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Biomedical subjects

W F Gorman

Publications and source records attributed to W F Gorman.

At least 19 recordsLinked to original sources
PubMed1995

Benign aging or Alzheimer disease?

We show that in benign aging, normally functioning elders have minor neurobehavioral deficits in activities of daily living, and in their neurologic, motor and sensory status; hearing is peripherally and centrally impaired. Also, depression appears in 25%. Gentle physical exercise improves mobility, prevents falls, diminishes pain, wards off depression, reduces mortality, and increases cerebral blood flow and cognition. Diagnosis of Alzheimer disease consists of (1) proof of dementia, (2) meeting established clinical criteria, and (3) staging of severity. We describe dementia, giving tables to identify it and distinguish it from depression, and cite some reversible dementias. We report the accepted clinical inclusion criteria and exclusion criteria for this disease. We show, also with tables, the staging of severity of both dementia and Alzheimer disease as mild, moderate, or severe.

Activities of Daily Living↗
PubMed1995

Mental acuity of the normal elderly.

The elderly are persons over age 65, now comprising 12% of our population. The normal elderly function normally both in their self care, and also in their social activities of daily living, which we tabulate. The current terms for the normally functioning elderly who show only mild psychological deficits are age-associated memory impairment and age-related cognitive decline, which we define, criticize and tabulate. The psychological deficits of the elderly consist of mild generalized slowing and inaccuracies compared to normal young persons. These deficits are measured by objective psychological tests which mimic real daily living situations--the name-face test, fire alarm test, two delayed recall tests, misplaced objects test, shopping list test, and digit symbol test, which we describe. A longer early formal education is preventive of mental dulling during normal aging. Treating using overlearning, by cognitive training, is significantly beneficial.

Activities of Daily Living↗
PubMed1985

Medical diagnosis versus legal determination of death.

This summary of the medical and legal descriptions of death notes that the physician makes a medical diagnosis of death, the physician then makes the legal pronouncement of death, and that statute or the courts make the legal determination of death. Medical diagnosis of death follows either the common law standard of total cessation of cardiac and respiratory function or the medically accepted standards of brain death, the latter being based on irreversible loss of brain function. Cessation of cardiorespiratory function inevitably causes brain death; similarly, brain death inevitably causes cessation of cardiac function. The common law definition of death has been redefined: death is brain death which inevitably causes cessation of the cardiorespiratory functions. Legal determination of death, since the advent of cadaver organ transplantation, has been made by case law, which is briefly summarized, or by statute in most jurisdictions. The history of the Uniform Determination of Death Act is briefly summarized; this observer joins those recommending adoption of this Act. A table gives the rules or statutes that determine death in 36 U.S. jurisdictions.

Death↗
PubMed1982

Defining malingering.

Malingering, also called shamming illness or goldbricking, is the false and fraudulent simulation or exaggeration of physical or mental disease or defect, performed in order to obtain money or drugs or to evade duty or criminal responsibility, or for other reasons that may be readily understood by an objective observer from the individual's circumstances, rather than from learning the individual's psychology. Malingering is seen in apparently normal children, students, test subjects, spouses, and adults. It is not a mental disorder. Malingering may coexist with the antisocial personality disorder, with various factitious disorders, such as the Ganser Syndrome and the Munchausen Syndrome, with the hysterias and with traumatic neuroses and other mental disorders. A review of definitions and a medicolegal discussion are presented. Malingering is an act, which is distinguished from a legal or mental status. Failure to distinguish act from status accounts for the wide disparities in definitions of malingering.

Factitious Disorders↗
PubMed1981

Malingering.

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Central Nervous System Diseases↗