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Biomedical subjects

W M Simpson

Publications and source records attributed to W M Simpson.

8 recordsLinked to original sources
PubMed1990

Dementia, depression, or grief? The differential diagnosis.

Depression, grief, and dementia are conditions frequently encountered among the community-living elderly. This review offers a primary care perspective of the distinguishing features for each and discusses the special issues of managing the elderly. Major depression in the elderly usually responds to antidepressant medication, whether the depression occurs alone (endogenous) or as a response to another condition (reactive).

Aged↗
PubMed1986

Exercise: prescriptions for the elderly.

It has been said that those who cannot find time for exercise will most certainly find time for illness. This is especially true for the elderly. Physicians need to provide encouragement and instruction to help the older patient to begin and to continue an exercise program that is designed to avoid injury.

Aged↗
PubMed1985

Relationship of long-term and acute-care facilities. The problem of patient transfer and continuity of care.

Approximately 17% of patients residing in an extended-care facility--which provides close physician-patient contact and strong affiliation with an acute-care hospital, although does not have the capacity for intravenous therapy--required admission to an acute-care hospital during a one-year period. The most common medical problem necessitating transfer to the acute-care hospital was an infectious process. Most infections were correctly diagnosed in the extended-care facility, but due to the inability to administer intravenous therapy, transfer was thought mandatory. The acute-care hospital stay was short, which is thought to reflect partially the close affiliation between the extended-care facility and acute-care hospital. Complications occurred while patients were in the acute-care hospital with 30% demonstrating new pressure sores upon their return to the extended-care facility. Repeated acute-care hospital admissions were not uncommon, usually occurring within a short period after the patient's return to the extended-care facility, and commonly related to the same medical disorder that caused the initial admission. Prognosis was poor in patients who required admission to the acute-care hospital and mortality rate increased to approximately 50% in patients requiring multiple admissions. It is concluded that an extended-care facility that provides a high level of physician-patient contact and a close affiliation with an acute-care hospital is advantageous in providing efficient and continual care for the elderly. Provisions for the administration of intravenous therapy might even increase the efficiency of such a facility.

Adult↗
PubMed1979

Practice monitoring as a means to direct individual continuing medical education.

Methods of practice monitoring currently available and requiring little of the physician's time are discussed. The application of these tools to direct individual continuing medical education efforts and to examine and improve patient care are illustrated from my experience and that of the Department of Family Practice of the Medical University of South Carolina.

Education, Medical, Continuing↗
PubMed1979

Diagnostic ultrasonography in acute cholecystitis.

In a 12-month period 100 patients with clinical evidence of acute disease of the gallbladder were studied in hospital by grey-scale ultrasonography. During the same hospital admission it was possible to correlate results of ultrasonography with operative findings in 66 patients. In 52 patients the ultrasonographic diagnosis of gallstones was proved to be correct. There were no false-positive results. In seven patients the ultrasonographic report of a normal gallbladder without stones was also confirmed. In two patients, the report of a normal gallbladder without stones was erroneous. In two more patients the scan was indeterminate and stones were found at operation. In the remaining three patients echogenic material was reported and at operation minute stones and "sludge" were found. No complications resulted from the ultrasonography. The study showed that grey-scale ultrasonography is a reliable, rapid and safe technique for detecting gallstones in patients with a clinical diagnosis of acute cholecystitis.

Acute Disease↗