P Oster, W von Tabouillot, F Nold, H Schmidt-Gayk, G Schlierf
{"title":"[Prevalence of pathologic vitamin D and parathyroid hormone levels in geriatric patients].","authors":"P Oster, W von Tabouillot, F Nold, H Schmidt-Gayk, G Schlierf","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Diseases of the bone have always to be considered in geriatric patients, especially because of the therapeutic consequences in osteomalacia (3/100) and hyperparathyreodism (1/100). Therefore calcium, phosphate and alkaline phosphatase should be measured in geriatric patients. The high prevalence of pathologic vitamin D measurements (78/100) in spring points to the importance of outdoor activities.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 6","pages":"221-2"},"PeriodicalIF":0.0,"publicationDate":"1983-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17207313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Iatrogenic or environmentally caused vascular diseases in the aged].","authors":"R M Schütz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cardiovascular diseases show a significant increase with age. However, there are no lesions which especially or exclusively affect blood vessels of old people only. Nevertheless, old persons seem to be more exposed to events occurring in their environment or, for example, during vascular or bone surgery, which can result in such lesions. Hyperergic vascular diseases can also occur and are mostly induced by polypragmasy as a consequence of multimorbidity. Drug-elicited reactions depend on changes in pharmacokinetics or pharmacodynamics. In addition, defects in cardiovascular adaptability may enhance the effectivity of the risks.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 5","pages":"177-80"},"PeriodicalIF":0.0,"publicationDate":"1983-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17205097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Measurement of physical capacity in senior sports using motor criteria].","authors":"G Hannig","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The physical performance of 107 senior people (87 men, 20 women) was measured with the sport-methodical part of the Richter/Beuker-test battery. The classification in age-depending classes followed a new developed model with 4 central and 2 flanking open classes. The test battery consisting of 7 motor tests has been proved true essentially. The staff-falling test is controversial, nevertheless its retention is recommended because of economical aspects. The body-bending test must be substituted in any case. Modifications of test instructions with the aim of adaption at the special conditions of senior motor fitness are necessary.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 5","pages":"201-4"},"PeriodicalIF":0.0,"publicationDate":"1983-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17205102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Determinants of depressive reactions in the aged].","authors":"M Hautzinger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A community sample of older adults was investigated to test some of the current hypothesis about the etiology of depression in the elderly. Multiple regression analysis showed that cognitive disturbances (memory, concentration), previous depressive episodes, and somatic health problems accounted for most of the etiological variance. Other variables, like stressful life events, financial problems, social isolation, alcohol use, age, sex, and previous somatic illnesses are significant but their numerical values are very small. Etiological insignificant were the variables: physical activities, competency in daily living, and support by ones own children.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 5","pages":"191-4"},"PeriodicalIF":0.0,"publicationDate":"1983-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17205100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Drug interactions as a cause for iatrogenic diseases in the aged. A tabulated presentation].","authors":"G Hitzenberger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Drug interactions are found in elderly patients to a higher degree than in younger persons, because of the multimorbidity in the advanced age. The reasons are pharmacokinetic and/or pharmacodynamic mechanisms. At the first glance the amount of interactions seems puzzling but after regarding details more thoroughly it turns out that most of those interactions may be attributed to just a few drugs.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 5","pages":"173-6"},"PeriodicalIF":0.0,"publicationDate":"1983-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17205096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Epidemiology and basic pathogenetic mechanisms of environmental and iatrogenic diseases].","authors":"A Neumayr","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the first part environmental diseases by air pollution, water contamination and dietary factors are discussed. The important role of the combustion of coal and petrol and the increasing confrontation with carcinogenic substances, especially with those originated by smoking of tobacco are stressed and underlined by epidemiologic dates. Other epidemiologic evidences are mentioned concerning the development of cardiovascular diseases, neoplastic diseases of the colon or liver diseases by dietetic factors. In the second part epidemiologic facts of drug induced reactions and iatrogenic cases of death in hospitalized and out-patients are reported. The main responsible pathogenetic factors for such events, prevailing in elder persons, are seen in the reduced hepatic metabolic capacity, the decreasing tubular or glomerular function of the kidneys and above all the different and often unpredictable drug interactions. The most important pathogenetic mechanisms for drug interactions are changes of drug binding to albumin or competitive disturbance of renal excretion and particularly alterations of the biotransformation processes as enzyme induction or enzyme inhibition. The clinical relevance of these theoretical considerations is demonstrated by some practical examples referring to the importance of a solid knowledge of the many possible interactions in drug therapy especially in elder patients.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 5","pages":"167-72"},"PeriodicalIF":0.0,"publicationDate":"1983-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17205095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Iatrogenic and environmentally caused diseases of the endocrine system in the aged].","authors":"K H Tragl","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 5","pages":"181-6"},"PeriodicalIF":0.0,"publicationDate":"1983-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17205098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Bracha reflexes. Neurological indicators of localisation of brain damage. Implications for diagnosis and therapy of organic mental disorders.","authors":"C J van Tiggelen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Described are four relatively unknown primitive reflexes, considered as indicators of localised neuropathology in patients with organic mental disorder. The pollico-mental reflex indicates dysfunction of the prefrontal cortex of the contralateral hemisphere, as found in cortical dementia. The snout-reflex indicates dysfunction of the dopaminergic neurotransmission in the nigro-striatal system. The labio-mental reflex indicates dysfunction of the limbic cortex and the baso-lateral limbic circuit (amygdala) of the contralateral hemisphere, involved in organic schizoaffective syndromes. The linguo-mental reflex indicates dysfunction of the temporal cortex and the medial limbic circuit (hippocampus) of the contra-lateral hemisphere, involved in the amnestic syndrome and in subcortical dementia. The diagnostic relevance and the implications for management with psychotropic drugs are discussed. The need for further research, validating these observations, is stressed.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 5","pages":"195-200"},"PeriodicalIF":0.0,"publicationDate":"1983-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17205101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Drug-induced eye lesions in the aged].","authors":"H Slezak","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Occasionally, undesired side effects of drugs occur in different ocular structures. The author reports on respecting lesions of lacrimal apparatus, conjunctive and cornea, lens, retina, and optic nerve; finally, the influence of different drugs on the intraocular pressure is discussed.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 5","pages":"187-90"},"PeriodicalIF":0.0,"publicationDate":"1983-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17205099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Vascular surgical emergency in advanced age: arterial embolism--iliofemoral venous thrombosis].","authors":"L Sunder-Plassmann, U Hildebrandt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute embolic arterial occlusion is the most frequent emergency in vascular surgery; the patients usually have significant heart disease and additional risk factors due to high age. Since 1966 acute embolic occlusions of major vessels of the lower extremity have been operated in 1496 patients; 82% of patients were over 65 years of age--18% even over 80 years. Standardized embolectomy from a small groin incision in local anaesthesia after preoperative check of general conditions has the best prognosis concerned limb salvage. Postoperative long term anticoagulation is performed routinely to prevent recurrent embolization. Preoperative angiography is required only when there is a clinical suspect of preexisting occlusive vessel disease with acute arterial thrombosis. If possible, this group of patients should be subjected to elective reconstructive surgery (fem. pop. bypass, profundoplasty etc.) since embolectomy alone does not mean definitive help in this group. Also for acute iliofemoral venous thrombosis high age is a significant risk factor. Among 240 patients, operated since 1966, about 25% were over 70 years of age. In these patients operative thrombectomy is the only effective means since lysis is usually not performed. Thrombectomy provided a very good result (fully patent veins, normal venous pressure response curves) in 28%. In 64% pressure curves were grossly normal, though recurrent thrombosis had occurred in either femoral or lower leg veins. Only 8% revealed total iliofemoral reocclusion. Thus also in these high risk patients thrombectomy seems to be justified to accomplish early remobilization and prevent respiratory distress syndrome.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 4","pages":"136-8"},"PeriodicalIF":0.0,"publicationDate":"1983-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17203018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}