February 1999
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69 Reads
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71 Citations
Journal of Palliative Care
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February 1999
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69 Reads
·
71 Citations
Journal of Palliative Care
October 1994
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17 Reads
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17 Citations
This study looks at the clinical and thiamine status of 50 terminally ill patients who were admitted to a palliative care unit. Thiamine levels were found to be abnormally low in 28% of the patients and borderline in a further 36%. Cognitive impairment, as measured by the mini-metal state examination (MMSE) of Folstein, Folstein and McHugh, was present in 68% of those tested and a significant correlation was found between the MMSE status and thiamine levels.
... 2 Further, TD is often overlooked because the symptoms may be nonspecific, and a number of apparently asymptomatic cases have also been reported. 3,4 Risk factors for TD include alcoholism, hyperemesis gravidarum, anorexia, and heart failure, as well as advanced age and dementia, 1,[5][6][7][8][9] with cancer and depression also reported in recent years. [10][11][12][13][14] It has also been reported that the use of proton pump inhibitors (PPIs) and diuretics may reduce blood thiamine levels. ...
October 1994
... Cases such as these suggest that grief often brings about a certain unintelligibility of "moving on", which naturally may, but also may not, involve the experience of painful, paralysing sadness. In his ground-breaking research into "bereavement visits", which dates back to the 1960s, the Welsh physician Dewi Rees has been exploring the phenomenon of bereaved people seeing, meeting, or talking to their lost ones [48]-which he, just as others, strives to describe as a natural and healthy phenomenon helping the bereaved people [48][49][50]; cf. again the discussion of continuous bonds both in [9] and independent of ecological contexts [12] (chap. ...
February 1999
Journal of Palliative Care