摘要:

AbstractThe clinical syndrome and pathophysiologic mechanisms underlying the development of post‐obstructive diuresis are reviewed. The means by which the kidney normally regulates sodium and water balance are first presented as background for this revie

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1970.tb02570.x

年代:1970

数据来源: WILEY

摘要:

AbstractIncreasingly restrictive definitions of skilled nursing care versus custodial (or non‐covered) care by the Social Security Administration with respect to the Medicare program are now being implemented by fiscal intermediaries. If continued, the constructive intentions of Congress in behalf of the ill aged will be effectively frustrated and, in the name of economy, the national health care program for the aged will soon disappear.The new synthetic definitions require evaluation and reappraisal in clinical terms if the welfare of the ill aged is to be serve

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1970.tb02571.x

年代:1970

数据来源: WILEY

摘要:

AbstractThe attitude of geriatric patients toward aging and death was studied in: (a) 90 psychiatric patients classified according to six personality types, and (b) 340 psychiatric patients (chronic brain syndrome or schizophrenic reaction) who were in contact with reality and could express their ideas coherently. The attitudes of these patients toward death ranged from lack of any special concern (in the passive‐dependent and schizoid personalities) to a great fear (in the other four personality groups). In 85 per cent of the 340 patients in the second study, the problems of death and dying played an important role in their emotions; moreover, 92 per cent were uncertain about their goals and values in life.The psychiatrist has the task of helping to change the image of aging not only in the elderly but in our society. Old people need assistance in identifying or changing their life values. More important to the patient than “life hereafter” is his belief that he has not lived and is not now living in vain. This perception of self‐esteem engenders a feeling of serenity. The psychiatrist's therapeutic goal should be to convey hope, re‐establish confidence, and thus counteract the fear

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1970.tb02572.x

年代:1970

数据来源: WILEY

摘要:

AbstractThe analgesic efficacy and the safety of parenteral pentazocine therapy were evaluated in 210 postoperative orthopedic patients (106 males and 104 females) whose ages ranged from 14 to 91 years. At intervals of three to four hours, pentazocine was injected intramuscularly in doses ranging from 15 to 60 mg. In 41 cases the dosage schedule was variable. After omission of these cases, the observations on pain relief in relation to dosage were evaluated in 169 patients. The 15–20 mg group of 13 patients was too small a sample to serve as a basis for drawing conclusions. Thus the evaluation was based on the effects of a consistent dosage of 30, 45, 50 or 60 mg administered intramuscularly every three to four hours in 156 patients. Of these, 89 per cent reported excellent or good analgesia. The most commonly used dosage was 30 mg; with this, 91 per cent of 128 patients had excellent or good relief of pain. The drug was particularly effective in the elderly. The usual duration of therapy was one week.Adverse reactions directly related to pentazocine occurred in 4 per cent of the 210 patients, but necessitated discontinuation of the drug in only 1 per cent. These untoward effects were usually mild and transient. Not one of the 45 patients in the 70–91 age group had an adverse reaction.It is concluded that pentazocine administered intramuscularly is a well tolerated and effective analgesic for relieving postoperative pain in orthopedic patie

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1970.tb02573.x

年代:1970

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1970.tb02574.x

年代:1970

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1970.tb02575.x

年代:1970

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1970.tb02576.x

年代:1970

数据来源: WILEY