Geriatrics

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By Ernest Furchtgott

I first met Ernest Furchtgott twenty-five years in the past after becoming a member of the college of the varsity of Social paintings on the college of South Carolina. at the moment, Ernie chaired the dept of Psychology. within the following 3 years we collaborated with a tutorial Committee on Gerontology in conceptualizing and shaping the University's certificates of Graduate learn in Gerontology application, guiding it to ultimate approval by means of the South Carolina fee on better schooling. For 20 years we crew­ taught our graduate-level path, "Psychosocial techniques to Geron­ tology," related to colleagues from comparable disciplines. through the years, we tested and together graded countless numbers of analysis posters ready through our graduate scholars in gerontology as their ultimate path requirement. numerous years in the past, Ernie officially retired from the college. He in­ stantly agreed to my request that he proceed educating the psychology of getting older part of our interdisciplinary path. On campus approximately on a daily basis when you consider that retirement, Ernie usually telephoned to debate are­ cent article within the Gerontologist or a paper presentation that had ex­ mentioned him on the Gerontological Society's annual medical assembly. He maintained a transparent presence within the educational community.

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The commonly observed behavioral changes during the menopause are mainly the results of changes in other organismic systems affected by the gonadal hormones. " Again, a more detailed analysis of sexual behavior of older women, with emphasis on psychosocial factors, is discussed in Chapter 6. THE IMMUNE SYSTEM During the last two decades, psychologists have begun to investigate the relationships between behavior and the immune system, especially in conjuction with chronic stress. Among the many reviews, O'Leary (1990) wrote a good, brief introduction to psychoneuroimmunology that included some of the basic concepts.

Stage 4 is the deepest state of sleep, as measured by the ampli- Sleep and Fatigue 43 tude of the stimulus that is necessary to awaken the sleeper. 0 Hz predominate. In mature adults, each five-stage cycle lasts about 90-100 minutes. 1 is a schematic diagram of EEG patterns in the four NREM stages. , 1992). The most important changes are numerous short-duration (3-15 seconds) midsleep awakenings (between nocturnal sleep onset and the final awakening), the increased amount oftime spent awake in bed, and perhaps most significantly, a decrease in SWS.

260). As in many other functional changes seen in aging, it is not clear to what extent the decreases in glucose tolerance with age are normal and to what extent they are exacerbated by various lifestyle factors such as adiposity, lack of exercise, presence of various illnesses (hypertension), the use of prescription and other drugs, or dietary conditions (Halter, 1995). Several studies have shown increased glucose tolerance in older persons who had participated in regular physical activities, exercise regimens, and/or reduction in percent body fat (Goldberg & Hagberg, 1990).

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