The definition of normal body temperature as 37 degrees C still is considered the norm worldwide, but in practice there is a widespread confusion of the evaluation of body temperature, especially in elderly individuals. In this paper, we discuss the relevance of normal body temperature as 37 degrees C and consequences in clinical practice. Our conclusion is that body temperature should be evalu...

PURPOSE This article profiles the housing settings of frail elderly individuals, whether their homes are facilitating or impeding their ability to live in the community, and the change in disability and housing status before and after passage of the 1990 Americans with Disabilities Act. DESIGN AND METHODS The analysis relies primarily on statistical analysis of the 1995 national American Hous...

The outcome of coronary artery bypass grafting (CABG) in diabetic patients has traditionally been worse than in non-diabetic patients. Recent studies have suggested an improvement in outcome in diabetic patients undergoing contemporary CABG. However, the direct impact of diabetes on mortality and morbidities following CABG remains unclear. We retrospectively analyzed prospectively collected dat...

Macrovascular disease (MVD) is the most prevalent complication amongst diabetics in the west. Almost 2/3 of deaths in diabetics is due to coronary artery disease (CAD), cerebrovascular disease (CVD) or peripheral vascular disease (PVD). The situation has worsen in the post insulin era due to control over acute complications and infections in diabetics. The problem although more marked with Type...

This cross sectional study includes 500 diabetic and 500 apparently healthy subjects. The aim of the study was to compare anthropometric variables and lipid profile in diabetic and non-diabetics. Anthropometric variables included were height, weight, body mass index (BMI), waist hip ratio (WHR) and lipid parameters were serum total cholesterol (TC), triglycerides (TG), Low density lipoproteins-...

Plasma beta-thromboglobulin, platelet factor 4, fibrinogen, fibrinopeptide A, antithrombin III, factor VIII related antigen, alpha 2-macroglobulin, platelet count, and total glycosylated haemoglobin were measured in three well matched groups of subjects: non-diabetic controls, diabetics without retinopathy, and diabetics with proliferative retinopathy. beta-thromboglobulin and platelet factor 4...

BACKGROUND Traffic-related air pollution has been associated to a range of adverse health impacts, including decreased heart rate variability (HRV). The association between traffic-related pollution and HRV, however, has varied by traffic-related or HRV marker as well as by study, suggesting the need for a more comprehensive and integrative approach to examining air pollution-mediated biologica...

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 ...