Ageism and sexuality

Sexuality remains important throughout a person’s life, but sexual behavior does not receive the same levels of acceptance at all ages. Older people are challenged by ageist attitudes and perceptions that hinder their sexual expression. They are stereotyped as non-sexual beings who should not, cannot, and do not want to have sexual relationships. Expressing sexuality or engaging in sexual activity in later life is considered by many in society as immoral or perverted. False expectations for older people also stem from ideals of beauty, centralization of the biomedical perspective on sexuality of older adults, and the association of sex with reproduction. Unfortunately, older people internalize many ageist attitudes towards sexuality in later life and become less interested in sex and less sexually active. The following chapter explores attitudes towards sexuality in later life among the media, young people, older people themselves, and care providers. In order to enable older people to express their sexuality and sexual identity freely and fully, awareness of ageist perceptions must be raised and defeated

FOOT PRONATION AND STRESS FRACTURES OF THE FEMUR AND TIBIA: A PROSPECTIVE BIOMECHANICAL STUDY

The relation between foot pronation and stress fractures has been suggested. However, evidence based literature is lacking and contradictory. The purpose of this study was to examine whether dynamic parameters of foot pronation are related to the development of stress fractures of the femur and tibia. 2 weeks prior to beginning of 14 weeks of basic military training, 473 infantry recruits were inrolled into the study. 2D analysis was performed to measure foot pronation during treadmill walking. The soldiers were examined during the training course at two weeks intervals for stress fractures. The odds ratio was calculated for each dynamic pronation parameter in relation to the stress fractures. 10% of the 405 soldiers who finished the training were diagnosed with stress fractures of the femur and tibia. Longer pronation time was related to risk reduction for the development of stress fractures and may have a protective effect during an extended period of training

A biomechanical comparison between locked 3.5-mm plates and 4.5-mm plates for the treatment of simple bicondylar tibial plateau fractures: is bigger necessarily better?

BACKGROUND: Evolution of periarticular implant technology has led to stiffer, more stable fixation constructs. However, as plate options increase, comparisons between different sized constructs have not been performed. The purpose of this study is to biomechanically assess any significant differences between 3.5- and 4.5-mm locked tibial plateau plates in a simple bicondylar fracture model. MATERIALS AND METHODS: A total of 24 synthetic composite bone models (12 Schatzker V and 12 Schatzker VI) specimens were tested. In each group, six specimens were fixed with a 3.5-mm locked proximal tibia plate and six specimens were fixed with a 4.5-mm locking plate. Testing measures included axial ramp loading to 500 N, cyclic loading to 10,000 cycles and axial load to failure. RESULTS: In the Schatzker V comparison model, there were no significant differences in inferior displacement or plastic deformation after 10, 100, 1,000 and 10,000 cycles. In regards to axial load, the 4.5-mm plate exhibited a significantly higher load to failure (P = 0.05). In the Schatzker VI comparison model, there were significant differences in inferior displacement or elastic deformation after 10, 100, 1,000, and 10,000 cycles. In regards to axial load, the 4.5-mm plate again exhibited a higher load to failure, but this was not statistically significant (P = 0.21). CONCLUSIONS: In the advent of technological advancement, periarticular locking plate technology has offered an invaluable option in treating bicondylar tibial plateau fractures. Comparing the biomechanical properties of 3.5- and 4.5-mm locking plates yielded no significant differences in cyclic loading, even in regards to elastic and plastic deformation. Not surprisingly, the 4.5-mm plate was more robust in axial load to failure, but only in the Schatzker V model. In our testing construct, overall, without significant differences, the smaller, lower-profile 3.5-mm plate seems to be a biomechanically sound option in the reconstruction of bicondylar plateau fractures

How do older people discuss their own sexuality? A systematic review of qualitative research studies

This study captured older people’s attitudes and concerns about sex and sexuality in later life by synthesising qualitative research published on this issue. The systematic review was conducted between November 2015 and June 2016 based on a pre-determined protocol. Key words were used to ensure a precise search strategy. Empirically based, qualitative literature from 18 databases was found. Twenty studies met the inclusion criteria. Thomas and Harden’s thematic synthesis was used to generate ‘analytical themes’ which summarise this body of literature. Three main themes were identified: (a) social legitimacy for sexuality in later life; (b) health, not age, is what truly impacts sexuality, and (c) the hegemony of penetrative sex. The themes illustrate the complex and delicate relation between ageing and sexuality. Older adults facing health issues that affect sexual function adopt broader definitions of sexuality and sexual activit

Individual variability of high-sensitivity cardiac troponin levels after aerobic exercise is not mediated by exercise mode

We compared the response of high-sensitivity cardiac troponin T (hs-cTnT) after 60 min of swimming, running and cycling in well-trained triathletes. The maximal increase in hs-cTnT was similar in all exercise bouts (swimming 453%, cycling 349% and running 471%) although there was substantial individual variability in peak hs-cTnT. The post-exercise kinetics for hs-cTnT was consistent. The change in hs-cTnT was correlated between trials. In all trials, hs-cTnT had largely returned to baseline levels 24 h post-exercise. In summary, an increase in hs-cTnT was apparent in all triathletes independent of exercise mode and despite variable peak data the consistent kinetics over 24 h post-exercise would suggest this represents a physiological phenomenon

Isokinetic moment curve abnormalities are associated with articular knee lesions

The aim of this study was to test whether lesions of the medial meniscus (MM) and of the anterior cruciate ligament (ACL) are associated with specific abnormalities of isokinetic moment curves (IMCs). Fifty-four young adults (20 active healthy people, and 34 patients with unilateral knee injuries) were assessed through knee extensor and flexor isokinetic tests at 60\ub0/s. Qualitative IMC analysis was performed using a novel classification system which identified three distinct abnormal shapes. The chi-squared (\u3c72) test was used to determine the inter-individual and intra-individual differences between the groups. Quantitative IMC inter-group comparisons were performed by a one-way analysis of variance (ANOVA). Knees with MM and ACL lesions were consistently associated with IMC shape irregularities (p<0.001) and with abnormal quantitative scores (p<0.001). More specifically, knees with isolated ACL lesions and knees with combined ACL and MM lesions presented similar distribution of knee extensor and flexor IMC irregularities, which was not present in knees with isolated MM lesions. A possible association between specific knee pathologies and IMC irregularities was identified (all p<0.05). In conclusion, different knee pathologies may be associated with different qualitative IMCs, which could be used as an additional presentation tool in clinical settings

Lithium isotopes in speleothems: temperature-controlled variation in silicate weathering during glacial cycles

Terrestrial chemical weathering of silicate minerals is a fundamental component of the global cycle of carbon and other elements. Past changes in temperature, rainfall, ice cover, sea-level and physical erosion are thought to affect weathering but the relative impact of these controls through time remains poorly constrained. This problem could be addressed if the nature of past weathering could be constrained at individual sites. In this study, we investigate the use of speleothems as local recorders of the silicate weathering proxy, Li isotopes. We analysed 7Li and [Li] in speleothems that formed during the past 200 ka in two well-studied Israeli caves (Soreq and Tzavoa), as well as in the overlying soils and rocks. Leaching and mass balance of these soils and rocks show that Li is dominantly sourced from weathering of the overlying aeolian silicate soils. Speleothem 7Li values are ubiquitously higher during glacials (~23‰) than during interglacials (~10‰), implying more congruent silicate weathering during interglacials (where “congruent” means a high ratio of primary mineral dissolution to secondary mineral formation). These records provide information on the processes controlling weathering in Israel. Consideration of possible processes causing this change of weathering congruency indicates a primary role for temperature, with higher temperatures causing more congruent weathering (lower 7Lispeleo). The strong relationship observed between speleothem d7Li and climate at these locations suggests that Li isotopes may be a powerful tool with which to understand the local controls on weathering at other sites, and could be used to assess the distribution of weathering changes accompanying climate change, such as that of Pleistocene glacial cycles

Perceived age discrimination in older adults

Objectives: to examine perceived age discrimination in a large representative sample of older adults in England. Methods: this cross-sectional study of over 7,500 individuals used data from the fifth wave of the English Longitudinal Study of Ageing (ELSA), a longitudinal cohort study of men and women aged 52 years and older in England. Wave 5 asked respondents about the frequency of five everyday discriminatory situations. Participants who attributed any experiences of discrimination to their age were treated as cases of perceived age discrimination. Multivariable logistic regression analysis was used to estimate the odds ratios of experiencing perceived age discrimination in relation to selected sociodemographic factors. Results: approximately a third (33.3%) of all respondents experienced age discrimination, rising to 36.8% in those aged 65 and over. Perceived age discrimination was associated with older age, higher education, lower levelsof household wealth and being retired or not in employment. The correlates of age discrimination across the five discriminatory situations were similar. Conclusion: understanding age discrimination is vital if we are to develop appropriatepolicies and to target future interventions effectively. These findings highlight the scale of the challenge of age discrimination for older adults in England and illustrate that those groups are particularly vulnerable to this form of discrimination.The English Longitudinal Study of Ageing was developed by a team of researchers based at the University College London, National Centre for Social Research and the Institute for Fiscal Studies. The data were collected by the National Centre for Social Research. The funding is provided by the National Institute of Aging in the United States, and a Consortium of UK Government Departments Coordinated by the Office for National Statistics. The developers and funders of the English Longitudinal Study of Ageing and the UK Data Archive do not bear any responsibility for the analyses or interpretations presented here. I.R. is supported by an Impact PhD studentship from the International Longevity Centre-UK (ILC-UK) and University College London. A.S. is funded by the British Heart Foundation