{"title":"Double-blind evaluation of naftidrofuryl in treating elderly confused hospitalised patients.","authors":"J R Cox","doi":"10.1159/000245573","DOIUrl":"https://doi.org/10.1159/000245573","url":null,"abstract":"<p><p>In a double-blind comparison between naftidrofuryl and placebo, naftidrofuryl-treated patients improved significantly on scales completed by the nurse, occupational therapist and physician. No improvement was found for placbo-treated patients. When the response to each treatment was compared, naftidrofuryl was found to be significantly better than placebo on both nurse and physician assessment. There was considerable variation between assessors which suggests that they were measuring different aspects of the patients' condition. There was also considerable variation in patient response, some improved on naftidrofuryl and some deteriorated; some improved on placebo and some deteriorated. However, overall it would seem that patients admitted to hospital with confusional states benefit from treatment with naftidrofuryl.</p>","PeriodicalId":75882,"journal":{"name":"Gerontologia clinica","volume":"17 3","pages":"160-7"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000245573","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12282252","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}
C F Colucci, B D'Alessandro, A Bellastella, N Montalbetti
{"title":"Circadian rhythm of plasma cortisol in the aged (Cosinor method).","authors":"C F Colucci, B D'Alessandro, A Bellastella, N Montalbetti","doi":"10.1159/000245562","DOIUrl":"https://doi.org/10.1159/000245562","url":null,"abstract":"<p><p>Plasma cortisol circadian rhythm was investigated in 18 apparently healthy elderly subjects, in 11 elderly patients affected by cerebrovascular hemiplegia and in 11 otherwise healthy blind elderly subjects. Results were microscopically analyzed by the least squares and Cosinor methods. The circadian rhythm of plasma cortisol was present and normal both in elderly subjects and in elderly patients with cerebrovascular hemiplegia. By contrast, a plasma cortisol rhythm was not found in blind elderly subjects.</p>","PeriodicalId":75882,"journal":{"name":"Gerontologia clinica","volume":"17 2","pages":"89-95"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000245562","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12360081","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":"Psittacosis in the elderly.","authors":"M Rakshit, P B Crone","doi":"10.1159/000245572","DOIUrl":"https://doi.org/10.1159/000245572","url":null,"abstract":"<p><p>Six elderly patients with serological evidence of psittacosis but atypical syndromes are described. These cases illustrate the difficulties in diagnosing this infection in the old. Four patients were febrile and three had lesions visible on X-ray of the chest. Three died, in one acute toxic viral myocarditis seemed the cause. All were treated with tetracycline, which must be given generously. Psittacosis infection would probably be more commonly diagnosed in the old if serological examinations were carried out in old people immediately on their administration to hospital because of a severe febrile illness. Serological tests appear clearly to be the most certain means of identifying psittacosis in patients with multiple pathology.</p>","PeriodicalId":75882,"journal":{"name":"Gerontologia clinica","volume":"17 3","pages":"154-9"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000245572","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12361029","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":"Health testing in the elderly by the multiphasic method.","authors":"A J Rosin, D Galinsky","doi":"10.1159/000245561","DOIUrl":"https://doi.org/10.1159/000245561","url":null,"abstract":"<p><p>A multiphasic screening programme was carried out on a stratified sample of the elderly population of a small town in Israel. The purpose was to gain an assessment of the health profile of the subjects and to estimate what kind of community geriatric services might be required. The performance of the programme in 3 days on 89% of the 200 subjects who were available testified to the rapidity and yield of information by this 'conveyor-belt' system of examination. The technique is described, and some criticisms and suggestions are advanced. Evaluation of the efficacy of this method of screening was judged on four types of information accruing in a survey of the elderly. Demographic and epidemiological data, together with prevalence of symptoms or clinical signs and their correlations could be rapidly ascertained; so also could specific pathologic parameters be rapidly collected, which required medical follow-up, such as blood sugar values. The method appeared less successful in assessing an individual's functional or social difficulties which would require specific community services because of the multi-facetted type of examination by different members of the team. Similarly, a screening programme which depends on its subjects being transported may miss some of the more infirm people, as was subsequently found in this survey. It is concluded that for the elderly, the multiphasic method with the expense and organisation required is appropriate for preliminary screening of a section of a population, or for the screening of selective groups at risk.</p>","PeriodicalId":75882,"journal":{"name":"Gerontologia clinica","volume":"17 2","pages":"80-8"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000245561","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12360080","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":"[Electrocardiographic modifications of chronic ischaemic cardiopathy in aged and old patients (author's transl)].","authors":"M Dumitru","doi":"10.1159/000245581","DOIUrl":"https://doi.org/10.1159/000245581","url":null,"abstract":"<p><p>The author presents the results of an electrocardiographic investigation in a group of 160 inpatients, aged from 65 to 95 years (80 females and 80 males). Coronary ischaemia due to atherosclerosis produces in elderly people distinct clinical features and important ECG abnormalities. In this group, absence of correlation between clinical status and ECG modifications of myocardial ischaemia was found much more frequently than in non-elderly adults. In the aged, paroxysmal arrhythmias, by their metabolic and haemodynamic disturbances, determine in most cases the poor prognosis in these patients.</p>","PeriodicalId":75882,"journal":{"name":"Gerontologia clinica","volume":"17 4","pages":"220-9"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000245581","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12393740","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":"Tumor-like pulmonary manifestations of congestive heart failure.","authors":"A G Koutsoukos, A S Dontas","doi":"10.1159/000245580","DOIUrl":"https://doi.org/10.1159/000245580","url":null,"abstract":"<p><p>Two cases of \"phantom tumors\" of the right lung on elderly subjects with congestive heart failure are described. One presented a picture of patchy bronchopneumonia, whereas the second had been diagnosed as a lung carcinoma 1 month before hospitalization because of a round lesion. In both cases the radiological picture cleared up within a few days following rest, diuresis and digitalization. The possibility of congestive heart failure as a cause for development of circumscribed pulmonary opacities should always be kept in mind.</p>","PeriodicalId":75882,"journal":{"name":"Gerontologia clinica","volume":"17 4","pages":"210-9"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000245580","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11350212","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":"Plasma viscosity in the elderly.","authors":"P F Roe, J Harkness","doi":"10.1159/000245574","DOIUrl":"https://doi.org/10.1159/000245574","url":null,"abstract":"<p><p>Plasma viscosity has been measured by a standardised technique in an unselected series of elderly subjects. Results have been grouped according to the severity of clinical disease and are found to give a good statistical differentiation between most groups, although with a wide overlap. Repeated tests show only a fair correlation with the course of an individual patient's illness. These results are compared with those previously reported. In general, values are lower in elderly than in younger subjects with diesease of comparable clinical severity. \"Normal' values are, however, slightly higher in the elderly. Further studies are planned to analyse apparently anomalous results in an attempt to determine more exactly the clinical value of plasma viscosity estimation in the elderly.</p>","PeriodicalId":75882,"journal":{"name":"Gerontologia clinica","volume":"17 3","pages":"168-72"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000245574","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12361030","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":"Day care in geriatric psychiatry.","authors":"T Arie","doi":"10.1159/000245551","DOIUrl":"https://doi.org/10.1159/000245551","url":null,"abstract":"<p><p>Psychiatric day care for the ederly is still in its relative infancy in this country, and we can expect a great increase in demand. Treatment may be less prominent among the functions of a psychogeriatric day hospital than supportive care and tolerance of odd and confused behaviour. Psychogeriatric day patients tend to become permanent, their attendance being more often terminated by inpatient admission than by discharge; in demented patients this is because their needs are unlikely to abate, and these patients often need to come daily; in many functional patients it is because they become dependent on the day hospital, and manage quite well provided they can come once a week. Thus it is only rarely that short-term day hospital attendance provides an alternative to short-term hospitalisation; more commonly it is an extension of long-term care, or an alternative to long-term hospitalisation. Some practicalities are considered, and some still open issues.</p>","PeriodicalId":75882,"journal":{"name":"Gerontologia clinica","volume":"17 1","pages":"31-9"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000245551","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11992757","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}
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