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PubMed1996

Grey horizons: who pays for old age in the 21st century?

"This article challenges pessimistic interpretations of the economic impact of population ageing that have been advanced by the World Bank and others. Common perceptions of an ¿old age crisis' are shown to result from a narrow reading of demographic data. Future changes in the age structure of the population will be no greater than those already experienced and accommodated in the last fifty years, and estimates of demographic dependency ratios provide an unreliable basis for future economic projections. Although population ageing will require a larger proportion of income to be transferred from years of work to years of retirement, this cost cannot be significantly reduced by shifting from public to private pension systems." The geographical focus is on Australia.

Adult↗
PubMed1999

Cognitive and psychological profile of a Tunisian population of limb girdle muscular dystrophy.

This study assesses the cognitive functioning of a Tunisian population suffering from limb girdle muscular dystrophy (LGMD). The population was randomly selected from patients referred to the outpatient clinic of the National Institute of Neurology of Tunis. The only criterion for inclusion was the absolute proof of this type of disease through clinical assessments, an immunohistochemical muscle study (dystrophin positive) and linkage study. Over a 2-year period, 16 cases were identified. Cognitive function was measured by individual IQ testing using a language-free, motor-reduced and cultural-free intelligence test. This test relies on adequate visual discrimination and spatial relationship skills; therefore, a test to appraise perceptual skills was administered to rule out potential deficiencies in these abilities. The results showed that this population was functioning well within normal limits of cognitive abilities (IQ of 102 +/- 3 mean +/- SEM). Additionally, the study looked upon the emotional adjustment of this population. Four projective cards were administered (eliciting themes of family confrontation, school attitude, dependence/anxiety and conflicts with parents/depression). Clinical indicators were recorded for each card. The findings were compared with a similar population in terms of demographic characteristics and referred to an outpatient psychology clinic for emotional and behavioral difficulties. The results showed that the LGMD population had a higher number of clinical indicators and a specific profile characterized by low self-esteem with feelings of sadness and internalized culpability.

Adolescent↗
PubMed1990

[From twentieth to twenty-first century: Europe and its population after the year 2000].

The model of demographic transition predicts that in the final stages of the transition, the population will become stationary. However, during the past 20 years or so, the birth rate in the majority of industrialized countries has fallen below the death rate, and a continuation of this trend will ultimately result in a declining population. In the UN recent projections of world population growth, an attempt was made to salve the transition model by assuming that when faced with a reduction in numbers, couples will wholeheartedly respond by increasing their family size. The author presents a theoretical model in which he showed that during the final stages of the transition, it is likely that there are built-in mechanisms which will result in low birth rates, and that it is unlikely that fertility will return to replacement level. In addition to the scenario presented by the UN, there is another in which the birth rate remains below the death rate indefinitely. This catastrophic scenario would ultimately result in the disappearance of the human species. The author presents and compares both of these scenarios. Using some calculations by J.N. Biraben, he calculates the number of humans that would have been born between the beginning and end of the human species, as described by the catastrophic scenario and estimates this to be at 100 billion. In order to end on a more upbeat note, he than imagines a new demographic transition in which biologists have succeeded in extending the duration of a woman's reproductive life. They could then engage in 2 fertile unions during their lifetimes and thus save the species.

Birth Rate↗
PubMed1997

Determination of some metals in biological samples for monitoring purposes.

The biological monitoring of toxic and essential metals in biological material is important for the study of influence of environmental conditions on the human body. In this work, the determination of Cd, Pb and Hg in blood, urine and hair of children has been performed by atomic absorption spectroscopy. The electrothermal atomisation with Zeeman background correction was used for Pb and Cd determination and mercury was determined using Trace Mercury Analyser TMA 254. Methylmercury in hair was determined simultaneously. To check the method, SRM Lyphochek Urine Metal control--Biorad, Seronorm Trace Elements--Nycomed and GWB Human Hair (China) were used. The group of more than 100 children were chosen for the study. Statistical tests were used for the evaluation of the obtained results. The concentrations of all elements in all types of samples correspond to the "normal contents" published for the non-exposed population.

Cadmium↗
PubMed1986

Projections of health care spending to 1990.

National health expenditures are projected to grow to $640 billion by 1990, 11.3 percent of the gross national product. Growth in health spending is expected to moderate to an 8.7 percent average annual rate from 1984 to 1990, compared with a 12.6 percent rate from 1978 to 1984. These projections assume lower estimates of overall economic price growth, lower use of hospital care, and increased use of less expensive types of care. A preliminary analysis of demographic factors reveals that the aging of the population has almost as great an impact as the growth in total population on projected expenditures for many types of health care services.

Costs and Cost Analysis↗
PubMed1999

Prevalence and consequences of low back problems in The Netherlands, working vs non-working population, the MORGEN-Study. Monitoring Project on Risk Factors for Chronic Disease.

OBJECTIVE: To study the burden of illness of low back problems--prevalence and consequences--in the working and the non-working population. METHODS: Data from the Monitoring Project on Risk factors for Chronic Diseases, the MORGEN-study, were used. This project provided data on a probability sample of the general population aged 20-59 y in the Netherlands. Cross-sectional questionnaire data on 6317 men (24% non-working) and 7505 women (47% non-working) gathered over the period 1993-1995 were analysed. RESULTS: The 12 month period prevalence of low back problems for the working and non-working population was 44.4% and 45.8% for men, and 48.2% and 55.0% for women. Larger differences were found for chronic low back problems, and activity limitation and use of health services due to low back problems. More than one-third of those who were disabled were so because of low back problems. When those unable to work because of disability (work disabled) were excluded, the prevalence and consequences of low back pain were still higher in the non-working group in comparison with the working population. Most of the non-working women were housewives and this group was both large in size and had a high prevalence of low back problems. CONCLUSIONS: Among the men studied, more than a quarter of the total burden of low back problems in those aged 20-59 y were found in the non-working population, among women this was 50%. Both research on causes and determinants of low back pain and the development of preventive actions--now being extensively focused on the working population--should also be translated to the non-working population.

Adult↗
PubMed2004

Educating social workers to meet the challenge of an aging urban population: a promising model.

As Americans live longer, they will require more health and social services to address the onset of acute and chronic conditions. The persistent changes in health care delivery and the increasingly diverse older adult population in urban settings, coupled with the high expectation for families to be responsible for home care needs, challenge social workers, who work alongside physicians, nurses, and other health care professionals, to provide services effectively. Because social workers are becoming more essential, social work education must increase the numbers of social workers with the knowledge and skills necessary for practice in the current U.S. health, mental health, and social service systems, particularly in caring for the aging populations in urban settings. A New York Academy of Medicine study identified the need for increased synergy between the two components of graduate social work education: the field experience and classroom instruction. One educational model, the Practicum Partnership Program, which is designed to better integrate field and classroom, is being tested at six sites. Early results from over 300 graduates are encouraging, with evidence that students' knowledge and skills regarding aging adults have increased, their satisfaction with the experience was very high, and those who were trained reflect the diversity of the population of older adults. The early success of this program suggests that innovative educational models that expose graduate social work students to diverse populations across the continuum of care are possible. Such models will be essential for the nation to be successful in producing a social work labor force qualified to meet the challenge of an aging urban population.

Aged↗
PubMed2002

Identification of lingual motor control circuits using two strains of pseudorabies virus.

First-order interneurons that project to hypoglossal motoneurons are distributed within reticular formation subdivisions in the pons and medulla in areas thought to control licking, swallowing, chewing, and respiration. Movement of the tongue in each of these functions is achieved by the coordinated action of both intrinsic and extrinsic lingual muscles. Interneuron populations that project to these different lingual motoneuronal pools appear to be largely overlapping in the reticular formation. Because of the functional coupling between intrinsic and extrinsic muscles during most tongue movements, one might predict that individual pre-hypoglossal interneurons project to multiple motoneuronal pools. To test this hypothesis, one strain of pseudorabies virus was injected into the styloglossus muscle (an extrinsic lingual muscle) and a second strain of pseudorabies virus was injected into the intrinsic lingual muscles of the anterior tongue in the same preparation. Rats were perfused with fixative 84-96 h later, and dual-labeling immunohistochemistry was performed to reveal populations of single- and double-labeled brainstem neurons. Motoneurons innervating the different lingual muscles were spatially segregated within the hypoglossal motor nucleus, and no double-labeled motoneurons were observed. In contrast, pre-hypoglossal neurons projecting to each lingual motoneuron pool were highly overlapping in the reticular formation, and many were double-labeled. These observations suggest that coactivation of lingual muscles can be achieved, at least in part, through divergent projections of first-order interneurons to anatomically and functionally distinct pools of lingual motoneurons in the hypoglossal nucleus.

Animals↗
PubMed1986

A qualitative and quantitative analysis of the distributions of cells in the spinal cord and spinomedullary junction projecting to the thalamus of the rat.

Horseradish peroxidase retrograde transport has been used to locate and make a quantitative study of neurons of the rat spinal cord which project to the thalamus. Across the grey, labelled cells were found in the head and neck of the dorsal horn (in three locations, but not the substantia gelatinosa); in the region of the internal basilar nucleus of Ramón y Cajal; in the intermediate grey zone; in the lateral cervical nucleus and funiculus; and in the ventral horn. The latter contains the largest population of neurons projecting ipsilaterally. The most significant finding concerns the craniocaudal distribution of the cells. More than 50% of the thalamically projecting neurons are confined to the upper four cervical segments, where every population is represented. Some populations are continuous with thalamically projecting populations in the lower medulla. The cervical enlargement contains less than 5% of spinothalamic cells. The lumbar enlargement contains 33%, most of which are in the region of the internal basilar nucleus. This population is also marked in the upper cervical segments. Thus, in the rat, the origin of the spinothalamic tract is distributed along the cord in a very uneven manner. This may indicate that sensory information delivered to any one segment of the spinal cord by a primary afferent is not always relayed direct to the thalamus by a local second order neuron; that different parts of the body are not represented to the same extent in the spinothalamic system; or that these two factors combine to produce the observed distribution.

Afferent Pathways↗