This issue of Clinics in Geriatric Medicine, guest edited by Drs. Sidney S. Braman and Gwen S. Skloot, is devoted to Pulmonary Disease in the Aging Patient. Articles in this issue include: The Effects of Aging on Lung Structure and Function; Immunosenescence and the Lungs; Epidemiology of Lung Disease in the Elderly; The Evaluation of Dyspnea in the Elderly; Asthma in the Elderly; COPD in the Elderly Patient; Pulmonary Vascular Diseases in the Elderly; Granulomatous Lung Diseases in the Elderly; Lung Cancer in the Older Patient; Sleep Disorders in the Elderly; Idiopathic Pulmonary Fibrosis in the Older Patient; and Co-morbidities of Lung Disease in the Elderly.

Through the autobiographical perspectives of 16 preeminent researchers and scholars of Environmental Gerontology, this state-of-the-art Annual Review critically examines the broad range of topics that comprise this interdisciplinary field. The writings of these individuals, who have contributed to and shaped the growth of the field over the past three-plus decades, trace the growth and evolution of Environmental Gerontology and provide understanding of, and insights on, the role of environments for older adults and an aging society at multiple levels. The book examines the origins and growth of Environmental Gerontology, how the personal influences and professional choices of each author is linked to its development, the contextual factors influencing its biographical-intellectual evolution, and its potential implications for an aging society. The Review encompasses research and scholarship in diverse scales/contexts of the physical/built environment; diversity of disciplinary backgrounds represented by related social sciences, health sciences, and environmental design; basic/theoretical and applied/policy-oriented research; and more. Key Features: Promotes a critical understanding of the state of science and art in Environmental Gerontology Examines the origin, evolution, development, and future perspective of the field through the unique autobiographical lens of its worldwide pioneers Represents theoretical/substantive/applied perspectives through the reflections of preeminent scholars Focuses on intellectual development of pioneers in the field

This issue of Primary Care: Clinics in Office Practice, guest edited by Drs. Antimisiaris and Gopalraj, is devoted to Geriatrics. Articles in this issue include: Geriatric Assessment for the Primary Care Provider; Ageism in Medicine: What is Normal Aging?; Management of Polypharmacy in the 15 Minute Office Visit; Sexuality in the Older Adult; Alzheimer's Disease and the Future; Evaluating the Older Driver; Diabetes in the Older Adult; Hormone Replacement: The Fountain of Youth?; Mental Health in Older Age; Advanced Care Planning in the Office; Pain in the Older Adult; Hyperlipidemia and Hypertension in the Older Adult; and Delirium: Assessment and Prognosis.

Experts in gerontology, clinical psychology, and geriatric medicine provide an analytical survey and abstracts of the significant literature and research dealing with alcoholism and aging over the last 30 years. This research guide offers a general survey with sections dealing separately with the prevalence, precipitants, effects, diagnosis, prevention, and treatment of alcoholism in the older generation. The book also offers directions for future research. The narrative ends with a listing of references that have been assessed. The annotated bibliography gives abstracts for 301 sources that are arranged by types of works: bibliographies, overview articles, books and book chapters, empirical studies, and miscellaneous works. Cross-references and author and subject indexes make this guide readily accessible to students and teachers in the field of sociology, gerontology, psychology, medicine, and public health.

This issue of Clinics in Geriatric Medicine, guest edited by Dr. John Morley, is devoted to Rapid Geriatric Assessment. Articles in this issue will address Frailty; Sarcopenia; Anorexia of Aging; Mild Cognitive Impairment; Cognitive Frailty; Falls; Hip Fracture; Depression; Delirium; and Advanced Directives and Palliative Care.

This issue of Clinics in Geriatric Medicine, guest edited by Drs. James D. Katz and Brian Walitt of the NIH, is devoted to Rheumatic Diseases in Older Adults. Articles in this outstanding issue include Rheumatology Pharmacotherapy Pearls for the General Practitioner; Sarcopenia - Pathogenesis and Management; Osteoporosis and Metabolic Bone Diseases; Osteoarthritis; Regional Rheumatic Disorders and Rehabilitation in Older Adults; Rheumatological Manifestations of Malignancy; Sjoegren's Syndrome; Cardiovascular Disease Risk in Patients with Rheumatic Diseases; Gaps in Aging Research as it Applies to Rheumatological Clinical Care; and Update on Crystal-induced Arthritides.

Chronic Medical Disease and Cognitive Aging: Toward a Healthy Body and Brain explores the important and often overlooked connection between how chronic medical diseases of the body can affect cognitive function and brain health. As population demographics shift to that of an aging population it has become more important to understand and improve cognitive function in late life. Chronic medical diseases often increase the risk of cognitive impairment, and those with cognitive impairment may be less able to effectively manage their medical conditions, suggesting a reciprocal relationship may exist where medical disease impacts cognition that in turn may exacerbate physical health. Chronic Medical Disease and Cognitive Aging discusses current research on the association between a variety of chronic medical diseases and cognition and, where appropriate, promising interventions or accepted treatment strategies. While a cure for many diseases continues to be elusive, insights garnered from the interplay between diseases of the body and mind may help point the way to novel therapeutic strategies to improve cognitive function in late life.

The realities and misconceptions of long-term care and the challenges it presents for the ethics of autonomy are analyzed in this perceptive work. While defending the concept of autonomy, the author argues that the standard view of autonomy as non-interference and independence has only a limited applicability for long-term care. He explains that autonomy should be understood as a comprehensiveness that defines the overall course of a person's life rather than as a way of responding to an isolated situation. Agich distinguishes actual and ideal autonomy and argues that actual autonomy is better revealed in the everyday experiences of long-term care than in dramatic, conflict-ridden paradigm situations such as decisions to institutionalize, to initiate aggressive treatments, or to withhold or to withdraw life-sustaining treatments. Through a phenomenological analysis of long-term care, he develops an ethical framework for it by showing how autonomy is actually manifest in certain structural features of the social world of long-term care. Throughout this timely work, the rich sociological and anthropological literature on aging and long-term care is referenced and the practical ethical questions of promoting and enhancing the exercise of autonomy are addressed.

Wondering where to live in your later years? This strategic and thoughtful guide is aimed at anyone looking to determine the best place to call home during the second half of life. Place plays a significant but often unacknowledged role in health and happiness. The right place elevates personal well-being. It can help promote purpose, facilitate human connection, catalyze physical activity, support financial health, and inspire community engagement. Conversely, the wrong place can be detrimental to health, as the COVID-19 pandemic has highlighted. In Right Place, Right Time, Ryan Frederick argues that where you live matters enormously-especially during the second half of your life. Frederick, the CEO of SmartLiving 360 and a recognized thought leader on the intersection of place and healthy aging, provides you with tools to evaluate your living situation, ensuring that you weigh all the necessary factors to make a sound decision that optimizes your current and future well-being. He explores the pros and cons of different living options, from remaining in your current home to downsizing, intergenerational living, co-housing, senior living, and more. Along the way, he helps readers answer important questions, including "Are you already in the right place?" and "In what areas does your current place not align with your needs and desires?" The rest of the book helps you to unpack specific options for place, beginning with considerations for regions and neighborhoods and then looking at specific housing models. It also focuses on how housing is changing, particularly from a technology, health, and health care perspective. The book closes by challenging the reader to develop a discipline of choosing the right place at the right time. Combining real-life stories about people selecting places to live with design thinking principles and interactive tools, Right Place, Right Time will appeal to empty nesters, retirees, solo agers, and even adult children seeking ways to support their parents and loved ones.

Provides recommendations by foremost scholars regarding best practices and future directions in LGBT aging. With its critical examination of contemporary issues facing lesbian, gay, bisexual, and transgender (LGBT) elders, this landmark Annual Review continues a nearly 40-year tradition of providing state-of-the-art knowledge, insight, and research on topics critical to gerontologists worldwide. The 37th volume addresses the cardinal changes occurring in the public policy arena—marriage rights, social security benefits, and other movements toward equality—as they pertain to LGBT elders, and focuses on a variety of key challenges affecting this population. Bringing together the work of highly respected researchers in health policy and psychosocial spheres pertinent to older LGBT adults, the Review also sets forth recommendations on best practices and discusses future directions for working with this population. Each chapter covers a specific issue affecting the older LGBT population and includes definitions of key concepts; a summary of current research; and a discussion of trends and future directions. The Review addresses such key topics as sexuality and sexual health, health and mental health disparities, caregiving, and service needs. It focuses on such critical issues for LGBT elders as social services, families and social supports, health and wellbeing for transgender and bisexual older adults, stigma for bisexual older adults, and special issues for older LGBT veterans and rural-dwelling elders. Also examined is the intersection of diverse characteristics such as gender, race, religion, disability, and sexual orientation. The book concludes with a discussion of programs and policies for older LGBT adults and offers concluding comments for professionals working with this population. Key Features: Provides an historical view of events, policy, and public opinion that have affected the lives of older LGBT cohorts Distils state-of-the-art research and data on such critical issues as sexuality, health and mental health disparities, caregiving, and service needs Considers the intersection of diverse characteristics such as gender, race, religion, disability, sexual orientation, and aging Discusses families and social supports, health and wellbeing for transsexual and bisexual older adults, LGBT veterans, and rural elders Examines future trends and changes in policy and programming to benefit older LGBTs .

This issue of Clinics in Geriatric Medicine, guest edited by Drs. Thomas T. Yoshikawa and Dean C. Norman, is devoted to Infectious Diseases in Geriatric Medicine. Articles in this issue include: Host Resistance and Immunology of Aging; Clinical Features of Infection; Principles of Antimicrobial Therapy; Bacterial Pneumonia; Tuberculosis; Intraabdominal Infections; Infectious Diarrhea: Clostridium Difficile and Norovirus; Urinary Tract Infection; Herpes Zoster; Bone and Joint Infections; Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome; Infections in the Long-Term Care Setting; and Vaccinations.

This issue of Clinics in Geriatric Medicine, guest edited by Drs. Cynthia Boyd, James T. Pacala, and Michael W. Rich, is devoted to Chronic Conditions in Older Adults with Cardiovascular Disease. Articles in this issue include: Epidemiology of multimorbidity in older adults with cardiovascular disease; Impact of multimorbidity on clinical outcomes in older adults with cardiovascular disease; Assessment of goals of care in patients with multiple chronic conditions; Challenges in decision-making: balancing trade-offs; Multimorbidity in older adults with heart failure; Multimorbidity in older adults with acute coronary syndromes; Multimorbidity in older adults with aortic stenosis; Multimorbidity in older adults with atrial fibrillation;Anticoagulation in older adults with multimorbidity; Approach to evaluating the multimorbid patient with cardiovascular disease undergoing non-cardiac surgery; Integrating care across disciplines; Assessing risks and benefits of invasive cardiac procedures in patients with advanced multimorbidity; Multimorbidity and end of life care in patients with cardiovascular disease; and Future research directions for cardiovascular disease.

As the American population ages, health care for the elderly grows in importance. This bibliography overviews the most significant books and journal articles on the ethical issues related to health care for older Americans. The topics covered are of interest to practitioners and the general public alike, as well as to professionals from a wide range of fields. The author has provided more than five hundred bibliographic citations. These entries are arranged in eleven topical chapters to facilitate use by the reader. Each citation is accompanied by an annotation that concisely summarizes and assesses the contents of the work. The volume begins with an informative introductory essay on the ethical issues pertinent to health care for older adults. The chapters that follow are devoted to broad topics, such as financial considerations, treatment for the terminally ill, and decision-making by and for the impaired elderly. The work concludes with author and subject indexes that add to its utility. Researchers and practitioners from all fields will find this work an indispensable guide to the wealth of literature on the ethical aspects of health care for older Americans.

This issue of Clinics in Geriatric Medicine is devoted to Geriatric Urology. Guest Editor Tomas L. Griebling, MD, MPH has assembled a group of expert authors to review the following topics: Non-Surgical Treatment of Urinary Incontinence in Elderly Women; Outcomes of Surgery for Stress Urinary Incontinence in Older Women; Evaluation and Management of Pelvic Organ Prolapse in Elderly Women; Underactive Bladder in Older Adults; Translational Research and Voiding Dysfunction in Older Adults; Functional Brain Imaging and Voiding Dysfunction in Older Adults; The Role of Urodynamics in Elderly Patients; Associations Between Voiding Symptoms and Sexual Health in Older Adults; Asymptomatic Bacteriuria and Urinary Tract Infections in Older Adults; Comorbidity and Surgical Risk in Older Urologic Patients; Small Renal Masses in Older Adults; Prostate Cancer in Elderly Men: Active Surveillance and Other Considerations; Late Onset Hypogonadism and Testosterone Replacement in Elderly Men; and Contemporary Chemotherapy for Urologic Malignancies in Geriatric Patients.

This book provides a comprehensive overview of the field of developmental programming of ageing phenotypes. Although gerontological research has traditionally focused on later stages of the life cycle, growing evidence indicates that both the rate of ageing-associated functional declines, and the risks of later-life chronic pathological conditions, can be traced to origins early in life. While other books in the field concentrate on the developmental origin of particular disorders, this volume offers a detailed guide to all important aspects of the role of early-life conditions in programming both chronic pathological conditions and the ageing process. Interest in the study of ageing and longevity had its beginnings in research on the fetal origins of adult disease. This has evolved into a hypothesis on the Developmental Origins of Adult Health and Disease (DOHaD), which postulates that adverse environmental exposures during critical in-utero and early postnatal stages of development may permanently change physiological responses and cause functional impairments and disorders in adult life. In this book, the contributing authors and leading experts from around the world, describe research on mechanisms underlying the developmental programming phenomenon, as well as interventional strategies aimed at restoring developmentally disrupted epigenetic patterns. Early Life Origins of Ageing and Longevity benefits a wide audience of working scientists, clinicians, and advanced students, and will also interest scientifically curious general readers who wish to know more about current research in this rapidly evolving field.

The book describes the major degenerative processes and pathologies exacerbated by senescence and how they can be alleviated through retardation of cellular aging. Topics discussed include neurodegenerative disease, protein oxidation, cerebrovascular disease, particle-induced inflammation and cardiovascular disease, Alzheimer's disease, ovarian aging, dietary and endogenous anti-oxidants in management of Parkinson's disease, and effects of exercise on oxidation and inflammation. The nineteen expertly authored chapters are organized into three sections in order to present a complete picture to the reader: Age Related Cellular Events, Role of Inflammatory and Oxidative Processes in Age-Related Diseases, and Retardation of Cellular Aging. Inflammation, Oxidative Stress and Age-Related Disease draws from a variety of international perspectives and provides a comprehensive overview of the relationship between disease, cell aging, and oxidative stress, as well as potential for preventing or slowing these processes. This installment of Springer's Oxidative Stress in Applied Basic Research and Clinical Practice is ideal for researchers, clinicians, and advanced graduate students in the fields of cardiology, neuroscience, biogerontolgy, and cell biology.

This book documents the state of the art in the field of ambient assisted living (AAL), highlighting the impressive potential of novel methodologies and technologies to enhance well-being and promote active ageing. The coverage is wide ranging, with sections on assistive devices, elderly people monitoring, home rehabilitation, ICT solutions for AAL, living with chronic conditions, robotic assistance for the elderly, sensing technologies for AAL, and smart housing. The book comprises a selection of the best papers presented at the 7th Italian Forum on Ambient Assisted Living (ForitAAL 2016), which was held in Pisa, Italy, in June 2016 and brought together end users, technology teams, and policy makers to develop a consensus on how to improve provision for elderly and impaired people. Readers will find that the expert contributions offer clear insights into the ways in which the most recent exciti ng advances may be expected to assist in addressing the needs of the elderly and those with chronic conditions.

This issue of Clinics in Geriatric Medicine is devoted to Palliative Care. Guest Editors Thomas Smith, MD and Madeline Leong, MD have assembled a group of expert authors to review the following topics: Palliative Care in the Era of Healthcare Redesign; Communications to Patients; Communications by Professionals; International Palliative Care; Public Health and Palliative Care; Culturally Relevant Palliative Care; Spirituality, Religion, and Healing in Palliative Care; Alternative, Complementary and Mainstream Therapies in Palliative Care; Symptom Management in the Older Adult; Interaction of Palliative Care and Primary Care; Palliative Care in the Ambulatory Geriatric Practice; Choosing Cancer Therapy Based on Geriatric Assessment; and Emergency Medicine and Palliative Care.

This issue of Medical Clinics of North America, edited by Drs. Jeffrey Wallace and Susan Merel, is devoted to Gerontology. Articles in this issue include: Preventative care in geriatrics; Geriatric syndromes and assessment in the outpatient setting; Assessment and management of fall risk; Drug interactions and side effects; Evaluation and management of elderly patients presenting with cognitive complaints; Pain management in the elderly; Diabetes management in the elderly; Hypertension in the elderly; End-of-life care; Urinary incontinence; Nutrition in the elderly; Anti-thrombotic management in the elderly; and Sleep problems in the elderly.

This major reference is a substantially revised edition of Palmore's "International Handbook on Aging," which was voted Choice Outstanding Academic Book of 1980. The reference collects and summarizes information on programs and research in gerontology in most countries where significant work is taking place. The chapters are arranged alphabetically, with each chapter devoted to a particular country. The countries selected represent a wide range of social, political, geographic, and economic conditions, and ten new countries are included in this edition.

Each chapter provides current information on the unique features of the country profiled; the roles and status of the aged; problems of the elderly; programs for older adults; research in biomedical, psychological, and sociological aspects of aging; and sources of additional information. Each chapter closes with a list of works for further consultation, and the handbook concludes with an appendix of gerontological associations and a bibliography. Gerontologists, social scientists, and policymakers will find this reference a valuable and current guide to developments and research on aging around the world.

This volume provides insight into the pivotal roles of stem cells, exosomes and other microvesicles in biofunction and molecular mechanisms and their therapeutic potential in translational nanomedicine. It further highlights evidence from recent studies as to how stem cell derived exosomes and microRNAs may restore and maintain tissue homeostasis, enable cells to recover critical cellular functions and begin repair regeneration. These early studies in animal models of aging also show evidence of improved immune, cardiovascular and cognitive functions as well as improved health span and life span. The use of exosomes from body fluids to define specific biomarkers for various tumors may also clear the path to patient-targeted treatments by developing exosome-derived microRNA based cancer therapeutics. It is essential reading for graduate students, research fellow and biomedical researchers in academia or the pharmaceutical or biotech industries.

This issue of Clinics in Geriatric Medicine, guest edited by Dr. Soo Borson, is devoted to Geriatric Psychiatry. Articles in this issue include: Diagnosis; Providing high quality care for dementia patients and family caregivers; Common psychiatric problems in cognitively impaired patients - causes and management; Partnering with family caregivers; Palliation and end of life care; Geriatric depression; Treatment for depression and evaluating response; Post-traumatic stress in older adults; Sleep disorders; Substance Abuse; Suicide; and Mental Health Services for Older Adults.

Caring for the Geriatric Surgical Patient is covered extensively in this important Surgical Clinics of North America issue. Articles include: Changing Demographics of the American Population; Effect of Aging on Cardiac Function plus Monitoring and Support; Effect of Aging on Vascular System plus Monitoring and Support; Effect of Aging on Pulmonary Function plus Monitoring and Support; Effect of Aging on Renal Function plus Monitoring and Support; Management of the Gastrointestinal Tract and Nutrition in the Geriatric Surgical Patient; Management of Skin/Soft Tissue/Pressure Sores in the Geriatric Surgical Patient; Hematologic Issues in the Geriatric Surgical Patient; Healthcare-Economic Impact of Caring for the Elderly; Operative Risk Stratification in the Geriatric Surgical Patient; Management of Fractures in the Geriatric Surgical Patient; Pharmacology for the Geriatric Surgical Patient; Rehabilitation of the Geriatric Surgical Patient; End-of-Life Care of the Geriatric Surgical Patient, and more.