2024-03-29T08:01:06Zhttp://open-archive.highwire.org/handler
oai:open-archive.highwire.org:ageing:23/2/1022015-05-19HighWireOUPageing:23:2
Colorectal Carcinoma: Do Elderly Patients present Differently?
CURLESS, RICHARD
FRENCH, JOYCE M.
WILLIAMS, GARETH V.
JAMES, OLIVER F. W.
Articles
A cohort of patients with a histological diagnosis of colorectal carcinoma was enrolled prospectively. All subjects were interviewed by one observer using a structured questionnaire. One hundred and fifty ‘young’(under 70 years) and 123 ‘elderly’ (70 years or more) subjects formed the study sample. The elderly patients did not present more frequently as emergencies than the young, but were more often referred to medical or geriatic rather than surgical units (p< 0.01). There was no difference in median overall delay from symptom onset to histological diagnosis between the age groups (19.5 weeks in each). Symptomatic anaemia and nonspecific symptoms were more often the presenting complaint in the elderly subjects (p< 0.05). On direct questioning, there were no differences in symptom reporting with respect to age group for subjects with colonic cancer. For rectal cancer the following symptoms were more common in the young group: tenesmus (odds ratio 4.2; 95% confidence intervals 2.0–10.0), abdominal or rectal pain (4.0; 1.9–10.6), change in flatus production (2.6; 1.3–5.8), passage of mucus per rectum (2.2; 1.1–4.8). Anorexia was more common in the elderly patients (0.4; 0.1–0.8). This study suggests that symptomatic presentation of rectal cancer is different in the elderly but does not necessarily lead to greater delays in diagnosis nor higher rates of non-elective presentation.
Oxford University Press
1994-03-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/23/2/102
http://dx.doi.org/10.1093/ageing/23.2.102
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1082015-05-19HighWireOUPageing:23:2
Intake of Energy, Nutrients and Food Items in a Ten-year Cohort Comparison and in a Six-year Longitudinal Perspective: A Population Study of 70- and 76-year-old Swedish People
SJöGREN, ANNA
öSTERBERG, TOR
STEEN, BERTIL
Articles
The aim of the investigation was to study cohort differences at age 70 in probands born in 1901/02 and 1911/12 and to study longitudinal changes of dietary habits and intake of energy and nutrients between ages 70 and 76. The study is part of the gerontological and geriatric population studies in Gothenburg, Sweden. The intake of both energy and nutrients was higher in the later cohort. One explanation for this lay in the choice of food items in that cohort. Intake of energy and almost all nutrients decreased in both men and women between ages 70 and 76. Energy intake reduced by 23% in men and 20% in women. The proportion of probands with nutrient intakes below RDA increased significantly at age 76. The study revealed both cohort and longitudinal age changes in dietary habits. There is no reason to believe that elderly people are more conservative regarding their food choices than the rest of the population—at least not at the relatively young ages studied.
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/108
http://dx.doi.org/10.1093/ageing/23.2.108
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1132015-05-19HighWireOUPageing:23:2
Functional Ability of Patients to manage Medication Packaging: A Survey of Geriatric Inpatients
ATKIN, PHILIP A.
FINNEGAN, TERENCE P.
OGLE, SUSAN J.
SHENFIELD, GILLIAN M.
Articles
This study measured the prevalence of difficulty experienced by elderly inpatients in opening and removing tablets from a range of common commercial medication packagings and in breaking a bar-scored tablet in half. One hundred and twenty elderly patients admitted to a teaching hospital acute geriatric service were tested for their ability to open the container and remove a tablet from it. They were rated as ‘able’ or ‘unable’ to do so. In all, 94 patients (78.3%) were unable to break a tablet or open one or more of the containers. Of the 111 patients taking medication at the time of their admission, 46 (41.4%) were unable to perform one or more tasks necessary to gain access to medications in their own treatment regimen. The factors that were significantly and independently associated with inability to open containers were poor vision, impaired general cognitive function, and female sex. Many of the drug packagings in common use significantly impede access by elderly patients to their medications.
Oxford University Press
1994-03-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/23/2/113
http://dx.doi.org/10.1093/ageing/23.2.113
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1172015-05-19HighWireOUPageing:23:2
The Prevalence and Characteristics of Dizziness in an Elderly Community
COLLEDGE, NICOLA R.
WILSON, JANET A.
MACINTYRE, CECILIA C. A.
MACLENNAN, WILLIAM J.
Articles
A postal questionnaire was sent to 1000 subjects aged over 65 years randomly selected from the age/sex register of five group practices, 90% of subjects returning adequate information. Thirty percent of responders reported dizziness; 27% of these had symptoms more than once per month and 37% had symptoms which lasted longer than 1 minute. Dizziness was most commonly provoked by postural change and head and neck movement. The prevalence of dizziness increased with age and was higher in women but these differences were not statistically significant. The prevalence of symptoms occurring more than once per month was significantly greater with increasing age (p = 0.0003). Dizziness was significantly associated with angina and previous myocardial infraction (p < 0.001) and antihypertensive therapy (p < 0.05) but not with current smoking, diabetes mellitus or previous stroke.
Oxford University Press
1994-03-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/23/2/117
http://dx.doi.org/10.1093/ageing/23.2.117
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1212015-05-19HighWireOUPageing:23:2
Comparison of Omeprazole and Histamine H2-Receptor Antagonists in the Treatment of Elderly and Young Patients with Reflux Oesophagitis
JAMES, OLIVER F. W.
PARRY-BILLINGS, KAREN S.
Articles
Retrospective analyses of two multicentre clinical trials were carried out to examine the association of age with endoscopically verified reflux oesophagitis lesions and symptoms before and after 4 or, if necessary, 8 weeks randomized double-blind treatment with omeprazole (20 mg o.m.) or histamine H<inf>2</inf>-receptor antagonists (H<inf>2</inf>RA)(cimetidine 400 mg q.d.s. or ranitidine 150 mg b.d.). Of the elderly patients (≥65 years) 79 received omeprazole, 39 cimetidine and 36 ranitidine; of the young patients (<65 years) 200 received omeprazole, 94 cimetidine and 102 ranitidine. The objective of treatment was to heal the oesophagus and to relieve the patient's symptoms. On completion of the studies the proportion of elderly omeprazole-treated patients (68%) healed and symptom-free was nearly three times that of elderly H<inf>2</inf>RA-treated patients (23%, p < 0.001). In the young patient group the proportion of omeprazole-treated patients (57%) both healed and symptom-free was nearly twice that of H<inf>2</inf>RA-treated patients (29%, p < 0.001). The advantage of omeprazole over H<inf>2</inf>RA, in terms of endoscopic healing and symptom relief, is at least as great in elderly patients as in younger patients.
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/121
http://dx.doi.org/10.1093/ageing/23.2.121
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1272015-05-19HighWireOUPageing:23:2
The Association of Ageing with Calcium Active Hormone Status in Men
RAVAGLIA, G.
FORTI, P.
PRATELLI, L.
MAIOLI, F.
SCALI, C. R.
BONINI, A. M.
TEDIOLI, S.
MARASTI, N.
PIZZOFERRATO, A.
GASBARRINI, G.
Articles
We measured calcium regulating hormones and bone mineral density (BMD) in 66 men (aged 24–88 years). Vitamin D (1, 25(OH)2D) does not vary with age, parathyroid hormone (PTH) increases after the age of 65 (p <0.01) together with a parallel increase in urinary (r = 0.46, p <0.05) and nephrogenic cAMP (r = 0.63, p<0.01), while BMD decreases with age (r=−0.52, p<0.01). The finding of age-associated decreases in bone mass even in the presence of constant serum levels of 1, 25(OH)2D within the normal range suggests that there is an onset of tissue resistance to vitamin D in the aetiopathogenesis of osteopenia in elderly men.
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/127
http://dx.doi.org/10.1093/ageing/23.2.127
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1322015-05-19HighWireOUPageing:23:2
Maximal Isometric Strength and Mobility among 75-year-old Men and Women
RANTANEN, TAINA
ERA, PERTTI
HEIKKINEN, EINO
Articles
The purpose of this study was to examine the association between maximal isometric strength and mobility among 75-year-old men and women. All those born in 1914 and resident in the city of Jyväskylä in August 1989 comprised the study group (n = 388); 355 persons were interviewed at their homes (92%): 101 men (81% of all male residents) and 186 women (75%) participated in the laboratory strength tests. As part of the home interview the person′s mobility at home, on stairs and outdoors was assessed using a four-point scale: —1 able, 2—able with difficulty, 3—needs help, 4—unable. Poor mobility was more common among the drop-outs than among the strength-tested subjects in both sexes. Maximal isometric strength of hand grip, arm flexion, knee extension and trunk flexion and extension were measured using specially constructed dynamometers. The strength results were adjusted for body weight. The study also included a stair-mounting test and measurement of maximal walking speed. The body-weight adjusted maximal forces were consistently significantly associated with mobility. Those who claimed no problems in the mobility interview and performed better in the walking and stair-mounting tests exhibited greater maximal isometric strength. The present results indicate that maximal isometric strength tests provide useful information about physical functional capacity among elderly people. These findings also suggest that the maintenance of adequate strength could be favourable to the mobility of older persons.
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/132
http://dx.doi.org/10.1093/ageing/23.2.132
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1382015-05-19HighWireOUPageing:23:2
Routine Outpatient L-Dopa Monitoring in Elderly Patients with Parkinson's Disease
COPELAND, L. G.
DUTTON, J.
ROBERTS, N. B.
PLAYFER, J. R.
Articles
In an attempt to improve the therapeutic drug management of patients with Parkinson′s disease, plasma L-dopa concentrations were measured by high-performance liquid chromatography and related to the post-dose time with reference to an established therapeutic range of 0.3–1.6 mg/l. The response to treatment was also assessed. One hundred and three samples were obtained at morning clinics from 53 elderly patients (mean age 72.5 years) taking an L-dopa/decarboxylase inhibitor combination. L-Dopa concentrations ranged from 0.01 to 3.6 mg/l. Fifty-nine values were within, 39 values were below and five values were above the therapeutic range. Three values were at or below the lower limit of the assay and probably indicated poor compliance. L-Dopa concentration was significantly negatively correlated with post-dose time for the dosage groups of 50 mg (p = 0.04), 100 mg (p = 0.0013), 200–250 mg (p = 0.055) and for the combined data (p = 0.005). Post-dose times were from 35 to 400 min, with the majority greater than 90 min, and it is likely that most of these corresponded to the post-peak phase of L-dopa absorption. There was a tendency for a good response to treatment to occur with values within and above the therapeutic range and for dyskinesia to be more common above the therapeutic range. It was concluded that plasma L-dopa measurement at known post-dose time, 90–360 minutes after the morning dose, can identify non-compliance, patients at risk of dose related side-effects and give useful information about the suitability of the L-dopa dose.
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/138
http://dx.doi.org/10.1093/ageing/23.2.138
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1422015-05-19HighWireOUPageing:23:2
A Study of the Nutritional Status of Elderly Patients with Parkinson's Disease
DAVIES, KEREN N.
KING, DEBRA
DAVIES, HELEN
Articles
Patients with Parkinson′s disease tend to lose weight although the reasons are uncertain. Fifteen patients with stable Parkinson′s disease who had lost at least 5 kg in weight, and 15 age- and sex-matched control subjects were studied. All subjects underwent physical examination, anthropometric measurements, biochemical and haematological screening, measurement of tumour necrosis factor and full dietary assessment. The Parkinson′s disease patients who had lost a mean of 6.2 kg had significantly less body fat and a lower total peripheral lymphocyte count than the control subjects. Dietary analysis showed a higher daily intake of calories in the patients which was derived from an increased carbohydrate intake. Tumour necrosis factor was not detected in either the patients or control subjects. Parkinson′s disease patients lose weight in spite of an increased calorie intake. This may reflect an increased metabolic rate.
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/142
http://dx.doi.org/10.1093/ageing/23.2.142
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1462015-05-19HighWireOUPageing:23:2
Prevalence, Incidence and Prognosis of Gastrointestinal Symptoms in a Random Sample of an Elderly Population
KAY, L.
Articles
In 1984 a random sample of a 70-year-old Danish population of 1119 subjects was questioned about abdominal symptoms and 5 years later survivors were contacted for follow-up. The participation rate at the primary study was 72% and 91% of the surviving subjects attended the follow-up. One-year period prevalences of single symptoms were 1–40%, annual incidence values 1–25% and 5-year disappearance rates were more than 50%. Irritable bowel syndrome occurred with a prevalence of 6–18% depending on definition, and incidences were of a similar magnitude. At the 5-year follow-up 50–79% of subjects originally suffering from irritable bowel syndrome no longer did so. The annual prevalence rate of symptoms of upper dyspepsia varied from 9% to 25%, annual incidence was 3–12%, and cumulative 5-year disappearance rate 45–65%. It is concluded that abdominal symptoms and the syndromes they constitute occur frequently and fluctuatingly in the elderly population.
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/146
http://dx.doi.org/10.1093/ageing/23.2.146
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1502015-05-19HighWireOUPageing:23:2
Development and Evaluation of an Information System for Quality Assurance
PHILP, I.
GODDARD, A.
CONNELL, N. A. D.
METCALFE, A.
TSE, V.
BRAY, J.
Articles
The aim of this study was to develop and evaluate an information system for monitoring impact of acute hospital care on health status of elderly patients, burden on carers, and consumer satisfaction with care. The study was undertaken on four acute care wards of an elderly care unit of a teaching hospital. We used a consensus-building process to achieve within-and-between-team convergence of policy and practice in the use of structured assessments on three wards, with parallel data collection by a research nurse on one ward. We describe the changes to our working practices, the costs of data collection, staff attitudes to the system and the assessment instruments, using 5-point Likert Scales, with additional in-depth interviews with senior staff for their attitudes to the system. We found that only nursing staff were able to change their practice. On admission, it was feasible to undertake functional assessment of activities of daily living (ADL), depression, perceived life quality and carer strain. Discharge assessment was only feasible for ADL. Other discharge assessments and follow-up assessments including consumer satisfaction interviews required audit assistant support. The total annual cost per ward was £6, 225 for the adopted system, or £6, 455 to incorporate follow-up assessments by audit assistant in a random sample of 50 patients. Staff attitudes to the system were positive, especially for use of the Relatives′ Stress Scale, and for the value of follow-up interviews. We conclude that the participatory approach to the introduction of the information system produced a system which was perceived to be beneficial for patient care. The system has potential for measuring the outcomes of care, but greater efficiency is required before the system can be regarded as cost-effective.
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/150
http://dx.doi.org/10.1093/ageing/23.2.150
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1542015-05-19HighWireOUPageing:23:2
Setting Priorities for Measures of Performance for Geriatric Medical Services
ROBERTS, H.
KHEE, TEO SEK
PHILP, I.
Articles
We undertook a two-round Delphi study of the views of consultant geriatricians in three Health Regions on the relative appropriateness of 12 possible performance measures for geriatric services. We compared geriatricians′ responses with those of 44 cognitively-intact day hospital patients. Of 138 geriatricians, 89 responded to the first round postal survey, 84 to the second round. The rank order of geriatricians′ suggestions did not change from round one to round two, and there was convergence of opinion with a significant decrease in the coefficients of variation of the ranks (p < 0.05, Wilcoxon Test). Geriatricians and patients gave high priority to ‘reducing disability’ and ‘improving quality of life’, and low priority to ‘reducing mortality’. Geriatricians gave higher priority than patients to ‘consumer satisfaction’, ‘problem resolution’ and ‘efficient use of resources’. Patients gave higher priority to ‘reducing burden on carers’, ‘measures of service activity’ and ‘avoiding institutional care’. The study shows that it is possible to obtain a consensus amongst geriatricians about the priorities for measuring the performance of geriatric medical services. Similarities to and differences from patients′ views illustrate the need to engage more than one group in the debate about appropriate measures of performance. Findings in both groups give support to recent attempts to develop and use assessment methods for the measurement of disability and quality of life in clinical practice.
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/154
http://dx.doi.org/10.1093/ageing/23.2.154
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1582015-05-19HighWireOUPageing:23:2
The Closure of Residential Homes: What Happens to Residents
HALLEWELL, CHRIS
MORRIS, JULIE
JOLLEY, DAVID
Articles
A controlled, prospective study is described which demonstrates changes in behaviour and mortality in the residents of two residential homes which were closed. The 59 residents were dispersed to 19 different establishments. Thirteen general practitioners (GP<inf>s</inf>) received sick elderly people on their lists after relocation. There were delays and other difficulties in communication between GP<inf>s</inf>. Restlessness, as measured by the Crichton Geriatric Behavioural Rating Scale, was increased soon after moving but no differences in behaviour or dependency between patients and control subjects were demonstrable after 1 year. Although moving in itself did not increase mortality, residents with poor mobility and dressing skills had a high death rate. This pattern of closure with widespread dispersal of residents is likely to become more common after the introduction of the NHS and Community Care Acts. It is associated with psychiatric morbidity which may be preventable by better organization. Medical involvement in the move was minimal, and the special responsibility of medical care of patients living in residential homes should be recognized.
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/158
http://dx.doi.org/10.1093/ageing/23.2.158
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1622015-05-19HighWireOUPageing:23:2
The Use of Percutaneous Endoscopic Gastrostomy (PEG) in 161 Consecutive Elderly Patients
RAHA, SANDIP K.
WOODHOUSE, KEN
Articles
Over the period 1 April 1990 to 31 December 1992, a total of 179 PEG procedures were performed on 161 elderly patients, mean age 79 years (range 53–99). In most (141) patients, the indication was neurological dysphagia (usually stroke), but in 20 the tube was inserted to attain adequate nutritional support. Thirty-day fatality was 20% overall, but in those who underwent PEG only for nutritional support, survival was poor—only 20% at 30 days. Almost all deaths were a result of progression of the original illness. Only one procedure-related death occurred. Fifty-six complicating episodes occurred in 20 (12%) patients, the majority being minor. The commonest adverse event was PEG site infection. PEG is a useful and in general well tolerated procedure in geriatric practice, but careful patient selection is essential; in particular its use as a nutritional adjunct in frail patients needs careful evaluation.
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/162
http://dx.doi.org/10.1093/ageing/23.2.162
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1642015-05-19HighWireOUPageing:23:2
Review: Should We Screen for Prostate Cancer?
HARWOOD, ROWAN H.
Articles
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/164
http://dx.doi.org/10.1093/ageing/23.2.164
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/169-a2015-05-19HighWireOUPageing:23:2
Who should have a PEG?
HUSSAIN, A
COX, J.G.C.
Letters to the Editor
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/169-a
http://dx.doi.org/10.1093/ageing/23.2.169-a
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/169-b2015-05-19HighWireOUPageing:23:2
Gastrostomy by Endoscopic or Radiological Techniques
COPE, L.H.
Letters to the Editor
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/169-b
http://dx.doi.org/10.1093/ageing/23.2.169-b
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/169-c2015-05-19HighWireOUPageing:23:2
Investigation of 'Syncope'
ROSE, ANNE KENNY
MCINTOSH, SHONA
Letters to the Editor
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/169-c
http://dx.doi.org/10.1093/ageing/23.2.169-c
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1692015-05-19HighWireOUPageing:23:2
Nasogastric Feeding in Long-term Care
STRUTHERS, JOHN
Letters to the Editor
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/169
http://dx.doi.org/10.1093/ageing/23.2.169
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/170-a2015-05-19HighWireOUPageing:23:2
Cranial Computed Tomography in Acute Neurological Presentations
FRIEDMAN, PAUL
Letters to the Editor
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/170-a
http://dx.doi.org/10.1093/ageing/23.2.170-a
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1702015-05-19HighWireOUPageing:23:2
ERRATUM
Corrigenda
We regret that an editorial error occured in the paper by J. F. Potter, M. D. Fotherby and I. A. Macdonald ‘Repeatability and relationship between arterialized catecholamines and blood pressure in elderly subjects’. The second paragraph of page 408 should have read: The following multiple regression equation was obtained to explain 22.7% of the variance in SBP at p = 0.027. SBP = 128 + 0.26 pulse rate + 0.91 age + 0.56 weight (kg) −2.42 BMI − 19.1 log NA +45.5 log A.
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/170
http://dx.doi.org/10.1093/ageing/23.2.170
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/171-a2015-05-19HighWireOUPageing:23:2
Book Reviews
EDWARDSON, JIM
Book Reviews
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/171-a
http://dx.doi.org/10.1093/ageing/23.2.171-a
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/171-b2015-05-19HighWireOUPageing:23:2
Book Reviews
KATONA, CORNELIUS
Book Reviews
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/171-b
http://dx.doi.org/10.1093/ageing/23.2.171-b
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1712015-05-19HighWireOUPageing:23:2
Book Reviews
RABBITT, PATRICK
Book Reviews
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/171
http://dx.doi.org/10.1093/ageing/23.2.171
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/172-a2015-05-19HighWireOUPageing:23:2
Book Reviews
HIGGINSON, I.
Book Reviews
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/172-a
http://dx.doi.org/10.1093/ageing/23.2.172-a
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1722015-05-19HighWireOUPageing:23:2
Book Reviews
MIDWINTER, ERIC
Book Reviews
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/172
http://dx.doi.org/10.1093/ageing/23.2.172
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/173-a2015-05-19HighWireOUPageing:23:2
Book Reviews
GRUNDY, EMILY
Book Reviews
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/173-a
http://dx.doi.org/10.1093/ageing/23.2.173-a
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1732015-05-19HighWireOUPageing:23:2
Book Reviews
HIPKISS, A. R.
Book Reviews
Oxford University Press
1994-03-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/23/2/173
http://dx.doi.org/10.1093/ageing/23.2.173
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/174-a2015-05-19HighWireOUPageing:23:2
Book Reviews
GROENENBOOM, G.
HUIJSMAN, R.
Book Reviews
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/174-a
http://dx.doi.org/10.1093/ageing/23.2.174-a
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/174-b2015-05-19HighWireOUPageing:23:2
Book Reviews
MARSHALL, MARY
Book Reviews
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/174-b
http://dx.doi.org/10.1093/ageing/23.2.174-b
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1742015-05-19HighWireOUPageing:23:2
Book Reviews
SKUCHA, JULIE
Book Reviews
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/174
http://dx.doi.org/10.1093/ageing/23.2.174
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/175-a2015-05-19HighWireOUPageing:23:2
Book Reviews
ARIE, TOM
Book Reviews
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/175-a
http://dx.doi.org/10.1093/ageing/23.2.175-a
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/175-b2015-05-19HighWireOUPageing:23:2
Book Reviews
MIDWINTER, ERIC
Book Reviews
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/175-b
http://dx.doi.org/10.1093/ageing/23.2.175-b
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1752015-05-19HighWireOUPageing:23:2
Book Reviews
ISAACS, BERNARD
Book Reviews
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/175
http://dx.doi.org/10.1093/ageing/23.2.175
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/1762015-05-19HighWireOUPageing:23:2
Books Received
Books Received
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/176
http://dx.doi.org/10.1093/ageing/23.2.176
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/892015-05-19HighWireOUPageing:23:2
Intensive Diabetes Treatment: A New Deal for Old People?
KERR, DAVID
HAIGH, ROBERT
Commentary
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/89
http://dx.doi.org/10.1093/ageing/23.2.89
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/912015-05-19HighWireOUPageing:23:2
Hospital Care and Discharge: Patients' and Carers' Opinions
JONES, DEE
LESTER, CAROLYN
Articles
Recent policy has emphasized the importance of patients as health service consumers and of care in the community. This paper describes a postal study which investigated patients′ and carers′ opinions of hospital care and discharge in three district health authorities. Overall, comments were positive about nursing care but more critical of environmental issues. More carers than patients made positive comments and more patients than carers made negative comments about the time spent in hospital. Carers were more likely to comment on medical aspects whereas patients seemed more concerned with social and environmental issues. Carers were more likely than patients to be dissatisfied with discharge arrangements, including length of notice, and more likely to think that discharge had been premature. These differences indicate the value of collecting both patients′ and carers′ opinions.
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/91
http://dx.doi.org/10.1093/ageing/23.2.91
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/972015-05-19HighWireOUPageing:23:2
The Meaning of Activities of Daily Living in a Thai Elderly Population: Development of a New Index
JITAPUNKUL, SUTTHICHAI
KAMOLRATANAKUL, PIROM
EBRAHIM, SHAH
Articles
Activities of daily living (ADL) of 703 Thai elderly pepole (aged 60+years) living in a Bangkok slum community were studied with the aims of describing the prevalence of disability, considering the appropriateness of Western ADL scales and developing a new ADL index for Asian populations. The levels of disability found were higher than in industrial populations and the important areas of disability were in instrumental ADLs. The mean (SD) Barthel ADL Index (BAI) for the group was 19.5 (1.2) with a range of 10–20. The mean (SD) Office of Populations Censuses and Surveys (OPCS) disability score was 4.8 (1.9) with a range of 0–10 but was unsuitable for use in Thailand because of misinterpretation of behavioural and intellectual disability leading to 99% of subjects being scored as disabled. An analysis of the underlying dimensions making up ADL was conducted using factor analysis. Four dimensions of ADL were found: basic self-care ADLs, extended ADLs, modility ADLs and continence. An extended ADL index suitable for use in developing countries was developed (the Chula ADL Index) which had strong hierarchical properties and high correlations with both the OPCS disability score and the Barthel ADL Index. Analysis of data derived from ADL instruments should consider each ADL dimension separately. The BAI is useful as an index of self-care ADL but the behaviour and intellectual disability sub-scales of the OPCS scale require further development for cross-cultural applications.
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/97
http://dx.doi.org/10.1093/ageing/23.2.97
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/169a1994-03-01HighWireOUPageing:23:2
Gastrostomy by endoscopic or radiological techniques
Cope, LH
Letters
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/169a
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/169b1994-03-01HighWireOUPageing:23:2
Who should have a PEG?
Hussain, A
Cox, JG
Letters
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/169b
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/169c1994-03-01HighWireOUPageing:23:2
Investigation of 'syncope'
Kenny, RA
McIntosh, S
Letters
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/169c
en
Copyright (C) 1994, British Geriatrics Society
oai:open-archive.highwire.org:ageing:23/2/169d1994-03-01HighWireOUPageing:23:2
Nasogastric feeding in long-term care
Struthers, J
Letters
Oxford University Press
1994-03-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/23/2/169d
en
Copyright (C) 1994, British Geriatrics Society