摘要:

ABSTRACT:A study was made of the effects of training for 30 minutes, three days a week for 20 weeks on certain physiologic measures of sedentary men between 49 and 65 years of age. Twenty‐two subjects volunteered for the experimental group, and 8 others for the control group. Exercise sessions were conducted on a quarter‐mile track and consisted of continuous bouts of walking and jogging. The average daily energy expenditures progressed from 228 to 365 kilocalories between weeks 4 and 20. For the same period, average exercise heart rates (HRs) progressed from 149 beats/minute (83 per cent maximum HR) to 155 beats/minute (91 per cent maximum HR). The experimental group showed significant increases in maximum oxygen intake (V̇O2max) from 2.47 to 2.90 liters/minute (18 per cent) and in maximum pulmonary ventilation (VEmax) from 105 to 121 liters/minute (BTPS), and decreases in resting HR, diastolic blood pressure, body weight, skinfold fat, and abdominal girth. Serum cholesterol and triglyceride levels and heart volume remained unchanged. The control subjects showed no significant changes. Regression analysis, with use of age as a covariate, showed a small but significant inverse relationship with changes in V̇O2max. It was concluded that men of the 49–65 age group respond favorably to endurance exercise and show a magnitude of change similar to that found in previous investigations of similar design with younger s

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1976.tb04279.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

ABSTRACT:Thiothixene was used in a four‐week double‐blind placebo‐controlled study of 42 geriatric patients with chronic organic brain syndrome (psychotic or nonpsychotic). The results, according to several rating measures, showed no significant difference between placebo and thiothixene. Side effects were mild and few. These data support the safety of thiothixene therapy for geriatric patients; however, there is no conclusive evidence of its efficacy in the treatment of chronic organic brain syn

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1976.tb04280.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

ABSTRACT:The primary and secondary diagnoses for 100 geriatric patients consecutively admitted to a nursing home were reviewed for accuracy and omissions. Primary diagnoses were identified as the direct basis for nursing home admission. Other physical, biochemical or behavioral disorders requiring continued therapeutic care were identified as secondary diagnoses. A comparison was made of the diagnosis offered by the referring physician and the diagnosis as determined by the medical staff of the nursing home immediately after admission. In 64 percent of these 100 patients, the primary admitting diagnosis was inaccurate. In 84 percent, the secondary diagnoses were either lacking or inaccurate. The extraordinarily inadequate medical performance with respect to identifying the primary clinical and therapeutic problems of the chronically ill aged was remarkably consistent, regardless of the source of the patient's referral, whether from a general or psychiatric hospital, a private home, or another nursing home. The results of this study revealed a significant degree of unpreparedness and malaise in some members of the medical profession concerning the care of the chronically ill aged, particularly when such patients demonstrate behavioral disorders superimposed upon physical disease. Failure to identify the patient's needs through diagnosis must result in poor, inadequate or inappropriate treatment programs.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1976.tb04281.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

ABSTRACT:As part of a study of long‐term institutional care of the elderly, this report presents a comparison of the characteristics, health problems, and state of mind of 193 elderly applicants for such care (Group A) with those of 141 elderly persons living independently in the community (Group I). Group A members were older, living with a spouse less often, and had low incomes. They showed much more cerebrovascular disease, incontinence, recent loss of independence in the activities of daily living, dementia, recent hospitalization, loneliness, and depression. They had had much less recent involvement in social and recreational activities, although most had not been socially isolated. They had received more extensive help from relatives and friends, and it seemed unlikely that additional help from these sources would keep many more of these elderly persons out of institutions. Community agencies and services had been used by a relatively low proportion of Group A, and hardly at all by Group

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1976.tb04282.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

ABSTRACT:In the elderly, a transient ischemic attack (TIA) and a hypersensitive carotid sinus reflex (HCSR) often co‐exist and can pose a diagnostic challenge. Seven cases are presented. HCSR is a relative condition; besides increased irritability of the receptor or target organs, susceptibility of the nerve center to ischemia probably is induced by a slow heart rate or low blood pressure in any patient with pre‐existing occlusive cerebrovascular disease. Dizziness and syncope of this type represent hemodynamic TIA in contrast to thromboembolic TIA. The carotid sinus massage test is recommended for differentiating the two types of TIA; the treatments differ. At present there is no uniform management that can be applied to either TIA or HCSR routinely. Therefore, treatment should be approached on an individual basis, keeping in mind the different pathophysiologic factors operating in the specific pati

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1976.tb04283.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

ABSTRACT:The increased prevalence of fatigue in persons with a low intake of vitamin C is mentioned only briefly in the literature. An analysis of the authors' data on vitamin C intake and fatigability in 411 dentists and their wives revealed a negative relationship. The mean number of fatigue symptoms among the low users of vitamin C was double that among the relatively high users of vitamin C. The mean difference was statistically significant.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1976.tb04284.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1976.tb04285.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1976.tb04288.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1976.tb04289.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY