摘要:

ABSTRACTOf 142 female patients over age 75 at The New York Hospital‐Cornell Medical Center, 58 underwent radical mastectomy and 40 simple mastectomy for primary breast cancer. After five years, 49 per cent of the radical mastectomy group were cancer‐free compared with 35 per cent of the simple mastectomy group. The gross five‐year survival rates were 50 per cent and 47 per cent respectively. In the radical mastectomy group, when the axillary nodes did not show cancer at the time of operation, there have been no known recurrences and 70 per cent of the patients have survived at least five years. There was no surgical mortality. These findings support the view that until more controlled data are available, radical mastectomy is still the preferred therapy for primary breast c

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1975.tb00323.x

年代:1975

数据来源: WILEY

摘要:

ABSTRACTIn a double‐blind multiclinic trial, a new nonsteroidal anti‐inflammatory agent (ibuprofen) was compared with an established therapeutic agent (phenylbutazone‐alka) for the treatment of osteoarthritis. Of the 159 patients from the 17 contributing clinics, 144 completed the four weeks of therapy. More than 60 per cent of them reported improvement in exercise‐related pain by week 4, and there was no significant difference between treatment groups. The patients' and the physicians' evaluations of the total state of disease, as well as range‐of‐motion and functional tests, demonstrated similar degrees of improvement in both treatment groups. The incidence of side effects was within acceptable limits, and the frequency distribution was similar in both groups. Of the 70 reported side effects, 29 were considered by the investigator (blind trial) to be drug‐related—11 in association with ibuprofen and 18 with phenylbutazone‐alka. Hematologic and blood chemical studies, as well as urine and stool examinations, yielded normal results with the exception of a reduced mean value for serum uric acid and a slightly elevated mean value for SGPT in the phenylbu

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1975.tb00324.x

年代:1975

数据来源: WILEY

摘要:

ABSTRACTThe Depression Scale of the Minnesota Multiphasic Personality Inventory (MMPI) was used as a screening test for healthy volunteers in a psychopharmacologic research study. Data were collected on 43 men and 46 women under age 35 versus 33 men and 43 women over age 65 (plus a subsequent group of 40 men over age 65), and comparisons were made with more extensive data from the Mayo Clinic. The evidence indicates that elderly subjects differ strikingly from young subjects in their responses to items in the MMPI self‐ratings of depression. Revised information on normative responses is needed. At present there are too many problems of interpretation when the Depression Scale items are applied to the elderl

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1975.tb00325.x

年代:1975

数据来源: WILEY

摘要:

ABSTRACTThe effects of Gerovital H3 (a specially stabilized form of procaine hydrochloride) on geriatric psychiatric patients were assessed in a double‐blind study at Bronx State Hospital. The mean age of the subjects was 73 years and the average rating for the severity of organic symptoms was “moderate.” During the first six weeks of study, the patients were each given a 5‐ml injection of either Gerovital or placebo (saline) intramuscularly three times a week. This dosage was doubled to 10 ml per injection during the second six weeks. Nine Gerovital and 10 control subjects completed the first six weeks; and 6 Gerovital and 7 control subjects completed the entire 12‐week study. Objective rating scales were used to evaluate patients on measures of interpersonal functioning, cognitive ability, psychiatric symptoms, and urine and blood chemical findings. All subjects were assessed before treatment and at six weeks and twelve weeks of the study. Side effects were recorded at two‐week intervals.On most measures the variability between subjects was quite large, whereas differences between average scores for the two groups usually were small The few significant differences showed no systematic pattern and would be expected to occur by chance alone when so many statistical comparisons are made. The overall results of this double‐blind study strongly indicated that, among these hospitalized geriatric patients with organic symptoms, Gerovital H3 had no ameliorative effect on either psychologic or physiologi

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1975.tb00326.x

年代:1975

数据来源: WILEY

摘要:

ABSTRACTThe kinesio, psychopathologic and psychosocial effects of prolonged immobilization of the ill aged are outlined. The iatrogenic (physician‐induced) and nurisgenic (nurse‐induced) factors related to such functional disabilities are described. Illustrative case histories are given. The syndrome is reversible. Thus physicians and nurses have a continued responsibility to support a sustained rehabilitation program for these patients. The biochemical effects of prolonged inactivity indicate that immobilization of the elderly patient results in adverse physical and psychologic phenom

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1975.tb00327.x

年代:1975

数据来源: WILEY

摘要:

ABSTRACTThe importance of a multidisciplinary team approach was recognized when a 14‐bed short‐term Psychogeriatric Unit was opened in a psychiatric hospital. The limited time available to the psychiatrist in charge placed a heavy clinical responsibility on the paramedical personnel who formed the team. Initially, role distinctions were kept vague and regarded as not overly important. Six months after the Unit opened, all the staff members filled out a questionnaire. They felt that communication within the team was good, that they could fulfill the role of primary therapist, and that they understood their own roles and those of others. All regarded the psychiatrist as the head of the team. The psychiatrist felt that he had the ultimate responsibility for over‐all care of the patients, that any attempt to blur roles caused problems, and that there had been a partial regression to more traditional patterns. Members of the Unit regarded themselves as a team, able to work together and pool skills in treating patients, and thus play a significant part in total care. This attitude proved more valuable than attempting to break away from the medical model or decrying the importance of

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1975.tb00328.x

年代:1975

数据来源: WILEY

摘要:

ABSTRACTVarious aspects of institutional living for old people are discussed, particularly the imposition of a lifestyle completely foreign to their previous way of existence. Old people who have been living in one manner for about seventy years cannot be expected to adjust readily to another rhythm. The clash of lifestyles creates maladaptive behavior and adjustment problems that have not been adequately studied. Suggestions are made for approaches to resolve these difficulties. In essence, the techniques include reprogramming of institutional living for old people so that they have an opportunity to maintain their customary lifestyle. Examples of such programming are presented.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1975.tb00329.x

年代:1975

数据来源: WILEY

摘要:

ABSTRACTThe elderly person brings with him a lifetime of food preferences. For him, nutritional adequacy is dependent upon continuation of similar underlying influences and the varying conditions which determine the food intake of any group. The significance of individuality cannot be minimized in assessing nutritional well‐being and in developing a plan of action. Among the factors affecting food acceptance and health status are foods which are considered “soul” by some persons. Recognition of, and respect for, individual food preferences can be invaluable to members of the health professions in providing services to aging Amer

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1975.tb00330.x

年代:1975

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1975.tb00331.x

年代:1975

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1975.tb00332.x

年代:1975

数据来源: WILEY