摘要:

ABSTRACTIn the aged, sinus bradycardia represents the sinus‐node‐dysfunction component of diffuse conduction system disease associated with coronary and cerebral arteriosclerosis. Findings are presented on 15 patients whose ages ranged from 69 to 93 years at the time of admission to a home for the aged. They remained under observation (with electrocardiographic data) for from less than 1 year up to 18 years. The findings illustrate the evolution of conduction system abnormalities, including sinus node dysfunction, occurring either as an initial or an interval event. These abnormalities represent positive indications for pacemaker insertion in the a

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb01338.x

年代:1978

数据来源: WILEY

摘要:

ABSTRACTA classic case of progeria (Hutchinson‐Gilford syndrome) in a 9‐year‐old Japanese boy is presented. The characteristic clinical features in this patient were similar to those reported in the literature. The total amount of acid glycosaminoglycans excreted in the urine was within the normal range, but there was an increase in hyaluronic acid excretion. Thehyaluronuriawas a novel finding inprogeria, providing a common linkage with the hyaluronuria found in Werner's syn

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb01339.x

年代:1978

数据来源: WILEY

摘要:

ABSTRACTDrugs for the treatment of various medical or psychiatric disorders may sometimes cause or exacerbate depression in the elderly. Drug interactions due to polypharmacy (a common method of prescribing for aged patients) may also play a role in the genesis of depression. The roles of specific drugs and of drug interactions are reviewed. Criteria for the diagnosis of depression in the elderly, as well as differential diagnostic guidelines, are presented and constructive suggestions offered.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb01340.x

年代:1978

数据来源: WILEY

摘要:

ABSTRACTA review is presented of the genesis of osteomalacia due to dietary lack of vitamin D in the elderly in the United Kingdom. Subjects at high risk are identified and the diagnostic difficulties discussed. The importance of dietary vitamin D and exposure to sunlight in relation to vitamin status is stressed. The role of vitamin D in calcium metabolism is now much more clearly defined; the final active form of the vitamin is 1,25‐dihydroxy‐vitamin D, which acts like a hormone after the vitamin molecule has undergone two chemical modifications in the liver and kidney. A correlation between lack of vitamin D and femoral neck fractures has been established. Six illustrative cases of osteomalacia in the elderly due to dietary lack of vitamin D are repor

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb01341.x

年代:1978

数据来源: WILEY

摘要:

ABSTRACTWhy are today's elderly remarkable? They are the small minority who represent the survivors of Americans and immigrants born during the period 1870–1913. The mortality experience during that period shows the dramatic changes that have occurred. The future populations of the elderly are developing with an ever‐increasing number of people kept alive by the mass use of vaccines, the application of new medical, surgical and psychologic diagnoses and therapies, effective antibiotics, rapid communication, proper nutrition, safe water, a high level of health insurance coverage, and available education at all levels for those who want to particip

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb01342.x

年代:1978

数据来源: WILEY

摘要:

ABSTRACTThe efficiency of interactive language processing was compared in three groups: 25 young adults, 25 geriatric subjects, and 25 adult aphasic subjects. The task involved simple analogy completion. Data analysis included six categories of responses which represented levels of convergence toward the expected relationships. Results of chi‐square comparisons between groups were all significant, and indicated substantial reductions in interactive processing for geriatric subjects. The findings suggest that a general aging factor may contribute to the poor prognosis in elderly aphasic patien

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb01343.x

年代:1978

数据来源: WILEY

摘要:

ABSTRACTChance often determines the names that are recorded in history. Among an earlier generation's gerontologists, Ivan Basilevich was distinguished by the promise of his career and recognition in the USSR by his peers. The military invasion of his nation changed the pattern of his life. From a professional level in his native land, at the age of 50, he became a resident in psychiatry in Rhode Island where he continued his work on aging. He became a citizen in 1954 and by 1962 was the senior psychiatrist of his hospital's staff. His contributions to gerontology included his participation in the Kiev Congress of Aging in 1938 and a monograph in English (unpublished) on the medical aspects of natural old age. He wrote some 70 articles. In his papers on the subject of aging he heralded the transition of gerontology to its modern stage.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb01344.x

年代:1978

数据来源: WILEY

摘要:

ABSTRACTThirty‐two patients entered a simple‐blind, cross‐over study on the action of tocopherol in osteoarthritis; only 3 did not complete the course. Each patient was randomly assigned either to the tocopherol group (600 mg/day for 10 days) or to the placebo group. After 10 days the groups were transposed. The analgesic and other possible effects of tocopherol vs. placebo were assessed by the patients' daily records, by the physician's personal examination and interview, and by observations on the use of an additionally permitted analgesic (pro re nata). In 52 percent of the 29 patients who completed the study a good tocopherol analgesic effect was noted, but only 4 percent of those receiving placebo reported a similar effect. The difference was statistically significant. Further large‐scale assessment of the influence of tocopherol in osteoarthritis would seem to be ju

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb01345.x

年代:1978

数据来源: WILEY

摘要:

ABSTRACTThe objective of this study was to identify the role of the pharmacy student in providing health care to a Federal Nursing Home Care Unit. Under the supervision of a graduate pharmacy resident, the student was responsible for monitoring compliance in drug therapy, providing consultation services, and developing several research projects. A detailed study of allergy documentation in 78 patients showed that 25.6 percent of their records indicated drug allergies, but upon further investigation only 5.1 percent could be confirmed. Fourteen (41 percent) of the 34 reported allergy‐producing substances had been administered again after the initial allergic incident, without ensuing difficulties. Evaluation of the self‐medication program indicated that 71.4 percent of 14 study patients could not easily open their child‐proof medicine containers. A change to “tight” containers enhanced the patients' ability to open them. However, no significant conclusions could be drawn regarding improvement in the patients' compliance with prescription directions. Pharmacy students can be a valuable resource in improving documentation, testing drug prescription compliance, and participating in the general care of patients in long‐term

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb01346.x

年代:1978

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb01347.x

年代:1978

数据来源: WILEY