完善农村社会保障体系 化解农村老人生活困境——吉林省农村老龄人口社会保障问题的调查与思考

吉林省农村老龄人口人数多，增长快，是吉林省农村面临的重大问题。本文通过调查分析了农村老人社会保障存在的问题，并提出对策。     

Negating Identity: A Feminist Analysis of the Social Invisibility of Older Lesbians

SUMMARY

Older lesbians are invisible both within and outside of the lesbian community. Using a postmodern and lesbian feminist approach, in this article we identify a paradox in our society which defines lesbians in terms of their sexuality while older women are generally viewed as asexual. We suggest that this paradox contributes to the invisibility of older lesbians. Our focus is on the interactive nature of the relationship between personal and public constructions of lesbianism in the lives of older women. Finally, we discuss the potential impact of invisibility on self-identity, and using a feminist gerontological framework suggest implications for the empowerment of older lesbians.     

提高深圳出生人口素质的理论与思考

本文通过全面回顾深圳市在提高出生人口素质，预防出生缺陷方面的机构设置、工作方法，分析了深圳提高出生人口素质面临的挑战．并从政策分析的角度提出了提高出生人口素质的政策建议。     

Assessing Impact of Service-Learning Project on Older,Isolated Adults in Rural America

ABSTRACT

With help from a grant from the Corporation for National Service, service learning was infused into four classes of a graduate gerontology course, Aging Well. Thirty-one students were paired with 31 older adults for a period of up to twenty hours. The impact on the emotional and social wellness of the older adults was assessed through student journals, electronic e-mail reflection, and the administration of a survey to older adults. A quantitative assessment of the older adults was attempted using the Life Satisfaction in the Elderly Scale and the Geriatric Depression Scale. Analysis indicated that the service provided to the older adult had a positive impact on their emotional and social wellness.     

台湾出生性别比的状况分析和对策研究

通过梳理有关台湾的人口资料,首先发现台湾出生性别比的发展呈现出总体偏高的趋势,其产生的原因是多种因素共同作用的结果。其次对台湾治理出生性别比偏高的直接和间接措施进行分析,直接措施是加大对非法性别鉴定的处罚,间接措施是消除不利文化的影响,营造促进妇女发展的社会环境。这些措施最终达到了＂标本兼治＂的目的。最后借鉴台湾治理出生性别比问题的经验和教训,为治理中国出生性别比偏高的问题提供相关对策。     

A randomized,double-blind,placebo-controlled trial of testosterone gel on body composition and health-related quality-of-life in men with hypogonadal to low-normal levels of serum testosterone and symptoms of androgen deficiency over 6 months with 12 months open-label follow-up

Introduction: The clinical significance of low to low-normal testosterone (T) levels in men remains debated. Aim: To analyze the effects of raising serum T on lean body mass (LBM), fat mass (FM), total body mass, and health-related quality-of-life (HRQoL). Methods: Randomized, double-blind, placebo-controlled study. Men, aged 50–80 years, with serum total T<15 nmol/L and bioavailable T < 6.68 nmol/L, and a Aging Males’ Symptoms (AMS) total score >36, received 6 months treatment with transdermal 1% T gel (5–7.5?mg/day; n =183) or placebo gel (n =179), followed by 12 months open-label with T in all. Results: After 6 months, LBM increased in T- treated patients by 1.28?±?0.15?kg (mean ± SE) and FM decreased by 1.16?±?0.16?kg, with minor changes with placebo (LBM +0.02?±?0.10?kg and FM ?0.14?±?0.12?kg; all p < 0.001, T group vs. placebo). Changes were largely similar across subgroups of age, baseline total testosterone, and baseline BMI. Total HRQoL improved compared with placebo (p < 0.05, T group vs. placebo). Conclusions: Six months 1% T gel improved body composition and HRQoL in symptomatic men with low to low-normal T, with further improvements over the following 12 months.     

The efficacy and safety of short-acting testosterone ointment (Glowmin) for late-onset hypogonadism in accordance with testosterone circadian rhythm

Introduction: It is well known that there is a reduction of circadian rhythm in blood testosterone levels with aging. Our previous report revealed that 3?mg of short-acting testosterone ointment (Glowmin: GL) elevated serum testosterone levels to within the physiological range for 4–6?h. The aim of this study was to clarify the clinical efficacy and safety of GL used topically once every morning, to enhance the circadian rhythm of testosterone, for late-onset hypogonadism (LOH).

Methods: A total of 61 LOH patients received 3?mg of GL topically once a day in the morning on scrotal skin for 24 weeks. The clinical efficacy of GL was evaluated by the aging males symptoms (AMS) scale, and blood sampling tests were measured before and after GL treatment.

Results: Mean patients age was 55.3?±?9.2 years old. Total AMS scores at 4, 12, and 24 weeks after GL treatments significantly decreased. The results of sub-analysis of AMS, including psychological, physical, and sexual factors also significantly improved after GL treatments. No severe adverse reactions or abnormal laboratory data were reported.

Conclusions: This study shows that TRT for LOH with once daily GL treatment supports testosterone circadian rhythm and should be considered to be an effective and safe therapy for LOH.     

Eating Disorders Across the Life Span

SUMMARY

Eating disorders have traditionally been considered afflictions of adolescents and young women. Recent evidence, however, suggests that eating disorders often occur across the life span. Although the incidence of these disorders among mid-life and older women appears to be on the rise, it is not clear if this reflects a true increase in prevalence, better recognition among clinicians, or both. This paper presents an overview of the etiology and treatment of eating disorders, with particular emphasis on developmental factors impacting older women. Recommendations for the treatment of eating disorders among older women are offered. An emerging clinical literature suggests various lines of research that are needed to explore the development and treatment of eating disorders in older women.     

Breast Cancer:

Cancer is a major problem for elderly individuals. Overall, it is the second leading cause of death after heart disease and 50% of all documented cases occur in 12% of the population over the age 65. About 50,000 women in the United States age 65 and older are diagnosed annually with breast cancer, making it one of the most serious health oroblems for women in this age ~ O U D I. t is the second leading causk of cancer deaths after lung cancer in women. While breast cancer is not preventable, the survival rate is near 100% if detected earlv. However. late staEe of diamosis remains a concern in this age groip. ~ ~ ~ r o x & n ai0t%e lo~f women with breast cancer present with metastases as the first indication of a malignancy. Early detection and screening offer the only solution to this dreaded situation. Society must find ways to make these practices available to the elderly.     

Beliefs About Diet and Health:

Low income older women (N = 20) in South Carolina were recruited from congregate meal sites for qualitative interviews to assess beliefs about general health, physical functioning, and preventive health behaviors. A loosely structured interview guide of topics was used to encourage free expression of informants' ideas. The Ethnograph analysis package was used for data analysis. In response to open-ended questions, the women spontaneously shared their beliefs about diet and health. Implications for health promotion in rural areas are discussed.