Self-perception of aging and vulnerability to adverse outcomes at the age of 65-70 years.

OBJECTIVES. This study examines the relationship between self-perception of aging and vulnerability to adverse outcomes in adults aged 65-70 years using data from a cohort of 1,422 participants in Lausanne, Switzerland. METHODS: A positive or negative score of perception of aging was established using the Attitudes Toward Own Aging subscale including 5 items of the Philadelphia Geriatric Center Morale Scale. Falls, hospitalizations, and difficulties in basic and instrumental activities of daily living (ADL) collected in the first 3 years of follow-up were considered adverse outcomes. The relationship between perception and outcomes were evaluated using multiple logistic regression models adjusting for chronic medical conditions, depressive feelings, living arrangement, and socioeconomic characteristics. RESULTS: The strongest associations of self-perception of aging with outcomes were observed for basic and instrumental ADL. Associations with falls and hospitalizations were not constant but could be explained by health characteristics. CONCLUSIONS: A negative self-perception of aging is an indicator of risk for future disability in ADL. Factors such as a low-economic status, living alone, multiple chronic medical conditions, and depressive feelings contribute to a negative self-perception of aging but do not explain the relationship with incident activities of daily living disability.

[Archives de la parole]. , [Voilà six mois que c'était le printemps] : [chanson] / [Ferdinand Brunot], collecteur ; [Françoise Dupont, 65 ans, cultivatrice], chant. [Chanson du laboureur] : [chanson] / [Ferdinand Brunot], collecteur ; [Jean Berger, 26 ans, garçon de ferme]

[Traditions. France. Berry]

[Archives de la parole]. , [Oh ! ma bergère] : [chanson] / [Ferdinand Brunot], collecteur ; [Françoise Dupont, 65 ans, cultivatrice], chant. [Appel aux bêtes] / [Ferdinand Brunot], collecteur ; [Solange Rémi, 79 ans, cultivatrice], voix ; [Marie Viaud, 52 ans, cultivatrice], voix

[Traditions. France. Berry]

[Archives de la parole]. , [Je n'en regarde pas] : [chanson] / [Ferdinand Brunot], collecteur ; [Solange Rémi, 79 ans, cultivatrice], chant. [Voilà six mois que c'était le printemps] : [chanson] / [Ferdinand Brunot], collecteur ; [Françoise Dupont, 65 ans, cultivatrice], chant. [Chanson du laboureur]... [etc] / [Ferdinand Brunot], collecteur ; [Jean Berger, 26 ans, garçon de ferme], chant

[Traditions. France. Berry]

[Archives de la parole]. , [Toujours labourer la terre] : [chanson] / [Ferdinand Brunot], collecteur ; [Henri Féron, 65 ans], chant

[Traditions. France. Berry]

Aortic biological valve prosthesis in patients younger than 65 years of age: transition to a flexible age limit?

OBJECTIVES Guidelines proposed bioprosthesis implantation for aortic valve disease if the patients were at least 65 years old at the time of surgery, with a trend towards even younger patients in recent years. Considering the adverse effects of lifetime anticoagulation, new biological valves (less prone to degeneration) and new technologies may lead patients and surgeons to different choices. Therefore, it is interesting to analyse the results of aortic bioprosthetic valve replacement in patients aged <65 years at the time of surgery. METHODS From January 2000 to December 2010, 84 patients aged <65 years at the time of surgery had undergone an aortic bio-prosthetic valve replacement. A mid-term follow-up [(FU) mean FU time: 54.4 ± 39.2 months] was done in August 2011 in all patients (FU completeness: 100%). Results were compared with patients who had a mechanical prosthetic aortic valve replacement during the same period. RESULTS The reoperation rate for structural valve degeneration (SVD) of bioprostheses was 6% and occurred exclusively among patients <56 years. Contraindications for anticoagulation determined the choice of a bioprosthesis among 83% of these patients. The personal preference to avoid anticoagulation was the leading cause in 68% of the older patients (56-65 years). Neurological complications occurred more frequently in the mechanical control group. CONCLUSIONS Reoperations for SVD after bioprosthesis implantation occurred exclusively among younger patients (<56 years), not suitable for systemic anticoagulation. Previous studies, together with our experience, are in favour of an age limit between 56 and 60 years, taking into consideration alternative transcatheter approaches to SVD treatment.

Comportamiento de los cultivares de papaya Sunset, Sunrise y de los genotipos Baixinho de Santa Amalia y BH - 65 en la zona sur de la isla de Tenerife

Los antecedentes de la papaya (Carica papaya, L.) en Canarias vienen a poner de manifiesto, la viabilidad de este cultivo en invernadero y la posibilidad de su mayor expansión a corto plazo, debido a la introducción a lo largo de los últimos años de cultivares comerciales y de gran calidad, procedentes de Hawaii ('Sunrise') y de Brasil 'Baixinho de Santa Amalia' (BSA). En este trabajo se ha estudiado el crecimiento, desarrollo y productividad de los cultivares Sunset, Sunrise, y de los genotipos BH-65 y 'Baixinho de Santa Amalia' y las características morfológicas y organolépticas de sus frutos, con el fin de continuar con la selección de aquellos cultivares que mejor se adapten y cumplan con las exigencias mínimas de mercado, que mantengan una buena productividad en aquellas zonas marginales para la platanera y que sirvan de base para futuros programas de mejora. Los resultados ponen de manifiesto que los mayores porcentajes de floración se obtienen en el mes de Mayo (6 meses después de la plantación) en las plantas hermafroditas de todos los cultivares, correspondiendo los mayores porcentajes a 'Sunset' y 'Sunrise' (80 y 90,4%, respectivamente). El número de hojas emitidas mensualmente es semejante en todos los cultivares, entre 7,5 y 7,8. Las plantas femeninas de 'Sunrise' así como las hermafroditas de 'Sunset' tienen mayor diámetro, y además, este último cultivar es más precoz en florecer y sus frutos son de mayor peso y tamaño. Hay que destacar también que en el punto de consumo los frutos del cultivar Sunrise son los que poseen mayor contenido en sólidos solubles totales (10,33 ºBrix). Además, los frutos hermafroditas de 'Sunrise' son los primeros en ser recolectados (422 días desde la plantación). Finalmente, señalar que el cultivar Sunset destaca por ser el más productivo (59,5 kg/pl) y por tener mayores rendimientos por hectárea (158,627 kg/ha). No obstante, los genotipos BH-65 y BSA poseen un comportamiento muy semejante, si bien tienen menor porte en el primer año de cultivo (142,9 y 138,8cm) menor altura a la primera flor (40,6 y 42,2 cm) y menor longitud de entrenudos (1,4 y 1,3 cm).Las características descriptivas de los frutos son muy parecidas sin existir diferencias significativas entre ellas. Los frutos tienen buen tamaño (13,74 x 7,81 cm y (12,68 x 7,98 cm) y peso (392,92 y 418,8 g.) y una producción excelente, cualidades de gran interés para el cultivo de la papaya bajo invernadero.

Handwriting and pre-frailty in the Lausanne cohort 65+ (Lc65+) study

BACKGROUND: Frailty is detected by weight loss, weakness, slow walking velocity, reduced physical activity or poor endurance/exhaustion. Handwriting has not been examined in the context of frailty, despite its functional importance. OBJECTIVE: Our goal was to examine quantitative handwriting measures in people meeting 0, 1, and 2 or more (2+) frailty criteria. We also examined if handwriting parameters were associated with gait performance, weakness, poor endurance/exhaustion and cognitive impairment. METHODS: From the population-based Lc65+, 72 subjects meeting 2+ frailty criteria with complete handwriting samples were identified. Gender-matched controls meeting 1 criterion or no criteria were identified. Cognitive impairment was defined by a Mini-Mental State Examination score of 25 or less or the lowest 20th percentile of Trail Making Test Part B. Handwriting was recorded using a writing tablet and measures of velocity, pauses, and pressure were extracted. RESULTS: Subjects with 2+ criteria were older, had more health problems and need for assistance but had higher education. No handwriting parameter differed between frailty groups (age and education adjusted). Writing velocity was not significantly slower among participants from the slowest 20th percentile of gait velocity but writing pressure was significantly lower among those from the lowest 20th percentile of grip strength. Poor endurance/exhaustion was not associated with handwriting measures. Low cognitive performance was related to longer pauses. CONCLUSIONS: Handwriting parameters might be associated with specific aspects of the frailty phenotype, but not reliably with global definitions of frailty at its earliest stages among subjects able to perform handwriting tests.