{"title":"Respiratory change in heart rate, sinus arrhythmia in the elderly.","authors":"H E Davies","doi":"10.1159/000245563","DOIUrl":"https://doi.org/10.1159/000245563","url":null,"abstract":"","PeriodicalId":75882,"journal":{"name":"Gerontologia clinica","volume":"17 2","pages":"96-100"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000245563","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12360082","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":"First impressions of a microcellular sponge pad in the prevention of bed sores.","authors":"F W Wigzell, A Connon","doi":"10.1159/000245582","DOIUrl":"https://doi.org/10.1159/000245582","url":null,"abstract":"<p><p>A new type of weight-bearing pad for bed-fast patients was evaluated during its use in the ward. It was found to be comfortable, easily cleaned and easily handled. Initial observations on nine patients suggested that the microcellular sponge pad helped to prevent the progress of pressure sores even when the patient's general state pointed to a likely deterioration in the lesion.</p>","PeriodicalId":75882,"journal":{"name":"Gerontologia clinica","volume":"17 4","pages":"230-5"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000245582","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12393741","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":"Ventricular relaxation and mitral opening time in various ventricular conditions of old age.","authors":"A A Luisada, P K Bhat, K Watanabe, D B Rao","doi":"10.1159/000245577","DOIUrl":"https://doi.org/10.1159/000245577","url":null,"abstract":"<p><p>This phonocardiographic-echocardiographic study was based on measurement of the interval between the aortic component of the second sound (IIA) and the peak of the E wave of the mitral echogram. The study was performed in 20 cases of left bundle branch block (LBBB), 10 cases of right bundle branch block (RBBB), 10 cases of old myocardial infarct (MI), and 10 cases of systemic hypertension (HY). All patients were above 60 years of age, and their data were compared with those of old persons without evidence of heart disease serving as controls. The IIA-E interval was found markedly prolonged in LBBB, less prolonged in MI and RBBB, and was shortened in HY. A dynamic analysis revealed that this interval results from the isovolumic relaxation period (IRP) of the left ventricle plus the \"opening time\" of the mitral valve. The changes observed were explained as resulting from a modification of the IRP that should be correlated with a similar modification of the isovolumic contraction time. Myocardial fibrosis would cause prolongation of IRP through structural lesions while hypertension would cause abbreviation of IRP through hormonal effects modifying both contraction and relaxation.</p>","PeriodicalId":75882,"journal":{"name":"Gerontologia clinica","volume":"17 4","pages":"181-90"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000245577","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12395294","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 general practitioner and the hospital. An experiment in in-patient care.","authors":"J C Brocklehurst","doi":"10.1159/000245550","DOIUrl":"https://doi.org/10.1159/000245550","url":null,"abstract":"<p><p>A 3-year rotating programme for three general practitioners as clinica assistants involved in in-patient care is described in the three associated departments of medicine, geriatric medicine and psychiatry in a district general hospital. The appointments were for three sessions a week each. The effectiveness of such rotating appointments is analysed including both the service contribution to the hospital and the educational content from the general practioner's point of view and also the way in which such appointments fit in with the timetable of work in general practice. Such a rotating scheme is most successful in geriatric medicine and psychiatry. Involvement in in-patient care in general medicine proved more difficult. Future schemes might include only 6 months in general medicine, together with 6 months in another specialty.</p>","PeriodicalId":75882,"journal":{"name":"Gerontologia clinica","volume":"17 1","pages":"23-30"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000245550","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12305856","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":"Assessment of iron stores in old people.","authors":"R D Cape, M H Zirk","doi":"10.1159/000245564","DOIUrl":"https://doi.org/10.1159/000245564","url":null,"abstract":"<p><p>Iron deficiency is the commonest cause of anaemia in the old. Anaemia is a useful indicator of morbidity, occurring much more frequently in individuals referred to hospital. Isolated serum iron estimations are often misleading. A study of 34 cases in whom serum iron, iron-binding capacity and bone marrow were examined showed that the percentage saturation of the binding capacity remains a good method of assessing iron stores.</p>","PeriodicalId":75882,"journal":{"name":"Gerontologia clinica","volume":"17 2","pages":"101-6"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000245564","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12360075","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}
K Wisniewska-Roszkowska, A Jedynecki, W Ziolkowski
{"title":"10 years observation and rehabilitation of stroke disability. Longitudinal study.","authors":"K Wisniewska-Roszkowska, A Jedynecki, W Ziolkowski","doi":"10.1159/000245559","DOIUrl":"https://doi.org/10.1159/000245559","url":null,"abstract":"<p><p>In the I State Home for Incurables in Lodz (Poland) 195 hemiplegia cases were observed over ten years. 140 women and 55 men. This comprised 8.2% and 17.8% of all ill females and males respectively. Causes of the lesion were vascular 187, trauma 4, neoplasm 4. Hemiparesis was in females most frequent between 60 and 80 years, in males between 50 and 80 years. Communication was absent or difficult in 126 cases (in 22 the cause was aphasia, in 104 dementia). Incontinence was noted in 77 cases, inability to walk (on admission) in 129. During the ten years under survey 135 died, 15 were discharged home, 26 females and 18 males were rehabilitated. Very good improvement in motor activity was obtained in 14 females (3 without kinesitherapy) and 7 males, indicating adequate walking and independence in activities of daily living after prolonged bedfastness. (average 2.5 years in males and 2.7 years in females). Altogether 88 patients improved from the locomotor angle. In cases with dementia, incontinence and severe aphasia prognosis in rehabilitation was found to be poor.</p>","PeriodicalId":75882,"journal":{"name":"Gerontologia clinica","volume":"17 2","pages":"67-71"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000245559","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12360078","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":"Some characteristics of non-surviving subjects in a three-year longitudinal study of elderly people living at home.","authors":"A J Gilmore","doi":"10.1159/000245560","DOIUrl":"https://doi.org/10.1159/000245560","url":null,"abstract":"<p><p>During the period 1969-71 a random sample of 300 people aged 65 years and over living in their own homes was studied intensively by the staff of the University Department of Geriatric Medicine in Glasgow. Physical, psychiatric, social and dietetic data were collected. In the follow-up study, three years later (1972-74), all subjects were re-assessed. The relationship between survivors and non-survivors was considered with regard to twenty-five characteristics representative of the first survey data. No significant difference was found between survivors and nonsurvivors for age, sex, marital status, or the inadequate intake of various nutritients. Factors which related to mortality at the three year interval were the presence of arteriosclerotic disease, central nervous systemic disease, organic brain syndrome, and other psychiatric disorders, limitation of mobility, physical disability, cigarette smoking, poor recent memory and calculation ability.</p>","PeriodicalId":75882,"journal":{"name":"Gerontologia clinica","volume":"17 2","pages":"72-9"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000245560","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12360079","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":"Geriatric medicine in a community hospital.","authors":"B Lodge, S Greenaway","doi":"10.1159/000245567","DOIUrl":"https://doi.org/10.1159/000245567","url":null,"abstract":"<p><p>A study is reported of the care that was being received by the patients over the age of 60 years in general practitioner community hospital beds at Abingdon Hospital in Berkshire. The appropriateness of this care is discussed and measures are suggested for improving it. The practical working relationship between general practitioners attending the community hospital and the local consultant physicians in geriatric medicine is also discussed and again measures for improving their combined services to the community hospital are suggested.</p>","PeriodicalId":75882,"journal":{"name":"Gerontologia clinica","volume":"17 3","pages":"109-25"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000245567","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12360083","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":"Oral temperature range in old age.","authors":"T H Howell","doi":"10.1159/000245569","DOIUrl":"https://doi.org/10.1159/000245569","url":null,"abstract":"<p><p>(1) The oral temperature of 105 females aged 61-100 years has been taken with an electric thermometer. (2) The readings obtained ranged from 30 to 37.2 degrees C. (3) Median reading of the group was 36.0 degress C. (4) There was no close relation between age and temperature. (5) Some correlation was found between oral readings and existing room temperature. (6) The figure of 37.0 degrees C is not a reliable normal in aged subjects.</p>","PeriodicalId":75882,"journal":{"name":"Gerontologia clinica","volume":"17 3","pages":"133-6"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000245569","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12360085","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 significance of carotid sinus hypersensitivity in the elderly.","authors":"A E Ritch","doi":"10.1159/000245571","DOIUrl":"https://doi.org/10.1159/000245571","url":null,"abstract":"<p><p>The carotid sinus stimulation test was performed under electrocardiographic control in 100 consecutive patients admitted to a psychogeriatric assessment unit. An abnormal cardioinhibitory response was obtained in two patients, and a borderline response in 13 patients. The incidence of carotid sinus hypersensitivity was no higher in those with dementia, coronary artery disease, and arteriosclerosis, nor in the very elderly. The increased frequency in males was significant. It is suggested that age alone is not a predisposing factor. Further studies are needed to determine the importance of a hypersensitive reflex as a clinical entity in the elderly.</p>","PeriodicalId":75882,"journal":{"name":"Gerontologia clinica","volume":"17 3","pages":"146-53"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000245571","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12361028","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}