Current Awareness in Aging Research (CAAR) Report #198--August 7, 2003


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:


I. Data:

1. MEPS: "MEPS HC-049: 1998 Long Term Care" (US Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, July 2003, compressed ASCII and SAS Transport format, with documentation in .pdf, HTML, and .asp format, along with SAS and SPSS programming statements in ASCII format). "MEPS Public use file HC-049 is intended to supplement the MEPS variables previously released for 1998. This data set consists of one person-level file, containing data from the Household Component Long-Term Care Supplement. The MEPS LTC supplemental questionnaire is used to collect detailed information on individuals who have activity or functional limitations, hearing or vision impairments, and special equipment requirements. In order to use these variables, researchers will need to link them to the 1998 Consolidated Full-Year Use and Expenditure File (HC-028) which contains all previously released 1998 person level data including demographic and socio-economic information. Please refer to the HC-028 documentation or further information."


II. Reports and articles:

2. GAO REPORT: "CMS Contracting: Issues Concerning Administrator's Decision to Exclude Subcontractor," (US General Accounting Office, GAO-03-842, July 8, 2003, .pdf format, 27p.).

Note: These are temporary addresses. GAO reports are always available at:


A. "Internal Migration of the Older Population: 1995-2000," by Wan He and Jason P. Schachter (US Census Bureau Census 2000 Special Report CENSR-10, August 2003, .pdf format, 12p.).

B. Migration tables from Census 2000. 12 tables (.pdf, Microsoft Excel, and comma separated value [.csv] format, that may be of interest to researchers in aging are available at:

4. NCHS REPORT: "National Hospital Ambulatory Medical Care Survey: 2001 Outpatient Department Summary," by Esther Hing and Kimberly Middleton (US National Center for Health Statistics, Vital and Health Statistics Advance Data No. 338, August 2003, .pdf format, 32p.). The report is linked to from a NCHS news release: "National Hospital Ambulatory Medical Care Survey: 2001 Outpatient Department Summary" (Aug. 6, 2003).

Click on "View/download PDF" for full text.


A. "Inpatient Rehabilitation Facility Prospective Payment System: Changes to the IRF PPS and FY 2004 Rates," (US Centers for Medicare and Medicaid Services, 2003, .zip compressed Microsoft Word format, 196p.). "Section 4421 of the Balanced Budget Act of 1997 (Public Law 105-33), as amended by section 125 of the Medicare, Medicaid, and SCHIP (State Children's Health Insurance Program) Balanced Budget Refinement Act of 1999 (Public Law 106-113), and by section 305 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (Public Law 106-554), authorizes the implementation of a per discharge prospective payment system (PPS), through new section 1886(j) of the Social Security Act, for inpatient rehabilitation hospitals and rehabilitation units - referred to as inpatient rehabilitation facilities (IRFs). The IRF PPS will utilize information from a patient assessment instrument (IRF PAI) to classify patients into distinct groups based on clinical characteristics and expected resource needs. Separate payments are calculated for each group, including the application of case and facility level adjustments."

B. "Acute Inpatient Prospective Payment System: Inpatient PPS Final Rule - CMS-1470-F and FY 2004 Rates," (US Centers for Medicare and Medicaid Services, August 2003, .pdf format, from the US Federal Register, Vol. 68, No. 148, Aug. 1, 2003, p. 45346-45672).

C. "Skilled Nursing Facility Prospective Payment System: SNF PPS Final Rule," (US Centers for Medicare and Medicaid Services, 2003, .zip compressed Microsoft Word format, 185p.) "Section 4432(a) of the Balanced Budget Act (BBA) of 1997 modified how payment is made for Medicare skilled nursing facility (SNF) services. Effective with cost reporting periods beginning on or after July 1, 1998, SNFs are no longer paid on a reasonable cost basis or through low volume prospectively determined rates, but rather on the basis of a prospective payment system (PPS). The PPS payment rates is adjusted for case mix and geographic variation in wages and covers all costs of furnishing covered SNF services (routine, ancillary, and capital-related costs). An Interim Final Rule implementing the PPS was published on May 12, 1998 (FR 63 26252).


A. "Medicare Announces Increase in Payment Rates for Hospital Inpatient Care," (US Centers for Medicare and Medicaid Services, Aug. 1, 2003).

B. "Rehabilitation Hospitals to Get 3.2 Percent Increase in Medicare Payment Rates in FY 2004," (US Centers for Medicare and Medicaid Services, Aug. 1, 2003).

7. _MLR_ ARTICLE: "Retirement expenditures for Whites, Blacks, and persons of Hispanic origin," by Pierre Bahizi (US Bureau of Labor Statistics, _Monthly Labor Review_, Vol. 126, No. 6, June 2003, .pdf format, p. 20-22).


The relationship between income and expenditure level reveals differences in spending patterns among retirees of different groups; housing, food, and transportation are the largest expenditure components.

8. _NATURE CELL BIOLOGY_ ARTICLE ABSTRACT: "Oxygen Sensitivity Severly Limits the Replicative Lifespan of Murine Fibroblasts," by Simona Parrinello, Enrique Samper, Ana Krtolica, Joshua Goldstein, Simon Melov and Judith Campisi (_Nature Cell Biology_, Vol. 5, No. 8, August 2003, .pdf and HTML format, p. 741-747).


A. "Rethinking the evolutionary theory of aging: Transfers, not births, shape senescence in social species," by Ronald D. Lee (_Proceedings of the National Academy of Sciences_, Vol. 100, No. 16, August 5, 2003, .pdf and HTML format, p. 9637-9642).

B. "Suppressive function of androgen receptor in bone resorption," by Hirotaka Kawano, Takashi Sato, Takashi Yamada, Takahiro Matsumoto, Keisuke Sekine, Tomoyuki Watanabe, Takashi Nakamura, Toru Fukuda, Kimihiro Yoshimura, Tatsuya Yoshizawa, Ken-ichi Aihara, Yoko Yamamoto, Yuko Nakamichi, Daniel Metzger, Pierre Chambon, Kozo Nakamura, Hiroshi Kawaguchi, and Shigeaki Kato (_Proceedings of the National Academy of Sciences_, Vol. 100, No. 16, August 5, 2003, .pdf and HTML format, p. 9416-9421).

C. "Differential regulation of microtubule dynamics by three- and four-repeat tau: Implications for the onset of neurodegenerative disease," by Dulal Panda, Jonathan C. Samuel, Michelle Massie, Stuart C. Feinstein, and Leslie Wilson (_Proceedings of the National Academy of Sciences_, Vol. 100, No. 16, August 5, 2003, .pdf and HTML format, p. 9548-9553).

D. "Neuronal depletion of calcium-dependent proteins in the dentate gyrus is tightly linked to Alzheimer's disease-related cognitive deficits," by Jorge J. Palop, Brian Jones, Lisa Kekonius, Jeannie Chin, Gui-Qiu Yu, Jacob Raber, Eliezer Masliah, and Lennart Mucke (_Proceedings of the National Academy of Sciences_, Vol. 100, No. 16, August 5, 2003, .pdf and HTML format, p. 9572-9577).

E. "Estrogen receptor-{alpha} mediates the brain anti-inflammatory activity of estradiol," by Elisabetta Vegeto, Silvia Belcredito, Sabrina Etteri, Serena Ghisletti, Alessia Brusadelli, Clara Meda, Andre Krust, Sonia Dupont, Paolo Ciana, Pierre Chambon, and Adriana Maggi (_Proceedings of the National Academy of Sciences_, Vol. 100, No. 16, August 5, 2003, .pdf and HTML format, p. 9614-9619).


A. "Estrogen plus Progestin and the Risk of Coronary Heart Disease," by JoAnn E. Manson, Judith Hsia, Karen C. Johnson, Jacques E. Rossouw, Annlouise R. Assaf, Norman L. Lasser, Maurizio Trevisan, Henry R. Black, Susan R. Heckbert, Robert Detrano, Ora L. Strickland, Nathan D. Wong, John R. Crouse, Evan Stein, Mary Cushman, for the Women's Health Initiative Investigators (_New England Journal of Medicine_, Vol. 349, No. 6, August 7, 2003, .pdf and HTML format, p. 523-534).

B. "Hormone Therapy and the Progression of Coronary-Artery Atherosclerosis in Postmenopausal Women," by Howard N. Hodis, Wendy J. Mack, Stanley P. Azen, Roger A. Lobo, Donna Shoupe, Peter R. Mahrer, David P. Faxon, Linda Cashin-Hemphill, Miguel E. Sanmarco, William J. French, Thomas L. Shook, Thomas D. Gaarder, Anilkumar O. Mehra, Ramin Rabbani, Alex Sevanian, Asit B. Shil, Mina Torres, K. Heiner Vogelbach, Robert H. Selzer, for the Women's EstrogenProgestin Lipid-Lowering Hormone Atherosclerosis Regression Trial Research Group (_New England Journal of Medicine_, Vol. 349, No. 6, August 7, 2003, .pdf and HTML format, p. 535-545).

11. _LANCET_ ARTICLE ABSTRACT, PUBLIC HEALTH ABSTRACT: Note: _Lancet_ requires free registration before providing content.

A. "End-of-life decision-making in six European countries: descriptive study," by Agnes van der Heide, Luc Deliens, Karin Faisst, Tore Nilstun, Michael Norup, Eugenio Paci, Gerrit van der Wal, Paul J. van der Maas, on behalf of the EURELD consortium (_Lancet_, Vol. 362, No. 9381, August 2, 2003, .pdf and HTML format, p. 345-350).

B. "Euthanasia and other end-of-life decisions in the Netherlands in 1990, 1995, and 2001," by Bregje D. Onwuteaka-Philipsen, Agnes van der Heide, Dirk Koper, Ingeborg Keij-Deerenberg, Judith A. C. Rietjens, Mette L. Rurup, Astrid M. Vrakking, Jean Jacques Georges, Martien T. Muller, Gerrit van der Wal, and Paul J. van der Maas (_Lancet_, Vol. 362, No. 9381, August 2, 2003, .pdf and HTML format, p. 395-399).

12. _MEDSCAPE_ ARTICLE: Note: Medscape requires free registration before providing articles:

"Statin-Associated Memory Loss: Analysis of 60 Case Reports and Review of the Literature," by Leslie R. Wagstaff, Melinda W. Mitton, Beth McLendon Arvik, and P. Murali Doraiswamy (Pharmacotherapy, Vol. 23, No. 7, 2003, p. 871-880, via Medscape).

13. AUSTRALIAN DEPARTMENT OF HEALTH AND AGING NEWS RELEASE: "133 New Aged Care Places In $10.8 Million Project For Older Queenslanders," (August 7, 2003).

14. UNRISD CONFERENCE REPORT: "Conference News: Ageing, Development and Social Protection," by Peter Lloyd-Sherlock (UNRISD, 2003, .pdf format, 19p.). Note: "Report of the UNRISD International Conference, 8-9 April 2002, Madrid, Spain."

To view the report, click on "Open PDF" in the upper right hand corner of the screen.

15. ILCUSA REPORT: "ILC Policy Report" (International Longevity Center, USA, August 2003, .pdf format, 7p.). The ILC Policy Report is "a monthly compilation of longevity news and trends in the U.S. and abroad."

16. AOA NEWSLETTER: "AoA e-News," (US Administration on Aging, August 2003, Microsoft Word and .pdf format, 8p.).

17. _TIME_ ARTICLE: "The Next Scrambled Nest Egg?" by Jyoti Thottam (_Time_, Vol. 162, No. 6, August 11, 2003).,9171,1101030811-472881,00.html

18. _US NEWS AND WORLD REPORT_ ARTICLE: "Treating the elderly badly," by Katherine Hobson (_US News & World Report_, August 11, 2003).


III. Working Papers:

19. PRINCETON OFFICE OF POPULATION RESEARCH: "How Are Biomakers Related to Physical and Mental Well-Being?" by Christopher L. Seplaki, Noreen Goldman, Maxine Weinstein, and Yu-Hsuan Lin (WP 2003-04, 2003, .pdf format, 52p.).


Objective: We investigate how biological markers of individual responses to stressful experiences are associated with profiles of physical and mental functioning in a national sample of middle-aged and elderly Taiwanese.

Methods: Data come from a population-based sample of middle-aged and elderly Taiwanese in 2000. They combine rich biological measures with self-reported information on physical and mental health. Grade of membership methods are used to summarize functional status and multinomial logit models provide information on the association between biological measures and function.

Results: The analysis identifies significant associations between biomarkers of stressful experience and profiles of physical and mental functioning.

Conclusions: Our results illustrate diverse physiological mechanisms that are associated with a comprehensive measure that reflects physical and mental functioning. The findings point to directions for future research regarding the pathways through which stressful experiences may affect health.

20. WHARTON SCHOOL [UNIVERSITY OF PENNSYLVANIA] PENSION RESEARCH COUNCIL:"Retirement Wealth and Lifetime Earnings Variability," by Olivia S. Mitchell, John W. R. Phillips, Andrew Au, and David McCarthy (WP 2003-04, July 2003, .pdf format, 24p.).


This paper explores understand how earnings variability influences peoples retirement preparedness by influencing their accumulated wealth levels as of retirement age. Prior research has demonstrated that the US average household nearing retirement would need to save substantially more in order to preserve consumption in old age. While some socioeconomic factors have been suggested that might explain shortfalls, previous studies have not assessed the role of earnings variability over the lifetime as a potential explanation for poor retirement prospects. Thus two workers having identical levels of average lifetime earnings might have had very different patterns of earnings variability over their lifetimes. Such differences could translate into quite different retirement wealth outcomes. We evaluate the effect of earnings variability on retirement wealth using information supplied by respondents to the Health and Retirement Study (HRS). This is a rich and nationally representative dataset on Americans on the verge of retirement, with responses linked to administrative records from the Social Security Administration. Our research illuminates key links between lifetime earnings variability and retirement wealth.


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

21. American Journal of Epidemiology (Vol. 158, No. 3, August 1, 2003).

22. American Journal of Public Health (Vol. 93, No. 8, August 1, 2003). Note: Full electronic text of this journal is available in the ProQuest Research Library and the EBSCO Host Academic Search Elite Database. Check your library for the availability of these databases and this issue.

23. Journals of Gerontology Series A: Biological Sciences and Medical Sciences (Vol. 58, No. 8, August 2003). Note: Full electronic text of this journal is available in the ProQuest Research Library. Check your library for the availability of this database and this issues.

24. INGENTA Tables of Contents: INGENTA provides fee based document delivery services for selected journals.

A. Point your browser to:

B. click on "browse by publication"
C. Click the "fax/ariel" radio button, type the Journal Name in the "by words in the title" search box and click "search".
D. View the table of contents for the issue noted.

Ageing International (Vol. 28, No. 2, 2003).

Journal of Aging and Physical Activity (Vol. 11, No. 3, 2003).


25. 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 August 5, 2003:

B. Alzheimer's Disease: Literature for the week of August 5, 2003:

C. Parkinson's Disease: Literature for the week of August 5, 2003:

D. Prostate Cancer: Literature for the week of August 5, 2003:

AMADEO Literature Guide:


V. Funding Opportunities:

26. NIH: "Insulin Signaling and Receptor Cross-Talk," (US National Institutes of Health, National Institute on Aging, in conjunction with other agencies, PA-03-156, July 28, 2003).


VI. Books:

27. UNIVERSITY OF CHICAGO PRESS: "The Political Life of Medicare," by Jonathan Oberlander (University of Chicago Press, 2003, ISBN--0-226-61595-2--Cloth; ISBN--0-226-61596-0--Paper). For more information, see:


VII. Websites of Interest:

28. ADVANTAGE INITIATIVE REPORT: "Best Practices: Lessons for Communities in Supporting the Health, Well-Being, and Independence of Older People," (Center for Home Care Policy and Research, June 2003, .pdf format, 58p.).

For more information about the Initiative, go to:




Charlie Fiss
Information Manager
Center for Demography and Ecology and
Center for Demography of Health and Aging
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Phone: (608) 265-9240
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