bluuebunny/crossref_metadata_2025_split huggingface dataset:
Osteochondritis Dissecans of the Hip: A Rare Disorder in the Aged (Case Report)
Authors: Cohen Samuel L. 
Published: April 2015

ABSTRACTOsteochondritis dessicans of the hip is rare in comparison with occurrence of the disease in other joints. Only about 50 cases have been reported. The literature is reviewed, and a new case is presented. The patient was a 94‐year‐old Spanish American War veteran who was unusually active and in good health until the onset of osteochondritis dissecans in the right hip (classic clinical and roentgenologic findings). Despite his advanced age and the severe arthritic changes, under conservative therapy he gradually regained a surprising degree of mobility in the affected hip.
Characteristics of Family Practitioners with Large Geriatric Practices
Authors: Haas William H. , Crandall Lee A. , Bain D. J. G. 
Published: April 2015

ABSTRACTLittle has been reported on the characteristics of physicians presently serving the health needs of the elderly. In this report, generated from a survey of Florida family practitioners, physicians with large geriatric practices are compared to physicians with practices composed primarily of younger patients. Family, physicians with large geriatric practices are older, and treat more chronic disease than do their peers. However, they consult the same professional journals and texts in caring for their patients, refer patients to specialists at the same rate, and have the same office facilities as do their colleagues who treat chiefly younger patients. The family physician with a large geriatric case load is less likely to have a predominantly outpatient practice and more likely to be involved with hospitalized patients. Data from the census and health manpower studies suggest that family physicians will care for substantial numbers of elderly patients in the future. Continuing education which addresses issues in geriatrics may help to attain optimal health care for the elderly.
Management of the Mental Health of Ambulatory Elderly Patients
Authors: Portnoi Valery A. , Shriber Linda S. 
Published: April 2015

ABSTRACTGeriatric health care practice strives to respond to the medical, psychologic and social needs of the elderly person through coordinating the services of the physician and the psychiatric social worker. In a geriatric clinic at the George Washington University Medical Center, the medical regimen for elderly ambulatory patients is supported and augmented by psychotherapy, counseling, behavioral therapy, and instruction of the family about the patient's need for environmental or residential changes. A review of the records of 40 elderly patients initially enrolled in the geriatric clinic program showed that 20 were in need of mental health support. Among these, 8 had a depressive disorder, 1 had paraphrenia, 2 had longstanding schizophrenia, and the rest showed mental decline secondary to organic brain syndrome. The geriatrician and the psychiatric social worker were able to provide sufficient mental health support for these elderly mental patients to permit them to remain in the community for worthwhile periods. Ambulatory geriatric patients, especially those with mental health impairment, can benefit greatly from services offered in a comprehensive fashion by a geriatrician and a psychiatric social worker.
The Clinical Management of Grief
Authors: Jacobs Selby , Ostfeld Adrian 
Published: April 2015

ABSTRACTThe clinical management of grief involves issues that demonstrate the integration of psychosocial risk factors into clinical practice. Recommendations for the clinical management of grief are based on a review of the pattern of morbidity and mortality of bereavement, of the emotional response to conjugal loss, and of several postulated pathogenetic mechanisms.
Alleviation of Constipation in the Elderly by Dietary Fiber Supplementation
Authors: Hull Christine , Greco Roger S. , Brooks Dorothy L. 
Published: April 2015

ABSTRACTTo alleviate the constipation problem among the elderly residents of Essex County Geriatric Center, New Jersey, a fiber‐supplemented dietary regimen was started. Under this regimen, bran was added to the hot breakfast cereal, thus increasing the crude fiber content of the diet to 6–8 gm compared with the former 4–6 gm. As estimated from recent analysis data, the total dietary fiber was increased from 25 to 40 percent by the addition of bran. This amount of fiber proved effective in preventing constipation in 60 percent of the residents even though many of them had previously required laxatives. Additional programs of dietary fiber supplementation were devised for residents who did not respond to the cereal supplementation or who required nasogastric feedings. In the year following initiation of the program at this Center, the use of laxatives was virtually eliminated, and the institution's pharmacy reported a saving of $44,000 in expenditures for laxative drugs. Recipes are included for the bran‐supplemented hot cereal, a special fiber‐prune juice supplement, and a fiber‐rich liquid for tube‐feedings.
Situational Influences on Leisure Satisfaction and Morale in Old Age†
Authors: Mancini Jay A. , Orthner Dennis K. 
Published: April 2015

ABSTRACTThe relationship between leisure satisfaction and morale was examined within the context of leisure behavior, health, age, and socioeconomic status. Interviews were conducted with 104 noninstitutional adults aged 65 or older living in an urbanized area. Leisure satisfaction and morale were substantially related, and remained so when statistically tested with various third factors. Multivariate analysis indicated that the most important predictors of morale were leisure satisfaction and socioeconomic status. Self‐rated health, the illness index, and age were much less significant as predictors.
Burns in Older Patients
Authors: Slater Harvey , Gaisford John C. 
Published: April 2015

ABSTRACTAn increasing percentage of the burn victims admitted to the Western Pennsylvania Hospital and Burn Care Center are aged 65 or older. Among 108 such elderly patients admitted during the past six years, 68 died and 40 survived—a mortality rate of 63 percent. Those who died of burns (average age 76.4) had burns over 44.8 percent of the mean body surface, whereas the survivors (average age 73.5) had burns over a smaller area (16.7 percent). Survival also was related to the presence of significant heart and lung disease which antedated the thermal injury. Treatment of the burns was in keeping with standard recommendations for intravenous fluid resuscitation, wound care, and skin grafting. Cimetadine and antacids proved effective in the prevention of significant gastrointestinal bleeding. Ninety percent of the survivors returned to their homes after treatment. Although the mortality for elderly burn patients remains high, the favorable results in rehabilitation of the survivors are encouraging. Increased attention should be paid to safety programs for the elderly and those who care for them, to prevent such serious accidental injuries.
Laryngeal Carcinoma with Synchronous or Metachronous Bronchogenic Carcinoma
Authors: Shankar Patil S. 
Published: April 2015

ABSTRACTPrimary carcinoma of the lung may accompany or follow primary carcinoma of the larynx. This relationship was noted in 2 patients in whom the tumors occurred synchronously, and in 3 in whom they occurred metachronously. The lung cancer presented with bronchopulmonary symptoms in the synchronous group, and with an abnormal radiographic shadow (1 to 5 years after treatment for laryngeal carcinoma) in the metachronous group. The lung growth (squamous‐cell carcinoma) was confined to the upper lobes. The patients were all heavy cigarette smokers. The epithelium of the entire respiratory tract seems susceptible to malignant change. Patients who have undergone treatment for laryngeal carcinoma should be followed by periodic radiologic examination, as they are at greater risk for the development of a new malignant lesion in the lung. Moreover, patients with bronchogenic carcinoma require routine laryngoscopic examination to discover or rule out any coexistent primary growth in the larynx.
Euthyroid “Thyroxine Toxicosis”
Authors: MANKIKAR G. D. , CLARK A. N. G. 
Published: April 2015

ABSTRACTA survey was made of thyroid function tests on 1,153 patients screened for thyroid disease during a two‐year period in a Geriatric Department; 13 percent of the test results fell outside the normal range. Of 88 patients who showed above‐normal results, only 12 presented with clinical features of thyrotoxicosis. In 37 patients, the biochemical findings indicated euthyroid “thyroxine toxicosis”; high values were found for serum thyroxine (T4) and the free thyroxine index (FT4I) but there were no clinical signs or symptoms of thyrotoxicosis; the values reverted to normal within one to three weeks. This pattern was seen also in 7 examples of T4‐treated hypothyroidism. (Overall, the test findings indicated 61 cases of hypothyroidism.) The significance of this transient increase in T4 and FT4I values is discussed. The false positive results suggest that, when laboratory findings are not compatible with the clinical signs, the thyroid function tests should be repeated after another two weeks.
Paraplegia and Quadriplegia in the Elderly Due to Spinal Cord Lesions: Association with Malignancy
Authors: COX MARIA L. , OGLE SUSAN J. , HODKINSON H. MALCOLM 
Published: April 2015

ABSTRACT:A retrospective study showed that paraplegia and quadriplegia due to spinal cord lesions occurred with a frequency of 1 in 500 admissions to a geriatric department. These cases predominantly were caused by malignant disease, particularly of the bronchus. However, elderly patients presenting to other hospital departments included a far higher proportion of cases with benign causes, particularly cervical spondylosis which affects patients of lower average age. Male patients predominated in both malignant and benign categories.
Alcohol Problems in the Elderly
Authors: WATTIS JOHN P. 
Published: April 2015

ABSTRACT:Seven case reports of alcoholism in the elderly are presented. These patients formed a significant proportion of 108 patients seen in the first eight months of a new comprehensive psychiatric service for the elderly. None of them initially presented as alcohol abusers; three were first seen by geriatricians because of repeated falls, and four who came directly to psychiatrists were referred for atypical dementia, confusion or self‐neglect. Three patients had started to abuse alcohol only late in life; the remainder were life‐long heavy drinkers. In three instances, close relatives who abused alcohol themselves, were in collusion. The diagnosis of alcohol abuse in these elderly patients depended upon the recognition of such manifestations as repeated falls, confusion, and self‐neglect. The prognosis was influenced by age at onset, social and family factors, and the presence or absence of brain damage. In two of the patients, a poor prognosis was linked to collusion by alcohol‐abusing children.
Fatal Digoxin‐Quinidine Interaction in an Elderly Woman
Authors: Pieroni Robert E. , Marshall James 
Published: April 2015

ABSTRACTThe medical records of an elderly woman revealed strong evidence of a lethal digoxin‐quinidine interaction. This case and several problems contributing to digitalis toxicity are presented. Physicians should be more aware of the potential toxicities involved in cardioactive drug therapy in the elderly. Current concepts of the quinidine‐digoxin interaction are discussed.
Geriatric Hypochondriasis: Situational Factors
Authors: Brink T. L. , Janakes C. , Martinez N. 
Published: April 2015

ABSTRACTThe hypochondriacal attitudes of 53 aged community residents were studied. No significant correlations were found with situational stress, sex, or ethnicity (English‐speaking vs Spanish‐speaking). The levels of hypochondriasis appeared to be inversely related to self‐evaluation of memory ability. There was no indication of an inherent iatrogenic effect. It was concluded that hypochondriacal behavior is chiefly a function of the underlying personality, which may influence the perception of events as stressful.
Cimetidine Impairs Clearance of Antipyrine and Desmethyldiazepam in the Elderly
Authors: DIVOLL MARCIA , GREENBLATT DAVID J. , ABERNETHY DARRELL R. , SHADER RICHARD I. 
Published: April 2015

ABSTRACT:Sixteen young (21‐40 years) and nine elderly (65–78 years) volunteers received single intravenous doses of antipyrine on two occasions: once in the control state, and again while receiving therapeutic doses of cimetidine (300 mg every six hours). In the control state, antipyrine half‐life was longer in elderly than in young subjects (16.4 vs 11.0 hours), and metabolic clearance lower (0.48 vs 0.72 ml/min/kg). However, coadministration of cimetidine prolonged antipyrine half‐life to a similar extent in elderly and in young groups (150 and 153 per cent of control), and reduced metabolic clearance to a similar extent in both groups (79 vs 69 per cent of control). Three young and six elderly volunteers received a single 15 mg oral dose of clorazepate, a precursor of desmethyldiazepam, with and without cimetidine. As in the case of antipyrine, cimetidine prolonged desmethyldiazepam half‐life similarly in young and elderly groups (175 vs 164 per cent of control) and similarly reduced metabolic clearance (51 vs 65 per cent of control). The elderly population may already have an impaired capacity to oxidize drugs. This capacity is further impaired by coadministration of cimetidine.
Atypical Lymphoproliferative Reaction to Antibiotic Therapy
Authors: GORDON MICHAEL , LUK S. C. 
Published: April 2015

ABSTRACT:A case of atypical lymphoproliferative reaction in lymph nodes caused by combined ampicil‐lin and sulfisoxazole therapy is presented. Withdrawal of these drugs resulted in resolution of the lesion as well as in the disappearance of associated eosinophilia.
The Significance of an Ill Spouse for Assessing Health Differences in an Elderly Population
Authors: SATARIANO WILLIAM A. , MINKLER MEREDITH A. , LANGHAUSER CAROL 
Published: April 2015

ABSTRACT:In a survey of 678 elderly residents of Alameda County, California, it was found that respondents who reported their spouses as being ill in the last six months were more likely to report their own health as poor than those respondents whose spouses were not previously ill. The spouse's health was found to be the best predictor of the respondent's health. Research in this area may lead to a better understanding of the elderly spouse as a source of social support and may provide geriatricians with new insights into the health risks facing the married elderly.
Health Needs of the Hispanic Elderly
Authors: LOPEZ‐AQUERES WALDO , KEMP BRYAN , PLOPPER MICHAEL , STAPLES FRED R. , BRUMMEL‐SMITH KENNETH 
Published: April 2015

ABSTRACT:This paper presents results of a study concerning the health care needs of the Hispanic elderly population of Los Angeles County. By use of the Comprehensive Assessment and Referral Evaluation (CARE) instrument, data on a sample of 704 subjects were employed to compute the scores for 22 Likert‐type scales measuring the prevalence of numerous psychiatric, medical, and social problems. The data indicate that older Hispanics were affected by cognitive impairment (13.8 per cent), depression/demoralization (30.8 per cent), heart disorders (12.8 per cent), stroke effects (11.5 per cent), arthritis (28.3 per cent), hypertension (23.7 per cent), financial hardship (28.0 per cent), fear of crime (38.4 per cent), ambulation problems (17.2 per cent), or activity limitation (24.7 per cent); they also needed assistance (19.3 per cent) or used social services (22.0 per cent). Further analysis revealed that the prevalence of many of these problems varies significantly according to the age, sex, language, and income of respondents. The indicators of health care needs used in the study differed substantially from the more traditional measures based on the person's own perception of his or her health.
Peripheral Catecholamine Enzyme Function and Cognitive Impairment of Elderly Schizophrenics and Controls
Authors: BRIDGE THOMAS PETER , PHELPS BRUCE H. , CUTLER NEAL R. , JESTE DILIP V. , WYATT RICHARD JED 
Published: April 2015

ABSTRACT:Alterations of peripheral and central catecholamine systems are found in both schizophrenic and demented subjects. Reported here are the results of bivariate and multivariate analyses of cognitive function and peripheral catecholamine enzyme activities in a group of elderly schizophrenic patients and controls. The entire sample shows an inverse relationship of platelet monoamine oxidase (MAO) activity with cognitive impairment after controlling for the effects of age, race, and gender. Schizophrenic subjects also demonstrated an inverse relationship of plasma dopamine beta hydroxylase (DBH) activity with cognitive impairment. Demented subjects were characterized in both groups as having increments in platelet MAO activity. Demented schizophrenic subjects also were characterized by increments in plasma DBH activity. Results from this sample are discussed with respect to findings from other studies and future research.
Effect of Aging on the Clinical Significance of Fever in Ambulatory Adult Patients
Authors: KEATING HERBERT J. , KLIMEK JOSEPH J. , LEVINE DONALD S. , KIERNAN FRANCIS J. 
Published: April 2015

ABSTRACT:To study the effect of age on ultimate outcome of febrile illness, the authors prospectively studied 1,202 adult patients who came to an emergency room/walk‐in clinic setting with temperatures of 101.0°F (38.3°C) or more. The patients were divided into four age categories: 17 to 40 years, 40 to 59 years, 60 to 79 years, and 80 years old or older. Advancing age was significantly (P < 0.0005) associated with more serious disease, a higher rate of bacterial pathogen isolation, and a higher rate of life‐threatening or deadly consequences. Of patients 17–39 years old, 58.2 per cent had viral syndromes, otitis media, or pharyngitis as the causes of fever. Of patients aged 40–59 years, only 20.7 per cent had one of these diseases. However, of patients 60 years old or older, only 4.1 per cent (15 of 370) had viral syndromes, otitis media, or pharyngitis, and the overall rate of hospitalization for this group was 92.5 per cent. The authors conclude that febrile patients 60 years old or older seen in emergency room/ambulatory care settings are extremely likely to have serious diseases. Caution should be exercised before concluding that their fevers are of benign origin.
Global Brain Failure in a Nursing Home Resident Population
Authors: PATTEE JAMES J. , GUSTAFSON JUDITH MARSHIK 
Published: April 2015

ABSTRACT:Data from a Minneapolis Professional Standards Review Organization (PSRO) are used to explore the frequency of global brain failure, a group of diseases, in a population of nursing home residents. Findings are related to three other studies of the same or similar phenomena. Approximately 15 per cent of all patients in the Minnesota database exhibit global brain failure as measured by functional impairment on mental and physical indices. Thirty per cent of the patients in the database are incontinent. These findings raise ethical issues concerning the care management of the global brain failure patient who has an irreversible and gradually fatal disease.
The Role of Restriction of Sodium Intake in the Treatment of Heart Failure in the Elderly
Authors: KLEIN LLOYD W. , VISOCAN BARBARA J. 
Published: April 2015

ABSTRACT:For the vast majority of elderly patients with chronic heart failure, clinically effective dietary sodium restriction can be achieved in a diet that remains nutritious and palatable. Obtaining a thorough diet history is the initial step in devising a low‐sodium regimen. Then, the nutritionist and patient can work together to develop a dietary regimen that is culturally, economically, and medically acceptable. Although the availability of potent medications has markedly altered the medical approach to chronic congestive heart failure, their use is not without risk. Thus, dietary management continues to be a useful strategy in the treatment of this condition.
Hearing Assessment in Homes for the Aged: A Comparison of Audiometric and Self‐report Methods
Authors: CORBIN SANDRA , REED MARILYN , NOBBS HOLLY , EASTWOOD KIRSTEN , EASTWOOD M. ROBIN 
Published: April 2015

ABSTRACT:A comparison of audiometric and interview methods to identify hearing impaired elderly was made as part of a study of the relationship between hearing impairment and mental disorders of old age. Of 84 residents of a Home for the Aged examined by an Otolaryngologist and tested by an audiologist, reports of hearing status were incongruent in 41% of the cases. Only 36 residents (43% of the sample) were initially judged capable of reliable response to interview. Twenty‐two residents (26% of the sample) described hearing problems consistent with the type and degree of loss defined audiometrically. The frequency and clinical significance of hearing loss and the questionable reliability of self‐report on hearing argue for inclusion of audiometry in the routine assessment of this population.
Geriatrics: A Selected Up‐to‐date Bibliography
Authors: Rosenthal Mark 
Published: April 2015

This is the second annual revision of the Geriatrics Bibliography. Approximately two thirds of the old references have been replaced by more current or more detailed articles. The bibliography has been expanded to include several additional topics and over 200 new references.Since the literature pertinent to geriatrics is growing ever more rapidly, it has been necessary to omit many informative articles from the bibliography. Almost all of the references date from the past four years. Preference is given to recent publications, since they provide a list of the important earlier articles. Some articles were selected to highlight current controversies or changes in viewpoint. An occasional review article is cited to amplify geriatric aspects of common diseases.Most of the references deal specifically with an elderly patient population, studies of which, it will be noted, are confounded by questions of “normal” aging as opposed to the concomitants of aging frequent in our society: inactivity, obesity, malnutrition, and psychosocial trauma. A few articles concern diseases remarkably common in the aged but for which no adequate study specifically from a geriatric viewpoint exists; e.g., monoclonal gammopathy, Paget's disease, pulmonary emboli.The references are divided into categories. The first (I) set deals with some possible causes of aging, the second (II) with physiologic decline accompanying aging, the third (III) with the atypical and nonspecific characteristics of illness among geriatric patients, and the fourth (IV) with non‐physician services available to the elderly, including ethical quandaries. The remainder of the references are cited by pertinent medical specialty. Within each category, references are divided by disease process. Articles are further subgrouped by aspects of those diseases such as evaluation or therapy.