The non-isomorphous crystal structures of “bridge-flipped” isomers1–5are described and are compared to those of recently reported fluorinated benzylideneanilines.

Background and Purpose-Decreased physical activity levels are an increasing concern, specifically for the aging population. Older adults (>65 years) are able to achieve health benefits from participating in a regular exercise program based on studies done in younger communitydwelling older adults. There is less research investigating the efficacy of exercise for improving physical function among the older adult population in assisted living settings. This study investigated using a treadmill with a harness system, to engage older adults in aerobic exercise. The primary objective of the study was to assess the feasibility of a large trial by evaluating the recruitment and short-term retention rate of older adults with limited mobility. Secondary objectives were to determine whether older adults could achieve the frequency, intensity, and duration of aerobic exercise recommended by the American College of Sports Medicine.

Older adults are at risk for numerous acute and chronic health conditions. Many of these conditions can be prevented or better managed by participation in health promotion and wellness programming. The social support found through involvement in a faith community makes this setting an ideal place for offering health promotion and wellness programming. This article includes a description of an innovative, faith-based, community-based wellness program titled Faithfully Fit Forever (FFF). The Cardiac Rehabilitation and Parish Nursing Departments at MeritCare Health System, Fargo, North Dakota, developed FFF in 2000. FFF is a holistic health improvement program that embraces the interconnection between mind, body, and spirit. It is led by laypeople (many are parish nurses) who are members of the individual religious community. The program includes 30 to 40 minutes of exercise, health education time, and devotional time promoting spiritual and emotional health.

Purpose: To identify the characteristics of people with hip or knee osteoarthritis (OA) attending a regional triage centre for an initial consult who are deemed not yet ready for total joint arthroplasty (TJA). Methods: Initial consultation notes (n=482) were reviewed retrospectively. Predictive variables were derived from the literature a priori, and 14 of these variables were suitable for inclusion in stepwise multiple logistic regression analyses. Results: Of the 222 eligible people, 131 (59%) were deemed not yet ready for TJA. Five variables entered into the model (χ52=133.19, p<0.001) for an overall success rate of 81.1%. Those deemed not yet ready for TJA were more likely to have knee OA (vs. hip OA; odds ratio [OR]=0.352, p=0.018), to have less severe OA (OR=0.246 for each category increase in severity, p<0.001), to use no gait aid (vs. cane; OR=0.390, p=0.033), and to have a higher Lower Extremity Functional Scale score (OR=1.050 for each 1-point increase, p=0.003) and better joint status as measured by the Knee Society Scale or Hip Harris Scale (OR=3.946 for each category increase, p=0.007). Conclusion: Considering these characteristics will help clinicians to identify individuals likely to require interventions other than TJA.

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