Efficacy of cycling training based on a power field test.

The efficacy of an 8-minute field test to prescribe exercise intensity and assess changes in fitness was evaluated before and after 8 weeks of indoor cycling, and the results were confirmed by laboratory assessment. Changes in maximal steady-state power (MSSP), power at lactate threshold (PT(lact)), maximal power (Pmax), and maximal oxygen uptake (VO2max) were measured on 56 participants (20 women, 36 men; mean +/- SD. 46.

Emotional impact of retirement on physicians.

The current study sought to identify the factors underlying physicians' decision to retire, describe the emotional impact of retirement on physicians, measure quality of life in retirement, and identify coping strategies used by retired physicians. A questionnaire was sent to all 689 retired members of the Harris County Medical Society, and 323 (47%) responded. Data were analyzed using SPSS.

Using imagery for role transition of midwifery students.

The University of Texas Collaborative Nurse-Midwifery Education Program uses various strategies to facilitate transition from competent nurse to graduate student and then to beginning midwife practitioner. Guided imagery is the mainstay of the strategies used throughout the five semesters of the program. Proactive intervention facilitated by a nurse-counselor takes place in a group, supported as needed by individual counseling.

Factors associated with residents' attitudes toward dying patients.

Background And Objectives: Management of the dying patient often elicits anxiety in physicians. This study identified the association of physicians' personal fear of death, tolerance of uncertainty, and attachment style with physician attitudes toward dying patients.

Methods: Four psychological scales were distributed to family practice residents located in Texas, Missouri, and Maine.

Mother-infant interaction and breastfeeding outcome 6 weeks after birth.

Objective: This study explored the relationship of early postpartum maternal-infant interactions to breastfeeding outcome at 6 weeks postpartum.

Design: Prospective, comparative descriptive study.

Setting: Women, Infants, and Children Supplemental Nutrition Program and Comprehensive Perinatal Services Programs in northern California.

The importance of geriatrics to family medicine: a position paper by the Group on Geriatric Education of the Society of Teachers of Family Medicine.

The role of geriatrics and geriatricians in family medicine remains unsettled. Despite a rapidly aging population, a tremendous shortage now exists of faculty with interest and expertise in geriatrics. Relatively few family practice residents choose to enter geriatric fellowship programs, and federal funding for such programs has been reduced.

Agreement between telephone survey and medical record data for the elderly patient.

Objective: This study compares agreement between telephone survey and ambulatory medical record data for an elderly patient population.

Methods: Medical records and telephone survey responses are used to compare health status (chronic medical condition, symptomatology, and functional status) of 142 elderly patients randomly selected from a family practice residency and a geriatric fellowship practice. Chart abstraction was performed by two resident and two faculty physicians after a training period designed to assure high inter-reviewer reliability.

Common gynecologic problems after age 75.

Management of gynecologic problems in women aged 75 and over can be challenging. Appropriate examination and evaluation differs from that for younger women, and these patients are often poor surgical candidates. The most common presenting conditions include stress incontinence, atrophic changes of the vulva and vagina, and pelvic relaxation with uterine prolapse.

Health and poverty among elderly persons: a community-oriented primary care survey.

Providing health care for independent-living elderly persons is important, yet family physicians often lack accurate information about needs and access to care. The Community-Oriented Primary Care (COPC) approach and health status models from health services research provide a framework for assessing need and access to care. Personal interviews were conducted with 990 noninstitutionalized elderly persons in Youngstown, Ohio.

Nutrition for the elderly.

Nutrition in the older person is complex because of changing physiology, changes caused by multiple chronic diseases, changes induced by pharmacologic agents, and commonly, failing protein/caloric intake. This article is designed to explain the mechanisms of these processes and to suggest pragmatic and practical responses in the management of the older patient.

Religious activities and attitudes of older adults in a geriatric assessment clinic.

Few studies have examined the prevalence, salience, and impact of religious beliefs, activities, and commitment among medical patients in later life. Surveys of the U.S.

Geriatric fellowships in family medicine: status and directions.

The American Board of Medical Specialties recently approved the concept of certificates of added qualifications in geriatrics within both internal medicine and family practice. Certification requirements have been worked out for each training model, and questions have quite naturally arisen addressing whether the developing family practice model is substantially different from the longer established internal medicine model. A survey was made of 12 family practice based geriatric fellowship programs.

Resuscitation of the elderly.

Concerns about quality of life and the cost of medical care raise questions about the effectiveness of cardiopulmonary resuscitation (CPR) efforts. This study explores the role of age in resuscitation outcome by focusing on the CPR experience of all patients age 75 years and older in a community hospital during a one-year period. Data are based on a retrospective study of the medical records of 86 such patients.