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Geriatric Otolaryngology by Calhoun K.H. (Ed.), Eibling D.E. (Ed.)

By Calhoun K.H. (Ed.), Eibling D.E. (Ed.)

Starting with a transparent evaluation of the biology and demographics of getting older, this article authoritatively summarizes the newest wisdom on problems of the ears, nostril, paranasal sinuses, oral hollow space, larynx, voice, throat, and neck within the geriatric inhabitants. With chapters through well-liked leaders within the self-discipline, this reference serves as a useful resource of steering on perioperative review, operative approaches and results, and new techniques for reconstructive and plastic surgery.

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Further evidence for the role of telomeres comes from observations that some cancer cells exhibit excessive telomerase activity (1,25). Additional evidence also comes from the association of experimental lengthening of telomeres with an increase in the replicative life spans of those cells (26,27). Longevity Genes and Accelerated Aging Syndromes Evidence for longevity genes comes from several observations: aggregation of extended longevity in siblings of centenarians, clustering of certain genes in longestliving individuals, and the existence of patients with accelerated aging syndromes (8,9,28–30).

Nurture determines the extent to which the organism reaches the maximum of the genetic program. By modulating individuals’ susceptibility to diseases and disability, these nurture–nature interactions determine health-related quality of life and life expectancy. LIFE EXPECTANCY, LIFE QUALITY, AND LIFE SPAN Life expectancy is defined as the age at which half of a specified population dies—the median lifespan for that species. In the Western world, the human life expectancy has increased from between 50 and 55 in the early 1900s to between 75 and 80 in the late 1990s (1,2,10,11).

Wilson LA, et al. Multiple disorders in the elderly. Lancet 1962; 2:841. 7. Bedsine RW. Geriatric medicine: an overview. Ann Rev Gerontol Geriatr 1980; 1:135. 8. Cassel, Christine K, et al. Geriatric Medicine, An Evidence-Based Approach. 4th ed. New York: Springer-Verlag, 2003. 9. Bayer AJ, et al. Changing presentation of myocardial infarction with increasing old age. J Am Geriatr Soc 1986; 34:263. 10. Wolf MS, Gazmararian JA, Baker DW. Health literacy and functional health status among older adults.

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