Osteoporosis, calcium requirement, and factors causing calcium loss.

abstract：:There are three major obstacles to a recommendation for screening the elderly for NIDDM. The first is the conflicting evidence as to whether early detection and treatment reduce complications. The second is that treatment of hyperglycemia with attainment of euglycemia is difficult to achieve in the elderly. Nondrug th...

journal_title：Clinics in geriatric medicine

authors： Trilling JS

更新日期：1990-11-01 00:00:00

abstract：:Older women may experience sexual dysfunction due to many different causes. Some problems related to menopausal hormonal change may be easily treated with estrogen supplements. Other problems involve intricate interpersonal relations between the woman and her sexual partner and may require a combination of medical the...

journal_title：Clinics in geriatric medicine

authors： Goldstein MK,Teng NN

更新日期：1991-02-01 00:00:00

abstract：:Major focuses of geriatric medicine are cardiovascular diseases with increases in prevalence in older people and how aging might modify the risk factors, clinical manifestations, treatment strategies, and prognoses of these diseases. Quantitative information on age-associated alterations in cardiovascular structure an...

journal_title：Clinics in geriatric medicine

authors： Lakatta EG

更新日期：2000-08-01 00:00:00

abstract：:This article attempts to summarize some of the pertinent literature in the context of the authors' clinical experience and suggests that a comprehensive psychiatric and medical evaluation, as well as a combined behavioral/environmental approach together with appropriate pharmacotherapy, are important tools in the mana...

journal_title：Clinics in geriatric medicine

authors： Mintzer JE,Hoernig KS,Mirski DF

更新日期：1998-02-01 00:00:00

abstract：:The intent of this review is to highlight several difficult questions from a personal perspective while caring for debilitated elderly patients in a nursing home. These problems appear to be encountered less frequently in the acute-care setting. Where possible, supporting literature is cited and legal precedent is ind...

journal_title：Clinics in geriatric medicine

authors： Wood JS

更新日期：1986-08-01 00:00:00

abstract：:Urinary infection is the most common infection in elderly populations. There is a high prevalence of asymptomatic bacteriuria, but this is benign and does not require treatment. A urine specimen for culture should be obtained before initiating antimicrobial therapy for symptomatic infection. Antimicrobial treatment re...

journal_title：Clinics in geriatric medicine

authors： Nicolle LE

更新日期：2009-08-01 00:00:00

abstract：:There is no single definition of polypharmacy. Use of 5 or more medications commonly is used. An alternative, quantitative definition, such as use of more medications than clinically indicated or use of unnecessary or harmful prescribing, has been proposed. Protocols or algorithms to improve polypharmacy and prescribi...

journal_title：Clinics in geriatric medicine

authors： Levy HB

更新日期：2017-05-01 00:00:00

abstract：:A wide array of clinical trials over the past two decades has established that aspirin is indicated to prevent myocardial infarction in patients with clinically evident coronary artery disease, and to prevent stroke in patients with a history of stroke or TIAs. The most likely mechanism by which aspirin decreases the ...

journal_title：Clinics in geriatric medicine

authors： Dalen JE,Goldberg RJ

更新日期：1992-02-01 00:00:00

abstract：:Delusional depression frequently is encountered in the treatment of older psychiatric patients. Although the pathogenesis of this disorder and its relationship to organic brain lesions remains unclear, somatic treatment, especially with ECT, leads to initial recovery in the majority of cases. High rates of relapse and...

journal_title：Clinics in geriatric medicine

authors： Meyers BS

更新日期：1992-05-01 00:00:00

abstract：:Depression is one of the most serious and prevalent neuropsychiatric disorders of old age. Despite its prevalence, depression in the aged is frequently unrecognized or is misdiagnosed. This article reviews the existing knowledge of several sleep-related areas and discusses possible future studies into sleep as a progn...

journal_title：Clinics in geriatric medicine

authors： Hoch CC,Buysse DJ,Reynolds CF 3rd

更新日期：1989-05-01 00:00:00

abstract：:Lower intestinal bleeding in the elderly is a common problem with numerous and varied causes. Its diagnosis and treatment require a careful, systematic approach by physicians with special expertise. Under the proper circumstances, elderly patients with lower intestinal bleeding do well, even when surgery is required. ...

journal_title：Clinics in geriatric medicine

authors： Reinus JF,Brandt LJ

更新日期：1991-05-01 00:00:00

abstract：:This review focuses on studies that pertain to obesity and aging. The prevalence of obesity in the elderly is discussed, with an emphasis on body-fat distribution as it relates to morbidity and mortality rates. Treatment options, such as physical activity, growth hormones, and drug therapy, are briefly mentioned. A se...

journal_title：Clinics in geriatric medicine

authors： Kotz CM,Billington CJ,Levine AS

更新日期：1999-05-01 00:00:00

abstract：:Schizophrenia in late life includes both chronic early-onset schizophrenia and late-onset schizophrenia. Treatment with neuroleptics in relatively low doses is often useful in controlling psychotic symptoms in these patients. The value of neuroleptics is limited, however, by the risks of side effects such as tardive d...

journal_title：Clinics in geriatric medicine

authors： Tran-Johnson TK,Krull AJ,Jeste DV

更新日期：1992-05-01 00:00:00

abstract：:Normal aging is associated with a multitude of changes in the cardiovascular system, including decreased compliance of blood vessels, mild concentric left ventricular hypertrophy, an increased contribution of atrial contraction to left ventricular filling, and a higher incidence of many cardiac arrhythmias, both brady...

journal_title：Clinics in geriatric medicine

authors： Chow GV,Marine JE,Fleg JL

更新日期：2012-11-01 00:00:00

abstract：:Many health care professionals lack knowledge about artificial nutrition and hydration at the end of life or may hold different attitudes about artificial nutrition and hydration compared with other treatments. Consequently, they may convey inaccurate or misleading information to patients or their surrogate decision m...

journal_title：Clinics in geriatric medicine

authors： Huang ZB,Ahronheim JC

更新日期：2000-05-01 00:00:00

abstract：:This article highlights new developments in assessment and management of pain and delirium. ...

journal_title：Clinics in geriatric medicine

authors： Yennurajalingam S,Braiteh F,Bruera E

更新日期：2005-02-01 00:00:00

abstract：:An understanding of the causes, nature, and course of intellectual impairment in Parkinson's disease (PD) is essential for the correct development of therapy. This article reviews the causes of the dementia of PD, its primary clinical and pathological features, and its course. ...

journal_title：Clinics in geriatric medicine

authors： Mortimer JA

更新日期：1988-11-01 00:00:00

abstract：:In end-of-life care, attending to spiritual needs ensures that a dying patient has the opportunity to find meaning in the midst of suffering and to have the opportunity for love, compassion, and partnership in their final journey. This article summarizes some of the beliefs and traditions from Judaism, Islam, and Chri...

journal_title：Clinics in geriatric medicine

authors： Puchalski CM,Dorff RE,Hendi IY

更新日期：2004-11-01 00:00:00

abstract：:An analysis of the risk factors and clinical presentation of intracerebral hemorrhage in the elderly is provided. Specific pathogenic mechanisms that apply to the elderly, such as cerebral amyloid angiopathy, are discussed in detail. General management of intracerebral hemorrhage is discussed, along with specific issu...

journal_title：Clinics in geriatric medicine

authors： Kase CS

更新日期：1991-08-01 00:00:00

abstract：:Older women are at a significantly increased risk of developing ovarian, endometrial, and cervical cancers. When an elderly woman develops one of these malignancies, she is more likely to die from it than a younger woman. The increased mortality-to-incidence ratio may be related primarily to the more advanced stage at...

journal_title：Clinics in geriatric medicine

authors： McGonigle KF,Lagasse LD,Karlan BY

更新日期：1993-02-01 00:00:00

abstract：:This article discusses the specific effects of smoking on the heart and coronary arteries and demonstrates how these effects increase the risk for cardiovascular morbidity and mortality. The conflicting results of various studies concerning the association of smoking and coronary heart disease in older persons are rev...

journal_title：Clinics in geriatric medicine

authors： Tresch DD,Aronow WS

更新日期：1996-02-01 00:00:00

abstract：:It should be recognized that sexuality in the aging male is of such import that a complete sexual history must be performed. By taking a complete sexual history, facts can be obtained that will allow for appropriate focus relating to a holistic evaluation and will enable us to dispel antiquated sexual myths pertaining...

journal_title：Clinics in geriatric medicine

authors： Ginsberg TB

更新日期：2010-05-01 00:00:00

abstract：:Patients commonly are left to suffer from pain that affects their daily lives. The prevalence of undertreated, moderate to severe pain is a public health problem in many countries, including the United States. In many cases, opioids should be the mainstay for the treatment of this level of pain, but they often are not...

journal_title：Clinics in geriatric medicine

authors： Fujimoto D

更新日期：2001-08-01 00:00:00

abstract：:Although dementias are defined by their cognitive and functional deficits, psychiatric problems are common, contribute to patient distress and caregiver burden, and precipitate institutionalization. Successful treatment involves understanding that physiologic, psychological, and environmental factors can contribute to...

journal_title：Clinics in geriatric medicine

authors： Wang LY,Borisovskaya A,Maxwell AL,Pascualy M

更新日期：2014-08-01 00:00:00

abstract：:Physical activity protects against the development of chronic disease and disability. There appears to be little risk of damage to joints from regular, moderate-level exercise. Patients with arthritis can safely participate in exercise programs and often have relief of pain and disability. The most difficult problem f...

journal_title：Clinics in geriatric medicine

authors： Ettinger WH Jr

更新日期：1998-08-01 00:00:00

abstract：:American health-care practitioners are faced with a rapidly growing, geriatric, Hispanic-American population. This group shares certain cultural links but is largely heterogeneous and comprised of many subgroups, the largest of which are Mexican Americans, Puerto Ricans, and Cuban Americans. Health-care practitioners ...

journal_title：Clinics in geriatric medicine

authors： Pousada L

更新日期：1995-02-01 00:00:00

abstract：:To summarize, there has been shamefully little empirical research directly examining the prevalence and correlates of pain among cognitively impaired older people. Even less is known about techniques for assessing and managing pain in this group. Existing evidence suggests that cognitively impaired older persons may v...

journal_title：Clinics in geriatric medicine

authors： Parmelee PA

更新日期：1996-08-01 00:00:00

abstract：:Musculoskeletal changes that are related to osteoporosis can be prevented, challenged, or reduced with implementation of proper rehabilitation programs. The nonpharmacologic interventions recommended here are evidence-based and have resulted from controlled trials and studies. ...

journal_title：Clinics in geriatric medicine

authors： Sinaki M

更新日期：2003-05-01 00:00:00

abstract：:Behavioral signs and symptoms in dementia are common, morbid, classifiable, and treatable. The current state-of-the-art approach is to evaluate carefully for social or environmental causes, intercurrent medical conditions, or other triggers of the behavior and attempt to deal with those directly. When these conservati...

journal_title：Clinics in geriatric medicine

authors： Tariot PN,Ryan JM,Porsteinsson AP,Loy R,Schneider LS

更新日期：2001-05-01 00:00:00

abstract：:Syncope is a common clinical problem accounting for 3% of all emergency room visits and 1% to 6% of all hospital admissions. Both a sign and a symptom, syncope can be caused by a wide variety of conditions. Syncope in the geriatric patient can be a particularly challenging problem because of the coexistence of multipl...

journal_title：Clinics in geriatric medicine

authors： Grubb BP,Karabin B

更新日期：2012-11-01 00:00:00