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At least 613 records · Page 34Linked to original sources
PubMed1995

Personal emergency response systems: factors associated with use among older persons.

A descriptive survey was conducted to determine factors associated with the use of personal emergency response systems among older community-residing subscribers in the New York City metropolitan area. Subscribers who wore the portable help button when alone in the home were defined as being "compliant." The average length of time the 106 respondents (average age 83 +/- 9) had the system in their possession was 26 +/- 18 months. Less than 50% of the subscribers were found to be fully compliant. Compliance was more common in system users who had obtained the system themselves, had a history of falls, got positive responses to activations, used an assistive mobility device, and received instruction on the system. Compliance was less common in users who had obtained the system at the request of a family member. The data suggest that disuse is a common problem that clinicians should assess regularly to assure the benefit of this intervention.

Aged↗
PubMed1993

First person personal pronouns and their psychic referents.

This paper presents a psychoanalytic description of the psychic referents for the personal pronouns I, me, myself. The referents are related to memorial processes of experiences of satisfaction is early bodily dialogues. Later interpersonal dialogues, bodily and verbal, factual or fantazised, add to the memories available as potential referents for the pronouns. The linguistically spoken pronoun has a narrower referential field because a speech act can only tap a limited number of memories. The 'I'/'me' of each spoken sentence is a selected libidinal and narcissistically organised self-perception at the service of an exchange with the interlocutor at hand, the specific 'you' of that linguistic act. The linguistic 'I' is a transient pronominal function linked to memories about oneself and others. It reveals in the selection of referential sources, libidinal and narcissistic regulatory functions in the service of satisfaction of wishes, defence, and modulation of self-esteem.

Ego↗
PubMedDate not supplied

[L-DOPA test for evaluating in vivo catecholamine biosynthesis in normal persons and persons with different diseases].

Administration of 1-DOPA into healthy persons increased its excretion with urine and elevated the adrenaline secretion. The increase of catecholamines excretion was not observed in aged patients with hypertension; the data obtained suggest that the synthesis of catecholamines with utilization of DOPA was inhibited. In patients with ulcerous disease excretion of 1-DOPA was not increased after its administration, but secretion of catecholamines was decreased during the day time. Under ulcerous disease 1-DOPA appears to be used in process unrelated to synthesis of catecholamines.

Adult↗
PubMed1997

Mortality after deliberate self-poisoning. A prospective follow-up study of 587 persons observed for 5279 person years: risk factors and causes of death.

A follow-up study of mortality and factors associated with death from various causes were done on two unselected groups of patients surviving deliberate self-poisoning in 1978 and 1987. The persons were studied up to the end of 1993. In 1978 the group included 152 female and 101 male subjects and in 1987 the group included 190 female and 144 male subjects. By the end of 1993 a total of 37 (24%) of the female and 33 (33%) of the male patients admitted in 1978 had died (n.s.) and 18 (10%) of the female and 29 (20%) of the male patients admitted in 1987 had died (P < 0.01). The main causes of death were suicide and death from cardiovascular disease. The 5-year follow-up mortality more than doubled in males from 1978 to 1987 but decreased in females. In female subjects, the total follow-up mortality was 3.6 times the expected ratio, with a 95% confidence interval (95% CI of 2.7-4.6); in male subjects it was 5.0 times the expected ratio (95% CI = 3.8-6.4). The cause-specific mortality ratio was highest for deaths from suicide--in the female group it was 65.5 (39.4-102.3) times the expected and in the male group 41.5 (26.0-62.8)--and from accidental poisoning--for females 50.0 (6.1-180.6) times the expected and for males 66.7 (24.5-145.1). In the female group none of the variables examined reached significance as predictors for subsequent suicide or death from unnatural causes. In the male group being aged 30 years or more came out as a predictor for subsequent suicide [relative risk (RR) = 5.66 (1.05-30.37)], while imprisonment came out as a protective factor [RR = 0.08 (0.01-0.64)]. Significant predictors for death from unnatural causes were: having been convicted (but not been in jail) [RR = 34.01 (1.07-1078.15)] and a serious suicidal intent [RR = 138.62 (1.38-13,946.79)]. It is concluded that patients who survive deliberate self-poisoning are at increased risk of death. The predictors for death are not very specific and are considered difficult to apply in the clinical work with these patients.

Adolescent↗