Current Awareness in Aging Research (CAAR) Report #303--September 8, 2005

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CAAR (Current Awareness in Aging Research) is a weekly email report produced by the Center for Demography of Health and Aging at the University of Wisconsin-Madison that helps researchers keep up to date with the latest developments in the field. For more information, including an archive of back issues and subscription information see:

http://www.ssc.wisc.edu/cdha/caar.html

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I. Reports and articles:

1. US DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF THE INSPECTOR GENERAL AUDIT REPORT: "Review of Medicare Outpatient Cardiac Rehabilitation Provided by Hospitals" (A-05-03-00102, August 2005, .pdf format, 24p.). "This report consolidates the results of our audits of Medicare outpatient cardiac rehabilitation provided by 34 hospitals. Our objective was to determine whether hospitals had complied with national Medicare outpatient cardiac rehabilitation coverage requirements for direct physician supervision and "incident to" services. Twenty-nine of the 34 hospitals in our sample relied on emergency physicians or "code" teams in other parts of the hospital to provide physician supervision when the medical directors were not available, while the remaining 5 hospitals designated a particular physician to provide direct physician supervision. Thirty-two of the 34 hospitals considered the patient's referring physician as the physician whose professional services the cardiac rehabilitation was provided "incident to," while the other 2 hospitals relied on the professional services of a hospital physician. We attributed this to inconsistent guidance in the Medicare Coverage Issues Manual, Hospital Manual, and Intermediary Manual. We recommended that CMS: (1) clarify national Medicare cardiac rehabilitation coverage requirements on the provision of direct physician supervision and the physician (referring or hospital) whose professional services the cardiac rehabilitation must be "incident to" and (2) direct fiscal intermediaries to educate hospitals on the clarified national Medicare coverage policy for outpatient cardiac rehabilitation services. In its comments on our draft report, CMS agreed to develop and publish provider education materials to clarify the direct physician supervision and "incident to" provisions of the cardiac rehabilitation benefit.

http://www.oig.hhs.gov/oas/reports/region5/50300102.pdf
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2. US CENSUS BUREAU FACTS FOR FEATURES: "Grandparents Day 2005: Sept. 11" (CB05-FF.13-2, Sep. 6, 2005, HTML and .pdf format, 3p.).

HTML:

http://www.census.gov/Press-Release/www/releases/archives/facts_for_features_special_editions/005353.html

.pdf:

http://www.census.gov/Press-Release/www/2005/cb05ff13-2.pdf
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3. _MORBIDITY AND MORTALITY WEEKLY REPORT_ QUICKSTATS: "Percentage of U.S. and Canadian Women Aged 50--69 Years Who Were Screened in Accordance with National Screening Guidelines for Papanicolaou (Pap) Tests and Mammograms, by Country and Health Insurance Status, 2002--2003" (Vol. 54, No. 35, Sep. 9, 2005, p. 879, HTML and .pdf format).

HTML:

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5435a8.htm

.pdf:

http://www.cdc.gov/mmwr/PDF/wk/mm5435.pdf
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4. AARP RESEARCH REPORT: "Community Mobility Options: The Older Person's Interest," by Ari N. Houser (August 2005, HTML and .pdf format, 2p.).

Abstract:

As America ages, an increasing proportion of the population risks becoming immobile and isolated due to a lack of transportation options and loss of driving ability. This AARP Public Policy Institute Fact Sheet by Ari Houser looks at the needs of this population and presents a variety of strategies designed to extend the years of independent mobility.

http://www.aarp.org/research/housing-mobility/transportation/fs44r_com_mobility.html
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5. CATO INSTITUTE POLICY ANALYSIS: "Aging America's Achilles' Heel: Medicaid Long-Term Care," by Stephen A. Moses (Policy Analysis No. 549, September 2005, .pdf format, 18p.).

http://www.cato.org/pub_display.php?pub_id=4376

Link to full text is at the bottom of the page.

More information about the Cato Institute:

http://www.cato.org/about/about.html
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6. _NATURE_ LETTERS TO NATURE ABSTRACT: "Amyloid-like fibrils of ribonuclease A with three-dimensional domain-swapped and native-like structure," by Shilpa Sambashivan, Yanshun Liu, Michael R. Sawaya, Mari Gingery, and David Eisenberg (Vol. 437, No. 7056, Sep. 8, 2005, p. 266-269).

http://www.nature.com/nature/journal/v437/n7056/abs/nature03916.html
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7. _NATURE MEDICINE_ ABSTRACT: "Role of the MEOX2 homeobox gene in neurovascular dysfunction in Alzheimer disease," by Zhenhua Wu, Huang Guo, Nienwen Chow, Jan Sallstrom, Robert D. Bell, Rashid Deane, Andrew I. Brooks, Suhasini Kanagala, Anna Rubio, Abhay Sagare, Dong Liu, Fang Li, Don Armstrong, Thomas Gasiewicz, Raphael Zidovetzki, Xiaomei Song, Florence Hofman and Berislav V. Zlokovic (Vol. 11, No. 9, September 2005, p. 959-965).

http://www.nature.com/nm/journal/v11/n9/abs/nm1287.html
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8. _LANCET_ VIEWPOINT: Note: This article (HTML and .pdf format) is freely available to the public. "End-of-life: Jewish perspectives," by Elliot N. Dorff (Vol. 366, No. 9488, Sep. 3, 2005, p. 862-865).

http://www.thelancet.com/journals/lancet/article/PIIS0140673605672194/fulltext
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9. _NEW ENGLAND JOURNAL OF MEDICINE_ CLINICAL PRACTICE EXTRACT: "Diagnosis and Initial Management of Parkinson's Disease," by John G. Nutt and G. Frederick Wooten (Vol. 353, No. 10, Sep. 8, 2005, p. 1021-1027).

http://content.nejm.org/cgi/content/extract/353/10/1021
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10. _TIME_ ARTICLES: _Time_ has recently added the following articles to its "Generations" bonus section:

"The Art of His Life: Sol Levenson is still painting--and thriving--at 95," by Sally Abrams

"Switching Roles: A man's world? Women's turf? Early retirees are increasingly venturing into fields dominated by the opposite sex," by Laura Koss-Feder

"Why Refi? Taking equity out of your house can be a good move--but not always," by Sally S. Stich

"Fizzy Favorite: After long neglect, hard cider makes a comeback, by Alice Feiring

"Breaking Away: Holidaying boomers leave rituals and stress behind," by Sally S. Stich

"Act Three: Wendy Wasserstein enters midlife with a new play and a novel," by Barbara Eisenberg

These and other "Generations" articles can be found at:

http://www.time.com/time/generations/

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II. Working Papers:

11. University of Minnesota Department of Economics: "Assessing the Wellbeing of the Spanish Elderly," by Michele Boldrin and Sergi Jimenez-Martín (March, 2005, .pdf format, 45p.).

Abstract:

In this paper we use a variety of data sources, both micro and macro, time series, cross section, and panel data to provide an empirical evaluation of the current level of economic wellbeing of the Spanish elderly, and of its determinants. We focus, in particular on the role played by the pension system.

http://www.econ.umn.edu/%7Emboldrin/Papers/nber4.pdf
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12. Pension Research Council (The Wharton School) [University of Pennsylvania]: "Market-based Social Security as a Better Means of Risk-Sharing," by Salvador Valdes-Prieto (WP 2005-16, 2005, .pdf format, 29p.).

Abstract:

Mandatory programs for old-age benefits tend to require periodic adjustments due to demographic and economic uncertainty. Relying on discretionary legislation for these Social Security adjustments creates political risk for workers and beneficiaries, and it can also raise risks borne by taxpayers. An alternative approach is rule-based adjustment, as in the case of funded mutual funds and life insurance plans that offer annuities. This paper argues that rule-based adjustments can be adopted in an unfunded system, without incurring transition costs and without increasing the public debt. We evaluate an approach to this problem which would endow the Trust Fund with property rights over the revenue of a (much reduced) residual payroll tax paid by future workers. Revenue on the future taxes would be securitized and the resulting securities priced in financial markets. The new securities created in the process would allow beneficiaries to obtain safe real pensions protected from investment risk.

http://rider.wharton.upenn.edu/~prc/PRC/WP/Valdes-Prieto%20WP-16.pdf
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13. Upjohn Institute: "Asynchronous Risk: Unemployment, Equity Markets, and Retirement Savings," by Jason Seligman and Jeffrey Wenger (WP 05-114, May 2005, .pdf format, 39p.).

Abstract:

The link between unemployment and pension accumulations is conceptually straightforward; periods of unemployment lead to lower pension contributions, and thus to lower accumulations. However, impacts on accumulation may differ as a result of the timing and frequency of unemployment spells. We hypothesize that unemployment is more likely during periods in which the equities market experiences greater than average returns, largely due to a lead/lag structure of the stock and labor markets, respectively. This would imply that workers may systematically miss opportunities to purchase equities through DC plans when prices are relatively low. To test this hypothesis, we match historic stock returns to stochastically generated unemployment spells for men and women across the earnings distribution. We find lower income workers suffer greater percentage losses in retirement savings as a result of more frequent spells of unemployment. Higher income worker losses are more greatly affected by the timing of unemployment relative to the equities market.

http://www.upjohninstitute.org/publications/wp/05-114.pdf

More information on Upjohn Institute:

http://www.upjohninstitute.org/about.html

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III. Journal Tables of Contents (check your library for availability):

14. AMEDEO MEDICAL LITERATURE: Note: "AMEDEO has been created to serve the needs of healthcare professionals, including physicians, nurses, pharmacists, administrators, other members of the health professions, and patients and their friends. They can easily access timely, relevant information within their respective fields... All AMEDEO services are free of charge. This policy was made possible thanks to generous unrestricted educational grants provided by AMGEN, Berlex, Eisai, Glaxo Wellcome, Novartis, Pfizer, Roche, and Schering AG."

A. Osteoporosis: Literature for the week of Sep. 7, 2005:

http://www.amedeo.com/medicine/ost.htm

B. Alzheimer's Disease: Literature for the week of Sep. 7, 2005:

http://www.amedeo.com/medicine/ad.htm

C. Parkinson's Disease: Literature for the week of Sep. 7, 2005:

http://www.amedeo.com/medicine/pd.htm

D. Prostate Cancer: Literature for the week of Sep. 7, 2005:

http://www.amedeo.com/medicine/prc.htm

E. Stem Cell Research: Literature for the week of Sep. 7, 2005

http://www.amedeo.com/medicine/stc.htm

F. Ophthalmology: Literature for the week of Sep. 7, 2005

http://www.amedeo.com/medicine/eye.htm

AMEDEO Literature Guide:

http://www.amedeo.com/index.htm

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IV. Books:

15. ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT:

A. _Ageing and Employment Policies: Austria_ (September 2005, 189p.).

http://www.oecd.org/document/60/0,2340,en_2649_34747_35283132_1_1_1_1,00.html

B. _Ageing and Employment Policies: Netherlands_ (September 2005, 144p.).

http://www.oecd.org/document/0/0,2340,en_2649_34747_35278592_1_1_1_1,00.html

Note: Both of these publications are offered for sale at the above listed websites. They are also available for browsing in .pdf format. The .pdfs, however, cannot be printed. Click on "browse it" for the link to the .pdf of each report.
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16. NATIONAL RESEARCH COUNCIL: _Guidelines for Human Embryonic Stem Cell Research_ (National Academies Press, Committee on Guidelines for Human Embryonic Stem Cell Research, National Research Council, 2005, OpenBook format, 178p.). Note: purchasing information for either a print copy or an electronic copy (.pdf format) is available at the site.

http://books.nap.edu/catalog/11278.html

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V. Funding Opportunities:

17. US NATIONAL INSTITUTES OF HEALTH:

A. "The Adipogenic Phenotype in Aging Musculoskeletal Tissues" (RFA-AG-06-003, Sep. 1, 2005, National Institute on Aging and National Institute of Arthritis and Musculoskeletal and Skin Diseases). For more information see:

http://grants.nih.gov/grants/guide/rfa-files/RFA-AG-06-003.html

B. "Alzheimer's Disease Clinical Scientist Development Award (RFA-AG-06-006, National Institute on Aging, Sep. 1, 2005). For more information see:

http://grants.nih.gov/grants/guide/rfa-files/RFA-AG-06-006.html

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VI. Conferences:

18. GERONTOLOGICAL SOCIETY OF AMERICA: Updated information about the conference, which was to be held in New Orleans, Louisiana, can be found at:

http://www.agingconference.com/about_the_meeting.cfm

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VII. Websites of Interest:

19. AARP AGING ADVANCES: This website "is an informational site featuring global 'best practice' products, programs and services that enhance the lives of the 50+ population worldwide. The selected innovations, divided into the four categories of community programs, government initiatives, health and long-term care innovations, and universal design, are part of an ongoing research project by AARP's Global Aging Program."

http://www.aarp.org/international/agingadvances/

Jack Solock
Data Librarian--Center for Demography and Ecology and Center for
Demography of Health and Aging
4470 Social Science
University of Wisconsin-Madison
Madison, WI 53706
608-262-9827
jsolock@ssc.wisc.edu