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Very Old (very + old)
Terms modified by Very Old Selected AbstractsAcute ischemic stroke and transient ischemic attack in the very old , risk factor profile and stroke subtype between patients older than 80 years and patients aged less than 80 yearsEUROPEAN JOURNAL OF NEUROLOGY, Issue 8 2007J. I. Rojas Old age groups have different risk profile and stroke features compared to younger groups. Our aim was to examine the risk factor profile and stroke subtype in patients older than 80 years with ischemic stroke. Data of 535 patients with ischemic stroke or transient ischemic attack (TIA) were prospectively recorded. Cardiovascular risk factors and stroke subtype in individuals aged 80 years or older were compared with patients under 80. Of 535 patients a total of 179 were over 80 years (33.5%). The mean age was 84.4 ± 4.4 years (61.8%; 111 women). The most common risk factors included hypertension (82.7%) and hyperlipidemia (40.2%). Lacunar stroke was the most frequent subtype of stroke (41.7%). When the groups were compared, we observed the following risk factors more frequently in the group older than 80: female patients (P = <0.001), hypertension (OR = 1.62), atrial fibrillation (OR = 2.64); whereas diabetes (OR = 0.54), hyperlipidemia (OR = 0.57), smoking (OR = 0.17) and obesity (OR = 0.58) were more frequent in the group younger than 80. In the old group we found a high incidence of ischemic stroke in women. We also found a higher frequency of hypertension and atrial fibrillation. The available and future epidemiological data will provide a better knowledge about the effect of typical risk factors in old people. [source] Basal ganglia calcification and psychotic symptoms in the very oldINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 11 2003Svante Östling Abstract Background Basal ganglia calcification (BGC) is associated with psychotic symptoms in young and middle-aged patient samples. Methods We studied the cross-sectional relationship between psychotic symptoms and BGC in a population sample of non-demented 85-year-olds, of whom 86 were mentally healthy, 11 had hallucinations or delusions, 21 had mood disorders and 20 had anxiety disorders. BGC was measured using computerized tomography (CT). Mental disorders were diagnosed using DSM-III-R criteria and psychotic symptoms were evaluated using information from psychiatric examinations, key-informant interviews and review medical records. Results BGC on CT was observed in 19% of mentally healthy and 64% of non-demented individuals with hallucinations or delusions [Odds Ratio (OR) 7.7, 95% Confidence Intervals (CI) 2.9,29.7, p=0.003]. There were no associations between BGC and mood or anxiety disorders. Conclusions BGC is strongly associated with psychotic symptoms in very old age, possibly due to a disturbance in the basal ganglia dopaminergic system. Copyright © 2003 John Wiley & Sons, Ltd. [source] The Appropriateness of Drug Use in an Older Nondemented and Demented PopulationJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 3 2001Maria Stella T. Giron MD OBJECTIVE: To assess the extent of inappropriateness of drug use in an older nondemented and demented population. DESIGN: Descriptive analysis based on data from a sample of older subjects age 81 years and older. Data were collected from the second follow-up conducted in 1994,1996. SETTING: A population-based study of the Kungsholmen project in Stockholm, Sweden. PARTICIPANTS: Drug information was obtained from 681 subjects with a mean age of 86.9 years. The subjects were predominantly women (78%). Thirteen percent resided in institutions and 27.6% were diagnosed with dementia. MEASUREMENTS: Dementia diagnosis based on DSM III-R. Criteria for inappropriateness of drug use: use of drugs with potent anticholinergic properties, drug duplication, potential drug-drug and drug-disease interactions, and inappropriate drug dosage. RESULTS: The mean number of drugs used was 4.6: 4.5 drugs for nondemented and 4.8 for demented subjects. Nondemented subjects more commonly used cardiovascular-system drugs and demented subjects used nervous-system drugs. Demented subjects were more commonly exposed to drug duplication and to drugs with potent anticholinergic properties, both involving the use of psychotropic drugs. Nondemented subjects were more commonly exposed to potential drug-disease interactions, mostly with the use of cardiovascular drugs. The most common drug combination leading to a potential interaction was the use of digoxin with furosemide, occurring more frequently among nondemented subjects. The most common drug-disease interaction was the use of beta-blockers and calcium antagonists in subjects with congestive heart failure. The doses of drugs taken by both nondemented and demented subjects were mostly lower than the defined daily dose. CONCLUSION: There was substantial exposure to presumptive inappropriateness of drug use in this very old nondemented and demented population. The exposure of demented subjects to psychotropic drugs and nondemented subjects to cardiovascular drugs reflect the high frequency of prescribing these drugs in this population. [source] Human NK cells display major phenotypic and functional changes over the life spanAGING CELL, Issue 4 2010Magali Le Garff-Tavernier Summary Aging is generally associated with an increased predisposition to infectious diseases and cancers, related in part to the development of immune senescence, a process that affects all cell compartments of the immune system. Although many studies have investigated the effects of age on natural killer (NK) cells, their conclusions remain controversial because the diverse health status of study subjects resulted in discordant findings. To clarify this situation, we conducted the first extensive phenotypic and functional analysis of NK cells from healthy subjects, comparing NK cells derived from newborn (cord blood), middle-aged (18,60 years), old (60,80 years), and very old (80,100 years) subjects. We found that NK cells in cord blood displayed specific features associated with immaturity, including poor expression of KIR and LIR-1/ILT-2 and high expression of both NKG2A and IFN-,. NK cells from older subjects, on the other hand, preserved their major phenotypic and functional characteristics, but with their mature features accentuated. These include a profound decline of the CD56bright subset, a specific increase in LIR-1/ILT-2, and a perfect recovering of NK-cell function following IL2-activation in very old subjects. We conclude that the preservation of NK cell features until very advanced age may contribute to longevity and successful aging. [source] Wind-throw mortality in the southern boreal forest: effects of species, diameter and stand ageJOURNAL OF ECOLOGY, Issue 6 2007ROY L. RICH Summary 1Patterns of tree mortality as influenced by species, diameter and stand age were assessed across a gradient in wind disturbance intensity in a southern boreal forest in Minnesota, USA. Few previous studies have addressed how wind impacts boreal forests where fire was historically the dominant type of disturbance. 2We surveyed 29 334 trees of nine species within a 236 000 ha blowdown in the Boundary Waters Canoe Area Wilderness (BWCAW), in forests that have never been logged and were not salvaged after the windstorm. Within the disturbed area, a range of disturbance severity from zero to complete canopy mortality was present, overlaying an existing mosaic of fire origin stands. For this study, we derived an index of wind disturbance intensity by standardizing the observed disturbance severity using common species with similar diameter at breast height (d.b.h.) distributions. We then used multiple logistic regression to assess patterns of tree mortality across gradients in tree size and wind intensity index, and for three stand ages. 3Probability of mortality was higher with increasing ln d.b.h. for all nine species, with two species (Abies balsamea and Picea mariana) showing much more dramatic shifts in mortality with d.b.h. than the others. As hypothesized, the species most susceptible to windthrow at all d.b.h. classes were early successional and shade intolerant (Pinus banksiana, Pinus resinosa, Populus tremuloides) and those least susceptible were generally shade tolerant (e.g. Thuja occidentalis, Acer rubrum), although the intolerant species Betula papyrifera also had low mortality. 4Mortality rates were higher in mature (c. 90 years old) stands than for old and very old (c. 126,200 years old) stands, probably because old stands had already gone through transition to a multi-aged stage of development. 5Synthesis. Quantification of canopy mortality patterns generally supports disturbance-mediated accelerated succession following wind disturbance in the southern boreal forest. This wind-induced weeding of the forest favoured Thuja occidentalis, Betula papyrifera and Acer rubrum trees of all sizes, along with small Abies balsamea and Picea mariana trees. Overall, the net impact of wind disturbance must concurrently consider species mortality probability, abundance and diameter distributions. [source] Perspectives on American Kinship in the Later 1990sJOURNAL OF MARRIAGE AND FAMILY, Issue 3 2000Colleen L. Johnson This paper reviews the current status of kinship research in the United States and identifies factors that might account for the declining interest in the subject among family researchers. The analysis uses both structural and cultural factors to illustrate how they can determine the diversity in kinship functioning that ranges from those family systems where kinship relationships flourish and those where they play a small part in family life. The structural and demographic variables determine the numbers and availability of kin, whereas the cultural variables determine the norms that establish the motivation to sustain kinship bonds. To illustrate how these factors operate among subgroups in the United States, I analyze three types of kinship systems: the lineal emphasis in White families of the very old; the collateral emphasis in the families of their Black counterparts; and the egocentric emphasis of White suburban families that are undergoing marital change. [source] Intensive care in the very old: are we prepared?ACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 5 2007H. Flaatten No abstract is available for this article. [source] Sevoflurane and epileptiform EEG changesPEDIATRIC ANESTHESIA, Issue 4 2005ISABELLE CONSTANT MD Summary Sevoflurane has become the volatile agent of choice for inhalation induction of anesthesia. Hemodynamic stability and lack of respiratory irritation have justified its rapid extension to pediatric inhalation induction. The epileptogenic potential of sevoflurane has been suspected since the first case reports of abnormal movements in children without a history of epilepsy. The objectives of this short review are to: (i) analyze clinical and electroencephalographic (EEG) features supporting epileptogenic activity of sevoflurane, (ii) identify factors which may modulate that activity, and (iii) suggest guidelines of clinical practice to limit expression of this epileptiform phenomenon, which has thus far unknown morbidity. The use of sevoflurane may be associated with cortical epileptiform EEG signs, usually without clinical manifestation. No lasting neurological or EEG sequelae have been described thus far, and the potential morbidity of this epileptogenic effect is unknown. The use of sevoflurane in children, with its remarkable cardiovascular profile, should include a number of precautions. Among them, the limitation of the depth of anesthesia is essential. The wide use of cerebral function monitoring (the most simple being the EEG), may permit optimization of sevoflurane dose and avoidance of burst suppression and major epileptiform signs in fragile subjects, notably the very young and the very old. [source] The Anatomical Record: A tradition of reporting what is new about things that are very, very oldTHE ANATOMICAL RECORD : ADVANCES IN INTEGRATIVE ANATOMY AND EVOLUTIONARY BIOLOGY, Issue 11 2006Jeffrey T. Laitman Associate Editor No abstract is available for this article. [source] Radial growth responses to gap creation in large, old Sequoiadendron giganteumAPPLIED VEGETATION SCIENCE, Issue 4 2010Robert A. York Abstract Questions: Do large, old Sequoiadondron giganteum trees respond to the creation of adjacent canopy gaps? Do other co-occurring tree species and younger S. giganteum adjacent to gaps also respond? What are the likely factors affecting growth responses? Location: Mixed-conifer forests of the southern Sierra Nevada, California, USA. Methods: We measured the growth response of large, old S. giganteum trees (mean DBH=164 cm; ages estimated >1000 yr) to gap creation by coring trees and comparing growth after gap creation to growth before gap creation. We also measured young Abies concolor, Pinus lambertiana, and young S. giganteum. Gap-adjacent trees were compared with non-adjacent reference trees. Tree rings were analysed for carbon isotope discrimination and for longer-term growth trend correlations with climate. Results: Following gap creation gap-adjacent old S. giganteum grew more than reference trees. Abies concolor trees also exhibited a growth response to gap creation. No response was detected for young S. giganteum or P. lambertiana, although detection power was lower for these groups. There was no difference in carbon isotope discrimination response to gap creation between gap-adjacent and reference trees for old S. giganteum and radial growth was positively correlated with winter precipitation, but not growing season temperature. Conclusion: It is unclear what caused the growth release in old S. giganteum trees, although liberation of below-ground resources following removal of competing vegetation appears to be a significant contributor. Sequoiadondron giganteum, the third-longest lived and the largest of all species, remains sensitive to local environmental changes even after canopy emergence. Management activities that reduce vegetation surrounding individual specimen trees can be expected to result in increased vigor of even these very old and large trees. [source] The significance of the number of submitted samples and patient-related factors for faecal bacterial diagnosticsCLINICAL MICROBIOLOGY AND INFECTION, Issue 11 2007S. Ethelberg Abstract The sensitivity of bacteriological testing of faecal samples from patients with diarrhoea has not been properly determined. The present study analysed the association between the results of stool sample examinations and the number of samples examined per patient and other patient-related factors. Data concerning faecal specimens referred for culture for enteric bacterial pathogens (Campylobacter, Salmonella, Shigella and Yersinia) to the central microbiological laboratory in Denmark between 1995 and 2003 were analysed. In total, 620 000 samples were sorted into 277 000 sample-series, i.e., samples submitted from the same individual on the same day. Data were analysed by multivariate logistic regression, with the outcome being a positive sample-series, i.e., one or more positive samples per series. Overall, 11.9% of the sample-series were positive. For adults (aged ,18 years), the OR for a positive diagnosis was 1.20 (95% CI 1.18,1.21) for each additional sample. Positive diagnoses were also more likely during summer, if the patient was male, or if the patient was neither very young nor very old. The added diagnostic effect of additional samples was more pronounced for the group of patients with persistent (>2 weeks) diarrhoea. Overall, the probability of finding common pathogenic bacteria in faecal samples was found to vary according to the number of samples, the season and the patient's age and gender. Analysis of more than one sample improves the sensitivity of faecal culture by at least 20% for each additional sample. [source] | |||||||||||||