Arthur Leibovitz

..aeruginosa and Proteus spp., were isolated significantly more from the gastric juice of NGT-fed patients. These results support the view that a bidirectional spread pattern of pathogens may take place in NGT-fed patients...

..This subject is reviewed according to existing publications and we mention our own experience on the matter. Satisfaction surveys are not an inherent objective but an important lever for quality of care improvement and assurance...

..aeruginosa organisms. The pulsed-field gel electrophoresis profile of these organisms was similar to that of P. aeruginosa isolates from the oropharynx. NGT-fed patients may serve as vectors of resistant P. aeruginosa strains...

..Any change in the present approach regarding TEF in these patients should be preceded by discussions with their relatives...

..The purpose of this study was to examine comparatively the biochemical, immunological and enzymatic components of the saliva of these patients with that of orally-fed counterparts...

..The validity of the common laboratory parameters of hydration status is far from being absolute, especially so in the elderly. However, combinations of these indices are more reliable...

..Aspirin is commonly used by elderly patients. In previous studies we found transient changes in renal function induced by low doses of aspirin...

..CONCLUSIONS: Biofilms form within a single day on most NGTs inserted for the feeding of elderly patients with dysphagia. Further research should be devoted to prevention of biofilm formation on NGTs...

..This finding warrants the inclusion of routine pH determination in patients whenever pharmacokinetic considerations are essential...

..We prospectively evaluated six antiseptic compounds in nasogastric tube-fed frail elderly patients; only polymixine reduced oropharyngeal colonization with GNB. None had an effect on S. aureus colonization...

..All parameters were without notable intergroup differences. CONCLUSION: In enterally fed elderly patients (NGT or PEG), the rate and pattern of PPH are similar and not significantly different from that observed in OF patients...

..Further research is called for, as well as a thorough revision of the existing oral cleansing procedures in these patients...

..Such surveys contribute to the quality of care and should be considered for routine/periodical use in long-term care settings...

..Elderly, in particular frail and disabled subjects, are vulnerable to insufficiency or overload of microelements. There is a need to evaluate the actual requirements for each microelement for this population...

..However, the degree of implementation of recommendations by family physicians must be improved...

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..This lack of change requires health system leaders to coordinate their efforts and develop efficient teaching programs to prevent similar findings 10 years from now...

..Edema of the paretic hand was detected in 37% of post-stroke patients. Most (about three-quarters), could be classified as simple PSHE, while the rest may have had reflex sympathetic dystrophy (RSD)...

..A thorough search of the medical literature revealed two previous studies with similar findings. Further research will determine whether pulmonary embolism is more frequent or whether it has a worse prognosis in frail elderly women...

..The QT interval reflects the total duration of ventricular myocardial repolarization. Disturbed QT--either prolonged or shortened--is associated with arrhythmia and is life-threatening...

..The QT interval reflects the total duration of ventricular myocardial repolarization. Its prolongation is associated with increased risk of polymorphic ventricular tachycardia, or torsade de pointes, which can be fatal...

..These findings are related to the risk of aspiration pneumonia and are compelling for the reevaluation of current oral cleansing procedures...

..The nature of adverse clinical events (ACE) during duty hours (16:00-08:00 and holidays), as well as the way they are addressed by duty physicians (DP) in a nursing home (NH) are the subject of this study...

..001). CONCLUSION: Short-term low-dose aspirin treatment may affect renal function in elderly patients. These effects persist 3 weeks after cessation of the drug in some of these patients...

..The agreed-on suggestions for transfusions in terminally ill cancer patients may serve as a reasonable physician standard for this complex clinical, medical-legal, and emotional issue...

..However, prior anti-aggregant treatment and PD, are here reported for the first time as associated conditions. Future research will possibly clarify the links between these entities and PSND...

..Moreover, both families and staff welcomed this study and mentioned its contribution in improving communication...

..Bloodstream infection (BSI) is a major cause of morbidity and mortality in hospitals. Bacteremia in the elderly remains a diagnostic as well as a therapeutic challenge to the clinician...

..Therefore, homocysteine measurement may be the preferred indicator of vitamin intake in orally fed patients with OD...

..The growing body of skills and knowledge available, and their application for competent care of the elderly, constitute a compelling impetus for the further development of a high-quality geriatric medical education...

..On the contrary, it is possible that long-term colchicine treatment may even confer protection against cognitive decline in patients with FMF...

..Pain following hip fracture and internal fixation is a major factor during the treatment of elderly patients on rehabilitation programs. A proactive pain management program was instituted in our geriatric rehabilitation ward in 2005...

..The study results suggest that the shortened cluster of 7 items could also be used in Israel and is adequately indicative for the evaluation of the caregiver's burden...

..CONCLUSIONS: The CTT is prolonged in immobile frail elderly patients. No significant differences were noted between diabetic and nondiabetic patients...

..The drug could be useful in relieving constipation in these patients, in addition to its beneficial effect in the control of diabetes...