Care of the aged: the barriers of traditions.

Abstract:

:The growing population of older persons in our society will require increased attention. It is contended that the current pattern of third-party reimbursement for hospitalization and technical procedures focuses upon acute care and cure. The philosophy underlying medical education and practice is a barrier to the provision of quality care to older persons with chronic disorders. A changing emphasis for future practice is indicated.

journal_name

Ann Intern Med

authors

Eisdorfer C

doi

10.7326/0003-4819-94-2-256

subject

Has Abstract

pub_date

1981-02-01 00:00:00

pages

256-60

issue

2

eissn

0003-4819

issn

1539-3704

journal_volume

94

pub_type

杂志文章
  • Radiofrequency catheter ablation for cardiac tachyarrhythmias.

    abstract:PURPOSE:To review the radiofrequency ablation method, describe the technique, and discuss the indications, results, and limitations of its use in patients with cardiac tachyarrhythmias. DATA SOURCES:Peer-reviewed reports in the literature by clinical investigators who use radiofrequency catheter ablation as identified...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-121-6-199409150-00010

    authors: Manolis AS,Wang PJ,Estes NA 3rd

    更新日期:1994-09-15 00:00:00

  • Screening for chronic kidney disease: U.S. Preventive Services Task Force recommendation statement.

    abstract:DESCRIPTION:New U.S. Preventive Services Task Force (USPSTF) recommendation statement on screening for chronic kidney disease (CKD). METHODS:The USPSTF reviewed evidence on screening for CKD, including evidence on screening, accuracy of screening, early treatment, and harms of screening and early treatment. POPULATIO...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,实务指引

    doi:10.7326/0003-4819-157-8-201210160-00533

    authors: Moyer VA,U.S. Preventive Services Task Force.

    更新日期:2012-10-16 00:00:00

  • Methotrexate in rheumatoid arthritis. Indications, contraindications, efficacy, and safety.

    abstract::Evidence on the safety and efficacy of methotrexate as a second- or third-line agent for treating patients with rheumatoid arthritis is reviewed. Four placebo-controlled clinical trials have documented short-term benefit from methotrexate; although true remission is rare, patients receiving methotrexate showed a 26% (...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章,评审

    doi:10.7326/0003-4819-107-2-358

    authors: Tugwell P,Bennett K,Gent M

    更新日期:1987-09-01 00:00:00

  • Adiposity, fat distribution, and cardiovascular risk.

    abstract:STUDY OBJECTIVE:To determine the relative importance of adiposity and fat distribution to cardiovascular risk profile. DESIGN:A cross-sectional study. SETTING:Clinical research center funded by the National Institutes of Health. PATIENTS:Convenience sample of 33 healthy premenopausal women with a wide range of body ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-110-11-867

    authors: Peiris AN,Sothmann MS,Hoffmann RG,Hennes MI,Wilson CR,Gustafson AB,Kissebah AH

    更新日期:1989-06-01 00:00:00

  • Arteriohepatic dysplasia: a benign syndrome of intrahepatic cholestasis with multiple organ involvement.

    abstract::Arteriohepatic dysplasia (Alagille's syndrome) is presumed to be one of the familial intrahepatic cholestatic syndromes, all of which present with neonatal jaundice or failure to thrive, or both. We report the findings in five patients with this syndrome, four of whom have been followed into adulthood. In addition to ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-91-4-520

    authors: Riely CA,Cotlier E,Jensen PS,Klatskin G

    更新日期:1979-10-01 00:00:00

  • Persistent diffuse lymphadenopathy in homosexual men: endpoint or prodrome?

    abstract::Seventy homosexual men with unexplained persistent diffuse lymphadenopathy enrolled in a prospective natural history study from November 1981 to November 1982. These men had demographic, clinical, and laboratory findings similar to those of homosexual patients with the acquired immunodeficiency syndrome. Pathologic ex...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-100-6-801

    authors: Abrams DI,Lewis BJ,Beckstead JH,Casavant CA,Drew WL

    更新日期:1984-06-01 00:00:00

  • Transcatheter closure versus medical therapy of patent foramen ovale and presumed paradoxical thromboemboli: a systematic review.

    abstract:BACKGROUND:The optimal strategy to prevent recurrent presumed paradoxical emboli in patients with patent foramen ovale is unknown. PURPOSE:To synthesize the current knowledge about and qualitatively assess the relative benefits of transcatheter closure versus medical therapy for patent foramen ovale. DATA SOURCES:Eng...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-139-9-200311040-00010

    authors: Khairy P,O'Donnell CP,Landzberg MJ

    更新日期:2003-11-04 00:00:00

  • Clinical reactivation of genital herpes simplex virus infection decreases in frequency over time.

    abstract:BACKGROUND:Visits to physicians for genital herpes simplex virus (HSV) infection continue to increase. Most patients with symptomatic infections have recurrences, but no studies of the long-term clinical course of genital herpes are available. OBJECTIVE:To determine whether the frequency of HSV recurrences decreases o...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-131-1-199907060-00004

    authors: Benedetti JK,Zeh J,Corey L

    更新日期:1999-07-06 00:00:00

  • Discontinuation of chemoprophylaxis against Pneumocystis carinii pneumonia in patients with HIV infection. HIV Outpatient Study (HOPS) Investigators.

    abstract:BACKGROUND:HIV-infected patients with sustained immunologic improvement from antiretroviral therapy may be able to discontinue chemoprophylaxis against Pneumocystis carinii pneumonia (PCP). OBJECTIVE:To compare PCP incidence in HIV-infected patients who had sustained CD4+ lymphocyte counts greater than 200 cells/mm3 a...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-132-3-200002010-00005

    authors: Yangco BG,Von Bargen JC,Moorman AC,Holmberg SD

    更新日期:2000-02-01 00:00:00

  • Surgical therapy of variant angina associated with nonobstructive coronary disease.

    abstract::Patients with variant angina refractory to medical therapy pose a difficult management problem. We report two patients with variant angina who had focal spasm in coronary arteries with fixed obstructions of less than 20% of the luminal diameter. Ischemic episodes were accompanied by malignant ventricular arrhythmias a...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-94-6-771

    authors: Sussman EJ,Goldberg S,Poll DS,MacVaugh H 3rd,Simson MB,Silber SA,Kastor JA

    更新日期:1981-06-01 00:00:00

  • Continuing controversies in the management of thyroid nodules.

    abstract::Although thyroid nodules are common, few are malignant and require surgical treatment. A systematic approach to their evaluation is important to avoid unnecessary surgery. Fine-needle aspiration biopsy has resulted in substantial improvements in diagnostic accuracy, cost reductions, and higher malignancy yield at time...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-142-11-200506070-00011

    authors: Castro MR,Gharib H

    更新日期:2005-06-07 00:00:00

  • Hidden Curricula, Ethics, and Professionalism: Optimizing Clinical Learning Environments in Becoming and Being a Physician: A Position Paper of the American College of Physicians.

    abstract::Much of what is formally taught in medicine is about the knowledge, skills, and behaviors required of a physician, including how to express compassion and respect for patients at the bedside. What is learned, however, includes not only admirable qualities but also behaviors and qualities that are inconsistent with eth...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/M17-2058

    authors: Lehmann LS,Sulmasy LS,Desai S,ACP Ethics, Professionalism and Human Rights Committee.

    更新日期:2018-04-03 00:00:00

  • Leukocyte reduction in blood component therapy.

    abstract:PURPOSE:To review methods of preventing or minimizing the adverse effects associated with the transfusion of passenger leukocytes present in cellular blood components and to define groups of patients who are at risk for adverse effects. DATA SOURCES:English-language articles on transfusion medicine. STUDY SELECTION:O...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-117-2-151

    authors: Lane TA,Anderson KC,Goodnough LT,Kurtz S,Moroff G,Pisciotto PT,Sayers M,Silberstein LE

    更新日期:1992-07-15 00:00:00

  • Management of non-insulin-dependent diabetes mellitus. The United Kingdom experience.

    abstract::Care of persons with non-insulin-dependent diabetes mellitus (NIDDM) in the United Kingdom resembles that in the United States. However, health care practice in Europe is being influenced by the Saint Vincent Declaration, the joint European World Health Organization-International Diabetes Federation initiative, which ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-124-1_part_2-199601011-00015

    authors: Keen H

    更新日期:1996-01-01 00:00:00

  • Atypical antipsychotic drugs and the risk for acute kidney injury and other adverse outcomes in older adults: a population-based cohort study.

    abstract:BACKGROUND:Several adverse outcomes attributed to atypical antipsychotic drugs, specifically quetiapine, risperidone, and olanzapine, are known to cause acute kidney injury (AKI). Such outcomes include hypotension, acute urinary retention, and the neuroleptic malignant syndrome or rhabdomyolysis. OBJECTIVE:To investig...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/M13-2796

    authors: Hwang YJ,Dixon SN,Reiss JP,Wald R,Parikh CR,Gandhi S,Shariff SZ,Pannu N,Nash DM,Rehman F,Garg AX

    更新日期:2014-08-19 00:00:00

  • Palliative Care.

    abstract::Palliative care prioritizes symptom management and quality of life throughout the course of serious illness. Regardless of whether care is inpatient or outpatient, primary or subspecialty, a solid understanding of the basics of effective communication, symptom management, and end-of-life care is crucial. This article ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/AITC201803060

    authors: Swetz KM,Kamal AH

    更新日期:2018-03-06 00:00:00

  • Thirty years of HIV and AIDS: future challenges and opportunities.

    abstract::As the third decade since AIDS was first recognized comes to an end, extraordinary advances have occurred in the understanding, treatment, and prevention of HIV infection and AIDS. As a result of these successes, it is now time to focus on future challenges. Paramount among these is reaching the goal of truly controll...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-154-11-201106070-00345

    authors: Dieffenbach CW,Fauci AS

    更新日期:2011-06-07 00:00:00

  • The internist as gatekeeper. Preparing the general internist for a new role.

    abstract::To reduce health care costs, some third-party payers have enlisted primary care physicians as gatekeepers to medical care. In gatekeeper systems, primary care physicians must approve all care provided to their patients. This approval is a condition of payment for the service, with the usual exception of true emergenci...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-102-4-537

    authors: Eisenberg JM

    更新日期:1985-04-01 00:00:00

  • Drugs five years later: acyclovir.

    abstract::In the 5 years since its release for clinical use, acyclovir (9-[2-hydroxyethoxymethyl]guanine) has proved to be a safe and effective agent for therapy of herpes simplex and varicella-zoster infections. The drug's availability in topical, oral, and intravenous preparations has allowed its use in a range of clinical si...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-107-6-859

    authors: Dorsky DI,Crumpacker CS

    更新日期:1987-12-01 00:00:00

  • Complementary value of two-dimensional exercise echocardiography to routine treadmill exercise testing.

    abstract::Two-dimensional echocardiograms were done during rest and after exercise in 95 patients who subsequently had coronary arteriography. Prior myocardial infarction was present in 36 patients, 35 of whom had wall motion abnormalities. There was no evidence of prior infarction in 59 patients, 44 of whom had coronary diseas...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-105-6-829

    authors: Armstrong WF,O'Donnell J,Dillon JC,McHenry PL,Morris SN,Feigenbaum H

    更新日期:1986-12-01 00:00:00

  • Physicians, cost control, and ethics.

    abstract::Rising health care expenditures have led to numerous cost-control proposals. An examination of the ethical questions surrounding the role that physicians play in the control of health care costs suggests that unilateral rationing decisions by individual physicians at the bedside are morally unacceptable. Such decision...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-116-11-920

    authors: Sulmasy DP

    更新日期:1992-06-01 00:00:00

  • Support from hospital to home for elders: a randomized trial.

    abstract:BACKGROUND:Hospitals are implementing discharge support programs to reduce readmissions, and these programs have had mixed success. OBJECTIVE:To examine whether a peridischarge, nurse-led intervention decreased emergency department (ED) visits or readmissions among ethnically and linguistically diverse older patients ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.7326/M14-0094

    authors: Goldman LE,Sarkar U,Kessell E,Guzman D,Schneidermann M,Pierluissi E,Walter B,Vittinghoff E,Critchfield J,Kushel M

    更新日期:2014-10-07 00:00:00

  • Bioequivalence of Biosimilar Tumor Necrosis Factor-α Inhibitors Compared With Their Reference Biologics: A Systematic Review.

    abstract:Background:Biosimilars are of growing clinical, regulatory, and commercial importance. Purpose:To summarize evidence about the bioequivalence between biosimilar and reference tumor necrosis factor-α (TNF-α) inhibitors. Data Sources:PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and LILACS from incept...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/M16-0428

    authors: Chingcuanco F,Segal JB,Kim SC,Alexander GC

    更新日期:2016-10-18 00:00:00

  • In the clinic. Clostridium difficile Infection.

    abstract::This issue provides a clinical overview of Clostridium difficile infection focusing on prevention, diagnosis, treatment, practice improvement, and patient information. Readers can complete the accompanying CME quiz for 1.5 credits. Only ACP members and individual subscribers can access the electronic features of In th...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-153-7-201010050-01004

    authors: Hessen MT

    更新日期:2010-10-05 00:00:00

  • Body weight change, all-cause mortality, and cause-specific mortality in the Multiple Risk Factor Intervention Trial.

    abstract:OBJECTIVE:To evaluate the relation between weight variability and death in high-risk, middle-aged men participating in the Multiple Risk Factor Intervention Trial (MRFIT). DESIGN:Cohort study with 3.8 years of follow-up. SETTING:Multicenter, collaborative, primary prevention trial conducted at 22 clinical centers in ...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.7326/0003-4819-119-7_part_2-199310011-00024

    authors: Blair SN,Shaten J,Brownell K,Collins G,Lissner L

    更新日期:1993-10-01 00:00:00

  • Conservation in hospital resource use: treatment of pneumonias. An investigation of care in four hospitals over the past decade.

    abstract::An investigation of patient care in four hospitals compared levels of resource use between 1964 and 1974 for patients with a primary diagnosis of pneumonia. Results showed a decreased length of stay in all hospitals. Unique patterns of increases and decreases existed in each hospital for the changing use of diagnostic...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-85-5-648

    authors: Sheeley DR,Sherman H

    更新日期:1976-11-01 00:00:00

  • Travel-Associated Zika Virus Disease Acquired in the Americas Through February 2016: A GeoSentinel Analysis.

    abstract:Background:Zika virus has spread rapidly in the Americas and has been imported into many nonendemic countries by travelers. Objective:To describe clinical manifestations and epidemiology of Zika virus disease in travelers exposed in the Americas. Design:Descriptive, using GeoSentinel records. Setting:63 travel and t...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/M16-1842

    authors: Hamer DH,Barbre KA,Chen LH,Grobusch MP,Schlagenhauf P,Goorhuis A,van Genderen PJ,Molina I,Asgeirsson H,Kozarsky PE,Caumes E,Hagmann SH,Mockenhaupt FP,Eperon G,Barnett ED,Bottieau E,Boggild AK,Gautret P,Hynes NA,Kuhn

    更新日期:2017-01-17 00:00:00

  • Toward Historical Accountability and Remembrance: The German Society for Internal Medicine and Its Legacies From the Nazi Past.

    abstract::After decades of silence, the German Society for Internal Medicine (DGIM) has made considerable efforts to come to terms with its role and actions during the Nazi era (1933 to 1945). This is particularly important because, with more than 27 000 members, the DGIM is the largest medical society in present-day Germany. S...

    journal_title:Annals of internal medicine

    pub_type: 历史文章,杂志文章

    doi:10.7326/M20-0064

    authors: Hofer HG,Forsbach R,Fölsch UR

    更新日期:2020-09-01 00:00:00

  • Arizona hinshawii infections. New cases, antimicrobial sensitivities, and literature review.

    abstract::Although disease caused by Arizona hinshawii is known to resemble the spectrum of clinical syndromes seen with Salmonella infections, little is known of their sensitivity to antimicrobials. We present three cases that are illustrative of Arizona sepsis, localized infection, or both; review the literature; and report s...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-85-5-587

    authors: Johnson RH,Lutwick LI,Huntley GA,Vosti KL

    更新日期:1976-11-01 00:00:00

  • Minimizing malpractice risks by role clarification. The confusing transition from tort to contract.

    abstract::The purposes and applications of informed consent are the subject of confusion and controversy according to a President's Commission report. The Commission suggests shared decision making as the new ideal for physician-patient relationships, but notes that such a changed ideal will not be initiated by court action. Th...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-109-3-234

    authors: Green JA

    更新日期:1988-08-01 00:00:00