Factors Influencing Persistent Subjective Insomnia in Old Age: a Follow-up Study of Good and Poor Sleepers aged 65 to 74

1989 ◽  
Vol 18 (2) ◽  
pp. 117-122 ◽  
Author(s):  
KEVIN MORGAN ◽  
DIANE W. HEALEY ◽  
PATRICK J. HEALEY
Keyword(s):  
Old Age ◽  
Follow Up Study ◽  
Factors Influencing

Abstract TP80: Incidence And Risk Factors For The Growth And Rupture Of Unruptured Cerebral Aneurysms. Results Of Annual Radiologic Follow Up Study.

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Katsumi Matsumoto ◽  
Kouichirou Tsuruzono ◽  
Manabu Sasaki ◽  
Noriyasu Yoshimura ◽  
Toshiki Yoshimine ◽  
...  
Keyword(s):  
Growth Rate ◽  
Cerebral Aneurysms ◽  
Aneurysm Rupture ◽  
Annual Growth ◽  
Annual Growth Rate ◽  
Rupture Rate ◽  
Follow Up Study ◽  
Factors Influencing ◽  
Unruptured Cerebral Aneurysms

Background: The recent trend of the treatment of unruptured cerebral aneurysms(UIAs) is going to be conservative. Their natural history of rupture and growth is still unkown. We present the results of annual radiological follow-up study in UIAs. Method: In recent 12 years, we have found 121patients with 148 unruptured cerebral aneurysms were followed annually using 3D-CTA or MRA. Mean follow-up period was 5.5 year. Several factors influencing rupture or growth were statistically examined. Results: Among 121 patients, 9 ruptured and 11 showed growth of UIAs. Annual rupture rate was 1.3% per year and annual growth rate was 1.6% per year. Aneurysm size was the sole factor influencing rupture(P<0.001), whereas female sex and multiplicity were major factors influencing aneurysm growth(P<0.05). Under size 3mm, annual growth rate was 3.0% whereas annual rupture rate was 0.7%. In 4-6mm, growth rate was 1.6% and rupture rate was 1.6%. In 7-9mm, growth rate was 0 and rupture rate was 5.8%. In over 10mm, growth rate was 2.9% and rupture rate was 11.6%. Within 1 year, rupture occurred in 4 cases, and growth was found in 1 case. Conclusions: By annual radiological examination, growth of UIAs was noted more frequently than aneurysm rupture. Especially UIAs under 3mm, growth was 4 times higher than rupture, radiological follow up is effective for aneurysm rupture. Within 1 year, initially found UIAs should be carefully followed in a short interval.

Physical Exercise in Old Age: An Eight-Year Follow-Up Study on Involvement, Motives, and Obstacles among Persons Age 65-84

1998 ◽  
Vol 6 (2) ◽  
pp. 157-168 ◽  
Author(s):  
Mirja Hirvensalo ◽  
Päivi Lampinen ◽  
Taina Rantanen
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Physical Exercise ◽  
Old Age ◽  
Poor Health ◽  
Follow Up Study ◽  
Supervised Exercise ◽  
Important Challenge ◽  
Exercise Classes

This study examined changes in involvement in physical exercise and the motives for and obstacles to participation over an 8-year period in a representative sample of senior residents of Jyväskylä. Finland. The participants were noninslitulionalized seniors age 65-84 years at baseline in 1988. The most common form of physical exercise was walking for fitness. In men, participation in supervised exercise classes and performing calisthenic exercises at home increased over the follow-up. In women, physical exercise generally declined. The most important reason quoted for nonparticipation at both baseline and follow-up was poor health (65-88%). Among those who reported participation in supervised physical exercise, the most important motives were health promotion (80%) and social reasons (40-50%). The main obstacles were poor health (19-38%) and lack of interest (28-26%). It is an important challenge to remove obstacles to participation in physical activity in old age and to give older people every opportunity to get involved.

scholarly journals The Possible Role of Sphincteroplasty and Surgical Sphincterotomy in the Pathogenesis of Recurrent Common Duct Brown Stones

HPB Surgery ◽  
1991 ◽  
Vol 4 (4) ◽  
pp. 261-270 ◽  
Author(s):  
Francesco Cetta
Keyword(s):  
Old Age ◽  
Common Duct ◽  
Bacterial Overgrowth ◽  
Bile Stasis ◽  
T Tube ◽  
Follow Up Study ◽  
Negative Culture ◽  
Common Duct Stones

The hypothesis has been tested that postcholecystectomy common duct stones of the brown subtype are a consequence of three factors: bile infection, old age and previous sphincterotomy. It was found that: (i) 27 of 39 consecutive patients with recurrent common duct stones had brown stones. Nineteen of these 27 patients (70.3%) had previous sphincterotomy or sphincteroplasty: (ii) six of 15 patients with stone and bile analysis both at the time of cholecystectomy and at the second operation and who had sterile operative bile and non brown stones at the first operation, formed brown stones after T-tube drainage and after the onset of bile infection; (iii) patients with both intra and postoperative negative bile culture (n = 39 out of 137) had a lower mean age (50.5 years) and less frequently had a sphincterotomy than did individuals with a negative culture at operation, who subsequently had bile infection (n = 37; mean age 58.5 years; sphincterotomy in 88.8% of cases).In addition, in a follow up study of 105 patients with sphincterotomy and with sphincteroplasty (including ERCP or i.v. cholangiography in all cases), mean follow-up interval 6.1 years, 11.3 % of patients had brown recurrent common duct stones.It is suggested that, since brown recurrent common duct stones are secondary to bile stasis and infection and the duodenum is going to be colonized by bacteria with increasing age, sphincterotomy (and subsequent stricture), facilitating bile contamination and bacterial overgrowth, could be one of the major determinants of brown recurrent common duct stones (RCS) formation. In particular, more than 11% of the patients with a sphincterotomy are going to form in the future RCS of the brown subtype.

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