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GERIATRICS DIGITAL EDITION NOW ONLINE
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The digital edition of Geriatrics'  current issue contains all of the same evidence-based, peer-reviewed, MedLine-indexed content.

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TOPIC: PRIMARY CARE & VISION

Primary care physicians are in unique positions to protect the vision of older adults from the ravages of diabetes and other sight-impairing conditions. Although many patients may not have an ophthalmologist, they do have a PCP who they see regularly and in whom they have confidence.

Because PCPs can play a vital role in protecting, preserving and restoring the vision of seniors, Geriatrics is beginning a series of evidence-based, peer-reviewed articles dealing with common eye conditions and the multiple links between ophthalmology and the general medical status of patients of which PCPs are most knowledgeable.

These articles will be specifically geared to readers of Geriatrics -- the physicians who treat geriatric patients daily and see the diabetes-related effects on vision, cataracts, low vision macular degeneration, dry eyes, drooping eyelids, and other sight-impairing conditions.  

TOPIC: THE FUTURE OF GERIATRICS


By 2030, 1 in 5 Americans will be 65 or older and the health care system as it currently exists will fall far short of providing them with quality care. This is a continuing dialogue on meeting the future geriatric needs of older Americans.  
TOPIC: PHYSICIAN-ASSISTED DEATH


  At least 341 people have opted for physician-assisted death/suicide since Oregon passed its Death with Dignity Act in 1997. While a decade of experience may not have changed peoples' positions, practitioners have gained valuable lessons on dealing with the issue. Meanwhile, 2 other states have also made the practice legal.   
GERIATRICS NEWS
Elevated CRP alone doesn't justify statin treatment
C-reactive protein (CRP) doesn't add predictive value to traditional cardiovascular risk factors, and there does not appear to be a causal association between CRP and coronary heart disease (CHD), according to results of two studies published in the July 1, 2009, issue of the Journal of the American Medical Association.
VADT, ACCORD shed new light on treating older type 2 diabetics
New subanalyses of two major intensive glucose control trials indicate that for older patients with type 2 diabetes, the risks associated with hypoglycemic episodes may not balance the benefit associated with more aggressive glucose lowering.
Optimal diabetes therapy as beneficial as revascularization
Optimal medical therapy for patients with diabetes and stable coronary heart disease is equally effective at lowering the risk of death, heart attack, and stroke as prompt revascularization procedures with either coronary bypass surgery or angioplasty, BARI 2D finds.
GERIATRICS DIMENSIONS
Celebrities provide human face to disease treatment while attracting attention and crowds at medical conferences
When it comes to drawing a crowd, attracting media attention or raising money, few tools are more useful than the presence of an actor, athlete, prominent author, or other public figure. That's true for medical conferences, too.
Holistic therapies: Complementary and alternative medicine modalities take hold in hospitals, large treatment centers
Complementary and alternative medicine (CAM) modalities can help the elderly, many of whom have several chronic conditions. Healthier lifestyles and integrative medicine can improve quality of life for older adults, and can strengthen their bodies' defenses and healing abilities.
Geriatrician says dementia process can be slowed, possibly prevented when elderly adopt brain wellness program
There is increasing scientific evidence suggesting that while the aging process cannot be stopped, its impact on brain function can be slowed or altered when patients participate in a program that exercises the largest organ in the human body, as explained in this interview with brain fitness expert Robert Bender, MD.
INSIDE GERIATRICS

June 2009

May 2009

April 2009
 For fully-searchable contents of complete issues go to Digital Editions.
CLINICAL INSIGHTS
Atorvastatin outperforms simvastatin against CV event risk
A retrospective analysis of prescription records in a large managed care population (200,000) concluded that the risk of cardiovascular events was 13% lower among patients taking atorvastatin than for patients on simvastatin (Zocor), Lipitor's off-patent competitor.
Older heart failure patients rank survival over quality of life
Longevity trumps quality of life for most older patients with heart failure, found a study of end-of-life preferences of patients 60 years or older with heart failure.
Octogenarians who undergo CABG live longer, feel better
Advanced age does not exclude octogenarians from the potential benefits that accrue coronary artery bypass graft surgery.
Octogenarians also fare better after aortic valve replacement
The long-term survival for octogenarians who undergo aortic valve surgery approximates that of the general population, and the addition of coronary artery bypass graft (CABG) surgery diminished survivorship only slightly.
FDA advising prescribers to stay course with bisphosphonates
Like many medications intended for use over a period of many years, questions of bisphosphonates' safety have repeatedly arisen and must be addressed anew now that there is a suspected association with atrial fibrillation. The Food and Drug Administration, after conducting a review of the latest data, has issued an Early Communication advising health care providers not to alter their prescribing practices and patients not to discontinue their bisphosphonate medication.
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RESEARCH JOURNAL BRIEFS
Single Status at Middle-Age May Affect Alzheimer's Risk
Middle-aged people who are widowed or divorced are more likely than their cohabiting counterparts to have cognitive impairment and Alzheimer's disease in later life, according to a study published online on July 2 in BMJ.
Atorvastatin Pretreatment Linked to Better PCI Outcomes
For patients on statin therapy, a high-dose atorvastatin reload before percutaneous coronary intervention was associated with a lower risk of major adverse cardiac events in the following 30 days, according to research published online July 1 in the Journal of the American College of Cardiology.
Spine Surgeons Faulted in Elderly Screenings
In elderly patients, many spine surgeons may be unwilling to perform routine osteoporosis or osteomalacia workups despite the high incidence of these conditions in this population, according to a study published in the July issue of The Spine Journal.
Bone Loss Process Not Clear in Hypercalciuria, Kidney Stones
Bone loss in patients with hypercalciuria and nephrolithiasis results from a poorly understood breakdown of the body's mineral metabolism involving the kidneys, the intestines and the bones themselves, according to a literature review reported in the July issue of Urology.
Adolescent Intelligence Link to Adult Mortality Negotiable
The association between IQ in adolescence and mortality in later life is almost entirely attenuated by other risk factors, according to a study published online July 1 in the Journal of Epidemiology and Community Health.
 More News

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CME SHOWCASE
Optimizing individualized management of osteoarthritis
Assessing and addressing pharmacotherapy issues surrounding dementia in the elderly
AWARD-WINNING CONTENT
Geriatrics'  60-plus years of editorial excellence now include another Jesse H. Neal award from American Business Media, considered the "Pulitzers" of the business press. The 2008 award recognizes editorials of Medical Editor Dr. Fredrick T. Sherman.

Modern Medicine logoGeriatrics archives are now available on ModernMedicine.com, a new online resource designed to meet the evolving needs of physicians.
Register now (it's free and quick) or Find out more.

Keep visiting geri.com for fresh content, news, opinions, editor's blogs and more.

COLLABORATIVE PRACTICE SURVEY
Collaboration among health care professionals is said to be a cornerstone of health care reform. Some issues may still have clear divides, though, as shown in a survey asking LTC professionals whether states should allow for collaborative practice by pharmacists, which can include adjusting and/or initiating drug therapy. A large majority of medical director respondents (71%) said no and an overwhelming number of pharmacists (98%) said yes. To see related article and survey results,  click here.

Do you favor collaborative practice by pharmacists?

I favor collaborative practice by pharmacists.
I oppose collaborative practice by pharmacists.
I favor collaborative practice by pharmacists.
50%
I oppose collaborative practice by pharmacists.
50%
FROM THE BLOG COMMUNITY
Frailty, a new geriatric syndrome
In defense of placebos
Lower urinary tract symptoms (LUTS) in men
Thrombolysis with alteplase in acute ischemic stroke
Unsteady gait: Normal aging or pathologic?
ON THE HORIZON
Clinical trial will evaluate whether vaccine prevents onset of pneumococcal pneumonia in older adults
ISSUES, INTERESTS & CONCERNS
Nursing home average private room rates remain steady in 2008, semi-private rates increase 1.1%
Community colleges pilot innovative programs for Baby Boomers wanting work with meaning and social impact
Insurers say state Medicaid programs to spend $1.6 trillion on long-term care over the next 20 years
HEALTHDAY NEWS REPORT
Priorities Set for Comparative Effectiveness Research
Americans Paying for More of Their Health Care Costs
President Signs Tobacco Law, Acts on Medicare Coverage
Billing Claims Markers of Cardiovascular Events
AMA: Policy Statement Supports Health Care Reform
AMA: Air Travel Guidelines Needed to Prevent Flu's Spread
Individual Mandate for Health Insurance Affordable and Fair
AMA: Guidance Offered on Medical Record Breaches
Sweeping Medical Reforms Lack Medical Liability Element
Smoking-Related Ills Cost U.K. 5.5 Percent of Health Budget
Acute Computer-Related Injuries on the Rise
Illness, Medical Bills Linked to Growing Bankruptcy Numbers

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