Planning and Experiencing the Move to a Continuing Care Retirement

This article suggest that continuing care retirement communities have become more common. While expensive, they offer many amenities as well as long term car

Enantioselective Decarboxylative Alkylation Reactions: Catalyst Development, Substrate Scope, and Mechanistic Studies

α-Quaternary ketones are accessed through novel enantioselective alkylations of allyl and propargyl electrophiles by unstabilized prochiral enolate nucleophiles in the presence of palladium complexes with various phosphinooxazoline (PHOX) ligands. Excellent yields and high enantiomeric excesses are obtained from three classes of enolate precursor: enol carbonates, enol silanes, and racemic β-ketoesters. Each of these substrate classes functions with nearly identical efficiency in terms of yield and enantioselectivity. Catalyst discovery and development, the optimization of reaction conditions, the exploration of reaction scope, and applications in target-directed synthesis are reported. Experimental observations suggest that these alkylation reactions occur through an unusual inner-sphere mechanism involving binding of the prochiral enolate nucleophile directly to the palladium center

United States to 1877

xiii, 222 p. ; 21 cm

United States since 1865

xvii, 279 p. ; 21 cm

Rural versus urban differences in health dependence among the elderly population

© 1995 by Taylor & Francis. All rights reserved. The level and determinants of health status among elderly people have received considerable attention in the gerontological literature. Research has also focused on variations in health status for the elderly population based on factors such as sex, income, race, and marital status. Another factor that has been given substantially less attention in health research has been that of community type or, more specifically, rural versus urban differences. A number of studies of elderly rural residents indicate that they experience the same kind of chronic health problems as the general elderly population including difficulties with: Arthritis, blood pressure, respiratory system, heart, digestive track, sight, and hearing [1, 2]

Senior center programming and Fpfrailty among older persons

The gerontological literature includes relatively few examinations of senior center programming directed to the needs of frail older persons. This paper presents a detailcd review and critique of the studies that have been published on this topic. It also identifies the elements that seem to be common to the development and operation of such programs. A number of interesting approaches have been used in senior centers to serve this population, but the data needed to evaluate their effectiveness and appropriateness are not available. The paper outlines the questions that need to be examined if we are to have a better understanding of the impact of senior centers on frail elders. © 1996, The Haworth Press. All rights reserved

United States to 1865

xiii, 210 p. ; 21 cm

Barriers to providing case management to older rural persons

This article analyzes data from a national sample of 356 agencies on barriers to providing case management to rural older persons. Although considerable variation is found regarding the degree of difficulty attributed to various barriers, several areas are reported by respondents as problematic, such as a lack of resources to pay for case management and services, a lack of services, and a lack of transportation. On the other hand, a lack of rural case management standards, qualified persons to conduct case management, and opportunities for staff training, as well as staff turnover and professional isolation, are generally not seen as particularly troublesome. More support from families and personal knowledge of clients and service providers are most likely to be seen as advantages in providing case management to rural elders. These findings both support and contradict the current gerontological literature on the types of barriers that impede the development and provision of services to rural older persons. Additional research is needed on the barriers to providing case management to rural older persons before policies directing scarce resources are put into place