ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1984.tb05845.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.tb05846.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.tb05847.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Little is known about specific clinical conditions that lead to hospitalization of nursing home patients. To explore this, the authors examined the hospitalizations of 128 nursing home residents and compared them with hospitalizations of 320 patients from the outpatient clinic. Hospitalized nursing home patients were older, were admitted to medical services more frequently, and had more nonspecific complaints on admission. Nursing home patients were hospitalized most frequently for diseases of the circulatory system (16 per cent), respiratory system (14 per cent), and genitourinary system (12 per cent); clinic patients, for diseases of the circulatory system (25 per cent) and nervous system (10 per cent), neoplasms (10 per cent), and signs and symptoms of ill‐defined conditions (10 per cent). The most frequent causes of hospitalization for all patients were diseases of the circulatory system (23 per cent), nervous system (10 per cent), and neoplasms (10 per cent). Among patients from the nursing home, infections caused substantially more admissions (27 per cent) than among patients originating from clinic (12 per cent;P<0.001). These findings disclose an important opportunity to reduce health care costs and enhance quality of life in the nursing home, particularly through the treatment and control of infection

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1984.tb05848.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Severe symptomatic hyponatremia (serum sodium level 112 ± 5.5 mEq/l) was encountered in six elderly outpatients within tour days of the onset of thiazide therapy. Associated polydipsia was present in two of these patients, but the thiazides alone appeared responsible in the others. In three other elderly outpatients, severe hyponatremia (serum sodium level 112 ± 5.25 mEq/l) developed after the acute emotional stress of relocation from their place of abode to a nursing home or hospital. Recurrent episodes of hyponatremia occurred in two patients following reinstitution of diuretic therapy, and, in two other patients, was precipitated by thiazides and stress on different occasions. Severe neurologic manifestations occurred in all patients and were mostly attributed to atherosclerotic dementia or stroke. Two patients died with severe hyponatremia, although all patients in whom cessation of thiazide therapy and water restriction were instituted promptly recovered without permanent sequela

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1984.tb05849.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Regional cerebral blood flow values were measured utilizing the133Xe inhalation method in patients with multi‐infarct dementia (MID) (n= 22, age 67.4 ± 9.8 years), in patients with senile dementia of Alzheimer type (SDAT) (n= 36, age 63.8 ± 8.0) and in age‐matched normal healthy volunteers (n= 50, age 67.5 ± 9.3). Mean hemispheric gray matter flow values were significantly reduced in MID (P<0.01) and SDAT (P<0.01) patients compared with age‐matched normal volunteers. In normal volunteers, mean flow values showed gradual declines with advancing age (r= −0.44,P<0.005). In MID patients there were significant decreases in flow values with advancing age (r= −0.43,P<0.05), but flow values were consistently lower than in age‐matched normals. Reductions of flow were most evident in the distribution of both middle cerebral arteries. Unlike MID patients, patients with SDAT had diffusely reduced flow values over all age ranges without correlation with advancing age. Reductions of mean flow values in both dementia groups were significantly correlated with severity of dementia (P<0.05 for both groups). Cerebral blood flow reductions related to the aging process also contribute to decreased cerebral perfusion in patients with MID. This is not true in SDAT, where the disease process itself pre‐empts cerebral blood flow reductions attri

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1984.tb05850.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

A survey of 32 marathon runners over the age of 60 years was undertaken. The group was predominantly male, well educated, and health conscious. While the injury rate was high, it was comparable to the expected rate in younger runners. Six of the 32 claimed to have an addiction to running.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1984.tb05851.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Bone changes and aortic calcification were compared radiographically for different age groups of the inhabitants of two communities on the Kii Peninsula at the central southern tip of the Japanese mainland, one a mountainous Shichikawa village with a traditionally restricted nutritional intake and the other a seacoast village on Oshima Island with an abundant nutritional supply. Changes in the physical properties of the bone were also assessed by resonance measurement. In the mountainous village, bone loss appeared to occur more rapidly than in the seacoast village, as indicated by a signficantly higher frequency of thoracic vertebral deformity and more pronounced age‐bound decrease of ulnar resonant frequency. Aortic calcification was also more frequent in Shichikawa than on Oshima Island. Such differences were more evident in women than in men. The poorer nutritional intake (especially of calcium and vitamin D) of persons living in the mountainous village (which receives less sunshine) might be responsible for the accelerated age‐bound degenerative changes observed in their skeletal and vascular syst

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1984.tb05852.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

The effects of two potassium‐sparing diuretic combination drugs, triamterene‐hydrochlorothiazide and spironolactone‐hydrochlorothiazide, were compared with those of two kaliuretic diuretics, hydrochlorothiazide and furosemide, in order to ascertain the effects of those diuretics on concentrations of serum digoxin, serum potassium, and erythrocyte potassium, and to determine whether any of these diuretics should be preferred for patients taking digoxin. It was concluded that in patients for whom potassium depletion may lead to digoxin toxicity, a potassium‐sparing diuretic may safely be used in order to reduce potassium excretion and thereby reduce the risk of arrh

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1984.tb05853.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Assessment was made of the impact of depression on the intelligence, memory, and functional competence of elderly community residents (aged 57–88 years) with senile dementia of the Alzheimer's type. Outpatients with either dementia (n= 21) or dementia coexisting with depression (n= 14) were given the Wechsler Adult Intelligence Scale (WAIS), Wechsler Memory Scale (WMS), and Dementia Rating Scale (DRS). No significant group differences were found for verbal IQ, performance IQ, or WMS memory quotient. Patients with coexisting dementia and depression earned significantly lower full scale IQ scores than patients with only dementia. Analysis of WAIS and WMS subtest scores and profiles revealed no difference between the two groups. Significant associations were found among the various cognitive measures and functional competence in both groups, but the patterns of these relationships differed. Intellectual measures accounted for the greatest proportion of functional competence variance in the patients with dementia, whereas memory measures accounted for the greatest proportion of variance in the patients with coexisting dementia and depressio

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1984.tb05854.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY