美国老年人长期照护法律体系及其对我国的启示

以1965年美国老年人法案(the Old Americans Act)及之后的一系列修正案和相关法律法规为主要素材,着重从政府角度介绍美国老年人长期照护法律体系的建立过程以及在此过程中政府职能的相应转变。本文介绍了老年人长期照护的含义,归纳了美国老年人长期照护法律体系建立的意义,指明了老年人长期照护法律关系中政府的特殊地位,并结合中国目前老年人长期照护的现状对我国老年人法律体系的完善提出了一些启示。     

The effects of religion on subjective aging in Singapore: An interreligious comparison

This interreligious comparison deals with Buddhist and Christian Chinese elderly Singaporeans. Based on the data gathered from in-depth interviews with five Buddhists and five Christians, this article explores how religion plays a role in the adjustment to the physical, social, and existential aging processes. It investigates the similarities and differences between Buddhist and Christian beliefs in terms of their effects on the subjective experience of aging. Findings indicate that religion can play an integrative role that facilitates adjustment to the aging process. Also, they suggest that though there are fundamental, irreducible differences in terms of religious beliefs and practices between Buddhism and Christianity, there are far less differences in the ways they impact on the integrative aging process. Some negative effects of religion on aging and some viewpoints about successful aging are presented in the discussion.     

甘肃省人口老龄化空间分布及演变特征分析

本文以甘肃省各县区为研究对象,选取1990年、2000年、2010年的人口普查数据,分别计算各县区老年人口比重和老年人口密度。首先应用Arc GIS软件分析老龄化人口的时空分布特征,并通过重心计算均衡点;其次应用Geo Da软件对老年人口分布进行空间自相关分析;最后,从人口、经济、社会角度探索性地分析导致空间分布差异的原因。研究结果表明：甘肃省老龄化现象呈现由东南向西北推进的扇形模式,老年人口密度呈现以兰州市及周边地区为圆心的同心圆扩展模式,老龄化重心位置逐渐向兰州市靠近;老龄化空间分布具有较显著的自相关性;老龄化空间分布差异与人口、社会和经济发展具有一定的关系。     

The Needs of Older Lesbians and Gay Men in Chicago

Abstract

The authors report results from a study assessing the social service needs of gay menand lesbians over 45 years of age in Chicago. Results suggest that this population is diverse and presents a wide range of needs. The authors advocate the use of a community organizing approach that involves older gay men and lesbians in the provision of services. The authors also highlight the need to consider the social context in which services will be provided.     

日本应对老龄化的措施及对我国的启示

老龄化正在影响世界上越来越多的国家。日本是全球老龄化进程最快、老龄人口比例最高的国家。早在20世纪70年代，日本就已进入老龄化社会。目前，日本已成为超老龄化国家。面对如此严重的老龄化危机，日本采取了一系列措施，取得了一定的成效，他们的经验值得我国借鉴和学习。     

The Difficult History of Ancillary Units: The Obstacles and Potential Opportunities to Increase the Heterogeneity of Neighborhoods and the Flexibility of Households in the United States

ABSTRACT

Most aging Americans express the desire to stay in their current home for the rest of their lives. However, as literature and practice indicate, aging in place cannot be successfully achieved in all places, especially in those places where zoning regulations and building codes act as barriers to the flexible adaptation of environments. One possible solution could come from the legalization of what is commonly known as granny flats, or more technically as Ancillary Dwelling Units. This article is divided into three parts. The first part is a brief history of Ancillary Dwelling Units. The second part focuses on the critical role played by local and state urban planning policies in the future of Ancillary Dwelling Units. California is used as a noteworthy example. The third part discusses how positive outcomes for senior residents who have Ancillary Dwelling Units legally present in their neighborhoods are linked to the appropriateness of their design.     

Pravastatin improves the impaired nitric oxide-mediated neurogenic and endothelium-dependent relaxation of corpus cavernosum in aged rats

Abstract

Aim: The aim of this study was to investigate the effect of pravastatin treatment on diminished corpus cavernosum (CC) function associated with aging.

Methods: Male rats were divided into three groups as adult rats (12–14 weeks old), aged rats (72–80 weeks old) and aged rats given 10?mg/kg/d pravastatin in drinking water for six weeks. Blood pressure was measured by tail-cuff method. Total cholesterol, low-density lipoprotein-cholesterol, high-density lipoprotein-cholesterol, triglycerides and testosterone levels were estimated in blood. Changes in expression levels of endothelial nitric oxide synthase (eNOS), phosphorylated eNOS (p-eNOS) (Ser-1177), neuronal nitric oxide synthase (nNOS), NADPH oxidase subunit gp91^phox, Rho A and Rho kinase (ROCK2) in CC were assessed by immunohistochemistry. Nitric oxide (NO)-mediated endothelium-dependent and neurogenic CC relaxation were evaluated by acetylcholine (ACh, 0.1?nM–100?µM) and electrical field stimulation (EFS; 30?V, 5?ms, 2–32?Hz), respectively.

Results: In aged rats, NO-mediated, both endothelium-dependent and neurogenic CC relaxation, were significantly impaired as compared to adult rats. Besides, eNOS, p-eNOS and nNOS expressions decreased significantly in CC from aged rats, while gp91^phox, RhoA and ROCK2 expressions increased significantly. The diminished relaxation in response to ACh or EFS as well as the changes in expression of these proteins in aged rats were significantly improved by pravastatin treatment.

Conclusion: Pravastatin improves NO-mediated CC relaxations of aged rats probably by inhibiting NADPH oxidase/Rho kinase pathways, and this effect does not seem to be associated with lipid lowering effect of this drug.     

Neither Silent nor Invisible: A Comparison of Two Participative Projects Involving Older Lesbians and Gay Men in the United Kingdom

This article offers a comparative review of two participative projects involving older lesbians and gay men (OLG) in different parts of the United Kingdom. Both projects set out to promote local networks of OLGs, support and facilitate their input and commentary on local services and act as a prototype model of consultation that might be taken up and used in other areas. The authors review some of the challenges and achievements of each project and critically compare the two initiatives. Discussion of each stage of the projects includes an appraisal of the relative strengths and weaknesses of their different elements. Emphasis is placed upon the concern to involve OLGs at every level and stage of each project and how this was achieved. Reference to relevant policy provides a backdrop to a discussion of the practical considerations in setting up time-limited projects of this nature. Consideration of some of the outcomes of each project with emphasis upon the implications for utilising similar participative approaches in future consultation and inclusion initiatives is provided.     

The “Aging Males’ Symptoms” Scale (AMS): predictive value for lowered circulating androgens

Background: Symptoms of the “male climacteric” are often at least in part referred to an age-dependent decline of serum androgen levels. Therefore, we evaluated the relationship of climacteric symptoms as assessed by the “Aging Males’ Symptoms” (AMS) Questionnaire with circulating androgen levels. Methods: 146 ambulatory men (age, 27–85 years) were surveyed with the AMS Questionnaire and sampled for serum values of total testosterone (tT) and sexual hormone binding globulin (SHBG). Free testosterone (fT) was calculated from tT and SHBG. A total AMS score ≥37 was considered pathological; the lower limits for tT and fT were set to 8 nmol/l and 180 pmol/l, respectively. Results: A significant deficit in tT and fT was shown in 25 (17.1%) and 34 (24.5%) men, respectively; the AMS Questionnaire showed pathological results for 66 (45.2%) men. In predicting a tT deficit, the AMS Questionnaire rendered a sensitivity of 76% and a specificity of 61.6%, only. However, multiple regression analysis revealed a significant correlation of lowered tT with a pathological somatovegetative and psychological AMS subscore (p = 0.042 and p = 0.01) and a correlation of lowered fT with a pathological sexual subscore (p = 0.039). Conclusion: In predicting hypogonadism the AMS Questionnaire in total did not render a sufficient diagnostic efficiency.     

Transitional Youth Services: Practice Implications from a Systematic Review

Independent living programs have emerged as the primary intervention to address the needs of foster youth transitioning out of care. Prior reviews of independent living programs have focused on implications for research and policy, but not on direct practice. In order to create effective independent living programs, direct service workers must be provided with concrete practice guidelines for providing effective independent living services. This article summarizes 19 studies on independent living and provides evidence-based implications for each in an effort to begin to fill the gap between research, policy and practice.