''Full of valuable definitions, descriptions, discussion and succinct summaries....the volume forms an interesting, up-to-date reservoir of information on 'preparation for aging'. As a source of specific insights and alternative perspectives it is a welcome addition to the literature.'' -Aging and Society

Tommy Bengtsson Population ageing, the shift in age distribution towards older ages, is of immense global concern. It is taking place to a varying degree all over the world, more in Europe and some Asian countries, less on the African continent. The worldwide share of people aged 65 years and above is predicted to increase from 7. 5% in 2005 to 16. 1% in 2050 (UN 2007, p. 11). The corresponding ?gures for developed countries are 15. 5 and 26. 2% and for developing countries 5. 5 and 14. 6%. While population ageing has been going on for some time in the developed world, and will continue to do so, most of the change is yet to come for the developing world. The change in developing countries, however, is going to be much faster than it has been in the developed world. For example, while it took more than 100 years in France and more than 80 years in Sweden for the population group aged 65 and above to increase from 7 to 14% of the population, the same change in Japan took place over a 25-year period (UN 2007, p. 13). The scenario for the future is very similar for most developing countries, including highly populated countries like China, India and Brazil. While the start and the speed differ, the shift in age structure towards older ages is a worldwide phenomenon, stressing the signi?cance of the concept global ageing.

Thisbriefs on human suffering adds to human understanding of suffering by contextualizing both stories and statistics on suffering, while showing that suffering adds a useful perspective to contemporary thought and research on quality of life, social well-being, and measures of societal progress. The scholarship on suffering is made more comprehensible in the book by using nine different conceptual frames that have been used for making sense of suffering. The primary focus of this work is with the last frame, the quality of life frame. Overall, this chapters show how the research on quality of life and well-being can be enhanced by embracing human suffering. "

With people living longer, often with chronic illnesses and disabilities, it is becoming increasingly important to understand how depression, disability, and physical illnesses are interrelated, the mechanisms underlying these interrelationships, and their implications for diagnosis and treatment. This volume synthesizes a carefully selected portion of the knowledge about physical illness and depression that has emerged during the past twenty years.

This volume is the third in the Contemporary Geriatric Medicine series. As in previous volumes, information is presented in the form of easy-to read essays to bring the reader up to date on state-of-the-art develop ments in the area of geriatric medicine. Once again, a system approach is utilized. In addition, several new topics-including alcoholism, throm boembolic disease, and decubitus ulcer management-have been intro duced to enhance this volume's usefulness to the busy clinician and student. Each chapter is not meant to be an exhaustive review of all topics in the field, but rather to focus on issues currently receiving a great deal of attention. Our goal continues to be to create an exciting approach to contemporary issues in geriatric medicine. The editors are once again appreciative for having been given the opportunity to develop this series. Appreciation is also expressed to our professional colleagues, families, and administrative assistants, who have enabled this volume to reach fruition. As in the past, we thank, most of all, our elderly patients for providing the inspiration and impetus to improve our knowledge and understanding of the health care needs of the elderly. Steven R. Gambert, M.D. V alhalla, New York ix Contents Chapter 1 Geriatric Cardiology and Blood Pressure 1 Edmund H. Duthie, Jr., and Michael H. Keelan, Jr."

In the last two years, a wealth of new information has accumulated regarding both clinical and research aspects of health care for the elderly. Although many controversial issues have been resolved, many still remain. Volume 2 of Contemporary Geriatric Medicine is once again dedicated to the clinician who cares for the elderly on a continuing basis. Although, for the most part, general topics first introduced in Volume 1 have been retained, all infor mation in this volume is new and represents the current state of the art. In addi tion, several new topics-including falls, interpretation of laboratory data, and oral health care-have been introduced to enhance this volume's usefulness to the busy clinician. Through these easy-to-read essays, we attempt once again to keep the non geriatrician abreast of the current state of the art regarding the special needs and problems of the elderly. Each chapter is not meant to be an exhaustive review of all topics in the field, but rather to focus on issues receiving a great deal of atten tion. Our goal is to create an exciting approach to contemporary issues in gerIatric medicine."

After twenty, thirty, or even forty years of marriage, countless vacations together, raising well-adjusted children, and sharing property and finances-what could go wrong? Gray Divorce offers a provocative look at the growing rate of marital splits after the age of 50, showcasing the voices of men and women who are considering, going through, or have undergone one. With empathy and insight, Jocelyn Crowley, who has written widely on family issues, uncovers the reasons for why men and women divorce-and the penalties and benefits that each pay for their choice. From the outside, many may ask why couples in mid-life and readying for retirement choose to make a drastic change in their marital status. Yet nearly 1 out of every 4 divorces is "gray." Crowley sheds light on why divorce occurs-seeing marriage in a different lens, understanding the seismic shift in individual priorities, and the impact of the increase in life expectancy. With a deft eye, she analyzes the experiences of women and men as they go through this life transition-specifically how women are affected economically while men are affected socially. With a realistic yet passionate voice, Crowley shares the personal positive outlooks and the necessary supportive public policies that must take place to best help new divorcees. Engaging and instructive, Gray Divorce is a must-read for anyone interested in contemporary American culture.

Clinical trials are the most definitive tool for evaluation of the applica bility of clinical investigations. The main objective of clinical investiga tions is to assess the potential value of a therapeutic entity in the treat ment or prophylaxis of a disease or a condition. It is also deemed necessary at this stage to obtain information regarding the undesirable side effects, associated risks, and their interrelationship with clinical assessments. Most of these clinical investigations conform, in some form or fashion, to the guidelines adopted by the Food and Drug Administration (FDA) for a given class of compounds. Clinical investigations in the past have not included specific studies in special or subpopulations, e.g., the elderly. Because of an ever-increasing elderly population, newer policies for clinical investigations are now being debated with the recognition of enhanced drug sensitivity in this special population. This key research activity can lead not only to improved health care in the elderly but also to control of its costs."

Guide to Fitness After Fifty presents basic and applied research data, authoritative advice and tested techniques for professional workers who want to learn more about physical exercise, fitness and health for aging people and for all who seek to become more physically and mentally fit. The editors and contributors believe that physical activity and exercise following the pri ciples and practices utlined in this inter disciplinary volume can improve the health and quality of life by increasing en durance and cardiovascular fitness, strengthening the musculoskeletal system, im proving mobility, posture and appearance, and relaxing emotional tensions. Evidence at hand and discussed in this book demonstrates that properly prescribed physical activity or exercise can raise the level of physical fitness and health, both physical and mental, at any age, delay the ravages of aging, and prevent or reduce disability from musculoskeletal and circulatory disorders. Section I, Perspectives on Exercise and Aging, surveys the fundamental problems and relationships of exercise to aging and health and provides historical insights and philosophic perspectives on the significance and importance of physical fitness and exercise through the centuries and in contemporary society. Section II, Evaluation and Physiology of Exercise, presents objective scientific and medical evidence that reasonable improvement in fitness and other bodily func tions may be achieved by people of all ages who follow well designed exercise and relaxation routines for at least 30 minutes three or more times weekly."

Does human mortality after age 110 continue to rise, level off, or start to decline? This book describes a concerted, international research effort undertaken with the goal of establishing a database that allows the best possible description of the mortality trajectory beyond the age of 110. The International Database on Longevity (IDL) is the result of this ongoing effort. The IDL contains exhaustive information on validated cases of supercentenarians (people 110 years and older) and allows unbiased estimates of mortality after age 110. The main finding is remarkable: human mortality after age 110 is flat at a probability of death of 50% per year. The sixteen chapters of this book discuss age validation of exceptional longevity, data on supercentenarians in a series of countries, structure and contents of the IDL, and statistical analysis of human mortality after age 110. Several chapters include short accounts of specific supercentenarians that add life to demographic research.

'A beautiful and moving book that vividly brings home the challenges faced by those with dementia and their carers' Sir Tony Robinson A moving and beautifully illustrated book that captures the real life tales of people living with dementia, as told by their loved ones caring for them. This humorous, heartwarming and often heartbreaking collection will be relatable and supportive for anyone touched by dementia in their lives, and provides insight and information for anyone wanting to know more. The stories reflect on: the impact of receiving a diagnosis, the importance of person-centred care and social inclusion; the power of meaningful engagement, partnerships, peer support and much, much more.

Memory is essential for the retention of learning. In the presence of memory deficits, new learning is impaired and performance of previously learned habits deteriorates. What is the nature of memory? Where does it reside in the brain? What biological events are associated with the formation and retrieval of memory? These questions are explored in the first chapter of this volume. The answers are not final, but we have learned a great deal about memory processes during the past few decades. Memory is influenced by most of the pathological processes that influ ence the brain such as infection, trauma, cerebrovascular disorders, and met abolic and degenerative diseases. The nature and course of memory impairment are unique for each of the disorders and are fairly distinguishable. More than fifty conditions are known to cause dementia, which now affects several million Americans. In Alzheimer's disease, memory disorder predominates for two to three years before other intellectual functions are affected. Many neurological diseases, such as Huntington's disease, Friedreich's ataxia, and multiple sclerosis, are associated with progressive memory deficits. Forgetting is a problem that becomes progressively worse with age. Most individuals in their forties begin to experience some difficulty in quick recall of past events. By age sixty definite changes are evident in the process of registration, storage, and recall of memory. At this age the material that is to be remembered is processed more slowly, stored less firmly, and poorly recalled."

Aging is one of those subjects that many biologists feel is largely unknown. Therefore, they often feel comfortable offering extremely facile generalizations that are either unsupported or directly refuted in the experimental literature. Despite this unfortunate precedent, aging is a very broad phenomenon that calls out for integration beyond the mere collecting together of results from disparate laboratory organisms. With this in mind, Part One offers several different synthetic perspectives. The editors, Rose and Finch, provide a verbal synthesis of the field that deliberately attempts to look at aging from both sides, the evolutionary and the molecular. The articles by Charlesworth and Clark both provide population genetic perspectives on aging, the former more mathematical, the latter more experimental. Bell takes a completely different approach, arguing that aging may not be the result of evolutionary forces. Bell's model instead proposes that aging could arise from the progressive deterioration of chronic host pathogen interactions. This is the first detailed publication of this model. It marks something of a return to the type of aging theories that predominated in the 1950's and 1960's, theories like the somatic mutation and error catastrophe theories. We hope that the reader will be interested by the contrast in views between the articles based on evolutionary theory and that of Bell. MR. Rose and C. E. Finch (eds. ), Genetics and Evolution of Aging, 5-12, 1994. (c) 1994 Kluwer Academic Publishers. The J aniform genetics of aging 2 Michael R. Rosel & Caleb E."

Inverse Projection is a method for estimating accurate demographic indicators of a population where vital registration data are available, but population censuses are lacking or unreliable. The book offers an overview of the present state of methodological development in the field of inverse projection techniques. In the various chapters of the book, leading experts in demography and related fields review the method, discuss recent extensions, test performances, and stress differences of the various procedures. The book is intended for all scientists who are interested in the reconstruction of demographic scenarios in particular situations, with specific kinds of data, as well as for statisticians and mathematicians who are attracted by this fascinating field of application.

Positive conceptions of healthy aging are rightly displacing negative ageist perceptions of older members of our society. Nevertheless, at some stage, most elderly citizens will require some form of assistance from other members of society. When the body or mind begins to fail, a legitimate need for intervention and care will arise. This second volume on Aging discusses this theme.

This book was conceived as a project of the Association for Anthropology and Gerontology, a multidisciplinary and international organization, formed in 1978, that is dedicated to the exploration and understanding of aging within and across the diversity of human cultures. The perspective of the Association is holistic, comparative and international. Membership is drawn from both academic and applied sectors and includes the social and biological sciences, medicine, urban planning, policy studies, social work and the development, administration and provision of services for the aged. Information about membership may be obtained from Dr. Eunice Boyer, Department of Sociology and Anthropology, Carthage College, Kenosha, Wisconsin WI, 53141 USA. Vll ACKNOWLEDGEMENTS In a collective enterprise such as this, there are many people who have helped us along the way. Many members of the Association for Anthropology and Gerontology and many other colleagues gave us advice, read and commented on drafts of papers and otherwise supported this project. The editors and individual authors would like to acknowledge the following for their support and help; Baine B. Alexander, Steve Albert, C. C. Ballew, Diana Bethel, Jacob Climo, Ann Dill, Jean De Rousseau, Nancy Foner, Doris Francis, Mel Goldstein, Ralph Garruto, Tony Glascock, Charlotte Ikels, Sharon Kaufman, Jeanie Kayser-Jones, S. Loth, Mark Luborsky, Linda Mitteness, Corinne Nydegger, J. D. Pearson, David Plath, J. P. Ritchie, Phil Stafford, Rachael Stark, Maria Vesperi, Marjorie Schweitzer, Jay Sokolovsky, Toni Tripp Reimer, Martin Whyte, and Connie Wolfsen. ix ROBERT L."

How should life expectancy be calculated? More generally, how should life - bles be estimated? Since John Graunt's pioneering contribution, read before theRoyalSocietyofLondonat6p. m. onthe27thofFebruary1661, demog- phers have developed better and better methods. Some concerns were raised, including concerns about how to deal with heterogeneous populations p- lished in an article inDemography in 1979 that I wrote with Kenneth Manton and Eric Stallard. Yet, a few years ago nearly all demographers believed that as long as the underlying population and death counts were accurate, then lifetables could be reliably estimated. John Bongaarts and Gri? Feeney launched a revolutionary assault on this dogma. Two key contributions by them are reprinted in Part I of this mo- graph. Some very good demographers agreed, as least in part, with B- gaarts' and Feeney's radical argument that when death rates are changing, then tempo e?ects distort conventional calculations of life expectancy. Other very good demographers disagreed. So John Bongaarts and I brought some leading demographers together in a research meeting, co-sponsored by the Max Planck Institute for Demographic Research and the Population Co- cil and held in New York City on November 18 and 19, 2004. Many of the papers discussed at the workshop, generally after considerable revision, were published in Demographic Research in 2005 and 2006. Nine of these articles, in some cases somewhat revised, are published in this monograph: they are the ?rst seven chapters in Part II and the two chapters in Part III.

This volume brings together leading researchers on quality of life in old age to focus on one of the most important issues in both gerontology and quality of life studies. Quality of life is a holistic construct and assessed from many different perspectives and by many disciplines. Moreover, the concept of quality of life can be applied to practically all important domains of life. Thus, quality of life research has to include social, environmental, structural, and health related aspects and be approached from an interdisciplinary perspective. Recently research in gerontology has begun to systematically study quality of life - following the WHO dictum 'years have been added to life and now the challenge is to add life to years' - however there are very few texts available on this topic and none of an international and multi-disciplinary nature. Quality of life studies have neglected older people and, given the size and growth of this population, it is time to publish a volume on this topic that systematically pursues a comprehensive perspective and includes theoretical approaches and empirical findings with respect to the most important components of quality of life in old age. For these reasons and the high quality of the authors we have assembled, this will be a seminal text for both gerontology and quality of life researchers.

This stimulating, carefully-researched book on The Late Life Legacy of Very Early Life by Dr. Gabriele Doblhammer is the second volume of a new series of Demographic Research Monographs published by Springer Verlag. The topic of the book is fascinating. Is a person's lifespan influ enced by health and nutrition in-utero and shortly after birth? If so, why? The answers uncovered by the diligence, demographic and statistical ex pertise, and probing intelligence of the author are surprising but convinc ing. To pry open the mystery of the lingering impact of very early life, Dr. Doblharnmer focuses on month of birth. It turns out that people born in some months live substantially longer on average than people born in other months, not because of astrological forces but for reasons of health and nutrition. Dr. Doblhammer was educated in statistics and demography and earlier this year was the first person ever to receive the "Habilitation" de gree, the recognition given in the German-speaking world to proven scho lars who are qualified to become professors, in Demography. This book, which is evidence that she fully deserves this award, will not only provide important new fmdings about the legacy of early life but will also serve as a comprehensive foundation of knowledge on which future scholars can build. The series of Demographic Research Monographs is under the editorial supervision of the Max Planck Institute for Demographic Research. Prof. James W. Vaupel, Founding Director of the Institute, is Editor-in-Chief."

Over time, the responsibility for providing for a financially secure retirement has shifted towards the individual. Building on a new structure applied to insights drawn from behavioral finance, this book analyzes the perspectives of individuals with regard to their financial situation in retirement and compares the actions they take with ideal behavior. The work provides new insights into the broadly defined topic of individual retirement-specific financial planning behavior.

Recommended by Nobel Laureate Robert C. Merton, this book offers the world a first-hand opportunity to learn why the Dutch pension system is so often praised and how it operates. The book also discusses aspects of the system that are less favorable, such as implicit value transfers from younger to older generations that limit mobility of labor. Throughout the discussions, the authors provide quantitative evidence to support their assertions.

Evidence of widening inequalities in later life raises concerns about the ways in which older adults might experience forms of social exclusion. Such concerns are evident in all societies as they seek to come to terms with the unprecedented ageing of their populations. Taking a broad international perspective, this highly topical book casts light on patterns and processes that either place groups of older adults at risk of exclusion or are conducive to their inclusion. Leading international experts challenge traditional understandings of exclusion in relation to ageing in From Exclusion to Inclusion in Old Age. They also present new evidence of the interplay between social institutions, policy processes, personal resources and the contexts within which ageing individuals live to show how this shapes inclusion or exclusion in later life. Dealing with topics such as globalisation, age discrimination and human rights, intergenerational relationships, poverty, and migration, the book is essential reading for anyone interested in ageing issues.

It is with great pride that the Psychologists in Long Term Care (PLTC) have sponsored The Professional Educational Long-Term Care Training Manual, and now its second iteration, Geropsychology and Long Term Care: A Practitioner's Guide. Education of psychologists working in long-term care settings is consistent with PLTC's mission to assure the provision of high-quality psychological services for a neglected sector of the population, i.e., residents in nursing homes and assisted-living communities. To this end, direct training of generalist psychologists in the nuances of psychological care delivery in long-term care settings has been a major priority. It is a tribute to the accelerating nature of research in long-term care settings that a revision is now necessary. After all, the Professional Educational Training Manual's initial publication date was only in 2001. However, in the intervening years, much progress has been made in addressing assessment and intervention strategies tailored to the needs of this frail but quite diverse population. It is so gratifying to be able to say that there is now a corpus of scientific knowledge to guide long-term care service delivery in long-term care settings.

The decision making process that underlies ovarian hormone therapy (HT) is fallible. Thus, the decision for women to go on HT remains controversial. At a time when confusion still permeates the decision making with regard to HT, this book bridges diverse features that surround the decision making concerning HT. The book is written for both specialists and generalists in the field.

This book provides an up-to-date summary of the consequences of demographic aging for labor markets, financial markets, economic growth, social security schemes and public finances in Germany, essentially reflecting the present state of knowledge in any of these areas. All contributions are written by leading experts in their fields and are based on results that emerge at the forefront of current research.