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Biomedical subjects

B Livesley

Publications and source records attributed to B Livesley.

At least 37 records · Page 2Linked to original sources

Can readmissions to a geriatric medical unit be prevented?

During the year ending April 2, 1982, 153 patients readmitted to a geriatric medical unit within twelve months of their previous discharge from any hospital in the district accounted for 24.8% of the 617 patients admitted. Readmission of the 153 patients was due to unavoidable clinical deterioration (32%), inadequate medical management (21%), non-compliance of patient (20.2%), social problems (18.3%), or inadequate rehabilitation (8.5%). Readmission could have been prevented in 73 (47.7%) patients. These figures emphasise the importance of greater medical interest in the problems of the aged and support the need for a higher consultant/bed ratio in geriatric medical units to allow more effective management of patients aged 75 years and over.

Age Factors↗

Ischaemic heart disease and aged patients: effects of ascorbic acid on lipoproteins.

Aged men and women with ischaemic heart disease had higher total triglyceride levels than controls, and also lower mean percentage cholesterol levels in the high-density lipoprotein fraction. Subnormal levels of leucocyte ascorbic acid were found in 15/25 patients. In men, but not in women, the initial leucocyte ascorbic acid levels were correlated positively with HDL-cholesterol concentrations. After six weeks treatment with ascorbic acid, the mean HDL-cholesterol concentration had increased not only in all men, but also in those women with IHD. Furthermore, total serum cholesterol and LDL-cholesterol concentrations were reduced in men with IHD, but triglyceride levels were not significantly changed; whereas in women with IHD both total serum and VLDL-triglycerides were reduced. Ascorbic acid deficiency appears to contribute to disorders of lipoprotein metabolism in the aged. Latent ascorbic acid deficiency may be one of several preventable 'risk' factors contributing to the present epidemic of IHD in the western world.

Aged↗

Aged men and ischaemic heart disease: serum cholesterol and triglyceride levels.

Fasting serum cholesterol and triglyceride levels, and lipoprotein electrophoretic patterns have been investigated in 42 men aged 67-92 years (mean 79 years). Although all the cholesterol and the majority of the triglyceride levels were within the normal range for younger people, both were significantly greater (P < 0.001 and P < 0.01 respectively) in old men who had a clinical history of ischaemic heart disease than in the aged controls, whereas, in patients with dysrhythmia-ischaemia the cholesterol levels were raised (P < 0.05) but not the triglycerides. An abnormality of liporpotein profile was observed in 58% of patients with ischaemic heart disease; 7% of the controls; and 20% of patients having myocardial ischaemia associated with supraventricular dysrhythmia.

Age Factors↗

The burning of John Hunter's papers: a new explanation.

It is commonly accepted that Sir Everard Home destroyed the Hunterian Manuscripts to hide the extent to which he had used them for his own publications. We suggest that his real reason for burning the papers was to hide the identity of the person who had been the subject of John Hunter's famous inoculation experiment.

Authorship↗

The climacteric disease.

Evidence is provided to show that the account of "The Climacteric Disease" given in 1813 by Sir Henry Halford, Physician to King George III, was his interpretation that the King's illness was due to aging as a disease. This laid foundations upon which are placed the unfavorable attitudes toward Geriatric Medicine today, and which may effect the provision of medical care for the elderly and aged tomorrow.

Aged↗