Geriatrics Abstracts: Abstracts from Medical Literature for the Geriatrics Practitioner
- Fri, 1/30/09 - 10:59am
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- 1192 reads
Dressings for Acute and Chronic Wounds
The objective of this systematic review was to critically review the literature on the efficacy of modern dressings in healing chronic and acute wounds by secondary intention. The authors conducted a search of 3 databases (MEDLINE, EMBASE, and the Cochrane Controlled Clinical Trials Register) from January 1990 to June 2006, completed by manual research, for articles in English and in French. The end points for selecting studies were the rate of complete healing, time to complete healing, rate of change in wound area, and general performance
Geriatrics Abstracts: Abstracts from Recent Literature for the Geriatrics Practitioner
- Wed, 11/26/08 - 11:09am
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- 1576 reads
Hypertension and the Risk of Mild Cognitive Impairment
The objective of this study was to explore whether hypertension is associated with the risk of mild cognitive impairment (MCI), an intermediate stage of dementia, because there are conflicting data relating hypertension to the risk of Alzheimer disease. This was a retrospective community-based cohort study conducted in northern Manhattan. Multi-variate proportional hazards regression analyses were used, relating hypertension to incident all-cause MCI, amnestic MCI, and nonamnestic MCI in 918 persons without prevale
May 2008
- Fri, 9/5/08 - 4:54pm
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- 897 reads
Abstracts from Medical Literature for the Geriatrics Practitioner
Management of Neuropathic Pain
Patients with neuropathic pain (NP) are challenging to manage, and evidence-based clinical recommendations for pharmacologic management are needed. Systematic literature reviews, randomized clinical trials, and existing guidelines were evaluated at a consensus meeting. Medications were considered for recommendation if their efficacy was supported by at least one methodologically-sound, randomized clinical trial (RCT) demonstrating superiority to placebo or a relevant comp
April 2005
- Fri, 9/5/08 - 4:54pm
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- 849 reads
EFFECT OF WARFARIN AND INTENSITY OF ANTICOAG-ULATION ON OUTCOME OF INTRACEREBRAL HEMORRHAGE
Warfarin sodium is a highly effective therapy for the prevention of thromboembolic stroke in common clinical situations, particularly in nonvalvular atrial fibrillation. However, this protective effect of anticoagulation can be offset by risk of intracerebral hemorrhage (ICH). The authors examined the determinants of ICH outcome to quantify the independent effect of warfarin. Consecutive patients aged 55 and older with supratentorial ICH, who were treated in a tertiary care hospital with a neurointe
April 2005
- Fri, 9/5/08 - 4:54pm
- 0 Comments
- 746 reads
EFFECT OF WARFARIN AND INTENSITY OF ANTICOAG-ULATION ON OUTCOME OF INTRACEREBRAL HEMORRHAGE
Warfarin sodium is a highly effective therapy for the prevention of thromboembolic stroke in common clinical situations, particularly in nonvalvular atrial fibrillation. However, this protective effect of anticoagulation can be offset by risk of intracerebral hemorrhage (ICH). The authors examined the determinants of ICH outcome to quantify the independent effect of warfarin. Consecutive patients aged 55 and older with supratentorial ICH, who were treated in a tertiary care hospital with a neurointe
Abstracts From Medical Literature for the Geriatrics Practitioner
- Fri, 9/5/08 - 4:54pm
- 0 Comments
- 1067 reads
PREOPERATIVE PSA VELOCITY AND THE RISK OF DEATH FROM PROSTATE CANCER AFTER RADICAL PROSTATECTOMY
Investigators sought to determine if men who are at risk for death from prostate cancer after radical prostatectomy can be identified using information available at diagnosis. They studied 1095 men with localized prostate cancer to assess whether the rate of rise in the prostate-specific antigen (PSA) level—the PSA velocity—during the year before diagnosis, the PSA level at diagnosis, the Gleason score, and the clinical tumor stage could predict the time to death from prostate cancer and de
2005 WHITE HOUSE CONFERENCE ON AGING
- Fri, 9/5/08 - 4:54pm
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- 927 reads
Dear Readers,
Preparations are underway for the 2005 White House Conference on Aging (WHCOA), to be held October 23-26, 2005, in Washington, DC. Held once a decade, the conference formulates aging policy recommendations for the President and Congress. Its stated goal is to assist the public and private sectors in promoting dignity, health, independence, and economic security of current and future generations of older persons.
On October 1, the WHCOA Policy Committee adopted a broad agenda for the 2005 conference. One of the agenda items of particular relevance to the Annals of Long- Ter
Abstracts from Medical Literature for the the Geriatrics Practitioner
- Fri, 9/5/08 - 4:54pm
- 0 Comments
- 1149 reads
ADVERSE EFFECTS OF BETA-BLOCKER THERAPY FOR PATIENTS WITH HEART FAILURE
Studies have shown that the use of beta-blocker therapy in patients with heart failure (HF) with systolic dysfunction reduces mortality and hospitalizations in this population, a therapy previously thought to be contraindicated in these patients. Systematic reviews of beta-blocker trials in patients with HF have demonstrated reductions in mortality of approximately 30%, and clinical practice guidelines strongly recommend the use of beta-blockers. The same clinical guidelines, however, highlight common cardiovascular ad
October 2005
- Fri, 9/5/08 - 4:54pm
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- 994 reads
EFFECTS OF MODERATE ALCOHOL CONSUMPTION ON COGNITIVE FUNCTION IN WOMEN
The adverse effects of excess alcohol intake on cognitive function are well established, but the effect of moderate consumption is uncertain. The authors evaluated cognitive function in 12,480 women age 70-81 in the Nurses’ Health Study between 1995 and 2001. Follow-up assessments were conducted in 11,102 participants 2 years later. They determined the level of alcohol consumption regularly beginning in 1980. They calculated multivariate-adjusted mean cognitive scores and multivariate-adjusted risks of cognitive impai
August 2005
- Fri, 9/5/08 - 4:54pm
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- 889 reads
ACUTE MESENTERIC ISCHEMIA
Acute mesenteric ischemia is a life-threatening vascular emergency with an overall mortality of 60-80%. This condition comprises a group of pathophysiologic processes that lead to bowel necrosis. Early diagnosis and intervention can adequately restore mesenteric blood flow and prevent bowel necrosis and patient death. Since it is difficult to recognize the condition before bowel infarction occurs, the survival rate has not improved significantly in the past 70 years. Clinical presentation of this illness is usually nonspecific, and is characterized by a discrepancy b
