Science.gov

Sample records for older uno tamm

  1. UNO's Afghanistan Collection.

    ERIC Educational Resources Information Center

    McKernan, M. D.

    This paper explores the background history and sources of the Afghanistan collection at the University Library, University of Nebraska at Omaha (UNO). Credit for the impetus behind the development of the collection is given to Chris Jung, a former UNO geography/geology faculty member; Ronald Roskens, then UNO chancellor; and the Afghanistan…

  2. UNO's Afghanistan Collection.

    ERIC Educational Resources Information Center

    McKernan, M. D.

    This paper explores the background history and sources of the Afghanistan collection at the University Library, University of Nebraska at Omaha (UNO). Credit for the impetus behind the development of the collection is given to Chris Jung, a former UNO geography/geology faculty member; Ronald Roskens, then UNO chancellor; and the Afghanistan…

  3. Tamm-Langmuir surface waves

    NASA Astrophysics Data System (ADS)

    Golenitskii, K. Â. Yu.; Koshelev, K. Â. L.; Bogdanov, A. Â. A.

    2016-10-01

    In this work we develop a theory of surface electromagnetic waves localized at the interface of periodic metal-dielectric structures. We have shown that the anisotropy of plasma frequency in metal layers lifts the degeneracy of plasma oscillations and opens a series of photonic band gaps. This results in appearance of surface waves with singular density of states—we refer to them as Tamm-Langmuir waves. Such naming is natural since we have found that their properties are very similar to the properties of both bulk Langmuir and surface Tamm waves. Depending on the anisotropy parameters, Tamm-Langmuir waves can be either forward or backward waves. Singular density of states and high sensitivity of the dispersion to the anisotropy of the structure makes Tamm-Langmuir waves very promising for potential applications in nanophotonics and biosensing.

  4. Tamm states in electron plasma

    NASA Astrophysics Data System (ADS)

    2013-11-01

    Researchers have fabricated a voltage-tunable plasmonic crystal in a two-dimensional electron gas that operates at terahertz frequencies. Nature Photonics spoke to Eric Shaner, Greg Dyer and Greg Aizin about the observation of Tamm states at the crystal's edge.

  5. Tamm plasmon polaritons in multilayered cylindrical structures

    NASA Astrophysics Data System (ADS)

    Little, C. E.; Anufriev, R.; Iorsh, I.; Kaliteevski, M. A.; Abram, R. A.; Brand, S.

    2012-12-01

    It is shown that cylindrical Bragg reflector structures with either a metal core, a metal cladding, or both can support Tamm plasmon polaritons (TPPs) that can propagate axially along the interface between the metallic layer and the adjacent dielectric. A transfer matrix formalism for cylindrical multilayered structures is used in association with cavity phase matching considerations to design structures that support Tamm plasmon polaritons at specified frequencies, and to explore the field distributions and the dispersion relations of the excitations. The cylindrical TPPs can exist in both the TE and TM polarizations for the special cases of modes with either azimuthal isotropy or zero axial propagation constant and also as hybrid cylindrical modes when neither of those conditions applies. In the cases considered the TPPs have low effective masses and low group velocities. Also, when there is both metallic core and cladding, near degenerate modes localized at each metallic interface can couple to produce symmetric and antisymmetric combinations whose frequency difference is in the terahertz regime.

  6. Fluorescence of semiconductor nanocrystals coupled to optical Tamm cavities

    NASA Astrophysics Data System (ADS)

    Feng, Fu; Pascale Senellart Team; Benoit Dubertret Team; Agnes Maitre Team

    We describe here the photoluminescence properties of a layer of colloidal CdSe/CdS fluorescent nanocrystals embedded in such a Tamm cavity. Spectral and angular analysis of fluorescence shows that the nanocrystals emission is into the Tamm states ; the emission dispersion relation for disks of various diameters shows the effect of the Tamm states lateral confinement. We also combined spatial and angular emission analysis and showed that the direction of emission is not the same for different points on a disk: emission from the left (resp. right) portion of the cavity is directed mostly in the left (resp. right) direction, in agreement with our numerical simulations. Our measurement scheme constitutes a probe of the Tamm state electric field phase gradient inside the cavity. Spatial and K space resolved spectroscopy.

  7. Deeply subwavelength electromagnetic Tamm states in graphene metamaterials

    NASA Astrophysics Data System (ADS)

    Smirnova, Daria; Buslaev, Pavel; Iorsh, Ivan; Shadrivov, Ilya V.; Belov, Pavel A.; Kivshar, Yuri S.

    2014-06-01

    We study localized modes at a surface of a multilayer structure made of graphene layers separated by dielectric layers. We demonstrate the existence of deeply subwavelength surface modes that can be associated with the electromagnetic Tamm states, with the frequencies in the THz frequency range the negative group velocities. We suggest that the dispersion properties of these Tamm surface modes can be tuned by varying the thickness of a dielectric cap layer.

  8. Tamm plasmon-polaritons: First experimental observation

    NASA Astrophysics Data System (ADS)

    Sasin, M. E.; Seisyan, R. P.; Kaliteevski, M. A.; Brand, S.; Abram, R. A.; Chamberlain, J. M.; Iorsh, I. V.; Shelykh, I. A.; Egorov, A. Yu.; Vasil'ev, A. P.; Mikhrin, V. S.; Kavokin, A. V.

    2010-01-01

    We report on the first experimental observation of Tamm plasmon-polaritons (TPP) formed at the interface between a metal and a dielectric Bragg reflector (DBR). Contrary to conventional surface plasmons, TPPs have an in-plane wave vector less than the wave vector of light in vacuum, which allows for their direct optical excitation, and can be formed in both the TE and TM polarizations. The angular resolved reflectivity and transmission spectra of a GaAs/AlAs DBR covered by Au films of various thicknesses show the resonances associated with the TPP at low temperatures and at room temperature. The in-plane dispersion of TTPs is parabolic with an effective mass 4×10-5 of the free electron mass.

  9. Emission of Tamm plasmon/exciton polaritons

    NASA Astrophysics Data System (ADS)

    Symonds, C.; Lemaître, A.; Homeyer, E.; Plenet, J. C.; Bellessa, J.

    2009-10-01

    We report on the observation of the strong coupling regime occurring between a Tamm plasmon (TP) mode and an exciton from inorganic quantum wells (QWs). The sample is formed by a silver thin film deposited onto an AlAs/GaAlAs Bragg reflector containing InGaAs QWs located in the high refractive index layers. Angular resolved reflectometry experiments evidence a clear anticrossing in the dispersion relations, a signature of the strong coupling regime. The Rabi splitting energy is 11.5 meV. The experimental data are in very good agreement with simple transfer matrix calculations. The emission from low and high energy TP/exciton polaritons is also demonstrated.

  10. Signatures of thermal hysteresis in Tamm-wave propagation

    NASA Astrophysics Data System (ADS)

    Chiadini, Francesco; Fiumara, Vincenzo; Mackay, Tom G.; Scaglione, Antonio; Lakhtakia, Akhlesh

    2017-10-01

    We numerically solved the boundary-value problem for Tamm waves (which may also be classified as Uller-Zenneck waves here) guided by the planar interface of a homogeneous isotropic dissipative dielectric (HIDD) material and a periodically multilayered isotropic dielectric material. The HIDD material was chosen to be VO${}_2$ which, at optical wavelengths, has a temperature-dependent refractive index with a hysteresis feature, i.e., the temperature-dependence of its refractive index varies depending upon whether the temperature is increasing or decreasing. A numerical code was implemented to extract solutions of the dispersion equation at a fixed wavelength for both $p$- and $s$-polarization states over the temperature range [50,80] degrees. A multitude of Tamm waves of both linear polarization states were found, demonstrating a clear demarcation of the heating and cooling phases in terms of wavenumbers and propagation distances. Thereby, the signatures of thermal hysteresis in Tamm-wave propagation were revealed.

  11. Enhancement of spontaneous emission in Tamm plasmon structures.

    PubMed

    Gubaydullin, A R; Symonds, C; Bellessa, J; Ivanov, K A; Kolykhalova, E D; Sasin, M E; Lemaitre, A; Senellart, P; Pozina, G; Kaliteevski, M A

    2017-08-21

    It was theoretically and experimentally demonstrated that in metal/semiconductor Tamm plasmon structures the probability of spontaneous emission can be increased despite losses in metal, and theoretical analysis of experimental results suggested that the enhancement could be as high as one order of magnitude. Tamm plasmon structure with quantum dots has been fabricated and the emission pattern has been measured. Electromagnetic modes of the structure have been analyzed and modification of spontaneous emission rates has been calculated showing a good agreement with experimentally observed emission pattern.

  12. Strong coupling between Tamm plasmon and QW exciton

    NASA Astrophysics Data System (ADS)

    Homeyer, Estelle; Symonds, Clémentine; Lemaître, Aristide; Plenet, Jean-Claude; Bellessa, Joel

    2011-03-01

    We report on the strong coupling between a Tamm plasmon mode and excitons from inorganic quantum wells. The sample is formed by an AlAs/GaAlAs Bragg reflector containing InGaAs QWs in its high refractive index layers, on top of which a thin silver film is deposited. Angle resolved reflectometry experiments at low temperature (77 K) show a clear anticrossing in the dispersion relations, evidencing the strong coupling regime. The Rabi splitting amounts to 11.5 meV. Emission from low and high energy Tamm plasmon/exciton polaritons is also demonstrated. Experimental data are in very good agreement with transfer matrix simulations.

  13. Tamm-Horsfall glycoprotein and calcium nephrolithiasis.

    PubMed

    Hess, B

    1994-01-01

    Available data on the effects of Tamm-Horsfall glycoprotein (THP) on calcium oxalate crystallization processes are apparently conflicting. With the main emphasis on calcium oxalate crystal aggregation, this review demonstrates that THP has a dual role as a modifier of crystal aggregation: in solutions with high pH, low ionic strength (IS) and low concentrations of calcium and THP itself, the glycoprotein acts as a powerful inhibitor of calcium oxalate crystal aggregation. Conversely, low pH, high IS and high concentrations of calcium and THP all favor self-aggregation of THP molecules which lowers their inhibitory activity against calcium oxalate crystal aggregation. Some patients with severely recurrent Ca stone disease excrete abnormal THPs which self-aggregate at levels of pH, IS and concentrations of Ca and THP at which normal THPs remain in monomeric form. With high Ca concentrations, such abnormal THPs become strong promoters of crystal aggregation, since conformational changes in crystal-bound THP molecules induce strong viscous binding forces which overcome repulsive electrostatic surface charges. By chelating free Ca ions, citrate reduces self-aggregation of THP molecules and turns promoting THPs into inhibitors of calcium oxalate crystal aggregation.

  14. Semiempirical UNO-CAS and UNO-CI: method and applications in nanoelectronics.

    PubMed

    Dral, Pavlo O; Clark, Timothy

    2011-10-20

    Unrestricted Natural Orbital-Complete Active Space Configuration Interaction, abbreviated as UNO-CAS, has been implemented for NDDO-based semiempirical molecular-orbital (MO) theory. A computationally more economic technique, UNO-CIS, in which we use a configuration interaction (CI) calculation with only single excitations (CIS) to calculate excited states, has also been implemented and tested. The class of techniques in which unrestricted natural orbitals (UNOs) are used as the reference for CI calculations is denoted UNO-CI. Semiempirical UNO-CI gives good results for the optical band gaps of organic semiconductors such as polyynes and polyacenes, which are promising materials for nanoelectronics. The results of these semiempirical UNO-CI techniques are generally in better agreement with experiment than those obtained with the corresponding conventional semiempirical CI methods and comparable to or better than those obtained with far more computationally expensive methods such as time-dependent density-functional theory. We also show that symmetry breaking in semiempirical UHF calculations is very useful for predicting the diradical character of organic compounds in the singlet spin state.

  15. Examining the potential exploitation of UNOS policies.

    PubMed

    Zink, Sheldon; Wertlieb, Stacey; Catalano, John; Marwin, Victor

    2005-01-01

    The United Network for Organ Sharing (UNOS) waiting list was designed as a just and equitable system through which the limited number of organs is allocated to the millions of Americans in need of a transplant. People have trusted the system because of the belief that everyone on the list has an equal opportunity to receive an organ and also that allocation is blind to matters of financial standing, celebrity or political power. Recent events have revealed that certain practices and policies have the potential to be exploited. The policies addressed in this paper enable those on the list with the proper resources to gain an advantage over other less fortunate members, creating a system that benefits not the individual most in medical need, but the one with the best resources. These policies are not only unethical but threaten the balance and success of the entire UNOS system. This paper proposes one possible solution, which seeks to balance the concepts of justice and utility.

  16. CASA Uno GPS orbit and baseline experiments

    NASA Technical Reports Server (NTRS)

    Schutz, B. E.; Ho, C. S.; Abusali, P. A. M.; Tapley, B. D.

    1990-01-01

    CASA Uno data from sites distributed in longitude from Australia to Europe have been used to determine orbits of the GPS satellites. The characteristics of the orbits determined from double difference phase have been evaluated through comparisons of two-week solutions with one-week solutions and by comparisons of predicted and estimated orbits. Evidence of unmodeled effects is demonstrated, particularly associated with the orbit planes that experience solar eclipse. The orbit accuracy has been assessed through the repeatability of unconstrained estimated baseline vectors ranging from 245 km to 5400 km. Both the baseline repeatability and the comparison with independent space geodetic methods give results at the level of 1-2 parts in 100,000,000. In addition, the Mojave/Owens Valley (245 km) and Kokee Park/Ft. Davis (5409 km) estimates agree with VLBI and SLR to better than 1 part in 100,000,000.

  17. CASA Uno GPS orbit and baseline experiments

    NASA Technical Reports Server (NTRS)

    Schutz, B. E.; Ho, C. S.; Abusali, P. A. M.; Tapley, B. D.

    1990-01-01

    CASA Uno data from sites distributed in longitude from Australia to Europe have been used to determine orbits of the GPS satellites. The characteristics of the orbits determined from double difference phase have been evaluated through comparisons of two-week solutions with one-week solutions and by comparisons of predicted and estimated orbits. Evidence of unmodeled effects is demonstrated, particularly associated with the orbit planes that experience solar eclipse. The orbit accuracy has been assessed through the repeatability of unconstrained estimated baseline vectors ranging from 245 km to 5400 km. Both the baseline repeatability and the comparison with independent space geodetic methods give results at the level of 1-2 parts in 100,000,000. In addition, the Mojave/Owens Valley (245 km) and Kokee Park/Ft. Davis (5409 km) estimates agree with VLBI and SLR to better than 1 part in 100,000,000.

  18. Tamm State-Coupled Emission: Effect of Probe Location and Emission Wavelength

    PubMed Central

    2015-01-01

    We report the effect of the probe location and wavelength on the emission spatial distribution and spectral properties of fluorophores located on structures which display Tamm states. Our structure consists of a one-dimensional photonic crystal (1DPC)—that is, a multilayer structure of alternate high and low refractive index dielectrics—and a thin top silver film. Simulations show the presence of Tamm and surface plasmon modes in the structure. The electric field intensities for the Tamm modes are located mostly in the dielectric layer below the metal film. The corresponding field intensities for the surface plamon modes are located above the metal film in the distal side. Tamm states can be in resonance with the incident light normal or near normal to the surface, within the light line, and can be accessed without the use of a coupling prism or gratings. We investigated the emission spectra and angular distribution of the emission for probes located above and below the metal film to explore the interaction of fluorophores with Tamm plasmons and surface plasmons modes. Three probes were chosen with different overlap of the emission spectra with the Tamm modes. The fluorophores below the metal film coupled predominantly with the Tamm state and displayed more intense and only Tamm state-coupled emission (TSCE). Probes above the metal film display both surface plasmon-coupled emission (SPCE) and Tamm state-coupled emission. In contrast to SPCE, which shows only KR, P-polarized emission, the Tamm states can display both S- and P-polarized emission and can be populated using both RK and KR illuminations. The TSCE angle is highly sensitive to wavelength, which suggests the use of Tamm structures to provide both directional emission and wavelength dispersion. The combination of plasmonic and photonic structures with directional emission close to surface normal offers the opportunities for new design formats for clinical testing, portable devices, and other

  19. Hybrid states of Tamm plasmons and exciton-polaritons

    NASA Astrophysics Data System (ADS)

    Kaliteevski, M.; Brand, S.; Abram, R. A.; Iorsh, I.; Kavokin, A. V.; Liew, T. C. H.; Shelykh, I. A.

    2011-03-01

    We have demonstrated theoretically that it is possible to use the resonant coupling of exciton-polaritons in a planar microcavity and Tamm plasmons at a metal film on the surface of the structure to provide lateral spatial control of the exciton-polaritons within the cavity. The resonant coupling of the Tamm plasmons to cavity exciton-polaritons results in a triplet of hybrid plasmon-exciton-polariton modes with the lowest at a significantly lower energy than that of the unperturbed exciton-polaritons. Further, a patterned metal film on the structure surface can provide a sufficiently large lateral modulation of the excitation energy that localization of the exciton-polaritons within chosen regions of the cavity is possible. We show how the approach opens the way to a practical demonstration of polariton channels, traps, and devices, including logic gates.

  20. Hybrid states of Tamm plasmons and exciton polaritons

    NASA Astrophysics Data System (ADS)

    Kaliteevski, M.; Brand, S.; Abram, R. A.; Iorsh, I.; Kavokin, A. V.; Shelykh, I. A.

    2009-12-01

    Channeling of exciton polaritons in the plane of semiconductor microcavities can be achieved by the deposition of metallic mesas on the top of the semiconductor structure. We show theoretically that the regime of strong coupling between cavity polaritons and Tamm surface plasmons is possible in such structures. The effect is favorable for the spatial confinement of polaritons and the formation of hybrid one-dimensional plasmon-polariton modes.

  1. Hybrid states of Tamm plasmons and exciton polaritons

    SciTech Connect

    Kaliteevski, M.; Brand, S.; Abram, R. A.; Iorsh, I.; Kavokin, A. V.; Shelykh, I. A.

    2009-12-21

    Channeling of exciton polaritons in the plane of semiconductor microcavities can be achieved by the deposition of metallic mesas on the top of the semiconductor structure. We show theoretically that the regime of strong coupling between cavity polaritons and Tamm surface plasmons is possible in such structures. The effect is favorable for the spatial confinement of polaritons and the formation of hybrid one-dimensional plasmon-polariton modes.

  2. Projected BCS-Tamm-Dancoff approximation with blocking effect

    NASA Astrophysics Data System (ADS)

    Dias, H.; Krmpotić, F.

    1982-05-01

    The blocking effect is introduced through a canonical transformation in the projected BCS-Tamm-Dancoff approximation. It is suggested that the blocking effect may play an important role in the description of the low-lying states in odd-mass nuclei. Present address: Departamento de Física, Facultad de Ciencias Exactas, Universidad Nacional de La Plata, 1900 La Plata, Argentina. Member of Carrera de Investigador Científico, CONICET, Argentina. Sponsored by Financiadora de Estudos e Projetos (FINEP), Brasil.

  3. Femtosecond dynamics of Tamm plasmon-polaritons (Conference Presentation)

    NASA Astrophysics Data System (ADS)

    Afinogenov, Boris I.; Popkova, Anna A.; Bessonov, Vladimir O.; Fedyanin, Andrey A.

    2016-09-01

    Tamm plasmon-polaritons (TPPs) have attracted many interest due to the peculiarities of their optical properties. TPPs are optical surface states, which can be excited at the boundary of distributed Bragg reflector and metal film. Like in case of surface plasmon-polaritons or surface electromagnetic waves excitation, the emergence of the TPP leads to the localization of the electromagnetic field near the DBR/metal interface. Experimentally, TPP can be detected by a narrow resonance in reflectance or transmittance spectrum of the DBR/metal structure. Tamm plasmon-polaritons were proposed to be used in several types of novel optical elements, such as sensors and lasers. It was also shown that TPPs can be effectively coupled with other localized states like surface plasmons and microcavity modes. In this contribution the direct measurements of the Tamm plasmon-polariton relaxation dynamics are presented. The lifetime of the TPP in one-dimensional photonic crystal is estimated experimentally and compared to the results of numerical calculations. The dependence of the lifetime on the angle of incidence and duration of the incident pulse is supported by numerical studies performed with the finite difference time-domain technique.

  4. Observation of a hybrid state of Tamm plasmons and microcavity exciton polaritons.

    PubMed

    Rahman, Sk Shaid-Ur; Klein, Thorsten; Klembt, Sebastian; Gutowski, Jürgen; Hommel, Detlef; Sebald, Kathrin

    2016-10-04

    We present evidence for the existence of a hybrid state of Tamm plasmons and microcavity exciton polaritons in a II-VI material based microcavity sample covered with an Ag metal layer. The bare cavity mode shows a characteristic anticrossing with the Tamm-plasmon mode, when microreflectivity measurements are performed for different detunings between the Tamm plasmon and the cavity mode. When the Tamm-plasmon mode is in resonance with the cavity polariton four hybrid eigenstates are observed due to the coupling of the cavity-photon mode, the Tamm-plasmon mode, and the heavy- and light-hole excitons. If the bare Tamm-plasmon mode is tuned, these resonances will exhibit three anticrossings. Experimental results are in good agreement with calculations based on the transfer matrix method as well as on the coupled-oscillators model. The lowest hybrid eigenstate is observed to be red shifted by about 13 meV with respect to the lower cavity polariton state when the Tamm plasmon is resonantly coupled with the cavity polariton. This spectral shift which is caused by the metal layer can be used to create a trapping potential channel for the polaritons. Such channels can guide the polariton propagation similar to one-dimensional polariton wires.

  5. Observation of a hybrid state of Tamm plasmons and microcavity exciton polaritons

    NASA Astrophysics Data System (ADS)

    Rahman, Sk. Shaid-Ur; Klein, Thorsten; Klembt, Sebastian; Gutowski, Jürgen; Hommel, Detlef; Sebald, Kathrin

    2016-10-01

    We present evidence for the existence of a hybrid state of Tamm plasmons and microcavity exciton polaritons in a II-VI material based microcavity sample covered with an Ag metal layer. The bare cavity mode shows a characteristic anticrossing with the Tamm-plasmon mode, when microreflectivity measurements are performed for different detunings between the Tamm plasmon and the cavity mode. When the Tamm-plasmon mode is in resonance with the cavity polariton four hybrid eigenstates are observed due to the coupling of the cavity-photon mode, the Tamm-plasmon mode, and the heavy- and light-hole excitons. If the bare Tamm-plasmon mode is tuned, these resonances will exhibit three anticrossings. Experimental results are in good agreement with calculations based on the transfer matrix method as well as on the coupled-oscillators model. The lowest hybrid eigenstate is observed to be red shifted by about 13 meV with respect to the lower cavity polariton state when the Tamm plasmon is resonantly coupled with the cavity polariton. This spectral shift which is caused by the metal layer can be used to create a trapping potential channel for the polaritons. Such channels can guide the polariton propagation similar to one-dimensional polariton wires.

  6. Observation of a hybrid state of Tamm plasmons and microcavity exciton polaritons

    PubMed Central

    Rahman, SK. Shaid-Ur; Klein, Thorsten; Klembt, Sebastian; Gutowski, Jürgen; Hommel, Detlef; Sebald, Kathrin

    2016-01-01

    We present evidence for the existence of a hybrid state of Tamm plasmons and microcavity exciton polaritons in a II-VI material based microcavity sample covered with an Ag metal layer. The bare cavity mode shows a characteristic anticrossing with the Tamm-plasmon mode, when microreflectivity measurements are performed for different detunings between the Tamm plasmon and the cavity mode. When the Tamm-plasmon mode is in resonance with the cavity polariton four hybrid eigenstates are observed due to the coupling of the cavity-photon mode, the Tamm-plasmon mode, and the heavy- and light-hole excitons. If the bare Tamm-plasmon mode is tuned, these resonances will exhibit three anticrossings. Experimental results are in good agreement with calculations based on the transfer matrix method as well as on the coupled-oscillators model. The lowest hybrid eigenstate is observed to be red shifted by about 13 meV with respect to the lower cavity polariton state when the Tamm plasmon is resonantly coupled with the cavity polariton. This spectral shift which is caused by the metal layer can be used to create a trapping potential channel for the polaritons. Such channels can guide the polariton propagation similar to one-dimensional polariton wires. PMID:27698359

  7. Measurements of the femtosecond relaxation dynamics of Tamm plasmon-polaritons

    NASA Astrophysics Data System (ADS)

    Afinogenov, B. I.; Popkova, A. A.; Bessonov, V. O.; Fedyanin, A. A.

    2016-10-01

    This paper reports on measurements of the lifetime of Tamm plasmon-polaritons (TPPs) excited in a 1D photonic-crystal/thin-metal-film structure. A femtosecond pulse reflected from a structure of this kind is found to be significantly distorted if its spectrum overlaps with the Tamm plasmon resonance. It is shown that the TPP lifetime possesses strong polarization and angular dependence. It varies from 20 fs for p-polarized light to 40 fs for s-polarized light at a 45° angle of incidence. The reported lifetime of Tamm plasmons is several times smaller than the previously reported lifetime of surface plasmons.

  8. Tamm plasmon polaritons: Slow and spatially compact light

    NASA Astrophysics Data System (ADS)

    Sasin, M. E.; Seisyan, R. P.; Kalitteevski, M. A.; Brand, S.; Abram, R. A.; Chamberlain, J. M.; Egorov, A. Yu.; Vasil'ev, A. P.; Mikhrin, V. S.; Kavokin, A. V.

    2008-06-01

    We report on the first experimental observation of Tamm plasmon polaritons (TPPs) formed at the interface between a metal and a dielectric Bragg reflector (DBR). In contrast to conventional surface plasmons, TPPs have an in-plane wavevector less than the wavevector of light in vacuum, which allows for their direct optical excitation. The angular resolved reflectivity and transmission spectra of a GaAs /AlAs DBR covered by Au films of various thicknesses show the resonances associated with the TPP at low temperatures and room temperature. The in-plane dispersion of TTPs is parabolic with an effective mass of 4×10-5 of the free electron mass.

  9. Electro optical tuning of Tamm-plasmon exciton-polaritons

    NASA Astrophysics Data System (ADS)

    Gessler, J.; Baumann, V.; Emmerling, M.; Amthor, M.; Winkler, K.; Höfling, S.; Schneider, C.; Kamp, M.

    2014-11-01

    We report on electro optical tuning of the emission from GaAs quantum wells resonantly coupled to a Tamm-plasmon mode in a hybrid metal/dielectric structure. The structures were studied via momentum resolved photoluminescence and photoreflectance spectroscopy, and the surface metal layer was used as a top gate, which allowed for a precise tuning of the quantum well emission via the quantum confined Stark effect. By tuning the resonance, we were able to observe the characteristic anticrossing behavior of a polaritonic emission in the strong light-matter coupling regime, yielding a Rabi splitting of (9.2 ± 0.2) meV.

  10. Tamm-Hubbard surface states in the continuum.

    PubMed

    Longhi, S; Della Valle, G

    2013-06-12

    In the framework of the Bose-Hubbard model, we show that two-particle surface bound states embedded in the continuum (BIC) can be sustained at the edge of a semi-infinite one-dimensional tight-binding lattice for any infinitesimally-small impurity potential V at the lattice boundary. Such thresholdless surface states, which can be referred to as Tamm-Hubbard BIC states, exist provided that the impurity potential V is attractive (repulsive) and the particle-particle Hubbard interaction U is repulsive (attractive), i.e. for UV < 0.

  11. Electro optical tuning of Tamm-plasmon exciton-polaritons

    SciTech Connect

    Gessler, J.; Baumann, V.; Emmerling, M.; Amthor, M.; Winkler, K.; Schneider, C.; Kamp, M.; Höfling, S.

    2014-11-03

    We report on electro optical tuning of the emission from GaAs quantum wells resonantly coupled to a Tamm-plasmon mode in a hybrid metal/dielectric structure. The structures were studied via momentum resolved photoluminescence and photoreflectance spectroscopy, and the surface metal layer was used as a top gate, which allowed for a precise tuning of the quantum well emission via the quantum confined Stark effect. By tuning the resonance, we were able to observe the characteristic anticrossing behavior of a polaritonic emission in the strong light-matter coupling regime, yielding a Rabi splitting of (9.2 ± 0.2) meV.

  12. Transforming Fabry-Pérot resonances into a Tamm mode

    NASA Astrophysics Data System (ADS)

    Durach, Maxim; Rusina, Anastasia

    2012-12-01

    We propose an optical structure composed of two metal nanolayers enclosing a distributed Bragg reflector (DBR) mirror. The structure is an open photonic system whose bound modes are coupled to external radiation. We apply the special theoretical treatment based on inversion symmetry of the structure to classify its resonances. We show that the structure supports resonances transitional between Fabry-Pérot modes and Tamm plasmons. When the dielectric contrast of the DBR is removed these modes are a pair of conventional Fabry-Pérot resonances. They spectrally merge into a Tamm mode at high contrast. The optical properties of the structure in the frequency range of the DBR stop band, including highly beneficial 50% transmittivity through thick structures with sub-skin-depth metal films, are determined by the hybrid quasinormal modes of the open nonconservative structure under consideration. The results can find a broad range of applications in photonics and optoelectronics, including the possibility of coherent control over optical fields in the class of structures similar to the one proposed here.

  13. Optical Tamm states in one-dimensional superconducting photonic crystal

    SciTech Connect

    El Abouti, O.; El Boudouti, E. H.; El Hassouani, Y.; Noual, A.; Djafari-Rouhani, B.

    2016-08-15

    In this study, we investigate localized and resonant optical waves associated with a semi-infinite superlattice made out of superconductor-dielectric bilayers and terminated with a cap layer. Both transverse electric and transverse magnetic waves are considered. These surface modes are analogous to the so-called Tamm states associated with electronic states found at the surface of materials. The surface guided modes induced by the cap layer strongly depend on whether the superlattice ends with a superconductor or a dielectric layer, the thickness of the surface layer, the temperature of the superconductor layer as well as on the polarization of the waves. Different kinds of surface modes are found and their properties examined. These structures can be used to realize the highly sensitive photonic crystal sensors.

  14. Shift happens: optical sensing with Dyakonov-Tamm waves

    NASA Astrophysics Data System (ADS)

    Lakhtakia, Akhlesh; Faryad, Muhammad

    2014-08-01

    An optical modality to sense a fluid by exploiting Dyakonov-Tamm (DT) waves was devised. In the modality, the fluid is present on both sides of the guiding interface. Theory showed that the angular location of reflectance dip in a practically implementable configuration will shift if the refractive index of the fluid changes. Furthermore, the detection sensitivity will decrease as the refractive index of the fluid increases over a wide range, and should be comparable to that for sensing modalities that exploit surface-plasmon-polariton (SPP) waves. Higher sensitivities are available with DT waves than with SPP waves, and the DT-wave-based sensor should be simpler to fabricate than the SPP-wave-based sensor. Multiple DT waves are excitable at the same frequency, leading to multiple channels for more reliable sensing as well as for sensing multiple analytes simultaneously.

  15. Theory of optical sensing with Dyakonov-Tamm waves

    NASA Astrophysics Data System (ADS)

    Lakhtakia, Akhlesh; Faryad, Muhammad

    2014-01-01

    An optical modality to sense a fluid by exploiting Dyakonov-Tamm (DT) waves was devised. In the modality, the fluid is present on both sides of the guiding interface. Theoretical analysis indicated that the angular location of the reflectance dip in a practically implementable configuration will shift if the refractive index of the fluid changes. Furthermore, the detection sensitivity will decrease as the refractive index of the fluid increases over a wide range, and should be comparable to that for sensing modalities that exploit surface-plasmon-polariton (SPP) waves. Higher sensitivities are available with DT waves than with SPP waves, and the DT-wave-based sensor should be simpler to fabricate than the SPP-wave-based sensor. Multiple DT waves are excitable at the same frequency, leading to multiple channels for more reliable sensing as well as for sensing multiple analytes simultaneously.

  16. Direct excitation of the Tamm plasmon-polaritons on a dielectric Bragg reflector coated with a metal film

    NASA Astrophysics Data System (ADS)

    Zhu, Y.-G.; Hu, W.-L.; Fang, Y.-T.

    2013-09-01

    Tamm plasmon-polariton is a surface state or surface wave formed at the boundary between a metal and a dielectric Bragg reflector. In order to directly excite the Tamm plasmon-polaritons with unit transmission, we design a structure of Bragg reflector coated with a metal film. Through the Bloch theorem of periodic structures and transfer matrix method, we deduce the existence conditions of the Tamm plasmon-polaritons. For a a finite structure, the Tamm plasmon-polaritons can be excited, which is dependent on the thickness of metal, the period number of the Bragg reflector, the incident direction and frequency. On proper conditions, a perfect transmission for the Tamm plasmon-polariton mode can be achieved without the use of attenuated total reflection prism coupling or diffraction grating.

  17. Progressive renal papillary calcification and ureteral stone formation in mice deficient for Tamm-Horsfall protein

    PubMed Central

    Liu, Yan; Mo, Lan; Goldfarb, David S.; Evan, Andrew P.; Liang, Fengxia; Khan, Saeed R.; Lieske, John C.

    2010-01-01

    Mammalian urine contains a range of macromolecule proteins that play critical roles in renal stone formation, among which Tamm-Horsfall protein (THP) is by far the most abundant. While THP is a potent inhibitor of crystal aggregation in vitro and its ablation in vivo predisposes one of the two existing mouse models to spontaneous intrarenal calcium crystallization, key controversies remain regarding the role of THP in nephrolithiasis. By carrying out a long-range follow-up of more than 250 THP-null mice and their wild-type controls, we demonstrate here that renal calcification is a highly consistent phenotype of the THP-null mice that is age and partially gene dosage dependent, but is gender and genetic background independent. Renal calcification in THP-null mice is progressive, and by 15 mo over 85% of all the THP-null mice develop spontaneous intrarenal crystals. The crystals consist primarily of calcium phosphate in the form of hydroxyapatite, are located more frequently in the interstitial space of the renal papillae than intratubularly, particularly in older animals, and lack accompanying inflammatory cell infiltration. The interstitial deposits of hydroxyapatite observed in THP-null mice bear strong resemblances to the renal crystals found in human kidneys bearing idiopathic calcium oxalate stones. Compared with 24-h urine from the wild-type mice, that of THP-null mice is supersaturated with brushite (calcium phosphate), a stone precursor, and has reduced urinary excretion of citrate, a stone inhibitor. While less frequent than renal calcinosis, renal pelvic and ureteral stones and hydronephrosis occur in the aged THP-null mice. These results provide direct in vivo evidence indicating that normal THP plays an important role in defending the urinary system against calcification and suggest that reduced expression and/or decreased function of THP could contribute to nephrolithiasis. PMID:20591941

  18. Efficient out-coupling and beaming of Tamm optical states via surface plasmon polariton excitation

    NASA Astrophysics Data System (ADS)

    Lopez-Garcia, M.; Ho, Y.-L. D.; Taverne, M. P. C.; Chen, L.-F.; Murshidy, M. M.; Edwards, A. P.; Serry, M. Y.; Adawi, A. M.; Rarity, J. G.; Oulton, R.

    2014-06-01

    We present evidence of optical Tamm states to surface plasmon polariton (SPP) coupling. We experimentally demonstrate that for a Bragg stack with a thin metal layer on the surface, hybrid Tamm-SPP modes may be excited when a grating on the air-metal interface is introduced. Out-coupling via the grating to free space propagation is shown to enhance the transmission as well as the directionality and polarization selection for the transmitted beam. We suggest that this system will be useful on those devices, where a metallic electrical contact as well as beaming and polarization control is needed.

  19. Unconventional optical Tamm defect states in metal-terminated opal photonic crystals

    NASA Astrophysics Data System (ADS)

    Korovin, Alexander V.; Romanov, Sergei G.

    2016-04-01

    Optical Tamm surface states are formed in 3-dimensional photonic crystals coated by thin metal films. These states appear in registry with diffraction resonances and localize the electromagnetic energy in resonators formed by diffraction mirrors of lattice planes and metal semishells. Tamm defect states provide the bypass for light in the spectral range of photonic stop-bands and thus reduce the efficiency of the Bragg diffraction resonances. In spite of hidden nature of this effect, its magnitude is comparable to the extraordinary transmission associated with tunneling of surface plasmon polaritons, which are simultaneously excited at surfaces of corrugated metal film coating.

  20. Unconventional optical Tamm states in metal-terminated three-dimensional photonic crystals

    NASA Astrophysics Data System (ADS)

    Korovin, Alexander V.; Romanov, Sergei G.

    2016-03-01

    Unconventional optical Tamm surface states have been demonstrated in transmission and reflectance spectra of three-dimensional opal photonic crystals coated by thin metal films. These states appear in registry with diffraction resonances and localize the electromagnetic energy in asymmetric resonators formed by stacks of lattice planes and metal semishells. Tamm defect states provide the bypass for light at the edges of the Bragg diffraction resonances and thus reduce the diffraction efficiency. Despite the hidden nature of this effect, its magnitude is comparable to the extraordinary transmission associated with the surface-plasmon polaritons that are simultaneously excited at the surfaces of the corrugated metal films.

  1. Second-harmonic generation enhancement in the presence of Tamm plasmon-polaritons.

    PubMed

    Afinogenov, B I; Bessonov, V O; Fedyanin, A A

    2014-12-15

    Resonant enhancement of second-harmonic generation (SHG) intensity from a thin metal film is demonstrated in a Tamm plasmon-polariton mode excited at a metal/photonic crystal interface using nonlinear spectroscopy. Nonlinear effects enhancement in proposed structures exhibit strong polarization dependence (1:200 for the orthogonal fundamental polarizations). SHG enhancement factor evinces considerable angular dependence, rising from 50 for the 45° angle of incidence to 170 for the 10° angle of incidence. The results are analyzed numerically using a nonlinear transfer matrix technique. The findings elucidate the potential of Tamm plasmon-polaritons in the nonlinear optical applications.

  2. Efficient out-coupling and beaming of Tamm optical states via surface plasmon polariton excitation

    SciTech Connect

    Lopez-Garcia, M.; Ho, Y.-L. D.; Taverne, M. P. C.; Chen, L.-F.; Rarity, J. G.; Oulton, R.; Murshidy, M. M.; Edwards, A. P.; Adawi, A. M.; Serry, M. Y.

    2014-06-09

    We present evidence of optical Tamm states to surface plasmon polariton (SPP) coupling. We experimentally demonstrate that for a Bragg stack with a thin metal layer on the surface, hybrid Tamm-SPP modes may be excited when a grating on the air-metal interface is introduced. Out-coupling via the grating to free space propagation is shown to enhance the transmission as well as the directionality and polarization selection for the transmitted beam. We suggest that this system will be useful on those devices, where a metallic electrical contact as well as beaming and polarization control is needed.

  3. Planar Hot-Electron Photodetection with Tamm Plasmons.

    PubMed

    Zhang, Cheng; Wu, Kai; Giannini, Vincenzo; Li, Xiaofeng

    2017-02-28

    There is an increasing interest in harvesting photoejected hot-electrons for sensitive photodetectors, which have highly tunable detection wavelengths controlled by structural engineering rather than the classic doped semiconductors. However, the widely employed metallic nanostructures that excite surface plasmons (SPs) to enhance the photoemission of hot-electrons are usually complex with a high fabrication challenge. Here, we present a purely planar hot-electron photodetector based on Tamm plasmons (TPs) by introducing a distributed Bragg reflector integrated with hot-electron collection layers in metal/semiconductor/metal configuration. Results show that the light incidence can be strongly confined in the localized region between the top metal and the adjacent dielectric layer due to the excitation of TP resonance so that more than 87% of the light incidence can be absorbed by the top metal layer. This enables a strong and unidirectional photocurrent and a photoresponsivity that can even be higher than that of the conventional nanostructured system. Moreover, the planar TP system shows a narrow-band resonance with high tunability, good resistance against the change of the incident angle, and the possibility for extended functionalities. The proposed TP-based planar configuration significantly simplifies the conventional SP-based systems and opens the pathway for high-performance, low-cost, hot-electron photodetection.

  4. Tamm plasmon modes on semi-infinite metallodielectric superlattices.

    PubMed

    Isić, Goran; Vuković, Slobodan; Jašić, Zoran; Belić, Milivoj

    2017-06-16

    We analyze the fundamental properties of optical waves referred to as Tamm plasmon modes (TPMs) which are tied to the interface of a semi-infinite two-phase metallodielectric superlattice with an arbitrary homogeneous capping medium. Such modes offer new ways of achieving high electromagnetic field localization and spontaneous emission enhancement in the vicinity of the interface in conjunction with absorption loss management, which is crucial for future applications. The homointerface, formed when the capping medium has the same permittivity as one of the superlattice constituents, is found to support a TPM whose dispersion overlaps the single-interface surface plasmon polariton (SPP) dispersion but which has a cut off at the topological transition point. In contrast, a heterointerface formed for an arbitrary capping medium, is found to support multiple TPMs whose origin can be traced by considering the interaction between a single-interface SPP and the homointerface TPM burried under the top layer of the superlattice. By carrying out a systematic comparison between TPMs and single-interface SPPs, we find that the deviations are most pronounced in the vicinity of the transition frequency for superlattices in which dielectric layers are thicker than metallic ones.

  5. Dyakonov-Tamm waves guided by the interface between two structurally chiral materials that differ only in handedness

    SciTech Connect

    Gao Jun; Lakhtakia, Akhlesh; Lei Mingkai

    2010-01-15

    The boundary-value problem of the propagation of Dyakonov-Tamm waves guided by the planar interface between two structurally chiral materials that are identical except for structural handedness was formulated and numerically solved. Detailed analysis showed that either two or three different Dyakonov-Tamm waves can propagate. These waves have different phase speeds and degrees of localization to the interface with a sudden handedness change. The most localized Dyakonov-Tamm waves are essentially confined to within a small number of structural periods of the interface on either side.

  6. Tunable coupled states of a pair of Tamm plasmon polaritons and a microcavity mode

    NASA Astrophysics Data System (ADS)

    Fang, Yun-tuan; Yang, Li-xia; Kong, Wa; Zhu, Na

    2013-12-01

    The coupled states of a pair of Tamm plasmon polaritons and a microcavity mode are studied through the transfer matrix method in a metal-Bragg reflectors-cavity-Bragg reflectors-metal configuration. The properties of coupled states can be adjusted through the cavity thickness, but there is one coupled state for which the frequency remains the same as for the uncoupled Tamm plasmon polariton and independent of the cavity thickness. When the frequency of the uncoupled cavity mode is equal to that of the bare Tamm plasmon polariton, an anticrossing behavior with the most intense coupling occurs. There are three coupled modes with antisymmetry coupling and symmetry coupling in the anticrossing region. As cavity thickness increases, two coupled modes are degenerated into one state with frequency equal to that of the bare Tamm plasmon polariton. The third lower coupled mode and the uncoupled cavity mode are merged into one frequency by steps, but a huge amplification of field occurs in the cavity with the coupled mode. An analytical description is in good agreement with the numerical results.

  7. Radiative Decay Engineering 7: Tamm State-Coupled Emission Using a Hybrid Plasmonic-Photonic Structure

    PubMed Central

    Badugu, Ramachandram; Descrovi, Emiliano; Lakowicz, Joseph R.

    2014-01-01

    There is a continuing need to increase the brightness and photostability of fluorophores for use in biotechnology, medical diagnostics and cell imaging. One approach developed during the past decade is to use metallic surfaces and nanostructures. It is now known that excited state fluorophores display interactions with surface plasmons, which can increase the radiative decay rates, modify the spatial distribution of emission and result in directional emission. One important example is Surface Plasmon-Coupled Emission (SPCE). In this phenomenon the fluorophores at close distances from a thin metal film, typically silver, display emission over a small range of angles into the substrate. A disadvantage of SPCE is that the emission occur at large angles relative to the surface normal, and at angles which are larger than the critical angle for the glass substrate. The large angles make it difficult to collect all the coupled emission and have prevented use of SPCE with high-throughput and/or array applications. In the present report we describe a simple multi-layer metal-dielectric structure which allows excitation with light that is perpendicular (normal) to the plane and provides emission within a narrow angular distribution that is normal to the plane. This structure consist of a thin silver film on top of a multi-layer dielectric Bragg grating, with no nanoscale features except for the metal or dielectric layer thicknesses. Our structure is designed to support optical Tamm states, which are trapped electromagnetic modes between the metal film and the underlying Bragg grating. We used simulations with the transfer matrix method to understand the optical properties of Tamm states and localization of the modes or electric fields in the structure. Tamm states can exist with zero in-plane wavevector components and can be created without the use of a coupling prism. We show that fluorophores on top of the metal film can interact with the Tamm state under the metal film

  8. Left/right asymmetry in Dyakonov-Tamm-wave propagation guided by a topological insulator and a structurally chiral material

    NASA Astrophysics Data System (ADS)

    Chiadini, Francesco; Fiumara, Vincenzo; Mackay, Tom G.; Scaglione, Antonio; Lakhtakia, Akhlesh

    2016-11-01

    The propagation of Dyakonov-Tamm waves guided by the planar interface of an isotropic topological insulator and a structurally chiral material, both assumed to be nonmagnetic, was investigated by numerically solving the associated canonical boundary-value problem. The topologically insulating surface states of the topological insulator were quantitated via a surface admittance {γ }{{TI}}, which significantly affects the phase speeds and the spatial profiles of the Dyakonov-Tamm waves. Most significantly, it is possible that a Dyakonov-Tamm wave propagates co-parallel to a vector {u} in the interface plane, but no Dyakonov-Tamm wave propagates anti-parallel to {u}. The left/right asymmetry, which vanishes for {γ }{{TI}}=0, is highly attractive for one-way on-chip optical communication.

  9. Observation of hybrid state of Tamm and surface plasmon-polaritons in one-dimensional photonic crystals

    NASA Astrophysics Data System (ADS)

    Afinogenov, B. I.; Bessonov, V. O.; Nikulin, A. A.; Fedyanin, A. A.

    2013-08-01

    Experimental observation of hybrid mode of Tamm plasmon-polariton and surface plasmon-polariton is reported. The hybrid state is excited in one-dimensional photonic crystal terminated by semitransparent metal film under conditions of total internal reflection for transverse-magnetic-polarized light. Coupling between Tamm and surface plasmon-polaritons leads to repulsion of their dispersion curves controlled by metal film thickness.

  10. Glycoprotein biosynthesis in calf kidney. Glycoprotein sialyltransferase activities towards serum glycoproteins and calf Tamm-Horsfall glycoprotein.

    PubMed

    van Dijk, W; Lasthuis, A M; van den Eijnden, D H

    1979-04-18

    CMP-AcNeu:glycoprotein sialyltransltransltransltransltransferase of calf kidney cortex was characterized using serum glycoproteins and Tamm-Horsfall glycoprotein, obtained from calf urine, as acceptors. Native calf Tamm-Horsfall glycoprotein showed the best acceptor properties, followed by desialylated calf fetuin and desialylated human alpha 1-acid glycoprotein exhibiting V values of, respectively, 114, 63 and 41 nmol/h per g wet wt. of kidney cortex and Km values of 0.12, 0.16 and 0.26 mM glycoprotein acceptor. Desialylated ovine submaxillary mucine appeared to be a very poor acceptor. Tamm-Horsfall glycoprotein sialyltransferase could be distinguished from serum glycoprotein sialyltransferase by competition studies. In addition the two glycoprotein sialyltransferase activities showed different distributions over the three regions of the calf kidney: the ratios of the Tamm-Horsfall to serum glycoprotein sialyltransferase activities decreased from 3.3 in the cortex to 0.8 and 0.4 in the medulla and the papilla, respectively. It was concluded that in calf kidney at least two different sialyltransferases exist. The high cortical Tamm-Horsfall glycoprotein sialyltransferases activity corresponds markedly to the origin of the urinary Tamm-Horsfall glycoprotein, namely the distal part of the kidney tubule. Inactivation of glycoprotein sialyltransferase activity by preincubation at various temperatures and during storage at 0 degree C, could be reduced by the addition of CMP-AcNeu. The possible relevance towards the in vivo sialylation of this finding is discussed.

  11. Central and South America GPS geodesy - CASA Uno

    NASA Technical Reports Server (NTRS)

    Kellogg, James N.; Dixon, Timothy H.

    1990-01-01

    In January 1988, scientists from over 25 organizations in 13 countries and territories cooperated in the largest GPS campaign in the world to date. A total of 43 GPS receivers collected approximately 590 station-days of data in American Samoa, Australia, Canada, Colombia, Costa Rica, Ecuador, New Zealand, Norway, Panama, Sweden, United States, West Germany, and Venezuela. The experiment was entitled CASA Uno. Scientific goals of the project include measurements of strain in the northern Andes, subduction rates for the Cocos and Nazca plates beneath Central and South America, and relative motion between the Caribbean plate and South America. A second set of measurements are planned in 1991 and should provide preliminary estimates of crustal deformation and plate motion rates in the region.

  12. One-way Tamm plasmon polaritons at the interface between magnetophotonic crystals and conducting metal oxides

    NASA Astrophysics Data System (ADS)

    Dong, Hui Yuan; Wang, Jin; Cui, Tie Jun

    2013-01-01

    We demonstrate theoretically the existence of one-way Tamm plasmon polaritons on the interface between magnetophotonic crystals and conducting metal oxides. In contrast to conventional surface plasmon-polaritons (SPPs), Tamm plasmon polaritons (TPPs) occur at frequencies above the bulk plasma frequency of the conducting materials, provided that the dispersion curves of such surface modes lie outside the light cone for the conducting oxides and simultaneously fall into the photonic band gap of the magnetophotonic crystal. The nonreciprocal properties of TPPs are caused by violation of the periodicity and time-reversal symmetry in the structure. Calculations on the field distribution and transmission spectra through the structure are employed to confirm the theoretical results, which could potentially impact on a broad range of SPP-related phenomena in applications.

  13. Tunable metasurfaces and optical Tamm states with liquid crystals (Conference Presentation)

    NASA Astrophysics Data System (ADS)

    Chen, Kuo-Ping; Lin, Meng-Ying

    2016-09-01

    Planar photonics, like metasurfaces and nanoantennas, got immense attention because of the ability controlling the flow of light. The tunability of metasurfaces system could be realized by combining with liquid crystals. In this work, several novel devices, like tunable nanoantennas array with color, diffraction control of binary gratings metasurfaces, and optical Tamm states would be presented. 1. By comparing different dimensions of nanoantennas, the anchoring energy of liquid crystal could be adjusted in nanoscale. The different shapes of nanoantennas show the difference in color or monotone change when applying different voltages. 2. The diffraction ratio of metasurface could be controlled by nematic liquid crystal by controlling the polarization direction by applying voltages. 3. Optical Tamm states could be realized and adjustable by combining liquid photonic crystal with metasurface. All of those ideas are realized in both modeling and experimental, which could give a great impact to the field of future application in tunable metasurfaces.

  14. The optical Tamm states at the interface between a photonic crystal and nanoporous silver

    NASA Astrophysics Data System (ADS)

    Bikbaev, R. G.; Vetrov, S. Ya; Timofeev, I. V.

    2017-01-01

    The optical Tamm states (OTSs) localized at the edges of a photonic crystal bounded by a nanoporous silver (NPS) film are investigated. NPS involves spherical vacuum nanopores dispersed in the metal matrix and is characterized by the effective resonance permittivity. The transmission, reflection, and absorption spectra of the structures under study at the normal incidence of light are calculated. It is shown that each Tamm state has its own frequency range where the real part of effective permittivity is negative. The light field localization at the high- and low-frequency OTSs is investigated. The specific features of spectral manifestation of the OTSs are studied in dependence on the nanopore concentration in the metal matrix and on the NPS film thickness.

  15. The Tamm-Dancoff Approximation as the Contraction Limit of the Richardson-Gaudin Equations

    NASA Astrophysics Data System (ADS)

    de Baerdemacker, S.

    2013-03-01

    A connection is made between the exact eigenstates of the level-independent Bardeen-Cooper-Schrieffer (BCS) Hamiltonian and its Tamm-Dancoff Approximation (TDA). This is done by means of a deformation of the quasi-spin algebra, which connects the Bethe Ansatz states with a unique multi-phonon mode of the TDA. The procedure is illustrated with a model describing neutron superluidity in 56Fe.

  16. Long-range Tamm surface plasmons supported by graphene-dielectric metamaterials

    NASA Astrophysics Data System (ADS)

    Hajian, Hodjat; Caglayan, Humeyra; Ozbay, Ekmel

    2017-01-01

    Considering the Ohmic losses of graphene in the calculations and by obtaining exact dispersion relations of the modes, we theoretically study propagation and localization characteristics of Tamm surface plasmons supported by terminated graphene metamaterials. The metamaterials are composed of alternating layers of graphene and dielectric with subwavelength periods. We also examine the Tamm modes within the framework of long-wavelength approximation. It is shown that, in case the Ohmic losses of the graphene layers are taken into account, surface plasmons are not supported in a long-wavelength region, in which the graphene-dielectric multilayer structure behaves as a hyperbolic metamaterial. We prove that, when the metamaterial is truncated with air, by choosing sufficiently thick but still subwavelength dielectric layers, i.e., d = 300 nm, these surface waves will have a moderate propagation (localization) length that is comparable with those of a single layer of graphene. On the other hand, in case a miniaturized graphene metamaterial (10 < d(nm) < 100) is truncated by a thick cap layer (dcap = 5d) with ɛcap > ɛdielectric, it is possible to considerably improve the propagation and localization characteristics of the Tamm modes supported by the system within the 5.5-50 THz range of frequency, as compared to a single layer of graphene.

  17. Evolution of surface-plasmon-polariton and Dyakonov-Tamm waves with the ambichirality of a partnering dielectric material

    NASA Astrophysics Data System (ADS)

    Faryad, Muhammad; Lakhtakia, Akhlesh

    2014-01-01

    The planar interface of an isotropic homogeneous metal and an ambichiral dielectric material can guide surface-plasmon-polariton (SPP) waves. The planar interface of an isotropic, homogeneous dielectric material and an ambichiral dielectric material can guide Dyakonov-Tamm waves. In either instance, we found that, as the ambichiral partnering material evolves into a finely chiral material, the solutions of the dispersion equation for surface-wave propagation evince convergence. The convergence is faster for Dyakonov-Tamm waves than for SPP waves.

  18. Tamm plasmon-polaritons: Possible electromagnetic states at the interface of a metal and a dielectric Bragg mirror

    NASA Astrophysics Data System (ADS)

    Kaliteevski, M.; Iorsh, I.; Brand, S.; Abram, R. A.; Chamberlain, J. M.; Kavokin, A. V.; Shelykh, I. A.

    2007-10-01

    Conventional surface plasmons have a wave vector exceeding that of light in vacuum, and therefore cannot be directly excited by light that is simply incident on the surface. However, we propose that a plasmon-polariton state can be formed at the boundary between a metal and a dielectric Bragg mirror that can have a zero in-plane wave vector and therefore can be produced by direct optical excitation. In analogy with the electronic states at a crystal surface proposed by Tamm, we call these excitations Tamm plasmons, and predict that they may exist in both the TE and TM polarizations and are characterized by parabolic dispersion relations.

  19. Comparing resonant photon tunneling via cavity modes and Tamm plasmon polariton modes in metal-coated Bragg mirrors.

    PubMed

    Leosson, K; Shayestehaminzadeh, S; Tryggvason, T K; Kossoy, A; Agnarsson, B; Magnus, F; Olafsson, S; Gudmundsson, J T; Magnusson, E B; Shelykh, I A

    2012-10-01

    Resonant photon tunneling was investigated experimentally in multilayer structures containing a high-contrast (TiO(2)/SiO(2)) Bragg mirror capped with a semitransparent gold film. Transmission via a fundamental cavity resonance was compared with transmission via the Tamm plasmon polariton resonance that appears at the interface between a metal film and a one-dimensional photonic bandgap structure. The Tamm-plasmon-mediated transmission exhibits a smaller dependence on the angle and polarization of the incident light for similar values of peak transmission, resonance wavelength, and finesse. Implications for transparent electrical contacts based on resonant tunneling structures are discussed.

  20. Tuneable polaritonics at room temperature with strongly coupled Tamm plasmon polaritons in metal/air-gap microcavities

    NASA Astrophysics Data System (ADS)

    Grossmann, C.; Coulson, C.; Christmann, G.; Farrer, I.; Beere, H. E.; Ritchie, D. A.; Baumberg, J. J.

    2011-06-01

    We report strong coupling between Tamm plasmons and excitons in III-V quantum wells at room temperature in ultracompact sample designs. A high refractive index contrast air-gap mirror together with optical Tamm states at a metal/semiconductor interface tightly confines the intracavity field leading to substantial local field enhancements. Angular-resolved reflectivity spectra give clear evidence for anticrossing in the dispersion relation. Room temperature Rabi splittings of 10 meV are found in excellent agreement with simulations. Electrical control of the polariton modes is realized without need for doped mirror layers. Such air-gap microcavities open innovative possibilites for electrically tunable microcavities and polaritonic microelectromechanics.

  1. Tamm plasmon-polariton with negative group velocity induced by a negative index meta-material capping layer at metal-Bragg reflector interface.

    PubMed

    Liu, Cunding; Kong, Mingdong; Li, Bincheng

    2014-05-05

    Influence of a negative refractive index meta-material (NIM) capping layer on properties of Tamm plasmon-polariton at the interface of metal-Bragg reflector structure is investigated. Conditions for excitation of the plasmon-polariton is determined from reflectivity mapping calculation and analyzed with cavity mode theory. For specific thicknesses of capping layers, Tamm plasmon-polariton with negative group velocity is revealed in a wide region of frequency. Different from backward optical propagation induced by negative effective-group-refractive-index in dispersive media, negative group velocity of Tamm plasmon-polariton results from opposite signs of cross-section-integrated field energy and Poynting vector.

  2. Nanofocusing of the free-space optical energy with plasmonic Tamm states

    PubMed Central

    Niu, Linyu; Xiang, Yinxiao; Luo, Weiwei; Cai, Wei; Qi, Jiwei; Zhang, Xinzheng; Xu, Jingjun

    2016-01-01

    To achieve extreme electromagnetic enhancement, we propose a plasmonic Tamm states (PTSs) configuration based on the metal-insulator-metal Bragg reflector, which is realized by periodically modulating the width of the insulator. Both the thick (2D) and thin (3D) structures are discussed. Through optimization performed by the impedance-based transfer matrix method and the finite difference time domain method, we find that both the electric field and magnetic field intensities can be increased by three orders of magnitude. The field-enhancement inside the PTSs configuration is not limited to extremely sharp waveguide terminal, which can greatly reduce processing difficulties. PMID:27995956

  3. Tamm plasmon polaritons in composite structures composed of the metal film and truncated photonic crystals

    NASA Astrophysics Data System (ADS)

    Du, Guiqiang; Cui, Liyong; Zhang, Liwei; Jiang, Haitao

    2012-12-01

    Tamm plasmon polaritons (TPPs) are studied theoretically and experimentally in heterostructures and sandwiched structures with the metallic film and truncated photonic crystals. Different from conventional surface plasmon polaritons, TPPs can be realized in both the transverse electric (TE) and transverse magnetic (TM) polarizations, and they can be excited from a free space. Because of nonreciprocal electromagnetic field distributions of TPPs, the structures possess strongly nonreciprocal absorption and reflection. Moreover, two tunneling peaks or a narrow transmission band can be realized in sandwiched structures for both polarizations due to the coupling effect between two TPPs.

  4. Optical isolator based on nonreciprocal coupling of two Tamm plasmon polaritons

    NASA Astrophysics Data System (ADS)

    Fang, Yun-Tuan; Zheng, Jing

    2014-12-01

    In this paper, we have studied the one-dimensional photonic crystal (PC) including a magneto-optical metal defect using the developed transfer matrix method for magnetic materials. Around the two interfaces between metal and one-dimensional PC, two nonsymmetric Tamm magneto-plasmon polaritons may be excited and coupled. The coupled states take on a clear nonreciprocal behavior and result in nonreciprocal transmission. The results are demonstrated through electromagnetic field distribution simulations based on finite element software. It provides a useful reference to realize optical isolator design.

  5. Lasing of Tamm states in highly efficient organic devices based on small-molecule organic semiconductors.

    PubMed

    Brückner, R; Lyssenko, V G; Hofmann, S; Leo, K

    2014-01-01

    We discuss approaches to increase the light outcoupling efficiency in organic microcavity (MC) lasers and organic light-emitting diodes (OLEDs). We find that the introduction of metals into the cavities leads to additional Tamm-plasmon polariton modes, while the corrugation of metal contacts, such as perforated μ-size holes or a periodic array of metal stripes, leads to 2D confinement of the cavity modes, which in turn reduces the lasing threshold in MCs. Furthermore, we elucidate light loss mechanisms in OLEDs and reveal how external dielectric layers and periodic gratings can be used to enhance outcoupling from the OLED cavity.

  6. Optical Tamm state and giant asymmetry of light transmission through an array of nanoholes

    NASA Astrophysics Data System (ADS)

    Klimov, Vasily V.; Treshin, Ilya V.; Shalin, Alexander S.; Melentiev, Pavel N.; Kuzin, Artur A.; Afanasiev, Anton E.; Balykin, Victor I.

    2015-12-01

    We have predicted theoretically and verified experimentally the occurrence of a giant asymmetry of the transmission of arbitrarily polarized light propagating through a linear nonmagnetic optical system that consists of a metal film with a two-dimensional array of nanoholes in it and that is deposited on the surface of a planar dielectric photonic crystal. The asymmetry of the light transmission is caused by two factors: (i) the excitation of an optical Tamm state in the system, and (ii) the existence of many secondary lobes in the diffraction pattern. Our results are of interest for the development of efficient planar optical diodelike systems and related nanophotonic devices.

  7. Spectral engineering by flexible tunings of optical Tamm states and Fabry-Perot cavity resonance.

    PubMed

    Zhang, Xu-Lin; Song, Jun-Feng; Feng, Jing; Sun, Hong-Bo

    2013-11-01

    We present a design for spectral engineering in a metal dual distributed Bragg reflector (DBR)-based structure. Optical Tamm states and Fabry-Perot cavity mode, dual windows for light-matter interaction enhancement, can be excited simultaneously and tuned flexibly, including their respective bandwidth and resonant wavelength, due to the variable reflection phase from the outer DBR's internal surface. The design can find applications in solar cells for light trappings. Via calculations of overall absorptivity, the proposed simpler dual-states-based scheme is demonstrated to be almost as effective as the coherent-light-trapping scheme, owing to the dual-states-induced broader-band absorption enhancement.

  8. Meta-Optics with Nanowire Grid Arrays: Hyperbolic Fabry-Perot Modes and Hyperbolic Tamm Plasmons

    NASA Astrophysics Data System (ADS)

    Durach, Maxim; Keene, David; Lepain, Matthew

    2015-03-01

    In this talk we introduce a new class of structures - cavities formed by metal-dielectric metasurfaces. These cavities support a zoo of various resonances, including hyperbolic Tamm plasmons and hyperbolic Fabry-Perot modes, which feature anisotropic clover-leaf dispersion parallel to the metasurface and strong coupling between TM and TE polarizations in the modes. The properties and spectrum of the modes are highly tunable by the dimensional and material parameters of the structure and can be used for directional emission, modification of radiation produced by electric dipole emitters into magnetic dipole radiation as well as 90 degree polarization rotators and polarization rotation mirrors.

  9. Generalized q-deformed Tamm-Dancoff oscillator algebra and associated coherent states

    SciTech Connect

    Chung, Won Sang; Hounkonnou, Mahouton Norbert Arjika, Sama

    2014-08-15

    In this paper, we propose a full characterization of a generalized q-deformed Tamm-Dancoff oscillator algebra and investigate its main mathematical and physical properties. Specifically, we study its various representations and find the condition satisfied by the deformed q-number to define the algebra structure function. Particular Fock spaces involving finite and infinite dimensions are examined. A deformed calculus is performed as well as a coordinate realization for this algebra. A relevant example is exhibited. Associated coherent states are constructed. Finally, some thermodynamics aspects are computed and discussed.

  10. Effect of metal film thickness on Tamm plasmon-coupled emission.

    PubMed

    Chen, Yikai; Zhang, Douguo; Zhu, Liangfu; Fu, Qiang; Wang, Ruxue; Wang, Pei; Ming, Hai; Badugu, Ramachandram; Lakowicz, Joseph R

    2014-12-14

    Tamm plasmons (TPs) are the result of trapping optical energy at the interface between a metal film and a one-dimensional photonic crystal. In contrast to surface plasmons, TPs display unique properties such as the ability to undergo direct optical excitation without the aid of prisms or gratings, being populated using both S- and P-polarized light, and importantly, they can be created with incident light normal to the surface. This latter property has recently been used to obtain Tamm plasmon-coupled emission (TPCE), which beams along a path directly perpendicular to the surface. In this paper the effects of metal film thickness on the TPCE are investigated using back focal plane (BFP) imaging and spectral resolutions. The observed experimental results are in agreement with the numerical simulations. The present work provides the basic understanding needed to design structures for TPCE, which in turn has potential applications in the fabrication of active materials for light emitting devices, fluorescence-based sensing, using microarrays, and imaging.

  11. Wide-angle Spectrally Selective Perfect Absorber by Utilizing Dispersionless Tamm Plasmon Polaritons.

    PubMed

    Xue, Chun-Hua; Wu, Feng; Jiang, Hai-Tao; Li, Yunhui; Zhang, Ye-Wen; Chen, Hong

    2016-12-19

    We theoretically investigate wide-angle spectrally selective absorber by utilizing dispersionless Tamm plasmon polaritons (TPPs) under TM polarization. TPPs are resonant tunneling effects occurring on the interface between one-dimensional photonic crystals (1DPCs) and metal slab, and their dispersion properties are essentially determined by that of 1DPCs. Our investigations show that dispersionless TPPs can be excited in 1DPCs containing hyperbolic metamaterials (HMMs) on metal substrate. Based on dispersionless TPPs, electromagnetic waves penetrate into metal substrate and are absorbed entirely by lossy metal, exhibiting a narrow-band and wide-angle perfect absorption for TM polarization. Our results exhibit nearly perfect absorption with a value over 98% in the angle of incidence region of 0-80 degree.

  12. Two-component hybrid time-dependent density functional theory within the Tamm-Dancoff approximation

    NASA Astrophysics Data System (ADS)

    Kühn, Michael; Weigend, Florian

    2015-01-01

    We report the implementation of a two-component variant of time-dependent density functional theory (TDDFT) for hybrid functionals that accounts for spin-orbit effects within the Tamm-Dancoff approximation (TDA) for closed-shell systems. The influence of the admixture of Hartree-Fock exchange on excitation energies is investigated for several atoms and diatomic molecules by comparison to numbers for pure density functionals obtained previously [M. Kühn and F. Weigend, J. Chem. Theory Comput. 9, 5341 (2013)]. It is further related to changes upon switching to the local density approximation or using the full TDDFT formalism instead of TDA. Efficiency is demonstrated for a comparably large system, Ir(ppy)3 (61 atoms, 1501 basis functions, lowest 10 excited states), which is a prototype molecule for organic light-emitting diodes, due to its "spin-forbidden" triplet-singlet transition.

  13. Wide-angle Spectrally Selective Perfect Absorber by Utilizing Dispersionless Tamm Plasmon Polaritons

    NASA Astrophysics Data System (ADS)

    Xue, Chun-Hua; Wu, Feng; Jiang, Hai-Tao; Li, Yunhui; Zhang, Ye-Wen; Chen, Hong

    2016-12-01

    We theoretically investigate wide-angle spectrally selective absorber by utilizing dispersionless Tamm plasmon polaritons (TPPs) under TM polarization. TPPs are resonant tunneling effects occurring on the interface between one-dimensional photonic crystals (1DPCs) and metal slab, and their dispersion properties are essentially determined by that of 1DPCs. Our investigations show that dispersionless TPPs can be excited in 1DPCs containing hyperbolic metamaterials (HMMs) on metal substrate. Based on dispersionless TPPs, electromagnetic waves penetrate into metal substrate and are absorbed entirely by lossy metal, exhibiting a narrow-band and wide-angle perfect absorption for TM polarization. Our results exhibit nearly perfect absorption with a value over 98% in the angle of incidence region of 0-80 degree.

  14. Optical harmonics generation in metal/dielectric heterostructures in the presence of Tamm plasmon-polaritons

    NASA Astrophysics Data System (ADS)

    Afinogenov, B. I.; Popkova, A. A.; Bessonov, V. O.; Fedyanin, A. A.

    2016-03-01

    We have studied an influence of Tamm plasmon-polaritons (TPPs) excitation on the nonlinear-optical response of one-dimensional photonic crystal/metal structures. It was shown that in case when the fundamental radiation is in resonance with the TPP, second-harmonic generation in the sample is enhanced over two times of magnitude in comparison with a bare metal film. Using methods of nonlinear transfer matrices it was demonstrated that the third-order nonlinear response of a metal/dielectric heterostructure, when both fundamental and third-harmonic radiation are in resonance with the first- and third-order TPPs respectively, can be enhanced via two mechanisms: fundamental field localization and optical harmonic resonant tunneling. The overall enhancement of the third harmonic generation in that case can exceed three orders of magnitude in comparison with the non-resonant case.

  15. Two-component hybrid time-dependent density functional theory within the Tamm-Dancoff approximation.

    PubMed

    Kühn, Michael; Weigend, Florian

    2015-01-21

    We report the implementation of a two-component variant of time-dependent density functional theory (TDDFT) for hybrid functionals that accounts for spin-orbit effects within the Tamm-Dancoff approximation (TDA) for closed-shell systems. The influence of the admixture of Hartree-Fock exchange on excitation energies is investigated for several atoms and diatomic molecules by comparison to numbers for pure density functionals obtained previously [M. Kühn and F. Weigend, J. Chem. Theory Comput. 9, 5341 (2013)]. It is further related to changes upon switching to the local density approximation or using the full TDDFT formalism instead of TDA. Efficiency is demonstrated for a comparably large system, Ir(ppy)3 (61 atoms, 1501 basis functions, lowest 10 excited states), which is a prototype molecule for organic light-emitting diodes, due to its "spin-forbidden" triplet-singlet transition.

  16. Electrically tuning reflection of graphene-based Tamm plasmon polariton structures at 1550 nm

    NASA Astrophysics Data System (ADS)

    Li, Liang; Zhao, Hua; Zhang, Jingwen

    2017-08-01

    Tunable reflection of graphene-based Tamm plasmon polariton structures was theoretically investigated at 1550 nm. The graphene, inserted between the metal film and the Bragg mirror, is modulated by electron injection through applying an external electric field. Our results show that the reflection spectrum of the structure has a narrow valley near 1550 nm. Moreover, the valley depth can be highly tuned by the applied electric field. In addition, we find that the valley depth is also affected by the number of the Bragg mirror's period and the distance between the metal film and the graphene. Importantly, the valley depth near 1550 nm can be continuously tuned from ˜0.38 to ˜0.99 under suitable conditions.

  17. On the tunability of quality-factor for optical Tamm plasmon modes

    NASA Astrophysics Data System (ADS)

    Kumar, Samir; Das, Ritwick

    2017-09-01

    We present a comprehensive investigation to ascertain the impact of gold and silver films on modifying the quality-factor (Q-factor) of optical Tamm-plasmon (OTP) resonance in a metal-distributed Bragg reflector (M-DBR) geometry. Here, OTP mode is excited using direct incidence of white-light-source at normal incidence as well as oblique incidence on M-DBR geometry. The lifetime of OTP in gold and silver deposited films on DBR mirror was determined from OTP resonance linewidth. The lifetime and the Q-factor of OTP modes are found to depend on DBR bilayers, metal film thickness as well as on different plasmon active metals. This finding would facilitate tuning the Q-factor and consequently, the lifetime of OTP modes for various applications in all-optical switches and modulators. In addition, we discuss the spectral characteristics of OTP modes excited using normal and oblique incident of source.

  18. Wide-angle Spectrally Selective Perfect Absorber by Utilizing Dispersionless Tamm Plasmon Polaritons

    PubMed Central

    Xue, Chun-hua; Wu, Feng; Jiang, Hai-tao; Li, Yunhui; Zhang, Ye-wen; Chen, Hong

    2016-01-01

    We theoretically investigate wide-angle spectrally selective absorber by utilizing dispersionless Tamm plasmon polaritons (TPPs) under TM polarization. TPPs are resonant tunneling effects occurring on the interface between one-dimensional photonic crystals (1DPCs) and metal slab, and their dispersion properties are essentially determined by that of 1DPCs. Our investigations show that dispersionless TPPs can be excited in 1DPCs containing hyperbolic metamaterials (HMMs) on metal substrate. Based on dispersionless TPPs, electromagnetic waves penetrate into metal substrate and are absorbed entirely by lossy metal, exhibiting a narrow-band and wide-angle perfect absorption for TM polarization. Our results exhibit nearly perfect absorption with a value over 98% in the angle of incidence region of 0–80 degree. PMID:27991565

  19. Two-component hybrid time-dependent density functional theory within the Tamm-Dancoff approximation

    SciTech Connect

    Kühn, Michael; Weigend, Florian

    2015-01-21

    We report the implementation of a two-component variant of time-dependent density functional theory (TDDFT) for hybrid functionals that accounts for spin-orbit effects within the Tamm-Dancoff approximation (TDA) for closed-shell systems. The influence of the admixture of Hartree-Fock exchange on excitation energies is investigated for several atoms and diatomic molecules by comparison to numbers for pure density functionals obtained previously [M. Kühn and F. Weigend, J. Chem. Theory Comput. 9, 5341 (2013)]. It is further related to changes upon switching to the local density approximation or using the full TDDFT formalism instead of TDA. Efficiency is demonstrated for a comparably large system, Ir(ppy){sub 3} (61 atoms, 1501 basis functions, lowest 10 excited states), which is a prototype molecule for organic light-emitting diodes, due to its “spin-forbidden” triplet-singlet transition.

  20. Conical Intersections from Particle-Particle Random Phase and Tamm-Dancoff Approximations.

    PubMed

    Yang, Yang; Shen, Lin; Zhang, Du; Yang, Weitao

    2016-07-07

    The particle-particle random phase approximation (pp-RPA) and the particle-particle Tamm-Dancoff approximation (pp-TDA) are applied to the challenging conical intersection problem. Because they describe the ground and excited states on the same footing and naturally take into account the interstate interaction, these particle-particle methods, especially the pp-TDA, can correctly predict the dimensionality of the conical intersection seam as well as describe the potential energy surface in the vicinity of conical intersections. Though the bond length of conical intersections is slightly underestimated compared with the complete-active-space self-consistent field (CASSCF) theory, the efficient particle-particle methods are promising for conical intersections and nonadiabatic dynamics.

  1. Strong coupling between Tamm plasmon polariton and two dimensional semiconductor excitons

    NASA Astrophysics Data System (ADS)

    Hu, Tao; Wang, Yafeng; Wu, Lin; Zhang, Long; Shan, Yuwei; Lu, Jian; Wang, Jun; Luo, Song; Zhang, Zhe; Liao, Liming; Wu, Shiwei; Shen, Xuechu; Chen, Zhanghai

    2017-01-01

    Two dimensional (2D) semiconductor materials of transition-metal dichalcogenides (TMDCs) manifest many peculiar physical phenomena in the light-matter interaction. Due to their ultrathin property, strong interaction with light and the robust excitons at room temperature, they provide a perfect platform for studying the physics of strong coupling in low dimension and at room temperature. Here we report the strong coupling between 2D semiconductor excitons and Tamm plasmon polaritons (TPPs). We observe a Rabi splitting of about 54 meV at room temperature by measuring the angle resolved differential reflectivity spectra and simulate the theoretical results by using the transfer matrix method. Our results will promote the realization of the TPP based ultrathin polariton devices at room temperature.

  2. Evaluation of Tamm-Horsfall protein and uroplakin III for forensic identification of urine.

    PubMed

    Akutsu, Tomoko; Ikegaya, Hiroshi; Watanabe, Ken; Fukushima, Hisayo; Motani, Hisako; Iwase, Hirotaro; Sakurada, Koichi

    2010-05-01

    In this study, Tamm-Horsfall protein (THP), a major component of urinary protein, and uroplakin III (UPIII), a transmembrane protein widely regarded as a urothelium-specific marker, were evaluated for forensic identification of urine by ELISA and/or immunohistochemistry. THP was detected in urine, but not in plasma, saliva, semen, vaginal fluid, or sweat by the simple ELISA method developed in this study. In addition, most aged urine stains showed positive results. The urine specificity of THP was confirmed by gene expression analysis. Therefore, as reported previously, ELISA detection of THP can be used as a presumptive test for urine identification. UPIII was specific for immunohistochemical staining of cells in centrifuged precipitate of urine. However, ELISA and RT-PCR for UPIII were not specific for urine. UPIII may be applicable for forensic urine identification by immunohistochemistry.

  3. Derivative couplings between TDDFT excited states obtained by direct differentiation in the Tamm-Dancoff approximation

    SciTech Connect

    Ou, Qi; Fatehi, Shervin; Alguire, Ethan; Subotnik, Joseph E.; Shao, Yihan

    2014-07-14

    Working within the Tamm-Dancoff approximation, we calculate the derivative couplings between time-dependent density-functional theory excited states by assuming that the Kohn-Sham superposition of singly excited determinants represents a true electronic wavefunction. All Pulay terms are included in our derivative coupling expression. The reasonability of our approach can be established by noting that, for closely separated electronic states in the infinite basis limit, our final expression agrees exactly with the Chernyak-Mukamel expression (with transition densities from response theory). Finally, we also validate our approach empirically by analyzing the behavior of the derivative couplings around the T{sub 1}/T{sub 2} conical intersection of benzaldehyde.

  4. The symmetric Tamm-Dancoff q-oscillator: the representation, quasi-Fibonacci nature, accidental degeneracy and coherent states

    NASA Astrophysics Data System (ADS)

    Chung, Won Sang; Gavrilik, A. M.; Kachurik, I. I.; Rebesh, A. P.

    2014-08-01

    In this paper we propose a symmetric q-deformed Tamm-Dancoff (S-TD) oscillator algebra and study its representation, coordinate realization, and main properties. In particular, the non-Fibonacci (more exactly, quasi-Fibonacci) nature of the S-TD oscillator is established, the possibility of relating it to a certain p,q-deformed oscillator family is shown, and the occurrence of pairwise accidental degeneracy is proven. We also find the coherent state for the S-TD oscillator and show that it satisfies a completeness relation. The main advantage of the S-TD model over the usual Tamm-Dancoff oscillator is that due to the q\\leftrightarrow {{q}^{-1}} symmetry, it admits not only real, but also complex (phase-like) values of the deformation parameter q.

  5. Numero Uno.

    ERIC Educational Resources Information Center

    Palmaffy, Tyce

    1998-01-01

    Describes the Ysleta School District, El Paso (Texas), which has, despite high poverty and a constant inflow of immigrants with limited English skills, the best test scores of any urban district in Texas. In spite of the district's accomplishments, the school board seems determined to oust the current superintendent. (SLD)

  6. The optical Tamm states at the interface between a photonic crystal and a nanocomposite containing core-shell particles

    NASA Astrophysics Data System (ADS)

    Vetrov, S. Ya; Pankin, P. S.; Timofeev, I. V.

    2016-06-01

    We investigate the optical Tamm states (OTSs) localized at the interface between a photonic crystal (PC) and a nanocomposite consisting of spherical nanoparticles with a dielectric core and a metallic shell, which are dispersed in a transparent matrix, and is characterized by the resonance permittivity. Spectra of transmission, reflection, and absorption of normally incident light waves by the investigated structure are calculated. The spectral manifestation of the Tamm states caused by negative values of the real part of the effective permittivity in the visible spectral range is studied. It is demonstrated that, along with the significantly extended band gap of the PC, the transmission spectrum contains an additional stopband caused by nanocomposite absorption near the resonance frequency. It is shown that the OTSs can be implemented in two band gaps of the PCs, each corresponding to a certain plasmon resonance frequency of the nanocomposite. It is established that the characteristics of the Tamm state localized at the edge of the PCs significantly depend on the ratio between the particle core volume and the total particle volume.

  7. Comparative study of numerical schemes of TVD3, UNO3-ACM and optimized compact scheme

    NASA Technical Reports Server (NTRS)

    Lee, Duck-Joo; Hwang, Chang-Jeon; Ko, Duck-Kon; Kim, Jae-Wook

    1995-01-01

    Three different schemes are employed to solve the benchmark problem. The first one is a conventional TVD-MUSCL (Monotone Upwind Schemes for Conservation Laws) scheme. The second scheme is a UNO3-ACM (Uniformly Non-Oscillatory Artificial Compression Method) scheme. The third scheme is an optimized compact finite difference scheme modified by us: the 4th order Runge Kutta time stepping, the 4th order pentadiagonal compact spatial discretization with the maximum resolution characteristics. The problems of category 1 are solved by using the second (UNO3-ACM) and third (Optimized Compact) schemes. The problems of category 2 are solved by using the first (TVD3) and second (UNO3-ACM) schemes. The problem of category 5 is solved by using the first (TVD3) scheme. It can be concluded from the present calculations that the Optimized Compact scheme and the UN03-ACM show good resolutions for category 1 and category 2 respectively.

  8. Comparative study of numerical schemes of TVD3, UNO3-ACM and optimized compact scheme

    NASA Technical Reports Server (NTRS)

    Lee, Duck-Joo; Hwang, Chang-Jeon; Ko, Duck-Kon; Kim, Jae-Wook

    1995-01-01

    Three different schemes are employed to solve the benchmark problem. The first one is a conventional TVD-MUSCL (Monotone Upwind Schemes for Conservation Laws) scheme. The second scheme is a UNO3-ACM (Uniformly Non-Oscillatory Artificial Compression Method) scheme. The third scheme is an optimized compact finite difference scheme modified by us: the 4th order Runge Kutta time stepping, the 4th order pentadiagonal compact spatial discretization with the maximum resolution characteristics. The problems of category 1 are solved by using the second (UNO3-ACM) and third (Optimized Compact) schemes. The problems of category 2 are solved by using the first (TVD3) and second (UNO3-ACM) schemes. The problem of category 5 is solved by using the first (TVD3) scheme. It can be concluded from the present calculations that the Optimized Compact scheme and the UN03-ACM show good resolutions for category 1 and category 2 respectively.

  9. The optical Tamm states at the edges of a photonic crystal bounded by one or two layers of a strongly anisotropic nanocomposite

    NASA Astrophysics Data System (ADS)

    Vetrov, S. Ya.; Bikbaev, R. G.; Timofeev, I. V.

    2017-07-01

    The optical Tamm states localized at the edges of a photonic crystal bounded by a nanocomposite on its one or both sides are investigated. The nanocomposite consists of metal nanoinclusions with an orientation-ordered spheroidal shape, which are dispersed in a transparent matrix, and is characterized by the effective resonance permittivity. The spectrum of transmission of the longitudinally and transversely polarized waves by such structures at the normal incidence of light was calculated. The spectral manifestation of the Tamm states caused by negative values of the real part of the effective permittivity in the visible spectral range was studied. Features of the spectral manifestation of the optical Tamm states for different degrees of extension of spheroidal nanoparticles and different periods of a photonic crystal were investigated. It is demonstrated that splitting of the frequency due to elimination of degeneracy of the Tamm states localized at the interfaces between the photonic crystal and nanocomposite strongly depends on the volume fraction of the spheroids in the nanocomposite and on the ratio between the polar and equatorial semiaxes of the spheroid. Each of the two orthogonal polarizations of the incident wave has its own dependence of splitting on the nanoparticle density, which makes the transmission spectra polarization-sensitive. It is shown that the Tamm state is affected by the size-dependent permittivity of anisotropic nanoparticles.

  10. Evaluation of XRI-UNO CdTe detector for nuclear medical imaging

    NASA Astrophysics Data System (ADS)

    Jambi, L. K.; Lees, J. E.; Bugby, S. L.; Tipper, S.; Alqahtani, M. S.; Perkins, A. C.

    2015-06-01

    Over the last two decades advances in semiconductor detector technology have reached the point where they are sufficiently sensitive to become an alternative to scintillators for high energy gamma ray detection for application in fields such as medical imaging. This paper assessed the Cadmium-Telluride (CdTe) XRI-UNO semiconductor detector produced by X-RAY Imatek for photon energies of interest in nuclear imaging. The XRI-UNO detector was found to have an intrinsic spatial resolution of <0.5mm and a high incident count rate capability up to at least 1680cps. The system spatial resolution, uniformity and sensitivity characteristics are also reported.

  11. Behaviors, Attitudes and Knowledge of UNO Students Regarding Drugs, Alcohol and Tobacco: 1989.

    ERIC Educational Resources Information Center

    Hunnicutt, David; Davis, Joe

    1989-01-01

    This report describes alcohol, tobacco, and other drug use among 715 University of Nebraska at Omaha (UNO) students. The report focuses on drug use at the higher frequency levels, rather than reporting proportions who have ever used various drugs. The separate classes of drugs distinguished are alcohol, tobacco, cocaine, marijuana, and…

  12. Making Americans: UNO Charter Schools and Civic Education. Policy Brief 6

    ERIC Educational Resources Information Center

    Feith, David

    2013-01-01

    This policy brief is the third in a series of in-depth case studies exploring how top-performing charter schools have incorporated civic learning in their school curriculum and school culture. The UNO Charter School Network includes 13 schools serving some 6,500 students across Chicago. Located in predominantly Hispanic neighborhoods, the…

  13. Stacking up against Alternative Conceptions: Using Uno Cards to Introduce Discourse and Argumentation

    ERIC Educational Resources Information Center

    Dunac, Patricia S.; Demi, Kadir

    2013-01-01

    We engaged secondary science students in a teacher and student constructed Uno card game (UCG) to change their conceptual understanding of the various energy transformations. The paper outlines how we incorporated Toulmin's argumentation pattern (Toulmin 1958 "The Uses of Argument"(Cambridge: Cambridge University Press)) in the UCG,…

  14. Stacking up against Alternative Conceptions: Using Uno Cards to Introduce Discourse and Argumentation

    ERIC Educational Resources Information Center

    Dunac, Patricia S.; Demi, Kadir

    2013-01-01

    We engaged secondary science students in a teacher and student constructed Uno card game (UCG) to change their conceptual understanding of the various energy transformations. The paper outlines how we incorporated Toulmin's argumentation pattern (Toulmin 1958 "The Uses of Argument"(Cambridge: Cambridge University Press)) in the UCG,…

  15. Making Americans: UNO Charter Schools and Civic Education. Policy Brief 6

    ERIC Educational Resources Information Center

    Feith, David

    2013-01-01

    This policy brief is the third in a series of in-depth case studies exploring how top-performing charter schools have incorporated civic learning in their school curriculum and school culture. The UNO Charter School Network includes 13 schools serving some 6,500 students across Chicago. Located in predominantly Hispanic neighborhoods, the…

  16. Through Education into the World of Work. Uno Cygnaeus, the Father of Technology Education.

    ERIC Educational Resources Information Center

    Kantola, Jouko; Nikkanen, Pentti; Kari, Jouko; Kananoja, Tapani

    More than 100 years have passed since the death of Uno Cygnaeus (1810-1888), the father of Finnish folk schools and pioneer of educational arts and crafts. His accomplishments include design and organization of the folk school system, initiation of high class teacher training, and emphasis on the importance of women's education. Although his…

  17. Temperature-mediated transition from Dyakonov-Tamm surface waves to surface-plasmon-polariton waves

    NASA Astrophysics Data System (ADS)

    Chiadini, Francesco; Fiumara, Vincenzo; Mackay, Tom G.; Scaglione, Antonio; Lakhtakia, Akhlesh

    2017-08-01

    The effect of changing the temperature on the propagation of electromagnetic surface waves (ESWs), guided by the planar interface of a homogeneous isotropic temperature-sensitive material (namely, InSb) and a temperature-insensitive structurally chiral material (SCM) was numerically investigated in the terahertz frequency regime. As the temperature rises, InSb transforms from a dissipative dielectric material to a dissipative plasmonic material. Correspondingly, the ESWs transmute from Dyakonov-Tamm surface waves into surface-plasmon-polariton waves. The effects of the temperature change are clearly observed in the phase speeds, propagation distances, angular existence domains, multiplicity, and spatial profiles of energy flow of the ESWs. Remarkably large propagation distances can be achieved; in such instances the energy of an ESW is confined almost entirely within the SCM. For certain propagation directions, simultaneous excitation of two ESWs with (i) the same phase speeds but different propagation distances or (ii) the same propagation distances but different phase speeds are also indicated by our results.

  18. Molecular properties in the Tamm-Dancoff approximation: indirect nuclear spin-spin coupling constants

    NASA Astrophysics Data System (ADS)

    Cheng, Chi Y.; Ryley, Matthew S.; Peach, Michael J. G.; Tozer, David J.; Helgaker, Trygve; Teale, Andrew M.

    2015-07-01

    The Tamm-Dancoff approximation (TDA) can be applied to the computation of excitation energies using time-dependent Hartree-Fock (TD-HF) and time-dependent density-functional theory (TD-DFT). In addition to simplifying the resulting response equations, the TDA has been shown to significantly improve the calculation of triplet excitation energies in these theories, largely overcoming issues associated with triplet instabilities of the underlying reference wave functions. Here, we examine the application of the TDA to the calculation of another response property involving triplet perturbations, namely the indirect nuclear spin-spin coupling constant. Particular attention is paid to the accuracy of the triplet spin-dipole and Fermi-contact components. The application of the TDA in HF calculations leads to vastly improved results. For DFT calculations, the TDA delivers improved stability with respect to geometrical variations but does not deliver higher accuracy close to equilibrium geometries. These observations are rationalised in terms of the ground- and excited-state potential energy surfaces and, in particular, the severity of the triplet instabilities associated with each method. A notable feature of the DFT results within the TDA is their similarity across a wide range of different functionals. The uniformity of the TDA results suggests that some conventional evaluations may exploit error cancellations between approximations in the functional forms and those arising from triplet instabilities. The importance of an accurate treatment of correlation for evaluating spin-spin coupling constants is highlighted by this comparison.

  19. Performance of Tamm-Dancoff approximation on nonadiabatic couplings by time-dependent density functional theory

    NASA Astrophysics Data System (ADS)

    Hu, Chunping; Sugino, Osamu; Watanabe, Kazuyuki

    2014-02-01

    The Tamm-Dancoff approximation (TDA), widely used in physics to decouple excitations and de-excitations, is well known to be good for the calculation of excitation energies but not for oscillator strengths. In particular, the sum rule is violated in the latter case. The same concern arises within the TDA in the calculation of nonadiabatic couplings (NACs) by time-dependent density functional theory (TDDFT), due to the similarities in the TDDFT formulations of NACs and oscillator strengths [C. Hu, H. Hirai, and O. Sugino, J. Chem. Phys. 127, 064103 (2007)]. In this study, we present a systematic evaluation of the performance of TDDFT/TDA for the calculation of NACs. In the cases we considered, including a variety of systems possessing Jahn-Teller and Renner-Teller intersections, as well as an example with accidental conical intersections, it is found that the TDDFT/TDA performs better than the full TDDFT, contrary to the conjecture that the TDA might cause the NAC results to deteriorate and violate the sum rule. The surprisingly good performance of the TDA for NACs is probably because the TDA can partially compensate for the local-density-approximation error and give better excitation energies in the vicinity of intersections of potential energy surfaces. Our study also shows that it is important to use the TDA based on the rigorous full-TDDFT formulation of NACs, instead of using it based on an alternative approximate formulation.

  20. Restricted second random phase approximations and Tamm-Dancoff approximations for electronic excitation energy calculations

    NASA Astrophysics Data System (ADS)

    Peng, Degao; Yang, Yang; Zhang, Peng; Yang, Weitao

    2014-12-01

    In this article, we develop systematically second random phase approximations (RPA) and Tamm-Dancoff approximations (TDA) of particle-hole and particle-particle channels for calculating molecular excitation energies. The second particle-hole RPA/TDA can capture double excitations missed by the particle-hole RPA/TDA and time-dependent density-functional theory (TDDFT), while the second particle-particle RPA/TDA recovers non-highest-occupied-molecular-orbital excitations missed by the particle-particle RPA/TDA. With proper orbital restrictions, these restricted second RPAs and TDAs have a formal scaling of only O(N4). The restricted versions of second RPAs and TDAs are tested with various small molecules to show some positive results. Data suggest that the restricted second particle-hole TDA (r2ph-TDA) has the best overall performance with a correlation coefficient similar to TDDFT, but with a larger negative bias. The negative bias of the r2ph-TDA may be induced by the unaccounted ground state correlation energy to be investigated further. Overall, the r2ph-TDA is recommended to study systems with both single and some low-lying double excitations with a moderate accuracy. Some expressions on excited state property evaluations, such as < hat{S}2rangle are also developed and tested.

  1. Beyond the Tamm-Dancoff approximation for extended systems using exact diagonalization

    NASA Astrophysics Data System (ADS)

    Sander, Tobias; Maggio, Emanuele; Kresse, Georg

    2015-07-01

    Linear optical properties can be accurately calculated using the Bethe-Salpeter equation. After introducing a suitable product basis for the electron-hole pairs, the Bethe-Salpeter equation is usually recast into a complex non-Hermitian eigenvalue problem that is difficult to solve using standard eigenvalue solvers. In solid-state physics, it is therefore common practice to neglect the problematic coupling between the positive- and negative-frequency branches, reducing the problem to a Hermitian eigenvalue problem [Tamm-Dancoff approximation (TDA)]. We use time-inversion symmetry to recast the full problem into a quadratic Hermitian eigenvalue problem, which can be solved routinely using standard eigenvalue solvers even at a finite wave vector q . This allows us to access the importance of the coupling between the positive- and negative-frequency branch for prototypical solids. As a starting point for the Bethe-Salpeter calculations, we use self-consistent Green's-function methods (GW ), making the present scheme entirely ab initio. We calculate the optical spectra of carbon (C), silicon (Si), lithium fluoride (LiF), and the cyclic dimer Li2F2 and discuss why the differences between the TDA and the full solution are tiny. However, at finite momentum transfer q , significant differences between the TDA and our exact treatment are found. The origin of these differences is explained.

  2. Performance of Tamm-Dancoff approximation on nonadiabatic couplings by time-dependent density functional theory.

    PubMed

    Hu, Chunping; Sugino, Osamu; Watanabe, Kazuyuki

    2014-02-07

    The Tamm-Dancoff approximation (TDA), widely used in physics to decouple excitations and de-excitations, is well known to be good for the calculation of excitation energies but not for oscillator strengths. In particular, the sum rule is violated in the latter case. The same concern arises within the TDA in the calculation of nonadiabatic couplings (NACs) by time-dependent density functional theory (TDDFT), due to the similarities in the TDDFT formulations of NACs and oscillator strengths [C. Hu, H. Hirai, and O. Sugino, J. Chem. Phys. 127, 064103 (2007)]. In this study, we present a systematic evaluation of the performance of TDDFT/TDA for the calculation of NACs. In the cases we considered, including a variety of systems possessing Jahn-Teller and Renner-Teller intersections, as well as an example with accidental conical intersections, it is found that the TDDFT/TDA performs better than the full TDDFT, contrary to the conjecture that the TDA might cause the NAC results to deteriorate and violate the sum rule. The surprisingly good performance of the TDA for NACs is probably because the TDA can partially compensate for the local-density-approximation error and give better excitation energies in the vicinity of intersections of potential energy surfaces. Our study also shows that it is important to use the TDA based on the rigorous full-TDDFT formulation of NACs, instead of using it based on an alternative approximate formulation.

  3. Restricted second random phase approximations and Tamm-Dancoff approximations for electronic excitation energy calculations.

    PubMed

    Peng, Degao; Yang, Yang; Zhang, Peng; Yang, Weitao

    2014-12-07

    In this article, we develop systematically second random phase approximations (RPA) and Tamm-Dancoff approximations (TDA) of particle-hole and particle-particle channels for calculating molecular excitation energies. The second particle-hole RPA/TDA can capture double excitations missed by the particle-hole RPA/TDA and time-dependent density-functional theory (TDDFT), while the second particle-particle RPA/TDA recovers non-highest-occupied-molecular-orbital excitations missed by the particle-particle RPA/TDA. With proper orbital restrictions, these restricted second RPAs and TDAs have a formal scaling of only O(N(4)). The restricted versions of second RPAs and TDAs are tested with various small molecules to show some positive results. Data suggest that the restricted second particle-hole TDA (r2ph-TDA) has the best overall performance with a correlation coefficient similar to TDDFT, but with a larger negative bias. The negative bias of the r2ph-TDA may be induced by the unaccounted ground state correlation energy to be investigated further. Overall, the r2ph-TDA is recommended to study systems with both single and some low-lying double excitations with a moderate accuracy. Some expressions on excited state property evaluations, such as ⟨Ŝ(2)⟩ are also developed and tested.

  4. Optical Tamm states above the bulk plasma frequency at a Bragg stack/metal interface

    NASA Astrophysics Data System (ADS)

    Brand, S.; Kaliteevski, M. A.; Abram, R. A.

    2009-02-01

    We demonstrate theoretically that surface-plasmon polaritons, a form of optical Tamm state, can occur at the interface between a metal and a Bragg reflector at frequencies above the bulk plasma frequency of the metal. The frequencies of the excitations are within the photonic band gap of the Bragg reflector which provides the required evanescent decay on that side of the interface. At finite in-plane wave vector, the low value of the permittivity of the metal above its plasma frequency can lead to an imaginary normal wave vector component in the metal, which provides the localization on the other side of the interface. It is proposed that the necessary conditions can be realized using a GaAs/AlAs Bragg stack coated with a suitable conducting metal oxide having a bulk plasma frequency of 1 eV, but the concept is valid for other systems given an appropriate plasma frequency and photonic band-gap structure. The dispersion relations of the plasmon polaritons in the structures considered are calculated for both possible polarizations, and it is shown how the excitations result in distinct features in the predicted reflectivity spectra.

  5. Plasmons in the presence of Tamm-Shockley states with Rashba splitting at noble metal surfaces

    NASA Astrophysics Data System (ADS)

    Farid, A. M.; Mishchenko, E. G.

    2008-11-01

    Au(111) or similar noble metal surfaces feature Tamm-Shockley surface states that are known to possess considerable spin-orbit splitting of the Rashba type of order Δ=0.1eV . When interacting with an electromagnetic field such states are expected to have resonances when the frequency of the field is near the energy of the spin-orbit splitting Δ . They originate from the intersubband transitions between spin-split subbands and can be observed in the frequency dependence of the surface impedance. Plasmons in thin metal films are gapless and can be strongly affected by these spin resonances, acquiring significant modification of the spectrum when it intersects the ω=Δ line. Finally, an interesting demonstration of the intersubband resonances can be achieved when metal films are coated with ionic dielectrics that have a frequency of longitudinal or transverse optical phonons above or below Δ . The dielectric function between the two optical phonon frequencies is negative which forbids propagation of conventional plasmon polaritons. However, the presence of spin-orbit-split surface states allows plasmon polaritons to exist in this otherwise forbidden range of frequencies.

  6. Tamm-plasmon and surface-plasmon hybrid-mode based refractometry in photonic bandgap structures.

    PubMed

    Das, Ritwick; Srivastava, Triranjita; Jha, Rajan

    2014-02-15

    The transverse magnetic (TM) polarized hybrid modes formed as a consequence of coupling between Tamm plasmon polariton (TM-TPP) mode and surface plasmon polariton (SPP) mode exhibit interesting dispersive features for realizing a highly sensitive and accurate surface plasmon resonance (SPR) sensor. We found that the TM-TPP modes, formed at the interface of distributed Bragg reflector and metal, are strongly dispersive as compared to SPP modes at optical frequencies. This causes an appreciably narrow interaction bandwidth between TM-TPP and SPP modes, which leads to highly accurate sensing. In addition, appropriate tailoring of dispersion characteristics of TM-TPP as well as SPP modes could ensure high sensitivity of a novel SPR platform. By suitably designing the Au/TiO₂/SiO₂-based geometry, we propose a TM-TPP/SPP hybrid-mode sensor and achieve a sensitivity ≥900  nm/RIU with high detection accuracy (≥30  μm⁻¹) for analyte refractive indices varying between 1.330 and 1.345 in 600-700 nm wavelength range. The possibility to achieve desired dispersive behavior in any spectral band makes the sensing configuration an extremely attractive candidate to design sensors depending on the availability of optical sources.

  7. Plasmons in the presence of Tamm-Shockley states with Rashba splitting at noble metal surfaces

    NASA Astrophysics Data System (ADS)

    Farid, Abdel-Khalek; Mishchenko, Eugene

    2009-03-01

    Au(111) or similar noble metal surfaces feature Tamm-Shockley surface states that are known to possess considerable spin-orbit splitting of the Rashba type of order δ=0.1 eV. When interacting with an electromagnetic field such states are expected to have resonances when the frequency of the field is near the energy of the spin-orbit splitting δ. They originate from the intersubband transitions between spin-split subbands and can be observed in the frequency dependence of the surface impedance. Plasmons in thin metal films are gapless and can be strongly affected by these spin resonances, acquiring significant modification of the spectrum when it intersects the φ=δ line. Finally, an interesting demonstration of the intersubband resonances can be achieved when metal films are coated with ionic dielectrics that have a frequency of longitudinal/transverse optical phonons above/below δ. The dielectric function between the two optical phonon frequencies is negative which forbids propagation of conventional plasmon-polaritons. However, the presence of spin-orbit-split surface states allows plasmon-polaritons to exist in this otherwise forbidden range of frequencies.

  8. Refractive index sensing performance analysis of photonic crystal containing graphene based on optical Tamm state

    NASA Astrophysics Data System (ADS)

    Chen, Ying; Dong, Jing; Liu, Teng; Zhu, Qiguang; Chen, Weidong

    2016-01-01

    A photonic crystal’s refractive index sensor is proposed based on the photonic crystal (PC) optical properties and the surface wave resonance principle. The optical Tamm state existing at the interface between one-dimensional (1D) PCs and the metal layer can overcome the disadvantage of the surface plasmon resonance (SPR) sensor in which the incident light can only be TM polarized light. The resonant wavelength can be changed by adjusting the optical parameters of the PC. Through coating the metal surface with graphene, the resolution and sensitivity of the sensor can be improved obviously. The relationship model between the graphene parameters and the reflectivity is established by analyzing the reflective properties of the graphene. In the numerical simulation, the graphene layer is optimized to improve the refractive index sensing properties. The numerical simulation results show that the quality factor (Q value) can attain to 1418.2 and the sensitivity is about 1178.6 nm RIU-1, which can demonstrate the effectiveness of the senor structure and provide some theoretical references for the design of the refractive index sensors with high Q value and sensitivity.

  9. Dyakonov-Tamm waves-based optical sensing using sculptured nematic thin film

    NASA Astrophysics Data System (ADS)

    Abbas, Farhat; Naqvi, Qaisar A.; Faryad, Muhammad

    2015-06-01

    Dyakonov-Tamm (DT) waves are highly sensitive to the constitutive properties of the partnering materials near the interface. DT waves are excited at the interface of two dielectric materials of which at least one is anisotropic and periodically nonhomogeneous normal to their interface. Sculptured nematic thin film (SNTF) is a good candidate for the periodically nonhomogeneous dielectric partner for optical sensing of a fluid due to its porosity. The nanoscale parameters of an uninfiltrated SNTF obtained from the inverse Bruggeman homogenization formalism were used in the forward Bruggeman homogenization formalism to determine the constitutive parameters for the infiltrated SNTF. The sensitivity of DT waves to the refractive index was analyzed for two possible sensing modalities and it was found that the sensitivity was comparable to that of the chiral sculptured thin films (STFs) made of the same material as of the SNTF. This implies that the sensing with DT waves is robust, is independent of the morphology of the partnering nonhomogeneous dielectric material and could make the sensing easier since SNTFs are easier to fabricate than the chiral STFs.

  10. Photon echoes from (In,Ga)As quantum dots embedded in a Tamm-plasmon microcavity

    NASA Astrophysics Data System (ADS)

    Salewski, M.; Poltavtsev, S. V.; Kapitonov, Yu. V.; Vondran, J.; Yakovlev, D. R.; Schneider, C.; Kamp, M.; Höfling, S.; Oulton, R.; Akimov, I. A.; Kavokin, A. V.; Bayer, M.

    2017-01-01

    We report on the coherent optical response from an ensemble of (In,Ga)As quantum dots (QDs) embedded in a planar Tamm-plasmon microcavity with a quality factor of approximately 100. Significant enhancement of the light-matter interaction is demonstrated under selective laser excitation of those quantum dots which are in resonance with the cavity mode. The enhancement is manifested through Rabi oscillations of the photon echo, demonstrating coherent control of excitons with picosecond pulses at intensity levels more than an order of magnitude smaller as compared with bare quantum dots. The decay of the photon echo transients is weakly changed by the resonator, indicating a small decrease of the coherence time T2 which we attribute to the interaction with the electron plasma in the metal layer located close (40 nm) to the QD layer. Simultaneously we see a reduction of the population lifetime T1, inferred from the stimulated photon echo, due to an enhancement of the spontaneous emission by a factor of 2, which is attributed to the Purcell effect, while nonradiative processes are negligible, as confirmed from time-resolved photoluminescence.

  11. Distributional and regularized radiation fields of non-uniformly moving straight dislocations, and elastodynamic Tamm problem

    NASA Astrophysics Data System (ADS)

    Lazar, Markus; Pellegrini, Yves-Patrick

    2016-11-01

    This work introduces original explicit solutions for the elastic fields radiated by non-uniformly moving, straight, screw or edge dislocations in an isotropic medium, in the form of time-integral representations in which acceleration-dependent contributions are explicitly separated out. These solutions are obtained by applying an isotropic regularization procedure to distributional expressions of the elastodynamic fields built on the Green tensor of the Navier equation. The obtained regularized field expressions are singularity-free, and depend on the dislocation density rather than on the plastic eigenstrain. They cover non-uniform motion at arbitrary speeds, including faster-than-wave ones. A numerical method of computation is discussed, that rests on discretizing motion along an arbitrary path in the plane transverse to the dislocation, into a succession of time intervals of constant velocity vector over which time-integrated contributions can be obtained in closed form. As a simple illustration, it is applied to the elastodynamic equivalent of the Tamm problem, where fields induced by a dislocation accelerated from rest beyond the longitudinal wave speed, and thereafter put to rest again, are computed. As expected, the proposed expressions produce Mach cones, the dynamic build-up and decay of which is illustrated by means of full-field calculations.

  12. Restricted second random phase approximations and Tamm-Dancoff approximations for electronic excitation energy calculations

    SciTech Connect

    Peng, Degao; Yang, Yang; Zhang, Peng; Yang, Weitao

    2014-12-07

    In this article, we develop systematically second random phase approximations (RPA) and Tamm-Dancoff approximations (TDA) of particle-hole and particle-particle channels for calculating molecular excitation energies. The second particle-hole RPA/TDA can capture double excitations missed by the particle-hole RPA/TDA and time-dependent density-functional theory (TDDFT), while the second particle-particle RPA/TDA recovers non-highest-occupied-molecular-orbital excitations missed by the particle-particle RPA/TDA. With proper orbital restrictions, these restricted second RPAs and TDAs have a formal scaling of only O(N{sup 4}). The restricted versions of second RPAs and TDAs are tested with various small molecules to show some positive results. Data suggest that the restricted second particle-hole TDA (r2ph-TDA) has the best overall performance with a correlation coefficient similar to TDDFT, but with a larger negative bias. The negative bias of the r2ph-TDA may be induced by the unaccounted ground state correlation energy to be investigated further. Overall, the r2ph-TDA is recommended to study systems with both single and some low-lying double excitations with a moderate accuracy. Some expressions on excited state property evaluations, such as 〈S{sup ^2}〉 are also developed and tested.

  13. The role of Tamm-Horsfall protein in the pathogenesis of reflux nephropathy and chronic pyelonephritis.

    PubMed Central

    Andriole, V. T.

    1985-01-01

    Recurrent bacterial infection of the kidney was previously thought to be responsible for the renal scarring typical of chronic pyelonephritis until recent studies suggested that recurrent bacteriuria rarely produces chronic pyelonephritis in the absence of obstructive uropathy. In contrast, the association between vesicoureteral reflux (VUR) and chronic pyelonephritis has been observed frequently in the absence of urinary infection. Although the mechanism by which VUR injures the kidney has not been defined, recent observations have suggested that some component of urine might serve as an antigenic determinant involved in the immunopathogenesis of renal scarring in VUR. Therefore, the present studies investigated the immunopathogenic role of Tamm-Horsfall protein (THP) in (1) a rabbit model of tubulointerstitial nephritis; (2) a swine model of reflux nephropathy; and (3) patients with recurrent nephrolithiasis. The antigenic similarities between THP and uropathic bacteria were also studied. Our observations indicate that autoimmune responses to THP may occur after exposure to THP by intravenous challenge in rabbits, by urinary reflux in pigs, and in recurrent nephrolithiasis in man. Also, extracts of uropathic coliforms competitively inhibit the binding of human THP to its antibody. These studies suggest that autoimmune responses to THP may be the pathogenetic mechanism by which these factors, including bacteriuria, contribute to "chronic pyelonephritis." PMID:2412354

  14. Tamm plasmon- and surface plasmon-coupled emission from hybrid plasmonic–photonic structures

    PubMed Central

    Chen, Yikai; Zhang, Douguo; Zhu, Liangfu; Wang, Ruxue; Wang, Pei; Ming, Hai; Badugu, Ramachandram; Lakowicz, Joseph R.

    2015-01-01

    Photonic and plasmon-coupled emissions present new opportunities for control on light emission from fluorophores, and have many applications in the physical and biological sciences. The mechanism of and the influencing factors for the coupling between the fluorescent molecules and plasmon and/or photonic modes are active areas of research. In this paper, we describe a hybrid photonic–plasmonic structure that simultaneously contains two plasmon modes: surface plasmons (SPs) and Tamm plasmons (TPs), both of which can modulate fluorescence emission. Experimental results show that both SP-coupled emission (SPCE) and TP-coupled emission (TPCE) can be observed simultaneously with this hybrid structure. Due to the different resonant angles of the TP and SP modes, the TPCE and SPCE can be beamed in different directions and can be separated easily. Back focal plane images of the fluorescence emission show that the relative intensities of the SPCE and TPCE can be changed if the probes are at different locations inside the hybrid structure, which reveals the probe location-dependent different coupling strengths of the fluorescent molecules with SPs and TPs. The different coupling strengths are ascribed to the electric field distribution of the two modes in the structure. Here, we present an understanding of these factors influencing mode coupling with probes, which is vital for structure design for suitable applications in sensing and diagnostics. PMID:26526929

  15. Release of gelatinase and superoxide from human mononuclear phagocytes in response to particulate Tamm Horsfall protein.

    PubMed Central

    Thomas, D. B.; Davies, M.; Williams, J. D.

    1993-01-01

    This study describes the in vitro activation of human mononuclear phagocytes by particulate Tamm Horsfall protein (THP). Peripheral blood monocytes phagocytosed THP particles with the accompanying release of superoxide radicals, N-acetyl-beta-D-glucosaminidase, and neutral metalloproteinase. Immunoprecipitation and substrate gel analysis identified the neutral proteinase as a 95-kd gelatinase. A comparison with other particulate ligands highlighted the specificity of the response to THP and showed that the magnitude of the response was comparable with that obtained with lipopolysaccharide (100 micrograms/ml). Parallel studies using peritoneal macrophages resulted in a similar pattern of enzyme release and reactive oxygen species synthesis. THP has been implicated in the pathogenesis of tubulointerstitial nephritis associated with reflux nephropathy. The present study indicates that an inflammatory response initiated by a neutrophil-THP interaction may be extended into a chronic phase via the activation of mononuclear phagocytes. The subsequent release of reactive oxygen metabolites and proteinases may contribute to the tissue damage and fibrosis associated with chronic immune-mediated tubulointerstitial nephritis. Images Figure 4 Figure 5 Figure 6 PMID:8380953

  16. Room-temperature Tamm-plasmon exciton-polaritons with a WSe2 monolayer

    NASA Astrophysics Data System (ADS)

    Lundt, Nils; Klembt, Sebastian; Cherotchenko, Evgeniia; Betzold, Simon; Iff, Oliver; Nalitov, Anton V.; Klaas, Martin; Dietrich, Christof P.; Kavokin, Alexey V.; Höfling, Sven; Schneider, Christian

    2016-10-01

    Solid-state cavity quantum electrodynamics is a rapidly advancing field, which explores the frontiers of light-matter coupling. Metal-based approaches are of particular interest in this field, as they carry the potential to squeeze optical modes to spaces significantly below the diffraction limit. Transition metal dichalcogenides are ideally suited as the active material in cavity quantum electrodynamics, as they interact strongly with light at the ultimate monolayer limit. Here, we implement a Tamm-plasmon-polariton structure and study the coupling to a monolayer of WSe2, hosting highly stable excitons. Exciton-polariton formation at room temperature is manifested in the characteristic energy-momentum dispersion relation studied in photoluminescence, featuring an anti-crossing between the exciton and photon modes with a Rabi-splitting of 23.5 meV. Creating polaritonic quasiparticles in monolithic, compact architectures with atomic monolayers under ambient conditions is a crucial step towards the exploration of nonlinearities, macroscopic coherence and advanced spinor physics with novel, low-mass bosons.

  17. Room-temperature Tamm-plasmon exciton-polaritons with a WSe2 monolayer.

    PubMed

    Lundt, Nils; Klembt, Sebastian; Cherotchenko, Evgeniia; Betzold, Simon; Iff, Oliver; Nalitov, Anton V; Klaas, Martin; Dietrich, Christof P; Kavokin, Alexey V; Höfling, Sven; Schneider, Christian

    2016-10-31

    Solid-state cavity quantum electrodynamics is a rapidly advancing field, which explores the frontiers of light-matter coupling. Metal-based approaches are of particular interest in this field, as they carry the potential to squeeze optical modes to spaces significantly below the diffraction limit. Transition metal dichalcogenides are ideally suited as the active material in cavity quantum electrodynamics, as they interact strongly with light at the ultimate monolayer limit. Here, we implement a Tamm-plasmon-polariton structure and study the coupling to a monolayer of WSe2, hosting highly stable excitons. Exciton-polariton formation at room temperature is manifested in the characteristic energy-momentum dispersion relation studied in photoluminescence, featuring an anti-crossing between the exciton and photon modes with a Rabi-splitting of 23.5 meV. Creating polaritonic quasiparticles in monolithic, compact architectures with atomic monolayers under ambient conditions is a crucial step towards the exploration of nonlinearities, macroscopic coherence and advanced spinor physics with novel, low-mass bosons.

  18. Room-temperature Tamm-plasmon exciton-polaritons with a WSe2 monolayer

    PubMed Central

    Lundt, Nils; Klembt, Sebastian; Cherotchenko, Evgeniia; Betzold, Simon; Iff, Oliver; Nalitov, Anton V.; Klaas, Martin; Dietrich, Christof P.; Kavokin, Alexey V.; Höfling, Sven; Schneider, Christian

    2016-01-01

    Solid-state cavity quantum electrodynamics is a rapidly advancing field, which explores the frontiers of light–matter coupling. Metal-based approaches are of particular interest in this field, as they carry the potential to squeeze optical modes to spaces significantly below the diffraction limit. Transition metal dichalcogenides are ideally suited as the active material in cavity quantum electrodynamics, as they interact strongly with light at the ultimate monolayer limit. Here, we implement a Tamm-plasmon-polariton structure and study the coupling to a monolayer of WSe2, hosting highly stable excitons. Exciton-polariton formation at room temperature is manifested in the characteristic energy–momentum dispersion relation studied in photoluminescence, featuring an anti-crossing between the exciton and photon modes with a Rabi-splitting of 23.5 meV. Creating polaritonic quasiparticles in monolithic, compact architectures with atomic monolayers under ambient conditions is a crucial step towards the exploration of nonlinearities, macroscopic coherence and advanced spinor physics with novel, low-mass bosons. PMID:27796288

  19. All-optical diode actions through a coupled system of Tamm plasmon-polariton and nonlinear cavity mode

    NASA Astrophysics Data System (ADS)

    Fang, Yun-Tuan; Zheng, Jing; Yang, Li-Xia; Zhou, Xiang

    2013-08-01

    Light propagation in a coupled system of Tamm plasmon-polariton and nonlinear cavity mode is theoretically investigated through the nonlinear transfer matrix method. It is found that the asymmetric layered structure exhibits both pronounced unidirectionality and high transmission. This leads to all-optical diode actions. Compared with other similar studies, the designed structure is much simple only with seven periods. The unique feature is that the direction of on-off can be reversed depending on the working frequencies. The effect of metal loss is also considered in this study.

  20. Isoelectric focusing of Tamm-Horsfall glycoproteins: a simple tool for recognizing recurrent calcium oxalate renal stone formers.

    PubMed

    Schnierle, P; Hering, F; Seiler, H

    1996-01-01

    Tamm-Horsfall glycoproteins (THPs) from healthy probands and a majority of recurrent calcium oxalate renal stone formers reveal different physicochemical properties when analyzed using isoelectric focusing (IEF). The pI values of THPs from healthy probands are approximately 3.5 while THPs from recurrent renal stone formers have pI values of between 4.5 and 6. The two groups of THPs exhibit completely different protein patterns. The differences in IEF analysis allow differentiation between THPs from healthy probands and recurrent calcium oxalate stone formers and may possibly be used as a simple diagnostic method for the recognition of recurrent calcium oxalate renal stone formers.

  1. Tamm states at the interface between a conventional material and a one dimensional photonic crystal with metamaterials

    NASA Astrophysics Data System (ADS)

    Becerra O, G.; Granada E, J. C.

    2014-12-01

    Using the Green's function formalism, Tamm states of localized modes are investigated at the interface separating auniform conventional material and a one-dimensional semi-infinite photonic crystal consisting of a series of alternating conventional materials and metamaterials. We investigate how the presence of such metamaterials influences the band structure of collective modes that appear in the photonic crystal, with special attention to the power spectrum of collective excitations and the dispersion relations. It is shown that there is one localized backward TE mode with frequencies below the resonance frequency of the metamaterial magnetic permeability and above such frequency there are one forward TM, and two backward TM and TE localized modes.

  2. Numerical investigation of optical Tamm states in two-dimensional hybrid plasmonic-photonic crystal nanobeams

    SciTech Connect

    Meng, Zi-Ming E-mail: lizy@aphy.iphy.ac.cn; Hu, Yi-Hua; Ju, Gui-Fang; Zhong, Xiao-Lan; Ding, Wei; Li, Zhi-Yuan E-mail: lizy@aphy.iphy.ac.cn

    2014-07-28

    Optical Tamm states (OTSs) in analogy with its electronic counterpart confined at the surface of crystals are optical surface modes at the interfaces between uniform metallic films and distributed Bragg reflectors. In this paper, OTSs are numerically investigated in two-dimensional hybrid plasmonic-photonic crystal nanobeams (HPPCN), which are constructed by inserting a metallic nanoparticle into a photonic crystal nanobeam formed by periodically etching square air holes into dielectric waveguides. The evidences of OTSs can be verified by transmission spectra and the field distribution at resonant frequency. Similar to OTSs in one-dimensional multilayer structures OTSs in HPPCN can be excited by both TE and TM polarization. The physical origin of OTSs in HPPCN is due to the combined contribution of strong reflection imposed by the photonic band gap (PBG) of the photonic crystal (PC) nanobeam and strong backward scattering exerted by the nanoparticle. For TE, incidence OTSs can be obtained at the frequency near the center of the photonic band gap. The transmissivity and the resonant frequency can be finely tuned by the dimension of nanoparticles. While for TM incidence OTSs are observed for relatively larger metallic nanoparticles compared with TE polarization. The differences between TE and TM polarization can be explained by two reasons. For one reason stronger backward scattering of nanoparticles for TE polarization can be achieved by the excitation of localized surface plasmon polariton of nanoparticles. This assumption has been proved by examining the scattering, absorption, and extinction cross section of the metallic nanoparticle. The other can be attributed to the deep and wide PBG available for TE polarization with less number of air holes compared with TM polarization. Our results show great promise in extending the application scope of OTSs from one-dimensional structures to practical integrated photonic devices and circuits.

  3. Numerical investigation of optical Tamm states in two-dimensional hybrid plasmonic-photonic crystal nanobeams

    NASA Astrophysics Data System (ADS)

    Meng, Zi-Ming; Hu, Yi-Hua; Ju, Gui-Fang; Zhong, Xiao-Lan; Ding, Wei; Li, Zhi-Yuan

    2014-07-01

    Optical Tamm states (OTSs) in analogy with its electronic counterpart confined at the surface of crystals are optical surface modes at the interfaces between uniform metallic films and distributed Bragg reflectors. In this paper, OTSs are numerically investigated in two-dimensional hybrid plasmonic-photonic crystal nanobeams (HPPCN), which are constructed by inserting a metallic nanoparticle into a photonic crystal nanobeam formed by periodically etching square air holes into dielectric waveguides. The evidences of OTSs can be verified by transmission spectra and the field distribution at resonant frequency. Similar to OTSs in one-dimensional multilayer structures OTSs in HPPCN can be excited by both TE and TM polarization. The physical origin of OTSs in HPPCN is due to the combined contribution of strong reflection imposed by the photonic band gap (PBG) of the photonic crystal (PC) nanobeam and strong backward scattering exerted by the nanoparticle. For TE, incidence OTSs can be obtained at the frequency near the center of the photonic band gap. The transmissivity and the resonant frequency can be finely tuned by the dimension of nanoparticles. While for TM incidence OTSs are observed for relatively larger metallic nanoparticles compared with TE polarization. The differences between TE and TM polarization can be explained by two reasons. For one reason stronger backward scattering of nanoparticles for TE polarization can be achieved by the excitation of localized surface plasmon polariton of nanoparticles. This assumption has been proved by examining the scattering, absorption, and extinction cross section of the metallic nanoparticle. The other can be attributed to the deep and wide PBG available for TE polarization with less number of air holes compared with TM polarization. Our results show great promise in extending the application scope of OTSs from one-dimensional structures to practical integrated photonic devices and circuits.

  4. Tunneling time in attosecond experiments, intrinsic-type of time. Keldysh, and Mandelstam-Tamm time

    NASA Astrophysics Data System (ADS)

    Kullie, Ossama

    2016-05-01

    Tunneling time in attosecond and strong-field experiments is one of the most controversial issues in current research, because of its importance to the theory of time, the time operator and the time-energy uncertainty relation in quantum mechanics. In Kullie (2015 Phys. Rev. A 92 052118) we derived an estimation of the (real) tunneling time, which shows an excellent agreement with the time measured in attosecond experiments, our derivation is found by utilizing the time-energy uncertainty relation, and it represents a quantum clock. In this work, we show different aspects of the tunneling time in attosecond experiments, we discuss and compare the different views and approaches, which are used to calculate the tunneling time, i.e. Keldysh time (as a real or imaginary quantity), Mandelstam-Tamm time, the classical view of the time measurement and our tunneling time relation(s). We draw some conclusions concerning the validity and the relation between the different types of the tunneling time with the hope that they will help to answer the question put forward by Orlando et al (2014 J. Phys. B 47 204002, 2014 Phys. Rev. A 89 014102): tunneling time, what does it mean? However, as we will see, the important question is a more general one: how to understand the time and the measurement of the time of a quantum system? In respect to our result, the time in quantum mechanics can be, in more general fashion, classified in two types, intrinsic dynamically connected, and external dynamically not connected to the system, and consequently (perhaps only) classical Newtonian time remains as a parametric type of time.

  5. Older Drivers

    MedlinePlus

    ... Affects Driving Tips for Safe Driving Making Your Vehicle Safe Regulations Affecting Older Drivers When Driving Skills ... Like drivers of any age, they use their vehicles to go shopping, do errands, and visit the ...

  6. Polycyclic aromatic hydrocarbons profiles of spent drilling fluids deposited at Emu-Uno, Delta State, Nigeria.

    PubMed

    Iwegbue, Chukwujindu M A

    2011-10-01

    The concentrations and profiles of polycyclic aromatic hydrocarbons were determined in spent drilling fluid deposited at Emu-Uno, Delta State of Nigeria. The total concentrations of polycyclic aromatic hydrocarbons in the spent drilling fluid deposits ranged between 40 and 770 μg kg(-1). The PAHs profile were predominantly 2- and 3-rings with acenaphthalene, phenanthrene, fluorene being the predominant PAHs. The prevalence of 2- and 3-rings PAHs in the spent drilling fluid deposits indicate contamination of the drilling fluids with crude oil during drilling. Incorporation of spent drilling fluids into the soil has serious implication for soil, surface water and groundwater quality.

  7. The effect of tracking network configuration on GPS baseline estimates for the CASA Uno experiment

    NASA Technical Reports Server (NTRS)

    Wolf, S. Kornreich; Dixon, T. H.; Freymueller, J. T.

    1990-01-01

    The effect of the tracking network on long (greater than 100 km) GPS baseline estimates was estimated using various subsets of the global tracking network initiated by the first Central and South America (CASA Uno) experiment. It was found that best results could be obtained with a global tacking network consisting of three U.S. stations, two sites in the southwestern Pacific, and two sites in Europe. In comparison with smaller subsets, this global network improved the baseline repeatability, the resolution of carrier phase cycle ambiguities, and formal errors of the orbit estimates.

  8. The effect of tracking network configuration on GPS baseline estimates for the CASA Uno experiment

    NASA Technical Reports Server (NTRS)

    Wolf, S. Kornreich; Dixon, T. H.; Freymueller, J. T.

    1990-01-01

    The effect of the tracking network on long (greater than 100 km) GPS baseline estimates was estimated using various subsets of the global tracking network initiated by the first Central and South America (CASA Uno) experiment. It was found that best results could be obtained with a global tacking network consisting of three U.S. stations, two sites in the southwestern Pacific, and two sites in Europe. In comparison with smaller subsets, this global network improved the baseline repeatability, the resolution of carrier phase cycle ambiguities, and formal errors of the orbit estimates.

  9. Instrumental Develovement of 50 Meters Free Style Swimming Speed Measurement Based on Microcontroller Arduino Uno

    NASA Astrophysics Data System (ADS)

    Badruzaman; Rusdiana, A.; Gilang, M. R.; Martini, T.

    2017-03-01

    This study is purposed to make a software and hardware instrument in controlling the velocity of 50 meters free style swimming speed measurement based on microcontroller Arduino Uno. The writer uses 6 participants of advanced 2015 college students of sport education. The materials he uses are electronical series of microcontroller Arduino Uno base, laser sensors shone on light dependent resistor, laser receiver functions as a detector of laser cutting block, cables as connector transfering the data. This device consist of 4 installable censors in every 10 meters with the result of swimming speed showed on the monitors using visual basic 6.0 software. This instrument automatically works when the buzzer is pushed and also runs the timer on the application. For the procedure, the writer asks the participants to swim in free style along 50 meters. When the athlete swims, they will cut the laser of every censors so that it gives a signal to stop the running timer on the monitoring application. The output result the writer gets from this used instrument is to know how fast a swimmer swim in maximum speed, to know the time and distance of acceleration and decelaration that happens. The result of validity instrument shows 0,605 (high), while the reliability is 0,833 (very high).

  10. [Morphological characterization of experimental parodontitis during its treatment with a phyto-preparation uno de gato].

    PubMed

    Miminoshvili, Sh M; Gvamichava, T A; Mdinaradze, N L

    2007-06-01

    Examination of new methods of treatment of parodontitis is stipulated by the significant increase in the number of patients with parodontitis. Experiments were conducted on white outbred male rats weighing 150-200 gr, which were divided into three groups. The first group was a reference one (n=20). The second group includes induced parodontitis (n=15) and the third group includes induced parodontitis with the treatment of uno de gato (n=19). We simulated parodontitis in the following way: on the lower nippers in the field of a neck we attached a ligature causing mechanical damage. We used a intramuscular injection of Nembutal as a means of narcotization (0.1 ml-10 g per mass). The present work is dedicated to morphological studies of the structures of damaged parodontium during its treatment with a phyto-preparation uno de gato. The undertaken treatment has demonstrated partial restoration of the mucous tunic of the gum. Newly formed capillaries were found in the connective tissue. The fibroblasts are mostly mature and collagen-producing. Thus, the study has demonstrated that there is a certain tendency of the tissue restoration and the treatment has produced the best therapeutic results.

  11. Kristine Bonnevie, Tine Tammes and Elisabeth Schiemann in early genetics: emerging chances for a university career for women.

    PubMed

    Stamhuis, Ida H; Monsen, Arve

    2007-01-01

    The beginning of the twentieth century saw the emergence of the discipline of genetics. It is striking how many female scientists were contributing to this new field at the time. At least three female pioneers succeeded in becoming professors: Kristine Bonnevie (Norway), Elisabeth Schiemann (Germany) and the Tine Tammes (The Netherlands). The question is which factors contributed to the success of these women's careers? At the time women were gaining access to university education it had become quite the norm for universities to be sites for teaching and research. They were still expanding: new laboratories were being built and new disciplines were being established. All three women benefited from the fact that genetics was considered a new field promising in terms of its utility to society; in the case of Tammes and Schiemann in agriculture and in the case of Bonnevie in eugenics. On the other hand, the field of genetics also benefited from the fact that these first female researchers were eager for the chance to work in science and wanted to make active contributions. The all worked and studied in environments which, although different from one another, were positive towards them, at least at the start. Having a patron was generally a prerequisite. Tammes profited from her teacher's contacts and status. Bonnevie made herself indispensable through her success as a teacher and eventually made her position so strong that she was no longer dependent on a single patron. The case of Schiemann adds something new; it shows the vulnerability of such dependency. Initially, Schiemann's teacher had to rely on the first generation of university women simply because he was unable to attract ambitious young men to his institute. In those early, uncertain years of the new discipline, male scientists tended to choose other, better established, and more prestigious disciplines. However, when genetics itself had become an established field, it also became more attractive to men

  12. Effect of hybrid state of surface plasmon-polaritons, magnetic defect mode and optical Tamm state on nonreciprocal propagation

    NASA Astrophysics Data System (ADS)

    Fang, Yun-tuan; Ni, Yue-xin; He, Hang-qing; Hu, Jian-xia

    2014-06-01

    A coupled system of semi-infinite one-dimensional photonic crystal coated with metal and magnetic films is proposed. The properties of hybrid states of surface plasmon-polaritons, magnetic defect mode and optical Tamm state from the system have been studied through the Bloch theorem of periodic structure and the transfer matrix method. In the hybrid states the magneto-optical effect is amplified due to the field resonance amplification at the interface between the metal and magneto-optical material. Tunable nonreciprocal propagation can be achieved from the hybrid states through changing the thickness of magneto-optical material layer. The nonreciprocity is found to be robust to the change of metal thickness.

  13. Some tests of wet tropospheric calibration for the CASA Uno Global Positioning System experiment

    NASA Technical Reports Server (NTRS)

    Dixon, T. H.; Wolf, S. Kornreich

    1990-01-01

    Wet tropospheric path delay can be a major error source for Global Positioning System (GPS) geodetic experiments. Strategies for minimizing this error are investigted using data from CASA Uno, the first major GPS experiment in Central and South America, where wet path delays may be both high and variable. Wet path delay calibration using water vapor radiometers (WVRs) and residual delay estimation is compared with strategies where the entire wet path delay is estimated stochastically without prior calibration, using data from a 270-km test baseline in Costa Rica. Both approaches yield centimeter-level baseline repeatability and similar tropospheric estimates, suggesting that WVR calibration is not critical for obtaining high precision results with GPS in the CASA region.

  14. Some tests of wet tropospheric calibration for the CASA Uno Global Positioning System experiment

    NASA Technical Reports Server (NTRS)

    Dixon, T. H.; Wolf, S. Kornreich

    1990-01-01

    Wet tropospheric path delay can be a major error source for Global Positioning System (GPS) geodetic experiments. Strategies for minimizing this error are investigted using data from CASA Uno, the first major GPS experiment in Central and South America, where wet path delays may be both high and variable. Wet path delay calibration using water vapor radiometers (WVRs) and residual delay estimation is compared with strategies where the entire wet path delay is estimated stochastically without prior calibration, using data from a 270-km test baseline in Costa Rica. Both approaches yield centimeter-level baseline repeatability and similar tropospheric estimates, suggesting that WVR calibration is not critical for obtaining high precision results with GPS in the CASA region.

  15. Outcomes following Kidney transplantation in IgA nephropathy: a UNOS/OPTN analysis.

    PubMed

    Kadiyala, Aditya; Mathew, Anna T; Sachdeva, Mala; Sison, Cristina P; Shah, Hitesh H; Fishbane, Steven; Jhaveri, Kenar D

    2015-10-01

    This study updates assessment of post-transplant outcomes in IgAN patients in the modern era of immunosuppression. Using UNOS/OPTN data, patients ≥18 yr of age with first kidney transplant (1/1/1999 to 12/31/2008) were analyzed. Multivariable Cox regression models and propensity score-based matching techniques were used to estimate hazard ratios (HRs) for death-censored allograft survival (DCGS) and patient survival in IgAN compared to non-IgAN. Results of multivariable regression were stratified by donor type (living vs. deceased). A total of 107, 747 recipients were included (4589 with IgAN and 103 158 with non-IgAN). Adjusted HR for DCGS showed no significant difference between IgAN and non-IgAN. IgAN had higher patient survival compared to non-IgAN (HR 0.54, 95% CI 0.47-0.62, p < 0.0001 for deceased donors; HR 0.42, 95% CI 0.33-0.54, p < 0.0001 for living donors). Propensity score-matched analysis was similar, with no significant difference in DCGS between matched groups and higher patient survival in IgAN patients compared to non-IgAN group (HR 0.54, 95% CI 0.47, 0.63; p-value <0.0001). IgAN patients with first kidney transplant have superior patient survival and similar graft survival compared to non-IgAN recipients. Results can be used in prognostication and informed decision-making about kidney transplantation in patients with IgAN. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  16. Depression in Older Adults

    MedlinePlus

    ... here Home » Depression In Older Adults: More Facts Depression In Older Adults: More Facts Depression affects more ... combination of both. [8] Older Adult Attitudes Toward Depression: According to a Mental Health America survey [9] ...

  17. [Prostamol-Uno treatment in patients with prostatic adenoma and chronic non-infectious prostatitis].

    PubMed

    Trapeznikova, M F; Dutov, V V; Dolgovq, A G; Urenkov, S B

    2008-01-01

    We studied efficacy and safety of prostamol-Uno (PU) monotherapy in patients with prostatic adenoma (PA) comorbid with chronic abacterial prostatitis (CAP) in a clinical open trial including 45-year-old males aged over 45 years with PA comorbid with CAP, having irritative and obstructive symptoms by IPSS above 8 points and duration 6 months or longer, by NIH-CPSI above 10 points and duration 3 months or longer. The patients had Qmax from 5 to 15 ml/s, urine volume 100-350 ml, residual urine volume under 150 ml, prostate size more than 25 cm3, PSA level under 4 ng/ml and no bacterial growth in the third urine portion seeding and/or prostatic secretion. The effect was assessed by the disease history, complaints, digital rectal examination of the prostate, the disease symptoms by IPSS, quality of life (QoL), NIH-CPSI, bacteriological tests of the urine and prostatic secretion, urinalysis, Nechiporenko test in 3 urine portions. Uroflowmetry, ultrasonic investigation of the urinary bladder and prostate, transrectal energy dopplerography of the prostate, PSA assay in the blood serum were made in all the patients. PU safety was evaluated by arterial pressure, heart rate, 6-lead ECG, total and biochemical blood count. Control examination 3 months after the treatment showed no negative changes. PU patients demonstrated reduction in IPSS index from 14 to 6.8 points and NIH-CPSI (from 18.4 to 12.3 points (from 13 to 11.2 and 17.1 to 16.8 points, respectively, in the controls). QoL reduced from 3.9 to 1.9, from 3.6 to 3.3 points, respectively. Qmax rose from 12.4 to 18.2 ml/s and 13.5 to 14.5 ml/s, respectively. PSA changed insignificantly. Side effects were mild. Spectral doppler examination detected improvement in prostatic blood flow after PU treatment in 16 (53.3%) patients. Resistance index as an index of peripheral vascular resistance increased from 0.48-0.54 to 0.7-0.72 (p < 0.05). Thus, PU effectively reduces irritative and obstructive symptoms typical for prostatic

  18. Self-referenced refractive index sensing with hybrid-Tamm-plasmon-polariton modes in sub-wavelength analyte layers

    NASA Astrophysics Data System (ADS)

    Kumar, Samir; Shukla, Mukesh Kumar; Sona Maji, Partha; Das, Ritwick

    2017-09-01

    A coupled Tamm-plasmon-polariton (TPP) hybrid-mode based self-referenced refractive-index sensor is proposed. The geometry is comprised of a sub-wavelength analyte (sensing) layer sandwiched between two metal-clad distributed-Bragg-reflectors (DBRs). Reflection spectrum of the geometry exhibits two discernible reflectivity minima within the photonic-bandgap of DBR. The reflectivity minima are essentially due to excitation of two hybrid modes which have symmetric and anti-symmetric field distribution about the center resulting in an anti-crossing behaviour exhibited by hybrid-TPP mode dispersion curves. The low frequency symmetric mode exhibits strong dispersive properties by virtue of significant presence of mode-field in sensing medium. On the other hand, the high-frequency anti-symmetric mode remains unchanged with alterations in sensing layer. Thus, we propose a self-referenced sensing scheme using hybrid-TPP modes with sensitivity varying from 65~nm~RIU-1 to 180~nm~RIU-1 in the visible band. In addition, the TPP resonance are appreciably sharp as compared to surface-plasmon based geometries which results in improved detection accuracy and figure of merit. We also present an analysis for optimizing the sensor design for enhancing the sensitivity as well as detection accuracy.

  19. Immunological detection of nitrosative stress-mediated modified Tamm-Horsfall glycoprotein (THP) in calcium oxalate stone formers.

    PubMed

    Pragasam, V; Kalaiselvi, P; Sumitra, K; Srinivasan, S; Anandkumar, P; Varalakshmi, P

    2006-01-01

    The generation of reactive oxygen species (ROS) and reactive nitrogen species (RNS) in hyperoxaluric condition has been proved experimentally. This may result in the formation of the cytotoxic metabolite peroxynitrite, which is capable of causing lipid peroxidation and protein modification. The presence of nitrotyrosine in proteins has been associated with several pathological conditions. The present study investigated the presence of nitrotyrosine in the stone formers Tamm-Horsfall glycoprotein (THP). In vitro nitration of control THP was carried out using peroxynitrite. New Zealand white rabbits were immunized with peroxynitrated THP at 15-day intervals. Antisera collected following the third immunization were assayed for antibody titres using solid-phase ELISA. Antibodies were purified by affinity chromatography. The carbonyl content of control, stone formers and nitrated THP were determined. Western blotting was carried with control, stone formers and nitrated THPs. Immunodiffusion studies demonstrated cross-reaction with nitrated bovine serum albumin. Significant amounts (p < 0.001) of carbonyl content were present in both stone formers and nitrated THPs. Western blot analysis confirmed the presence of nitrated amino acid 3-nitrotyrosine in stone formers, which could bring about structural and functional modifications of THP in hyperoxaluric patients. A cross-reaction with nitrated bovine serum albumin confirms that the raised antibody has certain paratopes similar to the epitope of nitrated protein molecules. Detection of 3-nitrotyrosine in stone formers THP indicates that it is one of the key factors influencing the conversion of THP to a structurally and immunologically altered form during calcium oxalate stone formation.

  20. Estimation of a 2p2h effect on Gamow-Teller transitions within the second Tamm-Dancoff approximation

    NASA Astrophysics Data System (ADS)

    Minato, F.

    2016-04-01

    Two-particle two-hole (2p2h) effect on the Gamow-Teller (GT) transition for neutron-rich nuclei is studied by the second Tamm-Dancoff approximation (STDA) with the Skyrme interaction. Unstable 24O and 34Si and stable 48Ca nuclei are chosen to study the quenching and fragmentation of the GT strengths. Correlation of the 2p2h configurations causes about 20 % quenching and downward shift of GT giant resonances (GTGRs). The residual interaction changing relative angular momentum that appeared in the tensor force part gives a meaningful effect to the GT strength distributions. In this work, 17 - 26 % of the total GT strengths are brought to high-energy region above GTGRs. In particular, the tensor force brings strengths to high energy more than 50 MeV. STDA calculation within a small model space for 2p2h configuration is also performed and experimental data of 48Ca is reproduced reasonably.

  1. [Effect of urinary Tamm-horsfall protein concentration changes under centrifugation and its association with urolithiasis formation in rats].

    PubMed

    Chen, Yuanhao; Guo, Heqing; Sun, Bin; Li, Jianye; Yan, Jingmin; Hong, Quan; Zou, Zhikang; Wang, Jianchang

    2014-04-15

    To explore the concentration changes of Tamm-Horsefall protein (THP) under centrifugation in rat urine and discuss its association with urolithiasis formation. A total of 40 Wistar rats were divided randomly into 4 groups of flying with stone (A), flying without stone (B), stone without flying (C) and control (D). After centrifugation, the THP concentrations of each group were measured by enzyme-linked immunosorbent assay (ELISA). Then urinary system was dissected, stained with hematoxylin & eosin and observed under electron microscopy to examine the distribution and number of each section. The SPSS 13.0 software was used for data analyses. Group A showed significant difference in THP concentrations with groups C and D ( (11 ± 4) vs (15 ± 6), (17 ± 4) ng/ml, P = 0.037 and 0.005).No statistically significant difference existed between groups A and B ((11 ± 5) ng/ml, P = 0.998) or groups C and D (P = 0.422). Group B had significant difference in THP concentrations with groups D (P = 0.036). Regarding the number of stones in ureter, Group A had statistically significant difference with B (P = 0.029).However, there was no difference in the number of bladder stones.In kidney stones, there was significant difference (P = 0.029) on "+ +" rating. Centrifugation may reduce the urinary concentration of THP so as cause urolithiasis formation in rats.

  2. Going beyond the Tamm-Dancoff approximation in the Bethe-Salpeter approach to the optical properties of solids

    NASA Astrophysics Data System (ADS)

    Puschnig, Peter; Ambrosch-Draxl, Claudia

    2007-03-01

    The solution of the Bethe-Salpeter equation (BSE) has turned out to be the method of choice for the ab-initio calculation of optical properties of semiconductors and insulators which is capable of correctly accounting for excitonic effects. Commonly, however, the coupling between the resonant and anti-resonant excitations is neglected, referred to as the Tamm-Dancoff approximation (TDA). This is well justified in many cases, in particular, for the working horses of theoretical solid state physics, such as bulk Si and GaAs. Here, we report on a first-principles investigation of the optical properties of organic semiconductors which are highly anisotropic systems. We find that the TDA no longer holds in such low-dimensional systems, where the exciton binding energies are no longer small compared to the band gaps. Going beyond the TDA leads to an increase of the exciton binding energy in the order of several tenths of an eV thereby considerably improving the agreement with experiment.

  3. Analytical nuclear excited-state gradients for the Tamm-Dancoff approximation using uncoupled frozen-density embedding.

    PubMed

    Heuser, Johannes; Höfener, Sebastian

    2017-10-15

    We report the derivation and implementation of analytical nuclear gradients for excited states using time-dependent density functional theory using the Tamm-Dancoff approximation combined with uncoupled frozen-density embedding using density fitting. Explicit equations are presented and discussed. The implementation is able to treat singlet as well as triplet states and functionals using the local density approximation, the generalized gradient approximation, combinations with Hartree-Fock exchange (hybrids), and range-separated functionals such as CAM-B3LYP. The new method is benchmarked against supermolecule calculations in two case studies: The solvatochromic shift of the (vertical) fluorescence energy of 4-aminophthalimide on solvation, and the first local excitation of the benzonitrile dimer. Whereas for the 4-aminophthalimide-water complex deviations of about 0.2 eV are obtained to supermolecular calculations, for the benzonitrile dimer the maximum error for adiabatic excitation energies is below 0.01 eV due to a weak coupling of the subsystems. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  4. Direct determination of exciton couplings from subsystem time-dependent density-functional theory within the Tamm-Dancoff approximation

    NASA Astrophysics Data System (ADS)

    König, Carolin; Schlüter, Nicolas; Neugebauer, Johannes

    2013-01-01

    In subsystem time-dependent density functional theory (TDDFT) [J. Neugebauer, J. Chem. Phys. 126, 134116 (2007), 10.1063/1.2713754] localized excitations are used to calculate delocalized excitations in large chromophore aggregates. We have extended this formalism to allow for the Tamm-Dancoff approximation (TDA). The resulting response equations have a form similar to a perturbative configuration interaction singles (CIS) approach. Thus, the inter-subsystem matrix elements in subsystem TDA can, in contrast to the full subsystem-TDDFT case, directly be interpreted as exciton coupling matrix elements. Here, we present the underlying theory of subsystem TDDFT within the TDA as well as first applications. Since for some classes of pigments, such as linear polyenes and carotenoids, TDA has been reported to perform better than full TDDFT, we also report applications of this formalism to exciton couplings in dimers of such pigments and in mixed bacteriochlorophyll-carotenoid systems. The improved description of the exciton couplings can be traced back to a more balanced description of the involved local excitations.

  5. Observation of Tamm plasmon polaritons in visible regime from ZnO/Al 2O 3 distributed Bragg reflector - Ag interface

    NASA Astrophysics Data System (ADS)

    Tsang, S. H.; Yu, S. F.; Li, X. F.; Yang, H. Y.; Liang, H. K.

    2011-04-01

    Ag coated ZnO/Al2O3 distributed Bragg reflectors (DBRs), which were fabricated by a modified filtered cathodic vacuum arc technique at room temperature, shown the formation of visible Tamm plasmon polaritons (TPP). By varying the thickness of Ag and top ZnO dielectric layer of the DBR, it can be verified that the excitation of dip at the stopband of the reflection spectrum is related to TPPs. As visible light was used to excite TPPs, the corresponding effective mass can be reduced to 1.3 × 10- 5 of the free electron mass.

  6. Museums and Older Adults .

    ERIC Educational Resources Information Center

    Sharpe, Elizabeth M.; And Others

    1984-01-01

    This issue contains articles on characteristics of the older adult population and how one museum program addressed them; an analysis of sensory changes in older adulthood and their implications for museum facilities and programing; what older adults can contribute to the museum; older adults as museum volunteers; and case studies of museum…

  7. A simplified Tamm-Dancoff density functional approach for the electronic excitation spectra of very large molecules

    NASA Astrophysics Data System (ADS)

    Grimme, Stefan

    2013-06-01

    Two approximations in the Tamm-Dancoff density functional theory approach (TDA-DFT) to electronically excited states are proposed which allow routine computations for electronic ultraviolet (UV)- or circular dichroism (CD) spectra of molecules with 500-1000 atoms. Speed-ups compared to conventional time-dependent DFT (TD-DFT) treatments of about two to three orders of magnitude in the excited state part at only minor loss of accuracy are obtained. The method termed sTDA ("s" for simplified) employs atom-centered Löwdin-monopole based two-electron repulsion integrals with the asymptotically correct 1/R behavior and perturbative single excitation configuration selection. It is formulated generally for any standard global hybrid density functional with given Fock-exchange mixing parameter ax. The method performs well for two standard benchmark sets of vertical singlet-singlet excitations for values of ax in the range 0.2-0.6. The mean absolute deviations from reference data are only 0.2-0.3 eV and similar to those from standard TD-DFT. In three cases (two dyes and one polypeptide), good mutual agreement between the electronic spectra (up to 10-11 eV excitation energy) from the sTDA method and those from TD(A)-DFT is obtained. The computed UV- and CD-spectra of a few typical systems (e.g., C60, two transition metal complexes, [7]helicene, polyalanine, a supramolecular aggregate with 483 atoms and about 7000 basis functions) compare well with corresponding experimental data. The method is proposed together with medium-sized double- or triple-zeta type atomic-orbital basis sets as a quantum chemical tool to investigate the spectra of huge molecular systems at a reliable DFT level.

  8. Electronic circular dichroism of highly conjugated π-systems: breakdown of the Tamm-Dancoff/configuration interaction singles approximation.

    PubMed

    Bannwarth, Christoph; Grimme, Stefan

    2015-04-16

    We show that the electronic circular dichroism (ECD) of delocalized π-systems represents a worst-case scenario for Tamm-Dancoff approximated (TDA) linear response methods. We mainly consider density functional theory (TDA-DFT) variants together with range-separated hybrids, but the conclusions also apply for other functionals as well as the configuration interaction singles (CIS) approaches. We study the effect of the TDA for the computation of ECD spectra in some prototypical extended π-systems. The C76 fullerene, a chiral carbon nanotube fragment, and [11]helicene serve as model systems for inherently chiral, π-chromophores. Solving the full linear response problem is inevitable in order to obtain accurate ECD spectra for these systems. For the C76 fullerene and the nanotube fragment, TDA and CIS approximated methods yield spectra in the origin-independent velocity gauge formalism of incorrect sign which would lead to the assignment of the opposite (wrong) absolute configuration. As a counterexample, we study the ECD of an α-helix polypeptide chain. Here, the lowest-energy transitions are dominated by localized excitations within the individual peptide units, and TDA methods perform satisfactorily. The results may have far-reaching implications for simple semiempirical methods which often employ TDA and CIS for huge molecules. Our recently presented simplified time-dependent DFT approach proves to be an excellent low-cost linear response method which together with range-separated density functionals like ωB97X-D3 produces ECD spectra in very good agreement with experiment.

  9. Configuration Interaction-Corrected Tamm-Dancoff Approximation: A Time-Dependent Density Functional Method with the Correct Dimensionality of Conical Intersections.

    PubMed

    Li, Shaohong L; Marenich, Aleksandr V; Xu, Xuefei; Truhlar, Donald G

    2014-01-16

    Linear response (LR) Kohn-Sham (KS) time-dependent density functional theory (TDDFT), or KS-LR, has been widely used to study electronically excited states of molecules and is the method of choice for large and complex systems. The Tamm-Dancoff approximation to TDDFT (TDDFT-TDA or KS-TDA) gives results similar to KS-LR and alleviates the instability problem of TDDFT near state intersections. However, KS-LR and KS-TDA share a debilitating feature; conical intersections of the reference state and a response state occur in F - 1 instead of the correct F - 2 dimensions, where F is the number of internal degrees of freedom. Here, we propose a new method, named the configuration interaction-corrected Tamm-Dancoff approximation (CIC-TDA), that eliminates this problem. It calculates the coupling between the reference state and an intersecting response state by interpreting the KS reference-state Slater determinant and linear response as if they were wave functions. Both formal analysis and test results show that CIC-TDA gives similar results to KS-TDA far from a conical intersection, but the intersection occurs with the correct dimensionality. We anticipate that this will allow more realistic application of TDDFT to photochemistry.

  10. Depression in Older Adults

    ERIC Educational Resources Information Center

    Stickle, Fred; Onedera, Jill D.

    2006-01-01

    The purpose of this article is to address selected aspects of depression in older adults. Specifically, symptoms, risk factors, diagnosis, and interventions for depression in older adults are reviewed.

  11. Depression in Older Adults

    ERIC Educational Resources Information Center

    Stickle, Fred; Onedera, Jill D.

    2006-01-01

    The purpose of this article is to address selected aspects of depression in older adults. Specifically, symptoms, risk factors, diagnosis, and interventions for depression in older adults are reviewed.

  12. Under Utilization of Pancreas Transplants in Cystic Fibrosis Recipients in the United Network Organ Sharing (UNOS) Data 1987–2014

    PubMed Central

    Usatin, D. J.; Perito, E. R.; Posselt, A. M.; Rosenthal, P.

    2017-01-01

    Despite a high prevalence of pancreatic endocrine and exocrine insufficiency in cystic fibrosis (CF), pancreas transplantation is rarely reported. United Network for Organ Sharing (UNOS) data were used to examine utilization of pancreas transplant and posttransplant outcomes in CF patients. Between 1987–2014, CF patients (N = 4600) underwent 17 liver–pancreas, three lung–pancreas, one liver–lung pancreas, four kidney–pancreas, and three pancreas-only transplants. Of the 303 CF patients who received liver transplantation, 20% had CF-related diabetes (CFRD) before transplantation, and nine of those received a liver–pancreas transplant. Of 4241 CF patients who underwent lung transplantation, 33% had CFRD before transplantation, and three of those received a pancreas transplant. Of 49 CF patients who received a liver–lung transplant, 57% had CFRD before transplantation and one received a pancreas transplant. Posttransplantation diabetes developed in 7% of CF pancreas transplant recipients versus 24% of CF liver and 29% of CF lung recipients. UNOS has no data on pancreas exocrine insufficiency. Two-year post-transplantation survival was 88% after liver–pancreas transplant, 33% after lung–pancreas transplant, and 100% after pancreas–kidney and pancreas-only transplants. Diabetes is common pretransplantation and posttransplantation in CF solid organ transplant recipients, but pancreas transplantation remains rare. Further consideration of pancreas transplant in CF patients undergoing other solid organ transplant may be warranted. PMID:26603034

  13. Under Utilization of Pancreas Transplants in Cystic Fibrosis Recipients in the United Network Organ Sharing (UNOS) Data 1987-2014.

    PubMed

    Usatin, D J; Perito, E R; Posselt, A M; Rosenthal, P

    2016-05-01

    Despite a high prevalence of pancreatic endocrine and exocrine insufficiency in cystic fibrosis (CF), pancreas transplantation is rarely reported. United Network for Organ Sharing (UNOS) data were used to examine utilization of pancreas transplant and posttransplant outcomes in CF patients. Between 1987-2014, CF patients (N = 4600) underwent 17 liver-pancreas, three lung-pancreas, one liver-lung pancreas, four kidney-pancreas, and three pancreas-only transplants. Of the 303 CF patients who received liver transplantation, 20% had CF-related diabetes (CFRD) before transplantation, and nine of those received a liver-pancreas transplant. Of 4241 CF patients who underwent lung transplantation, 33% had CFRD before transplantation, and three of those received a pancreas transplant. Of 49 CF patients who received a liver-lung transplant, 57% had CFRD before transplantation and one received a pancreas transplant. Posttransplantation diabetes developed in 7% of CF pancreas transplant recipients versus 24% of CF liver and 29% of CF lung recipients. UNOS has no data on pancreas exocrine insufficiency. Two-year posttransplantation survival was 88% after liver-pancreas transplant, 33% after lung-pancreas transplant, and 100% after pancreas-kidney and pancreas-only transplants. Diabetes is common pretransplantation and posttransplantation in CF solid organ transplant recipients, but pancreas transplantation remains rare. Further consideration of pancreas transplant in CF patients undergoing other solid organ transplant may be warranted. © Copyright 2015 The American Society of Transplantation and the American Society of Transplant Surgeons.

  14. Exploring the nature of low-lying excited-states in molecular crystals from many-body perturbation theory beyond the Tamm-Dancoff Approximation

    NASA Astrophysics Data System (ADS)

    Rangel, Tonatiuh; Sharifzadeh, Sahar; Rinn, Andre; da Jornada, Felipe H.; Shao, Meiyue; Witte, Gregor; Yang, Chao; Louie, Steven G.; Chatterjee, Sangaam; Kronik, Leeor; Neaton, Jeffrey B.

    Organic semiconductors have attracted attention due to their potential for optoelectronics and novel phenomena, such as singlet fission. Here, we use many-body perturbation theory to simulate neutral excitations in acene and perylene crystals. By diagonalizing the full Bethe-Salpether (BSE) Hamiltonian beyond the Tamm Dancoff approximation (TDA), we find that both low-lying excitation energies and oscillator strengths are in improved agreement with experiments relative to the TDA. We characterize the low-lying excitons, focusing in the degree of charge-transfer and spatial delocalization, connecting their relevance to singlet fission. For perylene, we find overall good agreement with absorption measurements, and we see evidence for the formation of an ``exciton-polariton'' band in β-perylene. This work is supported by the DOE.

  15. Enhanced single photon emission from positioned InP/GaInP quantum dots coupled to a confined Tamm-plasmon mode

    SciTech Connect

    Braun, T.; Baumann, V.; Iff, O.; Schneider, C.; Kamp, M.; Höfling, S.

    2015-01-26

    We report on the enhancement of the spontaneous emission in the visible red spectral range from site-controlled InP/GaInP quantum dots by resonant coupling to Tamm-plasmon modes confined beneath gold disks in a hybrid metal/semiconductor structure. The enhancement of the emission intensity is confirmed by spatially resolved micro-photoluminescence area scans and temperature dependent measurements. Single photon emission from our coupled system is verified via second order autocorrelation measurements. We observe bright single quantum dot emission of up to ∼173 000 detected photons per second at a repetition rate of the excitation source of 82 MHz, and calculate an extraction efficiency of our device as high as 7%.

  16. A simple diagnostic method for the differentiation of Tamm-Horsfall glycoproteins from healthy probands and those from recurrent calcium oxalate renal stone formers.

    PubMed

    Schnierle, P

    1995-11-15

    Tamm-Horsfall glycoproteins (THPs)* from healthy probands, and those from a majority of recurrent calcium oxalate renal stone formers, reveal different properties when analyzed using isoelectric focusing. The pl-values of THPs from healthy probands are approximately 3.5 while THPs from recurrent renal stone formers have pl-values between 4.5 and 6. The two groups of THPs exhibit completely different protein patterns in IEF. This proves the structural difference of these THPs. The differences in IEF analysis allow the differentiation between THPs from healthy probands and those from recurrent calcium oxalate stone formers. These differences could possibly be used as a simple diagnostic method for the recognition of recurrent calcium oxalate renal stone formers.

  17. Combined Self-Consistent-Field and Spin-Flip Tamm-Dancoff Density Functional Approach to Potential Energy Surfaces for Photochemistry.

    PubMed

    Xu, Xuefei; Gozem, Samer; Olivucci, Massimo; Truhlar, Donald G

    2013-01-17

    We present a new approach to calculating potential energy surfaces for photochemical reactions by combining self-consistent-field calculations for single-reference ground and excited states with symmetry-corrected spin-flip Tamm-Dancoff approximation calculations for multireference electronic states. The method is illustrated by an application with the M05-2X exchange-correlation functional to cis-trans isomerization of the penta-2,4-dieniminium cation, which is a model (with three conjugated double bonds) of the protonated Schiff base of retinal. We find good agreement with multireference configuration interaction-plus-quadruples (MRCISD+Q) wave function calculations along three key paths in the strong-interaction region of the ground and first excited singlet states.

  18. Designing using Lego and Uno-Stacko: A Playful Architecture for an Integrated Kindergarten and Elementary School

    NASA Astrophysics Data System (ADS)

    Muthmainnah, K.; Aryanti, T.; Ardiansyah, A.

    2017-03-01

    The integrated kindergarten and elementary school is a public educational facility used for early age and elementary education. Designated for children at 4-12 years of age, the design should meet the standards and requirements, while considering children’s needs in their development phase. This paper discusses the design of an integrated kindergarten and elementary school using the playful theme. Design was explored using LEGO and UNO-STACKO to create spaces that accommodate material exploration for children. The design takes the play concept as a medium of child’s learning in order to improve their ability and awareness of the surrounding environment. The design translates the playful theme into imaginary dimension, constructive-deconstructive shapes, and glide circulations concept. The spatial pattern is applied by considering children’s behavior in the designated ages to trigger their creativity improvement. The design is expected to serve as a model of an integrated kindergarten and elementary school architecture.

  19. Sport for Older Persons.

    ERIC Educational Resources Information Center

    Council of Europe, Strasbourg (France).

    The following papers were prepared for a seminar on sport for older people: (1) "Gerontological Aspects of Physical Exercise" (Eino Heikkinen); (2) "Sporting Activities in the Individual Life from the View of Older Persons" (Henning Allmer); (3) "Reasons Why Decision-Makers Should Urge Old People to Practise Physical and Sporting Activities"…

  20. Sport for Older Persons.

    ERIC Educational Resources Information Center

    Council of Europe, Strasbourg (France).

    The following papers were prepared for a seminar on sport for older people: (1) "Gerontological Aspects of Physical Exercise" (Eino Heikkinen); (2) "Sporting Activities in the Individual Life from the View of Older Persons" (Henning Allmer); (3) "Reasons Why Decision-Makers Should Urge Old People to Practise Physical and Sporting Activities"…

  1. Georgia's "Older Worker Specialists."

    ERIC Educational Resources Information Center

    Ard, John V.; Barbour, Charles

    1979-01-01

    Describes the Referral/Employment Network for Elderly Workers (RENEW) in Georgia funded by the Department of Labor under Title IX of the Older Americans Act. The program recruits and trains older people (over age 55) to help other seniors find jobs. (MF)

  2. Renovating Older Schools: Reusing Older Schools Workshop.

    ERIC Educational Resources Information Center

    Mississippi State Univ., Mississippi State. Educational Design Inst.

    A slide presentation examines the decisionmaking process behind whether a community should renovate their older school facilities or abandon them for new facilities. Three factors to be considered in this decision are addressed and involve the school's location, the history of the school, and the relationship of the school to the community and the…

  3. Earth Systems Science and Elementary Teacher Preparation: The UNO Model for Improving Science and Mathematics Content and Pedagogy Skills

    NASA Astrophysics Data System (ADS)

    Hall, F. R.; Buxton, C.

    2002-05-01

    The University of New Orleans is located on the south-shore of Lake Pontchartrain. At UNO, we have established a unique collaboration between the Colleges of Science and Education in the preparation of preservice elementary school teachers. Earth Systems Science themes, based on the local environment, provide the framework for understanding science and mathematics content. In both the content and teaching methods courses, student learning revolves around hands-on, minds-on activies. In both classes, the age-appropriate technology is used as the students perform research projects on Lake Pontchartrain and the Mississippi River. The students are also required to practice their craft in both courses. In the science content courses, the students are required to research a topic that parallels the content learned during the semester, create lesson plans, and teach the subject to the class using inquiry-based methodology. In the teaching methods course, students are required to develop curricula and field test them in a local elementary school. Surveying students at the end of the semester suggests that using Earth Systems Science themes on the local environment as the framework for teaching science content and pedagogy not only improves the students content skills but also their perceptions of science as a subject, and their desire to teach science.

  4. Enhanced low current, voltage, and power dissipation measurements via Arduino Uno microcontroller with modified commercially available sensors

    NASA Astrophysics Data System (ADS)

    Tanner, Meghan; Eckel, Ryan; Senevirathne, Indrajith

    The versatility, simplicity, and robustness of Arduino microcontroller architecture have won a huge following with increasingly serious engineering and physical science applications. Arduino microcontroller environment coupled with commercially available sensors have been used to systematically measure, record, and analyze low currents, low voltages and corresponding dissipated power for assessing secondary physical properties in a diverse array of engineering systems. Setup was assembled via breadboard, wire, and simple soldering with an Arduino Uno with ATmega328P microcontroller connected to a PC. The microcontroller was programmed with Arduino Software while the bootloader was used to upload the code. Commercial Hall effect current sensor modules ACS712 and INA169 current shunt monitor was used to measure corresponding low to ultra-low currents and voltages. Stable measurement data was obtained via sensors and compared with corresponding oscilloscope measurements to assess reliability and uncertainty. Sensor breakout boards were modified to enhance the sensitivity of the measurements and to expand the applicability. Discussion of these measurements will focus on capabilities, capacities and limitations of the systems with examples of possible applications. Lock Haven Nanotechnology Program.

  5. Long-term survival following kidney transplantation in previous lung transplant recipients-An analysis of the unos registry.

    PubMed

    Osho, Asishana A; Hirji, Sameer A; Castleberry, Anthony W; Mulvihill, Michael S; Ganapathi, Asvin M; Speicher, Paul J; Yerokun, Babatunde; Snyder, Laurie D; Davis, Robert D; Hartwig, Mathew G

    2017-05-01

    Kidney transplantation has been advocated as a therapeutic option in lung recipients who develop end-stage renal disease (ESRD). This analysis outlines patterns of allograft survival following kidney transplantation in previous lung recipients (KAL). Data from the UNOS lung and kidney transplantation registries (1987-2013) were cross-linked to identify lung recipients who were subsequently listed for and/or underwent kidney transplantation. Time-dependent Cox models compared the survival rates in KAL patients with those waitlisted for renal transplantation who never received kidneys. Survival analyses compared outcomes between KAL patients and risk-matched recipients of primary, kidney-only transplantation with no history of lung transplantation (KTx). A total of 270 lung recipients subsequently underwent kidney transplantation (KAL). Regression models demonstrated a lower risk of post-listing mortality for KAL patients compared with 346 lung recipients on the kidney waitlist who never received kidneys (P<.05). Comparisons between matched KAL and KTx patients demonstrated significantly increased risk of death and graft loss (P<.05), but not death-censored graft loss, for KAL patients (P = .86). KAL patients enjoy a significant survival benefit compared with waitlisted lung recipients who do not receive kidneys. However, KAL patients do poorly compared with KTx patients. Decisions about KAL transplantation must be made on a case-by-case basis considering patient and donor factors. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  6. Enhancing Older Adults' Reading Comprehension.

    ERIC Educational Resources Information Center

    Kemper, Susan; And Others

    1993-01-01

    Investigates older adults' reading comprehension skills through syntactic measures and measures of sentence content. Analyzes the apparent reading difficulties of older adults. Provides guidelines for the preparation of prose materials for older readers. (HB)

  7. Anaemia in older persons.

    PubMed

    den Elzen, W P J; Gussekloo, J

    2011-06-01

    Anaemia is common in older individuals and, because of its association with various negative outcomes, adequate diagnosis and treatment is important. The present review focuses on prominent factors included in diagnostic and therapeutic algorithms for anaemia. Although pernicious anaemia is associated with severe vitamin B12 deficiency, evidence of an association between subnormal vitamin B12 and anaemia in older persons in the general population is limited and inconclusive. Accumulating evidence suggests that clinicians should at least reconsider the risks of a low vitamin B12 level before starting vitamin B12 supplementation in older individuals. Although clinicians may be reluctant to measure ferritin in older individuals due to its acute phase properties, such measurements are important in older persons with anaemia, especially in those with signs of inflammation. While a severe age-related decline in renal function may lead to a blunted erythropoietin response and anaemia, elevated erythropoietin levels are associated with increased mortality. More studies are needed to identify the clinical relevance and therapeutic implications of low and high erythropoietin levels in older persons. In contrast to other age-related diseases, telomere length is not associated with anaemia in older individuals in the general population. In conclusion, many issues regarding the aetiology of anaemia in old age remain unresolved. Because current guidelines on anaemia are based on the classic notions of the aetiology of anaemia, they may need to be revised for the highest age groups.

  8. Ultra-fast computation of electronic spectra for large systems by tight-binding based simplified Tamm-Dancoff approximation (sTDA-xTB)

    NASA Astrophysics Data System (ADS)

    Grimme, Stefan; Bannwarth, Christoph

    2016-08-01

    The computational bottleneck of the extremely fast simplified Tamm-Dancoff approximated (sTDA) time-dependent density functional theory procedure [S. Grimme, J. Chem. Phys. 138, 244104 (2013)] for the computation of electronic spectra for large systems is the determination of the ground state Kohn-Sham orbitals and eigenvalues. This limits such treatments to single structures with a few hundred atoms and hence, e.g., sampling along molecular dynamics trajectories for flexible systems or the calculation of chromophore aggregates is often not possible. The aim of this work is to solve this problem by a specifically designed semi-empirical tight binding (TB) procedure similar to the well established self-consistent-charge density functional TB scheme. The new special purpose method provides orbitals and orbital energies of hybrid density functional character for a subsequent and basically unmodified sTDA procedure. Compared to many previous semi-empirical excited state methods, an advantage of the ansatz is that a general eigenvalue problem in a non-orthogonal, extended atomic orbital basis is solved and therefore correct occupied/virtual orbital energy splittings as well as Rydberg levels are obtained. A key idea for the success of the new model is that the determination of atomic charges (describing an effective electron-electron interaction) and the one-particle spectrum is decoupled and treated by two differently parametrized Hamiltonians/basis sets. The three-diagonalization-step composite procedure can routinely compute broad range electronic spectra (0-8 eV) within minutes of computation time for systems composed of 500-1000 atoms with an accuracy typical of standard time-dependent density functional theory (0.3-0.5 eV average error). An easily extendable parametrization based on coupled-cluster and density functional computed reference data for the elements H-Zn including transition metals is described. The accuracy of the method termed sTDA-xTB is first

  9. Depression - older adults

    MedlinePlus

    ... active and engaged. The most worrisome complication of depression is suicide. Men make up most suicides among older adults. ... such as 911) if you are thinking about suicide (taking your own ... and think they may have depression, contact their provider.

  10. Profile of Older Americans

    MedlinePlus

    ... Administration on Aging Administration on Disabilities Center for Integrated Programs Center for Performance and Evaluation National Institute ... Project Aging Statistics Profile of Older Americans AGing Integrated Database (AGID) Census Data & Population Estimates Projected Future ...

  11. Learning Opportunities for Older People.

    ERIC Educational Resources Information Center

    MacKeracher, Dorothy

    1980-01-01

    The author summarizes a conference on learning opportunities for older people by discussing six issues: (1) perspectives of older people and service providers; (2) categorization of older learners; (3) learning needs of older people; (4) participation rates; (5) government policies; and (6) curriculum concerns. (SK)

  12. Economic Resources for Older Women.

    ERIC Educational Resources Information Center

    Miller, Sheila J.

    Although the older person's economic stiuation has improved, older women, minorities, and rural residents have incomes significantly lower than those for the older population in general. Older married women may appear to be financially secure, but many of their resources often disappear when their husbands die. Widowhood or divorce endangers the…

  13. Tamm-Horsfall Protein Regulates Circulating and Renal Cytokines by Affecting Glomerular Filtration Rate and Acting as a Urinary Cytokine Trap*

    PubMed Central

    Liu, Yan; El-Achkar, Tarek M.; Wu, Xue-Ru

    2012-01-01

    Although few organ systems play a more important role than the kidneys in cytokine catabolism, the mechanism(s) regulating this pivotal physiological function and how its deficiency affects systemic cytokine homeostasis remain unclear. Here we show that elimination of Tamm-Horsfall protein (THP) expression from mouse kidneys caused a marked elevation of circulating IFN-γ, IL1α, TNF-α, IL6, CXCL1, and IL13. Accompanying this were enlarged spleens with prominent white-pulp macrophage infiltration. Lipopolysaccharide (LPS) exacerbated the increase of serum cytokines without a corresponding increase in their urinary excretion in THP knock-out (KO) mice. This, along with the rise of serum cystatin C and the reduced inulin and creatinine clearance from the circulation, suggested that diminished glomerular filtration may contribute to reduced cytokine clearance in THP KO mice both at the baseline and under stress. Unlike wild-type mice where renal and urinary cytokines formed specific in vivo complexes with THP, this “trapping” effect was absent in THP KO mice, thus explaining why cytokine signaling pathways were activated in renal epithelial cells in such mice. Our study provides new evidence implicating an important role of THP in influencing cytokine clearance and acting as a decoy receptor for urinary cytokines. Based on these and other data, we present a unifying model that underscores the role of THP as a major regulator of renal and systemic immunity. PMID:22451664

  14. A parallel implementation of the analytic nuclear gradient for time-dependent density functional theory within the Tamm-Dancoff approximation

    NASA Astrophysics Data System (ADS)

    Liu, Fenglai; Gan, Zhengting; Shao, Yihan; Hsu, Chao-Ping; Dreuw, Andreas; Head-Gordon, Martin; Miller, Benjamin T.; Brooks, Bernard R.; Yu, Jian-Guo; Furlani, Thomas R.; Kong, Jing

    2010-10-01

    We derived the analytic gradient for the excitation energies from a time-dependent density functional theory calculation within the Tamm-Dancoff approximation (TDDFT/TDA) using Gaussian atomic orbital basis sets, and introduced an efficient serial and parallel implementation. Some timing results are shown from a B3LYP/6-31G**/SG-1-grid calculation on zincporphyrin. We also performed TDDFT/TDA geometry optimizations for low-lying excited states of 20 small molecules, and compared adiabatic excitation energies and optimized geometry parameters to experimental values using the B3LYP and ωB97 functionals. There are only minor differences between TDDFT and TDA optimized excited state geometries and adiabatic excitation energies. Optimized bond lengths are in better agreement with experiment for both functionals than either CC2 or SOS-CIS(D0), while adiabatic excitation energies are in similar or slightly poorer agreement. Optimized bond angles with both functionals are more accurate than CIS values, but less accurate than either CC2 or SOS-CIS(D0) ones.

  15. EGF receptor-dependent mechanism may be involved in the Tamm-Horsfall glycoprotein-enhanced PMN phagocytosis via activating Rho family and MAPK signaling pathway.

    PubMed

    Li, Ko-Jen; Siao, Sue-Cien; Wu, Cheng-Han; Shen, Chieh-Yu; Wu, Tsai-Hung; Tsai, Chang-Youh; Hsieh, Song-Chou; Yu, Chia-Li

    2014-01-21

    Our previous studies showed that urinary Tamm-Horsfall glycoprotein (THP) potently enhanced polymorphonuclear neutrophil (PMN) phagocytosis. However, the domain structure(s), signaling pathway and the intracellular events responsible for THP-enhanced PMN phagocytosis remain to be elucidated. THP was purified from normal human urine. The human promyelocytic leukemia cell line HL-60 was induced to differentiate into PMNs by all-trans retinoid acid. Pretreatment with different MAPK and PI3K inhibitors was used to delineate signaling pathways in THP-enhanced PMN phagocytosis. Phosphorylation of molecules responsible for PMN phagocytosis induced by bacterial lipopolysaccharide (LPS), THP, or human recombinant epidermal growth factor (EGF) was evaluated by western blot. A p38 MAPK inhibitor, SB203580, effectively inhibited both spontaneous and LPS- and THP-induced PMN phagocytosis. Both THP and LPS enhanced the expression of the Rho family proteins Cdc42 and Rac that may lead to F-actin re-arrangement. Further studies suggested that THP and EGF enhance PMN and differentiated HL-60 cell phagocytosis in a similar pattern. Furthermore, the EGF receptor inhibitor GW2974 significantly suppressed THP- and EGF-enhanced PMN phagocytosis and p38 and ERK1/2 phosphorylation in differentiated HL-60 cells. We conclude that EGF receptor-dependent signaling may be involved in THP-enhanced PMN phagocytosis by activating Rho family and MAP kinase.

  16. Specificity, sensitivity, and operability of RSID™-urine for forensic identification of urine: comparison with ELISA for Tamm-Horsfall protein.

    PubMed

    Akutsu, Tomoko; Watanabe, Ken; Sakurada, Koichi

    2012-11-01

    In this study, the specificity, sensitivity, and operability of RSID™-Urine, a new immunochromatographic test for urine identification, was evaluated and compared with ELISA detection of Tamm-Horsfall protein (THP). Urine was successfully identified among other body fluids using RSID™-Urine and ELISA detection of THP. The detection limit of RSID™-Urine equated to 0.5 μL of urine; although the sensitivity of RSID™-Urine may be lower than that of ELISA detection of THP, it is thought to be sufficient for application to casework samples. However, results from RSID™-Urine must be interpreted with caution when the sample may have been contaminated with blood or vaginal fluid, because this might inhibit urine detection. The RSID™-Urine assay can be performed in just 15 min by dropping the extracted sample onto the test cassette. Therefore, RSID™-Urine should be an effective tool for the forensic identification of urine, in addition to ELISA detection of THP. © 2012 American Academy of Forensic Sciences.

  17. Tamm-Horsfall protein regulates circulating and renal cytokines by affecting glomerular filtration rate and acting as a urinary cytokine trap.

    PubMed

    Liu, Yan; El-Achkar, Tarek M; Wu, Xue-Ru

    2012-05-11

    Although few organ systems play a more important role than the kidneys in cytokine catabolism, the mechanism(s) regulating this pivotal physiological function and how its deficiency affects systemic cytokine homeostasis remain unclear. Here we show that elimination of Tamm-Horsfall protein (THP) expression from mouse kidneys caused a marked elevation of circulating IFN-γ, IL1α, TNF-α, IL6, CXCL1, and IL13. Accompanying this were enlarged spleens with prominent white-pulp macrophage infiltration. Lipopolysaccharide (LPS) exacerbated the increase of serum cytokines without a corresponding increase in their urinary excretion in THP knock-out (KO) mice. This, along with the rise of serum cystatin C and the reduced inulin and creatinine clearance from the circulation, suggested that diminished glomerular filtration may contribute to reduced cytokine clearance in THP KO mice both at the baseline and under stress. Unlike wild-type mice where renal and urinary cytokines formed specific in vivo complexes with THP, this "trapping" effect was absent in THP KO mice, thus explaining why cytokine signaling pathways were activated in renal epithelial cells in such mice. Our study provides new evidence implicating an important role of THP in influencing cytokine clearance and acting as a decoy receptor for urinary cytokines. Based on these and other data, we present a unifying model that underscores the role of THP as a major regulator of renal and systemic immunity.

  18. Excited-State Electronic Structure with Configuration Interaction Singles and Tamm-Dancoff Time-Dependent Density Functional Theory on Graphical Processing Units.

    PubMed

    Isborn, Christine M; Luehr, Nathan; Ufimtsev, Ivan S; Martínez, Todd J

    2011-06-14

    Excited-state calculations are implemented in a development version of the GPU-based TeraChem software package using the configuration interaction singles (CIS) and adiabatic linear response Tamm-Dancoff time-dependent density functional theory (TDA-TDDFT) methods. The speedup of the CIS and TDDFT methods using GPU-based electron repulsion integrals and density functional quadrature integration allows full ab initio excited-state calculations on molecules of unprecedented size. CIS/6-31G and TD-BLYP/6-31G benchmark timings are presented for a range of systems, including four generations of oligothiophene dendrimers, photoactive yellow protein (PYP), and the PYP chromophore solvated with 900 quantum mechanical water molecules. The effects of double and single precision integration are discussed, and mixed precision GPU integration is shown to give extremely good numerical accuracy for both CIS and TDDFT excitation energies (excitation energies within 0.0005 eV of extended double precision CPU results).

  19. Older Adults’ Pain Descriptions

    PubMed Central

    McDonald, Deborah Dillon

    2008-01-01

    The purpose of this study was to describe the types of pain information described by older adults with chronic osteoarthritis pain. Pain descriptions were obtained from older adults’ who participated in a posttest only double blind study testing how the phrasing of healthcare practitioners’ pain questions affected the amount of communicated pain information. The 207 community dwelling older adults were randomized to respond to either the open-ended or closed-ended pain question. They viewed and orally responded to a computer displayed videotape of a practitioner asking them the respective pain question. All then viewed and responded to the general follow up question, ““What else can you tell me?” and lastly, “What else can you tell me about your pain, aches, soreness or discomfort?” Audio-taped responses were transcribed and content analyzed by trained, independent raters using 16 a priori criteria from the American Pain Society (2002) Guidelines for the Management of Pain in Osteoarthritis, Rheumatoid Arthritis, and Juvenile Chronic Arthritis. Older adults described important but limited types of information primarily about pain location, timing, and intensity. Pain treatment information was elicited after repeated questioning. Therefore, practitioners need to follow up older adults’ initial pain descriptions with pain questions that promote a more complete pain management discussion. Routine use of a multidimensional pain assessment instrument that measures information such as functional interference, current pain treatments, treatment effects, and side effects would be one way of insuring a more complete pain management discussion with older adults. PMID:19706351

  20. The older worker.

    PubMed

    Fulks, J S; Fallon, L F

    2001-01-01

    About one person in eight remains employed past 65, the average age for retirement in the U.S. These persons tend to be highly reliable. They can adapt and learn new technology, but may require extra time to do so. Older workers have particular needs in the workplace due to physiological changes that accompany aging. They may require more lighting, and they may have decreased mobility, physical strength, and dexterity. These factors often have no impact on their ability to accomplish job duties. This chapter underscores the significant contributions that older workers often provide, and also addresses retirement planning.

  1. Obesity in Older Adults.

    PubMed

    Kalish, Virginia B

    2016-03-01

    The percentage of older obese adults is on the rise. Many clinicians underestimate the health consequences of obesity in the elderly, citing scarce evidence and concerns that weight loss might be detrimental to the health of older adults. Although overweight and obese elders are not at the same risk for morbidity and mortality as younger individuals, quality of life and function are adversely impacted. Weight loss plans in the elderly should include aerobic activities as well as balance and resistance activities to maintain optimal physical function. Published by Elsevier Inc.

  2. Assessing the Prayer Lives of Older Whites, Older Blacks and Older Mexican Americans: A Descriptive Analysis

    PubMed Central

    Krause, Neal

    2011-01-01

    The purpose of this study was to see whether differences emerge between older whites, older blacks, and older Mexican Americans in 12 measures of prayer. These measures assess four dimensions of prayer: The social context of prayer, interpersonal aspects of prayer, beliefs about how prayer operates, and the content or focus of prayers. Data from two nationwide surveys of older adults suggest that with respect to all four dimensions, the prayer lives of older whites appear be less developed than the prayer lives of older blacks and older Mexican Americans. In contrast, relatively few differences were found in the prayer lives of older African Americans and older Mexican Americans. The theoretical implications of these findings are discussed. PMID:22523464

  3. Assessing the Prayer Lives of Older Whites, Older Blacks and Older Mexican Americans: A Descriptive Analysis.

    PubMed

    Krause, Neal

    2011-01-01

    The purpose of this study was to see whether differences emerge between older whites, older blacks, and older Mexican Americans in 12 measures of prayer. These measures assess four dimensions of prayer: The social context of prayer, interpersonal aspects of prayer, beliefs about how prayer operates, and the content or focus of prayers. Data from two nationwide surveys of older adults suggest that with respect to all four dimensions, the prayer lives of older whites appear be less developed than the prayer lives of older blacks and older Mexican Americans. In contrast, relatively few differences were found in the prayer lives of older African Americans and older Mexican Americans. The theoretical implications of these findings are discussed.

  4. Updating Older Fume Hoods.

    ERIC Educational Resources Information Center

    Saunders, G. Thomas

    1985-01-01

    Provides information on updating older fume hoods. Areas addressed include: (1) adjustment of the hood's back baffle; (2) hood air leakage; (3) light level; (4) hood location in relation to room traffic and room air; and (5) establishing and maintaining hood performance. (JN)

  5. Dance for Older Adults.

    ERIC Educational Resources Information Center

    Pruett, Diane Milhan, Ed.; And Others

    1983-01-01

    Dance programs for older adults that encourage exercise and socializing are described in six articles. Program guidelines of the American Alliance Committee on Aging are explained, and other articles emphasize a movement education approach that may involve intergenerational contact. A dance program held in a worship setting is also discussed. (PP)

  6. Older Peer Counselor Training.

    ERIC Educational Resources Information Center

    Romaniuk, Michael; And Others

    1981-01-01

    Relates an older peer counselor training program developed for paraprofessional volunteers, 55 and over, to assist elderly widowed people in their adjustment. Results indicate that the training program was effective in eliciting widowhood and counseling attitude change, and in providing trainees with the opportunity for personal growth. (Author)

  7. Older Workers: Research Readings

    ERIC Educational Resources Information Center

    Griffin, Tabatha, Ed.; Beddie, Francesca, Ed.

    2011-01-01

    One of the challenges facing Australia is the ageing of the population. Of major concern, especially to government, is that the dependency ratio--a measure of the burden that economically active persons carry by supporting dependent persons--will increase significantly unless older people keep working or immigration is used to change the…

  8. Depression in Older Adults

    PubMed Central

    Fiske, Amy; Wetherell, Julie Loebach; Gatz, Margaret

    2010-01-01

    Depression is less prevalent among older adults than among younger adults but can have serious consequences. Over half of cases represent a first onset in later life. Although suicide rates in the elderly are declining, they are still higher than in younger adults and more closely associated with depression. Depressed older adults are less likely to endorse affective symptoms and more likely to display cognitive changes, somatic symptoms, and loss of interest than are younger adults. Risk factors leading to the development of late life depression likely comprise complex interactions among genetic vulnerabilities, cognitive diathesis, age-associated neurobiological changes, and stressful events. Insomnia is an often overlooked risk factor for late life depression. We suggest that a common pathway to depression in older adults, regardless of which predisposing risks are most prominent, may be curtailment of daily activities. Accompanying self-critical thinking may exacerbate and maintain a depressed state. Offsetting the increasing prevalence of certain risk factors in late life are age-related increases in psychological resilience. Other protective factors include higher education and socioeconomic status, engagement in valued activities, and religious or spiritual involvement. Treatments including behavioral therapy, cognitive behavioral therapy, cognitive bibliotherapy, problem-solving therapy, brief psychodynamic therapy, and life review/reminiscence therapy are effective but too infrequently used with older adults. Preventive interventions including education for individuals with chronic illness, behavioral activation, cognitive restructuring, problem-solving skills training, group support, and life review have also received support. PMID:19327033

  9. Business and Older Workers.

    ERIC Educational Resources Information Center

    American Association of Retired Persons, Washington, DC.

    This study updates a 1985 study which examined the perceptions, policies, and practices of American business regarding older workers, and placed them in the context of larger economic, demographic, and social trends shaping the business climate. The new survey was conducted in July 1989 among a random sample of 400 companies, with 100 each in 4…

  10. Older Adult Education.

    ERIC Educational Resources Information Center

    Forman, Jeffrey

    In an effort to improve the quality of life for area senior citizens, De Anza College has established an older adult education program which combines adaptive physical education with holistic health care principles to instruct students in relaxation, nutrition, and physical activity. Classes are held in convalescent hospitals, retirement homes,…

  11. Older Adult Education.

    ERIC Educational Resources Information Center

    Forman, Jeffrey

    In an effort to improve the quality of life for area senior citizens, De Anza College has established an older adult education program which combines adaptive physical education with holistic health care principles to instruct students in relaxation, nutrition, and physical activity. Classes are held in convalescent hospitals, retirement homes,…

  12. Bereavement in Older Adults.

    ERIC Educational Resources Information Center

    Morgan, James P.

    1994-01-01

    Factors that place older adults at risk for problems associated with the bereavement process are identified and discussed. Provides guidelines for distinguishing between normal bereavement depression and clinical depression, discusses the impact of different types of loss, describes three types of intervention, and explores countertransference.…

  13. Suicide among older people.

    PubMed

    Manthorpe, Jill; Iliffe, Steve

    2006-01-01

    Overall, the number of people who kill themselves across all ages is falling but suicide rates among older people remain comparatively high. This article considers possible risk factors and suggests ways of reducing and containing potential harm. It also explores ways of responding when prevention of suicide fails.

  14. Assessment of Older Persons.

    ERIC Educational Resources Information Center

    Meyers, Jane E., Ed.; Rimmer, Susan M., Ed.

    1982-01-01

    Contains eight articles exploring aging and assessment. Discusses counseling needs of older adults. Reviews instruments for life satisfaction and attitude assessment. Discusses the measurement of retirement maturity, and attitudes toward death. Reviews leisure assessment issues and instruments. Examines assessment of organic dysfunctions in…

  15. Helping Older, Struggling Readers.

    ERIC Educational Resources Information Center

    Salinger, Terry

    2003-01-01

    This article addresses the educational needs of fourth-graders who are having reading difficulties, first by briefly discussing the five research-based components of early reading (phonemic awareness, phonics, fluency, vocabulary, and text comprehension), and then by recasting these components in terms of instruction of older, struggling students.…

  16. Updating Older Fume Hoods.

    ERIC Educational Resources Information Center

    Saunders, G. Thomas

    1985-01-01

    Provides information on updating older fume hoods. Areas addressed include: (1) adjustment of the hood's back baffle; (2) hood air leakage; (3) light level; (4) hood location in relation to room traffic and room air; and (5) establishing and maintaining hood performance. (JN)

  17. Myths About Older Teachers

    ERIC Educational Resources Information Center

    Delahanty, B. David

    1977-01-01

    With the elimination of myths about the effects of aging on teachers, the somewhat older instructional staff projected for the schools for the next decade ought to prove to be an asset to the education of American youth. (Author/IRT)

  18. Dance for Older Adults.

    ERIC Educational Resources Information Center

    Pruett, Diane Milhan, Ed.; And Others

    1983-01-01

    Dance programs for older adults that encourage exercise and socializing are described in six articles. Program guidelines of the American Alliance Committee on Aging are explained, and other articles emphasize a movement education approach that may involve intergenerational contact. A dance program held in a worship setting is also discussed. (PP)

  19. Linear-scaling time-dependent density-functional theory beyond the Tamm-Dancoff approximation: Obtaining efficiency and accuracy with in situ optimised local orbitals

    NASA Astrophysics Data System (ADS)

    Zuehlsdorff, T. J.; Hine, N. D. M.; Payne, M. C.; Haynes, P. D.

    2015-11-01

    We present a solution of the full time-dependent density-functional theory (TDDFT) eigenvalue equation in the linear response formalism exhibiting a linear-scaling computational complexity with system size, without relying on the simplifying Tamm-Dancoff approximation (TDA). The implementation relies on representing the occupied and unoccupied subspaces with two different sets of in situ optimised localised functions, yielding a very compact and efficient representation of the transition density matrix of the excitation with the accuracy associated with a systematic basis set. The TDDFT eigenvalue equation is solved using a preconditioned conjugate gradient algorithm that is very memory-efficient. The algorithm is validated on a small test molecule and a good agreement with results obtained from standard quantum chemistry packages is found, with the preconditioner yielding a significant improvement in convergence rates. The method developed in this work is then used to reproduce experimental results of the absorption spectrum of bacteriochlorophyll in an organic solvent, where it is demonstrated that the TDA fails to reproduce the main features of the low energy spectrum, while the full TDDFT equation yields results in good qualitative agreement with experimental data. Furthermore, the need for explicitly including parts of the solvent into the TDDFT calculations is highlighted, making the treatment of large system sizes necessary that are well within reach of the capabilities of the algorithm introduced here. Finally, the linear-scaling properties of the algorithm are demonstrated by computing the lowest excitation energy of bacteriochlorophyll in solution. The largest systems considered in this work are of the same order of magnitude as a variety of widely studied pigment-protein complexes, opening up the possibility of studying their properties without having to resort to any semiclassical approximations to parts of the protein environment.

  20. Linear-scaling time-dependent density-functional theory beyond the Tamm-Dancoff approximation: Obtaining efficiency and accuracy with in situ optimised local orbitals

    SciTech Connect

    Zuehlsdorff, T. J. Payne, M. C.; Hine, N. D. M.; Haynes, P. D.

    2015-11-28

    We present a solution of the full time-dependent density-functional theory (TDDFT) eigenvalue equation in the linear response formalism exhibiting a linear-scaling computational complexity with system size, without relying on the simplifying Tamm-Dancoff approximation (TDA). The implementation relies on representing the occupied and unoccupied subspaces with two different sets of in situ optimised localised functions, yielding a very compact and efficient representation of the transition density matrix of the excitation with the accuracy associated with a systematic basis set. The TDDFT eigenvalue equation is solved using a preconditioned conjugate gradient algorithm that is very memory-efficient. The algorithm is validated on a small test molecule and a good agreement with results obtained from standard quantum chemistry packages is found, with the preconditioner yielding a significant improvement in convergence rates. The method developed in this work is then used to reproduce experimental results of the absorption spectrum of bacteriochlorophyll in an organic solvent, where it is demonstrated that the TDA fails to reproduce the main features of the low energy spectrum, while the full TDDFT equation yields results in good qualitative agreement with experimental data. Furthermore, the need for explicitly including parts of the solvent into the TDDFT calculations is highlighted, making the treatment of large system sizes necessary that are well within reach of the capabilities of the algorithm introduced here. Finally, the linear-scaling properties of the algorithm are demonstrated by computing the lowest excitation energy of bacteriochlorophyll in solution. The largest systems considered in this work are of the same order of magnitude as a variety of widely studied pigment-protein complexes, opening up the possibility of studying their properties without having to resort to any semiclassical approximations to parts of the protein environment.

  1. Quitting Smoking for Older Adults

    MedlinePlus

    ... of this page please turn Javascript on. Quitting Smoking for Older Adults Quitting When You’re Older ... may wonder if it’s too late to quit smoking. Or you may ask yourself if it’s even ...

  2. How To Train Older Workers.

    ERIC Educational Resources Information Center

    American Association of Retired Persons, Washington, DC.

    Because of the aging of the labor force and legislation designed to keep older workers on the job, employers will have to deal with increasing numbers of older workers. For this transition to be as smooth as possible, employers must first overcome age-related stereotypes that have taken hold since the 1930s. Dealing with older workers involves two…

  3. Lifelong Learning and Older Workers

    ERIC Educational Resources Information Center

    Karmel, Tom; Woods, Davinia

    2004-01-01

    Discussion about Australia's ageing population has focused on the importance of increasing labour force participation rates of older people. This paper examines the influence of education and training on the participation of older people in the labour market, and the pay-off of undertaking education and training as an older-person compared to…

  4. Discourse Performance in Older Adults.

    ERIC Educational Resources Information Center

    North, Alvin J.; And Others

    1986-01-01

    Assessed older (N=33) and middle-aged (N=18) women on linguistic discourse tasks. Subjects were interviewed, administered cognitive tests, and given narrative and procedural discourse tasks. Older subjects generally performed more poorly than did middle-aged subjects. Within the older group, measures of quality of disclosure were generally…

  5. The Future of Older Workers.

    ERIC Educational Resources Information Center

    Sheppard, Harold L., Ed.

    This book contains seven chapters on work and older workers based on an international symposium held at the University of South Florida in 1989. Chapter titles and authors are as follows: (1) "The Corporate Sector's Stake in Older Workers" (Daniel Knowles); (2) "A Seller's Market for Older Workers" (Audrey Freedman); (3) "Retirees' Reentry into…

  6. How To Train Older Workers.

    ERIC Educational Resources Information Center

    American Association of Retired Persons, Washington, DC.

    Because of the aging of the labor force and legislation designed to keep older workers on the job, employers will have to deal with increasing numbers of older workers. For this transition to be as smooth as possible, employers must first overcome age-related stereotypes that have taken hold since the 1930s. Dealing with older workers involves two…

  7. Frailty in Older People

    PubMed Central

    2014-01-01

    Summary Frailty is the most problematic expression of population ageing. It is a state of vulnerability to poor resolution of homeostasis following a stress and is a consequence of cumulative decline in multiple physiological systems over a lifespan. This cumulative decline erodes homeostatic reserve until relatively minor stressor events trigger disproportionate changes in health status, typically a fall or delirium. Landmark studies have developed valid models for frailty and these have allowed epidemiological studies that demonstrate the association of frailty with adverse health outcomes. New research is needed to develop more efficient methods to detect and severity grade frailty as part of routine clinical practice, particularly methods with utility for primary care. This would greatly inform the appropriate selection of older people for invasive procedures or medications and would be the basis for a paradigm shift in the care of frail older people towards a more appropriate goal-directed care. PMID:23395245

  8. Protein and older adults.

    PubMed

    Chernoff, Ronni

    2004-12-01

    Body composition changes as people get older. One of the noteworthy alterations is the reduction in total body protein. A decrease in skeletal muscle is the most noticeable manifestation of this change but there is also a reduction in other physiologic proteins such as organ tissue, blood components, and immune bodies as well as declines in total body potassium and water. This contributes to impaired wound healing, loss of skin elasticity, and an inability to fight infection. The recommended dietary allowance (RDA) for adults for protein is 0.8 grams of protein per kilogram of body weight. Protein tissue accounts for 30% of whole-body protein turnover but that rate declines to 20% or less by age 70. The result of this phenomenon is that older adults require more protein/kilogram body weight than do younger adults. Recently, it has become clear that the requirement for exogenous protein is at least 1.0 gram/kilogram body weight. Adequate dietary intake of protein may be more difficult for older adults to obtain. Dietary animal protein is the primary source of high biological value protein, iron, vitamin B(12), folic acid, biotin and other essential nutrients. In fact, egg protein is the standard against which all other proteins are compared. Compared to other high-quality protein sources like meat, poultry and seafood, eggs are the least expensive. The importance of dietary protein cannot be underestimated in the diets of older adults; inadequate protein intake contributes to a decrease in reserve capacity, increased skin fragility, decreased immune function, poorer healing, and longer recuperation from illness.

  9. Rhinitis in Older Adults

    PubMed Central

    Nyenhuis, Sharmilee; Mathur, Sameer K.

    2013-01-01

    Rhinitis symptoms of rhinorrhea, congestion, sneezing, nasal/ocular pruritis, and postnasal drainage can significantly affect the quality of life for older adults. As the US population ages, it will be increasingly important for healthcare providers to effectively diagnose and manage rhinitis. Rhinitis is categorized broadly into allergic rhinitis and non-allergic rhinitis. Environmental changes and avoidance measures are a primary means of intervention. In addition, there are several topical therapies (nasal sprays) that can be effective for symptom control. PMID:23389558

  10. Anemia in older persons.

    PubMed

    Bross, Michael H; Soch, Kathleen; Smith-Knuppel, Teresa

    2010-09-01

    Anemia in older persons is commonly overlooked despite mounting evidence that low hemoglobin levels are a significant marker of physiologic decline. Using the World Health Organization definition of anemia (hemoglobin level less than 13 g per dL [130 g per L] in men and less than 12 g per dL [120 g per L] in women), more than 10 percent of persons older than 65 years are anemic. The prevalence increases with age, approaching 50 percent in chronically ill patients living in nursing homes. There is increasing evidence that even mild anemia is associated with increased morbidity and mortality. Anemia warrants evaluation in all older persons, except those at the end of life or who decline interventions. About one third of persons have anemia secondary to a nutritional deficiency, one third have anemia caused by chronic inflammation or chronic kidney disease, and one third have unexplained anemia. Nutritional anemia is effectively treated with vitamin or iron replacement. Iron deficiency anemia often is caused by gastrointestinal bleeding and requires further investigation in most patients. Anemia of chronic inflammation or chronic kidney disease may respond to treatment of the underlying disease and selective use of erythropoiesis-stimulating agents. The treatment of unexplained anemia is difficult, and there is little evidence that treatment decreases morbidity and mortality, or improves quality of life. Occasionally, anemia may be caused by less common but potentially treatable conditions, such as autoimmune hemolytic anemia, malignancy, or myelodysplastic syndrome.

  11. Obesity Prevention in Older Adults.

    PubMed

    Volpe, Stella Lucia; Sukumar, Deeptha; Milliron, Brandy-Joe

    2016-06-01

    The number of older adults living in the USA, 65 years of age and older, has been steadily increasing. Data from the National Health and Nutrition Examination Survey (NHANES), 2007-2010, indicate that more than one-third of older adults, 65 years of age and older, were obese. With the increased rate of obesity in older adults, the purpose of this paper is to present research on different methods to prevent or manage obesity in older adults, namely dietary interventions, physical activity interventions, and a combination of dietary and physical activity interventions. In addition, research on community assistance programs in the prevention of obesity with aging will be discussed. Finally, data on federal programs for older adults will also be presented.

  12. Older drivers, crashes and injuries.

    PubMed

    Koppel, Sjaanie; Bohensky, Megan; Langford, Jim; Taranto, David

    2011-10-01

    This article aimed to identify the main features of older driver casualty crashes, including detailed descriptions of injury outcomes. Data were obtained from the Transport Accident Commission insurance claims database for 2 groups of drivers: aged 41 to 55 years (middle-aged drivers) and aged 65 years and older (older drivers). In terms of crash circumstances, the majority of crashes involved a collision with another vehicle (70.0% of middle-aged drivers and 68.7% of older drivers). The 2 main maneuvers at the time of crash were driving straight ahead (44.6% of middle-aged drivers and 42.8% of older drivers) and turning right (equivalent of left turn in North America; 15.2% of middle-aged drivers and 17.6% of older drivers). In terms of injury outcomes, older drivers sustained a significantly higher proportion of injuries to the thorax (30.9% compared to 18.5% of middle-aged drivers). Conversely, a significantly higher proportion of middle-aged drivers sustained some form of injury to the neck (30.6% compared to 12.1% of older drivers). These findings highlight the situations that are particularly risky for older drivers and provide important insights for developing solutions to reduce older driver crash and injury risk.

  13. Elevated pretransplant pulmonary vascular resistance index does not predict mortality after isolated orthotopic heart transplantation in children: A retrospective analysis of the UNOS database.

    PubMed

    Chiu, Peter; Schaffer, Justin M; Sheikh, Ahmad Y; Ha, Richard; Reinhartz, Olaf; Mainwaring, Richard; Reitz, Bruce A

    2015-09-01

    OHT is the definitive therapy in end-stage heart failure. Elevated PVRI is considered a relative contraindication to isolated OHT; this assumption is re-evaluated using data from the UNOS database. A retrospective review of de-identified data from the UNOS dataset was performed. There were 1943 pediatric OHT recipients between 10/87 and 12/11 with sufficient data for analysis. Cox regression was performed to examine the effect of baseline characteristics on post-transplant survival. Patients were propensity matched, and Kaplan-Meier survival analysis was performed comparing cohorts of patients using thresholds of 6 and 9 WU × m(2) . PVRI was not a significant predictor of post-transplant outcomes in either univariate or multivariate Cox regression. Kaplan-Meier analysis revealed no difference in survival between both unmatched and propensity-matched OHT recipients. In conclusion, elevated PVRI was not associated with post-transplant mortality in pediatric OHT recipients. A prospective study assessing the current use of PVRI ≥6 as a threshold to contraindicate isolated OHT should be undertaken. Removing this potentially unnecessary restriction on transplant candidacy may make this life-saving therapy available to a greater number of patients.

  14. Sarcopenia in older people.

    PubMed

    Yu, Solomon; Umapathysivam, Kandiah; Visvanathan, Renuka

    2014-12-01

    Sarcopenia is the age-related loss of muscle mass and strength. It has been receiving international attention because of its increased prevalence in western societies, such as Australia, which have large and growing older populations. Adverse health consequences of sarcopenia are falls and loss of independence, increased health costs and reduced quality of life. Recently, there have been international attempts to come to a consensus with regards to a definition of the condition, and, increasingly, clinicians are being encouraged to screen and assess for sarcopenia. Screening pathways are being investigated and some are discussed in this review. There is an emphasis on early screening, as it is believed that early detection will allow early intervention. As with most conditions in older age, there are many environmental and medical factors that can contribute to the development and worsening of sarcopenia, and it is important that, when possible, these contributing factors be addressed. Pharmaceutical treatment strategies are under development with some early promise and there is the possibility of clinical trials in the near future. Currently, nutritional supplementation and physical therapy are the strategies advocated for the management of sarcopenia once it is diagnosed.

  15. Root Caries in Older Adults.

    PubMed

    Gregory, Dick; Hyde, Susan

    2015-08-01

    Older adults are retaining an increasing number of natural teeth, and nearly half of all individuals aged 75 and older have experienced root caries. Root caries is a major cause of tooth loss in older adults, and tooth loss is the most significant negative impact on oral health-related quality of life for the elderly. The need for improved preventive efforts and treatment strategies for this population is acute.

  16. Fecal incontinence in older adults.

    PubMed

    Tariq, Syed H

    2007-11-01

    Fecal incontinence is an underreported and underappreciated problem in older adults. Although fecal incontinence is more common in women than in men, this difference narrows with aging. Risk factors that lead to the development of fecal incontinence include dementia, physical disability, and fecal impaction. Treatment options include medical or conservative therapy for older adults who have mild incontinence, and surgical options can be explored in selected older adults if surgical expertise is available.

  17. Feelings of Gratitude Toward God Among Older Whites, Older African Americans, and Older Mexican Americans

    PubMed Central

    Krause, Neal

    2011-01-01

    The first goal of this study is to see if social relationships in the church influence feelings of gratitude toward God. The second goal is to assess the impact of race and ethnicity on this relationship. The data support the following hypotheses: (1) older people who go to church more often tend to receive more spiritual support from fellow church members; (2) older adults who receive more spiritual support at church will derive a deeper understanding of themselves and others; (3) older people who develop greater insight into themselves and others will derive a greater sense of religious meaning in life; and (4) older adults who develop a deeper sense of religious meaning in life will feel more grateful to God. The results also indicate that the study model explains how feelings of gratitude toward God arise among older blacks and whites, but not older Mexican Americans. PMID:23543840

  18. Feelings of Gratitude Toward God Among Older Whites, Older African Americans, and Older Mexican Americans.

    PubMed

    Krause, Neal

    2012-03-01

    The first goal of this study is to see if social relationships in the church influence feelings of gratitude toward God. The second goal is to assess the impact of race and ethnicity on this relationship. The data support the following hypotheses: (1) older people who go to church more often tend to receive more spiritual support from fellow church members; (2) older adults who receive more spiritual support at church will derive a deeper understanding of themselves and others; (3) older people who develop greater insight into themselves and others will derive a greater sense of religious meaning in life; and (4) older adults who develop a deeper sense of religious meaning in life will feel more grateful to God. The results also indicate that the study model explains how feelings of gratitude toward God arise among older blacks and whites, but not older Mexican Americans.

  19. How To Manage Older Workers.

    ERIC Educational Resources Information Center

    American Association of Retired Persons, Washington, DC.

    Most older workers continue to work hard and perform well; those who do not often perceive that their opportunities for promotion and increased earnings are limited. Six principles of management particularly apply to older workers: (1) recognize that needs can be powerful motivators; (2) link need satisfaction to job performance; (3) set specific,…

  20. Marital Therapy with Older Couples.

    ERIC Educational Resources Information Center

    Qualls, Sara Honn

    1993-01-01

    Presents basic information concerning normal aging that therapists need to understand sources of conflict and distress in older or caregiving couples. Describes unique aspects of assessment and intervention with older couples. Examines marital satisfaction across life span, including factors that alter marital functioning, developmental tasks and…

  1. Education and Today's Older Worker.

    ERIC Educational Resources Information Center

    Roberson, Donald N.

    New perspectives need to be gained on the roles of older adults and older workers in the new millenium. Because today's adult is healthier, policies concerning social security, retirement, and work need to be changed. There is a need for acceptance of various types of aging. Rather than mandating specific retirement, the individual should have…

  2. How To Manage Older Workers.

    ERIC Educational Resources Information Center

    American Association of Retired Persons, Washington, DC.

    Most older workers continue to work hard and perform well; those who do not often perceive that their opportunities for promotion and increased earnings are limited. Six principles of management particularly apply to older workers: (1) recognize that needs can be powerful motivators; (2) link need satisfaction to job performance; (3) set specific,…

  3. Clinical Interviewing with Older Adults

    ERIC Educational Resources Information Center

    Mohlman, Jan; Sirota, Karen Gainer; Papp, Laszlo A.; Staples, Alison M.; King, Arlene; Gorenstein, Ethan E.

    2012-01-01

    Over the next few decades the older adult population will increase dramatically, and prevalence rates of psychiatric disorders are also expected to increase in the elderly cohort. These demographic projections highlight the need for diagnostic instruments and methods that are specifically tailored to older adults. The current paper discusses the…

  4. Marketing to Older American Consumers.

    ERIC Educational Resources Information Center

    Mertz, Barbara; Stephens, Nancy

    1986-01-01

    Examined older adults as a potential market for American businesses. Data indicate that in terms of size and income, senior citizens comprise a substantial buying group. Their buying styles, product and service needs, and shopping behavior vary from younger adults and within the older adult population. Strategies for successful marketing are…

  5. Effective communication with older adults.

    PubMed

    Daly, Louise

    2017-06-07

    Communication is an essential aspect of life, yet it can be taken for granted. Its centrality to being in the world and in professional practice often becomes evident when nurses and older adults encounter communication difficulties. The factors that can affect nurses' communication with older adults relate to the older adult, the nurse, sociocultural considerations and the environment, and the interactions between these factors. In adopting a person-centred approach to communicating with older adults, it is necessary to get to know the person as an individual and ensure communication meets their needs and abilities. Effective communication is essential in nursing practice and requires professional competence and engagement. This article can be used by nurses to support effective communication with older adults across the continuum of care.

  6. Dehydration in the Older Adult.

    PubMed

    Miller, Hayley J

    2015-09-01

    Dehydration affects 20% to 30% of older adults. It has a greater negative outcome in this population than in younger adults and increases mortality, morbidity, and disability. Dehydration is often caused by water deprivation in older adults, although excess water loss may also be a cause. Traditional markers for dehydration do not take into consideration many of the physiological differences present in older adults. Clinical assessment of dehydration in older adults poses different findings, yet is not always diagnostic. Treatment of dehydration should focus on prevention and early diagnosis before it negatively effects health and gives rise to comorbidities. The current article discusses what has most thoroughly been studied; the best strategies and assessment tools for evaluation, diagnosis, and treatment of dehydration in older adults; and what needs to be researched further. [Journal of Gerontological Nursing, 41(9), 8-13.].

  7. Managing dyslipidemia in older adults.

    PubMed

    Carlsson, C M; Carnes, M; McBride, P E; Stein, J H

    1999-12-01

    To summarize and critically review clinical trial data regarding dyslipidemia as a risk factor for coronary heart disease (CHD) and the efficacy and safety of lipid-lowering interventions in older adults. Based on these data, clinical recommendations for diagnosing and managing dyslipidemia in older adults are provided. Peer-reviewed journal articles were identified by a MEDLINE search and a review of journal article references. Studies that were performed exclusively in subjects older than 65 years or that included a large subgroup of older adults were included. Elevated low density lipoprotein and total cholesterol levels are independent risk factors for CHD events in patients aged older than 65 years. Older adults have a higher risk of mortality attributable to hypercholesterolemia. Diet and lipid-lowering medications safely and effectively lower cholesterol levels in this age group. Exercise increases high-density lipoprotein cholesterol levels and decreases triglyceride levels. If accompanied by weight loss, exercise may reduce low-density lipoprotein and total cholesterol levels. Improving lipid levels in older adults with CHD decreases the risk of future coronary events by up to 45%, and significant effects on outcome measures may be observed within 2 years of the initiation of therapy.

  8. Tamm-Horsfall protein in recurrent calcium kidney stone formers with positive family history: abnormalities in urinary excretion, molecular structure and function.

    PubMed

    Jaggi, Markus; Nakagawa, Yasushi; Zipperle, Ljerka; Hess, Bernhard

    2007-04-01

    Tamm-Horsfall protein (THP) powerfully inhibits calcium oxalate crystal aggregation, but structurally abnormal THPs from recurrent calcium stone formers may promote crystal aggregation. Therefore, increased urinary excretion of abnormal THP might be of relevance in nephrolithiasis. We studied 44 recurrent idiopathic calcium stone formers with a positive family history of stone disease (RCSF(fam)) and 34 age- and sex-matched healthy controls (C). Twenty-four-hour urinary THP excretion was measured by enzyme linked immunosorbent assay. Structural properties of individually purified THPs were obtained from analysis of elution patterns from a Sepharose 4B column. Sialic acid (SA) contents of native whole 24-h urines, crude salt precipitates of native urines and individually purified THPs were measured. THP function was studied by measuring inhibition of CaOx crystal aggregation in vitro (pH 5.7, 200 mM sodium chloride). Twenty-four-hour urine excretion of THP was higher in RCSF(fam) (44.0 +/- 4.0 mg/day) than in C (30.9 +/- 2.2 mg/day, P = 0.015). Upon salt precipitation and lyophilization, elution from a Sepharose 4B column revealed one major peak (peak A, cross-reacting with polyclonal anti-THP antibody) and a second minor peak (peak B, not cross-reacting). THPs from RCSF(fam) eluted later than those from C (P = 0.021), and maximum width of THP peaks was higher in RCSF(fam )than in C (P = 0.024). SA content was higher in specimens from RCSF(fam) than from C, in native 24-h urines (207.5 +/- 20.4 mg vs. 135.2 +/- 16.1 mg, P = 0.013) as well as in crude salt precipitates of 24-h urines (10.4 +/- 0.5 mg vs. 7.4 +/- 0.9 mg, P = 0.002) and in purified THPs (75.3 +/- 9.3 microg/mg vs. 48.8 +/- 9.8 microg/mg THP, P = 0.043). Finally, inhibition of calcium oxalate monohydrate crystal aggregation by 40 mg/L of THP was lower in RCSF(fam) (6.1 +/- 5.5%, range -62.0 to +84.2%) than in C (24.9 +/- 6.0%, range -39.8 to +82.7%), P = 0.022, and only 25 out of 44 (57%) THPs from RCSF

  9. Preventing abuse of older people.

    PubMed

    Fraser, Aileen

    2010-10-01

    The author travelled to the United States on a Florence Nightingale Travel Scholarship to study the systems in place to respond to and prevent elder abuse. She visited centres in Orange County, California, and New York City that are involved in dealing with the issue. This article provides a summary of her findings, with emphasis on education and training strategies for healthcare professionals working with older people, and provides recommendations for developments in safeguarding older people in the UK. The author also reviews models of service, models of evaluation and approaches to older people who self-neglect.

  10. Nutritional Problems Affecting Older Adults.

    PubMed

    Crogan, Neva L

    2017-09-01

    Nutritional problems, such as malnutrition, dehydration, and electrolyte imbalance, are multifaceted and complex issues for older adults. This article describes these potential nutritional problems and then discusses evidence-based assessment strategies and treatment modalities that target these problems. Micronutrient deficiency is explored and evidence-based supplementation discussed. Many factors contribute to weight loss and malnutrition in older adults. These factors are classified as social, psychological, and/or biological. Addressing these issues and the influence of oral health on food intake are imperative to enhancing the overall quality of life for older adults. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. Why are older pensioners poorer?

    PubMed

    Johnson, P; Stears, G

    1998-08-01

    "We show that older [UK] male pensioners have substantially lower incomes than younger pensioners.... We find that cohort differences more than account for the lower incomes of older pensioners in the sense that the mean income of older pensioners is actually higher than the mean income of the same cohort of pensioners when they were younger. We explore a number of possible reasons for this and conclude that it is driven by differential mortality between richer and poorer pensioners. We show how this manifests itself in a long time series of cross-sectional datasets." excerpt

  12. Osteoporosis: Unique to Older Adults

    MedlinePlus

    ... of fractures if needed annual flu shots. Protein-Calorie Malnutrition Many older adults living at home eat ... so serious that a condition known as protein-calorie malnutrition (PCM) develops. Sometimes, PCM occurs after a ...

  13. Diabetes: Unique to Older Adults

    MedlinePlus

    ... Stroke Urinary Incontinence Related Documents PDF Choosing Wisely: Diabetes Tests and Treatments Download Related Video Join our e-newsletter! Aging & Health A to Z Diabetes Unique to Older Adults This section provides information ...

  14. Nutrition: Unique to Older Adults

    MedlinePlus

    ... our e-newsletter! Aging & Health A to Z Nutrition Unique to Older Adults This section provides information ... teeth that are needed for grinding up food, nutrition suffers. If you are unable to chew and ...

  15. Alcohol Use and Older Adults

    MedlinePlus

    ... version of this page please turn Javascript on. Alcohol Use and Older Adults Alcohol and Aging Adults of any age can have ... Escape (Esc) button on your keyboard.) What Is Alcohol? Alcohol, also known as ethanol, is a chemical ...

  16. Cognitive Interventions for Older Diabetics.

    ERIC Educational Resources Information Center

    Black, Sheila; Scogin, Forrest

    1998-01-01

    Older diabetic adults should receive memory training to improve their compliance with medication taking. The intervention should include comprehensible medical instructions, assistance with remembering the nutritional values of food, and higher order skills for disease management. (SK)

  17. Counseling Older Women: A Perspective

    ERIC Educational Resources Information Center

    Berry, Jane

    1976-01-01

    This article briefly delineates the major problems of older women who feel "over the hill" and suggests ways that counselors can be increasingly effective in their efforts to understand and work with these women. (Author)

  18. Perioperative mortality is the Achilles heel for cardiac transplantation in adults with congenital heart disease: Evidence from analysis of the UNOS registry.

    PubMed

    Shah, Dipesh K; Deo, Salil V; Althouse, Andrew D; Teuteberg, Jeffery J; Park, Soon J; Kormos, Robert L; Burkhart, Harold M; Morell, Victor O

    2016-12-01

    Adults with congenital heart disease may present with end-stage heart failure necessitating orthotopic heart transplant (OHT). We sought to review the United Network for Organ Sharing (UNOS) experience with this unique cohort focusing on surgical outcomes and survival. From the UNOS registry, 737 adult congenital heart disease recipients (ACHDR) out of 26,993 OHT patients (2.7%) who underwent OHT were studied to analyze early and late outcomes and compared to non-congenital recipients (NCR) over a 15-year period (2000-2014). More ACHDR underwent OHT in the recent-era (3.1%; 2010-2014) as compared to the initial-era (2.5%; 2000-2004; p = 0.03). ACHDR were more likely female (40% vs. 24%; p < 0.01), younger (35 vs. 53 years; p < 0.01), less likely to have ventricular assist devices (4.2% vs. 19.3%; p < 0.01), more likely to have class-II panel-reactive antibody >10%; p < 0.01, and were listed for a longer time (249 vs. 181 days; p < 0.01). When compared to the NCR in the same period, the ACHDR cohort had longer postoperative length of stay (27 vs. 20 days; p < 0.01), higher operative mortality (11.5% vs. 4.6% p < 0.001), higher incidence of primary graft dysfunction (4.3% vs. 2.6%; p < 0.01), and higher need for dialysis (20% vs. 9%; p < 0.01). Primary graft dysfunction is the most common cause of death in (5.8%) ACHDR. Although short-term survival is poorer, long-term survival of ACHDR was found to be equivalent or better than NCR in long term. Perioperative morbidity and mortality adversely affects short-term survival in ACHDR. ACHDR who survive the first post-transplant year have equivalent or better long-term survival than NCR. © 2016 Wiley Periodicals, Inc.

  19. Differential Diagnosis of Malaria on Truelab Uno®, a Portable, Real-Time, MicroPCR Device for Point-Of-Care Applications.

    PubMed

    Nair, Chandrasekhar Bhaskaran; Manjula, Jagannath; Subramani, Pradeep Annamalai; Nagendrappa, Prakash B; Manoj, Mulakkapurath Narayanan; Malpani, Sukriti; Pullela, Phani Kumar; Subbarao, Pillarisetti Venkata; Ramamoorthy, Siva; Ghosh, Susanta K

    2016-01-01

    Sensitive and specific detection of malarial parasites is crucial in controlling the significant malaria burden in the developing world. Also important is being able to identify life threatening Plasmodium falciparum malaria quickly and accurately to reduce malaria related mortality. Existing methods such as microscopy and rapid diagnostic tests (RDTs) have major shortcomings. Here, we describe a new real-time PCR-based diagnostic test device at point-of-care service for resource-limited settings. Truenat® Malaria, a chip-based microPCR test, was developed by bigtec Labs, Bangalore, India, for differential identification of Plasmodium falciparum and Plasmodium vivax parasites. The Truenat Malaria tests runs on bigtec's Truelab Uno® microPCR device, a handheld, battery operated, and easy-to-use real-time microPCR device. The performance of Truenat® Malaria was evaluated versus the WHO nested PCR protocol. The Truenat® Malaria was further evaluated in a triple-blinded study design using a sample panel of 281 specimens created from the clinical samples characterized by expert microscopy and a rapid diagnostic test kit by the National Institute of Malaria Research (NIMR). A comparative evaluation was done on the Truelab Uno® and a commercial real-time PCR system. The limit of detection of the Truenat Malaria assay was found to be <5 parasites/μl for both P. falciparum and P. vivax. The Truenat® Malaria test was found to have sensitivity and specificity of 100% each, compared to the WHO nested PCR protocol based on the evaluation of 100 samples. The sensitivity using expert microscopy as the reference standard was determined to be around 99.3% (95% CI: 95.5-99.9) at the species level. Mixed infections were identified more accurately by Truenat Malaria (32 samples identified as mixed) versus expert microscopy and RDTs which detected 4 and 5 mixed samples, respectively. The Truenat® Malaria microPCR test is a valuable diagnostic tool and implementation should be

  20. Differential Diagnosis of Malaria on Truelab Uno®, a Portable, Real-Time, MicroPCR Device for Point-Of-Care Applications

    PubMed Central

    Nair, Chandrasekhar Bhaskaran; Manjula, Jagannath; Subramani, Pradeep Annamalai; Nagendrappa, Prakash B.; Manoj, Mulakkapurath Narayanan; Malpani, Sukriti; Pullela, Phani Kumar; Subbarao, Pillarisetti Venkata; Ramamoorthy, Siva; Ghosh, Susanta K.

    2016-01-01

    Background Sensitive and specific detection of malarial parasites is crucial in controlling the significant malaria burden in the developing world. Also important is being able to identify life threatening Plasmodium falciparum malaria quickly and accurately to reduce malaria related mortality. Existing methods such as microscopy and rapid diagnostic tests (RDTs) have major shortcomings. Here, we describe a new real-time PCR-based diagnostic test device at point-of-care service for resource-limited settings. Methods Truenat® Malaria, a chip-based microPCR test, was developed by bigtec Labs, Bangalore, India, for differential identification of Plasmodium falciparum and Plasmodium vivax parasites. The Truenat Malaria tests runs on bigtec’s Truelab Uno® microPCR device, a handheld, battery operated, and easy-to-use real-time microPCR device. The performance of Truenat® Malaria was evaluated versus the WHO nested PCR protocol. The Truenat® Malaria was further evaluated in a triple-blinded study design using a sample panel of 281 specimens created from the clinical samples characterized by expert microscopy and a rapid diagnostic test kit by the National Institute of Malaria Research (NIMR). A comparative evaluation was done on the Truelab Uno® and a commercial real-time PCR system. Results The limit of detection of the Truenat Malaria assay was found to be <5 parasites/μl for both P. falciparum and P. vivax. The Truenat® Malaria test was found to have sensitivity and specificity of 100% each, compared to the WHO nested PCR protocol based on the evaluation of 100 samples. The sensitivity using expert microscopy as the reference standard was determined to be around 99.3% (95% CI: 95.5–99.9) at the species level. Mixed infections were identified more accurately by Truenat Malaria (32 samples identified as mixed) versus expert microscopy and RDTs which detected 4 and 5 mixed samples, respectively. Conclusion The Truenat® Malaria microPCR test is a valuable

  1. Intermediate care for older people.

    PubMed

    Logan, Pip; Stoner-Hobbs, Val; McCloughry, Helen; Foster, Carol; Fitzsimmons, Dwane; Williams, Jo; Spencer, Pamela; Robertson, Kate; Gladman, John

    2007-06-01

    Up to 40 per cent of older people do not go to hospital after calling an emergency ambulance and until recently were not referred on to any other community services. This article describes how a multidisciplinary working group developed and evaluated a protocol to enable older people to be referred to intermediate care services after calling an emergency ambulance. A total of 54 patients were monitored after referral to intermediate care to assess adherence to the protocol and outcomes.

  2. Clothing preferences of older consumers.

    PubMed

    Chowdhary, U

    1998-06-01

    The study focused on identifying the apparel needs of older men and women in a midwestern county. A survey technique was used to collect data on older peoples' preferences for apparel including accessories, most preferred items, identified similarity with previous apparel choices, and identification of buyer of the apparel. Descriptive statistics were used to analyze the data. Implications of the findings for future research and possibility of use by apparel designers, manufacturers, and retailers are discussed.

  3. Cardiac Rehabilitation in Older Adults.

    PubMed

    Schopfer, David W; Forman, Daniel E

    2016-09-01

    The biology of aging and the pathophysiology of cardiovascular disease (CVD) overlap, with the effect that CVD is endemic in the growing population of older adults. Moreover, CVD in older adults is usually complicated by age-related complexities, including multimorbidity, polypharmacy, frailty, and other intricacies that add to the risks of ambiguous symptoms, deconditioning, iatrogenesis, falls, disability, and other challenges. Cardiac rehabilitation (CR) is a comprehensive lifestyle program that can have particular benefit for older patients with cardiovascular conditions. Although CR was originally designed primarily as an exercise training program for younger adults after a myocardial infarction or coronary artery bypass surgery, it has evolved as a comprehensive lifestyle program (promoting physical activity as well as education, diet, risk reduction, and adherence) for a broader range of CVD (coronary heart disease, heart failure, and valvular heart disease). It provides a valuable opportunity to address and moderate many of the challenges pertinent for the large and growing population of older adults with CVD. Cardiac rehabilitation promotes physical function (cardiorespiratory fitness as well as strength and balance) that helps overcome disease and deconditioning as well as related vulnerabilities such as disability, frailty, and falls. Similarly, CR facilitates education, monitoring, and guidance to reduce iatrogenesis and promote adherence. Furthermore, CR fosters cognition, socialization, and independence in older patients. Yet despite all its conceptual benefits, CR is significantly underused in older populations. This review discusses benefits and the paradoxical underuse of CR, as well as evolving models of care that may achieve greater application and efficacy.

  4. Diabetes mellitus in older adults.

    PubMed

    Mooradian, Arshag D; Chehade, Joe M

    2012-03-01

    The prevalence of diabetes mellitus increases with age and causes significant morbidity and poor quality of life in older adults. To review the current literature on the diagnosis and management of diabetes in the elderly, the relevant manuscripts were identified through a MEDLINE (2000-September 1, 2010) search of the English literature. The key phrase used was diabetes in older adults or diabetes in the elderly. The literature search was limited to core clinical journals that have accessible full texts. A total of 480 manuscripts were reviewed. Managing diabetes in older adults is a challenging task. Some features of the disease are unique to the older patient. Several new antidiabetic agents are now available for clinical use, and yet very few clinical trials have been carried out in this age group. For many older adults, maintaining independence is more important than adherence to published guidelines to prevent diabetes complications. The goals of diabetes care in older adults are to enhance quality of life without subjecting the residents to inappropriate interventions.

  5. Basic atmospheric measurements via Arduino Uno microcontroller with commercially available sensors towards simple real-time weather forecasting for increased classroom engagement

    NASA Astrophysics Data System (ADS)

    Eckel, Ryan; Tanner, Meghan; Senevirathne, Indrajith

    Makers, engineers and the applied physics community have adapted Arduino microcontrollers due to their versatility, robustness and cost effectiveness. Arduino microcontroller environment coupled with commercially available sensors have been used to systematically measure, record and analyze temperature, humidity and barometric pressure for building a simplified weather station for subsequent educational purposes. This data will become available in classroom settings for real-time analysis towards simple weather forecasting. Setup was assembled via breadboard, wire and simple soldering with an Arduino Uno ATmega328P microcontroller connected to a PC. The microcontroller was programmed with Arduino Software while the bootloader was used to upload the code. Commercial DHT22 humidity and temperature sensor, and BMP180 barometric pressure sensor were used to obtain relative humidity, temperature and the barometric pressure. A weather resistant enclosure protected the system while stable real-time data measurements were obtained, and uploaded onto the PC. The data was used to predict atmospheric conditions and lifting condensation level (LCL). Discussion will focus on capabilities and limitations of these systems and corresponding teaching aspects. Lock Haven University Nanotechnology Program.

  6. Outcome of Kidney Transplant in Primary, Repeat and Kidney after Nonrenal Solid Organ Transplantation: 15-year Analysis of Recent UNOS Database.

    PubMed

    El-Husseini, A; Aghil, A; Ramirez, J; Sawaya, B; Rajagopalan, N; Baz, M; Mei, X; Davenport, D L; Gedaly, R

    2017-09-07

    The number of nonrenal solid organ transplants increased substantially in the last few decades. Many of these patients develop renal failure and receive kidney transplantation. The aim of this study is to evaluate patient and kidney allograft survival in primary, repeat, and kidney after nonrenal organ transplantation using national data reported to United Network for Organ Sharing (UNOS) from January 2000 through December 2014. Survival time for each patient was stratified into the following: Group A (comparison group) - recipients of primary kidney transplant (178,947 patients), Group B - recipients of repeat kidney transplant (17,819 patients), and Group C - recipients of kidney transplant performed after either a liver, heart, or lung transplant (2,365 patients). We compared survivals using log-rank test. Compared to primary or repeat kidney transplant, patient and renal allograft survival was significantly lower in those with previous nonrenal organ transplant. Renal allograft and patient survival after liver, heart, or lung transplants are comparable. Death was the main cause of graft loss in patients who had prior nonrenal organ transplant. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  7. Recurrence of IgA nephropathy after kidney transplantation in steroid continuation versus early steroid-withdrawal regimens: a retrospective analysis of the UNOS/OPTN database.

    PubMed

    Leeaphorn, Napat; Garg, Neetika; Khankin, Eliyahu V; Cardarelli, Francesca; Pavlakis, Martha

    2017-09-19

    In the past 20 years, there has been an increase in use of steroid-withdrawal regimens in kidney transplantation. However, steroid withdrawal may be associated with an increased risk of recurrent IgA nephropathy (IgAN). Using UNOS/OPTN data, we analyzed adult patients with ESRD due to IgAN who received their first kidney transplant between 2000 and 2014. For the primary outcome, we used a competing risk analysis to compare the cumulative incidence of graft loss due to IgAN recurrence between early steroid-withdrawal (ESW) and steroid continuation groups. The secondary outcomes were patient survival and death-censored graft survival (DCGS). A total of 9690 recipients were included (2831 in ESW group and 6859 in steroid continuation group). 1238 recipients experienced graft loss, of which 191 (15.43%) were due to IgAN recurrence. In multivariable analysis, steroid use was associated with a decreased risk of recurrence (subdistribution hazard ratio 0.666, 95% CI 0.482-0.921; p=0.014). Patient survival and DCGS were not different between the two groups. In the U.S., ESW in transplant for ESRD due to IgAN is associated with a higher risk of graft loss due to disease recurrence. Future prospective studies are warranted to further address which patients with IgAN would benefit from steroid continuation. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  8. The Older Worker. Myths and Realities.

    ERIC Educational Resources Information Center

    Stein, David; Rocco, Tonette S.

    Although workplaces are searching for ways to increase productivity, older workers asking for increased career development opportunities are neglected by most workplaces. Age alone may not be a defining characteristic of an older worker. Perhaps becoming an older worker is more situational than chronological. Retirement for future older workers is…

  9. Valence excitation energies of alkenes, carbonyl compounds, and azabenzenes by time-dependent density functional theory: linear response of the ground state compared to collinear and noncollinear spin-flip TDDFT with the Tamm-Dancoff approximation.

    PubMed

    Isegawa, Miho; Truhlar, Donald G

    2013-04-07

    Time-dependent density functional theory (TDDFT) holds great promise for studying photochemistry because of its affordable cost for large systems and for repeated calculations as required for direct dynamics. The chief obstacle is uncertain accuracy. There have been many validation studies, but there are also many formulations, and there have been few studies where several formulations were applied systematically to the same problems. Another issue, when TDDFT is applied with only a single exchange-correlation functional, is that errors in the functional may mask successes or failures of the formulation. Here, to try to sort out some of the issues, we apply eight formulations of adiabatic TDDFT to the first valence excitations of ten molecules with 18 density functionals of diverse types. The formulations examined are linear response from the ground state (LR-TDDFT), linear response from the ground state with the Tamm-Dancoff approximation (TDDFT-TDA), the original collinear spin-flip approximation with the Tamm-Dancoff (TD) approximation (SF1-TDDFT-TDA), the original noncollinear spin-flip approximation with the TDA approximation (SF1-NC-TDDFT-TDA), combined self-consistent-field (SCF) and collinear spin-flip calculations in the original spin-projected form (SF2-TDDFT-TDA) or non-spin-projected (NSF2-TDDFT-TDA), and combined SCF and noncollinear spin-flip calculations (SF2-NC-TDDFT-TDA and NSF2-NC-TDDFT-TDA). Comparing LR-TDDFT to TDDFT-TDA, we observed that the excitation energy is raised by the TDA; this brings the excitation energies underestimated by full linear response closer to experiment, but sometimes it makes the results worse. For ethylene and butadiene, the excitation energies are underestimated by LR-TDDFT, and the error becomes smaller making the TDA. Neither SF1-TDDFT-TDA nor SF2-TDDFT-TDA provides a lower mean unsigned error than LR-TDDFT or TDDFT-TDA. The comparison between collinear and noncollinear kernels shows that the noncollinear kernel

  10. Valence excitation energies of alkenes, carbonyl compounds, and azabenzenes by time-dependent density functional theory: Linear response of the ground state compared to collinear and noncollinear spin-flip TDDFT with the Tamm-Dancoff approximation

    NASA Astrophysics Data System (ADS)

    Isegawa, Miho; Truhlar, Donald G.

    2013-04-01

    Time-dependent density functional theory (TDDFT) holds great promise for studying photochemistry because of its affordable cost for large systems and for repeated calculations as required for direct dynamics. The chief obstacle is uncertain accuracy. There have been many validation studies, but there are also many formulations, and there have been few studies where several formulations were applied systematically to the same problems. Another issue, when TDDFT is applied with only a single exchange-correlation functional, is that errors in the functional may mask successes or failures of the formulation. Here, to try to sort out some of the issues, we apply eight formulations of adiabatic TDDFT to the first valence excitations of ten molecules with 18 density functionals of diverse types. The formulations examined are linear response from the ground state (LR-TDDFT), linear response from the ground state with the Tamm-Dancoff approximation (TDDFT-TDA), the original collinear spin-flip approximation with the Tamm-Dancoff (TD) approximation (SF1-TDDFT-TDA), the original noncollinear spin-flip approximation with the TDA approximation (SF1-NC-TDDFT-TDA), combined self-consistent-field (SCF) and collinear spin-flip calculations in the original spin-projected form (SF2-TDDFT-TDA) or non-spin-projected (NSF2-TDDFT-TDA), and combined SCF and noncollinear spin-flip calculations (SF2-NC-TDDFT-TDA and NSF2-NC-TDDFT-TDA). Comparing LR-TDDFT to TDDFT-TDA, we observed that the excitation energy is raised by the TDA; this brings the excitation energies underestimated by full linear response closer to experiment, but sometimes it makes the results worse. For ethylene and butadiene, the excitation energies are underestimated by LR-TDDFT, and the error becomes smaller making the TDA. Neither SF1-TDDFT-TDA nor SF2-TDDFT-TDA provides a lower mean unsigned error than LR-TDDFT or TDDFT-TDA. The comparison between collinear and noncollinear kernels shows that the noncollinear kernel

  11. Severe sepsis in older adults.

    PubMed

    Umberger, Reba; Callen, Bonnie; Brown, Mary Lynn

    2015-01-01

    Severe sepsis may be underrecognized in older adults. Therefore, the purpose of this article is to review special considerations related to early detection of severe sepsis in older adults. Normal organ changes attributed to aging may delay early detection of sepsis at the time when interventions have the greatest potential to improve patient outcomes. Systems are reviewed for changes. For example, the cardiovascular system may have a limited or absent compensatory response to inflammation after an infectious insult, and the febrile response and recruitment of white blood cells may be blunted because of immunosenescence in aging. Three of the 4 hallmark responses (temperature, heart rate, and white blood cell count) to systemic inflammation may be diminished in older adults as compared with younger adults. It is important to consider that older adults may not always manifest the typical systemic inflammatory response syndrome. Atypical signs such as confusion, decreased appetite, and unsteady gait may occur before sepsis related organ failure. Systemic inflammatory response syndrome criteria and a comparison of organ failure criteria were reviewed. Mortality rates in sepsis and severe sepsis remain high and are often complicated by multiple organ failures. As the numbers of older adults increase, early identification and prompt treatment is crucial in improving patient outcomes.

  12. Weight Management in Older Adults.

    PubMed

    Gill, Lydia E; Bartels, Stephen J; Batsis, John A

    2015-09-01

    As the number of older adults increases rapidly, the national epidemic of obesity is also affecting our aging population. This is particularly concerning given the numerous health risks and increased costs associated with this condition. Weight management is extremely important for older adults given the risks associated with abdominal adiposity, which is a typical fat redistribution during aging, and the prevalence of comorbid conditions in this age group. However, approaches to weight loss must be considered critically given the dangers of sarcopenia (a condition that occurs when muscle mass and quality are lost), the increased risk of hip fracture with weight loss, and the association between reduced mortality and increased BMI in older adults. This overview highlights the challenges and implications of measuring adiposity in older adults and the dangers and benefits of weight loss in this population and provides an overview of the new Medicare Obesity Benefit. In addition, we provide a summary of outcomes from successful weight loss interventions for older adults and discuss implications for advancing clinical practice.

  13. Weight Management in Older Adults

    PubMed Central

    Gill, Lydia E.; Bartels, Stephen J.; Batsis, John A.

    2017-01-01

    As the number of older adults increases rapidly, the national epidemic of obesity is also affecting our aging population. This is particularly concerning given the numerous health risks and increased costs associated with this condition. Weight management is extremely important for older adults given the risks associated with abdominal adiposity, which is a typical fat redistribution during aging, and the prevalence of comorbid conditions in this age group. However, approaches to weight loss must be considered critically given the dangers of sarcopenia (a condition that occurs when muscle mass and quality is lost), the increase risk of hip fracture with weight loss, and the association between reduced mortality and increased BMI in older adults. This overview highlights the challenges and implications of measuring adiposity in older adults, the dangers and benefits of weight loss in this population, and provides an overview of the new Medicare Obesity Benefit. In addition we provide a summary of outcomes from successful weight loss interventions for older adults and discuss implications for advancing clinical practice. PMID:26627496

  14. Characteristics of Older Motorcyclist Crashes

    PubMed Central

    Stutts, Jane; Foss, Robert; Svoboda, Colleen

    2004-01-01

    In the U.S. as well as other countries, the number of motorcyclists killed in traffic crashes has risen sharply over the past five years, due in part to the increased popularity of motorcycling among older riders. This paper examines trends in motorcyclist casualties and vehicle registrations from 1990–2002, based on national and state (North Carolina) motor vehicle crash and vehicle registration data. The data show similar patterns of increased fatalities that parallel a growth in motorcycle registrations. Whereas the number of motorcyclists ages 16–24 declined over the 13–year study period, the number of riders ages 35 and older increased. Three years of recent (2000–2002) NC data are examined to identify salient characteristics of the crashes of these older riders. Results are discussed with respect to approaches for mitigating the increase in motorcyclist deaths and injuries. PMID:15319126

  15. Older women and mercy killing.

    PubMed

    Canetto, S S; Hollenshead, J D

    Mercy killing is usually defined as intentional killing, often by family members or friends, with the stated intent to end perceived suffering. International evidence suggests that mercy killing typically involves an older man killing his ailing wife. In this study, we examined U.S. cases of mercy killing recorded by The Hemlock Society for the period 1960-1993. We found that the typical case involved an older woman being killed by a man, often her husband, with her poor health as the justification for the killing. A firearm was often used in these incidents. These patterns of mercy killing are consistent with patterns of homicide-suicide among older adults. Future research should seek to understand why women are typically the targets, and men the agents of mercy killing.

  16. Health Literacy and Older Adults

    PubMed Central

    Chesser, Amy K.; Keene Woods, Nikki; Smothers, Kyle; Rogers, Nicole

    2016-01-01

    Objective: The objective of this review was to assess published literature relating to health literacy and older adults. Method: The current review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta Analyses. Results: Eight articles met inclusion criteria. All studies were conducted in urban settings in the United States. Study sample size ranged from 33 to 3,000 participants. Two studies evaluated health-related outcomes and reported significant associations between low health literacy and poorer health outcomes. Two other studies investigated the impact of health literacy on medication management, reporting mixed findings. Discussion: The findings of this review highlight the importance of working to improve health care strategies for older adults with low health literacy and highlight the need for a standardized and validated clinical health literacy screening tool for older adults. PMID:28138488

  17. Homicide perpetrated by older people.

    PubMed

    Overshott, Ross; Rodway, Cathryn; Roscoe, Alison; Flynn, Sandra; Hunt, Isabelle M; Swinson, Nicola; Appleby, Louis; Shaw, Jenny

    2012-11-01

    This study aims to describe the circumstances in which older people commit homicide, the form of assessment they undergo and to examine the proportion of those who suffer from mental illness. The study was carried out as part of the England and Wales National Confidential Inquiry into Suicide and Homicide by People with Mental Illness based on a five-year sample. The Inquiry was notified of the names of those over the age of 60 years convicted of homicide and also the details of the offence, sentencing and outcome in court by the Home Office. The Inquiry collected clinical data of those known to have had contact with mental health services from the responsible service and also retrieved psychiatric reports of those convicted. Homicide incidents perpetrated by older people typically involve a man killing his partner in an impulsive manner. The most common method was by using a sharp instrument (34%), followed by the use of a blunt instrument (26%). The use of firearms was rare (11%). Perpetrators aged 65 years and older were significantly more likely to kill a current or former spouse/partner and less likely to kill an acquaintance. Forty-four per cent of perpetrators over 65 years old suffered from depression at the time of the offence, whereas rates of schizophrenia and alcohol dependence were low. The information used in the study was extracted from a unique national database of homicide perpetrators. The characteristics and the circumstances of homicides perpetrated by older people are different to other age groups. An older-people homicide may be preventable if depression is identified early in older people. Copyright © 2012 John Wiley & Sons, Ltd.

  18. Cancer Screening in Older Adults.

    PubMed

    Snyder, Ashley H; Magnuson, Allison; Westcott, Amy M

    2016-09-01

    When screening for cancer in older adults, it is important to consider the risks of screening, how long it takes to benefit from screening, and the patient's comorbidities and life expectancy. Delivering high-value care requires the consideration of evidence-based screening guidelines and careful selection of patients. This article considers the impact of cancer. It explores perspectives on the costs of common cancer screening tests, illustrates how using life expectancy can help clinicians determine who will benefit most from screening, and provides tools to help clinicians discuss with their older patients when it may be appropriate to stop screening for cancer. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. γ-decay of {}_{8}^{16}{{\\rm{O}}}_{8}\\,{and}\\,{}_{7}^{16}{{\\rm{N}}}_{9} in proton-neutron Tamm-Dancoff and random phase approximations with optimized surface δ interaction

    NASA Astrophysics Data System (ADS)

    Pahlavani, M. R.; Firoozi, B.

    2016-09-01

    γ-ray transitions from excited states of {}16{{N}} and {}16{{O}} isomers that appear in the γ spectrum of the {}616{{{C}}}10\\to {}716{{{N}}}9\\to {}816{{{O}}}8 beta decay chain are investigated. The theoretical approach used in this research starts with a mean-field potential consisting of a phenomenological Woods-Saxon potential including spin-orbit and Coulomb terms (for protons) in order to obtain single-particle energies and wave functions for nucleons in a nucleus. A schematic residual surface delta interaction is then employed on the top of the mean field and is treated within the proton-neutron Tamm-Dancoff approximation (pnTDA) and the proton-neutron random phase approximation. The goal is to use an optimized surface delta interaction interaction, as a residual interaction, to improve the results. We have used artificial intelligence algorithms to establish a good agreement between theoretical and experimental energy spectra. The final results of the ‘optimized’ calculations are reasonable via this approach.

  20. An assessment of low-lying excitation energies and triplet instabilities of organic molecules with an ab initio Bethe-Salpeter equation approach and the Tamm-Dancoff approximation.

    PubMed

    Rangel, Tonatiuh; Hamed, Samia M; Bruneval, Fabien; Neaton, Jeffrey B

    2017-05-21

    The accurate prediction of singlet and triplet excitation energies is an area of intense research of significant fundamental interest and critical for many applications. Most calculations of singlet and triplet energies use time-dependent density functional theory (TDDFT) in conjunction with an approximate exchange-correlation functional. In this work, we examine and critically assess an alternative method for predicting low-lying neutral excitations with similar computational cost, the ab initio Bethe-Salpeter equation (BSE) approach, and compare results against high-accuracy wavefunction-based methods. We consider singlet and triplet excitations of 27 prototypical organic molecules, including members of Thiel's set, the acene series, and several aromatic hydrocarbons exhibiting charge-transfer-like excitations. Analogous to its impact in TDDFT, we find that the Tamm-Dancoff approximation (TDA) overcomes triplet instabilities in the BSE approach, improving both triplet and singlet energetics relative to higher level theories. Finally, we find that BSE-TDA calculations built on effective DFT starting points, such as those utilizing optimally tuned range-separated hybrid functionals, can yield accurate singlet and triplet excitation energies for gas-phase organic molecules.

  1. An assessment of low-lying excitation energies and triplet instabilities of organic molecules with an ab initio Bethe-Salpeter equation approach and the Tamm-Dancoff approximation

    NASA Astrophysics Data System (ADS)

    Rangel, Tonatiuh; Hamed, Samia M.; Bruneval, Fabien; Neaton, Jeffrey B.

    2017-05-01

    The accurate prediction of singlet and triplet excitation energies is an area of intense research of significant fundamental interest and critical for many applications. Most calculations of singlet and triplet energies use time-dependent density functional theory (TDDFT) in conjunction with an approximate exchange-correlation functional. In this work, we examine and critically assess an alternative method for predicting low-lying neutral excitations with similar computational cost, the ab initio Bethe-Salpeter equation (BSE) approach, and compare results against high-accuracy wavefunction-based methods. We consider singlet and triplet excitations of 27 prototypical organic molecules, including members of Thiel's set, the acene series, and several aromatic hydrocarbons exhibiting charge-transfer-like excitations. Analogous to its impact in TDDFT, we find that the Tamm-Dancoff approximation (TDA) overcomes triplet instabilities in the BSE approach, improving both triplet and singlet energetics relative to higher level theories. Finally, we find that BSE-TDA calculations built on effective DFT starting points, such as those utilizing optimally tuned range-separated hybrid functionals, can yield accurate singlet and triplet excitation energies for gas-phase organic molecules.

  2. Children's Views of Older People

    ERIC Educational Resources Information Center

    Robinson, Sally; Howatson-Jones, Lioba

    2014-01-01

    Worldwide demographic change means that the responsibility for an aging population will fall to younger generations. This narrative literature review comprises an international examination of what has been published about children's views of older people between 1980 and 2011. Sixty-nine academic articles were inductively analyzed, and the…

  3. Educational Initiatives for Older Learners

    ERIC Educational Resources Information Center

    Swindell, Rick

    2009-01-01

    A rapidly ageing population has given rise to many innovative later life learning programs that engage older adults in the kinds of activities that are associated with successful ageing. Experts of all kinds retire and retired expert volunteers would seem to be the best people to run learning programs for other retirees. One of the best known…

  4. The Older Adult and Learning.

    ERIC Educational Resources Information Center

    Hiemstra, Roger

    According to recent census figures, 10% of today's population are over 65 years old. It has often been stated that individual learning needs and capabilities decline with age. To challenge this idea, a study was conducted to gather information about older adults, their learning interests, activities, and obstacles. Four hypotheses were tested…

  5. Older Americans and the Arts.

    ERIC Educational Resources Information Center

    Sunderland, Jaqueline Tippett

    The potential force for the mutual enrichment of the arts on the lives of older people was investigated by an advisory committee representing the John F. Kennedy Center for Performing Arts and The National Council on the Aging. This prospectus, a report of the committee findings, includes a review of a representative spectrum of cultural programs…

  6. Cancer Screening in Older Adults.

    PubMed

    Wingfield, Sarah A; Heflin, Mitchell T

    2016-02-01

    Cancer screening is an important tool for reducing morbidity and mortality in the elderly. In this article, performance characteristics of commonly used screening tests for colorectal, lung, prostate, breast, and cervical cancers are discussed. Guidelines are emphasized and key issues to consider in screening older adults are highlighted.

  7. Personal Epistemologies and Older Workers

    ERIC Educational Resources Information Center

    Billett, Stephen; van Woerkom, Marianne

    2008-01-01

    This paper evaluates the need and prospects for older workers to develop and deploy effective and critical personal epistemologies in order to maintain workplace competence, successfully negotiate work transitions and secure ontological security in their working life. Furthermore, it addresses different ways of reflecting by workers, which types…

  8. Visuomotor Binding in Older Adults

    ERIC Educational Resources Information Center

    Bloesch, Emily K.; Abrams, Richard A.

    2010-01-01

    Action integration is the process through which actions performed on a stimulus and perceptual aspects of the stimulus become bound as a unitary object. This process appears to be controlled by the dopaminergic system in the prefrontal cortex, an area that is known to decrease in volume and dopamine functioning in older adults. Although the…

  9. Older Families: A Decade Review.

    ERIC Educational Resources Information Center

    Streib, Gordon F.; Beck, Rubye Wilkerson

    1980-01-01

    Research of the past decade has not focused on the older family, its function, structure and relationship. Reliable knowledge is needed to study the impact of society on the family--the affects of bureaucracy, pension and service programs, and medical care provisions. (JAC)

  10. Psychotherapy with Older Dying Persons.

    ERIC Educational Resources Information Center

    Dye, Carol J.

    Psychotherapy with older dying patients can lead to problems of countertransference for the clinician. Working with dying patients requires flexibility to adapt basic therapeutics to the institutional setting. Goals of psychotherapy must be reconceptualized for dying clients. The problems of countertransference arise because clinicians themselves…

  11. College Centers for Older Learners.

    ERIC Educational Resources Information Center

    Smith, Judith L.

    Across the nation, colleges are discovering a new group of students: retired learners. Special programs are emerging to meet the unique needs and interests of this mature population. This booklet describes these programs under the generic title, College Centers for Older Learners (CCOLs). CCOLs offer a stimulating college environment for older…

  12. Theme: Pharmacology and Older People.

    ERIC Educational Resources Information Center

    Simonson, William; And Others

    1994-01-01

    This theme issue discusses maximizing the benefits and minimizing the risks of drug therapy for older people. It includes articles on psychoactive drugs, drug-related problems, medication compliance, geriatric psychopharmacotherapy, consumer guidelines, and outpatient prescriptions drug coverage as it relates to health care reform. (JOW)

  13. [Polypharmacy issues in older adults].

    PubMed

    Chiang-Hanisko, Lenny; Tan, Jung-Ying; Chiang, Ling-Chun

    2014-06-01

    Polypharmacy is a major concern in the care of older adults. People over 65 years of age frequently have multiple medical conditions and may have cancer, which requires multiple medications for treatment. The use of multiple medications increases the risk of drug-drug interactions, non-adherence, and adverse drug reactions. Polypharmacy is a term that refers to a high number of prescribed medications, usually five and above, or the use of more medications than is clinically justified. Although medications are an important factor in improving and maintaining the quality of life of older adults, polypharmacy increases the risks of morbidity and mortality, loss of functional independence, and a multiplicity of cognitive and physical problems in this population. This article examines issues related to polypharmacy in older adults and identifies nursing strategies and interventions to detect and prevent polypharmacy. Nursing strategies discussed include: (1) increasing patient knowledge of pharmacological issues, (2) increasing patient medication management competency, (3) promoting safe patient medication practices, and (4) enhancing patient education. Nurses must be familiar with medicine regimens, understand the primary factors that affect adherence, and participate in continuing education to enhance their ability to safeguard older adult patients.

  14. Psychosocial Crises of Older Men.

    ERIC Educational Resources Information Center

    Solomon, Kenneth

    Retirement is a major issue facing the older American man. Not only must he give up his work, a source of identity and self-esteem, the retiree must also face new relationships with his spouse, children, and peers; and he must learn to use leisure time appropriately. Widowerhood is a second major issue. Aside from deep emotional loss, the widower…

  15. College Centers for Older Learners.

    ERIC Educational Resources Information Center

    Smith, Judith L.

    Across the nation, colleges are discovering a new group of students: retired learners. Special programs are emerging to meet the unique needs and interests of this mature population. This booklet describes these programs under the generic title, College Centers for Older Learners (CCOLs). CCOLs offer a stimulating college environment for older…

  16. Walking Tips for Older Adults

    MedlinePlus

    ... the most ppular form of exercise among older adults and it's a great choice. What can walking do for you? strengthen muscles help prevent weight gain lower risks of heart disease, stroke, diabetes, and osteoporosis improve balance lower the likelihood of falling If ...

  17. Drug Misuse in Older People.

    ERIC Educational Resources Information Center

    Raffoul, Paul R.; And Others

    1981-01-01

    Drug misuse of prescription and OTC drugs was studied among 67 older subjects to determine the frequency of misuse and relationship to various psychosocial, medical and pharmacological factors. Drug misuse was found among 43 percent of subjects with number of prescribing physicians and number of pharmacies directly related to misuse. (Author)

  18. Visuomotor Binding in Older Adults

    ERIC Educational Resources Information Center

    Bloesch, Emily K.; Abrams, Richard A.

    2010-01-01

    Action integration is the process through which actions performed on a stimulus and perceptual aspects of the stimulus become bound as a unitary object. This process appears to be controlled by the dopaminergic system in the prefrontal cortex, an area that is known to decrease in volume and dopamine functioning in older adults. Although the…

  19. Older Adults and Mental Health

    MedlinePlus

    ... important for an older person with symptoms of depression to seek treatment as it is for someone younger. The impact ... with conditions like heart disease, diabetes, and stroke. Depression can complicate the treatment of these conditions, including making it more difficult ...

  20. Faith Development in Older Adults.

    ERIC Educational Resources Information Center

    Shulik, Richard N.

    1988-01-01

    Introduces the faith development paradigm of James Fowler, describing six stages of faith development: intuitive-projective faith, mythic-literal faith, synthetic-conventional faith, individuating-reflective faith, conjunctive faith, and universalizing faith. Reviews one research project in which Fowler's paradigm was applied to older adults.…

  1. Catastrophic events and older adults.

    PubMed

    Cloyd, Elizabeth; Dyer, Carmel B

    2010-12-01

    The plight of older adults during catastrophic events is a societal concern. Older persons have an increased prevalence of cognitive disorders, chronic illnesses, and mobility problems that limit their ability to cope. These disorders may result in a lack of mental capacity and the ability to discern when they should evacuate or resolve problems encountered during a catastrophe. Some older persons may have limited transportation options, and many of the elderly survivors are at increased risk for abuse, neglect, and exploitation. Recommendations for future catastrophic events include the development of a federal tracking system for elders and other vulnerable adults, the designation of separate shelter areas for elders and other vulnerable adults, and involvement of gerontological professionals in all aspects of emergency preparedness and care delivery, including training of frontline workers. Preparation through preevent planning that includes region-specific social services, medical and public health resources, volunteers, and facilities for elders and vulnerable adults is critical. Elders need to be protected from abuse and fraud during catastrophic events. A public health triage system for elders and other vulnerable populations in pre- and postdisaster situations is useful, and disaster preparedness is paramount. Communities and members of safety and rescue teams must address ethical issues before an event. When older adults are involved, consideration needs to be given to triage decision making, transporting those who are immobile, the care of older adults who receive palliative care, and the equitable distribution of resources. Nurses are perfectly equipped with the skills, knowledge, and training needed to plan and implement disaster preparedness programs. In keeping with the tradition of Florence Nightingale, nurses can assume several crucial roles in disaster preparedness for older adults. Nurses possess the ability to participate and lead community

  2. Vision Loss in Older Adults.

    PubMed

    Pelletier, Allen L; Rojas-Roldan, Ledy; Coffin, Janis

    2016-08-01

    Vision loss affects 37 million Americans older than 50 years and one in four who are older than 80 years. The U.S. Preventive Services Task Force concludes that current evidence is insufficient to assess the balance of benefits and harms of screening for impaired visual acuity in adults older than 65 years. However, family physicians play a critical role in identifying persons who are at risk of vision loss, counseling patients, and referring patients for disease-specific treatment. The conditions that cause most cases of vision loss in older patients are age-related macular degeneration, glaucoma, ocular complications of diabetes mellitus, and age-related cataracts. Vitamin supplements can delay the progression of age-related macular degeneration. Intravitreal injection of a vascular endothelial growth factor inhibitor can preserve vision in the neovascular form of macular degeneration. Medicated eye drops reduce intraocular pressure and can delay the progression of vision loss in patients with glaucoma, but adherence to treatment is poor. Laser trabeculoplasty also lowers intraocular pressure and preserves vision in patients with primary open-angle glaucoma, but long-term studies are needed to identify who is most likely to benefit from surgery. Tight glycemic control in adults with diabetes slows the progression of diabetic retinopathy, but must be balanced against the risks of hypoglycemia and death in older adults. Fenofibrate also slows progression of diabetic retinopathy. Panretinal photocoagulation is the mainstay of treatment for diabetic retinopathy, whereas vascular endothelial growth factor inhibitors slow vision loss resulting from diabetic macular edema. Preoperative testing before cataract surgery does not improve outcomes and is not recommended.

  3. Frailty in older Mexican Americans.

    PubMed

    Ottenbacher, Kenneth J; Ostir, Glenn V; Peek, M Kristen; Snih, Soham Al; Raji, Mukaila A; Markides, Kyriakos S

    2005-09-01

    To identify sociodemographic characteristics and health performance variables associated with frailty in older Mexican Americans. A prospective population-based survey. Homes of older adults living in the southwest. Six hundred twenty-one noninstitutionalized Mexican-American men and women aged 70 and older included in the Hispanic Established Populations for Epidemiologic Study of the Elderly participated in a home-based interview. Interviews included information on sociodemographics, self-reports of medical conditions (arthritis, diabetes mellitus, heart attack, hip fracture, cancer, and stroke) and functional status. Weight and measures of lower and upper extremity muscle strength were obtained along with information on activities of daily living and instrumental activities of daily living. A summary measure of frailty was created based on weight loss, exhaustion, grip strength, and walking speed. Multivariable linear regression identified variables associated with frailty at baseline. Logistic regression examined variables predicting frailty at 1-year follow-up. Sex was associated with frailty at baseline (F=4.28, P=.03). Predictors of frailty in men included upper extremity strength, disability (activities of daily living), comorbidities, and mental status scores (Nagelkerke coefficient of determination (R(2))=0.37). Predictors for women included lower extremity strength, disability (activities of daily living), and body mass index (Nagelkerke R(2)=0.29). At 1-year follow-up, 83% of men and 79% of women were correctly classified as frail. Different variables were identified as statistically significant predictors of frailty in Mexican-American men and women aged 70 and older. The prevention, development, and treatment of frailty in older Mexican Americans may require consideration of the unique characteristics of this population.

  4. Fitness and Full Living for Older Adults.

    ERIC Educational Resources Information Center

    DiGilio, Deborah A.; Howze, Elizabeth H.

    1984-01-01

    There are many misconceptions about exercise that keep older adults from participating in a regular physical fitness program. This article explores some of these misconceptions and offers strategies for developing appropriate and safe programs for the older population. (DF)

  5. Sexuality in Older Adults: A Deconstructionist Perspective

    ERIC Educational Resources Information Center

    Huffstetler, Beverly

    2006-01-01

    Societal myths argue against active expression of sexuality in older adults, but these prejudices are unfounded. Using a deconstructionist framework, this article addresses issues surrounding sexuality in older adults. Implications for clinical practice are given.

  6. The key to marketing to older consumers.

    PubMed

    Wolfe, D B

    1992-01-01

    Marketers must put aside stereotypes and unexamined assumptions to reach older consumers. In this article, the author details their values and describes a technique that can be used to effectively position a product or service in older consumers' minds.

  7. Older Adults and Gambling: A Review

    ERIC Educational Resources Information Center

    Ariyabuddhiphongs, Vanchai

    2012-01-01

    This paper uses the social cognitive theory model to review the literature on older adult gambling, and related personal and environment characteristics. Results show that lottery is the kind of gambling most frequently played by older adults, followed by casino games. Older adults take trips to casinos to socialize, find excitement, and win…

  8. Older Voters and the 2008 Election

    ERIC Educational Resources Information Center

    Binstock, Robert H.

    2009-01-01

    Purpose: In the 2008 presidential election, a majority of older persons voted for John McCain, the loser. The purposes of this report are to help illuminate why older voters were the only age-group that gave a majority to McCain and to delineate some ongoing issues in the analysis of older persons' voting behavior. Methods: Analysis was undertaken…

  9. Older Adults and Gambling: A Review

    ERIC Educational Resources Information Center

    Ariyabuddhiphongs, Vanchai

    2012-01-01

    This paper uses the social cognitive theory model to review the literature on older adult gambling, and related personal and environment characteristics. Results show that lottery is the kind of gambling most frequently played by older adults, followed by casino games. Older adults take trips to casinos to socialize, find excitement, and win…

  10. Learning from Older Citizens' Research Groups

    ERIC Educational Resources Information Center

    Munn-Giddings, Carol; McVicar, Andy; Boyce, Melanie; O'Brien, Niamh

    2016-01-01

    This article adds to an ongoing conversation in gerontology about the importance of training and involving older people in research. Currently, the literature rarely distinguishes between the one-off involvement of older citizens in research projects and the development of research groups led by older people that sustain over time as well as the…

  11. Learning from Older Citizens' Research Groups

    ERIC Educational Resources Information Center

    Munn-Giddings, Carol; McVicar, Andy; Boyce, Melanie; O'Brien, Niamh

    2016-01-01

    This article adds to an ongoing conversation in gerontology about the importance of training and involving older people in research. Currently, the literature rarely distinguishes between the one-off involvement of older citizens in research projects and the development of research groups led by older people that sustain over time as well as the…

  12. Interface Design and Engagement with Older People

    ERIC Educational Resources Information Center

    Hawthorn, D.

    2007-01-01

    The current paper examines the design process that led to an unusually successful interactive tutorial for older people. The paper describes the issues that make designing for older people different. These include differences between the designer and the target population and the difficulty that older people have in interacting with low-fidelity…

  13. Changing Medical Students' Attitudes toward Older Adults

    ERIC Educational Resources Information Center

    Gonzales, Ernest; Morrow-Howell, Nancy; Gilbert, Pat

    2010-01-01

    Given the growth in the number of older adults and the ageist attitudes many in the health care profession hold, interventions aimed at improving health professionals' attitudes toward older adults are imperative. Vital Visionaries is an intergenerational art program designed to improve medical students' attitudes toward older adults. Participants…

  14. Older Job Seekers and Occupational Information.

    ERIC Educational Resources Information Center

    Adams, Leonard D.; Anderson, W. Michael

    Help Elderly Locate Positions (HELP), sponsored by the Emerald Empire Council on Aging and funded by the Administration on Aging, is a non-profit employment referral service for older workers, 55 and older, that has helped 1,206 elderly workers find jobs. A major area of involvement at HELP focused on exposing the older job seeker to the…

  15. Interface Design and Engagement with Older People

    ERIC Educational Resources Information Center

    Hawthorn, D.

    2007-01-01

    The current paper examines the design process that led to an unusually successful interactive tutorial for older people. The paper describes the issues that make designing for older people different. These include differences between the designer and the target population and the difficulty that older people have in interacting with low-fidelity…

  16. Older Voters and the 2008 Election

    ERIC Educational Resources Information Center

    Binstock, Robert H.

    2009-01-01

    Purpose: In the 2008 presidential election, a majority of older persons voted for John McCain, the loser. The purposes of this report are to help illuminate why older voters were the only age-group that gave a majority to McCain and to delineate some ongoing issues in the analysis of older persons' voting behavior. Methods: Analysis was undertaken…

  17. Stereotypes of Older Lesbians and Gay Men

    ERIC Educational Resources Information Center

    Wright, Sara L.; Canetto, Silvia Sara

    2009-01-01

    This study examined stereotypes of older lesbians and gay men. Key findings are that older lesbians and gay men were perceived as similar to older heterosexual women and men with regard to aging stereotypes, such as being judicious. At the same time, sexual minorities were targets of unique stereotypes. Consistent with the implicit inversion…

  18. Unjust Desserts: Financial Realities of Older Women.

    ERIC Educational Resources Information Center

    Estrine, Judith

    This brochure presents the facts about the financial situation of older women. It explains the vital role of Social Security (SS) for women and offers suggestions to improve their financial outlook. A true/false checklist tests knowledge about women growing older and remaining financially secure. These reasons for poorer older women are outlined:…

  19. Older Siblings Influence Younger Siblings' Motor Development

    ERIC Educational Resources Information Center

    Berger, Sarah E.; Nuzzo, Katie

    2008-01-01

    Evidence exists for two competing theories about the effects of having an older sibling on development. Previous research has found that having an older sibling has both advantages and disadvantages for younger siblings' development. This study examined whether and how older siblings influenced the onset of their own younger siblings' motor…

  20. Older Siblings Influence Younger Siblings' Motor Development

    ERIC Educational Resources Information Center

    Berger, Sarah E.; Nuzzo, Katie

    2008-01-01

    Evidence exists for two competing theories about the effects of having an older sibling on development. Previous research has found that having an older sibling has both advantages and disadvantages for younger siblings' development. This study examined whether and how older siblings influenced the onset of their own younger siblings' motor…

  1. Language Acculturation among Older Vietnamese Refugee Adults.

    ERIC Educational Resources Information Center

    Tran, Thanh V.

    1990-01-01

    Examined English language acculturation among older Vietnamese refugees (aged 40 and older). Found that age, sex, education in Vietnam, health, and length of residence in United States had some significant relationships with language acculturation. Older Vietnamese people had more problems with language acculturation than younger counterparts, and…

  2. Nutrition Goals for Older Adults: A Review.

    ERIC Educational Resources Information Center

    Horwath, Caroline C.

    1991-01-01

    Discusses specific goals of nutrition education for older adults and high-risk groups within the elderly population through review of three crucial areas: current knowledge of eating patterns, nutrient intake, and supplement use of older adults; existing information on multiple influences on eating habits of older adults; and potential benefits…

  3. Vestibular rehabilitation of older adults with dizziness.

    PubMed

    Alrwaily, Muhammad; Whitney, Susan L

    2011-04-01

    The role of rehabilitation for treatment of older adults with dizziness and balance disorders is reviewed. Theories related to functional recovery from peripheral and central vestibular disorders are presented. Suggestions on which older adults might benefit from vestibular rehabilitation therapy are presented. Promising innovative rehabilitation strategies and technologies that might enhance recovery of the older adult with balance dysfunction are discussed.

  4. Training Older Adults for New Careers.

    ERIC Educational Resources Information Center

    Newman, Sally

    In this paper, the discussion concerns the trainig of older adults for work as child caregivers. Four questions are addressed: (1) Why is child care a work option for the older worker? (2) What is the target population of older persons interested in preparing for this field of work? (3) How can adult learner characteristics be integrated into a…

  5. Stereotypes of Older Lesbians and Gay Men

    ERIC Educational Resources Information Center

    Wright, Sara L.; Canetto, Silvia Sara

    2009-01-01

    This study examined stereotypes of older lesbians and gay men. Key findings are that older lesbians and gay men were perceived as similar to older heterosexual women and men with regard to aging stereotypes, such as being judicious. At the same time, sexual minorities were targets of unique stereotypes. Consistent with the implicit inversion…

  6. How To Train Older Workers. [Revised.

    ERIC Educational Resources Information Center

    American Association of Retired Persons, Washington, DC. Work Force Programs Dept.

    This booklet is a practical guide to help employers develop ways to train midcareer and older employees to work to their full potential. Section 1 discusses the older worker advantage. Section 2 focuses on dealing with older workers, the half-life effect, and three common problems that reduce productivity: career burnout, career plateauing, and…

  7. Nutrition Goals for Older Adults: A Review.

    ERIC Educational Resources Information Center

    Horwath, Caroline C.

    1991-01-01

    Discusses specific goals of nutrition education for older adults and high-risk groups within the elderly population through review of three crucial areas: current knowledge of eating patterns, nutrient intake, and supplement use of older adults; existing information on multiple influences on eating habits of older adults; and potential benefits…

  8. Representational momentum in older adults.

    PubMed

    Piotrowski, Andrea S; Jakobson, Lorna S

    2011-10-01

    Humans have a tendency to perceive motion even in static images that simply "imply" movement. This tendency is so strong that our memory for actions depicted in static images is distorted in the direction of implied motion - a phenomenon known as representational momentum (RM). In the present study, we created an RM display depicting a pattern of implied (clockwise) rotation of a rectangle. Young adults viewers' memory of the final position of the test rectangle was biased in the direction of continuing rotation, but older adults did not show a similar memory bias. We discuss several possible explanations for this group difference, but argue that the failure of older adults to shown an RM effect most likely reflects age-related changes in areas of the brain involved in processing real and implied motion. Copyright © 2011 Elsevier Inc. All rights reserved.

  9. Older Adults and Food Safety

    MedlinePlus

    ... Administrative Forms Standard Forms Skip Navigation Z7_0Q0619C0JGR010IFST1G5B10H1 Web Content Viewer (JSR 286) Actions ${title} Loading... / Topics / ... Safety / Older Adults and Food Safety Z7_0Q0619C0JGR010IFST1G5B10H3 Web Content Viewer (JSR 286) Actions ${title} Loading... Z7_ ...

  10. Delirium in hospitalized older patients.

    PubMed

    Inouye, S K

    1998-11-01

    Delirium is a common, serious problem for hospitalized older patients. Recognition of delirium poses challenges requiring cognitive assessment and knowledge of the clinical course. Delirium often is of multiple causes and is associated with a poor long-term prognosis. Nonpharmacologic approaches for delirium management are recommended; pharmacologic management should be reserved for patients who pose a danger to themselves or others. Importantly, delirium and its complications may be preventable through a targeted risk factor approach.

  11. Sexuality in Nigerian older adults

    PubMed Central

    Olatayo, Adeoti Adekunle; Kubwa, Ojo Osaze; Adekunle, Ajayi Ebenezer

    2015-01-01

    Introduction Oftentimes the older adults are assumed to be asexual as few studies explore into the sexuality of this age group worldwide and even in Nigeria. It is an important aspect of quality of life which is often neglected by people in this age group, attending physicians and the society as a whole. The study was aimed at determining the perception of older adults about sexuality, identify the factors that could militate against sexuality and fill any void in information in this regard. Methods Descriptive study conducted in one hundred older adults. A semi-structured questionnaire was administered to consenting participants between 1st of September 2013 and 31st of March 2014. Results Mean age of respondents was 66.42± 5.77 years. Seventy-eight percent of the male respondents considered engaging in sexual activity as safe compared to 45.8% of the female respondents. More of the women (33.3%) regarded sexuality in the older adults as a taboo when compared to the men (5.4%). However, the men were more favourably disposed to discussing sexual problems than the women with their spouses (42% vs 20%) and Physicians (23.2% vs 0.0%). Major factors responsible for sexual inactivity were participants’ medical ailments (65%), partners’ failing health (15%) as well as anxiety about sexual performance (25%) in the men and dyspareunia (25%) in women. Conclusion There is an urgent need to correct the misconception about sexuality in this age group especially among the women and for the physicians to explore the sexual history of every patient. PMID:26977224

  12. Sexuality in Nigerian older adults.

    PubMed

    Olatayo, Adeoti Adekunle; Kubwa, Ojo Osaze; Adekunle, Ajayi Ebenezer

    2015-01-01

    Oftentimes the older adults are assumed to be asexual as few studies explore into the sexuality of this age group worldwide and even in Nigeria. It is an important aspect of quality of life which is often neglected by people in this age group, attending physicians and the society as a whole. The study was aimed at determining the perception of older adults about sexuality, identify the factors that could militate against sexuality and fill any void in information in this regard. Descriptive study conducted in one hundred older adults. A semi-structured questionnaire was administered to consenting participants between 1(st) of September 2013 and 31(st) of March 2014. Mean age of respondents was 66.42 ± 5.77 years. Seventy-eight percent of the male respondents considered engaging in sexual activity as safe compared to 45.8% of the female respondents. More of the women (33.3%) regarded sexuality in the older adults as a taboo when compared to the men (5.4%). However, the men were more favourably disposed to discussing sexual problems than the women with their spouses (42% vs 20%) and Physicians (23.2% vs 0.0%). Major factors responsible for sexual inactivity were participants' medical ailments (65%), partners' failing health (15%) as well as anxiety about sexual performance (25%) in the men and dyspareunia (25%) in women. There is an urgent need to correct the misconception about sexuality in this age group especially among the women and for the physicians to explore the sexual history of every patient.

  13. Anxiety disorders and older women.

    PubMed

    Weissman, Jay; Levine, Stephen R

    2007-01-01

    Anxiety is a problem for millions of Americans. It poses special challenges for women as they grow into advanced age. This paper provides a general overview of anxiety disorders, including panic disorder, agoraphobia, specific phobia, social phobia, obsessive compulsive disorder, and generalized anxiety disorder. Etiology, assessment and treatment strategies are then addressed. Special focus is directed at biological and psychosocial issues as they relate to older women in the development, experience, treatment and prevention of anxiety disorders.

  14. The older woman's body image.

    PubMed

    Price, Bob

    2010-02-01

    Body image is an important concept that has a significant effect on a person's self-esteem and self-confidence. Appreciating how the older body is perceived by a woman is an important first step to understanding how nurses might support patient dignity. This article reviews the latest literature on ageing and body image and suggests practical dialogues that nurses and patients can share.

  15. Heart Failure in Older Adults.

    PubMed

    Butrous, Hoda; Hummel, Scott L

    2016-09-01

    Heart failure (HF) is a leading cause of morbidity, hospitalization, and mortality in older adults and a growing public health problem placing a huge financial burden on the health care system. Many challenges exist in the assessment and management of HF in geriatric patients, who often have coexisting multimorbidity, polypharmacy, cognitive impairment, and frailty. These complex "geriatric domains" greatly affect physical and functional status as well as long-term clinical outcomes. Geriatric patients have been under-represented in major HF clinical trials. Nonetheless, available data suggest that guideline-based medical and device therapies improve morbidity and mortality. Nonpharmacologic strategies, such as exercise training and dietary interventions, are an active area of research. Targeted geriatric evaluation, including functional and cognitive assessment, can improve risk stratification and guide management in older patients with HF. Clinical trials that enroll older patients with multiple morbidities and HF and evaluate functional status and quality of life in addition to mortality and cardiovascular morbidity should be encouraged to guide management of this age group.

  16. Exercise Prescriptions in Older Adults.

    PubMed

    Lee, Pearl Guozhu; Jackson, Elizabeth A; Richardson, Caroline R

    2017-04-01

    Regular physical activity and exercise are important for healthy aging and are beneficial for chronic disease management. Exercise prescriptions for older adults should account for the individual's health status and functional capacity. Any amount of exercise is better than being sedentary, even if health status prevents a person from achieving recommended goals. For most health outcomes, more benefits occur with physical activity performed at higher intensity, greater frequency, or longer duration. Guidelines recommend at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity and at least two days of muscle-strengthening activities per week. Key components of the prescription include setting achievable activity goals, identifying barriers and providing potential solutions, and providing specific recommendations on the type, frequency, and intensity of activities. Older adults will derive distinct benefits from aerobic exercise, strength or resistance training, flexibility or stretching exercises, and balance training. Many community resources are available to help older adults begin a more active lifestyle.

  17. Nutrition of the older athlete.

    PubMed

    Rock, C L

    1991-04-01

    Nutritional needs and dietary goals of the older athlete involve meeting basic physiologic requirements of aging and exercise, promoting weight control, and incorporating guidelines for reducing the risk of chronic disease. Conservative dietary approaches to weight loss in the obese patient and a high-carbohydrate diet for maximum exercise performance are sound approaches, although diets often need to be individualized. Recent dietary recommendations to reduce fat and increase fiber can be applied without risk of compromising nutritional status for most patients. Guidance away from extremes in caloric restriction and in the distribution of calories may help to promote health and the maintenance of exercise activities. Although requirements for certain micronutrients are affected by aging, vitamin and mineral supplements are unlikely to be necessary for healthy adults and should meet basic criteria for safety if they are prescribed. Diet sources of calcium may require attention, although iron requirements are reduced among postmenopausal women when compared with younger athletes. Adequate fluid replacement is essential for athletes of all ages. For the older athlete who is competing in high-intensity endurance exercise, evidence for the usefulness of 4% to 10% carbohydrate-containing sports drinks exists. Little evidence supports the use of ergogenic aids, such as supplements and unusual food products. Resources and personalized guidance from a registered dietitian can be helpful for many older athletes.

  18. Integrating healthcare for older populations.

    PubMed

    Boult, C; Pacala, J T

    1999-01-01

    The complex array of needs posed by older adults has frequently produced fragmentation of care in traditional fee-for-service systems. Integration of care components in newer health systems will maximize patient benefits and organizational efficiency. This article outlines the major issues involved in integration of care for older populations. A health system must integrate its care of older adults in many ways: among providers, both in primary care and specialty services; with community-based sources of care; and across sites of care (clinic, hospital, emergency department, and nursing home). Integrating reimbursement structures for various services will serve to create a client-oriented system, as opposed to a finance-centered system, thereby enhancing coordination of care. The extent to which two experimental comprehensive systems, PACE (Program of All-inclusive Care of the Elderly) and SHMO II (Social Health Maintenance Organization), have achieved clinical and financial integration are discussed in detail. Healthcare organizations are encouraged to create integrated models of care and to study the effects of integration on patient outcomes.

  19. [Substance abuse in older adults].

    PubMed

    Bitar, Raoul; Dürsteler, Kenneth M; Rösner, Susanne; Grosshans, Martin; Herdener, Marcus; Mutschler, Jochen

    2014-09-03

    In respect of demographic change, the number of older patients with substance abuse and addiction is on the raise. In this review we present important clinical and therapeutic aspects of substance abuse and addiction in the elderly and focus on alcohol, benzodiazepines and opioids. Daily and risky alcohol consumption is common among older people. They also have an increased risk getting alcohol-related complications. For early detection, laboratory parameters and questionnaires such as the AUDIT-C are suitable. Therapeutically brief interventions have been proved successful. Also, abuse of benzodiazepines, especially low-dose addiction, is widespread among older persons, although often overlooked, and patients often do not recognize their addiction. The physician has to know the correct indication, adequate dosage and pharmacological interactions. A slow-dose reduction is recommended in case of addiction. Thanks to opioid substitution therapy, patients with an opioidaddiction can reach a higher age. Age influences the effects of the substitute, which may require an adjustment of the dosage. Treatment of elderly patients should be based on their needs and resources and is usually very effective.

  20. Eating disorders in older women.

    PubMed

    Podfigurna-Stopa, Agnieszka; Czyzyk, Adam; Katulski, Krzysztof; Smolarczyk, Roman; Grymowicz, Monika; Maciejewska-Jeske, Marzena; Meczekalski, Blazej

    2015-10-01

    Eating disorders (EDs) are disturbances that seriously endanger the physical health and often the lives of sufferers and affect their psychosocial functioning. EDs are usually thought of as problems afflicting teenagers. However, the incidence in older women has increased in recent decades. These cases may represent either late-onset disease or, more likely, a continuation of a lifelong disorder. The DSM-5 classification differentiates 4 categories of eating disorder: anorexia nervosa, bulimia nervosa, binge-eating disorders and other specified feeding and eating disorders. The weight loss and malnutrition resulting from EDs have widespread negative consequences for physical, mental and social health. The main risk factors for developing long-term consequences are the degree of weight loss and the chronicity of the illness. Most of the cardiac, neurological, pulmonary, gastric, haematological and dermatological complications of EDs are reversible with weight restoration. EDs are serious illnesses and they should never be neglected or treated only as a manifestation of the fashion for dieting or a woman's wish to achieve an imposed standard feminine figure. Additionally, EDs are associated with high risk of morbidity and mortality. The literature concerning EDs in older, postmenopausal women is very limited. The main aim of this paper is to ascertain the epidemiology and prognosis of EDs in older women, and to review their diagnosis and management. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  1. Rehabilitation of older cancer patients.

    PubMed

    Balducci, Lodovico; Fossa, Sophia Dorothe

    2013-02-01

    Cancer is a disease of aging. With the aging of the population and the improved survival of cancer patients, rehabilitation of older cancer survival is an increasingly common problem. Age may be constructed as a progressive reduction in functional reserve of multiple organ systems leading to decreased life expectancy and reduced stress tolerance. Physiologic age may be different from chronologic age and is best assessed with a comprehensive geriatric assessment (CGA). The goals of cancer treatment in the older aged person include prolongation of active life expectancy that is prevention of functional dependence. Cancer and cancer treatment may accelerate physiologic aging. Rehabilitation is especially necessary in the case of curable malignancies or malignancies for which a prolonged survival is likely. Long-term complications of cancer treatment that may compromise life expectancy and functional independence include fatigue cognitive decline and peripheral neuropathy. This paper reviews the risk factors and the management of these complications. The number of older cancer survivors is expected to increase with the aging of the population. Prevention and management of fatigue, cognitive decline and peripheral neuropathy appear as the most important issue to prolong the active life expectancies of these individuals.

  2. Promoting mobility in older people.

    PubMed

    Rantanen, Taina

    2013-01-01

    Out-of-home mobility is necessary for accessing commodities, making use of neighborhood facilities, and participation in meaningful social, cultural, and physical activities. Mobility also promotes healthy aging as it relates to the basic human need of physical movement. Mobility is typically assessed either with standardized performance-based tests or with self-reports of perceived difficulty in carrying out specific mobility tasks. Mobility declines with increasing age, and the most complex and demanding tasks are affected first. Sometimes people cope with declining functional capacity by making changes in their way or frequency of doing these tasks, thus avoiding facing manifest difficulties. From the physiological point of view, walking is an integrated result of the functioning of the musculoskeletal, cardio-respiratory, sensory and neural systems. Studies have shown that interventions aiming to increase muscle strength will also improve mobility. Physical activity counseling, an educational intervention aiming to increase physical activity, may also prevent mobility decline among older people. Sensory deficits, such as poor vision and hearing may increase the risk of mobility decline. Consequently, rehabilitation of sensory functions may prevent falls and decline in mobility. To promote mobility, it is not enough to target only individuals because environmental barriers to mobility may also accelerate mobility decline among older people. Communities need to promote the accessibility of physical environments while also trying to minimize negative or stereotypic attitudes toward the physical activity of older people.

  3. Cochlear Implantation in Older Adults

    PubMed Central

    Lin, Frank R.; Chien, Wade W.; Li, Lingsheng; Niparko, John K.; Francis, Howard W.

    2012-01-01

    Cochlear implants allow individuals with severe-to-profound hearing loss access to sound and spoken language. The number of older adults in the United States who are potential candidates for cochlear implantation is approximately 150,000 and will continue to increase with the aging of the population. Should cochlear implantation (CI) be routinely recommended for these older adults, and do these individuals benefit from CI? We reviewed our 12 year experience with cochlear implantation in adults ≥60 years (n = 445) at Johns Hopkins to investigate the impact of CI on speech understanding and to identify factors associated with speech performance. Complete data on speech outcomes at baseline and 1 year post-CI were available for 83 individuals. Our results demonstrate that cochlear implantation in adults ≥60 years consistently improved speech understanding scores with a mean increase of 60. 0% (S. D. 24. 1) on HINT sentences in quiet . The magnitude of the gain in speech scores was negatively associated with age at implantation such that for every increasing year of age at CI the gain in speech scores was 1. 3 percentage points less (95% CI: 0. 6 – 1. 9) after adjusting for age at hearing loss onset. Conversely, individuals with higher pre-CI speech scores (HINT scores between 40–60%) had significantly greater post-CI speech scores by a mean of 10. 0 percentage points (95% CI: 0. 4 – 19. 6) than those with lower pre-CI speech scores (HINT <40%) after adjusting for age at CI and age at hearing loss onset. These results suggest that older adult CI candidates who are younger at implantation and with higher preoperative speech scores obtain the highest speech understanding scores after cochlear implantation with possible implications for current Medicare policy. Finally, we provide an extended discussion of the epidemiology and impact of hearing loss in older adults. Future research of CI in older adults should expand beyond simple speech outcomes to take into

  4. Cochlear implantation in older adults.

    PubMed

    Lin, Frank R; Chien, Wade W; Li, Lingsheng; Clarrett, Danisa M; Niparko, John K; Francis, Howard W

    2012-09-01

    Cochlear implants allow individuals with severe to profound hearing loss access to sound and spoken language. The number of older adults in the United States who are potential candidates for cochlear implantation (CI) is approximately 150,000 and will continue to increase with the aging of the population. Should CI be routinely recommended for these older adults, and do these individuals benefit from CI? We reviewed our 12-year experience with CI in adults aged ≥60 years (n = 445) at Johns Hopkins Medical Institutions to investigate the impact of CI on speech understanding and to identify factors associated with speech performance. Complete data on speech outcomes at baseline and 1 year post-CI were available for 83 individuals. Our results demonstrate that CI in adults aged ≥60 years consistently improved speech understanding scores, with a mean increase of 60.0% (SD 24.1) on HINT (Hearing in Noise Test) sentences in quiet. The magnitude of the gain in speech scores was negatively associated with age at implantation, such that for every increasing year of age at CI the gain in speech scores was 1.3 percentage points less (95% confidence interval [95% CI], 0.6-1.9) after adjusting for age at hearing loss onset. Conversely, individuals with higher pre-CI speech scores (HINT scores between 40% and 60%) had significantly greater post-CI speech scores by a mean of 10.0 percentage points (95% CI, 0.4-19.6) than those with lower pre-CI speech scores (HINT <40%) after adjusting for age at CI and age at hearing loss onset. These results suggest that older adult CI candidates who are younger at implantation and with higher preoperative speech scores obtain the highest speech understanding scores after CI, with possible implications for current United States Medicare policy. Finally, we provide an extended discussion of the epidemiology and impact of hearing loss in older adults. Future research of CI in older adults should expand beyond simple speech outcomes to take

  5. Sexual Homicide by Older Male Offenders.

    PubMed

    Myers, Wade C; Chan, Heng Choon Oliver; Mariano, Timothy Y; Safarik, Mark E; Geberth, Vernon J

    2017-07-01

    Recent research has expanded our understanding of sexual homicide offenders (SHOs). However, little exists beyond case reports for older SHOs. We characterized male SHOs ≥ 55 years, comparing them to typical adult male SHOs who are in their 20s. Analysis of 37 years (1976-2012) of US Supplementary Homicide Reports data provided a large SHO sample (N = 3453). Three case reports provide clinical context for the diverse nature and patterns of older SHOs. Only 32 older male SHOs and no older female SHOs were identified. Murders by older SHOs accounted for only 0.5% of US sexual homicides. Unlike typical SHOs that generally target young adult females, over two-thirds of older SHO victims were ≥40 years, and one-third were ≥55 years. Sexual homicides by older SHOs, like sexual homicide in general, decreased over the study period. These crimes, while exceedingly rare, do occur, warranting special consideration. © 2017 American Academy of Forensic Sciences.

  6. Both young and older adults discount suggestions from older adults on a social memory test.

    PubMed

    Davis, Sara D; Meade, Michelle L

    2013-08-01

    In the present study, we examined the impacts of participant age and confederate age on social memory processes. During a collaborative recall phase, young and older adult participants were exposed to the erroneous memory reports of a young or an older adult confederate. On a subsequent individual recall test, young and older adult participants were equally likely to incorporate the confederates' erroneous suggestions into their memory reports, suggesting that participant age had a minimal effect on social memory processes. However, confederate age did have a marked effect: Young adult participants were less likely to incorporate misleading suggestions from older adult confederates and less likely to report "remembering" items suggested by older adult confederates. Critically, older adult participants were also less likely to incorporate misleading information from fellow older adult confederates. Both young and older adult participants discounted older adult confederates' contributions to a memory test.

  7. Pneumococcal colonization in older adults.

    PubMed

    Esposito, Susanna; Mari, Daniela; Bergamaschini, Luigi; Orenti, Annalisa; Terranova, Leonardo; Ruggiero, Luca; Ierardi, Valentina; Gambino, Monia; Croce, Francesco Della; Principi, Nicola

    2016-01-01

    Little is known about pneumococcal carrier states in older adults. The main aim of this study was to evaluate pneumococcal colonization patterns among older adults in two centres in Milan, Italy, before the widespread use of the 13-valent pneumococcal vaccine (PCV13) in this age group, to investigate demographic and clinical features that are associated with pneumococcal colonization and to estimate the potential coverage offered by PCV13. Among 417 adults ≥65 years old (171, 41.1 %, ≥75 years), 41 (9.8 %) were pneumococcal carriers. Univariate and multivariate analyses revealed that pneumococcal colonization was significantly less common among individuals with underlying co-morbidities than among those without (odds ratio [OR] 0.453, 95 % confidence interval [CI] 0.235-0.875, p = 0.018; adjusted OR 0.503, 95 % CI 0.255-0.992, p = 0.047). Moreover, among these patients, those with cardiac disease had a significantly lower risk of colonization (OR 0.308, 95 % CI 0.119-0.795, p = 0.015; adjusted OR 0.341, 95 % CI 0.13-0.894, p = 0.029). Only one vaccinated subject who received 23-valent polysaccharide pneumococcal vaccine (PPV23) was colonized. Twenty-five (89.3 %) of the subjects who were <75 years old and 9 (75.0 %) of those who were ≥75 years old were colonized by at least one of the serotypes that is included in PCV13, with serotype 19 F being the most common. Respiratory allergies as well as overall co-morbidities were more common in subjects who were positive for only non-PCV13 serotypes compared with negative subjects and those who were carriers of only PCV13 serotypes. Although this study included a relatively small number of subjects and has been performed in a limited geographic setting, results showed that pneumococcal colonization in older people is common, and the monitoring of carriers can offer useful information about the circulation of this pathogen among older people and the potential protective effect of

  8. Changing medical students' attitudes toward older adults.

    PubMed

    Gonzales, Ernest; Morrow-Howell, Nancy; Gilbert, Pat

    2010-01-01

    Given the growth in the number of older adults and the ageist attitudes many in the health care profession hold, interventions aimed at improving health professionals' attitudes toward older adults are imperative. Vital Visionaries is an intergenerational art program designed to improve medical students' attitudes toward older adults. Participants met for four 2-hour sessions at local art museums to create and discuss art. Three hundred and twenty-eight individuals (112 treatment group, 96 comparison, 120 older adults) in eight cities participated in the program and evaluation. Participants completed pre-and postsurveys that captured their attitude toward older adults, perception of commonality with older adults, and career plans. Findings suggest that medical students' attitudes toward old adults were positive at pretest. However, Vital Visionary students became more positive in their attitudes toward older adults at posttest (p < .001), with a moderate effect size, G = .60, and they felt they had more in common with older adults at posttest (p < .001), with a moderate effect size, G = .64. The program did not influence their career plans (p = .35). Findings from this demonstration project suggest that socializing medical students with healthy older adults through art programs can foster positive attitudes and enhance their sense of commonality with older adults.

  9. Underactive Bladder in Older Adults.

    PubMed

    Chuang, Yao-Chi; Plata, Mauricio; Lamb, Laura E; Chancellor, Michael B

    2015-11-01

    Overactive bladder is one of the most common bladder problems, but an estimated 20 million Americans have underactive bladder (UAB), which makes going to the bathroom difficult, increases the risk of urinary tract infections, and even leads to institutionalization. This article provides an overview of UAB in older adults, and discusses the prevalence, predisposing factors, cause, clinical investigations, and treatments. At present, there is no effective therapy for UAB. A great deal of work still needs to be done on understanding the pathogenesis and the development of effective therapies.

  10. Coping with Social Change: Programs That Work. Proceedings of a Conference (Acapulco, Mexico, June 1989) = Como enfrentarse al cambio social: programas eficaces. Actas de uno Conferencia (Acapulco, Mexico, Junio de 1989).

    ERIC Educational Resources Information Center

    Hoskins, Irene, Ed.

    Written in English and Spanish, this document contains the proceedings of the 14th International Congress of Gerontology on concerns about the impact of rapid social change on the well-being of older women and families in Latin American and the Caribbean and about effective programs that address the needs of the older populations. The first…

  11. Sarcopenia, Frailty, and Diabetes in Older Adults

    PubMed Central

    2016-01-01

    Populations are aging and the prevalence of diabetes mellitus is increasing tremendously. The number of older people with diabetes is increasing unexpectedly. Aging and diabetes are both risk factors for functional disability. Thus, increasing numbers of frail or disabled older patients with diabetes will increase both direct and indirect health-related costs. Diabetes has been reported as an important risk factor of developing physical disability in older adults. Older people with diabetes have lower muscle mass and weaker muscle strength. In addition, muscle quality is poorer in diabetic patients. Sarcopenia and frailty have a common soil and may share a similar pathway for multiple pathologic processes in older people. Sarcopenia is thought to be an intermediate step in the development of frailty in patients with diabetes. Thus, early detection of sarcopenia and frailty in older adults with diabetes should be routine clinical practice to prevent frailty or to intervene earlier in frail patients. PMID:27098509

  12. Cognitive health and older workers: policy implications.

    PubMed

    Melillo, Karen Devereaux

    2013-06-01

    Cognitive health, memory complaints, and cognitive impairment among older workers have begun to receive attention in the research, practice, education, and policy arenas. With the aging population of the United States continuing to increase, projections are that the number of workers 65 and older is also expected to increase. Concerns regarding cognitive impairment and job performance in older workers are being raised. Being familiar with the policies and regulations that protect older workers and offering support and guidance to older adults as they contemplate major life transitions, such as retirement, are important role components for gerontological nurses. Using the five levels of analysis in the social ecology model, selected public policies to support older adults in the workforce are reviewed, and recommendations are presented for fostering positive workplace policies that can promote cognitive health. Copyright 2013, SLACK Incorporated.

  13. Why do older RNs keep working?

    PubMed

    Graham, Elizabeth; Donoghue, Judith; Duffield, Christine; Griffiths, Rhonda; Bichel-Findlay, Jen; Dimitrelis, Sofia

    2014-11-01

    To identify the reasons older RNs (≥45 years) remain in the healthcare workforce. Despite predictions of early retirements of older nurses, many continue to work past the age when they can gain access to their retirement funds. The authors surveyed nurses older than 45 years in New South Wales, Australia. The need for income was the most common reason for staying in nursing (61.9%; n = 210), with nearly 43% (n = 130) identifying this as the main reason for staying. Retaining older nurses in the workforce is an important strategy for managing workforce shortages. Nurse executives will need to consider strategies that will enhance retention of older nurses and focus on the reasons older nurses want to keep working.

  14. Cycling strategies of young and older cyclists.

    PubMed

    Bulsink, Vera E; Kiewiet, Hielke; van de Belt, Dorien; Bonnema, G Maarten; Koopman, Bart

    2016-04-01

    This study concentrates on the cycling strategies of older cyclists (54-62year olds) in comparison to young cyclists (20-30year olds). While cycling in a safe laboratory set-up, controlled lateral perturbations are applied to the rear of the bicycle. Three possible strategies to keep balance are analysed for a young and older aged group: steering, lateral trunk movement and outward knee movement. Older subjects appear to rely more on knee movement as a control mechanism than young subjects. Furthermore, the frequency domain analysis revealed that the older adults need more effort to counteract high frequency perturbations. Increased inter-individual variation for the older adults subject group suggests that this group can be seen as a transition group in terms of physical fitness. This explains their increased risk in single-sided bicycle accidents (i.e. accidents involving the cyclist only). Therefore, older cyclists could benefit from improving the stability of cycling at lower speeds.

  15. Cancer Screening in Older Patients.

    PubMed

    Salzman, Brooke; Beldowski, Kathryn; de la Paz, Amanda

    2016-04-15

    Although cancer is the second leading cause of death among persons 65 years and older, there is a paucity of clinical trial data about the effectiveness and harms of cancer screening in this population. Given the heterogeneous nature of the older population, cancer screening in these patients should not be based on age alone. Studies suggest that a life expectancy of at least 10 years is necessary to derive a survival benefit from screening for breast and colorectal cancers; therefore, screening for these cancers is not recommended in those with a life expectancy of less than 10 years. Prostate cancer screening, if performed at all, should not be performed after 69 years of age. Cervical cancer screening may be stopped after 65 years of age if the patient has an adequate history of negative screening results. An individualized approach to cancer screening decisions involves estimating life expectancy, determining the potential benefits and harms of screenings, and weighing those benefits and harms in relation to the patient's values and preferences.

  16. Health in older women athletes.

    PubMed

    Meczekalski, Blazej; Katulski, Krzysztof; Czyzyk, Adam; Podfigurna-Stopa, Agnieszka

    2014-12-01

    Physical activity has been identified as a protective factor against a wide spectrum of diseases, but little is known about the link between older women's health and their professional involvement in sport in the past. The aim of this narrative review is to characterize and summarize the available data concerning the influence of physical activity on morbidity and mortality in former female athletes. Concerning bone health, it seems that physical activity in the past can be protective against osteoporosis in postmenopausal women, but these data come from observational studies only. Also the cardiovascular system appears to benefit in older women from regular sport in the past. This refers mainly to better heart efficiency, and improved endothelial function and metabolic profile. The incidence of different types of neoplasms, especially breast cancer, is also decreased in former athletes. Professional sport, on the other hand, acts negatively on the pelvic floor and is a risk factor for urinary incontinence. The overall effect on mortality is difficult to assess, because of many parameters, such as the sport's intensity, variety of the sport and exposure to extreme danger in some disciplines. Also, caution should be kept in interpretation of the data because of the shortage of well-designed studies. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  17. Older Norwegians' understanding of loneliness

    PubMed Central

    Hauge, Solveig; Kirkevold, Marit

    2010-01-01

    This interpretive study explored older people's understanding of loneliness and what they considered appropriate and effective ways of dealing with it. Thirty elderly people were interviewed in-depth; 12 described themselves as “lonely” and 18 as “not lonely.” We found a striking difference in the way “lonely” and “not lonely” people talked about loneliness. The “not lonely” participants described loneliness as painful, caused by the person's negative way of behaving and a state they should pull themselves out of. The “lonely” participants also described loneliness as painful, and gave more detailed descriptions of loneliness as disconnection from others, from their former home and from today's society. The “lonely” participants were more reserved and subdued in trying to explain loneliness, attributing it partly to themselves, but mostly to the lack of social contact with important others. Some felt able to handle their loneliness, while others felt unable to cope. This study underlines the importance of subjective experiences in trying to understand a phenomenon like loneliness and of developing support for lonely older people unable to cope on their own. PMID:20640024

  18. Prescription use disorders in older adults.

    PubMed

    Kalapatapu, Raj K; Sullivan, Maria A

    2010-01-01

    The number of older adults needing substance abuse treatment is projected to rise significantly in the next few decades. This paper will focus on the epidemic of prescription use disorders in older adults. Particular vulnerabilities of older adults to addiction will be considered. Specifically, the prevalence and patterns of use of opioids, stimulants, and benzodiazepines will be explored, including the effects of these substances on morbidity and mortality. Treatment intervention strategies will be briefly discussed, and areas for future research are suggested.

  19. Abuse of older persons: an overview.

    PubMed

    Wieland, D

    2000-07-01

    As demographics in the United States indicate that by 2050 older persons will constitute one-fourth of the population, statistics indicating abuse of older persons will also increase. As a serious social problem, nurses will need to assess and intervene with families where this type of family violence occurs. The types of abuse of older persons include physical, psychological, sexual, and financial abuse; neglect, self-neglect; and other types such as violation of rights, denial of privacy, and denial of participation in decision making. This article examines types of abuse, who is at risk, identifying characteristics of abusers, and nursing assessment and nursing interventions related to abuse of older persons.

  20. Pulmonary issues in the older adult.

    PubMed

    Frederick, Delia E

    2014-03-01

    This article elicits why critical care nurses need to become aware of the pulmonary issues of older adults. The population of older adults is increasing. Older adults undergo anatomic and physiologic changes of the protective mechanisms of the pulmonary system. These changes alter the rate and effort of breathing. Speech is slowed because of expiratory strength effort. Cognition changes may be the only indication of impaired oxygenation. Bedside nursing care provides protection from pulmonary complications. Health behaviors of smoking cessation, oral hygiene, and exercise promote pulmonary health even in older adults.

  1. Polypharmacy and Medication Management in Older Adults.

    PubMed

    Kim, Jennifer; Parish, Abby Luck

    2017-09-01

    Polypharmacy in older adults is a global problem that has recently worsened. Approximately 30% of adults aged 65 years and older in developed countries take 5 or more medications. Although prescribed and over-the-counter medications may improve a wide range of health problems, they also may cause or contribute to harm, especially in older adults. Polypharmacy in older adults is associated with worsening of geriatric syndromes and adverse drug events. Given the risks and burdens of polypharmacy and potentially inappropriate medications, nurses must use patient-centered approaches and nonpharmacologic strategies to treat common symptoms and to optimize patient function and quality of life. Published by Elsevier Inc.

  2. Smiling makes you look older.

    PubMed

    Ganel, Tzvi

    2015-12-01

    People smile in social interactions to convey different types of nonverbal communication. However, smiling can potentially change the way a person is perceived along different facial dimensions, including perceived age. It is commonly assumed that smiling faces are perceived as younger than faces carrying a neutral expression. In the series of experiments reported here, I describe an unintuitive and robust effect in the opposite direction. Across different experimental conditions and stimulus sets, smiling faces were consistently perceived as older compared to neutral face photos of the same persons. I suggest that this effect is due to observer failure to ignore smile-associated wrinkles, mainly along the region of the eyes. These findings point to a misconception regarding the relationship between facial smile and perceived age and shed new light on the processes underlying human age perception.

  3. [Functional decline in older people].

    PubMed

    Wada, Taizo

    2013-10-01

    World Health Organization(WHO) proposed to be used as an index of the health of elderly independence of functioning. Basic activities of daily living (BADL), such as bathing, dressing, toileting, transferring, continence, and feeding are well known as the functioning of the elderly. However, not only BADL, there are a variety of levels, such as the ability to play a social role, intellectual activities and instrumental activities of daily living (IADL), which are components of the Tokyo Metropolitan Institute of Gerontology Index of Competence(TMIG-IC). Functional decline in older people is associated with age, gender, depression, up and go test and manual dexterity. Smoking, body-mass index, and exercise patterns in midlife and late adulthood are predictors of subsequent disability.

  4. Antipsychotic prescribing in older people.

    PubMed

    Neil, Wendy; Curran, Stephen; Wattis, John

    2003-09-01

    older people. There is a need to redress this balance to ensure that the prescribing of antipsychotics in older people is evidence based.

  5. Older Women: An Overlooked Resource in Development.

    ERIC Educational Resources Information Center

    Gibson, Mary Jo

    1986-01-01

    This article provides an overview of the contributions made by older women to social and economic development in the Third World, as well as how the forces of modernization are affecting their roles and status in society. Discusses the definition of "older woman," labor force participation, income, and family roles. (CT)

  6. Health Contract with Sedentary Older Adults

    ERIC Educational Resources Information Center

    Haber, David; Rhodes, Darson

    2004-01-01

    Purpose: Health educators used health contracts with sedentary older adults for the purpose of increasing exercise or physical activity. Design and Methods: Two health educators helped 25 sedentary older adults complete health contracts, and then they conducted follow-up evaluations. The percentage of scheduled exercise sessions successfully…

  7. Exploring Older Adults' Health Information Seeking Behaviors

    ERIC Educational Resources Information Center

    Manafo, Elizabeth; Wong, Sharon

    2012-01-01

    Objective: To explore older adults' (55-70 years) health information-seeking behaviors. Methods: Using a qualitative methodology, based on grounded theory, data were collected using in-depth interviews. Participants were community-living, older adults in Toronto, Canada who independently seek nutrition and health information. Interview transcripts…

  8. How To Manage Older Workers. [Revised.

    ERIC Educational Resources Information Center

    American Association of Retired Persons, Washington, DC. Work Force Programs Dept.

    This publication focuses on the challenges to management of dealing with older workers. Section 1 addresses motivating older workers who may perceive that their opportunities for promotion and increased earnings are limited. Six principles to guide this motivation are discussed: needs can be powerful motivators; to motivate, link need satisfaction…

  9. Assessing Oral Hygiene in Hospitalized Older Veterans.

    PubMed

    Jennings, Andrea

    2015-01-01

    Poor oral health for all older adults can result in higher risk for heart disease, stroke, diabetes, and oral cancer. Findings from this study indicated older veterans needed to improve their oral hygiene habits but barriers to oral hygiene performance prevented them from receiving and performing oral hygiene measures.

  10. Changing Students' Stereotypes of Older Adults

    ERIC Educational Resources Information Center

    Wurtele, Sandy K.; Maruyama, LaRae

    2013-01-01

    Research suggests that university students tend to hold negative attitudes about older adults. However, there is some evidence to suggest that these ageist attitudes can be challenged and changed through curricular intervention. The current study was designed to determine whether the "Activities of Older Adults" exercise as part of a…

  11. Labor Force Participation of Older College Graduates.

    ERIC Educational Resources Information Center

    Henderson, Cathy

    1994-01-01

    A profile of older college graduates can be constructed from special tabulations provided by the National Center for Education Statistics' 1989-90 Recent College Graduate Survey. Findings indicate the following: one in six bachelor's degree recipients was 30 years old or older; four in five were interested in further education; professional fields…

  12. Older Worker Attitudes toward Phased Retirement Options.

    ERIC Educational Resources Information Center

    Montgomery, Douglas G.; And Others

    Older workers face many obstacles to working after age 65. This situation is causing significant problems for the social security system. In light of previous findings that many older workers prefer part-time employment, an intensive study was conducted of the policies of one company and its employees' attitudes. Participants expected to retire at…

  13. Counseling Older Persons: Careers, Retirement, Dying.

    ERIC Educational Resources Information Center

    Sinick, Daniel

    The focus of this monograph is on three areas of counseling with older clients: career counseling, retirement counseling, and counseling regarding death and dying. The portion on career counseling includes reasons older persons change careers, obstacles they are likely to face when seeking employment, myths surrounding the employability of older…

  14. Modified MyPyramid for Older Adults

    USDA-ARS?s Scientific Manuscript database

    In 1999 we proposed a Modified Food Guide Pyramid for 70+ Adults. It has been extensively used in a variety of settings and formats to highlight the unique dietary challenges of older adults. We now propose a Modified MyPyramid for Older Adults in a format consistent with the MyPyramid graphic. I...

  15. Older Adult Women Learners in Transition

    ERIC Educational Resources Information Center

    Wolf, Mary Alice

    2009-01-01

    This chapter examines the potential for personal growth, development, and learning of older adult women who will have many productive years in the workforce. What implications are there for adult education communities who will interact with these older women? How do they adapt to the educational environment, and what social support will enable…

  16. Death, Suicide, and the Older Adult.

    ERIC Educational Resources Information Center

    Kastenbaum, Robert

    1992-01-01

    Notes characteristics of older adults at high risk for suicide (male, living alone, living in low-income transient urban area, depression). Provides converging perspectives on death and suicide from standpoints of external observer and older adult. Interprets statistical pattern and critiques current policy proposals for limiting society's…

  17. Education: A Possibility for Empowering Older Adults

    ERIC Educational Resources Information Center

    Kump, Sonja; Krasovec, Sabina Jelenc

    2007-01-01

    Educating older adults (in the so-called third age) is becoming an increasingly important activity for the elderly, above all because it empowers them, while at the same time reducing their social exclusion. The aim of this paper is to closely examine the actual state of affairs and the education possibilities for older adults in Slovenia. The…

  18. Testimony on Physical Fitness for Older Persons.

    ERIC Educational Resources Information Center

    President's Council on Physical Fitness and Sports, Washington, DC.

    Collected here are fourteen statements on the beneficial effects of physical fitness programs for older persons presented at hearings before the Subcommittee on Aging of the Committee on Labor and Public Welfare, U.S. Senate. Areas discussed include: What research tells us regarding the contribution of exercise to the health of older people;…

  19. Project LOVE (Let Older Volunteers Educate).

    ERIC Educational Resources Information Center

    Powers, Sally; Weinrich, Martin C.

    The effect of contact with older adult volunteers on the attitudes of elementary school students was investigated by twice administering questionnaires to all first-, third-, and fourth-grade students at Chapin Elementary School, Chapin, South Carolina. Teachers first administered the questionnaire before the older adults began volunteer work in…

  20. Student Nurse-Older Person Communication.

    ERIC Educational Resources Information Center

    Tuohy, Dympna

    2003-01-01

    Observations and interviews of eight student nurses in clinical placements with older patients yielded four themes: task- and nontask-related communication, need for verbal and nonverbal communication, communication hindrances and enhancers, and students' approach to communicating with older persons. A person-centered approach to elder care and…

  1. Rethinking Worklife Options for Older Persons.

    ERIC Educational Resources Information Center

    Habib, Jack, Ed.; Nusberg, Charlotte, Ed.

    This volume contains 19 papers that were presented at a conference addressing critical issues related to employment options for older persons. They are arranged in four sections that cover early retirement policies and their implications; older workers of Asia and the Pacific; the impact of technological change on the employment prospects of older…

  2. Older Women: An Overlooked Resource in Development.

    ERIC Educational Resources Information Center

    Gibson, Mary Jo

    1986-01-01

    This article provides an overview of the contributions made by older women to social and economic development in the Third World, as well as how the forces of modernization are affecting their roles and status in society. Discusses the definition of "older woman," labor force participation, income, and family roles. (CT)

  3. Changing Students' Stereotypes of Older Adults

    ERIC Educational Resources Information Center

    Wurtele, Sandy K.; Maruyama, LaRae

    2013-01-01

    Research suggests that university students tend to hold negative attitudes about older adults. However, there is some evidence to suggest that these ageist attitudes can be challenged and changed through curricular intervention. The current study was designed to determine whether the "Activities of Older Adults" exercise as part of a…

  4. Textile Recycling, Convenience, and the Older Adult.

    ERIC Educational Resources Information Center

    Domina, Tanya; Koch, Kathryn

    2001-01-01

    Results of a study to examine the recycling practices and needs of older adults (n=217) indicated that older adults do recycle traditional materials, but need accommodations for physical limitations. They report textile recycling as time consuming and difficult and used donations to religious organizations as their principal means of textile…

  5. Older Adults Have Difficulty in Decoding Sarcasm

    ERIC Educational Resources Information Center

    Phillips, Louise H.; Allen, Roy; Bull, Rebecca; Hering, Alexandra; Kliegel, Matthias; Channon, Shelley

    2015-01-01

    Younger and older adults differ in performance on a range of social-cognitive skills, with older adults having difficulties in decoding nonverbal cues to emotion and intentions. Such skills are likely to be important when deciding whether someone is being sarcastic. In the current study we investigated in a life span sample whether there are…

  6. Older Voters and the 2004 Election

    ERIC Educational Resources Information Center

    Binstock, Robert H.

    2006-01-01

    For several decades, candidates in U.S. presidential election campaigns have articulated policy issues designed to appeal to older Americans. However, exit-poll data have consistently shown that older people have distributed their votes among presidential candidates in roughly the same proportions as the electorate as a whole, favoring the winner…

  7. Nutritional guidelines for older people in Finland.

    PubMed

    Suominen, M H; Jyvakorpi, S K; Pitkala, K H; Finne-Soveri, H; Hakala, P; Mannisto, S; Soini, H; Sarlio-Lahteenkorva, S

    2014-12-01

    Ageing is associated with an increased risk of malnutrition, decreased nutrient intake, unintentional weight loss and sarcopenia, which lead to frailty, functional disabilities and increased mortality. Nutrition combined with exercise is important in supporting older people's health, functional capacity and quality of life. To identify nutritional needs in various groups of older individuals and to present the nutritional guidelines for older people in Finland. A review of the existing literature on older people's nutritional needs and problems. The draft guidelines were written by a multidisciplinary expert panel; they were then revised, based on comments by expert organisations. The guidelines were approved by the National Nutritional Council in Finland. The heterogeneity of the older population is highlighted. The five key guidelines are: 1. The nutritional needs in different age and disability groups should be considered. 2. The nutritional status and food intake of older individuals should be assessed regularly. 3. An adequate intake of energy, protein, fiber, other nutrients and fluids should be guaranteed. 4. The use of a vitamin D supplement (20 μg per day) recommended. 5. The importance of physical activity is highlighted. In addition, weight changes, oral health, constipation, obesity, implementing nutritional care are highlighted. Owing to the impact that good nutrition has on health and well-being in later life, nutrition among older people should be given more attention. These nutritional guidelines are intended to improve the nutrition and nutritional care of the older population.

  8. Bender Gestalt Performance of Normal Older Adults.

    ERIC Educational Resources Information Center

    Lacks, Patricia; Storandt, Martha

    1982-01-01

    Provides normative data on the Bender Gestalt Test (BGT) with a sample of 334 normal older adults. Showed that these older adults do not perform on the BGT in a manner that can be called brain damaged. Use of the cut-off score developed with younger persons appears appropriate. (Author)

  9. Close Friendship Patterns of Older Lesbians.

    ERIC Educational Resources Information Center

    Wolf, Deborah Goleman

    Both research and the gay community opinion have relied primarily on stereotypes in their ignorance of the older lesbian. A preliminary study of the close friendship patterns of older lesbians is underway in San Francisco, where gay community life is more visible than in other cities. Even there, lesbians are more underground than gay men. Most…

  10. Exploring Older Adults' Health Information Seeking Behaviors

    ERIC Educational Resources Information Center

    Manafo, Elizabeth; Wong, Sharon

    2012-01-01

    Objective: To explore older adults' (55-70 years) health information-seeking behaviors. Methods: Using a qualitative methodology, based on grounded theory, data were collected using in-depth interviews. Participants were community-living, older adults in Toronto, Canada who independently seek nutrition and health information. Interview transcripts…

  11. Bender Gestalt Performance of Normal Older Adults.

    ERIC Educational Resources Information Center

    Lacks, Patricia; Storandt, Martha

    1982-01-01

    Provides normative data on the Bender Gestalt Test (BGT) with a sample of 334 normal older adults. Showed that these older adults do not perform on the BGT in a manner that can be called brain damaged. Use of the cut-off score developed with younger persons appears appropriate. (Author)

  12. Learning Choices, Older Australians and Active Ageing

    ERIC Educational Resources Information Center

    Boulton-Lewis, Gillian M.; Buys, Laurie

    2015-01-01

    This paper reports on the findings of qualitative, semistructured interviews conducted with 40 older Australian participants who either did or did not engage in organized learning. Phenomenology was used to guide the interviews and analysis to explore the lived learning experiences and perspectives of these older people. Their experiences of…

  13. 78 FR 26225 - Older Americans Month, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-03

    ...;#0; ] Proclamation 8971 of April 30, 2013 Older Americans Month, 2013 By the President of the United... together to honor older Americans in a special way during the month of May. We carry that tradition forward... the best our country has to offer. This month, we pay tribute to the men and women who raised us,...

  14. Intimate Partner Violence in Older Women

    ERIC Educational Resources Information Center

    Bonomi, Amy E.; Anderson, Melissa L.; Reid, Robert J.; Carrell, David; Fishman, Paul A.; Rivara, Frederick P.; Thompson, Robert S.

    2007-01-01

    Purpose: We describe the prevalence, types, duration, frequency, and severity of intimate partner violence ("partner violence") in older women. Design and Methods: We randomly sampled a total of 370 English-speaking women (65 years of age and older) from a health care system to participate in a cross-sectional telephone interview. Using 5…

  15. Learning Choices, Older Australians and Active Ageing

    ERIC Educational Resources Information Center

    Boulton-Lewis, Gillian M.; Buys, Laurie

    2015-01-01

    This paper reports on the findings of qualitative, semistructured interviews conducted with 40 older Australian participants who either did or did not engage in organized learning. Phenomenology was used to guide the interviews and analysis to explore the lived learning experiences and perspectives of these older people. Their experiences of…

  16. Perceptions of Job Competence in Older Workers.

    ERIC Educational Resources Information Center

    Drew, Benjamin; Waters, Judith

    Although inflation has forced many older persons to find part-time employment or to continue working past their anticipated retirement age, stereotypes of aging may hinder the acceptance of older persons in the workplace. It is particularly important to assess attitudes toward the elderly in a working class population who will first feel the…

  17. Textile Recycling, Convenience, and the Older Adult.

    ERIC Educational Resources Information Center

    Domina, Tanya; Koch, Kathryn

    2001-01-01

    Results of a study to examine the recycling practices and needs of older adults (n=217) indicated that older adults do recycle traditional materials, but need accommodations for physical limitations. They report textile recycling as time consuming and difficult and used donations to religious organizations as their principal means of textile…

  18. Older Adults' Knowledge of Internet Hazards

    ERIC Educational Resources Information Center

    Grimes, Galen A.; Hough, Michelle G.; Mazur, Elizabeth; Signorella, Margaret L.

    2010-01-01

    Older adults are less likely to be using computers and less knowledgeable about Internet security than are younger users. The two groups do not differ on trust of Internet information. The younger group shows no age or gender differences. Within the older group, computer users are more trusting of Internet information, and along with those with…

  19. Older Adults' Acceptance of Information Technology

    ERIC Educational Resources Information Center

    Wang, Lin; Rau, Pei-Luen Patrick; Salvendy, Gavriel

    2011-01-01

    This study investigated variables contributing to older adults' information technology acceptance through a survey, which was used to find factors explaining and predicting older adults' information technology acceptance behaviors. Four factors, including needs satisfaction, perceived usability, support availability, and public acceptance, were…

  20. Cardiopulmonary Resuscitation and Older Adults' Expectations.

    ERIC Educational Resources Information Center

    Godkin, M. Dianne; Toth, Ellen L.

    1994-01-01

    Examined knowledge, attitudes, and opinions of 60 older adults about cardiopulmonary resuscitation (CPR). Most had little or no accurate knowledge of CPR. Knowledge deficits and misconceptions of older adults should be addressed so that they may become informed and active participants in CPR decision-making process. (BF)

  1. Saskatchewan Older Adult Literacy Survey. Final Report.

    ERIC Educational Resources Information Center

    Regina Univ. (Saskatchewan). Univ. Extension. Seniors Education Centre.

    The Saskatchewan Older Adult Literacy Survey involved 16 literacy programs offered by the regional colleges, public libraries, and technical institutes throughout the province of Saskatchewan, Canada. The 2-month survey acquired information for an overview of the current state of older adults and literacy in Saskatchewan through mailed…

  2. Older Adults' Acceptance of Information Technology

    ERIC Educational Resources Information Center

    Wang, Lin; Rau, Pei-Luen Patrick; Salvendy, Gavriel

    2011-01-01

    This study investigated variables contributing to older adults' information technology acceptance through a survey, which was used to find factors explaining and predicting older adults' information technology acceptance behaviors. Four factors, including needs satisfaction, perceived usability, support availability, and public acceptance, were…

  3. Health Status of Older Immigrants to Canada

    ERIC Educational Resources Information Center

    Newbold, K. Bruce; Filice, John K.

    2006-01-01

    Using the 2000/2001 Canadian Community Health Survey (CCHS), this paper examines the health status of the older (aged 55[thorn]) immigrant population relative to that of non-immigrants in order to identify areas where their health statuses diverge. First, we compare the health status of older immigrants (foreign-born) aged 55 and over in Canada to…

  4. Tapping the World of the Older Adult.

    ERIC Educational Resources Information Center

    Wolf, Mary Alice

    Older people grow and develop psychologically; they do not necessarily decline in intellectual functioning; and they are capable of learning and enriching their own lives and the lives of others with their wisdom and experience. However, in a fast-paced and impatient culture, little time is given to hearing what older people have to say. Older…

  5. Health Contract with Sedentary Older Adults

    ERIC Educational Resources Information Center

    Haber, David; Rhodes, Darson

    2004-01-01

    Purpose: Health educators used health contracts with sedentary older adults for the purpose of increasing exercise or physical activity. Design and Methods: Two health educators helped 25 sedentary older adults complete health contracts, and then they conducted follow-up evaluations. The percentage of scheduled exercise sessions successfully…

  6. Power resources of older people in Iran.

    PubMed

    Ravanipour, Maryam; Salehi, Shayesteh; Taleghani, Fariba; Abedi, Heidar Ali; Ishaghi, Sayed Reza; Schuurmans, Marieke J; de Jong, Anneke

    2013-03-01

    Maximising the client's power resources facilitates their ability to cope with chronic illness. Nurses must be well informed about power resources and feelings of empowerment among older people. This article reports on a study exploring power resources in daily life from the perspective of older people in Iran. A qualitative content analysis study was conducted. The participants were selected from older community dwellers in Iran using in-depth, semi-structured interviews to understand their experiences with power resources. Power in older people in Iran is represented by four dimensions: spiritual, intellectual, social and physical. Each power dimension can be divided into intrinsic and extrinsic modes. By maximising older people's power in intellectual, social and especially in spiritual resources, the effect of the loss of physical power, with its deteriorative or depressogenic effect on older people's sense of power and well-being can be compensated for. It is recommended that nurses should plan their interventions to enhance older people's power, especially their spiritual power. Different models of empowering older people should be explored in Iranian nursing care delivery. © 2012 Blackwell Publishing Ltd.

  7. Older Adults' Knowledge of Internet Hazards

    ERIC Educational Resources Information Center

    Grimes, Galen A.; Hough, Michelle G.; Mazur, Elizabeth; Signorella, Margaret L.

    2010-01-01

    Older adults are less likely to be using computers and less knowledgeable about Internet security than are younger users. The two groups do not differ on trust of Internet information. The younger group shows no age or gender differences. Within the older group, computer users are more trusting of Internet information, and along with those with…

  8. Epidemiology of Anemia in Older Adults

    PubMed Central

    Patel, Kushang V.

    2008-01-01

    Anemia is a common, multifactorial condition among older adults. The World Health Organization (WHO) definition of anemia (hemoglobin concentration <12 g/dL in women and <13 g/dL in men) is most often used in epidemiologic studies of older adults. More than 10% of community-dwelling adults age 65 years and older has WHO-defined anemia. After age 50 years, prevalence of anemia increases with advancing age and exceeds 20% in those 85 years and older. In nursing homes, anemia is present in 48–63% of residents. Incidence of anemia in older adults is not well characterized. Among older adults with anemia, approximately one-third have evidence of iron, folate, and/or vitamin B12 deficiency, another third have renal insufficiency and/or chronic inflammation, and the remaining third have anemia that is unexplained. Several studies demonstrate that anemia is associated with poorer survival in older adults. This review details the distribution and consequences of anemia in older adults and identifies future epidemiologic research needs. PMID:18809090

  9. Epidemiology of anemia in older adults.

    PubMed

    Patel, Kushang V

    2008-10-01

    Anemia is a common, multifactorial condition among older adults. The World Health Organization (WHO) definition of anemia (hemoglobin concentration <12 g/dL in women and <13 g/dL in men) is most often used in epidemiologic studies of older adults. More than 10% of community-dwelling adults age 65 years and older has WHO-defined anemia. After age 50 years, prevalence of anemia increases with advancing age and exceeds 20% in those 85 years and older. In nursing homes, anemia is present in 48% to 63% of residents. Incidence of anemia in older adults is not well characterized. Among older adults with anemia, approximately one third have evidence of iron, folate, and/or vitamin B(12) deficiency, another third have renal insufficiency and/or chronic inflammation, and the remaining third have anemia that is unexplained. Several studies demonstrate that anemia is associated with poorer survival in older adults. This review details the distribution and consequences of anemia in older adults and identifies future epidemiologic research needs.

  10. CE: Can Your Older Patients Drive Safely?

    PubMed

    Staplin, Loren; Lococo, Kathy H; Mastromatto, Tia; Sifrit, Kathy J; Trazzera, Kathleen M

    2017-09-01

    : In many areas of the world, driving is an essential part of life and for reasons of comfort, convenience, and security remains the primary mode of transportation among older adults. Both normal aging and diseases that are more prevalent in advanced age can substantially reduce older drivers' functional abilities, elevating their risk of involvement in motor vehicle accidents and serious injury or death. Identifying and intervening with older drivers at increased crash risk is an important aspect of preventive medicine. The authors discuss the specific driving risks adults face as they age and how nurses can raise older patients' awareness of these risks. They also discuss the importance of connecting older adults to community resources that may help them continue driving safely for a longer period or find alternative transportation options.

  11. Physical activity recommendations for older Australians.

    PubMed

    Sims, Jane; Hill, Keith; Hunt, Susan; Haralambous, Betty

    2010-06-01

    The aim of this research was to produce evidence-based recommendations on physical activity designed to improve and maintain the health of older Australians. The authors reviewed existing guidelines and consensus statements, systematic reviews, meta-analyses and research articles. Draft recommendations were circulated to stakeholder agencies and to an expert advisory group. Final recommendations were then forwarded to the Commonwealth Department of Health and Ageing for Ministerial approval. The physical activity recommendations for older Australians complement the current National Physical Activity Guidelines for adults and the American College of Sports Medicine and American Heart Association recommendations for older adults. The recommendations provide advice developed specifically for older Australians. Although the recommendations may be manifested in different ways, according to specific populations or settings, they apply to older people across all levels of health and have application to community dwelling people and those in residential care accommodation.

  12. Scoping review report: obesity in older adults.

    PubMed

    Decaria, J E; Sharp, C; Petrella, R J

    2012-09-01

    Obesity is associated with an increased risk for early death, heart disease and stroke, disability and several other comorbidities. Although there is concern about the potential burden on health-care services with the aging demographic and the increasing trend of obesity prevalence in older adults, evidence on which to base management strategies is conflicting for various reasons. The analytic framework for this review is based on a scoping review methodology, and was conducted to examine what is known about the diagnosis, treatment and management of obesity in older adults. A total of 492 relevant research articles were identified using PubMed, Scirus, EBSCO, Clinicaltrials.gov, Cochrane Reviews and Google Scholar. The findings of this review indicate that the current WHO (World Health Organization)-recommended body mass index, waist circumference and waist-to-hip ratio obesity thresholds for the general adult population may not be appropriate for older adults. Alternatively, weight change or physical fitness may be more useful measures of mortality and health risk in obese older adults. Furthermore, although obesity in older adults is associated with several disorders that increase functional disability, epidemiological evidence suggests that obesity is protective against mortality in seniors. Consequently, the trend toward increasing prevalence of obesity in older adults will lead to an increase in unhealthy life years and health-care costs. The findings from this review also suggest that treatment strategies for obese older adults should focus on maintaining body weight and improving physical fitness and function rather than weight loss, and that a combination of aerobic and resistance exercise appears to be the most effective strategy. In conclusion, this review demonstrates the need for more research to clarify the definition of obesity in older adults, to establish criteria for evaluating when to treat older adults for obesity, and to develop effective

  13. Cognitive characteristics of older Japanese drivers.

    PubMed

    Susilowati, Indri H; Yasukouchi, Akira

    2012-02-29

    Some causes of accidents among older drivers are: not paying attention to traffic signals; missing stop lines; and having to deal with and misjudging emergency situations. These causes of accidents reveal problems with attention and cognition. Such incidents are also related to driver perception and stress-coping mechanisms. It is important to examine the relation of stress reactions to attention and cognition as a factor influencing the causes of accidents commonly involving older drivers. Subjects were 10 young drivers (23.3 ± 3.33 years) and 25 older drivers divided into two groups (older1 [60 to 65 years] and older2 [> 65 years]). This study revealed the correlation within driver stress inventory and driver coping questionnaires parameters was observed only in older drivers. They also needed a longer response time for Trail Making Test A and B. The factors affected the attention and cognition of older drivers by age but not driving experience itself, and coping parameters such as emotion focus, reappraisal, and avoidance were not included as stress inventory parameters. Being prone to fatigue was less for younger drivers than older drivers. Because they have shorter distances, shorter drive times, and no need for expressways, older drivers also had a significantly lower risk of thrill-seeking behaviour and more patience. The intervention addressing their attention skills, aggressive feelings, and emotion focus should be considered. The technological improvements in cars will make older drivers feel safer and make driving easier which might lower the attention paid to the road, and regular driving training might be needed to assess and enhance their safety.

  14. Kidney transplantation in the older adult.

    PubMed

    Knoll, Greg A

    2013-05-01

    The end-stage renal disease population is aging. Nearly half of all new patients are older than 65 years and one third are older than 70 years. Assessing the possibility of transplantation for older patients with end-stage renal disease often involves contemplating more complex issues, including cognitive impairment, decreased functional status, and frailty, which makes selecting appropriate candidates more difficult. Older transplant recipients have decreased patient and transplant survival compared with younger recipients. For example, 75% of deceased donor transplant recipients aged 30-49 years are alive after 5 years compared to only 61% for those older than 65 years. Despite poorer outcomes compared with younger recipients, older transplant recipients have a significant improvement in survival compared with similar patients who remain on the wait list, with decreases in mortality of 41%-61% depending on the study. Use of living donors, even older living donors, provides significantly better outcomes for elderly recipients compared with the use of deceased donors. However, in the absence of a living donor, survival is improved significantly by accepting an expanded criteria donor organ rather than waiting for a standard criteria deceased donor. Older transplant recipients experience more infectious complications and less acute rejection, but the risk of transplant loss from rejection is increased compared with younger patients. These immunologic issues, along with the fact that older patients often are excluded from transplant trials, have made selecting an ideal immunosuppressive regimen challenging. Prospective comparative trials of different agents in the elderly population are warranted to better define the risk-benefit profile. This review discusses transplantation outcomes, including patient and transplant survival, different donor types, quality of life, and immunosuppression for older dialysis patients. Copyright © 2013 National Kidney Foundation, Inc

  15. [Comparing the Health Needs of Older Aboriginal and Older Ethnic Chinese Individuals in Taiwan].

    PubMed

    Lee, Ling-Ling; Lin, Shu-Shuan; Yen, Chia-Feng; Chuang, Jui-Ling

    2016-04-01

    Providing healthcare to older people is an essential policy in Taiwan. Previous studies have assessed the health needs of older people residing in urban areas. Evidence related to the differences in healthcare needs between older aboriginal and older ethnic Chinese people in Taiwan is insufficient. As both groups exhibit mutually distinct physical and socio-cultural attributes, understanding their different health needs is necessary to provide tailored and effective healthcare. To investigate the distinct health needs of older aboriginal and older ethnic Chinese using a comprehensive health-needs assessment tool. A cross-sectional study design was used. Older people aged 65 or over were proportionally sampled from communities. The Elderly Assessment System Care Standard instrument was used to collect data through interviews held in participant homes or in community activity centers between October 20th and December 20th, 2011. A total of 180 older people were recruited. A majority of participants had at least one chronic disease, disability, or frailty. Across a range of dimensions and categories of health needs, older aboriginal people had statistically significant higher health needs than non-aboriginal ones. However, older ethnic Chinese participants had higher levels of need in the domains of housing/financing and social participation/isolation. Regression analysis found that independence, risk of frailty, and risk of falls explained the majority of health needs, with R2 values of 64% and 69.6% for older aboriginal and older ethnic Chinese participants, respectively. However, the respective impact of these three categories on overall health needs varied between the two groups. Based on our findings, healthcare providers should focus on improving the self-care capabilities of older aboriginal people and on reducing the risk of breakdowns in care for older ethnic Chinese people in order to enhance the quality of elderly care in Taiwan.

  16. Circadian temperature rhythms of older people

    NASA Technical Reports Server (NTRS)

    Monk, T. H.; Buysse, D. J.; Reynolds, C. F. 3rd; Kupfer, D. J.; Houck, P. R.

    1995-01-01

    This collection of studies had the aim of exploring whether older (77+ years) men and women have circadian body temperature rhythms different from those of younger adults. A total of 20 older men and 28 older women were compared with either 22 young men or 14 middle-aged men in four protocols; all but the first protocol using a subset of the sample. The four protocols were: 1) 24 h, and 2) 72 h data collections on a normal laboratory routine (sleeping at night); 3) between 36 h and 153 h of field data collection at home; and 4) 36 h of a constant conditions routine (wakeful bedrest under temporal isolation) in the laboratory. There was some evidence for an age-related phase advance in temperature rhythm, especially for the older men on a normal routine, though this was not present in the constant conditions protocol, where 5 of the older subjects showed major delays in the timing of the body temperature trough (10:00 or later). There was no statistically significant evidence from any of the protocols that older subjects generally had lower temperature rhythm amplitudes than younger adults. Only when older men were compared with younger men in 24-h rhythm amplitude by simple t-test did any comparison involving amplitude achieve statistical significance (p < 0.05).

  17. Understanding employment barriers among older Korean immigrants.

    PubMed

    Rhee, Min-Kyoung; Chi, Iris; Yi, Jaehee

    2015-06-01

    This study involved an in-depth exploration of the employment barriers of older Korean immigrants in Los Angeles. This qualitative study used data obtained from 6 focus groups and 5 individual interviews. Participants were 36 older Korean immigrants living in Los Angeles, aged 50 years and older, and either unemployed or employed in part-time or full-time work. A grounded theory analytical approach and constant comparison method were used. Ten major themes emerged as employment barriers for older Korean immigrants and were categorized as stereotype, human capital, and acculturation barriers. Ageism among employers specific to Korean culture, lack of English proficiency, separation from U.S. culture, marginalization from both Korean and U.S. cultures, and lack of social networks were important themes. In addition, older Korean immigrants experienced multiple interconnected barriers. The findings highlight the importance of using a multidimensional approach to explore employment barriers among older Korean immigrants who face multiple obstacles in finding jobs. Implications for local governments and Korean communities and potential services to support employment opportunities for older Korean immigrants are discussed. © The Author 2013. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  18. Testosterone replacement therapy for older men

    PubMed Central

    Borst, Stephen E; Mulligan, Thomas

    2007-01-01

    Despite intensive research on testosterone therapy for older men, important questions remain unanswered. The evidence clearly indicates that many older men display a partial androgen deficiency. In older men, low circulating testosterone is correlated with low muscle strength, with high adiposity, with insulin resistance and with poor cognitive performance. Testosterone replacement in older men has produced benefits, but not consistently so. The inconsistency may arise from differences in the dose and duration of testosterone treatment, as well as selection of the target population. Generally, studies reporting anabolic responses to testosterone have employed higher doses of testosterone for longer treatment periods and have targeted older men whose baseline circulating bioavailable testosterone levels were low. Most studies of testosterone replacement have reported anabolic that are modest compared to what can be achieved with resistance exercise training. However, several strategies currently under evaluation have the potential to produce greater anabolic effects and to do so in a safe manner. At this time, testosterone therapy can not be recommended for the general population of older men. Older men who are hypogonadal are at greater risk for the catabolic effects associated with a number of acute and chronic medical conditions. Future research is likely to reveal benefits of testosterone therapy for some of these special populations. Testosterone therapy produces a number of adverse effects, including worsening of sleep apnea, gynecomastia, polycythemia and elevation of PSA. Efficacy and adverse effects should be assessed frequently throughout the course of therapy. PMID:18225456

  19. Hispanic Older Adults’ Osteoarthritis Pain Communication

    PubMed Central

    Jorge, Jennifer; McDonald, Deborah Dillon

    2011-01-01

    Better understanding of how Hispanic older adults describe their chronic pain might suggest ways to support Hispanic older adults to talk about important pain information with their practitioner. The study aim was to describe how Hispanic older adults communicate pain information, including the amount of pain information and communication processes employed. A secondary analysis with a descriptive design was used. The data was from a larger primary study that tested the effect of practitioner pain question phrasing on the amount of pain information described by older adults with osteoarthritis pain. The sample for the current secondary analysis was comprised of the 24 Hispanic older adults with chronic osteoarthritis pain. In the primary study older adults watched and orally responded to a videotape of a practitioner asking about their pain. Pain content from the patient responses was content analyzed by two independent raters. In the current secondary analysis study communication processes were also content analyzed by two independent raters using a priori criteria from Communication Accommodation Theory (clarity, syntax, complexity, explicitness, and staying on topic). Participants described M = 5.5 (SD = 3.39) items of pain information. The majority stayed on topic, half spoke clearly and explicitly. Hispanic older adults with osteoarthritis pain concisely describe clinically important pain information when given the opportunity to do so. PMID:21893306

  20. Oxytocin improves emotion recognition for older males.

    PubMed

    Campbell, Anna; Ruffman, Ted; Murray, Janice E; Glue, Paul

    2014-10-01

    Older adults (≥60 years) perform worse than young adults (18-30 years) when recognizing facial expressions of emotion. The hypothesized cause of these changes might be declines in neurotransmitters that could affect information processing within the brain. In the present study, we examined the neuropeptide oxytocin that functions to increase neurotransmission. Research suggests that oxytocin benefits the emotion recognition of less socially able individuals. Men tend to have lower levels of oxytocin and older men tend to have worse emotion recognition than older women; therefore, there is reason to think that older men will be particularly likely to benefit from oxytocin. We examined this idea using a double-blind design, testing 68 older and 68 young adults randomly allocated to receive oxytocin nasal spray (20 international units) or placebo. Forty-five minutes afterward they completed an emotion recognition task assessing labeling accuracy for angry, disgusted, fearful, happy, neutral, and sad faces. Older males receiving oxytocin showed improved emotion recognition relative to those taking placebo. No differences were found for older females or young adults. We hypothesize that oxytocin facilitates emotion recognition by improving neurotransmission in the group with the worst emotion recognition.

  1. Treatment of periodontal disease in older adults.

    PubMed

    Renvert, Stefan; Persson, G Rutger

    2016-10-01

    Within the next 40 years the number of older adults worldwide will more than double. This will impact periodontal treatment needs and presents a challenge to health-care providers and governments worldwide, as severe periodontitis has been reported to be the sixth most prevalent medical condition in the world. Older adults (≥ 80 years of age) who receive regular dental care retain more teeth than those who do not receive such care, but routine general dental care for these individuals is not sufficient to prevent the progression of periodontitis with the same degree of success as in younger individuals. There is a paucity of data on the efficacy of different periodontal therapies for older individuals. However, considering the higher prevalence of chronic medical conditions seen in older adults, it cannot be assumed that periodontal therapy will yield the same degree of success seen in younger individuals. Furthermore, medications can influence the status of the periodontium and the delivery of periodontal care. As an example, anticoagulant drugs are common among older patients and may be a contraindication to certain treatments. Newer anticoagulants will, however, facilitate surgical intervention in older patients. Furthermore, prescription medications taken for chronic conditions, such as osteoporosis and cardiovascular diseases, can affect the periodontium in a variety of ways. In summary, consideration of socio-economic factors, general health status and multiple-drug therapies will, in the future, be an important part of the management of periodontitis in older adults.

  2. Perceptions of technology among older adults.

    PubMed

    Heinz, Melinda; Martin, Peter; Margrett, Jennifer A; Yearns, Mary; Franke, Warren; Yang, Hen-I; Wong, Johnny; Chang, Carl K

    2013-01-01

    Changes and advancements in technology have the potential to benefit older adults by promoting independence and increasing the ability to age in place. However, older adults are less likely to adopt new technology unless they see benefits to themselves. This study assessed the perceptions of 30 older adults in the Midwest concerning technology via three separate focus groups (i.e., independent apartment complex, a rural community, exercise program participants), which addressed a need in the literature (i.e., inclusion of oldest-old and rural individuals). The focus group questions included items such as what technology older adults currently used, desired improvements in technology, and the greatest challenges participants were facing or would face in the future. Overall, older adults were enthusiastic about learning new forms of technology that could help them maintain their independence and quality of life. Five themes emerged from all three focus groups: (a) Frustrations, Limitations, and Usability Concerns; (b) Transportation; (c) Help and Assistance; (d) Self-Monitoring; and (e) Gaming. The themes have important implications for future technology developed for older adults; in particular, older adults were willing and eager to adopt new technology when usefulness and usability outweighed feelings of inadequacy.

  3. Circadian temperature rhythms of older people

    NASA Technical Reports Server (NTRS)

    Monk, T. H.; Buysse, D. J.; Reynolds, C. F. 3rd; Kupfer, D. J.; Houck, P. R.

    1995-01-01

    This collection of studies had the aim of exploring whether older (77+ years) men and women have circadian body temperature rhythms different from those of younger adults. A total of 20 older men and 28 older women were compared with either 22 young men or 14 middle-aged men in four protocols; all but the first protocol using a subset of the sample. The four protocols were: 1) 24 h, and 2) 72 h data collections on a normal laboratory routine (sleeping at night); 3) between 36 h and 153 h of field data collection at home; and 4) 36 h of a constant conditions routine (wakeful bedrest under temporal isolation) in the laboratory. There was some evidence for an age-related phase advance in temperature rhythm, especially for the older men on a normal routine, though this was not present in the constant conditions protocol, where 5 of the older subjects showed major delays in the timing of the body temperature trough (10:00 or later). There was no statistically significant evidence from any of the protocols that older subjects generally had lower temperature rhythm amplitudes than younger adults. Only when older men were compared with younger men in 24-h rhythm amplitude by simple t-test did any comparison involving amplitude achieve statistical significance (p < 0.05).

  4. Dementia literacy in older adults.

    PubMed

    Loi, Samantha M; Lautenschlager, Nicola T

    2015-09-01

    With the increasing aging population, it is predicted that there will also be a rise in the number of people with dementia. Although there is no definitive cure, early detection and access to treatment and services remains the cornerstone of management. Misinformation and poor knowledge about dementia may lead to delayed diagnosis. A study of dementia literacy was undertaken to explore current knowledge in a metropolitan city in Australia. A vignette describing an older person with symptoms of cognitive impairment was posted out to volunteers at the local hospital. The majority of participants surveyed correctly identified that the person in the vignette was suffering from symptoms of dementia or cognitive impairment. However, there was more variation with regard to types of treatment available and appropriate help-seeking behavior. Although people are able to identify symptoms of dementia when they are presented in a scenario, the reality is often not as clear. More education to improve knowledge with regard to this increasingly common disorder is required so that appropriate interventions can be made available. © 2014 Wiley Publishing Asia Pty Ltd.

  5. Thyroid disease in older people.

    PubMed

    Mitrou, Panayota; Raptis, Sotirios A; Dimitriadis, George

    2011-09-01

    Several changes in thyroid hormone secretion, metabolism, and action occur with the increase in age. Aging is often associated with a decrease in serum thyroid stimulating hormone and T3 levels, whereas serum free T4 levels usually remain unchanged. The prevalence of thyroid dysfunction is higher in the elderly as compared to the younger population. In elderly individuals the non-specific clinical manifestations of thyroid hormone excess or deprivation can cause confusion in the clinical setup; while some of the symptoms of thyroid disease are similar to those in younger patients, it is not uncommon for both hyperthyroidism and hypothyroidism to be manifested in subtle ways in older patients, often mimicking symptoms of aging or masquerading as diseases of the cardiovascular, gastrointestinal, or nervous system. In addition, diagnosis of thyroid disorders is commonly complicated, due to chronic, non-thyroidal illness or medication therapy. Early diagnosis and treatment of overt thyroid disorders is crucial, since these disorders are associated with increased morbidity and mortality in the elderly, usually due to common coexistent diseases such as diminished cardiovascular reserve. Treatment of subclinical thyroid disease should also be considered, based on a combination of age, symptoms and risk factors in the individual patients. In addition, both prevalence and aggressiveness of thyroid cancer increase with age. This review summarizes the changes of thyroid function, as well as the clinical manifestations and treatment of thyroid disorders with advancing age. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  6. [Psychotherapeutic work with older patients].

    PubMed

    Koethe, D; Mattern, M; Herpertz, S C

    2014-11-01

    Despite the high prevalence of mental illness in Germany, elderly people are significantly under-represented in psychotherapeutic treatment. This is not only due to their own reservations about psychotherapy but also to a greater extent a reflection of the models of old age in our society. Deficit-oriented theories dating back to the origins of psychotherapy in the last century are still widespread leading to fear of contact with consultants and therapists.The specific methods of psychotherapeutic work with older patients are presented. Methodologically, the treatment of elderly patients with depressive disorders has been elaborately worked out. In addition, detailed psychotherapeutic programs have also been developed for anxiety disorders, trauma-related diseases and dementia. Overall, relatively little research has been done in the field of geriatric psychotherapy despite the fact that from the scientific and clinical perspectives, different approaches or methods, such as cognitive-behavioral therapy, interpersonal therapy, psychodynamic therapy, as well as systemic therapy, can be considered effective and may be applied to the entire spectrum of mental disorders in old age.

  7. Psychotropic medications in older adults: a review.

    PubMed

    Ćurković, Mario; Dodig-Ćurković, Katarina; Erić, Anamarija Petek; Kralik, Kristina; Pivac, Nela

    2016-03-01

    Prevalence of prescribing psychotropic medications, particularly inappropriate prescription, is widespread in older adults, both in nursing home residents as well as community-dwelling older adults. This review describes prevalence and prevention of inappropriate prescribing and risk factors associated with psychotropic medications. MEDLINE and GOOGLE SCHOLAR data base were searched for the key words "older adults", "psychotropic drugs", "inappropriate prescribing", "nursing home residents", "community-dwelling older adults". The study was limited to the articles published in English in the period from 2007 to 2014. The list of references includes additional articles that were searched manually. The utilization of different psychotropic medications is prevalent among older adults worldwide, regardless of whether they live in nursing homes or in the community. Among older adults, nursing home residents are the most vulnerable individuals for potentially inappropriate drug prescription. The most common potentially inappropriate prescribed medications in the elderly are benzodiazepines, particularly long-acting, antipsychotics and antidepressants, particularly SSRIs. All classes of listed medications have been associated with different adverse events, particularly falls and falls-related fractures and increased risk for mortality. Many different pharmacological and non-pharmacological interventions, such as monitoring polypharmacy, reviewing medications, spending more time in the institution by a physician, reducing the number of prescribers in the institution as well as greater involvement of geriatricians, general practitioners and pharmacists should be implemented to reduce this health issue. The prevalence of prescribing psychotropic medications to older adults is high. Inappropriate prescribing of psychotropic drugs and polypharmacy are present in institutionalized and non-institutionalized older adults and can cause adverse health events, and can significantly

  8. Dispelling myths about palliative care and older adults.

    PubMed

    Duggleby, Wendy; Raudonis, Barbara M

    2006-02-01

    To explore the myths about palliative care and older adults with cancer. Research literature and review articles. Several myths about older adults exist: older adults are the same as younger adults, older adults are all the same, and optimizing function and quality of life are not important outcomes. Little research has focused on older adults receiving palliative care and their families. The Oncology Nursing Society and Geriatric Oncology Consortium published the Joint Position Statement on Cancer Care in Older Adults acknowledging the unique needs of older adults with cancer. Application of this statement may be helpful in guiding inquiry and practice in the care for older adults receiving palliative care.

  9. Exploring attitudes towards older people's sexuality.

    PubMed

    Price, B

    2009-07-01

    Sexuality is an important part of life, for older people as well as for others. Sexual attitudes, beliefs and lifestyles may be as diverse among older people as they are among younger age groups. But for nurses to plan care with patients in ways that take issues of sexuality into account, they need to feel more comfortable talking about sexuality with older people. This article uses case studies to help readers explore their own attitudes and those of colleagues towards sexuality in later years, and prompts discussions on what this might signify for future nursing care so that staff are better equipped to assist patients with this subject.

  10. Prescription Use Disorders in Older Adults

    PubMed Central

    Sullivan, Maria A.

    2012-01-01

    The number of older adults needing substance abuse treatment is projected to rise significantly in the next few decades. This article will focus on the epidemic of prescription use disorders in older adults. Particular vulnerabilities of older adults to addiction will be considered. Specifically, the prevalence and patterns of use of opioids, stimulants, and benzodiazepines will be explored, including the effects of these substances on morbidity and mortality. Treatment intervention strategies will be briefly discussed, and areas for future research are suggested. PMID:20958847

  11. Sensory Impairment Among Older US Workers

    PubMed Central

    Davila, Evelyn P.; Caban-Martinez, Alberto J.; Muennig, Peter; Fleming, Lora E.; Ferraro, Kenneth F.; LeBlanc, William G.; Lam, Byron L.; Arheart, Kristopher L.; McCollister, Kathryn E.; Zheng, Diane; Christ, Sharon L.

    2009-01-01

    We used 1997–2004 National Health Interview Survey data to evaluate the prevalence of sensory impairment among US workers 65 years and older. Hearing impairment prevalence was 3 times that of visual impairment (33.4% vs 10.2%), and 38% of older workers reported experiencing either impairment. Farm operators, mechanics, and motor vehicle operators had the highest prevalence of sensory impairment. Workplace screening and accommodations, including sensory protection devices for older workers, are warranted given the greater risk for injuries among the sensory impaired. PMID:19542042

  12. Older immigrants: language competencies and mental health.

    PubMed

    Taylor, Laura E; Taylor-Henley, Sharon; Doan, Lan

    2005-01-01

    Later-life immigration and a lack of dominant language competency present many challenges to mental health for older adults. English as a Second Language (ESL) classes for seniors, often regarded as the sole domain of ESL teachers, offer mental health professionals opportunities for mental health promotion and education. This paper examines some of the mental health issues that emerged from stories written by older adults in an ESL for Seniors program. The program is presented as an example of best practices in an ESL for Seniors program because of its specific development to meet the needs of ESL older persons.

  13. [Urinary tract dysfunction in older patients].

    PubMed

    Verdejo, Carlos; Méndez, Santiago; Salinas, Jesús

    2016-11-18

    Urinary tract dysfunction in older patients has a multifactorial aetiology and is not a uniform clinical condition. Changes due to physiological ageing as well as comorbidity and polypharmacy, can produce several dynamic conditions such as urinary incontinence and urinary retention. Lower urinary tract symptoms increase with age in both sexes and are a major problem in older patients due to their medical and psychosocial consequences. For these reasons, in assessing urinary dysfunction in older patients, we should consider external circumstances such as polypharmacy, poor mobility, affective and cognitive disorders and also accessibility to housing. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

  14. Older and Younger Adults’ Accuracy in Discerning Health and Competence in Older and Younger Faces

    PubMed Central

    Zebrowitz, Leslie A.; Franklin, Robert G.; Boshyan, Jasmine; Luevano, Victor; Agrigoroaei, Stefan; Milosavljevic, Bosiljka; Lachman, Margie E.

    2015-01-01

    We examined older and younger adults’ accuracy judging the health and competence of faces. Accuracy differed significantly from chance and varied with face age but not rater age. Health ratings were more accurate for older than younger faces, with the reverse for competence ratings. Accuracy was greater for low attractive younger faces, but not for low attractive older faces. Greater accuracy judging older faces’ health was paralleled by greater validity of attractiveness and looking older as predictors of their health. Greater accuracy judging younger faces’ competence was paralleled by greater validity of attractiveness and a positive expression as predictors of their competence. Although the ability to recognize variations in health and cognitive ability is preserved in older adulthood, the effects of face age on accuracy and the different effects of attractiveness across face age may alter social interactions across the life span. PMID:25244467

  15. Connecting Socially Isolated Older Rural Adults with Older Volunteers through Expressive Arts.

    PubMed

    MacLeod, Ann; Skinner, Mark W; Wilkinson, Fay; Reid, Heather

    2016-03-01

    Employing a participatory arts-based research approach, we examined an innovative program from rural Ontario, Canada, designed to address social isolation among older people. Older socially isolated adults were matched to trained volunteers, where in dyads, the eight pairs created expressive art in their home setting over the course of 10 home visits. With thematic and narrative inquiry, we analysed the experiences and perceptions of the program leader, older participants, and older volunteers via their artistic creations, weekly logs, evaluations, and field notes. The findings reveal a successful intervention that positively influenced the well-being of older adult participants and older volunteers, especially in regards to relationships, personal development, and creating meaning as well as extending the intervention's impact beyond the program's duration. We also discuss opportunities for similar programs to inform policy and enable positive community-based health and social service responses to rural social isolation.

  16. Brain health and exercise in older adults.

    PubMed

    Gregory, Michael A; Gill, Dawn P; Petrella, Robert J

    2013-01-01

    Identifying feasible and effective interventions aimed at mitigating the effects of cognitive decline in older adults is currently a high priority for researchers, clinicians, and policy makers. Evidence suggests that exercise and cognitive training benefit cognitive health in older adults; however, a preferred modality has to be endorsed yet by the scientific community. The purpose of this review is to discuss and critically examine the current state of knowledge concerning the effects of aerobic, resistance, cognitive, and novel dual-task exercise training interventions for the preservation or improvement of cognitive health in older adults. A review of the literature suggests that the potential exists for multiple exercise modalities to improve cognitive functioning in older adults. Nonetheless current limitations within the field need to be addressed prior to providing definitive recommendations concerning which exercise modality is most effective at improving or maintaining cognitive health in aging.

  17. Advances in Psychotherapy for Depressed Older Adults.

    PubMed

    Raue, Patrick J; McGovern, Amanda R; Kiosses, Dimitris N; Sirey, Jo Anne

    2017-09-01

    We review recent advances in psychotherapies for depressed older adults, in particular those developed for special populations characterized by chronic medical illness, acute medical illness, cognitive impairment, and suicide risk factors. We review adaptations for psychotherapy to overcome barriers to its accessibility in non-specialty settings such as primary care, homebound or hard-to-reach older adults, and social service settings. Recent evidence supports the effectiveness of psychotherapies that target late-life depression in the context of specific comorbid conditions including COPD, heart failure, Parkinson's disease, stroke and other acute conditions, cognitive impairment, and suicide risk. Growing evidence supports the feasibility, acceptability, and effectiveness of psychotherapy modified for a variety of health care and social service settings. Research supports the benefits of selecting the type of psychotherapy based on a comprehensive assessment of the older adult's psychiatric, medical, functional, and cognitive status, and tailoring psychotherapy to the settings in which older depressed adults are most likely to present.

  18. Parental Bonding in Older-Child Adoptions.

    ERIC Educational Resources Information Center

    Ward, Margaret

    1981-01-01

    Examines various factors (such as periods of high emotion, ritual and claiming behaviors and positive interaction) in the attachment process between adoptive parents and older children. Shows that most components parallel those of bonding in biological parents. (Author/RH)

  19. Four Medication Safety Tips for Older Adults

    MedlinePlus

    ... For Consumers Home For Consumers Consumer Updates 4 Medication Safety Tips for Older Adults Share Tweet Linkedin ... t select a dose yourself. 2. Keep a Medication List Write down what you’re taking and ...

  20. Older people, personal hygiene, and skin care.

    PubMed

    Cowdell, Fiona

    2011-01-01

    Skin health is essential for well being in older people. Personal hygiene is fundamental to skin health, but a lack of evidence exists about effective practices. An evidence base, disseminated through nursing education and patient health promotion, must be developed.

  1. Older people and skin: challenging perceptions.

    PubMed

    Cowdell, Fiona; Garrett, Dawne

    In this article we set out to challenge perceptions about older people and skin. We examine current portrayals of older people and skin, both in the media and in the nursing literature. We describe the ‘normal’ process of skin ageing and highlight the importance of maintaining skin integrity and effective barrier function for health and wellbeing, particularly in older people. One element of maintaining skin integrity is ensuring that personal hygiene and emollient needs are met. Effective skin hygiene and emollient care will reduce the risk of breakdown, with all its burdensome and costly consequences. We therefore offer a summary of the current evidence base for skin-hygiene practice. We make a case for nurses considering skin health from a wider societal and human perspective, and identify opportunities to enhance nursing practice through skin-care advice and health education for all older people.

  2. Population Health Management for Older Adults

    PubMed Central

    Tkatch, Rifky; Musich, Shirley; MacLeod, Stephanie; Alsgaard, Kathleen; Hawkins, Kevin; Yeh, Charlotte S.

    2016-01-01

    Background: The older adult population is expanding, living longer, with multiple chronic conditions. Understanding and managing their needs over time is an integral part of defining successful aging. Population health is used to describe the measurement and health outcomes of a population. Objectives: To define population health as applied to older adults, summarize lessons learned from current research, and identify potential interventions designed to promote successful aging and improved health for this population. Method: Online search engines were utilized to identify research on population health and health interventions for older adults. Results: Population health management (PHM) is one strategy to promote the health and well-being of target populations. Interventions promoting health across a continuum tend to be disease, risk, or health behavior specific rather than encompassing a global concept of health. Conclusion: Many existing interventions for older adults are simply research based with limited generalizability; as such, further work in this area is warranted. PMID:28680938

  3. 75 FR 23559 - Older Americans Month, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-04

    ...;#0; ] Proclamation 8506 of April 28, 2010 Older Americans Month, 2010 By the President of the United..., BARACK OBAMA, President of the United States of America, by virtue of the authority vested in me by the...

  4. 77 FR 26651 - Older Americans Month, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-04

    ...;#0; ] Proclamation 8809 of May 1, 2012 Older Americans Month, 2012 By the President of the United..., BARACK OBAMA, President of the United States of America, by virtue of the authority vested in me by the...

  5. Collaborative Strategic Planning for Older Adult Programming.

    ERIC Educational Resources Information Center

    Muzzarelli, Robert; Young, William H.

    1992-01-01

    Given the implications of current trends showing the aging of the population, continuing education programs for older adults should focus on "retirement employment." A strategic planning approach can incorporate forecasting into program development. (SK)

  6. 76 FR 25523 - Older Americans Month, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-05

    ... United States of America A Proclamation Older Americans are now living longer, healthier, and richer... theme also highlights how technology, including social media and assistive devices, can help adults...

  7. High Blood Pressure: Unique to Older Adults

    MedlinePlus

    ... Diabetes Heart Attack Heart Failure Kidney Problems Managing Multiple Health Problems Nutrition Peripheral Artery Disease Prevention Sleep Problems Stroke Related News Older Adults with Multiple Chronic Conditions at Increased Risk for Mild Cognitive ...

  8. Access to mobile communications by older people.

    PubMed

    Nguyen, Toan; Irizarry, Carol; Garrett, Rob; Downing, Andrew

    2015-06-01

    To investigate how older people effectively identify, select and learn to use mobile communications technologies to enhance communication and safety, and support independent living. One hundred and fifty-three older South Australians participated in a purpose-designed survey questionnaire. Older people relied on family and friends for information and advice (76%), and their children's assistance with buying (45%) and learning to use (48%) new technology. The most preferred learning method was face-to-face training (56%). Less than half (44%) were interested in trying out new designs/applications, functions and capabilities that could assist with independent living. The highest need was for personal security and emergencies (88%). Findings suggest that the family and friends of older people play an important role in identifying, selecting and learning to use mobile communication technologies. The safety and emergency capabilities of mobile communications technologies were more important than having functions that could assist with independent living. © 2014 ACOTA.

  9. Counseling Substance-Abusing Older Clients.

    ERIC Educational Resources Information Center

    Norton, E. Douglas

    1998-01-01

    Substance-abuse problems among older adults, involving alcohol, medications, and illegal drugs may arise from such stress factors as unstructured time, relationships with friends, loss, side effects of medications, and irrational beliefs. (SK)

  10. Medication Adherence among Older Adults with Schizophrenia

    PubMed Central

    Leutwyler, Heather C.; Fox, Patrick J.; Wallhagen, Margaret

    2014-01-01

    Older adults with schizophrenia are a growing segment of the population yet their physical and mental health status is extremely poor. The paper presents findings from a qualitative study that explored the understanding older adults with schizophrenia have of their physical health status. The study was conducted among 28 older adults with schizophrenia from a variety of settings using semi-structured interviews and participant observation. Self-management of psychiatric and non-psychiatric medications and its affect on their health status was one of the central themes that emerged from the study. Different styles of medication adherence were identified and factors associated with each style are presented. The findings provide insights into the design of clinical interventions aimed at promoting medication adherence among older adults with schizophrenia. PMID:23327119

  11. The Labor Market Problems of Older Workers.

    ERIC Educational Resources Information Center

    Roner, Philip L.

    1983-01-01

    This study concludes that older workers do not have especially high unemployment rates, but when they become unemployed, they are less likely to find a job and more likely to leave the labor force in discouragement. (Author/SSH)

  12. Parental Bonding in Older-Child Adoptions.

    ERIC Educational Resources Information Center

    Ward, Margaret

    1981-01-01

    Examines various factors (such as periods of high emotion, ritual and claiming behaviors and positive interaction) in the attachment process between adoptive parents and older children. Shows that most components parallel those of bonding in biological parents. (Author/RH)

  13. Fatal falls among older construction workers.

    PubMed

    Dong, Xiuwen Sue; Wang, Xuanwen; Daw, Christina

    2012-06-01

    This study examines recent trends and patterns in fall fatalities in the U.S. construction industry to determine whether fatal falls among older workers are different from younger workers in this industry. Falls are the leading cause of fatalities in the U.S. construction industry. Given the increasingly aging workforce in construction, it is important to assess the risk of falls among older construction workers. Fatality data were obtained from the Census of Fatal Occupational Injuries for the years 1992 through 2008. Denominators for death rates were estimated from the Current Population Survey. Stratified and multivariate analyses were performed to examine whether there are differences in fatal falls between older workers (> or = 55 years) and younger workers (16-54 years). Fatal falls in nonconstruction industries were excluded from this study. Older workers had higher rates of fatal falls than younger workers; results were significant in 11 of 14 construction occupations. Regression analysis indicated that older decedents had a higher likelihood that work-related death was caused by a fall, after controlling for major demographic and employment factors (odds ratio = 1.50, confidence interval [1.30, 1.72]). Falls from roofs accounted for one third of construction fatal falls, but falls from ladders caused a larger proportion of deadly falls in older decedents than in younger decedents. Older workers have a higher likelihood of dying from a fall. Roofs and ladders are particularly risky for older construction workers. As the construction workforce ages, there is an urgent need to enhance fall prevention efforts, provide work accommodations, and match work capabilities to job duties.

  14. Engaging and Honoring Older Adults in Research.

    PubMed

    Baumann, Steven L

    2017-01-01

    Research involving persons with cognitive changes associated with aging, including dementia, has increased dramatically in the past two decades, motivated in large part by an increasing number of older adults with such issues. Velzke in the paper that follows this introduction discusses why it is important and how to include older adults as participants in research. While focused primarily on elders and their caregivers in Scotland, the topic is a globally important one.

  15. Descriptive anthropometric reference data for older Americans.

    PubMed

    Kuczmarski, M F; Kuczmarski, R J; Najjar, M

    2000-01-01

    To present selected anthropometric data derived from adults aged 60 years and older examined in the third National Health and Nutrition Examination Survey (NHANES III). NHANES III used a complex, stratified, multistage, probability cluster sample design to obtain a nationally representative sample of the US civilian, noninstitutionalized population. Persons aged 60 years and older, Mexican-Americans, and African-Americans were oversampled to produce more reliable estimates for these groups. Trained technicians measured height, weight, skinfold thickness, and circumferences using standardized procedures. A total of 5,700 persons aged 60 years and older, and 1,861 persons aged 50 to 59 years. Mean and selected percentiles for body weight, body mass index, triceps skinfold thickness, mid upper arm circumference, and arm muscle circumference were calculated by gender, race/ethnicity, and 3 age categories. Weight (lb) per height (in) tables were generated for men and women by age group. Mean body weight was lowest for persons aged 80 years and older. A decline in body mass index occurred that paralleled the direction and magnitude of the progressive decrease observed in weight. Muscle loss with increasing age, as indicated by arm muscle circumference, appeared to be greater among men than women. In addition to being relatively simple, quick, and inexpensive, anthropometry is the most reliable and specific indicator of malnutrition in the older adult population. The cross-sectional reference data provided can be used by dietitians to interpret anthropometric measurements of persons aged 60 years and older.

  16. Strategies for communicating with older dental patients.

    PubMed

    Stein, Pamela S; Aalboe, Joanna A; Savage, Matthew W; Scott, Allison M

    2014-02-01

    Communication between dentists and patients 65 years or older is a critical aspect of providing optimum care, particularly given the increasing number of older adults and the communication barriers they often encounter. The authors conducted a targeted literature review of the broad health communication literature and published health literacy guidelines to examine the barriers to effective communication that are specific to the older adult population, as well as strategies for overcoming these barriers. Findings from health communication and health literacy research provide insight into techniques to improve communication with older patients, such as preparing an agenda for the appointment, exhibiting warm nonverbal behavior, listening attentively, asking open-ended questions, using simple language, presenting key points one at a time and providing patients with written instructions. Physical, psychological and literacy issues pertaining to both patients and providers present barriers to effective communication. Practitioners can surmount these barriers by enacting communication strategies tailored to older adults. Practical Implications. Dentists can overcome barriers to communication and improve the quality of patient care by considering the communication barriers specific to older adults and enacting strategies to overcome these barriers.

  17. Technologies in older people's care.

    PubMed

    Andersson Marchesoni, Maria; Axelsson, Karin; Fältholm, Ylva; Lindberg, Inger

    2017-03-01

    The tension between care-based and technology-based rationalities motivates studies concerning how technology can be used in the care sector to support the relational foundation of care. This study interprets values related to care and technologies connected to the practice of good care. This research study was part of a development project aimed at developing innovative work practices through information and communication technology. Participants and research context: All staff (n = 18) working at two wards in a care facility for older people were asked to participate in interviews, and 12 accepted. We analysed the data using latent content analysis in combination with normative analysis. Ethical considerations: The caregivers were informed that participation was voluntary and that they could drop out at any time without providing any explanation. Four values were identified: 'presence', 'appreciation', 'competence' and 'trust'. Caregivers wanted to focus on care receivers as unique persons, a view that they thought was compromised by time-consuming and beeping electronic devices. Appraising from next-of-kin and been seen as someone who can contribute together with knowledge to handle different situations were other desires. The caregivers also desired positive feedback from next-of-kin, as they wanted to be seen as professionals who have the knowledge and skills to handle difficult situations. In addition, the caregivers wanted their employer to trust them, and they wanted to work in a calm environment. Caregivers' desire for disturbance-free interactions, being valued for their skills and working in a trustful working environment were interpreted as their base for providing good care. The caregivers' arguments are based on caring rationality, and sometimes they felt the technological rationality interfered with their main mission, providing quality care. Introducing new technology in caring should support the caring relationship. Although society's overall

  18. Acceptance and Commitment Therapy with Older Adults: Rationale and Considerations

    ERIC Educational Resources Information Center

    Petkus, Andrew J.; Wetherell, Julie Loebach

    2013-01-01

    Older adults are the fastest growing segment of the population. With these changing demographics, mental health professionals will be seeing more older clients. Additionally, older adults are an underserved population in that most older adults in need of mental health services do not receive treatment. Thus, it is essential that treatments for…

  19. Comprehension of Health-Related Written Materials by Older Adults

    ERIC Educational Resources Information Center

    Liu, Chiung-Ju; Kemper, Susan; Bovaird, James A.

    2009-01-01

    This study examined how Flesch Reading Ease and text cohesion affect older adults' comprehension of common health texts. All older adults benefited when high Flesh Reading Ease was combined with high cohesion. Older adults with small working memories had more difficulty understanding texts high in Flesch Reading Ease. Additionally, older adults…

  20. Acceptance and Commitment Therapy with Older Adults: Rationale and Considerations

    ERIC Educational Resources Information Center

    Petkus, Andrew J.; Wetherell, Julie Loebach

    2013-01-01

    Older adults are the fastest growing segment of the population. With these changing demographics, mental health professionals will be seeing more older clients. Additionally, older adults are an underserved population in that most older adults in need of mental health services do not receive treatment. Thus, it is essential that treatments for…

  1. Recognition of Rapid Speech by Blind and Sighted Older Adults

    ERIC Educational Resources Information Center

    Gordon-Salant, Sandra; Friedman, Sarah A.

    2011-01-01

    Purpose: To determine whether older blind participants recognize time-compressed speech better than older sighted participants. Method: Three groups of adults with normal hearing participated (n = 10/group): (a) older sighted, (b) older blind, and (c) younger sighted listeners. Low-predictability sentences that were uncompressed (0% time…

  2. Measurement of resilience in Chinese older people.

    PubMed

    Yang, F; Bao, J-M; Huang, X-H; Guo, Q; Smith, G D

    2015-03-01

    Resilience has been identified as a personal construct that may contribute to the process of healthy ageing in older people. To date, no measurement instrument has been tested to evaluate resilience in Chinese older people. To examine the psychometric testing and clinical application of the Chinese version of the Resilience Scale (RS) in Chinese older people. A descriptive cross-sectional study design was used. Forward and backward translation procedures were used to obtain semantic equivalence of the original English version of the RS. Content validity was examined by identified experts, followed by exploratory factor analysis, item-to-total correlation, Cronbach's α coefficients and test-retest reliability. The 25-item Chinese version of Resilience Scale (RS-CN) was fully completed by 461 Chinese older people. Cronbach's α for the total Chinese version of the Revised Resilience Scale was 0.95, with a range of 0.85-0.89 for the sub-scales. Item-to-total correlation coefficients ranged from 0.51 to 0.75 and items were excluded with item-to-total correlations coefficients lower than 0.4. The test-retest reliability of the total scale was 0.80, sub-scale test-retest reliability ranged from 0.61 to 0.620. The exploratory principal component analysis with varimax rotation revealed RS-CN to have a four-factor structure. The RS-CN is a valid and reliable instrument for the measurement of the concept of resilience in Chinese older people. The results of this study provide cross-cultural evidence for the potential application of this scale in Chinese older people. Greater insight into the psychological constructs of resilience in Chinese older people can lead to international comparisons and to the potential development of interventions for this population around the world. © 2015 International Council of Nurses.

  3. Attitudes towards Older People and Managers' Intention to Hire Older Workers: A Taiwanese Study

    ERIC Educational Resources Information Center

    Lu, Luo; Kao, Shu-Fang; Hsieh, Ying-Hui

    2011-01-01

    The aim of this research was to examine attitudinal barriers to the managerial intention to hire older workers (aged 60 and above). Structured questionnaires were used to collect data from a sample of managers with hiring power (N = 305). We found that (a) positive attitudes towards older people in general, perceived subjective norm, personal…

  4. Attitudes toward Older People and Coworkers' Intention to Work with Older Employees: A Taiwanese Study

    ERIC Educational Resources Information Center

    Lu, Luo

    2010-01-01

    The aim of this research was to examine attitudinal barriers to the employment of Taiwanese older workers (aged 60 and above). Face-to-face interviews were conducted to collect data using structured questionnaires from a sample of full-time employees (N = 258). We found that: (1) positive attitudes toward older people in general, perceived…

  5. Attitudes towards Older People and Managers' Intention to Hire Older Workers: A Taiwanese Study

    ERIC Educational Resources Information Center

    Lu, Luo; Kao, Shu-Fang; Hsieh, Ying-Hui

    2011-01-01

    The aim of this research was to examine attitudinal barriers to the managerial intention to hire older workers (aged 60 and above). Structured questionnaires were used to collect data from a sample of managers with hiring power (N = 305). We found that (a) positive attitudes towards older people in general, perceived subjective norm, personal…

  6. Attitudes toward Older People and Coworkers' Intention to Work with Older Employees: A Taiwanese Study

    ERIC Educational Resources Information Center

    Lu, Luo

    2010-01-01

    The aim of this research was to examine attitudinal barriers to the employment of Taiwanese older workers (aged 60 and above). Face-to-face interviews were conducted to collect data using structured questionnaires from a sample of full-time employees (N = 258). We found that: (1) positive attitudes toward older people in general, perceived…

  7. Infrastructure, logistics and regulation of transplantation: UNOS.

    PubMed

    Heimbach, Julie K

    2013-12-01

    Organ transplantation has evolved into the standard of care for patients with end-stage organ failure. Despite considering increasingly complex transplant recipients for organs recovered from donors with increasing comorbid conditions, 1-year patient survival following kidney transplantation is 97% in the United States, whereas liver transplant recipient 1-year survival is 90%. There were 16,485 kidney recipients in the United States in 2012, and 6256 patients who underwent liver transplantation. The intent of this review is to highlight the logistics required for transplantation as well as reviewing the current oversight of transplantation. Copyright © 2013 Elsevier Inc. All rights reserved.

  8. Spanish is Numero Uno for "Project Bright."

    ERIC Educational Resources Information Center

    Larew, Leonor A.

    1978-01-01

    In New York State, the 24 brightest fifth and sixth graders from Avon, Caledonia, and York participated in a project funded by Title IV minigrants, distributed through BOCES. The children were bussed to a central point and permitted to study whatever they wished; Spanish was the first subject selected. (EJS)

  9. Older peoples' perspectives on time spent alone.

    PubMed

    Stanley, Mandy; Richard, Ashley; Williams, Shoshannah

    2017-06-01

    Large amounts of time spent alone by older people have been associated with loneliness and poor mental and physical health. There is a paucity of research, however, that examines time alone from an occupational perspective. In this exploratory study we explored the perspectives of older people on their time spent alone. A qualitative descriptive study design was selected. With the aim of maximising variation, five participants were recruited from retirement villages and seven participants who lived independently in the community. Participants recorded time spent alone in a time diary for three days as priming for a semi-structured in-depth interview. Transcripts were analysed thematically. Three key themes were identified: 'it is a matter of getting some balance'; 'keeping busy'; and 'the nights are the worst'. The study highlights the importance older people place on the need to manage time alone so that it is a positive and nourishing experience and to avoid experiencing extended periods of boredom potentially leading to loneliness. Older people utilise occupations to keep busy and achieve an individually acceptable level of time alone. Enabling older people to balance time spent alone by addressing barriers to participation in the community in addition to finding engaging occupations to occupy time has the potential to prevent boredom, loneliness and improve wellbeing. © 2016 Occupational Therapy Australia.

  10. Older women, breast cancer, and social support

    PubMed Central

    Levine, Ellen G.; Aviv, Caryn; Ewing, Cheryl; Au, Alfred

    2009-01-01

    Introduction One in ten women over the age of 65 will develop breast cancer. Despite this high incidence of breast cancer among older women, social support for them is often inadequate. This paper describes a qualitative study of the impact of a breast cancer diagnosis on older women from racially/ethnically diverse populations and their subsequent need for social support. Methods Forty-seven older African American, Asian American, Caucasian and Latina women between the ages of 65 to 83 participated in a larger study examining the impact of breast cancer on women from racially/ethnically diverse populations and the meaning and nature of social support. The women completed an in-depth qualitative interview on the psychosocial impact of breast cancer and the meaning and nature of social support. Results and Conclusion The results indicate that there are variations in reactions to a breast cancer diagnosis among older women, and that these reactions impact their experiences with seeking social support at diagnosis and during treatment. Respondents were concerned about their aging bodies, potential dependency on others, and loss of autonomy. At the same time, the severity of cancer treatment and existing co-morbidities often meant they needed to learn to receive support, and to reach out if they had no support. The implications of these findings underscore the older cancer patient’s need to strengthen her supportive networks at the time of diagnosis, during treatment, and post-treatment. PMID:20967554

  11. Positive messaging promotes walking in older adults

    PubMed Central

    Notthoff, Nanna; Carstensen, Laura L.

    2014-01-01

    Walking is among the most cost-effective and accessible means of exercise. Mounting evidence suggests that walking may help to maintain physical and cognitive independence in old age by preventing a variety of health problems. However, older Americans fall far short of meeting the daily recommendations for walking. In two studies, we examined whether considering older adults’ preferential attention to positive information may effectively enhance interventions aimed at promoting walking. In Study 1, we compared the effectiveness of positive, negative, and neutral messages to encourage walking (as measured with pedometers). Older adults who were informed about the benefits of walking walked more than those who were informed about the negative consequences of failing to walk, whereas younger adults were unaffected by framing valence. In Study 2, we examined within-person change in walking in older adults in response to positively- or negatively-framed messages over a 28-day period. Once again, positively-framed messages more effectively promoted walking than negatively-framed messages, and the effect was sustained across the intervention period. Together, these studies suggest that consideration of age-related changes in preferences for positive and negative information may inform the design of effective interventions to promote healthy lifestyles. Future research is needed to examine the mechanisms underlying the greater effectiveness of positively as opposed to negatively framed messages and the generalizability of findings to other intervention targets and other subpopulations of older adults. PMID:24956001

  12. Organizational Change Around an Older Workforce.

    PubMed

    Moen, Phyllis; Kojola, Erik; Schaefers, Kate

    2017-10-01

    Demographic, economic, political, and technological transformations-including an unprecedented older workforce-are challenging outdated human resource logics and practices. Rising numbers of retirement-eligible Boomers portend a loss of talent, skills, and local knowledge. We investigate organizational responses to this challenge-institutional work disrupting age-graded mindsets and policies. We focus on innovative U.S. organizations in the Minneapolis-St. Paul region in the state of Minnesota, a hub for businesses and nonprofits, conducting in-depth interviews with informants from a purposive sample of 23 for-profit, nonprofit, and government organizations. Drawing on an organizational change theoretical approach, we find organizations are leading change by developing universal policies and practices, not ones intentionally geared to older workers. Both their narratives and strategies-opportunities for greater employee flexibility, training, and scaling back time commitments-suggest deliberate disrupting of established age-graded logics, replacing them with new logics valuing older workers and age-neutral approaches. Organizations in the different sectors studied are fashioning uniform policies regardless of age, exhibiting a parallel reluctance to delineate special policies for older workers. Developing new organizational logics and practices valuing, investing in, and retaining older workers is key 21st century business challenges. The flexibility, training, and alternative pathways offered by the innovative organizations we studied point to fruitful possibilities for large-scale replacement of outdated age-biased templates of work, careers, and retirement.

  13. Caregiver role strain of older workers.

    PubMed

    Beitman, Candace L; Johnson, Jennifer L; Clark, Adrienne L; Highsmith, Sharon R; Burgess, Amy L; Minor, Megan C; Stir, Aimee L

    2004-01-01

    The purpose of this study was to measure role strain in older adult workers who were also caregivers of frail elders according to Komarovsky's role strain theory, and to determine whether different patterns of role strain exist for male worker-caregivers than females. Researchers developed the Job-Caregiver Role Strain Scale Survey, which was adapted from a survey that measured role strain in working parents and spouses. Surveys were distributed to 11 male and 34 female older workers who were also caregivers. A factor analysis was completed, which isolated four factors of role strain. Researchers named the factors time management and arrangements, health and competing role demands, low rewards, and reactions to perceptions. Role strain in older adult worker-caregivers is complex and involves multiple variables. A discriminant function analysis predicted differences in the way older male and female worker-caregivers perceived role strain. Use of role strain theory can assist employers and occupational therapists in developing and maintaining work environments that support not only the older employee's work performance, but participation in the role of elder caregiver as well.

  14. Tetanus immunity in an older Australian population.

    PubMed

    Heath, T C; Smith, W; Capon, A G; Hanlon, M; Mitchell, P

    1996-05-20

    To evaluate the effectiveness in older Australians of the current tetanus vaccination program. A cross-sectional survey of tetanus immunity (enzyme immunoassay of serum samples) in an older population in New South Wales. Self-reported history of tetanus vaccination was compared with serologically measured immunity. 430 randomly selected adults, 49 years of age and older, from the Blue Mountains Eye Study population. Fifty-two per cent (95% confidence interval [CI], 47%-57%) of adults 49 years of age and older had protective levels of tetanus antitoxin ( > 0.15 IU/mL). There was a significant decline in the prevalence of immunity with increasing age (chi 2 for linear trend, P = 0.036), and women were less likely to be immune regardless of their age (Mantel-Haenszel weighted odds ratio, 0.65; CI, 0.43-0.92). Thirty-five per cent (95% CI, 31%-40%) of all participants reported that they had been vaccinated in the preceding 10 years. Although self-reported tetanus vaccination history was associated with tetanus immunity, it was neither sensitive nor specific as a test for immunity. About half the adults 49 years of age and older in the Blue Mountains area of New South Wales do not have protective levels of tetanus antitoxin because of inadequate vaccination coverage in this age group. Vaccination history is not a reliable indicator of tetanus immunity and a system is needed for accurate recording of adult vaccination.

  15. Bilateral leg edema in an older woman.

    PubMed

    Thaler, H W; Pienaar, S; Wirnsberger, G; Roller-Wirnsberger, R E

    2015-01-01

    Bilateral leg edema is a frequent symptom in older people and an important concern in geriatric medicine. Further evaluation is frequently not performed and simple therapy with diuretics is prescribed. Particularly in older patients, long-term use of diuretics can lead to severe electrolyte imbalances, volume depletion, and falls. In this case report we want to focus the physicians' attention on the necessity to determine the cause and show a correspondingly effective treatment for bilateral leg edema in older people. A thorough approach is required to recognize diseases and to avoid adverse drug events as geriatric patients often show an atypical presentation or minor symptoms. The cause of swollen legs is often multifactorial; therefore, the patient's individual history and an appropriate physical examination are important. Depending on the clinical symptoms, evaluation including basic laboratory tests, urinalysis, chest radiography, and echocardiogram may be indicated. The most probable cause of bilateral edema in older patients is chronic venous insufficiency. Heart failure is also a common cause. Other systemic causes such as renal disease or liver disease are much rarer. Antihypertensive and anti-inflammatory drugs can frequently cause leg edema, but the incidence of drug-induced leg swelling is unknown. With the help of this special case we tried to develop an approach to the diagnosis of symmetric leg edema in older patients, a problem frequently neglected in geriatric medicine.

  16. BALANCE TRAINING FOR THE OLDER ATHLETE

    PubMed Central

    Page, Phil; Takeshima, Nobuo

    2013-01-01

    As the older adult population increases in size, the number of older adults participating in sport activities will also likely increase proportionally with a concomitant increase in musculoskeletal injuries. Age-associated functional declines in muscle strength and the sensory systems, in addition to several other issues, contribute to reductions in balance that may increase fall risk There are a variety of ways to evaluate balance and fall-risk, and each older adult should be regularly screened in order to evaluate any changes in the ability to maintain postural stability. Balance training is a useful intervention in rehabilitation of postural stability impairments as well as in training programs for performance enhancement. One scientifically-based approach is Sensorimotor Training (SMT) which can be characterized as a progressive balance training program using labile surfaces to provide adequate and safe challenges to the older athlete's balance. SMT addresses both static and dynamic components of balance as well as the multitude of systems that control balance in order to train effective strategies and elicit automatic postural responses in order to enhance postural stability. The authors believe that SMT should become part of the regular training regimen for the aging athlete. For the sport and orthopedic healthcare professional, an understanding of the physiologic changes that occur with age, the means by which balance can be assessed, and how SMT programs can be developed and implemented is crucial in addressing the growing number of older athletes that they will see. Level of Evidence: 5 PMID:24175135

  17. Guidelines for psychological practice with older adults.

    PubMed

    2014-01-01

    The "Guidelines for Psychological Practice With Older Adults" are intended to assist psychologists in evaluating their own readiness for working with older adults and in seeking and using appropriate education and training to increase their knowledge, skills, and experience relevant to this area of practice. The specific goals of these professional practice guidelines are to provide practitioners with (a) a frame of reference for engaging in clinical work with older adults and (b) basic information and further references in the areas of attitudes, general aspects of aging, clinical issues, assessment, intervention, consultation, professional issues, and continuing education and training relative to work with this group. The guidelines recognize and appreciate that there are numerous methods and pathways whereby psychologists may gain expertise and/or seek training in working with older adults. This document is designed to offer recommendations on those areas of awareness, knowledge, and clinical skills considered as applicable to this work, rather than prescribing specific training methods to be followed. The guidelines also recognize that some psychologists will specialize in the provision of services to older adults and may therefore seek more extensive training consistent with practicing within the formally recognized specialty of Professional Geropsychology (APA, 2010c).

  18. Neuropsychological mechanisms of falls in older adults

    PubMed Central

    Liu, Yu; Chan, John S. Y.; Yan, Jin H.

    2014-01-01

    Falls, a common cause of injury among older adults, have become increasingly prevalent. As the world’s population ages, the increase in—and the prevalence of—falls among older people makes this a serious and compelling societal and healthcare issue. Physical weakness is a critical predictor in falling. While considerable research has examined this relationship, comprehensive reviews of neuropsychological predictors of falls have been lacking. In this paper, we examine and discuss current studies of the neuropsychological predictors of falls in older adults, as related to sporting and non-sporting contexts. By integrating the existing evidence, we propose that brain aging is an important precursor of the increased risk of falls in older adults. Brain aging disrupts the neural integrity of motor outputs and reduces neuropsychological abilities. Older adults may shift from unconscious movement control to more conscious or attentive motor control. Increased understanding of the causes of falls will afford opportunities to reduce their incidence, reduce consequent injuries, improve overall well-being and quality of life, and possibly to prolong life. PMID:24782761

  19. Medications affecting functional status in older persons.

    PubMed

    Corsonello, Andrea; Onder, Graziano; Maggio, Marcello; Corica, Francesco; Lattanzio, Fabrizia

    2014-01-01

    Current evidence suggests that functional status is an important outcome of pharmacologic treatments in older people. At the moment, studies have shown diverse effects of medications on functional status. For example, some have shown potentially detrimental effects, while others have found improvements on physical function in elders. Overall, suboptimal prescribing and the occurrence of adverse drug reactions (ADRs) may negatively affect functional status. The use of selected drugs acting on central nervous system (CNS), e.g. benzodiazepines and antipsychotics, is generally associated with an increased risk of functional decline. The greater sensitivity of older people to these drugs, together with age-related changes in pharmacokinetics and pharmacodynamics, account for the observed detrimental effect and suggests a cautious approach to older and frail patients when prescribing CNS agents. On the other hand, selected drugs may slow or delay functional decline in older people. In particular, drugs aimed at targeting sarcopenia (loss in muscle mass and strength), such as testosterone in androgen deficiency, ACE-inhibitors, vitamin D and β-hydroxy β-methyl butyrate (HMB), as well as the recently developed selective androgen receptor modulators (SARMs) may hold extreme importance. This review will provide available evidence of the diverse impacts of drug medications on functional status in older persons.

  20. The International Network for Older Adults

    NASA Astrophysics Data System (ADS)

    Norton, Dianne

    1992-07-01

    Although funds were not available to bring members of the Older Adults Network to the World Assembly of Adult Education in January 1990, there was, among the delegates, considerable interest in the subject and several meetings were arranged. The thing that struck me most was not how different were our situations, coming as we did from every corner of the earth, but how many problems and concerns we had in common. With the second Network Newsletter, sent out in the spring of 1991, questionnaires asked for brief details of schemes which involved older people in projects that were, in some way, conservational. They could be involved in conserving language, mythology or history. They might be working to improve and save their environment. The aim is to establish a small but useful register of such projects in sufficient detail to encourage contact and replication by others. For this purpose, small grants are being made available from the money given by CIDA. Slowly but surely, the Older Adults Network is gathering information about positive actions being taken to ensure that older people, in all countries, have the skills and opportunities they need to continue as fully participating citizens. With the rapidly increasing number of older people in all our countries, this small beginning will, hopefully, be a foundation on which much important work will be done in the years to come.

  1. The Right to Health of Older People.

    PubMed

    Baer, Britta; Bhushan, Anjana; Taleb, Hala Abou; Vasquez, Javier; Thomas, Rebekah

    2016-04-01

    A focus on the right to the enjoyment of the highest attainable standard of health (hereinafter, "the right to health") draws attention to the health needs of older people, including the most marginalized among them. Many factors that influence vulnerability or impede the enjoyment of health and access to quality services result from an inability to freely exercise these human rights. A human rights approach can help to address the legal, social, and structural barriers to good health for older persons, clarifying the legal obligations of State and non-State actors to uphold and respect these rights. However, despite growing impetus for action, this area has historically received limited attention. Drawing on practice examples from different regions, this article unpacks the meaning of the right to health and other related human rights of older people in practice, covering both health care and underlying determinants of their health. Questions of availability, accessibility, acceptability, and quality are highlighted from the perspective of older people's health and well-being. The article brings together knowledge, principles, norms, and standards from the human rights law, health, and ageing arenas. By making links between these arenas, it is hoped that the article fills a gap in thinking on how to achieve the progressive realization of the right to health of older people and the effective promotion and protection of their other related human rights, which are crucial for the enjoyment of health.

  2. Offset analgesia is reduced in older adults.

    PubMed

    Naugle, Kelly M; Cruz-Almeida, Yenisel; Fillingim, Roger B; Riley, Joseph L

    2013-11-01

    Recent studies indicate that aging is associated with dysfunctional changes in pain modulatory capacity, potentially contributing to increased incidence of pain in older adults. However, age-related changes in offset analgesia (offset), a form of temporal pain inhibition, remain poorly characterized. The purpose of this study was to investigate age differences in offset analgesia of heat pain in healthy younger and older adults. To explore the peripheral mechanisms underlying offset, an additional aim of the study was to test offset at 2 anatomical sites with known differences in nociceptor innervation. A total of 25 younger adults and 20 older adults completed 6 offset trials in which the experimental heat stimulus was presented to the volar forearm and glabrous skin of the palm. Each trial consisted of 3 continuous phases: an initial 15-second painful stimulus (T1), a slight increase in temperature from T1 for 5 seconds (T2), and a slight decrease back to the initial testing temperature for 10 seconds (T3). During each trial, subjects rated pain intensity continuously using an electronic visual analogue scale (0-100). Older adults demonstrated reduced offset compared to younger adults when tested on the volar forearm. Interestingly, offset analgesia was nonexistent on the palm for all subjects. The reduced offset found in older adults may reflect an age-related decline in endogenous inhibitory systems. However, although the exact mechanisms underlying offset remain unknown, the absence of offset at the palm suggests that peripheral mechanisms may be involved in initiating this phenomenon.

  3. The Digital Divide and urban older adults.

    PubMed

    Cresci, M Kay; Yarandi, Hossein N; Morrell, Roger W

    2010-01-01

    Computers and the Internet offer older adults opportunities and resources for independent living. However, many urban older adults do not use computers. This study examined the demographic, health, and social activities of urban older adults to determine variables that might predict the use and nonuse of computers in this population. A secondary data analysis was performed using the 2001 Detroit City-Wide Needs Assessment of Older Adults (n = 1410) data set. Logistic regression was used to explore potential differences in predictor variables between computer users and nonusers. Overall, computer users were younger (27%), had a higher level of education, were more likely to be employed, had an annual income greater than $20,000, and were healthier and more active than nonusers. They also were more likely to have memberships in community organizations and do volunteer work. Preferred computer activities included conducting Internet searches, playing games, writing, and communicating with family members and friends. The results suggest significant differences in demographic and health-related characteristics between computer users and nonusers among urban older adults. Although about a quarter of participants in this study used computers, the Digital Divide continues to exist in urban settings for scores of others.

  4. Strategies to improve diet in older adults.

    PubMed

    Johnson, Mary Ann

    2013-02-01

    It is estimated that by 2050 there will be 2 billion people aged 60 years and older in the world. The evidence base for the health benefits of good nutrition and physical activity, as well as weight loss among overweight and obese adults, is growing and a number of policies and guidelines are available to guide health professionals in serving older people at various stages of the lifecycle. There are many potential influences on dietary habits including individual factors, families and friends, community characteristics, the food and supplement industry, and public policy. This review focuses on the evidence base for factors influencing diet in older adults, food insecurity, Na, vitamin D, vitamin B12, protein, obesity and the benefits of energy restriction in overweight and obese older adults. Research is needed to continue to increase the evidence base for appropriate ways to improve diet and health in older people. Also, much of the available information is from the US, so there is a need to conduct research in other areas of the world.

  5. Attitudes toward older people and coworkers' intention to work with older employees: a Taiwanese study.

    PubMed

    Lu, Luo

    2010-01-01

    The aim of this research was to examine attitudinal barriers to the employment of Taiwanese older workers (aged 60 and above). Face-to-face interviews were conducted to collect data using structured questionnaires from a sample of full-time employees (N= 258). We found that: (1) positive attitudes toward older people in general, perceived subjective norm, and traditional Chinese cultural values were all related to stronger intentions to work with older employees; (2) the model derived from the theory of reasoned action emerged the best model accounting for behavioral intention among competing structural models. The associations of positive attitudes and subjective norm with intention were found after controlling for demographics, cultural values, and personal contact experiences with older people. Our results highlight the importance and urgency of more concerted research to inform public and organizational policies to better promote and manage the careers of older employees in an aging, economically developing society.

  6. Social, Economic and Health Characteristics of Older American Indians (Part 2 of 2). Statistical Reports on Older Americans, June 1978.

    ERIC Educational Resources Information Center

    Williams, Blanch S.

    In 1970 the Indian population of all ages was 763,000; 148,600 were 45 years of age or older and 43,800 were 65 years of age or older. Two-thirds of all older American Indian women and slightly more than one-third of the older men were either single, widowed, or divorced. Half of the older Indians received incomes below $1,408; this was 24% below…

  7. The impact of resilience among older adults.

    PubMed

    MacLeod, Stephanie; Musich, Shirley; Hawkins, Kevin; Alsgaard, Kathleen; Wicker, Ellen R

    2016-01-01

    The purpose of this literature review was to provide an overview of resilience for the purpose of informing potential intervention designs that may benefit older adults. While numerous reviews have focused on various specific aspects of resilience, none have provided the necessary information required to design an effective resilience intervention. Research examining resilience suggests that older adults are capable of high resilience despite socioeconomic backgrounds, personal experiences, and declining health. Thus opportunities to inform interventions in this area exist. Research studies have identified the common mental, social, and physical characteristics associated with resilience. High resilience has also been significantly associated with positive outcomes, including successful aging, lower depression, and longevity. Interventions to enhance resilience within this population are warranted, but little evidence of success exists. Thus this review provides an overview of resilience that may aid in the design of resilience interventions for the often underserved population of older adults.

  8. [Treatment of older patients with dyslipidemia].

    PubMed

    González, David Fierro

    2014-05-01

    Elderly persons represent a growing percentage of the total population, and this tendency will become stronger in the coming years. To date, the little evidence available on primary and secondary prevention indicates that this population has high cholesterol levels, that few are under treatment, and that the degree of control requires improvement. Current guidelines recommend that treatment targets in older persons should be the same as those in younger patients. Nevertheless, it is important to remember certain characteristics in older persons, such as biological and metabolic changes or the higher incidence of atherogenic dyslipidemia, which will affect them. Moreover, quality of life and maintaining independence rather than mere survival are especially important in older individuals, as demonstrated by various surveys. Consequently, pravastatin -the most widely studied statin- seems to be the statin of choice for the control of triglycerides and residual risk, although fenofibrate is also useful.

  9. Urinary tract infection in older adults.

    PubMed

    Rowe, Theresa A; Juthani-Mehta, Manisha

    2013-10-01

    Urinary tract infection and asymptomatic bacteriuria are common in older adults. Unlike in younger adults, distinguishing symptomatic urinary tract infection from asymptomatic bacteriuria is problematic, as older adults, particularly those living in long-term care facilities, are less likely to present with localized genitourinary symptoms. Consensus guidelines have been published to assist clinicians with diagnosis and treatment of urinary tract infection; however, a single evidence-based approach to diagnosis of urinary tract infection does not exist. In the absence of a gold standard definition of urinary tract infection that clinicians agree upon, overtreatment with antibiotics for suspected urinary tract infection remains a significant problem, and leads to a variety of negative consequences including the development of multidrug-resistant organisms. Future studies improving the diagnostic accuracy of urinary tract infections are needed. This review will cover the prevalence, diagnosis and diagnostic challenges, management, and prevention of urinary tract infection and asymptomatic bacteriuria in older adults.

  10. Attitudes toward advertisements of the older adults.

    PubMed

    Estrada, M; Moliner, M A; Sánchez, J

    2010-01-01

    In this study we will analyze the attitude of older adults to advertisements, differentiating between advertisements that contain rhetorical figures (trope ads) and those that do not (explicit ads). We will also study their attitude toward the brand advertised according to their degree of involvement with the product. In the course of the empirical research, a total of 183 personal surveys were carried out with people aged over 65 taking as reference 2 products with different prices and durabilities. Analysis of the results indicated that in products involving little economic effort, older adults showed the same attitude toward both trope and explicit advertisements. However, with products requiring greater economic effort, older adults showed differences in their attitudes to trope ads and to explicit ads depending on their degree of involvement with the product. These differences had a strong effect on their attitudes to the brands of the products analyzed.

  11. Hypothyroidism: challenges when treating older adults.

    PubMed

    Pearson, Tamera

    2013-01-01

    Hypothyroidism frequently affects older adults' general sense of health, their cognitive abilities, and quality of life. Management decisions regarding when to start treatment and at what dosage to begin medication are influenced by both laboratory values and patient symptoms. Although specific guidelines regarding management of hypothyroidism in older adults do not exist, general recommendations include initiating hormone replacement with levothyroxine (Levoxyl(®), Synthroid(®), and others) at 12.5 mcg to 25 mcg and titrating the dose slowly based on response at 6-week intervals. Multiple medications and certain foods can interact with levothyroxine; therefore, the best dosage time is when a person is fasting or 4 hours postprandial. Using a consistent brand-name drug for hormone replacement with levothyroxine is important due to variations in the active ingredient in generic formulations. Providers need to be aware of the prevalence of hypothyroidism and management issues when caring for older adults.

  12. Older Adults' Perceptions of Home Telehealth Services

    PubMed Central

    Brenčič, Maja Makovec; Trkman, Peter; de Leonni Stanonik, Mateja

    2013-01-01

    Abstract The success of home telemedicine depends on end-user adoption, which has been slow despite rapid advances in technological development. This study focuses on an examination of significant factors that may predict the successful adoption of home telemedicine services (HTS) among older adults. Based on previous studies in the fields of remote patient monitoring, assisted living technologies, and consumer health information technology acceptance, eight factors were identified as a framework for qualitative testing. Twelve focus groups were conducted with an older population living in both urban and rural environments. The results reveal seven predictors that play an important role in perceptions of HTS: perceived usefulness, effort expectancy, social influence, perceived security, computer anxiety, facilitating conditions, and physicians' opinion. The results provide important insights in the field of older adults' acceptance of HTS, with guidelines for the strategic planning, developing, and marketing of HTS for the graying market. PMID:23931702

  13. Optimizing Tailored Health Promotion for Older Adults

    PubMed Central

    Marcus-Varwijk, Anne Esther; Koopmans, Marg; Visscher, Tommy L. S.; Seidell, Jacob C.; Slaets, Joris P. J.; Smits, Carolien H. M.

    2016-01-01

    Objective: This study explores older adults’ perspectives on healthy living, and their interactions with professionals regarding healthy living. This perspective is necessary for health professionals when they engage in tailored health promotion in their daily work routines. Method: In a qualitative study, 18 semi-structured interviews were carried out with older adults (aged 55-98) living in the Netherlands. The framework analysis method was used to analyze the transcripts. Results: Three themes emerged from the data—(a) healthy living: daily routines and staying active, (b) enacting healthy living: accepting and adapting, (c) interaction with health professionals with regard to healthy living: autonomy and reciprocity. Discussion: Older adults experience healthy living in a holistic way in which they prefer to live active and independent lives. Health professionals should focus on building an equal relationship of trust and focus on positive health outcomes, such as autonomy and self-sufficiency when communicating about healthy living. PMID:28138485

  14. Depression in older adults: screening and referral.

    PubMed

    Vieira, Edgar Ramos; Brown, Ellen; Raue, Patrick

    2014-01-01

    Depression is related to disability and affects rehabilitation participation, outcomes, and compliance with treatment. Improving older adult depression detection and referral requires knowledge, skills, supportive organizational policies, and access to mental health experts. This review provides a selected overview of evidence-based approaches for screening of suspected cases of depression in older adults by physical therapists and other non-mental health professionals and discusses procedures to refer suspected cases to primary care providers and/or mental health specialists for evaluation, including resources and a tool to assist in communicating depression-related information to the primary care provider or mental health specialist. We hope that this review will promote the incorporation of evidence-based screening and referral of suspected cases of depression in older adults into routine practice.

  15. Sexual assault of older women by strangers.

    PubMed

    Lea, Susan J; Hunt, Laura; Shaw, Steve

    2011-07-01

    This study examines victim, offender, and offence characteristics associated with sexual assaults by strangers of older women compared to those against younger women. Cases are obtained from the Serious Crime Analysis Section of the United Kingdom National Policing Improvement Agency (NPIA; formerly Centrex). All possible cases of rape, attempted rape, and lesser sexual assault involving a single female victim aged 60 or older are selected (n = 53). These are matched with a sample of sexual assaults against women aged between 20 to 45 years ( n = 53). Research findings reveal significant differences in relation to a number of variables, including ethnicity of the offender, number of previous convictions of the offender, and characteristics associated with the assault itself. The results of this research reveal new information about violent sexual assaults on older women by strangers and have implications for practitioners dealing with such cases.

  16. Improved Cardiovascular Disease Outcomes in Older Adults

    PubMed Central

    Forman, Daniel E.; Alexander, Karen; Brindis, Ralph G.; Curtis, Anne B.; Maurer, Mathew; Rich, Michael W.; Sperling, Laurence; Wenger, Nanette K.

    2016-01-01

    Longevity is increasing and the population of older adults is growing. The biology of aging is conducive to cardiovascular disease (CVD), such that prevalence of coronary artery disease, heart failure, valvular heart disease, arrhythmia and other disorders are increasing as more adults survive into old age.  Furthermore, CVD in older adults is distinctive, with management issues predictably complicated by multimorbidity, polypharmacy, frailty and other complexities of care that increase management risks (e.g., bleeding, falls, and rehospitalization) and uncertainty of outcomes.  In this review, state-of-the-art advances in heart failure, acute coronary syndromes, transcatheter aortic valve replacement, atrial fibrillation, amyloidosis, and CVD prevention are discussed.  Conceptual benefits of treatments are considered in relation to the challenges and ambiguities inherent in their application to older patients. PMID:26918183

  17. Older adults' perceptions of home telehealth services.

    PubMed

    Cimperman, Miha; Brenčič, Maja Makovec; Trkman, Peter; Stanonik, Mateja de Leonni

    2013-10-01

    The success of home telemedicine depends on end-user adoption, which has been slow despite rapid advances in technological development. This study focuses on an examination of significant factors that may predict the successful adoption of home telemedicine services (HTS) among older adults. Based on previous studies in the fields of remote patient monitoring, assisted living technologies, and consumer health information technology acceptance, eight factors were identified as a framework for qualitative testing. Twelve focus groups were conducted with an older population living in both urban and rural environments. The results reveal seven predictors that play an important role in perceptions of HTS: perceived usefulness, effort expectancy, social influence, perceived security, computer anxiety, facilitating conditions, and physicians' opinion. The results provide important insights in the field of older adults' acceptance of HTS, with guidelines for the strategic planning, developing, and marketing of HTS for the graying market.

  18. Urinary tract infection in older adults

    PubMed Central

    Rowe, Theresa A; Juthani-Mehta, Manisha

    2013-01-01

    Urinary tract infection and asymptomatic bacteriuria are common in older adults. Unlike in younger adults, distinguishing symptomatic urinary tract infection from asymptomatic bacteriuria is problematic, as older adults, particularly those living in long-term care facilities, are less likely to present with localized genitourinary symptoms. Consensus guidelines have been published to assist clinicians with diagnosis and treatment of urinary tract infection; however, a single evidence-based approach to diagnosis of urinary tract infection does not exist. In the absence of a gold standard definition of urinary tract infection that clinicians agree upon, overtreatment with antibiotics for suspected urinary tract infection remains a significant problem, and leads to a variety of negative consequences including the development of multidrug-resistant organisms. Future studies improving the diagnostic accuracy of urinary tract infections are needed. This review will cover the prevalence, diagnosis and diagnostic challenges, management, and prevention of urinary tract infection and asymptomatic bacteriuria in older adults. PMID:24391677

  19. Optimizing Sleep in Older Adults: Treating Insomnia

    PubMed Central

    Wennberg, Alexandra M.; Canham, Sarah L.; Smith, Michael T.; Spira, Adam P.

    2013-01-01

    As the world’s population ages, the elevated prevalence of insomnia in older adults is a growing concern. Insomnia is characterized by difficulty falling or remaining asleep, or by non-restorative sleep, and resultant daytime dysfunction. In addition to being at elevated risk for primary insomnia, older adults are at greater risk for comorbid insomnia, which results from, or occurs in conjunction with another medical or psychiatric condition. In this review, we discuss normal changes in sleep that accompany aging, circadian rhythm changes and other factors that can contribute to late-life insomnia, useful tools for the assessment of insomnia and related problems in older people, and both non-pharmacological and pharmacological strategies for the management of insomnia and optimization of sleep in later life. PMID:23746664

  20. Everyday Memory Errors in Older Adults

    PubMed Central

    Ossher, Lynn; Flegal, Kristin E.; Lustig, Cindy

    2012-01-01

    Despite concern about cognitive decline in old age, few studies document the types and frequency of memory errors older adults make in everyday life. In the present study, 105 healthy older adults completed the Everyday Memory Questionnaire (EMQ; Sunderland, Harris, & Baddeley, 1983), indicating what memory errors they had experienced in the last 24 hours, the Memory Self-Efficacy Questionnaire (MSEQ; West, Thorn, & Bagwell, 2003), and other neuropsychological and cognitive tasks. EMQ and MSEQ scores were unrelated and made separate contributions to variance on the Mini Mental State Exam (MMSE; Folstein, Folstein, & McHugh, 1975), suggesting separate constructs. Tip-of-the-tongue errors were the most commonly reported, and the EMQ Faces/Places and New Things subscales were most strongly related to MMSE. These findings may help training programs target memory errors commonly experienced by older adults, and suggest which types of memory errors could indicate cognitive declines of clinical concern. PMID:22694275

  1. Modified MyPyramid for Older Adults.

    PubMed

    Lichtenstein, Alice H; Rasmussen, Helen; Yu, Winifred W; Epstein, Susanna R; Russell, Robert M

    2008-01-01

    In 1999 we proposed a Modified Food Guide Pyramid for adults aged 70+ y. It has been extensively used in a variety of settings and formats to highlight the unique dietary challenges of older adults. We now propose a Modified MyPyramid for Older Adults in a format consistent with the MyPyramid graphic. It is not intended to substitute for MyPyramid, which is a multifunctional Internet-based program allowing for the calculation of individualized food-based dietary guidance and providing supplemental information on food choices and preparation. Pedagogic issues related to computer availability, Web access, and Internet literacy of older adults suggests a graphic version of MyPyramid is needed. Emphasized are whole grains and variety within the grains group; variety and nutrient density, with specific emphasis on different forms particularly suited to older adults' needs (e.g. frozen) in the vegetables and fruits groups; low-fat and non-fat forms of dairy products including reduced lactose alternatives in the milk group; low saturated fat and trans fat choices in the oils group; and low saturated fat and vegetable choices in the meat and beans group. Underlying themes stress nutrient- and fiber-rich foods within each group and food sources of nutrients rather than supplements. Fluid and physical activity icons serve as the foundation of MyPyramid for Older Adults. A flag to maintain an awareness of the potential need to consider supplemental forms of calcium, and vitamins D and B-12 is placed at the top of the pyramid. Discussed are newer concerns about potential overnutrition in the current food landscape available to older adults.

  2. Using informatics to capture older adults’ wellness

    PubMed Central

    Demiris, George; Thompson, Hilaire J.; Reeder, Blaine; Wilamowska, Katarzyna; Zaslavsky, Oleg

    2014-01-01

    Purpose The aim of this paper is to demonstrate how informatics applications can support the assessment and visualization of older adults’ wellness. A theoretical framework is presented that informs the design of a technology enhanced screening platform for wellness. We highlight an ongoing pilot demonstration in an assisted living facility where a community room has been converted into a living laboratory for the use of diverse technologies (including a telehealth component to capture vital signs and customized questionnaires, a gait analysis component and cognitive assessment software) to assess the multiple aspects of wellness of older adults. Methods A demonstration project was introduced in an independent retirement community to validate our theoretical framework of informatics and wellness assessment for older adults. Subjects are being recruited to attend a community room and engage in the use of diverse technologies to assess cognitive performance, physiological and gait variables as well as psychometrics pertaining to social and spiritual components of wellness for a period of eight weeks. Data are integrated from various sources into one study database and different visualization approaches are pursued to efficiently display potential correlations between different parameters and capture overall trends of wellness. Results Preliminary findings indicate that older adults are willing to participate in technology-enhanced interventions and embrace different information technology applications given appropriate and customized training and hardware and software features that address potential functional limitations and inexperience with computers. Conclusion Informatics can advance health care for older adults and support a holistic assessment of older adults’ wellness. The described framework can support decision making, link formal and informal caregiving networks and identify early trends and patterns that if addressed could reduce adverse health events

  3. Emergency department utilization patterns among older adults.

    PubMed

    Wolinsky, Fredric D; Liu, Li; Miller, Thomas R; An, Hyonggin; Geweke, John F; Kaskie, Brian; Wright, Kara B; Chrischilles, Elizabeth A; Pavlik, Claire E; Cook, Elizabeth A; Ohsfeldt, Robert L; Richardson, Kelly K; Rosenthal, Gary E; Wallace, Robert B

    2008-02-01

    We identified 4-year (2 years before and 2 years after the index [baseline] interview) ED use patterns in older adults and the factors associated with them. A secondary analysis of baseline interview data from the nationally representative Survey on Assets and Health Dynamics Among the Oldest Old linked to Medicare claims data. Participants were 4310 self-respondents 70 years old or older. Current Procedural Terminology (CPT) codes 99281 and 99282 identified low-intensity use, and CPT codes 99283-99285 identified high-intensity use. Exploratory factor analysis and multivariable multinomial logistic regression were used. The majority (56.6%) of participants had no ED visits during the 4-year period. Just 5.7% had only low-intensity ED use patterns, whereas 28.9% used the ED only for high-intensity visits, and 8.7% had a mixture of low-intensity and high-intensity use. Participants with lower immediate word recall scores and those who did not live in major metropolitan areas were more likely to be low-intensity-only ED users. Older individuals, those who did not live in rural counties, had greater morbidity and functional status burdens, and lower immediate word recall scores were more likely to be high-intensity-only ED users. Participants who were older, did not live in major cities, had lower education levels, had greater morbidity and functional status burdens, and lower immediate word recall scores were more likely to have mixed ED use patterns. Nearly half of these older adults used the ED at least once over a 4-year period, with a mean annual ED use percentage of 18.4. Few, however, used the ED only for visits that may have been avoidable. This finding suggests that triaging Medicare patients would not decrease ED overcrowding, although continued surveillance is necessary to detect potential changes in ED use patterns among older adults.

  4. Management of Colorectal Cancer in Older Adults.

    PubMed

    Hubbard, Joleen M

    2016-02-01

    Treatment for colorectal cancer should not be based on age alone. Pooled analyses from clinical trials show that fit older adults are able to tolerate treatment well with similar efficacy as younger adults. When an older adult is considered for treatment, the clinical encounter must evaluate for deficits in physical and cognitive function, and assess comorbidities, medications, and the degree of social support, all which have may affect tolerance of treatment. Based on the degree of fitness of the patient, multiple alternatives to aggressive treatment regimens and strategies exist to minimize toxicity and preserve quality of life during treatment.

  5. Osteoarthritis and falls in the older person.

    PubMed

    Ng, Chin Teck; Tan, Maw Pin

    2013-09-01

    Osteoarthritis and falls are common conditions affecting older individuals which are associated with disability and escalating health expenditure. It has been widely assumed that osteoarthritis is an established risk factor for falls in older people. The relationship between osteoarthritis and falls has, quite surprisingly, not been adequately elucidated, and published reports have been conflicting. Our review of the existing literature has found limited evidence supporting the current assumption that the presence of osteoarthritis is associated with increased risk of falls with suggestions that osteoarthritis may actually be protective against falls related fractures. In addition, joint arthroplasty appears to increase the risk of falls in individuals with osteoarthritis.

  6. Pressure ulcer prevention in frail older people.

    PubMed

    Barry, Maree; Nugent, Linda

    2015-12-16

    Pressure ulcers are painful and cause discomfort, have a negative effect on quality of life, and are costly to treat. The incidence and severity of preventable pressure ulcers is an important indicator of quality of care; it is essential that healthcare providers monitor prevalence and incidence rates to ensure that care strategies implemented are effective. Frail older people are at increased risk of developing pressure ulcers. This article discusses the complexities of preventing pressure ulcers in frail older people and emphasises the importance of structured educational programmes that incorporate effective clinical leadership and multidisciplinary teamwork.

  7. Excessive Body Weight in Older Adults.

    PubMed

    Porter Starr, Kathryn N; Bales, Connie W

    2015-08-01

    The health challenges prompted by obesity in the older adult population are poorly recognized and understudied. A defined treatment of geriatric obesity is difficult to establish, as it must take into account biological heterogeneity, age-related comorbidities, and functional limitations (sarcopenia/dynapenia). This retrospective article highlights the current understanding of the optimal body mass index (BMI) in later life, addressing appropriate recommendations based on BMI category, age, and health history. The findings of randomized control trials of weight loss/maintenance interventions help one to move closer to evidence-based and appropriately individualized recommendations for body weight management in older adults.

  8. Conducting research with visually impaired older adults.

    PubMed

    Moore, Linda Weaver

    2002-04-01

    Due to the frequency of eye disorders among older adults, qualitative researchers who involve older individuals in their work must be sensitive to the multiple ways in which visual deficits can influence the research process. The author addresses some of the difficulties encountered, insights gained, and strategies developed while conducting a phenomenological study in which all the participants were severely visually impaired. The author's insights, drawn from personal experiences, reflections, and log entries kept throughout the study, are shared to help other researchers design and implement studies in which the voices of individuals with severe visual impairments can be skillfully tapped.

  9. Evaluation of Syncope in Older Adults.

    PubMed

    Hogan, Teresita M; Constantine, Stephen Tyler; Crain, Aoko Doris

    2016-08-01

    The older adult patient with syncope is one of the most challenging evaluations for the emergency physician. It requires clinical skill, patience, and knowledge of specific older adult issues. It demands care in the identification of necessary resources, such as medication review, and potential linkage with several multidisciplinary follow-up services. Excellent syncope care likely requires reaching out to ensure institutional resources are aligned with emergency department patient needs, thus asking emergency physicians to stretch their administrative talents. This is likely best done as preset protocols prior to individual patient encounters. Emergency physicians evaluate elders with syncope every day and should rise to the challenge to do it well.

  10. Older women and cosmetic tattooing experiences.

    PubMed

    Armstrong, Myrna L; Saunders, Jana C; Roberts, Alden E

    2009-01-01

    Aging for the older women in the 21st century is more than medical issues. In this study, 62 women (ages 51-81+) obtained a total of 97 permanent makeup procedures. Procurement cues included self-improvement and friend's appearance, consistent with internal, external, and appearance perspectives of body image. Poor eyesight was also of concern (14/23%). Actual benefits included saving makeup time and money (external), while achieving personal goals (internal). This study seems to confirm that for these older women, body image remains important, especially qualities of the face. They did not shed their internal, external, nor appearance concerns associated with body image, as they aged.

  11. Exercise for older patients with chronic disease.

    PubMed

    Petrella, R J

    1999-10-01

    Coronary artery disease, hypertension, congestive heart failure, type 2 diabetes mellitus, osteoarthritis, osteoporosis, and cognitive disorders become more prevalent as people age. Besides delaying the onset of many of these conditions, regular exercise may improve function and delay disability and morbidity in those who have them. Further, exercise may work synergistically with medication to combat the effects of some chronic diseases. Special adaptations for older patients include lower-intensity exercise (eg, fewer repetitions), low-impact exercise (cycling, exercise while sitting), and modified equipment (smaller weights, special shoes, loose clothing). Unresolved issues include development of optimal strategies for motivating older patients to begin and maintain exercise programs.

  12. Caring for Older People. Public transport.

    PubMed Central

    Roper, T. A.; Mulley, G. P.

    1996-01-01

    Most older people are mobile and able to use public transport without any problems. Those who are hard of hearing or have poor vision and those with mobility problems need not be deterred from using public transport. Though the design and provision of suitable buses, taxis, and trains is not always optimum, many now have imaginative features to help older passengers. Travel by air and sea needs extra planning for disabled elderly people, but helpful advice is available and much can be done to enable even the most disabled traveller to make long journeys confidently and in comfort. Images p415-a Fig 1 Fig 2 Fig 3 PMID:8761236

  13. Detecting dehydration in older people: useful tests.

    PubMed

    Hooper, Lee; Bunn, Diane

    Dehydration is common in older people, leading to longer hospital stays and increased disability and mortality. Health professionals can diagnose water-loss dehydration by taking a blood sample and measuring serum osmolality, but a less-invasive test would be useful. Evidence that tests, clinical signs or questions tested to date are useful when screening for dehydration in older people is limited. This article looks at known risk factors, signs and test for dehydration, and outlines evidence on how useful they have proven to be. Part 2 describes how a care home has used a multicomponent strategy to improve hydration.

  14. Depression Literacy Among American Indian Older Adults.

    PubMed

    Roh, Soonhee; Brown-Rice, Kathleen; Pope, Natalie D; Lee, Kyoung Hag; Lee, Yeon-Shim; Newland, Lisa A

    2015-01-01

    Older American Indians experience high rates of depression and other psychological disorders, yet little research exist on the depression literacy of this group. Depression literacy is fundamental for individuals seeking help for depression in a timely and appropriate manner. In the present study the authors examine levels and predictors of knowledge of depression symptoms in a sample of rural older American Indians (N = 227) living in the Midwestern United States. Data from self-administered questionnaires indicate limited knowledge of depression and negative attitudes toward seeking help for mental health problems. Additional findings and implications for social work practice and policy are discussed.

  15. Psychological adaptation of the older homosexual male.

    PubMed

    Berger, R M

    1980-01-01

    Social, psychological, and demographic characteristics of older homosexual males were examined through analysis of the questionnaire responses of 112 homosexual men 40 years of age or older. Few of the negative stereotypes that usually characterize descriptions of this group were supported. Most respondents were well adjusted and satisfied with their lives. Variables relating to good psychological adaptation included integration into the gay community, commitment to homosexuality, a low concern with concealment of sexual preference, a current exclusive relationship, and a satisfactory sex life. There was some evidence to indicate that age is positively related to several aspects of psychological adaptation.

  16. Older women caring for older women: the rewards and challenges of the home care aide job.

    PubMed

    Butler, Sandra S; Wardamasky, Sara; Brennan-Ing, Mark

    2012-01-01

    As our population ages, the need for personal assistance services increases. Paid personal care is predominantly provided by women, often older women, and has been considered low-status, low-wage work. This article reports on a mixed-method, longitudinal study of 261 home care aides; study participants were 46 years old, on average. Predictors of termination included younger age and lack of health insurance. Study participants reported more rewarding than challenging aspects to the job, though low and inconsistent compensation often forced them to leave the work they loved. Implications of the study with regard to older women caring for older women are explored.

  17. Transcutaneous Analyte Measuring Methods (TAMM). Phase 2

    DTIC Science & Technology

    1991-11-01

    completely developed. The BI-102 is currently set up in Biotronics’ chemical laboratory. Biotronics personnel are being tested for glucose using the BI...LABRATOF INERAC ANAt2VS <Update Patient OF BLOO( IR S l odim, ChIoio- Databse wth P10bsinn oloG * aten IfoBlood Analysis DATA ENTRY . CIL Patint Ito DTA

  18. Walking and Metabolic Syndrome in Older Adults

    PubMed Central

    Strath, Scott; Swartz, Ann; Parker, Sarah; Miller, Nora; Cieslik, Linda

    2010-01-01

    Background Little data exists describing the impact that walking has on metabolic syndrome (MetS) in a multicultural sample of older adults. Methods Walking was measured via pedometer in 150 older adults from 4 different ethnic categories. Steps per day were classified as low (<3100 steps/d) or high (≥3100 steps/d) for statistical analyses. Results Occurrence of MetS was lower in the white (33%) versus non-white population (50%). Low steps/d were related to an increase in MetS for both white (OR = 96.8, 95% CI 12.3–764.6) and non-white individuals (OR = 4.5, 95% CI 1.8–11.3). Low steps/d also increased the odds for selected components of MetS in both the white and non-white groups. Conclusion Low levels of walking increase the likelihood of having MetS in both white and non-white older adults. Efforts to increase walking in older adults may decrease the likelihood of developing this clustering of disease risk factors. PMID:18209231

  19. Wage Determination and Discrimination among Older Workers.

    ERIC Educational Resources Information Center

    Quinn, Joseph F.

    1979-01-01

    Analyzed determinants of wage rates of older workers and the large discrepancies existing between wage earned by Whites, non-Whites, men, and women. Human capital and geographic variables were important wage determinants. Differences in variables cannot completely explain the wage differentials of race and sex. (Author)

  20. Epidemiology of Falls in Older Age

    ERIC Educational Resources Information Center

    Peel, Nancye May

    2011-01-01

    Worldwide, falls among older people are a public health concern because of their frequency and adverse consequences in terms of morbidity, mortality, and quality of life, as well as their impact on health system services and costs. This epidemiological review outlines the public health burden of falls and fall-related injuries and the impact of…