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87% ; went home with family, while 21 42% ; patients from the sub-acute institution went home alone. Conclusion: Utilization of a sub-acute facility appears to allow patients who are older and who live alone to regain functional independence prior to discharge to home. 150 IMPLANTATION COMMUNAUTAIRE DACTIVITS DUCATIVES EN MATIRE DE NUTRITION COMME FACTEUR DE PROTECTION DANS LES TROUBLES DE SANT CHEZ LES PERSONNES GES Christian Chnard, B.A. Dpartement de psychoducation, Universit du Qubec Hull, 52, rue de Nantel, Gatineau QC ; J8C 8C8 c chenard hotmail ; Tl : 819 ; 243-6524 lensemble des problmatique de sant au troisime ge, il existe des facteurs de protection associs la nutrition. Lducation en matire de nutrition et la modification des habitudes alimentaires permettrait donc de rduire la frquence ou lintensit de certains problmes de sant chez les ans et favoriser ainsi leur bien-tre. Il est donc logique dans cette optique de voir llaboration et la ralisation dinterventions ducatives visant inculquer aux personnes ges des connaissances en matire de sant et de nutrition. Un programme constitu dune srie dateliers confrences fut mont puis implant dans deux centres communautaires de la ville dOttawa. Les ateliers couvraient les thmes suivants : Maladies cardiovasculaires, hypertension artrielle, diabte, ostoporose, indigestion et rgularit. Lobjectif de la prsentation daffiche est de faire ressortir les dfis et enjeux de limplantation de programmes ducatifs en milieu communautaire auprs des personnes ges. 151 QUALITY OF LIFE MEASURES FOR PEOPLE EXPERIENCING MIDDLE TO LATE STAGE DEMENTIA Susan Slaughter, RN, MSc A ; . Bethany Care Society, 1001-17 St NW, Calgary, AB, T2N 2E5 slaughts bethanycare ; Tel: 403 ; 284-6038, Fax: 403 ; 284-6085; Gillian R Currie, PhD. University of Calgary; Cameron Donaldson PhD. University of Calgary; Marlene Reimer, RN PhD. University of Calgary. Measurement of quality of life QoL ; is a challenge with cognitively impaired older adults. In a study to compare various living environments on QoL and cost of providing care, we are comparing generic measures which tend to be the basis of quality adjusted life years Euroquol and the Health Utilities Index ; , with measures that have been developed for those experiencing dementia. Lawton advocates conceptualizing QoL in multiple domains: cognitive function, competence in Activities of Daily Living, socially appropriate behavior, engagement in positive activities, and presence absence of positive negative affect. Therefore condition-specific measures such as the Brief Cognitive Rating Scale and the CohenMansfield Agitation Inventory are being used. Preliminary data will be reported regarding the reasons for selection of measures, the challenges in administration and the use of proxies versus observational techniques, for example, get off effexor.
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Written for NATAP by Andrew Talal, M.D., M.P.H., Assistant Professor of Medicine, and Ira Jacobson, M.D., Vincent Astor Distinguished Professor of Clinical Medicine, Director of GI and Hepatology, both at Weill Medical College of Cornell University In the past twenty years, two newly described human viruses, the hepatitis C virus HCV ; and the human immunodeficiency virus HIV ; one infecting the liver and the other critically weakening the immune system ; have dramatically awakened our understanding of just how fragile is the relationship between humankind and pathogenic microorganisms. These two viruses are similar in many respects. Both viruses have a single-stranded RNA genome, they both have very high levels of viral replication, they both cause chronic subclinical infection that can persist for many years, and they share similar routes of transmission. However, HIV and HCV are.
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Results and Discussion In the present study, immunostaining clearly demonstrated prominent expression of AT1R in the metastatic lung tumors of mice Fig. 1A ; . We also observed that 9 of 10 patients showed AT1R expression in lung metastases Fig. 1B; Table 1 ; , which was consistent with our results in mice. The AT1R is expressed in various normal organs, including the blood vessels, brain, kidney, lung, liver, adrenal gland, and pituitary gland 14 ; . In situ hybridization of angiotensin receptor mRNA and ligand-binding assays have shown that the main AII receptor subtype in the pulmonary vessels is type 1 15 ; . The present study showed that not only endothelial cells, but also tumor cells.
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