Aging Male back issues from March 2004:
GLOBAL PROGRAM OF ACTIVE AGING FOR THE ELDERLY MALE POPULATION
Mar 01, 2004; ... Demographic trends in Czech Republic are similar to those in the EU. Czech population is getting older and suffers from higher morbidity and worsening quality of life. Present knowledge of medicine and other scientific disciplines, if properly applied, allow to diminish such negative tendencies ....
ULTRASONOGRAPHY AND FUNCTION OF THYROID GLAND IN MALES OF AGE 65 AND OLDER
Mar 01, 2004; ... The aim of this pilot study was to assess the morphology and the function of thyroid gland in males of age 65 and older. We investigated 128 patients 7 (77 females, 51 males), age 78+6.4 years, BMI 26±4 kg/m^sup 2^. We evaluated thyroid gland ultrasound and function (TSH, fT4, fT3), presence of ...
HEALTH CONDITION IN AGING MALES IN THE CZECH REPUBLIC
Mar 01, 2004; ... Between 1960-1980 there was a stagnation or worsening of life expectancy and mortality rates of the Aging Male population in the Czech Republic. This is an unusual development for a well-developed country. Excessive mortality rates in aging or middle aged men were the main reason for this ...
MALE HEALTH AND AGING STUDY IN A MULTIETHNIC POPULATION
Mar 01, 2004; ... Introduction The increasing number of older people in Malaysia has made dealing with their needs for help and care a pressing matter. Due to the demographic trends brought about by increasing lift expectancy, frailty, impaired sense of well-being and sexual dysfunction have emerged as important ...
HYPOGONADISM IN ASIA
Mar 01, 2004; ... Male hypogonadism, defined by decreased androgen effect, is important gender specific condition, which has significant clinical, epidemiological and socio-economic implications. However, data on their respective prevalence are scarce and sporadic especially in Asia. In 7 world series totaling ...
CHANGING TRENDS OF PROSTATE CANCER IN ASIA
Mar 01, 2004; ... The incidence and mortality rates of prostate cancer (PC) are rapidly increasing in most areas of the world including lower-risk Asia countries. Although still being the lowest, the incidences over the past 3 decades were increased over 2-fold in Japan, South Korea, Taiwan and Singapore. The ...
AGEING MALE - THE EUROPEAN PERSPECTIVE
Mar 01, 2004; ... Ageing is an evolutionary accident unique to Man which occurred only exceptionally until the last century. The striking biologically-unprecedented post-reproductive life extension is the consequence of improved nutrition, vaccines, antibiotics and contraception. Ageing is associated with ...
AGING IN LATIN AMERICA
Mar 01, 2004; ... Ageing in Latin America is characterized by fast development, poverty and deepening of socioeconomics differences. Developed countries aged gradually during one century; Latin American countries aged fast in less than 30 years. United States, Canada and Europe became rich than old, Latin ...
FRAILTY
Mar 01, 2004; ... Frailty is a major problem in older men. Frailty is a precursor of functional deterioration, which leads to recurrent hospitalization, institutionalization and death. The causes of frailty are multifactorial. These include genetic factors (e.g. apolipoprotein E4), hormone (e.g. testosterone, ...
OLDER MEN'S PARTNERSHIP STATUS AND ITS INFLUENCE ON HEALTH PROMOTING BEHAVIOURS
Mar 01, 2004; ... Research has shown how marriage may exert a health protective effect particularly for men. Older men face distinct challenges in maintaining their health, social inclusion and sense of well being if they have no partner. This paper reports findings from a combination of UK quantitative data, ...
SEXUAL ACTIVITY, ATTITUDES AND PROBLEMS IN MEN AGED 40 TO 80 YEARS: THE GLOBAL STUDY OF SEXUAL ATTITUDES AND BEHAVIORS
Mar 01, 2004; ... Introduction The Global Study of Sexual Attitudes and Behaviors is an international survey that investigated the importance of sex and intimacy among 27,500 men and women between the ages of 40 and 80 years in 29 countries. Methods A questionnaire was administered according to the locally ...
OLDER MEN'S SOCIAL LIVES: MEANING AND MOVEMENT
Mar 01, 2004; ... The research was a qualitative study of older men that used focus groups to explore their experiences of social connection and disconnection. Within these focus groups discussion was generated about how they spent their time, what enabled or hindered their social connections, and what role ...
MALE AGING AND EDUCATIONAL LEVEL ARE STRONG DETERMINANTS OF THE INTENSITY OF ANDROPAUSAL SYMPTOMS IN MEN IN POLAND
Mar 01, 2004; ... Nowadays there are scarcely few epidemiological data on male aging in Poland. The aim of the study was to evaluate whether age and educational level significantly differentiated the intensity of andropausal symptoms. Material comprised the data of 414 healthy men aged 32-79 (mean age: 5110 y), ...
ETHICAL ISSUES IN THE TREATMENT OF SEXUAL DYSFUNCTION
Mar 01, 2004; ... Treatment of sexual dysfunction in some patients raises ethical concerns. CASE: A 52-yr-old single man with a history of AIDS complains of low libido and ED. He has multiple female sex partners, does not use condoms, and does not disclose his AIDS to his partners. He does not intend to change ...
THE IMPACT OF HIV/AIDS ON THE AGED MALE: A SOUTH AFRICAN EXPERIENCE
Mar 01, 2004; ... Objectives To determine the impact of HIV/AIDS on black aged men and their families. - To focus on the black aged men's perceptions on how to cope with their situations regarding the impact of HIV/AIDS on their families. Method HIV/AIDS does not only affect the infected person but also his or ...
OUR CLINICAL EXPERIENCE FOR DIAGNOSIS AND TREATMENT OF PADAM
Mar 01, 2004; ... Introduction We have not gotten solid answers for diagnosis and treatment of PADAM. I would like to present our clinical experiences and clarify the problems. Patients Two hundred forty-three patients were evaluated for their symptom and testosterone level. One hundred twenty six patients were ...
HORMONAL DETERMINANTS OF ANDROPAUSAL SYMPTOMS IN POLISH MEN
Mar 01, 2004; ... The relationship between andropausal symptoms and hormonal status of aging men is controversial; there are no conclusive data on hormonal determinants of male aging. The aim of the study was to evaluate the relationships between hormonal status and andropausal symptoms. Material comprised the ...
SIGNIFICANT DECREASE OF ANABOLIC HORMONES IN OLD MALE PATIENTS UNDERGOING CORONARY ARTERY BYPASS GRAFT (CABG)
Mar 01, 2004; ... During aging there is a decrease of anabolic hormones. Furthermore surgical procedures like CADG (coronary artery bypass graft) induce hormonal changes with an imbalance between anabolic and catabolic spurts. The aim of the study was to investigate the modifications of some hormones in old ...
HIGH PREVALENCE OF SYMPTOMATIC ANDROGEN DEFICIENCY AND LOW ANDROGEN LEVELS IN MEN WITH CORONARY ARTERY DISEASE (CAD)
Mar 01, 2004; ... Low serum testosterone (s-T) levels are associated with adverse cardiovascular risk factors, but may in its own right be a risk factor (English, 2000). CAD is a major cause of death in some ethnic groups in South Africa (SA), but no data is available on s-T levels and symptomatic androgen ...
EFFECT OF MEAL COMPOSITION ON SERUM TESTOSTERONE LEVELS AFTER ORAL ADMINISTRATION OF ANDRIOL®TESTOCAPS®
Mar 01, 2004; ... Andriol®Testocaps® is a new oral formulation of testosterone undecanoate (TU) in castor oil used for restoration of physiological serum testosterone levels. Since TU is taken up by the intestinal lymphatics, food composition influences absorption. To study the effect of various food types on the ...
IMPROVEMENT IN THE QUALITY OF LIFE OF PADAM PATIENTS FOLLOWING TESTOSTERONE REPLACEMENT THERAPY
Mar 01, 2004; ... Introduction Although it is well known that partial androgen deficiency in aging males (PADAM) can cause a variety of symptoms, the Quality of Life (QOL) in these patients has not been studied thoroughly. We evaluated the effects of testosterone replacement therapy on the QOL using the SF-36 ...
TESTOSTERONE THERAPY IN THE HYPOGONADAL MAN
Mar 01, 2004; ... Testosterone therapy in hypogonadal men is indicated if testosterone serum levels are below 10 to 12 nmol/1 with clinically evident signs of androgen deficiency, such as loss of libido and potency, depression, dry skin, hot flushes, osteoporosis etc.Testosterone therapy has the aim to substitute ...
TESTOSTERONE THERAPY - NEW SUBSTANCES - PROSTATE-PROTECTIVE?
Mar 01, 2004; ... Potential long-term adverse side-effects on the prostate are the major concerns about testosterone therapy in the aging male. So far, only one randomized, placebo-controlled, long-term study has been performed in men over 65 years of age (Snyder et al. 1999). Volunteers having a morning serum ...
DHEA REPLACEMENT
Mar 01, 2004; ... Dehydroepiandrosterone (DHEA) and its sulfate ester are major secretory products of the human adrenal cortex. Serum DHEA concentrations decline with advancing age and DHEA supplementation has been advocated as anti-aging medication. DHEA is converted in vivo into potent sex steroids exhibiting ...
EFFECTS OF TESTOSTERONE ON THE CIRCULATION
Mar 01, 2004; ... Testosterone appears to have an important relationship with risk factors for diseases of the circulatory system. In developed countries a sedentary life style is a major contributor to both atherosclerosis and obesity, with many remediable risk factors for coronary heart disease altered ...
THE EFFECTIVENESS OF DIFFERENT TREATMENTS FOR ANDROPAUSE SYMPTOMS
Mar 01, 2004; ... Objectives To determine if oral testosterone undecanoate, mesterolone and testosterone implants display differential efficacy in reducing andropause symptoms, and to ascertain whether levels of testosterone and sex hormone-binding globulin (SHBG) can be used to predict optimal treatment. Methods ...
SUCCESSFUL TREATMENT OF PARKINSONISM WITH HCG: PRELIMINARY FINDINGS
Mar 01, 2004; ... Introduction Parkinson's Disease (PD) is diagnosed in 1% of the population over 70 years of age, and affects men more frequently than women. There are few studies looking at the association between hormonal factors and PD but studies of the effects of oestrogens on the nervous system give ...
TESTOSTERONE AND THE METABOLIC SYNDROME
Mar 01, 2004; ... In the US 23% of men have the metabolic syndrome in which insulin resistance plays a key role. Epidemiologie studies indicate that insulin levels and testosterone (T) are inversely correlated. Aims 1 ) Tl) define the dose response relationship between insulin sensitivity and T in men. 2) To ...
TESTOSTERONE THERAPY IN AGING MALES AND EFFECTS ON LIPID METABOLISM
Mar 01, 2004; ... There is a gender gap in life span and in onset and severity of cardiovascular disease with a male disadvantage. One of the salient differences between men and women is the difference in circulating sex steroids. The higher rate of cardiovascular in men has, rather uncritically, been attributed ...
THE MECHANISM OF TESTOSTERONE UNDECANOATE ABSORPTION AFTER ORAL ADMINISTRATION
Mar 01, 2004; ... Oral administration of testosterone (T) is ineffective in the treatment of male androgen deficiency syndromes due to almost quantitative presystemic first-pass metabolism mediated by the gut wall and liver. In contrast, testosterone undecanoate (TU), a lipophilic ester prodrug, clearly provides ...
THE FUTURE OF ORAL ANDROGEN ADMINISTRATION
Mar 01, 2004; ... Since the 1930s, when the chemical structure of testosterone was elucidated, a variety of testosterone preparations has been developed. However, due to the low potency of testosterone, low solubility of testosterone-esters, and low oral bioavailability, these preparations have disadvantages that ...
DXA AND QUS IN THE PREDICTION OF FRAGILITY FRACTURES IN MEN
Mar 01, 2004; ... In order to assess the ability of DXA and QUS in the prediction of fracture risk in men and whether their combination may be useful in a clinical setting, we studied 401 men (age range 45-82 years, mean 60.3+12.5), 133 of those with and 268 without osteoporotic fractures. In all subjects we ...
AGE-RELATED BONE LOSS IN UKRAINIAN MEN: DATA OF ULTRASOUND BONE DENSITOMETRY
Mar 01, 2004; ... The bone tissue state in Ukrainian men studied. 502 men in the age 20-89 years old were included. Patients with diseases influencing their bone tissue metabolism were excluded from the study. The heel bone examinations were performed by means of an ultrasound bone densitometer «Achilles+» (Lunar ...
DETECTION OF ELDERLY DEHYDRATION: DEHYDRATED MEN ARE TWICE THAN WOMEN
Mar 01, 2004; ... Background Elderly dehydration most of the time hard to detect due to the changes of water & electrolyte regulation and slower homeostasis adaptation process. The purposes of this study were to examine the occurrence of dehydration among elderly men compared to that of women and to obtain ...
GROWTH HORMONE REPLACEMENT THERAPY IN AGING MALES: STUDIES IN POST-SURGICAL HYPOPITUITARISM
Mar 01, 2004; ... Hypothalamus-pituitary tumours and their treatment are mayor causes of acquired hypopituitarism. We studied 6 patients affected by non-functioning pituitary adenomas who had been treated by neurosurgery of our hospital. Their age was more than 60 years (mean age 69,6 years). In all patients we ...
TESTOSTERONE MEASUREMENT USING NEW GENERATION ENZYME IMMUNOASSAY AUTOMATED SYSTEMS: COMPARISON OF ANALYTICAL PERFORMANCE
Mar 01, 2004; ... Immunoassay procedures have been progressing over the years. Since the introduction of the first radioimmunoassay, several alternative non-isotopic methods have been developed. A number of automated systems appeared in the market providing increased sensitivity (3rd generation methods), ...
THE VALIDITY OF ANDROGEN ASSAYS
Mar 01, 2004; ... The accurate assessment of androgen deficiency in both men and women is becoming of major clinical importance. Therefore, the problems inherent in their measurement and in interpreting the results obtained have been reviewed and classified as follows: Sampling problems The exact sampling ...
RELATIONSHIPS BETWEEN LEPTIN, SEX HORMONES AND FAT DISTRIBUTION IN MIDDLE-AGE AND AGING MALES
Mar 01, 2004; ... Objective To investigate the relationships between leptin, sex hormones and fat distribution in middle-aged and aging males. Methods There were 346 Chinese males with age of 40-80 y/o (median 52 y/o) were enrolled in this study, dividing to 2 subgroups of middle-aged subgroup (40-64 y/o, n=274) ...
SERUM LEVELS OF TOTAL TESTOSTERONE, BIOAVAILABLE TESTOSTERONE AND SEX HORMONE-BINDING GLOBULIN IN MEN WITH IDIOPATHIC NON-OBSTRUCTIVE AZOOSPERMIA AND KNOWN CAUSES OF SUBFERTILITY
Mar 01, 2004; ... Background It is not known whether subfertile men, especially men with idiopathic non-obstructive azoospermia (INOA), are more prone to develop partial androgen deficiency of the aging male (PADAM). Furthermore the role of bioavailable testosterone in the evaluation of subfertile men has not ...
THE PHYSIOLOGICAL ROLE OF TESTOSTERONE IN ERECTILE FUNCTION
Mar 01, 2004; ... Penile erection is a hemodynamic process that depends on the structural and functional integrity of the erectile tissue. Increasingly, androgens are thought to play an important role in maintaining erectile function. We postulate that androgens dynamically and reversibly regulate the expression ...
REAL WORLD EXPERIENCE WITH TADALAFIL IN AGING PATIENTS WITH ERECTILE DYSFUNCTION (ED)
Mar 01, 2004; ... In this study independent of the industry, we prospectively assessed the efficacy and tolerance of Tadalafil (TAD) in 91 consecutive patients aged more than 50 who visited our private practice for ED. 79 (87%) judged TAD improved their erections but only 58 (64%) were fully satisfied. Mild or ...
TESTOSTERONE THERAPY AND ITS INFLUENCE ON GROWTH AND MALIGNANCY OF THE PROSTATE GLAND
Mar 01, 2004; ... With the availability of transdermal formulations, testosterone (T) supplementation therapy is becoming more popular, especially in older males. Consequently, concerns have arisen about safety, especially regarding the prostate gland. Androgens are involved in the growth of both benign prostatic ...
POSSIBLE FACTORS IN THE PATHOGENESIS OF THE PADAM SYNDROME
Mar 01, 2004; ... Introduction Diagnostics and therapy of late-onset androgen deficiency still cause significant difficulties. The age-related changes occurring in men essentially differ from those observed in the female; it is therefore not possible to draw comparisons between genders. Materials and methods We ...
PHASE III: DIAGNOSIS AND MANAGEMENT OF ANDROPAUSE IN FAMILY PRACTICE
Mar 01, 2004; ... Objective To characterize andropause in a suburban family practice, and develop a guided clinical exam proforma-algorithm. Method 460 male patients age 50+ were screened for clinical and laboratory data on andropause. Andropause was designated when the andropause Check List was 27+, ...
FAMILY PHYSICIANS AND SPECIALISTS: CO-OPERATIVE MANAGEMENT OF THE AGING MALE
Mar 01, 2004; ... In Canada, the relationship between specialists and Family Physicians with regards to patient care has become increasingly more strained over the years. A 1991 task force of the Royal College of Physicians and Surgeons of Canada and The College of Family Physicians of Canada made 19 ...
THE ENDLESS STORY OF DHEA
Mar 01, 2004; ... Despite the fact that the serum concentration of dehydroepiandrosterone (DHEA) and its sulfate (DHEAS) in adult men and women is higher than that of any other steroid with the exception of cholesterol, the physiological role of this adrenal steroid is not very well understood. A steady decline ...
PROGESTERONE? THE FORGOTTEN HORMONE IN MEN?
Mar 01, 2004; ... 'Classical' progesterone (P) receptors appear relatively late in phylogenesis, i.e. it is only in birds and mammals that they are detectable. In the different species they mediate manifold effects regarding a differentiation of target organ functions. As to P secretion and serum P levels, there ...
AGE-RELATED PREVALENCE OF ERECTILE DYSFUNCTION IN JAPANESE HEALTH MEN USING MULTIPLE ASSESSMENTS BASED ON THE INTERNATIONAL INDEX OF ERECTILE FUNCTION
Mar 01, 2004; ... Purpose This study aimed to elucidate age-related prevalence of erectile dysfunction (ED) in Japanese men using different criteria. Subjects and methods Subjects were 1,331 Japanese middle-aged healthy men (mean age 51.0 +/- 6.5 years, range 40 to 69), who were evaluated in terms of erectile ...
NON DIABETIC ENDOCRINE ETIOLOGY FOR ERECTILE DYSFUNCTION (ED)
Mar 01, 2004; ... Introduction Arterioscleroses is the principal cause for ED, perhaps endocrine etiology can also be involved. We have not regional reports of non diabetic mellitus (DM) endocrine origin for ED. Goal The aim of this study is to report frequency of non DM endocrine etiology for ED in a clinic of ...
PHYTOPHARMACEUTIC PROTODIOSCIN NUTRITIVE SUPPLEMENTATION TO AUGMENT SEXUAL FUNCTION IN AGING MEN
Mar 01, 2004; ... 336 Men age 32-72 yr. (median age 55.6 yr.) were recruited for sexual dysfunction (SD). 131 (89.6 %) men lived at urban area and 35 (10.4 %) men at sub-urban. 46 (12.2 %) singles and 295 (87.8 %) married men were involved in the study. ED was the main complain of SD, involving 164 (48.8 %) men ....
AGING AND ERECTILE DYSFUNCTION (ED) : INTRA-CAVERNOUS INJECTION THERAPY (ICIT) FOR SILDENAFIL REFRACTORY NON-ORGANIC AND ORGANIC ED PATIENTS
Mar 01, 2004; ... Objectives Since November 1998, we have been treating sildenafil refractory ED patients with intracavernous injection therapy (ICIT) and the total number of 564. Materials and methods Cocktail of 5 agents; Papaverine, Regitin, Atropine, Milrila and Prostaglandin E1 with the dose control by age ...
INFLUENCE OF PRIOR SILDENAFIL USE ON THE EFFICACY OF VARDENAFIL IN MEN WITH ERECTILE DYSFUNCTION: RETROSPECTIVE ANALYSIS OF A TWO YEAR STUDY
Mar 01, 2004; ... Introduction Vardenafil (Levitra®) is a potent, highly selective phosphodiesterase 5 inhibitor. Here, the longterm efficacy of this agent was assessed in men with erectile dysfunction (ED) based upon prior sildenafil use. Methods In a double-blind, multicenter, 52-week randomized trial, 1020 men ...
VARDENAFIL (LEVITRA®) IMPROVES MAINTENANCE SUCCESS RATES FROM WITHIN 15 MINUTES TO UP TO 12 HOURS FROM TIME OF DOSING TO START OF SEXUAL ACTIVITY
Mar 01, 2004; ... Introduction Vardenafil is efficacious and well-tolerated in men with Erectile Dysfunction (ED). Maintenance to completion (sexual encounter profile; SEP3) success rates from time of dosing to start of sexual activity were retrospectively assessed. Methods In a pooled analysis of two pivotal ...
AGE-RELATED CHANGES OF NITRIC OXIDE SYNTHASE AND ENDOTHELIN-1 IN RAT CORPUS CAVERNOSUM
Mar 01, 2004; ... Introduction and objective Relaxation of penile cavernous smooth muscle, which is main process in penile erection, is controlled by endothelial derived substances. This study was designed to determine whether aging resulted in altered endothelial autocrine/paracrine function in corpus carvernous ...
TADALAFIL
Mar 01, 2004; ... Recent decades have witnessed a dramatic change in the treatment of men with ED. Treatment options are now very broad and include counseling and psychosexual therapy, vacuum constriction devices, oral, parenteral and topical treatments, surgery and prostheses. Phosphodiesterase type 5 inhibitors ...
CURRENT TREATMENT OF ED: WHAT SHOULD BE CONSIDERED WHEN THE PDE5 INHIBITORS DO NOT WORK OR ARE DECLINED
Mar 01, 2004; ... There are a number of options when initial therapy with PDE5 inhibitors fails. These include: 1) patient education and optimized dosing, 2) improvement of co-morbid conditions such as diabetes control, quitting smoking and reduction of alcohol, 3) combination with testosterone in patients with ...
IS THERE SUFFICIENT EVIDENCE AVAILABLE TO ALLOW AN ACTIVELY PROMOTED PROSTATE CANCER PREVENTION STRATEGY FOR OUR MALE PATIENTS: CAN WE REALLY AFFORD TO WAIT?
Mar 01, 2004; ... Prostate cancer (PG) has a 16.7% lifetime risk in men over age 50. The use of PSA testing has resulted in earlier diagnosis, but still no decrease in overall mortality. Genetics and high saturated fat diets are implicated in the genesis of PC. Watchful waiting trials mostly show a very slow ...
ARE LOW SERUM TESTOSTERONE LEVELS A TUMOR MARKER FOR PROSTATE CANCER?
Mar 01, 2004; ... Introduction There is evidence that low serum total testosterone levels are associated with high grade prostate cancer (PC). This study was performed to assess serum total testosterone (T) in men participating in an early prostate cancer detection programme and to compare serum total ...
SURVEY OF URINARY INCONTINENCE AMONG MALE ELDERLY IN GERIATRIC CLINIC CIPTO MANGUNKUSUMO HOSPITAL JAKARTA
Mar 01, 2004; ... Background Urinary incontinence (UI) is a common, disruptive, and potentially disabling condition in elderly. The purpose of this study is to determine the prevalence of UI in the male elderly. Method Survey was conducted from April through September 2002 in Geriatric Clinic Cipto Mangunkusumo ...
EFFECTS OF CIMICIFUGA RACEMOSA IN ORCHIDECTOMIZED (ORX) RATS
Mar 01, 2004; ... Aging in females and males is often associated with an increase in fat mass and with a variety of metabolic imbalances. We showed earlier in ovariectomized rats that the Cimicifuga racemosa (CR) extract BNO 1055 has beneficial estrogenic effects in the hypothalamus to prevent climacteric ...
HOW AND WHEN SHOULD WE TREAT LOCALISED PROSTATE CANCER?
Mar 01, 2004; ... When to treat The decision to treat prostate cancer (PCA) or just to watch it closely depends on various factors. Here, age, overall health status, life expectancy and general expectations of the patient itself are equally important compared to PSA value and grading and clinical staging of the ...
KEY ROLE OF THE AROMATASE ENZYME FOR BONE HEALTH IN ELDERLY MEN
Mar 01, 2004; ... A delayed bone maturation with deficient acquisition of bone mass and size in men with failure of pubertal sex steroid exposure and increased bone turnover with bone loss in adult men with hypogonadism, illustrate the importance of sex steroids for development and maintenance of the skeleton in ...
GYNECOMASTIA IN THE AGING MALE
Mar 01, 2004; ... The term gynecomastia (from gyne = women and mastos = Brust) describes the enlargement of the male breast mimicking female appearance. The pathological substrate of the swelling comprises fatty tissue and the mammary gland. Although some swellings are more indurate than others or present a more ...
NAIL DISORDERS IN THE ELDERLY
Mar 01, 2004; ... For practical reasons, diseases of the nail can be classified into two groups: 1. inherited/connatal nail disorders, 2. acquired nail changes. Genetic nail disorders appear rather at young age; such nail changes may cosmetically be improved, but can hardly be cured, as a symptomatic treatment ...
DIABETES IN THE AGING MAN
Mar 01, 2004; ... With the aging process the incidence of diabetes increases to almost 20% in certain populations. The type of diabetes in the older population, while predominantly type 2 also includes some cases of LADA (Latent Autoimmune Diabetes of the Adult). The increase in type 2 diabetes with aging is due ...