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Distribution by Scientific Domains

Medical Sciences	80%

Selected Abstracts

Clinicopathological features and prognosis of esophageal cancer in young patients.

DISEASES OF THE ESOPHAGUS, Issue 3 2009
Is there a difference in outcome?
SUMMARY The aim of this study was to define the clinicopathological features and prognosis of esophageal cancer in patients 40 years and younger. Between 1990 and 2007, 549 patients with esophageal cancer were enrolled in a retrospective database. Patients were divided into two age groups: Group A was under 40 years old, and group B over 40 years old. The findings for 50 patients (9.1%) aged 40 years or less were compared with those of 499 patients over 40 years old. In the younger group, there were significantly more women (35/15 vs. 231/268, P < 0.001). In the young and old groups, the most frequent histological morphology was squamous cell carcinoma (88% and 75%, respectively), although the percentages were significantly different (P < 0.005). In the younger group, lesions were more frequently located in the middle one-third of the esophagus than in the older group (64% vs. 28.3%, P < 0.001). Group A was more likely to have Stage IIa than older patients. In both groups, the surgical removal of the tumor was the most frequently used choice (70% vs. 56.5%). Survival rates in younger patients at 5 years after resection were 11.4%, similar to those in older patients (16.9%, difference not significant). In the group under age 40, women predominated. Squamous cell carcinoma was the most common histology, followed by adenocarcinoma. Younger patients did not have improved 5-year survival compared with their older counterparts. [source]

A comparative analysis of the differential spatial and temporal distributions of the large (aggrecan, versican) and small (decorin, biglycan, fibromodulin) proteoglycans of the intervertebral disc

JOURNAL OF ANATOMY, Issue 1 2001
JAMES MELROSE
This study provides a comparative analysis of the temporal and spatial distribution of 5 intervertebral disc (IVD) proteoglycans (PGs) in sheep. The main PGs in the 2 and 10 y old sheep groups were polydisperse chondroitin sulphate and keratan sulphate substituted species. Their proportions did not differ markedly either with spinal level or disc zone. In contrast, the fetal discs contained 2 slow migrating (by composite agarose polyacrylamide gel electrophoresis, CAPAGE), relatively monodisperse chondroitin sulphate-rich aggrecan species which were also identified by monoclonal antibody 7-D-4 to an atypical chondroitin sulphate isomer presentation previously found in chick limb bud, and shark cartilage. The main small PG detectable in the fetal discs was biglycan, whereas decorin predominated in the 2 and 10 y old IVD samples; its levels were highest in the outer annulus fibrosus (AF). Versican was most abundant in the AF of the fetal sheep group; it was significantly less abundant in the 2 and 10 y old groups. Furthermore, versican was immunolocalised between adjacent layers of annular lamellae suggesting that it may have some role in the provision of the viscoelastic properties to this tissue. Versican was also diffusely distributed throughout the nucleus pulposus of fetal IVDs, and its levels were significantly lower in adult IVD specimens. This is the first study to identify versican in ovine IVD tissue sections and confirmed an earlier study which demonstrated that ovine IVD cells synthesised versican in culture (Melrose et al. 2000). The variable distribution of the PGs identified in this study provides further evidence of differences in phenotypic expression of IVD cell populations during growth and development and further demonstrates the complexity of the PGs in this heterogeneous but intricately organised connective tissue. [source]

Scotopic spatiotemporal sensitivity differences between young and old adults

OPHTHALMIC AND PHYSIOLOGICAL OPTICS, Issue 4 2010
Cynthia L. Clark
Abstract Background:, Our lab has previously demonstrated losses in contrast sensitivity to low spatial frequencies under scotopic conditions with older adults. It is not clear, however, whether the temporal frequency of a stimulus alters the relation between age and the spatial contrast sensitivity function (sCSF) under scotopic conditions. Methods:, A maximum-likelihood, two-alternative, temporal forced-choice QUEST procedure was used to measure threshold to spatially and temporally modulated stimuli in both young (mean = 26 years) and old (mean = 75 years) adults. Results:, In general, the shapes of the spatial and temporal CSFs were low-pass for both young and old observers; contrast sensitivity decreased at approximately the same rate with increasing spatial frequency and temporal frequency for both age groups, although the overall sensitivity of the old group was lower than that of the young group. The high-frequency resolution limit was lower for the old group compared to the young group. Conclusions:, The differences in contrast sensitivity between the young and old groups suggest a uniform loss in sensitivity of the channels mediating spatial and temporal vision. Because of this loss, the spatial and temporal window of visibility for the older adults is compromised relative to the younger adults. [source]

The Aging Experience of Well Elderly Women: Initial Results

NURSING & HEALTH SCIENCES, Issue 3 2002
Wendy Duggleby
In aging research, the concentration of the majority of studies on the effects of disease and other problems has resulted in a view of aging that focuses on losses (Agen, 1998). However, little is actually understood about the aging experience in well elderly women and how they adapt to changes in aging. The purpose of this study was to explore the aging experience among well community-living older women participating in activities at a seniors' center. The specific aims were: (i) describe the experience of aging; and (ii) describe how participants deal with aging. A descriptive qualitative focus group design was used. Fourteen women who attend a seniors' center in a large urban multi-purpose recreation center in north central Texas participated in focus groups based on their age: young,old (65,74); old,old (75,84) and oldest old (85 years of age and older). The focus group interviews were audiotaped, transcribed and analyzed using content analysis methodology. One member from each focus group confirmed the results. All three age groups described changes in interests, loss of friends, loss of spouse, and retirement. The ,old,old' and ,oldest old' groups described physical changes that interfered with ,doing what they did before'. All three groups said the best part about growing older was a sense of freedom and the most difficult was loss of spouse. They all dealt with the changes by maintaining relationships with family and friends, faith, staying physically and mentally active and staying involved. The participants identified seniors' programs as helping them with changes. However, transportation was an issue. They also described how they needed others to be patient with them as they dealt with their changes. [source]

Coupling between limb tremor and postural sway in Parkinson's disease

MOVEMENT DISORDERS, Issue 3 2008
Graham Kerr BSc, MPhED
Abstract Increased tremor and postural instability are motor problems commonly associated with Parkinson's disease (PD). Despite the similarity between these oscillatory forms, little is known about the relation between them, especially for individuals with enhanced tremor. This study was designed to examine the nature of any relation between center of pressure (COP) excursions and postural/resting limb tremor of young, older individuals, and Parkinsonian participants in their different medication states. The resting and postural tremor for the PD participants was characterized by a single, prominent peak frequency between 4 and 7 Hz. The postural tremor for young/older participants contained smaller peaks between 1 to 4 and 7 to 12 Hz although no prominent peak was seen in their resting tremor. The AP and ML COP dynamics of all participants was characterized by a major peak between 0.1 and 0.5 Hz. An additional peak was observed in the COP output of the PD participants between 4 and 7 Hz. While no tremor-COP coupling was observed for the young/old groups, coherence analysis revealed a significant degree of coupling between COP motion and tremor between 4 and 7 Hz for PD participants. These results highlight that the amplified tremor in PD can manifest itself in COP dynamics. This finding may have implications for postural stability for this patient group. © 2007 Movement Disorder Society [source]