High Morale Linked to Longer Survival Among Elderly

 Whether it is cause or effect is unclear, but high morale seems to go along with a longer life, according to a new study.

Reduced seizures after reoperation for intractable epilepsy

By Will Boggs MD

NEW YORK (Reuters Health) - Reoperation for intractable epilepsy reduces or eliminates seizures in most patients, according to a small retrospective study.

Primary surgery for epilepsy results in seizure-free rates as high as 80%, but 20-30% of patients with temporal lobe epilepsy (TLE) and 40-50% of patients with extratemporal lobe epilepsy (ETLE) are left with some seizures.

Snoring, apnea linked to earlier memory decline in elderly

By Kathryn Doyle

(Reuters Health) - Older people who have sleep apnea, which can be marked by heavy snoring, tend to begin experiencing cognitive decline about 10 years earlier than those without the disorder, or those who use continuous positive airway pressure (CPAP) to treat their apnea, according to a new U.S. study.

Special flooring may reduce fall injuries for elderly

By Kathryn Doyle

(Reuters Health) - Special impact-absorbing flooring reduced fall injuries by nearly 60 percent in a new study of women in Swedish nursing homes, though the soft floors may also be linked to more falls, according to the authors.

"Falls are extremely common in nursing home residents, approximately 70 percent are fallers and they fall on average three to four times per year," said lead author Johanna Gustavsson of Karlstad University in Sweden. "The consequences are often very serious, for example resulting in hip fractures or head injuries."

Dolutegravir remains superior to boosted darunavir for HIV-1

By Will Boggs MD

NEW YORK (Reuters Health) - Once-daily dolutegravir maintains its higher virological response rates over those of ritonavir-boosted darunavir in treatment-naïve adults with HIV-1 infection, according to 96-week results from the FLAMINGO study.

"Dolutegravir is as potent as a boosted protease inhibitor (PI) and has a similar high genetic barrier to resistance," Dr. Jean-Michel Molina from University of Paris Diderot Paris 7, Paris, France told Reuters Health by email. "It is also better tolerated."

'Grandparenting' in moderation might help keep the mind sharp

By Janice Neumann

(Reuters Health) - A small Australian study finds that grandmothers who take care of their grandchildren one day a week do better on cognitive tests than peers who mind grandkids more often, or not at all.

Researchers say the brain benefits from this form of "grandparenting" may come not just from having social engagement, but "active" engagement in those relationships.

Updated recommendations address hypertension in coronary artery disease

By Will Boggs MD

NEW YORK (Reuters Health) - For most patients with coronary artery disease (CAD), hypertension treatment should aim for blood pressures below 140/90 mm Hg with a combination of lifestyle modification and medications including angiotensin-converting enzyme (ACE) inhibitors, diuretics, and beta-blockers, according to updated recommendations from the American Heart Association, American College of Cardiology, and American Society of Hypertension.

HIV-1 replicates in CNS early in infection

By Will Boggs MD

NEW YORK (Reuters Health) - HIV-1 enters the central nervous system (CNS) and begins replicating early in the course of infection, researchers report.

US CDC announces plan to beat superbugs

By Julie Steenhuysen and Sharon Begley

CHICAGO/NEW YORK (Reuters) - With painstaking effort, a group of Chicago hospitals has managed to cut by half the number of infections caused by an especially deadly type of antibiotic-resistant bacteria. Now U.S. health officials want that kind of campaign to go national.

The White House on Friday told the U.S. Centers for Disease Control and Prevention to slash rates of infections from antibiotic-resistant bacteria by 2020 as part of a plan to prevent patient deaths and curb overuse of antibiotics administered to humans and animals.

With diabetic nerve damage, walking can pose fall risk

By Lisa Rapaport

NEW YORK (Reuters Health) - Diabetics with nerve damage are more likely to have an uneven stride and struggle to maintain their balance even when walking on flat ground, a small study finds.

Diabetic peripheral neuropathy (DPN) is the most common complication of diabetes, and though it has long been linked to an increased risk of falls, less is known about how specific body movements contribute to balance problems during daily activities such as walking or climbing stairs.