Diagnosis and treatment of pulmonary embolism in the elderly.

abstract：:The aging kidney suffers reduction both in mass and in glomerular filtration rate. These changes may be totally or partially due to atherosclerosis and hypertension, which reduce renal blood flow. Superimposed on these processes, and perhaps responsible for primary loss of renal mass irrespective of renal vascular dis...

journal_title：Clinics in geriatric medicine

authors： Kaysen GA,Myers BD

更新日期：1985-02-01 00:00:00

abstract：:Collaboration of professionals from diverse disciplines is required to address the multiple, complex issues and needs of community-dwelling elders who are abused or neglected. Reporting suspected elder abuse or neglect cases to Adult Protective Service (APS) agencies provides access to services that address the social...

journal_title：Clinics in geriatric medicine

authors： Dyer CB,Heisler CJ,Hill CA,Kim LC

更新日期：2005-05-01 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：:Cardiovascular disease (CVD) is the leading cause of death and disease burden globally. Improving reach, access, and effectiveness of postdischarge care through cardiac rehabilitation and secondary prevention strategies is an international priority. The current proliferation of mobile technology has resulted in widesp...

journal_title：Clinics in geriatric medicine

authors： Redfern J

更新日期：2019-11-01 00:00:00

abstract：:Within some parts of the United Kingdom major deficiencies in diabetes care for older adults exist; these include lack of screening for the disorder, failure to evaluate complications, lack of individual management plans, and failure to appreciate the role of informal caregivers. The prevalence of diabetes in the elde...

journal_title：Clinics in geriatric medicine

authors： Sinclair AJ

更新日期：1999-05-01 00:00:00

abstract：:Older patients with cancer are best served by a multidisciplinary approach with palliative care (PC) playing an integral role. PC focuses on symptom control irrespective of its cause and should not be associated only with terminal care. It provides an additional layer of support in the care of patients with cancer wit...

journal_title：Clinics in geriatric medicine

authors： Alexander K,Goldberg J,Korc-Grodzicki B

更新日期：2016-02-01 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：:Elder abuse and neglect is estimated to affect approximately 700,000 to 1.2 million elderly people a year with an estimated annual cost of tens of billions of dollars. Despite the large population at risk, its significant morbidity and mortality, and substantial cost to society, elder abuse continues to be underrecogn...

journal_title：Clinics in geriatric medicine

authors： Bond MC,Butler KH

更新日期：2013-02-01 00:00:00

abstract：:Subacute care is a program of care for individuals with recent or current illness or injury. Currently, the services received by patients in subacute care vary considerably among sites, partly because these sites may specialize in certain treatments and partly because providers often define subacute care according to ...

journal_title：Clinics in geriatric medicine

authors： Levenson S

更新日期：2000-11-01 00:00:00

abstract：:Aspirin in a dose of 160 to 325 mg should be administered on day 1 of an acute MI and continued indefinitely on a daily basis. Thrombolytic therapy should be administered within 6 to 12 hours after the onset of an acute MI with ST segment elevation or with left bundle branch block. Primary coronary angioplasty when av...

journal_title：Clinics in geriatric medicine

authors： Aronow WS

更新日期：2001-02-01 00:00:00

abstract：:Aging implies changes in joint components over a continuum of time that contribute later in life to an increasing frequency of clinical complaints and impairments in function and mobility. This article considers how aging appears to modify the articular cartilage, subchondral bone, muscle, the soft tissues, synovial m...

journal_title：Clinics in geriatric medicine

authors： Hamerman D

更新日期：1998-08-01 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：:Clinical assessment of fitness to drive can be a challenging part of primary care of older adults. There are no guidelines on screening for driver safety, so it falls to provider judgment on when to assess older drivers. This review offers recommendations on when to assess for driver safety based on red flag condition...

journal_title：Clinics in geriatric medicine

authors： Morgan E

更新日期：2018-02-01 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：:The high prevalence, morbidity, and mortality of infectious diseases in the geriatric population mandates that clinicians caring for older patients become better acquainted and familiar with the special and unique characteristics and features of this common clinical problem. Only through such awareness and understandi...

journal_title：Clinics in geriatric medicine

authors： Norman DC,Toledo SD

更新日期：1992-11-01 00:00:00

abstract：:This article discusses the usefulness of neuropsychological testing in AD, as an adjunct to the diagnosis, as a means of the evaluation of progression, and response to treatment. Clinical neuropsychological tests that have direct relevance to AD are reviewed, with particular emphasis on recently developed tests of mem...

journal_title：Clinics in geriatric medicine

authors： Koss E

更新日期：1994-05-01 00:00:00

abstract：:Mesenteric ischemia is a well-recognized clinical entity among the elderly. Although first described more than 500 years ago, advances in both diagnostic and treatment regimens only minimally have improved on the bleak morbidity and mortality rates associated with this disease. Significant progress, however, has been ...

journal_title：Clinics in geriatric medicine

authors： Ruotolo RA,Evans SR

更新日期：1999-08-01 00:00:00

abstract：:A basic medical director function is to help draft and implement policies and procedures. Physicians should not underestimate the knowledge and skills involved in doing it well. Instead of viewing this role as merely unpleasant paper work, they should look beneath the surface for the much broader implications. Effecti...

journal_title：Clinics in geriatric medicine

authors： Levenson SA

更新日期：1995-08-01 00:00:00

abstract：:Although the increased need for studies assessing the influence of age on the pharmacokinetics and pharmacodynamics of all drugs has been emphasized, relatively little is known about NSAIDs in the elderly. The pharmacokinetics of some NSAIDs have been examined in elderly subjects; unfortunately, recent data indicate t...

journal_title：Clinics in geriatric medicine

authors： Murray MD,Brater DC

更新日期：1990-05-01 00:00:00

abstract：:Glaucoma is one of the leading causes of blindness in adult Americans. This disease remains undetected in one half of the people with this disease. Primary open angle glaucoma is the most common form of the disease. Patients at risk for glaucoma usually have one or more of the following characteristics: advanced age, ...

journal_title：Clinics in geriatric medicine

authors： Kendrick R

更新日期：1999-02-01 00:00:00

abstract：:This article reviews and summarizes more than 200 studies regarding key issues surrounding the transition of elderly patients to or from the emergency department (ED), with particular attention paid to the relationship between the ED and nursing homes. Transfers of care often occur with incomplete information, which r...

journal_title：Clinics in geriatric medicine

authors： Kessler C,Williams MC,Moustoukas JN,Pappas C

更新日期：2013-02-01 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：:Constipation and irritable bowel syndrome are very common in older persons. Constipation is over diagnosed and over treated in older persons. Lifestyle changes, osmotic laxatives, and lubiprostone are the approaches of choice for the management of constipation. Irritable bowel syndrome should be considered in the diff...

journal_title：Clinics in geriatric medicine

authors： Morley JE

更新日期：2007-11-01 00:00:00

abstract：:Pulmonary hypertension is a pathologic hemodynamic condition defined by a mean pulmonary arterial pressure of 25 mm Hg or greater at rest. Because of age-associated stiffening of the heart and the pulmonary vasculature and the higher prevalence in the elderly of comorbidities associated with the development of pulmona...

journal_title：Clinics in geriatric medicine

authors： Poor H

更新日期：2017-11-01 00:00:00

abstract：:Improvements in delivery systems for enteral feeding, in formulas, and in the understanding of complications have made the technology for enteral feeding easy to apply. Adequate nutrients can be delivered, and individual tolerance for feeding is acceptable. The remaining question is when to apply the technology. Formu...

journal_title：Clinics in geriatric medicine

authors： Haddad RY,Thomas DR

更新日期：2002-11-01 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：:The routine prescription of hormone replacement therapy for elderly women to prevent heart disease is not indicated. Until better data are available, the use of estrogens primarily to prevent heart disease probably should be reserved for women at high risk by virtue of their LDL/HDL ratio or the presence of manifest c...

journal_title：Clinics in geriatric medicine

authors： Barrett-Connor E,Miller V

更新日期：1993-02-01 00:00:00

abstract：:The number of patients with atrial fibrillation (AF) who are of advanced age or have multiple comorbidities is expected to increase substantially. Older patients with AF generally gain a net benefit from anticoagulation. Guidelines typically recommend anticoagulation. There are multiple challenges in the safe use of a...

journal_title：Clinics in geriatric medicine

authors： Parks AL,Fang MC

更新日期：2016-05-01 00:00:00

abstract：:What are the dermatologic needs of aging and skin disease in the elderly in the new millennium? This question may be impossible to answer, but predictions may be derived from current sources of data. Data from the US Census Bureau and the National Ambulatory Medical Care Survey are used to characterize current use of ...

journal_title：Clinics in geriatric medicine

authors： Smith ES,Fleischer AB Jr,Feldman SR

更新日期：2001-11-01 00:00:00

abstract：:Postprandial hypotension is a prevalent condition in the elderly population and seems to be more common in frail elderly individuals who may be more susceptible to complications such as syncope and falls. Diagnosis is relatively easy and may be reversible in many cases. The epidemiology and pathophysiology of postpran...

journal_title：Clinics in geriatric medicine

authors： O'Mara G,Lyons D

更新日期：2002-05-01 00:00:00