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fourth grade education and 27 for those with a college education (out of maximum score of 30) The foregoing effects of age on mental abilities are extremely variable Some 70-year-olds perform better on psychologic testing than some normal 20-year-olds And a few individuals retain exceptional mental power and perform creative work until late life Verdi, for example, composed Otello at the age of 73 and Falstaff at 79 Humboldt wrote the ve volumes of his Kosmos between the ages of 76 and 89 years; Goethe produced the second part of Faust when he was more than 70 years old; Galileo, Laplace, and Sherrington continued to make scienti c contributions in their eighth decades; and Picasso continued to paint in his nineties It must be pointed out, however, that these accomplishments were essentially continuations of lines of endeavor that had been initiated in early adult life.

The data in this table represent percentage changes for the S&P 500 Index. Source: Mark Dodson, and the Hays Advisory Group. Morning Market Comments, September 26, 2002. Reprinted with permission.

Entry-level crew workers and technicians can start anywhere from $6 to $14 an hour, with a median of $10.27 an hour for landscaping and groundskeepers in 2006. Someone with a new bachelor s degree could expect to earn in the teens or twenties, depending on the country region. Designers and managers average annual earnings vary from $48,000 to $82,760 per year.

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Indeed, little that is new and original is started after the 40th year High intelligence, well-organized work habits, and sound judgment compensate for many of the progressive shortcomings of old age Personality Changes in the Aged These are less easily measured than cognitive functions, but certain trends are nevertheless observable and may seriously disturb the lives of aged persons and those around them Many old people become more opinionated, repetitive, self-centered, and rigid and conservative in their thinking; the opposite qualities undue pliancy, vacillation, and the uncritical acceptance of ideas are observed in others Often these changes can be recognized as exaggerations of lifelong personality traits Elderly persons tend to become increasingly cautious; many of them seem to lack self-con dence and require a strong probability of success before undertaking certain tasks These changes may impair their performance on psychologic testing.

ten an early and prominent feature. In addition, the gait is uncertain and hesitant features that are enhanced, no doubt, by the hazard of falling unpredictably. The cause of the toppling phenomenon is unclear; it does not have its basis in weakness, ataxia, or loss of deep sensation. It appears to be a disorder of balance that is occasioned by precipitant action or the wrong placement of a foot and by a failure of the righting re exes. Slowness of motor response is another factor. When the defect is due to a central vestibular disorder, the patient may describe a sense of being pushed (pulsion) rather than of imbalance. In midbrain disease, including progressive supranuclear palsy, a remarkable feature is the lack of appreciation of a sense of imbalance. In the advanced stages of Parkinson disease, falling of a similar type may be a serious problem, but it is perhaps surprising how relatively infrequently it occurs. Primary Orthostatic Tremor (see page 84) This unusual fast tremor of the legs may devastate gait. As discussed in Chap. 6, it is present only when the patient walks or exerts force with the legs while seated. In reaction to a perception of severe imbalance, which is characteristic of the disorder, the patient assumes a widened and often stiff-legged stance.

Kallman s studies of senescent monozygotic twins suggest that genetic factors are more important than environmental ones in molding these traits One of the weaknesses of studies of the aged has been the bias in selection of patients Many of the reported observations have been made in cohorts of individuals residing in nursing homes Studies of functionally intact old people of comparable age and living independently, such as those of Kokmen and of Benassi and their colleagues, reveal fewer de cits, consisting mainly of forgetfulness of names, smallness of pupils, restriction of convergence and upward conjugate gaze, diminished Achilles re exes and vibratory sense in the feet, stooped posture, and impairments of balance, agility, and gait (as mentioned earlier and below)..

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