Adverse life events among community-dwelling persons aged 65-70 years: gender differences in occurrence and perceived psychological consequences.

OBJECTIVES: To describe the occurrence of selected adverse life events in young-old men and women, as well as their perceived psychological consequences. METHODS: In 2005, 1,422 participants in the Lausanne Cohort 65+ study, born in 1934-1938, self-reported whether they experienced any of 26 life events during the preceding year. Most participants (N = 1,309, 92%) completed the geriatric adverse life events scale during a face-to-face interview, by rating the level of stress associated with each event, as well as its impact on their psychological well-being. RESULTS: Overall, 72% of the participants experienced at least one of the 26 events in the preceding year (range 1-9). Disease affecting the respondent (N = 525) or a close relative (N = 276) was most frequent, as well as the death of a friend or non-close relative (N = 274). Women indicated a higher frequency of events (mean 2.1 vs. 1.7 events, P < 0.001), as well as a higher level of stress and a stronger negative impact on well-being than men. In multivariate analyses adjusting for self-rated health, depressive symptoms and comorbidity, female gender remained significantly associated with the level of stress and negative impact on psychological well-being. CONCLUSION: This exploratory study shows that several types of adverse life events frequently occur at age 65-70, with gender differences both in the frequency of reporting and consequences of these events. However, information on this topic is limited and studies based on different populations and designs are needed to better understand the impact of such events.

What is the relationship between fear of falling and gait in well-functioning older persons aged 65 to 70 years?

OBJECTIVE: To investigate the association between fear of falling and gait performance in well-functioning older persons. DESIGN: Survey. SETTING: Community. PARTICIPANTS: Subjects (N=860, aged 65-70y) were a subsample of participants enrolled in a cohort study who underwent gait measurements. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Fear of falling and its severity were assessed by 2 questions about fear and related activity restriction. Gait performance, including gait variability, was measured using body-fixed sensors. RESULTS: Overall, 29.6% (210/860) of the participants reported fear of falling, with 5.2% (45/860) reporting activity restriction. Fear of falling was associated with reduced gait performance, including increased gait variability. A gradient in gait performance was observed from participants without fear to those reporting fear without activity restriction and those reporting both fear and activity restriction. For instance, stride velocity decreased from 1.15+/-.15 to 1.11+/-.17 to 1.00+/-.19 m/s (P<.001) in participants without fear, with fear but no activity restriction and with fear and activity restriction, respectively. In multivariate analysis, fear of falling with activity restriction remained associated with reduced gait performance, independent of sex, comorbidity, functional status, falls history, and depressive symptoms. CONCLUSIONS: In these well-functioning older people, those reporting fear of falling with activity restriction had reduced gait performance and increased gait variability, independent of health and functional status. These relationships suggest that early interventions targeting fear of falling might potentially help to prevent its adverse consequences on mobility and function in similar populations.

Eusebius Pamphilus, De fide adversus Sabellium (1-10v), De Resurrectione (10v-30), De incorporali et invisibili Deo (30-67), De operibus bonis et malis (65-73).

"Bibliothecae monasterii S. Cornelii Compend. Congr. S. Mauri, 43", XVIIe s., f. 1. Compiègne.

Yli 65-vuotiaiden kerrostaloasukkaiden kokemuksia VoiTas Rampata Rapuissa -toimintakokeilusta

Valtakunnallisen Voimaa Vanhuuteen -iäkkäiden terveysliikuntaohjelman (2004-2009) tavoitteena on edistää toimintakyvyltään heikentyvien ikäihmisten itsenäistä kotona selviytymistä tarjoamalla heille heidän jalkojensa lihasvoimaa ja tasapainoa parantavaa liikuntaa. Ohjelman koordinoinnista vastaa Ikäinstituutti. VoiTas Rampata Rapuissa -toimintakokeilu on yksi VoiTas -pilottihankkeen projekteista. Se toteutettiin Nurmijärven kunnan fysioterapian ja liikuntatoimen yhteistyönä syksyllä 2005 ja keväällä 2006. Tavoitteena oli saada yhden kerrostalon asukkaat motivoitua voimaharjoitteluun ja saada heidät käyttämään ahkerammin oman kotitalonsa portaita. Opinnäytetyöni tehtävänä on hankkia tietoa siitä, onko toimintakokeilu parantanut osallistujien toimintakykyä heidän itsensä mielestä. Haastatteluiden tuloksia olen käsitellyt ICF:n toimintakykyluokitusta mukaillen. Osallistujat kokivat, että heidän vireytensä ja itseluottamuksensa olivat lisääntyneet toimintakokeilun aikana. Osalla lihasvoiman lisääntyminen ja kipujen lievittyminen olivat motivoineet jatkamaan harjoitteita koko toimintakokeilun ajan. Yhdellä osallistujista unen laatu parani ja toimintakokeilu osaltaan auttoi häntä painonhallinnassa. Toimintakokeilu tuotti kaikille osallistujilleen hyvää mieltä ja yhteenkuuluvuuden tunnetta. Suoritustason kasvu arkielämässä näkyi eniten omaishoitajina toimivilla osallistujilla. He kokivat lihasvoiman kasvun myötä jaksavansa paremmin huolehtia puolisostaan ja arkipäivän asioista. Osa osallistujista koki itsensä hyväkuntoisiksi eivätkä he huomanneet toimintakokeilun tuoneen muutosta arkipäivässä toimimiseen, vaikka testitulokset osoittivat suorituskyvyn parantuneen. Osalla parantuneen suorituskyvyn muuttumista paremmaksi suoritustasoksi estivät perussairaudet ja kivut. Joidenkin osallistujien toimintatavat muuttuivat ainakin hetkellisesti, koska osa jatkoi kotiharjoitteiden tekemistä myös toimintakokeilun jälkeen. Neljä osallistujista siirtyi kuntosaliryhmään ja kaksi heistä aikoi jatkaa kuntosalilla vielä syksyllä. Suoritustasoa voitaisiin osallistujien mielestä parantaa yhteiskunnan tukitoimilla, kuten lähellä kotia olevilla ryhmillä ja yhteiskuljetuksilla ryhmiin. Jatkossa toivottiin toimintakokeilun tyyppisiä ryhmiä sekä kuntosali- ja vesiliikuntaryhmiä. Toimintakokeilu oli osallistujien mielestä sopiva monen ikäisille ihmisille. Harjoitteita oli helppo muunnella jokaisen kuntotasoa vastaavaksi. Ryhmähenki oli hyvä ja ohjaajista pidettiin. Lihasvoiman kasvaessa ja itsetunnon parantuessa kokivat ryhmäläiset jatkoryhmään siirtymisen helpommaksi.

Aristotelis ethica, iconomica (61), politica (65), retorica 135). - Boetius, de disciplina scolarium 181). - Magna moralia (191).

Jacobins de la rue Saint-Jacques.

Archives parlementaires de 1787 à 1860 ; 52-61, 63-82. Convention nationale. Série 1 / Tome 65 / impr. par ordre du Sénat et de la Chambre des députés ; fondé par MM. Mavidal et E. Laurent ; continué́ par M. L. Lataste,... M. Louis Claveau,... M. Constant Pionnier,... [et al.]

Collection : Les archives de la Révolution française ; 3.1

La prothèse de St Jude medical chez les patients âges de plus de 65 ans [St Jude's Medical prosthesis in patients over 65].

Between September 1979 and December 1982, 56 St Jude Medical valvular prostheses were implanted in 54 patients over 65 years of age. Surgery consisted in simple aortic valve replacement (35 cases), simple mitral valve replacement (12 cases), double aortic and mitral valve replacement (2 cases), valve replacement and coronary artery bypass surgery (3 cases), aortic valve replacement and replacement of the ascending aorta (1 case) and mitral valve replacement and tricuspid annuloplasty (1 case). The operative mortality (within 30 days of surgery) was 3.5% (2 cases). Patients were assessed by clinical examination, ECG, chest X-ray, echocardiogram and laboratory investigations on average 19 months after surgery. There were 3 late deaths (1 endocarditis, 1 cardiac failure and 1 subdural haematoma). No cases of significant haemolysis were observed. There were no cases of thrombosis of the valve or any deaths directly related to the valve. Four patients had cerebral embolism (4.9% per patient/year). None were fatal and only 1 patient had sequellae. Clinical improvement was very significant; 96% of the patients are now in the NYHA Classes I and II whilst 80% were in Class III or IV before surgery. The cardiothoracic ratio decreased significantly from 0.56 to 0.51 (p less than 0.01). The authors conclude that elderly patients may derive great benefits from valvular cardiac surgery and that age in itself is not a contraindication to this type of surgery. The St Jude Medical prosthesis is an excellent prosthesis but thromboembolism remains a major problem as with other mechanical prostheses. Anticoagulation for life is essential.

Correlates of frailty, prediction of functional decline and preventative approaches - selected results from the lausanne cohort 65+ (lc65+) study (Switzerland) (Lausanne) and the longitudinal urban cohort ageing study (Lucas) (Germany)

Overall introduction.- Longitudinal studies have been designed to investigate prospectively, from their beginning, the pathway leading from health to frailty and to disability. Knowledge about determinants of healthy ageing and health behaviour (resources) as well as risks of functional decline is required to propose appropriate preventative interventions. The functional status in older people is important considering clinical outcome in general, healthcare need and mortality. Part I.- Results and interventions from lucas (longitudinal urban cohort ageing study). Authors.- J. Anders, U. Dapp, L. Neumann, F. Pröfener, C. Minder, S. Golgert, A. Daubmann, K. Wegscheider,. W. von Renteln-Kruse Methods.- The LUCAS core project is a longitudinal cohort of urban community-dwelling people 60 years and older, recruited in 2000/2001. Further LUCAS projects are cross-sectional comparative and interventional studies (RCT). Results.- The emphasis will be on geriatric medical care in a population-based approach, discussing different forms of access, too. (Dapp et al. BMC Geriatrics 2012, 12:35; http://www.biomedcentral.com/1471-2318/12/35): - longitudinal data from the LUCAS urban cohort (n = 3.326) will be presented covering 10 years of observation, including the prediction of functional decline, need of nursing care, and mortality by using a self-filling screening tool; - interventions to prevent functional decline do focus on first (pre-clinical) signs of pre-frailty before entering the frailty-cascade ("Active Health Promotion in Old Age", "geriatric mobility centre") or disability ("home visits"). Conclusions.- The LUCAS research consortium was established to study particular aspects of functional competence, its changes with ageing, to detect pre-clinical signs of functional decline, and to address questions on how to maintain functional competence and to prevent adverse outcome in different settings. The multidimensional data base allows the exploration of several further questions. Gait performance was exmined by GAITRite®-System. Supported by the Federal Ministry for Education and Research (BMBF Funding No. 01ET1002A). Part II.- Selected results from the lausanne cohort 65+ (Lc65 + ) Study (Switzerland). Authors.- Prof Santos-Eggimann Brigitte, Dr Seematter-Bagnoud Laurence, Prof Büla Christophe, Dr Rochat Stéphane. Methods.- The Lc65+ cohort was launched in 2004 with the random selection of 3054 eligible individuals aged 65 to 70 (birth year 1934-1938) in the non-institutionalized population of Lausanne (Switzerland). Results.- Information is collected about life course social and health-related events, socio-economics, medical and psychosocial dimensions, lifestyle habits, limitations in activities of daily living, mobility impairments, and falls. Gait performance are objectively measured using body-fixed sensors. Frailty is assessed using Fried's frailty phenotype. Follow-up consists in annual self-completed questionnaires, as well as physical examination and physical and mental performance tests every three years. - Lausanne cohort 65+ (Lc65 + ): design and longitudinal outcomes. The baseline data collection was completed among 1422 participants in 2004-2005 through self-completed questionnaires, face-to-face interviews, physical examination and tests of mental and physical performances. Information about institutionalization, self-reported health services utilization, and death is also assessed. An additional random sample (n = 1525) of 65-70 years old subjects was recruited in 2009 (birth year 1939-1943). - lecture no 4: alcohol intake and gait parameters: prevalent and longitudinal association in the Lc65+ study. The association between alcohol intake and gait performance was investigated.

Informe de la 65 IFLA Council and General Conference (Bangkok, agost de 1999)

Bangkok fou enguany la seu del 65è congrés de l'IFLA que se celebrà entre els dies 20 i 28 d'agost sota el lema «Libraries as gateways to an enlightened world». Hi estigueren representats 117 països, amb un total de 2.237 participants ¿inclosos els acompanyants¿; hi tingueren lloc un total de 280 reunions i, fins a la cloenda, s'havien rebut 311 treballs ¿que s'han publicat a IFLANET.

The Recirculator, Vol. 65, No. 1, April 2009.

News for swimming pool and spa operators, mangers, and inspectors.

The Recirculator, Vol. 65, No. 2, September 2009.

News for swimming pool and spa operators, mangers, and inspectors.

The Recirculator, Vol. 65, No. 3, December 2009.

News for swimming pool and spa operators, mangers, and inspectors.