Leigh syndrome is a severe progressive neurodegenerative disorder with different clinical presentationsthat usually becomes apparent in the first year of life and rarely in late childhood and elderly years. It is causedby failure of mitochondrial respiratory chain and often results in regression of both mental and motor skills and might even lead to death. In some of the inherited neurodegenera...

OBJECTIVES To identify injuries that elderly sustain during high-energy trauma and determine which are associated with mortality. DESIGN Retrospective review of prospectively collected database. SETTING Academic trauma center. PATIENTS Patients selected from database of all trauma admissions from January 2004 through June 2009. Study population consisted of patients directly admitted from...

BACKGROUND A general trend in orthopedic traumatology is the advent of daily, dedicated orthopedic trauma theatres. Availability of trauma theatres is believed to decrease morbidity and mortality, but this remains unproven. We performed a retrospective review comparing morbidity and mortality outcomes at a single institution before and after the establishment of a dedicated trauma room. The pur...

A 77-year-old man with an asymptomatic calcified chronic subdural hematoma is reported. Thirty seven years elapsed between the time of the head trauma and diagnosis. The advanced age of the pa tient when the calcified chronic subdural hematoma was diagnosed and the long interval between the trauma and diagnosis were both unusual features of this case. As far as we know, this patient is the olde...

The ‘sandwich generation’ has been conceptualised as those mid-life adults who simultaneously raise dependent children and care for frail elderly parents. Such a combination of dependants is in fact very unusual, and the more common situation is when adults in late mid-life or early old age have one or more surviving parents and adult but still partly dependent children. It can be hypothesised ...

This article provides an introduction to the field of art therapy and the potential it can offer to address the emotional needs of the frail elderly. Two case studies are discussed, and examples of artwork are provided. The case studies and artwork were created under the guidance of an art therapist at a Program of All-Inclusive Care for the Elderly (PACE) site in an urban African American comm...