{"title":"[Histology of the pineal gland in the elderly human].","authors":"W Gusek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>2700 Non-selected pineal bodies from autopsied infants and subjects up to the 9th decade were weighted and studied histologically. The results show, that post-pubertal atrophy does not occur. Histologically, no sex-specific difference exists. Variations in weight are present only. In the first decade the mean weight is 80-100 mg, rising steadily to reach a maximum of 150-160 mg in the fifth decade. Later on the pineal, on an average, is larger and heavier in women. Pineal weight relationship to the hypophysis and the brain remains constant throughout adult life. In advanced age a general increase in the amount of supporting tissue is observed corresponding to structural fibrosis also occurring in other organs. This shows no age-dependent distribution pattern, does not occur at the expense of the parenchymal cells and is not related to calcification or weight. Calcifications, fibroses glioses and cysts are already found in neonates, statistically only being more frequently present in the higher age groups. A true, general, selective senile atrophy of the pineal does not occur, even in relation to the weight of the brain in the same decade. The quantitative and qualitative analysis of the elements, based on radiofluorescence and radiorefraction, will be discussed in detail. The causes of the recently reported depression of reagibility are still in discussion.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 3","pages":"111-4"},"PeriodicalIF":0.0,"publicationDate":"1983-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17201331","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":"[Need for therapy and target groups for therapy in nursing homes].","authors":"H P Tews","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The staff of 16 nursing homes with a total 472 residents evaluated possibilities to change the residents life situations by therapeutic activities. A statistical estimate of groups in need of therapy in a very broad sense is put forth. Younger residents (age 59 and below) need therapy most often. Significant differences in characterizing residents are to be found according to the degree of being \"bedridden\" (= hours out of bed per day). The less time residents are out of bed and the more dependent on help they are the lower the chances of estimated ameliorations. What is essential: need or the chance of amelioration? For about 1/4 of the residents more affiliation and activities are considered necessary. Facilitating independency is a central therapeutic goal. With some groups large differences between factual and possible independency are found. Staff expects amelioration of residents most often by therapy. This point of view may be partly result from the limited chances perceived to exert influence on residents.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 3","pages":"92-5"},"PeriodicalIF":0.0,"publicationDate":"1983-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17201232","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":"[Calcification of the arterial wall in the aging process. Electron microscopic and biochemical studies of a model of vitamin D3 overdose].","authors":"V Seydewitz, J Staubesand","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The following mechanisms for inactivating excessive Ca++ are found in the vessel wall (e.g. in old age, arteriosclerosis, hypertension, or overdosage with Vitamin D3): 1. The production of Matrix Vesicles, which reduce biologically active extracellular Ca++ by precipitating it during the initial stage of calcification. 2. An increase in the number of muscle cells changed from the \"k\" to the \"m\" form. These also possess a mechanism for reducing the intracellular Ca++ level. If in spite of these mechanisms the extracellular Ca++ concentration remains raised, this can result in calcification of the interzellular substance, particularly the elastic material.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 3","pages":"115-8"},"PeriodicalIF":0.0,"publicationDate":"1983-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17201227","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":"Nuclear-envelope nucleoside triphosphatase: stimulation by poly(A) (+)mRNA and modulation by microtubule protein.","authors":"A Bernd, H C Schröder, R K Zahn, W E Müller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nuclear envelopes contain a nucleoside triphosphatase which is thought to be involved in the supply of energy for nucleo-cytoplasmic RNA transport. This enzyme is stimulated most efficiently by poly(A) and to a lesser extent by poly(G) and poly(dT). Half-maximal stimulation of the enzyme from rat liver nuclei, which was associated with the poly(A)-specific Endoribonuclease IV and was free from poly(A) polymerase and Endoribonuclease V activity, was determined to occur at a concentration of 1.1 X 10(6) poly(A) molecules/nuclear ghost. Double-reciprocal plot analysis revealed a 2.8-fold stimulation of the enzyme by poly(A). Poly(A) in the hybrid form had no influence on the activity of the nucleoside triphosphatase. Stimulation by oligo(A) required a minimal chain length of 18 nucleotide units. Naturally occurring RNA species enhanced the nucleoside triphosphatase activity, provided they contained a poly(A) segment. Using poly(A)(+)mRNA, half-maximal stimulation was determined to proceed at 0.5 X 10(6) molecules/nuclear ghost. Removal of the poly(A) segment from mRNA mRNA abolished the stimulatory effect on the enzyme. Microtubule protein was found to inhibit the nucleoside triphosphatase efficiently. At a concentration of 2.0 mg/ml, polymerized microtubule protein reduced the enzyme activity by 96%. Dimeric tubulin was less inhibitory, while actin was without any significant effect. From these findings it is suggested that a possible nucleoside triphosphatase-mediated transport of poly(A)(+) mRNA through nuclear envelope is controlled firstly, by the poly(A) segment of this RNA species and secondly, by cytoplasmic microtubules.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 3","pages":"119-21"},"PeriodicalIF":0.0,"publicationDate":"1983-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17201228","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":"[Ginkgolip, a new geriatric drug. Results of a double-blind study].","authors":"H Schenker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The results of a placebo controlled double blind study with Ginkgolip on 50 hospitalized patients are reported. All patients showed symptoms of cerebrovascular insufficiency. For evaluation psychometric and psychopathometric test methods were applied. Further evaluation of the patients symptoms was carried out by the investigator, by the attending staff, by the patients, using a special rating scale. The final symptoms showed significant improvements of perceptible ability, concentration, adaptability, social ability, depression and wakefulnes. The evaluation by the attending staff showed an improvement of social behaviour, time of reaction and perceptible ability. The patient's rating scale showed a lower rate of complaints of the Verumgroup than of the Placebo-group. The psychometric and psychopathometric test methods showed no showed no significant differences. The drug was well tolerated, there were no incompatibilities or side effects.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 3","pages":"104-7"},"PeriodicalIF":0.0,"publicationDate":"1983-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17201329","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":"[Phagocytosis activity of the isolated perfused rat liver].","authors":"T Vömel, D Platt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The reticulohistiocytary system was tested with colloidal carbon. Isolated livers were perfused at 20 degrees C, 28 degrees C, 37 degrees C and 45 degrees C with a hemoglobin and protein free medium. It was shown that the perfusion at 28 degrees C revealed a significantly better phagocytosis as at temperatures of 37 degrees C and 45 degrees C. The control parameters of the liver function got, gpt lactate-pyruvate, beta-hydroxybutyrate and acetoacetate displayed the best results at 28 degrees C.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 3","pages":"122-4"},"PeriodicalIF":0.0,"publicationDate":"1983-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17201229","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":"[Therapeutic principles of bronchopulmonary infections in the aged].","authors":"F Kummer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Airways and lungs are equipped with a highly effective defense mechanism. These can bei found damaged in the aged: Cough is weaker, mucociliary clearance and mucous production are irregular. This damage can bei caused and increased by smoking, recurrent infection, and some sorts of air pollution (SO2). We call it a primary infection, when the organ has been intact as well as the general condition (immune defense etc), and where the causative agent is a virus or virus-like organism. A secondary infection is conditioned by previous disease, and when the causative agents are bacilli. Finally, a tertiary infection is dependent on a defense failure of the body and on opportunistic organisms. For elderly patients, secondary infections outweight the others (recurrent purulent bronchitits). However, tertiary infections must also bei considered in bedridden or post-operative patients or in those with metabolic disease. Finally, pneumonia in the aged must be differentiated in terms of underlying carcinoma, infarction, aspiration and tuberculosis. Therapy of primary (viral)infection consists mainly in prophylaxis of bacterial secondary infection. The choice of drug, dosage and duration of treatment depends on the degree of previous damage to the organ, of complications and status of the whole body and it's defense mechanisms.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 3","pages":"87-9"},"PeriodicalIF":0.0,"publicationDate":"1983-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17201230","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":"[Internal medicine aspects in patients with operable carotid lesions].","authors":"V Enzenhofer, H P Ammerer, H Brenner, J Slany","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cerebral insufficiency with or without neurological deficits (n.d.) may be treated effectively surgically by carotid artery reconstruction or by extra-intracranial anastomoses. The low mortality of these operations and the favourable results including prevention of new n.d. and amelioration of long standing n.d. suggest consideration of operation in geriatric patients. Noninvasive screening methods for cranial artery pathology such as neck auscultation, direct and indirect Doppler ultrasonic investigations and dynamic and static cerebral scan therefore should be performed not only in all patients with overt cerebrovascular insufficiency whatever degree but also in patients with hypertension, diabetes mellitus, ischemic heart disease and occlusive disease of the extremities on account of the high incidence of multivascular disease in these patients. We compared 60 consecutive patients before and beyond the age of 70 respectively, treated surgically for cerebrovascular insufficiency. The only significant differences apart from age were a higher rate of pathologic findings of the heart on x-ray and on the ecg in the aged. Despite this mortality, major complications and favourable results were not different for both age groups. These results favour an active approach to diagnosis and indication to surgical treatment not only in young patients but also in the symptomatic geriatric patient.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 3","pages":"90-1"},"PeriodicalIF":0.0,"publicationDate":"1983-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17201231","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 compliance of pregeriatric rehabilitation patients. Brief communication on a longitudinal investigation.","authors":"B Fischer, S Lehrl, U Fischer, E Weber","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An overview on an follow-up study is given that concerns the drug-compliance of 990 pregeriatric rehabilitation patients. During 20 days the drug intake of every patient was controlled by riboflavine method. The compliance-rate was at 47.9 +/- 32.4%, and it was relatively constant during the course of the investigation. Other features as age, nationality, number of risk factors etc. correlated but moderately though significantly with the compliance-rate. The lowest values had foreigners, and/or patients prone to nicotine or alcohol abuse. The highest rate was found on patients being in the state after heart infarction.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 3","pages":"101-3"},"PeriodicalIF":0.0,"publicationDate":"1983-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17201328","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":"[Emergencies in geriatrics].","authors":"R M Schütz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The more pronounced a so called polypathia is present in the aged, the earlier, the more often and/or the more severe is the tendency that an acute disease develops to an emergency situation to which it never would become per se. Pathophysiological aspects of outstanding importance for treating or preventing such emergency situations are discussed.</p>","PeriodicalId":75459,"journal":{"name":"Aktuelle Gerontologie","volume":"13 2","pages":"53-6"},"PeriodicalIF":0.0,"publicationDate":"1983-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17200604","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}