Geriatrics

Overactive Bladder & Urinary Incontinence Treatments

April 23, 2018

Overactive bladder and urinary incontinence dosing regimen chart for anticholinergics, antispasmodic/anticholinergics, muscarinic antagonists, and synthetic vasopressin.

Annual Visits May Not Increase Cognitive Impairment Detection

April 23, 2018

The researchers found that there were no clinically relevant differences between the Medicare Annual Wellness Visits group and matched controls in the rates of incident Alzheimer's disease and related dementia (ADRD) diagnoses.

USPSTF: Exercise Interventions Prevent Falls in Seniors

April 18, 2018

The harms of exercise and multifactorial interventions was found to be no greater than small. Based on these findings, the USPSFT recommends exercise interventions to prevent falls among those at increased fall risk (B recommendation).

Untrimmed Toenails: A Marker of Functional Status in Older Patients?

By April 13, 2018

For older patients, toenail length can provide important insight into a patient's functional status.

ACA Marketplaces Expand Coverage for Chronically Ill

April 06, 2018

Researchers found that the Affordable Care Act's Marketplaces covered a disproportionate share of non-elderly adults with high health care risks in the 2014 to 2015 time period.

2018 Vaccination Schedule: Adults

April 02, 2018

This schedule indicates the recommended age groups and medical indications for routine administration of currently licensed vaccines for persons 19 years and older.

Impact of Mediterranean Diet on Aging Examined

By March 30, 2018

In general, researchers highlight 5 key adaptations seen with adhering to the Mediterranean diet pattern: Lipid lowering, protection from oxidative stress and inflammation, modification of growth factors that can promote cancer, Inhibition of nutrient sensing pathways by amino acid restriction, and gut microbiota-mediated production of metabolites.

'Nontrivial' Number of Seniors Lack a Personal Physician

March 28, 2018

"Even with the access provided by Medicare, a small but nontrivial proportion of seniors report having no personal physician," the authors write. "Efforts should be made to encourage and help seniors without personal physicians to select one."

DMT Discontinuation in Older MS Patients: Clinical Outcomes Examined

By March 21, 2018

Of the total patients, 178 (29.7%) discontinued DMT during the study period with only 1 documented relapse occurring in the discontinuers.

Risk of Altered Mental Status in Gabapentin-Treated Patients Explored

By March 15, 2018

The study included 110,184 adults (mean age: 76 years) newly started on gabapentin therapy in Ontario, Canada.

Excessive Daytime Sleepiness Linked to β-Amyloid Accumulation in Elderly

March 13, 2018

The researchers found that baseline EDS, defined as an Epworth Sleepiness Scale score of at least 10, was significantly correlated with increased regional Aβ accumulation in the anterior cingulate, posterior cingulate-precuneus, and parietal regions.

Pharmacists Encouraged to Learn More About Herbal Supplements

March 08, 2018

Pharmacists should steer patients toward brands of herbal products that are reliable and unadulterated

Hematological Reference Values

March 06, 2018

Reference values for commonly ordered blood tests.

Addition of Angiotensin II Improves Mortality in Severe Vasodilatory Shock

By February 26, 2018

Results showed that patients with a baseline APACHE II scores >30 had a significantly improved 28-day mortality trend in the angiotensin II group vs. the placebo group.

Has Benzodiazepine Use Declined in Those Over 65?

February 26, 2018

There were significant declines in prevalent use in the U.S. Incidence and prevalence also decreased with age.

CDC: Elevated Flu Activity Expected to Continue for Several More Weeks

By February 16, 2018

So far this season, influenza A(H3N2) viruses have predominated, but other influenza viruses are also circulating.

FDA: New Clinical Decision Support Tool Helps ID Stroke Sooner

By February 14, 2018

The Viz.AI Contact application is a computer-aided triage software that uses an artificial intelligence algorithm to analyze images for indicators associated with a stroke.

Study Evaluating Verubecestat in Prodromal Alzheimer's Disease Stopped

By February 14, 2018

APECS is a randomized, placebo-controlled, parallel-group, double-blind Phase 3 clinical trial evaluating the efficacy and safety of verubecestat in people with prodromal AD.

Does Long-Term ICS Use Increase Fracture Risk in COPD Patients?

By February 05, 2018

Long-term ICS exposure at high doses was associated with a modest but significant increase in the risk of hip or upper extremity fractures.

Osteoporosis Treatments

January 31, 2018

Osteoporosis treatment and prevention doses including recommended calcium and vitamin D supplemental doses.

Confusion Common in Seniors Prescribed Antibiotics for UTI

January 22, 2018

One in 5 NH residents had received antibiotics within the last 30 days, of which 45% were for UTI.

A structured exercise program provides mobility benefits to all older patients, regardless of frailty status

January 16, 2018

The effect of physical activity at reducing the likelihood of major mobility disability (MMD) was not impacted by the baseline frailty status of patients in the study.

Majority Receiving 'End of Life Option Act' Drugs Take Them

December 28, 2017

Common reasons for pursuing California's EOLOA are not wanting to suffer, not being able to enjoy life

Do Vitamin D, Calcium Supplements Cut Fracture Risk in Older Patients?

By December 26, 2017

Thirty-three randomized trials (n=51,145) were identified that met the inclusion criteria.

Community Acquired Pneumonia Guidelines

December 05, 2017

Diagnose, treat, and prevent community acquired pneumonia using key recommendations from the IDSA/ATS CAP guidelines.

Most Multi-Med Patients Have Not Discussed Possible Drug Interactions

November 30, 2017

In terms of who is responsible for talking to patients about possible drug interactions, 11, 26, and 63% felt that the pharmacist, doctor, and both doctor and pharmacist are responsible, respectively.

New Study Sheds Light on Safety of Gadolinium-Based Contrast Agents

By November 29, 2017

After adjusting for gender, age, education level, baseline neurocognitive performance, and others, the authors reported gadolinium exposure was not a significant predictor of cognitive decline, dementia, diminished neuropsychological performance or diminished motor performance

Steroid Injection Site Linked to Bone Changes in Osteoarthritis Patients

By November 29, 2017

Their results found that 22-24% of the hip injection group had new osteonecrosis vs. 5-9% of the hip control group and to 5% of the shoulder injection group.

Drug-Induced Dry Mouth Common Among Seniors Taking Certain Meds

By October 30, 2017

There are a number of medications that are linked to dry mouth.

ACIP: New Vaccine Recommendations for Shingles Prevention

By October 25, 2017

The Committee voted that Shingrix is preferred over Zostavax for the prevention of zoster and related complications.