Biomedical subjects
B Isaacs
Publications and source records attributed to B Isaacs.
The evaluation of drugs in Alzheimer's disease.
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Should we treat hypertension in the elderly?
The argument for treating hypertension in old people is essentially that the treatment is beneficial in young people. Direct evidence of benefit in old people is limited. Further evidence is awaited from the European Cooperative Study. Critical examination of the indirect evidence gives limited support to treatment of certain sub-groups of the elderly only. Much present practice appears to be unsound.
Water, water everywhere...it's time we stopped to think.
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Treating stroke: home or hospital?
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Are falls a manifestation of brain failure?
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Problems and solutions in rehabilitation of stroke patients.
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Stroke research and the physiotherapist.
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Five years' experience of a stroke unit.
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Space phobia and the "3F syndrome".
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The stricken: the social consequences of stroke.
Of 76 patients admitted consecutively to a stroke rehabilitation ward at Lightburn Hospital Glasgow, 35 were discharged home, and 29 of these were followed at home for three years or until they died. Eighteen of the patients survived for three years, the survivors being mainly the younger patients. Most remained reasonably fit physically, but none returned to employment and few undertook any activities outside the house. Many became depressed and frustrated. This group received little in the way of domiciliary health and social services, rehabilitation services and financial help. There is a need to improve the services for survivors of strokes after their discharge from hospital.
"Brain failure": a contribution to the terminology of mental abnormality in old age.
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The needs of old people. The 'interval' as a method of measurement.
A survey was conducted on 1035 persons constituting a semi-random age-structured sample of the populations of three areas in the west of Scotland. The object was to attempt to estimate the needs of this population for domiciliary services. A method was developed of classifying the subjects into 12 'care groups' based on two characteristics, those of 'potential need' and 'solitude'. 'Potential need' was a measure of disability and its severity was graded according to the intervals that elapsed between necessary periods of help. 'Solitude' was a measure of the time during each day when potential sources of help were spontaneously available. 'Potential need' was found to be related linearly to age but to be independent of the other variables studied. 'Solitude' was commonest in the 75-84-year age group and varied in the three areas studied, but no relationship with any other variable was detected. An estimate was made of the domiciliary services which would be required to ensure a satisfactory standard of care for the subjects in the sample. Assuming present or slightly better levels of hospital provision and slightly lower provision of residential homes there is still a need for a very great increase in domiciliary services if satisfactory standards of community care are to be attained.