摘要:

Effects of chronic cigarette smoking on cerebrovascular responsiveness of volunteers at risk for stroke and not at risk for stroke were evaluated by serial measurements of cerebral blood flow using the133Xe inhalation method. Resting gray matter blood flow values (Fg) measured while breathing room air were compared with Fg values measured during inhalation of either 5 per cent CO2in air or 100 per cent O2. Changes in Fg values during inhalation of 5 per cent CO2were used to estimate cerebral vasodilator capacitance, and those during inhalation of 100 per cent O2were used to estimate cerebral vasoconstrictor capacitance. Results indicated that chronic cigarette smokers have both reduced vasodilator (P<0.01) and reduced vasoconstrictor (P<0.02) capacitance when compared with nonsmokers of the same ages regardless of whether or not other risk factors for stroke were present. Vasodilator capacitance to 5 per cent CO2inhalation was reduced among smokers compared with nonsmokers of the same age by 48 per cent in non‐risk subjects and 56 per cent in risk‐factored subjects, while vasoconstrictor capacitance to 100 per cent O2inhalation among smokers was decreased by 24 per cent in non‐risk subjects and 34 per cent in risk‐factored subjects. In risk‐factored subjects, combined effects of smoking and other risks appeared to be

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1984.tb02215.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

This retrospective descriptive study of stroke patients in a community hospital examined the relationship of discharge disposition and length of stay to sociodemographic variables and use of hospital services. Age‐related patterns emerged. Younger patients were more ambulatory, more frequently discharged to home or rehabilitation units, and used more diagnostic services. Older patients were discharged more frequently to nursing homes and used more social services. Next to level of clinical impairment at discharge, age and admission from home had the greatest effect on whether a patient was discharged to their home. Clinical conditions and the need to await placement in a rehabilitation facility or nursing home correlated with longer lengths of sta

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1984.tb02216.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

To assess the effects of hospitalization on the subsequent placement and supportive care of elderly patients, the medical records of 233 consecutive patients aged 75 years or older, admitted to the medical service of a university hospital, were reviewed. The level of care on admission and at discharge, hospital‐associated complications, and demographic data were abstracted for each patient. At discharge, 1 per cent returned to a nursing home, 6 per cent were newly placed in a nursing home, 65 per cent returned to the same level of care as on admission, 10 per cent returned home with an increased level of care, and 18 per cent died or were discharged to another acute care facility. Complications occurred in 30 per cent of patients but did not correlate with age, increased level of care at discharge, or increased rate of nursing home placement. Few elderly patients were discharged to nursing homes, and most returned home without arrangements for increased car

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1984.tb02217.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Fifty‐eight elderly community residents completed a 37–item inventory that measured their level of concern about potentially stressful events or emotions. Afterwards, they indicated whether selected life events had actually occurred in the last six months. All data were intercorrelated to determine if there were relationships between total scores, personal characteristics, and recent life events. Results showed elderly persons in this sample to be most worried about immediate economic survival and disability. Those in poorer health who had less education, were living with their children, and had less tenure in the neighborhood evidenced greater total conc

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1984.tb02218.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

This paper presents information regarding older Hispanics' use of health care services in an urban setting. Using the Comprehensive Assessment and Referral Evaluation (CARE) questionnaire, data on patterns of health care use and correlates of health services utilization were collected from a sample of 704 Hispanics age 60 and over residing in Los Angeles County. The results indicate that during the year preceding the interview, 79.4 per cent of the respondents saw a physician and 10 per cent were hospitalized. Of those seeing a doctor, 83.5 per cent saw a general practitioner and 32.6 per cent a specialist. When requiring medical care, respondents said that they would go to local private doctors (49.9%), hospitals (26.7%), neighborhood clinics (18.6%), and Mexico (2%). Further analysis revealed that some utilization measures varied significantly according to respondents' sociodemographic and economic correlates such as age, language, income, and availability of health insurance.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1984.tb02219.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

The dexamethasone suppression test (DST) was performed on 18 patients with presenile and senile dementia of the Alzheimer's type. Objective cognitive testing showed that 13 patients were mildly to moderately impaired and five were moderately to severely impaired. The Hamilton Depression Scale yielded normal results in all patients. The DST results were abnormal in only one of the mildly impaired patients but in four of the five moderately impaired patients. These data suggest that the DST may be a useful clinical tool in mildly impaired patients with Alzheimer's disease but is likely to be confounded by disease in moderately to severely impaired patients.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1984.tb02220.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1984.tb02221.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1984.tb02222.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Of 220 residents living in the residential unit of a multi‐level geriatric center, 95 required a total of 131 transfers to other facilities over a one‐year period. Fifty‐three of these patients were transferred to the associated chronic‐care hospital for short‐term acute medical investigation or treatment. The average length of stay of 17 days was similar to that of patients of comparable age with comparable medical conditions admitted to an affiliated acute general hospital from the community. In addition to continuity of medical care and the social and psychologic advantages of remaining within the geriatric center, this transfer potential resulted in substantial financial savings. The cost of hospitalization in the general hospital would have been more than twice that of the geria

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1984.tb02223.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1984.tb02224.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY