Interventional treatment for acute ischaemic stroke in an 86-year-old.

An 86-year-old lady presented to the accident and emergency department with a 90 min history of receptive and expressive dysphasia. There were no motor symptoms or visual symptoms reported. A partial anterior circulation stroke was diagnosed.

The ageing of HIV: implications for geriatric medicine.

The prevalence of human immunodeficiency virus (HIV) in the over 50 age group is increasing as a consequence of younger adults ageing with HIV, in addition to new diagnoses in later life. We conducted searches in MEDLINE for English language studies published between January 1984 and January 2010 using search terms 'HIV', 'AIDS', 'HIV testing' and 'HIV complications' and selected articles relevant to adults aged 50 years and over. The prevalence, natural history and complications of HIV infection and treatment in older adults are reviewed.

Extubation versus tracheostomy in withdrawal of treatment-ethical, clinical, and legal perspectives.

The provision of life-sustaining ventilation, such as tracheostomy to critically ill patients, is commonly performed. However, the utilization of tracheostomy or extubation after a withdrawal of treatment decision is debated. There is a dearth of practical information available to aid clinical decision making because withdrawal of treatment is a challenging scenario for all concerned.

Diagnosis and management of asthma in older adults.

Despite comprehensive guidelines established by the European Global Initiative for Asthma and the U.S. National Asthma Education and Prevention Program on the diagnosis and management of asthma, its mortality in older adults continues to rise.

The effects of usual footwear on balance amongst elderly women attending a day hospital.

Objective: to examine the effects of footwear on balance in a sample of older women attending a day hospital.

Design: this was a crossover trial with a quasi-randomised allocation.

Setting: assessments took place in the geriatric day hospital.