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Biomedical subjects

J T Leeming

Publications and source records attributed to J T Leeming.

15 recordsLinked to original sources
PubMed1991

Lack of knowledge of symptoms of hypoglycaemia by elderly diabetic patients.

The knowledge of symptoms of hypoglycaemia of 45 consecutive elderly diabetic patients was assessed during a structured interview and compared with that of an age-matched non-diabetic control group. Twenty-three (88%) patients taking oral hypoglycaemic agents (OHAs) and six (32%) insulin-treated patients denied any knowledge of hypoglycaemia. There was no significant difference in knowledge of 14 symptoms of hypoglycaemia between the non-diabetic controls and the combined diabetic (OHA and insulin) groups, but insulin-treated patients were slightly more knowledgeable than patients taking OHAs. Fourteen (54%) of the OHA group were taking either glibenclamide or chlorpropamide which have been associated with severe and prolonged hypoglycaemia. Elderly diabetic patients are unlikely to respond to the warning symptoms of hypoglycaemia and caution should therefore be exercised when prescribing for these patients.

Administration, Oral↗
PubMed1984

The work of a clinical psychologist in the care of the elderly.

Rehabilitation has become a major part of work with elderly patients and staff come from many different professions. The complex difficulties in many cases can prevent progress. It is in these situations that the clinical psychologist has most to offer. Ways in which the psychologist can assist the multidisciplinary team are described and short case histories are given to illustrate these practices.

Aged↗
PubMed1984

Anaemia in old age.

Because accurate diagnosis largely depends on the results of laboratory investigations, clinicians may undervalue their role in asking the right questions, in assessing the patient as a whole, and in consulting with colleagues in haematology. It is this that leads to most errors in diagnosis and treatment.

Aged↗
PubMed1979

Erythrocyte folate levels in young and old.

Erythrocyte folate levels were compared among 25 young healthy subjects (mean age, 27 years), 29 healthy subjects aged over 75 living in the community, 62 subjects (mean age, 75) admitted to a geriatric assessment ward (acute illnesses), and 32 subjects (aged over 65) in a ward for long-term physical or mental illnesses. Overall, the female/male sex ratio varied from 2:1 to 3:1. For the three elderly groups, the incidence of low erythrocyte folate levels (less than 100 mmicrogram/100 ml) were 24 percent, 16 percent, and 18 percent, respectively. For the young group, the mean value would be over 296 mmicrogram/100 ml. Dietary folate deficiency may often account for low folate blood levels in the elderly, but other factors should also be implicated, e.g., the ability to absorb folate.

Adult↗
PubMed1978

Medical screening of old people accepted for residential care.

Medical screening of 100 old people at the time of their acceptance for admission to residential (part 3) care revealed a great deal of previously unreported yet treatable illness. As a result of screening, alternative care was thought more appropriate in 32 cases--hospital admission in 16, sheltered housing in 4, and remaining at home in 12. It is therefore suggested that the time of translocation of an old person from independent to institutional living is a time when medical screening is particularly appropriate.

Aged↗
PubMed1976

The causes of osteomalacia in the elderly.

Investigations into the causes of osteomalacia in 12 geriatric patients with a histologically proven diagnosis, revealed no predominant aetiology. The metabolic bone disease in these patients appeared to have multifactorial causes in at least half the cases.

Aged↗
PubMed1975

Assessment of small bowel function in the elderly using a modified xylose tolerance test.

Using the combined results of oral and intravenous xylose tests, it is demonstrated that 26 percent of a group of geriatric patients absorb from the small bowel less efficiently than younger subjects. The method used excludes poor renal function and incomplete bladder emptying as possible causes for the differences found between the two age groups. Altered gastric emptying is also excluded as a possible factor.

Administration, Oral↗
PubMed1974

Letter: Geriatrics.

Explore the source record for details and available documents.

Attitude of Health Personnel↗
PubMed1974

Active chronic hepatitis in the elderly.

The clinical syndrome of active chronic hepatitis occurs characteristically in young people. In this report we describe three elderly patients with the syndrome. All three presented in a different manner and in two this was atypical. The diagnosis was suspected from the clinical finding of hepatomegaly or the presence of abnormal liver function tests. All three responded to treatment with corticosteroids.

Age Factors↗