解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract:INTRODUCTION:Although often a last resort, urinary catheterisation is a relatively common management option for bladder dysfunction in older people and others cared for in community settings. Catheter-associated urinary tract infection (CAUTI) is a well-recognised source of increased morbidity and economic burden in ac...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afl052
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVE:to investigate the associations between chronic health conditions, psychosocial and environmental factors and catastrophic decline in mobility among older people. DESIGN:longitudinal cohort. SETTING:national sample living in private households. PARTICIPANTS:nine hundred and ninety-nine adults aged > or = 6...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afl004
更新日期:2006-07-01 00:00:00
abstract:INTRODUCTION:how the National Service Framework (NSF) for older people in England might be associated with changes in clinically relevant stroke outcome has not been investigated. We looked for changes in computerised tomography (CT) scan rate, inpatient case-fatality rate (CFR), length of acute hospital stay and disch...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afl030
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:In older ambulatory persons, exercise strategies that are expected to generate beneficial muscle adaptations with low cardiopulmonary demands are needed. OBJECTIVE:We hypothesised that eccentric resistance exercise would be less demanding on the cardiovascular and pulmonary systems than bouts of concentric ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afj082
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVE:To examine how improved attention to nutritional status and dietary intake, achieved through the employment of dietetic assistants (DAs), will affect postoperative clinical outcome among elderly women with hip fracture. DESIGN:Open prospective randomised controlled trial, comparing conventional nursing care ...
journal_title:Age and ageing
pub_type: 杂志文章,随机对照试验
doi:10.1093/ageing/afj011
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVE:to review systematically the range of case definitions and methods used to measure falls in randomised controlled trials. DESIGN/METHODS:a Cochrane review of fall prevention interventions was used to identify fall definitions in published trials. Secondary searches of various databases were used to identify ...
journal_title:Age and ageing
pub_type: 杂志文章,评审
doi:10.1093/ageing/afi218
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:The Timed Up and Go Test (TUGT) has been recommended as a simple screening tool to identify those at risk of falling. However, subsequent detailed assessment is required to identify underlying falls risk factors to provide direction for optimal targeted intervention strategies. METHODS:110 consecutive falls...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afi178
更新日期:2005-11-01 00:00:00
abstract:BACKGROUND:Some patients may have medication-related risk factors only identified by home visits, but the extent to which those risk factors are associated with poor health outcomes remains unclear. OBJECTIVE:To determine the association between medication-related risk factors and poor patient health outcomes from obs...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afi202
更新日期:2005-11-01 00:00:00
abstract::At present, frailty is defined variably. Some consensus on a definition is likely to emerge, but the basis for a successful definition needs to be explored. Here, a classic approach to validation is proposed: a successful definition of frailty should be multifactorial but must also manage the many factors in a way tha...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afi146
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVES:To examine whether in older people perceived age is associated with risk of total mortality independent of chronological age. DESIGN:Prospective population-based study (Evergreen project) with mortality surveillance for 13 years after the baseline. SETTING:Face-to-face interview among community-dwelling re...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afi091
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND:cranberry juice is often given to older people in hospital to prevent urinary tract infection (UTI), although there is little evidence to support its use. OBJECTIVE:to assess whether cranberry juice ingestion is effective in reducing UTIs in older people in hospital. DESIGN:randomised, placebo-controlled, ...
journal_title:Age and ageing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/ageing/afi101
更新日期:2005-05-01 00:00:00
abstract::Orthostatic hypotension is a common problem in older adults and can be associated with falls, dizziness and syncope and their associated consequences. Therefore, it is important to recognise the condition and institute appropriate management. We report an elderly woman who presented with orthostatic hypotension and wa...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afi061
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:Age is thought to be strongly associated with intensive care outcomes, but this relationship may be confounded by many clinical variables. OBJECTIVES:To compare clinical characteristics of elderly patients (> or = 65 years) admitted to the intensive care unit (ICU) with those in younger patients and to iden...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afi037
更新日期:2005-03-01 00:00:00
abstract::Fat necrosis of the breast is a well-recognised complication of unfractionated heparin. The following is a case of fat necrosis due to low-molecular-weight heparin in a 91-year-old woman admitted to hospital with unstable angina. ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afi032
更新日期:2005-03-01 00:00:00
abstract:OBJECTIVES:To compare costs and outcome of occupational therapy-led assessment with social worker-led assessment of older people, in terms of their independence and quality of life. DESIGN:Cost-effectiveness analysis alongside a randomised controlled trial. The analysis took viewpoints of health services and patients....
journal_title:Age and ageing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/ageing/afh232
更新日期:2005-01-01 00:00:00
abstract:INTRODUCTION:Patients with Parkinson's disease (PD) are not routinely prescribed bone-protecting medication despite the fact that they are known to be at risk of falling. We investigated whether subjects with PD were more at risk of fractures than other patient groups in order to establish whether preventative measures...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afh203
更新日期:2005-01-01 00:00:00
abstract::A 73-year-old man presented with a huge intra-abdominal mass. Initially a gastrointestinal stromal tumour (GIST) was diagnosed, but his tumour was subsequently classified as a spindle cell sarcoma. Difficulties in the classification of rare intra-abdominal tumours are discussed. ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afi002
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:Obtaining well-founded estimates of the effect of demographic change on future health expenditures is a pressing issue in all developed countries. Thus far, expenditure projections have examined the effect of age on health care costs, but fail to account for the influence of remaining life expectancy on cost...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afh187
更新日期:2004-11-01 00:00:00
abstract::Vaginal pessaries are widely considered to be a safe alternative to surgery in older women. We report a case of near fatal septicaemia in a 75-year-old woman associated with a shelf pessary, the presence of which was identified during an exploratory laparotomy. This case highlights the importance of the gynaecological...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afh170
更新日期:2004-09-01 00:00:00
abstract::Non-steroidal anti-inflammatory drugs are currently being investigated as agents to reduce the incidence and progression of Alzheimer's disease. Paradoxically they have also been reported to induce deleterious effects on the central nervous system, including aseptic meningitis and cognitive decline in the elderly. We ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afh112
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVE:the organisation of long-term medicine and geriatric medicine has undergone many changes during the last 15 years. The aim of this study is to gain an overall perspective of the present organisation of geriatric medicine in Sweden. DESIGN:questionnaire survey. METHODS:The Swedish Society for Geriatric Medic...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afh115
更新日期:2004-07-01 00:00:00
abstract:INTRODUCTION:Socio-economic differences in mobility disability prevalence in old age have been reported from the US and Europe. Brazil is characterised by gross socio-economic inequalities, but there have been no previous national data on disability prevalence. AIM:This study aimed to estimate disability rates and exp...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afh075
更新日期:2004-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The very old are expected to become a growing part of the stroke population in the industrialised part of the world. The aims of this study were to evaluate clinical characteristics of patients aged 85 years or more at stroke onset and to investigate very old age as an independent predictor of sh...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afh052
更新日期:2004-03-01 00:00:00
abstract:BACKGROUND:The risk/benefit ratio of warfarin therapy changes in the over 75s, when haemorrhagic side-effects become more common. These may not always be reported in the literature. CASE REPORT:A woman of 80 years, on long-term warfarin therapy presented with an acute dissecting thoracic aortic aneurysm; on investigat...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afh015
更新日期:2004-03-01 00:00:00
abstract:OBJECTIVE:to ascertain the value of employing a specialist clinician's contribution to the assessment of older people prior to care home entry. DESIGN:randomised controlled trial. METHOD:256 older people at risk of care home entry were randomly allocated to either a control group, who received the usual care manageme...
journal_title:Age and ageing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/ageing/afh007
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:the incidence of pulmonary embolism increases with age but the 'classical' presentation of acute pulmonary embolism may not occur in older persons. OBJECTIVES:to compare the clinical presentation of younger and older patients with acute pulmonary embolism. DESIGN:retrospective identification of 60 consecut...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afg098
更新日期:2003-11-01 00:00:00
abstract:AIM:to determine the positive yield of carotid sinus massage in different patient groups: unexplained syncope, falls, dizziness and controls. DESIGN:observational study. SETTING:teaching hospital. METHODS:we studied consecutive patients over the age of 60 years referred to the 'falls clinic' with a history of unexpl...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afg114
更新日期:2003-11-01 00:00:00
abstract:BACKGROUND:Studies have shown strong associations between disability, social support and depressive symptoms in older people; but socio-economic effects are less clear and little is known about the role of health locus of control. OBJECTIVE:To examine the roles of physical health, disability, social support, socio-eco...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afg087
更新日期:2003-09-01 00:00:00
abstract:BACKGROUND:in recent years, the NHS has been accused of ageism frequently and from many fronts. Previous studies have shown that the number of critical care beds in the UK is inadequate to meet the needs of the population. This study asks whether there is discrimination against older people in access to these critical ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/32.4.382
更新日期:2003-07-01 00:00:00
abstract::Guidelines state that doctors should reveal the diagnosis to the carer and the person with dementia. Carers may, however, not wish the diagnosis to be disclosed. We investigated carer and patient characteristics associated with the wish for disclosure. Fifty-four per cent of 100 carers wished the diagnosis to be revea...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/32.4.439
更新日期:2003-07-01 00:00:00
abstract:OBJECTIVES:the purpose of this study was to evaluate the likelihood that the presence of certain medical conditions in older ambulatory patients are associated with the risk of developing a new pressure ulcer. DESIGN:a cohort study. SETTING AND SUBJECTS:a large outpatient record database from the United Kingdom calle...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/32.3.259
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:to prevent the occurrence of weight loss during hospitalisation and following discharge by daily oral supplementation. DESIGN:in a prospective, randomised, controlled study of 80 patients aged 75 or more, and at risk of undernutrition based on their initial Mini Nutritional Assessment score, patients were ra...
journal_title:Age and ageing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/ageing/32.3.321
更新日期:2003-05-01 00:00:00
abstract:BACKGROUND:age-related differences in the treatment of lung cancer patients have been reported in the past, but most previous studies have not recorded case-mix factors, nor have they studied the impact of such ageism on survival. METHODS:a questionnaire-based study of diagnostic and case-mix factors was carried out a...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/32.2.171
更新日期:2003-03-01 00:00:00
abstract:BACKGROUND:avoidance of over anticoagulation in response to warfarin therapy would reduce risk of associated bleeding. SUBJECTS:two elderly patients with venous thromboembolism exhibited extreme anticoagulant response to warfarin. Both were noted to have variant CYP2C9 alleles, which reduce the metabolic capacity of c...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/32.2.226
更新日期:2003-03-01 00:00:00
abstract:INTRODUCTION:increasing public costs for the care of the elderly have created fundamental changes that are redefining the basic principles of health care funding. In the past, overall institutional funding was predominantly tied to spending. In view of the limitations of this approach to funding long-term care faciliti...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/32.1.60
更新日期:2003-01-01 00:00:00
abstract:BACKGROUND:Little is known about the factors that are associated with receipt of care in older people. This study aims to describe the pattern and predictors of service usage, by a representative sample of people aged 65 and over. METHOD:We assessed psychiatric and physical morbidity, formal and informal care and pres...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/31.6.445
更新日期:2002-11-01 00:00:00
abstract:BACKGROUND:Dementia is a predictor of death and institutionalization. It is less clear if variations in cognition within the normal range predict adverse outcomes. OBJECTIVE:To determine if variation at the high end of cognitive test scores predicts mortality or institutionalization, independent of the effect of poten...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/31.5.373
更新日期:2002-09-01 00:00:00
abstract::The overactive bladder is the commonest underlying bladder disorder causing urinary incontinence in elderly people. Management of the condition relies upon a holistic assessment of the problem, lifestyle adjustment, behavioural management and drug therapy. The majority of currently available drugs rely on their anti-m...
journal_title:Age and ageing
pub_type: 杂志文章,评审
doi:10.1093/ageing/31.4.241
更新日期:2002-07-01 00:00:00
abstract:INTRODUCTION:a professional man sustained a residual, persisting, isolated impairment of short-term memory secondary to severe carbon monoxide poisoning. Informal, open trial of the cholinesterase inhibitor donepezil resulted in uncertain benefit. PROTOCOL:an N-of-1 randomized, double-blind controlled trial of donepez...
journal_title:Age and ageing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/ageing/31.4.307
更新日期:2002-07-01 00:00:00
abstract:OBJECTIVE:to evaluate a nurse-led management plan and care pathway for older people discharged from an Accident and Emergency Department after a fall. DESIGN:randomized controlled trial. SETTING:a large teaching hospital. SUBJECTS:348 consecutive patients aged 65 or over attending the Accident and Emergency Departme...
journal_title:Age and ageing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/ageing/31.3.203
更新日期:2002-05-01 00:00:00