abstract：:The course of untreated mild hypothyroidism was followed in 67 nursing home residents (mean age 78 years). The diagnosis was based on a normal free thyroxine index (FTI) and elevated thyrotropin concentration (TSH 4.6 to 15.0 microIU/mL, nl less than or equal to 4.5 microIU/mL. FTI and FSH were measured in follow-up 4...

journal_title：Journal of the American Geriatrics Society

authors： Drinka PJ,Nolten WE,Voeks SK,Langer EH

更新日期：1991-03-01 00:00:00

abstract：:Because the value of calcium supplementation in age-related bone loss is controversial, we conducted a study to examine the effects of six months of calcium supplementation on parathyroid hormone (PTH) and other indices of bone metabolism. Calcium carbonate (1.2 grams elemental calcium/day) or placebo was administered...

journal_title：Journal of the American Geriatrics Society

authors： Kochersberger G,Westlund R,Lyles KW

更新日期：1991-02-01 00:00:00

abstract：:Tetanus is more common in the elderly, who have a higher case-fatality rate than younger age groups. Immunization against tetanus is recommended for all elderly, including nursing home residents, but the tetanus immunization policies of nursing homes are unknown. Nursing home medical directors in Maryland were surveye...

journal_title：Journal of the American Geriatrics Society

authors： Richardson JP,Knight AL,Stafford DT

更新日期：1990-12-01 00:00:00

abstract：:Delirium is an organic mental disorder defined as transient, fluctuating global dysfunction of cognition. It is common in elderly medical inpatients, yet its varied presentation is often missed or misdiagnosed. ...

journal_title：Journal of the American Geriatrics Society

authors： Lyness JM

更新日期：1990-11-01 00:00:00

abstract：:The relationship between atrial natriuretic peptide (ANP) and age was studied. In elderly subjects (65 to 84 years) higher basal ANP levels were found as compared with those found in young subjects (21 to 23 years). Volume loading (750 mL 0.9% NaCl in 60 minutes) increased ANP levels only in the aged group, and plasma...

journal_title：Journal of the American Geriatrics Society

authors： Tan AC,Hoefnagels WH,Swinkels LM,Kloppenborg PW,Benraad TJ

更新日期：1990-11-01 00:00:00

abstract：UNLABELLED:Geriatric assessment units have improved pharmacotherapy for their patients by decreasing the number of medications prescribed. The Senior Care Study, a randomized controlled trial, compared a multidisciplinary-team approach to patient care to the standard medical practice of the institution. As a part of th...

journal_title：Journal of the American Geriatrics Society

authors： Owens NJ,Sherburne NJ,Silliman RA,Fretwell MD

更新日期：1990-10-01 00:00:00

abstract：:Circadian changes of the blood pressure and heart rate in elderly normotensive bedridden patients with severe dementia of the Alzheimer type (group D) were compared with those in elderly normotensive bedridden patients without dementia (group R), normotensive subjects with normal daily activity (group N), and hyperten...

journal_title：Journal of the American Geriatrics Society

authors： Otsuka A,Mikami H,Katahira K,Nakamoto Y,Minamitani K,Imaoka M,Nishide M,Ogihara T

更新日期：1990-09-01 00:00:00

abstract：:The necessity and safety of an oral calcium (Ca) and vitamin D regimen was evaluated in a population of 66 independently living and 73 institutionalized elderly women over an 11-week winter period. The members of both groups were randomly assigned into trial and control groups. Serum Ca, creatinine, and calcidiol leve...

journal_title：Journal of the American Geriatrics Society

authors： Honkanen R,Alhava E,Parviainen M,Talasniemi S,Mönkkönen R

更新日期：1990-08-01 00:00:00

abstract：:Cognitive function is often impaired in type I diabetes mellitus, especially when onset is in early childhood. Limited evidence suggests similar impairment in the much larger population of older persons with type II diabetes. We report here the results of 13 measures of mental efficiency in persons between 65 and 77 y...

journal_title：Journal of the American Geriatrics Society

authors： U'Ren RC,Riddle MC,Lezak MD,Bennington-Davis M

更新日期：1990-05-01 00:00:00

abstract：:Clostridium difficile causes pseudomembranous colitis and is responsible for 20% to 25% of cases of postantibiotic diarrhea. In an earlier study, nursing-home patients with C. difficile infection were noted to have a high mortality rate. Because most of these infected patients had been treated with antibiotics, it was...

journal_title：Journal of the American Geriatrics Society

authors： Thomas DR,Bennett RG,Laughon BE,Greenough WB 3rd,Bartlett JG

更新日期：1990-04-01 00:00:00

abstract：:To examine the long-term effects of aerobic exercise on the occurrence and time to onset of cardiovascular diagnoses, 184 initially healthy older subjects were randomized into either a long-term exercise group (Group A, n = 80), a short-term exercise group (Group B, n = 42), or a contract control group (Group C, n = 6...

journal_title：Journal of the American Geriatrics Society

authors： Posner JD,Gorman KM,Gitlin LN,Sands LP,Kleban M,Windsor L,Shaw C

更新日期：1990-03-01 00:00:00

abstract：:All autopsies (n = 34) performed over a period from July 1, 1981 to June 30, 1988 in a teaching nursing home were reviewed to determine the autopsy rate, to evaluate premortem versus postmortem diagnostic discrepancies, and to see if educational efforts could improve each. The autopsy rate was 3.5%. Major discrepancie...

journal_title：Journal of the American Geriatrics Society

authors： Gloth FM 3rd,Burton JR

更新日期：1990-02-01 00:00:00

abstract：:Pretreatment with a somatostatin analogue, octreotide (SMS 201-995), prevents postprandial blood pressure reduction in the elderly. We hypothesized that this beneficial effect on blood pressure is caused by an octreotide-induced suppression of insulin secretion. We studied the effects of octreotide and insulin adminis...

journal_title：Journal of the American Geriatrics Society

authors： Jansen RW,de Meijer PH,van Lier HJ,Hoefnagels WH

更新日期：1989-12-01 00:00:00

abstract：UNLABELLED:This longitudinal study of glucose tolerance in the residents of a Jewish home for the aged (JHA) is now in its 25th year. Of 1,177 supposedly nondiabetic persons screened on admission from 1965 to 1986, 22.5% had impaired glucose tolerance (IGT), reflecting its undiagnosed prevalence among the Jewish elderl...

journal_title：Journal of the American Geriatrics Society

authors： Grobin W

更新日期：1989-12-01 00:00:00

abstract：:Some studies have shown a negative association between age and serum albumin. Several of these studies included older people with known disease. Disease may reduce albumin in any age group. Other studies have shown no association between age and albumin. To investigate the association of age and albumin, albumin level...

journal_title：Journal of the American Geriatrics Society

authors： Cooper JK,Gardner C

更新日期：1989-11-01 00:00:00

abstract：:Investigations of the natural history of blood pressure have generally evaluated mean systolic and diastolic pressure changes. While information, this information is not directly applicable to clinical practice settings, in which patients are usually classified as normotensive or hypertensive. We measured the actual i...

journal_title：Journal of the American Geriatrics Society

authors： Davidson RA,Hale WE,Moore MT,May FE,Marks RG,Stewart RB

更新日期：1989-09-01 00:00:00

abstract：:The field has progressed to the point where a genetic investigation of the aging processes in Drosophila can be viewed as constituting both a serious and a feasible research program. There now exists at least one single gene mutant which yields an accelerated aging phenotype, at least two single gene null mutants affe...

journal_title：Journal of the American Geriatrics Society

authors： Arking R,Dudas SP

更新日期：1989-08-01 00:00:00

abstract：:We performed a prospective study of 250 men undergoing transurethral resection of the prostate to determine the incidence of perioperative myocardial infarction. The prevalence of coronary artery disease in the study group was 27%. Patients had measurement of total creatine kinase and its MB isoenzyme and electrocardi...

journal_title：Journal of the American Geriatrics Society

authors： Ashton CM,Lahart CJ,Wray NP

更新日期：1989-07-01 00:00:00

abstract：:It has been reported that postural hypotension in the elderly is common. However, these studies included institutionalized and more or less disabled persons. Furthermore, postural hypotension may be related to baseline blood pressure. In this study, the influence of age and blood pressure on the hemodynamic and plasma...

journal_title：Journal of the American Geriatrics Society

authors： Jansen RW,Lenders JW,Thien T,Hoefnagels WH

更新日期：1989-06-01 00:00:00

abstract：:Salivary gland function is generally well-preserved in healthy older persons. Similar results are observed in the laboratory rat. Older people are, however, more likely to experience salivary disorders due to disease or its treatment. For many patients with remaining salivary gland parenchymal tissue, improved functio...

journal_title：Journal of the American Geriatrics Society

authors： Baum BJ

更新日期：1989-05-01 00:00:00

abstract：:Ambulatory cardiac (Holter) monitoring is often recommended in the routine evaluation of patients who fall; however, the prevalence of arrhythmias in old people is high, and the usefulness of such monitoring is unproven. As part of a large study of institutionalized elderly fallers, we compared Holter findings of fall...

journal_title：Journal of the American Geriatrics Society

authors： Rosado JA,Rubenstein LZ,Robbins AS,Heng MK,Schulman BL,Josephson KR

更新日期：1989-05-01 00:00:00

abstract：:In view of some controversies still existing about the real efficacy of ergot derivatives in the management of dementia, a double-blind, randomized, parallel group trial extending up to 6 months was carried out to compare the effects of nicergoline, 60 mg daily, and placebo in 315 patients suffering from mild to moder...

journal_title：Journal of the American Geriatrics Society

authors： Battaglia A,Bruni G,Ardia A,Sacchetti G

更新日期：1989-04-01 00:00:00

abstract：:The safety and efficacy of current ACIP guidelines for the prevention and control of influenza in nursing home populations are uncertain. An outbreak of influenza A/Sichuan (H3N2) in a teaching nursing home during 1988 gave us the opportunity to evaluate the effectiveness of an influenza vaccination and amantadine pro...

journal_title：Journal of the American Geriatrics Society

authors： Peters NL,Oboler S,Hair C,Laxson L,Kost J,Meiklejohn G

更新日期：1989-03-01 00:00:00

abstract：:This clinical, practice-based study explores the research question: Is there a relationship between hearing loss and functional disturbance in elderly patients? We analyzed the impact of hearing impairment on 153 patients over 65 years of age screened in primary care practice. Functional and psychosocial impairment we...

journal_title：Journal of the American Geriatrics Society

authors： Bess FH,Lichtenstein MJ,Logan SA,Burger MC,Nelson E

更新日期：1989-02-01 00:00:00

abstract：:A cohort of 3,595 white women aged 40-77 years was followed for an average of 10 years during which 84 new cases of hip fracture were identified. Triceps skinfold thickness and arm muscle area measured at baseline were examined as possible risk factors for hip fracture controlling for physical activity, height, menopa...

journal_title：Journal of the American Geriatrics Society

authors： Farmer ME,Harris T,Madans JH,Wallace RB,Cornoni-Huntley J,White LR

更新日期：1989-01-01 00:00:00

abstract：:Falls are a leading cause of fatal and nonfatal injuries among the elderly in the United States. Despite the importance of fall injuries, epidemiological studies of falls among the elderly have identified neither their causes nor the methods to prevent them. Therefore, we established a community-based surveillance sys...

journal_title：Journal of the American Geriatrics Society

authors： DeVito CA,Lambert DA,Sattin RW,Bacchelli S,Ros A,Rodriguez JG

更新日期：1988-11-01 00:00:00

abstract：:Thirty-eight patients with dementia of various etiologies were studied longitudinally to determine the change in cognition over time in subjects with and without hearing impairment. Hearing impaired subjects were older (P less than .0001), but subject groups were otherwise comparable with respect to living arrangement...

journal_title：Journal of the American Geriatrics Society

authors： Peters CA,Potter JF,Scholer SG

更新日期：1988-11-01 00:00:00

abstract：:Patients with dementia often manifest troublesome and disruptive behaviors in addition to intellectual impairments. This study evaluated behavioral disturbances in 126 demented patients examined sequentially, using questionnaires administered to primary caregivers to quantify the types and severity of behavioral distu...

journal_title：Journal of the American Geriatrics Society

authors： Swearer JM,Drachman DA,O'Donnell BF,Mitchell AL

更新日期：1988-09-01 00:00:00

abstract：:The Mini-Mental State Examination and the WAIS-R were administered to 105 patients in the early stages of Alzheimer's disease. MMSE scores correlated 0.83 with full scale IQ, which indicates that the MMSE may be a reasonable alternative measure of overall intellectual functioning in Alzheimer patients, for whom more e...

journal_title：Journal of the American Geriatrics Society

authors： Farber JF,Schmitt FA,Logue PE

更新日期：1988-06-01 00:00:00

abstract：:The Wisconsin Drug Utilization Review Project used Medicaid claims data to examine the use of long-term, full doses histamine-2 receptor antagonists (H2RAs) among long-term care facility (LTCF) residents, ie, doses exceeding 800 mg per day of cimetidine or 150 mg per day of ranitidine for 12 weeks or more. Additional ...

journal_title：Journal of the American Geriatrics Society

authors： Lipowski EE,Bauwens SF,Collins TM

更新日期：1988-06-01 00:00:00

abstract：:At an active outpatient geriatric program the gerontological team observed that Alzheimer patients appear to have fewer physical ailments than other elderly patients. To test this hypothesis, we reviewed a sample of 348 clinic patients. One hundred forty-three had a normal mental status; 75 had Alzheimer's disease as ...

journal_title：Journal of the American Geriatrics Society

authors： Wolf-Klein GP,Siverstone FA,Brod MS,Levy A,Foley CJ,Termotto V,Breuer J

更新日期：1988-03-01 00:00:00

abstract：:The case report presented is clinically compatible with late onset HD. The diagnosis was initially obscured by a lack of family history due to the early death of both parents and siblings. The presence of symptoms at the age of 59 in one offspring is consistent with the intrafamilial transmission of late onset HD dise...

journal_title：Journal of the American Geriatrics Society

authors： Moss RJ,Mastri AR,Schut LJ

更新日期：1988-03-01 00:00:00

abstract：:As the complexity, prevalence and visibility of ethical dilemmas in medical care of the elderly have grown, hospitals and nursing homes have attempted to develop mechanisms for responding to these difficult ethical issues. While it is known that many hospitals rely on education and advice provided by an ethics committ...

journal_title：Journal of the American Geriatrics Society

authors： Glasser G,Zweibel NR,Cassel CK

更新日期：1988-02-01 00:00:00

abstract：:Although there has been increasing attention to the ethical and legal issues involved in the patient's right to have treatment or hospitalization withheld, there have been few empirical evaluations of programs designed to accomplish that end. Over a 7-year period, a medical group cared for 110 patients in a skilled nu...

journal_title：Journal of the American Geriatrics Society

authors： Mott PD,Barker WH

更新日期：1988-01-01 00:00:00

abstract：:A dramatic increase in the number of ethics committees in long-term care facilities (LTCFs) has occurred since 1970 in the 487 nursing homes in Minnesota. Ten percent of the LTCFs had ethics committees which were mostly formed by administrators and nurses. The committees are most often found in large urban facilities ...

journal_title：Journal of the American Geriatrics Society

authors： Brown BA,Miles SH,Aroskar MA

更新日期：1987-11-01 00:00:00

abstract：:Two types of follicular change in the thyroid are described. The first represents an involutional change in which colloid cysts (macrofollicles) are often found. The second represents a hyperplastic-dysplastic (microfollicular) lesion. Two types of change in calcitonin (C) cells are also described, one of which may re...

journal_title：Journal of the American Geriatrics Society

authors： Blumenthal HT,Perlstein IB

更新日期：1987-09-01 00:00:00

abstract：:Available strategies to increase influenza vaccination rates in the elderly have not been tested in the private sector where most elderly receive care. We performed a randomized controlled trial of a postcard reminder in the three private general internal medicine practices. The observed vaccination rates of 55% in ex...

journal_title：Journal of the American Geriatrics Society

authors： Buchner DM,Larson EB,White RF

更新日期：1987-08-01 00:00:00

abstract：:On September 11, 1986, the Supreme Judicial Court of Massachusetts, in a 4-3 decision, authorized removal of the artificial feeding tube. It held that the "substituted judgment" of an incompetent person in a persistent vegetative state to refuse artificially administered sustenance must be honored. The Court also refu...

journal_title：Journal of the American Geriatrics Society

authors：

更新日期：1987-07-01 00:00:00

abstract：:Pfeiffer's Short Portable Mental Status Questionnaire (SPMSQ) is a brief screening test for organic brain syndromes. The validity of the SPMSQ was evaluated in a random sample of 119 community residents and 282 consecutively admitted medical inpatients. The SPMSQ proved to be a sensitive and specific screening test fo...

journal_title：Journal of the American Geriatrics Society

authors： Erkinjuntti T,Sulkava R,Wikström J,Autio L

更新日期：1987-05-01 00:00:00

abstract：:Thirty-two demented, elderly residents of a nursing home were admitted to a specially designed dementia unit. Each patient was assessed three times: prior to admission, and at four and 12 months after admission to the unit. Patients were evaluated using a modified version of a previously published assessment scale as ...

journal_title：Journal of the American Geriatrics Society

authors： Benson DM,Cameron D,Humbach E,Servino L,Gambert SR

更新日期：1987-04-01 00:00:00