摘要:

ABSTRACT:Dealt with in detail are the factors which have determined the characteristics and peculiarities of medical and social care for the aged in the USSR. The forms of geriatric care, personnel training and delivery of social and domestic services to the aged are also presented. Facts are given about the state policy directed at improvement of well‐being of the aged as well as at drawing these people into public life and preventing their “disadaptation.” The importance of the UN‐ and WHO‐sponsored international programs in this field is e

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1979.tb03341.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

ABSTRACT:A computer analysis was made of the data from a prospective study of the clinical course of systemic lupus erythematosus (SLE) in 234 patients followed for an average of 46 months. All fulfilled four ARA criteria for the diagnosis of SLE. Sixteen of the 234 patients were aged 51 or older. They were compared with the 218 younger SLE patients to determine the influence of age on the signs and symptoms of the disease, the organ systems involved, the laboratory data, amount and duration of corticosteroid or azathioprine therapy, and the prognosis. The older group showed more discoid lupus, photosensitivity and pulmonary fibrosis than did the younger group, but a similar incidence of malar rash, alopecia, arthritis, arthralgia, myalgia and serositis, and a lower incidence of oral ulcers, Raynaud's phenomenon, cutaneous vasculitis, neuropsychiatric manifestations, leukopenia, hypocomplementemia and profuse proteinuria. The older patients needed a lower dosage of corticosteroids, and a shorter course of azathioprine therapy. These findings suggest a milder form of SLE with better response to therapy in the older age group.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1979.tb03342.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

ABSTRACT:This report describes the selection, design, conduct, analysis, and application of medical care evaluation studies in long‐term care facilities (skilled nursing homes) in a regional program in the Rochester region of upstate New York. Eight examples are presented to highlight methodologic approaches and problems. They are classified under four general headings: Administration Audits, Diagnosis‐specific Studies, Care Modality‐specific Studies, and General Outcome Indicators. The implementation of results and recommendations from the studies is discussed and an application of “tracer” methodology for assessing the components of care activities in long‐term facilities is described. Problems and challenges in long‐term quality care

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1979.tb03343.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

ABSTRACT:Since so little has been written on the subject of sexuality among the elderly in nursing homes, a study was conducted in some nursing home populations in Wisconsin. Resistance was encountered in certain areas but finally 63 residents (27 men and 36 women) agreed to be interviewed. A recently designed questionnaire was used, followed by a relaxed conversational period. Our findings indicate that the aged interviewees believed that sexual activity was appropriate for other elderly people in the homes; they personally were not involved, chiefly because of lack of opportunity. Most of them admitted having sexual thoughts and feelings. Medical and behavioral personnel showed great reluctance to discuss the subject. It would seem that, if the quality of life in old age is to be improved, there should be some provision in nursing homes for those who desire appropriate sexual activity.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1979.tb03344.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

ABSTRACT:In 14 patients with senile dementia, a study was made of two dosage levels (3 mg or 6 mg daily) of dihydroergotoxine mesylate (DEM, Hydergine). Only a nonstatistically significant trend was found for superiority of the higher dosage. However, one patient showed remarkable clinical improvement during the 6‐mg period; the mechanism remains unexplained. Further studies are needed with this higher dosage in less impaired patients and in those with well‐defined cerebral pathologic chan

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1979.tb03345.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

ABSTRACT:A study was made of total drug usage (prescription, over‐the‐counter, social), health characteristics, and life satisfaction in 55 noninstitutional retired men and women whose average age was 70 years. The sample was purposively selected on the basis of involvement in peer group interaction networks. Among those using drugs, the average number taken per person was 2.0 prescription, 1.8 over‐the‐counter, and 1.8 social (alcohol, caffeine, nicotine), for a total of 5.6 drugs. For men the average was 7.5, and for women 4.7 drugs. Although drug interaction hazards from prescription drugs alone appeared to be minimal, examination of total drug usage indicated potential interactive hazards. Despite the number of chronic illnesses and physical impairments (5 and 1 per person respectively) and the number of drugs ingested, the respondents usually expressed overall satisfaction with their life condition. A commonly expressed dissatisfaction (males 75 percent, females 35 percent) was with government officials. Respondents had confidence in both their physicians' diagnoses and the effectiveness of the drugs prescribed. The findings that women reported more chronic diseases and physical impairments, and were relatively more dissatisfied with their life condition than were men, may be associated with their greater acquiescence with self‐d

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1979.tb03346.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

ABSTRACT:Impairment of the ability to recognize facially expressed emotions was studied in 14 chronically disoriented patients with chronic organic brain syndrome (CBS). This impairment was named prosopo‐affective agnosia (PAA). A diagnostic requirement was relatively intact neurologic functioning in underlying perceptual‐verbal‐motor processing. A test was designed for facial‐affect recognition in the accurate differentiation of normal persons from chronically disoriented CBS patients. No normal subject made any errors in this test. Despite decades of illness and hospital living, patients with a history of schizophrenia or major affective disorders scored almost at a normal level (95 vs. 100 percent) in this test, and significantly higher (95 vs. 66 percent) than did the disoriented CBS patients. The social and therapeutic implications of the findings are stressed. CBS patients may be impaired with respect to receiving and appreciating elementary aspects of social communications such as recognizing a smile, anger, sadness or disapproval on the faces of people who surround them. This disability requires understanding and a special attitude on the part of the therapeutic team toward such p

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1979.tb03347.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.tb03348.x

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY