bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE SEASONAL SUSCEPTIBILITY TO MYOCARDIAL INFARCTION
Authors: Protos A. A. , Caracta A. , Gross Ludwig 
Published: April 2015

AbstractThe data on 539 patients (358 men and 181 women) with proved myocardial infarction, admitted to the hospital during a four‐year period, were reviewed and tabulated according to yearly and monthly intervals for both sexes. The admission rates were studied in relation to hypertension, hypercholesterolemia, diabetes, and mortality, and also in relation to the seasonal changes in temperature. The analysis showed that, for men, the curves representing admission and mortality rates were not characteristic. In contrast, for women, there were two distinct peaks of admission, in April and in December; a chi‐square value of 16.10 (df = 11) tended toward a significant difference. A similar tendency toward a significant difference was noted in the increased mortality for women in the spring months of March, April and May; chi‐square value, 4.76 (df = 3). Perhaps in women an additional factor of macrothrombus formation is somehow influenced by the season of the year.
DRUGS AND THE GERIATRIC PATIENT*
Authors: Lamy Peter P. , Kitler Mary Ellen 
Published: April 2015

AbstractReasons for caution in administering drugs to old people are discussed. A survey was made of the records of 33 elderly cardiac patients in a teaching hospital, 30 elderly ambulatory patients in the community, and 30 elderly patients in a geriatric hospital. The findings indicated that prescription practices were somewhat different for the hospital patients than for the community patients, but there did not seem to be any reduction in drug dosage on account of the patient's advanced age.Those who prescribe drugs for geriatric patients have a great responsibility to see that the dosage is correct and that, when the drug has to be self‐administered, the patient is given complete instructions which he can understand.
OCCUPATIONAL VARIATIONS IN MORTALITY FROM ISCHEMIC HEART DISEASE
Authors: Sigurjonsson Julius 
Published: April 2015

AbstractA comparison was made of the proportional frequencies of deaths from ischemic heart disease (IHD) in Icelandic males of different occupational classes—farmers, seamen, laborers, craftsmen, and white‐collar workers. The study was based on the examination of death certificates for adult males for the period 1951–60. There was no evidence of significant differences in method of death certification or in diagnostic transfer.At ages 35–64 the ratio of IHD deaths to all deaths ranged from 10.4 per cent for farmers to 30.4 per cent for white‐collar workers. In between were seamen and laborers on the lower side and craftsmen on the upper side of the over‐all value, which was 20.1 per cent. At ages 75 and older there were practically no differences. Further analysis indicated an essentially similar occupational pattern with respect to mortality rates, except for a somewhat contracted range. The rates for white‐collar workers, nevertheless, were about twice as high as for the farmers.The difference in IHD mortality between farmers and white‐collar workers at least, could not be related to the amounts or composition of dietary fats, but there was evidence of an association with physical activity and overnutrition. So far this is compatible with the view that habitual positive energy balance may be more important as a risk factor for ischemic heart disease than is richness of the diet in fats.
ESTROGEN INHIBITION OF A PROGERIA‐LIKE SYNDROME IN THE RAT
Authors: ORIMO HAJIME , FUJITA TAKUO , YOSHIKAWA MASAKI , HAYANO KAZUO , SAKURADA TOYOJO 
Published: April 2015

Abstract:Forty female Wistar‐Imamichi rats, each weighing 98 gm, were divided into 5 equal groups and the effects of dihydrotachysterol (DHT) on the calcium content and weight of the kidney, heart, aorta and femur were compared in ovariectomized and in intact rats. The effect of DHT was much more pronounced in the ovariectomized than in the intact rats. These findings strongly suggest the protective effect of endogenous estrogens on the DHT‐induced progeria‐like syndrome in rats.
CIRCULATORY REFLEX RESPONSE IN DIABETIC PATIENTS WITH OR WITHOUT PERIPHERAL NEUROPATHY
Authors: BISHNU SUNIL K. , BERENYI MAGDALENA R. 
Published: April 2015

Abstract:Two groups of diabetic patients of comparable age were studied. In Group I were 14 patients who had a history, physical findings and electromyographic readings consistent with diabetic peripheral neuropathy. In Group II were 17 patients with a comparable history of diabetes but without any physical or EMG signs of diabetic peripheral neuropathy. Valsalva's maneuver was used to detect abnormal circulatory reflexes, and thus to determine whether or not autonomic neuropathy regularly accompanies peripheral neuropathy in diabetes.In Group I, 2 of the 14 patients showed a normal response, and 4 a partial response (42.7 per cent). In Group II, 5 of the 17 patients showed a normal response, and 7 a partial response (70.6 per cent). The significantly lower number of responses to Valsalva's maneuver in Group I suggests a close correlation between peripheral neuropathy and autonomic neuropathy in diabetes mellitus.
FIBEROPTIC ESOPHAGOSCOPY IN GERIATRIC PATIENTS*
Authors: ANSELM KLAUS , SCHUMAN BERNARD M. , PRIEST ROBERT J. 
Published: April 2015

Abstract:Sixty‐four patients aged 65 or older were examined with the Olympus fiber esophagoscope. Fifteen had inflammatory changes, 10 had carcinoma or lymphoma, 5 had stomal ulcers after partial gastrectomy and 3 had esophageal varices. The procedure was tolerated well by all patients. Fiberoptic esophagoscopy offers a thorough and reasonably safe method of examination for the geriatric patient.
MIS‐ASSIGNMENT OF GERIATRIC PATIENTS TO A STATE MENTAL HOSPITAL*
Authors: FRIEDMAN JACOB H. 
Published: April 2015

Abstract:New admission criteria at the Bronx State Hospital exclude patients with non‐psychotic organic brain syndrome, mild psychoses or mild psychoneuroses. Thus an intensive psychiatric geriatric program was started consisting of chemotherapy; individual and group psychotherapy; family, recreational, and occupational therapy; and necessary medical attention. The comunity gradually is being educated successfully to accept the new policy.Nevertheless, because of outside influences, 66 patients who did not meet the new criteria had to be admitted during the period October 1, 1967 through September 30, 1969. In this study, these 66 are compared with a control group of 82 patients who met our admission criteria during the same period. Included are data on sex, marital status, age, method of referral, diagnoses, and results of therapy. The findings indicate that patients in the 65–69 age group, rather than the 70+ group, are the ones whom the community tries to “dump.” The patients who were admitted but did not meet the criteria had much more insight into their condition than those who met the criteria. Those who were admitted without meeting the criteria fared much more poorly in regard to duration of hospital stay, convalescent status, discharge status, and mortality rate.The improper placement of geriatric patients in a state mental hospital with a modern therapeutic geriatric psychiatric program is detrimental to these patients, and is a grievous error for all concerned.
CLINICAL EVALUATION AND MANAGEMENT OF THE IMPOTENT*
Authors: TUCKER ERIC C. 
Published: April 2015

Abstract:A plan is outlined for the evaluation and management of the impotent male. The physiology of erection and the causes of impotence are discussed. Each case must be thoroughly studied to eliminate organic causes (which usually indicate specific endocrine therapy) before psychiatric treatment is started. A last resort is implantation of a penile prosthesis.
MEDICARE AND COMMUNICATIVE THERAPY FOR THE AGED
Authors: Weiss Curtis E. 
Published: April 2015

AbstractThe academic and clinical training of speech pathologists and audiologists must include working with the geriatric population, especially if these clinicians anticipate private practice with Medicare patients. The course of study should include a review of the literature, and training in observation, diagnosis, direct therapy, supportive therapy, and research projects. Such a comprehensive experience will demonstrate to the students that the communicative problems of the aged are unique and require treatment by specially trained personnel using special procedures, and that it is detrimental to the clinician and to his profession if he attempts to treat geriatric patients without previous training or experience in this area.
RADIOLOGICAL FINDINGS IN PROGERIA
Authors: Reichel William , Bailey Joseph A. , Zigel Saul , Garcia‐Bunuel Rafael , Knox Gaylord 
Published: April 2015

AbstractRoentgen evidence of 15 skeletal features was studied in 4 patients with progeria. Fourteen of the 15 features were noted in either 3 or all 4 patients. Four of these skeletal characteristics have not been noted previously—valgus deformity of the humeral head and neck, temporal variability in the appearance of epiphyseal ossification centers, laminations beneath the periosteum of bone, and transverse lines of increased density at the metaphyseal ends of the long bones. The 15 skeletal features could be accounted for on the basis of vascular and muscular alterations, and primary bone disturbances. Such diverse involvement of mesodermal derivatives suggests that the disorder in progeria originates during the early development of these structures. Pathological findings (sclerotic skin changes, subintimal fibrosis of vessels, multifocal interstitial myocardial fibrosis) and other evidence supports an abnormality of collagen metabolism which could be related to this mesodermal disorder.
HALOPERIDOL VERSUS THIORIDAZINE FOR HOSPITALIZED PSYCHOGERIATRIC PATIENTS: DOUBLE‐BLIND STUDY*
Authors: Tsuang Min‐Min , LU Leigh Min , Stotsky Bernard A. , Cole Jonathan O. 
Published: April 2015

AbstractA 12‐week double‐blind study was started with 60 actively psychotic geriatric patients residing in Boston State Hospital, to compare the psychopharmacological efficacy of haloperidol with that of thioridazine. The dosage was flexible—an initial low dosage followed by gradual increments until a satisfactory therapeutic response was obtained. Average maintenance dosages were about 2 mg a day for haloperidol and 100–125 mg a day for thioridazine. The rating instruments used were the Brief Psychiatric Rating Scale (BPRS), Stotsky Mental Status, Clinical Global Impression, NOSIE‐30 (Nurse's Observation Scale), and Activities of Daily Living. At the end of the study, 50 patients were available for analysis. Our results indicated significant decreases in many areas of psychotic psychopathology for both drug groups, without significant differences between the actions of the two drugs. For both haloperidol and thioridazine, significant (P .05) improvement occurred in the following variables on the BPRS and the NOSIE‐30: anxiety, excitement, irritability, hostility, suspiciousness, hallucinatory behavior, mannerisms, tension, unusual thoughts, blunted affect, neatness, and manifest psychosis.Side effects, with the low dosages used, were not common, and were surprisingly similar for the two drugs. Haloperidol appeared essentially equivalent to thioridazine in both efficacy and in the frequency and type of side effects observed.
GERIATRICS: AN EMERGING CHALLENGE TO THE HEALTH PROFESSIONS*
Authors: Sherman E. David 
Published: April 2015

“Not yet can I speak with the authority of the ”retired“ from labour, a shadowy company who spend their time in regretting their retirement and criticising their successors. I am still at work with my hand to the plough, and my face to the future. The shadows of evening, it is true, lengthen about me, but morning is in my heart!”Sir William Mulock, 1930
CLINIC FOR PATIENTS WITH LONG‐TERM DISEASES (LT‐PATIENTS)
Authors: Dahl Sven 
Published: April 2015

AbstractThis is an outline, based on Swedish conditions, of an organisation created to help long‐term (LT) patients. As geriatric LT‐patients form a steadily growing problem for the Western world, it is essential to find a way in which the community can help them and, at the same time, help itself.The LT‐speciality requires a change in the work of the hospital physician. First of all its requires that he become acquainted with the social organisation of the community and the possibilities for obtaining help. This is an important part of the whole work if he is to start and carry through the necessary co‐operation with the central and local authorities.If a community does not find a satisfactory solution to the problem of the necessary help for LT‐patients, all the health services and the whole of the welfare program will suffer severely.
SCLERODERMA IN THE ELDERLY, WITH SPECIAL REFERENCE TO THE CRST SYNDROME
Authors: Hodkinson H. M. 
Published: April 2015

AbstractScleroderma, hitherto rarely reported in patients beyond the age of 70, is not uncommon among female patients of the geriatric age group. The author observed 15 cases during eleven years of geriatric practice.In all the cases the disease was in a mild form and appeared to have a favourable prognosis. Of the 15 patients, 2 were definitely, and an additional 8 were probably cases of the CRST syndrome—calcinosis, Raynaud's phenomenon, sclerodactyly, and telangiectasia. Thus the CRST syndrome, previously regarded as a rare benign variant form of scleroderma, seems to be common in the elderly and to represent the most frequently observed form of the disease. The remaining 5 cases, showing only Raynaud's phenomenon and skin changes (oesophageal changes occasionally), may represent incomplete forms of the CRST syndrome, as they were of shorter duration but differed in no other essential respects.It is suggested that the CRST syndrome may represent merely a late stage of acrosclerosis and not a separate disease entity.
ETIOLOGY AND TREATMENT OF PYELONEPHRITIS: MODERN CONCEPTS
Authors: Riccitelli M. L. 
Published: April 2015

AbstractPyelonephritis is an extremely complex disease and is not fully understood. In its development, it gives rise to a great variety of signs and symptoms and involves a series of pathogenic mechanisms. This article explores the various aspects of urinary‐tract infections in the light of our present knowledge. Topics of discussion are the common causes of pyelonephritis, the collection and bacteriologic study of the urine, the use and abuse of the catheter, pathways of infection, the special susceptibility of certain age groups (including the elderly) to infection, diagnostic procedures, and medical and surgical therapy.
BACTEROIDES SEPTICEMIA IN OLDER PATIENTS*
Authors: ELLNER PAUL D. , WASILAUSKAS BENEDICT L. 
Published: April 2015

Abstract: Thirty‐seven cases of Bacteroides septicemia are documented. Eighteen of these patients were age 45 or older; the mean age was 65 years. Fourteen of these older patients were males, most of whom had gastrointestinal disease. Seven of the 18 patients died as a result of their infection.The predominant species was B. funduliformis (Sphaerophorus necrophorus). Antibiotic susceptibility testing indicated that all strains were resistant to kanamycin and, with one exception, were sensitive to chloramphenicol.Although clinically indistinguishable from septicemia due to other Gram‐negative organisms, a useful clue to Bacteroides sepsis was the delayed appearance of growth in blood cultures. Bacteroides should be considered as a possible etiologic agent in older patients with sepsis who have failed to respond to conventional treatment and whose blood cultures show no growth within forty‐eight hours.
On Being Old and On Dying
Authors: KAST ERIC C. 
Published: April 2015

ABSTRACT:An image of an old person is presented that emphasizes his limitations and capabilities. Isolation and depression are the main characteristics of the physiologic aging process. Hypochondriasis may be a defense against isolation. The impact of malignant tumors, cardiovascular catastrophes and chronic brain syndrome on old people is discussed.As a basic therapeutic guideline in dealing with old people, cognizance should be taken of the realistic isolation of old people and the need for integration within their own society with their own spiritual and physical standards. All attempts should be made to preserve their dignity and self‐respect. This can not be done through condescension or solicitude but through open and free discussion of their infirmities and the necessary therapeutic measures.
The Aging Process
Authors: HENDERSON EDWARD 
Published: April 2015

ABSTRACT:The sorry state of our knowledge of the process of aging calls for emphasis on basic research. Today our resources are chiefly expended on praiseworthy and necessary attempts to alleviate the diseases associated with old age and to provide good medical and psychological care. Meanwhile, through studies of healthy older humans and other species, we should try to discover what the process of aging is. Only thus can we make more significant contributions toward enhancing the quality of life in old age, let alone lengthening the life span.
An Appraisal of Anorexiants in the Treatment of Obesity*
Authors: FINEBERG S. K. 
Published: April 2015

ABSTRACT:Descriptions of the serious effects of amphetamines refer to large overdosages, orally or parenterally. This is quite different from the dosages involved when anorexiants are used properly as an adjunct in the total treatment of obesity. They constitute an initial “crutch” to help strongly motivated stable patients to change their eating habits. Anorexiants should never be used on a long‐term basis. As the total program is difficult for both patient and physician, any temporary therapy of such value to the obese patient should not be prohibited if given under the supervision of an experienced physician who knows the indications for withdrawal. Under these circumstances, the hazards are minimal.
A Fellowship in Geriatric Medicine*
Authors: LIBOW LESLIE S. 
Published: April 2015

ABSTRACT:After several years of experience in training interns and residents in Geriatrics during their two‐ or three‐month rotational period on this service, a full‐time Fellowship program has now been established in Geriatric Medicine, with the cooperation of the Department of Medicine. It is expected that the Fellows will achieve: 1) a special knowledge of and adeptness with the illnesses and health needs of the elderly, and 2) special abilities to plan for community needs regarding its elderly. The base for the program is the 80‐bed medical and surgical convalescent unit of this 1000‐bed general teaching hospital. Two‐thirds of the patients admitted return to the community within ten weeks. The Fellowship program includes participation in: 1) daily bedside rounds, 2) weekly staff conferences emphasizing an interdisciplinary approach to patients' problems, 3) weekly journal‐club sessions on “current concepts” in geriatrics, 4) community‐based health programs, 5) daily teaching conferences of the Department of Medicine, and 6) a research project related to the medication problems of the elderly. The first Fellow has been accepted and a two‐year to three‐year program is planned which will be divided between Internal Medicine and Geriatric Medicine.
Therapeutic Decision Making and Institutional Advocacy in Caring for the Ill Aged*
Authors: MILLER MICHAEL B. 
Published: April 2015

ABSTRACT:The clinical management of the severely ill aged patient in an institution is a complex process. In addition to decision making by the patient, family and physician, there is another factor related to increased safety and an improved quality of living for the patient. This factor is the inclusion of the institution in decision making with respect to therapeutic goals and methods. Institutional participation may help in uniting the divergent attitudes of the patient, the family and the attending physician. Firm control of the clinical management of the patient must always rest with the attending physician, but a beneficial contribution can be expected from other professional sources within the health care facility when they possess the necessary skills to become involved in decision making.
Comparative Study of Coagulation, Fibrinolysis and Cardiorespiratory Function in Elderly and Young Subjects after Exercise*
Authors: GIBELLI A. , MORPURGO M. , GIAROLA P. , BEULCKE G. , CASACCIA M. , PETRINI C. , RAMPULLA C. 
Published: April 2015

ABSTRACT:Nine aged subjects (67 to 87 years old) and 9 young and adult persons were submitted to an exercise load (cycloergometer) varying between 1.0 to 1.5 W/kg. Tests of cardiorespiratory function, blood coagulation and fibrinolysis were carried out before and after exercise, and then after 5, 15 and 60 minutes. The increase of respiratory rate was more marked in the elderly subjects than in the young and adult persons. No differences were observed with respect to the increase of heart rate and blood pressure. The increase of oxygen “pulse” was considerably less pronounced in the elderly. The pulmonary ventilation and the ventilatory oxygen equivalent were significantly different after six minutes of exercise. No significant differences were observed for blood lactic and pyruvic acid, or for the blood coagulation indexes, including factor VIII. The increase in fibrinolytic activity was marked and constant, irrespective of age.
Geriatrics and the Humane Environment
Authors: ROSS C. HOWARD 
Published: April 2015

ABSTRACT:A report is presented to the American Geriatrics Society on the 24th Annual Conference on Aging, sponsored by the University of Michigan and Wayne State University, and held in Ann Arbor, Michigan, June 7–9, 1971. Plenary sessions, workshops, panel presentations and discussion groups filled half a week of endeavor concerning “The Care of Old People—Creating the Humane Environment.”A description of old people in need of care was combined with issues and achievements, nudging the economics of health goals along the way. The mobilization of organized groups of retired persons, with a political potential, was an outstanding feature.
Predictive Medicine. XII. The Oral Cavity
Authors: CHERASKIN E. , RINGSDORF W. M. 
Published: April 2015

ABSTRACT:The state of the oral cavity affects general health, and vice versa. Nevertheless, rarely, if ever, are the oral tissues considered in multiple testing programs. Predictive medicine programs differ, in that they include signs and symptoms referable to the oral cavity. Representative data indicate, for example, that alveolar bone loss proceeds at a much slower rate in persons with good oral hygiene and efficient carbohydrate metabolism.
A Novel Rehabilitation Program for the Non‐Institutional Disadvantaged Elderly Residing in an Urban Community
Authors: WENDKOS MARTIN H. , SOUDACK MOLLIE , FISCHER GRETA 
Published: April 2015

ABSTRACT:Since late 1969, a unique rehabilitation program has been operational to meet the needs of disadvantaged elderly residents of the urban Katamon district of Jerusalem. This pilot project has involved 45 male and female Jewish immigrants who had arrived in Israel between 1948 and 1950. The novel aspect of the undertaking was the utilization of mildly handicapped residents (termed “visitors”) to assist in the care of regressed fellow residents (termed “visitees”). In the latter group, the regression was considered to be largely the result of impoverishment of the environment in combination with the difficulties inherent in achieving a satisfactory adjustment in a new land. Another important element of the program was the establishment of a close dyad relationship between “visitors” and “visitees.” The end‐result was a reciprocity of benefits for the two groups. Factors that might account for this mutuality of improvement are discussed.