BACKGROUND The nature of cognitive performance in subjects with Parkinson disease (PD) without dementia is controversial, perhaps because of failure to exclude subjects with unrecognized very mild dementia. OBJECTIVE To compare cognitive and motor functioning in well-characterized subjects with PD without overt dementia with healthy elderly control subjects. DESIGN Subjects' conditions were...

An extensive literature reports changes in quantitative electroencephalogram (QEEG) with aging and a relationship between magnitude of changes and degree of clinical deterioration in progressive dementia. Longitudinal studies have demonstrated QEEG differences between mild cognitively impaired (MCI) elderly who go on to decline and those who do not. This study focuses on normal elderly with sub...

Purpose: Case management is a human device which’s purpose is to enhance the quality of services by improving their coordination. However, the case manager is not the sole bearer of the coordination duty; the first line medical doctor, the service user himself and his family caregiver may also contribute. The family caregiver represents a very important coordinator whose contribution to case ma...

PROBLEM ADDRESSED Family physicians provide most of the care for the frail elderly population, but many challenges and barriers can lead to difficulties with fragmented, ineffective, and inefficient services. OBJECTIVE OF PROGRAM To improve the quality, efficiency, and coordination of care for the frail elderly living in the community and to enhance geriatric and interprofessional skills for ...

Introduction: Given to the high prevalence of  impaired vision in aging population and importance of their quality of life, this study was aimed to evaluate the association between quality of life and vision rehabilitation needs in elderly patients with low vision referring to Bu Ali Sina Hospital, Qazvin, Iran.   Methods: A total of 94 elderly patients with visual acuity less than 6/18 parti...

Normative information is available on the expected performance of hearing-impaired individuals on the revised version of the Speech Perception in Noise (SPIN) test. This normative sample includes individuals with sensorineural hearing loss drawn from an age range of 19 to 69 years, with 79 percent of the sample being less than 65 years of age. In the present study, SPIN scores were obtained fro...

Objective: Our aim was to evaluate the cognitive functions and daily living activities of the elderly diabetics who were under a basal-bolus intensive insulin therapy. Methods: Our study included 108 patients admitted to our outpatient clinic who are over 65 years of age and under an intensive insulin therapy. Minimental state examination (MMSE), activities of daily living (ADL), and instrument...

260 February 2014 P aspiration is rare during daily life, thanks to amazingly well-organized protective mechanisms, such as swallowing (and coordinated cessation of breathing during swallowing), coughing, and laryngeal closure.1 If any part of these mechanisms is impaired, the risk of aspiration increases. In this issue of ANesthesIOLOgY, hårdemark Cedborg et al.2 have shown that in asymptomati...