Ciba Foundation Symposium 134 - Research and the Ageing

This foreign symposium specializes in the contributions that biomedical examine is making to the availability of right overall healthiness take care of the expanding numbers of aged humans in all international locations, constructed and constructing. contemporary, encouraging advancements within the parts of malignancy, dementia, osteoporosis, and heart problems are emphasised. additionally addresses new methods of making plans health and wellbeing care and social aid platforms for the aged.

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South Korea is certainly a fascinating country to study, because it’s on the same development course as Japan, and in fact is probably becoming Japan’s major if not only competitor in economic development terms. Solomons: You estimated the percentage of people over 60 in 1980 in the four countries of the Western Pacific as between 5 and 6%. In Guatemala we estimate that about 6% of the population are over 60 years. A point to remember is that people in these developing countries have experienced all sorts of violence from themselves and others over the years, and that has helped to eliminate sectors of the population that died from unnatural causes during the lifespans of the people now being studied.

We have also been forced to concede that the distinction between the ‘diseased’ and the ‘healthy’ may be quantitative rather than qualitative. This issue was first raised in its most explicit form in the notorious debate between Sir George Pickering and Sir Robert Platt over the nature of hypertension. The idea of continuous distributions of physiopathological variables, with associated risk functions, is now one of the basic modes of epidemiological thought, 40 Grimley Evans and although introduced into clinical medicine by Pickering has not flourished there.

In fact, to draw a distinction between disease and normal ageing is to attempt to separate the undefined from the indefinable. There are inadequacies in traditional clinical thought and organization revealed by the challenge of an ageing population. The ‘disease model’, in which a single diagnosis implies a treatment of conventional medical form, will not produce the best outcome for a patient with several impairments whose effects in terms of disability are determined by complex social and economic modulators (Jette & Branch 1985).

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