摘要:

ABSTRACT:Relationships between the hypothalamus and the pituitary in the aging woman are discussed under the following subheadings: synthesis and release of follicle‐stimulating and luteinizing hormones, estrogen receptors, other releasing factors, neurotransmitters, and the mechanisms of hot flushes and migrainoid headaches. The hypothalamus is the main regulator of pituitary function. In the female, the hypothalamic‐pituitary axis appears to remain functionally intact well into old

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1979.tb04135.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

ABSTRACT:The incidence of cerebral lesions in relation to myocardial infarction (MI) was evaluated on the basis of data obtained from medical records and autopsy reports on 269 psychogeriatric patients, in a 13‐year retrospective study. Among 84 demented patients with MI, brain infarcts and hemorrhages were found in 42 percent, and Alzheimer's disease in 17 percent; (combination in 8 percent). In contrast, among 70 demented patients without MI, brain infarcts and hemorrhages were found in 11 percent, and Alzheimer's disease in 43 percent; (combination in 6 percent). Therefore, when it is difficult to differentiate senile dementia (Alzheimer's disease) from dementia due to cerebrovascular impairment, data on the presence or absence of myocardial infarction may prove usefu

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1979.tb04136.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

ABSTRACT:To assess whether the objectives of a new Extended Care Unit were reflected in the care of the patients and in the outcome of that care, an audit of the patients' records was performed. The audit sample involved 101 geriatric patients who had been admitted to the Unit for rehabilitation therapy, and then discharged. The study included assessment of the records for compliance with individual audit criteria, examination of the records in terms of a composite audit score, and analysis of the relationship between these scores and three outcome indices. Although the audit did not show a significant correlation between recorded care processes and treatment outcomes, it did reveal the extent to which the Unit's goals were reflected in the care process.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1979.tb04137.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

ABSTRACT:The patients of a rural nursing home in Iowa were surveyed according to age and sex, plus chronic and acute disease problems. With use of the International Classification of Health Problems in Primary Care, the diagnoses were organized by major disease category and by specific diagnosis. Of the 66 patients, 76 percent were age 75 or older. Women comprised 61 percent of the group, and men 39 percent. Overall, the mean age was 79.1 years. Senility was the most common diagnosis for chronic diseases, and genitourinary infections for acute diseases. Circulatory system disorders comprised the largest category of chronic diseases, whereas genitourinary disorders comprised the largest category of acute diseases. Overall, there were 4.2 chronic disorders per patient. Although the data compare favorably with those in the National Health Survey of nursing homes, more research is needed to prepare medical personnel for the problems associated with a rapidly expanding population of elderly patients.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1979.tb04138.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

ABSTRACT:A study was made of 50 patients drawn at random from a Skilled Nursing Facility (SNF) attended by seven physicians. For 59 percent of these patients, polypharmacy was practiced but no substantiating diagnoses were recorded. Approximately half of the drugs were administered pro re nata. More drugs were prescribed in potentially toxic dosages than in subtherapeutic dosages. The risk of an adverse drug reaction (ADR) was most often associated with anticholinergic agents, sedative‐hypnotic drugs, and neuroleptics (thioridazine and chlorpromazine), particularly when prescribed concurrently. Risk of an ADR was highest when a drug was prescribed without recording a definite diagnostic indication. Lack of consistency by individual physicians in their approaches to the therapy of similar disease entities in comparable patients tended to support the concept of peer review in SNFs and also the need for teaching a rational approach to therapeutics in SNFs based on clinical pharmacology as applied to the elderl

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1979.tb04139.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

ABSTRACT:The diagnosis of primary tuberculous infection was made in a 78‐year‐old woman. The chest roentgenographic findings were remarkably similar to those often seen in children and adolescents with primary infection. Like the majority of adults with this entity, the patient was asymptomatic; the diagnosis was suspected epidemiologically and was confirmed by culture of M. tuberculosis from the sputum. As the incidence of new tuberculosis cases declines, the diagnosis of primary tuberculosis in the adult may be made more frequen

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1979.tb04140.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

ABSTRACT:There is a need for rapid and convenient assessment instruments to test the aged for senile confusion due to organic brain syndrome (OBS). The Mental Status Questionnaire (MSQ) and the Face‐Hand Test (FHT) have certain limitations. A valid instrument must measure short‐term memory loss and recognition. Sixty‐two patients were examined in 17 different trials of the Stimulus Recognition Test (SRT), which involves 10 items. Each item classified the patients according to staff ratings (P<.001), MSQ scores (P<.005), and FHT scores (P<.005). The composite MSQ score on a scale of 0–10 also served to separate the patients according to staff ratings (P<.005). The SRT scores correlated .81 to .67 with the MSQ and FHT scores. The SRT does not show the same false positive patterns as the MSQ and FHT. For that reason, it constitutes a useful diagnostic supplement. Suggestions for further research a

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1979.tb04141.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

ABSTRACT:This study hypothesized: 1) that as the duration of institutional living increases, the future orientation of active older adults contracts; and 2) that this constriction in future temporal orientation means less opportunity for interaction in the institutional environment. To test the first hypothesis, 100 active female residents in six institutions for the aged were evaluated regarding future orientation, by means of Cottle's Experiential Inventory. The opportunity for interaction was measured by Pincus's Psychosocial Dimensions in the Institutional Environment. The findings indicated that, irrespective of age, the residents became less futureoriented or their orientation became less recent, as the length of institutional residence increased. The second hypothesis was not supported; in fact, the reverse was true.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1979.tb04142.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

ABSTRACT:Systolic hypertension, a disorder occurring predominantly in the elderly, is associated with an increased incidence of stroke and coronary artery disease. Based on the supposition that it is a risk factor, many authorities have urged that it be treated. This report concerns an experience in treating systolic hypertension in a defined ambulatory population of 898 hypertensive subjects in a work‐site program. The systolic hypertension group (N = 39) was compared with a matched diastolic hypertension group and with a matched systolic/diastolic hypertension group (N = 39 each). The patients with systolic hypertension responded to standard treatment (chiefly with diuretics), but less satisfactorily than did the patients with diastolic hypertension. Side effects or toxicity were uncommon and did not interfere with the therapeutic regimen. However, the ultimate value of such therapy in the prevention of vascular complications remains to be determine

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1979.tb04143.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1979.tb04144.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY