听力与言语-语言病理学

行为科学

医学伦理学

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  • Catheter-associated urinary tract infection in primary and community health care.

    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

    authors: Getliffe K,Newton T

    更新日期:2006-09-01 00:00:00

  • Predicting catastrophic decline in mobility among older people.

    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

    authors: Ayis S,Gooberman-Hill R,Bowling A,Ebrahim S

    更新日期:2006-07-01 00:00:00

  • Utilisation of diagnostic computerised tomography imaging and immediate clinical outcomes in older people with stroke before and after introduction of the National Service Framework for older people. A comparative study of hospital-based stroke registry d

    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

    authors: Myint PK,Vowler SL,Redmayne O,Fulcher RA

    更新日期:2006-07-01 00:00:00

  • Cardiopulmonary responses to eccentric and concentric resistance exercise in older adults.

    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

    authors: Vallejo AF,Schroeder ET,Zheng L,Jensky NE,Sattler FR

    更新日期:2006-05-01 00:00:00

  • Using dietetic assistants to improve the outcome of hip fracture: a randomised controlled trial of nutritional support in an acute trauma ward.

    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

    authors: Duncan DG,Beck SJ,Hood K,Johansen A

    更新日期:2006-03-01 00:00:00

  • Systematic review of definitions and methods of measuring falls in randomised controlled fall prevention trials.

    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

    authors: Hauer K,Lamb SE,Jorstad EC,Todd C,Becker C,PROFANE-Group.

    更新日期:2006-01-01 00:00:00

  • Streamlining assessment and intervention in a falls clinic using the Timed Up and Go Test and Physiological Profile Assessments.

    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

    authors: Whitney JC,Lord SR,Close JC

    更新日期:2005-11-01 00:00:00

  • Medication management at home: medication-related risk factors associated with poor health outcomes.

    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

    authors: Sorensen L,Stokes JA,Purdie DM,Woodward M,Roberts MS

    更新日期:2005-11-01 00:00:00

  • What would make a definition of frailty successful?

    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

    authors: Rockwood K

    更新日期:2005-09-01 00:00:00

  • Perceived age as a predictor of old age mortality: a 13-year prospective study.

    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

    authors: Uotinen V,Rantanen T,Suutama T

    更新日期:2005-07-01 00:00:00

  • Does ingestion of cranberry juice reduce symptomatic urinary tract infections in older people in hospital? A double-blind, placebo-controlled trial.

    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

    authors: McMurdo ME,Bissett LY,Price RJ,Phillips G,Crombie IK

    更新日期:2005-05-01 00:00:00

  • Orthostatic hypotension in an octogenarian--an unusual presentation.

    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

    authors: Bragg F,Kumar NP

    更新日期:2005-05-01 00:00:00

  • Determinants of outcome in elderly patients admitted to the intensive care unit.

    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

    authors: Vosylius S,Sipylaite J,Ivaskevicius J

    更新日期:2005-03-01 00:00:00

  • Low-molecular-weight heparin-associated fat necrosis of the breast.

    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

    authors: Das AK

    更新日期:2005-03-01 00:00:00

  • Occupational therapy compared with social work assessment for older people. An economic evaluation alongside the CAMELOT randomised controlled trial.

    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

    authors: Flood C,Mugford M,Stewart S,Harvey I,Poland F,Lloyd-Smith W

    更新日期:2005-01-01 00:00:00

  • Fracture rates in Parkinson's disease compared with age- and gender-matched controls: a retrospective cohort study.

    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

    authors: Genever RW,Downes TW,Medcalf P

    更新日期:2005-01-01 00:00:00

  • Spindle cell sarcoma: a rare cause of a large abdominal mass.

    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

    authors: Bills V,Iqbal R,Haqqani M,Clague JE

    更新日期:2005-01-01 00:00:00

  • Time to death and health expenditure: an improved model for the impact of demographic change on health care costs.

    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

    authors: Seshamani M,Gray A

    更新日期:2004-11-01 00:00:00

  • Lesson of the week: perils of pessaries.

    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

    authors: Wheeler LD,Lazarus R,Torkington J,O'Mahony MS,Woodhouse KW

    更新日期:2004-09-01 00:00:00

  • Cognitive decline with chronic meningitis secondary to a COX-2 inhibitor.

    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

    authors: Ashton D,Kim P,Griffiths N,Beran R

    更新日期:2004-07-01 00:00:00

  • Geriatric medicine in Sweden: a study of the organisation, staffing and care production in 2000-2001.

    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

    authors: Akner G

    更新日期:2004-07-01 00:00:00

  • Socio-demographic correlates of mobility disability in older Brazilians: results of the first national survey.

    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

    authors: Melzer D,Parahyba MI

    更新日期:2004-05-01 00:00:00

  • Short- and long-term prognosis for very old stroke patients. The Copenhagen Stroke Study.

    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

    authors: Kammersgaard LP,Jørgensen HS,Reith J,Nakayama H,Pedersen PM,Olsen TS,Copenhagen Stroke Study.

    更新日期:2004-03-01 00:00:00

  • Warfarin-associated thoracic aortic dissection in an elderly woman.

    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

    authors: Blunt DM,Impallomeni MG

    更新日期:2004-03-01 00:00:00

  • The value of specialist clinical assessment of older people prior to entry to care homes.

    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

    authors: Challis D,Clarkson P,Williamson J,Hughes J,Venables D,Burns A,Weinberg A

    更新日期:2004-01-01 00:00:00

  • Pulmonary embolism: differences in presentation between older and younger patients.

    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

    authors: Timmons S,Kingston M,Hussain M,Kelly H,Liston R

    更新日期:2003-11-01 00:00:00

  • The usefulness of carotid sinus massage in different patient groups.

    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

    authors: Kumar NP,Thomas A,Mudd P,Morris RO,Masud T

    更新日期:2003-11-01 00:00:00

  • Predictors of depressive symptoms in older people--a survey of two general practice populations.

    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

    authors: Harris T,Cook DG,Victor C,Rink E,Mann AH,Shah S,DeWilde S,Beighton C

    更新日期:2003-09-01 00:00:00

  • Absence of ageism in access to critical care: a cross-sectional study.

    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

    authors: Hubbard RE,Lyons RA,Woodhouse KW,Hillier SL,Wareham K,Ferguson B,Major E

    更新日期:2003-07-01 00:00:00

  • Secrets and lies: the dilemma of disclosing the diagnosis to an adult with dementia.

    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

    authors: Fahy M,Wald C,Walker Z,Livingston G

    更新日期:2003-07-01 00:00:00

  • Medical conditions as risk factors for pressure ulcers in an outpatient setting.

    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

    authors: Margolis DJ,Knauss J,Bilker W,Baumgarten M

    更新日期:2003-05-01 00:00:00

  • Prevention of malnutrition in older people during and after hospitalisation: results from a randomised controlled clinical trial.

    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

    authors: Gazzotti C,Arnaud-Battandier F,Parello M,Farine S,Seidel L,Albert A,Petermans J

    更新日期:2003-05-01 00:00:00

  • Ageism in the management of lung cancer.

    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

    authors: Peake MD,Thompson S,Lowe D,Pearson MG,Participating Centres.

    更新日期:2003-03-01 00:00:00

  • Warfarin sensitivity: be aware of genetic influence.

    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

    authors: Khan T,Kamali F,Daly A,King B,Wynne HA

    更新日期:2003-03-01 00:00:00

  • Application of a case-mix classification based on the functional autonomy of the residents for funding long-term care facilities.

    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

    authors: Tousignant M,Hébert R,Dubuc N,Simoneau F,Dieleman L

    更新日期:2003-01-01 00:00:00

  • Slicing the health service cake: the Islington study.

    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

    authors: Nelson T,Livingston G,Knapp M,Manela M,Kitchen G,Katona C

    更新日期:2002-11-01 00:00:00

  • Cognitive scores, even within the normal range, predict death and institutionalization.

    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

    authors: St John PD,Montgomery PR,Kristjansson B,McDowell I

    更新日期:2002-09-01 00:00:00

  • Medical therapy for the overactive bladder in the elderly.

    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

    authors: Wagg A,Cohen M

    更新日期:2002-07-01 00:00:00

  • An N-of-1 randomized controlled trial ('N-of-1 trial') of donepezil in the treatment of non-progressive amnestic syndrome.

    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

    authors: Price JD,Grimley Evans J

    更新日期:2002-07-01 00:00:00

  • Evaluation of a nurse-led falls prevention programme versus usual care: a randomized controlled trial.

    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

    authors: Lightbody E,Watkins C,Leathley M,Sharma A,Lye M

    更新日期:2002-05-01 00:00:00

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