Age and Ageing articles from November 1992

Age and Ageing archives from November 1992

Parkinsonism: myths, dogma and the hope of prophylaxis.
November 1, 1992... From a sufferer's point of view, progress in the management of idiopathic parkinsonism has been slow since levodopa/decarboxylase inhibitor combinations became established. Each discipline, including geriatric medicine, neurology, psychiatry,...

Longitudinal diagnosis of memory disorders.
November 1, 1992... Introduction Demand for the assessment of newly diagnosed dementing illness and memory disorders is growing. The recognition of cognitive impairment in elderly patients by general practitioners has virtually quadrupled between 1964 [1]...

Misclassification of dementia by the Mini-Mental State Examination - are education and social class the only factors?
November 1, 1992... Introduction One effect of the annual screening of the over-75s which general practitioners now have to undertake (Department of Health [1]) has been to create a need for short screening tests which detect, among other things, signs...

Spinal dural arteriovenous malformations - a treatable cause of progressive paraparesis in elderly people.
November 1, 1992... Introduction There are many causes of progressive leg weakness in elderly people, and to this list must be added spinal dural arteriovenous malformations (SDAVMs) a pathological entity first described in 1977[1]. SDAVMs are dural...

The association of age with the activity of alcohol dehydrogenase in human liver.
November 1, 1992... Introduction Ethanol (ethyl alcohol) is principally oxidized in the liver, primarily by the cytosolic enzyme, alcohol dehydrogenase (ADH), to acetaldehyde and then to acetate[1]. In contrast with the decline in clearance of many drugs...

Caring for the elderly dependants: effects on the carer's quality of life.
November 1, 1992... Introduction It has been policy for many years that older people should be enabled to live in the community rather than in institutions, [1] and that in doing so they should be supported by a network of family, health and social...

Impact of vitamin A supplementation on the incidence of infection in elderly nursing-home residents: a randomized controlled trial.
November 1, 1992... Introduction Impaired nutritional status is a recognized risk factor for bacterial infections[1], and both are common causes of morbidity and mortality among institutionalized elderly people[2, 3]. Vitamin A, termed the...

Geriatric follow-up home visits after discharge from hospital: a randomized controlled trial.
November 1, 1992... Introduction In Denmark, as in other western countries, a transfer of functions from the hospitals to the primary health sector is in progress. Whenever. possible care of elderly people is being reorganized from nursing-home residence...

Legionnaire's disease in elderly people: the first sign of an outbreak in community?
November 1, 1992... Introduction Community-acquired pneumonia results in approximately one in every thousand of the adult population being hospitalized each year [1]. Studies in the last decade have estimated that 0.5-5% of community-acquired pneumonia...

Assessment of the clinical value of urinary trypsin inhibitory activity in elderly people.
November 1, 1992... Introduction Urinary trypsin inhibitory activity (UTIA) is due to the presence of two main trypsin inhibitors: the first is acid thermolabile, and is excreted in the case of glomerular impairment[1], and the second is thermo- and...

C-peptide response to oral glucose. (response to L.S.P. Wickramasinghe, B.I. Chazan, M. Farrow, S.K. Bansal and S.K. Basu, Age and Ageing, vol. 21, 1992)
November 1, 1992... Sir - Wickramasinghe et al. [1] claim that their index of change in C-peptide (CP) and blood glucose (BG) levels is a useful clinical tool in distinguishing insulin requiring (|IDD') from insulin non-requiring (|NIDD') diabetic patients. They...

The Care Assistant's Guide to Working with Elderly Mentally Infirm People.
November 1, 1992... This work has 19 authors in 160 pages. At least ten have nursing qualifications and all have |current hands-on experience', which lends it credibility. The editors describe the book as |a seminar in print for all care assistants and health...

Therapy for Stroke: Building on Experience.
November 1, 1992... This is the fourth in a series of books on stroke rehabilitation written |for the greater cooperation and understanding of all therapists involved in stroke care'. It is clearly written and illustrated and the neurological principles follow...

Activating Demented Patients in Institutional and Day-care Facilities: A Manual.
November 1, 1992... Whilst continuing-care for the demented elderly remains one of the most neglected and under-resourced areas of psychiatry, the last twenty years have seen the emergence of psychotherapeutic approaches to this population. Hemda Cohen's manual...

The Management of Chronic Illness: Patient and Doctor Perspectives on Parkinson's Disease.
November 1, 1992... This slim volume (130 pages) contains the essence of over 100 hours of taped interviews obtained over 15 months. The author interviewed 15 patients with Parkitison's disease (mostly in their own homes) and a separate group of 18 family...

After the Asylum: Community Care for People with Mental Illness.
November 1, 1992... |There's nothing so practical as a good theory'. And what better theories than those which have under-pinned the dramatic changes in British, psychiatry over recent decades. Driven by theoretical perceptions of the pernicious nature of large...

Home Care for Older People in Europe: A Comparison of Policies and Practices.
November 1, 1992... This book has been produced by one of India's first professors of geriatric medicine who received his training in the UK. It may surprise many UK geriatricians to learn that ageing of the population is proceeding at a very rapid rate in south...

Nutrition for Better Health in Old Age.
November 1, 1992... This is an important book although, unfortunately, probably not one that will be read by readers of Age a d Ageing. It is a specialist book, which is one product of the collaborative research project based of the European Community's...

Respiratory Infections in the Elderly.
November 1, 1992... This book attempts to present a current review of our knowledge of respiratory infections in the elderly and to suggest areas for future investigation. It may achieve this second goal but I found too many gaps in the information to acclaim it...

Falls and Elderly People: A Study of Current Practice in England and Innovations Abroad.
November 1, 1992... Reported here is the second of a three-stage project on falls by elderly people. Stage I reviews the current falld literature (Askham et al, 1990) and Stage III will examine the assessment, treatment and prevention of falls. The first of the...

Geriatric Problems in General Practice.
November 1, 1992... This book is readable and well planned. There are four sections-a philosophy of geriatric medicine in general practice, clinical topics, management and prevention and a full Appendix -hi(-,h includes not only useful addresses but clear...