Subject(s)
Graft Survival/physiology , Kidney Transplantation/physiology , Age Factors , Cadaver , Cause of Death , Female , Humans , Male , Middle Aged , Retrospective Studies , Risk Factors , Sex Factors , Time Factors , Tissue Donors , Treatment OutcomeSubject(s)
Kidney Transplantation/mortality , Liver Failure/mortality , Postoperative Complications/mortality , Graft Rejection/epidemiology , Graft Rejection/physiopathology , Humans , Liver Failure/epidemiology , Liver Function Tests , Postoperative Complications/epidemiology , Puerto Rico , Retrospective StudiesABSTRACT
The authors emphasize the need for careful differential diagnosis when symptoms of psychosis arise in patients over the age of 65 years. Prevalence of psychotic disorders in the elderly ranges from 0.2%-4.7% in community-based samples to 10% in a nursing home population and as high as 63% in a study of Alzheimer's patients. Risk factors associated with the development of psychotic symptoms and common causes of delirium are reviewed. Because age-related changes affect the pharmacokinetics of neuroleptics, the authors' treatment recommendations, which include the use of traditional and novel antipsychotics, take into account the higher risk of side effects in the elderly.
Subject(s)
Antipsychotic Agents/therapeutic use , Psychotic Disorders/drug therapy , Age Factors , Aged , Antipsychotic Agents/adverse effects , Antipsychotic Agents/pharmacokinetics , Clozapine/adverse effects , Clozapine/pharmacokinetics , Clozapine/therapeutic use , Decision Trees , Delirium/diagnosis , Delirium/drug therapy , Diagnosis, Differential , Drug Administration Schedule , Female , Half-Life , Humans , Male , Middle Aged , Nursing Homes/legislation & jurisprudence , Psychotic Disorders/diagnosis , Psychotic Disorders/epidemiology , Risk Factors , Risperidone/adverse effects , Risperidone/pharmacokinetics , Risperidone/therapeutic use , United StatesSubject(s)
Emotions , Kidney Transplantation , Living Donors/psychology , Adult , Cadaver , Family , Female , Follow-Up Studies , Graft Survival , Humans , Incidence , Interpersonal Relations , Kidney Failure, Chronic/epidemiology , Kidney Failure, Chronic/surgery , Kidney Transplantation/mortality , Kidney Transplantation/physiology , Living Donors/supply & distribution , Male , Middle Aged , Puerto Rico/epidemiology , Spouses , Tissue DonorsABSTRACT
This chapter presents a review of the current status of depression treatment for the elderly. The authors describe currently available antidepressants and discuss special considerations when they are used to treat elderly patients.
Subject(s)
Aged/psychology , Antidepressive Agents, Tricyclic/therapeutic use , Central Nervous System Stimulants/therapeutic use , Depressive Disorder/drug therapy , Depressive Disorder/psychology , Monoamine Oxidase Inhibitors/therapeutic use , Selective Serotonin Reuptake Inhibitors/therapeutic use , HumansSubject(s)
Chickenpox/epidemiology , Herpes Zoster/epidemiology , Herpesvirus 3, Human , Kidney Transplantation , Postoperative Complications , Cadaver , Chickenpox/transmission , Contact Tracing , Female , Herpes Zoster/transmission , Humans , Incidence , Living Donors , Male , Puerto Rico/epidemiology , Retrospective Studies , Tissue DonorsABSTRACT
Dementia is a syndrome that consists of cognitive, psychiatric, and behavioral changes. Studies report from 42% to 62% of nursing home residents and at least 50% of outpatients with dementia exhibit behavioral disturbances. Agitation is a frequent behavioral disturbance associated with dementia. The Omnibus Budget Reconciliation Act (OBRA) regulations have made it imperative that physicians review and be familiar with alternative treatment options. We review and present strategies for the evaluation and treatment of agitation in demented patients.
Subject(s)
Alzheimer Disease/drug therapy , Mental Disorders/drug therapy , Adrenergic beta-Antagonists/therapeutic use , Aged , Aggression/psychology , Alzheimer Disease/diagnosis , Alzheimer Disease/epidemiology , Antipsychotic Agents/therapeutic use , Buspirone/therapeutic use , Carbamazepine/therapeutic use , Comorbidity , Delirium/diagnosis , Delirium/drug therapy , Delirium/epidemiology , Diagnosis, Differential , Humans , Mental Disorders/diagnosis , Mental Disorders/epidemiology , Nursing Homes/legislation & jurisprudence , Prevalence , Psychomotor Agitation/diagnosis , Psychomotor Agitation/drug therapy , Psychomotor Agitation/epidemiology , Serotonin Receptor Agonists/therapeutic use , Valproic Acid/therapeutic useSubject(s)
Adult , Female , Humans , Male , Pregnancy , Kidney Transplantation , Patient Education as Topic , Diet , Family Planning Services , Immunosuppressive Agents/adverse effects , Immunosuppressive Agents/therapeutic use , Life Style , Postoperative Complications , Kidney Transplantation/adverse effectsSubject(s)
Humans , Adolescent , Adult , Middle Aged , Kidney Transplantation , Tissue Donors , Interpersonal Relations , Puerto Rico , Surveys and QuestionnairesSubject(s)
Kidney Transplantation , Tissue Donors , Adolescent , Adult , Humans , Interpersonal Relations , Middle Aged , Puerto Rico , Surveys and QuestionnairesSubject(s)
Kidney Transplantation , Patient Education as Topic , Adult , Diet , Family Planning Services , Female , Humans , Immunosuppressive Agents/adverse effects , Immunosuppressive Agents/therapeutic use , Kidney Transplantation/adverse effects , Life Style , Male , Postoperative Complications , PregnancySubject(s)
Postoperative Complications , Urinary Tract/injuries , Adult , Aged , Castration/adverse effects , Cesarean Section/adverse effects , Female , Humans , Hysterectomy/adverse effects , Iatrogenic Disease , Male , Middle Aged , Ovary/surgery , Pregnancy , Ureter/injuries , Urethra/injuries , Urinary Bladder/injuriesABSTRACT
We treated 7 patients with membranous urethral strictures secondary to fractures of the pelvis with pubectomy and termino-terminal anastomosis of the urethra. All patients are free of catheters and urinary tract infection. The surgical technique provided good exposure of the membranous urethra because the incision of the pubis was wide. None of the patients has had orthopedic problems secondary to the operation. Postoperative sexual function has been good.
