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Comprehensive gerontology. Section A, Clinical and laboratory sciences最新文献

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The home care patient. A comparison with the nursing home patient. 家庭护理病人。与疗养院病人的比较。
Comprehensive gerontology. Section A, Clinical and laboratory sciences Pub Date : 1989-01-01
M Andersson, C G Gottfries, E Tomsic
{"title":"The home care patient. A comparison with the nursing home patient.","authors":"M Andersson,&nbsp;C G Gottfries,&nbsp;E Tomsic","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Forty-two patients receiving medical home care (MHC) were studied and compared with a group of 191 nursing home (NH) patients in the same area. Most MHC patients were over 65 years old. In both groups the illnesses that dominated were mainly circulatory and musculoskeletal diseases. The NH patients had significantly lower test results concerning intellectual, motor and ADL functions. The frequency of dementia was 3 times higher for both MHC and NH patients than for the average population in the same age groups. Depressed mood, anxiety, fear and panic were common symptoms for MHC as well as for NH patients. Both groups of patients investigated had frequent communication with relatives and friends. MHC patients took part in activities outside the home less frequently than NH patients. The results of this study indicate that MHC and NH patients constitute two different groups, that both NH and MHC care are needed, and that one form cannot replace the other. The high frequency of dementia in both groups stresses the point that mental impairment is a strong factor for the need of care.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"3 Suppl ","pages":"39-50"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13752830","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}
引用次数: 0
The caregiving role: dimensions of burden and benefits. 照顾者的角色:负担和利益的维度。
Comprehensive gerontology. Section A, Clinical and laboratory sciences Pub Date : 1989-01-01
G L Cafferata, R Stone
{"title":"The caregiving role: dimensions of burden and benefits.","authors":"G L Cafferata,&nbsp;R Stone","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Rapidly increasing public expenditures for nursing home care raise the policy question of how to support community care of disabled elderly persons and postpone admissions to nursing homes. It is crucial that research clearly identify the burdens of community caregivers in order to devise appropriate support programs. Data from the Caregiver Survey of the 1982 Long Term Care Survey are used here to understand dimensions of caregiver burdens and benefits, to develop reliable scales, and to identify sources of variation in burden and benefits. Using factor analysis, two dimensions of caregiver burden were identified, including role strain and role conflicts indicated by items comprising Guttman scales. Caregiver characteristics associated with variations in total perceived caregiver burdens, role strain and role conflict include the extent of caregiving work (disabled person's ADL, IADL scores), caregiver resources (age, health status, employment), latent social characteristics (gender), and the need to make adjustments in living (e.g. among employed caregivers, having to change work schedule to care for the disabled person). Caregiver benefits of two types - help with tasks and socio-emotional support - related inversely to objective burden as well as to relationship to the caregiver (spouse/nonspouse, primary caregiver/other).</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"3 Suppl ","pages":"57-64"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13752831","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}
引用次数: 0
The family and the help needs of disabled elderly in two Swiss cities. 瑞士两个城市中残疾老人的家庭和帮助需求。
Comprehensive gerontology. Section A, Clinical and laboratory sciences Pub Date : 1989-01-01
T Abelin, D Schlettwein-Gsell
{"title":"The family and the help needs of disabled elderly in two Swiss cities.","authors":"T Abelin,&nbsp;D Schlettwein-Gsell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of the present article is to describe the situation in which informal help is no longer sufficient, and thus to contribute to the understanding needed for the planning of organized services. Interviews were conducted with a stratified random sample of 480 over 65-year-olds in two urban areas of Switzerland representing a 80.4% response rate. The married elderly receive most of their daily help from their spouse; daily nursing assistance to the widowed elderly comes from a family member (60-70%) or from organized services, whereas neighbours may provide occasional help in household activities. Unmarried old people in need of daily help live almost always in stationary institutions. Under the conditions examined, domiciliary services for the disabled elderly serve to complement informal help rather than to replace it. Supporting and motivating informal caregivers would seem to be a promising strategy toward more efficient domiciliary services.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"3 Suppl ","pages":"51-6"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13676826","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}
引用次数: 0
Institutionalization of the elderly and characteristics of nursing home patients. 老年人机构化与养老院患者特点。
Comprehensive gerontology. Section A, Clinical and laboratory sciences Pub Date : 1989-01-01
M Andersson
{"title":"Institutionalization of the elderly and characteristics of nursing home patients.","authors":"M Andersson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To characterize nursing home patients and to study the prevalence of institutionalization 191 patients living in four somatic nursing homes in western Sweden were investigated. Of the total population over 65 years 7.8% were institutionalized, 2.6% in somatic nursing homes. The need for care increased markedly after 80 years of age. Most commonly (45%), the patients were admitted from emergency somatic wards. The mean age was 82.5 years, 74% were single and 60% were women. The mean period of care was 1.82 years. 87% had more than one diagnosis. The most common diseases concerned the circulatory system (51%) and the musculoskeletal system (43%). Dementia was diagnosed in 41% at admittance, but functional tests revealed a much higher frequency (72%). Conclusions. The nursing home patient was very old, was mostly single and had multiple diseases. The prevalence of dementia was high.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"3 Suppl ","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13752827","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}
引用次数: 0
Decreased cytosolic free calcium concentration of aged human lymphocytes in resting state. 老龄人静息状态淋巴细胞胞质游离钙浓度降低。
Comprehensive gerontology. Section A, Clinical and laboratory sciences Pub Date : 1989-01-01
S Tóth, P Csermely, E Beregi, A Szkladányi, L D Szabó
{"title":"Decreased cytosolic free calcium concentration of aged human lymphocytes in resting state.","authors":"S Tóth,&nbsp;P Csermely,&nbsp;E Beregi,&nbsp;A Szkladányi,&nbsp;L D Szabó","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cytosolic free calcium concentration was measured in lymphocytes from individuals over the age of 80, using quin2 and fura-2 calcium indicators. The average intracellular free calcium concentration of the samples was 62 nM, which value is roughly half the adult (age between 35 and 55) level (116 nM). It is supposed that the decline in immune function of aged individuals is connected to the decrease in free calcium concentration in their lymphocytes. We also discuss the consequences and the adaptive character of this decrease.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"3 Suppl ","pages":"16-22"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13702240","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}
引用次数: 0
Quantitative analysis of current trends in the development of biology of aging: scientometric and expert values. 衰老生物学当前发展趋势的定量分析:科学计量学和专家价值。
Comprehensive gerontology. Section A, Clinical and laboratory sciences Pub Date : 1989-01-01
Duplenko YuK, S G Burchinsky
{"title":"Quantitative analysis of current trends in the development of biology of aging: scientometric and expert values.","authors":"Duplenko YuK,&nbsp;S G Burchinsky","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Modern trends in the development of biology of aging have been assessed quantitatively by means of the scientometric and collective expert values methods as a part of the science-of-science analysis. The main regularities in the development of biology of aging during the period 1975 to 1985 are established and their comparative significance determined. The proposed complex approach as part of a science-of-science analysis allows an objective quantitation of the development dynamics of present basic research in gerontology.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"3 Suppl ","pages":"23-7"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13752828","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}
引用次数: 0
Intermittent nursing home care. Development of an alternative to institutional care. 间歇性的养老院护理。发展机构护理的替代方案。
Comprehensive gerontology. Section A, Clinical and laboratory sciences Pub Date : 1989-01-01
H Berthold, S Landahl, M Larsson, A Svanborg
{"title":"Intermittent nursing home care. Development of an alternative to institutional care.","authors":"H Berthold,&nbsp;S Landahl,&nbsp;M Larsson,&nbsp;A Svanborg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Intermittent care was offered as an alternative to 178 patients who were at risk of permanent nursing home care, and this proved to be feasible for 55% of these patients. Non-participation was most common due to a pronounced deterioration of health status, hesitance or sick relatives. A more detailed evaluation of this form of long-term care was made for the 27 patients who were in the programme at a specific time and were able to participate in an interview. Although the patients had advanced medical problems and disabilities (80% had balance problems, 74% urinary incontinence, etc.) the majority had a positive outlook on life and appreciated intermittent care. Also from a clinical aspect this form of long-term care proved acceptable, although a decline in performance of activities of daily living and health status was frequently observed during the periods at home.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"3 Suppl ","pages":"28-38"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13752829","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}
引用次数: 0
Effects of aging on mucociliary clearance. 衰老对纤毛粘液清除的影响。
Comprehensive gerontology. Section A, Clinical and laboratory sciences Pub Date : 1989-01-01
R A Incalzi, C L Maini, L Fuso, A Giordano, P U Carbonin, G Galli
{"title":"Effects of aging on mucociliary clearance.","authors":"R A Incalzi,&nbsp;C L Maini,&nbsp;L Fuso,&nbsp;A Giordano,&nbsp;P U Carbonin,&nbsp;G Galli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Preliminary results from the relationship between aging and mucociliary clearance of inhaled 99-Tc human albumin particles (0.92-2.5 microns) are reported from two groups of healthy non-smokers: 1) 20-61-year-old (mean 42 years) and 2) 71-90-year-old (mean 79.5 years). The analytical procedure is presented, and on the basis of the analysis it is concluded that there is evidence for an age-related decline of the mucociliary clearance by a bi-phasic curve, similar to those reported in the literature for other physiological functions.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"3 Suppl ","pages":"65-8"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13752832","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}
引用次数: 0
Drugs prescribed for elderly patients in nursing homes or under medical home care. 给在疗养院或在家接受医疗护理的老年病人开的药。
Comprehensive gerontology. Section A, Clinical and laboratory sciences Pub Date : 1989-01-01
M Andersson
{"title":"Drugs prescribed for elderly patients in nursing homes or under medical home care.","authors":"M Andersson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The consumption of drugs was registered for 191 nursing home patients (NH, median age 84) and for 42 medical home care patients (MHC, median age 74). Drug treatment was common in both groups and somewhat higher in MHC (4.4 and 4.9 drugs, respectively per patient). The proportion of men/women on drugs and the average number of drugs prescribed differed between the sexes only exceptionally. Drugs for cardiovascular diseases, psychotropic drugs, laxatives and analgesics were the most frequently used. Although psychotropic drugs were frequently prescribed, symptoms of emotional disturbances appeared undertreated. Demented patients received anxiolytic drugs less frequently than non-demented. The NH group received inadequate pain relief, there were few prescriptions for infectious diseases, and intravenous infusions were rare.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"3 Suppl ","pages":"8-15"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13753436","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}
引用次数: 0
Elevated levels of histamine metabolites in cerebrospinal fluid of aging, healthy humans. 老龄健康人脑脊液中组胺代谢物水平升高
Comprehensive gerontology. Section A, Clinical and laboratory sciences Pub Date : 1988-10-01
G D Prell, J K Khandelwal, R S Burns, P A LeWitt, J P Green
{"title":"Elevated levels of histamine metabolites in cerebrospinal fluid of aging, healthy humans.","authors":"G D Prell,&nbsp;J K Khandelwal,&nbsp;R S Burns,&nbsp;P A LeWitt,&nbsp;J P Green","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The metabolites of histamine, tele-methylhistamine (t-MH) and tele-methylimidazoleacetic acid (t-MIAA), were measured in lumbar cerebrospinal fluid of healthy, normal volunteers aged 20-31 (n = 4) and 60-72 (n = 8) by gas chromatography-mass spectrometry. Mean levels (pmol/ml) of t-MH, t-MIAA and the sum of t-MH and t-MIAA (2.9, 6.4 and 9.4, respectively) were significantly higher in CSF from older subjects than from younger subjects (1.1, 4.5 and 5.5, respectively). Another older subject had yet higher levels of metabolites (6.7, 15.1 and 21.8, respectively). The sum of the levels of the known metabolites of histamine in brain, i.e. t-MH and t-MIAA, did not overlap between the younger and older subjects. The levels of pros-methylimidazoleacetic acid, an endogenous isomer of t-MIAA that is not derived from metabolism of histamine, did not differ significantly between the two groups. These findings contrast with results of similar studies of metabolites of other aminergic transmitters in showing elevated levels of metabolites of histamine in cerebrospinal fluid with increasing age.</p>","PeriodicalId":77698,"journal":{"name":"Comprehensive gerontology. Section A, Clinical and laboratory sciences","volume":"2 3","pages":"114-9"},"PeriodicalIF":0.0,"publicationDate":"1988-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14043086","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}
引用次数: 0
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