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Category: Geriatrics | Monthly Briefing

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July 2012 Briefing - Geriatrics

Last Updated: August 01, 2012.

 

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Here are what the editors at HealthDay consider to be the most important developments in Geriatrics for July 2012. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Cataract Surgery Tied to Lower Hip Fracture Risk in Elderly

TUESDAY, July 31 (HealthDay News) -- Elderly patients with cataract who receive cataract surgery have a reduced likelihood of subsequent hip fracture, compared with those who do not undergo surgery, according to a study published in the Aug. 1 issue of the Journal of the American Medical Association.

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Pre-Op Statin Use Ups Insulin Resistance in Heart Surgery

TUESDAY, July 31 (HealthDay News) -- Patients without diabetes who are taking statins prior to cardiac surgery experience increased insulin resistance compared with those not taking statins, according to a study published online July 24 in Diabetes Care.

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Donepezil Found Helpful in Dementia With Lewy Bodies

TUESDAY, July 31 (HealthDay News) -- For patients with dementia with Lewy bodies (DLB), treatment with 5 or 10 mg/day donepezil is associated with significant cognitive, behavioral, and global function improvements, according to research published in the July issue of the Annals of Neurology.

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No Link Between Telomere Length and Diabetes Risk

TUESDAY, July 31 (HealthDay News) -- Leukocyte telomere length is not independently associated with type 2 diabetes risk in postmenopausal women, according to a study published online July 24 in Diabetes.

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Task Force Still Recommends Against Routine ECG Screening

TUESDAY, July 31 (HealthDay News) -- In an update of the 2004 recommendations, the U.S. Preventive Services Task Force (USPSTF) continues to recommend against routine use of electrocardiogram (ECG) screening of asymptomatic adults for coronary heart disease (CHD), according to a scientific statement published online July 31 in the Annals of Internal Medicine.

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Cadmium Linked to Plaque Development in Older Women

MONDAY, July 30 (HealthDay News) -- Cadmium levels in blood and urine are independently associated with the development of atherosclerotic plaques in older women, according to a study published online July 20 in the Journal of Internal Medicine.

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Prior Basal Cell Carcinoma Is Main Predictor of Future BCC

MONDAY, July 30 (HealthDay News) -- Prior basal cell carcinoma (BCC) is the greatest predictor of future incidence of BCC, according to a study published online July 19 in the Journal of Investigative Dermatology.

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PSA Test Has Cut Metastatic Prostate Cancer at Presentation

MONDAY, July 30 (HealthDay News) -- If incidence rates for the pre-prostate-specific antigen (PSA) testing era (1983 to 1985) were present in the modern U.S. population, three times the number of men would have been expected to present with metastatic (M1) prostate cancer (PC) than the actual number observed in 2008, according to a study published online July 30 in Cancer.

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Women With Diabetes Report Low Sexual Satisfaction

MONDAY, July 30 (HealthDay News) -- Women with diabetes are more likely than those without diabetes to report low overall sexual satisfaction, with insulin-treated women at higher risk for problems such as lubrication and orgasm, according to a study published in the August issue of Obstetrics & Gynecology.

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Poor Sleep Increases Odds of Nursing Home Placement

FRIDAY, July 27 (HealthDay News) -- Older women with fragmented or disturbed sleep have a significantly increased risk of placement in a nursing home or assisted living facility five years later, according to a study published in the July issue of the Journal of the American Geriatrics Society.

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Study Assesses Impact of Lesion Severity on Coronary Event Risk

FRIDAY, July 27 (HealthDay News) -- Contrary to previous evidence, angiographic lesion severity may predict subsequent risk of ST-segment elevation myocardial infarction (STEMI) within three months, according to a study published in the July 15 issue of The American Journal of Cardiology.

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MRSA Skin Infections Up, Linked to Furunculosis

FRIDAY, July 27 (HealthDay News) -- The incidence of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) in the United States is increasing and is associated with follicular infection, most commonly folliculitis followed by furunculosis, according to a review published online July 16 in the British Journal of Dermatology.

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Wives of Patients With Severe Sepsis at Risk for Depression

WEDNESDAY, July 25 (HealthDay News) -- Older women whose husbands are hospitalized for severe sepsis may be at a higher risk of depression, even when their spouse survives, according to research published in the August issue of Critical Care Medicine.

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Shortened Telomere Length Tied to Dementia, Mortality Risk

WEDNESDAY, July 25 (HealthDay News) -- Shortened telomere length (TL) is associated with risks for dementia and mortality in a population of older adults, according to a study published online July 23 in the Archives of Neurology.

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Increased Risk of Heart Attack After Hip, Knee Replacement

WEDNESDAY, July 25 (HealthDay News) -- There is a significantly elevated risk of acute myocardial infarction (AMI) in the six weeks following total hip replacement (THR) and the two weeks following total knee replacement (TKR) surgery, according to a study published online July 23 in the Archives of Internal Medicine.

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Hair Loss Drug Shows Long-Term Sexual Side Effects

MONDAY, July 23 (HealthDay News) -- For men with finasteride-associated side effects, sexual dysfunction may persist for months or years, even after discontinuation of the drug, according to a study published online July 12 in The Journal of Sexual Medicine.

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Most Doctors Satisfied With Electronic Health Records

THURSDAY, July 19 (HealthDay News) -- Although only 55 percent of physicians had adopted electronic health records (EHRs) in 2011, most are somewhat or very satisfied with their system and most report enhanced patient care, according to a July data brief issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Poorer Patient Experience at Safety-Net Hospitals

THURSDAY, July 19 (HealthDay News) -- Safety-net hospitals (SNHs) perform worse on nearly every measure of patient experience, according to a study published online July 16 in the Archives of Internal Medicine.

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~12,000 Preventable Deaths in English Hospitals Annually

THURSDAY, July 19 (HealthDay News) -- Approximately 12,000 hospital deaths in England each year are preventable, according to research published online July 7 in BMJ Quality & Safety.

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High Serum Ceramides Linked to Increased Alzheimer's Risk

THURSDAY, July 19 (HealthDay News) -- Older women with high levels of specific serum ceramides have an increased risk of developing Alzheimer's disease (AD), according to a study published online July 18 in Neurology.

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Physical Inactivity Accounts for Considerable Disease Burden

WEDNESDAY, July 18 (HealthDay News) -- Physical inactivity has a considerable impact on the burden of major non-communicable diseases, and causes 9 percent of premature mortality worldwide, according to a study published online July 18 in The Lancet.

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Mortality Risk Up for Fast-Walking Elderly With High BP

WEDNESDAY, July 18 (HealthDay News) -- Among elderly adults, the correlation between blood pressure (BP) and mortality varies with walking speed, according to research published online July 16 in the Archives of Internal Medicine.

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Social Network Analysis IDs Informal Physician Networks

TUESDAY, July 17 (HealthDay News) -- Informal networks among physicians who share patients demonstrate substantial geographic variability, while within networks, physician and patient characteristics are similar, according to a study published in the July 18 issue of the Journal of the American Medical Association.

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Gut Microbiota Correlate With Diet, Health in Elderly

TUESDAY, July 17 (HealthDay News) -- Analysis of gut microbiota from elderly individuals shows distinct groups that correlate with measures of health, including frailty and markers of inflammation, according to a study published online July 13 in Nature.

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Using a Pedometer Ups Leisure Walking Time for Older Adults

MONDAY, July 16 (HealthDay News) -- Compared with time-based physical activity goals, using a pedometer to measure steps increases leisure walking time, even a year after the initial intervention, according to a study published in the May/June issue of the Annals of Family Medicine.

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Physical Illness Hospitalization Found to Increase Suicide Risk

MONDAY, July 16 (HealthDay News) -- Hospitalization for physical illness more than doubles the risk of suicide, with approximately one-quarter of suicides attributable to physical illness, according to research published online July 9 in the Journal of Internal Medicine.

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Hypertrophy Common in Older Patients With Port-Wine Stains

FRIDAY, July 13 (HealthDay News) -- Hypertrophy is present in the majority of patients with port-wine stains (PWS) who are over the age of 50 years, according to a study published online July 2 in the Journal of the American Academy of Dermatology.

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Brain Tracer Indicates Risk of Future Cognitive Decline

FRIDAY, July 13 (HealthDay News) -- A radioactive tracer that can image amyloid-beta deposits in the brain can indicate whether older adults are at risk of cognitive decline and developing Alzheimer's disease, according to a study published online July 11 in Neurology.

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High Phobic Anxiety Linked to Relative Telomere Length

FRIDAY, July 13 (HealthDay News) -- Older women who have phobic anxiety have shorter relative telomere lengths, according to a study published online July 11 in PLoS One.

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People Born in the Fall More Likely to Survive to 100

THURSDAY, July 12 (HealthDay News) -- People born in the fall, from September to November, are significantly more likely to reach 100 years of age compared with those born in March, according to a study published in the Journal of Aging Research.

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Active Surveillance Cost-Effective for Prostate Cancer

THURSDAY, July 12 (HealthDay News) -- In a theoretical cohort of 120,000 men, selecting active surveillance for prostate cancer results in considerable cost savings at five and 10 years of follow-up, compared with immediate treatment, according to a study published in the July issue of Cancer.

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Long-Term Mortality Risk Low After Cerebral Vein Thrombosis

THURSDAY, July 12 (HealthDay News) -- For patients who survive a cerebral vein thrombosis (CVT), the long-term risk of mortality and recurrent venous thromboembolism (VTE) seems to be low, according to a study published in the July issue of the Journal of Thrombosis and Haemostasis.

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Abuse-Deterrent OxyContin Produces Unexpected Outcome

THURSDAY, July 12 (HealthDay News) -- Introduction of an abuse-deterrent formulation of OxyContin correlated with a significant reduction in its abuse, but was accompanied by an increase in abuse of other opioids and heroin, according to a letter published in the July 12 issue of the New England Journal of Medicine.

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Pathophysiology May Help ID Rare, Early Form of Alzheimer's

WEDNESDAY, July 11 (HealthDay News) -- In dominantly inherited Alzheimer's disease, clinical and biomarker changes occur decades before the expected onset of disease symptoms, according to a study published online July 11 in the New England Journal of Medicine.

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Current Resources Inadequate for Geriatric Mental Health

WEDNESDAY, July 11 (HealthDay News) -- As the geriatric population increases, the prevalence of geriatric mental health/substance use (MH/SU) disorders is increasing, necessitating changes, according to a report published July 10 by the Institute of Medicine (IOM).

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Legalization of Euthanasia Has Not Altered Prevalence

WEDNESDAY, July 11 (HealthDay News) -- Current trends in the frequency and characteristics of euthanasia in the Netherlands are similar to those seen before enactment of the euthanasia law in 2002, according to a study published online July 11 in The Lancet.

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Supplement Mixture Improves Memory in Mild Alzheimer's

WEDNESDAY, July 11 (HealthDay News) -- A supplement mixture (Souvenaid) containing dietary precursors and specific nutrients can improve memory in drug-naive patients with mild Alzheimer's disease (AD), according to a study published in the July issue of the Journal of Alzheimer's Disease.

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Emergency Service Hospital Prenotification Ups Stroke Tx

TUESDAY, July 10 (HealthDay News) -- Emergency medical service (EMS) hospital prenotification results in more timely imaging and administration of tissue plasminogen activator (tPA) and an increased proportion of eligible patients with acute ischemic stroke receiving tPA, according to a study published online July 10 in Circulation: Cardiovascular Quality and Outcomes.

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Vitamin D Status Impacts Weight Gain in Older Women

MONDAY, July 9 (HealthDay News) -- For older women who gain weight, high levels of 25-hydroxyvitamin D [25(OH)D] are linked with less weight gain compared to that found in women with low levels of 25(OH)D, according to a study published online June 25 in the Journal of Women's Health.

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Screening Men for Abdominal Aortic Aneurysm Cost-Effective

MONDAY, July 9 (HealthDay News) -- For 65-year-old men, screening for abdominal aortic aneurysm is cost-effective, and rescreening should be considered for high-risk men, according to a study published online July 5 in BMJ.

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Correlates of Diabetic Foot Complications Identified

FRIDAY, July 6 (HealthDay News) -- For patients with diabetes, increased poly(ADP-ribose) (PAR) immunoreactivity, reduced abundance of type 1 procollagen, and impaired skin structure correlate with foot complications, according to a study published online June 29 in Diabetes Care.

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Three SNPs Linked to Aortic Stenosis in Older Adults

FRIDAY, July 6 (HealthDay News) -- Three single nucleotide polymorphisms (SNPs) are associated with aortic stenosis involving tricuspid aortic valves in older patients, according to a study published in the July 1 issue of The American Journal of Cardiology.

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Medicare Part D Gap Lowers Maintenance Antidepressant Use

FRIDAY, July 6 (HealthDay News) -- The Medicare Part D coverage gap correlates with modest reductions in the use of antidepressants among older adults, which are similar to the reduction in prescriptions for heart failure and diabetes medications, according to a study published in the July issue of the Archives of General Psychiatry.

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High-Dose Vitamin D 'Somewhat Favorable' in Fracture Prevention

THURSDAY, July 5 (HealthDay News) -- High-dose (≥800 IU daily) vitamin D supplementation is associated with a decreased risk of hip fracture and nonvertebral fractures among older adults, according to a study published in the July 5 issue of the New England Journal of Medicine.

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Post-Cardiac Op Delirium Tied to Long-Term Cognitive Decline

THURSDAY, July 5 (HealthDay News) -- For patients undergoing cardiac surgery, postoperative development of delirium correlates with a decline in cognitive ability during the first year after surgery, according to a study published in the July 5 issue of the New England Journal of Medicine.

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No Increase in Shingles After Vaccine in Those on Biologics

TUESDAY, July 3 (HealthDay News) -- Live attenuated herpes zoster (HZ) vaccine is not associated with an increased risk of HZ shortly after vaccination in patients treated with biologics for immune-mediated diseases, according to a study published in the July 4 issue of the Journal of the American Medical Association.

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CT Colonography Is a Viable Screening Test in Older Adults

MONDAY, July 2 (HealthDay News) -- For older patients who undergo computed tomography colonography (CTC), the rates of referral to colonoscopy and prevalence of advanced neoplasia are low, according to a study published in the July issue of the American Journal of Roentgenology.

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Older Americans Report Fewer Vision Problems

MONDAY, July 2 (HealthDay News) -- Over the past several decades there has been a significant decrease in the prevalence of self-reported visual impairment among older adults in the United States, according to research published online June 8 in Ophthalmology.

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