 43 21 and 23 % 23 % 24 during 23 % 39 . 24 during 35 and 25 maximal 28 contractions 26 voluntary 28 contractions 27 isometric 28 contractions 28 contractions 29 , 29 , 34 twitch 29 , 35 and 30 supra 31 - 30 supra 34 twitch 32 maximal 34 twitch 33 isometric 34 twitch 35 and 37 contractions 36 concentric 37 contractions no age - related differences in eccentric torque production were detected . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 11 detected 0 ###LEFT-WALL### 12 . 1 no 2 age 2 age 10 were 3 - 4 related 4 related 5 differences 4 related 6 in 4 related 10 were 6 in 9 production 7 eccentric 9 production 8 torque 9 production 10 were 11 detected when age - related differences in triceps surae muscle volume determined from mri were taken into account , the age - related peak plantar flexor torque deficits for maximum voluntary isometric , supra - maximal twitch , and concentric contractions were 24 % , 19 [%] and 24 % [respectively] . 0 ###LEFT-WALL### 23 peak 0 ###LEFT-WALL### 34 - 1 when 2 age 1 when 22 related 1 when 23 peak 2 age 5 differences 2 age 22 related 3 - 5 differences 4 related 5 differences 5 differences 6 in 5 differences 10 volume 5 differences 14 were 5 differences 20 age 5 differences 21 - 6 in 7 triceps 8 surae 10 volume 9 muscle 10 volume 10 volume 11 determined 11 determined 12 from 11 determined 14 were 12 from 13 mri 14 were 15 taken 15 taken 17 account 16 into 17 account 18 , 20 age 19 the 20 age 20 age 21 - 23 peak 27 deficits 24 plantar 27 deficits 25 flexor 27 deficits 26 torque 27 deficits 27 deficits 28 for 28 for 33 supra 29 maximum 33 supra 30 voluntary 33 supra 31 isometric 32 , 31 isometric 33 supra 34 - 36 twitch 34 - 38 and 35 maximal 36 twitch 37 , 38 and 38 and 40 contractions 38 and 41 were 39 concentric 40 contractions 40 contractions 41 were 41 were 43 % 42 24 43 % 43 % 49 % 44 , 49 % 45 19 47 and 47 and 48 24 47 and 49 % 49 % 51 . these age - related differences in torque were not explained by torque - length - velocity behaviour of the mg muscle fascicles , passive plantar flexor torque - angle properties , decreased neural drive [of] the plantar flexor muscles or antagonistic co - activation of the tibialis anterior muscle . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 3 - 1 these 2 age 3 - 5 differences 3 - 8 were 4 related 5 differences 5 differences 6 in 5 differences 8 were 6 in 7 torque 8 were 9 not 8 were 11 by 9 not 10 explained 11 by 12 torque 12 torque 14 length 13 - 14 length 14 length 17 behaviour 14 length 50 . 15 - 17 behaviour 16 velocity 17 behaviour 17 behaviour 18 of 17 behaviour 27 torque 17 behaviour 50 . 18 of 22 fascicles 19 the 22 fascicles 20 mg 21 muscle 21 muscle 22 fascicles 23 , 27 torque 24 passive 26 flexor 25 plantar 26 flexor 26 flexor 27 torque 27 torque 30 properties 27 torque 50 . 28 - 30 properties 29 angle 30 properties 30 properties 42 co 30 properties 44 activation 30 properties 50 . 31 , 42 co 32 decreased 42 co 33 neural 34 drive 34 drive 42 co 36 the 39 muscles 37 plantar 39 muscles 38 flexor 39 muscles 39 muscles 40 or 40 or 41 antagonistic 40 or 42 co 42 co 43 - 43 - 44 activation 44 activation 45 of 44 activation 50 . 45 of 49 muscle 46 the 49 muscle 47 tibialis 49 muscle 48 anterior 49 muscle the residual deficit in isometric and concentric plantar flexor torques in healthy older adults may involve reduced muscle quality . 0 ###LEFT-WALL### 3 deficit 0 ###LEFT-WALL### 16 involve 0 ###LEFT-WALL### 20 . 1 the 3 deficit 2 residual 3 deficit 3 deficit 4 in 3 deficit 15 may 4 in 10 torques 5 isometric 6 and 6 and 7 concentric 6 and 9 flexor 8 plantar 9 flexor 9 flexor 10 torques 10 torques 11 in 11 in 14 adults 12 healthy 14 adults 13 older 14 adults 15 may 16 involve 16 involve 19 quality 17 reduced 18 muscle 18 muscle 19 quality a significant reduction in supra - maximal twitch torque at longer mg fascicle lengths as well as a lower mg fascicle velocity during eccentric contractions in older adults was detected , which could possibly be a function of the reported increased achilles tendon compliance in older adults . 0 ###LEFT-WALL### 3 reduction 0 ###LEFT-WALL### 30 detected 0 ###LEFT-WALL### 31 , 0 ###LEFT-WALL### 48 . 1 a 2 significant 1 a 3 reduction 2 significant 3 reduction 3 reduction 4 in 3 reduction 17 as 3 reduction 29 was 4 in 9 torque 5 supra 6 - 5 supra 8 twitch 7 maximal 8 twitch 8 twitch 9 torque 9 torque 10 at 10 at 14 lengths 11 longer 14 lengths 12 mg 13 fascicle 13 fascicle 14 lengths 15 as 16 well 16 well 17 as 17 as 22 velocity 18 a 22 velocity 19 lower 21 fascicle 20 mg 21 fascicle 21 fascicle 22 velocity 22 velocity 23 during 22 velocity 26 in 23 during 25 contractions 24 eccentric 25 contractions 26 in 28 adults 27 older 28 adults 29 was 30 detected 31 , 32 which 31 , 35 be 32 which 33 could 33 could 35 be 34 possibly 35 be 35 be 37 function 36 a 37 function 37 function 38 of 38 of 44 compliance 39 the 44 compliance 40 reported 43 tendon 41 increased 43 tendon 42 achilles 43 tendon 43 tendon 44 compliance 44 compliance 45 in 45 in 47 adults 46 older 47 adults study design : descriptive , laboratory study . 0 ###LEFT-WALL### 2 design 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 8 . 1 study 2 design 2 design 3 : 3 : 7 study 4 descriptive 5 , 4 descriptive 6 laboratory 6 laboratory 7 study objectives : to compare the 3 - d hip torques during a golf swing between young and senior healthy male amateur golfers . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 3 to 2 : 4 compare 3 to 4 compare 4 compare 10 torques 4 compare 15 between 5 the 10 torques 6 3 7 - 7 - 8 d 7 - 9 hip 9 hip 10 torques 10 torques 11 during 11 during 14 swing 12 a 14 swing 13 golf 14 swing 15 between 22 golfers 16 young 17 and 17 and 18 senior 17 and 22 golfers 19 healthy 20 male 20 male 22 golfers 21 amateur 22 golfers the secondary purpose was to compare the 3 - d hip joint torques between the trail leg and lead leg . 0 ###LEFT-WALL### 3 purpose 0 ###LEFT-WALL### 21 . 1 the 3 purpose 2 secondary 3 purpose 3 purpose 4 was 4 was 5 to 4 was 6 compare 5 to 6 compare 6 compare 13 torques 6 compare 14 between 7 the 13 torques 8 3 9 - 9 - 10 d 9 - 13 torques 11 hip 12 joint 12 joint 13 torques 14 between 18 and 15 the 17 leg 16 trail 17 leg 17 leg 18 and 18 and 20 leg 19 lead 20 leg background : the generation of hip torques from the hip musculature is an important aspect of the golf swing . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 generation 2 : 12 is 2 : 20 . 3 the 4 generation 4 generation 5 of 4 generation 12 is 5 of 7 torques 6 hip 7 torques 7 torques 8 from 8 from 11 musculature 9 the 11 musculature 10 hip 11 musculature 12 is 15 aspect 13 an 14 important 13 an 15 aspect 14 important 15 aspect 15 aspect 16 of 16 of 19 swing 17 the 19 swing 18 golf 19 swing golf is a very popular activity , and estimates of hip torques during the golf swing have not been reported . 0 ###LEFT-WALL### 1 golf 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 21 . 1 golf 2 is 2 is 6 activity 3 a 4 very 3 a 6 activity 4 very 5 popular 5 popular 6 activity 7 , 8 and 8 and 9 estimates 8 and 20 reported 9 estimates 10 of 9 estimates 17 have 10 of 12 torques 11 hip 12 torques 12 torques 13 during 13 during 16 swing 14 the 16 swing 15 golf 16 swing 17 have 18 not 17 have 19 been 19 been 20 reported methods : twenty healthy male golfers were divided into a young group ( mean ± sd age , 25.1 ± 3.1 years [ )(and a senior group ( age , 56.9 ± 4.7 years ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 6 golfers 2 : 8 divided 2 : 18 , 3 twenty 6 golfers 4 healthy 6 golfers 5 male 6 golfers 6 golfers 7 were 7 were 8 divided 8 divided 9 into 9 into 12 group 10 a 12 group 11 young 12 group 12 group 17 age 13 ( 17 age 14 mean 15 ± 15 ± 17 age 16 sd 17 age 17 age 18 , 18 , 19 25.1 18 , 20 ± 19 25.1 20 ± 20 ± 24 )(and 21 3.1 22 years 22 years 24 )(and 24 )(and 27 group 24 )(and 29 age 24 )(and 34 years 25 a 27 group 26 senior 27 group 28 ( 29 age 29 age 30 , 30 , 34 years 31 56.9 34 years 32 ± 34 years 33 4.7 34 years 34 years 35 ) all subjects completed 10 golf swings using their personal driver . 0 ###LEFT-WALL### 2 subjects 0 ###LEFT-WALL### 3 completed 0 ###LEFT-WALL### 11 . 1 all 2 subjects 2 subjects 3 completed 3 completed 6 swings 4 10 6 swings 5 golf 6 swings 6 swings 7 using 7 using 10 driver 8 their 10 driver 9 personal 10 driver a motion capture system and force plates were used to obtain kinematic and kinetic data . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 9 used 0 ###LEFT-WALL### 16 . 1 a 2 motion 1 a 4 system 2 motion 4 system 3 capture 4 system 4 system 5 and 5 and 7 plates 5 and 8 were 6 force 7 plates 8 were 9 used 9 used 10 to 9 used 11 obtain 10 to 11 obtain 11 obtain 15 data 12 kinematic 13 and 13 and 14 kinetic 13 and 15 data inverse dynamic analyses were used to calculate 3 - d hip joint torques of the trail and lead limbs . 0 ###LEFT-WALL### 3 analyses 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 20 . 1 inverse 3 analyses 2 dynamic 3 analyses 3 analyses 17 and 4 were 5 used 4 were 17 and 5 used 6 to 5 used 7 calculate 6 to 7 calculate 7 calculate 13 torques 8 3 9 - 9 - 10 d 9 - 11 hip 11 hip 13 torques 12 joint 13 torques 13 torques 14 of 14 of 16 trail 15 the 16 trail 17 and 18 lead 17 and 19 limbs two - way analyses of covariance ( [group] by leg [ )( [with] club [-] head velocity as a covariate , were used to compare peak hip torques between groups and limbs . 0 ###LEFT-WALL### 1 two 0 ###LEFT-WALL### 23 used 0 ###LEFT-WALL### 33 . 1 two 4 analyses 1 two 22 were 2 - 4 analyses 3 way 4 analyses 4 analyses 5 of 4 analyses 21 , 5 of 6 covariance 6 covariance 9 by 7 ( 9 by 9 by 17 velocity 9 by 21 , 10 leg 14 club 14 club 17 velocity 16 head 17 velocity 17 velocity 18 as 18 as 20 covariate 19 a 20 covariate 22 were 23 used 23 used 24 to 23 used 25 compare 24 to 25 compare 25 compare 28 torques 25 compare 29 between 26 peak 28 torques 27 hip 28 torques 29 between 31 and 30 groups 31 and 31 and 32 limbs results : trail - limb hip external rotator torque was significantly greater in the younger group compared to the senior group , and greater in the trail leg versus the lead leg . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 33 . 1 results 2 : 2 : 3 trail 4 - 9 torque 4 - 10 was 5 limb 6 hip 6 hip 9 torque 7 external 8 rotator 8 rotator 9 torque 9 torque 10 was 10 was 11 significantly 10 was 12 greater 12 greater 13 in 12 greater 18 to 13 in 16 group 14 the 16 group 15 younger 16 group 16 group 17 compared 18 to 32 leg 19 the 32 leg 20 senior 32 leg 21 group 23 and 22 , 23 and 23 and 24 greater 23 and 32 leg 24 greater 25 in 25 in 28 leg 26 the 28 leg 27 trail 28 leg 28 leg 29 versus 29 versus 31 lead 30 the 31 lead conclusion : when adjusting for club [-] head velocity , young and senior healthy male amateur golfers generated comparable hip torques during a golf swing , with the exception of the trail - limb hip external rotator torque . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 , 1 conclusion 2 : 2 : 3 when 2 : 5 for 3 when 4 adjusting 5 for 9 velocity 6 club 8 head 8 head 9 velocity 10 , 17 golfers 10 , 18 generated 11 young 12 and 12 and 13 senior 12 and 17 golfers 14 healthy 17 golfers 15 male 17 golfers 16 amateur 17 golfers 17 golfers 18 generated 18 generated 21 torques 18 generated 22 during 18 generated 27 with 19 comparable 20 hip 20 hip 21 torques 22 during 25 swing 23 a 25 swing 24 golf 25 swing 26 , 27 with 27 with 29 exception 27 with 39 . 28 the 29 exception 29 exception 30 of 29 exception 38 torque 30 of 32 trail 31 the 32 trail 33 - 38 torque 34 limb 38 torque 35 hip 38 torque 36 external 37 rotator 37 rotator 38 torque 38 torque 39 . the largest hip torque found was the trail - limb hip extensor torque . 0 ###LEFT-WALL### 4 torque 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 14 . 1 the 2 largest 1 the 4 torque 3 hip 4 torque 4 torque 5 found 4 torque 6 was 6 was 8 trail 7 the 8 trail 9 - 13 torque 10 limb 13 torque 11 hip 12 extensor 12 extensor 13 torque the evaluation of surface electromyography ( semg ) is commonly performed in children with cerebral palsy ( cp ) and reliable interpretation necessitates knowledge of the variability in age - matched , typically developing ( td ) [children] . 0 ###LEFT-WALL### 2 evaluation 0 ###LEFT-WALL### 11 performed 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 39 . 1 the 2 evaluation 2 evaluation 3 of 2 evaluation 7 semg 2 evaluation 9 is 3 of 5 electromyography 4 surface 5 electromyography 6 ( 7 semg 7 semg 8 ) 9 is 11 performed 10 commonly 11 performed 11 performed 12 in 11 performed 14 with 12 in 13 children 14 with 16 palsy 15 cerebral 16 palsy 16 palsy 18 cp 17 ( 18 cp 18 cp 19 ) 20 and 22 interpretation 20 and 23 necessitates 21 reliable 22 interpretation 22 interpretation 23 necessitates 23 necessitates 24 knowledge 24 knowledge 25 of 25 of 27 variability 26 the 27 variability 27 variability 28 in 27 variability 34 developing 27 variability 36 td 28 in 29 age 29 age 31 matched 30 - 31 matched 31 matched 32 , 33 typically 34 developing 35 ( 36 td 36 td 37 ) significantly greater variability was found in the 7 - 9 group compared to the 13 - 16 years . 0 ###LEFT-WALL### 3 variability 0 ###LEFT-WALL### 5 found 0 ###LEFT-WALL### 19 . 1 significantly 2 greater 2 greater 3 variability 3 variability 4 was 4 was 5 found 5 found 6 in 6 in 11 group 7 the 11 group 8 7 9 - 9 - 10 9 9 - 11 group 11 group 12 compared 12 compared 13 to 13 to 18 years 14 the 16 - 15 13 16 - 16 - 17 16 16 - 18 years variability during both slow and fast walking was significantly [greater] compared to comfortable speed walking and was profound in the 7 - 9 year age group . 0 ###LEFT-WALL### 1 variability 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 27 . 1 variability 2 during 1 variability 8 was 2 during 5 and 3 both 5 and 4 slow 5 and 5 and 6 fast 5 and 7 walking 8 was 16 and 9 significantly 11 compared 11 compared 12 to 11 compared 16 and 12 to 14 speed 13 comfortable 14 speed 14 speed 15 walking 16 and 17 was 17 was 18 profound 18 profound 19 in 19 in 26 group 20 the 26 group 21 7 22 - 22 - 23 9 22 - 24 year 24 year 26 group 25 age 26 group variability of the imnf was significantly greater than le in the tibialis - anterior , biceps - femoris ( bf ) , vastus - lateralis ( vl ) , and rectus - femoris ( rf ) . 0 ###LEFT-WALL### 1 variability 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 37 . 1 variability 2 of 1 variability 5 was 2 of 4 imnf 3 the 4 imnf 5 was 6 significantly 5 was 7 greater 7 greater 8 than 8 than 9 le 8 than 10 in 10 in 12 tibialis 11 the 12 tibialis 12 tibialis 14 anterior 13 - 14 anterior 14 anterior 16 biceps 14 anterior 36 ) 15 , 16 biceps 16 biceps 30 and 16 biceps 36 ) 17 - 30 and 18 femoris 20 bf 18 femoris 22 , 19 ( 20 bf 20 bf 21 ) 22 , 23 vastus 22 , 30 and 23 vastus 27 vl 24 - 27 vl 25 lateralis 27 vl 26 ( 27 vl 27 vl 28 ) 27 vl 29 , 29 , 30 and 30 and 31 rectus 30 and 33 femoris 30 and 36 ) 32 - 33 femoris 33 femoris 35 rf 33 femoris 36 ) 34 ( 35 rf 35 rf 36 ) clinical implications are that children under 10 years are more variable than older children when walking either slower or faster than self [-] selected walking speed . 0 ###LEFT-WALL### 2 implications 0 ###LEFT-WALL### 27 . 1 clinical 2 implications 2 implications 3 are 3 are 4 that 4 that 5 children 4 that 9 are 5 children 6 under 5 children 9 are 6 under 8 years 7 10 8 years 9 are 11 variable 10 more 11 variable 11 variable 12 than 11 variable 15 when 12 than 14 children 13 older 14 children 15 when 16 walking 16 walking 22 self 17 either 22 self 18 slower 19 or 19 or 20 faster 19 or 22 self 20 faster 21 than 22 self 24 selected 22 self 25 walking 25 walking 26 speed this suggests that muscle activation patterns [in] gait mature at a later stage of childhood than do kinematic gait patterns . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 suggests 0 ###LEFT-WALL### 21 . 1 this 2 suggests 2 suggests 8 gait 2 suggests 17 do 3 that 8 gait 4 muscle 8 gait 5 activation 8 gait 6 patterns 8 gait 8 gait 9 mature 9 mature 10 at 9 mature 16 than 10 at 13 stage 11 a 13 stage 12 later 13 stage 13 stage 14 of 14 of 15 childhood 17 do 20 patterns 18 kinematic 19 gait 19 gait 20 patterns greater precaution , therefore [,] is needed [when] comparing semg patterns of less than 10 years of age patient and td children . 0 ###LEFT-WALL### 2 precaution 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 23 . 1 greater 2 precaution 3 , 4 therefore 3 , 6 is 4 therefore 6 is 6 is 9 comparing 7 needed 9 comparing 9 comparing 10 semg 9 comparing 11 patterns 9 comparing 12 of 10 semg 11 patterns 12 of 16 years 13 less 14 than 14 than 15 10 15 10 16 years 16 years 17 of 17 of 22 children 18 age 22 children 19 patient 20 and 20 and 21 td 20 and 22 children significance : it is a well - established scientific observation that mammalian cells contain fidelity or watchdog proteins that maintain the correct function of cellular organelles . 0 ###LEFT-WALL### 1 significance 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 contain 0 ###LEFT-WALL### 27 . 2 : 3 it 2 : 4 is 2 : 7 - 3 it 4 is 4 is 6 well 5 a 6 well 7 - 10 observation 8 established 10 observation 9 scientific 10 observation 10 observation 13 cells 10 observation 14 contain 11 that 12 mammalian 12 mammalian 13 cells 13 cells 14 contain 14 contain 16 or 15 fidelity 16 or 16 or 18 proteins 16 or 19 that 16 or 20 maintain 17 watchdog 18 proteins 19 that 20 maintain 20 maintain 23 function 21 the 23 function 22 correct 23 function 23 function 24 of 24 of 26 organelles 25 cellular 26 organelles recent advances : over the past several years , the sirtuin deacetylase family protein sirt3 has emerged as a mitochondrial fidelity protein that directs energy generation and regulates reactive oxygen species ( ros ) scavenging proteins . 0 ###LEFT-WALL### 2 advances 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 37 . 1 recent 2 advances 3 : 14 protein 3 : 17 emerged 4 over 8 years 4 over 9 , 4 over 14 protein 5 the 8 years 6 past 8 years 7 several 8 years 10 the 14 protein 11 sirtuin 12 deacetylase 12 deacetylase 13 family 13 family 14 protein 14 protein 15 sirt3 14 protein 16 has 14 protein 17 emerged 15 sirt3 16 has 17 emerged 18 as 18 as 22 protein 19 a 22 protein 20 mitochondrial 21 fidelity 21 fidelity 22 protein 22 protein 23 that 22 protein 27 and 22 protein 35 scavenging 23 that 27 and 24 directs 26 generation 24 directs 27 and 25 energy 26 generation 27 and 28 regulates 28 regulates 31 species 29 reactive 30 oxygen 30 oxygen 31 species 31 species 33 ros 32 ( 33 ros 33 ros 34 ) 35 scavenging 36 proteins loss [of] function or genetic mutation of these fidelity proteins has been shown to create a cellular environment that is permissive for the development of cellular damage associated with processes such as aging and carcinogenesis . 0 ###LEFT-WALL### 3 function 0 ###LEFT-WALL### 4 or 0 ###LEFT-WALL### 36 . 1 loss 3 function 4 or 6 mutation 4 or 13 shown 5 genetic 6 mutation 6 mutation 7 of 6 mutation 11 has 7 of 10 proteins 8 these 10 proteins 9 fidelity 10 proteins 11 has 12 been 12 been 13 shown 13 shown 14 to 13 shown 19 that 13 shown 20 is 14 to 15 create 15 create 18 environment 16 a 17 cellular 16 a 18 environment 17 cellular 18 environment 19 that 20 is 20 is 21 permissive 21 permissive 22 for 21 permissive 29 with 21 permissive 32 as 22 for 24 development 23 the 24 development 24 development 25 of 25 of 27 damage 26 cellular 27 damage 27 damage 28 associated 29 with 30 processes 31 such 32 as 32 as 34 and 33 aging 34 and 34 and 35 carcinogenesis critical issues : mitochondria are the primary organelles that direct oxidative metabolism for the production of atp ; however , this is also a significant source of ros . 0 ###LEFT-WALL### 2 issues 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 29 . 1 critical 2 issues 3 : 4 mitochondria 3 : 5 are 3 : 18 ; 4 mitochondria 5 are 5 are 8 organelles 6 the 8 organelles 7 primary 8 organelles 8 organelles 9 that 8 organelles 10 direct 9 that 10 direct 10 direct 12 metabolism 11 oxidative 12 metabolism 12 metabolism 13 for 12 metabolism 16 of 13 for 15 production 14 the 15 production 16 of 17 atp 18 ; 21 this 18 ; 22 is 19 however 20 , 19 however 21 this 21 this 22 is 22 is 23 also 22 is 26 source 24 a 25 significant 24 a 26 source 25 significant 26 source 26 source 27 of 27 of 28 ros thus , it is reasonable to propose that mitochondria should contain proteins that would signal downstream target molecules and/or ros scavenger enzymes [to] maintain mitochondrial and cellular homeostatic poise . 0 ###LEFT-WALL### 9 mitochondria 0 ###LEFT-WALL### 30 . 1 thus 2 , 1 thus 9 mitochondria 2 , 7 propose 3 it 4 is 4 is 5 reasonable 5 reasonable 6 to 5 reasonable 7 propose 6 to 7 propose 7 propose 9 mitochondria 8 that 9 mitochondria 9 mitochondria 10 should 10 should 11 contain 11 contain 12 proteins 12 proteins 13 that 12 proteins 24 maintain 13 that 14 would 14 would 15 signal 15 signal 16 downstream 15 signal 18 molecules 15 signal 19 and/or 17 target 18 molecules 19 and/or 22 enzymes 20 ros 21 scavenger 21 scavenger 22 enzymes 22 enzymes 24 maintain 24 maintain 29 poise 25 mitochondrial 26 and 26 and 27 cellular 26 and 29 poise 28 homeostatic 29 poise it is also reasonable to hypothesize that the mitochondria contain fidelity proteins similar to those found in the nucleus and cytoplasm . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 22 . 1 it 2 is 2 is 3 also 2 is 4 reasonable 4 reasonable 5 to 4 reasonable 16 found 5 to 6 hypothesize 6 hypothesize 7 that 7 that 9 mitochondria 7 that 16 found 8 the 9 mitochondria 9 mitochondria 10 contain 10 contain 11 fidelity 12 proteins 13 similar 12 proteins 16 found 13 similar 14 to 14 to 15 those 16 found 17 in 17 in 20 and 18 the 19 nucleus 19 nucleus 20 and 20 and 21 cytoplasm we discuss a new role of sirt3 in the direction of the primary superoxide scavenger protein , manganese superoxide dismutase ( mnsod ) , and [how] the acetylation or deacetylation of several specific lysines appears to direct mnsod enzymatic dismutase activity . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 discuss 0 ###LEFT-WALL### 29 or 0 ###LEFT-WALL### 37 direct 0 ###LEFT-WALL### 42 . 1 we 2 discuss 2 discuss 25 and 3 a 4 new 3 a 5 role 4 new 5 role 5 role 6 of 5 role 25 and 6 of 7 sirt3 7 sirt3 8 in 7 sirt3 11 of 8 in 10 direction 9 the 10 direction 11 of 16 protein 12 the 16 protein 13 primary 16 protein 14 superoxide 16 protein 15 scavenger 16 protein 16 protein 20 dismutase 17 , 20 dismutase 18 manganese 20 dismutase 19 superoxide 20 dismutase 20 dismutase 22 mnsod 20 dismutase 24 , 21 ( 22 mnsod 22 mnsod 23 ) 25 and 28 acetylation 27 the 28 acetylation 29 or 30 deacetylation 29 or 35 appears 30 deacetylation 31 of 30 deacetylation 35 appears 31 of 34 lysines 32 several 34 lysines 33 specific 34 lysines 35 appears 36 to 36 to 37 direct 37 direct 41 activity 38 mnsod 41 activity 39 enzymatic 40 dismutase 40 dismutase 41 activity future directions : aberrant downstream regulation of mnsod by sirt3 may be a potential source of cellular damage that accumulates with aging to create a tumor - permissive phenotype . 0 ###LEFT-WALL### 2 directions 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 27 - 1 future 2 directions 2 directions 3 : 3 : 4 aberrant 4 aberrant 6 regulation 4 aberrant 12 be 5 downstream 6 regulation 6 regulation 7 of 6 regulation 9 by 6 regulation 11 may 7 of 8 mnsod 9 by 10 sirt3 11 may 12 be 12 be 15 source 13 a 14 potential 13 a 15 source 14 potential 15 source 15 source 16 of 15 source 19 that 15 source 20 accumulates 16 of 18 damage 17 cellular 18 damage 19 that 20 accumulates 20 accumulates 21 with 21 with 22 aging 22 aging 23 to 23 to 24 create 24 create 26 tumor 25 a 26 tumor 27 - 29 phenotype 27 - 30 . 28 permissive 29 phenotype future studies can explore the role of mnsod in age - related illness using this new mechanism of enzymatic regulation . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 explore 0 ###LEFT-WALL### 12 related 1 future 2 studies 2 studies 3 can 3 can 4 explore 4 explore 6 role 4 explore 9 in 5 the 6 role 6 role 7 of 7 of 8 mnsod 9 in 10 age 11 - 12 related 12 related 13 illness 12 related 14 using 12 related 21 . 14 using 17 mechanism 15 this 17 mechanism 16 new 17 mechanism 17 mechanism 18 of 18 of 20 regulation 19 enzymatic 20 regulation background : the baby boomer population will become high users of the health [-] care system in coming years . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 6 population 2 : 8 become 2 : 20 . 3 the 6 population 4 baby 6 population 5 boomer 6 population 6 population 7 will 7 will 8 become 8 become 10 users 8 become 17 in 9 high 10 users 10 users 11 of 11 of 16 system 12 the 16 system 13 health 15 care 15 care 16 system 17 in 19 years 18 coming 19 years self - report of hearing loss at a primary health [-] care visit may offer timely referrals to audiological services , but there has been no population - based study of self [-] reported hearing loss in the baby boomer generation . 0 ###LEFT-WALL### 3 report 0 ###LEFT-WALL### 22 but 1 self 2 - 1 self 3 report 3 report 6 loss 3 report 15 offer 4 of 5 hearing 4 of 6 loss 6 loss 7 at 6 loss 14 may 7 at 13 visit 8 a 13 visit 9 primary 10 health 10 health 12 care 12 care 13 visit 14 may 15 offer 15 offer 17 referrals 16 timely 17 referrals 17 referrals 18 to 18 to 20 services 19 audiological 20 services 21 , 22 but 22 but 23 there 22 but 25 been 23 there 24 has 24 has 25 been 25 been 27 population 26 no 27 population 27 population 30 study 28 - 30 study 29 based 30 study 30 study 31 of 30 study 42 . 31 of 36 loss 32 self 34 reported 34 reported 35 hearing 35 hearing 36 loss 36 loss 37 in 37 in 41 generation 38 the 41 generation 39 baby 41 generation 40 boomer 41 generation purpose : to determine the clinical value and audiometric correspondence [of] self - reported hearing loss as a screening tool for the baby boomer population . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 reported 0 ###LEFT-WALL### 26 . 1 purpose 2 : 2 : 3 to 3 to 4 determine 4 determine 8 and 5 the 8 and 6 clinical 7 value 7 value 8 and 8 and 12 self 9 audiometric 10 correspondence 10 correspondence 12 self 13 - 14 reported 14 reported 15 hearing 14 reported 17 as 15 hearing 16 loss 17 as 20 tool 18 a 20 tool 19 screening 20 tool 20 tool 21 for 21 for 25 population 22 the 25 population 23 baby 25 population 24 boomer 25 population research design : a population - based study , busselton healthy ageing study ( bhas ) , surveying baby boomers born between 1946 and 1964 from the shire of busselton , western australia . 0 ###LEFT-WALL### 2 design 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 31 , 0 ###LEFT-WALL### 34 . 1 research 2 design 2 design 3 : 3 : 5 population 4 a 5 population 5 population 8 study 5 population 15 bhas 5 population 18 surveying 6 - 8 study 7 based 8 study 8 study 9 , 9 , 15 bhas 10 busselton 11 healthy 11 healthy 12 ageing 12 ageing 13 study 13 study 15 bhas 14 ( 15 bhas 15 bhas 16 ) 15 bhas 17 , 17 , 18 surveying 18 surveying 20 boomers 18 surveying 22 between 18 surveying 26 from 18 surveying 31 , 19 baby 20 boomers 20 boomers 21 born 22 between 24 and 23 1946 24 and 24 and 25 1964 26 from 28 shire 27 the 28 shire 28 shire 29 of 29 of 30 busselton 31 , 33 australia 32 western 33 australia study sample : a randomized sample of noninstitutionalized baby - boomers listed on the electoral roll ( n = 6690 ) and resident in the shire are eligible to participate . 0 ###LEFT-WALL### 2 sample 0 ###LEFT-WALL### 3 : 1 study 2 sample 3 : 22 and 3 : 27 are 3 : 31 . 4 a 6 sample 5 randomized 6 sample 6 sample 7 of 6 sample 22 and 7 of 11 boomers 8 noninstitutionalized 11 boomers 9 baby 10 - 9 baby 11 boomers 11 boomers 12 listed 12 listed 13 on 13 on 16 roll 14 the 16 roll 15 electoral 16 roll 16 roll 19 = 17 ( 19 = 18 n 19 = 19 = 20 6690 19 = 21 ) 22 and 23 resident 22 and 24 in 22 and 27 are 24 in 26 shire 25 the 26 shire 27 are 28 eligible 28 eligible 29 to 28 eligible 30 participate 29 to 30 participate this study reports on data from the first 1004 attendees ( 53.5 % female [ )(with a mean age of 56.23 ( [sd] = 5.43 ) . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 reports 1 this 2 study 2 study 3 reports 3 reports 4 on 4 on 5 data 5 data 6 from 6 from 10 attendees 7 the 8 first 7 the 9 1004 9 1004 10 attendees 10 attendees 13 % 11 ( 13 % 12 53.5 13 % 13 % 14 female 13 % 25 5.43 13 % 27 . 14 female 16 )(with 16 )(with 19 age 17 a 18 mean 17 a 19 age 18 mean 19 age 19 age 20 of 20 of 21 56.23 22 ( 25 5.43 24 = 25 5.43 25 5.43 26 ) data collection and analysis : data from a self - report question on hearing loss and diagnostic pure tone audiometry was utilized for this study . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 26 . 1 data 2 collection 2 collection 3 and 3 and 4 analysis 5 : 6 data 6 data 7 from 7 from 9 self 8 a 9 self 9 self 22 utilized 10 - 11 report 11 report 16 and 11 report 22 utilized 12 question 13 on 12 question 16 and 13 on 14 hearing 14 hearing 15 loss 16 and 19 tone 16 and 20 audiometry 16 and 21 was 17 diagnostic 19 tone 18 pure 19 tone 20 audiometry 21 was 22 utilized 23 for 23 for 25 study 24 this 25 study analysis included screening performance measures of self - report compared to audiometric cut - offs , receiver operator curve ( roc ) [to] determine optimal level , analysis of variance to compare hearing status to self - report , and binary logistic regression to determine best audiometric predictors . 0 ###LEFT-WALL### 1 analysis 0 ###LEFT-WALL### 2 included 0 ###LEFT-WALL### 8 - 1 analysis 2 included 2 included 5 measures 3 screening 4 performance 4 performance 5 measures 5 measures 6 of 6 of 7 self 8 - 9 report 8 - 14 - 9 report 10 compared 10 compared 11 to 11 to 13 cut 12 audiometric 13 cut 14 - 15 offs 14 - 24 determine 15 offs 19 curve 15 offs 24 determine 16 , 19 curve 17 receiver 19 curve 18 operator 19 curve 19 curve 21 roc 19 curve 22 ) 20 ( 21 roc 21 roc 22 ) 24 determine 28 analysis 25 optimal 28 analysis 26 level 27 , 26 level 28 analysis 28 analysis 29 of 28 analysis 40 and 29 of 30 variance 30 variance 31 to 30 variance 32 compare 31 to 32 compare 32 compare 34 status 32 compare 35 to 33 hearing 34 status 35 to 36 self 37 - 40 and 38 report 40 and 39 , 40 and 40 and 43 regression 40 and 44 to 40 and 45 determine 40 and 49 . 41 binary 43 regression 42 logistic 43 regression 44 to 45 determine 45 determine 48 predictors 46 best 47 audiometric 47 audiometric 48 predictors results : of the sample , 16 % self - reported hearing loss ( 72.1 % males ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 19 . 1 results 2 : 2 : 3 of 3 of 5 sample 4 the 5 sample 6 , 9 self 6 , 10 - 7 16 8 % 8 % 9 self 10 - 13 loss 11 reported 12 hearing 12 hearing 13 loss 13 loss 17 males 14 ( 17 males 15 72.1 17 males 16 % 17 males 17 males 18 ) of those [who] [self] - reported a hearing loss , 80 % had either a four [-] frequency average hearing loss >25 [db] in the worse ear or a high - frequency average ( 4000 and 8000 hz ) hearing loss greater than 35 db in the worse ear . 0 ###LEFT-WALL### 12 % 0 ###LEFT-WALL### 13 had 0 ###LEFT-WALL### 50 . 1 of 2 those 1 of 12 % 5 - 6 reported 6 reported 9 loss 6 reported 10 , 6 reported 12 % 7 a 9 loss 8 hearing 9 loss 11 80 12 % 12 % 13 had 13 had 41 loss 14 either 28 or 15 a 19 average 16 four 18 frequency 18 frequency 19 average 19 average 20 hearing 19 average 28 or 20 hearing 21 loss 20 hearing 22 >25 22 >25 24 in 24 in 27 ear 25 the 27 ear 26 worse 27 ear 28 or 33 average 28 or 38 hz 28 or 41 loss 29 a 30 high 29 a 33 average 30 high 31 - 30 high 33 average 32 frequency 33 average 34 ( 38 hz 35 4000 36 and 36 and 37 8000 36 and 38 hz 38 hz 39 ) 40 hearing 41 loss 41 loss 42 greater 41 loss 46 in 42 greater 43 than 43 than 45 db 44 35 45 db 46 in 49 ear 47 the 49 ear 48 worse 49 ear conclusions : baby boomer adults who self [-] report hearing impairment on direct inquiry are most likely to have a hearing loss . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 adults 2 : 19 have 2 : 23 . 3 baby 4 boomer 4 boomer 5 adults 5 adults 6 who 5 adults 18 to 5 adults 19 have 6 who 11 impairment 6 who 15 are 7 self 11 impairment 9 report 11 impairment 10 hearing 11 impairment 11 impairment 12 on 11 impairment 15 are 12 on 14 inquiry 13 direct 14 inquiry 15 are 16 most 16 most 17 likely 17 likely 18 to 19 have 22 loss 20 a 22 loss 21 hearing 22 loss a simple question at a primary health care visit may facilitate a timely referral for audiological services in a baby boomer adult , who may be more amenable to rehabilitation . 0 ###LEFT-WALL### 3 question 0 ###LEFT-WALL### 11 facilitate 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 31 . 1 a 2 simple 1 a 3 question 2 simple 3 question 3 question 4 at 3 question 10 may 4 at 9 visit 5 a 6 primary 5 a 9 visit 6 primary 7 health 7 health 9 visit 8 care 9 visit 10 may 11 facilitate 11 facilitate 14 referral 11 facilitate 15 for 12 a 13 timely 12 a 14 referral 13 timely 14 referral 15 for 17 services 16 audiological 17 services 17 services 18 in 18 in 22 adult 19 a 22 adult 20 baby 21 boomer 21 boomer 22 adult 23 , 24 who 23 , 26 be 24 who 25 may 25 may 26 be 26 be 28 amenable 27 more 28 amenable 28 amenable 29 to 29 to 30 rehabilitation background & aims : muscle wasting commonly occurs in copd , [negatively] affecting outcome . 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 4 : 1 background 2 & 2 & 3 aims 4 : 6 wasting 4 : 8 occurs 4 : 11 , 4 : 15 . 5 muscle 6 wasting 6 wasting 8 occurs 7 commonly 8 occurs 8 occurs 9 in 9 in 10 copd 11 , 14 outcome 13 affecting 14 outcome the aim was to examine the net whole - body protein synthesis response to two milk protein meals with comparable absorption rates ( hydrolyzed casein ( hcas [ )(vs [.] hydrolyzed whey ( hwhey ) ) and the effects of co - ingesting leucine . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 3 was 1 the 2 aim 2 aim 3 was 3 was 4 to 4 to 5 examine 5 examine 37 and 5 examine 43 ingesting 6 the 13 response 7 net 13 response 8 whole 9 - 8 whole 13 response 10 body 11 protein 11 protein 13 response 12 synthesis 13 response 13 response 14 to 13 response 19 with 13 response 37 and 14 to 18 meals 15 two 18 meals 16 milk 17 protein 17 protein 18 meals 19 with 22 rates 20 comparable 22 rates 21 absorption 22 rates 22 rates 25 casein 23 ( 25 casein 24 hydrolyzed 25 casein 25 casein 27 hcas 25 casein 36 ) 26 ( 27 hcas 27 hcas 29 )(vs 27 hcas 35 ) 29 )(vs 32 whey 31 hydrolyzed 32 whey 32 whey 34 hwhey 33 ( 34 hwhey 34 hwhey 35 ) 37 and 39 effects 37 and 40 of 38 the 39 effects 40 of 41 co 42 - 43 ingesting 43 ingesting 44 leucine 43 ingesting 45 . methods : twelve copd patients ( gold stage ii - iv ) with nutritional depletion , [were] studied following intake of a 15 g hcas or hwhey protein meal with [or] [without] leucine - co - ingestion , according to a double - blind randomized cross - over design . 1 methods 2 : 2 : 5 patients 2 : 13 with 3 twelve 5 patients 4 copd 5 patients 5 patients 8 stage 6 ( 8 stage 7 gold 8 stage 8 stage 9 ii 8 stage 11 iv 8 stage 12 ) 10 - 11 iv 11 iv 12 ) 13 with 15 depletion 13 with 19 following 14 nutritional 15 depletion 15 depletion 18 studied 16 , 18 studied 19 following 26 or 20 intake 21 of 20 intake 26 or 21 of 25 hcas 22 a 25 hcas 23 15 24 g 24 g 25 hcas 26 or 29 meal 26 or 30 with 26 or 37 ingestion 27 hwhey 28 protein 28 protein 29 meal 30 with 33 leucine 34 - 37 ingestion 35 co 36 - 35 co 37 ingestion 37 ingestion 38 , 38 , 40 to 39 according 40 to 40 to 42 double 40 to 43 - 40 to 44 blind 41 a 42 double 44 blind 46 cross 45 randomized 46 cross 46 cross 48 over 47 - 48 over 48 over 49 design 48 over 50 . the isotopic tracers [l] - [[] ring - [(] 2 )h5 ] - phenylalanine , l - [ ring - ( 2 )h2 ] - tyrosine , l - [ [(] 2 )h3 ] - 3 - methylhistidine ( given via continuous intravenous infusion ) , and l - [[] ( 15 )n []] - phenylalanine ( added to the protein meals [ )(were used to measure endogenous whole - body protein breakdown ( wbpb ) , whole - body protein synthesis ( wbps ) [,] net protein synthesis ( netps ) , splanchnic extraction and myofibrillar protein breakdown ( mpb ) . 0 ###LEFT-WALL### 3 tracers 0 ###LEFT-WALL### 5 - 1 the 3 tracers 2 isotopic 3 tracers 5 - 7 ring 5 - 13 - 7 ring 11 )h5 8 - 11 )h5 10 2 11 )h5 11 )h5 12 ] 13 - 14 phenylalanine 13 - 25 - 14 phenylalanine 16 l 14 phenylalanine 19 ring 14 phenylalanine 23 )h2 15 , 16 l 16 l 17 - 18 [ 19 ring 19 ring 20 - 21 ( 23 )h2 22 2 23 )h2 23 )h2 24 ] 25 - 26 tyrosine 25 - 35 - 26 tyrosine 28 l 26 tyrosine 33 )h3 27 , 28 l 28 l 29 - 30 [ 33 )h3 32 2 33 )h3 33 )h3 34 ] 35 - 36 3 35 - 37 - 36 3 37 - 37 - 47 and 38 methylhistidine 40 given 38 methylhistidine 47 and 39 ( 40 given 40 given 41 via 40 given 45 ) 41 via 44 infusion 42 continuous 44 infusion 43 intravenous 44 infusion 46 , 47 and 47 and 48 l 47 and 49 - 47 and 55 - 47 and 58 added 51 ( 55 - 52 15 53 )n 53 )n 55 - 55 - 56 phenylalanine 57 ( 58 added 58 added 59 to 58 added 66 to 59 to 61 protein 60 the 61 protein 61 protein 62 meals 61 protein 64 )(were 61 protein 65 used 62 meals 64 )(were 66 to 67 measure 67 measure 73 breakdown 67 measure 79 - 68 endogenous 71 body 69 whole 70 - 69 whole 71 body 71 body 72 protein 72 protein 73 breakdown 73 breakdown 75 wbpb 74 ( 75 wbpb 75 wbpb 76 ) 77 , 79 - 78 whole 79 - 79 - 81 protein 80 body 81 protein 81 protein 82 synthesis 81 protein 87 net 82 synthesis 84 wbps 82 synthesis 87 net 83 ( 84 wbps 84 wbps 85 ) 87 net 89 synthesis 88 protein 89 synthesis 89 synthesis 91 netps 89 synthesis 99 breakdown 90 ( 91 netps 91 netps 92 ) 93 , 99 breakdown 94 splanchnic 95 extraction 95 extraction 96 and 96 and 97 myofibrillar 96 and 99 breakdown 98 protein 99 breakdown 99 breakdown 101 mpb 99 breakdown 103 . 100 ( 101 mpb 101 mpb 102 ) analyses were done in arterialized [-] venous plasma by lc/ms/ms . results : wbps was greater after intake of the hcas protein meal ( p < 0.05 ) whereas the hwhey protein meal reduced wbpb more ( p < 0.01 ) . 0 ###LEFT-WALL### 1 analyses 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 11 . 0 ###LEFT-WALL### 42 . 1 analyses 2 were 2 were 3 done 3 done 4 in 3 done 9 by 4 in 8 plasma 5 arterialized 8 plasma 7 venous 8 plasma 9 by 10 lc/ms/ms 11 . 12 results 11 . 13 : 11 . 34 reduced 13 : 14 wbps 13 : 15 was 14 wbps 15 was 15 was 16 greater 15 was 29 whereas 16 greater 17 after 16 greater 26 < 17 after 18 intake 18 intake 19 of 19 of 23 meal 20 the 23 meal 21 hcas 22 protein 22 protein 23 meal 24 ( 26 < 25 p 26 < 26 < 27 0.05 26 < 28 ) 29 whereas 33 meal 30 the 33 meal 31 hwhey 32 protein 32 protein 33 meal 33 meal 34 reduced 34 reduced 35 wbpb 34 reduced 36 more 34 reduced 39 < 37 ( 39 < 38 p 39 < 39 < 40 0.01 39 < 41 ) netps was stimulated comparably , with a protein conversion rate greater than 70 % . 0 ###LEFT-WALL### 1 netps 0 ###LEFT-WALL### 3 stimulated 1 netps 2 was 2 was 3 stimulated 3 stimulated 4 comparably 3 stimulated 6 with 5 , 6 with 6 with 10 rate 6 with 15 . 7 a 8 protein 7 a 10 rate 8 protein 10 rate 9 conversion 10 rate 10 rate 11 greater 11 greater 12 than 12 than 14 % 13 70 14 % addition of leucine did not modify the insulin , wbpb , wbps or mpb response . 0 ###LEFT-WALL### 1 addition 0 ###LEFT-WALL### 6 modify 0 ###LEFT-WALL### 16 . 1 addition 2 of 1 addition 4 did 2 of 3 leucine 4 did 5 not 4 did 6 modify 6 modify 13 or 7 the 8 insulin 8 insulin 9 , 9 , 10 wbpb 9 , 11 , 11 , 12 wbps 11 , 13 or 13 or 15 response 14 mpb 15 response conclusions : hydrolyzed casein and whey protein meals comparably and efficiently stimulate whole - body protein anabolism in copd patients with nutritional depletion without an additional effect of leucine co - ingestion . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 33 . 1 conclusions 2 : 2 : 10 and 3 hydrolyzed 5 and 3 hydrolyzed 9 comparably 3 hydrolyzed 10 and 4 casein 5 and 5 and 8 meals 6 whey 7 protein 7 protein 8 meals 10 and 12 stimulate 10 and 24 without 11 efficiently 12 stimulate 12 stimulate 17 anabolism 12 stimulate 18 in 13 whole 14 - 13 whole 15 body 15 body 16 protein 16 protein 17 anabolism 18 in 20 patients 19 copd 20 patients 20 patients 21 with 21 with 23 depletion 22 nutritional 23 depletion 24 without 27 effect 25 an 26 additional 25 an 27 effect 26 additional 27 effect 27 effect 28 of 28 of 32 ingestion 29 leucine 32 ingestion 30 co 31 - 30 co 32 ingestion this trial was registered at clinicaltrials.gov as nct01154400 . 0 ###LEFT-WALL### 2 trial 0 ###LEFT-WALL### 4 registered 0 ###LEFT-WALL### 9 . 1 this 2 trial 2 trial 3 was 3 was 4 registered 4 registered 5 at 4 registered 7 as 5 at 6 clinicaltrials.gov 7 as 8 nct01154400 objectives : to determine the prevalence of antipsychotic use in care homes . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 determine 2 : 13 . 3 to 4 determine 4 determine 6 prevalence 4 determine 10 in 5 the 6 prevalence 6 prevalence 7 of 7 of 9 use 8 antipsychotic 9 use 10 in 12 homes 11 care 12 homes to [explore] which behaviours care home staff can find difficult to manage and which [non] [-] pharmacological interventions are currently used within care homes to help cope with behavioural and psychological symptoms of dementia . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 12 manage 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 35 . 1 to 3 which 1 to 6 home 3 which 6 home 4 behaviours 5 care 5 care 6 home 6 home 7 staff 6 home 9 find 7 staff 8 can 8 can 9 find 9 find 10 difficult 10 difficult 11 to 10 difficult 12 manage 11 to 12 manage 13 and 14 which 13 and 21 used 14 which 18 interventions 17 pharmacological 18 interventions 18 interventions 19 are 19 are 21 used 20 currently 21 used 21 used 22 within 21 used 25 to 21 used 27 cope 22 within 24 homes 23 care 24 homes 25 to 26 help 26 help 27 cope 27 cope 28 with 28 with 32 symptoms 29 behavioural 30 and 30 and 31 psychological 30 and 32 symptoms 32 symptoms 33 of 33 of 34 dementia method : a postal survey sent to all care homes registered as specialising in the care of older people or/and older people with dementia within four counties in the east of england ( n = 747 ) . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 5 survey 2 : 6 sent 2 : 38 . 3 a 4 postal 3 a 5 survey 4 postal 5 survey 5 survey 6 sent 6 sent 7 to 6 sent 10 homes 6 sent 28 in 7 to 9 care 8 all 9 care 10 homes 11 registered 10 homes 14 in 10 homes 17 of 11 registered 13 specialising 12 as 13 specialising 14 in 16 care 15 the 16 care 17 of 22 people 18 older 19 people 19 people 22 people 20 or/and 22 people 21 older 22 people 22 people 23 with 22 people 25 within 23 with 24 dementia 25 within 27 counties 26 four 27 counties 28 in 30 east 29 the 30 east 30 east 31 of 30 east 35 = 31 of 32 england 33 ( 35 = 34 n 35 = 35 = 36 747 35 = 37 ) results : questionnaires were returned from 299 care home managers ( 40 % ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 questionnaires 2 : 5 returned 2 : 15 . 3 questionnaires 4 were 4 were 5 returned 5 returned 6 from 6 from 10 managers 7 299 10 managers 8 care 10 managers 9 home 10 managers 10 managers 13 % 11 ( 13 % 12 40 13 % 13 % 14 ) the vast majority ( n = 200 , 73 % ) reported [having] at least one resident with an antipsychotic prescription in their home . 0 ###LEFT-WALL### 3 majority 0 ###LEFT-WALL### 12 reported 0 ###LEFT-WALL### 25 . 1 the 3 majority 2 vast 3 majority 3 majority 6 = 3 majority 10 % 3 majority 12 reported 4 ( 6 = 5 n 6 = 6 = 7 200 8 , 10 % 9 73 10 % 10 % 11 ) 12 reported 16 one 12 reported 22 in 14 at 15 least 15 least 16 one 16 one 17 resident 17 resident 18 with 18 with 21 prescription 19 an 20 antipsychotic 19 an 21 prescription 20 antipsychotic 21 prescription 22 in 24 home 23 their 24 home twelve percent ( n = 1027 [ )(of care home residents were reported to be prescribed antipsychotic medications . 0 ###LEFT-WALL### 2 percent 0 ###LEFT-WALL### 13 reported 0 ###LEFT-WALL### 19 . 1 twelve 2 percent 2 percent 5 = 2 percent 12 were 3 ( 5 = 4 n 5 = 5 = 6 1027 6 1027 8 )(of 8 )(of 11 residents 9 care 11 residents 10 home 11 residents 12 were 13 reported 13 reported 14 to 13 reported 15 be 14 to 15 be 15 be 18 medications 16 prescribed 18 medications 17 antipsychotic 18 medications aggression was most frequently reported , by 37 % ( n = 109 ) of care home managers , as [a] difficult behaviour to manage . 0 ###LEFT-WALL### 1 aggression 0 ###LEFT-WALL### 2 was 1 aggression 2 was 2 was 3 most 3 most 5 reported 3 most 15 of 4 frequently 5 reported 5 reported 7 by 6 , 7 by 7 by 9 % 7 by 14 ) 8 37 9 % 9 % 12 = 10 ( 12 = 11 n 12 = 12 = 13 109 15 of 18 managers 16 care 18 managers 17 home 18 managers 18 managers 20 as 19 , 20 as 20 as 23 behaviour 20 as 26 . 22 difficult 23 behaviour 23 behaviour 24 to 23 behaviour 25 manage 24 to 25 manage [non] - pharmacological interventions were reported to be used in 87 % ( n = 253 [ )(of care homes . 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 6 reported 0 ###LEFT-WALL### 21 . 2 - 4 interventions 3 pharmacological 4 interventions 4 interventions 5 were 5 were 6 reported 6 reported 7 to 6 reported 9 used 7 to 8 be 8 be 9 used 9 used 10 in 10 in 12 % 11 87 12 % 12 % 15 = 13 ( 15 = 14 n 15 = 15 = 16 253 16 253 18 )(of 18 )(of 20 homes 19 care 20 homes the interventions most commonly used in care homes to manage difficult behaviours were reminiscence ( 75 % , n = 219 ) and music therapy ( 73 % , n = 213 [ )( 0 ###LEFT-WALL### 2 interventions 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 34 )( 1 the 2 interventions 2 interventions 3 most 2 interventions 5 used 2 interventions 13 were 3 most 5 used 4 commonly 5 used 5 used 6 in 5 used 9 to 5 used 10 manage 6 in 8 homes 7 care 8 homes 9 to 10 manage 10 manage 12 behaviours 11 difficult 12 behaviours 13 were 14 reminiscence 14 reminiscence 17 % 14 reminiscence 20 = 15 ( 17 % 16 75 17 % 17 % 18 , 19 n 20 = 20 = 21 219 20 = 22 ) 23 and 25 therapy 23 and 31 = 24 music 25 therapy 25 therapy 28 % 25 therapy 31 = 26 ( 28 % 27 73 28 % 28 % 29 , 30 n 31 = 31 = 32 213 conclusion : this survey was a first attempt to estimate the use of antipsychotics in care homes . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 survey 2 : 5 was 2 : 18 . 3 this 4 survey 4 survey 5 was 5 was 8 attempt 6 a 8 attempt 7 first 8 attempt 8 attempt 9 to 8 attempt 10 estimate 9 to 10 estimate 10 estimate 12 use 10 estimate 15 in 11 the 12 use 12 use 13 of 13 of 14 antipsychotics 15 in 17 homes 16 care 17 homes despite measures to reduce antipsychotic use for all people with dementia in england , we found that 12 % of care home residents were still prescribed antipsychotic medication . 0 ###LEFT-WALL### 15 we 0 ###LEFT-WALL### 16 found 0 ###LEFT-WALL### 29 . 1 despite 2 measures 1 despite 15 we 3 to 4 reduce 3 to 14 , 3 to 15 we 4 reduce 6 use 4 reduce 7 for 4 reduce 12 in 5 antipsychotic 6 use 7 for 9 people 8 all 9 people 9 people 10 with 10 with 11 dementia 12 in 13 england 15 we 16 found 16 found 17 that 17 that 19 % 17 that 24 were 18 12 19 % 19 % 20 of 19 % 24 were 20 of 23 residents 21 care 22 home 22 home 23 residents 24 were 28 medication 25 still 26 prescribed 26 prescribed 28 medication 27 antipsychotic 28 medication around half of all care home managers reported they had experienced behaviours they found difficult . 0 ###LEFT-WALL### 7 managers 0 ###LEFT-WALL### 8 reported 0 ###LEFT-WALL### 16 . 1 around 2 half 1 around 7 managers 2 half 3 of 3 of 6 home 4 all 6 home 5 care 6 home 7 managers 8 reported 8 reported 9 they 8 reported 11 experienced 9 they 10 had 10 had 11 experienced 11 experienced 12 behaviours 12 behaviours 13 they 12 behaviours 14 found 13 they 14 found 14 found 15 difficult antipsychotic medications and a variety of [non] [-] pharmacological interventions appear to be used concurrently in many care homes . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 11 appear 0 ###LEFT-WALL### 20 . 1 antipsychotic 2 medications 2 medications 3 and 3 and 5 variety 3 and 11 appear 4 a 5 variety 5 variety 6 of 6 of 10 interventions 9 pharmacological 10 interventions 11 appear 12 to 11 appear 14 used 12 to 13 be 13 be 14 used 14 used 15 concurrently 14 used 16 in 16 in 19 homes 17 many 19 homes 18 care 19 homes background : it has been established that the overall performance of associative memory was disproportionately impaired in contrast to item memory in amci ( amnestic mild cognitive impairment ) patients , but little is known about the specific aspects of the memory process that show differences between amci and healthy controls . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 52 . 2 : 3 it 2 : 6 established 2 : 32 but 3 it 4 has 4 has 5 been 5 been 6 established 6 established 7 that 7 that 10 performance 7 that 16 impaired 8 the 10 performance 9 overall 10 performance 10 performance 11 of 10 performance 14 was 11 of 13 memory 12 associative 13 memory 14 was 15 disproportionately 14 was 16 impaired 16 impaired 17 in 16 impaired 19 to 16 impaired 22 in 17 in 18 contrast 19 to 21 memory 20 item 21 memory 22 in 30 patients 23 amci 28 impairment 23 amci 29 ) 23 amci 30 patients 24 ( 28 impairment 25 amnestic 28 impairment 26 mild 28 impairment 27 cognitive 28 impairment 28 impairment 29 ) 31 , 32 but 32 but 33 little 32 but 35 known 33 little 34 is 34 is 35 known 35 known 36 about 35 known 47 between 36 about 39 aspects 37 the 39 aspects 38 specific 39 aspects 39 aspects 40 of 39 aspects 44 that 39 aspects 45 show 40 of 43 process 41 the 43 process 42 memory 43 process 44 that 45 show 45 show 46 differences 47 between 51 controls 48 amci 49 and 49 and 50 healthy 49 and 51 controls by comparing an item [-] item associative learning test with an individual item learning test , the present study investigated whether the rate of learning was slower in associative memory than in item memory in amci . 0 ###LEFT-WALL### 19 study 0 ###LEFT-WALL### 20 investigated 0 ###LEFT-WALL### 37 . 1 by 2 comparing 1 by 19 study 2 comparing 9 test 3 an 9 test 4 item 9 test 6 item 9 test 7 associative 9 test 8 learning 9 test 10 with 15 test 10 with 16 , 10 with 19 study 11 an 12 individual 11 an 15 test 12 individual 15 test 13 item 15 test 14 learning 15 test 17 the 19 study 18 present 19 study 19 study 20 investigated 20 investigated 21 whether 21 whether 23 rate 21 whether 26 was 22 the 23 rate 23 rate 24 of 23 rate 26 was 24 of 25 learning 26 was 27 slower 27 slower 28 in 27 slower 31 than 27 slower 35 in 28 in 30 memory 29 associative 30 memory 31 than 32 in 32 in 34 memory 33 item 34 memory 35 in 36 amci furthermore , we examined whether deficits in intertrial acquisition and consolidation contributed to the potential disproportionate impairments in the learning rate of associative memory for amci patients . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 examined 0 ###LEFT-WALL### 28 . 1 furthermore 2 , 1 furthermore 3 we 3 we 4 examined 4 examined 5 whether 5 whether 6 deficits 5 whether 12 contributed 6 deficits 7 in 6 deficits 12 contributed 7 in 10 and 8 intertrial 9 acquisition 9 acquisition 10 and 10 and 11 consolidation 12 contributed 13 to 12 contributed 18 in 13 to 17 impairments 14 the 17 impairments 15 potential 17 impairments 16 disproportionate 17 impairments 18 in 21 rate 19 the 21 rate 20 learning 21 rate 21 rate 22 of 22 of 24 memory 23 associative 24 memory 24 memory 25 for 25 for 27 patients 26 amci 27 patients in addition , we further explored whether the amci - discriminative power of the associative memory test increases more than that of the item memory test when the number of learning [-] test trials increases . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 6 explored 0 ###LEFT-WALL### 36 . 1 in 2 addition 1 in 3 , 1 in 4 we 4 we 6 explored 5 further 6 explored 6 explored 7 whether 6 explored 19 more 6 explored 20 than 7 whether 12 power 7 whether 18 increases 8 the 12 power 9 amci 10 - 9 amci 12 power 11 discriminative 12 power 12 power 13 of 12 power 18 increases 13 of 17 test 14 the 17 test 15 associative 16 memory 16 memory 17 test 20 than 21 that 20 than 22 of 22 of 26 test 23 the 26 test 24 item 26 test 25 memory 26 test 26 test 27 when 27 when 29 number 27 when 35 increases 28 the 29 number 29 number 30 of 29 number 35 increases 30 of 31 learning 31 learning 34 trials 33 test 34 trials methods : a group of 40 amci patients and 40 matched control participants were administered a standardized item memory test ( auditory verbal learning test , avlt ) and a standardized associative memory test ( paired associative learning test , palt ) , as well as other neuropsychological tests and clinical assessments . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 53 . 1 methods 2 : 2 : 8 patients 3 a 4 group 4 group 5 of 4 group 8 patients 5 of 8 patients 6 40 8 patients 7 amci 8 patients 9 and 12 control 9 and 15 administered 10 40 11 matched 11 matched 12 control 12 control 13 participants 12 control 14 were 12 control 15 administered 13 participants 14 were 15 administered 20 test 15 administered 45 well 15 administered 46 as 16 a 20 test 17 standardized 19 memory 18 item 19 memory 19 memory 20 test 20 test 29 and 21 ( 29 and 22 auditory 27 avlt 23 verbal 24 learning 24 learning 25 test 25 test 27 avlt 26 , 27 avlt 27 avlt 28 ) 27 avlt 29 and 29 and 34 test 29 and 41 palt 29 and 43 , 30 a 34 test 31 standardized 33 memory 32 associative 33 memory 33 memory 34 test 35 ( 41 palt 36 paired 41 palt 37 associative 38 learning 38 learning 39 test 39 test 41 palt 40 , 41 palt 41 palt 42 ) 44 as 45 well 46 as 50 and 47 other 49 tests 48 neuropsychological 49 tests 49 tests 50 and 50 and 52 assessments 51 clinical 52 assessments results : the results indicated that the learning rate deficits in amci patients were more obvious for associative memory than for item memory and that the deficits resulted from impairments in both intertrial acquisition and consolidation . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 4 results 2 : 5 indicated 2 : 20 than 3 the 4 results 4 results 5 indicated 5 indicated 6 that 6 that 10 deficits 6 that 14 were 7 the 10 deficits 8 learning 10 deficits 9 rate 10 deficits 10 deficits 11 in 10 deficits 14 were 11 in 13 patients 12 amci 13 patients 14 were 16 obvious 15 more 16 obvious 16 obvious 17 for 17 for 19 memory 18 associative 19 memory 20 than 27 deficits 20 than 28 resulted 21 for 24 and 21 for 27 deficits 22 item 23 memory 23 memory 24 and 24 and 25 that 26 the 27 deficits 27 deficits 28 resulted 28 resulted 29 from 28 resulted 31 in 29 from 30 impairments 31 in 35 and 32 both 33 intertrial 33 intertrial 34 acquisition 34 acquisition 35 and 35 and 36 consolidation in addition , the receiver operating characteristic curve and logistical regression analysis revealed that the discriminative power of the associative memory test for amci was larger than that of the item memory test , especially with more than one learning - test trials . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 13 revealed 0 ###LEFT-WALL### 41 - 0 ###LEFT-WALL### 44 . 1 in 2 addition 1 in 3 , 1 in 9 and 4 the 8 curve 5 receiver 6 operating 6 operating 8 curve 7 characteristic 8 curve 8 curve 9 and 9 and 12 analysis 9 and 13 revealed 10 logistical 11 regression 11 regression 12 analysis 13 revealed 14 that 14 that 17 power 14 that 25 was 15 the 17 power 16 discriminative 17 power 17 power 18 of 17 power 25 was 18 of 22 test 19 the 22 test 20 associative 22 test 21 memory 22 test 22 test 23 for 23 for 24 amci 25 was 26 larger 26 larger 27 than 26 larger 36 with 27 than 28 that 27 than 29 of 29 of 33 test 30 the 33 test 31 item 33 test 32 memory 33 test 34 , 35 especially 34 , 36 with 36 with 39 one 36 with 41 - 37 more 38 than 38 than 39 one 39 one 40 learning 41 - 42 test 42 test 43 trials conclusions : due to more deficits in learning rate of associative memory than that of item memory , the discriminative power for amci tended to be larger in associative memory than in item memory when the number of learning [-] test trials increased . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 44 . 1 conclusions 2 : 2 : 3 due 2 : 13 than 3 due 4 to 3 due 6 deficits 3 due 9 rate 3 due 10 of 4 to 5 more 6 deficits 7 in 6 deficits 9 rate 7 in 8 learning 10 of 12 memory 11 associative 12 memory 13 than 14 that 13 than 15 of 15 of 17 memory 16 item 17 memory 18 , 26 be 19 the 21 power 20 discriminative 21 power 21 power 22 for 21 power 24 tended 22 for 23 amci 24 tended 25 to 25 to 26 be 26 be 27 larger 27 larger 28 in 27 larger 31 than 28 in 30 memory 29 associative 30 memory 31 than 32 in 32 in 34 memory 33 item 34 memory 34 memory 35 when 34 memory 43 increased 35 when 37 number 35 when 41 test 36 the 37 number 37 number 38 of 37 number 41 test 38 of 39 learning 41 test 42 trials it is suggested that associative memory tests with multiple trials may be particularly useful for early detection of amci . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 suggested 0 ###LEFT-WALL### 20 . 1 it 2 is 2 is 3 suggested 3 suggested 4 that 4 that 7 tests 4 that 12 be 5 associative 6 memory 6 memory 7 tests 7 tests 8 with 7 tests 11 may 8 with 10 trials 9 multiple 10 trials 11 may 12 be 12 be 13 particularly 12 be 14 useful 14 useful 15 for 15 for 17 detection 16 early 17 detection 17 detection 18 of 18 of 19 amci varicella - zoster virus ( vzv ) causes two distinct diseases , varicella ( chickenpox [ )(and shingles ( herpes zoster ) . 0 ###LEFT-WALL### 1 varicella 0 ###LEFT-WALL### 8 causes 0 ###LEFT-WALL### 23 . 1 varicella 4 virus 1 varicella 8 causes 2 - 4 virus 3 zoster 4 virus 4 virus 6 vzv 4 virus 7 ) 5 ( 6 vzv 6 vzv 7 ) 8 causes 11 diseases 9 two 11 diseases 10 distinct 11 diseases 11 diseases 13 varicella 12 , 13 varicella 13 varicella 17 )(and 13 varicella 22 ) 14 ( 17 )(and 15 chickenpox 17 )(and 17 )(and 18 shingles 17 )(and 21 zoster 17 )(and 22 ) 19 ( 21 zoster 20 herpes 21 zoster 21 zoster 22 ) chickenpox [occurs] subsequent to primary infection , while herpes zoster ( usually associated with aging and immunosuppression ) appears as a consequence of reactivation of latent virus . 0 ###LEFT-WALL### 1 chickenpox 0 ###LEFT-WALL### 19 appears 0 ###LEFT-WALL### 28 . 1 chickenpox 3 subsequent 1 chickenpox 19 appears 3 subsequent 4 to 3 subsequent 8 while 4 to 6 infection 5 primary 6 infection 7 , 8 while 8 while 9 herpes 8 while 10 zoster 8 while 18 ) 9 herpes 10 zoster 10 zoster 14 with 11 ( 12 usually 11 ( 14 with 12 usually 13 associated 14 with 16 and 14 with 18 ) 15 aging 16 and 16 and 17 immunosuppression 19 appears 20 as 20 as 22 consequence 21 a 22 consequence 22 consequence 23 of 22 consequence 25 of 23 of 24 reactivation 25 of 27 virus 26 latent 27 virus the major complication of shingles is postherpetic neuralgia . 0 ###LEFT-WALL### 3 complication 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 9 . 1 the 3 complication 2 major 3 complication 3 complication 4 of 3 complication 6 is 4 of 5 shingles 6 is 8 neuralgia 7 postherpetic 8 neuralgia vaccination strategies to prevent varicella or shingles and the current status of antivirals against vzv will be discussed in this chapter . 0 ###LEFT-WALL### 2 strategies 0 ###LEFT-WALL### 5 varicella 0 ###LEFT-WALL### 6 or 0 ###LEFT-WALL### 22 . 1 vaccination 2 strategies 2 strategies 3 to 2 strategies 4 prevent 2 strategies 5 varicella 3 to 4 prevent 6 or 8 and 6 or 18 discussed 7 shingles 8 and 8 and 11 status 8 and 12 of 8 and 14 against 8 and 16 will 9 the 11 status 10 current 11 status 12 of 13 antivirals 14 against 15 vzv 16 will 17 be 17 be 18 discussed 18 discussed 19 in 19 in 21 chapter 20 this 21 chapter varivax® , a live - attenuated vaccine , is available for pediatric varicella . 0 ###LEFT-WALL### 1 varivax® 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 14 . 1 varivax® 7 vaccine 1 varivax® 9 is 2 , 7 vaccine 3 a 4 live 3 a 7 vaccine 4 live 5 - 4 live 7 vaccine 6 attenuated 7 vaccine 7 vaccine 8 , 9 is 10 available 10 available 11 for 11 for 13 varicella 12 pediatric 13 varicella zostavax® is used to boost vzv - specific cell - mediated immunity in adults older than 50 years , which results in a decrease in the burden of herpes zoster and pain related to postherpetic neuralgia . 0 ###LEFT-WALL### 1 zostavax® 0 ###LEFT-WALL### 3 used 0 ###LEFT-WALL### 7 - 1 zostavax® 2 is 2 is 3 used 3 used 4 to 3 used 5 boost 4 to 5 boost 5 boost 6 vzv 7 - 9 cell 7 - 10 - 7 - 37 . 8 specific 9 cell 10 - 12 immunity 10 - 19 , 11 mediated 12 immunity 12 immunity 13 in 12 immunity 15 older 13 in 14 adults 15 older 16 than 16 than 18 years 17 50 18 years 19 , 20 which 19 , 30 zoster 19 , 31 and 20 which 21 results 21 results 22 in 21 results 25 in 21 results 28 of 21 results 30 zoster 22 in 24 decrease 23 a 24 decrease 25 in 27 burden 26 the 27 burden 28 of 29 herpes 31 and 32 pain 31 and 33 related 32 pain 33 related 33 related 34 to 34 to 36 neuralgia 35 postherpetic 36 neuralgia regardless of the availability of a vaccine , new antiviral agents are necessary for treatment of vzv infections . 0 ###LEFT-WALL### 11 agents 0 ###LEFT-WALL### 12 are 0 ###LEFT-WALL### 19 . 1 regardless 2 of 2 of 4 availability 2 of 8 , 2 of 11 agents 3 the 4 availability 4 availability 5 of 5 of 7 vaccine 6 a 7 vaccine 9 new 11 agents 10 antiviral 11 agents 11 agents 12 are 12 are 13 necessary 13 necessary 14 for 14 for 15 treatment 15 treatment 16 of 16 of 18 infections 17 vzv 18 infections current drugs approved for therapy of vzv infections include nucleoside analogues that target the viral dna polymerase and depend on the viral thymidine kinase for their activation . 0 ###LEFT-WALL### 2 drugs 0 ###LEFT-WALL### 9 include 0 ###LEFT-WALL### 28 . 1 current 2 drugs 2 drugs 3 approved 2 drugs 6 of 2 drugs 9 include 3 approved 4 for 4 for 5 therapy 6 of 8 infections 7 vzv 8 infections 9 include 11 analogues 9 include 25 for 10 nucleoside 11 analogues 11 analogues 12 that 11 analogues 18 and 12 that 18 and 13 target 17 polymerase 13 target 18 and 14 the 17 polymerase 15 viral 17 polymerase 16 dna 17 polymerase 18 and 19 depend 19 depend 20 on 20 on 24 kinase 21 the 24 kinase 22 viral 24 kinase 23 thymidine 24 kinase 25 for 27 activation 26 their 27 activation novel anti - vzv drugs have recently been evaluated in clinical trials , including the bicyclic nucleoside analogue fv - 100 , the helicase - primase inhibitor asp2151 , and valomaciclovir ( prodrug of the acyclic guanosine derivative h2g ) . 0 ###LEFT-WALL### 5 drugs 0 ###LEFT-WALL### 9 evaluated 0 ###LEFT-WALL### 41 . 1 novel 5 drugs 2 anti 3 - 2 anti 5 drugs 4 vzv 5 drugs 5 drugs 6 have 6 have 8 been 7 recently 8 been 8 been 9 evaluated 9 evaluated 10 in 10 in 12 trials 11 clinical 12 trials 12 trials 14 including 12 trials 21 100 13 , 14 including 14 including 19 fv 14 including 20 - 15 the 18 analogue 16 bicyclic 17 nucleoside 17 nucleoside 18 analogue 18 analogue 19 fv 20 - 21 100 21 100 24 helicase 21 100 30 and 21 100 40 ) 22 , 24 helicase 23 the 24 helicase 24 helicase 25 - 25 - 30 and 26 primase 27 inhibitor 27 inhibitor 28 asp2151 28 asp2151 30 and 29 , 30 and 30 and 31 valomaciclovir 30 and 33 prodrug 30 and 40 ) 32 ( 33 prodrug 33 prodrug 34 of 33 prodrug 40 ) 34 of 39 h2g 35 the 38 derivative 36 acyclic 37 guanosine 37 guanosine 38 derivative 38 derivative 39 h2g different candidate vzv drugs have been described in recent years . 0 ###LEFT-WALL### 4 drugs 0 ###LEFT-WALL### 7 described 0 ###LEFT-WALL### 11 . 1 different 2 candidate 2 candidate 4 drugs 3 vzv 4 drugs 4 drugs 5 have 5 have 6 been 6 been 7 described 7 described 8 in 8 in 10 years 9 recent 10 years new anti - vzv drugs should be as safe as [and] more effective than current gold standards for the treatment of vzv , that is , acyclovir and its prodrug valacyclovir . 0 ###LEFT-WALL### 4 vzv 0 ###LEFT-WALL### 14 than 0 ###LEFT-WALL### 32 . 1 new 4 vzv 2 anti 3 - 2 anti 4 vzv 5 drugs 6 should 6 should 7 be 7 be 9 safe 8 as 9 safe 9 safe 10 as 9 safe 14 than 10 as 13 effective 12 more 13 effective 14 than 28 and 14 than 31 valacyclovir 15 current 17 standards 16 gold 17 standards 17 standards 18 for 17 standards 21 of 17 standards 27 acyclovir 17 standards 28 and 18 for 20 treatment 19 the 20 treatment 21 of 22 vzv 23 , 25 is 24 that 25 is 25 is 26 , 25 is 27 acyclovir 28 and 30 prodrug 29 its 30 prodrug 30 prodrug 31 valacyclovir objective : arsenic ( as [ )(exposure may cause several medical problems . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 1 objective 2 : 2 : 3 arsenic 3 arsenic 9 cause 4 ( 5 as 5 as 7 )(exposure 5 as 9 cause 7 )(exposure 8 may 8 may 9 cause 9 cause 12 problems 9 cause 13 . 10 several 12 problems 11 medical 12 problems there were a few studies investigated whether it has affected bone tissue in women . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 15 . 1 there 2 were 2 were 5 studies 3 a 4 few 4 few 5 studies 5 studies 6 investigated 6 investigated 7 whether 7 whether 8 it 7 whether 10 affected 8 it 9 has 9 has 10 affected 10 affected 12 tissue 11 bone 12 tissue 12 tissue 13 in 13 in 14 women however , there was no study in men . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 9 . 1 however 2 , 1 however 3 there 3 there 4 was 4 was 6 study 5 no 6 study 6 study 7 in 7 in 8 men the aim of this study was to evaluate associations between bone mineral density ( bmd ) and as exposure in men subjects . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 22 subjects 0 ###LEFT-WALL### 23 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 evaluate 7 to 8 evaluate 8 evaluate 17 and 9 associations 10 between 9 associations 17 and 10 between 13 density 11 bone 13 density 12 mineral 13 density 13 density 15 bmd 14 ( 15 bmd 15 bmd 16 ) 17 and 18 as 17 and 19 exposure 17 and 22 subjects 19 exposure 20 in 19 exposure 22 subjects 20 in 21 men material and methods : we enrolled in this study 254 subjects who due to chronic as exposure suspected and 82 subjects as a control group . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 material 2 and 2 and 3 methods 4 : 5 we 4 : 6 enrolled 4 : 26 . 5 we 6 enrolled 6 enrolled 7 in 6 enrolled 11 subjects 7 in 9 study 8 this 9 study 10 254 11 subjects 11 subjects 12 who 11 subjects 25 group 12 who 19 and 12 who 25 group 13 due 14 to 14 to 16 as 14 to 19 and 15 chronic 16 as 17 exposure 18 suspected 17 exposure 19 and 19 and 21 subjects 19 and 22 as 19 and 25 group 20 82 21 subjects 22 as 24 control 23 a 24 control hair as levels were detected by a hair analysis ( varian aa240z zeeman atomic absorption spectrometer , usa ) . 0 ###LEFT-WALL### 3 levels 0 ###LEFT-WALL### 5 detected 0 ###LEFT-WALL### 20 . 1 hair 3 levels 2 as 3 levels 3 levels 4 were 4 were 5 detected 5 detected 6 by 6 by 9 analysis 7 a 8 hair 7 a 9 analysis 8 hair 9 analysis 9 analysis 16 spectrometer 9 analysis 18 usa 10 ( 16 spectrometer 11 varian 12 aa240z 12 aa240z 13 zeeman 13 zeeman 14 atomic 14 atomic 15 absorption 15 absorption 16 spectrometer 16 spectrometer 17 , 17 , 18 usa 18 usa 19 ) bmd measurements were obtained using dual - energy x - ray absorptiometry instrumentation . 0 ###LEFT-WALL### 2 measurements 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 14 . 1 bmd 2 measurements 2 measurements 3 were 3 were 4 obtained 4 obtained 5 using 5 using 8 energy 6 dual 7 - 6 dual 8 energy 8 energy 9 x 9 x 10 - 10 - 11 ray 11 ray 13 instrumentation 12 absorptiometry 13 instrumentation we investigated associations between the hair as levels and bmd measurements . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 12 . 1 we 2 investigated 2 investigated 3 associations 2 investigated 4 between 4 between 9 and 5 the 8 levels 6 hair 8 levels 7 as 8 levels 8 levels 9 and 9 and 11 measurements 10 bmd 11 measurements results : the frequency of osteoporosis and osteopenia was found to be 0.8 [%] and 54.5 % , respectively , in the as exposure group . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 4 frequency 2 : 12 be 3 the 4 frequency 4 frequency 5 of 4 frequency 9 was 5 of 7 and 6 osteoporosis 7 and 7 and 8 osteopenia 9 was 10 found 10 found 11 to 11 to 12 be 12 be 17 % 12 be 19 respectively 12 be 21 in 13 0.8 15 and 15 and 16 54.5 15 and 17 % 18 , 19 respectively 19 respectively 20 , 21 in 25 group 22 the 25 group 23 as 25 group 24 exposure 25 group the frequency of osteoporosis was found to be 1 % and osteopenia was 32.4 % in control subjects . 0 ###LEFT-WALL### 2 frequency 0 ###LEFT-WALL### 8 be 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 19 . 1 the 2 frequency 2 frequency 3 of 2 frequency 5 was 3 of 4 osteoporosis 5 was 6 found 6 found 7 to 7 to 8 be 8 be 10 % 9 1 10 % 11 and 12 osteopenia 11 and 13 was 12 osteopenia 13 was 13 was 18 subjects 14 32.4 16 in 15 % 16 in 16 in 18 subjects 17 control 18 subjects there [was] significant difference between two groups ( p < 0.001 ) . 0 ###LEFT-WALL### 4 difference 0 ###LEFT-WALL### 7 groups 0 ###LEFT-WALL### 13 . 1 there 4 difference 3 significant 4 difference 4 difference 5 between 4 difference 7 groups 5 between 6 two 7 groups 10 < 8 ( 10 < 9 p 10 < 10 < 11 0.001 10 < 12 ) hair as level has a median 1.01 ( min [:] [0.06] and max : 25.71 [ )( 0 ###LEFT-WALL### 3 level 0 ###LEFT-WALL### 4 has 0 ###LEFT-WALL### 14 : 1 hair 3 level 2 as 3 level 3 level 4 has 4 has 6 median 5 a 6 median 6 median 7 1.01 6 median 12 and 8 ( 12 and 9 min 12 and 12 and 13 max 12 and 14 : 14 : 15 25.71 14 : 17 )( there were no significant correlation between hair as levels and bmd measurements . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 13 . 1 there 2 were 2 were 10 and 3 no 5 correlation 4 significant 5 correlation 5 correlation 6 between 5 correlation 10 and 6 between 9 levels 7 hair 9 levels 8 as 9 levels 10 and 12 measurements 11 bmd 12 measurements conclusion : according to our observations , as exposure was associated with bone metabolism . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 15 . 1 conclusion 2 : 2 : 4 to 3 according 4 to 4 to 6 observations 5 our 6 observations 7 , 9 exposure 7 , 11 associated 8 as 9 exposure 9 exposure 10 was 10 was 11 associated 11 associated 12 with 12 with 14 metabolism 13 bone 14 metabolism possible [cause] of osteopenia may be exposure to as . 0 ###LEFT-WALL### 1 possible 0 ###LEFT-WALL### 6 be 0 ###LEFT-WALL### 10 . 1 possible 3 of 1 possible 5 may 3 of 4 osteopenia 5 may 6 be 6 be 7 exposure 7 exposure 8 to 8 to 9 as further investigations are needed to estimate the relationship between as and bone metabolism . 0 ###LEFT-WALL### 2 investigations 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 14 . 1 further 2 investigations 2 investigations 3 are 3 are 11 and 4 needed 5 to 4 needed 6 estimate 4 needed 11 and 5 to 6 estimate 6 estimate 8 relationship 6 estimate 9 between 7 the 8 relationship 9 between 10 as 11 and 12 bone 12 bone 13 metabolism introduction : overactive [bladder] ( oab ) and its resultant urge urinary incontinence ( uui ) are significant problems that medically [,] psychologically [and] financially affect people . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 2 : 8 and 2 : 11 urge 2 : 28 . 3 overactive 6 oab 5 ( 6 oab 6 oab 7 ) 6 oab 8 and 8 and 10 resultant 8 and 11 urge 9 its 10 resultant 11 urge 13 incontinence 11 urge 17 are 12 urinary 13 incontinence 13 incontinence 15 uui 13 incontinence 17 are 14 ( 15 uui 15 uui 16 ) 17 are 19 problems 18 significant 19 problems 19 problems 20 that 19 problems 26 affect 20 that 26 affect 21 medically 26 affect 23 psychologically 26 affect 25 financially 26 affect 26 affect 27 people the constellation of symptoms comprising oab affects ∼ 16 % of the adult population and its prevalence increases with aging . 0 ###LEFT-WALL### 2 constellation 0 ###LEFT-WALL### 7 affects 0 ###LEFT-WALL### 21 . 1 the 2 constellation 2 constellation 3 of 2 constellation 7 affects 3 of 4 symptoms 4 symptoms 5 comprising 5 comprising 6 oab 7 affects 8 ∼ 8 ∼ 10 % 8 ∼ 18 increases 9 16 10 % 10 % 11 of 10 % 18 increases 11 of 15 and 12 the 14 population 13 adult 14 population 14 population 15 and 15 and 17 prevalence 16 its 17 prevalence 18 increases 19 with 19 with 20 aging the typical class of medications used to treat oab is antimuscarinics . 0 ###LEFT-WALL### 3 class 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 12 . 1 the 3 class 2 typical 3 class 3 class 4 of 3 class 10 is 4 of 5 medications 5 medications 6 used 6 used 7 to 6 used 8 treat 7 to 8 treat 8 treat 9 oab 10 is 11 antimuscarinics areas covered : oab medications [,] with a focus on tolterodine for the treatment of uui are reviewed . 0 ###LEFT-WALL### 2 covered 0 ###LEFT-WALL### 3 : 1 areas 2 covered 3 : 5 medications 3 : 18 reviewed 3 : 19 . 4 oab 5 medications 5 medications 7 with 5 medications 10 on 5 medications 15 of 5 medications 17 are 7 with 9 focus 8 a 9 focus 10 on 11 tolterodine 11 tolterodine 12 for 12 for 14 treatment 13 the 14 treatment 15 of 16 uui 17 are 18 reviewed a thorough review of english language literature using embase/medline and pubmed has been performed . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 14 performed 0 ###LEFT-WALL### 15 . 1 a 2 thorough 1 a 3 review 2 thorough 3 review 3 review 4 of 3 review 12 has 4 of 7 literature 5 english 6 language 6 language 7 literature 7 literature 8 using 8 using 11 pubmed 9 embase/medline 10 and 10 and 11 pubmed 12 has 13 been 13 been 14 performed expert opinion : tolterodine provides a reasonable starting point when treating patients with oab and uui . 0 ###LEFT-WALL### 2 opinion 0 ###LEFT-WALL### 3 : 1 expert 2 opinion 3 : 4 tolterodine 3 : 5 provides 3 : 17 . 4 tolterodine 5 provides 5 provides 9 point 5 provides 10 when 5 provides 13 with 6 a 7 reasonable 6 a 9 point 7 reasonable 9 point 8 starting 9 point 10 when 11 treating 11 treating 12 patients 13 with 15 and 14 oab 15 and 15 and 16 uui efficacy and tolerability are generally comparable between tolterodine and other newer antimuscarinics . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 13 . 1 efficacy 2 and 2 and 3 tolerability 2 and 4 are 4 are 5 generally 4 are 6 comparable 6 comparable 7 between 7 between 9 and 8 tolterodine 9 and 9 and 12 antimuscarinics 10 other 12 antimuscarinics 11 newer 12 antimuscarinics tolterodine is a good option as part of the algorithm in the treatment of oab and uui . 0 ###LEFT-WALL### 1 tolterodine 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 18 . 1 tolterodine 2 is 2 is 5 option 2 is 6 as 2 is 11 in 3 a 4 good 3 a 5 option 4 good 5 option 6 as 7 part 7 part 8 of 8 of 10 algorithm 9 the 10 algorithm 11 in 13 treatment 12 the 13 treatment 13 treatment 14 of 14 of 17 uui 15 oab 16 and 16 and 17 uui in this study , quantitative analysis of inflammatory effectors -- mast cells and eosinophils -- in derma of people of different ages is performed . 0 ###LEFT-WALL### 6 analysis 0 ###LEFT-WALL### 24 performed 0 ###LEFT-WALL### 25 . 1 in 3 study 1 in 4 , 1 in 6 analysis 2 this 3 study 5 quantitative 6 analysis 6 analysis 7 of 6 analysis 16 in 6 analysis 23 is 7 of 9 effectors 8 inflammatory 9 effectors 9 effectors 13 and 10 -- 13 and 11 mast 12 cells 12 cells 13 and 13 and 14 eosinophils 13 and 15 -- 16 in 17 derma 17 derma 18 of 18 of 19 people 19 people 20 of 20 of 22 ages 21 different 22 ages 23 is 24 performed the study shows that mast cell quantity in derma increases with age . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 shows 0 ###LEFT-WALL### 13 . 1 the 2 study 2 study 3 shows 3 shows 7 quantity 3 shows 8 in 3 shows 11 with 4 that 7 quantity 5 mast 7 quantity 6 cell 7 quantity 8 in 10 increases 9 derma 10 increases 11 with 12 age eosinophils are rarely observed in human dermis . 0 ###LEFT-WALL### 1 eosinophils 0 ###LEFT-WALL### 4 observed 0 ###LEFT-WALL### 8 . 1 eosinophils 2 are 2 are 4 observed 3 rarely 4 observed 4 observed 5 in 5 in 7 dermis 6 human 7 dermis there are no age [-] correlated changes of dermal eosinophils quantity observed . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 13 . 1 there 2 are 2 are 7 changes 2 are 12 observed 3 no 7 changes 4 age 6 correlated 6 correlated 7 changes 7 changes 8 of 8 of 10 eosinophils 9 dermal 10 eosinophils 11 quantity 12 observed age - correlated dermal fibroblast [quantity] is established . 0 ###LEFT-WALL### 5 fibroblast 0 ###LEFT-WALL### 8 established 0 ###LEFT-WALL### 9 . 1 age 2 - 1 age 5 fibroblast 3 correlated 5 fibroblast 4 dermal 5 fibroblast 5 fibroblast 7 is 7 is 8 established pcna+ fibroblast percentage demonstrating their proliferative pool also reliably decreases with age . 0 ###LEFT-WALL### 1 pcna+ 0 ###LEFT-WALL### 13 . 1 pcna+ 4 demonstrating 2 fibroblast 4 demonstrating 3 percentage 4 demonstrating 4 demonstrating 7 pool 4 demonstrating 10 decreases 5 their 7 pool 6 proliferative 7 pool 7 pool 10 decreases 8 also 10 decreases 9 reliably 10 decreases 10 decreases 11 with 11 with 12 age results of correlation analysis show that age [-] correlated increase in mast cells ' quantity is reliably correlated with decrease in total number and percentage of pcna+ fibroblasts in derma . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 5 show 0 ###LEFT-WALL### 31 . 1 results 2 of 1 results 5 show 2 of 4 analysis 3 correlation 4 analysis 5 show 10 increase 5 show 11 in 5 show 15 quantity 5 show 18 correlated 6 that 10 increase 7 age 9 correlated 9 correlated 10 increase 11 in 12 mast 13 cells 14 ' 14 ' 15 quantity 15 quantity 16 is 16 is 18 correlated 17 reliably 18 correlated 18 correlated 19 with 19 with 20 decrease 20 decrease 21 in 20 decrease 26 of 20 decrease 29 in 21 in 24 and 22 total 23 number 23 number 24 and 24 and 25 percentage 26 of 28 fibroblasts 27 pcna+ 28 fibroblasts 29 in 30 derma consequently , age - correlated increase [in] dermal mast [cell] may be proposed to be one of the inflammatory and aging mechanisms . 0 ###LEFT-WALL### 3 age 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 15 be 0 ###LEFT-WALL### 23 . 1 consequently 2 , 1 consequently 3 age 4 - 9 mast 4 - 13 proposed 5 correlated 6 increase 6 increase 9 mast 8 dermal 9 mast 9 mast 11 may 11 may 12 be 12 be 13 proposed 13 proposed 14 to 14 to 15 be 15 be 16 one 16 one 17 of 17 of 20 and 18 the 19 inflammatory 19 inflammatory 20 and 20 and 22 mechanisms 21 aging 22 mechanisms mast cells , whose number increases with aging , may influence dermal fibroblast [number] with aging . 0 ###LEFT-WALL### 2 cells 0 ###LEFT-WALL### 11 influence 0 ###LEFT-WALL### 17 . 1 mast 2 cells 2 cells 4 whose 2 cells 10 may 3 , 4 whose 4 whose 6 increases 4 whose 9 , 5 number 6 increases 6 increases 7 with 6 increases 8 aging 7 with 8 aging 10 may 11 influence 11 influence 13 fibroblast 11 influence 15 with 12 dermal 13 fibroblast 15 with 16 aging it was revealed that beta [-] endorphin modulation of lymphocyte proliferative activity in male donors was predominantly observed under younger age groups of 20 - 29 and 30 - 39 years , while with age it gradually decreased and disappeared as such [in] group of donors under 50 - 60 years . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 52 . 1 it 2 was 2 was 3 revealed 3 revealed 4 that 3 revealed 19 under 3 revealed 33 while 3 revealed 41 as 4 that 8 modulation 4 that 16 was 5 beta 8 modulation 7 endorphin 8 modulation 8 modulation 9 of 8 modulation 16 was 9 of 12 activity 10 lymphocyte 12 activity 11 proliferative 12 activity 12 activity 13 in 13 in 15 donors 14 male 15 donors 16 was 18 observed 17 predominantly 18 observed 19 under 22 groups 20 younger 22 groups 21 age 22 groups 22 groups 23 of 23 of 24 20 24 20 27 and 25 - 27 and 26 29 27 and 27 and 28 30 27 and 31 years 27 and 32 , 29 - 31 years 30 39 31 years 31 years 32 , 33 while 36 it 33 while 39 and 34 with 35 age 34 with 36 it 36 it 39 and 37 gradually 38 decreased 38 decreased 39 and 39 and 40 disappeared 41 as 46 donors 42 such 44 group 44 group 45 of 44 group 46 donors 45 of 46 donors 46 donors 47 under 47 under 51 years 48 50 49 - 49 - 50 60 49 - 51 years meanwhile , females demonstrated prolonged modulating effect of [peptide] on the proliferation . 0 ###LEFT-WALL### 3 females 0 ###LEFT-WALL### 5 prolonged 0 ###LEFT-WALL### 13 . 1 meanwhile 2 , 1 meanwhile 3 females 3 females 4 demonstrated 3 females 5 prolonged 5 prolonged 7 effect 6 modulating 7 effect 7 effect 8 of 8 of 10 on 10 on 12 proliferation 11 the 12 proliferation male donors in age group of 20 - 29 years demonstrated beta - endorphin - stimulated and [in] age group of 50 - 59 years beta - endorphin - suppressed uptake capacity of neutrophils . 0 ###LEFT-WALL### 2 donors 0 ###LEFT-WALL### 31 uptake 0 ###LEFT-WALL### 35 . 1 male 2 donors 2 donors 3 in 2 donors 31 uptake 3 in 17 and 4 age 5 group 5 group 6 of 5 group 16 stimulated 5 group 17 and 6 of 12 beta 7 20 8 - 8 - 10 years 8 - 11 demonstrated 9 29 10 years 11 demonstrated 12 beta 12 beta 14 endorphin 13 - 14 endorphin 14 endorphin 15 - 17 and 20 group 17 and 21 of 17 and 30 suppressed 19 age 20 group 21 of 25 years 22 50 23 - 23 - 24 59 23 - 25 years 25 years 26 beta 25 years 30 suppressed 26 beta 28 endorphin 26 beta 30 suppressed 27 - 28 endorphin 28 endorphin 29 - 31 uptake 32 capacity 32 capacity 33 of 33 of 34 neutrophils in female donors from all age groups the effect of beta - endorphin on neutrophil phagocyte activity was not observed . 0 ###LEFT-WALL### 6 age 0 ###LEFT-WALL### 7 groups 0 ###LEFT-WALL### 12 - 1 in 3 donors 1 in 6 age 2 female 3 donors 3 donors 4 from 4 from 5 all 6 age 7 groups 7 groups 9 effect 8 the 9 effect 9 effect 10 of 10 of 11 beta 12 - 13 endorphin 12 - 20 observed 12 - 21 . 13 endorphin 14 on 13 endorphin 18 was 14 on 17 activity 15 neutrophil 17 activity 16 phagocyte 17 activity 18 was 19 not 18 was 20 observed introduction : hypermutation and selection processes , characterizing t - dependent b cell responses taking place in germinal centers of lymph nodes , lead to b cell receptor affinity maturation . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 2 : 4 and 2 : 24 lead 2 : 31 . 3 hypermutation 4 and 4 and 6 processes 4 and 8 characterizing 4 and 14 responses 4 and 24 lead 5 selection 6 processes 7 , 8 characterizing 8 characterizing 9 t 8 characterizing 10 - 10 - 14 responses 11 dependent 12 b 11 dependent 14 responses 13 cell 14 responses 14 responses 15 taking 14 responses 23 , 15 taking 16 place 15 taking 17 in 17 in 19 centers 18 germinal 19 centers 19 centers 20 of 20 of 22 nodes 21 lymph 22 nodes 24 lead 25 to 24 lead 30 maturation 25 to 26 b 27 cell 30 maturation 28 receptor 29 affinity 29 affinity 30 maturation those immune responses lead to the development of memory b cells and plasma cells that secrete high amounts of antibody molecules . 0 ###LEFT-WALL### 3 responses 0 ###LEFT-WALL### 4 lead 0 ###LEFT-WALL### 22 . 1 those 3 responses 2 immune 3 responses 3 responses 4 lead 4 lead 5 to 5 to 7 development 6 the 7 development 7 development 8 of 8 of 12 and 9 memory 10 b 9 memory 11 cells 11 cells 12 and 12 and 14 cells 12 and 15 that 12 and 16 secrete 13 plasma 14 cells 15 that 16 secrete 16 secrete 18 amounts 17 high 18 amounts 18 amounts 19 of 19 of 21 molecules 20 antibody 21 molecules [the] [dynamics] of b cell clonal evolution during affinity maturation has significant importance in infectious and autoimmune diseases , malignancies and aging . 0 ###LEFT-WALL### 7 evolution 0 ###LEFT-WALL### 11 has 0 ###LEFT-WALL### 23 . 3 of 4 b 3 of 7 evolution 5 cell 7 evolution 6 clonal 7 evolution 7 evolution 8 during 7 evolution 11 has 8 during 10 maturation 9 affinity 10 maturation 11 has 13 importance 11 has 14 in 12 significant 13 importance 14 in 21 and 15 infectious 16 and 16 and 17 autoimmune 16 and 18 diseases 18 diseases 19 , 19 , 20 malignancies 19 , 21 and 21 and 22 aging immunoglobulin ( ig ) gene mutational lineage tree construction by comparing variable regions of ig [-] gene sequences to the ig germline gene is an interesting approach for studying [b] cell clonal evolution . 0 ###LEFT-WALL### 9 construction 0 ###LEFT-WALL### 24 is 0 ###LEFT-WALL### 34 . 1 immunoglobulin 3 ig 1 immunoglobulin 5 gene 2 ( 3 ig 3 ig 4 ) 5 gene 9 construction 6 mutational 8 tree 7 lineage 8 tree 8 tree 9 construction 9 construction 10 by 9 construction 24 is 10 by 11 comparing 11 comparing 13 regions 11 comparing 19 to 12 variable 13 regions 13 regions 14 of 14 of 18 sequences 15 ig 18 sequences 17 gene 18 sequences 19 to 23 gene 20 the 23 gene 21 ig 22 germline 22 germline 23 gene 24 is 27 approach 25 an 26 interesting 25 an 27 approach 26 interesting 27 approach 27 approach 28 for 28 for 29 studying 29 studying 33 evolution 31 cell 33 evolution 32 clonal 33 evolution lineage tree shapes and ig gene mutations can be evaluated [not] only qualitatively and intuitively , [but] also quantitatively , and thus reveal important information related to hypermutation and selection . 0 ###LEFT-WALL### 1 lineage 0 ###LEFT-WALL### 26 related 0 ###LEFT-WALL### 31 . 2 tree 3 shapes 3 shapes 4 and 4 and 7 mutations 4 and 8 can 5 ig 7 mutations 6 gene 7 mutations 8 can 21 and 9 be 10 evaluated 9 be 21 and 10 evaluated 12 only 10 evaluated 14 and 10 evaluated 19 quantitatively 13 qualitatively 14 and 14 and 15 intuitively 16 , 18 also 16 , 19 quantitatively 19 quantitatively 20 , 21 and 23 reveal 22 thus 23 reveal 23 reveal 25 information 23 reveal 26 related 24 important 25 information 25 information 26 related 26 related 27 to 27 to 29 and 28 hypermutation 29 and 29 and 30 selection aim : in this paper we describe the experimental protocols that we used for pcr amplification of igvariable region genes from human formalin fixed paraffin embedded reactive lymph node tissues and the subsequent bioinformatical analyses of sequencing data using ig mutational lineage trees . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 6 we 2 : 7 describe 2 : 44 . 3 in 5 paper 3 in 6 we 4 this 5 paper 6 we 7 describe 7 describe 10 protocols 7 describe 14 for 7 describe 21 from 7 describe 39 using 8 the 10 protocols 9 experimental 10 protocols 10 protocols 11 that 10 protocols 13 used 11 that 12 we 11 that 13 used 12 we 13 used 14 for 16 amplification 15 pcr 16 amplification 16 amplification 17 of 17 of 20 genes 18 igvariable 19 region 19 region 20 genes 21 from 31 and 22 human 23 formalin 23 formalin 24 fixed 24 fixed 25 paraffin 25 paraffin 30 tissues 26 embedded 29 node 27 reactive 29 node 28 lymph 29 node 29 node 30 tissues 30 tissues 31 and 31 and 35 analyses 31 and 36 of 32 the 35 analyses 33 subsequent 35 analyses 34 bioinformatical 35 analyses 36 of 37 sequencing 37 sequencing 38 data 39 using 43 trees 40 ig 43 trees 41 mutational 43 trees 42 lineage 43 trees results : [b] cell populations of three out of four reactive lymph node tissues were composed of several clones . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 populations 2 : 16 composed 2 : 20 . 4 cell 5 populations 5 populations 6 of 5 populations 9 of 5 populations 15 were 6 of 7 three 8 out 9 of 9 of 14 tissues 10 four 14 tissues 11 reactive 14 tissues 12 lymph 14 tissues 13 node 14 tissues 15 were 16 composed 16 composed 17 of 17 of 19 clones 18 several 19 clones most of the ig gene mutational lineage trees were small and narrow . 0 ###LEFT-WALL### 8 trees 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 13 . 1 most 2 of 1 most 8 trees 2 of 8 trees 3 the 8 trees 4 ig 5 gene 5 gene 8 trees 6 mutational 7 lineage 7 lineage 8 trees 8 trees 9 were 9 were 11 and 10 small 11 and 11 and 12 narrow significant differences were not detected by quantification of lineage trees . 0 ###LEFT-WALL### 2 differences 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 11 . 1 significant 2 differences 2 differences 3 were 3 were 4 not 3 were 6 by 4 not 5 detected 6 by 7 quantification 7 quantification 8 of 8 of 10 trees 9 lineage 10 trees summary : [b] lymphocyte clones that were detected in human reactive lymph node tissues represent major responding clones in [normal] [polyclonal] [immune] response . 0 ###LEFT-WALL### 1 summary 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 5 clones 2 : 15 represent 4 lymphocyte 5 clones 5 clones 6 that 5 clones 7 were 5 clones 15 represent 6 that 7 were 7 were 8 detected 8 detected 9 in 9 in 14 tissues 10 human 14 tissues 11 reactive 12 lymph 12 lymph 14 tissues 13 node 14 tissues 15 represent 18 clones 15 represent 23 response 16 major 18 clones 17 responding 18 clones 19 in 23 response this result is in line with the polyclonal profile of b lymphocyte populations that reside in reactive lymph node tissues . 0 ###LEFT-WALL### 2 result 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 21 . 1 this 2 result 2 result 3 is 3 is 5 line 3 is 6 with 4 in 5 line 6 with 9 profile 6 with 13 populations 7 the 9 profile 8 polyclonal 9 profile 9 profile 10 of 10 of 11 b 12 lymphocyte 13 populations 13 populations 14 that 13 populations 15 reside 14 that 15 reside 15 reside 16 in 16 in 20 tissues 17 reactive 18 lymph 18 lymph 20 tissues 19 node 20 tissues a significant number of older asthmatics , more [often] than in previous ages , have poorly controlled asthma , leading to increased morbidity and mortality . 0 ###LEFT-WALL### 3 number 0 ###LEFT-WALL### 17 controlled 1 a 2 significant 1 a 3 number 2 significant 3 number 3 number 4 of 3 number 8 more 3 number 15 have 4 of 6 asthmatics 5 older 6 asthmatics 7 , 8 more 8 more 10 than 8 more 14 , 10 than 11 in 11 in 13 ages 12 previous 13 ages 15 have 17 controlled 16 poorly 17 controlled 17 controlled 18 asthma 17 controlled 20 leading 19 , 20 leading 20 leading 21 to 20 leading 26 . 21 to 24 and 22 increased 23 morbidity 23 morbidity 24 and 24 and 25 mortality inhaled corticosteroids are the cornerstone for older asthmatics , eventually [with] add - on inhaled long - acting beta - agonists ; inhaled short acting beta - agonists can be used as rescue medications . 0 ###LEFT-WALL### 2 corticosteroids 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 9 , 1 inhaled 2 corticosteroids 2 corticosteroids 3 are 3 are 5 cornerstone 4 the 5 cornerstone 5 cornerstone 6 for 6 for 8 asthmatics 7 older 8 asthmatics 9 , 12 add 9 , 22 ; 10 eventually 12 add 12 add 14 on 13 - 14 on 14 on 21 agonists 14 on 22 ; 15 inhaled 21 agonists 16 long 19 beta 16 long 21 agonists 17 - 19 beta 18 acting 19 beta 19 beta 20 - 22 ; 26 beta 22 ; 27 - 23 inhaled 24 short 24 short 26 beta 25 acting 26 beta 27 - 28 agonists 27 - 31 used 27 - 35 . 28 agonists 29 can 29 can 30 be 30 be 31 used 31 used 32 as 32 as 34 medications 33 rescue 34 medications triggers exacerbating asthma are similar for all ages , but inhaled viruses and drug interactions have greater clinical significance in the elderly . 0 ###LEFT-WALL### 1 triggers 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 10 but 0 ###LEFT-WALL### 23 . 1 triggers 2 exacerbating 1 triggers 4 are 2 exacerbating 3 asthma 4 are 5 similar 5 similar 6 for 6 for 8 ages 7 all 8 ages 9 , 10 but 10 but 13 and 10 but 16 have 11 inhaled 12 viruses 12 viruses 13 and 13 and 15 interactions 13 and 16 have 14 drug 15 interactions 16 have 19 significance 16 have 20 in 17 greater 19 significance 18 clinical 19 significance 20 in 22 elderly 21 the 22 elderly older asthmatics have an increased likelihood of comorbidities and polypharmacy , with possible worsening of asthma control and reduced treatment adherence . 0 ###LEFT-WALL### 2 asthmatics 0 ###LEFT-WALL### 3 have 0 ###LEFT-WALL### 22 . 1 older 2 asthmatics 2 asthmatics 3 have 3 have 18 and 4 an 18 and 5 increased 6 likelihood 6 likelihood 7 of 6 likelihood 9 and 7 of 8 comorbidities 9 and 10 polypharmacy 9 and 11 , 9 and 12 with 9 and 18 and 12 with 14 worsening 13 possible 14 worsening 14 worsening 15 of 15 of 17 control 16 asthma 17 control 18 and 21 adherence 19 reduced 20 treatment 20 treatment 21 adherence physicians and older asthmatics probably either do not [perceive] or accept a poor asthma control . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 10 or 0 ###LEFT-WALL### 16 . 1 physicians 2 and 2 and 4 asthmatics 2 and 10 or 3 older 4 asthmatics 5 probably 7 do 6 either 7 do 7 do 8 not 7 do 10 or 10 or 11 accept 11 accept 15 control 12 a 13 poor 12 a 15 control 13 poor 14 asthma 14 asthma 15 control we conclude that specific instruments addressed to evaluate asthma control in the elderly with concomitant comorbidities and measurements for improving self - management and adherence could assure better disease control in older asthmatics . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conclude 0 ###LEFT-WALL### 22 - 1 we 2 conclude 2 conclude 5 instruments 3 that 4 specific 4 specific 5 instruments 5 instruments 6 addressed 6 addressed 7 to 7 to 8 evaluate 8 evaluate 10 control 8 evaluate 11 in 9 asthma 10 control 11 in 21 self 12 the 21 self 13 elderly 14 with 13 elderly 17 and 14 with 16 comorbidities 15 concomitant 16 comorbidities 17 and 18 measurements 17 and 19 for 17 and 21 self 19 for 20 improving 22 - 24 and 22 - 27 assure 22 - 34 . 23 management 24 and 24 and 25 adherence 24 and 26 could 26 could 27 assure 27 assure 30 control 27 assure 31 in 28 better 29 disease 29 disease 30 control 31 in 33 asthmatics 32 older 33 asthmatics purpose : this paper examines the influence of age on several attributes of sensorimotor performance while performing a reaching task . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 4 paper 2 : 5 examines 2 : 21 . 3 this 4 paper 4 paper 5 examines 5 examines 7 influence 5 examines 10 on 5 examines 16 while 6 the 7 influence 7 influence 8 of 8 of 9 age 10 on 12 attributes 11 several 12 attributes 12 attributes 13 of 13 of 15 performance 14 sensorimotor 15 performance 16 while 17 performing 17 performing 20 task 18 a 20 task 19 reaching 20 task our hypothesis , based on previous studies , is that aged persons will show differences in one or more of the attributes of sensorimotor performance . 0 ###LEFT-WALL### 2 hypothesis 0 ###LEFT-WALL### 26 . 1 our 2 hypothesis 2 hypothesis 4 based 2 hypothesis 9 is 3 , 4 based 4 based 5 on 4 based 8 , 5 on 7 studies 6 previous 7 studies 9 is 10 that 10 that 12 persons 10 that 14 show 11 aged 12 persons 12 persons 13 will 13 will 14 show 14 show 15 differences 14 show 18 or 15 differences 16 in 16 in 17 one 18 or 22 attributes 19 more 20 of 19 more 22 attributes 20 of 22 attributes 21 the 22 attributes 22 attributes 23 of 23 of 25 performance 24 sensorimotor 25 performance patients and methods : fifty - one subjects ( aged 20 - 80 years ) with no known neuromotor disorders of the upper limbs participated in the study . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 29 . 1 patients 2 and 2 and 3 methods 3 methods 4 : 4 : 5 fifty 4 : 16 with 5 fifty 7 one 5 fifty 8 subjects 5 fifty 10 aged 5 fifty 14 years 6 - 7 one 7 one 8 subjects 9 ( 10 aged 10 aged 11 20 10 aged 12 - 12 - 14 years 13 80 14 years 14 years 15 ) 16 with 20 disorders 16 with 28 study 17 no 20 disorders 18 known 19 neuromotor 19 neuromotor 20 disorders 20 disorders 21 of 21 of 23 upper 22 the 23 upper 23 upper 24 limbs 23 upper 26 in 24 limbs 25 participated 25 participated 26 in 27 the 28 study subjects were asked to grasp the end - [effector] of a pneumatic robotic device with two degrees of freedom in order to reach peripheral targets ( 1.0 cm radius ) , " quickly and accurately " , from a centrally located target ( 1.0 cm radius ) . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 3 asked 0 ###LEFT-WALL### 48 . 1 subjects 2 were 2 were 3 asked 3 asked 4 to 3 asked 5 grasp 4 to 5 grasp 5 grasp 7 end 5 grasp 34 and 5 grasp 38 from 6 the 7 end 7 end 10 of 8 - 10 of 10 of 14 device 10 of 31 , 11 a 12 pneumatic 11 a 14 device 12 pneumatic 14 device 13 robotic 14 device 14 device 15 with 14 device 18 of 15 with 17 degrees 16 two 17 degrees 18 of 19 freedom 19 freedom 20 in 20 in 21 order 21 order 22 to 21 order 23 reach 22 to 23 reach 23 reach 25 targets 24 peripheral 25 targets 25 targets 29 radius 26 ( 29 radius 27 1.0 28 cm 28 cm 29 radius 29 radius 30 ) 31 , 32 " 33 quickly 34 and 34 and 35 accurately 35 accurately 36 " 37 , 38 from 38 from 42 target 38 from 47 ) 39 a 42 target 40 centrally 41 located 41 located 42 target 42 target 46 radius 43 ( 46 radius 44 1.0 45 cm 45 cm 46 radius 46 radius 47 ) subjects began each trial by holding the hand within the central target for 2000 milliseconds . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 2 began 0 ###LEFT-WALL### 16 . 1 subjects 2 began 2 began 4 trial 2 began 5 by 3 each 4 trial 5 by 6 holding 6 holding 8 hand 6 holding 9 within 7 the 8 hand 9 within 12 target 10 the 12 target 11 central 12 target 12 target 13 for 13 for 15 milliseconds 14 2000 15 milliseconds afterwards , a peripheral target was illuminated . 0 ###LEFT-WALL### 1 afterwards 0 ###LEFT-WALL### 2 , 0 ###LEFT-WALL### 8 . 2 , 5 target 2 , 7 illuminated 3 a 4 peripheral 3 a 5 target 4 peripheral 5 target 5 target 6 was 6 was 7 illuminated then participants were given 3000 milliseconds to complete the movement . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 4 given 0 ###LEFT-WALL### 11 . 1 then 2 participants 2 participants 3 were 3 were 4 given 4 given 6 milliseconds 4 given 7 to 5 3000 6 milliseconds 7 to 8 complete 8 complete 10 movement 9 the 10 movement when a target was reached , the participant had to return to the central target in order to start a new trial . 0 ###LEFT-WALL### 8 participant 0 ###LEFT-WALL### 9 had 0 ###LEFT-WALL### 23 . 1 when 3 target 1 when 5 reached 1 when 6 , 1 when 8 participant 2 a 3 target 3 target 4 was 4 was 5 reached 5 reached 6 , 7 the 8 participant 8 participant 9 had 9 had 10 to 9 had 11 return 10 to 11 return 11 return 12 to 11 return 16 in 12 to 15 target 13 the 15 target 14 central 15 target 16 in 17 order 17 order 18 to 17 order 19 start 18 to 19 start 19 start 22 trial 20 a 22 trial 21 new 22 trial a total of 64 trials were completed and each peripheral target was illuminated in a random block design . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 7 completed 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 19 . 1 a 2 total 2 total 3 of 2 total 6 were 3 of 5 trials 4 64 5 trials 6 were 7 completed 8 and 11 target 8 and 13 illuminated 9 each 11 target 10 peripheral 11 target 11 target 12 was 12 was 13 illuminated 13 illuminated 14 in 14 in 18 design 15 a 16 random 15 a 18 design 16 random 17 block 17 block 18 design results : subjects were divided into three groups according to age : group 1 ( age 20 - 40 years ) , group 2 ( age 41 - 60 years ) , and group 3 ( age 61 - 80 years ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 : 1 results 2 : 2 : 11 age 3 subjects 4 were 4 were 5 divided 5 divided 6 into 6 into 7 three 7 three 8 groups 8 groups 9 according 9 according 10 to 10 to 11 age 12 : 33 and 12 : 43 . 13 group 14 1 13 group 33 and 14 1 20 years 14 1 23 group 15 ( 20 years 16 age 20 years 17 20 18 - 18 - 19 40 18 - 20 years 20 years 21 ) 22 , 23 group 23 group 24 2 23 group 26 age 23 group 32 , 25 ( 26 age 26 age 27 41 26 age 30 years 26 age 32 , 28 - 30 years 29 60 30 years 30 years 31 ) 33 and 34 group 34 group 35 3 35 3 41 years 36 ( 41 years 37 age 41 years 38 61 39 - 39 - 40 80 39 - 41 years 41 years 42 ) the kruskal [-] wallis test showed significant differences ( p < 0.05 ) between groups , except for the variables postural speed in the dominant arm , and postural speed and initial deviation in the [non] [-] dominant arm ( p > 0.05 ) . 0 ###LEFT-WALL### 5 test 0 ###LEFT-WALL### 6 showed 1 the 5 test 2 kruskal 4 wallis 4 wallis 5 test 5 test 6 showed 6 showed 8 differences 6 showed 14 between 7 significant 8 differences 8 differences 11 < 9 ( 11 < 10 p 11 < 11 < 12 0.05 11 < 13 ) 14 between 15 groups 15 groups 17 except 16 , 17 except 17 except 18 for 17 except 45 . 18 for 31 and 19 the 22 speed 20 variables 22 speed 21 postural 22 speed 22 speed 23 in 22 speed 28 and 23 in 26 arm 24 the 26 arm 25 dominant 26 arm 27 , 28 and 28 and 30 speed 28 and 31 and 29 postural 30 speed 31 and 33 deviation 31 and 34 in 32 initial 33 deviation 34 in 39 arm 35 the 39 arm 38 dominant 39 arm 39 arm 42 > 40 ( 42 > 41 p 42 > 42 > 43 0.05 42 > 44 ) these results suggest that age introduces significant differences [in] [upper] - limb motor function . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 11 - 1 these 2 results 2 results 3 suggest 3 suggest 4 that 4 that 5 age 4 that 6 introduces 5 age 6 introduces 6 introduces 8 differences 7 significant 8 differences 11 - 14 function 11 - 15 . 12 limb 14 function 13 motor 14 function conclusion : our findings show that there are objective differences in sensorimotor function due [to] age , and that these differences are greater for the dominant arm . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 findings 2 : 5 show 2 : 28 . 3 our 4 findings 4 findings 5 show 5 show 6 that 5 show 7 there 5 show 8 are 7 there 8 are 8 are 10 differences 9 objective 10 differences 10 differences 11 in 10 differences 23 greater 11 in 18 and 12 sensorimotor 16 age 13 function 16 age 14 due 16 age 16 age 18 and 17 , 18 and 18 and 19 that 18 and 21 differences 18 and 22 are 20 these 21 differences 21 differences 22 are 23 greater 24 for 24 for 27 arm 25 the 27 arm 26 dominant 27 arm therefore for the assessment [of] upper - limb function , we should take into account the influence of age . 0 ###LEFT-WALL### 11 we 0 ###LEFT-WALL### 13 take 0 ###LEFT-WALL### 20 . 1 therefore 11 we 2 for 9 function 2 for 10 , 2 for 11 we 3 the 9 function 4 assessment 9 function 6 upper 7 - 6 upper 8 limb 8 limb 9 function 11 we 12 should 12 should 13 take 13 take 15 account 13 take 17 influence 14 into 15 account 16 the 17 influence 17 influence 18 of 18 of 19 age moreover , these results suggest that robotic systems can provide a new and effective approach in the assessment [of] sensorimotor function . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 5 suggest 0 ###LEFT-WALL### 22 . 1 moreover 2 , 1 moreover 4 results 3 these 4 results 4 results 5 suggest 5 suggest 6 that 6 that 8 systems 6 that 10 provide 7 robotic 8 systems 8 systems 9 can 9 can 10 provide 10 provide 15 approach 10 provide 16 in 11 a 15 approach 12 new 13 and 13 and 14 effective 13 and 15 approach 16 in 21 function 17 the 21 function 18 assessment 21 function 20 sensorimotor 21 function background : the effects of age on clinical presentation , treatment , and outcomes for patients with small - cell carcinoma of the prostate ( sccp ) are unclear . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 30 . 1 background 2 : 2 : 4 effects 3 the 4 effects 4 effects 5 of 5 of 6 age 6 age 7 on 7 on 9 presentation 8 clinical 9 presentation 10 , 13 and 10 , 28 are 11 treatment 13 and 12 , 13 and 13 and 14 outcomes 13 and 15 for 13 and 17 with 13 and 22 of 13 and 26 sccp 13 and 28 are 15 for 16 patients 17 with 21 carcinoma 18 small 19 - 18 small 20 cell 20 cell 21 carcinoma 22 of 24 prostate 23 the 24 prostate 25 ( 26 sccp 26 sccp 27 ) 28 are 29 unclear methods : a retrospective review was performed on 259 patients who were identified with sccp in the national surveillance , epidemiology , and end results ( seer ) registry from january 1973 to december 2004 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 19 surveillance 2 : 20 , 2 : 36 . 3 a 4 retrospective 3 a 19 surveillance 4 retrospective 5 review 5 review 6 was 6 was 7 performed 7 performed 8 on 7 performed 14 with 8 on 10 patients 9 259 10 patients 10 patients 11 who 10 patients 12 were 11 who 12 were 12 were 13 identified 14 with 15 sccp 15 sccp 16 in 16 in 18 national 17 the 18 national 20 , 23 and 21 epidemiology 23 and 22 , 23 and 23 and 29 registry 23 and 30 from 23 and 33 to 24 end 25 results 25 results 27 seer 26 ( 27 seer 27 seer 28 ) 27 seer 29 registry 30 from 31 january 31 january 32 1973 33 to 34 december 34 december 35 2004 the patients were categorized into two groups according to age at diagnosis , ie , younger than 75 years ( n = 158 , 61 % ) or 75 years and older ( n = 101 , 39 % ) . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 4 categorized 0 ###LEFT-WALL### 41 . 1 the 2 patients 2 patients 3 were 3 were 4 categorized 4 categorized 5 into 4 categorized 9 to 5 into 7 groups 6 two 7 groups 8 according 9 to 9 to 10 age 10 age 11 at 10 age 16 younger 11 at 12 diagnosis 12 diagnosis 14 ie 13 , 14 ie 14 ie 15 , 16 younger 17 than 16 younger 31 and 16 younger 35 = 17 than 18 75 19 years 22 = 19 years 26 % 19 years 28 or 20 ( 22 = 21 n 22 = 22 = 23 158 24 , 26 % 25 61 26 % 26 % 27 ) 28 or 30 years 28 or 31 and 29 75 30 years 31 and 32 older 33 ( 35 = 34 n 35 = 35 = 36 101 36 101 39 % 37 , 39 % 38 39 39 % 39 % 40 ) patient and treatment characteristics and cancer - specific survival were compared between the groups . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 7 - 1 patient 2 and 2 and 4 characteristics 2 and 5 and 3 treatment 4 characteristics 5 and 6 cancer 7 - 9 survival 7 - 11 compared 7 - 15 . 8 specific 9 survival 9 survival 10 were 10 were 11 compared 11 compared 12 between 12 between 14 groups 13 the 14 groups multivariate analysis was performed to identify independent prognostic factors associated with cancer - specific survival . 0 ###LEFT-WALL### 1 multivariate 0 ###LEFT-WALL### 10 associated 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 16 . 1 multivariate 2 analysis 1 multivariate 6 identify 1 multivariate 10 associated 2 analysis 3 was 3 was 4 performed 4 performed 5 to 5 to 6 identify 6 identify 9 factors 7 independent 9 factors 8 prognostic 9 factors 10 associated 11 with 11 with 12 cancer 13 - 15 survival 14 specific 15 survival results : the median age of the patients was 72 ( 30 - 95 ) years . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 age 2 : 9 was 2 : 17 . 3 the 5 age 4 median 5 age 5 age 6 of 5 age 9 was 6 of 8 patients 7 the 8 patients 9 was 16 years 10 72 16 years 11 ( 13 - 12 30 13 - 13 - 14 95 13 - 15 ) 13 - 16 years there was no significant difference in terms of tumor characteristics , concomitant adenocarcinoma grade , seer stage , and treatment ( including prostatectomy and radiation therapy ) received between the groups . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 32 . 1 there 2 was 2 was 5 difference 3 no 5 difference 4 significant 5 difference 5 difference 6 in 6 in 7 terms 7 terms 8 of 8 of 10 characteristics 9 tumor 10 characteristics 11 , 19 and 11 , 28 received 12 concomitant 14 grade 13 adenocarcinoma 14 grade 14 grade 15 , 15 , 17 stage 15 , 19 and 16 seer 17 stage 18 , 19 and 19 and 20 treatment 19 and 24 and 19 and 28 received 21 ( 24 and 22 including 23 prostatectomy 23 prostatectomy 24 and 24 and 26 therapy 24 and 27 ) 25 radiation 26 therapy 28 received 29 between 29 between 31 groups 30 the 31 groups median cancer - specific survival was 19 months ( 95 % confidence interval 13 - 25 ) . 0 ###LEFT-WALL### 2 cancer 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 18 . 1 median 2 cancer 3 - 5 survival 3 - 6 was 4 specific 5 survival 5 survival 6 was 6 was 8 months 7 19 8 months 8 months 13 interval 9 ( 13 interval 10 95 11 % 11 % 13 interval 12 confidence 13 interval 13 interval 15 - 13 interval 17 ) 14 13 15 - 15 - 16 25 conclusion : older patients with sccp had increased risk of poor cancer - specific survival . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 patients 2 : 8 increased 2 : 13 - 2 : 16 . 3 older 4 patients 4 patients 5 with 4 patients 7 had 5 with 6 sccp 7 had 8 increased 8 increased 9 risk 9 risk 10 of 10 of 12 cancer 11 poor 12 cancer 13 - 15 survival 14 specific 15 survival whether this age [-] related poor outcome can be attributed to more aggressive tumor biology in older patients , or is simply a refection of age - related poor performance status and suboptimal chemotherapy needs further investigation . 0 ###LEFT-WALL### 36 further 0 ###LEFT-WALL### 38 . 1 whether 7 outcome 1 whether 20 or 1 whether 36 further 2 this 7 outcome 3 age 5 related 5 related 7 outcome 6 poor 7 outcome 7 outcome 20 or 8 can 9 be 8 can 20 or 9 be 10 attributed 10 attributed 11 to 10 attributed 16 in 11 to 15 biology 12 more 13 aggressive 13 aggressive 14 tumor 14 tumor 15 biology 16 in 18 patients 17 older 18 patients 19 , 20 or 20 or 21 is 21 is 22 simply 21 is 24 refection 23 a 24 refection 24 refection 25 of 25 of 26 age 27 - 28 related 28 related 32 and 28 related 36 further 29 poor 30 performance 30 performance 31 status 31 status 32 and 32 and 35 needs 33 suboptimal 34 chemotherapy 34 chemotherapy 35 needs 36 further 37 investigation background : little is known about recovery of female sexual function following [an] acute myocardial infarction ( mi ) . 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 6 about 7 recovery 7 recovery 8 of 8 of 16 infarction 9 female 12 following 10 sexual 11 function 11 function 12 following 12 following 16 infarction 14 acute 16 infarction 15 myocardial 16 infarction 16 infarction 18 mi 17 ( 18 mi 18 mi 19 ) interventions to [improve] sexual outcomes in women are limited . 0 ###LEFT-WALL### 1 interventions 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 10 . 1 interventions 2 to 1 interventions 8 are 2 to 5 outcomes 4 sexual 5 outcomes 5 outcomes 6 in 6 in 7 women 8 are 9 limited methods and results : semistructured , qualitative telephone interviews were conducted with 17 partnered women ( aged 43 to 75 years ) purposively selected from the translational research investigating underlying disparities in acute myocardial infarction patients ' health status registry to deepen knowledge of recovery of female sexual function following an acute myocardial infarction ( mi ) and to improve sexual outcomes in women . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 4 : 1 methods 2 and 2 and 3 results 4 : 9 interviews 4 : 58 and 4 : 65 . 5 semistructured 6 , 5 semistructured 9 interviews 7 qualitative 8 telephone 8 telephone 9 interviews 9 interviews 58 and 10 were 11 conducted 10 were 58 and 11 conducted 12 with 12 with 13 17 12 with 54 infarction 13 17 15 women 13 17 24 selected 14 partnered 15 women 15 women 17 aged 15 women 24 selected 16 ( 17 aged 17 aged 18 43 17 aged 19 to 17 aged 22 ) 19 to 21 years 20 75 21 years 23 purposively 24 selected 24 selected 25 from 24 selected 41 to 25 from 40 registry 26 the 40 registry 27 translational 28 research 28 research 29 investigating 29 investigating 30 underlying 30 underlying 31 disparities 31 disparities 32 in 31 disparities 39 status 32 in 38 health 33 acute 34 myocardial 34 myocardial 35 infarction 35 infarction 36 patients 36 patients 37 ' 37 ' 38 health 39 status 40 registry 41 to 42 deepen 42 deepen 43 knowledge 43 knowledge 44 of 43 knowledge 46 of 44 of 45 recovery 46 of 50 following 47 female 50 following 48 sexual 49 function 49 function 50 following 51 an 54 infarction 52 acute 54 infarction 53 myocardial 54 infarction 54 infarction 56 mi 55 ( 56 mi 56 mi 57 ) 58 and 60 improve 58 and 63 in 59 to 60 improve 60 improve 62 outcomes 61 sexual 62 outcomes 63 in 64 women sixteen women had a monogamous relationship with a male spouse ; 1 had a long - term female partner . 0 ###LEFT-WALL### 2 women 0 ###LEFT-WALL### 3 had 0 ###LEFT-WALL### 11 ; 0 ###LEFT-WALL### 20 . 1 sixteen 2 women 2 women 3 had 3 had 6 relationship 3 had 7 with 4 a 5 monogamous 4 a 6 relationship 5 monogamous 6 relationship 7 with 10 spouse 8 a 9 male 8 a 10 spouse 9 male 10 spouse 11 ; 12 1 11 ; 13 had 12 1 13 had 13 had 19 partner 14 a 15 long 14 a 19 partner 15 long 16 - 15 long 17 term 17 term 19 partner 18 female 19 partner most women resumed sexual activity within 4 weeks of their mi . 0 ###LEFT-WALL### 2 women 0 ###LEFT-WALL### 3 resumed 0 ###LEFT-WALL### 12 . 1 most 2 women 2 women 3 resumed 3 resumed 5 activity 3 resumed 6 within 4 sexual 5 activity 6 within 8 weeks 7 4 8 weeks 8 weeks 9 of 9 of 11 mi 10 their 11 mi sexual problems and concerns were prevalent , including patient [and/or] partner fear of " causing another heart attack . " 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 5 were 1 sexual 2 problems 2 problems 3 and 3 and 4 concerns 3 and 5 were 5 were 6 prevalent 6 prevalent 8 including 7 , 8 including 8 including 12 fear 8 including 19 . 9 patient 11 partner 11 partner 12 fear 12 fear 13 of 13 of 14 " 13 of 15 causing 15 causing 18 attack 16 another 18 attack 17 heart 18 attack 19 . 20 " few women received counseling about sexual concerns or the safety of returning to sex . 0 ###LEFT-WALL### 2 women 0 ###LEFT-WALL### 3 received 0 ###LEFT-WALL### 15 . 1 few 2 women 2 women 3 received 3 received 4 counseling 3 received 5 about 5 about 8 or 6 sexual 7 concerns 7 concerns 8 or 8 or 10 safety 8 or 11 of 9 the 10 safety 11 of 12 returning 12 returning 13 to 13 to 14 sex most women who discussed sex with a physician initiated the discussion themselves . 0 ###LEFT-WALL### 2 women 0 ###LEFT-WALL### 9 initiated 0 ###LEFT-WALL### 13 . 1 most 2 women 2 women 3 who 2 women 4 discussed 2 women 9 initiated 3 who 4 discussed 4 discussed 5 sex 4 discussed 6 with 6 with 8 physician 7 a 8 physician 9 initiated 11 discussion 9 initiated 12 themselves 10 the 11 discussion inquiry about strategies to improve sexual outcomes elicited key themes : need for privacy , patient - centeredness , and information about the timing and safe resumption of sexual activity . 0 ###LEFT-WALL### 1 inquiry 0 ###LEFT-WALL### 11 : 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 31 . 1 inquiry 2 about 1 inquiry 7 outcomes 1 inquiry 8 elicited 1 inquiry 11 : 2 about 3 strategies 3 strategies 4 to 3 strategies 5 improve 4 to 5 improve 6 sexual 7 outcomes 7 outcomes 8 elicited 8 elicited 10 themes 9 key 10 themes 11 : 12 need 12 need 13 for 13 for 14 privacy 15 , 25 and 16 patient 17 - 16 patient 18 centeredness 18 centeredness 20 and 19 , 20 and 20 and 21 information 20 and 22 about 20 and 25 and 22 about 24 timing 23 the 24 timing 25 and 27 resumption 25 and 28 of 26 safe 27 resumption 28 of 30 activity 29 sexual 30 activity in addition , respondents felt that counseling should be initiated by the treating cardiologist , who " knows whether your heart is safe , " and then reinforced by the care team throughout the rehabilitation period . 0 ###LEFT-WALL### 4 respondents 0 ###LEFT-WALL### 5 felt 0 ###LEFT-WALL### 37 . 1 in 2 addition 1 in 3 , 1 in 4 respondents 4 respondents 5 felt 5 felt 6 that 6 that 7 counseling 6 that 26 and 7 counseling 26 and 8 should 9 be 8 should 26 and 9 be 10 initiated 10 initiated 11 by 11 by 14 cardiologist 12 the 14 cardiologist 13 treating 14 cardiologist 14 cardiologist 16 who 15 , 16 who 16 who 17 " 16 who 18 knows 16 who 24 , 18 knows 19 whether 19 whether 21 heart 19 whether 22 is 20 your 21 heart 21 heart 22 is 22 is 23 safe 24 , 25 " 24 , 26 and 26 and 28 reinforced 26 and 29 by 26 and 33 throughout 27 then 28 reinforced 29 by 32 team 30 the 32 team 31 care 32 team 33 throughout 36 period 34 the 36 period 35 rehabilitation 36 period conclusions : partnered women commonly resume sexual activity soon after an mi with fear but without directed counseling from their physicians . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 women 2 : 6 resume 2 : 22 . 3 partnered 4 women 4 women 6 resume 5 commonly 6 resume 6 resume 8 activity 6 resume 10 after 7 sexual 8 activity 9 soon 10 after 10 after 12 mi 11 an 12 mi 12 mi 15 but 13 with 14 fear 13 with 15 but 15 but 16 without 16 without 18 counseling 17 directed 18 counseling 18 counseling 19 from 19 from 21 physicians 20 their 21 physicians proactive attention to women 's concerns related to [sexual] function and the safety of sexual activity following an mi could improve post - mi outcomes for women and their partners . 0 ###LEFT-WALL### 1 proactive 0 ###LEFT-WALL### 7 related 0 ###LEFT-WALL### 23 - 0 ###LEFT-WALL### 31 . 2 attention 3 to 2 attention 7 related 3 to 6 concerns 4 women 5 's 5 's 6 concerns 7 related 8 to 7 related 23 - 8 to 11 and 10 function 11 and 11 and 21 improve 12 the 13 safety 13 safety 14 of 13 safety 20 could 14 of 16 activity 15 sexual 16 activity 16 activity 17 following 17 following 19 mi 18 an 19 mi 20 could 21 improve 21 improve 22 post 23 - 25 outcomes 24 mi 25 outcomes 25 outcomes 26 for 26 for 28 and 27 women 28 and 28 and 30 partners 29 their 30 partners the rising proportion of elderly people worldwide will yield an increased incidence of age - associated cognitive impairments , imposing major burdens on societies . 0 ###LEFT-WALL### 3 proportion 0 ###LEFT-WALL### 9 yield 0 ###LEFT-WALL### 25 . 1 the 3 proportion 2 rising 3 proportion 3 proportion 4 of 3 proportion 8 will 4 of 6 people 5 elderly 6 people 7 worldwide 8 will 8 will 9 yield 9 yield 12 incidence 10 an 12 incidence 11 increased 12 incidence 12 incidence 13 of 12 incidence 20 imposing 13 of 14 age 14 age 18 impairments 15 - 18 impairments 16 associated 18 impairments 17 cognitive 18 impairments 18 impairments 19 , 20 imposing 22 burdens 20 imposing 23 on 21 major 22 burdens 23 on 24 societies consequently , growing interest emerged to evaluate new strategies to delay or [counteract] cognitive decline in aging . 0 ###LEFT-WALL### 3 growing 0 ###LEFT-WALL### 5 emerged 0 ###LEFT-WALL### 18 . 1 consequently 2 , 1 consequently 3 growing 3 growing 4 interest 3 growing 5 emerged 5 emerged 6 to 5 emerged 10 to 5 emerged 16 in 6 to 7 evaluate 7 evaluate 9 strategies 8 new 9 strategies 10 to 12 or 11 delay 12 or 12 or 15 decline 14 cognitive 15 decline 16 in 17 aging here , we assessed immediate effects of anodal transcranial direct current stimulation ( atdcs ) on cognition and previously described detrimental changes in brain activity attributable to aging . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 29 . 1 here 2 , 1 here 3 we 3 we 18 and 4 assessed 6 effects 4 assessed 16 on 4 assessed 18 and 5 immediate 6 effects 6 effects 7 of 7 of 12 stimulation 8 anodal 11 current 9 transcranial 11 current 10 direct 11 current 11 current 12 stimulation 12 stimulation 14 atdcs 13 ( 14 atdcs 14 atdcs 15 ) 16 on 17 cognition 18 and 20 described 18 and 23 in 19 previously 20 described 20 described 22 changes 21 detrimental 22 changes 23 in 25 activity 24 brain 25 activity 25 activity 26 attributable 26 attributable 27 to 27 to 28 aging twenty healthy elderly adults were assessed in a crossover sham - controlled design using functional magnetic resonance imaging ( fmri ) and concurrent transcranial dcs administered to the left inferior frontal gyrus . 0 ###LEFT-WALL### 1 twenty 0 ###LEFT-WALL### 10 sham 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 33 . 1 twenty 4 adults 1 twenty 5 were 1 twenty 6 assessed 1 twenty 10 sham 2 healthy 4 adults 3 elderly 4 adults 4 adults 5 were 6 assessed 7 in 7 in 9 crossover 8 a 9 crossover 11 - 22 and 12 controlled 13 design 13 design 14 using 13 design 22 and 14 using 18 imaging 15 functional 17 resonance 16 magnetic 17 resonance 17 resonance 18 imaging 18 imaging 20 fmri 19 ( 20 fmri 20 fmri 21 ) 22 and 25 dcs 22 and 26 administered 23 concurrent 25 dcs 24 transcranial 25 dcs 26 administered 27 to 27 to 32 gyrus 28 the 32 gyrus 29 left 32 gyrus 30 inferior 32 gyrus 31 frontal 32 gyrus effects on performance and task - related brain activity were evaluated during overt semantic word generation , a task that is negatively affected by advanced age . 0 ###LEFT-WALL### 1 effects 0 ###LEFT-WALL### 11 evaluated 1 effects 2 on 1 effects 10 were 2 on 4 and 3 performance 4 and 4 and 5 task 6 - 7 related 7 related 9 activity 7 related 10 were 8 brain 9 activity 10 were 11 evaluated 11 evaluated 12 during 12 during 16 generation 13 overt 15 word 14 semantic 15 word 15 word 16 generation 16 generation 19 task 17 , 19 task 18 a 19 task 19 task 20 that 19 task 21 is 19 task 27 . 20 that 21 is 21 is 22 negatively 21 is 23 affected 23 affected 24 by 24 by 26 age 25 advanced 26 age task - absent resting - state fmri ( rs - fmri ) assessed atdcs - induced changes at the network level independent of performance . 0 ###LEFT-WALL### 4 resting 0 ###LEFT-WALL### 16 induced 0 ###LEFT-WALL### 25 . 1 task 2 - 1 task 4 resting 3 absent 4 resting 4 resting 7 fmri 4 resting 14 atdcs 4 resting 16 induced 5 - 7 fmri 6 state 7 fmri 7 fmri 9 rs 7 fmri 10 - 8 ( 9 rs 9 rs 10 - 10 - 14 atdcs 11 fmri 12 ) 11 fmri 14 atdcs 13 assessed 14 atdcs 14 atdcs 15 - 16 induced 17 changes 16 induced 18 at 18 at 22 independent 19 the 22 independent 20 network 22 independent 21 level 22 independent 22 independent 23 of 23 of 24 performance twenty matched younger adults served as controls . 0 ###LEFT-WALL### 4 adults 0 ###LEFT-WALL### 5 served 0 ###LEFT-WALL### 8 . 1 twenty 4 adults 2 matched 4 adults 3 younger 4 adults 4 adults 5 served 5 served 6 as 6 as 7 controls [during] sham stimulation , task - related fmri demonstrated that enhanced bilateral prefrontal activity in older adults was associated with reduced performance . 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 23 . 2 sham 3 stimulation 2 sham 4 , 4 , 5 task 5 task 22 performance 6 - 7 related 7 related 8 fmri 7 related 21 reduced 8 fmri 9 demonstrated 8 fmri 10 that 8 fmri 20 with 10 that 14 activity 10 that 19 associated 11 enhanced 14 activity 12 bilateral 14 activity 13 prefrontal 14 activity 14 activity 15 in 14 activity 18 was 15 in 17 adults 16 older 17 adults 18 was 19 associated 19 associated 20 with 21 reduced 22 performance rs - fmri revealed enhanced anterior and reduced posterior functional brain connectivity . atdcs significantly improved performance in older adults up to the level of younger controls [;] significantly reduced task [-] related hyperactivity in bilateral prefrontal cortices , the anterior cingulate gyrus , and the precuneus [;] and [induced] [a] more " youth - like " connectivity pattern during rs - fmri . 0 ###LEFT-WALL### 1 rs 0 ###LEFT-WALL### 2 - 2 - 3 fmri 2 - 5 enhanced 2 - 13 . 3 fmri 4 revealed 3 fmri 5 enhanced 5 enhanced 12 connectivity 6 anterior 7 and 7 and 9 posterior 7 and 11 brain 8 reduced 9 posterior 10 functional 11 brain 11 brain 12 connectivity 13 . 14 atdcs 14 atdcs 17 performance 15 significantly 16 improved 16 improved 17 performance 17 performance 18 in 17 performance 21 up 17 performance 25 of 18 in 20 adults 19 older 20 adults 21 up 22 to 22 to 24 level 23 the 24 level 25 of 34 hyperactivity 26 younger 27 controls 27 controls 34 hyperactivity 29 significantly 30 reduced 30 reduced 31 task 31 task 34 hyperactivity 33 related 34 hyperactivity 34 hyperactivity 35 in 35 in 45 and 36 bilateral 38 cortices 37 prefrontal 38 cortices 38 cortices 39 , 39 , 43 gyrus 39 , 45 and 40 the 43 gyrus 41 anterior 43 gyrus 42 cingulate 43 gyrus 44 , 45 and 45 and 54 youth 45 and 56 like 46 the 54 youth 47 precuneus 49 and 49 and 52 more 49 and 54 youth 52 more 53 " 55 - 56 like 56 like 57 " 56 like 59 pattern 56 like 64 . 58 connectivity 59 pattern 59 pattern 60 during 59 pattern 63 fmri 60 during 61 rs 62 - 63 fmri 63 fmri 64 . our results provide converging evidence from behavioral analysis and two independent functional imaging paradigms that a single session of atdcs can temporarily reverse nonbeneficial effects of aging on cognition and brain activity and connectivity . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 30 and 0 ###LEFT-WALL### 35 . 1 our 2 results 2 results 30 and 3 provide 14 paradigms 3 provide 28 on 3 provide 30 and 4 converging 5 evidence 5 evidence 6 from 5 evidence 9 and 6 from 8 analysis 7 behavioral 8 analysis 9 and 13 imaging 9 and 14 paradigms 10 two 13 imaging 11 independent 13 imaging 12 functional 13 imaging 14 paradigms 15 that 14 paradigms 27 aging 15 that 18 session 15 that 23 reverse 16 a 18 session 17 single 18 session 18 session 19 of 18 session 21 can 19 of 20 atdcs 21 can 23 reverse 22 temporarily 23 reverse 23 reverse 25 effects 24 nonbeneficial 25 effects 25 effects 26 of 26 of 27 aging 28 on 29 cognition 30 and 31 brain 30 and 33 and 32 activity 33 and 33 and 34 connectivity these findings may translate into novel treatments to ameliorate cognitive decline [in] normal aging in the future . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 translate 0 ###LEFT-WALL### 18 . 1 these 2 findings 2 findings 3 may 3 may 4 translate 4 translate 5 into 4 translate 8 to 5 into 7 treatments 6 novel 7 treatments 8 to 9 ameliorate 9 ameliorate 14 aging 9 ameliorate 15 in 10 cognitive 11 decline 11 decline 14 aging 13 normal 14 aging 15 in 17 future 16 the 17 future as longevity constantly increases , the number of elderly patients ( 75 years [and] [older] ) who require anticoagulation likewise rises steadily . 0 ###LEFT-WALL### 7 number 0 ###LEFT-WALL### 21 rises 0 ###LEFT-WALL### 23 . 1 as 2 longevity 1 as 4 increases 1 as 5 , 1 as 7 number 2 longevity 4 increases 3 constantly 4 increases 6 the 7 number 7 number 8 of 7 number 17 who 7 number 18 require 7 number 21 rises 8 of 10 patients 9 elderly 10 patients 10 patients 13 years 11 ( 13 years 12 75 13 years 13 years 16 ) 17 who 18 require 18 require 19 anticoagulation 20 likewise 21 rises 21 rises 22 steadily managing elderly patients receiving anticoagulants is challenging because those patients are at high risk of both thrombosis and bleeding . 0 ###LEFT-WALL### 1 managing 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 20 . 1 managing 3 patients 1 managing 6 is 2 elderly 3 patients 4 receiving 5 anticoagulants 4 receiving 6 is 6 is 7 challenging 7 challenging 8 because 8 because 10 patients 8 because 11 are 9 those 10 patients 10 patients 11 are 11 are 12 at 12 at 14 risk 13 high 14 risk 14 risk 15 of 15 of 18 and 16 both 18 and 17 thrombosis 18 and 18 and 19 bleeding moreover , older patients are commonly frail : they have substantial chronic co - morbid conditions including renal impairment and frequent acute illnesses and [are] often polymedicated . 0 ###LEFT-WALL### 4 patients 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 8 : 1 moreover 2 , 1 moreover 4 patients 3 older 4 patients 4 patients 5 are 5 are 6 commonly 5 are 7 frail 8 : 9 they 8 : 20 and 8 : 28 . 9 they 20 and 10 have 16 conditions 10 have 20 and 11 substantial 16 conditions 12 chronic 16 conditions 13 co 14 - 13 co 16 conditions 15 morbid 16 conditions 16 conditions 17 including 17 including 19 impairment 18 renal 19 impairment 20 and 24 and 21 frequent 23 illnesses 21 frequent 24 and 22 acute 23 illnesses 24 and 27 polymedicated 26 often 27 polymedicated there remains [a] clear need to optimize the use of anticoagulant drugs in these patients , especially [at] full anticoagulant dose . 0 ###LEFT-WALL### 2 remains 0 ###LEFT-WALL### 4 clear 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 22 . 1 there 2 remains 2 remains 4 clear 4 clear 5 need 5 need 6 to 5 need 7 optimize 6 to 7 optimize 7 optimize 9 use 7 optimize 13 in 8 the 9 use 9 use 10 of 10 of 12 drugs 11 anticoagulant 12 drugs 13 in 15 patients 14 these 15 patients 16 , 21 dose 17 especially 19 full 19 full 21 dose 20 anticoagulant 21 dose in the last decade , efforts have been made to better understand the [inter] [-] individual variability in the response of elderly patients to traditional anticoagulants including heparin derivatives ( unfractionated heparin , low molecular weight heparins and fondaparinux ) and vitamin k antagonists . 0 ###LEFT-WALL### 6 efforts 0 ###LEFT-WALL### 12 understand 0 ###LEFT-WALL### 45 . 1 in 4 decade 1 in 5 , 1 in 6 efforts 2 the 3 last 2 the 4 decade 6 efforts 7 have 7 have 8 been 8 been 9 made 9 made 10 to 10 to 12 understand 11 better 12 understand 12 understand 41 and 13 the 17 variability 16 individual 17 variability 17 variability 18 in 17 variability 21 of 17 variability 24 to 17 variability 27 including 17 variability 38 and 18 in 20 response 19 the 20 response 21 of 23 patients 22 elderly 23 patients 24 to 26 anticoagulants 25 traditional 26 anticoagulants 27 including 28 heparin 28 heparin 29 derivatives 28 heparin 34 low 29 derivatives 32 heparin 29 derivatives 34 low 30 ( 32 heparin 31 unfractionated 32 heparin 32 heparin 33 , 34 low 37 heparins 35 molecular 36 weight 36 weight 37 heparins 38 and 39 fondaparinux 38 and 40 ) 38 and 41 and 41 and 44 antagonists 42 vitamin 43 k 42 vitamin 44 antagonists moreover , their safety profile has been evaluated in different settings in the elderly , assisting in minimizing risks related to their use . 0 ###LEFT-WALL### 5 profile 0 ###LEFT-WALL### 8 evaluated 0 ###LEFT-WALL### 20 related 1 moreover 2 , 1 moreover 5 profile 3 their 5 profile 4 safety 5 profile 5 profile 6 has 6 has 7 been 7 been 8 evaluated 8 evaluated 9 in 8 evaluated 12 in 9 in 11 settings 10 different 11 settings 12 in 14 elderly 13 the 14 elderly 15 , 20 related 16 assisting 17 in 16 assisting 20 related 17 in 18 minimizing 18 minimizing 19 risks 20 related 21 to 20 related 24 . 21 to 23 use 22 their 23 use emergence of new oral anticoagulants ( dabigatran , rivaroxaban , apixaban ) , which appear to be much more convenient , is promising . 0 ###LEFT-WALL### 1 emergence 0 ###LEFT-WALL### 22 is 0 ###LEFT-WALL### 24 . 1 emergence 2 of 1 emergence 22 is 2 of 5 anticoagulants 3 new 4 oral 4 oral 5 anticoagulants 5 anticoagulants 11 apixaban 5 anticoagulants 14 which 6 ( 11 apixaban 7 dabigatran 8 , 7 dabigatran 11 apixaban 9 rivaroxaban 10 , 9 rivaroxaban 11 apixaban 11 apixaban 12 ) 13 , 14 which 14 which 15 appear 14 which 21 , 15 appear 16 to 15 appear 17 be 16 to 17 be 17 be 20 convenient 18 much 19 more 19 more 20 convenient 22 is 23 promising even though some elderly patients were included in pivotal clinical trials evaluating these new anticoagulants , the safety of these drugs remains uncertain in real life . 0 ###LEFT-WALL### 18 safety 0 ###LEFT-WALL### 22 remains 0 ###LEFT-WALL### 27 . 1 even 2 though 1 even 16 , 1 even 18 safety 2 though 5 patients 2 though 7 included 3 some 5 patients 4 elderly 5 patients 5 patients 6 were 6 were 7 included 7 included 8 in 8 in 11 trials 9 pivotal 11 trials 10 clinical 11 trials 11 trials 12 evaluating 12 evaluating 15 anticoagulants 13 these 15 anticoagulants 14 new 15 anticoagulants 17 the 18 safety 18 safety 19 of 18 safety 22 remains 19 of 21 drugs 20 these 21 drugs 22 remains 23 uncertain 23 uncertain 24 in 24 in 26 life 25 real 26 life objective : ptosis of the submandibular glands is a well [-] recognized yet poorly quantified element of the aging face and neck . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 ptosis 2 : 8 is 2 : 23 . 3 ptosis 4 of 3 ptosis 8 is 4 of 7 glands 5 the 7 glands 6 submandibular 7 glands 8 is 16 element 9 a 16 element 10 well 12 recognized 12 recognized 16 element 13 yet 15 quantified 14 poorly 15 quantified 15 quantified 16 element 16 element 17 of 17 of 21 and 18 the 20 face 19 aging 20 face 20 face 21 and 21 and 22 neck the goal of this study [is] to describe and [quantify] the rate and extent of age - related submandibular gland ptosis . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 18 related 1 the 2 goal 2 goal 3 of 2 goal 9 and 3 of 5 study 4 this 5 study 5 study 7 to 5 study 8 describe 7 to 8 describe 9 and 12 rate 9 and 13 and 11 the 12 rate 13 and 14 extent 13 and 15 of 15 of 16 age 17 - 18 related 18 related 21 ptosis 18 related 22 . 19 submandibular 20 gland 20 gland 21 ptosis a novel grading system is proposed to quantify the degree of descent of the submandibular gland in relation to the inferior border of the mandible . 0 ###LEFT-WALL### 4 system 0 ###LEFT-WALL### 6 proposed 0 ###LEFT-WALL### 26 . 1 a 4 system 2 novel 4 system 3 grading 4 system 4 system 5 is 5 is 6 proposed 6 proposed 7 to 7 to 8 quantify 8 quantify 12 descent 8 quantify 19 to 9 the 10 degree 10 degree 11 of 10 degree 12 descent 11 of 12 descent 12 descent 13 of 13 of 16 gland 14 the 16 gland 15 submandibular 16 gland 17 in 18 relation 18 relation 19 to 19 to 22 border 20 the 22 border 21 inferior 22 border 22 border 23 of 23 of 25 mandible 24 the 25 mandible implications for facial rejuvenation surgery are discussed . 0 ###LEFT-WALL### 1 implications 0 ###LEFT-WALL### 7 discussed 0 ###LEFT-WALL### 8 . 1 implications 2 for 1 implications 6 are 2 for 5 surgery 3 facial 4 rejuvenation 4 rejuvenation 5 surgery 6 are 7 discussed study design : retrospective review . 0 ###LEFT-WALL### 2 design 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 6 . 1 study 2 design 2 design 3 : 3 : 5 review 4 retrospective 5 review methods : consecutive computed tomography ( ct ) imaging studies performed at a university [-] affiliated hospital were selected for review . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 10 studies 2 : 19 selected 3 consecutive 10 studies 4 computed 10 studies 5 tomography 7 ct 5 tomography 8 ) 5 tomography 10 studies 6 ( 7 ct 7 ct 8 ) 9 imaging 10 studies 10 studies 11 performed 10 studies 18 were 11 performed 12 at 12 at 17 hospital 13 a 17 hospital 14 university 16 affiliated 16 affiliated 17 hospital 18 were 19 selected 19 selected 20 for 20 for 21 review using cross - referenced images in the coronal and axial planes , distance measurements were obtained from the bottom of the submandibular gland to the plane of the inferior border of the mandible . 0 ###LEFT-WALL### 2 cross 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 34 . 1 using 2 cross 3 - 5 images 3 - 12 , 4 referenced 5 images 5 images 6 in 6 in 11 planes 7 the 11 planes 8 coronal 9 and 9 and 10 axial 9 and 11 planes 12 , 14 measurements 12 , 16 obtained 13 distance 14 measurements 14 measurements 15 were 15 were 16 obtained 16 obtained 17 from 17 from 19 bottom 18 the 19 bottom 19 bottom 20 of 20 of 23 gland 21 the 23 gland 22 submandibular 23 gland 23 gland 24 to 23 gland 27 of 24 to 26 plane 25 the 26 plane 27 of 30 border 28 the 30 border 29 inferior 30 border 30 border 31 of 31 of 33 mandible 32 the 33 mandible these data points were plotted against subject age for statistical analysis . 0 ###LEFT-WALL### 3 points 0 ###LEFT-WALL### 5 plotted 0 ###LEFT-WALL### 12 . 1 these 3 points 2 data 3 points 3 points 4 were 4 were 5 plotted 5 plotted 6 against 6 against 8 age 7 subject 8 age 8 age 9 for 9 for 11 analysis 10 statistical 11 analysis the position of the submandibular gland was then categorized as grade i [when] distance below the mandible [was] < 20 mm , grade ii for 20 to 25 mm , grade iii for 25 to 30 mm , and grade iv for > 30 mm . 0 ###LEFT-WALL### 2 position 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 46 . 1 the 2 position 2 position 3 of 2 position 7 was 3 of 6 gland 4 the 6 gland 5 submandibular 6 gland 7 was 22 , 8 then 22 , 9 categorized 10 as 9 categorized 21 mm 9 categorized 22 , 10 as 11 grade 11 grade 12 i 11 grade 14 distance 12 i 14 distance 14 distance 15 below 15 below 17 mandible 16 the 17 mandible 19 < 20 20 20 20 21 mm 22 , 39 and 23 grade 24 ii 23 grade 25 for 23 grade 39 and 25 for 26 20 26 20 27 to 26 20 31 grade 27 to 29 mm 28 25 29 mm 30 , 31 grade 31 grade 32 iii 31 grade 33 for 31 grade 35 to 31 grade 38 , 33 for 34 25 35 to 37 mm 36 30 37 mm 38 , 39 and 39 and 40 grade 40 grade 41 iv 41 iv 42 for 42 for 45 mm 43 > 44 30 44 30 45 mm volumetric analysis was performed in a subset of subjects to assess for the possibility of age - related submandibular gland volume changes as a potential confounding factor in distance measurements . 0 ###LEFT-WALL### 1 volumetric 0 ###LEFT-WALL### 4 performed 0 ###LEFT-WALL### 18 related 0 ###LEFT-WALL### 31 . 1 volumetric 2 analysis 1 volumetric 3 was 1 volumetric 4 performed 2 analysis 3 was 4 performed 5 in 4 performed 12 for 5 in 7 subset 6 a 7 subset 7 subset 8 of 7 subset 10 to 7 subset 11 assess 8 of 9 subjects 10 to 11 assess 12 for 14 possibility 13 the 14 possibility 14 possibility 15 of 15 of 16 age 17 - 18 related 18 related 22 changes 18 related 23 as 18 related 28 in 19 submandibular 20 gland 20 gland 22 changes 21 volume 22 changes 23 as 27 factor 24 a 25 potential 24 a 27 factor 25 potential 27 factor 26 confounding 27 factor 28 in 30 measurements 29 distance 30 measurements results : one hundred consecutive ct imaging studies were selected for review ( 50 men , 50 women ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 6 ct 2 : 10 selected 3 one 4 hundred 4 hundred 6 ct 5 consecutive 6 ct 6 ct 7 imaging 6 ct 9 were 7 imaging 8 studies 9 were 10 selected 10 selected 11 for 11 for 12 review 12 review 15 men 12 review 18 women 13 ( 15 men 14 50 15 men 15 men 16 , 16 , 18 women 17 50 18 women 18 women 19 ) a statistically significant linear relationship was identified between subject age and ptosis of the submandibular gland ( r = 0.52 , p < 0.001 ) , as measured by the distance from the bottom of the submandibular gland from the plane of the inferior border of the mandible . 0 ###LEFT-WALL### 5 relationship 0 ###LEFT-WALL### 7 identified 0 ###LEFT-WALL### 49 . 1 a 2 statistically 1 a 5 relationship 2 statistically 3 significant 3 significant 5 relationship 4 linear 5 relationship 5 relationship 6 was 6 was 7 identified 7 identified 8 between 7 identified 29 by 8 between 11 and 9 subject 10 age 10 age 11 and 11 and 12 ptosis 11 and 13 of 13 of 16 gland 14 the 16 gland 15 submandibular 16 gland 16 gland 19 = 16 gland 23 < 16 gland 28 measured 17 ( 19 = 18 r 19 = 19 = 20 0.52 19 = 21 , 22 p 23 < 23 < 24 0.001 23 < 25 ) 26 , 28 measured 27 as 28 measured 29 by 31 distance 30 the 31 distance 31 distance 32 from 31 distance 35 of 31 distance 46 of 32 from 34 bottom 33 the 34 bottom 35 of 38 gland 36 the 38 gland 37 submandibular 38 gland 38 gland 39 from 38 gland 42 of 39 from 41 plane 40 the 41 plane 42 of 45 border 43 the 45 border 44 inferior 45 border 46 of 48 mandible 47 the 48 mandible the average rate of descent was 0.17 mm per year . 0 ###LEFT-WALL### 3 rate 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 11 . 1 the 3 rate 2 average 3 rate 3 rate 4 of 3 rate 6 was 4 of 5 descent 6 was 8 mm 7 0.17 8 mm 8 mm 9 per 9 per 10 year overall , the position of the submandibular gland was categorized as grade i in 18 % of patients , grade ii in 27 % of patients , grade iii in 32 % of patients , and grade iv in 23 % of patients . 0 ###LEFT-WALL### 1 overall 0 ###LEFT-WALL### 2 , 0 ###LEFT-WALL### 44 . 2 , 4 position 2 , 10 categorized 2 , 19 , 3 the 4 position 4 position 5 of 4 position 9 was 5 of 8 gland 6 the 8 gland 7 submandibular 8 gland 9 was 10 categorized 10 categorized 11 as 10 categorized 14 in 11 as 12 grade 12 grade 13 i 14 in 16 % 15 18 16 % 16 % 17 of 17 of 18 patients 19 , 36 and 20 grade 21 ii 20 grade 22 in 20 grade 36 and 22 in 24 % 23 27 24 % 24 % 25 of 25 of 26 patients 26 patients 28 grade 27 , 28 grade 28 grade 29 iii 28 grade 30 in 28 grade 33 of 28 grade 35 , 30 in 32 % 31 32 32 % 33 of 34 patients 36 and 37 grade 37 grade 38 iv 37 grade 39 in 39 in 41 % 40 23 41 % 41 % 42 of 42 of 43 patients no statistically significant gender differences were identified in any of the data points . 0 ###LEFT-WALL### 5 differences 0 ###LEFT-WALL### 7 identified 0 ###LEFT-WALL### 14 . 1 no 5 differences 2 statistically 3 significant 3 significant 4 gender 4 gender 5 differences 5 differences 6 were 6 were 7 identified 7 identified 8 in 8 in 9 any 9 any 10 of 10 of 13 points 11 the 13 points 12 data 13 points volumetric analysis did not demonstrate any age - related changes in submandibular gland volume , and [as] [such] , this was excluded as a potential confounding factor in distance measurements . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 5 demonstrate 0 ###LEFT-WALL### 9 related 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 31 . 1 volumetric 2 analysis 2 analysis 3 did 3 did 4 not 3 did 5 demonstrate 5 demonstrate 7 age 6 any 7 age 8 - 9 related 9 related 10 changes 9 related 11 in 9 related 15 , 11 in 14 volume 12 submandibular 13 gland 13 gland 14 volume 16 and 19 , 16 and 20 this 16 and 22 excluded 20 this 21 was 21 was 22 excluded 22 excluded 23 as 22 excluded 28 in 23 as 27 factor 24 a 25 potential 24 a 27 factor 25 potential 27 factor 26 confounding 27 factor 28 in 30 measurements 29 distance 30 measurements conclusion : a linear relationship exists between patient age and submandibular gland ptosis , as measured by the distance of the gland from the inferior border of the mandible . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 5 relationship 2 : 6 exists 3 a 4 linear 3 a 5 relationship 4 linear 5 relationship 5 relationship 6 exists 6 exists 7 between 6 exists 17 by 7 between 10 and 8 patient 9 age 9 age 10 and 10 and 13 ptosis 10 and 16 measured 11 submandibular 12 gland 12 gland 13 ptosis 14 , 16 measured 15 as 16 measured 17 by 19 distance 18 the 19 distance 19 distance 20 of 19 distance 27 of 20 of 22 gland 21 the 22 gland 22 gland 23 from 23 from 26 border 24 the 26 border 25 inferior 26 border 27 of 29 mandible 28 the 29 mandible to our knowledge , this is the first quantification of the rate and extent of submandibular gland ptosis . 0 ###LEFT-WALL### 5 this 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 19 . 1 to 3 knowledge 1 to 4 , 1 to 5 this 2 our 3 knowledge 5 this 6 is 6 is 9 quantification 7 the 8 first 7 the 9 quantification 9 quantification 10 of 10 of 13 and 11 the 12 rate 12 rate 13 and 13 and 14 extent 13 and 15 of 15 of 18 ptosis 16 submandibular 17 gland 17 gland 18 ptosis a novel grading system for submandibular gland ptosis has been proposed . 0 ###LEFT-WALL### 4 system 0 ###LEFT-WALL### 11 proposed 0 ###LEFT-WALL### 12 . 1 a 4 system 2 novel 4 system 3 grading 4 system 4 system 5 for 4 system 9 has 5 for 8 ptosis 6 submandibular 7 gland 7 gland 8 ptosis 9 has 10 been 10 been 11 proposed minimally invasive procedures have become [increasingly] popular over the last decade . 0 ###LEFT-WALL### 3 procedures 0 ###LEFT-WALL### 5 become 0 ###LEFT-WALL### 12 . 1 minimally 3 procedures 2 invasive 3 procedures 3 procedures 4 have 4 have 5 become 5 become 7 popular 7 popular 8 over 8 over 11 decade 9 the 10 last 9 the 11 decade in many cases , the use of neuromodulators and fillers has replaced surgical procedures . 0 ###LEFT-WALL### 6 use 0 ###LEFT-WALL### 12 replaced 0 ###LEFT-WALL### 15 . 1 in 3 cases 1 in 4 , 1 in 6 use 2 many 3 cases 5 the 6 use 6 use 7 of 6 use 11 has 7 of 9 and 8 neuromodulators 9 and 9 and 10 fillers 11 has 12 replaced 12 replaced 14 procedures 13 surgical 14 procedures this article reviews the analysis and evaluation of the aesthetic patient presenting for periorbital rejuvenation . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 reviews 0 ###LEFT-WALL### 16 . 1 this 2 article 2 article 3 reviews 3 reviews 6 and 4 the 5 analysis 5 analysis 6 and 6 and 7 evaluation 6 and 8 of 8 of 12 presenting 9 the 12 presenting 10 aesthetic 12 presenting 11 patient 12 presenting 12 presenting 13 for 13 for 15 rejuvenation 14 periorbital 15 rejuvenation a layered approach is used , evaluating the skin , fat , muscle , and bone to determine which procedure is best suited for each patient . 0 ###LEFT-WALL### 3 approach 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 27 . 1 a 3 approach 2 layered 3 approach 3 approach 4 is 4 is 15 and 5 used 7 evaluating 5 used 13 muscle 5 used 15 and 6 , 7 evaluating 7 evaluating 9 skin 7 evaluating 10 , 8 the 9 skin 11 fat 12 , 11 fat 13 muscle 14 , 15 and 15 and 16 bone 15 and 17 to 17 to 18 determine 18 determine 19 which 19 which 20 procedure 20 procedure 21 is 21 is 22 best 21 is 23 suited 23 suited 24 for 24 for 26 patient 25 each 26 patient volume enhancement with the use of fat and fillers and muscle manipulation with the use of neuromodulators are discussed . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 19 discussed 0 ###LEFT-WALL### 20 . 1 volume 2 enhancement 2 enhancement 3 with 2 enhancement 8 and 3 with 5 use 4 the 5 use 5 use 6 of 6 of 7 fat 8 and 9 fillers 8 and 10 and 10 and 12 manipulation 10 and 13 with 10 and 18 are 11 muscle 12 manipulation 13 with 15 use 14 the 15 use 15 use 16 of 16 of 17 neuromodulators 18 are 19 discussed a brief summary of currently available [skin] - resurfacing techniques is also discussed . 0 ###LEFT-WALL### 3 summary 0 ###LEFT-WALL### 13 discussed 0 ###LEFT-WALL### 14 . 1 a 2 brief 1 a 3 summary 2 brief 3 summary 3 summary 4 of 3 summary 11 is 4 of 10 techniques 5 currently 6 available 6 available 8 - 6 available 10 techniques 9 resurfacing 10 techniques 11 is 13 discussed 12 also 13 discussed the youthful face is often defined by malar and lateral cheek fullness with associated submalar concavity , giving a smooth contour between the different subunits coupled with an aesthetically pleasing convex lower eyelid - cheek [continuum] . 0 ###LEFT-WALL### 3 face 0 ###LEFT-WALL### 6 defined 0 ###LEFT-WALL### 34 - 0 ###LEFT-WALL### 37 . 1 the 3 face 2 youthful 3 face 3 face 4 is 4 is 5 often 4 is 6 defined 6 defined 7 by 6 defined 13 with 6 defined 18 giving 7 by 12 fullness 8 malar 9 and 9 and 10 lateral 9 and 11 cheek 11 cheek 12 fullness 13 with 16 concavity 14 associated 16 concavity 15 submalar 16 concavity 17 , 18 giving 18 giving 21 contour 18 giving 22 between 18 giving 27 with 18 giving 34 - 19 a 21 contour 20 smooth 21 contour 22 between 25 subunits 23 the 25 subunits 24 different 25 subunits 25 subunits 26 coupled 27 with 33 eyelid 28 an 33 eyelid 29 aesthetically 30 pleasing 30 pleasing 33 eyelid 31 convex 33 eyelid 32 lower 33 eyelid 34 - 35 cheek this article reviews the key anatomical concepts of midfacial aging , the evolution of midface - lifting techniques , and indications and contraindications for their use . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 reviews 0 ###LEFT-WALL### 27 . 1 this 2 article 2 article 3 reviews 3 reviews 7 concepts 4 the 7 concepts 5 key 7 concepts 6 anatomical 7 concepts 7 concepts 8 of 8 of 22 and 9 midfacial 10 aging 9 midfacial 11 , 11 , 13 evolution 11 , 20 and 12 the 13 evolution 13 evolution 14 of 14 of 15 midface 15 midface 17 lifting 16 - 17 lifting 17 lifting 18 techniques 17 lifting 19 , 20 and 21 indications 20 and 22 and 22 and 23 contraindications 22 and 24 for 24 for 26 use 25 their 26 use this article provides a comprehensive discussion on the complications of blepharoplasty . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 provides 0 ###LEFT-WALL### 12 . 1 this 2 article 2 article 3 provides 3 provides 6 discussion 3 provides 7 on 4 a 5 comprehensive 4 a 6 discussion 5 comprehensive 6 discussion 7 on 9 complications 8 the 9 complications 9 complications 10 of 10 of 11 blepharoplasty we discuss the importance of preoperative counselling and surgical planning to provide the patient with a satisfactory outcome . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 discuss 0 ###LEFT-WALL### 19 . 1 we 2 discuss 2 discuss 8 and 2 discuss 11 to 3 the 8 and 4 importance 5 of 4 importance 8 and 5 of 7 counselling 6 preoperative 7 counselling 8 and 10 planning 9 surgical 10 planning 11 to 12 provide 12 provide 14 patient 12 provide 15 with 13 the 14 patient 15 with 18 outcome 16 a 17 satisfactory 16 a 18 outcome 17 satisfactory 18 outcome strategies are presented to manage common complications . 0 ###LEFT-WALL### 1 strategies 0 ###LEFT-WALL### 3 presented 0 ###LEFT-WALL### 8 . 1 strategies 2 are 2 are 3 presented 3 presented 4 to 4 to 5 manage 5 manage 7 complications 6 common 7 complications lower eyelid blepharoplasty is one of the most common procedures in aesthetic plastic surgery . 0 ###LEFT-WALL### 3 blepharoplasty 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 15 . 1 lower 2 eyelid 2 eyelid 3 blepharoplasty 3 blepharoplasty 4 is 4 is 5 one 5 one 6 of 6 of 10 procedures 7 the 8 most 8 most 10 procedures 9 common 10 procedures 10 procedures 11 in 11 in 14 surgery 12 aesthetic 14 surgery 13 plastic 14 surgery although patients desiring lower eyelid blepharoplasty typically describe their problem as " bags in the lower eyelids , " there are many anatomical imperfections that should be assessed . 0 ###LEFT-WALL### 20 there 0 ###LEFT-WALL### 21 are 0 ###LEFT-WALL### 29 . 1 although 2 patients 1 although 8 describe 1 although 18 , 1 although 20 there 2 patients 3 desiring 2 patients 8 describe 3 desiring 6 blepharoplasty 4 lower 6 blepharoplasty 5 eyelid 6 blepharoplasty 7 typically 8 describe 8 describe 10 problem 9 their 10 problem 10 problem 11 as 11 as 12 " 11 as 13 bags 13 bags 14 in 14 in 17 eyelids 15 the 17 eyelids 16 lower 17 eyelids 18 , 19 " 20 there 21 are 21 are 24 imperfections 22 many 24 imperfections 23 anatomical 24 imperfections 24 imperfections 25 that 24 imperfections 26 should 25 that 26 should 26 should 27 be 27 be 28 assessed with aging , the youthful single convexity of the lower lid separates into a double convexity with a valley at the intersection of the lower lid and midface . 0 ###LEFT-WALL### 7 convexity 0 ###LEFT-WALL### 12 separates 0 ###LEFT-WALL### 29 . 1 with 2 aging 1 with 3 , 1 with 7 convexity 4 the 7 convexity 5 youthful 7 convexity 6 single 7 convexity 7 convexity 8 of 7 convexity 12 separates 8 of 11 lid 9 the 11 lid 10 lower 11 lid 12 separates 13 into 12 separates 17 with 12 separates 20 at 13 into 16 convexity 14 a 15 double 14 a 16 convexity 15 double 16 convexity 17 with 19 valley 18 a 19 valley 20 at 22 intersection 21 the 22 intersection 22 intersection 23 of 23 of 27 and 24 the 26 lid 25 lower 26 lid 26 lid 27 and 27 and 28 midface midface descent further drags this intersection inferiorly , leading to a vertically lengthened lower eyelid . 0 ###LEFT-WALL### 2 descent 0 ###LEFT-WALL### 4 drags 1 midface 2 descent 2 descent 4 drags 3 further 4 drags 4 drags 6 intersection 4 drags 7 inferiorly 4 drags 9 leading 5 this 6 intersection 8 , 9 leading 9 leading 10 to 9 leading 16 . 10 to 15 eyelid 11 a 15 eyelid 12 vertically 13 lengthened 13 lengthened 15 eyelid 14 lower 15 eyelid this article discusses how to clinically evaluate lower lid deformities , [how] to formulate a surgical plan , the preoperative assessment , and surgical markings . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 discusses 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 26 . 1 this 2 article 2 article 3 discusses 3 discusses 4 how 4 how 5 to 4 how 7 evaluate 5 to 7 evaluate 6 clinically 7 evaluate 7 evaluate 10 deformities 8 lower 9 lid 9 lid 10 deformities 10 deformities 13 to 11 , 13 to 13 to 14 formulate 13 to 18 , 14 formulate 17 plan 15 a 16 surgical 15 a 17 plan 16 surgical 17 plan 18 , 23 and 19 the 21 assessment 20 preoperative 21 assessment 21 assessment 23 and 22 , 23 and 23 and 25 markings 24 surgical 25 markings the rationale and anesthetic technique for outpatient [versus] [in] [-] office surgery is reviewed , and a detailed step - [by] - [step] approach with accompanying figures for lower lid blepharoplasty via a transconjunctival or transcutaneous incision is given . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 20 - 1 the 2 rationale 2 rationale 3 and 3 and 4 anesthetic 3 and 5 technique 3 and 13 is 3 and 14 reviewed 3 and 16 and 5 technique 6 for 5 technique 13 is 6 for 12 surgery 7 outpatient 12 surgery 11 office 12 surgery 15 , 16 and 16 and 19 step 17 a 18 detailed 17 a 19 step 18 detailed 19 step 20 - 22 - 20 - 39 given 20 - 40 . 22 - 24 approach 24 approach 25 with 25 with 26 accompanying 26 accompanying 27 figures 26 accompanying 28 for 28 for 31 blepharoplasty 29 lower 30 lid 30 lid 31 blepharoplasty 31 blepharoplasty 32 via 31 blepharoplasty 38 is 32 via 37 incision 33 a 37 incision 34 transconjunctival 35 or 35 or 36 transcutaneous 35 or 37 incision 38 is 39 given an approach to vertically supporting the lower eyelid is presented . 0 ###LEFT-WALL### 2 approach 0 ###LEFT-WALL### 10 presented 0 ###LEFT-WALL### 11 . 1 an 2 approach 2 approach 3 to 2 approach 9 is 3 to 5 supporting 4 vertically 5 supporting 5 supporting 8 eyelid 6 the 8 eyelid 7 lower 8 eyelid 9 is 10 presented blepharoplasty of the upper eyelids is one of the most commonly performed procedures in aesthetic plastic surgery . 0 ###LEFT-WALL### 1 blepharoplasty 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 18 . 1 blepharoplasty 2 of 1 blepharoplasty 6 is 2 of 5 eyelids 3 the 5 eyelids 4 upper 5 eyelids 6 is 7 one 7 one 8 of 8 of 13 procedures 9 the 10 most 10 most 13 procedures 11 commonly 12 performed 12 performed 13 procedures 13 procedures 14 in 14 in 17 surgery 15 aesthetic 17 surgery 16 plastic 17 surgery in this article , we describe our approach to the patient with aging of the periorbita . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 describe 0 ###LEFT-WALL### 17 . 1 in 3 article 1 in 4 , 1 in 5 we 2 this 3 article 5 we 6 describe 6 describe 8 approach 6 describe 9 to 7 our 8 approach 9 to 11 patient 10 the 11 patient 11 patient 12 with 11 patient 14 of 12 with 13 aging 14 of 16 periorbita 15 the 16 periorbita at all times [,] the approach is tailored to the individual 's needs , trying to achieve a natural result that will not in any way affect the function of the eyelid . 0 ###LEFT-WALL### 27 affect 0 ###LEFT-WALL### 33 . 1 at 3 times 1 at 27 affect 2 all 3 times 3 times 6 approach 3 times 8 tailored 5 the 6 approach 6 approach 7 is 7 is 8 tailored 8 tailored 9 to 8 tailored 14 , 8 tailored 15 trying 9 to 13 needs 10 the 11 individual 11 individual 12 's 12 's 13 needs 15 trying 16 to 15 trying 17 achieve 16 to 17 achieve 17 achieve 20 result 17 achieve 24 in 18 a 20 result 19 natural 20 result 20 result 21 that 20 result 22 will 21 that 22 will 22 will 23 not 24 in 26 way 25 any 26 way 27 affect 29 function 28 the 29 function 29 function 30 of 30 of 32 eyelid 31 the 32 eyelid our current approach and techniques for upper eyelid blepharoplasty and brow lifting are described . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 14 described 0 ###LEFT-WALL### 15 . 1 our 3 approach 2 current 3 approach 3 approach 4 and 4 and 5 techniques 4 and 6 for 4 and 13 are 6 for 10 and 7 upper 8 eyelid 8 eyelid 9 blepharoplasty 9 blepharoplasty 10 and 10 and 12 lifting 11 brow 12 lifting 13 are 14 described none osteoarthritis is an increasingly prevalent disorder with an incidence rate that rises sharply with age . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 16 age 0 ###LEFT-WALL### 17 . 1 none 2 osteoarthritis 1 none 15 with 1 none 16 age 2 osteoarthritis 3 is 3 is 7 disorder 3 is 8 with 3 is 15 with 4 an 7 disorder 5 increasingly 6 prevalent 6 prevalent 7 disorder 8 with 11 rate 9 an 11 rate 10 incidence 11 rate 11 rate 12 that 11 rate 13 rises 12 that 13 rises 13 rises 14 sharply unfortunately , the most commonly used medications for providing symptomatic relief , nonsteroidal anti - inflammatory drugs ( nsaids ) , can cause significant gastrointestinal ( gi ) ulceration . 0 ###LEFT-WALL### 7 medications 0 ###LEFT-WALL### 23 cause 0 ###LEFT-WALL### 30 . 1 unfortunately 2 , 1 unfortunately 7 medications 3 the 4 most 4 most 7 medications 5 commonly 6 used 6 used 7 medications 7 medications 8 for 7 medications 22 can 8 for 9 providing 9 providing 11 relief 10 symptomatic 11 relief 11 relief 17 drugs 12 , 17 drugs 13 nonsteroidal 17 drugs 14 anti 15 - 14 anti 17 drugs 16 inflammatory 17 drugs 17 drugs 19 nsaids 17 drugs 21 , 18 ( 19 nsaids 19 nsaids 20 ) 22 can 23 cause 23 cause 29 ulceration 24 significant 29 ulceration 25 gastrointestinal 27 gi 25 gastrointestinal 29 ulceration 26 ( 27 gi 27 gi 28 ) there is recent evidence that agents commonly employed to protect the upper gi tract actually increase the incidence and severity of ulceration and bleeding in the lower intestine . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 29 . 1 there 2 is 2 is 4 evidence 3 recent 4 evidence 4 evidence 5 that 5 that 6 agents 5 that 16 increase 6 agents 8 employed 6 agents 16 increase 7 commonly 8 employed 8 employed 9 to 9 to 10 protect 10 protect 14 tract 11 the 14 tract 12 upper 14 tract 13 gi 14 tract 15 actually 16 increase 16 increase 23 and 16 increase 25 in 17 the 18 incidence 18 incidence 19 and 19 and 20 severity 19 and 21 of 19 and 23 and 21 of 22 ulceration 23 and 24 bleeding 25 in 28 intestine 26 the 28 intestine 27 lower 28 intestine intestinal injury is more difficult to diagnose and treat than upper gi damage , and symptoms correlate poorly with the severity of tissue injury . 0 ###LEFT-WALL### 2 injury 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 25 . 1 intestinal 2 injury 2 injury 3 is 3 is 5 difficult 4 more 5 difficult 5 difficult 6 to 5 difficult 7 diagnose 6 to 7 diagnose 8 and 15 and 8 and 17 correlate 9 treat 13 damage 10 than 11 upper 11 upper 13 damage 12 gi 13 damage 13 damage 15 and 14 , 15 and 15 and 16 symptoms 15 and 17 correlate 17 correlate 18 poorly 17 correlate 19 with 19 with 21 severity 20 the 21 severity 21 severity 22 of 22 of 24 injury 23 tissue 24 injury moreover , use of low - dose aspirin for cardioprotection ( a common co - treatment with the selective cyclooxygenase - 2 inhibitors ) further augments intestinal damage , particularly when enteric - coated aspirin is used . 0 ###LEFT-WALL### 3 use 0 ###LEFT-WALL### 26 augments 1 moreover 2 , 1 moreover 3 use 3 use 4 of 3 use 26 augments 4 of 8 aspirin 5 low 6 - 5 low 7 dose 7 dose 8 aspirin 8 aspirin 9 for 9 for 10 cardioprotection 10 cardioprotection 16 treatment 11 ( 16 treatment 12 a 13 common 12 a 16 treatment 13 common 16 treatment 14 co 15 - 14 co 16 treatment 16 treatment 17 with 16 treatment 24 ) 17 with 20 cyclooxygenase 18 the 20 cyclooxygenase 19 selective 20 cyclooxygenase 20 cyclooxygenase 23 inhibitors 21 - 23 inhibitors 22 2 23 inhibitors 23 inhibitors 24 ) 25 further 26 augments 26 augments 28 damage 26 augments 31 when 27 intestinal 28 damage 29 , 30 particularly 29 , 31 when 31 when 35 aspirin 31 when 37 used 31 when 38 . 32 enteric 33 - 32 enteric 35 aspirin 34 coated 35 aspirin 35 aspirin 36 is 36 is 37 used using human embryonic stem cell - derived npcs to model neurogenesis , we found that sox2 is required to maintain optimal levels of lin28 , a well - characterized suppressor [of] let - 7 microrna biogenesis . 0 ###LEFT-WALL### 5 cell 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 37 . 1 using 5 cell 2 human 4 stem 3 embryonic 4 stem 4 stem 5 cell 6 - 12 , 6 - 33 - 7 derived 8 npcs 7 derived 12 , 8 npcs 9 to 9 to 11 neurogenesis 10 model 11 neurogenesis 12 , 20 maintain 13 we 14 found 14 found 15 that 15 that 16 sox2 15 that 18 required 16 sox2 17 is 17 is 18 required 18 required 19 to 19 to 20 maintain 20 maintain 22 levels 20 maintain 32 let 21 optimal 22 levels 22 levels 23 of 22 levels 29 characterized 23 of 24 lin28 24 lin28 27 well 25 , 27 well 26 a 27 well 27 well 28 - 30 suppressor 32 let 33 - 36 biogenesis 34 7 36 biogenesis 35 microrna 36 biogenesis exogenous lin28 expression rescued the npc proliferation deficit , as well as the early but not the late stages of the neurogenic deficit associated with the loss of sox2 . 0 ###LEFT-WALL### 3 expression 0 ###LEFT-WALL### 4 rescued 0 ###LEFT-WALL### 30 . 1 exogenous 2 lin28 2 lin28 3 expression 3 expression 4 rescued 4 rescued 8 deficit 4 rescued 25 with 5 the 8 deficit 6 npc 8 deficit 7 proliferation 8 deficit 8 deficit 24 associated 9 , 10 as 10 as 11 well 10 as 24 associated 11 well 12 as 11 well 15 but 11 well 24 associated 12 as 14 early 13 the 14 early 15 but 16 not 15 but 19 stages 17 the 19 stages 18 late 19 stages 19 stages 20 of 20 of 23 deficit 21 the 23 deficit 22 neurogenic 23 deficit 25 with 27 loss 26 the 27 loss 27 loss 28 of 28 of 29 sox2 we found that sox2 binds to a proximal site in the lin28 promoter region and regulates lin28 promoter acetylation , likely through interactions with the histone acetyltransferase complex . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 1 we 2 found 2 found 3 that 2 found 4 sox2 4 sox2 15 and 5 binds 6 to 5 binds 15 and 6 to 9 site 7 a 8 proximal 7 a 9 site 8 proximal 9 site 9 site 10 in 10 in 14 region 11 the 14 region 12 lin28 13 promoter 13 promoter 14 region 15 and 16 regulates 15 and 19 acetylation 16 regulates 17 lin28 18 promoter 19 acetylation 19 acetylation 21 likely 20 , 21 likely 21 likely 22 through 21 likely 24 with 21 likely 29 . 22 through 23 interactions 24 with 28 complex 25 the 28 complex 26 histone 28 complex 27 acetyltransferase 28 complex misexpression [of] let - 7 micrornas in npcs reduced [proliferation] and inhibited neuronal differentiation , phenocopying the loss of sox2 . 0 ###LEFT-WALL### 1 misexpression 0 ###LEFT-WALL### 3 let 1 misexpression 3 let 3 let 6 micrornas 3 let 7 in 4 - 5 7 5 7 6 micrornas 7 in 11 and 8 npcs 9 reduced 8 npcs 11 and 11 and 14 differentiation 11 and 16 phenocopying 12 inhibited 14 differentiation 13 neuronal 14 differentiation 15 , 16 phenocopying 16 phenocopying 18 loss 16 phenocopying 21 . 17 the 18 loss 18 loss 19 of 19 of 20 sox2 in particular , we [identified] let - 7i as a novel and potent inhibitor of neuronal differentiation that targets mash1 and ngn1 , two well - characterized proneural genes . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 6 let 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 30 . 1 in 2 particular 2 particular 3 , 2 particular 4 we 4 we 6 let 7 - 8 7i 7 - 27 characterized 8 7i 9 as 8 7i 18 that 8 7i 19 targets 8 7i 27 characterized 9 as 12 and 10 a 11 novel 11 novel 12 and 12 and 14 inhibitor 12 and 15 of 13 potent 14 inhibitor 15 of 17 differentiation 16 neuronal 17 differentiation 18 that 19 targets 19 targets 21 and 20 mash1 21 and 21 and 22 ngn1 22 ngn1 25 well 23 , 25 well 24 two 25 well 25 well 26 - 27 characterized 29 genes 28 proneural 29 genes in conclusion , we discovered the sox2 - lin28/let - 7 pathway as a unique molecular mechanism governing npc proliferation and neurogenic potential . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 24 . 1 in 2 conclusion 3 , 4 we 3 , 5 discovered 4 we 5 discovered 5 discovered 12 pathway 5 discovered 13 as 6 the 12 pathway 7 sox2 9 lin28/let 7 sox2 12 pathway 8 - 9 lin28/let 9 lin28/let 10 - 11 7 12 pathway 13 as 21 and 14 a 20 proliferation 15 unique 17 mechanism 16 molecular 17 mechanism 17 mechanism 18 governing 18 governing 20 proliferation 19 npc 20 proliferation 20 proliferation 21 and 21 and 23 potential 22 neurogenic 23 potential the number of skin cancers continues to rise , accounting for approximately 40 % of all cancers reported in the united states and approximately 9,500 deaths per year . 0 ###LEFT-WALL### 2 number 0 ###LEFT-WALL### 6 continues 0 ###LEFT-WALL### 18 reported 1 the 2 number 2 number 3 of 2 number 6 continues 3 of 5 cancers 4 skin 5 cancers 6 continues 7 to 6 continues 8 rise 7 to 8 rise 9 , 18 reported 10 accounting 11 for 10 accounting 18 reported 11 for 14 % 12 approximately 13 40 13 40 14 % 14 % 15 of 15 of 17 cancers 16 all 17 cancers 18 reported 19 in 18 reported 29 . 19 in 23 and 20 the 22 states 21 united 22 states 22 states 23 and 23 and 26 deaths 23 and 27 per 24 approximately 25 9,500 25 9,500 26 deaths 27 per 28 year studies have shown reactive oxygen species ( ros ) type free radicals are linked to skin cancer and aging . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 3 shown 0 ###LEFT-WALL### 20 . 1 studies 2 have 2 have 3 shown 3 shown 5 oxygen 3 shown 12 radicals 3 shown 14 linked 4 reactive 5 oxygen 5 oxygen 6 species 5 oxygen 10 type 6 species 8 ros 6 species 10 type 7 ( 8 ros 8 ros 9 ) 11 free 12 radicals 12 radicals 13 are 13 are 14 linked 14 linked 15 to 15 to 18 and 16 skin 17 cancer 17 cancer 18 and 18 and 19 aging therefore , it is important for us to identify agents that have anti - oxidant properties to protect skin against free radical damage . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 9 identify 0 ###LEFT-WALL### 24 . 1 therefore 2 , 1 therefore 3 it 3 it 4 is 4 is 5 important 5 important 6 for 5 important 8 to 6 for 7 us 8 to 9 identify 9 identify 10 agents 10 agents 11 that 10 agents 12 have 11 that 12 have 12 have 16 properties 12 have 17 to 12 have 20 against 13 anti 14 - 13 anti 15 oxidant 15 oxidant 16 properties 17 to 18 protect 18 protect 19 skin 20 against 23 damage 21 free 23 damage 22 radical 23 damage the purpose of this research is to investigate the anti - oxidant properties of bisabolol , silymarin , and ectoin that are components from chamomile , milk thistle , and halophilic bacteria , respectively . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 35 . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 is 3 of 5 research 4 this 5 research 6 is 7 to 6 is 8 investigate 7 to 8 investigate 8 investigate 13 properties 8 investigate 24 from 8 investigate 34 respectively 9 the 13 properties 10 anti 11 - 10 anti 13 properties 12 oxidant 13 properties 13 properties 14 of 13 properties 21 that 13 properties 22 are 14 of 19 and 15 bisabolol 16 , 16 , 17 silymarin 16 , 19 and 18 , 19 and 19 and 20 ectoin 21 that 22 are 22 are 23 components 24 from 30 and 25 chamomile 26 , 26 , 28 thistle 26 , 30 and 27 milk 28 thistle 29 , 30 and 30 and 32 bacteria 30 and 33 , 31 halophilic 32 bacteria we measured the ability of bisabolol , silymarin , and ectoin to modulate the hydrogen peroxide ( h2o2 ) - induced upregulation of ros free radicals in normal human skin fibroblasts in vitro . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 measured 0 ###LEFT-WALL### 20 - 0 ###LEFT-WALL### 34 . 1 we 2 measured 2 measured 4 ability 2 measured 12 to 3 the 4 ability 4 ability 5 of 5 of 10 and 6 bisabolol 7 , 7 , 8 silymarin 7 , 10 and 9 , 10 and 10 and 11 ectoin 12 to 13 modulate 13 modulate 16 peroxide 14 the 16 peroxide 15 hydrogen 16 peroxide 16 peroxide 18 h2o2 17 ( 18 h2o2 18 h2o2 19 ) 20 - 22 upregulation 20 - 31 fibroblasts 21 induced 22 upregulation 22 upregulation 23 of 22 upregulation 31 fibroblasts 23 of 26 radicals 24 ros 26 radicals 25 free 26 radicals 26 radicals 27 in 27 in 30 skin 28 normal 30 skin 29 human 30 skin 31 fibroblasts 33 vitro 32 in 33 vitro using a flow cytometry - based assay , we demonstrated that varying concentrations of these natural components were able to inhibit upregulation of h2o2 - [generated] free radicals in human skin fibroblasts in vitro . 0 ###LEFT-WALL### 9 we 0 ###LEFT-WALL### 10 demonstrated 0 ###LEFT-WALL### 25 - 0 ###LEFT-WALL### 35 . 1 using 7 assay 1 using 8 , 1 using 9 we 2 a 3 flow 2 a 7 assay 3 flow 7 assay 4 cytometry 5 - 4 cytometry 7 assay 6 based 7 assay 9 we 10 demonstrated 10 demonstrated 11 that 11 that 13 concentrations 11 that 18 were 12 varying 13 concentrations 13 concentrations 14 of 13 concentrations 18 were 14 of 17 components 15 these 17 components 16 natural 17 components 18 were 19 able 19 able 20 to 20 to 21 inhibit 21 inhibit 22 upregulation 22 upregulation 23 of 23 of 24 h2o2 25 - 27 free 27 free 28 radicals 27 free 29 in 27 free 34 vitro 29 in 32 fibroblasts 30 human 31 skin 31 skin 32 fibroblasts 33 in 34 vitro our results indicate components of chamomile , milk thistle , and halophilic bacteria exhibit anti - oxidant capabilities and warrant further study in clinical trials to characterize their anti - cancer and anti - aging capabilities . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 21 further 0 ###LEFT-WALL### 37 . 1 our 2 results 2 results 3 indicate 3 indicate 11 and 3 indicate 14 exhibit 4 components 5 of 4 components 7 , 5 of 6 chamomile 7 , 9 thistle 7 , 11 and 8 milk 9 thistle 10 , 11 and 11 and 13 bacteria 11 and 14 exhibit 12 halophilic 13 bacteria 14 exhibit 17 oxidant 15 anti 16 - 15 anti 17 oxidant 17 oxidant 19 and 17 oxidant 21 further 18 capabilities 19 and 19 and 20 warrant 19 and 21 further 21 further 22 study 21 further 23 in 21 further 26 to 23 in 25 trials 24 clinical 25 trials 26 to 27 characterize 27 characterize 32 and 28 their 32 and 29 anti 30 - 29 anti 31 cancer 31 cancer 32 and 32 and 36 capabilities 33 anti 34 - 33 anti 36 capabilities 35 aging 36 capabilities telomerase plays a pivotal role in the pathology of aging and cancer by controlling telomere length and integrity . 0 ###LEFT-WALL### 1 telomerase 0 ###LEFT-WALL### 2 plays 0 ###LEFT-WALL### 19 . 1 telomerase 2 plays 2 plays 5 role 2 plays 6 in 2 plays 13 by 3 a 5 role 4 pivotal 5 role 6 in 11 and 7 the 8 pathology 8 pathology 9 of 8 pathology 11 and 9 of 10 aging 11 and 12 cancer 13 by 14 controlling 14 controlling 17 and 15 telomere 16 length 16 length 17 and 17 and 18 integrity however , accumulating evidence indicates that telomerase reverse transcriptase may have fundamental biological functions [independent] of its enzymatic activity in telomere maintenance . 0 ###LEFT-WALL### 3 accumulating 0 ###LEFT-WALL### 23 . 1 however 2 , 1 however 3 accumulating 3 accumulating 4 evidence 3 accumulating 5 indicates 5 indicates 9 transcriptase 5 indicates 11 have 6 that 9 transcriptase 7 telomerase 9 transcriptase 8 reverse 9 transcriptase 9 transcriptase 10 may 10 may 11 have 11 have 14 functions 12 fundamental 14 functions 13 biological 14 functions 14 functions 16 of 16 of 19 activity 17 its 19 activity 18 enzymatic 19 activity 19 activity 20 in 20 in 22 maintenance 21 telomere 22 maintenance in this study , the ectopic expression of human telomerase reverse transcriptase ( htert ) and its catalytic mutant htert k626a induced cancer cell invasion accompanied by the up - regulation of the metalloproteinases ( mmps ) mmp1 , - 3 , - 9 [,] and - 10 . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 26 accompanied 0 ###LEFT-WALL### 43 - 0 ###LEFT-WALL### 47 - 0 ###LEFT-WALL### 49 . 1 in 3 study 1 in 4 , 1 in 16 and 2 this 3 study 5 the 7 expression 6 ectopic 7 expression 7 expression 8 of 7 expression 16 and 8 of 12 transcriptase 9 human 12 transcriptase 10 telomerase 12 transcriptase 11 reverse 12 transcriptase 12 transcriptase 14 htert 13 ( 14 htert 14 htert 15 ) 16 and 25 invasion 16 and 26 accompanied 17 its 25 invasion 18 catalytic 19 mutant 19 mutant 22 induced 20 htert 22 induced 21 k626a 22 induced 22 induced 25 invasion 23 cancer 24 cell 24 cell 25 invasion 26 accompanied 27 by 26 accompanied 38 mmp1 27 by 31 regulation 28 the 31 regulation 29 up 30 - 29 up 31 regulation 31 regulation 32 of 32 of 34 metalloproteinases 33 the 34 metalloproteinases 34 metalloproteinases 36 mmps 35 ( 36 mmps 36 mmps 37 ) 38 mmp1 41 3 39 , 41 3 40 - 41 3 41 3 42 , 43 - 46 and 44 9 46 and 46 and 47 - 47 - 48 10 both htert and htert k626a induced mmp9 mrna expression and promoter activity in an nf - κb - dependent manner . htert and htert k626a also regulated the expression of several nf - κb target genes in cancer cell lines . 0 ###LEFT-WALL### 5 k626a 0 ###LEFT-WALL### 6 induced 0 ###LEFT-WALL### 21 . 0 ###LEFT-WALL### 41 . 1 both 5 k626a 2 htert 3 and 3 and 4 htert 3 and 5 k626a 5 k626a 6 induced 6 induced 10 and 6 induced 13 in 7 mmp9 9 expression 8 mrna 9 expression 9 expression 10 and 10 and 12 activity 11 promoter 12 activity 13 in 20 manner 14 an 20 manner 15 nf 17 κb 15 nf 19 dependent 16 - 17 κb 17 κb 18 - 19 dependent 20 manner 21 . 23 and 21 . 33 - 21 . 34 κb 22 htert 23 and 23 and 24 htert 23 and 25 k626a 23 and 27 regulated 25 k626a 27 regulated 26 also 27 regulated 27 regulated 29 expression 28 the 29 expression 29 expression 30 of 30 of 32 nf 31 several 32 nf 33 - 34 κb 34 κb 36 genes 35 target 36 genes 36 genes 37 in 37 in 40 lines 38 cancer 40 lines 39 cell 40 lines furthermore , both htert and htert k626a interacted with nf - κb p65 and increased nf - κb p65 nuclear accumulation and dna binding . 0 ###LEFT-WALL### 7 k626a 0 ###LEFT-WALL### 8 interacted 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 25 . 1 furthermore 2 , 1 furthermore 7 k626a 3 both 7 k626a 4 htert 5 and 5 and 6 htert 5 and 7 k626a 7 k626a 8 interacted 8 interacted 9 with 9 with 10 nf 10 nf 14 and 11 - 14 and 12 κb 13 p65 13 p65 14 and 14 and 16 nf 14 and 17 - 15 increased 16 nf 17 - 22 and 18 κb 21 accumulation 19 p65 21 accumulation 20 nuclear 21 accumulation 21 accumulation 22 and 22 and 23 dna 22 and 24 binding a mammalian [1] - hybrid assay showed a functional interplay between htert and nf - κb p65 that may mediate nf - κb - dependent transcription activation in cells . 0 ###LEFT-WALL### 6 assay 0 ###LEFT-WALL### 7 showed 0 ###LEFT-WALL### 30 . 1 a 2 mammalian 1 a 6 assay 2 mammalian 4 - 2 mammalian 6 assay 5 hybrid 6 assay 6 assay 7 showed 7 showed 17 p65 7 showed 27 activation 8 a 9 functional 8 a 17 p65 9 functional 10 interplay 10 interplay 11 between 10 interplay 13 and 11 between 12 htert 13 and 14 nf 13 and 15 - 13 and 16 κb 17 p65 18 that 17 p65 19 may 18 that 19 may 19 may 20 mediate 20 mediate 21 nf 21 nf 23 κb 22 - 23 κb 23 κb 24 - 25 dependent 27 activation 26 transcription 27 activation 27 activation 28 in 28 in 29 cells together , these data reveal a telomere - independent role for telomerase as a transcriptional modulator of the nf - κb signaling [pathway] and a possible contributor to cancer development and progression . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 5 reveal 0 ###LEFT-WALL### 20 - 1 together 2 , 1 together 4 data 3 these 4 data 4 data 5 reveal 5 reveal 10 role 5 reveal 11 for 5 reveal 13 as 6 a 7 telomere 6 a 10 role 7 telomere 8 - 7 telomere 10 role 9 independent 10 role 11 for 12 telomerase 13 as 16 modulator 14 a 15 transcriptional 14 a 16 modulator 15 transcriptional 16 modulator 16 modulator 17 of 17 of 19 nf 18 the 19 nf 20 - 24 and 20 - 33 . 21 κb 22 signaling 21 κb 24 and 24 and 27 contributor 24 and 28 to 25 a 26 possible 25 a 27 contributor 26 possible 27 contributor 28 to 31 and 29 cancer 30 development 30 development 31 and 31 and 32 progression [none] the glabellar rhytid has not only dynamic but also static cause , which is usually achieved by injection of filler . 0 ###LEFT-WALL### 4 rhytid 0 ###LEFT-WALL### 5 has 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 22 . 2 the 4 rhytid 3 glabellar 4 rhytid 4 rhytid 5 has 5 has 10 also 6 not 7 only 7 only 10 also 8 dynamic 10 also 9 but 10 also 10 also 12 cause 11 static 12 cause 13 , 14 which 13 , 15 is 14 which 15 is 15 is 16 usually 15 is 18 by 16 usually 17 achieved 18 by 19 injection 19 injection 20 of 20 of 21 filler deep glabellar rhytides , however , are difficult to correct with filler . 0 ###LEFT-WALL### 3 rhytides 0 ###LEFT-WALL### 7 are 0 ###LEFT-WALL### 13 . 1 deep 3 rhytides 2 glabellar 3 rhytides 3 rhytides 7 are 4 , 5 however 5 however 6 , 5 however 7 are 7 are 8 difficult 8 difficult 9 to 8 difficult 10 correct 9 to 10 correct 10 correct 11 with 11 with 12 filler therefore , the authors introduce a novel method of inserting a small strip [of] acellular dermal matrix ( adm ) underneath the wrinkle line . 0 ###LEFT-WALL### 4 authors 0 ###LEFT-WALL### 5 introduce 0 ###LEFT-WALL### 25 . 1 therefore 2 , 1 therefore 4 authors 3 the 4 authors 4 authors 5 introduce 5 introduce 8 method 6 a 7 novel 6 a 8 method 7 novel 8 method 8 method 9 of 9 of 10 inserting 10 inserting 17 matrix 10 inserting 21 underneath 11 a 12 small 11 a 17 matrix 12 small 13 strip 13 strip 17 matrix 15 acellular 17 matrix 16 dermal 17 matrix 17 matrix 19 adm 18 ( 19 adm 19 adm 20 ) 21 underneath 24 line 22 the 24 line 23 wrinkle 24 line from may 2009 to march 2012 , 30 patients were treated for deep glabellar wrinkles with adm augmentation by the senior author . 0 ###LEFT-WALL### 9 patients 0 ###LEFT-WALL### 11 treated 0 ###LEFT-WALL### 23 . 1 from 2 may 1 from 9 patients 2 may 3 2009 4 to 5 march 4 to 7 , 4 to 9 patients 5 march 6 2012 8 30 9 patients 9 patients 10 were 10 were 11 treated 11 treated 12 for 11 treated 16 with 11 treated 19 by 12 for 15 wrinkles 13 deep 15 wrinkles 14 glabellar 15 wrinkles 16 with 18 augmentation 17 adm 18 augmentation 19 by 22 author 20 the 22 author 21 senior 22 author the surgical outcomes were evaluated by the physician using the lemperle scale and questionnaires filled out by the patients . 0 ###LEFT-WALL### 3 outcomes 0 ###LEFT-WALL### 5 evaluated 0 ###LEFT-WALL### 20 . 1 the 3 outcomes 2 surgical 3 outcomes 3 outcomes 4 were 4 were 5 evaluated 5 evaluated 6 by 6 by 13 and 7 the 8 physician 8 physician 9 using 8 physician 13 and 9 using 12 scale 10 the 12 scale 11 lemperle 12 scale 13 and 14 questionnaires 13 and 15 filled 15 filled 16 out 15 filled 17 by 17 by 19 patients 18 the 19 patients the deep rhytides were significantly improved after the procedure , as evaluated by objective and subjective measurements , and their improvement lasted for a long period . 0 ###LEFT-WALL### 3 rhytides 0 ###LEFT-WALL### 6 improved 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 27 . 1 the 3 rhytides 2 deep 3 rhytides 3 rhytides 4 were 4 were 6 improved 5 significantly 6 improved 6 improved 7 after 6 improved 13 by 7 after 9 procedure 8 the 9 procedure 9 procedure 12 evaluated 10 , 12 evaluated 11 as 12 evaluated 13 by 17 measurements 14 objective 15 and 15 and 16 subjective 15 and 17 measurements 18 , 19 and 19 and 21 improvement 19 and 22 lasted 20 their 21 improvement 21 improvement 22 lasted 22 lasted 23 for 23 for 26 period 24 a 25 long 24 a 26 period 25 long 26 period no complications such as hematomas or infection were seen on [postoperative] [follow] - up . 0 ###LEFT-WALL### 2 complications 0 ###LEFT-WALL### 9 seen 0 ###LEFT-WALL### 15 . 1 no 2 complications 2 complications 4 as 2 complications 8 were 3 such 4 as 4 as 6 or 5 hematomas 6 or 6 or 7 infection 8 were 9 seen 9 seen 10 on 10 on 14 up 13 - 14 up augmentation with adm provides a simple , easy , and minimally invasive option for the treatment of deep glabellar wrinkles . 0 ###LEFT-WALL### 1 augmentation 0 ###LEFT-WALL### 4 provides 0 ###LEFT-WALL### 21 . 1 augmentation 2 with 1 augmentation 4 provides 2 with 3 adm 4 provides 13 option 5 a 6 simple 5 a 13 option 6 simple 7 , 6 simple 13 option 8 easy 10 and 9 , 10 and 10 and 12 invasive 10 and 13 option 11 minimally 12 invasive 13 option 14 for 14 for 16 treatment 15 the 16 treatment 16 treatment 17 of 17 of 20 wrinkles 18 deep 20 wrinkles 19 glabellar 20 wrinkles in cases of deep glabellar lines that cannot be corrected by filler injection , this procedure can be recommended as another option . 0 ###LEFT-WALL### 16 procedure 0 ###LEFT-WALL### 19 recommended 0 ###LEFT-WALL### 23 . 1 in 2 cases 1 in 14 , 1 in 16 procedure 2 cases 3 of 3 of 6 lines 4 deep 6 lines 5 glabellar 6 lines 6 lines 7 that 6 lines 8 cannot 7 that 8 cannot 8 cannot 9 be 9 be 10 corrected 10 corrected 11 by 11 by 13 injection 12 filler 13 injection 15 this 16 procedure 16 procedure 17 can 17 can 18 be 18 be 19 recommended 19 recommended 20 as 20 as 22 option 21 another 22 option studies in young adults show that a greater proportion of heat is [gained] shortly following the start of exercise and that temporal changes in whole body heat loss during intermittent exercise have a pronounced effect on body heat storage . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 5 show 0 ###LEFT-WALL### 40 . 1 studies 2 in 1 studies 5 show 2 in 4 adults 3 young 4 adults 5 show 20 and 6 that 9 proportion 6 that 12 is 6 that 20 and 7 a 9 proportion 8 greater 9 proportion 9 proportion 10 of 9 proportion 12 is 10 of 11 heat 12 is 15 following 14 shortly 15 following 15 following 17 start 16 the 17 start 17 start 18 of 18 of 19 exercise 20 and 21 that 21 that 23 changes 21 that 32 have 22 temporal 23 changes 23 changes 24 in 23 changes 32 have 24 in 28 loss 25 whole 26 body 26 body 28 loss 27 heat 28 loss 28 loss 29 during 29 during 31 exercise 30 intermittent 31 exercise 32 have 35 effect 32 have 36 on 33 a 35 effect 34 pronounced 35 effect 36 on 39 storage 37 body 39 storage 38 heat 39 storage the consequences of short - duration intermittent exercise on heat storage with aging are unclear . 0 ###LEFT-WALL### 2 consequences 0 ###LEFT-WALL### 14 are 0 ###LEFT-WALL### 16 . 1 the 2 consequences 2 consequences 3 of 2 consequences 14 are 3 of 8 exercise 4 short 5 - 4 short 6 duration 6 duration 8 exercise 7 intermittent 8 exercise 8 exercise 9 on 9 on 11 storage 10 heat 11 storage 11 storage 12 with 12 with 13 aging 14 are 15 unclear he was not significantly different between groups during the recovery periods . 0 ###LEFT-WALL### 1 he 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 12 . 1 he 2 was 2 was 3 not 2 was 5 different 4 significantly 5 different 5 different 6 between 5 different 8 during 6 between 7 groups 8 during 11 periods 9 the 11 periods 10 recovery 11 periods the net effect over 2 h was a greater δhb in older [(] 267 ± 33 kj [;] p = 0.016 ) and middle - aged adults ( 245 ± 16 kj [;] p = 0.073 ) relative to younger counterparts ( 164 ± 20 kj ) . 0 ###LEFT-WALL### 3 effect 0 ###LEFT-WALL### 25 - 1 the 3 effect 2 net 3 effect 3 effect 4 over 3 effect 7 was 4 over 6 h 5 2 6 h 7 was 23 and 8 a 10 δhb 9 greater 10 δhb 10 δhb 11 in 10 δhb 23 and 11 in 17 kj 12 older 15 ± 14 267 15 ± 15 ± 17 kj 16 33 17 kj 17 kj 20 = 19 p 20 = 20 = 21 0.016 20 = 22 ) 23 and 24 middle 25 - 27 adults 26 aged 27 adults 27 adults 30 ± 28 ( 30 ± 29 245 30 ± 30 ± 31 16 30 ± 32 kj 30 ± 38 relative 30 ± 48 . 31 16 32 kj 32 kj 35 = 34 p 35 = 35 = 36 0.073 35 = 37 ) 38 relative 39 to 39 to 41 counterparts 40 younger 41 counterparts 41 counterparts 46 kj 42 ( 46 kj 43 164 44 ± 44 ± 46 kj 45 20 46 kj 46 kj 47 ) none none introduction : amp - activated protein [kinase] ( ampk ) maintains cultured chondrocyte matrix homeostasis in response to inflammatory cytokines . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 14 cultured 0 ###LEFT-WALL### 23 . 1 none 3 introduction 1 none 4 : 1 none 13 maintains 1 none 14 cultured 2 none 3 introduction 3 introduction 4 : 5 amp 8 protein 5 amp 13 maintains 6 - 8 protein 7 activated 8 protein 8 protein 11 ampk 8 protein 12 ) 10 ( 11 ampk 11 ampk 12 ) 14 cultured 17 homeostasis 14 cultured 20 to 15 chondrocyte 17 homeostasis 16 matrix 17 homeostasis 18 in 19 response 19 response 20 to 20 to 22 cytokines 21 inflammatory 22 cytokines ampk activity is decreased in human knee osteoarthritis ( oa ) chondrocytes . 0 ###LEFT-WALL### 1 ampk 0 ###LEFT-WALL### 4 decreased 0 ###LEFT-WALL### 13 . 1 ampk 2 activity 1 ampk 3 is 1 ampk 4 decreased 2 activity 3 is 4 decreased 5 in 4 decreased 12 chondrocytes 5 in 8 osteoarthritis 6 human 7 knee 7 knee 8 osteoarthritis 8 osteoarthritis 10 oa 9 ( 10 oa 10 oa 11 ) liver kinase b1 ( lkb1 ) is one of the upstream activators of ampk . 0 ###LEFT-WALL### 3 b1 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 15 . 1 liver 2 kinase 2 kinase 3 b1 3 b1 5 lkb1 3 b1 7 is 4 ( 5 lkb1 5 lkb1 6 ) 7 is 8 one 8 one 9 of 9 of 12 activators 10 the 12 activators 11 upstream 12 activators 12 activators 13 of 13 of 14 ampk hence , we examined the relationship between lkb1 and ampk activity in oa and aging cartilages , and in chondrocytes subjected to inflammatory cytokine treatment and biomechanical compression injury , and performed translational studies of ampk pharmacologic activation . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 examined 0 ###LEFT-WALL### 39 . 1 hence 2 , 1 hence 3 we 3 we 4 examined 4 examined 9 and 4 examined 31 and 5 the 6 relationship 6 relationship 7 between 6 relationship 9 and 7 between 8 lkb1 9 and 11 activity 9 and 18 and 9 and 31 and 10 ampk 11 activity 12 in 14 and 12 in 18 and 13 oa 14 and 14 and 16 cartilages 15 aging 16 cartilages 17 , 18 and 18 and 19 in 19 in 20 chondrocytes 21 subjected 22 to 21 subjected 29 injury 21 subjected 31 and 22 to 26 and 23 inflammatory 24 cytokine 24 cytokine 25 treatment 25 treatment 26 and 26 and 28 compression 27 biomechanical 28 compression 30 , 31 and 31 and 32 performed 32 performed 34 studies 33 translational 34 studies 34 studies 35 of 35 of 38 activation 36 ampk 38 activation 37 pharmacologic 38 activation methods : we assessed activity ( phosphorylation [ )(of lkb1 and ampkα in mouse knee oa cartilage , in aging mouse cartilage ( 6 to 24 months ) , and in chondrocytes after mechanical injury by dynamic compression , via immunohistochemistry or western blot . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 assessed 3 we 4 assessed 4 assessed 5 activity 4 assessed 30 and 4 assessed 33 after 4 assessed 36 by 5 activity 7 phosphorylation 6 ( 7 phosphorylation 7 phosphorylation 9 )(of 7 phosphorylation 13 in 7 phosphorylation 18 , 9 )(of 11 and 10 lkb1 11 and 11 and 12 ampkα 13 in 17 cartilage 14 mouse 15 knee 15 knee 17 cartilage 16 oa 17 cartilage 19 in 20 aging 19 in 30 and 20 aging 22 cartilage 21 mouse 22 cartilage 22 cartilage 27 months 23 ( 27 months 24 6 25 to 25 to 26 24 25 to 27 months 27 months 28 ) 29 , 30 and 30 and 31 in 31 in 32 chondrocytes 33 after 35 injury 34 mechanical 35 injury 36 by 38 compression 37 dynamic 38 compression 38 compression 40 via 39 , 40 via 40 via 42 or 40 via 45 . 41 immunohistochemistry 42 or 42 or 44 blot 43 western 44 blot we knocked down lkb1 by sirna transfection . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 knocked 0 ###LEFT-WALL### 8 . 1 we 2 knocked 2 knocked 3 down 2 knocked 4 lkb1 2 knocked 5 by 5 by 7 transfection 6 sirna 7 transfection nitric [oxide] , matrix metalloproteinase ( mmp ) - 3 , and mmp - 13 release were measured by griess reaction and elisa , respectively . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 17 were 0 ###LEFT-WALL### 26 . 1 nitric 5 metalloproteinase 1 nitric 12 and 3 , 5 metalloproteinase 4 matrix 5 metalloproteinase 5 metalloproteinase 7 mmp 5 metalloproteinase 10 3 5 metalloproteinase 11 , 6 ( 7 mmp 7 mmp 8 ) 9 - 10 3 10 3 11 , 11 , 12 and 12 and 13 mmp 12 and 15 13 12 and 16 release 12 and 17 were 14 - 15 13 15 13 16 release 17 were 18 measured 18 measured 19 by 18 measured 25 respectively 19 by 22 and 20 griess 21 reaction 21 reaction 22 and 22 and 23 elisa 22 and 24 , results : knockdown of lkb1 attenuated chondrocyte ampk activity , and increased nitric oxide , mmp - 3 and mmp - 13 release ( p < 0.05 ) in response to il - 1β and tnfα . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 11 and 3 knockdown 4 of 3 knockdown 11 and 4 of 9 activity 5 lkb1 6 attenuated 6 attenuated 7 chondrocyte 7 chondrocyte 9 activity 8 ampk 9 activity 10 , 11 and 11 and 14 oxide 11 and 16 mmp 12 increased 14 oxide 13 nitric 14 oxide 15 , 16 mmp 16 mmp 20 mmp 16 mmp 37 . 17 - 20 mmp 18 3 19 and 19 and 20 mmp 20 mmp 22 13 20 mmp 23 release 20 mmp 35 and 20 mmp 37 . 21 - 22 13 22 13 23 release 23 release 26 < 23 release 31 to 24 ( 26 < 25 p 26 < 26 < 27 0.05 26 < 28 ) 29 in 30 response 30 response 31 to 31 to 32 il 33 - 35 and 34 1β 35 and 35 and 36 tnfα 35 and 37 . both lkb1 and ampk activity were decreased in mouse knee oa and aged knee cartilage , and in bovine chondrocytes after biomechanical injury . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 7 decreased 0 ###LEFT-WALL### 24 . 1 both 3 and 2 lkb1 3 and 3 and 5 activity 3 and 6 were 4 ampk 5 activity 6 were 7 decreased 7 decreased 17 and 7 decreased 21 after 8 in 12 and 8 in 17 and 9 mouse 10 knee 10 knee 11 oa 11 oa 12 and 12 and 15 cartilage 13 aged 14 knee 14 knee 15 cartilage 16 , 17 and 17 and 18 in 18 in 20 chondrocytes 19 bovine 20 chondrocytes 21 after 23 injury 22 biomechanical 23 injury pretreatment of bovine chondrocytes with ampk activators aicar and a - 769662 inhibited both ampkα dephosphorylation and catabolic responses after biomechanical injury . 0 ###LEFT-WALL### 1 pretreatment 0 ###LEFT-WALL### 7 activators 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 13 inhibited 0 ###LEFT-WALL### 23 . 1 pretreatment 2 of 1 pretreatment 7 activators 2 of 4 chondrocytes 3 bovine 4 chondrocytes 4 chondrocytes 5 with 5 with 6 ampk 7 activators 8 aicar 9 and 10 a 9 and 11 - 10 a 11 - 11 - 12 769662 12 769662 13 inhibited 13 inhibited 17 and 13 inhibited 20 after 14 both 17 and 15 ampkα 16 dephosphorylation 16 dephosphorylation 17 and 17 and 19 responses 18 catabolic 19 responses 20 after 22 injury 21 biomechanical 22 injury conclusion : lkb1 is required for chondrocyte ampk activity , thereby inhibiting matrix catabolic responses to inflammatory cytokines . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 lkb1 2 : 5 required 3 lkb1 4 is 4 is 5 required 5 required 6 for 6 for 9 activity 7 chondrocyte 9 activity 8 ampk 9 activity 9 activity 12 inhibiting 10 , 12 inhibiting 11 thereby 12 inhibiting 12 inhibiting 15 responses 12 inhibiting 16 to 12 inhibiting 19 . 13 matrix 15 responses 14 catabolic 15 responses 16 to 18 cytokines 17 inflammatory 18 cytokines concurrent loss of lkb1 and ampk activity in articular chondrocytes is associated with oa , aging and biomechanical injury . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 20 . 1 concurrent 2 loss 2 loss 3 of 2 loss 12 associated 2 loss 17 and 3 of 6 ampk 4 lkb1 5 and 5 and 6 ampk 6 ampk 7 activity 6 ampk 11 is 7 activity 8 in 7 activity 11 is 8 in 10 chondrocytes 9 articular 10 chondrocytes 12 associated 13 with 12 associated 15 , 12 associated 16 aging 13 with 14 oa 17 and 19 injury 18 biomechanical 19 injury conversely , pharmacologic ampk activation attenuates catabolic responses to biomechanical injury , suggesting a potentially novel approach to inhibit oa development and progression . 0 ###LEFT-WALL### 5 activation 0 ###LEFT-WALL### 6 attenuates 1 conversely 2 , 1 conversely 5 activation 3 pharmacologic 5 activation 4 ampk 5 activation 5 activation 6 attenuates 6 attenuates 8 responses 6 attenuates 9 to 7 catabolic 8 responses 9 to 11 injury 10 biomechanical 11 injury 11 injury 13 suggesting 12 , 13 suggesting 13 suggesting 17 approach 13 suggesting 18 to 13 suggesting 24 . 14 a 17 approach 15 potentially 16 novel 16 novel 17 approach 18 to 19 inhibit 19 inhibit 22 and 20 oa 21 development 21 development 22 and 22 and 23 progression the conversion of what has been interpreted as " normal brain aging " to alzheimer 's disease ( ad ) via transition states , i.e [.] , preclinical ad and mild cognitive impairment , [appears] to be a continuous process caused primarily by aging - dependent accumulation of amyloid β peptide ( aβ ) in the brain . 0 ###LEFT-WALL### 2 conversion 0 ###LEFT-WALL### 6 been 1 the 2 conversion 2 conversion 3 of 2 conversion 5 has 3 of 4 what 5 has 6 been 6 been 11 brain 7 interpreted 11 brain 8 as 9 " 8 as 10 normal 10 normal 11 brain 11 brain 12 aging 11 brain 21 via 12 aging 13 " 12 aging 14 to 14 to 17 disease 15 alzheimer 16 's 16 's 17 disease 17 disease 19 ad 18 ( 19 ad 19 ad 20 ) 21 via 30 and 22 transition 23 states 23 states 24 , 24 , 25 i.e 24 , 27 , 27 , 29 ad 27 , 30 and 28 preclinical 29 ad 30 and 33 impairment 30 and 34 , 30 and 36 to 30 and 37 be 31 mild 33 impairment 32 cognitive 33 impairment 36 to 37 be 37 be 40 process 38 a 40 process 39 continuous 40 process 40 process 41 caused 40 process 47 accumulation 41 caused 42 primarily 42 primarily 43 by 43 by 44 aging 45 - 47 accumulation 46 dependent 47 accumulation 47 accumulation 48 of 47 accumulation 55 in 47 accumulation 58 . 48 of 51 peptide 49 amyloid 51 peptide 50 β 51 peptide 51 peptide 53 aβ 52 ( 53 aβ 53 aβ 54 ) 55 in 57 brain 56 the 57 brain this notion however gives us a hope that , by manipulating the aβ levels in the brain , we may be able not only to [prevent] [and] cure the disease but also to partially control some very significant aspects of brain aging . 0 ###LEFT-WALL### 2 notion 0 ###LEFT-WALL### 28 cure 0 ###LEFT-WALL### 43 . 1 this 2 notion 2 notion 4 gives 3 however 4 gives 4 gives 5 us 4 gives 7 hope 4 gives 25 to 6 a 7 hope 7 hope 8 that 8 that 19 we 8 that 21 be 9 , 10 by 10 by 11 manipulating 10 by 18 , 10 by 19 we 11 manipulating 14 levels 11 manipulating 15 in 12 the 14 levels 13 aβ 14 levels 15 in 17 brain 16 the 17 brain 19 we 20 may 20 may 21 be 21 be 22 able 23 not 25 to 24 only 25 to 25 to 28 cure 28 cure 30 disease 28 cure 31 but 29 the 30 disease 31 but 33 to 31 but 35 control 32 also 33 to 33 to 35 control 34 partially 35 control 35 control 39 aspects 36 some 39 aspects 37 very 38 significant 38 significant 39 aspects 39 aspects 40 of 40 of 41 brain 41 brain 42 aging aβ is constantly produced from its precursor and immediately catabolized under normal conditions , whereas dysmetabolism of aβ seems to lead to pathological deposition upon aging . 0 ###LEFT-WALL### 1 aβ 0 ###LEFT-WALL### 19 seems 0 ###LEFT-WALL### 27 . 1 aβ 8 and 2 is 4 produced 2 is 8 and 3 constantly 4 produced 4 produced 5 from 5 from 7 precursor 6 its 7 precursor 8 and 10 catabolized 9 immediately 10 catabolized 10 catabolized 11 under 10 catabolized 15 whereas 11 under 13 conditions 12 normal 13 conditions 14 , 15 whereas 15 whereas 16 dysmetabolism 16 dysmetabolism 17 of 16 dysmetabolism 19 seems 17 of 18 aβ 19 seems 20 to 19 seems 21 lead 20 to 21 lead 21 lead 22 to 21 lead 25 upon 22 to 24 deposition 23 pathological 24 deposition 25 upon 26 aging we have focused our attention on elucidation of the unresolved mechanism of aβ catabolism in the brain . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 focused 0 ###LEFT-WALL### 18 . 1 we 2 have 2 have 3 focused 3 focused 5 attention 3 focused 6 on 4 our 5 attention 6 on 7 elucidation 7 elucidation 8 of 8 of 11 mechanism 9 the 11 mechanism 10 unresolved 11 mechanism 11 mechanism 12 of 12 of 13 aβ 13 aβ 14 catabolism 14 catabolism 15 in 15 in 17 brain 16 the 17 brain in this review , i describe a new approach to prevent ad development by reducing aβ burdens in aging brains through up - regulation of the catabolic mechanism involving neprilysin that can degrade both monomeric and oligomeric forms of aβ . 0 ###LEFT-WALL### 5 i 0 ###LEFT-WALL### 6 describe 0 ###LEFT-WALL### 41 . 1 in 3 review 1 in 4 , 1 in 5 i 2 this 3 review 5 i 6 describe 6 describe 9 approach 7 a 9 approach 8 new 9 approach 9 approach 10 to 9 approach 18 in 9 approach 19 aging 10 to 11 prevent 11 prevent 13 development 11 prevent 14 by 12 ad 13 development 14 by 15 reducing 15 reducing 17 burdens 15 reducing 18 in 16 aβ 17 burdens 19 aging 20 brains 19 aging 21 through 21 through 24 regulation 22 up 23 - 22 up 24 regulation 24 regulation 25 of 24 regulation 39 of 25 of 28 mechanism 26 the 28 mechanism 27 catabolic 28 mechanism 28 mechanism 29 involving 29 involving 30 neprilysin 30 neprilysin 31 that 30 neprilysin 32 can 31 that 32 can 32 can 33 degrade 33 degrade 36 and 34 both 36 and 35 monomeric 36 and 36 and 38 forms 37 oligomeric 38 forms 39 of 40 aβ the strategy of combining presymptomatic diagnosis with preventive medicine seems to be the most pragmatic in both medical and socioeconomical terms [.] ( communicated by kunihiko suzuki , m.j.a [.] ) . 0 ###LEFT-WALL### 2 strategy 0 ###LEFT-WALL### 10 seems 0 ###LEFT-WALL### 32 . 1 the 2 strategy 2 strategy 3 of 2 strategy 10 seems 3 of 4 combining 4 combining 6 diagnosis 4 combining 7 with 5 presymptomatic 6 diagnosis 7 with 9 medicine 8 preventive 9 medicine 10 seems 11 to 10 seems 12 be 11 to 12 be 12 be 14 most 12 be 15 pragmatic 13 the 14 most 15 pragmatic 16 in 16 in 21 terms 17 both 21 terms 18 medical 19 and 19 and 20 socioeconomical 19 and 21 terms 21 terms 24 communicated 21 terms 29 m.j.a 23 ( 24 communicated 24 communicated 25 by 24 communicated 28 , 25 by 27 suzuki 26 kunihiko 27 suzuki 28 , 29 m.j.a 29 m.j.a 31 ) positron emission tomography ( pet ) [with] ( 18 )f - fluorodeoxyglucose ( [(] 18 )f - fdg ) , a glucose analog , is widely used throughout the world as an indispensable imaging modality for the management of cancer treatment . 0 ###LEFT-WALL### 3 tomography 0 ###LEFT-WALL### 27 used 0 ###LEFT-WALL### 42 . 1 positron 3 tomography 2 emission 3 tomography 3 tomography 5 pet 3 tomography 10 )f 3 tomography 12 fluorodeoxyglucose 3 tomography 25 is 4 ( 5 pet 5 pet 6 ) 8 ( 10 )f 9 18 10 )f 10 )f 11 - 11 - 12 fluorodeoxyglucose 12 fluorodeoxyglucose 16 )f 12 fluorodeoxyglucose 24 , 13 ( 16 )f 15 18 16 )f 16 )f 18 fdg 16 )f 23 analog 16 )f 24 , 17 - 18 fdg 18 fdg 19 ) 20 , 23 analog 21 a 23 analog 22 glucose 23 analog 23 analog 24 , 25 is 27 used 26 widely 27 used 27 used 28 throughout 27 used 31 as 28 throughout 30 world 29 the 30 world 31 as 35 modality 32 an 35 modality 33 indispensable 35 modality 34 imaging 35 modality 35 modality 36 for 35 modality 39 of 36 for 38 management 37 the 38 management 39 of 41 treatment 40 cancer 41 treatment this article reviews the pioneering achievements of pet in oncology with a focus on the development of pet that occurred from 1980 through the early - 1990 s . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 reviews 0 ###LEFT-WALL### 29 . 1 this 2 article 2 article 3 reviews 3 reviews 6 achievements 3 reviews 9 in 3 reviews 11 with 4 the 6 achievements 5 pioneering 6 achievements 6 achievements 7 of 7 of 8 pet 9 in 10 oncology 11 with 13 focus 11 with 28 s 12 a 13 focus 13 focus 14 on 13 focus 17 of 13 focus 19 that 13 focus 20 occurred 14 on 16 development 15 the 16 development 17 of 18 pet 19 that 20 occurred 20 occurred 21 from 20 occurred 23 through 21 from 22 1980 23 through 25 early 24 the 25 early 26 - 27 1990 27 1990 28 s [(] 18 )f - fdg was first applied for imaging of animal tumors in 1980 and for brain tumor imaging clinically in 1982 . 0 ###LEFT-WALL### 5 fdg 0 ###LEFT-WALL### 8 applied 0 ###LEFT-WALL### 24 . 2 18 5 fdg 3 )f 4 - 3 )f 5 fdg 5 fdg 6 was 6 was 8 applied 7 first 8 applied 8 applied 9 for 8 applied 21 clinically 8 applied 22 in 9 for 10 imaging 10 imaging 11 of 11 of 13 tumors 12 animal 13 tumors 13 tumors 16 and 14 in 15 1980 14 in 16 and 16 and 17 for 17 for 20 imaging 18 brain 19 tumor 19 tumor 20 imaging 22 in 23 1982 [(] 18 )f - fdg enabled [to] visualize liver metastasis [as] [clear] [positive] [image] that could not be obtained by conventional nuclear imaging . 0 ###LEFT-WALL### 5 fdg 0 ###LEFT-WALL### 8 visualize 0 ###LEFT-WALL### 24 . 2 18 5 fdg 3 )f 4 - 3 )f 5 fdg 5 fdg 6 enabled 5 fdg 8 visualize 8 visualize 10 metastasis 9 liver 10 metastasis 10 metastasis 15 that 10 metastasis 16 could 15 that 16 could 16 could 17 not 16 could 18 be 18 be 19 obtained 19 obtained 20 by 20 by 23 imaging 21 conventional 23 imaging 22 nuclear 23 imaging subsequently , [(] 18 )f - fdg was used for imaging various cancers , [such] [as] lung , pancreas , colorectal and hepatoma . 0 ###LEFT-WALL### 7 fdg 0 ###LEFT-WALL### 9 used 0 ###LEFT-WALL### 24 . 1 subsequently 2 , 1 subsequently 7 fdg 4 18 7 fdg 5 )f 6 - 5 )f 7 fdg 7 fdg 8 was 8 was 9 used 9 used 10 for 10 for 11 imaging 11 imaging 22 and 12 various 13 cancers 13 cancers 14 , 14 , 17 lung 14 , 18 , 18 , 19 pancreas 18 , 20 , 20 , 21 colorectal 20 , 22 and 22 and 23 hepatoma [(] 18 )f - fdg and ( 11 )c - met were proved to be sensitive tracers that can be used to objectively evaluate the effectiveness of cancer treatment . 0 ###LEFT-WALL### 5 fdg 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 30 . 2 18 5 fdg 3 )f 4 - 3 )f 5 fdg 6 and 7 ( 6 and 13 proved 7 ( 13 proved 8 11 11 met 9 )c 10 - 9 )c 11 met 11 met 12 were 12 were 13 proved 13 proved 14 to 14 to 15 be 15 be 17 tracers 16 sensitive 17 tracers 17 tracers 18 that 17 tracers 24 evaluate 18 that 19 can 19 can 20 be 20 be 21 used 21 used 22 to 21 used 24 evaluate 22 to 24 evaluate 23 objectively 24 evaluate 24 evaluate 26 effectiveness 25 the 26 effectiveness 26 effectiveness 27 of 27 of 29 treatment 28 cancer 29 treatment the diagnostic accuracy of pet , which is critical in clinical practice , was evaluated for the differential diagnosis of malignant and benign lung nodules using ( 18 )f - fdg [or] ( 11 )c - met . 0 ###LEFT-WALL### 3 accuracy 0 ###LEFT-WALL### 15 evaluated 0 ###LEFT-WALL### 38 . 1 the 3 accuracy 2 diagnostic 3 accuracy 3 accuracy 4 of 3 accuracy 14 was 4 of 5 pet 5 pet 7 which 6 , 7 which 7 which 8 is 7 which 13 , 8 is 9 critical 9 critical 10 in 10 in 12 practice 11 clinical 12 practice 14 was 15 evaluated 15 evaluated 16 for 15 evaluated 26 using 16 for 19 diagnosis 17 the 19 diagnosis 18 differential 19 diagnosis 19 diagnosis 20 of 20 of 25 nodules 21 malignant 22 and 22 and 23 benign 22 and 25 nodules 24 lung 25 nodules 26 using 30 - 26 using 37 met 27 ( 30 - 28 18 29 )f 29 )f 30 - 30 - 31 fdg 30 - 36 - 31 fdg 35 )c 33 ( 35 )c 34 11 35 )c 35 )c 36 - in addition to [(] 18 )f - fdg and [(] 11 )c - met , many radiopharmaceuticals were developed , such as [(] 18 )f - labled thymidine analogs for evaluating proliferative activity , [(] 18 )f - fluoromisonidazole for imaging of hypoxia , and [(] 18 )f - fluorodeoxygalactose for evaluating liver - specific galactose metabolism [and] for imaging of hepatoma that retains galactose metabolic activity . 1 in 2 addition 2 addition 3 to 2 addition 9 and 3 to 8 fdg 5 18 8 fdg 6 )f 7 - 6 )f 8 fdg 9 and 14 met 9 and 15 , 9 and 17 radiopharmaceuticals 9 and 18 were 9 and 19 developed 11 11 14 met 12 )c 13 - 12 )c 14 met 16 many 17 radiopharmaceuticals 17 radiopharmaceuticals 18 were 19 developed 22 as 19 developed 29 analogs 19 developed 30 for 20 , 22 as 21 such 22 as 22 as 25 )f 22 as 26 - 24 18 25 )f 27 labled 29 analogs 28 thymidine 29 analogs 30 for 31 evaluating 31 evaluating 33 activity 32 proliferative 33 activity 33 activity 38 - 34 , 38 - 36 18 37 )f 37 )f 38 - 38 - 45 and 39 fluoromisonidazole 40 for 39 fluoromisonidazole 45 and 40 for 41 imaging 41 imaging 42 of 42 of 43 hypoxia 44 , 45 and 45 and 48 )f 45 and 49 - 45 and 50 fluorodeoxygalactose 45 and 57 metabolism 47 18 48 )f 49 - 50 fluorodeoxygalactose 50 fluorodeoxygalactose 51 for 50 fluorodeoxygalactose 54 - 51 for 53 liver 52 evaluating 53 liver 54 - 57 metabolism 55 specific 57 metabolism 56 galactose 57 metabolism 57 metabolism 59 for 57 metabolism 68 . 59 for 60 imaging 60 imaging 61 of 61 of 62 hepatoma 62 hepatoma 63 that 62 hepatoma 64 retains 63 that 64 retains 64 retains 67 activity 65 galactose 67 activity 66 metabolic 67 activity these early efforts and achievements have greatly contributed to the development and clinical application of [(] 18 )f - fdg pet in oncology . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 8 contributed 0 ###LEFT-WALL### 24 . 1 these 3 efforts 2 early 3 efforts 3 efforts 4 and 4 and 5 achievements 4 and 6 have 6 have 8 contributed 7 greatly 8 contributed 8 contributed 9 to 9 to 12 and 10 the 11 development 11 development 12 and 12 and 14 application 12 and 15 of 13 clinical 14 application 15 of 21 pet 17 18 21 pet 18 )f 19 - 18 )f 21 pet 20 fdg 21 pet 21 pet 22 in 22 in 23 oncology cognitive deficits and behavioral and psychological symptoms of dementia ( bpsd ) are typical features of patients with dementia such as alzheimer 's disease ( ad ) , vascular dementia ( vd ) , and other forms of senile dementia . 0 ###LEFT-WALL### 2 deficits 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 41 . 1 cognitive 2 deficits 3 and 7 symptoms 3 and 13 are 4 behavioral 5 and 5 and 6 psychological 5 and 7 symptoms 7 symptoms 8 of 7 symptoms 11 bpsd 7 symptoms 13 are 8 of 9 dementia 10 ( 11 bpsd 11 bpsd 12 ) 13 are 35 and 14 typical 15 features 15 features 16 of 15 features 18 with 15 features 35 and 16 of 17 patients 18 with 19 dementia 19 dementia 21 as 20 such 21 as 21 as 24 disease 22 alzheimer 23 's 23 's 24 disease 24 disease 26 ad 24 disease 30 dementia 25 ( 26 ad 26 ad 27 ) 28 , 30 dementia 29 vascular 30 dementia 30 dementia 32 vd 30 dementia 33 ) 31 ( 32 vd 32 vd 33 ) 34 , 35 and 35 and 37 forms 35 and 38 of 36 other 37 forms 38 of 40 dementia 39 senile 40 dementia clinical evidence has demonstrated the potential usefulness of chotosan ( cts ) and yokukansan ( yks ) , traditional herbal formulations called kampo medicines , in the treatment of cognitive disturbance and bpsd in dementia patients , although the indications targeted by cts and yks in kampo medicine differ . 0 ###LEFT-WALL### 1 clinical 0 ###LEFT-WALL### 4 demonstrated 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 49 differ 0 ###LEFT-WALL### 50 . 1 clinical 2 evidence 1 clinical 3 has 1 clinical 4 demonstrated 2 evidence 3 has 4 demonstrated 7 usefulness 5 the 7 usefulness 6 potential 7 usefulness 7 usefulness 8 of 7 usefulness 11 cts 8 of 9 chotosan 10 ( 11 cts 11 cts 12 ) 13 and 21 formulations 13 and 22 called 14 yokukansan 16 yks 14 yokukansan 18 , 14 yokukansan 21 formulations 15 ( 16 yks 16 yks 17 ) 19 traditional 21 formulations 20 herbal 21 formulations 21 formulations 22 called 22 called 23 kampo 22 called 24 medicines 22 called 26 in 22 called 38 although 25 , 26 in 26 in 32 and 26 in 37 , 27 the 28 treatment 28 treatment 29 of 28 treatment 32 and 29 of 31 disturbance 30 cognitive 31 disturbance 32 and 33 bpsd 32 and 34 in 34 in 36 patients 35 dementia 36 patients 38 although 44 and 39 the 40 indications 40 indications 41 targeted 40 indications 44 and 41 targeted 42 by 42 by 43 cts 44 and 45 yks 44 and 46 in 44 and 49 differ 46 in 48 medicine 47 kampo 48 medicine the availability of cts and yks for treating dementia patients is supported by preclinical studies using animal models of dementia that include cognitive/emotional deficits caused by aging and diabetes , dementia risk factors . 0 ###LEFT-WALL### 2 availability 0 ###LEFT-WALL### 30 , 0 ###LEFT-WALL### 34 . 1 the 2 availability 2 availability 3 of 2 availability 11 is 3 of 6 yks 4 cts 5 and 5 and 6 yks 6 yks 7 for 7 for 8 treating 8 treating 10 patients 9 dementia 10 patients 11 is 12 supported 12 supported 13 by 13 by 28 and 14 preclinical 15 studies 15 studies 16 using 15 studies 19 of 15 studies 28 and 16 using 18 models 17 animal 18 models 19 of 20 dementia 20 dementia 21 that 20 dementia 25 caused 21 that 24 deficits 21 that 25 caused 22 include 24 deficits 23 cognitive/emotional 24 deficits 24 deficits 25 caused 25 caused 26 by 26 by 27 aging 28 and 29 diabetes 30 , 33 factors 31 dementia 33 factors 32 risk 33 factors these studies have led not only [to] the concept of a neuronal basis for the cts - and yks - induced amelioration of cognitive function and emotional/psychiatric symptom - related behavior in animal models , but also to a proposal [that] ingredient [(] [s] [ )(of uncariae uncis cum ramulus , a medicinal herb included in cts and yks , [may] [play] an important role in the actions of these formulae in dementia patients . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 5 not 1 these 2 studies 2 studies 3 have 3 have 4 led 5 not 6 only 6 only 9 concept 8 the 9 concept 9 concept 10 of 9 concept 14 for 9 concept 21 induced 10 of 13 basis 11 a 13 basis 12 neuronal 13 basis 14 for 18 and 15 the 16 cts 16 cts 18 and 17 - 18 and 18 and 19 yks 18 and 20 - 21 induced 31 behavior 22 amelioration 23 of 22 amelioration 26 and 23 of 25 function 24 cognitive 25 function 26 and 28 symptom 26 and 29 - 26 and 30 related 26 and 31 behavior 27 emotional/psychiatric 28 symptom 31 behavior 36 but 32 in 34 models 32 in 36 but 33 animal 34 models 35 , 36 but 36 but 37 also 36 but 38 to 38 to 42 ingredient 39 a 42 ingredient 40 proposal 42 ingredient 42 ingredient 46 )(of 46 )(of 58 and 47 uncariae 48 uncis 48 uncis 50 ramulus 49 cum 50 ramulus 50 ramulus 51 , 51 , 54 herb 51 , 58 and 52 a 53 medicinal 52 a 54 herb 53 medicinal 54 herb 54 herb 55 included 54 herb 56 in 56 in 57 cts 58 and 59 yks 59 yks 71 formulae 60 , 71 formulae 63 an 64 important 63 an 71 formulae 64 important 65 role 65 role 66 in 66 in 68 actions 67 the 68 actions 68 actions 69 of 69 of 70 these 71 formulae 72 in 71 formulae 75 . 72 in 74 patients 73 dementia 74 patients further studies are needed to clarify the active ingredients of these formulae and their target endogenous molecules implicated in the anti - dementia drug - like actions . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 6 clarify 1 further 2 studies 2 studies 3 are 3 are 4 needed 4 needed 5 to 5 to 6 clarify 6 clarify 9 ingredients 7 the 9 ingredients 8 active 9 ingredients 9 ingredients 10 of 10 of 17 molecules 11 these 17 molecules 12 formulae 13 and 13 and 15 target 13 and 17 molecules 14 their 15 target 16 endogenous 17 molecules 17 molecules 18 implicated 18 implicated 19 in 19 in 24 drug 20 the 24 drug 21 anti 22 - 21 anti 24 drug 23 dementia 24 drug 24 drug 26 like 25 - 26 like 26 like 27 actions 26 like 28 . background : the aim of this study was to determine the relationship between a [purported] luteinizing hormone/chorionic [gonadotropin] ( lhcgr ) high function polymorphism ( rs4539842/inslq ) and outcome to controlled ovarian hyperstimulation ( coh ) . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 4 aim 2 : 8 was 3 the 4 aim 4 aim 5 of 4 aim 8 was 5 of 7 study 6 this 7 study 8 was 9 to 8 was 30 to 9 to 10 determine 10 determine 28 and 11 the 12 relationship 12 relationship 13 between 12 relationship 28 and 13 between 24 polymorphism 14 a 24 polymorphism 16 luteinizing 22 high 17 hormone/chorionic 20 lhcgr 17 hormone/chorionic 21 ) 17 hormone/chorionic 22 high 19 ( 20 lhcgr 20 lhcgr 21 ) 22 high 23 function 23 function 24 polymorphism 24 polymorphism 26 rs4539842/inslq 25 ( 26 rs4539842/inslq 26 rs4539842/inslq 27 ) 28 and 29 outcome 30 to 33 hyperstimulation 31 controlled 33 hyperstimulation 32 ovarian 33 hyperstimulation 33 hyperstimulation 35 coh 34 ( 35 coh 35 coh 36 ) methods : this was a prospective study of 172 patients undergoing coh at the fertility and ivf center at gwu . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 3 this 2 : 4 was 3 this 4 was 4 was 7 study 4 was 13 at 4 was 19 at 5 a 7 study 6 prospective 7 study 7 study 8 of 7 study 11 undergoing 8 of 10 patients 9 172 10 patients 11 undergoing 12 coh 13 at 18 center 14 the 18 center 15 fertility 16 and 16 and 17 ivf 17 ivf 18 center 19 at 20 gwu dna was isolated from blood samples and a region encompassing the inslq polymorphism was sequenced . 0 ###LEFT-WALL### 1 dna 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 16 . 1 dna 2 was 2 was 3 isolated 3 isolated 4 from 4 from 6 samples 5 blood 6 samples 7 and 9 region 7 and 15 sequenced 8 a 9 region 9 region 10 encompassing 9 region 14 was 10 encompassing 13 polymorphism 11 the 13 polymorphism 12 inslq 13 polymorphism 14 was 15 sequenced we also investigated a polymorphism ( rs4073366 g > c ) [that] [was] 142 bp from inslq . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 18 . 1 we 3 investigated 2 also 3 investigated 3 investigated 5 polymorphism 3 investigated 16 from 4 a 5 polymorphism 5 polymorphism 7 rs4073366 6 ( 7 rs4073366 7 rs4073366 9 > 7 rs4073366 11 ) 8 g 9 > 9 > 10 c 14 142 15 bp 15 bp 16 from 16 from 17 inslq the association of the inslq and rs4073366 alleles and outcome to coh ( [number] of mature follicles , estradiol level on day of human chorionic gonadotropin ( hcg ) administration , the number of eggs retrieved and ovarian hyperstimulation syndrome ( ohss ) ) was determined . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 47 . 1 the 2 association 2 association 3 of 2 association 6 and 3 of 5 inslq 4 the 5 inslq 6 and 8 alleles 6 and 9 and 7 rs4073366 8 alleles 9 and 10 outcome 9 and 11 to 9 and 15 of 11 to 12 coh 13 ( 15 of 15 of 17 follicles 15 of 18 , 16 mature 17 follicles 18 , 20 level 18 , 46 determined 19 estradiol 20 level 20 level 21 on 20 level 45 was 21 on 22 day 22 day 23 of 22 day 30 administration 22 day 37 and 23 of 26 gonadotropin 24 human 26 gonadotropin 25 chorionic 26 gonadotropin 27 ( 30 administration 28 hcg 29 ) 28 hcg 30 administration 30 administration 31 , 31 , 37 and 32 the 33 number 33 number 34 of 33 number 37 and 34 of 35 eggs 35 eggs 36 retrieved 37 and 40 syndrome 37 and 42 ohss 37 and 44 ) 38 ovarian 39 hyperstimulation 39 hyperstimulation 40 syndrome 41 ( 42 ohss 42 ohss 43 ) 45 was 46 determined results : increasing age and higher day 3 ( basal ) fsh levels were significantly associated with poorer response [to] coh . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 and 2 : 22 . 3 increasing 4 age 4 age 5 and 5 and 7 day 5 and 17 with 6 higher 7 day 7 day 8 3 7 day 16 associated 9 ( 16 associated 10 basal 11 ) 10 basal 12 fsh 12 fsh 13 levels 12 fsh 14 were 12 fsh 16 associated 13 levels 14 were 14 were 15 significantly 17 with 21 coh 18 poorer 19 response 19 response 21 coh we found that both inslq and rs4073366 were in linkage disequilibrium ( ld ) and no patients were homozygous for both recessive alleles ( inslq/inslq [;] c/c ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 29 . 1 we 2 found 2 found 3 that 3 that 6 and 3 that 8 were 4 both 6 and 5 inslq 6 and 6 and 7 rs4073366 6 and 8 were 8 were 9 in 9 in 11 disequilibrium 10 linkage 11 disequilibrium 11 disequilibrium 13 ld 12 ( 13 ld 13 ld 14 ) 15 and 17 patients 15 and 18 were 16 no 17 patients 17 patients 18 were 18 were 19 homozygous 19 homozygous 20 for 20 for 23 alleles 21 both 23 alleles 22 recessive 23 alleles 23 alleles 27 c/c 24 ( 27 c/c 25 inslq/inslq 27 c/c 27 c/c 28 ) the inslq variant was not significantly associated with any of the main outcomes to coh . 0 ###LEFT-WALL### 3 variant 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 16 . 1 the 3 variant 2 inslq 3 variant 3 variant 4 was 4 was 5 not 4 was 7 associated 6 significantly 7 associated 7 associated 8 with 7 associated 14 to 8 with 9 any 9 any 10 of 10 of 13 outcomes 11 the 12 main 11 the 13 outcomes 14 to 15 coh carrier status for the rs4073366 [c] variant was associated ( p = 0.033 ) with an increased risk ( or 2.95 , 95 % ci = 1.09 - 7.96 [ )(of developing ohss . 0 ###LEFT-WALL### 1 carrier 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 34 . 1 carrier 2 status 1 carrier 8 was 1 carrier 9 associated 2 status 3 for 2 status 8 was 3 for 7 variant 4 the 7 variant 5 rs4073366 7 variant 9 associated 12 = 9 associated 15 with 10 ( 12 = 11 p 12 = 12 = 13 0.033 12 = 14 ) 15 with 18 risk 16 an 18 risk 17 increased 18 risk 18 risk 20 or 19 ( 20 or 20 or 21 2.95 20 or 22 , 22 , 25 ci 22 , 26 = 23 95 25 ci 24 % 25 ci 25 ci 26 = 26 = 28 - 27 1.09 28 - 28 - 29 7.96 28 - 31 )(of 31 )(of 32 developing 32 developing 33 ohss conclusions : while age and day 3 fsh levels were predictive [of] [outcome] , we found no association between inslq and patient response to coh . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 9 levels 2 : 10 were 2 : 14 , 3 while 5 and 3 while 9 levels 4 age 5 and 5 and 6 day 7 3 9 levels 8 fsh 9 levels 9 levels 10 were 10 were 11 predictive 14 , 15 we 14 , 16 found 15 we 16 found 16 found 18 association 16 found 19 between 16 found 24 to 17 no 18 association 19 between 21 and 20 inslq 21 and 21 and 23 response 22 patient 23 response 24 to 25 coh interestingly , rs4073366 c variant carrier status was associated with ohss risk . 0 ###LEFT-WALL### 3 rs4073366 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 13 . 1 interestingly 2 , 1 interestingly 3 rs4073366 3 rs4073366 4 c 3 rs4073366 7 status 3 rs4073366 8 was 3 rs4073366 9 associated 5 variant 6 carrier 6 carrier 7 status 7 status 8 was 9 associated 10 with 10 with 12 risk 11 ohss 12 risk to the best of our knowledge , this is the first report suggesting that lhcgr genetic variation might function in patient risk for ohss . 0 ###LEFT-WALL### 8 this 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 25 . 1 to 3 best 1 to 7 , 1 to 8 this 2 the 3 best 3 best 4 of 4 of 6 knowledge 5 our 6 knowledge 8 this 9 is 9 is 12 report 10 the 12 report 11 first 12 report 12 report 13 suggesting 13 suggesting 14 that 14 that 17 variation 14 that 19 function 15 lhcgr 17 variation 16 genetic 17 variation 17 variation 18 might 18 might 19 function 19 function 20 in 20 in 22 risk 21 patient 22 risk 22 risk 23 for 23 for 24 ohss none [background] : knee osteoarthritis ( koa ) risk is increased by obesity and physical activities ( pa ) [which] mechanically stress the joint . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 3 : 3 : 4 knee 3 : 11 increased 3 : 14 and 3 : 25 . 4 knee 5 osteoarthritis 4 knee 9 risk 4 knee 10 is 5 osteoarthritis 7 koa 5 osteoarthritis 9 risk 6 ( 7 koa 7 koa 8 ) 10 is 11 increased 11 increased 12 by 12 by 13 obesity 14 and 16 activities 14 and 22 stress 15 physical 16 activities 16 activities 18 pa 16 activities 22 stress 17 ( 18 pa 18 pa 19 ) 21 mechanically 22 stress 22 stress 24 joint 23 the 24 joint we examined the associations of midlife koa with body mass index [(] bmi [ )(and activity exposure across adult life and their interaction . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 24 . 1 we 2 examined 2 examined 4 associations 2 examined 7 koa 3 the 4 associations 4 associations 5 of 4 associations 7 koa 5 of 6 midlife 7 koa 8 with 7 koa 18 across 8 with 15 )(and 9 body 13 bmi 10 mass 13 bmi 11 index 13 bmi 13 bmi 15 )(and 15 )(and 17 exposure 16 activity 17 exposure 18 across 21 and 19 adult 20 life 20 life 21 and 21 and 23 interaction 22 their 23 interaction methods : data are from a uk birth cohort of 2597 participants with a clinical assessment for koa at age 53 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 data 2 : 4 are 2 : 22 . 3 data 4 are 4 are 5 from 4 are 13 with 4 are 17 for 4 are 19 at 5 from 9 cohort 6 a 9 cohort 7 uk 8 birth 8 birth 9 cohort 9 cohort 10 of 10 of 12 participants 11 2597 12 participants 13 with 16 assessment 14 a 15 clinical 14 a 16 assessment 15 clinical 16 assessment 17 for 18 koa 19 at 20 age 20 age 21 53 at ages 36 , 43 and 53 bmi [(] [kg/m2] [ )(, self - reported leisure - time pa , and occupational activity ( kneeling/squatting [;] lifting [;] climbing [;] sitting [;] assigned using a job - exposure matrix ) were ascertained . 1 at 2 ages 1 at 4 , 1 at 8 bmi 2 ages 3 36 5 43 6 and 6 and 7 53 6 and 8 bmi 8 bmi 13 self 8 bmi 16 leisure 8 bmi 18 time 12 )(, 13 self 13 self 14 - 14 - 16 leisure 15 reported 16 leisure 16 leisure 17 - 18 time 21 and 19 pa 21 and 20 , 21 and 21 and 23 activity 21 and 31 sitting 22 occupational 23 activity 24 ( 31 sitting 25 kneeling/squatting 31 sitting 27 lifting 31 sitting 29 climbing 31 sitting 31 sitting 33 assigned 31 sitting 34 using 31 sitting 41 were 31 sitting 42 ascertained 31 sitting 43 . 34 using 36 job 34 using 41 were 35 a 36 job 36 job 39 matrix 37 - 39 matrix 38 exposure 39 matrix 39 matrix 40 ) associations were explored using the multiplicative logistic model . 0 ###LEFT-WALL### 1 associations 0 ###LEFT-WALL### 3 explored 0 ###LEFT-WALL### 9 . 1 associations 2 were 2 were 3 explored 3 explored 4 using 4 using 8 model 5 the 8 model 6 multiplicative 8 model 7 logistic 8 model results : bmi was strongly and positively associated with koa in men and women . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 bmi 2 : 8 associated 2 : 15 . 3 bmi 4 was 4 was 6 and 4 was 8 associated 5 strongly 6 and 6 and 7 positively 8 associated 9 with 8 associated 11 in 9 with 10 koa 11 in 13 and 12 men 13 and 13 and 14 women men and women in manual occupations also had greater odds of koa ; there was a weak suggestion that koa risk was higher among men exposed to lifting or kneeling at work . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 8 had 0 ###LEFT-WALL### 13 ; 0 ###LEFT-WALL### 33 . 1 men 2 and 2 and 3 women 2 and 8 had 3 women 4 in 4 in 6 occupations 5 manual 6 occupations 7 also 8 had 8 had 10 odds 9 greater 10 odds 10 odds 11 of 11 of 12 koa 13 ; 14 there 13 ; 15 was 14 there 15 was 15 was 18 suggestion 15 was 29 or 15 was 31 at 16 a 17 weak 16 a 18 suggestion 17 weak 18 suggestion 18 suggestion 19 that 18 suggestion 27 to 19 that 21 risk 19 that 22 was 20 koa 21 risk 21 risk 22 was 22 was 23 higher 23 higher 24 among 24 among 25 men 25 men 26 exposed 26 exposed 27 to 28 lifting 29 or 29 or 30 kneeling 31 at 32 work for men , the only evidence of a multiplicative interaction between bmi and activities was for lifting ( p = 0.01 ) at age 43 [;] bmi conferred higher koa risk among those most [-] likely to lift at work ( or per increase in bmi [z] - score [:] 3.55 , 95 % ci : 1.72 - 7.33 ) . 1 for 2 men 1 for 3 , 1 for 6 evidence 4 the 5 only 4 the 6 evidence 6 evidence 7 of 6 evidence 15 was 7 of 13 and 8 a 9 multiplicative 8 a 10 interaction 9 multiplicative 10 interaction 10 interaction 11 between 10 interaction 13 and 11 between 12 bmi 13 and 14 activities 15 was 16 for 15 was 23 at 16 for 17 lifting 17 lifting 20 = 18 ( 20 = 19 p 20 = 20 = 21 0.01 20 = 22 ) 23 at 24 age 24 age 27 bmi 24 age 31 risk 25 43 27 bmi 27 bmi 28 conferred 27 bmi 31 risk 28 conferred 29 higher 28 conferred 30 koa 31 risk 32 among 31 risk 37 to 31 risk 39 at 32 among 36 likely 33 those 36 likely 34 most 36 likely 37 to 38 lift 39 at 40 work 40 work 42 or 40 work 49 score 41 ( 42 or 42 or 43 per 42 or 45 in 42 or 48 - 43 per 44 increase 45 in 46 bmi 48 - 49 score 49 score 51 3.55 49 score 54 % 49 score 61 . 52 , 54 % 53 95 54 % 54 % 55 ci 54 % 56 : 54 % 60 ) 55 ci 56 : 56 : 58 - 57 1.72 58 - 58 - 59 7.33 conclusions : [at] the very least , our study suggests that more active individuals ( at work and [in] leisure ) may see a greater reduction in risk [of] koa from avoiding a high bmi than [those] less active . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 30 koa 0 ###LEFT-WALL### 40 . 1 conclusions 2 : 2 : 6 least 4 the 5 very 4 the 6 least 7 , 30 koa 8 our 9 study 9 study 10 suggests 10 suggests 11 that 11 that 14 individuals 11 that 23 see 12 more 14 individuals 13 active 14 individuals 14 individuals 16 at 14 individuals 22 may 15 ( 16 at 16 at 18 and 16 at 21 ) 17 work 18 and 18 and 20 leisure 22 may 23 see 23 see 26 reduction 23 see 27 in 23 see 30 koa 24 a 26 reduction 25 greater 26 reduction 27 in 28 risk 30 koa 31 from 30 koa 36 than 31 from 32 avoiding 32 avoiding 35 bmi 33 a 35 bmi 34 high 35 bmi 36 than 39 active 38 less 39 active this study aimed to predict the risk of falls by focusing on substance abuse in the elderly with dementia . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 9 falls 0 ###LEFT-WALL### 20 . 1 this 2 study 2 study 3 aimed 2 study 4 to 2 study 8 of 2 study 9 falls 4 to 5 predict 5 predict 7 risk 6 the 7 risk 7 risk 8 of 9 falls 10 by 10 by 11 focusing 11 focusing 12 on 11 focusing 15 in 11 focusing 18 with 12 on 14 abuse 13 substance 14 abuse 15 in 17 elderly 16 the 17 elderly 18 with 19 dementia our national [cross] - sectional survey included 1210 elderly malaysian demented subjects . 0 ###LEFT-WALL### 6 survey 0 ###LEFT-WALL### 7 included 0 ###LEFT-WALL### 13 . 1 our 6 survey 2 national 4 - 2 national 6 survey 5 sectional 6 survey 6 survey 7 included 7 included 12 subjects 8 1210 12 subjects 9 elderly 10 malaysian 10 malaysian 12 subjects 11 demented 12 subjects the study identified the effects of age , ethnicity , sex differences , marital status , educational level , and substance abuse on the likelihood of [falls] in the elderly with dementia . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 identified 0 ###LEFT-WALL### 33 . 1 the 2 study 2 study 3 identified 3 identified 20 and 3 identified 23 on 3 identified 31 with 4 the 5 effects 5 effects 6 of 5 effects 8 , 6 of 7 age 8 , 9 ethnicity 8 , 10 , 10 , 12 differences 10 , 13 , 11 sex 12 differences 13 , 15 status 13 , 16 , 14 marital 15 status 16 , 18 level 16 , 20 and 17 educational 18 level 19 , 20 and 20 and 22 abuse 21 substance 22 abuse 23 on 25 likelihood 24 the 25 likelihood 25 likelihood 26 of 26 of 28 in 28 in 30 elderly 29 the 30 elderly 31 with 32 dementia the multivariate logistic regression model was used to analyze data collected from samples . 0 ###LEFT-WALL### 5 model 0 ###LEFT-WALL### 7 used 0 ###LEFT-WALL### 14 . 1 the 5 model 2 multivariate 5 model 3 logistic 4 regression 4 regression 5 model 5 model 6 was 6 was 7 used 7 used 8 to 7 used 9 analyze 8 to 9 analyze 9 analyze 10 data 10 data 11 collected 11 collected 12 from 12 from 13 samples the prevalence [of] falls [was] about 17 % among subjects and significantly increased with age ( p = [.] 006 ) . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 4 falls 0 ###LEFT-WALL### 22 . 1 the 2 prevalence 2 prevalence 4 falls 4 falls 6 about 4 falls 9 among 4 falls 14 with 4 falls 18 = 6 about 8 % 7 17 8 % 9 among 11 and 10 subjects 11 and 11 and 13 increased 12 significantly 13 increased 14 with 15 age 16 ( 18 = 17 p 18 = 18 = 20 006 18 = 21 ) furthermore , the results showed that age ( [or] = 1.03 ) [,] ethnicity [(] or = 1.69 [ )( substance abuse ( or [=] 1.68 [ )(, and female sex ( or [=] 1.45 ) significantly enhanced the risk of [falls] in respondents ( [p] < [.] 05 [ )( 1 furthermore 2 , 1 furthermore 4 results 3 the 4 results 4 results 5 showed 5 showed 7 age 5 showed 16 or 5 showed 17 = 6 that 7 age 7 age 11 1.03 8 ( 11 1.03 10 = 11 1.03 11 1.03 12 ) 14 ethnicity 16 or 16 or 17 = 17 = 29 and 18 1.69 21 substance 21 substance 29 and 22 abuse 24 or 23 ( 24 or 24 or 26 1.68 24 or 28 )(, 28 )(, 29 and 29 and 30 female 29 and 31 sex 29 and 38 enhanced 31 sex 33 or 31 sex 38 enhanced 32 ( 33 or 33 or 35 1.45 33 or 36 ) 37 significantly 38 enhanced 38 enhanced 40 risk 39 the 40 risk 40 risk 41 of 40 risk 49 05 41 of 43 in 43 in 44 respondents 45 ( 49 05 47 < 49 05 49 05 51 )( educational level and marital status had no significant effects on the likelihood of falls ( p > [.] 05 [ )( 0 ###LEFT-WALL### 1 educational 0 ###LEFT-WALL### 14 falls 0 ###LEFT-WALL### 21 )( 1 educational 3 and 1 educational 13 of 1 educational 14 falls 2 level 3 and 3 and 5 status 3 and 6 had 4 marital 5 status 6 had 9 effects 6 had 10 on 7 no 9 effects 8 significant 9 effects 10 on 12 likelihood 11 the 12 likelihood 12 likelihood 13 of 14 falls 17 > 15 ( 17 > 16 p 17 > 17 > 19 05 however , the findings provided evidence of an additional effect of substance abuse on further risk of [falls] in older adults with dementia . 0 ###LEFT-WALL### 4 findings 0 ###LEFT-WALL### 5 provided 0 ###LEFT-WALL### 24 . 1 however 2 , 1 however 4 findings 3 the 4 findings 4 findings 5 provided 5 provided 6 evidence 5 provided 14 on 5 provided 22 with 6 evidence 7 of 7 of 10 effect 8 an 9 additional 8 an 10 effect 9 additional 10 effect 10 effect 11 of 11 of 13 abuse 12 substance 13 abuse 14 on 16 risk 15 further 16 risk 16 risk 17 of 17 of 19 in 19 in 21 adults 20 older 21 adults 22 with 23 dementia demographic transitions in the arab countries , due to declining birth rates and mortality rates since the 1980s , are reflected in a low proportion of children , a relatively stable proportion of elderly and a high proportion of people of working age . 0 ###LEFT-WALL### 2 transitions 0 ###LEFT-WALL### 21 reflected 1 demographic 2 transitions 2 transitions 3 in 2 transitions 20 are 3 in 6 countries 4 the 6 countries 5 arab 6 countries 6 countries 8 due 7 , 8 due 8 due 9 to 8 due 19 , 9 to 10 declining 10 declining 13 and 11 birth 12 rates 12 rates 13 and 13 and 15 rates 13 and 16 since 14 mortality 15 rates 16 since 18 1980s 17 the 18 1980s 20 are 21 reflected 21 reflected 22 in 22 in 25 proportion 23 a 24 low 23 a 25 proportion 24 low 25 proportion 25 proportion 26 of 25 proportion 32 proportion 26 of 27 children 28 , 32 proportion 29 a 30 relatively 29 a 32 proportion 30 relatively 31 stable 31 stable 32 proportion 32 proportion 33 of 32 proportion 41 of 32 proportion 44 . 33 of 35 and 34 elderly 35 and 35 and 38 proportion 35 and 39 of 36 a 38 proportion 37 high 38 proportion 39 of 40 people 41 of 42 working 42 working 43 age this " youth bulge " of young , active , working [-] age individuals in the current population may open a demographic window for countries to benefit from increased savings and investment . 0 ###LEFT-WALL### 4 bulge 0 ###LEFT-WALL### 20 open 0 ###LEFT-WALL### 33 . 1 this 2 " 1 this 4 bulge 3 youth 4 bulge 4 bulge 5 " 4 bulge 6 of 4 bulge 19 may 6 of 14 individuals 7 young 8 , 7 young 13 age 9 active 10 , 9 active 13 age 11 working 13 age 13 age 14 individuals 14 individuals 15 in 15 in 18 population 16 the 18 population 17 current 18 population 19 may 20 open 20 open 23 window 20 open 24 for 20 open 26 to 20 open 28 from 21 a 22 demographic 21 a 23 window 22 demographic 23 window 24 for 25 countries 26 to 27 benefit 28 from 31 and 29 increased 30 savings 30 savings 31 and 31 and 32 investment this paper reviews the demographic situation in the arab region and the impact of education , employment , migration , health status and participation in society on the further development of the region , including the impact of these factors on ageing and gender issues . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 reviews 0 ###LEFT-WALL### 46 . 1 this 2 paper 2 paper 3 reviews 3 reviews 6 situation 3 reviews 7 in 3 reviews 41 on 4 the 6 situation 5 demographic 6 situation 7 in 11 and 8 the 10 region 9 arab 10 region 10 region 11 and 11 and 13 impact 11 and 14 of 12 the 13 impact 14 of 23 and 15 education 16 , 16 , 17 employment 16 , 18 , 18 , 19 migration 18 , 20 , 20 , 22 status 20 , 23 and 21 health 22 status 23 and 24 participation 23 and 34 , 23 and 35 including 23 and 38 of 24 participation 25 in 25 in 26 society 26 society 27 on 26 society 31 of 27 on 30 development 28 the 30 development 29 further 30 development 31 of 33 region 32 the 33 region 35 including 37 impact 36 the 37 impact 38 of 40 factors 39 these 40 factors 41 on 43 and 42 ageing 43 and 43 and 45 issues 44 gender 45 issues the intent is to draw attention to the importance of these demographic changes and highlight the need for action to maximize the potential benefit to the population in this region . 0 ###LEFT-WALL### 2 intent 0 ###LEFT-WALL### 21 maximize 0 ###LEFT-WALL### 31 . 1 the 2 intent 2 intent 3 is 3 is 4 to 3 is 14 and 4 to 14 and 5 draw 6 attention 5 draw 14 and 6 attention 7 to 6 attention 10 of 7 to 9 importance 8 the 9 importance 10 of 13 changes 11 these 13 changes 12 demographic 13 changes 14 and 15 highlight 15 highlight 17 need 15 highlight 20 to 16 the 17 need 17 need 18 for 18 for 19 action 20 to 21 maximize 21 maximize 24 benefit 21 maximize 25 to 21 maximize 28 in 22 the 24 benefit 23 potential 24 benefit 25 to 27 population 26 the 27 population 28 in 30 region 29 this 30 region background : the diabetes control and complications trial ( dcct )/epidemiology of diabetes interventions and complications ( edic ) studies have established multiyear mean hemoglobin a1c ( hba1c ) as [predictive] of microvascular complications in persons with type 1 diabetes . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 5 control 2 : 6 and 2 : 41 . 3 the 5 control 4 diabetes 5 control 6 and 11 )/epidemiology 6 and 22 established 7 complications 11 )/epidemiology 8 trial 10 dcct 9 ( 10 dcct 10 dcct 11 )/epidemiology 11 )/epidemiology 12 of 11 )/epidemiology 22 established 12 of 15 and 13 diabetes 14 interventions 14 interventions 15 and 15 and 18 edic 15 and 20 studies 15 and 21 have 16 complications 18 edic 17 ( 18 edic 18 edic 19 ) 20 studies 21 have 22 established 26 a1c 22 established 32 of 22 established 35 in 22 established 37 with 23 multiyear 24 mean 24 mean 25 hemoglobin 25 hemoglobin 26 a1c 26 a1c 28 hba1c 27 ( 28 hba1c 28 hba1c 29 ) 30 as 32 of 32 of 34 complications 33 microvascular 34 complications 35 in 36 persons 37 with 38 type 37 with 40 diabetes 38 type 39 1 however , multiyear mean hba1c is not always available in the clinical setting . 0 ###LEFT-WALL### 5 hba1c 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 14 . 1 however 2 , 1 however 5 hba1c 3 multiyear 5 hba1c 4 mean 5 hba1c 5 hba1c 6 is 6 is 7 not 6 is 8 always 6 is 9 available 9 available 10 in 10 in 13 setting 11 the 13 setting 12 clinical 13 setting skin advanced glycation end products ( ages ) are thought to partially reflect effects of hyperglycemia over time , and measurement of skin ages might be a surrogate for multiyear mean hba1c . 0 ###LEFT-WALL### 10 thought 1 skin 2 advanced 1 skin 5 products 1 skin 9 are 1 skin 10 thought 3 glycation 5 products 4 end 5 products 5 products 7 ages 5 products 9 are 6 ( 7 ages 7 ages 8 ) 10 thought 11 to 10 thought 17 over 10 thought 29 for 10 thought 33 . 11 to 13 reflect 12 partially 13 reflect 13 reflect 14 effects 14 effects 15 of 15 of 16 hyperglycemia 17 over 20 and 18 time 20 and 19 , 20 and 20 and 21 measurement 20 and 22 of 22 of 23 skin 23 skin 24 ages 23 skin 26 be 24 ages 25 might 25 might 26 be 26 be 28 surrogate 27 a 28 surrogate 29 for 32 hba1c 30 multiyear 32 hba1c 31 mean 32 hba1c as certain ages fluoresce and skin fluorescence has been demonstrated to correlate with the concentration of skin ages , noninvasive measurement by skin intrinsic fluorescence ( sif ) facilitates the exploration of the association of mean hba1c and other clinical/technical factors with sif using the detailed phenotypic database available in dcct/edic . 0 ###LEFT-WALL### 2 certain 0 ###LEFT-WALL### 12 correlate 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 52 . 1 as 2 certain 2 certain 3 ages 2 certain 5 and 2 certain 9 been 2 certain 11 to 3 ages 5 and 4 fluoresce 5 and 5 and 6 skin 7 fluorescence 8 has 8 has 9 been 9 been 10 demonstrated 11 to 12 correlate 12 correlate 13 with 13 with 15 concentration 14 the 15 concentration 15 concentration 16 of 16 of 18 ages 17 skin 18 ages 19 , 38 and 20 noninvasive 21 measurement 21 measurement 22 by 21 measurement 32 of 21 measurement 38 and 22 by 23 skin 23 skin 25 fluorescence 23 skin 29 facilitates 24 intrinsic 25 fluorescence 25 fluorescence 27 sif 25 fluorescence 29 facilitates 26 ( 27 sif 27 sif 28 ) 29 facilitates 31 exploration 30 the 31 exploration 32 of 34 association 33 the 34 association 34 association 35 of 35 of 37 hba1c 36 mean 37 hba1c 38 and 41 factors 38 and 42 with 38 and 44 using 39 other 41 factors 40 clinical/technical 41 factors 42 with 43 sif 44 using 48 database 45 the 48 database 46 detailed 48 database 47 phenotypic 48 database 48 database 49 available 49 available 50 in 50 in 51 dcct/edic subjects and methods : of the subjects , 1,185 ( 53 % male ) [had] measurements of sif during years 16/17 of edic with mean age and diabetes duration of 51.5 and 29.8 years , respectively . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 subjects 3 methods 2 and 3 methods 3 methods 4 : 4 : 5 of 4 : 36 respectively 5 of 7 subjects 6 the 7 subjects 7 subjects 9 1,185 8 , 9 1,185 9 1,185 16 measurements 9 1,185 35 , 10 ( 16 measurements 11 53 16 measurements 12 % 16 measurements 13 male 14 ) 13 male 16 measurements 16 measurements 17 of 16 measurements 35 , 17 of 18 sif 18 sif 19 during 18 sif 22 of 19 during 20 years 20 years 21 16/17 22 of 27 and 23 edic 24 with 23 edic 27 and 24 with 26 age 25 mean 26 age 27 and 29 duration 27 and 30 of 28 diabetes 29 duration 30 of 34 years 31 51.5 32 and 32 and 33 29.8 32 and 34 years 35 , 36 respectively 36 respectively 37 . sif measurements were obtained on the underside of the forearm near the elbow using a skin fluorescence spectrometer . 0 ###LEFT-WALL### 2 measurements 0 ###LEFT-WALL### 4 obtained 0 ###LEFT-WALL### 19 . 1 sif 2 measurements 2 measurements 3 were 3 were 4 obtained 4 obtained 5 on 4 obtained 11 near 5 on 7 underside 6 the 7 underside 7 underside 8 of 8 of 10 forearm 9 the 10 forearm 11 near 13 elbow 12 the 13 elbow 13 elbow 14 using 14 using 18 spectrometer 15 a 16 skin 15 a 18 spectrometer 16 skin 18 spectrometer 17 fluorescence 18 spectrometer demographic data and health history [were] self - reported , and an annual standardized examination measured clinical status . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 14 standardized 0 ###LEFT-WALL### 19 . 1 demographic 2 data 2 data 3 and 3 and 7 self 3 and 9 reported 3 and 11 and 4 health 5 history 5 history 7 self 8 - 9 reported 9 reported 10 , 11 and 13 annual 11 and 14 standardized 12 an 13 annual 14 standardized 18 status 15 examination 16 measured 16 measured 18 status 17 clinical 18 status linear regression models were constructed to identify significant clinical and technical factors associated with sif , and the final models only used factors that were significant . 0 ###LEFT-WALL### 1 linear 0 ###LEFT-WALL### 27 . 1 linear 4 were 1 linear 6 to 1 linear 14 with 2 regression 3 models 3 models 4 were 4 were 5 constructed 6 to 7 identify 7 identify 12 factors 8 significant 12 factors 9 clinical 10 and 10 and 11 technical 10 and 12 factors 12 factors 13 associated 14 with 17 and 14 with 21 only 14 with 23 factors 15 sif 17 and 16 , 17 and 17 and 20 models 18 the 20 models 19 final 20 models 22 used 23 factors 23 factors 24 that 23 factors 25 were 24 that 25 were 25 were 26 significant results : sif ranged from 8.7 to 54.0 arbitrary units and was log - normally distributed . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 sif 2 : 11 and 3 sif 11 and 4 ranged 5 from 4 ranged 11 and 5 from 10 units 6 8.7 7 to 7 to 8 54.0 7 to 10 units 9 arbitrary 10 units 11 and 12 was 12 was 13 log 13 log 16 distributed 14 - 16 distributed 15 normally 16 distributed 16 distributed 17 . log ( sif ) correlated more with mean hba1c as the time period increased . 0 ###LEFT-WALL### 3 sif 0 ###LEFT-WALL### 5 correlated 0 ###LEFT-WALL### 15 . 1 log 3 sif 2 ( 3 sif 3 sif 4 ) 3 sif 5 correlated 5 correlated 6 more 5 correlated 7 with 5 correlated 10 as 7 with 9 hba1c 8 mean 9 hba1c 10 as 13 period 11 the 13 period 12 time 13 period 13 period 14 increased purpose : using a novel automated perimetry technique , we tested the hypothesis that older adults will have increased latency and decreased accuracy of saccades , as well as higher visual thresholds , to peripheral visual stimuli when compared with younger adults . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 43 . 1 purpose 2 : 2 : 3 using 3 using 8 technique 4 a 8 technique 5 novel 6 automated 6 automated 7 perimetry 7 perimetry 8 technique 9 , 10 we 9 , 11 tested 10 we 11 tested 11 tested 13 hypothesis 12 the 13 hypothesis 13 hypothesis 14 that 14 that 16 adults 14 that 21 and 15 older 16 adults 16 adults 17 will 17 will 18 have 18 have 21 and 19 increased 20 latency 19 increased 21 and 21 and 22 decreased 22 decreased 23 accuracy 22 decreased 29 as 22 decreased 34 to 22 decreased 38 when 23 accuracy 24 of 24 of 25 saccades 26 , 29 as 27 as 28 well 28 well 29 as 29 as 32 thresholds 29 as 33 , 30 higher 32 thresholds 31 visual 32 thresholds 34 to 37 stimuli 35 peripheral 37 stimuli 36 visual 37 stimuli 38 when 39 compared 39 compared 40 with 40 with 42 adults 41 younger 42 adults with the left eye occluded , subjects were instructed to look quickly toward any seen [stimuli] . 0 ###LEFT-WALL### 7 subjects 0 ###LEFT-WALL### 9 instructed 0 ###LEFT-WALL### 17 . 1 with 4 eye 1 with 6 , 1 with 7 subjects 2 the 4 eye 3 left 4 eye 4 eye 5 occluded 7 subjects 8 were 8 were 9 instructed 9 instructed 10 to 9 instructed 11 look 10 to 11 look 11 look 12 quickly 11 look 13 toward 13 toward 14 any 14 any 15 seen right eye movements were recorded with an eyelink 1000 infrared camera system . 0 ###LEFT-WALL### 3 movements 0 ###LEFT-WALL### 5 recorded 0 ###LEFT-WALL### 13 . 1 right 2 eye 2 eye 3 movements 3 movements 4 were 4 were 5 recorded 5 recorded 6 with 6 with 12 system 7 an 12 system 8 eyelink 9 1000 8 eyelink 12 system 10 infrared 11 camera 11 camera 12 system limiting our analysis to the four stimulus positions in the nasal hemifield ( - 4 ° , - 12 ° , - 20 ° , [and] - 28 ° ) , we evaluated for group [-] level differences in saccadic latency , accuracy , and visual threshold at each stimulus location . 0 ###LEFT-WALL### 32 we 0 ###LEFT-WALL### 33 evaluated 0 ###LEFT-WALL### 52 . 1 limiting 3 analysis 1 limiting 4 to 1 limiting 9 in 1 limiting 27 - 1 limiting 31 , 1 limiting 32 we 2 our 3 analysis 4 to 8 positions 5 the 6 four 6 four 8 positions 7 stimulus 8 positions 9 in 12 hemifield 10 the 12 hemifield 11 nasal 12 hemifield 13 ( 27 - 14 - 22 - 15 4 16 ° 16 ° 18 - 17 , 18 - 18 - 20 ° 18 - 21 , 18 - 22 - 19 12 20 ° 22 - 24 ° 22 - 25 , 22 - 27 - 23 20 24 ° 27 - 29 ° 27 - 30 ) 28 28 29 ° 32 we 33 evaluated 33 evaluated 34 for 33 evaluated 38 differences 34 for 37 level 35 group 37 level 38 differences 39 in 39 in 45 and 40 saccadic 41 latency 41 latency 42 , 42 , 43 accuracy 42 , 45 and 44 , 45 and 45 and 47 threshold 45 and 48 at 46 visual 47 threshold 48 at 51 location 49 each 51 location 50 stimulus 51 location results : saccadic latency increased as stimulus size decreased in both groups . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 latency 2 : 5 increased 2 : 13 . 3 saccadic 4 latency 4 latency 5 increased 5 increased 6 as 6 as 8 size 7 stimulus 8 size 8 size 9 decreased 9 decreased 10 in 10 in 12 groups 11 both 12 groups older subjects had significantly increased saccadic latencies ( at all locations [;] p < 0.05 ) , decreased accuracies ( at all locations [;] p < 0.05 ) , [and] higher visual thresholds ( at the - 12 ° , - 20 ° , [and] - 28 ° locations [;] p < 0.05 ) . 0 ###LEFT-WALL### 2 subjects 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 55 . 1 older 2 subjects 2 subjects 17 , 3 had 7 latencies 3 had 9 at 3 had 17 , 4 significantly 5 increased 5 increased 7 latencies 6 saccadic 7 latencies 8 ( 9 at 9 at 11 locations 9 at 16 ) 10 all 11 locations 11 locations 14 < 13 p 14 < 14 < 15 0.05 17 , 18 decreased 17 , 21 at 18 decreased 19 accuracies 20 ( 21 at 21 at 23 locations 21 at 54 ) 22 all 23 locations 23 locations 26 < 23 locations 33 thresholds 25 p 26 < 26 < 27 0.05 26 < 28 ) 29 , 33 thresholds 31 higher 33 thresholds 32 visual 33 thresholds 33 thresholds 35 at 33 thresholds 54 ) 34 ( 35 at 35 at 49 locations 35 at 54 ) 36 the 49 locations 37 - 38 12 38 12 39 ° 39 ° 41 - 40 , 41 - 41 - 43 ° 41 - 44 , 41 - 46 - 42 20 43 ° 46 - 48 ° 46 - 49 locations 47 28 48 ° 49 locations 52 < 51 p 52 < 52 < 53 0.05 additionally , there were significant relationships between visual threshold [and] latency , visual threshold and accuracy , and latency and accuracy ( p < 0.0001 ) . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 27 . 1 additionally 2 , 1 additionally 3 there 3 there 4 were 4 were 6 relationships 5 significant 6 relationships 6 relationships 7 between 7 between 20 and 8 visual 9 threshold 9 threshold 11 latency 11 latency 12 , 12 , 14 threshold 12 , 15 and 13 visual 14 threshold 15 and 16 accuracy 15 and 18 and 17 , 18 and 18 and 19 latency 18 and 20 and 20 and 21 accuracy 20 and 24 < 22 ( 24 < 23 p 24 < 24 < 25 0.0001 24 < 26 ) conclusions : older adults have increased latency and decreased accuracy of saccades , as well as higher visual thresholds , to peripheral visual stimuli when compared with younger adults . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 1 conclusions 2 : 2 : 4 adults 3 older 4 adults 4 adults 8 and 5 have 6 increased 5 have 8 and 6 increased 7 latency 8 and 9 decreased 8 and 10 accuracy 8 and 16 as 8 and 21 to 8 and 25 when 10 accuracy 11 of 11 of 12 saccades 13 , 16 as 14 as 15 well 15 well 16 as 16 as 19 thresholds 16 as 20 , 17 higher 19 thresholds 18 visual 19 thresholds 21 to 24 stimuli 22 peripheral 24 stimuli 23 visual 24 stimuli 25 when 26 compared 26 compared 27 with 27 with 29 adults 28 younger 29 adults saccadic latency and accuracy are related to visual threshold [,] suggesting that saccadic latency and accuracy could be useful as perimetric outcome measures . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 6 related 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 24 . 1 saccadic 2 latency 2 latency 3 and 3 and 4 accuracy 3 and 5 are 5 are 6 related 6 related 7 to 7 to 14 latency 8 visual 9 threshold 9 threshold 14 latency 11 suggesting 14 latency 12 that 13 saccadic 13 saccadic 14 latency 15 and 16 accuracy 15 and 18 be 16 accuracy 17 could 17 could 18 be 18 be 19 useful 19 useful 20 as 20 as 23 measures 21 perimetric 22 outcome 22 outcome 23 measures purpose : aging of the vitreous body can result in sight - threatening pathology . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 1 purpose 2 : 2 : 3 aging 3 aging 4 of 4 of 9 result 5 the 9 result 6 vitreous 7 body 7 body 8 can 8 can 9 result 9 result 10 in 10 in 11 sight 11 sight 13 threatening 12 - 13 threatening 13 threatening 14 pathology 13 threatening 15 . one aspect of vitreous aging is liquefaction , which results from the vanishing of collagen fibrils . 0 ###LEFT-WALL### 2 aspect 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 17 . 1 one 2 aspect 2 aspect 3 of 2 aspect 6 is 3 of 5 aging 4 vitreous 5 aging 6 is 7 liquefaction 8 , 9 which 8 , 10 results 9 which 10 results 10 results 11 from 11 from 13 vanishing 12 the 13 vanishing 13 vanishing 14 of 14 of 16 fibrils 15 collagen 16 fibrils we investigated the possibility that trypsins [are] involved in vitreous type ii collagen degradation . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 15 . 1 we 2 investigated 2 investigated 4 possibility 3 the 4 possibility 4 possibility 5 that 5 that 6 trypsins 5 that 13 collagen 6 trypsins 8 involved 6 trypsins 13 collagen 8 involved 9 in 9 in 11 type 10 vitreous 11 type 11 type 12 ii 13 collagen 14 degradation methods : immunohistochemistry and western blotting were used for detecting and locating trypsin isoforms in the vitreous and retina of human donor eyes . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 4 and 2 : 11 and 3 immunohistochemistry 4 and 4 and 5 western 4 and 6 blotting 4 and 10 detecting 6 blotting 7 were 7 were 8 used 8 used 9 for 9 for 10 detecting 11 and 13 trypsin 11 and 14 isoforms 12 locating 13 trypsin 13 trypsin 14 isoforms 14 isoforms 15 in 15 in 18 and 16 the 17 vitreous 17 vitreous 18 and 18 and 19 retina 18 and 20 of 20 of 23 eyes 21 human 22 donor 22 donor 23 eyes the capability of the retina to produce these trypsins was analyzed with polymerase chain reaction . 0 ###LEFT-WALL### 2 capability 0 ###LEFT-WALL### 11 analyzed 0 ###LEFT-WALL### 16 . 1 the 2 capability 2 capability 3 of 2 capability 6 to 2 capability 7 produce 2 capability 10 was 3 of 5 retina 4 the 5 retina 6 to 7 produce 7 produce 9 trypsins 8 these 9 trypsins 10 was 11 analyzed 11 analyzed 12 with 12 with 15 reaction 13 polymerase 15 reaction 14 chain 15 reaction whether the different trypsins degraded type ii collagen was tested in vitro . 0 ###LEFT-WALL### 8 collagen 0 ###LEFT-WALL### 10 tested 0 ###LEFT-WALL### 13 . 1 whether 4 trypsins 1 whether 5 degraded 1 whether 8 collagen 2 the 4 trypsins 3 different 4 trypsins 4 trypsins 5 degraded 5 degraded 6 type 6 type 7 ii 8 collagen 9 was 9 was 10 tested 10 tested 12 vitro 11 in 12 vitro the sizes of the in vitro induced type [ii] collagen degradation products were compared to those present in the vitreous of human eyes of different ages . 0 ###LEFT-WALL### 2 sizes 0 ###LEFT-WALL### 14 compared 0 ###LEFT-WALL### 27 . 1 the 2 sizes 2 sizes 3 of 2 sizes 13 were 3 of 12 products 4 the 12 products 5 in 6 vitro 6 vitro 7 induced 7 induced 12 products 8 type 12 products 10 collagen 12 products 11 degradation 12 products 13 were 14 compared 14 compared 15 to 15 to 16 those 16 those 17 present 16 those 21 of 16 those 24 of 17 present 18 in 18 in 20 vitreous 19 the 20 vitreous 21 of 23 eyes 22 human 23 eyes 24 of 26 ages 25 different 26 ages results : trypsin - 1 and [trypsin] - 2 were detected in the vitreous . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 15 . 1 results 2 : 2 : 3 trypsin 3 trypsin 6 and 4 - 5 1 5 1 6 and 6 and 8 - 8 - 9 2 9 2 10 were 10 were 11 detected 11 detected 12 in 12 in 14 vitreous 13 the 14 vitreous in the retina , messenger ribonucleic acid ( mrna ) coding for trypsin - 2 , - 3 [,] and - 4 was present . 0 ###LEFT-WALL### 11 coding 0 ###LEFT-WALL### 23 was 0 ###LEFT-WALL### 25 . 1 in 3 retina 1 in 11 coding 2 the 3 retina 3 retina 7 acid 4 , 7 acid 5 messenger 7 acid 6 ribonucleic 7 acid 7 acid 9 mrna 7 acid 10 ) 8 ( 9 mrna 9 mrna 10 ) 11 coding 12 for 11 coding 20 and 11 coding 23 was 12 for 13 trypsin 13 trypsin 15 2 14 - 15 2 15 2 16 , 17 - 18 3 18 3 20 and 20 and 22 4 21 - 22 4 23 was 24 present using immunohistochemistry , trypsin [-] 2 was detected in microglial cells located in the vitreous and the retina . 0 ###LEFT-WALL### 1 using 0 ###LEFT-WALL### 8 detected 0 ###LEFT-WALL### 19 . 1 using 4 trypsin 1 using 7 was 2 immunohistochemistry 3 , 2 immunohistochemistry 4 trypsin 4 trypsin 6 2 7 was 8 detected 8 detected 9 in 9 in 11 cells 10 microglial 11 cells 11 cells 12 located 12 located 13 in 13 in 16 and 14 the 15 vitreous 15 vitreous 16 and 16 and 18 retina 17 the 18 retina all trypsin isoforms degraded type ii collagen and produced degradation products of similar sizes as those present in the vitreous . 0 ###LEFT-WALL### 2 trypsin 0 ###LEFT-WALL### 3 isoforms 0 ###LEFT-WALL### 21 . 1 all 2 trypsin 2 trypsin 3 isoforms 3 isoforms 5 type 4 degraded 5 type 5 type 6 ii 5 type 8 and 5 type 17 present 7 collagen 8 and 8 and 11 products 8 and 15 as 8 and 17 present 9 produced 10 degradation 10 degradation 11 products 11 products 12 of 12 of 14 sizes 13 similar 14 sizes 15 as 16 those 17 present 18 in 18 in 20 vitreous 19 the 20 vitreous conclusions : trypsin - 1 and [trypsin] - 2 appear to have a function in the degradation of vitreous type ii collagen . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 1 conclusions 2 : 2 : 3 trypsin 4 - 6 and 4 - 10 appear 4 - 23 . 5 1 6 and 6 and 9 2 6 and 10 appear 8 - 9 2 10 appear 11 to 10 appear 12 have 11 to 12 have 12 have 14 function 12 have 15 in 12 have 22 collagen 13 a 14 function 15 in 17 degradation 16 the 17 degradation 17 degradation 18 of 18 of 20 type 19 vitreous 20 type 20 type 21 ii they could therefore have a role in the development of vitreous liquefaction . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 4 have 0 ###LEFT-WALL### 13 . 1 they 2 could 2 could 4 have 3 therefore 4 have 4 have 6 role 4 have 7 in 5 a 6 role 7 in 9 development 8 the 9 development 9 development 10 of 10 of 12 liquefaction 11 vitreous 12 liquefaction purpose : age - related cataract [(] arc ) is a complex multifactorial disorder , including genetic and environmental factors . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 3 age 2 : 10 is 3 age 10 is 4 - 5 related 5 related 8 arc 5 related 9 ) 5 related 10 is 6 cataract 8 arc 10 is 14 disorder 11 a 12 complex 11 a 14 disorder 12 complex 14 disorder 13 multifactorial 14 disorder 14 disorder 16 including 15 , 16 including 16 including 20 factors 16 including 21 . 17 genetic 18 and 18 and 19 environmental 18 and 20 factors ezrin ( ezr ) , a member of the ezrin/radixin/moesin ( erm [ )(protein family , plays a crucial role in the development of the lens as a plasma membrane - cytoskeleton linker . 0 ###LEFT-WALL### 3 ezr 0 ###LEFT-WALL### 17 plays 0 ###LEFT-WALL### 31 - 0 ###LEFT-WALL### 34 . 1 ezrin 3 ezr 2 ( 3 ezr 3 ezr 4 ) 3 ezr 7 member 3 ezr 17 plays 5 , 7 member 6 a 7 member 7 member 8 of 7 member 16 , 8 of 10 ezrin/radixin/moesin 9 the 10 ezrin/radixin/moesin 10 ezrin/radixin/moesin 15 family 11 ( 15 family 12 erm 15 family 14 )(protein 15 family 15 family 16 , 17 plays 20 role 17 plays 21 in 17 plays 27 as 18 a 19 crucial 18 a 20 role 19 crucial 20 role 21 in 23 development 22 the 23 development 23 development 24 of 24 of 26 lens 25 the 26 lens 27 as 30 membrane 28 a 29 plasma 28 a 30 membrane 29 plasma 30 membrane 31 - 33 linker 32 cytoskeleton 33 linker we conducted this study to investigate the role of genetic variations of ezrin and the relationship between single nucleotide polymorphisms ( snps ) in ezr and susceptibility to arc in a chinese population . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conducted 0 ###LEFT-WALL### 34 . 1 we 2 conducted 2 conducted 4 study 2 conducted 5 to 2 conducted 17 between 2 conducted 24 in 2 conducted 30 in 3 this 4 study 5 to 6 investigate 6 investigate 8 role 7 the 8 role 8 role 9 of 9 of 14 and 10 genetic 11 variations 11 variations 12 of 11 variations 14 and 12 of 13 ezrin 14 and 16 relationship 15 the 16 relationship 17 between 20 polymorphisms 18 single 20 polymorphisms 19 nucleotide 20 polymorphisms 20 polymorphisms 22 snps 21 ( 22 snps 22 snps 23 ) 24 in 26 and 25 ezr 26 and 26 and 27 susceptibility 26 and 28 to 28 to 29 arc 30 in 33 population 31 a 32 chinese 31 a 33 population 32 chinese 33 population methods : a total of 205 sporadic age - related cataract patients and 218 unrelated random healthy controls participated in our study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 total 2 : 19 participated 2 : 23 . 3 a 4 total 4 total 5 of 4 total 19 participated 5 of 8 age 6 205 8 age 7 sporadic 8 age 9 - 10 related 10 related 13 and 10 related 19 participated 11 cataract 12 patients 12 patients 13 and 13 and 18 controls 14 218 18 controls 15 unrelated 18 controls 16 random 18 controls 17 healthy 18 controls 19 participated 20 in 20 in 22 study 21 our 22 study genomic dna was extracted from peripheral blood leukocytes . 0 ###LEFT-WALL### 2 dna 0 ###LEFT-WALL### 4 extracted 0 ###LEFT-WALL### 9 . 1 genomic 2 dna 2 dna 3 was 3 was 4 extracted 4 extracted 5 from 5 from 8 leukocytes 6 peripheral 7 blood 7 blood 8 leukocytes all exons of ezr were sequenced after being amplified with polymerase chain reaction . 0 ###LEFT-WALL### 2 exons 0 ###LEFT-WALL### 6 sequenced 0 ###LEFT-WALL### 14 . 1 all 2 exons 2 exons 3 of 2 exons 5 were 3 of 4 ezr 5 were 6 sequenced 6 sequenced 7 after 7 after 8 being 8 being 9 amplified 9 amplified 10 with 10 with 13 reaction 11 polymerase 13 reaction 12 chain 13 reaction the functional consequences of the mutations were analyzed using polyphen2 . 0 ###LEFT-WALL### 3 consequences 0 ###LEFT-WALL### 8 analyzed 0 ###LEFT-WALL### 11 . 1 the 3 consequences 2 functional 3 consequences 3 consequences 4 of 3 consequences 7 were 4 of 6 mutations 5 the 6 mutations 7 were 8 analyzed 8 analyzed 9 using 9 using 10 polyphen2 snp statistical analysis was performed using snpstats . 0 ###LEFT-WALL### 1 snp 0 ###LEFT-WALL### 5 performed 0 ###LEFT-WALL### 8 . 1 snp 3 analysis 1 snp 4 was 1 snp 5 performed 2 statistical 3 analysis 3 analysis 4 was 5 performed 6 using 6 using 7 snpstats results : we found three novel variations in 205 patients . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 found 2 : 11 . 3 we 4 found 4 found 7 variations 4 found 8 in 5 three 7 variations 6 novel 7 variations 8 in 10 patients 9 205 10 patients none presented in the 218 controls , including c.441c>g , c.924g>c , and c.1503g>a . polyphen2 predicted that the c.924g>c mutation probably had pathogenicity . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 15 . 1 none 2 presented 1 none 13 and 2 presented 3 in 3 in 6 controls 4 the 5 218 5 218 6 controls 6 controls 8 including 7 , 8 including 8 including 11 c.924g>c 8 including 12 , 9 c.441c>g 10 , 9 c.441c>g 11 c.924g>c 13 and 14 c.1503g>a 15 . 16 polyphen2 15 . 17 predicted 15 . 25 . 16 polyphen2 17 predicted 17 predicted 18 that 18 that 21 mutation 18 that 23 had 19 the 21 mutation 20 c.924g>c 21 mutation 21 mutation 23 had 22 probably 23 had 23 had 24 pathogenicity snp rs144581330 in exon 2 was also predicted to be probably damaging by polyphen2 . 0 ###LEFT-WALL### 1 snp 0 ###LEFT-WALL### 8 predicted 0 ###LEFT-WALL### 15 . 1 snp 2 rs144581330 1 snp 6 was 2 rs144581330 3 in 3 in 4 exon 4 exon 5 2 6 was 8 predicted 7 also 8 predicted 8 predicted 9 to 8 predicted 13 by 9 to 10 be 10 be 11 probably 10 be 12 damaging 13 by 14 polyphen2 conclusions : this study suggests that the genetic variations and snps in the gene ezr possibly contribute to the development of age - related cataracts in the chinese population . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 4 study 2 : 5 suggests 2 : 24 related 3 this 4 study 4 study 5 suggests 5 suggests 6 that 6 that 10 and 6 that 17 contribute 7 the 9 variations 8 genetic 9 variations 9 variations 10 and 10 and 11 snps 10 and 12 in 12 in 15 ezr 13 the 14 gene 14 gene 15 ezr 16 possibly 17 contribute 17 contribute 18 to 18 to 20 development 19 the 20 development 20 development 21 of 21 of 22 age 23 - 24 related 24 related 25 cataracts 25 cataracts 26 in 26 in 29 population 27 the 29 population 28 chinese 29 population purpose : in this study , the authors investigated [how] acoustic distortion affected younger and older adults ' use of context in a lexical decision task . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 27 . 1 purpose 2 : 2 : 3 in 3 in 5 study 4 this 5 study 6 , 8 authors 6 , 9 investigated 7 the 8 authors 8 authors 9 investigated 9 investigated 15 and 9 investigated 22 in 11 acoustic 12 distortion 12 distortion 13 affected 12 distortion 15 and 13 affected 14 younger 15 and 19 use 15 and 20 of 16 older 17 adults 17 adults 18 ' 18 ' 19 use 20 of 21 context 22 in 26 task 23 a 24 lexical 23 a 26 task 24 lexical 26 task 25 decision 26 task method : the authors measured lexical decision reaction times ( rts ) when intact target words followed acoustically distorted sentence contexts . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 4 authors 2 : 5 measured 2 : 22 . 3 the 4 authors 4 authors 5 measured 5 measured 9 times 5 measured 13 when 6 lexical 9 times 7 decision 9 times 8 reaction 9 times 9 times 11 rts 10 ( 11 rts 11 rts 12 ) 13 when 16 words 13 when 20 sentence 14 intact 15 target 15 target 16 words 16 words 17 followed 16 words 19 distorted 16 words 20 sentence 18 acoustically 19 distorted 20 sentence 21 contexts contexts were semantically congruent , neutral , or incongruent . 0 ###LEFT-WALL### 1 contexts 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 10 . 1 contexts 2 were 2 were 3 semantically 2 were 8 or 4 congruent 5 , 5 , 6 neutral 5 , 8 or 7 , 8 or 8 or 9 incongruent younger adults ( n = 216 ) were tested on three distortion types : low - pass filtering , time compression , and masking by multitalker babble , using two amounts of distortion selected to control for word recognition accuracy . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 13 types 0 ###LEFT-WALL### 14 : 0 ###LEFT-WALL### 41 . 1 younger 2 adults 2 adults 5 = 2 adults 8 were 3 ( 5 = 4 n 5 = 5 = 6 216 5 = 7 ) 8 were 9 tested 9 tested 10 on 10 on 11 three 11 three 12 distortion 11 three 13 types 12 distortion 13 types 14 : 18 filtering 14 : 23 and 15 low 16 - 15 low 17 pass 17 pass 18 filtering 18 filtering 21 compression 19 , 21 compression 20 time 21 compression 21 compression 22 , 23 and 29 using 23 and 34 selected 24 masking 25 by 24 masking 27 babble 24 masking 28 , 24 masking 29 using 25 by 26 multitalker 29 using 31 amounts 29 using 34 selected 30 two 31 amounts 31 amounts 32 of 32 of 33 distortion 34 selected 35 to 34 selected 37 for 34 selected 40 accuracy 35 to 36 control 37 for 39 recognition 38 word 39 recognition older adults ( n = 108 ) were tested on two amounts of time compression and one low - pass filtering condition . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 9 tested 0 ###LEFT-WALL### 23 . 1 older 2 adults 2 adults 5 = 2 adults 8 were 3 ( 5 = 4 n 5 = 5 = 6 108 5 = 7 ) 8 were 9 tested 9 tested 10 on 10 on 16 and 11 two 12 amounts 12 amounts 13 of 12 amounts 16 and 13 of 15 compression 14 time 15 compression 16 and 20 pass 16 and 21 filtering 17 one 20 pass 18 low 19 - 18 low 20 pass 21 filtering 22 condition results : for both age groups , there was robust facilitation by congruent contexts but minimal inhibition by incongruent contexts . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 21 . 1 results 2 : 2 : 3 for 3 for 6 groups 4 both 6 groups 5 age 6 groups 7 , 8 there 7 , 9 was 8 there 9 was 9 was 11 facilitation 10 robust 11 facilitation 11 facilitation 12 by 11 facilitation 15 but 11 facilitation 18 by 12 by 14 contexts 13 congruent 14 contexts 15 but 17 inhibition 16 minimal 17 inhibition 18 by 20 contexts 19 incongruent 20 contexts facilitation decreased as distortion increased . 0 ###LEFT-WALL### 1 facilitation 0 ###LEFT-WALL### 2 decreased 0 ###LEFT-WALL### 6 . 1 facilitation 2 decreased 2 decreased 3 as 3 as 4 distortion 4 distortion 5 increased older listeners had slower rts than younger listeners , but this difference was smaller in congruent than in [neutral] or incongruent conditions . 0 ###LEFT-WALL### 2 listeners 0 ###LEFT-WALL### 3 had 0 ###LEFT-WALL### 10 but 0 ###LEFT-WALL### 23 . 1 older 2 listeners 2 listeners 3 had 3 had 5 rts 3 had 6 than 4 slower 5 rts 6 than 8 listeners 7 younger 8 listeners 9 , 10 but 10 but 12 difference 10 but 13 was 11 this 12 difference 12 difference 13 was 13 was 14 smaller 14 smaller 15 in 15 in 22 conditions 16 congruent 17 than 16 congruent 20 or 17 than 18 in 20 or 21 incongruent 20 or 22 conditions after controlling for word recognition accuracy , older listeners ' rts were slower in time - compressed than in low - pass filtering conditions , but younger listeners performed similarly in both conditions . 0 ###LEFT-WALL### 11 rts 0 ###LEFT-WALL### 12 were 0 ###LEFT-WALL### 34 . 1 after 2 controlling 1 after 7 , 1 after 11 rts 2 controlling 3 for 2 controlling 6 accuracy 3 for 5 recognition 4 word 5 recognition 8 older 9 listeners 9 listeners 10 ' 10 ' 11 rts 11 rts 12 were 12 were 13 slower 13 slower 14 in 13 slower 17 compressed 13 slower 26 but 13 slower 31 in 14 in 15 time 16 - 17 compressed 17 compressed 18 than 17 compressed 25 , 18 than 19 in 19 in 24 conditions 20 low 21 - 20 low 22 pass 22 pass 23 filtering 23 filtering 24 conditions 26 but 28 listeners 27 younger 28 listeners 28 listeners 29 performed 29 performed 30 similarly 31 in 33 conditions 32 both 33 conditions conclusions : these rt results highlight the interdependence between bottom - up sensory and top - down semantic processing . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 4 rt 2 : 10 bottom 3 these 4 rt 4 rt 5 results 4 rt 9 between 4 rt 10 bottom 5 results 6 highlight 6 highlight 8 interdependence 6 highlight 9 between 7 the 8 interdependence 10 bottom 12 up 10 bottom 17 down 11 - 12 up 12 up 14 and 12 up 16 - 13 sensory 14 and 14 and 15 top 17 down 19 processing 18 semantic 19 processing consistent with previous findings based on accuracy measures , compared with younger adults , older adults were disproportionately slowed when speech was time compressed but more facilitated by congruent contexts . 0 ###LEFT-WALL### 1 consistent 0 ###LEFT-WALL### 5 based 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 31 . 1 consistent 2 with 1 consistent 5 based 2 with 4 findings 3 previous 4 findings 5 based 6 on 5 based 8 measures 6 on 7 accuracy 8 measures 10 compared 9 , 10 compared 10 compared 11 with 10 compared 14 , 11 with 13 adults 12 younger 13 adults 14 , 16 adults 14 , 19 slowed 15 older 16 adults 16 adults 17 were 17 were 19 slowed 18 disproportionately 19 slowed 19 slowed 20 when 20 when 21 speech 20 when 27 facilitated 21 speech 22 was 22 was 25 but 22 was 27 facilitated 23 time 24 compressed 23 time 25 but 25 but 26 more 27 facilitated 28 by 28 by 30 contexts 29 congruent 30 contexts we investigated pregnancy - associated plasma protein - [a] ( papp - a ) in diabetic nephropathy . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 18 . 1 we 2 investigated 2 investigated 3 pregnancy 2 investigated 15 in 3 pregnancy 7 protein 3 pregnancy 12 - 4 - 7 protein 5 associated 6 plasma 6 plasma 7 protein 7 protein 8 - 10 ( 12 - 11 papp 12 - 12 - 13 a 12 - 14 ) 15 in 17 nephropathy 16 diabetic 17 nephropathy normal human kidney [showed] specific staining for papp - a in glomeruli , and this staining was markedly increased in diabetic kidney . 0 ###LEFT-WALL### 22 kidney 0 ###LEFT-WALL### 23 . 1 normal 2 human 2 human 6 staining 3 kidney 6 staining 5 specific 6 staining 6 staining 7 for 6 staining 14 and 7 for 8 papp 8 papp 12 glomeruli 9 - 12 glomeruli 10 a 11 in 11 in 12 glomeruli 12 glomeruli 13 , 14 and 15 this 14 and 16 staining 14 and 20 in 14 and 22 kidney 16 staining 17 was 17 was 18 markedly 17 was 19 increased 19 increased 20 in 21 diabetic 22 kidney to assess the possible contribution of papp - [a] in the development of diabetic nephropathy , we induced diabetes with streptozotocin in 14 - [month] - old wt and papp - a knockout ( [ko] [ )(mice . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 assess 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 26 - 1 to 2 assess 2 assess 5 contribution 2 assess 10 in 3 the 5 contribution 4 possible 5 contribution 5 contribution 6 of 6 of 7 papp 8 - 10 in 10 in 12 development 10 in 16 , 11 the 12 development 12 development 13 of 13 of 15 nephropathy 14 diabetic 15 nephropathy 16 , 17 we 16 , 18 induced 17 we 18 induced 18 induced 19 diabetes 18 induced 22 in 19 diabetes 20 with 20 with 21 streptozotocin 22 in 24 - 23 14 24 - 24 - 26 - 26 - 29 and 27 old 28 wt 28 wt 29 and 29 and 30 papp 30 papp 33 knockout 31 - 33 knockout 32 a 33 knockout 33 knockout 37 )(mice 33 knockout 38 . 34 ( 37 )(mice 37 )(mice 38 . renal histopathology was evaluated after 4 months of stable hyperglycemia . 0 ###LEFT-WALL### 2 histopathology 0 ###LEFT-WALL### 4 evaluated 0 ###LEFT-WALL### 11 . 1 renal 2 histopathology 2 histopathology 3 was 3 was 4 evaluated 4 evaluated 5 after 5 after 7 months 6 4 7 months 7 months 8 of 8 of 10 hyperglycemia 9 stable 10 hyperglycemia kidneys from diabetic wt mice showed multiple abnormalities including thickening of bowman 's capsule ( 100 % of mice ) , increased glomerular size ( 80 % of mice ) , tubule dilation ( 80 % of mice ) , and mononuclear cell infiltration ( 90 % of mice ) . 0 ###LEFT-WALL### 41 and 0 ###LEFT-WALL### 51 . 1 kidneys 2 from 1 kidneys 10 thickening 1 kidneys 11 of 1 kidneys 41 and 2 from 4 wt 3 diabetic 4 wt 4 wt 5 mice 4 wt 9 including 5 mice 6 showed 6 showed 8 abnormalities 7 multiple 8 abnormalities 8 abnormalities 9 including 11 of 14 capsule 12 bowman 13 's 13 's 14 capsule 14 capsule 17 % 14 capsule 24 size 15 ( 17 % 16 100 17 % 17 % 18 of 17 % 20 ) 18 of 19 mice 21 , 24 size 22 increased 24 size 23 glomerular 24 size 24 size 27 % 24 size 33 dilation 24 size 40 , 25 ( 27 % 26 80 27 % 27 % 28 of 27 % 30 ) 28 of 29 mice 31 , 33 dilation 32 tubule 33 dilation 33 dilation 36 % 33 dilation 40 , 34 ( 36 % 35 80 36 % 36 % 37 of 36 % 39 ) 37 of 38 mice 40 , 41 and 41 and 44 infiltration 41 and 47 % 42 mononuclear 43 cell 43 cell 44 infiltration 45 ( 47 % 46 90 47 % 47 % 48 of 47 % 50 ) 48 of 49 mice kidneys of age - matched [non] - diabetic wt mice had similar evidence of tubule dilation and mononuclear cell infiltration to those of diabetic wt mice , indicating that these changes were [predominantly] age - related . 0 ###LEFT-WALL### 1 kidneys 0 ###LEFT-WALL### 15 tubule 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 37 . 1 kidneys 2 of 1 kidneys 10 mice 1 kidneys 14 of 1 kidneys 15 tubule 2 of 3 age 3 age 5 matched 4 - 5 matched 5 matched 7 - 8 diabetic 10 mice 9 wt 10 mice 10 mice 11 had 11 had 13 evidence 12 similar 13 evidence 13 evidence 14 of 15 tubule 16 dilation 17 and 20 infiltration 17 and 36 related 18 mononuclear 19 cell 19 cell 20 infiltration 20 infiltration 21 to 20 infiltration 28 indicating 20 infiltration 36 related 21 to 22 those 22 those 23 of 23 of 26 mice 24 diabetic 26 mice 25 wt 26 mice 27 , 28 indicating 28 indicating 29 that 28 indicating 35 - 29 that 31 changes 29 that 32 were 30 these 31 changes 31 changes 32 were 32 were 34 age however , thickened bowman 's capsule and increased glomerular size appeared specific for the experimental diabetes . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 11 appeared 0 ###LEFT-WALL### 17 . 1 however 2 , 1 however 7 and 3 thickened 4 bowman 4 bowman 5 's 5 's 6 capsule 6 capsule 7 and 7 and 10 size 7 and 11 appeared 8 increased 10 size 9 glomerular 10 size 11 appeared 12 specific 12 specific 13 for 13 for 16 diabetes 14 the 16 diabetes 15 experimental 16 diabetes kidneys from diabetic papp [-] a [ko] mice had significantly reduced or no evidence of changes in bowman 's capsule thickening and glomerular size . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 25 . 1 kidneys 2 from 1 kidneys 12 or 2 from 4 papp 3 diabetic 4 papp 4 papp 6 a 4 papp 8 mice 4 papp 11 reduced 8 mice 9 had 9 had 11 reduced 10 significantly 11 reduced 12 or 14 evidence 12 or 15 of 12 or 17 in 12 or 21 thickening 12 or 22 and 13 no 14 evidence 15 of 16 changes 17 in 20 capsule 18 bowman 19 's 19 's 20 capsule 22 and 24 size 23 glomerular 24 size there was also a shift to larger mesangial area and increased macrophage staining in diabetic wt mice compared with papp - [a] ko mice . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 21 - 1 there 10 and 2 was 3 also 2 was 5 shift 2 was 10 and 4 a 5 shift 5 shift 6 to 6 to 9 area 7 larger 9 area 8 mesangial 9 area 10 and 11 increased 11 increased 12 macrophage 11 increased 14 in 12 macrophage 13 staining 14 in 17 mice 15 diabetic 17 mice 16 wt 17 mice 17 mice 18 compared 18 compared 19 with 19 with 20 papp 21 - 23 ko 21 - 25 . 23 ko 24 mice in summary , elevated papp [-] a expression in glomeruli is associated with diabetic nephropathy in humans and absence of papp [-] a is associated with resistance to the development of indicators of diabetic nephropathy in mice . 0 ###LEFT-WALL### 21 papp 0 ###LEFT-WALL### 38 . 1 in 5 papp 1 in 21 papp 2 summary 3 , 2 summary 5 papp 4 elevated 5 papp 5 papp 7 a 5 papp 8 expression 5 papp 20 of 8 expression 9 in 8 expression 11 is 9 in 10 glomeruli 11 is 12 associated 12 associated 13 with 13 with 18 and 14 diabetic 15 nephropathy 15 nephropathy 16 in 15 nephropathy 18 and 16 in 17 humans 18 and 19 absence 18 and 20 of 21 papp 23 a 21 papp 24 is 24 is 25 associated 25 associated 26 with 25 associated 28 to 26 with 27 resistance 28 to 30 development 29 the 30 development 30 development 31 of 31 of 32 indicators 32 indicators 33 of 32 indicators 36 in 33 of 35 nephropathy 34 diabetic 35 nephropathy 36 in 37 mice these data suggest papp [-] a as a potential therapeutic target for diabetic nephropathy . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 15 . 1 these 2 data 2 data 3 suggest 3 suggest 4 papp 3 suggest 7 as 4 papp 6 a 7 as 11 target 8 a 9 potential 8 a 11 target 9 potential 11 target 10 therapeutic 11 target 11 target 12 for 12 for 14 nephropathy 13 diabetic 14 nephropathy service dogs help people with mobility impairments . 0 ###LEFT-WALL### 1 service 0 ###LEFT-WALL### 2 dogs 0 ###LEFT-WALL### 8 . 1 service 2 dogs 2 dogs 4 people 2 dogs 5 with 3 help 4 people 5 with 7 impairments 6 mobility 7 impairments they are trained to perform a variety of tasks , such as opening doors , retrieving the telephone , picking up objects , and pulling manual wheelchairs ( mwcs ) . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 trained 0 ###LEFT-WALL### 31 . 1 they 2 are 2 are 3 trained 3 trained 4 to 3 trained 5 perform 4 to 5 perform 5 perform 7 variety 5 perform 16 retrieving 5 perform 20 picking 6 a 7 variety 7 variety 8 of 8 of 9 tasks 9 tasks 12 as 10 , 12 as 11 such 12 as 12 as 14 doors 12 as 15 , 13 opening 14 doors 15 , 16 retrieving 16 retrieving 18 telephone 16 retrieving 19 , 17 the 18 telephone 19 , 20 picking 20 picking 21 up 20 picking 24 and 20 picking 30 ) 22 objects 24 and 23 , 24 and 24 and 27 wheelchairs 24 and 29 mwcs 25 pulling 27 wheelchairs 26 manual 27 wheelchairs 28 ( 29 mwcs 29 mwcs 30 ) more specifically , using the traction provided by the service dog has physical benefits because mwc users can operate their mwcs with less effort . 0 ###LEFT-WALL### 4 using 0 ###LEFT-WALL### 12 has 0 ###LEFT-WALL### 25 . 1 more 2 specifically 2 specifically 3 , 2 specifically 4 using 4 using 6 traction 4 using 12 has 5 the 6 traction 6 traction 7 provided 7 provided 8 by 8 by 11 dog 9 the 11 dog 10 service 11 dog 12 has 14 benefits 12 has 15 because 13 physical 14 benefits 15 because 17 users 15 because 19 operate 16 mwc 17 users 17 users 18 can 18 can 19 operate 19 operate 21 mwcs 19 operate 22 with 20 their 21 mwcs 22 with 24 effort 23 less 24 effort the objective of this study was to document the effect of a service dog on mwc mobility and user shoulder pain , social participation , and quality of life . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 30 . 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 document 7 to 8 document 8 document 10 effect 8 document 15 on 9 the 10 effect 10 effect 11 of 11 of 14 dog 12 a 13 service 12 a 14 dog 13 service 14 dog 15 on 26 and 16 mwc 17 mobility 17 mobility 18 and 18 and 21 pain 18 and 24 participation 18 and 26 and 19 user 21 pain 20 shoulder 21 pain 22 , 24 participation 23 social 24 participation 24 participation 25 , 26 and 27 quality 26 and 28 of 28 of 29 life eleven mwc users with spinal cord injury were assessed before and after training [with] a service dog and 7 mo later . 0 ###LEFT-WALL### 3 users 0 ###LEFT-WALL### 9 assessed 0 ###LEFT-WALL### 22 . 1 eleven 3 users 2 mwc 3 users 3 users 4 with 3 users 8 were 4 with 7 injury 5 spinal 6 cord 6 cord 7 injury 8 were 9 assessed 9 assessed 11 and 9 assessed 18 and 10 before 11 and 11 and 12 after 12 after 13 training 15 a 16 service 15 a 17 dog 16 service 17 dog 17 dog 18 and 18 and 21 later 19 7 20 mo 20 mo 21 later based on a standardized protocol , all study participants learned how to use the service dog safely and [how] to move around efficiently in different environments and under different conditions . 0 ###LEFT-WALL### 9 participants 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 31 . 1 based 2 on 1 based 6 , 1 based 9 participants 2 on 5 protocol 3 a 5 protocol 4 standardized 5 protocol 7 all 9 participants 8 study 9 participants 9 participants 18 and 10 learned 11 how 10 learned 18 and 11 how 12 to 11 how 13 use 12 to 13 use 13 use 16 dog 13 use 17 safely 14 the 16 dog 15 service 16 dog 18 and 20 to 18 and 21 move 20 to 21 move 21 move 22 around 21 move 23 efficiently 21 move 27 and 24 in 26 environments 24 in 27 and 25 different 26 environments 27 and 28 under 28 under 30 conditions 29 different 30 conditions results showed that using a service dog increased the distance covered by the mwc users and also significantly decreased shoulder pain and intensity of effort . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 26 . 1 results 16 and 1 results 22 and 2 showed 3 that 2 showed 16 and 3 that 4 using 3 that 8 increased 4 using 7 dog 4 using 8 increased 5 a 6 service 5 a 7 dog 6 service 7 dog 8 increased 10 distance 8 increased 12 by 9 the 10 distance 10 distance 11 covered 12 by 15 users 13 the 15 users 14 mwc 15 users 16 and 19 decreased 16 and 21 pain 17 also 19 decreased 18 significantly 19 decreased 20 shoulder 21 pain 22 and 23 intensity 22 and 24 of 24 of 25 effort using the service dog also produced slight but significant improvements in mwc user skills and social participation and may indicate a trend for improvement in quality of life . 0 ###LEFT-WALL### 1 using 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 29 . 1 using 4 dog 1 using 18 and 2 the 4 dog 3 service 4 dog 5 also 6 produced 6 produced 10 improvements 6 produced 11 in 6 produced 18 and 7 slight 8 but 8 but 9 significant 8 but 10 improvements 11 in 15 and 12 mwc 14 skills 13 user 14 skills 14 skills 15 and 15 and 17 participation 16 social 17 participation 18 and 19 may 19 may 20 indicate 20 indicate 22 trend 20 indicate 25 in 21 a 22 trend 22 trend 23 for 23 for 24 improvement 25 in 26 quality 26 quality 27 of 27 of 28 life more extensive research is needed to precisely identify the effect of service dogs on the long - term management of mwc use . 0 ###LEFT-WALL### 3 research 0 ###LEFT-WALL### 5 needed 0 ###LEFT-WALL### 23 . 1 more 2 extensive 2 extensive 3 research 3 research 4 is 4 is 5 needed 5 needed 6 to 6 to 8 identify 7 precisely 8 identify 8 identify 10 effect 8 identify 14 on 9 the 10 effect 10 effect 11 of 11 of 13 dogs 12 service 13 dogs 14 on 19 management 15 the 19 management 16 long 17 - 16 long 18 term 18 term 19 management 19 management 20 of 20 of 22 use 21 mwc 22 use polyphenols are a class of natural compounds widely distributed in fruits , vegetables , and plants . 0 ###LEFT-WALL### 1 polyphenols 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 17 . 1 polyphenols 2 are 2 are 4 class 3 a 4 class 4 class 5 of 5 of 7 compounds 6 natural 7 compounds 7 compounds 9 distributed 8 widely 9 distributed 9 distributed 10 in 10 in 15 and 11 fruits 12 , 12 , 13 vegetables 12 , 15 and 14 , 15 and 15 and 16 plants they have been reported to possess a wide range of activities in prevention and alleviation of various diseases like cancer , neuroinflammation , diabetes , and aging . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 4 reported 0 ###LEFT-WALL### 28 . 1 they 2 have 2 have 3 been 3 been 4 reported 4 reported 5 to 4 reported 6 possess 5 to 6 possess 6 possess 9 range 6 possess 12 in 6 possess 19 like 7 a 8 wide 7 a 9 range 8 wide 9 range 9 range 10 of 10 of 11 activities 12 in 14 and 13 prevention 14 and 14 and 15 alleviation 14 and 16 of 16 of 18 diseases 17 various 18 diseases 19 like 26 and 20 cancer 21 , 21 , 22 neuroinflammation 21 , 23 , 23 , 24 diabetes 23 , 26 and 25 , 26 and 26 and 27 aging polyphenols are effective against chronic diseases and recent reports indicated strong epigenetic effects of polyphenols . 0 ###LEFT-WALL### 1 polyphenols 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 16 . 1 polyphenols 2 are 2 are 9 reports 2 are 13 effects 3 effective 4 against 3 effective 7 and 4 against 6 diseases 5 chronic 6 diseases 7 and 8 recent 7 and 9 reports 10 indicated 13 effects 11 strong 13 effects 12 epigenetic 13 effects 13 effects 14 of 14 of 15 polyphenols most of the studies investigating epigenetic effects of natural polyphenols have focused on their beneficial effects in cancer treatment . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 12 focused 0 ###LEFT-WALL### 20 . 1 most 2 of 1 most 4 studies 2 of 4 studies 3 the 4 studies 4 studies 5 investigating 4 studies 11 have 5 investigating 7 effects 6 epigenetic 7 effects 7 effects 8 of 8 of 10 polyphenols 9 natural 10 polyphenols 11 have 12 focused 12 focused 13 on 12 focused 17 in 13 on 16 effects 14 their 16 effects 15 beneficial 16 effects 17 in 19 treatment 18 cancer 19 treatment however , epigenetic defects have been demonstrated in many other diseases as well , and application of polyphenols to modulate the epigenome is becoming an interesting field of research . 0 ###LEFT-WALL### 4 defects 0 ###LEFT-WALL### 7 demonstrated 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 30 . 1 however 2 , 1 however 4 defects 3 epigenetic 4 defects 4 defects 5 have 5 have 6 been 6 been 7 demonstrated 7 demonstrated 8 in 7 demonstrated 12 as 8 in 11 diseases 9 many 10 other 10 other 11 diseases 12 as 13 well 14 , 15 and 15 and 16 application 15 and 23 is 16 application 17 of 16 application 23 is 17 of 18 polyphenols 18 polyphenols 19 to 18 polyphenols 20 modulate 19 to 20 modulate 20 modulate 22 epigenome 21 the 22 epigenome 23 is 24 becoming 24 becoming 27 field 25 an 26 interesting 25 an 27 field 26 interesting 27 field 27 field 28 of 28 of 29 research this review summarizes the effects of natural polyphenols in modulating epigenetic - related enzymes as well as their effect in prevention and treatment of chronic diseases with a focus on sirt1 modulation . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 summarizes 0 ###LEFT-WALL### 33 . 1 this 2 review 2 review 3 summarizes 3 summarizes 5 effects 3 summarizes 9 in 3 summarizes 17 as 3 summarizes 20 in 4 the 5 effects 5 effects 6 of 6 of 8 polyphenols 7 natural 8 polyphenols 9 in 14 enzymes 10 modulating 14 enzymes 11 epigenetic 12 - 11 epigenetic 14 enzymes 13 related 14 enzymes 15 as 16 well 16 well 17 as 17 as 19 effect 18 their 19 effect 20 in 22 and 21 prevention 22 and 22 and 23 treatment 22 and 24 of 24 of 26 diseases 25 chronic 26 diseases 26 diseases 27 with 26 diseases 30 on 27 with 29 focus 28 a 29 focus 30 on 32 modulation 31 sirt1 32 modulation we have also discussed the relation between the structure and function of epigenetic - modifying polyphenols . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 4 discussed 0 ###LEFT-WALL### 17 . 1 we 2 have 2 have 4 discussed 3 also 4 discussed 4 discussed 6 relation 4 discussed 7 between 5 the 6 relation 7 between 10 and 8 the 9 structure 9 structure 10 and 10 and 11 function 10 and 12 of 12 of 16 polyphenols 13 epigenetic 14 - 13 epigenetic 16 polyphenols 15 modifying 16 polyphenols microglia are the prime innate immune cells of the central nervous system . 0 ###LEFT-WALL### 1 microglia 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 13 . 1 microglia 2 are 2 are 7 cells 2 are 8 of 3 the 7 cells 4 prime 7 cells 5 innate 7 cells 6 immune 7 cells 8 of 12 system 9 the 12 system 10 central 12 system 11 nervous 12 system they can transit from [a] [(] so - called ) resting state [under] homeostatic conditions towards a pro [-] inflammatory activation state upon homeostatic disturbances . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 transit 0 ###LEFT-WALL### 26 . 1 they 2 can 2 can 3 transit 3 transit 4 from 3 transit 9 called 3 transit 15 conditions 3 transit 16 towards 3 transit 23 upon 4 from 7 so 8 - 9 called 9 called 10 ) 11 resting 12 state 12 state 15 conditions 14 homeostatic 15 conditions 16 towards 22 state 17 a 22 state 18 pro 22 state 20 inflammatory 21 activation 21 activation 22 state 23 upon 25 disturbances 24 homeostatic 25 disturbances under neurodegenerative conditions , microglia [have] [been] largely perceived as neurotoxic cells . 0 ###LEFT-WALL### 5 microglia 0 ###LEFT-WALL### 9 perceived 0 ###LEFT-WALL### 13 . 1 under 3 conditions 1 under 4 , 1 under 5 microglia 2 neurodegenerative 3 conditions 5 microglia 9 perceived 8 largely 9 perceived 9 perceived 12 cells 10 as 11 neurotoxic 11 neurotoxic 12 cells it is now becoming clear that resting microglia [are] not inactive but that [they] serve house - keeping functions . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 1 it 2 is 2 is 4 becoming 3 now 4 becoming 4 becoming 8 microglia 4 becoming 18 keeping 5 clear 8 microglia 6 that 7 resting 7 resting 8 microglia 8 microglia 10 not 10 not 11 inactive 11 inactive 12 but 12 but 16 house 13 that 16 house 15 serve 16 house 17 - 18 keeping 18 keeping 19 functions 18 keeping 20 . moreover , microglia activity is not limited to proinflammatory responses , but covers a spectrum of reactive profiles . 0 ###LEFT-WALL### 4 activity 0 ###LEFT-WALL### 12 but 0 ###LEFT-WALL### 19 . 1 moreover 2 , 1 moreover 4 activity 3 microglia 4 activity 4 activity 12 but 5 is 6 not 5 is 8 to 5 is 9 proinflammatory 5 is 12 but 6 not 7 limited 8 to 9 proinflammatory 9 proinflammatory 10 responses 11 , 12 but 12 but 13 covers 13 covers 15 spectrum 14 a 15 spectrum 15 spectrum 16 of 16 of 18 profiles 17 reactive 18 profiles depending on the actual situation , activated microglia display specific effector functions supporting inflammation , tissue remodeling , synaptic plasticity and neurogenesis . 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 23 . 1 depending 2 on 1 depending 6 , 2 on 5 situation 3 the 5 situation 4 actual 5 situation 6 , 12 functions 6 , 15 , 7 activated 8 microglia 8 microglia 12 functions 9 display 12 functions 10 specific 11 effector 11 effector 12 functions 12 functions 13 supporting 13 supporting 14 inflammation 15 , 17 remodeling 15 , 18 , 16 tissue 17 remodeling 18 , 20 plasticity 18 , 21 and 19 synaptic 20 plasticity 21 and 22 neurogenesis many of these functions not only relate to the current state of the local neural environment but also depend on previous experience . 0 ###LEFT-WALL### 4 functions 0 ###LEFT-WALL### 18 also 0 ###LEFT-WALL### 23 . 1 many 2 of 1 many 4 functions 2 of 4 functions 3 these 4 functions 4 functions 18 also 5 not 6 only 6 only 18 also 7 relate 8 to 7 relate 18 also 8 to 11 state 9 the 11 state 10 current 11 state 11 state 12 of 12 of 16 environment 13 the 16 environment 14 local 16 environment 15 neural 16 environment 17 but 18 also 18 also 19 depend 19 depend 20 on 20 on 22 experience 21 previous 22 experience in this review , we address microglia functions with respect to determining factors , phenotypic presentations , adaptation to environmental signals and aging . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 address 0 ###LEFT-WALL### 24 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 address 6 address 8 functions 6 address 9 with 7 microglia 8 functions 9 with 22 and 10 respect 11 to 10 respect 14 , 11 to 12 determining 12 determining 13 factors 14 , 16 presentations 14 , 17 , 15 phenotypic 16 presentations 17 , 18 adaptation 17 , 22 and 18 adaptation 19 to 19 to 21 signals 20 environmental 21 signals 22 and 23 aging finally , we point out primary mechanisms of microglia activation , which may comprise therapeutic targets to control neuro - inflammatory and neurodegenerative activity . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 point 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 18 control 0 ###LEFT-WALL### 25 . 1 finally 2 , 1 finally 3 we 3 we 4 point 4 point 7 mechanisms 5 out 7 mechanisms 6 primary 7 mechanisms 7 mechanisms 8 of 8 of 10 activation 9 microglia 10 activation 11 , 12 which 11 , 14 comprise 12 which 13 may 13 may 14 comprise 14 comprise 16 targets 14 comprise 17 to 15 therapeutic 16 targets 17 to 18 control 18 control 24 activity 19 neuro 20 - 19 neuro 24 activity 21 inflammatory 22 and 22 and 23 neurodegenerative 22 and 24 activity background : people with dementia are sensitive to cognitive side effects of anticholinergic drugs . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 3 people 2 : 6 are 2 : 15 . 3 people 4 with 3 people 6 are 4 with 5 dementia 6 are 7 sensitive 7 sensitive 8 to 8 to 11 effects 9 cognitive 10 side 10 side 11 effects 11 effects 12 of 12 of 14 drugs 13 anticholinergic 14 drugs however , little is known about the prevalence of anticholinergic medications and its predictors in a nationally representative sample of community [-] based elderly dementia patients in the usa . 0 ###LEFT-WALL### 3 little 0 ###LEFT-WALL### 5 known 0 ###LEFT-WALL### 30 . 1 however 2 , 1 however 3 little 3 little 4 is 4 is 5 known 5 known 6 about 5 known 15 in 5 known 27 in 6 about 12 and 7 the 8 prevalence 8 prevalence 9 of 8 prevalence 12 and 9 of 11 medications 10 anticholinergic 11 medications 12 and 14 predictors 13 its 14 predictors 15 in 19 sample 16 a 17 nationally 16 a 19 sample 17 nationally 18 representative 18 representative 19 sample 19 sample 20 of 20 of 26 patients 21 community 23 based 23 based 25 dementia 24 elderly 25 dementia 25 dementia 26 patients 27 in 29 usa 28 the 29 usa objectives : the objectives of the study were to determine the prevalence and predictors of anticholinergic drugs use in elderly dementia patients . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 determine 0 ###LEFT-WALL### 23 . 2 : 4 objectives 2 : 8 were 3 the 4 objectives 4 objectives 5 of 4 objectives 8 were 5 of 7 study 6 the 7 study 8 were 9 to 9 to 10 determine 10 determine 18 use 10 determine 19 in 11 the 12 prevalence 12 prevalence 13 and 13 and 14 predictors 13 and 15 of 13 and 18 use 15 of 17 drugs 16 anticholinergic 17 drugs 19 in 22 patients 20 elderly 22 patients 21 dementia 22 patients methods : the study involved retrospective analysis of the 2005 - 2009 medical expenditure panel surveys ( meps ) , a nationally representative sample of the [non] [-] institutionalized us population . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 1 methods 2 : 2 : 7 analysis 3 the 7 analysis 4 study 5 involved 5 involved 7 analysis 6 retrospective 7 analysis 7 analysis 8 of 8 of 18 meps 9 the 11 - 10 2005 11 - 11 - 12 2009 11 - 18 meps 13 medical 14 expenditure 14 expenditure 15 panel 15 panel 16 surveys 16 surveys 18 meps 17 ( 18 meps 18 meps 19 ) 18 meps 24 sample 20 , 24 sample 21 a 22 nationally 21 a 24 sample 22 nationally 23 representative 23 representative 24 sample 24 sample 25 of 24 sample 32 . 25 of 31 population 26 the 31 population 29 institutionalized 31 population 30 us 31 population the study evaluated annual prevalence of anticholinergic drug use during the study period and factors associated with the use of anticholinergics among community [-] dwelling persons aged 65 and older with dementia . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 evaluated 0 ###LEFT-WALL### 33 . 1 the 2 study 2 study 3 evaluated 3 evaluated 14 and 3 evaluated 16 associated 4 annual 5 prevalence 5 prevalence 6 of 5 prevalence 14 and 6 of 9 use 7 anticholinergic 8 drug 8 drug 9 use 9 use 10 during 10 during 13 period 11 the 13 period 12 study 13 period 14 and 15 factors 14 and 16 associated 16 associated 17 with 16 associated 31 with 17 with 19 use 17 with 29 and 18 the 19 use 19 use 20 of 20 of 21 anticholinergics 21 anticholinergics 22 among 22 among 26 persons 23 community 25 dwelling 25 dwelling 26 persons 27 aged 28 65 27 aged 29 and 29 and 30 older 31 with 32 dementia the anticholinergic drugs were identified using the anticholinergic drug scale ( ads ) . 0 ###LEFT-WALL### 3 drugs 0 ###LEFT-WALL### 5 identified 0 ###LEFT-WALL### 14 . 1 the 3 drugs 2 anticholinergic 3 drugs 3 drugs 4 were 4 were 5 identified 5 identified 6 using 6 using 12 ads 7 the 12 ads 8 anticholinergic 9 drug 9 drug 10 scale 10 scale 12 ads 11 ( 12 ads 12 ads 13 ) multiple logistic regression within the conceptual framework of the anderson behavioral model was performed to identify predictors associated with clinically significant anticholinergic [drug] ( ads level 2 or 3 ) use . 0 ###LEFT-WALL### 3 regression 0 ###LEFT-WALL### 14 performed 0 ###LEFT-WALL### 32 . 1 multiple 3 regression 2 logistic 3 regression 3 regression 4 within 3 regression 8 of 3 regression 13 was 4 within 7 framework 5 the 7 framework 6 conceptual 7 framework 8 of 12 model 9 the 12 model 10 anderson 11 behavioral 11 behavioral 12 model 13 was 14 performed 14 performed 15 to 15 to 16 identify 16 identify 17 predictors 16 identify 19 with 17 predictors 18 associated 19 with 31 use 20 clinically 21 significant 21 significant 31 use 22 anticholinergic 25 ads 22 anticholinergic 30 ) 22 anticholinergic 31 use 24 ( 25 ads 25 ads 26 level 25 ads 30 ) 26 level 28 or 27 2 28 or 28 or 29 3 results : according to the meps , there [were] [a] total of 1.56 [ 95 % confidence [interval] ( ci ) [1.34] , 1.73 []] million elderly dementia patients annually during the study period . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 35 . 1 results 2 : 2 : 3 according 3 according 4 to 3 according 29 patients 3 according 30 annually 3 according 31 during 4 to 6 meps 5 the 6 meps 6 meps 11 total 7 , 11 total 8 there 11 total 11 total 12 of 11 total 23 , 12 of 13 1.56 13 1.56 17 confidence 14 [ 17 confidence 15 95 16 % 16 % 17 confidence 17 confidence 20 ci 17 confidence 21 ) 19 ( 20 ci 20 ci 21 ) 24 1.73 26 million 26 million 29 patients 27 elderly 29 patients 28 dementia 29 patients 31 during 34 period 32 the 34 period 33 study 34 period approximately , 23.3 % [(] 95 % ci 19.2 , 27.5 ) [of] elderly dementia patients used clinically significant anticholinergic agents ( ads level 2 or 3 ) . 0 ###LEFT-WALL### 16 patients 0 ###LEFT-WALL### 17 used 0 ###LEFT-WALL### 29 . 1 approximately 2 , 1 approximately 16 patients 3 23.3 4 % 4 % 16 patients 6 95 7 % 7 % 16 patients 8 ci 9 19.2 8 ci 11 27.5 8 ci 16 patients 10 , 11 27.5 11 27.5 12 ) 14 elderly 15 dementia 15 dementia 16 patients 16 patients 17 used 17 used 21 agents 18 clinically 19 significant 19 significant 21 agents 20 anticholinergic 21 agents 21 agents 23 ads 22 ( 23 ads 23 ads 24 level 23 ads 28 ) 24 level 26 or 25 2 26 or 26 or 27 3 among the need factors , elderly dementia patients having mood disorders [ odds [ratio] ( or [ )(2.19 [;] 95 % ci 1.19 , 4.06 ] and urinary incontinence ( or 6.58 [;] 95 % ci 2.84 , 15.29 ) were more likely to use drugs with clinically significant anticholinergic activities . 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 41 were 0 ###LEFT-WALL### 52 . 1 among 3 need 1 among 27 and 2 the 3 need 4 factors 5 , 5 , 8 patients 5 , 27 and 6 elderly 8 patients 7 dementia 8 patients 8 patients 9 having 9 having 11 disorders 10 mood 11 disorders 11 disorders 13 odds 12 [ 13 odds 13 odds 22 ci 13 odds 26 ] 15 ( 22 ci 16 or 18 )(2.19 16 or 22 ci 20 95 22 ci 21 % 22 ci 22 ci 23 1.19 22 ci 25 4.06 22 ci 26 ] 24 , 25 4.06 25 4.06 26 ] 27 and 29 incontinence 27 and 36 ci 27 and 39 15.29 27 and 41 were 28 urinary 29 incontinence 30 ( 36 ci 31 or 36 ci 32 6.58 36 ci 34 95 36 ci 35 % 36 ci 36 ci 37 2.84 36 ci 38 , 38 , 39 15.29 39 15.29 40 ) 41 were 43 likely 42 more 43 likely 43 likely 44 to 44 to 45 use 45 use 46 drugs 46 drugs 47 with 47 with 51 activities 48 clinically 49 significant 49 significant 51 activities 50 anticholinergic 51 activities of the enabling factors , the odds of receiving higher - level anticholinergic drugs were significantly lower for patients who resided in the west region ( or 0.41 ; 95 % ci 0.17 , 0.95 ) compared to the reference group , northeast . 0 ###LEFT-WALL### 14 drugs 0 ###LEFT-WALL### 15 were 0 ###LEFT-WALL### 29 ; 1 of 4 factors 1 of 11 - 1 of 14 drugs 2 the 4 factors 3 enabling 4 factors 4 factors 7 odds 5 , 7 odds 6 the 7 odds 7 odds 8 of 7 odds 11 - 8 of 9 receiving 9 receiving 10 higher 12 level 14 drugs 13 anticholinergic 14 drugs 14 drugs 15 were 15 were 16 significantly 15 were 17 lower 17 lower 18 for 18 for 19 patients 19 patients 20 who 19 patients 21 resided 19 patients 27 or 20 who 21 resided 21 resided 22 in 22 in 25 region 23 the 25 region 24 west 25 region 26 ( 27 or 27 or 28 0.41 27 or 29 ; 29 ; 32 ci 29 ; 37 compared 30 95 32 ci 31 % 32 ci 32 ci 33 0.17 32 ci 35 0.95 32 ci 37 compared 34 , 35 0.95 35 0.95 36 ) 37 compared 38 to 38 to 41 group 39 the 41 group 40 reference 41 group 41 group 43 northeast 42 , 43 northeast 43 northeast 44 . conclusion : over one in five elderly dementia patients used drugs with clinically significant anticholinergic effects . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 one 2 : 10 used 2 : 17 . 3 over 4 one 4 one 5 in 4 one 10 used 5 in 9 patients 6 five 9 patients 7 elderly 9 patients 8 dementia 9 patients 10 used 11 drugs 10 used 12 with 12 with 16 effects 13 clinically 14 significant 14 significant 16 effects 15 anticholinergic 16 effects mood disorder , urinary incontinence , and region were significantly associated with use of these drugs . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 11 associated 0 ###LEFT-WALL### 17 . 1 mood 2 disorder 2 disorder 3 , 3 , 5 incontinence 3 , 7 and 4 urinary 5 incontinence 6 , 7 and 7 and 8 region 7 and 9 were 9 were 11 associated 10 significantly 11 associated 11 associated 12 with 12 with 13 use 13 use 14 of 14 of 16 drugs 15 these 16 drugs concerted efforts are needed to improve the quality of medication use by focusing on clinically significant anticholinergic agents . 0 ###LEFT-WALL### 2 efforts 0 ###LEFT-WALL### 4 needed 0 ###LEFT-WALL### 19 . 1 concerted 2 efforts 2 efforts 3 are 3 are 4 needed 4 needed 5 to 4 needed 12 by 5 to 6 improve 6 improve 8 quality 7 the 8 quality 8 quality 9 of 9 of 11 use 10 medication 11 use 12 by 13 focusing 13 focusing 14 on 14 on 18 agents 15 clinically 16 significant 16 significant 18 agents 17 anticholinergic 18 agents background : recent evidence has [emerged] that a dopamine agonist , pramipexole , may increase the risk of heart failure among caucasian patients , but the association has not been examined among asian patients . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 but 0 ###LEFT-WALL### 35 . 1 background 2 : 2 : 3 recent 2 : 7 that 3 recent 4 evidence 3 recent 5 has 4 evidence 5 has 7 that 10 agonist 7 that 15 increase 8 a 9 dopamine 8 a 10 agonist 9 dopamine 10 agonist 10 agonist 12 pramipexole 10 agonist 14 may 11 , 12 pramipexole 12 pramipexole 13 , 14 may 15 increase 15 increase 17 risk 15 increase 21 among 16 the 17 risk 17 risk 18 of 18 of 20 failure 19 heart 20 failure 21 among 23 patients 22 caucasian 23 patients 24 , 25 but 25 but 27 association 25 but 31 examined 26 the 27 association 27 association 28 has 28 has 29 not 28 has 30 been 30 been 31 examined 31 examined 32 among 32 among 34 patients 33 asian 34 patients the aim of this study was to explore the relationship between use of dopamine agonists and the risk of heart failure . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 22 . 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 explore 7 to 8 explore 8 explore 10 relationship 8 explore 11 between 9 the 10 relationship 11 between 12 use 12 use 13 of 13 of 16 and 14 dopamine 15 agonists 15 agonists 16 and 16 and 18 risk 16 and 19 of 17 the 18 risk 19 of 21 failure 20 heart 21 failure methods : using data from taiwan 's national health insurance research database ( nhird ) , we identified a population - based cohort comprising 27,135 patients who were prescribed anti - parkinsonian drugs between 2001 and 2010 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 17 we 2 : 18 identified 2 : 31 - 2 : 32 parkinsonian 2 : 38 . 3 using 4 data 3 using 5 from 3 using 16 , 3 using 17 we 5 from 12 database 6 taiwan 7 's 7 's 12 database 8 national 9 health 9 health 10 insurance 10 insurance 12 database 11 research 12 database 12 database 14 nhird 13 ( 14 nhird 14 nhird 15 ) 17 we 18 identified 18 identified 20 population 19 a 20 population 20 population 26 patients 21 - 26 patients 22 based 23 cohort 23 cohort 26 patients 24 comprising 26 patients 25 27,135 26 patients 26 patients 27 who 26 patients 28 were 26 patients 31 - 27 who 28 were 28 were 29 prescribed 29 prescribed 30 anti 31 - 32 parkinsonian 32 parkinsonian 33 drugs 32 parkinsonian 34 between 34 between 36 and 35 2001 36 and 36 and 37 2010 we conducted a [nested] case - control study in which 1,707 cases of newly diagnosed heart failure were matched to 3,414 controls ( 1:2 matched according to age , gender and cohort entry [year] ) within this cohort . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conducted 0 ###LEFT-WALL### 39 . 1 we 2 conducted 2 conducted 5 case 2 conducted 36 within 3 a 5 case 5 case 8 study 6 - 8 study 7 control 8 study 8 study 9 in 8 study 35 ) 9 in 10 which 9 in 12 cases 9 in 19 matched 11 1,707 12 cases 12 cases 13 of 12 cases 19 matched 13 of 16 heart 14 newly 15 diagnosed 15 diagnosed 16 heart 16 heart 17 failure 16 heart 18 were 17 failure 18 were 19 matched 20 to 19 matched 31 and 20 to 22 controls 21 3,414 22 controls 22 controls 24 1:2 23 ( 24 1:2 24 1:2 25 matched 24 1:2 29 , 25 matched 27 to 26 according 27 to 27 to 28 age 30 gender 31 and 31 and 33 entry 32 cohort 33 entry 36 within 38 cohort 37 this 38 cohort multivariable conditional logistic regressions were used to estimate the association between use of dopamine agonists and heart failure . 0 ###LEFT-WALL### 4 regressions 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 19 . 1 multivariable 4 regressions 2 conditional 3 logistic 3 logistic 4 regressions 4 regressions 5 were 5 were 6 used 6 used 7 to 6 used 16 and 7 to 16 and 8 estimate 10 association 8 estimate 11 between 8 estimate 16 and 9 the 10 association 11 between 12 use 12 use 13 of 13 of 15 agonists 14 dopamine 15 agonists 16 and 17 heart 17 heart 18 failure results : an increased risk of heart failure was observed with current use of ergot - derived dopamine agonists [(] adjusted odds ratio [[] or []] 1.46 , 95 % confidence interval [ ci ] [1.00] - 2.12 [ )(but not with current use [of] [non] - ergot - derived dopamine agonists ( adjusted or 1.24 , 95 % ci 0.84 - 1.82 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 risk 2 : 10 observed 3 an 5 risk 4 increased 5 risk 5 risk 6 of 5 risk 8 failure 5 risk 9 was 5 risk 10 observed 6 of 7 heart 8 failure 9 was 10 observed 13 use 10 observed 21 adjusted 11 with 12 current 11 with 13 use 13 use 14 of 13 use 21 adjusted 14 of 19 agonists 15 ergot 16 - 15 ergot 18 dopamine 17 derived 18 dopamine 18 dopamine 19 agonists 21 adjusted 25 or 22 odds 23 ratio 23 ratio 25 or 25 or 27 1.46 25 or 37 - 28 , 37 - 29 95 32 interval 30 % 31 confidence 31 confidence 32 interval 32 interval 34 ci 32 interval 37 - 33 [ 34 ci 34 ci 35 ] 37 - 38 2.12 38 2.12 40 )(but 38 2.12 42 with 40 )(but 41 not 42 with 44 use 43 current 44 use 44 use 49 - 44 use 55 or 47 - 49 - 48 ergot 49 - 49 - 52 agonists 50 derived 51 dopamine 51 dopamine 52 agonists 53 ( 55 or 54 adjusted 55 or 55 or 56 1.24 55 or 60 ci 55 or 65 . 57 , 60 ci 58 95 60 ci 59 % 60 ci 60 ci 61 0.84 60 ci 63 1.82 60 ci 65 . 62 - 63 1.82 63 1.82 64 ) among [non] [-] ergot - derived dopamine agonists , both pramipexole [(] adjusted or 1.40 , 95 % ci 0.75 - 2.61 ) [and] ropinirole ( adjusted or 1.22 , 95 % ci 0.76 - 1.95 [ )( [a] [non] - significantly increased heart failure risk . 1 among 4 ergot 1 among 9 , 1 among 10 both 4 ergot 8 agonists 5 - 8 agonists 6 derived 7 dopamine 7 dopamine 8 agonists 8 agonists 9 , 10 both 11 pramipexole 10 both 13 adjusted 13 adjusted 25 ropinirole 14 or 15 1.40 14 or 19 ci 14 or 22 2.61 14 or 25 ropinirole 16 , 19 ci 17 95 19 ci 18 % 19 ci 19 ci 20 0.75 19 ci 21 - 21 - 22 2.61 22 2.61 23 ) 25 ropinirole 28 or 25 ropinirole 33 ci 25 ropinirole 36 1.95 26 ( 28 or 27 adjusted 28 or 28 or 29 1.22 28 or 30 , 30 , 33 ci 31 95 33 ci 32 % 33 ci 33 ci 34 0.76 33 ci 35 - 35 - 36 1.95 36 1.95 46 risk 36 1.95 47 . 41 - 42 significantly 41 - 46 risk 43 increased 44 heart 44 heart 45 failure 45 failure 46 risk 46 risk 47 . although the findings of our study were limited by lack of statistical power , a clear pattern of an increased duration of pramipexole use and an increased risk of heart failure were observed . 0 ###LEFT-WALL### 17 pattern 0 ###LEFT-WALL### 33 observed 0 ###LEFT-WALL### 34 . 1 although 3 findings 1 although 8 limited 1 although 14 , 1 although 17 pattern 2 the 3 findings 3 findings 4 of 3 findings 7 were 4 of 6 study 5 our 6 study 7 were 8 limited 8 limited 9 by 9 by 10 lack 10 lack 11 of 11 of 13 power 12 statistical 13 power 15 a 17 pattern 16 clear 17 pattern 17 pattern 18 of 17 pattern 32 were 18 of 21 duration 19 an 21 duration 20 increased 21 duration 21 duration 22 of 21 duration 29 of 22 of 25 and 23 pramipexole 24 use 24 use 25 and 25 and 28 risk 26 an 28 risk 27 increased 28 risk 29 of 31 failure 30 heart 31 failure 32 were 33 observed conclusion : use of dopamine agonists , including pramipexole , [was] associated with [non] - significantly increased risks of heart failure in this population - based study in taiwan . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 3 use 2 : 26 based 3 use 4 of 3 use 6 agonists 3 use 13 with 3 use 18 risks 3 use 26 based 4 of 5 dopamine 6 agonists 8 including 6 agonists 12 associated 7 , 8 including 8 including 9 pramipexole 8 including 10 , 12 associated 13 with 15 - 16 significantly 15 - 18 risks 17 increased 18 risks 18 risks 19 of 18 risks 25 - 19 of 21 failure 20 heart 21 failure 21 failure 22 in 22 in 24 population 23 this 24 population 26 based 27 study 26 based 28 in 28 in 29 taiwan further investigation is needed to clarify this potential association . 0 ###LEFT-WALL### 2 investigation 0 ###LEFT-WALL### 4 needed 0 ###LEFT-WALL### 10 . 1 further 2 investigation 2 investigation 3 is 3 is 4 needed 4 needed 5 to 5 to 6 clarify 6 clarify 9 association 7 this 9 association 8 potential 9 association unlabelled : courage in europe was a 3 [-] year project involving 12 partners from four european countries and the world health organization . 0 ###LEFT-WALL### 1 unlabelled 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 3 courage 2 : 6 was 3 courage 4 in 3 courage 6 was 4 in 5 europe 6 was 11 project 7 a 11 project 8 3 10 year 10 year 11 project 11 project 12 involving 12 involving 14 partners 13 12 14 partners 14 partners 15 from 15 from 19 and 16 four 18 countries 17 european 18 countries 18 countries 19 and 19 and 23 organization 20 the 23 organization 21 world 22 health 22 health 23 organization it was inspired by the pressing need to integrate international studies on disability and ageing in light of an innovative perspective based on [a] validated data - collection protocol . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 was 1 it 2 was 2 was 3 inspired 3 inspired 4 by 3 inspired 8 to 3 inspired 9 integrate 4 by 7 need 5 the 7 need 6 pressing 7 need 8 to 9 integrate 9 integrate 11 studies 9 integrate 12 on 9 integrate 16 in 10 international 11 studies 12 on 14 and 13 disability 14 and 14 and 15 ageing 16 in 17 light 17 light 18 of 17 light 22 based 18 of 21 perspective 19 an 20 innovative 19 an 21 perspective 20 innovative 21 perspective 22 based 23 on 23 on 26 data 25 validated 26 data 26 data 29 protocol 27 - 29 protocol 28 collection 29 protocol 29 protocol 30 . courage in europe project collected data on the determinants of health and disability in an ageing population , with specific tools for the evaluation of the role of the built environment and social networks on health , disability , quality of life and well - being . 0 ###LEFT-WALL### 1 courage 0 ###LEFT-WALL### 5 collected 0 ###LEFT-WALL### 37 , 1 courage 2 in 1 courage 5 collected 2 in 4 project 3 europe 4 project 5 collected 6 data 5 collected 7 on 5 collected 14 in 5 collected 19 with 7 on 12 and 8 the 9 determinants 9 determinants 10 of 9 determinants 12 and 10 of 11 health 12 and 13 disability 14 in 17 population 15 an 16 ageing 15 an 17 population 16 ageing 17 population 18 , 19 with 19 with 21 tools 19 with 35 on 19 with 37 , 20 specific 21 tools 21 tools 22 for 21 tools 25 of 21 tools 28 of 22 for 24 evaluation 23 the 24 evaluation 25 of 27 role 26 the 27 role 28 of 32 and 29 the 31 environment 30 built 31 environment 31 environment 32 and 32 and 34 networks 33 social 34 networks 35 on 36 health 37 , 43 and 37 , 45 - 38 disability 39 , 39 , 40 quality 39 , 43 and 40 quality 41 of 41 of 42 life 43 and 44 well 45 - 46 being 45 - 47 . the main survey was conducted by partners in finland , poland and spain where the survey has been administered to a sample of 10,800 persons , which was completed in march 2012 . 0 ###LEFT-WALL### 3 survey 0 ###LEFT-WALL### 5 conducted 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 33 . 1 the 3 survey 2 main 3 survey 3 survey 4 was 4 was 5 conducted 5 conducted 6 by 5 conducted 8 in 5 conducted 14 where 6 by 7 partners 8 in 12 and 9 finland 10 , 10 , 11 poland 10 , 12 and 12 and 13 spain 14 where 16 survey 14 where 19 administered 15 the 16 survey 16 survey 17 has 17 has 18 been 18 been 19 administered 19 administered 20 to 20 to 22 sample 21 a 22 sample 22 sample 23 of 23 of 25 persons 24 10,800 25 persons 26 , 27 which 26 , 29 completed 27 which 28 was 28 was 29 completed 29 completed 30 in 30 in 31 march 31 march 32 2012 [the] newly developed and validated courage protocol for ageing studies has proven to be a valid tool for collecting comparable data in ageing population , and the courage in europe project has created valid and reliable scientific evidence , demonstrating cross - country comparability , for disability and ageing research and policy development . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 12 proven 0 ###LEFT-WALL### 39 , 2 newly 4 and 3 developed 4 and 4 and 5 validated 5 validated 7 protocol 6 courage 7 protocol 7 protocol 8 for 7 protocol 12 proven 8 for 9 ageing 9 ageing 10 studies 9 ageing 11 has 10 studies 11 has 12 proven 13 to 12 proven 18 for 12 proven 29 in 13 to 14 be 14 be 17 tool 15 a 17 tool 16 valid 17 tool 18 for 19 collecting 19 collecting 21 data 19 collecting 22 in 20 comparable 21 data 22 in 26 and 23 ageing 24 population 24 population 26 and 25 , 26 and 26 and 28 courage 27 the 28 courage 29 in 30 europe 30 europe 31 project 30 europe 33 created 31 project 32 has 32 has 33 created 33 created 38 evidence 34 valid 35 and 35 and 36 reliable 35 and 38 evidence 37 scientific 38 evidence 39 , 41 cross 39 , 42 - 40 demonstrating 41 cross 42 - 44 comparability 43 country 44 comparability 44 comparability 46 for 45 , 46 for 46 for 51 and 46 for 54 . 47 disability 48 and 48 and 50 research 48 and 51 and 49 ageing 50 research 51 and 53 development 51 and 54 . 52 policy 53 development it is therefore recommended that future studies exploring determinants of health and disability in ageing use the courage - derived methodology . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 recommended 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 22 . 1 it 2 is 2 is 4 recommended 3 therefore 4 recommended 4 recommended 5 that 5 that 7 studies 5 that 16 use 6 future 7 studies 7 studies 8 exploring 7 studies 10 of 7 studies 16 use 8 exploring 9 determinants 10 of 12 and 11 health 12 and 12 and 13 disability 12 and 14 in 14 in 15 ageing 16 use 18 courage 17 the 18 courage 19 - 21 methodology 20 derived 21 methodology key practitioner message : courage in europe project collected data on the determinants of health and disability in an ageing population , with specific tools for the evaluation of the role [of] built environment and social networks on health , disability quality of life and well - being . 0 ###LEFT-WALL### 3 message 0 ###LEFT-WALL### 4 : 1 key 2 practitioner 2 practitioner 3 message 4 : 8 project 4 : 9 collected 4 : 40 , 4 : 47 - 5 courage 6 in 5 courage 8 project 6 in 7 europe 8 project 9 collected 9 collected 10 data 9 collected 11 on 9 collected 18 in 11 on 16 and 12 the 13 determinants 13 determinants 14 of 13 determinants 16 and 14 of 15 health 16 and 17 disability 18 in 21 population 19 an 20 ageing 19 an 21 population 20 ageing 21 population 21 population 23 with 22 , 23 with 23 with 25 tools 23 with 26 for 23 with 40 , 24 specific 25 tools 26 for 28 evaluation 27 the 28 evaluation 28 evaluation 29 of 29 of 35 and 30 the 34 environment 31 role 33 built 33 built 34 environment 34 environment 35 and 35 and 37 networks 35 and 38 on 36 social 37 networks 38 on 39 health 40 , 45 and 41 disability 42 quality 42 quality 43 of 42 quality 45 and 43 of 44 life 45 and 46 well 45 and 47 - 47 - 48 being 47 - 49 . the courage protocol for ageing studies has proven to be a valid tool for collecting comparable data in the ageing population . 0 ###LEFT-WALL### 3 protocol 0 ###LEFT-WALL### 8 proven 0 ###LEFT-WALL### 22 . 1 the 3 protocol 2 courage 3 protocol 3 protocol 4 for 3 protocol 7 has 4 for 6 studies 5 ageing 6 studies 7 has 8 proven 8 proven 9 to 8 proven 10 be 9 to 10 be 10 be 13 tool 11 a 12 valid 11 a 13 tool 12 valid 13 tool 13 tool 14 for 14 for 15 collecting 15 collecting 17 data 15 collecting 18 in 16 comparable 17 data 18 in 21 population 19 the 21 population 20 ageing 21 population the courage in europe consortium recommends that future studies exploring determinants of health and disability in ageing use courage - derived methodology . 0 ###LEFT-WALL### 2 courage 0 ###LEFT-WALL### 6 recommends 0 ###LEFT-WALL### 20 - 1 the 2 courage 2 courage 3 in 2 courage 6 recommends 3 in 5 consortium 4 europe 5 consortium 6 recommends 7 that 7 that 9 studies 7 that 18 use 8 future 9 studies 9 studies 10 exploring 10 exploring 14 and 11 determinants 12 of 11 determinants 14 and 12 of 13 health 14 and 15 disability 14 and 16 in 16 in 17 ageing 18 use 19 courage 20 - 22 methodology 20 - 23 . 21 derived 22 methodology introduction : one research strategy that can be used with the cognitive reserve is to establish groups of elderly persons who differ in key variables that affect the cognitive reserve and then compare their performance in cognitive tests . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 39 . 2 : 5 strategy 2 : 14 is 3 one 5 strategy 4 research 5 strategy 5 strategy 6 that 5 strategy 7 can 5 strategy 14 is 6 that 7 can 7 can 8 be 8 be 9 used 9 used 10 with 10 with 13 reserve 11 the 13 reserve 12 cognitive 13 reserve 14 is 15 to 14 is 23 in 15 to 16 establish 16 establish 17 groups 17 groups 18 of 17 groups 21 who 17 groups 22 differ 18 of 20 persons 19 elderly 20 persons 21 who 22 differ 23 in 25 variables 24 key 25 variables 25 variables 26 that 25 variables 31 and 26 that 31 and 27 affect 30 reserve 27 affect 31 and 28 the 30 reserve 29 cognitive 30 reserve 31 and 33 compare 32 then 33 compare 33 compare 35 performance 33 compare 36 in 34 their 35 performance 36 in 38 tests 37 cognitive 38 tests aims : to determine which of the variables that have an influence on the cognitive reserve ( measured by means of the cognitive reserve questionnaire ) are related with performance in the boston naming test , and in the vocabulary and grammar comprehension tests from the ecco_senior battery . 0 ###LEFT-WALL### 1 aims 0 ###LEFT-WALL### 44 tests 0 ###LEFT-WALL### 49 . 1 aims 2 : 2 : 3 to 2 : 4 determine 3 to 4 determine 4 determine 5 which 4 determine 29 with 5 which 6 of 5 which 27 are 6 of 8 variables 7 the 8 variables 8 variables 9 that 8 variables 10 have 8 variables 18 measured 9 that 10 have 10 have 12 influence 10 have 13 on 11 an 12 influence 13 on 16 reserve 14 the 16 reserve 15 cognitive 16 reserve 17 ( 18 measured 18 measured 19 by 18 measured 26 ) 19 by 20 means 20 means 21 of 21 of 25 questionnaire 22 the 25 questionnaire 23 cognitive 25 questionnaire 24 reserve 25 questionnaire 27 are 28 related 29 with 30 performance 30 performance 37 and 30 performance 43 comprehension 30 performance 44 tests 31 in 35 test 31 in 37 and 32 the 35 test 33 boston 34 naming 34 naming 35 test 36 , 37 and 37 and 38 in 38 in 41 and 39 the 40 vocabulary 40 vocabulary 41 and 41 and 42 grammar 43 comprehension 44 tests 44 tests 45 from 45 from 48 battery 46 the 48 battery 47 ecco_senior 48 battery subjects and methods : the sample consisted of 83 elderly persons aged between 60 and 75 years . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 18 . 1 subjects 2 and 2 and 3 methods 3 methods 4 : 4 : 17 years 5 the 6 sample 6 sample 7 consisted 7 consisted 8 of 8 of 11 persons 9 83 11 persons 10 elderly 11 persons 11 persons 12 aged 12 aged 13 between 13 between 15 and 14 60 15 and 15 and 16 75 16 75 17 years results and conclusions : schooling , parents ' schooling , job and reading habits are closely related to the performance of the elderly in naming , grammar comprehension and vocabulary . 0 ###LEFT-WALL### 3 conclusions 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 31 . 1 results 2 and 2 and 3 conclusions 3 conclusions 4 : 4 : 5 schooling 5 schooling 12 and 6 , 12 and 7 parents 8 ' 8 ' 9 schooling 9 schooling 10 , 10 , 11 job 10 , 12 and 12 and 13 reading 12 and 14 habits 12 and 25 naming 12 and 26 , 14 habits 15 are 15 are 16 closely 15 are 17 related 17 related 18 to 18 to 20 performance 19 the 20 performance 20 performance 21 of 20 performance 24 in 21 of 23 elderly 22 the 23 elderly 24 in 25 naming 26 , 29 and 27 grammar 28 comprehension 28 comprehension 29 and 29 and 30 vocabulary schooling affects the comprehension of sentences with a higher propositional density , and reading habits seem to be closely related with the comprehension of sentences that are more complex in terms of their syntax . 0 ###LEFT-WALL### 1 schooling 0 ###LEFT-WALL### 2 affects 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 35 . 1 schooling 2 affects 2 affects 4 comprehension 2 affects 7 with 3 the 4 comprehension 4 comprehension 5 of 5 of 6 sentences 7 with 11 density 8 a 11 density 9 higher 11 density 10 propositional 11 density 12 , 13 and 13 and 14 reading 13 and 20 related 14 reading 15 habits 14 reading 16 seem 14 reading 20 related 15 habits 16 seem 16 seem 17 to 16 seem 18 be 17 to 18 be 18 be 19 closely 20 related 21 with 21 with 23 comprehension 22 the 23 comprehension 23 comprehension 24 of 24 of 25 sentences 25 sentences 26 that 25 sentences 27 are 26 that 27 are 27 are 28 more 27 are 29 complex 29 complex 30 in 30 in 31 terms 31 terms 32 of 32 of 34 syntax 33 their 34 syntax schooling and job affect the performance obtained when dealing with verbs in the vocabulary test . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 4 affect 0 ###LEFT-WALL### 16 . 1 schooling 2 and 2 and 3 job 2 and 4 affect 4 affect 6 performance 5 the 6 performance 6 performance 7 obtained 7 obtained 8 when 8 when 9 dealing 9 dealing 10 with 9 dealing 12 in 10 with 11 verbs 12 in 15 test 13 the 15 test 14 vocabulary 15 test chronic exposure of human skin to solar ultraviolet ( uv ) irradiation causes premature skin aging , which is characterized by reduced type i collagen production and increased fragmentation of the dermal collagenous extracellular matrix . 0 ###LEFT-WALL### 2 exposure 0 ###LEFT-WALL### 13 causes 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 36 . 1 chronic 2 exposure 2 exposure 3 of 2 exposure 13 causes 3 of 5 skin 4 human 5 skin 5 skin 6 to 6 to 12 irradiation 7 solar 12 irradiation 8 ultraviolet 10 uv 8 ultraviolet 12 irradiation 9 ( 10 uv 10 uv 11 ) 13 causes 15 skin 14 premature 15 skin 15 skin 16 aging 17 , 18 which 17 , 27 and 18 which 19 is 19 is 27 and 20 characterized 21 by 20 characterized 26 production 20 characterized 27 and 21 by 23 type 22 reduced 23 type 23 type 24 i 25 collagen 26 production 27 and 28 increased 28 increased 29 fragmentation 29 fragmentation 30 of 30 of 35 matrix 31 the 35 matrix 32 dermal 35 matrix 33 collagenous 35 matrix 34 extracellular 35 matrix this imbalance of collagen homeostasis is mediated , [in] part , by elevated expression of the matricellular protein cysteine - rich protein 61 ( ccn1 ) , in dermal fibroblasts , the primary collagen producing cell type in human skin . 0 ###LEFT-WALL### 2 imbalance 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 41 . 1 this 2 imbalance 2 imbalance 3 of 2 imbalance 6 is 3 of 5 homeostasis 4 collagen 5 homeostasis 6 is 8 , 7 mediated 8 , 8 , 10 part 8 , 37 type 10 part 12 by 10 part 28 in 11 , 12 by 12 by 14 expression 12 by 27 , 13 elevated 14 expression 14 expression 15 of 14 expression 22 protein 15 of 19 cysteine 16 the 19 cysteine 17 matricellular 18 protein 18 protein 19 cysteine 20 - 22 protein 21 rich 22 protein 22 protein 23 61 22 protein 25 ccn1 22 protein 27 , 24 ( 25 ccn1 25 ccn1 26 ) 27 , 28 in 28 in 30 fibroblasts 28 in 31 , 29 dermal 30 fibroblasts 32 the 37 type 33 primary 34 collagen 34 collagen 36 cell 35 producing 36 cell 36 cell 37 type 37 type 38 in 38 in 40 skin 39 human 40 skin here , we report that the actions of ccn1 are mediated by induction of interleukin 1β ( il - 1β ) . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 report 0 ###LEFT-WALL### 22 . 1 here 2 , 1 here 3 we 3 we 4 report 4 report 5 that 5 that 7 actions 5 that 11 mediated 6 the 7 actions 7 actions 8 of 7 actions 10 are 8 of 9 ccn1 10 are 11 mediated 11 mediated 12 by 12 by 13 induction 13 induction 14 of 13 induction 18 il 14 of 16 1β 15 interleukin 16 1β 17 ( 18 il 18 il 20 1β 18 il 21 ) 19 - 20 1β 20 1β 21 ) ccn1 and il - 1β [are] strikingly induced by acute uv irradiation , and constitutively elevated in sun - exposed prematurely aged human skin . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 4 - 1 ccn1 2 and 2 and 3 il 4 - 5 1β 4 - 14 and 4 - 19 - 4 - 25 . 5 1β 14 and 7 strikingly 8 induced 8 induced 9 by 8 induced 12 irradiation 8 induced 14 and 9 by 11 uv 10 acute 11 uv 13 , 14 and 14 and 16 elevated 14 and 17 in 15 constitutively 16 elevated 17 in 18 sun 19 - 24 skin 20 exposed 23 human 21 prematurely 22 aged 22 aged 23 human 23 human 24 skin elevated ccn1 rapidly induces il - 1β , inhibits type [i] collagen production , and upregulates matrix metalloproteinase - 1 , which degrades collagen fibrils . 0 ###LEFT-WALL### 2 ccn1 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 26 . 1 elevated 2 ccn1 2 ccn1 4 induces 2 ccn1 7 1β 2 ccn1 15 and 3 rapidly 4 induces 4 induces 5 il 4 induces 6 - 6 - 7 1β 7 1β 8 , 9 inhibits 13 production 9 inhibits 15 and 10 type 13 production 12 collagen 13 production 14 , 15 and 15 and 16 upregulates 16 upregulates 18 metalloproteinase 17 matrix 18 metalloproteinase 18 metalloproteinase 20 1 19 - 20 1 20 1 21 , 21 , 22 which 21 , 23 degrades 22 which 23 degrades 23 degrades 25 fibrils 24 collagen 25 fibrils blockade of il - 1β actions by il - 1 receptor antagonist largely prevents the deleterious effects of ccn1 on collagen homeostasis . 0 ###LEFT-WALL### 12 antagonist 0 ###LEFT-WALL### 14 prevents 0 ###LEFT-WALL### 23 . 1 blockade 12 antagonist 2 of 3 il 2 of 9 - 2 of 12 antagonist 3 il 6 actions 4 - 6 actions 5 1β 6 actions 6 actions 7 by 6 actions 9 - 7 by 8 il 10 1 12 antagonist 11 receptor 12 antagonist 12 antagonist 14 prevents 13 largely 14 prevents 14 prevents 17 effects 14 prevents 20 on 15 the 17 effects 16 deleterious 17 effects 17 effects 18 of 18 of 19 ccn1 20 on 22 homeostasis 21 collagen 22 homeostasis furthermore , knockdown [of] ccn1 significantly reduces induction of il - 1β by uv irradiation , and thereby partially prevents collagen loss . 0 ###LEFT-WALL### 5 ccn1 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 23 . 1 furthermore 2 , 1 furthermore 5 ccn1 3 knockdown 5 ccn1 5 ccn1 17 and 6 significantly 7 reduces 7 reduces 8 induction 7 reduces 17 and 8 induction 9 of 9 of 10 il 10 il 12 1β 11 - 12 1β 12 1β 13 by 12 1β 16 , 13 by 15 irradiation 14 uv 15 irradiation 16 , 17 and 17 and 20 prevents 18 thereby 20 prevents 19 partially 20 prevents 20 prevents 22 loss 21 collagen 22 loss these data demonstrate that elevated ccn1promotes inflammaging and collagen loss via induction of il - 1β and thereby contributes to the pathophysiology of premature aging in [chronically] sun - exposed human skin . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 demonstrate 0 ###LEFT-WALL### 29 - 1 these 2 data 2 data 3 demonstrate 3 demonstrate 4 that 3 demonstrate 17 and 4 that 17 and 5 elevated 6 ccn1promotes 5 elevated 17 and 6 ccn1promotes 8 and 6 ccn1promotes 16 1β 7 inflammaging 8 and 8 and 10 loss 8 and 15 - 8 and 16 1β 9 collagen 10 loss 10 loss 11 via 10 loss 13 of 11 via 12 induction 13 of 14 il 17 and 19 contributes 17 and 26 in 18 thereby 19 contributes 19 contributes 20 to 20 to 22 pathophysiology 21 the 22 pathophysiology 22 pathophysiology 23 of 23 of 25 aging 24 premature 25 aging 26 in 28 sun 29 - 32 skin 29 - 33 . 30 exposed 31 human 31 human 32 skin purpose : the purpose of the study is to assess the quality - of [-] life scores and possible association with measures of ovarian reserve in female cancer survivors compared to healthy controls of similar age . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 assess 2 : 4 purpose 2 : 8 is 3 the 4 purpose 4 purpose 5 of 4 purpose 8 is 5 of 7 study 6 the 7 study 8 is 9 to 9 to 10 assess 10 assess 12 quality 11 the 12 quality 12 quality 14 of 13 - 14 of 14 of 18 and 14 of 37 . 16 life 17 scores 17 scores 18 and 18 and 20 association 18 and 21 with 18 and 23 of 18 and 34 of 19 possible 20 association 21 with 22 measures 23 of 25 reserve 24 ovarian 25 reserve 25 reserve 26 in 25 reserve 30 compared 26 in 29 survivors 27 female 29 survivors 28 cancer 29 survivors 30 compared 31 to 31 to 33 controls 32 healthy 33 controls 34 of 36 age 35 similar 36 age methods : in this prospective cohort study , fifty - nine cancer survivors aged 16 - 39 years and 66 healthy , similarly aged unexposed women were recruited at the university of pennsylvania . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 34 . 1 methods 2 : 2 : 3 in 3 in 7 study 4 this 7 study 5 prospective 7 study 6 cohort 7 study 8 , 13 survivors 8 , 14 aged 8 , 19 and 9 fifty 10 - 10 - 11 nine 10 - 13 survivors 12 cancer 13 survivors 13 survivors 14 aged 14 aged 18 years 15 16 16 - 16 - 17 39 16 - 18 years 19 and 26 women 19 and 28 recruited 20 66 26 women 21 healthy 22 , 21 healthy 26 women 23 similarly 24 aged 24 aged 26 women 25 unexposed 26 women 26 women 27 were 27 were 28 recruited 28 recruited 29 at 29 at 31 university 30 the 31 university 31 university 32 of 32 of 33 pennsylvania the primary outcome measures are the generic and cancer - specific domain scores on the quality of life in adult cancer survivors ( qlacs ) instrument , early follicular phase serum hormones , follicle - stimulating hormone ( fsh [ )(, luteinizing hormone ( lh ) , estradiol ( e2 [ )(, inhibin b ( inh ) , [anti] - mullerian hormone ( amh [ )(, and ovarian ultrasound measurements [ ovarian volume and antral follicle count ( afc ) ] . 0 ###LEFT-WALL### 4 measures 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 10 - 1 the 4 measures 2 primary 3 outcome 3 outcome 4 measures 4 measures 5 are 5 are 8 and 6 the 8 and 7 generic 8 and 8 and 9 cancer 8 and 10 - 10 - 12 domain 10 - 13 scores 11 specific 12 domain 12 domain 13 scores 13 scores 14 on 13 scores 19 in 14 on 16 quality 15 the 16 quality 16 quality 17 of 17 of 18 life 19 in 26 instrument 20 adult 21 cancer 21 cancer 26 instrument 22 survivors 24 qlacs 23 ( 24 qlacs 24 qlacs 25 ) 24 qlacs 26 instrument 26 instrument 32 hormones 26 instrument 36 stimulating 27 , 32 hormones 28 early 32 hormones 29 follicular 30 phase 30 phase 31 serum 31 serum 32 hormones 32 hormones 34 follicle 32 hormones 35 - 33 , 34 follicle 34 follicle 35 - 35 - 36 stimulating 36 stimulating 42 luteinizing 36 stimulating 48 estradiol 37 hormone 39 fsh 38 ( 39 fsh 39 fsh 41 )(, 41 )(, 42 luteinizing 42 luteinizing 43 hormone 42 luteinizing 47 , 43 hormone 45 lh 44 ( 45 lh 45 lh 46 ) 48 estradiol 60 - 49 ( 60 - 50 e2 53 inhibin 50 e2 60 - 52 )(, 53 inhibin 53 inhibin 54 b 53 inhibin 56 inh 53 inhibin 58 , 55 ( 56 inh 56 inh 57 ) 60 - 62 hormone 61 mullerian 62 hormone 62 hormone 70 measurements 63 ( 70 measurements 64 amh 67 and 66 )(, 67 and 67 and 69 ultrasound 67 and 70 measurements 68 ovarian 69 ultrasound 70 measurements 74 and 70 measurements 82 . 71 [ 74 and 72 ovarian 73 volume 73 volume 74 and 74 and 77 count 74 and 79 afc 74 and 81 ] 75 antral 77 count 76 follicle 77 count 78 ( 79 afc 79 afc 80 ) results : cancer survivors had significantly higher total and cancer - specific domain scores compared to unexposed participants . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 2 : 4 survivors 2 : 5 had 3 cancer 4 survivors 4 survivors 5 had 5 had 14 scores 5 had 16 to 6 significantly 7 higher 7 higher 14 scores 8 total 9 and 9 and 10 cancer 9 and 11 - 9 and 14 scores 12 specific 13 domain 13 domain 14 scores 14 scores 15 compared 16 to 18 participants 17 unexposed 18 participants serum amh , inh , ovarian volume , and afc were lower while serum fsh was higher in cancer survivors . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 11 were 0 ###LEFT-WALL### 21 . 1 serum 2 amh 2 amh 3 , 3 , 4 inh 3 , 9 and 4 inh 7 volume 5 , 7 volume 6 ovarian 7 volume 7 volume 8 , 8 , 9 and 9 and 10 afc 9 and 11 were 11 were 12 lower 12 lower 13 while 13 while 15 fsh 13 while 16 was 14 serum 15 fsh 15 fsh 16 was 16 was 17 higher 17 higher 18 in 18 in 20 survivors 19 cancer 20 survivors although survivors exhibited diminished ovarian reserve , these markers were not independently associated with total qlacs score . 0 ###LEFT-WALL### 17 score 0 ###LEFT-WALL### 18 . 1 although 2 survivors 1 although 7 , 1 although 17 score 2 survivors 3 exhibited 2 survivors 7 , 4 diminished 6 reserve 4 diminished 7 , 5 ovarian 6 reserve 7 , 13 associated 7 , 14 with 8 these 9 markers 9 markers 10 were 10 were 11 not 11 not 12 independently 12 independently 13 associated 14 with 16 qlacs 15 total 16 qlacs cancer survivors [with] [irregular] [menstrual] [function] were found to have lower quality - of [-] life ( qol ) scores than those with regular cycles . 0 ###LEFT-WALL### 1 cancer 0 ###LEFT-WALL### 8 found 0 ###LEFT-WALL### 26 . 1 cancer 2 survivors 1 cancer 7 were 1 cancer 8 found 2 survivors 7 were 8 found 9 to 8 found 11 lower 8 found 12 quality 8 found 20 scores 9 to 10 have 12 quality 14 of 12 quality 20 scores 13 - 14 of 14 of 16 life 14 of 19 ) 16 life 18 qol 17 ( 18 qol 18 qol 19 ) 20 scores 21 than 20 scores 22 those 20 scores 23 with 23 with 25 cycles 24 regular 25 cycles conclusions : we found that qol appears to be significantly impaired in cancer survivors compared to controls , even [when] remote from initial cancer diagnosis . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 3 we 2 : 11 impaired 3 we 4 found 4 found 5 that 5 that 6 qol 5 that 7 appears 6 qol 7 appears 7 appears 8 to 8 to 9 be 9 be 11 impaired 10 significantly 11 impaired 11 impaired 12 in 11 impaired 16 to 11 impaired 21 remote 12 in 14 survivors 13 cancer 14 survivors 14 survivors 15 compared 16 to 18 , 17 controls 18 , 18 , 19 even 21 remote 22 from 22 from 25 diagnosis 23 initial 25 diagnosis 24 cancer 25 diagnosis in addition , our study suggests that reproductive aging contributes to qol in the setting of irregular menses and likely profound impairment [of] ovarian function . 0 ###LEFT-WALL### 5 study 0 ###LEFT-WALL### 6 suggests 0 ###LEFT-WALL### 26 . 1 in 2 addition 1 in 3 , 1 in 5 study 4 our 5 study 5 study 6 suggests 6 suggests 7 that 7 that 9 aging 7 that 10 contributes 8 reproductive 9 aging 9 aging 10 contributes 10 contributes 11 to 10 contributes 13 in 11 to 12 qol 13 in 15 setting 14 the 15 setting 15 setting 16 of 16 of 19 and 17 irregular 18 menses 18 menses 19 and 19 and 25 function 20 likely 22 impairment 21 profound 22 impairment 22 impairment 25 function 24 ovarian 25 function the prevalence of arthritis in aging populations continues to rapidly grow . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 8 continues 0 ###LEFT-WALL### 12 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 8 continues 3 of 4 arthritis 4 arthritis 5 in 5 in 6 aging 6 aging 7 populations 8 continues 9 to 8 continues 11 grow 9 to 11 grow 10 rapidly 11 grow research has highlighted 2 principal risk factors for progression of arthritis - related biopsychosocial symptoms : age and physical inactivity . 0 ###LEFT-WALL### 1 research 0 ###LEFT-WALL### 3 highlighted 0 ###LEFT-WALL### 13 related 0 ###LEFT-WALL### 16 : 0 ###LEFT-WALL### 21 . 1 research 2 has 2 has 3 highlighted 3 highlighted 7 factors 3 highlighted 8 for 4 2 7 factors 5 principal 7 factors 6 risk 7 factors 8 for 9 progression 9 progression 10 of 10 of 11 arthritis 12 - 13 related 13 related 15 symptoms 13 related 16 : 14 biopsychosocial 15 symptoms 16 : 18 and 17 age 18 and 18 and 20 inactivity 19 physical 20 inactivity this study examined the relationship between [and] [within] physical activity and age on biopsychosocial symptoms of arthritis in adults ( age ≥ 30 [yr] ) . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 26 . 1 this 2 study 2 study 3 examined 3 examined 5 relationship 3 examined 6 between 3 examined 13 on 3 examined 18 in 4 the 5 relationship 6 between 11 and 9 physical 10 activity 10 activity 11 and 11 and 12 age 13 on 15 symptoms 14 biopsychosocial 15 symptoms 15 symptoms 16 of 16 of 17 arthritis 18 in 19 adults 19 adults 22 ≥ 20 ( 22 ≥ 21 age 22 ≥ 22 ≥ 23 30 22 ≥ 25 ) hierarchical , multiple - regression analyses were conducted on the canadian community health survey ( cycle 4.2 , 2009 - 2010 , n = 19,103 ) . 0 ###LEFT-WALL### 6 analyses 0 ###LEFT-WALL### 8 conducted 0 ###LEFT-WALL### 27 . 1 hierarchical 2 , 1 hierarchical 5 regression 3 multiple 4 - 3 multiple 5 regression 5 regression 6 analyses 6 analyses 7 were 7 were 8 conducted 8 conducted 9 on 8 conducted 20 - 8 conducted 24 = 9 on 14 survey 10 the 11 canadian 11 canadian 14 survey 12 community 13 health 13 health 14 survey 14 survey 16 cycle 15 ( 16 cycle 16 cycle 17 4.2 16 cycle 18 , 18 , 20 - 19 2009 20 - 20 - 21 2010 20 - 22 , 23 n 24 = 24 = 25 19,103 24 = 26 ) results revealed that more - active adults had significantly fewer symptoms ( physical unstd . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 revealed 0 ###LEFT-WALL### 5 - 1 results 2 revealed 2 revealed 3 that 2 revealed 4 more 5 - 7 adults 5 - 8 had 6 active 7 adults 7 adults 8 had 8 had 11 symptoms 9 significantly 10 fewer 10 fewer 11 symptoms 11 symptoms 14 unstd 12 ( 14 unstd 13 physical 14 unstd 14 unstd 15 . b [=] - ..y 23 , [p] ≤ . 001 ; [pyschosocial] unstd . 0 ###LEFT-WALL### 1 b 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 8 ≤ 0 ###LEFT-WALL### 9 . 1 b 3 - 3 - 4 ..y 4 ..y 5 23 6 , 8 ≤ 9 . 10 001 9 . 11 ; 9 . 13 unstd 9 . 14 . 11 ; 13 unstd b [=] - ..y 51 , [p] ≤ . 001 [ )( 0 ###LEFT-WALL### 1 b 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 8 ≤ 0 ###LEFT-WALL### 9 . 1 b 3 - 3 - 4 ..y 4 ..y 5 51 6 , 8 ≤ 9 . 10 001 9 . 12 )( in addition , as age increased , physical symptoms intensified and psychosocial symptoms tapered [(] physical unstd . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 14 tapered 0 ###LEFT-WALL### 18 . 1 in 2 addition 1 in 7 , 1 in 11 and 2 addition 4 as 3 , 4 as 4 as 5 age 4 as 7 , 5 age 6 increased 8 physical 9 symptoms 9 symptoms 10 intensified 9 symptoms 11 and 11 and 13 symptoms 11 and 14 tapered 12 psychosocial 13 symptoms 14 tapered 17 unstd 16 physical 17 unstd b [=] ..y 24 , [p] ≤ . 001 ; [psychosocial] unstd . 0 ###LEFT-WALL### 1 b 0 ###LEFT-WALL### 3 ..y 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 7 ≤ 0 ###LEFT-WALL### 8 . 1 b 3 ..y 3 ..y 4 24 5 , 7 ≤ 8 . 9 001 8 . 10 ; 8 . 12 unstd 8 . 13 . 10 ; 12 unstd b [=] - ..y 45 , [p] ≤ . 001 [ )( 0 ###LEFT-WALL### 1 b 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 8 ≤ 0 ###LEFT-WALL### 9 . 1 b 3 - 3 - 4 ..y 4 ..y 5 45 6 , 8 ≤ 9 . 10 001 9 . 12 )( inactive older adults had the highest level of physical symptoms , while inactive younger adults had the highest level of psychosocial symptoms ( [p] ≤ [.] 001 ) . 0 ###LEFT-WALL### 3 adults 0 ###LEFT-WALL### 4 had 0 ###LEFT-WALL### 29 . 1 inactive 3 adults 2 older 3 adults 3 adults 4 had 4 had 7 level 4 had 12 while 5 the 6 highest 5 the 7 level 7 level 8 of 8 of 10 symptoms 9 physical 10 symptoms 11 , 12 while 12 while 15 adults 12 while 16 had 12 while 28 ) 13 inactive 15 adults 14 younger 15 adults 15 adults 16 had 16 had 19 level 17 the 18 highest 17 the 19 level 19 level 20 of 19 level 25 ≤ 20 of 22 symptoms 21 psychosocial 22 symptoms 23 ( 25 ≤ 25 ≤ 27 001 25 ≤ 28 ) findings highlight the need to target physical activity interventions to specific age cohorts and particular biopsychosocial symptomologies . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 2 highlight 0 ###LEFT-WALL### 18 . 1 findings 2 highlight 2 highlight 4 need 2 highlight 10 to 3 the 4 need 4 need 5 to 4 need 6 target 5 to 6 target 6 target 9 interventions 7 physical 9 interventions 8 activity 9 interventions 10 to 14 and 11 specific 12 age 12 age 13 cohorts 13 cohorts 14 and 14 and 17 symptomologies 15 particular 17 symptomologies 16 biopsychosocial 17 symptomologies introduction : resting state networks are proposed to reflect the neuronal connectivity that underlies cognitive processes . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 2 : 5 networks 2 : 7 proposed 3 resting 5 networks 4 state 5 networks 5 networks 6 are 6 are 7 proposed 7 proposed 8 to 8 to 9 reflect 9 reflect 12 connectivity 10 the 12 connectivity 11 neuronal 12 connectivity 12 connectivity 13 that 12 connectivity 14 underlies 13 that 14 underlies 14 underlies 16 processes 15 cognitive 16 processes consequently , abnormal behaviour of these networks due to disease or altered development [may] [predict] poor cognitive outcome . 0 ###LEFT-WALL### 4 behaviour 0 ###LEFT-WALL### 7 networks 0 ###LEFT-WALL### 19 . 1 consequently 2 , 1 consequently 4 behaviour 3 abnormal 4 behaviour 4 behaviour 5 of 4 behaviour 7 networks 5 of 6 these 7 networks 9 to 8 due 9 to 9 to 11 or 10 disease 11 or 11 or 18 outcome 12 altered 13 development 13 development 18 outcome 16 poor 18 outcome 17 cognitive 18 outcome to understand how very preterm birth may affect the development of resting state connectivity , we followed a cohort of very preterm - born infants from birth through to 4 years of age using resting state functional mri . 0 ###LEFT-WALL### 16 we 0 ###LEFT-WALL### 17 followed 0 ###LEFT-WALL### 39 . 1 to 2 understand 1 to 15 , 1 to 16 we 2 understand 3 how 3 how 6 birth 3 how 8 affect 4 very 5 preterm 5 preterm 6 birth 6 birth 7 may 7 may 8 affect 8 affect 10 development 9 the 10 development 10 development 11 of 11 of 14 connectivity 12 resting 13 state 13 state 14 connectivity 16 we 17 followed 17 followed 19 cohort 18 a 19 cohort 19 cohort 20 of 19 cohort 26 from 19 cohort 28 through 20 of 25 infants 21 very 22 preterm 22 preterm 23 - 22 preterm 25 infants 24 born 25 infants 26 from 27 birth 28 through 29 to 28 through 34 using 29 to 31 years 30 4 31 years 31 years 32 of 32 of 33 age 34 using 38 mri 35 resting 36 state 36 state 38 mri 37 functional 38 mri methods : from a larger longitudinal cohort of infants born [very] preterm [(] < 32 weeks gestational age [ )( 36 at birth , 30 at term , 21 two [-] year and 22 four [-] year resting state fmri datasets were acquired . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 12 preterm 2 : 14 < 3 from 7 cohort 3 from 12 preterm 4 a 7 cohort 5 larger 7 cohort 6 longitudinal 7 cohort 7 cohort 8 of 8 of 9 infants 9 infants 10 born 12 preterm 14 < 14 < 18 age 15 32 16 weeks 16 weeks 18 age 17 gestational 18 age 18 age 21 36 18 age 22 at 22 at 23 birth 23 birth 25 30 23 birth 33 and 24 , 25 30 25 30 26 at 25 30 28 , 26 at 27 term 28 , 33 and 29 21 32 year 30 two 32 year 32 year 33 and 33 and 37 year 33 and 38 resting 33 and 41 datasets 33 and 42 were 33 and 43 acquired 33 and 44 . 34 22 37 year 35 four 37 year 39 state 41 datasets 40 fmri 41 datasets 41 datasets 42 were using seed - based connectivity analyses with seeds in the anterior cingulate cortex , posterior cingulate cortex , left and right motor - hand regions and left and right temporal lobes , we investigated local and inter - region connectivity as a function of group and age . 0 ###LEFT-WALL### 2 seed 0 ###LEFT-WALL### 3 - 1 using 2 seed 3 - 20 and 3 - 28 and 3 - 32 , 3 - 48 . 4 based 5 connectivity 5 connectivity 6 analyses 6 analyses 7 with 6 analyses 14 , 7 with 8 seeds 8 seeds 9 in 9 in 13 cortex 10 the 13 cortex 11 anterior 13 cortex 12 cingulate 13 cortex 14 , 17 cortex 14 , 18 , 15 posterior 17 cortex 16 cingulate 17 cortex 18 , 19 left 18 , 20 and 20 and 22 motor 20 and 23 - 20 and 28 and 21 right 22 motor 24 hand 26 and 24 hand 28 and 25 regions 26 and 26 and 27 left 28 and 29 right 28 and 31 lobes 30 temporal 31 lobes 32 , 33 we 32 , 36 and 32 , 38 - 33 we 36 and 34 investigated 35 local 34 investigated 36 and 36 and 37 inter 38 - 40 connectivity 39 region 40 connectivity 40 connectivity 41 as 41 as 43 function 42 a 43 function 43 function 44 of 44 of 46 and 45 group 46 and 46 and 47 age results : we found strong local connectivity during the preterm period , which matured [into] [inter] - hemispheric and preliminary default - mode network correlations by 4 years of age . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 found 2 : 31 . 3 we 4 found 4 found 7 connectivity 4 found 8 during 4 found 25 correlations 4 found 26 by 5 strong 6 local 6 local 7 connectivity 8 during 11 period 9 the 11 period 10 preterm 11 period 11 period 13 which 11 period 21 default 12 , 13 which 13 which 14 matured 13 which 17 - 17 - 21 default 18 hemispheric 19 and 19 and 20 preliminary 19 and 21 default 21 default 22 - 23 mode 24 network 24 network 25 correlations 26 by 28 years 27 4 28 years 28 years 29 of 29 of 30 age this development is comparable to the resting state networks found in term - born infants of equivalent age . 0 ###LEFT-WALL### 2 development 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 19 . 1 this 2 development 2 development 3 is 3 is 4 comparable 4 comparable 5 to 5 to 8 state 6 the 8 state 7 resting 8 state 8 state 9 networks 8 state 12 term 9 networks 10 found 9 networks 12 term 10 found 11 in 13 - 15 infants 14 born 15 infants 15 infants 16 of 16 of 18 age 17 equivalent 18 age conclusion : the results of this study suggest that differences in developmental trajectory between preterm - born [and] term [-] born infants [are] small and [,] [if] present , [would] [require] a large sample from both populations to be detected . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 suggest 2 : 4 results 3 the 4 results 4 results 5 of 4 results 8 suggest 5 of 7 study 6 this 7 study 8 suggest 9 that 9 that 10 differences 9 that 19 term 10 differences 11 in 10 differences 14 between 11 in 13 trajectory 12 developmental 13 trajectory 14 between 15 preterm 15 preterm 17 born 16 - 17 born 19 term 22 infants 19 term 25 and 21 born 22 infants 24 small 25 and 25 and 28 present 25 and 34 sample 29 , 34 sample 32 a 33 large 32 a 34 sample 33 large 34 sample 34 sample 35 from 34 sample 38 to 34 sample 39 be 34 sample 40 detected 34 sample 41 . 35 from 37 populations 36 both 37 populations 38 to 39 be background : physical and cognitive activity seems to be an effective strategy [by] [which] to promote age - sensitive fluid [cognitive] abilities in older adults . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 promote 2 : 4 and 3 physical 4 and 4 and 5 cognitive 4 and 6 activity 4 and 16 promote 6 activity 7 seems 7 seems 8 to 7 seems 16 promote 8 to 9 be 9 be 12 strategy 10 an 11 effective 10 an 12 strategy 11 effective 12 strategy 15 to 16 promote 16 promote 17 age 17 age 22 abilities 18 - 22 abilities 19 sensitive 22 abilities 20 fluid 22 abilities 22 abilities 23 in 22 abilities 26 . 23 in 25 adults 24 older 25 adults method : in this randomized controlled trial , 70 healthy senior citizens ( age 60 - 75 ) were allocated to a physical , cognitive , combined physical plus cognitive , and waiting control group . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 12 citizens 2 : 35 group 3 in 7 trial 3 in 8 , 3 in 12 citizens 4 this 7 trial 5 randomized 7 trial 6 controlled 7 trial 9 70 12 citizens 10 healthy 12 citizens 11 senior 12 citizens 12 citizens 14 age 12 citizens 19 were 13 ( 14 age 14 age 16 - 14 age 18 ) 15 60 16 - 16 - 17 75 19 were 20 allocated 20 allocated 21 to 21 to 29 plus 22 a 29 plus 23 physical 24 , 23 physical 29 plus 25 cognitive 26 , 25 cognitive 29 plus 27 combined 29 plus 28 physical 29 plus 29 plus 32 and 29 plus 35 group 30 cognitive 32 and 31 , 32 and 32 and 34 control 32 and 35 group 33 waiting 34 control the trial assessed information processing speed , short - term memory , spatial relations , concentration , reasoning , and cognitive speed . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 23 . 1 the 4 information 2 trial 3 assessed 3 assessed 4 information 4 information 5 processing 4 information 20 and 5 processing 6 speed 5 processing 18 reasoning 6 speed 14 relations 6 speed 16 concentration 7 , 14 relations 8 short 11 memory 8 short 12 , 8 short 14 relations 9 - 11 memory 10 term 11 memory 11 memory 12 , 13 spatial 14 relations 14 relations 15 , 15 , 16 concentration 16 concentration 17 , 17 , 18 reasoning 18 reasoning 19 , 19 , 20 and 20 and 22 speed 21 cognitive 22 speed results : in contrast to the control group , the physical , cognitive , and combined training groups enhanced their concentration immediately after intervention . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 1 results 2 : 2 : 3 in 2 : 5 to 2 : 23 after 3 in 4 contrast 5 to 15 and 6 the 8 group 7 control 8 group 8 group 9 , 9 , 11 physical 9 , 12 , 10 the 11 physical 12 , 13 cognitive 12 , 15 and 14 , 15 and 15 and 17 training 15 and 18 groups 15 and 19 enhanced 16 combined 17 training 18 groups 19 enhanced 19 enhanced 21 concentration 20 their 21 concentration 22 immediately 23 after 23 after 24 intervention only the physical training group showed improved concentration 3 months later . 0 ###LEFT-WALL### 1 only 0 ###LEFT-WALL### 6 showed 0 ###LEFT-WALL### 12 . 1 only 5 group 2 the 5 group 3 physical 4 training 4 training 5 group 5 group 6 showed 6 showed 8 concentration 7 improved 8 concentration 8 concentration 11 later 9 3 10 months 10 months 11 later the combined training group displayed improved cognitive speed both immediately [and] three months after intervention . 0 ###LEFT-WALL### 4 group 0 ###LEFT-WALL### 8 speed 0 ###LEFT-WALL### 16 . 1 the 4 group 2 combined 3 training 3 training 4 group 4 group 5 displayed 4 group 6 improved 4 group 8 speed 6 improved 7 cognitive 8 speed 9 both 8 speed 10 immediately 8 speed 14 after 12 three 13 months 13 months 14 after 14 after 15 intervention the cognitive training group displayed improved cognitive speed 3 months after intervention . 0 ###LEFT-WALL### 4 group 0 ###LEFT-WALL### 6 improved 0 ###LEFT-WALL### 13 . 1 the 4 group 2 cognitive 3 training 3 training 4 group 4 group 5 displayed 4 group 6 improved 6 improved 8 speed 6 improved 11 after 7 cognitive 8 speed 9 3 10 months 10 months 11 after 11 after 12 intervention conclusions : physical , cognitive , and combined physical plus cognitive activity can be seen as cognition - enrichment behaviors in healthy older adults that show different rather than equal intervention effects . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 effects 0 ###LEFT-WALL### 33 . 2 : 7 and 2 : 15 seen 2 : 18 - 3 physical 4 , 4 , 5 cognitive 4 , 7 and 6 , 7 and 7 and 12 activity 7 and 13 can 8 combined 12 activity 9 physical 12 activity 10 plus 12 activity 11 cognitive 12 activity 13 can 14 be 14 be 15 seen 15 seen 16 as 16 as 17 cognition 18 - 20 behaviors 19 enrichment 20 behaviors 20 behaviors 21 in 21 in 24 adults 22 healthy 24 adults 23 older 24 adults 24 adults 26 show 24 adults 32 effects 25 that 26 show 26 show 27 different 26 show 32 effects 27 different 29 than 28 rather 29 than 29 than 30 equal 30 equal 31 intervention this study examined transfer effects of fall training on fear of falling ( [falls] efficacy scale - international [ fes - i ] ) , balance performance , and spatiotemporal gait characteristics in older adults . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 36 . 1 this 2 study 2 study 3 examined 3 examined 5 effects 4 transfer 5 effects 5 effects 6 of 5 effects 11 of 5 effects 16 scale 5 effects 18 international 6 of 8 training 7 fall 8 training 8 training 9 on 9 on 10 fear 11 of 12 falling 13 ( 16 scale 15 efficacy 16 scale 16 scale 17 - 17 - 18 international 18 international 21 - 18 international 24 ) 19 [ 21 - 20 fes 21 - 21 - 22 i 21 - 23 ] 25 , 26 balance 26 balance 29 and 26 balance 33 in 27 performance 29 and 28 , 29 and 29 and 32 characteristics 30 spatiotemporal 31 gait 31 gait 32 characteristics 33 in 35 adults 34 older 35 adults eighteen community - dwelling older adults ( ages 65 - 85 ) were randomly assigned to an intervention or control group . 0 ###LEFT-WALL### 2 community 0 ###LEFT-WALL### 3 - 1 eighteen 2 community 3 - 6 adults 3 - 13 were 3 - 22 . 4 dwelling 6 adults 5 older 6 adults 6 adults 8 ages 6 adults 13 were 7 ( 8 ages 8 ages 10 - 8 ages 12 ) 9 65 10 - 10 - 11 85 13 were 14 randomly 13 were 15 assigned 15 assigned 16 to 16 to 19 or 17 an 18 intervention 18 intervention 19 or 19 or 21 group 20 control 21 group the intervention group completed 12 training sessions ( 60 min , 6 weeks ) . 0 ###LEFT-WALL### 3 group 0 ###LEFT-WALL### 4 completed 0 ###LEFT-WALL### 15 . 1 the 3 group 2 intervention 3 group 3 group 4 completed 4 completed 7 sessions 5 12 7 sessions 6 training 7 sessions 7 sessions 10 min 7 sessions 13 weeks 8 ( 10 min 9 60 10 min 10 min 11 , 11 , 13 weeks 12 6 13 weeks 13 weeks 14 ) during pre - and posttesting , we measured fes - i , balance performance ( double limb , closed eyes ; single limb , open eyes ; double limb , open eyes with motor - [interfered] task ) , and gait parameters [(] e.g [.] , velocity ; cadence ; stride time , stride width , and stride length ; variability of stride time and stride length ) under single - and motor - [interfered] tasks . 0 ###LEFT-WALL### 7 we 0 ###LEFT-WALL### 8 measured 0 ###LEFT-WALL### 10 - 1 during 4 and 1 during 6 , 1 during 7 we 2 pre 4 and 3 - 4 and 4 and 5 posttesting 7 we 8 measured 8 measured 9 fes 10 - 11 i 10 - 21 ; 11 i 14 performance 11 i 19 closed 12 , 14 performance 13 balance 14 performance 14 performance 17 limb 14 performance 18 , 15 ( 17 limb 16 double 17 limb 17 limb 18 , 19 closed 20 eyes 21 ; 23 limb 21 ; 24 , 22 single 23 limb 24 , 26 eyes 24 , 27 ; 25 open 26 eyes 27 ; 28 double 27 ; 39 , 28 double 29 limb 29 limb 32 eyes 30 , 32 eyes 31 open 32 eyes 32 eyes 33 with 32 eyes 39 , 33 with 34 motor 34 motor 37 task 35 - 37 task 37 task 38 ) 39 , 40 and 39 , 44 e.g 39 , 46 , 40 and 42 parameters 41 gait 42 parameters 42 parameters 44 e.g 46 , 47 velocity 46 , 48 ; 48 ; 49 cadence 48 ; 50 ; 50 ; 51 stride 50 ; 60 ; 51 stride 59 length 52 time 53 , 53 , 55 width 53 , 57 and 54 stride 55 width 56 , 57 and 57 and 58 stride 57 and 59 length 60 ; 65 and 61 variability 62 of 61 variability 65 and 62 of 64 time 63 stride 64 time 65 and 67 length 65 and 68 ) 65 and 69 under 65 and 76 tasks 66 stride 67 length 69 under 72 and 70 single 72 and 71 - 72 and 72 and 73 motor 74 - 76 tasks 76 tasks 77 . dual tasks were applied to appraise improvements of cognitive processing during balance and gait . 0 ###LEFT-WALL### 2 tasks 0 ###LEFT-WALL### 4 applied 0 ###LEFT-WALL### 15 . 1 dual 2 tasks 2 tasks 3 were 3 were 4 applied 4 applied 5 to 5 to 6 appraise 6 appraise 7 improvements 6 appraise 11 during 7 improvements 8 of 8 of 10 processing 9 cognitive 10 processing 11 during 13 and 12 balance 13 and 13 and 14 gait fes [-] i ( p = [.] 33 ) and postural sway did not significantly change ( 0.36 < p < [.] 79 ) . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 16 change 0 ###LEFT-WALL### 25 . 1 fes 6 = 1 fes 10 and 3 i 6 = 4 ( 6 = 5 p 6 = 6 = 8 33 6 = 9 ) 10 and 12 sway 10 and 13 did 11 postural 12 sway 13 did 14 not 13 did 16 change 15 significantly 16 change 16 change 19 < 16 change 21 < 17 ( 19 < 18 0.36 19 < 19 < 21 < 20 p 21 < 21 < 23 79 21 < 24 ) trends toward significant interaction effects were found for step width during normal walking and stride length variability during the motor dual task ( p = [.] 05 , ηp 2 = [.] 22 ) . 0 ###LEFT-WALL### 1 trends 0 ###LEFT-WALL### 7 found 0 ###LEFT-WALL### 28 , 0 ###LEFT-WALL### 29 ηp 0 ###LEFT-WALL### 35 . 1 trends 2 toward 1 trends 6 were 2 toward 5 effects 3 significant 5 effects 4 interaction 5 effects 6 were 7 found 7 found 8 for 7 found 11 during 7 found 18 during 8 for 10 width 9 step 10 width 11 during 14 and 12 normal 13 walking 12 normal 14 and 14 and 17 variability 15 stride 16 length 16 length 17 variability 18 during 22 task 19 the 22 task 20 motor 22 task 21 dual 22 task 22 task 25 = 23 ( 25 = 24 p 25 = 25 = 27 05 28 , 29 ηp 29 ηp 31 = 30 2 31 = 31 = 33 22 31 = 34 ) fall training did not sufficiently improve fear of falling , balance , or gait performance under single - or dual - task conditions in healthy older adults . 0 ###LEFT-WALL### 2 training 0 ###LEFT-WALL### 23 conditions 0 ###LEFT-WALL### 28 . 1 fall 2 training 2 training 3 did 3 did 4 not 3 did 6 improve 5 sufficiently 6 improve 6 improve 13 or 7 fear 8 of 7 fear 10 , 8 of 9 falling 10 , 11 balance 10 , 13 or 12 , 13 or 13 or 14 gait 13 or 15 performance 13 or 23 conditions 15 performance 16 under 15 performance 23 conditions 16 under 19 or 17 single 19 or 18 - 19 or 19 or 22 task 20 dual 21 - 20 dual 22 task 23 conditions 24 in 24 in 27 adults 25 healthy 27 adults 26 older 27 adults in both sexes , there are anatomical and behavioral differences in dealing with bladder control , as well as voiding and incontinence . 0 ###LEFT-WALL### 5 there 0 ###LEFT-WALL### 6 are 1 in 3 sexes 1 in 4 , 1 in 5 there 2 both 3 sexes 5 there 6 are 6 are 10 differences 7 anatomical 8 and 8 and 9 behavioral 8 and 10 differences 10 differences 11 in 11 in 12 dealing 12 dealing 13 with 12 dealing 19 as 13 with 15 control 14 bladder 15 control 16 , 19 as 17 as 18 well 18 well 19 as 19 as 21 and 19 as 23 . 20 voiding 21 and 21 and 22 incontinence despite intensive research within the last decades , the differences in physiology and pathophysiology as well as gender differences of bladder control and continence are still poorly understood and further research is highly needed . 0 ###LEFT-WALL### 10 differences 0 ###LEFT-WALL### 25 are 0 ###LEFT-WALL### 29 and 0 ###LEFT-WALL### 35 . 1 despite 3 research 1 despite 8 , 1 despite 10 differences 2 intensive 3 research 3 research 4 within 4 within 7 decades 5 the 6 last 5 the 7 decades 9 the 10 differences 10 differences 11 in 10 differences 17 as 10 differences 25 are 11 in 13 and 12 physiology 13 and 13 and 14 pathophysiology 15 as 16 well 16 well 17 as 17 as 23 and 18 gender 19 differences 19 differences 20 of 19 differences 23 and 20 of 22 control 21 bladder 22 control 23 and 24 continence 25 are 26 still 25 are 27 poorly 25 are 28 understood 29 and 31 research 29 and 34 needed 30 further 31 research 31 research 32 is 32 is 34 needed 33 highly 34 needed in babies , gender [difference] seems to be most likely caused by a difference in maturity [rate] of the bladder . 0 ###LEFT-WALL### 4 gender 0 ###LEFT-WALL### 6 seems 0 ###LEFT-WALL### 21 . 1 in 2 babies 1 in 3 , 1 in 4 gender 4 gender 6 seems 6 seems 7 to 6 seems 11 caused 7 to 8 be 8 be 11 caused 9 most 10 likely 10 likely 11 caused 11 caused 12 by 11 caused 15 in 12 by 14 difference 13 a 14 difference 15 in 16 maturity 16 maturity 18 of 18 of 20 bladder 19 the 20 bladder after gaining bladder control , behavior starts to be influenced by socialization . 0 ###LEFT-WALL### 6 behavior 0 ###LEFT-WALL### 7 starts 0 ###LEFT-WALL### 13 . 1 after 2 gaining 1 after 5 , 1 after 6 behavior 2 gaining 4 control 3 bladder 4 control 6 behavior 7 starts 7 starts 8 to 7 starts 10 influenced 8 to 9 be 9 be 10 influenced 10 influenced 11 by 11 by 12 socialization during preschool and school , children experience a negative perception of school toilets . 0 ###LEFT-WALL### 6 children 0 ###LEFT-WALL### 7 experience 0 ###LEFT-WALL### 14 . 1 during 3 and 1 during 5 , 1 during 6 children 2 preschool 3 and 3 and 4 school 6 children 7 experience 7 experience 10 perception 8 a 9 negative 8 a 10 perception 9 negative 10 perception 10 perception 11 of 11 of 13 toilets 12 school 13 toilets especially girls crouch over the toilet seat and train to empty the bladder without relaxation of the pelvic floor . 0 ###LEFT-WALL### 2 girls 0 ###LEFT-WALL### 3 crouch 0 ###LEFT-WALL### 20 . 1 especially 2 girls 2 girls 3 crouch 3 crouch 4 over 3 crouch 10 to 4 over 8 and 5 the 7 seat 6 toilet 7 seat 7 seat 8 and 8 and 9 train 10 to 11 empty 11 empty 13 bladder 11 empty 14 without 12 the 13 bladder 14 without 15 relaxation 15 relaxation 16 of 16 of 19 floor 17 the 19 floor 18 pelvic 19 floor this posture may lead to bladder dysfunction . 0 ###LEFT-WALL### 2 posture 0 ###LEFT-WALL### 4 lead 0 ###LEFT-WALL### 8 . 1 this 2 posture 2 posture 3 may 3 may 4 lead 4 lead 5 to 5 to 7 dysfunction 6 bladder 7 dysfunction often adult women continue this bad habit and bladder dysfunction may consolidate . 0 ###LEFT-WALL### 3 women 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 13 . 1 often 3 women 2 adult 3 women 3 women 8 and 4 continue 7 habit 4 continue 8 and 5 this 6 bad 6 bad 7 habit 8 and 12 consolidate 9 bladder 10 dysfunction 10 dysfunction 11 may 11 may 12 consolidate from the fourth decade in both sexes lower urinary tract symptoms start to develop . 0 ###LEFT-WALL### 11 symptoms 0 ###LEFT-WALL### 12 start 0 ###LEFT-WALL### 15 . 1 from 4 decade 1 from 11 symptoms 2 the 3 fourth 2 the 4 decade 4 decade 5 in 5 in 7 sexes 6 both 7 sexes 8 lower 10 tract 9 urinary 10 tract 10 tract 11 symptoms 11 symptoms 12 start 12 start 13 to 12 start 14 develop 13 to 14 develop however , men and women handle the problem variedly showing gender differences in coping strategies with better coping mechanisms in women . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 6 handle 0 ###LEFT-WALL### 22 . 1 however 2 , 1 however 4 and 3 men 4 and 4 and 5 women 4 and 6 handle 6 handle 8 problem 6 handle 13 in 6 handle 16 with 6 handle 20 in 7 the 8 problem 8 problem 10 showing 9 variedly 10 showing 10 showing 11 gender 10 showing 12 differences 13 in 15 strategies 14 coping 15 strategies 16 with 19 mechanisms 17 better 18 coping 18 coping 19 mechanisms 20 in 21 women in general , gender [difference] in help seeking and receiving treatment increases with younger age . 0 ###LEFT-WALL### 4 gender 0 ###LEFT-WALL### 12 increases 0 ###LEFT-WALL### 16 . 1 in 2 general 2 general 3 , 2 general 4 gender 4 gender 6 in 4 gender 12 increases 6 in 9 and 7 help 8 seeking 8 seeking 9 and 9 and 11 treatment 10 receiving 11 treatment 12 increases 13 with 13 with 15 age 14 younger 15 age in elderly , urinary incontinence is only associated with a higher mortality in men , and elderly men seek more often professional help . 0 ###LEFT-WALL### 5 incontinence 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 24 . 1 in 5 incontinence 2 elderly 3 , 2 elderly 5 incontinence 4 urinary 5 incontinence 5 incontinence 6 is 6 is 7 only 6 is 8 associated 8 associated 9 with 8 associated 13 in 9 with 12 mortality 10 a 12 mortality 11 higher 12 mortality 13 in 14 men 15 , 16 and 16 and 18 men 16 and 19 seek 17 elderly 18 men 18 men 19 seek 19 seek 23 help 20 more 21 often 21 often 22 professional 22 professional 23 help aim of the review is to provide an insight into gender differences of bladder control and bladder dysfunction . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 19 . 1 aim 2 of 1 aim 5 is 2 of 4 review 3 the 4 review 5 is 6 to 5 is 7 provide 6 to 7 provide 7 provide 9 insight 7 provide 10 into 8 an 9 insight 10 into 12 differences 11 gender 12 differences 12 differences 13 of 13 of 16 and 14 bladder 15 control 15 control 16 and 16 and 18 dysfunction 17 bladder 18 dysfunction this systematic review examines the relationship between late - life spousal bereavement and changes in routine health behaviors . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 4 examines 0 ###LEFT-WALL### 19 . 1 this 3 review 2 systematic 3 review 3 review 4 examines 4 examines 6 relationship 4 examines 7 between 4 examines 15 in 5 the 6 relationship 7 between 13 and 8 late 9 - 8 late 10 life 10 life 12 bereavement 11 spousal 12 bereavement 12 bereavement 13 and 13 and 14 changes 15 in 18 behaviors 16 routine 17 health 17 health 18 behaviors we review six behavioral domains/modifiable risk factors that are important for maintaining health among elderly populations : physical activity , nutrition , sleep quality , alcohol consumption , tobacco use , and body weight status . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 17 : 1 we 2 review 2 review 7 factors 3 six 7 factors 4 behavioral 7 factors 5 domains/modifiable 7 factors 6 risk 7 factors 7 factors 8 that 7 factors 9 are 8 that 9 are 9 are 10 important 10 important 11 for 11 for 12 maintaining 12 maintaining 13 health 12 maintaining 14 among 14 among 16 populations 15 elderly 16 populations 17 : 32 and 17 : 34 weight 17 : 36 . 18 physical 19 activity 19 activity 20 , 20 , 21 nutrition 20 , 22 , 22 , 24 quality 22 , 25 , 23 sleep 24 quality 25 , 27 consumption 25 , 28 , 26 alcohol 27 consumption 28 , 30 use 28 , 32 and 29 tobacco 30 use 31 , 32 and 32 and 33 body 32 and 34 weight 34 weight 35 status thirty - four articles were identified , derived from 32 studies . 0 ###LEFT-WALL### 4 articles 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 12 . 1 thirty 2 - 2 - 3 four 2 - 4 articles 4 articles 7 , 5 were 6 identified 5 were 7 , 7 , 8 derived 7 , 9 from 9 from 11 studies 10 32 11 studies we found strong evidence for a relationship between bereavement and nutritional risk and involuntary weight loss , and moderate evidence for impaired sleep quality and increased alcohol consumption . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 29 . 1 we 2 found 2 found 13 and 2 found 16 loss 2 found 18 and 3 strong 4 evidence 4 evidence 5 for 4 evidence 10 and 5 for 7 relationship 6 a 7 relationship 7 relationship 8 between 8 between 9 bereavement 10 and 12 risk 10 and 13 and 11 nutritional 12 risk 13 and 15 weight 14 involuntary 15 weight 17 , 18 and 18 and 20 evidence 18 and 28 consumption 19 moderate 20 evidence 20 evidence 21 for 21 for 25 and 22 impaired 24 quality 22 impaired 25 and 23 sleep 24 quality 25 and 26 increased 27 alcohol 28 consumption there was mixed evidence for a relationship between bereavement and physical activity . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 13 . 1 there 2 was 2 was 4 evidence 2 was 8 between 3 mixed 4 evidence 4 evidence 5 for 5 for 7 relationship 6 a 7 relationship 8 between 10 and 9 bereavement 10 and 10 and 12 activity 11 physical 12 activity we identify several methodological shortcomings , and describe the clinical implications of this review for the development of preventive intervention strategies . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 22 . 1 we 7 and 2 identify 5 shortcomings 2 identify 7 and 3 several 5 shortcomings 4 methodological 5 shortcomings 6 , 7 and 7 and 8 describe 7 and 21 strategies 8 describe 11 implications 9 the 11 implications 10 clinical 11 implications 11 implications 12 of 12 of 14 review 13 this 14 review 14 review 15 for 15 for 17 development 16 the 17 development 17 development 18 of 18 of 20 intervention 19 preventive 20 intervention the activity of the thyroid gland diminishes during ageing , but a certain tissue reserve of t3 and its metabolites is maintained . 0 ###LEFT-WALL### 2 activity 0 ###LEFT-WALL### 7 diminishes 0 ###LEFT-WALL### 11 but 0 ###LEFT-WALL### 23 . 1 the 2 activity 2 activity 3 of 2 activity 7 diminishes 3 of 6 gland 4 the 6 gland 5 thyroid 6 gland 7 diminishes 8 during 8 during 9 ageing 10 , 11 but 11 but 15 reserve 11 but 22 maintained 12 a 13 certain 12 a 15 reserve 13 certain 14 tissue 14 tissue 15 reserve 15 reserve 16 of 15 reserve 21 is 16 of 18 and 17 t3 18 and 18 and 20 metabolites 19 its 20 metabolites 21 is 22 maintained this reserve is thought to play a regulatory role in energy homeostasis during ageing . 0 ###LEFT-WALL### 2 reserve 0 ###LEFT-WALL### 4 thought 0 ###LEFT-WALL### 15 . 1 this 2 reserve 2 reserve 3 is 3 is 4 thought 4 thought 5 to 5 to 6 play 6 play 9 role 6 play 10 in 6 play 13 during 7 a 8 regulatory 7 a 9 role 8 regulatory 9 role 10 in 12 homeostasis 11 energy 12 homeostasis 13 during 14 ageing this review critically assesses this notion . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 4 assesses 0 ###LEFT-WALL### 7 . 1 this 2 review 2 review 4 assesses 3 critically 4 assesses 4 assesses 6 notion 5 this 6 notion t3 was thought to act predominantly through pathways that require transcriptional regulation by thyroid hormone receptors ( trs ) . 0 ###LEFT-WALL### 1 t3 0 ###LEFT-WALL### 3 thought 0 ###LEFT-WALL### 20 . 1 t3 2 was 2 was 3 thought 3 thought 4 to 4 to 8 pathways 5 act 8 pathways 6 predominantly 7 through 7 through 8 pathways 8 pathways 9 that 8 pathways 10 require 9 that 10 require 10 require 12 regulation 10 require 13 by 11 transcriptional 12 regulation 13 by 16 receptors 14 thyroid 16 receptors 15 hormone 16 receptors 16 receptors 18 trs 17 ( 18 trs 18 trs 19 ) however , in recent years , it has emerged that t3 and its metabolites can also act through [non] - genomic mechanisms , including cytosolic signaling . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 17 act 0 ###LEFT-WALL### 20 - 1 however 7 it 1 however 9 emerged 1 however 12 and 2 , 3 in 3 in 5 years 3 in 6 , 3 in 7 it 4 recent 5 years 7 it 8 has 8 has 9 emerged 10 that 11 t3 11 t3 12 and 12 and 14 metabolites 12 and 15 can 13 its 14 metabolites 15 can 17 act 16 also 17 act 17 act 18 through 20 - 22 mechanisms 21 genomic 22 mechanisms 22 mechanisms 24 including 23 , 24 including 24 including 26 signaling 24 including 27 . 25 cytosolic 26 signaling interestingly , differences may exist in the [non] [-] genomic pathways utilized by thyroid hormone metabolites and t3 . 0 ###LEFT-WALL### 3 differences 0 ###LEFT-WALL### 5 exist 0 ###LEFT-WALL### 19 . 1 interestingly 2 , 1 interestingly 3 differences 3 differences 4 may 4 may 5 exist 5 exist 6 in 6 in 11 pathways 7 the 11 pathways 10 genomic 11 pathways 11 pathways 12 utilized 12 utilized 13 by 13 by 17 and 14 thyroid 16 metabolites 15 hormone 16 metabolites 16 metabolites 17 and 17 and 18 t3 for instance , one particular thyroid hormone metabolite , namely 3,5 - diiodo - l - thyronine ( t2 ) , increases the activity of the redox - sensitive protein deacetylase sirt1 , which has been associated with improvements in healthy ageing , whereas evidence exists that t3 may have the opposite effect . 0 ###LEFT-WALL### 8 metabolite 0 ###LEFT-WALL### 22 increases 0 ###LEFT-WALL### 33 , 0 ###LEFT-WALL### 54 . 1 for 2 instance 2 instance 3 , 2 instance 8 metabolite 4 one 8 metabolite 5 particular 7 hormone 6 thyroid 7 hormone 7 hormone 8 metabolite 8 metabolite 10 namely 8 metabolite 22 increases 9 , 10 namely 10 namely 11 3,5 10 namely 21 , 11 3,5 17 thyronine 12 - 17 thyronine 13 diiodo 15 l 13 diiodo 16 - 13 diiodo 17 thyronine 14 - 15 l 15 l 16 - 17 thyronine 19 t2 17 thyronine 20 ) 18 ( 19 t2 19 t2 20 ) 22 increases 24 activity 23 the 24 activity 24 activity 25 of 25 of 27 redox 26 the 27 redox 27 redox 32 sirt1 28 - 32 sirt1 29 sensitive 31 deacetylase 30 protein 31 deacetylase 31 deacetylase 32 sirt1 32 sirt1 33 , 33 , 34 which 33 , 37 associated 33 , 43 , 34 which 35 has 35 has 36 been 36 been 37 associated 37 associated 38 with 37 associated 40 in 38 with 39 improvements 40 in 42 ageing 41 healthy 42 ageing 43 , 48 t3 43 , 50 have 44 whereas 45 evidence 44 whereas 46 exists 44 whereas 48 t3 45 evidence 46 exists 47 that 48 t3 48 t3 49 may 49 may 50 have 50 have 53 effect 51 the 53 effect 52 opposite 53 effect findings suggesting that t3 , t2 , and their signaling pathways , such as those involving sirt1 and amp - activated protein [kinase] ( ampk ) , are associated with improvements in diet - induced obesity and insulin resistance emphasize the potential importance of the thyroid during ageing and in ageing - associated metabolic diseases . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 33 diet 0 ###LEFT-WALL### 34 - 0 ###LEFT-WALL### 56 . 1 findings 2 suggesting 1 findings 33 diet 2 suggesting 16 involving 3 that 16 involving 4 t3 5 , 5 , 6 t2 5 , 8 and 7 , 8 and 8 and 11 pathways 8 and 12 , 8 and 14 as 8 and 16 involving 9 their 11 pathways 10 signaling 11 pathways 13 such 14 as 14 as 15 those 16 involving 18 and 16 involving 32 in 17 sirt1 18 and 18 and 19 amp 18 and 22 protein 18 and 28 are 20 - 22 protein 21 activated 22 protein 22 protein 25 ampk 22 protein 27 , 24 ( 25 ampk 25 ampk 26 ) 28 are 29 associated 29 associated 30 with 29 associated 32 in 30 with 31 improvements 34 - 37 and 34 - 40 emphasize 34 - 52 - 35 induced 36 obesity 36 obesity 37 and 37 and 39 resistance 37 and 40 emphasize 38 insulin 39 resistance 40 emphasize 43 importance 41 the 43 importance 42 potential 43 importance 43 importance 44 of 44 of 46 thyroid 45 the 46 thyroid 46 thyroid 49 and 47 during 48 ageing 47 during 49 and 49 and 50 in 50 in 51 ageing 52 - 55 diseases 53 associated 55 diseases 54 metabolic 55 diseases loss of vision in severe retinal degenerations often is a result of photoreceptor cell [or] retinal pigment epithelial cell death or dysfunction . 0 ###LEFT-WALL### 1 loss 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 23 . 1 loss 2 of 1 loss 9 is 2 of 3 vision 3 vision 4 in 4 in 7 degenerations 5 severe 7 degenerations 6 retinal 7 degenerations 8 often 9 is 9 is 11 result 10 a 11 result 11 result 12 of 12 of 21 or 13 photoreceptor 14 cell 14 cell 20 death 16 retinal 17 pigment 17 pigment 20 death 18 epithelial 19 cell 19 cell 20 death 20 death 21 or 21 or 22 dysfunction cell replacement therapy has the potential to restore useful vision for these individuals especially after they have lost most or all of their light - sensing cells in the eye . 0 ###LEFT-WALL### 3 therapy 0 ###LEFT-WALL### 4 has 1 cell 2 replacement 2 replacement 3 therapy 3 therapy 4 has 4 has 6 potential 4 has 7 to 4 has 26 sensing 5 the 6 potential 7 to 8 restore 8 restore 10 vision 8 restore 14 especially 9 useful 10 vision 10 vision 11 for 11 for 13 individuals 12 these 13 individuals 14 especially 15 after 15 after 16 they 15 after 18 lost 16 they 17 have 17 have 18 lost 18 lost 20 or 19 most 20 or 20 or 21 all 20 or 22 of 22 of 24 light 23 their 24 light 25 - 26 sensing 26 sensing 27 cells 26 sensing 28 in 26 sensing 31 . 28 in 30 eye 29 the 30 eye a reliable , well - characterized source of retinal cells will be needed for replacement purposes . 0 ###LEFT-WALL### 7 source 0 ###LEFT-WALL### 13 needed 0 ###LEFT-WALL### 17 . 1 a 2 reliable 1 a 7 source 2 reliable 4 well 2 reliable 7 source 3 , 4 well 4 well 5 - 6 characterized 7 source 7 source 8 of 7 source 11 will 8 of 10 cells 9 retinal 10 cells 11 will 12 be 12 be 13 needed 13 needed 14 for 14 for 16 purposes 15 replacement 16 purposes human embryonic stem cells ( es cells ) can provide an unlimited source of replacement retinal cells to take over the function of lost cells in the eye . 0 ###LEFT-WALL### 4 cells 0 ###LEFT-WALL### 19 take 0 ###LEFT-WALL### 29 . 1 human 4 cells 2 embryonic 3 stem 3 stem 4 cells 4 cells 7 cells 4 cells 9 can 5 ( 7 cells 6 es 7 cells 7 cells 8 ) 9 can 10 provide 10 provide 13 source 10 provide 18 to 11 an 12 unlimited 11 an 13 source 12 unlimited 13 source 13 source 14 of 14 of 17 cells 15 replacement 17 cells 16 retinal 17 cells 18 to 19 take 19 take 20 over 19 take 26 in 20 over 22 function 21 the 22 function 22 function 23 of 23 of 25 cells 24 lost 25 cells 26 in 28 eye 27 the 28 eye the author 's intent for this review is to provide an historical overview of the field of embryonic stem cells with relation to the retina . 0 ###LEFT-WALL### 4 intent 0 ###LEFT-WALL### 26 . 1 the 2 author 2 author 3 's 3 's 4 intent 4 intent 5 for 4 intent 8 is 5 for 7 review 6 this 7 review 8 is 9 to 8 is 10 provide 9 to 10 provide 10 provide 13 overview 10 provide 21 with 10 provide 23 to 11 an 13 overview 12 historical 13 overview 13 overview 14 of 14 of 16 field 15 the 16 field 16 field 17 of 17 of 20 cells 18 embryonic 19 stem 19 stem 20 cells 21 with 22 relation 23 to 25 retina 24 the 25 retina the objective of this article is to understand coordination as it unfolds in case management practices in the context of integrated care networks devoted to frail elderly individuals . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 24 devoted 0 ###LEFT-WALL### 29 . 1 the 2 objective 2 objective 3 of 2 objective 6 is 3 of 5 article 4 this 5 article 6 is 7 to 6 is 8 understand 7 to 8 understand 8 understand 9 coordination 8 understand 10 as 10 as 11 it 10 as 12 unfolds 11 it 12 unfolds 12 unfolds 13 in 12 unfolds 16 practices 13 in 15 management 14 case 15 management 16 practices 17 in 16 practices 20 of 16 practices 23 networks 16 practices 24 devoted 17 in 19 context 18 the 19 context 20 of 22 care 21 integrated 22 care 23 networks 24 devoted 24 devoted 25 to 25 to 28 individuals 26 frail 28 individuals 27 elderly 28 individuals more specifically , we describe practical coordination processes . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 describe 0 ###LEFT-WALL### 9 . 1 more 2 specifically 2 specifically 3 , 2 specifically 4 we 4 we 5 describe 5 describe 8 processes 6 practical 7 coordination 7 coordination 8 processes we conducted a qualitative exploratory study using an embedded case study design . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conducted 0 ###LEFT-WALL### 13 . 1 we 2 conducted 2 conducted 6 study 3 a 4 qualitative 3 a 6 study 4 qualitative 6 study 5 exploratory 6 study 6 study 7 using 7 using 12 design 8 an 12 design 9 embedded 10 case 10 case 12 design 11 study 12 design our study covers three health and social service centers in québec . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 covers 0 ###LEFT-WALL### 12 . 1 our 2 study 2 study 3 covers 3 covers 6 and 3 covers 10 in 4 three 6 and 5 health 6 and 6 and 9 centers 7 social 9 centers 8 service 9 centers 10 in 11 québec we noted that coordination produces convention [in] case management practices through a process of bringing together different types of compromise in home care situations where multidimensionality appears to be more or less important . 0 ###LEFT-WALL### 29 be 0 ###LEFT-WALL### 34 . 1 we 2 noted 2 noted 3 that 3 that 4 coordination 3 that 5 produces 4 coordination 5 produces 5 produces 10 practices 5 produces 11 through 5 produces 21 in 5 produces 28 to 6 convention 8 case 8 case 10 practices 9 management 10 practices 11 through 13 process 12 a 13 process 13 process 14 of 14 of 15 bringing 15 bringing 16 together 15 bringing 20 compromise 17 different 18 types 18 types 19 of 18 types 20 compromise 19 of 20 compromise 21 in 24 situations 22 home 24 situations 23 care 24 situations 24 situations 25 where 25 where 26 multidimensionality 25 where 27 appears 26 multidimensionality 27 appears 28 to 29 be 29 be 31 or 29 be 33 important 30 more 31 or 31 or 32 less we constructed four different types of compromise - producing convention [with] regard to coordination in case management practices : compromise at the interface , scheduling compromise , compromise of opportunity , and compromising change . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 constructed 0 ###LEFT-WALL### 19 : 1 we 2 constructed 2 constructed 5 types 3 four 5 types 4 different 5 types 5 types 6 of 5 types 9 producing 6 of 7 compromise 8 - 9 producing 9 producing 12 regard 9 producing 13 to 9 producing 15 in 9 producing 19 : 10 convention 12 regard 13 to 14 coordination 15 in 18 practices 16 case 17 management 17 management 18 practices 19 : 32 and 19 : 35 . 20 compromise 21 at 20 compromise 32 and 21 at 23 interface 22 the 23 interface 23 interface 25 scheduling 23 interface 28 compromise 24 , 25 scheduling 25 scheduling 26 compromise 25 scheduling 27 , 27 , 28 compromise 28 compromise 29 of 28 compromise 31 , 29 of 30 opportunity 32 and 34 change 33 compromising 34 change we studied the developmental trends of temperament and character in a longitudinal population - based sample of finnish men and women aged 20 - 45 years using the temperament and character inventory model of personality . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 studied 1 we 2 studied 2 studied 16 sample 3 the 16 sample 4 developmental 5 trends 5 trends 6 of 5 trends 8 and 6 of 7 temperament 8 and 9 character 8 and 14 - 8 and 15 based 8 and 16 sample 9 character 10 in 10 in 13 population 11 a 13 population 12 longitudinal 13 population 16 sample 17 of 17 of 20 and 18 finnish 19 men 19 men 20 and 20 and 21 women 20 and 22 aged 20 and 30 and 22 aged 23 20 24 - 30 and 25 45 26 years 26 years 27 using 26 years 30 and 27 using 29 temperament 28 the 29 temperament 30 and 33 model 30 and 34 of 30 and 36 . 31 character 32 inventory 32 inventory 33 model 34 of 35 personality personality was assessed in 1997 , 2001 , [and] 2007 ( n = 2,104 , 2,095 [,] and 2,056 , respectively ) . 0 ###LEFT-WALL### 1 personality 0 ###LEFT-WALL### 3 assessed 0 ###LEFT-WALL### 23 . 1 personality 2 was 2 was 3 assessed 3 assessed 4 in 3 assessed 21 respectively 4 in 5 1997 5 1997 7 2001 5 1997 13 = 5 1997 18 and 6 , 7 2001 7 2001 8 , 10 2007 13 = 11 ( 13 = 12 n 13 = 13 = 14 2,104 13 = 15 , 15 , 18 and 16 2,095 18 and 18 and 19 2,056 18 and 20 , 20 , 21 respectively 21 respectively 22 ) mean - level changes demonstrated qualitatively distinct developmental patterns for character ( self [-] directedness , cooperativeness , and self - transcendence ) and temperament ( novelty seeking , harm avoidance , reward dependence , and persistence ) . 0 ###LEFT-WALL### 3 level 0 ###LEFT-WALL### 4 changes 0 ###LEFT-WALL### 39 . 1 mean 2 - 1 mean 3 level 3 level 4 changes 4 changes 9 patterns 5 demonstrated 9 patterns 6 qualitatively 7 distinct 7 distinct 9 patterns 8 developmental 9 patterns 9 patterns 10 for 10 for 11 character 11 character 15 directedness 11 character 24 and 12 ( 15 directedness 13 self 15 directedness 15 directedness 16 , 16 , 24 and 17 cooperativeness 19 and 18 , 19 and 19 and 20 self 19 and 22 transcendence 19 and 24 and 21 - 22 transcendence 22 transcendence 23 ) 24 and 25 temperament 24 and 36 and 24 and 38 ) 26 ( 36 and 27 novelty 28 seeking 28 seeking 29 , 29 , 31 avoidance 29 , 32 , 30 harm 31 avoidance 32 , 34 dependence 32 , 36 and 33 reward 34 dependence 35 , 36 and 36 and 37 persistence 36 and 38 ) character developed toward greater maturity , although [self] - transcendence decreased with age . 0 ###LEFT-WALL### 1 character 0 ###LEFT-WALL### 11 decreased 0 ###LEFT-WALL### 14 . 1 character 2 developed 2 developed 3 toward 2 developed 7 although 3 toward 5 maturity 4 greater 5 maturity 6 , 7 although 7 although 9 - 9 - 10 transcendence 10 transcendence 11 decreased 11 decreased 12 with 12 with 13 age however , self [-] transcendence was the strongest predictor of overall personality change . 0 ###LEFT-WALL### 5 transcendence 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 14 . 1 however 2 , 1 however 5 transcendence 3 self 5 transcendence 5 transcendence 6 was 6 was 9 predictor 7 the 8 strongest 7 the 9 predictor 9 predictor 10 of 10 of 13 change 11 overall 12 personality 12 personality 13 change cohort effects indicated lower level of self [-] transcendence and higher level of self [-] directedness and cooperativeness in younger birth cohorts . 0 ###LEFT-WALL### 1 cohort 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 23 . 1 cohort 2 effects 2 effects 10 and 2 effects 12 level 2 effects 19 in 3 indicated 5 level 4 lower 5 level 5 level 6 of 5 level 10 and 6 of 9 transcendence 7 self 9 transcendence 10 and 11 higher 12 level 13 of 13 of 17 and 14 self 16 directedness 16 directedness 17 and 17 and 18 cooperativeness 19 in 22 cohorts 20 younger 21 birth 21 birth 22 cohorts regarding temperament , novelty seeking decreased and persistence increased slightly with age . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 9 increased 0 ###LEFT-WALL### 13 . 1 regarding 2 temperament 1 regarding 3 , 1 regarding 7 and 4 novelty 5 seeking 5 seeking 6 decreased 5 seeking 7 and 7 and 8 persistence 7 and 9 increased 9 increased 10 slightly 9 increased 11 with 11 with 12 age both high novelty seeking and high persistence predicted overall personality change . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 8 predicted 0 ###LEFT-WALL### 12 . 1 both 5 and 2 high 3 novelty 3 novelty 4 seeking 4 seeking 5 and 5 and 7 persistence 5 and 8 predicted 6 high 7 persistence 8 predicted 11 change 9 overall 10 personality 10 personality 11 change these findings suggest that temperament and character traits follow different kinds of developmental trajectories . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 15 . 1 these 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 6 and 4 that 9 follow 5 temperament 6 and 6 and 8 traits 7 character 8 traits 9 follow 14 trajectories 10 different 11 kinds 11 kinds 12 of 11 kinds 14 trajectories 12 of 14 trajectories 13 developmental 14 trajectories background & aims : although an inverse association of red blood cell cis - vaccenic acid and risk of myocardial infarction has been reported , it is unclear whether cis - vaccenic acid might lower the risk of heart failure ( hf ) with antecedent coronary heart disease ( chd ) . 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 4 : 1 background 2 & 2 & 3 aims 4 : 26 it 4 : 27 is 4 : 52 . 5 although 8 association 5 although 24 reported 5 although 25 , 5 although 26 it 6 an 7 inverse 6 an 8 association 7 inverse 8 association 8 association 9 of 8 association 19 of 8 association 22 has 9 of 17 and 10 red 11 blood 11 blood 12 cell 12 cell 16 acid 13 cis 14 - 13 cis 16 acid 15 vaccenic 16 acid 16 acid 17 and 17 and 18 risk 19 of 21 infarction 20 myocardial 21 infarction 22 has 23 been 23 been 24 reported 26 it 27 is 27 is 28 unclear 28 unclear 29 whether 29 whether 33 acid 29 whether 35 lower 30 cis 31 - 30 cis 33 acid 32 vaccenic 33 acid 33 acid 34 might 34 might 35 lower 35 lower 37 risk 35 lower 44 with 36 the 37 risk 37 risk 38 of 38 of 40 failure 39 heart 40 failure 40 failure 42 hf 41 ( 42 hf 42 hf 43 ) 44 with 48 disease 45 antecedent 47 heart 46 coronary 47 heart 47 heart 48 disease 48 disease 50 chd 49 ( 50 chd 50 chd 51 ) we sought to examine the relation of plasma cis - vaccenic acid with hf with antecedent chd . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 sought 0 ###LEFT-WALL### 18 . 1 we 2 sought 2 sought 3 to 2 sought 4 examine 3 to 4 examine 4 examine 6 relation 4 examine 13 with 4 examine 15 with 5 the 6 relation 6 relation 7 of 7 of 12 acid 8 plasma 12 acid 9 cis 10 - 9 cis 12 acid 11 vaccenic 12 acid 13 with 14 hf 15 with 17 chd 16 antecedent 17 chd methods : this [nested] case - control study was based on 788 incident hf cases [(] of whom 258 cases had antecedent chd [ )(and 788 controls . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 - 1 methods 2 : 2 : 5 case 3 this 5 case 6 - 7 control 6 - 10 based 6 - 28 . 7 control 8 study 7 control 9 was 7 control 10 based 8 study 9 was 10 based 11 on 10 based 25 )(and 11 on 15 cases 12 788 15 cases 13 incident 15 cases 14 hf 15 cases 15 cases 17 of 17 of 18 whom 18 whom 20 cases 18 whom 21 had 19 258 20 cases 20 cases 21 had 22 antecedent 23 chd 23 chd 25 )(and 25 )(and 27 controls 26 788 27 controls each control was selected using a risk set sampling technique at the time of the occurrence of the index case and matched on year [of] birth , age at blood [collection] , and race . 0 ###LEFT-WALL### 2 control 0 ###LEFT-WALL### 4 selected 0 ###LEFT-WALL### 27 , 0 ###LEFT-WALL### 35 . 1 each 2 control 2 control 3 was 3 was 4 selected 4 selected 5 using 5 using 7 risk 6 a 7 risk 7 risk 21 and 8 set 10 technique 8 set 11 at 8 set 21 and 9 sampling 10 technique 11 at 13 time 12 the 13 time 13 time 14 of 14 of 16 occurrence 15 the 16 occurrence 16 occurrence 17 of 17 of 20 case 18 the 20 case 19 index 20 case 21 and 22 matched 21 and 23 on 23 on 26 birth 24 year 26 birth 27 , 28 age 28 age 29 at 29 at 33 and 30 blood 33 and 32 , 33 and 33 and 34 race fatty acids were measured using gas chromatography and incident hf [was] self - reported on annual questionnaires and validation in a subsample using medical records . 0 ###LEFT-WALL### 2 acids 0 ###LEFT-WALL### 4 measured 0 ###LEFT-WALL### 14 reported 0 ###LEFT-WALL### 26 . 1 fatty 2 acids 2 acids 3 were 3 were 4 measured 4 measured 5 using 5 using 6 gas 7 chromatography 8 and 8 and 12 self 8 and 13 - 8 and 14 reported 9 incident 12 self 10 hf 12 self 14 reported 15 on 14 reported 20 in 15 on 18 and 16 annual 17 questionnaires 17 questionnaires 18 and 18 and 19 validation 20 in 22 subsample 21 a 22 subsample 22 subsample 23 using 23 using 25 records 24 medical 25 records each standard deviation of cis - vaccenic acid was associated with a 41 % lower risk of hf with antecedent chd ( 95 % ci : 17 % - 59 % [ )(in a multivariable adjusted model . 0 ###LEFT-WALL### 3 deviation 0 ###LEFT-WALL### 10 associated 0 ###LEFT-WALL### 26 : 1 each 3 deviation 2 standard 3 deviation 3 deviation 4 of 3 deviation 9 was 4 of 8 acid 5 cis 6 - 5 cis 8 acid 7 vaccenic 8 acid 9 was 10 associated 10 associated 11 with 10 associated 19 with 11 with 16 risk 12 a 16 risk 13 41 14 % 14 % 16 risk 15 lower 16 risk 16 risk 17 of 17 of 18 hf 19 with 21 chd 20 antecedent 21 chd 21 chd 25 ci 22 ( 25 ci 23 95 25 ci 24 % 25 ci 25 ci 26 : 26 : 28 % 27 17 28 % 28 % 31 % 29 - 31 % 30 59 31 % 31 % 33 )(in 31 % 38 . 33 )(in 37 model 34 a 35 multivariable 34 a 37 model 35 multivariable 37 model 36 adjusted 37 model conclusions : our data suggest that higher plasma levels of plasma cis - vaccenic acid may be associated with a lower risk of hf with antecedent chd . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 associated 0 ###LEFT-WALL### 28 . 2 : 4 data 2 : 5 suggest 2 : 13 - 2 : 17 be 3 our 4 data 4 data 5 suggest 5 suggest 6 that 6 that 9 levels 6 that 12 cis 7 higher 8 plasma 8 plasma 9 levels 9 levels 10 of 9 levels 12 cis 10 of 11 plasma 13 - 17 be 14 vaccenic 15 acid 15 acid 16 may 16 may 17 be 17 be 18 associated 18 associated 19 with 18 associated 25 with 19 with 22 risk 20 a 22 risk 21 lower 22 risk 22 risk 23 of 23 of 24 hf 25 with 27 chd 26 antecedent 27 chd confirmation of these results in the general population including women and other ethnic groups is warranted . 0 ###LEFT-WALL### 1 confirmation 0 ###LEFT-WALL### 16 warranted 0 ###LEFT-WALL### 17 . 1 confirmation 2 of 1 confirmation 15 is 2 of 11 and 3 these 4 results 4 results 5 in 4 results 11 and 5 in 8 population 6 the 8 population 7 general 8 population 8 population 9 including 9 including 10 women 11 and 14 groups 12 other 14 groups 13 ethnic 14 groups 15 is 16 warranted the redox - sensitive transcription factor nuclear factor [erythroid] 2 - related factor 2 ( nrf2 ) serves as a " master regulator " of cell survival through the coordinated induction of phase ii and antioxidant defense enzymes to counteract oxidative stress and modulate redox signaling events . 0 ###LEFT-WALL### 2 redox 0 ###LEFT-WALL### 18 serves 0 ###LEFT-WALL### 48 . 1 the 2 redox 2 redox 8 factor 2 redox 18 serves 3 - 8 factor 4 sensitive 5 transcription 5 transcription 8 factor 6 factor 8 factor 7 nuclear 8 factor 8 factor 10 2 8 factor 11 - 11 - 12 related 12 related 13 factor 12 related 18 serves 13 factor 14 2 13 factor 16 nrf2 15 ( 16 nrf2 16 nrf2 17 ) 18 serves 19 as 19 as 35 and 20 a 21 " 20 a 23 regulator 22 master 23 regulator 23 regulator 24 " 23 regulator 25 of 23 regulator 28 through 23 regulator 35 and 25 of 27 survival 26 cell 27 survival 28 through 31 induction 29 the 31 induction 30 coordinated 31 induction 31 induction 32 of 32 of 33 phase 33 phase 34 ii 35 and 38 enzymes 35 and 39 to 35 and 46 signaling 36 antioxidant 38 enzymes 37 defense 38 enzymes 39 to 43 and 40 counteract 42 stress 40 counteract 43 and 41 oxidative 42 stress 43 and 44 modulate 43 and 45 redox 45 redox 46 signaling 46 signaling 47 events micrornas are able to " fine - tune " [the] regulation of processes including those directly interacting with the nrf2 pathway and the generation of reactive oxygen species ( ros ) . 0 ###LEFT-WALL### 1 micrornas 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 32 . 1 micrornas 2 are 2 are 3 able 3 able 4 to 3 able 18 with 4 to 5 " 4 to 11 regulation 6 fine 7 - 6 fine 8 tune 8 tune 9 " 8 tune 11 regulation 11 regulation 12 of 12 of 13 processes 13 processes 14 including 14 including 15 those 15 those 17 interacting 16 directly 17 interacting 18 with 22 and 19 the 21 pathway 20 nrf2 21 pathway 21 pathway 22 and 22 and 24 generation 22 and 25 of 23 the 24 generation 25 of 28 species 26 reactive 27 oxygen 27 oxygen 28 species 28 species 30 ros 29 ( 30 ros 30 ros 31 ) this review highlights that cellular redox homeostasis can be regulated by micrornas through their modulation of nrf2 - driven antioxidant gene expression as well as key enzymes that generate ros , which in turn can alter the biogenesis and processing of micrornas . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 3 highlights 1 this 2 review 2 review 3 highlights 3 highlights 6 redox 3 highlights 11 by 3 highlights 13 through 4 that 5 cellular 5 cellular 6 redox 6 redox 7 homeostasis 6 redox 9 be 6 redox 10 regulated 7 homeostasis 8 can 8 can 9 be 11 by 12 micrornas 13 through 15 modulation 14 their 15 modulation 15 modulation 16 of 16 of 17 nrf2 17 nrf2 22 expression 18 - 22 expression 19 driven 22 expression 20 antioxidant 21 gene 21 gene 22 expression 22 expression 25 as 22 expression 43 . 23 as 24 well 24 well 25 as 25 as 27 enzymes 26 key 27 enzymes 27 enzymes 28 that 27 enzymes 29 generate 27 enzymes 32 which 28 that 29 generate 29 generate 30 ros 31 , 32 which 32 which 35 can 32 which 43 . 33 in 34 turn 34 turn 35 can 35 can 36 alter 36 alter 39 and 37 the 39 and 38 biogenesis 39 and 39 and 40 processing 40 processing 41 of 41 of 42 micrornas therefore redox sensitive micrornas or " redoximirs " add an important regulatory mechanism for redox signaling beyond the well - characterized actions of nrf2 . 0 ###LEFT-WALL### 5 or 0 ###LEFT-WALL### 9 add 0 ###LEFT-WALL### 20 - 0 ###LEFT-WALL### 25 . 1 therefore 5 or 2 redox 4 micrornas 3 sensitive 4 micrornas 4 micrornas 5 or 5 or 6 " 5 or 7 redoximirs 5 or 9 add 7 redoximirs 8 " 9 add 13 mechanism 10 an 11 important 10 an 13 mechanism 11 important 13 mechanism 12 regulatory 13 mechanism 13 mechanism 14 for 13 mechanism 16 signaling 14 for 15 redox 16 signaling 17 beyond 17 beyond 19 well 18 the 19 well 20 - 22 actions 21 characterized 22 actions 22 actions 23 of 23 of 24 nrf2 the potential exists for microrna - based therapies where diminished antioxidant defenses and dysregulated redox signaling can lead to cardiovascular diseases , cancers , neurodegeneration , and accelerated aging . 0 ###LEFT-WALL### 2 potential 0 ###LEFT-WALL### 3 exists 0 ###LEFT-WALL### 6 - 1 the 2 potential 2 potential 3 exists 3 exists 4 for 4 for 5 microrna 6 - 27 and 6 - 30 . 7 based 8 therapies 7 based 9 where 7 based 19 to 7 based 27 and 9 where 13 and 9 where 18 lead 10 diminished 12 defenses 11 antioxidant 12 defenses 12 defenses 13 and 13 and 15 redox 13 and 16 signaling 13 and 17 can 14 dysregulated 15 redox 17 can 18 lead 19 to 21 diseases 20 cardiovascular 21 diseases 21 diseases 23 cancers 21 diseases 25 neurodegeneration 22 , 23 cancers 23 cancers 24 , 24 , 25 neurodegeneration 25 neurodegeneration 26 , 27 and 28 accelerated 28 accelerated 29 aging objective : investigate the influence of apprehensive gait [on] activation and cocontraction of lower limb muscles of younger and older female adults . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 3 investigate 3 investigate 5 influence 4 the 5 influence 5 influence 6 of 6 of 11 and 7 apprehensive 8 gait 8 gait 10 activation 10 activation 11 and 11 and 12 cocontraction 11 and 13 of 11 and 17 of 13 of 16 muscles 14 lower 15 limb 15 limb 16 muscles 17 of 22 adults 18 younger 19 and 19 and 20 older 19 and 22 adults 21 female 22 adults methods : data of 17 [younger] ( 21.47±2.06 [yr] ) and 18 older women ( 65.33±3.14 [yr] ) were considered for this study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 24 . 1 methods 2 : 2 : 3 data 3 data 4 of 4 of 5 17 5 17 8 21.47±2.06 7 ( 8 21.47±2.06 8 21.47±2.06 10 ) 11 and 14 women 11 and 20 considered 12 18 14 women 13 older 14 women 14 women 16 65.33±3.14 14 women 19 were 15 ( 16 65.33±3.14 16 65.33±3.14 18 ) 19 were 20 considered 20 considered 21 for 21 for 23 study 22 this 23 study participants walked on the treadmill at two different conditions : normal [gait] and apprehensive gait . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 walked 0 ###LEFT-WALL### 10 : 1 participants 2 walked 2 walked 3 on 2 walked 6 at 3 on 5 treadmill 4 the 5 treadmill 6 at 9 conditions 7 two 9 conditions 8 different 9 conditions 10 : 15 gait 10 : 16 . 11 normal 13 and 13 and 14 apprehensive 13 and 15 gait the surface electromyographic signals ( emg ) were recorded during both conditions on : rectus femoris ( rf ) , vastus lateralis ( vl ) , vastus medialis ( vm ) , biceps femoris ( bf ) , tibialis anterior ( ta ) , gastrocnemius lateralis ( gl [ )(, and soleus ( so ) . 0 ###LEFT-WALL### 2 surface 0 ###LEFT-WALL### 14 : 0 ###LEFT-WALL### 56 . 1 the 2 surface 2 surface 4 signals 2 surface 13 on 2 surface 14 : 3 electromyographic 4 signals 4 signals 6 emg 4 signals 8 were 5 ( 6 emg 6 emg 7 ) 8 were 9 recorded 9 recorded 10 during 9 recorded 13 on 10 during 12 conditions 11 both 12 conditions 14 : 16 femoris 15 rectus 16 femoris 16 femoris 18 rf 16 femoris 22 lateralis 17 ( 18 rf 18 rf 19 ) 20 , 22 lateralis 21 vastus 22 lateralis 22 lateralis 24 vl 22 lateralis 28 medialis 22 lateralis 34 femoris 22 lateralis 55 ) 23 ( 24 vl 24 vl 25 ) 26 , 28 medialis 27 vastus 28 medialis 28 medialis 30 vm 28 medialis 32 , 29 ( 30 vm 30 vm 31 ) 32 , 34 femoris 33 biceps 34 femoris 34 femoris 36 bf 34 femoris 46 lateralis 34 femoris 55 ) 35 ( 36 bf 36 bf 37 ) 38 , 46 lateralis 39 tibialis 46 lateralis 40 anterior 42 ta 40 anterior 44 , 40 anterior 45 gastrocnemius 41 ( 42 ta 42 ta 43 ) 45 gastrocnemius 46 lateralis 46 lateralis 51 and 46 lateralis 55 ) 47 ( 51 and 48 gl 51 and 50 )(, 51 and 51 and 52 soleus 51 and 54 so 51 and 55 ) 53 ( 54 so 54 so 55 ) results : apprehensive gait promoted greater activation of thigh muscles than normal gait [(] f=5.34 and p=0.007 , for significant main effect of condition ; rf , p=0.002 ; vm , p<0.001 ; vl , p=0.003 [;] and bf , p=0.001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 ; 1 results 2 : 2 : 7 activation 2 : 11 than 2 : 19 for 3 apprehensive 7 activation 4 gait 5 promoted 5 promoted 7 activation 6 greater 7 activation 7 activation 8 of 8 of 10 muscles 9 thigh 10 muscles 11 than 16 and 12 normal 13 gait 13 gait 15 f=5.34 15 f=5.34 16 and 16 and 17 p=0.007 18 , 19 for 19 for 22 effect 19 for 25 ; 20 significant 21 main 21 main 22 effect 22 effect 23 of 23 of 24 condition 25 ; 28 p=0.002 25 ; 29 ; 26 rf 27 , 26 rf 28 p=0.002 29 ; 32 p<0.001 29 ; 33 ; 30 vm 31 , 30 vm 32 p<0.001 33 ; 34 vl 33 ; 35 , 35 , 38 and 36 p=0.003 38 and 38 and 39 bf 38 and 43 . 39 bf 41 p=0.001 40 , 41 p=0.001 41 p=0.001 42 ) older adults had greater cocontraction of knee [and] ankle stabilizer muscles than younger women ( f=4.05 and p=0.019 , for significant main effect of groups ; vm/bf , p=0.010 ; ta/gl , p=0.007 [;] and ta/so , p=0.002 ) . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 3 had 0 ###LEFT-WALL### 26 ; 0 ###LEFT-WALL### 40 . 1 older 2 adults 2 adults 3 had 3 had 5 cocontraction 3 had 12 than 4 greater 5 cocontraction 5 cocontraction 6 of 6 of 11 muscles 7 knee 9 ankle 9 ankle 11 muscles 10 stabilizer 11 muscles 12 than 14 women 12 than 20 for 13 younger 14 women 14 women 17 and 15 ( 17 and 16 f=4.05 17 and 17 and 18 p=0.019 17 and 19 , 20 for 23 effect 21 significant 23 effect 22 main 23 effect 23 effect 24 of 24 of 25 groups 26 ; 29 p=0.010 26 ; 30 ; 27 vm/bf 28 , 27 vm/bf 29 p=0.010 30 ; 35 and 31 ta/gl 32 , 32 , 33 p=0.007 32 , 35 and 35 and 36 ta/so 36 ta/so 38 p=0.002 37 , 38 p=0.002 38 p=0.002 39 ) conclusion : apprehensive gait promoted greater activation of thigh muscles and older adults had greater cocontraction of knee [and] ankle stabilizer muscles . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 23 . 1 conclusion 2 : 2 : 7 activation 3 apprehensive 7 activation 4 gait 5 promoted 5 promoted 7 activation 6 greater 7 activation 7 activation 8 of 8 of 10 muscles 9 thigh 10 muscles 11 and 13 adults 11 and 14 had 12 older 13 adults 13 adults 14 had 14 had 16 cocontraction 15 greater 16 cocontraction 16 cocontraction 17 of 17 of 22 muscles 18 knee 22 muscles 20 ankle 22 muscles 21 stabilizer 22 muscles thus , apprehensive gait [may] leads [to] increased percentage [of] neuromuscular capacity , which is associated with greater cocontraction and contribute to the onset of fatigue and increased risk of falling in older people . 0 ###LEFT-WALL### 6 leads 0 ###LEFT-WALL### 8 increased 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 35 . 1 thus 2 , 1 thus 6 leads 3 apprehensive 4 gait 4 gait 6 leads 6 leads 8 increased 8 increased 12 capacity 9 percentage 12 capacity 11 neuromuscular 12 capacity 13 , 14 which 13 , 27 and 14 which 27 and 15 is 20 and 15 is 27 and 16 associated 17 with 16 associated 20 and 17 with 19 cocontraction 18 greater 19 cocontraction 20 and 21 contribute 21 contribute 22 to 22 to 24 onset 23 the 24 onset 24 onset 25 of 25 of 26 fatigue 27 and 28 increased 27 and 32 in 28 increased 29 risk 29 risk 30 of 30 of 31 falling 32 in 34 people 33 older 34 people background and objectives : short telomere length has been described to be associated with biological aging including atherosclerosis phenotypes . 0 ###LEFT-WALL### 3 objectives 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 20 . 1 background 2 and 2 and 3 objectives 4 : 7 length 4 : 10 described 5 short 7 length 6 telomere 7 length 7 length 8 has 8 has 9 been 9 been 10 described 10 described 11 to 10 described 14 with 11 to 12 be 12 be 13 associated 14 with 16 aging 15 biological 16 aging 16 aging 17 including 16 aging 19 phenotypes 17 including 18 atherosclerosis 17 including 19 phenotypes however , information in patients with symptomatic peripheral arterial disease ( pad ) is sparse . 0 ###LEFT-WALL### 3 information 0 ###LEFT-WALL### 14 is 0 ###LEFT-WALL### 16 . 1 however 2 , 1 however 3 information 3 information 4 in 3 information 14 is 4 in 5 patients 5 patients 6 with 6 with 10 disease 7 symptomatic 10 disease 8 peripheral 10 disease 9 arterial 10 disease 10 disease 12 pad 11 ( 12 pad 12 pad 13 ) 14 is 15 sparse we therefore aimed to investigate [whether] [inter] - individual differences in relative telomere length ( rtl ) are associated with symptomatic pad . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 aimed 0 ###LEFT-WALL### 8 - 1 we 3 aimed 2 therefore 3 aimed 3 aimed 4 to 3 aimed 5 investigate 4 to 5 investigate 8 - 10 differences 8 - 19 associated 8 - 23 . 9 individual 10 differences 10 differences 11 in 10 differences 18 are 11 in 14 length 12 relative 14 length 13 telomere 14 length 14 length 16 rtl 15 ( 16 rtl 16 rtl 17 ) 18 are 19 associated 19 associated 20 with 20 with 22 pad 21 symptomatic 22 pad design : we measured rtl by a quantitative pcr method in the cavasic study , a cohort of 241 male caucasian patients diagnosed with intermittent claudication and 249 age - and diabetes - matched controls . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 3 we 2 : 4 measured 3 we 4 measured 4 measured 5 rtl 4 measured 6 by 4 measured 11 in 6 by 10 method 7 a 10 method 8 quantitative 10 method 9 pcr 10 method 11 in 27 and 12 the 14 study 13 cavasic 14 study 14 study 15 , 15 , 17 cohort 15 , 27 and 16 a 17 cohort 17 cohort 18 of 18 of 22 patients 19 241 22 patients 20 male 21 caucasian 21 caucasian 22 patients 22 patients 23 diagnosed 22 patients 24 with 24 with 26 claudication 25 intermittent 26 claudication 27 and 35 controls 28 249 35 controls 29 age 31 and 30 - 31 and 31 and 32 diabetes 31 and 33 - 31 and 34 matched 31 and 35 controls results : we observed significantly shorter mean rtl in patients than in controls ( 1.24 ± 0.19 vs [.] 1.32 ± 0.23 , p < 0.001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 28 . 2 : 3 we 2 : 4 observed 3 we 4 observed 4 observed 8 rtl 4 observed 9 in 4 observed 11 than 4 observed 25 < 5 significantly 6 shorter 6 shorter 7 mean 7 mean 8 rtl 9 in 10 patients 11 than 12 in 12 in 13 controls 13 controls 16 ± 14 ( 16 ± 15 1.24 16 ± 16 ± 17 0.19 16 ± 18 vs 16 ± 23 , 18 vs 21 ± 20 1.32 21 ± 21 ± 22 0.23 23 , 25 < 24 p 25 < 25 < 26 0.001 25 < 27 ) each shortening of rtl by one standard deviation significantly increased the odds for pad by 44 % : age - adjusted or = 1.44 ( 95%ci 1.19 - 1.75 , p < 0.001 ) . 0 ###LEFT-WALL### 1 each 0 ###LEFT-WALL### 10 increased 0 ###LEFT-WALL### 18 : 1 each 2 shortening 1 each 3 of 1 each 10 increased 3 of 4 rtl 4 rtl 5 by 5 by 8 deviation 6 one 8 deviation 7 standard 8 deviation 9 significantly 10 increased 10 increased 12 odds 11 the 12 odds 12 odds 13 for 13 for 14 pad 14 pad 15 by 15 by 17 % 16 44 17 % 18 : 19 age 18 : 20 - 20 - 22 or 20 - 23 = 20 - 35 . 21 adjusted 22 or 22 or 23 = 23 = 24 1.44 24 1.44 26 95%ci 24 1.44 32 < 25 ( 26 95%ci 26 95%ci 27 1.19 26 95%ci 28 - 29 1.75 32 < 30 , 32 < 31 p 32 < 32 < 33 0.001 32 < 34 ) this association remained significant after additional adjustment for log [-] c - reactive protein , glomerular filtration rate , hdl cholesterol , current smoking and log n - terminal pro - b - type natriuretic peptide [(] nt - probnp ) . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 3 remained 0 ###LEFT-WALL### 28 - 1 this 2 association 2 association 3 remained 3 remained 4 significant 4 significant 5 after 5 after 7 adjustment 6 additional 7 adjustment 7 adjustment 8 for 8 for 9 log 9 log 11 c 9 log 25 and 12 - 25 and 13 reactive 14 protein 14 protein 15 , 15 , 18 rate 15 , 19 , 16 glomerular 17 filtration 17 filtration 18 rate 19 , 21 cholesterol 19 , 22 , 20 hdl 21 cholesterol 22 , 24 smoking 22 , 25 and 23 current 24 smoking 25 and 26 log 25 and 28 - 26 log 27 n 28 - 30 pro 28 - 31 - 29 terminal 30 pro 31 - 32 b 31 - 33 - 31 - 42 . 32 b 33 - 33 - 34 type 34 type 38 nt 35 natriuretic 36 peptide 36 peptide 38 nt 38 nt 40 probnp 39 - 40 probnp 40 probnp 41 ) excluding patients with prevalent cardiovascular disease revealed very similar results . 0 ###LEFT-WALL### 1 excluding 0 ###LEFT-WALL### 7 revealed 0 ###LEFT-WALL### 11 . 1 excluding 2 patients 1 excluding 3 with 1 excluding 7 revealed 3 with 6 disease 4 prevalent 6 disease 5 cardiovascular 6 disease 7 revealed 10 results 8 very 9 similar 9 similar 10 results when we compared the model fit of the various adjustment models including cardiac risk factors [and/or] nt - probnp the addition of rtl significantly improved discrimination between patients and controls . 0 ###LEFT-WALL### 6 fit 0 ###LEFT-WALL### 18 - 1 when 2 we 1 when 3 compared 1 when 6 fit 2 we 3 compared 4 the 6 fit 5 model 6 fit 6 fit 7 of 6 fit 15 factors 7 of 11 models 8 the 11 models 9 various 10 adjustment 10 adjustment 11 models 11 models 12 including 12 including 14 risk 13 cardiac 14 risk 15 factors 17 nt 18 - 19 probnp 18 - 31 . 19 probnp 21 addition 20 the 21 addition 21 addition 22 of 22 of 23 rtl 23 rtl 29 and 24 significantly 25 improved 25 improved 26 discrimination 25 improved 29 and 26 discrimination 27 between 27 between 28 patients 29 and 30 controls conclusion : this study in a male cohort of patients with intermittent claudication and age - and diabetes - matched controls indicates a significant association of shorter relative telomere length with pad . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 22 indicates 2 : 33 . 3 this 4 study 4 study 5 in 4 study 9 of 4 study 11 with 4 study 22 indicates 5 in 8 cohort 6 a 7 male 6 a 8 cohort 7 male 8 cohort 9 of 10 patients 11 with 14 and 12 intermittent 13 claudication 13 claudication 14 and 14 and 21 controls 15 age 17 and 16 - 17 and 17 and 18 diabetes 17 and 19 - 17 and 20 matched 17 and 21 controls 22 indicates 25 association 23 a 24 significant 23 a 25 association 24 significant 25 association 25 association 26 of 26 of 30 length 27 shorter 30 length 28 relative 30 length 29 telomere 30 length 30 length 31 with 31 with 32 pad our results reinforce rtl as a marker for pad that reflects the influence of genetic and environmental risk factors . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 reinforce 0 ###LEFT-WALL### 20 . 1 our 2 results 2 results 3 reinforce 3 reinforce 4 rtl 3 reinforce 5 as 5 as 7 marker 6 a 7 marker 7 marker 8 for 7 marker 14 of 8 for 9 pad 9 pad 10 that 9 pad 11 reflects 10 that 11 reflects 11 reflects 13 influence 12 the 13 influence 14 of 19 factors 15 genetic 16 and 16 and 17 environmental 16 and 19 factors 18 risk 19 factors moreover , the association remains significant after excluding patients and controls free from prevalent cardiovascular disease . 0 ###LEFT-WALL### 4 association 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 17 . 1 moreover 2 , 1 moreover 4 association 3 the 4 association 4 association 10 and 5 remains 6 significant 5 remains 10 and 6 significant 7 after 7 after 8 excluding 8 excluding 9 patients 10 and 11 controls 10 and 12 free 10 and 13 from 13 from 16 disease 14 prevalent 16 disease 15 cardiovascular 16 disease background : the ageing demographic means that increasing numbers of older people will be attending emergency departments ( eds ) . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 5 demographic 2 : 6 means 2 : 21 . 3 the 5 demographic 4 ageing 5 demographic 5 demographic 6 means 6 means 12 people 6 means 14 be 7 that 8 increasing 8 increasing 9 numbers 9 numbers 10 of 9 numbers 12 people 10 of 12 people 11 older 12 people 12 people 13 will 13 will 14 be 14 be 15 attending 15 attending 17 departments 16 emergency 17 departments 17 departments 19 eds 18 ( 19 eds 19 eds 20 ) little previous research has focused on the needs of older people in ed and there have been no evaluations of comprehensive geriatric assessment ( cga ) embedded within the ed setting . 0 ###LEFT-WALL### 3 research 0 ###LEFT-WALL### 5 focused 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 32 . 1 little 3 research 2 previous 3 research 3 research 4 has 4 has 5 focused 5 focused 6 on 5 focused 12 in 6 on 8 needs 7 the 8 needs 8 needs 9 of 9 of 11 people 10 older 11 people 12 in 13 ed 14 and 15 there 14 and 17 been 15 there 16 have 16 have 17 been 17 been 19 evaluations 17 been 28 within 18 no 19 evaluations 19 evaluations 20 of 19 evaluations 27 embedded 20 of 23 assessment 21 comprehensive 23 assessment 22 geriatric 23 assessment 23 assessment 25 cga 24 ( 25 cga 25 cga 26 ) 28 within 30 ed 29 the 30 ed 30 ed 31 setting methods : a pre - post cohort study of the impact of embedding cga within a large ed in the east midlands , uk . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 4 pre 2 : 23 , 3 a 4 pre 4 pre 8 study 5 - 8 study 6 post 7 cohort 7 cohort 8 study 8 study 9 of 8 study 12 of 8 study 23 , 9 of 11 impact 10 the 11 impact 12 of 13 embedding 13 embedding 14 cga 13 embedding 15 within 13 embedding 19 in 15 within 18 ed 16 a 17 large 16 a 18 ed 17 large 18 ed 19 in 22 midlands 20 the 22 midlands 21 east 22 midlands 23 , 24 uk the primary outcome was admission avoidance from the ed , with readmissions , length [of] stay and bed - day use as secondary outcomes . 0 ###LEFT-WALL### 3 outcome 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 19 - 1 the 3 outcome 2 primary 3 outcome 3 outcome 4 was 4 was 6 avoidance 5 admission 6 avoidance 6 avoidance 7 from 7 from 9 ed 8 the 9 ed 9 ed 11 with 10 , 11 with 11 with 17 and 11 with 19 - 12 readmissions 13 , 13 , 16 stay 13 , 17 and 14 length 16 stay 17 and 18 bed 19 - 24 outcomes 19 - 25 . 20 day 24 outcomes 21 use 24 outcomes 22 as 23 secondary 23 secondary 24 outcomes results : attendances to ed increased in older people over the study period , whereas the ed conversion rate fell from 69.6 to 61.2 % in people aged 85+ , and readmission rates in this group fell from 26.0 % at 90 days to 19.9 % . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 47 . 2 : 3 attendances 2 : 20 fell 2 : 31 and 3 attendances 4 to 3 attendances 6 increased 4 to 5 ed 6 increased 7 in 6 increased 10 over 6 increased 13 period 6 increased 15 whereas 7 in 9 people 8 older 9 people 10 over 12 study 11 the 12 study 14 , 15 whereas 15 whereas 19 rate 16 the 19 rate 17 ed 19 rate 18 conversion 19 rate 19 rate 20 fell 20 fell 21 from 21 from 27 people 22 69.6 23 to 23 to 24 61.2 23 to 27 people 24 61.2 26 in 25 % 26 in 26 in 27 people 27 people 28 aged 28 aged 29 85+ 30 , 31 and 31 and 33 rates 31 and 37 fell 32 readmission 33 rates 33 rates 34 in 33 rates 37 fell 34 in 36 group 35 this 36 group 37 fell 38 from 37 fell 41 at 38 from 40 % 39 26.0 40 % 41 at 43 days 42 90 43 days 43 days 44 to 44 to 46 % 45 19.9 46 % in - patient bed - day use increased slightly , as did the mean length [of] stay . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 2 - 2 - 4 bed 2 - 5 - 3 patient 4 bed 5 - 7 use 6 day 7 use 7 use 8 increased 8 increased 9 slightly 8 increased 11 as 10 , 11 as 11 as 12 did 11 as 18 . 12 did 17 stay 13 the 17 stay 14 mean 15 length 15 length 17 stay discussion : it is possible to embed cga within eds , which is associated with improvements in operational outcomes . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 3 it 2 : 4 is 2 : 11 , 3 it 4 is 4 is 5 possible 5 possible 6 to 5 possible 7 embed 6 to 7 embed 7 embed 8 cga 7 embed 9 within 9 within 10 eds 11 , 12 which 11 , 14 associated 12 which 13 is 13 is 14 associated 14 associated 15 with 14 associated 17 in 15 with 16 improvements 17 in 19 outcomes 18 operational 19 outcomes microglia develop an inflammatory phenotype during normal aging . 0 ###LEFT-WALL### 2 develop 0 ###LEFT-WALL### 9 . 1 microglia 2 develop 2 develop 5 phenotype 2 develop 6 during 3 an 4 inflammatory 3 an 5 phenotype 4 inflammatory 5 phenotype 6 during 8 aging 7 normal 8 aging the mechanism by which this occurs is not well understood , but might be related to impairments in several key immunoregulatory systems . 0 ###LEFT-WALL### 2 mechanism 0 ###LEFT-WALL### 12 but 0 ###LEFT-WALL### 23 . 1 the 2 mechanism 2 mechanism 3 by 2 mechanism 12 but 3 by 4 which 3 by 5 this 3 by 6 occurs 5 this 6 occurs 7 is 8 not 7 is 9 well 7 is 12 but 9 well 10 understood 11 , 12 but 12 but 13 might 13 might 14 be 14 be 15 related 15 related 16 to 15 related 18 in 16 to 17 impairments 18 in 22 systems 19 several 22 systems 20 key 21 immunoregulatory 21 immunoregulatory 22 systems here we show that micro - rna ( mir ) - 29a and mir - 29b , 2 immunoregulatory micro - rnas , were increased in the brain of aged balb/c mice compared with adults . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 36 . 1 here 2 we 2 we 23 , 3 show 12 29a 3 show 13 and 3 show 23 , 4 that 12 29a 5 micro 7 rna 5 micro 11 - 5 micro 12 29a 6 - 7 rna 7 rna 9 mir 7 rna 11 - 8 ( 9 mir 9 mir 10 ) 13 and 19 immunoregulatory 13 and 22 rnas 14 mir 16 29b 14 mir 19 immunoregulatory 15 - 16 29b 16 29b 17 , 18 2 19 immunoregulatory 20 micro 21 - 20 micro 22 rnas 23 , 24 were 24 were 25 increased 25 increased 26 in 25 increased 34 with 26 in 28 brain 27 the 28 brain 28 brain 29 of 28 brain 32 mice 28 brain 33 compared 29 of 31 balb/c 30 aged 31 balb/c 32 mice 33 compared 34 with 35 adults insulin - like growth factor - 1 ( igf - 1 ) and fractalkine [ligand] ( cx3cl1 ) are negative modulators of microglial activation and were identified as targets of mir - 29a and mir - 29b using luciferase assay and primary microglia transfection . 1 insulin 2 - 1 insulin 7 1 3 like 5 factor 3 like 7 1 4 growth 5 factor 6 - 7 1 7 1 13 and 7 1 19 are 8 ( 13 and 9 igf 11 1 9 igf 13 and 10 - 11 1 11 1 12 ) 13 and 14 fractalkine 13 and 17 cx3cl1 13 and 18 ) 16 ( 17 cx3cl1 17 cx3cl1 18 ) 19 are 25 and 20 negative 21 modulators 20 negative 25 and 21 modulators 22 of 22 of 24 activation 23 microglial 24 activation 25 and 26 were 25 and 37 29b 26 were 27 identified 27 identified 28 as 28 as 29 targets 29 targets 30 of 29 targets 34 and 30 of 31 mir 32 - 34 and 33 29a 34 and 34 and 35 mir 34 and 36 - 37 29b 38 using 38 using 41 and 39 luciferase 40 assay 40 assay 41 and 41 and 44 transfection 41 and 45 . 42 primary 44 transfection 43 microglia 44 transfection indeed , higher expression of mir - 29b in the brain of aged mice was associated with reduced messenger rna ( mrna ) levels of igf [-] 1 and cx3cl1 . 0 ###LEFT-WALL### 4 expression 0 ###LEFT-WALL### 16 associated 0 ###LEFT-WALL### 31 . 1 indeed 2 , 1 indeed 4 expression 3 higher 4 expression 4 expression 5 of 4 expression 15 was 5 of 8 29b 6 mir 7 - 6 mir 8 29b 8 29b 9 in 8 29b 12 of 9 in 11 brain 10 the 11 brain 12 of 14 mice 13 aged 14 mice 15 was 16 associated 16 associated 17 with 17 with 24 levels 18 reduced 19 messenger 19 messenger 24 levels 20 rna 22 mrna 20 rna 24 levels 21 ( 22 mrna 22 mrna 23 ) 24 levels 25 of 25 of 30 cx3cl1 26 igf 28 1 26 igf 29 and 29 and 30 cx3cl1 parallel to these results in mice , mir - 29a and mir - 29b were also markedly increased in cortical brain tissue of older individuals ( mean , 77 years ) compared with middle [-] aged adults ( mean , 45 years ) . 0 ###LEFT-WALL### 1 parallel 0 ###LEFT-WALL### 44 . 1 parallel 2 to 1 parallel 15 were 1 parallel 19 in 1 parallel 33 with 2 to 3 these 4 results 5 in 4 results 7 , 5 in 6 mice 7 , 10 29a 7 , 11 and 8 mir 9 - 8 mir 10 29a 11 and 14 29b 11 and 15 were 12 mir 13 - 12 mir 14 29b 15 were 16 also 15 were 18 increased 17 markedly 18 increased 19 in 22 tissue 20 cortical 21 brain 21 brain 22 tissue 22 tissue 23 of 22 tissue 32 compared 23 of 25 individuals 24 older 25 individuals 25 individuals 30 years 26 ( 30 years 27 mean 28 , 27 mean 30 years 29 77 30 years 30 years 31 ) 33 with 37 adults 34 middle 36 aged 36 aged 37 adults 37 adults 42 years 38 ( 42 years 39 mean 40 , 39 mean 42 years 41 45 42 years 42 years 43 ) moreover , increased expression of mir - 29b in human cortical tissue was negatively correlated with igf - [1] and cx3cl1 expression . 0 ###LEFT-WALL### 4 expression 0 ###LEFT-WALL### 15 correlated 0 ###LEFT-WALL### 23 . 1 moreover 2 , 1 moreover 4 expression 3 increased 4 expression 4 expression 5 of 4 expression 13 was 5 of 8 29b 6 mir 7 - 6 mir 8 29b 8 29b 9 in 9 in 12 tissue 10 human 12 tissue 11 cortical 12 tissue 13 was 14 negatively 13 was 15 correlated 15 correlated 16 with 16 with 20 and 17 igf 20 and 18 - 20 and 20 and 22 expression 21 cx3cl1 22 expression collectively , these data indicate [that] an age - associated [increase] in mir - 29 corresponded with the reduction of 2 important regulators of microglia , igf - [1] and cx3cl1 . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 5 indicate 0 ###LEFT-WALL### 9 - 1 collectively 2 , 1 collectively 4 data 3 these 4 data 4 data 5 indicate 5 indicate 8 age 7 an 8 age 9 - 15 29 9 - 16 corresponded 9 - 26 , 9 - 32 . 10 associated 12 in 10 associated 14 - 10 associated 15 29 12 in 13 mir 15 29 16 corresponded 16 corresponded 17 with 17 with 19 reduction 18 the 19 reduction 19 reduction 20 of 19 reduction 24 of 20 of 23 regulators 21 2 23 regulators 22 important 23 regulators 24 of 25 microglia 26 , 30 and 27 igf 30 and 28 - 30 and 30 and 31 cx3cl1 background : the ultrasound cardiac output monitor ( uscom ) is a continuous wave doppler system designed to measure cardiac output ( co ) [non] [-] invasively and intermittently either from the pulmonary or from the aortic valve . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 39 . 2 : 7 monitor 2 : 11 is 3 the 7 monitor 4 ultrasound 7 monitor 5 cardiac 6 output 6 output 7 monitor 7 monitor 9 uscom 7 monitor 11 is 8 ( 9 uscom 9 uscom 10 ) 11 is 16 system 12 a 16 system 13 continuous 16 system 14 wave 16 system 15 doppler 16 system 16 system 17 designed 17 designed 18 to 17 designed 19 measure 18 to 19 measure 19 measure 21 output 19 measure 28 and 19 measure 34 or 20 cardiac 21 output 21 output 23 co 22 ( 23 co 23 co 24 ) 27 invasively 28 and 28 and 29 intermittently 30 either 34 or 31 from 33 pulmonary 31 from 34 or 32 the 33 pulmonary 34 or 35 from 35 from 38 valve 36 the 38 valve 37 aortic 38 valve uscom [scan] quality is critical to obtaining reliable data and during anaesthesia it is said to deteriorate with increasing age . 0 ###LEFT-WALL### 3 quality 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 21 . 1 uscom 3 quality 3 quality 4 is 4 is 5 critical 5 critical 6 to 6 to 7 obtaining 7 obtaining 9 data 8 reliable 9 data 10 and 13 it 10 and 15 said 11 during 12 anaesthesia 11 during 13 it 13 it 14 is 14 is 15 said 15 said 16 to 15 said 18 with 16 to 17 deteriorate 18 with 19 increasing 19 increasing 20 age the aim of this study was to investigate the effect of age on supra - sternal uscom scan repeatability during anaesthesia . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 15 - 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 effect 8 investigate 13 on 9 the 10 effect 10 effect 11 of 11 of 12 age 13 on 14 supra 15 - 17 uscom 15 - 18 scan 15 - 22 . 16 sternal 17 uscom 17 uscom 18 scan 18 scan 19 repeatability 18 scan 20 during 20 during 21 anaesthesia methods : we performed a series of 6 uscom scans in 180 patients of all ages after induction for routine surgery . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 3 we 2 : 4 performed 3 we 4 performed 4 performed 6 series 5 a 6 series 6 series 7 of 6 series 9 uscom 6 series 10 scans 7 of 8 6 9 uscom 10 scans 10 scans 11 in 10 scans 17 after 11 in 13 patients 12 180 13 patients 13 patients 14 of 14 of 16 ages 15 all 16 ages 17 after 18 induction 18 induction 19 for 19 for 21 surgery 20 routine 21 surgery [a] 12 - point cattermole ( cs ) score and 10 - point insonation ( is ) [score] were used to evaluate [scan] quality and ease of insonation . 0 ###LEFT-WALL### 2 12 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 29 . 2 12 3 - 3 - 9 score 4 point 9 score 5 cattermole 7 cs 5 cattermole 9 score 6 ( 7 cs 7 cs 8 ) 10 and 11 10 10 and 20 used 11 10 14 insonation 11 10 19 were 12 - 14 insonation 13 point 14 insonation 14 insonation 16 is 14 insonation 17 ) 15 ( 16 is 16 is 17 ) 19 were 20 used 20 used 21 to 20 used 22 evaluate 21 to 22 evaluate 22 evaluate 25 and 24 quality 25 and 25 and 26 ease 25 and 27 of 27 of 28 insonation the coefficients of variation ( cvs ) of uscom variables [ co , peak velocity , stroke volume [index] ( svi ) and the corrected flow time ] were derived from the series of six readings . 0 ###LEFT-WALL### 2 coefficients 0 ###LEFT-WALL### 30 derived 0 ###LEFT-WALL### 37 . 1 the 2 coefficients 2 coefficients 3 of 2 coefficients 8 of 2 coefficients 29 were 3 of 4 variation 4 variation 6 cvs 5 ( 6 cvs 6 cvs 7 ) 8 of 10 variables 9 uscom 10 variables 10 variables 23 and 11 [ 23 and 12 co 15 velocity 12 co 23 and 13 , 15 velocity 14 peak 15 velocity 15 velocity 18 volume 15 velocity 22 ) 16 , 18 volume 17 stroke 18 volume 18 volume 21 svi 18 volume 22 ) 20 ( 21 svi 21 svi 22 ) 23 and 27 time 23 and 28 ] 24 the 27 time 25 corrected 26 flow 26 flow 27 time 29 were 30 derived 30 derived 31 from 31 from 33 series 32 the 33 series 33 series 34 of 34 of 36 readings 35 six 36 readings results : in >95 % of young patients ( [age] < 50 yr ) , it was easy to obtain a good - quality uscom [scan] ( cs>8 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 16 it 2 : 17 was 2 : 30 . 3 in 5 % 3 in 16 it 4 >95 5 % 6 of 8 patients 6 of 15 , 6 of 16 it 7 young 8 patients 8 patients 13 yr 9 ( 13 yr 11 < 12 50 12 50 13 yr 13 yr 14 ) 16 it 17 was 17 was 18 easy 18 easy 19 to 18 easy 20 obtain 19 to 20 obtain 20 obtain 25 uscom 21 a 22 good 21 a 25 uscom 22 good 23 - 22 good 24 quality 24 quality 25 uscom 25 uscom 28 cs>8 27 ( 28 cs>8 28 cs>8 29 ) in these patients , repeatability of serial readings was good with cvs<5 [%] and precision of less [than] ±10 % . 0 ###LEFT-WALL### 5 repeatability 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 21 . 1 in 3 patients 1 in 4 , 1 in 5 repeatability 2 these 3 patients 5 repeatability 6 of 5 repeatability 9 was 6 of 8 readings 7 serial 8 readings 9 was 10 good 10 good 11 with 11 with 20 % 12 cvs<5 14 and 14 and 15 precision 14 and 16 of 14 and 20 % 16 of 19 ±10 17 less 19 ±10 in older patients ( >50 [yr] ) , scan quality and ease of insonation declined , with >25 % of patients >60 [yr] having unreliable uscom scans ( cs<5 ) . 0 ###LEFT-WALL### 9 scan 0 ###LEFT-WALL### 31 . 1 in 3 patients 1 in 8 , 1 in 9 scan 2 older 3 patients 3 patients 5 >50 4 ( 5 >50 5 >50 7 ) 9 scan 11 and 10 quality 11 and 11 and 12 ease 11 and 16 , 11 and 17 with 11 and 20 of 12 ease 13 of 13 of 14 insonation 14 insonation 15 declined 17 with 19 % 18 >25 19 % 20 of 21 patients 21 patients 22 >60 21 patients 27 scans 21 patients 29 cs<5 22 >60 24 having 22 >60 27 scans 24 having 26 uscom 25 unreliable 26 uscom 28 ( 29 cs<5 29 cs<5 30 ) in these patients , the cv was >5 - 10 % . 0 ###LEFT-WALL### 6 cv 0 ###LEFT-WALL### 8 >5 0 ###LEFT-WALL### 12 . 1 in 3 patients 1 in 4 , 1 in 6 cv 2 these 3 patients 5 the 6 cv 6 cv 7 was 7 was 8 >5 8 >5 11 % 9 - 10 10 10 10 11 % in several elderly patients ( >65 [yr] ) , we failed to locate the uscom signal . 0 ###LEFT-WALL### 10 we 0 ###LEFT-WALL### 11 failed 0 ###LEFT-WALL### 17 . 1 in 4 patients 1 in 9 , 1 in 10 we 2 several 4 patients 3 elderly 4 patients 4 patients 6 >65 5 ( 6 >65 6 >65 8 ) 10 we 11 failed 11 failed 12 to 11 failed 13 locate 12 to 13 locate 13 locate 16 signal 14 the 16 signal 15 uscom 16 signal average scan time increased with age ( 30 [to] >60 s ) . 0 ###LEFT-WALL### 2 scan 0 ###LEFT-WALL### 13 . 1 average 2 scan 2 scan 3 time 3 time 4 increased 4 increased 5 with 5 with 6 age 6 age 11 s 7 ( 11 s 8 30 11 s 10 >60 11 s 11 s 12 ) svi was also strongly correlated with [scan] quality [(] r ( 2 )=0.77 ) . 0 ###LEFT-WALL### 1 svi 0 ###LEFT-WALL### 5 correlated 0 ###LEFT-WALL### 15 . 1 svi 2 was 2 was 3 also 2 was 5 correlated 4 strongly 5 correlated 5 correlated 6 with 6 with 8 quality 8 quality 10 r 8 quality 13 )=0.77 11 ( 13 )=0.77 12 2 13 )=0.77 13 )=0.77 14 ) conclusions : increasing age has a significant effect on uscom scan quality and data reliability . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 scan 0 ###LEFT-WALL### 16 . 2 : 3 increasing 2 : 5 has 3 increasing 4 age 3 increasing 5 has 5 has 8 effect 5 has 11 scan 6 a 7 significant 6 a 8 effect 7 significant 8 effect 8 effect 9 on 9 on 10 uscom 11 scan 13 and 12 quality 13 and 13 and 15 reliability 14 data 15 reliability the microalga haematococcus [pluvialis] [(] [hp] [ )(is the best natural producer of astaxanthin ( ax ) , which is a potent antioxidant with broad health benefits . 0 ###LEFT-WALL### 3 haematococcus 0 ###LEFT-WALL### 8 )(is 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 28 . 1 the 3 haematococcus 2 microalga 3 haematococcus 3 haematococcus 8 )(is 8 )(is 12 producer 9 the 10 best 9 the 12 producer 11 natural 12 producer 12 producer 13 of 13 of 14 astaxanthin 14 astaxanthin 16 ax 15 ( 16 ax 16 ax 17 ) 18 , 19 which 18 , 20 is 19 which 20 is 20 is 23 antioxidant 21 a 22 potent 21 a 23 antioxidant 22 potent 23 antioxidant 23 antioxidant 24 with 24 with 27 benefits 25 broad 27 benefits 26 health 27 benefits the present study investigated the antiaging potential of [hp] biomass using the fruit fly drosophila melanogaster as the animal model . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 investigated 0 ###LEFT-WALL### 21 . 1 the 3 study 2 present 3 study 3 study 4 investigated 4 investigated 7 potential 5 the 7 potential 6 antiaging 7 potential 7 potential 8 of 8 of 10 biomass 10 biomass 11 using 11 using 16 melanogaster 11 using 17 as 12 the 16 melanogaster 13 fruit 16 melanogaster 14 fly 16 melanogaster 15 drosophila 16 melanogaster 17 as 20 model 18 the 20 model 19 animal 20 model the results showed that in wild - type flies the treatment [of] [hp] induced the early mortality at a concentration of 20 mg/ml , which was associated with the decreased enzymatic activities of cuzn - superoxide dismutase ( sod1 ) and mn - superoxide dismutase ( sod2 ) as well as the down - regulation of sod1 , sod2 , and [catalase] [(] cat ) at the transcriptional level . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 showed 1 the 2 results 2 results 3 showed 3 showed 4 that 3 showed 5 in 3 showed 11 treatment 3 showed 14 induced 5 in 9 flies 6 wild 7 - 6 wild 8 type 8 type 9 flies 10 the 11 treatment 11 treatment 14 induced 14 induced 17 mortality 15 the 17 mortality 16 early 17 mortality 17 mortality 18 at 17 mortality 25 which 18 at 20 concentration 19 a 20 concentration 20 concentration 21 of 21 of 23 mg/ml 22 20 23 mg/ml 24 , 25 which 25 which 26 was 26 was 27 associated 27 associated 28 with 28 with 32 activities 29 the 32 activities 30 decreased 32 activities 31 enzymatic 32 activities 32 activities 33 of 33 of 41 and 34 cuzn 37 dismutase 34 cuzn 41 and 35 - 37 dismutase 36 superoxide 37 dismutase 37 dismutase 39 sod1 37 dismutase 40 ) 38 ( 39 sod1 39 sod1 40 ) 41 and 42 mn 41 and 51 as 42 mn 45 dismutase 43 - 45 dismutase 44 superoxide 45 dismutase 45 dismutase 47 sod2 45 dismutase 48 ) 46 ( 47 sod2 47 sod2 48 ) 49 as 50 well 50 well 51 as 51 as 55 regulation 52 the 55 regulation 53 down 54 - 53 down 55 regulation 55 regulation 56 of 55 regulation 61 and 56 of 57 sod1 58 , 61 and 59 sod2 61 and 60 , 61 and 61 and 64 cat 61 and 65 ) 61 and 66 at 61 and 70 . 66 at 69 level 67 the 69 level 68 transcriptional 69 level in sod ( n108 ) mutant flies , the supplementation [of] [hp] ( 10 or 20 mg/ml ) significantly extended their lifespan and ameliorated the age - related decline [in] locomotor function . 0 ###LEFT-WALL### 10 supplementation 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 27 - 1 in 2 sod 1 in 10 supplementation 2 sod 7 flies 3 ( 7 flies 4 n108 5 ) 4 n108 7 flies 6 mutant 7 flies 7 flies 8 , 9 the 10 supplementation 10 supplementation 17 mg/ml 10 supplementation 23 and 13 ( 17 mg/ml 14 10 15 or 15 or 16 20 15 or 17 mg/ml 17 mg/ml 18 ) 19 significantly 20 extended 20 extended 22 lifespan 20 extended 23 and 21 their 22 lifespan 23 and 24 ameliorated 24 ameliorated 26 age 25 the 26 age 27 - 32 function 27 - 33 . 28 related 29 decline 29 decline 32 function 31 locomotor 32 function further studies suggested that [hp] may play a role as a complement to the defective endogenous antioxidant system to exert such lifespan elongation effects . 0 ###LEFT-WALL### 1 further 0 ###LEFT-WALL### 25 . 1 further 2 studies 1 further 10 as 1 further 13 to 1 further 19 to 2 studies 3 suggested 2 studies 4 that 2 studies 6 may 4 that 6 may 6 may 7 play 7 play 9 role 8 a 9 role 10 as 12 complement 11 a 12 complement 13 to 18 system 14 the 18 system 15 defective 18 system 16 endogenous 18 system 17 antioxidant 18 system 19 to 20 exert 20 exert 24 effects 21 such 24 effects 22 lifespan 24 effects 23 elongation 24 effects these results , taken together , strongly support the antiaging properties of [hp] [and] its therapeutic rather than preventive potential against aging - related diseases . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 8 support 0 ###LEFT-WALL### 24 related 1 these 2 results 2 results 4 taken 2 results 8 support 3 , 4 taken 4 taken 5 together 4 taken 6 , 7 strongly 8 support 8 support 11 properties 8 support 18 than 8 support 21 against 9 the 11 properties 10 antiaging 11 properties 11 properties 12 of 12 of 16 therapeutic 15 its 16 therapeutic 17 rather 18 than 18 than 20 potential 19 preventive 20 potential 21 against 22 aging 23 - 24 related 24 related 25 diseases 24 related 26 . background : stomach cancer is one of the leading causes of cancer deaths in japan . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 cancer 2 : 5 is 2 : 16 . 3 stomach 4 cancer 4 cancer 5 is 5 is 6 one 6 one 7 of 7 of 10 causes 8 the 10 causes 9 leading 10 causes 10 causes 11 of 11 of 13 deaths 12 cancer 13 deaths 13 deaths 14 in 14 in 15 japan the objectives of this study were to estimate and project the economic burden associated with stomach cancer in japan , and to identify the key factors that drive the economic burden of stomach cancer . 0 ###LEFT-WALL### 2 objectives 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 35 . 1 the 2 objectives 2 objectives 3 of 2 objectives 21 and 3 of 5 study 4 this 5 study 6 were 7 to 6 were 9 and 6 were 21 and 7 to 9 and 8 estimate 9 and 9 and 10 project 9 and 18 in 10 project 13 burden 11 the 13 burden 12 economic 13 burden 13 burden 14 associated 14 associated 15 with 15 with 17 cancer 16 stomach 17 cancer 18 in 19 japan 20 , 21 and 21 and 22 to 21 and 23 identify 22 to 23 identify 23 identify 26 factors 24 the 26 factors 25 key 26 factors 26 factors 27 that 26 factors 28 drive 27 that 28 drive 28 drive 31 burden 29 the 31 burden 30 economic 31 burden 31 burden 32 of 32 of 34 cancer 33 stomach 34 cancer methods : we calculated cost of illness ( coi ) of 1996 , 2002 , 2008 , 2014 and 2020 by using government office statistics and the coi method . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 calculated 3 we 4 calculated 4 calculated 5 cost 5 cost 6 of 5 cost 11 of 6 of 7 illness 7 illness 9 coi 8 ( 9 coi 9 coi 10 ) 11 of 12 1996 12 1996 14 2002 12 1996 19 and 13 , 14 2002 14 2002 16 2008 14 2002 17 , 15 , 16 2008 16 2008 17 , 17 , 19 and 18 2014 19 and 19 and 20 2020 19 and 21 by 19 and 30 . 21 by 22 using 22 using 26 and 23 government 24 office 24 office 25 statistics 25 statistics 26 and 26 and 29 method 27 the 29 method 28 coi 29 method we calculated direct cost and indirect cost ( morbidity cost and mortality cost ) , and estimated the coi by summing them up . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 24 . 1 we 16 and 2 calculated 5 and 2 calculated 16 and 3 direct 4 cost 4 cost 5 and 5 and 7 cost 5 and 11 and 6 indirect 7 cost 8 ( 11 and 9 morbidity 10 cost 10 cost 11 and 11 and 13 cost 11 and 14 ) 12 mortality 13 cost 15 , 16 and 16 and 17 estimated 16 and 20 by 17 estimated 19 coi 18 the 19 coi 20 by 21 summing 21 summing 22 them 21 summing 23 up results : the number of deaths remained at approximately 50,000 in 1996 - 2008 . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 6 deaths 2 : 7 remained 2 : 15 . 3 the 4 number 4 number 5 of 4 number 6 deaths 5 of 6 deaths 6 deaths 7 remained 7 remained 8 at 7 remained 13 - 8 at 11 in 9 approximately 10 50,000 10 50,000 11 in 12 1996 13 - 13 - 14 2008 coi was in downward [trend] from 1,293.5 billion yen in 1996 to 1,114.2 billion yen in 2008 . 0 ###LEFT-WALL### 1 coi 0 ###LEFT-WALL### 18 . 1 coi 2 was 2 was 3 in 2 was 4 downward 2 was 6 from 2 was 10 in 2 was 16 in 6 from 9 yen 7 1,293.5 8 billion 8 billion 9 yen 10 in 15 yen 11 1996 12 to 12 to 13 1,114.2 12 to 14 billion 14 billion 15 yen 16 in 17 2008 morbidity cost [was] 85.6 billion yen and 54.0 billion yen , mortality cost [was] 972.3 billion yen and 806.4 billion yen , [and] mortality cost per person was 19.4 million yen and 16.1 million yen in 1996 and 2008 , respectively . 0 ###LEFT-WALL### 1 morbidity 0 ###LEFT-WALL### 2 cost 0 ###LEFT-WALL### 11 , 1 morbidity 2 cost 2 cost 6 yen 2 cost 7 and 4 85.6 5 billion 5 billion 6 yen 7 and 10 yen 8 54.0 9 billion 9 billion 10 yen 11 , 12 mortality 11 , 13 cost 11 , 22 , 12 mortality 13 cost 13 cost 17 yen 13 cost 18 and 15 972.3 16 billion 16 billion 17 yen 18 and 21 yen 19 806.4 20 billion 20 billion 21 yen 22 , 25 cost 22 , 28 was 22 , 32 and 24 mortality 25 cost 25 cost 26 per 25 cost 28 was 26 per 27 person 28 was 31 yen 29 19.4 30 million 30 million 31 yen 32 and 34 million 32 and 35 yen 33 16.1 34 million 34 million 35 yen 35 yen 36 in 35 yen 41 respectively 36 in 38 and 37 1996 38 and 38 and 39 2008 40 , 41 respectively 41 respectively 42 . decrease of mortality cost that accounted for a large part of the coi ( 72.4 % in 2008 ) was the major contributing factor . 0 ###LEFT-WALL### 1 decrease 0 ###LEFT-WALL### 20 was 0 ###LEFT-WALL### 25 . 1 decrease 2 of 1 decrease 5 that 1 decrease 6 accounted 1 decrease 20 was 2 of 4 cost 3 mortality 4 cost 5 that 6 accounted 6 accounted 7 for 7 for 10 part 8 a 9 large 8 a 10 part 9 large 10 part 10 part 11 of 11 of 13 coi 12 the 13 coi 13 coi 16 % 14 ( 16 % 15 72.4 16 % 16 % 17 in 16 % 19 ) 17 in 18 2008 20 was 24 factor 21 the 24 factor 22 major 24 factor 23 contributing 24 factor coi is predicted to decrease if the trend of health related indicators continues ( 442.8 - 1,056.1 billion yen depending on the model in 2020 ) . 0 ###LEFT-WALL### 1 coi 0 ###LEFT-WALL### 3 predicted 0 ###LEFT-WALL### 27 . 1 coi 2 is 2 is 3 predicted 3 predicted 4 to 3 predicted 6 if 4 to 5 decrease 6 if 8 trend 6 if 13 continues 7 the 8 trend 8 trend 9 of 8 trend 13 continues 9 of 12 indicators 10 health 11 related 11 related 12 indicators 13 continues 16 - 14 ( 16 - 15 442.8 16 - 16 - 20 depending 16 - 26 ) 17 1,056.1 18 billion 18 billion 19 yen 19 yen 20 depending 20 depending 21 on 21 on 23 model 22 the 23 model 23 model 24 in 24 in 25 2020 mortality cost per person is also predicted to decrease ( 9.5 - 12.5 million yen depending on the model in 2020 ) . 0 ###LEFT-WALL### 2 cost 0 ###LEFT-WALL### 7 predicted 0 ###LEFT-WALL### 23 . 1 mortality 2 cost 2 cost 3 per 2 cost 5 is 3 per 4 person 5 is 7 predicted 6 also 7 predicted 7 predicted 8 to 8 to 9 decrease 9 decrease 12 - 10 ( 12 - 11 9.5 12 - 12 - 16 depending 12 - 22 ) 13 12.5 14 million 14 million 15 yen 15 yen 16 depending 16 depending 17 on 17 on 19 model 18 the 19 model 19 model 20 in 20 in 21 2020 conclusions : if the trend of health related indicators continues , it is estimated that coi of stomach cancer would decrease . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 12 it 2 : 14 estimated 2 : 22 . 3 if 5 trend 3 if 10 continues 3 if 11 , 3 if 12 it 4 the 5 trend 5 trend 6 of 5 trend 10 continues 6 of 9 indicators 7 health 8 related 8 related 9 indicators 12 it 13 is 13 is 14 estimated 14 estimated 15 that 15 that 16 coi 15 that 21 decrease 16 coi 17 of 16 coi 20 would 17 of 19 cancer 18 stomach 19 cancer 20 would 21 decrease " aging " , " change of the healthcare providing system " and " new medical technology " are considered as contributing factors of coi . 0 ###LEFT-WALL### 1 " 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 20 considered 0 ###LEFT-WALL### 26 . 2 aging 3 " 2 aging 4 , 2 aging 13 and 4 , 5 " 6 change 7 of 6 change 13 and 7 of 11 system 8 the 11 system 9 healthcare 11 system 10 providing 11 system 11 system 12 " 13 and 14 " 13 and 17 technology 13 and 19 are 15 new 17 technology 16 medical 17 technology 17 technology 18 " 19 are 20 considered 20 considered 23 factors 21 as 22 contributing 22 contributing 23 factors 23 factors 24 of 24 of 25 coi aim : the frailty index ( fi ) summarizes differences in health status within individuals , and the determinants of health drive that variability . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 5 index 2 : 9 summarizes 2 : 17 and 2 : 25 . 3 the 5 index 4 frailty 5 index 5 index 7 fi 5 index 9 summarizes 6 ( 7 fi 7 fi 8 ) 9 summarizes 10 differences 9 summarizes 11 in 9 summarizes 14 within 11 in 13 status 12 health 13 status 14 within 15 individuals 16 , 17 and 17 and 19 determinants 17 and 22 drive 18 the 19 determinants 19 determinants 20 of 19 determinants 22 drive 20 of 21 health 22 drive 24 variability 23 that 24 variability the aim of the present study was to investigate the influence of education , income , smoking , alcohol intake and parental longevity on the fi variability in subjects of the same chronological age group . 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 35 group 0 ###LEFT-WALL### 36 . 1 the 2 aim 2 aim 3 of 2 aim 12 of 2 aim 14 , 3 of 5 present 4 the 5 present 5 present 6 study 5 present 7 was 6 study 7 was 7 was 8 to 8 to 9 investigate 9 investigate 11 influence 10 the 11 influence 12 of 13 education 14 , 15 income 14 , 16 , 16 , 17 smoking 16 , 18 , 18 , 20 intake 18 , 21 and 19 alcohol 20 intake 21 and 23 longevity 21 and 24 on 21 and 28 in 21 and 30 of 21 and 35 group 22 parental 23 longevity 24 on 27 variability 25 the 27 variability 26 fi 27 variability 28 in 29 subjects 30 of 34 age 31 the 32 same 32 same 34 age 33 chronological 34 age methods : analyses were based on [a] 40 - item fi based on the first wave of the survey of health , aging and retirement in europe ( share , http://www.share - project.org/ ) , including 29 905 participants aged ≥50 years from 12 countries . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 46 . 2 : 3 analyses 2 : 5 based 2 : 9 - 2 : 22 , 3 analyses 4 were 4 were 5 based 5 based 6 on 6 on 8 40 9 - 11 fi 10 item 11 fi 11 fi 12 based 11 fi 17 of 11 fi 20 of 12 based 13 on 13 on 16 wave 14 the 15 first 14 the 16 wave 17 of 19 survey 18 the 19 survey 20 of 21 health 22 , 24 and 23 aging 24 and 24 and 25 retirement 24 and 26 in 24 and 36 including 26 in 27 europe 27 europe 29 share 28 ( 29 share 29 share 33 project.org/ 29 share 35 , 30 , 33 project.org/ 31 http://www.share 32 - 31 http://www.share 33 project.org/ 33 project.org/ 34 ) 36 including 42 years 36 including 43 from 37 29 39 participants 38 905 39 participants 39 participants 40 aged 40 aged 42 years 41 ≥50 42 years 43 from 45 countries 44 12 45 countries for each sex , the sample was divided into age categories ( 50 s , 60 s , 70 s , 80 s [and] ≥90 ) , and fi quartiles within age categories were calculated . 0 ###LEFT-WALL### 6 sample 0 ###LEFT-WALL### 8 divided 0 ###LEFT-WALL### 28 and 0 ###LEFT-WALL### 36 . 1 for 3 sex 1 for 4 , 1 for 6 sample 2 each 3 sex 5 the 6 sample 6 sample 7 was 7 was 8 divided 8 divided 9 into 9 into 11 categories 10 age 11 categories 11 categories 14 s 11 categories 17 s 11 categories 20 s 11 categories 25 ≥90 12 ( 14 s 13 50 14 s 14 s 15 , 15 , 17 s 16 60 17 s 17 s 18 , 18 , 20 s 19 70 20 s 20 s 21 , 21 , 25 ≥90 22 80 23 s 23 s 25 ≥90 25 ≥90 26 ) 27 , 28 and 28 and 30 quartiles 28 and 35 calculated 29 fi 30 quartiles 30 quartiles 31 within 30 quartiles 34 were 31 within 33 categories 32 age 33 categories 34 were 35 calculated multivariate ordinal regressions were computed to assess the relative contribution of the health determinants on the fi quartiles in each age group . 0 ###LEFT-WALL### 1 multivariate 0 ###LEFT-WALL### 18 quartiles 0 ###LEFT-WALL### 23 . 1 multivariate 3 regressions 1 multivariate 7 assess 1 multivariate 18 quartiles 2 ordinal 3 regressions 3 regressions 4 were 4 were 5 computed 5 computed 6 to 6 to 7 assess 7 assess 10 contribution 7 assess 15 on 8 the 10 contribution 9 relative 10 contribution 10 contribution 11 of 11 of 14 determinants 12 the 14 determinants 13 health 14 determinants 15 on 17 fi 16 the 17 fi 18 quartiles 19 in 19 in 22 group 20 each 22 group 21 age 22 group results : in women , the most significant multivariate predictors were years of education ( odds ratios [ or []] around 0.9 ) , and difficulties making ends meet ( or between 1.8 and 2.1 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 10 predictors 2 : 11 were 2 : 37 . 3 in 4 women 3 in 5 , 3 in 10 predictors 6 the 7 most 7 most 10 predictors 8 significant 10 predictors 9 multivariate 10 predictors 10 predictors 11 were 11 were 25 and 12 years 13 of 12 years 25 and 13 of 14 education 14 education 17 ratios 15 ( 17 ratios 16 odds 17 ratios 17 ratios 19 or 17 ratios 24 , 18 [ 19 or 19 or 21 around 19 or 23 ) 21 around 22 0.9 25 and 26 difficulties 25 and 27 making 25 and 31 or 27 making 28 ends 27 making 29 meet 30 ( 31 or 31 or 34 and 31 or 36 ) 32 between 34 and 33 1.8 34 and 34 and 35 2.1 in men , the most significant multivariate predictors were years of education ( or around 0.9 ) , difficulties making ends meet ( or between 1.6 and 2.1 ) , mother 's age at death ( or under 1 ) , and father 's age at death ( or under 1 ) . 0 ###LEFT-WALL### 8 predictors 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 42 and 0 ###LEFT-WALL### 44 's 0 ###LEFT-WALL### 53 . 1 in 2 men 1 in 3 , 1 in 8 predictors 4 the 5 most 5 most 8 predictors 6 significant 8 predictors 7 multivariate 8 predictors 8 predictors 9 were 9 were 10 years 10 years 11 of 10 years 19 difficulties 11 of 12 education 12 education 14 or 13 ( 14 or 14 or 15 around 14 or 17 ) 15 around 16 0.9 18 , 19 difficulties 19 difficulties 20 making 19 difficulties 24 or 19 difficulties 33 age 19 difficulties 41 , 20 making 21 ends 20 making 22 meet 23 ( 24 or 24 or 27 and 24 or 29 ) 25 between 27 and 26 1.6 27 and 27 and 28 2.1 30 , 33 age 31 mother 32 's 32 's 33 age 33 age 34 at 33 age 37 or 33 age 40 ) 34 at 35 death 36 ( 37 or 37 or 38 under 37 or 40 ) 38 under 39 1 42 and 43 father 42 and 44 's 43 father 44 's 44 's 45 age 44 's 46 at 46 at 47 death 47 death 49 or 48 ( 49 or 49 or 50 under 49 or 52 ) 50 under 51 1 conclusions : consistently with the literature , education and income explained , in both sexes , cross - sectional variability in fi in subjects of the same chronological age group . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 9 and 2 : 17 cross 2 : 18 - 2 : 31 . 3 consistently 9 and 4 with 6 literature 4 with 7 , 4 with 9 and 5 the 6 literature 8 education 9 and 9 and 10 income 9 and 11 explained 9 and 17 cross 11 explained 13 in 12 , 13 in 13 in 15 sexes 13 in 16 , 14 both 15 sexes 18 - 20 variability 19 sectional 20 variability 20 variability 21 in 21 in 22 fi 22 fi 23 in 22 fi 25 of 23 in 24 subjects 25 of 30 group 26 the 27 same 27 same 30 group 28 chronological 29 age 29 age 30 group the influence of parental longevity seemed to be greater in men , which mirrors previous studies showing that genetic factors might have a higher impact on longevity in men . 0 ###LEFT-WALL### 2 influence 0 ###LEFT-WALL### 6 seemed 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 30 . 1 the 2 influence 2 influence 3 of 2 influence 6 seemed 3 of 5 longevity 4 parental 5 longevity 6 seemed 7 to 6 seemed 8 be 7 to 8 be 8 be 9 greater 9 greater 10 in 10 in 11 men 12 , 13 which 12 , 14 mirrors 13 which 14 mirrors 14 mirrors 16 studies 15 previous 16 studies 16 studies 17 showing 17 showing 18 that 18 that 20 factors 18 that 22 have 19 genetic 20 factors 20 factors 21 might 21 might 22 have 22 have 25 impact 22 have 26 on 22 have 28 in 23 a 25 impact 24 higher 25 impact 26 on 27 longevity 28 in 29 men in recent years , diabetes has been shown to be associated with cancer risk , and this has led to a joint committee being formed , enlisting experts from the japan diabetes society and the japanese cancer association to address this issue . 0 ###LEFT-WALL### 5 diabetes 0 ###LEFT-WALL### 8 shown 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 43 . 1 in 3 years 1 in 4 , 1 in 5 diabetes 2 recent 3 years 5 diabetes 6 has 6 has 7 been 7 been 8 shown 8 shown 9 to 9 to 10 be 10 be 11 associated 11 associated 12 with 12 with 14 risk 13 cancer 14 risk 15 , 16 and 16 and 17 this 16 and 19 led 17 this 18 has 18 has 19 led 19 led 20 to 19 led 38 association 19 led 39 to 20 to 34 and 21 a 22 joint 21 a 24 being 22 joint 23 committee 23 committee 24 being 24 being 25 formed 24 being 26 , 26 , 28 experts 26 , 34 and 27 enlisting 28 experts 28 experts 29 from 29 from 33 society 30 the 33 society 31 japan 32 diabetes 32 diabetes 33 society 34 and 36 japanese 35 the 36 japanese 37 cancer 38 association 39 to 40 address 40 address 42 issue 41 this 42 issue epidemiological data in japan provides evidence to demonstrate that diabetes is associated with increased risk for cancers , especially colorectal , liver , and pancreatic cancers . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 8 demonstrate 0 ###LEFT-WALL### 27 . 1 epidemiological 2 data 2 data 3 in 2 data 5 provides 3 in 4 japan 5 provides 6 evidence 5 provides 7 to 7 to 8 demonstrate 8 demonstrate 9 that 9 that 10 diabetes 9 that 12 associated 10 diabetes 11 is 11 is 12 associated 12 associated 13 with 12 associated 16 for 13 with 15 risk 14 increased 15 risk 16 for 24 and 17 cancers 18 , 18 , 22 liver 18 , 24 and 19 especially 20 colorectal 20 colorectal 21 , 20 colorectal 22 liver 23 , 24 and 24 and 26 cancers 25 pancreatic 26 cancers the mechanisms through which diabetes is assumed to promote oncogenesis include insulin resistance and associated hyperinsulinemia , hyperglycemia , and inflammation . 0 ###LEFT-WALL### 2 mechanisms 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 22 . 1 the 2 mechanisms 2 mechanisms 3 through 2 mechanisms 14 and 3 through 4 which 3 through 5 diabetes 3 through 7 assumed 5 diabetes 6 is 6 is 7 assumed 7 assumed 8 to 8 to 9 promote 9 promote 10 oncogenesis 11 include 13 resistance 11 include 14 and 12 insulin 13 resistance 14 and 15 associated 15 associated 20 and 16 hyperinsulinemia 17 , 17 , 18 hyperglycemia 17 , 20 and 19 , 20 and 20 and 21 inflammation common risk factors for type 2 diabetes and cancer include aging , male sex , obesity , physical inactivity , inappropriate diet [(] excessive red/processed meat intake , inadequate vegetable/fruit/dietary fiber intake ) , excessive alcohol drinking , and smoking . 0 ###LEFT-WALL### 39 and 0 ###LEFT-WALL### 41 . 1 common 3 factors 2 risk 3 factors 3 factors 4 for 3 factors 8 and 4 for 7 diabetes 5 type 7 diabetes 6 2 7 diabetes 8 and 10 include 8 and 11 aging 8 and 14 sex 8 and 39 and 9 cancer 10 include 12 , 14 sex 13 male 14 sex 14 sex 16 obesity 14 sex 38 , 15 , 16 obesity 16 obesity 19 inactivity 16 obesity 38 , 17 , 19 inactivity 18 physical 19 inactivity 19 inactivity 27 intake 19 inactivity 38 , 20 , 27 intake 21 inappropriate 22 diet 22 diet 27 intake 24 excessive 26 meat 25 red/processed 26 meat 26 meat 27 intake 27 intake 32 intake 27 intake 37 drinking 27 intake 38 , 28 , 32 intake 29 inadequate 31 fiber 30 vegetable/fruit/dietary 31 fiber 31 fiber 32 intake 32 intake 33 ) 34 , 37 drinking 35 excessive 36 alcohol 36 alcohol 37 drinking 37 drinking 38 , 39 and 40 smoking given that inappropriate diet/exercise , smoking and excessive alcohol drinking are common risk factors for diabetes and cancer , diet/exercise therapy , smoking cessation and alcohol moderation may be associated with decreased risk for cancer in diabetic patients . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 11 are 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 29 be 0 ###LEFT-WALL### 39 . 1 given 4 diet/exercise 2 that 3 inappropriate 3 inappropriate 4 diet/exercise 4 diet/exercise 5 , 5 , 6 smoking 5 , 7 and 7 and 9 alcohol 7 and 10 drinking 7 and 11 are 8 excessive 9 alcohol 11 are 17 and 12 common 14 factors 13 risk 14 factors 14 factors 15 for 14 factors 17 and 15 for 16 diabetes 17 and 18 cancer 19 , 29 be 20 diet/exercise 21 therapy 21 therapy 22 , 22 , 24 cessation 22 , 25 and 23 smoking 24 cessation 25 and 27 moderation 25 and 28 may 26 alcohol 27 moderation 28 may 29 be 29 be 30 associated 30 associated 31 with 30 associated 34 for 30 associated 36 in 31 with 33 risk 32 decreased 33 risk 34 for 35 cancer 36 in 38 patients 37 diabetic 38 patients there is [as] yet limited evidence as to whether any particular antidiabetic agents may influence cancer risk . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 18 . 1 there 2 is 2 is 4 yet 2 is 6 evidence 2 is 8 to 5 limited 6 evidence 7 as 8 to 8 to 9 whether 9 whether 13 agents 9 whether 15 influence 10 any 13 agents 11 particular 13 agents 12 antidiabetic 13 agents 13 agents 14 may 14 may 15 influence 15 influence 17 risk 16 cancer 17 risk aim : the aim of the present study was to delineate [how] age - related deterioration affects the handwriting of healthy elderly ( he ) subjects . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 2 : 4 aim 2 : 17 affects 2 : 27 . 3 the 4 aim 4 aim 5 of 4 aim 17 affects 5 of 7 present 6 the 7 present 7 present 8 study 7 present 11 delineate 8 study 9 was 9 was 10 to 9 was 11 delineate 10 to 11 delineate 11 delineate 13 age 14 - 15 related 15 related 16 deterioration 15 related 17 affects 17 affects 19 handwriting 18 the 19 handwriting 19 handwriting 20 of 20 of 26 subjects 21 healthy 26 subjects 22 elderly 24 he 22 elderly 26 subjects 23 ( 24 he 24 he 25 ) methods : a total of 235 he ( 54 males , 181 females ) aged 57 - 91 years participated as subjects in the study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 total 2 : 15 aged 2 : 26 . 3 a 4 total 4 total 5 of 4 total 15 aged 5 of 7 he 6 235 7 he 7 he 10 males 7 he 13 females 8 ( 10 males 9 54 10 males 10 males 11 , 11 , 13 females 12 181 13 females 13 females 14 ) 15 aged 17 - 16 57 17 - 17 - 18 91 18 91 19 years 19 years 20 participated 20 participated 21 as 20 participated 23 in 21 as 22 subjects 23 in 25 study 24 the 25 study in order to compare the area of handwriting , we divided the participants into two groups : ( [i] [ )(aged 57 - 74 years [;] and [(] ii ) aged 75 - 91 years . 0 ###LEFT-WALL### 10 we 0 ###LEFT-WALL### 11 divided 0 ###LEFT-WALL### 17 : 0 ###LEFT-WALL### 36 . 1 in 2 order 1 in 9 , 1 in 10 we 2 order 3 to 2 order 4 compare 2 order 7 of 3 to 4 compare 4 compare 6 area 5 the 6 area 7 of 8 handwriting 10 we 11 divided 11 divided 13 participants 12 the 13 participants 13 participants 14 into 14 into 16 groups 15 two 16 groups 17 : 27 and 17 : 31 aged 18 ( 21 )(aged 21 )(aged 22 57 21 )(aged 23 - 21 )(aged 27 and 24 74 25 years 25 years 27 and 27 and 29 ii 27 and 30 ) 27 and 31 aged 31 aged 35 years 32 75 33 - 33 - 34 91 33 - 35 years the writing stimulus was a four [-] syllabic word with one - to - one grapheme - to [-] phoneme correspondence . 0 ###LEFT-WALL### 3 stimulus 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 22 . 1 the 3 stimulus 2 writing 3 stimulus 3 stimulus 4 was 4 was 9 word 5 a 9 word 6 four 9 word 8 syllabic 9 word 9 word 10 with 9 word 18 to 10 with 11 one 11 one 13 to 12 - 13 to 13 to 16 grapheme 13 to 17 - 14 - 15 one 15 one 16 grapheme 18 to 21 correspondence 20 phoneme 21 correspondence the size of each syllable in the target word was measured using a software program . 0 ###LEFT-WALL### 2 size 0 ###LEFT-WALL### 10 was 0 ###LEFT-WALL### 16 . 1 the 2 size 2 size 3 of 2 size 10 was 3 of 5 syllable 4 each 5 syllable 5 syllable 6 in 6 in 9 word 7 the 9 word 8 target 9 word 10 was 11 measured 11 measured 12 using 12 using 15 program 13 a 14 software 13 a 15 program 14 software 15 program alignment of the word to baseline was assessed using a multiple - choice checklist . 0 ###LEFT-WALL### 1 alignment 0 ###LEFT-WALL### 8 assessed 0 ###LEFT-WALL### 15 . 1 alignment 2 of 1 alignment 7 was 2 of 4 word 3 the 4 word 4 word 5 to 5 to 6 baseline 7 was 8 assessed 8 assessed 9 using 9 using 14 checklist 10 a 11 multiple 10 a 14 checklist 11 multiple 12 - 11 multiple 14 checklist 13 choice 14 checklist results : as compared with handwriting by the younger group , the older group showed greater variability in the size of the written syllables within the word ( p = 0.023 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 14 group 2 : 15 showed 3 as 4 compared 3 as 11 , 3 as 14 group 4 compared 5 with 4 compared 7 by 5 with 6 handwriting 7 by 10 group 8 the 10 group 9 younger 10 group 12 the 14 group 13 older 14 group 14 group 15 showed 15 showed 17 variability 15 showed 18 in 15 showed 25 within 16 greater 17 variability 18 in 20 size 19 the 20 size 20 size 21 of 21 of 24 syllables 22 the 24 syllables 23 written 24 syllables 25 within 27 word 26 the 27 word 27 word 30 = 28 ( 30 = 29 p 30 = 30 = 31 0.023 30 = 32 ) conclusion : the handwriting was characterized by unequal size among syllables and [non] [-] perpendicular alignment , which could be explained by several factors . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 4 handwriting 2 : 6 characterized 2 : 17 , 3 the 4 handwriting 4 handwriting 5 was 5 was 6 characterized 6 characterized 7 by 6 characterized 10 among 7 by 9 size 8 unequal 9 size 10 among 12 and 11 syllables 12 and 12 and 16 alignment 15 perpendicular 16 alignment 17 , 18 which 17 , 21 explained 18 which 19 could 19 could 20 be 20 be 21 explained 21 explained 22 by 22 by 24 factors 23 several 24 factors first , the variability might have resulted from irregular fine movement motor control in older adults . 0 ###LEFT-WALL### 4 variability 0 ###LEFT-WALL### 7 resulted 0 ###LEFT-WALL### 17 . 1 first 2 , 1 first 4 variability 3 the 4 variability 4 variability 5 might 5 might 6 have 6 have 7 resulted 7 resulted 8 from 7 resulted 14 in 8 from 13 control 9 irregular 11 movement 10 fine 11 movement 11 movement 13 control 12 motor 13 control 14 in 16 adults 15 older 16 adults second , the deterioration of visual feedback and visuomotor integration in normal aging might have affected handwriting performance . 0 ###LEFT-WALL### 4 deterioration 0 ###LEFT-WALL### 16 affected 0 ###LEFT-WALL### 19 . 1 second 2 , 1 second 4 deterioration 3 the 4 deterioration 4 deterioration 5 of 4 deterioration 14 might 5 of 8 and 6 visual 7 feedback 7 feedback 8 and 8 and 10 integration 8 and 11 in 9 visuomotor 10 integration 11 in 13 aging 12 normal 13 aging 14 might 15 have 15 have 16 affected 16 affected 18 performance 17 handwriting 18 performance in conclusion , variability of handwriting can be sensitive in predicting the aging process . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 15 . 1 in 2 conclusion 3 , 4 variability 3 , 8 be 4 variability 5 of 4 variability 7 can 5 of 6 handwriting 7 can 8 be 8 be 9 sensitive 9 sensitive 10 in 10 in 11 predicting 11 predicting 14 process 12 the 14 process 13 aging 14 process aim : to investigate the relationship between physical [function] , mortality and autonomic nervous activity measured by heart rate variability of elderly in long - term care . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 28 . 1 aim 2 : 2 : 3 to 2 : 4 investigate 3 to 4 investigate 4 investigate 6 relationship 5 the 6 relationship 6 relationship 7 between 6 relationship 22 elderly 7 between 12 and 8 physical 10 , 8 physical 11 mortality 11 mortality 12 and 12 and 13 autonomic 12 and 15 activity 12 and 21 of 14 nervous 15 activity 15 activity 16 measured 16 measured 17 by 16 measured 20 variability 17 by 18 heart 19 rate 20 variability 20 variability 21 of 22 elderly 23 in 23 in 27 care 24 long 25 - 24 long 26 term 26 term 27 care methods : cross - sectional and longitudinal studies were carried out at hospitals and health service facilities for the elderly [in] nagano prefecture , japan , from july 2007 to march 2011 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 cross 2 : 4 - 4 - 8 studies 4 - 10 carried 4 - 33 . 5 sectional 6 and 6 and 7 longitudinal 6 and 8 studies 8 studies 9 were 9 were 10 carried 10 carried 11 out 10 carried 12 at 10 carried 18 for 10 carried 27 from 10 carried 30 to 12 at 17 facilities 13 hospitals 14 and 14 and 16 service 14 and 17 facilities 15 health 16 service 18 for 23 prefecture 19 the 23 prefecture 20 elderly 23 prefecture 22 nagano 23 prefecture 23 prefecture 25 japan 24 , 25 japan 25 japan 26 , 27 from 28 july 28 july 29 2007 30 to 31 march 31 march 32 2011 a total of 105 long - term care older adults and 17 control older adults [with] independent physical function were included . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 21 included 0 ###LEFT-WALL### 22 . 1 a 2 total 2 total 3 of 2 total 11 and 3 of 10 adults 4 105 10 adults 5 long 6 - 5 long 7 term 7 term 10 adults 8 care 10 adults 9 older 10 adults 11 and 19 function 11 and 20 were 12 17 13 control 13 control 19 function 14 older 15 adults 15 adults 19 function 17 independent 19 function 18 physical 19 function 20 were 21 included the functional independence measure ( fim ) and barthel index were determined as indices of physical function . 0 ###LEFT-WALL### 17 function 0 ###LEFT-WALL### 18 . 1 the 6 fim 2 functional 3 independence 3 independence 4 measure 4 measure 6 fim 5 ( 6 fim 6 fim 7 ) 6 fim 8 and 8 and 9 barthel 8 and 10 index 8 and 15 of 8 and 17 function 10 index 11 were 11 were 12 determined 12 determined 13 as 13 as 14 indices 14 indices 15 of 16 physical 17 function twenty - four - hour holter monitoring was carried out . 0 ###LEFT-WALL### 1 twenty 0 ###LEFT-WALL### 2 - 2 - 3 four 2 - 4 - 4 - 7 monitoring 4 - 9 carried 4 - 11 . 5 hour 7 monitoring 6 holter 7 monitoring 7 monitoring 8 was 8 was 9 carried 9 carried 10 out from rr intervals in electrocardiograms , heart rate and standard deviations of all nn intervals in all 5 - min segments of the entire recording , power spectral density , low frequency , high frequency and low frequency/high frequency ( lf/hf ) were calculated . 0 ###LEFT-WALL### 27 power 0 ###LEFT-WALL### 33 , 0 ###LEFT-WALL### 45 . 1 from 9 and 1 from 26 , 1 from 27 power 2 rr 3 intervals 3 intervals 4 in 3 intervals 6 , 4 in 5 electrocardiograms 6 , 8 rate 6 , 9 and 7 heart 8 rate 9 and 11 deviations 9 and 12 of 9 and 21 segments 10 standard 11 deviations 12 of 15 intervals 13 all 15 intervals 14 nn 15 intervals 15 intervals 16 in 16 in 18 5 17 all 18 5 19 - 21 segments 20 min 21 segments 21 segments 22 of 21 segments 26 , 22 of 25 recording 23 the 25 recording 24 entire 25 recording 27 power 29 density 28 spectral 29 density 29 density 32 frequency 30 , 32 frequency 31 low 32 frequency 32 frequency 33 , 33 , 34 high 33 , 43 were 34 high 43 were 35 frequency 36 and 36 and 39 frequency 36 and 41 lf/hf 36 and 43 were 37 low 39 frequency 38 frequency/high 39 frequency 40 ( 41 lf/hf 41 lf/hf 42 ) 43 were 44 calculated results : fim score and barthel index were 46 ± 26 and 30 ± 31 , respectively , in long - term care [elderly] . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 4 score 2 : 5 and 2 : 21 - 3 fim 4 score 5 and 7 index 5 and 8 were 6 barthel 7 index 7 index 8 were 8 were 10 ± 8 were 20 long 9 46 10 ± 10 ± 12 and 10 ± 19 in 11 26 12 and 12 and 13 30 12 and 14 ± 14 ± 15 31 14 ± 17 respectively 14 ± 19 in 16 , 17 respectively 17 respectively 18 , 21 - 23 care 22 term 23 care fim and barthel index were significantly correlated with heart [rate] and the standard deviations of all nn intervals after adjustment for age , sex , cardiovascular risk factors and fim . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 7 correlated 0 ###LEFT-WALL### 31 . 1 fim 2 and 2 and 4 index 2 and 5 were 3 barthel 4 index 5 were 7 correlated 6 significantly 7 correlated 7 correlated 8 with 7 correlated 21 for 8 with 11 and 9 heart 11 and 11 and 14 deviations 11 and 15 of 12 the 14 deviations 13 standard 14 deviations 15 of 18 intervals 16 all 18 intervals 17 nn 18 intervals 18 intervals 19 after 19 after 20 adjustment 21 for 29 and 22 age 23 , 23 , 24 sex 23 , 25 , 25 , 28 factors 25 , 29 and 26 cardiovascular 28 factors 27 risk 28 factors 29 and 30 fim furthermore , lf/hf was significantly decreased in long - term care [elderly] compared with control elderly after adjustment for covariates . 0 ###LEFT-WALL### 3 lf/hf 0 ###LEFT-WALL### 6 decreased 0 ###LEFT-WALL### 21 . 1 furthermore 2 , 1 furthermore 3 lf/hf 3 lf/hf 4 was 4 was 6 decreased 5 significantly 6 decreased 6 decreased 7 in 6 decreased 14 with 6 decreased 16 elderly 7 in 11 care 8 long 9 - 8 long 10 term 10 term 11 care 11 care 13 compared 14 with 15 control 16 elderly 17 after 17 after 18 adjustment 18 adjustment 19 for 19 for 20 covariates in addition , decrease in lf/hf was an independent risk factor for mortality . 0 ###LEFT-WALL### 4 decrease 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 14 . 1 in 2 addition 1 in 3 , 1 in 4 decrease 4 decrease 5 in 4 decrease 7 was 5 in 6 lf/hf 7 was 11 factor 8 an 11 factor 9 independent 11 factor 10 risk 11 factor 11 factor 12 for 12 for 13 mortality conclusion : low lf/hf activity was observed in long - term care [elderly] and was related to an increase of overall mortality . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 related 0 ###LEFT-WALL### 23 . 1 conclusion 2 : 2 : 3 low 4 lf/hf 5 activity 4 lf/hf 14 and 4 lf/hf 16 related 5 activity 14 and 6 was 7 observed 6 was 14 and 7 observed 8 in 8 in 12 care 9 long 10 - 9 long 11 term 11 term 12 care 14 and 15 was 16 related 17 to 17 to 19 increase 18 an 19 increase 19 increase 20 of 20 of 22 mortality 21 overall 22 mortality the purposes of this study were to determine anaerobic threshold ( at ) during discontinuous dynamic and resistive exercise protocols by analysing of heart rate variability ( hrv ) and blood [lactate] [(] bl ) in healthy elderly subjects and [compare] the cardiovascular , metabolic and autonomic variables obtained from these two forms of exercise . 1 the 2 purposes 2 purposes 3 of 2 purposes 6 were 3 of 5 study 4 this 5 study 6 were 7 to 6 were 8 determine 7 to 8 determine 8 determine 10 threshold 8 determine 14 during 9 anaerobic 10 threshold 10 threshold 12 at 11 ( 12 at 12 at 13 ) 14 during 17 and 15 discontinuous 16 dynamic 16 dynamic 17 and 17 and 20 protocols 18 resistive 20 protocols 19 exercise 20 protocols 20 protocols 21 by 21 by 30 and 22 analysing 23 of 22 analysing 30 and 23 of 26 variability 24 heart 25 rate 25 rate 26 variability 26 variability 28 hrv 27 ( 28 hrv 28 hrv 29 ) 30 and 34 bl 30 and 35 ) 30 and 36 in 31 blood 34 bl 36 in 46 and 37 healthy 39 subjects 38 elderly 39 subjects 39 subjects 40 and 40 and 43 cardiovascular 40 and 44 , 42 the 43 cardiovascular 44 , 45 metabolic 44 , 46 and 46 and 48 variables 46 and 56 . 47 autonomic 48 variables 48 variables 49 obtained 48 variables 50 from 48 variables 54 of 50 from 53 forms 51 these 52 two 52 two 53 forms 54 of 55 exercise fourteen elderly ( 70 ± 4 years ) apparently healthy males underwent the following tests [:] [(] [i] [ )(incremental ramp test on cycle ergometer , [(] ii ) [one] repetition maximum [(] 1rm [ )( [press] at 45 ° [,] [(] iii [ )( discontinuous exercise test on a cycle ergometer ( det - c ) protocol [and] ( iv ) [a] resistance exercise leg press ( det - l ) protocol . 0 ###LEFT-WALL### 11 males 0 ###LEFT-WALL### 12 underwent 1 fourteen 11 males 2 elderly 7 years 2 elderly 8 ) 2 elderly 11 males 3 ( 7 years 4 70 7 years 5 ± 7 years 6 4 7 years 7 years 8 ) 9 apparently 10 healthy 10 healthy 11 males 11 males 12 underwent 12 underwent 22 test 12 underwent 23 on 13 the 22 test 14 following 15 tests 15 tests 22 test 20 )(incremental 21 ramp 21 ramp 22 test 23 on 34 1rm 24 cycle 32 maximum 25 ergometer 26 , 25 ergometer 32 maximum 28 ii 29 ) 28 ii 32 maximum 31 repetition 32 maximum 32 maximum 34 1rm 34 1rm 38 at 38 at 48 test 39 45 40 ° 40 ° 43 iii 43 iii 48 test 46 discontinuous 47 exercise 47 exercise 48 test 48 test 49 on 49 on 58 protocol 50 a 58 protocol 51 cycle 58 protocol 52 ergometer 55 - 52 ergometer 57 ) 52 ergometer 58 protocol 53 ( 55 - 54 det 55 - 55 - 56 c 55 - 57 ) 58 protocol 67 press 60 ( 67 press 61 iv 62 ) 61 iv 66 leg 64 resistance 66 leg 65 exercise 66 leg 66 leg 67 press 67 press 73 protocol 67 press 74 . 68 ( 73 protocol 69 det 71 l 69 det 73 protocol 70 - 71 l 71 l 72 ) 73 protocol 74 . heart rate , blood pressure and bl were obtained during each increment of exercise [intensity] . 0 ###LEFT-WALL### 2 rate 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 16 . 1 heart 2 rate 3 , 6 and 3 , 9 obtained 4 blood 5 pressure 5 pressure 6 and 6 and 7 bl 6 and 8 were 8 were 9 obtained 9 obtained 10 during 10 during 12 increment 11 each 12 increment 12 increment 13 of 13 of 14 exercise no significant differences ( p>0·05 ) were found [between] methods of at determination ( bl and hrv ) nor the relative intensity corresponding to at ( 30 % of maximum intensity ) between the types of exercise ( det - c and det - l ) . 0 ###LEFT-WALL### 3 differences 0 ###LEFT-WALL### 8 found 1 no 3 differences 2 significant 3 differences 3 differences 5 p>0·05 3 differences 7 were 4 ( 5 p>0·05 5 p>0·05 6 ) 7 were 8 found 8 found 19 nor 10 methods 11 of 10 methods 19 nor 11 of 13 determination 12 at 13 determination 13 determination 16 and 14 ( 16 and 15 bl 16 and 16 and 17 hrv 16 and 18 ) 19 nor 22 intensity 20 the 22 intensity 21 relative 22 intensity 22 intensity 23 corresponding 23 corresponding 24 to 23 corresponding 33 between 24 to 25 at 25 at 28 % 26 ( 28 % 27 30 28 % 28 % 29 of 28 % 32 ) 29 of 31 intensity 30 maximum 31 intensity 33 between 42 and 34 the 35 types 35 types 36 of 35 types 42 and 36 of 37 exercise 37 exercise 40 - 38 ( 40 - 39 det 40 - 40 - 41 c 42 and 43 det 42 and 47 . 43 det 45 l 44 - 45 l 45 l 46 ) furthermore , no significant differences ( p>0·05 ) were found between the det - [c] and det - l in relation to hrv , however , the det - l provided higher values of systolic blood pressure and bl ( p<0·05 ) from the intensity corresponding to at . 0 ###LEFT-WALL### 5 differences 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 49 . 1 furthermore 2 , 1 furthermore 5 differences 3 no 5 differences 4 significant 5 differences 5 differences 7 p>0·05 5 differences 9 were 6 ( 7 p>0·05 7 p>0·05 8 ) 9 were 10 found 10 found 11 between 10 found 19 l 10 found 20 in 10 found 22 to 10 found 25 however 11 between 16 and 12 the 13 det 13 det 16 and 14 - 16 and 16 and 17 det 16 and 18 - 20 in 21 relation 22 to 23 hrv 24 , 25 however 25 however 26 , 26 , 28 det 26 , 29 - 27 the 28 det 29 - 30 l 29 - 31 provided 30 l 31 provided 31 provided 33 values 31 provided 43 from 32 higher 33 values 33 values 34 of 34 of 38 and 35 systolic 37 pressure 36 blood 37 pressure 37 pressure 38 and 38 and 39 bl 38 and 41 p<0·05 40 ( 41 p<0·05 41 p<0·05 42 ) 43 from 45 intensity 44 the 45 intensity 45 intensity 46 corresponding 46 corresponding 47 to 47 to 48 at we conclude that hrv was effective in determination of at , and the parasympathetic modulation responses obtained during dynamic and resistive exercise protocols were similar when compared at the same relative intensity . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 33 . 1 we 2 conclude 2 conclude 3 that 3 that 4 hrv 3 that 5 was 4 hrv 5 was 5 was 6 effective 6 effective 7 in 7 in 8 determination 8 determination 9 of 9 of 10 at 11 , 12 and 12 and 16 responses 12 and 24 were 13 the 16 responses 14 parasympathetic 15 modulation 15 modulation 16 responses 16 responses 17 obtained 16 responses 18 during 16 responses 24 were 18 during 23 protocols 19 dynamic 20 and 20 and 21 resistive 20 and 23 protocols 22 exercise 23 protocols 24 were 25 similar 25 similar 26 when 25 similar 28 at 26 when 27 compared 28 at 32 intensity 29 the 30 same 30 same 32 intensity 31 relative 32 intensity however , det - l resulted in higher values of blood pressure and bl at workloads beyond at . 0 ###LEFT-WALL### 5 l 0 ###LEFT-WALL### 6 resulted 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 5 l 2 , 3 det 3 det 4 - 3 det 5 l 5 l 6 resulted 6 resulted 7 in 6 resulted 15 at 6 resulted 17 beyond 7 in 9 values 8 higher 9 values 9 values 10 of 10 of 13 and 11 blood 12 pressure 12 pressure 13 and 13 and 14 bl 15 at 16 workloads 17 beyond 18 at abstract survival for patients with multiple myeloma has increased during the first decade of the 21st century . 0 ###LEFT-WALL### 2 survival 0 ###LEFT-WALL### 9 increased 0 ###LEFT-WALL### 18 . 1 abstract 2 survival 2 survival 3 for 2 survival 8 has 3 for 4 patients 4 patients 5 with 5 with 7 myeloma 6 multiple 7 myeloma 8 has 9 increased 9 increased 10 during 10 during 13 decade 11 the 12 first 11 the 13 decade 13 decade 14 of 14 of 17 century 15 the 17 century 16 21st 17 century however , it is unknown whether the improvements in survival have extended equally in all ethnic groups . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 18 . 1 however 2 , 1 however 3 it 3 it 4 is 4 is 5 unknown 5 unknown 6 whether 6 whether 8 improvements 6 whether 12 extended 7 the 8 improvements 8 improvements 9 in 8 improvements 11 have 9 in 10 survival 11 have 12 extended 12 extended 13 equally 12 extended 14 in 14 in 17 groups 15 all 17 groups 16 ethnic 17 groups using data from the united states surveillance , epidemiology and end results program , we assessed trends in survival and disease - related mortality for patients with myeloma by ethnic [group] , including [non] - hispanic whites ( nhw ) , african - americans [(] aa [ )(, hispanics and people of asian and pacific islander descent ( api ) from 1998 - 2001 to 2006 - 2009 . 0 ###LEFT-WALL### 10 and 1 using 2 data 2 data 3 from 2 data 8 , 3 from 7 surveillance 4 the 7 surveillance 5 united 6 states 6 states 7 surveillance 8 , 9 epidemiology 8 , 10 and 10 and 13 program 10 and 14 , 10 and 15 we 10 and 16 assessed 11 end 12 results 12 results 13 program 15 we 16 assessed 16 assessed 17 trends 17 trends 18 in 17 trends 25 for 18 in 24 mortality 19 survival 20 and 20 and 21 disease 20 and 23 related 20 and 24 mortality 22 - 23 related 25 for 26 patients 26 patients 27 with 26 patients 29 by 27 with 28 myeloma 29 by 37 whites 30 ethnic 35 - 30 ethnic 37 whites 32 , 35 - 33 including 35 - 35 - 36 hispanic 37 whites 39 nhw 37 whites 43 - 38 ( 39 nhw 39 nhw 40 ) 41 , 43 - 42 african 43 - 43 - 50 and 44 americans 46 aa 46 aa 48 )(, 48 )(, 49 hispanics 48 )(, 50 and 50 and 51 people 50 and 60 ) 50 and 61 from 51 people 52 of 52 of 54 and 53 asian 54 and 54 and 57 descent 54 and 59 api 55 pacific 56 islander 56 islander 57 descent 58 ( 59 api 59 api 60 ) 61 from 62 1998 62 1998 64 2001 63 - 64 2001 64 2001 65 to 64 2001 68 2009 64 2001 69 . 65 to 66 2006 67 - 68 2009 68 2009 69 . overall , age adjusted 5 - year relative survival increased , from 35.6 % in 1998 - 2001 to 44 % in 2006 - 2009 . 0 ###LEFT-WALL### 1 overall 0 ###LEFT-WALL### 2 , 0 ###LEFT-WALL### 26 . 2 , 3 age 2 , 4 adjusted 3 age 4 adjusted 4 adjusted 5 5 4 adjusted 17 - 4 adjusted 19 to 5 5 9 survival 6 - 9 survival 7 year 9 survival 8 relative 9 survival 9 survival 10 increased 9 survival 11 , 12 from 17 - 13 35.6 15 in 13 35.6 17 - 14 % 15 in 15 in 16 1998 17 - 18 2001 19 to 21 % 20 44 21 % 21 % 22 in 22 in 24 - 23 2006 24 - 24 - 25 2009 the greatest improvements were observed for patients aged 15 - 49 , for whom survival increased by + 16.8 % units for nhw and + 14.4 % units for aa , [whereas] improvement was less pronounced and not statistically significant in hispanics and api . 0 ###LEFT-WALL### 5 observed 1 the 2 greatest 2 greatest 3 improvements 2 greatest 4 were 2 greatest 5 observed 3 improvements 4 were 5 observed 6 for 6 for 7 patients 7 patients 8 aged 7 patients 11 49 8 aged 9 15 10 - 11 49 11 49 13 for 11 49 45 . 12 , 13 for 13 for 14 whom 13 for 15 survival 13 for 16 increased 13 for 45 . 15 survival 16 increased 16 increased 17 by 16 increased 37 and 16 increased 41 in 17 by 20 % 18 + 19 16.8 19 16.8 20 % 21 units 22 for 21 units 37 and 22 for 24 and 22 for 33 improvement 22 for 34 was 23 nhw 24 and 24 and 28 units 25 + 26 14.4 26 14.4 27 % 27 % 28 units 29 for 30 aa 29 for 31 , 29 for 33 improvement 33 improvement 34 was 34 was 36 pronounced 35 less 36 pronounced 37 and 38 not 37 and 40 significant 39 statistically 40 significant 41 in 43 and 42 hispanics 43 and 43 and 44 api excess mortality hazard ratios were 1.20 ( 95 % confidence [interval] [ ci ] : 1.09 - 1.33 ) for aa [and] 1.25 ( 95 % ci : 1.11 - 1.41 ) for hispanics compared to nhw in 2006 - 2009 . 0 ###LEFT-WALL### 4 ratios 0 ###LEFT-WALL### 37 nhw 0 ###LEFT-WALL### 40 - 0 ###LEFT-WALL### 42 . 1 excess 4 ratios 2 mortality 3 hazard 3 hazard 4 ratios 4 ratios 5 were 5 were 6 1.20 5 were 20 for 5 were 33 for 6 1.20 8 95 7 ( 8 95 8 95 10 confidence 8 95 15 : 8 95 19 ) 9 % 10 confidence 10 confidence 13 ci 10 confidence 15 : 12 [ 13 ci 13 ci 14 ] 15 : 17 - 16 1.09 17 - 17 - 18 1.33 20 for 21 aa 21 aa 23 1.25 21 aa 26 % 24 ( 26 % 25 95 26 % 26 % 27 ci 26 % 28 : 26 % 32 ) 27 ci 28 : 28 : 30 - 29 1.11 30 - 30 - 31 1.41 33 for 34 hispanics 34 hispanics 35 compared 35 compared 36 to 36 to 37 nhw 37 nhw 38 in 38 in 39 2006 40 - 41 2009 although survival increased greatly for nhw with myeloma between 1998 - 2001 and 2006 - 2009 , smaller increases were observed for people of other ethnic groups . 0 ###LEFT-WALL### 19 increases 0 ###LEFT-WALL### 21 observed 0 ###LEFT-WALL### 28 . 1 although 2 survival 1 although 19 increases 2 survival 3 increased 2 survival 13 and 3 increased 4 greatly 3 increased 5 for 3 increased 7 with 3 increased 9 between 5 for 6 nhw 7 with 8 myeloma 9 between 10 1998 11 - 13 and 12 2001 13 and 13 and 14 2006 13 and 16 2009 13 and 17 , 15 - 16 2009 16 2009 17 , 18 smaller 19 increases 19 increases 20 were 20 were 21 observed 21 observed 22 for 22 for 23 people 23 people 24 of 24 of 27 groups 25 other 27 groups 26 ethnic 27 groups persistent excess mortality was seen for aa and hispanic patients with myeloma . 0 ###LEFT-WALL### 3 mortality 0 ###LEFT-WALL### 5 seen 0 ###LEFT-WALL### 13 . 1 persistent 3 mortality 2 excess 3 mortality 3 mortality 4 was 4 was 5 seen 5 seen 6 for 5 seen 11 with 6 for 8 and 7 aa 8 and 8 and 10 patients 9 hispanic 10 patients 11 with 12 myeloma ethnic inequalities persisted or even increased from earlier periods to 2006 - 2009 . 0 ###LEFT-WALL### 2 inequalities 0 ###LEFT-WALL### 4 or 0 ###LEFT-WALL### 14 . 1 ethnic 2 inequalities 2 inequalities 4 or 3 persisted 4 or 4 or 6 increased 4 or 7 from 4 or 10 to 5 even 6 increased 7 from 9 periods 8 earlier 9 periods 10 to 12 - 11 2006 12 - 12 - 13 2009 the results suggest that ethnic minorities may not have benefited from newer treatments to the same extent as nhw patients have . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 22 . 1 the 2 results 2 results 3 suggest 3 suggest 6 minorities 3 suggest 10 benefited 4 that 5 ethnic 5 ethnic 6 minorities 6 minorities 7 may 7 may 8 not 7 may 9 have 9 have 10 benefited 10 benefited 11 from 10 benefited 14 to 10 benefited 18 as 11 from 13 treatments 12 newer 13 treatments 14 to 17 extent 15 the 16 same 16 same 17 extent 18 as 20 patients 18 as 21 have 19 nhw 20 patients 20 patients 21 have methods : normal human nucleus pulposus tissues were harvested for culture and identification of npcs from 6 patients with burst lumbar vertebra fracture . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 7 tissues 2 : 23 fracture 2 : 24 . 3 normal 7 tissues 4 human 6 pulposus 5 nucleus 6 pulposus 6 pulposus 7 tissues 7 tissues 8 were 8 were 9 harvested 9 harvested 10 for 10 for 12 and 11 culture 12 and 12 and 13 identification 12 and 14 of 12 and 23 fracture 14 of 15 npcs 15 npcs 16 from 16 from 18 patients 17 6 18 patients 18 patients 19 with 19 with 22 vertebra 20 burst 22 vertebra 21 lumbar 22 vertebra npcs at passages 1 , 3 , 5 , and [7] in the in [-] vitro monolayer culture were harvested to observe the morphology , cell aging , and proteoglycan expression . 0 ###LEFT-WALL### 1 npcs 0 ###LEFT-WALL### 20 harvested 0 ###LEFT-WALL### 32 . 1 npcs 10 and 1 npcs 19 were 2 at 3 passages 2 at 10 and 3 passages 4 1 3 passages 6 3 3 passages 8 5 5 , 6 3 6 3 7 , 7 , 8 5 8 5 9 , 10 and 12 in 12 in 18 culture 13 the 18 culture 14 in 16 vitro 16 vitro 17 monolayer 17 monolayer 18 culture 19 were 20 harvested 20 harvested 21 to 21 to 22 observe 22 observe 29 and 23 the 29 and 24 morphology 25 , 25 , 27 aging 25 , 29 and 26 cell 27 aging 28 , 29 and 29 and 31 expression 30 proteoglycan 31 expression the cell proliferation rates of npcs at passage 1 in - [vitro] in monolayer culture and in 3 - d alginate microsphere culture were detected . 0 ###LEFT-WALL### 4 rates 0 ###LEFT-WALL### 14 monolayer 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 26 . 1 the 4 rates 2 cell 4 rates 3 proliferation 4 rates 4 rates 5 of 4 rates 14 monolayer 5 of 6 npcs 6 npcs 7 at 7 at 8 passage 8 passage 9 1 8 passage 10 in 10 in 13 in 11 - 13 in 14 monolayer 15 culture 16 and 23 culture 16 and 25 detected 17 in 22 microsphere 17 in 23 culture 18 3 19 - 19 - 20 d 19 - 22 microsphere 21 alginate 22 microsphere 23 culture 24 were 24 were 25 detected after corresponding treatment , western [blot] was used for determining the protein expressions of sirt1 , aggrecan , and collagen type ii ; real - time fluorescence quantitative pcr was used for detecting sirt1 mrna expression . 0 ###LEFT-WALL### 5 western 0 ###LEFT-WALL### 23 ; 0 ###LEFT-WALL### 31 used 0 ###LEFT-WALL### 37 . 1 after 3 treatment 1 after 4 , 1 after 5 western 2 corresponding 3 treatment 5 western 7 was 7 was 8 used 8 used 9 for 9 for 21 type 10 determining 21 type 11 the 13 expressions 12 protein 13 expressions 13 expressions 14 of 13 expressions 19 and 14 of 15 sirt1 15 sirt1 17 aggrecan 16 , 17 aggrecan 17 aggrecan 18 , 18 , 19 and 19 and 20 collagen 19 and 21 type 21 type 22 ii 23 ; 29 pcr 24 real 25 - 24 real 29 pcr 26 time 27 fluorescence 27 fluorescence 29 pcr 28 quantitative 29 pcr 29 pcr 30 was 30 was 31 used 31 used 32 for 32 for 33 detecting 33 detecting 36 expression 34 sirt1 36 expression 35 mrna 36 expression results : the cultured cells were identified to be npcs . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 cells 2 : 9 be 2 : 11 . 3 the 5 cells 4 cultured 5 cells 5 cells 6 were 6 were 7 identified 7 identified 8 to 8 to 9 be 9 be 10 npcs npcs in 3 - d alginate microsphere culture showed significantly lower proliferation rate than npcs in the in [-] vitro monolayer culture ( p < 0.05 [ )( but [it] could significantly improve the protein expressions of collagen type ii and [aggrecan] [in] dedifferentiated npcs , showing significantly difference between groups e [and] a ( p < 0.05 [ )( 0 ###LEFT-WALL### 8 culture 0 ###LEFT-WALL### 9 showed 1 npcs 8 culture 2 in 6 alginate 2 in 8 culture 3 3 4 - 4 - 5 d 4 - 6 alginate 7 microsphere 8 culture 8 culture 9 showed 9 showed 10 significantly 9 showed 13 rate 9 showed 14 than 11 lower 13 rate 12 proliferation 13 rate 14 than 15 npcs 15 npcs 16 in 16 in 22 culture 17 the 22 culture 18 in 20 vitro 20 vitro 21 monolayer 21 monolayer 22 culture 22 culture 25 < 23 ( 25 < 24 p 25 < 25 < 26 0.05 26 0.05 29 but 29 but 41 and 31 could 33 improve 31 could 41 and 32 significantly 33 improve 33 improve 36 expressions 34 the 36 expressions 35 protein 36 expressions 36 expressions 37 of 37 of 39 type 38 collagen 39 type 39 type 40 ii 41 and 44 dedifferentiated 41 and 47 showing 44 dedifferentiated 45 npcs 46 , 47 showing 47 showing 48 significantly 47 showing 49 difference 47 showing 57 < 49 difference 50 between 50 between 51 groups 51 groups 52 e 54 a 57 < 55 ( 57 < 56 p 57 < 57 < 58 0.05 57 < 60 )( the protein expressions of sirt1 , collagen type ii , and aggrecan in group b were significantly improved when compared with that in group a ( p < 0.05 ) . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 18 improved 0 ###LEFT-WALL### 31 . 1 the 3 expressions 2 protein 3 expressions 3 expressions 4 of 3 expressions 6 , 4 of 5 sirt1 6 , 8 type 6 , 11 and 7 collagen 8 type 8 type 9 ii 10 , 11 and 11 and 12 aggrecan 11 and 13 in 11 and 16 were 13 in 14 group 14 group 15 b 16 were 18 improved 17 significantly 18 improved 18 improved 19 when 19 when 20 compared 20 compared 21 with 20 compared 23 in 21 with 22 that 23 in 24 group 24 group 25 a 24 group 28 < 26 ( 28 < 27 p 28 < 28 < 29 0.05 28 < 30 ) real - time fluorescence quantitative pcr and western blot showed that the expressions of sirt1 mrna and proteins in group c were significantly inhibited [after] transfected with sirt1 - sirna when compared with those in groups b and [d] [(] p [<] [0.05] ) , and the protein expressions of collagen type ii and aggrecan in group c were significantly lower than those in groups b [and] d ( p < 0.05 [ )( 0 ###LEFT-WALL### 7 and 1 real 2 - 1 real 4 fluorescence 3 time 4 fluorescence 4 fluorescence 6 pcr 5 quantitative 6 pcr 6 pcr 7 and 7 and 8 western 7 and 9 blot 7 and 10 showed 9 blot 10 showed 10 showed 11 that 10 showed 13 expressions 12 the 13 expressions 13 expressions 14 of 14 of 15 sirt1 15 sirt1 17 and 15 sirt1 22 were 15 sirt1 24 inhibited 15 sirt1 26 transfected 16 mrna 17 and 17 and 18 proteins 17 and 19 in 17 and 22 were 19 in 20 group 20 group 21 c 22 were 23 significantly 26 transfected 27 with 26 transfected 29 - 26 transfected 30 sirna 27 with 28 sirt1 30 sirna 31 when 30 sirna 33 with 30 sirna 35 in 31 when 32 compared 33 with 34 those 35 in 46 and 36 groups 37 b 36 groups 38 and 38 and 41 p 38 and 44 ) 38 and 46 and 45 , 46 and 46 and 49 expressions 46 and 50 of 47 the 49 expressions 48 protein 49 expressions 50 of 51 collagen 51 collagen 54 and 51 collagen 59 were 52 type 53 ii 52 type 54 and 54 and 55 aggrecan 54 and 56 in 54 and 59 were 56 in 57 group 57 group 58 c 59 were 60 significantly 59 were 61 lower 59 were 62 than 62 than 63 those 63 those 64 in 63 those 71 < 64 in 65 groups 65 groups 66 b 68 d 71 < 69 ( 71 < 70 p 71 < 71 < 72 0.05 71 < 74 )( conclusion : continuous in [-] vitro monolayer culture could efficiently cultivate numerous [seeding] npcs , but it is liable to dedifferentiate . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 8 culture 2 : 11 cultivate 2 : 16 but 2 : 21 dedifferentiate 2 : 22 . 3 continuous 8 culture 4 in 6 vitro 6 vitro 7 monolayer 7 monolayer 8 culture 8 culture 9 could 9 could 11 cultivate 10 efficiently 11 cultivate 11 cultivate 14 npcs 12 numerous 14 npcs 15 , 16 but 16 but 17 it 16 but 18 is 17 it 18 is 18 is 19 liable 19 liable 20 to 19 liable 21 dedifferentiate 20 to 21 dedifferentiate in 3 - d alginate microsphere culture , res could restore the phenotype of dedifferentiated npcs and [synthesize] more extracellular matrix , which is related to the regulation of sirt1 . 0 ###LEFT-WALL### 9 res 0 ###LEFT-WALL### 11 restore 1 in 7 culture 1 in 8 , 1 in 9 res 2 3 3 - 3 - 4 d 3 - 7 culture 5 alginate 7 culture 6 microsphere 7 culture 9 res 10 could 10 could 11 restore 11 restore 13 phenotype 12 the 13 phenotype 13 phenotype 14 of 13 phenotype 23 which 14 of 17 and 15 dedifferentiated 16 npcs 16 npcs 17 and 17 and 21 matrix 19 more 20 extracellular 20 extracellular 21 matrix 22 , 23 which 23 which 24 is 23 which 31 . 24 is 25 related 25 related 26 to 26 to 28 regulation 27 the 28 regulation 28 regulation 29 of 29 of 30 sirt1 results of combined ultrasound scanning for estimation of acoustic lens density and biometric relations [of] lens and other eye structures are presented . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 22 presented 0 ###LEFT-WALL### 23 . 1 results 2 of 1 results 17 and 2 of 4 ultrasound 3 combined 4 ultrasound 4 ultrasound 5 scanning 4 ultrasound 8 of 5 scanning 6 for 6 for 7 estimation 8 of 12 and 9 acoustic 10 lens 10 lens 11 density 11 density 12 and 12 and 16 lens 13 biometric 14 relations 14 relations 16 lens 17 and 20 structures 17 and 21 are 18 other 20 structures 19 eye 20 structures 21 are 22 presented a group of 124 patients ( 189 eyes ) was studied ; they were subdivided depending on age and length of anteroposterior axis of the eye . 0 ###LEFT-WALL### 2 group 0 ###LEFT-WALL### 10 was 0 ###LEFT-WALL### 12 ; 0 ###LEFT-WALL### 27 . 1 a 2 group 2 group 3 of 2 group 8 eyes 2 group 10 was 3 of 5 patients 4 124 5 patients 6 ( 8 eyes 7 189 8 eyes 8 eyes 9 ) 10 was 11 studied 12 ; 13 they 12 ; 14 were 13 they 14 were 14 were 16 depending 15 subdivided 16 depending 16 depending 17 on 16 depending 21 of 17 on 19 and 18 age 19 and 19 and 20 length 21 of 23 axis 22 anteroposterior 23 axis 23 axis 24 of 24 of 26 eye 25 the 26 eye examination algorithm [was] developed that [allows] selective estimation of acoustic density of different lens zones and biometric measurements including [volumetric] . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 21 . 1 examination 4 developed 2 algorithm 4 developed 4 developed 8 estimation 5 that 7 selective 7 selective 8 estimation 8 estimation 9 of 8 estimation 16 and 9 of 11 density 10 acoustic 11 density 11 density 12 of 12 of 15 zones 13 different 14 lens 14 lens 15 zones 16 and 19 including 17 biometric 18 measurements 18 measurements 19 including age - related increase [of] acoustic density of different lens zones [was] revealed that indirectly shows method efficiency . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 3 related 2 - 3 related 3 related 7 density 3 related 19 . 4 increase 7 density 6 acoustic 7 density 7 density 8 of 7 density 14 that 7 density 16 shows 8 of 11 zones 9 different 10 lens 10 lens 11 zones 11 zones 13 revealed 14 that 16 shows 15 indirectly 16 shows 16 shows 17 method 16 shows 18 efficiency biometric studies showed almost concurring volumetric lens measurements in " normal " and " short " eyes in spite of significantly thicker central zone [of] [the] latter . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 28 . 1 biometric 2 studies 2 studies 3 showed 3 showed 4 almost 3 showed 8 measurements 4 almost 5 concurring 6 volumetric 8 measurements 7 lens 8 measurements 8 measurements 9 in 8 measurements 20 of 9 in 10 " 9 in 17 eyes 11 normal 12 " 11 normal 13 and 13 and 14 " 13 and 15 short 13 and 17 eyes 15 short 16 " 17 eyes 18 in 18 in 19 spite 20 of 27 latter 21 significantly 22 thicker 22 thicker 24 zone 23 central 24 zone 24 zone 27 latter significantly lower correlation [between] anterior chamber volume and width of its angle was revealed in " short " eyes and " normal " and " long " eyes ( correlation coefficients 0.37 , 0.68 and 0.63 [respectively] ) . 0 ###LEFT-WALL### 2 lower 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 39 . 1 significantly 2 lower 2 lower 7 volume 3 correlation 7 volume 5 anterior 6 chamber 6 chamber 7 volume 8 and 9 width 8 and 14 revealed 9 width 10 of 9 width 13 was 10 of 12 angle 11 its 12 angle 13 was 14 revealed 14 revealed 15 in 15 in 16 " 15 in 20 and 17 short 18 " 17 short 19 eyes 19 eyes 20 and 20 and 21 " 20 and 28 eyes 20 and 31 coefficients 20 and 35 and 22 normal 23 " 22 normal 24 and 24 and 25 " 24 and 26 long 24 and 28 eyes 26 long 27 " 29 ( 31 coefficients 30 correlation 31 coefficients 31 coefficients 32 0.37 31 coefficients 33 , 33 , 35 and 34 0.68 35 and 35 and 36 0.63 35 and 38 ) none [background] : previous studies have revealed that amyloid depositions exist in not only the hippocampus but in other subcortical gray matter structures [as] well . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 3 : 3 : 5 studies 3 : 7 revealed 3 : 13 not 3 : 26 . 4 previous 5 studies 5 studies 6 have 6 have 7 revealed 7 revealed 9 amyloid 8 that 9 amyloid 9 amyloid 10 depositions 9 amyloid 12 in 10 depositions 11 exist 11 exist 12 in 13 not 14 only 13 not 16 hippocampus 13 not 23 structures 15 the 16 hippocampus 16 hippocampus 17 but 16 hippocampus 23 structures 17 but 18 in 18 in 22 matter 19 other 22 matter 20 subcortical 22 matter 21 gray 22 matter 23 structures 25 well diffusion - tensor [imaging] ( dti ) parameters might be more sensitive measures of early degeneration in alzheimer 's disease ( ad ) than conventional magnetic resonance imaging ( mri ) [techniques] . 0 ###LEFT-WALL### 8 parameters 0 ###LEFT-WALL### 10 be 0 ###LEFT-WALL### 33 . 1 diffusion 2 - 1 diffusion 8 parameters 3 tensor 6 dti 3 tensor 8 parameters 5 ( 6 dti 6 dti 7 ) 8 parameters 9 might 9 might 10 be 10 be 13 measures 10 be 24 than 11 more 13 measures 12 sensitive 13 measures 13 measures 14 of 13 measures 22 ad 14 of 16 degeneration 15 early 16 degeneration 16 degeneration 17 in 17 in 20 disease 18 alzheimer 19 's 19 's 20 disease 21 ( 22 ad 22 ad 23 ) 24 than 28 imaging 25 conventional 27 resonance 26 magnetic 27 resonance 27 resonance 28 imaging 28 imaging 30 mri 29 ( 30 mri 30 mri 31 ) purpose : to evaluate the significance of the volumes and the mean diffusivity ( md ) values of subcortical gray matter structures in discrimination between early - stage ad and normal subjects using the integrated registration and segmentation tool in fmrib 's software library . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 45 . 1 purpose 2 : 2 : 3 to 2 : 4 evaluate 3 to 4 evaluate 4 evaluate 6 significance 4 evaluate 42 's 5 the 6 significance 6 significance 7 of 6 significance 18 of 6 significance 42 's 7 of 17 values 8 the 17 values 9 volumes 10 and 10 and 13 diffusivity 10 and 15 md 10 and 17 values 11 the 13 diffusivity 12 mean 13 diffusivity 14 ( 15 md 15 md 16 ) 18 of 30 and 19 subcortical 21 matter 20 gray 21 matter 21 matter 22 structures 22 structures 23 in 22 structures 30 and 23 in 24 discrimination 24 discrimination 25 between 25 between 29 ad 26 early 27 - 26 early 29 ad 28 stage 29 ad 30 and 32 subjects 31 normal 32 subjects 32 subjects 33 using 32 subjects 40 in 33 using 39 tool 34 the 39 tool 35 integrated 36 registration 36 registration 37 and 37 and 38 segmentation 38 segmentation 39 tool 40 in 41 fmrib 42 's 44 library 43 software 44 library material and methods : fifty - three cases of early - stage ad and 30 normal aging volunteers from two hospitals were scanned with 3 d - fspgrir and ssse - epi sequences using two similar 1.5 t mr systems . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 41 . 1 material 2 and 2 and 3 methods 4 : 14 and 4 : 27 - 5 fifty 6 - 6 - 7 three 6 - 8 cases 8 cases 9 of 8 cases 14 and 9 of 13 ad 10 early 11 - 10 early 13 ad 12 stage 13 ad 14 and 18 volunteers 14 and 23 scanned 14 and 24 with 15 30 18 volunteers 16 normal 18 volunteers 17 aging 18 volunteers 18 volunteers 19 from 19 from 20 two 20 two 21 hospitals 20 two 22 were 21 hospitals 22 were 24 with 26 d 25 3 26 d 27 - 29 and 28 fspgrir 29 and 29 and 33 sequences 29 and 34 using 30 ssse 32 epi 31 - 32 epi 32 epi 33 sequences 34 using 40 systems 35 two 40 systems 36 similar 40 systems 37 1.5 38 t 38 t 40 systems 39 mr 40 systems the mean relative volumes and mean md values of subcortical gray matter structures were compared between early - stage ad and control groups . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 24 . 1 the 4 volumes 2 mean 4 volumes 3 relative 4 volumes 4 volumes 5 and 5 and 8 values 5 and 9 of 5 and 21 and 6 mean 8 values 7 md 8 values 9 of 13 structures 10 subcortical 11 gray 11 gray 12 matter 12 matter 13 structures 14 were 15 compared 14 were 21 and 15 compared 16 between 16 between 20 ad 17 early 18 - 17 early 20 ad 19 stage 20 ad 21 and 22 control 22 control 23 groups binary logistic regression analysis and receiver - operating characteristic ( roc ) curves were applied to assess the diagnostic significance of every structure 's relative volume , md value , and combination of both . 0 ###LEFT-WALL### 31 and 0 ###LEFT-WALL### 35 . 1 binary 3 regression 2 logistic 3 regression 3 regression 4 analysis 4 analysis 5 and 5 and 6 receiver 5 and 7 - 5 and 8 operating 5 and 13 curves 5 and 17 assess 5 and 31 and 9 characteristic 11 roc 9 characteristic 12 ) 9 characteristic 13 curves 10 ( 11 roc 11 roc 12 ) 13 curves 14 were 14 were 15 applied 15 applied 16 to 16 to 17 assess 17 assess 20 significance 18 the 20 significance 19 diagnostic 20 significance 20 significance 21 of 20 significance 29 value 21 of 26 volume 22 every 23 structure 23 structure 24 's 24 's 26 volume 25 relative 26 volume 27 , 29 value 28 md 29 value 29 value 30 , 31 and 32 combination 31 and 33 of 33 of 34 both results : the relative volumes of the left hippocampus , right amygdala , bilateral thalamus , right caudate , left putamen , and bilateral pallidum were significantly lower in the early - stage ad group than in the control group ( p < 0.05 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 46 . 1 results 2 : 2 : 5 volumes 3 the 5 volumes 4 relative 5 volumes 5 volumes 6 of 6 of 9 hippocampus 7 the 9 hippocampus 8 left 9 hippocampus 10 , 11 right 10 , 26 were 11 right 26 were 12 amygdala 13 , 13 , 15 thalamus 13 , 16 , 14 bilateral 15 thalamus 16 , 18 caudate 16 , 19 , 17 right 18 caudate 19 , 21 putamen 19 , 23 and 20 left 21 putamen 22 , 23 and 23 and 25 pallidum 23 and 26 were 24 bilateral 25 pallidum 26 were 27 significantly 26 were 28 lower 28 lower 29 in 28 lower 36 than 29 in 35 group 30 the 35 group 31 early 32 - 31 early 35 group 33 stage 35 group 34 ad 35 group 36 than 37 in 37 in 40 group 38 the 40 group 39 control 40 group 40 group 43 < 41 ( 43 < 42 p 43 < 43 < 44 0.05 43 < 45 ) the md values of the bilateral hippocampus and pallidum , and [of] the right thalamus and caudate were significantly elevated in the early - stage ad group ( p < 0.05 ) . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 33 . 1 the 3 values 2 md 3 values 3 values 4 of 3 values 8 and 4 of 7 hippocampus 5 the 7 hippocampus 6 bilateral 7 hippocampus 8 and 9 pallidum 10 , 11 and 11 and 16 and 11 and 20 elevated 13 the 15 thalamus 14 right 15 thalamus 15 thalamus 16 and 16 and 17 caudate 16 and 18 were 18 were 20 elevated 19 significantly 20 elevated 20 elevated 21 in 20 elevated 30 < 21 in 27 group 22 the 27 group 23 early 24 - 23 early 25 stage 25 stage 27 group 26 ad 27 group 28 ( 30 < 29 p 30 < 30 < 31 0.05 30 < 32 ) in binary logistic regression analysis , the relative volume of left hippocampus and age entered the final model of volumetric analysis . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 15 entered 0 ###LEFT-WALL### 22 . 1 in 4 regression 1 in 13 and 2 binary 4 regression 3 logistic 4 regression 5 analysis 6 , 6 , 12 hippocampus 6 , 13 and 7 the 9 volume 8 relative 9 volume 9 volume 10 of 9 volume 12 hippocampus 10 of 12 hippocampus 11 left 12 hippocampus 13 and 14 age 13 and 15 entered 15 entered 18 model 16 the 18 model 17 final 18 model 18 model 19 of 19 of 21 analysis 20 volumetric 21 analysis the md values of bilateral hippocampi and pallidums entered the final model of md analysis . 0 ###LEFT-WALL### 3 values 0 ###LEFT-WALL### 9 entered 0 ###LEFT-WALL### 16 . 1 the 3 values 2 md 3 values 3 values 4 of 3 values 9 entered 4 of 7 and 5 bilateral 6 hippocampi 6 hippocampi 7 and 7 and 8 pallidums 9 entered 12 model 10 the 12 model 11 final 12 model 12 model 13 of 13 of 15 analysis 14 md 15 analysis the md values of bilateral hippocampi and pallidums , and the relative volume of left pallidum , entered the final model of combination analysis . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 25 . 1 the 3 values 2 md 3 values 3 values 4 of 3 values 7 and 4 of 6 hippocampi 5 bilateral 6 hippocampi 7 and 8 pallidums 7 and 10 and 9 , 10 and 10 and 13 volume 10 and 14 of 11 the 13 volume 12 relative 13 volume 14 of 17 , 15 left 16 pallidum 15 left 17 , 17 , 18 entered 18 entered 21 model 19 the 21 model 20 final 21 model 21 model 22 of 22 of 24 analysis 23 combination 24 analysis the accuracy of three models was 84.7 % , 88.9 % , [and] 93.1 % , respectively . 0 ###LEFT-WALL### 2 accuracy 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 18 . 1 the 2 accuracy 2 accuracy 3 of 2 accuracy 6 was 3 of 5 models 4 three 5 models 6 was 8 % 6 was 17 respectively 7 84.7 8 % 8 % 11 % 8 % 15 % 9 , 11 % 10 88.9 11 % 11 % 12 , 12 , 15 % 14 93.1 15 % 15 % 16 , conclusion : pathological changes [takes] place in the hippocampus and other subcortical gray matter structures in early - stage ad . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 3 pathological 2 : 4 changes 3 pathological 4 changes 4 changes 10 and 6 place 7 in 6 place 10 and 7 in 9 hippocampus 8 the 9 hippocampus 10 and 15 structures 10 and 16 in 11 other 15 structures 12 subcortical 13 gray 13 gray 14 matter 14 matter 15 structures 16 in 20 ad 17 early 18 - 17 early 19 stage 19 stage 20 ad diffusive imaging has great diagnostic significance in early - stage ad . 0 ###LEFT-WALL### 2 imaging 0 ###LEFT-WALL### 3 has 0 ###LEFT-WALL### 12 . 1 diffusive 2 imaging 2 imaging 3 has 3 has 6 significance 3 has 7 in 4 great 6 significance 5 diagnostic 6 significance 7 in 11 ad 8 early 9 - 8 early 10 stage 10 stage 11 ad the combination of both imaging modalities can lead to better discrimination between early - stage ad and normal aging . 0 ###LEFT-WALL### 2 combination 0 ###LEFT-WALL### 10 better 0 ###LEFT-WALL### 20 . 1 the 2 combination 2 combination 3 of 2 combination 7 can 3 of 4 both 4 both 5 imaging 5 imaging 6 modalities 7 can 8 lead 8 lead 9 to 9 to 10 better 10 better 11 discrimination 10 better 12 between 12 between 17 and 13 early 14 - 13 early 15 stage 15 stage 16 ad 16 ad 17 and 17 and 18 normal 17 and 19 aging objectives : aging is a rising phenomenon globally and elder abuse is becoming increasingly recognized as a health and social problem . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 aging 2 : 4 is 2 : 9 and 2 : 15 recognized 2 : 22 . 3 aging 4 is 4 is 7 phenomenon 4 is 8 globally 5 a 7 phenomenon 6 rising 7 phenomenon 9 and 11 abuse 9 and 12 is 10 elder 11 abuse 11 abuse 12 is 12 is 13 becoming 13 becoming 15 recognized 14 increasingly 15 recognized 15 recognized 16 as 16 as 21 problem 17 a 21 problem 18 health 19 and 19 and 20 social 19 and 21 problem this review aimed to identify the prevalence of elder abuse in community settings , and discuss issues regarding measurement tools and strategies to measure elderly abuse by systematically reviewing all community - based studies conducted worldwide . 0 ###LEFT-WALL### 31 community 0 ###LEFT-WALL### 32 - 1 this 2 review 2 review 3 aimed 2 review 21 and 3 aimed 4 to 4 to 15 and 5 identify 7 prevalence 5 identify 11 in 5 identify 15 and 6 the 7 prevalence 7 prevalence 8 of 8 of 10 abuse 9 elder 10 abuse 11 in 13 settings 12 community 13 settings 14 , 15 and 15 and 16 discuss 16 discuss 17 issues 17 issues 18 regarding 18 regarding 20 tools 19 measurement 20 tools 21 and 22 strategies 21 and 23 to 21 and 24 measure 21 and 31 community 23 to 24 measure 24 measure 26 abuse 24 measure 27 by 25 elderly 26 abuse 27 by 29 reviewing 28 systematically 29 reviewing 29 reviewing 30 all 32 - 34 studies 32 - 35 conducted 32 - 37 . 33 based 34 studies 34 studies 35 conducted 35 conducted 36 worldwide method : articles on elder abuse from 1990 to 2011 were reviewed . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 . 2 : 3 articles 2 : 12 reviewed 3 articles 4 on 3 articles 11 were 4 on 6 abuse 5 elder 6 abuse 6 abuse 9 to 7 from 9 to 8 1990 9 to 9 to 10 2011 11 were 12 reviewed a total of 1,832 articles referring to elders residing at home either in their own or at relatives ' houses were searched via cinahl and medline electronic databases , in addition to a hand search of the latest articles in geriatric textbooks and screening references , choosing a total of 26 articles for review . 1 a 2 total 2 total 3 of 2 total 6 referring 2 total 21 were 3 of 5 articles 4 1,832 5 articles 6 referring 7 to 6 referring 10 at 7 to 8 elders 8 elders 9 residing 10 at 11 home 11 home 16 or 12 either 16 or 13 in 15 own 13 in 16 or 14 their 15 own 16 or 17 at 17 at 20 houses 18 relatives 19 ' 19 ' 20 houses 21 were 22 searched 22 searched 23 via 22 searched 32 to 22 searched 40 in 23 via 25 and 24 cinahl 25 and 25 and 28 databases 25 and 29 , 25 and 30 in 26 medline 28 databases 27 electronic 28 databases 30 in 31 addition 32 to 35 search 33 a 35 search 34 hand 35 search 35 search 36 of 36 of 39 articles 37 the 38 latest 37 the 39 articles 40 in 43 and 41 geriatric 42 textbooks 42 textbooks 43 and 43 and 45 references 43 and 47 choosing 44 screening 45 references 46 , 47 choosing 47 choosing 49 total 47 choosing 53 for 47 choosing 55 . 48 a 49 total 49 total 50 of 50 of 52 articles 51 26 52 articles 53 for 54 review results : [highest] prevalence was reported in developed countries , with spain having 44.6 % overall prevalence of suspicion of abuse and developing countries exhibiting lower estimates , from 13.5 % to 28.8 % . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 prevalence 2 : 6 reported 2 : 35 . 4 prevalence 5 was 5 was 6 reported 6 reported 7 in 6 reported 11 with 6 reported 29 from 6 reported 32 to 7 in 9 countries 8 developed 9 countries 10 , 11 with 11 with 12 spain 11 with 17 prevalence 11 with 28 , 12 spain 13 having 13 having 15 % 14 44.6 15 % 16 overall 17 prevalence 17 prevalence 18 of 18 of 19 suspicion 19 suspicion 20 of 20 of 22 and 21 abuse 22 and 22 and 24 countries 22 and 28 , 23 developing 24 countries 24 countries 25 exhibiting 25 exhibiting 27 estimates 26 lower 27 estimates 29 from 31 % 30 13.5 31 % 32 to 34 % 33 28.8 34 % physical abuse was [among] the least encountered , with psychological abuse and financial exploitation being the most common types of maltreatment reported . 0 ###LEFT-WALL### 2 abuse 0 ###LEFT-WALL### 7 encountered 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 23 . 1 physical 2 abuse 2 abuse 3 was 3 was 6 least 3 was 7 encountered 5 the 6 least 8 , 15 being 8 , 22 reported 9 with 12 and 9 with 15 being 10 psychological 11 abuse 11 abuse 12 and 12 and 14 exploitation 13 financial 14 exploitation 15 being 21 maltreatment 15 being 22 reported 16 the 19 types 17 most 18 common 18 common 19 types 19 types 20 of 19 types 21 maltreatment 20 of 21 maltreatment to date , there is no single gold standard test to ascertain abuse , with numerous tools and different methods employed in various studies , coupled with varying definitions of thresholds for age . 0 ###LEFT-WALL### 4 there 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 34 . 1 to 2 date 1 to 3 , 1 to 4 there 4 there 5 is 5 is 10 test 5 is 11 to 5 is 32 for 6 no 10 test 7 single 10 test 8 gold 10 test 9 standard 10 test 11 to 12 ascertain 12 ascertain 13 abuse 12 ascertain 26 coupled 13 abuse 15 with 13 abuse 26 coupled 14 , 15 with 15 with 20 methods 15 with 25 , 16 numerous 17 tools 17 tools 18 and 18 and 19 different 18 and 20 methods 20 methods 21 employed 21 employed 22 in 22 in 24 studies 23 various 24 studies 26 coupled 27 with 26 coupled 29 definitions 27 with 28 varying 29 definitions 30 of 30 of 31 thresholds 32 for 33 age conclusion : current [evidences] show that elder abuse is a common problem in both developed and developing countries . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 2 : 8 abuse 2 : 9 is 3 current 8 abuse 5 show 8 abuse 6 that 7 elder 7 elder 8 abuse 8 abuse 9 is 9 is 16 and 10 a 12 problem 11 common 12 problem 12 problem 13 in 12 problem 16 and 13 in 14 both 14 both 15 developed 16 and 18 countries 17 developing 18 countries it is important that social , health care , and legal systems take these findings into consideration in screening for abuse or reforming existing services to protect the health and welfare of the elderly . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 25 services 0 ###LEFT-WALL### 35 . 1 it 2 is 2 is 3 important 3 important 4 that 4 that 7 health 4 that 8 care 5 social 6 , 5 social 7 health 9 , 10 and 10 and 12 systems 10 and 13 take 11 legal 12 systems 12 systems 13 take 13 take 15 findings 13 take 16 into 14 these 15 findings 16 into 17 consideration 17 consideration 18 in 17 consideration 24 existing 17 consideration 25 services 18 in 19 screening 19 screening 20 for 20 for 22 or 21 abuse 22 or 22 or 23 reforming 24 existing 25 services 25 services 26 to 26 to 27 protect 27 protect 30 and 28 the 30 and 29 health 30 and 30 and 31 welfare 30 and 32 of 32 of 34 elderly 33 the 34 elderly background : immunoneutralization of elevated circulating levels of endogenous digitalis - like na/k - atpase inhibitors ( i.e [.] cardiotonic steroids ( cts ) ) represents a novel approach in the treatment of preeclampsia ( pe ) . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 38 . 2 : 3 immunoneutralization 2 : 26 represents 3 immunoneutralization 4 of 3 immunoneutralization 26 represents 4 of 7 levels 5 elevated 7 levels 6 circulating 7 levels 7 levels 8 of 8 of 10 digitalis 9 endogenous 10 digitalis 10 digitalis 12 like 10 digitalis 16 inhibitors 11 - 12 like 12 like 13 na/k 12 like 14 - 14 - 16 inhibitors 15 atpase 16 inhibitors 16 inhibitors 21 steroids 16 inhibitors 25 ) 17 ( 21 steroids 18 i.e 21 steroids 20 cardiotonic 21 steroids 21 steroids 23 cts 21 steroids 25 ) 22 ( 23 cts 23 cts 24 ) 26 represents 29 approach 26 represents 30 in 27 a 28 novel 27 a 29 approach 28 novel 29 approach 30 in 32 treatment 31 the 32 treatment 32 treatment 33 of 33 of 34 preeclampsia 34 preeclampsia 36 pe 35 ( 36 pe 36 pe 37 ) recently we demonstrated that digifab ( fab fragments of affinity - purified ovine digoxin [antibody] ) restores pe - induced inhibition of na/k - [atpase] in erythrocytes ex vivo . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 demonstrated 0 ###LEFT-WALL### 30 . 1 recently 2 we 2 we 3 demonstrated 3 demonstrated 4 that 4 that 5 digifab 4 that 17 restores 5 digifab 8 fragments 5 digifab 17 restores 6 ( 8 fragments 7 fab 8 fragments 8 fragments 9 of 8 fragments 16 ) 9 of 10 affinity 10 affinity 14 digoxin 11 - 14 digoxin 12 purified 13 ovine 13 ovine 14 digoxin 14 digoxin 16 ) 17 restores 18 pe 17 restores 26 in 17 restores 29 vivo 18 pe 21 inhibition 19 - 21 inhibition 20 induced 21 inhibition 21 inhibition 22 of 21 inhibition 24 - 22 of 23 na/k 26 in 27 erythrocytes 28 ex 29 vivo previously magnesium ions were shown to antagonize digitalis - induced toxicity , which is mediated by na/k - atpase inhibition . 0 ###LEFT-WALL### 3 ions 0 ###LEFT-WALL### 5 shown 0 ###LEFT-WALL### 21 . 1 previously 3 ions 2 magnesium 3 ions 3 ions 4 were 4 were 5 shown 5 shown 6 to 5 shown 20 inhibition 6 to 7 antagonize 7 antagonize 8 digitalis 8 digitalis 11 toxicity 9 - 11 toxicity 10 induced 11 toxicity 11 toxicity 13 which 11 toxicity 18 - 12 , 13 which 13 which 14 is 13 which 18 - 14 is 15 mediated 15 mediated 16 by 16 by 17 na/k 19 atpase 20 inhibition we hypothesized that magnesium [sulfate] would potentiate the effect of digifab in the reversal of cts - induced na/k - atpase inhibition . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 hypothesized 0 ###LEFT-WALL### 20 - 0 ###LEFT-WALL### 23 . 1 we 2 hypothesized 2 hypothesized 3 that 3 that 4 magnesium 3 that 7 potentiate 4 magnesium 6 would 6 would 7 potentiate 7 potentiate 9 effect 8 the 9 effect 9 effect 10 of 9 effect 15 of 10 of 11 digifab 11 digifab 12 in 12 in 14 reversal 13 the 14 reversal 15 of 16 cts 16 cts 19 na/k 17 - 19 na/k 18 induced 19 na/k 19 na/k 20 - 20 - 22 inhibition 21 atpase 22 inhibition methods : to test this hypothesis , we studied [the] ex vivo effect of digifab on na/k - atpase activity in erythrocytes from patients with pe in the absence and in the presence of 3 mmol/l magnesium [sulfate] . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 test 2 : 7 , 2 : 39 . 3 to 4 test 4 test 6 hypothesis 5 this 6 hypothesis 7 , 8 we 7 , 9 studied 7 , 18 - 8 we 9 studied 9 studied 12 vivo 9 studied 13 effect 9 studied 16 on 11 ex 12 vivo 13 effect 14 of 14 of 15 digifab 16 on 17 na/k 18 - 20 activity 19 atpase 20 activity 20 activity 21 in 20 activity 23 from 21 in 22 erythrocytes 23 from 24 patients 24 patients 30 and 25 with 26 pe 25 with 30 and 26 pe 27 in 27 in 29 absence 28 the 29 absence 30 and 31 in 31 in 33 presence 32 the 33 presence 33 presence 34 of 34 of 37 magnesium 35 3 36 mmol/l 36 mmol/l 37 magnesium ex vivo , digifab ( 1 µg/ml ) restored erythrocyte na/k - atpase activity ( 1.72 ± 0.13 [µmol] pi/ml/h [;] p < 0.01 ) , and 3 mmol magnesium [sulfate] potentiated the effect of digifab ( 2.30 ± 0.20 [µmol] pi/ml/h [;] p < 0.01 ) . 0 ###LEFT-WALL### 4 digifab 0 ###LEFT-WALL### 9 restored 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 48 . 1 ex 2 vivo 2 vivo 3 , 2 vivo 4 digifab 4 digifab 7 µg/ml 4 digifab 9 restored 5 ( 7 µg/ml 6 1 7 µg/ml 7 µg/ml 8 ) 9 restored 11 na/k 10 erythrocyte 11 na/k 11 na/k 14 activity 12 - 14 activity 13 atpase 14 activity 14 activity 17 ± 14 activity 26 , 15 ( 17 ± 16 1.72 17 ± 17 ± 23 < 17 ± 25 ) 18 0.13 20 pi/ml/h 20 pi/ml/h 23 < 22 p 23 < 23 < 24 0.01 23 < 25 ) 27 and 30 magnesium 27 and 32 potentiated 28 3 30 magnesium 29 mmol 30 magnesium 30 magnesium 32 potentiated 32 potentiated 34 effect 33 the 34 effect 34 effect 35 of 35 of 36 digifab 36 digifab 39 ± 37 ( 39 ± 38 2.30 39 ± 39 ± 45 < 39 ± 47 ) 40 0.20 42 pi/ml/h 42 pi/ml/h 45 < 44 p 45 < 45 < 46 0.01 45 < 47 ) conclusions : magnesium is capable of increasing the efficacy of immunoneutralization of marinobufagenin - induced na/k - atpase inhibition . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 3 magnesium 2 : 4 is 2 : 14 - 3 magnesium 4 is 4 is 5 capable 5 capable 6 of 6 of 7 increasing 7 increasing 9 efficacy 8 the 9 efficacy 9 efficacy 10 of 10 of 11 immunoneutralization 11 immunoneutralization 12 of 12 of 13 marinobufagenin 14 - 16 na/k 14 - 17 - 15 induced 16 na/k 17 - 19 inhibition 18 atpase 19 inhibition none the aim of regenerative medicine is to restore [or] establish normal function [of] damaged tissues or organs . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 11 establish 0 ###LEFT-WALL### 19 . 1 none 3 aim 1 none 9 restore 1 none 11 establish 2 the 3 aim 3 aim 4 of 3 aim 7 is 4 of 6 medicine 5 regenerative 6 medicine 7 is 8 to 7 is 9 restore 8 to 9 restore 11 establish 17 or 12 normal 13 function 13 function 15 damaged 15 damaged 16 tissues 16 tissues 17 or 17 or 18 organs tremendous efforts are placed into development of novel regenerative strategies , involving [(] stem [ )(cells , soluble factors , biomaterials or combinations thereof , as a result of the growing need caused by continuous population aging . 0 ###LEFT-WALL### 2 efforts 0 ###LEFT-WALL### 4 placed 1 tremendous 2 efforts 2 efforts 3 are 3 are 4 placed 4 placed 5 into 4 placed 12 involving 5 into 6 development 6 development 7 of 7 of 10 strategies 8 novel 10 strategies 9 regenerative 10 strategies 11 , 12 involving 12 involving 22 or 12 involving 24 thereof 12 involving 26 as 12 involving 38 . 14 stem 16 )(cells 16 )(cells 17 , 17 , 19 factors 17 , 20 , 18 soluble 19 factors 20 , 21 biomaterials 20 , 22 or 22 or 23 combinations 25 , 26 as 26 as 28 result 26 as 38 . 27 a 28 result 28 result 29 of 28 result 33 caused 29 of 32 need 30 the 32 need 31 growing 32 need 33 caused 34 by 34 by 36 population 35 continuous 36 population 36 population 37 aging to satisfy this need , fast and reliable assessment of [(] biological ) performance is sought , not only to select the potentially interesting candidates , but also to rule out poor ones at an early stage of development . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 40 . 1 to 5 , 2 satisfy 4 need 2 satisfy 5 , 3 this 4 need 5 , 6 fast 7 and 9 assessment 7 and 16 sought 8 reliable 9 assessment 9 assessment 10 of 9 assessment 15 is 10 of 14 performance 12 biological 13 ) 12 biological 14 performance 15 is 16 sought 16 sought 20 to 16 sought 27 but 17 , 20 to 18 not 20 to 19 only 20 to 20 to 21 select 20 to 26 , 21 select 25 candidates 22 the 25 candidates 23 potentially 24 interesting 24 interesting 25 candidates 27 but 29 to 27 but 30 rule 28 also 29 to 29 to 30 rule 30 rule 31 out 31 out 33 ones 32 poor 33 ones 33 ones 34 at 34 at 37 stage 35 an 36 early 35 an 37 stage 36 early 37 stage 37 stage 38 of 38 of 39 development microfluidics may provide a new avenue to accelerate research and development in the field of regenerative medicine as it has proven its maturity for the realization of high - throughput screening platforms . 0 ###LEFT-WALL### 1 microfluidics 0 ###LEFT-WALL### 3 provide 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 33 . 1 microfluidics 2 may 2 may 3 provide 3 provide 6 avenue 3 provide 7 to 4 a 5 new 4 a 6 avenue 5 new 6 avenue 7 to 8 accelerate 8 accelerate 9 research 10 and 11 development 10 and 21 proven 11 development 12 in 11 development 20 has 12 in 14 field 13 the 14 field 14 field 15 of 14 field 18 as 15 of 17 medicine 16 regenerative 17 medicine 18 as 19 it 20 has 21 proven 21 proven 23 maturity 22 its 23 maturity 23 maturity 24 for 24 for 26 realization 25 the 26 realization 26 realization 27 of 27 of 30 throughput 28 high 29 - 28 high 30 throughput 30 throughput 31 screening 31 screening 32 platforms in addition , microfluidic systems offer other advantages such as the possibility to create in vivo - like microenvironments . 0 ###LEFT-WALL### 5 systems 0 ###LEFT-WALL### 6 offer 1 in 2 addition 1 in 3 , 1 in 5 systems 4 microfluidic 5 systems 5 systems 6 offer 6 offer 8 advantages 7 other 8 advantages 8 advantages 10 as 9 such 10 as 10 as 12 possibility 11 the 12 possibility 12 possibility 13 to 12 possibility 14 create 13 to 14 create 14 create 16 vivo 14 create 18 like 15 in 16 vivo 17 - 18 like 18 like 19 microenvironments 18 like 20 . besides the complexity of organs or tissues that need to be regenerated , regenerative medicine brings additional challenges of complex regeneration processes and strategies . 0 ###LEFT-WALL### 3 complexity 0 ###LEFT-WALL### 12 regenerated 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 25 . 1 besides 3 complexity 2 the 3 complexity 3 complexity 4 of 3 complexity 12 regenerated 4 of 6 or 5 organs 6 or 6 or 7 tissues 6 or 8 that 6 or 9 need 8 that 9 need 9 need 10 to 9 need 11 be 10 to 11 be 13 , 15 medicine 13 , 16 brings 14 regenerative 15 medicine 15 medicine 16 brings 16 brings 18 challenges 16 brings 23 and 17 additional 18 challenges 18 challenges 19 of 19 of 22 processes 20 complex 22 processes 21 regeneration 22 processes 23 and 24 strategies the question therefore arises whether so much complexity can be integrated into microfluidic systems without compromising reliability and throughput of assays . 0 ###LEFT-WALL### 2 question 0 ###LEFT-WALL### 4 arises 0 ###LEFT-WALL### 22 . 1 the 2 question 2 question 4 arises 3 therefore 4 arises 4 arises 5 whether 5 whether 8 complexity 5 whether 11 integrated 6 so 7 much 7 much 8 complexity 8 complexity 9 can 9 can 10 be 10 be 11 integrated 11 integrated 12 into 11 integrated 15 without 12 into 14 systems 13 microfluidic 14 systems 15 without 18 and 16 compromising 17 reliability 17 reliability 18 and 18 and 19 throughput 18 and 20 of 20 of 21 assays with this review , we aim to investigate whether microfluidics can become widely applied in regenerative medicine research [and/or] strategies . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 aim 0 ###LEFT-WALL### 21 . 1 with 3 review 1 with 4 , 1 with 5 we 2 this 3 review 5 we 6 aim 6 aim 7 to 6 aim 8 investigate 7 to 8 investigate 8 investigate 9 whether 9 whether 10 microfluidics 9 whether 12 become 10 microfluidics 11 can 11 can 12 become 12 become 14 applied 13 widely 14 applied 14 applied 15 in 15 in 20 strategies 16 regenerative 17 medicine 17 medicine 20 strategies 18 research 20 strategies summary : the reference values for bone turnover markers ( btms ) have a significant role in the diagnosis , monitoring , and treatment of metabolic bone disease . 0 ###LEFT-WALL### 1 summary 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 5 values 2 : 13 have 3 the 5 values 4 reference 5 values 5 values 6 for 5 values 13 have 6 for 9 markers 7 bone 8 turnover 8 turnover 9 markers 9 markers 11 btms 10 ( 11 btms 11 btms 12 ) 13 have 16 role 13 have 17 in 14 a 15 significant 14 a 16 role 15 significant 16 role 17 in 23 and 18 the 19 diagnosis 19 diagnosis 20 , 20 , 21 monitoring 20 , 23 and 22 , 23 and 23 and 24 treatment 23 and 25 of 25 of 28 disease 26 metabolic 28 disease 27 bone 28 disease this study proposes that the peak value of bone mineral density and the trough value for the btm curve can be used to determine the reference range of btm . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 proposes 0 ###LEFT-WALL### 30 . 1 this 2 study 2 study 3 proposes 3 proposes 4 that 4 that 7 value 4 that 22 used 5 the 7 value 6 peak 7 value 7 value 8 of 7 value 20 can 8 of 12 and 9 bone 11 density 10 mineral 11 density 11 density 12 and 12 and 15 value 12 and 16 for 13 the 15 value 14 trough 15 value 16 for 19 curve 17 the 19 curve 18 btm 19 curve 20 can 21 be 21 be 22 used 22 used 23 to 22 used 24 determine 23 to 24 determine 24 determine 27 range 25 the 27 range 26 reference 27 range 27 range 28 of 28 of 29 btm introduction : the aim of this study is to determine the reference intervals of btms for adult females in china with an attempt to reference the peak bone mineral density ( bmd ) with the corresponding btm valley . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 2 : 4 aim 2 : 8 is 2 : 39 . 3 the 4 aim 4 aim 5 of 4 aim 8 is 5 of 7 study 6 this 7 study 8 is 9 to 9 to 10 determine 10 determine 13 intervals 10 determine 21 with 11 the 13 intervals 12 reference 13 intervals 13 intervals 14 of 14 of 15 btms 15 btms 16 for 16 for 18 females 17 adult 18 females 18 females 19 in 19 in 20 china 21 with 23 attempt 21 with 34 with 22 an 23 attempt 23 attempt 24 to 23 attempt 25 reference 23 attempt 32 bmd 24 to 25 reference 25 reference 30 density 26 the 30 density 27 peak 28 bone 28 bone 30 density 29 mineral 30 density 31 ( 32 bmd 32 bmd 33 ) 34 with 38 valley 35 the 38 valley 36 corresponding 38 valley 37 btm 38 valley methods : this study included 546 premenopausal and 394 postmenopausal women . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 included 2 : 12 . 3 this 4 study 4 study 5 included 5 included 8 and 6 546 8 and 7 premenopausal 8 and 8 and 11 women 9 394 11 women 10 postmenopausal 11 women the levels of several btms were determined , and the bmd was measured using a dual - energy x - ray absorptiometry . 0 ###LEFT-WALL### 2 levels 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 23 . 1 the 2 levels 2 levels 3 of 2 levels 6 were 3 of 5 btms 4 several 5 btms 6 were 7 determined 8 , 9 and 9 and 11 bmd 9 and 13 measured 10 the 11 bmd 11 bmd 12 was 12 was 13 measured 13 measured 14 using 13 measured 22 absorptiometry 14 using 21 ray 15 a 16 dual 15 a 21 ray 16 dual 18 energy 16 dual 21 ray 17 - 18 energy 18 energy 19 x 18 energy 20 - results : the btms of postmenopausal women were 17 - 96 % higher than premenopausal women . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 2 : 4 btms 2 : 8 were 3 the 4 btms 4 btms 5 of 4 btms 8 were 5 of 7 women 6 postmenopausal 7 women 8 were 12 % 8 were 13 higher 8 were 14 than 9 17 10 - 10 - 11 96 10 - 12 % 14 than 16 women 15 premenopausal 16 women the change of btm with age presented [an] optimal goodness - of [-] fit according to the cubic regression model [(] r ( 2 ) = 0.074 - 0.346 , [all] p = 0.000 ) . 0 ###LEFT-WALL### 2 change 0 ###LEFT-WALL### 7 presented 0 ###LEFT-WALL### 36 . 1 the 2 change 2 change 3 of 2 change 5 with 2 change 7 presented 3 of 4 btm 5 with 6 age 7 presented 10 goodness 7 presented 33 = 9 optimal 10 goodness 10 goodness 12 of 11 - 12 of 12 of 15 according 12 of 30 , 14 fit 15 according 15 according 16 to 16 to 19 regression 17 the 19 regression 18 cubic 19 regression 19 regression 20 model 19 regression 26 = 20 model 22 r 20 model 24 2 20 model 26 = 23 ( 24 2 24 2 25 ) 26 = 28 - 27 0.074 28 - 28 - 29 0.346 30 , 33 = 32 p 33 = 33 = 34 0.000 33 = 35 ) all kinds of btm levels were positively correlated with age in premenopausal women aged 27 - 56 years old ( r = 0.167 - 0.502 , p = 0.023 - 0.000 ) . 0 ###LEFT-WALL### 5 levels 0 ###LEFT-WALL### 8 correlated 0 ###LEFT-WALL### 33 . 1 all 2 kinds 2 kinds 3 of 2 kinds 5 levels 3 of 5 levels 4 btm 5 levels 5 levels 6 were 6 were 8 correlated 7 positively 8 correlated 8 correlated 9 with 8 correlated 22 = 8 correlated 28 = 9 with 10 age 9 with 19 old 10 age 11 in 10 age 14 aged 11 in 13 women 12 premenopausal 13 women 14 aged 15 27 16 - 17 56 17 56 18 years 18 years 19 old 20 ( 22 = 21 r 22 = 22 = 24 - 23 0.167 24 - 24 - 25 0.502 26 , 28 = 27 p 28 = 28 = 30 - 28 = 32 ) 29 0.023 30 - 30 - 31 0.000 except for uctx , the btm reference value determined using a curve - fitting [valley] was significantly lower than the reference values for premenopausal women . 0 ###LEFT-WALL### 1 except 0 ###LEFT-WALL### 16 was 0 ###LEFT-WALL### 26 . 1 except 2 for 1 except 16 was 2 for 3 uctx 4 , 9 determined 5 the 8 value 6 btm 8 value 7 reference 8 value 8 value 9 determined 9 determined 10 using 9 determined 13 - 9 determined 14 fitting 10 using 12 curve 11 a 12 curve 14 fitting 16 was 16 was 18 lower 17 significantly 18 lower 18 lower 19 than 19 than 22 values 20 the 22 values 21 reference 22 values 22 values 23 for 23 for 25 women 24 premenopausal 25 women the btm reference values determined in this study were also significantly different from the reference values given by the manufacturers of the reagents used . 0 ###LEFT-WALL### 4 values 0 ###LEFT-WALL### 9 were 0 ###LEFT-WALL### 25 . 1 the 4 values 2 btm 4 values 3 reference 4 values 4 values 5 determined 4 values 9 were 5 determined 6 in 6 in 8 study 7 this 8 study 9 were 10 also 9 were 11 significantly 9 were 12 different 12 different 13 from 13 from 16 values 14 the 16 values 15 reference 16 values 16 values 17 given 17 given 18 by 18 by 20 manufacturers 19 the 20 manufacturers 20 manufacturers 21 of 21 of 23 reagents 22 the 23 reagents 23 reagents 24 used conclusions : this study found that the changes of level with age of btms in chinese women present [an] optimal goodness [-] of - fit according to the cubic regression model . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 4 study 2 : 5 found 2 : 24 - 3 this 4 study 4 study 5 found 5 found 6 that 5 found 8 changes 5 found 11 with 5 found 15 in 7 the 8 changes 8 changes 9 of 9 of 10 level 11 with 12 age 12 age 13 of 13 of 14 btms 15 in 16 chinese 16 chinese 17 women 16 chinese 23 of 17 women 18 present 18 present 21 goodness 20 optimal 21 goodness 21 goodness 23 of 24 - 25 fit 25 fit 27 to 26 according 27 to 27 to 31 model 28 the 31 model 29 cubic 30 regression 30 regression 31 model the fitting valley corresponds to the bmd fitting peak and may possibly be an effective means of determining the btm reference intervals . 0 ###LEFT-WALL### 3 valley 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 23 . 1 the 3 valley 2 fitting 3 valley 3 valley 10 and 4 corresponds 5 to 4 corresponds 10 and 5 to 9 peak 6 the 9 peak 7 bmd 8 fitting 8 fitting 9 peak 10 and 11 may 10 and 22 intervals 11 may 13 be 12 possibly 13 be 13 be 16 means 14 an 15 effective 14 an 16 means 15 effective 16 means 16 means 17 of 17 of 18 determining 18 determining 20 btm 19 the 20 btm 21 reference 22 intervals background : old age is regarded as the risk factor of major abdominal surgery due to the lack of functional reserve and the increased presence of comorbidities . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 age 2 : 6 regarded 2 : 28 . 3 old 4 age 4 age 5 is 5 is 6 regarded 6 regarded 7 as 6 regarded 16 to 7 as 10 factor 8 the 10 factor 9 risk 10 factor 10 factor 11 of 11 of 14 surgery 12 major 14 surgery 13 abdominal 14 surgery 15 due 16 to 16 to 18 lack 17 the 18 lack 18 lack 19 of 18 lack 26 of 19 of 22 and 20 functional 21 reserve 21 reserve 22 and 22 and 25 presence 23 the 25 presence 24 increased 25 presence 26 of 27 comorbidities this study aimed to evaluate the impact of old age on the surgical outcomes of totally laparoscopic gastrectomy for gastric cancer . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 aimed 0 ###LEFT-WALL### 22 . 1 this 2 study 2 study 3 aimed 3 aimed 4 to 3 aimed 5 evaluate 4 to 5 evaluate 5 evaluate 7 impact 5 evaluate 11 on 6 the 7 impact 7 impact 8 of 8 of 10 age 9 old 10 age 11 on 14 outcomes 12 the 14 outcomes 13 surgical 14 outcomes 14 outcomes 15 of 15 of 18 gastrectomy 16 totally 17 laparoscopic 17 laparoscopic 18 gastrectomy 18 gastrectomy 19 for 19 for 21 cancer 20 gastric 21 cancer methods : this study enrolled 389 gastric cancer patients who underwent totally laparoscopic gastrectomy at hanyang university guri hospital and asan medical center . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 4 study 2 : 5 enrolled 3 this 4 study 4 study 5 enrolled 5 enrolled 9 patients 5 enrolled 15 at 6 389 9 patients 7 gastric 8 cancer 8 cancer 9 patients 9 patients 10 who 9 patients 11 underwent 10 who 11 underwent 11 underwent 14 gastrectomy 12 totally 13 laparoscopic 13 laparoscopic 14 gastrectomy 15 at 20 and 16 hanyang 17 university 17 university 18 guri 18 guri 19 hospital 19 hospital 20 and 20 and 23 center 21 asan 22 medical 22 medical 23 center the patients were classified into two groups according to age as those older than 70 years and those younger than 70 years . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 4 classified 0 ###LEFT-WALL### 23 . 1 the 2 patients 2 patients 3 were 3 were 4 classified 4 classified 5 into 4 classified 9 to 4 classified 11 as 5 into 7 groups 6 two 7 groups 8 according 9 to 9 to 10 age 11 as 17 and 12 those 13 older 12 those 17 and 13 older 14 than 14 than 16 years 15 70 16 years 17 and 18 those 17 and 19 younger 19 younger 20 than 20 than 22 years 21 70 22 years early surgical outcomes such as operation time , postoperative complications , time to first flatus , days [until] soft diet [began] , and hospital stay were evaluated . 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 27 evaluated 0 ###LEFT-WALL### 28 . 1 early 3 outcomes 2 surgical 3 outcomes 3 outcomes 5 as 3 outcomes 8 , 4 such 5 as 5 as 7 time 6 operation 7 time 8 , 10 complications 8 , 11 , 9 postoperative 10 complications 11 , 12 time 11 , 16 , 12 time 13 to 13 to 15 flatus 14 first 15 flatus 16 , 20 diet 16 , 23 and 17 days 20 diet 19 soft 20 diet 22 , 23 and 23 and 25 stay 23 and 26 were 24 hospital 25 stay 26 were 27 evaluated results : no patient was converted to open surgery . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 patient 2 : 6 converted 2 : 10 . 3 no 4 patient 4 patient 5 was 5 was 6 converted 6 converted 7 to 7 to 8 open 8 open 9 surgery the two groups differed significantly in terms of overall postoperative complication rate [,] time to first flatus , days until soft [diet] [began] , and hospital stay . 0 ###LEFT-WALL### 3 groups 0 ###LEFT-WALL### 4 differed 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 28 . 1 the 2 two 2 two 3 groups 3 groups 4 differed 4 differed 5 significantly 4 differed 6 in 4 differed 14 time 4 differed 15 to 6 in 7 terms 7 terms 8 of 8 of 9 overall 10 postoperative 11 complication 11 complication 14 time 12 rate 14 time 15 to 17 flatus 16 first 17 flatus 18 , 19 days 18 , 27 stay 19 days 20 until 19 days 27 stay 20 until 25 and 21 soft 25 and 24 , 25 and 25 and 26 hospital the patients who underwent roux [-] [en] [-] y gastrojejunostomy differed in incidence [of] postoperative ileus but not [in] severe postoperative complication rate . 0 ###LEFT-WALL### 23 rate 0 ###LEFT-WALL### 24 . 1 the 2 patients 2 patients 3 who 2 patients 4 underwent 2 patients 11 differed 3 who 4 underwent 4 underwent 10 gastrojejunostomy 5 roux 9 y 5 roux 10 gastrojejunostomy 11 differed 12 in 11 differed 17 but 12 in 16 ileus 13 incidence 16 ileus 15 postoperative 16 ileus 17 but 18 not 18 not 20 severe 20 severe 22 complication 21 postoperative 22 complication 22 complication 23 rate conclusions : the results of this study demonstrated that old age can have an effect on the surgical outcomes of totally laparoscopic gastrectomy . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 8 demonstrated 2 : 24 . 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 have 10 old 11 age 11 age 12 can 12 can 13 have 13 have 15 effect 13 have 16 on 14 an 15 effect 16 on 19 outcomes 17 the 19 outcomes 18 surgical 19 outcomes 19 outcomes 20 of 20 of 23 gastrectomy 21 totally 22 laparoscopic 22 laparoscopic 23 gastrectomy this study especially showed that elderly patients are affected by the return of bowel movement after totally laparoscopic gastrectomy . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 20 . 1 this 2 study 2 study 4 showed 3 especially 4 showed 4 showed 5 that 5 that 7 patients 5 that 9 affected 6 elderly 7 patients 7 patients 8 are 8 are 9 affected 9 affected 10 by 9 affected 16 after 10 by 12 return 11 the 12 return 12 return 13 of 13 of 15 movement 14 bowel 15 movement 16 after 19 gastrectomy 17 totally 18 laparoscopic 18 laparoscopic 19 gastrectomy on the other hand , however , it is presumed that old age has not had a serious impact on surgical outcomes in totally laparoscopic gastrectomy because no difference in the severe postoperative complication rate was observed . 0 ###LEFT-WALL### 4 hand 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 38 . 1 on 3 other 1 on 4 hand 2 the 3 other 4 hand 6 however 5 , 6 however 6 however 7 , 7 , 8 it 7 , 10 presumed 8 it 9 is 9 is 10 presumed 10 presumed 11 that 11 that 13 age 11 that 16 had 12 old 13 age 13 age 14 has 14 has 15 not 14 has 16 had 16 had 19 impact 16 had 20 on 16 had 23 in 16 had 27 because 17 a 19 impact 18 serious 19 impact 20 on 22 outcomes 21 surgical 22 outcomes 23 in 26 gastrectomy 24 totally 25 laparoscopic 25 laparoscopic 26 gastrectomy 27 because 29 difference 27 because 37 observed 28 no 29 difference 29 difference 30 in 29 difference 36 was 30 in 35 rate 31 the 35 rate 32 severe 34 complication 33 postoperative 34 complication 34 complication 35 rate 36 was 37 observed introduction and hypothesis : the aim was to evaluate the relationship between age and the impact of pelvic floor disorders ( pfd ) using a multi - dimensional pelvic floor questionnaire methods : questionnaire data on 4,311 women attending urogynaecology clinics with pfd were stratified by age into four groups : ≤35 , 36 - 50 , 51 - 65 and >65 years . 0 ###LEFT-WALL### 3 hypothesis 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 64 . 1 introduction 2 and 2 and 3 hypothesis 4 : 6 aim 4 : 9 evaluate 4 : 14 and 4 : 51 : 5 the 6 aim 6 aim 7 was 7 was 8 to 8 to 9 evaluate 9 evaluate 11 relationship 10 the 11 relationship 11 relationship 12 between 12 between 13 age 14 and 16 impact 14 and 45 stratified 15 the 16 impact 16 impact 17 of 16 impact 24 using 16 impact 33 : 17 of 20 disorders 18 pelvic 19 floor 19 floor 20 disorders 20 disorders 22 pfd 21 ( 22 pfd 22 pfd 23 ) 24 using 32 methods 25 a 26 multi 25 a 32 methods 26 multi 27 - 26 multi 30 floor 28 dimensional 30 floor 29 pelvic 30 floor 30 floor 31 questionnaire 31 questionnaire 32 methods 33 : 35 data 34 questionnaire 35 data 35 data 36 on 36 on 38 women 37 4,311 38 women 38 women 39 attending 38 women 40 urogynaecology 38 women 45 stratified 40 urogynaecology 41 clinics 40 urogynaecology 44 were 40 urogynaecology 45 stratified 41 clinics 42 with 41 clinics 44 were 42 with 43 pfd 45 stratified 46 by 46 by 47 age 47 age 48 into 48 into 50 groups 49 four 50 groups 51 : 63 years 52 ≤35 55 - 52 ≤35 59 - 52 ≤35 61 and 53 , 55 - 54 36 55 - 55 - 56 50 55 - 57 , 58 51 59 - 59 - 60 65 61 and 62 >65 61 and 63 years the symptom frequency ( ranging from 0 to 100 ) was divided in [to] mild ( 0 - 33 ) , moderate ( 34 - 67 ) , and severe ( 68 - 100 ) symptoms . 0 ###LEFT-WALL### 2 symptom 0 ###LEFT-WALL### 12 divided 0 ###LEFT-WALL### 37 . 1 the 2 symptom 2 symptom 3 frequency 2 symptom 11 was 2 symptom 12 divided 3 frequency 5 ranging 3 frequency 11 was 4 ( 5 ranging 5 ranging 8 to 5 ranging 10 ) 6 from 8 to 7 0 8 to 8 to 9 100 12 divided 13 in 12 divided 36 symptoms 15 mild 18 - 15 mild 21 , 16 ( 18 - 17 0 18 - 18 - 19 33 18 - 20 ) 21 , 22 moderate 21 , 29 and 22 moderate 25 - 23 ( 25 - 24 34 25 - 25 - 26 67 25 - 27 ) 28 , 29 and 29 and 30 severe 29 and 36 symptoms 30 severe 33 - 31 ( 33 - 32 68 33 - 33 - 34 100 33 - 35 ) impact scores for equivalent levels of symptom frequency ( mild , moderate and severe symptoms ) were compared in women of different ages . 0 ###LEFT-WALL### 2 scores 0 ###LEFT-WALL### 18 compared 0 ###LEFT-WALL### 24 . 1 impact 2 scores 2 scores 3 for 2 scores 6 of 2 scores 17 were 3 for 5 levels 4 equivalent 5 levels 6 of 8 frequency 7 symptom 8 frequency 8 frequency 15 symptoms 9 ( 15 symptoms 10 mild 11 , 11 , 12 moderate 11 , 13 and 13 and 14 severe 13 and 15 symptoms 15 symptoms 16 ) 17 were 18 compared 18 compared 19 in 19 in 20 women 20 women 21 of 21 of 23 ages 22 different 23 ages results : overall , bowel continence was associated with the greatest bother and constipation the least . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 17 . 1 results 2 : 2 : 3 overall 4 , 6 continence 4 , 8 associated 5 bowel 6 continence 6 continence 7 was 7 was 8 associated 8 associated 9 with 8 associated 16 least 9 with 13 and 10 the 11 greatest 10 the 12 bother 12 bother 13 and 13 and 14 constipation 15 the 16 least older women were significantly less bothered by mild [to] moderate urinary , bowel and vaginal symptoms ( except ibs and vaginal capacity ) than younger women . 0 ###LEFT-WALL### 2 women 0 ###LEFT-WALL### 6 bothered 0 ###LEFT-WALL### 27 . 1 older 2 women 2 women 3 were 3 were 5 less 3 were 6 bothered 4 significantly 5 less 6 bothered 7 by 6 bothered 24 than 7 by 16 symptoms 8 mild 10 moderate 10 moderate 16 symptoms 11 urinary 12 , 12 , 13 bowel 12 , 14 and 14 and 15 vaginal 14 and 16 symptoms 16 symptoms 18 except 17 ( 18 except 18 except 20 and 18 except 23 ) 19 ibs 20 and 20 and 22 capacity 20 and 23 ) 21 vaginal 22 capacity 24 than 26 women 25 younger 26 women there was no difference in the impact of severe symptoms in different ages . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 14 . 1 there 2 was 2 was 4 difference 3 no 4 difference 4 difference 5 in 5 in 7 impact 6 the 7 impact 7 impact 8 of 8 of 10 symptoms 9 severe 10 symptoms 10 symptoms 11 in 11 in 13 ages 12 different 13 ages in contrast , for sexual symptoms , there was a significant difference in the impact in older women for all grades of severity . 0 ###LEFT-WALL### 8 there 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 24 . 1 in 2 contrast 1 in 8 there 2 contrast 4 for 3 , 4 for 4 for 6 symptoms 4 for 7 , 5 sexual 6 symptoms 8 there 9 was 9 was 12 difference 10 a 11 significant 10 a 12 difference 11 significant 12 difference 12 difference 13 in 12 difference 19 for 13 in 15 impact 14 the 15 impact 15 impact 16 in 16 in 18 women 17 older 18 women 19 for 21 grades 20 all 21 grades 21 grades 22 of 22 of 23 severity conclusions : women 's views and attitudes towards symptoms are variable and age is a significant factor . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 6 and 2 : 10 are 2 : 12 and 3 women 4 's 4 's 5 views 5 views 6 and 6 and 7 attitudes 6 and 8 towards 6 and 10 are 8 towards 9 symptoms 10 are 11 variable 12 and 13 age 12 and 14 is 13 age 14 is 14 is 17 factor 15 a 16 significant 15 a 17 factor 16 significant 17 factor in women attending urogynaecology clinics with pelvic floor symptoms the impact of most symptoms ( particularly sexual dysfunction ) become less bothersome with age . 0 ###LEFT-WALL### 14 symptoms 0 ###LEFT-WALL### 20 become 0 ###LEFT-WALL### 25 . 1 in 2 women 1 in 14 symptoms 2 women 3 attending 2 women 12 of 3 attending 5 clinics 3 attending 6 with 4 urogynaecology 5 clinics 6 with 9 symptoms 6 with 11 impact 7 pelvic 8 floor 8 floor 9 symptoms 10 the 11 impact 12 of 13 most 14 symptoms 18 dysfunction 14 symptoms 20 become 15 ( 16 particularly 15 ( 18 dysfunction 17 sexual 18 dysfunction 18 dysfunction 19 ) 20 become 22 bothersome 21 less 22 bothersome 22 bothersome 23 with 23 with 24 age the insulin/insulin - like growth factor pathway [is] involved in breast [and] colorectal cancer ( crc ) [development] . 0 ###LEFT-WALL### 2 insulin/insulin 0 ###LEFT-WALL### 3 - 1 the 2 insulin/insulin 3 - 6 factor 3 - 19 . 4 like 5 growth 4 like 6 factor 6 factor 9 involved 6 factor 10 in 7 pathway 9 involved 10 in 14 cancer 11 breast 14 cancer 13 colorectal 14 cancer 14 cancer 16 crc 15 ( 16 crc 16 crc 17 ) in the present study , we analyzed the coding region and short intron - exon borders of the insulin receptor substrate 1 and 2 ( irs ‑ 1 and irs ‑ 2 ) genes in 12 cell lines derived from breast cancer ( bc ) , 14 cell lines derived from crc and 33 primary crcs . 0 ###LEFT-WALL### 4 study 1 in 3 present 1 in 4 study 2 the 3 present 4 study 14 - 4 study 34 genes 4 study 35 in 5 , 14 - 6 we 7 analyzed 7 analyzed 11 and 7 analyzed 14 - 8 the 10 region 9 coding 10 region 10 region 11 and 11 and 13 intron 11 and 14 - 12 short 13 intron 14 - 23 and 14 - 33 ) 15 exon 16 borders 16 borders 17 of 16 borders 23 and 17 of 21 substrate 18 the 21 substrate 19 insulin 21 substrate 20 receptor 21 substrate 21 substrate 22 1 23 and 31 ‑ 24 2 26 irs 25 ( 26 irs 26 irs 27 ‑ 27 ‑ 28 1 27 ‑ 29 and 29 and 30 irs 29 and 31 ‑ 31 ‑ 32 2 35 in 38 lines 36 12 38 lines 37 cell 38 lines 38 lines 39 derived 38 lines 49 lines 39 derived 40 from 40 from 42 cancer 41 breast 42 cancer 42 cancer 44 bc 43 ( 44 bc 44 bc 45 ) 46 , 49 lines 47 14 49 lines 48 cell 49 lines 49 lines 50 derived 49 lines 57 . 50 derived 51 from 51 from 53 and 52 crc 53 and 53 and 56 crcs 54 33 56 crcs 55 primary 56 crcs the nucleotide variants identified in bc were 3 in irs ‑ 1 , 1 of which ( p.arg267cys ) was novel and with a pathogenic potential as predicted by [in] silico analysis and 6 in irs ‑ 2 . 0 ###LEFT-WALL### 3 variants 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 39 . 1 the 3 variants 2 nucleotide 3 variants 3 variants 4 identified 3 variants 7 were 4 identified 5 in 5 in 6 bc 7 were 11 ‑ 8 3 9 in 9 in 11 ‑ 10 irs 11 ‑ 11 ‑ 12 1 13 , 14 1 13 , 20 was 13 , 22 and 14 1 15 of 14 1 18 p.arg267cys 14 1 20 was 15 of 16 which 17 ( 18 p.arg267cys 18 p.arg267cys 19 ) 20 was 21 novel 22 and 33 and 22 and 37 ‑ 23 with 26 potential 23 with 29 by 23 with 33 and 24 a 25 pathogenic 24 a 26 potential 25 pathogenic 26 potential 26 potential 28 predicted 27 as 28 predicted 29 by 31 silico 32 analysis 33 and 33 and 36 irs 33 and 37 ‑ 34 6 35 in 35 in 36 irs 37 ‑ 38 2 twenty ‑ one variants in irs ‑ 1 and 18 in irs ‑ 2 were identified in the crc samples . 0 ###LEFT-WALL### 1 twenty 0 ###LEFT-WALL### 2 ‑ 0 ###LEFT-WALL### 21 . 1 twenty 2 ‑ 2 ‑ 3 one 2 ‑ 17 in 3 one 9 and 3 one 15 were 3 one 16 identified 4 variants 5 in 4 variants 9 and 5 in 7 ‑ 6 irs 7 ‑ 7 ‑ 8 1 9 and 13 ‑ 9 and 15 were 10 18 11 in 11 in 13 ‑ 12 irs 13 ‑ 13 ‑ 14 2 17 in 20 samples 18 the 20 samples 19 crc 20 samples these included 11 novel irs ‑ 1 variants detected exclusively in crcs , which included 5 missense ( p.pro559leu , p.gln655his , p.asp1014gly , p.asp1181his and ppro1203ser ) with a pathogenic potential as predicted by [in] silico analysis , 2 frameshifts predicted to generate a truncated protein , 1 splice - site mutation and 3 silent variants . 0 ###LEFT-WALL### 1 these 0 ###LEFT-WALL### 2 included 1 these 2 included 2 included 6 ‑ 2 included 10 exclusively 2 included 11 in 3 11 4 novel 4 novel 6 ‑ 5 irs 6 ‑ 6 ‑ 7 1 6 ‑ 8 variants 6 ‑ 9 detected 8 variants 9 detected 11 in 12 crcs 12 crcs 14 which 13 , 14 which 14 which 15 included 15 included 23 p.asp1014gly 15 included 26 and 16 5 17 missense 17 missense 19 p.pro559leu 17 missense 21 p.gln655his 18 ( 19 p.pro559leu 19 p.pro559leu 20 , 20 , 21 p.gln655his 21 p.gln655his 22 , 22 , 23 p.asp1014gly 23 p.asp1014gly 24 , 25 p.asp1181his 26 and 26 and 27 ppro1203ser 26 and 28 ) 26 and 29 with 26 and 35 by 29 with 32 potential 30 a 32 potential 31 pathogenic 32 potential 32 potential 34 predicted 33 as 34 predicted 35 by 38 analysis 37 silico 38 analysis 38 analysis 50 splice 39 , 42 predicted 40 2 41 frameshifts 41 frameshifts 42 predicted 42 predicted 43 to 42 predicted 48 , 43 to 44 generate 44 generate 47 protein 45 a 47 protein 46 truncated 47 protein 48 , 50 splice 49 1 50 splice 50 splice 54 and 50 splice 58 . 51 - 54 and 52 site 53 mutation 53 mutation 54 and 54 and 57 variants 54 and 58 . 55 3 57 variants 56 silent 57 variants in the crc samples we also identified 7 novel irs ‑ 2 variants , including 4 missense variants , which included 2 ( p.asp782asn and p.gly1230ser ) with a pathogenic potential as predicted [by] in silico analysis , 2 frame insertion mutations and 1 silent variant . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 7 identified 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 33 predicted 0 ###LEFT-WALL### 47 . 1 in 4 samples 1 in 5 we 2 the 4 samples 3 crc 4 samples 5 we 7 identified 6 also 7 identified 7 identified 13 variants 7 identified 15 including 8 7 13 variants 9 novel 11 ‑ 10 irs 11 ‑ 11 ‑ 13 variants 12 2 13 variants 14 , 15 including 15 including 18 variants 15 including 19 , 16 4 18 variants 17 missense 18 variants 19 , 20 which 19 , 21 included 20 which 21 included 21 included 22 2 21 included 28 with 21 included 32 as 22 2 25 and 23 ( 25 and 24 p.asp782asn 25 and 25 and 26 p.gly1230ser 25 and 27 ) 28 with 31 potential 29 a 30 pathogenic 29 a 31 potential 30 pathogenic 31 potential 32 as 33 predicted 33 predicted 35 in 33 predicted 38 , 33 predicted 39 2 33 predicted 40 frame 35 in 37 analysis 36 silico 37 analysis 39 2 40 frame 40 frame 43 and 41 insertion 42 mutations 42 mutations 43 and 43 and 46 variant 44 1 46 variant 45 silent 46 variant most of the novel irs ‑ 1 and irs ‑ 2 variants may be involved in the modulation of irs - [1] or irs ‑ 2 functions and could be relevant to breast and colorectal tumorigenesis . 0 ###LEFT-WALL### 12 variants 0 ###LEFT-WALL### 15 involved 0 ###LEFT-WALL### 37 . 1 most 2 of 1 most 12 variants 2 of 12 variants 3 the 12 variants 4 novel 6 ‑ 5 irs 6 ‑ 6 ‑ 7 1 6 ‑ 8 and 8 and 10 ‑ 8 and 12 variants 9 irs 10 ‑ 10 ‑ 11 2 12 variants 13 may 13 may 14 be 14 be 15 involved 15 involved 16 in 16 in 18 modulation 17 the 18 modulation 18 modulation 19 of 19 of 34 and 20 irs 23 or 21 - 23 or 23 or 24 irs 23 or 25 ‑ 23 or 28 and 23 or 31 relevant 23 or 34 and 25 ‑ 26 2 25 ‑ 28 and 27 functions 28 and 28 and 29 could 29 could 30 be 31 relevant 32 to 31 relevant 33 breast 32 to 33 breast 34 and 36 tumorigenesis 35 colorectal 36 tumorigenesis homebound older adults constitute a " hardly reached " population with respect to health communication . 0 ###LEFT-WALL### 3 adults 0 ###LEFT-WALL### 4 constitute 0 ###LEFT-WALL### 16 . 1 homebound 3 adults 2 older 3 adults 3 adults 4 constitute 4 constitute 10 population 4 constitute 11 with 4 constitute 13 to 5 a 6 " 5 a 10 population 7 hardly 8 reached 8 reached 9 " 8 reached 10 population 11 with 12 respect 13 to 15 communication 14 health 15 communication older adults also typically suffer from health literacy challenges , which put them at increased risk of adverse health outcomes . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 5 suffer 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 21 . 1 older 2 adults 2 adults 5 suffer 3 also 5 suffer 4 typically 5 suffer 5 suffer 6 from 6 from 9 challenges 7 health 9 challenges 8 literacy 9 challenges 10 , 11 which 10 , 12 put 11 which 12 put 12 put 13 them 12 put 14 at 14 at 16 risk 15 increased 16 risk 16 risk 17 of 17 of 20 outcomes 18 adverse 19 health 19 health 20 outcomes suboptimal interactions with providers are one such challenge . 0 ###LEFT-WALL### 2 interactions 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 9 . 1 suboptimal 2 interactions 2 interactions 3 with 2 interactions 5 are 3 with 4 providers 5 are 8 challenge 6 one 7 such 7 such 8 challenge interventions to improve interactive health literacy focus on training consumers/patients in question preparation and asking . 0 ###LEFT-WALL### 1 interventions 0 ###LEFT-WALL### 10 consumers/patients 0 ###LEFT-WALL### 16 . 1 interventions 2 to 1 interventions 9 training 1 interventions 10 consumers/patients 2 to 3 improve 3 improve 7 focus 3 improve 8 on 4 interactive 5 health 5 health 7 focus 6 literacy 7 focus 8 on 9 training 10 consumers/patients 11 in 11 in 14 and 12 question 13 preparation 13 preparation 14 and 14 and 15 asking meals on wheels volunteers are uniquely suited to coach their clients in such interaction strategies . 0 ###LEFT-WALL### 1 meals 0 ###LEFT-WALL### 7 suited 0 ###LEFT-WALL### 16 . 1 meals 2 on 1 meals 5 are 2 on 4 volunteers 3 wheels 4 volunteers 5 are 6 uniquely 5 are 7 suited 7 suited 8 to 8 to 9 coach 9 coach 11 clients 9 coach 12 in 10 their 11 clients 12 in 15 strategies 13 such 15 strategies 14 interaction 15 strategies seventy - three meals on wheels volunteers participated in workshops to train as health literacy coaches . 0 ###LEFT-WALL### 4 meals 0 ###LEFT-WALL### 8 participated 0 ###LEFT-WALL### 17 . 1 seventy 2 - 2 - 3 three 2 - 4 meals 4 meals 5 on 4 meals 8 participated 5 on 7 volunteers 6 wheels 7 volunteers 8 participated 9 in 9 in 10 workshops 10 workshops 11 to 10 workshops 12 train 11 to 12 train 12 train 13 as 13 as 16 coaches 14 health 16 coaches 15 literacy 16 coaches [the] 3 - to 4 - hour workshops included units on communicating with older adults , on the nature of health literacy , and on the process of interactive health literacy coaching . 0 ###LEFT-WALL### 2 3 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 33 . 2 3 3 - 3 - 8 workshops 4 to 5 4 4 to 6 - 4 to 8 workshops 7 hour 8 workshops 8 workshops 9 included 9 included 10 units 9 included 11 on 9 included 24 and 11 on 12 communicating 13 with 15 adults 13 with 24 and 14 older 15 adults 15 adults 17 on 16 , 17 on 17 on 19 nature 17 on 23 , 18 the 19 nature 19 nature 20 of 20 of 22 literacy 21 health 22 literacy 23 , 24 and 24 and 25 on 25 on 27 process 26 the 27 process 27 process 28 of 28 of 31 literacy 29 interactive 30 health 30 health 31 literacy 31 literacy 32 coaching participants viewed and discussed videos that modeled the targeted communication behaviors for older adult patients interacting with physicians . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 19 . 1 participants 2 viewed 1 participants 3 and 3 and 5 videos 3 and 6 that 3 and 7 modeled 4 discussed 5 videos 6 that 7 modeled 7 modeled 11 behaviors 8 the 11 behaviors 9 targeted 10 communication 10 communication 11 behaviors 11 behaviors 12 for 11 behaviors 16 interacting 12 for 15 patients 13 older 14 adult 14 adult 15 patients 16 interacting 17 with 17 with 18 physicians they [role] [-] played the coaching process . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 4 played 0 ###LEFT-WALL### 8 . 1 they 4 played 4 played 7 process 5 the 7 process 6 coaching 7 process after 9 months , coaches participated in a " booster " session that included videos of ideal coaching practices . 0 ###LEFT-WALL### 5 coaches 0 ###LEFT-WALL### 6 participated 0 ###LEFT-WALL### 20 . 1 after 3 months 1 after 4 , 1 after 5 coaches 2 9 3 months 5 coaches 6 participated 6 participated 7 in 7 in 12 session 8 a 9 " 8 a 12 session 10 booster 11 " 10 booster 12 session 12 session 13 that 12 session 14 included 13 that 14 included 14 included 15 videos 15 videos 16 of 16 of 19 practices 17 ideal 18 coaching 18 coaching 19 practices evaluation questionnaires revealed that participants had favorable reactions to the workshops with respect to utility and interest . 0 ###LEFT-WALL### 2 questionnaires 0 ###LEFT-WALL### 3 revealed 0 ###LEFT-WALL### 18 . 1 evaluation 2 questionnaires 2 questionnaires 3 revealed 3 revealed 4 that 4 that 5 participants 4 that 6 had 5 participants 6 had 6 had 8 reactions 6 had 9 to 6 had 12 with 6 had 14 to 7 favorable 8 reactions 9 to 11 workshops 10 the 11 workshops 12 with 13 respect 14 to 16 and 15 utility 16 and 16 and 17 interest they especially appreciated learning communication skills and seeing realistic videos . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 3 appreciated 0 ###LEFT-WALL### 11 . 1 they 3 appreciated 2 especially 3 appreciated 3 appreciated 7 and 4 learning 6 skills 5 communication 6 skills 6 skills 7 and 7 and 10 videos 8 seeing 10 videos 9 realistic 10 videos a measure of knowledge about the workshop material revealed a significant increment at posttest . 0 ###LEFT-WALL### 2 measure 0 ###LEFT-WALL### 9 revealed 0 ###LEFT-WALL### 15 . 1 a 2 measure 2 measure 3 of 2 measure 9 revealed 3 of 4 knowledge 4 knowledge 5 about 5 about 8 material 6 the 8 material 7 workshop 8 material 9 revealed 12 increment 9 revealed 13 at 10 a 11 significant 10 a 12 increment 11 significant 12 increment 13 at 14 posttest fidelity of coaching practices with respect [to] workshop curriculum [was] confirmed . 0 ###LEFT-WALL### 1 fidelity 0 ###LEFT-WALL### 4 practices 0 ###LEFT-WALL### 12 . 1 fidelity 2 of 1 fidelity 4 practices 2 of 3 coaching 4 practices 5 with 5 with 6 respect 5 with 11 confirmed 8 workshop 11 confirmed 9 curriculum 11 confirmed this training in interactive health literacy for community [-] based lay volunteers constitutes one way to implement the national action plan to improve health literacy for one " hardly reached " population . 0 ###LEFT-WALL### 2 training 0 ###LEFT-WALL### 13 constitutes 0 ###LEFT-WALL### 33 . 1 this 2 training 2 training 3 in 2 training 7 for 2 training 13 constitutes 3 in 6 literacy 4 interactive 5 health 5 health 6 literacy 7 for 12 volunteers 8 community 10 based 10 based 12 volunteers 11 lay 12 volunteers 13 constitutes 15 way 13 constitutes 16 to 13 constitutes 22 to 13 constitutes 26 for 14 one 15 way 16 to 17 implement 17 implement 21 plan 18 the 21 plan 19 national 20 action 20 action 21 plan 22 to 25 literacy 23 improve 24 health 24 health 25 literacy 26 for 32 population 27 one 28 " 27 one 32 population 29 hardly 30 reached 30 reached 31 " 30 reached 32 population an online tool kit containing all workshop materials is available . 0 ###LEFT-WALL### 4 kit 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 11 . 1 an 2 online 1 an 4 kit 2 online 3 tool 3 tool 4 kit 4 kit 5 containing 4 kit 9 is 5 containing 8 materials 6 all 8 materials 7 workshop 8 materials 9 is 10 available aging is a continuous process that induces many alterations in the cytoarchitecture of different organs and systems [both] in humans and animals . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 23 . 1 aging 2 is 2 is 5 process 3 a 4 continuous 3 a 5 process 4 continuous 5 process 5 process 6 that 5 process 7 induces 6 that 7 induces 7 induces 9 alterations 7 induces 10 in 7 induces 19 in 8 many 9 alterations 10 in 16 and 11 the 12 cytoarchitecture 12 cytoarchitecture 13 of 12 cytoarchitecture 16 and 13 of 15 organs 14 different 15 organs 16 and 17 systems 19 in 21 and 20 humans 21 and 21 and 22 animals moreover , it is associated with increased susceptibility to infectious , autoimmune , and neoplastic processes . 0 ###LEFT-WALL### 3 it 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 17 . 1 moreover 2 , 1 moreover 3 it 3 it 4 is 4 is 5 associated 5 associated 6 with 5 associated 9 to 6 with 8 susceptibility 7 increased 8 susceptibility 9 to 14 and 10 infectious 11 , 10 infectious 12 autoimmune 12 autoimmune 14 and 13 , 14 and 14 and 16 processes 15 neoplastic 16 processes the thymus is a primary lymphoid organ responsible for the production of immunocompetent [t] cells and , with aging , it atrophies and declines in functions . 0 ###LEFT-WALL### 2 thymus 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 27 . 1 the 2 thymus 2 thymus 3 is 3 is 7 organ 4 a 5 primary 4 a 7 organ 5 primary 7 organ 6 lymphoid 7 organ 7 organ 8 responsible 8 responsible 9 for 9 for 11 production 10 the 11 production 11 production 12 of 12 of 15 cells 13 immunocompetent 15 cells 16 and 17 , 16 and 21 it 16 and 23 and 17 , 18 with 18 with 19 aging 18 with 20 , 18 with 21 it 21 it 23 and 22 atrophies 23 and 23 and 24 declines 23 and 25 in 25 in 26 functions universality [of] thymic involution [in] [all] species possessing thymus , including [human] [,] indicates it as a long - standing evolutionary event . 0 ###LEFT-WALL### 9 thymus 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 23 . 1 universality 9 thymus 3 thymic 7 species 4 involution 7 species 7 species 9 thymus 8 possessing 9 thymus 10 , 11 including 10 , 14 indicates 11 including 14 indicates 14 indicates 15 it 14 indicates 16 as 16 as 22 event 17 a 22 event 18 long 19 - 18 long 22 event 20 standing 22 event 21 evolutionary 22 event although it is accepted that many factors contribute to age - associated thymic involution , little is known about the mechanisms involved in the process . 0 ###LEFT-WALL### 7 factors 0 ###LEFT-WALL### 8 contribute 0 ###LEFT-WALL### 11 - 1 although 2 it 1 although 4 accepted 1 although 7 factors 2 it 3 is 3 is 4 accepted 5 that 6 many 6 many 7 factors 7 factors 8 contribute 8 contribute 9 to 9 to 10 age 11 - 14 involution 11 - 15 , 11 - 26 . 12 associated 14 involution 13 thymic 14 involution 15 , 16 little 15 , 18 known 16 little 17 is 17 is 18 known 18 known 19 about 19 about 21 mechanisms 20 the 21 mechanisms 21 mechanisms 22 involved 22 involved 23 in 23 in 25 process 24 the 25 process the exact time point of the initiation is not well defined . 0 ###LEFT-WALL### 4 point 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 12 . 1 the 4 point 2 exact 4 point 3 time 4 point 4 point 5 of 4 point 8 is 5 of 7 initiation 6 the 7 initiation 8 is 9 not 8 is 10 well 10 well 11 defined to address the issue , we report the exact age of thymus throughout the review so that readers can have a nicely pictured synoptic view of the process . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 address 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 29 . 1 to 2 address 2 address 4 issue 3 the 4 issue 5 , 6 we 5 , 7 report 6 we 7 report 7 report 10 age 7 report 13 throughout 7 report 17 that 8 the 10 age 9 exact 10 age 10 age 11 of 11 of 12 thymus 13 throughout 15 review 14 the 15 review 16 so 17 that 17 that 18 readers 17 that 20 have 18 readers 19 can 19 can 20 have 20 have 25 view 21 a 25 view 22 nicely 23 pictured 23 pictured 25 view 24 synoptic 25 view 25 view 26 of 26 of 28 process 27 the 28 process focusing our attention on the different stages of the development of the thymus gland ( natal , postnatal , adult , and old ) , we describe chronologically the morphological changes of the gland . 0 ###LEFT-WALL### 26 we 0 ###LEFT-WALL### 27 describe 0 ###LEFT-WALL### 35 . 1 focusing 3 attention 1 focusing 4 on 1 focusing 25 , 1 focusing 26 we 2 our 3 attention 4 on 7 stages 5 the 7 stages 6 different 7 stages 7 stages 8 of 8 of 10 development 9 the 10 development 10 development 11 of 11 of 14 gland 12 the 14 gland 13 thymus 14 gland 14 gland 22 and 15 ( 22 and 16 natal 17 , 17 , 20 adult 17 , 22 and 18 postnatal 19 , 18 postnatal 20 adult 21 , 22 and 22 and 23 old 22 and 24 ) 26 we 27 describe 27 describe 28 chronologically 27 describe 31 changes 29 the 31 changes 30 morphological 31 changes 31 changes 32 of 32 of 34 gland 33 the 34 gland we report that the thymic morphology and cell types are evolutionarily preserved in several vertebrate species . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 report 0 ###LEFT-WALL### 17 . 1 we 2 report 2 report 3 that 3 that 7 and 3 that 12 preserved 4 the 6 morphology 5 thymic 6 morphology 6 morphology 7 and 7 and 9 types 7 and 10 are 8 cell 9 types 10 are 11 evolutionarily 10 are 12 preserved 12 preserved 13 in 13 in 16 species 14 several 16 species 15 vertebrate 16 species this finding is important in understanding the similar problems caused by senescence and other diseases . 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 important 4 important 5 in 4 important 11 by 5 in 6 understanding 6 understanding 9 problems 7 the 9 problems 8 similar 9 problems 9 problems 10 caused 11 by 13 and 12 senescence 13 and 13 and 15 diseases 14 other 15 diseases another point that we considered very important is to indicate the assessment of the thymus through radiological images to highlight its variability in shape , size , and anatomical conformation . 0 ###LEFT-WALL### 2 point 0 ###LEFT-WALL### 20 highlight 0 ###LEFT-WALL### 31 . 1 another 2 point 2 point 3 that 2 point 5 considered 2 point 8 is 3 that 4 we 3 that 5 considered 4 we 5 considered 5 considered 7 important 6 very 7 important 8 is 9 to 8 is 10 indicate 9 to 10 indicate 10 indicate 12 assessment 10 indicate 19 to 11 the 12 assessment 12 assessment 13 of 13 of 15 thymus 14 the 15 thymus 15 thymus 16 through 16 through 18 images 17 radiological 18 images 19 to 20 highlight 20 highlight 22 variability 20 highlight 23 in 21 its 22 variability 23 in 28 and 24 shape 25 , 25 , 26 size 25 , 28 and 27 , 28 and 28 and 30 conformation 29 anatomical 30 conformation purpose : to [validate] [and] evaluate the reliability of retinal vessel diameter measurements by optical coherence tomography ( oct ) . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 6 evaluate 2 : 21 . 3 to 6 evaluate 6 evaluate 8 reliability 6 evaluate 14 by 7 the 8 reliability 8 reliability 9 of 9 of 13 measurements 10 retinal 11 vessel 11 vessel 13 measurements 12 diameter 13 measurements 14 by 17 tomography 15 optical 16 coherence 16 coherence 17 tomography 17 tomography 19 oct 18 ( 19 oct 19 oct 20 ) the effects of age and hypertension [on] vessel diameter were also examined . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 12 examined 0 ###LEFT-WALL### 13 . 1 the 2 effects 2 effects 3 of 2 effects 10 were 3 of 5 and 4 age 5 and 5 and 9 diameter 6 hypertension 9 diameter 8 vessel 9 diameter 10 were 11 also 10 were 12 examined design : prospective , cross - sectional study . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 9 . 1 design 2 : 2 : 3 prospective 4 , 5 cross 4 , 6 - 6 - 8 study 7 sectional 8 study methods : two hundred thirty - eight eyes ( 238 subjects ) with no ocular disease [were] included . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 1 methods 2 : 2 : 5 thirty 2 : 13 with 3 two 4 hundred 4 hundred 5 thirty 5 thirty 8 eyes 6 - 8 eyes 7 eight 8 eyes 8 eyes 11 subjects 8 eyes 12 ) 9 ( 11 subjects 10 238 11 subjects 11 subjects 12 ) 13 with 16 disease 14 no 16 disease 15 ocular 16 disease 16 disease 18 included hypertension was present in 106 subjects and absent in 132 subjects . 0 ###LEFT-WALL### 1 hypertension 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 12 . 1 hypertension 2 was 2 was 7 and 3 present 4 in 3 present 7 and 4 in 6 subjects 5 106 6 subjects 7 and 8 absent 8 absent 9 in 9 in 11 subjects 10 132 11 subjects spectralis hra+oct was used to scan a circular region around the optic disc . 0 ###LEFT-WALL### 2 hra+oct 0 ###LEFT-WALL### 4 used 0 ###LEFT-WALL### 14 . 1 spectralis 2 hra+oct 2 hra+oct 3 was 3 was 4 used 4 used 5 to 4 used 6 scan 5 to 6 scan 6 scan 9 region 6 scan 10 around 7 a 8 circular 7 a 9 region 8 circular 9 region 10 around 13 disc 11 the 13 disc 12 optic 13 disc outer and inner diameters of the 4 largest retinal arteries and veins were measured using oct vascular wall reflections , and vessel wall thickness was calculated . 0 ###LEFT-WALL### 4 diameters 0 ###LEFT-WALL### 13 were 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 27 . 1 outer 2 and 2 and 3 inner 2 and 4 diameters 4 diameters 5 of 4 diameters 13 were 5 of 11 and 6 the 7 4 7 4 8 largest 7 4 10 arteries 9 retinal 10 arteries 10 arteries 11 and 11 and 12 veins 13 were 14 measured 14 measured 15 using 15 using 19 reflections 16 oct 19 reflections 17 vascular 18 wall 18 wall 19 reflections 20 , 21 and 21 and 24 thickness 21 and 26 calculated 22 vessel 24 thickness 23 wall 24 thickness 24 thickness 25 was 25 was 26 calculated results : intervisit , interexaminer , and interevaluator intraclass correlation coefficients of randomly selected vessel measurements were all greater than 0.90 . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 22 . 1 results 2 : 2 : 3 intervisit 3 intervisit 5 interexaminer 4 , 5 interexaminer 5 interexaminer 6 , 7 and 11 coefficients 7 and 17 were 8 interevaluator 11 coefficients 9 intraclass 11 coefficients 10 correlation 11 coefficients 11 coefficients 12 of 11 coefficients 17 were 12 of 16 measurements 13 randomly 14 selected 14 selected 15 vessel 15 vessel 16 measurements 17 were 18 all 18 all 19 greater 19 greater 20 than 20 than 21 0.90 mean inner arterial and venous diameters [were] 87.8 ± 9.4 μm and 113.7 ± 12.5 μm , respectively . 0 ###LEFT-WALL### 1 mean 0 ###LEFT-WALL### 12 and 1 mean 6 diameters 1 mean 9 ± 2 inner 6 diameters 3 arterial 4 and 4 and 5 venous 4 and 6 diameters 6 diameters 8 87.8 6 diameters 9 ± 9 ± 11 μm 10 9.4 11 μm 12 and 13 113.7 12 and 14 ± 13 113.7 14 ± 14 ± 16 μm 14 ± 18 respectively 15 12.5 16 μm 17 , 18 respectively 18 respectively 19 . the oct - measured mean inner arterial and venous diameters were significantly correlated to fundus photography caliber measurements ( p = [.] 005 and p = [.] 001 , respectively ) . 0 ###LEFT-WALL### 2 oct 0 ###LEFT-WALL### 3 - 1 the 2 oct 3 - 10 diameters 3 - 13 correlated 3 - 24 and 3 - 32 . 4 measured 10 diameters 5 mean 10 diameters 6 inner 10 diameters 7 arterial 8 and 8 and 9 venous 8 and 10 diameters 10 diameters 11 were 11 were 13 correlated 12 significantly 13 correlated 13 correlated 14 to 13 correlated 21 = 14 to 18 measurements 15 fundus 16 photography 16 photography 17 caliber 17 caliber 18 measurements 19 ( 21 = 20 p 21 = 21 = 23 005 24 and 25 p 24 and 26 = 25 p 26 = 26 = 28 001 26 = 30 respectively 29 , 30 respectively 30 respectively 31 ) additionally , both mean arterial and venous wall thicknesses were significantly greater in subjects with [hypertension] than in age - matched subjects without hypertension [(] p [=] . 020 and p = [.] 015 , respectively ) . 0 ###LEFT-WALL### 3 both 0 ###LEFT-WALL### 4 mean 0 ###LEFT-WALL### 20 - 0 ###LEFT-WALL### 28 . 1 additionally 2 , 1 additionally 3 both 3 both 4 mean 4 mean 6 and 4 mean 17 than 5 arterial 6 and 6 and 8 wall 6 and 9 thicknesses 6 and 15 with 7 venous 8 wall 9 thicknesses 10 were 10 were 11 significantly 10 were 12 greater 12 greater 13 in 12 greater 15 with 13 in 14 subjects 17 than 18 in 18 in 19 age 20 - 22 subjects 21 matched 22 subjects 22 subjects 23 without 23 without 24 hypertension 24 hypertension 26 p 28 . 29 020 28 . 30 and 28 . 38 . 30 and 31 p 30 and 32 = 31 p 32 = 32 = 34 015 32 = 36 respectively 35 , 36 respectively 36 respectively 37 ) conclusions : retinal vessel diameter measurements obtained with oct were highly reproducible and vessel wall thicknesses , calculated using outer and inner diameter measurements , were significantly thickened by both aging and systemic hypertension . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 35 . 2 : 3 retinal 2 : 10 were 2 : 13 and 3 retinal 10 were 4 vessel 6 measurements 5 diameter 6 measurements 6 measurements 7 obtained 6 measurements 10 were 7 obtained 8 with 8 with 9 oct 10 were 12 reproducible 11 highly 12 reproducible 13 and 16 thicknesses 13 and 28 thickened 14 vessel 15 wall 15 wall 16 thicknesses 16 thicknesses 26 were 17 , 18 calculated 18 calculated 19 using 18 calculated 26 were 19 using 21 and 20 outer 21 and 21 and 24 measurements 21 and 25 , 22 inner 23 diameter 23 diameter 24 measurements 26 were 28 thickened 27 significantly 28 thickened 28 thickened 29 by 29 by 32 and 30 both 31 aging 30 both 32 and 32 and 34 hypertension 33 systemic 34 hypertension eukaryotic genomic dna is highly packaged into chromatin by histones to fit inside the nucleus . 0 ###LEFT-WALL### 3 dna 0 ###LEFT-WALL### 6 packaged 0 ###LEFT-WALL### 16 . 1 eukaryotic 3 dna 2 genomic 3 dna 3 dna 4 is 4 is 5 highly 4 is 6 packaged 6 packaged 7 into 6 packaged 9 by 6 packaged 11 to 6 packaged 13 inside 7 into 8 chromatin 9 by 10 histones 11 to 12 fit 13 inside 15 nucleus 14 the 15 nucleus other than the bulk packaging role of canonical histones with an expression peak at s [phase] and replication - coupled deposition , different histone variants have evolved distinct regulatory mechanisms for their expression , deposition and functional implications . 0 ###LEFT-WALL### 25 variants 0 ###LEFT-WALL### 27 evolved 0 ###LEFT-WALL### 39 . 1 other 2 than 2 than 17 and 2 than 25 variants 3 the 6 role 4 bulk 5 packaging 5 packaging 6 role 6 role 7 of 6 role 10 with 6 role 14 at 6 role 17 and 7 of 9 histones 8 canonical 9 histones 10 with 13 peak 11 an 12 expression 11 an 13 peak 12 expression 13 peak 14 at 15 s 17 and 18 replication 17 and 21 deposition 19 - 21 deposition 20 coupled 21 deposition 21 deposition 22 , 23 different 24 histone 24 histone 25 variants 25 variants 26 have 26 have 27 evolved 27 evolved 30 mechanisms 27 evolved 31 for 28 distinct 30 mechanisms 29 regulatory 30 mechanisms 31 for 36 and 32 their 33 expression 33 expression 34 , 34 , 35 deposition 34 , 36 and 36 and 38 implications 37 functional 38 implications the diversity of histone variants results in structural plasticity of chromatin and highlights functionally distinct chromosomal domain , which plays critical roles in development from a fertilized egg into a complex organism , as well as in aging and diseases . 0 ###LEFT-WALL### 2 diversity 0 ###LEFT-WALL### 6 results 0 ###LEFT-WALL### 18 , 1 the 2 diversity 2 diversity 3 of 2 diversity 6 results 3 of 5 variants 4 histone 5 variants 6 results 7 in 7 in 12 and 8 structural 9 plasticity 9 plasticity 10 of 9 plasticity 12 and 10 of 11 chromatin 12 and 17 domain 13 highlights 17 domain 14 functionally 15 distinct 15 distinct 17 domain 16 chromosomal 17 domain 18 , 19 which 18 , 20 plays 19 which 20 plays 20 plays 22 roles 20 plays 23 in 21 critical 22 roles 23 in 24 development 24 development 25 from 24 development 29 into 24 development 34 as 25 from 28 egg 26 a 28 egg 27 fertilized 28 egg 29 into 32 organism 30 a 32 organism 31 complex 32 organism 33 , 34 as 34 as 39 and 34 as 41 . 35 well 36 as 35 well 39 and 36 as 37 in 37 in 38 aging 39 and 40 diseases however , the mechanisms of this fundamental process are poorly understood so far . 0 ###LEFT-WALL### 4 mechanisms 0 ###LEFT-WALL### 11 understood 0 ###LEFT-WALL### 14 . 1 however 2 , 1 however 4 mechanisms 3 the 4 mechanisms 4 mechanisms 5 of 4 mechanisms 9 are 5 of 8 process 6 this 7 fundamental 7 fundamental 8 process 9 are 10 poorly 9 are 11 understood 11 understood 13 far 12 so 13 far [it] is [of] particular interest to investigate how the variants are incorporated into chromatin and mark specific chromatin states to regulate gene expression , and how they are involved in development and diseases . 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 34 . 2 is 5 interest 2 is 8 how 4 particular 5 interest 5 interest 6 to 5 interest 7 investigate 6 to 7 investigate 8 how 10 variants 8 how 12 incorporated 9 the 10 variants 10 variants 11 are 11 are 12 incorporated 12 incorporated 13 into 13 into 14 chromatin 15 and 18 chromatin 15 and 19 states 16 mark 18 chromatin 17 specific 18 chromatin 18 chromatin 19 states 19 states 20 to 19 states 27 they 19 states 29 involved 20 to 21 regulate 21 regulate 25 and 22 gene 23 expression 23 expression 25 and 24 , 25 and 25 and 26 how 27 they 28 are 28 are 29 involved 29 involved 30 in 30 in 32 and 31 development 32 and 32 and 33 diseases in this review , we focus on recent progress in studies of epigenetic regulation of three extensively investigated variants including h2a.z , macroh2 [a] and h3.3 , and their functional implications in development and diseases . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 focus 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 36 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 focus 6 focus 7 on 6 focus 10 in 7 on 9 progress 8 recent 9 progress 10 in 11 studies 11 studies 12 of 12 of 14 regulation 13 epigenetic 14 regulation 14 regulation 15 of 15 of 19 variants 16 three 19 variants 17 extensively 18 investigated 18 investigated 19 variants 19 variants 20 including 20 including 21 h2a.z 22 , 28 and 23 macroh2 25 and 25 and 26 h3.3 25 and 28 and 27 , 28 and 28 and 31 implications 28 and 32 in 29 their 31 implications 30 functional 31 implications 32 in 34 and 33 development 34 and 34 and 35 diseases hip [fracture] is a common trauma in older adults with a high incidence of depression , which relates to poorer prognosis including increased risk of infection . 0 ###LEFT-WALL### 1 hip 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 27 . 1 hip 3 is 3 is 6 trauma 4 a 5 common 4 a 6 trauma 5 common 6 trauma 6 trauma 7 in 6 trauma 14 of 7 in 9 adults 8 older 9 adults 9 adults 10 with 10 with 13 incidence 11 a 12 high 11 a 13 incidence 12 high 13 incidence 14 of 15 depression 16 , 17 which 16 , 18 relates 17 which 18 relates 18 relates 19 to 19 to 24 risk 20 poorer 24 risk 21 prognosis 23 increased 22 including 23 increased 23 increased 24 risk 24 risk 25 of 25 of 26 infection ageing is accompanied by reduced immunity , termed immunesenescence , resulting in increased susceptibility to infection . 0 ###LEFT-WALL### 1 ageing 0 ###LEFT-WALL### 3 accompanied 1 ageing 2 is 2 is 3 accompanied 3 accompanied 4 by 4 by 6 immunity 5 reduced 6 immunity 6 immunity 8 termed 6 immunity 11 resulting 7 , 8 termed 8 termed 9 immunesenescence 8 termed 10 , 10 , 11 resulting 11 resulting 12 in 11 resulting 15 to 11 resulting 17 . 12 in 14 susceptibility 13 increased 14 susceptibility 15 to 16 infection we examined whether physical trauma ( hip [fracture] [ )(and psychological distress ( depressive symptoms ) had additive effects upon the aged immune system that might contribute to poor outcomes after injury . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 33 . 1 we 2 examined 2 examined 3 whether 2 examined 31 after 3 whether 5 trauma 3 whether 17 had 4 physical 5 trauma 5 trauma 12 distress 5 trauma 17 had 6 ( 12 distress 7 hip 10 )(and 10 )(and 11 psychological 10 )(and 12 distress 12 distress 15 symptoms 12 distress 16 ) 13 ( 15 symptoms 14 depressive 15 symptoms 15 symptoms 16 ) 17 had 19 effects 18 additive 19 effects 19 effects 20 upon 19 effects 25 that 19 effects 26 might 20 upon 24 system 21 the 24 system 22 aged 24 system 23 immune 24 system 25 that 26 might 26 might 27 contribute 27 contribute 28 to 28 to 30 outcomes 29 poor 30 outcomes 31 after 32 injury neutrophil [function] was assessed in 101 hip fracture patients ( 81 female ) 6 weeks and 6 months after injury and 43 healthy age - matched controls ( 28 [female] ) . 0 ###LEFT-WALL### 1 neutrophil 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 32 . 1 neutrophil 3 was 3 was 4 assessed 4 assessed 5 in 4 assessed 25 - 5 in 9 patients 6 101 9 patients 7 hip 9 patients 8 fracture 9 patients 10 ( 25 - 11 81 15 weeks 12 female 13 ) 12 female 15 weeks 14 6 15 weeks 15 weeks 16 and 16 and 18 months 16 and 19 after 16 and 21 and 17 6 18 months 19 after 20 injury 21 and 24 age 21 and 25 - 22 43 24 age 23 healthy 24 age 25 - 27 controls 25 - 31 ) 26 matched 27 controls 27 controls 29 28 28 ( 29 28 29 28 31 ) thirty eight fracture patients had depressive symptoms at 6 weeks . 0 ###LEFT-WALL### 4 patients 0 ###LEFT-WALL### 5 had 0 ###LEFT-WALL### 11 . 1 thirty 2 eight 2 eight 4 patients 3 fracture 4 patients 4 patients 5 had 5 had 7 symptoms 5 had 8 at 6 depressive 7 symptoms 8 at 10 weeks 9 6 10 weeks no difference in neutrophil phagocytosis of escherichia coli was observed between controls and hip fracture patients , but superoxide production was significantly reduced in hip fracture patients with depressive symptoms compared with patients without symptoms ( p=.001 ) or controls ( p=.004 ) at 6 weeks . 0 ###LEFT-WALL### 2 difference 0 ###LEFT-WALL### 10 observed 0 ###LEFT-WALL### 18 but 0 ###LEFT-WALL### 47 . 1 no 2 difference 2 difference 3 in 2 difference 9 was 3 in 5 phagocytosis 4 neutrophil 5 phagocytosis 5 phagocytosis 6 of 6 of 8 coli 7 escherichia 8 coli 9 was 10 observed 10 observed 11 between 11 between 13 and 12 controls 13 and 13 and 16 patients 14 hip 16 patients 15 fracture 16 patients 17 , 18 but 18 but 20 production 18 but 23 reduced 19 superoxide 20 production 20 production 21 was 21 was 22 significantly 21 was 23 reduced 23 reduced 24 in 23 reduced 28 with 23 reduced 44 at 24 in 27 patients 25 hip 27 patients 26 fracture 27 patients 28 with 30 symptoms 28 with 32 with 29 depressive 30 symptoms 30 symptoms 31 compared 32 with 39 or 33 patients 34 without 33 patients 39 or 34 without 35 symptoms 35 symptoms 37 p=.001 36 ( 37 p=.001 37 p=.001 38 ) 39 or 40 controls 39 or 42 p=.004 41 ( 42 p=.004 42 p=.004 43 ) 44 at 46 weeks 45 6 46 weeks superoxide production improved 6 months following fracture to the level seen in controls . 0 ###LEFT-WALL### 2 production 0 ###LEFT-WALL### 3 improved 0 ###LEFT-WALL### 14 . 1 superoxide 2 production 2 production 3 improved 3 improved 4 6 4 6 5 months 4 6 7 fracture 5 months 6 following 5 months 7 fracture 7 fracture 8 to 8 to 10 level 9 the 10 level 10 level 11 seen 11 seen 12 in 12 in 13 controls we detected elevated serum cortisol , reduced dehydroepiandrosterone sulphate ( dheas ) and an increased cortisol:dheas ratio in fracture patients with depressive symptoms compared with patients without depressive symptoms or controls at 6 weeks and 6 months after injury . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 detected 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 40 . 1 we 2 detected 2 detected 5 cortisol 3 elevated 4 serum 4 serum 5 cortisol 5 cortisol 9 sulphate 6 , 9 sulphate 7 reduced 9 sulphate 8 dehydroepiandrosterone 9 sulphate 9 sulphate 11 dheas 9 sulphate 12 ) 10 ( 11 dheas 11 dheas 12 ) 13 and 17 ratio 13 and 30 or 14 an 17 ratio 15 increased 16 cortisol:dheas 16 cortisol:dheas 17 ratio 17 ratio 18 in 17 ratio 30 or 18 in 20 patients 19 fracture 20 patients 20 patients 21 with 21 with 23 symptoms 22 depressive 23 symptoms 24 compared 25 with 24 compared 27 without 24 compared 30 or 25 with 26 patients 27 without 29 symptoms 28 depressive 29 symptoms 30 or 31 controls 30 or 32 at 30 or 38 after 32 at 35 and 33 6 34 weeks 34 weeks 35 and 35 and 37 months 36 6 37 months 38 after 39 injury serum il6 , tnfα and il10 were higher among patients with depressive symptoms at 6 weeks . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 17 . 1 serum 2 il6 2 il6 3 , 3 , 4 tnfα 3 , 5 and 5 and 6 il10 5 and 7 were 7 were 8 higher 8 higher 9 among 8 higher 11 with 8 higher 14 at 9 among 10 patients 11 with 13 symptoms 12 depressive 13 symptoms 14 at 16 weeks 15 6 16 weeks the cortisol:dheas ratio and il6 levels related to depressive symptom scores but not to neutrophil function . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 16 function 0 ###LEFT-WALL### 17 . 1 the 3 ratio 2 cortisol:dheas 3 ratio 3 ratio 4 and 4 and 6 levels 4 and 7 related 4 and 12 but 4 and 16 function 5 il6 6 levels 8 to 11 scores 8 to 12 but 9 depressive 11 scores 10 symptom 11 scores 12 but 13 not 12 but 14 to 14 to 15 neutrophil in conclusion , depressive symptoms related to poorer neutrophil [function] [after] hip fracture , but this was not driven by changes in stress [hormone] or cytokine levels . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 28 . 1 in 2 conclusion 3 , 5 symptoms 3 , 13 fracture 3 , 15 but 4 depressive 5 symptoms 5 symptoms 6 related 5 symptoms 13 fracture 6 related 7 to 6 related 12 hip 7 to 9 neutrophil 8 poorer 9 neutrophil 14 , 15 but 15 but 16 this 15 but 17 was 16 this 17 was 17 was 18 not 17 was 20 by 17 was 22 in 18 not 19 driven 20 by 21 changes 22 in 25 or 23 stress 25 or 25 or 27 levels 26 cytokine 27 levels airway hyperresponsiveness ( ahr ) occurs in both asthma and copd . 0 ###LEFT-WALL### 2 hyperresponsiveness 0 ###LEFT-WALL### 6 occurs 0 ###LEFT-WALL### 12 . 1 airway 2 hyperresponsiveness 2 hyperresponsiveness 4 ahr 2 hyperresponsiveness 6 occurs 3 ( 4 ahr 4 ahr 5 ) 6 occurs 7 in 7 in 10 and 8 both 10 and 9 asthma 10 and 10 and 11 copd in older people with asthma , ahr is associated with increased acinar ventilation heterogeneity , but it is unknown if this association exists in copd . 0 ###LEFT-WALL### 7 ahr 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 16 but 0 ###LEFT-WALL### 26 . 1 in 3 people 1 in 6 , 1 in 7 ahr 2 older 3 people 3 people 4 with 4 with 5 asthma 7 ahr 8 is 8 is 9 associated 9 associated 10 with 10 with 14 heterogeneity 11 increased 13 ventilation 12 acinar 13 ventilation 13 ventilation 14 heterogeneity 15 , 16 but 16 but 17 it 16 but 18 is 17 it 18 is 18 is 19 unknown 19 unknown 20 if 20 if 22 association 20 if 23 exists 21 this 22 association 22 association 23 exists 23 exists 24 in 24 in 25 copd thirty one copd and 19 age - matched asthmatic subjects had measures of spirometry , lung volumes , exhaled nitric oxide , ventilation heterogeneity , and methacholine challenge . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 29 . 1 thirty 2 one 2 one 3 copd 3 copd 4 and 4 and 6 age 5 19 6 age 7 - 10 subjects 7 - 11 had 7 - 15 , 8 matched 10 subjects 9 asthmatic 10 subjects 10 subjects 11 had 11 had 12 measures 12 measures 13 of 13 of 14 spirometry 15 , 26 and 16 lung 17 volumes 17 volumes 18 , 18 , 21 oxide 18 , 22 , 19 exhaled 21 oxide 20 nitric 21 oxide 22 , 24 heterogeneity 22 , 26 and 23 ventilation 24 heterogeneity 25 , 26 and 26 and 28 challenge 27 methacholine 28 challenge indices of acinar ( sacin [ )(and conducting ( scond ) airway ventilation heterogeneity were calculated from the multiple breath nitrogen washout . 0 ###LEFT-WALL### 1 indices 0 ###LEFT-WALL### 16 calculated 0 ###LEFT-WALL### 23 . 1 indices 2 of 1 indices 15 were 2 of 14 heterogeneity 3 acinar 7 )(and 3 acinar 12 airway 4 ( 7 )(and 5 sacin 7 )(and 7 )(and 8 conducting 7 )(and 10 scond 7 )(and 11 ) 9 ( 10 scond 10 scond 11 ) 12 airway 14 heterogeneity 13 ventilation 14 heterogeneity 15 were 16 calculated 16 calculated 17 from 17 from 22 washout 18 the 22 washout 19 multiple 20 breath 20 breath 22 washout 21 nitrogen 22 washout predictors of ahr were then determined . 0 ###LEFT-WALL### 1 predictors 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 7 . 1 predictors 2 of 1 predictors 4 were 2 of 3 ahr 4 were 5 then 4 were 6 determined in copd , ahr was predicted by lower sacin and lower fvc ( model [r] [(] 2 )=0.35 , p=0.001 ) . 0 ###LEFT-WALL### 4 ahr 0 ###LEFT-WALL### 6 predicted 0 ###LEFT-WALL### 22 . 1 in 2 copd 1 in 3 , 1 in 4 ahr 4 ahr 5 was 5 was 6 predicted 6 predicted 7 by 7 by 12 fvc 8 lower 12 fvc 9 sacin 10 and 10 and 11 lower 10 and 12 fvc 12 fvc 18 )=0.35 13 ( 18 )=0.35 14 model 18 )=0.35 17 2 18 )=0.35 18 )=0.35 20 p=0.001 18 )=0.35 21 ) 19 , 20 p=0.001 20 p=0.001 21 ) in asthma , ahr was predicted by higher sacin and higher residual volume ( model [r] [(] 2 )=0.62 , p<0.001 ) . 0 ###LEFT-WALL### 4 ahr 0 ###LEFT-WALL### 6 predicted 0 ###LEFT-WALL### 23 . 1 in 2 asthma 1 in 3 , 1 in 4 ahr 4 ahr 5 was 5 was 6 predicted 6 predicted 7 by 7 by 13 volume 8 higher 13 volume 9 sacin 10 and 10 and 11 higher 10 and 13 volume 12 residual 13 volume 13 volume 19 )=0.62 14 ( 19 )=0.62 15 model 19 )=0.62 18 2 19 )=0.62 19 )=0.62 21 p<0.001 19 )=0.62 22 ) 20 , 21 p<0.001 21 p<0.001 22 ) these findings suggest that airway responsiveness in copd and asthma is determined by underlying disease - specific processes , rather than a common pattern of physiological abnormality . 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 6 responsiveness 4 that 11 is 5 airway 6 responsiveness 6 responsiveness 7 in 6 responsiveness 11 is 7 in 9 and 8 copd 9 and 9 and 10 asthma 11 is 12 determined 12 determined 13 by 13 by 14 underlying 14 underlying 15 disease 14 underlying 21 than 15 disease 18 processes 16 - 18 processes 17 specific 18 processes 18 processes 19 , 20 rather 21 than 21 than 24 pattern 22 a 24 pattern 23 common 24 pattern 24 pattern 25 of 25 of 27 abnormality 26 physiological 27 abnormality despite the benefits of regular physical activity among older adults , physical activity rates are low in this population . 0 ###LEFT-WALL### 14 rates 0 ###LEFT-WALL### 15 are 0 ###LEFT-WALL### 20 . 1 despite 3 benefits 1 despite 11 , 1 despite 14 rates 2 the 3 benefits 3 benefits 4 of 4 of 7 activity 5 regular 7 activity 6 physical 7 activity 7 activity 8 among 8 among 10 adults 9 older 10 adults 12 physical 13 activity 13 activity 14 rates 14 rates 15 are 15 are 16 low 16 low 17 in 17 in 19 population 18 this 19 population the program for active aging and community engagement ( pace ) is an ongoing randomized controlled trial designed to compare the effects of two interventions on physical activity at 12 months among older adults . 0 ###LEFT-WALL### 2 program 0 ###LEFT-WALL### 12 is 0 ###LEFT-WALL### 35 . 1 the 2 program 2 program 3 for 2 program 10 pace 2 program 12 is 3 for 6 and 4 active 5 aging 5 aging 6 and 6 and 8 engagement 7 community 8 engagement 9 ( 10 pace 10 pace 11 ) 12 is 17 trial 13 an 17 trial 14 ongoing 17 trial 15 randomized 17 trial 16 controlled 17 trial 17 trial 18 designed 17 trial 29 at 18 designed 19 to 18 designed 20 compare 19 to 20 compare 20 compare 22 effects 21 the 22 effects 22 effects 23 of 23 of 25 interventions 24 two 25 interventions 25 interventions 26 on 26 on 28 activity 27 physical 28 activity 29 at 31 months 30 12 31 months 31 months 32 among 32 among 34 adults 33 older 34 adults the pbpa intervention is delivered at a local ymca , and a regional grocery store chain donates the food to the food bank . 0 ###LEFT-WALL### 3 intervention 0 ###LEFT-WALL### 5 delivered 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 24 . 1 the 3 intervention 2 pbpa 3 intervention 3 intervention 4 is 4 is 5 delivered 5 delivered 6 at 6 at 9 ymca 7 a 8 local 7 a 9 ymca 8 local 9 ymca 10 , 11 and 11 and 16 chain 11 and 17 donates 12 a 13 regional 12 a 16 chain 13 regional 14 grocery 14 grocery 15 store 15 store 16 chain 16 chain 17 donates 17 donates 19 food 17 donates 20 to 18 the 19 food 20 to 23 bank 21 the 23 bank 22 food 23 bank data will be collected at baseline , 3 , 6 , and 12 months . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 3 be 0 ###LEFT-WALL### 15 . 1 data 2 will 2 will 3 be 3 be 12 and 4 collected 5 at 4 collected 12 and 5 at 6 baseline 6 baseline 8 3 6 baseline 10 6 7 , 8 3 8 3 9 , 9 , 10 6 10 6 11 , 11 , 12 and 12 and 14 months 13 12 14 months the primary outcome is physical activity as assessed by the community healthy activities model program for seniors ( champs ) questionnaire at 12 months . 0 ###LEFT-WALL### 3 outcome 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 25 . 1 the 3 outcome 2 primary 3 outcome 3 outcome 4 is 4 is 6 activity 4 is 9 by 4 is 16 for 4 is 22 at 5 physical 6 activity 6 activity 8 assessed 7 as 8 assessed 9 by 15 program 10 the 15 program 11 community 12 healthy 12 healthy 13 activities 13 activities 14 model 14 model 15 program 16 for 21 questionnaire 17 seniors 19 champs 18 ( 19 champs 19 champs 20 ) 19 champs 21 questionnaire 22 at 24 months 23 12 24 months secondary outcomes include physical function [and] health - related quality of life . 0 ###LEFT-WALL### 2 outcomes 0 ###LEFT-WALL### 3 include 0 ###LEFT-WALL### 9 related 1 secondary 2 outcomes 2 outcomes 3 include 3 include 7 health 4 physical 5 function 5 function 7 health 8 - 9 related 9 related 10 quality 9 related 13 . 10 quality 11 of 11 of 12 life if successful , [the] pace study will demonstrate that prosocial behavior and volunteerism may be efficaciously incorporated into interventions and will provide evidence for a novel motivating factor for physical activity . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 32 . 1 if 6 study 1 if 8 demonstrate 1 if 12 and 2 successful 3 , 2 successful 6 study 5 pace 6 study 6 study 7 will 7 will 8 demonstrate 9 that 11 behavior 10 prosocial 11 behavior 11 behavior 12 and 12 and 13 volunteerism 12 and 20 and 14 may 15 be 14 may 20 and 15 be 16 efficaciously 15 be 17 incorporated 17 incorporated 18 into 18 into 19 interventions 20 and 21 will 21 will 22 provide 22 provide 23 evidence 22 provide 24 for 24 for 28 factor 25 a 28 factor 26 novel 28 factor 27 motivating 28 factor 28 factor 29 for 29 for 31 activity 30 physical 31 activity although cancer and aging have been studied as independent diseases , mounting evidence suggests that cancer is an aging [-] associated disease and that cancer and aging share many molecular pathways . 0 ###LEFT-WALL### 12 mounting 0 ###LEFT-WALL### 14 suggests 0 ###LEFT-WALL### 32 . 1 although 3 and 1 although 6 been 1 although 11 , 1 although 12 mounting 2 cancer 3 and 3 and 4 aging 3 and 5 have 5 have 6 been 6 been 10 diseases 7 studied 10 diseases 8 as 9 independent 9 independent 10 diseases 12 mounting 13 evidence 12 mounting 14 suggests 14 suggests 23 and 15 that 16 cancer 15 that 17 is 15 that 23 and 16 cancer 17 is 17 is 22 disease 18 an 22 disease 19 aging 22 disease 21 associated 22 disease 23 and 24 that 24 that 26 and 24 that 28 share 25 cancer 26 and 26 and 27 aging 26 and 28 share 28 share 31 pathways 29 many 31 pathways 30 molecular 31 pathways in particular , recent studies validated telomerase activation as a potential therapeutic target for age - related diseases ; in addition , abnormal telomerase expression and telomerase mutations have been associated with many different types of human tumor . 0 ###LEFT-WALL### 5 studies 0 ###LEFT-WALL### 6 validated 0 ###LEFT-WALL### 17 related 0 ###LEFT-WALL### 19 ; 0 ###LEFT-WALL### 39 . 1 in 2 particular 2 particular 3 , 2 particular 5 studies 4 recent 5 studies 5 studies 6 validated 6 validated 8 activation 7 telomerase 8 activation 8 activation 9 as 8 activation 14 for 9 as 13 target 10 a 11 potential 10 a 13 target 11 potential 13 target 12 therapeutic 13 target 14 for 15 age 16 - 17 related 17 related 18 diseases 17 related 19 ; 19 ; 26 and 19 ; 31 associated 20 in 21 addition 20 in 22 , 20 in 26 and 23 abnormal 24 telomerase 24 telomerase 25 expression 25 expression 26 and 26 and 28 mutations 26 and 29 have 27 telomerase 28 mutations 29 have 30 been 30 been 31 associated 31 associated 32 with 32 with 36 of 33 many 36 of 34 different 36 of 35 types 36 of 36 of 38 tumor 37 human 38 tumor here , we revisit the connection between telomerase and cancer and aging in light of recent findings supporting a role for telomerase [not] only in telomere elongation , but also in metabolic fitness and wnt activation . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 revisit 0 ###LEFT-WALL### 37 . 1 here 2 , 1 here 3 we 3 we 4 revisit 4 revisit 6 connection 4 revisit 7 between 4 revisit 13 in 4 revisit 24 only 5 the 6 connection 7 between 11 and 8 telomerase 9 and 9 and 10 cancer 9 and 11 and 11 and 12 aging 13 in 14 light 14 light 15 of 15 of 17 findings 16 recent 17 findings 17 findings 18 supporting 18 supporting 20 role 19 a 20 role 20 role 21 for 21 for 22 telomerase 24 only 29 but 25 in 27 elongation 25 in 29 but 26 telomere 27 elongation 28 , 29 but 29 but 30 also 29 but 31 in 31 in 34 and 32 metabolic 33 fitness 33 fitness 34 and 34 and 36 activation 35 wnt 36 activation understanding the physiological impact of telomerase regulation is [fundamental] given the therapeutic strategies that are being developed that [involve] telomerase modulation . 0 ###LEFT-WALL### 1 understanding 0 ###LEFT-WALL### 22 . 1 understanding 4 impact 1 understanding 10 given 1 understanding 17 developed 2 the 4 impact 3 physiological 4 impact 4 impact 5 of 4 impact 8 is 5 of 7 regulation 6 telomerase 7 regulation 8 is 10 given 10 given 13 strategies 11 the 13 strategies 12 therapeutic 13 strategies 13 strategies 14 that 13 strategies 15 are 14 that 15 are 15 are 16 being 17 developed 21 modulation 18 that 21 modulation 20 telomerase 21 modulation objective : the objective of this study was to assess variables associated with xerostomia in patients on chronic hemodialysis ( hd ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 4 objective 2 : 12 associated 2 : 23 . 3 the 4 objective 4 objective 5 of 4 objective 8 was 5 of 7 study 6 this 7 study 8 was 9 to 8 was 12 associated 9 to 10 assess 10 assess 11 variables 12 associated 13 with 12 associated 15 in 13 with 14 xerostomia 15 in 16 patients 16 patients 17 on 17 on 19 hemodialysis 18 chronic 19 hemodialysis 19 hemodialysis 21 hd 20 ( 21 hd 21 hd 22 ) design and methods : this was a cross - sectional study of 75 hd patients at an outpatient hd service . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 design 2 and 2 and 3 methods 4 : 5 this 4 : 6 was 4 : 9 - 4 : 21 . 5 this 6 was 6 was 8 cross 7 a 8 cross 9 - 11 study 10 sectional 11 study 11 study 12 of 12 of 15 patients 13 75 15 patients 14 hd 15 patients 15 patients 16 at 16 at 20 service 17 an 20 service 18 outpatient 20 service 19 hd 20 service demographic , clinical ( renal disease , hd regimen/duration , charlson comorbidity index , activities of daily living , instrumental activities of daily living [ iadl ] , body mass index [ )(, and laboratory ( hemoglobin , albumin , interleukin - 6 [ il - 6 ] , and parathyroid hormone ) parameters were recorded . 0 ###LEFT-WALL### 54 parameters 0 ###LEFT-WALL### 56 recorded 0 ###LEFT-WALL### 57 . 1 demographic 2 , 1 demographic 54 parameters 3 clinical 6 disease 3 clinical 7 , 3 clinical 9 regimen/duration 4 ( 6 disease 5 renal 6 disease 6 disease 7 , 8 hd 9 regimen/duration 9 regimen/duration 10 , 10 , 13 index 10 , 14 , 11 charlson 12 comorbidity 12 comorbidity 13 index 14 , 15 activities 14 , 28 , 15 activities 16 of 16 of 18 living 17 daily 18 living 18 living 21 activities 19 , 21 activities 20 instrumental 21 activities 21 activities 22 of 21 activities 26 iadl 21 activities 27 ] 22 of 24 living 23 daily 24 living 25 [ 26 iadl 26 iadl 27 ] 28 , 31 index 28 , 34 and 29 body 31 index 30 mass 31 index 33 )(, 34 and 34 and 35 laboratory 34 and 37 hemoglobin 34 and 39 albumin 34 and 45 il 34 and 50 and 36 ( 37 hemoglobin 37 hemoglobin 38 , 38 , 39 albumin 39 albumin 41 interleukin 39 albumin 42 - 40 , 41 interleukin 41 interleukin 42 - 42 - 45 il 43 6 45 il 44 [ 45 il 45 il 47 6 45 il 49 , 46 - 47 6 47 6 48 ] 50 and 52 hormone 50 and 53 ) 50 and 54 parameters 51 parathyroid 52 hormone 54 parameters 55 were 55 were 56 recorded we assessed the appetite through the hemodialysis study appetite questionnaire and xerostomia through the xerostomia inventory ( xi ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 assessed 0 ###LEFT-WALL### 20 . 1 we 2 assessed 2 assessed 4 appetite 2 assessed 5 through 2 assessed 13 through 3 the 4 appetite 5 through 11 and 6 the 10 questionnaire 7 hemodialysis 8 study 8 study 9 appetite 9 appetite 10 questionnaire 10 questionnaire 11 and 11 and 12 xerostomia 13 through 16 inventory 14 the 16 inventory 15 xerostomia 16 inventory 16 inventory 18 xi 17 ( 18 xi 18 xi 19 ) [a] [single] question [(] ["] how often does your mouth feel dry ? " [;] never [=] class 1 , almost never [=] class 2 , occasionally = class 3 , often [=] class 4 , very often [=] class 5 ) was also included in the study questionnaire . 0 ###LEFT-WALL### 3 question 0 ###LEFT-WALL### 13 ? 3 question 6 how 3 question 12 dry 6 how 7 often 7 often 8 does 8 does 10 mouth 8 does 11 feel 9 your 10 mouth 13 ? 14 " 13 ? 19 1 13 ? 28 = 13 ? 31 , 13 ? 50 . 16 never 18 class 16 never 19 1 19 1 24 class 19 1 28 = 20 , 22 never 20 , 24 class 21 almost 22 never 24 class 25 2 24 class 26 , 27 occasionally 28 = 28 = 29 class 29 class 30 3 31 , 34 class 31 , 45 included 32 often 34 class 34 class 35 4 34 class 40 class 34 class 43 was 36 , 38 often 36 , 40 class 37 very 38 often 40 class 41 5 40 class 42 ) 43 was 45 included 44 also 45 included 45 included 46 in 46 in 49 questionnaire 47 the 49 questionnaire 48 study 49 questionnaire main outcome measure : the main outcome measure was factors correlated with xi . 0 ###LEFT-WALL### 3 measure 0 ###LEFT-WALL### 4 : 1 main 2 outcome 2 outcome 3 measure 4 : 8 measure 4 : 9 was 4 : 14 . 5 the 6 main 5 the 8 measure 7 outcome 8 measure 8 measure 9 was 9 was 10 factors 10 factors 11 correlated 11 correlated 12 with 12 with 13 xi results : the median xi [score] was 18 [(] min - max = 11 - 33 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 median 2 : 7 was 2 : 11 - 3 the 4 median 4 median 5 xi 4 median 7 was 7 was 10 min 8 18 10 min 11 - 12 max 11 - 18 . 12 max 14 11 13 = 14 11 14 11 16 33 15 - 16 33 16 33 17 ) forty patients had an [xi] score of 18 or less [(] group 1 ) [and] between 18 and 35 ( group 2 ) . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 had 0 ###LEFT-WALL### 24 . 1 forty 2 patients 2 patients 3 had 3 had 9 or 3 had 16 between 4 an 6 score 6 score 7 of 6 score 9 or 7 of 8 18 9 or 10 less 9 or 12 group 9 or 14 ) 12 group 13 1 16 between 18 and 17 18 18 and 18 and 19 35 18 and 21 group 20 ( 21 group 21 group 22 2 21 group 23 ) in group 2 , age , charlson comorbidity index score , and number of patients with poor/very poor appetite were significantly higher . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 20 were 0 ###LEFT-WALL### 23 . 1 in 2 group 1 in 4 , 1 in 12 and 2 group 3 2 5 age 6 , 6 , 10 score 6 , 12 and 7 charlson 10 score 8 comorbidity 10 score 9 index 10 score 11 , 12 and 12 and 13 number 12 and 14 of 12 and 20 were 14 of 15 patients 15 patients 16 with 16 with 19 appetite 17 poor/very 19 appetite 18 poor 19 appetite 20 were 21 significantly 20 were 22 higher at the univariate analysis , the score of [the] xi was significantly associated with age , appetite , iadl , charlson comorbidity index , and serum il - 6 levels . 0 ###LEFT-WALL### 7 score 0 ###LEFT-WALL### 13 associated 0 ###LEFT-WALL### 28 - 0 ###LEFT-WALL### 31 . 1 at 4 analysis 1 at 5 , 1 at 7 score 2 the 4 analysis 3 univariate 4 analysis 6 the 7 score 7 score 8 of 7 score 11 was 8 of 10 xi 11 was 13 associated 12 significantly 13 associated 13 associated 14 with 14 with 25 and 15 age 16 , 16 , 17 appetite 16 , 18 , 18 , 19 iadl 18 , 20 , 20 , 23 index 20 , 25 and 21 charlson 23 index 22 comorbidity 23 index 24 , 25 and 25 and 27 il 26 serum 27 il 28 - 30 levels 29 6 30 levels multiple linear regression analysis showed that [the] xi was independently associated with age and appetite . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 16 . 1 multiple 3 regression 2 linear 3 regression 3 regression 4 analysis 4 analysis 5 showed 5 showed 6 that 6 that 8 xi 6 that 11 associated 8 xi 9 was 9 was 11 associated 10 independently 11 associated 11 associated 12 with 12 with 14 and 13 age 14 and 14 and 15 appetite thirty - one patients were in class 1 to 2 , 23 were in class 3 , and 21 were in class 4 to 5 . 0 ###LEFT-WALL### 1 thirty 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 26 . 2 - 3 one 2 - 11 , 3 one 4 patients 3 one 5 were 4 patients 5 were 5 were 6 in 6 in 7 class 7 class 9 to 8 1 9 to 9 to 10 2 11 , 12 23 11 , 13 were 11 , 18 and 12 23 13 were 13 were 14 in 14 in 15 class 15 class 16 3 17 , 18 and 18 and 19 21 18 and 20 were 19 21 20 were 20 were 21 in 21 in 22 class 22 class 24 to 23 4 24 to 24 to 25 5 in classes 4 to 5 , age and the number of patients with poor/very poor appetite were higher ( p = [.] 012 and [.] 09 , respectively ) . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 17 were 0 ###LEFT-WALL### 30 . 1 in 2 classes 2 classes 4 to 2 classes 6 , 3 4 4 to 4 to 5 5 6 , 7 age 6 , 8 and 8 and 10 number 8 and 11 of 8 and 17 were 9 the 10 number 11 of 12 patients 12 patients 13 with 13 with 16 appetite 14 poor/very 16 appetite 15 poor 16 appetite 17 were 18 higher 18 higher 21 = 18 higher 28 respectively 19 ( 21 = 20 p 21 = 21 = 24 and 23 012 24 and 24 and 26 09 27 , 28 respectively 28 respectively 29 ) conclusion : xerostomia is associated with old age and poor appetite in patients on chronic hd . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 2 : 3 xerostomia 2 : 5 associated 3 xerostomia 4 is 4 is 5 associated 5 associated 6 with 5 associated 12 in 5 associated 14 on 6 with 9 and 7 old 8 age 8 age 9 and 9 and 11 appetite 10 poor 11 appetite 12 in 13 patients 14 on 16 hd 15 chronic 16 hd spectral analysis of acoustic stimuli occurs in the auditory periphery ( termed frequency selectivity ) as well as at the level [of] auditory cortex ( termed frequency specificity ) . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 6 occurs 0 ###LEFT-WALL### 30 . 1 spectral 2 analysis 2 analysis 3 of 2 analysis 6 occurs 3 of 5 stimuli 4 acoustic 5 stimuli 6 occurs 7 in 6 occurs 12 termed 6 occurs 16 as 6 occurs 18 as 7 in 10 periphery 8 the 10 periphery 9 auditory 10 periphery 11 ( 12 termed 12 termed 14 selectivity 12 termed 15 ) 13 frequency 14 selectivity 16 as 17 well 18 as 19 at 19 at 24 cortex 20 the 24 cortex 21 level 24 cortex 23 auditory 24 cortex 24 cortex 26 termed 25 ( 26 termed 26 termed 28 specificity 26 termed 29 ) 27 frequency 28 specificity frequency selectivity is commonly investigated using an auditory filter model , while frequency specificity is often investigated as neural adaptation of the n1 response in electroencephalography ( eeg ) . 0 ###LEFT-WALL### 2 selectivity 0 ###LEFT-WALL### 5 investigated 0 ###LEFT-WALL### 30 . 1 frequency 2 selectivity 2 selectivity 3 is 3 is 5 investigated 4 commonly 5 investigated 5 investigated 6 using 6 using 10 model 6 using 12 while 7 an 8 auditory 7 an 10 model 8 auditory 9 filter 9 filter 10 model 11 , 12 while 12 while 14 specificity 12 while 17 investigated 12 while 29 ) 13 frequency 14 specificity 14 specificity 15 is 15 is 17 investigated 16 often 17 investigated 17 investigated 18 as 17 investigated 25 in 18 as 20 adaptation 19 neural 20 adaptation 20 adaptation 21 of 21 of 24 response 22 the 24 response 23 n1 24 response 25 in 26 electroencephalography 26 electroencephalography 28 eeg 27 ( 28 eeg 28 eeg 29 ) however , the effects of aging on frequency - specific adaptation , and the link between peripheral frequency selectivity and neural frequency specificity have not received much attention . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 26 received 0 ###LEFT-WALL### 29 . 1 however 2 , 1 however 13 and 3 the 4 effects 4 effects 5 of 4 effects 13 and 5 of 6 aging 6 aging 7 on 7 on 8 frequency 8 frequency 11 adaptation 9 - 11 adaptation 10 specific 11 adaptation 11 adaptation 12 , 12 , 13 and 13 and 15 link 13 and 16 between 13 and 24 have 14 the 15 link 16 between 20 and 17 peripheral 18 frequency 18 frequency 19 selectivity 19 selectivity 20 and 20 and 23 specificity 21 neural 22 frequency 22 frequency 23 specificity 24 have 25 not 24 have 26 received 26 received 28 attention 27 much 28 attention the shape of auditory filters was comparable between age groups , and thus shows intact frequency selectivity in normal aging . 0 ###LEFT-WALL### 2 shape 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 21 . 1 the 2 shape 2 shape 3 of 2 shape 12 and 3 of 5 filters 4 auditory 5 filters 6 was 7 comparable 6 was 12 and 7 comparable 8 between 8 between 10 groups 9 age 10 groups 11 , 12 and 12 and 14 shows 13 thus 14 shows 14 shows 16 frequency 14 shows 17 selectivity 14 shows 18 in 15 intact 16 frequency 18 in 20 aging 19 normal 20 aging in auditory cortex , both groups showed n1 frequency - specific neural adaptation effects that similarly varied with the spectral variance in the stimulation , while n1 responses were overall larger for older than younger participants . 0 ###LEFT-WALL### 3 cortex 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 37 . 1 in 3 cortex 2 auditory 3 cortex 4 , 6 groups 4 , 7 showed 4 , 25 , 5 both 6 groups 6 groups 7 showed 7 showed 8 n1 7 showed 9 frequency 9 frequency 14 effects 10 - 14 effects 11 specific 13 adaptation 12 neural 13 adaptation 13 adaptation 14 effects 14 effects 15 that 14 effects 17 varied 14 effects 25 , 15 that 17 varied 16 similarly 17 varied 17 varied 18 with 17 varied 22 in 18 with 21 variance 19 the 21 variance 20 spectral 21 variance 22 in 24 stimulation 23 the 24 stimulation 25 , 28 responses 25 , 29 were 26 while 27 n1 26 while 28 responses 28 responses 29 were 29 were 30 overall 29 were 31 larger 31 larger 32 for 32 for 36 participants 33 older 36 participants 34 than 35 younger 35 younger 36 participants importantly , the overall n1 [amplitude] , but not frequency - specific neural adaptation was correlated with the pass [-] band of the auditory filter . 0 ###LEFT-WALL### 14 adaptation 0 ###LEFT-WALL### 16 correlated 0 ###LEFT-WALL### 26 . 1 importantly 2 , 1 importantly 14 adaptation 3 the 14 adaptation 4 overall 14 adaptation 5 n1 8 but 5 n1 14 adaptation 7 , 8 but 8 but 9 not 8 but 10 frequency 8 but 11 - 12 specific 14 adaptation 13 neural 14 adaptation 14 adaptation 15 was 15 was 16 correlated 16 correlated 17 with 17 with 21 band 18 the 21 band 19 pass 21 band 21 band 22 of 22 of 25 filter 23 the 25 filter 24 auditory 25 filter thus , the current findings show a dissociation of peripheral frequency selectivity and neural frequency specificity , but suggest that widened auditory filters are compensated for [by] a response gain in frequency - specific areas [of] auditory cortex . 0 ###LEFT-WALL### 5 findings 0 ###LEFT-WALL### 18 but 0 ###LEFT-WALL### 33 - 1 thus 2 , 1 thus 5 findings 3 the 5 findings 4 current 5 findings 5 findings 18 but 6 show 16 specificity 6 show 18 but 7 a 16 specificity 8 dissociation 9 of 8 dissociation 13 and 9 of 12 selectivity 10 peripheral 11 frequency 11 frequency 12 selectivity 13 and 15 frequency 13 and 16 specificity 14 neural 15 frequency 17 , 18 but 18 but 19 suggest 19 suggest 20 that 20 that 23 filters 20 that 25 compensated 21 widened 23 filters 22 auditory 23 filters 23 filters 24 are 24 are 25 compensated 25 compensated 26 for 25 compensated 31 in 26 for 30 gain 28 a 30 gain 29 response 30 gain 31 in 32 frequency 33 - 38 cortex 33 - 39 . 34 specific 35 areas 35 areas 38 cortex 37 auditory 38 cortex advances in automatic text classification have been necessitated by the rapid increase in the availability of digital documents . 0 ###LEFT-WALL### 1 advances 0 ###LEFT-WALL### 8 necessitated 0 ###LEFT-WALL### 19 . 1 advances 2 in 1 advances 6 have 2 in 5 classification 3 automatic 4 text 4 text 5 classification 6 have 7 been 7 been 8 necessitated 8 necessitated 9 by 8 necessitated 13 in 9 by 12 increase 10 the 12 increase 11 rapid 12 increase 13 in 15 availability 14 the 15 availability 15 availability 16 of 16 of 18 documents 17 digital 18 documents machine [learning] ( ml ) algorithms can ['] learn ['] from data : for instance a ml system can be trained on a set of features derived from written texts belonging to known categories , and learn to distinguish between them . 0 ###LEFT-WALL### 6 algorithms 0 ###LEFT-WALL### 36 and 0 ###LEFT-WALL### 42 . 1 machine 4 ml 1 machine 6 algorithms 3 ( 4 ml 4 ml 5 ) 6 algorithms 36 and 7 can 9 learn 7 can 36 and 9 learn 11 from 9 learn 13 : 11 from 12 data 13 : 18 system 13 : 21 trained 14 for 15 instance 15 instance 18 system 16 a 18 system 17 ml 18 system 18 system 19 can 19 can 20 be 20 be 21 trained 21 trained 22 on 22 on 24 set 23 a 24 set 24 set 25 of 24 set 27 derived 24 set 28 from 24 set 31 belonging 25 of 26 features 28 from 30 texts 29 written 30 texts 31 belonging 32 to 32 to 34 categories 33 known 34 categories 35 , 36 and 36 and 37 learn 36 and 40 between 37 learn 38 to 37 learn 39 distinguish 38 to 39 distinguish 40 between 41 them such a trained system can then be used to classify unseen texts . 0 ###LEFT-WALL### 4 system 0 ###LEFT-WALL### 8 used 0 ###LEFT-WALL### 13 . 1 such 2 a 2 a 4 system 3 trained 4 system 4 system 5 can 5 can 7 be 6 then 7 be 7 be 8 used 8 used 9 to 8 used 10 classify 9 to 10 classify 10 classify 12 texts 11 unseen 12 texts in this paper , we explore the potential of the technique to classify transcribed speech samples along clinical dimensions , using vocabulary data alone . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 explore 1 in 3 paper 1 in 4 , 1 in 5 we 2 this 3 paper 5 we 6 explore 6 explore 8 potential 6 explore 12 to 6 explore 17 along 6 explore 21 using 7 the 8 potential 8 potential 9 of 9 of 11 technique 10 the 11 technique 12 to 13 classify 13 classify 16 samples 14 transcribed 15 speech 15 speech 16 samples 17 along 19 dimensions 18 clinical 19 dimensions 20 , 21 using 21 using 23 data 21 using 24 alone 21 using 25 . 22 vocabulary 23 data we report the accuracy with which two related ml [algorithms] [ naive bayes gaussian ( nbg ) and naive bayes multinomial ( nbm ) ] categorized picture descriptions produced by [:] 32 semantic dementia ( sd ) patients versus 10 healthy , age - matched controls [;] and sd patients with left - ( n = 21 [ )(versus right - predominant ( n = 11 ) patterns of temporal lobe atrophy . 1 we 2 report 2 report 4 accuracy 3 the 4 accuracy 4 accuracy 5 with 5 with 6 which 5 with 7 two 5 with 8 related 7 two 8 related 8 related 18 and 9 ml 14 gaussian 9 ml 18 and 11 [ 14 gaussian 12 naive 14 gaussian 13 bayes 14 gaussian 14 gaussian 16 nbg 14 gaussian 17 ) 15 ( 16 nbg 16 nbg 17 ) 18 and 28 descriptions 19 naive 28 descriptions 20 bayes 27 picture 21 multinomial 23 nbm 21 multinomial 25 ] 21 multinomial 27 picture 22 ( 23 nbm 23 nbm 24 ) 26 categorized 27 picture 27 picture 28 descriptions 28 descriptions 29 produced 28 descriptions 39 versus 29 produced 30 by 30 by 38 patients 32 32 38 patients 33 semantic 38 patients 34 dementia 36 sd 34 dementia 37 ) 34 dementia 38 patients 35 ( 36 sd 36 sd 37 ) 39 versus 48 and 40 10 46 controls 41 healthy 43 age 41 healthy 44 - 41 healthy 46 controls 42 , 43 age 43 age 44 - 45 matched 46 controls 46 controls 48 and 48 and 50 patients 48 and 53 - 48 and 56 = 49 sd 50 patients 50 patients 51 with 51 with 52 left 54 ( 56 = 55 n 56 = 56 = 57 21 57 21 59 )(versus 57 21 68 patterns 59 )(versus 60 right 61 - 68 patterns 62 predominant 65 = 62 predominant 68 patterns 63 ( 65 = 64 n 65 = 65 = 66 11 65 = 67 ) 68 patterns 69 of 68 patterns 73 . 69 of 72 atrophy 70 temporal 71 lobe 71 lobe 72 atrophy we used information [gain] ( ig ) to identify the vocabulary features that were most informative to each of these two distinctions . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 9 identify 0 ###LEFT-WALL### 23 . 1 we 2 used 2 used 3 information 2 used 8 to 3 information 6 ig 5 ( 6 ig 6 ig 7 ) 8 to 9 identify 9 identify 12 features 9 identify 17 to 10 the 12 features 11 vocabulary 12 features 12 features 13 that 12 features 14 were 13 that 14 were 14 were 16 informative 15 most 16 informative 17 to 22 distinctions 18 each 19 of 18 each 22 distinctions 19 of 22 distinctions 20 these 21 two 21 two 22 distinctions in the sd [versus] control classification task , both algorithms achieved accuracies of greater than 90 % . 0 ###LEFT-WALL### 10 algorithms 0 ###LEFT-WALL### 11 achieved 0 ###LEFT-WALL### 18 . 1 in 7 task 1 in 8 , 1 in 10 algorithms 2 the 7 task 3 sd 7 task 5 control 7 task 6 classification 7 task 9 both 10 algorithms 10 algorithms 11 achieved 11 achieved 12 accuracies 12 accuracies 13 of 13 of 17 % 14 greater 15 than 15 than 16 90 16 90 17 % the most informative features for the patient versus control task were low frequency content words , generic terms and components of metanarrative statements . 0 ###LEFT-WALL### 2 most 0 ###LEFT-WALL### 11 were 0 ###LEFT-WALL### 24 . 1 the 2 most 2 most 4 features 2 most 10 task 2 most 11 were 3 informative 4 features 4 features 5 for 4 features 10 task 5 for 7 patient 6 the 7 patient 7 patient 8 versus 8 versus 9 control 11 were 19 and 12 low 13 frequency 13 frequency 15 words 14 content 15 words 15 words 16 , 16 , 18 terms 16 , 19 and 17 generic 18 terms 19 and 20 components 19 and 21 of 21 of 23 statements 22 metanarrative 23 statements for the right [versus] left task the number of informative lexical features was too small to support any specific inferences . 0 ###LEFT-WALL### 1 for 0 ###LEFT-WALL### 13 was 0 ###LEFT-WALL### 21 . 1 for 6 task 1 for 13 was 2 the 6 task 3 right 6 task 5 left 6 task 7 the 8 number 8 number 9 of 8 number 13 was 9 of 12 features 10 informative 12 features 11 lexical 12 features 13 was 15 small 14 too 15 small 15 small 16 to 15 small 17 support 16 to 17 support 17 support 20 inferences 18 any 20 inferences 19 specific 20 inferences an enriched feature set , including values derived from quantitative production analysis ( qpa ) may shed further light on this little understood distinction . 0 ###LEFT-WALL### 3 feature 0 ###LEFT-WALL### 17 shed 0 ###LEFT-WALL### 25 . 1 an 3 feature 2 enriched 3 feature 3 feature 4 set 3 feature 16 may 4 set 6 including 5 , 6 including 6 including 7 values 6 including 15 ) 7 values 8 derived 8 derived 9 from 9 from 14 qpa 10 quantitative 11 production 11 production 12 analysis 12 analysis 14 qpa 13 ( 14 qpa 16 may 17 shed 17 shed 19 light 17 shed 20 on 18 further 19 light 20 on 24 distinction 21 this 24 distinction 22 little 24 distinction 23 understood 24 distinction none in young individuals , caffeine - mediated blockade [of] adenosine receptors and vasoconstriction has direct repercussions on task [-] related activations , changes in functional connectivity , as well as global vascular effects . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 9 blockade 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 35 . 1 none 4 individuals 1 none 8 mediated 1 none 9 blockade 2 in 4 individuals 3 young 4 individuals 4 individuals 6 caffeine 4 individuals 8 mediated 5 , 6 caffeine 6 caffeine 7 - 9 blockade 12 receptors 11 adenosine 12 receptors 13 and 14 vasoconstriction 13 and 15 has 14 vasoconstriction 15 has 15 has 17 repercussions 16 direct 17 repercussions 17 repercussions 18 on 17 repercussions 31 as 18 on 22 activations 19 task 22 activations 21 related 22 activations 22 activations 24 changes 23 , 24 changes 24 changes 25 in 24 changes 28 , 25 in 27 connectivity 26 functional 27 connectivity 29 as 30 well 30 well 31 as 31 as 34 effects 32 global 34 effects 33 vascular 34 effects to date , no study has explored the effect of caffeine on brain activation patterns during highly demanding cognitive tasks in the elderly . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 date 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 24 . 1 to 2 date 3 , 5 study 3 , 7 explored 4 no 5 study 5 study 6 has 6 has 7 explored 7 explored 9 effect 7 explored 12 on 7 explored 16 during 8 the 9 effect 9 effect 10 of 10 of 11 caffeine 12 on 15 patterns 13 brain 15 patterns 14 activation 15 patterns 16 during 20 tasks 17 highly 18 demanding 18 demanding 20 tasks 19 cognitive 20 tasks 20 tasks 21 in 21 in 23 elderly 22 the 23 elderly this prospective , placebo - controlled crossover design comprises 24 healthy elderly individuals ( mean age 68.8 ± 4.0 years , 17 females [ )(performing [a] 2 - back working memory ( wm ) task in functional magnetic resonance imaging ( fmri ) . 0 ###LEFT-WALL### 4 placebo 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 44 . 1 this 2 prospective 2 prospective 3 , 2 prospective 4 placebo 5 - 8 design 5 - 9 comprises 5 - 21 , 6 controlled 7 crossover 7 crossover 8 design 8 design 9 comprises 9 comprises 13 individuals 10 24 13 individuals 11 healthy 13 individuals 12 elderly 13 individuals 13 individuals 20 years 14 ( 20 years 15 mean 20 years 16 age 20 years 17 68.8 18 ± 18 ± 20 years 19 4.0 20 years 20 years 21 , 21 , 23 females 21 , 35 task 22 17 23 females 23 females 25 )(performing 23 females 35 task 25 )(performing 27 2 27 2 31 memory 28 - 31 memory 29 back 30 working 30 working 31 memory 31 memory 33 wm 31 memory 34 ) 32 ( 33 wm 33 wm 34 ) 35 task 36 in 36 in 40 imaging 37 functional 39 resonance 38 magnetic 39 resonance 39 resonance 40 imaging 40 imaging 42 fmri 41 ( 42 fmri 42 fmri 43 ) analyses include complimentary assessment of task [-] related activations ( general linear [model] , glm ) , functional connectivity ( tensorial independent component analysis , tica ) , and baseline perfusion ( arterial spin [labeling] ) . 0 ###LEFT-WALL### 1 analyses 0 ###LEFT-WALL### 2 include 0 ###LEFT-WALL### 37 . 1 analyses 2 include 2 include 29 and 3 complimentary 4 assessment 4 assessment 5 of 4 assessment 29 and 5 of 9 activations 6 task 8 related 8 related 9 activations 9 activations 19 connectivity 10 ( 19 connectivity 11 general 19 connectivity 12 linear 15 glm 12 linear 17 , 12 linear 19 connectivity 14 , 15 glm 15 glm 16 ) 18 functional 19 connectivity 19 connectivity 24 analysis 19 connectivity 26 tica 19 connectivity 28 , 20 ( 24 analysis 21 tensorial 24 analysis 22 independent 24 analysis 23 component 24 analysis 24 analysis 25 , 25 , 26 tica 26 tica 27 ) 29 and 31 perfusion 29 and 34 spin 30 baseline 31 perfusion 32 ( 34 spin 33 arterial 34 spin 34 spin 36 ) despite a reduction in whole - brain global perfusion ( - 22.7 % ) , caffeine - enhanced task - related glm activation in a local and distributed network is most pronounced in the bilateral striatum and to a lesser degree in the right middle and inferior frontal gyrus , bilateral insula , left superior and inferior parietal lobule as well as in the cerebellum bilaterally . 0 ###LEFT-WALL### 19 task 0 ###LEFT-WALL### 21 related 1 despite 3 reduction 1 despite 19 task 2 a 3 reduction 3 reduction 4 in 3 reduction 9 perfusion 3 reduction 18 enhanced 4 in 7 brain 5 whole 6 - 5 whole 7 brain 8 global 9 perfusion 9 perfusion 13 % 9 perfusion 16 caffeine 9 perfusion 18 enhanced 10 ( 13 % 11 - 12 22.7 12 22.7 13 % 13 % 14 ) 15 , 16 caffeine 16 caffeine 17 - 20 - 21 related 21 related 22 glm 21 related 37 and 21 related 67 . 22 glm 23 activation 22 glm 30 is 22 glm 32 pronounced 23 activation 24 in 23 activation 30 is 24 in 27 and 25 a 26 local 26 local 27 and 27 and 29 network 28 distributed 29 network 31 most 32 pronounced 33 in 36 striatum 33 in 37 and 34 the 36 striatum 35 bilateral 36 striatum 37 and 38 to 38 to 46 and 39 a 41 degree 40 lesser 41 degree 41 degree 42 in 41 degree 46 and 42 in 45 middle 43 the 45 middle 44 right 45 middle 46 and 47 inferior 46 and 49 gyrus 46 and 54 left 46 and 59 lobule 48 frontal 49 gyrus 49 gyrus 52 insula 49 gyrus 54 left 50 , 52 insula 51 bilateral 52 insula 52 insula 53 , 54 left 56 and 54 left 58 parietal 55 superior 56 and 56 and 57 inferior 59 lobule 60 as 59 lobule 62 as 59 lobule 66 bilaterally 60 as 61 well 62 as 63 in 63 in 65 cerebellum 64 the 65 cerebellum the inverse comparison of placebo [versus] caffeine had no significant difference . 0 ###LEFT-WALL### 3 comparison 0 ###LEFT-WALL### 8 had 0 ###LEFT-WALL### 12 . 1 the 3 comparison 2 inverse 3 comparison 3 comparison 4 of 3 comparison 8 had 4 of 7 caffeine 5 placebo 7 caffeine 8 had 11 difference 9 no 11 difference 10 significant 11 difference activation strength of the task [-] relevant - network component correlated [with] response accuracy for caffeine yet not [for] placebo , indicating a selective cognitive effect of caffeine . 0 ###LEFT-WALL### 2 strength 0 ###LEFT-WALL### 11 correlated 1 activation 2 strength 2 strength 3 of 2 strength 11 correlated 3 of 10 component 4 the 10 component 5 task 10 component 7 relevant 8 - 7 relevant 9 network 9 network 10 component 11 correlated 17 yet 11 correlated 22 indicating 13 response 14 accuracy 14 accuracy 15 for 14 accuracy 17 yet 15 for 16 caffeine 17 yet 18 not 17 yet 20 placebo 21 , 22 indicating 22 indicating 26 effect 22 indicating 29 . 23 a 24 selective 23 a 26 effect 24 selective 26 effect 25 cognitive 26 effect 26 effect 27 of 27 of 28 caffeine the present findings suggest that acute caffeine intake enhances wm - related brain activation as well as functional connectivity of blood oxygen level - dependent fmri in elderly individuals . 0 ###LEFT-WALL### 3 findings 0 ###LEFT-WALL### 4 suggest 0 ###LEFT-WALL### 12 related 0 ###LEFT-WALL### 24 - 0 ###LEFT-WALL### 30 . 1 the 3 findings 2 present 3 findings 3 findings 4 suggest 4 suggest 5 that 5 that 8 intake 5 that 9 enhances 6 acute 7 caffeine 7 caffeine 8 intake 8 intake 9 enhances 9 enhances 10 wm 11 - 12 related 12 related 14 activation 12 related 16 well 12 related 17 as 12 related 24 - 13 brain 14 activation 15 as 16 well 17 as 19 connectivity 18 functional 19 connectivity 19 connectivity 20 of 20 of 23 level 21 blood 23 level 22 oxygen 23 level 24 - 26 fmri 25 dependent 26 fmri 26 fmri 27 in 27 in 29 individuals 28 elderly 29 individuals trial - to [-] trial reaction time ( rt ) variability is consistently higher in children and older adults than in younger adults . 0 ###LEFT-WALL### 11 variability 0 ###LEFT-WALL### 12 is 0 ###LEFT-WALL### 24 . 1 trial 2 - 1 trial 11 variability 2 - 3 to 3 to 7 time 3 to 10 ) 3 to 11 variability 5 trial 7 time 6 reaction 7 time 7 time 9 rt 8 ( 9 rt 9 rt 10 ) 11 variability 12 is 12 is 14 higher 13 consistently 14 higher 14 higher 15 in 14 higher 20 than 15 in 17 and 16 children 17 and 17 and 19 adults 18 older 19 adults 20 than 21 in 21 in 23 adults 22 younger 23 adults converging evidence also indicates that higher rt variability is ( [a] [ )(associated with lower behavioral performance on complex cognitive tasks [,] [(] [b] ) distinguishes patients with neurological deficits from healthy individuals , and also [(] [c] ) [predicts] longitudinal cognitive decline in older adults . 0 ###LEFT-WALL### 2 evidence 0 ###LEFT-WALL### 4 indicates 0 ###LEFT-WALL### 47 . 1 converging 2 evidence 2 evidence 4 indicates 3 also 4 indicates 4 indicates 5 that 5 that 7 rt 5 that 26 distinguishes 6 higher 7 rt 7 rt 8 variability 7 rt 9 is 7 rt 13 )(associated 7 rt 26 distinguishes 8 variability 9 is 10 ( 13 )(associated 13 )(associated 14 with 13 )(associated 25 ) 14 with 17 performance 15 lower 17 performance 16 behavioral 17 performance 17 performance 18 on 18 on 21 tasks 19 complex 21 tasks 20 cognitive 21 tasks 26 distinguishes 35 and 26 distinguishes 44 in 27 patients 28 with 27 patients 35 and 28 with 30 deficits 29 neurological 30 deficits 30 deficits 31 from 31 from 33 individuals 32 healthy 33 individuals 34 , 35 and 35 and 36 also 35 and 43 decline 36 also 39 ) 41 longitudinal 43 decline 42 cognitive 43 decline 44 in 46 adults 45 older 46 adults however , so far the processes underlying increased rt variability are poorly understood . 0 ###LEFT-WALL### 6 processes 0 ###LEFT-WALL### 13 understood 0 ###LEFT-WALL### 14 . 1 however 2 , 1 however 6 processes 3 so 4 far 4 far 6 processes 5 the 6 processes 6 processes 7 underlying 6 processes 11 are 7 underlying 10 variability 8 increased 10 variability 9 rt 10 variability 11 are 13 understood 12 poorly 13 understood previous evidence suggests that control signals in the medial frontal cortex ( mfc ) are reflected in theta band activity and may implicate the coordination of distinct brain areas during performance monitoring . 0 ###LEFT-WALL### 2 evidence 0 ###LEFT-WALL### 3 suggests 0 ###LEFT-WALL### 33 . 1 previous 2 evidence 2 evidence 3 suggests 3 suggests 4 that 4 that 6 signals 4 that 21 and 5 control 6 signals 6 signals 7 in 6 signals 15 are 7 in 11 cortex 8 the 11 cortex 9 medial 11 cortex 10 frontal 11 cortex 11 cortex 13 mfc 12 ( 13 mfc 13 mfc 14 ) 15 are 21 and 16 reflected 17 in 16 reflected 21 and 17 in 20 activity 18 theta 20 activity 19 band 20 activity 21 and 22 may 22 may 23 implicate 23 implicate 25 coordination 23 implicate 30 during 24 the 25 coordination 25 coordination 26 of 26 of 29 areas 27 distinct 28 brain 28 brain 29 areas 30 during 32 monitoring 31 performance 32 monitoring we hypothesized that greater trial - [to] - trial variability in theta power during performance monitoring may be associated with greater behavioral variability in response latencies . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 hypothesized 0 ###LEFT-WALL### 6 - 1 we 2 hypothesized 2 hypothesized 5 trial 3 that 5 trial 4 greater 5 trial 6 - 8 - 6 - 19 associated 6 - 27 . 8 - 10 variability 9 trial 10 variability 10 variability 11 in 10 variability 14 during 10 variability 17 may 11 in 13 power 12 theta 13 power 14 during 16 monitoring 15 performance 16 monitoring 17 may 18 be 18 be 19 associated 19 associated 20 with 19 associated 24 in 20 with 23 variability 21 greater 23 variability 22 behavioral 23 variability 24 in 26 latencies 25 response 26 latencies [we] analyzed event - related theta oscillations assessed during a cued [-] go/nogo task in a lifespan sample covering the age range from middle childhood to old age . 0 ###LEFT-WALL### 3 event 0 ###LEFT-WALL### 5 related 0 ###LEFT-WALL### 29 . 2 analyzed 3 event 4 - 5 related 5 related 7 oscillations 5 related 9 during 5 related 15 in 6 theta 7 oscillations 7 oscillations 8 assessed 9 during 14 task 10 a 14 task 11 cued 14 task 13 go/nogo 14 task 15 in 18 sample 16 a 17 lifespan 16 a 18 sample 17 lifespan 18 sample 18 sample 19 covering 19 covering 22 range 19 covering 23 from 19 covering 26 to 20 the 22 range 21 age 22 range 23 from 25 childhood 24 middle 25 childhood 26 to 28 age 27 old 28 age our results show that theta [inter] - trial coherence during nogo trials increases from childhood to early adulthood , and decreases from early adulthood to old age . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 7 - 1 our 2 results 2 results 3 show 3 show 5 theta 4 that 5 theta 7 - 9 coherence 7 - 13 increases 7 - 28 . 8 trial 9 coherence 9 coherence 10 during 9 coherence 13 increases 10 during 12 trials 11 nogo 12 trials 13 increases 14 from 13 increases 16 to 13 increases 25 to 14 from 15 childhood 16 to 20 and 17 early 18 adulthood 18 adulthood 20 and 19 , 20 and 20 and 21 decreases 20 and 22 from 22 from 24 adulthood 23 early 24 adulthood 25 to 27 age 26 old 27 age moreover , in all age groups , individuals with higher variability in medial frontal stimulus - locked theta oscillations showed higher [trial] - to [-] trial rt variability behaviorally . 0 ###LEFT-WALL### 5 age 0 ###LEFT-WALL### 6 groups 0 ###LEFT-WALL### 30 . 1 moreover 2 , 1 moreover 5 age 3 in 4 all 3 in 5 age 5 age 6 groups 6 groups 16 - 6 groups 24 to 6 groups 29 behaviorally 7 , 16 - 8 individuals 9 with 8 individuals 16 - 9 with 11 variability 10 higher 11 variability 11 variability 12 in 12 in 15 stimulus 13 medial 15 stimulus 14 frontal 15 stimulus 16 - 18 theta 16 - 23 - 17 locked 18 theta 18 theta 19 oscillations 18 theta 20 showed 19 oscillations 20 showed 20 showed 21 higher 24 to 28 variability 26 trial 28 variability 27 rt 28 variability importantly , this effect was [strongest] at high performance monitoring demands and independent of motor response execution as well as theta power . 0 ###LEFT-WALL### 4 effect 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 23 . 1 importantly 2 , 1 importantly 4 effect 3 this 4 effect 4 effect 5 was 5 was 7 at 5 was 20 as 7 at 12 and 8 high 9 performance 9 performance 10 monitoring 9 performance 12 and 10 monitoring 11 demands 12 and 13 independent 12 and 14 of 14 of 17 execution 15 motor 17 execution 16 response 17 execution 18 as 19 well 19 well 20 as 20 as 22 power 21 theta 22 power taken together , our findings reveal that lower theta [inter] - trial coherence is related to greater behavioral variability [within] and across age groups . 0 ###LEFT-WALL### 5 findings 0 ###LEFT-WALL### 6 reveal 0 ###LEFT-WALL### 11 - 1 taken 2 together 1 taken 3 , 1 taken 5 findings 4 our 5 findings 5 findings 6 reveal 6 reveal 9 theta 7 that 9 theta 8 lower 9 theta 11 - 13 coherence 11 - 15 related 11 - 25 . 12 trial 13 coherence 13 coherence 14 is 14 is 15 related 15 related 21 and 16 to 19 variability 16 to 21 and 17 greater 19 variability 18 behavioral 19 variability 21 and 22 across 22 across 24 groups 23 age 24 groups these results hint at the possibility that more variable mfc control may be associated with greater performance fluctuations . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 hint 0 ###LEFT-WALL### 19 . 1 these 2 results 2 results 3 hint 3 hint 4 at 3 hint 7 that 4 at 6 possibility 5 the 6 possibility 7 that 11 control 7 that 14 associated 8 more 11 control 9 variable 11 control 10 mfc 11 control 11 control 12 may 12 may 13 be 13 be 14 associated 14 associated 15 with 15 with 18 fluctuations 16 greater 17 performance 17 performance 18 fluctuations background : nocturnal hypoglycemia was a common and serious problem among patients with type 2 diabetes ( t2dm ) , especially in the elderly . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 hypoglycemia 2 : 5 was 3 nocturnal 4 hypoglycemia 4 hypoglycemia 5 was 5 was 10 problem 6 a 10 problem 7 common 8 and 8 and 9 serious 8 and 10 problem 10 problem 11 among 10 problem 13 with 11 among 12 patients 13 with 16 diabetes 14 type 16 diabetes 15 2 16 diabetes 16 diabetes 18 t2dm 16 diabetes 22 in 17 ( 18 t2dm 18 t2dm 19 ) 20 , 21 especially 20 , 22 in 22 in 24 elderly 22 in 25 . 23 the 24 elderly this study investigated whether fasting glucose was an indicator of nocturnal hypoglycemia in elderly male patients with t2dm . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 19 . 1 this 2 study 2 study 3 investigated 3 investigated 4 whether 3 investigated 13 in 3 investigated 17 with 4 whether 6 glucose 4 whether 7 was 5 fasting 6 glucose 6 glucose 7 was 7 was 9 indicator 8 an 9 indicator 9 indicator 10 of 10 of 12 hypoglycemia 11 nocturnal 12 hypoglycemia 13 in 16 patients 14 elderly 16 patients 15 male 16 patients 17 with 18 t2dm methods : a total of 291 elderly male type 2 diabetic patients who received continuous glucose monitoring ( cgm ) between january 2007 and january 2011 were enrolled in the study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 24 and 2 : 28 enrolled 3 a 4 total 4 total 5 of 4 total 24 and 5 of 12 patients 6 291 12 patients 7 elderly 9 type 8 male 9 type 9 type 12 patients 10 2 11 diabetic 11 diabetic 12 patients 12 patients 13 who 12 patients 14 received 13 who 14 received 14 received 17 monitoring 14 received 21 between 15 continuous 16 glucose 16 glucose 17 monitoring 17 monitoring 19 cgm 18 ( 19 cgm 19 cgm 20 ) 21 between 22 january 22 january 23 2007 24 and 25 january 24 and 27 were 25 january 26 2011 27 were 28 enrolled 28 enrolled 29 in 29 in 31 study 30 the 31 study the association of fasting glucose and nocturnal hypoglycemia based on cgm data was analyzed , comparing with bedtime glucose . 0 ###LEFT-WALL### 6 and 1 the 2 association 2 association 3 of 2 association 6 and 3 of 5 glucose 4 fasting 5 glucose 6 and 8 hypoglycemia 6 and 9 based 6 and 16 comparing 7 nocturnal 8 hypoglycemia 9 based 10 on 9 based 14 analyzed 10 on 11 cgm 11 cgm 12 data 11 cgm 13 was 12 data 13 was 15 , 16 comparing 16 comparing 17 with 16 comparing 20 . 17 with 19 glucose 18 bedtime 19 glucose compared with the highest quartile , the lowest quartile of fasting glucose had a significantly increased risk of nocturnal hypoglycemia after the multiple adjustments ( pfor trend [<] 0.001 ) . 0 ###LEFT-WALL### 9 quartile 0 ###LEFT-WALL### 13 had 0 ###LEFT-WALL### 31 . 1 compared 2 with 1 compared 6 , 1 compared 9 quartile 2 with 5 quartile 3 the 4 highest 3 the 5 quartile 7 the 8 lowest 7 the 9 quartile 9 quartile 10 of 9 quartile 13 had 10 of 12 glucose 11 fasting 12 glucose 13 had 17 risk 13 had 21 after 14 a 17 risk 15 significantly 16 increased 16 increased 17 risk 17 risk 18 of 18 of 20 hypoglycemia 19 nocturnal 20 hypoglycemia 21 after 24 adjustments 22 the 24 adjustments 23 multiple 24 adjustments 24 adjustments 27 trend 25 ( 27 trend 26 pfor 27 trend 27 trend 29 0.001 27 trend 30 ) however , this association did not appear in bedtime glucose . 0 ###LEFT-WALL### 4 association 0 ###LEFT-WALL### 7 appear 0 ###LEFT-WALL### 11 . 1 however 2 , 1 however 4 association 3 this 4 association 4 association 5 did 5 did 6 not 5 did 7 appear 7 appear 8 in 8 in 10 glucose 9 bedtime 10 glucose on the roc curve , the youden index was maximal when fasting glucose was 6.1 mmol/l . conclusions : fasting glucose may be a convenient and clinically useful indicator of nocturnal hypoglycemia in elderly male patients with t2dm . 0 ###LEFT-WALL### 8 index 0 ###LEFT-WALL### 17 . 1 on 4 curve 1 on 5 , 1 on 8 index 2 the 4 curve 3 roc 4 curve 6 the 8 index 7 youden 8 index 8 index 9 was 9 was 10 maximal 10 maximal 11 when 11 when 13 glucose 11 when 14 was 12 fasting 13 glucose 13 glucose 14 was 14 was 16 mmol/l 15 6.1 16 mmol/l 17 . 18 conclusions 17 . 19 : 19 : 21 glucose 19 : 23 be 19 : 39 . 20 fasting 21 glucose 21 glucose 22 may 22 may 23 be 23 be 29 indicator 24 a 29 indicator 25 convenient 26 and 26 and 28 useful 26 and 29 indicator 27 clinically 28 useful 29 indicator 30 of 29 indicator 33 in 29 indicator 37 with 30 of 32 hypoglycemia 31 nocturnal 32 hypoglycemia 33 in 36 patients 34 elderly 35 male 35 male 36 patients 37 with 38 t2dm risk of nocturnal hypoglycemia significantly increased when fasting glucose was less than 6.1 mmol/l [.] objective : alzheimer 's disease ( ad ) is a progressive neurodegenerative disorder that affects the corpus callosum ( cc ) , which plays a key role in interhemispheric coupling in high - demand conditions . 0 ###LEFT-WALL### 1 risk 0 ###LEFT-WALL### 10 was 0 ###LEFT-WALL### 49 demand 0 ###LEFT-WALL### 51 . 1 risk 2 of 1 risk 10 was 2 of 4 hypoglycemia 3 nocturnal 4 hypoglycemia 4 hypoglycemia 6 increased 5 significantly 6 increased 6 increased 7 when 7 when 8 fasting 8 fasting 9 glucose 10 was 16 objective 10 was 17 : 11 less 12 than 12 than 13 6.1 13 6.1 14 mmol/l 14 mmol/l 16 objective 17 : 20 disease 17 : 30 affects 18 alzheimer 19 's 19 's 20 disease 20 disease 22 ad 20 disease 24 is 21 ( 22 ad 22 ad 23 ) 24 is 28 disorder 25 a 28 disorder 26 progressive 28 disorder 27 neurodegenerative 28 disorder 28 disorder 29 that 28 disorder 30 affects 29 that 30 affects 30 affects 33 callosum 31 the 33 callosum 32 corpus 33 callosum 33 callosum 35 cc 33 callosum 38 which 34 ( 35 cc 35 cc 36 ) 37 , 38 which 38 which 39 plays 38 which 48 - 39 plays 42 role 39 plays 46 in 39 plays 47 high 40 a 42 role 41 key 42 role 42 role 43 in 43 in 45 coupling 44 interhemispheric 45 coupling 48 - 49 demand 49 demand 50 conditions using 3 d callosal measurements and a letter - matching paradigm , this 2 - part study investigated the neural substrate of interhemispheric coupling in individuals with ad or amnestic mild cognitive impairment ( a - mci ) and age - matched healthy individuals ( hc ) . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 18 investigated 0 ###LEFT-WALL### 48 . 1 using 5 measurements 2 3 3 d 3 d 5 measurements 4 callosal 5 measurements 5 measurements 6 and 6 and 8 letter 7 a 8 letter 9 - 11 paradigm 9 - 12 , 9 - 15 - 10 matching 11 paradigm 12 , 13 this 14 2 15 - 15 - 17 study 16 part 17 study 17 study 18 investigated 18 investigated 21 substrate 19 the 21 substrate 20 neural 21 substrate 21 substrate 22 of 22 of 24 coupling 23 interhemispheric 24 coupling 24 coupling 25 in 25 in 26 individuals 26 individuals 27 with 27 with 39 and 28 ad 29 or 29 or 33 impairment 29 or 36 - 29 or 39 and 30 amnestic 33 impairment 31 mild 33 impairment 32 cognitive 33 impairment 34 ( 36 - 35 a 36 - 36 - 37 mci 36 - 38 ) 39 and 40 age 39 and 44 individuals 41 - 44 individuals 42 matched 44 individuals 43 healthy 44 individuals 44 individuals 46 hc 44 individuals 47 ) 45 ( 46 hc 46 hc 47 ) method : thirty - three right - handed participants were mri scanned to measure the volume of [the] cc in 5 sections . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 were 0 ###LEFT-WALL### 23 . 2 : 6 right 2 : 7 - 3 thirty 4 - 4 - 5 three 4 - 6 right 7 - 8 handed 7 - 10 were 8 handed 9 participants 8 handed 10 were 10 were 11 mri 11 mri 12 scanned 11 mri 13 to 11 mri 14 measure 13 to 14 measure 14 measure 16 volume 15 the 16 volume 16 volume 17 of 16 volume 20 in 17 of 19 cc 20 in 22 sections 21 5 22 sections the volume of the anterior part of [the] cc was significantly negatively correlated with the interhemispheric behavioral indices for the [a] [-] [mci] group ( study 1 and study 2b ) . 0 ###LEFT-WALL### 2 volume 0 ###LEFT-WALL### 13 correlated 0 ###LEFT-WALL### 32 . 1 the 2 volume 2 volume 3 of 2 volume 10 was 3 of 6 part 4 the 6 part 5 anterior 6 part 6 part 7 of 7 of 9 cc 10 was 13 correlated 11 significantly 13 correlated 12 negatively 13 correlated 13 correlated 14 with 14 with 18 indices 15 the 18 indices 16 interhemispheric 18 indices 17 behavioral 18 indices 18 indices 19 for 19 for 24 group 20 the 24 group 24 group 28 and 25 ( 28 and 26 study 27 1 26 study 28 and 28 and 30 2b 28 and 31 ) 29 study 30 2b conclusion : this study provides evidence that interhemispheric coupling may constitute a flexible mechanism that can improve the brain 's ability to meet processing demands for low cognitive demand in ad and for high cognitive demand in normal aging . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 's 0 ###LEFT-WALL### 40 . 2 : 4 study 2 : 20 's 3 this 4 study 4 study 5 provides 6 evidence 7 that 6 evidence 11 constitute 6 evidence 20 's 7 that 9 coupling 7 that 11 constitute 8 interhemispheric 9 coupling 9 coupling 10 may 10 may 11 constitute 11 constitute 14 mechanism 12 a 14 mechanism 13 flexible 14 mechanism 14 mechanism 15 that 14 mechanism 16 can 15 that 16 can 16 can 17 improve 17 improve 19 brain 18 the 19 brain 20 's 21 ability 20 's 32 and 22 to 25 demands 22 to 32 and 23 meet 25 demands 24 processing 25 demands 25 demands 26 for 25 demands 30 in 26 for 29 demand 27 low 29 demand 28 cognitive 29 demand 30 in 31 ad 32 and 33 for 33 for 36 demand 34 high 36 demand 35 cognitive 36 demand 36 demand 37 in 37 in 39 aging 38 normal 39 aging objective : this study examined the impact of age and apolipoprotein e ( apoe ) genotype on the rate of cognitive decline [in] nondemented elderly participants in a simulated alzheimer 's disease ( ad ) primary prevention treatment [trial] carried out by the alzheimer 's disease cooperative study . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 45 's 0 ###LEFT-WALL### 49 . 2 : 4 study 2 : 5 examined 3 this 4 study 4 study 5 examined 5 examined 10 and 5 examined 45 's 6 the 7 impact 7 impact 8 of 7 impact 10 and 8 of 9 age 10 and 11 apolipoprotein 10 and 14 apoe 10 and 16 genotype 11 apolipoprotein 12 e 13 ( 14 apoe 14 apoe 15 ) 16 genotype 17 on 16 genotype 37 prevention 17 on 19 rate 18 the 19 rate 19 rate 20 of 19 rate 27 in 19 rate 34 ad 20 of 26 participants 21 cognitive 22 decline 22 decline 24 nondemented 24 nondemented 26 participants 25 elderly 26 participants 27 in 32 disease 28 a 30 alzheimer 29 simulated 30 alzheimer 30 alzheimer 31 's 31 's 32 disease 33 ( 34 ad 34 ad 35 ) 36 primary 37 prevention 38 treatment 40 carried 38 treatment 41 out 38 treatment 45 's 41 out 42 by 42 by 44 alzheimer 43 the 44 alzheimer 45 's 48 study 46 disease 47 cooperative 47 cooperative 48 study method : cognitive tests were administered at baseline and at four subsequent annual evaluations to 417 nondemented participants ( 172 men , 245 women ) between the ages of 74 and 93 ( m = 79.13 ± 3.34 [ )( 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 40 )( 2 : 4 tests 2 : 6 administered 3 cognitive 4 tests 4 tests 5 were 5 were 6 administered 6 administered 9 and 6 administered 15 to 6 administered 26 between 7 at 8 baseline 7 at 9 and 9 and 10 at 10 at 14 evaluations 11 four 14 evaluations 12 subsequent 13 annual 13 annual 14 evaluations 15 to 18 participants 16 417 18 participants 17 nondemented 18 participants 18 participants 21 men 18 participants 24 women 19 ( 21 men 20 172 21 men 21 men 22 , 22 , 24 women 23 245 24 women 24 women 25 ) 26 between 28 ages 27 the 28 ages 28 ages 29 of 28 ages 35 = 29 of 31 and 30 74 31 and 31 and 32 93 33 ( 35 = 34 m 35 = 35 = 37 ± 36 79.13 37 ± 37 ± 38 3.34 apoe genotyping was available for 286 of the participants . 0 ###LEFT-WALL### 2 genotyping 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 10 . 1 apoe 2 genotyping 2 genotyping 3 was 3 was 4 available 4 available 5 for 5 for 6 286 6 286 7 of 7 of 9 participants 8 the 9 participants results : four - year decline [was] evident [on] measures of orientation , memory , executive function , and language . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 21 . 1 results 2 : 2 : 3 four 3 four 10 measures 4 - 10 measures 5 year 10 measures 6 decline 10 measures 8 evident 10 measures 10 measures 11 of 10 measures 13 , 11 of 12 orientation 13 , 19 and 14 memory 15 , 15 , 17 function 15 , 19 and 16 executive 17 function 18 , 19 and 19 and 20 language this discrepancy increased with age , indicating an age × genotype interaction . 0 ###LEFT-WALL### 2 discrepancy 0 ###LEFT-WALL### 3 increased 1 this 2 discrepancy 2 discrepancy 3 increased 3 increased 4 with 4 with 5 age 5 age 7 indicating 6 , 7 indicating 7 indicating 12 interaction 7 indicating 13 . 8 an 12 interaction 9 age 12 interaction 10 × 12 interaction 11 genotype 12 interaction conclusion : these results are consistent with population - based studies [,] and extend the findings to a carefully screened sample that meets inclusion and exclusion criteria for an ad primary prevention trial . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 5 are 2 : 9 - 2 : 34 . 3 these 4 results 4 results 5 are 5 are 6 consistent 6 consistent 7 with 7 with 8 population 9 - 13 and 10 based 11 studies 10 based 13 and 13 and 14 extend 14 extend 16 findings 14 extend 17 to 14 extend 28 for 15 the 16 findings 17 to 21 sample 18 a 21 sample 19 carefully 20 screened 20 screened 21 sample 21 sample 22 that 21 sample 23 meets 22 that 23 meets 23 meets 25 and 24 inclusion 25 and 25 and 27 criteria 26 exclusion 27 criteria 28 for 33 trial 29 an 33 trial 30 ad 33 trial 31 primary 33 trial 32 prevention 33 trial the interaction between age and apoe [genotype] [on] rate [of] decline suggests that preclinical disease may be overrepresented in older ε4+ individuals . 0 ###LEFT-WALL### 2 interaction 0 ###LEFT-WALL### 12 suggests 0 ###LEFT-WALL### 23 . 1 the 2 interaction 2 interaction 3 between 2 interaction 12 suggests 3 between 5 and 4 age 5 and 5 and 11 decline 6 apoe 11 decline 9 rate 11 decline 12 suggests 13 that 13 that 15 disease 13 that 18 overrepresented 14 preclinical 15 disease 15 disease 16 may 16 may 17 be 17 be 18 overrepresented 18 overrepresented 19 in 19 in 22 individuals 20 older 22 individuals 21 ε4+ 22 individuals thus , apoe [genotype] and age should be considered in the design of ad primary prevention treatment trials . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 9 considered 0 ###LEFT-WALL### 19 . 1 thus 2 , 1 thus 5 and 3 apoe 5 and 5 and 6 age 5 and 7 should 7 should 8 be 8 be 9 considered 9 considered 10 in 10 in 12 design 11 the 12 design 12 design 13 of 13 of 18 trials 14 ad 18 trials 15 primary 16 prevention 16 prevention 18 trials 17 treatment 18 trials age is a robust predictor of recidivism and an item on actuarial tools commonly used to predict sexual violent recidivism among sex offenders . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 24 . 1 age 2 is 2 is 5 predictor 2 is 11 on 3 a 4 robust 3 a 5 predictor 4 robust 5 predictor 5 predictor 6 of 6 of 8 and 7 recidivism 8 and 8 and 10 item 9 an 10 item 11 on 13 tools 12 actuarial 13 tools 13 tools 15 used 14 commonly 15 used 15 used 16 to 15 used 17 predict 16 to 17 predict 17 predict 20 recidivism 18 sexual 20 recidivism 19 violent 20 recidivism 20 recidivism 21 among 21 among 23 offenders 22 sex 23 offenders however , little is known about whether or how [much] offenders ' risk diminishes as a result of aging . 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 15 as 6 about 8 or 7 whether 8 or 8 or 9 how 8 or 13 risk 8 or 14 diminishes 11 offenders 12 ' 12 ' 13 risk 13 risk 14 diminishes 15 as 17 result 16 a 17 result 17 result 18 of 18 of 19 aging in the first of two studies , we examined the sexual and violent recidivism of 533 sex offenders who were over age 50 on release . 0 ###LEFT-WALL### 8 we 0 ###LEFT-WALL### 9 examined 0 ###LEFT-WALL### 26 . 1 in 3 first 1 in 7 , 1 in 8 we 2 the 3 first 3 first 4 of 4 of 6 studies 5 two 6 studies 8 we 9 examined 9 examined 25 release 10 the 25 release 11 sexual 12 and 12 and 14 recidivism 12 and 15 of 12 and 25 release 13 violent 14 recidivism 15 of 17 sex 16 533 17 sex 17 sex 18 offenders 17 sex 24 on 18 offenders 19 who 18 offenders 20 were 18 offenders 22 age 19 who 20 were 20 were 21 over 22 age 23 50 22 age 24 on neither age added incrementally to [static] score in the prediction of sexual recidivism . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 3 added 0 ###LEFT-WALL### 14 . 1 neither 2 age 2 age 3 added 3 added 4 incrementally 3 added 5 to 5 to 7 score 7 score 8 in 8 in 10 prediction 9 the 10 prediction 10 prediction 11 of 11 of 13 recidivism 12 sexual 13 recidivism the second study examined how well age at first offense , age at index offense , and age at release predicted violent recidivism among 527 sex offenders aged 13 to 79 at release . 0 ###LEFT-WALL### 7 age 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 34 . 1 the 2 second 2 second 3 study 2 second 4 examined 2 second 7 age 3 study 4 examined 4 examined 5 how 4 examined 6 well 5 how 6 well 7 age 8 at 8 at 10 offense 9 first 10 offense 11 , 33 release 12 age 13 at 12 age 17 and 13 at 15 offense 14 index 15 offense 16 , 17 and 17 and 18 age 17 and 19 at 17 and 33 release 19 at 23 recidivism 20 release 21 predicted 21 predicted 23 recidivism 22 violent 23 recidivism 23 recidivism 24 among 24 among 26 sex 25 527 26 sex 26 sex 27 offenders 26 sex 32 at 27 offenders 28 aged 28 aged 30 to 28 aged 32 at 29 13 30 to 30 to 31 79 age at first offense predicted best . 0 ###LEFT-WALL### 1 age 0 ###LEFT-WALL### 7 . 1 age 2 at 2 at 4 offense 3 first 4 offense 4 offense 5 predicted 5 predicted 6 best when age was removed [from] score on the sex offender risk appraisal guide , all ages added incrementally but age at [release] least to sorag score . 0 ###LEFT-WALL### 6 score 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 27 . 1 when 2 age 1 when 4 removed 1 when 6 score 2 age 3 was 3 was 4 removed 6 score 7 on 7 on 13 guide 8 the 13 guide 9 sex 10 offender 10 offender 11 risk 11 risk 12 appraisal 12 appraisal 13 guide 14 , 16 ages 14 , 26 score 15 all 16 ages 16 ages 17 added 16 ages 26 score 17 added 18 incrementally 17 added 19 but 17 added 23 least 17 added 24 to 19 but 20 age 21 at 23 least 24 to 25 sorag when participants were divided into quartiles based on age at index offense , there was no evidence from any quartile [that] age at release predicted violent recidivism better than age at first offense . 0 ###LEFT-WALL### 14 there 0 ###LEFT-WALL### 15 was 0 ###LEFT-WALL### 34 . 1 when 2 participants 1 when 4 divided 1 when 13 , 1 when 14 there 2 participants 3 were 3 were 4 divided 4 divided 5 into 4 divided 8 on 4 divided 10 at 5 into 6 quartiles 6 quartiles 7 based 8 on 9 age 10 at 12 offense 11 index 12 offense 14 there 15 was 15 was 17 evidence 16 no 17 evidence 17 evidence 18 from 17 evidence 23 at 18 from 22 age 19 any 22 age 20 quartile 22 age 23 at 27 recidivism 24 release 25 predicted 25 predicted 27 recidivism 26 violent 27 recidivism 27 recidivism 28 better 27 recidivism 31 at 28 better 29 than 29 than 30 age 31 at 33 offense 32 first 33 offense the authors concluded that age [at] release is a poor index of within [-] subject changes in risk of sexual or violent recidivism . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 3 concluded 0 ###LEFT-WALL### 24 . 1 the 2 authors 2 authors 3 concluded 3 concluded 7 release 3 concluded 8 is 4 that 7 release 5 age 7 release 7 release 8 is 8 is 11 index 8 is 17 in 9 a 11 index 10 poor 11 index 11 index 12 of 12 of 13 within 13 within 16 changes 15 subject 16 changes 17 in 18 risk 18 risk 19 of 19 of 23 recidivism 20 sexual 21 or 21 or 22 violent 21 or 23 recidivism no adjustment to a sex offender 's score on a comprehensive actuarial tool that includes age at first or index offense should be made simply because the offender is older . 0 ###LEFT-WALL### 2 adjustment 0 ###LEFT-WALL### 24 made 0 ###LEFT-WALL### 31 . 1 no 2 adjustment 2 adjustment 3 to 2 adjustment 22 should 3 to 8 score 4 a 6 offender 5 sex 6 offender 6 offender 7 's 7 's 8 score 8 score 9 on 9 on 13 tool 10 a 13 tool 11 comprehensive 13 tool 12 actuarial 13 tool 13 tool 14 that 13 tool 20 index 14 that 15 includes 14 that 19 or 15 includes 19 or 16 age 18 first 16 age 19 or 17 at 18 first 19 or 20 index 20 index 21 offense 22 should 23 be 23 be 24 made 24 made 25 simply 25 simply 26 because 26 because 28 offender 26 because 29 is 27 the 28 offender 28 offender 29 is 29 is 30 older oocyte quality is a key factor in determining embryo development ; however , we have a poor understanding of what constitutes oocyte quality or the mechanisms governing it . 0 ###LEFT-WALL### 2 quality 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 11 ; 0 ###LEFT-WALL### 15 have 0 ###LEFT-WALL### 29 . 1 oocyte 2 quality 2 quality 3 is 3 is 6 factor 4 a 6 factor 5 key 6 factor 6 factor 7 in 7 in 8 determining 8 determining 10 development 9 embryo 10 development 11 ; 14 we 12 however 13 , 12 however 14 we 14 we 15 have 15 have 18 understanding 16 a 17 poor 16 a 18 understanding 17 poor 18 understanding 18 understanding 19 of 19 of 20 what 19 of 21 constitutes 20 what 21 constitutes 21 constitutes 24 or 22 oocyte 23 quality 23 quality 24 or 24 or 26 mechanisms 24 or 27 governing 25 the 26 mechanisms 27 governing 28 it postovulatory aging of oocytes that have not been fertilized for a prolonged time after ovulation is known to significantly impair oocyte quality and subsequent embryo development after fertilization . 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 29 . 1 postovulatory 2 aging 1 postovulatory 3 of 1 postovulatory 23 and 3 of 4 oocytes 4 oocytes 5 that 4 oocytes 6 have 5 that 6 have 6 have 7 not 6 have 8 been 8 been 9 fertilized 9 fertilized 10 for 9 fertilized 14 after 9 fertilized 18 to 10 for 13 time 11 a 13 time 12 prolonged 13 time 14 after 15 ovulation 14 after 16 is 15 ovulation 16 is 16 is 17 known 18 to 20 impair 19 significantly 20 impair 20 impair 22 quality 21 oocyte 22 quality 23 and 26 development 23 and 27 after 24 subsequent 25 embryo 25 embryo 26 development 27 after 28 fertilization embryos derived from postovulatory - aged oocytes are prone to undergo apoptosis due to the decreased bcl - 2 expression . 0 ###LEFT-WALL### 1 embryos 0 ###LEFT-WALL### 11 undergo 0 ###LEFT-WALL### 18 - 0 ###LEFT-WALL### 21 . 1 embryos 2 derived 1 embryos 3 from 1 embryos 8 are 3 from 7 oocytes 4 postovulatory 5 - 4 postovulatory 7 oocytes 6 aged 7 oocytes 8 are 9 prone 9 prone 10 to 9 prone 11 undergo 10 to 11 undergo 11 undergo 12 apoptosis 12 apoptosis 13 due 13 due 14 to 14 to 17 bcl 15 the 17 bcl 16 decreased 17 bcl 18 - 20 expression 19 2 20 expression postovulatory aging of oocytes changes the patterns of ca ( 2+ ) oscillations at fertilization as a result [of] impaired ca ( 2+ ) regulation in the endoplasmic [reticulum] . 0 ###LEFT-WALL### 1 postovulatory 0 ###LEFT-WALL### 20 impaired 1 postovulatory 2 aging 1 postovulatory 3 of 1 postovulatory 5 changes 3 of 4 oocytes 5 changes 7 patterns 6 the 7 patterns 7 patterns 8 of 7 patterns 13 oscillations 7 patterns 20 impaired 8 of 9 ca 9 ca 11 2+ 10 ( 11 2+ 11 2+ 12 ) 13 oscillations 14 at 13 oscillations 16 as 13 oscillations 20 impaired 14 at 15 fertilization 16 as 18 result 17 a 18 result 20 impaired 21 ca 21 ca 25 regulation 22 ( 25 regulation 23 2+ 24 ) 23 2+ 25 regulation 25 regulation 26 in 25 regulation 30 . 26 in 28 endoplasmic 27 the 28 endoplasmic moreover , postovulatory aging of oocytes impairs mitochondrial adenosine triphosphate production as a result of increasing oxidative stresses . 0 ###LEFT-WALL### 3 postovulatory 0 ###LEFT-WALL### 7 impairs 0 ###LEFT-WALL### 19 . 1 moreover 2 , 1 moreover 3 postovulatory 3 postovulatory 4 aging 3 postovulatory 5 of 3 postovulatory 7 impairs 5 of 6 oocytes 7 impairs 11 production 7 impairs 12 as 8 mitochondrial 10 triphosphate 9 adenosine 10 triphosphate 10 triphosphate 11 production 12 as 14 result 13 a 14 result 14 result 15 of 15 of 16 increasing 16 increasing 18 stresses 17 oxidative 18 stresses oxidative stresses also affect intracellular ca ( 2+ ) regulation and impair embryo development after fertilization . 0 ###LEFT-WALL### 2 stresses 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 17 . 1 oxidative 2 stresses 2 stresses 11 and 3 also 4 affect 4 affect 10 regulation 4 affect 11 and 5 intracellular 10 regulation 6 ca 8 2+ 6 ca 10 regulation 7 ( 8 2+ 8 2+ 9 ) 11 and 12 impair 12 impair 14 development 12 impair 15 after 13 embryo 14 development 15 after 16 fertilization collectively , the mechanism of postovulatory oocyte aging might be involved in reactive oxygen species - induced mitochondrial injury followed by abnormal intracellular ca ( 2+ ) regulation in the [endoplasmic] reticulum . 0 ###LEFT-WALL### 4 mechanism 0 ###LEFT-WALL### 11 involved 0 ###LEFT-WALL### 16 - 0 ###LEFT-WALL### 33 . 1 collectively 2 , 1 collectively 4 mechanism 3 the 4 mechanism 4 mechanism 5 of 4 mechanism 8 aging 4 mechanism 9 might 5 of 7 oocyte 6 postovulatory 7 oocyte 9 might 10 be 10 be 11 involved 11 involved 12 in 12 in 15 species 13 reactive 15 species 14 oxygen 15 species 16 - 19 injury 16 - 20 followed 17 induced 19 injury 18 mitochondrial 19 injury 19 injury 20 followed 20 followed 21 by 20 followed 28 regulation 22 abnormal 28 regulation 23 intracellular 28 regulation 24 ca 26 2+ 24 ca 28 regulation 25 ( 26 2+ 26 2+ 27 ) 28 regulation 29 in 29 in 32 reticulum 30 the 32 reticulum unlabelled : background/study context : the purpose of the current study was to investigate whether age was related to emotional labor strategies ( [surface] and deep acting ) , and whether emotional intelligence partially explained this relationship . 0 ###LEFT-WALL### 1 unlabelled 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 38 . 1 unlabelled 2 : 2 : 4 context 3 background/study 4 context 5 : 7 purpose 5 : 18 related 6 the 7 purpose 7 purpose 8 of 7 purpose 18 related 8 of 10 current 9 the 10 current 10 current 11 study 10 current 14 investigate 11 study 12 was 12 was 13 to 12 was 14 investigate 13 to 14 investigate 14 investigate 15 whether 15 whether 16 age 15 whether 17 was 16 age 17 was 18 related 19 to 19 to 30 and 20 emotional 21 labor 21 labor 22 strategies 22 strategies 25 and 23 ( 25 and 25 and 27 acting 25 and 28 ) 25 and 30 and 26 deep 27 acting 29 , 30 and 30 and 31 whether 30 and 33 intelligence 30 and 35 explained 32 emotional 33 intelligence 33 intelligence 35 explained 34 partially 35 explained 35 explained 37 relationship 36 this 37 relationship additionally , employee well [-] being was examined as an outcome in this model . 0 ###LEFT-WALL### 6 being 0 ###LEFT-WALL### 8 examined 0 ###LEFT-WALL### 15 . 1 additionally 2 , 1 additionally 6 being 3 employee 6 being 4 well 6 being 6 being 7 was 7 was 8 examined 8 examined 9 as 8 examined 12 in 9 as 11 outcome 10 an 11 outcome 12 in 14 model 13 this 14 model methods : a total of 519 participants ( age 18 - 68 ) , working in a variety of service occupations , participated in a cross - sectional survey study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 4 total 2 : 23 participated 2 : 27 - 3 a 4 total 4 total 5 of 4 total 9 age 4 total 15 working 4 total 23 participated 5 of 7 participants 6 519 7 participants 8 ( 9 age 9 age 11 - 9 age 13 ) 10 18 11 - 11 - 12 68 14 , 15 working 15 working 16 in 15 working 22 , 16 in 18 variety 17 a 18 variety 18 variety 19 of 19 of 21 occupations 20 service 21 occupations 23 participated 24 in 24 in 26 cross 25 a 26 cross 27 - 30 study 28 sectional 29 survey 29 survey 30 study validated measures for emotional intelligence , emotional labor strategies , positive affectivity , and employee well - being were administered . 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 17 - 1 validated 2 measures 2 measures 3 for 2 measures 6 , 3 for 5 intelligence 4 emotional 5 intelligence 6 , 9 strategies 6 , 10 , 7 emotional 8 labor 8 labor 9 strategies 10 , 12 affectivity 10 , 14 and 11 positive 12 affectivity 13 , 14 and 14 and 16 well 15 employee 16 well 17 - 18 being 17 - 20 administered 17 - 21 . 18 being 19 were 19 were 20 administered results : a structural equation model supported the hypothesis that age was related positively to deep acting and negatively to surface acting , relationships partially mediated by emotional intelligence . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 6 model 2 : 7 supported 2 : 23 , 3 a 4 structural 3 a 6 model 4 structural 5 equation 5 equation 6 model 6 model 7 supported 7 supported 9 hypothesis 8 the 9 hypothesis 9 hypothesis 10 that 9 hypothesis 22 acting 10 that 11 age 10 that 18 and 11 age 12 was 12 was 18 and 13 related 14 positively 13 related 15 to 13 related 18 and 15 to 17 acting 16 deep 17 acting 18 and 20 to 18 and 21 surface 19 negatively 20 to 20 to 21 surface 23 , 24 relationships 23 , 26 mediated 24 relationships 26 mediated 25 partially 26 mediated 26 mediated 27 by 27 by 29 intelligence 28 emotional 29 intelligence emotional labor strategy , in turn , affected well - being . 0 ###LEFT-WALL### 3 strategy 0 ###LEFT-WALL### 8 affected 0 ###LEFT-WALL### 10 - 1 emotional 2 labor 2 labor 3 strategy 3 strategy 8 affected 4 , 6 turn 5 in 6 turn 6 turn 7 , 6 turn 8 affected 8 affected 9 well 10 - 11 being 10 - 12 . conclusion : implications were discussed in employee selection and employee well - being , particularly in the customer service context . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 implications 2 : 5 discussed 2 : 12 - 3 implications 4 were 4 were 5 discussed 5 discussed 6 in 5 discussed 11 well 6 in 9 and 7 employee 8 selection 8 selection 9 and 9 and 10 employee 12 - 13 being 13 being 16 in 14 , 15 particularly 14 , 16 in 16 in 20 context 16 in 21 . 17 the 20 context 18 customer 20 context 19 service 20 context [it] is recommended that future research [investigates] how aging is related to emotional labor strategies in other occupations that have different emotional requirements ( e.g [.] , negative display rules ) . 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 32 . 2 is 6 research 2 is 8 how 2 is 16 in 3 recommended 6 research 4 that 5 future 5 future 6 research 8 how 9 aging 8 how 11 related 9 aging 10 is 10 is 11 related 11 related 12 to 12 to 15 strategies 13 emotional 14 labor 14 labor 15 strategies 16 in 18 occupations 17 other 18 occupations 18 occupations 19 that 18 occupations 20 have 19 that 20 have 20 have 23 requirements 21 different 23 requirements 22 emotional 23 requirements 23 requirements 30 rules 24 ( 30 rules 25 e.g 27 , 25 e.g 30 rules 28 negative 30 rules 29 display 30 rules 30 rules 31 ) unlabelled : background/study context : research largely shows no performance differences between older and younger employees , or that older workers even outperform younger employees , yet negative attitudes towards older workers can underpin discrimination . 0 ###LEFT-WALL### 1 unlabelled 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 : 1 unlabelled 2 : 2 : 4 context 3 background/study 4 context 5 : 6 research 5 : 8 shows 5 : 26 , 5 : 36 . 6 research 8 shows 7 largely 8 shows 8 shows 10 performance 8 shows 18 or 8 shows 21 workers 8 shows 23 outperform 9 no 10 performance 11 differences 12 between 11 differences 18 or 12 between 16 employees 13 older 14 and 14 and 15 younger 14 and 16 employees 17 , 18 or 18 or 20 older 19 that 20 older 21 workers 23 outperform 22 even 23 outperform 23 outperform 25 employees 24 younger 25 employees 26 , 27 yet 26 , 34 underpin 27 yet 29 attitudes 28 negative 29 attitudes 29 attitudes 30 towards 29 attitudes 33 can 30 towards 32 workers 31 older 32 workers 33 can 34 underpin 34 underpin 35 discrimination unfortunately , traditional " explicit " techniques for assessing attitudes ( i.e [.] , self [-] report measures ) have serious drawbacks . 0 ###LEFT-WALL### 7 techniques 0 ###LEFT-WALL### 20 have 0 ###LEFT-WALL### 23 . 1 unfortunately 2 , 1 unfortunately 7 techniques 3 traditional 4 " 3 traditional 7 techniques 5 explicit 6 " 5 explicit 7 techniques 7 techniques 8 for 7 techniques 20 have 8 for 9 assessing 9 assessing 10 attitudes 10 attitudes 18 measures 11 ( 18 measures 12 i.e 14 , 12 i.e 15 self 15 self 18 measures 17 report 18 measures 18 measures 19 ) 20 have 22 drawbacks 21 serious 22 drawbacks therefore , using an approach [that] is novel to organizational contexts , the authors supplemented explicit with implicit [(] indirect ) measures of attitudes towards older workers , and examined the malleability of both . 0 ###LEFT-WALL### 3 using 0 ###LEFT-WALL### 29 and 0 ###LEFT-WALL### 35 . 1 therefore 2 , 1 therefore 3 using 3 using 5 approach 3 using 29 and 4 an 5 approach 7 is 8 novel 7 is 29 and 8 novel 9 to 9 to 11 contexts 10 organizational 11 contexts 11 contexts 14 authors 12 , 14 authors 13 the 14 authors 14 authors 15 supplemented 14 authors 28 , 15 supplemented 16 explicit 16 explicit 17 with 16 explicit 25 towards 17 with 22 measures 18 implicit 22 measures 20 indirect 21 ) 20 indirect 22 measures 22 measures 23 of 23 of 24 attitudes 25 towards 27 workers 26 older 27 workers 28 , 29 and 29 and 30 examined 29 and 32 malleability 31 the 32 malleability 32 malleability 33 of 33 of 34 both methods : this research consists of two studies . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 research 2 : 5 consists 2 : 9 . 3 this 4 research 4 research 5 consists 5 consists 6 of 6 of 8 studies 7 two 8 studies the authors measured self - report [(] explicit ) attitudes towards older and younger workers with a survey , and implicit attitudes with a reaction - time - based measure of implicit associations . 0 ###LEFT-WALL### 4 self 0 ###LEFT-WALL### 6 report 1 the 4 self 2 authors 3 measured 3 measured 4 self 5 - 6 report 6 report 10 attitudes 6 report 11 towards 6 report 16 with 6 report 34 . 8 explicit 9 ) 8 explicit 10 attitudes 11 towards 15 workers 12 older 13 and 13 and 14 younger 13 and 15 workers 16 with 20 and 17 a 18 survey 18 survey 20 and 19 , 20 and 20 and 21 implicit 20 and 22 attitudes 20 and 30 measure 20 and 31 of 22 attitudes 23 with 22 attitudes 29 based 22 attitudes 30 measure 23 with 25 reaction 24 a 25 reaction 25 reaction 27 time 26 - 27 time 27 time 28 - 31 of 33 associations 32 implicit 33 associations in addition , to test whether attitudes were malleable , the authors measured attitudes before and after a mental imagery intervention , where the authors asked participants in the experimental group to imagine respected and valued older workers from their surroundings . 0 ###LEFT-WALL### 12 authors 0 ###LEFT-WALL### 13 measured 1 in 2 addition 1 in 10 , 1 in 12 authors 2 addition 4 to 3 , 4 to 4 to 5 test 4 to 10 , 5 test 6 whether 6 whether 7 attitudes 6 whether 8 were 7 attitudes 8 were 8 were 9 malleable 11 the 12 authors 12 authors 13 measured 13 measured 14 attitudes 14 attitudes 16 and 14 attitudes 23 where 15 before 16 and 16 and 17 after 17 after 21 intervention 18 a 21 intervention 19 mental 20 imagery 20 imagery 21 intervention 22 , 23 where 23 where 25 authors 23 where 26 asked 23 where 42 . 24 the 25 authors 25 authors 26 asked 26 asked 27 participants 26 asked 28 in 26 asked 32 to 26 asked 33 imagine 28 in 31 group 29 the 31 group 30 experimental 31 group 32 to 33 imagine 33 imagine 35 and 34 respected 35 and 35 and 36 valued 35 and 39 from 36 valued 38 workers 37 older 38 workers 39 from 41 surroundings 40 their 41 surroundings results : negative , stable implicit attitudes towards older workers emerged in two studies . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 15 . 1 results 2 : 2 : 3 negative 4 , 7 attitudes 4 , 11 emerged 5 stable 7 attitudes 6 implicit 7 attitudes 7 attitudes 8 towards 7 attitudes 11 emerged 8 towards 10 workers 9 older 10 workers 11 emerged 12 in 12 in 14 studies 13 two 14 studies conversely , explicit attitudes showed no age bias and were more susceptible to change intervention , such that attitudes became more positive towards older workers following the experimental manipulation . 0 ###LEFT-WALL### 4 attitudes 0 ###LEFT-WALL### 9 and 1 conversely 2 , 1 conversely 4 attitudes 3 explicit 4 attitudes 4 attitudes 9 and 5 showed 7 age 5 showed 8 bias 5 showed 9 and 6 no 7 age 9 and 10 were 10 were 12 susceptible 11 more 12 susceptible 12 susceptible 13 to 13 to 14 change 14 change 15 intervention 14 change 18 that 16 , 18 that 17 such 18 that 18 that 19 attitudes 18 that 20 became 18 that 30 . 19 attitudes 20 became 20 became 22 positive 21 more 22 positive 22 positive 23 towards 23 towards 25 workers 24 older 25 workers 25 workers 26 following 26 following 29 manipulation 27 the 29 manipulation 28 experimental 29 manipulation conclusion : this research demonstrates the unconscious nature of bias against older workers , and highlights the utility of implicit attitude measures in the context of the workplace . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 research 2 : 15 and 2 : 29 . 3 this 4 research 4 research 15 and 5 demonstrates 8 nature 5 demonstrates 11 against 5 demonstrates 15 and 6 the 8 nature 7 unconscious 8 nature 8 nature 9 of 9 of 10 bias 11 against 13 workers 12 older 13 workers 14 , 15 and 15 and 16 highlights 16 highlights 18 utility 16 highlights 23 in 17 the 18 utility 18 utility 19 of 19 of 22 measures 20 implicit 21 attitude 21 attitude 22 measures 23 in 25 context 24 the 25 context 25 context 26 of 26 of 28 workplace 27 the 28 workplace in the current era of aging workforce [and] skill shortages , implicit measures may be necessary to illuminate hidden workplace ageism . 0 ###LEFT-WALL### 13 measures 0 ###LEFT-WALL### 18 illuminate 0 ###LEFT-WALL### 22 . 1 in 4 era 1 in 11 , 1 in 13 measures 2 the 4 era 3 current 4 era 4 era 5 of 5 of 6 aging 6 aging 10 shortages 7 workforce 10 shortages 9 skill 10 shortages 12 implicit 13 measures 13 measures 14 may 14 may 15 be 15 be 16 necessary 16 necessary 17 to 16 necessary 18 illuminate 17 to 18 illuminate 18 illuminate 21 ageism 19 hidden 20 workplace 20 workplace 21 ageism unlabelled : background/study context : this study examined the role of increased adult age in the processing of lexical information presented in foveal and parafoveal areas of the retina ( right and left visual fields ) . 0 ###LEFT-WALL### 1 unlabelled 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 37 . 1 unlabelled 2 : 2 : 4 context 3 background/study 4 context 5 : 7 study 5 : 8 examined 6 this 7 study 7 study 8 examined 8 examined 10 role 8 examined 15 in 9 the 10 role 10 role 11 of 11 of 14 age 12 increased 14 age 13 adult 14 age 15 in 17 processing 16 the 17 processing 17 processing 18 of 17 processing 21 presented 17 processing 27 of 17 processing 32 and 18 of 20 information 19 lexical 20 information 21 presented 22 in 22 in 26 areas 23 foveal 24 and 24 and 25 parafoveal 24 and 26 areas 27 of 29 retina 28 the 29 retina 30 ( 32 and 31 right 32 and 32 and 35 fields 32 and 36 ) 33 left 35 fields 34 visual 35 fields previous research has shown that older adults are able to compensate for [age] - related changes though a highly practiced skill ( salthouse , 1984 , journal of experimental psychology : general [,] 113 , 345 - 371 ) . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 31 : 0 ###LEFT-WALL### 40 . 1 previous 2 research 2 research 3 has 3 has 4 shown 4 shown 5 that 4 shown 7 adults 4 shown 8 are 6 older 7 adults 7 adults 8 are 8 are 9 able 9 able 10 to 10 to 11 compensate 11 compensate 12 for 12 for 27 journal 14 - 15 related 15 related 16 changes 15 related 27 journal 17 though 21 skill 17 though 27 journal 18 a 19 highly 18 a 21 skill 19 highly 20 practiced 20 practiced 21 skill 21 skill 23 salthouse 21 skill 25 1984 22 ( 23 salthouse 23 salthouse 24 , 24 , 25 1984 25 1984 26 , 27 journal 28 of 27 journal 31 : 28 of 30 psychology 29 experimental 30 psychology 31 : 32 general 32 general 34 113 32 general 37 - 35 , 37 - 36 345 37 - 37 - 38 371 37 - 39 ) the authors examined if older adults would show a lexical - only parafoveal benefit . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 15 . 1 the 2 authors 2 authors 3 examined 3 examined 4 if 4 if 6 adults 4 if 8 show 5 older 6 adults 6 adults 7 would 7 would 8 show 8 show 14 benefit 9 a 10 lexical 9 a 14 benefit 10 lexical 11 - 10 lexical 14 benefit 12 only 13 parafoveal 13 parafoveal 14 benefit methods : two experiments were conducted on both younger and older adults . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 experiments 2 : 6 conducted 2 : 13 . 3 two 4 experiments 4 experiments 5 were 5 were 6 conducted 6 conducted 7 on 7 on 12 adults 8 both 12 adults 9 younger 10 and 10 and 11 older 10 and 12 adults in experiment 1 , participants completed a lexical decision task that presented words in the fovea and parafovea in both visual fields . 0 ###LEFT-WALL### 5 participants 0 ###LEFT-WALL### 6 completed 0 ###LEFT-WALL### 23 . 1 in 2 experiment 1 in 4 , 1 in 5 participants 2 experiment 3 1 5 participants 6 completed 6 completed 10 task 6 completed 14 in 6 completed 19 in 7 a 8 lexical 7 a 10 task 8 lexical 10 task 9 decision 10 task 10 task 11 that 10 task 12 presented 11 that 12 presented 12 presented 13 words 14 in 17 and 15 the 16 fovea 16 fovea 17 and 17 and 18 parafovea 19 in 22 fields 20 both 22 fields 21 visual 22 fields in experiment 2 , the task was a font discrimination task ( nonlexical ) [with] foveal and parafoveal presentation in both visual fields . 0 ###LEFT-WALL### 6 task 0 ###LEFT-WALL### 7 was 1 in 2 experiment 1 in 4 , 1 in 6 task 2 experiment 3 2 5 the 6 task 6 task 7 was 7 was 11 task 8 a 11 task 9 font 11 task 10 discrimination 11 task 11 task 19 presentation 12 ( 19 presentation 13 nonlexical 14 ) 13 nonlexical 19 presentation 16 foveal 17 and 17 and 18 parafoveal 17 and 19 presentation 19 presentation 20 in 19 presentation 24 . 20 in 23 fields 21 both 23 fields 22 visual 23 fields results : in experiment 1 , the authors observed word frequency effects for both foveal and right parafoveal presentation locations . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 21 . 1 results 2 : 2 : 3 in 3 in 4 experiment 4 experiment 5 1 6 , 8 authors 6 , 10 word 7 the 8 authors 8 authors 9 observed 8 authors 10 word 10 word 12 effects 10 word 13 for 11 frequency 12 effects 13 for 20 locations 14 both 20 locations 15 foveal 16 and 16 and 17 right 16 and 20 locations 18 parafoveal 19 presentation 19 presentation 20 locations this effect was present for both older and younger adults . 0 ###LEFT-WALL### 2 effect 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 11 . 1 this 2 effect 2 effect 3 was 3 was 4 present 4 present 5 for 5 for 10 adults 6 both 10 adults 7 older 8 and 8 and 9 younger 8 and 10 adults experiment 2 was a font discrimination task and there was no right parafoveal advantage for older adults on this task , suggesting that this effect observed in experiment 1 was lexical in nature due to the highly overlearned nature of word recognition . 0 ###LEFT-WALL### 1 experiment 0 ###LEFT-WALL### 8 and 1 experiment 2 2 1 experiment 3 was 3 was 7 task 4 a 7 task 5 font 6 discrimination 6 discrimination 7 task 8 and 9 there 8 and 10 was 9 there 10 was 10 was 14 advantage 11 no 14 advantage 12 right 14 advantage 13 parafoveal 14 advantage 14 advantage 15 for 14 advantage 18 on 14 advantage 22 suggesting 15 for 17 adults 16 older 17 adults 18 on 20 task 19 this 20 task 21 , 22 suggesting 22 suggesting 23 that 22 suggesting 43 . 23 that 25 effect 23 that 26 observed 24 this 25 effect 25 effect 26 observed 26 observed 27 in 26 observed 29 1 26 observed 30 was 27 in 28 experiment 29 1 30 was 30 was 31 lexical 31 lexical 32 in 31 lexical 35 to 32 in 33 nature 34 due 35 to 35 to 39 nature 36 the 39 nature 37 highly 38 overlearned 38 overlearned 39 nature 39 nature 40 of 40 of 42 recognition 41 word 42 recognition conclusion : these results suggest that older adults may compensate for slower encoding time in reading by encoding text to the right of fixation more efficiently than younger adults . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 5 suggest 2 : 30 . 3 these 4 results 4 results 5 suggest 5 suggest 6 that 6 that 8 adults 6 that 10 compensate 7 older 8 adults 8 adults 9 may 9 may 10 compensate 10 compensate 11 for 10 compensate 15 in 10 compensate 27 than 11 for 14 time 12 slower 13 encoding 13 encoding 14 time 15 in 16 reading 16 reading 17 by 17 by 18 encoding 18 encoding 19 text 18 encoding 20 to 18 encoding 26 efficiently 20 to 22 right 21 the 22 right 22 right 23 of 23 of 24 fixation 25 more 26 efficiently 27 than 29 adults 28 younger 29 adults this suggests an asymmetrical change in the useful field of view that is lexical in nature . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 suggests 0 ###LEFT-WALL### 17 . 1 this 2 suggests 2 suggests 5 change 2 suggests 6 in 3 an 4 asymmetrical 3 an 5 change 4 asymmetrical 5 change 6 in 9 field 7 the 9 field 8 useful 9 field 9 field 10 of 10 of 11 view 11 view 12 that 11 view 13 is 12 that 13 is 13 is 14 lexical 14 lexical 15 in 15 in 16 nature unlabelled : background/study context : in experiment 1 , the authors investigated whether they could train retirement home activity directors with no previous experience in theatre to successfully execute [an] evidence - based 4 - week theatre - arts intervention . 0 ###LEFT-WALL### 1 unlabelled 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 41 . 2 : 3 background/study 2 : 33 based 2 : 38 - 3 background/study 4 context 3 background/study 5 : 3 background/study 11 authors 3 background/study 33 based 4 context 5 : 5 : 6 in 6 in 7 experiment 7 experiment 8 1 9 , 11 authors 10 the 11 authors 11 authors 12 investigated 11 authors 32 - 12 investigated 13 whether 12 investigated 21 with 12 investigated 25 in 12 investigated 27 to 13 whether 14 they 13 whether 16 train 14 they 15 could 15 could 16 train 16 train 20 directors 17 retirement 18 home 18 home 20 directors 19 activity 20 directors 21 with 24 experience 22 no 24 experience 23 previous 24 experience 25 in 26 theatre 27 to 29 execute 28 successfully 29 execute 29 execute 31 evidence 33 based 34 4 34 4 37 theatre 35 - 37 theatre 36 week 37 theatre 37 theatre 38 - 38 - 40 intervention 39 arts 40 intervention in experiment 2 , they investigated whether an outside professional acting teacher who received only minimal training via [e] [-] mail and telephone could successfully execute the same intervention heretofore only carried out by the actor/director/professor who devised it . 0 ###LEFT-WALL### 5 they 0 ###LEFT-WALL### 6 investigated 0 ###LEFT-WALL### 40 . 1 in 2 experiment 1 in 4 , 1 in 5 they 2 experiment 3 2 5 they 6 investigated 6 investigated 7 whether 6 investigated 34 by 7 whether 12 teacher 7 whether 32 carried 8 an 12 teacher 9 outside 10 professional 10 professional 12 teacher 11 acting 12 teacher 12 teacher 13 who 12 teacher 26 execute 12 teacher 32 carried 13 who 22 and 13 who 26 execute 14 received 17 training 15 only 16 minimal 16 minimal 17 training 17 training 18 via 17 training 22 and 18 via 21 mail 22 and 23 telephone 22 and 24 could 24 could 26 execute 25 successfully 26 execute 26 execute 29 intervention 26 execute 30 heretofore 27 the 28 same 28 same 29 intervention 31 only 32 carried 32 carried 33 out 34 by 36 actor/director/professor 35 the 36 actor/director/professor 36 actor/director/professor 37 who 36 actor/director/professor 38 devised 37 who 38 devised 38 devised 39 it methods : a total of 115 participants ( ages 68 - 94 ) in four different retirement homes were taught theatre arts either by their [in] [-] house activity director who had no formal training in theatre or a professional acting teacher recruited through a local community college . 1 methods 2 : 2 : 4 total 2 : 14 in 3 a 4 total 4 total 5 of 5 of 7 participants 6 115 7 participants 7 participants 11 - 8 ( 11 - 9 ages 10 68 9 ages 11 - 11 - 12 94 11 - 13 ) 14 in 15 four 15 four 17 retirement 15 four 20 taught 16 different 17 retirement 17 retirement 18 homes 17 retirement 19 were 17 retirement 20 taught 18 homes 19 were 20 taught 22 arts 20 taught 23 either 20 taught 24 by 21 theatre 22 arts 24 by 30 director 25 their 30 director 28 house 30 director 29 activity 30 director 30 director 31 who 30 director 32 had 31 who 32 had 32 had 35 training 33 no 35 training 34 formal 35 training 35 training 36 in 36 in 38 or 37 theatre 38 or 38 or 42 teacher 38 or 49 . 39 a 40 professional 39 a 42 teacher 40 professional 42 teacher 41 acting 42 teacher 42 teacher 43 recruited 43 recruited 44 through 44 through 48 college 45 a 46 local 45 a 48 college 46 local 47 community 47 community 48 college the intervention consisted of twice [-] weekly [70] - min lessons for 4 weeks . 0 ###LEFT-WALL### 2 intervention 0 ###LEFT-WALL### 3 consisted 0 ###LEFT-WALL### 15 . 1 the 2 intervention 2 intervention 3 consisted 3 consisted 4 of 4 of 11 lessons 5 twice 7 weekly 7 weekly 9 - 7 weekly 11 lessons 10 min 11 lessons 11 lessons 12 for 12 for 14 weeks 13 4 14 weeks after random assignment [to] experimental or waiting - list control groups , participants were given pre - and posttests on both functional and cognitive measures . 0 ###LEFT-WALL### 13 participants 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 26 . 1 after 10 control 1 after 11 groups 1 after 12 , 1 after 13 participants 2 random 3 assignment 3 assignment 10 control 5 experimental 6 or 6 or 7 waiting 6 or 8 - 6 or 10 control 9 list 10 control 10 control 11 groups 13 participants 18 and 14 were 16 pre 14 were 18 and 15 given 16 pre 17 - 18 and 18 and 19 posttests 18 and 20 on 18 and 25 measures 20 on 21 both 22 functional 23 and 23 and 24 cognitive 23 and 25 measures results : experiment 1 showed that activity directors were able to run this intervention and achieve significant results on the 28 [-] item functional measure [(] observed tasks of daily living , revised [ otdl - r ] ) as [measured] by a mixed [-] design analysis of variance ( anova ) and paired [-] sample [t] tests ( p < [.] 001 [ )(, [and] on one cognitive measure , means - end problem - solving ( meps ) , as measured [by] a multivariate anova ( mancova ) [and] follow - up univariate anovas . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 showed 2 : 3 experiment 3 experiment 4 1 3 experiment 5 showed 4 1 5 showed 5 showed 6 that 6 that 8 directors 6 that 9 were 7 activity 8 directors 8 directors 9 were 9 were 10 able 10 able 11 to 11 to 15 and 12 run 14 intervention 12 run 15 and 13 this 14 intervention 15 and 16 achieve 16 achieve 18 results 16 achieve 19 on 17 significant 18 results 19 on 28 tasks 20 the 21 28 21 28 28 tasks 23 item 27 observed 24 functional 25 measure 25 measure 27 observed 27 observed 28 tasks 28 tasks 29 of 28 tasks 40 as 29 of 31 living 30 daily 31 living 31 living 35 otdl 32 , 35 otdl 33 revised 35 otdl 34 [ 35 otdl 35 otdl 36 - 35 otdl 37 r 35 otdl 39 ) 36 - 37 r 37 r 38 ] 40 as 42 by 42 by 53 and 43 a 47 analysis 44 mixed 47 analysis 46 design 47 analysis 47 analysis 48 of 47 analysis 53 and 48 of 49 variance 49 variance 51 anova 50 ( 51 anova 51 anova 52 ) 53 and 58 tests 53 and 61 < 54 paired 56 sample 56 sample 58 tests 59 ( 61 < 60 p 61 < 61 < 63 001 63 001 67 on 63 001 72 means 65 )(, 67 on 67 on 70 measure 67 on 71 , 68 one 70 measure 69 cognitive 70 measure 71 , 72 means 72 means 76 - 72 means 81 , 73 - 76 - 74 end 75 problem 75 problem 76 - 76 - 77 solving 76 - 81 , 77 solving 79 meps 78 ( 79 meps 79 meps 80 ) 81 , 82 as 82 as 83 measured 82 as 92 follow 83 measured 86 multivariate 85 a 86 multivariate 86 multivariate 87 anova 86 multivariate 92 follow 87 anova 89 mancova 87 anova 92 follow 88 ( 89 mancova 89 mancova 90 ) 92 follow 94 up 93 - 94 up 94 up 96 anovas 94 up 97 . 95 univariate 96 anovas experiment 2 ( outside acting [teacher] ) used the identical measures and revealed significant results on the otdl - r ( p = [.] 002 ) , word recall , meps , and verbal fluency ( η² ( [p] [ )(ranging from [.] 28 to [.] 59 ) . 0 ###LEFT-WALL### 1 experiment 0 ###LEFT-WALL### 8 used 0 ###LEFT-WALL### 49 . 1 experiment 2 2 1 experiment 4 outside 1 experiment 8 used 3 ( 4 outside 4 outside 5 acting 4 outside 7 ) 8 used 33 and 9 the 11 measures 10 identical 11 measures 11 measures 12 and 12 and 15 results 12 and 19 - 12 and 23 = 12 and 27 , 13 revealed 15 results 14 significant 15 results 15 results 16 on 16 on 18 otdl 17 the 18 otdl 20 r 23 = 21 ( 23 = 22 p 23 = 23 = 25 002 23 = 26 ) 27 , 29 recall 27 , 30 , 28 word 29 recall 30 , 31 meps 30 , 33 and 32 , 33 and 33 and 35 fluency 33 and 37 η² 34 verbal 35 fluency 36 ( 37 η² 37 η² 41 )(ranging 37 η² 48 ) 38 ( 41 )(ranging 41 )(ranging 45 to 41 )(ranging 48 ) 42 from 45 to 44 28 45 to 45 to 47 59 conclusions : this study addressed the feasibility of training multiple instructors of varying experience to administer this theatre - arts intervention . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 4 study 2 : 5 addressed 2 : 19 - 3 this 4 study 4 study 5 addressed 5 addressed 7 feasibility 6 the 7 feasibility 7 feasibility 8 of 7 feasibility 12 of 7 feasibility 15 to 7 feasibility 16 administer 8 of 9 training 9 training 11 instructors 10 multiple 11 instructors 12 of 13 varying 13 varying 14 experience 15 to 16 administer 16 administer 18 theatre 17 this 18 theatre 19 - 21 intervention 20 arts 21 intervention previous iterations had all been administered by the professional actor/director/theatre professor who devised the program . 0 ###LEFT-WALL### 2 iterations 0 ###LEFT-WALL### 6 administered 0 ###LEFT-WALL### 16 . 1 previous 2 iterations 2 iterations 3 had 3 had 5 been 4 all 5 been 5 been 6 administered 6 administered 7 by 7 by 11 professor 8 the 11 professor 9 professional 11 professor 10 actor/director/theatre 11 professor 11 professor 12 who 11 professor 13 devised 12 who 13 devised 13 devised 15 program 14 the 15 program these current results demonstrate that widespread administration of this short - term ( 4 - week [ )(evidence - based intervention is feasible . 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 4 demonstrate 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 24 . 1 these 3 results 2 current 3 results 3 results 4 demonstrate 4 demonstrate 7 administration 4 demonstrate 15 - 5 that 6 widespread 6 widespread 7 administration 7 administration 8 of 8 of 12 term 9 this 12 term 10 short 11 - 10 short 12 term 13 ( 15 - 14 4 15 - 15 - 18 )(evidence 15 - 19 - 16 week 18 )(evidence 19 - 21 intervention 19 - 22 is 20 based 21 intervention 21 intervention 22 is 22 is 23 feasible the authors aimed to describe the reliability and validity of the mmse as a measure of cognitive function [among] healthy older adults . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 23 . 1 the 2 authors 2 authors 3 aimed 2 authors 8 and 3 aimed 4 to 4 to 5 describe 5 describe 7 reliability 6 the 7 reliability 8 and 9 validity 8 and 10 of 8 and 13 as 10 of 12 mmse 11 the 12 mmse 13 as 22 adults 14 a 15 measure 15 measure 16 of 15 measure 22 adults 16 of 22 adults 17 cognitive 18 function 18 function 22 adults 20 healthy 22 adults 21 older 22 adults methods : the authors examined mmse performance in 124 [stroke] - and dementia - free , community - dwelling older adults ( 65 % male [;] mean age [=] 66.5 years ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 4 authors 2 : 5 examined 3 the 4 authors 4 authors 5 examined 5 examined 12 and 5 examined 19 dwelling 6 mmse 7 performance 7 performance 8 in 7 performance 12 and 8 in 9 124 11 - 12 and 12 and 17 community 13 dementia 14 - 13 dementia 17 community 15 free 16 , 15 free 17 community 18 - 19 dwelling 19 dwelling 21 adults 19 dwelling 32 ) 20 older 21 adults 21 adults 31 years 22 ( 31 years 23 65 31 years 24 % 27 mean 25 male 27 mean 27 mean 31 years 28 age 31 years 30 66.5 31 years 31 years 32 ) all participants were administered an extensive neuropsychological battery composed of measures of attention , executive function , memory , and visuospatial function . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 4 administered 0 ###LEFT-WALL### 23 . 1 all 2 participants 1 all 3 were 1 all 4 administered 2 participants 3 were 4 administered 8 battery 5 an 6 extensive 5 an 8 battery 6 extensive 8 battery 7 neuropsychological 8 battery 8 battery 9 composed 8 battery 10 of 10 of 11 measures 11 measures 12 of 12 of 20 and 13 attention 14 , 14 , 16 function 14 , 17 , 15 executive 16 function 17 , 18 memory 17 , 20 and 19 , 20 and 20 and 22 function 21 visuospatial 22 function a subset of 99 participants also underwent magnetic resonance imaging ( mri ) . 0 ###LEFT-WALL### 2 subset 0 ###LEFT-WALL### 7 underwent 0 ###LEFT-WALL### 14 . 1 a 2 subset 2 subset 3 of 2 subset 7 underwent 3 of 5 participants 4 99 5 participants 6 also 7 underwent 7 underwent 10 imaging 8 magnetic 9 resonance 9 resonance 10 imaging 10 imaging 12 mri 11 ( 12 mri 12 mri 13 ) mmse test - retest reliability [was] examined among 65 participants who underwent repeat mmse testing over an average interval of 83.2 days . 0 ###LEFT-WALL### 2 test 0 ###LEFT-WALL### 3 - 1 mmse 2 test 3 - 4 retest 3 - 23 . 4 retest 5 reliability 4 retest 8 among 4 retest 16 over 5 reliability 7 examined 8 among 10 participants 9 65 10 participants 10 participants 11 who 10 participants 12 underwent 11 who 12 underwent 12 underwent 15 testing 13 repeat 15 testing 14 mmse 15 testing 16 over 19 interval 17 an 18 average 17 an 19 interval 18 average 19 interval 19 interval 20 of 20 of 22 days 21 83.2 22 days results : spearman test - retest correlation for total mmse scores was r s = [.] 35 ( p = [.] 004 [ )( for serial sevens was r s = [.] 40 ( p = [.] 001 [ )(, [and] [for] word recall was r s = - [.] 01 ( p = [.] 96 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 was 2 : 4 test 2 : 5 - 3 spearman 4 test 5 - 6 retest 6 retest 7 correlation 6 retest 8 for 8 for 9 total 9 total 10 mmse 9 total 11 scores 9 total 12 was 10 mmse 11 scores 12 was 15 = 12 was 20 = 13 r 15 = 14 s 15 = 15 = 17 35 18 ( 20 = 19 p 20 = 20 = 22 004 22 004 25 for 22 004 27 sevens 22 004 28 was 25 for 26 serial 27 sevens 28 was 28 was 31 = 28 was 36 = 29 r 31 = 30 s 31 = 31 = 33 40 34 ( 36 = 35 p 36 = 36 = 38 001 38 001 49 - 40 )(, 49 - 43 word 44 recall 44 recall 45 was 45 was 48 = 46 r 48 = 47 s 48 = 48 = 49 - 49 - 51 01 49 - 58 . 51 01 54 = 52 ( 54 = 53 p 54 = 54 = 56 96 54 = 57 ) total mmse performance correlated significantly with a minority of neuropsychological tests and mri - derived indices of white matter disease and brain atrophy . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 24 . 1 total 2 mmse 1 total 5 significantly 1 total 6 with 1 total 12 and 2 mmse 3 performance 2 mmse 4 correlated 3 performance 4 correlated 6 with 8 minority 7 a 8 minority 8 minority 9 of 9 of 11 tests 10 neuropsychological 11 tests 12 and 21 and 13 mri 14 - 13 mri 21 and 15 derived 16 indices 15 derived 21 and 16 indices 17 of 17 of 20 disease 18 white 19 matter 19 matter 20 disease 21 and 22 brain 22 brain 23 atrophy a subset of 17 % of participants demonstrated inappropriate intrusion of mmse pentagon copy during another test of visuospatial recall . 0 ###LEFT-WALL### 2 subset 0 ###LEFT-WALL### 8 demonstrated 0 ###LEFT-WALL### 21 . 1 a 2 subset 2 subset 3 of 2 subset 8 demonstrated 3 of 5 % 4 17 5 % 5 % 6 of 6 of 7 participants 8 demonstrated 10 intrusion 8 demonstrated 15 during 9 inappropriate 10 intrusion 10 intrusion 11 of 11 of 14 copy 12 mmse 13 pentagon 13 pentagon 14 copy 15 during 17 test 16 another 17 test 17 test 18 of 18 of 20 recall 19 visuospatial 20 recall conclusions : overall , mmse scores exhibited ceiling effects , poor test - retest reliability , limited sensitivity to subtle brain abnormalities , and a high rate of intrusion elsewhere in the neuropsychological battery . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 35 . 1 conclusions 2 : 2 : 3 overall 4 , 5 mmse 4 , 6 scores 4 , 10 , 5 mmse 6 scores 6 scores 9 effects 7 exhibited 8 ceiling 8 ceiling 9 effects 10 , 12 test 10 , 13 - 11 poor 12 test 13 - 16 , 14 retest 15 reliability 14 retest 16 , 16 , 17 limited 17 limited 24 and 18 sensitivity 19 to 18 sensitivity 24 and 19 to 22 abnormalities 20 subtle 21 brain 21 brain 22 abnormalities 23 , 24 and 24 and 27 rate 24 and 28 of 24 and 30 elsewhere 24 and 31 in 25 a 27 rate 26 high 27 rate 28 of 29 intrusion 31 in 34 battery 32 the 34 battery 33 neuropsychological 34 battery individual mmse items demonstrated poor construct validity . 0 ###LEFT-WALL### 3 items 0 ###LEFT-WALL### 4 demonstrated 0 ###LEFT-WALL### 8 . 1 individual 2 mmse 2 mmse 3 items 3 items 4 demonstrated 4 demonstrated 7 validity 5 poor 6 construct 6 construct 7 validity these qualities illustrate the serious limitations of the mmse in detecting individual differences in cognitive function [among] healthy older adults . 0 ###LEFT-WALL### 2 qualities 0 ###LEFT-WALL### 3 illustrate 0 ###LEFT-WALL### 21 . 1 these 2 qualities 2 qualities 3 illustrate 3 illustrate 6 limitations 3 illustrate 10 in 4 the 6 limitations 5 serious 6 limitations 6 limitations 7 of 7 of 9 mmse 8 the 9 mmse 10 in 11 detecting 11 detecting 13 differences 11 detecting 14 in 12 individual 13 differences 14 in 20 adults 15 cognitive 16 function 16 function 20 adults 18 healthy 20 adults 19 older 20 adults unlabelled : background/study context : temporal sequence learning is a critical aspect of episodic memory that may be dependent on the temporal and frontal lobes . 0 ###LEFT-WALL### 1 unlabelled 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 3 background/study 2 : 9 is 3 background/study 4 context 3 background/study 8 learning 3 background/study 9 is 4 context 5 : 5 : 7 sequence 6 temporal 7 sequence 7 sequence 8 learning 9 is 12 aspect 9 is 20 on 10 a 12 aspect 11 critical 12 aspect 12 aspect 13 of 12 aspect 16 that 12 aspect 17 may 13 of 15 memory 14 episodic 15 memory 16 that 17 may 17 may 18 be 18 be 19 dependent 20 on 25 lobes 21 the 25 lobes 22 temporal 23 and 23 and 24 frontal 23 and 25 lobes because amnestic mild cognitive impairment ( [amci] [ )(and normal aging may result in changes within the temporal and frontal lobes , the present study investigated temporal sequence learning in patients with amci , cognitively normal older adults , and young adults . 0 ###LEFT-WALL### 13 result 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 43 . 1 because 9 )(and 1 because 12 may 1 because 13 result 2 amnestic 5 impairment 3 mild 5 impairment 4 cognitive 5 impairment 5 impairment 9 )(and 6 ( 9 )(and 9 )(and 11 aging 9 )(and 12 may 10 normal 11 aging 13 result 14 in 14 in 19 and 15 changes 16 within 15 changes 19 and 16 within 18 temporal 17 the 18 temporal 19 and 21 lobes 20 frontal 21 lobes 22 , 40 and 23 the 28 sequence 24 present 25 study 25 study 26 investigated 26 investigated 28 sequence 27 temporal 28 sequence 28 sequence 29 learning 28 sequence 30 in 28 sequence 40 and 30 in 31 patients 31 patients 32 with 31 patients 38 adults 32 with 33 amci 34 , 38 adults 35 cognitively 36 normal 36 normal 38 adults 37 older 38 adults 38 adults 39 , 39 , 40 and 40 and 42 adults 41 young 42 adults methods : on each trial of a temporal sequence task , circles [appeared] one at a time at the end of each arm of a computerized radial eight - arm maze . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 - 1 methods 2 : 2 : 3 on 3 on 5 trial 4 each 5 trial 5 trial 6 of 6 of 10 task 7 a 8 temporal 7 a 10 task 8 temporal 9 sequence 9 sequence 10 task 10 task 12 circles 11 , 12 circles 12 circles 14 one 12 circles 15 at 12 circles 24 of 12 circles 29 - 15 at 17 time 16 a 17 time 17 time 18 at 18 at 20 end 19 the 20 end 20 end 21 of 21 of 23 arm 22 each 23 arm 24 of 27 radial 25 a 26 computerized 25 a 27 radial 26 computerized 27 radial 27 radial 28 eight 29 - 31 maze 29 - 32 . 30 arm 31 maze participants were asked to reproduce the temporal sequence by placing numbered circles ( 1 to 8 ) on the arms of the eight - arm maze . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 asked 0 ###LEFT-WALL### 24 - 1 participants 2 were 2 were 3 asked 3 asked 4 to 3 asked 5 reproduce 4 to 5 reproduce 5 reproduce 8 sequence 5 reproduce 9 by 6 the 8 sequence 7 temporal 8 sequence 9 by 10 placing 10 placing 12 circles 10 placing 18 on 11 numbered 12 circles 12 circles 15 to 13 ( 15 to 14 1 15 to 15 to 16 8 15 to 17 ) 18 on 20 arms 19 the 20 arms 20 arms 21 of 21 of 23 eight 22 the 23 eight 24 - 26 maze 24 - 27 . 25 arm 26 maze participants were presented with the same fixed sequence on each trial until the sequence was replicated without any errors , or until 15 trials were presented . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 presented 0 ###LEFT-WALL### 21 or 0 ###LEFT-WALL### 27 . 1 participants 2 were 2 were 3 presented 3 presented 4 with 3 presented 12 until 4 with 8 sequence 5 the 6 same 6 same 8 sequence 7 fixed 8 sequence 8 sequence 9 on 9 on 11 trial 10 each 11 trial 12 until 14 sequence 12 until 16 replicated 13 the 14 sequence 14 sequence 15 was 15 was 16 replicated 16 replicated 17 without 17 without 19 errors 18 any 19 errors 20 , 21 or 21 or 24 trials 21 or 26 presented 22 until 23 15 22 until 24 trials 24 trials 25 were 25 were 26 presented results : individuals with amci required significantly more trials to learn the temporal sequence compared with older adults ( p < [.] 05 [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 )( 2 : 3 individuals 2 : 6 required 3 individuals 4 with 3 individuals 6 required 4 with 5 amci 6 required 9 trials 6 required 10 to 6 required 11 learn 7 significantly 8 more 8 more 9 trials 10 to 11 learn 11 learn 14 sequence 11 learn 15 compared 12 the 14 sequence 13 temporal 14 sequence 14 sequence 15 compared 15 compared 16 with 15 compared 21 < 16 with 18 adults 17 older 18 adults 19 ( 21 < 20 p 21 < 21 < 23 05 older adults required significantly more trials to learn the sequence than young adults ( [p] < [.] 05 ) . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 3 required 0 ###LEFT-WALL### 20 . 1 older 2 adults 2 adults 3 required 3 required 6 trials 3 required 7 to 3 required 8 learn 4 significantly 5 more 5 more 6 trials 7 to 8 learn 8 learn 10 sequence 8 learn 11 than 9 the 10 sequence 11 than 13 adults 12 young 13 adults 13 adults 18 05 14 ( 18 05 16 < 18 05 18 05 19 ) older adults and individuals with amci committed significantly more trial 1 errors ( [p] < [.] 05 ) than young adults ; however , there were no significant differences between the amci and older adult groups on trial 1 . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 7 committed 0 ###LEFT-WALL### 22 ; 0 ###LEFT-WALL### 40 . 1 older 2 adults 2 adults 3 and 3 and 4 individuals 3 and 5 with 3 and 7 committed 5 with 6 amci 7 committed 12 errors 7 committed 19 than 8 significantly 9 more 9 more 12 errors 10 trial 11 1 10 trial 12 errors 12 errors 17 05 13 ( 17 05 15 < 17 05 17 05 18 ) 19 than 21 adults 20 young 21 adults 22 ; 25 there 22 ; 26 were 23 however 24 , 23 however 25 there 25 there 26 were 26 were 29 differences 26 were 37 on 27 no 29 differences 28 significant 29 differences 29 differences 30 between 30 between 33 and 31 the 32 amci 32 amci 33 and 33 and 36 groups 34 older 35 adult 35 adult 36 groups 37 on 38 trial 38 trial 39 1 conclusion : the results suggest that temporal sequence learning deficits are detectable in amci . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 2 : 4 results 2 : 5 suggest 3 the 4 results 4 results 5 suggest 5 suggest 8 sequence 5 suggest 13 in 6 that 8 sequence 7 temporal 8 sequence 8 sequence 9 learning 9 learning 10 deficits 9 learning 11 are 10 deficits 11 are 11 are 12 detectable 13 in 14 amci these deficits may disrupt a number of cognitive processes , such as episodic memory , that are important for the execution of daily activities . 0 ###LEFT-WALL### 2 deficits 0 ###LEFT-WALL### 4 disrupt 0 ###LEFT-WALL### 25 . 1 these 2 deficits 2 deficits 3 may 3 may 4 disrupt 4 disrupt 6 number 5 a 6 number 6 number 7 of 6 number 16 that 6 number 17 are 7 of 9 processes 8 cognitive 9 processes 9 processes 12 as 10 , 12 as 11 such 12 as 12 as 14 memory 12 as 15 , 13 episodic 14 memory 16 that 17 are 17 are 18 important 18 important 19 for 19 for 21 execution 20 the 21 execution 21 execution 22 of 22 of 24 activities 23 daily 24 activities the results suggest that although temporal sequence learning declines with normal aging , this decline is greater in individuals who have a diagnosis of amci and [are] at higher risk for developing alzheimer 's disease . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 36 . 1 the 2 results 2 results 3 suggest 3 suggest 4 that 4 that 15 decline 4 that 16 is 5 although 7 sequence 5 although 9 declines 5 although 13 , 5 although 15 decline 6 temporal 7 sequence 7 sequence 8 learning 7 sequence 9 declines 9 declines 10 with 10 with 12 aging 11 normal 12 aging 14 this 15 decline 15 decline 16 is 16 is 17 greater 17 greater 26 and 17 greater 31 for 18 in 19 individuals 18 in 26 and 19 individuals 20 who 19 individuals 21 have 20 who 21 have 21 have 23 diagnosis 22 a 23 diagnosis 23 diagnosis 24 of 24 of 25 amci 26 and 28 at 28 at 30 risk 29 higher 30 risk 31 for 32 developing 32 developing 35 disease 33 alzheimer 34 's 34 's 35 disease background : muscle morphology , age and gender may be determinants of muscle strength in older adults . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 18 . 1 background 2 : 2 : 4 morphology 3 muscle 4 morphology 5 , 7 and 5 , 10 be 6 age 7 and 7 and 8 gender 7 and 9 may 9 may 10 be 10 be 11 determinants 11 determinants 12 of 12 of 14 strength 13 muscle 14 strength 14 strength 15 in 15 in 17 adults 16 older 17 adults however , very few research studies have directly examined [such] [correlation] [in] the ageing spine . 0 ###LEFT-WALL### 6 studies 0 ###LEFT-WALL### 9 examined 0 ###LEFT-WALL### 16 . 1 however 2 , 1 however 6 studies 3 very 4 few 4 few 6 studies 5 research 6 studies 6 studies 7 have 7 have 9 examined 8 directly 9 examined 9 examined 15 spine 13 the 15 spine 14 ageing 15 spine the aim of the study was to examine the correlation between lumbar extensor muscle strength , its muscle fibre angles , thoracolumbar curvature , age and gender in the older and younger adults . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 34 . 1 the 2 aim 2 aim 3 of 2 aim 6 was 3 of 5 study 4 the 5 study 6 was 7 to 6 was 8 examine 7 to 8 examine 8 examine 10 correlation 8 examine 11 between 8 examine 28 in 9 the 10 correlation 11 between 26 and 12 lumbar 13 extensor 13 extensor 14 muscle 14 muscle 15 strength 15 strength 16 , 16 , 20 angles 16 , 21 , 17 its 20 angles 18 muscle 20 angles 19 fibre 20 angles 21 , 23 curvature 21 , 24 , 22 thoracolumbar 23 curvature 24 , 25 age 24 , 26 and 26 and 27 gender 28 in 33 adults 29 the 33 adults 30 older 31 and 31 and 32 younger 31 and 33 adults pearson 's correlation was employed to determine the association among lumbar extensor muscle fibre [angle] , thoracolumbar curvature , age , gender and lumbar extensor muscle strength . 0 ###LEFT-WALL### 3 correlation 0 ###LEFT-WALL### 5 employed 0 ###LEFT-WALL### 28 . 1 pearson 2 's 2 's 3 correlation 3 correlation 4 was 4 was 5 employed 5 employed 6 to 5 employed 7 determine 6 to 7 determine 7 determine 9 association 7 determine 10 among 8 the 9 association 10 among 23 and 11 lumbar 12 extensor 12 extensor 14 fibre 13 muscle 14 fibre 14 fibre 16 , 16 , 18 curvature 16 , 19 , 17 thoracolumbar 18 curvature 19 , 20 age 19 , 21 , 21 , 22 gender 21 , 23 and 23 and 27 strength 24 lumbar 27 strength 25 extensor 27 strength 26 muscle 27 strength multiple stepwise linear regression analysis was used to identify significant determinants of lumbar extensor muscle strength . 0 ###LEFT-WALL### 5 analysis 0 ###LEFT-WALL### 7 used 0 ###LEFT-WALL### 17 . 1 multiple 5 analysis 2 stepwise 4 regression 3 linear 4 regression 4 regression 5 analysis 5 analysis 6 was 6 was 7 used 7 used 8 to 7 used 9 identify 8 to 9 identify 9 identify 11 determinants 10 significant 11 determinants 11 determinants 12 of 12 of 16 strength 13 lumbar 14 extensor 14 extensor 15 muscle 15 muscle 16 strength results : the results demonstrated a significant correlation between lumbar extensor muscle strength , muscle fibre angle , age and gender . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 2 : 4 results 2 : 5 demonstrated 3 the 4 results 4 results 5 demonstrated 5 demonstrated 8 correlation 5 demonstrated 9 between 6 a 7 significant 6 a 8 correlation 7 significant 8 correlation 9 between 20 and 10 lumbar 11 extensor 11 extensor 12 muscle 12 muscle 13 strength 13 strength 14 , 14 , 17 angle 14 , 18 , 15 muscle 16 fibre 16 fibre 17 angle 18 , 19 age 18 , 20 and 20 and 21 gender in the step wise regression analysis , both gender and age were identified as the most robust determinant for lumbar extensor muscle strength in older adults . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 13 identified 0 ###LEFT-WALL### 27 . 1 in 6 analysis 1 in 7 , 1 in 10 and 2 the 6 analysis 3 step 6 analysis 4 wise 5 regression 5 regression 6 analysis 8 both 10 and 9 gender 10 and 10 and 11 age 10 and 12 were 12 were 13 identified 13 identified 14 as 13 identified 24 in 14 as 18 determinant 15 the 18 determinant 16 most 17 robust 17 robust 18 determinant 18 determinant 19 for 19 for 23 strength 20 lumbar 21 extensor 21 extensor 22 muscle 22 muscle 23 strength 24 in 26 adults 25 older 26 adults however , gender was the only determinant of muscle strength in the young . 0 ###LEFT-WALL### 3 gender 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 14 . 1 however 2 , 1 however 3 gender 3 gender 4 was 4 was 7 determinant 5 the 6 only 5 the 7 determinant 7 determinant 8 of 8 of 10 strength 9 muscle 10 strength 10 strength 11 in 11 in 13 young 12 the 13 young conclusion : these results suggest that the decline in the lumbar extensor muscle strength in older adults was more dependent on age when compared to younger adults . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 results 2 : 5 suggest 2 : 28 . 3 these 4 results 4 results 5 suggest 5 suggest 6 that 6 that 8 decline 6 that 18 was 7 the 8 decline 8 decline 9 in 8 decline 18 was 9 in 14 strength 10 the 14 strength 11 lumbar 12 extensor 12 extensor 14 strength 13 muscle 14 strength 14 strength 15 in 15 in 17 adults 16 older 17 adults 18 was 20 dependent 19 more 20 dependent 20 dependent 21 on 20 dependent 23 when 21 on 22 age 23 when 24 compared 24 compared 25 to 25 to 27 adults 26 younger 27 adults aims : the response of amp - activated protein [kinase] ( ampk ) to oxidative stress has been recently reported but the downstream signals of this response are largely unknown . 0 ###LEFT-WALL### 1 aims 0 ###LEFT-WALL### 2 : 2 : 4 response 2 : 20 reported 2 : 21 but 2 : 31 . 3 the 4 response 4 response 5 of 4 response 14 to 4 response 17 has 5 of 6 amp 6 amp 9 protein 7 - 9 protein 8 activated 9 protein 9 protein 12 ampk 9 protein 13 ) 11 ( 12 ampk 12 ampk 13 ) 14 to 16 stress 15 oxidative 16 stress 17 has 18 been 18 been 19 recently 18 been 20 reported 21 but 24 signals 21 but 28 are 22 the 24 signals 23 downstream 24 signals 24 signals 25 of 24 signals 28 are 25 of 27 response 26 this 27 response 28 are 29 largely 28 are 30 unknown meanwhile , the upstream events for the activation of nuclear factor erythroid - 2 - related factor [-] 2 ( nrf2 ) , a critical transcriptional activator for antioxidative responses , remain unclear . 0 ###LEFT-WALL### 5 events 0 ###LEFT-WALL### 32 remain 0 ###LEFT-WALL### 34 . 1 meanwhile 2 , 1 meanwhile 5 events 3 the 5 events 4 upstream 5 events 5 events 6 for 5 events 32 remain 6 for 8 activation 7 the 8 activation 8 activation 9 of 9 of 17 factor 10 nuclear 11 factor 11 factor 17 factor 12 erythroid 14 2 12 erythroid 17 factor 13 - 14 2 14 2 15 - 16 related 17 factor 17 factor 19 2 17 factor 21 nrf2 17 factor 27 activator 20 ( 21 nrf2 21 nrf2 22 ) 23 , 27 activator 24 a 25 critical 24 a 27 activator 25 critical 27 activator 26 transcriptional 27 activator 27 activator 28 for 27 activator 31 , 28 for 30 responses 29 antioxidative 30 responses 32 remain 33 unclear in the present study , we investigated the relationship between ampk and nrf2 signal pathways in lipopolysaccharide ( lps ) - triggered inflammatory system , [in] which berberine ( bbr ) , a known ampk activator , was used for inflammation suppression . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 investigated 0 ###LEFT-WALL### 21 - 1 in 4 study 1 in 5 , 1 in 6 we 2 the 4 study 3 present 4 study 6 we 7 investigated 7 investigated 9 relationship 7 investigated 16 in 8 the 9 relationship 9 relationship 10 between 10 between 12 and 11 ampk 12 and 12 and 15 pathways 13 nrf2 14 signal 14 signal 15 pathways 16 in 17 lipopolysaccharide 17 lipopolysaccharide 19 lps 18 ( 19 lps 19 lps 20 ) 21 - 24 system 21 - 25 , 21 - 43 . 22 triggered 24 system 23 inflammatory 24 system 25 , 27 which 25 , 39 used 27 which 28 berberine 28 berberine 30 bbr 28 berberine 36 activator 28 berberine 38 was 29 ( 30 bbr 30 bbr 31 ) 32 , 36 activator 33 a 36 activator 34 known 36 activator 35 ampk 36 activator 36 activator 37 , 38 was 39 used 39 used 40 for 40 for 42 suppression 41 inflammation 42 suppression results and innovation : in inflammatory macrophages , bbr attenuated lps - induced expression of inflammatory genes ( inducible nitric oxide synthase [ inos ] , cyclooxygenase - 2 [ cox2 ] , interleukin [ il ] - 6 ) , and the generation of nitric oxide and reactive oxygen species , but increased the transcription of nrf2 - targeted antioxidative genes ( nadph quinone oxidoreductase - 1 [ nqo - 1 ] , heme oxygenase - 1 [ ho - 1 ] ) , as well as the nuclear localization and phosphorylation of nrf2 protein . 0 ###LEFT-WALL### 3 innovation 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 75 heme 0 ###LEFT-WALL### 97 . 1 results 3 innovation 2 and 3 innovation 3 innovation 4 : 4 : 5 in 5 in 7 macrophages 6 inflammatory 7 macrophages 8 , 9 bbr 8 , 10 attenuated 8 , 12 - 9 bbr 10 attenuated 10 attenuated 11 lps 12 - 53 but 12 - 59 - 13 induced 48 and 13 induced 53 but 14 expression 15 of 14 expression 42 and 15 of 17 genes 16 inflammatory 17 genes 17 genes 22 synthase 17 genes 29 2 18 ( 22 synthase 19 inducible 21 oxide 20 nitric 21 oxide 21 oxide 22 synthase 22 synthase 24 inos 22 synthase 27 cyclooxygenase 22 synthase 28 - 23 [ 24 inos 24 inos 25 ] 26 , 27 cyclooxygenase 27 cyclooxygenase 28 - 28 - 29 2 29 2 31 cox2 29 2 34 interleukin 29 2 41 , 30 [ 31 cox2 31 cox2 32 ] 33 , 34 interleukin 34 interleukin 36 il 34 interleukin 39 6 34 interleukin 41 , 35 [ 36 il 36 il 37 ] 38 - 39 6 39 6 40 ) 42 and 44 generation 42 and 48 and 43 the 44 generation 44 generation 45 of 45 of 47 oxide 46 nitric 47 oxide 48 and 51 species 48 and 52 , 49 reactive 50 oxygen 50 oxygen 51 species 53 but 54 increased 54 increased 56 transcription 55 the 56 transcription 56 transcription 57 of 57 of 58 nrf2 59 - 62 genes 59 - 74 , 60 targeted 62 genes 61 antioxidative 62 genes 62 genes 66 oxidoreductase 63 ( 66 oxidoreductase 64 nadph 65 quinone 65 quinone 66 oxidoreductase 66 oxidoreductase 68 1 66 oxidoreductase 74 , 67 - 68 1 68 1 70 nqo 68 1 73 ] 69 [ 70 nqo 70 nqo 72 1 70 nqo 73 ] 71 - 72 1 72 1 73 ] 74 , 75 heme 75 heme 76 oxygenase 75 heme 88 as 76 oxygenase 78 1 77 - 78 1 78 1 80 ho 78 1 85 , 79 [ 80 ho 80 ho 82 1 80 ho 84 ) 81 - 82 1 82 1 83 ] 86 as 87 well 87 well 88 as 88 as 92 and 89 the 91 localization 90 nuclear 91 localization 91 localization 92 and 92 and 93 phosphorylation 93 phosphorylation 94 of 94 of 96 protein 95 nrf2 96 protein importantly , we found bbr - induced activation of nrf2 is ampk - dependent , as either pharmacologically [or] genetically inactivating ampk blocked the activation of nrf2 . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 6 - 1 importantly 2 , 1 importantly 3 we 3 we 4 found 4 found 5 bbr 6 - 8 activation 6 - 11 is 6 - 13 - 7 induced 8 activation 8 activation 9 of 8 activation 11 is 9 of 10 nrf2 11 is 12 ampk 13 - 14 dependent 13 - 15 , 13 - 28 . 15 , 21 inactivating 15 , 23 blocked 16 as 17 either 16 as 21 inactivating 18 pharmacologically 21 inactivating 20 genetically 21 inactivating 21 inactivating 22 ampk 21 inactivating 23 blocked 23 blocked 25 activation 24 the 25 activation 25 activation 26 of 26 of 27 nrf2 consistent [with] in vitro experiments , [bbr] down - regulated the expression of proinflammatory genes but upregulated those of nrf2 - targeted genes in lungs of lps - injected mice , and these effects were attenuated in nrf2 - deficient mice . 0 ###LEFT-WALL### 1 consistent 0 ###LEFT-WALL### 9 - 1 consistent 5 experiments 3 in 4 vitro 4 vitro 5 experiments 5 experiments 8 down 6 , 8 down 8 down 9 - 9 - 16 but 9 - 32 and 10 regulated 12 expression 10 regulated 16 but 11 the 12 expression 12 expression 13 of 13 of 15 genes 14 proinflammatory 15 genes 16 but 17 upregulated 17 upregulated 18 those 17 upregulated 28 - 18 those 19 of 19 of 20 nrf2 21 - 28 - 22 targeted 23 genes 23 genes 24 in 23 genes 26 of 23 genes 28 - 24 in 25 lungs 26 of 27 lps 28 - 30 mice 28 - 31 , 29 injected 30 mice 31 , 32 and 32 and 34 effects 32 and 36 attenuated 33 these 34 effects 34 effects 35 were 35 were 36 attenuated 36 attenuated 37 in 37 in 38 nrf2 38 nrf2 41 mice 39 - 41 mice 40 deficient 41 mice 41 mice 42 . moreover , the effect of bbr on survival time extension and plasma redox regulation in endotoxin - shocked mice was largely weakened [when] nrf2 - depleted . 0 ###LEFT-WALL### 4 effect 0 ###LEFT-WALL### 22 weakened 1 moreover 2 , 1 moreover 4 effect 3 the 4 effect 4 effect 5 of 4 effect 22 weakened 5 of 6 bbr 6 bbr 7 on 7 on 8 survival 8 survival 9 time 8 survival 20 was 9 time 11 and 9 time 18 shocked 9 time 20 was 10 extension 11 and 11 and 14 regulation 11 and 17 - 11 and 18 shocked 12 plasma 13 redox 13 redox 14 regulation 14 regulation 15 in 15 in 16 endotoxin 18 shocked 19 mice 21 largely 22 weakened 22 weakened 24 nrf2 22 weakened 26 depleted 25 - 26 depleted 26 depleted 27 . conclusions : our results demonstrate convergence between ampk and nrf2 pathways and this intersection is essential for anti - inflammatory effect of bbr in lps - stimulated macrophages and endotoxin - shocked mice . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 4 results 2 : 5 demonstrate 2 : 12 and 2 : 32 shocked 3 our 4 results 4 results 5 demonstrate 5 demonstrate 6 convergence 5 demonstrate 7 between 7 between 9 and 8 ampk 9 and 9 and 11 pathways 10 nrf2 11 pathways 12 and 14 intersection 12 and 15 is 13 this 14 intersection 14 intersection 15 is 15 is 16 essential 15 is 17 for 17 for 29 and 18 anti 21 effect 18 anti 28 macrophages 19 - 21 effect 20 inflammatory 21 effect 21 effect 22 of 21 effect 26 - 22 of 23 bbr 23 bbr 24 in 24 in 25 lps 27 stimulated 28 macrophages 28 macrophages 29 and 29 and 30 endotoxin 29 and 31 - 29 and 32 shocked 32 shocked 33 mice uncovering this intersection is significant for understanding the relationship between energy homeostasis and antioxidative responses and may be beneficial for developing new therapeutic strategies against inflammatory diseases . 0 ###LEFT-WALL### 1 uncovering 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 28 . 1 uncovering 3 intersection 1 uncovering 16 and 2 this 3 intersection 4 is 5 significant 4 is 16 and 5 significant 6 for 6 for 7 understanding 7 understanding 9 relationship 7 understanding 10 between 8 the 9 relationship 10 between 13 and 11 energy 12 homeostasis 12 homeostasis 13 and 13 and 15 responses 14 antioxidative 15 responses 16 and 17 may 17 may 18 be 18 be 19 beneficial 19 beneficial 20 for 20 for 21 developing 21 developing 24 strategies 21 developing 25 against 22 new 24 strategies 23 therapeutic 24 strategies 25 against 27 diseases 26 inflammatory 27 diseases antioxid . 0 ###LEFT-WALL### 1 antioxid 0 ###LEFT-WALL### 2 . redox signal . 0 ###LEFT-WALL### 2 signal 0 ###LEFT-WALL### 3 . 1 redox 2 signal traditionally regarded as a typical vitamin regulating calcium and phosphorus homeostasis , vitamin d is now discovered as a highly versatile molecule with emerging roles in immunity , cancer , infectious diseases , fibrosis , fatty liver diseases , and alcoholic liver diseases . 0 ###LEFT-WALL### 13 vitamin 0 ###LEFT-WALL### 17 discovered 0 ###LEFT-WALL### 44 . 1 traditionally 13 vitamin 2 regarded 3 as 2 regarded 12 , 2 regarded 13 vitamin 3 as 9 and 4 a 5 typical 4 a 6 vitamin 5 typical 6 vitamin 6 vitamin 7 regulating 6 vitamin 9 and 7 regulating 8 calcium 9 and 11 homeostasis 9 and 12 , 10 phosphorus 11 homeostasis 13 vitamin 14 d 13 vitamin 15 is 15 is 17 discovered 16 now 17 discovered 17 discovered 18 as 18 as 22 molecule 19 a 20 highly 19 a 22 molecule 20 highly 21 versatile 21 versatile 22 molecule 22 molecule 23 with 23 with 25 roles 24 emerging 25 roles 25 roles 26 in 26 in 40 and 27 immunity 28 , 28 , 29 cancer 28 , 30 , 30 , 32 diseases 30 , 33 , 31 infectious 32 diseases 33 , 34 fibrosis 33 , 35 , 35 , 38 diseases 35 , 40 and 36 fatty 37 liver 37 liver 38 diseases 39 , 40 and 40 and 43 diseases 41 alcoholic 42 liver 42 liver 43 diseases a large body of clinical evidence has demonstrated the prevalence and risks of vitamin d deficiency in various chronic diseases . 0 ###LEFT-WALL### 3 body 0 ###LEFT-WALL### 8 demonstrated 0 ###LEFT-WALL### 21 . 1 a 2 large 1 a 3 body 2 large 3 body 3 body 4 of 3 body 7 has 4 of 6 evidence 5 clinical 6 evidence 7 has 8 demonstrated 8 demonstrated 11 and 8 demonstrated 17 in 9 the 10 prevalence 10 prevalence 11 and 11 and 12 risks 11 and 13 of 13 of 16 deficiency 14 vitamin 15 d 14 vitamin 16 deficiency 17 in 20 diseases 18 various 20 diseases 19 chronic 20 diseases biologically active vitamin d , 1,25 - dihydroxylvitamin d3 , is synthesized in two distinct systems . 0 ###LEFT-WALL### 3 vitamin 0 ###LEFT-WALL### 12 synthesized 0 ###LEFT-WALL### 17 . 1 biologically 2 active 2 active 3 vitamin 3 vitamin 4 d 3 vitamin 7 - 3 vitamin 11 is 5 , 7 - 6 1,25 7 - 7 - 9 d3 7 - 10 , 8 dihydroxylvitamin 9 d3 11 is 12 synthesized 12 synthesized 13 in 13 in 16 systems 14 two 16 systems 15 distinct 16 systems in addition to the classic two - step hydroxylation in the liver and kidneys , 1,25 - dihydroxylvitamin d3 can also be produced locally by immune cells in response to infection . 0 ###LEFT-WALL### 19 d3 0 ###LEFT-WALL### 23 produced 0 ###LEFT-WALL### 32 . 1 in 2 addition 1 in 19 d3 2 addition 3 to 2 addition 16 1,25 3 to 5 classic 4 the 5 classic 5 classic 6 two 5 classic 13 and 7 - 13 and 8 step 9 hydroxylation 9 hydroxylation 10 in 9 hydroxylation 13 and 10 in 12 liver 11 the 12 liver 13 and 14 kidneys 13 and 15 , 15 , 16 1,25 16 1,25 17 - 18 dihydroxylvitamin 19 d3 19 d3 20 can 20 can 22 be 21 also 22 be 22 be 23 produced 23 produced 24 locally 23 produced 25 by 23 produced 30 to 25 by 27 cells 26 immune 27 cells 28 in 29 response 29 response 30 to 30 to 31 infection the bioactive vitamin d generated in these two pools apparently functions differently : while the former facilitates calcium adsorption and homeostasis , the latter confers immune regulation . 0 ###LEFT-WALL### 3 vitamin 0 ###LEFT-WALL### 11 functions 0 ###LEFT-WALL### 13 : 1 the 3 vitamin 2 bioactive 3 vitamin 3 vitamin 4 d 3 vitamin 5 generated 3 vitamin 11 functions 5 generated 6 in 6 in 9 pools 7 these 8 two 8 two 9 pools 10 apparently 11 functions 11 functions 12 differently 13 : 24 latter 13 : 25 confers 13 : 28 . 14 while 16 former 14 while 17 facilitates 14 while 22 , 14 while 24 latter 15 the 16 former 16 former 17 facilitates 17 facilitates 20 and 18 calcium 19 adsorption 19 adsorption 20 and 20 and 21 homeostasis 23 the 24 latter 24 latter 25 confers 25 confers 27 regulation 26 immune 27 regulation the immune regulatory functions of vitamin d are demonstrated by induction of antimicrobial peptides , suppression of innate immune [response] , induction of th2 cytokines , and stimulation of t - [regulatory] t cells . 0 ###LEFT-WALL### 4 functions 0 ###LEFT-WALL### 9 demonstrated 0 ###LEFT-WALL### 35 . 1 the 4 functions 2 immune 4 functions 3 regulatory 4 functions 4 functions 5 of 4 functions 8 are 5 of 6 vitamin 6 vitamin 7 d 8 are 9 demonstrated 9 demonstrated 10 by 10 by 11 induction 11 induction 12 of 12 of 27 and 13 antimicrobial 14 peptides 14 peptides 15 , 15 , 16 suppression 15 , 27 and 16 suppression 17 of 17 of 22 induction 18 innate 22 induction 19 immune 21 , 19 immune 22 induction 22 induction 23 of 23 of 25 cytokines 24 th2 25 cytokines 26 , 27 and 27 and 28 stimulation 27 and 29 of 29 of 34 cells 30 t 31 - 31 - 33 t 31 - 34 cells vitamin d deficiency or insufficiency is overwhelmingly associated with viral hepatitis , cirrhosis , and fatty liver diseases . 0 ###LEFT-WALL### 3 deficiency 0 ###LEFT-WALL### 4 or 0 ###LEFT-WALL### 19 . 1 vitamin 2 d 1 vitamin 3 deficiency 4 or 5 insufficiency 4 or 8 associated 5 insufficiency 6 is 6 is 8 associated 7 overwhelmingly 8 associated 8 associated 9 with 9 with 15 and 10 viral 11 hepatitis 11 hepatitis 12 , 12 , 13 cirrhosis 12 , 15 and 14 , 15 and 15 and 18 diseases 16 fatty 17 liver 17 liver 18 diseases recent clinical trials have shown that vitamin d supplements significantly enhance the efficacy [of] interferon plus ribavirin therapy through sustained virological response . 0 ###LEFT-WALL### 3 trials 0 ###LEFT-WALL### 5 shown 0 ###LEFT-WALL### 23 . 1 recent 3 trials 2 clinical 3 trials 3 trials 4 have 4 have 5 shown 5 shown 6 that 6 that 9 supplements 6 that 11 enhance 7 vitamin 8 d 7 vitamin 9 supplements 9 supplements 11 enhance 10 significantly 11 enhance 11 enhance 22 response 12 the 22 response 13 efficacy 22 response 15 interferon 18 therapy 16 plus 17 ribavirin 17 ribavirin 18 therapy 18 therapy 22 response 19 through 22 response 20 sustained 22 response 21 virological 22 response a recent study showed that 25 - dihydroxyvitamin d [rather] than 1,25 - dihydroxyvitamin d could directly suppress hepatitis [c] virus [assembly] . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 23 . 1 a 2 recent 1 a 3 study 2 recent 3 study 3 study 4 showed 4 showed 5 that 4 showed 6 25 7 - 8 dihydroxyvitamin 7 - 11 than 8 dihydroxyvitamin 9 d 11 than 12 1,25 11 than 13 - 12 1,25 13 - 13 - 14 dihydroxyvitamin 14 dihydroxyvitamin 15 d 14 dihydroxyvitamin 16 could 16 could 18 suppress 17 directly 18 suppress 18 suppress 21 virus 19 hepatitis 21 virus moreover , clinical evidence has shown that vitamin d deficiency is associated with alcoholic [and] [non] - alcoholic fatty liver diseases . 0 ###LEFT-WALL### 4 evidence 0 ###LEFT-WALL### 6 shown 0 ###LEFT-WALL### 22 . 1 moreover 2 , 1 moreover 4 evidence 3 clinical 4 evidence 4 evidence 5 has 5 has 6 shown 6 shown 7 that 7 that 10 deficiency 7 that 12 associated 8 vitamin 9 d 8 vitamin 10 deficiency 10 deficiency 11 is 11 is 12 associated 12 associated 13 with 13 with 21 diseases 14 alcoholic 17 - 14 alcoholic 20 liver 18 alcoholic 20 liver 19 fatty 20 liver 20 liver 21 diseases in this review , we highlight some recent advances in vitamin d researches and clinical trails . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 highlight 0 ###LEFT-WALL### 17 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 highlight 6 highlight 9 advances 6 highlight 10 in 7 some 9 advances 8 recent 9 advances 10 in 14 and 11 vitamin 12 d 11 vitamin 13 researches 13 researches 14 and 14 and 16 trails 15 clinical 16 trails background and aims : surveillance is an integral part of the colorectal cancer ( crc ) screening process . 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 4 : 1 background 2 and 2 and 3 aims 4 : 5 surveillance 4 : 6 is 4 : 19 . 5 surveillance 6 is 6 is 9 part 7 an 8 integral 7 an 9 part 8 integral 9 part 9 part 10 of 9 part 17 screening 10 of 13 cancer 11 the 13 cancer 12 colorectal 13 cancer 13 cancer 15 crc 14 ( 15 crc 15 crc 16 ) 17 screening 18 process we aimed to investigate [inter] - physician variation in [follow] - up procedures after screening colonoscopy in an opportunistic crc screening program . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 aimed 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 23 . 1 we 2 aimed 2 aimed 3 to 2 aimed 4 investigate 3 to 4 investigate 6 - 8 variation 7 physician 8 variation 8 variation 9 in 8 variation 13 procedures 8 variation 16 colonoscopy 9 in 12 up 11 - 12 up 13 procedures 14 after 13 procedures 16 colonoscopy 14 after 15 screening 16 colonoscopy 17 in 17 in 22 program 18 an 19 opportunistic 18 an 22 program 19 opportunistic 22 program 20 crc 22 program 21 screening 22 program methods : a historical cohort study in the german statutory health insurance system was conducted . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 6 study 2 : 15 conducted 2 : 16 . 3 a 4 historical 3 a 6 study 4 historical 5 cohort 5 cohort 6 study 6 study 7 in 6 study 14 was 7 in 13 system 8 the 13 system 9 german 12 insurance 10 statutory 11 health 11 health 12 insurance 12 insurance 13 system 14 was 15 conducted utilization of [follow] - up colonoscopies performed by the same physician ( 328 physicians [overall] ) within 3 years was ascertained . 0 ###LEFT-WALL### 1 utilization 0 ###LEFT-WALL### 21 ascertained 0 ###LEFT-WALL### 22 . 1 utilization 2 of 1 utilization 6 colonoscopies 1 utilization 7 performed 1 utilization 20 was 2 of 5 up 4 - 5 up 6 colonoscopies 7 performed 7 performed 8 by 7 performed 17 within 8 by 11 physician 9 the 10 same 10 same 11 physician 11 physician 14 physicians 12 ( 14 physicians 13 328 14 physicians 14 physicians 16 ) 17 within 19 years 18 3 19 years 20 was 21 ascertained mixed effects logistic regression modelling was used to assess the effect of physicians and other potential predictors ( screening result , age group , and sex ) on re - utilization of colonoscopy . 0 ###LEFT-WALL### 4 regression 0 ###LEFT-WALL### 7 used 1 mixed 2 effects 2 effects 3 logistic 3 logistic 4 regression 4 regression 5 modelling 4 regression 6 was 6 was 7 used 7 used 8 to 7 used 9 assess 8 to 9 assess 9 assess 11 effect 10 the 11 effect 11 effect 12 of 11 effect 19 screening 12 of 14 and 13 physicians 14 and 14 and 17 predictors 15 other 17 predictors 16 potential 17 predictors 18 ( 19 screening 19 screening 25 and 19 screening 28 on 19 screening 29 re 19 screening 34 . 20 result 21 , 21 , 23 group 21 , 25 and 22 age 23 group 24 , 25 and 25 and 26 sex 25 and 27 ) 29 re 30 - 29 re 31 utilization 31 utilization 32 of 32 of 33 colonoscopy physicians were grouped into quintiles according to individual effects estimated in a preliminary model . 0 ###LEFT-WALL### 1 physicians 0 ###LEFT-WALL### 3 grouped 0 ###LEFT-WALL### 15 . 1 physicians 2 were 2 were 3 grouped 3 grouped 4 into 3 grouped 7 to 4 into 5 quintiles 6 according 7 to 7 to 9 effects 8 individual 9 effects 9 effects 10 estimated 10 estimated 11 in 11 in 14 model 12 a 13 preliminary 12 a 14 model 13 preliminary 14 model predicted probabilities of [follow] - up colonoscopy by screening result and physician group were calculated . 0 ###LEFT-WALL### 2 probabilities 0 ###LEFT-WALL### 14 were 0 ###LEFT-WALL### 16 . 1 predicted 2 probabilities 2 probabilities 3 of 2 probabilities 7 colonoscopy 2 probabilities 14 were 3 of 6 up 5 - 6 up 7 colonoscopy 8 by 8 by 9 screening 9 screening 11 and 10 result 11 and 11 and 13 group 12 physician 13 group 14 were 15 calculated all considered predictors were statistically significantly associated with [follow] - up colonoscopy . 0 ###LEFT-WALL### 1 all 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 13 . 1 all 2 considered 1 all 4 were 2 considered 3 predictors 4 were 5 statistically 4 were 7 associated 6 significantly 7 associated 7 associated 8 with 7 associated 12 colonoscopy 8 with 11 up 10 - 11 up the predicted probabilities [of] follow - up colonoscopy ranged from 1.7 % ( 1.4 - 2.0 % ) to 11.0 % ( 10.2 - 11.7 % ) , from 7.3 % ( 6.2 - 8.5 % [ )(to 35.1 % ( 32.6 - 37.7 % ) , and from 17.9 % ( 15.5 - 20.6 % ) to 56.9 % ( 53.5 - 60.3 % ) in the 1 ( st ) quintile [(] [lowest] rates [of] follow - up [ )(and 5 [(] th ) quintile [(] [highest] rates [of] follow - up ) of physicians after negative colonoscopy , low - risk adenoma and high - risk adenoma detection , respectively . 0 ###LEFT-WALL### 3 probabilities 0 ###LEFT-WALL### 6 - 1 the 3 probabilities 2 predicted 3 probabilities 3 probabilities 5 follow 6 - 8 colonoscopy 6 - 9 ranged 7 up 8 colonoscopy 8 colonoscopy 9 ranged 9 ranged 19 to 10 from 19 to 11 1.7 12 % 11 1.7 19 to 12 % 15 - 13 ( 15 - 14 1.4 15 - 15 - 17 % 15 - 18 ) 16 2.0 17 % 19 to 20 11.0 19 to 29 from 20 11.0 21 % 21 % 23 10.2 22 ( 23 10.2 23 10.2 26 % 23 10.2 28 , 24 - 26 % 25 11.7 26 % 26 % 27 ) 29 from 31 % 30 7.3 31 % 31 % 34 - 32 ( 34 - 33 6.2 34 - 34 - 36 % 35 8.5 36 % 36 % 48 and 38 )(to 40 % 38 )(to 48 and 39 35.1 40 % 40 % 42 32.6 41 ( 42 32.6 42 32.6 45 % 42 32.6 47 , 43 - 45 % 44 37.7 45 % 45 % 46 ) 48 and 49 from 49 from 58 to 50 17.9 51 % 50 17.9 58 to 51 % 56 % 52 ( 56 % 53 15.5 54 - 54 - 55 20.6 54 - 56 % 56 % 57 ) 58 to 59 56.9 58 to 67 in 59 56.9 60 % 60 % 63 - 61 ( 63 - 62 53.5 63 - 63 - 65 % 63 - 66 ) 64 60.3 65 % 67 in 69 1 68 the 69 1 69 1 79 - 70 ( 79 - 71 st 72 ) 71 st 73 quintile 73 quintile 76 rates 73 quintile 78 follow 73 quintile 79 - 76 rates 78 follow 79 - 87 quintile 80 up 82 )(and 82 )(and 85 th 82 )(and 86 ) 82 )(and 87 quintile 83 5 85 th 87 quintile 90 rates 87 quintile 92 follow 87 quintile 96 of 87 quintile 98 after 90 rates 92 follow 92 follow 94 up 93 - 94 up 94 up 95 ) 96 of 97 physicians 98 after 100 colonoscopy 99 negative 100 colonoscopy 100 colonoscopy 102 low 101 , 102 low 102 low 104 risk 102 low 114 . 103 - 104 risk 104 risk 106 and 104 risk 109 risk 104 risk 114 . 105 adenoma 106 and 106 and 107 high 106 and 108 - 106 and 109 risk 109 risk 111 detection 109 risk 113 respectively 110 adenoma 111 detection 112 , 113 respectively 113 respectively 114 . conclusions : this study suggests substantial [inter] - physician variation [in] follow - up habits after screening colonoscopy . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 suggests 3 this 4 study 4 study 5 suggests 5 suggests 10 variation 5 suggests 12 follow 6 substantial 8 - 6 substantial 9 physician 9 physician 10 variation 12 follow 14 up 13 - 14 up 14 up 15 habits 14 up 19 . 15 habits 16 after 16 after 17 screening 17 screening 18 colonoscopy interventions , including organizational changes in crc screening should be considered to reduce this variation . 0 ###LEFT-WALL### 1 interventions 0 ###LEFT-WALL### 2 , 0 ###LEFT-WALL### 16 . 2 , 3 including 2 , 11 considered 3 including 5 changes 3 including 6 in 3 including 9 should 4 organizational 5 changes 6 in 8 screening 7 crc 8 screening 9 should 10 be 10 be 11 considered 11 considered 12 to 11 considered 13 reduce 12 to 13 reduce 13 reduce 15 variation 14 this 15 variation background : depressive symptoms and physical performance are inversely associated , but it is unclear whether their association is bidirectional . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 5 and 2 : 10 associated 2 : 12 but 3 depressive 4 symptoms 4 symptoms 5 and 5 and 7 performance 5 and 8 are 6 physical 7 performance 8 are 10 associated 9 inversely 10 associated 11 , 12 but 12 but 13 it 12 but 14 is 13 it 14 is 14 is 15 unclear 15 unclear 16 whether 16 whether 18 association 16 whether 19 is 17 their 18 association 18 association 19 is 19 is 20 bidirectional we examined whether the association between depressive symptoms and physical performance measured using gait speed is bidirectional . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 examined 0 ###LEFT-WALL### 18 . 1 we 2 examined 2 examined 3 whether 3 whether 5 association 3 whether 16 is 4 the 5 association 5 association 6 between 5 association 12 measured 5 association 16 is 6 between 9 and 7 depressive 8 symptoms 8 symptoms 9 and 9 and 11 performance 10 physical 11 performance 12 measured 13 using 13 using 15 speed 14 gait 15 speed 16 is 17 bidirectional methods : we used a national sample of 4,581 community [-] dwelling people aged 60 years and older from the english longitudinal study of ageing ( from 2002 - 03 to 2008 - 09 ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 3 we 2 : 4 used 2 : 29 - 3 we 4 used 4 used 7 sample 4 used 17 and 4 used 19 from 5 a 7 sample 6 national 7 sample 7 sample 8 of 8 of 13 people 9 4,581 10 community 10 community 12 dwelling 12 dwelling 13 people 13 people 14 aged 14 aged 15 60 16 years 17 and 17 and 18 older 19 from 23 study 20 the 23 study 21 english 23 study 22 longitudinal 23 study 23 study 24 of 24 of 25 ageing 25 ageing 27 from 26 ( 27 from 27 from 28 2002 27 from 29 - 29 - 31 to 30 03 31 to 31 to 32 2008 31 to 34 09 33 - 34 09 34 09 35 ) we fitted generalized estimating equation ( gee ) regression models to analyse repeated measurements of gait speed ( [m] / [sec] ) and elevated depressive symptoms ( defined as a score of ≥4 on the eight - item center for epidemiological studies - depression scale [ )( 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 fitted 0 ###LEFT-WALL### 43 - 1 we 2 fitted 2 fitted 10 models 2 fitted 11 to 2 fitted 40 for 3 generalized 4 estimating 4 estimating 5 equation 5 equation 7 gee 6 ( 7 gee 7 gee 8 ) 7 gee 9 regression 9 regression 10 models 11 to 12 analyse 12 analyse 39 center 13 repeated 14 measurements 14 measurements 15 of 14 measurements 23 and 15 of 17 speed 16 gait 17 speed 17 speed 20 / 18 ( 20 / 20 / 22 ) 23 and 26 symptoms 23 and 28 defined 23 and 38 item 24 elevated 25 depressive 25 depressive 26 symptoms 27 ( 28 defined 28 defined 29 as 28 defined 34 on 28 defined 37 - 29 as 33 ≥4 30 a 31 score 31 score 32 of 31 score 33 ≥4 32 of 33 ≥4 34 on 36 eight 35 the 36 eight 38 item 39 center 40 for 42 studies 41 epidemiological 42 studies 43 - 45 scale 43 - 47 )( 44 depression 45 scale results : slower gait speed was associated with elevated depressive symptoms both [concurrently] and two years later . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 5 speed 2 : 7 associated 3 slower 4 gait 4 gait 5 speed 5 speed 6 was 6 was 7 associated 7 associated 8 with 7 associated 14 and 8 with 11 symptoms 9 elevated 11 symptoms 10 depressive 11 symptoms 12 both 14 and 14 and 17 later 15 two 16 years 16 years 17 later [after] adjustment for previous depressive symptoms and sociodemographic , clinical , lifestyle , psychosocial , and cognitive factors the concurrent association was partially explained [(] odds [ratio] [ or []] 0.42 , [95] % confidence interval [[] ci []] , 0.30 to 0.59 , [per] 1 m / [sec] increase in gait speed [ )(and the two [-] year lagged association [fully] ( or 0.75 , 95 % ci , 0.56 to 1.00 ) . 0 ###LEFT-WALL### 7 and 2 adjustment 3 for 2 adjustment 7 and 3 for 6 symptoms 4 previous 6 symptoms 5 depressive 6 symptoms 7 and 12 lifestyle 7 and 13 , 8 sociodemographic 9 , 8 sociodemographic 12 lifestyle 10 clinical 11 , 10 clinical 12 lifestyle 13 , 24 explained 14 psychosocial 16 and 15 , 16 and 16 and 18 factors 16 and 21 association 16 and 22 was 16 and 24 explained 17 cognitive 18 factors 19 the 21 association 20 concurrent 21 association 21 association 22 was 23 partially 24 explained 24 explained 32 , 24 explained 34 % 26 odds 29 or 28 [ 29 or 29 or 31 0.42 29 or 32 , 34 % 35 confidence 35 confidence 36 interval 36 interval 48 / 38 ci 42 to 38 ci 48 / 40 , 42 to 41 0.30 42 to 42 to 43 0.59 42 to 44 , 46 1 47 m 47 m 48 / 48 / 50 increase 50 increase 51 in 50 increase 55 )(and 51 in 53 speed 52 gait 53 speed 55 )(and 59 year 55 )(and 60 lagged 56 the 59 year 57 two 59 year 60 lagged 61 association 61 association 64 or 61 association 69 ci 63 ( 64 or 64 or 65 0.75 64 or 66 , 66 , 69 ci 67 95 69 ci 68 % 69 ci 69 ci 72 to 69 ci 75 . 70 , 72 to 71 0.56 72 to 72 to 73 1.00 72 to 74 ) elevated depressive symptoms were associated with slower gait speed . 0 ###LEFT-WALL### 3 symptoms 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 10 . 1 elevated 3 symptoms 2 depressive 3 symptoms 3 symptoms 4 were 4 were 5 associated 5 associated 6 with 6 with 9 speed 7 slower 8 gait 8 gait 9 speed full adjustment for covariates ( including previous gait speed ) partially explained both the concurrent ( β regression coefficient [ β ] - 0.038 , 95 % ci , [-] 0.050 [to] - 0.026 , [for] participants with elevated depressive symptoms compared with those with [no] or one symptom ) and the two [-] year lagged associations ( β - 0.017 , 95 % ci , - 0.030 to - 0.005 ) . 0 ###LEFT-WALL### 2 adjustment 0 ###LEFT-WALL### 12 explained 1 full 2 adjustment 2 adjustment 3 for 2 adjustment 9 speed 2 adjustment 12 explained 3 for 4 covariates 5 ( 9 speed 6 including 8 gait 7 previous 8 gait 8 gait 9 speed 9 speed 10 ) 11 partially 12 explained 12 explained 13 both 12 explained 23 - 13 both 14 the 13 both 15 concurrent 14 the 15 concurrent 16 ( 23 - 17 β 18 regression 18 regression 19 coefficient 19 coefficient 21 β 19 coefficient 23 - 20 [ 21 β 21 β 22 ] 23 - 24 0.038 23 - 29 , 24 0.038 28 ci 25 , 28 ci 26 95 28 ci 27 % 28 ci 28 ci 29 , 29 , 33 - 31 0.050 33 - 33 - 34 0.026 33 - 35 , 33 - 37 participants 37 participants 38 with 37 participants 47 or 38 with 40 depressive 39 elevated 40 depressive 40 depressive 41 symptoms 40 depressive 45 with 41 symptoms 42 compared 42 compared 43 with 42 compared 45 with 43 with 44 those 47 or 49 symptom 47 or 50 ) 47 or 51 and 48 one 49 symptom 51 and 55 year 51 and 56 lagged 52 the 55 year 53 two 55 year 56 lagged 57 associations 57 associations 60 - 58 ( 60 - 59 β 60 - 60 - 61 0.017 61 0.017 65 ci 62 , 65 ci 63 95 65 ci 64 % 65 ci 65 ci 69 to 65 ci 73 . 66 , 69 to 67 - 68 0.030 68 0.030 69 to 69 to 71 0.005 69 to 72 ) 70 - 71 0.005 subthreshold depressive symptoms ( defined as a score of two or three on the eight - item center for epidemiological studies - depression [scale] ) were also associated with slower gait speed . 0 ###LEFT-WALL### 3 symptoms 0 ###LEFT-WALL### 28 associated 0 ###LEFT-WALL### 33 . 1 subthreshold 3 symptoms 2 depressive 3 symptoms 3 symptoms 5 defined 3 symptoms 18 center 3 symptoms 26 were 4 ( 5 defined 5 defined 6 as 5 defined 13 on 5 defined 16 - 6 as 8 score 7 a 8 score 8 score 9 of 9 of 11 or 10 two 11 or 11 or 12 three 13 on 15 eight 14 the 15 eight 16 - 18 center 17 item 18 center 18 center 19 for 18 center 23 depression 18 center 25 ) 19 for 21 studies 20 epidemiological 21 studies 22 - 23 depression 23 depression 25 ) 26 were 27 also 26 were 28 associated 28 associated 29 with 29 with 32 speed 30 slower 31 gait 31 gait 32 speed full adjustment for covariates partially explained both the concurrent ( β - 0.029 , 95 % ci , - 0.039 to - 0.019 , for participants with subthreshold symptoms compared with those with [no] or one symptom ) and the two [-] year lagged associations ( β - 0.011 , 95 % ci , - 0.021 to - 0.001 ) . 0 ###LEFT-WALL### 1 full 0 ###LEFT-WALL### 44 lagged 1 full 2 adjustment 1 full 6 explained 1 full 44 lagged 2 adjustment 3 for 2 adjustment 6 explained 3 for 4 covariates 5 partially 6 explained 6 explained 7 both 6 explained 19 - 6 explained 25 for 7 both 8 the 7 both 9 concurrent 8 the 9 concurrent 10 ( 19 - 11 β 13 0.029 11 β 19 - 12 - 13 0.029 13 0.029 17 ci 13 0.029 18 , 14 , 17 ci 15 95 17 ci 16 % 17 ci 17 ci 18 , 19 - 20 0.039 19 - 24 , 20 0.039 21 to 21 to 23 0.019 22 - 23 0.019 25 for 39 and 26 participants 27 with 26 participants 35 or 27 with 28 subthreshold 28 subthreshold 29 symptoms 28 subthreshold 33 with 29 symptoms 30 compared 30 compared 31 with 30 compared 33 with 31 with 32 those 35 or 37 symptom 35 or 38 ) 35 or 39 and 36 one 37 symptom 39 and 43 year 40 the 43 year 41 two 43 year 44 lagged 45 associations 45 associations 48 - 46 ( 48 - 47 β 48 - 48 - 49 0.011 48 - 61 . 49 0.011 53 ci 50 , 53 ci 51 95 53 ci 52 % 53 ci 53 ci 57 to 53 ci 61 . 54 , 57 to 55 - 57 to 56 0.021 57 to 57 to 59 0.001 57 to 60 ) 58 - 59 0.001 conclusions : the inverse association between gait speed and depressive symptoms appears to be bidirectional . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 association 2 : 12 appears 2 : 16 . 3 the 5 association 4 inverse 5 association 5 association 6 between 5 association 12 appears 6 between 9 and 7 gait 8 speed 8 speed 9 and 9 and 11 symptoms 10 depressive 11 symptoms 12 appears 13 to 12 appears 14 be 13 to 14 be 14 be 15 bidirectional [aiming] at iron - related t2 - hypointensity , which is related to normal aging and neurodegenerative processes , we [here] present two practicable approaches , based on bayesian inference , for preprocessing and statistical analysis of a complex set of structural mri data . 0 ###LEFT-WALL### 8 hypointensity 0 ###LEFT-WALL### 12 related 2 at 3 iron 2 at 4 - 2 at 8 hypointensity 4 - 5 related 5 related 6 t2 5 related 7 - 5 related 8 hypointensity 8 hypointensity 10 which 8 hypointensity 12 related 9 , 10 which 10 which 11 is 12 related 13 to 13 to 16 and 14 normal 15 aging 14 normal 16 and 16 and 18 processes 16 and 19 , 16 and 20 we 16 and 22 present 17 neurodegenerative 18 processes 20 we 22 present 22 present 25 approaches 22 present 27 based 22 present 32 for 23 two 25 approaches 24 practicable 25 approaches 26 , 27 based 27 based 28 on 27 based 31 , 28 on 30 inference 29 bayesian 30 inference 32 for 34 and 33 preprocessing 34 and 34 and 36 analysis 34 and 45 . 35 statistical 36 analysis 36 analysis 37 of 36 analysis 41 of 37 of 40 set 38 a 40 set 39 complex 40 set 41 of 44 data 42 structural 44 data 43 mri 44 data in particular , markov chain monte carlo methods were used to simulate posterior distributions . 0 ###LEFT-WALL### 8 methods 0 ###LEFT-WALL### 10 used 0 ###LEFT-WALL### 15 . 1 in 2 particular 2 particular 3 , 2 particular 8 methods 4 markov 5 chain 5 chain 6 monte 6 monte 7 carlo 7 carlo 8 methods 8 methods 9 were 9 were 10 used 10 used 11 to 10 used 12 simulate 11 to 12 simulate 12 simulate 14 distributions 13 posterior 14 distributions first , we rendered a segmentation algorithm that uses outlier detection based on model checking techniques within a bayesian mixture model . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 rendered 0 ###LEFT-WALL### 22 . 1 first 2 , 1 first 3 we 3 we 4 rendered 4 rendered 7 algorithm 4 rendered 12 based 4 rendered 13 on 4 rendered 17 within 5 a 6 segmentation 5 a 7 algorithm 6 segmentation 7 algorithm 7 algorithm 8 that 7 algorithm 9 uses 8 that 9 uses 9 uses 11 detection 10 outlier 11 detection 13 on 16 techniques 14 model 15 checking 15 checking 16 techniques 17 within 21 model 18 a 21 model 19 bayesian 20 mixture 20 mixture 21 model second , we rendered an analytical tool comprising a bayesian regression model with smoothness priors ( in the form of gaussian markov random fields ) mitigating the necessity to smooth data prior to statistical analysis . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 rendered 0 ###LEFT-WALL### 36 . 1 second 2 , 1 second 3 we 3 we 4 rendered 4 rendered 7 tool 5 an 6 analytical 5 an 7 tool 6 analytical 7 tool 7 tool 8 comprising 8 comprising 12 model 9 a 12 model 10 bayesian 11 regression 11 regression 12 model 12 model 13 with 12 model 26 mitigating 13 with 15 priors 14 smoothness 15 priors 15 priors 17 in 16 ( 17 in 17 in 19 form 17 in 25 ) 18 the 19 form 19 form 20 of 20 of 24 fields 21 gaussian 22 markov 22 markov 24 fields 23 random 24 fields 26 mitigating 28 necessity 27 the 28 necessity 28 necessity 29 to 28 necessity 30 smooth 29 to 30 smooth 30 smooth 31 data 30 smooth 33 to 32 prior 33 to 33 to 35 analysis 34 statistical 35 analysis for validation , we used simulated data and mri data of 27 healthy controls ( age [:] [ formula : see text []] ; range , [[] formula : see text []] [ )( 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 used 0 ###LEFT-WALL### 20 : 0 ###LEFT-WALL### 34 )( 1 for 2 validation 1 for 3 , 1 for 4 we 4 we 5 used 5 used 8 and 6 simulated 7 data 7 data 8 and 8 and 10 data 8 and 11 of 8 and 16 age 9 mri 10 data 11 of 14 controls 12 27 14 controls 13 healthy 14 controls 15 ( 16 age 16 age 19 formula 16 age 20 : 18 [ 19 formula 19 formula 20 : 20 : 21 see 20 : 24 ; 21 see 22 text 24 ; 26 , 25 range 26 , 26 , 30 see 28 formula 29 : 29 : 30 see 30 see 31 text we first observed robust segmentation of both simulated t2 - hypointensities and gray - matter regions known to be t2 - hypointense . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 observed 1 we 3 observed 2 first 3 observed 3 observed 5 segmentation 3 observed 8 simulated 4 robust 5 segmentation 5 segmentation 6 of 5 segmentation 8 simulated 6 of 7 both 8 simulated 9 t2 9 t2 12 and 10 - 12 and 11 hypointensities 12 and 12 and 16 regions 12 and 17 known 12 and 22 hypointense 12 and 23 . 13 gray 14 - 13 gray 15 matter 15 matter 16 regions 17 known 18 to 18 to 19 be 19 be 20 t2 21 - 22 hypointense 22 hypointense 23 . second , simulated data and images of segmented t2 - hypointensity were analyzed . 0 ###LEFT-WALL### 11 hypointensity 0 ###LEFT-WALL### 13 analyzed 0 ###LEFT-WALL### 14 . 1 second 2 , 1 second 11 hypointensity 3 simulated 4 data 4 data 5 and 5 and 6 images 5 and 10 - 5 and 11 hypointensity 6 images 7 of 7 of 9 t2 8 segmented 9 t2 11 hypointensity 12 were 12 were 13 analyzed we found not only robust identification of simulated effects but also a biologically plausible age - related increase [of] t2 [-] hypointensity primarily within the dentate nucleus but also within the globus pallidus , substantia nigra , and red nucleus . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 17 related 0 ###LEFT-WALL### 41 . 1 we 2 found 2 found 11 also 3 not 4 only 4 only 11 also 5 robust 6 identification 6 identification 7 of 6 identification 11 also 7 of 9 effects 8 simulated 9 effects 10 but 11 also 11 also 15 age 12 a 13 biologically 12 a 15 age 13 biologically 14 plausible 14 plausible 15 age 16 - 17 related 17 related 22 hypointensity 17 related 23 primarily 18 increase 22 hypointensity 20 t2 22 hypointensity 23 primarily 28 but 24 within 27 nucleus 24 within 28 but 25 the 27 nucleus 26 dentate 27 nucleus 28 but 29 also 28 but 30 within 30 within 38 and 31 the 33 pallidus 32 globus 33 pallidus 33 pallidus 34 , 34 , 36 nigra 34 , 38 and 35 substantia 36 nigra 37 , 38 and 38 and 40 nucleus 39 red 40 nucleus our results indicate that fully bayesian inference can successfully be applied for preprocessing and statistical analysis of structural mri data . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 21 . 1 our 2 results 2 results 3 indicate 3 indicate 5 fully 3 indicate 7 inference 3 indicate 11 applied 4 that 5 fully 6 bayesian 7 inference 7 inference 8 can 8 can 10 be 9 successfully 10 be 10 be 11 applied 11 applied 12 for 12 for 14 and 13 preprocessing 14 and 14 and 16 analysis 14 and 17 of 15 statistical 16 analysis 17 of 20 data 18 structural 20 data 19 mri 20 data genotyping arrays are a cost effective approach when typing previously - identified genetic polymorphisms in large numbers of samples . 0 ###LEFT-WALL### 2 arrays 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 20 . 1 genotyping 2 arrays 2 arrays 3 are 3 are 7 approach 3 are 8 when 4 a 5 cost 4 a 7 approach 5 cost 7 approach 6 effective 7 approach 8 when 9 typing 9 typing 10 previously 11 - 14 polymorphisms 12 identified 14 polymorphisms 13 genetic 14 polymorphisms 14 polymorphisms 15 in 15 in 19 samples 16 large 17 numbers 17 numbers 18 of 17 numbers 19 samples 18 of 19 samples combining intensity data from large numbers of samples may increase the ability to accurately call the [genotypes] [of] rare variants . 0 ###LEFT-WALL### 1 combining 0 ###LEFT-WALL### 10 increase 0 ###LEFT-WALL### 21 . 1 combining 3 data 1 combining 4 from 1 combining 9 may 2 intensity 3 data 4 from 6 numbers 5 large 6 numbers 6 numbers 7 of 7 of 8 samples 9 may 10 increase 10 increase 12 ability 11 the 12 ability 12 ability 13 to 12 ability 15 call 13 to 15 call 14 accurately 15 call 15 call 20 variants 16 the 20 variants 19 rare 20 variants approximately 62,000 ethnically diverse samples from eleven cohorts for heart and aging research in genomic epidemiology ( charge ) consortium cohorts were genotyped with the illumina humanexome beadchip across seven genotyping centers . 0 ###LEFT-WALL### 5 samples 0 ###LEFT-WALL### 23 genotyped 0 ###LEFT-WALL### 33 . 1 approximately 5 samples 2 62,000 5 samples 3 ethnically 4 diverse 4 diverse 5 samples 5 samples 6 from 5 samples 22 were 6 from 11 and 7 eleven 8 cohorts 8 cohorts 9 for 8 cohorts 11 and 9 for 10 heart 11 and 21 cohorts 12 aging 13 research 13 research 14 in 13 research 16 epidemiology 14 in 15 genomic 16 epidemiology 18 charge 17 ( 18 charge 18 charge 19 ) 18 charge 21 cohorts 20 consortium 21 cohorts 22 were 23 genotyped 23 genotyped 24 with 24 with 28 beadchip 24 with 29 across 25 the 28 beadchip 26 illumina 27 humanexome 27 humanexome 28 beadchip 29 across 30 seven 30 seven 31 genotyping 31 genotyping 32 centers the raw data files for the samples were assembled into a single project for joint calling . 0 ###LEFT-WALL### 4 files 0 ###LEFT-WALL### 9 assembled 0 ###LEFT-WALL### 17 . 1 the 4 files 2 raw 3 data 3 data 4 files 4 files 5 for 4 files 8 were 5 for 7 samples 6 the 7 samples 8 were 9 assembled 9 assembled 10 into 10 into 13 project 11 a 12 single 11 a 13 project 12 single 13 project 13 project 14 for 14 for 16 calling 15 joint 16 calling to assess the quality of the joint calling , concordance [of] genotypes in a subset of individuals having both exome [chip] and exome sequence data was analyzed . 0 ###LEFT-WALL### 10 concordance 0 ###LEFT-WALL### 12 genotypes 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 28 . 1 to 2 assess 1 to 9 , 1 to 10 concordance 2 assess 4 quality 3 the 4 quality 4 quality 5 of 5 of 8 calling 6 the 8 calling 7 joint 8 calling 10 concordance 12 genotypes 12 genotypes 13 in 12 genotypes 20 exome 13 in 15 subset 14 a 15 subset 15 subset 16 of 15 subset 18 having 16 of 17 individuals 18 having 19 both 22 and 25 data 22 and 27 analyzed 23 exome 25 data 24 sequence 25 data 25 data 26 was 26 was 27 analyzed after exclusion of low performing snps on the exome chip and [non] - overlap of snps derived from sequence data , genotypes [of] 185,119 variants ( 11,356 [were] monomorphic ) [were] [compared] in 530 individuals that had whole exome sequence data . 0 ###LEFT-WALL### 10 chip 0 ###LEFT-WALL### 11 and 1 after 2 exclusion 1 after 10 chip 2 exclusion 3 of 2 exclusion 5 performing 3 of 4 low 5 performing 6 snps 5 performing 7 on 7 on 9 exome 8 the 9 exome 11 and 13 - 11 and 21 , 13 - 14 overlap 14 overlap 15 of 14 overlap 21 , 15 of 16 snps 17 derived 18 from 17 derived 21 , 18 from 20 data 19 sequence 20 data 21 , 22 genotypes 22 genotypes 25 variants 24 185,119 25 variants 25 variants 35 individuals 26 ( 35 individuals 27 11,356 33 in 29 monomorphic 30 ) 29 monomorphic 33 in 33 in 35 individuals 34 530 35 individuals 35 individuals 36 that 35 individuals 37 had 35 individuals 42 . 36 that 37 had 37 had 41 data 38 whole 41 data 39 exome 40 sequence 40 sequence 41 data a total of 98,113,070 pairs [of] [genotypes] were tested [and] 99.77 % were concordant , 0.14 % had missing data , and 0.09 % were discordant . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 9 tested 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 27 . 1 a 2 total 2 total 3 of 2 total 9 tested 3 of 4 98,113,070 4 98,113,070 5 pairs 4 98,113,070 8 were 5 pairs 8 were 9 tested 12 % 9 tested 13 were 11 99.77 12 % 12 % 13 were 13 were 14 concordant 15 , 17 % 15 , 18 had 15 , 22 and 16 0.14 17 % 17 % 18 had 18 had 20 data 19 missing 20 data 21 , 22 and 22 and 24 % 22 and 25 were 23 0.09 24 % 24 % 25 were 25 were 26 discordant we report that joint calling allows the ability to accurately genotype rare variation using array technology when large sample sizes are available and best practices are followed . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 report 1 we 2 report 2 report 4 joint 2 report 6 allows 3 that 4 joint 4 joint 5 calling 4 joint 6 allows 6 allows 8 ability 6 allows 9 to 6 allows 14 using 7 the 8 ability 9 to 11 genotype 10 accurately 11 genotype 11 genotype 13 variation 12 rare 13 variation 14 using 16 technology 15 array 16 technology 16 technology 17 when 16 technology 27 followed 17 when 20 sizes 17 when 27 followed 18 large 19 sample 19 sample 20 sizes 20 sizes 21 are 21 are 23 and 22 available 23 and 23 and 24 best 25 practices 26 are 26 are 27 followed 27 followed 28 . the cluster file from this experiment is available at www.chargeconsortium.com/main/exomechip . 0 ###LEFT-WALL### 3 file 0 ###LEFT-WALL### 7 is 0 ###LEFT-WALL### 11 . 1 the 3 file 2 cluster 3 file 3 file 4 from 3 file 7 is 4 from 6 experiment 5 this 6 experiment 7 is 8 available 8 available 9 at 9 at 10 www.chargeconsortium.com/main/exomechip adult skin stem cells are considered an attractive cell resource for therapeutic potential in aged skin . 0 ###LEFT-WALL### 4 cells 0 ###LEFT-WALL### 6 considered 0 ###LEFT-WALL### 17 . 1 adult 2 skin 2 skin 3 stem 3 stem 4 cells 4 cells 5 are 5 are 6 considered 6 considered 10 resource 6 considered 14 in 7 an 8 attractive 7 an 10 resource 8 attractive 9 cell 9 cell 10 resource 10 resource 11 for 11 for 13 potential 12 therapeutic 13 potential 14 in 16 skin 15 aged 16 skin we previously reported that multipotent human dermal stem/progenitor cells ( hdspcs ) can be enriched from ( normal human dermal fibroblasts ( nhdfs ) using collagen type iv . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 reported 0 ###LEFT-WALL### 29 . 1 we 3 reported 2 previously 3 reported 3 reported 8 stem/progenitor 3 reported 25 using 4 that 8 stem/progenitor 5 multipotent 8 stem/progenitor 6 human 8 stem/progenitor 7 dermal 8 stem/progenitor 8 stem/progenitor 9 cells 8 stem/progenitor 16 from 8 stem/progenitor 21 fibroblasts 9 cells 11 hdspcs 9 cells 13 can 10 ( 11 hdspcs 11 hdspcs 12 ) 13 can 14 be 14 be 15 enriched 15 enriched 16 from 17 ( 21 fibroblasts 18 normal 21 fibroblasts 19 human 21 fibroblasts 20 dermal 21 fibroblasts 21 fibroblasts 23 nhdfs 21 fibroblasts 24 ) 22 ( 23 nhdfs 23 nhdfs 24 ) 25 using 28 iv 26 collagen 27 type 27 type 28 iv however , the beneficial effects of hdspcs on aged skin remain to be elucidated . 0 ###LEFT-WALL### 5 effects 0 ###LEFT-WALL### 11 remain 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 5 effects 3 the 5 effects 4 beneficial 5 effects 5 effects 6 of 5 effects 11 remain 6 of 7 hdspcs 7 hdspcs 8 on 8 on 10 skin 9 aged 10 skin 11 remain 12 to 12 to 13 be 13 be 14 elucidated in the present study , we analyzed the growth factors secreted from hdspcs in conditioned medium ( cm ) derived from hdspcs ( hdspc - cm ) and found that hdspcs secreted higher levels of bfgf , igfbp - 1 , igfbp - 2 , hgf , vegf and igf - 1 compared with [non] - hdspcs . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 analyzed 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 growth 8 the 9 growth 9 growth 10 factors 9 growth 11 secreted 10 factors 11 secreted 11 secreted 12 from 11 secreted 21 from 12 from 13 hdspcs 13 hdspcs 14 in 13 hdspcs 20 derived 14 in 16 medium 15 conditioned 16 medium 16 medium 18 cm 17 ( 18 cm 18 cm 19 ) 21 from 28 and 22 hdspcs 25 - 22 hdspcs 28 and 23 ( 25 - 24 hdspc 25 - 25 - 26 cm 25 - 27 ) 28 and 29 found 28 and 33 higher 28 and 34 levels 29 found 30 that 29 found 31 hdspcs 31 hdspcs 32 secreted 34 levels 35 of 35 of 46 hgf 36 bfgf 38 igfbp 36 bfgf 43 - 36 bfgf 46 hgf 37 , 38 igfbp 38 igfbp 40 1 38 igfbp 43 - 39 - 40 1 40 1 42 igfbp 40 1 43 - 41 , 42 igfbp 42 igfbp 43 - 44 2 46 hgf 45 , 46 hgf 46 hgf 49 and 47 , 49 and 48 vegf 49 and 49 and 50 igf 49 and 51 - 49 and 52 1 49 and 54 with 49 and 57 hdspcs 49 and 58 . 52 1 53 compared 53 compared 54 with 56 - 57 hdspcs 57 hdspcs 58 . we then investigated whether hdspc - cm has an effect on [ultraviolet] a ( uva ) - irradiated nhdfs . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 investigated 0 ###LEFT-WALL### 17 - 1 we 3 investigated 2 then 3 investigated 3 investigated 4 whether 4 whether 7 cm 4 whether 8 has 5 hdspc 6 - 5 hdspc 7 cm 7 cm 8 has 8 has 10 effect 9 an 10 effect 10 effect 11 on 10 effect 15 uva 11 on 13 a 14 ( 15 uva 15 uva 16 ) 17 - 19 nhdfs 17 - 20 . 18 irradiated 19 nhdfs real - time rt - pcr analysis revealed that the treatment of uva - irradiated nhdfs with hdspc - cm significantly antagonized the uva - induced up - regulation of the mmp1 and the uva - induced down - regulation of the collagen types i , iv and v and timp1 mrna expressions . 0 ###LEFT-WALL### 7 analysis 0 ###LEFT-WALL### 8 revealed 0 ###LEFT-WALL### 54 . 1 real 2 - 1 real 7 analysis 3 time 7 analysis 4 rt 6 pcr 5 - 6 pcr 6 pcr 7 analysis 7 analysis 8 revealed 8 revealed 9 that 9 that 11 treatment 9 that 44 types 10 the 11 treatment 11 treatment 12 of 11 treatment 20 cm 11 treatment 22 antagonized 11 treatment 44 types 12 of 13 uva 13 uva 16 nhdfs 14 - 16 nhdfs 15 irradiated 16 nhdfs 16 nhdfs 17 with 16 nhdfs 19 - 17 with 18 hdspc 20 cm 22 antagonized 21 significantly 22 antagonized 22 antagonized 33 and 23 the 29 regulation 24 uva 26 induced 24 uva 29 regulation 25 - 26 induced 26 induced 27 up 26 induced 28 - 29 regulation 30 of 29 regulation 33 and 30 of 32 mmp1 31 the 32 mmp1 33 and 40 regulation 34 the 40 regulation 35 uva 37 induced 35 uva 40 regulation 36 - 37 induced 37 induced 38 down 37 induced 39 - 40 regulation 41 of 41 of 43 collagen 42 the 43 collagen 44 types 50 and 45 i 46 , 46 , 47 iv 46 , 48 and 48 and 49 v 48 and 50 and 50 and 53 expressions 51 timp1 52 mrna 52 mrna 53 expressions furthermore , a scratch wound healing assay showed that hdspc - cm enhanced the migratory properties of uva - irradiated nhdfs . hdspc - cm also significantly reduced the number of the early and late apoptotic cell population in uva - irradiated nhdfs . 0 ###LEFT-WALL### 7 assay 0 ###LEFT-WALL### 8 showed 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 22 . 1 furthermore 2 , 1 furthermore 7 assay 3 a 7 assay 4 scratch 5 wound 5 wound 7 assay 6 healing 7 assay 7 assay 8 showed 8 showed 9 that 8 showed 12 cm 8 showed 13 enhanced 10 hdspc 11 - 10 hdspc 12 cm 12 cm 13 enhanced 13 enhanced 16 properties 14 the 16 properties 15 migratory 16 properties 16 properties 17 of 17 of 18 uva 19 - 21 nhdfs 20 irradiated 21 nhdfs 22 . 25 cm 22 . 28 reduced 22 . 41 - 23 hdspc 24 - 23 hdspc 25 cm 25 cm 28 reduced 26 also 28 reduced 27 significantly 28 reduced 28 reduced 34 and 28 reduced 39 in 29 the 34 and 30 number 31 of 30 number 34 and 31 of 33 early 32 the 33 early 34 and 38 population 35 late 37 cell 36 apoptotic 37 cell 37 cell 38 population 39 in 40 uva 41 - 43 nhdfs 41 - 44 . 42 irradiated 43 nhdfs taken together , these data suggest that hdspc - cm can exert some beneficial effects on aged skin and may be used as a therapeutic agent to improve skin regeneration and wound healing . 0 ###LEFT-WALL### 5 data 0 ###LEFT-WALL### 8 hdspc 0 ###LEFT-WALL### 9 - 0 ###LEFT-WALL### 34 . 1 taken 2 together 1 taken 3 , 1 taken 5 data 4 these 5 data 5 data 6 suggest 6 suggest 7 that 6 suggest 8 hdspc 9 - 31 and 10 cm 19 and 10 cm 31 and 11 can 12 exert 11 can 19 and 12 exert 15 effects 12 exert 16 on 13 some 15 effects 14 beneficial 15 effects 16 on 18 skin 17 aged 18 skin 19 and 20 may 20 may 21 be 21 be 22 used 22 used 23 as 22 used 27 to 23 as 26 agent 24 a 26 agent 25 therapeutic 26 agent 27 to 28 improve 28 improve 30 regeneration 29 skin 30 regeneration 31 and 32 wound 31 and 33 healing background : pulmonary embolism ( pe ) can be an acute , life - threatening emergency , and studies suggest that advanced age is a risk factor for this condition . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 31 . 1 background 2 : 2 : 3 pulmonary 3 pulmonary 4 embolism 3 pulmonary 9 be 4 embolism 6 pe 4 embolism 8 can 5 ( 6 pe 6 pe 7 ) 8 can 9 be 9 be 13 life 10 an 11 acute 10 an 13 life 11 acute 12 , 11 acute 13 life 14 - 15 threatening 14 - 24 is 15 threatening 18 and 15 threatening 20 suggest 15 threatening 24 is 16 emergency 18 and 17 , 18 and 18 and 19 studies 18 and 20 suggest 20 suggest 21 that 20 suggest 22 advanced 21 that 22 advanced 22 advanced 23 age 24 is 27 factor 25 a 27 factor 26 risk 27 factor 27 factor 28 for 28 for 30 condition 29 this 30 condition however , the literature is [scarce] regarding pe in patients above the age of 90 years . 0 ###LEFT-WALL### 4 literature 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 17 . 1 however 2 , 1 however 4 literature 3 the 4 literature 4 literature 5 is 5 is 7 regarding 7 regarding 8 pe 7 regarding 9 in 7 regarding 11 above 9 in 10 patients 11 above 13 age 12 the 13 age 13 age 14 of 14 of 16 years 15 90 16 years this study examined the relative risk for pe in the very elderly ( >90 years ) compared with that in the elderly ( 80 - 89 years ) . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 29 . 1 this 2 study 2 study 3 examined 3 examined 6 risk 4 the 6 risk 5 relative 6 risk 6 risk 7 for 6 risk 17 compared 7 for 8 pe 8 pe 9 in 8 pe 15 years 9 in 12 elderly 10 the 11 very 10 the 12 elderly 13 ( 15 years 14 >90 15 years 15 years 16 ) 17 compared 18 with 17 compared 20 in 17 compared 25 - 18 with 19 that 20 in 22 elderly 21 the 22 elderly 23 ( 25 - 24 80 25 - 25 - 27 years 25 - 28 ) 26 89 27 years methods : a retrospective study was performed examining very elderly patients diagnosed with pe in the department of internal medicine at the university hospital homburg/saar in germany between 2004 and 2012 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 5 study 2 : 6 was 2 : 32 . 3 a 5 study 4 retrospective 5 study 5 study 6 was 6 was 8 examining 6 was 15 in 6 was 26 in 7 performed 8 examining 8 examining 11 patients 8 examining 12 diagnosed 9 very 10 elderly 10 elderly 11 patients 11 patients 12 diagnosed 12 diagnosed 13 with 13 with 14 pe 15 in 17 department 16 the 17 department 17 department 18 of 18 of 20 medicine 19 internal 20 medicine 20 medicine 21 at 21 at 25 homburg/saar 22 the 25 homburg/saar 23 university 24 hospital 24 hospital 25 homburg/saar 26 in 27 germany 27 germany 28 between 28 between 30 and 29 2004 30 and 30 and 31 2012 elderly patients ( aged 80 - 89 years ) diagnosed with pe served as controls . 0 ###LEFT-WALL### 1 elderly 0 ###LEFT-WALL### 13 served 0 ###LEFT-WALL### 16 . 1 elderly 2 patients 1 elderly 10 diagnosed 1 elderly 13 served 2 patients 4 aged 2 patients 8 years 2 patients 10 diagnosed 3 ( 4 aged 4 aged 5 80 4 aged 6 - 6 - 8 years 7 89 8 years 8 years 9 ) 10 diagnosed 11 with 11 with 12 pe 13 served 14 as 14 as 15 controls pe was confirmed by contrast - enhanced chest computed tomography or ventilation perfusion scintigraphy in both groups . 0 ###LEFT-WALL### 1 pe 0 ###LEFT-WALL### 3 confirmed 0 ###LEFT-WALL### 6 - 1 pe 2 was 2 was 3 confirmed 3 confirmed 4 by 4 by 5 contrast 6 - 11 or 6 - 14 scintigraphy 6 - 18 . 7 enhanced 10 tomography 8 chest 9 computed 9 computed 10 tomography 10 tomography 11 or 11 or 13 perfusion 11 or 14 scintigraphy 12 ventilation 13 perfusion 14 scintigraphy 15 in 15 in 17 groups 16 both 17 groups a total of 2230 patients were examined for pe in this study . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 7 examined 0 ###LEFT-WALL### 13 . 1 a 2 total 2 total 3 of 2 total 6 were 3 of 5 patients 4 2230 5 patients 6 were 7 examined 7 examined 8 for 7 examined 10 in 8 for 9 pe 10 in 12 study 11 this 12 study of these [,] 15 ( 0.67 % [ )(in the study group and 197 ( 8.83 % ) [in] the control group underwent further [evaluation] for pe . 0 ###LEFT-WALL### 22 group 0 ###LEFT-WALL### 23 underwent 0 ###LEFT-WALL### 28 . 1 of 4 15 1 of 22 group 2 these 4 15 4 15 13 and 5 ( 13 and 6 0.67 7 % 6 0.67 13 and 7 % 9 )(in 7 % 12 group 9 )(in 11 study 10 the 11 study 13 and 14 197 13 and 17 % 13 and 18 ) 15 ( 17 % 16 8.83 17 % 17 % 18 ) 20 the 22 group 21 control 22 group 22 group 23 underwent 23 underwent 24 further 23 underwent 26 for 26 for 27 pe there was a significantly lower proportion of the very elderly enrolled in the study ( p < 0.001 ) . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 20 . 1 there 2 was 2 was 6 proportion 3 a 6 proportion 4 significantly 5 lower 5 lower 6 proportion 6 proportion 7 of 6 proportion 11 enrolled 7 of 10 elderly 8 the 9 very 8 the 10 elderly 11 enrolled 12 in 12 in 14 study 13 the 14 study 14 study 17 < 15 ( 17 < 16 p 17 < 17 < 18 0.001 17 < 19 ) there were no significant differences in clinical presentation , cardiovascular risk factors , electrocardiograms , blood gas analyses , radiological diagnoses , or acute comorbidities between the groups . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 29 . 1 there 2 were 2 were 5 differences 3 no 5 differences 4 significant 5 differences 5 differences 6 in 6 in 8 presentation 7 clinical 8 presentation 9 , 23 or 10 cardiovascular 12 factors 11 risk 12 factors 12 factors 13 , 13 , 14 electrocardiograms 13 , 15 , 15 , 18 analyses 15 , 19 , 16 blood 17 gas 17 gas 18 analyses 19 , 21 diagnoses 19 , 23 or 20 radiological 21 diagnoses 22 , 23 or 23 or 25 comorbidities 23 or 26 between 24 acute 25 comorbidities 26 between 28 groups 27 the 28 groups however , the very elderly were more likely to experience minor bleeding in the extremities ( p = 0.016 ) [and] to have more chronic diseases ( p < 0.001 ) . 0 ###LEFT-WALL### 5 elderly 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 32 . 1 however 2 , 1 however 5 elderly 3 the 4 very 3 the 5 elderly 5 elderly 6 were 6 were 8 likely 7 more 8 likely 8 likely 9 to 8 likely 22 to 8 likely 23 have 9 to 10 experience 10 experience 12 bleeding 10 experience 13 in 11 minor 12 bleeding 13 in 15 extremities 14 the 15 extremities 15 extremities 18 = 16 ( 18 = 17 p 18 = 18 = 19 0.016 18 = 20 ) 22 to 23 have 23 have 26 diseases 24 more 25 chronic 25 chronic 26 diseases 26 diseases 29 < 27 ( 29 < 28 p 29 < 29 < 30 0.001 29 < 31 ) an increased relative risk of pe was not detected in the very elderly [(] relative risk 0.98 , p = 0.88 ) . 0 ###LEFT-WALL### 4 risk 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 23 . 1 an 4 risk 2 increased 4 risk 3 relative 4 risk 4 risk 5 of 4 risk 7 was 5 of 6 pe 7 was 8 not 7 was 10 in 8 not 9 detected 10 in 16 risk 11 the 16 risk 12 very 13 elderly 13 elderly 16 risk 15 relative 16 risk 16 risk 20 = 17 0.98 20 = 18 , 20 = 19 p 20 = 20 = 21 0.88 20 = 22 ) furthermore , [d] - dimer , troponin t , and high - sensitive troponin t levels had limited predictive value for pe in the very elderly . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 18 limited 0 ###LEFT-WALL### 27 . 1 furthermore 2 , 1 furthermore 10 and 4 - 5 dimer 5 dimer 6 , 5 dimer 10 and 7 troponin 8 t 7 troponin 10 and 9 , 10 and 10 and 16 levels 10 and 17 had 11 high 12 - 11 high 14 troponin 13 sensitive 14 troponin 14 troponin 15 t 14 troponin 16 levels 17 had 18 limited 18 limited 20 value 18 limited 23 in 19 predictive 20 value 20 value 21 for 21 for 22 pe 23 in 26 elderly 24 the 25 very 24 the 26 elderly there were no significant differences in the number of hospital admissions , intensive care or ward treatments , or duration of hospitalization . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 23 . 1 there 2 were 2 were 5 differences 3 no 5 differences 4 significant 5 differences 5 differences 6 in 5 differences 21 of 6 in 19 or 7 the 8 number 8 number 9 of 8 number 12 , 9 of 11 admissions 10 hospital 11 admissions 12 , 14 care 12 , 15 or 13 intensive 14 care 15 or 17 treatments 15 or 19 or 16 ward 17 treatments 18 , 19 or 19 or 20 duration 21 of 22 hospitalization conclusion : the relative risk for pe in the very elderly is not higher than that in the elderly . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 5 risk 2 : 12 is 2 : 20 . 3 the 5 risk 4 relative 5 risk 5 risk 6 for 5 risk 12 is 6 for 7 pe 7 pe 8 in 8 in 11 elderly 9 the 10 very 9 the 11 elderly 12 is 13 not 12 is 14 higher 14 higher 15 than 14 higher 17 in 15 than 16 that 17 in 19 elderly 18 the 19 elderly introduction : studies on the associations between cognitive abilities and life satisfaction ( ls ) in the oldest - old are few . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 3 studies 2 : 21 are 3 studies 4 on 3 studies 21 are 4 on 6 associations 5 the 6 associations 6 associations 7 between 6 associations 16 in 7 between 10 and 8 cognitive 9 abilities 9 abilities 10 and 10 and 12 satisfaction 10 and 14 ls 11 life 12 satisfaction 13 ( 14 ls 14 ls 15 ) 16 in 20 old 17 the 18 oldest 17 the 20 old 18 oldest 19 - 21 are 22 few the aim of this study was to explore whether abilities in six different cognitive domains could predict ls in the oldest - old 3 years later . 0 ###LEFT-WALL### 2 aim 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 8 explore 7 to 8 explore 8 explore 9 whether 8 explore 19 in 9 whether 10 abilities 9 whether 17 predict 10 abilities 11 in 10 abilities 16 could 11 in 15 domains 12 six 15 domains 13 different 15 domains 14 cognitive 15 domains 16 could 17 predict 17 predict 18 ls 19 in 23 old 20 the 21 oldest 20 the 23 old 21 oldest 22 - 23 old 26 later 24 3 25 years 25 years 26 later methods : the study population consisted of 681 individuals aged 78 - 98 years , drawn from the longitudinal population study " good aging in skåne , " which is part of a national survey ( the swedish national study on aging and care ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 46 . 2 : 5 population 2 : 6 consisted 2 : 12 - 2 : 27 , 3 the 5 population 4 study 5 population 5 population 6 consisted 6 consisted 7 of 7 of 9 individuals 8 681 9 individuals 9 individuals 10 aged 10 aged 11 78 12 - 14 years 13 98 14 years 14 years 16 drawn 15 , 16 drawn 16 drawn 17 from 16 drawn 25 in 16 drawn 27 , 17 from 24 aging 18 the 21 study 19 longitudinal 20 population 20 population 21 study 21 study 22 " 21 study 24 aging 23 good 24 aging 25 in 26 skåne 27 , 28 " 27 , 29 which 27 , 30 is 29 which 30 is 30 is 31 part 31 part 32 of 32 of 35 survey 33 a 35 survey 34 national 35 survey 35 survey 40 study 36 ( 40 study 37 the 38 swedish 38 swedish 40 study 39 national 40 study 40 study 41 on 40 study 45 ) 41 on 43 and 42 aging 43 and 43 and 44 care scores on 13 cognitive tests were related to scores on neugartens ' ls index a ( lsi - a ) 3 years later . 0 ###LEFT-WALL### 1 scores 0 ###LEFT-WALL### 7 related 0 ###LEFT-WALL### 24 . 1 scores 2 on 1 scores 6 were 2 on 5 tests 3 13 5 tests 4 cognitive 5 tests 6 were 7 related 7 related 8 to 7 related 10 on 7 related 23 later 8 to 9 scores 10 on 14 index 11 neugartens 12 ' 12 ' 14 index 13 ls 14 index 14 index 15 a 14 index 18 - 16 ( 18 - 17 lsi 18 - 18 - 19 a 18 - 20 ) 21 3 22 years 22 years 23 later the cognitive tests were added into six different cognitive domains . 0 ###LEFT-WALL### 3 tests 0 ###LEFT-WALL### 5 added 0 ###LEFT-WALL### 11 . 1 the 3 tests 2 cognitive 3 tests 3 tests 4 were 4 were 5 added 5 added 6 into 6 into 10 domains 7 six 10 domains 8 different 10 domains 9 cognitive 10 domains a multiple regression analysis was constructed for each cognitive domain separately , with scores on the lsi - [a] as the dependent variable . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 6 constructed 0 ###LEFT-WALL### 24 . 1 a 2 multiple 1 a 4 analysis 2 multiple 3 regression 3 regression 4 analysis 4 analysis 5 was 5 was 6 constructed 6 constructed 7 for 6 constructed 11 separately 6 constructed 13 with 6 constructed 20 as 7 for 10 domain 8 each 10 domain 9 cognitive 10 domain 12 , 13 with 13 with 14 scores 13 with 15 on 13 with 18 - 15 on 17 lsi 16 the 17 lsi 20 as 23 variable 21 the 23 variable 22 dependent 23 variable the model was adjusted stepwise for sex , age , education , functional capacity , and depressive mood . 0 ###LEFT-WALL### 2 model 0 ###LEFT-WALL### 4 adjusted 0 ###LEFT-WALL### 19 . 1 the 2 model 2 model 3 was 3 was 4 adjusted 4 adjusted 5 stepwise 5 stepwise 6 for 6 for 16 and 7 sex 8 , 8 , 9 age 8 , 10 , 10 , 11 education 10 , 12 , 12 , 14 capacity 12 , 16 and 13 functional 14 capacity 15 , 16 and 16 and 18 mood 17 depressive 18 mood results : significant correlations were found between digit cancellation , word recall , verbal fluency ( vf [ )(a , vf animals , vf occupations , and mental rotations at baseline , as well as lsi - a [at] follow - up . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 10 , 1 results 2 : 2 : 3 significant 3 significant 4 correlations 3 significant 6 found 4 correlations 5 were 5 were 6 found 6 found 7 between 7 between 9 cancellation 8 digit 9 cancellation 10 , 11 word 10 , 20 , 11 word 12 recall 12 recall 15 fluency 13 , 15 fluency 14 verbal 15 fluency 15 fluency 17 vf 15 fluency 20 , 16 ( 17 vf 17 vf 19 )(a 17 vf 20 , 20 , 22 animals 20 , 23 , 21 vf 22 animals 23 , 25 occupations 23 , 26 , 24 vf 25 occupations 26 , 27 and 27 and 29 rotations 28 mental 29 rotations 29 rotations 30 at 29 rotations 40 follow 30 at 31 baseline 31 baseline 37 - 32 , 37 - 33 as 34 well 33 as 37 - 34 well 35 as 34 well 37 - 35 as 36 lsi 37 - 38 a 40 follow 42 up 41 - 42 up 42 up 43 . the domains of spatial abilities ( b = 0.453 , p = 0.014 ) and processing speed ( b = 0.118 , p = 0.020 ) remained significantly associated with lsi [-] a 3 years later after adjustment . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 27 remained 0 ###LEFT-WALL### 39 . 1 the 2 domains 2 domains 3 of 2 domains 15 and 3 of 5 abilities 4 spatial 5 abilities 5 abilities 8 = 5 abilities 12 = 6 ( 8 = 7 b 8 = 8 = 9 0.453 8 = 10 , 10 , 12 = 11 p 12 = 12 = 13 0.014 12 = 14 ) 15 and 17 speed 15 and 20 = 15 and 24 = 15 and 27 remained 16 processing 17 speed 18 ( 20 = 19 b 20 = 20 = 21 0.118 20 = 22 , 23 p 24 = 24 = 25 0.020 24 = 26 ) 27 remained 29 associated 27 remained 30 with 28 significantly 29 associated 30 with 31 lsi 30 with 37 after 31 lsi 33 a 31 lsi 36 later 34 3 35 years 35 years 36 later 37 after 38 adjustment conclusion : the cognitive domains of spatial abilities and processing speed predicted ls 3 years later in the oldest - old . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 22 . 1 conclusion 2 : 2 : 5 domains 3 the 5 domains 4 cognitive 5 domains 5 domains 6 of 6 of 8 abilities 7 spatial 8 abilities 9 and 10 processing 9 and 12 predicted 10 processing 11 speed 10 processing 12 predicted 12 predicted 13 ls 12 predicted 17 in 13 ls 16 later 14 3 15 years 15 years 16 later 17 in 21 old 18 the 19 oldest 18 the 21 old 19 oldest 20 - clinical implications are discussed . 0 ###LEFT-WALL### 2 implications 0 ###LEFT-WALL### 4 discussed 0 ###LEFT-WALL### 5 . 1 clinical 2 implications 2 implications 3 are 3 are 4 discussed as the population ages , increasing attention has become focused on the prevalence of anemia in elderly individuals . 0 ###LEFT-WALL### 6 increasing 0 ###LEFT-WALL### 9 become 0 ###LEFT-WALL### 19 . 1 as 3 population 1 as 4 ages 1 as 5 , 1 as 6 increasing 2 the 3 population 3 population 4 ages 6 increasing 7 attention 6 increasing 8 has 8 has 9 become 9 become 10 focused 10 focused 11 on 10 focused 16 in 11 on 13 prevalence 12 the 13 prevalence 13 prevalence 14 of 14 of 15 anemia 16 in 18 individuals 17 elderly 18 individuals anemia occurs in more than 10 % of individuals who are older than the age of 65 years , and it increases to more than 50 % in individuals who are older than the age of 80 years . 0 ###LEFT-WALL### 1 anemia 0 ###LEFT-WALL### 2 occurs 0 ###LEFT-WALL### 5 than 0 ###LEFT-WALL### 39 . 1 anemia 2 occurs 2 occurs 3 in 2 occurs 5 than 3 in 4 more 5 than 7 % 5 than 22 increases 6 10 7 % 7 % 8 of 7 % 10 who 7 % 11 are 7 % 22 increases 8 of 9 individuals 10 who 11 are 11 are 12 older 12 older 13 than 13 than 15 age 13 than 16 of 14 the 15 age 16 of 20 and 17 65 18 years 18 years 20 and 19 , 20 and 20 and 21 it 22 increases 23 to 23 to 27 % 24 more 25 than 25 than 26 50 26 50 27 % 27 % 28 in 27 % 30 who 27 % 31 are 28 in 29 individuals 30 who 31 are 31 are 32 older 32 older 33 than 33 than 35 age 33 than 36 of 34 the 35 age 36 of 38 years 37 80 38 years although the anemia is typically mild and unlikely to result in symptoms , it is uniformly associated with increased morbidity and mortality as assessed in large cohort studies . 0 ###LEFT-WALL### 14 it 0 ###LEFT-WALL### 17 associated 0 ###LEFT-WALL### 29 . 1 although 3 anemia 1 although 4 is 1 although 13 , 1 although 14 it 2 the 3 anemia 3 anemia 4 is 4 is 5 typically 4 is 7 and 6 mild 7 and 7 and 8 unlikely 8 unlikely 9 to 8 unlikely 10 result 9 to 10 result 10 result 11 in 11 in 12 symptoms 14 it 15 is 15 is 16 uniformly 15 is 17 associated 17 associated 18 with 17 associated 25 in 18 with 21 and 19 increased 20 morbidity 20 morbidity 21 and 21 and 22 mortality 21 and 24 assessed 23 as 24 assessed 25 in 28 studies 26 large 27 cohort 27 cohort 28 studies anemia is an independent predictor of these adverse outcomes both in healthy [community] - dwelling subjects and in patients with significant co - morbidities . 0 ###LEFT-WALL### 1 anemia 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 25 . 1 anemia 2 is 2 is 5 predictor 2 is 10 both 3 an 4 independent 3 an 5 predictor 4 independent 5 predictor 5 predictor 6 of 6 of 9 outcomes 7 these 9 outcomes 8 adverse 9 outcomes 10 both 17 and 11 in 16 subjects 11 in 17 and 12 healthy 14 - 12 healthy 15 dwelling 15 dwelling 16 subjects 17 and 18 in 18 in 19 patients 19 patients 20 with 20 with 24 morbidities 21 significant 24 morbidities 22 co 23 - 22 co 24 morbidities efforts to understand the pathophysiology of anemia in this population , especially the [one] third of patients with " unexplained " anemia , have focused on the potential contributions of inflammatory pathways , erythropoietin resistance , and changes in hematopoietic stem cells to the age - dependent decrease [in] red cell mass . 0 ###LEFT-WALL### 1 efforts 0 ###LEFT-WALL### 7 anemia 0 ###LEFT-WALL### 23 , 1 efforts 2 to 1 efforts 6 of 1 efforts 7 anemia 2 to 3 understand 3 understand 5 pathophysiology 4 the 5 pathophysiology 5 pathophysiology 6 of 7 anemia 8 in 8 in 10 population 9 this 10 population 10 population 15 third 11 , 12 especially 11 , 15 third 13 the 15 third 15 third 16 of 15 third 23 , 16 of 17 patients 17 patients 18 with 18 with 19 " 18 with 22 anemia 20 unexplained 21 " 20 unexplained 22 anemia 23 , 24 have 23 , 46 - 24 have 25 focused 25 focused 26 on 26 on 29 contributions 27 the 29 contributions 28 potential 29 contributions 29 contributions 30 of 30 of 37 and 31 inflammatory 32 pathways 32 pathways 33 , 33 , 35 resistance 33 , 37 and 34 erythropoietin 35 resistance 36 , 37 and 37 and 38 changes 37 and 46 - 38 changes 39 in 39 in 42 cells 40 hematopoietic 42 cells 41 stem 42 cells 42 cells 43 to 43 to 45 age 44 the 45 age 46 - 52 mass 46 - 53 . 47 dependent 48 decrease 48 decrease 52 mass 50 red 52 mass 51 cell 52 mass we would argue that these pathways are closely interrelated and combine to lead to anemia in aging individuals . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 19 . 1 we 10 and 2 would 3 argue 2 would 10 and 3 argue 4 that 4 that 6 pathways 4 that 9 interrelated 5 these 6 pathways 6 pathways 7 are 7 are 9 interrelated 8 closely 9 interrelated 10 and 11 combine 11 combine 12 to 11 combine 16 in 12 to 13 lead 13 lead 14 to 14 to 15 anemia 16 in 17 aging 17 aging 18 individuals this brief review summarizes the current understanding of this entity and our studies aimed at further delineating its pathophysiology . 0 ###LEFT-WALL### 3 review 0 ###LEFT-WALL### 4 summarizes 0 ###LEFT-WALL### 20 . 1 this 3 review 2 brief 3 review 3 review 4 summarizes 4 summarizes 7 understanding 4 summarizes 15 at 5 the 7 understanding 6 current 7 understanding 7 understanding 8 of 8 of 11 and 9 this 10 entity 10 entity 11 and 11 and 13 studies 11 and 14 aimed 12 our 13 studies 15 at 17 delineating 16 further 17 delineating 17 delineating 19 pathophysiology 18 its 19 pathophysiology objective : we conducted a clinicopathologic study in a large population with very low levels of education to determine whether very few years [of] education could contribute to cognitive reserve and modify the relation of neuropathologic indices to dementia . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 40 . 2 : 3 we 2 : 31 and 3 we 31 and 4 conducted 7 study 4 conducted 18 to 4 conducted 31 and 5 a 7 study 6 clinicopathologic 7 study 7 study 8 in 7 study 12 with 8 in 11 population 9 a 11 population 10 large 11 population 12 with 15 levels 13 very 14 low 14 low 15 levels 15 levels 16 of 16 of 17 education 18 to 19 determine 19 determine 20 whether 19 determine 28 to 20 whether 23 years 20 whether 27 contribute 21 very 22 few 22 few 23 years 23 years 25 education 23 years 26 could 23 years 27 contribute 25 education 26 could 28 to 30 reserve 29 cognitive 30 reserve 31 and 32 modify 32 modify 34 relation 32 modify 38 to 33 the 34 relation 34 relation 35 of 35 of 37 indices 36 neuropathologic 37 indices 38 to 39 dementia methods : in this cross - sectional study , we included 675 individuals 50 years of age or older from the brazilian aging brain study group . 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 this 5 cross 5 cross 8 study 6 - 8 study 7 sectional 8 study 8 study 9 , 9 , 10 we 9 , 11 included 10 we 11 included 11 included 13 individuals 12 675 13 individuals 13 individuals 18 or 14 50 15 years 15 years 16 of 15 years 18 or 16 of 17 age 18 or 19 older 18 or 20 from 20 from 26 group 21 the 22 brazilian 22 brazilian 26 group 23 aging 24 brain 24 brain 25 study 25 study 26 group cognitive abilities were evaluated through a structured interview with an informant at the time [of] autopsy , including the clinical dementia rating ( cdr ) scale . 0 ###LEFT-WALL### 2 abilities 0 ###LEFT-WALL### 4 evaluated 1 cognitive 2 abilities 2 abilities 3 were 3 were 4 evaluated 4 evaluated 5 through 4 evaluated 9 with 4 evaluated 12 at 5 through 8 interview 6 a 8 interview 7 structured 8 interview 9 with 11 informant 10 an 11 informant 12 at 16 autopsy 13 the 16 autopsy 14 time 16 autopsy 16 autopsy 18 including 17 , 18 including 18 including 26 scale 18 including 27 . 19 the 26 scale 20 clinical 21 dementia 21 dementia 22 rating 22 rating 24 cdr 23 ( 24 cdr 24 cdr 25 ) 24 cdr 26 scale neuropathologic examinations were performed using immunohistochemistry and following internationally accepted criteria . 0 ###LEFT-WALL### 2 examinations 0 ###LEFT-WALL### 10 accepted 0 ###LEFT-WALL### 12 . 1 neuropathologic 2 examinations 2 examinations 7 and 2 examinations 10 accepted 3 were 4 performed 3 were 7 and 4 performed 5 using 5 using 6 immunohistochemistry 7 and 8 following 7 and 9 internationally 10 accepted 11 criteria multivariate linear regression models were conducted to determine whether the association between cognitive abilities ( measured by cdr [sum] of boxes ) and years [of] education was independent of sociodemographic variables and neuropathologic indices , including neuritic plaques , neurofibrillary tangles , lacunar infarctions , small - vessel disease , and lewy bodies . 0 ###LEFT-WALL### 1 multivariate 0 ###LEFT-WALL### 8 determine 0 ###LEFT-WALL### 54 . 1 multivariate 4 models 1 multivariate 5 were 1 multivariate 6 conducted 2 linear 4 models 3 regression 4 models 4 models 5 were 6 conducted 7 to 7 to 8 determine 8 determine 9 whether 9 whether 26 education 9 whether 27 was 10 the 11 association 11 association 12 between 11 association 23 and 12 between 14 abilities 13 cognitive 14 abilities 14 abilities 16 measured 15 ( 16 measured 16 measured 17 by 16 measured 22 ) 17 by 18 cdr 18 cdr 20 of 20 of 21 boxes 23 and 24 years 23 and 26 education 26 education 27 was 27 was 53 bodies 28 independent 29 of 28 independent 32 and 29 of 31 variables 30 sociodemographic 31 variables 32 and 34 indices 32 and 36 including 32 and 51 and 33 neuropathologic 34 indices 35 , 36 including 36 including 38 plaques 36 including 50 , 37 neuritic 38 plaques 38 plaques 41 tangles 38 plaques 49 disease 39 , 41 tangles 40 neurofibrillary 41 tangles 41 tangles 44 infarctions 41 tangles 45 , 42 , 44 infarctions 43 lacunar 44 infarctions 44 infarctions 45 , 45 , 49 disease 46 small 47 - 46 small 49 disease 48 vessel 49 disease 49 disease 50 , 51 and 52 lewy 51 and 53 bodies in addition , interaction models were used to examine whether education modified the relation between neuropathologic indices and cognition . 0 ###LEFT-WALL### 5 models 0 ###LEFT-WALL### 7 used 0 ###LEFT-WALL### 20 . 1 in 2 addition 1 in 3 , 1 in 5 models 4 interaction 5 models 5 models 6 were 6 were 7 used 7 used 8 to 7 used 9 examine 8 to 9 examine 9 examine 10 whether 10 whether 11 education 10 whether 12 modified 11 education 12 modified 12 modified 14 relation 12 modified 15 between 13 the 14 relation 15 between 18 and 16 neuropathologic 17 indices 17 indices 18 and 18 and 19 cognition results : mean education was 3.9 ± 3.5 years . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 3 mean 0 ###LEFT-WALL### 10 . 1 results 2 : 2 : 3 mean 3 mean 4 education 3 mean 5 was 4 education 5 was 5 was 9 years 6 3.9 9 years 7 ± 9 years 8 3.5 9 years formal education was associated with a lower cdr sum of boxes ( β [=] - 0.197 ; 95 % confidence interval - 0.343 , - 0.052 [;] p = 0.008 ) , after adjustment for sociodemographic variables and neuropathologic indices . 0 ###LEFT-WALL### 1 formal 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 17 ; 1 formal 2 education 1 formal 3 was 1 formal 4 associated 2 education 3 was 4 associated 5 with 4 associated 15 - 5 with 9 sum 6 a 9 sum 7 lower 9 sum 8 cdr 9 sum 9 sum 10 of 10 of 11 boxes 12 ( 15 - 13 β 15 - 15 - 16 0.197 15 - 17 ; 17 ; 21 interval 17 ; 22 - 18 95 19 % 19 % 20 confidence 20 confidence 21 interval 22 - 23 0.343 23 0.343 26 0.052 23 0.343 33 after 24 , 26 0.052 25 - 26 0.052 26 0.052 29 = 26 0.052 32 , 28 p 29 = 29 = 30 0.008 29 = 31 ) 32 , 33 after 33 after 38 and 33 after 41 . 34 adjustment 35 for 34 adjustment 38 and 35 for 37 variables 36 sociodemographic 37 variables 38 and 40 indices 39 neuropathologic 40 indices furthermore , education modified the relationship of [lacunar] [infarcts] with cognitive abilities ( p = 0.04 ) . 0 ###LEFT-WALL### 3 education 0 ###LEFT-WALL### 4 modified 0 ###LEFT-WALL### 18 . 1 furthermore 2 , 1 furthermore 3 education 3 education 4 modified 4 modified 6 relationship 5 the 6 relationship 6 relationship 7 of 7 of 10 with 10 with 12 abilities 11 cognitive 12 abilities 12 abilities 15 = 13 ( 15 = 14 p 15 = 15 = 16 0.04 15 = 17 ) conclusions : even a few years [of] formal education contributes to cognitive reserve . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 . 1 conclusions 2 : 2 : 3 even 2 : 6 years 4 a 5 few 5 few 6 years 6 years 9 education 6 years 10 contributes 8 formal 9 education 9 education 10 contributes 10 contributes 11 to 11 to 13 reserve 12 cognitive 13 reserve perturbations in mitochondrial health may foster age - related losses of aerobic capacity ( vo2peak ) and skeletal muscle size . 0 ###LEFT-WALL### 1 perturbations 0 ###LEFT-WALL### 6 foster 0 ###LEFT-WALL### 9 related 0 ###LEFT-WALL### 21 . 1 perturbations 2 in 1 perturbations 5 may 2 in 4 health 3 mitochondrial 4 health 5 may 6 foster 6 foster 7 age 8 - 9 related 9 related 17 and 10 losses 11 of 10 losses 17 and 11 of 13 capacity 12 aerobic 13 capacity 13 capacity 15 vo2peak 14 ( 15 vo2peak 15 vo2peak 16 ) 17 and 20 size 18 skeletal 19 muscle 19 muscle 20 size however , limited data exist regarding mitochondrial dynamics in aging human skeletal muscle and the influence of exercise . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 5 exist 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 4 data 3 limited 4 data 4 data 5 exist 5 exist 8 dynamics 5 exist 9 in 6 regarding 8 dynamics 7 mitochondrial 8 dynamics 9 in 14 and 10 aging 13 muscle 11 human 13 muscle 12 skeletal 13 muscle 13 muscle 14 and 14 and 16 influence 14 and 17 of 15 the 16 influence 17 of 18 exercise the purpose of this study was to examine proteins regulating mitochondrial biogenesis and dynamics , vo2peak , and skeletal muscle size before and after aerobic exercise training in young men ( 20 ± 1 [y] ) and older men ( 74 ± 3 [y] ) . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 46 . 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 examine 8 examine 9 proteins 9 proteins 10 regulating 10 regulating 13 and 11 mitochondrial 12 biogenesis 12 biogenesis 13 and 13 and 14 dynamics 15 , 18 and 16 vo2peak 18 and 17 , 18 and 18 and 21 size 18 and 23 and 19 skeletal 20 muscle 20 muscle 21 size 22 before 23 and 23 and 24 after 24 after 39 men 25 aerobic 39 men 26 exercise 27 training 27 training 28 in 27 training 37 and 28 in 30 men 29 young 30 men 30 men 33 ± 31 ( 33 ± 32 20 33 ± 33 ± 34 1 33 ± 36 ) 37 and 38 older 37 and 39 men 39 men 42 ± 40 ( 42 ± 41 74 42 ± 42 ± 43 3 42 ± 45 ) exercise [-] induced skeletal muscle [hypertrophy] [occurred] [independent] of age , whereas the improvement in vo2peak was more pronounced in young men . 0 ###LEFT-WALL### 1 exercise 0 ###LEFT-WALL### 3 induced 1 exercise 3 induced 3 induced 5 muscle 3 induced 12 whereas 4 skeletal 5 muscle 5 muscle 9 of 9 of 10 age 11 , 12 whereas 12 whereas 14 improvement 12 whereas 19 pronounced 12 whereas 23 . 13 the 14 improvement 14 improvement 15 in 14 improvement 17 was 15 in 16 vo2peak 17 was 18 more 17 was 19 pronounced 19 pronounced 20 in 20 in 22 men 21 young 22 men aerobic exercise training increased proteins involved with mitochondrial biogenesis , fusion , and fission , independent of age . 0 ###LEFT-WALL### 3 training 0 ###LEFT-WALL### 19 . 1 aerobic 3 training 2 exercise 3 training 3 training 4 increased 4 increased 5 proteins 5 proteins 6 involved 5 proteins 17 of 6 involved 7 with 7 with 13 and 7 with 16 independent 8 mitochondrial 9 biogenesis 9 biogenesis 10 , 10 , 11 fusion 10 , 13 and 12 , 13 and 13 and 14 fission 13 and 15 , 17 of 18 age this is the first study to examine pathways of mitochondrial quality control in aging human skeletal muscle with aerobic exercise training . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 22 . 1 this 2 is 2 is 5 study 3 the 4 first 3 the 5 study 5 study 6 to 5 study 21 training 6 to 7 examine 7 examine 8 pathways 8 pathways 9 of 8 pathways 21 training 9 of 12 control 10 mitochondrial 11 quality 11 quality 12 control 12 control 13 in 13 in 14 aging 14 aging 17 muscle 14 aging 18 with 15 human 17 muscle 16 skeletal 17 muscle 18 with 20 exercise 19 aerobic 20 exercise these data indicate normal aging does not influence proteins associated with mitochondrial health or the ability to respond to aerobic exercise training at the mitochondrial and skeletal muscle levels . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 7 not 0 ###LEFT-WALL### 18 respond 0 ###LEFT-WALL### 30 . 1 these 2 data 2 data 3 indicate 3 indicate 5 aging 3 indicate 6 does 4 normal 5 aging 5 aging 6 does 7 not 9 proteins 7 not 10 associated 8 influence 9 proteins 9 proteins 10 associated 10 associated 11 with 10 associated 17 to 11 with 14 or 12 mitochondrial 13 health 13 health 14 or 14 or 16 ability 15 the 16 ability 17 to 18 respond 18 respond 19 to 18 respond 22 training 18 respond 29 levels 19 to 21 exercise 20 aerobic 21 exercise 22 training 23 at 22 training 29 levels 23 at 28 muscle 24 the 28 muscle 25 mitochondrial 26 and 26 and 27 skeletal 26 and 28 muscle disorders of the gastrointestinal tract are common in the elderly people ; however , the precise trait [(] [s] [ )(of aging that [contribute] to the vulnerability of the gastrointestinal tract [are] poorly understood . 0 ###LEFT-WALL### 1 disorders 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 12 ; 0 ###LEFT-WALL### 35 . 1 disorders 2 of 1 disorders 6 are 2 of 5 tract 3 the 5 tract 4 gastrointestinal 5 tract 6 are 7 common 7 common 8 in 8 in 11 people 9 the 11 people 10 elderly 11 people 12 ; 17 trait 12 ; 34 understood 13 however 14 , 13 however 17 trait 15 the 17 trait 16 precise 17 trait 17 trait 21 )(of 17 trait 34 understood 21 )(of 22 aging 22 aging 23 that 22 aging 25 to 25 to 27 vulnerability 26 the 27 vulnerability 27 vulnerability 28 of 28 of 31 tract 29 the 31 tract 30 gastrointestinal 31 tract 33 poorly 34 understood recent evidence suggests that patients with gastrointestinal disorders have increased intestinal permeability . 0 ###LEFT-WALL### 2 evidence 0 ###LEFT-WALL### 3 suggests 0 ###LEFT-WALL### 13 . 1 recent 2 evidence 2 evidence 3 suggests 3 suggests 4 that 4 that 5 patients 4 that 9 have 5 patients 6 with 6 with 8 disorders 7 gastrointestinal 8 disorders 9 have 10 increased 10 increased 12 permeability 11 intestinal 12 permeability here , we address the hypothesis that disruption of the intestinal barrier is associated with aging . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 address 0 ###LEFT-WALL### 17 . 1 here 2 , 1 here 3 we 3 we 4 address 4 address 6 hypothesis 5 the 6 hypothesis 6 hypothesis 7 that 7 that 8 disruption 7 that 14 associated 8 disruption 9 of 8 disruption 13 is 9 of 12 barrier 10 the 12 barrier 11 intestinal 12 barrier 13 is 14 associated 14 associated 15 with 15 with 16 aging our results demonstrated that permeability was significantly higher in colonic [biopsies] collected [from] old baboons compared with young baboons . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 demonstrated 0 ###LEFT-WALL### 20 . 1 our 2 results 2 results 3 demonstrated 3 demonstrated 4 that 4 that 5 permeability 4 that 6 was 5 permeability 6 was 6 was 7 significantly 6 was 8 higher 8 higher 9 in 8 higher 17 with 9 in 15 baboons 10 colonic 15 baboons 12 collected 15 baboons 14 old 15 baboons 15 baboons 16 compared 17 with 19 baboons 18 young 19 baboons additionally , colonic tissue from the older animals had decreased zonula occluden - 1 , occludin , and junctional adhesion molecule - a tight junction protein expression and increased claudin - 2 expression . 0 ###LEFT-WALL### 4 tissue 0 ###LEFT-WALL### 10 decreased 0 ###LEFT-WALL### 31 - 1 additionally 2 , 1 additionally 4 tissue 3 colonic 4 tissue 4 tissue 5 from 4 tissue 9 had 5 from 8 animals 6 the 8 animals 7 older 8 animals 9 had 10 decreased 10 decreased 12 occluden 11 zonula 12 occluden 12 occluden 14 1 12 occluden 18 and 12 occluden 28 and 13 - 14 1 14 1 15 , 15 , 18 and 16 occludin 18 and 17 , 18 and 18 and 21 molecule 18 and 22 - 19 junctional 20 adhesion 20 adhesion 21 molecule 22 - 28 and 23 a 24 tight 23 a 27 expression 24 tight 25 junction 25 junction 26 protein 26 protein 27 expression 27 expression 28 and 28 and 30 claudin 28 and 31 - 29 increased 30 claudin 31 - 33 expression 31 - 34 . 32 2 33 expression upregulation of mir - 29a and inflammatory cytokines ifn - [γ] , il - 6 , and il - 1β was also found in colonic [biopsies] from old baboons relative to young baboons . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 34 . 1 upregulation 2 of 1 upregulation 6 and 2 of 5 29a 3 mir 4 - 3 mir 5 29a 6 and 9 ifn 6 and 10 - 6 and 12 , 7 inflammatory 8 cytokines 8 cytokines 9 ifn 12 , 13 il 12 , 17 and 13 il 15 6 14 - 15 6 15 6 16 , 17 and 18 il 17 and 19 - 17 and 20 1β 17 and 21 was 17 and 23 found 17 and 25 colonic 20 1β 21 was 22 also 23 found 23 found 24 in 25 colonic 27 from 27 from 29 baboons 28 old 29 baboons 29 baboons 30 relative 30 relative 31 to 31 to 33 baboons 32 young 33 baboons these results show for the first time that a pivotal contributing factor to geriatric vulnerability to gastrointestinal dysfunction may be increased colonic permeability via age - associated remodeling of intestinal epithelial tight junction proteins . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 35 . 1 these 2 results 2 results 3 show 3 show 4 for 3 show 7 time 3 show 27 associated 4 for 6 first 5 the 6 first 7 time 8 that 7 time 27 associated 8 that 12 factor 8 that 21 increased 9 a 10 pivotal 9 a 12 factor 10 pivotal 12 factor 11 contributing 12 factor 12 factor 13 to 12 factor 19 may 13 to 15 vulnerability 14 geriatric 15 vulnerability 15 vulnerability 16 to 16 to 18 dysfunction 17 gastrointestinal 18 dysfunction 19 may 20 be 20 be 21 increased 21 increased 23 permeability 21 increased 26 - 22 colonic 23 permeability 23 permeability 24 via 24 via 25 age 27 associated 28 remodeling 28 remodeling 29 of 29 of 34 proteins 30 intestinal 33 junction 31 epithelial 33 junction 32 tight 33 junction 33 junction 34 proteins none objective : to determine the association between changes in the delayed gadolinium - enhanced mri of cartilage ( dgemric ) index over 2 years as a measure of cartilage proteoglycan concentration , with changes in cartilage thickness in the medial tibiofemoral compartment of knees in middle [-] aged women . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 22 index 1 none 2 objective 1 none 5 determine 1 none 16 mri 1 none 22 index 2 objective 3 : 3 : 4 to 3 : 5 determine 4 to 5 determine 5 determine 7 association 6 the 7 association 7 association 8 between 8 between 9 changes 9 changes 10 in 10 in 13 gadolinium 11 the 13 gadolinium 12 delayed 13 gadolinium 14 - 16 mri 15 enhanced 16 mri 16 mri 17 of 16 mri 20 dgemric 16 mri 21 ) 17 of 18 cartilage 19 ( 20 dgemric 20 dgemric 21 ) 22 index 23 over 22 index 32 concentration 22 index 34 with 23 over 25 years 24 2 25 years 25 years 26 as 25 years 29 of 26 as 28 measure 27 a 28 measure 29 of 31 proteoglycan 30 cartilage 31 proteoglycan 33 , 34 with 34 with 35 changes 34 with 38 thickness 34 with 51 . 35 changes 36 in 36 in 37 cartilage 38 thickness 39 in 38 thickness 44 of 39 in 43 compartment 40 the 43 compartment 41 medial 43 compartment 42 tibiofemoral 43 compartment 44 of 45 knees 45 knees 46 in 46 in 50 women 47 middle 49 aged 49 aged 50 women methods : one hundred and forty - eight women ( one knee for each subject ) aged ≥40 years were included . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 1 methods 2 : 2 : 6 forty 3 one 4 hundred 4 hundred 5 and 5 and 6 forty 6 forty 9 women 7 - 9 women 8 eight 9 women 9 women 12 knee 9 women 22 . 10 ( 12 knee 11 one 12 knee 12 knee 13 for 12 knee 21 included 12 knee 22 . 13 for 18 ≥40 14 each 18 ≥40 15 subject 16 ) 15 subject 18 ≥40 17 aged 18 ≥40 18 ≥40 19 years 18 ≥40 20 were 19 years 20 were three - dimensional ( 3 d ) spoiled gradient recalled echo [(] spgr [ )(sequences ( for cartilage thickness [ )(and 3 d inversion recovery - prepared spgr sequences after dgemric were acquired . 0 ###LEFT-WALL### 1 three 0 ###LEFT-WALL### 27 prepared 0 ###LEFT-WALL### 34 . 1 three 15 )(sequences 1 three 27 prepared 2 - 15 )(sequences 3 dimensional 6 d 3 dimensional 7 ) 3 dimensional 11 echo 4 ( 6 d 5 3 6 d 6 d 7 ) 8 spoiled 11 echo 9 gradient 10 recalled 10 recalled 11 echo 11 echo 15 )(sequences 13 spgr 15 )(sequences 15 )(sequences 17 for 15 )(sequences 26 - 16 ( 17 for 17 for 21 )(and 17 for 26 - 18 cartilage 19 thickness 19 thickness 21 )(and 21 )(and 25 recovery 22 3 23 d 23 d 24 inversion 24 inversion 25 recovery 27 prepared 29 sequences 27 prepared 30 after 28 spgr 29 sequences 30 after 31 dgemric 30 after 33 acquired 31 dgemric 32 were 32 were 33 acquired segmentation was performed in the medial central ( weight - bearing ) femur and tibia to determine cartilage proteoglycan concentration and thickness . 0 ###LEFT-WALL### 1 segmentation 0 ###LEFT-WALL### 3 performed 0 ###LEFT-WALL### 23 . 1 segmentation 2 was 2 was 3 performed 3 performed 4 in 3 performed 16 to 4 in 14 and 5 the 13 femur 6 medial 13 femur 7 central 10 - 7 central 13 femur 8 ( 10 - 9 weight 10 - 10 - 11 bearing 10 - 12 ) 13 femur 14 and 14 and 15 tibia 16 to 17 determine 17 determine 21 and 18 cartilage 20 concentration 19 proteoglycan 20 concentration 20 concentration 21 and 21 and 22 thickness the association of change in the dgemric indices between baseline and 1 [-] year follow - up [with] [(] [a] ) concomitant changes in cartilage thickness [and] ( [b] [ )(change in cartilage thickness between 1 and 2 years [was] assessed using linear regression . 1 the 2 association 2 association 3 of 2 association 5 in 2 association 9 between 2 association 11 and 3 of 4 change 5 in 8 indices 6 the 8 indices 7 dgemric 8 indices 9 between 10 baseline 11 and 14 year 11 and 15 follow 12 1 14 year 15 follow 17 up 15 follow 23 changes 15 follow 24 in 16 - 17 up 17 up 21 ) 22 concomitant 23 changes 24 in 26 thickness 25 cartilage 26 thickness 26 thickness 37 and 28 ( 37 and 31 )(change 32 in 31 )(change 37 and 32 in 34 thickness 33 cartilage 34 thickness 34 thickness 35 between 35 between 36 1 37 and 39 years 37 and 42 using 37 and 45 . 38 2 39 years 39 years 41 assessed 42 using 44 regression 43 linear 44 regression results : in the whole - sample model , a decrease in dgemric indices over time at the central medial femur significantly predicted an increase in cartilage thickness at [both] the central medial femur ( p=0.008 ) and the medial tibia ( p=0.04 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 11 decrease 2 : 23 predicted 2 : 45 . 3 in 8 model 3 in 9 , 3 in 11 decrease 4 the 8 model 5 whole 6 - 5 whole 7 sample 7 sample 8 model 10 a 11 decrease 11 decrease 12 in 11 decrease 15 over 11 decrease 17 at 11 decrease 23 predicted 12 in 14 indices 13 dgemric 14 indices 15 over 16 time 17 at 21 femur 18 the 21 femur 19 central 21 femur 20 medial 21 femur 22 significantly 23 predicted 23 predicted 25 increase 23 predicted 26 in 24 an 25 increase 26 in 38 and 27 cartilage 28 thickness 28 thickness 29 at 28 thickness 38 and 29 at 34 femur 31 the 34 femur 32 central 34 femur 33 medial 34 femur 34 femur 36 p=0.008 35 ( 36 p=0.008 36 p=0.008 37 ) 38 and 41 tibia 38 and 43 p=0.04 39 the 41 tibia 40 medial 41 tibia 42 ( 43 p=0.04 43 p=0.04 44 ) conclusions : a decrease in dgemric indices was associated with an increase in cartilage thickness in the medial compartment . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 decrease 2 : 9 associated 2 : 20 . 3 a 4 decrease 4 decrease 5 in 4 decrease 8 was 5 in 7 indices 6 dgemric 7 indices 8 was 9 associated 9 associated 10 with 9 associated 13 in 9 associated 16 in 10 with 12 increase 11 an 12 increase 13 in 15 thickness 14 cartilage 15 thickness 16 in 19 compartment 17 the 19 compartment 18 medial 19 compartment our results suggest that an increase in cartilage thickness may also be related to a decrease in proteoglycan concentration , which may represent swelling of cartilage in early stages of degeneration . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 32 . 1 our 2 results 2 results 3 suggest 3 suggest 4 that 4 that 6 increase 4 that 13 related 5 an 6 increase 6 increase 7 in 6 increase 10 may 7 in 9 thickness 8 cartilage 9 thickness 10 may 12 be 11 also 12 be 12 be 13 related 13 related 14 to 14 to 16 decrease 15 a 16 decrease 16 decrease 17 in 17 in 19 concentration 18 proteoglycan 19 concentration 20 , 21 which 20 , 23 represent 21 which 22 may 22 may 23 represent 23 represent 24 swelling 23 represent 27 in 24 swelling 25 of 25 of 26 cartilage 27 in 29 stages 28 early 29 stages 29 stages 30 of 30 of 31 degeneration none atherosclerosis and osteoporosis are chronic diseases that progress with age , and studies suggest aortic calcification , an indicator of atherosclerosis , is inversely associated with bone mineral density ( bmd ) . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 11 age 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 34 . 1 none 3 and 1 none 10 with 1 none 11 age 2 atherosclerosis 3 and 3 and 4 osteoporosis 3 and 5 are 5 are 7 diseases 5 are 10 with 6 chronic 7 diseases 7 diseases 8 that 7 diseases 9 progress 8 that 9 progress 12 , 13 and 13 and 14 studies 13 and 15 suggest 14 studies 15 suggest 15 suggest 17 calcification 15 suggest 26 associated 16 aortic 17 calcification 17 calcification 20 indicator 17 calcification 24 is 18 , 20 indicator 19 an 20 indicator 20 indicator 21 of 20 indicator 23 , 21 of 22 atherosclerosis 24 is 26 associated 25 inversely 26 associated 26 associated 27 with 27 with 30 density 28 bone 30 density 29 mineral 30 density 30 density 32 bmd 31 ( 32 bmd 32 bmd 33 ) the osteoprotegerin [(] opg )/receptor activator of nf - κb ( rank )/rank [ligand] ( rankl ) [system] has been proposed as a shared regulatory system for bone [and] vasculature . 0 ###LEFT-WALL### 6 activator 0 ###LEFT-WALL### 21 proposed 0 ###LEFT-WALL### 31 . 1 the 6 activator 2 osteoprotegerin 6 activator 4 opg 6 activator 5 )/receptor 6 activator 6 activator 7 of 6 activator 10 κb 6 activator 19 has 7 of 8 nf 9 - 10 κb 10 κb 13 )/rank 10 κb 17 ) 11 ( 13 )/rank 12 rank 13 )/rank 13 )/rank 16 rankl 13 )/rank 17 ) 15 ( 16 rankl 16 rankl 17 ) 19 has 20 been 20 been 21 proposed 21 proposed 22 as 21 proposed 27 for 22 as 26 system 23 a 26 system 24 shared 26 system 25 regulatory 26 system 27 for 30 vasculature 28 bone 30 vasculature denosumab ( dmab ) , a monoclonal antibody against rankl , improved bmd and reduced fracture risk in the fracture reduction evaluation of denosumab in osteoporosis every 6 months ( freedom ) trial . 0 ###LEFT-WALL### 1 denosumab 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 34 . 1 denosumab 3 dmab 1 denosumab 8 antibody 1 denosumab 14 and 2 ( 3 dmab 3 dmab 4 ) 5 , 8 antibody 6 a 7 monoclonal 6 a 8 antibody 7 monoclonal 8 antibody 8 antibody 9 against 8 antibody 11 , 9 against 10 rankl 12 improved 13 bmd 12 improved 14 and 14 and 15 reduced 15 reduced 17 risk 15 reduced 18 in 16 fracture 17 risk 18 in 33 trial 19 the 33 trial 20 fracture 21 reduction 21 reduction 22 evaluation 22 evaluation 23 of 22 evaluation 27 every 23 of 24 denosumab 24 denosumab 25 in 25 in 26 osteoporosis 27 every 28 6 27 every 33 trial 29 months 31 freedom 30 ( 31 freedom 31 freedom 32 ) 31 freedom 33 trial we evaluated whether or not treatment with dmab influenced progression of aortic calcification ( ac ) and incidence of cardiovascular ( cv ) adverse events . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 evaluated 0 ###LEFT-WALL### 26 . 1 we 2 evaluated 2 evaluated 5 not 3 whether 4 or 4 or 5 not 5 not 6 treatment 5 not 9 influenced 6 treatment 7 with 6 treatment 9 influenced 7 with 8 dmab 9 influenced 17 and 10 progression 11 of 10 progression 17 and 11 of 13 calcification 12 aortic 13 calcification 13 calcification 15 ac 14 ( 15 ac 15 ac 16 ) 17 and 18 incidence 17 and 19 of 19 of 25 events 20 cardiovascular 22 cv 20 cardiovascular 25 events 21 ( 22 cv 22 cv 23 ) 24 adverse 25 events we included 2363 postmenopausal women with osteoporosis ( 1142 placebo , 1221 dmab ) , selected from 7808 participants in the freedom trial ( 3906 placebo , 3902 dmab ) , [at] [high] [risk] of cv events according to modified raloxifene use for the heart ( ruth [ )(criteria . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 included 1 we 2 included 2 included 5 women 3 2363 5 women 4 postmenopausal 5 women 5 women 6 with 5 women 16 selected 5 women 17 from 6 with 7 osteoporosis 7 osteoporosis 10 placebo 8 ( 10 placebo 9 1142 10 placebo 10 placebo 13 dmab 10 placebo 15 , 11 , 13 dmab 12 1221 13 dmab 13 dmab 14 ) 17 from 19 participants 18 7808 19 participants 19 participants 20 in 20 in 23 trial 21 the 23 trial 22 freedom 23 trial 23 trial 26 placebo 23 trial 35 of 24 ( 26 placebo 25 3906 26 placebo 26 placebo 29 dmab 26 placebo 31 , 27 , 29 dmab 28 3902 29 dmab 29 dmab 30 ) 35 of 37 events 36 cv 37 events 37 events 38 according 37 events 49 )(criteria 38 according 39 to 38 according 42 use 39 to 41 raloxifene 40 modified 41 raloxifene 42 use 43 for 43 for 45 heart 44 the 45 heart 46 ( 49 )(criteria 47 ruth 49 )(criteria 49 )(criteria 50 . cv adverse events were reported by participants . 0 ###LEFT-WALL### 1 cv 0 ###LEFT-WALL### 5 reported 0 ###LEFT-WALL### 8 . 1 cv 3 events 1 cv 4 were 1 cv 5 reported 2 adverse 3 events 3 events 4 were 5 reported 6 by 6 by 7 participants ac scores were assessed using a semiquantitative method from lateral spine x - rays . 0 ###LEFT-WALL### 2 scores 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 15 . 1 ac 2 scores 2 scores 3 were 3 were 4 assessed 4 assessed 5 using 5 using 8 method 6 a 7 semiquantitative 6 a 8 method 7 semiquantitative 8 method 8 method 9 from 9 from 11 spine 10 lateral 11 spine 11 spine 12 x 12 x 13 - 13 - 14 rays change in ac [score] from baseline to 12 ( n = 1377 ) , 24 ( n = 1231 ) , and 36 months ( n = 1045 ) [was] calculated as ac score at [follow] - up minus ac [score] at baseline . 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 44 . 1 change 2 in 1 change 5 from 1 change 22 and 2 in 3 ac 5 from 6 baseline 6 baseline 7 to 7 to 8 12 8 12 11 = 8 12 15 24 9 ( 11 = 10 n 11 = 11 = 12 1377 11 = 13 ) 14 , 15 24 15 24 18 = 15 24 20 ) 16 ( 18 = 17 n 18 = 18 = 19 1231 18 = 20 ) 21 , 22 and 22 and 24 months 22 and 31 calculated 22 and 32 as 22 and 34 score 23 36 24 months 24 months 27 = 25 ( 27 = 26 n 27 = 27 = 28 1045 27 = 29 ) 32 as 33 ac 34 score 35 at 34 score 39 minus 35 at 38 up 37 - 38 up 39 minus 40 ac 40 ac 42 at 42 at 43 baseline ac progression was defined as change in ac score >0 . 0 ###LEFT-WALL### 2 progression 0 ###LEFT-WALL### 4 defined 0 ###LEFT-WALL### 11 . 1 ac 2 progression 2 progression 3 was 3 was 4 defined 4 defined 5 as 4 defined 7 in 5 as 6 change 7 in 10 >0 8 ac 10 >0 9 score 10 >0 baseline characteristics , cv risk factors , and ac scores were similar between treatment groups . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 11 were 0 ###LEFT-WALL### 16 . 1 baseline 2 characteristics 2 characteristics 3 , 3 , 6 factors 3 , 8 and 4 cv 6 factors 5 risk 6 factors 7 , 8 and 8 and 10 scores 8 and 11 were 9 ac 10 scores 11 were 12 similar 12 similar 13 between 13 between 15 groups 14 treatment 15 groups mean age of participants was 74 years ( range , 60 - 90 ) , 88 % were white , and 77 % had ac score >0 at baseline . 0 ###LEFT-WALL### 2 age 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 30 . 1 mean 2 age 2 age 3 of 2 age 5 was 3 of 4 participants 5 was 7 years 6 74 7 years 7 years 9 range 7 years 12 - 8 ( 9 range 9 range 10 , 10 , 12 - 11 60 12 - 12 - 13 90 12 - 14 ) 15 , 17 % 15 , 18 were 15 , 21 and 16 88 17 % 17 % 18 were 18 were 19 white 20 , 21 and 21 and 23 % 21 and 24 had 22 77 23 % 23 % 24 had 24 had 27 >0 24 had 28 at 25 ac 26 score 26 score 27 >0 28 at 29 baseline frequency of ac progression over 3 years did not differ between women in [placebo] ( 22 % ) and dmab ( 22 % ) groups ( p = 0.98 ) . 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 31 . 1 frequency 2 of 1 frequency 19 and 2 of 3 ac 3 ac 4 progression 3 ac 13 in 3 ac 17 % 4 progression 5 over 4 progression 8 did 5 over 7 years 6 3 7 years 8 did 9 not 8 did 10 differ 10 differ 11 between 10 differ 13 in 11 between 12 women 15 ( 17 % 16 22 17 % 17 % 18 ) 19 and 25 groups 19 and 28 = 20 dmab 23 % 20 dmab 25 groups 21 ( 23 % 22 22 23 % 23 % 24 ) 26 ( 28 = 27 p 28 = 28 = 29 0.98 28 = 30 ) ac progression did not differ between treatment groups when analyzed by baseline estimated glomerular filtration [rate] or by baseline ac scores . 0 ###LEFT-WALL### 2 progression 0 ###LEFT-WALL### 5 differ 0 ###LEFT-WALL### 22 . 1 ac 2 progression 2 progression 3 did 3 did 4 not 3 did 5 differ 5 differ 6 between 5 differ 9 when 6 between 8 groups 7 treatment 8 groups 9 when 10 analyzed 10 analyzed 17 or 11 by 15 filtration 11 by 17 or 12 baseline 13 estimated 13 estimated 15 filtration 14 glomerular 15 filtration 17 or 18 by 18 by 19 baseline 19 baseline 20 ac 19 baseline 21 scores 20 ac 21 scores frequency of cv adverse events did not differ between [placebo] ( 40 % ) and dmab ( 38 % ) groups ( p = 0.26 ) . 0 ###LEFT-WALL### 16 dmab 0 ###LEFT-WALL### 21 groups 0 ###LEFT-WALL### 27 . 1 frequency 2 of 1 frequency 15 and 2 of 3 cv 3 cv 5 events 3 cv 9 between 3 cv 13 % 4 adverse 5 events 5 events 6 did 6 did 7 not 6 did 8 differ 8 differ 9 between 11 ( 13 % 12 40 13 % 13 % 14 ) 15 and 16 dmab 16 dmab 19 % 16 dmab 21 groups 17 ( 19 % 18 38 19 % 19 % 20 ) 21 groups 24 = 22 ( 24 = 23 p 24 = 24 = 25 0.26 24 = 26 ) in conclusion , dmab treatment had no effect on progression of ac or incidence of cv adverse events compared to placebo . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 22 . 1 in 2 conclusion 3 , 5 treatment 3 , 6 had 4 dmab 5 treatment 5 treatment 6 had 6 had 21 placebo 7 no 21 placebo 8 effect 9 on 8 effect 13 or 9 on 10 progression 10 progression 11 of 11 of 12 ac 13 or 14 incidence 13 or 15 of 13 or 21 placebo 15 of 16 cv 16 cv 18 events 16 cv 20 to 17 adverse 18 events 18 events 19 compared 19 compared 20 to the nuclear lamina underlies the inner nuclear membrane and consists of a proteinaceous meshwork of intermediate filaments : [the] a - and b - type lamins . 0 ###LEFT-WALL### 3 lamina 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 18 : 0 ###LEFT-WALL### 27 . 1 the 3 lamina 2 nuclear 3 lamina 3 lamina 9 and 4 underlies 8 membrane 4 underlies 9 and 5 the 8 membrane 6 inner 8 membrane 7 nuclear 8 membrane 9 and 10 consists 10 consists 11 of 11 of 14 meshwork 12 a 14 meshwork 13 proteinaceous 14 meshwork 14 meshwork 15 of 15 of 17 filaments 16 intermediate 17 filaments 18 : 20 a 18 : 22 and 21 - 22 and 22 and 23 b 22 and 24 - 23 b 24 - 24 - 25 type 25 type 26 lamins mutations in lmna ( encoding lamin a [and] [c] ) [give] rise to a variety of human diseases including muscular dystrophies , cardiomyopathies and the premature aging syndrome progeria ( hgps ) . 0 ###LEFT-WALL### 1 mutations 0 ###LEFT-WALL### 12 rise 0 ###LEFT-WALL### 33 . 1 mutations 2 in 1 mutations 12 rise 2 in 3 lmna 3 lmna 5 encoding 4 ( 5 encoding 5 encoding 6 lamin 5 encoding 10 ) 6 lamin 7 a 12 rise 13 to 13 to 15 variety 14 a 15 variety 15 variety 16 of 16 of 24 and 17 human 18 diseases 18 diseases 19 including 18 diseases 22 , 19 including 21 dystrophies 20 muscular 21 dystrophies 22 , 23 cardiomyopathies 22 , 24 and 24 and 29 progeria 24 and 31 hgps 25 the 29 progeria 26 premature 28 syndrome 27 aging 28 syndrome 28 syndrome 29 progeria 30 ( 31 hgps 31 hgps 32 ) duplication of the lmnb1 locus , leading to elevated levels of lamin b1 , causes adult - onset autosomal dominant leukodystrophy ( adld ) , a rare genetic disease that leads to demyelination in the central nervous system ( cns ) . 0 ###LEFT-WALL### 16 adult 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 42 . 1 duplication 2 of 1 duplication 16 adult 2 of 4 lmnb1 3 the 4 lmnb1 4 lmnb1 5 locus 4 lmnb1 15 causes 5 locus 7 leading 5 locus 15 causes 6 , 7 leading 7 leading 8 to 7 leading 13 b1 7 leading 14 , 8 to 10 levels 9 elevated 10 levels 10 levels 11 of 11 of 12 lamin 17 - 21 leukodystrophy 18 onset 21 leukodystrophy 19 autosomal 21 leukodystrophy 20 dominant 21 leukodystrophy 21 leukodystrophy 23 adld 21 leukodystrophy 29 disease 22 ( 23 adld 23 adld 24 ) 25 , 29 disease 26 a 29 disease 27 rare 29 disease 28 genetic 29 disease 29 disease 30 that 29 disease 31 leads 29 disease 41 ) 30 that 31 leads 31 leads 32 to 31 leads 34 in 32 to 33 demyelination 34 in 38 system 35 the 38 system 36 central 38 system 37 nervous 38 system 38 system 40 cns 39 ( 40 cns 40 cns 41 ) conversely , reduced levels of lamin b1 have been observed in hgps patient derived fibroblasts , as well as fibroblasts and keratinocytes undergoing replicative senescence , suggesting that the regulation of lamin b1 is important for cellular physiology and disease . 0 ###LEFT-WALL### 4 levels 0 ###LEFT-WALL### 10 observed 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 41 . 1 conversely 2 , 1 conversely 4 levels 3 reduced 4 levels 4 levels 5 of 4 levels 8 have 5 of 7 b1 6 lamin 7 b1 8 have 9 been 9 been 10 observed 10 observed 11 in 11 in 15 fibroblasts 12 hgps 14 derived 13 patient 14 derived 14 derived 15 fibroblasts 15 fibroblasts 17 as 16 , 17 as 17 as 21 and 17 as 26 , 18 well 19 as 18 well 21 and 19 as 20 fibroblasts 21 and 22 keratinocytes 21 and 23 undergoing 23 undergoing 25 senescence 24 replicative 25 senescence 26 , 27 suggesting 26 , 34 is 27 suggesting 28 that 27 suggesting 34 is 29 the 30 regulation 30 regulation 31 of 30 regulation 34 is 31 of 33 b1 32 lamin 33 b1 34 is 35 important 35 important 36 for 36 for 39 and 37 cellular 38 physiology 38 physiology 39 and 39 and 40 disease however , the causal relationship between low levels of lamin b1 and cellular senescence and its relevance in vivo remain unclear . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 20 remain 0 ###LEFT-WALL### 22 . 1 however 2 , 1 however 15 and 3 the 5 relationship 4 causal 5 relationship 5 relationship 6 between 5 relationship 12 and 6 between 8 levels 7 low 8 levels 8 levels 9 of 9 of 11 b1 10 lamin 11 b1 12 and 14 senescence 12 and 15 and 13 cellular 14 senescence 15 and 17 relevance 15 and 20 remain 16 its 17 relevance 18 in 19 vivo 19 vivo 20 remain 20 remain 21 unclear how do elevated levels of lamin b1 cause disease and why is the cns particularly susceptible to lamin b1 fluctuations ? 0 ###LEFT-WALL### 1 how 0 ###LEFT-WALL### 12 is 0 ###LEFT-WALL### 21 ? 1 how 12 is 2 do 4 levels 2 do 12 is 3 elevated 4 levels 4 levels 5 of 5 of 10 and 6 lamin 9 disease 7 b1 9 disease 8 cause 9 disease 9 disease 10 and 10 and 11 why 12 is 14 cns 12 is 16 susceptible 13 the 14 cns 15 particularly 16 susceptible 16 susceptible 17 to 17 to 20 fluctuations 18 lamin 20 fluctuations 19 b1 20 fluctuations here we summarize recent findings as to how perturbations of lamin b1 affect cellular physiology and discuss the implications this has on senescence , hgps and adld . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 summarize 0 ###LEFT-WALL### 28 . 1 here 2 we 2 we 3 summarize 3 summarize 5 findings 3 summarize 7 to 4 recent 5 findings 6 as 7 to 7 to 8 how 8 how 9 perturbations 8 how 16 and 9 perturbations 10 of 9 perturbations 16 and 10 of 12 b1 11 lamin 12 b1 13 affect 15 physiology 13 affect 16 and 14 cellular 15 physiology 16 and 17 discuss 17 discuss 19 implications 18 the 19 implications 19 implications 20 this 19 implications 21 has 20 this 21 has 21 has 22 on 22 on 26 and 23 senescence 24 , 24 , 25 hgps 24 , 26 and 26 and 27 adld the protease inhibitor ( pi ) [ritonavir] is a potent inhibitor of cytochrome p450 ( cyp ) 3a4 activity and frequently prescribed to boost the effectiveness of other pis as part of highly active antiretroviral therapy . 0 ###LEFT-WALL### 3 inhibitor 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 37 . 1 the 3 inhibitor 2 protease 3 inhibitor 3 inhibitor 5 pi 3 inhibitor 20 and 4 ( 5 pi 5 pi 6 ) 8 is 11 inhibitor 8 is 20 and 9 a 11 inhibitor 10 potent 11 inhibitor 11 inhibitor 12 of 12 of 19 activity 13 cytochrome 18 3a4 14 p450 16 cyp 15 ( 16 cyp 16 cyp 17 ) 16 cyp 18 3a4 18 3a4 19 activity 20 and 22 prescribed 20 and 23 to 20 and 30 as 21 frequently 22 prescribed 23 to 24 boost 24 boost 26 effectiveness 25 the 26 effectiveness 26 effectiveness 27 of 27 of 29 pis 28 other 29 pis 30 as 36 therapy 31 part 32 of 31 part 36 therapy 32 of 36 therapy 33 highly 34 active 34 active 36 therapy 35 antiretroviral 36 therapy it is well established that ritonavir is capable of inducing iatrogenic cushing [syndrome] ( ics ) through a drug - drug interaction with inhaled fluticasone that leads to the inhibition of cyp3a activity . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 1 it 2 is 2 is 3 well 2 is 5 that 3 well 4 established 5 that 6 ritonavir 5 that 7 is 6 ritonavir 7 is 7 is 8 capable 8 capable 9 of 9 of 10 inducing 10 inducing 15 ics 10 inducing 17 through 11 iatrogenic 15 ics 12 cushing 15 ics 14 ( 15 ics 15 ics 16 ) 17 through 19 drug 18 a 19 drug 19 drug 22 interaction 20 - 22 interaction 21 drug 22 interaction 22 interaction 23 with 22 interaction 26 that 22 interaction 27 leads 22 interaction 34 . 23 with 25 fluticasone 24 inhaled 25 fluticasone 26 that 27 leads 27 leads 28 to 28 to 30 inhibition 29 the 30 inhibition 30 inhibition 31 of 31 of 33 activity 32 cyp3a 33 activity a rapidly increasing number of case reports are being published describing ics induced by the interaction of ritonavir and injected corticosteroids , namely triamcinolone acetonide . 0 ###LEFT-WALL### 7 reports 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 24 triamcinolone 0 ###LEFT-WALL### 26 . 1 a 2 rapidly 1 a 4 number 2 rapidly 3 increasing 4 number 5 of 4 number 7 reports 5 of 7 reports 6 case 7 reports 7 reports 8 are 8 are 9 being 9 being 12 ics 9 being 14 by 10 published 12 ics 11 describing 12 ics 12 ics 13 induced 14 by 19 and 15 the 16 interaction 16 interaction 17 of 16 interaction 19 and 17 of 18 ritonavir 19 and 21 corticosteroids 20 injected 21 corticosteroids 22 , 24 triamcinolone 23 namely 24 triamcinolone 24 triamcinolone 25 acetonide a review of the current literature identified 15 cases ( including the one reported here ) of ics and suppression of the hypothalamic - pituitary - adrenal axis after periradicular injection of triamcinolone acetonide . 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 35 . 1 a 2 review 2 review 3 of 2 review 17 of 2 review 19 and 3 of 5 current 4 the 5 current 5 current 6 literature 5 current 7 identified 6 literature 7 identified 7 identified 9 cases 8 15 9 cases 9 cases 11 including 10 ( 11 including 11 including 13 one 11 including 16 ) 12 the 13 one 13 one 14 reported 14 reported 15 here 17 of 18 ics 19 and 20 suppression 19 and 21 of 21 of 28 axis 22 the 28 axis 23 hypothalamic 24 - 23 hypothalamic 28 axis 25 pituitary 26 - 25 pituitary 28 axis 27 adrenal 28 axis 28 axis 29 after 29 after 31 injection 30 periradicular 31 injection 31 injection 32 of 32 of 34 acetonide 33 triamcinolone 34 acetonide considering an aging human immunodeficiency virus ( hiv ) - infected population an increasing number of patients will present with degenerative musculoskeletal disease and be seeking pain relief . 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 29 . 1 considering 4 human 1 considering 6 virus 1 considering 10 - 1 considering 24 and 2 an 4 human 3 aging 4 human 5 immunodeficiency 6 virus 6 virus 8 hiv 7 ( 8 hiv 8 hiv 9 ) 11 infected 12 population 11 infected 24 and 12 population 17 patients 12 population 19 present 13 an 15 number 14 increasing 15 number 15 number 16 of 15 number 17 patients 16 of 17 patients 17 patients 18 will 18 will 19 present 19 present 20 with 20 with 23 disease 21 degenerative 23 disease 22 musculoskeletal 23 disease 24 and 25 be 25 be 26 seeking 26 seeking 28 relief 27 pain 28 relief based on data reported in the literature and our own experience triamcinolone injections during ritonavir - based therapy should be avoided . 0 ###LEFT-WALL### 18 therapy 0 ###LEFT-WALL### 21 avoided 0 ###LEFT-WALL### 22 . 1 based 2 on 1 based 5 in 1 based 14 during 1 based 16 - 1 based 18 therapy 2 on 3 data 3 data 4 reported 5 in 8 and 6 the 7 literature 7 literature 8 and 8 and 13 injections 9 our 10 own 9 our 13 injections 11 experience 13 injections 12 triamcinolone 13 injections 14 during 15 ritonavir 17 based 18 therapy 18 therapy 19 should 19 should 20 be 20 be 21 avoided after failure of all conservative therapeutic options methylprednisolone may represent a therapeutic alternative for steroid injections in hiv patients receiving pi - based antiviral therapy since it has [to] [date] not been associated with ics . 0 ###LEFT-WALL### 8 methylprednisolone 0 ###LEFT-WALL### 22 - 0 ###LEFT-WALL### 36 . 1 after 2 failure 1 after 8 methylprednisolone 3 of 7 options 3 of 8 methylprednisolone 4 all 7 options 5 conservative 7 options 6 therapeutic 7 options 8 methylprednisolone 9 may 9 may 10 represent 10 represent 13 alternative 11 a 12 therapeutic 11 a 13 alternative 12 therapeutic 13 alternative 13 alternative 14 for 13 alternative 17 in 13 alternative 20 receiving 14 for 16 injections 15 steroid 16 injections 17 in 19 patients 18 hiv 19 patients 20 receiving 21 pi 22 - 25 therapy 22 - 33 associated 23 based 25 therapy 24 antiviral 25 therapy 25 therapy 26 since 25 therapy 28 has 26 since 27 it 28 has 31 not 28 has 32 been 32 been 33 associated 33 associated 34 with 34 with 35 ics none background : to analyze the effects of age , cataract surgery and postoperative period on macular pigment optical density ( mpod ) . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 9 age 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 24 . 1 none 2 background 1 none 8 of 1 none 9 age 2 background 3 : 3 : 4 to 3 : 5 analyze 4 to 5 analyze 5 analyze 7 effects 6 the 7 effects 7 effects 8 of 10 , 13 and 11 cataract 12 surgery 12 surgery 13 and 13 and 15 period 13 and 16 on 14 postoperative 15 period 16 on 20 density 17 macular 18 pigment 18 pigment 20 density 19 optical 20 density 20 density 22 mpod 21 ( 22 mpod 22 mpod 23 ) methods : the study included cases referred to ankara university department of ophthalmology , between april and june 2012 , who had a transparent natural lens or had undergone cataract surgery at least a year ago with their best corrected visual acuity of ≥ 0.5 based on snellen chart . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 50 . 2 : 6 cases 3 the 6 cases 4 study 5 included 5 included 6 cases 6 cases 7 referred 7 referred 8 to 7 referred 36 ago 7 referred 37 with 8 to 11 department 9 ankara 10 university 10 university 11 department 11 department 12 of 11 department 21 who 11 department 27 or 12 of 13 ophthalmology 13 ophthalmology 15 between 14 , 15 between 15 between 17 and 15 between 20 , 16 april 17 and 17 and 18 june 18 june 19 2012 21 who 27 or 22 had 26 lens 22 had 27 or 23 a 26 lens 24 transparent 26 lens 25 natural 26 lens 27 or 28 had 28 had 31 surgery 29 undergone 30 cataract 30 cataract 31 surgery 32 at 33 least 33 least 35 year 34 a 35 year 35 year 36 ago 37 with 42 acuity 38 their 39 best 38 their 42 acuity 40 corrected 42 acuity 41 visual 42 acuity 42 acuity 43 of 42 acuity 45 0.5 42 acuity 49 chart 43 of 44 ≥ 45 0.5 46 based 45 0.5 49 chart 46 based 47 on 47 on 48 snellen presence of an ocular disease that might affect lens , retina and optic nerve ( cataract , macular degeneration , diabetic retinopathy , glaucoma [etc] [.] ) , cataract surgery within the previous year , light - colored iris , smoking and use of micronutrition supplementation were determined as exclusion criteria . 1 presence 6 that 2 of 5 disease 2 of 6 that 3 an 5 disease 4 ocular 5 disease 6 that 7 might 7 might 8 affect 8 affect 19 degeneration 9 lens 10 , 10 , 11 retina 10 , 12 and 12 and 14 nerve 12 and 16 cataract 12 and 19 degeneration 13 optic 14 nerve 15 ( 16 cataract 16 cataract 17 , 18 macular 19 degeneration 19 degeneration 30 surgery 20 , 30 surgery 21 diabetic 29 cataract 22 retinopathy 24 glaucoma 22 retinopathy 28 , 22 retinopathy 29 cataract 23 , 24 glaucoma 24 glaucoma 27 ) 29 cataract 30 surgery 30 surgery 31 within 30 surgery 40 , 31 within 34 year 32 the 33 previous 32 the 34 year 34 year 39 iris 35 , 39 iris 36 light 37 - 36 light 39 iris 38 colored 39 iris 39 iris 40 , 40 , 48 determined 41 smoking 42 and 42 and 43 use 42 and 48 determined 43 use 44 of 44 of 45 micronutrition 45 micronutrition 46 supplementation 45 micronutrition 47 were 46 supplementation 47 were 48 determined 49 as 48 determined 52 . 49 as 51 criteria 50 exclusion 51 criteria after detailed opthalmologic examination of all patients , they were divided into three groups based on their age and their lens status [as] : group 1 [,] [patients] < 50 years of age having a clear lens [;] group 2 [,] patients > 50 years of age having a clear lens [;] and group 3 , patients > 50 years [of] age who had cataract surgery . 0 ###LEFT-WALL### 9 they 0 ###LEFT-WALL### 11 divided 1 after 4 examination 1 after 9 they 2 detailed 4 examination 3 opthalmologic 4 examination 5 of 7 patients 5 of 8 , 5 of 9 they 6 all 7 patients 9 they 10 were 10 were 11 divided 11 divided 12 into 12 into 14 groups 13 three 14 groups 14 groups 15 based 14 groups 16 on 14 groups 22 status 14 groups 25 group 16 on 19 and 17 their 18 age 18 age 19 and 19 and 21 lens 20 their 21 lens 22 status 24 : 24 : 25 group 25 group 29 < 26 1 29 < 29 < 31 years 30 50 31 years 31 years 34 having 31 years 43 > 32 of 33 age 32 of 34 having 34 having 37 lens 34 having 39 group 34 having 43 > 35 a 37 lens 36 clear 37 lens 39 group 42 patients 40 2 42 patients 43 > 53 and 44 50 53 and 45 years 46 of 45 years 53 and 46 of 47 age 47 age 48 having 48 having 51 lens 49 a 50 clear 49 a 51 lens 50 clear 51 lens 53 and 54 group 53 and 62 age 54 group 55 3 56 , 62 age 57 patients 62 age 58 > 59 50 59 50 60 years 60 years 62 age 62 age 63 who 62 age 64 had 62 age 67 . 63 who 64 had 64 had 66 surgery 65 cataract 66 surgery age , gender , and postoperative period of the patients as well as the mpod values of the eyes measured with heterochromatic flicker photometric ( hfp ) method ( macularmetricstm ) were included in the analysis . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 33 included 0 ###LEFT-WALL### 37 . 1 age 2 , 2 , 3 gender 2 , 5 and 4 , 5 and 5 and 7 period 5 and 8 of 5 and 16 values 5 and 20 measured 5 and 32 were 6 postoperative 7 period 8 of 10 patients 9 the 10 patients 10 patients 13 as 11 as 12 well 12 well 13 as 13 as 15 mpod 14 the 15 mpod 16 values 17 of 16 values 20 measured 17 of 19 eyes 18 the 19 eyes 20 measured 21 with 21 with 28 method 22 heterochromatic 23 flicker 23 flicker 28 method 24 photometric 26 hfp 24 photometric 27 ) 24 photometric 28 method 25 ( 26 hfp 26 hfp 27 ) 28 method 30 macularmetricstm 29 ( 30 macularmetricstm 30 macularmetricstm 31 ) 32 were 33 included 33 included 34 in 34 in 36 analysis 35 the 36 analysis results : sixty - eight eyes of 37 cases with a mean age of 53.4 ± 15.3 years were enrolled in the study . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 1 results 2 : 2 : 6 eyes 3 sixty 4 - 4 - 5 eight 4 - 6 eyes 6 eyes 7 of 6 eyes 13 age 6 eyes 20 enrolled 7 of 9 cases 8 37 9 cases 9 cases 10 with 10 with 12 mean 11 a 12 mean 13 age 14 of 13 age 18 years 13 age 19 were 13 age 20 enrolled 14 of 16 ± 15 53.4 16 ± 16 ± 17 15.3 18 years 19 were 20 enrolled 21 in 21 in 23 study 22 the 23 study group 1 included 20 eyes of 10 cases ( mean age 29.4 ± 9.5 ) ; group 2 included 32 eyes of 16 cases ( mean age 60.3 ± 6.8 ) ; and group 3 included 16 eyes of 11 cases ( mean age 65.2 ± 9.7 ) . 0 ###LEFT-WALL### 1 group 0 ###LEFT-WALL### 3 included 0 ###LEFT-WALL### 16 ; 0 ###LEFT-WALL### 49 . 1 group 2 1 1 group 3 included 3 included 5 eyes 4 20 5 eyes 5 eyes 6 of 5 eyes 13 ± 6 of 8 cases 7 10 8 cases 9 ( 13 ± 10 mean 11 age 11 age 13 ± 12 29.4 13 ± 13 ± 14 9.5 13 ± 15 ) 16 ; 17 group 16 ; 19 included 16 ; 32 ; 17 group 18 2 17 group 19 included 19 included 21 eyes 20 32 21 eyes 21 eyes 22 of 21 eyes 29 ± 22 of 24 cases 23 16 24 cases 25 ( 29 ± 26 mean 27 age 27 age 29 ± 28 60.3 29 ± 29 ± 30 6.8 29 ± 31 ) 32 ; 33 and 33 and 34 group 33 and 36 included 34 group 35 3 34 group 36 included 36 included 38 eyes 37 16 38 eyes 38 eyes 39 of 39 of 41 cases 40 11 41 cases 41 cases 46 ± 42 ( 46 ± 43 mean 44 age 44 age 46 ± 45 65.2 46 ± 46 ± 47 9.7 46 ± 48 ) the mean macular pigment optical density value of all cases was 0.511 ± 0.192 log [unit] , while the mean mpod values of groups 1 , 2 and 3 were 0.570 ± 170 , 0.528 ± 203 and 0.400 ± 180 log units , respectively . 0 ###LEFT-WALL### 7 value 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 46 . 1 the 7 value 2 mean 7 value 3 macular 7 value 4 pigment 7 value 5 optical 6 density 6 density 7 value 7 value 8 of 7 value 11 was 8 of 10 cases 9 all 10 cases 11 was 13 ± 12 0.511 13 ± 13 ± 14 0.192 13 ± 15 log 14 0.192 15 log 17 , 28 and 17 , 30 were 18 while 22 values 18 while 26 , 18 while 28 and 19 the 22 values 20 mean 22 values 21 mpod 22 values 22 values 23 of 23 of 24 groups 24 groups 25 1 27 2 28 and 28 and 29 3 28 and 30 were 30 were 38 and 30 were 45 respectively 31 0.570 38 and 32 ± 33 170 32 ± 34 , 34 , 36 ± 34 , 38 and 35 0.528 36 ± 36 ± 37 203 38 and 43 units 38 and 44 , 39 0.400 43 units 40 ± 43 units 41 180 42 log 42 log 43 units the mean mpod values of the patients [with] clear lens aged < 50 and aged > 50 years did not reveal a statisticially significant difference ( p = 1 ) . 0 ###LEFT-WALL### 4 values 0 ###LEFT-WALL### 21 reveal 0 ###LEFT-WALL### 31 . 1 the 4 values 2 mean 4 values 3 mpod 4 values 4 values 5 of 4 values 19 did 5 of 10 lens 6 the 10 lens 7 patients 10 lens 9 clear 10 lens 10 lens 14 and 11 aged 13 50 11 aged 14 and 12 < 13 50 14 and 15 aged 15 aged 18 years 16 > 17 50 17 50 18 years 19 did 20 not 19 did 21 reveal 21 reveal 25 difference 21 reveal 28 = 22 a 25 difference 23 statisticially 24 significant 24 significant 25 difference 26 ( 28 = 27 p 28 = 28 = 29 1 28 = 30 ) however , the mean mpod value of the cataract surgery group ( group 3 ) was found to be statistically significantly lower than the group 1 and group 2 ( p = 0.022 , p = 0.039 , respectively ) . 0 ###LEFT-WALL### 6 value 0 ###LEFT-WALL### 19 be 0 ###LEFT-WALL### 41 . 1 however 2 , 1 however 6 value 3 the 6 value 4 mean 6 value 5 mpod 6 value 6 value 7 of 6 value 13 group 6 value 16 was 7 of 11 group 8 the 11 group 9 cataract 11 group 10 surgery 11 group 12 ( 13 group 13 group 14 3 13 group 15 ) 16 was 17 found 17 found 18 to 18 to 19 be 19 be 20 statistically 19 be 21 significantly 19 be 22 lower 22 lower 23 than 22 lower 32 = 22 lower 36 = 22 lower 39 respectively 23 than 27 and 24 the 27 and 25 group 26 1 25 group 27 and 27 and 28 group 28 group 29 2 30 ( 32 = 31 p 32 = 32 = 33 0.022 32 = 34 , 35 p 36 = 36 = 37 0.039 36 = 38 , 38 , 39 respectively 39 respectively 40 ) the correlations between mpod values and postoperative periods of the patients in group 3 showed that a decrease in mpod values in parallel with duration of the postoperative period and this negative correlation was found to be statistically significant ( r [:] - 0.66 , p = 0.005 ) . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 15 showed 0 ###LEFT-WALL### 50 . 1 the 2 correlations 2 correlations 3 between 2 correlations 6 and 3 between 5 values 4 mpod 5 values 6 and 8 periods 6 and 9 of 6 and 12 in 6 and 15 showed 7 postoperative 8 periods 9 of 11 patients 10 the 11 patients 12 in 13 group 13 group 14 3 15 showed 16 that 16 that 18 decrease 16 that 35 found 17 a 18 decrease 18 decrease 19 in 18 decrease 34 was 19 in 21 values 20 mpod 21 values 21 values 22 in 22 in 30 and 23 parallel 24 with 23 parallel 26 of 23 parallel 30 and 24 with 25 duration 26 of 29 period 27 the 29 period 28 postoperative 29 period 30 and 33 correlation 31 this 32 negative 32 negative 33 correlation 34 was 35 found 35 found 36 to 35 found 43 - 35 found 47 = 36 to 37 be 37 be 38 statistically 37 be 39 significant 40 ( 43 - 41 r 43 - 43 - 44 0.66 43 - 45 , 45 , 47 = 46 p 47 = 47 = 48 0.005 47 = 49 ) conclusion : our study has demonstrated that a significant correlation does not exist between age of the patients and mpod values . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 6 demonstrated 2 : 22 . 3 our 4 study 4 study 5 has 5 has 6 demonstrated 6 demonstrated 7 that 7 that 10 correlation 7 that 13 exist 8 a 9 significant 8 a 10 correlation 9 significant 10 correlation 10 correlation 11 does 11 does 12 not 11 does 13 exist 13 exist 14 between 14 between 19 and 15 age 16 of 15 age 19 and 16 of 18 patients 17 the 18 patients 19 and 21 values 20 mpod 21 values mpod values were lower than age - matched patients who had undergone cataract surgery and finally an inverse correlation existed between duration of the postoperative period after cataract surgery and mpod values . 0 ###LEFT-WALL### 2 values 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 33 . 1 mpod 2 values 2 values 3 were 3 were 4 lower 4 lower 5 than 5 than 6 age 7 - 9 patients 7 - 20 existed 8 matched 9 patients 9 patients 10 who 9 patients 11 had 9 patients 20 existed 10 who 11 had 11 had 12 undergone 12 undergone 15 and 13 cataract 14 surgery 14 surgery 15 and 15 and 16 finally 15 and 19 correlation 17 an 18 inverse 17 an 19 correlation 18 inverse 19 correlation 20 existed 21 between 20 existed 27 after 21 between 22 duration 22 duration 23 of 23 of 26 period 24 the 26 period 25 postoperative 26 period 27 after 30 and 28 cataract 29 surgery 29 surgery 30 and 30 and 32 values 31 mpod 32 values the relationship between cardiovascular risk factors and vascular remodeling is a relatively new area of investigation . 0 ###LEFT-WALL### 2 relationship 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 17 . 1 the 2 relationship 2 relationship 3 between 2 relationship 10 is 3 between 7 and 4 cardiovascular 6 factors 5 risk 6 factors 6 factors 7 and 7 and 9 remodeling 8 vascular 9 remodeling 10 is 14 area 11 a 12 relatively 11 a 14 area 12 relatively 13 new 13 new 14 area 14 area 15 of 15 of 16 investigation we discuss the various mechanisms by which cardiovascular risk factors cause vascular remodeling . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 discuss 0 ###LEFT-WALL### 14 . 1 we 2 discuss 2 discuss 5 mechanisms 3 the 5 mechanisms 4 various 5 mechanisms 5 mechanisms 6 by 6 by 7 which 6 by 9 risk 6 by 10 factors 6 by 11 cause 7 which 9 risk 8 cardiovascular 9 risk 10 factors 11 cause 11 cause 13 remodeling 12 vascular 13 remodeling endothelial dysfunction , lipoprotein alterations , inflammation , and platelet activation are the mechanisms by which remodeling occurs . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 12 are 0 ###LEFT-WALL### 19 . 1 endothelial 2 dysfunction 2 dysfunction 3 , 3 , 5 alterations 3 , 6 , 4 lipoprotein 5 alterations 6 , 7 inflammation 6 , 9 and 8 , 9 and 9 and 11 activation 9 and 12 are 10 platelet 11 activation 12 are 14 mechanisms 13 the 14 mechanisms 14 mechanisms 15 by 15 by 16 which 15 by 17 remodeling 15 by 18 occurs 17 remodeling 18 occurs plaque composition also plays an important role in directing remodeling . 0 ###LEFT-WALL### 2 composition 0 ###LEFT-WALL### 4 plays 0 ###LEFT-WALL### 11 . 1 plaque 2 composition 2 composition 4 plays 3 also 4 plays 4 plays 7 role 4 plays 8 in 5 an 6 important 5 an 7 role 6 important 7 role 8 in 9 directing 9 directing 10 remodeling plaque with extensive calcification is more likely to undergo constrictive remodeling . 0 ###LEFT-WALL### 1 plaque 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 12 . 1 plaque 2 with 1 plaque 5 is 2 with 4 calcification 3 extensive 4 calcification 5 is 7 likely 6 more 7 likely 7 likely 8 to 7 likely 9 undergo 8 to 9 undergo 9 undergo 11 remodeling 10 constrictive 11 remodeling positive and negative remodeling is based on how these factors [coordinate] and determine the direction of remodeling . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 18 . 1 positive 2 and 2 and 3 negative 2 and 4 remodeling 2 and 17 remodeling 4 remodeling 5 is 5 is 12 and 6 based 7 on 6 based 10 factors 6 based 12 and 7 on 8 how 9 these 10 factors 12 and 13 determine 13 determine 15 direction 14 the 15 direction 15 direction 16 of 16 of 17 remodeling matrix metalloproteinases perform a crucial role in vascular remodeling . 0 ###LEFT-WALL### 2 metalloproteinases 0 ###LEFT-WALL### 3 perform 0 ###LEFT-WALL### 10 . 1 matrix 2 metalloproteinases 2 metalloproteinases 3 perform 3 perform 6 role 3 perform 7 in 4 a 5 crucial 4 a 6 role 5 crucial 6 role 7 in 9 remodeling 8 vascular 9 remodeling advanced glycation end - products are key substances involved in the negative remodeling associated with diabetes . 0 ###LEFT-WALL### 3 end 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 17 . 1 advanced 2 glycation 2 glycation 3 end 4 - 5 products 4 - 6 are 5 products 6 are 6 are 8 substances 7 key 8 substances 8 substances 9 involved 9 involved 10 in 9 involved 15 with 10 in 13 remodeling 11 the 13 remodeling 12 negative 13 remodeling 13 remodeling 14 associated 15 with 16 diabetes remodeling [in] [hypertension] can be either eutrophic or hypertrophic . 0 ###LEFT-WALL### 1 remodeling 0 ###LEFT-WALL### 5 be 0 ###LEFT-WALL### 10 . 1 remodeling 4 can 4 can 5 be 5 be 8 or 6 either 8 or 7 eutrophic 8 or 8 or 9 hypertrophic endothelial dysfunction and low - grade inflammation lead to negative remodeling in hypertension . 0 ###LEFT-WALL### 13 hypertension 0 ###LEFT-WALL### 14 . 1 endothelial 13 hypertension 2 dysfunction 3 and 3 and 8 lead 3 and 9 to 3 and 12 in 3 and 13 hypertension 4 low 5 - 4 low 6 grade 6 grade 8 lead 7 inflammation 8 lead 9 to 10 negative 10 negative 11 remodeling 10 negative 12 in dyslipidemia can be associated with either positive or negative remodeling . 0 ###LEFT-WALL### 1 dyslipidemia 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 11 . 1 dyslipidemia 2 can 2 can 3 be 3 be 4 associated 4 associated 5 with 5 with 10 remodeling 6 either 8 or 7 positive 8 or 8 or 9 negative 8 or 10 remodeling high high - density lipoprotein is associated with positive remodeling and high low - density lipoprotein with negative remodeling . 0 ###LEFT-WALL### 5 lipoprotein 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 20 . 1 high 5 lipoprotein 2 high 3 - 2 high 5 lipoprotein 4 density 5 lipoprotein 5 lipoprotein 6 is 6 is 7 associated 7 associated 8 with 7 associated 17 with 8 with 16 lipoprotein 9 positive 16 lipoprotein 10 remodeling 11 and 11 and 12 high 11 and 16 lipoprotein 13 low 14 - 13 low 15 density 15 density 16 lipoprotein 17 with 19 remodeling 18 negative 19 remodeling smoking causes endothelial dysfunction , increased oxidative stress , and decreased nitric oxide synthesis leading to [inward] remodeling . 0 ###LEFT-WALL### 1 smoking 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 19 . 1 smoking 5 , 2 causes 4 dysfunction 2 causes 5 , 3 endothelial 4 dysfunction 5 , 10 and 6 increased 8 stress 6 increased 10 and 7 oxidative 8 stress 9 , 10 and 10 and 11 decreased 11 decreased 14 synthesis 11 decreased 16 to 12 nitric 13 oxide 13 oxide 14 synthesis 14 synthesis 15 leading 16 to 18 remodeling aging also causes endothelial dysfunction and predisposes to negative remodeling . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 11 . 1 aging 2 also 1 aging 6 and 3 causes 5 dysfunction 3 causes 6 and 4 endothelial 5 dysfunction 6 and 7 predisposes 6 and 8 to 8 to 9 negative 9 negative 10 remodeling knowledge of these associations can elucidate various clinical presentations and guide therapeutic choices in the future . 0 ###LEFT-WALL### 1 knowledge 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 17 . 1 knowledge 2 of 1 knowledge 5 can 2 of 4 associations 3 these 4 associations 5 can 10 and 6 elucidate 9 presentations 6 elucidate 10 and 7 various 9 presentations 8 clinical 9 presentations 10 and 11 guide 11 guide 13 choices 11 guide 14 in 12 therapeutic 13 choices 14 in 16 future 15 the 16 future the loss of skeletal muscle size and function with aging and sarcopenia may be related , [in] part , to an age - related muscle protein synthesis impairment . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 24 related 1 the 2 loss 2 loss 3 of 2 loss 7 and 3 of 6 size 4 skeletal 5 muscle 5 muscle 6 size 7 and 8 function 7 and 9 with 7 and 11 and 9 with 10 aging 11 and 12 sarcopenia 11 and 16 , 13 may 14 be 13 may 16 , 14 be 15 related 16 , 18 part 16 , 20 to 19 , 20 to 20 to 22 age 20 to 23 - 21 an 22 age 23 - 24 related 24 related 28 impairment 24 related 29 . 25 muscle 28 impairment 26 protein 28 impairment 27 synthesis 28 impairment in this review , we discuss to what extent aging affects skeletal muscle protein synthesis and how nutrition and exercise can be used strategically to overcome age - related protein synthesis impairments and slow the progression of sarcopenia . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 29 related 0 ###LEFT-WALL### 39 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 19 and 6 discuss 7 to 6 discuss 18 nutrition 6 discuss 19 and 7 to 8 what 8 what 9 extent 8 what 11 affects 9 extent 10 aging 9 extent 11 affects 11 affects 16 and 12 skeletal 15 synthesis 13 muscle 14 protein 14 protein 15 synthesis 15 synthesis 16 and 16 and 17 how 19 and 26 overcome 20 exercise 21 can 21 can 22 be 22 be 23 used 23 used 25 to 24 strategically 25 to 25 to 26 overcome 26 overcome 27 age 28 - 29 related 29 related 30 protein 30 protein 31 synthesis 30 protein 33 and 31 synthesis 33 and 32 impairments 33 and 33 and 34 slow 34 slow 36 progression 35 the 36 progression 36 progression 37 of 37 of 38 sarcopenia background and aims : many older adults with dementia are hospitalized for diagnoses other than dementia . 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 4 : 1 background 2 and 2 and 3 aims 4 : 7 adults 4 : 11 hospitalized 4 : 17 . 5 many 7 adults 6 older 7 adults 7 adults 8 with 7 adults 10 are 8 with 9 dementia 10 are 11 hospitalized 11 hospitalized 12 for 11 hospitalized 15 than 12 for 13 diagnoses 14 other 15 than 15 than 16 dementia we aimed to determine the prevalence of comorbid dementia among hospitalized older adults and evaluate its effects on their hospital course . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 22 . 1 we 14 and 2 aimed 3 to 2 aimed 4 determine 2 aimed 14 and 3 to 4 determine 4 determine 6 prevalence 5 the 6 prevalence 6 prevalence 7 of 7 of 8 comorbid 8 comorbid 9 dementia 9 dementia 10 among 10 among 13 adults 11 hospitalized 13 adults 12 older 13 adults 14 and 15 evaluate 14 and 18 on 15 evaluate 17 effects 16 its 17 effects 18 on 21 course 19 their 21 course 20 hospital 21 course methods : this retrospective case - control study reviewed the hospital records of all adults aged over 60 years admitted to one tertiary hospital in china from 2002 to 2012 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 admitted 1 methods 2 : 2 : 5 case 3 this 5 case 4 retrospective 5 case 6 - 20 admitted 7 control 8 study 8 study 9 reviewed 8 study 12 records 8 study 16 aged 8 study 20 admitted 10 the 12 records 11 hospital 12 records 12 records 13 of 12 records 16 aged 13 of 15 adults 14 all 15 adults 16 aged 17 over 17 over 19 years 18 60 19 years 20 admitted 21 to 20 admitted 25 in 20 admitted 31 . 21 to 24 hospital 22 one 24 hospital 23 tertiary 24 hospital 25 in 26 china 26 china 29 to 27 from 29 to 28 2002 29 to 29 to 30 2012 in total , 34,888 patients meeting the age criterion were included . 0 ###LEFT-WALL### 5 patients 0 ###LEFT-WALL### 11 included 0 ###LEFT-WALL### 12 . 1 in 2 total 2 total 3 , 2 total 5 patients 4 34,888 5 patients 5 patients 6 meeting 5 patients 10 were 6 meeting 9 criterion 7 the 9 criterion 8 age 9 criterion 10 were 11 included patients admitted to departments of pediatrics , obstetrics and gynecology were not included . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 13 included 0 ###LEFT-WALL### 14 . 1 patients 2 admitted 1 patients 7 , 2 admitted 3 to 3 to 4 departments 4 departments 5 of 5 of 6 pediatrics 7 , 8 obstetrics 7 , 9 and 9 and 10 gynecology 9 and 11 were 11 were 12 not 11 were 13 included demographic , clinical and outcome data from computerized discharge records were collected . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 12 collected 0 ###LEFT-WALL### 13 . 1 demographic 2 , 2 , 3 clinical 2 , 4 and 4 and 6 data 4 and 7 from 4 and 11 were 5 outcome 6 data 7 from 10 records 8 computerized 9 discharge 9 discharge 10 records 11 were 12 collected patients diagnosed with dementia at discharge by dsm - iv - tr criteria and mmse scores formed the dementia group . 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 17 formed 0 ###LEFT-WALL### 21 . 1 patients 2 diagnosed 1 patients 7 by 1 patients 14 and 2 diagnosed 3 with 2 diagnosed 5 at 3 with 4 dementia 5 at 6 discharge 7 by 13 criteria 8 dsm 10 iv 8 dsm 13 criteria 9 - 10 iv 10 iv 11 - 12 tr 13 criteria 14 and 16 scores 14 and 17 formed 15 mmse 16 scores 17 formed 20 group 18 the 20 group 19 dementia 20 group all other patients were controls . 0 ###LEFT-WALL### 3 patients 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 6 . 1 all 2 other 2 other 3 patients 3 patients 4 were 4 were 5 controls results : a total of 918 patients ( 2.6 % prevalence ) had comorbid dementia , including alzheimer 's disease ( 39.1 % ) and vascular dementia ( 39.4 % ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 total 2 : 13 had 2 : 32 . 3 a 4 total 4 total 5 of 4 total 11 prevalence 4 total 13 had 5 of 7 patients 6 918 7 patients 8 ( 11 prevalence 9 2.6 10 % 10 % 11 prevalence 11 prevalence 12 ) 13 had 27 dementia 14 comorbid 27 dementia 15 dementia 17 including 15 dementia 25 and 16 , 17 including 17 including 20 disease 17 including 24 ) 18 alzheimer 19 's 19 's 20 disease 20 disease 23 % 21 ( 23 % 22 39.1 23 % 23 % 24 ) 25 and 26 vascular 25 and 27 dementia 27 dementia 30 % 28 ( 30 % 29 39.4 30 % 30 % 31 ) neurologic and respiratory system diseases were the most common main diagnoses for patients with comorbid dementia , who also had a higher percentage of level iii or iv severity of main illness compared to controls and longer hospital stays ( [both] p < 0.01 ) . 0 ###LEFT-WALL### 5 diseases 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 46 . 1 neurologic 2 and 2 and 3 respiratory 2 and 5 diseases 4 system 5 diseases 5 diseases 6 were 6 were 11 diagnoses 7 the 11 diagnoses 8 most 9 common 9 common 10 main 10 main 11 diagnoses 11 diagnoses 12 for 11 diagnoses 14 with 12 for 13 patients 14 with 16 dementia 15 comorbid 16 dementia 16 dementia 18 who 17 , 18 who 18 who 20 had 18 who 45 ) 19 also 20 had 20 had 27 or 20 had 34 to 21 a 23 percentage 22 higher 23 percentage 23 percentage 24 of 23 percentage 27 or 24 of 25 level 25 level 26 iii 27 or 29 severity 27 or 30 of 28 iv 29 severity 30 of 32 illness 31 main 32 illness 32 illness 33 compared 34 to 39 stays 35 controls 36 and 36 and 37 longer 36 and 38 hospital 38 hospital 39 stays 39 stays 43 < 40 ( 43 < 42 p 43 < 43 < 44 0.01 43 < 45 ) mortality at discharge included 9.80 % of the dementia group and 8.84 % of controls ( p = 0.312 ) . 0 ###LEFT-WALL### 1 mortality 0 ###LEFT-WALL### 4 included 0 ###LEFT-WALL### 21 . 1 mortality 2 at 1 mortality 4 included 2 at 3 discharge 4 included 13 % 5 9.80 6 % 5 9.80 11 and 6 % 7 of 6 % 10 group 7 of 9 dementia 8 the 9 dementia 11 and 12 8.84 11 and 13 % 13 % 14 of 14 of 15 controls 15 controls 18 = 16 ( 18 = 17 p 18 = 18 = 19 0.312 18 = 20 ) conclusion : comorbid dementia has significant effects on hospital course [of] older adults with various main diagnoses , affecting length of stay [,] severity of illness , and mortality . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 4 dementia 2 : 5 has 3 comorbid 4 dementia 4 dementia 5 has 5 has 28 and 6 significant 7 effects 7 effects 8 on 7 effects 14 with 7 effects 28 and 8 on 13 adults 9 hospital 10 course 10 course 13 adults 12 older 13 adults 14 with 17 diagnoses 15 various 16 main 16 main 17 diagnoses 17 diagnoses 19 affecting 18 , 19 affecting 19 affecting 20 length 19 affecting 27 , 20 length 21 of 20 length 25 of 21 of 24 severity 22 stay 24 severity 25 of 26 illness 28 and 29 mortality objective : to explore the role of working conditions in the association between socioeconomic position and health after retirement age using over 20 years follow - up . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 25 follow 0 ###LEFT-WALL### 26 - 1 objective 2 : 2 : 3 to 2 : 9 conditions 3 to 4 explore 5 the 6 role 6 role 7 of 6 role 9 conditions 7 of 8 working 9 conditions 10 in 9 conditions 13 between 9 conditions 18 after 9 conditions 20 age 9 conditions 21 using 10 in 12 association 11 the 12 association 13 between 16 and 14 socioeconomic 15 position 15 position 16 and 16 and 17 health 18 after 19 retirement 21 using 23 20 22 over 23 20 23 20 24 years 23 20 25 follow 24 years 25 follow 26 - 27 up 26 - 28 . method : two swedish nationally representative level of living surveys ( [total] n = 1,131 ) were used . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 7 level 2 : 17 were 2 : 19 . 3 two 7 level 4 swedish 7 level 5 nationally 6 representative 6 representative 7 level 7 level 8 of 7 level 14 = 7 level 17 were 8 of 10 surveys 9 living 10 surveys 11 ( 14 = 13 n 14 = 14 = 15 1,131 14 = 16 ) 17 were 18 used ordered logistic regression was used to assess the association between socioeconomic position and health ( self [-] rated health , psychological distress , musculoskeletal pain , circulatory problems , physical and cognitive impairment ) . 0 ###LEFT-WALL### 3 regression 0 ###LEFT-WALL### 35 . 1 ordered 3 regression 2 logistic 3 regression 3 regression 4 was 4 was 5 used 5 used 6 to 5 used 10 between 6 to 7 assess 7 assess 9 association 8 the 9 association 10 between 13 and 11 socioeconomic 12 position 12 position 13 and 13 and 14 health 13 and 19 health 13 and 22 distress 13 and 25 pain 15 ( 19 health 16 self 18 rated 18 rated 19 health 19 health 20 , 20 , 22 distress 21 psychological 22 distress 22 distress 23 , 23 , 25 pain 24 musculoskeletal 25 pain 25 pain 28 problems 25 pain 33 impairment 25 pain 34 ) 26 , 28 problems 27 circulatory 28 problems 28 problems 29 , 29 , 33 impairment 30 physical 31 and 31 and 32 cognitive 31 and 33 impairment 33 impairment 34 ) the role of physical and psychological working conditions was also assessed . 0 ###LEFT-WALL### 2 role 0 ###LEFT-WALL### 11 assessed 0 ###LEFT-WALL### 12 . 1 the 2 role 2 role 3 of 2 role 9 was 3 of 8 conditions 4 physical 5 and 5 and 6 psychological 5 and 8 conditions 7 working 8 conditions 9 was 11 assessed 10 also 11 assessed results : lower socioeconomic position was associated with more adverse physical , but not psychological , working conditions . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 position 2 : 12 , 2 : 19 . 3 lower 5 position 4 socioeconomic 5 position 5 position 12 , 6 was 7 associated 6 was 12 , 7 associated 8 with 7 associated 11 physical 8 with 9 more 8 with 10 adverse 12 , 14 not 13 but 14 not 14 not 18 conditions 15 psychological 16 , 15 psychological 18 conditions 17 working 18 conditions physical working conditions partially explained the differences in physical impairment and musculoskeletal pain in old age attributed [to] socioeconomic position , but not differences in self [-] rated health , circulatory problems , psychological distress , and cognitive impairment . 0 ###LEFT-WALL### 1 physical 0 ###LEFT-WALL### 5 explained 0 ###LEFT-WALL### 40 . 1 physical 2 working 1 physical 5 explained 2 working 3 conditions 2 working 4 partially 5 explained 11 and 5 explained 17 attributed 6 the 7 differences 7 differences 8 in 7 differences 11 and 8 in 10 impairment 9 physical 10 impairment 11 and 13 pain 11 and 17 attributed 12 musculoskeletal 13 pain 13 pain 14 in 14 in 16 age 15 old 16 age 17 attributed 22 but 17 attributed 25 in 19 socioeconomic 20 position 20 position 22 but 21 , 22 but 22 but 23 not 22 but 24 differences 25 in 37 and 26 self 28 rated 28 rated 29 health 29 health 30 , 30 , 32 problems 30 , 33 , 31 circulatory 32 problems 33 , 35 distress 33 , 37 and 34 psychological 35 distress 36 , 37 and 37 and 39 impairment 38 cognitive 39 impairment socioeconomic position was [a] stronger [correlate] [of] health than psychological working conditions alone . 0 ###LEFT-WALL### 2 position 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 14 . 1 socioeconomic 2 position 2 position 3 was 3 was 8 health 3 was 9 than 3 was 13 alone 5 stronger 8 health 9 than 12 conditions 10 psychological 12 conditions 11 working 12 conditions discussion : improving physical working conditions may be important for reducing the influence of socioeconomic position [on] health after retirement . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 2 : 6 conditions 2 : 8 be 2 : 21 . 3 improving 6 conditions 4 physical 6 conditions 5 working 6 conditions 6 conditions 7 may 7 may 8 be 8 be 9 important 9 important 10 for 9 important 19 after 10 for 11 reducing 11 reducing 13 influence 12 the 13 influence 13 influence 14 of 14 of 18 health 15 socioeconomic 16 position 16 position 18 health 19 after 20 retirement objective : to estimate the health impact , in terms of depression , self - rated health , and health services utilization , of providing care to older adults ( 75+ ) requiring human assistance in at least one activity of daily living ( adl ) [limitation] . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 estimate 2 : 13 , 2 : 48 . 3 to 4 estimate 4 estimate 7 impact 5 the 7 impact 6 health 7 impact 7 impact 9 in 8 , 9 in 9 in 10 terms 9 in 13 , 10 terms 11 of 11 of 12 depression 13 , 14 self 13 , 15 - 15 - 17 health 15 - 19 and 16 rated 17 health 18 , 19 and 19 and 20 health 19 and 21 services 20 health 21 services 21 services 22 utilization 22 utilization 24 of 23 , 24 of 24 of 25 providing 24 of 46 ) 25 providing 26 care 26 care 27 to 26 care 33 requiring 27 to 29 adults 28 older 29 adults 29 adults 31 75+ 30 ( 31 75+ 31 75+ 32 ) 33 requiring 35 assistance 34 human 35 assistance 35 assistance 36 in 35 assistance 41 of 36 in 40 activity 37 at 38 least 38 least 39 one 39 one 40 activity 41 of 43 living 42 daily 43 living 43 living 45 adl 44 ( 45 adl 45 adl 46 ) method : data from 1,077 caregivers and 318 noncaregivers , interviewed in the singapore survey on informal caregiving , was used to examine differences in depressive symptoms , self - rated health , and number of outpatient visits in the last 1 month between caregivers and noncaregivers . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 48 . 2 : 7 and 2 : 10 , 3 data 4 from 3 data 7 and 4 from 6 caregivers 5 1,077 6 caregivers 7 and 9 noncaregivers 8 318 9 noncaregivers 10 , 19 , 10 , 28 , 11 interviewed 12 in 11 interviewed 16 on 11 interviewed 19 , 12 in 15 survey 13 the 15 survey 14 singapore 15 survey 16 on 18 caregiving 17 informal 18 caregiving 19 , 20 was 20 was 21 used 21 used 22 to 21 used 23 examine 22 to 23 examine 23 examine 24 differences 24 differences 25 in 25 in 27 symptoms 26 depressive 27 symptoms 28 , 29 self 28 , 30 - 30 - 34 and 31 rated 32 health 32 health 34 and 33 , 34 and 34 and 35 number 34 and 36 of 36 of 38 visits 37 outpatient 38 visits 38 visits 39 in 38 visits 44 between 39 in 43 month 40 the 41 last 40 the 42 1 42 1 43 month 44 between 46 and 45 caregivers 46 and 46 and 47 noncaregivers multivariate models for the outcomes , adjusting for characteristics of the caregiver/noncaregiver and care - recipient/potential care recipient , were run . 0 ###LEFT-WALL### 2 models 0 ###LEFT-WALL### 21 run 0 ###LEFT-WALL### 22 . 1 multivariate 2 models 2 models 3 for 2 models 20 were 3 for 5 outcomes 4 the 5 outcomes 5 outcomes 7 adjusting 6 , 7 adjusting 7 adjusting 8 for 7 adjusting 19 , 8 for 9 characteristics 9 characteristics 10 of 10 of 18 recipient 11 the 18 recipient 12 caregiver/noncaregiver 13 and 13 and 14 care 13 and 15 - 13 and 18 recipient 16 recipient/potential 17 care 17 care 18 recipient 20 were 21 run results : caregivers were more depressed , had poorer [self] - rated health , and had a higher rate of outpatient visits in the past month compared to noncaregivers . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 had 0 ###LEFT-WALL### 30 . 2 : 3 caregivers 2 : 7 , 3 caregivers 7 , 4 were 6 depressed 4 were 7 , 5 more 6 depressed 7 , 15 and 8 had 13 health 8 had 15 and 9 poorer 11 - 9 poorer 13 health 12 rated 13 health 14 , 15 and 15 and 16 had 16 had 19 rate 16 had 23 in 17 a 19 rate 18 higher 19 rate 19 rate 20 of 20 of 22 visits 21 outpatient 22 visits 23 in 26 month 24 the 25 past 24 the 26 month 26 month 27 compared 27 compared 28 to 28 to 29 noncaregivers discussion : the study indicates the need for support services to family caregivers of older adults with adl limitations . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 indicates 2 : 20 . 3 the 4 study 4 study 5 indicates 5 indicates 7 need 5 indicates 11 to 5 indicates 17 with 6 the 7 need 7 need 8 for 8 for 10 services 9 support 10 services 11 to 13 caregivers 12 family 13 caregivers 13 caregivers 14 of 14 of 16 adults 15 older 16 adults 17 with 19 limitations 18 adl 19 limitations objective : this study used data for 1996 - 2010 from a u.s . longitudinal [sample] of elderly individuals from the health and retirement study ( hrs ) merged with medicare claims data to assess changes in several dimensions of physical functioning and general health up to 68 months following total knee arthroplasty ( tka ) receipt . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 14 . 1 objective 2 : 2 : 6 data 2 : 7 for 3 this 6 data 4 study 5 used 5 used 6 data 7 for 9 - 8 1996 9 - 9 - 10 2010 9 - 11 from 11 from 13 u.s 12 a 13 u.s 14 . 23 and 14 . 29 merged 14 . 58 . 15 longitudinal 17 of 15 longitudinal 23 and 17 of 19 individuals 18 elderly 19 individuals 19 individuals 20 from 20 from 22 health 21 the 22 health 23 and 27 hrs 23 and 28 ) 23 and 29 merged 24 retirement 25 study 25 study 27 hrs 26 ( 27 hrs 29 merged 30 with 29 merged 36 changes 30 with 31 medicare 30 with 33 data 32 claims 33 data 33 data 34 to 33 data 35 assess 34 to 35 assess 36 changes 37 in 36 changes 39 dimensions 36 changes 46 up 37 in 38 several 39 dimensions 40 of 39 dimensions 46 up 40 of 45 health 41 physical 45 health 42 functioning 43 and 43 and 44 general 43 and 45 health 46 up 47 to 47 to 48 68 48 68 49 months 48 68 57 receipt 49 months 50 following 49 months 57 receipt 50 following 53 arthroplasty 51 total 53 arthroplasty 52 knee 53 arthroplasty 53 arthroplasty 55 tka 54 ( 55 tka 55 tka 56 ) method : using propensity score matching , we assessed outcomes at [follow] - up for medicare beneficiaries receiving tka and a comparable group of beneficiaries with the same osteoarthritis diagnoses ( controls ) . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 34 . 1 method 2 : 2 : 6 matching 3 using 5 score 4 propensity 5 score 5 score 6 matching 7 , 8 we 7 , 9 assessed 8 we 9 assessed 9 assessed 20 and 9 assessed 26 with 10 outcomes 11 at 10 outcomes 15 for 10 outcomes 18 receiving 10 outcomes 20 and 11 at 14 up 13 - 14 up 15 for 17 beneficiaries 16 medicare 17 beneficiaries 18 receiving 19 tka 20 and 23 group 21 a 22 comparable 21 a 23 group 22 comparable 23 group 23 group 24 of 24 of 25 beneficiaries 26 with 30 diagnoses 27 the 28 same 27 the 30 diagnoses 29 osteoarthritis 30 diagnoses 30 diagnoses 32 controls 31 ( 32 controls 32 controls 33 ) results : receipt of tka was most often associated with improvements in physical functioning , especially in physical functioning measures most directly related to the knee . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 receipt 2 : 6 was 2 : 15 , 2 : 27 . 3 receipt 4 of 3 receipt 6 was 4 of 5 tka 6 was 7 most 7 most 9 associated 8 often 9 associated 9 associated 10 with 9 associated 12 in 10 with 11 improvements 12 in 14 functioning 13 physical 14 functioning 15 , 21 most 15 , 23 related 16 especially 21 most 17 in 20 measures 17 in 21 most 18 physical 20 measures 19 functioning 20 measures 21 most 23 related 22 directly 23 related 23 related 24 to 24 to 26 knee 25 the 26 knee general health of tka recipients only improved relative to controls on 1 of the 3 study general health measures . 0 ###LEFT-WALL### 2 health 0 ###LEFT-WALL### 7 improved 0 ###LEFT-WALL### 20 . 1 general 2 health 2 health 3 of 2 health 7 improved 3 of 5 recipients 4 tka 5 recipients 6 only 7 improved 7 improved 8 relative 8 relative 9 to 9 to 10 controls 10 controls 11 on 10 controls 13 of 11 on 12 1 13 of 19 measures 14 the 15 3 15 3 19 measures 16 study 19 measures 17 general 19 measures 18 health 19 measures discussion : improvements in physical functioning of tka recipients persisted in this longer term analysis of [outcome] in a nationally representative population study . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 1 discussion 2 : 2 : 3 improvements 2 : 4 in 2 : 18 in 4 in 6 functioning 5 physical 6 functioning 6 functioning 7 of 6 functioning 9 recipients 6 functioning 16 of 7 of 8 tka 9 recipients 10 persisted 10 persisted 11 in 11 in 15 analysis 12 this 15 analysis 13 longer 14 term 14 term 15 analysis 15 analysis 16 of 18 in 23 study 19 a 23 study 20 nationally 21 representative 21 representative 22 population 22 population 23 study background : abnormal atrial repolarization is important in the development of atrial fibrillation ( af ) , but no direct measurement is available in clinical medicine . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 5 repolarization 2 : 6 is 2 : 18 but 2 : 27 . 3 abnormal 5 repolarization 4 atrial 5 repolarization 5 repolarization 6 is 6 is 7 important 7 important 8 in 8 in 10 development 9 the 10 development 10 development 11 of 11 of 13 fibrillation 12 atrial 13 fibrillation 13 fibrillation 15 af 14 ( 15 af 15 af 16 ) 17 , 18 but 18 but 21 measurement 18 but 22 is 19 no 21 measurement 20 direct 21 measurement 21 measurement 22 is 22 is 23 available 23 available 24 in 24 in 26 medicine 25 clinical 26 medicine objective : to determine whether the qt interval , a marker of [ventricular] repolarization , could be used to predict incident af . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 determine 2 : 23 . 3 to 4 determine 4 determine 5 whether 5 whether 8 interval 5 whether 18 used 6 the 8 interval 7 qt 8 interval 8 interval 11 marker 8 interval 16 could 9 , 11 marker 10 a 11 marker 11 marker 12 of 11 marker 15 , 12 of 14 repolarization 16 could 17 be 17 be 18 used 18 used 19 to 18 used 20 predict 19 to 20 predict 20 predict 22 af 21 incident 22 af methods : we examined a prolonged qt interval corrected by using the framingham formula ( qt ( fram ) ) as a predictor of incident af in the atherosclerosis risk in communities ( aric ) study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 3 we 2 : 4 examined 3 we 4 examined 4 examined 8 interval 4 examined 9 corrected 5 a 8 interval 6 prolonged 8 interval 7 qt 8 interval 8 interval 9 corrected 9 corrected 10 by 9 corrected 21 as 10 by 11 using 11 using 14 formula 12 the 14 formula 13 framingham 14 formula 14 formula 16 qt 15 ( 16 qt 16 qt 18 fram 16 qt 20 ) 17 ( 18 fram 18 fram 19 ) 21 as 23 predictor 22 a 23 predictor 23 predictor 24 of 24 of 36 study 25 incident 36 study 26 af 27 in 26 af 36 study 27 in 30 risk 28 the 30 risk 29 atherosclerosis 30 risk 30 risk 31 in 31 in 34 aric 32 communities 34 aric 33 ( 34 aric 34 aric 35 ) the cardiovascular health study ( chs ) and health , aging , and body composition ( abc ) study were used for validation . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 21 used 0 ###LEFT-WALL### 24 . 1 the 6 chs 2 cardiovascular 3 health 3 health 4 study 4 study 6 chs 5 ( 6 chs 6 chs 7 ) 6 chs 8 and 8 and 9 health 8 and 10 , 10 , 11 aging 10 , 13 and 12 , 13 and 13 and 19 study 13 and 20 were 14 body 15 composition 15 composition 17 abc 16 ( 17 abc 17 abc 18 ) 17 abc 19 study 20 were 21 used 21 used 22 for 22 for 23 validation secondary predictors included qt duration as a continuous variable , a short qt interval , and qt intervals corrected by using other formulas . 0 ###LEFT-WALL### 2 predictors 0 ###LEFT-WALL### 3 included 0 ###LEFT-WALL### 24 . 1 secondary 2 predictors 2 predictors 3 included 3 included 5 duration 3 included 6 as 3 included 20 by 4 qt 5 duration 6 as 16 and 7 a 9 variable 8 continuous 9 variable 9 variable 10 , 10 , 14 interval 10 , 16 and 11 a 14 interval 12 short 14 interval 13 qt 14 interval 15 , 16 and 16 and 18 intervals 16 and 19 corrected 17 qt 18 intervals 20 by 21 using 21 using 23 formulas 22 other 23 formulas results : among 14,538 aric study participants , a prolonged qt ( fram ) predicted [a] roughly 2 - fold increased risk of af ( hazard [ratio] [ hr ] 2.05 [;] 95 % confidence [interval] [ ci ] 1.42 - 2.96 ; p < . 001 [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 49 )( 1 results 2 : 2 : 3 among 3 among 5 aric 4 14,538 5 aric 5 aric 7 participants 5 aric 15 predicted 6 study 7 participants 7 participants 11 qt 7 participants 15 predicted 8 , 11 qt 9 a 11 qt 10 prolonged 11 qt 11 qt 13 fram 11 qt 14 ) 12 ( 13 fram 13 fram 14 ) 15 predicted 18 2 17 roughly 18 2 19 - 20 fold 19 - 43 ; 19 - 45 < 19 - 46 . 20 fold 22 risk 20 fold 41 - 21 increased 22 risk 22 risk 23 of 22 risk 38 ci 23 of 35 confidence 24 af 26 hazard 24 af 35 confidence 25 ( 26 hazard 26 hazard 29 hr 26 hazard 30 ] 28 [ 29 hr 29 hr 30 ] 31 2.05 35 confidence 33 95 34 % 34 % 35 confidence 37 [ 38 ci 38 ci 39 ] 40 1.42 41 - 41 - 42 2.96 43 ; 44 p 44 p 45 < 46 . 47 001 no substantive attenuation was observed after adjustment for age , race , sex , study center , body mass index , hypertension , diabetes , coronary disease , and heart failure . 0 ###LEFT-WALL### 3 attenuation 0 ###LEFT-WALL### 5 observed 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 32 . 1 no 3 attenuation 2 substantive 3 attenuation 3 attenuation 4 was 4 was 5 observed 5 observed 6 after 6 after 7 adjustment 7 adjustment 8 for 8 for 9 age 10 , 29 and 11 race 12 , 12 , 13 sex 12 , 14 , 14 , 16 center 14 , 17 , 15 study 16 center 17 , 20 index 17 , 21 , 18 body 20 index 19 mass 20 index 21 , 22 hypertension 21 , 23 , 23 , 24 diabetes 23 , 25 , 25 , 27 disease 25 , 29 and 26 coronary 27 disease 28 , 29 and 29 and 31 failure 30 heart 31 failure the findings were validated in cardiovascular health study and health , aging , and body composition study and were similar across various qt correction methods . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 validated 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 26 . 1 the 2 findings 2 findings 3 were 3 were 4 validated 4 validated 5 in 5 in 9 and 6 cardiovascular 7 health 7 health 8 study 8 study 9 and 9 and 10 health 11 , 14 and 11 , 18 and 12 aging 14 and 13 , 14 and 14 and 16 composition 14 and 18 and 15 body 16 composition 17 study 18 and 18 and 19 were 19 were 20 similar 20 similar 21 across 21 across 25 methods 22 various 25 methods 23 qt 25 methods 24 correction 25 methods also in the aric study , each 10 [-] [m] s increase in qt ( fram ) was associated with an increased unadjusted [(] hr 1.14 [;] 95 % ci 1.10 - 1.17 [;] p < [.] 001 ) [and] adjusted ( hr 1.11 [;] 95 % ci 1.07 - 1.14 [;] p < [.] 001 [ )(risk of af . 1 also 12 increase 2 in 5 study 2 in 6 , 2 in 12 increase 3 the 5 study 4 aric 5 study 7 each 12 increase 8 10 11 s 11 s 12 increase 12 increase 13 in 12 increase 18 was 13 in 14 qt 14 qt 16 fram 15 ( 16 fram 16 fram 17 ) 18 was 19 associated 19 associated 20 with 20 with 25 hr 20 with 29 % 21 an 25 hr 22 increased 25 hr 23 unadjusted 25 hr 25 hr 26 1.14 28 95 29 % 29 % 30 ci 29 % 41 adjusted 30 ci 36 < 30 ci 41 adjusted 31 1.10 32 - 32 - 33 1.17 32 - 36 < 35 p 36 < 36 < 38 001 36 < 39 ) 41 adjusted 50 - 42 ( 50 - 43 hr 44 1.11 43 hr 48 ci 46 95 48 ci 47 % 48 ci 48 ci 49 1.07 48 ci 50 - 50 - 51 1.14 50 - 61 . 51 1.14 54 < 53 p 54 < 54 < 58 )(risk 56 001 58 )(risk 58 )(risk 59 of 59 of 60 af findings regarding a short qt interval were inconsistent across cohorts . 0 ###LEFT-WALL### 1 findings 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 11 . 1 findings 2 regarding 1 findings 7 were 2 regarding 6 interval 3 a 6 interval 4 short 6 interval 5 qt 6 interval 7 were 8 inconsistent 8 inconsistent 9 across 9 across 10 cohorts conclusions : a prolonged qt interval is associated with an increased risk of incident af . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 6 interval 2 : 8 associated 2 : 16 . 3 a 6 interval 4 prolonged 6 interval 5 qt 6 interval 6 interval 7 is 7 is 8 associated 8 associated 9 with 9 with 12 risk 10 an 12 risk 11 increased 12 risk 12 risk 13 of 13 of 15 af 14 incident 15 af background : being able to identify individuals at high risk of dementia is important for diagnostics and intervention . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 2 : 3 being 2 : 13 is 3 being 4 able 3 being 13 is 4 able 5 to 4 able 6 identify 5 to 6 identify 6 identify 7 individuals 6 identify 8 at 8 at 10 risk 9 high 10 risk 10 risk 11 of 11 of 12 dementia 13 is 14 important 14 important 15 for 15 for 17 and 16 diagnostics 17 and 17 and 18 intervention currently , there is no standard approach to assessing cognitive function [in] older aged individuals to best predict incident dementia . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 21 . 1 currently 2 , 1 currently 3 there 3 there 4 is 4 is 7 approach 4 is 8 to 5 no 7 approach 6 standard 7 approach 8 to 9 assessing 9 assessing 15 individuals 9 assessing 16 to 10 cognitive 11 function 11 function 15 individuals 13 older 15 individuals 14 aged 15 individuals 16 to 18 predict 17 best 18 predict 18 predict 20 dementia 19 incident 20 dementia objective : to identify cognitive changes associated with an increased risk of 2 - year incident dementia using the cambridge cognitive examination ( camcog ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 3 to 2 : 4 identify 3 to 4 identify 4 identify 6 changes 4 identify 8 with 5 cognitive 6 changes 6 changes 7 associated 8 with 11 risk 9 an 11 risk 10 increased 11 risk 11 risk 12 of 12 of 13 2 13 2 17 dementia 14 - 17 dementia 15 year 17 dementia 16 incident 17 dementia 17 dementia 18 using 17 dementia 25 ) 18 using 24 camcog 19 the 24 camcog 20 cambridge 21 cognitive 21 cognitive 22 examination 22 examination 24 camcog 23 ( 24 camcog design : longitudinal population representative sample aged 65+ years . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 . 1 design 2 : 2 : 9 years 3 longitudinal 4 population 4 population 9 years 5 representative 6 sample 6 sample 9 years 7 aged 8 65+ 8 65+ 9 years methods : individuals were from the medical research council cognitive function and ageing study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 individuals 2 : 4 were 2 : 15 . 3 individuals 4 were 4 were 5 from 5 from 12 and 6 the 11 function 7 medical 8 research 8 research 9 council 9 council 10 cognitive 10 cognitive 11 function 11 function 12 and 12 and 14 study 13 ageing 14 study classification and regression tree analysis was used to detect the optimal cut - off value for the camcog total , subscales and composite memory and [non] - memory scores , for predicting dementia . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 20 , 1 classification 2 and 2 and 4 tree 2 and 5 analysis 2 and 9 detect 2 and 14 off 3 regression 4 tree 5 analysis 6 was 6 was 7 used 7 used 8 to 7 used 9 detect 8 to 9 detect 9 detect 12 cut 10 the 12 cut 11 optimal 12 cut 13 - 14 off 14 off 15 value 14 off 20 , 15 value 16 for 16 for 19 total 17 the 19 total 18 camcog 19 total 20 , 22 and 20 , 25 and 21 subscales 22 and 22 and 24 memory 23 composite 24 memory 25 and 27 - 25 and 28 memory 25 and 29 scores 28 memory 29 scores 29 scores 31 for 30 , 31 for 31 for 32 predicting 31 for 34 . 32 predicting 33 dementia sensitivity and specificity of each cut [-] off [score] were assessed . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 11 assessed 0 ###LEFT-WALL### 12 . 1 sensitivity 2 and 2 and 3 specificity 2 and 4 of 2 and 10 were 4 of 5 each 5 each 6 cut 6 cut 8 off 10 were 11 assessed results : from the 2,053 individuals without dementia at the first assessment , 137 developed dementia at the 2 - [year] follow - up . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 - 1 results 2 : 2 : 3 from 2 : 7 without 3 from 6 individuals 4 the 5 2,053 5 2,053 6 individuals 7 without 8 dementia 8 dementia 9 at 8 dementia 14 137 9 at 12 assessment 10 the 11 first 10 the 12 assessment 13 , 14 137 14 137 15 developed 14 137 16 dementia 14 137 20 - 16 dementia 17 at 17 at 19 2 18 the 19 2 20 - 22 follow 20 - 23 - 20 - 25 . 23 - 24 up the results indicate similar discriminative accuracy for incident dementia based on the camcog total , memory subscale and composite scores . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 21 . 1 the 2 results 2 results 3 indicate 3 indicate 6 accuracy 3 indicate 11 on 4 similar 6 accuracy 5 discriminative 6 accuracy 6 accuracy 7 for 6 accuracy 10 based 7 for 9 dementia 8 incident 9 dementia 11 on 18 and 12 the 17 subscale 13 camcog 17 subscale 14 total 15 , 14 total 16 memory 16 memory 17 subscale 17 subscale 18 and 18 and 20 scores 19 composite 20 scores however , sensitivity and specificity [of] cut - off values were generally moderate . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 11 were 0 ###LEFT-WALL### 14 . 1 however 2 , 1 however 4 and 3 sensitivity 4 and 4 and 7 cut 4 and 8 - 4 and 9 off 4 and 11 were 5 specificity 7 cut 9 off 10 values 11 were 12 generally 11 were 13 moderate scores on the [non] [-] memory subscales generally had high sensitivity but low specificity . 0 ###LEFT-WALL### 1 scores 0 ###LEFT-WALL### 12 but 0 ###LEFT-WALL### 15 . 1 scores 2 on 1 scores 12 but 2 on 7 subscales 3 the 7 subscales 6 memory 7 subscales 8 generally 9 had 9 had 11 sensitivity 9 had 12 but 10 high 11 sensitivity 12 but 13 low 13 low 14 specificity [compared] with the camcog total score they had significantly lower discriminative accuracy . 0 ###LEFT-WALL### 7 they 0 ###LEFT-WALL### 8 had 0 ###LEFT-WALL### 13 . 2 with 6 score 2 with 7 they 3 the 6 score 4 camcog 6 score 5 total 6 score 7 they 8 had 8 had 12 accuracy 9 significantly 10 lower 10 lower 12 accuracy 11 discriminative 12 accuracy conclusion : in a population setting , cut - off scores from the camcog memory subscales predicted dementia with reasonable accuracy . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 1 conclusion 2 : 2 : 3 in 2 : 10 off 3 in 5 population 4 a 5 population 5 population 6 setting 5 population 8 cut 7 , 8 cut 8 cut 9 - 10 off 11 scores 11 scores 12 from 11 scores 17 predicted 11 scores 18 dementia 12 from 16 subscales 13 the 16 subscales 14 camcog 15 memory 15 memory 16 subscales 18 dementia 19 with 19 with 21 accuracy 20 reasonable 21 accuracy scores on the [non] [-] memory scales have lower accuracy [and] are not recommend for predicting high - risk cases unless all [non] [-] memory subdomain scores are combined . 0 ###LEFT-WALL### 1 scores 0 ###LEFT-WALL### 14 recommend 0 ###LEFT-WALL### 30 . 1 scores 2 on 1 scores 12 are 2 on 6 memory 3 the 6 memory 6 memory 7 scales 6 memory 8 have 7 scales 8 have 8 have 9 lower 9 lower 10 accuracy 12 are 13 not 12 are 14 recommend 14 recommend 15 for 14 recommend 20 cases 14 recommend 21 unless 15 for 16 predicting 16 predicting 19 risk 17 high 18 - 17 high 19 risk 21 unless 27 scores 21 unless 29 combined 22 all 27 scores 25 memory 27 scores 26 subdomain 27 scores 27 scores 28 are 28 are 29 combined the added value of cognition when assessed using the camcog to other risk factors ( e.g [.] health and genetics ) should be tested within a risk prediction framework . 0 ###LEFT-WALL### 3 value 0 ###LEFT-WALL### 24 tested 0 ###LEFT-WALL### 30 . 1 the 3 value 2 added 3 value 3 value 4 of 3 value 23 be 4 of 5 cognition 5 cognition 6 when 6 when 8 using 6 when 22 should 7 assessed 8 using 8 using 10 camcog 8 using 14 factors 8 using 19 and 8 using 22 should 9 the 10 camcog 10 camcog 11 to 10 camcog 14 factors 11 to 13 risk 12 other 13 risk 15 ( 19 and 16 e.g 18 health 18 health 19 and 19 and 20 genetics 19 and 21 ) 23 be 24 tested 24 tested 25 within 25 within 29 framework 26 a 29 framework 27 risk 29 framework 28 prediction 29 framework long - lasting type 1 and type 2 diabetes mellitus ( dm ) are both associated with impaired cognitive function in humans . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 20 function 0 ###LEFT-WALL### 23 . 1 long 2 - 1 long 6 and 3 lasting 4 type 4 type 5 1 4 type 6 and 6 and 7 type 6 and 10 mellitus 6 and 17 with 6 and 18 impaired 6 and 20 function 7 type 8 2 9 diabetes 10 mellitus 10 mellitus 12 dm 10 mellitus 14 are 11 ( 12 dm 12 dm 13 ) 14 are 15 both 15 both 16 associated 16 associated 17 with 18 impaired 19 cognitive 20 function 21 in 21 in 22 humans animal models of dm have confirmed the detrimental effect of high blood glucose levels on learning and memory . 0 ###LEFT-WALL### 1 animal 0 ###LEFT-WALL### 6 confirmed 0 ###LEFT-WALL### 19 . 1 animal 2 models 1 animal 5 have 1 animal 6 confirmed 2 models 3 of 2 models 5 have 3 of 4 dm 6 confirmed 17 and 7 the 9 effect 8 detrimental 9 effect 9 effect 10 of 9 effect 17 and 10 of 14 levels 11 high 13 glucose 12 blood 13 glucose 13 glucose 14 levels 14 levels 15 on 15 on 16 learning 17 and 18 memory [what] are the neural [correlates] of such impaired cognition ? 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 10 ? 2 are 4 neural 2 are 6 of 3 the 4 neural 6 of 9 cognition 7 such 9 cognition 8 impaired 9 cognition it is widely , [although] not universally , believed that long - lasting increase and decrease in synaptic strength , known as long - term potentiation ( ltp [ )(and [depression] ( ltd ) , provide an important key to understanding the cellular and molecular mechanisms by which memories are formed and stored . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 12 - 1 it 2 is 2 is 3 widely 2 is 7 universally 2 is 9 believed 4 , 6 not 4 , 7 universally 7 universally 8 , 8 , 9 believed 9 believed 11 long 10 that 11 long 12 - 15 and 12 - 24 - 13 lasting 14 increase 14 increase 15 and 15 and 16 decrease 15 and 17 in 15 and 21 known 17 in 19 strength 18 synaptic 19 strength 20 , 21 known 21 known 23 long 21 known 24 - 22 as 23 long 24 - 35 , 25 term 26 potentiation 25 term 35 , 26 potentiation 33 ltd 27 ( 33 ltd 28 ltp 30 )(and 30 )(and 33 ltd 32 ( 33 ltd 33 ltd 34 ) 35 , 36 provide 36 provide 39 key 36 provide 40 to 37 an 38 important 37 an 39 key 38 important 39 key 40 to 41 understanding 41 understanding 44 and 42 the 44 and 43 cellular 44 and 44 and 46 mechanisms 44 and 54 . 45 molecular 46 mechanisms 46 mechanisms 47 by 46 mechanisms 52 and 47 by 48 which 47 by 49 memories 47 by 50 are 49 memories 50 are 51 formed 52 and 52 and 53 stored the majority of animal studies that examined the effect of dm [on] ltd and ltp used the streptozotocin ( stz [ )(rodent model [of] type 1 [dm] , with the exception of a few that used genetic models of type 2 dm . 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 43 . 1 the 2 majority 2 majority 3 of 2 majority 10 of 2 majority 14 and 3 of 5 studies 4 animal 5 studies 5 studies 6 that 5 studies 7 examined 6 that 7 examined 7 examined 9 effect 8 the 9 effect 10 of 13 ltd 11 dm 13 ltd 14 and 15 ltp 14 and 16 used 16 used 18 streptozotocin 16 used 29 with 17 the 18 streptozotocin 18 streptozotocin 25 type 19 ( 25 type 20 stz 22 )(rodent 22 )(rodent 23 model 23 model 25 type 25 type 26 1 25 type 28 , 29 with 31 exception 30 the 31 exception 31 exception 32 of 32 of 38 models 33 a 34 few 34 few 38 models 35 that 36 used 36 used 38 models 37 genetic 38 models 38 models 39 of 39 of 42 dm 40 type 42 dm 41 2 42 dm studies in stz - dm rodents show that cellular processes underlying synapse strengthening or weakening are not altered . 0 ###LEFT-WALL### 1 studies 0 ###LEFT-WALL### 18 altered 0 ###LEFT-WALL### 19 . 1 studies 2 in 1 studies 6 rodents 1 studies 12 synapse 1 studies 16 are 2 in 5 dm 3 stz 5 dm 4 - 5 dm 6 rodents 7 show 7 show 11 underlying 7 show 12 synapse 8 that 11 underlying 9 cellular 10 processes 10 processes 11 underlying 12 synapse 14 or 13 strengthening 14 or 14 or 15 weakening 16 are 17 not 16 are 18 altered rather , the capacity for ltp induction is reduced whereas that for [ltd] induction is enhanced . 0 ###LEFT-WALL### 4 capacity 0 ###LEFT-WALL### 9 reduced 0 ###LEFT-WALL### 17 . 1 rather 2 , 1 rather 4 capacity 3 the 4 capacity 4 capacity 5 for 4 capacity 8 is 5 for 7 induction 6 ltp 7 induction 8 is 9 reduced 9 reduced 10 whereas 10 whereas 11 that 10 whereas 16 enhanced 11 that 12 for 11 that 15 is 12 for 14 induction 15 is 16 enhanced the mechanisms underlying dm - related changes [in] ltd and ltp inductions are still unknown . 0 ###LEFT-WALL### 2 mechanisms 0 ###LEFT-WALL### 13 are 0 ###LEFT-WALL### 16 . 1 the 2 mechanisms 2 mechanisms 3 underlying 2 mechanisms 13 are 3 underlying 12 inductions 4 dm 9 ltd 5 - 6 related 6 related 7 changes 6 related 9 ltd 9 ltd 10 and 10 and 11 ltp 11 ltp 12 inductions 13 are 14 still 13 are 15 unknown 14 still 15 unknown however , [that] the levels of effective postsynaptic depolarization for [ltd] [and] ltp inductions are concomitantly shifted in opposite directions put constraints on them . 0 ###LEFT-WALL### 5 levels 0 ###LEFT-WALL### 21 put 0 ###LEFT-WALL### 25 . 1 however 2 , 1 however 5 levels 4 the 5 levels 5 levels 6 of 5 levels 21 put 6 of 9 depolarization 7 effective 9 depolarization 8 postsynaptic 9 depolarization 9 depolarization 10 for 9 depolarization 17 shifted 10 for 13 ltp 13 ltp 14 inductions 13 ltp 15 are 14 inductions 15 are 16 concomitantly 17 shifted 17 shifted 18 in 18 in 20 directions 19 opposite 20 directions 21 put 22 constraints 21 put 23 on 23 on 24 them moreover , that dm [-] , metaplasticity - , stress - and ageing - related changes in [ltd] and ltp inductions exhibit the very same phenomenology suggests that they might involve common mechanisms . 0 ###LEFT-WALL### 4 dm 0 ###LEFT-WALL### 16 changes 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 34 . 1 moreover 2 , 1 moreover 4 dm 3 that 4 dm 4 dm 7 metaplasticity 4 dm 16 changes 6 , 7 metaplasticity 7 metaplasticity 8 - 9 , 15 related 10 stress 12 and 11 - 12 and 12 and 13 ageing 12 and 14 - 12 and 15 related 15 related 16 changes 16 changes 17 in 19 and 20 ltp 19 and 27 suggests 20 ltp 21 inductions 20 ltp 22 exhibit 20 ltp 27 suggests 21 inductions 22 exhibit 22 exhibit 26 phenomenology 23 the 24 very 23 the 25 same 23 the 26 phenomenology 27 suggests 28 that 28 that 29 they 28 that 31 involve 29 they 30 might 30 might 31 involve 31 involve 33 mechanisms 32 common 33 mechanisms dissecting out the mechanisms responsible for dm - related changes in the capacity [for] ltd and ltp inductions is helping to improve treatment [of] impaired cognitive function in dm patients . 0 ###LEFT-WALL### 1 dissecting 0 ###LEFT-WALL### 27 function 0 ###LEFT-WALL### 31 . 1 dissecting 2 out 1 dissecting 18 inductions 1 dissecting 19 is 2 out 16 and 3 the 4 mechanisms 4 mechanisms 5 responsible 4 mechanisms 16 and 5 responsible 6 for 6 for 15 ltd 7 dm 15 ltd 8 - 9 related 9 related 10 changes 9 related 11 in 9 related 15 ltd 11 in 13 capacity 12 the 13 capacity 16 and 17 ltp 19 is 20 helping 20 helping 21 to 20 helping 27 function 21 to 22 improve 22 improve 23 treatment 23 treatment 25 impaired 25 impaired 26 cognitive 27 function 28 in 28 in 30 patients 29 dm 30 patients recently it has become clear that conditions of insulin resistance/metabolic syndrome [,] obesity and diabetes , are linked with moderate cognitive impairment in normal aging and elevated risk of alzheimer 's disease . 0 ###LEFT-WALL### 2 it 0 ###LEFT-WALL### 4 become 0 ###LEFT-WALL### 33 . 1 recently 2 it 2 it 3 has 3 has 4 become 4 become 5 clear 5 clear 6 that 6 that 7 conditions 6 that 20 moderate 7 conditions 8 of 7 conditions 20 moderate 8 of 9 insulin 9 insulin 14 and 9 insulin 19 with 10 resistance/metabolic 11 syndrome 11 syndrome 13 obesity 13 obesity 14 and 14 and 15 diabetes 14 and 16 , 14 and 17 are 17 are 18 linked 18 linked 19 with 20 moderate 22 impairment 20 moderate 23 in 21 cognitive 22 impairment 23 in 26 and 24 normal 25 aging 24 normal 26 and 26 and 28 risk 27 elevated 28 risk 28 risk 29 of 29 of 32 disease 30 alzheimer 31 's 31 's 32 disease it appears that a common feature of these conditions is impaired insulin signaling , affecting the brain as well as peripheral target tissues . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 appears 1 it 2 appears 2 appears 3 that 3 that 6 feature 3 that 10 is 4 a 5 common 4 a 6 feature 5 common 6 feature 6 feature 7 of 6 feature 10 is 7 of 9 conditions 8 these 9 conditions 10 is 12 insulin 11 impaired 12 insulin 12 insulin 13 signaling 12 insulin 15 affecting 14 , 15 affecting 15 affecting 17 brain 15 affecting 24 . 16 the 17 brain 17 brain 20 as 18 as 19 well 19 well 20 as 20 as 23 tissues 21 peripheral 22 target 22 target 23 tissues a number of studies have documented that insulin directly affects brain processes and that reduced insulin signaling results in impaired learning and memory . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 6 documented 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 24 . 1 a 2 number 2 number 3 of 2 number 4 studies 3 of 4 studies 4 studies 5 have 5 have 6 documented 6 documented 7 that 7 that 8 insulin 7 that 10 affects 8 insulin 10 affects 9 directly 10 affects 10 affects 12 processes 11 brain 12 processes 13 and 14 that 13 and 15 reduced 14 that 15 reduced 15 reduced 16 insulin 16 insulin 17 signaling 17 signaling 18 results 17 signaling 19 in 19 in 22 and 20 impaired 21 learning 21 learning 22 and 22 and 23 memory several studies have also shown that diabetes induces ca ( 2+ ) dysregulation in neurons . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 5 shown 1 several 2 studies 2 studies 3 have 3 have 5 shown 4 also 5 shown 5 shown 6 that 6 that 7 diabetes 6 that 8 induces 7 diabetes 8 induces 8 induces 9 ca 9 ca 13 dysregulation 10 ( 13 dysregulation 11 2+ 12 ) 11 2+ 13 dysregulation 13 dysregulation 14 in 13 dysregulation 16 . 14 in 15 neurons because brain aging is associated with substantial ca ( 2+ ) dyshomeostasis , it has been proposed that impaired insulin signaling exacerbates or accelerates aging - related ca ( 2+ ) dyshomeostasis . 0 ###LEFT-WALL### 14 it 0 ###LEFT-WALL### 16 been 0 ###LEFT-WALL### 27 related 0 ###LEFT-WALL### 33 . 1 because 2 brain 1 because 5 associated 1 because 13 , 1 because 14 it 2 brain 3 aging 2 brain 4 is 2 brain 5 associated 3 aging 4 is 5 associated 6 with 6 with 8 ca 7 substantial 8 ca 8 ca 12 dyshomeostasis 9 ( 12 dyshomeostasis 10 2+ 11 ) 10 2+ 12 dyshomeostasis 12 dyshomeostasis 13 , 14 it 15 has 15 has 16 been 16 been 20 insulin 17 proposed 20 insulin 18 that 19 impaired 19 impaired 20 insulin 20 insulin 21 signaling 20 insulin 23 or 20 insulin 25 aging 21 signaling 23 or 22 exacerbates 23 or 23 or 24 accelerates 26 - 27 related 27 related 32 dyshomeostasis 28 ca 30 2+ 28 ca 32 dyshomeostasis 29 ( 30 2+ 30 2+ 31 ) however , there have been few studies examining insulin interactions with ca ( 2+ ) regulation in aging animals . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 5 been 1 however 2 , 1 however 3 there 3 there 4 have 4 have 5 been 5 been 7 studies 6 few 7 studies 7 studies 8 examining 8 examining 10 interactions 8 examining 11 with 9 insulin 10 interactions 11 with 12 ca 12 ca 16 regulation 13 ( 16 regulation 14 2+ 15 ) 14 2+ 16 regulation 16 regulation 17 in 16 regulation 20 . 17 in 18 aging 18 aging 19 animals we have been testing predictions of the ca ( 2+ ) dysregulation/diabetes/brain aging hypothesis and have found that insulin and insulin - sensitizers ( thiazolidinediones ) target several hippocampal ca ( 2+ ) - related processes affected by aging . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 17 found 0 ###LEFT-WALL### 35 related 1 we 15 and 2 have 3 been 2 have 15 and 3 been 4 testing 4 testing 5 predictions 5 predictions 6 of 6 of 14 hypothesis 7 the 14 hypothesis 8 ca 10 2+ 8 ca 12 dysregulation/diabetes/brain 9 ( 10 2+ 10 2+ 11 ) 12 dysregulation/diabetes/brain 13 aging 13 aging 14 hypothesis 15 and 16 have 16 have 17 found 17 found 18 that 18 that 20 and 18 that 27 target 19 insulin 20 and 20 and 21 insulin 20 and 23 sensitizers 20 and 27 target 22 - 23 sensitizers 23 sensitizers 25 thiazolidinediones 23 sensitizers 26 ) 24 ( 25 thiazolidinediones 25 thiazolidinediones 26 ) 27 target 30 ca 28 several 30 ca 29 hippocampal 30 ca 30 ca 32 2+ 31 ( 32 2+ 32 2+ 33 ) 34 - 35 related 35 related 36 processes 35 related 38 by 35 related 40 . 36 processes 37 affected 38 by 39 aging the drugs appear able to reduce the age [-] dependent increase in ca ( 2+ ) transients and the ca ( 2+ ) - sensitive afterhyperpolarization . 0 ###LEFT-WALL### 2 drugs 0 ###LEFT-WALL### 3 appear 0 ###LEFT-WALL### 24 - 0 ###LEFT-WALL### 27 . 1 the 2 drugs 2 drugs 3 appear 3 appear 4 able 4 able 5 to 4 able 6 reduce 5 to 6 reduce 6 reduce 11 increase 6 reduce 12 in 7 the 11 increase 8 age 11 increase 10 dependent 11 increase 12 in 13 ca 13 ca 18 and 14 ( 18 and 15 2+ 16 ) 15 2+ 17 transients 17 transients 18 and 18 and 20 ca 18 and 22 2+ 18 and 23 ) 19 the 20 ca 21 ( 22 2+ 22 2+ 23 ) 24 - 26 afterhyperpolarization 25 sensitive 26 afterhyperpolarization thus , while additional testing is needed , the results to date are consistent with the view that strategies that enhance insulin signaling can counteract the effect of aging on ca ( 2+ ) dysregulation . 0 ###LEFT-WALL### 10 results 0 ###LEFT-WALL### 13 are 1 thus 10 results 2 , 3 while 3 while 5 testing 3 while 7 needed 3 while 8 , 3 while 10 results 4 additional 5 testing 5 testing 6 is 6 is 7 needed 7 needed 8 , 9 the 10 results 10 results 11 to 10 results 12 date 10 results 13 are 11 to 12 date 13 are 14 consistent 14 consistent 15 with 15 with 17 view 15 with 29 aging 16 the 17 view 17 view 18 that 17 view 28 of 18 that 19 strategies 18 that 25 counteract 19 strategies 20 that 19 strategies 21 enhance 19 strategies 24 can 20 that 21 enhance 21 enhance 22 insulin 22 insulin 23 signaling 24 can 25 counteract 25 counteract 27 effect 26 the 27 effect 27 effect 28 of 29 aging 30 on 30 on 31 ca 31 ca 35 dysregulation 32 ( 35 dysregulation 33 2+ 34 ) 33 2+ 35 dysregulation 35 dysregulation 36 . the main questions posed in ageing theories are how ageing evolved [and] whether or not it is programmed . 0 ###LEFT-WALL### 3 questions 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 19 . 1 the 3 questions 2 main 3 questions 3 questions 4 posed 3 questions 8 are 4 posed 5 in 5 in 7 theories 6 ageing 7 theories 8 are 9 how 8 are 15 not 9 how 10 ageing 9 how 11 evolved 10 ageing 11 evolved 13 whether 14 or 14 or 15 not 15 not 16 it 15 not 18 programmed 16 it 17 is 17 is 18 programmed while these questions have not yet been clearly resolved , several groups of possible theories have been published on this topic . 0 ###LEFT-WALL### 12 groups 0 ###LEFT-WALL### 18 published 0 ###LEFT-WALL### 22 . 1 while 3 questions 1 while 7 been 1 while 10 , 1 while 12 groups 2 these 3 questions 3 questions 4 have 4 have 5 not 4 have 7 been 6 yet 7 been 7 been 8 clearly 7 been 9 resolved 11 several 12 groups 12 groups 13 of 12 groups 16 have 13 of 15 theories 14 possible 15 theories 16 have 17 been 17 been 18 published 18 published 19 on 19 on 21 topic 20 this 21 topic however , most of these theories do not consider plants , and the specific traits involved in their ageing mechanisms . 0 ###LEFT-WALL### 3 most 0 ###LEFT-WALL### 9 consider 0 ###LEFT-WALL### 21 . 1 however 2 , 1 however 3 most 3 most 4 of 3 most 7 do 4 of 6 theories 5 these 6 theories 7 do 8 not 7 do 9 consider 9 consider 12 and 9 consider 20 mechanisms 10 plants 12 and 11 , 12 and 12 and 15 traits 12 and 16 involved 13 the 15 traits 14 specific 15 traits 16 involved 17 in 17 in 19 ageing 18 their 19 ageing the first trait covers clonality and sectoriality and the second concerns the lack of a differentiated germ line . 0 ###LEFT-WALL### 3 trait 0 ###LEFT-WALL### 4 covers 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 19 . 1 the 3 trait 2 first 3 trait 3 trait 4 covers 4 covers 6 and 5 clonality 6 and 6 and 7 sectoriality 8 and 10 second 8 and 11 concerns 9 the 10 second 10 second 11 concerns 11 concerns 13 lack 12 the 13 lack 13 lack 14 of 14 of 18 line 15 a 18 line 16 differentiated 17 germ 17 germ 18 line the lack of a germ line prevents telomere shortening which can lead to the transfer of somatic mutations into sexual offspring , while sectoriality in trees causes isolation of potentially catastrophic events in one tree part , thus creating a population of more or less independent modules within one [axis] . 0 ###LEFT-WALL### 2 lack 0 ###LEFT-WALL### 7 prevents 0 ###LEFT-WALL### 22 , 1 the 2 lack 2 lack 3 of 2 lack 7 prevents 3 of 6 line 4 a 6 line 5 germ 6 line 7 prevents 8 telomere 7 prevents 13 to 7 prevents 19 into 8 telomere 9 shortening 8 telomere 10 which 8 telomere 11 can 10 which 11 can 11 can 12 lead 13 to 15 transfer 14 the 15 transfer 15 transfer 16 of 16 of 18 mutations 17 somatic 18 mutations 19 into 21 offspring 20 sexual 21 offspring 22 , 36 part 23 while 24 sectoriality 23 while 27 causes 23 while 36 part 24 sectoriality 25 in 24 sectoriality 27 causes 25 in 26 trees 27 causes 28 isolation 27 causes 33 in 28 isolation 29 of 29 of 32 events 30 potentially 31 catastrophic 31 catastrophic 32 events 33 in 35 tree 34 one 35 tree 36 part 39 creating 37 , 39 creating 38 thus 39 creating 39 creating 41 population 39 creating 48 within 39 creating 51 . 40 a 41 population 41 population 42 of 42 of 47 modules 43 more 44 or 44 or 45 less 44 or 46 independent 46 independent 47 modules 48 within 49 one the processes of population dynamics , including ageing , can act within the framework of an individual tree as well as in that of the population as a whole , although the processes involved differ and consequently result in different effects . 0 ###LEFT-WALL### 2 processes 0 ###LEFT-WALL### 11 act 1 the 2 processes 2 processes 3 of 2 processes 7 including 2 processes 10 can 3 of 5 dynamics 4 population 5 dynamics 6 , 7 including 7 including 8 ageing 7 including 9 , 10 can 11 act 11 act 12 within 11 act 19 as 11 act 27 as 11 act 31 although 12 within 14 framework 13 the 14 framework 14 framework 15 of 15 of 18 tree 16 an 18 tree 17 individual 18 tree 19 as 20 well 20 well 21 as 20 well 24 of 21 as 22 in 22 in 23 that 24 of 26 population 25 the 26 population 27 as 29 whole 28 a 29 whole 30 , 31 although 31 although 33 processes 31 although 36 and 31 although 42 . 32 the 33 processes 33 processes 34 involved 33 processes 36 and 35 differ 36 and 36 and 38 result 37 consequently 38 result 38 result 39 in 39 in 41 effects 40 different 41 effects introduction : ultra - short telomeres caused by stress - induced telomere shortening [are] suggested to induce chondrocyte senescence in human osteoarthritic knees . 0 ###LEFT-WALL### 1 introduction 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 suggested 1 introduction 2 : 2 : 12 telomere 3 ultra 6 telomeres 3 ultra 12 telomere 4 - 6 telomeres 5 short 6 telomeres 6 telomeres 7 caused 6 telomeres 10 - 7 caused 8 by 8 by 9 stress 11 induced 12 telomere 13 shortening 15 suggested 15 suggested 16 to 15 suggested 24 . 16 to 17 induce 17 induce 19 senescence 18 chondrocyte 19 senescence 19 senescence 20 in 20 in 23 knees 21 human 23 knees 22 osteoarthritic 23 knees here we have further investigated the role of ultra - short telomeres in the development of osteoarthritis ( oa ) and in aging of articular cartilage in human hips . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 5 investigated 0 ###LEFT-WALL### 30 . 1 here 2 we 2 we 3 have 3 have 5 investigated 4 further 5 investigated 5 investigated 7 role 5 investigated 27 in 6 the 7 role 7 role 8 of 8 of 12 telomeres 9 ultra 10 - 9 ultra 12 telomeres 11 short 12 telomeres 12 telomeres 21 and 12 telomeres 24 of 13 in 15 development 13 in 21 and 14 the 15 development 15 development 16 of 16 of 17 osteoarthritis 17 osteoarthritis 19 oa 18 ( 19 oa 19 oa 20 ) 21 and 22 in 22 in 23 aging 24 of 26 cartilage 25 articular 26 cartilage 27 in 29 hips 28 human 29 hips materials and methods : cartilage was obtained from four different distances of the central weight - bearing area in human femoral heads ( 14 oa and 9 [non] - oa ) . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 5 cartilage 4 : 7 obtained 4 : 32 . 5 cartilage 6 was 6 was 7 obtained 7 obtained 8 from 7 obtained 17 bearing 8 from 11 distances 9 four 11 distances 10 different 11 distances 11 distances 12 of 12 of 15 weight 13 the 15 weight 14 central 15 weight 16 - 17 bearing 17 bearing 18 area 17 bearing 19 in 17 bearing 31 ) 19 in 22 heads 20 human 22 heads 21 femoral 22 heads 22 heads 26 and 23 ( 26 and 24 14 25 oa 25 oa 26 and 26 and 30 oa 26 and 31 ) 27 9 30 oa 29 - 30 oa 30 oa 31 ) samples were split into three : one for quantification of ultra - short single telomeres by universal stela and mean telomere length measurement by q - pcr ; one for histological grading of oa , and one for immunohistochemical staining . 0 ###LEFT-WALL### 1 samples 0 ###LEFT-WALL### 3 split 0 ###LEFT-WALL### 6 : 0 ###LEFT-WALL### 41 . 1 samples 2 were 2 were 3 split 3 split 4 into 4 into 5 three 6 : 19 and 6 : 21 telomere 6 : 26 - 6 : 28 ; 7 one 8 for 7 one 19 and 8 for 9 quantification 9 quantification 10 of 10 of 15 telomeres 11 ultra 12 - 11 ultra 13 short 13 short 14 single 14 single 15 telomeres 15 telomeres 16 by 16 by 18 stela 17 universal 18 stela 19 and 20 mean 19 and 21 telomere 21 telomere 23 measurement 22 length 23 measurement 23 measurement 24 by 24 by 25 q 26 - 27 pcr 28 ; 36 and 29 one 30 for 29 one 33 of 29 one 36 and 30 for 32 grading 31 histological 32 grading 33 of 34 oa 35 , 36 and 36 and 37 one 36 and 38 for 38 for 40 staining 39 immunohistochemical 40 staining results : load of ultra - short telomeres increased closer to the central weight [-] bearing area and correlated with cartilage degradation in both oa and [non] - oa samples . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 3 load 3 load 4 of 3 load 18 and 4 of 8 telomeres 5 ultra 6 - 5 ultra 7 short 7 short 8 telomeres 9 increased 10 closer 9 increased 18 and 10 closer 11 to 11 to 14 weight 12 the 14 weight 13 central 14 weight 14 weight 16 bearing 16 bearing 17 area 18 and 19 correlated 18 and 22 degradation 19 correlated 20 with 20 with 21 cartilage 22 degradation 23 in 23 in 30 samples 24 both 30 samples 25 oa 26 and 26 and 29 oa 28 - 29 oa 29 oa 30 samples mean telomere length decreased with decreasing [distance] to the central weight - bearing area , however , unexpectedly increased in the most central zone . 0 ###LEFT-WALL### 1 mean 0 ###LEFT-WALL### 25 . 1 mean 3 length 2 telomere 3 length 3 length 4 decreased 3 length 19 increased 4 decreased 5 with 5 with 6 decreasing 6 decreasing 8 to 6 decreasing 13 bearing 6 decreasing 18 unexpectedly 8 to 11 weight 9 the 11 weight 10 central 11 weight 12 - 13 bearing 13 bearing 14 area 13 bearing 16 however 13 bearing 17 , 15 , 16 however 16 however 17 , 19 increased 20 in 20 in 24 zone 21 the 24 zone 22 most 23 central 23 central 24 zone this increase was associated with immunohistochemical findings of cells expressing markers characteristic [of] [progenitor] - like cells . 0 ###LEFT-WALL### 2 increase 0 ###LEFT-WALL### 4 associated 1 this 2 increase 2 increase 3 was 3 was 4 associated 4 associated 5 with 4 associated 12 characteristic 5 with 7 findings 6 immunohistochemical 7 findings 7 findings 8 of 8 of 9 cells 9 cells 10 expressing 10 expressing 11 markers 12 characteristic 16 like 15 - 16 like 16 like 17 cells 16 like 18 . conclusion : these findings suggest a role of short telomeres in the development of oa and in aging of articular cartilage . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 findings 2 : 5 suggest 2 : 22 . 3 these 4 findings 4 findings 5 suggest 5 suggest 7 role 6 a 7 role 7 role 8 of 8 of 10 telomeres 9 short 10 telomeres 10 telomeres 16 and 10 telomeres 19 of 11 in 13 development 11 in 16 and 12 the 13 development 13 development 14 of 14 of 15 oa 16 and 17 in 17 in 18 aging 19 of 21 cartilage 20 articular 21 cartilage furthermore , progenitor [-] [like] cells with long telomeres may be recruited to the most damaged areas of the cartilage . 0 ###LEFT-WALL### 6 cells 0 ###LEFT-WALL### 12 recruited 0 ###LEFT-WALL### 21 . 1 furthermore 2 , 1 furthermore 6 cells 3 progenitor 6 cells 6 cells 7 with 6 cells 10 may 7 with 9 telomeres 8 long 9 telomeres 10 may 11 be 11 be 12 recruited 12 recruited 13 to 13 to 17 areas 14 the 15 most 15 most 17 areas 16 damaged 17 areas 17 areas 18 of 18 of 20 cartilage 19 the 20 cartilage increasing muscle [mass] is important when attempting to maximize sports performance and achieve physique augmentation . 0 ###LEFT-WALL### 1 increasing 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 16 . 1 increasing 2 muscle 1 increasing 4 is 4 is 5 important 5 important 6 when 6 when 7 attempting 7 attempting 8 to 7 attempting 12 and 8 to 12 and 9 maximize 11 performance 9 maximize 12 and 10 sports 11 performance 12 and 13 achieve 12 and 15 augmentation 13 achieve 14 physique however , the preservation of muscle [mass] is essential to maintaining mobility and quality of life with aging , and also impacts on our capacity to recover from illness . 0 ###LEFT-WALL### 4 preservation 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 30 . 1 however 2 , 1 however 4 preservation 3 the 4 preservation 4 preservation 5 of 4 preservation 8 is 5 of 6 muscle 8 is 9 essential 9 essential 10 to 9 essential 23 on 10 to 11 maintaining 11 maintaining 20 and 12 mobility 13 and 13 and 14 quality 13 and 17 with 13 and 20 and 14 quality 15 of 15 of 16 life 17 with 18 aging 19 , 20 and 20 and 21 also 20 and 22 impacts 23 on 25 capacity 24 our 25 capacity 25 capacity 26 to 25 capacity 27 recover 26 to 27 recover 27 recover 28 from 28 from 29 illness nevertheless , our understanding of the processes that regulate muscle [mass] in humans during resistance exercise training , chronic disuse and rehabilitation training following atrophy remains very unclear . 0 ###LEFT-WALL### 4 understanding 0 ###LEFT-WALL### 26 remains 0 ###LEFT-WALL### 29 . 1 nevertheless 2 , 1 nevertheless 4 understanding 3 our 4 understanding 4 understanding 5 of 4 understanding 12 in 4 understanding 26 remains 5 of 7 processes 6 the 7 processes 7 processes 8 that 7 processes 9 regulate 8 that 9 regulate 9 regulate 10 muscle 12 in 21 and 13 humans 14 during 13 humans 18 , 14 during 17 training 15 resistance 17 training 16 exercise 17 training 18 , 20 disuse 18 , 21 and 19 chronic 20 disuse 21 and 22 rehabilitation 21 and 23 training 23 training 25 atrophy 24 following 25 atrophy 26 remains 28 unclear 27 very 28 unclear here , we report on some of the recent developments in the study of those processes thought to be responsible for governing human muscle protein [turnover] in response to intense physical activity . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 report 0 ###LEFT-WALL### 33 . 1 here 2 , 1 here 3 we 3 we 4 report 4 report 5 on 4 report 11 in 4 report 18 to 5 on 6 some 6 some 7 of 7 of 10 developments 8 the 10 developments 9 recent 10 developments 11 in 13 study 12 the 13 study 13 study 14 of 13 study 17 thought 14 of 16 processes 15 those 16 processes 18 to 19 be 19 be 20 responsible 20 responsible 21 for 20 responsible 29 to 21 for 22 governing 22 governing 25 protein 23 human 25 protein 24 muscle 25 protein 27 in 28 response 28 response 29 to 29 to 32 activity 30 intense 32 activity 31 physical 32 activity specifically , the effects of acute and chronic resistance exercise in healthy volunteers and also in response to rehabilitation resistance exercise training following muscle atrophy will be discussed , with discrepancies and gaps in our understanding highlighted . 0 ###LEFT-WALL### 4 effects 0 ###LEFT-WALL### 10 exercise 0 ###LEFT-WALL### 14 and 1 specifically 2 , 1 specifically 4 effects 3 the 4 effects 4 effects 5 of 4 effects 10 exercise 5 of 9 resistance 6 acute 7 and 7 and 8 chronic 7 and 9 resistance 10 exercise 11 in 11 in 13 volunteers 12 healthy 13 volunteers 14 and 22 training 14 and 28 discussed 15 also 22 training 16 in 17 response 17 response 18 to 18 to 20 resistance 18 to 22 training 19 rehabilitation 20 resistance 21 exercise 22 training 22 training 23 following 22 training 26 will 23 following 25 atrophy 24 muscle 25 atrophy 26 will 27 be 27 be 28 discussed 28 discussed 30 with 29 , 30 with 30 with 32 and 30 with 38 . 31 discrepancies 32 and 32 and 33 gaps 32 and 34 in 32 and 37 highlighted 34 in 36 understanding 35 our 36 understanding in particular , ubiquitin - proteasome mediated muscle proteolysis ( muscle atrophy f - box/atrogin - [1] and muscle ring finger 1 ) , translation initiation [of] muscle protein synthesis [(] mammalian target of rapamycin signaling [ )(, and satellite cell mediated myogenesis are highlighted as pathways of special relevance to muscle protein metabolism in response to acute resistance exercise [.] 0 ###LEFT-WALL### 2 particular 0 ###LEFT-WALL### 3 , 1 in 2 particular 3 , 4 ubiquitin 3 , 5 - 5 - 6 proteasome 5 - 14 - 6 proteasome 9 proteolysis 7 mediated 9 proteolysis 8 muscle 9 proteolysis 9 proteolysis 12 atrophy 10 ( 12 atrophy 11 muscle 12 atrophy 12 atrophy 13 f 12 atrophy 14 - 14 - 18 and 14 - 24 , 15 box/atrogin 18 and 16 - 18 and 18 and 21 finger 18 and 23 ) 19 muscle 20 ring 20 ring 21 finger 21 finger 22 1 24 , 33 target 25 translation 28 muscle 26 initiation 28 muscle 28 muscle 29 protein 29 protein 33 target 30 synthesis 33 target 32 mammalian 33 target 33 target 34 of 33 target 45 highlighted 34 of 41 cell 35 rapamycin 36 signaling 35 rapamycin 39 and 38 )(, 39 and 39 and 40 satellite 39 and 41 cell 41 cell 42 mediated 41 cell 43 myogenesis 41 cell 44 are 43 myogenesis 44 are 45 highlighted 46 as 45 highlighted 50 relevance 46 as 47 pathways 47 pathways 48 of 48 of 49 special 50 relevance 51 to 50 relevance 57 to 51 to 54 metabolism 52 muscle 54 metabolism 53 protein 54 metabolism 54 metabolism 56 response 55 in 56 response 57 to 60 exercise 58 acute 60 exercise 59 resistance 60 exercise furthermore , research focused on quantifying signaling and molecular events that modulate muscle protein synthesis and protein degradation under conditions of chronic resistance training is highlighted as being urgently needed to improve knowledge gaps . 0 ###LEFT-WALL### 3 research 0 ###LEFT-WALL### 4 focused 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 34 gaps 0 ###LEFT-WALL### 35 . 1 furthermore 2 , 1 furthermore 3 research 3 research 4 focused 4 focused 5 on 5 on 8 and 6 quantifying 7 signaling 6 quantifying 8 and 8 and 10 events 8 and 11 that 8 and 12 modulate 9 molecular 10 events 11 that 12 modulate 12 modulate 15 synthesis 13 muscle 15 synthesis 14 protein 15 synthesis 16 and 18 degradation 16 and 26 highlighted 17 protein 18 degradation 18 degradation 19 under 18 degradation 21 of 18 degradation 25 is 19 under 20 conditions 21 of 24 training 22 chronic 23 resistance 23 resistance 24 training 25 is 26 highlighted 26 highlighted 27 as 27 as 28 being 28 being 30 needed 28 being 33 knowledge 28 being 34 gaps 29 urgently 30 needed 30 needed 31 to 31 to 32 improve 33 knowledge 34 gaps these studies need to include multiple time - point measurements over the course of any training intervention and must include dynamic measurements of muscle protein synthesis and degradation and sensitive measures of muscle mass . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 need 0 ###LEFT-WALL### 8 - 1 these 2 studies 2 studies 3 need 3 need 4 to 3 need 8 - 4 to 5 include 5 include 7 time 6 multiple 7 time 8 - 18 and 8 - 29 and 8 - 35 . 9 point 10 measurements 9 point 11 over 9 point 18 and 11 over 13 course 12 the 13 course 13 course 14 of 14 of 15 any 15 any 16 training 16 training 17 intervention 18 and 19 must 19 must 20 include 20 include 22 measurements 21 dynamic 22 measurements 22 measurements 23 of 23 of 27 and 24 muscle 26 synthesis 25 protein 26 synthesis 26 synthesis 27 and 27 and 28 degradation 29 and 31 measures 29 and 34 mass 30 sensitive 31 measures 31 measures 32 of 31 measures 34 mass 32 of 33 muscle this article is part of a directed issue entitled molecular basis of muscle wasting . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 15 . 1 this 2 article 2 article 3 is 3 is 4 part 4 part 5 of 5 of 11 basis 6 a 11 basis 7 directed 8 issue 8 issue 9 entitled 9 entitled 11 basis 10 molecular 11 basis 11 basis 12 of 12 of 14 wasting 13 muscle 14 wasting objectives : there is an age associated change in gfr but this association may be influenced by the method used . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 3 there 2 : 4 is 2 : 11 but 3 there 4 is 4 is 8 change 5 an 6 age 5 an 8 change 6 age 7 associated 7 associated 8 change 8 change 9 in 9 in 10 gfr 11 but 13 association 11 but 16 influenced 12 this 13 association 13 association 14 may 14 may 15 be 15 be 16 influenced 16 influenced 17 by 17 by 19 method 18 the 19 method 19 method 20 used the aims of the present study were to assess the association between age and cystatin c and creatinine based glomerular filtration rate estimates in primary care patients , and to determine the proportion of patients with clinically important renal impairment . 0 ###LEFT-WALL### 2 aims 0 ###LEFT-WALL### 41 . 1 the 2 aims 2 aims 3 of 2 aims 7 were 3 of 6 study 4 the 6 study 5 present 6 study 7 were 8 to 7 were 9 assess 8 to 9 assess 9 assess 17 and 9 assess 29 and 10 the 11 association 11 association 12 between 11 association 14 and 12 between 13 age 14 and 15 cystatin 14 and 17 and 15 cystatin 16 c 17 and 21 filtration 17 and 29 and 18 creatinine 19 based 19 based 21 filtration 20 glomerular 21 filtration 22 rate 23 estimates 22 rate 29 and 23 estimates 24 in 24 in 27 patients 25 primary 26 care 26 care 27 patients 28 , 29 and 29 and 30 to 29 and 31 determine 29 and 36 with 30 to 31 determine 31 determine 33 proportion 32 the 33 proportion 33 proportion 34 of 34 of 35 patients 36 with 40 impairment 37 clinically 38 important 38 important 40 impairment 39 renal 40 impairment materials and methods : 1552 samples with simultaneous requests for creatinine and cystatin c from 1552 primary care patients in the county of uppsala , sweden were analysed . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 29 . 1 materials 2 and 2 and 3 methods 3 methods 4 : 4 : 6 samples 5 1552 6 samples 6 samples 7 with 6 samples 10 for 6 samples 15 from 6 samples 20 in 7 with 9 requests 8 simultaneous 9 requests 10 for 12 and 11 creatinine 12 and 12 and 13 cystatin 13 cystatin 14 c 15 from 19 patients 16 1552 19 patients 17 primary 18 care 18 care 19 patients 20 in 22 county 21 the 22 county 22 county 23 of 23 of 24 uppsala 25 , 26 sweden 25 , 28 analysed 26 sweden 27 were 27 were 28 analysed mdrd , ckd - epi and cystatin c equations [were] used to calculate glomerular filtration rate ( gfr ) and the associations between gfr and age were explored . 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 28 explored 0 ###LEFT-WALL### 29 . 1 mdrd 3 ckd 2 , 3 ckd 3 ckd 4 - 3 ckd 5 epi 4 - 5 epi 5 epi 6 and 6 and 7 cystatin 6 and 9 equations 6 and 16 rate 6 and 18 gfr 6 and 20 and 7 cystatin 8 c 9 equations 11 used 9 equations 16 rate 11 used 12 to 11 used 13 calculate 12 to 13 calculate 13 calculate 15 filtration 14 glomerular 15 filtration 17 ( 18 gfr 18 gfr 19 ) 20 and 22 associations 20 and 23 between 20 and 25 and 21 the 22 associations 23 between 24 gfr 25 and 26 age 25 and 27 were 27 were 28 explored conclusions : the age related association with gfr estimates is smaller for creatinine estimates than for cystatin c estimates . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 6 association 2 : 10 is 2 : 20 . 3 the 6 association 4 age 5 related 5 related 6 association 6 association 7 with 6 association 10 is 7 with 9 estimates 8 gfr 9 estimates 10 is 11 smaller 11 smaller 12 for 11 smaller 15 than 12 for 14 estimates 13 creatinine 14 estimates 15 than 16 for 16 for 19 estimates 17 cystatin 18 c 17 cystatin 19 estimates this leads to differences in the number of patients with reduced egfr detected with the three estimates and the patient treatment will depend on the estimate used . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 leads 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 28 . 1 this 2 leads 2 leads 3 to 2 leads 5 in 2 leads 14 with 3 to 4 differences 5 in 9 patients 6 the 7 number 7 number 8 of 7 number 9 patients 8 of 9 patients 9 patients 10 with 10 with 12 egfr 11 reduced 12 egfr 12 egfr 13 detected 14 with 17 estimates 15 the 16 three 16 three 17 estimates 18 and 21 treatment 18 and 23 depend 19 the 21 treatment 20 patient 21 treatment 21 treatment 22 will 22 will 23 depend 23 depend 24 on 24 on 26 estimate 25 the 26 estimate 26 estimate 27 used this is not coherent with a good patient care and we thus need to develop new egfr equations with better agreement between the estimates . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 15 develop 0 ###LEFT-WALL### 25 . 1 this 2 is 2 is 3 not 2 is 4 coherent 3 not 4 coherent 4 coherent 5 with 5 with 9 care 6 a 7 good 6 a 9 care 7 good 9 care 8 patient 9 care 10 and 11 we 10 and 13 need 11 we 13 need 12 thus 13 need 13 need 14 to 14 to 15 develop 15 develop 18 equations 15 develop 19 with 15 develop 22 between 16 new 17 egfr 17 egfr 18 equations 19 with 21 agreement 20 better 21 agreement 22 between 24 estimates 23 the 24 estimates intelligence quotient ( iq ) is regularly used in both education and employment as a measure of cognitive ability . 0 ###LEFT-WALL### 4 iq 0 ###LEFT-WALL### 8 used 0 ###LEFT-WALL### 20 . 1 intelligence 4 iq 2 quotient 4 iq 3 ( 4 iq 4 iq 5 ) 4 iq 6 is 6 is 8 used 7 regularly 8 used 8 used 9 in 8 used 14 as 9 in 12 and 10 both 12 and 11 education 12 and 12 and 13 employment 14 as 19 ability 15 a 16 measure 16 measure 17 of 16 measure 19 ability 17 of 19 ability 18 cognitive 19 ability although an individual 's iq is generally assumed to stay constant across the lifespan , a few studies have suggested that there may be substantial variation at the individual level . 0 ###LEFT-WALL### 18 studies 0 ###LEFT-WALL### 31 . 1 although 5 iq 1 although 8 assumed 1 although 15 , 1 although 18 studies 2 an 3 individual 3 individual 4 's 4 's 5 iq 5 iq 6 is 6 is 7 generally 6 is 8 assumed 8 assumed 9 to 9 to 10 stay 10 stay 11 constant 11 constant 12 across 12 across 14 lifespan 13 the 14 lifespan 16 a 17 few 17 few 18 studies 18 studies 19 have 19 have 20 suggested 20 suggested 21 that 21 that 22 there 21 that 24 be 22 there 23 may 23 may 24 be 24 be 26 variation 25 substantial 26 variation 26 variation 27 at 27 at 30 level 28 the 30 level 29 individual 30 level motivated by previous reports that reading quality/quantity has a positive influence on vocabulary acquisition , we hypothesised that reading ability in the early teenage years might contribute to changes in verbal iq ( viq ) over the next few years . 0 ###LEFT-WALL### 16 we 0 ###LEFT-WALL### 17 hypothesised 0 ###LEFT-WALL### 41 . 1 motivated 2 by 1 motivated 15 , 1 motivated 16 we 2 by 4 reports 3 previous 4 reports 4 reports 5 that 5 that 6 reading 5 that 8 has 6 reading 7 quality/quantity 6 reading 8 has 8 has 11 influence 9 a 11 influence 10 positive 11 influence 11 influence 12 on 12 on 14 acquisition 13 vocabulary 14 acquisition 16 we 17 hypothesised 17 hypothesised 18 that 18 that 19 reading 18 that 27 contribute 19 reading 20 ability 19 reading 26 might 20 ability 21 in 21 in 25 years 22 the 25 years 23 early 25 years 24 teenage 25 years 26 might 27 contribute 27 contribute 28 to 27 contribute 36 over 28 to 29 changes 29 changes 30 in 30 in 34 viq 31 verbal 34 viq 32 iq 34 viq 33 ( 34 viq 34 viq 35 ) 36 over 40 years 37 the 38 next 37 the 39 few 39 few 40 years we found that good readers were more likely to experience relative improvements in viq over time , with the reverse true for poor readers . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 1 we 2 found 2 found 3 that 3 that 5 readers 3 that 6 were 4 good 5 readers 5 readers 6 were 6 were 8 likely 7 more 8 likely 8 likely 9 to 8 likely 10 experience 9 to 10 experience 10 experience 12 improvements 10 experience 13 in 10 experience 15 over 11 relative 12 improvements 13 in 14 viq 15 over 16 time 16 time 18 with 17 , 18 with 18 with 20 reverse 18 with 25 . 19 the 20 reverse 20 reverse 21 true 21 true 22 for 22 for 24 readers 23 poor 24 readers these effects were [largest] when there was a discrepancy between time 1 reading ability and time 1 viq . 0 ###LEFT-WALL### 2 effects 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 19 . 1 these 2 effects 2 effects 3 were 3 were 5 when 3 were 10 between 5 when 6 there 5 when 7 was 6 there 7 was 7 was 9 discrepancy 8 a 9 discrepancy 10 between 15 and 11 time 12 1 11 time 13 reading 13 reading 14 ability 14 ability 15 and 15 and 18 viq 16 time 17 1 16 time 18 viq in other words , viq increases tended to be [greatest] when reading ability was high relative to viq . 0 ###LEFT-WALL### 6 increases 0 ###LEFT-WALL### 7 tended 0 ###LEFT-WALL### 19 . 1 in 2 other 2 other 3 words 3 words 4 , 3 words 6 increases 5 viq 6 increases 6 increases 7 tended 7 tended 8 to 7 tended 9 be 8 to 9 be 9 be 11 when 9 be 16 relative 11 when 12 reading 12 reading 13 ability 12 reading 14 was 13 ability 14 was 14 was 15 high 16 relative 17 to 17 to 18 viq additional analyses supported these findings by showing that variance in viq change associated with time 1 behaviour was also associated with independent measurements of brain structure . 0 ###LEFT-WALL### 2 analyses 0 ###LEFT-WALL### 25 brain 0 ###LEFT-WALL### 27 . 1 additional 2 analyses 2 analyses 3 supported 2 analyses 5 findings 2 analyses 13 associated 2 analyses 25 brain 4 these 5 findings 5 findings 6 by 5 findings 13 associated 6 by 7 showing 7 showing 9 variance 7 showing 10 in 8 that 9 variance 10 in 12 change 11 viq 12 change 13 associated 14 with 14 with 15 time 15 time 16 1 15 time 17 behaviour 15 time 24 of 17 behaviour 18 was 18 was 20 associated 19 also 20 associated 20 associated 21 with 21 with 23 measurements 22 independent 23 measurements 23 measurements 24 of 25 brain 26 structure our finding that reading in the early teenage years can predict a significant proportion of the variance in subsequent viq change has implications for targeted education in both home and school environments . 0 ###LEFT-WALL### 2 finding 0 ###LEFT-WALL### 22 has 0 ###LEFT-WALL### 33 . 1 our 2 finding 2 finding 3 that 2 finding 22 has 3 that 4 reading 3 that 11 predict 4 reading 5 in 4 reading 9 years 4 reading 10 can 6 the 9 years 7 early 9 years 8 teenage 9 years 10 can 11 predict 11 predict 14 proportion 11 predict 18 in 12 a 14 proportion 13 significant 14 proportion 14 proportion 15 of 15 of 17 variance 16 the 17 variance 18 in 21 change 19 subsequent 21 change 20 viq 21 change 22 has 23 implications 23 implications 24 for 23 implications 27 in 24 for 26 education 25 targeted 26 education 27 in 30 and 28 both 30 and 29 home 30 and 30 and 32 environments 31 school 32 environments the new anticoagulants ( noacs ) tested for prevention or treatment of venous thromboembolism ( vte ) , stroke prevention in atrial fibrillation ( af ) , and acute coronary syndromes ( acs ) differ in bioavailability , metabolism , route [of] excretion and interaction with other drugs , but have remarkably similar pharmacokinetics , with very similar [half] lives . 0 ###LEFT-WALL### 3 anticoagulants 0 ###LEFT-WALL### 28 and 1 the 3 anticoagulants 2 new 3 anticoagulants 3 anticoagulants 5 noacs 3 anticoagulants 7 tested 4 ( 5 noacs 5 noacs 6 ) 7 tested 8 for 7 tested 20 prevention 8 for 10 or 9 prevention 10 or 10 or 11 treatment 10 or 18 , 11 treatment 12 of 12 of 14 thromboembolism 13 venous 14 thromboembolism 14 thromboembolism 16 vte 15 ( 16 vte 16 vte 17 ) 19 stroke 20 prevention 20 prevention 21 in 21 in 23 fibrillation 22 atrial 23 fibrillation 23 fibrillation 25 af 24 ( 25 af 25 af 26 ) 27 , 28 and 28 and 31 syndromes 28 and 51 have 29 acute 31 syndromes 30 coronary 31 syndromes 31 syndromes 33 acs 31 syndromes 50 but 32 ( 33 acs 33 acs 34 ) 35 differ 36 in 35 differ 46 with 35 differ 50 but 36 in 44 and 37 bioavailability 38 , 38 , 39 metabolism 38 , 40 , 40 , 43 excretion 40 , 44 and 41 route 43 excretion 44 and 45 interaction 46 with 48 drugs 47 other 48 drugs 49 , 50 but 50 but 51 have 51 have 54 pharmacokinetics 52 remarkably 53 similar 53 similar 54 pharmacokinetics 54 pharmacokinetics 56 with 55 , 56 with 56 with 60 lives 56 with 61 . 57 very 58 similar 58 similar 60 lives current prevailing wisdom is that peak plasma drug concentrations are important determinants of bleeding : since a fractioning of the total daily dose into a twice daily regimen reduces peak plasma drug concentrations compared with once daily dosing , this should maximize safety . 0 ###LEFT-WALL### 3 wisdom 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 15 : 0 ###LEFT-WALL### 44 . 1 current 3 wisdom 2 prevailing 3 wisdom 3 wisdom 4 is 4 is 6 peak 5 that 6 peak 6 peak 9 concentrations 6 peak 14 bleeding 7 plasma 9 concentrations 8 drug 9 concentrations 9 concentrations 10 are 10 are 12 determinants 11 important 12 determinants 12 determinants 13 of 13 of 14 bleeding 15 : 33 concentrations 15 : 34 compared 15 : 39 , 16 since 18 fractioning 16 since 29 reduces 16 since 33 concentrations 17 a 18 fractioning 18 fractioning 19 of 18 fractioning 29 reduces 19 of 23 dose 20 the 23 dose 21 total 23 dose 22 daily 23 dose 23 dose 24 into 24 into 28 regimen 25 a 28 regimen 26 twice 27 daily 27 daily 28 regimen 29 reduces 31 plasma 30 peak 31 plasma 32 drug 33 concentrations 33 concentrations 34 compared 34 compared 35 with 35 with 38 dosing 36 once 37 daily 37 daily 38 dosing 39 , 40 this 39 , 42 maximize 40 this 41 should 41 should 42 maximize 42 maximize 43 safety however , recent pharmacokinetic analyses of a phase ii study with edoxaban in af found that bleeding , with the same daily dosing , was less frequent with once daily dosing than with twice daily dosing , and correlated - better than other pharmacokinetic parameters - through drug concentrations . 0 ###LEFT-WALL### 5 analyses 0 ###LEFT-WALL### 38 and 1 however 2 , 1 however 5 analyses 3 recent 5 analyses 4 pharmacokinetic 5 analyses 5 analyses 6 of 5 analyses 38 and 6 of 8 phase 7 a 8 phase 8 phase 9 ii 10 study 11 with 10 study 13 in 10 study 29 once 10 study 30 daily 10 study 31 dosing 10 study 32 than 10 study 38 and 11 with 12 edoxaban 13 in 14 af 14 af 15 found 14 af 16 that 14 af 28 with 16 that 17 bleeding 16 that 25 was 17 bleeding 19 with 17 bleeding 25 was 18 , 19 with 19 with 23 dosing 19 with 24 , 20 the 21 same 20 the 23 dosing 22 daily 23 dosing 25 was 27 frequent 26 less 27 frequent 27 frequent 28 with 32 than 33 with 33 with 36 dosing 34 twice 35 daily 35 daily 36 dosing 37 , 38 and 38 and 39 correlated 38 and 42 than 38 and 47 through 39 correlated 40 - 39 correlated 41 better 42 than 45 parameters 43 other 45 parameters 44 pharmacokinetic 45 parameters 46 - 47 through 47 through 49 concentrations 47 through 50 . 48 drug 49 concentrations higher rates of bleeding have been also reported with the twice daily [versus] once daily dosing of darexaban in a phase ii study in acs . 0 ###LEFT-WALL### 2 rates 0 ###LEFT-WALL### 8 reported 0 ###LEFT-WALL### 26 . 1 higher 2 rates 2 rates 3 of 2 rates 5 have 3 of 4 bleeding 5 have 6 been 6 been 8 reported 7 also 8 reported 8 reported 9 with 8 reported 24 in 9 with 16 dosing 9 with 23 study 10 the 16 dosing 11 twice 15 daily 12 daily 15 daily 14 once 15 daily 15 daily 16 dosing 16 dosing 17 of 17 of 18 darexaban 18 darexaban 19 in 19 in 21 phase 20 a 21 phase 21 phase 22 ii 24 in 25 acs these results may lead to [a] rethinking on the pathophysiology of bleeding in the setting of anticoagulation . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 lead 0 ###LEFT-WALL### 18 . 1 these 2 results 2 results 3 may 3 may 4 lead 4 lead 5 to 5 to 7 rethinking 7 rethinking 8 on 7 rethinking 15 setting 8 on 10 pathophysiology 9 the 10 pathophysiology 10 pathophysiology 11 of 11 of 12 bleeding 12 bleeding 13 in 14 the 15 setting 15 setting 16 of 16 of 17 anticoagulation due to the lack of sensitivity in current methods for the determination of fenoterol ( fen ) , a rapid lc - ms/ms method was developed for the determination [of] ( r,r ['] ) - fen and [(] r,r';s,s ['] ) - fen in plasma and urine . 0 ###LEFT-WALL### 24 method 0 ###LEFT-WALL### 26 developed 0 ###LEFT-WALL### 42 - 0 ###LEFT-WALL### 48 . 1 due 2 to 2 to 4 lack 2 to 24 method 3 the 4 lack 4 lack 5 of 5 of 6 sensitivity 6 sensitivity 7 in 7 in 9 methods 8 current 9 methods 9 methods 10 for 9 methods 13 of 10 for 12 determination 11 the 12 determination 13 of 14 fenoterol 14 fenoterol 16 fen 14 fenoterol 21 lc 15 ( 16 fen 16 fen 17 ) 18 , 21 lc 19 a 21 lc 20 rapid 21 lc 21 lc 22 - 23 ms/ms 24 method 24 method 25 was 25 was 26 developed 26 developed 27 for 27 for 29 determination 28 the 29 determination 29 determination 32 r,r 29 determination 37 and 31 ( 32 r,r 32 r,r 34 ) 35 - 37 and 36 fen 37 and 37 and 39 r,r';s,s 37 and 41 ) 42 - 43 fen 43 fen 44 in 44 in 46 and 45 plasma 46 and 46 and 47 urine the method was fully validated and was linear from 50pg/ml to 2000pg/ml for plasma and from 2.500 ng / [ml] to 160 ng / ml for urine with a lower limit of quantitation of 52.8pg/ml in plasma . 0 ###LEFT-WALL### 2 method 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 38 . 1 the 2 method 2 method 6 and 3 was 5 validated 3 was 6 and 4 fully 5 validated 6 and 7 was 7 was 8 linear 8 linear 9 from 8 linear 11 to 8 linear 12 2000pg/ml 9 from 10 50pg/ml 11 to 12 2000pg/ml 12 2000pg/ml 15 and 12 2000pg/ml 28 with 12 2000pg/ml 36 in 13 for 14 plasma 13 for 15 and 15 and 16 from 16 from 25 ml 17 2.500 18 ng 17 2.500 21 to 18 ng 19 / 21 to 22 160 21 to 25 ml 22 160 23 ng 23 ng 24 / 25 ml 26 for 26 for 27 urine 28 with 31 limit 29 a 31 limit 30 lower 31 limit 31 limit 32 of 32 of 33 quantitation 33 quantitation 34 of 34 of 35 52.8pg/ml 36 in 37 plasma the coefficient of variation was < 15 % for the high qc standards and < 10 % for the low qc standards in plasma [and] was < 15 % for the high and low qc standards in urine . 0 ###LEFT-WALL### 2 coefficient 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 39 . 1 the 2 coefficient 2 coefficient 3 of 2 coefficient 5 was 3 of 4 variation 5 was 8 % 6 < 7 15 7 15 8 % 8 % 9 for 9 for 13 standards 10 the 13 standards 11 high 13 standards 12 qc 13 standards 14 and 17 % 14 and 26 was 15 < 16 10 16 10 17 % 17 % 18 for 17 % 23 in 17 % 26 was 18 for 22 standards 19 the 22 standards 20 low 22 standards 21 qc 22 standards 23 in 24 plasma 26 was 29 % 27 < 28 15 28 15 29 % 29 % 30 for 29 % 37 in 30 for 33 and 31 the 32 high 32 high 33 and 33 and 36 standards 34 low 36 standards 35 qc 36 standards 37 in 38 urine the relative concentrations [of] ( r,r ['] ) - fen [and] ( s,s ['] ) - [fen] were determined using a chirobiotic [t] chiral stationary phase . 0 ###LEFT-WALL### 3 concentrations 0 ###LEFT-WALL### 18 were 0 ###LEFT-WALL### 27 . 1 the 3 concentrations 2 relative 3 concentrations 3 concentrations 6 r,r 3 concentrations 10 fen 3 concentrations 18 were 5 ( 6 r,r 6 r,r 8 ) 9 - 10 fen 10 fen 13 s,s 10 fen 16 - 12 ( 13 s,s 13 s,s 15 ) 18 were 19 determined 19 determined 20 using 20 using 26 phase 21 a 22 chirobiotic 21 a 26 phase 22 chirobiotic 26 phase 24 chiral 26 phase 25 stationary 26 phase the method was used to determine the concentration [of] ( r,r ['] ) - fen in plasma and urine samples obtained in an oral cross - over study [of] ( r,r ['] ) - fen and [(] r,r';s,s ['] ) - fen formulations . 0 ###LEFT-WALL### 2 method 0 ###LEFT-WALL### 4 used 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 44 . 1 the 2 method 2 method 3 was 3 was 4 used 4 used 5 to 5 to 6 determine 6 determine 8 concentration 7 the 8 concentration 8 concentration 11 r,r 10 ( 11 r,r 11 r,r 13 ) 14 - 18 and 14 - 25 cross 15 fen 16 in 15 fen 18 and 16 in 17 plasma 18 and 20 samples 18 and 21 obtained 18 and 22 in 18 and 25 cross 19 urine 20 samples 22 in 24 oral 23 an 24 oral 25 cross 27 over 25 cross 43 formulations 26 - 27 over 27 over 28 study 27 over 41 - 28 study 31 r,r 28 study 36 and 30 ( 31 r,r 31 r,r 33 ) 34 - 36 and 35 fen 36 and 36 and 38 r,r';s,s 36 and 40 ) 42 fen 43 formulations the results demonstrated a potential pre - systemic enantioselective interaction in which [the] [(] s,s ['] ) - fen reduces the sulfation of the active ( r,r ['] ) - fen . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 demonstrated 0 ###LEFT-WALL### 18 - 1 the 2 results 2 results 3 demonstrated 3 demonstrated 6 pre 4 a 6 pre 5 potential 6 pre 6 pre 10 interaction 7 - 10 interaction 8 systemic 10 interaction 9 enantioselective 10 interaction 10 interaction 11 in 10 interaction 17 ) 11 in 12 which 11 in 15 s,s 12 which 15 s,s 18 - 19 fen 18 - 20 reduces 19 fen 20 reduces 20 reduces 22 sulfation 21 the 22 sulfation 22 sulfation 23 of 22 sulfation 27 r,r 22 sulfation 31 fen 23 of 25 active 24 the 25 active 26 ( 27 r,r 27 r,r 29 ) 30 - 31 fen 31 fen 32 . the data suggest that a [non] [-] racemic mixture of the fen enantiomers may provide better bioavailability of the active ( r,r ['] ) - fen for use in the treatment of cardiovascular disease . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 35 . 1 the 2 data 2 data 3 suggest 3 suggest 4 that 4 that 9 mixture 4 that 16 better 5 a 9 mixture 8 racemic 9 mixture 9 mixture 10 of 10 of 12 fen 11 the 12 fen 12 fen 13 enantiomers 12 fen 15 provide 13 enantiomers 14 may 14 may 15 provide 16 better 17 bioavailability 16 better 29 in 17 bioavailability 18 of 18 of 26 fen 19 the 26 fen 20 active 22 r,r 20 active 25 - 20 active 26 fen 21 ( 22 r,r 22 r,r 24 ) 26 fen 27 for 27 for 28 use 29 in 31 treatment 30 the 31 treatment 31 treatment 32 of 32 of 34 disease 33 cardiovascular 34 disease recent studies indicate that aging is associated with dysfunctional changes in pain modulatory capacity , potentially contributing to increased incidence [of] pain in older adults . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 indicate 1 recent 2 studies 2 studies 3 indicate 3 indicate 4 that 4 that 5 aging 4 that 7 associated 5 aging 6 is 6 is 7 associated 7 associated 8 with 7 associated 11 in 8 with 10 changes 9 dysfunctional 10 changes 11 in 14 capacity 12 pain 14 capacity 13 modulatory 14 capacity 14 capacity 17 contributing 15 , 17 contributing 16 potentially 17 contributing 17 contributing 18 to 17 contributing 26 . 18 to 22 pain 19 increased 20 incidence 20 incidence 22 pain 22 pain 23 in 23 in 25 adults 24 older 25 adults however , age - related changes in offset analgesia ( offset ) , a form of temporal pain inhibition , remain poorly characterized . 0 ###LEFT-WALL### 3 age 0 ###LEFT-WALL### 5 related 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 24 . 1 however 2 , 1 however 3 age 4 - 5 related 5 related 6 changes 5 related 7 in 7 in 9 analgesia 8 offset 9 analgesia 9 analgesia 11 offset 9 analgesia 15 form 10 ( 11 offset 11 offset 12 ) 13 , 15 form 14 a 15 form 15 form 16 of 15 form 20 , 16 of 19 inhibition 17 temporal 18 pain 18 pain 19 inhibition 20 , 21 remain 21 remain 22 poorly 21 remain 23 characterized the purpose of this study was to investigate age differences in offset analgesia of heat pain in healthy younger and older adults . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 23 . 1 the 2 purpose 2 purpose 3 of 2 purpose 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 investigate 7 to 8 investigate 8 investigate 10 differences 8 investigate 11 in 8 investigate 17 in 9 age 10 differences 11 in 13 analgesia 12 offset 13 analgesia 13 analgesia 14 of 14 of 16 pain 15 heat 16 pain 17 in 22 adults 18 healthy 22 adults 19 younger 20 and 20 and 21 older 20 and 22 adults to explore the peripheral mechanisms underlying offset , an additional aim of the study was to test offset at 2 anatomical sites with known differences in nociceptor innervation . 0 ###LEFT-WALL### 11 aim 0 ###LEFT-WALL### 15 was 0 ###LEFT-WALL### 29 . 1 to 2 explore 1 to 8 , 1 to 11 aim 2 explore 5 mechanisms 3 the 5 mechanisms 4 peripheral 5 mechanisms 5 mechanisms 6 underlying 6 underlying 7 offset 9 an 10 additional 9 an 11 aim 10 additional 11 aim 11 aim 12 of 11 aim 15 was 12 of 14 study 13 the 14 study 15 was 16 to 15 was 19 at 15 was 23 with 15 was 26 in 16 to 18 offset 17 test 18 offset 19 at 22 sites 20 2 22 sites 21 anatomical 22 sites 23 with 25 differences 24 known 25 differences 26 in 28 innervation 27 nociceptor 28 innervation a total of 25 younger adults and 20 older adults completed 6 offset trials in which the experimental heat stimulus was presented to the volar forearm and glabrous skin of the palm . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 33 . 1 a 2 total 2 total 3 of 2 total 7 and 3 of 6 adults 4 25 6 adults 5 younger 6 adults 7 and 10 adults 7 and 12 6 7 and 22 presented 8 20 10 adults 9 older 10 adults 10 adults 11 completed 12 6 13 offset 13 offset 14 trials 13 offset 15 in 15 in 16 which 16 which 19 heat 16 which 22 presented 17 the 19 heat 18 experimental 19 heat 19 heat 20 stimulus 19 heat 21 was 19 heat 22 presented 20 stimulus 21 was 22 presented 23 to 23 to 27 and 24 the 26 forearm 25 volar 26 forearm 26 forearm 27 and 27 and 29 skin 28 glabrous 29 skin 29 skin 30 of 30 of 32 palm 31 the 32 palm each trial consisted of 3 continuous phases : an initial 15 - second painful stimulus ( t1 ) , a slight increase in temperature from t1 for 5 seconds ( t2 ) , and a slight decrease back to the initial testing temperature for 10 seconds ( t3 ) . 0 ###LEFT-WALL### 2 trial 0 ###LEFT-WALL### 3 consisted 0 ###LEFT-WALL### 8 : 0 ###LEFT-WALL### 50 . 1 each 2 trial 2 trial 3 consisted 3 consisted 4 of 4 of 7 phases 5 3 7 phases 6 continuous 7 phases 8 : 10 initial 8 : 19 , 9 an 10 initial 10 initial 11 15 10 initial 15 stimulus 12 - 15 stimulus 13 second 15 stimulus 14 painful 15 stimulus 15 stimulus 17 t1 15 stimulus 19 , 16 ( 17 t1 17 t1 18 ) 19 , 34 and 20 a 22 increase 21 slight 22 increase 22 increase 23 in 22 increase 25 from 22 increase 34 and 23 in 24 temperature 25 from 26 t1 26 t1 27 for 26 t1 31 t2 27 for 29 seconds 28 5 29 seconds 30 ( 31 t2 31 t2 32 ) 33 , 34 and 34 and 38 back 34 and 42 testing 34 and 48 t3 35 a 36 slight 35 a 38 back 36 slight 37 decrease 37 decrease 38 back 38 back 39 to 39 to 41 initial 40 the 41 initial 42 testing 43 temperature 43 temperature 44 for 44 for 46 seconds 45 10 46 seconds 47 ( 48 t3 48 t3 49 ) during each trial , subjects rated pain [intensity] continuously using an electronic visual analogue scale ( 0 - 100 ) . 0 ###LEFT-WALL### 5 subjects 0 ###LEFT-WALL### 6 rated 0 ###LEFT-WALL### 21 . 1 during 3 trial 1 during 4 , 1 during 5 subjects 2 each 3 trial 5 subjects 6 rated 6 rated 7 pain 7 pain 10 using 9 continuously 10 using 10 using 15 scale 11 an 12 electronic 11 an 15 scale 12 electronic 14 analogue 13 visual 14 analogue 14 analogue 15 scale 15 scale 18 - 16 ( 18 - 17 0 18 - 18 - 19 100 18 - 20 ) older adults demonstrated reduced offset compared to younger adults when tested on the volar forearm . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 4 reduced 0 ###LEFT-WALL### 16 . 1 older 2 adults 2 adults 3 demonstrated 2 adults 4 reduced 4 reduced 5 offset 5 offset 6 compared 6 compared 7 to 6 compared 10 when 7 to 9 adults 8 younger 9 adults 10 when 11 tested 11 tested 12 on 12 on 15 forearm 13 the 15 forearm 14 volar 15 forearm interestingly , offset analgesia was nonexistent on the palm for all subjects . 0 ###LEFT-WALL### 4 analgesia 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 13 . 1 interestingly 2 , 1 interestingly 4 analgesia 3 offset 4 analgesia 4 analgesia 5 was 5 was 6 nonexistent 6 nonexistent 7 on 7 on 9 palm 8 the 9 palm 9 palm 10 for 10 for 12 subjects 11 all 12 subjects the reduced offset found in older adults may reflect an age [-] related decline in endogenous inhibitory systems . 0 ###LEFT-WALL### 3 offset 0 ###LEFT-WALL### 9 reflect 0 ###LEFT-WALL### 19 . 1 the 3 offset 2 reduced 3 offset 3 offset 4 found 3 offset 8 may 4 found 5 in 5 in 7 adults 6 older 7 adults 8 may 9 reflect 9 reflect 14 decline 9 reflect 15 in 10 an 11 age 10 an 14 decline 11 age 13 related 13 related 14 decline 15 in 18 systems 16 endogenous 18 systems 17 inhibitory 18 systems however , although the exact mechanisms underlying offset remain unknown , the absence of offset at the palm suggests that peripheral mechanisms may be involved in initiating this phenomenon . 0 ###LEFT-WALL### 13 absence 0 ###LEFT-WALL### 19 suggests 0 ###LEFT-WALL### 30 . 1 however 2 , 1 however 13 absence 2 , 3 although 3 although 6 mechanisms 3 although 9 remain 3 although 11 , 3 although 13 absence 4 the 6 mechanisms 5 exact 6 mechanisms 6 mechanisms 7 underlying 6 mechanisms 9 remain 7 underlying 8 offset 9 remain 10 unknown 12 the 13 absence 13 absence 14 of 13 absence 19 suggests 14 of 15 offset 15 offset 16 at 16 at 18 palm 17 the 18 palm 19 suggests 20 that 20 that 22 mechanisms 20 that 25 involved 21 peripheral 22 mechanisms 22 mechanisms 23 may 23 may 24 be 24 be 25 involved 25 involved 26 in 26 in 27 initiating 27 initiating 29 phenomenon 28 this 29 phenomenon unlike prospective time perception paradigms , in which participants are aware that they have to estimate forthcoming time , little is known about retrospective time perception in normal aging and alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 20 little 0 ###LEFT-WALL### 37 . 1 unlike 5 paradigms 1 unlike 19 , 1 unlike 20 little 2 prospective 5 paradigms 3 time 5 paradigms 4 perception 5 paradigms 5 paradigms 7 in 6 , 7 in 7 in 8 which 7 in 9 participants 7 in 10 are 7 in 19 , 9 participants 10 are 10 are 11 aware 11 aware 12 that 12 that 13 they 12 that 14 have 13 they 14 have 14 have 15 to 15 to 16 estimate 16 estimate 18 time 17 forthcoming 18 time 20 little 21 is 21 is 22 known 22 known 23 about 22 known 27 in 23 about 26 perception 24 retrospective 26 perception 25 time 26 perception 27 in 30 and 28 normal 29 aging 28 normal 30 and 30 and 33 disease 30 and 35 ad 31 alzheimer 32 's 32 's 33 disease 34 ( 35 ad 35 ad 36 ) our paper addresses this shortcoming by comparing prospective and retrospective time estimation in younger adults , older adults , and ad patients . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 addresses 0 ###LEFT-WALL### 23 . 1 our 2 paper 2 paper 3 addresses 3 addresses 5 shortcoming 3 addresses 6 by 4 this 5 shortcoming 6 by 7 comparing 7 comparing 11 time 7 comparing 12 estimation 7 comparing 13 in 8 prospective 9 and 9 and 10 retrospective 9 and 11 time 13 in 20 and 14 younger 15 adults 15 adults 16 , 16 , 18 adults 16 , 20 and 17 older 18 adults 19 , 20 and 20 and 22 patients 21 ad 22 patients in four prospective tasks ( lasting 30 s , 60 s , 90 s , [or] 120 s ) participants were asked to read a series of numbers and to provide [a] verbal estimation of the reading time . 0 ###LEFT-WALL### 20 participants 0 ###LEFT-WALL### 29 and 0 ###LEFT-WALL### 39 . 1 in 4 tasks 1 in 20 participants 2 four 4 tasks 3 prospective 4 tasks 4 tasks 6 lasting 4 tasks 11 s 4 tasks 14 s 4 tasks 18 s 5 ( 6 lasting 6 lasting 8 s 6 lasting 9 , 7 30 8 s 9 , 11 s 10 60 11 s 11 s 12 , 12 , 14 s 13 90 14 s 14 s 15 , 15 , 18 s 17 120 18 s 18 s 19 ) 20 participants 29 and 21 were 22 asked 21 were 29 and 22 asked 23 to 22 asked 24 read 23 to 24 read 24 read 26 series 25 a 26 series 26 series 27 of 27 of 28 numbers 29 and 30 to 29 and 31 provide 30 to 31 provide 31 provide 34 estimation 33 verbal 34 estimation 34 estimation 35 of 35 of 38 time 36 the 38 time 37 reading 38 time in four other retrospective tasks , they were not informed about time judgment until they were asked to provide a verbal estimation of four elapsed time intervals ( lasting 30 s , 60 s , 90 s , [or] 120 s ) . 0 ###LEFT-WALL### 7 they 0 ###LEFT-WALL### 8 were 0 ###LEFT-WALL### 43 . 1 in 5 tasks 1 in 6 , 1 in 7 they 2 four 3 other 3 other 5 tasks 4 retrospective 5 tasks 7 they 8 were 8 were 9 not 8 were 11 about 8 were 14 until 9 not 10 informed 11 about 13 judgment 12 time 13 judgment 14 until 15 they 14 until 17 asked 15 they 16 were 16 were 17 asked 17 asked 18 to 17 asked 19 provide 18 to 19 provide 19 provide 26 time 19 provide 27 intervals 20 a 21 verbal 20 a 26 time 21 verbal 22 estimation 22 estimation 23 of 22 estimation 25 elapsed 23 of 24 four 27 intervals 29 lasting 27 intervals 34 s 27 intervals 37 s 27 intervals 41 s 28 ( 29 lasting 29 lasting 31 s 29 lasting 32 , 30 30 31 s 32 , 34 s 33 60 34 s 34 s 35 , 35 , 37 s 36 90 37 s 37 s 38 , 38 , 41 s 40 120 41 s 41 s 42 ) ad participants gave shorter verbal time estimations than older adults and younger participants did , suggesting that time is perceived to pass quickly in these patients . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 3 gave 1 ad 2 participants 2 participants 3 gave 3 gave 6 time 3 gave 7 estimations 3 gave 8 than 4 shorter 6 time 5 verbal 6 time 8 than 14 did 9 older 10 adults 10 adults 11 and 11 and 13 participants 11 and 14 did 12 younger 13 participants 14 did 16 suggesting 15 , 16 suggesting 16 suggesting 17 that 16 suggesting 27 . 17 that 18 time 17 that 20 perceived 18 time 19 is 19 is 20 perceived 20 perceived 21 to 20 perceived 22 pass 21 to 22 pass 22 pass 23 quickly 22 pass 24 in 24 in 26 patients 25 these 26 patients for all participants , the duration of the retrospective tasks was underestimated as compared to the prospective tasks and both estimations were shorter than the real time interval . 0 ###LEFT-WALL### 6 duration 0 ###LEFT-WALL### 14 compared 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 29 . 1 for 3 participants 1 for 4 , 1 for 6 duration 2 all 3 participants 5 the 6 duration 6 duration 7 of 6 duration 11 was 7 of 10 tasks 8 the 10 tasks 9 retrospective 10 tasks 11 was 12 underestimated 12 underestimated 13 as 13 as 14 compared 14 compared 15 to 15 to 18 tasks 16 the 18 tasks 17 prospective 18 tasks 19 and 21 estimations 19 and 22 were 20 both 21 estimations 21 estimations 22 were 22 were 23 shorter 23 shorter 24 than 24 than 28 interval 25 the 28 interval 26 real 28 interval 27 time 28 interval prospective time estimation was further correlated with mental time travel , as measured with the remember/know paradigm . 0 ###LEFT-WALL### 3 estimation 0 ###LEFT-WALL### 6 correlated 0 ###LEFT-WALL### 18 . 1 prospective 3 estimation 2 time 3 estimation 3 estimation 4 was 4 was 5 further 4 was 6 correlated 6 correlated 7 with 6 correlated 11 , 6 correlated 13 measured 7 with 10 travel 8 mental 10 travel 9 time 10 travel 12 as 13 measured 13 measured 14 with 14 with 17 paradigm 15 the 17 paradigm 16 remember/know 17 paradigm mental time travel was even higher correlated with retrospective time estimation . 0 ###LEFT-WALL### 2 time 0 ###LEFT-WALL### 7 correlated 0 ###LEFT-WALL### 12 . 1 mental 2 time 2 time 3 travel 2 time 4 was 2 time 7 correlated 3 travel 4 was 4 was 5 even 5 even 6 higher 7 correlated 8 with 8 with 11 estimation 9 retrospective 11 estimation 10 time 11 estimation our findings shed light on the relationship between time perception and the ability to mentally project oneself into time , two skills contributing to human memory functioning . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 shed 1 our 2 findings 2 findings 3 shed 3 shed 4 light 3 shed 5 on 3 shed 8 between 3 shed 14 to 5 on 7 relationship 6 the 7 relationship 8 between 11 and 9 time 10 perception 10 perception 11 and 11 and 13 ability 12 the 13 ability 14 to 16 project 15 mentally 16 project 16 project 17 oneself 16 project 18 into 18 into 19 time 19 time 22 skills 20 , 22 skills 21 two 22 skills 22 skills 23 contributing 22 skills 27 functioning 22 skills 28 . 23 contributing 24 to 24 to 26 memory 25 human 26 memory finally , time perception deficits , as observed in ad patients , can be interpreted in terms of dramatic changes occurring in frontal lobes and hippocampus . 0 ###LEFT-WALL### 3 time 1 finally 2 , 1 finally 3 time 3 time 5 deficits 4 perception 5 deficits 5 deficits 7 as 6 , 7 as 7 as 12 , 7 as 27 . 8 observed 9 in 8 observed 11 patients 8 observed 12 , 9 in 10 ad 12 , 13 can 13 can 14 be 14 be 15 interpreted 15 interpreted 16 in 16 in 17 terms 17 terms 18 of 18 of 20 changes 19 dramatic 20 changes 20 changes 21 occurring 21 occurring 22 in 22 in 25 and 23 frontal 24 lobes 24 lobes 25 and 25 and 26 hippocampus cutaneous aging translates drastic structural and functional alterations in the extracellular matrix ( ecm ) . 0 ###LEFT-WALL### 1 cutaneous 0 ###LEFT-WALL### 3 translates 0 ###LEFT-WALL### 16 . 1 cutaneous 2 aging 1 cutaneous 3 translates 3 translates 8 alterations 3 translates 9 in 4 drastic 8 alterations 5 structural 6 and 6 and 7 functional 6 and 8 alterations 9 in 12 matrix 10 the 12 matrix 11 extracellular 12 matrix 12 matrix 14 ecm 13 ( 14 ecm 14 ecm 15 ) multiple mechanisms are involved , including changes in protease levels . 0 ###LEFT-WALL### 2 mechanisms 0 ###LEFT-WALL### 4 involved 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 11 . 1 multiple 2 mechanisms 2 mechanisms 3 are 3 are 4 involved 5 , 6 including 5 , 10 levels 6 including 7 changes 6 including 8 in 6 including 10 levels 8 in 9 protease we investigated the age - related protein expression and activity of cysteine cathepsins and the expression of two endogenous protein inhibitors in young and aged caucasian women skin epidermis . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 6 related 0 ###LEFT-WALL### 30 . 1 we 2 investigated 2 investigated 4 age 3 the 4 age 5 - 6 related 6 related 14 and 6 related 22 in 7 protein 8 expression 8 expression 9 and 9 and 10 activity 9 and 11 of 9 and 14 and 11 of 13 cathepsins 12 cysteine 13 cathepsins 14 and 16 expression 14 and 17 of 15 the 16 expression 17 of 21 inhibitors 18 two 21 inhibitors 19 endogenous 21 inhibitors 20 protein 21 inhibitors 22 in 26 caucasian 23 young 24 and 24 and 25 aged 24 and 26 caucasian 26 caucasian 27 women 26 caucasian 28 skin 27 women 28 skin 28 skin 29 epidermis immunofluorescence studies indicate that the expression of cathepsins k , s and v , as well as cystatins a and m/e within keratinocytes is reduced in photoprotected skin of aged women . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 32 . 1 immunofluorescence 2 studies 2 studies 3 indicate 3 indicate 4 that 4 that 6 expression 4 that 25 reduced 5 the 6 expression 6 expression 7 of 6 expression 17 as 6 expression 24 is 7 of 8 cathepsins 8 cathepsins 9 k 8 cathepsins 12 and 10 , 12 and 11 s 12 and 12 and 13 v 12 and 14 , 15 as 16 well 16 well 17 as 17 as 20 and 18 cystatins 19 a 18 cystatins 20 and 20 and 21 m/e 20 and 22 within 22 within 23 keratinocytes 24 is 25 reduced 25 reduced 26 in 26 in 28 skin 27 photoprotected 28 skin 28 skin 29 of 29 of 31 women 30 aged 31 women furthermore , the overall endopeptidase activity of cysteine cathepsins in epidermis lysates decreased with age . 0 ###LEFT-WALL### 6 activity 0 ###LEFT-WALL### 9 cathepsins 0 ###LEFT-WALL### 16 . 1 furthermore 2 , 1 furthermore 6 activity 3 the 6 activity 4 overall 5 endopeptidase 5 endopeptidase 6 activity 6 activity 7 of 6 activity 9 cathepsins 7 of 8 cysteine 9 cathepsins 10 in 10 in 12 lysates 11 epidermis 12 lysates 12 lysates 13 decreased 13 decreased 14 with 14 with 15 age albeit dermal elastic fiber and laminin expression is reduced in aged skin , staining of nidogen - 1 , a key protein in bm [assembly] that is sensitive to proteolysis by cysteine , metallo - and serine proteases , [has] a similar pattern in both young and aged skin . 0 ###LEFT-WALL### 12 skin 1 albeit 5 and 1 albeit 11 aged 1 albeit 12 skin 2 dermal 3 elastic 3 elastic 4 fiber 4 fiber 5 and 5 and 6 laminin 5 and 7 expression 5 and 10 in 5 and 11 aged 7 expression 8 is 8 is 9 reduced 9 reduced 10 in 12 skin 17 - 12 skin 22 protein 13 , 17 - 14 staining 15 of 14 staining 17 - 15 of 16 nidogen 17 - 18 1 17 - 19 , 20 a 22 protein 21 key 22 protein 22 protein 23 in 22 protein 28 sensitive 22 protein 31 by 23 in 24 bm 24 bm 26 that 24 bm 27 is 26 that 27 is 28 sensitive 29 to 29 to 30 proteolysis 31 by 38 proteases 32 cysteine 33 , 33 , 34 metallo 33 , 36 and 35 - 36 and 36 and 37 serine 36 and 38 proteases 38 proteases 43 pattern 39 , 43 pattern 41 a 42 similar 41 a 43 pattern 42 similar 43 pattern 43 pattern 44 in 43 pattern 50 . 44 in 47 and 45 both 47 and 46 young 47 and 47 and 49 skin 48 aged 49 skin since cathepsins contribute to the hydrolysis and turnover of ecm/basement membrane components , the abnormal protein degradation and deposition during aging process may be related in part to a decline of lysosomal/endosomal cathepsin k , s and v activity . 0 ###LEFT-WALL### 3 contribute 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 24 be 0 ###LEFT-WALL### 40 . 1 since 2 cathepsins 1 since 3 contribute 3 contribute 4 to 4 to 7 and 5 the 6 hydrolysis 6 hydrolysis 7 and 7 and 8 turnover 7 and 9 of 9 of 12 components 10 ecm/basement 12 components 11 membrane 12 components 13 , 24 be 14 the 17 degradation 15 abnormal 16 protein 16 protein 17 degradation 17 degradation 18 and 18 and 19 deposition 18 and 20 during 18 and 23 may 20 during 22 process 21 aging 22 process 23 may 24 be 24 be 25 related 25 related 27 part 26 in 27 part 27 part 28 to 28 to 39 activity 29 a 30 decline 30 decline 31 of 30 decline 35 , 31 of 33 cathepsin 32 lysosomal/endosomal 33 cathepsin 33 cathepsin 34 k 35 , 36 s 35 , 37 and 37 and 38 v 37 and 39 activity purpose of study : a theoretical integration of the life course perspective , cumulative advantage , disadvantage or inequality , and stress processing theories provide an important integrated lens to study the relationship between accumulated interpersonal , social - structural , and historical trauma and stressful experiences on mental well - being mental well - being in later life . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 60 . 1 purpose 2 of 2 of 3 study 3 study 4 : 4 : 21 and 5 a 21 and 6 theoretical 7 integration 7 integration 8 of 7 integration 13 , 8 of 12 perspective 9 the 12 perspective 10 life 11 course 11 course 12 perspective 13 , 15 advantage 13 , 16 , 14 cumulative 15 advantage 16 , 17 disadvantage 16 , 18 or 18 or 19 inequality 18 or 20 , 18 or 21 and 21 and 22 stress 21 and 24 theories 21 and 31 study 23 processing 24 theories 24 theories 25 provide 25 provide 29 lens 25 provide 30 to 26 an 27 important 26 an 29 lens 27 important 29 lens 28 integrated 29 lens 30 to 31 study 31 study 33 relationship 31 study 34 between 32 the 33 relationship 34 between 45 and 35 accumulated 44 trauma 36 interpersonal 37 , 36 interpersonal 44 trauma 38 social 39 - 38 social 44 trauma 40 structural 42 and 41 , 42 and 42 and 43 historical 42 and 44 trauma 44 trauma 45 and 45 and 47 experiences 46 stressful 47 experiences 47 experiences 48 on 47 experiences 56 being 48 on 50 well 49 mental 50 well 50 well 52 being 51 - 52 being 52 being 53 mental 52 being 55 - 53 mental 54 well 56 being 57 in 57 in 59 life 58 later 59 life design and methods : this study builds upon the extant literature by examining the mediating role of coping resources on the relationship between trauma and stressful life experiences , post traumatic stress symptoms , and mental well - being among a sample of 677 adults aged 50 and older in prison . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 52 . 1 design 2 and 2 and 3 methods 4 : 6 study 4 : 7 builds 4 : 29 , 4 : 38 - 5 this 6 study 6 study 7 builds 7 builds 8 upon 7 builds 12 by 7 builds 20 on 7 builds 23 between 8 upon 11 literature 9 the 11 literature 10 extant 11 literature 12 by 13 examining 13 examining 16 role 14 the 16 role 15 mediating 16 role 16 role 17 of 17 of 18 coping 18 coping 19 resources 20 on 22 relationship 21 the 22 relationship 23 between 25 and 24 trauma 25 and 25 and 28 experiences 25 and 29 , 26 stressful 27 life 27 life 28 experiences 29 , 35 and 30 post 33 symptoms 31 traumatic 32 stress 32 stress 33 symptoms 33 symptoms 35 and 34 , 35 and 35 and 37 well 35 and 38 - 36 mental 37 well 38 - 39 being 39 being 40 among 39 being 43 of 40 among 42 sample 41 a 42 sample 43 of 44 677 44 677 48 and 45 adults 46 aged 45 adults 48 and 46 aged 47 50 48 and 49 older 48 and 50 in 50 in 51 prison results : the majority ( 70 % ) reported experiencing one or more traumatic or stressful life experiences during their life span . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 4 majority 2 : 9 reported 3 the 4 majority 4 majority 7 % 4 majority 9 reported 5 ( 7 % 6 70 7 % 7 % 8 ) 9 reported 18 experiences 10 experiencing 18 experiences 11 one 12 or 12 or 13 more 12 or 17 life 14 traumatic 15 or 15 or 16 stressful 15 or 17 life 17 life 18 experiences 18 experiences 19 during 19 during 22 span 20 their 22 span 21 life 22 span participants also reported on average 11 occurrences of multilevel trauma and stressful life events and lingering subjective distress related to these events . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 reported 0 ###LEFT-WALL### 19 related 0 ###LEFT-WALL### 23 . 1 participants 3 reported 2 also 3 reported 3 reported 5 average 3 reported 15 and 3 reported 19 related 4 on 5 average 6 11 7 occurrences 7 occurrences 8 of 7 occurrences 11 and 8 of 10 trauma 9 multilevel 10 trauma 11 and 14 events 11 and 15 and 12 stressful 13 life 13 life 14 events 15 and 18 distress 15 and 19 related 16 lingering 18 distress 17 subjective 18 distress 19 related 20 to 20 to 22 events 21 these 22 events results of a structural equation model revealed that internal and external coping resources [(] e.g . , cognitive , emotional , physical , spiritual , and social ) had a significant and inverse effect on the relationship between trauma and stressful life experiences and mental well - being . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 7 revealed 0 ###LEFT-WALL### 16 . 0 ###LEFT-WALL### 29 had 0 ###LEFT-WALL### 49 . 1 results 2 of 1 results 7 revealed 2 of 6 model 3 a 4 structural 3 a 6 model 4 structural 6 model 5 equation 6 model 7 revealed 8 that 8 that 13 resources 8 that 15 e.g 9 internal 10 and 10 and 11 external 10 and 13 resources 12 coping 13 resources 13 resources 15 e.g 16 . 26 and 17 , 18 cognitive 18 cognitive 19 , 18 cognitive 26 and 20 emotional 21 , 21 , 24 spiritual 21 , 26 and 22 physical 23 , 22 physical 24 spiritual 25 , 26 and 26 and 27 social 26 and 28 ) 26 and 29 had 29 had 34 effect 29 had 35 on 29 had 38 between 30 a 34 effect 31 significant 32 and 32 and 33 inverse 32 and 34 effect 35 on 37 relationship 36 the 37 relationship 38 between 40 and 39 trauma 40 and 40 and 48 being 41 stressful 42 life 42 life 43 experiences 43 experiences 44 and 44 and 46 well 44 and 47 - 44 and 48 being 45 mental 46 well implications : as prisons are forced to deal with an aging population , research in this area can take the preliminary steps to enhance understanding of risk and resilience among older adults in prison . 0 ###LEFT-WALL### 1 implications 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 35 . 2 : 17 area 2 : 19 take 3 as 4 prisons 3 as 6 forced 3 as 17 area 4 prisons 5 are 5 are 6 forced 6 forced 7 to 6 forced 13 , 7 to 13 , 8 deal 9 with 8 deal 13 , 9 with 12 population 10 an 12 population 11 aging 12 population 13 , 14 research 13 , 15 in 15 in 16 this 17 area 18 can 18 can 19 take 19 take 22 steps 19 take 23 to 19 take 30 among 20 the 22 steps 21 preliminary 22 steps 23 to 24 enhance 24 enhance 25 understanding 25 understanding 26 of 26 of 28 and 27 risk 28 and 28 and 29 resilience 30 among 32 adults 31 older 32 adults 32 adults 33 in 33 in 34 prison this understanding will aid in the development and improvement of integrated theory - based interventions seeking to increase human rights , health , and well - being among older adults in prison . 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 33 . 1 this 2 understanding 2 understanding 3 will 3 will 4 aid 4 aid 5 in 4 aid 8 and 5 in 7 development 6 the 7 development 8 and 9 improvement 8 and 10 of 8 and 24 and 10 of 12 theory 11 integrated 12 theory 12 theory 15 interventions 13 - 15 interventions 14 based 15 interventions 15 interventions 16 seeking 15 interventions 23 , 16 seeking 17 to 16 seeking 18 increase 17 to 18 increase 18 increase 20 rights 19 human 20 rights 20 rights 22 health 21 , 22 health 22 health 23 , 23 , 24 and 24 and 25 well 24 and 26 - 24 and 27 being 27 being 28 among 27 being 31 in 28 among 30 adults 29 older 30 adults 31 in 32 prison objectives : this study sought to determine the relationship of cardiovascular magnetic resonance ( cmr ) measures of tissue composition to age in the multi - ethnic study of atherosclerosis ( mesa ) . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 4 study 3 this 4 study 4 study 5 sought 4 study 6 to 4 study 17 measures 4 study 18 of 6 to 7 determine 7 determine 9 relationship 7 determine 17 measures 8 the 9 relationship 9 relationship 10 of 9 relationship 17 measures 10 of 13 resonance 11 cardiovascular 13 resonance 12 magnetic 13 resonance 13 resonance 15 cmr 14 ( 15 cmr 15 cmr 16 ) 18 of 20 composition 19 tissue 20 composition 20 composition 21 to 20 composition 28 study 21 to 22 age 22 age 23 in 23 in 25 multi 24 the 25 multi 26 - 28 study 27 ethnic 28 study 28 study 29 of 28 study 33 ) 29 of 30 atherosclerosis 30 atherosclerosis 32 mesa 31 ( 32 mesa 32 mesa 33 ) background : animal and human studies have demonstrated increased collagen deposition in senescent hearts . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 2 : 4 and 2 : 8 demonstrated 3 animal 4 and 4 and 6 studies 4 and 7 have 5 human 6 studies 7 have 8 demonstrated 8 demonstrated 11 deposition 8 demonstrated 12 in 9 increased 11 deposition 10 collagen 11 deposition 12 in 14 hearts 13 senescent 14 hearts new cmr indices of tissue composition by using t1 mapping are sensitive to the presence [of] myocardial fibrosis . 0 ###LEFT-WALL### 3 indices 0 ###LEFT-WALL### 11 are 0 ###LEFT-WALL### 19 . 1 new 2 cmr 2 cmr 3 indices 3 indices 4 of 3 indices 11 are 4 of 6 composition 5 tissue 6 composition 6 composition 7 by 7 by 8 using 8 using 10 mapping 9 t1 10 mapping 11 are 12 sensitive 12 sensitive 13 to 13 to 18 fibrosis 14 the 18 fibrosis 15 presence 18 fibrosis 17 myocardial 18 fibrosis methods : a total of 1,231 study participants ( 51 % women ; age range 54 to 93 years [ )(of the mesa cohort were evaluated with t1 mapping by using 1.5 - t cmr scanners . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 ; 0 ###LEFT-WALL### 29 mapping 0 ###LEFT-WALL### 37 . 1 methods 2 : 2 : 4 total 3 a 4 total 4 total 5 of 4 total 12 women 5 of 8 participants 6 1,231 8 participants 7 study 8 participants 9 ( 12 women 10 51 12 women 11 % 12 women 12 women 13 ; 13 ; 14 age 14 age 15 range 15 range 17 to 15 range 19 years 15 range 29 mapping 16 54 17 to 17 to 18 93 19 years 21 )(of 19 years 25 were 21 )(of 24 cohort 22 the 24 cohort 23 mesa 24 cohort 25 were 26 evaluated 26 evaluated 27 with 27 with 28 t1 28 t1 29 mapping 29 mapping 30 by 29 mapping 31 using 31 using 36 scanners 32 1.5 33 - 33 - 34 t 33 - 36 scanners 35 cmr 36 scanners none of the participants had focal scar [on] delayed enhancement cmr . 0 ###LEFT-WALL### 4 participants 0 ###LEFT-WALL### 5 had 0 ###LEFT-WALL### 12 . 1 none 2 of 1 none 4 participants 2 of 4 participants 3 the 4 participants 4 participants 5 had 5 had 11 cmr 6 focal 7 scar 7 scar 9 delayed 9 delayed 10 enhancement 10 enhancement 11 cmr single - slice t1 mapping was performed at the midventricular level before and at 12 - and 25 - min delay after administration of gadolinium contrast by using a modified look - locker inversion recovery sequence . 0 ###LEFT-WALL### 1 single 0 ###LEFT-WALL### 37 . 1 single 2 - 1 single 3 slice 3 slice 4 t1 3 slice 11 level 3 slice 17 and 4 t1 5 mapping 4 t1 8 at 5 mapping 6 was 6 was 7 performed 7 performed 8 at 9 the 11 level 10 midventricular 11 level 11 level 13 and 12 before 13 and 13 and 14 at 14 at 15 12 16 - 17 and 17 and 18 25 17 and 36 sequence 18 25 21 delay 19 - 21 delay 20 min 21 delay 21 delay 22 after 21 delay 32 - 22 after 23 administration 23 administration 24 of 24 of 26 contrast 25 gadolinium 26 contrast 26 contrast 27 by 27 by 28 using 28 using 31 look 29 a 31 look 30 modified 31 look 33 locker 36 sequence 34 inversion 36 sequence 35 recovery 36 sequence the partition coefficient was determined by the slope of the linear relationship [of] ( 1/t1myo vs [.] 1/t1blood ) . 0 ###LEFT-WALL### 3 coefficient 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 20 . 1 the 3 coefficient 2 partition 3 coefficient 3 coefficient 4 was 4 was 5 determined 5 determined 6 by 6 by 8 slope 7 the 8 slope 8 slope 9 of 9 of 12 relationship 10 the 12 relationship 11 linear 12 relationship 12 relationship 15 1/t1myo 14 ( 15 1/t1myo 15 1/t1myo 16 vs 15 1/t1myo 19 ) 16 vs 18 1/t1blood the extracellular volume fraction ( ecv ) was derived accounting for the hematocrit level . 0 ###LEFT-WALL### 4 fraction 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 15 . 1 the 4 fraction 2 extracellular 3 volume 3 volume 4 fraction 4 fraction 6 ecv 4 fraction 8 was 5 ( 6 ecv 6 ecv 7 ) 8 was 10 accounting 9 derived 10 accounting 10 accounting 11 for 11 for 14 level 12 the 14 level 13 hematocrit 14 level multivariable regression analyses were performed , adjusting for traditional risk factors and left [ventricular] structure . 0 ###LEFT-WALL### 3 analyses 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 16 . 1 multivariable 3 analyses 2 regression 3 analyses 3 analyses 4 were 4 were 5 performed 6 , 7 adjusting 6 , 12 and 7 adjusting 8 for 7 adjusting 12 and 8 for 10 risk 9 traditional 10 risk 11 factors 12 and 12 and 13 left 12 and 15 structure results : women had significantly greater partition [coefficient] , ecv , and precontrast t1 than men , as well as lower post - contrast t1 values ( [all] p < 0.05 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 women 2 : 4 had 2 : 23 - 3 women 4 had 4 had 12 and 4 had 15 than 4 had 20 as 5 significantly 6 greater 6 greater 7 partition 7 partition 9 , 9 , 10 ecv 9 , 12 and 11 , 12 and 12 and 14 t1 13 precontrast 14 t1 15 than 16 men 17 , 20 as 18 as 19 well 19 well 20 as 20 as 22 post 20 as 23 - 21 lower 22 post 23 - 24 contrast 23 - 33 . 24 contrast 26 values 24 contrast 30 < 25 t1 26 values 27 ( 30 < 29 p 30 < 30 < 31 0.05 30 < 32 ) in general , linear regression analyses demonstrated that greater partition coefficient , pre - contrast t1 values , and ecv were associated with older age in men [(] multivariate regression coefficients = 0.01 [;] [5.9] [ms] [;] and 1.04 % per 10 years ['] change [;] all p < 0.05 [ )( 0 ###LEFT-WALL### 6 analyses 0 ###LEFT-WALL### 12 , 1 in 6 analyses 2 general 3 , 2 general 5 regression 4 linear 5 regression 5 regression 6 analyses 6 analyses 7 demonstrated 7 demonstrated 11 coefficient 8 that 11 coefficient 9 greater 10 partition 10 partition 11 coefficient 12 , 15 contrast 13 pre 14 - 13 pre 15 contrast 15 contrast 19 and 15 contrast 21 were 15 contrast 22 associated 16 t1 17 values 17 values 19 and 18 , 19 and 19 and 20 ecv 19 and 21 were 22 associated 23 with 22 associated 31 coefficients 23 with 25 age 24 older 25 age 25 age 26 in 26 in 27 men 29 multivariate 31 coefficients 30 regression 31 coefficients 31 coefficients 38 and 32 = 33 0.01 33 0.01 38 and 38 and 39 1.04 39 1.04 40 % 40 % 41 per 40 % 45 change 41 per 43 years 42 10 43 years 45 change 47 all 45 change 49 < 48 p 49 < 49 < 50 0.05 49 < 52 )( ecv was also significantly associated with age in women after multivariable adjustments . 0 ###LEFT-WALL### 1 ecv 0 ###LEFT-WALL### 5 associated 0 ###LEFT-WALL### 13 . 1 ecv 2 was 2 was 3 also 2 was 5 associated 4 significantly 5 associated 5 associated 6 with 5 associated 8 in 5 associated 10 after 6 with 7 age 8 in 9 women 10 after 12 adjustments 11 multivariable 12 adjustments conclusions : cmr parameters that have been associated with myocardial fibrosis [were] related [to] older age in the mesa study . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 4 parameters 3 cmr 4 parameters 4 parameters 5 that 4 parameters 6 have 5 that 6 have 6 have 7 been 7 been 8 associated 8 associated 9 with 8 associated 17 in 9 with 16 age 10 myocardial 11 fibrosis 11 fibrosis 13 related 13 related 16 age 15 older 16 age 17 in 20 study 18 the 20 study 19 mesa 20 study women had higher ecv than men but less ecv change over time . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 2 had 0 ###LEFT-WALL### 13 . 1 women 2 had 2 had 4 ecv 2 had 5 than 2 had 10 change 3 higher 4 ecv 5 than 7 but 6 men 7 but 7 but 8 less 7 but 9 ecv 10 change 11 over 10 change 12 time none objective : since dual energy x - ray absorptiometry ( dxa ) cannot distinguish between different adipose tissue ( at ) deposits , it remains unclear [how] dxa - derived body composition variables relate to anatomical tissue ( sub )compartments . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 15 distinguish 0 ###LEFT-WALL### 24 , 1 none 2 objective 1 none 3 : 1 none 15 distinguish 2 objective 3 : 3 : 4 since 4 since 6 energy 4 since 14 cannot 5 dual 6 energy 6 energy 7 x 6 energy 10 absorptiometry 6 energy 14 cannot 8 - 10 absorptiometry 9 ray 10 absorptiometry 10 absorptiometry 12 dxa 10 absorptiometry 13 ) 11 ( 12 dxa 12 dxa 13 ) 15 distinguish 16 between 16 between 18 adipose 17 different 18 adipose 18 adipose 19 tissue 18 adipose 23 deposits 19 tissue 21 at 19 tissue 23 deposits 20 ( 21 at 21 at 22 ) 24 , 25 it 24 , 26 remains 24 , 30 - 25 it 26 remains 26 remains 29 dxa 27 unclear 29 dxa 30 - 34 variables 30 - 35 relate 31 derived 32 body 32 body 34 variables 33 composition 34 variables 34 variables 35 relate 35 relate 36 to 36 to 38 tissue 37 anatomical 38 tissue 38 tissue 41 )compartments 39 ( 41 )compartments 40 sub 41 )compartments 41 )compartments 42 . the aim of the present study was to compare and relate regional dxa variables with absolute tissue masses obtained by computer tomography ( ct ) scanning of the lower limbs in elderly persons . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 34 . 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 10 and 8 to 10 and 9 compare 10 and 10 and 11 relate 11 relate 14 variables 12 regional 14 variables 13 dxa 14 variables 14 variables 15 with 14 variables 19 obtained 14 variables 20 by 14 variables 26 scanning 14 variables 27 of 15 with 18 masses 16 absolute 18 masses 17 tissue 18 masses 20 by 22 tomography 21 computer 22 tomography 22 tomography 24 ct 23 ( 24 ct 24 ct 25 ) 27 of 30 limbs 28 the 30 limbs 29 lower 30 limbs 30 limbs 31 in 31 in 33 persons 32 elderly 33 persons methods : eleven well - preserved white caucasian adults ( seven male and four female cadavers ) with a median age of 79.0 years ( ranging from 68 to 96 years ) were fully scanned with dxa and ct . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 40 . 1 methods 2 : 2 : 4 well 3 eleven 4 well 5 - 9 adults 5 - 35 scanned 6 preserved 7 white 7 white 9 adults 8 caucasian 9 adults 9 adults 11 seven 9 adults 33 were 10 ( 11 seven 11 seven 13 and 11 seven 21 age 11 seven 22 of 11 seven 32 ) 12 male 13 and 13 and 16 cadavers 13 and 17 ) 13 and 18 with 13 and 21 age 14 four 16 cadavers 15 female 16 cadavers 18 with 20 median 19 a 20 median 22 of 24 years 23 79.0 24 years 24 years 26 ranging 25 ( 26 ranging 26 ranging 31 years 26 ranging 32 ) 27 from 29 to 28 68 29 to 29 to 30 96 29 to 31 years 33 were 35 scanned 34 fully 35 scanned 35 scanned 36 with 36 with 39 ct 37 dxa 38 and 38 and 39 ct separate densities of skin tissue , at , muscle tissue and bone were obtained by hydrostatic weighing . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 14 obtained 0 ###LEFT-WALL### 18 . 1 separate 2 densities 2 densities 3 of 2 densities 6 , 3 of 5 tissue 4 skin 5 tissue 6 , 7 at 6 , 8 , 8 , 10 tissue 8 , 11 and 9 muscle 10 tissue 11 and 12 bone 11 and 13 were 13 were 14 obtained 14 obtained 15 by 15 by 17 weighing 16 hydrostatic 17 weighing results : the leg dxa - variables were significantly related ( rho - values between 0.60 and 0.98 , p < 0.01 ) to ct - derived tissue counterparts , but showed significant systematic differences except for subcutaneous at mass ( p = 0.773 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 - 1 results 2 : 2 : 5 dxa 3 the 5 dxa 4 leg 5 dxa 6 - 7 variables 6 - 31 but 6 - 46 . 7 variables 31 but 8 were 10 related 8 were 31 but 9 significantly 10 related 10 related 13 - 10 related 21 < 10 related 24 to 11 ( 13 - 12 rho 13 - 13 - 14 values 13 - 19 , 14 values 17 and 15 between 17 and 16 0.60 17 and 17 and 18 0.98 19 , 21 < 20 p 21 < 21 < 22 0.01 21 < 23 ) 24 to 25 ct 25 ct 29 counterparts 26 - 29 counterparts 27 derived 28 tissue 28 tissue 29 counterparts 29 counterparts 30 , 30 , 31 but 31 but 32 showed 32 showed 35 differences 32 showed 40 mass 33 significant 35 differences 34 systematic 35 differences 35 differences 36 except 35 differences 40 mass 36 except 37 for 37 for 39 at 38 subcutaneous 39 at 40 mass 43 = 41 ( 43 = 42 p 43 = 43 = 44 0.773 43 = 45 ) after controlling for other at depots , fat as measured by dxa ( fat ( dxa ) ) related only to intermuscular at [(] rho = 0.82 , p < 0.01 ) in males and to subcutaneous at ( rho [=] 0.84 , p < 0.05 [ )(in females . 1 after 2 controlling 1 after 7 , 1 after 8 fat 2 controlling 3 for 3 for 6 depots 4 other 6 depots 5 at 6 depots 8 fat 10 measured 8 fat 19 related 9 as 10 measured 10 measured 11 by 11 by 12 dxa 12 dxa 14 fat 13 ( 14 fat 14 fat 16 dxa 14 fat 18 ) 15 ( 16 dxa 16 dxa 17 ) 19 related 20 only 20 only 21 to 21 to 23 at 22 intermuscular 23 at 23 at 25 rho 23 at 26 = 25 rho 26 = 26 = 30 < 26 = 35 and 27 0.82 30 < 28 , 30 < 29 p 30 < 30 < 31 0.01 30 < 32 ) 33 in 34 males 33 in 35 and 35 and 36 to 36 to 38 at 37 subcutaneous 38 at 38 at 40 rho 39 ( 40 rho 40 rho 42 0.84 40 rho 45 < 40 rho 50 . 43 , 45 < 44 p 45 < 45 < 49 females 46 0.05 48 )(in 48 )(in 49 females conclusion : although significantly interrelated , dxa and ct variables should not be used interchangeably since they have different quantitative and physiological significance . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 14 used 0 ###LEFT-WALL### 24 . 1 conclusion 2 : 2 : 3 although 3 although 8 and 4 significantly 5 interrelated 5 interrelated 6 , 5 interrelated 8 and 7 dxa 8 and 8 and 10 variables 8 and 11 should 9 ct 10 variables 11 should 12 not 11 should 13 be 13 be 14 used 14 used 15 interchangeably 14 used 16 since 16 since 17 they 16 since 18 have 17 they 18 have 18 have 23 significance 19 different 23 significance 20 quantitative 21 and 21 and 22 physiological 21 and 23 significance our results suggest that fat ( dxa ) represents different parts of at depots in elderly men and women . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 20 . 1 our 2 results 2 results 3 suggest 3 suggest 4 that 4 that 5 fat 4 that 9 represents 5 fat 7 dxa 5 fat 9 represents 6 ( 7 dxa 7 dxa 8 ) 9 represents 11 parts 9 represents 15 in 10 different 11 parts 11 parts 12 of 12 of 14 depots 13 at 14 depots 15 in 18 and 16 elderly 17 men 17 men 18 and 18 and 19 women since dxa is not appropriate for assessing tissue variability cautious clinical interpretation is warranted . 0 ###LEFT-WALL### 12 interpretation 0 ###LEFT-WALL### 14 warranted 0 ###LEFT-WALL### 15 . 1 since 2 dxa 1 since 3 is 1 since 12 interpretation 2 dxa 3 is 3 is 4 not 3 is 5 appropriate 4 not 5 appropriate 5 appropriate 6 for 6 for 7 assessing 7 assessing 9 variability 8 tissue 9 variability 10 cautious 12 interpretation 11 clinical 12 interpretation 12 interpretation 13 is 13 is 14 warranted aging is a dominant risk factor for end [-] stage renal disease . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 13 . 1 aging 2 is 2 is 6 factor 3 a 4 dominant 3 a 6 factor 4 dominant 6 factor 5 risk 6 factor 6 factor 7 for 7 for 12 disease 8 end 12 disease 10 stage 12 disease 11 renal 12 disease we analyzed the mechanism involved in age - related exacerbation of proteinuria - induced proximal tubular [cell] ( ptc ) damage by focusing on endoplasmic reticulum - related unfolded protein [response] ( upr ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 analyzed 0 ###LEFT-WALL### 9 related 0 ###LEFT-WALL### 35 . 1 we 2 analyzed 2 analyzed 4 mechanism 3 the 4 mechanism 4 mechanism 5 involved 5 involved 6 in 6 in 7 age 8 - 9 related 9 related 10 exacerbation 9 related 22 by 10 exacerbation 11 of 11 of 21 damage 12 proteinuria 13 - 12 proteinuria 21 damage 14 induced 21 damage 15 proximal 21 damage 16 tubular 19 ptc 16 tubular 20 ) 16 tubular 21 damage 18 ( 19 ptc 19 ptc 20 ) 22 by 23 focusing 23 focusing 24 on 24 on 30 protein 25 endoplasmic 30 protein 26 reticulum 27 - 26 reticulum 30 protein 28 related 30 protein 29 unfolded 30 protein 30 protein 33 upr 32 ( 33 upr 33 upr 34 ) after equal - degree induction of proteinuria in 24 [-] month - old ( aged ) and 3 [-] month [-] old ( young ) mice by intraperitoneal free fatty acid - bound albumin [overload] , tubulointerstitial lesions were more severe in aged than in young mice . 0 ###LEFT-WALL### 26 mice 0 ###LEFT-WALL### 43 aged 0 ###LEFT-WALL### 48 . 1 after 5 induction 1 after 12 - 1 after 26 mice 2 equal 3 - 2 equal 5 induction 4 degree 5 induction 5 induction 6 of 6 of 7 proteinuria 7 proteinuria 8 in 8 in 11 month 9 24 11 month 13 old 15 aged 13 old 17 and 14 ( 15 aged 15 aged 16 ) 17 and 22 old 17 and 26 mice 18 3 20 month 20 month 22 old 22 old 24 young 23 ( 24 young 24 young 25 ) 26 mice 27 by 26 mice 38 lesions 26 mice 42 in 26 mice 43 aged 27 by 31 acid 28 intraperitoneal 31 acid 29 free 31 acid 30 fatty 31 acid 31 acid 34 albumin 32 - 34 albumin 33 bound 34 albumin 34 albumin 36 , 37 tubulointerstitial 38 lesions 38 lesions 39 were 39 were 41 severe 40 more 41 severe 41 severe 42 in 43 aged 44 than 44 than 45 in 45 in 47 mice 46 young 47 mice in aged ptcs , proteinuria - induced cell - adaptive upr resulting from induction of the molecular [chaperone] bip was significantly suppressed , whereas proapoptotic upr with chop overexpression was enhanced . 0 ###LEFT-WALL### 3 ptcs 0 ###LEFT-WALL### 4 , 1 in 2 aged 2 aged 3 ptcs 4 , 8 cell 4 , 9 - 5 proteinuria 6 - 5 proteinuria 8 cell 7 induced 8 cell 9 - 11 upr 9 - 22 suppressed 9 - 23 , 9 - 32 . 10 adaptive 11 upr 11 upr 12 resulting 11 upr 13 from 11 upr 15 of 11 upr 20 was 13 from 14 induction 15 of 19 bip 16 the 19 bip 17 molecular 19 bip 20 was 22 suppressed 21 significantly 22 suppressed 23 , 29 overexpression 23 , 31 enhanced 24 whereas 26 upr 24 whereas 29 overexpression 25 proapoptotic 26 upr 26 upr 27 with 27 with 28 chop 29 overexpression 30 was 30 was 31 enhanced treatment with the exogenous molecular [chaperone] tauroursodeoxycholic acid ( tudca ) ameliorated proteinuria - induced tubulointerstitial lesions and ptc apoptosis in aged mice . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 24 . 1 treatment 2 with 1 treatment 18 and 2 with 17 lesions 3 the 17 lesions 4 exogenous 17 lesions 5 molecular 17 lesions 7 tauroursodeoxycholic 17 lesions 8 acid 10 tudca 8 acid 17 lesions 9 ( 10 tudca 10 tudca 11 ) 12 ameliorated 17 lesions 13 proteinuria 14 - 13 proteinuria 17 lesions 15 induced 17 lesions 16 tubulointerstitial 17 lesions 18 and 20 apoptosis 18 and 21 in 19 ptc 20 apoptosis 21 in 23 mice 22 aged 23 mice among the three upr branches , alterations in the inositol - requiring 1α ( ire1α ) [pathway] , but not the activating transcription factor 6 or perk pathway , were associated with impaired bip induction in aged kidneys . 0 ###LEFT-WALL### 4 upr 0 ###LEFT-WALL### 5 branches 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 39 . 1 among 3 three 1 among 4 upr 2 the 3 three 4 upr 5 branches 6 , 7 alterations 6 , 33 impaired 7 alterations 8 in 7 alterations 19 but 7 alterations 33 impaired 8 in 10 inositol 9 the 10 inositol 10 inositol 12 requiring 11 - 12 requiring 12 requiring 13 1α 12 requiring 18 , 13 1α 15 ire1α 14 ( 15 ire1α 15 ire1α 16 ) 19 but 20 not 19 but 22 activating 21 the 22 activating 22 activating 26 or 22 activating 32 with 23 transcription 24 factor 24 factor 25 6 24 factor 26 or 26 or 28 pathway 26 or 29 , 26 or 30 were 27 perk 28 pathway 30 were 31 associated 31 associated 32 with 33 impaired 35 induction 33 impaired 36 in 34 bip 35 induction 36 in 38 kidneys 37 aged 38 kidneys moreover , sirna - mediated suppression of bip and ire1α exacerbated free fatty acid - bound albumin - induced apoptosis in cultured ptcs , whereas sirna - mediated chop suppression ameliorated apoptosis . 0 ###LEFT-WALL### 6 suppression 0 ###LEFT-WALL### 11 exacerbated 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 31 ameliorated 0 ###LEFT-WALL### 33 . 1 moreover 2 , 1 moreover 6 suppression 3 sirna 4 - 3 sirna 6 suppression 5 mediated 6 suppression 6 suppression 7 of 6 suppression 11 exacerbated 7 of 9 and 8 bip 9 and 9 and 10 ire1α 11 exacerbated 14 acid 12 free 14 acid 13 fatty 14 acid 15 - 16 bound 16 bound 17 albumin 16 bound 25 whereas 17 albumin 20 apoptosis 18 - 20 apoptosis 19 induced 20 apoptosis 20 apoptosis 21 in 20 apoptosis 24 , 21 in 23 ptcs 22 cultured 23 ptcs 24 , 25 whereas 25 whereas 30 suppression 26 sirna 27 - 26 sirna 30 suppression 28 mediated 30 suppression 29 chop 30 suppression 30 suppression 31 ameliorated 31 ameliorated 32 apoptosis finally , proteinuria - induced bip induction in ptcs was diminished in kidney specimens from elderly patients . 0 ###LEFT-WALL### 7 induction 0 ###LEFT-WALL### 11 diminished 0 ###LEFT-WALL### 18 . 1 finally 2 , 1 finally 7 induction 3 proteinuria 4 - 3 proteinuria 7 induction 5 induced 7 induction 6 bip 7 induction 7 induction 8 in 7 induction 10 was 8 in 9 ptcs 10 was 11 diminished 11 diminished 12 in 12 in 14 specimens 13 kidney 14 specimens 14 specimens 15 from 15 from 17 patients 16 elderly 17 patients these results indicate that maladaptive uprs are involved in proteinuria - induced tubulointerstitial lesions exacerbation in aged kidneys , and that supplementation [of] chaperones may be used to treat elderly patients with persistent proteinuria . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 indicate 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 35 . 1 these 2 results 2 results 3 indicate 3 indicate 4 that 4 that 6 uprs 4 that 8 involved 5 maladaptive 6 uprs 6 uprs 7 are 7 are 8 involved 8 involved 9 in 9 in 10 proteinuria 11 - 14 lesions 11 - 29 treat 12 induced 14 lesions 13 tubulointerstitial 14 lesions 14 lesions 15 exacerbation 14 lesions 28 to 14 lesions 29 treat 15 exacerbation 16 in 15 exacerbation 25 may 16 in 20 and 17 aged 18 kidneys 18 kidneys 20 and 19 , 20 and 20 and 21 that 20 and 22 supplementation 20 and 24 chaperones 22 supplementation 24 chaperones 25 may 26 be 26 be 27 used 27 used 28 to 29 treat 31 patients 29 treat 32 with 30 elderly 31 patients 32 with 34 proteinuria 33 persistent 34 proteinuria these results should improve understanding of cell vulnerability in aged kidneys . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 improve 0 ###LEFT-WALL### 12 . 1 these 2 results 2 results 3 should 3 should 4 improve 4 improve 5 understanding 4 improve 9 in 5 understanding 6 of 6 of 8 vulnerability 7 cell 8 vulnerability 9 in 11 kidneys 10 aged 11 kidneys bladder cancer is a common cause of morbidity and mortality worldwide in an aging population . 0 ###LEFT-WALL### 2 cancer 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 16 . 1 bladder 2 cancer 2 cancer 3 is 3 is 6 cause 4 a 5 common 4 a 6 cause 5 common 6 cause 6 cause 7 of 7 of 9 and 8 morbidity 9 and 9 and 10 mortality 9 and 11 worldwide 11 worldwide 12 in 12 in 15 population 13 an 15 population 14 aging 15 population each year , thousands of people , mostly men , are diagnosed with this disease , but many of them present too late to receive optimal treatment . 0 ###LEFT-WALL### 6 people 0 ###LEFT-WALL### 12 diagnosed 0 ###LEFT-WALL### 17 but 0 ###LEFT-WALL### 28 . 1 each 2 year 2 year 3 , 2 year 6 people 4 thousands 5 of 4 thousands 6 people 5 of 6 people 6 people 9 men 6 people 11 are 7 , 8 mostly 7 , 9 men 9 men 10 , 11 are 12 diagnosed 12 diagnosed 13 with 13 with 15 disease 14 this 15 disease 16 , 17 but 17 but 20 them 17 but 21 present 18 many 19 of 18 many 20 them 19 of 20 them 20 them 21 present 21 present 23 late 21 present 24 to 21 present 27 treatment 22 too 23 late 24 to 25 receive 26 optimal 27 treatment as with all cancers , early diagnosis of bladder cancer significantly improves the efficacy of therapy and increases survival and recurrence - free survival rates . 0 ###LEFT-WALL### 24 survival 0 ###LEFT-WALL### 25 rates 0 ###LEFT-WALL### 26 . 1 as 2 with 1 as 22 - 1 as 24 survival 2 with 4 cancers 3 all 4 cancers 4 cancers 20 and 5 , 20 and 6 early 7 diagnosis 7 diagnosis 8 of 7 diagnosis 17 and 7 diagnosis 20 and 8 of 10 cancer 9 bladder 10 cancer 11 significantly 12 improves 12 improves 14 efficacy 12 improves 17 and 13 the 14 efficacy 14 efficacy 15 of 15 of 16 therapy 17 and 18 increases 17 and 19 survival 20 and 21 recurrence 20 and 22 - 23 free 24 survival 24 survival 25 rates ongoing research has identified many limitations about the sensitivity of standard diagnostic procedures in detecting early - stage tumors and precancerous changes . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 4 identified 0 ###LEFT-WALL### 23 . 1 ongoing 2 research 2 research 3 has 3 has 4 identified 4 identified 6 limitations 4 identified 7 about 4 identified 14 in 5 many 6 limitations 7 about 9 sensitivity 8 the 9 sensitivity 9 sensitivity 10 of 10 of 13 procedures 11 standard 13 procedures 12 diagnostic 13 procedures 14 in 20 and 15 detecting 19 tumors 16 early 17 - 16 early 18 stage 18 stage 19 tumors 19 tumors 20 and 20 and 22 changes 21 precancerous 22 changes the consequences of this are often tumor progression and increased tumor burden , leading to a decrease in patient quality of life and a vast increase in treatment costs . 0 ###LEFT-WALL### 2 consequences 0 ###LEFT-WALL### 5 are 0 ###LEFT-WALL### 30 . 1 the 2 consequences 2 consequences 3 of 2 consequences 5 are 3 of 4 this 5 are 6 often 5 are 23 and 7 tumor 8 progression 8 progression 9 and 9 and 12 burden 9 and 13 , 9 and 14 leading 9 and 23 and 10 increased 11 tumor 11 tumor 12 burden 14 leading 15 to 14 leading 18 in 15 to 17 decrease 16 a 17 decrease 18 in 20 quality 19 patient 20 quality 20 quality 21 of 21 of 22 life 23 and 26 increase 23 and 27 in 24 a 25 vast 24 a 26 increase 25 vast 26 increase 27 in 29 costs 28 treatment 29 costs the necessity for improved early detection of bladder cancer has spurred on research into novel methods that use a wide range of biological and photonic phenomena . 0 ###LEFT-WALL### 2 necessity 0 ###LEFT-WALL### 11 spurred 0 ###LEFT-WALL### 27 . 1 the 2 necessity 2 necessity 3 for 2 necessity 10 has 3 for 6 detection 4 improved 6 detection 5 early 6 detection 6 detection 7 of 7 of 9 cancer 8 bladder 9 cancer 10 has 11 spurred 11 spurred 12 on 11 spurred 14 into 11 spurred 26 phenomena 12 on 13 research 14 into 16 methods 15 novel 16 methods 16 methods 17 that 16 methods 18 use 17 that 18 use 18 use 21 range 19 a 20 wide 19 a 21 range 20 wide 21 range 21 range 22 of 22 of 24 and 23 biological 24 and 24 and 25 photonic this review will broadly discuss standard detection methodologies and their major limitations before covering novel photonic techniques for early tumor detection and staging , assessing their diagnostic accuracy for flat and precancerous changes . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 5 discuss 0 ###LEFT-WALL### 34 . 1 this 2 review 2 review 3 will 3 will 5 discuss 4 broadly 5 discuss 5 discuss 12 limitations 5 discuss 13 before 5 discuss 29 for 6 standard 12 limitations 7 detection 12 limitations 8 methodologies 9 and 9 and 11 major 9 and 12 limitations 10 their 11 major 13 before 14 covering 14 covering 17 techniques 14 covering 18 for 15 novel 17 techniques 16 photonic 17 techniques 18 for 22 and 19 early 20 tumor 20 tumor 21 detection 21 detection 22 and 22 and 23 staging 22 and 24 , 22 and 25 assessing 25 assessing 28 accuracy 26 their 28 accuracy 27 diagnostic 28 accuracy 29 for 33 changes 30 flat 31 and 31 and 32 precancerous 31 and 33 changes we will do so in the context of both cystoscopic examination and the screening of voided urine and will also touch on the concept of using photonic technology as a surgical tool for tumor ablation . 0 ###LEFT-WALL### 3 do 0 ###LEFT-WALL### 36 . 1 we 2 will 2 will 3 do 3 do 4 so 3 do 5 in 3 do 22 on 3 do 29 as 5 in 7 context 6 the 7 context 7 context 8 of 8 of 12 and 9 both 12 and 10 cystoscopic 11 examination 11 examination 12 and 12 and 14 screening 12 and 15 of 13 the 14 screening 15 of 18 and 16 voided 17 urine 16 voided 18 and 18 and 19 will 19 will 21 touch 20 also 21 touch 22 on 24 concept 23 the 24 concept 24 concept 25 of 25 of 26 using 26 using 28 technology 27 photonic 28 technology 29 as 32 tool 30 a 31 surgical 30 a 32 tool 31 surgical 32 tool 32 tool 33 for 33 for 35 ablation 34 tumor 35 ablation objective : the chinese population has been aging rapidly and the country 's economy has experienced exponential growth during the past three decades . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 5 population 2 : 7 been 2 : 10 and 3 the 5 population 4 chinese 5 population 5 population 6 has 6 has 7 been 7 been 8 aging 8 aging 9 rapidly 10 and 14 economy 10 and 16 experienced 11 the 12 country 12 country 13 's 13 's 14 economy 14 economy 15 has 15 has 16 experienced 16 experienced 18 growth 16 experienced 19 during 17 exponential 18 growth 19 during 23 decades 20 the 21 past 20 the 22 three 22 three 23 decades the goal of this study was to estimate the changes in the prevalence of dementia , alzheimer 's disease ( ad ) , and vascular dementia ( vad ) among elderly chinese individuals [and] to analyze differences between urban and rural areas . 0 ###LEFT-WALL### 2 goal 0 ###LEFT-WALL### 36 analyze 0 ###LEFT-WALL### 43 . 1 the 2 goal 2 goal 3 of 2 goal 6 was 3 of 5 study 4 this 5 study 6 was 7 to 6 was 8 estimate 7 to 8 estimate 8 estimate 24 and 8 estimate 30 among 8 estimate 35 to 9 the 24 and 10 changes 11 in 10 changes 24 and 11 in 13 prevalence 12 the 13 prevalence 13 prevalence 14 of 13 prevalence 19 disease 14 of 15 dementia 16 , 19 disease 17 alzheimer 18 's 18 's 19 disease 19 disease 21 ad 19 disease 23 , 20 ( 21 ad 21 ad 22 ) 24 and 26 dementia 24 and 28 vad 25 vascular 26 dementia 27 ( 28 vad 28 vad 29 ) 30 among 33 individuals 31 elderly 32 chinese 32 chinese 33 individuals 35 to 36 analyze 36 analyze 37 differences 36 analyze 38 between 38 between 42 areas 39 urban 40 and 40 and 41 rural 40 and 42 areas methods : for the years 2008 to 2009 , we performed a population - based cross - [sectional] survey with a multistage cluster sampling design . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 26 . 1 methods 2 : 2 : 3 for 2 : 7 to 3 for 5 years 4 the 5 years 6 2008 7 to 7 to 8 2009 9 , 10 we 9 , 11 performed 9 , 14 - 10 we 11 performed 11 performed 13 population 12 a 13 population 14 - 16 cross 14 - 17 - 15 based 16 cross 17 - 19 survey 19 survey 20 with 19 survey 25 design 20 with 22 multistage 21 a 22 multistage 23 cluster 25 design 24 sampling 25 design residents aged 65 years and older were drawn from 30 urban ( n = 6096 ) and [45] rural ( n = 4180 ) communities across china . 0 ###LEFT-WALL### 1 residents 0 ###LEFT-WALL### 8 drawn 0 ###LEFT-WALL### 28 . 1 residents 2 aged 1 residents 7 were 2 aged 5 and 3 65 4 years 4 years 5 and 5 and 6 older 7 were 8 drawn 8 drawn 9 from 9 from 25 communities 10 30 25 communities 11 urban 14 = 11 urban 17 and 12 ( 14 = 13 n 14 = 14 = 15 6096 14 = 16 ) 17 and 19 rural 17 and 25 communities 19 rural 22 = 20 ( 22 = 21 n 22 = 22 = 23 4180 22 = 24 ) 25 communities 26 across 26 across 27 china participants were assessed with a series of clinical examinations and neuropsychological measures . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 assessed 0 ###LEFT-WALL### 13 . 1 participants 2 were 2 were 3 assessed 3 assessed 4 with 4 with 6 series 5 a 6 series 6 series 7 of 7 of 10 and 8 clinical 9 examinations 9 examinations 10 and 10 and 12 measures 11 neuropsychological 12 measures dementia , ad , and vad were diagnosed according to established criteria via standard diagnostic procedures . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 8 diagnosed 0 ###LEFT-WALL### 17 . 1 dementia 3 ad 2 , 3 ad 3 ad 4 , 3 ad 5 and 5 and 6 vad 5 and 7 were 7 were 8 diagnosed 8 diagnosed 10 to 9 according 10 to 10 to 12 criteria 11 established 12 criteria 12 criteria 13 via 13 via 16 procedures 14 standard 16 procedures 15 diagnostic 16 procedures results : the prevalence of dementia , ad , and vad among individuals aged 65 years and older were 5.14 % ( 95 % ci , 4.71 - 5.57 ) , 3.21 % ( 95 % ci , 2.87 - 3.55 ) , [and] 1.50 % ( 95 % ci , 1.26 - 1.74 ) , respectively . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 58 . 1 results 2 : 2 : 4 prevalence 3 the 4 prevalence 4 prevalence 5 of 5 of 6 dementia 7 , 10 and 7 , 19 were 8 ad 10 and 9 , 10 and 10 and 11 vad 10 and 19 were 11 vad 12 among 11 vad 14 aged 12 among 13 individuals 14 aged 17 and 15 65 16 years 16 years 17 and 17 and 18 older 19 were 21 % 19 were 57 respectively 20 5.14 21 % 21 % 25 ci 22 ( 25 ci 23 95 25 ci 24 % 25 ci 25 ci 27 4.71 25 ci 39 2.87 25 ci 56 , 26 , 27 4.71 27 4.71 29 5.57 27 4.71 33 % 27 4.71 38 , 28 - 29 5.57 29 5.57 30 ) 31 , 33 % 32 3.21 33 % 33 % 37 ci 33 % 38 , 34 ( 37 ci 35 95 37 ci 36 % 37 ci 37 ci 38 , 38 , 39 2.87 39 2.87 41 3.55 39 2.87 46 % 39 2.87 53 - 39 2.87 55 ) 40 - 41 3.55 41 3.55 42 ) 43 , 46 % 45 1.50 46 % 46 % 50 ci 46 % 51 , 47 ( 50 ci 48 95 50 ci 49 % 50 ci 50 ci 51 , 51 , 53 - 52 1.26 53 - 53 - 54 1.74 53 - 55 ) the prevalence of dementia was significantly higher in rural areas than in urban ones ( 6.05 % vs [.] 4.40 % , p < [.] 001 ) . 0 ###LEFT-WALL### 2 prevalence 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 28 . 1 the 2 prevalence 2 prevalence 3 of 2 prevalence 5 was 3 of 4 dementia 5 was 6 significantly 5 was 7 higher 7 higher 8 in 7 higher 11 than 7 higher 24 < 8 in 10 areas 9 rural 10 areas 11 than 12 in 12 in 14 ones 13 urban 14 ones 14 ones 17 % 15 ( 17 % 16 6.05 17 % 17 % 18 vs 17 % 22 , 18 vs 21 % 20 4.40 21 % 22 , 24 < 23 p 24 < 24 < 26 001 24 < 27 ) the same regional difference was also seen for ad ( 4.25 % vs [.] 2.44 % , p < [.] 001 ) but not for vad ( 1.28 % vs [.] 1.61 % , p = [.] 166 ) . 0 ###LEFT-WALL### 4 difference 0 ###LEFT-WALL### 7 seen 0 ###LEFT-WALL### 40 . 1 the 2 same 1 the 4 difference 3 regional 4 difference 4 difference 5 was 5 was 7 seen 6 also 7 seen 7 seen 23 but 7 seen 36 = 8 for 9 ad 8 for 23 but 9 ad 12 % 9 ad 19 < 10 ( 12 % 11 4.25 12 % 12 % 13 vs 12 % 17 , 13 vs 16 % 15 2.44 16 % 17 , 19 < 18 p 19 < 19 < 21 001 19 < 22 ) 23 but 24 not 23 but 25 for 25 for 26 vad 26 vad 29 % 27 ( 29 % 28 1.28 29 % 29 % 30 vs 29 % 34 , 30 vs 33 % 32 1.61 33 % 34 , 36 = 35 p 36 = 36 = 38 166 36 = 39 ) the difference in ad was not evident when the sample was stratified by educational level . 0 ###LEFT-WALL### 2 difference 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 16 . 1 the 2 difference 2 difference 3 in 2 difference 5 was 3 in 4 ad 5 was 6 not 5 was 7 evident 6 not 7 evident 7 evident 8 when 8 when 10 sample 8 when 12 stratified 9 the 10 sample 10 sample 11 was 11 was 12 stratified 12 stratified 13 by 13 by 15 level 14 educational 15 level moreover , the risk factors for ad and vad differed for urban and rural populations . 0 ###LEFT-WALL### 5 factors 0 ###LEFT-WALL### 10 differed 0 ###LEFT-WALL### 16 . 1 moreover 2 , 1 moreover 5 factors 3 the 5 factors 4 risk 5 factors 5 factors 6 for 5 factors 10 differed 6 for 8 and 7 ad 8 and 8 and 9 vad 10 differed 11 for 11 for 15 populations 12 urban 13 and 13 and 14 rural 13 and 15 populations conclusions : [a] notably higher prevalence of dementia and ad was found in rural areas than in urban ones , and education might be an important reason for the urban - rural differences . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 34 . 2 : 6 prevalence 2 : 12 found 2 : 21 and 4 notably 6 prevalence 5 higher 6 prevalence 6 prevalence 7 of 6 prevalence 11 was 7 of 9 and 8 dementia 9 and 9 and 10 ad 11 was 12 found 12 found 13 in 12 found 16 than 12 found 19 ones 13 in 15 areas 14 rural 15 areas 16 than 17 in 18 urban 19 ones 20 , 21 and 21 and 22 education 21 and 24 be 22 education 23 might 23 might 24 be 24 be 27 reason 25 an 26 important 25 an 27 reason 26 important 27 reason 27 reason 28 for 28 for 33 differences 29 the 33 differences 30 urban 31 - 30 urban 33 differences 32 rural 33 differences purpose : we examined the association between military exposure and urinary incontinence in american men . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 . 2 : 3 we 2 : 4 examined 3 we 4 examined 4 examined 6 association 4 examined 7 between 4 examined 13 in 5 the 6 association 7 between 10 and 8 military 9 exposure 9 exposure 10 and 10 and 12 incontinence 11 urinary 12 incontinence 13 in 15 men 14 american 15 men materials and methods : data from the national health and nutrition examination survey ( nhanes ) from 2005 to 2008 were merged to include 5,297 men 20 years old or older . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 10 and 4 : 24 include 4 : 32 . 5 data 6 from 5 data 10 and 6 from 9 health 7 the 9 health 8 national 9 health 10 and 15 nhanes 10 and 19 to 10 and 23 to 10 and 24 include 11 nutrition 12 examination 12 examination 13 survey 13 survey 15 nhanes 14 ( 15 nhanes 15 nhanes 16 ) 17 from 19 to 18 2005 19 to 19 to 20 2008 19 to 21 were 21 were 22 merged 22 merged 23 to 24 include 25 5,297 24 include 30 or 26 men 29 old 26 men 30 or 27 20 28 years 28 years 29 old 30 or 31 older [the] question , " did you ever serve in the armed forces of the united states [?] ["] ( yes/no ) was used to assess military exposure . 0 ###LEFT-WALL### 2 question 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 25 assess 0 ###LEFT-WALL### 28 . 3 , 4 " 3 , 5 did 5 did 6 you 5 did 8 serve 7 ever 8 serve 8 serve 9 in 8 serve 12 forces 10 the 12 forces 11 armed 12 forces 12 forces 13 of 13 of 15 united 14 the 15 united 15 united 16 states 15 united 25 assess 16 states 20 yes/no 16 states 22 was 19 ( 20 yes/no 20 yes/no 21 ) 22 was 23 used 23 used 24 to 23 used 25 assess 24 to 25 assess 25 assess 27 exposure 26 military 27 exposure urinary incontinence was categorized as any or moderate/severe urinary incontinence vs none . 0 ###LEFT-WALL### 2 incontinence 0 ###LEFT-WALL### 4 categorized 0 ###LEFT-WALL### 13 . 1 urinary 2 incontinence 2 incontinence 3 was 3 was 4 categorized 4 categorized 5 as 5 as 7 or 6 any 7 or 7 or 10 incontinence 7 or 11 vs 8 moderate/severe 10 incontinence 9 urinary 10 incontinence 11 vs 12 none because the impact of military exposure varied by age , multivariate logistic regression models were used to estimate the or and 95 % ci stratified by 3 age groups , including 55 or less , 56 to 69 and 70 years or greater . 0 ###LEFT-WALL### 1 because 0 ###LEFT-WALL### 7 varied 0 ###LEFT-WALL### 44 . 1 because 3 impact 2 the 3 impact 3 impact 4 of 3 impact 7 varied 4 of 6 exposure 5 military 6 exposure 7 varied 8 by 7 varied 36 56 7 varied 37 to 7 varied 42 or 8 by 9 age 9 age 13 regression 10 , 13 regression 11 multivariate 12 logistic 12 logistic 13 regression 13 regression 14 models 13 regression 18 estimate 13 regression 35 , 14 models 15 were 15 were 16 used 16 used 17 to 16 used 18 estimate 17 to 18 estimate 18 estimate 33 or 19 the 20 or 20 or 21 and 21 and 24 ci 21 and 30 , 21 and 31 including 21 and 33 or 22 95 24 ci 23 % 24 ci 24 ci 25 stratified 25 stratified 26 by 26 by 29 groups 27 3 29 groups 28 age 29 groups 31 including 32 55 33 or 34 less 37 to 39 and 38 69 39 and 39 and 40 70 41 years 42 or 42 or 43 greater results : overall 23 % of male respondents reported military exposure . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 . 1 results 2 : 2 : 3 overall 2 : 5 % 4 23 5 % 5 % 6 of 6 of 11 exposure 7 male 8 respondents 8 respondents 9 reported 9 reported 11 exposure 10 military 11 exposure men with military exposure were more likely to report any urinary incontinence ( 18.6 % vs 10.4 % ) and moderate/severe urinary incontinence ( 9.0 % vs 3.1 % , each p < 0.001 ) than men without military exposure . 0 ###LEFT-WALL### 1 men 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 41 . 1 men 2 with 1 men 5 were 2 with 4 exposure 3 military 4 exposure 5 were 6 more 5 were 23 incontinence 5 were 31 each 5 were 33 < 5 were 36 than 5 were 38 without 7 likely 8 to 7 likely 9 report 7 likely 20 and 8 to 9 report 9 report 12 incontinence 10 any 12 incontinence 11 urinary 12 incontinence 12 incontinence 15 % 13 ( 15 % 14 18.6 15 % 15 % 16 vs 15 % 19 ) 16 vs 18 % 17 10.4 18 % 20 and 21 moderate/severe 20 and 23 incontinence 22 urinary 23 incontinence 23 incontinence 26 % 24 ( 26 % 25 9.0 26 % 26 % 27 vs 26 % 30 , 27 vs 29 % 28 3.1 29 % 32 p 33 < 33 < 34 0.001 33 < 35 ) 36 than 37 men 38 without 40 exposure 39 military 40 exposure after multivariate adjustment in men 55 years old or younger [those] with military exposure had 3 times greater odds of urinary incontinence ( or 3.28 , 95 % ci 1.38 - 7.77 ) . 0 ###LEFT-WALL### 7 years 0 ###LEFT-WALL### 15 had 0 ###LEFT-WALL### 34 . 1 after 3 adjustment 1 after 7 years 2 multivariate 3 adjustment 3 adjustment 4 in 4 in 5 men 6 55 7 years 7 years 9 or 7 years 15 had 8 old 9 or 9 or 10 younger 10 younger 12 with 12 with 14 exposure 13 military 14 exposure 15 had 19 odds 16 3 19 odds 17 times 19 odds 18 greater 19 odds 19 odds 20 of 20 of 22 incontinence 21 urinary 22 incontinence 22 incontinence 24 or 22 incontinence 29 ci 23 ( 24 or 24 or 25 3.28 24 or 26 , 26 , 29 ci 27 95 29 ci 28 % 29 ci 29 ci 31 - 29 ci 33 ) 30 1.38 31 - 31 - 32 7.77 military exposure did not increase the odds of urinary incontinence in men 56 to 69 years old ( or 0.97 , 95 % ci 0.44 - 2.18 ) , or 70 years old or older [(] or 0.91 , 95 % ci 0.55 - 1.50 ) . 0 ###LEFT-WALL### 2 exposure 0 ###LEFT-WALL### 5 increase 1 military 2 exposure 2 exposure 3 did 3 did 4 not 3 did 5 increase 5 increase 34 or 5 increase 37 or 6 the 7 odds 7 odds 8 of 7 odds 30 or 8 of 10 incontinence 9 urinary 10 incontinence 10 incontinence 11 in 11 in 12 men 12 men 17 old 12 men 19 or 12 men 24 ci 13 56 14 to 14 to 15 69 14 to 16 years 16 years 17 old 18 ( 19 or 19 or 20 0.97 19 or 21 , 21 , 24 ci 22 95 24 ci 23 % 24 ci 24 ci 25 0.44 24 ci 27 2.18 24 ci 29 , 26 - 27 2.18 27 2.18 28 ) 30 or 33 old 30 or 34 or 31 70 32 years 32 years 33 old 34 or 35 older 37 or 38 0.91 37 or 42 ci 39 , 42 ci 40 95 42 ci 41 % 42 ci 42 ci 43 0.55 42 ci 45 1.50 42 ci 47 . 44 - 45 1.50 45 1.50 46 ) conclusions : prior military exposure was associated with moderate/severe urinary incontinence in american men 55 years old or younger even after controlling for known risk factors . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 exposure 2 : 7 associated 2 : 27 . 3 prior 5 exposure 4 military 5 exposure 5 exposure 6 was 6 was 7 associated 7 associated 8 with 7 associated 18 or 8 with 9 moderate/severe 8 with 10 urinary 11 incontinence 12 in 11 incontinence 18 or 12 in 14 men 13 american 14 men 14 men 17 old 15 55 16 years 16 years 17 old 18 or 19 younger 18 or 20 even 18 or 23 for 20 even 21 after 21 after 22 controlling 23 for 26 factors 24 known 26 factors 25 risk 26 factors case finding is warranted for urinary incontinence in younger men with a history of military service . 0 ###LEFT-WALL### 2 finding 0 ###LEFT-WALL### 4 warranted 0 ###LEFT-WALL### 17 . 1 case 2 finding 2 finding 3 is 3 is 4 warranted 4 warranted 5 for 4 warranted 8 in 4 warranted 11 with 5 for 7 incontinence 6 urinary 7 incontinence 8 in 10 men 9 younger 10 men 11 with 13 history 12 a 13 history 13 history 14 of 14 of 16 service 15 military 16 service " use it or lose it " is a popular adage often associated with use - dependent enhancement of cognitive abilities . 0 ###LEFT-WALL### 1 " 0 ###LEFT-WALL### 4 or 0 ###LEFT-WALL### 7 " 2 use 3 it 2 use 4 or 4 or 5 lose 5 lose 6 it 7 " 8 is 8 is 11 adage 9 a 10 popular 9 a 11 adage 10 popular 11 adage 11 adage 13 associated 12 often 13 associated 13 associated 14 with 14 with 15 use 15 use 18 enhancement 16 - 18 enhancement 17 dependent 18 enhancement 18 enhancement 19 of 18 enhancement 22 . 19 of 21 abilities 20 cognitive 21 abilities much research has focused on understanding exactly how the brain changes as a function of experience . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 4 focused 0 ###LEFT-WALL### 17 . 1 much 2 research 2 research 3 has 3 has 4 focused 4 focused 5 on 5 on 6 understanding 6 understanding 7 exactly 6 understanding 8 how 8 how 10 brain 8 how 11 changes 9 the 10 brain 10 brain 11 changes 11 changes 12 as 12 as 14 function 13 a 14 function 14 function 15 of 15 of 16 experience [such] experience - dependent plasticity involves both structural and functional alterations that contribute to adaptive behaviors , such as learning and memory , as well as maladaptive behaviors , including anxiety disorders , phobias , and posttraumatic stress disorder . 0 ###LEFT-WALL### 2 experience 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 40 . 3 - 5 plasticity 3 - 6 involves 4 dependent 5 plasticity 5 plasticity 6 involves 6 involves 11 alterations 7 both 11 alterations 8 structural 9 and 9 and 10 functional 9 and 11 alterations 11 alterations 12 that 11 alterations 13 contribute 12 that 13 contribute 13 contribute 14 to 13 contribute 26 as 13 contribute 39 disorder 14 to 16 behaviors 15 adaptive 16 behaviors 16 behaviors 19 as 17 , 19 as 18 such 19 as 19 as 21 and 19 as 23 , 20 learning 21 and 21 and 22 memory 24 as 25 well 25 well 26 as 26 as 36 and 27 maladaptive 28 behaviors 28 behaviors 29 , 29 , 32 disorders 29 , 33 , 30 including 32 disorders 31 anxiety 32 disorders 33 , 34 phobias 33 , 36 and 35 , 36 and 36 and 38 stress 37 posttraumatic 38 stress with the advancing age of our population , understanding [how] use - dependent plasticity changes across the lifespan may also help to promote healthy brain aging . 0 ###LEFT-WALL### 15 changes 0 ###LEFT-WALL### 21 help 0 ###LEFT-WALL### 27 . 1 with 4 age 1 with 15 changes 2 the 4 age 3 advancing 4 age 4 age 5 of 5 of 7 population 6 our 7 population 7 population 11 use 8 , 11 use 9 understanding 11 use 11 use 12 - 13 dependent 14 plasticity 14 plasticity 15 changes 15 changes 16 across 15 changes 19 may 16 across 18 lifespan 17 the 18 lifespan 19 may 21 help 20 also 21 help 21 help 22 to 22 to 23 promote 23 promote 25 brain 24 healthy 25 brain 25 brain 26 aging a common misconception is [that] such experience - dependent plasticity ( e.g [.] , [associative] learning ) is synonymous with synaptic plasticity . 0 ###LEFT-WALL### 3 misconception 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 23 . 1 a 2 common 1 a 3 misconception 2 common 3 misconception 3 misconception 4 is 4 is 7 experience 6 such 7 experience 8 - 10 plasticity 8 - 18 is 9 dependent 10 plasticity 10 plasticity 12 e.g 10 plasticity 16 learning 10 plasticity 18 is 11 ( 12 e.g 12 e.g 14 , 14 , 16 learning 16 learning 17 ) 18 is 19 synonymous 19 synonymous 20 with 20 with 22 plasticity 21 synaptic 22 plasticity other forms of plasticity also play a critical role in shaping adaptive changes within the nervous system , including intrinsic plasticity - a change in the intrinsic excitability of a neuron . 0 ###LEFT-WALL### 2 forms 0 ###LEFT-WALL### 6 play 0 ###LEFT-WALL### 22 - 0 ###LEFT-WALL### 32 . 1 other 2 forms 2 forms 3 of 2 forms 6 play 3 of 4 plasticity 5 also 6 play 6 play 9 role 6 play 10 in 6 play 14 within 7 a 8 critical 7 a 9 role 8 critical 9 role 10 in 11 shaping 11 shaping 13 changes 12 adaptive 13 changes 14 within 17 system 15 the 17 system 16 nervous 17 system 17 system 19 including 18 , 19 including 19 including 21 plasticity 19 including 22 - 20 intrinsic 21 plasticity 22 - 24 change 23 a 24 change 24 change 25 in 24 change 29 of 25 in 28 excitability 26 the 28 excitability 27 intrinsic 28 excitability 29 of 31 neuron 30 a 31 neuron intrinsic plasticity can result from a change in the number , distribution or activity of various ion channels located throughout the neuron . 0 ###LEFT-WALL### 2 plasticity 0 ###LEFT-WALL### 4 result 0 ###LEFT-WALL### 23 . 1 intrinsic 2 plasticity 2 plasticity 3 can 3 can 4 result 4 result 5 from 4 result 8 in 5 from 7 change 6 a 7 change 8 in 13 or 9 the 10 number 10 number 11 , 11 , 12 distribution 11 , 13 or 13 or 14 activity 13 or 15 of 15 of 18 channels 16 various 17 ion 17 ion 18 channels 18 channels 19 located 19 located 20 throughout 20 throughout 22 neuron 21 the 22 neuron here , we review evidence that intrinsic plasticity is [an] important and evolutionarily conserved neural [correlate] [of] learning . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 review 0 ###LEFT-WALL### 19 . 1 here 2 , 1 here 3 we 3 we 4 review 4 review 5 evidence 5 evidence 6 that 6 that 8 plasticity 6 that 12 and 7 intrinsic 8 plasticity 8 plasticity 12 and 9 is 11 important 9 is 12 and 12 and 14 conserved 12 and 18 learning 13 evolutionarily 14 conserved 15 neural 18 learning intrinsic plasticity acts as a metaplasticity mechanism by lowering the threshold for synaptic changes . 0 ###LEFT-WALL### 2 plasticity 0 ###LEFT-WALL### 3 acts 0 ###LEFT-WALL### 15 . 1 intrinsic 2 plasticity 2 plasticity 3 acts 3 acts 4 as 3 acts 8 by 4 as 7 mechanism 5 a 7 mechanism 6 metaplasticity 7 mechanism 8 by 9 lowering 9 lowering 11 threshold 10 the 11 threshold 11 threshold 12 for 12 for 14 changes 13 synaptic 14 changes thus , learning - related intrinsic changes can facilitate future synaptic plasticity and learning . 0 ###LEFT-WALL### 3 learning 0 ###LEFT-WALL### 9 facilitate 0 ###LEFT-WALL### 15 . 1 thus 2 , 1 thus 3 learning 3 learning 8 can 4 - 5 related 5 related 7 changes 5 related 8 can 6 intrinsic 7 changes 8 can 9 facilitate 9 facilitate 13 and 10 future 12 plasticity 11 synaptic 12 plasticity 12 plasticity 13 and 13 and 14 learning such intrinsic changes can impact the allocation of a memory trace within a brain structure , and when compromised , can contribute [to] cognitive decline during the aging process . 0 ###LEFT-WALL### 3 changes 0 ###LEFT-WALL### 5 impact 0 ###LEFT-WALL### 30 . 1 such 3 changes 2 intrinsic 3 changes 3 changes 4 can 4 can 5 impact 5 impact 7 allocation 5 impact 12 within 6 the 7 allocation 7 allocation 8 of 8 of 11 trace 9 a 10 memory 9 a 11 trace 10 memory 11 trace 12 within 25 decline 13 a 14 brain 13 a 25 decline 14 brain 15 structure 15 structure 17 and 16 , 17 and 17 and 18 when 17 and 20 , 19 compromised 20 , 20 , 21 can 21 can 22 contribute 24 cognitive 25 decline 25 decline 26 during 26 during 29 process 27 the 29 process 28 aging 29 process this unique role of intrinsic excitability can provide insight into how memories are formed and , more interestingly , [how] neurons that participate in a memory trace are selected . 0 ###LEFT-WALL### 3 role 0 ###LEFT-WALL### 8 provide 0 ###LEFT-WALL### 30 . 1 this 3 role 2 unique 3 role 3 role 4 of 3 role 7 can 4 of 6 excitability 5 intrinsic 6 excitability 7 can 8 provide 8 provide 9 insight 8 provide 10 into 10 into 11 how 11 how 15 and 11 how 29 selected 12 memories 13 are 12 memories 15 and 13 are 14 formed 15 and 21 neurons 16 , 18 interestingly 17 more 18 interestingly 18 interestingly 19 , 18 interestingly 21 neurons 21 neurons 22 that 21 neurons 23 participate 21 neurons 28 are 22 that 23 participate 23 participate 24 in 24 in 27 trace 25 a 27 trace 26 memory 27 trace 28 are 29 selected most importantly , modulation of intrinsic excitability can allow for regulation of learning ability [-] this can prevent or provide treatment for [cognitive] [decline] [not] only in patients with clinical disorders but also in the aging population . 0 ###LEFT-WALL### 4 modulation 0 ###LEFT-WALL### 19 or 0 ###LEFT-WALL### 38 . 1 most 2 importantly 2 importantly 3 , 2 importantly 4 modulation 4 modulation 5 of 4 modulation 8 can 5 of 7 excitability 6 intrinsic 7 excitability 8 can 19 or 9 allow 10 for 10 for 11 regulation 10 for 19 or 11 regulation 12 of 11 regulation 16 this 11 regulation 18 prevent 12 of 13 learning 13 learning 14 ability 16 this 17 can 17 can 18 prevent 19 or 20 provide 19 or 28 patients 20 provide 21 treatment 20 provide 22 for 22 for 27 in 26 only 27 in 28 patients 32 but 29 with 31 disorders 29 with 32 but 30 clinical 31 disorders 32 but 33 also 32 but 34 in 34 in 37 population 35 the 37 population 36 aging 37 population no electromyography ( emg ) responses data exist [of] children exposed to dynamic impacts similar to automotive crashes , thereby [,] limiting active musculature representation in computational occupant biomechanics models . 0 ###LEFT-WALL### 7 data 0 ###LEFT-WALL### 8 exist 1 no 7 data 2 electromyography 4 emg 2 electromyography 6 responses 3 ( 4 emg 4 emg 5 ) 6 responses 7 data 7 data 8 exist 8 exist 10 children 10 children 11 exposed 10 children 15 similar 11 exposed 12 to 12 to 14 impacts 13 dynamic 14 impacts 15 similar 16 to 15 similar 22 limiting 16 to 18 crashes 17 automotive 18 crashes 19 , 22 limiting 20 thereby 22 limiting 22 limiting 25 representation 22 limiting 26 in 22 limiting 31 . 23 active 25 representation 24 musculature 25 representation 26 in 30 models 27 computational 28 occupant 28 occupant 30 models 29 biomechanics 30 models this study measured the surface emg responses of three neck , one torso and one lower extremity muscles during low - speed frontal impact sled tests ( average maximum acceleration : 3.8 g ; rise time : 58.2ms [ )(performed on seated , restrained pediatric ( n=11 , 8 - 14years ) [and] young adult ( n=9 , 18 - 30 years ) male subjects . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 measured 0 ###LEFT-WALL### 11 , 1 this 2 study 2 study 3 measured 3 measured 7 responses 4 the 7 responses 5 surface 7 responses 6 emg 7 responses 7 responses 8 of 8 of 10 neck 9 three 10 neck 11 , 14 and 11 , 21 - 12 one 13 torso 13 torso 14 and 14 and 15 one 14 and 16 lower 16 lower 18 muscles 16 lower 19 during 17 extremity 18 muscles 19 during 20 low 21 - 26 tests 21 - 31 : 22 speed 26 tests 23 frontal 26 tests 24 impact 26 tests 25 sled 26 tests 26 tests 30 acceleration 27 ( 30 acceleration 28 average 30 acceleration 29 maximum 30 acceleration 30 acceleration 31 : 31 : 33 g 31 : 34 ; 32 3.8 33 g 34 ; 36 time 34 ; 37 : 35 rise 36 time 36 time 37 : 37 : 38 58.2ms 37 : 41 on 38 58.2ms 40 )(performed 41 on 43 , 42 seated 43 , 43 , 44 restrained 44 restrained 55 adult 45 pediatric 51 14years 45 pediatric 55 adult 46 ( 51 14years 47 n=11 49 8 47 n=11 51 14years 48 , 49 8 49 8 50 - 51 14years 52 ) 54 young 55 adult 55 adult 65 subjects 56 ( 65 subjects 57 n=9 58 , 57 n=9 65 subjects 58 , 60 - 59 18 60 - 60 - 62 years 60 - 63 ) 60 - 64 male 61 30 62 years 64 male 65 subjects 65 subjects 66 . the timing and magnitude of the emg responses were compared between the two age groups . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 10 compared 0 ###LEFT-WALL### 16 . 1 the 2 timing 2 timing 3 and 3 and 4 magnitude 3 and 5 of 3 and 9 were 5 of 8 responses 6 the 8 responses 7 emg 8 responses 9 were 10 compared 10 compared 11 between 11 between 15 groups 12 the 13 two 13 two 15 groups 14 age 15 groups two normalization techniques were separately implemented and evaluated : maximum voluntary emg ( mve ) and neck cross - sectional area ( csa ) . 0 ###LEFT-WALL### 3 techniques 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 9 : 0 ###LEFT-WALL### 25 . 1 two 3 techniques 2 normalization 3 techniques 3 techniques 4 were 4 were 7 and 5 separately 7 and 6 implemented 7 and 7 and 8 evaluated 9 : 16 and 10 maximum 14 mve 11 voluntary 14 mve 12 emg 14 mve 13 ( 14 mve 14 mve 15 ) 14 mve 16 and 16 and 18 cross 16 and 21 area 17 neck 18 cross 19 - 21 area 20 sectional 21 area 21 area 23 csa 21 area 24 ) 22 ( 23 csa 23 csa 24 ) the mve - normalized emg data indicated a positive correlation with age in the rectus femoris for emg latency ; there was no correlation with age for peak emg amplitudes for the evaluated muscles . 0 ###LEFT-WALL### 2 mve 0 ###LEFT-WALL### 3 - 1 the 2 mve 3 - 6 data 3 - 7 indicated 3 - 20 ; 3 - 35 . 4 normalized 6 data 5 emg 6 data 6 data 7 indicated 7 indicated 10 correlation 7 indicated 13 in 8 a 9 positive 8 a 10 correlation 9 positive 10 correlation 10 correlation 11 with 11 with 12 age 13 in 16 femoris 14 the 16 femoris 15 rectus 16 femoris 16 femoris 17 for 17 for 19 latency 18 emg 19 latency 20 ; 21 there 20 ; 22 was 21 there 22 was 22 was 24 correlation 22 was 31 for 23 no 24 correlation 24 correlation 25 with 25 with 26 age 26 age 27 for 27 for 30 amplitudes 28 peak 30 amplitudes 29 emg 30 amplitudes 31 for 34 muscles 32 the 34 muscles 33 evaluated 34 muscles the cervical paraspinous exhibited shorter latencies compared with the other muscles ( 2 - 143ms ) . 0 ###LEFT-WALL### 6 latencies 0 ###LEFT-WALL### 7 compared 0 ###LEFT-WALL### 17 . 1 the 6 latencies 2 cervical 6 latencies 3 paraspinous 6 latencies 4 exhibited 6 latencies 5 shorter 6 latencies 6 latencies 7 compared 7 compared 8 with 8 with 11 muscles 9 the 10 other 10 other 11 muscles 11 muscles 14 - 12 ( 14 - 13 2 14 - 14 - 15 143ms 14 - 16 ) overall , the erector spinae and rectus femoris peak amplitudes were relatively small . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 11 were 0 ###LEFT-WALL### 14 . 1 overall 2 , 2 , 5 spinae 2 , 6 and 3 the 5 spinae 4 erector 5 spinae 6 and 10 amplitudes 6 and 11 were 7 rectus 10 amplitudes 8 femoris 10 amplitudes 9 peak 10 amplitudes 11 were 12 relatively 11 were 13 small neck csa - normalized peak emg amplitudes negatively correlated with age for the cervical paraspinous and sternocleidomastoid . 0 ###LEFT-WALL### 2 csa 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 18 . 1 neck 2 csa 3 - 16 and 4 normalized 5 peak 5 peak 7 amplitudes 6 emg 7 amplitudes 7 amplitudes 9 correlated 7 amplitudes 16 and 8 negatively 9 correlated 9 correlated 10 with 10 with 11 age 10 with 15 paraspinous 11 age 12 for 12 for 14 cervical 13 the 14 cervical 16 and 17 sternocleidomastoid these data can be useful to incorporate active musculature in computational models , though it may not need to be age - specific in low - speed loading environments . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 7 incorporate 0 ###LEFT-WALL### 13 , 1 these 2 data 2 data 3 can 3 can 4 be 4 be 5 useful 5 useful 6 to 6 to 7 incorporate 7 incorporate 9 musculature 7 incorporate 10 in 8 active 9 musculature 10 in 12 models 11 computational 12 models 13 , 15 it 13 , 18 need 14 though 15 it 15 it 16 may 16 may 17 not 16 may 18 need 18 need 19 to 18 need 20 be 19 to 20 be 20 be 21 age 21 age 23 specific 22 - 23 specific 23 specific 24 in 23 specific 30 . 24 in 27 speed 25 low 26 - 25 low 27 speed 27 speed 28 loading 28 loading 29 environments few studies have directly compared the ability of the most commonly used models of frailty to predict mortality among community [-] dwelling individuals . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 5 compared 0 ###LEFT-WALL### 24 . 1 few 2 studies 2 studies 3 have 3 have 5 compared 4 directly 5 compared 5 compared 7 ability 6 the 7 ability 7 ability 8 of 7 ability 14 of 8 of 13 models 9 the 10 most 10 most 13 models 11 commonly 12 used 12 used 13 models 14 of 15 frailty 15 frailty 16 to 15 frailty 17 predict 16 to 17 predict 17 predict 18 mortality 18 mortality 19 among 19 among 23 individuals 20 community 22 dwelling 22 dwelling 23 individuals here , we used a frailty index ( fi [ )(, frailty [phenotype] ( fp ) , and frail scale ( fs ) to predict mortality in the emas . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 used 0 ###LEFT-WALL### 30 . 1 here 2 , 1 here 3 we 3 we 4 used 4 used 7 index 4 used 24 to 5 a 7 index 6 frailty 7 index 7 index 18 and 8 ( 18 and 9 fi 12 frailty 9 fi 18 and 11 )(, 12 frailty 12 frailty 15 fp 12 frailty 17 , 14 ( 15 fp 15 fp 16 ) 17 , 18 and 18 and 20 scale 18 and 22 fs 18 and 23 ) 19 frail 20 scale 21 ( 22 fs 22 fs 23 ) 24 to 25 predict 25 predict 26 mortality 25 predict 27 in 27 in 29 emas 28 the 29 emas participants were aged 40 - 79 years ( n=2929 ) at baseline and 6.6 % ( n=193 ) died over a median 4.3 years [of] follow - up . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 26 follow 1 participants 2 were 2 were 7 years 2 were 11 at 3 aged 7 years 4 40 5 - 5 - 6 79 5 - 7 years 7 years 9 n=2929 8 ( 9 n=2929 9 n=2929 10 ) 11 at 12 baseline 13 and 15 % 13 and 19 died 14 6.6 15 % 15 % 17 n=193 15 % 19 died 16 ( 17 n=193 17 n=193 18 ) 19 died 20 over 20 over 22 median 21 a 22 median 22 median 24 years 22 median 26 follow 23 4.3 24 years 24 years 26 follow 26 follow 28 up 27 - 28 up 28 up 29 . the fi was generated from 39 deficits , including self - reported health , morbidities , functional performance and psychological assessments . 0 ###LEFT-WALL### 2 fi 0 ###LEFT-WALL### 4 generated 0 ###LEFT-WALL### 8 , 1 the 2 fi 2 fi 3 was 3 was 4 generated 4 generated 5 from 5 from 7 deficits 6 39 7 deficits 8 , 10 self 8 , 11 - 9 including 10 self 11 - 19 and 11 - 22 . 12 reported 13 health 13 health 14 , 14 , 15 morbidities 14 , 16 , 16 , 18 performance 16 , 19 and 17 functional 18 performance 19 and 21 assessments 20 psychological 21 assessments the fp and fs consisted of five phenotypic criteria and both categorized individuals as robust when they had 0 criteria , prefrail as 1 - 2 criteria and frail as 3+ criteria . 0 ###LEFT-WALL### 4 fs 0 ###LEFT-WALL### 5 consisted 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 33 . 1 the 4 fs 2 fp 3 and 3 and 4 fs 4 fs 5 consisted 5 consisted 6 of 6 of 9 criteria 7 five 9 criteria 8 phenotypic 9 criteria 10 and 11 both 10 and 12 categorized 11 both 12 categorized 12 categorized 13 individuals 12 categorized 14 as 14 as 28 and 15 robust 16 when 15 robust 21 , 16 when 17 they 16 when 18 had 17 they 18 had 18 had 20 criteria 19 0 20 criteria 21 , 22 prefrail 21 , 28 and 22 prefrail 23 as 23 as 27 criteria 24 1 25 - 25 - 26 2 25 - 27 criteria 28 and 32 criteria 29 frail 32 criteria 30 as 31 3+ 31 3+ 32 criteria the mean fi increased linearly with age [(] [r] ( 2 )=0.21 ) and in cox regression models adjusted for age , center , smoking and partner status the hazard ratio ( hr ) for death for each unit increase of the fi was 1.49 . 0 ###LEFT-WALL### 3 fi 0 ###LEFT-WALL### 4 increased 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 44 was 0 ###LEFT-WALL### 46 . 1 the 2 mean 2 mean 3 fi 3 fi 4 increased 4 increased 5 linearly 4 increased 6 with 6 with 7 age 7 age 12 )=0.21 10 ( 12 )=0.21 11 2 12 )=0.21 12 )=0.21 13 ) 14 and 18 models 14 and 19 adjusted 15 in 16 cox 15 in 18 models 17 regression 18 models 18 models 19 adjusted 19 adjusted 20 for 19 adjusted 31 ratio 19 adjusted 35 for 20 for 26 and 21 age 22 , 22 , 23 center 22 , 24 , 24 , 25 smoking 24 , 26 and 26 and 28 status 27 partner 28 status 29 the 31 ratio 30 hazard 31 ratio 31 ratio 33 hr 32 ( 33 hr 33 hr 34 ) 35 for 36 death 36 death 37 for 36 death 44 was 37 for 40 increase 38 each 40 increase 39 unit 40 increase 40 increase 41 of 41 of 43 fi 42 the 43 fi 44 was 45 1.49 men who were prefrail or frail by either the fp or fs definitions , had a significantly increased risk of death compared to their robust counterparts . 0 ###LEFT-WALL### 1 men 0 ###LEFT-WALL### 15 had 0 ###LEFT-WALL### 27 . 1 men 2 who 1 men 3 were 1 men 15 had 2 who 3 were 3 were 5 or 4 prefrail 5 or 5 or 6 frail 6 frail 7 by 7 by 11 or 8 either 11 or 9 the 10 fp 10 fp 11 or 11 or 13 definitions 11 or 14 , 12 fs 13 definitions 15 had 19 risk 16 a 19 risk 17 significantly 18 increased 18 increased 19 risk 19 risk 20 of 20 of 21 death 21 death 22 compared 22 compared 23 to 23 to 26 counterparts 24 their 26 counterparts 25 robust 26 counterparts compared to robust men , those who were fp frail at baseline had a hr for death of 3.84 , while those who were fs [frail] had a hr of 3.87 . 0 ###LEFT-WALL### 6 those 0 ###LEFT-WALL### 13 had 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 32 . 1 compared 2 to 1 compared 5 , 1 compared 6 those 2 to 4 men 3 robust 4 men 6 those 7 who 6 those 8 were 6 those 10 frail 6 those 13 had 7 who 8 were 8 were 9 fp 10 frail 11 at 11 at 12 baseline 13 had 15 hr 13 had 16 for 14 a 15 hr 16 for 17 death 17 death 18 of 18 of 19 3.84 20 , 25 fs 20 , 27 had 21 while 22 those 21 while 25 fs 22 those 23 who 22 those 24 were 23 who 24 were 25 fs 27 had 27 had 29 hr 28 a 29 hr 29 hr 30 of 30 of 31 3.87 all three frailty models significantly predicted future mortality among community [-] dwelling , middle - aged and older european men after adjusting for potential confounders . 0 ###LEFT-WALL### 4 models 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 26 . 1 all 2 three 2 three 4 models 3 frailty 4 models 4 models 13 , 5 significantly 6 predicted 6 predicted 8 mortality 6 predicted 13 , 7 future 8 mortality 8 mortality 9 among 9 among 12 dwelling 10 community 12 dwelling 13 , 14 middle 15 - 17 and 16 aged 17 and 17 and 20 men 17 and 21 after 18 older 19 european 19 european 20 men 21 after 22 adjusting 22 adjusting 23 for 23 for 25 confounders 24 potential 25 confounders our data suggest that the choice of frailty [model] may not be of paramount importance when predicting future risk of death , enabling flexibility in the approach used . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 3 suggest 1 our 2 data 2 data 3 suggest 3 suggest 4 that 4 that 6 choice 4 that 12 be 5 the 6 choice 6 choice 7 of 6 choice 10 may 7 of 8 frailty 10 may 11 not 10 may 12 be 12 be 13 of 12 be 16 when 13 of 15 importance 14 paramount 15 importance 16 when 17 predicting 17 predicting 19 risk 18 future 19 risk 19 risk 20 of 20 of 21 death 21 death 23 enabling 22 , 23 enabling 23 enabling 24 flexibility 23 enabling 25 in 23 enabling 29 . 25 in 27 approach 26 the 27 approach 27 approach 28 used aim : the objective of this study was to describe the relationship between age at [onset] , with no age limits , and glycaemic control evolution from the time of [onset] in patients with type 1 diabetes ( t1d ) . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 41 . 2 : 4 objective 3 the 4 objective 4 objective 5 of 4 objective 7 study 4 objective 15 at 4 objective 18 with 5 of 6 this 7 study 8 was 8 was 9 to 8 was 10 describe 9 to 10 describe 10 describe 12 relationship 10 describe 13 between 10 describe 15 at 11 the 12 relationship 13 between 14 age 17 , 18 with 18 with 23 and 18 with 37 diabetes 18 with 40 ) 19 no 21 limits 20 age 21 limits 21 limits 23 and 22 , 23 and 23 and 26 evolution 23 and 27 from 23 and 30 of 23 and 34 with 24 glycaemic 25 control 25 control 26 evolution 27 from 29 time 28 the 29 time 30 of 32 in 32 in 33 patients 34 with 35 type 35 type 36 1 37 diabetes 39 t1d 38 ( 39 t1d 39 t1d 40 ) methods : this observational retrospective [follow] - up study included 716 patients with t1d onset between 1990 and 2008 treated at the navarre hospital complex . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 9 study 2 : 10 included 2 : 26 . 3 this 4 observational 4 observational 9 study 5 retrospective 7 - 5 retrospective 9 study 8 up 9 study 9 study 10 included 10 included 12 patients 10 included 21 at 11 716 12 patients 12 patients 13 with 12 patients 20 treated 13 with 15 onset 14 t1d 15 onset 15 onset 18 and 16 between 18 and 17 1990 18 and 18 and 19 2008 21 at 25 complex 22 the 25 complex 23 navarre 24 hospital 24 hospital 25 complex the mean [(] [sd] [ )(follow - up [lasted] 10.1 ( 5.3 ) years . 0 ###LEFT-WALL### 2 mean 0 ###LEFT-WALL### 6 )(follow 0 ###LEFT-WALL### 15 . 1 the 2 mean 2 mean 6 )(follow 6 )(follow 8 up 6 )(follow 14 years 7 - 8 up 8 up 10 10.1 8 up 13 ) 10 10.1 12 5.3 11 ( 12 5.3 12 5.3 13 ) information on their hba ( 1c ) levels was collected at [onset] [and] every year thereafter . 0 ###LEFT-WALL### 1 information 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 17 . 1 information 2 on 1 information 9 was 2 on 8 levels 3 their 8 levels 4 hba 6 1c 4 hba 8 levels 5 ( 6 1c 6 1c 7 ) 9 was 10 collected 10 collected 11 at 10 collected 16 thereafter 11 at 15 year 14 every 15 year generalized additive mixed models and linear models were used , with patients ' annual hba1c levels as the response variable and the number of years [since] onset together with age at onset [as] covariates . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 9 used 1 generalized 2 additive 2 additive 3 mixed 3 mixed 4 models 4 models 5 and 5 and 7 models 5 and 8 were 6 linear 7 models 8 were 9 used 9 used 11 with 10 , 11 with 11 with 16 levels 11 with 35 . 12 patients 13 ' 13 ' 16 levels 14 annual 16 levels 15 hba1c 16 levels 16 levels 17 as 16 levels 29 with 16 levels 31 at 17 as 27 onset 18 the 27 onset 19 response 27 onset 20 variable 21 and 21 and 23 number 21 and 24 of 21 and 27 onset 22 the 23 number 24 of 25 years 28 together 29 with 29 with 30 age 31 at 34 covariates 32 onset 34 covariates results : the evolution of glycaemic control is not linear and differs across all age groups . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 evolution 2 : 11 and 2 : 17 . 3 the 4 evolution 4 evolution 5 of 4 evolution 11 and 5 of 7 control 6 glycaemic 7 control 8 is 9 not 8 is 10 linear 8 is 11 and 9 not 10 linear 11 and 12 differs 11 and 13 across 11 and 16 groups 13 across 15 age 14 all 15 age children reach their highest values in adolescence , while patients with onset [at] ages 10 - 15 years stabilize their hba ( 1c ) values after 7 or 8 years . 0 ###LEFT-WALL### 1 children 0 ###LEFT-WALL### 2 reach 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 31 . 1 children 2 reach 2 reach 5 values 2 reach 6 in 3 their 4 highest 3 their 5 values 6 in 7 adolescence 8 , 18 years 8 , 19 stabilize 9 while 10 patients 9 while 18 years 10 patients 11 with 11 with 14 ages 12 onset 14 ages 15 10 16 - 16 - 17 15 16 - 18 years 18 years 19 stabilize 19 stabilize 25 values 19 stabilize 26 after 20 their 25 values 21 hba 23 1c 21 hba 25 values 22 ( 23 1c 23 1c 24 ) 26 after 30 years 27 7 28 or 28 or 29 8 28 or 30 years in adults , it is notable that an age of onset ≥ 45 years is associated with the worst control . 0 ###LEFT-WALL### 4 it 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 21 . 1 in 2 adults 1 in 3 , 1 in 4 it 4 it 5 is 5 is 6 notable 6 notable 7 that 7 that 9 age 7 that 16 associated 8 an 9 age 9 age 10 of 9 age 15 is 10 of 14 years 11 onset 14 years 12 ≥ 14 years 13 45 14 years 15 is 16 associated 16 associated 17 with 17 with 20 control 18 the 19 worst 18 the 20 control conclusion : a [non] - linear increase [in] hba ( 1c ) levels can be observed from the time of t1d diagnosis , with significant differences across all age groups . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 16 observed 2 : 3 a 2 : 5 - 3 a 5 - 5 - 13 levels 6 linear 7 increase 7 increase 13 levels 9 hba 11 1c 9 hba 13 levels 10 ( 11 1c 11 1c 12 ) 13 levels 14 can 14 can 15 be 15 be 16 observed 16 observed 17 from 16 observed 24 with 17 from 19 time 18 the 19 time 19 time 20 of 20 of 22 diagnosis 21 t1d 22 diagnosis 23 , 24 with 24 with 26 differences 24 with 31 . 25 significant 26 differences 26 differences 27 across 27 across 30 groups 28 all 30 groups 29 age 30 groups individuals with primary progressive aphasia ( ppa ) suffer a gradual decline in communication ability as a result of neurodegenerative disease . 0 ###LEFT-WALL### 1 individuals 0 ###LEFT-WALL### 9 suffer 0 ###LEFT-WALL### 22 . 1 individuals 2 with 1 individuals 9 suffer 2 with 5 aphasia 3 primary 5 aphasia 4 progressive 5 aphasia 5 aphasia 7 ppa 6 ( 7 ppa 7 ppa 8 ) 9 suffer 12 decline 9 suffer 13 in 9 suffer 16 as 10 a 11 gradual 10 a 12 decline 11 gradual 12 decline 13 in 15 ability 14 communication 15 ability 16 as 18 result 17 a 18 result 18 result 19 of 19 of 21 disease 20 neurodegenerative 21 disease language treatment shows promise as a means of addressing these difficulties but much remains to be learned with regard to the potential value of treatment across variants and stages of the disorder . 0 ###LEFT-WALL### 3 shows 0 ###LEFT-WALL### 4 promise 0 ###LEFT-WALL### 12 but 0 ###LEFT-WALL### 16 be 0 ###LEFT-WALL### 33 . 1 language 2 treatment 2 treatment 3 shows 3 shows 4 promise 4 promise 5 as 5 as 7 means 6 a 7 means 7 means 8 of 8 of 9 addressing 9 addressing 11 difficulties 10 these 11 difficulties 12 but 13 much 12 but 14 remains 13 much 14 remains 14 remains 15 to 15 to 16 be 16 be 17 learned 17 learned 18 with 17 learned 20 to 18 with 19 regard 20 to 23 value 21 the 23 value 22 potential 23 value 23 value 24 of 24 of 28 and 25 treatment 26 across 25 treatment 28 and 26 across 27 variants 28 and 29 stages 28 and 30 of 30 of 32 disorder 31 the 32 disorder we present two cases , one with semantic variant of ppa and the other with logopenic ppa , each [of] [whom] underwent treatment that was unique in its focus on training self - cueing strategies to engage residual language skills . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 5 , 1 we 2 present 2 present 4 cases 3 two 4 cases 5 , 12 and 6 one 7 with 6 one 12 and 7 with 9 variant 8 semantic 9 variant 9 variant 10 of 10 of 11 ppa 12 and 14 other 12 and 18 , 12 and 22 underwent 13 the 14 other 14 other 15 with 15 with 17 ppa 16 logopenic 17 ppa 19 each 22 underwent 22 underwent 23 treatment 23 treatment 24 that 23 treatment 25 was 23 treatment 34 cueing 24 that 25 was 25 was 26 unique 26 unique 27 in 26 unique 30 on 27 in 29 focus 28 its 29 focus 30 on 32 self 31 training 32 self 33 - 34 cueing 34 cueing 35 strategies 34 cueing 36 to 34 cueing 41 . 36 to 37 engage 37 engage 40 skills 38 residual 39 language 39 language 40 skills despite differing language profiles and levels of aphasia severity , each individual benefited from treatment and showed maintenance of gains as well as generalization to untrained lexical items . 0 ###LEFT-WALL### 12 individual 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 29 . 1 despite 3 language 1 despite 10 , 1 despite 12 individual 2 differing 3 language 3 language 5 and 3 language 7 of 4 profiles 5 and 5 and 6 levels 7 of 9 severity 8 aphasia 9 severity 11 each 12 individual 12 individual 16 and 13 benefited 14 from 13 benefited 16 and 14 from 15 treatment 16 and 17 showed 17 showed 18 maintenance 18 maintenance 19 of 18 maintenance 23 as 19 of 20 gains 21 as 22 well 22 well 23 as 23 as 24 generalization 24 generalization 25 to 25 to 28 items 26 untrained 28 items 27 lexical 28 items these cases highlight the potential for treatment to capitalize on spared cognitive and neural systems in individuals with ppa , improving current language [function] as well as potentially preserving targeted skills in the face of disease progression . 0 ###LEFT-WALL### 2 cases 0 ###LEFT-WALL### 9 capitalize 1 these 2 cases 2 cases 3 highlight 3 highlight 5 potential 3 highlight 8 to 4 the 5 potential 5 potential 6 for 6 for 7 treatment 8 to 9 capitalize 9 capitalize 10 on 9 capitalize 16 in 9 capitalize 18 with 9 capitalize 21 improving 10 on 15 systems 11 spared 15 systems 12 cognitive 13 and 13 and 14 neural 13 and 15 systems 16 in 17 individuals 18 with 19 ppa 20 , 21 improving 21 improving 23 language 21 improving 27 as 21 improving 38 . 22 current 23 language 25 as 26 well 26 well 27 as 27 as 29 preserving 28 potentially 29 preserving 29 preserving 31 skills 30 targeted 31 skills 31 skills 32 in 31 skills 35 of 32 in 34 face 33 the 34 face 35 of 37 progression 36 disease 37 progression improving the numerical models of the head and neck complex requires [understanding] the mechanical properties of the muscles ; however , most of the data in existing literature have been obtained from studies on animal muscles . 0 ###LEFT-WALL### 1 improving 0 ###LEFT-WALL### 11 requires 0 ###LEFT-WALL### 19 ; 0 ###LEFT-WALL### 37 . 1 improving 8 and 1 improving 11 requires 2 the 4 models 3 numerical 4 models 4 models 5 of 4 models 8 and 5 of 7 head 6 the 7 head 8 and 10 complex 9 neck 10 complex 11 requires 15 properties 13 the 15 properties 14 mechanical 15 properties 15 properties 16 of 16 of 18 muscles 17 the 18 muscles 19 ; 22 most 19 ; 31 obtained 20 however 21 , 20 however 22 most 22 most 23 of 22 most 29 have 23 of 25 data 24 the 25 data 25 data 26 in 26 in 28 literature 27 existing 28 literature 29 have 30 been 30 been 31 obtained 31 obtained 32 from 31 obtained 34 on 32 from 33 studies 34 on 36 muscles 35 animal 36 muscles muscle is hyper - elastic , but also viscoelastic . 0 ###LEFT-WALL### 1 muscle 0 ###LEFT-WALL### 2 is 1 muscle 2 is 2 is 3 hyper 3 hyper 7 but 4 - 7 but 5 elastic 7 but 6 , 7 but 7 but 8 also 7 but 9 viscoelastic 7 but 10 . the hyper - elastic behaviour of the human sternocleidomastoideus muscle has been previously studied . 0 ###LEFT-WALL### 5 behaviour 0 ###LEFT-WALL### 14 studied 0 ###LEFT-WALL### 15 . 1 the 5 behaviour 2 hyper 3 - 2 hyper 5 behaviour 4 elastic 5 behaviour 5 behaviour 6 of 5 behaviour 11 has 6 of 10 muscle 7 the 10 muscle 8 human 9 sternocleidomastoideus 9 sternocleidomastoideus 10 muscle 11 has 12 been 12 been 13 previously 12 been 14 studied the aim of this study is to propose [a] characterization of the viscoelastic properties of the same human muscle in relaxation . 0 ###LEFT-WALL### 2 aim 0 ###LEFT-WALL### 22 . 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 propose 7 to 8 propose 8 propose 10 characterization 8 propose 20 in 10 characterization 11 of 11 of 14 properties 12 the 14 properties 13 viscoelastic 14 properties 14 properties 15 of 15 of 19 muscle 16 the 17 same 17 same 19 muscle 18 human 19 muscle 20 in 21 relaxation ten muscles were tested in vitro . 0 ###LEFT-WALL### 2 muscles 0 ###LEFT-WALL### 4 tested 0 ###LEFT-WALL### 7 . 1 ten 2 muscles 2 muscles 3 were 3 were 4 tested 4 tested 6 vitro 5 in 6 vitro the viscoelastic behaviour was modelled with a generalized maxwell 's model studied at the first and second order , using an inverse approach with a subject - specific , finite - element model of each muscle . 0 ###LEFT-WALL### 3 behaviour 0 ###LEFT-WALL### 5 modelled 0 ###LEFT-WALL### 37 . 1 the 3 behaviour 2 viscoelastic 3 behaviour 3 behaviour 4 was 4 was 5 modelled 5 modelled 6 with 5 modelled 20 using 6 with 16 and 7 a 9 maxwell 8 generalized 9 maxwell 9 maxwell 10 's 10 's 11 model 11 model 12 studied 11 model 16 and 12 studied 13 at 13 at 15 first 14 the 15 first 16 and 18 order 16 and 19 , 17 second 18 order 20 using 23 approach 20 using 24 with 21 an 22 inverse 21 an 23 approach 22 inverse 23 approach 24 with 33 model 25 a 26 subject 25 a 33 model 26 subject 27 - 26 subject 32 element 28 specific 29 , 28 specific 32 element 30 finite 31 - 30 finite 32 element 32 element 33 model 33 model 34 of 34 of 36 muscle 35 each 36 muscle base [d] on these models , relaxation times τ ( first order : 103s ; second order : 18 s and 395s [ )(and ratio moduli [γ] ( first order [:] 0.33 [;] second order : 0.20 and 0.19 [ )(were identified . 0 ###LEFT-WALL### 1 base 0 ###LEFT-WALL### 6 , 1 base 3 on 3 on 5 models 4 these 5 models 6 , 7 relaxation 6 , 8 times 6 , 13 : 7 relaxation 8 times 8 times 9 τ 9 τ 12 order 10 ( 12 order 11 first 12 order 12 order 13 : 13 : 14 103s 13 : 15 ; 15 ; 16 second 15 ; 18 : 16 second 17 order 18 : 20 s 18 : 21 and 19 18 20 s 21 and 24 )(and 22 395s 24 )(and 24 )(and 26 moduli 24 )(and 35 order 25 ratio 26 moduli 28 ( 30 order 29 first 30 order 30 order 32 0.33 30 order 34 second 30 order 35 order 35 order 36 : 36 : 38 and 36 : 42 identified 37 0.20 38 and 38 and 39 0.19 38 and 41 )(were 41 )(were 42 identified 42 identified 43 . the first [-] order model provided a good estimate of the relaxation curve [(] r ( 2 ) : 0.82 [ )(, but the second [-] order model was more representative of the experimental response [(] r ( 2 ) : 0.97 [ )( 0 ###LEFT-WALL### 5 model 0 ###LEFT-WALL### 6 provided 0 ###LEFT-WALL### 19 : 1 the 5 model 2 first 4 order 4 order 5 model 5 model 6 provided 6 provided 9 estimate 7 a 9 estimate 8 good 9 estimate 9 estimate 10 of 10 of 13 curve 11 the 13 curve 12 relaxation 13 curve 13 curve 15 r 13 curve 17 2 16 ( 17 2 17 2 18 ) 19 : 20 0.82 19 : 23 but 19 : 41 : 22 )(, 23 but 23 but 28 model 23 but 29 was 24 the 25 second 24 the 28 model 27 order 28 model 28 model 29 was 29 was 30 more 29 was 31 representative 31 representative 32 of 32 of 35 response 33 the 35 response 34 experimental 35 response 35 response 37 r 35 response 39 2 38 ( 39 2 39 2 40 ) 41 : 42 0.97 41 : 44 )( our results provide evidence that the viscoelastic behaviour of the human sternocleidomastoideus muscle can be described using a second - order maxwell 's model and that - combined with the previously identified hyper - elastic properties - the response of the muscle in tension and relaxation is fully characterized . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 provide 0 ###LEFT-WALL### 21 order 0 ###LEFT-WALL### 27 - 1 our 2 results 2 results 3 provide 3 provide 4 evidence 3 provide 17 using 4 evidence 5 that 5 that 8 behaviour 5 that 16 described 6 the 8 behaviour 7 viscoelastic 8 behaviour 8 behaviour 9 of 8 behaviour 14 can 9 of 13 muscle 10 the 13 muscle 11 human 12 sternocleidomastoideus 12 sternocleidomastoideus 13 muscle 14 can 15 be 15 be 16 described 17 using 19 second 18 a 19 second 20 - 21 order 21 order 25 and 21 order 27 - 22 maxwell 23 's 23 's 24 model 24 model 25 and 25 and 26 that 25 and 27 - 27 - 39 response 27 - 47 is 27 - 50 . 28 combined 29 with 28 combined 37 - 28 combined 39 response 29 with 33 hyper 30 the 33 hyper 31 previously 32 identified 32 identified 33 hyper 33 hyper 36 properties 34 - 36 properties 35 elastic 36 properties 36 properties 37 - 38 the 39 response 39 response 40 of 39 response 43 in 39 response 47 is 40 of 42 muscle 41 the 42 muscle 43 in 45 and 44 tension 45 and 45 and 46 relaxation 47 is 48 fully 47 is 49 characterized none objective : the objective of this study was to compare whether different sources of cognitive complaint [(] i.e [.] , subjective and informant ) predict diagnostic conversion in nondemented older adults . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 11 compare 0 ###LEFT-WALL### 33 . 1 none 2 objective 1 none 10 to 1 none 11 compare 2 objective 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 compare 12 whether 12 whether 14 sources 12 whether 26 predict 13 different 14 sources 14 sources 15 of 14 sources 26 predict 15 of 19 i.e 16 cognitive 17 complaint 17 complaint 19 i.e 19 i.e 23 and 21 , 23 and 22 subjective 23 and 23 and 24 informant 23 and 25 ) 26 predict 28 conversion 26 predict 29 in 27 diagnostic 28 conversion 29 in 32 adults 30 nondemented 32 adults 31 older 32 adults methods : participants from the national alzheimer 's coordinating center had a baseline diagnosis of normal cognition [(] nc [;] [n] = 4414 [;] mean age , 73 ± 8 years [;] 69 % female [ )(or mild cognitive impairment ( [mci] [;] n = 1843 [;] mean age , 74 ± 8 years [;] 52 % female [ )( 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 10 center 2 : 11 had 3 participants 10 center 4 from 9 coordinating 4 from 10 center 5 the 7 alzheimer 6 national 7 alzheimer 7 alzheimer 8 's 8 's 9 coordinating 10 center 11 had 11 had 14 diagnosis 12 a 14 diagnosis 13 baseline 14 diagnosis 14 diagnosis 15 of 14 diagnosis 23 4414 14 diagnosis 25 mean 15 of 17 cognition 16 normal 17 cognition 17 cognition 19 nc 17 cognition 22 = 19 nc 22 = 23 4414 25 mean 25 mean 37 )(or 26 age 27 , 27 , 35 female 27 , 37 )(or 28 73 35 female 29 ± 35 female 30 8 31 years 31 years 35 female 33 69 34 % 34 % 35 female 37 )(or 40 impairment 37 )(or 45 = 38 mild 40 impairment 39 cognitive 40 impairment 41 ( 45 = 44 n 45 = 45 = 49 age 46 1843 49 age 48 mean 49 age 49 age 58 female 50 , 58 female 51 74 58 female 52 ± 58 female 53 8 58 female 54 years 58 female 56 52 57 % 57 % 58 female 58 female 60 )( multinomial logistic regression related baseline [cognitive] [complaint] ( no complaint , self [only] , informant [only] , or both self and informant ) to diagnostic outcome [(] reversion , stable , or conversion ) . 0 ###LEFT-WALL### 3 regression 0 ###LEFT-WALL### 4 related 0 ###LEFT-WALL### 35 . 1 multinomial 3 regression 2 logistic 3 regression 3 regression 4 related 4 related 5 baseline 4 related 24 to 5 baseline 21 and 8 ( 21 and 9 no 20 self 10 complaint 11 , 11 , 12 self 11 , 14 , 14 , 15 informant 14 , 18 or 17 , 18 or 18 or 19 both 18 or 20 self 20 self 21 and 21 and 22 informant 21 and 23 ) 24 to 28 reversion 25 diagnostic 26 outcome 26 outcome 28 reversion 28 reversion 32 or 29 , 32 or 30 stable 32 or 31 , 32 or 32 or 33 conversion 32 or 34 ) results : [at] follow - up , 14 % of nc participants converted to mci/dementia ( 3.5 ± 1.8 years ) , and 41 % of mci [participants] converted to dementia ( 3.0 ± 1.6 years ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 4 follow 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 38 . 1 results 2 : 2 : 4 follow 4 follow 6 up 5 - 6 up 6 up 7 , 7 , 9 % 7 , 13 converted 7 , 23 and 8 14 9 % 9 % 10 of 9 % 13 converted 10 of 12 participants 11 nc 12 participants 13 converted 14 to 14 to 15 mci/dementia 15 mci/dementia 20 years 16 ( 20 years 17 3.5 20 years 18 ± 20 years 19 1.8 20 years 20 years 21 ) 22 , 23 and 23 and 25 % 23 and 29 converted 24 41 25 % 25 % 26 of 25 % 29 converted 26 of 27 mci 29 converted 30 to 30 to 31 dementia 31 dementia 36 years 32 ( 36 years 33 3.0 36 years 34 ± 36 years 35 1.6 36 years 36 years 37 ) [among] participants with mci [-] compared with no complaint , informant complaint [only] [(] or , 2.2 ; 99 % ci , 1.2 - 4.3 , p = . 002 [ )(, [and] both self and informant complaint ( or , 2.9 ; 99 % ci , 1.8 - 4.8 ; p < . 001 [ )( were associated with conversion . 0 ###LEFT-WALL### 2 participants 0 ###LEFT-WALL### 10 , 2 participants 3 with 2 participants 6 compared 3 with 4 mci 6 compared 7 with 7 with 9 complaint 8 no 9 complaint 10 , 15 or 10 , 16 , 11 informant 15 or 12 complaint 15 or 16 , 17 2.2 16 , 18 ; 18 ; 21 ci 18 ; 22 , 19 99 21 ci 20 % 21 ci 22 , 23 1.2 22 , 24 - 24 - 25 4.3 24 - 26 , 24 - 28 = 24 - 29 . 26 , 27 p 27 p 28 = 29 . 30 002 29 . 32 )(, 32 )(, 36 and 32 )(, 41 , 34 both 36 and 35 self 36 and 36 and 38 complaint 36 and 40 or 37 informant 38 complaint 39 ( 40 or 40 or 41 , 41 , 42 2.9 41 , 43 ; 43 ; 46 ci 43 ; 47 , 44 99 46 ci 45 % 46 ci 47 , 48 1.8 47 , 49 - 49 - 50 4.8 49 - 51 ; 49 - 53 < 49 - 54 . 51 ; 52 p 52 p 53 < 54 . 55 001 54 . 62 . 55 001 58 were 58 were 59 associated 59 associated 60 with 60 with 61 conversion conclusions : cognitive complaints are related to conversion among nondemented older adults . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 complaints 2 : 6 related 2 : 13 . 3 cognitive 4 complaints 4 complaints 5 are 5 are 6 related 6 related 7 to 6 related 9 among 7 to 8 conversion 9 among 12 adults 10 nondemented 12 adults 11 older 12 adults [complaint] [from] both [(] i.e . mutual [complaint] ) sources [was] most predictive [of] diagnostic outcome , followed by informant complaint [,] highlighting the need for obtaining informant corroboration to enhance [prognosis] and distinguish underlying pathological processes from normal cognitive aging . 0 ###LEFT-WALL### 5 i.e 0 ###LEFT-WALL### 6 . 0 ###LEFT-WALL### 42 . 3 both 5 i.e 6 . 16 outcome 6 . 17 , 7 mutual 9 ) 7 mutual 10 sources 10 sources 16 outcome 12 most 13 predictive 13 predictive 15 diagnostic 15 diagnostic 16 outcome 17 , 33 and 18 followed 19 by 18 followed 25 need 18 followed 33 and 19 by 23 highlighting 20 informant 23 highlighting 21 complaint 23 highlighting 24 the 25 need 25 need 26 for 26 for 27 obtaining 27 obtaining 29 corroboration 28 informant 29 corroboration 29 corroboration 30 to 29 corroboration 31 enhance 30 to 31 enhance 33 and 34 distinguish 34 distinguish 37 processes 35 underlying 37 processes 36 pathological 37 processes 37 processes 38 from 38 from 41 aging 39 normal 41 aging 40 cognitive 41 aging self complaint was related inconsistently [to] diagnostic [outcome] . 0 ###LEFT-WALL### 2 complaint 0 ###LEFT-WALL### 4 related 0 ###LEFT-WALL### 9 . 1 self 2 complaint 2 complaint 3 was 3 was 4 related 4 related 5 inconsistently 4 related 7 diagnostic to investigate the role of mutations in the sphingomyelin phosphodiesterase ( smpd1 ) [gene] in parkinson 's disease ( pd ) we sequenced all the exons of this gene in 198 chinese pd cases and matched healthy control subjects . 0 ###LEFT-WALL### 22 we 0 ###LEFT-WALL### 23 sequenced 0 ###LEFT-WALL### 40 . 1 to 2 investigate 1 to 21 ) 1 to 22 we 2 investigate 4 role 3 the 4 role 4 role 5 of 4 role 15 in 4 role 20 pd 5 of 6 mutations 6 mutations 7 in 7 in 10 phosphodiesterase 8 the 10 phosphodiesterase 9 sphingomyelin 10 phosphodiesterase 10 phosphodiesterase 12 smpd1 11 ( 12 smpd1 12 smpd1 13 ) 15 in 18 disease 16 parkinson 17 's 17 's 18 disease 19 ( 20 pd 20 pd 21 ) 22 we 23 sequenced 23 sequenced 24 all 23 sequenced 30 in 24 all 25 the 24 all 26 exons 25 the 26 exons 26 exons 27 of 27 of 29 gene 28 this 29 gene 30 in 31 198 31 198 33 pd 31 198 39 subjects 32 chinese 33 pd 33 pd 35 and 33 pd 39 subjects 34 cases 35 and 35 and 36 matched 35 and 38 control 37 healthy 38 control we identified 4 rare variants in smpd1 ( p.p332r , p.y500h , p.p533l , and p.r591c ) that were present only in cases and not in control subjects . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 29 . 1 we 2 identified 2 identified 5 variants 2 identified 6 in 3 4 5 variants 4 rare 5 variants 6 in 15 and 7 smpd1 11 p.y500h 7 smpd1 15 and 8 ( 11 p.y500h 9 p.p332r 10 , 9 p.p332r 11 p.y500h 11 p.y500h 13 p.p533l 11 p.y500h 14 , 12 , 13 p.p533l 13 p.p533l 14 , 14 , 15 and 15 and 16 p.r591c 15 and 17 ) 15 and 18 that 15 and 19 were 18 that 19 were 19 were 20 present 20 present 21 only 20 present 24 and 22 in 23 cases 22 in 24 and 24 and 25 not 24 and 26 in 26 in 28 subjects 27 control 28 subjects interestingly , 2 of these variants were previously reported in chinese niemann - pick disease patients . 0 ###LEFT-WALL### 3 2 0 ###LEFT-WALL### 9 reported 0 ###LEFT-WALL### 13 - 1 interestingly 2 , 1 interestingly 3 2 3 2 4 of 3 2 7 were 4 of 6 variants 5 these 6 variants 7 were 8 previously 7 were 9 reported 9 reported 10 in 10 in 12 niemann 11 chinese 12 niemann 13 - 14 pick 13 - 17 . 14 pick 16 patients 15 disease 16 patients next , we genotyped these variants in another 806 pd cases and 7481 control subjects . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 genotyped 0 ###LEFT-WALL### 16 . 1 next 2 , 1 next 3 we 3 we 4 genotyped 4 genotyped 6 variants 4 genotyped 7 in 5 these 6 variants 7 in 12 and 8 another 9 806 9 806 11 cases 10 pd 11 cases 11 cases 12 and 12 and 15 subjects 13 7481 15 subjects 14 control 15 subjects we identified a novel , rare smpd1 variant ( p.r591c [ )(which increased the risk of pd ( p = 0.009 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 identified 0 ###LEFT-WALL### 23 . 1 we 2 identified 2 identified 8 variant 3 a 8 variant 4 novel 5 , 4 novel 8 variant 6 rare 8 variant 7 smpd1 8 variant 8 variant 10 p.r591c 9 ( 10 p.r591c 10 p.r591c 12 )(which 10 p.r591c 13 increased 10 p.r591c 22 ) 12 )(which 13 increased 13 increased 15 risk 13 increased 20 = 14 the 15 risk 15 risk 16 of 16 of 17 pd 18 ( 20 = 19 p 20 = 20 = 21 0.009 objectives : behavioral and psychological symptoms of dementia ( bpsd ) are prevalent in alzheimer disease ( ad ) and are related [to] poor outcomes such as nursing home placement . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 6 symptoms 2 : 12 are 2 : 20 and 3 behavioral 4 and 4 and 5 psychological 4 and 6 symptoms 6 symptoms 7 of 6 symptoms 10 bpsd 6 symptoms 12 are 7 of 8 dementia 9 ( 10 bpsd 10 bpsd 11 ) 12 are 13 prevalent 13 prevalent 14 in 14 in 16 disease 15 alzheimer 16 disease 16 disease 18 ad 17 ( 18 ad 18 ad 19 ) 20 and 21 are 20 and 29 home 21 are 25 outcomes 21 are 29 home 22 related 25 outcomes 24 poor 25 outcomes 25 outcomes 27 as 26 such 27 as 27 as 28 nursing 29 home 30 placement no study has examined the impact of individual bpsd on dependence , a clinically important feature that reflects changing patient needs and their effect on caregivers . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 4 examined 1 no 2 study 2 study 3 has 3 has 4 examined 4 examined 6 impact 4 examined 10 on 5 the 6 impact 6 impact 7 of 7 of 9 bpsd 8 individual 9 bpsd 10 on 11 dependence 11 dependence 16 feature 12 , 16 feature 13 a 14 clinically 13 a 16 feature 14 clinically 15 important 15 important 16 feature 16 feature 17 that 16 feature 18 reflects 16 feature 27 . 17 that 18 reflects 18 reflects 22 and 18 reflects 25 on 19 changing 20 patient 20 patient 21 needs 21 needs 22 and 22 and 24 effect 23 their 24 effect 25 on 26 caregivers the current study characterized independent cross - sectional and longitudinal relationships between three bpsd ( psychosis , depressed mood , and agitation/aggression ) , cognition , and dependence to better understand the interplay between these symptoms over time . 0 ###LEFT-WALL### 6 cross 0 ###LEFT-WALL### 7 - 0 ###LEFT-WALL### 39 . 1 the 6 cross 2 current 3 study 3 study 4 characterized 4 characterized 6 cross 5 independent 6 cross 7 - 11 relationships 7 - 24 , 8 sectional 9 and 9 and 10 longitudinal 9 and 11 relationships 11 relationships 12 between 12 between 14 bpsd 13 three 14 bpsd 14 bpsd 21 and 15 ( 21 and 16 psychosis 17 , 17 , 19 mood 17 , 21 and 18 depressed 19 mood 20 , 21 and 21 and 22 agitation/aggression 21 and 23 ) 24 , 27 and 25 cognition 27 and 26 , 27 and 27 and 28 dependence 27 and 29 to 27 and 31 understand 29 to 31 understand 30 better 31 understand 31 understand 33 interplay 31 understand 34 between 31 understand 37 over 32 the 33 interplay 34 between 36 symptoms 35 these 36 symptoms 37 over 38 time design : the predictors study measured changes in bpsd , cognition , and dependence every 6 months in patients with ad . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 2 : 13 and 2 : 22 . 3 the 7 changes 4 predictors 6 measured 5 study 6 measured 6 measured 7 changes 7 changes 8 in 7 changes 13 and 8 in 9 bpsd 9 bpsd 11 cognition 10 , 11 cognition 11 cognition 12 , 13 and 14 dependence 13 and 15 every 13 and 18 in 13 and 20 with 15 every 17 months 16 6 17 months 18 in 19 patients 20 with 21 ad cross - sectional and longitudinal relationships between individual bpsd , cognition , and dependence over 6 years were characterized by using multivariate latent growth curve modeling . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 19 characterized 0 ###LEFT-WALL### 27 . 1 cross 6 relationships 1 cross 13 and 2 - 6 relationships 3 sectional 4 and 4 and 5 longitudinal 4 and 6 relationships 6 relationships 7 between 6 relationships 11 cognition 6 relationships 12 , 7 between 9 bpsd 8 individual 9 bpsd 10 , 11 cognition 11 cognition 12 , 12 , 13 and 13 and 14 dependence 13 and 15 over 13 and 18 were 15 over 17 years 16 6 17 years 18 were 19 characterized 19 characterized 20 by 20 by 21 using 21 using 26 modeling 22 multivariate 24 growth 23 latent 24 growth 24 growth 26 modeling 25 curve 26 modeling this approach characterizes independent changes in multiple outcome measures over time . 0 ###LEFT-WALL### 2 approach 0 ###LEFT-WALL### 3 characterizes 0 ###LEFT-WALL### 12 . 1 this 2 approach 2 approach 3 characterizes 3 characterizes 5 changes 3 characterizes 6 in 3 characterizes 10 over 4 independent 5 changes 6 in 9 measures 7 multiple 8 outcome 8 outcome 9 measures 10 over 11 time setting : four memory clinics in the united states and europe . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 . 1 setting 2 : 2 : 5 clinics 3 four 5 clinics 4 memory 5 clinics 5 clinics 6 in 6 in 10 and 7 the 9 states 8 united 9 states 9 states 10 and 10 and 11 europe participants : a total of 517 patients with probable ad . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 11 . 1 participants 2 : 2 : 4 total 3 a 4 total 4 total 5 of 5 of 7 patients 6 517 7 patients 7 patients 8 with 8 with 10 ad 9 probable 10 ad measurements : columbia university scale for psychopathology , modified mini - mental state examination , and dependence scale . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 , 1 measurements 2 : 2 : 5 scale 3 columbia 4 university 4 university 5 scale 5 scale 6 for 6 for 7 psychopathology 8 , 10 mini 8 , 11 - 9 modified 10 mini 11 - 16 and 11 - 19 . 12 mental 13 state 13 state 14 examination 14 examination 16 and 15 , 16 and 16 and 18 scale 17 dependence 18 scale results : both psychosis and depressed mood at study entry were associated with worse subsequent cognitive decline . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 17 decline 2 : 18 . 3 both 4 psychosis 4 psychosis 5 and 5 and 7 mood 5 and 8 at 5 and 17 decline 6 depressed 7 mood 8 at 9 study 9 study 10 entry 9 study 13 with 10 entry 11 were 11 were 12 associated 12 associated 13 with 14 worse 17 decline 15 subsequent 17 decline 16 cognitive 17 decline independent of cognitive [decline] , initial psychosis was associated with worse subsequent increases in dependence . 0 ###LEFT-WALL### 1 independent 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 16 . 1 independent 2 of 1 independent 8 was 2 of 7 psychosis 3 cognitive 5 , 3 cognitive 7 psychosis 6 initial 7 psychosis 8 was 9 associated 9 associated 10 with 9 associated 14 in 10 with 13 increases 11 worse 13 increases 12 subsequent 13 increases 14 in 15 dependence rates of [increase] in agitation/aggression separately correlated with rates of declines in both cognition and independence . 0 ###LEFT-WALL### 1 rates 0 ###LEFT-WALL### 7 correlated 0 ###LEFT-WALL### 17 . 1 rates 2 of 1 rates 7 correlated 2 of 4 in 4 in 5 agitation/aggression 6 separately 7 correlated 7 correlated 8 with 7 correlated 12 in 8 with 9 rates 9 rates 10 of 10 of 11 declines 12 in 15 and 13 both 15 and 14 cognition 15 and 15 and 16 independence conclusions : although purely observational , our findings support the poor prognosis associated with psychosis and depression in ad . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 9 support 0 ###LEFT-WALL### 20 . 1 conclusions 2 : 2 : 3 although 3 although 8 findings 4 purely 5 observational 5 observational 6 , 5 observational 8 findings 7 our 8 findings 8 findings 9 support 9 support 12 prognosis 9 support 14 with 9 support 18 in 10 the 12 prognosis 11 poor 12 prognosis 12 prognosis 13 associated 14 with 16 and 15 psychosis 16 and 16 and 17 depression 18 in 19 ad results also show that agitation/aggression tracks declines in cognition and independence independently over time . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 15 . 1 results 3 show 2 also 3 show 3 show 4 that 4 that 5 agitation/aggression 4 that 6 tracks 5 agitation/aggression 6 tracks 6 tracks 7 declines 6 tracks 8 in 6 tracks 12 independently 8 in 10 and 9 cognition 10 and 10 and 11 independence 12 independently 13 over 13 over 14 time targeted intervention for individual bpsd , particularly psychosis , could have broad effects [not] only on patient well - being but also on care costs and family burden . 0 ###LEFT-WALL### 2 intervention 0 ###LEFT-WALL### 11 have 1 targeted 2 intervention 2 intervention 3 for 2 intervention 10 could 3 for 5 bpsd 4 individual 5 bpsd 5 bpsd 8 psychosis 6 , 7 particularly 6 , 8 psychosis 8 psychosis 9 , 10 could 11 have 11 have 13 effects 11 have 15 only 11 have 20 being 12 broad 13 effects 15 only 16 on 16 on 18 well 17 patient 18 well 19 - 20 being 20 being 21 but 20 being 23 on 20 being 29 . 21 but 22 also 23 on 26 and 24 care 25 costs 25 costs 26 and 26 and 28 burden 27 family 28 burden objectives : the present study examines whether subjective age ( i.e [.] , how [old] or young individuals feel ) is associated with cognitive functioning and tests potential mediators of this association . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 5 study 2 : 26 and 3 the 5 study 4 present 5 study 5 study 26 and 6 examines 7 whether 6 examines 23 with 6 examines 26 and 7 whether 9 age 7 whether 22 associated 8 subjective 9 age 9 age 16 or 9 age 21 is 10 ( 16 or 11 i.e 13 , 13 , 14 how 13 , 16 or 16 or 17 young 16 or 18 individuals 16 or 19 feel 16 or 20 ) 18 individuals 19 feel 21 is 22 associated 23 with 25 functioning 24 cognitive 25 functioning 26 and 27 tests 27 tests 29 mediators 28 potential 29 mediators 29 mediators 30 of 30 of 32 association 31 this 32 association design : data from the two waves of measurement of the midlife in the united states survey were used , with assessments conducted at the first wave in 1994 - 1995 and at the second wave in 2004 - 2006 . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 2 : 3 data 2 : 19 used 2 : 39 - 2 : 41 . 3 data 4 from 3 data 10 of 3 data 18 were 4 from 7 waves 5 the 6 two 6 two 7 waves 7 waves 8 of 8 of 9 measurement 10 of 17 survey 11 the 17 survey 12 midlife 13 in 12 midlife 16 states 13 in 15 united 14 the 15 united 16 states 17 survey 18 were 19 used 19 used 21 with 20 , 21 with 21 with 22 assessments 21 with 39 - 22 assessments 23 conducted 22 assessments 24 at 22 assessments 37 in 24 at 27 wave 25 the 26 first 25 the 27 wave 27 wave 32 and 28 in 30 - 28 in 32 and 29 1994 30 - 30 - 31 1995 32 and 33 at 33 at 36 wave 34 the 36 wave 35 second 36 wave 37 in 38 2004 39 - 40 2006 participants : a total of 1,352 men and women aged from 50 to 75 years at baseline ( m : 59.32 ; sd : 6.72 [ )( 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 2 : 4 total 2 : 10 aged 2 : 20 : 3 a 4 total 4 total 5 of 4 total 10 aged 5 of 8 and 6 1,352 7 men 7 men 8 and 8 and 9 women 10 aged 15 years 10 aged 16 at 11 from 13 to 12 50 13 to 13 to 14 75 13 to 15 years 16 at 17 baseline 17 baseline 19 m 18 ( 19 m 19 m 20 : 20 : 21 59.32 20 : 22 ; 22 ; 23 sd 22 ; 24 : 24 : 25 6.72 24 : 27 )( measurements : subjective age , body mass index [(] bmi ) , physical activity , and the covariates sex , age , education , marital status , and disease burden were assessed at baseline to predict episodic memory and executive function measured 10 years later . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 assessed 0 ###LEFT-WALL### 46 . 2 : 4 age 2 : 12 , 3 subjective 4 age 4 age 10 bmi 5 , 10 bmi 6 body 7 mass 7 mass 10 bmi 8 index 10 bmi 10 bmi 11 ) 12 , 16 and 13 physical 14 activity 14 activity 16 and 15 , 16 and 16 and 18 covariates 16 and 28 and 16 and 32 assessed 17 the 18 covariates 19 sex 20 , 20 , 21 age 20 , 22 , 22 , 23 education 22 , 24 , 24 , 26 status 24 , 28 and 25 marital 26 status 27 , 28 and 28 and 29 disease 28 and 30 burden 28 and 31 were 28 and 32 assessed 30 burden 31 were 32 assessed 33 at 32 assessed 35 to 32 assessed 45 later 33 at 34 baseline 35 to 36 predict 36 predict 39 and 36 predict 42 measured 37 episodic 38 memory 38 memory 39 and 39 and 41 function 39 and 42 measured 40 executive 41 function 42 measured 43 10 44 years 45 later results : multiple regression analysis revealed that a younger subjective age at baseline was prospectively associated with better episodic memory and executive function . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 5 analysis 2 : 6 revealed 3 multiple 4 regression 4 regression 5 analysis 5 analysis 6 revealed 6 revealed 7 that 7 that 11 age 7 that 16 associated 8 a 11 age 9 younger 11 age 10 subjective 11 age 11 age 12 at 11 age 14 was 12 at 13 baseline 14 was 16 associated 15 prospectively 16 associated 16 associated 17 with 17 with 21 and 18 better 20 memory 19 episodic 20 memory 20 memory 21 and 21 and 23 function 22 executive 23 function bootstrap analysis indicated that the association of subjective age with episodic memory and executive function was partially mediated by bmi and frequency of physical activity respectively . 0 ###LEFT-WALL### 1 bootstrap 0 ###LEFT-WALL### 27 . 1 bootstrap 2 analysis 2 analysis 3 indicated 2 analysis 4 that 2 analysis 16 was 2 analysis 18 mediated 4 that 6 association 4 that 16 was 5 the 6 association 6 association 7 of 6 association 16 was 7 of 9 age 8 subjective 9 age 9 age 10 with 10 with 13 and 11 episodic 12 memory 12 memory 13 and 13 and 15 function 14 executive 15 function 17 partially 18 mediated 18 mediated 19 by 18 mediated 26 respectively 19 by 21 and 20 bmi 21 and 21 and 22 frequency 21 and 23 of 23 of 25 activity 24 physical 25 activity conclusion : even after accounting for chronological age and other risk factors for cognitive [decline] , such as disease burden and sedentary lifestyle , the subjective experience of aging predicts cognitive functioning in old age . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 predicts 0 ###LEFT-WALL### 36 . 2 : 3 even 3 even 4 after 3 even 6 for 3 even 13 for 4 after 5 accounting 6 for 9 and 7 chronological 8 age 8 age 9 and 9 and 10 other 9 and 11 risk 9 and 12 factors 11 risk 12 factors 13 for 27 experience 14 cognitive 18 as 14 cognitive 24 , 14 cognitive 27 experience 16 , 18 as 17 such 18 as 18 as 21 and 18 as 24 , 19 disease 20 burden 20 burden 21 and 21 and 23 lifestyle 21 and 24 , 22 sedentary 23 lifestyle 25 the 27 experience 26 subjective 27 experience 27 experience 28 of 27 experience 30 predicts 28 of 29 aging 30 predicts 32 functioning 31 cognitive 32 functioning 32 functioning 33 in 33 in 35 age 34 old 35 age triggering receptor expressed [on] myeloid cells 2 ( trem2 ) homozygous mutations cause nasu - hakola disease , an early - onset recessive form of dementia preceded by bone cysts and fractures . 0 ###LEFT-WALL### 12 mutations 0 ###LEFT-WALL### 13 cause 1 triggering 6 cells 1 triggering 10 ) 1 triggering 12 mutations 2 receptor 3 expressed 3 expressed 6 cells 5 myeloid 6 cells 6 cells 7 2 6 cells 9 trem2 8 ( 9 trem2 9 trem2 10 ) 11 homozygous 12 mutations 12 mutations 13 cause 13 cause 14 nasu 14 nasu 17 disease 15 - 17 disease 16 hakola 17 disease 17 disease 31 and 17 disease 33 . 18 , 31 and 19 an 24 form 20 early 21 - 20 early 22 onset 22 onset 24 form 23 recessive 24 form 24 form 25 of 24 form 31 and 25 of 26 dementia 26 dementia 27 preceded 27 preceded 28 by 28 by 30 cysts 29 bone 30 cysts 31 and 32 fractures 31 and 33 . the same type of mutations has recently been shown to cause frontotemporal dementia ( ftd ) without the presence of any bone phenotype . 0 ###LEFT-WALL### 4 of 0 ###LEFT-WALL### 9 shown 0 ###LEFT-WALL### 24 . 1 the 2 same 2 same 4 of 3 type 4 of 4 of 5 mutations 4 of 6 has 6 has 8 been 7 recently 8 been 8 been 9 shown 9 shown 10 to 10 to 11 cause 11 cause 13 dementia 11 cause 17 without 12 frontotemporal 13 dementia 13 dementia 15 ftd 14 ( 15 ftd 15 ftd 16 ) 17 without 19 presence 18 the 19 presence 19 presence 20 of 20 of 23 phenotype 21 any 23 phenotype 22 bone 23 phenotype here , we further confirm the association of trem2 mutations with ftd [-] like phenotypes by reporting the first compound heterozygous mutation in a turkish family . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 5 confirm 0 ###LEFT-WALL### 27 . 1 here 2 , 1 here 3 we 3 we 5 confirm 4 further 5 confirm 5 confirm 7 association 5 confirm 15 phenotypes 6 the 7 association 7 association 8 of 7 association 15 phenotypes 8 of 9 trem2 9 trem2 10 mutations 9 trem2 14 like 10 mutations 11 with 10 mutations 14 like 11 with 12 ftd 15 phenotypes 16 by 15 phenotypes 22 mutation 15 phenotypes 23 in 16 by 17 reporting 17 reporting 20 compound 18 the 20 compound 19 first 20 compound 21 heterozygous 22 mutation 23 in 26 family 24 a 25 turkish 24 a 26 family 25 turkish 26 family recent evidence has shown that older adults fail to show adaptation in the right fusiform gyrus ( fg ) to the same face presented repeatedly , despite accurate detection of the previously presented face . 0 ###LEFT-WALL### 2 evidence 0 ###LEFT-WALL### 10 show 1 recent 2 evidence 2 evidence 3 has 3 has 4 shown 4 shown 5 that 5 that 7 adults 5 that 8 fail 6 older 7 adults 7 adults 8 fail 8 fail 9 to 9 to 10 show 10 show 11 adaptation 11 adaptation 12 in 11 adaptation 20 to 11 adaptation 24 presented 12 in 16 gyrus 13 the 16 gyrus 14 right 16 gyrus 15 fusiform 16 gyrus 16 gyrus 18 fg 17 ( 18 fg 18 fg 19 ) 20 to 23 face 21 the 22 same 21 the 23 face 24 presented 25 repeatedly 24 presented 27 despite 26 , 27 despite 27 despite 29 detection 27 despite 35 . 28 accurate 29 detection 29 detection 30 of 30 of 34 face 31 the 34 face 32 previously 33 presented 33 presented 34 face we used functional magnetic resonance imaging to investigate whether this phenomenon is associated with age - related reductions in face specificity in brain activity and whether older adults compensate for these face - processing deficiencies by increasing activity in other areas within the face [-] processing network , or outside this network . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 32 face 1 we 2 used 2 used 6 imaging 2 used 7 to 2 used 17 related 3 functional 6 imaging 4 magnetic 5 resonance 5 resonance 6 imaging 7 to 8 investigate 8 investigate 9 whether 8 investigate 14 with 9 whether 11 phenomenon 9 whether 12 is 10 this 11 phenomenon 11 phenomenon 12 is 12 is 13 associated 14 with 15 age 16 - 17 related 17 related 25 and 18 reductions 19 in 18 reductions 25 and 19 in 21 specificity 20 face 21 specificity 21 specificity 22 in 22 in 24 activity 23 brain 24 activity 25 and 26 whether 25 and 28 adults 25 and 29 compensate 27 older 28 adults 28 adults 29 compensate 29 compensate 30 for 30 for 31 these 31 these 32 face 32 face 34 processing 33 - 34 processing 34 processing 35 deficiencies 34 processing 53 . 35 deficiencies 36 by 36 by 37 increasing 37 increasing 38 activity 37 increasing 39 in 37 increasing 49 or 39 in 41 areas 40 other 41 areas 42 within 47 network 42 within 49 or 43 the 47 network 44 face 47 network 46 processing 47 network 48 , 49 or 49 or 50 outside 50 outside 52 network 51 this 52 network a comparison of brain activity across multiple stimulus categories showed that , unlike young adults who engaged a number of brain regions specific to face processing , older adults generalized these patterns of activity to objects and houses . 0 ###LEFT-WALL### 2 comparison 0 ###LEFT-WALL### 10 showed 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 39 . 1 a 2 comparison 2 comparison 3 of 2 comparison 10 showed 3 of 5 activity 4 brain 5 activity 5 activity 6 across 6 across 9 categories 7 multiple 9 categories 8 stimulus 9 categories 10 showed 11 that 12 , 29 adults 12 , 30 generalized 13 unlike 15 adults 13 unlike 27 , 13 unlike 29 adults 14 young 15 adults 15 adults 16 who 15 adults 17 engaged 16 who 17 engaged 17 engaged 22 regions 18 a 19 number 19 number 20 of 19 number 22 regions 20 of 22 regions 21 brain 22 regions 22 regions 23 specific 23 specific 24 to 24 to 26 processing 25 face 26 processing 28 older 29 adults 29 adults 30 generalized 30 generalized 32 patterns 30 generalized 35 to 31 these 32 patterns 32 patterns 33 of 33 of 34 activity 35 to 37 and 36 objects 37 and 37 and 38 houses also , young adults showed functional connectivity between the right fg and its homologous region during face processing , whereas older adults did not engage the left fg but showed a functional connection between the right fg and left orbitofrontal cortex . 0 ###LEFT-WALL### 1 also 0 ###LEFT-WALL### 29 but 0 ###LEFT-WALL### 42 . 1 also 2 , 1 also 4 adults 1 also 5 showed 3 young 4 adults 4 adults 5 showed 5 showed 7 connectivity 5 showed 8 between 5 showed 11 fg 5 showed 12 and 5 showed 20 whereas 6 functional 7 connectivity 8 between 10 right 9 the 10 right 12 and 15 region 13 its 15 region 14 homologous 15 region 15 region 16 during 16 during 18 processing 17 face 18 processing 19 , 20 whereas 20 whereas 22 adults 21 older 22 adults 22 adults 23 did 23 did 24 not 23 did 29 but 25 engage 28 fg 25 engage 29 but 26 the 27 left 27 left 28 fg 29 but 30 showed 30 showed 33 connection 30 showed 38 and 31 a 33 connection 32 functional 33 connection 33 connection 34 between 34 between 36 right 35 the 36 right 37 fg 38 and 38 and 41 cortex 39 left 41 cortex 40 orbitofrontal 41 cortex finally , this frontotemporal functional connection was activated more strongly in older adults who performed better on a face - matching [task] ( done outside of the scanner ) , suggesting increased involvement of this functional link for successful face recognition with increasing age . 0 ###LEFT-WALL### 6 connection 0 ###LEFT-WALL### 8 activated 1 finally 2 , 1 finally 6 connection 3 this 6 connection 4 frontotemporal 6 connection 5 functional 6 connection 6 connection 7 was 7 was 8 activated 8 activated 10 strongly 8 activated 11 in 8 activated 16 better 9 more 10 strongly 11 in 13 adults 12 older 13 adults 13 adults 14 who 13 adults 15 performed 14 who 15 performed 16 better 17 on 16 better 21 matching 17 on 19 face 18 a 19 face 20 - 21 matching 21 matching 24 done 21 matching 31 suggesting 21 matching 45 . 23 ( 24 done 24 done 26 of 24 done 29 ) 25 outside 26 of 26 of 28 scanner 27 the 28 scanner 30 , 31 suggesting 31 suggesting 33 involvement 31 suggesting 42 with 31 suggesting 45 . 32 increased 33 involvement 33 involvement 34 of 34 of 37 link 35 this 37 link 36 functional 37 link 37 link 38 for 38 for 41 recognition 39 successful 40 face 40 face 41 recognition 42 with 43 increasing 43 increasing 44 age these findings suggest that 2 neural mechanisms , dedifferentiation and compensatory neural recruitment , underlie age differences in face processing . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 21 . 1 these 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 7 mechanisms 4 that 15 underlie 5 2 7 mechanisms 6 neural 7 mechanisms 7 mechanisms 10 and 7 mechanisms 15 underlie 8 , 10 and 9 dedifferentiation 10 and 10 and 13 recruitment 10 and 14 , 11 compensatory 13 recruitment 12 neural 13 recruitment 15 underlie 17 differences 15 underlie 18 in 16 age 17 differences 18 in 20 processing 19 face 20 processing cancer incidence increases with advancing age . 0 ###LEFT-WALL### 3 increases 0 ###LEFT-WALL### 6 age 0 ###LEFT-WALL### 7 . 1 cancer 3 increases 2 incidence 3 increases 3 increases 4 with 3 increases 6 age 4 with 5 advancing over 60 % of new cancers [and] 70 % of cancer deaths occur in individuals aged 65 years or older . 0 ###LEFT-WALL### 9 % 0 ###LEFT-WALL### 13 occur 0 ###LEFT-WALL### 21 . 1 over 3 % 1 over 9 % 2 60 3 % 3 % 4 of 4 of 6 cancers 5 new 6 cancers 8 70 9 % 9 % 10 of 9 % 13 occur 10 of 12 deaths 11 cancer 12 deaths 13 occur 14 in 13 occur 19 or 14 in 15 individuals 15 individuals 16 aged 16 aged 17 65 18 years 19 or 19 or 20 older one factor that may contribute to this is immunosenescence - a canopy term that is used to describe age - related declines in the normal functioning of the immune system . 0 ###LEFT-WALL### 2 factor 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 21 related 0 ###LEFT-WALL### 31 . 1 one 2 factor 2 factor 3 that 2 factor 4 may 2 factor 8 is 3 that 4 may 4 may 5 contribute 5 contribute 6 to 6 to 7 this 8 is 9 immunosenescence 9 immunosenescence 13 term 10 - 13 term 11 a 13 term 12 canopy 13 term 13 term 16 used 13 term 20 - 14 that 15 is 15 is 16 used 16 used 17 to 16 used 18 describe 17 to 18 describe 18 describe 19 age 20 - 21 related 21 related 22 declines 21 related 23 in 23 in 26 functioning 24 the 26 functioning 25 normal 26 functioning 26 functioning 27 of 27 of 30 system 28 the 30 system 29 immune 30 system there [are] multiple age - related deficits in both the innate and adaptive systems that may play a role in the increased incidence of cancer . 0 ###LEFT-WALL### 4 age 0 ###LEFT-WALL### 6 related 0 ###LEFT-WALL### 26 . 1 there 4 age 3 multiple 4 age 5 - 6 related 6 related 7 deficits 6 related 8 in 8 in 9 both 9 both 10 the 9 both 14 systems 10 the 14 systems 11 innate 12 and 12 and 13 adaptive 12 and 14 systems 14 systems 15 that 14 systems 16 may 15 that 16 may 16 may 17 play 17 play 19 role 17 play 20 in 18 a 19 role 20 in 23 incidence 21 the 23 incidence 22 increased 23 incidence 23 incidence 24 of 24 of 25 cancer there is consensus that habitual physical exercise can offer protection against certain types of cancer ; however the evidence linking immunological mechanisms , exercise , and reduced cancer risk remain tentative . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 16 ; 0 ###LEFT-WALL### 32 . 1 there 2 is 2 is 10 protection 2 is 11 against 3 consensus 10 protection 4 that 5 habitual 5 habitual 7 exercise 6 physical 7 exercise 7 exercise 10 protection 8 can 10 protection 9 offer 10 protection 11 against 14 of 12 certain 14 of 13 types 14 of 14 of 15 cancer 16 ; 26 and 16 ; 30 remain 17 however 26 and 18 the 19 evidence 19 evidence 20 linking 19 evidence 23 , 20 linking 22 mechanisms 21 immunological 22 mechanisms 23 , 24 exercise 23 , 26 and 25 , 26 and 26 and 29 risk 26 and 30 remain 27 reduced 28 cancer 28 cancer 29 risk 30 remain 31 tentative multiple studies published over the last two decades suggest that exercise can mitigate the deleterious effects of age on immune function [,] thus increasing anti - cancer immunity . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 9 suggest 0 ###LEFT-WALL### 29 . 1 multiple 2 studies 2 studies 3 published 2 studies 4 over 2 studies 9 suggest 4 over 8 decades 5 the 6 last 5 the 7 two 7 two 8 decades 9 suggest 10 that 10 that 11 exercise 10 that 13 mitigate 11 exercise 12 can 12 can 13 mitigate 13 mitigate 16 effects 13 mitigate 19 on 14 the 16 effects 15 deleterious 16 effects 16 effects 17 of 17 of 18 age 19 on 28 immunity 20 immune 21 function 21 function 28 immunity 23 thus 24 increasing 24 increasing 27 cancer 25 anti 26 - 25 anti 27 cancer 27 cancer 28 immunity the potential ameliorative effect of exercise on these mechanisms include evidence that physical activity is able to stimulate greater nk - cell activity , enhance antigen - presentation , reduce inflammation , and prevent senescent cell accumulation in the elderly . 0 ###LEFT-WALL### 4 effect 0 ###LEFT-WALL### 15 is 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 41 . 1 the 4 effect 2 potential 4 effect 3 ameliorative 4 effect 4 effect 5 of 4 effect 7 on 4 effect 9 mechanisms 4 effect 10 include 4 effect 15 is 5 of 6 exercise 7 on 8 these 9 mechanisms 10 include 10 include 14 activity 11 evidence 14 activity 12 that 13 physical 13 physical 14 activity 15 is 16 able 16 able 17 to 16 able 18 stimulate 17 to 18 stimulate 18 stimulate 20 nk 19 greater 20 nk 20 nk 23 activity 21 - 23 activity 22 cell 23 activity 23 activity 24 , 24 , 29 , 25 enhance 28 presentation 25 enhance 29 , 26 antigen 27 - 26 antigen 28 presentation 29 , 33 and 30 reduce 31 inflammation 30 reduce 33 and 32 , 33 and 33 and 34 prevent 34 prevent 37 accumulation 34 prevent 38 in 35 senescent 36 cell 36 cell 37 accumulation 38 in 40 elderly 39 the 40 elderly here we discuss the role played by the immune system in preventing and controlling cancer and how aging may retard these anti - cancer mechanisms . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 26 . 1 here 2 we 2 we 13 and 3 discuss 5 role 3 discuss 13 and 4 the 5 role 5 role 6 played 6 played 7 by 6 played 11 in 7 by 10 system 8 the 10 system 9 immune 10 system 11 in 12 preventing 13 and 20 retard 14 controlling 16 and 14 controlling 19 may 15 cancer 16 and 16 and 17 how 16 and 18 aging 19 may 20 retard 20 retard 25 mechanisms 21 these 25 mechanisms 22 anti 23 - 22 anti 24 cancer 24 cancer 25 mechanisms we also propose a pathway by which exercise [-] induced alterations in immunosenescence may decrease the incidence of cancer and help improve [prognosis] in cancer patients . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 27 . 1 we 20 and 2 also 3 propose 3 propose 5 pathway 3 propose 15 decrease 3 propose 20 and 4 a 5 pathway 5 pathway 6 by 5 pathway 14 may 6 by 7 which 6 by 8 exercise 6 by 10 induced 8 exercise 10 induced 10 induced 11 alterations 11 alterations 12 in 12 in 13 immunosenescence 14 may 15 decrease 15 decrease 17 incidence 16 the 17 incidence 17 incidence 18 of 18 of 19 cancer 20 and 21 help 20 and 24 in 21 help 22 improve 24 in 26 patients 25 cancer 26 patients background : impairment of the autonomic nervous system activity may be involved in the development of [hypertension] . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 1 background 2 : 2 : 3 impairment 3 impairment 4 of 3 impairment 9 activity 3 impairment 16 of 4 of 8 system 5 the 8 system 6 autonomic 8 system 7 nervous 8 system 9 activity 10 may 10 may 11 be 11 be 12 involved 12 involved 13 in 13 in 15 development 14 the 15 development 15 development 16 of yet the prognostic values of heart rate variability and baroreflex sensitivity in the risk [of] new - onset ambulatory hypertension have not been investigated . 0 ###LEFT-WALL### 1 yet 0 ###LEFT-WALL### 24 investigated 0 ###LEFT-WALL### 25 . 1 yet 9 and 2 the 4 values 3 prognostic 4 values 4 values 5 of 4 values 9 and 5 of 8 variability 6 heart 8 variability 7 rate 8 variability 9 and 11 sensitivity 9 and 12 in 9 and 21 have 10 baroreflex 11 sensitivity 12 in 20 hypertension 13 the 20 hypertension 14 risk 20 hypertension 16 new 17 - 16 new 18 onset 18 onset 20 hypertension 19 ambulatory 20 hypertension 21 have 22 not 21 have 23 been 23 been 24 investigated we sought to assess the relationship between heart rate variability and baroreflex sensitivity parameters and ambulatory hypertension in a community - dwelling elderly cohort . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 sought 0 ###LEFT-WALL### 21 - 1 we 2 sought 2 sought 3 to 2 sought 4 assess 3 to 4 assess 4 assess 6 relationship 4 assess 7 between 4 assess 18 in 5 the 6 relationship 7 between 15 and 8 heart 10 variability 9 rate 10 variability 10 variability 11 and 11 and 14 parameters 11 and 15 and 12 baroreflex 13 sensitivity 13 sensitivity 14 parameters 15 and 17 hypertension 16 ambulatory 17 hypertension 18 in 20 community 19 a 20 community 21 - 24 cohort 21 - 25 . 22 dwelling 24 cohort 23 elderly 24 cohort methods : normotensive subjects were selected from the proof study cohort , including 1011 subjects aged 65 years at baseline . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 4 subjects 2 : 6 selected 2 : 12 , 3 normotensive 4 subjects 4 subjects 5 were 5 were 6 selected 6 selected 7 from 7 from 11 cohort 8 the 11 cohort 9 proof 11 cohort 10 study 11 cohort 12 , 13 including 12 , 16 aged 13 including 15 subjects 13 including 16 aged 14 1011 15 subjects 16 aged 18 years 16 aged 19 at 17 65 18 years 19 at 20 baseline the autonomic nervous system activity was assessed through 24 - hour heart rate variability and 15 - minute spontaneous baroreflex sensitivity at baseline . 0 ###LEFT-WALL### 5 activity 0 ###LEFT-WALL### 7 assessed 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 24 . 1 the 5 activity 2 autonomic 4 system 3 nervous 4 system 4 system 5 activity 5 activity 6 was 6 was 7 assessed 7 assessed 8 through 8 through 9 24 10 - 14 variability 10 - 15 and 11 hour 14 variability 12 heart 14 variability 13 rate 14 variability 15 and 16 15 15 and 17 - 16 15 17 - 17 - 18 minute 18 minute 21 sensitivity 18 minute 22 at 19 spontaneous 21 sensitivity 20 baroreflex 21 sensitivity 22 at 23 baseline incident hypertension was defined with the 24 [-] hour , day - time and night - time ambulatory blood pressure measurements and antihypertensive treatment use , at two - years of [follow] - up . 0 ###LEFT-WALL### 2 hypertension 0 ###LEFT-WALL### 12 - 1 incident 2 hypertension 2 hypertension 3 was 3 was 4 defined 4 defined 5 with 5 with 9 hour 6 the 9 hour 7 24 9 hour 9 hour 11 day 10 , 11 day 11 day 12 - 12 - 14 and 13 time 14 and 14 and 15 night 15 night 22 and 15 night 27 at 16 - 22 and 17 time 20 pressure 18 ambulatory 19 blood 19 blood 20 pressure 20 pressure 21 measurements 21 measurements 22 and 22 and 25 use 22 and 26 , 23 antihypertensive 24 treatment 24 treatment 25 use 27 at 28 two 28 two 30 years 29 - 30 years 30 years 31 of 30 years 35 . 31 of 34 up 33 - 34 up results : at baseline , 13.7 % of subjects developed day - time hypertension , 18.2 % developed night - time hypertension and 13.6 % developed 24 - hour hypertension . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 12 - 1 results 2 : 2 : 3 at 3 at 4 baseline 4 baseline 10 developed 5 , 10 developed 6 13.7 7 % 7 % 8 of 7 % 10 developed 8 of 9 subjects 10 developed 11 day 10 developed 12 - 12 - 14 hypertension 12 - 15 , 12 - 20 - 13 time 14 hypertension 15 , 17 % 15 , 18 developed 16 18.2 17 % 17 % 18 developed 18 developed 19 night 20 - 22 hypertension 20 - 23 and 20 - 28 - 21 time 22 hypertension 23 and 25 % 23 and 26 developed 24 13.6 25 % 25 % 26 developed 26 developed 27 24 28 - 30 hypertension 28 - 31 . 29 hour 30 hypertension reduced baroreflex sensitivity at baseline was associated with onset [of] hypertension [after] adjustment for blood pressure level , c - reactive protein levels and depression score ( or [=] 0.45 [ 0.23 - 0.86 ] ) . 0 ###LEFT-WALL### 3 sensitivity 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 37 . 1 reduced 3 sensitivity 2 baroreflex 3 sensitivity 3 sensitivity 4 at 3 sensitivity 6 was 4 at 5 baseline 6 was 7 associated 7 associated 8 with 7 associated 14 for 8 with 13 adjustment 9 onset 11 hypertension 11 hypertension 13 adjustment 14 for 17 level 15 blood 16 pressure 16 pressure 17 level 17 level 20 - 18 , 20 - 19 c 20 - 20 - 22 protein 20 - 36 ) 21 reactive 22 protein 22 protein 24 and 22 protein 26 score 22 protein 28 or 23 levels 24 and 24 and 25 depression 24 and 26 score 27 ( 28 or 28 or 30 0.45 28 or 33 - 28 or 36 ) 31 [ 33 - 32 0.23 33 - 33 - 34 0.86 33 - 35 ] indices of heart rate variability were not associated [with] hypertension onset . 0 ###LEFT-WALL### 11 onset 0 ###LEFT-WALL### 12 . 1 indices 2 of 1 indices 6 were 2 of 5 variability 3 heart 5 variability 4 rate 5 variability 6 were 7 not 7 not 8 associated 8 associated 10 hypertension 10 hypertension 11 onset conclusion : baroreflex sensitivity may represent an intermediate goal for prevention of [ambulatory] [hypertension] at early [stage] . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 1 conclusion 2 : 2 : 3 baroreflex 2 : 16 early 3 baroreflex 4 sensitivity 3 baroreflex 15 at 4 sensitivity 5 may 5 may 6 represent 6 represent 9 goal 7 an 8 intermediate 7 an 9 goal 8 intermediate 9 goal 9 goal 10 for 9 goal 12 of 10 for 11 prevention 12 of 15 at mitochondria play important roles in multiple cellular processes including energy metabolism , cell death , and aging . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 18 . 1 mitochondria 4 roles 2 play 4 roles 3 important 4 roles 4 roles 5 in 4 roles 12 , 5 in 8 processes 6 multiple 8 processes 7 cellular 8 processes 8 processes 9 including 9 including 11 metabolism 10 energy 11 metabolism 12 , 14 death 12 , 16 and 13 cell 14 death 15 , 16 and 16 and 17 aging regulated energy production and utilization are critical in maintaining energy homeostasis in normal cells and functional organs . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 6 are 0 ###LEFT-WALL### 18 . 1 regulated 2 energy 2 energy 3 production 3 production 4 and 4 and 5 utilization 4 and 6 are 6 are 7 critical 7 critical 8 in 8 in 9 maintaining 9 maintaining 11 homeostasis 9 maintaining 12 in 10 energy 11 homeostasis 12 in 15 and 13 normal 14 cells 14 cells 15 and 15 and 17 organs 16 functional 17 organs however , [mitochondria] go through a series of morphological and functional alterations during carcinogenesis . 0 ###LEFT-WALL### 4 go 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 4 go 4 go 5 through 4 go 13 during 5 through 7 series 6 a 7 series 7 series 8 of 8 of 12 alterations 9 morphological 10 and 10 and 11 functional 10 and 12 alterations 13 during 14 carcinogenesis the metabolic profile in transformed cells is altered to accommodate their fast proliferation , confer resistance to cell death , or facilitate metastasis . 0 ###LEFT-WALL### 3 profile 0 ###LEFT-WALL### 8 altered 0 ###LEFT-WALL### 24 . 1 the 3 profile 2 metabolic 3 profile 3 profile 4 in 3 profile 7 is 4 in 6 cells 5 transformed 6 cells 7 is 8 altered 8 altered 9 to 9 to 14 , 10 accommodate 13 proliferation 10 accommodate 14 , 11 their 13 proliferation 12 fast 13 proliferation 14 , 21 or 15 confer 16 resistance 15 confer 17 to 15 confer 21 or 17 to 19 death 18 cell 19 death 20 , 21 or 21 or 22 facilitate 22 facilitate 23 metastasis these transformations also provide targets for anticancer treatment at different levels . 0 ###LEFT-WALL### 2 transformations 0 ###LEFT-WALL### 4 provide 0 ###LEFT-WALL### 12 . 1 these 2 transformations 2 transformations 4 provide 3 also 4 provide 4 provide 5 targets 4 provide 9 at 5 targets 6 for 6 for 8 treatment 7 anticancer 8 treatment 9 at 11 levels 10 different 11 levels in this review , we discuss the major modifications in cell metabolism during carcinogenesis , including energy metabolism , apoptotic and autophagic cell death , adaptation of tumor microenvironment , and metastasis . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 discuss 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 33 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 discuss 6 discuss 9 modifications 6 discuss 10 in 7 the 9 modifications 8 major 9 modifications 10 in 12 metabolism 11 cell 12 metabolism 12 metabolism 13 during 12 metabolism 16 including 13 during 14 carcinogenesis 15 , 16 including 16 including 18 metabolism 16 including 19 , 17 energy 18 metabolism 19 , 24 death 19 , 25 , 20 apoptotic 21 and 21 and 22 autophagic 21 and 24 death 23 cell 24 death 25 , 31 and 26 adaptation 27 of 26 adaptation 31 and 27 of 29 microenvironment 28 tumor 29 microenvironment 30 , 31 and 31 and 32 metastasis we also summarize some of the main metabolic targets for treatments . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 summarize 0 ###LEFT-WALL### 12 . 1 we 3 summarize 2 also 3 summarize 3 summarize 9 targets 4 some 5 of 4 some 9 targets 5 of 9 targets 6 the 7 main 6 the 9 targets 8 metabolic 9 targets 9 targets 10 for 10 for 11 treatments objective : to investigate the expression and significance of the mmp - 7 , c - [jun] [and] c - fos in rat photoaging skin . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 investigate 3 to 4 investigate 4 investigate 7 and 4 investigate 20 - 5 the 6 expression 6 expression 7 and 7 and 8 significance 7 and 9 of 9 of 11 mmp 10 the 11 mmp 11 mmp 13 7 12 - 13 7 13 7 14 , 14 , 20 - 15 c 16 - 16 - 19 c 16 - 20 - 20 - 21 fos 20 - 26 . 21 fos 22 in 22 in 25 skin 23 rat 25 skin 24 photoaging 25 skin methods : a total of 45 sd rats were randomly divided into control group , model group , natural recovery group , physiological saline injection group and dermal pluripotent stem cells transplantation ( dmscs [group] ) , model group , natural recovery group , physiological saline injection group . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 total 2 : 11 divided 2 : 37 , 2 : 49 . 3 a 4 total 4 total 5 of 4 total 9 were 5 of 8 rats 6 45 8 rats 7 sd 8 rats 9 were 11 divided 10 randomly 11 divided 11 divided 12 into 12 into 27 and 13 control 14 group 14 group 15 , 15 , 17 group 15 , 18 , 16 model 17 group 18 , 21 group 18 , 22 , 19 natural 21 group 20 recovery 21 group 22 , 26 group 22 , 27 and 23 physiological 25 injection 24 saline 25 injection 25 injection 26 group 27 and 32 transplantation 27 and 34 dmscs 28 dermal 30 stem 29 pluripotent 30 stem 30 stem 32 transplantation 31 cells 32 transplantation 33 ( 34 dmscs 34 dmscs 36 ) 37 , 39 group 37 , 40 , 38 model 39 group 40 , 43 group 40 , 44 , 41 natural 43 group 42 recovery 43 group 44 , 48 group 45 physiological 46 saline 46 saline 48 group 47 injection 48 group dmscs were treated with uv lamp irradiation to establish light aging skin [model] . 0 ###LEFT-WALL### 1 dmscs 0 ###LEFT-WALL### 3 treated 0 ###LEFT-WALL### 14 . 1 dmscs 2 were 2 were 3 treated 3 treated 4 with 3 treated 8 to 4 with 7 irradiation 5 uv 7 irradiation 6 lamp 7 irradiation 8 to 9 establish 9 establish 10 light 10 light 11 aging 11 aging 12 skin rats were then sacrificed after model prepared , no treatment was processed in the natural recovery group . 0 ###LEFT-WALL### 1 rats 0 ###LEFT-WALL### 4 sacrificed 0 ###LEFT-WALL### 18 . 1 rats 2 were 2 were 3 then 2 were 4 sacrificed 4 sacrificed 5 after 5 after 10 treatment 5 after 12 processed 6 model 10 treatment 7 prepared 8 , 7 prepared 10 treatment 9 no 10 treatment 10 treatment 11 was 11 was 12 processed 12 processed 13 in 13 in 17 group 14 the 17 group 15 natural 16 recovery 16 recovery 17 group saline injections [was] adopted in saline group , descs [group] was treated with descs transplantation . 0 ###LEFT-WALL### 2 injections 0 ###LEFT-WALL### 7 group 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 16 . 1 saline 2 injections 2 injections 4 adopted 2 injections 7 group 4 adopted 5 in 5 in 6 saline 8 , 9 descs 8 , 12 treated 9 descs 11 was 11 was 12 treated 12 treated 13 with 13 with 15 transplantation 14 descs 15 transplantation rats were sacrificed after 4 weeks . 0 ###LEFT-WALL### 1 rats 0 ###LEFT-WALL### 3 sacrificed 0 ###LEFT-WALL### 7 . 1 rats 2 were 2 were 3 sacrificed 3 sacrificed 4 after 4 after 6 weeks 5 4 6 weeks the expression of mmp - 7 , c - [jun] [and] c - fos were detected using the immunohistochemical method . 0 ###LEFT-WALL### 2 expression 0 ###LEFT-WALL### 16 detected 0 ###LEFT-WALL### 21 . 1 the 2 expression 2 expression 3 of 2 expression 14 fos 2 expression 15 were 2 expression 16 detected 3 of 4 mmp 4 mmp 6 7 4 mmp 9 - 5 - 6 7 6 7 7 , 7 , 9 - 8 c 9 - 9 - 12 c 9 - 13 - 14 fos 15 were 16 detected 17 using 16 detected 20 method 17 using 19 immunohistochemical 18 the 19 immunohistochemical results : in model group , mmp 7 positive expression was higher than that in the other 4 groups , but without [statistically] difference ( p>0.05 [ )( [c] - [jun] , c - fos expression were higher than that in the control group and descs group ( p<0.05 ) , there [was] no significant difference comparing natural recovery [group] with physiological saline injection [group] ( p>0.05 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 group 2 : 6 , 3 in 4 model 3 in 5 group 6 , 10 expression 6 , 11 was 7 mmp 10 expression 8 7 10 expression 9 positive 10 expression 10 expression 11 was 11 was 12 higher 12 higher 13 than 12 higher 21 but 13 than 14 that 15 in 19 groups 15 in 21 but 16 the 17 other 17 other 18 4 18 4 19 groups 20 , 21 but 21 but 22 without 22 without 24 difference 24 difference 26 p>0.05 24 difference 34 - 25 ( 26 p>0.05 26 p>0.05 30 - 32 , 34 - 33 c 34 - 34 - 35 fos 35 fos 36 expression 35 fos 37 were 35 fos 38 higher 36 expression 37 were 38 higher 39 than 38 higher 41 in 39 than 40 that 41 in 47 group 42 the 47 group 43 control 44 group 44 group 45 and 45 and 46 descs 45 and 47 group 47 group 49 p<0.05 47 group 59 recovery 48 ( 49 p<0.05 49 p<0.05 50 ) 51 , 59 recovery 52 there 59 recovery 54 no 57 comparing 55 significant 56 difference 56 difference 57 comparing 57 comparing 59 recovery 58 natural 59 recovery 59 recovery 61 with 59 recovery 67 p>0.05 59 recovery 69 . 61 with 64 injection 62 physiological 64 injection 63 saline 64 injection 66 ( 67 p>0.05 67 p>0.05 68 ) conclusions : mmp - 7 , c - [jun] [and] c - fos can be used as diagnosis indicators in the early stage of light aging , and they jointly participate in its development . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 35 . 2 : 3 mmp 2 : 12 - 3 mmp 5 7 4 - 5 7 5 7 8 - 5 7 12 - 6 , 8 - 7 c 8 - 8 - 11 c 8 - 12 - 12 - 13 fos 12 - 16 used 12 - 28 and 13 fos 14 can 14 can 15 be 15 be 16 used 16 used 17 as 17 as 19 indicators 18 diagnosis 19 indicators 19 indicators 20 in 20 in 23 stage 21 the 23 stage 22 early 23 stage 23 stage 24 of 23 stage 26 aging 24 of 25 light 27 , 28 and 28 and 29 they 28 and 31 participate 29 they 31 participate 30 jointly 31 participate 31 participate 32 in 32 in 34 development 33 its 34 development dmscs transplants [is] effective in treating light aging skin . 0 ###LEFT-WALL### 2 transplants 0 ###LEFT-WALL### 7 light 0 ###LEFT-WALL### 10 . 1 dmscs 2 transplants 2 transplants 4 effective 2 transplants 7 light 4 effective 5 in 5 in 6 treating 7 light 9 skin 8 aging 9 skin background : both cognitive and physical exercise have been discussed as promising interventions for healthy cognitive aging . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 5 and 2 : 10 discussed 2 : 18 . 3 both 5 and 4 cognitive 5 and 5 and 7 exercise 5 and 8 have 6 physical 7 exercise 8 have 9 been 9 been 10 discussed 10 discussed 11 as 11 as 13 interventions 12 promising 13 interventions 13 interventions 14 for 14 for 17 aging 15 healthy 17 aging 16 cognitive 17 aging the present study assessed the effects of cognitive training ( spatial vs [.] perceptual training [ )(and physical training ( endurance training [vs] [.] [non] - endurance training ) on spatial learning and associated brain activation in 33 adults ( 40 - 55 years ) . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 assessed 1 the 3 study 2 present 3 study 3 study 4 assessed 4 assessed 6 effects 5 the 6 effects 6 effects 7 of 6 effects 17 )(and 7 of 9 training 8 cognitive 9 training 10 ( 17 )(and 11 spatial 12 vs 11 spatial 17 )(and 12 vs 15 training 14 perceptual 15 training 17 )(and 18 physical 17 )(and 19 training 17 )(and 46 . 19 training 26 - 19 training 30 on 19 training 37 in 19 training 39 adults 19 training 42 - 20 ( 26 - 21 endurance 22 training 22 training 26 - 26 - 28 training 26 - 29 ) 27 endurance 28 training 30 on 36 activation 31 spatial 36 activation 32 learning 33 and 33 and 35 brain 33 and 36 activation 34 associated 35 brain 37 in 38 33 40 ( 42 - 41 40 42 - 42 - 44 years 42 - 45 ) 43 55 44 years spatial learning was assessed with a virtual maze task , and at the same time [neural] correlates were measured with functional magnetic resonance imaging ( fmri ) [.] 0 ###LEFT-WALL### 1 spatial 0 ###LEFT-WALL### 18 were 1 spatial 2 learning 1 spatial 3 was 1 spatial 4 assessed 1 spatial 11 and 1 spatial 18 were 2 learning 3 was 5 with 9 task 5 with 11 and 6 a 7 virtual 6 a 9 task 7 virtual 8 maze 8 maze 9 task 10 , 11 and 11 and 12 at 12 at 14 same 13 the 14 same 14 same 15 time 14 same 17 correlates 15 time 17 correlates 18 were 19 measured 19 measured 20 with 20 with 24 imaging 21 functional 24 imaging 22 magnetic 23 resonance 23 resonance 24 imaging 24 imaging 26 fmri 25 ( 26 fmri 26 fmri 27 ) results : only the spatial training improved performance in the maze task . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 . 1 results 2 : 2 : 3 only 2 : 8 performance 4 the 8 performance 5 spatial 6 training 6 training 7 improved 7 improved 8 performance 8 performance 9 in 9 in 12 task 10 the 12 task 11 maze 12 task these behavioral gains were accompanied by a decrease in frontal and temporal lobe activity . 0 ###LEFT-WALL### 3 gains 0 ###LEFT-WALL### 5 accompanied 0 ###LEFT-WALL### 15 . 1 these 3 gains 2 behavioral 3 gains 3 gains 4 were 4 were 5 accompanied 5 accompanied 6 by 5 accompanied 9 in 6 by 8 decrease 7 a 8 decrease 9 in 14 activity 10 frontal 11 and 11 and 12 temporal 11 and 13 lobe 13 lobe 14 activity at posttest , participants of the spatial training group showed lower activity than participants of the perceptual training group in a network of brain regions associated with spatial learning , including the hippocampus and parahippocampal gyrus . 0 ###LEFT-WALL### 4 participants 0 ###LEFT-WALL### 10 showed 0 ###LEFT-WALL### 13 than 0 ###LEFT-WALL### 26 associated 1 at 2 posttest 1 at 3 , 1 at 4 participants 4 participants 5 of 4 participants 10 showed 5 of 9 group 6 the 9 group 7 spatial 8 training 8 training 9 group 10 showed 12 activity 11 lower 12 activity 13 than 14 participants 13 than 19 group 14 participants 15 of 14 participants 19 group 15 of 18 training 16 the 18 training 17 perceptual 18 training 19 group 20 in 20 in 22 network 21 a 22 network 22 network 23 of 23 of 24 brain 24 brain 25 regions 24 brain 26 associated 25 regions 26 associated 26 associated 27 with 27 with 29 learning 28 spatial 29 learning 29 learning 31 including 30 , 31 including 31 including 34 and 31 including 37 . 32 the 33 hippocampus 33 hippocampus 34 and 34 and 36 gyrus 35 parahippocampal 36 gyrus no significant differences were observed between the two physical intervention groups . 0 ###LEFT-WALL### 3 differences 0 ###LEFT-WALL### 5 observed 0 ###LEFT-WALL### 12 . 1 no 3 differences 2 significant 3 differences 3 differences 4 were 4 were 5 observed 5 observed 6 between 6 between 11 groups 7 the 8 two 8 two 11 groups 9 physical 10 intervention 10 intervention 11 groups conclusions : functional changes in neural systems associated with spatial navigation can be induced by cognitive interventions and seem to be stronger than effects of physical exercise in middle [-] aged adults . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 4 changes 2 : 18 and 3 functional 4 changes 4 changes 5 in 4 changes 18 and 5 in 7 systems 6 neural 7 systems 7 systems 8 associated 7 systems 9 with 9 with 11 navigation 10 spatial 11 navigation 12 can 13 be 12 can 18 and 13 be 14 induced 14 induced 15 by 15 by 17 interventions 16 cognitive 17 interventions 18 and 19 seem 18 and 23 than 19 seem 20 to 19 seem 21 be 20 to 21 be 21 be 22 stronger 23 than 24 effects 24 effects 25 of 25 of 27 exercise 26 physical 27 exercise 27 exercise 28 in 28 in 32 adults 29 middle 31 aged 31 aged 32 adults despite the recent identification of several novel risk genes for alzheimer 's disease ( ad ) , little is known about their influence on the age [at] onset ( aao ) of ad . 0 ###LEFT-WALL### 18 little 0 ###LEFT-WALL### 20 known 0 ###LEFT-WALL### 34 . 1 despite 4 identification 1 despite 17 , 1 despite 18 little 2 the 4 identification 3 recent 4 identification 4 identification 5 of 4 identification 10 for 5 of 9 genes 6 several 9 genes 7 novel 9 genes 8 risk 9 genes 10 for 13 disease 11 alzheimer 12 's 12 's 13 disease 13 disease 15 ad 14 ( 15 ad 15 ad 16 ) 18 little 19 is 19 is 20 known 20 known 21 about 20 known 24 on 21 about 23 influence 22 their 23 influence 24 on 28 onset 25 the 28 onset 26 age 28 onset 28 onset 30 aao 28 onset 32 of 29 ( 30 aao 30 aao 31 ) 32 of 33 ad the aao is a phenotype with a heritable component distinct from disease risk and may be a useful trait to study in the context of developing interventions for delaying the onset of ad . 0 ###LEFT-WALL### 2 aao 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 34 . 1 the 2 aao 2 aao 14 and 3 is 5 phenotype 3 is 14 and 4 a 5 phenotype 5 phenotype 6 with 5 phenotype 10 distinct 6 with 9 component 7 a 8 heritable 7 a 9 component 8 heritable 9 component 10 distinct 11 from 11 from 13 risk 12 disease 13 risk 14 and 15 may 14 and 20 to 14 and 22 in 14 and 27 interventions 15 may 16 be 16 be 19 trait 17 a 19 trait 18 useful 19 trait 20 to 21 study 22 in 24 context 23 the 24 context 24 context 25 of 25 of 26 developing 27 interventions 28 for 27 interventions 32 of 28 for 29 delaying 29 delaying 31 onset 30 the 31 onset 32 of 33 ad we studied the influence of 10 recently identified ad risk genes and apoe in relation to aao in a large cohort of ad patients ( n = 2569 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 studied 0 ###LEFT-WALL### 30 . 1 we 2 studied 2 studied 4 influence 2 studied 16 to 2 studied 27 = 3 the 4 influence 4 influence 5 of 5 of 12 and 6 10 11 genes 7 recently 8 identified 8 identified 11 genes 9 ad 11 genes 10 risk 11 genes 11 genes 12 and 12 and 13 apoe 14 in 15 relation 15 relation 16 to 16 to 17 aao 17 aao 18 in 17 aao 22 of 18 in 21 cohort 19 a 20 large 19 a 21 cohort 20 large 21 cohort 22 of 24 patients 23 ad 24 patients 25 ( 27 = 26 n 27 = 27 = 28 2569 27 = 29 ) we find that the novel ad risk gene , picalm , exerts a small effect on the aao of ad with earlier disease onset in risk allele carriers . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 find 0 ###LEFT-WALL### 29 . 1 we 2 find 2 find 3 that 3 that 8 gene 3 that 12 exerts 4 the 8 gene 5 novel 8 gene 6 ad 8 gene 7 risk 8 gene 8 gene 10 picalm 8 gene 12 exerts 9 , 10 picalm 10 picalm 11 , 12 exerts 15 effect 12 exerts 16 on 12 exerts 25 in 13 a 14 small 13 a 15 effect 14 small 15 effect 16 on 24 onset 17 the 24 onset 18 aao 19 of 18 aao 24 onset 19 of 20 ad 20 ad 21 with 21 with 23 disease 22 earlier 23 disease 25 in 28 carriers 26 risk 28 carriers 27 allele 28 carriers in addition , we confirmed the previously reported association between the apoe ε4 allele and earlier disease onset . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 confirmed 0 ###LEFT-WALL### 19 . 1 in 2 addition 1 in 3 , 1 in 4 we 4 we 5 confirmed 5 confirmed 9 association 5 confirmed 10 between 6 the 9 association 7 previously 8 reported 8 reported 9 association 10 between 18 onset 11 the 18 onset 12 apoe 14 allele 13 ε4 14 allele 14 allele 15 and 15 and 16 earlier 15 and 17 disease 17 disease 18 onset none of the other ad risk genes influenced aao of ad . 0 ###LEFT-WALL### 7 genes 0 ###LEFT-WALL### 8 influenced 0 ###LEFT-WALL### 12 . 1 none 2 of 1 none 7 genes 2 of 7 genes 3 the 4 other 4 other 7 genes 5 ad 7 genes 6 risk 7 genes 7 genes 8 influenced 8 influenced 9 aao 9 aao 10 of 10 of 11 ad our results suggest that besides apoe , other genes associated with ad risk do not exert large effects on the aao phenotype of ad . 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 9 genes 4 that 16 exert 5 besides 6 apoe 5 besides 7 , 5 besides 9 genes 8 other 9 genes 9 genes 10 associated 9 genes 14 do 10 associated 11 with 11 with 13 risk 12 ad 13 risk 14 do 15 not 14 do 16 exert 16 exert 18 effects 16 exert 19 on 17 large 18 effects 19 on 22 phenotype 20 the 22 phenotype 21 aao 22 phenotype 22 phenotype 23 of 23 of 24 ad we determined the frequency of c9orf72 repeat expansions in a large cohort of belgian patients with familial ( fals ) [and] sporadic ( sals ) amyotrophic lateral sclerosis ( als ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 determined 0 ###LEFT-WALL### 32 . 1 we 2 determined 2 determined 4 frequency 2 determined 9 in 2 determined 16 with 3 the 4 frequency 4 frequency 5 of 5 of 8 expansions 6 c9orf72 8 expansions 7 repeat 8 expansions 9 in 12 cohort 10 a 11 large 10 a 12 cohort 11 large 12 cohort 12 cohort 13 of 13 of 15 patients 14 belgian 15 patients 16 with 28 sclerosis 17 familial 19 fals 17 familial 28 sclerosis 18 ( 19 fals 19 fals 20 ) 22 sporadic 24 sals 22 sporadic 25 ) 22 sporadic 28 sclerosis 23 ( 24 sals 24 sals 25 ) 26 amyotrophic 28 sclerosis 27 lateral 28 sclerosis 28 sclerosis 30 als 29 ( 30 als 30 als 31 ) in total , 119 patients with fals from 62 kindreds , 471 patients with sals , and 384 control subjects were included . 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 22 included 0 ###LEFT-WALL### 23 . 1 in 2 total 2 total 3 , 2 total 17 and 4 119 5 patients 5 patients 6 with 5 patients 17 and 6 with 7 fals 7 fals 8 from 7 fals 13 patients 8 from 10 kindreds 9 62 10 kindreds 11 , 13 patients 12 471 13 patients 13 patients 14 with 13 patients 16 , 14 with 15 sals 16 , 17 and 17 and 20 subjects 17 and 21 were 18 384 20 subjects 19 control 20 subjects 21 were 22 included a c9orf72 repeat expansion was found in 32 of 62 fals pedigrees ( 51.6 % ) , in 45 of 471 patients with sals ( 9.6 % ) , but in none of the control subjects . 0 ###LEFT-WALL### 4 expansion 0 ###LEFT-WALL### 6 found 0 ###LEFT-WALL### 37 . 1 a 4 expansion 2 c9orf72 3 repeat 3 repeat 4 expansion 4 expansion 5 was 5 was 6 found 6 found 7 in 6 found 18 in 6 found 30 but 7 in 8 32 8 32 9 of 9 of 12 pedigrees 10 62 12 pedigrees 11 fals 12 pedigrees 12 pedigrees 15 % 13 ( 15 % 14 51.6 15 % 15 % 16 ) 17 , 18 in 18 in 19 45 18 in 29 , 19 45 20 of 19 45 27 % 20 of 22 patients 21 471 22 patients 22 patients 23 with 23 with 24 sals 25 ( 27 % 26 9.6 27 % 27 % 28 ) 30 but 31 in 31 in 36 subjects 32 none 33 of 32 none 36 subjects 33 of 36 subjects 34 the 36 subjects 35 control 36 subjects in the sals cohort , there were no significant differences in these disease characteristics between the c9orf72 repeat expansion carriers and the noncarriers . 0 ###LEFT-WALL### 6 there 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 24 . 1 in 4 cohort 1 in 5 , 1 in 6 there 2 the 4 cohort 3 sals 4 cohort 6 there 7 were 7 were 10 differences 8 no 10 differences 9 significant 10 differences 10 differences 11 in 10 differences 15 between 11 in 14 characteristics 12 these 14 characteristics 13 disease 14 characteristics 15 between 21 and 16 the 20 carriers 17 c9orf72 18 repeat 18 repeat 20 carriers 19 expansion 20 carriers 20 carriers 21 and 21 and 23 noncarriers 22 the 23 noncarriers c9orf72 repeat expansions are a frequent cause of als in belgium , and also in sals patients . 0 ###LEFT-WALL### 3 expansions 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 18 . 1 c9orf72 3 expansions 2 repeat 3 expansions 3 expansions 4 are 4 are 7 cause 5 a 6 frequent 5 a 7 cause 6 frequent 7 cause 7 cause 8 of 8 of 9 als 9 als 13 and 10 in 11 belgium 10 in 13 and 12 , 13 and 13 and 14 also 13 and 15 in 15 in 17 patients 16 sals 17 patients these results might justify genetic testing of c9orf72 in all als patients . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 justify 0 ###LEFT-WALL### 13 . 1 these 2 results 2 results 3 might 3 might 4 justify 4 justify 6 testing 4 justify 9 in 5 genetic 6 testing 6 testing 7 of 7 of 8 c9orf72 9 in 12 patients 10 all 12 patients 11 als 12 patients coats plus [is] a rare recessive disorder characterized by intracranial calcifications , hematological abnormalities , and retinal vascular defects . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 20 . 1 coats 2 plus 1 coats 16 and 2 plus 7 disorder 4 a 5 rare 4 a 7 disorder 5 rare 7 disorder 6 recessive 7 disorder 7 disorder 8 characterized 8 characterized 9 by 9 by 11 calcifications 10 intracranial 11 calcifications 11 calcifications 14 abnormalities 12 , 14 abnormalities 13 hematological 14 abnormalities 14 abnormalities 15 , 16 and 19 defects 17 retinal 19 defects 18 vascular 19 defects this disease results from mutations in ctc1 , a member of the ctc1 - stn1 - ten1 [(] [cst] ) complex critical [for] telomere replication . 0 ###LEFT-WALL### 2 disease 0 ###LEFT-WALL### 3 results 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 26 . 1 this 2 disease 2 disease 3 results 3 results 4 from 3 results 6 in 4 from 5 mutations 6 in 7 ctc1 7 ctc1 10 member 8 , 10 member 9 a 10 member 10 member 11 of 10 member 14 - 11 of 13 ctc1 12 the 13 ctc1 14 - 25 replication 15 stn1 17 ten1 15 stn1 25 replication 16 - 17 ten1 17 ten1 20 ) 21 complex 24 telomere 22 critical 24 telomere 24 telomere 25 replication telomeres are [specialized] dna/protein structures essential for the maintenance of genome stability . 0 ###LEFT-WALL### 1 telomeres 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 13 . 1 telomeres 2 are 2 are 5 structures 4 dna/protein 5 structures 5 structures 6 essential 6 essential 7 for 7 for 9 maintenance 8 the 9 maintenance 9 maintenance 10 of 10 of 12 stability 11 genome 12 stability several patients with coats plus display critically shortened telomeres , suggesting that telomere dysfunction plays an important role in disease pathogenesis . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 8 shortened 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 22 . 1 several 2 patients 2 patients 3 with 2 patients 8 shortened 3 with 6 display 4 coats 6 display 5 plus 6 display 7 critically 8 shortened 8 shortened 9 telomeres 10 , 11 suggesting 10 , 15 plays 11 suggesting 14 dysfunction 11 suggesting 15 plays 12 that 13 telomere 13 telomere 14 dysfunction 15 plays 18 role 16 an 18 role 17 important 18 role 18 role 19 in 19 in 21 pathogenesis 20 disease 21 pathogenesis these patients inherit ctc1 mutations in a compound heterozygous manner , with one allele encoding a frameshift mutant and the other a missense mutant . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 3 inherit 1 these 2 patients 2 patients 3 inherit 3 inherit 5 mutations 3 inherit 6 in 3 inherit 12 with 4 ctc1 5 mutations 6 in 10 manner 7 a 8 compound 7 a 10 manner 8 compound 10 manner 9 heterozygous 10 manner 11 , 12 with 12 with 19 and 12 with 24 mutant 12 with 25 . 13 one 14 allele 14 allele 15 encoding 14 allele 19 and 15 encoding 18 mutant 16 a 18 mutant 17 frameshift 18 mutant 19 and 21 other 20 the 21 other 22 a 23 missense 22 a 24 mutant 23 missense 24 mutant how these mutations [impact] upon telomere function is unknown . 0 ###LEFT-WALL### 1 how 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 10 . 1 how 3 mutations 1 how 7 function 1 how 8 is 2 these 3 mutations 3 mutations 5 upon 3 mutations 7 function 5 upon 6 telomere 8 is 9 unknown we report here the first biochemical characterization of human ctc1 mutations . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 report 0 ###LEFT-WALL### 12 . 1 we 2 report 2 report 3 here 2 report 7 characterization 4 the 5 first 4 the 7 characterization 6 biochemical 7 characterization 7 characterization 8 of 8 of 11 mutations 9 human 11 mutations 10 ctc1 11 mutations we found that all ctc1 frameshift mutations generated truncated or unstable protein products , none of which were able to form a complex with stn1 - ten1 on telomeres , resulting in progressive telomere shortening and formation of fused chromosomes . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 41 . 1 we 14 , 2 found 3 that 2 found 10 or 2 found 14 , 4 all 7 mutations 5 ctc1 6 frameshift 6 frameshift 7 mutations 7 mutations 8 generated 7 mutations 9 truncated 7 mutations 10 or 10 or 13 products 11 unstable 12 protein 12 protein 13 products 14 , 21 form 14 , 24 with 15 none 16 of 15 none 18 were 16 of 17 which 18 were 19 able 19 able 20 to 20 to 21 form 21 form 23 complex 22 a 23 complex 24 with 25 stn1 24 with 31 resulting 25 stn1 27 ten1 26 - 27 ten1 27 ten1 28 on 27 ten1 30 , 28 on 29 telomeres 31 resulting 32 in 32 in 36 and 33 progressive 35 shortening 34 telomere 35 shortening 35 shortening 36 and 36 and 37 formation 36 and 38 of 38 of 40 chromosomes 39 fused 40 chromosomes missense mutations are able to form the [cst] complex at telomeres , but their expression levels are often repressed by the frameshift mutants . 0 ###LEFT-WALL### 2 mutations 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 13 but 0 ###LEFT-WALL### 24 . 1 missense 2 mutations 2 mutations 3 are 3 are 4 able 4 able 5 to 4 able 6 form 5 to 6 form 6 form 9 complex 7 the 9 complex 9 complex 10 at 10 at 11 telomeres 12 , 13 but 13 but 16 levels 13 but 17 are 14 their 16 levels 15 expression 16 levels 16 levels 17 are 17 are 18 often 17 are 19 repressed 19 repressed 20 by 20 by 23 mutants 21 the 23 mutants 22 frameshift 23 mutants our results also demonstrate for the first time that ctc1 mutations promote telomere dysfunction by decreasing the stability of stn1 to reduce its ability to interact with dna polα , thus highlighting a previously unknown mechanism to induce telomere dysfunction . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 demonstrate 1 our 2 results 2 results 4 demonstrate 3 also 4 demonstrate 4 demonstrate 5 for 4 demonstrate 8 time 4 demonstrate 15 by 4 demonstrate 21 to 5 for 7 first 6 the 7 first 8 time 9 that 9 that 11 mutations 9 that 12 promote 10 ctc1 11 mutations 11 mutations 12 promote 12 promote 14 dysfunction 13 telomere 14 dysfunction 15 by 16 decreasing 16 decreasing 18 stability 17 the 18 stability 18 stability 19 of 19 of 20 stn1 21 to 22 reduce 22 reduce 24 ability 22 reduce 25 to 23 its 24 ability 25 to 26 interact 26 interact 27 with 26 interact 32 highlighting 27 with 29 polα 28 dna 29 polα 30 , 32 highlighting 31 thus 32 highlighting 32 highlighting 36 mechanism 32 highlighting 37 to 32 highlighting 41 . 33 a 34 previously 33 a 36 mechanism 34 previously 35 unknown 35 unknown 36 mechanism 37 to 38 induce 38 induce 40 dysfunction 39 telomere 40 dysfunction the objective is to test the effectiveness of partners in dementia care ( pdc ) , a care - coordination program that integrates and improves access [to] medical and nonmedical services , while strengthening the informal care network and providing information , coaching , and emotional support . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 48 . 1 the 2 objective 2 objective 3 is 3 is 4 to 3 is 5 test 4 to 5 test 5 test 7 effectiveness 5 test 10 in 6 the 7 effectiveness 7 effectiveness 8 of 8 of 9 partners 10 in 14 pdc 11 dementia 12 care 12 care 14 pdc 13 ( 14 pdc 14 pdc 15 ) 16 , 18 care 16 , 19 - 17 a 18 care 19 - 45 and 20 coordination 21 program 21 program 31 services 22 that 24 and 22 that 29 and 23 integrates 24 and 24 and 25 improves 24 and 26 access 26 access 28 medical 29 and 30 nonmedical 29 and 31 services 31 services 43 coaching 31 services 45 and 32 , 33 while 33 while 34 strengthening 33 while 42 , 33 while 43 coaching 34 strengthening 39 and 35 the 38 network 36 informal 37 care 37 care 38 network 38 network 39 and 39 and 41 information 39 and 42 , 40 providing 41 information 44 , 45 and 45 and 47 support 46 emotional 47 support pdc was delivered via a partnership between veterans affairs ( va ) medical centers ( vamcs ) and alzheimer 's association chapters , for caregivers of veterans with dementia living in the community and receiving primary care from the va . 0 ###LEFT-WALL### 1 pdc 0 ###LEFT-WALL### 3 delivered 0 ###LEFT-WALL### 41 . 1 pdc 2 was 2 was 3 delivered 3 delivered 4 via 3 delivered 38 from 4 via 18 and 5 a 6 partnership 6 partnership 7 between 6 partnership 18 and 7 between 14 centers 8 veterans 9 affairs 9 affairs 11 va 10 ( 11 va 11 va 12 ) 11 va 13 medical 13 medical 14 centers 14 centers 16 vamcs 15 ( 16 vamcs 16 vamcs 17 ) 18 and 22 chapters 18 and 23 , 18 and 24 for 18 and 26 of 18 and 30 living 19 alzheimer 20 's 20 's 22 chapters 21 association 22 chapters 24 for 25 caregivers 26 of 27 veterans 27 veterans 28 with 28 with 29 dementia 30 living 31 in 31 in 34 and 32 the 33 community 33 community 34 and 34 and 37 care 35 receiving 37 care 36 primary 37 care 38 from 40 va 39 the 40 va the initial sample was 486 caregivers of 508 veterans with diagnosed dementia . 0 ###LEFT-WALL### 3 sample 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 13 . 1 the 3 sample 2 initial 3 sample 3 sample 4 was 4 was 6 caregivers 5 486 6 caregivers 6 caregivers 7 of 7 of 9 veterans 8 508 9 veterans 9 veterans 10 with 10 with 12 dementia 11 diagnosed 12 dementia outcomes were evaluated for 394 and 324 caregivers who completed 6 - and 12 - [month] follow - up , respectively . 0 ###LEFT-WALL### 1 outcomes 0 ###LEFT-WALL### 3 evaluated 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 22 . 1 outcomes 2 were 2 were 3 evaluated 3 evaluated 4 for 4 for 8 caregivers 5 394 6 and 6 and 7 324 6 and 8 caregivers 8 caregivers 9 who 8 caregivers 10 completed 9 who 10 completed 10 completed 11 6 12 - 13 and 13 and 14 12 13 and 15 - 14 12 15 - 15 - 17 follow 17 follow 19 up 17 follow 21 respectively 18 - 19 up 19 up 20 , pdc had a standardized protocol that included assessment and reassessment , action planning , and ongoing monitoring . 0 ###LEFT-WALL### 1 pdc 0 ###LEFT-WALL### 17 monitoring 0 ###LEFT-WALL### 18 . 1 pdc 2 had 2 had 5 protocol 3 a 5 protocol 4 standardized 5 protocol 5 protocol 6 that 5 protocol 17 monitoring 6 that 7 included 7 included 15 and 8 assessment 9 and 9 and 10 reassessment 9 and 12 action 9 and 15 and 11 , 12 action 12 action 13 planning 12 action 14 , 14 , 15 and 15 and 16 ongoing 15 and 17 monitoring it was delivered by telephone and [e] - mail for cost efficiency and the ability to handle caseloads of 100 to 125 . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 delivered 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 23 . 1 it 2 was 2 was 3 delivered 3 delivered 5 telephone 4 by 5 telephone 6 and 8 - 6 and 17 handle 8 - 9 mail 9 mail 10 for 9 mail 13 and 9 mail 16 to 10 for 11 cost 12 efficiency 13 and 13 and 15 ability 14 the 15 ability 16 to 17 handle 17 handle 18 caseloads 18 caseloads 19 of 19 of 21 to 20 100 21 to 21 to 22 125 care coordinators from vamcs and alzheimer 's association chapters worked as a team using a shared computerized record . 0 ###LEFT-WALL### 2 coordinators 0 ###LEFT-WALL### 10 worked 0 ###LEFT-WALL### 19 . 1 care 2 coordinators 2 coordinators 3 from 2 coordinators 10 worked 3 from 5 and 4 vamcs 5 and 5 and 9 chapters 6 alzheimer 7 's 7 's 9 chapters 8 association 9 chapters 10 worked 11 as 11 as 13 team 12 a 13 team 13 team 14 using 14 using 18 record 15 a 18 record 16 shared 18 record 17 computerized 18 record a variety of caregiver outcomes was measured after 6 and 12 months . 0 ###LEFT-WALL### 2 variety 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 13 . 1 a 2 variety 2 variety 3 of 2 variety 6 was 3 of 5 outcomes 4 caregiver 5 outcomes 6 was 7 measured 7 measured 8 after 8 after 12 months 9 6 10 and 10 and 11 12 10 and 12 months intervention group caregivers had significant improvements in outcomes representing unmet needs , three types of caregiver strains , depression , and two support resources . 0 ###LEFT-WALL### 3 caregivers 0 ###LEFT-WALL### 4 had 0 ###LEFT-WALL### 25 . 1 intervention 3 caregivers 2 group 3 caregivers 3 caregivers 4 had 4 had 6 improvements 4 had 7 in 5 significant 6 improvements 7 in 21 and 8 outcomes 9 representing 8 outcomes 21 and 9 representing 11 needs 10 unmet 11 needs 11 needs 17 strains 12 , 17 strains 13 three 14 types 14 types 15 of 14 types 17 strains 15 of 17 strains 16 caregiver 17 strains 17 strains 19 depression 17 strains 20 , 18 , 19 depression 19 depression 20 , 20 , 21 and 21 and 24 resources 22 two 23 support 23 support 24 resources most improvements were evident after 6 months , with more - limited improvements from months 6 to 12 . 0 ###LEFT-WALL### 2 improvements 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 19 . 1 most 2 improvements 2 improvements 3 were 3 were 4 evident 4 evident 5 after 5 after 7 months 5 after 12 limited 6 6 7 months 7 months 9 with 7 months 12 limited 8 , 9 with 9 with 10 more 9 with 11 - 12 limited 13 improvements 13 improvements 14 from 14 from 15 months 15 months 17 to 16 6 17 to 17 to 18 12 some outcomes improved for all caregivers , whereas some improved for caregivers experiencing more initial difficulties or caring for veterans with more - severe impairments . 0 ###LEFT-WALL### 2 outcomes 0 ###LEFT-WALL### 3 improved 1 some 2 outcomes 2 outcomes 3 improved 3 improved 4 for 3 improved 8 whereas 4 for 6 caregivers 5 all 6 caregivers 7 , 8 whereas 8 whereas 9 some 8 whereas 15 initial 8 whereas 26 . 9 some 10 improved 9 some 13 experiencing 9 some 15 initial 10 improved 11 for 11 for 12 caregivers 13 experiencing 14 more 15 initial 17 or 15 initial 19 for 16 difficulties 17 or 17 or 18 caring 19 for 20 veterans 20 veterans 21 with 20 veterans 25 impairments 21 with 22 more 23 - 25 impairments 24 severe 25 impairments 25 impairments 26 . pdc is a promising model that improves linkages between healthcare services and community services , which is a goal of several new national initiatives such as the national plan to address alzheimer 's disease and a proposed amendment to the older americans act . 0 ###LEFT-WALL### 1 pdc 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 44 . 1 pdc 2 is 2 is 5 model 2 is 16 which 2 is 39 to 3 a 4 promising 3 a 5 model 4 promising 5 model 5 model 6 that 5 model 7 improves 6 that 7 improves 7 improves 8 linkages 7 improves 9 between 9 between 12 and 10 healthcare 11 services 11 services 12 and 12 and 14 services 12 and 15 , 13 community 14 services 16 which 17 is 17 is 19 goal 18 a 19 goal 19 goal 20 of 20 of 24 initiatives 21 several 24 initiatives 22 new 23 national 23 national 24 initiatives 24 initiatives 26 as 25 such 26 as 26 as 29 plan 27 the 29 plan 28 national 29 plan 29 plan 30 to 30 to 35 and 31 address 32 alzheimer 32 alzheimer 33 's 33 's 34 disease 34 disease 35 and 35 and 38 amendment 36 a 38 amendment 37 proposed 38 amendment 39 to 43 act 40 the 42 americans 41 older 42 americans 42 americans 43 act objectives : the aim was to describe the existential life situations of spouses who care for persons with dementia , [before] and after relocation to nursing homes . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 4 aim 2 : 5 was 2 : 28 . 3 the 4 aim 4 aim 5 was 5 was 6 to 5 was 16 for 5 was 22 and 5 was 25 to 6 to 7 describe 7 describe 11 situations 8 the 11 situations 9 existential 10 life 10 life 11 situations 11 situations 12 of 12 of 13 spouses 13 spouses 14 who 13 spouses 15 care 14 who 15 care 16 for 17 persons 18 with 19 dementia 18 with 22 and 20 , 22 and 22 and 23 after 23 after 24 relocation 25 to 26 nursing 26 nursing 27 homes method : this was a qualitative study among 11 spouses of persons with dementia , recruited via purposeful sampling . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 3 this 2 : 15 , 2 : 20 . 3 this 15 , 4 was 7 study 4 was 15 , 5 a 6 qualitative 5 a 7 study 6 qualitative 7 study 7 study 8 among 8 among 10 spouses 9 11 10 spouses 10 spouses 11 of 11 of 12 persons 12 persons 13 with 13 with 14 dementia 15 , 16 recruited 15 , 17 via 17 via 19 sampling 18 purposeful 19 sampling data were collected through interviews and analysed with interpretive content analysis . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 12 . 1 data 2 were 2 were 3 collected 3 collected 4 through 3 collected 8 with 4 through 6 and 5 interviews 6 and 6 and 7 analysed 8 with 11 analysis 9 interpretive 11 analysis 10 content 11 analysis results : before the relocation to nursing homes , the spouses ' existential life situations were characterized by feelings of shame and guilt , being isolated in the home . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 , 1 results 2 : 2 : 3 before 2 : 6 to 3 before 5 relocation 4 the 5 relocation 6 to 7 nursing 7 nursing 8 homes 9 , 15 situations 9 , 17 characterized 10 the 11 spouses 11 spouses 12 ' 12 ' 15 situations 13 existential 14 life 14 life 15 situations 15 situations 16 were 16 were 17 characterized 17 characterized 18 by 18 by 19 feelings 19 feelings 20 of 19 feelings 25 being 20 of 22 and 21 shame 22 and 22 and 23 guilt 24 , 25 being 25 being 26 isolated 25 being 30 . 26 isolated 27 in 27 in 29 home 28 the 29 home spouses were also exposed to psychological threats , physical violence , and had feelings of placing one 's own needs last . 0 ###LEFT-WALL### 1 spouses 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 22 . 1 spouses 12 and 2 were 4 exposed 2 were 12 and 3 also 4 exposed 4 exposed 5 to 5 to 7 threats 6 psychological 7 threats 7 threats 10 violence 8 , 10 violence 9 physical 10 violence 10 violence 11 , 12 and 13 had 13 had 14 feelings 13 had 21 last 14 feelings 15 of 15 of 16 placing 16 placing 20 needs 17 one 18 's 18 's 19 own 18 's 20 needs after the relocation , spouses described feelings of guilt and freedom , living with grief and thoughts of death , feelings of loneliness in the spousal relationship , and striving for acceptance despite a lack of completion . 0 ###LEFT-WALL### 5 spouses 0 ###LEFT-WALL### 6 described 0 ###LEFT-WALL### 38 . 1 after 3 relocation 1 after 4 , 1 after 5 spouses 2 the 3 relocation 5 spouses 6 described 6 described 7 feelings 7 feelings 8 of 8 of 10 and 9 guilt 10 and 10 and 11 freedom 10 and 12 , 10 and 13 living 13 living 14 with 13 living 33 despite 14 with 29 and 15 grief 16 and 16 and 17 thoughts 16 and 18 of 16 and 21 feelings 16 and 29 and 18 of 19 death 20 , 21 feelings 21 feelings 22 of 21 feelings 28 , 22 of 23 loneliness 23 loneliness 24 in 24 in 27 relationship 25 the 27 relationship 26 spousal 27 relationship 28 , 29 and 29 and 30 striving 29 and 31 for 31 for 32 acceptance 33 despite 35 lack 34 a 35 lack 35 lack 36 of 36 of 37 completion conclusion : the existential life situation of spouses of persons with dementia is about being in limit situations which changes when the ill person relocates to a nursing home . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 6 situation 2 : 13 is 2 : 30 . 3 the 6 situation 4 existential 5 life 5 life 6 situation 6 situation 7 of 6 situation 13 is 7 of 8 spouses 8 spouses 9 of 8 spouses 11 with 9 of 10 persons 11 with 12 dementia 13 is 14 about 14 about 15 being 15 being 16 in 15 being 19 which 15 being 20 changes 16 in 18 situations 17 limit 18 situations 19 which 20 changes 20 changes 21 when 21 when 24 person 21 when 25 relocates 22 the 24 person 23 ill 24 person 24 person 25 relocates 25 relocates 26 to 26 to 29 home 27 a 28 nursing 27 a 29 home 28 nursing 29 home this is important knowledge for health care staff to bear in mind at nursing homes when encountering spouses . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 19 . 1 this 2 is 2 is 4 knowledge 3 important 4 knowledge 4 knowledge 5 for 4 knowledge 9 to 4 knowledge 10 bear 5 for 8 staff 6 health 8 staff 7 care 8 staff 9 to 10 bear 10 bear 11 in 10 bear 13 at 11 in 12 mind 13 at 14 nursing 14 nursing 15 homes 14 nursing 16 when 16 when 17 encountering 17 encountering 18 spouses objectives : to explore the practice patterns of general practitioners ( gps ) for the diagnosis , disclosure and pharmacological management of individuals with dementia . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 3 to 2 : 4 explore 3 to 4 explore 4 explore 7 patterns 4 explore 14 for 4 explore 24 with 5 the 7 patterns 6 practice 7 patterns 7 patterns 8 of 8 of 10 practitioners 9 general 10 practitioners 10 practitioners 12 gps 11 ( 12 gps 12 gps 13 ) 14 for 19 and 15 the 16 diagnosis 16 diagnosis 17 , 17 , 18 disclosure 17 , 19 and 19 and 21 management 19 and 22 of 20 pharmacological 21 management 22 of 23 individuals 24 with 25 dementia we also investigated whether the number of years working in general practice is a determinant factor associated with the responses obtained . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 22 . 1 we 3 investigated 2 also 3 investigated 3 investigated 4 whether 3 investigated 18 with 4 whether 6 number 4 whether 16 factor 5 the 6 number 6 number 7 of 6 number 16 factor 7 of 8 years 8 years 9 working 8 years 12 practice 8 years 13 is 9 working 10 in 11 general 12 practice 12 practice 13 is 13 is 15 determinant 14 a 15 determinant 16 factor 17 associated 18 with 20 responses 19 the 20 responses 20 responses 21 obtained method : a national survey was sent to all registered gps in the maltese islands . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 5 survey 2 : 7 sent 2 : 16 . 3 a 4 national 3 a 5 survey 4 national 5 survey 5 survey 6 was 6 was 7 sent 7 sent 8 to 7 sent 12 in 8 to 11 gps 9 all 11 gps 10 registered 11 gps 12 in 15 islands 13 the 15 islands 14 maltese 15 islands the return rate was 54.2 % with the majority of respondents having 15 years or more working experience in general practice . 0 ###LEFT-WALL### 3 rate 0 ###LEFT-WALL### 12 having 0 ###LEFT-WALL### 22 . 1 the 3 rate 2 return 3 rate 3 rate 4 was 4 was 6 % 5 54.2 6 % 6 % 7 with 6 % 10 of 7 with 9 majority 8 the 9 majority 10 of 11 respondents 11 respondents 12 having 12 having 18 experience 13 15 14 years 14 years 15 or 15 or 16 more 15 or 18 experience 17 working 18 experience 18 experience 19 in 19 in 21 practice 20 general 21 practice chi - square analysis of variance was used to determine any relationship effects . 0 ###LEFT-WALL### 4 analysis 0 ###LEFT-WALL### 8 used 0 ###LEFT-WALL### 14 . 1 chi 2 - 1 chi 4 analysis 3 square 4 analysis 4 analysis 5 of 4 analysis 7 was 5 of 6 variance 7 was 8 used 8 used 9 to 8 used 10 determine 9 to 10 determine 10 determine 13 effects 11 any 13 effects 12 relationship 13 effects results : although the majority of gps indicated lack of competence in diagnosing dementia , only a small percentage showed a preference towards specialist referral . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 16 only 2 : 20 showed 3 although 9 lack 3 although 15 , 3 although 16 only 4 the 5 majority 5 majority 6 of 5 majority 9 lack 6 of 9 lack 7 gps 8 indicated 8 indicated 9 lack 9 lack 10 of 10 of 11 competence 11 competence 12 in 12 in 13 diagnosing 13 diagnosing 14 dementia 16 only 19 percentage 17 a 18 small 17 a 19 percentage 18 small 19 percentage 19 percentage 20 showed 20 showed 22 preference 20 showed 23 towards 21 a 22 preference 23 towards 25 referral 24 specialist 25 referral lack of training was mostly envisaged by physicians with the [least] number of years in general practice . 0 ###LEFT-WALL### 1 lack 0 ###LEFT-WALL### 6 envisaged 0 ###LEFT-WALL### 18 . 1 lack 2 of 1 lack 4 was 2 of 3 training 4 was 6 envisaged 5 mostly 6 envisaged 6 envisaged 7 by 6 envisaged 9 with 6 envisaged 15 in 7 by 8 physicians 9 with 12 number 10 the 12 number 12 number 13 of 13 of 14 years 15 in 17 practice 16 general 17 practice significant differences in pharmacotherapeutic prescribing were noted depending on the stage of disease progression and the number of years working as a gp . 0 ###LEFT-WALL### 1 significant 0 ###LEFT-WALL### 7 noted 0 ###LEFT-WALL### 24 . 1 significant 2 differences 1 significant 6 were 1 significant 7 noted 2 differences 3 in 2 differences 6 were 3 in 5 prescribing 4 pharmacotherapeutic 5 prescribing 7 noted 8 depending 8 depending 9 on 9 on 15 and 10 the 11 stage 11 stage 12 of 11 stage 15 and 12 of 14 progression 13 disease 14 progression 15 and 17 number 15 and 18 of 16 the 17 number 18 of 19 years 19 years 20 working 20 working 21 as 21 as 23 gp 22 a 23 gp disease disclosure was not routinely carried out even though gps were aware of the fact that disclosure may help individuals with dementia and their caregivers or relatives with future planning . 0 ###LEFT-WALL### 1 disease 0 ###LEFT-WALL### 6 carried 0 ###LEFT-WALL### 31 . 1 disease 2 disclosure 1 disease 3 was 1 disease 6 carried 2 disclosure 3 was 3 was 4 not 4 not 5 routinely 6 carried 7 out 7 out 8 even 7 out 21 with 7 out 28 with 8 even 9 though 9 though 10 gps 9 though 11 were 10 gps 11 were 11 were 12 aware 12 aware 13 of 13 of 15 fact 14 the 15 fact 15 fact 16 that 16 that 17 disclosure 16 that 19 help 17 disclosure 18 may 18 may 19 help 19 help 20 individuals 21 with 26 or 22 dementia 23 and 23 and 25 caregivers 23 and 26 or 24 their 25 caregivers 26 or 27 relatives 28 with 30 planning 29 future 30 planning conclusion : the findings show notable shortcomings in various aspects of dementia management by gps . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 findings 2 : 5 show 2 : 16 . 3 the 4 findings 4 findings 5 show 5 show 7 shortcomings 5 show 8 in 5 show 14 by 6 notable 7 shortcomings 8 in 10 aspects 9 various 10 aspects 10 aspects 11 of 11 of 13 management 12 dementia 13 management 14 by 15 gps this highlights the need of providing continued educational support and training opportunities to enhance not only gps ' clinical competence , but also their role as key players in providing quality support to individuals with dementia in the primary care setting . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 42 . 1 this 2 highlights 2 highlights 10 and 2 highlights 13 to 2 highlights 26 as 2 highlights 29 in 3 the 10 and 4 need 5 of 4 need 10 and 5 of 6 providing 6 providing 9 support 7 continued 9 support 8 educational 9 support 10 and 12 opportunities 11 training 12 opportunities 13 to 14 enhance 14 enhance 23 also 15 not 16 only 16 only 23 also 17 gps 18 ' 18 ' 20 competence 19 clinical 20 competence 20 competence 23 also 21 , 23 also 22 but 23 also 23 also 25 role 24 their 25 role 26 as 28 players 27 key 28 players 29 in 30 providing 30 providing 32 support 30 providing 33 to 30 providing 35 with 30 providing 37 in 31 quality 32 support 33 to 34 individuals 35 with 36 dementia 37 in 41 setting 38 the 41 setting 39 primary 40 care 40 care 41 setting objectives : to describe the development of a scale assessing participant attitudes regarding two commonly encountered trade - offs : quality versus quantity [of] life and present versus future health . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 describe 2 : 20 : 3 to 4 describe 4 describe 6 development 5 the 6 development 6 development 7 of 6 development 10 assessing 7 of 9 scale 8 a 9 scale 10 assessing 12 attitudes 10 assessing 16 encountered 11 participant 12 attitudes 12 attitudes 13 regarding 12 attitudes 16 encountered 13 regarding 14 two 15 commonly 16 encountered 16 encountered 17 trade 17 trade 19 offs 18 - 19 offs 19 offs 20 : 20 : 26 and 20 : 31 . 21 quality 22 versus 21 quality 26 and 22 versus 25 life 23 quantity 25 life 26 and 27 present 26 and 28 versus 28 versus 30 health 29 future 30 health design : observational cohort study . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 . 1 design 2 : 2 : 5 study 3 observational 4 cohort 4 cohort 5 study setting : community . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 . 1 setting 2 : 2 : 3 community participants : three hundred and fifty - seven community [-] dwelling adults aged 65 and older . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 17 . 1 participants 2 : 2 : 6 fifty 2 : 15 and 3 three 4 hundred 4 hundred 5 and 5 and 6 fifty 7 - 8 seven 8 seven 12 adults 9 community 12 adults 11 dwelling 12 adults 12 adults 13 aged 12 adults 15 and 13 aged 14 65 15 and 16 older measurements : an initial set of 20 items rated on a 5 [-] point likert scale of agreement was reduced using principal components analysis . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 2 : 4 initial 2 : 20 reduced 2 : 25 . 3 an 4 initial 4 initial 5 set 4 initial 6 of 4 initial 9 rated 4 initial 19 was 6 of 8 items 7 20 8 items 9 rated 10 on 10 on 16 scale 11 a 16 scale 12 5 14 point 14 point 16 scale 15 likert 16 scale 16 scale 17 of 17 of 18 agreement 19 was 20 reduced 20 reduced 21 using 21 using 24 analysis 22 principal 24 analysis 23 components 24 analysis construct validity was evaluated through comparison of the scale with other tools addressing the same trade - offs and analysis of participant characteristics associated with attitudes favoring quality over quantity [of] life and present over future health . 0 ###LEFT-WALL### 2 validity 0 ###LEFT-WALL### 4 evaluated 1 construct 2 validity 2 validity 3 was 3 was 4 evaluated 4 evaluated 5 through 5 through 6 comparison 6 comparison 7 of 6 comparison 10 with 6 comparison 19 and 7 of 9 scale 8 the 9 scale 10 with 12 tools 11 other 12 tools 12 tools 13 addressing 13 addressing 16 trade 14 the 15 same 14 the 16 trade 17 - 19 and 18 offs 19 and 19 and 20 analysis 19 and 27 favoring 19 and 38 . 20 analysis 21 of 20 analysis 24 associated 21 of 23 characteristics 22 participant 23 characteristics 24 associated 25 with 25 with 26 attitudes 27 favoring 28 quality 27 favoring 29 over 29 over 33 and 30 quantity 32 life 32 life 33 and 33 and 34 present 33 and 35 over 35 over 37 health 36 future 37 health internal consistency was assessed using cronbach alpha . 0 ###LEFT-WALL### 2 consistency 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 8 . 1 internal 2 consistency 2 consistency 3 was 3 was 4 assessed 4 assessed 5 using 5 using 7 alpha 6 cronbach 7 alpha test - [retest] reliability was assessed using intraclass correlation coefficients ( iccs ) . 0 ###LEFT-WALL### 4 reliability 0 ###LEFT-WALL### 6 assessed 0 ###LEFT-WALL### 14 . 1 test 2 - 1 test 4 reliability 4 reliability 5 was 5 was 6 assessed 6 assessed 7 using 7 using 10 coefficients 8 intraclass 10 coefficients 9 correlation 10 coefficients 10 coefficients 12 iccs 11 ( 12 iccs 12 iccs 13 ) results : the scale consists of two subscales , each addressing one trade - [off] , with a total of 10 items . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 scale 2 : 5 consists 3 the 4 scale 4 scale 5 consists 5 consists 6 of 6 of 8 subscales 7 two 8 subscales 8 subscales 11 addressing 8 subscales 17 with 9 , 11 addressing 10 each 11 addressing 11 addressing 13 trade 11 addressing 14 - 12 one 13 trade 16 , 17 with 17 with 19 total 17 with 23 . 18 a 19 total 19 total 20 of 20 of 22 items 21 10 22 items all factor loadings were 0.5 and greater , [and] subscale scores were significantly different [(] [p] ≤ . 05 [ )(in [the] expected directions when comparing with other tools and with participant race , education , and religious identity . 0 ###LEFT-WALL### 3 loadings 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 18 . 1 all 3 loadings 2 factor 3 loadings 3 loadings 4 were 4 were 5 0.5 6 and 11 scores 6 and 12 were 7 greater 8 , 7 greater 10 subscale 10 subscale 11 scores 11 scores 12 were 12 were 13 significantly 12 were 17 ≤ 14 different 17 ≤ 18 . 21 )(in 18 . 23 expected 18 . 34 , 18 . 40 . 19 05 21 )(in 21 )(in 23 expected 23 expected 24 directions 23 expected 25 when 25 when 26 comparing 26 comparing 30 and 27 with 29 tools 27 with 30 and 28 other 29 tools 30 and 31 with 31 with 33 race 32 participant 33 race 34 , 37 and 35 education 37 and 36 , 37 and 37 and 39 identity 38 religious 39 identity internal consistency was good ( cronbach α 0.85 and 0.84 [ )(, and test - [retest] reliability [was] [fair] ( iccs 0.63 and 0.47 ) . 0 ###LEFT-WALL### 2 consistency 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 26 . 1 internal 2 consistency 2 consistency 3 was 3 was 17 reliability 4 good 13 and 4 good 15 - 4 good 17 reliability 5 ( 13 and 6 cronbach 7 α 7 α 9 and 7 α 13 and 8 0.85 9 and 9 and 10 0.84 12 )(, 13 and 13 and 14 test 13 and 15 - 17 reliability 21 iccs 20 ( 21 iccs 21 iccs 23 and 21 iccs 25 ) 22 0.63 23 and 23 and 24 0.47 subscale score medians fell near the middle of each scale , with narrow interquartile ranges , but more than 15 % of the sample scored at an extreme of each subscale . 0 ###LEFT-WALL### 3 medians 0 ###LEFT-WALL### 4 fell 0 ###LEFT-WALL### 17 but 0 ###LEFT-WALL### 32 . 1 subscale 3 medians 2 score 3 medians 3 medians 4 fell 4 fell 5 near 4 fell 12 with 5 near 7 middle 6 the 7 middle 7 middle 8 of 8 of 10 scale 9 each 10 scale 11 , 12 with 12 with 15 ranges 12 with 16 , 13 narrow 15 ranges 14 interquartile 15 ranges 17 but 21 % 17 but 31 subscale 18 more 19 than 19 than 20 15 20 15 21 % 21 % 22 of 21 % 25 scored 21 % 31 subscale 22 of 24 sample 23 the 24 sample 25 scored 26 at 26 at 28 extreme 27 an 28 extreme 28 extreme 29 of 29 of 30 each conclusion : this new scale captures views on two common trade - offs in health care . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 5 scale 2 : 6 captures 2 : 12 - 3 this 5 scale 4 new 5 scale 5 scale 6 captures 6 captures 7 views 6 captures 8 on 8 on 11 trade 9 two 11 trade 10 common 11 trade 12 - 13 offs 12 - 16 care 12 - 17 . 13 offs 14 in 13 offs 16 care 14 in 15 health although test [-] [retest] reliability was modest , its high validity suggests that this tool can be used to familiarize people with common trade - offs and further explore influences on attitudes . 0 ###LEFT-WALL### 11 validity 0 ###LEFT-WALL### 12 suggests 0 ###LEFT-WALL### 25 - 0 ###LEFT-WALL### 33 . 1 although 5 reliability 1 although 6 was 1 although 8 , 1 although 11 validity 2 test 5 reliability 5 reliability 6 was 6 was 7 modest 9 its 11 validity 10 high 11 validity 11 validity 12 suggests 12 suggests 13 that 13 that 15 tool 13 that 18 used 14 this 15 tool 15 tool 16 can 16 can 17 be 17 be 18 used 18 used 19 to 18 used 20 familiarize 19 to 20 familiarize 20 familiarize 21 people 20 familiarize 22 with 22 with 24 trade 23 common 24 trade 25 - 27 and 26 offs 27 and 27 and 29 explore 28 further 29 explore 29 explore 30 influences 30 influences 31 on 31 on 32 attitudes objectives : this is the first known study that sought to understand the experience of [an] eight - week art - gallery - based intervention offered at two distinctly different galleries for people with mild to moderate dementia and their carers . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 42 . 2 : 3 this 2 : 12 understand 2 : 21 - 2 : 23 - 3 this 4 is 4 is 8 study 5 the 6 first 5 the 8 study 7 known 8 study 8 study 9 that 8 study 12 understand 9 that 10 sought 10 sought 11 to 10 sought 12 understand 11 to 12 understand 12 understand 14 experience 13 the 14 experience 14 experience 15 of 15 of 17 eight 17 eight 20 art 18 - 20 art 19 week 20 art 20 art 21 - 21 - 22 gallery 23 - 25 intervention 23 - 26 offered 24 based 25 intervention 25 intervention 26 offered 26 offered 27 at 26 offered 29 distinctly 26 offered 31 galleries 27 at 28 two 30 different 31 galleries 31 galleries 32 for 31 galleries 34 with 32 for 33 people 34 with 39 and 35 mild 36 to 35 mild 39 and 36 to 38 dementia 37 moderate 38 dementia 39 and 41 carers 40 their 41 carers the study examined impact on social inclusion , carer burden , and quality of life and daily living activities for a person with dementia . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 examined 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 9 carer 0 ###LEFT-WALL### 25 . 1 the 2 study 2 study 3 examined 3 examined 4 impact 3 examined 5 on 5 on 7 inclusion 6 social 7 inclusion 8 , 9 carer 9 carer 16 and 9 carer 20 for 9 carer 23 with 10 burden 12 and 11 , 12 and 12 and 13 quality 12 and 14 of 12 and 16 and 14 of 15 life 16 and 17 daily 16 and 19 activities 18 living 19 activities 20 for 22 person 21 a 22 person 23 with 24 dementia method : [a] mixed - methods pre - post design using standardised questionnaires and interviews involved 24 participants ( 12 with dementia ) and compared similar interventions at a traditional and a contemporary art gallery . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 6 methods 2 : 7 pre 2 : 8 - 2 : 14 and 4 mixed 5 - 4 mixed 6 methods 6 methods 7 pre 8 - 9 post 9 post 10 design 9 post 11 using 11 using 13 questionnaires 12 standardised 13 questionnaires 14 and 15 interviews 14 and 24 and 15 interviews 24 and 16 involved 18 participants 16 involved 24 and 17 24 18 participants 18 participants 20 12 19 ( 20 12 20 12 21 with 20 12 23 ) 21 with 22 dementia 24 and 25 compared 25 compared 27 interventions 25 compared 28 at 26 similar 27 interventions 28 at 35 gallery 29 a 35 gallery 30 traditional 31 and 31 and 33 contemporary 31 and 35 gallery 32 a 33 contemporary 34 art 35 gallery qualitative data was analysed using thematic analysis . 0 ###LEFT-WALL### 2 data 0 ###LEFT-WALL### 4 analysed 0 ###LEFT-WALL### 8 . 1 qualitative 2 data 2 data 3 was 3 was 4 analysed 4 analysed 5 using 5 using 7 analysis 6 thematic 7 analysis results : no significant pre - post difference was found between the traditional or contemporary gallery groups on quantitative measures . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 21 . 2 : 8 difference 2 : 10 found 3 no 8 difference 4 significant 7 post 5 pre 6 - 5 pre 7 post 7 post 8 difference 8 difference 9 was 9 was 10 found 10 found 11 between 10 found 18 on 11 between 17 groups 12 the 17 groups 13 traditional 14 or 14 or 15 contemporary 14 or 16 gallery 16 gallery 17 groups 18 on 20 measures 19 quantitative 20 measures there was , however , a [non] [-] significant trend towards a reduction in carer burden over the course of the intervention for both gallery groups . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 27 . 1 there 2 was 2 was 4 however 2 was 10 trend 2 was 11 towards 2 was 14 in 2 was 17 over 3 , 4 however 4 however 5 , 6 a 10 trend 9 significant 10 trend 11 towards 13 reduction 12 a 13 reduction 14 in 16 burden 15 carer 16 burden 17 over 19 course 18 the 19 course 19 course 20 of 20 of 22 intervention 21 the 22 intervention 22 intervention 23 for 23 for 26 groups 24 both 26 groups 25 gallery 26 groups thematic analysis revealed well - being benefits from both traditional and contemporary art gallery sites that included positive social impact resulting from feeling more socially included , self - reports of enhanced cognitive capacities for people with dementia , and an improved quality of life . 0 ###LEFT-WALL### 1 thematic 0 ###LEFT-WALL### 3 revealed 0 ###LEFT-WALL### 5 - 2 analysis 3 revealed 3 revealed 4 well 3 revealed 5 - 5 - 6 being 5 - 15 sites 5 - 27 , 5 - 46 . 6 being 7 benefits 6 being 8 from 6 being 15 sites 8 from 11 and 9 both 11 and 10 traditional 11 and 11 and 14 gallery 12 contemporary 14 gallery 13 art 14 gallery 15 sites 20 impact 16 that 17 included 17 included 19 social 18 positive 19 social 19 social 20 impact 20 impact 21 resulting 20 impact 22 from 20 impact 26 included 22 from 23 feeling 23 feeling 24 more 23 feeling 26 included 24 more 26 included 25 socially 26 included 26 included 27 , 27 , 28 self 27 , 29 - 29 - 40 and 30 reports 31 of 30 reports 37 with 30 reports 40 and 31 of 34 capacities 32 enhanced 34 capacities 33 cognitive 34 capacities 34 capacities 35 for 35 for 36 people 37 with 38 dementia 39 , 40 and 40 and 43 quality 41 an 43 quality 42 improved 43 quality 43 quality 44 of 44 of 45 life conclusion : participants were unanimous in their enjoyment and satisfaction with the programme , despite the lack of significance from standardised measures . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 participants 2 : 4 were 3 participants 4 were 4 were 5 unanimous 5 unanimous 6 in 5 unanimous 11 with 5 unanimous 15 despite 6 in 9 and 7 their 8 enjoyment 8 enjoyment 9 and 9 and 10 satisfaction 11 with 13 programme 12 the 13 programme 14 , 15 despite 15 despite 17 lack 15 despite 23 . 16 the 17 lack 17 lack 18 of 18 of 19 significance 19 significance 20 from 20 from 22 measures 21 standardised 22 measures further consideration of art galleries and museums , as [non] [-] clinical community resources for dementia care , is warranted . 0 ###LEFT-WALL### 2 consideration 0 ###LEFT-WALL### 20 warranted 0 ###LEFT-WALL### 21 . 1 further 2 consideration 2 consideration 3 of 2 consideration 19 is 3 of 6 and 4 art 5 galleries 5 galleries 6 and 6 and 7 museums 6 and 9 as 8 , 9 as 9 as 14 resources 9 as 18 , 12 clinical 13 community 13 community 14 resources 14 resources 15 for 15 for 17 care 16 dementia 17 care 19 is 20 warranted the interventions at both galleries helped to foster social inclusion and social engagement , enhance the caring relationship between the carers and pwd , support the personhood of pwd , and stimulate cognitive processes of attention and concentration . 0 ###LEFT-WALL### 37 and 0 ###LEFT-WALL### 39 . 1 the 2 interventions 2 interventions 3 at 2 interventions 37 and 3 at 5 galleries 4 both 5 galleries 5 galleries 6 helped 6 helped 7 to 6 helped 14 , 7 to 14 , 8 foster 11 and 8 foster 14 , 9 social 10 inclusion 10 inclusion 11 and 11 and 13 engagement 12 social 13 engagement 14 , 24 , 15 enhance 18 relationship 15 enhance 19 between 15 enhance 24 , 16 the 18 relationship 17 caring 18 relationship 19 between 22 and 20 the 21 carers 21 carers 22 and 22 and 23 pwd 24 , 31 and 25 support 27 personhood 25 support 31 and 26 the 27 personhood 27 personhood 28 of 28 of 29 pwd 30 , 31 and 31 and 32 stimulate 32 stimulate 34 processes 33 cognitive 34 processes 34 processes 35 of 35 of 36 attention 37 and 38 concentration ageline , an ebsco host database , focuses on literature on topics relating to people over the age of 50 . 0 ###LEFT-WALL### 1 ageline 0 ###LEFT-WALL### 8 focuses 0 ###LEFT-WALL### 21 . 1 ageline 6 database 1 ageline 8 focuses 2 , 6 database 3 an 6 database 4 ebsco 5 host 5 host 6 database 6 database 7 , 8 focuses 9 on 8 focuses 11 on 8 focuses 14 to 8 focuses 16 over 9 on 10 literature 11 on 12 topics 12 topics 13 relating 14 to 15 people 16 over 18 age 17 the 18 age 18 age 19 of 19 of 20 50 ageline is geared [to] professionals in aging - related fields , such as health care professionals , social workers , and caregivers , as well as consumers . 0 ###LEFT-WALL### 1 ageline 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 9 related 1 ageline 2 is 2 is 5 professionals 3 geared 5 professionals 5 professionals 6 in 6 in 7 aging 8 - 9 related 9 related 10 fields 9 related 13 as 9 related 25 well 9 related 26 as 9 related 28 . 11 , 13 as 12 such 13 as 13 as 21 and 13 as 23 , 14 health 16 professionals 15 care 16 professionals 16 professionals 17 , 17 , 19 workers 17 , 21 and 18 social 19 workers 20 , 21 and 21 and 22 caregivers 24 as 25 well 26 as 27 consumers this column includes a sample search and a discussion of additional ageline features . 0 ###LEFT-WALL### 2 column 0 ###LEFT-WALL### 3 includes 0 ###LEFT-WALL### 14 . 1 this 2 column 2 column 3 includes 3 includes 7 and 4 a 6 search 5 sample 6 search 6 search 7 and 7 and 9 discussion 7 and 10 of 8 a 9 discussion 10 of 13 features 11 additional 13 features 12 ageline 13 features depression in older adults is often overlooked and dismissed as a part of aging . 0 ###LEFT-WALL### 1 depression 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 15 . 1 depression 2 in 1 depression 5 is 2 in 4 adults 3 older 4 adults 5 is 8 and 6 often 7 overlooked 7 overlooked 8 and 8 and 9 dismissed 8 and 10 as 10 as 12 part 11 a 12 part 12 part 13 of 13 of 14 aging a body of knowledge - both quantitative and qualitative - has developed on the topic of depression in older adults . 0 ###LEFT-WALL### 2 body 0 ###LEFT-WALL### 12 developed 0 ###LEFT-WALL### 21 . 1 a 2 body 2 body 3 of 2 body 11 has 3 of 4 knowledge 4 knowledge 8 and 5 - 8 and 6 both 8 and 7 quantitative 8 and 8 and 9 qualitative 8 and 10 - 11 has 12 developed 12 developed 13 on 12 developed 18 in 13 on 15 topic 14 the 15 topic 15 topic 16 of 16 of 17 depression 18 in 20 adults 19 older 20 adults meta - analyses and systematic reviews have been used to synthesize the quantitative findings of studies , and our research seeks to synthesize the qualitative studies that have been conducted on elders ' experience with depression . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 37 . 1 meta 2 - 1 meta 4 and 3 analyses 4 and 4 and 6 reviews 4 and 7 have 5 systematic 6 reviews 7 have 8 been 8 been 9 used 9 used 10 to 9 used 11 synthesize 10 to 11 synthesize 11 synthesize 14 findings 12 the 14 findings 13 quantitative 14 findings 14 findings 15 of 15 of 16 studies 17 , 18 and 18 and 20 research 18 and 21 seeks 19 our 20 research 20 research 21 seeks 21 seeks 22 to 21 seeks 23 synthesize 22 to 23 synthesize 23 synthesize 26 studies 24 the 26 studies 25 qualitative 26 studies 26 studies 27 that 26 studies 28 have 27 that 28 have 28 have 29 been 29 been 30 conducted 30 conducted 31 on 30 conducted 35 with 31 on 34 experience 32 elders 33 ' 33 ' 34 experience 35 with 36 depression thirteen studies met inclusion criteria , and 4 major themes were extracted : experiences , causes , recovery , and barriers to treatment . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 11 were 0 ###LEFT-WALL### 13 : 0 ###LEFT-WALL### 24 . 1 thirteen 5 criteria 2 studies 3 met 3 met 5 criteria 4 inclusion 5 criteria 5 criteria 7 and 6 , 7 and 7 and 10 themes 7 and 11 were 8 4 10 themes 9 major 10 themes 11 were 12 extracted 13 : 15 , 13 : 17 , 14 experiences 15 , 15 , 16 causes 17 , 20 and 18 recovery 20 and 19 , 20 and 20 and 21 barriers 20 and 22 to 22 to 23 treatment these themes are detailed and their implications for practice are explored . 0 ###LEFT-WALL### 2 themes 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 12 . 1 these 2 themes 2 themes 3 are 3 are 4 detailed 5 and 7 implications 5 and 11 explored 6 their 7 implications 7 implications 8 for 7 implications 10 are 8 for 9 practice 10 are 11 explored aim : in 2009 , the howard brown health center received funding from the us department of health and human services , and health resources and services administration to develop and disseminate a peer - reviewed , six - module curriculum entitled [,] health education about lgbt ( lesbian [,] gay , bisexual and transgender ) elders ( heale ) . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 and 0 ###LEFT-WALL### 61 . 2 : 10 center 2 : 11 received 3 in 4 2009 3 in 5 , 3 in 10 center 6 the 10 center 7 howard 8 brown 8 brown 9 health 9 health 10 center 10 center 11 received 11 received 12 funding 11 received 13 from 11 received 29 to 13 from 16 department 14 the 16 department 15 us 16 department 16 department 17 of 17 of 26 and 18 health 19 and 19 and 21 services 19 and 22 , 19 and 23 and 20 human 21 services 23 and 25 resources 23 and 26 and 24 health 25 resources 26 and 28 administration 27 services 28 administration 29 to 31 and 30 develop 31 and 31 and 32 disseminate 32 disseminate 34 peer 33 a 34 peer 34 peer 36 reviewed 34 peer 38 six 35 - 36 reviewed 36 reviewed 37 , 37 , 38 six 38 six 45 education 38 six 60 ) 39 - 45 education 40 module 41 curriculum 41 curriculum 42 entitled 42 entitled 45 education 44 health 45 education 45 education 46 about 45 education 57 elders 45 education 60 ) 46 about 47 lgbt 48 ( 57 elders 49 lesbian 57 elders 51 gay 54 and 51 gay 56 ) 51 gay 57 elders 52 , 54 and 53 bisexual 54 and 54 and 55 transgender 54 and 56 ) 57 elders 59 heale 57 elders 60 ) 58 ( 59 heale 59 heale 60 ) background : the heale curriculum targets nurses and health - care staff and is focused on the treatment of lgbt elders , a population that is largely misunderstood and discriminated against in health - care settings . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 5 curriculum 2 : 13 and 2 : 34 - 3 the 5 curriculum 4 heale 5 curriculum 5 curriculum 13 and 6 targets 12 staff 6 targets 13 and 7 nurses 8 and 8 and 9 health 8 and 10 - 8 and 12 staff 11 care 12 staff 13 and 14 is 14 is 15 focused 15 focused 16 on 16 on 18 treatment 17 the 18 treatment 18 treatment 19 of 19 of 21 elders 20 lgbt 21 elders 21 elders 24 population 22 , 24 population 23 a 24 population 24 population 25 that 24 population 31 against 24 population 32 in 24 population 34 - 25 that 26 is 26 is 29 and 27 largely 28 misunderstood 28 misunderstood 29 and 29 and 30 discriminated 29 and 31 against 32 in 33 health 34 - 36 settings 34 - 37 . 35 care 36 settings the heale curriculum was presented in hospital academic centres , community - based clinics and nursing homes over [a] three - year period , and training staff provided education to over 500 nurses and health - care providers . 0 ###LEFT-WALL### 3 curriculum 0 ###LEFT-WALL### 5 presented 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 28 provided 1 the 3 curriculum 2 heale 3 curriculum 3 curriculum 4 was 4 was 5 presented 5 presented 6 in 6 in 9 centres 7 hospital 9 centres 8 academic 9 centres 10 , 11 community 10 , 12 - 12 - 15 and 12 - 21 - 13 based 14 clinics 14 clinics 15 and 15 and 17 homes 15 and 21 - 16 nursing 17 homes 17 homes 18 over 18 over 20 three 21 - 25 and 22 year 23 period 23 period 25 and 24 , 25 and 25 and 26 training 25 and 27 staff 25 and 28 provided 27 staff 28 provided 28 provided 29 education 28 provided 30 to 30 to 34 and 31 over 32 500 32 500 33 nurses 33 nurses 34 and 34 and 35 health 34 and 38 providers 36 - 38 providers 37 care 38 providers 38 providers 39 . method : a pre - test [and] post - test was administered to participants , and all data were collected and archived to measure knowledge gained . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 10 test 2 : 12 administered 3 a 10 test 4 pre 8 post 4 pre 10 test 5 - 8 post 6 test 8 post 8 post 9 - 10 test 11 was 11 was 12 administered 12 administered 13 to 13 to 16 and 14 participants 16 and 15 , 16 and 16 and 18 data 16 and 27 . 17 all 18 data 18 data 21 and 18 data 23 to 18 data 26 gained 19 were 20 collected 19 were 21 and 21 and 22 archived 23 to 25 knowledge 24 measure 25 knowledge participants also completed an evaluation at the conclusion of the training to report change in personal attitude and individual response to the curriculum . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 completed 0 ###LEFT-WALL### 24 . 1 participants 3 completed 2 also 3 completed 3 completed 5 evaluation 3 completed 12 to 4 an 5 evaluation 5 evaluation 6 at 5 evaluation 9 of 6 at 8 conclusion 7 the 8 conclusion 9 of 11 training 10 the 11 training 12 to 13 report 13 report 14 change 13 report 15 in 13 report 21 to 15 in 18 and 16 personal 17 attitude 17 attitude 18 and 18 and 20 response 19 individual 20 response 21 to 23 curriculum 22 the 23 curriculum results and conclusions : from march 2011 to june 2012 , 848 individuals attended heale curriculum sessions at 23 locations in chicago and surrounding areas . 0 ###LEFT-WALL### 3 conclusions 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 26 . 1 results 2 and 2 and 3 conclusions 3 conclusions 4 : 4 : 5 from 4 : 8 to 5 from 6 march 6 march 7 2011 8 to 9 june 9 june 10 2012 11 , 13 individuals 11 , 14 attended 12 848 13 individuals 13 individuals 14 attended 14 attended 17 sessions 14 attended 18 at 15 heale 17 sessions 16 curriculum 17 sessions 18 at 23 and 19 23 20 locations 20 locations 21 in 20 locations 23 and 21 in 22 chicago 23 and 25 areas 24 surrounding 25 areas participants were 40 % white , 25 % black , 9 % hispanic/latino and 25 % asian race/ethnicity . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 19 . 1 participants 2 were 2 were 14 and 3 40 4 % 4 % 5 white 5 white 6 , 6 , 9 black 6 , 10 , 7 25 8 % 8 % 9 black 10 , 13 hispanic/latino 10 , 14 and 11 9 13 hispanic/latino 12 % 13 hispanic/latino 14 and 18 race/ethnicity 15 25 16 % 16 % 18 race/ethnicity 17 asian 18 race/ethnicity the majority of participants were female and approximately 25 % were under the age of 30 years . 0 ###LEFT-WALL### 4 participants 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 18 . 1 the 2 majority 2 majority 3 of 2 majority 4 participants 3 of 4 participants 4 participants 5 were 5 were 6 female 7 and 10 % 7 and 11 were 8 approximately 9 25 9 25 10 % 10 % 11 were 11 were 12 under 12 under 14 age 13 the 14 age 14 age 15 of 15 of 17 years 16 30 17 years there were statistically significant gains in knowledge in each of the six modules both in nursing home/home [health] - care settings and in hospital/educational settings , although participants in nursing home/home health care settings had lower pre - test scores and smaller knowledge gains in each of the six modules than those in hospital/educational settings . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 19 - 1 there 2 were 2 were 5 gains 3 statistically 4 significant 4 significant 5 gains 5 gains 6 in 5 gains 8 in 5 gains 14 both 5 gains 17 home/home 6 in 7 knowledge 8 in 9 each 9 each 10 of 10 of 13 modules 11 the 12 six 12 six 13 modules 14 both 15 in 14 both 17 home/home 15 in 16 nursing 19 - 21 settings 19 - 22 and 19 - 56 . 20 care 21 settings 22 and 34 settings 22 and 35 had 23 in 25 settings 23 in 26 , 23 in 34 settings 24 hospital/educational 25 settings 27 although 28 participants 27 although 34 settings 29 in 30 nursing 29 in 34 settings 31 home/home 34 settings 32 health 33 care 33 care 34 settings 34 settings 35 had 35 had 44 gains 35 had 45 in 35 had 51 than 35 had 53 in 36 lower 39 test 37 pre 38 - 37 pre 39 test 39 test 44 gains 40 scores 41 and 41 and 42 smaller 41 and 44 gains 43 knowledge 44 gains 45 in 50 modules 46 each 47 of 46 each 50 modules 47 of 50 modules 48 the 49 six 49 six 50 modules 51 than 52 those 53 in 55 settings 54 hospital/educational 55 settings mean increases ranged from 6.4 points ( an 8.7 % increase ) in module 1 - 14.6 points ( a 26.2 % increase ) in module 6 ( p < 0.01 ) . 0 ###LEFT-WALL### 1 mean 0 ###LEFT-WALL### 33 . 1 mean 2 increases 2 increases 3 ranged 3 ranged 4 from 3 ranged 13 in 3 ranged 25 in 4 from 6 points 5 6.4 6 points 6 points 11 increase 7 ( 11 increase 8 an 11 increase 9 8.7 10 % 10 % 11 increase 11 increase 12 ) 13 in 18 points 14 module 18 points 15 1 16 - 16 - 17 14.6 16 - 18 points 18 points 23 increase 19 ( 23 increase 20 a 23 increase 21 26.2 22 % 22 % 23 increase 23 increase 24 ) 25 in 26 module 26 module 27 6 26 module 30 < 28 ( 30 < 29 p 30 < 30 < 31 0.01 30 < 32 ) implications for nursing management : the heale curriculum sets a standard for [best] practices in nursing management and for lgbt cultural competency in geriatric education . 0 ###LEFT-WALL### 4 management 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 26 . 1 implications 2 for 2 for 3 nursing 3 nursing 4 management 5 : 8 curriculum 5 : 9 sets 6 the 8 curriculum 7 heale 8 curriculum 8 curriculum 9 sets 9 sets 11 standard 9 sets 23 in 10 a 11 standard 11 standard 12 for 12 for 14 practices 14 practices 18 and 15 in 16 nursing 15 in 18 and 16 nursing 17 management 18 and 19 for 19 for 22 competency 20 lgbt 22 competency 21 cultural 22 competency 23 in 25 education 24 geriatric 25 education as such [,] implementation of this cultural competency training will go a long way to establish fundamental concepts regarding lgbt elder care and provide long - term strategies for providing culturally sensitive patient care . 0 ###LEFT-WALL### 11 go 0 ###LEFT-WALL### 26 - 1 as 4 implementation 1 as 10 will 1 as 11 go 2 such 4 implementation 4 implementation 5 of 4 implementation 10 will 5 of 9 training 6 this 9 training 7 cultural 8 competency 8 competency 9 training 11 go 14 way 12 a 14 way 13 long 14 way 14 way 15 to 14 way 23 and 15 to 23 and 16 establish 18 concepts 16 establish 23 and 17 fundamental 18 concepts 18 concepts 19 regarding 19 regarding 22 care 20 lgbt 22 care 21 elder 22 care 23 and 24 provide 23 and 25 long 26 - 27 term 26 - 35 . 27 term 28 strategies 27 term 29 for 29 for 30 providing 30 providing 31 culturally 30 providing 34 care 32 sensitive 33 patient 33 patient 34 care obesity is a global epidemic associated with aging - like cellular processes ; in both aging and obesity , resistance to hormones such as insulin and leptin can be observed . 0 ###LEFT-WALL### 1 obesity 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 13 ; 0 ###LEFT-WALL### 31 . 1 obesity 2 is 2 is 5 epidemic 3 a 4 global 3 a 5 epidemic 4 global 5 epidemic 5 epidemic 6 associated 5 epidemic 7 with 7 with 8 aging 8 aging 10 like 9 - 10 like 10 like 12 processes 10 like 13 ; 11 cellular 12 processes 13 ; 14 in 13 ; 29 be 14 in 17 and 14 in 29 be 15 both 16 aging 15 both 17 and 17 and 18 obesity 17 and 19 , 20 resistance 21 to 20 resistance 24 as 20 resistance 28 can 21 to 22 hormones 23 such 24 as 24 as 26 and 25 insulin 26 and 26 and 27 leptin 28 can 29 be 29 be 30 observed leptin is a circulating hormone/cytokine with central and peripheral effects that is released mainly by subcutaneous white adipose tissue . 0 ###LEFT-WALL### 1 leptin 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 20 . 1 leptin 2 is 2 is 5 hormone/cytokine 3 a 5 hormone/cytokine 4 circulating 5 hormone/cytokine 5 hormone/cytokine 6 with 5 hormone/cytokine 13 released 6 with 10 effects 7 central 8 and 8 and 9 peripheral 8 and 10 effects 11 that 12 is 12 is 13 released 13 released 14 mainly 14 mainly 15 by 15 by 19 tissue 16 subcutaneous 17 white 17 white 19 tissue 18 adipose 19 tissue centrally , leptin controls food intake , energy expenditure , and fat distribution , whereas it controls ( among several others ) insulin sensitivity , free fatty [acids] ( ffas ) oxidation , and lipolysis in the periphery . 0 ###LEFT-WALL### 3 leptin 0 ###LEFT-WALL### 4 controls 0 ###LEFT-WALL### 39 . 1 centrally 2 , 1 centrally 3 leptin 3 leptin 4 controls 4 controls 6 intake 4 controls 15 whereas 5 food 6 intake 6 intake 11 and 7 , 11 and 8 energy 9 expenditure 9 expenditure 11 and 10 , 11 and 11 and 13 distribution 11 and 14 , 12 fat 13 distribution 15 whereas 16 it 15 whereas 17 controls 16 it 17 controls 17 controls 19 among 17 controls 34 and 17 controls 36 in 18 ( 19 among 19 among 21 others 19 among 22 ) 20 several 21 others 23 insulin 24 sensitivity 24 sensitivity 25 , 25 , 32 oxidation 25 , 34 and 26 free 32 oxidation 27 fatty 30 ffas 27 fatty 31 ) 27 fatty 32 oxidation 29 ( 30 ffas 30 ffas 31 ) 33 , 34 and 34 and 35 lipolysis 36 in 38 periphery 37 the 38 periphery aging is associated with important changes in both the distribution and the composition of adipose tissue . 0 ###LEFT-WALL### 1 aging 0 ###LEFT-WALL### 3 associated 0 ###LEFT-WALL### 17 . 1 aging 2 is 2 is 3 associated 3 associated 4 with 3 associated 7 in 4 with 6 changes 5 important 6 changes 7 in 11 and 8 both 11 and 9 the 10 distribution 10 distribution 11 and 11 and 13 composition 11 and 14 of 12 the 13 composition 14 of 16 tissue 15 adipose 16 tissue fat is redistributed from the subcutaneous to the visceral depot and increased inflammation participates in adipocyte dysfunction . 0 ###LEFT-WALL### 1 fat 0 ###LEFT-WALL### 3 redistributed 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 18 . 1 fat 2 is 2 is 3 redistributed 3 redistributed 4 from 3 redistributed 7 to 4 from 6 subcutaneous 5 the 6 subcutaneous 7 to 10 depot 8 the 10 depot 9 visceral 10 depot 11 and 13 inflammation 11 and 14 participates 12 increased 13 inflammation 13 inflammation 14 participates 14 participates 15 in 15 in 17 dysfunction 16 adipocyte 17 dysfunction this redistribution of adipose tissue in favor of visceral fat influences negatively both longevity and healthy aging as shown in numerous animal models . 0 ###LEFT-WALL### 2 redistribution 0 ###LEFT-WALL### 11 influences 0 ###LEFT-WALL### 24 . 1 this 2 redistribution 2 redistribution 3 of 2 redistribution 11 influences 3 of 5 tissue 4 adipose 5 tissue 5 tissue 6 in 6 in 7 favor 7 favor 8 of 8 of 10 fat 9 visceral 10 fat 11 influences 12 negatively 11 influences 15 and 11 influences 20 in 13 both 15 and 14 longevity 15 and 15 and 16 healthy 15 and 17 aging 15 and 19 shown 17 aging 18 as 18 as 19 shown 20 in 23 models 21 numerous 22 animal 22 animal 23 models these modifications observed during aging are also associated with leptin resistance . 0 ###LEFT-WALL### 2 modifications 0 ###LEFT-WALL### 8 associated 0 ###LEFT-WALL### 12 . 1 these 2 modifications 2 modifications 3 observed 2 modifications 6 are 3 observed 4 during 4 during 5 aging 6 are 7 also 6 are 8 associated 8 associated 9 with 9 with 11 resistance 10 leptin 11 resistance this resistance blunts normal central and peripheral functions of leptin , which leads to a decrease in neuroendocrine [function] and insulin sensitivity , an imbalance in energy regulation , and disturbances in lipid metabolism . 0 ###LEFT-WALL### 2 resistance 0 ###LEFT-WALL### 3 blunts 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 35 . 1 this 2 resistance 2 resistance 3 blunts 3 blunts 8 functions 4 normal 8 functions 5 central 6 and 6 and 7 peripheral 6 and 8 functions 8 functions 9 of 9 of 10 leptin 11 , 12 which 11 , 13 leads 12 which 13 leads 13 leads 14 to 13 leads 32 in 14 to 30 and 15 a 16 decrease 16 decrease 17 in 16 decrease 30 and 17 in 20 and 18 neuroendocrine 20 and 20 and 22 sensitivity 20 and 25 imbalance 21 insulin 22 sensitivity 23 , 25 imbalance 24 an 25 imbalance 25 imbalance 26 in 25 imbalance 29 , 26 in 28 regulation 27 energy 28 regulation 29 , 30 and 30 and 31 disturbances 32 in 34 metabolism 33 lipid 34 metabolism here , we review [how] age - related leptin resistance triggers metabolic disturbances and affects the longevity of obese patients . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 review 0 ###LEFT-WALL### 8 related 1 here 2 , 1 here 3 we 3 we 4 review 4 review 6 age 7 - 8 related 8 related 10 resistance 8 related 21 . 9 leptin 10 resistance 10 resistance 14 and 11 triggers 13 disturbances 11 triggers 14 and 12 metabolic 13 disturbances 14 and 15 affects 14 and 17 longevity 16 the 17 longevity 17 longevity 18 of 18 of 20 patients 19 obese 20 patients furthermore , we discuss the potential impacts of leptin resistance on the decline of brown adipose tissue thermogenesis observed in elderly individuals . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 discuss 0 ###LEFT-WALL### 23 . 1 furthermore 2 , 1 furthermore 3 we 3 we 4 discuss 4 discuss 7 impacts 4 discuss 11 on 4 discuss 20 in 5 the 7 impacts 6 potential 7 impacts 7 impacts 8 of 8 of 10 resistance 9 leptin 10 resistance 11 on 13 decline 12 the 13 decline 13 decline 14 of 14 of 18 thermogenesis 15 brown 16 adipose 16 adipose 17 tissue 17 tissue 18 thermogenesis 18 thermogenesis 19 observed 20 in 22 individuals 21 elderly 22 individuals the posterior cingulate cortex is a highly connected [and] metabolically active brain region . 0 ###LEFT-WALL### 4 cortex 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 14 . 1 the 4 cortex 2 posterior 4 cortex 3 cingulate 4 cortex 4 cortex 5 is 5 is 13 region 6 a 7 highly 6 a 13 region 7 highly 8 connected 10 metabolically 11 active 11 active 12 brain 12 brain 13 region recent studies suggest it has an important cognitive role , although there is no consensus about what this is . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 13 is 0 ###LEFT-WALL### 20 . 1 recent 2 studies 2 studies 3 suggest 3 suggest 4 it 3 suggest 5 has 4 it 5 has 5 has 9 role 5 has 11 although 6 an 7 important 6 an 9 role 7 important 9 role 8 cognitive 9 role 10 , 11 although 11 although 12 there 12 there 13 is 13 is 15 consensus 13 is 16 about 14 no 15 consensus 16 about 17 what 17 what 18 this 17 what 19 is 18 this 19 is the region is typically discussed as having a unitary function because of a common pattern of relative deactivation observed during attentionally demanding tasks . 0 ###LEFT-WALL### 2 region 0 ###LEFT-WALL### 5 discussed 0 ###LEFT-WALL### 19 observed 1 the 2 region 2 region 3 is 3 is 5 discussed 4 typically 5 discussed 5 discussed 6 as 6 as 7 having 6 as 19 observed 7 having 10 function 7 having 11 because 7 having 19 observed 8 a 10 function 9 unitary 10 function 11 because 12 of 12 of 15 pattern 13 a 14 common 13 a 15 pattern 14 common 15 pattern 15 pattern 16 of 16 of 18 deactivation 17 relative 18 deactivation 19 observed 20 during 19 observed 24 . 20 during 23 tasks 21 attentionally 22 demanding 22 demanding 23 tasks one influential hypothesis is that the posterior cingulate cortex has a central role in supporting internally - directed cognition . 0 ###LEFT-WALL### 3 hypothesis 0 ###LEFT-WALL### 17 - 0 ###LEFT-WALL### 20 . 1 one 3 hypothesis 2 influential 3 hypothesis 3 hypothesis 4 is 4 is 5 that 5 that 9 cortex 5 that 10 has 6 the 9 cortex 7 posterior 9 cortex 8 cingulate 9 cortex 9 cortex 10 has 10 has 13 role 10 has 14 in 10 has 16 internally 11 a 12 central 11 a 13 role 12 central 13 role 14 in 15 supporting 17 - 19 cognition 18 directed 19 cognition it is a key node in the default mode network and shows increased activity when individuals retrieve autobiographical memories or plan for the future , as well as during unconstrained ['] rest ['] when activity in the brain is ['] free - wheeling ['] . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 11 and 1 it 11 and 2 is 5 node 2 is 11 and 3 a 5 node 4 key 5 node 5 node 6 in 6 in 10 network 7 the 10 network 8 default 9 mode 9 mode 10 network 11 and 12 shows 11 and 15 when 12 shows 14 activity 13 increased 14 activity 15 when 16 individuals 15 when 20 or 16 individuals 20 or 17 retrieve 19 memories 17 retrieve 20 or 18 autobiographical 19 memories 20 or 21 plan 20 or 22 for 20 or 43 wheeling 22 for 24 future 23 the 24 future 24 future 26 as 25 , 26 as 26 as 27 well 26 as 42 - 27 well 28 as 28 as 29 during 29 during 32 rest 30 unconstrained 32 rest 32 rest 34 when 34 when 35 activity 34 when 39 is 35 activity 36 in 35 activity 39 is 36 in 38 brain 37 the 38 brain 39 is 41 free 42 - 43 wheeling 43 wheeling 45 . however , other evidence suggests that the region is highly heterogeneous and may play a direct role in regulating the focus of attention . 0 ###LEFT-WALL### 4 evidence 0 ###LEFT-WALL### 5 suggests 0 ###LEFT-WALL### 24 . 1 however 2 , 1 however 4 evidence 3 other 4 evidence 4 evidence 5 suggests 5 suggests 6 that 6 that 8 region 6 that 12 and 7 the 8 region 8 region 12 and 9 is 11 heterogeneous 9 is 12 and 10 highly 11 heterogeneous 12 and 13 may 13 may 14 play 14 play 17 role 14 play 18 in 15 a 16 direct 15 a 17 role 16 direct 17 role 18 in 19 regulating 19 regulating 21 focus 20 the 21 focus 21 focus 22 of 22 of 23 attention in addition , its activity varies with arousal [state] and its interactions with other brain networks may be important for conscious awareness . 0 ###LEFT-WALL### 5 activity 0 ###LEFT-WALL### 6 varies 0 ###LEFT-WALL### 23 . 1 in 2 addition 1 in 3 , 1 in 5 activity 4 its 5 activity 5 activity 6 varies 6 varies 7 with 6 varies 13 with 7 with 10 and 8 arousal 10 and 10 and 12 interactions 11 its 12 interactions 13 with 15 brain 13 with 19 important 14 other 15 brain 15 brain 16 networks 15 brain 18 be 16 networks 17 may 17 may 18 be 19 important 20 for 20 for 22 awareness 21 conscious 22 awareness understanding posterior cingulate [cortex] [function] is likely to be of clinical importance . 0 ###LEFT-WALL### 1 understanding 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 13 . 1 understanding 3 cingulate 1 understanding 6 is 2 posterior 3 cingulate 6 is 7 likely 7 likely 8 to 7 likely 9 be 8 to 9 be 9 be 10 of 10 of 12 importance 11 clinical 12 importance it is well protected against ischaemic [stroke] , and so [there] [is] relatively little neuropsychological data about the consequences of focal lesions . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 23 . 1 it 2 is 2 is 3 well 3 well 4 protected 4 protected 5 against 4 protected 17 about 5 against 16 data 6 ischaemic 9 and 8 , 9 and 9 and 14 little 9 and 16 data 10 so 13 relatively 13 relatively 14 little 15 neuropsychological 16 data 17 about 19 consequences 18 the 19 consequences 19 consequences 20 of 20 of 22 lesions 21 focal 22 lesions however , in other conditions abnormalities in the region are clearly linked to disease . 0 ###LEFT-WALL### 6 abnormalities 0 ###LEFT-WALL### 12 linked 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 6 abnormalities 3 in 5 conditions 3 in 6 abnormalities 4 other 5 conditions 6 abnormalities 7 in 6 abnormalities 10 are 7 in 9 region 8 the 9 region 10 are 11 clearly 10 are 12 linked 12 linked 13 to 13 to 14 disease for example , amyloid deposition [and] reduced metabolism is seen early in alzheimer 's disease . 0 ###LEFT-WALL### 8 metabolism 0 ###LEFT-WALL### 10 seen 0 ###LEFT-WALL### 16 . 1 for 2 example 2 example 3 , 2 example 8 metabolism 4 amyloid 7 reduced 5 deposition 7 reduced 7 reduced 8 metabolism 8 metabolism 9 is 9 is 10 seen 10 seen 11 early 10 seen 12 in 12 in 15 disease 13 alzheimer 14 's 14 's 15 disease functional neuroimaging studies show abnormalities in a range of neurological and psychiatric disorders including alzheimer 's disease , schizophrenia , autism , depression and attention deficit hyperactivity disorder , as well as ageing . 0 ###LEFT-WALL### 3 studies 0 ###LEFT-WALL### 4 show 0 ###LEFT-WALL### 34 . 1 functional 3 studies 2 neuroimaging 3 studies 3 studies 4 show 4 show 5 abnormalities 4 show 6 in 4 show 30 as 6 in 8 range 7 a 8 range 8 range 9 of 8 range 14 including 8 range 19 schizophrenia 8 range 21 autism 9 of 13 disorders 10 neurological 11 and 11 and 12 psychiatric 11 and 13 disorders 14 including 17 disease 15 alzheimer 16 's 16 's 17 disease 18 , 19 schizophrenia 19 schizophrenia 20 , 20 , 21 autism 21 autism 24 and 21 autism 29 , 22 , 24 and 23 depression 24 and 24 and 28 disorder 24 and 29 , 25 attention 26 deficit 26 deficit 28 disorder 27 hyperactivity 28 disorder 30 as 31 well 31 well 32 as 32 as 33 ageing our own work has consistently shown abnormal posterior cingulate cortex function following traumatic brain injury , which predicts attentional impairments . 0 ###LEFT-WALL### 3 work 0 ###LEFT-WALL### 6 shown 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 21 . 1 our 2 own 1 our 3 work 3 work 4 has 4 has 6 shown 5 consistently 6 shown 6 shown 9 cingulate 6 shown 15 injury 7 abnormal 9 cingulate 8 posterior 9 cingulate 10 cortex 11 function 11 function 15 injury 12 following 15 injury 13 traumatic 14 brain 14 brain 15 injury 16 , 17 which 16 , 18 predicts 17 which 18 predicts 18 predicts 20 impairments 19 attentional 20 impairments here we review the anatomy and physiology of the region and how it is affected in a range of clinical conditions , before discussing its proposed functions . 0 ###LEFT-WALL### 2 we 0 ###LEFT-WALL### 3 review 1 here 2 we 2 we 3 review 3 review 6 and 4 the 5 anatomy 5 anatomy 6 and 6 and 7 physiology 6 and 8 of 6 and 15 affected 6 and 19 of 8 of 11 and 9 the 10 region 10 region 11 and 11 and 12 how 11 and 13 it 11 and 14 is 13 it 14 is 15 affected 16 in 16 in 18 range 17 a 18 range 19 of 21 conditions 20 clinical 21 conditions 21 conditions 23 before 22 , 23 before 23 before 24 discussing 23 before 28 . 24 discussing 27 functions 25 its 27 functions 26 proposed 27 functions we synthesize key findings into a novel model of the region 's function ( the ['] arousal , balance and breadth of attention ['] model ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 synthesize 0 ###LEFT-WALL### 27 . 1 we 2 synthesize 2 synthesize 4 findings 2 synthesize 5 into 3 key 4 findings 5 into 8 model 6 a 7 novel 6 a 8 model 7 novel 8 model 8 model 9 of 9 of 13 function 10 the 11 region 11 region 12 's 12 's 13 function 13 function 20 and 14 ( 20 and 15 the 17 arousal 17 arousal 18 , 18 , 19 balance 18 , 20 and 20 and 25 model 20 and 26 ) 21 breadth 22 of 21 breadth 25 model 22 of 23 attention dorsal and ventral subcomponents are functionally separated and differences in regional activity are explained by considering : [(] [i] [ )(arousal state ; ( ii ) [whether] attention is focused internally or externally ; and [(] [iii] ) the [breadth] [of] attentional focus . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 14 explained 0 ###LEFT-WALL### 17 : 1 dorsal 2 and 2 and 3 ventral 2 and 4 subcomponents 2 and 5 are 2 and 7 separated 2 and 8 and 4 subcomponents 5 are 6 functionally 7 separated 8 and 9 differences 8 and 10 in 8 and 13 are 10 in 12 activity 11 regional 12 activity 13 are 14 explained 14 explained 15 by 15 by 16 considering 17 : 22 state 17 : 23 ; 17 : 44 . 21 )(arousal 22 state 23 ; 28 attention 23 ; 30 focused 23 ; 34 ; 24 ( 25 ii 25 ii 26 ) 25 ii 28 attention 28 attention 29 is 29 is 30 focused 30 focused 32 or 31 internally 32 or 32 or 33 externally 34 ; 35 and 35 and 38 ) 35 and 42 attentional 35 and 43 focus 39 the 42 attentional 42 attentional 43 focus reflex vasoconstriction is attenuated in aged skin due to a functional loss of adrenergic vasoconstriction . 0 ###LEFT-WALL### 2 vasoconstriction 0 ###LEFT-WALL### 4 attenuated 0 ###LEFT-WALL### 16 . 1 reflex 2 vasoconstriction 2 vasoconstriction 3 is 3 is 4 attenuated 4 attenuated 5 in 4 attenuated 9 to 5 in 7 skin 6 aged 7 skin 8 due 9 to 9 to 12 loss 10 a 11 functional 10 a 12 loss 11 functional 12 loss 12 loss 13 of 13 of 15 vasoconstriction 14 adrenergic 15 vasoconstriction bioavailability of tetrahydrobiopterin ( bh4 ) , an essential cofactor for catecholamine synthesis , is reduced with aging . 0 ###LEFT-WALL### 1 bioavailability 0 ###LEFT-WALL### 16 reduced 0 ###LEFT-WALL### 19 . 1 bioavailability 2 of 1 bioavailability 15 is 2 of 3 tetrahydrobiopterin 3 tetrahydrobiopterin 5 bh4 3 tetrahydrobiopterin 10 cofactor 4 ( 5 bh4 5 bh4 6 ) 7 , 10 cofactor 8 an 9 essential 8 an 10 cofactor 9 essential 10 cofactor 10 cofactor 11 for 10 cofactor 14 , 11 for 13 synthesis 12 catecholamine 13 synthesis 15 is 16 reduced 16 reduced 17 with 17 with 18 aging locally administered bh4 increases vasoconstriction through adrenergic mechanisms in aged human skin . 0 ###LEFT-WALL### 3 bh4 0 ###LEFT-WALL### 4 increases 0 ###LEFT-WALL### 13 . 1 locally 2 administered 2 administered 3 bh4 3 bh4 4 increases 4 increases 5 vasoconstriction 4 increases 6 through 4 increases 9 in 6 through 8 mechanisms 7 adrenergic 8 mechanisms 9 in 12 skin 10 aged 12 skin 11 human 12 skin we hypothesized that oral sapropterin ( kuvan , a pharmaceutical bh4 ) would augment vasoconstriction elicited by whole - body cooling and tyramine perfusion in aged skin . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 hypothesized 0 ###LEFT-WALL### 28 . 1 we 2 hypothesized 2 hypothesized 5 sapropterin 2 hypothesized 14 augment 3 that 4 oral 4 oral 5 sapropterin 5 sapropterin 7 kuvan 5 sapropterin 13 would 6 ( 7 kuvan 7 kuvan 11 bh4 7 kuvan 12 ) 8 , 11 bh4 9 a 10 pharmaceutical 9 a 11 bh4 10 pharmaceutical 11 bh4 11 bh4 12 ) 13 would 14 augment 14 augment 15 vasoconstriction 14 augment 17 by 14 augment 25 in 15 vasoconstriction 16 elicited 17 by 22 and 18 whole 19 - 18 whole 20 body 20 body 21 cooling 21 cooling 22 and 22 and 24 perfusion 23 tyramine 24 perfusion 25 in 27 skin 26 aged 27 skin ten healthy subjects ( age 75 ± 2 [yr] ) ingested sapropterin ( 10 mg/kg ) [or] [placebo] in a randomized [,] double - blind crossover design . 0 ###LEFT-WALL### 3 subjects 0 ###LEFT-WALL### 11 ingested 0 ###LEFT-WALL### 28 . 1 ten 3 subjects 2 healthy 3 subjects 3 subjects 7 ± 3 subjects 11 ingested 4 ( 7 ± 5 age 7 ± 6 75 7 ± 7 ± 8 2 7 ± 10 ) 11 ingested 12 sapropterin 11 ingested 19 in 12 sapropterin 15 mg/kg 13 ( 15 mg/kg 14 10 15 mg/kg 15 mg/kg 16 ) 19 in 27 design 20 a 27 design 21 randomized 26 crossover 23 double 24 - 23 double 26 crossover 25 blind 26 crossover 26 crossover 27 design venous blood samples were collected prior [to] , and 3 h following ingestion . 0 ###LEFT-WALL### 3 samples 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 14 . 1 venous 2 blood 2 blood 3 samples 3 samples 4 were 4 were 13 ingestion 5 collected 13 ingestion 6 prior 9 and 8 , 9 and 9 and 12 following 9 and 13 ingestion 10 3 11 h 11 h 12 following three intradermal microdialysis fibers were placed in the forearm skin for local delivery of 1 [ )(lactated ringer , 2 ) 5 mm bh4 , [and] 3 ) 5 mm yohimbine + 1 mm propranolol ( y+p ; to inhibit adrenergic vasoconstriction [ )( 0 ###LEFT-WALL### 4 fibers 0 ###LEFT-WALL### 17 )(lactated 0 ###LEFT-WALL### 38 ; 0 ###LEFT-WALL### 44 )( 1 three 4 fibers 2 intradermal 4 fibers 3 microdialysis 4 fibers 4 fibers 5 were 5 were 6 placed 6 placed 7 in 6 placed 11 for 7 in 10 skin 8 the 10 skin 9 forearm 10 skin 11 for 13 delivery 12 local 13 delivery 13 delivery 14 of 13 delivery 17 )(lactated 14 of 15 1 17 )(lactated 35 propranolol 18 ringer 20 2 18 ringer 31 yohimbine 19 , 20 2 20 2 21 ) 22 5 23 mm 23 mm 31 yohimbine 24 bh4 27 3 24 bh4 31 yohimbine 25 , 27 3 27 3 28 ) 29 5 30 mm 30 mm 31 yohimbine 31 yohimbine 35 propranolol 32 + 33 1 33 1 34 mm 34 mm 35 propranolol 35 propranolol 37 y+p 36 ( 37 y+p 37 y+p 38 ; 38 ; 39 to 38 ; 40 inhibit 39 to 40 inhibit 40 inhibit 42 vasoconstriction 41 adrenergic 42 vasoconstriction red cell flux was measured at each site by laser [-] doppler flowmetry ( ldf ) as reflex vasoconstriction was induced by lowering and then clamping whole - body skin temperature ( [tsk] [ )(using a water [-] perfused suit . 0 ###LEFT-WALL### 3 flux 0 ###LEFT-WALL### 5 measured 1 red 3 flux 2 cell 3 flux 3 flux 4 was 4 was 5 measured 5 measured 6 at 5 measured 9 by 5 measured 22 by 6 at 8 site 7 each 8 site 9 by 13 flowmetry 10 laser 13 flowmetry 12 doppler 13 flowmetry 13 flowmetry 15 ldf 13 flowmetry 21 induced 14 ( 15 ldf 15 ldf 16 ) 17 as 19 vasoconstriction 17 as 21 induced 18 reflex 19 vasoconstriction 19 vasoconstriction 20 was 20 was 21 induced 22 by 31 temperature 23 lowering 24 and 24 and 25 then 24 and 26 clamping 24 and 30 skin 27 whole 28 - 27 whole 29 body 29 body 30 skin 30 skin 31 temperature 31 temperature 35 )(using 32 ( 35 )(using 35 )(using 40 suit 35 )(using 41 . 36 a 37 water 36 a 40 suit 37 water 39 perfused 39 perfused 40 suit following whole - body cooling , subjects were rewarmed and 1 mm tyramine was perfused at each site to elicit endogenous norepinephrine [release] from the perivascular nerve terminal . 0 ###LEFT-WALL### 7 subjects 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 29 . 1 following 5 cooling 1 following 6 , 1 following 7 subjects 2 whole 3 - 2 whole 4 body 4 body 5 cooling 7 subjects 10 and 8 were 9 rewarmed 8 were 10 and 10 and 20 elicit 11 1 12 mm 12 mm 13 tyramine 13 tyramine 14 was 14 was 15 perfused 15 perfused 16 at 15 perfused 19 to 16 at 18 site 17 each 18 site 19 to 20 elicit 20 elicit 22 norepinephrine 20 elicit 24 from 21 endogenous 22 norepinephrine 24 from 28 terminal 25 the 28 terminal 26 perivascular 27 nerve 27 nerve 28 terminal cutaneous vascular conductance was calculated as cvc = ldf/mean arterial pressure [and] expressed as change from baseline ( δcvc ) . 0 ###LEFT-WALL### 1 cutaneous 0 ###LEFT-WALL### 8 = 0 ###LEFT-WALL### 21 . 1 cutaneous 3 conductance 1 cutaneous 4 was 1 cutaneous 5 calculated 1 cutaneous 6 as 1 cutaneous 8 = 2 vascular 3 conductance 3 conductance 4 was 6 as 7 cvc 8 = 9 ldf/mean 8 = 16 from 9 ldf/mean 11 pressure 9 ldf/mean 13 expressed 9 ldf/mean 14 as 10 arterial 11 pressure 11 pressure 13 expressed 14 as 15 change 16 from 17 baseline 17 baseline 19 δcvc 18 ( 19 δcvc 19 δcvc 20 ) plasma bh4 was elevated 3 h after ingestion of sapropterin ( 43.8 ± 3 vs [.] 19.1 ± 2 pmol/ml [;] p < 0.001 ) . 0 ###LEFT-WALL### 2 bh4 0 ###LEFT-WALL### 4 elevated 0 ###LEFT-WALL### 26 . 1 plasma 2 bh4 2 bh4 3 was 3 was 4 elevated 4 elevated 7 after 5 3 6 h 6 h 7 after 7 after 8 ingestion 8 ingestion 9 of 9 of 10 sapropterin 10 sapropterin 13 ± 11 ( 13 ± 12 43.8 13 ± 13 ± 14 3 13 ± 15 vs 13 ± 23 < 13 ± 25 ) 15 vs 18 ± 17 19.1 18 ± 19 2 20 pmol/ml 20 pmol/ml 23 < 22 p 23 < 23 < 24 0.001 sapropterin increased reflex vasoconstriction at the ringer site at tsk ≤ 32.5 °c ( p < 0.05 ) . 0 ###LEFT-WALL### 1 sapropterin 0 ###LEFT-WALL### 2 increased 0 ###LEFT-WALL### 19 . 1 sapropterin 2 increased 2 increased 4 vasoconstriction 2 increased 5 at 2 increased 9 at 3 reflex 4 vasoconstriction 5 at 8 site 6 the 8 site 7 ringer 8 site 9 at 11 ≤ 10 tsk 11 ≤ 11 ≤ 16 < 12 32.5 13 °c 13 °c 16 < 14 ( 16 < 15 p 16 < 16 < 17 0.05 16 < 18 ) local bh4 perfusion augmented reflex vasoconstriction at tsk ≤ 31.5 [°c] with placebo treatment only ( p < 0.05 ) . 0 ###LEFT-WALL### 3 perfusion 0 ###LEFT-WALL### 4 augmented 0 ###LEFT-WALL### 21 . 1 local 3 perfusion 2 bh4 3 perfusion 3 perfusion 4 augmented 4 augmented 6 vasoconstriction 4 augmented 7 at 4 augmented 12 with 4 augmented 15 only 4 augmented 18 < 5 reflex 6 vasoconstriction 7 at 9 ≤ 8 tsk 9 ≤ 9 ≤ 10 31.5 12 with 14 treatment 13 placebo 14 treatment 16 ( 18 < 17 p 18 < 18 < 19 0.05 18 < 20 ) there was no treatment effect on reflex vasoconstriction at the bh4 - [perfused] or y+p - perfused sites . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 16 - 0 ###LEFT-WALL### 19 . 1 there 2 was 2 was 5 effect 3 no 5 effect 4 treatment 5 effect 5 effect 6 on 5 effect 9 at 6 on 8 vasoconstriction 7 reflex 8 vasoconstriction 9 at 14 or 10 the 11 bh4 11 bh4 14 or 12 - 14 or 14 or 15 y+p 16 - 18 sites 17 perfused 18 sites sapropterin increased pharmacologically induced vasoconstriction at the ringer site [(] - 0.19 ± 0.03 [vs] . - 0.08 ± 0.02 δcvc [;] p = 0.01 ) . 0 ###LEFT-WALL### 1 sapropterin 0 ###LEFT-WALL### 4 induced 0 ###LEFT-WALL### 11 - 0 ###LEFT-WALL### 16 . 1 sapropterin 2 increased 1 sapropterin 4 induced 2 increased 3 pharmacologically 4 induced 5 vasoconstriction 4 induced 6 at 6 at 9 site 7 the 9 site 8 ringer 9 site 11 - 12 0.19 11 - 13 ± 12 0.19 13 ± 13 ± 14 0.03 16 . 18 0.08 16 . 19 ± 16 . 27 . 17 - 18 0.08 18 0.08 19 ± 19 ± 21 δcvc 20 0.02 21 δcvc 21 δcvc 24 = 23 p 24 = 24 = 25 0.01 24 = 26 ) there was no difference in pharmacologically induced vasoconstriction between treatments at the bh4 - perfused site [(] - 0.16 ± 0.04 [vs] [.] - 0.14 ± 0.03 δcvc [;] p = 0.60 ) or the y+p - perfused site [(] - 0.05 ± 0.02 [vs] [.] - 0.06 ± [0.02] δcvc [;] p = 0.79 ) . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 1 there 2 was 2 was 4 difference 3 no 4 difference 4 difference 5 in 5 in 8 vasoconstriction 6 pharmacologically 7 induced 7 induced 8 vasoconstriction 8 vasoconstriction 9 between 8 vasoconstriction 18 - 9 between 10 treatments 10 treatments 11 at 11 at 13 bh4 12 the 13 bh4 14 - 18 - 15 perfused 16 site 16 site 18 - 18 - 26 ± 19 0.16 26 ± 20 ± 26 ± 21 0.04 24 - 24 - 25 0.14 24 - 26 ± 26 ± 27 0.03 26 ± 34 or 26 ± 38 perfused 28 δcvc 31 = 28 δcvc 34 or 30 p 31 = 31 = 32 0.60 31 = 33 ) 34 or 36 y+p 34 or 37 - 34 or 38 perfused 35 the 36 y+p 38 perfused 39 site 38 perfused 47 - 41 - 47 - 42 0.05 43 ± 43 ± 44 0.02 43 ± 47 - 47 - 51 δcvc 47 - 57 . 48 0.06 51 δcvc 49 ± 51 δcvc 51 δcvc 54 = 53 p 54 = 54 = 55 0.79 54 = 56 ) sapropterin increases both [reflex] ( cold - induced ) and pharmacologically induced vasoconstriction through adrenergic mechanisms and may be a viable intervention to improve reflex vasoconstriction in aged humans . 0 ###LEFT-WALL### 1 sapropterin 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 30 . 1 sapropterin 10 and 2 increases 3 both 2 increases 6 cold 2 increases 8 induced 2 increases 10 and 5 ( 6 cold 6 cold 7 - 7 - 8 induced 8 induced 9 ) 10 and 17 and 10 and 27 in 11 pharmacologically 12 induced 12 induced 13 vasoconstriction 12 induced 14 through 12 induced 17 and 14 through 16 mechanisms 15 adrenergic 16 mechanisms 17 and 18 may 18 may 19 be 19 be 22 intervention 19 be 23 to 20 a 22 intervention 21 viable 22 intervention 23 to 24 improve 24 improve 26 vasoconstriction 25 reflex 26 vasoconstriction 27 in 29 humans 28 aged 29 humans single - strand breaks ( ssbs ) are the most common type of oxidative dna damage and they are related to aging and many genetic diseases . 0 ###LEFT-WALL### 4 breaks 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 27 . 1 single 2 - 1 single 3 strand 3 strand 4 breaks 4 breaks 6 ssbs 4 breaks 8 are 5 ( 6 ssbs 6 ssbs 7 ) 8 are 23 and 9 the 12 type 10 most 11 common 11 common 12 type 12 type 13 of 12 type 23 and 13 of 15 dna 14 oxidative 15 dna 15 dna 17 and 15 dna 22 aging 16 damage 17 and 17 and 18 they 17 and 19 are 19 are 20 related 20 related 21 to 21 to 22 aging 23 and 26 diseases 24 many 26 diseases 25 genetic 26 diseases the scaffold protein for repair of ssbs , xrcc1 , accumulates at sites of [poly] [(] adp - ribose ) ( par ) synthesized by parp , but it is retained at sites of ssbs after par degradation . 0 ###LEFT-WALL### 3 protein 0 ###LEFT-WALL### 11 accumulates 0 ###LEFT-WALL### 28 but 0 ###LEFT-WALL### 39 . 1 the 3 protein 2 scaffold 3 protein 3 protein 4 for 3 protein 11 accumulates 4 for 5 repair 5 repair 6 of 6 of 7 ssbs 7 ssbs 9 xrcc1 8 , 9 xrcc1 9 xrcc1 10 , 11 accumulates 12 at 11 accumulates 25 by 12 at 13 sites 13 sites 14 of 13 sites 24 synthesized 14 of 17 adp 17 adp 19 ribose 17 adp 22 par 18 - 19 ribose 19 ribose 20 ) 21 ( 22 par 22 par 23 ) 25 by 26 parp 27 , 28 but 28 but 29 it 28 but 31 retained 29 it 30 is 30 is 31 retained 31 retained 32 at 32 at 33 sites 33 sites 34 of 34 of 35 ssbs 35 ssbs 36 after 36 after 38 degradation 37 par 38 degradation [how] xrcc1 responds to ssbs after par degradation and how this affects repair progression are not well understood . 0 ###LEFT-WALL### 2 xrcc1 0 ###LEFT-WALL### 3 responds 0 ###LEFT-WALL### 19 . 2 xrcc1 3 responds 3 responds 4 to 3 responds 6 after 3 responds 9 and 3 responds 18 understood 4 to 5 ssbs 6 after 7 par 8 degradation 9 and 9 and 10 how 9 and 11 this 9 and 12 affects 9 and 15 are 11 this 12 affects 12 affects 14 progression 13 repair 14 progression 15 are 16 not 15 are 17 well 15 are 18 understood we found that xrcc1 dissociates [from] par and is translocated to sites of ssbs dependent on its brctii domain and the function of parg . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 25 . 1 we 2 found 2 found 3 that 3 that 4 xrcc1 3 that 8 and 4 xrcc1 8 and 5 dissociates 7 par 5 dissociates 8 and 8 and 9 is 8 and 11 to 9 is 10 translocated 11 to 12 sites 12 sites 13 of 13 of 20 and 14 ssbs 15 dependent 14 ssbs 20 and 15 dependent 16 on 16 on 19 domain 17 its 19 domain 18 brctii 19 domain 20 and 22 function 20 and 23 of 21 the 22 function 23 of 24 parg in addition , phosphorylation of xrcc1 is also required for the proper dissociation kinetics of xrcc1 [because] ( 1 ) phosphorylation sites mutated in xrcc1 ( x1 [pm] ) cause retention of xrcc1 at sites of ssb for a longer time compared to wild type xrcc1 [;] [and] ( 2 [ )(phosphorylation of xrcc1 is required for efficient polyubiquitylation of xrcc1 . 0 ###LEFT-WALL### 2 addition 0 ###LEFT-WALL### 3 , 1 in 2 addition 3 , 4 phosphorylation 3 , 9 required 4 phosphorylation 5 of 4 phosphorylation 7 is 5 of 6 xrcc1 7 is 8 also 7 is 9 required 9 required 10 for 10 for 14 kinetics 11 the 14 kinetics 12 proper 13 dissociation 13 dissociation 14 kinetics 14 kinetics 15 of 14 kinetics 22 sites 14 kinetics 23 mutated 15 of 16 xrcc1 16 xrcc1 19 1 18 ( 19 1 19 1 20 ) 21 phosphorylation 22 sites 22 sites 23 mutated 23 mutated 24 in 23 mutated 34 at 24 in 31 retention 25 xrcc1 27 x1 25 xrcc1 31 retention 26 ( 27 x1 27 x1 29 ) 30 cause 31 retention 31 retention 32 of 32 of 33 xrcc1 34 at 35 sites 35 sites 36 of 35 sites 42 compared 36 of 37 ssb 37 ssb 38 for 38 for 41 time 39 a 41 time 40 longer 41 time 42 compared 43 to 43 to 46 xrcc1 44 wild 45 type 45 type 46 xrcc1 46 xrcc1 50 2 49 ( 50 2 50 2 52 )(phosphorylation 50 2 55 is 50 2 56 required 50 2 60 of 50 2 62 . 52 )(phosphorylation 53 of 52 )(phosphorylation 55 is 53 of 54 xrcc1 56 required 57 for 57 for 59 polyubiquitylation 58 efficient 59 polyubiquitylation 60 of 61 xrcc1 interestingly , a mutant of xrcc1 , ll360/361dd , which abolishes par binding , shows significant upregulation of ubiquitylation , indicating that parylation of xrcc1 prevents [the] poly - ubiquitylation . 0 ###LEFT-WALL### 4 mutant 0 ###LEFT-WALL### 15 shows 1 interestingly 2 , 1 interestingly 4 mutant 3 a 4 mutant 4 mutant 5 of 4 mutant 15 shows 5 of 6 xrcc1 6 xrcc1 8 ll360/361dd 6 xrcc1 10 which 7 , 8 ll360/361dd 8 ll360/361dd 9 , 9 , 10 which 10 which 11 abolishes 10 which 14 , 11 abolishes 12 par 12 par 13 binding 15 shows 17 upregulation 16 significant 17 upregulation 17 upregulation 18 of 18 of 19 ubiquitylation 19 ubiquitylation 29 - 20 , 29 - 21 indicating 22 that 21 indicating 26 prevents 21 indicating 29 - 22 that 23 parylation 22 that 26 prevents 23 parylation 24 of 23 parylation 26 prevents 24 of 25 xrcc1 26 prevents 28 poly 29 - 30 ubiquitylation 29 - 31 . we also found that the dynamics of the repair proteins dna polymerase beta , pnk , aptx , pcna and ligase i are regulated by domains of xrcc1 . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 found 0 ###LEFT-WALL### 29 . 1 we 3 found 2 also 3 found 3 found 4 that 4 that 6 dynamics 4 that 24 regulated 5 the 6 dynamics 6 dynamics 7 of 6 dynamics 23 are 7 of 20 and 8 the 13 beta 9 repair 13 beta 10 proteins 13 beta 11 dna 13 beta 12 polymerase 13 beta 13 beta 14 , 14 , 15 pnk 14 , 16 , 16 , 19 pcna 16 , 20 and 17 aptx 19 pcna 18 , 19 pcna 20 and 21 ligase 21 ligase 22 i 23 are 24 regulated 24 regulated 25 by 25 by 26 domains 26 domains 27 of 27 of 28 xrcc1 in summary , the dynamic damage response of xrcc1 is regulated in a manner that depends on modifications of polyadp - ribosylation , phosphorylation and ubiquitylation in live cells . 0 ###LEFT-WALL### 2 summary 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 30 . 1 in 2 summary 3 , 7 response 3 , 11 regulated 4 the 7 response 5 dynamic 6 damage 6 damage 7 response 7 response 8 of 7 response 10 is 8 of 9 xrcc1 10 is 11 regulated 11 regulated 12 in 11 regulated 17 on 11 regulated 27 in 12 in 14 manner 13 a 14 manner 14 manner 15 that 14 manner 16 depends 15 that 16 depends 17 on 18 modifications 18 modifications 19 of 19 of 25 and 20 polyadp 21 - 20 polyadp 22 ribosylation 22 ribosylation 23 , 23 , 24 phosphorylation 23 , 25 and 25 and 26 ubiquitylation 27 in 29 cells 28 live 29 cells none [in] [this] [paper] we test the ['] red herring ['] hypothesis for expenditures on long - term care ( ltc ) . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 16 long 0 ###LEFT-WALL### 17 - 1 none 5 we 1 none 15 on 1 none 16 long 5 we 6 test 6 test 12 hypothesis 6 test 15 on 7 the 12 hypothesis 9 red 10 herring 10 herring 12 hypothesis 12 hypothesis 13 for 13 for 14 expenditures 17 - 18 term 17 - 23 . 18 term 19 care 19 care 21 ltc 20 ( 21 ltc 21 ltc 22 ) the main contribution of this paper is to assess the ['] red herring ['] hypothesis by using the probability of dying as a measure for time - to [-] death ( ttd ) . 0 ###LEFT-WALL### 3 contribution 0 ###LEFT-WALL### 34 . 1 the 3 contribution 2 main 3 contribution 3 contribution 4 of 3 contribution 7 is 4 of 6 paper 5 this 6 paper 7 is 8 to 7 is 9 assess 8 to 9 assess 9 assess 15 hypothesis 9 assess 16 by 10 the 15 hypothesis 12 red 13 herring 13 herring 15 hypothesis 16 by 17 using 17 using 19 probability 18 the 19 probability 19 probability 20 of 20 of 21 dying 21 dying 22 as 21 dying 25 for 21 dying 28 to 22 as 24 measure 23 a 24 measure 25 for 26 time 27 - 28 to 28 to 30 death 28 to 33 ) 30 death 32 ttd 31 ( 32 ttd 32 ttd 33 ) in addition , we implement models that allow for age - specific ttd effects on ltc utilization as well as sex - specific effects . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 implement 0 ###LEFT-WALL### 22 - 1 in 2 addition 1 in 3 , 1 in 4 we 4 we 5 implement 5 implement 6 models 6 models 7 that 6 models 9 for 7 that 9 for 8 allow 9 for 9 for 10 age 10 age 14 effects 11 - 14 effects 12 specific 14 effects 13 ttd 14 effects 14 effects 15 on 14 effects 20 as 14 effects 22 - 15 on 17 utilization 16 ltc 17 utilization 18 as 19 well 19 well 20 as 20 as 21 sex 22 - 24 effects 22 - 25 . 23 specific 24 effects we also focus on total , institutional and domiciliary ltc separately . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 focus 0 ###LEFT-WALL### 12 . 1 we 3 focus 2 also 3 focus 3 focus 4 on 3 focus 11 separately 4 on 10 ltc 5 total 6 , 6 , 7 institutional 6 , 8 and 8 and 9 domiciliary 8 and 10 ltc for our analysis we use high quality administrative data from sweden . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 use 0 ###LEFT-WALL### 12 . 1 for 3 analysis 1 for 4 we 2 our 3 analysis 4 we 5 use 5 use 9 data 6 high 7 quality 7 quality 9 data 8 administrative 9 data 9 data 10 from 10 from 11 sweden our analysis is based on fixed effects estimates . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 4 based 0 ###LEFT-WALL### 9 . 1 our 2 analysis 2 analysis 3 is 3 is 4 based 4 based 5 on 5 on 8 estimates 6 fixed 7 effects 7 effects 8 estimates we use our findings to project future ltc expenditures and show that , although ttd is a relevant predictor , age itself remains the main driver of ltc expenditures . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 30 . 1 we 10 and 2 use 4 findings 2 use 5 to 2 use 6 project 2 use 10 and 3 our 4 findings 5 to 6 project 6 project 9 expenditures 7 future 9 expenditures 8 ltc 9 expenditures 10 and 11 show 11 show 12 that 12 that 21 age 12 that 23 remains 13 , 14 although 14 although 15 ttd 14 although 16 is 14 although 20 , 14 although 21 age 15 ttd 16 is 16 is 19 predictor 17 a 18 relevant 17 a 19 predictor 18 relevant 19 predictor 21 age 23 remains 22 itself 23 remains 23 remains 26 driver 24 the 25 main 24 the 26 driver 26 driver 27 of 27 of 29 expenditures 28 ltc 29 expenditures importance : individuals with age - related eye disease ( ared ) need to use eye care services for detection , assessment , and care at regular intervals . 0 ###LEFT-WALL### 1 importance 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 29 . 2 : 3 individuals 2 : 13 need 3 individuals 4 with 3 individuals 13 need 4 with 5 age 6 - 7 related 7 related 9 disease 7 related 12 ) 7 related 13 need 8 eye 9 disease 9 disease 11 ared 10 ( 11 ared 11 ared 12 ) 13 need 14 to 14 to 24 and 15 use 18 services 15 use 24 and 16 eye 18 services 17 care 18 services 18 services 19 for 19 for 20 detection 20 detection 22 assessment 21 , 22 assessment 22 assessment 23 , 24 and 25 care 25 care 26 at 26 at 28 intervals 27 regular 28 intervals objective : to explore the association [between] socioeconomic position ( sep ) and use of eye care services among us adults with self [-] reported ared during 2002 and 2008 . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 explore 2 : 13 and 2 : 31 . 3 to 4 explore 4 explore 9 position 5 the 9 position 6 association 9 position 8 socioeconomic 9 position 9 position 11 sep 10 ( 11 sep 11 sep 12 ) 13 and 14 use 13 and 18 services 14 use 15 of 14 use 18 services 15 of 17 care 16 eye 17 care 18 services 19 among 18 services 21 adults 18 services 22 with 18 services 27 during 19 among 20 us 22 with 26 ared 23 self 25 reported 25 reported 26 ared 27 during 29 and 28 2002 29 and 29 and 30 2008 design : data were from the national health interview survey 2002 and 2008 . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 2 : 3 data 2 : 4 were 2 : 14 . 3 data 4 were 4 were 5 from 5 from 10 survey 6 the 10 survey 7 national 8 health 8 health 9 interview 9 interview 10 survey 10 survey 12 and 11 2002 12 and 12 and 13 2008 we used multiple logistic regression to estimate predictive margins , controlling for other factors , and we used the slope index of inequality to measure the relationship between sep and use of eye care services across the entire distributions of poverty - income [ratio] ( pir ) and educational attainment . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 51 . 1 we 2 used 2 used 5 regression 2 used 6 to 2 used 7 estimate 3 multiple 5 regression 4 logistic 5 regression 6 to 7 estimate 7 estimate 16 and 7 estimate 18 used 8 predictive 9 margins 9 margins 10 , 10 , 11 controlling 10 , 16 and 11 controlling 12 for 12 for 14 factors 13 other 14 factors 15 , 16 and 16 and 17 we 16 and 18 used 18 used 21 index 18 used 24 to 18 used 25 measure 19 the 21 index 20 slope 21 index 21 index 22 of 22 of 23 inequality 24 to 25 measure 25 measure 27 relationship 25 measure 28 between 25 measure 36 across 26 the 27 relationship 28 between 30 and 29 sep 30 and 30 and 31 use 30 and 32 of 32 of 35 services 33 eye 35 services 34 care 35 services 36 across 50 attainment 37 the 50 attainment 38 entire 39 distributions 39 distributions 40 of 39 distributions 48 and 40 of 41 poverty 41 poverty 43 income 42 - 43 income 43 income 46 pir 43 income 47 ) 45 ( 46 pir 46 pir 47 ) 48 and 49 educational 48 and 50 attainment setting : a cross - sectional , nationally representative sample [of] adults , with prevalence estimates weighted to represent the civilian , noninstitutionalized us population . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 26 . 1 setting 2 : 2 : 4 cross 3 a 4 cross 5 - 12 adults 5 - 23 noninstitutionalized 6 sectional 7 , 6 sectional 10 sample 8 nationally 9 representative 9 representative 10 sample 10 sample 12 adults 12 adults 14 with 12 adults 23 noninstitutionalized 13 , 14 with 14 with 16 estimates 14 with 17 weighted 14 with 22 , 15 prevalence 16 estimates 17 weighted 18 to 18 to 19 represent 19 represent 21 civilian 20 the 21 civilian 23 noninstitutionalized 25 population 24 us 25 population participants : the sample included us participants in the 2002 ( n = 3586 ) and the 2008 ( n = 3104 [ )(national health interview survey who were at least 40 years old and reported any ared ( age - related macular degeneration , cataract , diabetic retinopathy , or glaucoma ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 54 . 2 : 4 sample 2 : 5 included 2 : 16 and 3 the 4 sample 4 sample 5 included 5 included 7 participants 6 us 7 participants 7 participants 8 in 8 in 10 2002 9 the 10 2002 10 2002 13 = 11 ( 13 = 12 n 13 = 13 = 14 3586 13 = 15 ) 16 and 18 2008 16 and 42 related 17 the 18 2008 18 2008 21 = 18 2008 42 related 19 ( 21 = 20 n 21 = 21 = 27 survey 22 3104 24 )(national 24 )(national 25 health 25 health 26 interview 26 interview 27 survey 27 survey 28 who 27 survey 35 and 28 who 35 and 29 were 31 least 29 were 34 old 29 were 35 and 30 at 31 least 32 40 33 years 33 years 34 old 35 and 36 reported 36 reported 38 ared 37 any 38 ared 38 ared 40 age 39 ( 40 age 40 age 41 - 42 related 51 or 43 macular 44 degeneration 44 degeneration 45 , 45 , 46 cataract 45 , 47 , 47 , 49 retinopathy 47 , 51 or 48 diabetic 49 retinopathy 50 , 51 or 51 or 52 glaucoma 51 or 53 ) main outcomes and measures : use of eye care services ; sep was measured by the pir and educational attainment . 0 ###LEFT-WALL### 4 measures 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 11 ; 0 ###LEFT-WALL### 14 measured 0 ###LEFT-WALL### 21 . 1 main 2 outcomes 2 outcomes 3 and 3 and 4 measures 4 measures 5 : 5 : 6 use 6 use 7 of 7 of 10 services 8 eye 10 services 9 care 10 services 11 ; 12 sep 12 sep 13 was 13 was 14 measured 14 measured 15 by 15 by 18 and 16 the 17 pir 17 pir 18 and 18 and 20 attainment 19 educational 20 attainment results : in 2002 , persons with ared and a pir of less than 1.50 were significantly less likely than those with a pir of at least 5 to report visiting an eye care provider [(] 62.7 [%] vs 80.1 % [;] p < [.] 001 [ )( undergoing a dilated eye examination in the past 12 months [(] 64.3 [%] vs 80.4 % [;] p < [.] 001 ) , after adjustment for other factors . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 , 1 results 2 : 2 : 3 in 3 in 4 2002 5 , 9 and 6 persons 7 with 6 persons 9 and 7 with 8 ared 9 and 11 pir 9 and 12 of 9 and 16 were 10 a 11 pir 12 of 15 1.50 13 less 14 than 14 than 15 1.50 16 were 17 significantly 16 were 19 likely 18 less 19 likely 19 likely 20 than 20 than 21 those 21 those 22 with 21 those 25 of 21 those 31 visiting 22 with 24 pir 23 a 24 pir 25 of 28 5 26 at 27 least 27 least 28 5 28 5 29 to 28 5 30 report 29 to 30 report 31 visiting 35 provider 32 an 35 provider 33 eye 34 care 34 care 35 provider 35 provider 37 62.7 35 provider 39 vs 35 provider 44 < 39 vs 41 % 40 80.1 41 % 43 p 44 < 44 < 46 001 46 001 49 undergoing 49 undergoing 53 examination 50 a 53 examination 51 dilated 53 examination 52 eye 53 examination 53 examination 54 in 53 examination 62 vs 54 in 58 months 55 the 56 past 55 the 57 12 57 12 58 months 58 months 60 64.3 62 vs 64 % 63 80.4 64 % 64 % 67 < 64 % 72 after 66 p 67 < 67 < 69 001 67 < 70 ) 71 , 72 after 72 after 73 adjustment 72 after 77 . 73 adjustment 74 for 74 for 76 factors 75 other 76 factors similarly , [persons] with less than a high school education were less likely than those [with] at [least] a college education to report a visit to an eye care provider ( 62.9 % vs 80.8 % [;] p < [.] 001 ) or dilated eye examination ( 64.8 % vs 81.4 % ; p < . 001 [ )( 0 ###LEFT-WALL### 10 education 0 ###LEFT-WALL### 43 or 0 ###LEFT-WALL### 53 ; 0 ###LEFT-WALL### 56 . 1 similarly 2 , 1 similarly 10 education 4 with 5 less 4 with 6 than 4 with 8 high 4 with 10 education 7 a 8 high 9 school 10 education 10 education 43 or 11 were 13 likely 11 were 43 or 12 less 13 likely 13 likely 14 than 13 likely 22 to 13 likely 23 report 14 than 15 those 14 than 17 at 17 at 21 education 19 a 20 college 19 a 21 education 20 college 21 education 22 to 23 report 23 report 25 visit 24 a 25 visit 25 visit 26 to 25 visit 33 % 26 to 30 provider 27 an 30 provider 28 eye 29 care 29 care 30 provider 31 ( 33 % 32 62.9 33 % 33 % 34 vs 33 % 39 < 33 % 42 ) 34 vs 36 % 35 80.8 36 % 38 p 39 < 39 < 41 001 43 or 44 dilated 43 or 46 examination 45 eye 46 examination 46 examination 49 % 47 ( 49 % 48 64.8 49 % 49 % 50 vs 49 % 53 ; 50 vs 52 % 51 81.4 52 % 53 ; 54 p 53 ; 55 < 54 p 55 < 56 . 57 001 56 . 59 )( conclusions and relevance : significant differences in the use of eye care services by sep persist among us adults with eye diseases . 0 ###LEFT-WALL### 3 relevance 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 23 . 1 conclusions 2 and 2 and 3 relevance 4 : 6 differences 4 : 16 persist 5 significant 6 differences 6 differences 7 in 6 differences 16 persist 7 in 9 use 8 the 9 use 9 use 10 of 9 use 14 by 10 of 13 services 11 eye 13 services 12 care 13 services 14 by 15 sep 16 persist 17 among 16 persist 20 with 17 among 19 adults 18 us 19 adults 20 with 22 diseases 21 eye 22 diseases the concept of mild cognitive impairment ( mci ) in the general population has received increased attention over recent years , and is associated with risk of progression to alzheimer 's disease . 0 ###LEFT-WALL### 2 concept 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 33 . 1 the 2 concept 2 concept 3 of 2 concept 10 in 2 concept 22 and 3 of 6 impairment 4 mild 6 impairment 5 cognitive 6 impairment 6 impairment 8 mci 7 ( 8 mci 8 mci 9 ) 10 in 13 population 11 the 13 population 12 general 13 population 14 has 15 received 14 has 22 and 15 received 17 attention 15 received 18 over 16 increased 17 attention 18 over 20 years 19 recent 20 years 21 , 22 and 22 and 23 is 23 is 24 associated 24 associated 25 with 25 with 26 risk 26 risk 27 of 27 of 28 progression 28 progression 29 to 29 to 32 disease 30 alzheimer 31 's 31 's 32 disease within parkinson 's disease ( pd ) , mci ( pd - mci ) is also now recognised to be relatively common , with certain [subtypes] predicting progression to parkinson 's disease dementia ( pdd ) . 0 ###LEFT-WALL### 9 mci 0 ###LEFT-WALL### 20 be 1 within 4 disease 1 within 8 , 1 within 9 mci 2 parkinson 3 's 3 's 4 disease 4 disease 6 pd 5 ( 6 pd 6 pd 7 ) 9 mci 11 pd 9 mci 15 is 10 ( 11 pd 11 pd 13 mci 11 pd 14 ) 12 - 13 mci 13 mci 14 ) 15 is 18 recognised 16 also 18 recognised 17 now 18 recognised 18 recognised 19 to 19 to 20 be 20 be 22 common 21 relatively 22 common 22 common 24 with 23 , 24 with 24 with 28 progression 24 with 29 to 24 with 37 . 25 certain 28 progression 27 predicting 28 progression 29 to 33 dementia 30 parkinson 31 's 31 's 33 dementia 32 disease 33 dementia 33 dementia 35 pdd 34 ( 35 pdd 35 pdd 36 ) recently , criteria to better characterise pd [-] mci and [its] subtypes have been produced by the movement disorder society . 0 ###LEFT-WALL### 3 criteria 0 ###LEFT-WALL### 15 produced 0 ###LEFT-WALL### 21 . 1 recently 2 , 1 recently 3 criteria 3 criteria 4 to 3 criteria 12 subtypes 3 criteria 13 have 4 to 10 and 5 better 6 characterise 6 characterise 7 pd 6 characterise 10 and 7 pd 9 mci 10 and 12 subtypes 13 have 14 been 14 been 15 produced 15 produced 16 by 16 by 20 society 17 the 20 society 18 movement 19 disorder 19 disorder 20 society [in] contrast to the population as a whole , where [amnestic] mci is the most common [subtype] , [non] - amnestic pd - mci [dominates] , with prominent executive and attention dysfunction . 0 ###LEFT-WALL### 2 contrast 0 ###LEFT-WALL### 33 . 2 contrast 3 to 2 contrast 6 as 2 contrast 27 with 3 to 5 population 4 the 5 population 6 as 8 whole 7 a 8 whole 8 whole 10 where 8 whole 22 pd 8 whole 24 mci 9 , 10 where 10 where 12 mci 10 where 13 is 10 where 18 , 12 mci 13 is 13 is 15 most 13 is 16 common 14 the 15 most 20 - 22 pd 21 amnestic 22 pd 22 pd 23 - 23 - 24 mci 24 mci 26 , 27 with 32 dysfunction 28 prominent 32 dysfunction 29 executive 30 and 30 and 31 attention 30 and 32 dysfunction although the pathophysiology of pd - mci is poorly understood and encompasses both pd and [non] - pd pathology , it is most likely [the] result of a complex interaction between neurotransmitter dysfunction , synaptic pathology , protein aggregation and neuronal damage . 0 ###LEFT-WALL### 7 mci 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 43 . 1 although 3 pathophysiology 1 although 6 - 1 although 7 mci 2 the 3 pathophysiology 3 pathophysiology 4 of 4 of 5 pd 7 mci 8 is 8 is 11 and 9 poorly 10 understood 10 understood 11 and 11 and 12 encompasses 11 and 19 pathology 12 encompasses 13 both 14 pd 15 and 15 and 18 pd 17 - 18 pd 18 pd 19 pathology 20 , 21 it 20 , 22 is 21 it 22 is 22 is 40 and 23 most 24 likely 24 likely 26 result 26 result 27 of 26 result 34 , 27 of 30 interaction 28 a 30 interaction 29 complex 30 interaction 30 interaction 31 between 31 between 33 dysfunction 32 neurotransmitter 33 dysfunction 34 , 36 pathology 34 , 37 , 35 synaptic 36 pathology 37 , 39 aggregation 37 , 40 and 38 protein 39 aggregation 40 and 42 damage 41 neuronal 42 damage determining the factors that influence the progression of these pathologies in pd and the individuals at risk of ultimately developing pdd is critical for targeted intervention and drug discovery studies . 0 ###LEFT-WALL### 1 determining 0 ###LEFT-WALL### 22 is 0 ###LEFT-WALL### 31 . 1 determining 3 factors 1 determining 11 in 1 determining 22 is 2 the 3 factors 3 factors 4 that 3 factors 5 influence 4 that 5 influence 5 influence 7 progression 6 the 7 progression 7 progression 8 of 8 of 10 pathologies 9 these 10 pathologies 11 in 13 and 12 pd 13 and 13 and 15 individuals 13 and 16 at 13 and 18 of 14 the 15 individuals 16 at 17 risk 18 of 21 pdd 19 ultimately 20 developing 20 developing 21 pdd 22 is 23 critical 23 critical 24 for 24 for 27 and 25 targeted 26 intervention 26 intervention 27 and 27 and 30 studies 28 drug 30 studies 29 discovery 30 studies further work is required , however , to determine the significance of pd - mci and also to validate the diagnostic criteria . 0 ###LEFT-WALL### 2 work 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 23 . 1 further 2 work 2 work 3 is 3 is 16 and 4 required 6 however 4 required 8 to 4 required 15 mci 4 required 16 and 5 , 6 however 6 however 7 , 7 , 8 to 8 to 9 determine 8 to 14 - 9 determine 11 significance 10 the 11 significance 11 significance 12 of 12 of 13 pd 16 and 18 to 16 and 19 validate 17 also 18 to 18 to 19 validate 19 validate 22 criteria 20 the 22 criteria 21 diagnostic 22 criteria this would be best delivered in the form of longitudinal studies in homogenous cohorts of pd participants , to allow prognostication and generalisation among the pd population . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 5 delivered 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 28 . 1 this 2 would 2 would 3 be 3 be 4 best 3 be 5 delivered 5 delivered 6 in 5 delivered 12 in 6 in 8 form 7 the 8 form 8 form 9 of 9 of 11 studies 10 longitudinal 11 studies 12 in 14 cohorts 13 homogenous 14 cohorts 14 cohorts 15 of 15 of 17 participants 16 pd 17 participants 18 , 19 to 18 , 20 allow 19 to 20 allow 20 allow 22 and 20 allow 27 population 21 prognostication 22 and 22 and 23 generalisation 22 and 24 among 24 among 26 pd 25 the 26 pd at the present time , no drug therapies are available for pd - mci . 0 ###LEFT-WALL### 8 therapies 0 ###LEFT-WALL### 9 are 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 15 . 1 at 4 time 1 at 5 , 1 at 8 therapies 2 the 4 time 3 present 4 time 6 no 8 therapies 7 drug 8 therapies 8 therapies 9 are 9 are 10 available 10 available 11 for 11 for 12 pd 13 - 14 mci management includes screening for the disorder , excluding treatable causes of cognitive [decline] and cautious use of dopamine agonists and medications such as anticholinergics . 0 ###LEFT-WALL### 1 management 0 ###LEFT-WALL### 2 includes 1 management 2 includes 2 includes 3 screening 2 includes 4 for 2 includes 8 excluding 4 for 6 disorder 5 the 6 disorder 7 , 8 excluding 8 excluding 20 and 8 excluding 25 . 9 treatable 10 causes 10 causes 11 of 10 causes 20 and 11 of 16 use 12 cognitive 14 and 14 and 15 cautious 14 and 16 use 16 use 17 of 17 of 19 agonists 18 dopamine 19 agonists 20 and 21 medications 20 and 23 as 22 such 23 as 23 as 24 anticholinergics sirtuin 3 ( sirt3 ) , a major mitochondrial nad [(] [+] ) - dependent deacetylase , targets various mitochondrial proteins for lysine deacetylation and regulates important cellular functions such as energy metabolism , aging , and stress response . 0 ###LEFT-WALL### 2 3 0 ###LEFT-WALL### 25 and 0 ###LEFT-WALL### 40 . 1 sirtuin 2 3 2 3 4 sirt3 2 3 10 nad 2 3 16 deacetylase 2 3 25 and 3 ( 4 sirt3 4 sirt3 5 ) 6 , 10 nad 7 a 8 major 7 a 10 nad 8 major 10 nad 9 mitochondrial 10 nad 10 nad 13 ) 14 - 16 deacetylase 15 dependent 16 deacetylase 16 deacetylase 17 , 18 targets 21 proteins 18 targets 22 for 18 targets 25 and 19 various 21 proteins 20 mitochondrial 21 proteins 22 for 24 deacetylation 23 lysine 24 deacetylation 25 and 26 regulates 26 regulates 37 and 27 important 29 functions 28 cellular 29 functions 29 functions 31 as 29 functions 37 and 30 such 31 as 31 as 33 metabolism 32 energy 33 metabolism 33 metabolism 35 aging 34 , 35 aging 35 aging 36 , 36 , 37 and 37 and 39 response 38 stress 39 response in this study , we identified the human 8 - oxoguanine - dna glycosylase 1 ( ogg1 ) , a dna repair enzyme that excises 7,8 - dihydro - 8 - oxoguanine ( 8 - oxog ) from damaged [genome] , as a new target protein for sirt3 . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 identified 0 ###LEFT-WALL### 49 . 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 identified 6 identified 8 human 6 identified 42 as 7 the 8 human 8 human 9 8 8 human 11 oxoguanine 8 human 14 glycosylase 10 - 11 oxoguanine 11 oxoguanine 12 - 12 - 14 glycosylase 13 dna 14 glycosylase 14 glycosylase 15 1 14 glycosylase 17 ogg1 14 glycosylase 23 enzyme 14 glycosylase 41 , 16 ( 17 ogg1 17 ogg1 18 ) 19 , 23 enzyme 20 a 23 enzyme 21 dna 23 enzyme 22 repair 23 enzyme 23 enzyme 24 that 23 enzyme 38 from 23 enzyme 39 damaged 23 enzyme 41 , 24 that 25 excises 25 excises 26 7,8 25 excises 38 from 26 7,8 28 dihydro 26 7,8 31 - 26 7,8 36 oxog 27 - 28 dihydro 28 dihydro 29 - 29 - 31 - 30 8 31 - 31 - 32 oxoguanine 31 - 35 - 32 oxoguanine 34 8 33 ( 34 8 34 8 35 - 35 - 36 oxog 36 oxog 37 ) 42 as 46 protein 43 a 46 protein 44 new 46 protein 45 target 46 protein 46 protein 47 for 47 for 48 sirt3 we found that sirt3 physically associated with ogg1 and deacetylated this dna glycosylase and that deacetylation by sirt3 prevented the degradation of the ogg1 protein and controlled its incision activity . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 31 . 1 we 2 found 2 found 14 and 3 that 4 sirt3 3 that 9 and 3 that 14 and 4 sirt3 9 and 5 physically 6 associated 6 associated 7 with 6 associated 9 and 7 with 8 ogg1 9 and 10 deacetylated 10 deacetylated 13 glycosylase 11 this 13 glycosylase 12 dna 13 glycosylase 14 and 15 that 15 that 16 deacetylation 15 that 26 and 16 deacetylation 17 by 16 deacetylation 26 and 17 by 18 sirt3 19 prevented 21 degradation 19 prevented 26 and 20 the 21 degradation 21 degradation 22 of 22 of 25 protein 23 the 25 protein 24 ogg1 25 protein 26 and 27 controlled 27 controlled 30 activity 28 its 30 activity 29 incision 30 activity we further showed that regulation of the acetylation and turnover of ogg1 by sirt3 played a critical role in repairing mitochondrial dna ( mtdna ) damage , protecting mitochondrial integrity , and preventing apoptotic cell death under oxidative stress . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 40 . 1 we 3 showed 2 further 3 showed 3 showed 5 regulation 3 showed 18 role 3 showed 32 and 4 that 5 regulation 5 regulation 6 of 5 regulation 11 of 5 regulation 13 by 6 of 9 and 7 the 8 acetylation 8 acetylation 9 and 9 and 10 turnover 11 of 12 ogg1 13 by 14 sirt3 14 sirt3 15 played 16 a 17 critical 16 a 18 role 17 critical 18 role 18 role 19 in 18 role 26 damage 19 in 22 dna 20 repairing 22 dna 21 mitochondrial 22 dna 23 ( 26 damage 24 mtdna 25 ) 24 mtdna 26 damage 26 damage 28 protecting 26 damage 31 , 27 , 28 protecting 28 protecting 30 integrity 28 protecting 31 , 29 mitochondrial 30 integrity 31 , 32 and 32 and 36 death 33 preventing 36 death 34 apoptotic 35 cell 35 cell 36 death 36 death 37 under 37 under 39 stress 38 oxidative 39 stress we observed that following ionizing radiation , human tumor cells with silencing of sirt3 expression exhibited deteriorated oxidative damage of mtdna , as measured by the accumulation of 8 - oxog and 4977 common deletion , and showed more severe mitochondrial dysfunction and underwent greater apoptosis in comparison with the cells without silencing of sirt3 expression . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 observed 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 57 . 1 we 2 observed 2 observed 6 radiation 3 that 4 following 4 following 6 radiation 5 ionizing 6 radiation 7 , 10 cells 7 , 37 and 8 human 10 cells 9 tumor 10 cells 10 cells 11 with 10 cells 13 of 10 cells 16 exhibited 10 cells 37 and 11 with 12 silencing 13 of 15 expression 14 sirt3 15 expression 17 deteriorated 19 damage 17 deteriorated 37 and 18 oxidative 19 damage 19 damage 20 of 19 damage 25 by 19 damage 28 of 20 of 21 mtdna 21 mtdna 24 measured 22 , 24 measured 23 as 24 measured 25 by 27 accumulation 26 the 27 accumulation 28 of 29 8 29 8 32 and 30 - 32 and 31 oxog 32 and 32 and 35 deletion 32 and 36 , 33 4977 35 deletion 34 common 35 deletion 37 and 43 and 37 and 52 without 38 showed 42 dysfunction 38 showed 43 and 39 more 40 severe 40 severe 42 dysfunction 41 mitochondrial 42 dysfunction 43 and 44 underwent 44 underwent 46 apoptosis 44 underwent 47 in 45 greater 46 apoptosis 47 in 48 comparison 48 comparison 49 with 49 with 51 cells 50 the 51 cells 52 without 53 silencing 53 silencing 54 of 54 of 56 expression 55 sirt3 56 expression the results reported here [not] only reveal a new function and mechanism for sirt3 in defending the mitochondrial genome against oxidative damage and protecting from the genotoxic stress - induced apoptotic cell death but also provide evidence supporting a new mtdna repair pathway . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 7 reveal 0 ###LEFT-WALL### 29 - 1 the 2 results 2 results 3 reported 2 results 7 reveal 3 reported 4 here 3 reported 6 only 7 reveal 11 and 7 reveal 13 for 7 reveal 15 in 7 reveal 20 against 7 reveal 25 from 8 a 9 new 8 a 10 function 9 new 10 function 10 function 11 and 11 and 12 mechanism 13 for 14 sirt3 15 in 16 defending 16 defending 19 genome 17 the 19 genome 18 mitochondrial 19 genome 20 against 23 and 21 oxidative 22 damage 22 damage 23 and 23 and 24 protecting 25 from 28 stress 26 the 28 stress 27 genotoxic 28 stress 29 - 34 but 29 - 44 . 30 induced 33 death 30 induced 34 but 31 apoptotic 32 cell 32 cell 33 death 34 but 36 provide 35 also 36 provide 36 provide 37 evidence 37 evidence 38 supporting 38 supporting 43 pathway 39 a 43 pathway 40 new 41 mtdna 41 mtdna 42 repair 42 repair 43 pathway senescence is a cellular response to damage and stress . 0 ###LEFT-WALL### 1 senescence 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 10 . 1 senescence 2 is 2 is 5 response 3 a 4 cellular 3 a 5 response 4 cellular 5 response 5 response 6 to 6 to 8 and 7 damage 8 and 8 and 9 stress the senescence response prevents cancer by suppressing the proliferation of cells with a [compromised] genome and contributes to optimal wound healing in normal tissues . 0 ###LEFT-WALL### 3 response 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 25 . 1 the 3 response 2 senescence 3 response 3 response 16 and 4 prevents 5 cancer 4 prevents 6 by 4 prevents 16 and 6 by 7 suppressing 7 suppressing 9 proliferation 7 suppressing 12 with 8 the 9 proliferation 9 proliferation 10 of 10 of 11 cells 12 with 15 genome 13 a 15 genome 16 and 17 contributes 16 and 18 to 16 and 22 in 18 to 21 healing 19 optimal 20 wound 20 wound 21 healing 22 in 24 tissues 23 normal 24 tissues persistent senescent cells are also thought to drive aging and age - associated pathologies through their secretion of inflammatory factors that modify the tissue microenvironment and alter the function of nearby normal or transformed cells . 0 ###LEFT-WALL### 2 senescent 0 ###LEFT-WALL### 36 . 1 persistent 2 senescent 2 senescent 3 cells 2 senescent 4 are 2 senescent 6 thought 2 senescent 13 associated 2 senescent 14 pathologies 3 cells 4 are 4 are 5 also 6 thought 7 to 6 thought 10 and 6 thought 13 associated 7 to 8 drive 9 aging 10 and 10 and 11 age 10 and 12 - 10 and 13 associated 14 pathologies 15 through 14 pathologies 33 or 15 through 17 secretion 16 their 17 secretion 17 secretion 18 of 17 secretion 30 of 18 of 20 factors 19 inflammatory 20 factors 20 factors 21 that 20 factors 26 and 21 that 26 and 22 modify 25 microenvironment 22 modify 26 and 23 the 25 microenvironment 24 tissue 25 microenvironment 26 and 27 alter 27 alter 29 function 28 the 29 function 30 of 31 nearby 32 normal 33 or 33 or 35 cells 34 transformed 35 cells understanding how senescent cells alter the microenvironment would be aided by the ability to induce or eliminate senescent cells at will in vivo . 0 ###LEFT-WALL### 1 understanding 0 ###LEFT-WALL### 16 or 0 ###LEFT-WALL### 24 . 1 understanding 2 how 1 understanding 8 would 2 how 4 cells 2 how 5 alter 3 senescent 4 cells 4 cells 5 alter 5 alter 7 microenvironment 6 the 7 microenvironment 8 would 16 or 9 be 10 aided 9 be 16 or 10 aided 11 by 11 by 13 ability 12 the 13 ability 13 ability 14 to 13 ability 15 induce 14 to 15 induce 16 or 17 eliminate 17 eliminate 19 cells 17 eliminate 20 at 17 eliminate 23 vivo 18 senescent 19 cells 20 at 21 will 22 in 23 vivo here , we combine the use of the synthetic nucleoside analog ganciclovir ( gcv ) with herpes simplex virus thymidine [kinase] ( hsvtk ) activity to create or eliminate senescent human cells . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 28 or 0 ###LEFT-WALL### 33 . 1 here 2 , 1 here 3 we 3 we 28 or 4 combine 6 use 4 combine 16 with 4 combine 28 or 5 the 6 use 6 use 7 of 6 use 14 gcv 7 of 12 ganciclovir 8 the 12 ganciclovir 9 synthetic 10 nucleoside 10 nucleoside 12 ganciclovir 11 analog 12 ganciclovir 13 ( 14 gcv 14 gcv 15 ) 16 with 20 thymidine 16 with 25 activity 17 herpes 18 simplex 18 simplex 20 thymidine 19 virus 20 thymidine 20 thymidine 23 hsvtk 22 ( 23 hsvtk 23 hsvtk 24 ) 25 activity 26 to 25 activity 27 create 26 to 27 create 28 or 29 eliminate 28 or 32 cells 29 eliminate 30 senescent 31 human 32 cells we show that low concentrations of gcv induce senescence through the accumulation of nuclear dna damage while higher concentrations of gcv , similar to those used in vivo , kill [non] - dividing senescent cells via mitochondrial dna ( mtdna ) damage and caspase - dependent apoptosis . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 show 0 ###LEFT-WALL### 48 . 1 we 2 show 2 show 4 low 2 show 5 concentrations 2 show 8 induce 3 that 4 low 5 concentrations 6 of 5 concentrations 8 induce 6 of 7 gcv 8 induce 9 senescence 8 induce 10 through 8 induce 17 while 10 through 12 accumulation 11 the 12 accumulation 12 accumulation 13 of 13 of 16 damage 14 nuclear 16 damage 15 dna 16 damage 17 while 19 concentrations 17 while 30 kill 18 higher 19 concentrations 19 concentrations 20 of 19 concentrations 30 kill 20 of 21 gcv 21 gcv 23 similar 22 , 23 similar 23 similar 24 to 23 similar 28 vivo 23 similar 29 , 24 to 25 those 25 those 26 used 27 in 28 vivo 30 kill 33 dividing 30 kill 47 apoptosis 32 - 33 dividing 33 dividing 35 cells 33 dividing 45 - 34 senescent 35 cells 35 cells 36 via 36 via 43 and 37 mitochondrial 42 damage 38 dna 40 mtdna 38 dna 42 damage 39 ( 40 mtdna 40 mtdna 41 ) 42 damage 43 and 43 and 44 caspase 46 dependent 47 apoptosis using this system , we effectively eliminated xenografted normal human senescent fibroblasts or induced senescence in human breast cancer cells in vivo . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 13 or 0 ###LEFT-WALL### 23 . 1 using 3 system 1 using 4 , 1 using 5 we 2 this 3 system 5 we 13 or 6 effectively 7 eliminated 7 eliminated 12 fibroblasts 7 eliminated 13 or 8 xenografted 12 fibroblasts 9 normal 12 fibroblasts 10 human 12 fibroblasts 11 senescent 12 fibroblasts 13 or 14 induced 14 induced 15 senescence 14 induced 16 in 14 induced 22 vivo 16 in 20 cells 17 human 18 breast 18 breast 20 cells 19 cancer 20 cells 21 in 22 vivo thus , cellular senescence and mtdna damage are outcomes of synthetic nucleoside analog treatment , indicating that the gcv [-] hsvtk combination can be used effectively to promote the targeted formation or eradication of senescent cells . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 8 are 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 37 . 1 thus 2 , 1 thus 5 and 3 cellular 4 senescence 4 senescence 5 and 5 and 7 damage 5 and 8 are 6 mtdna 7 damage 8 are 9 outcomes 9 outcomes 10 of 10 of 14 treatment 11 synthetic 12 nucleoside 12 nucleoside 14 treatment 13 analog 14 treatment 15 , 16 indicating 15 , 25 used 16 indicating 17 that 16 indicating 24 be 17 that 22 combination 17 that 23 can 18 the 22 combination 19 gcv 21 hsvtk 21 hsvtk 22 combination 22 combination 23 can 24 be 25 used 25 used 26 effectively 25 used 27 to 25 used 28 promote 27 to 28 promote 28 promote 32 or 29 the 31 formation 30 targeted 31 formation 31 formation 32 or 32 or 33 eradication 32 or 34 of 34 of 36 cells 35 senescent 36 cells background : early - life [lead] ( pb ) exposure induces overexpression of the amyloid beta precursor protein and its amyloid beta product in older rats and primates . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 10 exposure 2 : 11 induces 3 early 5 life 3 early 10 exposure 4 - 5 life 5 life 8 pb 5 life 9 ) 7 ( 8 pb 8 pb 9 ) 10 exposure 11 induces 11 induces 12 overexpression 11 induces 24 in 12 overexpression 13 of 13 of 19 and 14 the 18 protein 15 amyloid 16 beta 16 beta 18 protein 17 precursor 18 protein 18 protein 19 and 19 and 23 product 20 its 23 product 21 amyloid 22 beta 22 beta 23 product 24 in 27 and 25 older 26 rats 26 rats 27 and 27 and 28 primates we exposed rodents to pb during different life span periods and examined cognitive function in old age and its impact on biomarkers associated with alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 exposed 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 31 . 1 we 2 exposed 2 exposed 3 rodents 2 exposed 6 during 3 rodents 4 to 4 to 5 pb 6 during 11 and 7 different 8 life 8 life 10 periods 9 span 10 periods 10 periods 11 and 11 and 14 function 11 and 15 in 12 examined 14 function 13 cognitive 14 function 15 in 17 age 16 old 17 age 18 and 20 impact 18 and 23 associated 19 its 20 impact 20 impact 21 on 20 impact 23 associated 21 on 22 biomarkers 23 associated 24 with 24 with 27 disease 25 alzheimer 26 's 26 's 27 disease 27 disease 29 ad 28 ( 29 ad 29 ad 30 ) methods : morris , y , and the elevated plus mazes were used . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 14 . 1 methods 2 : 2 : 3 morris 4 , 7 and 4 , 13 used 5 y 7 and 6 , 7 and 7 and 11 mazes 7 and 12 were 8 the 11 mazes 9 elevated 11 mazes 10 plus 11 mazes 12 were 13 used western [blot] , quantitative polymerase chain reaction ( qpcr ) , and enzyme [-] linked immunosorbent assay were used to study the levels of ad biomarkers . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 27 . 1 western 7 reaction 1 western 12 and 3 , 7 reaction 4 quantitative 5 polymerase 5 polymerase 7 reaction 6 chain 7 reaction 7 reaction 9 qpcr 7 reaction 10 ) 8 ( 9 qpcr 9 qpcr 10 ) 11 , 12 and 12 and 17 assay 12 and 18 were 13 enzyme 15 linked 15 linked 17 assay 16 immunosorbent 17 assay 18 were 19 used 19 used 20 to 19 used 21 study 20 to 21 study 21 study 23 levels 22 the 23 levels 23 levels 24 of 24 of 26 biomarkers 25 ad 26 biomarkers results : cognitive impairment was observed in mice exposed as infants but not as adults . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 impairment 2 : 6 observed 2 : 16 . 3 cognitive 4 impairment 4 impairment 5 was 5 was 6 observed 6 observed 7 in 6 observed 10 as 6 observed 12 but 6 observed 14 as 7 in 8 mice 8 mice 9 exposed 10 as 11 infants 12 but 13 not 14 as 15 adults overexpression of ad - related genes ( amyloid beta precursor protein and β - site amyloid precursor protein cleaving enzyme 1 ) and their products , as well as their transcriptional regulator - specificity protein 1 ( sp1 ) - occurred only in older mice with developmental exposure to pb . 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 41 occurred 0 ###LEFT-WALL### 51 . 1 overexpression 2 of 1 overexpression 23 and 2 of 3 ad 3 ad 6 genes 3 ad 18 protein 4 - 6 genes 5 related 6 genes 6 genes 12 and 6 genes 14 - 7 ( 12 and 8 amyloid 9 beta 9 beta 11 protein 10 precursor 11 protein 11 protein 12 and 12 and 13 β 12 and 14 - 14 - 18 protein 15 site 16 amyloid 16 amyloid 18 protein 17 precursor 18 protein 18 protein 19 cleaving 18 protein 22 ) 19 cleaving 20 enzyme 20 enzyme 21 1 23 and 25 products 23 and 29 as 23 and 41 occurred 24 their 25 products 26 , 29 as 27 as 28 well 28 well 29 as 29 as 32 regulator 29 as 40 - 30 their 32 regulator 31 transcriptional 32 regulator 32 regulator 35 protein 33 - 35 protein 34 specificity 35 protein 35 protein 36 1 35 protein 38 sp1 35 protein 39 ) 37 ( 38 sp1 38 sp1 39 ) 41 occurred 42 only 41 occurred 46 with 42 only 43 in 43 in 45 mice 44 older 45 mice 46 with 48 exposure 47 developmental 48 exposure 48 exposure 49 to 49 to 50 pb conclusions : a window of vulnerability to pb neurotoxicity exists in the developing brain that can influence ad pathogenesis and cognitive decline in old age . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 4 window 2 : 10 exists 3 a 4 window 4 window 5 of 4 window 7 to 4 window 10 exists 5 of 6 vulnerability 7 to 9 neurotoxicity 8 pb 9 neurotoxicity 10 exists 11 in 10 exists 23 in 11 in 14 brain 12 the 14 brain 13 developing 14 brain 14 brain 15 that 14 brain 17 influence 15 that 16 can 16 can 17 influence 17 influence 20 and 18 ad 19 pathogenesis 19 pathogenesis 20 and 20 and 22 decline 21 cognitive 22 decline 23 in 25 age 24 old 25 age objective : to examine [how] the experience of a negative health event ( i.e [.] , onset of heart disease , diabetes , lung disease , cancer , or stroke ) of one spouse affects the mental and physical well - being of the other partner as measured by depressive symptoms and self - reported health . 1 objective 2 : 2 : 3 to 2 : 4 examine 3 to 4 examine 4 examine 7 experience 6 the 7 experience 7 experience 8 of 8 of 17 onset 9 a 17 onset 10 negative 16 , 10 negative 17 onset 11 health 12 event 12 event 14 i.e 13 ( 14 i.e 14 i.e 16 , 17 onset 18 of 18 of 20 disease 19 heart 20 disease 20 disease 29 or 20 disease 32 of 21 , 29 or 22 diabetes 23 , 23 , 25 disease 23 , 26 , 24 lung 25 disease 26 , 27 cancer 26 , 29 or 28 , 29 or 29 or 30 stroke 29 or 31 ) 32 of 33 one 33 one 34 spouse 33 one 35 affects 34 spouse 35 affects 35 affects 46 partner 36 the 37 mental 37 mental 38 and 38 and 40 well 38 and 41 - 38 and 42 being 38 and 46 partner 39 physical 40 well 42 being 43 of 43 of 45 other 44 the 45 other 46 partner 47 as 47 as 52 and 48 measured 49 by 48 measured 52 and 49 by 51 symptoms 50 depressive 51 symptoms 52 and 53 self 52 and 54 - 52 and 56 health 54 - 56 health 55 reported 56 health 56 health 57 . methods : we employ latent growth curve analysis and examine adults 50+ using six waves of data ( 1998 - 2008 ) from the health and retirement study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 we 2 : 9 and 3 we 9 and 4 employ 8 analysis 4 employ 9 and 5 latent 8 analysis 6 growth 8 analysis 7 curve 8 analysis 9 and 10 examine 9 and 23 from 10 examine 11 adults 10 examine 12 50+ 11 adults 12 50+ 12 50+ 13 using 12 50+ 20 - 13 using 15 waves 14 six 15 waves 15 waves 16 of 16 of 17 data 18 ( 20 - 19 1998 20 - 20 - 21 2008 20 - 22 ) 23 from 28 study 24 the 28 study 25 health 26 and 26 and 27 retirement 27 retirement 28 study results : one spouse 's health shock affects the health of the other partner . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 7 shock 2 : 8 affects 2 : 15 . 3 one 4 spouse 4 spouse 5 's 5 's 7 shock 6 health 7 shock 7 shock 8 affects 8 affects 10 health 9 the 10 health 10 health 11 of 11 of 14 partner 12 the 13 other 13 other 14 partner results indicate that a spouse 's onset of a severe health condition worsens the mental health of women and the self - reported health of men . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 indicate 0 ###LEFT-WALL### 23 reported 1 results 2 indicate 2 indicate 3 that 3 that 7 onset 3 that 13 worsens 4 a 5 spouse 5 spouse 6 's 6 's 7 onset 7 onset 8 of 7 onset 13 worsens 8 of 12 condition 9 a 12 condition 10 severe 11 health 11 health 12 condition 13 worsens 19 and 14 the 16 health 15 mental 16 health 16 health 17 of 16 health 19 and 17 of 18 women 19 and 21 self 20 the 21 self 22 - 23 reported 23 reported 24 health 23 reported 27 . 24 health 25 of 25 of 26 men discussion : these findings illustrate that the family context of spouses is important to consider when examining health . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 consider 0 ###LEFT-WALL### 19 . 2 : 4 findings 2 : 12 is 3 these 4 findings 4 findings 5 illustrate 5 illustrate 6 that 7 the 9 context 8 family 9 context 9 context 10 of 9 context 12 is 10 of 11 spouses 12 is 13 important 13 important 14 to 13 important 15 consider 14 to 15 consider 15 consider 16 when 16 when 17 examining 17 examining 18 health objectives : adults hold negative attitudes toward sexual expression in late life . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 . 1 objectives 2 : 2 : 6 attitudes 3 adults 6 attitudes 4 hold 6 attitudes 5 negative 6 attitudes 6 attitudes 7 toward 7 toward 9 expression 8 sexual 9 expression 9 expression 10 in 10 in 12 life 11 late 12 life we investigated knowledge and attitudes about older adult sexuality and dementia among staff in nursing homes ( nhs ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 20 . 1 we 2 investigated 2 investigated 4 and 2 investigated 6 about 2 investigated 12 among 2 investigated 14 in 3 knowledge 4 and 4 and 5 attitudes 6 about 10 and 7 older 8 adult 8 adult 9 sexuality 9 sexuality 10 and 10 and 11 dementia 12 among 13 staff 14 in 15 nursing 15 nursing 16 homes 16 homes 18 nhs 17 ( 18 nhs 18 nhs 19 ) method : we acquired staff demographics , knowledge of dementia and sexuality , and attitudes of sexuality . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 acquired 2 : 7 , 2 : 18 . 3 we 4 acquired 4 acquired 6 demographics 5 staff 6 demographics 7 , 14 and 8 knowledge 9 of 8 knowledge 11 and 9 of 10 dementia 11 and 12 sexuality 11 and 14 and 13 , 14 and 14 and 15 attitudes 14 and 16 of 16 of 17 sexuality staff participated in focus groups and received continuing education credit . 0 ###LEFT-WALL### 1 staff 0 ###LEFT-WALL### 2 participated 0 ###LEFT-WALL### 11 . 1 staff 2 participated 2 participated 3 in 3 in 4 focus 4 focus 6 and 4 focus 8 continuing 5 groups 6 and 6 and 7 received 8 continuing 10 credit 9 education 10 credit results : the three nhs had an average census of 178 beds . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 nhs 2 : 6 had 2 : 13 . 3 the 4 three 4 three 5 nhs 5 nhs 6 had 6 had 9 census 7 an 8 average 7 an 9 census 8 average 9 census 9 census 10 of 10 of 12 beds 11 178 12 beds participants ['] ( n=100 ) mean age was 38.53 . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 6 mean 0 ###LEFT-WALL### 10 . 1 participants 4 n=100 1 participants 6 mean 3 ( 4 n=100 4 n=100 5 ) 6 mean 7 age 6 mean 8 was 7 age 8 was 8 was 9 38.53 the most common type of sexual contact reported was [nondemented] male with nondemented female ( 67.5 % ) , followed [by] demented male [with] demented female [(] 53.6 [%] [ )( 0 ###LEFT-WALL### 7 contact 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 31 )( 1 the 2 most 2 most 4 type 3 common 4 type 4 type 5 of 4 type 7 contact 5 of 7 contact 6 sexual 7 contact 7 contact 8 reported 7 contact 9 was 9 was 11 male 11 male 12 with 12 with 26 female 13 nondemented 26 female 14 female 17 % 14 female 19 , 14 female 26 female 15 ( 17 % 16 67.5 17 % 17 % 18 ) 20 followed 26 female 22 demented 26 female 23 male 26 female 25 demented 26 female 26 female 28 53.6 participants endorsed neutral attitudes about late - life sexuality . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 endorsed 0 ###LEFT-WALL### 10 . 1 participants 2 endorsed 2 endorsed 4 attitudes 2 endorsed 5 about 3 neutral 4 attitudes 5 about 9 sexuality 6 late 7 - 6 late 8 life 8 life 9 sexuality focus groups revealed a need for more training and effective interventions to balance resident safety and autonomy . 0 ###LEFT-WALL### 2 groups 0 ###LEFT-WALL### 3 revealed 0 ###LEFT-WALL### 18 . 1 focus 2 groups 2 groups 3 revealed 3 revealed 5 need 3 revealed 6 for 3 revealed 12 to 4 a 5 need 6 for 9 and 7 more 8 training 8 training 9 and 9 and 11 interventions 10 effective 11 interventions 12 to 16 and 13 balance 14 resident 14 resident 15 safety 15 safety 16 and 16 and 17 autonomy discussion : staffs ' knowledge of sexuality and dementia , desire for guidance in " managing " sexual expression , and neutral attitudes toward late - life sexuality supports the need for educational interventions on sexuality and dementia in nh . 0 ###LEFT-WALL### 1 discussion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 supports 0 ###LEFT-WALL### 41 . 2 : 8 and 2 : 10 , 3 staffs 4 ' 4 ' 5 knowledge 5 knowledge 6 of 5 knowledge 8 and 6 of 7 sexuality 8 and 9 dementia 10 , 21 and 11 desire 12 for 11 desire 14 in 11 desire 21 and 12 for 13 guidance 14 in 15 " 14 in 16 managing 16 managing 17 " 16 managing 19 expression 18 sexual 19 expression 20 , 21 and 21 and 23 attitudes 21 and 24 toward 21 and 28 sexuality 21 and 29 supports 22 neutral 23 attitudes 24 toward 27 life 25 late 26 - 25 late 27 life 28 sexuality 29 supports 29 supports 31 need 29 supports 35 on 30 the 31 need 31 need 32 for 32 for 34 interventions 33 educational 34 interventions 35 on 37 and 36 sexuality 37 and 37 and 38 dementia 37 and 39 in 39 in 40 nh objectives : to identify age differences in physical [activity] ( pa ) participation for women . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 identify 2 : 16 . 3 to 4 identify 4 identify 6 differences 4 identify 7 in 5 age 6 differences 7 in 13 participation 8 physical 11 pa 8 physical 13 participation 10 ( 11 pa 11 pa 12 ) 13 participation 14 for 14 for 15 women methods : data from 3,952 women 25+ from the 2003 - 2006 national health and nutrition examination surveys ( nhanes ) were used to analyze participation patterns for 17 pa types . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 15 and 3 data 4 from 3 data 15 and 4 from 5 3,952 5 3,952 6 women 5 3,952 7 25+ 6 women 7 25+ 7 25+ 8 from 8 from 14 health 9 the 11 - 10 2003 11 - 11 - 12 2006 11 - 14 health 13 national 14 health 15 and 17 examination 15 and 18 surveys 15 and 31 types 16 nutrition 17 examination 18 surveys 20 nhanes 18 surveys 22 were 19 ( 20 nhanes 20 nhanes 21 ) 22 were 23 used 23 used 24 to 23 used 31 types 24 to 25 analyze 25 analyze 27 patterns 26 participation 27 patterns 27 patterns 28 for 28 for 29 17 30 pa 31 types results : the top five leisure pas by participation [rate] for all ages were walking ( 42 % [ )(, dancing ( 20 % ) , [treadmill] ( 15 % ) , biking [(] 11 % ) , and yoga ( 10 % ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 45 . 2 : 39 and 3 the 4 top 3 the 6 leisure 5 five 6 leisure 6 leisure 7 pas 7 pas 8 by 7 pas 39 and 8 by 9 participation 9 participation 11 for 9 participation 15 walking 9 participation 18 % 11 for 12 all 12 all 13 ages 12 all 14 were 13 ages 14 were 16 ( 18 % 17 42 18 % 18 % 21 dancing 18 % 30 % 18 % 33 biking 18 % 38 , 20 )(, 21 dancing 21 dancing 24 % 21 dancing 26 , 22 ( 24 % 23 20 24 % 24 % 25 ) 28 ( 30 % 29 15 30 % 30 % 31 ) 32 , 33 biking 33 biking 36 % 33 biking 37 ) 35 11 36 % 38 , 39 and 39 and 40 yoga 39 and 43 % 41 ( 43 % 42 10 43 % 43 % 44 ) participation in running , dancing , treadmill , and team sports declined around ages 35 to 44 , and participation in household pa , walking , weightlifting , and hiking declined around ages 55 to 64 . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 12 declined 1 participation 2 in 1 participation 4 , 2 in 3 running 4 , 5 dancing 4 , 6 , 6 , 7 treadmill 6 , 9 and 8 , 9 and 9 and 11 sports 9 and 12 declined 10 team 11 sports 12 declined 13 around 13 around 19 and 14 ages 16 to 14 ages 19 and 15 35 16 to 16 to 17 44 18 , 19 and 19 and 20 participation 19 and 24 , 19 and 25 walking 19 and 29 and 20 participation 21 in 21 in 23 pa 22 household 23 pa 26 , 29 and 27 weightlifting 29 and 28 , 29 and 29 and 30 hiking 29 and 31 declined 29 and 32 around 29 and 37 . 32 around 33 ages 33 ages 35 to 34 55 35 to 35 to 36 64 at age 75+ [further] substantial [decline] in most activities occurred . 0 ###LEFT-WALL### 3 75+ 0 ###LEFT-WALL### 10 occurred 0 ###LEFT-WALL### 11 . 1 at 2 age 1 at 3 75+ 3 75+ 5 substantial 3 75+ 10 occurred 5 substantial 7 in 7 in 9 activities 8 most 9 activities nativity status was the most important moderator for age - related pa decline . 0 ###LEFT-WALL### 2 status 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 10 - 1 nativity 2 status 2 status 3 was 3 was 7 moderator 4 the 7 moderator 5 most 6 important 6 important 7 moderator 7 moderator 8 for 8 for 9 age 10 - 13 decline 10 - 14 . 11 related 13 decline 12 pa 13 decline conclusions : total pa declines with age but [significant] [decline] does not occur until ages 55 to 64 . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 pa 2 : 8 but 2 : 19 . 3 total 4 pa 4 pa 8 but 5 declines 6 with 5 declines 8 but 6 with 7 age 8 but 11 does 11 does 12 not 11 does 13 occur 13 occur 14 until 14 until 15 ages 15 ages 17 to 16 55 17 to 17 to 18 64 major decline in leisure pa participation starts earlier at ages 35 to 44 . 0 ###LEFT-WALL### 2 decline 0 ###LEFT-WALL### 14 . 1 major 2 decline 2 decline 3 in 2 decline 8 earlier 2 decline 9 at 2 decline 12 to 3 in 7 starts 4 leisure 7 starts 5 pa 7 starts 6 participation 7 starts 9 at 10 ages 11 35 12 to 12 to 13 44 while age - related declining patterns differ for different activities , the top five most popular leisure activities are similar for all age groups . 0 ###LEFT-WALL### 6 patterns 0 ###LEFT-WALL### 7 differ 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 25 . 1 while 2 age 1 while 3 - 1 while 6 patterns 4 related 6 patterns 5 declining 6 patterns 6 patterns 7 differ 7 differ 8 for 8 for 10 activities 9 different 10 activities 11 , 18 activities 11 , 19 are 12 the 13 top 12 the 14 five 14 five 18 activities 15 most 16 popular 16 popular 17 leisure 17 leisure 18 activities 18 activities 19 are 19 are 20 similar 20 similar 21 for 21 for 24 groups 22 all 24 groups 23 age 24 groups the development of gastric adenocarcinoma is a complex multistep process involving multiple genetic alterations . 0 ###LEFT-WALL### 2 development 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 15 . 1 the 2 development 2 development 3 of 2 development 6 is 3 of 5 adenocarcinoma 4 gastric 5 adenocarcinoma 6 is 10 process 7 a 8 complex 7 a 10 process 8 complex 10 process 9 multistep 10 process 10 process 11 involving 11 involving 14 alterations 12 multiple 14 alterations 13 genetic 14 alterations based on pathology , four different macroscopic types and at least two major histological types , intestinal and diffuse , have been described . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 23 described 0 ###LEFT-WALL### 24 . 1 based 2 on 1 based 4 , 1 based 9 and 2 on 3 pathology 5 four 8 types 6 different 8 types 7 macroscopic 8 types 8 types 9 and 9 and 15 types 9 and 18 and 9 and 21 have 10 at 11 least 11 least 12 two 12 two 15 types 13 major 15 types 14 histological 15 types 16 , 18 and 17 intestinal 18 and 18 and 19 diffuse 18 and 20 , 21 have 22 been 22 been 23 described most gastric [cancer] ( gc ) show genetic instability , either microsatellite instability or chromosomal instability , which is considered an early event in gastric carcinogenesis . 0 ###LEFT-WALL### 14 or 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 27 . 1 most 9 instability 2 gastric 5 gc 2 gastric 6 ) 2 gastric 7 show 4 ( 5 gc 5 gc 6 ) 7 show 9 instability 8 genetic 9 instability 9 instability 10 , 10 , 13 instability 10 , 14 or 11 either 13 instability 12 microsatellite 13 instability 14 or 16 instability 15 chromosomal 16 instability 17 , 18 which 17 , 20 considered 18 which 19 is 19 is 20 considered 20 considered 23 event 20 considered 24 in 21 an 22 early 21 an 23 event 22 early 23 event 24 in 26 carcinogenesis 25 gastric 26 carcinogenesis molecular studies of alterations of single genes have provided evidence that intestinal and diffuse type gc evolve via different genetic pathways . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 8 have 0 ###LEFT-WALL### 22 . 1 molecular 2 studies 2 studies 3 of 2 studies 5 of 2 studies 8 have 3 of 4 alterations 5 of 7 genes 6 single 7 genes 8 have 10 evidence 9 provided 10 evidence 10 evidence 11 that 10 evidence 17 evolve 11 that 16 gc 11 that 17 evolve 12 intestinal 13 and 13 and 14 diffuse 13 and 16 gc 15 type 16 gc 16 gc 17 evolve 17 evolve 18 via 18 via 21 pathways 19 different 21 pathways 20 genetic 21 pathways recent results from high - throughput whole - genome expression or copy number studies have demonstrated extensive genetic diversity between cases and within individual gc . 0 ###LEFT-WALL### 1 recent 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 26 . 1 recent 2 results 2 results 3 from 3 from 6 throughput 4 high 5 - 4 high 6 throughput 6 throughput 11 or 6 throughput 16 demonstrated 7 whole 8 - 7 whole 9 genome 9 genome 10 expression 10 expression 11 or 11 or 14 studies 11 or 15 have 12 copy 14 studies 13 number 14 studies 15 have 16 demonstrated 16 demonstrated 19 diversity 17 extensive 19 diversity 18 genetic 19 diversity 19 diversity 22 and 20 between 21 cases 20 between 22 and 22 and 23 within 23 within 25 gc 24 individual 25 gc sets of [commonly] up - or downregulated micrornas have been identified in gc and might be useful in the near future to identify pathways of gc progression . 0 ###LEFT-WALL### 1 sets 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 28 . 1 sets 2 of 1 sets 14 and 2 of 6 or 4 up 6 or 5 - 6 or 6 or 8 micrornas 7 downregulated 8 micrornas 9 have 10 been 9 have 14 and 10 been 11 identified 11 identified 12 in 12 in 13 gc 14 and 15 might 15 might 16 be 16 be 17 useful 17 useful 18 in 17 useful 22 to 17 useful 23 identify 18 in 21 future 19 the 21 future 20 near 21 future 22 to 23 identify 23 identify 24 pathways 24 pathways 25 of 25 of 27 progression 26 gc 27 progression results from detailed molecular [and/or] pathological gc studies , [although] promising , still have limited clinical utility in predicting survival and stratifying gc patients for appropriate treatment . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 14 have 0 ###LEFT-WALL### 28 . 1 results 2 from 1 results 14 have 2 from 8 studies 3 detailed 8 studies 4 molecular 8 studies 6 pathological 8 studies 7 gc 8 studies 8 studies 11 promising 9 , 11 promising 11 promising 12 , 13 still 14 have 14 have 17 utility 14 have 18 in 15 limited 17 utility 16 clinical 17 utility 18 in 19 predicting 19 predicting 21 and 19 predicting 25 for 20 survival 21 and 21 and 24 patients 22 stratifying 24 patients 23 gc 24 patients 25 for 27 treatment 26 appropriate 27 treatment language abilities are known to deteriorate in aging , possibly related to decreased functional and structural connectivity [within] specialized brain networks . 0 ###LEFT-WALL### 2 abilities 0 ###LEFT-WALL### 4 known 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 22 . 1 language 2 abilities 2 abilities 3 are 3 are 4 known 4 known 5 to 4 known 6 deteriorate 5 to 6 deteriorate 6 deteriorate 7 in 7 in 8 aging 9 , 11 related 9 , 19 specialized 10 possibly 11 related 11 related 12 to 11 related 19 specialized 12 to 17 connectivity 13 decreased 17 connectivity 14 functional 15 and 15 and 16 structural 15 and 17 connectivity 19 specialized 21 networks 20 brain 21 networks here , we investigated syntactic ability in healthy young and older adults using a comprehensive assessment of behavioral performance , task - independent functional ( fc ) [and] structural brain connectivity ( sc ) . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 22 - 0 ###LEFT-WALL### 35 . 1 here 2 , 1 here 3 we 3 we 20 , 4 investigated 6 ability 4 investigated 7 in 4 investigated 20 , 5 syntactic 6 ability 7 in 12 adults 8 healthy 12 adults 9 young 10 and 10 and 11 older 10 and 12 adults 12 adults 13 using 12 adults 17 of 13 using 16 assessment 14 a 16 assessment 15 comprehensive 16 assessment 17 of 19 performance 18 behavioral 19 performance 20 , 21 task 22 - 31 connectivity 23 independent 30 brain 24 functional 26 fc 24 functional 27 ) 24 functional 30 brain 25 ( 26 fc 26 fc 27 ) 29 structural 30 brain 30 brain 31 connectivity 31 connectivity 33 sc 32 ( 33 sc 33 sc 34 ) seed - based fc originating from left pars opercularis ( part of broca 's area ) known to support syntactic processes was assessed using resting - state functional magnetic resonance imaging , and sc using fractional anisotropy from diffusion weighted imaging , in the dorsally located superior longitudinal and the ventrally located uncinate fasciculi ( slf , uf ) and forceps minor . 1 seed 2 - 1 seed 4 fc 3 based 4 fc 4 fc 5 originating 4 fc 17 known 4 fc 22 was 5 originating 6 from 5 originating 9 opercularis 6 from 8 pars 7 left 8 pars 9 opercularis 15 area 10 ( 15 area 11 part 12 of 11 part 15 area 12 of 15 area 13 broca 14 's 14 's 15 area 15 area 16 ) 17 known 18 to 17 known 19 support 18 to 19 support 19 support 21 processes 20 syntactic 21 processes 22 was 25 resting 23 assessed 25 resting 24 using 25 resting 25 resting 33 and 26 - 33 and 27 state 31 imaging 28 functional 30 resonance 29 magnetic 30 resonance 30 resonance 31 imaging 31 imaging 33 and 32 , 33 and 33 and 34 sc 33 and 35 using 33 and 40 weighted 33 and 43 in 33 and 63 . 35 using 37 anisotropy 35 using 38 from 35 using 40 weighted 36 fractional 37 anisotropy 38 from 39 diffusion 40 weighted 41 imaging 42 , 43 in 43 in 54 fasciculi 43 in 63 . 44 the 54 fasciculi 45 dorsally 46 located 46 located 47 superior 47 superior 54 fasciculi 48 longitudinal 49 and 49 and 53 uncinate 49 and 54 fasciculi 50 the 53 uncinate 51 ventrally 52 located 52 located 53 uncinate 54 fasciculi 60 and 55 ( 60 and 56 slf 58 uf 56 slf 60 and 57 , 58 uf 58 uf 59 ) 60 and 62 minor 60 and 63 . 61 forceps 62 minor young compared to older adults exhibited superior syntactic performance and stronger fc within the mainly left - lateralized syntax network , which was beneficial for performance . 0 ###LEFT-WALL### 1 young 0 ###LEFT-WALL### 2 compared 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 27 . 1 young 2 compared 2 compared 3 to 2 compared 10 and 2 compared 12 fc 2 compared 13 within 3 to 5 adults 4 older 5 adults 5 adults 6 exhibited 6 exhibited 7 superior 8 syntactic 9 performance 9 performance 10 and 10 and 11 stronger 13 within 20 network 14 the 20 network 15 mainly 16 left 16 left 17 - 16 left 19 syntax 18 lateralized 19 syntax 19 syntax 20 network 21 , 22 which 21 , 23 was 22 which 23 was 23 was 24 beneficial 24 beneficial 25 for 25 for 26 performance in contrast , in older adults , fc within the mainly left - lateralized syntax network was reduced and did not correlate with performance ; [inter] - hemispheric fc to right inferior frontal and angular gyri was detrimental for performance . 0 ###LEFT-WALL### 8 fc 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 25 ; 0 ###LEFT-WALL### 41 . 1 in 2 contrast 1 in 7 , 1 in 8 fc 2 contrast 4 in 3 , 4 in 4 in 6 adults 4 in 7 , 5 older 6 adults 8 fc 9 within 8 fc 19 and 9 within 16 network 10 the 16 network 11 mainly 12 left 12 left 13 - 12 left 15 syntax 14 lateralized 15 syntax 15 syntax 16 network 17 was 18 reduced 17 was 19 and 19 and 20 did 19 and 23 with 20 did 21 not 20 did 22 correlate 23 with 24 performance 25 ; 27 - 25 ; 37 was 27 - 28 hemispheric 28 hemispheric 37 was 29 fc 30 to 29 fc 31 right 29 fc 37 was 30 to 31 right 31 right 36 gyri 32 inferior 36 gyri 33 frontal 34 and 34 and 35 angular 34 and 36 gyri 37 was 38 detrimental 38 detrimental 39 for 39 for 40 performance in both groups , performance was positively correlated with [inter] [-] hemispheric sc . 0 ###LEFT-WALL### 5 performance 0 ###LEFT-WALL### 8 correlated 0 ###LEFT-WALL### 14 . 1 in 3 groups 1 in 4 , 1 in 5 performance 2 both 3 groups 5 performance 6 was 6 was 8 correlated 7 positively 8 correlated 8 correlated 9 with 9 with 13 sc 12 hemispheric 13 sc for [intra] - hemispheric [sc] , performance correlated with structural integrity of slf in young adults and with integrity of uf in older adults . 0 ###LEFT-WALL### 1 for 0 ###LEFT-WALL### 8 correlated 0 ###LEFT-WALL### 25 . 1 for 3 - 3 - 7 performance 4 hemispheric 6 , 4 hemispheric 7 performance 7 performance 8 correlated 8 correlated 9 with 9 with 11 integrity 10 structural 11 integrity 11 integrity 12 of 11 integrity 22 in 12 of 13 slf 13 slf 17 and 13 slf 20 of 14 in 16 adults 14 in 17 and 15 young 16 adults 17 and 18 with 18 with 19 integrity 20 of 21 uf 22 in 24 adults 23 older 24 adults our data show that reduced syntactic ability in older adults is associated with decreased fc within dedicated syntax networks . 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 14 decreased 0 ###LEFT-WALL### 20 . 1 our 3 show 2 data 3 show 3 show 4 that 3 show 13 with 3 show 14 decreased 4 that 7 ability 4 that 12 associated 5 reduced 7 ability 6 syntactic 7 ability 7 ability 8 in 7 ability 11 is 8 in 10 adults 9 older 10 adults 11 is 12 associated 12 associated 13 with 14 decreased 15 fc 15 fc 16 within 16 within 19 networks 17 dedicated 18 syntax 18 syntax 19 networks moreover , young adults showed an association of syntactic ability with structural integrity of the dorsal tract , while older adults rely more on ventral fibers . 0 ###LEFT-WALL### 4 adults 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 27 . 1 moreover 2 , 1 moreover 4 adults 3 young 4 adults 4 adults 5 showed 5 showed 7 association 5 showed 11 with 6 an 7 association 7 association 8 of 8 of 10 ability 9 syntactic 10 ability 11 with 13 integrity 12 structural 13 integrity 13 integrity 14 of 14 of 17 tract 15 the 17 tract 16 dorsal 17 tract 18 , 21 adults 18 , 22 rely 19 while 20 older 19 while 21 adults 21 adults 22 rely 22 rely 23 more 22 rely 24 on 24 on 26 fibers 25 ventral 26 fibers in sum , our study provided novel insight into the relationship between connectivity and syntactic performance in young and older adults . 0 ###LEFT-WALL### 5 study 0 ###LEFT-WALL### 6 provided 0 ###LEFT-WALL### 22 . 1 in 2 sum 2 sum 3 , 2 sum 5 study 4 our 5 study 5 study 6 provided 6 provided 8 insight 6 provided 9 into 6 provided 12 between 7 novel 8 insight 9 into 11 relationship 10 the 11 relationship 12 between 14 and 13 connectivity 14 and 14 and 16 performance 14 and 17 in 15 syntactic 16 performance 17 in 21 adults 18 young 19 and 19 and 20 older 19 and 21 adults in addition to elucidating age - related changes in syntax networks and their behavioral relevance , our results contribute to a better understanding of age - related changes in functional and structural brain organization in general , an important prerequisite for developing novel strategies to counteract age - related cognitive decline . 0 ###LEFT-WALL### 18 results 0 ###LEFT-WALL### 19 contribute 0 ###LEFT-WALL### 27 related 0 ###LEFT-WALL### 48 - 1 in 2 addition 1 in 6 - 1 in 18 results 2 addition 3 to 3 to 4 elucidating 4 elucidating 5 age 6 - 7 related 7 related 12 and 7 related 18 results 8 changes 9 in 8 changes 12 and 9 in 11 networks 10 syntax 11 networks 12 and 15 relevance 12 and 16 , 13 their 15 relevance 14 behavioral 15 relevance 17 our 18 results 18 results 19 contribute 19 contribute 20 to 20 to 23 understanding 21 a 23 understanding 22 better 23 understanding 23 understanding 24 of 24 of 25 age 26 - 27 related 27 related 28 changes 28 changes 29 in 29 in 34 organization 30 functional 31 and 31 and 32 structural 31 and 34 organization 33 brain 34 organization 34 organization 36 general 34 organization 40 prerequisite 35 in 36 general 37 , 40 prerequisite 38 an 40 prerequisite 39 important 40 prerequisite 40 prerequisite 41 for 40 prerequisite 48 - 41 for 42 developing 42 developing 44 strategies 43 novel 44 strategies 44 strategies 45 to 44 strategies 46 counteract 45 to 46 counteract 46 counteract 47 age 48 - 51 decline 48 - 52 . 49 related 51 decline 50 cognitive 51 decline new evidence shows that older adults need more dietary protein than do younger adults to support good health , promote recovery from illness , and maintain functionality . 0 ###LEFT-WALL### 2 evidence 0 ###LEFT-WALL### 3 shows 0 ###LEFT-WALL### 28 . 1 new 2 evidence 2 evidence 3 shows 3 shows 4 that 3 shows 6 adults 3 shows 7 need 5 older 6 adults 6 adults 7 need 7 need 10 protein 7 need 11 than 7 need 15 to 7 need 19 , 8 more 9 dietary 9 dietary 10 protein 11 than 12 do 12 do 14 adults 13 younger 14 adults 15 to 19 , 16 support 18 health 16 support 19 , 17 good 18 health 19 , 25 and 20 promote 21 recovery 20 promote 25 and 21 recovery 22 from 22 from 23 illness 24 , 25 and 25 and 26 maintain 26 maintain 27 functionality older people need to make up for age - related changes in protein metabolism , such as high splanchnic extraction and declining anabolic responses to ingested protein . 0 ###LEFT-WALL### 2 people 0 ###LEFT-WALL### 3 need 0 ###LEFT-WALL### 10 related 0 ###LEFT-WALL### 28 . 1 older 2 people 2 people 3 need 3 need 4 to 3 need 5 make 4 to 5 make 5 make 6 up 5 make 7 for 7 for 8 age 9 - 10 related 10 related 21 and 10 related 25 to 11 changes 12 in 11 changes 15 , 12 in 14 metabolism 13 protein 14 metabolism 15 , 20 extraction 15 , 21 and 16 such 20 extraction 17 as 18 high 18 high 20 extraction 19 splanchnic 20 extraction 21 and 24 responses 22 declining 24 responses 23 anabolic 24 responses 25 to 27 protein 26 ingested 27 protein they also need more protein to offset inflammatory and catabolic conditions associated with chronic and acute diseases that occur commonly with aging . 0 ###LEFT-WALL### 1 they 0 ###LEFT-WALL### 7 offset 0 ###LEFT-WALL### 23 . 1 they 3 need 2 also 3 need 3 need 5 protein 3 need 6 to 4 more 5 protein 6 to 7 offset 7 offset 11 conditions 7 offset 13 with 8 inflammatory 9 and 9 and 10 catabolic 9 and 11 conditions 11 conditions 12 associated 13 with 17 diseases 13 with 20 commonly 13 with 21 with 14 chronic 15 and 15 and 16 acute 15 and 17 diseases 17 diseases 18 that 17 diseases 19 occur 18 that 19 occur 21 with 22 aging with the goal of developing updated , evidence - based recommendations for optimal protein intake by older people , the european union geriatric medicine society ( eugms ) , in cooperation with other scientific organizations , appointed an international study group to review dietary protein needs with aging ( prot - age study group ) . 0 ###LEFT-WALL### 11 recommendations 0 ###LEFT-WALL### 37 appointed 0 ###LEFT-WALL### 56 . 1 with 3 goal 1 with 10 based 1 with 11 recommendations 2 the 3 goal 3 goal 4 of 3 goal 8 evidence 4 of 5 developing 5 developing 6 updated 7 , 8 evidence 8 evidence 9 - 11 recommendations 12 for 11 recommendations 27 eugms 11 recommendations 37 appointed 12 for 15 intake 13 optimal 14 protein 14 protein 15 intake 15 intake 16 by 16 by 18 people 17 older 18 people 19 , 27 eugms 20 the 21 european 21 european 27 eugms 22 union 23 geriatric 23 geriatric 24 medicine 24 medicine 25 society 25 society 27 eugms 26 ( 27 eugms 27 eugms 28 ) 27 eugms 30 in 27 eugms 36 , 29 , 30 in 30 in 31 cooperation 30 in 36 , 31 cooperation 32 with 32 with 35 organizations 33 other 35 organizations 34 scientific 35 organizations 37 appointed 41 group 37 appointed 46 needs 38 an 41 group 39 international 41 group 40 study 41 group 41 group 42 to 41 group 43 review 42 to 43 review 43 review 45 protein 44 dietary 45 protein 46 needs 47 with 46 needs 50 prot 47 with 48 aging 49 ( 50 prot 50 prot 54 group 50 prot 55 ) 51 - 54 group 52 age 53 study 53 study 54 group 54 group 55 ) to help older people ( >65 years [ )( and [regain] lean body mass and function , the prot - age study group recommends average daily intake at least in the range of 1.0 to 1.2 g protein per kilogram of body weight per day . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 help 0 ###LEFT-WALL### 17 , 0 ###LEFT-WALL### 46 . 1 to 2 help 2 help 4 people 3 older 4 people 4 people 15 and 5 ( 15 and 6 >65 7 years 7 years 10 and 10 and 14 mass 10 and 15 and 12 lean 14 mass 13 body 14 mass 15 and 16 function 15 and 17 , 17 , 23 group 17 , 24 recommends 18 the 23 group 19 prot 21 age 20 - 21 age 21 age 23 group 22 study 23 group 23 group 24 recommends 24 recommends 27 intake 24 recommends 29 least 24 recommends 30 in 25 average 27 intake 26 daily 27 intake 28 at 29 least 30 in 32 range 31 the 32 range 32 range 33 of 33 of 38 protein 34 1.0 35 to 35 to 36 1.2 35 to 37 g 37 g 38 protein 38 protein 39 per 38 protein 41 of 39 per 40 kilogram 41 of 43 weight 42 body 43 weight 43 weight 44 per 44 per 45 day both endurance - and resistance - type exercises are recommended at individualized levels that are safe and tolerated , and higher protein intake ( ie , ≥ 1.2 g/kg body weight/d ) is advised for those who are exercising and otherwise active . 0 ###LEFT-WALL### 22 protein 0 ###LEFT-WALL### 34 advised 0 ###LEFT-WALL### 43 . 1 both 4 and 2 endurance 4 and 3 - 4 and 4 and 5 resistance 4 and 6 - 4 and 8 exercises 4 and 17 and 4 and 20 and 7 type 8 exercises 8 exercises 9 are 9 are 10 recommended 10 recommended 11 at 11 at 17 and 12 individualized 13 levels 12 individualized 17 and 13 levels 14 that 13 levels 15 are 14 that 15 are 15 are 16 safe 17 and 18 tolerated 19 , 20 and 20 and 21 higher 20 and 22 protein 22 protein 23 intake 22 protein 33 is 22 protein 34 advised 23 intake 31 weight/d 23 intake 33 is 24 ( 31 weight/d 25 ie 26 , 25 ie 27 ≥ 27 ≥ 31 weight/d 28 1.2 29 g/kg 29 g/kg 30 body 30 body 31 weight/d 31 weight/d 32 ) 34 advised 35 for 35 for 36 those 36 those 37 who 36 those 38 are 37 who 38 are 38 are 40 and 39 exercising 40 and 40 and 41 otherwise 40 and 42 active most older adults who have acute or chronic diseases need even more dietary protein ( ie , 1.2 - 1.5 g/kg body weight/d ) . 0 ###LEFT-WALL### 3 adults 0 ###LEFT-WALL### 10 need 0 ###LEFT-WALL### 25 . 1 most 3 adults 2 older 3 adults 3 adults 4 who 3 adults 5 have 3 adults 10 need 4 who 5 have 5 have 9 diseases 6 acute 7 or 7 or 8 chronic 7 or 9 diseases 10 need 14 protein 10 need 19 - 11 even 12 more 12 more 14 protein 13 dietary 14 protein 14 protein 16 ie 15 ( 16 ie 16 ie 17 , 17 , 19 - 18 1.2 19 - 19 - 23 weight/d 19 - 24 ) 20 1.5 21 g/kg 21 g/kg 22 body 22 body 23 weight/d older people with severe kidney disease ( ie , estimated gfr < 30 ml/min/1.73 [m] ( 2 ) [ )(, [but] who are not on dialysis , are an exception to this rule ; these individuals may need to limit protein intake . 0 ###LEFT-WALL### 2 people 0 ###LEFT-WALL### 10 estimated 0 ###LEFT-WALL### 34 ; 1 older 2 people 2 people 3 with 2 people 10 estimated 3 with 6 disease 4 severe 5 kidney 5 kidney 6 disease 6 disease 8 ie 7 ( 8 ie 8 ie 9 , 10 estimated 11 gfr 10 estimated 28 are 11 gfr 13 30 11 gfr 14 ml/min/1.73 11 gfr 17 2 11 gfr 22 who 11 gfr 28 are 12 < 13 30 13 30 14 ml/min/1.73 16 ( 17 2 17 2 18 ) 20 )(, 22 who 22 who 23 are 22 who 27 , 23 are 24 not 23 are 25 on 25 on 26 dialysis 28 are 30 exception 28 are 31 to 29 an 30 exception 31 to 33 rule 32 this 33 rule 34 ; 36 individuals 35 these 36 individuals 36 individuals 37 may 37 may 38 need 38 need 39 to 38 need 43 . 39 to 40 limit 40 limit 42 intake 41 protein 42 intake protein quality , timing of ingestion , and intake of other nutritional supplements may be relevant , but evidence is not yet sufficient to support specific recommendations . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 18 but 0 ###LEFT-WALL### 28 . 1 protein 2 quality 2 quality 3 , 3 , 4 timing 3 , 8 and 4 timing 5 of 5 of 6 ingestion 7 , 8 and 8 and 9 intake 8 and 10 of 8 and 18 but 10 of 13 supplements 11 other 13 supplements 12 nutritional 13 supplements 14 may 15 be 14 may 18 but 15 be 16 relevant 17 , 18 but 18 but 25 support 19 evidence 20 is 20 is 21 not 20 is 22 yet 20 is 23 sufficient 23 sufficient 24 to 24 to 25 support 25 support 27 recommendations 26 specific 27 recommendations older people are vulnerable to losses in physical function capacity , and such losses predict loss of independence [,] falls , and even mortality . 0 ###LEFT-WALL### 2 people 0 ###LEFT-WALL### 3 are 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 25 . 1 older 2 people 2 people 3 are 3 are 4 vulnerable 4 vulnerable 5 to 4 vulnerable 7 in 5 to 6 losses 7 in 10 capacity 8 physical 9 function 9 function 10 capacity 11 , 12 and 12 and 14 losses 12 and 22 and 13 such 14 losses 14 losses 22 and 15 predict 16 loss 15 predict 20 falls 15 predict 22 and 16 loss 17 of 16 loss 20 falls 17 of 18 independence 21 , 22 and 22 and 23 even 23 even 24 mortality thus , future studies aimed at pinpointing optimal protein intake in specific populations of older people need to include measures of [physical] function . 0 ###LEFT-WALL### 4 studies 0 ###LEFT-WALL### 24 . 1 thus 2 , 1 thus 4 studies 3 future 4 studies 4 studies 5 aimed 4 studies 11 in 4 studies 14 of 4 studies 23 function 5 aimed 6 at 6 at 7 pinpointing 7 pinpointing 10 intake 8 optimal 9 protein 9 protein 10 intake 11 in 13 populations 12 specific 13 populations 14 of 17 need 15 older 17 need 16 people 17 need 17 need 18 to 17 need 21 of 18 to 19 include 19 include 20 measures 20 measures 21 of werner [syndrome] is genetically linked to mutations in wrn that encodes a dna helicase - nuclease believed to operate at stalled [replication] forks . 0 ###LEFT-WALL### 1 werner 0 ###LEFT-WALL### 5 linked 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 24 . 1 werner 3 is 3 is 5 linked 4 genetically 5 linked 5 linked 6 to 5 linked 8 in 6 to 7 mutations 8 in 9 wrn 9 wrn 10 that 9 wrn 11 encodes 10 that 11 encodes 11 encodes 14 helicase 12 a 14 helicase 13 dna 14 helicase 15 - 16 nuclease 15 - 23 forks 16 nuclease 17 believed 16 nuclease 18 to 16 nuclease 20 at 16 nuclease 21 stalled 16 nuclease 23 forks 18 to 19 operate 19 operate 20 at using a newly identified small - molecule inhibitor of wrn helicase ( nsc 617145 ) , we investigated the role of wrn in the interstrand cross - [link] ( icl ) response [in] cells derived from patients with fanconi anemia , a hereditary disorder characterized by bone marrow failure and cancer . 0 ###LEFT-WALL### 17 we 0 ###LEFT-WALL### 18 investigated 0 ###LEFT-WALL### 27 - 0 ###LEFT-WALL### 52 . 1 using 8 inhibitor 1 using 16 , 1 using 17 we 2 a 8 inhibitor 3 newly 4 identified 4 identified 7 molecule 5 small 6 - 5 small 7 molecule 7 molecule 8 inhibitor 8 inhibitor 9 of 9 of 11 helicase 10 wrn 11 helicase 11 helicase 13 nsc 12 ( 13 nsc 13 nsc 14 617145 13 nsc 15 ) 17 we 18 investigated 18 investigated 20 role 18 investigated 23 in 19 the 20 role 20 role 21 of 21 of 22 wrn 23 in 26 cross 24 the 26 cross 25 interstrand 26 cross 27 - 34 cells 27 - 40 anemia 27 - 41 , 29 ( 30 icl 30 icl 31 ) 30 icl 34 cells 32 response 34 cells 34 cells 35 derived 34 cells 38 with 34 cells 40 anemia 35 derived 36 from 36 from 37 patients 38 with 39 fanconi 41 , 50 and 42 a 44 disorder 43 hereditary 44 disorder 44 disorder 45 characterized 44 disorder 50 and 45 characterized 46 by 46 by 49 failure 47 bone 48 marrow 48 marrow 49 failure 50 and 51 cancer in fa - d2 [(] - [/] - [ )(cells , nsc 617145 acted synergistically with very low concentrations of mitomycin c to inhibit [proliferation] in a wrn - dependent manner and [induce] double - strand breaks ( dsb ) and chromosomal abnormalities . 0 ###LEFT-WALL### 12 nsc 0 ###LEFT-WALL### 14 acted 0 ###LEFT-WALL### 29 - 1 in 2 fa 1 in 11 , 1 in 12 nsc 2 fa 4 d2 2 fa 10 )(cells 3 - 4 d2 4 d2 6 - 8 - 10 )(cells 10 )(cells 11 , 12 nsc 13 617145 12 nsc 14 acted 14 acted 15 synergistically 14 acted 16 with 14 acted 26 in 16 with 19 concentrations 17 very 18 low 18 low 19 concentrations 19 concentrations 20 of 20 of 21 mitomycin 21 mitomycin 22 c 21 mitomycin 23 to 21 mitomycin 24 inhibit 23 to 24 inhibit 26 in 28 wrn 27 a 28 wrn 29 - 41 and 29 - 44 . 30 dependent 31 manner 31 manner 32 and 32 and 34 double 32 and 37 breaks 32 and 41 and 35 - 37 breaks 36 strand 37 breaks 37 breaks 39 dsb 37 breaks 40 ) 38 ( 39 dsb 39 dsb 40 ) 41 and 43 abnormalities 42 chromosomal 43 abnormalities under these conditions , ataxia [-] telangiectasia mutated activation and accumulation of dna - dependent protein kinase , catalytic subunit ps2056 foci suggested an increased number of dsbs processed by nonhomologous [end] - joining ( nhej ) . 0 ###LEFT-WALL### 7 telangiectasia 0 ###LEFT-WALL### 8 mutated 0 ###LEFT-WALL### 14 - 1 under 3 conditions 1 under 4 , 1 under 7 telangiectasia 2 these 3 conditions 5 ataxia 7 telangiectasia 7 telangiectasia 8 mutated 8 mutated 10 and 9 activation 10 and 10 and 11 accumulation 10 and 12 of 12 of 13 dna 14 - 17 kinase 14 - 18 , 14 - 38 . 15 dependent 16 protein 16 protein 17 kinase 18 , 22 foci 18 , 23 suggested 19 catalytic 22 foci 20 subunit 22 foci 21 ps2056 22 foci 22 foci 23 suggested 23 suggested 28 dsbs 23 suggested 30 by 24 an 26 number 25 increased 26 number 26 number 27 of 26 number 28 dsbs 27 of 28 dsbs 28 dsbs 29 processed 30 by 34 joining 31 nonhomologous 33 - 31 nonhomologous 34 joining 34 joining 36 nhej 35 ( 36 nhej 36 nhej 37 ) rad51 foci were also elevated in fa - d2 [(] - [/] - [ )(cells exposed to nsc 617145 and mitomycin c , suggesting that wrn helicase inhibition interferes with later steps of homologous recombination at icl - induced dsbs . 0 ###LEFT-WALL### 1 rad51 0 ###LEFT-WALL### 5 elevated 0 ###LEFT-WALL### 41 . 1 rad51 2 foci 1 rad51 3 were 1 rad51 5 elevated 2 foci 3 were 4 also 5 elevated 5 elevated 6 in 5 elevated 24 suggesting 5 elevated 40 dsbs 6 in 7 fa 7 fa 9 d2 7 fa 20 and 8 - 9 d2 9 d2 11 - 13 - 20 and 15 )(cells 16 exposed 15 )(cells 20 and 16 exposed 17 to 17 to 18 nsc 18 nsc 19 617145 20 and 21 mitomycin 20 and 23 , 21 mitomycin 22 c 23 , 24 suggesting 24 suggesting 28 inhibition 24 suggesting 29 interferes 24 suggesting 38 - 25 that 28 inhibition 26 wrn 28 inhibition 27 helicase 28 inhibition 28 inhibition 29 interferes 29 interferes 30 with 30 with 32 steps 30 with 36 at 31 later 32 steps 32 steps 33 of 33 of 35 recombination 34 homologous 35 recombination 36 at 37 icl 39 induced 40 dsbs thus , when the fanconi anemia pathway is defective , wrn helicase inhibition perturbs the normal icl response , leading to nhej activation . 0 ###LEFT-WALL### 13 inhibition 0 ###LEFT-WALL### 14 perturbs 1 thus 2 , 1 thus 13 inhibition 2 , 3 when 3 when 7 pathway 3 when 8 is 3 when 10 , 3 when 13 inhibition 4 the 7 pathway 5 fanconi 7 pathway 6 anemia 7 pathway 7 pathway 8 is 8 is 9 defective 11 wrn 13 inhibition 12 helicase 13 inhibition 13 inhibition 14 perturbs 14 perturbs 18 response 15 the 18 response 16 normal 18 response 17 icl 18 response 18 response 20 leading 19 , 20 leading 20 leading 21 to 20 leading 24 . 21 to 23 activation 22 nhej 23 activation potential implication [for] treatment of fanconi anemia - deficient tumors by their sensitization to [dna] cross - linking agents is discussed . 0 ###LEFT-WALL### 4 treatment 0 ###LEFT-WALL### 20 is 0 ###LEFT-WALL### 22 . 1 potential 4 treatment 2 implication 4 treatment 4 treatment 5 of 4 treatment 18 linking 4 treatment 20 is 5 of 7 anemia 6 fanconi 7 anemia 7 anemia 10 tumors 8 - 10 tumors 9 deficient 10 tumors 10 tumors 11 by 10 tumors 14 to 10 tumors 16 cross 10 tumors 17 - 11 by 13 sensitization 12 their 13 sensitization 14 to 16 cross 18 linking 19 agents 20 is 21 discussed abnormal oxidative stress is an established feature of alzheimer 's disease , but clinical trials aiming to reduce oxidative stress have not yet proven [an] effective therapy for dementia patients . 0 ###LEFT-WALL### 3 stress 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 13 but 0 ###LEFT-WALL### 31 . 1 abnormal 3 stress 2 oxidative 3 stress 3 stress 4 is 4 is 7 feature 5 an 7 feature 6 established 7 feature 7 feature 8 of 8 of 11 disease 9 alzheimer 10 's 10 's 11 disease 12 , 13 but 13 but 15 trials 13 but 24 proven 14 clinical 15 trials 15 trials 16 aiming 15 trials 21 have 16 aiming 17 to 16 aiming 18 reduce 17 to 18 reduce 18 reduce 20 stress 19 oxidative 20 stress 21 have 22 not 21 have 24 proven 23 yet 24 proven 24 proven 27 therapy 26 effective 27 therapy 27 therapy 28 for 28 for 30 patients 29 dementia 30 patients the purpose of this review is to systematically analyze available data describing markers of oxidative stress and antioxidants in blood from subjects with alzheimer 's disease or those with mild cognitive impairment to highlight potential interactions between peripheral redox changes and central nervous system pathology and contribute to the design of future clinical study . 0 ###LEFT-WALL### 2 purpose 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 55 . 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 19 in 7 to 17 and 8 systematically 9 analyze 9 analyze 11 data 9 analyze 17 and 10 available 11 data 11 data 12 describing 12 describing 13 markers 13 markers 14 of 14 of 16 stress 15 oxidative 16 stress 17 and 18 antioxidants 19 in 20 blood 20 blood 21 from 20 blood 23 with 20 blood 29 with 21 from 22 subjects 23 with 27 or 24 alzheimer 25 's 25 's 26 disease 26 disease 27 or 27 or 28 those 29 with 32 impairment 30 mild 32 impairment 31 cognitive 32 impairment 32 impairment 33 to 32 impairment 47 contribute 32 impairment 48 to 33 to 46 and 34 highlight 36 interactions 34 highlight 37 between 34 highlight 46 and 35 potential 36 interactions 37 between 41 and 38 peripheral 39 redox 39 redox 40 changes 40 changes 41 and 41 and 45 pathology 42 central 44 system 43 nervous 44 system 44 system 45 pathology 46 and 47 contribute 48 to 50 design 49 the 50 design 50 design 51 of 51 of 54 study 52 future 54 study 53 clinical 54 study pubmed , scopus and web of science were systematically queried to collect studies which have evaluated markers of oxidative stress , levels of antioxidants , copper , transferrin and ceruloplasmin levels in blood from subjects with alzheimer 's disease and matched controls . 0 ###LEFT-WALL### 5 web 0 ###LEFT-WALL### 40 and 0 ###LEFT-WALL### 43 . 1 pubmed 2 , 1 pubmed 5 web 3 scopus 4 and 4 and 5 web 5 web 6 of 5 web 40 and 6 of 7 science 8 were 10 queried 8 were 40 and 9 systematically 10 queried 10 queried 11 to 10 queried 32 in 11 to 12 collect 12 collect 13 studies 13 studies 14 which 13 studies 15 have 14 which 15 have 15 have 16 evaluated 16 evaluated 29 and 17 markers 18 of 17 markers 21 , 18 of 20 stress 19 oxidative 20 stress 21 , 22 levels 21 , 25 , 22 levels 23 of 23 of 24 antioxidants 25 , 26 copper 25 , 27 , 27 , 28 transferrin 27 , 29 and 29 and 31 levels 30 ceruloplasmin 31 levels 32 in 33 blood 33 blood 34 from 33 blood 36 with 34 from 35 subjects 36 with 39 disease 37 alzheimer 38 's 38 's 39 disease 40 and 41 matched 40 and 42 controls after application of quality measures , results were aggregated in a random effects analysis . 0 ###LEFT-WALL### 7 results 0 ###LEFT-WALL### 9 aggregated 0 ###LEFT-WALL### 15 . 1 after 2 application 1 after 6 , 1 after 7 results 2 application 3 of 3 of 5 measures 4 quality 5 measures 7 results 8 were 8 were 9 aggregated 9 aggregated 10 in 10 in 14 analysis 11 a 12 random 11 a 14 analysis 12 random 13 effects 13 effects 14 analysis we found that markers of lipid peroxidation are elevated in blood in alzheimer 's disease and in mild cognitive impairment , copper metabolism is dysregulated and total antioxidant capacity is decreased . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 32 . 1 we 2 found 2 found 3 that 3 that 4 markers 3 that 9 elevated 4 markers 5 of 4 markers 8 are 5 of 7 peroxidation 6 lipid 7 peroxidation 8 are 9 elevated 9 elevated 10 in 9 elevated 16 and 10 in 11 blood 12 in 15 disease 12 in 16 and 13 alzheimer 14 's 14 's 15 disease 16 and 17 in 17 in 20 impairment 18 mild 20 impairment 19 cognitive 20 impairment 21 , 23 metabolism 21 , 25 dysregulated 21 , 26 and 22 copper 23 metabolism 23 metabolism 24 is 24 is 25 dysregulated 26 and 29 capacity 26 and 31 decreased 27 total 29 capacity 28 antioxidant 29 capacity 29 capacity 30 is 30 is 31 decreased [while] surprisingly none of the major antioxidative enzymes are significantly decreased , [non] - enzymatic antioxidants [in] blood [(] particularly uric acid , vitamins a , [e] and [c] [,] α - and β - carotene ) [are] significantly decreased . 0 ###LEFT-WALL### 8 enzymes 0 ###LEFT-WALL### 9 are 0 ###LEFT-WALL### 12 , 2 surprisingly 8 enzymes 3 none 4 of 3 none 8 enzymes 4 of 8 enzymes 5 the 8 enzymes 6 major 8 enzymes 7 antioxidative 8 enzymes 8 enzymes 9 are 9 are 10 significantly 9 are 11 decreased 12 , 14 - 14 - 16 antioxidants 15 enzymatic 16 antioxidants 16 antioxidants 18 blood 18 blood 22 acid 20 particularly 21 uric 21 uric 22 acid 22 acid 33 and 23 , 33 and 24 vitamins 25 a 24 vitamins 28 and 26 , 28 and 28 and 31 α 28 and 33 and 32 - 33 and 33 and 36 carotene 33 and 37 ) 33 and 40 decreased 33 and 41 . 34 β 35 - 34 β 36 carotene 39 significantly 40 decreased there is significant oxidative damage in peripheral blood early in the process of neurodegeneration . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 15 . 1 there 2 is 2 is 5 damage 3 significant 5 damage 4 oxidative 5 damage 5 damage 6 in 6 in 8 blood 7 peripheral 8 blood 8 blood 9 early 9 early 10 in 10 in 12 process 11 the 12 process 12 process 13 of 13 of 14 neurodegeneration we propose that clinical studies assessing cognitive outcomes after antioxidant therapy tailor interventions to individual patients ' deficiencies and confirm an improvement in an appropriate serological marker of oxidative stress . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 propose 0 ###LEFT-WALL### 31 . 1 we 2 propose 2 propose 3 that 3 that 5 studies 3 that 19 and 4 clinical 5 studies 5 studies 6 assessing 5 studies 19 and 6 assessing 8 outcomes 6 assessing 9 after 7 cognitive 8 outcomes 9 after 11 therapy 10 antioxidant 11 therapy 12 tailor 13 interventions 12 tailor 14 to 12 tailor 19 and 14 to 18 deficiencies 15 individual 16 patients 16 patients 17 ' 17 ' 18 deficiencies 19 and 20 confirm 19 and 23 in 20 confirm 22 improvement 21 an 22 improvement 23 in 27 marker 24 an 25 appropriate 24 an 27 marker 25 appropriate 27 marker 26 serological 27 marker 27 marker 28 of 28 of 30 stress 29 oxidative 30 stress this strategy may be most effectively applied in a clinical trial of primary prevention . 0 ###LEFT-WALL### 2 strategy 0 ###LEFT-WALL### 4 be 0 ###LEFT-WALL### 15 . 1 this 2 strategy 2 strategy 3 may 3 may 4 be 4 be 5 most 5 most 7 applied 6 effectively 7 applied 7 applied 8 in 8 in 11 trial 9 a 10 clinical 9 a 11 trial 10 clinical 11 trial 11 trial 12 of 12 of 14 prevention 13 primary 14 prevention cerebral small vessel disease ( svd ) is a common accompaniment of ageing . 0 ###LEFT-WALL### 4 disease 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 14 . 1 cerebral 3 vessel 2 small 3 vessel 3 vessel 4 disease 4 disease 6 svd 4 disease 8 is 5 ( 6 svd 6 svd 7 ) 8 is 11 accompaniment 9 a 10 common 9 a 11 accompaniment 10 common 11 accompaniment 11 accompaniment 12 of 12 of 13 ageing features seen on neuroimaging include recent small subcortical [infarcts] , lacunes , white matter hyperintensities , perivascular spaces , microbleeds , and brain atrophy . 0 ###LEFT-WALL### 1 features 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 25 . 1 features 2 seen 1 features 3 on 1 features 22 and 3 on 4 neuroimaging 5 include 11 lacunes 5 include 22 and 6 recent 11 lacunes 7 small 11 lacunes 8 subcortical 10 , 8 subcortical 11 lacunes 11 lacunes 15 hyperintensities 12 , 15 hyperintensities 13 white 15 hyperintensities 14 matter 15 hyperintensities 15 hyperintensities 18 spaces 15 hyperintensities 20 microbleeds 15 hyperintensities 21 , 16 , 18 spaces 17 perivascular 18 spaces 18 spaces 19 , 19 , 20 microbleeds 20 microbleeds 21 , 22 and 23 brain 23 brain 24 atrophy svd can present as a stroke or cognitive decline , or can have few or no symptoms . 0 ###LEFT-WALL### 1 svd 0 ###LEFT-WALL### 13 have 0 ###LEFT-WALL### 18 . 1 svd 2 can 2 can 11 or 2 can 13 have 3 present 4 as 3 present 7 or 4 as 6 stroke 5 a 6 stroke 7 or 9 decline 7 or 11 or 8 cognitive 9 decline 10 , 11 or 11 or 12 can 13 have 15 or 14 few 15 or 15 or 17 symptoms 16 no 17 symptoms svd frequently coexists with neurodegenerative disease , and can exacerbate cognitive deficits , physical disabilities , and other symptoms of neurodegeneration . 0 ###LEFT-WALL### 1 svd 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 22 . 1 svd 8 and 2 frequently 3 coexists 3 coexists 4 with 3 coexists 8 and 4 with 6 disease 5 neurodegenerative 6 disease 7 , 8 and 8 and 9 can 9 can 10 exacerbate 10 exacerbate 17 and 11 cognitive 12 deficits 12 deficits 13 , 13 , 15 disabilities 13 , 17 and 14 physical 15 disabilities 16 , 17 and 17 and 19 symptoms 17 and 20 of 18 other 19 symptoms 20 of 21 neurodegeneration terminology and definitions for imaging the features of svd vary widely , which is also true for protocols for image acquisition and image analysis . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 10 vary 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 25 . 1 terminology 2 and 2 and 3 definitions 2 and 4 for 2 and 8 of 2 and 10 vary 4 for 5 imaging 5 imaging 7 features 6 the 7 features 8 of 9 svd 10 vary 11 widely 12 , 13 which 12 , 14 is 13 which 14 is 14 is 15 also 14 is 16 true 16 true 17 for 17 for 22 and 18 protocols 19 for 18 protocols 22 and 19 for 21 acquisition 20 image 21 acquisition 22 and 24 analysis 23 image 24 analysis this lack of consistency hampers progress in identifying the contribution of svd to the pathophysiology and clinical features of common neurodegenerative diseases . 0 ###LEFT-WALL### 2 lack 0 ###LEFT-WALL### 5 hampers 0 ###LEFT-WALL### 23 . 1 this 2 lack 2 lack 3 of 2 lack 5 hampers 3 of 4 consistency 5 hampers 6 progress 5 hampers 7 in 5 hampers 13 to 7 in 8 identifying 8 identifying 10 contribution 9 the 10 contribution 10 contribution 11 of 11 of 12 svd 13 to 16 and 14 the 15 pathophysiology 15 pathophysiology 16 and 16 and 18 features 16 and 19 of 17 clinical 18 features 19 of 22 diseases 20 common 22 diseases 21 neurodegenerative 22 diseases we are an international working group from the centres of excellence in neurodegeneration . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 14 . 1 we 2 are 2 are 6 group 3 an 4 international 3 an 6 group 4 international 6 group 5 working 6 group 6 group 7 from 6 group 12 in 7 from 9 centres 8 the 9 centres 9 centres 10 of 10 of 11 excellence 12 in 13 neurodegeneration we completed a structured process to develop definitions and imaging standards for markers and consequences of svd . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 completed 0 ###LEFT-WALL### 18 . 1 we 2 completed 2 completed 5 process 2 completed 6 to 3 a 5 process 4 structured 5 process 6 to 7 develop 7 develop 9 and 7 develop 12 for 8 definitions 9 and 9 and 11 standards 10 imaging 11 standards 12 for 14 and 13 markers 14 and 14 and 15 consequences 14 and 16 of 16 of 17 svd we aimed to achieve the following : first , to provide [a] common advisory about terms and definitions for features visible on mri [;] second , to suggest minimum standards for image acquisition and analysis [;] third , to agree on standards for scientific reporting of changes related to svd on neuroimaging [;] [and] fourth , to review emerging imaging methods for detection and quantification of preclinical manifestations of svd . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 7 : 1 we 2 aimed 2 aimed 3 to 3 to 4 achieve 4 achieve 6 following 5 the 6 following 7 : 8 first 7 : 9 , 9 , 10 to 9 , 11 provide 10 to 11 provide 11 provide 17 and 11 provide 19 for 13 common 14 advisory 13 common 17 and 14 advisory 15 about 15 about 16 terms 17 and 18 definitions 19 for 20 features 20 features 21 visible 21 visible 22 on 21 visible 25 second 21 visible 27 to 22 on 23 mri 26 , 27 to 27 to 38 , 28 suggest 30 standards 28 suggest 37 third 28 suggest 38 , 29 minimum 30 standards 30 standards 31 for 31 for 34 and 32 image 33 acquisition 33 acquisition 34 and 34 and 35 analysis 38 , 39 to 38 , 40 agree 39 to 40 agree 40 agree 41 on 40 agree 43 for 41 on 42 standards 43 for 45 reporting 44 scientific 45 reporting 45 reporting 46 of 45 reporting 49 to 46 of 47 changes 47 changes 48 related 49 to 50 svd 50 svd 51 on 50 svd 60 imaging 51 on 52 neuroimaging 52 neuroimaging 55 fourth 52 neuroimaging 57 to 56 , 57 to 57 to 58 review 58 review 59 emerging 60 imaging 61 methods 60 imaging 62 for 62 for 64 and 63 detection 64 and 64 and 65 quantification 64 and 71 . 65 quantification 66 of 66 of 68 manifestations 67 preclinical 68 manifestations 68 manifestations 69 of 69 of 70 svd our findings and recommendations apply to research studies , and can be used in the clinical setting to standardise image interpretation , acquisition , and reporting . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 22 , 0 ###LEFT-WALL### 27 . 1 our 2 findings 2 findings 3 and 3 and 4 recommendations 3 and 10 and 5 apply 6 to 5 apply 10 and 6 to 8 studies 7 research 8 studies 9 , 10 and 10 and 11 can 11 can 12 be 12 be 13 used 13 used 14 in 13 used 18 to 13 used 19 standardise 14 in 17 setting 15 the 17 setting 16 clinical 17 setting 18 to 19 standardise 19 standardise 21 interpretation 20 image 21 interpretation 22 , 25 and 23 acquisition 25 and 24 , 25 and 25 and 26 reporting this position paper summarises the main outcomes of this international effort to provide the standards for reporting vascular changes on neuroimaging ( strive ) . 0 ###LEFT-WALL### 3 paper 0 ###LEFT-WALL### 4 summarises 0 ###LEFT-WALL### 25 . 1 this 3 paper 2 position 3 paper 3 paper 4 summarises 4 summarises 7 outcomes 4 summarises 12 to 5 the 7 outcomes 6 main 7 outcomes 7 outcomes 8 of 8 of 11 effort 9 this 11 effort 10 international 11 effort 12 to 13 provide 13 provide 19 changes 14 the 19 changes 15 standards 16 for 15 standards 19 changes 16 for 17 reporting 18 vascular 19 changes 19 changes 20 on 20 on 21 neuroimaging 21 neuroimaging 23 strive 22 ( 23 strive 23 strive 24 ) background : endothelial colony - forming cells ( ecfc ) are endowed with vascular regenerative ability in vivo and in vitro . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 colony 2 : 5 - 3 endothelial 4 colony 5 - 7 cells 5 - 12 endowed 5 - 22 . 6 forming 7 cells 7 cells 9 ecfc 7 cells 11 are 8 ( 9 ecfc 9 ecfc 10 ) 11 are 12 endowed 12 endowed 13 with 12 endowed 19 and 13 with 16 ability 14 vascular 16 ability 15 regenerative 16 ability 17 in 18 vivo 18 vivo 19 and 19 and 21 vitro 20 in 21 vitro in this study we compared the genotypic profile and the immunogenic potential [of] adult and cord blood ecfc , in order to explore the feasibility of using them as a cell therapy product . 0 ###LEFT-WALL### 4 we 0 ###LEFT-WALL### 5 compared 0 ###LEFT-WALL### 9 and 1 in 3 study 1 in 4 we 2 this 3 study 4 we 5 compared 5 compared 8 profile 6 the 8 profile 7 genotypic 8 profile 9 and 15 and 9 and 17 blood 10 the 14 adult 11 immunogenic 14 adult 12 potential 14 adult 14 adult 15 and 15 and 16 cord 15 and 17 blood 17 blood 18 ecfc 18 ecfc 20 in 19 , 20 in 20 in 21 order 20 in 34 . 21 order 22 to 21 order 23 explore 22 to 23 explore 23 explore 25 feasibility 24 the 25 feasibility 25 feasibility 26 of 26 of 27 using 27 using 28 them 27 using 29 as 29 as 33 product 30 a 33 product 31 cell 33 product 32 therapy 33 product materials and methods : ecfc were obtained from cord blood samples not suitable for haematopoietic stem cell transplantation and from adult healthy blood donors after informed consent . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 5 ecfc 4 : 7 obtained 4 : 28 . 5 ecfc 6 were 6 were 7 obtained 7 obtained 8 from 7 obtained 25 after 8 from 11 samples 9 cord 11 samples 10 blood 11 samples 11 samples 12 not 12 not 13 suitable 13 suitable 19 and 14 for 18 transplantation 14 for 19 and 15 haematopoietic 16 stem 16 stem 17 cell 17 cell 18 transplantation 19 and 20 from 20 from 24 donors 21 adult 24 donors 22 healthy 23 blood 23 blood 24 donors 25 after 27 consent 26 informed 27 consent [genotypes] were analysed by commercially available microarray assays and [results] were confirmed by real - time polymerase chain reaction analysis . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 21 . 2 were 3 analysed 2 were 9 and 3 analysed 4 by 4 by 8 assays 5 commercially 6 available 6 available 7 microarray 7 microarray 8 assays 9 and 11 were 11 were 12 confirmed 12 confirmed 13 by 13 by 20 analysis 14 real 15 - 14 real 20 analysis 16 time 20 analysis 17 polymerase 20 analysis 18 chain 20 analysis 19 reaction 20 analysis hla antigen expression was evaluated by flow - cytometry . 0 ###LEFT-WALL### 3 expression 0 ###LEFT-WALL### 5 evaluated 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 10 . 1 hla 3 expression 2 antigen 3 expression 3 expression 4 was 4 was 5 evaluated 5 evaluated 6 by 6 by 7 flow 8 - 9 cytometry immunogenic capacity was investigated by evaluating the activation of allogeneic lymphocytes and monocytes in co - cultures with ecfc . 0 ###LEFT-WALL### 2 capacity 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 20 . 1 immunogenic 2 capacity 2 capacity 3 was 3 was 12 and 4 investigated 5 by 4 investigated 12 and 5 by 6 evaluating 6 evaluating 8 activation 7 the 8 activation 8 activation 9 of 9 of 11 lymphocytes 10 allogeneic 11 lymphocytes 12 and 13 monocytes 12 and 14 in 12 and 18 with 14 in 17 cultures 15 co 16 - 15 co 17 cultures 18 with 19 ecfc results : microarray assays revealed that the genetic profile of cord blood and adult ecfc differed in about 20 % of examined genes . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 assays 2 : 5 revealed 2 : 24 . 3 microarray 4 assays 4 assays 5 revealed 5 revealed 6 that 6 that 9 profile 6 that 22 examined 7 the 9 profile 8 genetic 9 profile 9 profile 10 of 9 profile 22 examined 10 of 13 and 11 cord 12 blood 12 blood 13 and 13 and 14 adult 13 and 15 ecfc 13 and 21 of 15 ecfc 16 differed 16 differed 17 in 17 in 20 % 18 about 19 20 19 20 20 % 20 % 21 of 22 examined 23 genes we found that cord blood ecfc were characterised by lower pro [-] inflammatory and pro - thrombotic gene expression as compared to adult ecfc . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 25 . 1 we 2 found 2 found 6 ecfc 2 found 21 compared 3 that 6 ecfc 4 cord 5 blood 5 blood 6 ecfc 6 ecfc 7 were 7 were 8 characterised 8 characterised 9 by 8 characterised 20 as 9 by 19 expression 10 lower 11 pro 11 pro 19 expression 13 inflammatory 14 and 14 and 15 pro 14 and 16 - 14 and 19 expression 17 thrombotic 18 gene 18 gene 19 expression 20 as 21 compared 21 compared 22 to 22 to 24 ecfc 23 adult 24 ecfc furthermore , whereas cord blood and adult ecfcs expressed similar amount of hla molecules both at baseline and [after] incubation with [γ] [-] interferon [,] cord blood ecfc elicited a weaker expression of pro [-] inflammatory cytokine genes . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 29 elicited 0 ###LEFT-WALL### 39 . 1 furthermore 2 , 1 furthermore 6 and 3 whereas 4 cord 3 whereas 6 and 5 blood 6 and 6 and 11 amount 6 and 12 of 6 and 29 elicited 7 adult 9 expressed 8 ecfcs 9 expressed 9 expressed 11 amount 10 similar 11 amount 12 of 14 molecules 13 hla 14 molecules 14 molecules 18 and 14 molecules 27 blood 15 both 16 at 15 both 18 and 16 at 17 baseline 18 and 20 incubation 18 and 21 with 18 and 27 blood 21 with 26 cord 24 interferon 26 cord 27 blood 28 ecfc 29 elicited 32 expression 30 a 32 expression 31 weaker 32 expression 32 expression 33 of 33 of 38 genes 34 pro 37 cytokine 36 inflammatory 37 cytokine 37 cytokine 38 genes finally , we observed no differences in the amount of hla antigens expressed among cord blood ecfc , adult ecfc and mesenchymal cells . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 observed 0 ###LEFT-WALL### 24 . 1 finally 2 , 1 finally 3 we 3 we 4 observed 4 observed 6 differences 4 observed 13 expressed 5 no 6 differences 6 differences 7 in 6 differences 10 of 6 differences 13 expressed 7 in 9 amount 8 the 9 amount 10 of 12 antigens 11 hla 12 antigens 13 expressed 14 among 14 among 21 and 15 cord 16 blood 16 blood 17 ecfc 17 ecfc 18 , 18 , 20 ecfc 18 , 21 and 19 adult 20 ecfc 21 and 23 cells 22 mesenchymal 23 cells conclusions : our observations suggest that cord blood ecfc have a lower pro - inflammatory and pro - [thrombotic] profile than adult ecfc . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 observations 2 : 5 suggest 2 : 24 . 3 our 4 observations 4 observations 5 suggest 5 suggest 6 that 6 that 9 ecfc 6 that 10 have 7 cord 9 ecfc 8 blood 9 ecfc 10 have 13 pro 10 have 20 profile 11 a 13 pro 12 lower 13 pro 13 pro 16 and 14 - 16 and 15 inflammatory 16 and 16 and 17 pro 16 and 18 - 20 profile 21 than 20 profile 23 ecfc 21 than 22 adult these preliminary data offer level - headed evidence to use cord blood ecfc as a cell therapy product in vascular diseases . 0 ###LEFT-WALL### 3 data 0 ###LEFT-WALL### 4 offer 0 ###LEFT-WALL### 22 . 1 these 3 data 2 preliminary 3 data 3 data 4 offer 4 offer 8 evidence 4 offer 13 ecfc 4 offer 14 as 4 offer 19 in 5 level 6 - 5 level 8 evidence 7 headed 8 evidence 8 evidence 9 to 9 to 12 blood 10 use 12 blood 11 cord 12 blood 14 as 18 product 15 a 18 product 16 cell 18 product 17 therapy 18 product 19 in 21 diseases 20 vascular 21 diseases objective : to investigate [whether] automatic auditory post - processing is deficient in patients with alzheimer 's disease and is related to sensory gating . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 10 processing 2 : 19 and 3 to 4 investigate 3 to 9 - 3 to 10 processing 4 investigate 8 post 6 automatic 8 post 7 auditory 8 post 10 processing 19 and 11 is 12 deficient 11 is 19 and 12 deficient 13 in 12 deficient 15 with 13 in 14 patients 15 with 18 disease 16 alzheimer 17 's 17 's 18 disease 19 and 20 is 20 is 21 related 21 related 22 to 22 to 24 gating 23 sensory 24 gating methods : event - related potentials were recorded during a passive listening task to examine the automatic transient storage of auditory information ( short click pairs ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 15 examine 0 ###LEFT-WALL### 28 . 1 methods 2 : 2 : 3 event 4 - 6 potentials 4 - 8 recorded 5 related 6 potentials 6 potentials 7 were 7 were 8 recorded 8 recorded 9 during 8 recorded 14 to 9 during 13 task 10 a 11 passive 10 a 13 task 11 passive 13 task 12 listening 13 task 14 to 15 examine 15 examine 19 storage 16 the 19 storage 17 automatic 19 storage 18 transient 19 storage 19 storage 20 of 20 of 22 information 21 auditory 22 information 22 information 26 pairs 23 ( 26 pairs 24 short 25 click 25 click 26 pairs 26 pairs 27 ) patients with alzheimer 's disease were compared to a healthy age - matched control group . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 7 compared 0 ###LEFT-WALL### 12 - 1 patients 2 with 1 patients 6 were 2 with 5 disease 3 alzheimer 4 's 4 's 5 disease 6 were 7 compared 7 compared 8 to 8 to 11 age 9 a 10 healthy 9 a 11 age 10 healthy 11 age 12 - 15 group 12 - 16 . 13 matched 14 control 14 control 15 group a young healthy control group was included to assess effects of physiological aging . 0 ###LEFT-WALL### 5 group 0 ###LEFT-WALL### 7 included 0 ###LEFT-WALL### 14 . 1 a 2 young 1 a 5 group 2 young 4 control 3 healthy 4 control 4 control 5 group 5 group 6 was 6 was 7 included 7 included 8 to 8 to 9 assess 9 assess 10 effects 10 effects 11 of 11 of 13 aging 12 physiological 13 aging results : a bilateral frontal negativity [in] combination with deep temporal positivity occurring 500 m [s] after stimulus offset was reduced in patients with alzheimer 's disease , but was unaffected by physiological aging . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 35 . 1 results 2 : 2 : 8 combination 3 a 4 bilateral 3 a 8 combination 4 bilateral 6 negativity 5 frontal 6 negativity 6 negativity 8 combination 8 combination 9 with 8 combination 13 occurring 9 with 12 positivity 10 deep 12 positivity 11 temporal 12 positivity 13 occurring 17 after 14 500 15 m 15 m 17 after 17 after 19 offset 17 after 29 but 18 stimulus 19 offset 19 offset 29 but 20 was 21 reduced 20 was 29 but 21 reduced 22 in 21 reduced 24 with 22 in 23 patients 24 with 27 disease 25 alzheimer 26 's 26 's 27 disease 28 , 29 but 29 but 30 was 30 was 31 unaffected 31 unaffected 32 by 32 by 34 aging 33 physiological 34 aging its amplitude correlated with short - term memory capacity , but was [independent] of sensory gating in healthy elderly controls . 0 ###LEFT-WALL### 2 amplitude 0 ###LEFT-WALL### 11 but 0 ###LEFT-WALL### 21 . 1 its 2 amplitude 2 amplitude 11 but 3 correlated 4 with 3 correlated 11 but 4 with 9 capacity 5 short 6 - 5 short 7 term 7 term 9 capacity 8 memory 9 capacity 10 , 11 but 11 but 12 was 12 was 14 of 12 was 17 in 14 of 16 gating 15 sensory 16 gating 17 in 20 controls 18 healthy 20 controls 19 elderly 20 controls source analysis revealed a dipole pair in the anterior temporal lobes . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 revealed 0 ###LEFT-WALL### 12 . 1 source 2 analysis 2 analysis 3 revealed 3 revealed 6 pair 3 revealed 7 in 4 a 6 pair 5 dipole 6 pair 7 in 11 lobes 8 the 11 lobes 9 anterior 11 lobes 10 temporal 11 lobes conclusion : results suggest that auditory post - processing is deficient in alzheimer 's disease , but is not typically related to sensory gating . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 3 results 2 : 4 suggest 2 : 8 - 3 results 4 suggest 4 suggest 7 post 5 that 6 auditory 6 auditory 7 post 8 - 9 processing 8 - 17 but 9 processing 17 but 10 is 11 deficient 10 is 17 but 11 deficient 12 in 12 in 15 disease 13 alzheimer 14 's 14 's 15 disease 16 , 17 but 17 but 18 is 18 is 19 not 18 is 20 typically 18 is 22 to 20 typically 21 related 22 to 24 gating 23 sensory 24 gating the deficit could neither be explained by physiological aging [nor] by problems in earlier stages of auditory perception . 0 ###LEFT-WALL### 2 deficit 0 ###LEFT-WALL### 6 explained 0 ###LEFT-WALL### 19 . 1 the 2 deficit 2 deficit 3 could 3 could 5 be 4 neither 5 be 5 be 6 explained 6 explained 7 by 6 explained 11 by 6 explained 13 in 7 by 9 aging 8 physiological 9 aging 11 by 12 problems 13 in 15 stages 14 earlier 15 stages 15 stages 16 of 16 of 18 perception 17 auditory 18 perception correlations with short - term memory capacity and executive control tasks suggested an association with memory encoding [and/or] overall cognitive control deficits . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 23 . 1 correlations 2 with 1 correlations 8 and 2 with 7 capacity 3 short 4 - 3 short 5 term 5 term 6 memory 6 memory 7 capacity 8 and 10 control 8 and 11 tasks 8 and 17 encoding 9 executive 10 control 11 tasks 12 suggested 12 suggested 14 association 12 suggested 15 with 13 an 14 association 15 with 16 memory 16 memory 17 encoding 17 encoding 22 deficits 19 overall 22 deficits 20 cognitive 21 control 21 control 22 deficits significance : an auditory late negative wave could represent a marker of auditory working memory encoding deficits in alzheimer 's disease . 0 ###LEFT-WALL### 1 significance 0 ###LEFT-WALL### 2 : 2 : 7 wave 2 : 9 represent 2 : 22 . 3 an 4 auditory 3 an 7 wave 4 auditory 7 wave 5 late 7 wave 6 negative 7 wave 7 wave 8 could 8 could 9 represent 9 represent 11 marker 10 a 11 marker 11 marker 12 of 12 of 15 memory 13 auditory 15 memory 14 working 15 memory 15 memory 16 encoding 16 encoding 17 deficits 16 encoding 18 in 18 in 21 disease 19 alzheimer 20 's 20 's 21 disease the clinical research center for dementia of south korea ( credos ) group developed a new classification system for ischemia using a combination of deep and periventricular white matter hyperintensities ( wmhs ) . 0 ###LEFT-WALL### 13 group 0 ###LEFT-WALL### 14 developed 0 ###LEFT-WALL### 34 . 1 the 13 group 2 clinical 13 group 3 research 4 center 4 center 5 for 4 center 9 korea 5 for 6 dementia 6 dementia 7 of 7 of 8 south 9 korea 11 credos 10 ( 11 credos 11 credos 12 ) 11 credos 13 group 13 group 14 developed 14 developed 18 system 15 a 18 system 16 new 17 classification 17 classification 18 system 18 system 19 for 18 system 21 using 18 system 24 of 18 system 32 wmhs 19 for 20 ischemia 21 using 23 combination 22 a 23 combination 24 of 30 hyperintensities 25 deep 26 and 26 and 27 periventricular 26 and 29 matter 28 white 29 matter 29 matter 30 hyperintensities 31 ( 32 wmhs 32 wmhs 33 ) in this study , we aimed to evaluate the validity of the credos ischemia classification system . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 aimed 0 ###LEFT-WALL### 17 . 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 evaluate 7 to 8 evaluate 8 evaluate 10 validity 9 the 10 validity 10 validity 11 of 11 of 16 system 12 the 16 system 13 credos 16 system 14 ischemia 16 system 15 classification 16 system a total of 352 patients with cognitive impairments were included . 0 ###LEFT-WALL### 2 total 0 ###LEFT-WALL### 10 included 0 ###LEFT-WALL### 11 . 1 a 2 total 2 total 3 of 2 total 9 were 3 of 5 patients 4 352 5 patients 5 patients 6 with 6 with 8 impairments 7 cognitive 8 impairments 9 were 10 included their wmh scores were rated using the credos wmh visual rating scale . 0 ###LEFT-WALL### 3 scores 0 ###LEFT-WALL### 5 rated 0 ###LEFT-WALL### 13 . 1 their 3 scores 2 wmh 3 scores 3 scores 4 were 4 were 5 rated 5 rated 6 using 6 using 12 scale 7 the 12 scale 8 credos 9 wmh 9 wmh 12 scale 10 visual 11 rating 11 rating 12 scale these patients were divided into 3 groups according to the credos ischemia classification system . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 4 divided 0 ###LEFT-WALL### 15 . 1 these 2 patients 2 patients 3 were 3 were 4 divided 4 divided 5 into 4 divided 9 to 5 into 7 groups 6 3 7 groups 8 according 9 to 9 to 14 system 10 the 14 system 11 credos 14 system 12 ischemia 14 system 13 classification 14 system the volume of wmh was also automatically measured . 0 ###LEFT-WALL### 2 volume 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 9 . 1 the 2 volume 2 volume 3 of 2 volume 5 was 3 of 4 wmh 5 was 6 also 5 was 7 automatically 5 was 8 measured the number of lacunes and microbleeds ( mbs ) were counted . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 11 counted 0 ###LEFT-WALL### 12 . 1 the 2 number 2 number 3 of 2 number 5 and 3 of 4 lacunes 5 and 6 microbleeds 5 and 8 mbs 5 and 10 were 7 ( 8 mbs 8 mbs 9 ) 10 were 11 counted the credos ischemia classification system was revised with factor analysis using vascular risk factors and cerebrovascular disease ( cvd ) markers ( wmh volume , lacunes , and mbs ) . 0 ###LEFT-WALL### 5 system 0 ###LEFT-WALL### 7 revised 0 ###LEFT-WALL### 31 . 1 the 5 system 2 credos 3 ischemia 3 ischemia 5 system 4 classification 5 system 5 system 6 was 6 was 7 revised 7 revised 8 with 8 with 10 analysis 9 factor 10 analysis 10 analysis 11 using 11 using 21 markers 12 vascular 14 factors 13 risk 14 factors 14 factors 15 and 15 and 17 disease 15 and 19 cvd 15 and 21 markers 16 cerebrovascular 17 disease 18 ( 19 cvd 19 cvd 20 ) 21 markers 28 and 22 ( 28 and 23 wmh 24 volume 24 volume 25 , 25 , 26 lacunes 25 , 28 and 27 , 28 and 28 and 29 mbs 28 and 30 ) external validation was performed in another group of patients with cognitive impairment using multinomial logistic regression analysis . 0 ###LEFT-WALL### 2 validation 0 ###LEFT-WALL### 4 performed 0 ###LEFT-WALL### 18 . 1 external 2 validation 2 validation 3 was 3 was 4 performed 4 performed 5 in 4 performed 10 with 5 in 9 patients 6 another 7 group 7 group 8 of 7 group 9 patients 8 of 9 patients 10 with 12 impairment 11 cognitive 12 impairment 12 impairment 13 using 13 using 17 analysis 14 multinomial 15 logistic 15 logistic 17 analysis 16 regression 17 analysis the credos wmh visual rating scale showed excellent correlation [with] [the] automatically measured volume of wmh . 0 ###LEFT-WALL### 6 scale 0 ###LEFT-WALL### 7 showed 0 ###LEFT-WALL### 17 . 1 the 6 scale 2 credos 3 wmh 3 wmh 6 scale 4 visual 5 rating 5 rating 6 scale 6 scale 7 showed 7 showed 14 volume 8 excellent 9 correlation 9 correlation 14 volume 12 automatically 13 measured 13 measured 14 volume 14 volume 15 of 15 of 16 wmh the factor analysis showed that the severe group was expanded to d3p1 and d3p2 in the revised credos ischemia classification system . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 4 showed 0 ###LEFT-WALL### 22 . 1 the 3 analysis 2 factor 3 analysis 3 analysis 4 showed 4 showed 5 that 5 that 8 group 5 that 10 expanded 6 the 8 group 7 severe 8 group 8 group 9 was 9 was 10 expanded 10 expanded 11 to 10 expanded 15 in 11 to 13 and 12 d3p1 13 and 13 and 14 d3p2 15 in 21 system 16 the 21 system 17 revised 21 system 18 credos 20 classification 19 ischemia 20 classification 20 classification 21 system in the validation group , the presence of vascular risk factors and the severity of cvd markers could be distinguished according to the revised credos ischemia classification . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 19 be 0 ###LEFT-WALL### 28 . 1 in 3 validation 1 in 12 and 2 the 3 validation 4 group 5 , 5 , 7 presence 5 , 12 and 6 the 7 presence 7 presence 8 of 8 of 11 factors 9 vascular 11 factors 10 risk 11 factors 12 and 14 severity 12 and 15 of 12 and 18 could 13 the 14 severity 15 of 17 markers 16 cvd 17 markers 18 could 19 be 19 be 20 distinguished 20 distinguished 22 to 21 according 22 to 22 to 27 classification 23 the 27 classification 24 revised 27 classification 25 credos 26 ischemia 26 ischemia 27 classification we validated a newly developed classification system for ischemia . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 validated 0 ###LEFT-WALL### 10 . 1 we 2 validated 2 validated 7 system 3 a 7 system 4 newly 5 developed 5 developed 6 classification 6 classification 7 system 7 system 8 for 8 for 9 ischemia this simple visual classification system was capable of providing information on vascular risk factors and cvd markers by simply rating wmh on magnetic resonance imaging . 0 ###LEFT-WALL### 5 system 0 ###LEFT-WALL### 6 was 0 ###LEFT-WALL### 26 . 1 this 5 system 2 simple 4 classification 3 visual 4 classification 4 classification 5 system 5 system 6 was 6 was 7 capable 7 capable 8 of 7 capable 22 on 8 of 9 providing 9 providing 10 information 9 providing 11 on 9 providing 18 by 11 on 15 and 12 vascular 14 factors 13 risk 14 factors 14 factors 15 and 15 and 17 markers 16 cvd 17 markers 18 by 20 rating 19 simply 20 rating 20 rating 21 wmh 22 on 25 imaging 23 magnetic 24 resonance 24 resonance 25 imaging [none] background : the consumption pattern characterized by high consumption of vegetables , fruit , fish , olive oil and red wine has been associated with improvements in the total antioxidant capacity of individuals and reduced incidence of diseases related to oxidation . 0 ###LEFT-WALL### 2 background 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 40 related 0 ###LEFT-WALL### 43 . 2 background 3 : 3 : 20 and 4 the 6 pattern 5 consumption 6 pattern 6 pattern 7 characterized 6 pattern 13 , 7 characterized 8 by 8 by 10 consumption 9 high 10 consumption 10 consumption 11 of 11 of 12 vegetables 13 , 14 fruit 13 , 15 , 15 , 16 fish 15 , 17 , 17 , 19 oil 17 , 20 and 18 olive 19 oil 20 and 21 red 20 and 22 wine 20 and 33 of 22 wine 23 has 23 has 24 been 24 been 25 associated 25 associated 26 with 26 with 27 improvements 27 improvements 28 in 28 in 32 capacity 29 the 32 capacity 30 total 32 capacity 31 antioxidant 32 capacity 32 capacity 33 of 34 individuals 35 and 35 and 37 incidence 35 and 38 of 35 and 40 related 36 reduced 37 incidence 38 of 39 diseases 40 related 41 to 41 to 42 oxidation also , high body iron levels may contribute to increase the oxidative stress by the generation of reactive oxygen species . 0 ###LEFT-WALL### 6 levels 0 ###LEFT-WALL### 10 increase 0 ###LEFT-WALL### 21 . 1 also 2 , 1 also 6 levels 3 high 6 levels 4 body 6 levels 5 iron 6 levels 6 levels 7 may 7 may 8 contribute 8 contribute 9 to 9 to 10 increase 10 increase 13 stress 10 increase 14 by 11 the 13 stress 12 oxidative 13 stress 14 by 16 generation 15 the 16 generation 16 generation 17 of 17 of 20 species 18 reactive 19 oxygen 19 oxygen 20 species the objective of this study is to analyze the relationship between antioxidant and pro - oxidant factors obtained from the diet and iron biomarkers on lipoprotein oxidation and total antioxidant capacity in a representative sample of the mediterranean population . 0 ###LEFT-WALL### 2 objective 0 ###LEFT-WALL### 15 - 0 ###LEFT-WALL### 40 . 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 analyze 7 to 8 analyze 8 analyze 10 relationship 8 analyze 11 between 9 the 10 relationship 11 between 13 and 12 antioxidant 13 and 13 and 14 pro 15 - 17 factors 15 - 28 and 16 oxidant 17 factors 17 factors 18 obtained 17 factors 28 and 18 obtained 19 from 19 from 22 and 20 the 21 diet 21 diet 22 and 22 and 23 iron 24 biomarkers 25 on 24 biomarkers 28 and 25 on 27 oxidation 26 lipoprotein 27 oxidation 28 and 29 total 28 and 32 in 29 total 31 capacity 30 antioxidant 31 capacity 32 in 35 sample 33 a 34 representative 33 a 35 sample 34 representative 35 sample 35 sample 36 of 36 of 39 population 37 the 39 population 38 mediterranean 39 population methods : cross - sectional prospective study , carried out with 815 randomly selected subjects ( 425 women and 390 men ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 23 . 1 methods 2 : 2 : 3 cross 4 - 7 study 5 sectional 7 study 6 prospective 7 study 7 study 9 carried 8 , 9 carried 9 carried 10 out 9 carried 11 with 9 carried 22 ) 11 with 15 subjects 12 815 15 subjects 13 randomly 14 selected 14 selected 15 subjects 15 subjects 19 and 16 ( 19 and 17 425 18 women 18 women 19 and 19 and 21 men 19 and 22 ) 20 390 21 men dietary [assessment] ( 3 - day food records ) , iron biomarkers ( serum ferritin , serum iron and transferrin saturation ) , biochemical markers of lipoperoxidation ( tbars ) , antioxidant capacity ( orac ) and crp ( c - reactive protein ) were determined . 0 ###LEFT-WALL### 37 and 0 ###LEFT-WALL### 46 determined 0 ###LEFT-WALL### 47 . 1 dietary 4 3 1 dietary 37 and 3 ( 4 3 4 3 8 records 4 3 12 biomarkers 4 3 19 and 4 3 36 ) 5 - 8 records 6 day 8 records 7 food 8 records 8 records 9 ) 10 , 12 biomarkers 11 iron 12 biomarkers 12 biomarkers 15 ferritin 12 biomarkers 16 , 13 ( 15 ferritin 14 serum 15 ferritin 15 ferritin 16 , 16 , 19 and 17 serum 18 iron 18 iron 19 and 19 and 21 saturation 19 and 22 ) 19 and 25 markers 19 and 36 ) 20 transferrin 21 saturation 23 , 25 markers 24 biochemical 25 markers 25 markers 26 of 25 markers 29 tbars 25 markers 33 capacity 25 markers 36 ) 26 of 27 lipoperoxidation 28 ( 29 tbars 29 tbars 30 ) 31 , 33 capacity 32 antioxidant 33 capacity 33 capacity 35 orac 33 capacity 36 ) 34 ( 35 orac 35 orac 36 ) 37 and 38 crp 37 and 45 were 38 crp 41 - 39 ( 41 - 40 c 41 - 41 - 43 protein 41 - 44 ) 42 reactive 43 protein 45 were 46 determined multiple linear regression ( mlr ) models were applied to analyze the association between diet factors and iron biomarkers on tbars and orac levels . 0 ###LEFT-WALL### 7 models 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 25 . 1 multiple 7 models 2 linear 3 regression 3 regression 5 mlr 4 ( 5 mlr 5 mlr 6 ) 5 mlr 7 models 7 models 17 and 8 were 9 applied 8 were 17 and 9 applied 10 to 10 to 11 analyze 11 analyze 13 association 12 the 13 association 13 association 14 between 14 between 16 factors 15 diet 16 factors 17 and 18 iron 17 and 20 on 18 iron 19 biomarkers 20 on 22 and 21 tbars 22 and 22 and 24 levels 23 orac 24 levels results : we observed that lipoperoxidation measured by tbars increased by age but no differences were observed by sex . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 3 we 2 : 4 observed 2 : 13 but 3 we 4 observed 4 observed 5 that 5 that 6 lipoperoxidation 5 that 10 increased 6 lipoperoxidation 7 measured 6 lipoperoxidation 10 increased 7 measured 8 by 8 by 9 tbars 10 increased 11 by 11 by 12 age 13 but 15 differences 13 but 17 observed 14 no 15 differences 15 differences 16 were 16 were 17 observed 17 observed 18 by 18 by 19 sex antioxidant capacity measured by orac is independent of age and sex . 0 ###LEFT-WALL### 2 capacity 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 12 . 1 antioxidant 2 capacity 2 capacity 3 measured 2 capacity 6 is 3 measured 4 by 4 by 5 orac 6 is 10 and 7 independent 8 of 7 independent 10 and 8 of 9 age 10 and 11 sex in general , increasing age , tobacco , heme iron intake from meat and fish and transferrin saturation were independently and positively associated with tbars , while [non] [-] heme iron was negatively associated . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 19 were 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 35 . 1 in 5 age 1 in 8 , 1 in 16 and 2 general 3 , 2 general 5 age 4 increasing 5 age 5 age 7 tobacco 6 , 7 tobacco 7 tobacco 8 , 9 heme 11 intake 10 iron 11 intake 11 intake 12 from 11 intake 14 and 12 from 13 meat 14 and 15 fish 14 and 16 and 16 and 18 saturation 16 and 19 were 17 transferrin 18 saturation 19 were 20 independently 21 and 31 iron 21 and 32 was 22 positively 31 iron 23 associated 24 with 23 associated 26 , 23 associated 31 iron 24 with 25 tbars 27 while 30 heme 27 while 31 iron 31 iron 32 was 32 was 33 negatively 32 was 34 associated vegetables , vitamin c intake and serum ferritin were positively associated with orac , whereas saturated fatty acids and meat intake were negatively associated . 0 ###LEFT-WALL### 6 and 0 ###LEFT-WALL### 24 associated 0 ###LEFT-WALL### 25 . 1 vegetables 2 , 2 , 5 intake 2 , 6 and 3 vitamin 4 c 3 vitamin 5 intake 6 and 8 ferritin 6 and 9 were 7 serum 8 ferritin 9 were 11 associated 10 positively 11 associated 11 associated 12 with 11 associated 15 whereas 12 with 13 orac 14 , 15 whereas 15 whereas 19 and 16 saturated 18 acids 17 fatty 18 acids 18 acids 19 and 19 and 21 intake 19 and 22 were 20 meat 21 intake 22 were 24 associated 23 negatively 24 associated conclusions : in our general population , we observed that oxidative stress is related to aging , but antioxidant capacity is not . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 8 we 2 : 9 observed 2 : 17 , 2 : 23 . 3 in 6 population 3 in 7 , 3 in 8 we 4 our 6 population 5 general 6 population 8 we 9 observed 9 observed 10 that 10 that 12 stress 10 that 14 related 11 oxidative 12 stress 12 stress 13 is 13 is 14 related 14 related 15 to 15 to 16 aging 17 , 18 but 17 , 21 is 18 but 19 antioxidant 18 but 21 is 20 capacity 21 is 21 is 22 not the highest intake of dietary [non] - heme iron , vegetables and vitamin c intake exerts a protective effect against oxidation while the highest intake of dietary heme iron from meat and fish and saturated fatty acids are associated with increased oxidative stress . 0 ###LEFT-WALL### 3 intake 0 ###LEFT-WALL### 16 exerts 0 ###LEFT-WALL### 44 . 1 the 2 highest 1 the 3 intake 3 intake 4 of 3 intake 16 exerts 4 of 12 and 5 dietary 7 - 5 dietary 9 iron 8 heme 9 iron 9 iron 10 , 10 , 11 vegetables 10 , 12 and 12 and 15 intake 13 vitamin 14 c 13 vitamin 15 intake 16 exerts 19 effect 16 exerts 20 against 16 exerts 22 while 17 a 18 protective 17 a 19 effect 18 protective 19 effect 20 against 21 oxidation 22 while 34 and 22 while 39 associated 23 the 24 highest 23 the 25 intake 25 intake 26 of 25 intake 32 and 26 of 29 iron 27 dietary 29 iron 28 heme 29 iron 29 iron 30 from 30 from 31 meat 32 and 33 fish 32 and 34 and 34 and 37 acids 34 and 38 are 35 saturated 37 acids 36 fatty 37 acids 38 are 39 associated 39 associated 40 with 40 with 43 stress 41 increased 43 stress 42 oxidative 43 stress high levels of circulating iron measured by transferrin saturation are associated with increased oxidative stress in women however its association with the higher levels of serum ferritin is controversial . 0 ###LEFT-WALL### 2 levels 0 ###LEFT-WALL### 11 associated 0 ###LEFT-WALL### 30 . 1 high 2 levels 2 levels 3 of 2 levels 6 measured 2 levels 10 are 3 of 4 circulating 4 circulating 5 iron 6 measured 7 by 7 by 9 saturation 8 transferrin 9 saturation 10 are 11 associated 11 associated 12 with 11 associated 18 however 12 with 15 stress 13 increased 15 stress 14 oxidative 15 stress 15 stress 16 in 16 in 17 women 18 however 20 association 18 however 28 is 19 its 20 association 20 association 21 with 20 association 25 of 20 association 28 is 21 with 24 levels 22 the 24 levels 23 higher 24 levels 25 of 27 ferritin 26 serum 27 ferritin 28 is 29 controversial objective : to explore seroepidemiological status and vaccine coverage of hepatitis b in children aging under 15 years old in chaoyang [district] of beijing . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 25 . 2 : 3 to 2 : 4 explore 3 to 4 explore 4 explore 9 coverage 4 explore 13 in 5 seroepidemiological 6 status 6 status 7 and 7 and 8 vaccine 7 and 9 coverage 9 coverage 10 of 10 of 11 hepatitis 11 hepatitis 12 b 13 in 14 children 14 children 15 aging 14 children 16 under 14 children 19 old 16 under 18 years 17 15 18 years 19 old 20 in 20 in 21 chaoyang 21 chaoyang 23 of 23 of 24 beijing methods : a total of 1602 children aging under 15 years old , residents or floating population who had lived here more than six months , were randomly selected by multistage cluster sampling , from chaoyang [district] of beijing in [year] 2010 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 43 . 2 : 4 total 3 a 4 total 4 total 5 of 5 of 7 children 6 1602 7 children 7 children 8 aging 8 aging 9 under 8 aging 35 from 9 under 10 15 10 15 12 old 10 15 15 or 11 years 12 old 13 , 15 or 14 residents 15 or 15 or 17 population 15 or 18 who 15 or 26 , 15 or 34 , 16 floating 17 population 18 who 26 , 19 had 20 lived 19 had 26 , 20 lived 21 here 20 lived 22 more 20 lived 23 than 23 than 25 months 24 six 25 months 26 , 27 were 27 were 29 selected 28 randomly 29 selected 29 selected 30 by 30 by 33 sampling 31 multistage 33 sampling 32 cluster 33 sampling 35 from 36 chaoyang 36 chaoyang 38 of 36 chaoyang 40 in 38 of 39 beijing 40 in 42 2010 the demographic information and vaccine coverage of hepatitis b vaccine ( hepb ) were collected by self - designed questionnaire.5 [ml] blood was collected from each subject and the serum hbsag , anti - hbs and anti - hbc were detected by abbott microparticle enzyme - linked [immunoassay] . 0 ###LEFT-WALL### 17 self 0 ###LEFT-WALL### 18 - 0 ###LEFT-WALL### 49 . 1 the 17 self 2 demographic 3 information 3 information 4 and 4 and 6 coverage 4 and 7 of 4 and 10 vaccine 4 and 16 by 4 and 17 self 5 vaccine 6 coverage 7 of 8 hepatitis 8 hepatitis 9 b 10 vaccine 12 hepb 10 vaccine 14 were 11 ( 12 hepb 12 hepb 13 ) 14 were 15 collected 15 collected 16 by 18 - 19 designed 18 - 23 was 18 - 32 , 18 - 36 and 19 designed 23 was 20 questionnaire.5 22 blood 22 blood 23 was 23 was 24 collected 24 collected 25 from 25 from 28 and 26 each 27 subject 27 subject 28 and 28 and 31 hbsag 29 the 30 serum 30 serum 31 hbsag 32 , 35 hbs 33 anti 34 - 33 anti 35 hbs 36 and 39 hbc 36 and 41 detected 37 anti 38 - 37 anti 39 hbc 39 hbc 40 were 40 were 41 detected 41 detected 42 by 41 detected 46 - 41 detected 47 linked 42 by 45 enzyme 43 abbott 45 enzyme 44 microparticle 45 enzyme those whose hbsag was positive were then tested hbeag and anti - hbe . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 14 . 1 those 2 whose 1 those 10 and 2 whose 3 hbsag 3 hbsag 4 was 4 was 7 then 5 positive 6 were 6 were 7 then 7 then 8 tested 8 tested 9 hbeag 10 and 13 hbe 11 anti 12 - 11 anti 13 hbe the positive rate of hepatitis b indicators and coverage rate of hepb in different population were compared . 0 ###LEFT-WALL### 3 rate 0 ###LEFT-WALL### 17 compared 0 ###LEFT-WALL### 18 . 1 the 3 rate 2 positive 3 rate 3 rate 4 of 3 rate 17 compared 4 of 5 hepatitis 5 hepatitis 6 b 5 hepatitis 8 and 5 hepatitis 16 were 7 indicators 8 and 8 and 10 rate 8 and 11 of 8 and 16 were 9 coverage 10 rate 11 of 12 hepb 12 hepb 13 in 13 in 15 population 14 different 15 population the positive rate of anti - hbs was statistically significant [(] χ ( 2 [ )(= 165.445 , p = 0.000 ) . 0 ###LEFT-WALL### 3 rate 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 23 . 1 the 3 rate 2 positive 3 rate 3 rate 4 of 3 rate 8 was 4 of 7 hbs 5 anti 6 - 5 anti 7 hbs 8 was 9 statistically 8 was 12 χ 10 significant 12 χ 12 χ 16 )(= 12 χ 20 = 13 ( 16 )(= 14 2 16 )(= 16 )(= 17 165.445 16 )(= 18 , 19 p 20 = 20 = 21 0.000 20 = 22 ) the positive rate of anti - hbs was up to 90.73 % ( 235/259 ) among 1 - 2 years old children , followed by 76.22 % ( 141/185 ) among 13 - 15 years old children , 67.21 % ( 166/247 ) among 3 - 4 years old children , 61.22 % ( 150/245 ) among 9 - 10 years old children , 60.68 % ( 142/234 ) among 11 - 12 years old children , 49.05 % ( 103/210 ) among 5 - 6 years old children [and] 40.99 % ( 91/222 ) among 7 - 8 years old children . 0 ###LEFT-WALL### 102 children 0 ###LEFT-WALL### 103 . 1 the 3 rate 2 positive 3 rate 3 rate 4 of 3 rate 8 was 4 of 7 hbs 5 anti 6 - 5 anti 7 hbs 8 was 9 up 9 up 10 to 9 up 16 among 9 up 70 among 9 up 83 among 9 up 92 % 9 up 96 among 10 to 12 % 11 90.73 12 % 12 % 14 235/259 13 ( 14 235/259 14 235/259 15 ) 16 among 22 children 17 1 22 children 18 - 19 2 19 2 20 years 20 years 22 children 21 old 22 children 22 children 24 followed 23 , 24 followed 24 followed 25 by 24 followed 31 among 24 followed 44 among 24 followed 57 among 24 followed 69 ) 25 by 27 % 26 76.22 27 % 27 % 29 141/185 28 ( 29 141/185 29 141/185 30 ) 31 among 37 children 32 13 33 - 33 - 34 15 33 - 35 years 35 years 37 children 36 old 37 children 37 children 40 % 38 , 40 % 39 67.21 40 % 40 % 42 166/247 40 % 43 ) 41 ( 42 166/247 42 166/247 43 ) 44 among 50 children 45 3 46 - 46 - 48 years 46 - 49 old 47 4 48 years 49 old 50 children 50 children 53 % 51 , 53 % 52 61.22 53 % 53 % 55 150/245 53 % 56 ) 54 ( 55 150/245 55 150/245 56 ) 57 among 63 children 58 9 59 - 59 - 60 10 59 - 63 children 60 10 61 years 61 years 63 children 62 old 63 children 63 children 66 % 64 , 66 % 65 60.68 66 % 66 % 68 142/234 66 % 69 ) 67 ( 68 142/234 68 142/234 69 ) 70 among 76 children 71 11 72 - 72 - 73 12 72 - 76 children 73 12 74 years 74 years 76 children 75 old 76 children 76 children 79 % 77 , 79 % 78 49.05 79 % 79 % 81 103/210 79 % 82 ) 80 ( 81 103/210 81 103/210 82 ) 83 among 89 children 84 5 85 - 85 - 86 6 85 - 89 children 86 6 87 years 87 years 88 old 88 old 89 children 91 40.99 92 % 92 % 94 91/222 93 ( 94 91/222 94 91/222 95 ) 96 among 98 - 97 7 98 - 98 - 99 8 99 8 100 years 100 years 101 old 101 old 102 children the average coverage rate of hepb was 90.44 % ( 1371/1516 ) , [separately] 93.76 % ( 661/705 ) in residents and 87.55 % [(] 719/811 [ )(in floating population . 0 ###LEFT-WALL### 4 rate 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 31 . 1 the 4 rate 2 average 3 coverage 3 coverage 4 rate 4 rate 5 of 4 rate 7 was 5 of 6 hepb 7 was 9 % 7 was 20 in 8 90.44 9 % 9 % 11 1371/1516 9 % 16 % 10 ( 11 1371/1516 11 1371/1516 12 ) 13 , 16 % 15 93.76 16 % 16 % 18 661/705 16 % 19 ) 17 ( 18 661/705 18 661/705 19 ) 20 in 22 and 21 residents 22 and 22 and 30 population 23 87.55 24 % 24 % 29 floating 26 719/811 28 )(in 28 )(in 29 floating 29 floating 30 population the difference was statistically significant [(] χ ( 2 [ )(= 16.829 , p = 0.000 ) . 0 ###LEFT-WALL### 2 difference 0 ###LEFT-WALL### 3 was 0 ###LEFT-WALL### 18 . 1 the 2 difference 2 difference 3 was 3 was 4 statistically 3 was 7 χ 5 significant 7 χ 7 χ 11 )(= 7 χ 15 = 8 ( 11 )(= 9 2 11 )(= 11 )(= 12 16.829 11 )(= 13 , 13 , 15 = 14 p 15 = 15 = 16 0.000 15 = 17 ) conclusion : hbsag positive [rate] in children under 15 years old in chaoyang [district] of beijing dropped to less than 1 % and the coverage rate of hepb had reached over 90 % . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 34 . 1 conclusion 2 : 2 : 3 hbsag 3 hbsag 4 positive 3 hbsag 8 under 3 hbsag 11 old 3 hbsag 15 of 4 positive 6 in 6 in 7 children 8 under 10 years 9 15 10 years 11 old 12 in 12 in 13 chaoyang 15 of 16 beijing 16 beijing 17 dropped 17 dropped 18 to 18 to 22 % 19 less 20 than 20 than 21 1 21 1 22 % 23 and 26 rate 23 and 30 reached 24 the 26 rate 25 coverage 26 rate 26 rate 27 of 26 rate 29 had 27 of 28 hepb 29 had 30 reached 30 reached 31 over 30 reached 33 % 32 90 33 % it is suggested that we should pay more attention to increase the coverage rate of hepb among floating children under 15 years old . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 3 suggested 0 ###LEFT-WALL### 24 . 1 it 2 is 2 is 3 suggested 3 suggested 4 that 4 that 5 we 4 that 7 pay 5 we 6 should 6 should 7 pay 7 pay 9 attention 7 pay 10 to 7 pay 17 among 8 more 9 attention 10 to 11 increase 11 increase 14 rate 12 the 14 rate 13 coverage 14 rate 14 rate 15 of 15 of 16 hepb 17 among 18 floating 18 floating 19 children 19 children 20 under 19 children 23 old 20 under 21 15 22 years 23 old background : borderline personality disorder ( bpd ) is well - known to be a [clinically] severe and impairing diagnosis . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 1 background 2 : 2 : 4 personality 3 borderline 4 personality 4 personality 7 bpd 4 personality 10 well 5 disorder 7 bpd 6 ( 7 bpd 7 bpd 8 ) 7 bpd 9 is 9 is 10 well 10 well 12 known 11 - 12 known 12 known 13 to 12 known 21 . 13 to 14 be 14 be 20 diagnosis 15 a 20 diagnosis 17 severe 18 and 18 and 19 impairing 18 and 20 diagnosis research shows that bpd symptoms decrease in severity over time . 0 ###LEFT-WALL### 1 research 0 ###LEFT-WALL### 2 shows 0 ###LEFT-WALL### 11 . 1 research 2 shows 2 shows 3 that 3 that 5 symptoms 3 that 6 decrease 4 bpd 5 symptoms 5 symptoms 6 decrease 6 decrease 7 in 6 decrease 9 over 7 in 8 severity 9 over 10 time however , [a] subset [of] patients with bpd continue to meet criteria for the disorder in older adulthood . 0 ###LEFT-WALL### 6 patients 0 ###LEFT-WALL### 9 continue 0 ###LEFT-WALL### 19 . 1 however 2 , 1 however 6 patients 4 subset 6 patients 6 patients 7 with 6 patients 9 continue 7 with 8 bpd 9 continue 10 to 9 continue 11 meet 10 to 11 meet 11 meet 12 criteria 11 meet 16 in 12 criteria 13 for 13 for 15 disorder 14 the 15 disorder 16 in 18 adulthood 17 older 18 adulthood little is known about this subset . 0 ###LEFT-WALL### 1 little 0 ###LEFT-WALL### 3 known 0 ###LEFT-WALL### 7 . 1 little 2 is 2 is 3 known 3 known 4 about 4 about 6 subset 5 this 6 subset perception of bpd as a young - person 's diagnosis could lead [to] under recognition in older patients . 0 ###LEFT-WALL### 1 perception 0 ###LEFT-WALL### 12 lead 0 ###LEFT-WALL### 19 . 1 perception 2 of 1 perception 11 could 2 of 3 bpd 3 bpd 4 as 4 as 10 diagnosis 5 a 6 young 5 a 8 person 6 young 7 - 6 young 8 person 8 person 9 's 9 's 10 diagnosis 11 could 12 lead 12 lead 14 under 12 lead 16 in 14 under 15 recognition 16 in 18 patients 17 older 18 patients as [such] [,] the objective of the present report is to provide the first direct comparison between older and younger adults with bpd on demographics , clinical presentation , and functional impairment . 0 ###LEFT-WALL### 14 first 0 ###LEFT-WALL### 15 direct 0 ###LEFT-WALL### 33 . 1 as 5 objective 1 as 10 is 1 as 14 first 4 the 5 objective 5 objective 6 of 5 objective 10 is 6 of 9 report 7 the 9 report 8 present 9 report 10 is 11 to 11 to 12 provide 13 the 14 first 14 first 15 direct 15 direct 16 comparison 15 direct 17 between 17 between 30 and 18 older 19 and 19 and 20 younger 19 and 21 adults 21 adults 22 with 21 adults 26 , 22 with 23 bpd 23 bpd 24 on 24 on 25 demographics 26 , 28 presentation 26 , 30 and 27 clinical 28 presentation 29 , 30 and 30 and 32 impairment 31 functional 32 impairment method : over 3000 psychiatric outpatients were evaluated with semi - structured diagnostic interviews . 0 ###LEFT-WALL### 1 method 0 ###LEFT-WALL### 2 : 2 : 6 outpatients 2 : 8 evaluated 2 : 15 . 3 over 4 3000 4 3000 6 outpatients 5 psychiatric 6 outpatients 6 outpatients 7 were 7 were 8 evaluated 8 evaluated 9 with 9 with 14 interviews 10 semi 11 - 10 semi 14 interviews 12 structured 14 interviews 13 diagnostic 14 interviews forty - six older adults ( age 45 - 68 ) and 97 younger adults ( age 18 - 25 ) met criteria for bpd . 0 ###LEFT-WALL### 1 forty 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 26 . 2 - 5 adults 2 - 12 and 3 six 5 adults 4 older 5 adults 5 adults 7 age 6 ( 7 age 7 age 9 - 7 age 11 ) 8 45 9 - 9 - 10 68 12 and 15 adults 12 and 22 met 13 97 15 adults 14 younger 15 adults 15 adults 17 age 15 adults 22 met 16 ( 17 age 17 age 19 - 17 age 21 ) 18 18 19 - 19 - 20 25 22 met 23 criteria 23 criteria 24 for 24 for 25 bpd results : both groups reported high levels of functional impairment and axis i comorbidity . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 2 : 4 groups 2 : 5 reported 3 both 4 groups 4 groups 5 reported 5 reported 7 levels 6 high 7 levels 7 levels 8 of 8 of 11 and 9 functional 10 impairment 10 impairment 11 and 11 and 14 comorbidity 12 axis 13 i 12 axis 14 comorbidity older adults were more likely to endorse chronic emptiness , and less likely to endorse impulsivity , self - harm , and affective instability . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 3 were 0 ###LEFT-WALL### 17 , 1 older 2 adults 2 adults 3 were 3 were 4 more 3 were 11 and 5 likely 6 to 5 likely 7 endorse 5 likely 11 and 6 to 7 endorse 7 endorse 9 emptiness 8 chronic 9 emptiness 10 , 11 and 11 and 13 likely 12 less 13 likely 13 likely 14 to 13 likely 15 endorse 14 to 15 endorse 15 endorse 16 impulsivity 17 , 18 self 17 , 19 - 19 - 22 and 19 - 25 . 20 harm 22 and 21 , 22 and 22 and 24 instability 23 affective 24 instability older adults also reported fewer substance use disorders , more lifetime hospitalizations and higher social impairment . 0 ###LEFT-WALL### 2 adults 0 ###LEFT-WALL### 4 reported 0 ###LEFT-WALL### 17 . 1 older 2 adults 2 adults 4 reported 3 also 4 reported 4 reported 16 impairment 5 fewer 8 disorders 6 substance 8 disorders 7 use 8 disorders 8 disorders 9 , 9 , 12 hospitalizations 9 , 13 and 10 more 12 hospitalizations 11 lifetime 12 hospitalizations 13 and 14 higher 13 and 16 impairment 15 social 16 impairment conclusion : older adults with bpd had a significantly different clinical presentation from younger adults with bpd , including differences in likelihood of endorsing specific bpd criteria , social impairment , and comorbid substance use . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 4 adults 2 : 7 had 3 older 4 adults 4 adults 5 with 4 adults 7 had 5 with 6 bpd 7 had 32 and 8 a 12 presentation 9 significantly 10 different 10 different 12 presentation 11 clinical 12 presentation 12 presentation 13 from 12 presentation 16 with 12 presentation 32 and 13 from 15 adults 14 younger 15 adults 16 with 17 bpd 17 bpd 19 including 18 , 19 including 19 including 20 differences 19 including 31 , 20 differences 21 in 20 differences 30 impairment 21 in 22 likelihood 22 likelihood 23 of 23 of 24 endorsing 24 endorsing 27 criteria 25 specific 27 criteria 26 bpd 27 criteria 28 , 30 impairment 29 social 30 impairment 30 impairment 31 , 32 and 35 use 33 comorbid 35 use 34 substance 35 use it is important to assess less prototypic features of bpd to avoid overlooking borderline personality features in this population . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 12 avoid 0 ###LEFT-WALL### 20 . 1 it 2 is 2 is 3 important 3 important 4 to 3 important 5 assess 4 to 5 assess 5 assess 8 features 5 assess 11 to 6 less 7 prototypic 7 prototypic 8 features 8 features 9 of 9 of 10 bpd 11 to 12 avoid 12 avoid 13 overlooking 13 overlooking 16 features 14 borderline 15 personality 15 personality 16 features 16 features 17 in 17 in 19 population 18 this 19 population down [syndrome] ( ds ) is the result of triplication of chromosome 21 ( trisomy 21 ) and is the prevailing cause of mental retardation . 0 ###LEFT-WALL### 4 ds 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 26 . 1 down 4 ds 3 ( 4 ds 4 ds 5 ) 4 ds 18 and 6 is 8 result 6 is 18 and 7 the 8 result 8 result 9 of 9 of 10 triplication 10 triplication 11 of 11 of 12 chromosome 12 chromosome 13 21 12 chromosome 15 trisomy 14 ( 15 trisomy 15 trisomy 16 21 15 trisomy 17 ) 18 and 19 is 19 is 22 cause 20 the 22 cause 21 prevailing 22 cause 22 cause 23 of 23 of 25 retardation 24 mental 25 retardation in addition to the mental deficiencies and physical anomalies noted at birth , triplication of chromosome 21 gene products results in the neuropathological and cognitive changes of alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 2 addition 0 ###LEFT-WALL### 10 noted 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 34 . 1 in 2 addition 2 addition 3 to 2 addition 10 noted 3 to 7 and 4 the 6 deficiencies 5 mental 6 deficiencies 6 deficiencies 7 and 7 and 9 anomalies 8 physical 9 anomalies 10 noted 11 at 11 at 12 birth 13 , 14 triplication 13 , 20 results 14 triplication 15 of 14 triplication 20 results 15 of 19 products 16 chromosome 18 gene 17 21 18 gene 18 gene 19 products 20 results 21 in 21 in 26 changes 22 the 26 changes 23 neuropathological 24 and 24 and 25 cognitive 24 and 26 changes 26 changes 27 of 26 changes 32 ad 27 of 30 disease 28 alzheimer 29 's 29 's 30 disease 31 ( 32 ad 32 ad 33 ) mapping of the gene that encodes the precursor protein ( app ) of the β - amyloid ( aβ ) present in the aβ plaques in both ad and ds to chromosome 21 was strong evidence that this chromosome 21 gene product was a principal neuropathogenic culprit in ad as well as ds . 0 ###LEFT-WALL### 1 mapping 0 ###LEFT-WALL### 34 was 0 ###LEFT-WALL### 54 . 1 mapping 2 of 1 mapping 13 of 1 mapping 34 was 2 of 4 gene 3 the 4 gene 4 gene 5 that 4 gene 6 encodes 5 that 6 encodes 6 encodes 9 protein 7 the 9 protein 8 precursor 9 protein 9 protein 11 app 10 ( 11 app 11 app 12 ) 13 of 21 present 14 the 21 present 15 β 17 amyloid 15 β 21 present 16 - 17 amyloid 17 amyloid 19 aβ 17 amyloid 20 ) 18 ( 19 aβ 19 aβ 20 ) 21 present 22 in 21 present 31 to 22 in 25 plaques 23 the 25 plaques 24 aβ 25 plaques 25 plaques 26 in 26 in 30 ds 27 both 30 ds 28 ad 29 and 29 and 30 ds 31 to 32 chromosome 32 chromosome 33 21 34 was 36 evidence 35 strong 36 evidence 36 evidence 37 that 37 that 42 product 37 that 43 was 38 this 42 product 39 chromosome 42 product 40 21 41 gene 41 gene 42 product 42 product 43 was 43 was 47 culprit 44 a 47 culprit 45 principal 47 culprit 46 neuropathogenic 47 culprit 47 culprit 48 in 47 culprit 50 as 47 culprit 52 as 48 in 49 ad 50 as 51 well 52 as 53 ds the discovery of neuroinflammatory changes , including dramatic proliferation [of] activated glia overexpressing a chromosome 2 gene product -- the pluripotent immune cytokine interleukin - 1 ( il - 1 ) -- and a chromosome 21 gene product -- s100b -- in the brains of fetuses , neonates , and children with ds opened the possibility that early events in alzheimer pathogenesis were driven by cytokines . 0 ###LEFT-WALL### 2 discovery 0 ###LEFT-WALL### 5 changes 1 the 2 discovery 2 discovery 3 of 2 discovery 5 changes 3 of 4 neuroinflammatory 5 changes 7 including 5 changes 26 1 6 , 7 including 7 including 12 glia 7 including 25 - 8 dramatic 9 proliferation 9 proliferation 11 activated 11 activated 12 glia 12 glia 13 overexpressing 13 overexpressing 18 product 14 a 18 product 15 chromosome 18 product 16 2 17 gene 17 gene 18 product 18 product 24 interleukin 19 -- 24 interleukin 20 the 24 interleukin 21 pluripotent 24 interleukin 22 immune 23 cytokine 23 cytokine 24 interleukin 24 interleukin 25 - 26 1 33 and 26 1 40 s100b 27 ( 33 and 28 il 30 1 28 il 33 and 29 - 30 1 30 1 31 ) 32 -- 33 and 33 and 38 product 33 and 39 -- 34 a 38 product 35 chromosome 38 product 36 21 38 product 37 gene 38 product 39 -- 40 s100b 40 s100b 42 in 40 s100b 67 . 41 -- 42 in 42 in 50 and 42 in 67 . 43 the 44 brains 44 brains 45 of 44 brains 47 , 45 of 46 fetuses 47 , 48 neonates 47 , 50 and 49 , 50 and 50 and 51 children 50 and 52 with 50 and 64 driven 52 with 53 ds 53 ds 54 opened 53 ds 59 events 53 ds 63 were 55 the 59 events 56 possibility 59 events 57 that 58 early 58 early 59 events 59 events 60 in 59 events 63 were 60 in 62 pathogenesis 61 alzheimer 62 pathogenesis 64 driven 65 by 65 by 66 cytokines the specific chromosome 21 gene products and the complexity of the mechanisms they engender that give rise to the neuroinflammatory responses noted in fetal development of the ds brain and their potential as accelerators of alzheimer neuropathogenesis in ds are topics of this review , particularly as they relate to development and propagation of neuroinflammation , the consequences of which are recognized clinically and neuropathologically as alzheimer 's disease . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 17 rise 0 ###LEFT-WALL### 22 noted 0 ###LEFT-WALL### 30 and 0 ###LEFT-WALL### 62 recognized 0 ###LEFT-WALL### 70 . 1 the 6 products 2 specific 6 products 3 chromosome 6 products 4 21 5 gene 5 gene 6 products 6 products 7 and 7 and 9 complexity 7 and 15 that 7 and 16 give 7 and 17 rise 8 the 9 complexity 9 complexity 10 of 10 of 12 mechanisms 11 the 12 mechanisms 12 mechanisms 13 they 12 mechanisms 14 engender 13 they 14 engender 15 that 16 give 17 rise 18 to 18 to 20 neuroinflammatory 19 the 20 neuroinflammatory 21 responses 22 noted 22 noted 23 in 23 in 25 development 24 fetal 25 development 25 development 26 of 26 of 29 brain 27 the 29 brain 28 ds 29 brain 30 and 32 potential 30 and 49 relate 31 their 32 potential 32 potential 33 as 32 potential 35 of 32 potential 38 in 32 potential 40 are 33 as 34 accelerators 35 of 37 neuropathogenesis 36 alzheimer 37 neuropathogenesis 38 in 39 ds 40 are 41 topics 41 topics 42 of 42 of 44 review 43 this 44 review 45 , 46 particularly 45 , 49 relate 47 as 48 they 47 as 49 relate 48 they 49 relate 49 relate 50 to 50 to 52 and 51 development 52 and 52 and 53 propagation 52 and 56 , 52 and 58 consequences 52 and 62 recognized 53 propagation 54 of 54 of 55 neuroinflammation 57 the 58 consequences 58 consequences 59 of 58 consequences 62 recognized 59 of 60 which 60 which 61 are 62 recognized 64 and 62 recognized 66 as 63 clinically 64 and 64 and 65 neuropathologically 66 as 69 disease 67 alzheimer 68 's 68 's 69 disease the theory of cognitive reserve attempts to explain why some individuals are more resilient to age - related brain pathology . 0 ###LEFT-WALL### 2 theory 0 ###LEFT-WALL### 6 attempts 0 ###LEFT-WALL### 18 related 1 the 2 theory 2 theory 3 of 2 theory 6 attempts 3 of 5 reserve 4 cognitive 5 reserve 6 attempts 7 to 6 attempts 15 to 6 attempts 16 age 7 to 8 explain 8 explain 9 why 9 why 11 individuals 9 why 12 are 10 some 11 individuals 11 individuals 12 are 12 are 14 resilient 13 more 14 resilient 15 to 16 age 17 - 18 related 18 related 20 pathology 18 related 21 . 19 brain 20 pathology efforts to explore reserve have been hindered by measurement difficulties . 0 ###LEFT-WALL### 1 efforts 0 ###LEFT-WALL### 7 hindered 0 ###LEFT-WALL### 11 . 1 efforts 2 to 1 efforts 3 explore 1 efforts 5 have 2 to 3 explore 3 explore 4 reserve 5 have 6 been 6 been 7 hindered 7 hindered 8 by 8 by 10 difficulties 9 measurement 10 difficulties reed [et] [al] . 0 ###LEFT-WALL### 1 reed 0 ###LEFT-WALL### 4 . ( [2010] [ )(proposed quantifying reserve as residual variance in episodic memory performance that remains after accounting for demographic factors and brain pathology ( whole brain , hippocampal , and white matter hyperintensity volumes ) . 0 ###LEFT-WALL### 1 ( 0 ###LEFT-WALL### 4 )(proposed 1 ( 4 )(proposed 4 )(proposed 5 quantifying 4 )(proposed 36 . 5 quantifying 6 reserve 6 reserve 7 as 6 reserve 14 that 6 reserve 15 remains 7 as 9 variance 8 residual 9 variance 9 variance 10 in 10 in 13 performance 11 episodic 12 memory 12 memory 13 performance 14 that 15 remains 15 remains 16 after 15 remains 18 for 16 after 17 accounting 18 for 21 and 19 demographic 20 factors 20 factors 21 and 21 and 23 pathology 21 and 30 and 22 brain 23 pathology 24 ( 30 and 25 whole 26 brain 26 brain 27 , 27 , 28 hippocampal 27 , 30 and 29 , 30 and 30 and 34 volumes 30 and 35 ) 31 white 33 hyperintensity 32 matter 33 hyperintensity 33 hyperintensity 34 volumes this residual variance represents the discrepancy between an individual ’s predicted and actual memory performance . 0 ###LEFT-WALL### 3 variance 0 ###LEFT-WALL### 4 represents 0 ###LEFT-WALL### 16 . 1 this 2 residual 2 residual 3 variance 3 variance 4 represents 4 represents 12 and 5 the 6 discrepancy 6 discrepancy 7 between 6 discrepancy 11 predicted 6 discrepancy 12 and 7 between 10 ’s 8 an 9 individual 9 individual 10 ’s 12 and 15 performance 13 actual 14 memory 14 memory 15 performance results support this operational measure of reserve . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 support 0 ###LEFT-WALL### 8 . 1 results 2 support 2 support 7 reserve 3 this 5 measure 4 operational 5 measure 5 measure 6 of 5 measure 7 reserve 6 of 7 reserve the residual reserve variable was associated with higher reading ability , lower likelihood of meeting criteria for mild cognitive impairment , lower odds of dementia conversion in dependent [of] age , and less decline in language abilities over 3 years . 0 ###LEFT-WALL### 4 variable 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 41 . 1 the 4 variable 2 residual 4 variable 3 reserve 4 variable 4 variable 5 was 5 was 11 , 6 associated 7 with 6 associated 11 , 7 with 10 ability 8 higher 10 ability 9 reading 10 ability 11 , 12 lower 11 , 35 in 11 , 38 over 12 lower 13 likelihood 13 likelihood 14 of 14 of 15 meeting 15 meeting 32 and 16 criteria 17 for 16 criteria 32 and 17 for 20 impairment 18 mild 20 impairment 19 cognitive 20 impairment 20 impairment 23 odds 21 , 23 odds 22 lower 23 odds 23 odds 24 of 23 odds 27 in 23 odds 31 , 24 of 26 conversion 25 dementia 26 conversion 27 in 30 age 28 dependent 30 age 32 and 33 less 32 and 34 decline 35 in 37 abilities 36 language 37 abilities 38 over 40 years 39 3 40 years finally , the residual reserve variable moderated the negative impact of memory variance explained by brain pathology on language [decline] . 0 ###LEFT-WALL### 6 variable 0 ###LEFT-WALL### 7 moderated 0 ###LEFT-WALL### 21 . 1 finally 2 , 1 finally 6 variable 3 the 6 variable 4 residual 5 reserve 5 reserve 6 variable 6 variable 7 moderated 7 moderated 10 impact 8 the 10 impact 9 negative 10 impact 10 impact 11 of 10 impact 14 explained 11 of 13 variance 12 memory 13 variance 14 explained 15 by 15 by 17 pathology 16 brain 17 pathology 17 pathology 18 on 18 on 19 language this method has the potential to facilitate research on the mechanisms of cognitive reserve and the efficacy of interventions designed to impart reserve . 0 ###LEFT-WALL### 2 method 0 ###LEFT-WALL### 7 facilitate 0 ###LEFT-WALL### 24 . 1 this 2 method 2 method 3 has 3 has 5 potential 3 has 6 to 4 the 5 potential 6 to 7 facilitate 7 facilitate 8 research 7 facilitate 9 on 9 on 11 mechanisms 10 the 11 mechanisms 11 mechanisms 12 of 11 mechanisms 20 designed 12 of 15 and 13 cognitive 14 reserve 14 reserve 15 and 15 and 17 efficacy 15 and 18 of 16 the 17 efficacy 18 of 19 interventions 20 designed 21 to 20 designed 22 impart 21 to 22 impart 22 impart 23 reserve similar to oxygen , iron is essential for aerobic life and energy production . 0 ###LEFT-WALL### 5 iron 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 14 . 1 similar 2 to 1 similar 4 , 1 similar 5 iron 2 to 3 oxygen 5 iron 6 is 6 is 7 essential 7 essential 8 for 8 for 11 and 9 aerobic 10 life 10 life 11 and 11 and 13 production 12 energy 13 production akin to oxygen , iron can be toxic and accelerate the aging process . 0 ###LEFT-WALL### 5 iron 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 14 . 1 akin 2 to 2 to 3 oxygen 2 to 4 , 2 to 5 iron 5 iron 6 can 6 can 9 and 7 be 8 toxic 7 be 9 and 9 and 10 accelerate 10 accelerate 13 process 11 the 13 process 12 aging 13 process indeed , via the fenton and haber weiss reactions , iron potentiates the generation of highly reactive oxygen free radicals such as hydroxyl radical , thus stimulating oxidative damage . 0 ###LEFT-WALL### 11 iron 0 ###LEFT-WALL### 12 potentiates 0 ###LEFT-WALL### 30 . 1 indeed 2 , 1 indeed 11 iron 2 , 3 via 3 via 6 and 3 via 10 , 3 via 11 iron 4 the 5 fenton 5 fenton 6 and 6 and 9 reactions 7 haber 8 weiss 8 weiss 9 reactions 11 iron 12 potentiates 12 potentiates 14 generation 13 the 14 generation 14 generation 15 of 14 generation 22 as 15 of 20 radicals 16 highly 17 reactive 17 reactive 18 oxygen 18 oxygen 20 radicals 19 free 20 radicals 21 such 22 as 22 as 29 damage 23 hydroxyl 29 damage 24 radical 25 , 24 radical 29 damage 26 thus 27 stimulating 27 stimulating 29 damage 28 oxidative 29 damage the possibility that women 's longer life span relates to a lower iron status due to iron loss during reproductive life has been considered as a valid hypothesis , while hemochromatosis [has] [been] proposed as a model of iron overload to examine the effects of iron on the aging process . 0 ###LEFT-WALL### 2 possibility 0 ###LEFT-WALL### 24 considered 0 ###LEFT-WALL### 29 , 0 ###LEFT-WALL### 51 . 1 the 2 possibility 2 possibility 3 that 2 possibility 22 has 3 that 8 span 3 that 9 relates 4 women 5 's 5 's 8 span 6 longer 8 span 7 life 8 span 8 span 9 relates 9 relates 10 to 9 relates 14 status 9 relates 16 to 9 relates 19 during 10 to 13 iron 11 a 13 iron 12 lower 13 iron 15 due 16 to 16 to 18 loss 17 iron 18 loss 19 during 21 life 20 reproductive 21 life 22 has 23 been 23 been 24 considered 24 considered 25 as 25 as 28 hypothesis 26 a 28 hypothesis 27 valid 28 hypothesis 29 , 40 overload 30 while 31 hemochromatosis 30 while 40 overload 31 hemochromatosis 34 proposed 34 proposed 35 as 35 as 37 model 36 a 37 model 37 model 38 of 38 of 39 iron 40 overload 41 to 40 overload 50 process 41 to 42 examine 42 examine 44 effects 42 examine 47 on 43 the 44 effects 44 effects 45 of 45 of 46 iron 47 on 49 aging 48 the 49 aging iron plays an aggravating role in many diseases in which iron deprivation has been shown to be beneficial including ischaemia - reperfusion injury , neurological disorders and muscle diseases such as duchenne 's muscular dystrophy . 0 ###LEFT-WALL### 17 be 0 ###LEFT-WALL### 36 . 1 iron 2 plays 2 plays 5 role 2 plays 16 to 3 an 5 role 4 aggravating 5 role 5 role 6 in 5 role 9 in 6 in 8 diseases 7 many 8 diseases 9 in 10 which 9 in 11 iron 9 in 12 deprivation 9 in 15 shown 10 which 11 iron 12 deprivation 13 has 13 has 14 been 14 been 15 shown 16 to 17 be 17 be 27 and 17 be 31 as 18 beneficial 19 including 18 beneficial 24 , 19 including 23 injury 20 ischaemia 21 - 20 ischaemia 22 reperfusion 22 reperfusion 23 injury 24 , 26 disorders 24 , 27 and 25 neurological 26 disorders 27 and 29 diseases 28 muscle 29 diseases 30 such 31 as 31 as 35 dystrophy 32 duchenne 33 's 33 's 35 dystrophy 34 muscular 35 dystrophy in the skin , excess iron combined with uv radiation exerts pro [-] oxidant effects while scavenging of free iron prevents or inhibits the toxic effects of uv radiation on both nude mice and human skin . 0 ###LEFT-WALL### 6 iron 0 ###LEFT-WALL### 15 effects 0 ###LEFT-WALL### 37 . 1 in 3 skin 1 in 4 , 1 in 6 iron 2 the 3 skin 5 excess 6 iron 6 iron 7 combined 6 iron 10 radiation 6 iron 11 exerts 6 iron 15 effects 7 combined 8 with 8 with 9 uv 10 radiation 11 exerts 11 exerts 14 oxidant 12 pro 14 oxidant 15 effects 16 while 15 effects 29 radiation 15 effects 30 on 16 while 17 scavenging 16 while 22 or 17 scavenging 18 of 17 scavenging 22 or 18 of 20 iron 19 free 20 iron 21 prevents 22 or 22 or 23 inhibits 22 or 26 effects 24 the 26 effects 25 toxic 26 effects 26 effects 27 of 27 of 28 uv 30 on 34 and 31 both 34 and 32 nude 33 mice 33 mice 34 and 34 and 36 skin 35 human 36 skin in this review , we propose that iron chelators and/or iron deprivation might play a significant role in the prevention of aging - associated diseases and conditions , in particular in the skin , and increase quality of life . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 propose 0 ###LEFT-WALL### 40 . 1 in 3 review 1 in 4 , 1 in 5 we 2 this 3 review 5 we 6 propose 6 propose 7 that 7 that 8 iron 7 that 14 play 8 iron 9 chelators 9 chelators 10 and/or 10 and/or 12 deprivation 11 iron 12 deprivation 12 deprivation 13 might 13 might 14 play 14 play 17 role 14 play 30 particular 14 play 31 in 15 a 17 role 16 significant 17 role 17 role 18 in 17 role 21 of 17 role 26 and 18 in 20 prevention 19 the 20 prevention 21 of 22 aging 23 - 26 and 24 associated 25 diseases 25 diseases 26 and 26 and 27 conditions 26 and 28 , 29 in 30 particular 31 in 35 and 32 the 33 skin 33 skin 35 and 34 , 35 and 35 and 37 quality 36 increase 37 quality 37 quality 38 of 38 of 39 life controlled iron deprivation might be achieved by regular blood donation in which case the quality of life of both the donor and the recipient is improved . 0 ###LEFT-WALL### 3 deprivation 0 ###LEFT-WALL### 6 achieved 0 ###LEFT-WALL### 27 . 1 controlled 2 iron 2 iron 3 deprivation 3 deprivation 4 might 4 might 5 be 5 be 6 achieved 6 achieved 7 by 7 by 10 donation 8 regular 9 blood 9 blood 10 donation 10 donation 11 in 11 in 12 which 11 in 13 case 11 in 15 quality 11 in 26 improved 12 which 13 case 14 the 15 quality 15 quality 16 of 15 quality 18 of 15 quality 25 is 16 of 17 life 18 of 22 and 19 both 22 and 20 the 21 donor 21 donor 22 and 22 and 24 recipient 23 the 24 recipient 25 is 26 improved increasing the frequency of blood donation may thus significantly contribute to both individual and social wellbeing . 0 ###LEFT-WALL### 1 increasing 0 ###LEFT-WALL### 10 contribute 0 ###LEFT-WALL### 17 . 1 increasing 3 frequency 1 increasing 7 may 2 the 3 frequency 3 frequency 4 of 4 of 6 donation 5 blood 6 donation 7 may 10 contribute 8 thus 10 contribute 9 significantly 10 contribute 10 contribute 11 to 11 to 14 and 12 both 14 and 13 individual 14 and 14 and 16 wellbeing 15 social 16 wellbeing furthermore , we propose the skin as an accessible model for the study of aging and the effects of iron / iron deprivation on the aging mechanisms . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 propose 0 ###LEFT-WALL### 28 . 1 furthermore 2 , 1 furthermore 3 we 3 we 4 propose 4 propose 6 skin 4 propose 7 as 4 propose 11 for 5 the 6 skin 7 as 10 model 8 an 9 accessible 8 an 10 model 9 accessible 10 model 11 for 16 and 12 the 13 study 13 study 14 of 13 study 16 and 14 of 15 aging 16 and 18 effects 16 and 19 of 17 the 18 effects 19 of 20 iron 20 iron 21 / 20 iron 24 on 21 / 23 deprivation 22 iron 23 deprivation 24 on 27 mechanisms 25 the 27 mechanisms 26 aging 27 mechanisms finally , we suggest that the development of topical iron chelators might represent a novel and simple approach to prevent skin aging , when such prevention has proven an important factor in increasing [an] aging populations ' quality of life . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 20 prevent 1 finally 2 , 1 finally 3 we 3 we 4 suggest 4 suggest 5 that 5 that 7 development 5 that 20 prevent 6 the 7 development 7 development 8 of 8 of 10 iron 9 topical 10 iron 10 iron 11 chelators 10 iron 19 to 11 chelators 12 might 12 might 13 represent 13 represent 18 approach 13 represent 19 to 14 a 18 approach 15 novel 16 and 16 and 17 simple 16 and 18 approach 20 prevent 21 skin 20 prevent 24 when 21 skin 22 aging 23 , 24 when 24 when 26 prevention 24 when 28 proven 24 when 41 . 25 such 26 prevention 26 prevention 27 has 27 has 28 proven 28 proven 31 factor 29 an 31 factor 30 important 31 factor 31 factor 32 in 31 factor 35 aging 32 in 33 increasing 35 aging 38 quality 36 populations 37 ' 37 ' 38 quality 38 quality 39 of 39 of 40 life objective : to determine whether there is an association between sleep position and the appearance of facial wrinkles and facial descent . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 determine 2 : 22 . 3 to 4 determine 4 determine 5 whether 4 determine 10 between 5 whether 6 there 5 whether 7 is 6 there 7 is 7 is 9 association 8 an 9 association 10 between 19 and 11 sleep 12 position 12 position 13 and 13 and 15 appearance 13 and 16 of 13 and 19 and 14 the 15 appearance 16 of 18 wrinkles 17 facial 18 wrinkles 19 and 21 descent 20 facial 21 descent materials and methods : one hundred women were questioned about their sleep position preference . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 materials 2 and 2 and 3 methods 4 : 7 women 4 : 9 questioned 4 : 15 . 5 one 6 hundred 6 hundred 7 women 7 women 8 were 8 were 9 questioned 9 questioned 10 about 10 about 14 preference 11 their 14 preference 12 sleep 14 preference 13 position 14 preference an independent expert observer evaluated frontal images with digital laterality randomization to identify the side with more wrinkles and more ptosis . 0 ###LEFT-WALL### 4 observer 0 ###LEFT-WALL### 5 evaluated 0 ###LEFT-WALL### 22 . 1 an 4 observer 2 independent 4 observer 3 expert 4 observer 4 observer 5 evaluated 5 evaluated 7 images 5 evaluated 8 with 6 frontal 7 images 8 with 11 randomization 9 digital 10 laterality 10 laterality 11 randomization 11 randomization 12 to 11 randomization 13 identify 12 to 13 identify 13 identify 15 side 13 identify 16 with 14 the 15 side 16 with 21 ptosis 17 more 18 wrinkles 18 wrinkles 19 and 19 and 20 more 19 and 21 ptosis results : forty - one right - sided sleepers and 23 left - [sided] sleepers were identified . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 forty 2 : 8 sided 2 : 10 and 2 : 18 . 3 forty 6 right 3 forty 8 sided 4 - 6 right 5 one 6 right 6 right 7 - 8 sided 9 sleepers 10 and 15 sleepers 10 and 17 identified 11 23 15 sleepers 12 left 13 - 12 left 15 sleepers 15 sleepers 16 were 16 were 17 identified [there] was statistical independence between sleep [side] and side with more wrinkles and between sleep side and side with more facial ptosis according to the pearson chi - square test . 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 28 - 2 was 4 independence 2 was 17 and 3 statistical 4 independence 4 independence 5 between 4 independence 13 and 5 between 8 and 6 sleep 8 and 8 and 9 side 10 with 12 wrinkles 10 with 13 and 11 more 12 wrinkles 13 and 14 between 14 between 15 sleep 16 side 17 and 17 and 18 side 18 side 19 with 18 side 24 to 19 with 22 ptosis 20 more 22 ptosis 21 facial 22 ptosis 23 according 24 to 24 to 27 chi 25 the 27 chi 26 pearson 27 chi 28 - 30 test 28 - 31 . 29 square 30 test conclusion : sleep side preference was not significantly correlated with the appearance of wrinkles or facial descent . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 5 preference 2 : 9 correlated 2 : 18 . 3 sleep 5 preference 4 side 5 preference 5 preference 6 was 6 was 7 not 6 was 8 significantly 6 was 9 correlated 9 correlated 10 with 10 with 12 appearance 11 the 12 appearance 12 appearance 13 of 13 of 15 or 14 wrinkles 15 or 15 or 17 descent 16 facial 17 descent objectives : to determine whether alcohol use changes over time in older adults and whether alcohol intake is associated with common chronic diseases . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 24 . 2 : 3 to 2 : 4 determine 3 to 4 determine 4 determine 5 whether 5 whether 7 use 5 whether 8 changes 6 alcohol 7 use 7 use 8 changes 8 changes 9 over 8 changes 10 time 8 changes 11 in 8 changes 20 with 11 in 14 and 12 older 13 adults 13 adults 14 and 14 and 15 whether 14 and 17 intake 14 and 18 is 14 and 19 associated 16 alcohol 17 intake 17 intake 18 is 20 with 23 diseases 21 common 23 diseases 22 chronic 23 diseases design : twenty - four - year longitudinal study . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 10 . 1 design 2 : 2 : 4 - 3 twenty 4 - 4 - 5 four 6 - 9 study 7 year 9 study 8 longitudinal 9 study setting : southern california community . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 2 : 5 community 2 : 6 . 3 southern 4 california 4 california 5 community participants : one thousand seventy - six members of the rancho bernardo cohort aged 50 to 89 at baseline . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 - 0 ###LEFT-WALL### 20 . 1 participants 2 : 2 : 5 seventy 3 one 4 thousand 4 thousand 5 seventy 6 - 8 members 7 six 8 members 8 members 9 of 8 members 14 aged 9 of 13 cohort 10 the 13 cohort 11 rancho 12 bernardo 12 bernardo 13 cohort 14 aged 16 to 14 aged 18 at 15 50 16 to 16 to 17 89 18 at 19 baseline measurements : participants completed two to six research visits at approximately 4 - year intervals between 1984 and 2009 . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 2 : 2 : 3 participants 2 : 8 research 2 : 13 - 2 : 20 . 3 participants 4 completed 3 participants 8 research 4 completed 6 to 5 two 6 to 6 to 7 six 8 research 9 visits 8 research 10 at 10 at 12 4 11 approximately 12 4 13 - 15 intervals 14 year 15 intervals 15 intervals 18 and 16 between 18 and 17 1984 18 and 18 and 19 2009 at each visit , participants completed standard questionnaires on alcohol use , chronic diseases , and behaviors . 0 ###LEFT-WALL### 5 participants 0 ###LEFT-WALL### 6 completed 0 ###LEFT-WALL### 18 . 1 at 3 visit 1 at 4 , 1 at 5 participants 2 each 3 visit 5 participants 6 completed 6 completed 8 questionnaires 6 completed 9 on 7 standard 8 questionnaires 9 on 16 and 10 alcohol 11 use 11 use 12 , 12 , 14 diseases 12 , 16 and 13 chronic 14 diseases 15 , 16 and 16 and 17 behaviors mixed - effects linear models were used to examine changes in average weekly alcohol intake over time and in relationship [to] health status . 0 ###LEFT-WALL### 3 effects 0 ###LEFT-WALL### 12 average 0 ###LEFT-WALL### 24 . 1 mixed 2 - 1 mixed 3 effects 3 effects 5 models 3 effects 11 in 3 effects 12 average 4 linear 5 models 5 models 6 were 6 were 7 used 7 used 8 to 7 used 9 examine 8 to 9 examine 9 examine 10 changes 9 examine 11 in 12 average 15 intake 12 average 18 and 13 weekly 14 alcohol 14 alcohol 15 intake 16 over 17 time 16 over 18 and 18 and 19 in 19 in 23 status 20 relationship 23 status 22 health 23 status results : prevalence and frequency of alcohol use was high throughout the study , with more than 60 % of participants reporting weekly alcohol intake . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 4 and 1 results 2 : 2 : 3 prevalence 4 and 5 frequency 4 and 9 was 5 frequency 6 of 5 frequency 9 was 6 of 8 use 7 alcohol 8 use 9 was 10 high 10 high 11 throughout 10 high 15 with 11 throughout 13 study 12 the 13 study 14 , 15 with 15 with 19 % 15 with 26 . 16 more 17 than 17 than 18 60 18 60 19 % 19 % 20 of 20 of 21 participants 21 participants 22 reporting 22 reporting 25 intake 23 weekly 24 alcohol 24 alcohol 25 intake the average amount consumed declined with advancing age , regardless of the presence of any of the eight most common chronic diseases . 0 ###LEFT-WALL### 3 amount 0 ###LEFT-WALL### 5 declined 1 the 3 amount 2 average 3 amount 3 amount 4 consumed 3 amount 5 declined 5 declined 6 with 6 with 7 advancing 7 advancing 8 age 7 advancing 11 of 9 , 11 of 10 regardless 11 of 11 of 13 presence 11 of 23 . 12 the 13 presence 13 presence 14 of 14 of 15 any 15 any 16 of 16 of 22 diseases 17 the 18 eight 18 eight 22 diseases 19 most 20 common 20 common 22 diseases 21 chronic 22 diseases prevalence of drinking in excess of age - and sex - specific low - risk guidelines was high across all visits and did not vary according to disease burden . 0 ###LEFT-WALL### 1 prevalence 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 30 . 1 prevalence 2 of 1 prevalence 22 and 2 of 3 drinking 3 drinking 4 in 4 in 5 excess 5 excess 6 of 6 of 16 guidelines 7 age 9 and 8 - 9 and 9 and 10 sex 9 and 11 - 9 and 16 guidelines 12 specific 16 guidelines 13 low 14 - 13 low 16 guidelines 15 risk 16 guidelines 17 was 18 high 17 was 22 and 18 high 19 across 19 across 21 visits 20 all 21 visits 22 and 23 did 22 and 27 to 23 did 24 not 23 did 25 vary 26 according 27 to 27 to 29 burden 28 disease 29 burden at the final visit , 29 % of participants drank in excess of low - risk drinking guidelines , including 28 % of those with hypertension [and] 31 [%] with diabetes mellitus . 0 ###LEFT-WALL### 7 % 0 ###LEFT-WALL### 10 drank 1 at 4 visit 1 at 5 , 1 at 7 % 2 the 4 visit 3 final 4 visit 6 29 7 % 7 % 8 of 7 % 10 drank 8 of 9 participants 10 drank 11 in 10 drank 12 excess 12 excess 13 of 13 of 16 risk 14 low 15 - 14 low 16 risk 16 risk 17 drinking 17 drinking 18 guidelines 18 guidelines 20 including 19 , 20 including 20 including 22 % 20 including 25 with 20 including 30 with 20 including 33 . 21 28 22 % 22 % 23 of 23 of 24 those 25 with 26 hypertension 26 hypertension 28 31 30 with 32 mellitus 31 diabetes 32 mellitus conclusion : prevalence and frequency of alcohol intake remained stable over a 24 year follow - up in this cohort of educated , white , middle - class , older adults , although average amount consumed decreased [with] advancing age . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 41 . 2 : 4 and 2 : 15 follow 2 : 25 , 2 : 29 , 3 prevalence 4 and 4 and 5 frequency 4 and 6 of 4 and 10 stable 4 and 15 follow 6 of 7 alcohol 7 alcohol 8 intake 7 alcohol 9 remained 8 intake 9 remained 10 stable 11 over 11 over 14 year 12 a 14 year 13 24 14 year 15 follow 17 up 16 - 17 up 17 up 18 in 17 up 25 , 18 in 20 cohort 19 this 20 cohort 20 cohort 21 of 21 of 24 white 22 educated 23 , 22 educated 24 white 25 , 26 middle 25 , 27 - 27 - 28 class 29 , 31 adults 29 , 32 , 30 older 31 adults 32 , 40 age 33 although 39 advancing 33 although 40 age 34 average 39 advancing 35 amount 36 consumed 36 consumed 39 advancing 37 decreased 39 advancing despite this decrease , a high proportion of older adults , including those with common chronic health conditions , drank in excess of current guidelines . 0 ###LEFT-WALL### 7 proportion 0 ###LEFT-WALL### 20 drank 0 ###LEFT-WALL### 26 . 1 despite 3 decrease 1 despite 4 , 1 despite 7 proportion 2 this 3 decrease 5 a 6 high 5 a 7 proportion 6 high 7 proportion 7 proportion 8 of 7 proportion 20 drank 8 of 10 adults 9 older 10 adults 10 adults 12 including 11 , 12 including 12 including 13 those 12 including 14 with 12 including 19 , 14 with 18 conditions 15 common 17 health 16 chronic 17 health 17 health 18 conditions 20 drank 21 in 21 in 22 excess 22 excess 23 of 23 of 25 guidelines 24 current 25 guidelines clinicians should provide more education on the importance of older adults moderating alcohol intake . 0 ###LEFT-WALL### 1 clinicians 0 ###LEFT-WALL### 3 provide 0 ###LEFT-WALL### 15 . 1 clinicians 2 should 2 should 3 provide 3 provide 5 education 3 provide 6 on 4 more 5 education 6 on 8 importance 7 the 8 importance 8 importance 9 of 9 of 11 adults 10 older 11 adults 11 adults 12 moderating 12 moderating 14 intake 13 alcohol 14 intake objectives : to describe the perspectives of family caregivers toward stopping cancer screening tests for their relatives with dementia and [identify] opportunities to reduce harmful or unnecessary screening . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 describe 2 : 29 . 3 to 4 describe 4 describe 6 perspectives 4 describe 10 toward 4 describe 15 for 4 describe 26 or 5 the 6 perspectives 6 perspectives 7 of 7 of 9 caregivers 8 family 9 caregivers 10 toward 11 stopping 11 stopping 12 cancer 12 cancer 13 screening 13 screening 14 tests 15 for 17 relatives 16 their 17 relatives 17 relatives 18 with 17 relatives 23 to 17 relatives 24 reduce 18 with 20 and 19 dementia 20 and 20 and 22 opportunities 23 to 24 reduce 25 harmful 26 or 26 or 28 screening 27 unnecessary 28 screening design : focus group study . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 . 1 design 2 : 2 : 5 study 3 focus 5 study 4 group 5 study setting : alzheimer 's association support groups for family members of individuals with dementia . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 1 setting 2 : 2 : 7 groups 3 alzheimer 4 's 4 's 7 groups 5 association 7 groups 6 support 7 groups 7 groups 8 for 7 groups 11 of 8 for 10 members 9 family 10 members 11 of 12 individuals 12 individuals 13 with 13 with 14 dementia participants : four focus groups including 32 caregivers ( [25] female ; 24 white , 7 african american , one american/indian ; mean age 65.5 , range 49 - 85 ) . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 . 2 : 3 four 2 : 4 focus 2 : 12 ; 2 : 14 white 2 : 15 , 3 four 4 focus 4 focus 5 groups 5 groups 6 including 5 groups 11 female 6 including 8 caregivers 7 32 8 caregivers 9 ( 11 female 11 female 12 ; 12 ; 13 24 13 24 14 white 15 , 18 american 15 , 19 , 16 7 18 american 17 african 18 american 19 , 21 american/indian 19 , 22 ; 20 one 21 american/indian 22 ; 23 mean 23 mean 24 age 24 age 25 65.5 24 age 27 range 26 , 27 range 27 range 29 - 27 range 31 ) 28 49 29 - 29 - 30 85 measurements : focus group transcripts were transcribed and analyzed using methods of grounded theory . 0 ###LEFT-WALL### 1 measurements 0 ###LEFT-WALL### 3 focus 0 ###LEFT-WALL### 15 . 1 measurements 2 : 2 : 3 focus 3 focus 5 transcripts 4 group 5 transcripts 5 transcripts 8 and 6 were 7 transcribed 6 were 8 and 8 and 9 analyzed 8 and 10 using 10 using 11 methods 11 methods 12 of 12 of 14 theory 13 grounded 14 theory results : caregivers considered decisions to stop cancer screening in terms of quality of life and burden on the patient and caregiver . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 16 and 3 caregivers 4 considered 3 caregivers 9 screening 3 caregivers 16 and 4 considered 5 decisions 5 decisions 6 to 5 decisions 7 stop 6 to 7 stop 7 stop 8 cancer 9 screening 10 in 9 screening 11 terms 11 terms 12 of 12 of 13 quality 13 quality 14 of 14 of 15 life 16 and 17 burden 16 and 18 on 18 on 21 and 19 the 20 patient 20 patient 21 and 21 and 22 caregiver many described having to intervene in the patient 's care to stop unnecessary or harmful screening , and others met resistance when they advocated [for] stopping . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 27 . 1 many 2 described 1 many 3 having 1 many 18 and 3 having 4 to 4 to 5 intervene 5 intervene 6 in 6 in 10 care 7 the 8 patient 8 patient 9 's 9 's 10 care 10 care 11 to 10 care 16 screening 11 to 12 stop 12 stop 14 or 13 unnecessary 14 or 14 or 15 harmful 14 or 16 screening 17 , 18 and 18 and 19 others 18 and 20 met 20 met 21 resistance 21 resistance 22 when 22 when 23 they 22 when 24 advocated 23 they 24 advocated 24 advocated 26 stopping physicians varied widely in their knowledge of dementia care and willingness to consider cessation of screening . 0 ###LEFT-WALL### 1 physicians 0 ###LEFT-WALL### 2 varied 0 ###LEFT-WALL### 17 . 1 physicians 2 varied 2 varied 3 widely 2 varied 4 in 4 in 6 knowledge 5 their 6 knowledge 6 knowledge 7 of 6 knowledge 12 to 6 knowledge 16 screening 7 of 10 and 8 dementia 9 care 9 care 10 and 10 and 11 willingness 12 to 13 consider 13 consider 14 cessation 14 cessation 15 of 15 of 16 screening conclusion : many family caregivers wish to stop cancer screening tests as dementia progresses and are relieved [when] physicians bring it up . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 5 caregivers 2 : 6 wish 2 : 15 and 3 many 5 caregivers 4 family 5 caregivers 5 caregivers 6 wish 6 wish 7 to 6 wish 9 cancer 6 wish 14 progresses 7 to 8 stop 9 cancer 10 screening 9 cancer 12 as 9 cancer 14 progresses 10 screening 11 tests 12 as 13 dementia 15 and 16 are 15 and 20 bring 16 are 19 physicians 16 are 20 bring 17 relieved 19 physicians 20 bring 21 it 20 bring 22 up caregivers are open to discussions of screening cessation that focus on quality of life , burdens , and benefits . 0 ###LEFT-WALL### 1 caregivers 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 20 . 1 caregivers 2 are 2 are 3 open 3 open 4 to 3 open 11 on 4 to 5 discussions 5 discussions 6 of 5 discussions 9 that 5 discussions 10 focus 6 of 7 screening 7 screening 8 cessation 9 that 10 focus 11 on 12 quality 12 quality 13 of 13 of 18 and 14 life 15 , 15 , 16 burdens 15 , 18 and 17 , 18 and 18 and 19 benefits interventions are needed to increase caregiver and clinician discussion of screening cessation and to increase clinician awareness of the need to reconsider cancer screening in individuals with dementia . 0 ###LEFT-WALL### 1 interventions 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 29 . 1 interventions 2 are 2 are 3 needed 3 needed 4 to 4 to 13 and 5 increase 7 and 5 increase 13 and 6 caregiver 7 and 7 and 9 discussion 7 and 10 of 8 clinician 9 discussion 10 of 11 screening 11 screening 12 cessation 13 and 14 to 13 and 22 reconsider 14 to 15 increase 15 increase 17 awareness 15 increase 21 to 16 clinician 17 awareness 17 awareness 18 of 18 of 20 need 19 the 20 need 21 to 22 reconsider 22 reconsider 23 cancer 22 reconsider 27 with 23 cancer 24 screening 24 screening 25 in 24 screening 26 individuals 27 with 28 dementia background/purpose : the superficial layer on the skin surface , known as the acid mantle , comprises a mixture of sebum , sweat , corneocyte debris and constituents of natural moisturizing factor . 0 ###LEFT-WALL### 1 background/purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 32 factor 0 ###LEFT-WALL### 33 . 2 : 5 layer 2 : 17 comprises 3 the 5 layer 4 superficial 5 layer 5 layer 6 on 5 layer 17 comprises 6 on 9 surface 7 the 9 surface 8 skin 9 surface 9 surface 11 known 10 , 11 known 11 known 12 as 11 known 16 , 12 as 15 mantle 13 the 15 mantle 14 acid 15 mantle 17 comprises 19 mixture 18 a 19 mixture 19 mixture 20 of 19 mixture 27 and 19 mixture 32 factor 20 of 21 sebum 21 sebum 23 sweat 22 , 23 sweat 23 sweat 24 , 25 corneocyte 26 debris 26 debris 27 and 27 and 28 constituents 27 and 29 of 27 and 32 factor 29 of 31 moisturizing 30 natural 31 moisturizing thus , the phrase ['] residual skin surface [components] ['] ( rssc ) is an appropriate term for the mixture of substances recovered from the skin surface . 0 ###LEFT-WALL### 8 surface 0 ###LEFT-WALL### 14 is 0 ###LEFT-WALL### 28 . 1 thus 2 , 1 thus 8 surface 3 the 8 surface 4 phrase 8 surface 6 residual 7 skin 7 skin 8 surface 8 surface 12 rssc 8 surface 14 is 11 ( 12 rssc 12 rssc 13 ) 14 is 17 term 15 an 16 appropriate 15 an 17 term 16 appropriate 17 term 17 term 18 for 17 term 21 of 18 for 20 mixture 19 the 20 mixture 21 of 22 substances 22 substances 23 recovered 23 recovered 24 from 24 from 27 surface 25 the 27 surface 26 skin 27 surface there is no general agreement about the effects of ethnicity , gender and age on rssc . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 17 . 1 there 2 is 2 is 5 agreement 3 no 5 agreement 4 general 5 agreement 5 agreement 6 about 5 agreement 9 of 6 about 8 effects 7 the 8 effects 9 of 13 and 10 ethnicity 11 , 11 , 12 gender 11 , 13 and 13 and 14 age 13 and 15 on 15 on 16 rssc the aim of this human volunteer study was to evaluate rssc in relation to ethnicity , gender and age . 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 20 . 1 the 2 aim 2 aim 3 of 2 aim 16 , 3 of 6 volunteer 4 this 6 volunteer 5 human 6 volunteer 6 volunteer 7 study 6 volunteer 10 evaluate 7 study 8 was 8 was 9 to 8 was 10 evaluate 9 to 10 evaluate 10 evaluate 11 rssc 10 evaluate 12 in 10 evaluate 14 to 12 in 13 relation 14 to 15 ethnicity 16 , 17 gender 16 , 18 and 18 and 19 age a suitable acquisition medium for rssc [collection] was identified and samples of rssc were subsequently analysed using gas chromatography - mass spectrometry ( gc - ms ) and gravimetry . 0 ###LEFT-WALL### 4 medium 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 10 and 1 a 2 suitable 1 a 4 medium 2 suitable 3 acquisition 3 acquisition 4 medium 4 medium 5 for 4 medium 8 was 5 for 6 rssc 8 was 9 identified 10 and 11 samples 10 and 16 analysed 11 samples 12 of 11 samples 14 were 12 of 13 rssc 14 were 16 analysed 15 subsequently 16 analysed 16 analysed 17 using 17 using 22 spectrometry 18 gas 22 spectrometry 19 chromatography 20 - 19 chromatography 21 mass 21 mass 22 spectrometry 22 spectrometry 28 and 23 ( 28 and 24 gc 26 ms 25 - 26 ms 26 ms 27 ) 26 ms 28 and 28 and 29 gravimetry 28 and 30 . methods : a total of 315 volunteers participated in the study from a range [of] self - declared ethnic backgrounds . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 total 2 : 8 participated 2 : 18 declared 2 : 21 . 3 a 4 total 4 total 5 of 4 total 8 participated 5 of 7 volunteers 6 315 7 volunteers 8 participated 9 in 9 in 11 study 10 the 11 study 11 study 12 from 12 from 16 self 13 a 14 range 13 a 16 self 14 range 16 self 17 - 18 declared 18 declared 20 backgrounds 19 ethnic 20 backgrounds six acquisition media were compared to determine the most suitable media for rssc [collection] . 0 ###LEFT-WALL### 3 media 0 ###LEFT-WALL### 5 compared 0 ###LEFT-WALL### 15 . 1 six 3 media 2 acquisition 3 media 3 media 4 were 4 were 5 compared 5 compared 6 to 6 to 7 determine 7 determine 11 media 7 determine 12 for 8 the 11 media 9 most 10 suitable 10 suitable 11 media 12 for 13 rssc the effect of age , gender and ethnicity on rssc collection was evaluated by gravimetric analysis while gc - ms was used to determine the composition of rssc . 0 ###LEFT-WALL### 11 collection 0 ###LEFT-WALL### 13 evaluated 0 ###LEFT-WALL### 29 . 1 the 11 collection 2 effect 3 of 2 effect 5 , 3 of 4 age 5 , 6 gender 5 , 7 and 7 and 8 ethnicity 7 and 9 on 7 and 11 collection 9 on 10 rssc 11 collection 12 was 12 was 13 evaluated 13 evaluated 14 by 13 evaluated 17 while 14 by 16 analysis 15 gravimetric 16 analysis 17 while 20 ms 17 while 22 used 18 gc 20 ms 19 - 20 ms 20 ms 21 was 21 was 22 used 22 used 23 to 22 used 24 determine 23 to 24 determine 24 determine 26 composition 25 the 26 composition 26 composition 27 of 27 of 28 rssc results : of the six candidate materials assessed , cigarette paper provided the most practical and reproducible sample acquisition medium . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 11 paper 2 : 12 provided 2 : 21 . 3 of 5 six 3 of 9 , 3 of 11 paper 4 the 5 six 5 six 7 materials 5 six 8 assessed 6 candidate 7 materials 7 materials 8 assessed 10 cigarette 11 paper 11 paper 12 provided 12 provided 16 and 13 the 14 most 14 most 16 and 15 practical 16 and 16 and 20 medium 17 reproducible 20 medium 18 sample 19 acquisition 19 acquisition 20 medium there was no significant difference in the amount of rssc collected when based on gender and ethnicity and no significant correlation between rssc recovery and age . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 27 . 1 there 2 was 2 was 5 difference 2 was 11 collected 3 no 5 difference 4 significant 5 difference 5 difference 6 in 5 difference 9 of 6 in 8 amount 7 the 8 amount 9 of 10 rssc 11 collected 12 when 11 collected 22 between 12 when 13 based 13 based 14 on 14 on 18 and 15 gender 16 and 16 and 17 ethnicity 16 and 18 and 18 and 21 correlation 19 no 21 correlation 20 significant 21 correlation 22 between 25 and 23 rssc 24 recovery 24 recovery 25 and 25 and 26 age up to 49 compounds were detected from human rssc when analysed by gc - ms . 0 ###LEFT-WALL### 4 compounds 0 ###LEFT-WALL### 6 detected 0 ###LEFT-WALL### 16 . 1 up 2 to 2 to 3 49 3 49 4 compounds 4 compounds 5 were 5 were 6 detected 6 detected 7 from 6 detected 10 when 7 from 9 rssc 8 human 9 rssc 10 when 11 analysed 11 analysed 12 by 12 by 15 ms 13 gc 15 ms 14 - 15 ms conclusions : the results of the present study suggest that rssc can be effectively collected using cigarette paper and analysed by gc - ms . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 and 2 : 4 results 2 : 9 suggest 3 the 4 results 4 results 5 of 4 results 9 suggest 5 of 8 study 6 the 8 study 7 present 8 study 9 suggest 10 that 10 that 11 rssc 10 that 19 and 12 can 13 be 12 can 19 and 13 be 14 effectively 13 be 15 collected 15 collected 16 using 16 using 18 paper 17 cigarette 18 paper 19 and 20 analysed 19 and 21 by 21 by 24 ms 22 gc 24 ms 23 - 24 ms 24 ms 25 . ethnicity , gender and age had no significant impact on the quantity of rssc recovered from the skin surface . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 6 had 0 ###LEFT-WALL### 20 . 1 ethnicity 2 , 2 , 3 gender 2 , 4 and 4 and 5 age 4 and 6 had 6 had 9 impact 6 had 10 on 7 no 9 impact 8 significant 9 impact 10 on 14 rssc 11 the 12 quantity 12 quantity 13 of 12 quantity 14 rssc 13 of 14 rssc 14 rssc 15 recovered 15 recovered 16 from 16 from 19 surface 17 the 19 surface 18 skin 19 surface objectives : we determined whether community [-] level income inequality was associated with mortality among a cohort of older adults in são paulo , brazil . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 26 . 2 : 3 we 2 : 4 determined 2 : 24 , 3 we 4 determined 4 determined 5 whether 4 determined 21 in 5 whether 10 inequality 5 whether 12 associated 6 community 8 level 8 level 9 income 9 income 10 inequality 10 inequality 11 was 11 was 12 associated 12 associated 13 with 12 associated 15 among 13 with 14 mortality 15 among 17 cohort 16 a 17 cohort 17 cohort 18 of 18 of 20 adults 19 older 20 adults 21 in 23 paulo 22 são 23 paulo 24 , 25 brazil methods : we analyzed the health , well - being , and aging ( sabe ) survey , a sample [of] community - dwelling older adults in são paulo ( 2000 - 2007 ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 analyzed 2 : 35 . 3 we 4 analyzed 4 analyzed 12 and 5 the 12 and 6 health 7 , 7 , 8 well 7 , 12 and 8 well 10 being 9 - 10 being 10 being 11 , 12 and 17 survey 12 and 18 , 12 and 22 community 12 and 26 adults 13 aging 15 sabe 14 ( 15 sabe 15 sabe 16 ) 15 sabe 17 survey 18 , 22 community 19 a 22 community 20 sample 22 community 22 community 23 - 23 - 26 adults 24 dwelling 26 adults 25 older 26 adults 26 adults 27 in 26 adults 32 - 26 adults 34 ) 27 in 29 paulo 28 são 29 paulo 30 ( 32 - 31 2000 32 - 32 - 33 2007 32 - 34 ) we used survival analysis to examine the relationship between income inequality and risk for mortality among older individuals living in 49 districts of são paulo . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 26 . 1 we 2 used 2 used 4 analysis 2 used 5 to 2 used 12 and 3 survival 4 analysis 5 to 12 and 6 examine 8 relationship 6 examine 12 and 7 the 8 relationship 8 relationship 9 between 9 between 11 inequality 10 income 11 inequality 12 and 13 risk 13 risk 14 for 13 risk 16 among 13 risk 19 living 14 for 15 mortality 16 among 18 individuals 17 older 18 individuals 19 living 20 in 20 in 22 districts 21 49 22 districts 22 districts 23 of 23 of 25 paulo 24 são 25 paulo conclusions : we did not find a dose - response relationship [between] area - level income inequality and mortality . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 6 find 2 : 20 . 3 we 4 did 4 did 5 not 4 did 6 find 6 find 8 dose 6 find 17 inequality 6 find 18 and 7 a 8 dose 8 dose 13 area 9 - 13 area 10 response 13 area 11 relationship 13 area 13 area 14 - 15 level 17 inequality 16 income 17 inequality 18 and 19 mortality our findings could be consistent with either a threshold association of income inequality and mortality or little overall association . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 be 0 ###LEFT-WALL### 20 . 1 our 2 findings 2 findings 3 could 3 could 4 be 4 be 5 consistent 5 consistent 6 with 6 with 16 or 7 either 16 or 8 a 10 association 9 threshold 10 association 10 association 11 of 10 association 14 and 11 of 13 inequality 12 income 13 inequality 14 and 15 mortality 14 and 16 or 16 or 19 association 17 little 19 association 18 overall 19 association background : loss of muscle [mass] and muscle strength are natural consequences of the aging process , accompanied by an increased prevalence of chronic health conditions . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 and 1 background 2 : 2 : 3 loss 3 loss 4 of 4 of 5 muscle 7 and 9 strength 7 and 10 are 8 muscle 9 strength 9 strength 10 are 10 are 12 consequences 11 natural 12 consequences 12 consequences 13 of 12 consequences 18 accompanied 13 of 16 process 14 the 16 process 15 aging 16 process 17 , 18 accompanied 18 accompanied 19 by 18 accompanied 27 . 19 by 22 prevalence 20 an 22 prevalence 21 increased 22 prevalence 22 prevalence 23 of 23 of 26 conditions 24 chronic 25 health 25 health 26 conditions research suggests that in the elderly , the presence of comorbidities may impact the muscle mass/strength relationship . 0 ###LEFT-WALL### 1 research 0 ###LEFT-WALL### 2 suggests 0 ###LEFT-WALL### 18 . 1 research 2 suggests 2 suggests 3 that 3 that 9 presence 3 that 13 impact 4 in 6 elderly 4 in 7 , 4 in 9 presence 5 the 6 elderly 8 the 9 presence 9 presence 10 of 9 presence 12 may 10 of 11 comorbidities 12 may 13 impact 13 impact 17 relationship 14 the 17 relationship 15 muscle 17 relationship 16 mass/strength 17 relationship the objectives of this study were to characterize the muscle mass/strength relationship in older adults in the usa and to examine the impact of a variety of comorbidities on this relationship . 0 ###LEFT-WALL### 2 objectives 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 32 . 1 the 2 objectives 2 objectives 3 of 2 objectives 19 and 3 of 5 study 4 this 5 study 6 were 7 to 6 were 8 characterize 6 were 19 and 7 to 8 characterize 8 characterize 12 relationship 8 characterize 13 in 8 characterize 16 in 9 the 12 relationship 10 muscle 12 relationship 11 mass/strength 12 relationship 13 in 15 adults 14 older 15 adults 16 in 18 usa 17 the 18 usa 19 and 20 to 19 and 21 examine 20 to 21 examine 21 examine 23 impact 21 examine 29 on 22 the 23 impact 23 impact 24 of 24 of 26 variety 25 a 26 variety 26 variety 27 of 27 of 28 comorbidities 29 on 31 relationship 30 this 31 relationship methods : data were obtained from the national health and nutrition examination survey 1999 - 2002 databases . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 . 2 : 3 data 2 : 5 obtained 2 : 10 and 3 data 4 were 4 were 5 obtained 5 obtained 6 from 6 from 9 health 7 the 9 health 8 national 9 health 10 and 13 survey 10 and 17 databases 11 nutrition 12 examination 12 examination 13 survey 13 survey 15 - 13 survey 17 databases 14 1999 15 - 15 - 16 2002 subjects aged 50 years and older were included in the present study . 0 ###LEFT-WALL### 1 subjects 0 ###LEFT-WALL### 8 included 0 ###LEFT-WALL### 13 . 1 subjects 2 aged 1 subjects 7 were 2 aged 5 and 3 50 4 years 4 years 5 and 5 and 6 older 7 were 8 included 8 included 9 in 9 in 12 study 10 the 12 study 11 present 12 study muscle [mass] was assessed by height - adjusted appendicular skeleton muscle [mass] ( aasm ) [in] [kg/m2] , as measured by dual - energy x - ray absorptiometry . 0 ###LEFT-WALL### 1 muscle 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 29 . 1 muscle 3 was 3 was 4 assessed 4 assessed 5 by 4 assessed 21 by 5 by 6 height 6 height 11 muscle 6 height 20 measured 7 - 11 muscle 8 adjusted 10 skeleton 9 appendicular 10 skeleton 10 skeleton 11 muscle 11 muscle 14 aasm 11 muscle 18 , 13 ( 14 aasm 14 aasm 15 ) 19 as 20 measured 21 by 28 absorptiometry 22 dual 25 x 22 dual 26 - 22 dual 27 ray 23 - 25 x 24 energy 25 x 25 x 26 - 27 ray 28 absorptiometry muscle strength was assessed via isokinetic quadriceps strength ( iqs ) in [newton] as measured [by] a dynamometer . 0 ###LEFT-WALL### 2 strength 0 ###LEFT-WALL### 4 assessed 0 ###LEFT-WALL### 19 . 1 muscle 2 strength 2 strength 3 was 3 was 4 assessed 4 assessed 5 via 4 assessed 12 in 5 via 8 strength 6 isokinetic 8 strength 7 quadriceps 8 strength 8 strength 10 iqs 9 ( 10 iqs 10 iqs 11 ) 12 in 18 dynamometer 14 as 15 measured 14 as 17 a 15 measured 17 a 17 a 18 dynamometer the relationship between aasm and iqs was assessed adjusting for age and gender . 0 ###LEFT-WALL### 2 relationship 0 ###LEFT-WALL### 7 was 0 ###LEFT-WALL### 14 . 1 the 2 relationship 2 relationship 3 between 2 relationship 7 was 3 between 5 and 4 aasm 5 and 5 and 6 iqs 7 was 9 adjusting 8 assessed 9 adjusting 9 adjusting 10 for 10 for 12 and 11 age 12 and 12 and 13 gender the effects of a variety of comorbidities on iqs [and/or] on the relationship between iqs and aasm were assessed using multiple regression models . 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 19 assessed 0 ###LEFT-WALL### 24 . 1 the 2 effects 2 effects 3 of 2 effects 16 and 3 of 5 variety 4 a 5 variety 5 variety 6 of 5 variety 8 on 6 of 7 comorbidities 8 on 9 iqs 9 iqs 11 on 11 on 13 relationship 12 the 13 relationship 13 relationship 14 between 14 between 15 iqs 16 and 17 aasm 16 and 18 were 18 were 19 assessed 19 assessed 20 using 20 using 23 models 21 multiple 22 regression 22 regression 23 models results : this study included 2,647 individuals [,] with a mean age of 62.6 years and 52.9 % [of] [whom] were female . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 included 2 : 16 and 2 : 23 . 3 this 4 study 4 study 5 included 5 included 7 individuals 5 included 9 with 6 2,647 7 individuals 9 with 12 age 10 a 12 age 11 mean 12 age 12 age 13 of 13 of 15 years 14 62.6 15 years 16 and 18 % 16 and 21 were 17 52.9 18 % 18 % 21 were 21 were 22 female the mean ( se ) aasm ( [kg/m2] [ )( 7.3 ( 0.04 ) , [and] the mean ( se ) iqs [(] newton ) was 365.0 ( 3.00 ) . 0 ###LEFT-WALL### 6 aasm 0 ###LEFT-WALL### 26 was 0 ###LEFT-WALL### 31 . 1 the 6 aasm 2 mean 4 se 2 mean 6 aasm 3 ( 4 se 4 se 5 ) 6 aasm 11 7.3 6 aasm 26 was 7 ( 11 7.3 11 7.3 13 0.04 11 7.3 24 newton 11 7.3 25 ) 12 ( 13 0.04 13 0.04 14 ) 15 , 24 newton 17 the 24 newton 18 mean 20 se 18 mean 24 newton 19 ( 20 se 20 se 21 ) 22 iqs 24 newton 24 newton 25 ) 26 was 27 365.0 27 365.0 29 3.00 28 ( 29 3.00 29 3.00 30 ) after adjusting for age and gender , the correlation coefficient between aasm and iqs was 0.365 ( p < 0.001 ) . 0 ###LEFT-WALL### 10 coefficient 0 ###LEFT-WALL### 15 was 0 ###LEFT-WALL### 22 . 1 after 2 adjusting 1 after 7 , 1 after 10 coefficient 2 adjusting 3 for 3 for 5 and 4 age 5 and 5 and 6 gender 8 the 10 coefficient 9 correlation 10 coefficient 10 coefficient 11 between 10 coefficient 15 was 11 between 13 and 12 aasm 13 and 13 and 14 iqs 15 was 16 0.365 16 0.365 19 < 17 ( 19 < 18 p 19 < 19 < 20 0.001 19 < 21 ) conclusions : among individuals aged 50 and older in the us , muscle mass and muscle strength [are] positively correlated , independent of the associations of age and gender with muscle mass and strength . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 35 . 1 conclusions 2 : 2 : 3 among 2 : 7 and 3 among 4 individuals 5 aged 6 50 5 aged 7 and 7 and 8 older 8 older 9 in 9 in 15 and 10 the 11 us 11 us 12 , 12 , 14 mass 12 , 15 and 13 muscle 14 mass 15 and 17 strength 15 and 20 correlated 15 and 23 of 16 muscle 17 strength 19 positively 20 correlated 20 correlated 21 , 20 correlated 22 independent 23 of 33 and 24 the 32 mass 25 associations 26 of 25 associations 28 and 26 of 27 age 28 and 29 gender 28 and 32 mass 29 gender 30 with 30 with 31 muscle 32 mass 33 and 33 and 34 strength objectives : we examined the relationship between childhood and adult socioeconomic position ( sep ) and objectively assessed , later - life functioning . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 16 and 2 : 21 - 2 : 24 . 3 we 16 and 4 examined 6 relationship 4 examined 7 between 4 examined 16 and 5 the 6 relationship 7 between 9 and 8 childhood 9 and 9 and 12 position 9 and 14 sep 10 adult 12 position 11 socioeconomic 12 position 13 ( 14 sep 14 sep 15 ) 16 and 18 assessed 16 and 20 later 17 objectively 18 assessed 19 , 20 later 20 later 21 - 21 - 22 life 22 life 23 functioning methods : we used the medical research council 's national survey of health and development data to examine performance at 60 to 64 years ( obtained in 2006 - 2011 ) for a representative uk sample . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 3 we 2 : 18 examine 3 we 4 used 4 used 14 and 4 used 17 to 5 the 8 council 6 medical 7 research 7 research 8 council 8 council 9 's 9 's 14 and 10 national 11 survey 11 survey 12 of 11 survey 14 and 12 of 13 health 14 and 16 data 15 development 16 data 17 to 18 examine 18 examine 19 performance 18 examine 32 for 19 performance 20 at 20 at 24 years 21 60 22 to 22 to 23 64 22 to 24 years 24 years 26 obtained 25 ( 26 obtained 26 obtained 27 in 26 obtained 31 ) 27 in 28 2006 28 2006 30 2011 29 - 30 2011 30 2011 31 ) 32 for 36 sample 33 a 36 sample 34 representative 36 sample 35 uk 36 sample we compared 9 physical and cognitive performance measures ( forced expiratory volume , forced vital capacity , handgrip strength , chair rise time , standing balance time , [timed] get up and go speed , verbal memory score , processing speed , and simple reaction time ) over the sep distribution . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 compared 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 52 . 1 we 2 compared 2 compared 8 measures 3 9 8 measures 4 physical 5 and 5 and 6 cognitive 5 and 7 performance 7 performance 8 measures 8 measures 12 volume 9 ( 12 volume 10 forced 12 volume 11 expiratory 12 volume 12 volume 13 , 13 , 28 , 13 , 35 , 14 forced 16 capacity 14 forced 27 time 14 forced 28 , 15 vital 16 capacity 16 capacity 19 strength 16 capacity 23 time 17 , 19 strength 18 handgrip 19 strength 19 strength 20 , 20 , 23 time 21 chair 22 rise 22 rise 23 time 23 time 24 , 25 standing 26 balance 26 balance 27 time 28 , 32 and 30 get 31 up 30 get 32 and 32 and 33 go 33 go 34 speed 35 , 38 score 35 , 39 , 36 verbal 37 memory 37 memory 38 score 39 , 43 and 40 processing 41 speed 41 speed 43 and 42 , 43 and 43 and 46 time 43 and 47 ) 43 and 48 over 44 simple 45 reaction 45 reaction 46 time 48 over 51 distribution 49 the 51 distribution 50 sep 51 distribution results : each performance measure was socially graded . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 measure 2 : 8 graded 2 : 9 . 3 each 5 measure 4 performance 5 measure 5 measure 6 was 6 was 8 graded 7 socially 8 graded those at the top of the childhood sep distribution had between 7 [%] and 20 % better performance than those at the bottom . 0 ###LEFT-WALL### 1 those 0 ###LEFT-WALL### 10 had 0 ###LEFT-WALL### 24 . 1 those 2 at 1 those 5 of 1 those 10 had 2 at 4 top 3 the 4 top 5 of 9 distribution 6 the 9 distribution 7 childhood 9 distribution 8 sep 9 distribution 10 had 18 performance 10 had 19 than 11 between 14 and 12 7 14 and 14 and 15 20 14 and 16 % 16 % 18 performance 17 better 18 performance 19 than 20 those 20 those 21 at 21 at 23 bottom 22 the 23 bottom inequalities generally persisted after adjustment for adult sep . 0 ###LEFT-WALL### 1 inequalities 0 ###LEFT-WALL### 3 persisted 0 ###LEFT-WALL### 9 . 1 inequalities 3 persisted 2 generally 3 persisted 3 persisted 4 after 4 after 5 adjustment 5 adjustment 6 for 6 for 8 sep 7 adult 8 sep when we combined the 9 performance measures , the relative difference [was] 66 % [(] 95 % confidence interval = 53 % , 78 % ) . 0 ###LEFT-WALL### 19 interval 0 ###LEFT-WALL### 20 = 0 ###LEFT-WALL### 27 . 1 when 2 we 1 when 3 combined 1 when 8 , 1 when 19 interval 2 we 3 combined 3 combined 7 measures 4 the 5 9 5 9 7 measures 6 performance 7 measures 9 the 19 interval 10 relative 18 confidence 11 difference 18 confidence 13 66 14 % 14 % 18 confidence 16 95 17 % 17 % 18 confidence 18 confidence 19 interval 19 interval 20 = 20 = 22 % 21 53 22 % 22 % 25 % 23 , 25 % 24 78 25 % 25 % 26 ) conclusions : public health practice should monitor [and] target inequalities in functional performance , as well as risk of disease and death . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 1 conclusions 2 : 2 : 4 health 3 public 4 health 4 health 5 practice 4 health 7 monitor 4 health 17 as 5 practice 6 should 6 should 7 monitor 7 monitor 10 inequalities 7 monitor 11 in 9 target 10 inequalities 11 in 13 performance 12 functional 13 performance 14 , 17 as 15 as 16 well 16 well 17 as 17 as 18 risk 17 as 23 . 18 risk 19 of 19 of 21 and 20 disease 21 and 21 and 22 death effective strategies will need to affect the social determinants of health in early life to influence inequalities into old age . 0 ###LEFT-WALL### 2 strategies 0 ###LEFT-WALL### 4 need 0 ###LEFT-WALL### 21 . 1 effective 2 strategies 2 strategies 3 will 3 will 4 need 4 need 5 to 4 need 15 to 4 need 16 influence 5 to 6 affect 6 affect 9 determinants 6 affect 12 in 7 the 9 determinants 8 social 9 determinants 9 determinants 10 of 10 of 11 health 12 in 14 life 13 early 14 life 15 to 16 influence 16 influence 17 inequalities 16 influence 18 into 18 into 20 age 19 old 20 age rotator cuff injuries are a common clinical problem either as a result of [overuse] [or] aging . 0 ###LEFT-WALL### 3 injuries 0 ###LEFT-WALL### 4 are 0 ###LEFT-WALL### 17 . 1 rotator 3 injuries 2 cuff 3 injuries 3 injuries 4 are 4 are 8 problem 4 are 9 either 4 are 10 as 5 a 6 common 5 a 8 problem 6 common 8 problem 7 clinical 8 problem 10 as 12 result 11 a 12 result 12 result 13 of 13 of 16 aging biological approaches to tendon repair that involve use of scaffolding materials or cell - based approaches are currently being investigated . 0 ###LEFT-WALL### 2 approaches 0 ###LEFT-WALL### 17 are 0 ###LEFT-WALL### 21 . 1 biological 2 approaches 2 approaches 3 to 2 approaches 6 that 2 approaches 7 involve 2 approaches 17 are 3 to 5 repair 4 tendon 5 repair 6 that 7 involve 7 involve 16 approaches 8 use 9 of 8 use 12 or 9 of 11 materials 10 scaffolding 11 materials 12 or 13 cell 12 or 14 - 12 or 15 based 12 or 16 approaches 17 are 19 being 18 currently 19 being 19 being 20 investigated the cell - based approaches are focused on applying multipotent mesenchymal stem cells ( mscs ) mostly harvested from bone marrow . 0 ###LEFT-WALL### 2 cell 0 ###LEFT-WALL### 3 - 1 the 2 cell 3 - 5 approaches 3 - 7 focused 3 - 22 . 4 based 5 approaches 5 approaches 6 are 6 are 7 focused 7 focused 8 on 8 on 9 applying 9 applying 10 multipotent 9 applying 19 from 10 multipotent 13 cells 10 multipotent 18 harvested 11 mesenchymal 12 stem 12 stem 13 cells 13 cells 15 mscs 13 cells 18 harvested 14 ( 15 mscs 15 mscs 16 ) 17 mostly 18 harvested 19 from 21 marrow 20 bone 21 marrow in the present study , we focused on characterizing cells harvested from tissues associated with rotator cuff tendons based on an assumption that these cells would be more appropriate for tendon repair . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 19 based 0 ###LEFT-WALL### 33 . 1 in 4 study 1 in 5 , 1 in 6 we 2 the 4 study 3 present 4 study 6 we 7 focused 7 focused 8 on 7 focused 15 with 8 on 9 characterizing 9 characterizing 10 cells 9 characterizing 12 from 10 cells 11 harvested 12 from 13 tissues 13 tissues 14 associated 15 with 18 tendons 15 with 19 based 16 rotator 18 tendons 17 cuff 18 tendons 19 based 20 on 19 based 29 appropriate 20 on 22 assumption 21 an 22 assumption 22 assumption 23 that 23 that 25 cells 23 that 27 be 24 these 25 cells 25 cells 26 would 26 would 27 be 28 more 29 appropriate 29 appropriate 30 for 30 for 32 repair 31 tendon 32 repair we isolated mscs from bursa tissue associated with rotator cuff tendons and characterized them for multilineage differentiation in vitro and in vivo . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 isolated 0 ###LEFT-WALL### 23 . 1 we 2 isolated 2 isolated 3 mscs 2 isolated 4 from 2 isolated 20 and 4 from 6 tissue 5 bursa 6 tissue 6 tissue 12 and 6 tissue 15 for 7 associated 8 with 7 associated 12 and 8 with 11 tendons 9 rotator 11 tendons 10 cuff 11 tendons 12 and 13 characterized 12 and 14 them 15 for 17 differentiation 16 multilineage 17 differentiation 18 in 19 vitro 19 vitro 20 and 20 and 22 vivo 21 in 22 vivo human bursa was obtained from patients undergoing rotator cuff surgery and cells within were isolated using collagenase and dispase digestion . 0 ###LEFT-WALL### 1 human 0 ###LEFT-WALL### 14 were 0 ###LEFT-WALL### 21 . 1 human 2 bursa 1 human 13 within 1 human 14 were 2 bursa 3 was 3 was 4 obtained 4 obtained 5 from 4 obtained 13 within 5 from 11 and 6 patients 7 undergoing 6 patients 11 and 7 undergoing 10 surgery 8 rotator 10 surgery 9 cuff 10 surgery 11 and 12 cells 14 were 15 isolated 15 isolated 16 using 16 using 18 and 17 collagenase 18 and 18 and 20 digestion 19 dispase 20 digestion the cells isolated from the tissues were characterized for osteoblastic , adipogenic , chondrogenic , and tenogenic differentiation in vitro and in vivo . 0 ###LEFT-WALL### 2 cells 0 ###LEFT-WALL### 8 characterized 0 ###LEFT-WALL### 24 . 1 the 2 cells 2 cells 3 isolated 2 cells 7 were 3 isolated 4 from 4 from 6 tissues 5 the 6 tissues 7 were 8 characterized 8 characterized 9 for 8 characterized 21 and 9 for 18 differentiation 10 osteoblastic 11 , 11 , 12 adipogenic 11 , 13 , 13 , 14 chondrogenic 13 , 16 and 15 , 16 and 16 and 17 tenogenic 16 and 18 differentiation 19 in 20 vitro 20 vitro 21 and 21 and 23 vivo 22 in 23 vivo the results showed that the cells isolated from bursa tissue exhibited mscs characteristics as evidenced by the expression of putative cell surface markers attributed to mscs . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 27 . 1 the 2 results 2 results 3 showed 3 showed 4 that 3 showed 6 cells 3 showed 25 to 5 the 6 cells 6 cells 7 isolated 7 isolated 8 from 7 isolated 16 by 8 from 9 bursa 9 bursa 10 tissue 9 bursa 11 exhibited 9 bursa 15 evidenced 10 tissue 11 exhibited 11 exhibited 13 characteristics 12 mscs 13 characteristics 14 as 15 evidenced 16 by 18 expression 17 the 18 expression 18 expression 19 of 19 of 23 markers 20 putative 21 cell 21 cell 23 markers 22 surface 23 markers 23 markers 24 attributed 25 to 26 mscs the cells exhibited high proliferative capacity and differentiated toward cells of mesenchymal lineages with high efficiency . 0 ###LEFT-WALL### 2 cells 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 17 . 1 the 2 cells 2 cells 7 and 3 exhibited 6 capacity 3 exhibited 7 and 4 high 6 capacity 5 proliferative 6 capacity 7 and 8 differentiated 7 and 9 toward 7 and 14 with 9 toward 10 cells 10 cells 11 of 11 of 13 lineages 12 mesenchymal 13 lineages 14 with 16 efficiency 15 high 16 efficiency bursa - derived cells expressed markers of tenocytes when treated with bone morphogenetic protein - 12 ( bmp - 12 ) and assumed aligned morphology in culture . 0 ###LEFT-WALL### 4 cells 0 ###LEFT-WALL### 5 expressed 0 ###LEFT-WALL### 28 . 1 bursa 2 - 1 bursa 4 cells 3 derived 4 cells 4 cells 5 expressed 5 expressed 6 markers 6 markers 7 of 7 of 22 and 8 tenocytes 9 when 8 tenocytes 22 and 9 when 10 treated 10 treated 11 with 11 with 14 protein 12 bone 14 protein 13 morphogenetic 14 protein 14 protein 16 12 15 - 16 12 16 12 19 - 16 12 21 ) 17 ( 19 - 18 bmp 19 - 19 - 20 12 19 - 21 ) 22 and 23 assumed 23 assumed 25 morphology 23 assumed 26 in 24 aligned 25 morphology 26 in 27 culture bursa cells pretreated with bmp - 12 and seeded in ceramic scaffolds formed extensive bone , as well [as] [tendon] - like tissue in vivo . 0 ###LEFT-WALL### 2 cells 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 26 . 1 bursa 2 cells 2 cells 8 and 3 pretreated 4 with 3 pretreated 7 12 3 pretreated 8 and 4 with 5 bmp 6 - 7 12 8 and 9 seeded 8 and 10 in 10 in 11 ceramic 11 ceramic 12 scaffolds 11 ceramic 15 bone 12 scaffolds 13 formed 12 scaffolds 15 bone 13 formed 14 extensive 15 bone 18 well 15 bone 22 like 15 bone 25 vivo 16 , 18 well 17 as 18 well 18 well 21 - 22 like 23 tissue 24 in 25 vivo bone formation was demonstrated by histological analysis and immunofluorescence for dmp - 1 in tissue sections made from the scaffolds seeded with the cells . 0 ###LEFT-WALL### 2 formation 0 ###LEFT-WALL### 4 demonstrated 0 ###LEFT-WALL### 25 . 1 bone 2 formation 2 formation 3 was 3 was 4 demonstrated 4 demonstrated 5 by 4 demonstrated 10 for 4 demonstrated 22 with 5 by 8 and 6 histological 7 analysis 7 analysis 8 and 8 and 9 immunofluorescence 10 for 16 sections 11 dmp 15 tissue 12 - 13 1 13 1 14 in 14 in 15 tissue 15 tissue 16 sections 16 sections 17 made 17 made 18 from 18 from 20 scaffolds 19 the 20 scaffolds 20 scaffolds 21 seeded 22 with 24 cells 23 the 24 cells tendon [-] like tissue formed in vivo consisted of parallel collagen fibres typical of tendon tissues . 0 ###LEFT-WALL### 1 tendon 0 ###LEFT-WALL### 8 consisted 0 ###LEFT-WALL### 17 . 1 tendon 3 like 1 tendon 8 consisted 3 like 4 tissue 4 tissue 5 formed 5 formed 7 vivo 6 in 7 vivo 8 consisted 9 of 9 of 12 fibres 10 parallel 12 fibres 11 collagen 12 fibres 12 fibres 13 typical 13 typical 14 of 14 of 16 tissues 15 tendon 16 tissues bursa - derived cells also formed a fibrocartilagenous tissue in the ceramic scaffolds . 0 ###LEFT-WALL### 4 cells 0 ###LEFT-WALL### 6 formed 0 ###LEFT-WALL### 14 . 1 bursa 2 - 1 bursa 4 cells 3 derived 4 cells 4 cells 6 formed 5 also 6 formed 6 formed 9 tissue 6 formed 10 in 7 a 8 fibrocartilagenous 7 a 9 tissue 8 fibrocartilagenous 9 tissue 10 in 13 scaffolds 11 the 13 scaffolds 12 ceramic 13 scaffolds taken together , the results demonstrate a new source of mscs with a high potential for application in tendon repair . 0 ###LEFT-WALL### 5 results 0 ###LEFT-WALL### 6 demonstrate 0 ###LEFT-WALL### 21 . 1 taken 2 together 1 taken 3 , 1 taken 5 results 4 the 5 results 5 results 6 demonstrate 6 demonstrate 9 source 6 demonstrate 12 with 7 a 8 new 7 a 9 source 8 new 9 source 9 source 10 of 10 of 11 mscs 12 with 14 high 13 a 14 high 14 high 15 potential 15 potential 16 for 15 potential 18 in 16 for 17 application 18 in 20 repair 19 tendon 20 repair aims : analyze the capacity of ico , the ratio [of] waist circumference ( wc ) and height , in predicting hemodynamic impairment in erectile dysfunction ( ed ) patients , independently and integrated in metabolic syndrome ( mets ) definitions . 0 ###LEFT-WALL### 1 aims 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 42 . 2 : 33 and 3 analyze 5 capacity 3 analyze 32 independently 3 analyze 33 and 4 the 5 capacity 5 capacity 6 of 5 capacity 20 in 6 of 17 and 7 ico 13 circumference 7 ico 17 and 8 , 13 circumference 9 the 13 circumference 10 ratio 12 waist 12 waist 13 circumference 13 circumference 15 wc 13 circumference 16 ) 14 ( 15 wc 15 wc 16 ) 17 and 18 height 19 , 20 in 20 in 21 predicting 20 in 31 , 21 predicting 23 impairment 21 predicting 24 in 22 hemodynamic 23 impairment 24 in 30 patients 25 erectile 26 dysfunction 26 dysfunction 28 ed 27 ( 28 ed 28 ed 29 ) 28 ed 30 patients 33 and 34 integrated 34 integrated 35 in 34 integrated 41 definitions 35 in 37 syndrome 36 metabolic 37 syndrome 37 syndrome 39 mets 38 ( 39 mets 39 mets 40 ) methods : four hundred and eighty - five ed patients followed in urology consult from january 2008 until march 2012 were evaluated by a standardized protocol : health [questionnaire] , anthropometric measurements ( am ) , blood pressure and analysis , and penile duplex doppler ultrasound ( pddu ) exam . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 and 1 methods 2 : 2 : 4 hundred 3 four 4 hundred 5 and 9 ed 5 and 27 : 6 eighty 7 - 7 - 8 five 7 - 9 ed 9 ed 10 patients 9 ed 14 consult 9 ed 27 : 10 patients 11 followed 10 patients 14 consult 11 followed 12 in 12 in 13 urology 14 consult 15 from 14 consult 18 until 15 from 16 january 16 january 17 2008 18 until 19 march 18 until 22 evaluated 19 march 20 2012 19 march 21 were 21 were 22 evaluated 22 evaluated 23 by 23 by 26 protocol 24 a 26 protocol 25 standardized 26 protocol 27 : 28 health 28 health 32 measurements 28 health 42 and 30 , 32 measurements 31 anthropometric 32 measurements 32 measurements 34 am 32 measurements 35 ) 33 ( 34 am 34 am 35 ) 36 , 42 and 37 blood 38 pressure 38 pressure 39 and 39 and 40 analysis 39 and 42 and 41 , 42 and 42 and 50 exam 42 and 51 . 43 penile 44 duplex 44 duplex 45 doppler 45 doppler 46 ultrasound 46 ultrasound 48 pddu 47 ( 48 pddu 48 pddu 49 ) 48 pddu 50 exam associations between am and mets definitions , including atpiii , idf and a new definition replacing wc by ico in atpiii mets definition ( modatpiii ) , and pddu were calculated . 0 ###LEFT-WALL### 4 and 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 32 . 1 associations 2 between 1 associations 4 and 2 between 3 am 4 and 6 definitions 4 and 7 , 4 and 8 including 5 mets 6 definitions 8 including 9 atpiii 10 , 28 and 10 , 31 calculated 11 idf 12 and 12 and 15 definition 12 and 16 replacing 12 and 20 in 12 and 25 modatpiii 12 and 28 and 13 a 14 new 13 a 15 definition 14 new 15 definition 16 replacing 17 wc 16 replacing 18 by 18 by 19 ico 20 in 23 definition 21 atpiii 22 mets 22 mets 23 definition 24 ( 25 modatpiii 25 modatpiii 26 ) 27 , 28 and 28 and 29 pddu 28 and 30 were 30 were 31 calculated results : ico was the measure of obesity more strongly correlated with diminished mean peak systolic velocity ( mpsv ) ( r = - 0.189 , p < 0.001 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 ico 2 : 4 was 2 : 31 . 3 ico 4 was 4 was 28 < 5 the 6 measure 6 measure 7 of 6 measure 8 obesity 7 of 8 obesity 8 obesity 11 correlated 9 more 10 strongly 10 strongly 11 correlated 11 correlated 12 with 12 with 17 velocity 13 diminished 14 mean 14 mean 17 velocity 15 peak 16 systolic 16 systolic 17 velocity 17 velocity 19 mpsv 17 velocity 23 = 18 ( 19 mpsv 19 mpsv 20 ) 21 ( 23 = 22 r 23 = 23 = 24 - 24 - 25 0.189 24 - 28 < 26 , 28 < 27 p 28 < 28 < 29 0.001 28 < 30 ) a positive association remained when replacing wc by ico ≥ 0.60 ( a nationally obtained ratio ) in atpiii mets definition ( modatpiii ) . 0 ###LEFT-WALL### 3 association 0 ###LEFT-WALL### 4 remained 0 ###LEFT-WALL### 25 . 1 a 2 positive 1 a 3 association 2 positive 3 association 3 association 4 remained 4 remained 5 when 5 when 6 replacing 6 replacing 7 wc 6 replacing 8 by 6 replacing 18 in 8 by 10 ≥ 9 ico 10 ≥ 10 ≥ 11 0.60 10 ≥ 16 ratio 12 ( 16 ratio 13 a 16 ratio 14 nationally 15 obtained 15 obtained 16 ratio 16 ratio 17 ) 18 in 21 definition 19 atpiii 20 mets 20 mets 21 definition 21 definition 23 modatpiii 22 ( 23 modatpiii 23 modatpiii 24 ) patients with modatpiii had lower mpsv when compared to [non] [-] mets patients ( 30.8 versus 37.1 , p < 0.001 ) . 0 ###LEFT-WALL### 1 patients 0 ###LEFT-WALL### 4 had 0 ###LEFT-WALL### 23 . 1 patients 2 with 1 patients 4 had 2 with 3 modatpiii 4 had 6 mpsv 4 had 7 when 5 lower 6 mpsv 7 when 8 compared 8 compared 9 to 9 to 13 patients 12 mets 13 patients 13 patients 15 30.8 13 patients 20 < 14 ( 15 30.8 15 30.8 16 versus 15 30.8 18 , 16 versus 17 37.1 18 , 20 < 19 p 20 < 20 < 21 0.001 20 < 22 ) only the idf definition had a significant association with ad ( or = 1853 ; 95%ci , 1.202 - 2.857 ) . 0 ###LEFT-WALL### 1 only 0 ###LEFT-WALL### 5 had 0 ###LEFT-WALL### 15 ; 0 ###LEFT-WALL### 16 95%ci 0 ###LEFT-WALL### 22 . 1 only 4 definition 2 the 4 definition 3 idf 4 definition 4 definition 5 had 5 had 8 association 5 had 9 with 6 a 7 significant 6 a 8 association 7 significant 8 association 9 with 12 or 9 with 14 1853 10 ad 12 or 11 ( 12 or 13 = 14 1853 15 ; 16 95%ci 16 95%ci 19 - 17 , 19 - 18 1.202 19 - 19 - 20 2.857 19 - 21 ) conclusions : ico revealed potential value to predict pddu changes in a mets context . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 15 . 2 : 3 ico 2 : 4 revealed 3 ico 4 revealed 4 revealed 6 value 4 revealed 10 changes 5 potential 6 value 6 value 7 to 6 value 8 predict 6 value 10 changes 7 to 8 predict 8 predict 9 pddu 10 changes 11 in 11 in 14 context 12 a 14 context 13 mets 14 context however , idf definition presented a stronger correlation with arteriogenic ed . 0 ###LEFT-WALL### 4 definition 0 ###LEFT-WALL### 5 presented 0 ###LEFT-WALL### 12 . 1 however 2 , 1 however 4 definition 3 idf 4 definition 4 definition 5 presented 5 presented 8 correlation 5 presented 9 with 6 a 8 correlation 7 stronger 8 correlation 9 with 11 ed 10 arteriogenic 11 ed although longitudinal studies are necessary to confirm this hypothesis , our study highlights the importance of different mets definitions for ed assessment . 0 ###LEFT-WALL### 12 study 0 ###LEFT-WALL### 13 highlights 0 ###LEFT-WALL### 23 . 1 although 3 studies 1 although 4 are 1 although 10 , 1 although 12 study 2 longitudinal 3 studies 3 studies 4 are 4 are 5 necessary 5 necessary 6 to 5 necessary 7 confirm 6 to 7 confirm 7 confirm 9 hypothesis 8 this 9 hypothesis 11 our 12 study 12 study 13 highlights 13 highlights 15 importance 14 the 15 importance 15 importance 16 of 16 of 19 definitions 17 different 19 definitions 18 mets 19 definitions 19 definitions 20 for 20 for 22 assessment 21 ed 22 assessment to investigate the effect [of] low power helium neon laser [(] he [-] ne laser ) on the telomere length of human fetal lung diploid fibroblast ( 2bs ) [cell] , we used the laser ( gamma [=] 632 . 0 ###LEFT-WALL### 32 we 0 ###LEFT-WALL### 33 used 1 to 2 investigate 1 to 16 ) 1 to 32 we 2 investigate 10 laser 3 the 10 laser 4 effect 6 low 6 low 10 laser 7 power 8 helium 8 helium 10 laser 9 neon 10 laser 10 laser 12 he 10 laser 15 laser 12 he 14 ne 14 ne 15 laser 17 on 20 length 17 on 31 , 17 on 32 we 18 the 20 length 19 telomere 20 length 20 length 21 of 21 of 26 fibroblast 22 human 24 lung 23 fetal 24 lung 24 lung 26 fibroblast 25 diploid 26 fibroblast 26 fibroblast 28 2bs 27 ( 28 2bs 28 2bs 29 ) 32 we 33 used 33 used 35 laser 34 the 35 laser 35 laser 37 gamma 36 ( 37 gamma 37 gamma 39 632 37 gamma 40 . cell growth and proliferation [was] observed through mtt method after treating with low power laser . 0 ###LEFT-WALL### 15 laser 0 ###LEFT-WALL### 16 . 1 cell 2 growth 2 growth 3 and 3 and 4 proliferation 3 and 6 observed 3 and 10 after 3 and 15 laser 6 observed 7 through 7 through 9 method 8 mtt 9 method 10 after 11 treating 11 treating 12 with 12 with 14 power 13 low 14 power the relative telomere length of 2bs cells was detected by fluorescence real - time quantitative pcr ( q - pcr ) . 0 ###LEFT-WALL### 4 length 0 ###LEFT-WALL### 9 detected 0 ###LEFT-WALL### 13 - 1 the 4 length 2 relative 4 length 3 telomere 4 length 4 length 5 of 4 length 8 was 5 of 7 cells 6 2bs 7 cells 8 was 9 detected 9 detected 10 by 9 detected 12 real 10 by 11 fluorescence 13 - 14 time 13 - 22 . 14 time 16 pcr 15 quantitative 16 pcr 16 pcr 19 - 17 ( 19 - 18 q 19 - 19 - 20 pcr 19 - 21 ) the results showed that the cells of the treated groups grew better than the untreated groups . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 17 . 1 the 2 results 2 results 3 showed 3 showed 4 that 4 that 6 cells 4 that 11 grew 5 the 6 cells 6 cells 7 of 6 cells 11 grew 7 of 10 groups 8 the 10 groups 9 treated 10 groups 11 grew 12 better 12 better 13 than 13 than 16 groups 14 the 16 groups 15 untreated 16 groups the telomere dna length of the old 2bs cells , treated by low power he [-] ne laser when they were young , was longer than that [of] untreated group . 0 ###LEFT-WALL### 4 length 0 ###LEFT-WALL### 24 was 0 ###LEFT-WALL### 31 . 1 the 4 length 2 telomere 4 length 3 dna 4 length 4 length 5 of 4 length 11 treated 4 length 24 was 5 of 9 cells 6 the 9 cells 7 old 9 cells 8 2bs 9 cells 10 , 11 treated 11 treated 12 by 11 treated 19 when 11 treated 23 , 12 by 14 power 13 low 14 power 14 power 15 he 14 power 18 laser 15 he 17 ne 17 ne 18 laser 19 when 20 they 19 when 21 were 20 they 21 were 21 were 22 young 24 was 25 longer 25 longer 26 than 26 than 30 group 27 that 29 untreated 29 untreated 30 group the results of the present study indicated that the low power he [-] ne laser might decrease shortening rate [of] telomere and delay the aging of cells . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 22 and 0 ###LEFT-WALL### 28 . 1 the 2 results 2 results 3 of 2 results 18 shortening 2 results 22 and 3 of 6 study 4 the 6 study 5 present 6 study 6 study 7 indicated 6 study 8 that 6 study 17 decrease 8 that 11 power 8 that 17 decrease 9 the 11 power 10 low 11 power 11 power 12 he 11 power 15 laser 11 power 16 might 12 he 14 ne 14 ne 15 laser 16 might 17 decrease 19 rate 21 telomere 19 rate 22 and 22 and 23 delay 23 delay 25 aging 24 the 25 aging 25 aging 26 of 26 of 27 cells therefore , this study provides the experimental basis for us to further investigate the effect of low power [laser] on cell aging at the gene level . 0 ###LEFT-WALL### 4 study 0 ###LEFT-WALL### 5 provides 0 ###LEFT-WALL### 27 . 1 therefore 2 , 1 therefore 4 study 3 this 4 study 4 study 5 provides 5 provides 8 basis 5 provides 11 to 6 the 8 basis 7 experimental 8 basis 8 basis 9 for 9 for 10 us 11 to 13 investigate 12 further 13 investigate 13 investigate 15 effect 13 investigate 20 on 13 investigate 23 at 14 the 15 effect 15 effect 16 of 16 of 18 power 17 low 18 power 20 on 22 aging 21 cell 22 aging 23 at 26 level 24 the 26 level 25 gene 26 level none complex fluctuations within physiological signals can be used to evaluate the health of the human body . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 9 used 0 ###LEFT-WALL### 18 . 1 none 3 fluctuations 1 none 8 be 1 none 9 used 2 complex 3 fluctuations 3 fluctuations 4 within 3 fluctuations 7 can 4 within 6 signals 5 physiological 6 signals 7 can 8 be 9 used 10 to 9 used 11 evaluate 10 to 11 evaluate 11 evaluate 13 health 12 the 13 health 13 health 14 of 14 of 17 body 15 the 17 body 16 human 17 body this study recruited four groups of subjects : young healthy subjects ( group 1 , n = 32 ) , healthy upper middle - aged subjects ( group 2 , n = 36 ) , subjects with well - controlled type 2 diabetes ( group 3 , n = 31 ) , and subjects with poorly controlled type 2 diabetes ( group 4 , n = 24 ) . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 recruited 0 ###LEFT-WALL### 8 : 0 ###LEFT-WALL### 69 . 1 this 2 study 2 study 3 recruited 3 recruited 5 groups 4 four 5 groups 5 groups 6 of 6 of 7 subjects 8 : 11 subjects 8 : 20 , 9 young 11 subjects 10 healthy 11 subjects 11 subjects 13 group 12 ( 13 group 13 group 17 = 13 group 20 , 14 1 17 = 15 , 17 = 16 n 17 = 17 = 18 32 17 = 19 ) 20 , 23 middle 20 , 24 - 21 healthy 22 upper 22 upper 23 middle 24 - 26 subjects 24 - 53 and 25 aged 26 subjects 26 subjects 28 group 26 subjects 53 and 27 ( 28 group 28 group 29 2 28 group 32 = 28 group 36 subjects 28 group 39 - 30 , 32 = 31 n 32 = 32 = 33 36 32 = 34 ) 35 , 36 subjects 36 subjects 37 with 36 subjects 39 - 37 with 38 well 40 controlled 43 diabetes 40 controlled 53 and 41 type 43 diabetes 42 2 43 diabetes 43 diabetes 45 group 44 ( 45 group 45 group 49 = 45 group 51 ) 46 3 49 = 47 , 49 = 48 n 49 = 49 = 50 31 49 = 51 ) 52 , 53 and 53 and 54 subjects 54 subjects 55 with 54 subjects 60 diabetes 54 subjects 66 = 55 with 58 type 56 poorly 57 controlled 57 controlled 58 type 58 type 59 2 60 diabetes 62 group 61 ( 62 group 62 group 63 4 62 group 64 , 65 n 66 = 66 = 67 24 66 = 68 ) data acquisition for each participant lasted 30 minutes . 0 ###LEFT-WALL### 2 acquisition 0 ###LEFT-WALL### 6 lasted 0 ###LEFT-WALL### 9 . 1 data 2 acquisition 2 acquisition 3 for 2 acquisition 6 lasted 3 for 5 participant 4 each 5 participant 6 lasted 8 minutes 7 30 8 minutes we obtained data related to consecutive time series with r - r interval [(] rri [ )(and pulse transit time ( ptt ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 obtained 0 ###LEFT-WALL### 24 . 1 we 2 obtained 2 obtained 3 data 2 obtained 5 to 3 data 4 related 5 to 7 time 6 consecutive 7 time 7 time 8 series 7 time 19 transit 8 series 9 with 8 series 19 transit 9 with 17 )(and 10 r 11 - 11 - 12 r 11 - 15 rri 13 interval 15 rri 15 rri 17 )(and 17 )(and 18 pulse 19 transit 20 time 20 time 22 ptt 21 ( 22 ptt 22 ptt 23 ) using multiscale cross - approximate entropy ( mce ) , we quantified the complexity between the two series and thereby differentiated the influence of age and diabetes on the complexity of physiological signals . 0 ###LEFT-WALL### 3 cross 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 34 . 1 using 3 cross 2 multiscale 3 cross 4 - 5 approximate 4 - 10 , 5 approximate 6 entropy 6 entropy 8 mce 7 ( 8 mce 8 mce 9 ) 10 , 11 we 10 , 19 and 11 we 19 and 12 quantified 14 complexity 12 quantified 15 between 12 quantified 19 and 13 the 14 complexity 15 between 18 series 16 the 17 two 17 two 18 series 19 and 21 differentiated 20 thereby 21 differentiated 21 differentiated 23 influence 21 differentiated 28 on 22 the 23 influence 23 influence 24 of 24 of 26 and 25 age 26 and 26 and 27 diabetes 28 on 30 complexity 29 the 30 complexity 30 complexity 31 of 31 of 33 signals 32 physiological 33 signals this study used mce in the quantification of complexity between rri and ptt time series . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 used 0 ###LEFT-WALL### 16 . 1 this 2 study 2 study 3 used 3 used 4 mce 3 used 5 in 3 used 10 between 5 in 7 quantification 6 the 7 quantification 7 quantification 8 of 8 of 9 complexity 10 between 12 and 11 rri 12 and 12 and 15 series 13 ptt 15 series 14 time 15 series we observed changes in the influences of age and disease on the coupling effects between the heart and blood vessels in the cardiovascular system , which reduced the complexity between rri and ptt series . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 35 . 1 we 18 and 2 observed 3 changes 2 observed 4 in 2 observed 11 on 2 observed 18 and 4 in 6 influences 5 the 6 influences 6 influences 7 of 7 of 9 and 8 age 9 and 9 and 10 disease 11 on 14 effects 12 the 14 effects 13 coupling 14 effects 14 effects 15 between 15 between 17 heart 16 the 17 heart 18 and 19 blood 19 blood 20 vessels 19 blood 21 in 21 in 24 system 22 the 24 system 23 cardiovascular 24 system 25 , 26 which 25 , 27 reduced 26 which 27 reduced 27 reduced 29 complexity 27 reduced 30 between 28 the 29 complexity 30 between 32 and 31 rri 32 and 32 and 34 series 33 ptt 34 series unlabelled : evaluating the symptomatic progression of mild cognitive impairment ( mci ) caused by alzheimer disease ( ad ) is practically accomplished by tracking performance on cognitive tasks , such as the alzheimer disease assessment scale 's cognitive subscale ( adas_cog ) , the mini - mental status examination ( mmse ) , and the functional activities questionnaire ( faq ) . 0 ###LEFT-WALL### 1 unlabelled 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 63 . 2 : 3 evaluating 2 : 14 caused 2 : 44 , 2 : 47 - 3 evaluating 6 progression 3 evaluating 14 caused 4 the 6 progression 5 symptomatic 6 progression 6 progression 7 of 6 progression 12 mci 7 of 10 impairment 8 mild 10 impairment 9 cognitive 10 impairment 11 ( 12 mci 12 mci 13 ) 14 caused 15 by 14 caused 26 performance 15 by 16 alzheimer 16 alzheimer 17 disease 16 alzheimer 25 tracking 17 disease 19 ad 17 disease 21 is 18 ( 19 ad 19 ad 20 ) 21 is 23 accomplished 22 practically 23 accomplished 23 accomplished 24 by 24 by 25 tracking 26 performance 27 on 27 on 29 tasks 28 cognitive 29 tasks 29 tasks 32 as 30 , 32 as 31 such 32 as 32 as 40 subscale 32 as 44 , 33 the 37 scale 34 alzheimer 35 disease 35 disease 36 assessment 36 assessment 37 scale 37 scale 38 's 38 's 40 subscale 39 cognitive 40 subscale 40 subscale 42 adas_cog 41 ( 42 adas_cog 42 adas_cog 43 ) 44 , 46 mini 45 the 46 mini 47 - 55 and 48 mental 49 status 49 status 50 examination 50 examination 52 mmse 51 ( 52 mmse 52 mmse 53 ) 52 mmse 55 and 54 , 55 and 55 and 61 faq 56 the 61 faq 57 functional 58 activities 58 activities 59 questionnaire 59 questionnaire 61 faq 60 ( 61 faq 61 faq 62 ) the longitudinal relationships between cognitive [decline] and metabolic function as assessed using [(] 18 )f - fdg pet are needed to address both the cognitive and the biologic progression of disease state in individual subjects . 0 ###LEFT-WALL### 3 relationships 0 ###LEFT-WALL### 9 function 0 ###LEFT-WALL### 32 state 0 ###LEFT-WALL### 36 . 1 the 3 relationships 2 longitudinal 3 relationships 3 relationships 4 between 3 relationships 9 function 4 between 7 and 5 cognitive 7 and 7 and 8 metabolic 9 function 10 as 10 as 11 assessed 11 assessed 12 using 11 assessed 18 pet 11 assessed 32 state 12 using 17 fdg 14 18 17 fdg 15 )f 16 - 15 )f 17 fdg 18 pet 19 are 19 are 20 needed 20 needed 21 to 21 to 22 address 22 address 23 both 24 the 25 cognitive 25 cognitive 26 and 26 and 29 progression 26 and 30 of 26 and 32 state 27 the 29 progression 28 biologic 29 progression 30 of 31 disease 32 state 33 in 33 in 35 subjects 34 individual 35 subjects we conducted an exploratory investigation to evaluate longitudinal changes in brain glucose metabolism of individual subjects and their relationship to the subject 's changes of cognitive status . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conducted 0 ###LEFT-WALL### 28 . 1 we 2 conducted 2 conducted 5 investigation 2 conducted 6 to 2 conducted 20 to 3 an 5 investigation 4 exploratory 5 investigation 6 to 7 evaluate 7 evaluate 9 changes 7 evaluate 10 in 8 longitudinal 9 changes 10 in 17 and 11 brain 13 metabolism 12 glucose 13 metabolism 13 metabolism 14 of 13 metabolism 17 and 14 of 16 subjects 15 individual 16 subjects 17 and 19 relationship 18 their 19 relationship 20 to 24 changes 21 the 22 subject 22 subject 23 's 23 's 24 changes 24 changes 25 of 25 of 27 status 26 cognitive 27 status methods : we describe a method to determine correlations in ( 18 )f - fdg spatial distribution over time . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 we 2 : 4 describe 2 : 14 - 2 : 20 . 3 we 4 describe 4 describe 6 method 5 a 6 method 6 method 7 to 6 method 10 in 6 method 13 )f 7 to 8 determine 8 determine 9 correlations 8 determine 10 in 11 ( 13 )f 12 18 13 )f 13 )f 14 - 14 - 17 distribution 15 fdg 17 distribution 16 spatial 17 distribution 17 distribution 18 over 18 over 19 time this parameter is termed the regional ( 18 )f - fdg time correlation coefficient ( rftc ) . 0 ###LEFT-WALL### 2 parameter 0 ###LEFT-WALL### 4 termed 0 ###LEFT-WALL### 18 . 1 this 2 parameter 2 parameter 3 is 3 is 4 termed 4 termed 14 coefficient 5 the 14 coefficient 6 regional 9 )f 6 regional 14 coefficient 7 ( 9 )f 8 18 9 )f 9 )f 10 - 11 fdg 14 coefficient 12 time 14 coefficient 13 correlation 14 coefficient 14 coefficient 16 rftc 15 ( 16 rftc 16 rftc 17 ) by using linear mixed [-] effects models , we determined the difference in the rftc decline rate between controls and subjects at high risk of developing ad , such as individuals with mci or the presence of apolipoprotein e ( apoe ) - ε4 allele . 0 ###LEFT-WALL### 9 we 0 ###LEFT-WALL### 10 determined 0 ###LEFT-WALL### 46 . 1 by 2 using 1 by 8 , 1 by 9 we 2 using 7 models 3 linear 7 models 4 mixed 7 models 6 effects 7 models 9 we 10 determined 10 determined 12 difference 10 determined 13 in 10 determined 18 between 11 the 12 difference 13 in 17 rate 14 the 17 rate 15 rftc 16 decline 16 decline 17 rate 18 between 20 and 19 controls 20 and 20 and 21 subjects 20 and 22 at 20 and 45 allele 22 at 24 risk 23 high 24 risk 24 risk 25 of 24 risk 30 as 25 of 26 developing 26 developing 27 ad 28 , 30 as 29 such 30 as 30 as 34 or 30 as 43 - 31 individuals 32 with 31 individuals 34 or 32 with 33 mci 34 or 36 presence 34 or 43 - 35 the 36 presence 36 presence 37 of 37 of 38 apolipoprotein 38 apolipoprotein 39 e 38 apolipoprotein 41 apoe 40 ( 41 apoe 41 apoe 42 ) 44 ε4 45 allele the association between each subject 's rftc and performance on cognitive tests ( adas_cog , mmse , and faq ) was determined with 2 different correlation methods . 0 ###LEFT-WALL### 2 association 0 ###LEFT-WALL### 22 determined 0 ###LEFT-WALL### 28 . 1 the 2 association 2 association 3 between 2 association 18 and 2 association 21 was 3 between 8 and 4 each 5 subject 5 subject 6 's 6 's 7 rftc 7 rftc 8 and 8 and 9 performance 8 and 10 on 10 on 12 tests 11 cognitive 12 tests 13 ( 18 and 14 adas_cog 16 mmse 15 , 16 mmse 16 mmse 17 , 16 mmse 18 and 18 and 19 faq 18 and 20 ) 21 was 22 determined 22 determined 23 with 23 with 27 methods 24 2 27 methods 25 different 27 methods 26 correlation 27 methods all subject data were downloaded from the alzheimer disease neuroimaging initiative . 0 ###LEFT-WALL### 3 data 0 ###LEFT-WALL### 5 downloaded 0 ###LEFT-WALL### 12 . 1 all 3 data 2 subject 3 data 3 data 4 were 4 were 5 downloaded 5 downloaded 6 from 6 from 11 initiative 7 the 11 initiative 8 alzheimer 9 disease 9 disease 10 neuroimaging 10 neuroimaging 11 initiative results : the rftc values of controls remained fairly constant over time [(] - 0.003 annual change ; 95 % confidence interval , - 0.010 - 0.004 [ )( 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 values 2 : 8 remained 2 : 14 - 3 the 5 values 4 rftc 5 values 5 values 6 of 5 values 8 remained 6 of 7 controls 8 remained 9 fairly 8 remained 10 constant 10 constant 11 over 11 over 12 time 14 - 17 change 14 - 18 ; 14 - 29 )( 15 0.003 17 change 16 annual 17 change 18 ; 22 interval 18 ; 23 , 19 95 20 % 20 % 22 interval 21 confidence 22 interval 23 , 24 - 23 , 26 - 24 - 25 0.010 25 0.010 26 - 26 - 27 0.004 in mci [patients] , the rftc declined faster than in controls by an additional annual change of - 0.02 ( 95 % confidence interval [,] - 0.030 to - 0.010 ) . 0 ###LEFT-WALL### 6 rftc 0 ###LEFT-WALL### 7 declined 0 ###LEFT-WALL### 32 . 1 in 2 mci 1 in 4 , 1 in 6 rftc 5 the 6 rftc 6 rftc 7 declined 7 declined 8 faster 7 declined 9 than 9 than 10 in 10 in 11 controls 11 controls 12 by 11 controls 24 interval 12 by 16 change 13 an 14 additional 13 an 16 change 14 additional 16 change 15 annual 16 change 16 change 17 of 17 of 19 0.02 18 - 19 0.02 20 ( 24 interval 21 95 22 % 22 % 23 confidence 23 confidence 24 interval 24 interval 28 to 24 interval 31 ) 26 - 27 0.030 27 0.030 28 to 28 to 30 0.010 29 - 30 0.010 in mci [patients] , the decline in rftc was associated with cognitive decline [(] adas_cog , p = 0.011 ; faq , p = 0.0016 [;] mmse , p = 0.004 ) . 0 ###LEFT-WALL### 6 decline 0 ###LEFT-WALL### 10 associated 0 ###LEFT-WALL### 20 ; 0 ###LEFT-WALL### 33 . 1 in 2 mci 1 in 4 , 1 in 6 decline 5 the 6 decline 6 decline 7 in 6 decline 9 was 7 in 8 rftc 9 was 10 associated 10 associated 11 with 10 associated 18 = 11 with 15 adas_cog 12 cognitive 13 decline 13 decline 15 adas_cog 16 , 18 = 17 p 18 = 18 = 19 0.011 18 = 20 ; 20 ; 23 p 20 ; 24 = 21 faq 22 , 21 faq 23 p 23 p 24 = 24 = 27 mmse 25 0.0016 27 mmse 27 mmse 30 = 28 , 30 = 29 p 30 = 30 = 31 0.004 30 = 32 ) after a linear effect of time was accounted for , visit - to - visit changes in rftc correlated [with] visit [-] to [-] visit changes in all 3 cognitive tests . 0 ###LEFT-WALL### 11 visit 0 ###LEFT-WALL### 12 - 0 ###LEFT-WALL### 25 visit 0 ###LEFT-WALL### 32 . 1 after 4 effect 1 after 9 for 1 after 11 visit 2 a 3 linear 2 a 4 effect 3 linear 4 effect 4 effect 5 of 4 effect 7 was 5 of 6 time 7 was 9 for 8 accounted 9 for 9 for 10 , 12 - 13 to 12 - 21 visit 13 to 14 - 15 visit 16 changes 16 changes 17 in 16 changes 21 visit 17 in 18 rftc 18 rftc 19 correlated 21 visit 23 to 23 to 25 visit 25 visit 26 changes 25 visit 27 in 27 in 31 tests 28 all 29 3 29 3 31 tests 30 cognitive 31 tests conclusion : longitudinal changes in rftc detect subtle metabolic changes in individuals associated with variations in their cognition . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 4 changes 2 : 7 detect 2 : 19 . 3 longitudinal 4 changes 4 changes 5 in 4 changes 7 detect 5 in 6 rftc 7 detect 10 changes 7 detect 11 in 8 subtle 10 changes 9 metabolic 10 changes 11 in 12 individuals 12 individuals 13 associated 12 individuals 16 in 13 associated 14 with 14 with 15 variations 16 in 18 cognition 17 their 18 cognition this analytic tool may be useful for a patient - based [monitoring] [of] cognitive decline . 0 ###LEFT-WALL### 3 tool 0 ###LEFT-WALL### 5 be 0 ###LEFT-WALL### 16 . 1 this 3 tool 2 analytic 3 tool 3 tool 4 may 4 may 5 be 5 be 6 useful 6 useful 7 for 7 for 15 decline 8 a 9 patient 8 a 15 decline 9 patient 10 - 9 patient 15 decline 11 based 15 decline 14 cognitive 15 decline the trans - golgi [network] ( tgn ) functions as a hub organelle in the exocytosis of clathrin - coated membrane vesicles , and smap2 is an arf gtpase - activating protein that binds to both clathrin and the clathrin assembly protein ( calm ) . 0 ###LEFT-WALL### 2 trans 0 ###LEFT-WALL### 20 coated 0 ###LEFT-WALL### 24 and 1 the 2 trans 2 trans 9 functions 2 trans 20 coated 3 - 9 functions 4 golgi 7 tgn 6 ( 7 tgn 7 tgn 8 ) 7 tgn 9 functions 9 functions 10 as 9 functions 19 - 10 as 12 hub 11 a 12 hub 12 hub 13 organelle 12 hub 17 of 13 organelle 14 in 14 in 16 exocytosis 15 the 16 exocytosis 17 of 18 clathrin 20 coated 22 vesicles 21 membrane 22 vesicles 23 , 24 and 24 and 25 smap2 24 and 26 is 25 smap2 26 is 26 is 29 gtpase 27 an 29 gtpase 28 arf 29 gtpase 29 gtpase 32 protein 30 - 32 protein 31 activating 32 protein 32 protein 33 that 32 protein 34 binds 32 protein 44 calm 32 protein 46 . 33 that 34 binds 34 binds 35 to 35 to 38 and 36 both 38 and 37 clathrin 38 and 38 and 42 protein 39 the 42 protein 40 clathrin 41 assembly 41 assembly 42 protein 43 ( 44 calm 44 calm 45 ) in the present study , smap2 is detected on the tgn in the pachytene spermatocyte to the round spermatid stages of spermatogenesis . 0 ###LEFT-WALL### 6 smap2 0 ###LEFT-WALL### 8 detected 0 ###LEFT-WALL### 23 . 1 in 4 study 1 in 5 , 1 in 6 smap2 2 the 4 study 3 present 4 study 6 smap2 7 is 7 is 8 detected 8 detected 9 on 8 detected 12 in 8 detected 15 spermatocyte 9 on 11 tgn 10 the 11 tgn 12 in 14 pachytene 13 the 14 pachytene 15 spermatocyte 16 to 16 to 20 stages 17 the 20 stages 18 round 20 stages 19 spermatid 20 stages 20 stages 21 of 21 of 22 spermatogenesis gene [targeting] reveals that smap2 [-] deficient male mice are healthy and survive to adulthood but are infertile and exhibit globozoospermia . 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 16 but 0 ###LEFT-WALL### 22 . 1 gene 12 and 3 reveals 4 that 3 reveals 12 and 4 that 9 mice 4 that 10 are 5 smap2 9 mice 7 deficient 8 male 8 male 9 mice 9 mice 10 are 10 are 11 healthy 12 and 13 survive 13 survive 14 to 14 to 15 adulthood 16 but 17 are 16 but 21 globozoospermia 17 are 19 and 17 are 21 globozoospermia 18 infertile 19 and 19 and 20 exhibit in smap2 - deficient spermatids , the diameter of proacrosomal vesicles budding from tgn increases , tgn structures are distorted , acrosome formation is severely impaired , and reorganization of the nucleus does not proceed properly . 0 ###LEFT-WALL### 8 diameter 0 ###LEFT-WALL### 15 increases 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 37 . 1 in 2 smap2 1 in 6 , 1 in 8 diameter 2 smap2 5 spermatids 3 - 5 spermatids 4 deficient 5 spermatids 5 spermatids 6 , 7 the 8 diameter 8 diameter 9 of 8 diameter 15 increases 9 of 11 vesicles 10 proacrosomal 11 vesicles 11 vesicles 12 budding 12 budding 13 from 13 from 14 tgn 16 , 18 structures 16 , 20 distorted 16 , 21 , 17 tgn 18 structures 18 structures 19 are 19 are 20 distorted 21 , 23 formation 21 , 26 impaired 21 , 28 and 22 acrosome 23 formation 23 formation 24 is 24 is 26 impaired 25 severely 26 impaired 27 , 28 and 28 and 29 reorganization 28 and 35 proceed 29 reorganization 30 of 29 reorganization 33 does 30 of 32 nucleus 31 the 32 nucleus 33 does 34 not 33 does 35 proceed 35 proceed 36 properly calm functions to regulate vesicle sizes , and this study shows that calm is not recruited to the tgn in the absence of smap2 . 0 ###LEFT-WALL### 1 calm 0 ###LEFT-WALL### 4 regulate 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 25 . 1 calm 2 functions 2 functions 3 to 3 to 4 regulate 4 regulate 6 sizes 5 vesicle 6 sizes 7 , 8 and 8 and 10 study 8 and 11 shows 9 this 10 study 10 study 11 shows 11 shows 12 that 12 that 13 calm 12 that 14 is 13 calm 14 is 14 is 15 not 14 is 17 to 14 is 20 in 15 not 16 recruited 17 to 19 tgn 18 the 19 tgn 20 in 22 absence 21 the 22 absence 22 absence 23 of 23 of 24 smap2 furthermore , syntaxin2 , a component of the soluble [n] - ethylmaleimide - sensitive factor attachment protein receptor ( snare ) [complex] , is not properly concentrated at the site of acrosome formation . 0 ###LEFT-WALL### 3 syntaxin2 0 ###LEFT-WALL### 27 concentrated 0 ###LEFT-WALL### 34 . 1 furthermore 2 , 1 furthermore 3 syntaxin2 3 syntaxin2 6 component 3 syntaxin2 24 is 4 , 6 component 5 a 6 component 6 component 7 of 6 component 20 snare 6 component 23 , 7 of 18 receptor 8 the 18 receptor 9 soluble 12 ethylmaleimide 9 soluble 15 factor 11 - 12 ethylmaleimide 12 ethylmaleimide 13 - 14 sensitive 15 factor 15 factor 16 attachment 16 attachment 17 protein 17 protein 18 receptor 19 ( 20 snare 20 snare 21 ) 24 is 25 not 24 is 27 concentrated 26 properly 27 concentrated 27 concentrated 28 at 28 at 30 site 29 the 30 site 30 site 31 of 31 of 33 formation 32 acrosome 33 formation thus this study reveals a link between smap2 and calm/syntaxin2 in clathrin - coated vesicle formation from the tgn and subsequent acrosome formation . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 reveals 1 thus 3 study 2 this 3 study 3 study 4 reveals 4 reveals 6 link 4 reveals 7 between 4 reveals 11 in 5 a 6 link 7 between 10 calm/syntaxin2 8 smap2 9 and 9 and 10 calm/syntaxin2 11 in 12 clathrin 12 clathrin 20 and 13 - 20 and 14 coated 15 vesicle 15 vesicle 16 formation 16 formation 17 from 16 formation 20 and 17 from 19 tgn 18 the 19 tgn 20 and 23 formation 20 and 24 . 21 subsequent 22 acrosome 22 acrosome 23 formation smap2 - deficient mice provide a model for globozoospermia in humans . 0 ###LEFT-WALL### 4 mice 0 ###LEFT-WALL### 5 provide 0 ###LEFT-WALL### 12 . 1 smap2 2 - 1 smap2 4 mice 3 deficient 4 mice 4 mice 5 provide 5 provide 7 model 5 provide 10 in 6 a 7 model 7 model 8 for 8 for 9 globozoospermia 10 in 11 humans context : vitamin d is known to influence muscle health . 0 ###LEFT-WALL### 1 context 0 ###LEFT-WALL### 2 : 2 : 3 vitamin 2 : 6 known 2 : 11 . 3 vitamin 4 d 3 vitamin 5 is 5 is 6 known 6 known 7 to 6 known 8 influence 7 to 8 influence 8 influence 10 health 9 muscle 10 health a reduction in muscle [mass] increases the risk of functional limitations among older individuals . 0 ###LEFT-WALL### 2 reduction 0 ###LEFT-WALL### 6 increases 0 ###LEFT-WALL### 15 . 1 a 2 reduction 2 reduction 3 in 2 reduction 6 increases 3 in 4 muscle 6 increases 8 risk 6 increases 12 among 7 the 8 risk 8 risk 9 of 9 of 11 limitations 10 functional 11 limitations 12 among 14 individuals 13 older 14 individuals objective : the aim of this study was to examine the relationship between vitamin d status and functional limitations . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 1 objective 2 : 2 : 4 aim 3 the 4 aim 4 aim 5 of 4 aim 7 study 4 aim 10 examine 5 of 6 this 7 study 8 was 8 was 9 to 8 was 10 examine 9 to 10 examine 10 examine 12 relationship 10 examine 13 between 11 the 12 relationship 13 between 17 and 14 vitamin 15 d 14 vitamin 16 status 16 status 17 and 17 and 19 limitations 18 functional 19 limitations design , setting , and participants : two independent cohorts of the longitudinal aging study amsterdam were used . 0 ###LEFT-WALL### 6 participants 0 ###LEFT-WALL### 7 : 1 design 3 setting 2 , 3 setting 3 setting 4 , 3 setting 5 and 5 and 6 participants 7 : 10 cohorts 7 : 18 used 7 : 19 . 8 two 10 cohorts 9 independent 10 cohorts 10 cohorts 11 of 10 cohorts 17 were 11 of 16 amsterdam 12 the 16 amsterdam 13 longitudinal 14 aging 14 aging 15 study 15 study 16 amsterdam 17 were 18 used participants were aged 65 to 88 years [(] older [cohort] , n = 1237 ; baseline 1995 [ )(and 55 to 65 years [(] younger cohort , n = 725 ; [baseline] 2002 [ )( 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 3 aged 0 ###LEFT-WALL### 15 ; 0 ###LEFT-WALL### 35 )( 1 participants 2 were 2 were 3 aged 3 aged 5 to 3 aged 9 older 4 65 5 to 5 to 6 88 6 88 7 years 7 years 9 older 9 older 13 = 11 , 13 = 12 n 13 = 13 = 14 1237 15 ; 19 )(and 15 ; 31 ; 16 baseline 17 1995 16 baseline 19 )(and 19 )(and 26 cohort 19 )(and 29 = 20 55 21 to 21 to 22 65 21 to 23 years 23 years 25 younger 25 younger 26 cohort 27 , 29 = 28 n 29 = 29 = 30 725 31 ; 33 2002 main outcome measures : questions on the ability and degree of difficulty to perform 6 functions of daily life were asked . 0 ###LEFT-WALL### 3 measures 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 21 asked 0 ###LEFT-WALL### 22 . 1 main 2 outcome 2 outcome 3 measures 3 measures 4 : 4 : 5 questions 5 questions 6 on 5 questions 11 of 6 on 9 and 7 the 8 ability 8 ability 9 and 9 and 10 degree 11 of 12 difficulty 12 difficulty 13 to 12 difficulty 21 asked 13 to 14 perform 14 perform 15 6 16 functions 17 of 16 functions 20 were 17 of 19 life 18 daily 19 life 20 were 21 asked results : of the participants , 56 % in the older cohort [and] 30 % in the younger cohort had ≥1 limitation . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 23 . 1 results 2 : 2 : 3 of 3 of 5 participants 4 the 5 participants 6 , 8 % 6 , 21 ≥1 7 56 8 % 8 % 9 in 8 % 21 ≥1 9 in 12 cohort 10 the 12 cohort 11 older 12 cohort 12 cohort 15 % 12 cohort 20 had 14 30 15 % 15 % 16 in 15 % 20 had 16 in 19 cohort 17 the 19 cohort 18 younger 19 cohort 21 ≥1 22 limitation vitamin d [deficiency] ( 25 - hydroxyvitamin d level of < 20 ng/ml [ )(compared with the value in the reference group ( >30 [ng/ml] ) [was] related to the presence of functional limitations at baseline [(] odds ratio [ or ] = 1.7 [;] 95 % confidence interval [ ci []] , 1.2 - 2.5 and [or] = 2.2 [;] [95] % ci 1.3 - 3.7 for the older and younger cohorts [,] [respectively] [ )( 1 vitamin 2 d 1 vitamin 6 - 1 vitamin 9 level 4 ( 6 - 5 25 6 - 6 - 7 hydroxyvitamin 7 hydroxyvitamin 8 d 9 level 10 of 9 level 15 )(compared 10 of 13 ng/ml 11 < 12 20 12 20 13 ng/ml 15 )(compared 16 with 16 with 18 value 17 the 18 value 18 value 19 in 18 value 28 related 19 in 22 group 20 the 22 group 21 reference 22 group 22 group 24 >30 23 ( 24 >30 24 >30 26 ) 28 related 29 to 28 related 35 at 29 to 31 presence 30 the 31 presence 31 presence 32 of 32 of 34 limitations 33 functional 34 limitations 35 at 36 baseline 36 baseline 39 ratio 36 baseline 43 = 38 odds 39 ratio 39 ratio 41 or 39 ratio 43 = 40 [ 41 or 41 or 42 ] 43 = 55 - 44 1.7 48 confidence 46 95 47 % 47 % 48 confidence 48 confidence 49 interval 49 interval 51 ci 50 [ 51 ci 51 ci 53 , 53 , 55 - 54 1.2 55 - 55 - 64 ci 56 2.5 57 and 57 and 60 2.2 57 and 64 ci 59 = 60 2.2 63 % 64 ci 64 ci 65 1.3 64 ci 67 3.7 66 - 67 3.7 67 3.7 68 for 67 3.7 77 )( 68 for 73 cohorts 69 the 73 cohorts 70 older 71 and 71 and 72 younger 71 and 73 cohorts in the older cohort , vitamin d deficiency was associated with an increase in limitations at 3 years [(] or = 2.0 [;] 95 % ci , 1.1 - 3.5 ) , whereas vitamin d deficiency in the younger cohort was associated with an increase in limitations at 6 years ( or [=] 3.3 [;] 95 % ci , 1.1 - 10.1 ) . 0 ###LEFT-WALL### 8 deficiency 0 ###LEFT-WALL### 10 associated 1 in 4 cohort 1 in 5 , 1 in 8 deficiency 2 the 4 cohort 3 older 4 cohort 6 vitamin 7 d 6 vitamin 8 deficiency 8 deficiency 9 was 9 was 10 associated 10 associated 11 with 10 associated 16 at 11 with 13 increase 11 with 14 in 12 an 13 increase 14 in 15 limitations 16 at 18 years 17 3 18 years 18 years 20 or 18 years 21 = 20 or 21 = 21 = 26 ci 21 = 33 whereas 22 2.0 26 ci 24 95 26 ci 25 % 26 ci 26 ci 28 1.1 27 , 28 1.1 28 1.1 30 3.5 28 1.1 32 , 29 - 30 3.5 30 3.5 31 ) 33 whereas 36 deficiency 33 whereas 42 associated 34 vitamin 35 d 34 vitamin 36 deficiency 36 deficiency 37 in 36 deficiency 41 was 37 in 40 cohort 38 the 40 cohort 39 younger 40 cohort 41 was 42 associated 42 associated 43 with 42 associated 46 in 42 associated 48 at 43 with 45 increase 44 an 45 increase 46 in 47 limitations 48 at 49 6 49 6 60 1.1 50 years 58 ci 51 ( 58 ci 52 or 58 ci 54 3.3 58 ci 56 95 58 ci 57 % 58 ci 58 ci 59 , 59 , 60 1.1 60 1.1 62 10.1 60 1.1 64 . 61 - 62 10.1 62 10.1 63 ) analyses were adjusted for confounders . 0 ###LEFT-WALL### 1 analyses 0 ###LEFT-WALL### 3 adjusted 0 ###LEFT-WALL### 6 . 1 analyses 2 were 2 were 3 adjusted 3 adjusted 4 for 4 for 5 confounders conclusion : vitamin d status is associated with functional limitations cross [-] sectionally and longitudinally in individuals aged 55 to 65 years and those 65 years and older . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 5 status 2 : 7 associated 2 : 29 . 3 vitamin 4 d 3 vitamin 5 status 5 status 6 is 6 is 7 associated 7 associated 8 with 7 associated 14 and 7 associated 16 in 7 associated 18 aged 8 with 10 limitations 9 functional 10 limitations 11 cross 13 sectionally 13 sectionally 14 and 14 and 15 longitudinally 16 in 17 individuals 18 aged 20 to 18 aged 27 and 19 55 20 to 20 to 21 65 22 years 23 and 23 and 26 years 23 and 27 and 24 those 26 years 25 65 26 years 27 and 28 older the possible association of vitamin d with functional limitations is present after a shorter [follow] - up time in the oldest age group compared with the younger age group . 0 ###LEFT-WALL### 3 association 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 30 . 1 the 3 association 2 possible 3 association 3 association 4 of 3 association 10 is 4 of 5 vitamin 5 vitamin 6 d 5 vitamin 7 with 7 with 9 limitations 8 functional 9 limitations 10 is 11 present 11 present 12 after 11 present 19 in 12 after 18 time 13 a 18 time 14 shorter 16 - 14 shorter 18 time 17 up 18 time 19 in 23 group 20 the 21 oldest 20 the 23 group 22 age 23 group 23 group 24 compared 24 compared 25 with 25 with 29 group 26 the 29 group 27 younger 28 age 28 age 29 group leber hereditary optic neuropathy is a well - known mitochondrial disorder that leads to bilateral subacute visual failure . 0 ###LEFT-WALL### 4 neuropathy 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 19 . 1 leber 4 neuropathy 2 hereditary 4 neuropathy 3 optic 4 neuropathy 4 neuropathy 5 is 5 is 7 well 6 a 7 well 8 - 11 disorder 9 known 11 disorder 10 mitochondrial 11 disorder 11 disorder 12 that 11 disorder 13 leads 12 that 13 leads 13 leads 14 to 14 to 18 failure 15 bilateral 18 failure 16 subacute 18 failure 17 visual 18 failure although visual impairment is often the sole clinical feature , additional and severe neurologic abnormalities also have been documented for this disease . 0 ###LEFT-WALL### 15 abnormalities 0 ###LEFT-WALL### 19 documented 0 ###LEFT-WALL### 23 . 1 although 3 impairment 1 although 4 is 1 although 10 , 1 although 15 abnormalities 2 visual 3 impairment 3 impairment 4 is 4 is 5 often 4 is 9 feature 6 the 7 sole 6 the 9 feature 8 clinical 9 feature 11 additional 12 and 12 and 13 severe 12 and 15 abnormalities 14 neurologic 15 abnormalities 15 abnormalities 17 have 16 also 17 have 17 have 18 been 18 been 19 documented 19 documented 20 for 20 for 22 disease 21 this 22 disease we report on a 13 [-] year [-] old boy who has presented with severe visual failure since early childhood in a context of prematurity . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 report 0 ###LEFT-WALL### 26 . 1 we 2 report 2 report 3 on 3 on 10 boy 4 a 10 boy 5 13 7 year 7 year 10 boy 9 old 10 boy 10 boy 11 who 10 boy 12 has 10 boy 24 of 11 who 12 has 12 has 13 presented 13 presented 14 with 13 presented 18 since 13 presented 20 childhood 14 with 17 failure 15 severe 17 failure 16 visual 17 failure 19 early 20 childhood 20 childhood 21 in 21 in 23 context 22 a 23 context 24 of 25 prematurity in the first years of his life , clinical features included delayed psychomotor development and ataxia . 0 ###LEFT-WALL### 10 features 0 ###LEFT-WALL### 12 delayed 0 ###LEFT-WALL### 17 . 1 in 4 years 1 in 10 features 2 the 3 first 2 the 4 years 5 of 7 life 5 of 8 , 5 of 10 features 6 his 7 life 9 clinical 10 features 10 features 11 included 10 features 12 delayed 12 delayed 15 and 13 psychomotor 14 development 14 development 15 and 15 and 16 ataxia the clinical presentation , which was initially attributed to prematurity , worsened thereafter , and the child developed acute neurologic degradation with the typical radiological findings of leigh [syndrome] . 0 ###LEFT-WALL### 3 presentation 0 ###LEFT-WALL### 12 worsened 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 30 . 1 the 3 presentation 2 clinical 3 presentation 3 presentation 5 which 3 presentation 12 worsened 4 , 5 which 5 which 6 was 5 which 11 , 6 was 8 attributed 7 initially 8 attributed 8 attributed 9 to 9 to 10 prematurity 12 worsened 13 thereafter 14 , 15 and 15 and 17 child 15 and 18 developed 16 the 17 child 17 child 18 developed 18 developed 21 degradation 18 developed 22 with 19 acute 21 degradation 20 neurologic 21 degradation 22 with 26 findings 23 the 26 findings 24 typical 26 findings 25 radiological 26 findings 26 findings 27 of 27 of 28 leigh the mitochondrial dna point mutation 11778g>a was identified in the nd4 gene . 0 ###LEFT-WALL### 6 11778g>a 0 ###LEFT-WALL### 8 identified 0 ###LEFT-WALL### 13 . 1 the 6 11778g>a 2 mitochondrial 6 11778g>a 3 dna 6 11778g>a 4 point 6 11778g>a 5 mutation 6 11778g>a 6 11778g>a 7 was 7 was 8 identified 8 identified 9 in 9 in 12 gene 10 the 12 gene 11 nd4 12 gene the probable influence of environmental background [on] clinical expression of leber optic neuropathy , particularly those of prematurity and oxygen therapy , is discussed in our manuscript . 0 ###LEFT-WALL### 3 influence 0 ###LEFT-WALL### 24 discussed 0 ###LEFT-WALL### 28 . 1 the 3 influence 2 probable 3 influence 3 influence 4 of 3 influence 23 is 4 of 9 expression 5 environmental 6 background 6 background 9 expression 8 clinical 9 expression 9 expression 10 of 10 of 13 neuropathy 11 leber 13 neuropathy 12 optic 13 neuropathy 13 neuropathy 19 and 14 , 15 particularly 14 , 19 and 16 those 17 of 16 those 19 and 17 of 18 prematurity 19 and 21 therapy 19 and 22 , 20 oxygen 21 therapy 23 is 24 discussed 24 discussed 25 in 25 in 27 manuscript 26 our 27 manuscript with the smooth move towards the coming expected clinical reports of anticancer pharmaceutical molecules targeting telomeres and telomerase , [and] also with the exciting success in the extension of lifespan by regulating telomerase activity without increased onset of oncogenesis in laboratory mouse models ( garcia - cao et al . [,] [2006] [;] jaskelioff et al . , 2011 ) , [we] [are] convinced that targeting telomeres based on telomerase will be a potential approach to conquer both aging and cancer and the idea of longevity [seems] to be no more mysterious . 0 ###LEFT-WALL### 4 move 1 with 3 smooth 1 with 4 move 2 the 3 smooth 4 move 5 towards 5 towards 10 reports 6 the 10 reports 7 coming 10 reports 8 expected 10 reports 9 clinical 10 reports 10 reports 11 of 11 of 14 molecules 12 anticancer 14 molecules 13 pharmaceutical 14 molecules 14 molecules 15 targeting 15 targeting 17 and 15 targeting 21 also 15 targeting 22 with 16 telomeres 17 and 17 and 18 telomerase 17 and 19 , 22 with 25 success 23 the 25 success 24 exciting 25 success 25 success 26 in 26 in 28 extension 27 the 28 extension 28 extension 29 of 29 of 30 lifespan 30 lifespan 31 by 30 lifespan 38 of 31 by 32 regulating 32 regulating 34 activity 33 telomerase 34 activity 34 activity 35 without 35 without 37 onset 36 increased 37 onset 38 of 39 oncogenesis 39 oncogenesis 40 in 39 oncogenesis 46 - 40 in 41 laboratory 41 laboratory 42 mouse 41 laboratory 43 models 42 mouse 43 models 44 ( 46 - 45 garcia 46 - 46 - 56 al 47 cao 49 al 48 et 49 al 49 al 50 . 49 al 54 jaskelioff 54 jaskelioff 56 al 55 et 56 al 56 al 57 . 56 al 59 2011 56 al 64 convinced 58 , 59 2011 59 2011 60 ) 61 , 64 convinced 64 convinced 65 that 65 that 66 targeting 65 that 72 be 66 targeting 67 telomeres 66 targeting 71 will 67 telomeres 68 based 68 based 69 on 69 on 70 telomerase 71 will 72 be 72 be 75 approach 72 be 76 to 73 a 75 approach 74 potential 75 approach 76 to 77 conquer 77 conquer 82 and 78 both 82 and 79 aging 80 and 80 and 81 cancer 80 and 82 and 82 and 84 idea 82 and 93 . 83 the 84 idea 84 idea 85 of 85 of 86 longevity 86 longevity 88 to 86 longevity 89 be 88 to 89 be 89 be 91 more 89 be 92 mysterious 90 no 91 more more interestingly , emerging evidences from clinical research [reveal] that [other] telomeric factors , like specific telomeric binding proteins and nonspecific telomere associated proteins also show crucial importance in aging and oncogenesis . 0 ###LEFT-WALL### 4 emerging 0 ###LEFT-WALL### 5 evidences 0 ###LEFT-WALL### 14 , 0 ###LEFT-WALL### 33 . 1 more 2 interestingly 2 interestingly 3 , 2 interestingly 4 emerging 4 emerging 5 evidences 5 evidences 6 from 5 evidences 13 factors 6 from 8 research 7 clinical 8 research 10 that 12 telomeric 12 telomeric 13 factors 14 , 15 like 14 , 20 and 15 like 19 proteins 16 specific 19 proteins 17 telomeric 19 proteins 18 binding 19 proteins 20 and 24 proteins 20 and 26 show 21 nonspecific 22 telomere 22 telomere 24 proteins 23 associated 24 proteins 24 proteins 26 show 25 also 26 show 26 show 31 and 27 crucial 28 importance 28 importance 29 in 28 importance 31 and 29 in 30 aging 31 and 32 oncogenesis this stems from their roles in the stability of telomere structure and in the inhibition of dna damage [response] at telomeres . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 stems 0 ###LEFT-WALL### 22 . 1 this 2 stems 2 stems 3 from 2 stems 20 at 3 from 5 roles 4 their 5 roles 5 roles 12 and 6 in 8 stability 6 in 12 and 7 the 8 stability 8 stability 9 of 9 of 11 structure 10 telomere 11 structure 12 and 13 in 13 in 15 inhibition 14 the 15 inhibition 15 inhibition 16 of 16 of 18 damage 17 dna 18 damage 20 at 21 telomeres uncapping these proteins from chromosome ends leads to dramatic telomere loss and telomere dysfunction which is more abrupt than those induced by telomerase inactivation . 0 ###LEFT-WALL### 1 uncapping 0 ###LEFT-WALL### 7 leads 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 25 . 1 uncapping 3 proteins 1 uncapping 4 from 1 uncapping 7 leads 2 these 3 proteins 4 from 6 ends 5 chromosome 6 ends 7 leads 8 to 8 to 11 loss 9 dramatic 11 loss 10 telomere 11 loss 12 and 14 dysfunction 12 and 21 induced 13 telomere 14 dysfunction 14 dysfunction 15 which 14 dysfunction 16 is 14 dysfunction 21 induced 15 which 16 is 16 is 18 abrupt 17 more 18 abrupt 18 abrupt 19 than 19 than 20 those 21 induced 22 by 21 induced 24 inactivation 22 by 23 telomerase abnormal expression of these factors results in developmental failure , aging and even oncogenesis evidenced by several experimental models and clinical cases , indicating telomere specific proteins and its associated proteins have complimentary roles to telomerase in telomere protection and controlling cellular fate . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 44 . 1 abnormal 2 expression 2 expression 3 of 2 expression 7 in 2 expression 10 , 3 of 6 results 4 these 6 results 5 factors 6 results 7 in 9 failure 8 developmental 9 failure 10 , 11 aging 10 , 12 and 12 and 14 oncogenesis 12 and 20 and 13 even 14 oncogenesis 14 oncogenesis 15 evidenced 15 evidenced 16 by 16 by 19 models 17 several 19 models 18 experimental 19 models 20 and 22 cases 20 and 23 , 20 and 24 indicating 21 clinical 22 cases 24 indicating 28 and 24 indicating 32 have 25 telomere 27 proteins 26 specific 27 proteins 27 proteins 28 and 28 and 31 proteins 28 and 32 have 29 its 31 proteins 30 associated 31 proteins 32 have 34 roles 32 have 37 in 33 complimentary 34 roles 34 roles 35 to 35 to 36 telomerase 37 in 40 and 38 telomere 39 protection 39 protection 40 and 40 and 43 fate 41 controlling 43 fate 42 cellular 43 fate thus , these telomeric factors might be potential clinical biomarkers for early detection or even therapeutic targets of aging and cancer . 0 ###LEFT-WALL### 5 factors 0 ###LEFT-WALL### 14 or 0 ###LEFT-WALL### 22 . 1 thus 2 , 1 thus 5 factors 3 these 5 factors 4 telomeric 5 factors 5 factors 14 or 6 might 7 be 6 might 14 or 7 be 10 biomarkers 8 potential 10 biomarkers 9 clinical 10 biomarkers 10 biomarkers 11 for 11 for 13 detection 12 early 13 detection 14 or 15 even 15 even 20 and 16 therapeutic 17 targets 17 targets 18 of 17 targets 20 and 18 of 19 aging 20 and 21 cancer future studies to elucidate [how] these proteins function in telomere protection might benefit patients suffering aging or [cancer] who are not sensitive to telomerase mediation . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 8 function 0 ###LEFT-WALL### 17 or 0 ###LEFT-WALL### 26 . 1 future 2 studies 2 studies 3 to 2 studies 4 elucidate 2 studies 8 function 3 to 4 elucidate 4 elucidate 7 proteins 6 these 7 proteins 8 function 9 in 9 in 10 telomere 10 telomere 11 protection 10 telomere 16 aging 11 protection 12 might 12 might 13 benefit 13 benefit 14 patients 14 patients 15 suffering 14 patients 16 aging 17 or 19 who 17 or 20 are 19 who 20 are 20 are 21 not 20 are 22 sensitive 21 not 22 sensitive 22 sensitive 23 to 23 to 25 mediation 24 telomerase 25 mediation objective : to determine the feasibility of recruitment [and] retention of healthy older adults and the effectiveness of an intervention designed to manage age - related executive changes . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 29 . 2 : 3 to 2 : 4 determine 2 : 26 related 3 to 4 determine 4 determine 15 and 5 the 15 and 6 feasibility 7 of 6 feasibility 15 and 7 of 10 retention 8 recruitment 10 retention 10 retention 11 of 11 of 14 adults 12 healthy 14 adults 13 older 14 adults 15 and 17 effectiveness 15 and 18 of 16 the 17 effectiveness 18 of 20 intervention 19 an 20 intervention 20 intervention 21 designed 21 designed 22 to 22 to 23 manage 23 manage 24 age 25 - 26 related 26 related 28 changes 27 executive 28 changes design : a pilot randomized controlled trial . 0 ###LEFT-WALL### 1 design 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 8 . 1 design 2 : 2 : 7 trial 3 a 7 trial 4 pilot 5 randomized 5 randomized 7 trial 6 controlled 7 trial setting : research centre [and] participants ' homes . 0 ###LEFT-WALL### 1 setting 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 . 1 setting 2 : 2 : 8 homes 3 research 6 participants 4 centre 6 participants 6 participants 7 ' 7 ' 8 homes participants : nineteen healthy , community dwelling older adults with complaints of cognitive difficulties and everyday problems , but no evidence of mild cognitive impairment , dementia or depression on objective testing . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 1 participants 2 : 2 : 9 adults 2 : 10 with 2 : 30 on 3 nineteen 9 adults 4 healthy 5 , 4 healthy 9 adults 6 community 7 dwelling 7 dwelling 9 adults 8 older 9 adults 10 with 15 and 10 with 19 but 11 complaints 12 of 11 complaints 15 and 12 of 14 difficulties 13 cognitive 14 difficulties 15 and 17 problems 15 and 18 , 16 everyday 17 problems 19 but 28 or 20 no 21 evidence 21 evidence 22 of 21 evidence 26 , 22 of 25 impairment 23 mild 25 impairment 24 cognitive 25 impairment 26 , 27 dementia 26 , 28 or 28 or 29 depression 30 on 32 testing 31 objective 32 testing interventions : seventeen hours of group and individual training . 0 ###LEFT-WALL### 1 interventions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 . 2 : 4 hours 3 seventeen 4 hours 4 hours 5 of 5 of 7 and 6 group 7 and 7 and 9 training 8 individual 9 training participants in the experimental arm received education about self [-] management , successful aging and an occupation - based meta - cognitive strategy - training program . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 26 program 0 ###LEFT-WALL### 27 . 1 participants 2 in 1 participants 26 program 2 in 5 arm 3 the 5 arm 4 experimental 5 arm 5 arm 6 received 5 arm 7 education 5 arm 19 based 7 education 8 about 7 education 15 and 7 education 19 based 8 about 11 management 9 self 11 management 12 , 15 and 13 successful 14 aging 13 successful 15 and 15 and 17 occupation 15 and 18 - 16 an 17 occupation 19 based 25 training 20 meta 23 strategy 20 meta 25 training 21 - 23 strategy 22 cognitive 23 strategy 23 strategy 24 - participants in the control arm received education about brain health and participated in cognitively stimulating exercises . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 17 . 1 participants 2 in 1 participants 11 and 2 in 5 arm 3 the 5 arm 4 control 5 arm 6 received 7 education 6 received 8 about 6 received 11 and 8 about 10 health 9 brain 10 health 11 and 12 participated 11 and 13 in 13 in 15 stimulating 14 cognitively 15 stimulating 15 stimulating 16 exercises main measures : changes on untrained , everyday life goals were identified using the canadian occupational performance measure . 0 ###LEFT-WALL### 2 measures 0 ###LEFT-WALL### 3 : 1 main 2 measures 3 : 4 changes 3 : 12 identified 3 : 19 . 4 changes 5 on 4 changes 11 were 5 on 10 goals 6 untrained 7 , 6 untrained 9 life 8 everyday 9 life 9 life 10 goals 11 were 12 identified 12 identified 13 using 13 using 18 measure 14 the 15 canadian 15 canadian 18 measure 16 occupational 17 performance 17 performance 18 measure generalization of benefits was measured using the stanford chronic disease questionnaire , general self - efficacy and changes in executive [function] ( delis - kaplan executive function system tower test , word fluency and trail - making test ) . 0 ###LEFT-WALL### 1 generalization 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 12 , 0 ###LEFT-WALL### 40 . 1 generalization 2 of 1 generalization 4 was 2 of 3 benefits 4 was 5 measured 5 measured 6 using 6 using 11 questionnaire 7 the 11 questionnaire 8 stanford 9 chronic 9 chronic 10 disease 10 disease 11 questionnaire 12 , 14 self 12 , 15 - 13 general 14 self 15 - 17 and 16 efficacy 17 and 17 and 18 changes 17 and 19 in 19 in 34 and 20 executive 23 delis 20 executive 30 test 22 ( 23 delis 23 delis 24 - 25 kaplan 26 executive 26 executive 27 function 27 function 28 system 28 system 29 tower 29 tower 30 test 30 test 31 , 31 , 33 fluency 31 , 34 and 32 word 33 fluency 34 and 35 trail 34 and 37 making 36 - 37 making 37 making 38 test 37 making 39 ) results : 20 % ( 19/96 [ )(of healthy older adults approached [were] eligible , consented and were enrolled in the study , 90 % ( 17/19 ) were retained to three [-] month follow - up . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 % 2 : 17 and 2 : 23 , 3 20 4 % 4 % 6 19/96 4 % 17 and 5 ( 6 19/96 6 19/96 8 )(of 6 19/96 14 eligible 6 19/96 15 , 8 )(of 11 adults 9 healthy 11 adults 10 older 11 adults 11 adults 12 approached 16 consented 17 and 17 and 18 were 17 and 20 in 18 were 19 enrolled 20 in 22 study 21 the 22 study 23 , 34 month 23 , 35 follow 24 90 25 % 24 90 31 to 25 % 27 17/19 25 % 29 were 26 ( 27 17/19 27 17/19 28 ) 29 were 30 retained 31 to 32 three 31 to 34 month 34 month 35 follow 35 follow 37 up 36 - 37 up 37 up 38 . participants in the experimental arm reported significantly more improvement on untrained goals ( 11/22 compared with 9/46 , χ ( 2 )=4.92 , p<0.05 ) , maintenance of physical activity ( p<0.05 ) and better preparation for doctors ' visits ( p<0.05 ) relative to the control group . 0 ###LEFT-WALL### 1 participants 0 ###LEFT-WALL### 6 reported 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 49 . 1 participants 2 in 1 participants 6 reported 2 in 5 arm 3 the 5 arm 4 experimental 5 arm 6 reported 9 improvement 6 reported 10 on 7 significantly 8 more 8 more 9 improvement 10 on 12 goals 11 untrained 12 goals 12 goals 14 11/22 13 ( 14 11/22 14 11/22 15 compared 14 11/22 16 with 14 11/22 25 ) 16 with 17 9/46 17 9/46 19 χ 17 9/46 24 p<0.05 18 , 19 χ 19 χ 22 )=4.92 19 χ 23 , 20 ( 22 )=4.92 21 2 22 )=4.92 22 )=4.92 23 , 23 , 24 p<0.05 24 p<0.05 25 ) 26 , 34 and 26 , 48 group 27 maintenance 28 of 27 maintenance 34 and 28 of 30 activity 29 physical 30 activity 30 activity 32 p<0.05 31 ( 32 p<0.05 32 p<0.05 33 ) 34 and 36 preparation 34 and 44 relative 34 and 48 group 35 better 36 preparation 36 preparation 37 for 37 for 40 visits 38 doctors 39 ' 39 ' 40 visits 40 visits 42 p<0.05 41 ( 42 p<0.05 42 p<0.05 43 ) 44 relative 45 to 45 to 47 control 46 the 47 control there were no significant [between] group differences on objective measures of executive [function] . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 14 . 1 there 2 were 2 were 7 differences 3 no 7 differences 4 significant 6 group 6 group 7 differences 7 differences 8 on 8 on 10 measures 9 objective 10 measures 10 measures 11 of 11 of 12 executive conclusions : these data support the feasibility of a larger trial where a sample of 72 ( 36 participants in each arm ) would be required [to] [confirm] or refute these findings . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 data 2 : 29 or 2 : 33 . 3 these 4 data 4 data 29 or 5 support 7 feasibility 5 support 12 where 5 support 29 or 6 the 7 feasibility 7 feasibility 8 of 8 of 11 trial 9 a 11 trial 10 larger 11 trial 12 where 14 sample 12 where 26 required 13 a 14 sample 14 sample 15 of 14 sample 19 participants 14 sample 24 would 15 of 16 72 17 ( 19 participants 18 36 19 participants 19 participants 20 in 19 participants 23 ) 20 in 22 arm 21 each 22 arm 24 would 25 be 25 be 26 required 29 or 30 refute 30 refute 32 findings 31 these 32 findings the aging population has resulted in an increasing need for long - term enteral nutrition of patients with a wide range of disabling conditions . 0 ###LEFT-WALL### 3 population 0 ###LEFT-WALL### 5 resulted 0 ###LEFT-WALL### 25 . 1 the 3 population 2 aging 3 population 3 population 4 has 4 has 5 resulted 5 resulted 6 in 5 resulted 18 with 6 in 9 need 7 an 9 need 8 increasing 9 need 9 need 10 for 9 need 16 of 10 for 15 nutrition 11 long 12 - 11 long 13 term 13 term 15 nutrition 14 enteral 15 nutrition 16 of 17 patients 18 with 21 range 19 a 20 wide 19 a 21 range 20 wide 21 range 21 range 22 of 22 of 23 disabling 23 disabling 24 conditions percutaneous endoscopic gastrostomy is one of the applicable methods for long - term enteral nutrition support . 0 ###LEFT-WALL### 3 gastrostomy 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 17 . 1 percutaneous 3 gastrostomy 2 endoscopic 3 gastrostomy 3 gastrostomy 4 is 4 is 5 one 5 one 6 of 6 of 9 methods 7 the 9 methods 8 applicable 9 methods 9 methods 10 for 10 for 16 support 11 long 12 - 11 long 13 term 13 term 16 support 14 enteral 15 nutrition 15 nutrition 16 support the buried bumper syndrome is a rarely encountered [but] grave complication of percutaneous endoscopic gastrostomy . 0 ###LEFT-WALL### 4 syndrome 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 16 . 1 the 4 syndrome 2 buried 3 bumper 3 bumper 4 syndrome 4 syndrome 5 is 5 is 11 complication 6 a 11 complication 7 rarely 8 encountered 8 encountered 11 complication 10 grave 11 complication 11 complication 12 of 12 of 15 gastrostomy 13 percutaneous 15 gastrostomy 14 endoscopic 15 gastrostomy various internal and external methods have been described for the removal of the buried bumper . 0 ###LEFT-WALL### 5 methods 0 ###LEFT-WALL### 8 described 0 ###LEFT-WALL### 16 . 1 various 5 methods 2 internal 3 and 3 and 4 external 3 and 5 methods 5 methods 6 have 6 have 7 been 7 been 8 described 8 described 9 for 9 for 11 removal 10 the 11 removal 11 removal 12 of 12 of 15 bumper 13 the 15 bumper 14 buried 15 bumper removing the percutaneous endoscopic gastrostomy tube by external traction without an abdominal incision can resolve this problem efficiently , especially in cases in [whom] retrieval - type percutaneous endoscopic gastrostomy tubes have been used . 0 ###LEFT-WALL### 1 removing 0 ###LEFT-WALL### 15 resolve 0 ###LEFT-WALL### 26 - 0 ###LEFT-WALL### 35 . 1 removing 6 tube 1 removing 7 by 1 removing 10 without 1 removing 14 can 2 the 6 tube 3 percutaneous 6 tube 4 endoscopic 6 tube 5 gastrostomy 6 tube 7 by 9 traction 8 external 9 traction 10 without 13 incision 11 an 12 abdominal 11 an 13 incision 12 abdominal 13 incision 14 can 15 resolve 15 resolve 17 problem 15 resolve 18 efficiently 15 resolve 21 in 16 this 17 problem 19 , 20 especially 19 , 21 in 21 in 22 cases 21 in 26 - 22 cases 23 in 23 in 25 retrieval 26 - 31 tubes 26 - 34 used 27 type 31 tubes 28 percutaneous 30 gastrostomy 29 endoscopic 30 gastrostomy 30 gastrostomy 31 tubes 31 tubes 32 have 32 have 33 been 33 been 34 used we report a case [of] buried bumper syndrome as a late complication of percutaneous endoscopic gastrostomy placement . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 report 0 ###LEFT-WALL### 18 . 1 we 2 report 2 report 8 syndrome 2 report 9 as 3 a 8 syndrome 4 case 6 buried 6 buried 7 bumper 7 bumper 8 syndrome 9 as 12 complication 10 a 11 late 10 a 12 complication 11 late 12 complication 12 complication 13 of 13 of 17 placement 14 percutaneous 17 placement 15 endoscopic 17 placement 16 gastrostomy 17 placement we removed the buried bumper with external traction and placed a new percutaneous endoscopic gastrostomy tube in a different site because of the peristomal infection . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 26 . 1 we 9 and 2 removed 5 bumper 2 removed 6 with 2 removed 9 and 3 the 5 bumper 4 buried 5 bumper 6 with 8 traction 7 external 8 traction 9 and 10 placed 10 placed 16 tube 10 placed 17 in 10 placed 21 because 11 a 12 new 11 a 16 tube 12 new 16 tube 13 percutaneous 16 tube 14 endoscopic 16 tube 15 gastrostomy 16 tube 17 in 20 site 18 a 20 site 19 different 20 site 21 because 22 of 22 of 25 infection 23 the 25 infection 24 peristomal 25 infection elder abuse appears to be widely underestimated by health professionals . 0 ###LEFT-WALL### 2 abuse 0 ###LEFT-WALL### 3 appears 0 ###LEFT-WALL### 11 . 1 elder 2 abuse 2 abuse 3 appears 3 appears 4 to 3 appears 7 underestimated 4 to 5 be 5 be 6 widely 5 be 7 underestimated 7 underestimated 8 by 8 by 10 professionals 9 health 10 professionals we aimed to evaluate the recognition of elder abuse among italian nurses and nursing students related to their professional , personal experiences and socio - demographic characteristics . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 aimed 0 ###LEFT-WALL### 16 related 0 ###LEFT-WALL### 28 . 1 we 2 aimed 2 aimed 3 to 2 aimed 16 related 3 to 4 evaluate 4 evaluate 6 recognition 4 evaluate 10 among 5 the 6 recognition 6 recognition 7 of 7 of 9 abuse 8 elder 9 abuse 10 among 13 and 11 italian 12 nurses 12 nurses 13 and 13 and 14 nursing 15 students 16 related 16 related 17 to 17 to 27 characteristics 18 their 27 characteristics 19 professional 23 and 19 professional 25 - 19 professional 27 characteristics 20 , 23 and 21 personal 22 experiences 22 experiences 23 and 23 and 24 socio 23 and 25 - 26 demographic 27 characteristics data on age , gender , previous professional and personal experiences as well as nursing school teaching were collected . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 18 were 0 ###LEFT-WALL### 20 . 1 data 2 on 1 data 4 , 2 on 3 age 4 , 5 gender 4 , 6 , 6 , 8 professional 6 , 9 and 7 previous 8 professional 9 and 11 experiences 9 and 14 as 9 and 18 were 10 personal 11 experiences 12 as 13 well 13 well 14 as 14 as 15 nursing 15 nursing 16 school 16 school 17 teaching 18 were 19 collected regarding abusive items , preventing elder ['s] movements by putting a table over the elder 's lap was identified by almost all participants , while locking someone at home was identified by half of them . 0 ###LEFT-WALL### 1 regarding 0 ###LEFT-WALL### 31 identified 0 ###LEFT-WALL### 36 . 1 regarding 3 items 1 regarding 5 preventing 1 regarding 25 while 1 regarding 30 was 2 abusive 3 items 4 , 5 preventing 5 preventing 8 movements 5 preventing 24 , 6 elder 8 movements 8 movements 9 by 8 movements 17 lap 8 movements 18 was 8 movements 19 identified 9 by 10 putting 10 putting 12 table 10 putting 13 over 11 a 12 table 14 the 15 elder 15 elder 16 's 16 's 17 lap 17 lap 18 was 19 identified 20 by 20 by 23 participants 21 almost 22 all 22 all 23 participants 25 while 26 locking 26 locking 27 someone 26 locking 28 at 28 at 29 home 30 was 31 identified 31 identified 32 by 32 by 33 half 33 half 34 of 34 of 35 them neglect was recognized by 25 % of nurses and 20 % [of] students , respectively . 0 ###LEFT-WALL### 1 neglect 0 ###LEFT-WALL### 3 recognized 1 neglect 2 was 2 was 3 recognized 3 recognized 4 by 3 recognized 15 respectively 4 by 6 % 5 25 6 % 6 % 7 of 7 of 9 and 8 nurses 9 and 9 and 13 students 10 20 13 students 11 % 13 students 14 , 15 respectively 15 respectively 16 . the majority of nurses and students correctly identified [non] - abusive strategies . 0 ###LEFT-WALL### 5 and 0 ###LEFT-WALL### 10 - 1 the 2 majority 2 majority 3 of 2 majority 5 and 3 of 4 nurses 5 and 6 students 5 and 8 identified 7 correctly 8 identified 10 - 12 strategies 10 - 13 . 11 abusive 12 strategies reporting being taught on elder abuse was inversely associated with a good performance in detecting neglect . 0 ###LEFT-WALL### 1 reporting 0 ###LEFT-WALL### 9 associated 0 ###LEFT-WALL### 17 . 1 reporting 2 being 1 reporting 7 was 1 reporting 9 associated 2 being 3 taught 2 being 7 was 3 taught 4 on 4 on 6 abuse 5 elder 6 abuse 8 inversely 9 associated 9 associated 10 with 9 associated 14 in 10 with 13 performance 11 a 12 good 11 a 13 performance 12 good 13 performance 14 in 15 detecting 15 detecting 16 neglect italian nurses ' [and] nursing students ' uncertainty in identifying abusive strategies , especially neglect , was consistent with results of previous studies in other countries . 0 ###LEFT-WALL### 8 uncertainty 0 ###LEFT-WALL### 17 was 0 ###LEFT-WALL### 27 . 1 italian 2 nurses 2 nurses 3 ' 3 ' 6 students 5 nursing 6 students 6 students 7 ' 7 ' 8 uncertainty 8 uncertainty 9 in 8 uncertainty 17 was 9 in 10 identifying 10 identifying 12 strategies 11 abusive 12 strategies 12 strategies 15 neglect 13 , 14 especially 13 , 15 neglect 15 neglect 16 , 17 was 18 consistent 18 consistent 19 with 18 consistent 24 in 19 with 20 results 20 results 21 of 21 of 23 studies 22 previous 23 studies 24 in 26 countries 25 other 26 countries standardized education in healthcare core curriculum [,] reference guidance and training are strongly needed to improve elder abuse recognition in italy . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 14 needed 0 ###LEFT-WALL### 22 . 1 standardized 2 education 2 education 3 in 2 education 10 and 3 in 9 guidance 4 healthcare 5 core 5 core 8 reference 6 curriculum 8 reference 8 reference 9 guidance 10 and 11 training 10 and 12 are 12 are 14 needed 13 strongly 14 needed 14 needed 15 to 14 needed 20 in 15 to 16 improve 16 improve 19 recognition 17 elder 18 abuse 18 abuse 19 recognition 20 in 21 italy background : uk care home residents are often poorly served by existing healthcare arrangements . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 6 residents 2 : 10 served 2 : 15 . 3 uk 6 residents 4 care 6 residents 5 home 6 residents 6 residents 7 are 7 are 8 often 7 are 10 served 9 poorly 10 served 10 served 11 by 11 by 14 arrangements 12 existing 14 arrangements 13 healthcare 14 arrangements published descriptions of residents ' health status have been limited by lack of detail and use of data derived from surveys drawn from social , rather [than] health , care records . 0 ###LEFT-WALL### 2 descriptions 0 ###LEFT-WALL### 9 been 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 32 . 1 published 2 descriptions 2 descriptions 3 of 2 descriptions 8 have 3 of 7 status 4 residents 5 ' 5 ' 7 status 6 health 7 status 8 have 9 been 9 been 10 limited 10 limited 11 by 11 by 12 lack 12 lack 13 of 13 of 14 detail 15 and 16 use 15 and 19 derived 16 use 17 of 16 use 19 derived 17 of 18 data 19 derived 20 from 19 derived 23 from 20 from 21 surveys 21 surveys 22 drawn 23 from 31 records 24 social 28 health 24 social 29 , 24 social 30 care 25 , 26 rather 25 , 28 health 28 health 29 , 30 care 31 records aim : to describe in detail the health status and healthcare resource use of uk care home residents design and setting : a 180 [-] day longitudinal cohort study of 227 residents across 11 uk care homes , 5 nursing and [6] residential , selected to be representative for nursing/residential status and dementia registration . 0 ###LEFT-WALL### 1 aim 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 and 1 aim 2 : 2 : 3 to 3 to 4 describe 4 describe 5 in 4 describe 9 status 5 in 6 detail 7 the 9 status 8 health 9 status 10 and 13 use 11 healthcare 13 use 12 resource 13 use 13 use 14 of 13 use 22 : 14 of 21 setting 15 uk 16 care 16 care 18 residents 17 home 18 residents 18 residents 21 setting 19 design 20 and 20 and 21 setting 22 : 29 study 22 : 33 across 23 a 29 study 24 180 26 day 26 day 29 study 27 longitudinal 28 cohort 28 cohort 29 study 29 study 30 of 30 of 32 residents 31 227 32 residents 33 across 41 and 34 11 37 homes 35 uk 36 care 36 care 37 homes 37 homes 38 , 38 , 40 nursing 38 , 41 and 39 5 40 nursing 41 and 43 residential 41 and 44 , 41 and 45 selected 44 , 45 selected 45 selected 46 to 45 selected 49 for 45 selected 55 . 46 to 47 be 47 be 48 representative 49 for 52 and 50 nursing/residential 51 status 51 status 52 and 52 and 54 registration 53 dementia 54 registration national health service ( nhs ) resource use data were collected from databases of local healthcare providers . 0 ###LEFT-WALL### 9 data 0 ###LEFT-WALL### 10 were 0 ###LEFT-WALL### 18 . 1 national 2 health 2 health 3 service 3 service 5 nhs 4 ( 5 nhs 5 nhs 6 ) 5 nhs 9 data 7 resource 8 use 8 use 9 data 9 data 10 were 10 were 11 collected 11 collected 12 from 12 from 13 databases 13 databases 14 of 14 of 17 providers 15 local 17 providers 16 healthcare 17 providers results : out of a total of 323 , 227 residents were recruited . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 14 . 1 results 2 : 2 : 4 of 3 out 4 of 4 of 6 total 5 a 6 total 6 total 7 of 7 of 8 323 9 , 11 residents 9 , 13 recruited 10 227 11 residents 11 residents 12 were 12 were 13 recruited the median bi was 9 ( iqr : 2.5 - 15.5 ) , mmse [13] ( 4 - 22 ) and number of medications 8 ( 5.5 - 10.5 ) . 0 ###LEFT-WALL### 3 bi 0 ###LEFT-WALL### 4 was 0 ###LEFT-WALL### 8 : 0 ###LEFT-WALL### 31 . 1 the 3 bi 2 median 3 bi 3 bi 4 was 4 was 7 iqr 5 9 7 iqr 6 ( 7 iqr 7 iqr 8 : 8 : 9 2.5 9 2.5 11 15.5 9 2.5 21 and 10 - 11 15.5 11 15.5 12 ) 13 , 21 and 14 mmse 18 - 14 mmse 21 and 16 ( 18 - 17 4 18 - 18 - 19 22 18 - 20 ) 21 and 22 number 21 and 23 of 21 and 28 - 21 and 30 ) 23 of 24 medications 24 medications 25 8 26 ( 28 - 27 5.5 28 - 28 - 29 10.5 28 - 30 ) the mean number of diagnoses per resident was 6.2 ( sd : 4 [ )( 0 ###LEFT-WALL### 3 number 0 ###LEFT-WALL### 8 was 0 ###LEFT-WALL### 12 : 1 the 3 number 2 mean 3 number 3 number 4 of 3 number 8 was 4 of 5 diagnoses 5 diagnoses 6 per 6 per 7 resident 8 was 9 6.2 9 6.2 11 sd 10 ( 11 sd 11 sd 12 : 12 : 13 4 12 : 15 )( thirty per cent were malnourished , 66 % had evidence of behavioural disturbance . 0 ###LEFT-WALL### 1 thirty 0 ###LEFT-WALL### 4 were 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 14 . 1 thirty 2 per 1 thirty 4 were 2 per 3 cent 4 were 5 malnourished 6 , 8 % 6 , 9 had 7 66 8 % 8 % 9 had 9 had 10 evidence 10 evidence 11 of 11 of 13 disturbance 12 behavioural 13 disturbance residents had contact with the nhs on average once per month . 0 ###LEFT-WALL### 1 residents 0 ###LEFT-WALL### 2 had 0 ###LEFT-WALL### 12 . 1 residents 2 had 2 had 3 contact 2 had 4 with 2 had 8 average 2 had 9 once 4 with 6 nhs 5 the 6 nhs 7 on 8 average 9 once 10 per 10 per 11 month conclusion : residents from both residential and nursing settings are dependent , cognitively impaired , have mild frequent behavioural symptoms , multimorbidity , polypharmacy and [frequently] use nhs resources . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 30 . 2 : 3 residents 2 : 10 are 2 : 15 , 2 : 16 have 3 residents 4 from 3 residents 10 are 4 from 7 and 5 both 7 and 6 residential 7 and 7 and 9 settings 8 nursing 9 settings 10 are 11 dependent 11 dependent 14 impaired 12 , 14 impaired 13 cognitively 14 impaired 14 impaired 15 , 15 , 16 have 16 have 25 and 17 mild 20 symptoms 18 frequent 20 symptoms 19 behavioural 20 symptoms 20 symptoms 21 , 21 , 22 multimorbidity 21 , 23 , 23 , 24 polypharmacy 23 , 25 and 25 and 29 resources 27 use 29 resources 28 nhs 29 resources effective care for such a cohort requires broad expertise from multiple disciplines delivered in a co - [ordinated] and managed way . 0 ###LEFT-WALL### 2 care 0 ###LEFT-WALL### 7 requires 0 ###LEFT-WALL### 22 . 1 effective 2 care 2 care 3 for 2 care 7 requires 3 for 6 cohort 4 such 5 a 5 a 6 cohort 7 requires 9 expertise 7 requires 13 delivered 8 broad 9 expertise 9 expertise 10 from 9 expertise 13 delivered 10 from 12 disciplines 11 multiple 12 disciplines 13 delivered 14 in 14 in 19 and 15 a 16 co 16 co 19 and 17 - 19 and 19 and 21 way 20 managed 21 way hippocampal sclerosis of aging ( hs - aging ) is a causative factor in a large proportion of elderly dementia cases . 0 ###LEFT-WALL### 2 sclerosis 0 ###LEFT-WALL### 10 is 0 ###LEFT-WALL### 22 . 1 hippocampal 2 sclerosis 2 sclerosis 3 of 2 sclerosis 6 hs 2 sclerosis 10 is 3 of 4 aging 5 ( 6 hs 6 hs 8 aging 6 hs 9 ) 7 - 8 aging 8 aging 9 ) 10 is 13 factor 11 a 12 causative 11 a 13 factor 12 causative 13 factor 13 factor 14 in 14 in 17 proportion 15 a 16 large 15 a 17 proportion 16 large 17 proportion 17 proportion 18 of 18 of 21 cases 19 elderly 21 cases 20 dementia 21 cases the current definition of hs [-] aging rests on pathologic criteria : neuronal loss and gliosis in the hippocampal formation that is out of proportion to ad - type pathology . 0 ###LEFT-WALL### 3 definition 0 ###LEFT-WALL### 8 rests 0 ###LEFT-WALL### 12 : 1 the 3 definition 2 current 3 definition 3 definition 4 of 3 definition 8 rests 4 of 5 hs 5 hs 7 aging 8 rests 9 on 9 on 11 criteria 10 pathologic 11 criteria 12 : 30 pathology 12 : 31 . 13 neuronal 14 loss 14 loss 15 and 15 and 16 gliosis 15 and 28 - 15 and 29 type 16 gliosis 17 in 17 in 20 formation 18 the 20 formation 19 hippocampal 20 formation 20 formation 21 that 20 formation 22 is 20 formation 24 of 21 that 22 is 22 is 23 out 24 of 25 proportion 25 proportion 26 to 26 to 27 ad 29 type 30 pathology hs - aging is also strongly associated with tdp - 43 pathology . 0 ###LEFT-WALL### 3 aging 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 10 - 1 hs 2 - 1 hs 3 aging 3 aging 4 is 4 is 5 also 4 is 7 associated 6 strongly 7 associated 7 associated 8 with 8 with 9 tdp 10 - 12 pathology 10 - 13 . 11 43 12 pathology hs - aging pathology appears to be most prevalent in the oldest - old : autopsy series indicate that 5 - 30 % of nonagenarians have hs - aging pathology . 0 ###LEFT-WALL### 3 aging 0 ###LEFT-WALL### 5 appears 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 26 have 1 hs 2 - 1 hs 3 aging 3 aging 4 pathology 3 aging 5 appears 5 appears 6 to 5 appears 7 be 6 to 7 be 7 be 9 prevalent 8 most 9 prevalent 9 prevalent 10 in 10 in 12 oldest 11 the 12 oldest 13 - 14 old 13 - 15 : 13 - 18 indicate 15 : 16 autopsy 17 series 18 indicate 18 indicate 19 that 18 indicate 21 - 20 5 21 - 21 - 22 30 22 30 23 % 23 % 24 of 23 % 26 have 24 of 25 nonagenarians 26 have 27 hs 27 hs 30 pathology 28 - 30 pathology 29 aging 30 pathology 30 pathology 31 . among prior studies , differences in study design have contributed to the study - to [-] study variability in reported disease prevalence . 0 ###LEFT-WALL### 5 differences 0 ###LEFT-WALL### 10 contributed 1 among 3 studies 1 among 4 , 1 among 5 differences 2 prior 3 studies 5 differences 6 in 5 differences 9 have 6 in 8 design 7 study 8 design 9 have 10 contributed 10 contributed 11 to 11 to 13 study 12 the 13 study 13 study 15 to 14 - 15 to 15 to 17 study 15 to 23 . 17 study 18 variability 17 study 19 in 19 in 22 prevalence 20 reported 21 disease 21 disease 22 prevalence the presence of hs [-] aging pathology correlates with significant cognitive impairment which is often misdiagnosed as ad clinically . 0 ###LEFT-WALL### 2 presence 0 ###LEFT-WALL### 8 correlates 0 ###LEFT-WALL### 20 . 1 the 2 presence 2 presence 3 of 2 presence 8 correlates 3 of 4 hs 4 hs 6 aging 6 aging 7 pathology 8 correlates 9 with 8 correlates 19 clinically 9 with 12 impairment 10 significant 12 impairment 11 cognitive 12 impairment 12 impairment 13 which 12 impairment 14 is 13 which 14 is 14 is 16 misdiagnosed 15 often 16 misdiagnosed 16 misdiagnosed 17 as 17 as 18 ad the antemortem diagnosis is further confounded by other diseases linked to hippocampal atrophy including frontotemporal lobar degeneration and cerebrovascular pathologies . 0 ###LEFT-WALL### 3 diagnosis 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 21 . 1 the 3 diagnosis 2 antemortem 3 diagnosis 3 diagnosis 4 is 4 is 20 pathologies 5 further 20 pathologies 6 confounded 7 by 6 confounded 18 and 7 by 9 diseases 8 other 9 diseases 9 diseases 10 linked 9 diseases 14 including 10 linked 11 to 11 to 13 atrophy 12 hippocampal 13 atrophy 14 including 17 degeneration 15 frontotemporal 17 degeneration 16 lobar 17 degeneration 18 and 19 cerebrovascular 18 and 20 pathologies recent advances characterizing the neurocognitive profile of hs [-] aging patients have begun to provide clues that may help identify living individuals with hs - aging pathology . 0 ###LEFT-WALL### 2 advances 0 ###LEFT-WALL### 15 provide 1 recent 2 advances 2 advances 3 characterizing 2 advances 7 of 2 advances 12 have 3 characterizing 6 profile 4 the 6 profile 5 neurocognitive 6 profile 7 of 8 hs 8 hs 10 aging 10 aging 11 patients 12 have 13 begun 13 begun 14 to 14 to 15 provide 15 provide 16 clues 16 clues 17 that 16 clues 20 identify 16 clues 26 aging 17 that 18 may 18 may 19 help 19 help 20 identify 20 identify 22 individuals 20 identify 23 with 21 living 22 individuals 23 with 24 hs 25 - 26 aging 26 aging 27 pathology 26 aging 28 . structural brain imaging studies of research subjects followed to autopsy reveal hippocampal atrophy that is substantially greater in people with eventual hs - aging pathology , compared to those with ad pathology alone . 0 ###LEFT-WALL### 2 brain 0 ###LEFT-WALL### 34 . 1 structural 2 brain 2 brain 3 imaging 2 brain 5 of 2 brain 7 subjects 2 brain 11 reveal 2 brain 27 compared 3 imaging 4 studies 5 of 6 research 7 subjects 8 followed 7 subjects 9 to 7 subjects 10 autopsy 7 subjects 11 reveal 9 to 10 autopsy 11 reveal 13 atrophy 11 reveal 18 in 11 reveal 24 aging 12 hippocampal 13 atrophy 13 atrophy 14 that 13 atrophy 15 is 14 that 15 is 15 is 16 substantially 15 is 17 greater 18 in 19 people 19 people 20 with 20 with 22 hs 21 eventual 22 hs 23 - 24 aging 24 aging 25 pathology 24 aging 26 , 27 compared 28 to 27 compared 32 pathology 27 compared 33 alone 28 to 29 those 29 those 30 with 30 with 31 ad data are presented from individuals who were followed with neurocognitive and neuroradiologic measurements , followed by neuropathologic [evaluation] at the university of kentucky . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 3 presented 0 ###LEFT-WALL### 24 . 1 data 2 are 2 are 3 presented 3 presented 4 from 3 presented 19 at 4 from 5 individuals 5 individuals 6 who 5 individuals 14 , 6 who 14 , 7 were 8 followed 7 were 14 , 8 followed 9 with 9 with 13 measurements 10 neurocognitive 11 and 11 and 12 neuroradiologic 11 and 13 measurements 14 , 15 followed 15 followed 16 by 15 followed 17 neuropathologic 19 at 21 university 20 the 21 university 21 university 22 of 22 of 23 kentucky finally , we discuss factors that are hypothesized [to] [cause] or modify the disease . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 discuss 0 ###LEFT-WALL### 15 . 1 finally 2 , 1 finally 3 we 3 we 4 discuss 4 discuss 5 factors 5 factors 6 that 5 factors 7 are 6 that 7 are 7 are 11 or 8 hypothesized 11 or 11 or 12 modify 12 modify 14 disease 13 the 14 disease we conclude that the published literature on hs [-] aging provides strong evidence of an important [and] [under] - [appreciated] brain disease of aging . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 conclude 0 ###LEFT-WALL### 25 . 1 we 2 conclude 2 conclude 3 that 3 that 6 literature 3 that 11 provides 4 the 6 literature 5 published 6 literature 6 literature 7 on 6 literature 11 provides 7 on 8 hs 8 hs 10 aging 11 provides 13 evidence 12 strong 13 evidence 13 evidence 14 of 13 evidence 23 of 14 of 22 disease 15 an 16 important 15 an 22 disease 16 important 19 - 16 important 21 brain 21 brain 22 disease 23 of 24 aging unfortunately , there is no therapy or preventive strategy currently available . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 12 . 1 unfortunately 2 , 1 unfortunately 3 there 3 there 4 is 4 is 7 or 5 no 6 therapy 6 therapy 7 or 7 or 9 strategy 8 preventive 9 strategy 9 strategy 11 available 10 currently 11 available human motor activity has a robust , intrinsic fractal structure with similar patterns from minutes to hours . 0 ###LEFT-WALL### 3 activity 0 ###LEFT-WALL### 4 has 0 ###LEFT-WALL### 18 . 1 human 2 motor 2 motor 3 activity 3 activity 4 has 4 has 10 structure 4 has 11 with 4 has 16 to 5 a 6 robust 5 a 10 structure 6 robust 7 , 6 robust 10 structure 8 intrinsic 10 structure 9 fractal 10 structure 11 with 13 patterns 12 similar 13 patterns 13 patterns 14 from 14 from 15 minutes 16 to 17 hours the fractal activity patterns appear to be physiologically important because the patterns persist under different environmental conditions but [are] significantly altered/reduced with aging and alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 4 patterns 0 ###LEFT-WALL### 18 but 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 31 . 1 the 4 patterns 2 fractal 3 activity 3 activity 4 patterns 4 patterns 18 but 5 appear 6 to 5 appear 18 but 6 to 7 be 7 be 8 physiologically 7 be 9 important 9 important 10 because 9 important 14 under 10 because 12 patterns 10 because 13 persist 11 the 12 patterns 12 patterns 13 persist 14 under 17 conditions 15 different 17 conditions 16 environmental 17 conditions 18 but 21 altered/reduced 20 significantly 21 altered/reduced 21 altered/reduced 22 with 22 with 23 aging 24 and 25 alzheimer 24 and 26 's 25 alzheimer 26 's 26 's 27 disease 27 disease 29 ad 28 ( 29 ad 29 ad 30 ) here , we report that dementia patients , known to have disrupted circadian rhythmicity , also have disrupted fractal activity patterns and that the disruption is more pronounced in patients with more amyloid plaques ( a marker of ad severity ) . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 report 0 ###LEFT-WALL### 42 . 1 here 2 , 1 here 3 we 3 we 4 report 4 report 7 patients 4 report 17 have 5 that 6 dementia 6 dementia 7 patients 7 patients 9 known 7 patients 17 have 8 , 9 known 9 known 10 to 9 known 15 , 10 to 11 have 11 have 12 disrupted 12 disrupted 14 rhythmicity 13 circadian 14 rhythmicity 16 also 17 have 17 have 22 and 17 have 28 pronounced 18 disrupted 20 activity 19 fractal 20 activity 20 activity 21 patterns 21 patterns 22 and 22 and 23 that 22 and 25 disruption 22 and 26 is 24 the 25 disruption 25 disruption 26 is 26 is 27 more 28 pronounced 29 in 29 in 30 patients 30 patients 31 with 31 with 34 plaques 32 more 34 plaques 33 amyloid 34 plaques 34 plaques 37 marker 35 ( 37 marker 36 a 37 marker 37 marker 38 of 37 marker 41 ) 38 of 40 severity 39 ad 40 severity moreover , the degree of fractal activity disruption is strongly associated with vasopressinergic and neurotensinergic neurons ( two major circadian neurotransmitters ) in postmortem suprachiasmatic nucleus ( scn ) , and can better predict changes of the two neurotransmitters than traditional circadian measures . 0 ###LEFT-WALL### 8 disruption 0 ###LEFT-WALL### 31 and 0 ###LEFT-WALL### 44 . 1 moreover 2 , 1 moreover 8 disruption 3 the 4 degree 4 degree 5 of 4 degree 8 disruption 5 of 8 disruption 6 fractal 8 disruption 7 activity 8 disruption 8 disruption 31 and 9 is 11 associated 9 is 31 and 10 strongly 11 associated 11 associated 12 with 12 with 16 neurons 12 with 23 in 13 vasopressinergic 14 and 14 and 15 neurotensinergic 14 and 16 neurons 16 neurons 21 neurotransmitters 17 ( 21 neurotransmitters 18 two 21 neurotransmitters 19 major 21 neurotransmitters 20 circadian 21 neurotransmitters 21 neurotransmitters 22 ) 23 in 26 nucleus 24 postmortem 26 nucleus 25 suprachiasmatic 26 nucleus 26 nucleus 28 scn 27 ( 28 scn 28 scn 29 ) 30 , 31 and 31 and 32 can 31 and 40 than 31 and 43 measures 32 can 34 predict 33 better 34 predict 34 predict 35 changes 35 changes 36 of 36 of 39 neurotransmitters 37 the 38 two 38 two 39 neurotransmitters 41 traditional 43 measures 42 circadian 43 measures these findings suggest that the scn impacts human activity regulation at multiple time scales and that disrupted fractal activity may serve as a [non] [-] invasive biomarker of scn neurodegeneration in dementia . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 33 . 1 these 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 6 scn 4 that 7 impacts 5 the 6 scn 6 scn 7 impacts 7 impacts 10 regulation 7 impacts 11 at 8 human 10 regulation 9 activity 10 regulation 11 at 14 scales 12 multiple 14 scales 13 time 14 scales 15 and 19 activity 15 and 21 serve 16 that 17 disrupted 17 disrupted 19 activity 18 fractal 19 activity 19 activity 20 may 20 may 21 serve 21 serve 22 as 22 as 27 biomarker 23 a 27 biomarker 26 invasive 27 biomarker 27 biomarker 28 of 27 biomarker 31 in 28 of 30 neurodegeneration 29 scn 30 neurodegeneration 31 in 32 dementia [none] altered concentrations of amyloid - β ( aβ ) peptide [and] tau protein in the cerebrospinal fluid ( csf ) are thought to be predictive markers for alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 3 concentrations 0 ###LEFT-WALL### 25 be 0 ###LEFT-WALL### 35 . 2 altered 3 concentrations 3 concentrations 4 of 3 concentrations 22 are 4 of 5 amyloid 5 amyloid 14 protein 6 - 14 protein 7 β 9 aβ 7 β 11 peptide 8 ( 9 aβ 9 aβ 10 ) 11 peptide 14 protein 13 tau 14 protein 14 protein 15 in 14 protein 21 ) 15 in 18 fluid 16 the 18 fluid 17 cerebrospinal 18 fluid 18 fluid 20 csf 19 ( 20 csf 20 csf 21 ) 22 are 23 thought 23 thought 24 to 24 to 25 be 25 be 27 markers 26 predictive 27 markers 27 markers 28 for 28 for 31 disease 29 alzheimer 30 's 30 's 31 disease 31 disease 33 ad 32 ( 33 ad 33 ad 34 ) transgenic mice overexpressing human amyloid precursor protein ( app ) have been used to model aβ pathology , but concomitant changes in aβ and tau in csf have been less well studied . 0 ###LEFT-WALL### 2 mice 0 ###LEFT-WALL### 13 used 0 ###LEFT-WALL### 19 but 0 ###LEFT-WALL### 33 . 1 transgenic 2 mice 2 mice 3 overexpressing 2 mice 9 app 2 mice 11 have 3 overexpressing 7 protein 4 human 7 protein 5 amyloid 6 precursor 6 precursor 7 protein 8 ( 9 app 9 app 10 ) 11 have 12 been 12 been 13 used 13 used 14 to 14 to 15 model 15 model 17 pathology 16 aβ 17 pathology 18 , 19 but 19 but 21 changes 19 but 29 been 20 concomitant 21 changes 21 changes 22 in 21 changes 26 in 21 changes 28 have 22 in 24 and 23 aβ 24 and 24 and 25 tau 26 in 27 csf 28 have 29 been 29 been 31 well 30 less 31 well 31 well 32 studied we measured aβ and tau in the brains and csf of two well - characterized transgenic mouse models of ad : one expressing human app carrying the swedish mutation ( app23 ) and the other expressing mutant human app and mutant human presenilin - 1 ( appps1 ) . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 measured 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 49 . 1 we 2 measured 2 measured 5 tau 2 measured 6 in 2 measured 13 well 3 aβ 4 and 4 and 5 tau 6 in 9 and 7 the 8 brains 8 brains 9 and 9 and 10 csf 9 and 11 of 11 of 12 two 14 - 18 models 14 - 21 : 15 characterized 17 mouse 16 transgenic 17 mouse 17 mouse 18 models 18 models 19 of 19 of 20 ad 21 : 33 and 22 one 25 app 23 expressing 24 human 24 human 25 app 25 app 26 carrying 25 app 33 and 26 carrying 29 mutation 27 the 29 mutation 28 swedish 29 mutation 29 mutation 31 app23 30 ( 31 app23 31 app23 32 ) 33 and 35 other 33 and 36 expressing 33 and 45 1 34 the 35 other 36 expressing 40 and 37 mutant 39 app 38 human 39 app 39 app 40 and 40 and 43 presenilin 41 mutant 43 presenilin 42 human 43 presenilin 44 - 45 1 45 1 47 appps1 45 1 48 ) 46 ( 47 appps1 47 appps1 48 ) both mouse models exhibit aβ deposition in the brain , but with different onset [and] progression trajectories . 0 ###LEFT-WALL### 3 models 0 ###LEFT-WALL### 4 exhibit 0 ###LEFT-WALL### 18 . 1 both 3 models 2 mouse 3 models 3 models 4 exhibit 4 exhibit 6 deposition 5 aβ 6 deposition 6 deposition 11 but 7 in 9 brain 7 in 11 but 8 the 9 brain 10 , 11 but 11 but 12 with 12 with 17 trajectories 13 different 14 onset 14 onset 17 trajectories 16 progression 17 trajectories we found an age - related 50 to 80 % decrease in aβ42 [peptide] in mouse csf and a smaller decrease in aβ40 , both inversely correlated with the brain aβ load . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 6 related 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 33 . 1 we 2 found 2 found 4 age 3 an 4 age 5 - 6 related 6 related 11 decrease 6 related 15 in 6 related 24 , 7 50 8 to 8 to 9 80 8 to 10 % 10 % 11 decrease 11 decrease 12 in 12 in 13 aβ42 15 in 18 and 16 mouse 17 csf 17 csf 18 and 18 and 21 decrease 18 and 22 in 19 a 21 decrease 20 smaller 21 decrease 22 in 23 aβ40 24 , 25 both 24 , 27 correlated 25 both 27 correlated 26 inversely 27 correlated 27 correlated 28 with 28 with 32 load 29 the 32 load 30 brain 32 load 31 aβ 32 load surprisingly , the same mice showed a threefold increase in total endogenous murine tau in csf at the stages when aβ pathology became prominent . 0 ###LEFT-WALL### 5 mice 0 ###LEFT-WALL### 6 showed 0 ###LEFT-WALL### 25 . 1 surprisingly 2 , 1 surprisingly 5 mice 3 the 4 same 4 same 5 mice 5 mice 6 showed 6 showed 9 increase 6 showed 14 tau 6 showed 15 in 7 a 9 increase 8 threefold 9 increase 9 increase 10 in 10 in 13 murine 11 total 13 murine 12 endogenous 13 murine 15 in 16 csf 16 csf 17 at 17 at 19 stages 18 the 19 stages 19 stages 20 when 20 when 22 pathology 20 when 23 became 21 aβ 22 pathology 22 pathology 23 became 23 became 24 prominent the results mirror the temporal sequence and magnitude of aβ and tau changes in the csf of patients with sporadic and dominantly inherited ad . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 mirror 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 25 . 1 the 2 results 2 results 3 mirror 3 mirror 6 sequence 4 the 6 sequence 5 temporal 6 sequence 7 and 8 magnitude 7 and 13 changes 8 magnitude 9 of 8 magnitude 13 changes 9 of 11 and 10 aβ 11 and 11 and 12 tau 13 changes 14 in 13 changes 19 with 14 in 16 csf 15 the 16 csf 16 csf 17 of 17 of 18 patients 19 with 21 and 20 sporadic 21 and 21 and 24 ad 22 dominantly 23 inherited 23 inherited 24 ad this observation indicates that app transgenic mice may be useful as a translational tool for predicting changes in aβ and tau markers in the csf of ad patients . 0 ###LEFT-WALL### 2 observation 0 ###LEFT-WALL### 3 indicates 0 ###LEFT-WALL### 29 . 1 this 2 observation 2 observation 3 indicates 3 indicates 5 app 4 that 5 app 5 app 7 mice 5 app 17 changes 6 transgenic 7 mice 7 mice 8 may 8 may 9 be 9 be 10 useful 10 useful 11 as 10 useful 15 for 11 as 14 tool 12 a 13 translational 12 a 14 tool 13 translational 14 tool 15 for 16 predicting 16 predicting 17 changes 17 changes 18 in 17 changes 22 markers 17 changes 23 in 18 in 21 tau 19 aβ 20 and 20 and 21 tau 23 in 25 csf 24 the 25 csf 25 csf 26 of 26 of 28 patients 27 ad 28 patients these findings also suggest that app transgenic mouse models may be useful in the search for new disease markers for ad . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 suggest 0 ###LEFT-WALL### 22 . 1 these 2 findings 2 findings 4 suggest 3 also 4 suggest 4 suggest 5 that 5 that 9 models 5 that 11 be 6 app 9 models 7 transgenic 8 mouse 8 mouse 9 models 9 models 10 may 10 may 11 be 11 be 12 useful 12 useful 13 in 13 in 15 search 14 the 15 search 15 search 16 for 16 for 19 markers 17 new 18 disease 18 disease 19 markers 19 markers 20 for 20 for 21 ad prohibitins are highly conserved proteins mainly implicated in the maintenance of mitochondrial function [and] architecture . 0 ###LEFT-WALL### 1 prohibitins 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 16 . 1 prohibitins 2 are 2 are 5 proteins 3 highly 4 conserved 4 conserved 5 proteins 5 proteins 7 implicated 5 proteins 11 of 6 mainly 7 implicated 7 implicated 8 in 8 in 10 maintenance 9 the 10 maintenance 11 of 15 architecture 12 mitochondrial 13 function 13 function 15 architecture their dysfunctions are associated with aging , cancer , obesity , and inflammation . 0 ###LEFT-WALL### 2 dysfunctions 0 ###LEFT-WALL### 4 associated 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 14 . 1 their 2 dysfunctions 2 dysfunctions 3 are 3 are 4 associated 4 associated 5 with 5 with 6 aging 7 , 12 and 8 cancer 9 , 9 , 10 obesity 9 , 12 and 11 , 12 and 12 and 13 inflammation however , their possible role in pancreatic β - cells remains unknown . 0 ###LEFT-WALL### 5 role 0 ###LEFT-WALL### 11 remains 0 ###LEFT-WALL### 13 . 1 however 2 , 1 however 5 role 3 their 5 role 4 possible 5 role 5 role 6 in 5 role 11 remains 6 in 10 cells 7 pancreatic 10 cells 8 β 9 - 8 β 10 cells 11 remains 12 unknown the current study documents the expression of prohibitins in human and rodent islets and their key role for β - cell function and survival . 0 ###LEFT-WALL### 3 study 0 ###LEFT-WALL### 4 documents 0 ###LEFT-WALL### 25 . 1 the 3 study 2 current 3 study 3 study 4 documents 4 documents 6 expression 4 documents 9 in 5 the 6 expression 6 expression 7 of 7 of 8 prohibitins 9 in 23 and 10 human 11 and 11 and 22 function 11 and 23 and 12 rodent 22 function 13 islets 14 and 14 and 17 role 14 and 20 - 14 and 22 function 15 their 17 role 16 key 17 role 17 role 18 for 18 for 19 β 21 cell 22 function 23 and 24 survival ablation of phb2 in mouse β - cells sequentially resulted in impairment of mitochondrial function [and] insulin secretion , loss of β - cells , progressive alteration of glucose homeostasis , and , ultimately , severe diabetes . 0 ###LEFT-WALL### 1 ablation 0 ###LEFT-WALL### 10 resulted 0 ###LEFT-WALL### 23 - 1 ablation 2 of 1 ablation 4 in 1 ablation 10 resulted 2 of 3 phb2 4 in 8 cells 5 mouse 8 cells 6 β 7 - 6 β 8 cells 9 sequentially 10 resulted 10 resulted 11 in 11 in 12 impairment 12 impairment 13 of 12 impairment 20 loss 13 of 18 secretion 14 mitochondrial 15 function 15 function 18 secretion 17 insulin 18 secretion 19 , 20 loss 20 loss 21 of 20 loss 23 - 21 of 22 β 23 - 24 cells 23 - 25 , 23 - 38 . 25 , 32 and 26 progressive 27 alteration 27 alteration 28 of 27 alteration 32 and 28 of 30 homeostasis 29 glucose 30 homeostasis 31 , 32 and 32 and 37 diabetes 33 , 34 ultimately 34 ultimately 35 , 34 ultimately 36 severe 36 severe 37 diabetes remarkably , these events progressed over a 3 [-] week period of time after weaning . 0 ###LEFT-WALL### 4 events 0 ###LEFT-WALL### 5 progressed 0 ###LEFT-WALL### 16 . 1 remarkably 2 , 1 remarkably 4 events 3 these 4 events 4 events 5 progressed 5 progressed 6 over 5 progressed 14 after 6 over 11 period 7 a 11 period 8 3 10 week 10 week 11 period 11 period 12 of 12 of 13 time 14 after 15 weaning defective insulin supply in β - phb2 [(] - [/] [-] ) mice was contributed by both β - cell dysfunction and apoptosis , temporarily compensated by increased β - cell proliferation . 0 ###LEFT-WALL### 3 supply 0 ###LEFT-WALL### 15 contributed 0 ###LEFT-WALL### 30 - 1 defective 3 supply 2 insulin 3 supply 3 supply 4 in 3 supply 14 was 4 in 13 mice 5 β 7 phb2 5 β 12 ) 5 β 13 mice 6 - 7 phb2 7 phb2 9 - 14 was 15 contributed 15 contributed 16 by 16 by 22 and 17 both 22 and 18 β 19 - 18 β 20 cell 20 cell 21 dysfunction 21 dysfunction 22 and 22 and 23 apoptosis 22 and 26 compensated 24 , 26 compensated 25 temporarily 26 compensated 26 compensated 27 by 26 compensated 30 - 27 by 29 β 28 increased 29 β 30 - 32 proliferation 30 - 33 . 31 cell 32 proliferation at the molecular level , we observed that deletion of phb2 caused mitochondrial abnormalities , including reduction of mitochondrial dna copy number and respiratory chain complex iv levels , altered mitochondrial activity , cleavage [of] l - optic atrophy 1 , and mitochondrial fragmentation . 0 ###LEFT-WALL### 16 including 0 ###LEFT-WALL### 29 , 0 ###LEFT-WALL### 37 - 0 ###LEFT-WALL### 45 . 1 at 4 level 1 at 16 including 2 the 4 level 3 molecular 4 level 4 level 12 caused 5 , 12 caused 6 we 7 observed 7 observed 8 that 8 that 9 deletion 8 that 12 caused 9 deletion 10 of 9 deletion 12 caused 10 of 11 phb2 12 caused 14 abnormalities 12 caused 15 , 13 mitochondrial 14 abnormalities 16 including 17 reduction 16 including 29 , 17 reduction 18 of 18 of 20 dna 19 mitochondrial 20 dna 20 dna 23 and 20 dna 26 complex 21 copy 22 number 22 number 23 and 23 and 25 chain 23 and 26 complex 24 respiratory 25 chain 26 complex 27 iv 28 levels 29 , 29 , 30 altered 29 , 32 activity 31 mitochondrial 32 activity 32 activity 34 cleavage 33 , 34 cleavage 34 cleavage 36 l 34 cleavage 37 - 37 - 42 and 38 optic 39 atrophy 39 atrophy 40 1 39 atrophy 42 and 41 , 42 and 42 and 44 fragmentation 43 mitochondrial 44 fragmentation overall , our data demonstrate that phb2 is essential for metabolic activation of mitochondria [and] , as a consequence , for function [and] survival of β - cells . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 5 demonstrate 0 ###LEFT-WALL### 29 . 1 overall 2 , 1 overall 4 data 3 our 4 data 4 data 5 demonstrate 5 demonstrate 6 that 6 that 7 phb2 6 that 8 is 7 phb2 8 is 8 is 9 essential 9 essential 10 for 9 essential 17 as 9 essential 21 for 10 for 12 activation 11 metabolic 12 activation 12 activation 13 of 13 of 14 mitochondria 16 , 17 as 17 as 19 consequence 17 as 20 , 18 a 19 consequence 21 for 24 survival 22 function 24 survival 24 survival 25 of 25 of 28 cells 26 β 27 - 26 β 28 cells [in] the first 50 years of cell culture , the development of new cell lines was mainly based on trial and error . 0 ###LEFT-WALL### 21 and 0 ###LEFT-WALL### 23 . 2 the 3 first 2 the 4 50 4 50 5 years 5 years 11 development 5 years 18 based 5 years 21 and 6 of 8 culture 6 of 9 , 6 of 11 development 7 cell 8 culture 10 the 11 development 11 development 12 of 11 development 16 was 12 of 15 lines 13 new 14 cell 14 cell 15 lines 16 was 18 based 17 mainly 18 based 18 based 20 trial 19 on 20 trial 21 and 22 error due to the understanding of the molecular networks of aging , senescence , proliferation , and adaption by mutation , the generation of new cell lines with physiologic properties has become more systematic . 0 ###LEFT-WALL### 22 generation 0 ###LEFT-WALL### 31 become 0 ###LEFT-WALL### 34 . 1 due 2 to 2 to 16 and 2 to 22 generation 3 the 4 understanding 4 understanding 5 of 4 understanding 9 of 4 understanding 11 , 5 of 8 networks 6 the 8 networks 7 molecular 8 networks 9 of 10 aging 11 , 12 senescence 11 , 13 , 13 , 14 proliferation 13 , 16 and 15 , 16 and 16 and 17 adaption 18 by 19 mutation 18 by 20 , 18 by 22 generation 21 the 22 generation 22 generation 23 of 22 generation 27 with 22 generation 30 has 23 of 26 lines 24 new 25 cell 25 cell 26 lines 27 with 29 properties 28 physiologic 29 properties 30 has 31 become 31 become 33 systematic 32 more 33 systematic this [endeavor] has been supported by the availability of new technological achievements and increasing knowledge about the biology of cell differentiation and cell - cell communication . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 5 supported 0 ###LEFT-WALL### 24 - 1 this 3 has 3 has 4 been 4 been 5 supported 5 supported 6 by 5 supported 16 about 6 by 8 availability 7 the 8 availability 8 availability 9 of 9 of 13 and 10 new 12 achievements 11 technological 12 achievements 12 achievements 13 and 13 and 15 knowledge 14 increasing 15 knowledge 16 about 22 and 17 the 18 biology 18 biology 19 of 18 biology 22 and 19 of 21 differentiation 20 cell 21 differentiation 22 and 23 cell 24 - 26 communication 24 - 27 . 25 cell 26 communication here , we review some promising developments that are contributing toward this goal . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 review 0 ###LEFT-WALL### 14 . 1 here 2 , 1 here 3 we 3 we 4 review 4 review 7 developments 4 review 11 toward 5 some 7 developments 6 promising 7 developments 7 developments 8 that 7 developments 9 are 8 that 9 are 9 are 10 contributing 11 toward 13 goal 12 this 13 goal these include molecular tools frequently used for the immortalization process . 0 ###LEFT-WALL### 1 these 0 ###LEFT-WALL### 2 include 0 ###LEFT-WALL### 11 . 1 these 2 include 2 include 4 tools 3 molecular 4 tools 4 tools 6 used 5 frequently 6 used 6 used 7 for 7 for 10 process 8 the 10 process 9 immortalization 10 process in addition to these [broadly] acting immortalization regimens , we focus on the developments of cell type [-] specific immortalization and on the methodologies of how to control the growth of newly established cell lines . 0 ###LEFT-WALL### 10 we 0 ###LEFT-WALL### 11 focus 0 ###LEFT-WALL### 36 . 1 in 2 addition 1 in 9 , 1 in 10 we 2 addition 3 to 3 to 8 regimens 4 these 8 regimens 6 acting 7 immortalization 7 immortalization 8 regimens 10 we 11 focus 11 focus 21 and 12 on 14 developments 12 on 21 and 13 the 14 developments 14 developments 15 of 15 of 20 immortalization 16 cell 17 type 17 type 20 immortalization 19 specific 20 immortalization 21 and 22 on 22 on 24 methodologies 23 the 24 methodologies 24 methodologies 25 of 25 of 26 how 26 how 27 to 26 how 28 control 27 to 28 control 28 control 30 growth 29 the 30 growth 30 growth 31 of 31 of 35 lines 32 newly 33 established 33 established 34 cell 34 cell 35 lines as the molecular revolution continues to inform a deeper understanding of disease mechanisms and pathways , there exist unprecedented opportunities for translating discoveries at the bench into novel therapies for improving human health . 0 ###LEFT-WALL### 4 revolution 0 ###LEFT-WALL### 5 continues 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 34 . 1 as 3 molecular 1 as 4 revolution 2 the 3 molecular 4 revolution 5 continues 5 continues 6 to 5 continues 7 inform 6 to 7 inform 7 inform 10 understanding 8 a 10 understanding 9 deeper 10 understanding 10 understanding 11 of 11 of 14 and 12 disease 13 mechanisms 13 mechanisms 14 and 14 and 15 pathways 16 , 17 there 16 , 18 exist 17 there 18 exist 18 exist 20 opportunities 19 unprecedented 20 opportunities 20 opportunities 21 for 21 for 22 translating 22 translating 23 discoveries 22 translating 24 at 22 translating 27 into 24 at 26 bench 25 the 26 bench 27 into 29 therapies 28 novel 29 therapies 29 therapies 30 for 30 for 31 improving 31 improving 33 health 32 human 33 health despite the availability of several different classes of antihypertensive medications , only about half of the 67 million americans [with] [hypertension] manage their blood pressure appropriately . 0 ###LEFT-WALL### 12 only 0 ###LEFT-WALL### 22 manage 0 ###LEFT-WALL### 27 . 1 despite 3 availability 1 despite 11 , 1 despite 12 only 2 the 3 availability 3 availability 4 of 4 of 7 classes 5 several 7 classes 6 different 7 classes 7 classes 8 of 8 of 10 medications 9 antihypertensive 10 medications 12 only 14 half 13 about 14 half 14 half 15 of 14 half 22 manage 15 of 19 americans 16 the 18 million 17 67 18 million 18 million 19 americans 22 manage 25 pressure 22 manage 26 appropriately 23 their 25 pressure 24 blood 25 pressure a broader selection of structurally diverse antihypertensive drugs acting through different mechanisms would provide clinicians with greater flexibility in developing effective treatment regimens for an increasingly diverse [and] aging patient population . 0 ###LEFT-WALL### 3 selection 0 ###LEFT-WALL### 14 provide 0 ###LEFT-WALL### 32 . 1 a 3 selection 2 broader 3 selection 3 selection 4 of 3 selection 13 would 4 of 8 drugs 5 structurally 6 diverse 6 diverse 8 drugs 7 antihypertensive 8 drugs 8 drugs 9 acting 8 drugs 10 through 10 through 12 mechanisms 11 different 12 mechanisms 13 would 14 provide 14 provide 15 clinicians 15 clinicians 16 with 15 clinicians 19 in 15 clinicians 24 for 16 with 18 flexibility 17 greater 18 flexibility 19 in 20 developing 20 developing 23 regimens 21 effective 22 treatment 22 treatment 23 regimens 24 for 31 population 25 an 31 population 26 increasingly 27 diverse 27 diverse 31 population 29 aging 31 population 30 patient 31 population an emerging body of physiological , genetic , and pharmacological evidence has implicated several renal ion [-] transport proteins , or regulators thereof , as novel , yet clinically unexploited [,] diuretic targets . 0 ###LEFT-WALL### 3 body 0 ###LEFT-WALL### 13 implicated 1 an 3 body 2 emerging 3 body 3 body 4 of 3 body 12 has 4 of 11 evidence 5 physiological 6 , 6 , 7 genetic 6 , 9 and 8 , 9 and 9 and 10 pharmacological 9 and 11 evidence 12 has 13 implicated 13 implicated 21 or 13 implicated 23 thereof 13 implicated 25 as 14 several 19 proteins 15 renal 19 proteins 16 ion 18 transport 18 transport 19 proteins 19 proteins 21 or 20 , 21 or 21 or 22 regulators 24 , 25 as 25 as 33 targets 25 as 34 . 26 novel 27 , 26 novel 33 targets 28 yet 30 unexploited 29 clinically 30 unexploited 30 unexploited 33 targets 32 diuretic 33 targets these include the renal outer medullary potassium channel , romk ( kir1.1 ) , kir4.1/5.1 potassium channels , clc - ka/b chloride channels , uta/b urea transporters , the chloride/bicarbonate exchanger pendrin , and the ste20/sps1 - related proline/alanine - rich kinase ( spak ) . 0 ###LEFT-WALL### 1 these 0 ###LEFT-WALL### 2 include 0 ###LEFT-WALL### 46 . 1 these 2 include 2 include 34 and 3 the 8 channel 4 renal 7 potassium 5 outer 7 potassium 6 medullary 7 potassium 7 potassium 8 channel 8 channel 9 , 9 , 10 romk 9 , 14 , 10 romk 12 kir1.1 11 ( 12 kir1.1 12 kir1.1 13 ) 14 , 17 channels 14 , 18 , 15 kir4.1/5.1 16 potassium 16 potassium 17 channels 18 , 19 clc 18 , 34 and 19 clc 21 ka/b 20 - 21 ka/b 21 ka/b 22 chloride 21 ka/b 23 channels 21 ka/b 27 transporters 21 ka/b 32 pendrin 21 ka/b 33 , 22 chloride 23 channels 24 , 27 transporters 25 uta/b 26 urea 26 urea 27 transporters 27 transporters 28 , 28 , 32 pendrin 29 the 32 pendrin 30 chloride/bicarbonate 32 pendrin 31 exchanger 32 pendrin 32 pendrin 33 , 34 and 42 kinase 34 and 44 spak 35 the 42 kinase 36 ste20/sps1 39 proline/alanine 36 ste20/sps1 42 kinase 37 - 39 proline/alanine 38 related 39 proline/alanine 39 proline/alanine 40 - 41 rich 42 kinase 43 ( 44 spak 44 spak 45 ) the molecular pharmacology of these putative targets is poorly developed [or] lacking altogether ; however , recent efforts by a few academic and pharmaceutical laboratories have begun to lessen this critical barrier . 0 ###LEFT-WALL### 3 pharmacology 0 ###LEFT-WALL### 10 developed 0 ###LEFT-WALL### 14 ; 0 ###LEFT-WALL### 33 . 1 the 3 pharmacology 2 molecular 3 pharmacology 3 pharmacology 4 of 3 pharmacology 8 is 4 of 7 targets 5 these 7 targets 6 putative 7 targets 8 is 10 developed 9 poorly 10 developed 10 developed 12 lacking 12 lacking 13 altogether 14 ; 18 efforts 14 ; 27 begun 15 however 16 , 15 however 18 efforts 17 recent 18 efforts 18 efforts 19 by 18 efforts 26 have 19 by 25 laboratories 20 a 21 few 21 few 25 laboratories 22 academic 23 and 23 and 24 pharmaceutical 23 and 25 laboratories 26 have 27 begun 27 begun 28 to 27 begun 29 lessen 28 to 29 lessen 29 lessen 32 barrier 30 this 32 barrier 31 critical 32 barrier here , we review the evidence in support of the aforementioned proteins as novel diuretic targets and highlight examples where progress toward developing small - molecule pharmacology has been made . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 31 . 1 here 2 , 1 here 3 we 3 we 17 and 4 review 6 evidence 4 review 7 in 4 review 17 and 5 the 6 evidence 7 in 8 support 8 support 9 of 9 of 12 proteins 10 the 12 proteins 11 aforementioned 12 proteins 12 proteins 13 as 13 as 16 targets 14 novel 16 targets 15 diuretic 16 targets 17 and 18 highlight 18 highlight 19 examples 18 highlight 20 where 20 where 21 progress 20 where 30 made 21 progress 22 toward 21 progress 28 has 22 toward 23 developing 23 developing 27 pharmacology 24 small 25 - 24 small 26 molecule 26 molecule 27 pharmacology 28 has 29 been 29 been 30 made autophagy is a catabolic pathway in which the cell sequesters cytoplasmic material , including long - [lived] proteins , lipids and organelles , in specialized double - membrane vesicles , called autophagosomes . 0 ###LEFT-WALL### 1 autophagy 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 33 . 1 autophagy 2 is 2 is 5 pathway 3 a 4 catabolic 3 a 5 pathway 4 catabolic 5 pathway 5 pathway 6 in 6 in 7 which 6 in 9 cell 6 in 10 sequesters 8 the 9 cell 9 cell 10 sequesters 10 sequesters 12 material 11 cytoplasmic 12 material 12 material 14 including 13 , 14 including 14 including 18 proteins 14 including 19 , 15 long 16 - 15 long 18 proteins 19 , 21 and 20 lipids 21 and 21 and 22 organelles 21 and 23 , 21 and 24 in 24 in 30 , 25 specialized 29 vesicles 25 specialized 30 , 26 double 27 - 26 double 29 vesicles 28 membrane 29 vesicles 30 , 31 called 31 called 32 autophagosomes subsequently , autophagosomes communicate with the lysosomal compartment and acquire acidic hydrolases for final cargo degradation . 0 ###LEFT-WALL### 3 autophagosomes 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 17 . 1 subsequently 2 , 1 subsequently 3 autophagosomes 3 autophagosomes 9 and 4 communicate 5 with 4 communicate 9 and 5 with 8 compartment 6 the 8 compartment 7 lysosomal 8 compartment 9 and 10 acquire 9 and 16 degradation 10 acquire 12 hydrolases 11 acidic 12 hydrolases 12 hydrolases 13 for 13 for 15 cargo 14 final 15 cargo this process of partial [self] - eating secures the survival of eukaryotic cells during starvation periods and is critically regulated by mtorc1 ( mammalian target [of] rapamycin complex 1 ) . 0 ###LEFT-WALL### 2 process 0 ###LEFT-WALL### 17 and 0 ###LEFT-WALL### 31 . 1 this 2 process 2 process 3 of 2 process 17 and 3 of 7 eating 4 partial 6 - 4 partial 7 eating 8 secures 10 survival 8 secures 14 during 8 secures 17 and 9 the 10 survival 10 survival 11 of 11 of 13 cells 12 eukaryotic 13 cells 14 during 16 periods 15 starvation 16 periods 17 and 18 is 18 is 20 regulated 19 critically 20 regulated 20 regulated 21 by 21 by 22 mtorc1 22 mtorc1 28 complex 23 ( 28 complex 24 mammalian 25 target 25 target 28 complex 27 rapamycin 28 complex 28 complex 29 1 28 complex 30 ) under nutrient - poor conditions , inhibited mtorc1 permits localized ptdins ( 3 [ ] production at particular membranes that contribute to autophagosome formation . 0 ###LEFT-WALL### 9 permits 0 ###LEFT-WALL### 10 localized 1 under 5 conditions 1 under 6 , 1 under 9 permits 2 nutrient 3 - 2 nutrient 5 conditions 4 poor 5 conditions 7 inhibited 9 permits 8 mtorc1 9 permits 9 permits 10 localized 10 localized 11 ptdins 11 ptdins 15 ] 12 ( 15 ] 13 3 15 ] 15 ] 16 production 15 ] 24 formation 16 production 18 particular 17 at 18 particular 18 particular 19 membranes 18 particular 20 that 19 membranes 20 that 20 that 21 contribute 21 contribute 23 autophagosome 22 to 23 autophagosome members of the human wipi ( wd - repeat protein interacting with phosphoinositides ) family fulfil an essential role as ptdins ( 3 [ ] effectors at the initiation step of autophagosome formation . 0 ###LEFT-WALL### 1 members 0 ###LEFT-WALL### 16 fulfil 1 members 2 of 1 members 16 fulfil 2 of 15 family 3 the 15 family 4 human 15 family 5 wipi 7 wd 5 wipi 15 family 6 ( 7 wd 7 wd 10 protein 7 wd 14 ) 8 - 10 protein 9 repeat 10 protein 10 protein 11 interacting 10 protein 14 ) 11 interacting 12 with 12 with 13 phosphoinositides 16 fulfil 19 role 16 fulfil 20 as 17 an 18 essential 17 an 19 role 18 essential 19 role 20 as 21 ptdins 21 ptdins 25 ] 22 ( 25 ] 23 3 25 ] 25 ] 26 effectors 25 ] 30 step 25 ] 33 formation 26 effectors 29 initiation 27 at 29 initiation 28 the 29 initiation 30 step 32 autophagosome 31 of 32 autophagosome in the present article , we discuss the role of human wipis in autophagy , and the identification of evolutionarily conserved amino acids of wipi - 1 that confer ptdins ( 3 [ ] binding downstream of mtorc1 inhibition . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 discuss 1 in 4 article 1 in 5 , 1 in 6 we 2 the 4 article 3 present 4 article 6 we 7 discuss 7 discuss 9 role 8 the 9 role 9 role 10 of 10 of 12 wipis 11 human 12 wipis 12 wipis 13 in 12 wipis 19 of 13 in 16 and 14 autophagy 16 and 15 , 16 and 16 and 18 identification 17 the 18 identification 19 of 23 acids 20 evolutionarily 21 conserved 21 conserved 23 acids 22 amino 23 acids 23 acids 24 of 24 of 25 wipi 25 wipi 27 1 26 - 27 1 27 1 28 that 27 1 29 confer 27 1 39 inhibition 28 that 29 confer 29 confer 30 ptdins 30 ptdins 32 3 31 ( 32 3 32 3 34 ] 32 3 35 binding 32 3 39 inhibition 35 binding 36 downstream 36 downstream 38 mtorc1 37 of 38 mtorc1 we also discuss the ptdins [(] 3 [ ] effector function of wipis in the context of longevity and autophagy - related human diseases , such as cancer and neurodegeneration . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 discuss 0 ###LEFT-WALL### 21 - 1 we 3 discuss 2 also 3 discuss 3 discuss 10 effector 3 discuss 13 wipis 4 the 10 effector 5 ptdins 7 3 5 ptdins 10 effector 9 ] 10 effector 10 effector 11 function 11 function 12 of 13 wipis 18 longevity 14 in 15 the 15 the 16 context 15 the 18 longevity 16 context 17 of 18 longevity 19 and 20 autophagy 21 - 21 - 23 human 21 - 26 such 21 - 30 neurodegeneration 22 related 23 human 24 diseases 26 such 25 , 26 such 26 such 28 cancer 26 such 30 neurodegeneration 27 as 28 cancer 28 cancer 29 and the mtor [ mammalian ( or mechanistic ) target of rapamycin ] protein kinase co [-] ordinates catabolic and anabolic processes in response to growth factors and nutrients and is a validated anticancer drug target . 0 ###LEFT-WALL### 15 co 0 ###LEFT-WALL### 29 and 0 ###LEFT-WALL### 36 . 1 the 15 co 2 mtor 6 or 2 mtor 13 protein 3 [ 6 or 4 mammalian 6 or 5 ( 6 or 6 or 9 target 6 or 10 of 6 or 12 ] 7 mechanistic 8 ) 7 mechanistic 9 target 10 of 11 rapamycin 13 protein 14 kinase 14 kinase 15 co 15 co 29 and 17 ordinates 21 processes 17 ordinates 24 to 17 ordinates 29 and 18 catabolic 19 and 19 and 20 anabolic 19 and 21 processes 22 in 23 response 23 response 24 to 24 to 27 and 25 growth 26 factors 26 factors 27 and 27 and 28 nutrients 29 and 30 is 30 is 35 target 31 a 35 target 32 validated 33 anticancer 33 anticancer 34 drug 34 drug 35 target rapamycin and related allosteric inhibitors of mtorc1 ( mtor complex 1 ) have had some success in specific tumour types , but have not exhibited broad anticancer activity , prompting the development of new atp - competitive mtor kinase inhibitors that inhibit both mtorc1 and mtorc2 . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 22 but 0 ###LEFT-WALL### 36 - 0 ###LEFT-WALL### 47 . 1 rapamycin 2 and 2 and 5 inhibitors 2 and 6 of 2 and 22 but 3 related 5 inhibitors 4 allosteric 5 inhibitors 6 of 7 mtorc1 7 mtorc1 10 complex 8 ( 10 complex 9 mtor 10 complex 10 complex 11 1 10 complex 12 ) 13 have 14 had 13 have 22 but 14 had 16 success 14 had 17 in 15 some 16 success 17 in 20 types 18 specific 19 tumour 19 tumour 20 types 21 , 22 but 22 but 23 have 23 have 24 not 23 have 25 exhibited 25 exhibited 28 activity 26 broad 28 activity 27 anticancer 28 activity 28 activity 30 prompting 29 , 30 prompting 30 prompting 32 development 30 prompting 36 - 31 the 32 development 32 development 33 of 33 of 35 atp 34 new 35 atp 36 - 40 inhibitors 37 competitive 39 kinase 38 mtor 39 kinase 39 kinase 40 inhibitors 40 inhibitors 41 that 40 inhibitors 42 inhibit 41 that 42 inhibit 42 inhibit 45 and 43 both 45 and 44 mtorc1 45 and 45 and 46 mtorc2 [in] common with other targeted kinase inhibitors , tumours are likely to adapt and acquire resistance to mtor inhibitors . 0 ###LEFT-WALL### 9 tumours 0 ###LEFT-WALL### 10 are 0 ###LEFT-WALL### 20 . 2 common 3 with 2 common 8 , 2 common 9 tumours 3 with 7 inhibitors 4 other 7 inhibitors 5 targeted 6 kinase 6 kinase 7 inhibitors 9 tumours 10 are 10 are 11 likely 11 likely 12 to 11 likely 14 and 12 to 14 and 13 adapt 14 and 14 and 15 acquire 15 acquire 16 resistance 16 resistance 17 to 16 resistance 18 mtor 17 to 18 mtor 18 mtor 19 inhibitors in the present article , we review studies that describe how tumour cells adapt to become resistant to mtor inhibitors . mtor is a central signalling hub which responds to an array of signalling inputs and activates a range of downstream effector pathways . 0 ###LEFT-WALL### 6 we 0 ###LEFT-WALL### 7 review 0 ###LEFT-WALL### 21 . 0 ###LEFT-WALL### 44 . 1 in 4 article 1 in 5 , 1 in 6 we 2 the 4 article 3 present 4 article 6 we 7 review 7 review 8 studies 7 review 18 to 8 studies 9 that 8 studies 10 describe 9 that 10 describe 10 describe 11 how 11 how 13 cells 11 how 14 adapt 12 tumour 13 cells 13 cells 14 adapt 14 adapt 15 to 15 to 16 become 16 become 17 resistant 18 to 20 inhibitors 19 mtor 20 inhibitors 21 . 22 mtor 21 . 23 is 22 mtor 23 is 23 is 27 hub 24 a 25 central 24 a 27 hub 25 central 27 hub 26 signalling 27 hub 27 hub 28 which 27 hub 36 and 28 which 36 and 29 responds 30 to 29 responds 36 and 30 to 32 array 31 an 32 array 32 array 33 of 33 of 34 signalling 34 signalling 35 inputs 36 and 37 activates 37 activates 39 range 38 a 39 range 39 range 40 of 40 of 43 pathways 41 downstream 43 pathways 42 effector 43 pathways understanding how this signalling network is remodelled and which pathways are invoked to sustain survival and proliferation in the presence of mtor inhibitors can provide new insights into the importance of the various mtor effector pathways and may suggest targets for intervention to combine with mtor inhibitors . 0 ###LEFT-WALL### 1 understanding 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 44 combine 0 ###LEFT-WALL### 48 . 1 understanding 2 how 1 understanding 6 is 3 this 5 network 4 signalling 5 network 5 network 6 is 6 is 7 remodelled 8 and 9 which 8 and 37 and 9 which 10 pathways 10 pathways 11 are 11 are 12 invoked 12 invoked 13 to 12 invoked 18 in 13 to 14 sustain 14 sustain 16 and 15 survival 16 and 16 and 17 proliferation 18 in 20 presence 19 the 20 presence 20 presence 21 of 21 of 22 mtor 23 inhibitors 37 and 24 can 25 provide 24 can 37 and 25 provide 27 insights 25 provide 28 into 26 new 27 insights 28 into 30 importance 29 the 30 importance 30 importance 31 of 31 of 36 pathways 32 the 36 pathways 33 various 34 mtor 34 mtor 35 effector 35 effector 36 pathways 37 and 38 may 37 and 41 for 37 and 43 to 38 may 39 suggest 39 suggest 40 targets 41 for 42 intervention 43 to 44 combine 44 combine 45 with 45 with 47 inhibitors 46 mtor 47 inhibitors finally , since chronic mtor inhibition by rapamycin can increase lifespan and healthspan in nematodes , fruitflies and mice , we contrast these studies with tumour cell responses to mtor inhibition . 0 ###LEFT-WALL### 21 we 0 ###LEFT-WALL### 30 mtor 0 ###LEFT-WALL### 32 . 1 finally 21 we 2 , 3 since 3 since 6 inhibition 3 since 10 increase 3 since 20 , 3 since 21 we 4 chronic 6 inhibition 5 mtor 6 inhibition 6 inhibition 7 by 6 inhibition 9 can 7 by 8 rapamycin 9 can 10 increase 10 increase 12 and 10 increase 14 in 11 lifespan 12 and 12 and 13 healthspan 14 in 18 and 15 nematodes 16 , 16 , 17 fruitflies 16 , 18 and 18 and 19 mice 21 we 22 contrast 22 contrast 24 studies 22 contrast 25 with 22 contrast 29 to 23 these 24 studies 25 with 28 responses 26 tumour 28 responses 27 cell 28 responses 29 to 30 mtor 30 mtor 31 inhibition unlabelled : hoarding disorder ( hd ) in late life is associated with increased risk for fire , falling , poor sanitary conditions , disability , and health risks . 0 ###LEFT-WALL### 1 unlabelled 0 ###LEFT-WALL### 2 : 2 : 3 hoarding 2 : 12 associated 2 : 30 . 3 hoarding 4 disorder 3 hoarding 8 in 3 hoarding 11 is 4 disorder 6 hd 5 ( 6 hd 6 hd 7 ) 8 in 10 life 9 late 10 life 11 is 12 associated 12 associated 13 with 13 with 27 and 14 increased 15 risk 15 risk 16 for 15 risk 27 and 16 for 17 fire 17 fire 19 falling 17 fire 23 conditions 18 , 19 falling 19 falling 20 , 20 , 23 conditions 21 poor 23 conditions 22 sanitary 23 conditions 23 conditions 25 disability 23 conditions 26 , 24 , 25 disability 25 disability 26 , 27 and 29 risks 28 health 29 risks however , research on the health status of individuals with hd is limited . 0 ###LEFT-WALL### 3 research 0 ###LEFT-WALL### 12 is 0 ###LEFT-WALL### 14 . 1 however 2 , 1 however 3 research 3 research 4 on 3 research 12 is 4 on 7 status 5 the 7 status 6 health 7 status 7 status 8 of 8 of 9 individuals 9 individuals 10 with 10 with 11 hd 12 is 13 limited hoarding symptoms and the resulting clutter may exacerbate health conditions and lead to improper management of medical illnesses . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 19 . 1 hoarding 2 symptoms 2 symptoms 3 and 3 and 6 clutter 3 and 11 and 4 the 6 clutter 5 resulting 6 clutter 7 may 8 exacerbate 7 may 11 and 8 exacerbate 10 conditions 9 health 10 conditions 11 and 12 lead 12 lead 13 to 13 to 15 management 14 improper 15 management 15 management 16 of 16 of 18 illnesses 17 medical 18 illnesses objective : the purpose of this study is to characterize the health status of older adults with hoarding . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 1 objective 2 : 2 : 4 purpose 3 the 4 purpose 4 purpose 5 of 4 purpose 7 study 4 purpose 18 hoarding 5 of 6 this 7 study 8 is 8 is 9 to 8 is 10 characterize 9 to 10 characterize 10 characterize 13 status 10 characterize 17 with 11 the 13 status 12 health 13 status 13 status 14 of 14 of 16 adults 15 older 16 adults 17 with 18 hoarding the rates of medical conditions will be compared to a [non] [-] psychiatric peer group . 0 ###LEFT-WALL### 2 rates 0 ###LEFT-WALL### 8 compared 0 ###LEFT-WALL### 16 . 1 the 2 rates 2 rates 3 of 2 rates 6 will 3 of 5 conditions 4 medical 5 conditions 6 will 7 be 7 be 8 compared 8 compared 9 to 9 to 15 group 10 a 15 group 13 psychiatric 14 peer 14 peer 15 group results : older adults with hd ( n = 72 ) reported significantly more health conditions compared to their [non] [-] psychiatric peers ( n = 25 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 adults 2 : 12 reported 2 : 29 . 3 older 4 adults 4 adults 5 with 4 adults 12 reported 5 with 6 hd 6 hd 9 = 7 ( 9 = 8 n 9 = 9 = 10 72 9 = 11 ) 12 reported 13 significantly 12 reported 16 conditions 12 reported 17 compared 14 more 16 conditions 15 health 16 conditions 16 conditions 17 compared 17 compared 18 to 18 to 23 peers 19 their 23 peers 22 psychiatric 23 peers 23 peers 26 = 24 ( 26 = 25 n 26 = 26 = 27 25 26 = 28 ) hoarding severity significantly predicted the total number of medical conditions . 0 ###LEFT-WALL### 1 hoarding 0 ###LEFT-WALL### 4 predicted 0 ###LEFT-WALL### 11 . 1 hoarding 2 severity 1 hoarding 4 predicted 3 significantly 4 predicted 4 predicted 10 conditions 5 the 7 number 6 total 7 number 7 number 8 of 7 number 10 conditions 8 of 10 conditions 9 medical 10 conditions further , the vast majority of hd patients reported at least one medical condition . 0 ###LEFT-WALL### 8 patients 0 ###LEFT-WALL### 9 reported 0 ###LEFT-WALL### 15 . 1 further 2 , 1 further 8 patients 3 the 5 majority 4 vast 5 majority 5 majority 6 of 5 majority 8 patients 6 of 8 patients 7 hd 8 patients 8 patients 9 reported 9 reported 14 condition 10 at 11 least 11 least 12 one 12 one 14 condition 13 medical 14 condition conclusion : this is alarming given that hoarding patients utilized health services less than typical for older adults . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 19 . 2 : 3 this 2 : 4 is 3 this 4 is 4 is 9 patients 5 alarming 9 patients 6 given 9 patients 7 that 8 hoarding 8 hoarding 9 patients 9 patients 10 utilized 9 patients 11 health 9 patients 12 services 9 patients 15 typical 11 health 12 services 12 services 13 less 12 services 14 than 15 typical 16 for 16 for 18 adults 17 older 18 adults given the health status of older adults with hd , interventions should target the prevention and management of medical conditions . 0 ###LEFT-WALL### 11 interventions 0 ###LEFT-WALL### 13 target 0 ###LEFT-WALL### 21 . 1 given 4 status 1 given 8 with 1 given 10 , 1 given 11 interventions 2 the 4 status 3 health 4 status 4 status 5 of 5 of 7 adults 6 older 7 adults 8 with 9 hd 11 interventions 12 should 12 should 13 target 13 target 16 and 14 the 15 prevention 15 prevention 16 and 16 and 17 management 16 and 18 of 18 of 20 conditions 19 medical 20 conditions trans - resveratrol , a polyphenol extracted from vitis vinifera , has different beneficial effects following its administration on the skin . 0 ###LEFT-WALL### 3 resveratrol 0 ###LEFT-WALL### 12 has 0 ###LEFT-WALL### 22 . 1 trans 2 - 1 trans 3 resveratrol 3 resveratrol 6 polyphenol 3 resveratrol 12 has 4 , 6 polyphenol 5 a 6 polyphenol 6 polyphenol 7 extracted 6 polyphenol 11 , 7 extracted 8 from 7 extracted 10 vinifera 8 from 9 vitis 12 has 15 effects 13 different 15 effects 14 beneficial 15 effects 15 effects 16 following 16 following 18 administration 16 following 19 on 17 its 18 administration 19 on 21 skin 20 the 21 skin here the potential use of binary systems to enhance in vitro and in vivo activity of trans - resveratrol was investigated . 0 ###LEFT-WALL### 4 use 0 ###LEFT-WALL### 17 trans 0 ###LEFT-WALL### 18 - 1 here 4 use 2 the 4 use 3 potential 4 use 4 use 5 of 4 use 17 trans 5 of 7 systems 6 binary 7 systems 7 systems 8 to 7 systems 16 of 8 to 9 enhance 9 enhance 12 and 9 enhance 15 activity 10 in 11 vitro 11 vitro 12 and 12 and 14 vivo 13 in 14 vivo 15 activity 16 of 18 - 19 resveratrol 18 - 21 investigated 18 - 22 . 19 resveratrol 20 was 20 was 21 investigated thus the aqueous solubility [of] trans - resveratrol was investigated in the presence of growing concentrations of polyethylene glycol ( peg ) or β - cyclodextrin ( βcd ) as solubilizing excipients . 0 ###LEFT-WALL### 4 solubility 0 ###LEFT-WALL### 6 trans 0 ###LEFT-WALL### 7 - 1 thus 4 solubility 2 the 4 solubility 3 aqueous 4 solubility 4 solubility 6 trans 7 - 8 resveratrol 7 - 10 investigated 7 - 33 . 8 resveratrol 9 was 9 was 10 investigated 10 investigated 11 in 10 investigated 30 as 11 in 23 or 12 the 13 presence 13 presence 14 of 13 presence 23 or 14 of 15 growing 15 growing 16 concentrations 16 concentrations 17 of 16 concentrations 21 peg 17 of 19 glycol 18 polyethylene 19 glycol 20 ( 21 peg 21 peg 22 ) 23 or 26 cyclodextrin 23 or 28 βcd 24 β 25 - 24 β 26 cyclodextrin 27 ( 28 βcd 28 βcd 29 ) 30 as 32 excipients 31 solubilizing 32 excipients then , the solid dispersion of trans - resveratrol with peg or inclusion complexes trans - resveratrol/βcd were prepared and characterised by different methods . 0 ###LEFT-WALL### 5 dispersion 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 25 . 1 then 2 , 1 then 5 dispersion 3 the 5 dispersion 4 solid 5 dispersion 5 dispersion 6 of 5 dispersion 17 resveratrol/βcd 5 dispersion 18 were 5 dispersion 20 and 6 of 7 trans 7 trans 12 or 8 - 12 or 9 resveratrol 10 with 9 resveratrol 12 or 10 with 11 peg 12 or 15 trans 12 or 16 - 13 inclusion 15 trans 14 complexes 15 trans 17 resveratrol/βcd 18 were 19 prepared 20 and 20 and 21 characterised 20 and 22 by 22 by 24 methods 23 different 24 methods cytotoxicity and inhibition of reactive oxygen species ( ros ) following h2o2 challenge [in] the presence of trans - resveratrol , alone or associated to the excipients , [was] evaluated [on] human keratinocyte hacat cell line . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 23 or 0 ###LEFT-WALL### 28 , 0 ###LEFT-WALL### 37 . 1 cytotoxicity 2 and 2 and 3 inhibition 2 and 4 of 2 and 11 following 2 and 23 or 4 of 7 species 5 reactive 6 oxygen 6 oxygen 7 species 7 species 9 ros 8 ( 9 ros 9 ros 10 ) 11 following 12 h2o2 13 challenge 16 presence 13 challenge 22 alone 13 challenge 23 or 15 the 16 presence 16 presence 17 of 17 of 18 trans 18 trans 20 resveratrol 19 - 20 resveratrol 20 resveratrol 21 , 23 or 24 associated 23 or 25 to 25 to 27 excipients 26 the 27 excipients 28 , 36 line 30 evaluated 32 human 32 human 33 keratinocyte 33 keratinocyte 35 cell 34 hacat 35 cell 35 cell 36 line both the trans - resveratrol - containing binary systems induced significant reduction of h2o2 - induced ros production , especially in the case of βcd that was selected for the following phase of the study . 0 ###LEFT-WALL### 1 both 0 ###LEFT-WALL### 16 induced 0 ###LEFT-WALL### 19 , 0 ###LEFT-WALL### 36 . 1 both 2 the 1 both 3 trans 1 both 16 induced 2 the 3 trans 3 trans 5 resveratrol 3 trans 7 containing 4 - 5 resveratrol 5 resveratrol 6 - 6 - 7 containing 7 containing 12 reduction 7 containing 15 - 8 binary 9 systems 9 systems 10 induced 10 induced 12 reduction 11 significant 12 reduction 12 reduction 13 of 13 of 14 h2o2 16 induced 18 production 17 ros 18 production 19 , 26 that 19 , 28 selected 20 especially 26 that 21 in 23 case 21 in 26 that 22 the 23 case 23 case 24 of 24 of 25 βcd 26 that 27 was 27 was 28 selected 28 selected 29 for 29 for 32 phase 30 the 31 following 30 the 32 phase 32 phase 33 of 33 of 35 study 34 the 35 study thus , the effect of a cream containing trans - resveratrol , alone [or] associated to βcd , on different skin parameters such as corneometry , colorimetry and elastometry , was evaluated on human volunteers . 0 ###LEFT-WALL### 4 effect 0 ###LEFT-WALL### 32 evaluated 0 ###LEFT-WALL### 36 . 1 thus 2 , 1 thus 4 effect 3 the 4 effect 4 effect 5 of 4 effect 19 on 4 effect 31 was 5 of 7 cream 6 a 7 cream 7 cream 8 containing 8 containing 9 trans 8 containing 15 associated 9 trans 11 resveratrol 10 - 11 resveratrol 11 resveratrol 12 , 12 , 15 associated 13 alone 15 associated 15 associated 16 to 15 associated 18 , 16 to 17 βcd 19 on 22 parameters 20 different 22 parameters 21 skin 22 parameters 22 parameters 24 as 22 parameters 28 and 23 such 24 as 24 as 25 corneometry 26 , 28 and 27 colorimetry 28 and 28 and 29 elastometry 28 and 30 , 31 was 32 evaluated 32 evaluated 33 on 33 on 35 volunteers 34 human 35 volunteers all patients showed a visible improvement of clinical conditions with a remarkable decrease of aging signs , but this effect was [higher] of the hemi face treated with the βcd - containing formulation versus formulation containing trans - resveratrol alone . 0 ###LEFT-WALL### 2 patients 0 ###LEFT-WALL### 18 but 0 ###LEFT-WALL### 41 . 1 all 2 patients 2 patients 3 showed 3 showed 6 improvement 3 showed 10 with 3 showed 16 signs 4 a 6 improvement 5 visible 6 improvement 6 improvement 7 of 7 of 9 conditions 8 clinical 9 conditions 10 with 13 decrease 11 a 12 remarkable 11 a 13 decrease 12 remarkable 13 decrease 13 decrease 14 of 14 of 15 aging 17 , 18 but 18 but 20 effect 18 but 21 was 19 this 20 effect 20 effect 21 was 21 was 23 of 23 of 26 face 24 the 26 face 25 hemi 26 face 26 face 27 treated 27 treated 28 with 27 treated 40 alone 28 with 39 resveratrol 29 the 39 resveratrol 30 βcd 33 formulation 30 βcd 38 - 30 βcd 39 resveratrol 31 - 33 formulation 32 containing 33 formulation 33 formulation 34 versus 33 formulation 36 containing 33 formulation 38 - 34 versus 35 formulation 36 containing 37 trans telomeres are [specialized] structures at the ends of eukaryotic chromosomes that are important for maintaining genome stability and integrity . 0 ###LEFT-WALL### 1 telomeres 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 20 . 1 telomeres 2 are 2 are 4 structures 2 are 5 at 2 are 14 for 5 at 7 ends 6 the 7 ends 7 ends 8 of 7 ends 11 that 7 ends 12 are 8 of 10 chromosomes 9 eukaryotic 10 chromosomes 11 that 12 are 12 are 13 important 14 for 15 maintaining 15 maintaining 18 and 16 genome 17 stability 17 stability 18 and 18 and 19 integrity telomere dysfunction has been linked to aging and cancer development . 0 ###LEFT-WALL### 2 dysfunction 0 ###LEFT-WALL### 5 linked 0 ###LEFT-WALL### 11 . 1 telomere 2 dysfunction 2 dysfunction 3 has 3 has 4 been 4 been 5 linked 5 linked 6 to 6 to 8 and 7 aging 8 and 8 and 10 development 9 cancer 10 development in mammalian cells , extensive studies have been carried out to illustrate [how] core telomeric proteins [assemble] on telomeres to recruit the telomerase and additional factors for telomere maintenance and protection . 0 ###LEFT-WALL### 6 studies 0 ###LEFT-WALL### 9 carried 0 ###LEFT-WALL### 32 . 1 in 3 cells 1 in 4 , 1 in 6 studies 2 mammalian 3 cells 5 extensive 6 studies 6 studies 7 have 7 have 8 been 8 been 9 carried 9 carried 10 out 9 carried 11 to 9 carried 18 on 9 carried 20 to 11 to 12 illustrate 12 illustrate 16 proteins 14 core 16 proteins 15 telomeric 16 proteins 18 on 19 telomeres 20 to 21 recruit 21 recruit 24 and 21 recruit 27 for 22 the 23 telomerase 23 telomerase 24 and 24 and 26 factors 25 additional 26 factors 27 for 30 and 28 telomere 29 maintenance 29 maintenance 30 and 30 and 31 protection in comparison , [how] changes in growth signaling pathways impact telomeres and telomere - binding proteins remains largely unexplored . 0 ###LEFT-WALL### 5 changes 0 ###LEFT-WALL### 10 impact 0 ###LEFT-WALL### 14 - 1 in 2 comparison 1 in 3 , 1 in 5 changes 5 changes 6 in 5 changes 10 impact 6 in 7 growth 7 growth 8 signaling 8 signaling 9 pathways 10 impact 12 and 11 telomeres 12 and 12 and 13 telomere 14 - 15 binding 14 - 17 remains 14 - 20 . 15 binding 16 proteins 15 binding 17 remains 17 remains 19 unexplored 18 largely 19 unexplored the [phosphatidylinositol] 3 - kinase ( pi3 - [k] )/akt ( also known as pkb ) pathway , one of the best characterized growth signaling cascades , regulates a variety of cellular function including cell proliferation , survival , metabolism , and dna repair , [and] dysregulation of pi3 - k/akt signaling has been linked to aging and diseases such as cancer and diabetes . 0 ###LEFT-WALL### 3 3 0 ###LEFT-WALL### 10 )/akt 0 ###LEFT-WALL### 12 also 1 the 3 3 3 3 5 kinase 3 3 10 )/akt 4 - 5 kinase 5 kinase 7 pi3 5 kinase 8 - 6 ( 7 pi3 7 pi3 8 - 11 ( 12 also 12 also 17 pathway 13 known 14 as 13 known 16 ) 13 known 17 pathway 14 as 15 pkb 17 pathway 19 one 17 pathway 28 regulates 18 , 19 one 19 one 20 of 19 one 27 , 20 of 24 growth 21 the 22 best 21 the 24 growth 23 characterized 24 growth 24 growth 25 signaling 25 signaling 26 cascades 28 regulates 30 variety 29 a 30 variety 30 variety 31 of 30 variety 34 including 31 of 33 function 32 cellular 33 function 34 including 42 and 35 cell 36 proliferation 36 proliferation 37 , 37 , 38 survival 37 , 39 , 39 , 40 metabolism 39 , 42 and 41 , 42 and 42 and 44 repair 42 and 50 - 43 dna 44 repair 45 , 50 - 47 dysregulation 48 of 47 dysregulation 50 - 48 of 49 pi3 50 - 51 k/akt 51 k/akt 52 signaling 51 k/akt 54 been 51 k/akt 55 linked 52 signaling 53 has 53 has 54 been 55 linked 56 to 56 to 63 and 57 aging 58 and 58 and 59 diseases 58 and 61 as 58 and 63 and 60 such 61 as 61 as 62 cancer 63 and 64 diabetes 63 and 65 . in this study , we provide evidence that the akt signaling pathway plays an important role in telomere protection . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 provide 0 ###LEFT-WALL### 20 . 1 in 3 study 1 in 4 , 1 in 5 we 2 this 3 study 5 we 6 provide 6 provide 7 evidence 7 evidence 8 that 8 that 12 pathway 8 that 13 plays 9 the 12 pathway 10 akt 12 pathway 11 signaling 12 pathway 12 pathway 13 plays 13 plays 16 role 13 plays 17 in 14 an 15 important 14 an 16 role 15 important 16 role 17 in 19 protection 18 telomere 19 protection akt inhibition [either] by chemical inhibitors or small interfering rnas induced telomere dysfunction . 0 ###LEFT-WALL### 7 or 0 ###LEFT-WALL### 14 . 1 akt 2 inhibition 2 inhibition 4 by 2 inhibition 7 or 4 by 6 inhibitors 5 chemical 6 inhibitors 7 or 13 dysfunction 8 small 12 telomere 9 interfering 12 telomere 10 rnas 11 induced 11 induced 12 telomere 12 telomere 13 dysfunction furthermore , we found that tpp1 could homodimerize through its ob [-] fold [,] a process that was dependent on the akt kinase . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 24 . 1 furthermore 2 , 1 furthermore 3 we 3 we 4 found 4 found 5 that 5 that 6 tpp1 5 that 8 homodimerize 6 tpp1 7 could 7 could 8 homodimerize 8 homodimerize 9 through 8 homodimerize 16 process 9 through 13 fold 10 its 13 fold 11 ob 13 fold 15 a 16 process 16 process 17 that 16 process 18 was 17 that 18 was 18 was 19 dependent 19 dependent 20 on 20 on 23 kinase 21 the 23 kinase 22 akt 23 kinase telomere damage and reduced tpp1 dimerization as a result of akt inhibition was also accompanied by diminished [recruitment] of tpp1 and pot1 to the telomeres . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 26 . 1 telomere 2 damage 2 damage 3 and 3 and 6 dimerization 3 and 17 diminished 3 and 19 of 4 reduced 6 dimerization 5 tpp1 6 dimerization 6 dimerization 7 as 7 as 9 result 8 a 9 result 9 result 10 of 10 of 11 akt 11 akt 12 inhibition 11 akt 16 by 12 inhibition 13 was 13 was 15 accompanied 14 also 15 accompanied 15 accompanied 16 by 19 of 22 pot1 20 tpp1 21 and 21 and 22 pot1 22 pot1 23 to 23 to 25 telomeres 24 the 25 telomeres our findings highlight a previously unknown link between akt signaling and telomere protection . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 highlight 0 ###LEFT-WALL### 14 . 1 our 2 findings 2 findings 3 highlight 3 highlight 7 link 3 highlight 8 between 4 a 5 previously 4 a 7 link 5 previously 6 unknown 6 unknown 7 link 8 between 11 and 9 akt 10 signaling 9 akt 11 and 11 and 13 protection 12 telomere 13 protection however , its biological effect on tau protein is unknown . 0 ###LEFT-WALL### 5 effect 0 ###LEFT-WALL### 9 is 0 ###LEFT-WALL### 11 . 1 however 2 , 1 however 5 effect 3 its 5 effect 4 biological 5 effect 5 effect 6 on 5 effect 9 is 6 on 8 protein 7 tau 8 protein 9 is 10 unknown we investigated the effect of 12 [-] 15lo on tau levels and metabolism in vivo and in vitro and the mechanism involved by using genetic and pharmacologic approaches . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 investigated 0 ###LEFT-WALL### 19 and 0 ###LEFT-WALL### 29 . 1 we 2 investigated 2 investigated 4 effect 2 investigated 16 and 3 the 4 effect 4 effect 5 of 5 of 8 15lo 6 12 8 15lo 8 15lo 9 on 9 on 12 and 10 tau 11 levels 11 levels 12 and 12 and 13 metabolism 14 in 15 vivo 15 vivo 16 and 16 and 18 vitro 17 in 18 vitro 19 and 21 mechanism 19 and 28 approaches 20 the 21 mechanism 21 mechanism 22 involved 21 mechanism 28 approaches 22 involved 23 by 23 by 24 using 24 using 26 and 25 genetic 26 and 26 and 27 pharmacologic while no significant differences were observed in the levels of total tau for both groups , compared with controls , tg2576 mice overexpressing 12 - 15lo had elevated levels of phosphorylated tau at two specific epitopes , ser 202 / [202/thr] 205 and ser 396 . 0 ###LEFT-WALL### 26 15lo 0 ###LEFT-WALL### 28 elevated 0 ###LEFT-WALL### 46 . 1 while 4 differences 1 while 6 observed 1 while 16 , 1 while 26 15lo 2 no 4 differences 3 significant 4 differences 4 differences 5 were 5 were 6 observed 6 observed 7 in 7 in 9 levels 8 the 9 levels 9 levels 10 of 10 of 12 tau 11 total 12 tau 12 tau 13 for 13 for 15 groups 14 both 15 groups 16 , 17 compared 17 compared 18 with 17 compared 25 - 17 compared 26 15lo 18 with 19 controls 19 controls 22 mice 20 , 22 mice 21 tg2576 22 mice 22 mice 23 overexpressing 22 mice 25 - 23 overexpressing 24 12 26 15lo 27 had 27 had 28 elevated 28 elevated 29 levels 28 elevated 33 at 29 levels 30 of 30 of 32 tau 31 phosphorylated 32 tau 33 at 43 and 34 two 36 epitopes 35 specific 36 epitopes 36 epitopes 37 , 37 , 40 / 37 , 43 and 38 ser 39 202 38 ser 40 / 40 / 42 205 43 and 44 ser 44 ser 45 396 in vitro [and] in vivo studies show that 12 - 15lo modulates tau metabolism specifically via the cdk5 kinase pathway . 0 ###LEFT-WALL### 6 studies 0 ###LEFT-WALL### 7 show 0 ###LEFT-WALL### 10 - 1 in 2 vitro 2 vitro 6 studies 4 in 5 vivo 5 vivo 6 studies 6 studies 7 show 7 show 8 that 7 show 9 12 10 - 11 15lo 10 - 12 modulates 10 - 21 . 11 15lo 12 modulates 12 modulates 14 metabolism 12 modulates 15 specifically 12 modulates 16 via 13 tau 14 metabolism 16 via 20 pathway 17 the 20 pathway 18 cdk5 20 pathway 19 kinase 20 pathway associated with these changes were biochemical markers of synaptic pathology . 0 ###LEFT-WALL### 1 associated 0 ###LEFT-WALL### 5 were 0 ###LEFT-WALL### 11 . 1 associated 2 with 1 associated 5 were 2 with 4 changes 3 these 4 changes 5 were 7 markers 6 biochemical 7 markers 7 markers 8 of 8 of 10 pathology 9 synaptic 10 pathology [finally] [,] 12 - 15lo - dependent alteration of tau metabolism was independent from an effect on aβ . 0 ###LEFT-WALL### 3 12 0 ###LEFT-WALL### 4 - 0 ###LEFT-WALL### 6 - 3 12 4 - 4 - 5 15lo 6 - 8 alteration 6 - 12 was 6 - 19 . 7 dependent 8 alteration 8 alteration 9 of 8 alteration 12 was 9 of 11 metabolism 10 tau 11 metabolism 12 was 13 independent 13 independent 14 from 13 independent 17 on 14 from 16 effect 15 an 16 effect 17 on 18 aβ our findings reveal a novel pathway by [which] 12 - 15lo modulates endogenous tau metabolism making this protein an appealing pharmacologic target for treatment of ad and related tauopathies . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 reveal 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 30 . 1 our 2 findings 2 findings 3 reveal 3 reveal 6 pathway 4 a 6 pathway 5 novel 6 pathway 6 pathway 7 by 7 by 9 12 10 - 11 15lo 10 - 27 and 11 15lo 27 and 12 modulates 15 metabolism 12 modulates 23 for 12 modulates 27 and 13 endogenous 14 tau 14 tau 15 metabolism 15 metabolism 16 making 16 making 18 protein 16 making 22 target 17 this 18 protein 19 an 22 target 20 appealing 22 target 21 pharmacologic 22 target 23 for 24 treatment 24 treatment 25 of 25 of 26 ad 27 and 28 related 28 related 29 tauopathies we explored knowledge , attitudes , and practices associated with the menopause transition particular to women in the multi - ethnic cultural context of singapore . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 explored 0 ###LEFT-WALL### 4 , 0 ###LEFT-WALL### 26 . 1 we 2 explored 2 explored 3 knowledge 4 , 7 and 5 attitudes 7 and 6 , 7 and 7 and 8 practices 7 and 9 associated 9 associated 10 with 9 associated 17 in 10 with 13 transition 11 the 13 transition 12 menopause 13 transition 13 transition 14 particular 14 particular 15 to 15 to 16 women 17 in 23 context 18 the 23 context 19 multi 20 - 19 multi 23 context 21 ethnic 23 context 22 cultural 23 context 23 context 24 of 24 of 25 singapore fifty - eight chinese , malay , and indian singaporean women participated in interviews that were audiorecorded , transcribed verbatim , and analyzed using thematic analysis . 0 ###LEFT-WALL### 11 women 0 ###LEFT-WALL### 12 participated 0 ###LEFT-WALL### 18 , 0 ###LEFT-WALL### 27 . 1 fifty 2 - 2 - 3 eight 2 - 11 women 4 chinese 5 , 4 chinese 6 malay 6 malay 8 and 7 , 8 and 8 and 9 indian 8 and 11 women 10 singaporean 11 women 11 women 12 participated 12 participated 13 in 13 in 14 interviews 14 interviews 15 that 14 interviews 16 were 15 that 16 were 16 were 17 audiorecorded 18 , 26 analysis 19 transcribed 26 analysis 20 verbatim 22 and 21 , 22 and 22 and 24 using 22 and 26 analysis 23 analyzed 24 using 25 thematic 26 analysis women from all three ethnicities described an attitude [of] acceptance surrounding menopause and the changes associated with it . 0 ###LEFT-WALL### 1 women 0 ###LEFT-WALL### 6 described 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 19 . 1 women 2 from 1 women 6 described 2 from 5 ethnicities 3 all 4 three 4 three 5 ethnicities 6 described 12 menopause 7 an 8 attitude 7 an 12 menopause 8 attitude 12 menopause 10 acceptance 12 menopause 11 surrounding 12 menopause 13 and 15 changes 13 and 16 associated 14 the 15 changes 15 changes 16 associated 16 associated 17 with 17 with 18 it while they thought it was important to be informed , they did not seek out information about [menopause] and did not view health professionals as useful sources of information . 0 ###LEFT-WALL### 4 it 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 30 . 1 while 2 they 1 while 3 thought 1 while 4 it 2 they 3 thought 4 it 5 was 5 was 6 important 6 important 7 to 6 important 19 and 7 to 19 and 8 be 10 , 8 be 19 and 9 informed 10 , 10 , 14 seek 11 they 12 did 12 did 13 not 12 did 14 seek 14 seek 15 out 14 seek 16 information 14 seek 17 about 19 and 20 did 20 did 21 not 20 did 22 view 22 view 24 professionals 22 view 25 as 23 health 24 professionals 25 as 27 sources 26 useful 27 sources 27 sources 28 of 28 of 29 information management practices were diverse and rarely involved accessing health professionals . 0 ###LEFT-WALL### 1 management 0 ###LEFT-WALL### 2 practices 0 ###LEFT-WALL### 11 . 1 management 2 practices 2 practices 5 and 3 were 4 diverse 3 were 5 and 5 and 7 involved 5 and 10 professionals 6 rarely 7 involved 7 involved 8 accessing 8 accessing 9 health [none] none none none none none none societal aging raises challenging ethical questions regarding the just distribution of health care between young and old . 0 ###LEFT-WALL### 8 societal 0 ###LEFT-WALL### 10 raises 0 ###LEFT-WALL### 25 . 2 none 3 none 3 none 4 none 4 none 5 none 5 none 6 none 6 none 7 none 7 none 8 societal 8 societal 9 aging 8 societal 10 raises 10 raises 13 questions 10 raises 21 between 11 challenging 13 questions 12 ethical 13 questions 13 questions 14 regarding 14 regarding 17 distribution 15 the 17 distribution 16 just 17 distribution 17 distribution 18 of 18 of 20 care 19 health 20 care 21 between 23 and 22 young 23 and 23 and 24 old this article considers a proposal for age - based rationing of health care , which is based on the prudential life span account of justice between age groups . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 considers 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 29 . 1 this 2 article 2 article 3 considers 3 considers 5 proposal 4 a 5 proposal 5 proposal 6 for 6 for 7 age 8 - 10 rationing 8 - 14 , 9 based 10 rationing 10 rationing 11 of 11 of 13 care 12 health 13 care 14 , 15 which 14 , 17 based 15 which 16 is 16 is 17 based 17 based 18 on 17 based 26 between 18 on 23 account 19 the 23 account 20 prudential 21 life 21 life 23 account 22 span 23 account 23 account 24 of 24 of 25 justice 26 between 28 groups 27 age 28 groups while important objections have been raised against the prudential life span account , it continues to dominate scholarly debates . 0 ###LEFT-WALL### 14 it 0 ###LEFT-WALL### 15 continues 0 ###LEFT-WALL### 20 . 1 while 3 objections 1 while 6 raised 1 while 13 , 1 while 14 it 2 important 3 objections 3 objections 4 have 4 have 5 been 5 been 6 raised 6 raised 7 against 7 against 12 account 8 the 12 account 9 prudential 10 life 10 life 12 account 11 span 12 account 14 it 15 continues 15 continues 16 to 15 continues 17 dominate 16 to 17 dominate 17 dominate 19 debates 18 scholarly 19 debates this article introduces a new [objection] , one that develops out of the well - established disability critique of social contract theories . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 3 introduces 0 ###LEFT-WALL### 23 . 1 this 2 article 2 article 3 introduces 3 introduces 18 critique 4 a 5 new 4 a 18 critique 5 new 8 one 5 new 15 - 5 new 17 disability 7 , 8 one 8 one 9 that 8 one 10 develops 8 one 15 - 9 that 10 develops 10 develops 12 of 11 out 12 of 12 of 14 well 13 the 14 well 16 established 17 disability 17 disability 18 critique 18 critique 19 of 19 of 22 theories 20 social 22 theories 21 contract 22 theories i show the implications of this critique for the prudential life span account and for the special case of age - group justice . 0 ###LEFT-WALL### 1 i 0 ###LEFT-WALL### 2 show 0 ###LEFT-WALL### 21 - 1 i 2 show 2 show 4 implications 3 the 4 implications 4 implications 5 of 4 implications 14 and 5 of 7 critique 6 this 7 critique 8 for 13 account 8 for 14 and 9 the 13 account 10 prudential 11 life 11 life 13 account 12 span 13 account 14 and 15 for 15 for 18 case 16 the 18 case 17 special 18 case 18 case 19 of 19 of 20 age 21 - 22 group 21 - 24 . 22 group 23 justice the result is that age - based rationing based on the prudential life span approach is not supported , and [that] the prudential life span approach itself is not the best way to think about allocating health care between age groups . 0 ###LEFT-WALL### 2 result 0 ###LEFT-WALL### 3 is 0 ###LEFT-WALL### 6 - 1 the 2 result 2 result 3 is 3 is 5 age 4 that 5 age 6 - 7 based 6 - 16 is 6 - 20 and 6 - 34 think 6 - 42 . 7 based 16 is 8 rationing 9 based 8 rationing 10 on 8 rationing 16 is 10 on 15 approach 11 the 15 approach 12 prudential 14 span 13 life 14 span 14 span 15 approach 16 is 17 not 17 not 18 supported 18 supported 19 , 19 , 20 and 20 and 26 approach 20 and 28 is 22 the 26 approach 23 prudential 24 life 24 life 26 approach 25 span 26 approach 26 approach 28 is 27 itself 28 is 28 is 29 not 28 is 32 way 28 is 33 to 30 the 31 best 30 the 32 way 33 to 34 think 34 think 35 about 34 think 39 between 35 about 36 allocating 36 allocating 38 care 37 health 38 care 39 between 41 groups 40 age 41 groups i propose an alternative approach that avoids the disability objection , and consider its implications for specific proposals for age - based rationing of health care . 0 ###LEFT-WALL### 1 i 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 21 - 0 ###LEFT-WALL### 27 . 1 i 12 and 2 propose 5 approach 2 propose 12 and 3 an 4 alternative 3 an 5 approach 4 alternative 5 approach 5 approach 6 that 5 approach 7 avoids 6 that 7 avoids 7 avoids 10 objection 8 the 10 objection 9 disability 10 objection 11 , 12 and 12 and 13 consider 12 and 15 implications 14 its 15 implications 15 implications 16 for 15 implications 19 for 16 for 18 proposals 17 specific 18 proposals 19 for 20 age 21 - 23 rationing 22 based 23 rationing 23 rationing 24 of 24 of 26 care 25 health 26 care none [context] : equol is a polyphenolic/isoflavonoid molecule that can be expressed as isomers . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 3 : 3 : 4 equol 3 : 5 is 3 : 15 . 4 equol 5 is 5 is 8 molecule 6 a 8 molecule 7 polyphenolic/isoflavonoid 8 molecule 8 molecule 9 that 8 molecule 10 can 9 that 10 can 10 can 11 be 11 be 12 expressed 12 expressed 13 as 13 as 14 isomers however , the characteristics of the equol isomers on dermal gene/protein expression and human skin percutaneous absorption remain unknown . 0 ###LEFT-WALL### 4 characteristics 0 ###LEFT-WALL### 18 remain 0 ###LEFT-WALL### 20 . 1 however 2 , 1 however 4 characteristics 3 the 4 characteristics 4 characteristics 5 of 4 characteristics 18 remain 5 of 8 isomers 6 the 8 isomers 7 equol 8 isomers 8 isomers 9 on 9 on 11 gene/protein 10 dermal 11 gene/protein 11 gene/protein 13 and 11 gene/protein 15 skin 12 expression 13 and 13 and 14 human 13 and 15 skin 15 skin 17 absorption 16 percutaneous 17 absorption 18 remain 19 unknown objective : perform a comprehensive investigation on equol [as] : r - equol , racemic equol or s - equol to determine their differential expression of skin - related genes , quantify collagen expression and determine percutaneous absorption in human skin . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 3 perform 0 ###LEFT-WALL### 10 : 0 ###LEFT-WALL### 31 , 0 ###LEFT-WALL### 42 . 1 objective 2 : 2 : 3 perform 3 perform 6 investigation 3 perform 7 on 4 a 5 comprehensive 4 a 6 investigation 5 comprehensive 6 investigation 7 on 8 equol 10 : 11 r 10 : 12 - 11 r 12 - 12 - 17 or 13 equol 14 , 14 , 16 equol 14 , 17 or 15 racemic 16 equol 17 or 18 s 17 or 20 equol 17 or 31 , 19 - 20 equol 20 equol 21 to 20 equol 22 determine 20 equol 28 - 21 to 22 determine 22 determine 25 expression 23 their 25 expression 24 differential 25 expression 25 expression 26 of 26 of 27 skin 29 related 30 genes 29 related 31 , 31 , 35 and 31 , 39 in 32 quantify 34 expression 32 quantify 35 and 33 collagen 34 expression 35 and 36 determine 36 determine 38 absorption 37 percutaneous 38 absorption 39 in 41 skin 40 human 41 skin methods : quantified : [(] [i] [ )(gene expression/mrna levels via gene array technology using human skin equivalents with equol exposure at 1.2 % in qpcr experiments , [(] ii ) in vitro collagen expression in human fibroblasts , and [(] iii ) percutaneous absorption by franz cell techniques . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 3 quantified 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 50 . 1 methods 2 : 2 : 3 quantified 4 : 10 levels 8 )(gene 10 levels 9 expression/mrna 10 levels 10 levels 11 via 10 levels 15 using 11 via 14 technology 12 gene 14 technology 13 array 14 technology 15 using 18 equivalents 15 using 19 with 16 human 17 skin 17 skin 18 equivalents 19 with 21 exposure 19 with 45 absorption 20 equol 21 exposure 21 exposure 22 at 21 exposure 35 expression 22 at 27 experiments 23 1.2 25 in 24 % 25 in 25 in 26 qpcr 26 qpcr 27 experiments 28 , 35 expression 30 ii 31 ) 30 ii 35 expression 32 in 33 vitro 33 vitro 34 collagen 34 collagen 35 expression 35 expression 36 in 35 expression 43 ) 36 in 40 and 37 human 38 fibroblasts 38 fibroblasts 40 and 39 , 40 and 40 and 42 iii 44 percutaneous 45 absorption 45 absorption 46 by 46 by 49 techniques 47 franz 49 techniques 48 cell 49 techniques collagen type i expression in fibroblasts was greater with racemic [versus] [s] - equol treatment at 1 and 10 nm . 0 ###LEFT-WALL### 2 type 0 ###LEFT-WALL### 21 . 1 collagen 2 type 2 type 3 i 2 type 20 nm 4 expression 5 in 4 expression 7 was 5 in 6 fibroblasts 7 was 8 greater 8 greater 9 with 8 greater 16 at 9 with 15 treatment 10 racemic 13 - 10 racemic 14 equol 14 equol 15 treatment 16 at 18 and 17 1 18 and 18 and 19 10 19 10 20 nm percutaneous absorption demonstrated high sequestering in keratinocytes with subsequent accumulation/release over time . 0 ###LEFT-WALL### 2 absorption 0 ###LEFT-WALL### 3 demonstrated 0 ###LEFT-WALL### 13 . 1 percutaneous 2 absorption 2 absorption 3 demonstrated 3 demonstrated 5 sequestering 3 demonstrated 6 in 3 demonstrated 8 with 3 demonstrated 11 over 4 high 5 sequestering 6 in 7 keratinocytes 8 with 10 accumulation/release 9 subsequent 10 accumulation/release 11 over 12 time the aging male 's symptoms ( ams ) scale and the androgen deficiency in the aging male ( adam ) questionnaire have been widely used for screening men suspected of late - onset hypogonadism ( loh ) . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 25 used 0 ###LEFT-WALL### 38 . 1 the 3 male 2 aging 3 male 3 male 4 's 4 's 9 scale 5 symptoms 7 ams 6 ( 7 ams 7 ams 8 ) 7 ams 9 scale 9 scale 10 and 10 and 13 deficiency 10 and 14 in 10 and 22 have 11 the 13 deficiency 12 androgen 13 deficiency 14 in 21 questionnaire 15 the 21 questionnaire 16 aging 17 male 17 male 19 adam 18 ( 19 adam 19 adam 20 ) 19 adam 21 questionnaire 22 have 23 been 23 been 24 widely 23 been 25 used 25 used 26 for 26 for 27 screening 27 screening 28 men 28 men 29 suspected 28 men 34 hypogonadism 29 suspected 31 late 30 of 31 late 32 - 34 hypogonadism 33 onset 34 hypogonadism 34 hypogonadism 36 loh 34 hypogonadism 37 ) 35 ( 36 loh 36 loh 37 ) we evaluated the consistency of the two questionnaires with sex hormone levels . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 evaluated 0 ###LEFT-WALL### 13 . 1 we 2 evaluated 2 evaluated 4 consistency 2 evaluated 9 with 3 the 4 consistency 4 consistency 5 of 5 of 8 questionnaires 6 the 7 two 7 two 8 questionnaires 9 with 12 levels 10 sex 12 levels 11 hormone 12 levels a total of 985 men completed the two questionnaires , as well as an analysis of the serum levels of total testosterone ( tt ) , bioavailable testosterone ( bt ) , luteinizing hormone [(] lh ) , follicle - stimulating [hormone] ( fsh ) , estradiol ( e2 ) , prolactin ( prl ) and sex hormone - binding globulin ( shbg ) . 0 ###LEFT-WALL### 56 and 0 ###LEFT-WALL### 65 . 1 a 2 total 2 total 3 of 2 total 56 and 3 of 4 985 4 985 5 men 4 985 6 completed 4 985 13 as 5 men 6 completed 6 completed 9 questionnaires 7 the 8 two 8 two 9 questionnaires 10 , 13 as 11 as 12 well 12 well 13 as 13 as 15 analysis 13 as 55 ) 14 an 15 analysis 15 analysis 16 of 16 of 19 levels 17 the 19 levels 18 serum 19 levels 19 levels 20 of 19 levels 28 testosterone 20 of 22 testosterone 21 total 22 testosterone 22 testosterone 24 tt 23 ( 24 tt 24 tt 25 ) 26 , 28 testosterone 27 bioavailable 28 testosterone 28 testosterone 30 bt 28 testosterone 36 lh 28 testosterone 39 follicle 28 testosterone 55 ) 29 ( 30 bt 30 bt 31 ) 32 , 36 lh 33 luteinizing 34 hormone 34 hormone 36 lh 36 lh 37 ) 38 , 39 follicle 39 follicle 47 estradiol 39 follicle 55 ) 40 - 47 estradiol 41 stimulating 44 fsh 41 stimulating 46 , 41 stimulating 47 estradiol 43 ( 44 fsh 44 fsh 45 ) 47 estradiol 49 e2 47 estradiol 52 prolactin 47 estradiol 55 ) 48 ( 49 e2 49 e2 50 ) 51 , 52 prolactin 52 prolactin 54 prl 52 prolactin 55 ) 53 ( 54 prl 54 prl 55 ) 56 and 58 hormone 56 and 61 globulin 57 sex 58 hormone 59 - 61 globulin 60 binding 61 globulin 61 globulin 63 shbg 61 globulin 64 ) 62 ( 63 shbg 63 shbg 64 ) no correlation was observed between any hormone level and the psychological or somatic section of the ams score , whereas the sexual section was correlated with the levels of ft , lh , fsh , shbg and bt . 0 ###LEFT-WALL### 2 correlation 0 ###LEFT-WALL### 4 observed 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 25 correlated 0 ###LEFT-WALL### 39 . 1 no 2 correlation 2 correlation 3 was 3 was 4 observed 4 observed 5 between 5 between 8 level 6 any 8 level 7 hormone 8 level 9 and 12 or 9 and 18 score 10 the 11 psychological 11 psychological 12 or 12 or 14 section 12 or 15 of 12 or 18 score 13 somatic 14 section 15 of 17 ams 16 the 17 ams 18 score 20 whereas 19 , 20 whereas 20 whereas 23 section 21 the 23 section 22 sexual 23 section 23 section 24 was 24 was 25 correlated 25 correlated 26 with 26 with 28 levels 27 the 28 levels 28 levels 29 of 29 of 37 and 30 ft 31 , 31 , 32 lh 31 , 33 , 33 , 36 shbg 33 , 37 and 34 fsh 36 shbg 35 , 36 shbg 37 and 38 bt significant correlations were observed between the result of the two questionnaires and these hormone levels . 0 ###LEFT-WALL### 2 correlations 0 ###LEFT-WALL### 4 observed 0 ###LEFT-WALL### 16 . 1 significant 2 correlations 2 correlations 3 were 3 were 4 observed 4 observed 5 between 5 between 12 and 6 the 7 result 7 result 8 of 7 result 12 and 8 of 11 questionnaires 9 the 10 two 10 two 11 questionnaires 12 and 15 levels 13 these 15 levels 14 hormone 15 levels when loh was defined as tt < 300 ng/dl and ft < 5 ng/dl , the sensitivity and specificity of the ams scale were 54.0 % and 41.2 % compared with 78.7 % [and] 14.8 % for the adam questionnaire . 0 ###LEFT-WALL### 23 scale 0 ###LEFT-WALL### 24 were 0 ###LEFT-WALL### 27 and 0 ###LEFT-WALL### 41 . 1 when 2 loh 1 when 4 defined 1 when 23 scale 2 loh 3 was 3 was 4 defined 5 as 10 and 5 as 12 < 5 as 15 , 5 as 23 scale 6 tt 7 < 6 tt 10 and 7 < 9 ng/dl 8 300 9 ng/dl 10 and 11 ft 11 ft 12 < 12 < 14 ng/dl 13 5 14 ng/dl 16 the 23 scale 17 sensitivity 18 and 18 and 19 specificity 18 and 23 scale 19 specificity 20 of 20 of 22 ams 21 the 22 ams 23 scale 24 were 24 were 26 % 25 54.0 26 % 27 and 29 % 27 and 30 compared 28 41.2 29 % 29 % 30 compared 30 compared 31 with 30 compared 36 % 31 with 33 % 32 78.7 33 % 35 14.8 36 % 36 % 37 for 37 for 40 questionnaire 38 the 40 questionnaire 39 adam 40 questionnaire several sex hormone levels correlated with the two questionnaires , but neither of these questionnaires had sufficient sensitivity and specificity . 0 ###LEFT-WALL### 4 levels 0 ###LEFT-WALL### 5 correlated 0 ###LEFT-WALL### 11 but 0 ###LEFT-WALL### 21 . 1 several 4 levels 2 sex 4 levels 3 hormone 4 levels 4 levels 5 correlated 5 correlated 6 with 6 with 9 questionnaires 7 the 8 two 8 two 9 questionnaires 10 , 11 but 11 but 12 neither 11 but 16 had 12 neither 13 of 12 neither 16 had 13 of 15 questionnaires 14 these 15 questionnaires 16 had 19 and 17 sufficient 18 sensitivity 18 sensitivity 19 and 19 and 20 specificity it is necessary to provide a new questionnaire applicable to the chinese population to screening loh . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 15 screening 0 ###LEFT-WALL### 17 . 1 it 2 is 2 is 3 necessary 3 necessary 4 to 3 necessary 15 screening 4 to 5 provide 5 provide 8 questionnaire 5 provide 14 to 6 a 7 new 6 a 8 questionnaire 7 new 8 questionnaire 8 questionnaire 9 applicable 9 applicable 10 to 10 to 13 population 11 the 13 population 12 chinese 13 population 14 to 15 screening 15 screening 16 loh this study sought to explore the [lived] experiences of physically active prostate cancer survivors on androgen deprivation therapy [(] [adt] [ )(, who exercise individually . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 sought 0 ###LEFT-WALL### 22 )(, 0 ###LEFT-WALL### 26 . 1 this 2 study 2 study 3 sought 3 sought 4 to 3 sought 5 explore 4 to 5 explore 5 explore 8 experiences 5 explore 15 on 6 the 8 experiences 8 experiences 9 of 9 of 14 survivors 10 physically 11 active 11 active 12 prostate 12 prostate 14 survivors 13 cancer 14 survivors 15 on 18 therapy 16 androgen 17 deprivation 17 deprivation 18 therapy 22 )(, 23 who 22 )(, 24 exercise 23 who 24 exercise 24 exercise 25 individually three older men ( 74 - 88 years old [ )(with prostate cancer , using [adt] continuously for at least 12 months [and] regularly exercising for at least 6 months , participated in this qualitative pilot study , informed by interpretive phenomenology . 0 ###LEFT-WALL### 3 men 0 ###LEFT-WALL### 38 , 0 ###LEFT-WALL### 43 . 1 three 3 men 2 older 3 men 3 men 9 old 3 men 38 , 4 ( 9 old 5 74 6 - 6 - 7 88 6 - 8 years 8 years 9 old 9 old 11 )(with 9 old 15 using 9 old 31 , 11 )(with 13 cancer 12 prostate 13 cancer 14 , 15 using 15 using 17 continuously 15 using 18 for 15 using 22 months 15 using 26 for 15 using 31 , 18 for 21 12 19 at 20 least 20 least 21 12 22 months 25 exercising 24 regularly 25 exercising 26 for 30 months 27 at 28 least 28 least 29 6 29 6 30 months 32 participated 33 in 32 participated 38 , 33 in 37 study 34 this 37 study 35 qualitative 36 pilot 36 pilot 37 study 38 , 39 informed 38 , 40 by 40 by 42 phenomenology 41 interpretive 42 phenomenology data were gathered using individual semi - structured interviews , audio recorded and transcribed [verbatim] . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 16 . 1 data 13 and 2 were 12 recorded 2 were 13 and 3 gathered 5 individual 4 using 5 individual 5 individual 12 recorded 6 semi 9 interviews 6 semi 10 , 6 semi 11 audio 7 - 9 interviews 8 structured 9 interviews 9 interviews 10 , 11 audio 12 recorded 13 and 14 transcribed coherent stories were drawn from each transcript and analyzed using iterative and interpretive methods . van manen 's lifeworld existentials provided a framework for interpreting across the research text . 0 ###LEFT-WALL### 2 stories 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 15 . 1 coherent 2 stories 2 stories 8 and 3 were 4 drawn 3 were 8 and 4 drawn 5 from 5 from 7 transcript 6 each 7 transcript 8 and 9 analyzed 8 and 10 using 10 using 14 methods 11 iterative 12 and 12 and 13 interpretive 12 and 14 methods 15 . 20 existentials 15 . 30 . 16 van 17 manen 17 manen 18 's 18 's 20 existentials 19 lifeworld 20 existentials 20 existentials 21 provided 21 provided 23 framework 21 provided 24 for 22 a 23 framework 24 for 25 interpreting 25 interpreting 26 across 26 across 29 text 27 the 29 text 28 research 29 text three notions emerged : getting started , [having] a routine and being with music . 0 ###LEFT-WALL### 2 notions 0 ###LEFT-WALL### 3 emerged 0 ###LEFT-WALL### 4 : 1 three 2 notions 2 notions 3 emerged 4 : 11 and 4 : 15 . 5 getting 6 started 5 getting 7 , 7 , 10 routine 7 , 11 and 9 a 10 routine 11 and 12 being 11 and 13 with 13 with 14 music together they reveal what drew the participants to exercising regularly despite the challenges associated with their cancer and treatments . 0 ###LEFT-WALL### 2 they 0 ###LEFT-WALL### 3 reveal 0 ###LEFT-WALL### 20 . 1 together 2 they 2 they 3 reveal 3 reveal 4 what 4 what 5 drew 5 drew 7 participants 5 drew 8 to 6 the 7 participants 8 to 9 exercising 9 exercising 10 regularly 9 exercising 11 despite 11 despite 13 challenges 12 the 13 challenges 13 challenges 14 associated 14 associated 15 with 15 with 18 and 16 their 17 cancer 17 cancer 18 and 18 and 19 treatments this study provides insights into the benefits [of] , and what it means for [,] older men with prostate cancer to regularly exercise individually . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 23 exercise 0 ###LEFT-WALL### 25 . 1 this 2 study 2 study 3 provides 3 provides 4 insights 3 provides 5 into 5 into 10 and 6 the 7 benefits 7 benefits 10 and 9 , 10 and 10 and 11 what 10 and 12 it 10 and 23 exercise 12 it 13 means 13 means 14 for 13 means 18 with 13 means 21 to 13 means 23 exercise 14 for 17 men 16 older 17 men 18 with 20 cancer 19 prostate 20 cancer 21 to 23 exercise 22 regularly 23 exercise 23 exercise 24 individually these findings may assist cancer clinicians and other allied health professionals to be more attuned to prostate cancer survivors ' lived experiences when undergoing [adt] , allowing clinicians to better promote regular exercise to their patients as a foundational component of living well . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 4 assist 1 these 2 findings 2 findings 3 may 3 may 4 assist 4 assist 10 health 5 cancer 6 clinicians 6 clinicians 7 and 7 and 8 other 7 and 9 allied 7 and 10 health 10 health 11 professionals 10 health 24 undergoing 11 professionals 12 to 11 professionals 13 be 11 professionals 15 attuned 11 professionals 21 lived 12 to 13 be 13 be 14 more 15 attuned 16 to 16 to 20 ' 17 prostate 18 cancer 18 cancer 19 survivors 19 survivors 20 ' 21 lived 22 experiences 21 lived 23 when 23 when 24 undergoing 24 undergoing 27 allowing 26 , 27 allowing 27 allowing 28 clinicians 27 allowing 29 to 27 allowing 31 promote 27 allowing 44 . 29 to 31 promote 30 better 31 promote 31 promote 33 exercise 31 promote 34 to 31 promote 37 as 32 regular 33 exercise 34 to 36 patients 35 their 36 patients 37 as 40 component 38 a 40 component 39 foundational 40 component 40 component 41 of 41 of 42 living 42 living 43 well [none] negative attitudes toward patients with a history of illicit drug use can adversely affect the therapeutic [nurse] - patient relationship , resulting in suboptimal patient care . 0 ###LEFT-WALL### 3 attitudes 0 ###LEFT-WALL### 15 affect 2 negative 3 attitudes 3 attitudes 4 toward 3 attitudes 13 can 4 toward 5 patients 5 patients 6 with 5 patients 9 of 6 with 8 history 7 a 8 history 9 of 12 use 10 illicit 11 drug 11 drug 12 use 13 can 15 affect 14 adversely 15 affect 15 affect 21 relationship 15 affect 23 resulting 16 the 21 relationship 17 therapeutic 19 - 17 therapeutic 21 relationship 20 patient 21 relationship 22 , 23 resulting 23 resulting 24 in 23 resulting 28 . 24 in 27 care 25 suboptimal 27 care 26 patient 27 care we examined registered nurses ' attitudes toward patients with illicit drug use ( e.g [.] [,] [non] - prescription use of opioids and narcotics , use of illicit drugs ) admitted to the general internal medicine unit of an urban hospital [and] attempted to identify nurse - specific and environmental factors influencing these attitudes . 1 we 2 examined 2 examined 6 attitudes 3 registered 4 nurses 4 nurses 5 ' 5 ' 6 attitudes 6 attitudes 7 toward 6 attitudes 9 with 6 attitudes 18 - 7 toward 8 patients 9 with 12 use 10 illicit 11 drug 11 drug 12 use 13 ( 18 - 14 e.g 18 - 18 - 19 prescription 19 prescription 20 use 19 prescription 31 admitted 20 use 21 of 20 use 31 admitted 21 of 23 and 22 opioids 23 and 23 and 24 narcotics 23 and 26 use 25 , 26 use 26 use 27 of 26 use 30 ) 27 of 29 drugs 28 illicit 29 drugs 31 admitted 32 to 32 to 37 unit 33 the 37 unit 34 general 36 medicine 35 internal 36 medicine 36 medicine 37 unit 37 unit 38 of 38 of 41 hospital 39 an 41 hospital 40 urban 41 hospital 41 hospital 43 attempted 41 hospital 51 factors 43 attempted 44 to 44 to 45 identify 45 identify 46 nurse 47 - 51 factors 48 specific 49 and 49 and 50 environmental 49 and 51 factors 51 factors 52 influencing 51 factors 55 . 52 influencing 54 attitudes 53 these 54 attitudes the results indicated that nurses had a neutral attitude toward working with patients with a history of illicit drug use , but respondents also [had] low motivation and role support ( i.e [.] , perception of receiving support to fulfil one 's professional role [ )(related to caring for this high - risk population . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 indicated 1 the 2 results 2 results 3 indicated 3 indicated 4 that 4 that 5 nurses 4 that 6 had 5 nurses 6 had 6 had 9 attitude 6 had 10 toward 7 a 9 attitude 8 neutral 9 attitude 10 toward 11 working 11 working 12 with 11 working 14 with 11 working 17 of 12 with 13 patients 14 with 16 history 15 a 16 history 17 of 20 use 18 illicit 19 drug 19 drug 20 use 20 use 22 but 21 , 22 but 22 but 30 support 22 but 34 , 23 respondents 27 motivation 24 also 26 low 26 low 27 motivation 27 motivation 28 and 28 and 29 role 28 and 30 support 30 support 32 i.e 31 ( 32 i.e 32 i.e 34 , 34 , 46 )(related 35 perception 36 of 35 perception 39 to 35 perception 40 fulfil 35 perception 46 )(related 36 of 38 support 37 receiving 38 support 39 to 40 fulfil 40 fulfil 44 role 41 one 42 's 42 's 44 role 43 professional 44 role 46 )(related 47 to 46 )(related 55 . 47 to 48 caring 48 caring 49 for 49 for 54 population 50 this 54 population 51 high 52 - 51 high 54 population 53 risk 54 population the authors suggest greater use of organizational tools , such as protocols , consult services and [in] - services , to address nurses ' clinical concerns and support therapeutic nurse - patient relationships and thereby enhance care delivery . 0 ###LEFT-WALL### 2 authors 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 39 . 1 the 2 authors 2 authors 16 and 3 suggest 5 use 3 suggest 14 consult 3 suggest 16 and 4 greater 5 use 5 use 6 of 5 use 11 as 6 of 8 tools 7 organizational 8 tools 9 , 11 as 10 such 11 as 11 as 12 protocols 11 as 13 , 14 consult 15 services 16 and 34 and 18 - 34 and 19 services 21 to 19 services 33 relationships 19 services 34 and 20 , 21 to 21 to 22 address 21 to 31 - 22 address 27 and 23 nurses 24 ' 24 ' 27 and 25 clinical 26 concerns 26 concerns 27 and 27 and 30 nurse 28 support 30 nurse 29 therapeutic 30 nurse 32 patient 33 relationships 34 and 36 enhance 35 thereby 36 enhance 36 enhance 38 delivery 37 care 38 delivery objective : to investigate the epidemiology of late - onset hypogonadism ( loh ) in old and middle - aged males in the rural area of southern china . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 investigate 2 : 19 - 2 : 29 . 3 to 4 investigate 4 investigate 6 epidemiology 4 investigate 15 in 5 the 6 epidemiology 6 epidemiology 7 of 6 epidemiology 13 loh 7 of 11 hypogonadism 8 late 9 - 8 late 10 onset 10 onset 11 hypogonadism 12 ( 13 loh 13 loh 14 ) 15 in 17 and 16 old 17 and 17 and 18 middle 19 - 21 males 20 aged 21 males 21 males 22 in 21 males 26 of 22 in 25 area 23 the 25 area 24 rural 25 area 26 of 28 china 27 southern 28 china methods : using the age - stratified sampling method , we conducted a questionnaire investigation on androgen deficiency in aging males ( adam ) , aging male symptoms ( ams ) and iief - 5 among 996 males aged 40 - 80 years in a rural community of jiashan [county] , zhejiang province from april to october 2012 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 11 we 2 : 12 conducted 2 : 34 - 2 : 41 - 3 using 5 age 3 using 10 , 3 using 11 we 4 the 5 age 5 age 9 method 6 - 9 method 7 stratified 9 method 8 sampling 9 method 9 method 10 , 11 we 12 conducted 12 conducted 32 and 13 a 15 investigation 14 questionnaire 15 investigation 15 investigation 16 on 15 investigation 19 in 15 investigation 32 and 16 on 18 deficiency 17 androgen 18 deficiency 19 in 20 aging 20 aging 21 males 20 aging 26 aging 21 males 23 adam 22 ( 23 adam 23 adam 24 ) 25 , 26 aging 26 aging 28 symptoms 26 aging 31 ) 27 male 28 symptoms 28 symptoms 30 ams 29 ( 30 ams 30 ams 31 ) 32 and 33 iief 34 - 35 5 35 5 36 among 35 5 39 aged 36 among 38 males 37 996 38 males 39 aged 40 40 41 - 43 years 42 80 43 years 43 years 44 in 43 years 48 of 44 in 47 community 45 a 46 rural 45 a 47 community 46 rural 47 community 48 of 49 jiashan 49 jiashan 53 province 51 , 53 province 52 zhejiang 53 province 53 province 54 from 53 province 56 to 53 province 59 . 54 from 55 april 56 to 57 october 57 october 58 2012 we also determined the concentrations of serum total testosterone ( tt ) , serum sex hormone binding globulin ( shbg [ )(and serum albumin ( alb ) , detected the levels of free testosterone ( cft ) and bio - available testosterone ( bio - t ) by vermeulen formula , and measured [the] volumes of the prostate and testis by ultrasonography . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 determined 1 we 3 determined 2 also 3 determined 3 determined 5 concentrations 4 the 5 concentrations 5 concentrations 6 of 6 of 17 binding 7 serum 17 binding 8 total 17 binding 9 testosterone 11 tt 9 testosterone 13 , 9 testosterone 17 binding 10 ( 11 tt 11 tt 12 ) 14 serum 15 sex 15 sex 17 binding 16 hormone 17 binding 17 binding 18 globulin 17 binding 29 detected 18 globulin 22 )(and 18 globulin 29 detected 19 ( 22 )(and 20 shbg 22 )(and 22 )(and 24 albumin 22 )(and 26 alb 22 )(and 28 , 23 serum 24 albumin 25 ( 26 alb 26 alb 27 ) 29 detected 38 and 30 the 38 and 31 levels 32 of 31 levels 38 and 32 of 34 testosterone 33 free 34 testosterone 34 testosterone 36 cft 35 ( 36 cft 36 cft 37 ) 38 and 39 bio 38 and 40 - 38 and 41 available 38 and 42 testosterone 42 testosterone 45 - 42 testosterone 48 by 43 ( 45 - 44 bio 45 - 45 - 46 t 45 - 47 ) 48 by 59 and 49 vermeulen 50 formula 50 formula 52 and 51 , 52 and 52 and 55 volumes 52 and 56 of 52 and 59 and 53 measured 55 volumes 56 of 58 prostate 57 the 58 prostate 59 and 60 testis 59 and 63 . 60 testis 61 by 61 by 62 ultrasonography results : the mean age of the males was 56.22 +/ - 8.82 years . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 5 age 2 : 9 was 2 : 15 . 3 the 5 age 4 mean 5 age 5 age 6 of 5 age 9 was 6 of 8 males 7 the 8 males 9 was 14 years 10 56.22 14 years 11 +/ 12 - 11 +/ 14 years 13 8.82 14 years the positive rates of loh were 62.86 [%] and 23.05 % based on adam and ams , respectively , and the incidence of erectile dysfunction ( ed ) was 68.83 % . 0 ###LEFT-WALL### 3 rates 0 ###LEFT-WALL### 6 were 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 32 . 1 the 3 rates 2 positive 3 rates 3 rates 4 of 3 rates 6 were 4 of 5 loh 6 were 11 % 7 62.86 9 and 9 and 10 23.05 9 and 11 % 11 % 12 based 12 based 13 on 12 based 18 respectively 13 on 16 ams 14 adam 15 and 15 and 16 ams 17 , 18 respectively 18 respectively 19 , 20 and 22 incidence 20 and 29 was 21 the 22 incidence 22 incidence 23 of 22 incidence 27 ed 22 incidence 29 was 23 of 25 dysfunction 24 erectile 25 dysfunction 26 ( 27 ed 27 ed 28 ) 29 was 31 % 30 68.83 31 % there were significant differences among different age groups in the levels of luteinizing [hormone] ( lh ) , shbg , cft and bio - t , but not in tt concentration . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 were 0 ###LEFT-WALL### 32 . 1 there 2 were 2 were 4 differences 2 were 5 among 2 were 9 in 2 were 29 in 3 significant 4 differences 5 among 8 groups 6 different 7 age 7 age 8 groups 9 in 22 and 10 the 11 levels 11 levels 12 of 11 levels 18 , 12 of 13 luteinizing 13 luteinizing 16 lh 15 ( 16 lh 16 lh 17 ) 18 , 19 shbg 18 , 20 , 20 , 21 cft 20 , 22 and 22 and 23 bio 22 and 27 but 23 bio 25 t 24 - 25 t 25 t 26 , 27 but 28 not 29 in 31 concentration 30 tt 31 concentration conclusion : ours was the first survey on the epidemiology of loh among old and middle - aged males in the rural area of china . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 ours 2 : 4 was 2 : 17 - 2 : 26 . 3 ours 4 was 4 was 7 survey 5 the 7 survey 6 first 7 survey 7 survey 8 on 7 survey 11 of 8 on 10 epidemiology 9 the 10 epidemiology 11 of 12 loh 12 loh 13 among 13 among 15 and 14 old 15 and 15 and 16 middle 17 - 19 males 18 aged 19 males 19 males 20 in 20 in 23 area 21 the 23 area 22 rural 23 area 23 area 24 of 24 of 25 china the incidence of loh in the rural community of zhejiang province was lower than that in the urban areas reported in other studies , but the positive rate of ed showed no significant difference . 0 ###LEFT-WALL### 2 incidence 0 ###LEFT-WALL### 12 was 0 ###LEFT-WALL### 25 but 0 ###LEFT-WALL### 35 . 1 the 2 incidence 2 incidence 3 of 2 incidence 12 was 3 of 4 loh 4 loh 5 in 4 loh 9 of 5 in 8 community 6 the 8 community 7 rural 8 community 9 of 11 province 10 zhejiang 11 province 12 was 13 lower 13 lower 14 than 14 than 20 reported 15 that 16 in 15 that 20 reported 16 in 19 areas 17 the 19 areas 18 urban 19 areas 20 reported 21 in 21 in 23 studies 22 other 23 studies 24 , 25 but 25 but 28 rate 25 but 31 showed 26 the 28 rate 27 positive 28 rate 28 rate 29 of 28 rate 31 showed 29 of 30 ed 31 showed 34 difference 32 no 34 difference 33 significant 34 difference free radicals and oxidative stress have been recognized as important factors in the biology of aging and in many age - associated degenerative diseases . 0 ###LEFT-WALL### 1 free 0 ###LEFT-WALL### 8 recognized 0 ###LEFT-WALL### 21 - 1 free 3 and 1 free 7 been 1 free 8 recognized 2 radicals 3 and 3 and 5 stress 3 and 6 have 4 oxidative 5 stress 6 have 7 been 8 recognized 9 as 8 recognized 20 age 9 as 11 factors 10 important 11 factors 11 factors 17 and 12 in 14 biology 12 in 17 and 13 the 14 biology 14 biology 15 of 15 of 16 aging 17 and 18 in 18 in 19 many 21 - 24 diseases 21 - 25 . 22 associated 24 diseases 23 degenerative 24 diseases antioxidant systems deteriorate during aging . 0 ###LEFT-WALL### 2 systems 0 ###LEFT-WALL### 3 deteriorate 0 ###LEFT-WALL### 6 . 1 antioxidant 2 systems 2 systems 3 deteriorate 3 deteriorate 4 during 4 during 5 aging it is , thus , considered that one way to reduce the rate of aging and the risk of chronic disease is to avoid the formation of free radicals and reduce oxidative stress by strengthening antioxidant defences . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 16 and 0 ###LEFT-WALL### 38 . 1 it 2 is 2 is 16 and 3 , 4 thus 4 thus 5 , 4 thus 16 and 6 considered 7 that 6 considered 9 way 6 considered 10 to 6 considered 11 reduce 6 considered 16 and 8 one 9 way 10 to 11 reduce 11 reduce 13 rate 12 the 13 rate 13 rate 14 of 14 of 15 aging 16 and 30 and 17 the 18 risk 18 risk 19 of 18 risk 22 is 19 of 21 disease 20 chronic 21 disease 22 is 23 to 23 to 30 and 24 avoid 26 formation 24 avoid 30 and 25 the 26 formation 26 formation 27 of 27 of 29 radicals 28 free 29 radicals 30 and 31 reduce 31 reduce 33 stress 31 reduce 34 by 32 oxidative 33 stress 34 by 35 strengthening 35 strengthening 37 defences 36 antioxidant 37 defences phytochemicals present in fruits , vegetables , grains , and other foodstuffs have been linked to reducing the risk of major oxidative stress - induced diseases . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 15 linked 0 ###LEFT-WALL### 24 - 1 phytochemicals 2 present 1 phytochemicals 10 and 2 present 3 in 3 in 4 fruits 4 fruits 6 vegetables 4 fruits 8 grains 5 , 6 vegetables 6 vegetables 7 , 7 , 8 grains 8 grains 9 , 9 , 10 and 10 and 12 foodstuffs 10 and 13 have 11 other 12 foodstuffs 13 have 14 been 14 been 15 linked 15 linked 16 to 16 to 17 reducing 17 reducing 19 risk 18 the 19 risk 19 risk 20 of 20 of 23 stress 21 major 23 stress 22 oxidative 23 stress 24 - 26 diseases 24 - 27 . 25 induced 26 diseases some dietary components of foods possess biological activities which influence circadian rhythms in humans . 0 ###LEFT-WALL### 3 components 0 ###LEFT-WALL### 6 possess 0 ###LEFT-WALL### 15 . 1 some 3 components 2 dietary 3 components 3 components 4 of 3 components 6 possess 4 of 5 foods 6 possess 8 activities 7 biological 8 activities 8 activities 9 which 8 activities 10 influence 9 which 10 influence 10 influence 12 rhythms 10 influence 13 in 11 circadian 12 rhythms 13 in 14 humans chrononutrition studies have shown that not only the content of food , but also the time of ingestion contributes to the natural functioning of the circadian system . 0 ###LEFT-WALL### 1 chrononutrition 0 ###LEFT-WALL### 19 contributes 0 ###LEFT-WALL### 28 . 1 chrononutrition 2 studies 1 chrononutrition 4 shown 1 chrononutrition 19 contributes 2 studies 3 have 3 have 4 shown 4 shown 5 that 4 shown 14 also 6 not 7 only 7 only 14 also 8 the 9 content 9 content 10 of 9 content 14 also 10 of 11 food 12 , 14 also 13 but 14 also 14 also 16 time 15 the 16 time 16 time 17 of 17 of 18 ingestion 19 contributes 20 to 20 to 22 natural 21 the 22 natural 22 natural 23 functioning 22 natural 24 of 24 of 27 system 25 the 27 system 26 circadian 27 system dietary interventions with antioxidant - enriched foods taking into account the principles of chrononutrition are of particular interest for the elderly since they may help amplify the already powerful benefits of phytochemicals as natural instruments with which to prevent or delay the onset of common age - related diseases [.] 0 ###LEFT-WALL### 2 interventions 0 ###LEFT-WALL### 47 - 1 dietary 2 interventions 2 interventions 3 with 2 interventions 40 or 3 with 7 foods 3 with 12 principles 3 with 26 amplify 4 antioxidant 5 - 4 antioxidant 7 foods 6 enriched 7 foods 7 foods 8 taking 8 taking 10 account 9 into 10 account 11 the 12 principles 12 principles 13 of 12 principles 15 are 13 of 14 chrononutrition 15 are 16 of 15 are 19 for 15 are 22 since 16 of 18 interest 17 particular 18 interest 19 for 21 elderly 20 the 21 elderly 22 since 23 they 22 since 24 may 23 they 24 may 25 help 26 amplify 26 amplify 30 benefits 26 amplify 40 or 27 the 30 benefits 28 already 29 powerful 29 powerful 30 benefits 30 benefits 31 of 30 benefits 33 as 30 benefits 38 to 30 benefits 39 prevent 31 of 32 phytochemicals 33 as 35 instruments 34 natural 35 instruments 35 instruments 36 with 36 with 37 which 38 to 39 prevent 40 or 41 delay 40 or 43 onset 42 the 43 onset 43 onset 44 of 44 of 46 age 45 common 46 age 47 - 49 diseases 48 related 49 diseases the human brain is a complex system whose topological organization can be represented using connectomics . 0 ###LEFT-WALL### 3 brain 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 16 . 1 the 3 brain 2 human 3 brain 3 brain 4 is 4 is 7 system 5 a 7 system 6 complex 7 system 7 system 8 whose 8 whose 10 organization 9 topological 10 organization 10 organization 11 can 11 can 12 be 12 be 13 represented 13 represented 14 using 14 using 15 connectomics recent studies have shown that human connectomes can be constructed using various neuroimaging technologies and further characterized using sophisticated analytic strategies , such as graph theory . 0 ###LEFT-WALL### 15 and 1 recent 10 constructed 1 recent 11 using 1 recent 15 and 2 studies 3 have 3 have 4 shown 4 shown 5 that 5 that 7 connectomes 5 that 10 constructed 6 human 7 connectomes 7 connectomes 8 can 8 can 9 be 9 be 10 constructed 11 using 14 technologies 12 various 14 technologies 13 neuroimaging 14 technologies 15 and 21 strategies 15 and 24 as 16 further 21 strategies 17 characterized 21 strategies 18 using 19 sophisticated 19 sophisticated 21 strategies 20 analytic 21 strategies 22 , 24 as 23 such 24 as 24 as 26 theory 24 as 27 . 25 graph 26 theory these methods reveal the intriguing topological architectures of human brain networks in healthy populations and explore the changes throughout normal development and aging [and] under various pathological conditions . 0 ###LEFT-WALL### 2 methods 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 29 . 1 these 2 methods 2 methods 15 and 3 reveal 7 architectures 3 reveal 12 in 3 reveal 15 and 4 the 7 architectures 5 intriguing 7 architectures 6 topological 7 architectures 7 architectures 8 of 8 of 11 networks 9 human 11 networks 10 brain 11 networks 12 in 14 populations 13 healthy 14 populations 15 and 16 explore 16 explore 18 changes 16 explore 19 throughout 16 explore 25 under 17 the 18 changes 19 throughout 22 and 20 normal 21 development 21 development 22 and 22 and 23 aging 25 under 28 conditions 26 various 28 conditions 27 pathological 28 conditions however , given the huge complexity of this methodology , toolboxes for graph [-] based network visualization are still lacking . 0 ###LEFT-WALL### 11 toolboxes 0 ###LEFT-WALL### 18 are 0 ###LEFT-WALL### 21 . 1 however 2 , 1 however 11 toolboxes 2 , 3 given 3 given 6 complexity 3 given 10 , 3 given 11 toolboxes 4 the 6 complexity 5 huge 6 complexity 6 complexity 7 of 7 of 9 methodology 8 this 9 methodology 11 toolboxes 12 for 11 toolboxes 18 are 12 for 17 visualization 13 graph 15 based 15 based 16 network 16 network 17 visualization 18 are 19 still 18 are 20 lacking here , using matlab with a graphical user interface ( gui ) , we developed a graph - theoretical network visualization toolbox , called brainnet viewer , to illustrate human connectomes as ball - and [-] stick models . 0 ###LEFT-WALL### 14 we 0 ###LEFT-WALL### 39 . 1 here 2 , 1 here 14 we 3 using 4 matlab 3 using 5 with 3 using 13 , 3 using 14 we 5 with 9 interface 6 a 9 interface 7 graphical 8 user 8 user 9 interface 9 interface 11 gui 10 ( 11 gui 11 gui 12 ) 14 we 35 and 15 developed 17 graph 15 developed 35 and 16 a 17 graph 17 graph 21 visualization 18 - 21 visualization 19 theoretical 20 network 20 network 21 visualization 21 visualization 22 toolbox 21 visualization 34 - 22 toolbox 24 called 22 toolbox 28 to 23 , 24 called 24 called 26 viewer 24 called 27 , 25 brainnet 26 viewer 27 , 28 to 28 to 29 illustrate 28 to 34 - 29 illustrate 31 connectomes 29 illustrate 32 as 30 human 31 connectomes 32 as 33 ball 35 and 37 stick 37 stick 38 models within this toolbox , several combinations of defined files with connectome information can be loaded to display different combinations of brain surface , nodes and edges . 0 ###LEFT-WALL### 6 combinations 0 ###LEFT-WALL### 22 surface 0 ###LEFT-WALL### 23 , 0 ###LEFT-WALL### 27 . 1 within 3 toolbox 1 within 4 , 1 within 6 combinations 2 this 3 toolbox 5 several 6 combinations 6 combinations 7 of 6 combinations 10 with 6 combinations 22 surface 7 of 9 files 8 defined 9 files 10 with 11 connectome 11 connectome 12 information 11 connectome 17 display 12 information 13 can 13 can 14 be 14 be 15 loaded 15 loaded 16 to 16 to 17 display 17 display 19 combinations 18 different 19 combinations 19 combinations 20 of 20 of 21 brain 23 , 25 and 24 nodes 25 and 25 and 26 edges in addition , display properties , such as the color and size of network elements or the layout of the figure , can be adjusted within a comprehensive but easy [-] to [-] use settings panel . 0 ###LEFT-WALL### 5 properties 0 ###LEFT-WALL### 25 adjusted 0 ###LEFT-WALL### 37 . 1 in 2 addition 1 in 3 , 1 in 5 properties 4 display 5 properties 5 properties 8 as 5 properties 23 can 6 , 8 as 7 such 8 as 8 as 11 and 8 as 22 , 9 the 10 color 10 color 11 and 11 and 12 size 11 and 13 of 13 of 16 or 14 network 15 elements 15 elements 16 or 16 or 18 layout 16 or 19 of 17 the 18 layout 19 of 21 figure 20 the 21 figure 23 can 24 be 24 be 25 adjusted 25 adjusted 26 within 26 within 36 panel 27 a 36 panel 28 comprehensive 29 but 29 but 30 easy 29 but 36 panel 30 easy 32 to 32 to 34 use 34 use 35 settings moreover , brainnet viewer draws the brain surface , nodes and edges in sequence and displays brain networks in multiple views , as required by the user . 0 ###LEFT-WALL### 4 viewer 0 ###LEFT-WALL### 5 draws 0 ###LEFT-WALL### 28 . 1 moreover 2 , 1 moreover 4 viewer 3 brainnet 4 viewer 4 viewer 5 draws 5 draws 11 and 5 draws 25 by 6 the 8 surface 7 brain 8 surface 8 surface 9 , 9 , 10 nodes 9 , 11 and 11 and 12 edges 11 and 13 in 13 in 15 and 14 sequence 15 and 15 and 18 networks 15 and 19 in 15 and 24 required 16 displays 17 brain 17 brain 18 networks 19 in 21 views 20 multiple 21 views 22 , 24 required 23 as 24 required 25 by 27 user 26 the 27 user the figure can be manipulated with certain interaction functions to display more detailed information . 0 ###LEFT-WALL### 2 figure 0 ###LEFT-WALL### 5 manipulated 0 ###LEFT-WALL### 15 . 1 the 2 figure 2 figure 3 can 3 can 4 be 4 be 5 manipulated 5 manipulated 6 with 5 manipulated 10 to 6 with 9 functions 7 certain 8 interaction 8 interaction 9 functions 10 to 11 display 11 display 14 information 12 more 14 information 13 detailed 14 information furthermore , the figures can be exported as commonly used image file formats or demonstration video for further use . 0 ###LEFT-WALL### 4 figures 0 ###LEFT-WALL### 7 exported 0 ###LEFT-WALL### 20 . 1 furthermore 2 , 1 furthermore 4 figures 3 the 4 figures 4 figures 5 can 5 can 6 be 6 be 7 exported 7 exported 8 as 8 as 14 or 9 commonly 10 used 10 used 11 image 11 image 13 formats 12 file 13 formats 13 formats 14 or 14 or 16 video 14 or 17 for 15 demonstration 16 video 17 for 19 use 18 further 19 use brainnet viewer helps researchers to visualize brain networks in an easy , flexible and quick manner , and this software is freely available on the nitrc website ( www.nitrc.org/projects/bnv/ ) . 0 ###LEFT-WALL### 2 viewer 0 ###LEFT-WALL### 3 helps 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 31 . 1 brainnet 2 viewer 2 viewer 3 helps 3 helps 4 researchers 3 helps 7 brain 4 researchers 5 to 4 researchers 6 visualize 5 to 6 visualize 7 brain 8 networks 7 brain 9 in 9 in 16 manner 10 an 11 easy 10 an 16 manner 11 easy 12 , 11 easy 16 manner 13 flexible 14 and 14 and 15 quick 14 and 16 manner 17 , 18 and 18 and 20 software 18 and 21 is 19 this 20 software 20 software 21 is 21 is 22 freely 21 is 23 available 23 available 24 on 24 on 27 website 25 the 27 website 26 nitrc 27 website 27 website 29 www.nitrc.org/projects/bnv/ 28 ( 29 www.nitrc.org/projects/bnv/ 29 www.nitrc.org/projects/bnv/ 30 ) risk of colorectal cancer ( crc ) is considerably higher in men compared to women ; however , there is inconclusive evidence of sex differences in crc [prognosis] . 0 ###LEFT-WALL### 1 risk 0 ###LEFT-WALL### 8 is 0 ###LEFT-WALL### 16 ; 0 ###LEFT-WALL### 29 . 1 risk 2 of 1 risk 8 is 2 of 4 cancer 3 colorectal 4 cancer 4 cancer 6 crc 5 ( 6 crc 6 crc 7 ) 8 is 10 higher 9 considerably 10 higher 10 higher 11 in 10 higher 14 to 11 in 12 men 12 men 13 compared 14 to 15 women 16 ; 19 there 16 ; 20 is 17 however 18 , 17 however 19 there 19 there 20 is 20 is 22 evidence 21 inconclusive 22 evidence 22 evidence 23 of 23 of 25 differences 24 sex 25 differences 25 differences 26 in 26 in 27 crc we aimed to assess [and] [explain] sex differences in 5 - year relative survival using standard and model - based period analysis among 164,996 patients diagnosed with crc from 1997 to 2006 and reported to 11 german cancer registries covering a population of 33 million inhabitants . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 aimed 0 ###LEFT-WALL### 47 . 1 we 2 aimed 2 aimed 3 to 2 aimed 4 assess 3 to 4 assess 4 assess 7 sex 4 assess 23 among 7 sex 8 differences 7 sex 20 based 8 differences 9 in 8 differences 20 based 9 in 10 5 10 5 14 survival 11 - 14 survival 12 year 14 survival 13 relative 14 survival 14 survival 15 using 14 survival 19 - 15 using 17 and 16 standard 17 and 17 and 18 model 20 based 22 analysis 21 period 22 analysis 23 among 25 patients 24 164,996 25 patients 25 patients 33 and 26 diagnosed 27 with 26 diagnosed 31 to 26 diagnosed 33 and 27 with 28 crc 29 from 31 to 30 1997 31 to 31 to 32 2006 33 and 34 reported 33 and 35 to 35 to 39 registries 36 11 39 registries 37 german 39 registries 38 cancer 39 registries 39 registries 40 covering 39 registries 43 of 40 covering 42 population 41 a 42 population 43 of 46 inhabitants 44 33 45 million 45 million 46 inhabitants age - adjusted [5] - year relative survival was higher in women ( 64.5 % vs [.] 61.9 % , p<0.0001 ) . 0 ###LEFT-WALL### 8 survival 0 ###LEFT-WALL### 9 was 0 ###LEFT-WALL### 23 . 1 age 2 - 1 age 8 survival 2 - 3 adjusted 3 adjusted 5 - 3 adjusted 8 survival 6 year 8 survival 7 relative 8 survival 8 survival 9 was 9 was 10 higher 10 higher 11 in 11 in 12 women 12 women 15 % 13 ( 15 % 14 64.5 15 % 15 % 16 vs 15 % 22 ) 16 vs 19 % 18 61.9 19 % 19 % 21 p<0.0001 20 , 21 p<0.0001 21 p<0.0001 22 ) a substantial survival advantage of women was confirmed in multivariate analysis after adjusting for crc stage and subsite in subjects under 65 years of age [(] relative excess risk , rer 0.86 , 95 % ci 0.82 - 0.90 [ )( but not in older subjects ( rer 1.01 , 95 % ci 0.98 - 1.04 [ )( this pattern was similar in the 1st and in the 2nd to 5th year [after] diagnosis [.] 0 ###LEFT-WALL### 4 advantage 0 ###LEFT-WALL### 8 confirmed 1 a 2 substantial 1 a 4 advantage 2 substantial 3 survival 3 survival 4 advantage 4 advantage 5 of 4 advantage 7 was 5 of 6 women 7 was 8 confirmed 8 confirmed 9 in 8 confirmed 12 after 9 in 11 analysis 10 multivariate 11 analysis 12 after 13 adjusting 13 adjusting 14 for 13 adjusting 17 and 13 adjusting 19 in 13 adjusting 21 under 14 for 15 crc 16 stage 17 and 17 and 18 subsite 19 in 20 subjects 21 under 23 years 22 65 23 years 23 years 24 of 24 of 29 risk 25 age 29 risk 27 relative 29 risk 28 excess 29 risk 29 risk 31 rer 29 risk 38 - 30 , 31 rer 31 rer 32 0.86 31 rer 33 , 33 , 38 - 34 95 36 ci 35 % 36 ci 36 ci 37 0.82 36 ci 38 - 38 - 39 0.90 39 0.90 42 but 39 0.90 44 in 42 but 43 not 44 in 46 subjects 45 older 46 subjects 46 subjects 48 rer 46 subjects 55 - 47 ( 48 rer 48 rer 49 1.01 48 rer 50 , 50 , 55 - 51 95 53 ci 52 % 53 ci 53 ci 54 0.98 53 ci 55 - 55 - 56 1.04 56 1.04 60 pattern 56 1.04 61 was 56 1.04 62 similar 59 this 60 pattern 60 pattern 61 was 62 similar 66 and 62 similar 70 to 63 in 65 1st 63 in 66 and 64 the 65 1st 66 and 67 in 67 in 69 2nd 68 the 69 2nd 70 to 74 diagnosis 71 5th 74 diagnosis 72 year 74 diagnosis the survival advantage of women varied by crc stage and age and was most pronounced for localized disease ( rers 0.59 - 0.88 in various age subgroups [ )(and in patients under 45 years of age ( rers 0.59 , 0.72 and 0.76 in patients with localized , regional or advanced disease , respectively ) . 0 ###LEFT-WALL### 3 advantage 0 ###LEFT-WALL### 6 varied 0 ###LEFT-WALL### 12 and 1 the 3 advantage 2 survival 3 advantage 3 advantage 4 of 3 advantage 6 varied 4 of 5 women 6 varied 7 by 7 by 10 and 8 crc 9 stage 9 stage 10 and 10 and 11 age 12 and 13 was 13 was 14 most 13 was 23 0.88 14 most 15 pronounced 15 pronounced 16 for 16 for 18 disease 17 localized 18 disease 18 disease 20 rers 19 ( 20 rers 20 rers 21 0.59 20 rers 22 - 23 0.88 29 )(and 23 0.88 35 of 24 in 27 subgroups 24 in 29 )(and 25 various 27 subgroups 26 age 27 subgroups 29 )(and 30 in 30 in 31 patients 31 patients 32 under 32 under 34 years 33 45 34 years 35 of 36 age 36 age 38 rers 36 age 45 patients 37 ( 38 rers 38 rers 39 0.59 38 rers 40 , 40 , 45 patients 41 0.72 42 and 42 and 43 0.76 42 and 45 patients 43 0.76 44 in 44 in 45 patients 45 patients 46 with 45 patients 56 . 46 with 50 or 47 localized 48 , 47 localized 49 regional 47 localized 50 or 50 or 51 advanced 51 advanced 52 disease 51 advanced 54 respectively 53 , 54 respectively 54 respectively 55 ) on the contrary , sex differences in survival did not vary by location [of] crc . 0 ###LEFT-WALL### 6 differences 0 ###LEFT-WALL### 11 vary 0 ###LEFT-WALL### 16 . 1 on 5 sex 1 on 6 differences 2 the 5 sex 3 contrary 4 , 3 contrary 5 sex 6 differences 7 in 6 differences 9 did 7 in 8 survival 9 did 10 not 9 did 11 vary 11 vary 12 by 12 by 15 crc 13 location 15 crc in conclusion , our large population - based study confirmed a survival advantage of female compared to male crc patients , most [notably] in young and middle aged patients and patients with localized disease . 0 ###LEFT-WALL### 2 conclusion 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 35 . 1 in 2 conclusion 3 , 6 population 3 , 7 - 4 our 6 population 5 large 6 population 7 - 9 study 7 - 10 confirmed 8 based 9 study 9 study 10 confirmed 10 confirmed 13 advantage 10 confirmed 32 with 11 a 12 survival 11 a 13 advantage 12 survival 13 advantage 13 advantage 14 of 14 of 30 and 15 female 16 compared 15 female 17 to 15 female 21 , 17 to 20 patients 18 male 20 patients 19 crc 20 patients 21 , 22 most 21 , 30 and 22 most 24 in 24 in 26 and 25 young 26 and 26 and 29 patients 27 middle 29 patients 28 aged 29 patients 30 and 31 patients 32 with 34 disease 33 localized 34 disease the effect of sex hormones , either endogenous or through hormonal replacement therapy , might be the most plausible explanation for the observed patterns . 0 ###LEFT-WALL### 2 effect 0 ###LEFT-WALL### 16 be 0 ###LEFT-WALL### 25 . 1 the 2 effect 2 effect 3 of 2 effect 15 might 3 of 5 hormones 4 sex 5 hormones 5 hormones 13 therapy 6 , 13 therapy 7 either 9 or 8 endogenous 9 or 9 or 10 through 9 or 12 replacement 11 hormonal 12 replacement 12 replacement 13 therapy 13 therapy 14 , 15 might 16 be 16 be 20 explanation 17 the 18 most 18 most 20 explanation 19 plausible 20 explanation 20 explanation 21 for 21 for 24 patterns 22 the 24 patterns 23 observed 24 patterns none background : hip fracture patients have , in several studies , [been] shown to have excessive mortality . 0 ###LEFT-WALL### 1 none 0 ###LEFT-WALL### 16 have 0 ###LEFT-WALL### 19 . 1 none 2 background 1 none 15 to 1 none 16 have 2 background 3 : 3 : 4 hip 4 hip 6 patients 4 hip 7 have 5 fracture 6 patients 6 patients 7 have 7 have 9 in 7 have 14 shown 8 , 9 in 9 in 11 studies 9 in 12 , 10 several 11 studies 14 shown 15 to 16 have 18 mortality 17 excessive 18 mortality there is , however , a lack of mortality data , in comparison to incidence data , from the last decade in particular . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 is 0 ###LEFT-WALL### 24 . 1 there 2 is 2 is 4 however 2 is 7 lack 3 , 4 however 4 however 5 , 6 a 7 lack 7 lack 8 of 7 lack 18 from 8 of 10 data 9 mortality 10 data 10 data 12 in 11 , 12 in 12 in 13 comparison 12 in 17 , 13 comparison 14 to 14 to 16 data 15 incidence 16 data 18 from 21 decade 19 the 20 last 19 the 21 decade 21 decade 23 particular 22 in 23 particular objective : to study short - and long - term mortality in a population [-] based cohort of hip fracture patients over the last decade and compare it to the background population . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 - 1 objective 2 : 2 : 3 to 2 : 7 and 3 to 4 study 5 short 7 and 6 - 7 and 7 and 8 long 9 - 26 and 9 - 33 . 10 term 11 mortality 10 term 22 over 10 term 26 and 11 mortality 12 in 11 mortality 18 of 12 in 17 cohort 13 a 14 population 13 a 17 cohort 14 population 16 based 16 based 17 cohort 18 of 21 patients 19 hip 21 patients 20 fracture 21 patients 22 over 25 decade 23 the 24 last 23 the 25 decade 26 and 27 compare 27 compare 28 it 28 it 29 to 29 to 32 population 30 the 32 population 31 background 32 population patients and methods : fragility hip fracture patients in the two most southern counties in norway who experienced fractures in 2004 and 2005 were studied . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 1 patients 2 and 2 and 3 methods 4 : 8 patients 4 : 25 studied 4 : 26 . 5 fragility 8 patients 6 hip 7 fracture 7 fracture 8 patients 8 patients 9 in 8 patients 25 studied 9 in 11 two 10 the 11 two 11 two 14 counties 11 two 24 were 12 most 14 counties 13 southern 14 counties 14 counties 15 in 14 counties 17 who 14 counties 18 experienced 14 counties 24 were 15 in 16 norway 17 who 18 experienced 18 experienced 19 fractures 18 experienced 20 in 20 in 22 and 21 2004 22 and 22 and 23 2005 for each patient , three controls were randomly recruited from the background population matched for age , sex , and residency . 0 ###LEFT-WALL### 6 controls 0 ###LEFT-WALL### 9 recruited 0 ###LEFT-WALL### 22 . 1 for 3 patient 1 for 4 , 1 for 6 controls 2 each 3 patient 5 three 6 controls 6 controls 7 were 7 were 8 randomly 7 were 9 recruited 9 recruited 10 from 9 recruited 15 for 10 from 13 population 11 the 13 population 12 background 13 population 13 population 14 matched 15 for 20 and 16 age 17 , 17 , 18 sex 17 , 20 and 19 , 20 and 20 and 21 residency overall , age [-] , gender - , and group - specific mortality rates were calculated . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 11 - 1 overall 3 age 1 overall 9 and 2 , 3 age 3 age 6 gender 3 age 8 , 5 , 6 gender 6 gender 7 - 9 and 10 group 11 - 14 rates 11 - 16 calculated 11 - 17 . 12 specific 13 mortality 13 mortality 14 rates 14 rates 15 were 15 were 16 calculated results : a total of 942 ( 267 male and 675 female ) patients with a fragility hip fracture were identified . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 22 . 1 results 2 : 2 : 4 total 3 a 4 total 4 total 5 of 5 of 6 942 6 942 21 identified 7 ( 21 identified 8 267 10 and 8 267 20 were 8 267 21 identified 9 male 10 and 10 and 14 patients 10 and 15 with 10 and 20 were 11 675 14 patients 12 female 13 ) 12 female 14 patients 15 with 19 fracture 16 a 19 fracture 17 fragility 19 fracture 18 hip 19 fracture in the hip fracture patients , overall mortality [rate] after 1 year was 21.3 % ( males 30.7 [%] and females 19.1 [%] , p < 0.005 ) [and] , after 5 years , 59.0 % ( males 70.0 [%] and females 54.6 [%] , p < 0.005 ) . 0 ###LEFT-WALL### 8 mortality 0 ###LEFT-WALL### 50 . 1 in 5 patients 1 in 6 , 1 in 8 mortality 2 the 5 patients 3 hip 4 fracture 4 fracture 5 patients 7 overall 8 mortality 8 mortality 10 after 8 mortality 13 was 10 after 12 year 11 1 12 year 13 was 15 % 14 21.3 15 % 15 % 20 and 16 ( 20 and 17 males 18 30.7 17 males 20 and 20 and 21 females 20 and 26 < 20 and 31 after 20 and 49 ) 21 females 22 19.1 24 , 26 < 25 p 26 < 26 < 27 0.005 26 < 28 ) 30 , 31 after 31 after 33 years 31 after 49 ) 32 5 33 years 33 years 36 % 34 , 36 % 35 59.0 36 % 36 % 41 and 36 % 47 < 36 % 49 ) 37 ( 41 and 38 males 39 70.0 38 males 41 and 41 and 42 females 41 and 45 , 42 females 43 54.6 46 p 47 < 47 < 48 0.005 47 < 49 ) the corresponding figures for matched controls were 5.6 % ( males 5.9 % , females 5.4 [%] , p = 0.6 [ )(and 24.9 % ( males 25.9 [%] , females 24.5 [%] , p = 0.4 ) , respectively . 0 ###LEFT-WALL### 3 figures 0 ###LEFT-WALL### 7 were 1 the 3 figures 2 corresponding 3 figures 3 figures 4 for 3 figures 7 were 4 for 6 controls 5 matched 6 controls 7 were 9 % 7 were 40 respectively 8 5.6 9 % 9 % 11 males 10 ( 11 males 11 males 23 )(and 11 males 38 ) 12 5.9 13 % 12 5.9 23 )(and 13 % 15 females 13 % 20 = 14 , 15 females 15 females 16 5.4 15 females 18 , 19 p 20 = 20 = 21 0.6 23 )(and 24 24.9 24 24.9 25 % 25 % 27 males 25 % 31 females 25 % 36 = 26 ( 27 males 27 males 28 25.9 27 males 30 , 30 , 31 females 31 females 32 24.5 31 females 34 , 35 p 36 = 36 = 37 0.4 39 , 40 respectively 40 respectively 41 . a statistically significant difference was seen in the log - rank statistical analysis between hip fracture patients and controls , both in males ( p < 0.0005 ) and females ( p < 0.0005 ) , [and] for age groups 50 - 80 years ( p < 0.0005 ) and 80 years and older ( p < 0.0005 ) . 0 ###LEFT-WALL### 4 difference 0 ###LEFT-WALL### 6 seen 0 ###LEFT-WALL### 60 . 1 a 4 difference 2 statistically 3 significant 3 significant 4 difference 4 difference 5 was 5 was 6 seen 6 seen 7 in 6 seen 38 for 6 seen 53 and 7 in 9 log 8 the 9 log 9 log 13 analysis 10 - 13 analysis 11 rank 13 analysis 12 statistical 13 analysis 13 analysis 14 between 13 analysis 36 , 14 between 18 and 15 hip 16 fracture 16 fracture 17 patients 17 patients 18 and 18 and 19 controls 18 and 20 , 18 and 29 and 20 , 29 and 21 both 22 in 21 both 29 and 22 in 23 males 23 males 26 < 24 ( 26 < 25 p 26 < 26 < 27 0.0005 26 < 28 ) 29 and 30 females 29 and 33 < 29 and 36 , 31 ( 33 < 32 p 33 < 33 < 34 0.0005 33 < 35 ) 36 , 38 for 38 for 40 groups 38 for 42 - 39 age 40 groups 40 groups 41 50 43 80 44 years 44 years 47 < 44 years 50 and 45 ( 47 < 46 p 47 < 47 < 48 0.0005 47 < 49 ) 50 and 52 years 50 and 53 and 51 80 52 years 53 and 54 older 54 older 57 < 55 ( 57 < 56 p 57 < 57 < 58 0.0005 57 < 59 ) conclusion : mortality in males and females with hip fractures is high not only in the first year [after] fracture , but remains higher than in the background population during 5 years [of] follow - up . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 . 2 : 3 mortality 2 : 11 is 2 : 13 not 2 : 35 - 3 mortality 4 in 3 mortality 8 with 3 mortality 11 is 4 in 6 and 5 males 6 and 6 and 7 females 8 with 10 fractures 9 hip 10 fractures 11 is 12 high 13 not 14 only 13 not 32 years 13 not 34 follow 15 in 20 fracture 15 in 21 , 15 in 32 years 16 the 17 first 16 the 20 fracture 18 year 20 fracture 22 but 23 remains 22 but 32 years 23 remains 24 higher 24 higher 25 than 24 higher 30 during 25 than 26 in 26 in 29 population 27 the 29 population 28 background 29 population 30 during 31 5 32 years 34 follow 35 - 36 up the high mortality in hip fracture patients remains a challenge both [in] middle - aged and elderly individuals . 0 ###LEFT-WALL### 3 mortality 0 ###LEFT-WALL### 8 remains 0 ###LEFT-WALL### 14 - 1 the 3 mortality 2 high 3 mortality 3 mortality 4 in 3 mortality 8 remains 4 in 7 patients 5 hip 6 fracture 6 fracture 7 patients 8 remains 10 challenge 9 a 10 challenge 10 challenge 11 both 10 challenge 13 middle 11 both 13 middle 14 - 18 individuals 14 - 19 . 15 aged 16 and 16 and 17 elderly 16 and 18 individuals optimization of post - fracture treatment and care could reduce mortality of hip fracture [in] middle [-] aged and elderly individuals . 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 10 reduce 0 ###LEFT-WALL### 22 . 1 optimization 7 and 2 of 3 post 2 of 4 - 2 of 7 and 5 fracture 6 treatment 6 treatment 7 and 7 and 8 care 7 and 9 could 9 could 10 reduce 10 reduce 11 mortality 11 mortality 12 of 12 of 21 individuals 13 hip 14 fracture 14 fracture 21 individuals 16 middle 21 individuals 18 aged 19 and 19 and 20 elderly 19 and 21 individuals our body habitat - associated microbial communities are of intense research interest because of their influence on human health . 0 ###LEFT-WALL### 3 habitat 0 ###LEFT-WALL### 4 - 1 our 3 habitat 2 body 3 habitat 4 - 7 communities 4 - 8 are 4 - 20 . 5 associated 7 communities 6 microbial 7 communities 7 communities 8 are 8 are 9 of 8 are 13 because 8 are 17 on 9 of 12 interest 10 intense 11 research 11 research 12 interest 13 because 14 of 14 of 16 influence 15 their 16 influence 17 on 19 health 18 human 19 health because many studies of the microbiota are based on the same bacterial 16 s ribosomal rna ( rrna ) gene target , they [can] , in principle , be compared to determine the relative importance of different disease/physiologic/developmental states . 0 ###LEFT-WALL### 23 they 0 ###LEFT-WALL### 30 compared 0 ###LEFT-WALL### 40 . 1 because 3 studies 1 because 8 based 1 because 22 , 1 because 23 they 2 many 3 studies 3 studies 4 of 3 studies 7 are 4 of 6 microbiota 5 the 6 microbiota 7 are 8 based 8 based 9 on 9 on 21 target 10 the 11 same 11 same 21 target 12 bacterial 21 target 13 16 14 s 14 s 21 target 15 ribosomal 20 gene 16 rna 18 rrna 16 rna 20 gene 17 ( 18 rrna 18 rrna 19 ) 20 gene 21 target 23 they 26 in 23 they 29 be 25 , 26 in 26 in 27 principle 26 in 28 , 29 be 30 compared 30 compared 31 to 31 to 32 determine 32 determine 35 importance 33 the 35 importance 34 relative 35 importance 35 importance 36 of 36 of 39 states 37 different 39 states 38 disease/physiologic/developmental 39 states however , differences in experimental protocols used may produce variation that outweighs biological differences . 0 ###LEFT-WALL### 3 differences 0 ###LEFT-WALL### 9 produce 0 ###LEFT-WALL### 15 . 1 however 2 , 1 however 3 differences 3 differences 4 in 3 differences 8 may 4 in 6 protocols 5 experimental 6 protocols 6 protocols 7 used 8 may 9 produce 9 produce 10 variation 10 variation 11 that 10 variation 12 outweighs 11 that 12 outweighs 12 outweighs 14 differences 13 biological 14 differences by comparing 16 s rrna gene sequences generated from diverse studies of the human microbiota using the qiime database , we found that variation in composition of the microbiota across different body sites was consistently larger than technical variability across studies . 0 ###LEFT-WALL### 7 sequences 0 ###LEFT-WALL### 8 generated 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 42 . 1 by 2 comparing 1 by 7 sequences 3 16 4 s 4 s 5 rrna 5 rrna 7 sequences 6 gene 7 sequences 7 sequences 8 generated 8 generated 9 from 8 generated 15 microbiota 9 from 11 studies 10 diverse 11 studies 11 studies 12 of 12 of 14 human 13 the 14 human 15 microbiota 16 using 16 using 19 database 17 the 19 database 18 qiime 19 database 20 , 21 we 20 , 22 found 21 we 22 found 22 found 24 variation 22 found 34 was 23 that 24 variation 24 variation 25 in 24 variation 27 of 24 variation 34 was 25 in 26 composition 27 of 29 microbiota 28 the 29 microbiota 29 microbiota 30 across 30 across 33 sites 31 different 32 body 32 body 33 sites 34 was 35 consistently 34 was 36 larger 36 larger 37 than 37 than 39 variability 38 technical 39 variability 39 variability 40 across 40 across 41 studies however , samples from different studies of the western adult fecal microbiota generally clustered by study , and the 16 s rrna target region , dna extraction technique , and sequencing platform produced systematic biases in observed diversity that could obscure biologically meaningful compositional differences . 0 ###LEFT-WALL### 3 samples 0 ###LEFT-WALL### 14 clustered 0 ###LEFT-WALL### 25 , 0 ###LEFT-WALL### 46 . 1 however 2 , 1 however 3 samples 3 samples 4 from 3 samples 7 of 3 samples 14 clustered 4 from 6 studies 5 different 6 studies 7 of 12 microbiota 8 the 12 microbiota 9 western 12 microbiota 10 adult 12 microbiota 11 fecal 12 microbiota 13 generally 14 clustered 14 clustered 15 by 15 by 18 and 16 study 18 and 17 , 18 and 18 and 24 region 19 the 24 region 20 16 21 s 21 s 24 region 22 rrna 23 target 23 target 24 region 25 , 28 technique 25 , 30 and 26 dna 27 extraction 27 extraction 28 technique 29 , 30 and 30 and 35 biases 30 and 41 obscure 31 sequencing 32 platform 32 platform 33 produced 33 produced 35 biases 34 systematic 35 biases 35 biases 36 in 35 biases 41 obscure 36 in 38 diversity 37 observed 38 diversity 38 diversity 39 that 38 diversity 40 could 39 that 40 could 41 obscure 45 differences 42 biologically 43 meaningful 43 meaningful 45 differences 44 compositional 45 differences in contrast , systematic compositional differences in the fecal microbiota that occurred with age and between western and more agrarian cultures were great enough to outweigh technical variation . 0 ###LEFT-WALL### 6 differences 0 ###LEFT-WALL### 22 were 0 ###LEFT-WALL### 29 . 1 in 2 contrast 1 in 3 , 1 in 6 differences 4 systematic 6 differences 5 compositional 6 differences 6 differences 15 and 6 differences 22 were 7 in 10 microbiota 7 in 15 and 8 the 10 microbiota 9 fecal 10 microbiota 10 microbiota 11 that 10 microbiota 12 occurred 11 that 12 occurred 12 occurred 13 with 13 with 14 age 15 and 16 between 16 between 21 cultures 17 western 18 and 18 and 19 more 18 and 21 cultures 20 agrarian 21 cultures 22 were 23 great 23 great 24 enough 23 great 25 to 23 great 26 outweigh 25 to 26 outweigh 26 outweigh 28 variation 27 technical 28 variation furthermore , individuals with ileal crohn 's disease and in their third trimester of pregnancy often resembled infants from different studies more than controls from the same study , indicating parallel compositional attributes of these distinct developmental/physiological/disease states . 0 ###LEFT-WALL### 3 individuals 0 ###LEFT-WALL### 17 resembled 1 furthermore 2 , 1 furthermore 3 individuals 3 individuals 9 and 3 individuals 17 resembled 4 with 8 disease 4 with 9 and 5 ileal 6 crohn 6 crohn 7 's 7 's 8 disease 9 and 10 in 10 in 13 trimester 11 their 12 third 11 their 13 trimester 13 trimester 14 of 14 of 15 pregnancy 16 often 17 resembled 17 resembled 18 infants 17 resembled 19 from 17 resembled 22 more 17 resembled 23 than 19 from 21 studies 20 different 21 studies 23 than 24 controls 23 than 28 study 24 controls 25 from 24 controls 28 study 25 from 27 same 26 the 27 same 28 study 30 indicating 29 , 30 indicating 30 indicating 33 attributes 30 indicating 39 . 31 parallel 33 attributes 32 compositional 33 attributes 33 attributes 34 of 34 of 38 states 35 these 38 states 36 distinct 37 developmental/physiological/disease 37 developmental/physiological/disease 38 states together , these results show that cross - study comparisons of human microbiota are valuable when the studied parameter has a large effect size , but studies of more subtle effects on the human microbiota require carefully selected control populations and standardized protocols . 0 ###LEFT-WALL### 4 results 0 ###LEFT-WALL### 5 show 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 44 . 1 together 2 , 1 together 4 results 3 these 4 results 4 results 5 show 5 show 7 cross 6 that 7 cross 8 - 10 comparisons 8 - 14 are 8 - 26 but 9 study 10 comparisons 10 comparisons 11 of 10 comparisons 14 are 11 of 13 microbiota 12 human 13 microbiota 14 are 15 valuable 15 valuable 16 when 16 when 19 parameter 16 when 20 has 17 the 19 parameter 18 studied 19 parameter 19 parameter 20 has 20 has 24 size 21 a 22 large 21 a 24 size 22 large 23 effect 23 effect 24 size 25 , 26 but 26 but 27 studies 26 but 41 and 27 studies 28 of 27 studies 32 on 27 studies 41 and 28 of 31 effects 29 more 30 subtle 30 subtle 31 effects 32 on 35 microbiota 33 the 35 microbiota 34 human 35 microbiota 36 require 40 populations 36 require 41 and 37 carefully 38 selected 38 selected 40 populations 39 control 40 populations 41 and 42 standardized 41 and 43 protocols objectives : although age - related brain changes are becoming better understood , midlife patterns of change are still in need of characterization , and longitudinal studies are lacking . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 , 0 ###LEFT-WALL### 30 . 1 objectives 2 : 2 : 3 although 3 although 4 age 3 although 12 understood 4 age 12 understood 5 - 6 related 6 related 7 brain 6 related 12 understood 7 brain 8 changes 7 brain 10 becoming 8 changes 9 are 9 are 10 becoming 11 better 12 understood 13 , 15 patterns 13 , 18 are 13 , 25 and 14 midlife 15 patterns 15 patterns 16 of 15 patterns 18 are 16 of 17 change 18 are 19 still 19 still 20 in 20 in 21 need 21 need 22 of 22 of 23 characterization 24 , 25 and 25 and 27 studies 25 and 28 are 26 longitudinal 27 studies 27 studies 28 are 28 are 29 lacking the aim of this study was to determine if baseline fractional anisotropy ( fa ) , obtained from diffusion tensor imaging ( dti ) predicts volume change over a 4 [-] year interval . 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 34 . 9 if 12 anisotropy 9 if 25 predicts 10 baseline 12 anisotropy 11 fractional 12 anisotropy 12 anisotropy 14 fa 12 anisotropy 17 obtained 12 anisotropy 25 predicts 13 ( 14 fa 14 fa 15 ) 16 , 17 obtained 17 obtained 18 from 17 obtained 24 ) 18 from 21 imaging 19 diffusion 21 imaging 20 tensor 21 imaging 21 imaging 23 dti 22 ( 23 dti 23 dti 24 ) 25 predicts 27 change 25 predicts 28 over 26 volume 27 change 28 over 33 interval 29 a 33 interval 30 4 32 year 32 year 33 interval experimental design : forty - four cognitively healthy middle - age adults underwent baseline dti and longitudinal t1 - weighted magnetic resonance imaging . 0 ###LEFT-WALL### 2 design 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 23 imaging 0 ###LEFT-WALL### 24 . 1 experimental 2 design 3 : 4 forty 3 : 5 - 3 : 13 underwent 5 - 9 middle 5 - 10 - 6 four 9 middle 7 cognitively 8 healthy 8 healthy 9 middle 10 - 11 age 12 adults 13 underwent 13 underwent 14 baseline 14 baseline 16 and 14 baseline 23 imaging 15 dti 16 and 16 and 18 t1 16 and 19 - 16 and 20 weighted 17 longitudinal 18 t1 20 weighted 22 resonance 21 magnetic 22 resonance 22 resonance 23 imaging tensor - based morphometry methods were used to evaluate volume change over time . 0 ###LEFT-WALL### 5 methods 0 ###LEFT-WALL### 7 used 0 ###LEFT-WALL### 14 . 1 tensor 2 - 1 tensor 5 methods 3 based 5 methods 4 morphometry 5 methods 5 methods 6 were 6 were 7 used 7 used 8 to 7 used 9 evaluate 8 to 9 evaluate 9 evaluate 11 change 9 evaluate 12 over 10 volume 11 change 12 over 13 time fa values were extracted from regions of interest that included the cingulum , entorhinal white matter , and the genu and splenium of the corpus callosum . 0 ###LEFT-WALL### 2 values 0 ###LEFT-WALL### 4 extracted 0 ###LEFT-WALL### 27 . 1 fa 2 values 2 values 3 were 3 were 4 extracted 4 extracted 5 from 5 from 21 and 6 regions 7 of 6 regions 18 and 7 of 8 interest 8 interest 9 that 8 interest 10 included 9 that 10 included 10 included 12 cingulum 11 the 12 cingulum 12 cingulum 16 matter 13 , 16 matter 14 entorhinal 15 white 15 white 16 matter 16 matter 17 , 18 and 20 genu 18 and 21 and 19 the 20 genu 21 and 22 splenium 21 and 23 of 23 of 26 callosum 24 the 26 callosum 25 corpus 26 callosum baseline fa was used as a predictor variable , whereas gray and white matter atrophy rates as indexed by tensor - based morphometry were the dependent variables . 0 ###LEFT-WALL### 2 fa 0 ###LEFT-WALL### 4 used 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 28 . 1 baseline 2 fa 2 fa 3 was 3 was 4 used 4 used 5 as 5 as 8 variable 6 a 8 variable 7 predictor 8 variable 9 , 23 morphometry 9 , 24 were 10 whereas 12 and 10 whereas 21 - 10 whereas 23 morphometry 11 gray 12 and 12 and 14 matter 12 and 15 atrophy 12 and 18 indexed 13 white 14 matter 15 atrophy 16 rates 16 rates 17 as 17 as 18 indexed 18 indexed 19 by 19 by 20 tensor 22 based 23 morphometry 23 morphometry 24 were 24 were 27 variables 25 the 27 variables 26 dependent 27 variables principal observations : over [a] 4 - year period , participants showed significant contraction of white matter , especially in frontal , temporal , and cerebellar regions ( p < 0.05 , corrected for multiple comparisons ) . 0 ###LEFT-WALL### 2 observations 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 38 . 1 principal 2 observations 3 : 11 participants 3 : 12 showed 4 over 6 4 4 over 11 participants 6 4 9 period 7 - 9 period 8 year 9 period 9 period 10 , 11 participants 12 showed 12 showed 14 contraction 12 showed 17 matter 13 significant 14 contraction 14 contraction 15 of 15 of 16 white 17 matter 20 in 18 , 19 especially 18 , 20 in 20 in 27 regions 20 in 37 ) 21 frontal 22 , 21 frontal 27 regions 23 temporal 25 and 24 , 25 and 25 and 26 cerebellar 25 and 27 regions 27 regions 30 < 27 regions 33 corrected 28 ( 30 < 29 p 30 < 30 < 31 0.05 30 < 32 , 32 , 33 corrected 33 corrected 34 for 33 corrected 37 ) 34 for 36 comparisons 35 multiple 36 comparisons baseline fa in entorhinal white matter , genu , and splenium was associated with longitudinal rates of atrophy in regions that included the superior longitudinal fasciculus , anterior corona radiata , temporal stem , and white matter of the inferior temporal gyrus ( p < 0.001 , uncorrected for multiple comparisons ) . 0 ###LEFT-WALL### 1 baseline 0 ###LEFT-WALL### 13 associated 0 ###LEFT-WALL### 27 , 0 ###LEFT-WALL### 53 . 1 baseline 2 fa 1 baseline 12 was 1 baseline 13 associated 2 fa 3 in 2 fa 12 was 3 in 10 and 4 entorhinal 5 white 5 white 6 matter 6 matter 7 , 7 , 8 genu 7 , 10 and 9 , 10 and 10 and 11 splenium 13 associated 14 with 13 associated 19 in 14 with 16 rates 15 longitudinal 16 rates 16 rates 17 of 17 of 18 atrophy 19 in 20 regions 20 regions 21 that 20 regions 22 included 21 that 22 included 22 included 26 fasciculus 23 the 26 fasciculus 24 superior 26 fasciculus 25 longitudinal 26 fasciculus 27 , 35 and 28 anterior 29 corona 29 corona 30 radiata 30 radiata 31 , 31 , 33 stem 31 , 35 and 32 temporal 33 stem 34 , 35 and 35 and 37 matter 35 and 38 of 36 white 37 matter 38 of 42 gyrus 39 the 42 gyrus 40 inferior 42 gyrus 41 temporal 42 gyrus 42 gyrus 45 < 42 gyrus 48 uncorrected 43 ( 45 < 44 p 45 < 45 < 46 0.001 45 < 47 , 47 , 48 uncorrected 48 uncorrected 49 for 48 uncorrected 52 ) 49 for 51 comparisons 50 multiple 51 comparisons conclusions : brain change with aging is characterized by extensive shrinkage of white matter . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 4 change 2 : 8 characterized 2 : 15 . 3 brain 4 change 4 change 5 with 4 change 7 is 5 with 6 aging 7 is 8 characterized 8 characterized 9 by 9 by 11 shrinkage 10 extensive 11 shrinkage 11 shrinkage 12 of 12 of 14 matter 13 white 14 matter baseline white matter microstructure [as] indexed by dti was associated with some of the observed regional volume loss . 0 ###LEFT-WALL### 4 microstructure 0 ###LEFT-WALL### 19 . 1 baseline 2 white 2 white 3 matter 3 matter 4 microstructure 4 microstructure 6 indexed 4 microstructure 9 was 6 indexed 7 by 7 by 8 dti 9 was 10 associated 10 associated 11 with 11 with 18 loss 12 some 13 of 12 some 18 loss 13 of 18 loss 14 the 18 loss 15 observed 17 volume 16 regional 17 volume 17 volume 18 loss the findings suggest that both white matter volume loss and microstructural alterations should be considered more prominently in models of aging and neurodegenerative diseases . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 25 . 1 the 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 5 both 4 that 6 white 6 white 9 loss 7 matter 9 loss 8 volume 9 loss 10 and 12 alterations 10 and 15 considered 11 microstructural 12 alterations 12 alterations 13 should 13 should 14 be 14 be 15 considered 15 considered 16 more 15 considered 17 prominently 15 considered 18 in 18 in 22 and 19 models 20 of 19 models 22 and 20 of 21 aging 22 and 24 diseases 23 neurodegenerative 24 diseases objective : to examine the experiences of primary care consultation among older adults with symptomatic foot osteoarthritis ( oa ) . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 to 2 : 4 examine 2 : 21 . 3 to 4 examine 4 examine 6 experiences 4 examine 11 among 4 examine 14 with 5 the 6 experiences 6 experiences 7 of 7 of 10 consultation 8 primary 9 care 9 care 10 consultation 11 among 13 adults 12 older 13 adults 14 with 17 osteoarthritis 15 symptomatic 16 foot 16 foot 17 osteoarthritis 17 osteoarthritis 19 oa 18 ( 19 oa 19 oa 20 ) methods : eleven participants ( 6 women and 5 men ) ages 56 - 80 years who had radiographically confirmed symptomatic foot oa and consulted a general practitioner in the last 12 months for foot pain were purposively sampled . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 37 were 0 ###LEFT-WALL### 40 . 2 : 4 participants 2 : 24 and 3 eleven 4 participants 4 participants 8 and 4 participants 24 and 5 ( 8 and 6 6 7 women 7 women 8 and 8 and 10 men 8 and 11 ) 9 5 10 men 12 ages 14 - 12 ages 16 years 12 ages 24 and 13 56 14 - 14 - 15 80 16 years 17 who 16 years 18 had 17 who 18 had 18 had 20 confirmed 19 radiographically 20 confirmed 20 confirmed 23 oa 21 symptomatic 22 foot 22 foot 23 oa 24 and 25 consulted 25 consulted 28 practitioner 25 consulted 34 for 26 a 28 practitioner 27 general 28 practitioner 28 practitioner 29 in 29 in 33 months 30 the 33 months 31 last 33 months 32 12 33 months 34 for 36 pain 35 foot 36 pain 36 pain 37 were 37 were 39 sampled 38 purposively 39 sampled semistructured interviews explored the nature of the foot problem , help - seeking behaviors , and consultation experiences . 0 ###LEFT-WALL### 2 interviews 0 ###LEFT-WALL### 3 explored 0 ###LEFT-WALL### 19 . 1 semistructured 2 interviews 2 interviews 3 explored 3 explored 16 and 4 the 5 nature 5 nature 6 of 5 nature 16 and 6 of 9 problem 7 the 9 problem 8 foot 9 problem 9 problem 11 help 10 , 11 help 11 help 13 seeking 11 help 15 , 12 - 13 seeking 13 seeking 14 behaviors 13 seeking 15 , 16 and 18 experiences 17 consultation 18 experiences verbatim transcripts were analyzed using interpretative phenomenological analysis . 0 ###LEFT-WALL### 2 transcripts 0 ###LEFT-WALL### 4 analyzed 0 ###LEFT-WALL### 9 . 1 verbatim 2 transcripts 2 transcripts 3 were 3 were 4 analyzed 4 analyzed 5 using 5 using 8 analysis 6 interpretative 8 analysis 7 phenomenological 8 analysis results : the decision to consult a physician was often the outcome of a complex process influenced by quantitative and qualitative changes in symptoms , difficulty maintaining day - to - day roles and responsibilities and the effect this had on family and work colleagues , and a reluctance to present a fragile or aging self to the outside world . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 51 present 0 ###LEFT-WALL### 61 . 2 : 4 decision 2 : 9 was 2 : 31 - 2 : 40 had 3 the 4 decision 4 decision 5 to 4 decision 6 consult 4 decision 9 was 5 to 6 consult 6 consult 8 physician 7 a 8 physician 9 was 10 often 9 was 12 outcome 11 the 12 outcome 12 outcome 13 of 13 of 15 complex 14 a 15 complex 15 complex 16 process 15 complex 30 to 16 process 17 influenced 16 process 18 by 16 process 22 changes 18 by 20 and 19 quantitative 20 and 20 and 21 qualitative 22 changes 23 in 22 changes 30 to 23 in 24 symptoms 24 symptoms 26 difficulty 25 , 26 difficulty 26 difficulty 27 maintaining 26 difficulty 29 - 27 maintaining 28 day 31 - 36 and 32 day 33 roles 33 roles 34 and 34 and 35 responsibilities 34 and 36 and 36 and 38 effect 37 the 38 effect 39 this 40 had 40 had 41 on 40 had 50 to 41 on 47 and 42 family 43 and 43 and 45 colleagues 43 and 46 , 43 and 47 and 44 work 45 colleagues 47 and 49 reluctance 48 a 49 reluctance 50 to 51 present 51 present 56 self 51 present 57 to 52 a 56 self 53 fragile 54 or 54 or 55 aging 54 or 56 self 57 to 60 world 58 the 60 world 59 outside 60 world self - management was commonly negotiated alongside multimorbidities . 0 ###LEFT-WALL### 3 management 0 ###LEFT-WALL### 6 negotiated 0 ###LEFT-WALL### 9 . 1 self 2 - 1 self 3 management 3 management 4 was 4 was 6 negotiated 5 commonly 6 negotiated 6 negotiated 7 alongside 7 alongside 8 multimorbidities upon seeking help , participants often believed they received limited information , they were given a brief or even cursory assessment , and that treatment was focused on the prescription of analgesic drugs . 0 ###LEFT-WALL### 13 they 0 ###LEFT-WALL### 18 or 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 34 . 1 upon 2 seeking 1 upon 12 , 1 upon 13 they 2 seeking 3 help 3 help 9 received 4 , 9 received 5 participants 7 believed 6 often 7 believed 7 believed 8 they 7 believed 9 received 8 they 9 received 9 received 11 information 9 received 12 , 10 limited 11 information 13 they 18 or 14 were 15 given 14 were 18 or 15 given 17 brief 16 a 17 brief 18 or 19 even 19 even 21 assessment 20 cursory 21 assessment 22 , 23 and 23 and 25 treatment 23 and 27 focused 24 that 25 treatment 25 treatment 26 was 26 was 27 focused 27 focused 28 on 28 on 30 prescription 29 the 30 prescription 30 prescription 31 of 31 of 33 drugs 32 analgesic 33 drugs conclusion : this is the first qualitative study of primary care experiences among patients with symptomatic foot oa . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 3 this 2 : 4 is 2 : 19 . 3 this 4 is 4 is 8 study 5 the 8 study 6 first 8 study 7 qualitative 8 study 8 study 9 of 9 of 12 experiences 10 primary 11 care 11 care 12 experiences 12 experiences 13 among 12 experiences 15 with 13 among 14 patients 15 with 18 oa 16 symptomatic 17 foot 17 foot 18 oa the experience of primary care seldom appeared to move beyond a label of arthritis and an unwelcome emphasis on pharmacologic treatment . 0 ###LEFT-WALL### 2 experience 0 ###LEFT-WALL### 7 appeared 0 ###LEFT-WALL### 22 . 1 the 2 experience 2 experience 3 of 2 experience 7 appeared 3 of 5 care 4 primary 5 care 6 seldom 7 appeared 7 appeared 8 to 7 appeared 9 move 8 to 9 move 9 move 10 beyond 9 move 19 on 10 beyond 12 label 11 a 12 label 12 label 13 of 13 of 15 and 14 arthritis 15 and 15 and 18 emphasis 16 an 17 unwelcome 16 an 18 emphasis 17 unwelcome 18 emphasis 19 on 21 treatment 20 pharmacologic 21 treatment unlabelled : the built environment ( be ) impacts on people 's disability and health , in terms of overweight , depression , alcohol abuse , poor self - rated health and presence of psychological symptoms ; it is reasonable to assume that be also impacts on participation levels . 0 ###LEFT-WALL### 1 unlabelled 0 ###LEFT-WALL### 2 : 2 : 5 environment 2 : 9 impacts 2 : 26 , 2 : 29 - 3 the 5 environment 4 built 5 environment 5 environment 7 be 5 environment 9 impacts 6 ( 7 be 7 be 8 ) 9 impacts 10 on 9 impacts 25 abuse 10 on 14 and 11 people 12 's 12 's 13 disability 13 disability 14 and 14 and 15 health 14 and 16 , 14 and 17 in 16 , 17 in 17 in 18 terms 17 in 23 , 18 terms 19 of 19 of 22 depression 20 overweight 21 , 20 overweight 22 depression 24 alcohol 25 abuse 26 , 28 self 27 poor 28 self 29 - 32 and 29 - 37 ; 29 - 46 impacts 29 - 50 . 30 rated 31 health 31 health 32 and 32 and 33 presence 32 and 37 ; 33 presence 34 of 34 of 36 symptoms 35 psychological 36 symptoms 37 ; 38 it 37 ; 39 is 38 it 39 is 39 is 40 reasonable 40 reasonable 41 to 40 reasonable 46 impacts 41 to 42 assume 42 assume 43 that 43 that 44 be 43 that 46 impacts 44 be 46 impacts 45 also 46 impacts 46 impacts 47 on 47 on 49 levels 48 participation 49 levels this paper presents the validation of the courage built environment self - reported questionnaire ( cbe - sr ) , an instrument designed to evaluate be in the context of health and disability . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 presents 0 ###LEFT-WALL### 13 reported 0 ###LEFT-WALL### 20 , 0 ###LEFT-WALL### 34 . 1 this 2 paper 2 paper 3 presents 3 presents 5 validation 4 the 5 validation 5 validation 6 of 6 of 11 self 7 the 11 self 8 courage 9 built 9 built 10 environment 10 environment 11 self 12 - 13 reported 13 reported 18 sr 13 reported 19 ) 14 questionnaire 16 cbe 15 ( 16 cbe 16 cbe 17 - 16 cbe 18 sr 20 , 32 and 21 an 22 instrument 22 instrument 23 designed 22 instrument 32 and 23 designed 24 to 23 designed 25 evaluate 24 to 25 evaluate 25 evaluate 26 be 25 evaluate 27 in 27 in 29 context 28 the 29 context 29 context 30 of 30 of 31 health 32 and 33 disability subjects participating to courage , a cross - sectional study conducted on 10,800 citizens of poland , finland and spain , completed a protocol [inclusive] of the cbe - sr . 1 subjects 10 study 2 participating 3 to 2 participating 8 - 2 participating 10 study 3 to 4 courage 4 courage 7 cross 5 , 7 cross 6 a 7 cross 7 cross 8 - 9 sectional 10 study 10 study 11 conducted 10 study 12 on 10 study 15 of 10 study 19 and 10 study 22 completed 12 on 14 citizens 13 10,800 14 citizens 15 of 16 poland 17 , 19 and 18 finland 19 and 19 and 20 spain 19 and 21 , 22 completed 24 protocol 23 a 24 protocol 24 protocol 26 of 26 of 30 sr 27 the 30 sr 28 cbe 30 sr 29 - 30 sr 30 sr 31 . psychometric properties and factor structure were analysed , and factor scores created . 0 ###LEFT-WALL### 3 and 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 13 . 1 psychometric 2 properties 2 properties 3 and 3 and 5 structure 3 and 6 were 4 factor 5 structure 6 were 9 and 7 analysed 9 and 8 , 9 and 9 and 10 factor 9 and 11 scores 11 scores 12 created gender differences , differences between persons from different age groups and persons reporting the environment as facilitating , hindering or neutral were calculated . 0 ###LEFT-WALL### 11 and 0 ###LEFT-WALL### 24 . 1 gender 2 differences 2 differences 3 , 3 , 4 differences 3 , 11 and 4 differences 5 between 5 between 6 persons 6 persons 7 from 7 from 10 groups 8 different 9 age 9 age 10 groups 11 and 12 persons 11 and 13 reporting 11 and 23 calculated 13 reporting 15 environment 13 reporting 16 as 14 the 15 environment 16 as 20 or 16 as 23 calculated 17 facilitating 18 , 18 , 19 hindering 18 , 20 or 20 or 21 neutral 20 or 22 were 22 were 23 calculated eight items were deleted so that the final version of cbe - sr comprises 19 items . 0 ###LEFT-WALL### 2 items 0 ###LEFT-WALL### 4 deleted 0 ###LEFT-WALL### 17 . 1 eight 2 items 2 items 3 were 3 were 4 deleted 4 deleted 6 that 5 so 6 that 6 that 9 version 6 that 14 comprises 7 the 9 version 8 final 9 version 9 version 10 of 9 version 14 comprises 10 of 13 sr 11 cbe 13 sr 12 - 13 sr 14 comprises 16 items 15 19 16 items cronbach 's alpha ranged from 0.743 to 0.906 , and test - [retest] stability was demonstrated for the majority of items . 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 12 - 1 cronbach 2 's 2 's 3 alpha 3 alpha 4 ranged 3 alpha 10 and 4 ranged 7 to 5 from 7 to 6 0.743 7 to 7 to 8 0.906 9 , 10 and 10 and 11 test 12 - 14 stability 12 - 16 demonstrated 12 - 22 . 14 stability 15 was 15 was 16 demonstrated 16 demonstrated 17 for 17 for 21 items 18 the 19 majority 19 majority 20 of 19 majority 21 items 20 of 21 items four subscales were identified : usability of the neighbourhood environment ; hindrance [of] walkable environment ; easiness of use of public buildings , places and facilities ; [and] risk of accidents and usability of the living place . 0 ###LEFT-WALL### 2 subscales 0 ###LEFT-WALL### 4 identified 0 ###LEFT-WALL### 5 : 0 ###LEFT-WALL### 38 . 1 four 2 subscales 2 subscales 3 were 3 were 4 identified 5 : 6 usability 5 : 11 ; 6 usability 7 of 7 of 10 environment 8 the 10 environment 9 neighbourhood 10 environment 11 ; 15 environment 11 ; 16 ; 12 hindrance 15 environment 14 walkable 15 environment 16 ; 25 and 16 ; 27 ; 17 easiness 18 of 17 easiness 23 , 18 of 19 use 19 use 20 of 20 of 22 buildings 21 public 22 buildings 23 , 24 places 23 , 25 and 25 and 26 facilities 27 ; 32 and 29 risk 30 of 29 risk 32 and 30 of 31 accidents 32 and 33 usability 32 and 34 of 34 of 37 place 35 the 37 place 36 living 37 place younger respondents reported their neighbourhood as more usable but perceived walkways as more hindering and public buildings as less easy to use ; gender differences were almost inexistent . 0 ###LEFT-WALL### 2 respondents 0 ###LEFT-WALL### 3 reported 0 ###LEFT-WALL### 23 ; 0 ###LEFT-WALL### 29 . 1 younger 2 respondents 2 respondents 3 reported 3 reported 5 neighbourhood 4 their 5 neighbourhood 5 neighbourhood 6 as 6 as 17 buildings 7 more 17 buildings 8 usable 9 but 8 usable 12 as 8 usable 15 and 9 but 11 walkways 10 perceived 11 walkways 12 as 14 hindering 13 more 14 hindering 15 and 16 public 15 and 17 buildings 17 buildings 18 as 17 buildings 20 easy 18 as 19 less 20 easy 21 to 21 to 22 use 23 ; 25 differences 23 ; 26 were 24 gender 25 differences 25 differences 26 were 26 were 27 almost 26 were 28 inexistent the cbe - sr is a four [-] scale instrument with good psychometric properties that measures the person - environment interaction . 0 ###LEFT-WALL### 4 sr 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 19 - 0 ###LEFT-WALL### 22 . 1 the 4 sr 2 cbe 4 sr 3 - 4 sr 4 sr 5 is 5 is 10 instrument 6 a 10 instrument 7 four 9 scale 9 scale 10 instrument 10 instrument 11 with 10 instrument 15 that 10 instrument 16 measures 11 with 14 properties 12 good 14 properties 13 psychometric 14 properties 15 that 16 measures 16 measures 18 person 17 the 18 person 19 - 21 interaction 20 environment 21 interaction it is sensitive across age groups and is consistent with the subject 's overall judgement of the degree to which the environment is facilitating or hindering . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 27 . 1 it 7 and 2 is 3 sensitive 2 is 7 and 3 sensitive 4 across 4 across 6 groups 5 age 6 groups 7 and 8 is 7 and 15 judgement 8 is 9 consistent 9 consistent 10 with 10 with 13 's 11 the 12 subject 12 subject 13 's 14 overall 15 judgement 15 judgement 16 of 16 of 18 degree 17 the 18 degree 18 degree 19 to 19 to 20 which 19 to 22 environment 19 to 23 is 21 the 22 environment 22 environment 23 is 23 is 25 or 24 facilitating 25 or 25 or 26 hindering key practitioner message : poor built environments have a negative impact on the level of a person 's participation . 0 ###LEFT-WALL### 3 message 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 20 . 1 key 2 practitioner 2 practitioner 3 message 4 : 7 environments 4 : 8 have 5 poor 7 environments 6 built 7 environments 7 environments 8 have 8 have 11 impact 8 have 12 on 9 a 10 negative 9 a 11 impact 10 negative 11 impact 12 on 14 level 13 the 14 level 14 level 15 of 15 of 19 participation 16 a 17 person 17 person 18 's 18 's 19 participation however , instruments measuring the person [-] environment interaction are lacking . 0 ###LEFT-WALL### 3 instruments 0 ###LEFT-WALL### 10 are 0 ###LEFT-WALL### 12 . 1 however 2 , 1 however 3 instruments 3 instruments 4 measuring 3 instruments 10 are 4 measuring 9 interaction 5 the 9 interaction 6 person 9 interaction 8 environment 9 interaction 10 are 11 lacking the cbe - sr is a valid and reliable instrument that researchers can use to assess the relationships between the intrinsic health state and the objective features of the environment . 0 ###LEFT-WALL### 4 sr 0 ###LEFT-WALL### 5 is 0 ###LEFT-WALL### 31 . 1 the 4 sr 2 cbe 4 sr 3 - 4 sr 4 sr 5 is 5 is 10 instrument 5 is 19 between 6 a 10 instrument 7 valid 8 and 8 and 9 reliable 8 and 10 instrument 10 instrument 11 that 10 instrument 14 use 11 that 12 researchers 11 that 14 use 12 researchers 13 can 13 can 14 use 14 use 15 to 15 to 16 assess 16 assess 18 relationships 17 the 18 relationships 19 between 24 and 20 the 23 state 21 intrinsic 22 health 22 health 23 state 23 state 24 and 24 and 27 features 24 and 28 of 25 the 27 features 26 objective 27 features 28 of 30 environment 29 the 30 environment understanding this relationship would provide further insight into the need of addressing the individual 's functioning either by means of interventions directed to the individual or by making changes to the individual 's environment . 0 ###LEFT-WALL### 1 understanding 0 ###LEFT-WALL### 35 . 1 understanding 3 relationship 1 understanding 4 would 2 this 3 relationship 4 would 5 provide 5 provide 7 insight 5 provide 8 into 5 provide 30 to 6 further 7 insight 8 into 10 need 9 the 10 need 10 need 11 of 10 need 20 of 10 need 22 directed 11 of 12 addressing 12 addressing 16 functioning 12 addressing 17 either 12 addressing 18 by 13 the 14 individual 14 individual 15 's 15 's 16 functioning 18 by 19 means 20 of 21 interventions 22 directed 26 or 23 to 25 individual 23 to 26 or 24 the 25 individual 26 or 27 by 27 by 28 making 28 making 29 changes 30 to 34 environment 31 the 32 individual 32 individual 33 's 33 's 34 environment the collaborative research on ageing in europe protocol was based on that of the world health organization study on global ageing and adult health ( sage ) project that investigated the relationship between health and well - being and provided a set of instruments that can be used across countries to monitor health and health - related outcomes of older populations as well as the strategies for addressing issues concerning the ageing process . 0 ###LEFT-WALL### 35 and 0 ###LEFT-WALL### 37 - 0 ###LEFT-WALL### 74 . 1 the 3 research 2 collaborative 3 research 3 research 4 on 3 research 6 in 3 research 10 based 3 research 13 of 3 research 35 and 4 on 5 ageing 6 in 7 europe 7 europe 8 protocol 7 europe 9 was 8 protocol 9 was 10 based 11 on 11 on 12 that 13 of 28 project 14 the 28 project 15 world 16 health 16 health 28 project 17 organization 28 project 18 study 19 on 18 study 22 and 19 on 21 ageing 20 global 21 ageing 22 and 24 health 22 and 26 sage 22 and 28 project 23 adult 24 health 25 ( 26 sage 26 sage 27 ) 28 project 29 that 28 project 30 investigated 29 that 30 investigated 30 investigated 32 relationship 31 the 32 relationship 32 relationship 33 between 33 between 34 health 35 and 36 well 35 and 37 - 37 - 38 being 37 - 39 and 39 and 54 and 39 and 57 related 40 provided 42 set 40 provided 48 used 40 provided 54 and 41 a 42 set 42 set 43 of 42 set 47 be 43 of 44 instruments 44 instruments 45 that 44 instruments 46 can 45 that 46 can 47 be 48 used 49 across 50 countries 49 across 54 and 50 countries 51 to 50 countries 52 monitor 51 to 52 monitor 53 health 54 and 54 and 55 health 54 and 56 - 54 and 57 related 57 related 58 outcomes 57 related 67 for 58 outcomes 59 of 58 outcomes 64 as 59 of 61 populations 60 older 61 populations 61 populations 62 as 62 as 63 well 64 as 66 strategies 65 the 66 strategies 67 for 68 addressing 68 addressing 69 issues 69 issues 70 concerning 70 concerning 73 process 71 the 73 process 72 ageing 73 process to evaluate the degree to which sage protocol covered the spectrum of disability given the scope of the world health organization international classification of functioning , disability and health ( icf ) , a mapping exercise was performed with sage protocol . 0 ###LEFT-WALL### 36 exercise 0 ###LEFT-WALL### 38 performed 0 ###LEFT-WALL### 42 . 1 to 2 evaluate 1 to 33 , 1 to 36 exercise 2 evaluate 28 and 3 the 4 degree 4 degree 5 to 4 degree 12 of 4 degree 26 , 5 to 6 which 5 to 8 protocol 5 to 9 covered 7 sage 8 protocol 8 protocol 9 covered 9 covered 11 spectrum 10 the 11 spectrum 12 of 13 disability 13 disability 14 given 14 given 16 scope 15 the 16 scope 16 scope 17 of 17 of 23 classification 18 the 23 classification 19 world 20 health 20 health 21 organization 21 organization 22 international 22 international 23 classification 23 classification 24 of 24 of 25 functioning 26 , 27 disability 26 , 28 and 28 and 29 health 28 and 31 icf 30 ( 31 icf 31 icf 32 ) 34 a 36 exercise 35 mapping 36 exercise 36 exercise 37 was 37 was 38 performed 38 performed 39 with 39 with 41 protocol 40 sage 41 protocol results show that the sage protocol covers icf domains in a [non] [-] uniform way , with environmental factors categories being underrepresented , whereas mental , cardiovascular , sensory functions and mobility were overrepresented . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 show 0 ###LEFT-WALL### 35 . 1 results 2 show 2 show 3 that 3 that 6 protocol 3 that 7 covers 4 the 6 protocol 5 sage 6 protocol 6 protocol 7 covers 7 covers 9 domains 7 covers 10 in 7 covers 15 way 7 covers 17 with 7 covers 24 whereas 8 icf 9 domains 11 a 15 way 14 uniform 15 way 16 , 17 with 17 with 19 factors 17 with 20 categories 17 with 23 , 18 environmental 19 factors 20 categories 21 being 21 being 22 underrepresented 24 whereas 31 and 24 whereas 34 overrepresented 25 mental 26 , 25 mental 30 functions 27 cardiovascular 28 , 27 cardiovascular 30 functions 29 sensory 30 functions 30 functions 31 and 31 and 32 mobility 31 and 33 were 33 were 34 overrepresented to overcome this partial coverage of icf functioning categories , new assessment instruments have been developed . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 overcome 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 17 . 1 to 2 overcome 2 overcome 5 coverage 3 this 4 partial 4 partial 5 coverage 5 coverage 6 of 6 of 9 categories 7 icf 8 functioning 8 functioning 9 categories 10 , 13 instruments 10 , 16 developed 11 new 12 assessment 12 assessment 13 instruments 13 instruments 14 have 14 have 15 been 15 been 16 developed practitioner message : mapping exercises are valid procedures to understand the extent to which a survey protocol covers the spectrum of functioning . 0 ###LEFT-WALL### 2 message 0 ###LEFT-WALL### 3 : 0 ###LEFT-WALL### 23 . 1 practitioner 2 message 2 message 3 : 3 : 4 mapping 4 mapping 5 exercises 4 mapping 10 understand 4 mapping 13 to 5 exercises 6 are 6 are 8 procedures 6 are 9 to 7 valid 8 procedures 9 to 10 understand 10 understand 12 extent 11 the 12 extent 13 to 14 which 13 to 17 protocol 13 to 18 covers 15 a 17 protocol 16 survey 17 protocol 17 protocol 18 covers 18 covers 20 spectrum 19 the 20 spectrum 20 spectrum 21 of 21 of 22 functioning the mapping exercise with sage protocol shows that it provides only a partial representation of body functions and activities and participation domains , and the coverage of environmental factors is poor . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 32 . 1 the 3 exercise 2 mapping 3 exercise 3 exercise 4 with 3 exercise 18 and 4 with 5 sage 5 sage 6 protocol 5 sage 7 shows 6 protocol 7 shows 7 shows 8 that 8 that 9 it 8 that 10 provides 9 it 10 provides 10 provides 11 only 10 provides 14 representation 12 a 13 partial 12 a 14 representation 13 partial 14 representation 14 representation 15 of 15 of 17 functions 16 body 17 functions 18 and 19 activities 18 and 20 and 20 and 22 domains 21 participation 22 domains 23 , 24 and 24 and 26 coverage 24 and 30 is 25 the 26 coverage 26 coverage 27 of 26 coverage 30 is 27 of 29 factors 28 environmental 29 factors 30 is 31 poor new instruments are therefore needed for researchers to properly understand the health and disability of ageing populations . 0 ###LEFT-WALL### 2 instruments 0 ###LEFT-WALL### 5 needed 0 ###LEFT-WALL### 18 . 1 new 2 instruments 2 instruments 3 are 3 are 5 needed 4 therefore 5 needed 5 needed 6 for 5 needed 8 to 6 for 7 researchers 8 to 10 understand 9 properly 10 understand 10 understand 13 and 11 the 13 and 12 health 13 and 13 and 14 disability 13 and 15 of 15 of 17 populations 16 ageing 17 populations objective : to examine the associations of foot posture and foot function to foot pain . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 14 foot 0 ###LEFT-WALL### 16 . 1 objective 2 : 2 : 3 to 2 : 4 examine 3 to 4 examine 4 examine 6 associations 4 examine 12 function 5 the 6 associations 6 associations 7 of 6 associations 12 function 7 of 10 and 8 foot 9 posture 9 posture 10 and 10 and 11 foot 12 function 13 to 13 to 14 foot 14 foot 15 pain methods : data were collected on 3,378 members of the framingham study cohort who completed foot examinations in 2002 - 2008 . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 3 data 2 : 4 were 2 : 22 . 3 data 4 were 4 were 5 collected 5 collected 6 on 5 collected 18 in 6 on 8 members 7 3,378 8 members 8 members 9 of 9 of 13 cohort 10 the 13 cohort 11 framingham 12 study 12 study 13 cohort 13 cohort 14 who 13 cohort 15 completed 14 who 15 completed 15 completed 17 examinations 16 foot 17 examinations 18 in 20 - 19 2002 20 - 20 - 21 2008 foot pain ( generalized [and] at 6 locations ) was based on the response to the following question : " on most days , do you have pain , aching or stiffness in either foot ? " 0 ###LEFT-WALL### 1 foot 0 ###LEFT-WALL### 19 : 0 ###LEFT-WALL### 24 , 0 ###LEFT-WALL### 27 have 0 ###LEFT-WALL### 36 ? 1 foot 2 pain 1 foot 10 was 1 foot 11 based 1 foot 19 : 2 pain 4 generalized 2 pain 10 was 3 ( 4 generalized 4 generalized 6 at 4 generalized 9 ) 6 at 8 locations 7 6 8 locations 11 based 12 on 12 on 14 response 13 the 14 response 14 response 15 to 15 to 18 question 16 the 17 following 16 the 18 question 19 : 20 " 19 : 21 on 21 on 23 days 22 most 23 days 24 , 25 do 25 do 26 you 25 do 27 have 27 have 31 or 28 pain 29 , 29 , 30 aching 29 , 31 or 31 or 32 stiffness 31 or 33 in 33 in 35 foot 34 either 35 foot 36 ? 37 " foot posture was categorized as normal , planus , or cavus using static pressure measurements of the arch index . 0 ###LEFT-WALL### 2 posture 0 ###LEFT-WALL### 4 categorized 0 ###LEFT-WALL### 7 , 0 ###LEFT-WALL### 20 . 1 foot 2 posture 2 posture 3 was 3 was 4 categorized 4 categorized 6 normal 5 as 6 normal 7 , 10 or 8 planus 10 or 9 , 10 or 10 or 11 cavus 10 or 12 using 10 or 16 of 12 using 15 measurements 13 static 15 measurements 14 pressure 15 measurements 16 of 19 index 17 the 19 index 18 arch 19 index foot [function] was categorized as normal , pronated , or supinated using the center of pressure excursion index [from] dynamic pressure measurements . 0 ###LEFT-WALL### 1 foot 0 ###LEFT-WALL### 10 or 0 ###LEFT-WALL### 23 . 1 foot 10 or 3 was 4 categorized 3 was 10 or 4 categorized 6 normal 5 as 6 normal 6 normal 8 pronated 7 , 8 pronated 8 pronated 9 , 9 , 10 or 10 or 11 supinated 10 or 12 using 10 or 22 measurements 12 using 14 center 13 the 14 center 14 center 15 of 15 of 16 pressure 17 excursion 21 pressure 18 index 21 pressure 20 dynamic 21 pressure 21 pressure 22 measurements sex - specific multivariate logistic regression models were used to examine the effect of foot posture and function [on] generalized and location - specific foot pain , adjusting for age and weight . 0 ###LEFT-WALL### 7 models 0 ###LEFT-WALL### 33 . 1 sex 2 - 1 sex 7 models 3 specific 4 multivariate 4 multivariate 5 logistic 5 logistic 7 models 6 regression 7 models 7 models 31 and 8 were 9 used 8 were 31 and 9 used 10 to 9 used 29 for 10 to 11 examine 11 examine 13 effect 12 the 13 effect 13 effect 14 of 13 effect 28 adjusting 14 of 21 and 15 foot 16 posture 16 posture 17 and 17 and 18 function 17 and 20 generalized 17 and 21 and 21 and 22 location 21 and 26 pain 23 - 26 pain 24 specific 25 foot 25 foot 26 pain 26 pain 27 , 29 for 30 age 31 and 32 weight results : planus [foot] [posture] was significantly associated [with] [an] increased likelihood of arch pain in men ( odds ratio [ or ] 1.38 , 95 % confidence interval [ 95 % ci ] [1.01] - 1.90 [ )( [while] cavus foot posture was protective against ball of foot pain ( or 0.74 , 95 % ci 0.55 - 1.00 [ )( arch pain ( or 0.64 , 95 % ci 0.48 - 0.85 [ )(in women . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 planus 3 planus 6 was 6 was 12 likelihood 6 was 15 pain 7 significantly 8 associated 8 associated 12 likelihood 11 increased 12 likelihood 12 likelihood 13 of 13 of 14 arch 15 pain 16 in 15 pain 24 1.38 16 in 17 men 17 men 20 ratio 18 ( 20 ratio 19 odds 20 ratio 20 ratio 22 or 20 ratio 23 ] 21 [ 22 or 22 or 23 ] 24 1.38 36 - 25 , 36 - 26 95 27 % 27 % 28 confidence 28 confidence 29 interval 29 interval 33 ci 29 interval 36 - 30 [ 33 ci 31 95 33 ci 32 % 33 ci 33 ci 34 ] 36 - 41 cavus 37 1.90 41 cavus 41 cavus 43 posture 41 cavus 44 was 41 cavus 45 protective 41 cavus 48 of 42 foot 43 posture 43 posture 44 was 45 protective 46 against 46 against 47 ball 48 of 50 pain 49 foot 50 pain 50 pain 52 or 50 pain 59 - 51 ( 52 or 52 or 53 0.74 52 or 54 , 54 , 59 - 55 95 57 ci 56 % 57 ci 57 ci 58 0.55 57 ci 59 - 59 - 64 pain 60 1.00 63 arch 63 arch 64 pain 64 pain 66 or 64 pain 71 ci 65 ( 66 or 66 or 67 0.64 66 or 68 , 68 , 71 ci 69 95 71 ci 70 % 71 ci 71 ci 73 - 71 ci 76 )(in 71 ci 78 . 72 0.48 73 - 73 - 74 0.85 76 )(in 77 women pronated foot function was significantly associated with [an] increased likelihood of generalized foot pain ( or 1.28 , 95 % ci 1.04 - 1.56 [ )(and heel pain ( or 1.54 [,] 95 % ci 1.04 - 2.27 ) in men [,] [while] supinated foot function was protective against [hindfoot] pain in women ( or 0.74 , 95 % ci 0.55 - 1.00 ) . 0 ###LEFT-WALL### 3 function 0 ###LEFT-WALL### 6 associated 1 pronated 3 function 2 foot 3 function 3 function 4 was 4 was 6 associated 5 significantly 6 associated 6 associated 7 with 7 with 10 likelihood 7 with 19 95 9 increased 10 likelihood 10 likelihood 11 of 11 of 14 pain 12 generalized 14 pain 13 foot 14 pain 14 pain 16 or 15 ( 16 or 16 or 17 1.28 16 or 18 , 19 95 26 )(and 19 95 28 pain 20 % 21 ci 21 ci 23 - 21 ci 26 )(and 22 1.04 23 - 23 - 24 1.56 26 )(and 27 heel 26 )(and 28 pain 28 pain 37 - 28 pain 40 in 29 ( 37 - 30 or 35 ci 31 1.54 35 ci 33 95 35 ci 34 % 35 ci 35 ci 36 1.04 35 ci 37 - 37 - 38 2.27 37 - 39 ) 40 in 41 men 41 men 44 supinated 41 men 46 function 41 men 47 was 41 men 48 protective 45 foot 46 function 46 function 47 was 48 protective 49 against 48 protective 52 in 49 against 51 pain 52 in 53 women 53 women 55 or 53 women 60 ci 54 ( 55 or 55 or 56 0.74 55 or 57 , 57 , 60 ci 58 95 60 ci 59 % 60 ci 60 ci 61 0.55 60 ci 63 1.00 60 ci 65 . 62 - 63 1.00 63 1.00 64 ) conclusion : planus foot posture and pronated foot function are associated with foot symptoms . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 2 : 6 and 2 : 11 associated 2 : 15 . 3 planus 5 posture 4 foot 5 posture 5 posture 6 and 6 and 9 function 6 and 10 are 7 pronated 8 foot 8 foot 9 function 10 are 11 associated 11 associated 12 with 12 with 14 symptoms 13 foot 14 symptoms interventions that modify abnormal foot posture and function may therefore have a role in the prevention and treatment of foot pain . 0 ###LEFT-WALL### 1 interventions 0 ###LEFT-WALL### 11 have 0 ###LEFT-WALL### 22 . 1 interventions 2 that 1 interventions 7 and 1 interventions 9 may 2 that 7 and 3 modify 6 posture 3 modify 7 and 4 abnormal 5 foot 5 foot 6 posture 7 and 8 function 9 may 11 have 10 therefore 11 have 11 have 13 role 11 have 14 in 12 a 13 role 14 in 17 and 15 the 16 prevention 16 prevention 17 and 17 and 18 treatment 17 and 19 of 19 of 21 pain 20 foot 21 pain this study aims to evaluate the correlation between the presences of separated endodontic instrument inside the dental canal and the nickel ( ni ) level in the urine samples of subjected patients . 0 ###LEFT-WALL### 2 study 0 ###LEFT-WALL### 3 aims 0 ###LEFT-WALL### 33 . 1 this 2 study 2 study 3 aims 3 aims 4 to 3 aims 5 evaluate 4 to 5 evaluate 5 evaluate 7 correlation 5 evaluate 8 between 5 evaluate 26 in 6 the 7 correlation 8 between 10 presences 9 the 10 presences 10 presences 11 of 11 of 25 level 12 separated 14 instrument 13 endodontic 14 instrument 14 instrument 15 inside 15 inside 25 level 16 the 18 canal 17 dental 18 canal 18 canal 19 and 19 and 21 nickel 19 and 23 ni 19 and 25 level 20 the 21 nickel 22 ( 23 ni 23 ni 24 ) 26 in 29 samples 27 the 29 samples 28 urine 29 samples 29 samples 30 of 30 of 32 patients 31 subjected 32 patients [same] - gendered and near - aged participants were selected and were instructed to collect their urine in sterile nickel - free plastic containers . 0 ###LEFT-WALL### 2 - 0 ###LEFT-WALL### 13 instructed 2 - 4 and 3 gendered 4 and 4 and 11 and 5 near 6 - 5 near 8 participants 7 aged 8 participants 8 participants 9 were 9 were 11 and 10 selected 11 and 11 and 12 were 12 were 13 instructed 13 instructed 14 to 13 instructed 15 collect 14 to 15 collect 15 collect 17 urine 15 collect 18 in 16 their 17 urine 18 in 20 nickel 19 sterile 20 nickel 20 nickel 24 containers 21 - 24 containers 22 free 24 containers 23 plastic 24 containers 24 containers 25 . the procedures were carried out in the office , and samples were stored in low - temperature cooler for 1 day and then [they] were transferred to the laboratory for electrothermal atomic absorption spectrometry . 0 ###LEFT-WALL### 2 procedures 0 ###LEFT-WALL### 4 carried 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 26 transferred 0 ###LEFT-WALL### 35 . 1 the 2 procedures 2 procedures 3 were 3 were 4 carried 4 carried 5 out 4 carried 6 in 6 in 8 office 7 the 8 office 9 , 10 and 10 and 11 samples 10 and 22 and 11 samples 22 and 12 were 13 stored 12 were 22 and 13 stored 14 in 14 in 17 temperature 15 low 16 - 15 low 17 temperature 17 temperature 18 cooler 18 cooler 19 for 19 for 21 day 20 1 21 day 22 and 25 were 23 then 25 were 25 were 26 transferred 26 transferred 27 to 26 transferred 30 for 27 to 29 laboratory 28 the 29 laboratory 30 for 34 spectrometry 31 electrothermal 33 absorption 32 atomic 33 absorption 33 absorption 34 spectrometry the level of ni was measured and the correlation coefficient was calculated . 0 ###LEFT-WALL### 2 level 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 13 . 1 the 2 level 2 level 3 of 2 level 5 was 3 of 4 ni 5 was 6 measured 7 and 10 coefficient 7 and 12 calculated 8 the 10 coefficient 9 correlation 10 coefficient 10 coefficient 11 was 11 was 12 calculated data were analyzed using [t] tests , pearson 's correlation coefficients , and linear regression analysis , at a level of significance p < 0.05 . 0 ###LEFT-WALL### 1 data 0 ###LEFT-WALL### 3 analyzed 0 ###LEFT-WALL### 26 . 1 data 2 were 2 were 3 analyzed 3 analyzed 4 using 4 using 13 and 6 tests 7 , 7 , 11 coefficients 7 , 13 and 8 pearson 9 's 9 's 11 coefficients 10 correlation 11 coefficients 12 , 13 and 13 and 16 analysis 13 and 17 , 13 and 18 at 13 and 21 of 14 linear 15 regression 15 regression 16 analysis 18 at 20 level 19 a 20 level 21 of 22 significance 22 significance 24 < 23 p 24 < 24 < 25 0.05 the statistical analysis [has] showed significant difference [in] ni level between endodontic and control groups ( p < 0.05 ) . 0 ###LEFT-WALL### 3 analysis 0 ###LEFT-WALL### 5 showed 0 ###LEFT-WALL### 21 . 1 the 3 analysis 2 statistical 3 analysis 3 analysis 5 showed 5 showed 10 level 5 showed 11 between 6 significant 7 difference 7 difference 10 level 9 ni 10 level 11 between 13 and 12 endodontic 13 and 13 and 15 groups 13 and 18 < 14 control 15 groups 16 ( 18 < 17 p 18 < 18 < 19 0.05 18 < 20 ) the amount of ni [element] can be increased in the urine of patients who have experienced broken endodontic [instrument] inside the dental canal . 0 ###LEFT-WALL### 2 amount 0 ###LEFT-WALL### 8 increased 0 ###LEFT-WALL### 24 . 1 the 2 amount 2 amount 3 of 2 amount 6 can 3 of 4 ni 6 can 7 be 7 be 8 increased 8 increased 9 in 9 in 11 urine 10 the 11 urine 11 urine 12 of 11 urine 16 experienced 11 urine 17 broken 11 urine 18 endodontic 12 of 13 patients 13 patients 14 who 13 patients 15 have 14 who 15 have 18 endodontic 20 inside 20 inside 23 canal 21 the 23 canal 22 dental 23 canal however , there is no positive correlation between the remaining pieces of instruments inside the canal and the elevation of nickel amount in urine during the tested time period . 0 ###LEFT-WALL### 3 there 0 ###LEFT-WALL### 4 is 0 ###LEFT-WALL### 30 . 1 however 2 , 1 however 3 there 3 there 4 is 4 is 7 correlation 5 no 7 correlation 6 positive 7 correlation 7 correlation 8 between 8 between 22 amount 9 the 10 remaining 9 the 22 amount 11 pieces 12 of 11 pieces 17 and 12 of 13 instruments 13 instruments 14 inside 14 inside 16 canal 15 the 16 canal 17 and 19 elevation 17 and 20 of 17 and 22 amount 18 the 19 elevation 20 of 21 nickel 22 amount 23 in 22 amount 25 during 23 in 24 urine 25 during 29 period 26 the 29 period 27 tested 29 period 28 time 29 period this issue suggested that the aging [of] remaining broken instrument inside the canal does not show any remarkable concern regarding the ni elevation in the urine excreted by an individual . 0 ###LEFT-WALL### 2 issue 0 ###LEFT-WALL### 3 suggested 0 ###LEFT-WALL### 31 . 1 this 2 issue 2 issue 3 suggested 3 suggested 4 that 4 that 10 instrument 4 that 16 show 5 the 10 instrument 6 aging 8 remaining 8 remaining 10 instrument 9 broken 10 instrument 10 instrument 11 inside 10 instrument 14 does 11 inside 13 canal 12 the 13 canal 14 does 15 not 14 does 16 show 16 show 19 concern 16 show 23 elevation 16 show 24 in 17 any 19 concern 18 remarkable 19 concern 19 concern 20 regarding 20 regarding 22 ni 21 the 22 ni 24 in 26 urine 25 the 26 urine 26 urine 27 excreted 27 excreted 28 by 28 by 30 individual 29 an 30 individual [none] the health of individuals is highly heterogeneous , [as] is the rate at which they age . 0 ###LEFT-WALL### 3 health 0 ###LEFT-WALL### 9 , 0 ###LEFT-WALL### 18 . 2 the 3 health 3 health 4 of 3 health 9 , 4 of 5 individuals 6 is 8 heterogeneous 6 is 9 , 7 highly 8 heterogeneous 9 , 11 is 11 is 13 rate 12 the 13 rate 13 rate 14 at 14 at 15 which 14 at 16 they 14 at 17 age 16 they 17 age to account for such heterogeneity , we have suggested that an individual 's health status can be represented by the number of health deficits ( broadly defined by biological and clinical characteristics ) that they accumulate . 0 ###LEFT-WALL### 7 we 0 ###LEFT-WALL### 37 . 1 to 2 account 1 to 6 , 1 to 7 we 2 account 3 for 3 for 5 heterogeneity 4 such 5 heterogeneity 7 we 8 have 8 have 9 suggested 9 suggested 10 that 10 that 16 can 10 that 17 be 11 an 12 individual 12 individual 13 's 13 's 16 can 14 health 15 status 15 status 16 can 17 be 18 represented 18 represented 19 by 19 by 21 number 20 the 21 number 21 number 22 of 21 number 34 that 21 number 36 accumulate 22 of 24 deficits 23 health 24 deficits 24 deficits 27 defined 25 ( 26 broadly 25 ( 27 defined 27 defined 28 by 27 defined 33 ) 28 by 32 characteristics 29 biological 30 and 30 and 31 clinical 30 and 32 characteristics 34 that 35 they 34 that 36 accumulate 35 they 36 accumulate this allows health to be expressed in a single number : the frailty index ( fi ) is the ratio of the deficits present in a person to the total number of deficits considered ( e.g [.] in a given database or experimental procedure ) . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 allows 0 ###LEFT-WALL### 11 : 0 ###LEFT-WALL### 46 . 1 this 2 allows 2 allows 3 health 2 allows 4 to 2 allows 6 expressed 4 to 5 be 5 be 6 expressed 6 expressed 7 in 7 in 10 number 8 a 10 number 9 single 10 number 11 : 14 index 11 : 18 is 12 the 14 index 13 frailty 14 index 14 index 16 fi 14 index 18 is 15 ( 16 fi 16 fi 17 ) 18 is 20 ratio 19 the 20 ratio 20 ratio 21 of 20 ratio 36 e.g 21 of 23 deficits 22 the 23 deficits 23 deficits 24 present 23 deficits 28 to 24 present 25 in 25 in 27 person 26 a 27 person 28 to 31 number 29 the 31 number 30 total 31 number 31 number 32 of 32 of 33 deficits 33 deficits 34 considered 35 ( 36 e.g 36 e.g 38 in 36 e.g 45 ) 38 in 42 or 39 a 41 database 40 given 41 database 41 database 42 or 42 or 44 procedure 43 experimental 44 procedure changes in the fi characterize the rate of individual aging . 0 ###LEFT-WALL### 1 changes 0 ###LEFT-WALL### 5 characterize 0 ###LEFT-WALL### 11 . 1 changes 2 in 1 changes 5 characterize 2 in 4 fi 3 the 4 fi 5 characterize 7 rate 6 the 7 rate 7 rate 8 of 8 of 10 aging 9 individual 10 aging the behavior of the fi is highly characteristic : it shows an age specific , nonlinear increase , [(] similar to gompertz law ) , higher values in females , strong associations with adverse outcomes ( e.g [.] , mortality ) , and a universal limit to its increase ( at fi ~0.7 ) . 0 ###LEFT-WALL### 2 behavior 0 ###LEFT-WALL### 6 is 0 ###LEFT-WALL### 9 : 1 the 2 behavior 2 behavior 3 of 2 behavior 6 is 3 of 5 fi 4 the 5 fi 6 is 8 characteristic 7 highly 8 characteristic 9 : 10 it 9 : 11 shows 9 : 55 . 10 it 11 shows 11 shows 17 increase 11 shows 43 and 11 shows 47 to 11 shows 51 at 12 an 17 increase 13 age 17 increase 14 specific 15 , 14 specific 17 increase 16 nonlinear 17 increase 17 increase 20 similar 17 increase 27 values 18 , 20 similar 20 similar 21 to 20 similar 24 ) 21 to 23 law 22 gompertz 23 law 25 , 27 values 26 higher 27 values 27 values 28 in 27 values 32 associations 27 values 40 mortality 27 values 41 ) 28 in 29 females 30 , 32 associations 31 strong 32 associations 32 associations 33 with 32 associations 37 e.g 32 associations 39 , 33 with 35 outcomes 34 adverse 35 outcomes 36 ( 37 e.g 37 e.g 39 , 39 , 40 mortality 40 mortality 41 ) 42 , 43 and 43 and 46 limit 44 a 46 limit 45 universal 46 limit 47 to 49 increase 48 its 49 increase 50 ( 51 at 51 at 53 ~0.7 51 at 54 ) 52 fi 53 ~0.7 these features have been demonstrated in dozens of studies . 0 ###LEFT-WALL### 2 features 0 ###LEFT-WALL### 5 demonstrated 0 ###LEFT-WALL### 10 . 1 these 2 features 2 features 3 have 3 have 4 been 4 been 5 demonstrated 5 demonstrated 6 in 6 in 9 studies 7 dozens 8 of 7 dozens 9 studies 8 of 9 studies even so , little is known about the origin of deficit accumulation . 0 ###LEFT-WALL### 4 little 0 ###LEFT-WALL### 6 known 0 ###LEFT-WALL### 13 . 1 even 2 so 1 even 3 , 1 even 4 little 2 so 3 , 4 little 5 is 5 is 6 known 6 known 7 about 7 about 9 origin 8 the 9 origin 9 origin 10 of 10 of 12 accumulation 11 deficit 12 accumulation here , we apply a stochastic dynamics framework to [illustrate] that the average number of deficits present in an individual is the product of the average intensity of the environmental stresses and the average recovery time . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 37 . 1 here 2 , 1 here 3 we 3 we 4 apply 4 apply 8 framework 5 a 8 framework 6 stochastic 8 framework 7 dynamics 8 framework 8 framework 9 to 8 framework 14 number 8 framework 21 is 9 to 11 that 12 the 14 number 13 average 14 number 14 number 15 of 14 number 17 present 14 number 21 is 15 of 16 deficits 17 present 18 in 18 in 20 individual 19 an 20 individual 21 is 36 time 22 the 23 product 23 product 24 of 23 product 32 and 24 of 27 intensity 25 the 27 intensity 26 average 27 intensity 27 intensity 28 of 28 of 31 stresses 29 the 31 stresses 30 environmental 31 stresses 32 and 34 average 32 and 36 time 33 the 34 average 35 recovery 36 time the age [-] associated increase in recovery time results in the accumulation of deficits . 0 ###LEFT-WALL### 5 increase 0 ###LEFT-WALL### 9 results 0 ###LEFT-WALL### 15 . 1 the 5 increase 2 age 4 associated 4 associated 5 increase 5 increase 6 in 5 increase 9 results 6 in 8 time 7 recovery 8 time 9 results 10 in 10 in 12 accumulation 11 the 12 accumulation 12 accumulation 13 of 13 of 14 deficits this not only [explains] why the number of deficits can be used to estimate individual differences in aging rates , but also suggests that targeting the recovery rate ( e.g [.] by preventive or therapeutic interventions ) will decrease the number of deficits that individuals accumulate and thereby benefit life expectancy . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 not 2 not 3 only 2 not 9 deficits 2 not 12 used 5 why 9 deficits 6 the 7 number 7 number 8 of 7 number 9 deficits 8 of 9 deficits 9 deficits 10 can 10 can 11 be 11 be 12 used 12 used 13 to 13 to 14 estimate 14 estimate 16 differences 14 estimate 21 but 15 individual 16 differences 16 differences 17 in 16 differences 21 but 17 in 18 aging 19 rates 21 but 20 , 21 but 21 but 23 suggests 22 also 23 suggests 23 suggests 24 that 24 that 25 targeting 24 that 39 decrease 25 targeting 28 rate 25 targeting 38 will 26 the 28 rate 27 recovery 28 rate 28 rate 30 e.g 29 ( 30 e.g 30 e.g 32 by 30 e.g 37 ) 32 by 36 interventions 33 preventive 34 or 34 or 35 therapeutic 34 or 36 interventions 38 will 39 decrease 39 decrease 47 and 40 the 41 number 41 number 42 of 41 number 47 and 42 of 43 deficits 43 deficits 44 that 43 deficits 46 accumulate 44 that 45 individuals 44 that 46 accumulate 45 individuals 46 accumulate 47 and 48 thereby 47 and 51 expectancy 47 and 52 . 49 benefit 50 life 50 life 51 expectancy human and mouse alkaline phosphatases ( ap ) are encoded by a multigene family expressed ubiquitously in multiple tissues . 0 ###LEFT-WALL### 2 and 0 ###LEFT-WALL### 10 encoded 0 ###LEFT-WALL### 20 . 1 human 2 and 2 and 5 phosphatases 2 and 7 ap 2 and 9 are 3 mouse 5 phosphatases 4 alkaline 5 phosphatases 6 ( 7 ap 7 ap 8 ) 9 are 10 encoded 10 encoded 11 by 10 encoded 17 in 11 by 14 family 12 a 14 family 13 multigene 14 family 14 family 15 expressed 15 expressed 16 ubiquitously 17 in 19 tissues 18 multiple 19 tissues gene knockout [(] [ko] [ )(findings have helped define some of the precise exocytic functions of individual isozymes in bone [,] teeth , the central nervous system , and in the gut . 0 ###LEFT-WALL### 6 )(findings 0 ###LEFT-WALL### 9 define 0 ###LEFT-WALL### 33 . 1 gene 6 )(findings 2 knockout 6 )(findings 6 )(findings 7 have 7 have 8 helped 8 helped 9 define 9 define 15 functions 10 some 11 of 10 some 15 functions 11 of 15 functions 12 the 15 functions 13 precise 15 functions 14 exocytic 15 functions 15 functions 16 of 16 of 18 isozymes 17 individual 18 isozymes 18 isozymes 29 and 19 in 22 teeth 19 in 29 and 20 bone 22 teeth 22 teeth 27 system 23 , 27 system 24 the 27 system 25 central 27 system 26 nervous 27 system 27 system 28 , 28 , 29 and 29 and 30 in 30 in 32 gut 31 the 32 gut [for] instance , [deficiency] in tissue - nonspecific alkaline phosphatase ( tnap ) in mice ( alpl [(] - [/] [-] [ )(mice [ )(and humans leads to hypophosphatasia ( hpp ) , [an] inborn error of metabolism characterized by epileptic seizures in the most severe cases , caused by abnormal metabolism of pyridoxal - 5 ['] - phosphate [(] the predominant form of vitamin b6 [ )( by hypomineralization of the skeleton and teeth featuring rickets and early loss of teeth in children or osteomalacia and dental problems in adults caused by accumulation of inorganic pyrophosphate ( ppi [ )( 0 ###LEFT-WALL### 2 instance 2 instance 5 in 2 instance 10 phosphatase 2 instance 14 in 3 , 5 in 5 in 6 tissue 5 in 7 - 8 nonspecific 10 phosphatase 9 alkaline 10 phosphatase 10 phosphatase 12 tnap 11 ( 12 tnap 12 tnap 13 ) 14 in 15 mice 15 mice 19 - 16 ( 19 - 17 alpl 19 - 19 - 25 )(and 23 )(mice 25 )(and 25 )(and 27 leads 26 humans 27 leads 27 leads 28 to 27 leads 37 of 28 to 36 error 29 hypophosphatasia 31 hpp 29 hypophosphatasia 33 , 29 hypophosphatasia 36 error 30 ( 31 hpp 31 hpp 32 ) 35 inborn 36 error 37 of 38 metabolism 38 metabolism 39 characterized 38 metabolism 49 caused 39 characterized 40 by 40 by 42 seizures 41 epileptic 42 seizures 42 seizures 43 in 43 in 47 cases 44 the 47 cases 45 most 46 severe 46 severe 47 cases 48 , 49 caused 49 caused 50 by 50 by 52 metabolism 51 abnormal 52 metabolism 52 metabolism 53 of 53 of 59 phosphate 54 pyridoxal 56 5 54 pyridoxal 59 phosphate 55 - 56 5 56 5 58 - 59 phosphate 62 predominant 59 phosphate 63 form 59 phosphate 64 of 61 the 62 predominant 62 predominant 63 form 64 of 66 b6 65 vitamin 66 b6 66 b6 69 by 66 b6 71 of 66 b6 76 featuring 69 by 70 hypomineralization 71 of 74 and 72 the 73 skeleton 73 skeleton 74 and 74 and 75 teeth 76 featuring 78 and 76 featuring 83 in 77 rickets 78 and 78 and 80 loss 78 and 81 of 79 early 80 loss 81 of 82 teeth 83 in 87 and 84 children 85 or 85 or 86 osteomalacia 85 or 87 and 87 and 89 problems 88 dental 89 problems 89 problems 90 in 90 in 91 adults 91 adults 92 caused 91 adults 99 ppi 92 caused 93 by 93 by 94 accumulation 94 accumulation 95 of 95 of 97 pyrophosphate 96 inorganic 97 pyrophosphate 98 ( 99 ppi 99 ppi 101 )( enzyme replacement therapy with mineral [-] targeting tnap prevented all the manifestations of hpp in mice , and clinical trials with this protein therapeutic are showing promising results in rescuing life - threatening hpp in infants . 1 enzyme 2 replacement 2 replacement 3 therapy 2 replacement 9 prevented 2 replacement 25 are 3 therapy 4 with 3 therapy 9 prevented 4 with 8 tnap 5 mineral 8 tnap 7 targeting 8 tnap 9 prevented 10 all 9 prevented 21 with 10 all 11 the 10 all 20 trials 11 the 12 manifestations 12 manifestations 13 of 12 manifestations 18 and 13 of 14 hpp 14 hpp 15 in 15 in 16 mice 17 , 18 and 18 and 19 clinical 18 and 20 trials 21 with 23 protein 21 with 24 therapeutic 22 this 23 protein 25 are 28 results 25 are 29 in 26 showing 28 results 27 promising 28 results 29 in 30 rescuing 30 rescuing 31 life 31 life 34 hpp 32 - 34 hpp 33 threatening 34 hpp 34 hpp 35 in 34 hpp 37 . 35 in 36 infants conversely , tnap induction in the vasculature during generalized arterial calcification of infancy ( gaci ) , type ii [diabetes] , obesity , and aging can cause medial vascular calcification . 0 ###LEFT-WALL### 24 and 0 ###LEFT-WALL### 27 cause 0 ###LEFT-WALL### 31 . 1 conversely 2 , 1 conversely 24 and 3 tnap 4 induction 4 induction 5 in 4 induction 24 and 5 in 7 vasculature 6 the 7 vasculature 7 vasculature 8 during 8 during 11 calcification 9 generalized 11 calcification 10 arterial 11 calcification 11 calcification 12 of 12 of 13 infancy 13 infancy 15 gaci 13 infancy 18 type 14 ( 15 gaci 15 gaci 16 ) 17 , 18 type 18 type 19 ii 18 type 22 obesity 18 type 23 , 21 , 22 obesity 22 obesity 23 , 23 , 24 and 24 and 26 can 24 and 27 cause 25 aging 26 can 27 cause 30 calcification 28 medial 30 calcification 29 vascular 30 calcification tnap inhibitors , discussed extensively in this book , are in development to prevent pathological arterial calcification . 0 ###LEFT-WALL### 2 inhibitors 0 ###LEFT-WALL### 10 are 0 ###LEFT-WALL### 18 . 1 tnap 2 inhibitors 2 inhibitors 4 discussed 2 inhibitors 10 are 3 , 4 discussed 4 discussed 5 extensively 4 discussed 6 in 4 discussed 9 , 6 in 8 book 7 this 8 book 10 are 11 in 10 are 13 to 11 in 12 development 13 to 14 prevent 14 prevent 17 calcification 15 pathological 17 calcification 16 arterial 17 calcification the brush border enzyme intestinal alkaline phosphatase ( iap ) plays an important role in fatty acid ( fa ) absorption , [in] protecting gut barrier function , and [in] [determining] the composition of the gut microbiota via its ability to dephosphorylate lipopolysaccharide ( lps ) . 0 ###LEFT-WALL### 7 phosphatase 0 ###LEFT-WALL### 11 plays 0 ###LEFT-WALL### 47 . 1 the 7 phosphatase 2 brush 4 enzyme 3 border 4 enzyme 4 enzyme 7 phosphatase 5 intestinal 7 phosphatase 6 alkaline 7 phosphatase 7 phosphatase 9 iap 7 phosphatase 11 plays 8 ( 9 iap 9 iap 10 ) 11 plays 14 role 11 plays 15 in 12 an 13 important 12 an 14 role 13 important 14 role 15 in 29 and 16 fatty 21 absorption 17 acid 19 fa 17 acid 21 absorption 18 ( 19 fa 19 fa 20 ) 21 absorption 22 , 22 , 27 function 22 , 29 and 24 protecting 27 function 25 gut 27 function 26 barrier 27 function 28 , 29 and 29 and 33 composition 29 and 34 of 29 and 37 microbiota 29 and 45 lps 32 the 33 composition 34 of 36 gut 35 the 36 gut 37 microbiota 38 via 37 microbiota 41 to 37 microbiota 42 dephosphorylate 38 via 40 ability 39 its 40 ability 41 to 42 dephosphorylate 42 dephosphorylate 43 lipopolysaccharide 44 ( 45 lps 45 lps 46 ) knockout mice ( akp3 [(] - [/] - [ )( )(deficient in duodenal - specific iap ( diap ) become obese , and develop hyperlipidemia and hepatic steatosis [when] fed a high - fat diet ( hfd ) . 0 ###LEFT-WALL### 2 mice 0 ###LEFT-WALL### 23 and 0 ###LEFT-WALL### 26 and 0 ###LEFT-WALL### 39 . 1 knockout 2 mice 2 mice 4 akp3 2 mice 11 )(deficient 2 mice 23 and 3 ( 4 akp3 4 akp3 6 - 8 - 11 )(deficient 11 )(deficient 12 in 11 )(deficient 19 ) 12 in 16 iap 13 duodenal 14 - 13 duodenal 16 iap 15 specific 16 iap 16 iap 18 diap 17 ( 18 diap 18 diap 19 ) 20 become 21 obese 20 become 23 and 22 , 23 and 23 and 24 develop 24 develop 25 hyperlipidemia 26 and 28 steatosis 26 and 30 fed 27 hepatic 28 steatosis 28 steatosis 30 fed 30 fed 35 diet 31 a 32 high 31 a 35 diet 32 high 33 - 32 high 35 diet 34 fat 35 diet 35 diet 37 hfd 36 ( 37 hfd 37 hfd 38 ) akp3 [(] - [/] - [ )(mice display gut dysbiosis [and] are more prone to dextran sodium sulfate [-] induced colitis than wild - type mice . 0 ###LEFT-WALL### 1 akp3 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 27 . 3 - 5 - 3 - 18 sulfate 5 - 7 )(mice 7 )(mice 10 dysbiosis 7 )(mice 12 are 7 )(mice 14 prone 7 )(mice 18 sulfate 8 display 10 dysbiosis 9 gut 10 dysbiosis 10 dysbiosis 12 are 12 are 13 more 14 prone 15 to 15 to 17 sodium 16 dextran 17 sodium 18 sulfate 21 colitis 18 sulfate 22 than 20 induced 21 colitis 22 than 26 mice 23 wild 24 - 23 wild 25 type 25 type 26 mice [of] relevance , oral administration of recombinant calf iap prevents the dysbiosis and protects the gut from chronic colitis . 0 ###LEFT-WALL### 2 relevance 0 ###LEFT-WALL### 3 , 0 ###LEFT-WALL### 20 . 3 , 5 administration 3 , 13 and 4 oral 5 administration 5 administration 6 of 5 administration 13 and 6 of 9 iap 7 recombinant 9 iap 8 calf 9 iap 10 prevents 12 dysbiosis 10 prevents 13 and 11 the 12 dysbiosis 13 and 14 protects 14 protects 16 gut 15 the 16 gut 16 gut 17 from 17 from 19 colitis 18 chronic 19 colitis analogous to the role of iap in the gut , tnap expression in the liver may have a proactive role from bacterial endotoxin insult . 0 ###LEFT-WALL### 12 expression 0 ###LEFT-WALL### 17 have 0 ###LEFT-WALL### 25 . 1 analogous 2 to 1 analogous 7 in 1 analogous 10 , 1 analogous 12 expression 2 to 4 role 3 the 4 role 4 role 5 of 5 of 6 iap 7 in 9 gut 8 the 9 gut 11 tnap 12 expression 12 expression 13 in 12 expression 16 may 13 in 15 liver 14 the 15 liver 16 may 17 have 17 have 20 role 18 a 19 proactive 18 a 20 role 19 proactive 20 role 20 role 21 from 21 from 24 insult 22 bacterial 23 endotoxin 23 endotoxin 24 insult finally , more recent studies suggest that neuronal death in alzheimer 's disease may also be associated with tnap function on certain brain - specific phosphoproteins . 0 ###LEFT-WALL### 5 studies 0 ###LEFT-WALL### 6 suggest 0 ###LEFT-WALL### 24 - 0 ###LEFT-WALL### 27 . 1 finally 2 , 1 finally 5 studies 3 more 4 recent 4 recent 5 studies 5 studies 6 suggest 6 suggest 7 that 7 that 9 death 7 that 20 function 8 neuronal 9 death 9 death 10 in 9 death 13 disease 9 death 16 be 9 death 17 associated 10 in 12 's 11 alzheimer 12 's 13 disease 14 may 14 may 16 be 15 also 16 be 17 associated 18 with 18 with 19 tnap 20 function 21 on 21 on 23 brain 22 certain 23 brain 24 - 26 phosphoproteins 25 specific 26 phosphoproteins this review recounts the established roles of tnap and iap and briefly discusses new areas of investigation related to multisystemic functions of these isozymes . 0 ###LEFT-WALL### 2 review 0 ###LEFT-WALL### 18 related 0 ###LEFT-WALL### 25 . 1 this 2 review 2 review 11 and 2 review 16 of 2 review 18 related 3 recounts 6 roles 3 recounts 11 and 4 the 6 roles 5 established 6 roles 6 roles 7 of 7 of 10 iap 8 tnap 9 and 9 and 10 iap 11 and 13 discusses 11 and 15 areas 12 briefly 13 discusses 14 new 15 areas 16 of 17 investigation 18 related 19 to 19 to 21 functions 20 multisystemic 21 functions 21 functions 22 of 22 of 24 isozymes 23 these 24 isozymes the aging u.s . population will approach 20 % of the total population by 2030 . 0 ###LEFT-WALL### 3 u.s 0 ###LEFT-WALL### 4 . 1 the 3 u.s 2 aging 3 u.s 4 . 5 population 4 . 7 approach 4 . 16 . 5 population 6 will 6 will 7 approach 7 approach 9 % 7 approach 14 by 8 20 9 % 9 % 10 of 10 of 13 population 11 the 13 population 12 total 13 population 14 by 15 2030 the number of older patients with inflammatory bowel disease is anticipated to [increase] accordingly bringing the burden of multiple comorbidities , polypharmacy with drug interactions , the aging immune system , and extended social and financial issues to overall management of an already challenging management of these patients . 0 ###LEFT-WALL### 2 number 0 ###LEFT-WALL### 11 anticipated 0 ###LEFT-WALL### 26 , 0 ###LEFT-WALL### 49 . 1 the 2 number 2 number 3 of 2 number 6 with 2 number 10 is 3 of 5 patients 4 older 5 patients 6 with 9 disease 7 inflammatory 8 bowel 8 bowel 9 disease 10 is 11 anticipated 11 anticipated 12 to 12 to 15 bringing 14 accordingly 15 bringing 15 bringing 17 burden 16 the 17 burden 17 burden 18 of 17 burden 22 polypharmacy 18 of 20 comorbidities 19 multiple 20 comorbidities 21 , 22 polypharmacy 22 polypharmacy 23 with 22 polypharmacy 26 , 23 with 25 interactions 24 drug 25 interactions 26 , 35 and 27 the 30 system 28 aging 30 system 29 immune 30 system 30 system 32 and 31 , 32 and 32 and 34 social 32 and 35 and 33 extended 34 social 35 and 37 issues 35 and 38 to 35 and 41 of 36 financial 37 issues 38 to 40 management 39 overall 40 management 41 of 45 management 42 an 45 management 43 already 44 challenging 44 challenging 45 management 45 management 46 of 46 of 48 patients 47 these 48 patients [each] of these concerns [is] measured by the metric of distinguishing the " fit versus frail " [elderly] and will be discussed in this review with an emphasis on a practical guide to therapy . 0 ###LEFT-WALL### 14 fit 0 ###LEFT-WALL### 35 . 2 of 4 concerns 2 of 14 fit 3 these 4 concerns 4 concerns 6 measured 6 measured 7 by 7 by 9 metric 8 the 9 metric 10 of 11 distinguishing 10 of 14 fit 12 the 13 " 12 the 14 fit 14 fit 15 versus 14 fit 21 be 15 versus 19 and 16 frail 17 " 16 frail 19 and 19 and 20 will 21 be 22 discussed 22 discussed 23 in 22 discussed 33 to 23 in 25 review 24 this 25 review 25 review 26 with 26 with 28 emphasis 27 an 28 emphasis 28 emphasis 29 on 29 on 32 guide 30 a 31 practical 30 a 32 guide 31 practical 32 guide 33 to 34 therapy dna methylation is an important epigenetic modification and is frequently altered in cancer . 0 ###LEFT-WALL### 2 methylation 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 14 . 1 dna 2 methylation 2 methylation 8 and 3 is 7 modification 3 is 8 and 4 an 5 important 4 an 7 modification 5 important 7 modification 6 epigenetic 7 modification 8 and 9 is 9 is 11 altered 10 frequently 11 altered 11 altered 12 in 12 in 13 cancer convert of 5 - methylcytosine ( 5 mc ) to 5 - hydroxymethylcytosine ( 5 hmc ) by ten - eleven translocation ( tet ) family [enzymes] plays important biological functions in embryonic stem cells , development , aging and disease . 0 ###LEFT-WALL### 26 family 0 ###LEFT-WALL### 28 plays 0 ###LEFT-WALL### 42 . 1 convert 26 family 2 of 3 5 2 of 26 family 3 5 5 methylcytosine 4 - 5 methylcytosine 5 methylcytosine 8 mc 5 methylcytosine 9 ) 6 ( 8 mc 7 5 8 mc 8 mc 9 ) 10 to 11 5 10 to 26 family 11 5 13 hydroxymethylcytosine 12 - 13 hydroxymethylcytosine 13 hydroxymethylcytosine 16 hmc 13 hydroxymethylcytosine 17 ) 14 ( 16 hmc 15 5 16 hmc 16 hmc 17 ) 18 by 19 ten 18 by 26 family 19 ten 22 translocation 20 - 22 translocation 21 eleven 22 translocation 22 translocation 24 tet 22 translocation 25 ) 23 ( 24 tet 24 tet 25 ) 26 family 28 plays 28 plays 40 and 29 important 31 functions 30 biological 31 functions 31 functions 32 in 31 functions 39 aging 31 functions 40 and 32 in 35 cells 33 embryonic 35 cells 34 stem 35 cells 35 cells 37 development 36 , 37 development 37 development 38 , 40 and 41 disease recent reports showed that level of 5 hmc was altered in various types of cancers . 0 ###LEFT-WALL### 2 reports 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 16 . 1 recent 2 reports 2 reports 3 showed 3 showed 5 level 3 showed 8 hmc 3 showed 10 altered 4 that 5 level 5 level 6 of 6 of 7 5 8 hmc 9 was 9 was 10 altered 10 altered 11 in 11 in 15 cancers 12 various 13 types 13 types 14 of 13 types 15 cancers 14 of 15 cancers however , the change of 5 hmc level in hepatocellular carcinoma ( hcc ) and association [with] clinical outcome were not well defined . 0 ###LEFT-WALL### 15 and 0 ###LEFT-WALL### 20 were 0 ###LEFT-WALL### 24 . 1 however 2 , 1 however 15 and 3 the 4 change 4 change 5 of 4 change 8 level 4 change 15 and 5 of 7 hmc 6 5 7 hmc 8 level 9 in 9 in 11 carcinoma 10 hepatocellular 11 carcinoma 11 carcinoma 13 hcc 12 ( 13 hcc 13 hcc 14 ) 15 and 19 outcome 15 and 20 were 16 association 19 outcome 18 clinical 19 outcome 20 were 21 not 20 were 22 well 22 well 23 defined here , we reported that level of 5 hmc was decreased in hcc tissues , as compared with [non] - tumor tissues . 0 ###LEFT-WALL### 3 we 0 ###LEFT-WALL### 4 reported 0 ###LEFT-WALL### 20 - 1 here 2 , 1 here 3 we 3 we 4 reported 4 reported 6 level 5 that 6 level 6 level 7 of 7 of 8 5 8 5 9 hmc 8 5 18 with 9 hmc 10 was 10 was 11 decreased 11 decreased 12 in 11 decreased 16 as 12 in 14 tissues 13 hcc 14 tissues 15 , 16 as 16 as 17 compared 17 compared 18 with 20 - 22 tissues 20 - 23 . 21 tumor 22 tissues clincopathological analysis showed the decreased level of 5 hmc in hcc was associated with tumor size , afp level and poor overall survival . 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 24 . 1 clincopathological 13 associated 1 clincopathological 14 with 1 clincopathological 17 , 2 analysis 3 showed 3 showed 6 level 3 showed 11 hcc 3 showed 13 associated 4 the 6 level 5 decreased 6 level 6 level 7 of 7 of 10 in 8 5 10 in 9 hmc 10 in 11 hcc 12 was 12 was 13 associated 14 with 16 size 15 tumor 16 size 17 , 19 level 17 , 20 and 18 afp 19 level 20 and 23 survival 21 poor 22 overall 22 overall 23 survival we also found that the decreased level of 5 hmc [in] [non] - tumor tissues was associated with tumor recurrence in the first year after surgical resection . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 3 found 0 ###LEFT-WALL### 28 . 1 we 3 found 2 also 3 found 3 found 4 that 4 that 7 level 4 that 17 associated 5 the 7 level 6 decreased 7 level 7 level 8 of 7 level 16 was 8 of 15 tissues 9 5 15 tissues 10 hmc 13 - 10 hmc 15 tissues 14 tumor 15 tissues 16 was 17 associated 17 associated 18 with 17 associated 21 in 18 with 20 recurrence 19 tumor 20 recurrence 21 in 24 year 22 the 23 first 22 the 24 year 24 year 25 after 25 after 27 resection 26 surgical 27 resection in an animal model with carcinogen den - induced hcc , we found that the level of 5 hmc was gradually decreased in the livers during the period of induction . 0 ###LEFT-WALL### 12 we 0 ###LEFT-WALL### 13 found 0 ###LEFT-WALL### 31 . 1 in 4 model 1 in 11 , 1 in 12 we 2 an 4 model 3 animal 4 model 4 model 5 with 5 with 7 den 6 carcinogen 7 den 7 den 10 hcc 8 - 10 hcc 9 induced 10 hcc 10 hcc 11 , 12 we 13 found 13 found 14 that 14 that 16 level 14 that 22 decreased 15 the 16 level 16 level 17 of 16 level 20 was 17 of 19 hmc 18 5 19 hmc 20 was 21 gradually 20 was 22 decreased 22 decreased 23 in 23 in 25 livers 24 the 25 livers 25 livers 26 during 25 livers 29 of 26 during 28 period 27 the 28 period 29 of 30 induction there was further reduction of 5 hmc in tumor tissues when tumors were developed . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 15 . 1 there 2 was 2 was 4 reduction 3 further 4 reduction 4 reduction 5 of 4 reduction 11 when 5 of 10 tissues 6 5 8 in 7 hmc 8 in 8 in 9 tumor 9 tumor 10 tissues 11 when 12 tumors 11 when 14 developed 12 tumors 13 were 13 were 14 developed in contrast , level of 5 mc was increased in hcc tissues and the increased 5 mc level was associated with capsular invasion , vascular thrombosis , tumor recurrence and overall survival . 0 ###LEFT-WALL### 30 and 0 ###LEFT-WALL### 33 . 1 in 2 contrast 2 contrast 3 , 3 , 23 invasion 3 , 24 , 4 level 5 of 4 level 9 increased 4 level 13 and 5 of 6 5 6 5 7 mc 6 5 8 was 7 mc 8 was 9 increased 10 in 10 in 12 tissues 11 hcc 12 tissues 13 and 17 mc 13 and 18 level 13 and 21 with 13 and 23 invasion 14 the 17 mc 15 increased 17 mc 16 5 17 mc 18 level 19 was 19 was 20 associated 20 associated 21 with 22 capsular 23 invasion 24 , 26 thrombosis 24 , 27 , 25 vascular 26 thrombosis 27 , 29 recurrence 27 , 30 and 28 tumor 29 recurrence 30 and 32 survival 31 overall 32 survival furthermore , our data showed that expression of tet1 , but not tet2 and tet3 , was downregulated in hcc . 0 ###LEFT-WALL### 4 data 0 ###LEFT-WALL### 16 , 0 ###LEFT-WALL### 21 . 1 furthermore 2 , 1 furthermore 4 data 3 our 4 data 4 data 16 , 5 showed 11 but 5 showed 14 and 5 showed 16 , 6 that 7 expression 7 expression 8 of 7 expression 11 but 8 of 9 tet1 10 , 11 but 11 but 12 not 11 but 13 tet2 14 and 15 tet3 16 , 17 was 17 was 18 downregulated 18 downregulated 19 in 19 in 20 hcc taken together , our data indicated 5 hmc may be served as a prognostic marker for hcc and the decreased expression of tet1 is [likely] one of the mechanisms underlying 5 hmc loss in hcc . 0 ###LEFT-WALL### 5 data 0 ###LEFT-WALL### 6 indicated 0 ###LEFT-WALL### 18 and 0 ###LEFT-WALL### 36 . 1 taken 2 together 1 taken 3 , 1 taken 5 data 4 our 5 data 5 data 6 indicated 6 indicated 7 5 6 indicated 11 served 7 5 8 hmc 7 5 10 be 7 5 11 served 8 hmc 9 may 9 may 10 be 11 served 12 as 12 as 15 marker 13 a 15 marker 14 prognostic 15 marker 15 marker 16 for 16 for 17 hcc 18 and 21 expression 18 and 24 is 19 the 21 expression 20 decreased 21 expression 21 expression 22 of 21 expression 24 is 22 of 23 tet1 24 is 26 one 24 is 34 in 26 one 27 of 27 of 29 mechanisms 28 the 29 mechanisms 29 mechanisms 30 underlying 30 underlying 33 loss 31 5 33 loss 32 hmc 33 loss 34 in 35 hcc the study was designed to evaluate the acceptance of the self [-] rated version of the standardized assessment of elderly people in primary care in europe ( step ) by patients and general practitioners , as well as the feasibility , comprehensibility , and usefulness in gaining new information . 1 the 2 study 2 study 3 was 3 was 4 designed 4 designed 5 to 4 designed 22 in 4 designed 25 in 4 designed 38 as 5 to 6 evaluate 6 evaluate 8 acceptance 7 the 8 acceptance 8 acceptance 9 of 8 acceptance 15 of 8 acceptance 19 of 9 of 14 version 10 the 14 version 11 self 14 version 13 rated 14 version 15 of 18 assessment 16 the 18 assessment 17 standardized 18 assessment 19 of 21 people 20 elderly 21 people 22 in 24 care 23 primary 24 care 25 in 32 and 26 europe 28 step 26 europe 30 by 26 europe 32 and 27 ( 28 step 28 step 29 ) 30 by 31 patients 32 and 34 practitioners 32 and 35 , 33 general 34 practitioners 36 as 37 well 37 well 38 as 38 as 44 and 39 the 40 feasibility 40 feasibility 41 , 41 , 42 comprehensibility 41 , 44 and 43 , 44 and 44 and 45 usefulness 44 and 50 . 45 usefulness 46 in 46 in 47 gaining 47 gaining 49 information 48 new 49 information in all , 1007 of 1540 patients aged 65 and above , from 28 different saxon general practices took part . 0 ###LEFT-WALL### 4 1007 0 ###LEFT-WALL### 8 aged 0 ###LEFT-WALL### 10 and 0 ###LEFT-WALL### 21 . 1 in 2 all 1 in 3 , 1 in 4 1007 4 1007 5 of 4 1007 8 aged 5 of 7 patients 6 1540 7 patients 8 aged 9 65 10 and 18 practices 10 and 20 part 11 above 12 , 11 above 18 practices 13 from 14 28 13 from 18 practices 15 different 16 saxon 16 saxon 18 practices 17 general 18 practices 18 practices 20 part 19 took 20 part we recognized that 96 % of the patients were able to fill in the questionnaire by themselves . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 recognized 0 ###LEFT-WALL### 18 . 1 we 2 recognized 2 recognized 3 that 3 that 5 % 3 that 9 were 4 96 5 % 5 % 6 of 5 % 9 were 6 of 8 patients 7 the 8 patients 9 were 10 able 10 able 11 to 10 able 12 fill 11 to 12 fill 12 fill 13 in 12 fill 16 by 13 in 15 questionnaire 14 the 15 questionnaire 16 by 17 themselves it took [them] an average of approximately 20 minutes to do so . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 took 0 ###LEFT-WALL### 13 . 1 it 2 took 2 took 5 average 2 took 10 to 4 an 5 average 5 average 6 of 6 of 9 minutes 7 approximately 8 20 8 20 9 minutes 10 to 11 do 11 do 12 so further analysis of 257 randomly selected patients identified 281 previously unknown problems ( 1.1 per patient ) . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 8 identified 0 ###LEFT-WALL### 18 . 1 further 2 analysis 2 analysis 3 of 2 analysis 8 identified 3 of 7 patients 4 257 7 patients 5 randomly 6 selected 6 selected 7 patients 8 identified 12 problems 9 281 12 problems 10 previously 11 unknown 11 unknown 12 problems 12 problems 14 1.1 13 ( 14 1.1 14 1.1 15 per 14 1.1 17 ) 15 per 16 patient in the practitioners ' opinion , 16 % of these problems , particularly physiological and mental ones , could lead to immediate consequences . 0 ###LEFT-WALL### 8 % 0 ###LEFT-WALL### 20 lead 0 ###LEFT-WALL### 24 . 1 in 5 opinion 1 in 6 , 1 in 8 % 2 the 3 practitioners 3 practitioners 4 ' 4 ' 5 opinion 7 16 8 % 8 % 9 of 8 % 19 could 9 of 11 problems 10 these 11 problems 11 problems 17 ones 12 , 13 particularly 12 , 17 ones 14 physiological 15 and 15 and 16 mental 15 and 17 ones 17 ones 18 , 19 could 20 lead 20 lead 21 to 21 to 23 consequences 22 immediate 23 consequences remarkably , newly identified psychosocial problems were not followed by any consequences . 0 ###LEFT-WALL### 6 problems 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 13 . 1 remarkably 2 , 1 remarkably 6 problems 3 newly 4 identified 4 identified 6 problems 5 psychosocial 6 problems 6 problems 7 were 7 were 8 not 7 were 10 by 8 not 9 followed 10 by 12 consequences 11 any 12 consequences fourteen of the 75 questionnaire items were not answered by more than 9 % of the participants . 0 ###LEFT-WALL### 1 fourteen 0 ###LEFT-WALL### 9 answered 0 ###LEFT-WALL### 18 . 1 fourteen 2 of 1 fourteen 7 were 2 of 6 items 3 the 4 75 4 75 6 items 5 questionnaire 6 items 7 were 8 not 7 were 9 answered 9 answered 10 by 10 by 14 % 11 more 12 than 12 than 13 9 13 9 14 % 14 % 15 of 15 of 17 participants 16 the 17 participants eight of the 14 frequently unanswered items were marked as difficult to understand by the patients . 0 ###LEFT-WALL### 1 eight 0 ###LEFT-WALL### 9 marked 0 ###LEFT-WALL### 17 . 1 eight 2 of 1 eight 9 marked 2 of 4 14 3 the 4 14 4 14 7 items 4 14 8 were 5 frequently 6 unanswered 6 unanswered 7 items 7 items 8 were 9 marked 11 difficult 10 as 11 difficult 11 difficult 12 to 11 difficult 13 understand 12 to 13 understand 13 understand 14 by 14 by 16 patients 15 the 16 patients altogether the self [-] rating version of the step was found to be feasible and useful . 0 ###LEFT-WALL### 6 version 0 ###LEFT-WALL### 13 be 0 ###LEFT-WALL### 17 . 1 altogether 6 version 2 the 6 version 3 self 5 rating 5 rating 6 version 6 version 7 of 6 version 10 was 7 of 9 step 8 the 9 step 10 was 11 found 11 found 12 to 12 to 13 be 13 be 15 and 14 feasible 15 and 15 and 16 useful it was well accepted among patients ; however , some questions need further review to improve their comprehensibility . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 2 was 0 ###LEFT-WALL### 7 ; 0 ###LEFT-WALL### 19 . 1 it 2 was 2 was 3 well 3 well 4 accepted 4 accepted 5 among 5 among 6 patients 7 ; 11 questions 7 ; 12 need 8 however 9 , 8 however 11 questions 10 some 11 questions 11 questions 12 need 12 need 14 review 12 need 15 to 12 need 16 improve 13 further 14 review 15 to 16 improve 16 improve 18 comprehensibility 17 their 18 comprehensibility furthermore , [it] [should] [be] [investigated] why some identified problems do not have consequences and whether there is a need to record these issues at all . 0 ###LEFT-WALL### 10 problems 0 ###LEFT-WALL### 27 . 1 furthermore 2 , 1 furthermore 10 problems 7 why 10 problems 8 some 10 problems 9 identified 10 problems 10 problems 11 do 11 do 12 not 11 do 13 have 13 have 15 and 13 have 25 at 14 consequences 15 and 15 and 16 whether 15 and 17 there 15 and 22 record 17 there 18 is 18 is 20 need 19 a 20 need 20 need 21 to 20 need 22 record 21 to 22 record 22 record 24 issues 23 these 24 issues 25 at 26 all this paper investigates the relationship between the concept of activity ( including both professional and nonprofessional ) and cognitive functioning among older european individuals . 0 ###LEFT-WALL### 2 paper 0 ###LEFT-WALL### 3 investigates 0 ###LEFT-WALL### 25 . 1 this 2 paper 2 paper 3 investigates 3 investigates 5 relationship 3 investigates 6 between 4 the 5 relationship 6 between 18 and 7 the 8 concept 8 concept 9 of 8 concept 18 and 9 of 10 activity 10 activity 12 including 11 ( 12 including 12 including 13 both 12 including 15 and 12 including 17 ) 14 professional 15 and 15 and 16 nonprofessional 18 and 19 cognitive 18 and 20 functioning 20 functioning 21 among 21 among 24 individuals 22 older 23 european 23 european 24 individuals in this research , we used data collected during the first wave of share ( survey on health , ageing and retirement in europe ) , and a measurement approach known as stochastic frontier analysis , derived from the economic literature . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 6 used 0 ###LEFT-WALL### 42 . 1 in 3 research 1 in 4 , 1 in 5 we 2 this 3 research 5 we 6 used 6 used 7 data 7 data 8 collected 7 data 13 of 8 collected 9 during 9 during 12 wave 10 the 11 first 10 the 12 wave 13 of 27 and 14 share 21 and 14 share 27 and 15 ( 21 and 16 survey 17 on 16 survey 19 , 17 on 18 health 19 , 20 ageing 19 , 21 and 21 and 22 retirement 21 and 23 in 21 and 25 ) 23 in 24 europe 26 , 27 and 27 and 35 analysis 27 and 36 , 27 and 37 derived 28 a 29 measurement 28 a 35 analysis 29 measurement 35 analysis 30 approach 31 known 31 known 34 frontier 32 as 33 stochastic 33 stochastic 34 frontier 34 frontier 35 analysis 37 derived 38 from 38 from 41 literature 39 the 41 literature 40 economic 41 literature share includes a large population ( n > 25,000 ) geographically distributed across europe , and analyzes several dimensions simultaneously , including physical and mental health activity . 0 ###LEFT-WALL### 1 share 0 ###LEFT-WALL### 16 and 1 share 16 and 2 includes 5 population 2 includes 13 across 2 includes 16 and 3 a 4 large 3 a 5 population 4 large 5 population 5 population 8 > 5 population 12 distributed 6 ( 8 > 7 n 8 > 8 > 9 25,000 8 > 10 ) 11 geographically 12 distributed 13 across 14 europe 15 , 16 and 16 and 17 analyzes 16 and 20 simultaneously 16 and 22 including 17 analyzes 19 dimensions 18 several 19 dimensions 21 , 22 including 22 including 27 activity 22 including 28 . 23 physical 24 and 24 and 25 mental 24 and 27 activity 26 health 27 activity the main advantages of stochastic frontier analysis are that [it] allows estimation of parametric function relating cognitive scores and driving factors at the boundary and disentangles frontier noise and distance to frontier components , as well as testing the effect of potential factors on these distances simultaneously . 0 ###LEFT-WALL### 3 advantages 0 ###LEFT-WALL### 8 are 1 the 2 main 1 the 3 advantages 3 advantages 4 of 3 advantages 8 are 4 of 7 analysis 5 stochastic 6 frontier 6 frontier 7 analysis 8 are 29 and 9 that 25 and 9 that 29 and 11 allows 12 estimation 11 allows 19 and 11 allows 25 and 12 estimation 13 of 13 of 16 relating 14 parametric 15 function 15 function 16 relating 17 cognitive 18 scores 18 scores 19 and 19 and 21 factors 19 and 22 at 20 driving 21 factors 22 at 24 boundary 23 the 24 boundary 25 and 26 disentangles 26 disentangles 28 noise 27 frontier 28 noise 29 and 30 distance 29 and 31 to 29 and 37 as 31 to 33 components 32 frontier 33 components 34 , 37 as 35 as 36 well 36 well 37 as 37 as 38 testing 37 as 48 . 38 testing 40 effect 38 testing 47 simultaneously 39 the 40 effect 40 effect 41 of 41 of 43 factors 42 potential 43 factors 43 factors 44 on 44 on 46 distances 45 these 46 distances the analysis reveals that all activities are positively related to cognitive functioning in elderly people . 0 ###LEFT-WALL### 2 analysis 0 ###LEFT-WALL### 3 reveals 0 ###LEFT-WALL### 16 . 1 the 2 analysis 2 analysis 3 reveals 3 reveals 4 that 4 that 6 activities 4 that 9 related 5 all 6 activities 6 activities 7 are 7 are 8 positively 7 are 9 related 9 related 10 to 9 related 13 in 10 to 12 functioning 11 cognitive 12 functioning 13 in 15 people 14 elderly 15 people our results are discussed in terms of prevention of cognitive aging and alzheimer 's disease , and regarding the potential impact that some retirement programs might have on cognitive functioning in individuals across europe . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 4 discussed 0 ###LEFT-WALL### 35 . 1 our 2 results 2 results 3 are 3 are 4 discussed 4 discussed 5 in 4 discussed 33 across 5 in 17 and 6 terms 7 of 6 terms 12 and 7 of 8 prevention 8 prevention 9 of 9 of 11 aging 10 cognitive 11 aging 12 and 15 disease 12 and 17 and 13 alzheimer 14 's 14 's 15 disease 16 , 17 and 17 and 18 regarding 17 and 21 impact 17 and 27 have 19 the 21 impact 20 potential 21 impact 21 impact 22 that 21 impact 25 programs 21 impact 26 might 22 that 24 retirement 22 that 25 programs 23 some 24 retirement 24 retirement 25 programs 26 might 27 have 27 have 28 on 27 have 31 in 28 on 30 functioning 29 cognitive 30 functioning 31 in 32 individuals 33 across 34 europe context : the relationship between tsh and t₄ is thought to be inverse [log] - linear , but recent studies have challenged this . 0 ###LEFT-WALL### 1 context 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 24 . 1 context 2 : 2 : 4 relationship 2 : 5 between 3 the 4 relationship 5 between 6 tsh 7 and 8 t₄ 7 and 10 thought 8 t₄ 9 is 9 is 10 thought 10 thought 11 to 10 thought 20 studies 10 thought 22 challenged 11 to 12 be 13 inverse 15 - 13 inverse 20 studies 16 linear 18 but 17 , 18 but 18 but 19 recent 18 but 20 studies 20 studies 21 have 21 have 22 challenged 22 challenged 23 this there are limited data regarding age and sex differences in the tsh - t₄ relationship . 0 ###LEFT-WALL### 1 there 0 ###LEFT-WALL### 2 are 0 ###LEFT-WALL### 13 - 1 there 2 are 2 are 7 and 3 limited 4 data 4 data 5 regarding 4 data 7 and 5 regarding 6 age 7 and 9 differences 7 and 10 in 8 sex 9 differences 10 in 12 tsh 11 the 12 tsh 13 - 15 relationship 13 - 16 . 14 t₄ 15 relationship objective : the purpose of this study was to evaluate the tsh - free t₄ [relationship] in a large sample . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 13 - 0 ###LEFT-WALL### 21 . 1 objective 2 : 2 : 4 purpose 3 the 4 purpose 4 purpose 5 of 4 purpose 7 study 4 purpose 10 evaluate 5 of 6 this 7 study 8 was 8 was 9 to 8 was 10 evaluate 9 to 10 evaluate 10 evaluate 12 tsh 11 the 12 tsh 13 - 14 free 14 free 15 t₄ 14 free 17 in 17 in 20 sample 18 a 19 large 18 a 20 sample 19 large 20 sample methods : in a cross - sectional , retrospective study , we analyzed tsh and free t₄ results from 152 261 subjects collected over 12 years by a single laboratory . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 31 . 2 : 12 we 2 : 15 and 3 in 5 cross 3 in 12 we 4 a 5 cross 5 cross 10 study 6 - 10 study 7 sectional 8 , 7 sectional 10 study 9 retrospective 10 study 10 study 11 , 12 we 15 and 13 analyzed 14 tsh 13 analyzed 15 and 15 and 16 free 15 and 24 over 15 and 27 by 16 free 18 results 17 t₄ 18 results 18 results 19 from 18 results 23 collected 19 from 22 subjects 20 152 22 subjects 21 261 22 subjects 24 over 26 years 25 12 26 years 27 by 30 laboratory 28 a 29 single 28 a 30 laboratory 29 single 30 laboratory for each free t₄ value ( in picomoles per liter ) , the median tsh was calculated and analyzed by sex and age ( in 20 - year bands ) . 0 ###LEFT-WALL### 15 tsh 0 ###LEFT-WALL### 16 was 0 ###LEFT-WALL### 31 . 1 for 5 value 1 for 12 , 1 for 15 tsh 2 each 5 value 3 free 5 value 4 t₄ 5 value 5 value 7 in 6 ( 7 in 7 in 8 picomoles 7 in 11 ) 8 picomoles 9 per 9 per 10 liter 13 the 15 tsh 14 median 15 tsh 15 tsh 16 was 16 was 18 and 17 calculated 18 and 18 and 19 analyzed 18 and 20 by 20 by 22 and 21 sex 22 and 22 and 23 age 22 and 25 in 24 ( 25 in 25 in 26 20 25 in 30 ) 26 20 29 bands 27 - 29 bands 28 year 29 bands 29 bands 30 ) results : the relationship between log tsh and free t₄ was nonlinear . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 relationship 2 : 11 was 2 : 13 . 3 the 4 relationship 4 relationship 5 between 4 relationship 11 was 5 between 8 and 6 log 7 tsh 7 tsh 8 and 8 and 10 t₄ 9 free 10 t₄ 11 was 12 nonlinear in contrast , in overt hypothyroidism ( n = 4403 ) , tsh was lower in older age groups than in those aged 20 - 39 years ( p < [.] 001 ) . 0 ###LEFT-WALL### 1 in 0 ###LEFT-WALL### 14 was 0 ###LEFT-WALL### 34 . 1 in 2 contrast 1 in 14 was 2 contrast 4 in 3 , 4 in 4 in 6 hypothyroidism 4 in 12 , 5 overt 6 hypothyroidism 6 hypothyroidism 9 = 7 ( 9 = 8 n 9 = 9 = 10 4403 9 = 11 ) 13 tsh 14 was 14 was 15 lower 15 lower 16 in 15 lower 20 than 16 in 19 groups 17 older 19 groups 18 age 19 groups 20 than 21 in 21 in 27 years 22 those 27 years 23 aged 27 years 24 20 25 - 25 - 26 39 25 - 27 years 27 years 30 < 28 ( 30 < 29 p 30 < 30 < 32 001 30 < 33 ) conclusions : the tsh - free t₄ [relationship] is not [inverse] log - [linear] but can be described by 2 overlapping negative sigmoid curves . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 - 0 ###LEFT-WALL### 25 . 1 conclusions 2 : 2 : 4 tsh 3 the 4 tsh 5 - 7 t₄ 5 - 15 but 6 free 7 t₄ 7 t₄ 15 but 9 is 10 not 9 is 12 log 9 is 15 but 13 - 15 but 15 but 16 can 16 can 17 be 17 be 18 described 18 described 19 by 19 by 24 curves 20 2 24 curves 21 overlapping 24 curves 22 negative 24 curves 23 sigmoid 24 curves at physiological free t₄ concentrations , tsh is higher in men and in older people , whereas the tsh response to hypothyroidism is more robust in younger people . 0 ###LEFT-WALL### 7 tsh 0 ###LEFT-WALL### 8 is 1 at 5 concentrations 1 at 6 , 1 at 7 tsh 2 physiological 5 concentrations 3 free 5 concentrations 4 t₄ 5 concentrations 7 tsh 8 is 8 is 9 higher 9 higher 12 and 9 higher 17 whereas 10 in 11 men 10 in 12 and 12 and 13 in 13 in 15 people 14 older 15 people 16 , 17 whereas 17 whereas 20 response 17 whereas 23 is 17 whereas 29 . 18 the 20 response 19 tsh 20 response 20 response 21 to 20 response 23 is 21 to 22 hypothyroidism 23 is 25 robust 24 more 25 robust 25 robust 26 in 26 in 28 people 27 younger 28 people these results advance understanding of the tsh - free t₄ relationship , which is central to thyroid pathophysiology and laboratory diagnosis of thyroid disease . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 advance 0 ###LEFT-WALL### 8 - 0 ###LEFT-WALL### 25 . 1 these 2 results 2 results 3 advance 3 advance 4 understanding 4 understanding 5 of 5 of 7 tsh 6 the 7 tsh 8 - 11 relationship 8 - 12 , 9 free 10 t₄ 10 t₄ 11 relationship 12 , 13 which 12 , 14 is 13 which 14 is 14 is 15 central 15 central 16 to 16 to 19 and 17 thyroid 18 pathophysiology 18 pathophysiology 19 and 19 and 21 diagnosis 20 laboratory 21 diagnosis 21 diagnosis 22 of 22 of 24 disease 23 thyroid 24 disease the aim of this study was to address the intriguing issue of the role of the insulin - like growth [factor] ( igf ) - 1 system in longevity looking at the role of different components of igf [system] . 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 address 7 to 8 address 8 address 11 issue 9 the 11 issue 10 intriguing 11 issue 11 issue 12 of 11 issue 15 of 12 of 14 role 13 the 14 role 15 of 17 insulin 16 the 17 insulin 17 insulin 19 like 18 - 19 like 19 like 20 growth 19 like 40 . 20 growth 23 igf 20 growth 27 system 22 ( 23 igf 23 igf 24 ) 25 - 27 system 26 1 27 system 27 system 28 in 27 system 30 looking 27 system 34 of 27 system 37 of 27 system 40 . 28 in 29 longevity 30 looking 31 at 31 at 33 role 32 the 33 role 34 of 36 components 35 different 36 components 37 of 38 igf vital status was ascertained in 1,197 men and women aged greater than or equal to 65 years from the inchianti study . 0 ###LEFT-WALL### 2 status 0 ###LEFT-WALL### 13 or 0 ###LEFT-WALL### 22 . 1 vital 2 status 2 status 3 was 3 was 13 or 4 ascertained 5 in 4 ascertained 8 and 4 ascertained 10 aged 4 ascertained 13 or 5 in 6 1,197 7 men 8 and 8 and 9 women 8 and 10 aged 10 aged 11 greater 11 greater 12 than 13 or 14 equal 14 equal 15 to 14 equal 21 study 15 to 17 years 16 65 17 years 17 years 18 from 18 from 20 inchianti 19 the 20 inchianti hormonal levels were categorized into quartiles , and ratio of igf - 1 to igf - binding protein ( igfbp ) - 1 was calculated . 0 ###LEFT-WALL### 2 levels 0 ###LEFT-WALL### 4 categorized 0 ###LEFT-WALL### 25 calculated 1 hormonal 2 levels 2 levels 3 were 3 were 4 categorized 4 categorized 5 into 5 into 8 and 6 quartiles 8 and 7 , 8 and 8 and 9 ratio 8 and 10 of 10 of 11 igf 12 - 13 1 13 1 14 to 13 1 23 1 13 1 24 was 13 1 25 calculated 14 to 15 igf 15 igf 17 binding 16 - 17 binding 17 binding 18 protein 17 binding 21 ) 18 protein 20 igfbp 19 ( 20 igfbp 20 igfbp 21 ) 22 - 23 1 23 1 24 was 25 calculated 26 . the relationship between hormones and mortality was tested by cox proportional hazard models adjusted for age , sex , and confounders . 0 ###LEFT-WALL### 2 relationship 0 ###LEFT-WALL### 20 and 0 ###LEFT-WALL### 22 . 1 the 2 relationship 2 relationship 3 between 2 relationship 7 was 3 between 5 and 4 hormones 5 and 5 and 6 mortality 7 was 20 and 8 tested 9 by 8 tested 13 models 8 tested 14 adjusted 8 tested 20 and 9 by 10 cox 11 proportional 12 hazard 12 hazard 13 models 13 models 14 adjusted 14 adjusted 15 for 15 for 16 age 16 age 18 sex 17 , 18 sex 18 sex 19 , 20 and 21 confounders during the 8 - [year] follow - up period , 240 died and 957 survived . 0 ###LEFT-WALL### 6 follow 0 ###LEFT-WALL### 10 , 0 ###LEFT-WALL### 16 . 1 during 3 8 1 during 4 - 1 during 6 follow 2 the 3 8 6 follow 8 up 7 - 8 up 8 up 9 period 8 up 10 , 10 , 11 240 10 , 12 died 10 , 13 and 11 240 12 died 13 and 14 957 13 and 15 survived 14 957 15 survived [lowest] quartiles of igf - 1 and [igfbp] - 1 were considered as reference . 0 ###LEFT-WALL### 2 quartiles 0 ###LEFT-WALL### 12 considered 0 ###LEFT-WALL### 15 . 2 quartiles 3 of 2 quartiles 11 were 3 of 4 igf 4 igf 7 and 5 - 6 1 6 1 7 and 7 and 10 1 9 - 10 1 11 were 12 considered 12 considered 13 as 13 as 14 reference compared with the lowest quartiles , igf - 1 in upper quartiles was a negative predictor of mortality independent of age and sex ( p = [.] 01 [ )(but not independent of igfbp - 1 [and] other confounders . 1 compared 2 with 1 compared 6 , 1 compared 7 igf 2 with 4 lowest 2 with 5 quartiles 3 the 4 lowest 7 igf 11 upper 7 igf 12 quartiles 7 igf 13 was 8 - 9 1 9 1 10 in 10 in 11 upper 11 upper 12 quartiles 13 was 16 predictor 14 a 15 negative 14 a 16 predictor 15 negative 16 predictor 16 predictor 17 of 16 predictor 26 = 17 of 19 independent 18 mortality 19 independent 19 independent 20 of 20 of 22 and 21 age 22 and 22 and 23 sex 24 ( 26 = 25 p 26 = 26 = 28 01 28 01 30 )(but 28 01 33 of 30 )(but 31 not 31 not 32 independent 33 of 34 igfbp 34 igfbp 39 confounders 35 - 39 confounders 36 1 38 other 38 other 39 confounders 39 confounders 40 . igfbp - 1 in second [-] third quartiles was negatively associated and that in the fourth quartiles was positively associated with risk of death . 0 ###LEFT-WALL### 3 1 0 ###LEFT-WALL### 11 associated 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 25 . 1 igfbp 2 - 1 igfbp 3 1 3 1 4 in 3 1 9 was 4 in 8 quartiles 5 second 8 quartiles 7 third 8 quartiles 9 was 11 associated 10 negatively 11 associated 12 and 13 that 12 and 20 associated 13 that 14 in 13 that 18 was 14 in 17 quartiles 15 the 16 fourth 15 the 17 quartiles 18 was 19 positively 18 was 20 associated 20 associated 21 with 21 with 22 risk 22 risk 23 of 23 of 24 death igf - 1/igfbp - 1 ratio in the lowest quartiles was a strong positive predictor of mortality , in age - and sex - adjusted [model] ( p = [.] 005 ) , and independent of additional confounders ( p = [.] 037 ) . 0 ###LEFT-WALL### 6 ratio 0 ###LEFT-WALL### 11 was 1 igf 2 - 1 igf 6 ratio 3 1/igfbp 4 - 3 1/igfbp 6 ratio 5 1 6 ratio 6 ratio 7 in 6 ratio 11 was 7 in 10 quartiles 8 the 9 lowest 8 the 10 quartiles 11 was 15 predictor 12 a 13 strong 12 a 15 predictor 13 strong 15 predictor 14 positive 15 predictor 15 predictor 16 of 15 predictor 19 in 16 of 17 mortality 18 , 19 in 19 in 34 and 19 in 45 . 20 age 22 and 21 - 22 and 22 and 23 sex 22 and 25 adjusted 22 and 34 and 24 - 25 adjusted 25 adjusted 29 = 25 adjusted 33 , 27 ( 29 = 28 p 29 = 29 = 31 005 29 = 32 ) 34 and 35 independent 34 and 36 of 34 and 41 = 36 of 38 confounders 37 additional 38 confounders 39 ( 41 = 40 p 41 = 41 = 43 037 41 = 44 ) high igfbp - 1 and low igf - 1/igfbp - 1 ratio [are] associated with all - cause mortality in older population . 0 ###LEFT-WALL### 2 igfbp 0 ###LEFT-WALL### 3 - 0 ###LEFT-WALL### 23 . 1 high 2 igfbp 3 - 4 1 3 - 5 and 5 and 7 igf 5 and 18 cause 6 low 7 igf 7 igf 9 1/igfbp 7 igf 12 ratio 7 igf 18 cause 8 - 9 1/igfbp 9 1/igfbp 10 - 10 - 12 ratio 11 1 12 ratio 12 ratio 14 associated 12 ratio 17 - 14 associated 15 with 15 with 16 all 18 cause 19 mortality 18 cause 20 in 20 in 22 population 21 older 22 population background : a device to assist in the delivery of dermal filler may achieve reductions in patient discomfort and adverse events , as well physician fatigue . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 4 device 2 : 14 achieve 2 : 27 . 3 a 4 device 4 device 5 to 4 device 6 assist 4 device 13 may 5 to 6 assist 6 assist 7 in 7 in 9 delivery 8 the 9 delivery 9 delivery 10 of 10 of 12 filler 11 dermal 12 filler 13 may 14 achieve 14 achieve 15 reductions 14 achieve 16 in 14 achieve 23 as 16 in 19 and 17 patient 18 discomfort 18 discomfort 19 and 19 and 21 events 19 and 22 , 20 adverse 21 events 23 as 26 fatigue 24 well 26 fatigue 25 physician 26 fatigue it may also increase the accuracy of material placement . 0 ###LEFT-WALL### 1 it 0 ###LEFT-WALL### 4 increase 0 ###LEFT-WALL### 10 . 1 it 2 may 2 may 4 increase 3 also 4 increase 4 increase 6 accuracy 5 the 6 accuracy 6 accuracy 7 of 7 of 9 placement 8 material 9 placement objectives : the authors assess the safety and performance of the artiste assisted injection system ( nordson micromedics , st paul , minnesota ) in normal therapeutic use compared with the standard manual administration of dermal fillers . 0 ###LEFT-WALL### 1 objectives 0 ###LEFT-WALL### 2 : 2 : 4 authors 2 : 5 assess 2 : 8 and 2 : 38 . 3 the 4 authors 4 authors 5 assess 5 assess 7 safety 6 the 7 safety 8 and 9 performance 8 and 29 compared 9 performance 10 of 9 performance 25 in 9 performance 29 compared 10 of 15 system 11 the 15 system 12 artiste 13 assisted 13 assisted 14 injection 14 injection 15 system 15 system 21 paul 16 ( 21 paul 17 nordson 18 micromedics 18 micromedics 20 st 19 , 20 st 20 st 21 paul 21 paul 23 minnesota 21 paul 24 ) 22 , 23 minnesota 23 minnesota 24 ) 25 in 28 use 26 normal 28 use 27 therapeutic 28 use 29 compared 30 with 30 with 34 administration 31 the 34 administration 32 standard 34 administration 33 manual 34 administration 34 administration 35 of 35 of 37 fillers 36 dermal 37 fillers methods : at 3 study sites , a total of 52 patients ( 48 women and 4 men ) received bilateral full - correction injections of dermal fillers into randomized nasolabial folds ( nlf ) . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 36 . 2 : 6 sites 2 : 20 received 3 at 4 3 3 at 6 sites 5 study 6 sites 6 sites 9 total 6 sites 20 received 7 , 9 total 8 a 9 total 9 total 10 of 9 total 19 ) 10 of 12 patients 11 52 12 patients 12 patients 16 and 13 ( 16 and 14 48 15 women 15 women 16 and 16 and 18 men 16 and 19 ) 17 4 18 men 20 received 25 injections 21 bilateral 25 injections 22 full 23 - 22 full 25 injections 24 correction 25 injections 25 injections 26 of 25 injections 29 into 25 injections 34 nlf 26 of 28 fillers 27 dermal 28 fillers 29 into 32 folds 30 randomized 32 folds 31 nasolabial 32 folds 33 ( 34 nlf 34 nlf 35 ) injection into 1 nlf was made via artiste , and injection into the other nlf was made via manual delivery . 0 ###LEFT-WALL### 1 injection 0 ###LEFT-WALL### 17 made 0 ###LEFT-WALL### 21 . 1 injection 2 into 1 injection 6 made 1 injection 16 was 2 into 3 1 3 1 4 nlf 3 1 5 was 4 nlf 5 was 6 made 7 via 6 made 12 into 7 via 10 and 8 artiste 10 and 9 , 10 and 10 and 11 injection 12 into 15 nlf 13 the 14 other 14 other 15 nlf 16 was 17 made 17 made 18 via 18 via 20 delivery 19 manual 20 delivery immediately posttreatment and through 29 days , physician investigators , patients , and blinded evaluators recorded treatment durations and volumes , evaluated designated posttreatment characteristics using questionnaires , and documented adverse events ( ae ) and differences in cosmetic effects . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 21 , 0 ###LEFT-WALL### 41 . 1 immediately 13 and 2 posttreatment 3 and 3 and 6 days 3 and 11 patients 3 and 13 and 4 through 6 days 5 29 6 days 6 days 9 investigators 7 , 9 investigators 8 physician 9 investigators 9 investigators 10 , 10 , 11 patients 11 patients 12 , 13 and 15 evaluators 13 and 21 , 14 blinded 15 evaluators 16 recorded 19 and 16 recorded 21 , 17 treatment 18 durations 18 durations 19 and 19 and 20 volumes 21 , 22 evaluated 21 , 26 using 22 evaluated 25 characteristics 23 designated 25 characteristics 24 posttreatment 25 characteristics 26 using 36 and 26 using 38 in 27 questionnaires 29 and 28 , 29 and 29 and 32 events 29 and 34 ae 29 and 36 and 30 documented 32 events 31 adverse 32 events 33 ( 34 ae 34 ae 35 ) 36 and 37 differences 38 in 40 effects 39 cosmetic 40 effects results : mean filler volume was 1.25 ml for the artiste [-] treated nlf and 1.29 ml for manually treated nlf . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 3 mean 0 ###LEFT-WALL### 22 . 1 results 2 : 2 : 3 mean 3 mean 5 volume 3 mean 6 was 4 filler 5 volume 5 volume 6 was 6 was 17 ml 6 was 18 for 7 1.25 8 ml 7 1.25 15 and 8 ml 9 for 8 ml 13 treated 9 for 11 artiste 10 the 11 artiste 13 treated 14 nlf 15 and 16 1.29 15 and 17 ml 18 for 21 nlf 19 manually 20 treated 20 treated 21 nlf one investigator used significantly less volume with artiste than with manual injection ( 0.95 [ml] vs 1.12 ml ; p = . 001 [ )( 0 ###LEFT-WALL### 2 investigator 0 ###LEFT-WALL### 3 used 0 ###LEFT-WALL### 19 ; 0 ###LEFT-WALL### 22 . 1 one 2 investigator 2 investigator 3 used 3 used 6 volume 3 used 7 with 3 used 9 than 4 significantly 5 less 5 less 6 volume 7 with 8 artiste 9 than 10 with 10 with 12 injection 11 manual 12 injection 12 injection 14 0.95 13 ( 14 0.95 14 0.95 16 vs 14 0.95 19 ; 16 vs 18 ml 17 1.12 18 ml 19 ; 20 p 19 ; 21 = 20 p 21 = 22 . 23 001 22 . 25 )( blinded evaluators rated wrinkle severity rating scale ( wsrs ) results as " identical " in 81 % of patients . 0 ###LEFT-WALL### 2 evaluators 0 ###LEFT-WALL### 3 rated 0 ###LEFT-WALL### 21 . 1 blinded 2 evaluators 2 evaluators 3 rated 3 rated 11 results 4 wrinkle 5 severity 5 severity 6 rating 6 rating 7 scale 7 scale 9 wsrs 8 ( 9 wsrs 9 wsrs 10 ) 9 wsrs 11 results 11 results 14 identical 12 as 13 " 12 as 14 identical 14 identical 15 " 14 identical 16 in 16 in 18 % 17 81 18 % 18 % 19 of 19 of 20 patients investigator questionnaires showed a clear and statistically significant preference for artiste over manual injection in all parameters ( p < [.] 001 ) . 0 ###LEFT-WALL### 2 questionnaires 0 ###LEFT-WALL### 3 showed 0 ###LEFT-WALL### 24 . 1 investigator 2 questionnaires 2 questionnaires 3 showed 3 showed 9 preference 3 showed 12 over 4 a 9 preference 5 clear 6 and 6 and 8 significant 6 and 9 preference 7 statistically 8 significant 9 preference 10 for 10 for 11 artiste 12 over 14 injection 13 manual 14 injection 14 injection 15 in 15 in 17 parameters 16 all 17 parameters 17 parameters 20 < 18 ( 20 < 19 p 20 < 20 < 22 001 20 < 23 ) conclusions : the artiste device is a viable option for physicians seeking a continuous - flow , injection - assisted device for ease of treatment , better accuracy , and improved results . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 33 . 2 : 5 device 2 : 30 and 3 the 5 device 4 artiste 5 device 5 device 30 and 6 is 9 option 6 is 30 and 7 a 9 option 8 viable 9 option 9 option 10 for 9 option 12 seeking 10 for 11 physicians 12 seeking 21 device 12 seeking 22 for 13 a 14 continuous 13 a 21 device 14 continuous 16 flow 14 continuous 21 device 15 - 16 flow 16 flow 18 injection 16 flow 19 - 17 , 18 injection 18 injection 19 - 20 assisted 21 device 22 for 23 ease 23 ease 24 of 23 ease 28 accuracy 24 of 25 treatment 26 , 28 accuracy 27 better 28 accuracy 28 accuracy 29 , 30 and 31 improved 30 and 32 results objective : depression might be a prodromal stage of dementia . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 depression 2 : 5 be 2 : 11 . 3 depression 4 might 4 might 5 be 5 be 8 stage 6 a 7 prodromal 6 a 8 stage 7 prodromal 8 stage 8 stage 9 of 9 of 10 dementia many factors contribute to the etiology of depression and dementia , being inflammation one of those . 0 ###LEFT-WALL### 2 factors 0 ###LEFT-WALL### 3 contribute 0 ###LEFT-WALL### 17 . 1 many 2 factors 2 factors 3 contribute 3 contribute 4 to 4 to 9 and 5 the 6 etiology 6 etiology 7 of 6 etiology 9 and 7 of 8 depression 9 and 13 inflammation 9 and 15 of 10 dementia 11 , 10 dementia 12 being 12 being 13 inflammation 13 inflammation 14 one 15 of 16 those the present work measured and analyzed immune molecules involved in the innate immunity [on] cluster of differentiation 14 ( cd14+ ) monocytes trying to investigate any relationship among late - onset depression ( lod ) and alzheimer 's disease ( ad ) . 0 ###LEFT-WALL### 3 work 0 ###LEFT-WALL### 5 and 1 the 3 work 2 present 3 work 3 work 5 and 4 measured 5 and 5 and 6 analyzed 5 and 8 molecules 7 immune 8 molecules 8 molecules 9 involved 8 molecules 16 of 8 molecules 22 monocytes 9 involved 10 in 10 in 15 cluster 11 the 15 cluster 12 innate 13 immunity 13 immunity 15 cluster 16 of 17 differentiation 17 differentiation 18 14 19 ( 22 monocytes 20 cd14+ 21 ) 20 cd14+ 22 monocytes 22 monocytes 23 trying 22 monocytes 43 . 23 trying 24 to 24 to 25 investigate 25 investigate 36 and 26 any 27 relationship 27 relationship 28 among 27 relationship 36 and 28 among 32 depression 29 late 30 - 29 late 31 onset 31 onset 32 depression 32 depression 34 lod 33 ( 34 lod 34 lod 35 ) 36 and 39 disease 36 and 41 ad 37 alzheimer 38 's 38 's 39 disease 40 ( 41 ad 41 ad 42 ) methods : immune molecules were evaluated in monocytes of ad , lod patients , and controls using flow cytometry . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 20 . 2 : 3 immune 2 : 6 evaluated 3 immune 4 molecules 3 immune 5 were 3 immune 6 evaluated 4 molecules 5 were 6 evaluated 15 and 6 evaluated 19 cytometry 7 in 8 monocytes 7 in 15 and 8 monocytes 9 of 9 of 12 lod 10 ad 12 lod 11 , 12 lod 13 patients 15 and 14 , 15 and 15 and 16 controls 15 and 17 using 15 and 19 cytometry 17 using 18 flow results : interestingly , interleukin 1 beta ( il - 1β ) expressing cd14+ monocytes were increased in ad patients compared with controls . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 - 1 results 2 : 2 : 3 interestingly 2 : 7 beta 3 interestingly 4 , 5 interleukin 6 1 5 interleukin 7 beta 7 beta 9 il 8 ( 9 il 9 il 10 - 10 - 15 monocytes 10 - 17 increased 10 - 24 . 11 1β 12 ) 11 1β 14 cd14+ 13 expressing 14 cd14+ 14 cd14+ 15 monocytes 15 monocytes 16 were 16 were 17 increased 17 increased 18 in 17 increased 22 with 18 in 20 patients 19 ad 20 patients 20 patients 21 compared 22 with 23 controls lod presented intermediate frequency of cd14+ monocytes expressing il - 1β between controls and ad patients . 0 ###LEFT-WALL### 1 lod 0 ###LEFT-WALL### 2 presented 0 ###LEFT-WALL### 10 - 0 ###LEFT-WALL### 11 1β 0 ###LEFT-WALL### 17 . 1 lod 2 presented 2 presented 4 frequency 3 intermediate 4 frequency 4 frequency 5 of 4 frequency 8 expressing 5 of 7 monocytes 6 cd14+ 7 monocytes 8 expressing 9 il 10 - 11 1β 11 1β 12 between 12 between 14 and 13 controls 14 and 14 and 16 patients 15 ad 16 patients conclusion : results suggest that an increased frequency of cd14+ monocytes expressing il - 1β level could be a stage marker related to the pathophysiology of dementia process between normal aging and ad . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 18 be 0 ###LEFT-WALL### 34 . 2 : 3 results 2 : 4 suggest 2 : 14 - 3 results 4 suggest 4 suggest 5 that 5 that 8 frequency 5 that 11 monocytes 6 an 8 frequency 7 increased 8 frequency 8 frequency 9 of 8 frequency 11 monocytes 9 of 10 cd14+ 11 monocytes 13 il 12 expressing 13 il 14 - 18 be 15 1β 16 level 16 level 17 could 17 could 18 be 18 be 21 marker 19 a 21 marker 20 stage 21 marker 21 marker 22 related 21 marker 23 to 21 marker 29 between 23 to 25 pathophysiology 24 the 25 pathophysiology 25 pathophysiology 26 of 26 of 28 process 27 dementia 28 process 29 between 32 and 30 normal 31 aging 31 aging 32 and 32 and 33 ad quality of life ( qol ) has been defined in many ways , and these definitions usually emphasize happiness and satisfaction with life . 0 ###LEFT-WALL### 1 quality 0 ###LEFT-WALL### 9 defined 0 ###LEFT-WALL### 24 . 1 quality 2 of 1 quality 7 has 2 of 3 life 3 life 5 qol 4 ( 5 qol 5 qol 6 ) 7 has 8 been 8 been 9 defined 9 defined 10 in 9 defined 22 with 10 in 20 and 11 many 12 ways 12 ways 14 and 13 , 14 and 14 and 15 these 14 and 16 definitions 14 and 18 emphasize 14 and 20 and 16 definitions 18 emphasize 17 usually 18 emphasize 18 emphasize 19 happiness 20 and 21 satisfaction 22 with 23 life health - related problems are known to cause lower qol . 0 ###LEFT-WALL### 4 problems 0 ###LEFT-WALL### 6 known 0 ###LEFT-WALL### 11 . 1 health 2 - 1 health 4 problems 3 related 4 problems 4 problems 5 are 5 are 6 known 6 known 7 to 6 known 8 cause 7 to 8 cause 8 cause 9 lower 8 cause 10 qol however , the neural mechanisms underlying individual differences in qol measured by questionnaire [(] qolmq [ )(in young healthy subjects are unknown . 0 ###LEFT-WALL### 5 mechanisms 0 ###LEFT-WALL### 21 are 0 ###LEFT-WALL### 23 . 1 however 2 , 1 however 5 mechanisms 3 the 5 mechanisms 4 neural 5 mechanisms 5 mechanisms 6 underlying 5 mechanisms 21 are 6 underlying 8 differences 7 individual 8 differences 8 differences 9 in 9 in 10 qol 10 qol 11 measured 11 measured 12 by 11 measured 17 )(in 12 by 15 qolmq 13 questionnaire 15 qolmq 17 )(in 20 subjects 18 young 20 subjects 19 healthy 20 subjects 21 are 22 unknown qol is essential to our well - being , and investigation of the neural mechanisms underlying qol in uncompromised subjects is obviously of great scientific and social interest . 0 ###LEFT-WALL### 1 qol 0 ###LEFT-WALL### 7 - 1 qol 2 is 2 is 3 essential 3 essential 4 to 4 to 6 well 5 our 6 well 7 - 8 being 7 - 10 and 7 - 29 . 9 , 10 and 10 and 11 investigation 10 and 21 is 11 investigation 12 of 11 investigation 16 underlying 11 investigation 21 is 12 of 15 mechanisms 13 the 15 mechanisms 14 neural 15 mechanisms 16 underlying 17 qol 16 underlying 18 in 18 in 20 subjects 19 uncompromised 20 subjects 21 is 22 obviously 21 is 23 of 23 of 28 interest 24 great 28 interest 25 scientific 26 and 26 and 27 social 26 and 28 interest we used voxel - based morphometry to investigate the association between regional gray matter volume ( rgmv ) and qolmq across the brain in healthy young adults ( age , 21.4 ± 1.8 years [ )(men ( n = 88 ) and women ( n = 68 ) in humans . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 used 0 ###LEFT-WALL### 51 . 1 we 2 used 2 used 6 morphometry 2 used 7 to 2 used 8 investigate 3 voxel 4 - 3 voxel 6 morphometry 5 based 6 morphometry 7 to 8 investigate 8 investigate 42 and 8 investigate 49 in 9 the 10 association 10 association 11 between 10 association 19 and 11 between 15 volume 12 regional 15 volume 13 gray 14 matter 14 matter 15 volume 15 volume 17 rgmv 16 ( 17 rgmv 17 rgmv 18 ) 19 and 20 qolmq 19 and 42 and 20 qolmq 21 across 20 qolmq 24 in 21 across 23 brain 22 the 23 brain 24 in 27 adults 25 healthy 27 adults 26 young 27 adults 27 adults 29 age 27 adults 36 )(men 28 ( 29 age 29 age 30 , 30 , 36 )(men 31 21.4 36 )(men 32 ± 36 )(men 33 1.8 34 years 34 years 36 )(men 36 )(men 39 = 36 )(men 41 ) 37 ( 39 = 38 n 39 = 39 = 40 88 39 = 41 ) 42 and 43 women 42 and 46 = 44 ( 46 = 45 n 46 = 46 = 47 68 46 = 48 ) 49 in 50 humans we found significant negative relationships between qolmq and rgmv in a region in the left rostrolateral prefrontal cortex and regions in the dorsal part of the anterior cingulate gyrus and contingent cingulate regions . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 found 0 ###LEFT-WALL### 34 . 1 we 2 found 2 found 5 relationships 2 found 29 gyrus 2 found 30 and 3 significant 5 relationships 4 negative 5 relationships 5 relationships 6 between 5 relationships 10 in 6 between 8 and 7 qolmq 8 and 8 and 9 rgmv 10 in 12 region 11 a 12 region 12 region 13 in 12 region 25 of 13 in 19 and 14 the 18 cortex 15 left 18 cortex 16 rostrolateral 18 cortex 17 prefrontal 18 cortex 18 cortex 19 and 19 and 20 regions 19 and 21 in 21 in 24 part 22 the 24 part 23 dorsal 24 part 25 of 28 cingulate 26 the 28 cingulate 27 anterior 28 cingulate 30 and 32 cingulate 30 and 33 regions 31 contingent 32 cingulate these findings show that structural variations in regions associated with processing of negative emotions such as fear and anger as well as those associated with evaluation [of] internally generated information are associated with qolmq . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 35 . 1 these 2 findings 2 findings 3 show 3 show 6 variations 3 show 7 in 3 show 10 with 3 show 16 as 3 show 20 as 3 show 33 with 4 that 5 structural 5 structural 6 variations 7 in 8 regions 8 regions 9 associated 10 with 11 processing 11 processing 12 of 12 of 14 emotions 13 negative 14 emotions 15 such 16 as 16 as 18 and 17 fear 18 and 18 and 19 anger 20 as 21 well 21 well 32 associated 22 as 23 those 22 as 32 associated 23 those 24 associated 23 those 25 with 23 those 31 are 25 with 30 information 26 evaluation 30 information 28 internally 29 generated 29 generated 30 information 31 are 32 associated 33 with 34 qolmq these findings suggest that these processes might be related to qolmq in healthy young adults . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 suggest 0 ###LEFT-WALL### 16 . 1 these 2 findings 2 findings 3 suggest 3 suggest 4 that 4 that 6 processes 4 that 9 related 5 these 6 processes 6 processes 7 might 7 might 8 be 8 be 9 related 9 related 10 to 9 related 12 in 10 to 11 qolmq 12 in 15 adults 13 healthy 15 adults 14 young 15 adults objective : individuals suffering from alzheimer 's disease ( ad ) often have impaired awareness or a lack of insight into their cognitive deficits and functional abilities , especially in the later stages of the disease . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 2 : 3 individuals 2 : 14 impaired 2 : 37 . 3 individuals 4 suffering 3 individuals 5 from 3 individuals 10 ad 3 individuals 13 have 5 from 8 disease 6 alzheimer 7 's 7 's 8 disease 9 ( 10 ad 10 ad 11 ) 12 often 13 have 13 have 14 impaired 14 impaired 16 or 14 impaired 21 into 14 impaired 29 especially 15 awareness 16 or 16 or 18 lack 16 or 19 of 17 a 18 lack 19 of 20 insight 21 into 25 and 22 their 24 deficits 23 cognitive 24 deficits 24 deficits 25 and 25 and 27 abilities 25 and 28 , 26 functional 27 abilities 29 especially 30 in 30 in 33 stages 31 the 33 stages 32 later 33 stages 33 stages 34 of 34 of 36 disease 35 the 36 disease previous research has documented a relationship between depression and insight in ad , such that greater awareness of one 's disease has been associated with a higher degree of depression . 0 ###LEFT-WALL### 2 research 0 ###LEFT-WALL### 4 documented 1 previous 2 research 2 research 3 has 3 has 4 documented 4 documented 6 relationship 4 documented 7 between 4 documented 11 in 4 documented 15 that 5 a 6 relationship 7 between 9 and 8 depression 9 and 9 and 10 insight 11 in 12 ad 13 , 15 that 14 such 15 that 15 that 17 awareness 15 that 24 associated 15 that 31 . 16 greater 17 awareness 17 awareness 18 of 17 awareness 22 has 18 of 21 disease 19 one 20 's 20 's 21 disease 22 has 23 been 23 been 24 associated 24 associated 25 with 25 with 30 depression 26 a 28 degree 27 higher 28 degree 28 degree 29 of 28 degree 30 depression 29 of 30 depression however , little is known about the relationship between insight , cognitive decline , and other psychiatric or behavioral problems associated with ad . 0 ###LEFT-WALL### 3 little 0 ###LEFT-WALL### 5 known 0 ###LEFT-WALL### 24 . 1 however 2 , 1 however 3 little 3 little 4 is 4 is 5 known 5 known 6 about 5 known 9 between 5 known 22 with 6 about 8 relationship 7 the 8 relationship 9 between 15 and 10 insight 11 , 11 , 13 decline 11 , 15 and 12 cognitive 13 decline 14 , 15 and 15 and 20 problems 15 and 21 associated 16 other 20 problems 17 psychiatric 18 or 18 or 19 behavioral 18 or 20 problems 22 with 23 ad methods : this study included 107 outpatients who met criteria for probable ad . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 4 study 2 : 5 included 2 : 14 . 3 this 4 study 4 study 5 included 5 included 7 outpatients 6 107 7 outpatients 7 outpatients 8 who 7 outpatients 9 met 8 who 9 met 9 met 10 criteria 10 criteria 11 for 11 for 13 ad 12 probable 13 ad instruments included the neurobehavioral rating scale , the apathy evaluation scale , and the mini mental state exam . 0 ###LEFT-WALL### 1 instruments 0 ###LEFT-WALL### 2 included 0 ###LEFT-WALL### 19 . 1 instruments 2 included 2 included 13 and 3 the 6 scale 4 neurobehavioral 5 rating 5 rating 6 scale 6 scale 7 , 7 , 11 scale 7 , 13 and 8 the 11 scale 9 apathy 10 evaluation 10 evaluation 11 scale 12 , 13 and 13 and 18 exam 14 the 18 exam 15 mini 17 state 16 mental 17 state 17 state 18 exam a series of hierarchical regression analyses were conducted to determine the relationship between insight and depressed mood , anxiety , psychosis , apathy , agitation , and behavioral retardation in ad patients after controlling for cognitive skills . 0 ###LEFT-WALL### 2 series 0 ###LEFT-WALL### 8 conducted 0 ###LEFT-WALL### 38 . 1 a 2 series 2 series 3 of 2 series 7 were 3 of 6 analyses 4 hierarchical 5 regression 5 regression 6 analyses 7 were 8 conducted 8 conducted 9 to 8 conducted 13 between 8 conducted 30 in 8 conducted 33 after 9 to 10 determine 10 determine 12 relationship 11 the 12 relationship 13 between 27 and 14 insight 15 and 15 and 17 mood 15 and 19 anxiety 15 and 27 and 16 depressed 17 mood 18 , 19 anxiety 19 anxiety 21 psychosis 19 anxiety 25 agitation 19 anxiety 26 , 20 , 21 psychosis 21 psychosis 23 apathy 21 psychosis 24 , 22 , 23 apathy 23 apathy 24 , 24 , 25 agitation 25 agitation 26 , 27 and 29 retardation 28 behavioral 29 retardation 30 in 32 patients 31 ad 32 patients 33 after 34 controlling 34 controlling 35 for 35 for 37 skills 36 cognitive 37 skills results : insight was found to significantly predict depressed [mood] , anxiety , and apathy even after controlling for global cognition . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 3 insight 2 : 8 predict 2 : 22 . 3 insight 4 was 4 was 5 found 5 found 6 to 6 to 8 predict 7 significantly 8 predict 8 predict 14 and 8 predict 16 even 9 depressed 11 , 9 depressed 12 anxiety 12 anxiety 14 and 13 , 14 and 14 and 15 apathy 14 and 16 even 16 even 17 after 17 after 18 controlling 18 controlling 19 for 19 for 21 cognition 20 global 21 cognition greater insight was found to be associated with depressed mood [and] anxiety . 0 ###LEFT-WALL### 2 insight 0 ###LEFT-WALL### 4 found 0 ###LEFT-WALL### 13 . 1 greater 2 insight 2 insight 3 was 3 was 4 found 4 found 5 to 5 to 6 be 6 be 7 associated 7 associated 8 with 8 with 12 anxiety 9 depressed 10 mood 10 mood 12 anxiety however , impaired insight was associated with higher levels of apathy . 0 ###LEFT-WALL### 4 insight 0 ###LEFT-WALL### 6 associated 0 ###LEFT-WALL### 12 . 1 however 2 , 1 however 4 insight 3 impaired 4 insight 4 insight 5 was 5 was 6 associated 6 associated 7 with 7 with 9 levels 8 higher 9 levels 9 levels 10 of 10 of 11 apathy conclusion : insight may be differentially related to mood symptoms and apathy within ad , such that patients with intact insight are more depressed , whereas patients with impaired insight are more apathetic . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 5 be 0 ###LEFT-WALL### 34 . 2 : 5 be 3 insight 4 may 4 may 5 be 5 be 7 related 6 differentially 7 related 7 related 8 to 7 related 13 within 7 related 17 that 7 related 26 whereas 8 to 11 and 9 mood 10 symptoms 10 symptoms 11 and 11 and 12 apathy 13 within 14 ad 15 , 17 that 16 such 17 that 17 that 18 patients 17 that 22 are 17 that 25 , 18 patients 19 with 18 patients 22 are 19 with 21 insight 20 intact 21 insight 22 are 24 depressed 23 more 24 depressed 26 whereas 27 patients 26 whereas 31 are 27 patients 28 with 27 patients 31 are 28 with 30 insight 29 impaired 30 insight 31 are 33 apathetic 32 more 33 apathetic this suggests that assessment of insight in ad may complement the clinical evaluation of depression and apathy in ad and help guide the most appropriate interventions . 0 ###LEFT-WALL### 1 this 0 ###LEFT-WALL### 2 suggests 0 ###LEFT-WALL### 27 . 1 this 2 suggests 2 suggests 3 that 3 that 4 assessment 3 that 20 and 4 assessment 5 of 4 assessment 9 may 5 of 6 insight 6 insight 7 in 7 in 8 ad 9 may 20 and 10 complement 13 evaluation 10 complement 18 in 10 complement 20 and 11 the 13 evaluation 12 clinical 13 evaluation 13 evaluation 14 of 14 of 16 and 15 depression 16 and 16 and 17 apathy 18 in 19 ad 20 and 21 help 20 and 26 interventions 21 help 22 guide 22 guide 24 most 23 the 24 most 25 appropriate 26 interventions [published] 2013 . 0 ###LEFT-WALL### 2 2013 0 ###LEFT-WALL### 3 . this article is a u.s [.] government work and is in the public domain in the usa . 0 ###LEFT-WALL### 2 article 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 18 . 1 this 2 article 2 article 9 and 3 is 8 work 3 is 9 and 4 a 8 work 5 u.s 7 government 7 government 8 work 9 and 10 is 9 and 15 in 10 is 11 in 11 in 14 domain 12 the 14 domain 13 public 14 domain 15 in 17 usa 16 the 17 usa annual costs are enormous for musculoskeletal diseases such as osteoporosis and sarcopenia and for bone [and] muscle injuries , costing billions annually in health care . 0 ###LEFT-WALL### 2 costs 0 ###LEFT-WALL### 3 are 1 annual 2 costs 2 costs 3 are 3 are 4 enormous 4 enormous 13 and 5 for 11 and 5 for 13 and 6 musculoskeletal 7 diseases 7 diseases 9 as 7 diseases 11 and 8 such 9 as 9 as 10 osteoporosis 11 and 12 sarcopenia 13 and 14 for 14 for 18 injuries 15 bone 18 injuries 17 muscle 18 injuries 18 injuries 20 costing 19 , 20 costing 20 costing 21 billions 20 costing 22 annually 20 costing 23 in 20 costing 26 . 23 in 25 care 24 health 25 care although it is clear that muscle and bone development , growth , and function are connected , and that muscle loads bone , little is known regarding cellular and molecular interactions between these two tissues . 0 ###LEFT-WALL### 24 little 0 ###LEFT-WALL### 25 is 0 ###LEFT-WALL### 36 . 1 although 2 it 1 although 3 is 1 although 23 , 1 although 24 little 2 it 3 is 3 is 4 clear 4 clear 18 and 5 that 13 and 5 that 16 connected 5 that 18 and 6 muscle 7 and 7 and 9 development 7 and 11 growth 7 and 13 and 8 bone 9 development 10 , 11 growth 11 growth 12 , 13 and 14 function 13 and 15 are 15 are 16 connected 16 connected 17 , 18 and 19 that 19 that 21 loads 19 that 22 bone 20 muscle 21 loads 21 loads 22 bone 24 little 25 is 25 is 31 interactions 25 is 32 between 26 known 31 interactions 27 regarding 31 interactions 28 cellular 29 and 29 and 30 molecular 29 and 31 interactions 32 between 35 tissues 33 these 34 two 34 two 35 tissues a conference supported by the national institutes of health ( nih ) and the american society for bone and mineral research ( asbmr ) was held in july 2012 to address the enormous burden of musculoskeletal disease . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 26 held 1 a 2 conference 2 conference 3 supported 2 conference 13 and 3 supported 4 by 4 by 7 institutes 5 the 7 institutes 6 national 7 institutes 7 institutes 8 of 7 institutes 11 nih 8 of 9 health 10 ( 11 nih 11 nih 12 ) 13 and 15 american 14 the 15 american 16 society 17 for 16 society 26 held 17 for 20 mineral 18 bone 19 and 19 and 20 mineral 20 mineral 23 asbmr 20 mineral 25 was 21 research 23 asbmr 22 ( 23 asbmr 23 asbmr 24 ) 23 asbmr 25 was 26 held 27 in 26 held 30 to 26 held 38 . 27 in 28 july 28 july 29 2012 30 to 31 address 31 address 34 burden 32 the 34 burden 33 enormous 34 burden 34 burden 35 of 35 of 37 disease 36 musculoskeletal 37 disease national and international experts in either bone or muscle presented their findings and their novel hypotheses regarding muscle - bone interactions to stimulate the exchange of ideas between these two fields . 0 ###LEFT-WALL### 13 and 1 national 2 and 2 and 3 international 2 and 8 or 2 and 10 presented 2 and 13 and 4 experts 5 in 4 experts 8 or 5 in 7 bone 6 either 7 bone 8 or 9 muscle 8 or 10 presented 10 presented 12 findings 11 their 12 findings 13 and 16 hypotheses 13 and 17 regarding 14 their 16 hypotheses 15 novel 16 hypotheses 17 regarding 18 muscle 18 muscle 21 interactions 19 - 21 interactions 20 bone 21 interactions 21 interactions 22 to 21 interactions 23 stimulate 21 interactions 32 . 22 to 23 stimulate 23 stimulate 25 exchange 23 stimulate 28 between 24 the 25 exchange 25 exchange 26 of 26 of 27 ideas 28 between 31 fields 29 these 30 two 30 two 31 fields the immediate goal of the conference was to identify critical research themes that would lead to collaborative research interactions and grant applications focusing on interactions between muscle and bone . 0 ###LEFT-WALL### 3 goal 0 ###LEFT-WALL### 23 focusing 0 ###LEFT-WALL### 30 . 1 the 3 goal 2 immediate 3 goal 3 goal 4 of 3 goal 7 was 4 of 6 conference 5 the 6 conference 7 was 8 to 7 was 9 identify 8 to 9 identify 9 identify 12 themes 10 critical 11 research 11 research 12 themes 12 themes 13 that 12 themes 23 focusing 13 that 14 would 14 would 15 lead 15 lead 16 to 16 to 22 applications 17 collaborative 19 interactions 18 research 19 interactions 19 interactions 20 and 20 and 21 grant 20 and 22 applications 22 applications 23 focusing 23 focusing 24 on 24 on 25 interactions 25 interactions 26 between 26 between 28 and 27 muscle 28 and 28 and 29 bone the ultimate goal of the meeting was to generate a better understanding of how these two tissues integrate [and] crosstalk in both health and disease to stimulate new therapeutic strategies to enhance and maintain musculoskeletal health . 0 ###LEFT-WALL### 3 goal 0 ###LEFT-WALL### 18 integrate 0 ###LEFT-WALL### 37 . 1 the 3 goal 2 ultimate 3 goal 3 goal 4 of 3 goal 7 was 4 of 6 meeting 5 the 6 meeting 7 was 8 to 7 was 9 generate 8 to 9 generate 9 generate 12 understanding 10 a 12 understanding 11 better 12 understanding 12 understanding 13 of 12 understanding 17 tissues 12 understanding 18 integrate 13 of 14 how 15 these 16 two 16 two 17 tissues 17 tissues 18 integrate 18 integrate 20 crosstalk 20 crosstalk 21 in 20 crosstalk 26 to 20 crosstalk 34 maintain 21 in 24 and 22 both 24 and 23 health 24 and 24 and 25 disease 26 to 33 and 27 stimulate 30 strategies 27 stimulate 33 and 28 new 30 strategies 29 therapeutic 30 strategies 30 strategies 31 to 30 strategies 32 enhance 31 to 32 enhance 33 and 34 maintain 34 maintain 36 health 35 musculoskeletal 36 health many countries , including the usa , publish predicted numbers of cancer [incidence] and death in current and future years for the whole country . 0 ###LEFT-WALL### 2 countries 0 ###LEFT-WALL### 8 publish 0 ###LEFT-WALL### 25 . 1 many 2 countries 2 countries 4 including 2 countries 8 publish 3 , 4 including 4 including 6 usa 4 including 7 , 5 the 6 usa 8 publish 14 and 8 publish 16 in 8 publish 21 for 9 predicted 10 numbers 10 numbers 11 of 10 numbers 12 cancer 11 of 12 cancer 12 cancer 14 and 14 and 15 death 16 in 20 years 17 current 18 and 18 and 19 future 18 and 20 years 21 for 24 country 22 the 24 country 23 whole 24 country these predictions provide important information on the cancer burden for cancer control planners , policymakers and the general public . 0 ###LEFT-WALL### 2 predictions 0 ###LEFT-WALL### 3 provide 0 ###LEFT-WALL### 20 . 1 these 2 predictions 2 predictions 3 provide 3 provide 5 information 3 provide 6 on 3 provide 10 for 4 important 5 information 6 on 9 burden 7 the 9 burden 8 cancer 9 burden 10 for 16 and 11 cancer 13 planners 12 control 13 planners 13 planners 14 , 14 , 15 policymakers 14 , 16 and 16 and 19 public 17 the 19 public 18 general 19 public based on evidence from several empirical studies , the joinpoint ( segmented - line linear regression ) [model] ( jpm ) has been adopted by the american cancer society to estimate the number of new cancer cases in the usa and in individual states since 2007 . 0 ###LEFT-WALL### 8 , 0 ###LEFT-WALL### 47 . 1 based 2 on 1 based 7 studies 1 based 8 , 2 on 3 evidence 3 evidence 4 from 4 from 5 several 6 empirical 7 studies 8 , 31 estimate 9 the 10 joinpoint 10 joinpoint 12 segmented 10 joinpoint 16 regression 10 joinpoint 20 jpm 10 joinpoint 22 has 11 ( 12 segmented 12 segmented 13 - 13 - 16 regression 14 line 16 regression 15 linear 16 regression 16 regression 17 ) 19 ( 20 jpm 20 jpm 21 ) 22 has 23 been 23 been 24 adopted 24 adopted 25 by 24 adopted 30 to 25 by 29 society 26 the 29 society 27 american 29 society 28 cancer 29 society 30 to 31 estimate 31 estimate 37 cases 31 estimate 45 since 32 the 33 number 33 number 34 of 33 number 37 cases 34 of 37 cases 35 new 36 cancer 36 cancer 37 cases 37 cases 41 and 38 in 40 usa 38 in 41 and 39 the 40 usa 41 and 42 in 42 in 44 states 43 individual 44 states 45 since 46 2007 recently , cancer [incidence] in smaller geographic regions such as counties , and local policy makers are increasingly interested with federal information processing standard code regions . 0 ###LEFT-WALL### 13 and 0 ###LEFT-WALL### 17 are 0 ###LEFT-WALL### 27 . 1 recently 2 , 1 recently 13 and 3 cancer 5 in 3 cancer 13 and 5 in 8 regions 6 smaller 8 regions 7 geographic 8 regions 8 regions 10 as 9 such 10 as 10 as 11 counties 12 , 13 and 13 and 16 makers 13 and 17 are 14 local 15 policy 15 policy 16 makers 17 are 18 increasingly 17 are 19 interested 19 interested 20 with 20 with 26 regions 21 federal 22 information 22 information 23 processing 23 processing 24 standard 24 standard 25 code 25 code 26 regions the natural extension is to directly apply the jpm to county [-] level cancer incidence data . 0 ###LEFT-WALL### 3 extension 0 ###LEFT-WALL### 17 . 1 the 3 extension 2 natural 3 extension 3 extension 4 is 4 is 5 to 4 is 7 apply 5 to 7 apply 6 directly 7 apply 7 apply 9 jpm 7 apply 10 to 8 the 9 jpm 10 to 16 data 11 county 13 level 13 level 14 cancer 14 cancer 16 data 15 incidence 16 data the direct application has several drawbacks and its performance has not been evaluated . 0 ###LEFT-WALL### 3 application 0 ###LEFT-WALL### 4 has 0 ###LEFT-WALL### 7 and 0 ###LEFT-WALL### 14 . 1 the 3 application 2 direct 3 application 3 application 4 has 4 has 6 drawbacks 5 several 6 drawbacks 7 and 9 performance 7 and 13 evaluated 8 its 9 performance 9 performance 10 has 10 has 11 not 10 has 12 been 12 been 13 evaluated to address the concerns , we developed a spatial random - effects jpm for county [-] level cancer incidence data . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 2 address 0 ###LEFT-WALL### 5 , 0 ###LEFT-WALL### 21 . 1 to 2 address 2 address 4 concerns 3 the 4 concerns 5 , 6 we 5 , 7 developed 6 we 7 developed 7 developed 13 jpm 8 a 9 spatial 8 a 13 jpm 9 spatial 13 jpm 10 random 11 - 10 random 12 effects 12 effects 13 jpm 13 jpm 14 for 14 for 20 data 15 county 17 level 17 level 20 data 18 cancer 20 data 19 incidence 20 data the proposed model was used to predict both cancer incidence rates and counts at the county level . 0 ###LEFT-WALL### 3 model 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 18 . 1 the 3 model 2 proposed 3 model 3 model 12 and 4 was 5 used 4 was 12 and 5 used 6 to 5 used 7 predict 6 to 7 predict 7 predict 11 rates 8 both 11 rates 9 cancer 11 rates 10 incidence 11 rates 12 and 13 counts 12 and 14 at 12 and 17 level 14 at 16 county 15 the 16 county the standard jpm and the proposed method were compared through a validation study . 0 ###LEFT-WALL### 2 standard 0 ###LEFT-WALL### 9 compared 0 ###LEFT-WALL### 14 . 1 the 2 standard 2 standard 4 and 2 standard 8 were 2 standard 9 compared 3 jpm 4 and 4 and 7 method 4 and 8 were 5 the 7 method 6 proposed 7 method 9 compared 10 through 10 through 13 study 11 a 13 study 12 validation 13 study the proposed method outperformed the standard jpm for almost all cancer sites [,] especially for moderate or rare cancer sites and for counties with small population sizes . 0 ###LEFT-WALL### 3 method 0 ###LEFT-WALL### 4 outperformed 0 ###LEFT-WALL### 28 . 1 the 3 method 2 proposed 3 method 3 method 4 outperformed 4 outperformed 6 standard 5 the 6 standard 6 standard 7 jpm 6 standard 12 sites 7 jpm 8 for 7 jpm 12 sites 8 for 11 cancer 9 almost 10 all 10 all 11 cancer 12 sites 14 especially 14 especially 21 and 15 for 20 sites 15 for 21 and 16 moderate 17 or 17 or 18 rare 17 or 19 cancer 19 cancer 20 sites 21 and 22 for 22 for 23 counties 23 counties 24 with 24 with 27 sizes 25 small 26 population 26 population 27 sizes as an application , we predicted county [-] level prostate cancer incidence rates and counts for the year 2011 in connecticut . 0 ###LEFT-WALL### 5 we 0 ###LEFT-WALL### 14 and 0 ###LEFT-WALL### 22 . 1 as 3 application 1 as 4 , 1 as 5 we 2 an 3 application 5 we 14 and 6 predicted 13 rates 6 predicted 14 and 7 county 9 level 9 level 13 rates 10 prostate 13 rates 11 cancer 13 rates 12 incidence 13 rates 14 and 15 counts 14 and 16 for 14 and 20 in 16 for 18 year 17 the 18 year 18 year 19 2011 20 in 21 connecticut objective : during recent decades , the prevalence of metabolic morbidity has increased rapidly in adult greenlandic inuit . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 19 . 1 objective 2 : 2 : 3 during 3 during 5 decades 4 recent 5 decades 6 , 8 prevalence 6 , 13 increased 7 the 8 prevalence 8 prevalence 9 of 8 prevalence 12 has 9 of 11 morbidity 10 metabolic 11 morbidity 12 has 13 increased 13 increased 14 rapidly 13 increased 15 in 13 increased 18 inuit 15 in 17 greenlandic 16 adult 17 greenlandic to what extent this is also reflected in the juvenile inuit population is unknown . 0 ###LEFT-WALL### 1 to 0 ###LEFT-WALL### 13 is 0 ###LEFT-WALL### 15 . 1 to 2 what 1 to 13 is 2 what 3 extent 2 what 7 reflected 3 extent 4 this 3 extent 5 is 3 extent 7 reflected 4 this 5 is 5 is 6 also 7 reflected 8 in 8 in 10 juvenile 9 the 10 juvenile 11 inuit 12 population 12 population 13 is 13 is 14 unknown results : both inuit children living in nuuk and the northern villages had significantly higher glucose , total cholesterol , apolipoprotein a1 levels , and diastolic blood pressure compared with danish children after adjustment for differences in adiposity and aerobic fitness levels . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 29 compared 0 ###LEFT-WALL### 43 . 1 results 2 : 2 : 5 children 3 both 5 children 4 inuit 5 children 5 children 6 living 6 living 7 in 7 in 8 nuuk 9 and 12 villages 9 and 13 had 10 the 12 villages 11 northern 12 villages 12 villages 13 had 13 had 25 and 13 had 29 compared 14 significantly 15 higher 15 higher 16 glucose 16 glucose 17 , 17 , 19 cholesterol 17 , 20 , 18 total 19 cholesterol 20 , 23 levels 20 , 25 and 21 apolipoprotein 23 levels 22 a1 23 levels 24 , 25 and 25 and 28 pressure 26 diastolic 28 pressure 27 blood 28 pressure 29 compared 30 with 29 compared 33 after 30 with 32 children 31 danish 32 children 33 after 34 adjustment 34 adjustment 35 for 35 for 39 and 36 differences 37 in 36 differences 39 and 37 in 38 adiposity 39 and 40 aerobic 39 and 41 fitness 39 and 42 levels 41 fitness 42 levels the inuit children living in nuuk had significantly higher bmi , body fat [%] , hba1 [c] , and significantly lower aerobic fitness and apoa1 levels than northern living inuit children . 0 ###LEFT-WALL### 3 children 0 ###LEFT-WALL### 7 had 0 ###LEFT-WALL### 32 . 1 the 3 children 2 inuit 3 children 3 children 4 living 3 children 7 had 4 living 5 in 5 in 6 nuuk 7 had 24 and 7 had 27 than 8 significantly 9 higher 9 higher 10 bmi 10 bmi 11 , 11 , 13 fat 11 , 15 , 12 body 13 fat 15 , 16 hba1 15 , 19 and 18 , 19 and 19 and 23 fitness 19 and 24 and 20 significantly 21 lower 21 lower 23 fitness 22 aerobic 23 fitness 24 and 26 levels 25 apoa1 26 levels 27 than 31 children 28 northern 29 living 29 living 31 children 30 inuit 31 children conclusions : greenlandic inuit children had adverse metabolic health profile compared to the danish children , the differences where more pronounced in inuit children living in nuuk . 0 ###LEFT-WALL### 1 conclusions 0 ###LEFT-WALL### 2 : 2 : 5 children 2 : 6 had 3 greenlandic 5 children 4 inuit 5 children 5 children 6 had 6 had 10 profile 7 adverse 9 health 8 metabolic 9 health 9 health 10 profile 10 profile 11 compared 11 compared 12 to 12 to 15 children 13 the 15 children 14 danish 15 children 15 children 18 differences 16 , 18 differences 17 the 18 differences 18 differences 19 where 18 differences 25 living 18 differences 28 . 19 where 20 more 19 where 21 pronounced 20 more 21 pronounced 21 pronounced 22 in 21 pronounced 24 children 22 in 23 inuit 25 living 26 in 26 in 27 nuuk the tendencies toward higher prevalence of diabetes and metabolic morbidity in the adult greenlandic inuit population may also be present in the inuit children population . 0 ###LEFT-WALL### 8 and 0 ###LEFT-WALL### 19 be 0 ###LEFT-WALL### 26 . 1 the 2 tendencies 2 tendencies 3 toward 2 tendencies 8 and 3 toward 5 prevalence 4 higher 5 prevalence 5 prevalence 6 of 6 of 7 diabetes 8 and 10 morbidity 8 and 11 in 8 and 17 may 9 metabolic 10 morbidity 11 in 16 population 12 the 16 population 13 adult 16 population 14 greenlandic 16 population 15 inuit 16 population 17 may 19 be 18 also 19 be 19 be 20 present 20 present 21 in 21 in 25 population 22 the 25 population 23 inuit 25 population 24 children 25 population background : proton pump inhibitors ( ppis ) are a class of drugs that is extensively used for common gastrointestinal disorders and often prescribed long - term for years . 0 ###LEFT-WALL### 1 background 0 ###LEFT-WALL### 2 : 2 : 5 inhibitors 2 : 9 are 2 : 30 . 3 proton 5 inhibitors 4 pump 5 inhibitors 5 inhibitors 7 ppis 5 inhibitors 9 are 6 ( 7 ppis 7 ppis 8 ) 9 are 11 class 10 a 11 class 11 class 12 of 11 class 14 that 11 class 15 is 12 of 13 drugs 14 that 15 is 15 is 17 used 16 extensively 17 used 17 used 18 for 18 for 22 and 19 common 21 disorders 20 gastrointestinal 21 disorders 21 disorders 22 and 22 and 27 term 22 and 28 for 23 often 24 prescribed 24 prescribed 27 term 25 long 26 - 25 long 27 term 28 for 29 years long - term ppi treatment is associated with an increased risk of fractures in the general population . 0 ###LEFT-WALL### 5 treatment 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 18 . 1 long 2 - 1 long 3 term 3 term 5 treatment 4 ppi 5 treatment 5 treatment 6 is 6 is 7 associated 7 associated 8 with 7 associated 14 in 8 with 11 risk 9 an 11 risk 10 increased 11 risk 11 risk 12 of 12 of 13 fractures 14 in 17 population 15 the 17 population 16 general 17 population several studies have suggested a relationship between vascular calcification , which is a predictor of cardiovascular morbidity and mortality , impaired bone metabolism and fractures . 0 ###LEFT-WALL### 2 studies 0 ###LEFT-WALL### 4 suggested 0 ###LEFT-WALL### 26 . 1 several 2 studies 2 studies 3 have 3 have 4 suggested 4 suggested 6 relationship 4 suggested 21 impaired 5 a 6 relationship 6 relationship 7 between 6 relationship 11 which 6 relationship 21 impaired 7 between 9 calcification 8 vascular 9 calcification 10 , 11 which 11 which 12 is 11 which 20 , 12 is 14 predictor 13 a 14 predictor 14 predictor 15 of 15 of 18 and 16 cardiovascular 17 morbidity 17 morbidity 18 and 18 and 19 mortality 21 impaired 24 and 22 bone 23 metabolism 23 metabolism 24 and 24 and 25 fractures in dialysis patients , vascular calcifications are widespread and [are] connected [to] bone health . 0 ###LEFT-WALL### 6 calcifications 0 ###LEFT-WALL### 7 are 0 ###LEFT-WALL### 15 . 1 in 3 patients 1 in 4 , 1 in 6 calcifications 2 dialysis 3 patients 5 vascular 6 calcifications 6 calcifications 7 are 7 are 9 and 8 widespread 9 and 9 and 14 health 11 connected 13 bone 13 bone 14 health objective : the aim of this study was to assess the association between the use of ppis and vascular calcifications involving the aorta and iliac arteries in haemodialysis patients . 0 ###LEFT-WALL### 1 objective 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 10 assess 0 ###LEFT-WALL### 30 . 2 : 4 aim 3 the 4 aim 4 aim 5 of 4 aim 7 study 4 aim 10 assess 5 of 6 this 7 study 8 was 8 was 9 to 8 was 10 assess 9 to 10 assess 10 assess 24 and 11 the 12 association 12 association 13 between 12 association 16 of 12 association 24 and 13 between 15 use 14 the 15 use 16 of 18 and 17 ppis 18 and 18 and 20 calcifications 18 and 21 involving 19 vascular 20 calcifications 21 involving 23 aorta 22 the 23 aorta 24 and 26 arteries 24 and 27 in 25 iliac 26 arteries 27 in 29 patients 28 haemodialysis 29 patients methods : between november 2008 and november 2009 , 387 patients receiving long - term dialysis treatment ( ≥1 [year] ) were enrolled in a multicentre ( 18 dialysis units ) , cross - sectional study . 0 ###LEFT-WALL### 1 methods 0 ###LEFT-WALL### 2 : 2 : 8 2009 2 : 15 term 2 : 37 . 3 between 6 and 3 between 8 2009 4 november 5 2008 4 november 6 and 6 and 7 november 8 2009 11 patients 8 2009 15 term 9 , 11 patients 10 387 11 patients 11 patients 12 receiving 11 patients 14 - 12 receiving 13 long 15 term 16 dialysis 15 term 36 study 16 dialysis 17 treatment 16 dialysis 22 were 16 dialysis 23 enrolled 17 treatment 19 ≥1 17 treatment 22 were 18 ( 19 ≥1 19 ≥1 21 ) 23 enrolled 24 in 23 enrolled 34 - 23 enrolled 35 sectional 24 in 33 cross 25 a 26 multicentre 25 a 33 cross 26 multicentre 30 units 26 multicentre 32 , 26 multicentre 33 cross 27 ( 30 units 28 18 30 units 29 dialysis 30 units 30 units 31 ) overall , 76.2 % of patients were receiving long - term ppi treatment . 0 ###LEFT-WALL### 4 % 0 ###LEFT-WALL### 7 were 0 ###LEFT-WALL### 14 . 1 overall 2 , 1 overall 4 % 3 76.2 4 % 4 % 5 of 4 % 7 were 5 of 6 patients 7 were 8 receiving 8 receiving 13 treatment 9 long 10 - 9 long 11 term 11 term 13 treatment 12 ppi 13 treatment the main outcome measure was calcification of the aorta and iliac arteries in relation to ppi use . 0 ###LEFT-WALL### 4 measure 0 ###LEFT-WALL### 5 was 0 ###LEFT-WALL### 18 . 1 the 4 measure 2 main 4 measure 3 outcome 4 measure 4 measure 5 was 5 was 6 calcification 6 calcification 7 of 6 calcification 15 to 7 of 10 and 8 the 9 aorta 9 aorta 10 and 10 and 12 arteries 11 iliac 12 arteries 13 in 14 relation 14 relation 15 to 15 to 17 use 16 ppi 17 use [standardized] [radiographs] [were] sent to the coordinating centre [for] centralized evaluation in duplicate [by] two physicians [who] were blind to ppi status . 0 ###LEFT-WALL### 4 sent 0 ###LEFT-WALL### 18 were 0 ###LEFT-WALL### 23 . 4 sent 5 to 4 sent 12 in 4 sent 18 were 5 to 11 evaluation 6 the 11 evaluation 7 coordinating 10 centralized 8 centre 10 centralized 10 centralized 11 evaluation 12 in 13 duplicate 13 duplicate 15 two 16 physicians 18 were 18 were 19 blind 19 blind 20 to 20 to 22 status 21 ppi 22 status results : arterial calcifications were significantly more common in the ppi group ( p < 0.01 ) . 0 ###LEFT-WALL### 1 results 0 ###LEFT-WALL### 2 : 2 : 4 calcifications 2 : 5 were 2 : 18 . 3 arterial 4 calcifications 4 calcifications 5 were 5 were 8 common 6 significantly 7 more 7 more 8 common 8 common 9 in 9 in 12 group 10 the 12 group 11 ppi 12 group 12 group 15 < 13 ( 15 < 14 p 15 < 15 < 16 0.01 15 < 17 ) also , the rates of aortic and iliac calcifications considered separately were higher ( +12.2 [%] , p = 0.0254 ; [and] +13.6 [%] , p = 0.0211 , respectively ) . 0 ###LEFT-WALL### 4 rates 0 ###LEFT-WALL### 19 = 0 ###LEFT-WALL### 21 ; 0 ###LEFT-WALL### 23 +13.6 0 ###LEFT-WALL### 32 . 1 also 2 , 1 also 4 rates 3 the 4 rates 4 rates 5 of 4 rates 19 = 5 of 7 and 6 aortic 7 and 7 and 8 iliac 7 and 9 calcifications 7 and 12 were 7 and 15 +12.2 9 calcifications 10 considered 9 calcifications 12 were 11 separately 12 were 12 were 13 higher 14 ( 15 +12.2 15 +12.2 17 , 18 p 19 = 19 = 20 0.0254 21 ; 23 +13.6 23 +13.6 27 = 23 +13.6 30 respectively 25 , 27 = 26 p 27 = 27 = 28 0.0211 27 = 29 , 29 , 30 respectively 30 respectively 31 ) after correction for the propensity score , the odds ratios [ ors ] ( 95 % ci ) related to ppi use were aorta 1.89 ( 1.01 - 3.54 ) , p = 0.048 ; iliac arteries 2.27 ( 1.31 - 3.92 ) , p = 0.003 ; aorta and iliac arteries 2.59 ( 1.48 - 4.53 ) , p = 0.008 . 0 ###LEFT-WALL### 9 odds 0 ###LEFT-WALL### 23 were 0 ###LEFT-WALL### 35 ; 0 ###LEFT-WALL### 63 . 1 after 2 correction 1 after 7 , 1 after 9 odds 2 correction 3 for 3 for 6 score 4 the 6 score 5 propensity 6 score 8 the 9 odds 9 odds 10 ratios 9 odds 19 related 9 odds 23 were 10 ratios 12 ors 10 ratios 17 ci 10 ratios 19 related 11 [ 12 ors 12 ors 13 ] 14 ( 17 ci 15 95 17 ci 16 % 17 ci 17 ci 18 ) 19 related 20 to 20 to 22 use 21 ppi 22 use 23 were 24 aorta 24 aorta 25 1.89 24 aorta 33 = 26 ( 28 - 27 1.01 28 - 28 - 29 3.54 28 - 30 ) 28 - 33 = 31 , 33 = 32 p 33 = 33 = 34 0.048 35 ; 37 arteries 35 ; 46 = 35 ; 48 ; 36 iliac 37 arteries 37 arteries 38 2.27 37 arteries 40 1.31 37 arteries 46 = 39 ( 40 1.31 40 1.31 42 3.92 40 1.31 44 , 41 - 42 3.92 42 3.92 43 ) 45 p 46 = 46 = 47 0.003 48 ; 49 aorta 48 ; 50 and 50 and 52 arteries 50 and 61 = 51 iliac 52 arteries 52 arteries 53 2.59 52 arteries 55 1.48 52 arteries 61 = 54 ( 55 1.48 55 1.48 57 4.53 55 1.48 59 , 56 - 57 4.53 57 4.53 58 ) 60 p 61 = 61 = 62 0.008 the ors ( 95 % ci ) related to the association of warfarin [+] ppi were aorta 2.19 ( 0.95 - 5.00 ) , p = 0.06 ; iliac arteries 2.90 ( 1.07 - 7.86 ) , p = 0.036 ; aorta and iliac arteries 2.69 ( 1.03 - 6.96 ) , p = 0.042 . 0 ###LEFT-WALL### 2 ors 0 ###LEFT-WALL### 28 ; 0 ###LEFT-WALL### 56 . 1 the 2 ors 2 ors 6 ci 2 ors 8 related 3 ( 6 ci 4 95 6 ci 5 % 6 ci 6 ci 7 ) 8 related 9 to 8 related 17 aorta 8 related 26 = 9 to 11 association 10 the 11 association 11 association 12 of 12 of 13 warfarin 13 warfarin 15 ppi 13 warfarin 16 were 15 ppi 16 were 17 aorta 18 2.19 19 ( 21 - 20 0.95 21 - 21 - 22 5.00 21 - 23 ) 21 - 26 = 24 , 26 = 25 p 26 = 26 = 27 0.06 26 = 28 ; 28 ; 29 iliac 28 ; 41 ; 29 iliac 30 arteries 30 arteries 31 2.90 30 arteries 39 = 32 ( 34 - 33 1.07 34 - 34 - 35 7.86 34 - 36 ) 34 - 39 = 37 , 39 = 38 p 39 = 39 = 40 0.036 41 ; 42 aorta 41 ; 43 and 43 and 45 arteries 43 and 54 = 44 iliac 45 arteries 45 arteries 46 2.69 45 arteries 48 1.03 45 arteries 54 = 47 ( 48 1.03 48 1.03 50 6.96 48 1.03 52 , 49 - 50 6.96 50 6.96 51 ) 53 p 54 = 54 = 55 0.042 conclusion : in haemodialysis patients , long - term treatment with ppis , especially in the presence of warfarin treatment , is associated with vascular calcifications . 0 ###LEFT-WALL### 1 conclusion 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 6 , 0 ###LEFT-WALL### 27 . 1 conclusion 2 : 2 : 3 in 3 in 5 patients 4 haemodialysis 5 patients 6 , 10 treatment 6 , 23 associated 7 long 8 - 7 long 9 term 9 term 10 treatment 10 treatment 11 with 10 treatment 15 in 10 treatment 22 is 11 with 12 ppis 13 , 14 especially 13 , 15 in 15 in 17 presence 15 in 21 , 16 the 17 presence 17 presence 18 of 18 of 20 treatment 19 warfarin 20 treatment 22 is 23 associated 23 associated 24 with 24 with 26 calcifications 25 vascular 26 calcifications many physiological and pathological conditions are associated with a change in the crystalline lens transmittance . 0 ###LEFT-WALL### 5 conditions 0 ###LEFT-WALL### 7 associated 0 ###LEFT-WALL### 16 . 1 many 5 conditions 2 physiological 3 and 3 and 4 pathological 3 and 5 conditions 5 conditions 6 are 6 are 7 associated 7 associated 8 with 7 associated 11 in 8 with 10 change 9 a 10 change 11 in 15 transmittance 12 the 15 transmittance 13 crystalline 14 lens 14 lens 15 transmittance estimates of lens opacification , however , generally rely on subjective rather [than] objective measures in clinical practice . 0 ###LEFT-WALL### 1 estimates 0 ###LEFT-WALL### 9 rely 0 ###LEFT-WALL### 19 . 1 estimates 2 of 1 estimates 9 rely 2 of 4 opacification 3 lens 4 opacification 5 , 6 however 6 however 7 , 6 however 9 rely 8 generally 9 rely 9 rely 10 on 9 rely 16 in 10 on 15 measures 11 subjective 15 measures 12 rather 14 objective 14 objective 15 measures 16 in 18 practice 17 clinical 18 practice the goal of our study was to develop an improved psychophysical heterochromatic flicker photometry technique combined with existing mathematical models to evaluate the spectral transmittance of the human ocular media noninvasively . 0 ###LEFT-WALL### 2 goal 0 ###LEFT-WALL### 16 combined 0 ###LEFT-WALL### 32 . 1 the 2 goal 2 goal 3 of 2 goal 6 was 3 of 5 study 4 our 5 study 6 was 7 to 6 was 8 develop 7 to 8 develop 8 develop 13 flicker 9 an 13 flicker 10 improved 13 flicker 11 psychophysical 13 flicker 12 heterochromatic 13 flicker 13 flicker 15 technique 13 flicker 16 combined 14 photometry 15 technique 15 technique 16 combined 16 combined 17 with 16 combined 21 to 17 with 20 models 18 existing 20 models 19 mathematical 20 models 21 to 22 evaluate 22 evaluate 25 transmittance 22 evaluate 31 noninvasively 23 the 25 transmittance 24 spectral 25 transmittance 25 transmittance 26 of 26 of 30 media 27 the 30 media 28 human 30 media 29 ocular 30 media our results show that it is possible to accurately estimate ocular media density in vivo in humans . 0 ###LEFT-WALL### 2 results 0 ###LEFT-WALL### 3 show 0 ###LEFT-WALL### 18 . 1 our 2 results 2 results 3 show 3 show 4 that 4 that 5 it 4 that 6 is 5 it 6 is 6 is 7 possible 7 possible 8 to 7 possible 10 estimate 8 to 10 estimate 9 accurately 10 estimate 10 estimate 13 density 10 estimate 15 vivo 10 estimate 16 in 11 ocular 12 media 12 media 13 density 14 in 15 vivo 16 in 17 humans potential applications of our approach include basic research and clinical settings on visual and nonimage - forming visual systems . 0 ###LEFT-WALL### 2 applications 0 ###LEFT-WALL### 6 include 0 ###LEFT-WALL### 20 . 1 potential 2 applications 2 applications 3 of 2 applications 6 include 3 of 5 approach 4 our 5 approach 6 include 9 and 6 include 12 on 7 basic 8 research 8 research 9 and 9 and 11 settings 10 clinical 11 settings 12 on 14 and 13 visual 14 and 14 and 19 systems 15 nonimage 16 - 15 nonimage 19 systems 17 forming 19 systems 18 visual 19 systems the extension of both median and maximum lifespan and the suppression of age - related diseases in laboratory animals by reduced food intake , i.e [.] , calorie restriction [(] cr ) are regarded as hallmarks of cr 's anti - aging action . 0 ###LEFT-WALL### 9 and 0 ###LEFT-WALL### 34 regarded 0 ###LEFT-WALL### 44 . 1 the 2 extension 2 extension 3 of 2 extension 9 and 3 of 8 lifespan 4 both 6 and 5 median 6 and 6 and 7 maximum 6 and 8 lifespan 9 and 11 suppression 9 and 33 are 10 the 11 suppression 11 suppression 12 of 12 of 13 age 13 age 16 diseases 13 age 25 i.e 14 - 16 diseases 15 related 16 diseases 16 diseases 17 in 16 diseases 24 , 17 in 19 animals 18 laboratory 19 animals 19 animals 20 by 20 by 23 intake 21 reduced 22 food 22 food 23 intake 24 , 25 i.e 25 i.e 31 cr 25 i.e 32 ) 27 , 31 cr 28 calorie 29 restriction 29 restriction 31 cr 31 cr 32 ) 33 are 34 regarded 34 regarded 35 as 35 as 36 hallmarks 36 hallmarks 37 of 37 of 43 action 38 cr 39 's 39 's 43 action 40 anti 41 - 40 anti 43 action 42 aging 43 action the diverse efficacy of cr to counteract aging effects and its experimental reproducibility has made it the gold standard of many aging intervention studies of recent years . 0 ###LEFT-WALL### 3 efficacy 0 ###LEFT-WALL### 15 made 0 ###LEFT-WALL### 28 . 1 the 3 efficacy 2 diverse 3 efficacy 3 efficacy 4 of 3 efficacy 6 to 3 efficacy 7 counteract 3 efficacy 14 has 4 of 5 cr 6 to 7 counteract 7 counteract 10 and 8 aging 9 effects 9 effects 10 and 10 and 13 reproducibility 11 its 13 reproducibility 12 experimental 13 reproducibility 14 has 15 made 15 made 16 it 15 made 19 standard 17 the 19 standard 18 gold 19 standard 19 standard 20 of 19 standard 22 aging 19 standard 25 of 20 of 21 many 22 aging 24 studies 23 intervention 24 studies 25 of 27 years 26 recent 27 years although cr originally was used as a tool to perturb the aging process of laboratory animals as to uncover clues of underlying mechanisms of aging processes , current cr research interests have shifted to the retardation of aging - related functional [decline] and the prevention of age - related diseases . 0 ###LEFT-WALL### 31 interests 0 ###LEFT-WALL### 33 shifted 0 ###LEFT-WALL### 40 related 0 ###LEFT-WALL### 51 . 1 although 2 cr 1 although 5 used 1 although 31 interests 2 cr 4 was 3 originally 4 was 4 was 5 used 5 used 6 as 5 used 9 to 5 used 10 perturb 6 as 8 tool 7 a 8 tool 9 to 10 perturb 10 perturb 13 process 10 perturb 17 as 11 the 13 process 12 aging 13 process 13 process 14 of 14 of 16 animals 15 laboratory 16 animals 17 as 18 to 18 to 19 uncover 19 uncover 20 clues 21 of 23 mechanisms 21 of 27 , 21 of 31 interests 22 underlying 23 mechanisms 23 mechanisms 24 of 24 of 25 aging 25 aging 26 processes 28 current 31 interests 29 cr 30 research 30 research 31 interests 31 interests 32 have 32 have 33 shifted 33 shifted 34 to 34 to 36 retardation 35 the 36 retardation 36 retardation 37 of 37 of 38 aging 39 - 40 related 40 related 50 diseases 41 functional 43 and 43 and 45 prevention 43 and 48 - 43 and 50 diseases 44 the 45 prevention 45 prevention 46 of 46 of 47 age 49 related 50 diseases advances in cr research on [non] [-] human primates and recent [endeavors] using human subjects offer a promising outlook for cr 's beneficial effects in healthy human aging . 0 ###LEFT-WALL### 1 advances 0 ###LEFT-WALL### 16 offer 0 ###LEFT-WALL### 29 . 1 advances 2 in 1 advances 13 using 1 advances 16 offer 2 in 4 research 3 cr 4 research 4 research 5 on 5 on 10 and 8 human 9 primates 9 primates 10 and 10 and 11 recent 13 using 15 subjects 14 human 15 subjects 16 offer 19 outlook 17 a 19 outlook 18 promising 19 outlook 19 outlook 20 for 20 for 24 effects 21 cr 22 's 22 's 24 effects 23 beneficial 24 effects 24 effects 25 in 25 in 28 aging 26 healthy 28 aging 27 human 28 aging in this review , several major issues related to cr 's anti - aging mechanisms are discussed by highlighting the importance of modulating deleterious chronic inflammation at molecular levels and the impact of epigenetic chromatin and histone modifications by cr at the ultimate control sites of gene expression . 0 ###LEFT-WALL### 5 several 0 ###LEFT-WALL### 6 major 0 ###LEFT-WALL### 8 related 1 in 3 review 1 in 4 , 1 in 5 several 2 this 3 review 5 several 6 major 7 issues 8 related 8 related 9 to 8 related 27 at 8 related 39 by 8 related 49 . 9 to 14 aging 10 cr 11 's 11 's 14 aging 12 anti 13 - 12 anti 14 aging 14 aging 15 mechanisms 14 aging 19 highlighting 15 mechanisms 16 are 16 are 17 discussed 17 discussed 18 by 18 by 19 highlighting 19 highlighting 21 importance 20 the 21 importance 21 importance 22 of 22 of 26 inflammation 23 modulating 26 inflammation 24 deleterious 26 inflammation 25 chronic 26 inflammation 27 at 30 and 28 molecular 29 levels 29 levels 30 and 30 and 32 impact 30 and 33 of 31 the 32 impact 33 of 36 and 34 epigenetic 35 chromatin 35 chromatin 36 and 36 and 38 modifications 37 histone 38 modifications 39 by 40 cr 40 cr 41 at 40 cr 46 of 41 at 45 sites 42 the 45 sites 43 ultimate 44 control 44 control 45 sites 46 of 48 expression 47 gene 48 expression the recent research on rapamycin as a cr [mimetic] is summarized and a brief description of intermittent feeding patterns is reviewed in comparison to the cr effect . 0 ###LEFT-WALL### 3 research 0 ###LEFT-WALL### 12 and 0 ###LEFT-WALL### 28 . 1 the 3 research 2 recent 3 research 3 research 4 on 3 research 10 is 4 on 5 rapamycin 5 rapamycin 6 as 6 as 8 cr 7 a 8 cr 10 is 11 summarized 12 and 15 description 12 and 21 reviewed 13 a 15 description 14 brief 15 description 15 description 16 of 15 description 20 is 16 of 19 patterns 17 intermittent 19 patterns 18 feeding 19 patterns 20 is 21 reviewed 21 reviewed 22 in 22 in 23 comparison 23 comparison 24 to 24 to 27 effect 25 the 27 effect 26 cr 27 effect the supplementary motor area ( sma ) has been regarded as a third speech area . 0 ###LEFT-WALL### 4 area 0 ###LEFT-WALL### 10 regarded 0 ###LEFT-WALL### 16 . 1 the 4 area 2 supplementary 3 motor 3 motor 4 area 4 area 6 sma 4 area 8 has 5 ( 6 sma 6 sma 7 ) 8 has 9 been 9 been 10 regarded 10 regarded 11 as 11 as 15 area 12 a 15 area 13 third 14 speech 14 speech 15 area the sma is anatomically classified into two regions , pre - sma and sma proper , but the functional specialization of speech production between the two regions remains unknown . 0 ###LEFT-WALL### 2 sma 0 ###LEFT-WALL### 5 classified 0 ###LEFT-WALL### 17 but 0 ###LEFT-WALL### 30 . 1 the 2 sma 2 sma 3 is 3 is 4 anatomically 3 is 5 classified 5 classified 6 into 5 classified 15 proper 6 into 13 and 7 two 8 regions 8 regions 9 , 9 , 12 sma 9 , 13 and 10 pre 11 - 10 pre 12 sma 13 and 14 sma 16 , 17 but 17 but 20 specialization 17 but 28 remains 18 the 20 specialization 19 functional 20 specialization 20 specialization 21 of 20 specialization 28 remains 21 of 23 production 22 speech 23 production 23 production 24 between 24 between 27 regions 25 the 27 regions 26 two 27 regions 28 remains 29 unknown although word retrieval difficulties were often observed in older adults , there was no report as to whether the sma would be involved in the retrieval difficulties . 0 ###LEFT-WALL### 4 difficulties 0 ###LEFT-WALL### 7 observed 0 ###LEFT-WALL### 11 , 0 ###LEFT-WALL### 28 . 1 although 3 retrieval 1 although 4 difficulties 2 word 3 retrieval 4 difficulties 5 were 5 were 7 observed 6 often 7 observed 7 observed 8 in 8 in 10 adults 9 older 10 adults 11 , 12 there 11 , 13 was 12 there 13 was 13 was 15 report 13 was 17 to 14 no 15 report 16 as 17 to 17 to 18 whether 18 whether 20 sma 18 whether 23 involved 19 the 20 sma 20 sma 21 would 21 would 22 be 22 be 23 involved 23 involved 24 in 24 in 27 difficulties 25 the 27 difficulties 26 retrieval 27 difficulties we focused on the sma as a function of word production and then used near - infrared spectroscopy ( nirs ) with the verbal fluency task ( vft ) to explore the possible mechanism underlying the retrieval difficulties related to aging . 0 ###LEFT-WALL### 1 we 0 ###LEFT-WALL### 2 focused 0 ###LEFT-WALL### 39 related 1 we 2 focused 2 focused 3 on 2 focused 30 to 3 on 5 sma 4 the 5 sma 5 sma 6 as 6 as 8 function 7 a 8 function 8 function 9 of 8 function 22 with 9 of 12 and 10 word 11 production 11 production 12 and 12 and 18 spectroscopy 12 and 20 nirs 13 then 14 used 14 used 18 spectroscopy 15 near 16 - 15 near 18 spectroscopy 17 infrared 18 spectroscopy 19 ( 20 nirs 20 nirs 21 ) 22 with 26 task 23 the 26 task 24 verbal 26 task 25 fluency 26 task 26 task 28 vft 27 ( 28 vft 28 vft 29 ) 30 to 31 explore 32 the 34 mechanism 33 possible 34 mechanism 34 mechanism 35 underlying 34 mechanism 39 related 35 underlying 38 difficulties 36 the 38 difficulties 37 retrieval 38 difficulties 39 related 40 to 39 related 42 . 40 to 41 aging based on the anatomical differences within the sma , we relied on [region] - of [-] interest ( roi ) analysis to [compare] the brain activation patterns in the sma during vft between 11 healthy elder and 11 younger subjects in the situation where both groups show comparable task performance . 0 ###LEFT-WALL### 10 we 0 ###LEFT-WALL### 12 on 0 ###LEFT-WALL### 14 - 0 ###LEFT-WALL### 51 . 1 based 2 on 1 based 9 , 1 based 10 we 2 on 5 differences 3 the 5 differences 4 anatomical 5 differences 5 differences 6 within 6 within 8 sma 7 the 8 sma 10 we 12 on 11 relied 12 on 14 - 21 analysis 14 - 27 patterns 15 of 17 interest 15 of 21 analysis 18 ( 19 roi 19 roi 20 ) 19 roi 21 analysis 21 analysis 22 to 21 analysis 27 patterns 22 to 26 activation 24 the 26 activation 25 brain 26 activation 27 patterns 28 in 27 patterns 50 performance 28 in 30 sma 29 the 30 sma 30 sma 31 during 31 during 32 vft 32 vft 33 between 33 between 34 11 35 healthy 50 performance 36 elder 37 and 37 and 40 subjects 37 and 50 performance 38 11 40 subjects 39 younger 40 subjects 40 subjects 41 in 40 subjects 44 where 41 in 43 situation 42 the 43 situation 44 where 46 groups 44 where 47 show 45 both 46 groups 46 groups 47 show 48 comparable 49 task 49 task 50 performance notably , the anterior vft - [related] sma response was more robust in the younger than [in] [the] elder group . 0 ###LEFT-WALL### 9 response 0 ###LEFT-WALL### 10 was 0 ###LEFT-WALL### 21 . 1 notably 2 , 1 notably 9 response 3 the 9 response 4 anterior 9 response 5 vft 8 sma 6 - 8 sma 8 sma 9 response 9 response 10 was 10 was 12 robust 11 more 12 robust 12 robust 13 in 13 in 20 group 14 the 20 group 15 younger 20 group 16 than 19 elder 19 elder 20 group furthermore , anterior sma responses in the elder group may only have a positive correlation with the vft performance . 0 ###LEFT-WALL### 5 responses 0 ###LEFT-WALL### 12 have 0 ###LEFT-WALL### 20 . 1 furthermore 2 , 1 furthermore 5 responses 3 anterior 5 responses 4 sma 5 responses 5 responses 6 in 5 responses 10 may 6 in 9 group 7 the 9 group 8 elder 9 group 10 may 12 have 11 only 12 have 12 have 15 correlation 12 have 16 with 13 a 14 positive 13 a 15 correlation 14 positive 15 correlation 16 with 19 performance 17 the 19 performance 18 vft 19 performance the findings imply that anterior sma hypoactivity in elders may cause word retrieval difficulties , while bilateral prefrontal cortices , having close [connection] with the pre - sma , may contribute to the compensatory process that enables equivalent performance of the elder group with the younger one . 0 ###LEFT-WALL### 2 findings 0 ###LEFT-WALL### 3 imply 0 ###LEFT-WALL### 15 , 0 ###LEFT-WALL### 48 . 1 the 2 findings 2 findings 3 imply 3 imply 7 hypoactivity 3 imply 11 cause 4 that 7 hypoactivity 5 anterior 7 hypoactivity 6 sma 7 hypoactivity 7 hypoactivity 8 in 7 hypoactivity 10 may 8 in 9 elders 10 may 11 cause 11 cause 14 difficulties 12 word 14 difficulties 13 retrieval 14 difficulties 15 , 21 having 15 , 31 contribute 16 while 19 cortices 16 while 20 , 16 while 21 having 17 bilateral 19 cortices 18 prefrontal 19 cortices 21 having 22 close 21 having 30 may 22 close 24 with 24 with 26 pre 25 the 26 pre 26 pre 28 sma 27 - 28 sma 28 sma 29 , 30 may 31 contribute 31 contribute 32 to 31 contribute 44 with 32 to 35 process 33 the 35 process 34 compensatory 35 process 35 process 36 that 35 process 37 enables 36 that 37 enables 37 enables 39 performance 38 equivalent 39 performance 39 performance 40 of 40 of 43 group 41 the 43 group 42 elder 43 group 44 with 47 one 45 the 47 one 46 younger 47 one purpose : we assessed the risk of exstrophy - epispadias complex in children conceived [by] in vitro fertilization or intracytoplasmic sperm injection . 0 ###LEFT-WALL### 1 purpose 0 ###LEFT-WALL### 2 : 0 ###LEFT-WALL### 23 . 2 : 3 we 2 : 4 assessed 3 we 4 assessed 4 assessed 6 risk 4 assessed 14 conceived 5 the 6 risk 6 risk 7 of 6 risk 14 conceived 7 of 10 epispadias 8 exstrophy 9 - 8 exstrophy 10 epispadias 10 epispadias 11 complex 11 complex 12 in 12 in 13 children 14 conceived 17 vitro 14 conceived 19 or 16 in 17 vitro 18 fertilization 19 or 19 or 22 injection 20 intracytoplasmic 21 sperm 21 sperm 22 injection materials and methods : data from the german network for congenital uro - rectal malformations were compared to nationwide data from the german in vitro fertilization register and the german federal statistical office . 0 ###LEFT-WALL### 3 methods 0 ###LEFT-WALL### 4 : 0 ###LEFT-WALL### 34 . 1 materials 2 and 2 and 3 methods 4 : 5 data 4 : 13 - 5 data 6 from 5 data 10 for 6 from 9 network 7 the 9 network 8 german 9 network 10 for 12 uro 11 congenital 12 uro 13 - 14 rectal 13 - 17 compared 14 rectal 15 malformations 14 rectal 16 were 14 rectal 17 compared 15 malformations 16 were 17 compared 18 to 18 to 28 and 19 nationwide 20 data 20 data 21 from 20 data 28 and 21 from 27 register 22 the 27 register 23 german 24 in 24 in 25 vitro 25 vitro 26 fertilization 26 fertilization 27 register 28 and 33 office 29 the 33 office 30 german 31 federal 31 federal 32 statistical 32 statistical 33 office odds ratios ( 95 % ci ) were determined to quantify associations using logistic regression . 0 ###LEFT-WALL### 1 odds 0 ###LEFT-WALL### 11 quantify 0 ###LEFT-WALL### 16 . 1 odds 2 ratios 1 odds 10 to 1 odds 11 quantify 2 ratios 6 ci 2 ratios 8 were 3 ( 6 ci 4 95 6 ci 5 % 6 ci 6 ci 7 ) 8 were 9 determined 9 determined 10 to 11 quantify 12 associations 12 associations 13 using 13 using 15 regression 14 logistic 15 regression