摘要:

ABSTRACTThis article is a review and evaluation of the world literature on the systemic use of procaine in the treatment of the aging process and the common chronic diseases of later life. Included are data from 285 articles and books, describing treatment in more than 100,000 patients in the past 25 years. Except for a possible antidepressant effect, there is no convincing evidence that procaine (or Gerovital, of which procaine is the major component) has any value in the treatment of disease in older patients. If procaine has an antidepressant effect, there is some likelihood that this accounts for the reports of decreased complaints referable to the musculoskeletal, cardiovascular, endocrine, sexual, gastrointestinal and respiratory systems.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1977.tb00917.x

年代:1977

数据来源: WILEY

摘要:

ABSTRACTPatients with inflammatory arthritis and malignancy comprise two distinct populations. One group represents the chance occurrence of malignancy and rheumatic disease. These patients have symmetric polyarthritis, chiefly classic rheumatoid arthritis, and react positively to the rheumatoid factor test. There is no temporal relationship between tumor onset and rheumatic disease onset. In the second group, there may be a causal relationship between the malignancy and the rheumatic disease. These patients have asymmetric rather than symmetric arthritis and test results are negative for rheumatoid factor. There is a close temporal relationship between the onset of the tumor and the onset of the rheumatic disease. The mortality rate is significantly higher than in patients with symmetric polyarthritis. In 80 percent of women with asymmetric arthritis and malignancy, the tumor is mammary carcinoma. This indicates the advisability of a careful breast examination in this group of women.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1977.tb00918.x

年代:1977

数据来源: WILEY

摘要:

ABSTRACTA physician‐oriented, hospital‐based Home Care Program (HCP) is described. The staff includes a director, resident physicians, nurses, social workers, and clerical personnel. House calls are made by resident physicians during off‐duty hours, but the patients, their families, and other health professionals may help with their care. Drugs, equipment and supplies are available through the hospital and contract vendors. The most common medical diseases are cardiac and cerebrovascular disorders, arthritis, diabetes mellitus, chronic pulmonary disorders and hypertension. Of 513 patients evaluated in one year, 337 were admitted to the HCP. Two‐thirds were women. Ages ranged from 18 to 106 (median, 68 years). Under the HCP there was significant improvement and control of the medical problems, and a decrease in hospital and emergency room admissions, and clinic visits; 207 of the 337 patients were discharged. The HCP cost less than other outpatient and inpatient services. It proved to be a rewarding, economical and effective means of improving medical care for a metropolitan population dependent upon hospital‐based physicians for medical

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1977.tb00919.x

年代:1977

数据来源: WILEY

摘要:

ABSTRACTCataract, the leading cause of blindness in the United States, chiefly affects the elderly. Surgical therapy in the 1920's is contrasted with that in the 1970's. Visual corrections with spectacles, contact lenses, and intraocular lenses are discussed. Intraocular lens implantation, when performed by specially trained surgeons, offers cataract patients prompt and complete visual rehabilitation.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1977.tb00920.x

年代:1977

数据来源: WILEY

摘要:

ABSTRACTProblems facing the modern health care worker are examined. These include population changes, the changing pattern of disease, the psychosocial aspects of aging, and altered pathophysiologic mechanisms. The major future requirements in health care for the elderly are outlined. Greater emphasis should be placed upon education in the disciplines of Gerontology and Geriatric Medicine. Society needs to be made more aware of the realities of aging. Health care professionals need to develop their communication skills and to practice more effective teamwork. Greater coordination of the components of health care delivery systems will be needed in order to provide comprehensive and continuing health services. Research into the true and changing needs of the elderly recipients of health care should be emphasized. Prevention and early detection of disease is an important focus in Geriatric Medicine for the future.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1977.tb00921.x

年代:1977

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1977.tb00925.x

年代:1977

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1977.tb00926.x

年代:1977

数据来源: WILEY