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Biomedical subjects

E B Elkowitz

Publications and source records attributed to E B Elkowitz.

6 recordsLinked to original sources

Adding life to later years through exercise.

Exercise should be part of everyone's daily routine. Most people can devise their own best program. However, geriatric patients often require the active participation of the physician, whose task is complicated by the special physical, psychologic, social, and economic needs of this age-group. A regular, safe program will make exercise more pleasant. Exercise and activity should be a way of life. Exercise can help to achieve better physical and mental health, thereby improving the quality of life.

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Relationship of depression to physical and psychologic complaints in the widowed elderly.

Coping with depression has always been a central theme in the life of the elderly, and many efforts have been made to develop a valid form of assessment. This article shows that an analysis of compliance may usefully supplement the usual instruments for measuring depression. The study group consisted of 10 widows and 8 widowers (age range, 69-74 years). They were tested by the Zung Depression Scale, particularly for physical and psychologic complaints. The pattern and correlates of these complaints are discussed in relation to depression and sex. The data indicate a relationship between compliance and the severity of depression, and also between sex and the expression of distress feelings.

Adaptation, Psychological↗

Hypertension in the elderly: review of therapy with a hydroflumethiazide-reserpine combination.

A retrospective analysis revealed that 125 geriatric patients had been treated for mild to moderate essential hypertension with a combination drug, each tablet of which contained 50 mg of hydroflumethiazide and 0.125 mg of reserpine. The dosage schedule was one tablet once daily for most patients. The duration of treatment ranged from 1 to 93 months (mean, 22.1 months). After one month of therapy, the decreases in mean systolic (-18.3 mm Hg) and mean diastolic (-6.6 mm Hg) blood pressure were statistically significant and these initial reductions were well maintained over a 6-year period, without signs of tachyphylaxis. Side effects were reported by 53 patients, but these usually were mild and typical of those associated with antihypertensive therapy; discontinuation of treatment was required in only 3 patients. Use of the hydroflumethiazide-reserpine combination was associated with several significant advantages, including convenient once-daily dosing, improved compliance, and decreased cost.

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Death and the elderly patient.

More attention should be paid to the profound needs of dying patients. The family physician can guide the family members and others in forming a team to help dying elderly patients in this life crisis, so that they may have a "good death." The importance of honesty and cooperation by all those involved is emphasized, as is the need to support the patient emotionally and spiritually.

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