804 resultados para AGED 50 YEARS
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Resumen: Los materiales plásticos utilizados en la industria del embalaje y transporte de mercaderías familiares e industriales, presentan numerosas ventajas que los han puesto en su lugar durante los últimos 50 años. En la actualidad, son miles de millones de toneladas anuales de bolsas o embalajes de polietileno, las que diariamente se producen, se usan, se recuperan (en muy pequeña parte) y son finalmente dispuestas, quemadas o literalmente arrojadas al medio ambiente. La alta estabilidad química o la muy baja tasa de degradación, hace que estos residuos perduren en el medio - en la mayoría de los casos por más de 100 años- dependiendo las condiciones ambientales locales. Hace pocos años, se adaptaron conocimientos científicos a esta problemática, y de ello nacieron dos formas de atacar la eliminación del plástico como desecho (más allá del reciclado y uso racional): por un lado, la utilización de bioplásticos con propiedades biodegradables; y por otro, el agregado de aditivos pro-degradantes a plásticos convencionales. El presente trabajo, tiene por objeto tomar a esta última herramienta, sobre la cual se han comenzado a estudiar los mecanismos químicos por los cuales cumplen su función, evaluándolos en distintas condiciones aceleradas de laboratorio. De esta manera, se caracterizaron velocidades de degradación abiótica mediante envejecimientos acelerados con radiación ultravioleta y térmica, para films de polietileno aditivados con un compuesto oxodegradante comercial. Se estudiaron distintas concentraciones de aditivo en el polímero, en función del tiempo de envejecimiento. Las caracterizaciones incluyeron análisis mecánico, análisis térmico diferencial, espectroscopía de absorción infrarroja y de Absorción Atómica.
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Resumen: Este artículo se ocupa por primera vez de reconstruir la historia de “Teología”, la Revista de la Facultad de Teología de la Universidad Católica Argentina con motivo de sus cincuenta años de existencia. Este estudio no es solamente un recorrido por cada uno de sus números sino principalmente un aporte a partir de las fuentes del Archivo de la Facultad para acercarse a su origen y entender su contexto histórico-eclesial a lo largo de los años y en proyección hacia el futuro.
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O objetivo deste estudo foi verificar se o tratamento periodontal não cirúrgico exercia alguma influência sobre o perfil lipídico, os elementos celulares das séries banca e vermelha do sangue, plaquetas e VHS de pacientes portadores de periodontite crônica generalizada. Dezoito pacientes, com média de idade de 50,6 anos ( 7,6), foram submetidos, previamente ao tratamento periodontal e 30 dias após o mesmo, à coleta de 10ml de sangue periférico, através do qual foram analisados o perfil lipídico, os elementos celulares das séries branca e vermelha, o número de plaquetas e VHS. Destes 18 pacientes, 7, com média de idade de 47,4 anos ( 5,9) também foram reavaliados 90 dias após o término do tratamento. Os parâmetros clínicos utilizados, previamente ao tratamento e nas reavaliações, foram o Índice de Placa (IP), de Silness e Löe (1964), o Índice Gengival (IG), de Löe (1967), Sangramento na Sondagem (SS), Profundidade de Bolsa à Sondagem (PBS) e Nível de Inserção (NI). Foram ainda registrados e classificados os sítios com envolvimento de furca. O tratamento periodontal consistiu de terapia básica não cirúrgica. Após 30 dias do término do tratamento periodontal todos os pacientes foram reavaliados sendo verificada melhora significativa (P<0,05) dos valores de IP, IG, SS e PBS e de NI ≥ 6mm (P=0,05). Sítios com envolvimento de furca classes II e III apresentaram também diminuição significativa (P=0,01). Os 7 pacientes submetidos às reavaliações de 30 e 90 dias pós-tratamento também mostraram melhora significativa (P<0,05) dos valores de IP, IG, SS e PBS entre estas fases. Já o NI entre 4-5mm aumentou de forma significativa (P=0,04) entre o pré-tratamento e 90 dias após o mesmo, enquanto que o NI ≥ 6mm diminui significativamente entre as reavaliações de 30 e 90 dias (P=0,01 e P=0,02, respectivamente). Quando comparados os valores de 30 com os de 90 dias resultados semelhantes aos supracitados foram observados, inclusive o aumento do NI entre 4-5mm (P=0,02). É verificado também entre estas fases um IG aumentado (P=0,07). Quanto aos valores hematológicos ocorreu uma diminuição significativa dos níveis de bastões (P=0,05) e de monócitos (P=0,03) após o tratamento periodontal (30 dias), enquanto que o colesterol total e o LDL apresentaram uma tendência ao aumento (P=0,09 para ambos). Já nos sete pacientes submetidos às duas reavaliações o colesterol total apresentou aumento significativo entre as fases pré-tratamento, 30 (P=0,04) e 90 dias (P=0,02) após terapia, assim como o LDL (P=0,04 e P=0,03, respectivamente). Quando comparados os valores plaquetários entre as fases 30 e 90 dias pós-tratamento, verifica-se uma tendência a sua diminuição (P=0,09). O Índice de Castelli II (relação colesterol/HDL) apresenta entre as fases pré e 30 dias pós-tratamento tendência a aumento (P=0,09). Através desses resultados é possível concluir que o tratamento periodontal exerceu influência sobre bastões e monócitos do sangue, caracterizada pela diminuição dessas células, e sobre o colesterol total e o LDL, representada pelo aumento de seus valores.
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Background: The aims of this study were to evaluate the prevalence of HIV and its associated demographic and clinical factors among psychiatric inpatients of a general hospital. Methods: This was a single-center, observational, cross-sectional study that included patients consecutively admitted to our unit aged 16 years or older and with no relevant cognitive problems. The patients were evaluated using a semistructured interview and an appropriate test for HIV infection. Results: Of the 637 patients who were screened, 546 (86%) who consented to participate were included in the analyses. Twenty-five (4.6%, 95% confidence interval [CI] 3.0-6.8) patients were HIV-positive. The prevalence was higher among patients with substance misuse (17.4%, 95% CI 9.7-28.8). All except one of the 25 patients knew of their seropositive condition prior to participation in the study. Only 14 (56%) of the 25 seropositive patients had previously received pharmacological treatment for their infection. According to the multiple logistic regression analysis, the likelihood of HIV infection was lower in patients with higher levels of education and higher among patients who were single, had history of intravenous drug use, and had an HIV-positive partner, particularly if they did not use condoms. Among the patients with HIV infection, 18 (72%) had a history of suicide attempts compared with 181 (34.7%) of the patients without HIV infection (relative risk 2.1, 95% CI 1.6-2.7; P<0.001). Conclusion: HIV infection is highly prevalent in patients admitted to a psychiatric unit, especially those with a diagnosis of substance misuse. Seropositive patients show very poor treatment adherence. The risk of suicide seems to be very high in this population. Implementing interventions to reduce the suicide risk and improve adherence to antiretroviral therapy and psychotropic medications seems crucial.
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A contaminação de ambientes aquáticos decorrente de acidentes com gasolina, álcool combustível e misturas binárias representa um risco crescente, tendo em vista as projeções do setor para os próximos 50 anos. O objetivo do presente estudo foi avaliar a toxicidade aguda da Gasolina C, Gasolina P e álcool combustível isoladamente e em misturas binárias, assim como de suas respectivas Frações Solúveis em Água (FSA) e Frações Dispersas em Água (FDA) sobre Daphnia similis. O estudo ainda incluiu a avaliação da toxicidade aguda remanescente na matriz água de uma contaminação antiga (intemperismo) com a Gasolina C. Paralelamente, foram conduzidos ensaios de toxicidade aguda com amostras ambientais (água subterrânea, superficial e elutriato a partir de sedimentos) de uma área alagada com histórico de contaminação antiga. O cultivo e os ensaios com D. similis foram de acordo com a NBR 12.713 (2009). Tanto a gasolina C quanto a P foram extremamente tóxicas para os organismos, apresentando valores médios de CE50% em 48 h de 0,00113% e 0,058% respectivamente. As diferenças entre os resultados obtidos com a Gasolina C e aqueles obtidos com suas frações FSA e FDA foram significativas (p < 0,05), sendo que não houve diferença significativa entre a toxicidade aguda da FSA e da FDA (p < 0,05). Os resultados obtidos com os ensaios com Gasolina P e FDA não apresentaram diferenças significativas entre si (p < 0,05), mas, foram significativamente diferentes daqueles obtidos com FSA (p < 0,05). Os resultados dos ensaios de toxicidade aguda com misturas binárias sugeriram efeito menos que aditivo (antagonismo). Os resultados da simulação de uma contaminação antiga demonstraram redução acentuada da toxicidade para D. similis ao longo de apenas 28 dias. Entretanto, com relação aos ensaios com as amostras ambientais da área com histórico de contaminação, apesar da ausência ou baixa toxicidade nas amostras de água superficial (sugerindo intemperismo), toxicidade alta foi observada em amostras de água subterrânea e no elutriato de sedimentos, sugerindo condições de adsorção aos sedimentos com alto teor de argila e/ou aprisionamento dos compostos em zona saturada.
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This paper is an examination of precipitation trends in California for 100 years based on 96 rain records. The study resulted from an attempt to develop a wetness index for the San Francisco Bay area, where declining rainfall trends indicated a lot more rainfall in the first 50 years of the study period. A regular pattern of decline was found in California coastal stations, concurrent with an increasing trend at inland stations.
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收集长白山地区15个气象站1953-2007年气温、降水、蒸发、日照时数和水汽压观测数据和国家气候中心整理的2001-2099年的 气温、降水预估资料,利用数理统计方法,系统分析长白山地区气候现状、变化及其预估,为气候变化对人类生存环境影响研究并制定适应对策提供依据。主要结论如下: 1.长白山地区气温、降水日数、日照时数和不同界限温度(≥0℃、≥5℃、≥10℃和<0℃)积温均有显著趋势。年极端最低、年平均、平均最高/最低气温和气温日/年较差在1984、1992、1995、1985、1972和1979年发生突变。所有最高/最低气温与日照百分率有显著负相关关系,一定程度是温室效应结果;最高、最低气温变化不同步造成气温日较差和年较差的非对称性。 2.长白山地区生长季节合计降水量和降水强度日际变化较大。降水以7月30日为界,呈现前升后降极显著的线性趋势,且发生均值突变。降水强度以6月27日和9月3日为分界点,分为三个阶段。降水集中度、集中期和集中时段时空非均一性分布明显。 3.在SRES A1B、SRES A2和SRES B1三种情景下年平均气温均为上升趋势,年内变化一致为冬季升温最迅速,夏季则相对缓慢;而年降水强度总体增加,年内变化比较一致:冬季增加最为明显,而夏季变化不大。 4.未来长白山地区各站≥0℃、≥5℃和≥10℃的积温均有不同程度增加,持续时间延长。负积温增加,持续时间缩短,开始日期推迟,而结束时间提前。
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利用Morlet小波对延安1952~2003年52年间的降水量进行了多时间尺度分析,结果表明,延安降水在3~6 a和25~32 a的时间尺度上变化较强,存在近22 a和3 a的降水周期,其中22 a的周期变化最为强烈。根据降水周期,延安年降水在2003年后的5~8 a内相对偏多,2007~2009年左右达到最大值,然后降水量开始减少,从2013年左右开始进入一个约10 a的少雨阶段。基于1952~1990年降水量资料,建立小波变换的最近邻抽样回归模型,用1990~2003年13 a的年降水量变化作为校验,13年中有11年的预测结果相对误差小于30%,说明小波分析和最近邻抽样回归模型结合可以较好地预测降水量的年际变化。
Physical Activity, Central Adiposity, and Functional Limitations in Community-Dwelling Older Adults.
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BACKGROUND AND PURPOSE: Obesity and physical inactivity are independently associated with physical and functional limitations in older adults. The current study examines the impact of physical activity on odds of physical and functional limitations in older adults with central and general obesity. METHODS: Data from 6279 community-dwelling adults aged 60 years or more from the Health and Retirement Study 2006 and 2008 waves were used to calculate prevalence and odds of physical and functional limitation among obese older adults with high waist circumference (waist circumference ≥88 cm in females and ≥102 cm in males) who were physically active versus inactive (engaging in moderate/vigorous activity less than once per week). Logistic regression models were adjusted for age, sex, race/ethnicity, education, smoking status, body mass index, and number of comorbidities. RESULTS: Physical activity was associated with lower odds of physical and functional limitations among older adults with high waist circumference (odds ratio [OR], 0.59; confidence interval [CI], 0.52-0.68, for physical limitations; OR, 0.52; CI, 0.44-0.62, for activities of daily living; and OR, 0.44; CI, 0.39-0.50, for instrumental activities of daily living). CONCLUSIONS: Physical activity is associated with significantly lower odds of physical and functional limitations in obese older adults regardless of how obesity is classified. Additional research is needed to determine whether physical activity moderates long-term physical and functional limitations.
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Aims: To determine whether routine outpatient monitoring of growth predicts adrenal suppression in prepubertal children treated with high dose inhaled glucocorticoid.
Methods: Observational study of 35 prepubertal children (aged 4–10 years) treated with at least 1000 µg/day of inhaled budesonide or equivalent potency glucocorticoid for at least six months. Main outcome measures were: changes in HtSDS over 6 and 12 month periods preceding adrenal function testing, and increment and peak cortisol after stimulation by low dose tetracosactrin test. Adrenal suppression was defined as a peak cortisol 500 nmol/l.
Results: The areas under the receiver operator characteristic curves for a decrease in HtSDS as a predictor of adrenal insufficiency 6 and 12 months prior to adrenal testing were 0.50 (SE 0.10) and 0.59 (SE 0.10). Prediction values of an HtSDS change of –0.5 for adrenal insufficiency at 12 months prior to testing were: sensitivity 13%, specificity 95%, and positive likelihood ratio of 2.4. Peak cortisol reached correlated poorly with change in HtSDS ( = 0.23, p = 0.19 at 6 months; = 0.33, p = 0.06 at 12 months).
Conclusions: Monitoring growth does not enable prediction of which children treated with high dose inhaled glucocorticoids are at risk of potentially serious adrenal suppression. Both growth and adrenal function should be monitored in patients on high dose inhaled glucocorticoids. Further research is required to determine the optimal frequency of monitoring adrenal function.
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PURPOSE. To assess the prevalence of age-related macular degeneration (AMD) in a rural population in Northern India. METHODS. In a pilot feasibility study, 1443 people (median age, 60 years; 52% women), were identified from enumeration of the 50+ age group in 11 randomly sampled villages from a rural, periurban district of Haryana, Northern India. Of those identified, 87% attended an eye examination that included digital fundus photography. Fundus images were graded at a single reading center using definitions from the Wisconsin Age-Related Maculopathy Grading System. RESULTS. Fundus photographs were available for 1101 participants. Overall, 28.8% of participants had ungradable fundus images due to cataract. Including all with ungradable images in the denominator, the prevalence of soft drusen was 34.0% (95% confidence interval [CI] 26.1–42.9); of soft indistinct drusen, 2.2% (95% CI, 1.1–4.4); and of pigmentary irregularities, 10.8% (95% CI, 7.1–16.1). There were 15 (1.4%) cases of late-stage AMD (95% CI, 0.8–2.3) with the prevalence rising from 0.4% in the 50- to 59-year age range to 4.6% in those aged 70 years or older. CONCLUSIONS. Drusen and pigmentary irregularities are common among the rural northern Indian population. The prevalence of late AMD is similar to that encountered in Western settings and is likely to contribute significantly to the burden of vision loss in older people in the developing world.
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OBJECTIVE: To examine the determinants of formal and informal care utilisation amongst persons with age-related macular degeneration (AMD). DESIGN: Cross-sectional hospital-based study. SETTING: Hospital eye clinic in Northern Ireland. PARTICIPANTS: 284 persons aged >or=50 years. MAIN OUTCOME MEASURES: Participants were questioned about their care, living arrangements, eyesight-related ability to self-care, and eyesight-related need to be more careful whilst undertaking everyday tasks. RESULTS: The percentage of older persons receiving formal and informal care rose with the level of visual impairment. 34.9% and 37.3% of those with no visual impairment received formal and informal care, respectively, compared with 51.6% and 69.9% of those with moderate visual impairment and 55.6% and 88.9% of those with severe visual impairment. Three factors (age, best corrected distance visual acuity in the better eye and living alone) were significant predictors (p
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Some 50 years after its creation EU competition policy remains firmly entrenched as one of the most developed examples of supranational governance within the European Union. Although there has been a marked increase in interest among political scientists in competition policy in recent years there are still gaps in terms of overall coverage. One area that has been largely overlooked centres on cartels. Cartel policy has emerged as a highly salient issue and main priority of the Commission's competition policy since the late 1990s. Certainly, the recent restructuring of the EU cartel enforcement regime, the imposition of ever higher fines and a determined EU Competition Commissioner have fuelled growing media attention while new notices and regulations increasingly occupy the interests and minds of practitioners. The European Commission has constantly extended its activities on the competition policy front and its increasingly aggressive strategies to combat cartels provides political scientists with a fascinating case study of governance in action and illustrates the ways – such as leniency programmes, higher fines, enhanced and better equipped resources as well as internal reorganisation in which the European regulator is pursuing such conspiracies. This article traces the evolution and development of EU cartel policy since its inception and assesses the Commission's strategies and considers just to what extent the European Commission is winning its war against business cartelisation.
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Objective: To describe the prevalence and determinants of psychological problems in European children with hemiplegia. Design: Cross-sectional survey. Setting: Home visits in nine European regions by research associates who administered standard questionnaires to parents. Patients: 279 children with hemiplegia aged 8–12 years were recruited from population-based case registers. Outcome measure: Strengths and Difficulties Questionnaire comprising emotion, conduct, hyperactivity, peer problems and prosocial domains. An “impact score” (IS) measures the social and psychological impact of the child’s difficulties. Results: Children with hemiplegia had higher mean scores on the total difficulties score (TDS) compared with a normative sample (p<0.001). 48% and 57% of children, respectively, had borderline–abnormal TDS and IS. Significant, independent associations were observed between intellectual impairment and an increased risk for hyperactivity (odds ratio; OR 8.4, 95% CI 3.4 to 20.8), peer problems (OR 3.1, 95% CI 1.7 to 5.5), psychological and social impact (OR 3.0, 95% CI 1.6 to 5.6) when children with an intellectual quotient (IQ) <50 were compared with those with an IQ >70. Boys had an increased risk for conduct (OR 2.1, 95% CI 1.2 to 3.7) and hyperactivity disorders (OR 2.5, 95% CI 1.4 to 4.6). Poor self-esteem was associated with an increased risk for peer problems (OR 5.8, 95% CI 2.5 to 13.4) and poor prosocial skills (OR 7.5, 95% CI 2.4 to 23.2) compared with those with high self-esteem. Other determinants of psychological adjustment were impaired communication, severe pain and living with a single parent. Conclusions: Many of the psychological problems identified are amenable to treatment. Special attention should be given to those at highest risk of developing psychological difficulties.
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Objective: To examine changes in temporal trends in breast cancer mortality in women living in 30 European countries.
Design: Retrospective trend analysis.
Data source: WHO mortality database on causes of deaths
Subjects reviewed: Female deaths from breast cancer from 1989 to 2006
Main outcome measures: Changes in breast cancer mortality for all women and by age group (<50, 50-69, and >= 70 years) calculated from linear regressions of log transformed, age adjusted death rates. Joinpoint analysis was used to identify the year when trends in all age mortality began to change.
Results: From 1989 to 2006, there was a median reduction in breast cancer mortality of 19%, ranging from a 45% reduction in Iceland to a 17% increase in Romania. Breast cancer mortality decreased by >= 20% in 15 countries, and the reduction tended to be greater in countries with higher mortality in 1987-9. England and Wales, Northern Ireland, and Scotland had the second, third, and fourth largest decreases of 35%, 29%, and 30%, respectively. In France, Finland, and Sweden, mortality decreased by 11%, 12%, and 16%, respectively. In central European countries mortality did not decline or even increased during the period. Downward mortality trends usually started between 1988 and 1996, and the persistent reduction from 1999 to 2006 indicates that these trends may continue. The median changes in the age groups were -37% (range -76% to -14%) in women aged <50, -21% (-40% to 14%) in 50-69 year olds, and -2% (-42% to 80%) in >= 70 year olds.
Conclusions: Changes in breast cancer mortality after 1988 varied widely between European countries, and the UK is among the countries with the largest reductions. Women aged <50 years showed the greatest reductions in mortality, also in countries where screening at that age is uncommon. The increasing mortality in some central European countries reflects avoidable mortality.