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oai:open-archive.highwire.org:ageing:14/6/3212015-05-19HighWireOUPageing:14:6
CARCINOMA OF THE COLON AND RECTUM IN GERIATRIC PATIENTS
WOBBES, TH.
Articles
In the period 1967–1981, 102 patients older than 70 years were treated for a colorectal carcinoma. The mean age was 76 years. The average delay was 7.6 months. Obstruction as initial symptom was seen in only 8% of the cases. The resection rate was 85%. The postoperative mortality rate was 6% for patients who underwent a resection. For all patients the postoperative mortality rate was 8%. The five-year survival rate for stage A (Astler—Coller) was 37%, for stage B 27%, for stage C 8%, for stage D 0%. Of the whole group, the actuarial five-year survival rate was 27%, the ten-year survival rate 10%. Surgery for colorectal carcinoma in the elderly is well tolerated, and a resection should be pursued as long as the general condition permits.
Oxford University Press
1985-11-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/14/6/321
http://dx.doi.org/10.1093/ageing/14.6.321
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/3272015-05-19HighWireOUPageing:14:6
FEVER IN THE ELDERLY
BERMAN, P.
FOX, R. A.
Articles
Infection is an important problem in the elderly and it is not unusual for fever to be absent. This review examines our present state of knowledge of the febrile response and considers its apparent impairment in old age.
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/327
http://dx.doi.org/10.1093/ageing/14.6.327
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/3332015-05-19HighWireOUPageing:14:6
CARDIAC PACING IN AN ELDERLY POPULATION WITH A SATELLITE CLINIC IN A DISTRICT GENERAL HOSPITAL
MARTIN, ANTHONY
NATHAN, ANTHONY W.
CAMM, A. JOHN
Articles
It has been suggested that in the United Kingdom the rate of implantation of cardiac pacemakers is too low. One possible reason for this may be the inadequate availability or usage of ambulatory ECG monitoring services for elderly patients. Since the introduction of such a service in Crawley, West Sussex, pacemaker implantation has increased from less than five to more than 20 per annum. Ninety-five of the 102 pacemakers (93%) implanted in that time were in patients over the age of 65 years and 68 of them were over 70 years. This rate of implantation is equivalent over the nation as a whole to at least 8000 new pacemakers per year. This represents a 14–23% increase over the present implantation rate. Since all patients were symptomatically improved and survived on average more than 30 months, despite their advanced ages, pacemaker implantation was certainly justified. The establishment of a local pacemaker surveillance service reduced the need for elderly patients to travel long distances for pacemaker checks.
Oxford University Press
1985-11-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/14/6/333
http://dx.doi.org/10.1093/ageing/14.6.333
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/3392015-05-19HighWireOUPageing:14:6
CLINICAL PRESENTATION OF PYOGENIC LIVER ABSCESS IN THE ELDERLY
BEAUMONT, D. M.
DAVIS, M.
Articles
The presenting features of seven elderly patients with pyogenic liver abscess were reviewed retrospectively. Symptoms of malaise, anorexia and abdominal pain referrable to intra-abdominal pathology were present in only 43% cases and physical examination was frequently unhelpful. Leucocytosis, hyperbilirubinaemia and raised alkaline phosphatase were of diagnostic value in the majority of patients. Chest and urinary tract infections were frequent predisposing conditions. Antibiotic therapy for four weeks is adequate in elderly patients if combined with drainage procedures.
Oxford University Press
1985-11-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/14/6/339
http://dx.doi.org/10.1093/ageing/14.6.339
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/3452015-05-19HighWireOUPageing:14:6
COGNITIVE IMPAIRMENT AFTER STROKE
EBRAHIM, SHAH
NOURI, FIONA
BARER, DAVID
Articles
Cognitive ability was assessed in a consecutive series of 189 six-month survivors of an acute stroke. Twenty-two patients were cognitively impaired at six months. Amongst 10 patients whose cognitive ability deteriorated between one and six months, four also had marked depressive symptoms. Age and severity of stroke were the factors most strongly associated with cognitive impairment at six months. Patients with left hemisphere damage had significantly more difficulty with short-term recall and those with bilateral hemisphere signs were most at risk of cognitive impairment. Patients with cognitive impairment after a stroke should be carefully assessed for depressed mood which may benefit from treatment.
Oxford University Press
1985-11-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/14/6/345
http://dx.doi.org/10.1093/ageing/14.6.345
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/3492015-05-19HighWireOUPageing:14:6
VITAMIN D PROPHYLAXIS IN THE ELDERLY: A SIMPLE EFFECTIVE METHOD SUITABLE FOR LARGE POPULATIONS
DAVIES, M.
MAWER, E B.
HANN, J. T.
STEPHENS, W. P.
TAYLOR, J. L
Articles
A comparison of two regimens of vitamin D prophylaxis in elderly institutionalized subjects has been made. Sixty-six subjects received 2.5mg vitamin D<inf>2</inf> by mouth in December 1982; a further group of 62 received the same dose in December 1982 and again in June 1983. Blood samples have been analysed for 25-hydroxyvitamin D<inf>2</inf> [25(OH)D<inf>2</inf>] in 10 subjects from each group over a 12-month period. The serum 25(OH)D<inf>2</inf> was maintained at normal concentrations for most of the year in the once-a-year dosage group but at the end of 12 months only 60% were fully protected. The twice-per-year regimen offered complete protection maintaining the serum 25(OH)D<inf>2</inf> above the threshold associated with osteomalacia. It is concluded that a twice-yearly regimen of vitamin D supplementation is a practical method for prophylaxis in institutionalized elderly people.
Oxford University Press
1985-11-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/14/6/349
http://dx.doi.org/10.1093/ageing/14.6.349
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/3552015-05-19HighWireOUPageing:14:6
PSYCHOGERIATRIC PATIENTS: THEIR SUPPORTERS' PROBLEMS
ARGYLE, N.
JESTICE, S.
BROOK, C. P. B.
Articles
The main supporters of 62 patients admitted to a psychogeriatric ward were interviewed to determine the number and nature of problems and how well these problems were tolerated. The problems affecting the supporters' personal and social life were common but well tolerated. The behavioural problems of the patient were multiple and less well tolerated. The age and sex of the patient or supporter were not significant but supporters who lived alone with the patient had a higher tolerance than those in larger households. The results are compared with Sanford's study of geriatric admissions. The implications of the study point to the need for earlier intervention.
Oxford University Press
1985-11-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/14/6/355
http://dx.doi.org/10.1093/ageing/14.6.355
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/3612015-05-19HighWireOUPageing:14:6
SWALLOWING DIFFICULTIES IN STROKE PATIENTS: A NEW TREATMENT
SELLEY, WILFRED G.
Articles
Difficulty with swallowing is one of the most distressing symptoms experienced by patients who have suffered strokes and one which previously has been particularly difficult to help. An intra-oral appliance which stimulates the involuntary swallowing mechanism has been tested with 170 consecutive stroke patients with dysphagia and drooling, and the results show substantial improvement. The appliance is relatively cheap to construct and fit, requiring little professional time. It is worn during the whole day, helping to rehabilitate the swallowing mechanism with saliva as well as with food and drink. The treatment is appropriate for patients in hospital or at home and avoids the use of medication.
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/361
http://dx.doi.org/10.1093/ageing/14.6.361
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/3662015-05-19HighWireOUPageing:14:6
IS THE PATTERN OF INFLAMMATORY BOWEL DISEASE DIFFERENT IN THE ELDERLY?
GUPTA, SANJEEV
SAVERYMUTTU, S. H.
KESHAVARZIAN, A.
HODGSON, H. J. F.
Articles
The clinical course of inflammatory bowel disease in elderly patients has been reviewed. The natural history of ulcerative colitis and Crohn's disease in the elderly is similar to that in the young with the usual wide spectrum of severity of disease. Such inflammatory bowl disease responds well to medical treatment in the majority of elderly patients, and surgical intervention is only required rarely for complications or unresponsive disease. Reports of a more serious clinical course in older patients were not substantiated.
Oxford University Press
1985-11-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/14/6/366
http://dx.doi.org/10.1093/ageing/14.6.366
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/3712015-05-19HighWireOUPageing:14:6
THE ELDERLY AND THE MEDICATION LABEL: DOING IT BETTER
ZUCCOLLO, GERRY
LIDDELL, HELEN
Articles
Sixty elderly patients, responsible for taking their medication after discharge, were studied prior to their discharge from hospital. Sixty per cent had problems reading their medication labels and a similar percentage did not have a clear understanding of the labelled directions. The purpose of 54% of the 163 prescribed medicines was unknown to the patients. Some difficulty was experienced with the commonly used ‘scriptwriter’ typeface and better alternatives are suggested. Greater attention to the medication label, in conjunction with other measures shown to improve compliance, and the development of a unit policy would facilitate better prescribing.
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/371
http://dx.doi.org/10.1093/ageing/14.6.371
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/377-a2015-05-19HighWireOUPageing:14:6
BOOK REVIEWS
PATHY, JOHN
Book Reviews
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/377-a
http://dx.doi.org/10.1093/ageing/14.6.377-a
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/3772015-05-19HighWireOUPageing:14:6
BOOK REVIEWS
MACLENNAN, W. J.
Book Reviews
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/377
http://dx.doi.org/10.1093/ageing/14.6.377
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/378-a2015-05-19HighWireOUPageing:14:6
BOOK REVIEWS
WRIGHT, W. B.
Book Reviews
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/378-a
http://dx.doi.org/10.1093/ageing/14.6.378-a
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/378-b2015-05-19HighWireOUPageing:14:6
BOOK REVIEWS
WHITEHEAD, TONY
Book Reviews
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/378-b
http://dx.doi.org/10.1093/ageing/14.6.378-b
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/3782015-05-19HighWireOUPageing:14:6
BOOK REVIEWS
DALL, J. L. C.
Book Reviews
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/378
http://dx.doi.org/10.1093/ageing/14.6.378
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/379-a2015-05-19HighWireOUPageing:14:6
BOOK REVIEWS
WEBSTER, S. G. P.
Book Reviews
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/379-a
http://dx.doi.org/10.1093/ageing/14.6.379-a
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/379-b2015-05-19HighWireOUPageing:14:6
BOOK REVIEWS
BURSTON, G. R.
Book Reviews
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/379-b
http://dx.doi.org/10.1093/ageing/14.6.379-b
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/3792015-05-19HighWireOUPageing:14:6
BOOK REVIEWS
RUDD, T. N.
Book Reviews
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/379
http://dx.doi.org/10.1093/ageing/14.6.379
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/380-a2015-05-19HighWireOUPageing:14:6
BOOK REVIEWS
AGATE, JOHN
Book Reviews
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/380-a
http://dx.doi.org/10.1093/ageing/14.6.380-a
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/380-b2015-05-19HighWireOUPageing:14:6
BOOK REVIEWS
ANDERSON, FERGUSON
Book Reviews
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/380-b
http://dx.doi.org/10.1093/ageing/14.6.380-b
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/3802015-05-19HighWireOUPageing:14:6
BOOK REVIEWS
DAVEY, ELIZABETH A.
Book Reviews
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/380
http://dx.doi.org/10.1093/ageing/14.6.380
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/381-a2015-05-19HighWireOUPageing:14:6
BOOK REVIEWS
SMITH, NIGEL
Book Reviews
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/381-a
http://dx.doi.org/10.1093/ageing/14.6.381-a
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/381-b2015-05-19HighWireOUPageing:14:6
BOOK REVIEWS
CRAGGS, SUSAN A.
Book Reviews
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/381-b
http://dx.doi.org/10.1093/ageing/14.6.381-b
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/3812015-05-19HighWireOUPageing:14:6
BOOK REVIEWS
BUSH, M. F. H.
Book Reviews
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/381
http://dx.doi.org/10.1093/ageing/14.6.381
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/382-a2015-05-19HighWireOUPageing:14:6
BOOK REVIEWS
HODKINSON, H. M.
Book Reviews
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/382-a
http://dx.doi.org/10.1093/ageing/14.6.382-a
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/3822015-05-19HighWireOUPageing:14:6
BOOK REVIEWS
JOLLY, CLIVE
Book Reviews
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/382
http://dx.doi.org/10.1093/ageing/14.6.382
en
Copyright (C) 1985, British Geriatrics Society
oai:open-archive.highwire.org:ageing:14/6/3832015-05-19HighWireOUPageing:14:6
BOOKS RECEIVED
Books Received
Oxford University Press
1985-11-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/14/6/383
http://dx.doi.org/10.1093/ageing/14.6.383
en
Copyright (C) 1985, British Geriatrics Society