Abstract：
:Patients with Graves' or Plummer's disease have usually definitively been treated by surgery or radioiodine. If, however, the patient does not accept either form of treatment or the risk of surgery or the inconveniences of the radioiodine treatment by far out-weight the expected benefit for the patient, alternative therapeutic approaches should be explained and been offered to the patient: 1) It must be clear, whether any treatment is necessary at all: Small compensated autonomous adenomas with euthyroidism must not be eliminated in every case, the same applies for cases of remaining subclinical hyperthyroidism after radioiodide or surgery if the amount of remaining functional tissue is small. 2) Isolated autonomous adenomas may, under certain conditions, be eliminated by alcohol injections. This novel approach should be considered particularly for elderly patients, since it can be done on an outpatient basis. 3) For very old and very frail patients a continuous and lifelong medical treatment represents and adequate alternative to surgery and radioiodine. Small amounts of carbimazole or methimazole in a single daily dose combined with small amounts of thyroxine may safely control the hyperthyroidism, again on outpatient conditions.
journal_name
Z Gerontol Geriatrjournal_title
Zeitschrift fur Gerontologie und Geriatrieauthors
Herrmann Jsubject
Has Abstractpub_date
1997-07-01 00:00:00pages
306-10issue
4eissn
0948-6704issn
1435-1269journal_volume
30pub_type
杂志文章,评审abstract：:From its origin to its death the human organism is submitted to functional, material and morphological changes that are perceptible. These changes permit classifying an individual as young, adult, old, active or infirm. But this estimation is not always correct. Some appear younger, some older than expected from their...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章,评审
doi：10.1007/s003910070001
更新日期：2000-01-01 00:00:00
abstract：BACKGROUND:Dry mouth is a frequently occurrence in elderly people and causes numerous clinical and social problems. OBJECTIVE:To investigate the quality of life in geriatric patients living in nursing homes depending on the subjective sensation of dry mouth and associated oral parameters. MATERIAL AND METHODS:A total...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-015-0968-y
更新日期：2017-02-01 00:00:00
abstract：:After a pilot study in 2010 in segregated wards for patients with dementia in nursing homes (DWB) and in community-based living communities for older people with dementia (DWG), major differences in the proportion of mentally stressed employees were found (DWB: 57%, DWG: 26%) as well as in the proportion of employees ...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章,评审
doi：10.1007/s00391-020-01709-2
更新日期：2020-10-01 00:00:00
abstract：:The first chapter gives a brief overview of dominant perspectives on reminiscence and life review in aging research since the 60s. The scepticism of most age researchers against personal history as a dominant concern of the aged in the late 60s was replaced by a more optimistic view which corresponded with a new Zeitg...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：
更新日期：1997-09-01 00:00:00
abstract：BACKGROUND:Current Swiss politics concerning age and ageing are orientated towards the principle "out-patient before in-patient". As part of new regulations, in 2011 all communities were required to set up information offices to answer questions about out-patient and in-patient care. OBJECTIVES:The aim of this qualita...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-015-0948-2
更新日期：2016-08-01 00:00:00
abstract：:In this review, studies on number processing and calculation in demented patients are summarized. Single cases, group studies and our own examinations all show that acalculia is a frequent symptom of dementia and correlates with severity of dementia. While calculation and numeral transcoding deficits are often promine...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章,评审
doi：10.1007/s003910200013
更新日期：2002-04-01 00:00:00
abstract：:The incidence of hip fractures increases with increasing age. Besides the actual trauma, it is mainly the comorbidities and an increased postoperative complication rate in old patients that lead to increased mortality in this patient population. Around 25% of patients who had previously been living independently conti...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-011-0250-x
更新日期：2011-12-01 00:00:00
abstract：BACKGROUND:Mobile geriatric rehabilitation can be provided in the setting of nursing homes, short-term care (STC) facilities and exclusively in private homes. OBJECTIVE:This study analyzed the common features and differences of mobile rehabilitation interventions in various settings. MATERIAL AND METHODS:Stratified b...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-016-1033-1
更新日期：2017-06-01 00:00:00
abstract：BACKGROUND:Over the last 10 years the German pension system has undergone several reforms including the abandonment of early retirement policies and an increase in the statutory retirement age. Consequently, the average retirement age has increased and future retiree cohorts have adjusted the retirement expectations an...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-016-1053-x
更新日期：2018-01-01 00:00:00
abstract：AIM OF THE STUDY:Analysis of differences between oncologic and non-oncologic patients in the first German hospital-based special care unit for palliative geriatrics. METHODS:Systematic analysis of patients' records according to a standardized protocol. RESULTS:A total of 217 patients from a hospital-based special car...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-010-0148-z
更新日期：2010-12-01 00:00:00
abstract：:Composition of staff and therapeutic offers of day-hospitals principally are identical with those of geriatric hospitals. But there are peculiarities in their working: They offer a well balanced combination of somato-, physio-, psycho- and sociotherapy which individually must be planned, perpetually controlled and if ...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：
更新日期：1995-03-01 00:00:00
abstract：:Selected activities of daily living are used to describe the micro-area (dwelling), mezzo-area (quarter) and exo-area (outside the quarter). In a survey of 115 elderly people, the five-year-changes from 1985/86 to 1990/91 in their areas of mobility in a working class district are documented. Special interest is given ...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：
更新日期：1995-09-01 00:00:00
abstract：:More and more older people interested in continuing education recognise the many possibilities for information, communication and co-operation which Internet offers to them. Institutes of continuing education and other institutions serving older people are required to provide training for this target group in order to...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s003910070059
更新日期：2000-06-01 00:00:00
abstract：:It is well known that problems with compliance rise exponentially when more that 4 drugs are prescribed. The rising use of prescription medicine forces the GP to balance the benefit of evidence group-based appropriate drug use against the problems arising when medication is given to older people and to consider differ...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-005-1104-1
更新日期：2005-09-01 00:00:00
abstract：:Sufficient denture hygiene is very important in particular for immunocompromised and bedridden patients to reduce the risk posed by the aspiration of pathogenic microorganisms. In addition to mechanical cleansing, chemical denture cleansers are suitable for daily use at home. However, they continue to be seen as probl...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章,评审
doi：10.1007/s00391-010-0153-2
更新日期：2011-06-01 00:00:00
abstract：:Due to the combined effects of a persistent low birth rate, the forthcoming retirement of the "baby-boom generation" and an increasing life expectancy, the German system of "social security" will face severe challenges in the coming decades. The foreseeable doubling of the ratio between pensioners and employees by 205...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-003-0136-7
更新日期：2003-04-01 00:00:00
abstract：:The age appropriateness of a pharmaceutical product for older patient populations is most important in achieving ease of use, administration, and adherence as well as the therapeutic benefit of the drug. Drug development is a lengthy and risky investment accompanied by extensive regulatory requirements to meet all the...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-012-0361-z
更新日期：2012-08-01 00:00:00
abstract：:During the past decades, the number of hip fractures has been increasing steadily. Perioperative thromboprophylaxis has become a routine aspect in the care of geriatric hip fracture patients. In addition, a large proportion of these patients are already anticoagulated because of internistic comorbidities before they s...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章,评审
doi：10.1007/s00391-013-0595-4
更新日期：2014-02-01 00:00:00
abstract：BACKGROUND:Dementia may influence as a co-morbid condition the management of chronic obstructive airway disease. However, the frequency and the consequences of dementia in older people with chronic obstructive airway disease are largely unknown. PATIENTS AND METHODS:The frequency and the severity of dementia in geriat...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-011-0223-0
更新日期：2011-08-01 00:00:00
abstract：:Although viewed critically in geriatrics, benzodiazepine use is still common among old people. Before reducing the dosage the following questions must be considered: 1. Are there indications for benzodiazepine treatment and will discontinuation cause relevant rebound symptoms of the initial disorder treated? 2. To wha...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章,评审
doi：10.1007/s00391-016-1171-5
更新日期：2017-02-01 00:00:00
abstract：:The interdisciplinary symposium of the working group "anemia in the aged" on the occasion of the annual conference of the German Society of Geriatrics focused this year on vitamin B12 deficiency in aged patients. Experts from hematopathology, clinical geriatrics and geriatric hematology presented the case of a 78-year...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章,评审
doi：10.1007/s00391-018-1410-z
更新日期：2018-06-01 00:00:00
abstract：:The purpose of the study was to measure the prevalence of difficulties in elderly inpatients in opening a range of common commercial drug packagings, in breaking a bar-scored tablet, and in reading medication instructions. Sixty-seven patients (female: 47; male: 20, mean age: 81.6 +/- 6.1) who reported that they had m...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：
更新日期：1995-11-01 00:00:00
abstract：:The incidence of chronic respiratory diseases (e.g., chronic obstructive pulmonary disease, COPD) and interstitial lung diseases (e.g., pneumonia and lung fibrosis) increases with age. In addition to immune senescence, the accumulation of senescent cells directly in lung tissue might play a critical role in the increa...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章,评审
doi：10.1007/s00391-013-0543-3
更新日期：2013-10-01 00:00:00
abstract：BACKGROUND:Which deficits in cognitive performance indicate the onset of a pathological deterioration process in older persons? AIM AND OBJECTIVES:Based on an established dementia screening test in elderly adults, a differentiation can be made between healthy cognitive performance and the onset of pathological deficit...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-017-1263-x
更新日期：2018-04-01 00:00:00
abstract：BACKGROUND:Cooperation between psychosomatic and geriatric medicine is still sporadic and rarely institutionally integrated. At the same time, however, nearly half of geriatric inpatients suffer from psychopathological symptoms of clinical relevance. The patterns of interactions between patients and professionals of th...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-012-0381-8
更新日期：2013-07-01 00:00:00
abstract：:The Northern Germany Nursing Research Network (Pflegeforschungsverbund Nord) has dedicated itself to developing management instruments intended to optimize the nursing process. It is coordinated by the administrative office of the Institute of Public Health and Nursing Research (Institut für Public Health und Pflegefo...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-006-0382-6
更新日期：2006-06-01 00:00:00
abstract：BACKGROUND:Impairment of central auditory processing is a well-known symptom of neurodegenerative dementia; however, whilst numerous studies have examined verbal processing impairment, to date few have attempted to describe impairments of non-verbal, environmental sound recognition in patients with dementia. As these i...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-017-1216-4
更新日期：2018-07-01 00:00:00
abstract：:Nonpharmacological treatments can improve the quality of life of people with dementia. The objective of this review is to evaluate the effects of nonpharmacological treatments on quality of life and to analyze corresponding instruments by performing a systematic review of the literature. Candidate studies were first i...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s00391-012-0341-3
更新日期：2013-02-01 00:00:00
abstract：BACKGROUND:The aim of palliative care is to help people with a progressive, probably fatal disease to achieve the highest possible quality of life. Any treatment is radically oriented towards the needs of the affected persons and their relatives. Although nursing institutions for seniors are the second most frequent pl...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章,评审
doi：10.1007/s00391-020-01803-5
更新日期：2021-02-01 00:00:00
abstract：:The obvious increase of human age even up to above one hundred years in nearly all civilised countries leeds the autor to discuss the following actual gerontologic problems: the needs for further splitting of categories of high age, the reasons for the rapid increase of the oldest-old group and the predicted "mushroom...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：
更新日期：1996-01-01 00:00:00
