Observational study of the medical management of patients with peripheral artery disease.

Background: Previous research has suggested that patients with peripheral artery disease (PAD) are not offered adequate risk factor modification, despite their high cardiovascular risk. The aim of this study was to assess the cardiovascular profiles of patients with PAD and quantify the survival benefits of target-based risk factor modification.

Methods: The Vascular and Endovascular Research Network (VERN) prospectively collected cardiovascular profiles of patients with PAD from ten UK vascular centres (April to June 2018) to assess practice against UK and European goal-directed best medical therapy guidelines.

The Transposed Femoral Vein Fistula: The Native Choice in Desperate Vascular Access.

Background: This is a review of our experience in creating transposed femoral vein (TFV) fistulas and some of the lessons we have learnt while performing this challenging procedure over the last 5 years.

Methods: This is retrospective review of patients who underwent TFV fistula formation between January 2013 and December 2017.

Results: Fifteen patients underwent FV fistula formation with 4 cases being excluded from analysis.

Origins and development of geriatric medicine in Australia.

After a tentative beginning 50 years ago, geriatric medicine has become an accepted part of medical practice in Australia. It includes the rehabilitation of elderly people, general aspects of aged care in the community, undergraduate and postgraduate education and research.

The development of geriatric medicine in Australia.

Geriatric medicine has been slow to evolve in Australia for bureaucratic and other reasons. The rapid increase in the aged population demands that a coordinated approach be taken in the future.

A study of the characteristics and needs of people transferred from acute hospitals to nursing homes.

Objectives: To describe the categories of people being approved for admission to nursing homes; to consider whether any alternatives would have been more appropriate; and to outline the care needed for each category.

Participants And Setting: Patients in acute-care facilities in metropolitan Perth for whom a request had been made for nursing home admission.

Design: Patients were interviewed (by R B L and M D) and records in the acute hospital were examined.

Retention and survival of hostel residents--a 12 year study.

Background: The admission of a proportion of disabled people to hostels is inevitably followed by their transfer to nursing homes. Our hypothesis was that such admissions are justified in terms of quality of life and the cost to the community, notwithstanding the necessity of subsequent transfer.

Aims: To test this hypothesis by measuring the retention and survival times of residents in hostel and in nursing home; to consider the relevance of these factors to the future policy of the two institutions.

A five-year study of residents of a special hostel for people with dementia.

In order to consider whether admission to a special hostel was a desirable policy in view of the likelihood of subsequent transfer to a nursing home, this study compared the time spent by residents in a special hostel with the period in a nursing home after they were transferred out of the hostel. We also estimated the number of nursing home places necessary for residents who were transferred and studied the reasons for transfer. The setting was a special hostel in Perth, Western Australia, for 36 people with moderate or severe dementia.

Effects on care-givers of special day care programmes for dementia sufferers.

Two groups of care-givers to dementia sufferers were interviewed to assess their psychological symptoms and the behaviour problems of the dementia sufferers. The first group were using special dementia day care while the second group were about to begin using it. The second group were re-interviewed three months later.

Medical care of elderly people: the place of the general hospital.

A strategy is necessary in order to provide adequate medical care for an increasing number of elderly people. It can either be developed separately or within existing medical services. The characteristics of elderly disabled people need to be considered in order to determine policy.

Neuroleptic malignant syndrome.

Three cases of the neuroleptic malignant syndrome, which complicated treatment with haloperidol, fluphenazine and, in one case, with several drugs, are described. All three patients recovered and, in two, levodopa appeared to modify the course of the condition. In one patient, myoclonus was present and has persisted.

Treatment of patients with fractured neck of the femur in a combined unit.

Multiple pathology is characteristic of patients with fractured neck of femur. Orthopaedic surgeons and members of the extended care service should combine their efforts to lessen the disability which frequently follow this fracture. The results of follow-up of first 82 patients after discharge from a combined unit are reported.