Nonspecific presentation of pneumonia in hospitalized older people: age effect or dementia

Article Abstract:

Age differences in bacterial pneumonia presentation have been found to be due to the presence of dementia to a large extent. Retrospectively, nonspecific and specific symptoms were compared at two urban general medical teaching hospitals.

Diagnosis, Pneumonia

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Clinical characteristics and prognosis of myasthenia gravis in older people

Article Abstract:

Myasthenia gravis (MG) in older people is discussed with attention to prognosis and clinical characteristics based on following 172 casses for which onset occurred after age 60. Prognosis seems to be favorable, but full remission is rare. Treatment side effects, MG weakness, and associated thymoma can be factors in the mortality rate. Combined therapy with prednisone and azathioprine was more effective than prednisone alone. Steroid-related side effects are more frequent than those related to azathioprine.

Complications and side effects, Physiological aspects, Prognosis, Corticosteroids, Adrenocortical hormones, Immunosuppression, Myasthenia gravis, Thymoma, Azathioprine, Thymectomy

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Treatment for the secondary prevention of stroke in older patients: the influence of dementia status

Article Abstract:

Dementia appears to be a significant independent determinant on nontreatment with aspirin or warfarin when otherwise indicated for prevention of recurrent stroke in the elderly based on results of a study on the influence of dementia status on treatment for secondary prevention of stroke in older patients. Patient with dementia have greater risk of recurrent stroke and death than others, but even with aspirin or warfarin use they have more frequent adverse outcomes that undemented patients. Other pathogenic mechanisms related to the unique vulnerability of the group should be identified. The study involved a cohort of 272 patients with mean age 72.1 +/- 8.5 years and use of patient examinations and medical record review.

Prevention, Stroke (Disease), Stroke, Aspirin, Warfarin, Senile dementia

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