Hormone replacement therapy in the geriatric patient: current state of the evidence and questions for the future. Estrogen, progesterone, testosterone, and thyroid hormone augmentation in geriatric clinical practice: part 1.

abstract：:Dry eye and dry mouth symptoms are each reported by up to 30% of persons more than 65 years of age, particularly in women. Medication side effects are the most common contributing factors. The evaluation of these symptoms requires measures of ocular and oral dryness. Sjögren syndrome is the prototypic disease associat...

journal_title：Clinics in geriatric medicine

authors： Baer AN,Walitt B

更新日期：2017-02-01 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：:Falling is often a multifactorial syndrome that can be viewed from several perspectives, including pathophysiologic, biomedical, functional, and ecologic models. The history, physical examination, and performance testing are the cornerstones of evaluation. Diagnostic testing in selected cases and environmental evaluat...

journal_title：Clinics in geriatric medicine

authors： Studenski S,Rigler SK

更新日期：1996-11-01 00:00:00

abstract：:Falls, syncope, and the associated complications are among the most serious problems that face the elderly population. The most common underlying causes and risk factors for falls include muscle weakness, gait and balance problems, visual impairment, cognitive impairment, depression, functional decline, and particular...

journal_title：Clinics in geriatric medicine

authors： Rubenstein LZ,Josephson KR

更新日期：2002-05-01 00:00:00

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：:Bone is a complex organ which contains an organic matrix which serves as scaffolding, includes mineral as calcium distributed in a pattern providing structure and serves as an ion reservoir for the body. Throughout life it dynamically changes in response to changes in activity, body mass, and weight bearing. It is imp...

journal_title：Clinics in geriatric medicine

authors： Simon LS

更新日期：2005-08-01 00:00:00

abstract：:Parkinson disease is a complex, age-related, neurodegenerative disease associated with dopamine deficiency and both motor and nonmotor deficits. Many environmental and genetic factors influence Parkinson disease risk, with different factors predominating in different patients. These factors converge on specific pathwa...

journal_title：Clinics in geriatric medicine

authors： Simon DK,Tanner CM,Brundin P

更新日期：2020-02-01 00:00:00

abstract：:This review describes the effect of type 2 diabetes on fat mass, fat distribution, and lean mass, and changes in these parameters, in older adults, focusing on observational studies. Studies show that type 2 diabetes is associated with an unfavorable body composition characterized by more visceral fat, less thigh subc...

journal_title：Clinics in geriatric medicine

authors： Koster A,Schaap LA

更新日期：2015-02-01 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：: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：:Suicide in the elderly is a growing problem. The elderly population is increasing, and elderly patients have multiple issues that place them at higher risk of suicidality. These issues include physical illnesses, mental illness, loss of functional status, isolation, and family, financial, and social factors. Access to...

journal_title：Clinics in geriatric medicine

authors： Brooks SE,Burruss SK,Mukherjee K

更新日期：2019-02-01 00:00:00

abstract：:In summary, herbs are commonly used, and it is the physician's responsibility to have better documentation of this practice by encouraging patients to report use of herbs, and to look for any unusual side effects that can occur in terms of herb-drug or herb-herb interactions. ...

journal_title：Clinics in geriatric medicine

authors： Tariq SH

更新日期：2004-05-01 00:00:00

abstract：:Prostate cancer (PCa) is a common medical condition in the United States, with an estimated 16% of men receiving a diagnosis during their lifetime. Although it is the second leading cause of cancer-specific deaths among men, PCa will not be the cause of death for most men who are diagnosed with it. Although there are ...

journal_title：Clinics in geriatric medicine

authors： Roussel B,Ouellet GM,Mohile SG,Dale W

更新日期：2015-11-01 00:00:00

abstract：:Cardiovascular disorders are a common cause of falls and syncope in older adults. The most common cardiac disorders linked to falls and syncope are carotid sinus syndrome, postprandial hypotension, orthostatic hypotension, vasovagal syncope, and bradyarrhythmias. It is important to recognize these conditions, because ...

journal_title：Clinics in geriatric medicine

authors： Cronin H,Kenny RA

更新日期：2010-11-01 00:00:00

abstract：:Hypoglycemia is a serious problem in older patients with diabetes mellitus. This chapter discusses risk factors associated with hypoglycemia and approaches to mitigation of the risk for hypoglycemia. Specific considerations include selection of glucose lowering agents, comorbid conditions and the implications of decli...

journal_title：Clinics in geriatric medicine

authors： Hoogwerf BJ

更新日期：2020-08-01 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：:Cancer in the oldest old is a novel problem, due to the recent burgeoning of the population aged 85 and older. This article addresses three critical questions related to cancer in the oldest old: Does the incidence of cancer increase after age 95? Is cancer a common cause of death for the oldest old? Is cancer accurat...

journal_title：Clinics in geriatric medicine

authors： Stanta G,Campagner L,Cavallieri F,Giarelli L

更新日期：1997-02-01 00:00:00

abstract：:When the elderly are afflicted by malignancy, chances are good that at some point in the course of their illness the skeleton will be involved. Bone metastases, hypercalcemia, and other paraneoplastic syndromes are commonly encountered and require definitive diagnosis and management. In general, the therapy for the el...

journal_title：Clinics in geriatric medicine

authors： Kochersberger GG,Lyles KW

更新日期：1987-08-01 00:00:00

abstract：:Over one-third of Medicare stroke patients are admitted to nursing homes for rehabilitation. Patients with stroke who are admitted to nursing homes are extremely heterogeneous, including both those with minimal physical and cognitive impairment and those who are totally physically dependent. Quality measures that are ...

journal_title：Clinics in geriatric medicine

authors： Kramer AM,Coleman EA

更新日期：1999-11-01 00:00:00

abstract：:Tests of performance and alertness in normal older subjects undergoing sleep loss reveal loss of performance and alertness similar to that seen in younger individuals. Recovery of performance ability occurs with one night of normal sleep, even following periods of sleep loss up to 64 hours in length. Older individuals...

journal_title：Clinics in geriatric medicine

authors： Bonnet MH,Arand DL

更新日期：1989-05-01 00:00:00

abstract：:As our population continues to age, the early diagnosis and optimal management of patients with gastroesophageal reflux disease becomes paramount. Maintaining a low threshold for evaluating atypical symptoms in this population is key to improving outcomes. Should patients develop complications including severe esophag...

journal_title：Clinics in geriatric medicine

authors： Otaki F,Iyer PG

更新日期：2021-02-01 00:00:00

abstract：:To a considerable extent, the advent of the term sarcopenia has contributed to the focus on this important condition and its effects on the quality of life and care of older persons. It is hoped that the advances in our understanding of the etiology and treatment of sarcopenia will further contribute to placing this d...

journal_title：Clinics in geriatric medicine

authors： Rosenberg IH

更新日期：2011-08-01 00:00:00

abstract：:As knowledge of molecular and cellular mechanisms of development and aging is elucidated, the need to understand the relationships among tissues, organ systems, health habits, nutrition, physical activity, and environmental factors on successful aging becomes more explicit. Progress in our understanding of how the imm...

journal_title：Clinics in geriatric medicine

authors： Heuser MD,Adler WH

更新日期：1997-11-01 00:00:00

abstract：:Lifespans worldwide continue to get progressively longer as we learn more about the science of aging, adopt more healthy lifestyles, and develop better technology to promote successful longevity. Unfortunately, with advanced age comes bone loss and an increased risk for skeletal fractures. Much is known about age-rela...

journal_title：Clinics in geriatric medicine

authors： Gunby MC,Morley JE

更新日期：1994-11-01 00:00:00

abstract：:Treatment of alcohol dependence among older alcoholic patients should be multidimensional to address as many potential relapse factors as possible. As the literature suggests, alcohol-related disorders often are under diagnosed and under treated. More efforts are needed to identify and improve diagnosis of these disor...

journal_title：Clinics in geriatric medicine

authors： Sattar SP,Petty F,Burke WJ

更新日期：2003-11-01 00:00:00

abstract：:The utility of cardiac rehabilitation for elderly cardiac patients is controversial, and cost, logistic barriers, and encumbering comorbidities often seem disproportionate. Many clinicians view the emphasis of cardiac rehabilitation on behavior modification and risk-factor reduction as irrelevant for very old adults a...

journal_title：Clinics in geriatric medicine

authors： Forman DE,Farquhar W

更新日期：2000-08-01 00:00:00

abstract：:Nighttime sleep disruption is characteristic of long-term care residents, is typically accompanied by daytime sleepiness, and may be caused by a multitude of factors. Causal factors include medical and psychiatric illness, medications, circadian rhythm abnormalities, sleep disordered breathing and other primary sleep ...

journal_title：Clinics in geriatric medicine

authors： Martin JL,Ancoli-Israel S

更新日期：2008-02-01 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：:Elderly individuals, worldwide, are on the rise, posing new challenges to care providers. Hypertension is highly prevalent in elderly individuals, and multiple challenges face care providers while managing it. In addition to treating hypertension, the physician must treat other modifiable cardiovascular risk factors i...

journal_title：Clinics in geriatric medicine

authors： Turgut F,Yesil Y,Balogun RA,Abdel-Rahman EM

更新日期：2013-08-01 00:00:00

abstract：:Geriatric patients are at a high risk for the development of postoperative delirium. By recognizing predisposing and precipitating risk factors, preventive measures can be undertaken to reduce this risk. Accurate and timely diagnosis is essential, and we offer therapeutic strategies to help reduce the high morbidity a...

journal_title：Clinics in geriatric medicine

authors： Bagri AS,Rico A,Ruiz JG

更新日期：2008-11-01 00:00:00