In-hospital rehabilitation with the Geriatric Activation Program Pellenberg improves functional performance in a heterogeneous geriatric population.

Background: Regaining independent living can be challenging in patients undergoing inpatient geriatric rehabilitation. Given the paucity of evidence-based physiotherapy programs for this particular heterogeneous group, the Geriatric Activation Program Pellenberg (GAPP) was developed.

Purpose: Investigate the evolution of functional performance, and predict detectable changes throughout 4 weeks of GAPP.

Nitrogen removal from landfill leachate using a compact constructed wetland and the effect of chemical pretreatment.

Onsite treatment of leachate was implemented at the Tveta Landfill, adjacent to the city of Södertälje, Sweden. The system consists of leachate collection in a pond, precipitation of metals with chemicals, a constructed wetland, and forest irrigation. This article describes the constructed wetland and its effectiveness at removing ammonia in the system.

The risk of seclusion and the menstrual cycle in female psychiatric patients.

The alleged clinically observed association between the use of seclusion and the luteal phase of the menstrual cycle was studied in 113 consecutively admitted female psychiatric patients by means of a monitoring of oestrogen and progesterone levels, the use of seclusion, age, drug use, regularity of menses, and a history of hysterectomy. Twenty-one patients (18.6%) were in the luteal phase.

An update of panic disorders. Somatization, biological markers and treatment outcome.

Psychiatric underdiagnosis of panic disorders is due to its particular somatization profiles. Cardial somatization is very common, but focal neurological symptoms and a pattern of gastro-intestinal complaints deserve more attention. Recent research into biological data is discussed, and the importance of psychological issues--childhood separation or sexual victimisation--and cognitive factors is stressed.