The Association Between Daily Physical Activity and Risk of Hypertension in Middle-Aged and Older Adults:A Nationwide Cohort Study in China

Physical activity (PA) plays a key role in the treatment of hypertension, and moderate to vigorous PA has been documented to lower the risk of developing hypertension. However, dose-response relationships between PA and hypertension are not consistent, and little is known about this relationship within the Chinese middle-aged and older people. We investigated the relationship between PA and hypertension within this population using China Health and Nutrition Survey 1991-2015 data. Physical activity was expressed in terms of the metabolic equivalent task (MET) and participants were divided into groups according to quartiles, namely, Q1 (< 32.97 METs-h/w), Q2 (32.97-60.38 METs-h/ w), Q3 (60.38-98.95 METs-h/w), and Q4 (> 98.95 METs-h/w). Compared with the Q1 group, the odds ratio of risk with hypertension (95% CIs) after adjusting for confounding factors were 0.63 (0.35, 1.12), 0.49 (0.28, 0.86), and 0.62 (0.35, 1.09) for those in Q2, Q3, and Q4, respectively. Restricted cubic spline functions were used and a U-shaped relationship between physical activity and hypertension risk was found, indicative of an optimal level of physical activity, which was found to be 112 METs-h/w. Our data suggest maintenance of optimal levels of total daily physical activity may be important for preventing hypertension in Chinese adults over the age of 40.

Effects of Warm Needling at Zusanli(ST 36)on NO and IL-2 Levels in the Middle-Aged and Old People

42 middle-aged and old people at the age between 55-70 years were selected and given the warm needling at Zusanli (ST 36), and their IL-2 and NO contents of peripheral blood before and after acupuncture were determined. The results showed that IL-2 and NO contents increased significantly after the warm needling (P<0.01).

Analysis of the Variations of Body Build of Middle-and Old-aged and Research on the Prototype

The characteristics of body build of middle - and old -aged women and its rule of variations as well as the basic sizes of various parts are discussed. All these are based on the body measurements of this age group, and also on the statistical studies of the measurement data. By setting the regression equation, the calculating formulae of various control parts are obtained, thus establishing the prototype of this age group for women.

Study on Body Form and Garment Size Series of the Middle Age and Aged People

This paper was designed to analyze on the data, which was obtained from 'National Physique Fitness Investigation Report (2000)'. In order to get the typical body form and figure type of the middle age and aged people, it was focused on the body form data of this group (age 40 - 60). After calculation and analyzing, the distinguishing feature of body form and the distribution of figure type were deduced. Finally, the re-classification of body form for Chinese middle age and aged people was suggested. It as also suggested that a new garment size series especially for the middle age and aged should be built to fit for these people. This conclusion would be useful and significant to design and production for clothing company, especially that who take the aged people as their target consumer.

Research and Exploration on the Teaching of World Medieval History under the Innovative Education Concept

The development of the Middle Ages is an inevitable stage in the development of human history,and it has a very important historical significance.During the Middle Ages,the struggle between religious power and secular kingship became a big driving force for medieval education.While strengthening the Christian worldview,education in the Middle Ages also completed the connection between classical civilization and modern European civilization.Medieval educational developments and explorations have had a major impact on contemporary education,especially medieval universities,cathedrals and parliaments.

Colonoscopic screening and follow-up for coiorectal cancer in the elderly

AIM: To improve the prevention and treatment of senile patients with colorectal cancer by evaluating the importance of colonoscopy in clinical screening and follow-up. METHODS: Clinical screening of colonoscopy was performed for 2196 patients aged 60-90 years old according to the protocol,and 1740 of them (79.2%) were followed-up. RESULTS: Colorectal cancer was found in 52 patients, and the detectable rate was 2.4%. Among them, 19 were diagnosed as early colorectal cancer, accounting for 36.5% of the detected colorectal cancer. Among the followed-up patients, early colorectal cancer was found in 9, accounting for 45.0% of the detected colorectal cancer. The resectable rate and 5 years survival rate of colorectal cancer were 97.7% and 80.9% respectively. The incidence of complication was 0.05%, and the successful rate of cecum intubation was 98.9%. CONCLUSION: Colonoscopic screening and follow-up of the elderly for colorectal cancer and pre-cancerous lesion (adenomatoid polyp) can increase the detectable rate of early colorectal cancer and improve its prevention and treatment.

Late Mesozoic Ore-forming Events in the Ningwu Ore District, Middle-Lower Yangtze River Polymetallic Ore Belt, East China: Evidence from Zircon U-Pb Geochronology and Hf Isotopic Compositions of the Granodioritic Stocks

Late Mesozoic volcanic-subvolcanic rocks and related iron deposits, known as porphyry iron deposits in China, are widespread in the Ningwu ore district （Cretaceous basin） of the middle-lower Yangtze River polymetallic ore belt, East China. Two types of Late Mesozoic magmatic rocks are exposed： one is dioritic rocks closely related to iron mineralization as the hosted rock, and the other one is granodioritic （-granitic） rocks that cut the ore bodies. To understand the age of the iron mineralization and the ore-forming event, detailed zircon U-Pb dating and Hf isotope measurement were performed on granodioritic stocks in the Washan, Gaocun-Nanshan, Dongshan and Heshangqiao iron deposits in the basin. Four emplacement and crystallization （typically for zircons） ages of granodioritic rocks were measured as 126.1±0.5 Ma, 126.8±0.5 Ma, 127.3±0.5 Ma and 126.3±0.4 Ma, respectively in these four deposits, with the LA-MC-ICP-MS zircon U-Pb method. Based on the above results combined with previous dating, it is inferred that the iron deposits in the Ningwu Cretaceous basin occurred in a very short period of 131-127 Ma. In situ zircon Hf compositions of εHf（t） of the granodiorite are mainly from -3 to -8 and their corresponding 176Hf/177Hf ratio are from 0.28245 to 0.28265, indicating similar characteristics of dioritic rocks in the basin. We infer that granodioritic rocks occurring in the Ningwu ore district have an original relationship with dioritic rocks. These new results provide significant evidence for further study of this ore district so as to understand the ore-forming event in the study area.

Basement Characteristics and Crustal Evolution of the Copper-Gold Metallogenic Belt in the Middle and Lower Reaches of the Yangtze River:Some Isotope Constraints

Studies of the Pb, Sr and Nd isotopic composition of Mesozoic intrusive rocks indicate that the basement of the copper-gold metallogenic belt of the middle and lower reaches of the Yangtze River has “two-layer structure” and partly has “multi-layered structure”, and is inhomogeneous and shows the distinct feature of E-W provincialism. The calculated model lead ages (t1) are mostly greater than 2600 Ma, and the model neodymium ages (TDM) vary from 953 to 2276 Ma and concentrate in two time intervals: 1800–2000 Ma and 1200–1600 Ma. It is concluded that the basement of the MBYR is composed of the Late Archaeozoic to Middle Proterozoic metamorphic series and that the crust was initiated in the Archaean and continued to grow in the Early and Middle Proterozoic, and the proportion of new crust formed by mantle differentiation during the Late Proterozoic is low.

Short-and long-term health implications of surgical intensive care in the elderly

Background: Treatment of elderly patients on intensive care units is an increasing challenge all over the world. Objectives: To evaluate short- term survival and long-term quality of life im-plications of intensive care for the elderly. Methods: Retrospective analysis of 314 patients 75 years of age or more requiring over 48 hours of intensive care. Results: In multivariate analy-sis, significant risk factors for mortality were chronic renal impairment (OR for survival .30, p 24 h (OR 4.5), hemodialysis (OR 6.8), and vasopressor therapy (OR 2.5, p < 0.001 for each). A health survey questionnaire in an up to 60-month follow-up of 28 patients revealed considerably lower physi-cal subscores of our patients compared to the general elderly population. Conclusions: Elderly patients benefit from intensive care in terms of survival. Complications are frequent, as are severe consequences for long-term quality of life. Short-term mortality in elderly intensive care patients correlates most closely to pre- existing disease, not age.

Georgia and Europe in the Early Middle Ages

The article deals with relations of Georgia to Europe in the late antique period and the early Middle Ages.The analyses rests on the Byzantium and the Western European,as well as on Georgian written sources:historical chronicles,hagiographic texts and other information,reflecting political relations of the Iberia and Lazika—those-days kingdoms,located on the territory of Georgia—to the Western European and Byzantine space.The offered analysis will concentrate on the shared characteristics of European space in the Middle Ages and will compare them to the general tendencies of development of Georgia in the same period.This enables to draw conclusion that Georgia was the part of the unified Christian space of the early Middle Ages.

The Issue of Genealogy of Armenians, Georgians and Other Caucasian Nations in the Historiography of the Middle Ages

The paper shows that the story about the origin of Armenians, Georgians and other Caucasians from a common ancestor, namely, from Targamos (Togormah)—The Life of the Fore-Patriarchs and Ancestors of the Georgian Kings, which is represented in the introductory part of The Georgian Chronicles and is dated back to the end of the11th, is a compiled work that mainly contains, on the one hand, an old Georgian genealogical-geographical story about Tarshish’s son Kartlos (Iber) and his six brothers ( Egros, Movakan, Heros, Bardos, Lekan and Caucas)created at the end of the 6th c.-first half of the 8th c. based on Byzantine works, and on the other hand, a genealogical story created in old Armenian historiography about Targamos and his son Hayk that went through certain steps of development as well. In the process of synthesizing, Togormah (Targamos) and his son Hayk (Haos)were inserted between Tarsish and his son Kartlos (Iber), which violated the Biblical scheme as well as the structure of the sentence in which the insertion was made. The goal of developing the synthesized scheme was to bring evidence of the common origin of Georgians and Armenians, as long as quite a large number of Armenians,because of the incorporation of a large part of Armenian territories within Georgian borders, became citizens of Georgia. At the same time, the story also offers a justification in the eyes of the Muslim world for the claims of Georgia for Armenian territories. According to the newly-created synthesized scheme, Georgia was “the successor brother” of Armenia(Haos//Hayk) and considering the absence of Armenian states, i.e., “the elder brother”,Georgia was the only legal heir of Armenian territories.

The Experiences of the Elderly and Caregivers in Respect of Caring for the Elderly in Windhoek and Rehoboth Namibia: An Exploratory and Descriptive Study

In many instances, care for the elderly, especially in long-term care institutions, is provided under minimal supervision by caregivers who are lay people. This can lead to poor quality care or neglect of the elderly. The research question was: “How competent are lay caregivers for the elderly in old age homes, who often lack the opportunity for training to improve their knowledge and skills, in delivering care to the elderly? The aims of the study were to explore and describe the experiences of both the caregivers and the elderly in respect of caring for the elderly in old age homes. The objectives of the study were to explore and describe the experiences of the caregivers and the elderly with respect to caring for the elderly and in respect of nursing care they received. A qualitative, explorative, descriptive, contextual and phenomenology design was used to perform this study. In the situational analysis, the experiences and needs of the caregivers were described. Themes in terms of interpersonal relationships that could be positive or negative regarding the elderly were identified. These included lack of regular in-service training sessions for caregivers. Likewise, sub-themes like communication, support and caring for elderly people were revealed. Inadequate knowledge of caregivers in caring procedures, a shortage of staff, equipment and absence of policies which should support and guide the work of caregivers impacts negatively on the care of the elderly. From the experiences of the elderly and caregivers, the competencies under scrutiny emerged and were measured qualitatively by the perceptions of the elderly, in respect of the caring they were exposed to.

Correlation of Depression with the Functional Profile of Elderly People Living in Homes for the Aged

Introduction: Due to the growth of the elderly population, there is a notable lack of preparation among family members and society to face the challenges of this new reality, resulting in an increasing demand for homes for the aged (HA). It is necessary to understand how the impairment of physical health, mental health and the level of depression can affect the functional capacity of the institutionalized elderly who live in homes for the aged. Objective: To describe the correlation between depression and functionality of elderly people who live in homes for the aged. Method: A cross-sectional, descriptive study with 70 elderly people of both sexes, aged 60 years or older, who live in HA in the state of Rio de Janeiro. Result: It was verified that the female gender was predominant in the HA consulted. The majority of elderly live in HA voluntarily 48.6% and that 41.43% did not complete elementary school. The majority of the elderly 81.43% had the ability to perform basic activities of daily living and the elderly 52.86% had normal psychological pictures. The worsening of the depressive picture is associated with the worse functioning of elderly who live in HA (p < 0.02). Conclusion: Depression is a factor that is associated with the functional capacity of the institutionalized elderly. The worse the functional level of the institutionalized elderly, the greater the chances of presenting a depressive state.

Research on the Gender and Age Differences of Middle School Students＇ Shame Sense

In order to ensure the existence of the gender and age differences of middle school students＇ shame, 1258 Shanghai middle school students are surveyed with the help of the Middle school students＇ shame measurement scale with the combination of delaminating and random sampling. The results of questionnaire show that there are significant gender differences in middle school students＇ shame and the average scores of male students＇ shame are higher than those of female students. Besides, there does exist significant age differences in middle school students＇ shame, but it is not simple linear relationship between the feeling of shame and ages. The feeling of shame reaches maximum at the age of 14 and intervention should be given at this age, which young students feel sensitive most. It is suggested that collective remission of the shame should be offered to middle school students with the methods such as physical exercises, persuasion etc.

Welfare for the Aged in Nigeria,a Sustenance for the Declining Older Population and Aged Male in Nigeria

A buttress on the need for welfare program in Nigeria and the important obligation to consider the Economics’and CIA’s contextual position for the dependency ratios,both total and elderly dependency ratio alongside the consideration of the age structure and demography statistics of Nigeria relatively to other economies,particularly as an elixir for the declining older population in Nigeria and the aged male contraction in the nation.Although,older female population is higher in every country as obtainable globally,the Nigerian case is that of drastic contraction in both aged male and older population generally.Therefore,the submission is that the government has to consider the total dependency ratio to the elderly dependency ratio,which is all-encompassing in order to cater for the declining older population and to appropriate the requisite welfare cum benefits programs in the nation.

The Effect of Electro-Acupuncture on Motor Function Recovery in Patients with Acute Cerebral Infarction:A Randomly Controlled Trial

The aim of this study is to investigate the effect of electro-acupuncture treatment in acute phase of cerebral infarction on the motor functions. In this randomly controlled trial, 86 patients were allocated to two groups, the experimental group given clinical and electro-acupuncture treatments for a period of 4 weeks, and the control group given clinical treatment plus active and/or passive functional exercise. The result showed that the level of impairment and disability in both groups were improvement according to the Chinese Stroke Scale, Brunnstrom-Fugl-Meyer score, and Barthel Index throughout the study and 3 months after. The motor functions and the activities of daily living (ADL) were improved significantly in the electro-acupuncture group as compared with the control group (P

Radiometric Dating of Ignimbrite from Inner Mongolia Provides no Indication of a Post-Middle Jurassic Age for the Daohugou Beds

Lacustrine deposits exposed at Daohugou, Inner Mongolia, China, have yielded superbly preserved vertebrate fossils. The fossil beds were first misinterpreted as of Early Cretaceous age, based on alleged occurrences of key fossils of the Jehol Biota. Compelling evidence revealed by more rigorous research involving regional biostratigraphy, radiometric dating, and paleontology supports the Middle Jurassic age of the fossil beds. Despite the awesome evidence for the Middle Jurassic age of the Daohugou beds, the age dispute has been resurrected recently by invoking an overturned stratigraphic sequence. A careful review of the data, however, found no evidence that this sequence has been overturned. In addition, many of the assumptions, on which the conjecture of the fossil beds being post- Middle Jurassic is imprudently based, are self-contradictory or otherwise misleading. Thus, the post- Middle Jurassic age of the Daohugou beds as an unfounded conclusion can readily be dismissed.

Racial differences in the anatomical distribution of colorectal cancer:a study of differences between American and Chinese patients

AIM: To compare the racial differences of anatomical distribution of colorectal cancer (CRC) and determine the association of age, gender and time with anatomical distribution between patients from America (white) and China (oriental).METHODS: Data was collected from 690 consecutive patients in Cleveland Clinic Florida, U.S.A. and 870consecutive patients in Nan Fang Hospital affiliated to the First Military Medical University, China over the past 11years from 1990 to 2000. All patients had colorectal adenocarcinoma diagnosed by histology and underwent surgery.RESULTS: The anatomical subsite distribution of tumor,age and gender were significantly different between white and oriental patients. Lesions in the proximal colon (P＜0.001) were found in 36.3 % of white vs 26.0 % of oriental patients and cancers located in the distal colon and rectum in 63.7 % of white and 74 % of oriental patients (P＜0.001). There was a trend towards the redistribution from distal colon and rectum to proximal colon in white males over time, especially in older patients (＞80 years).No significant change of anatomical distribution occurred in white women and Oriental patients. The mean age at diagnosis was 69.0 years in white patients and 48.3 years in Oriental patients (P＜0.001).CONCLUSION: This is the first study comparing the anatomical distribution of colorectal cancers in whites and Chinese patients. White Americans have a higher risk of proximal CRC and this risk increased with time. The proportion of white males with CRC also increased with time.Chinese patients were more likely to have distal CRC and developed the disease at a significantly earlier age than white patients. These findings have enhanced our understanding of the disease process of colorectal cancer in these two races.

Reduction of the incidence and mortality of rectal cancer bypolypectomy:a prospective cohort study in Haining County

AIM: To reduce the incidence and mortality of rectal cancer and address the hypothesis that colorectal cancer often arise from precursor lesion(s), either adenomas or non-adenomatous polyps, by conducting a population-based mass screening for colorectal cancer in Haining County, Zhejiang, PRC. METHODS: From 1977 to 1980, physicians screened the population of Haining County using 15 cm rigid endoscopy. Of over 240000 participants, 4076 of them were diagnosed with precursor lesions, either adenomas or non-adenomatous polyps, which were then removed surgically. All individuals with precursor lesions were followed up and reexamined by endoscopy every two to five years up to 1998. RESULTS: After the initial screening, 953 metachronous adenomas and 417 non-adenomatous polyps were detected and removed from the members of this cohort. Further, 27 cases of colorectal cancer were detected and treated. Log-rank tests showed that the survival time among those cancer patients who under went mass screening increased significantly compared to that of other colorectal cancer patients (P【0.0001). According to the population-based cancer registry in Haining County, age-adjusted incidence and mortality of rectal cancer decreased by 41% and 29% from 1977-1981 to 1992-1996, respectively. Observed cumulative 20-year rectal cancer incidence was 31% lower than the expected in the screened group; the mortality due to rectal cancer was 18% lower than the expected in the screened group. CONCLUSION:Mass screening for rectal cancer and precursor lesions with protocoscopy in the general population and periodical following-up with routine endoscopy for high-risk patients may decrease both the incidence and mortality of rectal cancer.

Patients with brain metastases from gastrointestinal tract cancer treated with whole brain radiation therapy:Prognostic factors and survival

AIM: To identify the prognostic factors with regard to survival for patients with brain metastasis from primary tumors of the gastrointestinal tract. METHODS: Nine hundred and sixteen patients with brain metastases, treated with whole brain radiation therapy (WBRT) between January 1985 and December 2000 at the Department of Radiation Oncology, University Hospital Freiburg, were analyzed retrospectively. RESULTS: Fifty-seven patients presented with a primary tumor of the gastrointestinal tract (esophagus: n=0, stomach: n=10, colorectal: n=47). Twenty-six patients had a solitary brain metastasis, 31 patients presented with multiple brain metastases. Surgical resection was performed in 25 patients. WBRT was applied with daily fractions of 2 Gray (Gy) or 3Gy to a total dose of 50Gy or 30Gy, respectively. The interval between diagnoses of the primary tumors and brain metastases was 22.6mo vs 8.0mo for patients with primary tumors of the colon/rectum vs other primary tumors, respectively (P<0.01, log-rank). Median overall survival for all patients with brain metastases (n=916) was 3.4mo and 3.2mo for patients with gastrointestinal neoplasms. Patients with gastrointestinal primary tumors presented significantly more often with a solitary brain metastasis than patients with other primary tumors (P<0.05, log-rank). In patients with gastrointestinal neoplasms (n=57), the median overall survival was 5.8 mo for patients with solitary brain metastasis vs 2.7mo for patients with multiple brain metastases (P<0.01, log-rank). The median overall survival for patients with a Karnofsky performance status (KPS) ≥70 was 5.5mo vs 2.1mo for patients with KPS <70 (P<0.01, log-rank). At multivariate analysis (Cox Model) the performance status and the number of brain metastases were identified as independent prognostic factors for overall survival. CONCLUSION: Brain metastases occur late in the course of gastrointestinal tumors. Pretherapeutic variables like KPS and the number of brain metastases have a profound influence on treatment outcome.