A systematic practice review: Providing palliative care for people with Parkinson's disease and their caregivers.

Background: People with Parkinson's disease has significant and increasing physical, psychosocial and spiritual needs, as well as problems with coordination and continuity of care. Despite the benefits that palliative care could offer, there is no consensus on how it should be delivered.

Aim: The aim of this study is to provide a pragmatic overview of the evidence to make clinical recommendations to improve palliative care for people with Parkinson's disease and their caregivers.

Health-related quality of life in patients with hereditary spastic paraplegia in Estonia.

Study Design: Observational population-based cohort study.

Objectives: The main aim of this study was to examine the relative effect of hereditary spastic paraplegia (HSP) on the health-related quality of life (HRQoL).

Methods: HRQoL was evaluated using a RAND 36-Item Health Survey 1.

Neoplastic meningitis as the presenting manifestation of gastric adenocarcinoma.

A middle aged man presented with clinical signs of chronic meningitis, including bilateral hearing loss and progressive blindness. Lumbar puncture revealed a mild elevation in lymphocyte number, an elevation in protein levels, and diminished glucose levels, without malignant cells. Magnetic resonance imaging (MRI) T2 weighted seqeunces showed bilateral enhancement of the acoustic nerves.

Validation of an Estonian version of the Parkinson's Disease Questionnaire (PDQ-39).

Introduction: Diagnosis and management of Parkinson's disease (PD) rely heavily on evaluation of clinical symptoms and patients' subjective perception of their condition. The purpose of this study was to evaluate the validity, acceptability, and reliability of the Estonian version of the 39-question Parkinson 's disease Questionnaire (PDQ-39).

Methods: Study subjects were approached during their regular clinic follow-up visits.

Patient education in Parkinson's disease: Formative evaluation of a standardized programme in seven European countries.

Objective: To evaluate a newly developed education programme for Parkinson's disease (PD) patients.

Methods: The programme consisted of eight sessions and aimed at improving knowledge and skills related to self-monitoring, health promotion, stress management, depression, anxiety, social competence, and social support, all with special reference to PD. The programme was formatively evaluated in seven European countries (Spain, Finland, Italy, The Netherlands, United Kingdom, Estonia, Germany) with 151 patients diagnosed with idiopathic PD.