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Biomedical subjects

K Maslow

Publications and source records attributed to K Maslow.

13 recordsLinked to original sources

Long-term care eligibility criteria for people with Alzheimer's disease.

Long-term care (LTC) eligibility criteria are applied to a sample of 8,437 people with dementia enrolled in the Medicare Alzheimer's Disease Demonstration. The authors find that mental-status-test cutoff points substantially affect the pool of potential beneficiaries. Functional criteria alone leave out people with relatively severe dementia and with behavioral problems. It is therefore important to consider both behavioral and mental-status-test criteria in establishing eligibility for community-based services for people with dementia.

Activities of Daily Living↗

A NMR study of parasitized Tenebrio molitor and Hymenolepis diminuta cysticercoids.

In vivo NMR spectra of uninfected and Hymenolepis diminuta-infected Tenebrio molitor fed D-(1-13C)glucose showed that infected beetles of both sexes had a significantly higher ratio for (glycogen C1/lipid (CH2)n) than the corresponding controls. Quantitative metabolic profiles and the per cent 13C-label in metabolites, based on NMR of perchloric acid extracts, are presented for control and infected beetles fed D-(1-13C)glucose and for H. diminuta cysticercoids. Female beetles, both control and infected, contained more glycogen than their male counterparts and infected beetles of both sexes possessed less glycerophos-phocholine, but more glycogen and a higher percentage label in glucose and trehalose than their respective controls. Label was also incorporated into glycogen, succinate, acetate, alanine and lactate. Extracts of cysticercoids from beetles fed D-(1-13C)glucose contained the following labelled compounds, in order of decreasing per cent 13C label: glucose, trehalose, alanine, succinate, lactate, glycogen and acetate. In vitro cultivation experiments, employing D-(1-13C)glucose, revealed that trehalose found in cysticercoids was of parasite, and not beetle, origin.

Amino Acids↗

Special care units for persons with dementia: expected and observed effects on behavioral symptoms.

Behavioral symptoms are common in nursing home residents with dementia, and have negative consequences for the residents, their families, staff members, and nondemented residents who live in close proximity to them. Special care units are intended to provide appropriate environments and methods of care that in turn are expected to reduce the incidence of behavioral symptoms. Studies of the effectiveness of special care units in reducing behavioral symptoms have had contradictory findings. Further research is needed to identify the particular environments and methods of care that are effective in reducing specific behavioral symptoms in these residents.

Aged↗

Problems in women's knowledge about menopause.

Women need to know more about menopause to be able to make informed decisions about their own health. They need information about the usual short-term and long-term effects of menopause and about pharmacologic and non-pharmacologic approaches that may be helpful in responding to these effects. Some of this information does not exist at present, and what is known is not well disseminated. To address these problems, the research agenda on menopause should include studies specifically intended to produce the necessary information. Improved dissemination of the information will require the joint efforts of journalists, scientists, health care professionals, and women themselves.

Attitude to Health↗

Total parenteral nutrition and tube feeding for elderly patients: findings of an OTA study.

A 1987 report by the US Office of Technology Assessment (OTA), Life-Sustaining Technologies and the Elderly discusses current utilization of tube feeding and total parenteral nutrition (TPN) for elderly people and the related issues of patient access to treatment, decision making practices, and quality of care. Factors that limit access for some elderly patients include negative attitudes of some health professionals about whether elderly people can benefit from tube feeding and TPN, lack of adequate nutritional standards for the elderly and lack of staff in some treatment settings who are trained and have enough time to assess nutritional status in elderly patients, and payment problems. Public controversy about life-sustaining technologies for elderly people now focuses on decisions about withholding or withdrawal of tube feeding, but debate about the legal and ethical issues involved in these decisions tends to obscure the relevant clinical considerations. Research issues and clinical practice concerns related to decision making and quality of care for elderly patients on tube feeding and TPN are discussed.

Aged↗