http://geriatrics.modernmedicine.com/geriatrics Medicine for Midlife & Beyond. Geriatrics is a peer-reviewed journal dedicated to providing primary care physicians with information on the care of patients over the age of 50. This award-winning journal features in-depth clinical reviews, relevant abstracts from the top 50 medical research journals, medical meeting summaries and Continuing Medical Education articles from which physicians can earn AMA Category 1 credits. 2009-07-04T10:55:23Z http://www.modernmedicine.com/modernmedicine/CME+Showcase/Assessing-and-addressing-pharmacotherapy-issues-su/ArticleStandard/Article/detail/608715?ref=25 Assessing and addressing pharmacotherapy issues surrounding dementia in the elderly 2009-07-03T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/272009/608715null REMOTE http://www.modernmedicine.com/modernmedicine/CME+Showcase/Optimizing-individualized-management-of-osteoarthr/ArticleStandard/Article/detail/608714?ref=25 Optimizing individualized management of osteoarthritis 2009-07-03T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/272009/608714null REMOTE http://www.modernmedicine.com/modernmedicine/GERIATRICS/Elevated-CRP-alone-doesnt-justify-statin-treatment/ArticleStandard/Article/detail/608228?ref=25 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. 2009-07-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/272009/608228null HTML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Opinion-Auscultation-with-fabric-upon-lungs-AWFUL/ArticleStandard/Article/detail/601874?ref=25 None of the presumed reasons for the awful practice of auscultation with fabric upon lungs (AWFUL) justifies its use. 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/232009/601874null XML http://geriatrics.modernmedicine.com/geriatrics/Research+Briefs/Aging-population-will-contribute-to-increased-canc/ArticleStandard/Article/detail/601863?ref=25 Demographic changes in which older adults and minorities account for an increasing share of the population are expected to result in a soaring number of cancer cases during the next 20 years. 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/232009/601863null XML http://geriatrics.modernmedicine.com/geriatrics/Research+Briefs/Index-developed-for-predicting-risk-of-dementia-in/ArticleStandard/Article/detail/601862?ref=25 Researchers have developed a risk index for Alzheimer's disease that could be used in targeted research and, someday, to determine prevention strategies. 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/232009/601862null XML http://geriatrics.modernmedicine.com/geriatrics/Research+Briefs/More-exercise-may-provide-greater-gains-against-he/ArticleStandard/Article/detail/601872?ref=25 A program featuring greater amounts of exercise and energy expenditure may be preferable to standard cardiac rehabilitation exercise in overweight patients with coronary heart disease. 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/232009/601872null XML http://geriatrics.modernmedicine.com/geriatrics/Long-term-care-A-test-bed-for-health-care-reform/ArticleStandard/Article/detail/604031?ref=25 Long-term care: A test bed for health care reform 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/252009/604031null HTML http://geriatrics.modernmedicine.com/geriatrics/Endocrinology/A-review-of-ICSI-guideline-on-type-2-diabetes/ArticleStandard/Article/detail/601869?ref=25 Diabetes poses a significant challenge to primary care physicians to improve metabolic control and minimize debilitating complications. A recent guideline published by the Institute for Clinical Systems Improvement provides a comprehensive approach to diagnosis and management of prediabetes and type 2 diabetes in adults. 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/232009/601869null XML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Medicare-Q-amp-A-I-joined-an-internal-medicine-pra/ArticleStandard/Article/detail/601877?ref=25 Billings for Medicare patients would have to be refunded if the new style Advanced Beneficiary Notice is not being used. It became mandatory for use on March 1, 2009. 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/232009/601877null XML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Case-Blistering-eruption-of-hands/ArticleStandard/Article/detail/601860?ref=25 Consider dyshidrosis in a patient with recurrent pruritic vesicles on the hands. 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/232009/601860null XML http://geriatrics.modernmedicine.com/geriatrics/Research+Briefs/Standard-chemo-found-superior-to-capecitabine-amon/ArticleStandard/Article/detail/601876?ref=25 Standard adjuvant chemotherapy was superior to capecitabine for treating older women with early breast cancer, although with substantial toxicity. 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/232009/601876null XML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Medicare-Q-amp-A-I-was-informed-that-Medicare-no-l/ArticleStandard/Article/detail/601871?ref=25 A physician practicing with a Medicare number back in 2007 can file claims through the end of 2009 for dates of service back to October 1, 2007. 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/232009/601871null XML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Medicare-Q-amp-A-Can-I-bill-Medicare-for-discussin/ArticleStandard/Article/detail/601865?ref=25 If more than half of the time spent with the patient was in counseling and/or coordination of care, use the CPT book to determine which level of visit code to bill. 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/232009/601865null XML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Approaching-the-patient-with-chronic-eye-irritatio/ArticleStandard/Article/detail/601870?ref=25 Patients with dry eye experience sandy-gritty irritation, dryness, burning, or increased awareness of their eyes that gets worse as the day goes on, whereas patients with posterior blepharitis, or meibomitis, have similar symptoms that are worse on eye opening. Treatment includes strategies to lower tear film osmolarity and to treat associated eyelid conditions. 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/232009/601870null XML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Medicare-Q-amp-A-We-are-seeing-a-patient-from-anot/ArticleStandard/Article/detail/601868?ref=25 Always bill the Medicare carrier that has jurisdiction in the place of service (your office), regardless of where the patient lives. 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/232009/601868null XML http://geriatrics.modernmedicine.com/geriatrics/Endocrinology/Glucose-control-a-concern-for-hospitalized-elderly/ArticleStandard/Article/detail/601864?ref=25 Hyperglycemia is common yet undertreated among older hospitalized patients who are particularly susceptible to adverse effects of elevated glucose because of hyperglycemia-induced immune defects coupled with age-associated immune senescence. 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/232009/601864null XML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Medicare-Q-amp-A-We-have-a-Medicare-patient-who-re/ArticleStandard/Article/detail/601866?ref=25 You are allowed to dismiss or divorce a Medicare patient. To be safe, you should check with your malpractice carrier to find out your state requirements for the wording of the dismissal letter. 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/232009/601866null XML http://geriatrics.modernmedicine.com/geriatrics/Research+Briefs/History-of-stroke-holds-greater-risk-of-mild-cogni/ArticleStandard/Article/detail/601867?ref=25 Nonamnestic mild cognitive impairment is more common among those with a history of stroke than those without, whereas the apolipoprotein E4 genotype is associated with amnestic mild cognitive impairment and memory loss. 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/232009/601867null XML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Menopause-medicine-Exercise-and-weight-gain/ArticleStandard/Article/detail/601875?ref=25 Exercise can prevent weight gain during peri- and postmenopause. Although simple in theory, there are physiologic changes that make it particularly challenging. 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/232009/601875null XML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Medicare-Q-amp-A-I-have-read-that-we-should-expect/ArticleStandard/Article/detail/601873?ref=25 Medicare is increasing amounts being paid for diagnostics and labs that family physicians perform. Physicians attuned to this are increasing their monthly net revenue by 30% or more. 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/232009/601873null XML http://geriatrics.modernmedicine.com/geriatrics/Fully-searchable-access-to-complete-June-2009-issu/ArticleStandard/Article/detail/602154?ref=25 Consider medical care at home A review of ICSI guideline on type 2 diabetes Glucose control a concern for hospitalized elderly Approaching the patient with chronic eye irritation Menopause medicine: Exercise and weight gain Opinion: Auscultation with fabric upon lungs (AWFUL) Plus regular columns and departments 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/602154/geri1008_cv_thumbnail.gif http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/602154null REMOTE http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Consider-medical-care-at-home/ArticleStandard/Article/detail/601861?ref=25 When clinicians join the traditional home health care team, "medical care at home" is created. Research indicates that medical care at home can increase patient and caregiver satisfaction and reduce hospitalization. 2009-06-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/232009/601861null XML http://geriatrics.modernmedicine.com/geriatrics/Dimensions/Celebrities-provide-human-face-to-disease-treatmen/ArticleStandard/Article/detail/603320?ref=25 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. 2009-06-12T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603320null HTML http://geriatrics.modernmedicine.com/geriatrics/Bariatric-surgery-for-type-2-diabetes-Reaching-too/ArticleStandard/Article/detail/603407?ref=25 Although bariatric surgery is becoming an increasingly accepted option to reverse type 2 diabetes, lifestyle interventions, including smoking cessation, improved nutrition, and increased physical activity, coupled with appropriate pharmacotherapy, remain the mainstays for the management of type 2 diabetes. 2009-06-10T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603407null HTML http://geriatrics.modernmedicine.com/geriatrics/Fenofibrate-appears-more-effective-in-women/ArticleStandard/Article/detail/603405?ref=25 Fenofibrate therapy lowers the incidence of cardiovascular disease in women more so than in men, according to results of the Fenofibrate and Event Lowering in Diabetes (FIELD) study. 2009-06-10T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603405null HTML http://geriatrics.modernmedicine.com/geriatrics/Early-type-2-treatment-high-HDL-prevent-CV-events/ArticleStandard/Article/detail/603404?ref=25 Patients treated early after a type 2 diabetes diagnosis, those with elevated high-density lipoprotein (HDL) levels, and those without a history of severe hypoglycemic episodes are most likely to benefit from intensive glucose control, according to subanalyses of data from the VA Trial of Glycemic Control and Complications in Diabetes Mellitus Type 2 (VADT). 2009-06-10T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603404null HTML http://geriatrics.modernmedicine.com/geriatrics/Treating-to-lower-glucose-levels-not-linked-to-dea/ArticleStandard/Article/detail/603406?ref=25 Intensive lowering of blood glucose to a hemoglobin A1c (HbA1c) level under 6% is not associated with the increased mortality that caused an early halt to the Action to Control Cardiovascular Risk in Diabetes (ACCORD) trial last year. The increased mortality also does not appear to be related to increased hypoglycemic episodes among those receiving intensive treatment. 2009-06-10T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603406null HTML http://geriatrics.modernmedicine.com/geriatrics/Alpha-lipoic-acid-protects-beta-cell-function-and-/ArticleStandard/Article/detail/603408?ref=25 A small clinical study shows improvements in insulin secretion and insulin sensitivity and prevention of oxidative stress with the use of alpha-lipoic acid in obese persons with impaired glucose tolerance (IGT), according to Chinese researchers. 2009-06-10T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603408null HTML http://geriatrics.modernmedicine.com/geriatrics/GERIATRICS/VADT-ACCORD-shed-new-light-on-treating-older-type-/ArticleStandard/Article/detail/602703?ref=25 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. 2009-06-10T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/602703null HTML http://geriatrics.modernmedicine.com/geriatrics/GERIATRICS/Telephone-program-increases-treatment-adherence/ArticleStandard/Article/detail/603398?ref=25 A telephone-intervention program significantly improved oral diabetes medication adherence compared to printed patient education materials, reports Hillel W. Cohen, MD, department of epidemiology and population health, Albert Einstein College of Medicine, Bronx, NY. The improvement in medication possession ratio is associated with a decline in HbA1c, according to Dr. Cohen. A significant effect was not observed on insulin regimen adherence. 2009-06-10T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603398null HTML http://geriatrics.modernmedicine.com/geriatrics/Insulin-resistance-beta-cell-dysfunction-start-sev/ArticleStandard/Article/detail/603411?ref=25 Metabolic changes occur well before an actual diagnosis of type 2 diabetes, providing opportunities for screening and prevention, say British researchers. Results of the WHITEHALL II study suggest both insulin resistance and beta-cell dysfunction are likely present years before a diabetes diagnosis. 2009-06-09T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603411null HTML http://geriatrics.modernmedicine.com/geriatrics/Attacking-kidneys-sodium-glucose-cotransporter-may/ArticleStandard/Article/detail/603409?ref=25 Inhibitors of sodium glucose cotransporter (SGLT)-2 offer the promise of reducing fasting glucose and hemoglobin A1c (HbA1c) levels, independent of acting on insulin, while reducing weight, says John P. Wilding, DM. Several SGLT-2 inhibitors are in development, and one, dapagliflozin, is in phase 3 clinical studies. 2009-06-09T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603409null HTML http://geriatrics.modernmedicine.com/geriatrics/PPAR-co-agonist-will-progress-to-phase-III-trials/ArticleStandard/Article/detail/603420?ref=25 Aleglitazar, a peroxisome proliferator-activated receptor (PPAR) co-agonist will enter phase III clinical trials after a phase II trial demonstrated efficacy and safety at a range of dosages. 2009-06-09T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603420null HTML http://geriatrics.modernmedicine.com/geriatrics/Obesity-considered-in-new-gestational-weight-gain-/ArticleStandard/Article/detail/603440?ref=25 New guidelines for gestational weight gain lower the amount of weight obese women should gain during pregnancy and use lower cutoff body mass indices (BMI) to define prepregnancy weight as underweight, normal, overweight, and obese. 2009-06-09T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603440null HTML http://geriatrics.modernmedicine.com/geriatrics/Inflammatory-pathway-to-diabetes-may-be-interrupte/ArticleStandard/Article/detail/603410?ref=25 Salsalate may represent a novel treatment to lower blood glucose in patients with type 2 diabetes. Promising results from the dose-ranging first stage of the Targeting Inflammation Using Salsalate for Type 2 Diabetes (TINSAL-T2D) study support the larger stage 2 of the study to evaluate the effects of salsalate on blood glucose control over 48 weeks. 2009-06-09T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603410null HTML http://geriatrics.modernmedicine.com/geriatrics/Geriatrics+News/Optimal-diabetes-therapy-as-beneficial-as-revascul/ArticleStandard/Article/detail/602414?ref=25 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. 2009-06-08T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/602414null HTML http://geriatrics.modernmedicine.com/geriatrics/Switching-from-exenatide-to-investigational-GLP-1-/ArticleStandard/Article/detail/603414?ref=25 Switching from twice-daily exenatide to the investigational once-daily liraglutide improves glycemic control in patients with type 2 diabetes on a background of metformin and/or a sulfonylurea. 2009-06-08T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603414null HTML http://geriatrics.modernmedicine.com/geriatrics/No-advantage-to-revascularization-over-optimal-med/ArticleStandard/Article/detail/603413?ref=25 Prompt revascularization holds no advantage over optimal medical therapy in terms of survival among the overall population of patients with type 2 diabetes and stable coronary artery disease (CAD). 2009-06-08T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603413null HTML http://geriatrics.modernmedicine.com/geriatrics/New-form-of-inhaled-insulin-controls-postmeal-glyc/ArticleStandard/Article/detail/603412?ref=25 An investigational ultra rapid-acting inhalable insulin (Technosphere™ Insulin) at mealtime in combination with basal insulin in patients with type 2 diabetes has glycemic efficacy over 52 weeks that is comparable to twice-daily premixed insulin analog 70/30 but with less risk of inducing weight gain and hypoglycemia, according to phase 3 data. 2009-06-07T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603412null HTML http://geriatrics.modernmedicine.com/geriatrics/Vitamin-D-deficiency-accelerates-atherosclerosis-i/ArticleStandard/Article/detail/603415?ref=25 "Vitamin D deficiency is common worldwide and could be a novel risk factor for the development of coronary artery atherosclerosis," says Ramachandra B. Naik, MD, of the Barbara Davis Center for Childhood Diabetes, University of Colorado, Denver. 2009-06-07T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603415null HTML http://geriatrics.modernmedicine.com/geriatrics/Weight-loss-combination-shows-efficacy-in-phase-3-/ArticleStandard/Article/detail/603442?ref=25 A combination of naltrexone and bupropion produces a significant, 4.7% greater weight loss than placebo when combined with behavior modification, according to phase 3 study results. 2009-06-07T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603442null HTML http://geriatrics.modernmedicine.com/geriatrics/Combined-treatment-preserves-renal-function/ArticleStandard/Article/detail/603417?ref=25 Adding treatment with the direct renin inhibitor aliskiren to losartan preserves renal function independent of baseline glomerular filtration rate (GFR) in patients with type 2 diabetes, hypertension, and nephropathy. 2009-06-06T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603417null HTML http://geriatrics.modernmedicine.com/geriatrics/PPAR-gamma-agonists-protect-kidney-from-age-relate/ArticleStandard/Article/detail/603418?ref=25 Proliferator-activated receptor gamma (PPAR gamma) agonists appear to protect against and halt progression of both hypertension-related and age-related glomerulosclerosis. 2009-06-06T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603418null HTML http://geriatrics.modernmedicine.com/geriatrics/Expert-committee-proposes-HbAsub1csub-replace-gluc/ArticleStandard/Article/detail/603419?ref=25 A 21-member International Expert Committee proposes that hemoglobin A1c (HbA1c) assays be the mainstay of type 2 diabetes screening and diagnosis, replacing fasting blood glucose (FBG) level and the oral glucose tolerance test (OGTT). 2009-06-06T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603419null HTML http://geriatrics.modernmedicine.com/geriatrics/RAS-genetic-variant-may-predict-response-to-ARB/ArticleStandard/Article/detail/603416?ref=25 Researchers have identified a renin angiotensin system (RAS) genetic variant that independently predicts response to the angiotensin II receptor blocker (ARB) valsartan. 2009-06-06T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603416null HTML http://geriatrics.modernmedicine.com/geriatrics/RECORD-results-rosiglitazone-doubles-risk-of-heart/ArticleStandard/Article/detail/603439?ref=25 The much-anticipated results of the Rosiglitazone Evaluated for Cardiovascular Outcomes in Oral Agent Combination Therapy for Type 2 Diabetes (RECORD) trial seem destined to become yet another element in the agent's controversial history. 2009-06-06T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603439null HTML http://geriatrics.modernmedicine.com/geriatrics/Z+Marketing/360-Network--THE-GUIDE--June-1-2009/ArticleStandard/Article/detail/602181?ref=25 Your interactive guide to issues & trends, clinical insight, aging physiology, long-term care, and practice management at geriatrics.modernmedicine.com 2009-06-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/602181null HTML http://geriatrics.modernmedicine.com/geriatrics/Fully-searchable-access-to-complete-May-2009-issue/ArticleStandard/Article/detail/597367?ref=25 Cataract surgery and the primary care practitioner Update on neuropsychiatric symptoms of dementia: Antipsychotic use Opinion: Packaging discharge and transition services to prevent "bounce back" Plus regular columns and departments 2009-05-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597367/geri1008_cv_thumbnail.gif http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597367null REMOTE http://geriatrics.modernmedicine.com/geriatrics/Long-term-care-What-MDs-are-thinking/ArticleStandard/Article/detail/597938?ref=25 The physician's evolving role in long-term care is a fitting introduction to a physician-centric look at the results of the 2008 Senior Care Digest Interdisciplinary Report: A Survey of Long-Term Care Health Professionals, part of the Sanofi Aventis Managed Care Digest Series®. 2009-05-12T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/202009/597938null HTML http://geriatrics.modernmedicine.com/geriatrics/AUA-Blog-Prostate-Cancer-Steals-Show/ArticleStandard/Article/detail/597498?ref=25 The AUA in Chicago was well attended -- there were approximately 16,000 attendees, of which about 11,000 were MDs, comprising approximately 45% of US physicians with the other 55% being OUS. 2009-05-08T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597498null REMOTE http://geriatrics.modernmedicine.com/geriatrics/ASH-Web-Based-Pharmacy-Care-Programs-Effective/ArticleStandard/Article/detail/597263?ref=25 In patients with hypertension, home monitoring plus participation in Web-based pharmacy care leads to improved hypertension control and increased engagement with health care teams, according to research presented this week at the annual meeting of the American Society of Hypertension, held from May 6 to 9 in San Francisco. 2009-05-07T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597263null REMOTE http://geriatrics.modernmedicine.com/geriatrics/ASH-Low-Blood-Pressure-Linked-to-Heart-Risks/ArticleStandard/Article/detail/597219?ref=25 Among heart disease patients who receive aggressive cholesterol-lowering treatment, high and low blood pressure levels are associated with an increased risk of major cardiovascular events, according to research presented at the annual meeting of the American Society of Hypertension, held May 6 to 9 in San Francisco. 2009-05-07T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597219null REMOTE http://geriatrics.modernmedicine.com/geriatrics/ASH-Best-Practice-Evolving-in-Hypertension-Treatme/ArticleStandard/Article/detail/597264?ref=25 In patients with hypertension, optimal initial treatment may vary because some medications are better than others at reducing the risk of heart disease, heart attack and stroke, according to new data presented this week at the annual meeting of the American Society of Hypertension, held from May 6 to 9 in San Francisco. 2009-05-07T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597264null REMOTE http://geriatrics.modernmedicine.com/geriatrics/Geriatrics+News/CLEVER-ACCOMPLISH-trial-results-highlight-ASH-meet/ArticleStandard/Article/detail/603446?ref=25 The meeting's general theme was that surrogate markers for getting the blood pressure down to the recommended goal actually melts away differences between classes of drugs and that combinations of agents that have shown to have beneficial effects on cardiovascular endpoints seem to do better than agents that just lower blood pressure. 2009-05-06T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/242009/603446null REMOTE http://geriatrics.modernmedicine.com/geriatrics/AGS-New-Guidelines-Published-on-Improving-Pain-Man/ArticleStandard/Article/detail/596943?ref=25 The American Geriatrics Society released new guidelines from their Annual Scientific Meeting in Chicago addressing the pharmacological management of persistent pain in older persons. 2009-05-05T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/596943null HTML http://geriatrics.modernmedicine.com/geriatrics/AGS-Seniors-Who-Volunteer-Outlive-Non-Volunteers/ArticleStandard/Article/detail/596935?ref=25 Elderly retirees who volunteer have lower mortality than their cohorts who don't volunteer, according to a study presented at the 2009 Annual Scientific Meeting of the American Geriatrics Society, held from April 29 to May 2 in Chicago. 2009-05-04T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/596935null REMOTE http://geriatrics.modernmedicine.com/geriatrics/Geriatrics+News/AGS-Older-Adults-Benefit-From-Moderate-Alcohol-Int/ArticleStandard/Article/detail/596400?ref=25 Moderate alcohol intake, limited to eight to 14 drinks a week, is associated with lower incidence of dementia among older adults, according to a study presented at the 2009 Annual Scientific Meeting of the American Geriatrics Society, held from April 29 to May 2 in Chicago. 2009-05-03T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/596400null REMOTE http://geriatrics.modernmedicine.com/geriatrics/AGS-Older-Adults-Benefit-From-Moderate-Alcohol-Int/ArticleStandard/Article/detail/596399?ref=25 Moderate alcohol intake, limited to eight to 14 drinks a week, is associated with lower incidence of dementia among older adults, according to a study presented at the 2009 Annual Scientific Meeting of the American Geriatrics Society, held from April 29 to May 2 in Chicago. 2009-05-02T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/596399null REMOTE http://geriatrics.modernmedicine.com/geriatrics/AGS-Coordinated-transitional-care-can-lower-rehosp/ArticleStandard/Article/detail/596401?ref=25 Providing hospitalized older adults who have complex health problems with coordinated, comprehensive, multidisciplinary transitional care - care that helps them successfully make the transition from hospital to home - can improve outcomes, lower rates of rehospitalization, and cut Medicare costs by thousands of dollars per patient, Mary Naylor, PhD, RN, professor of gerontology and director of the NewCourtland Center for Transitions and Health at the University Of Pennsylvania School Of Nursing, told more than 2,500 geriatrics healthcare professionals at the American Geriatrics Society's Annual Scientific Meeting. 2009-05-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/596401null HTML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Medicare-Q-amp-A-I-make-rounds-in-the-morning-and-/ArticleStandard/Article/detail/597278?ref=25 A modifier will not help in getting paid if physicians in the same group practice and same specialty both treat the same conditions of the same hospitalized patient on the same day. 2009-05-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597278null XML http://geriatrics.modernmedicine.com/geriatrics/Z+Marketing/360-Network--THE-GUIDE--May-1-2009/ArticleStandard/Article/detail/595636?ref=25 Your interactive guide to issues & trends, clinical insight, aging physiology, long-term care, and practice management at geriatrics.modernmedicine.com 2009-05-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/182009/595636null HTML http://geriatrics.modernmedicine.com/geriatrics/Research+Briefs/Secondary-stroke-prevention-emphasized-for-elderly/ArticleStandard/Article/detail/597272?ref=25 In stroke survivors, secondary prevention is essential regardless of age. 2009-05-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597272null XML http://geriatrics.modernmedicine.com/geriatrics/Research+Briefs/Sharp-rise-in-age-related-macular-degeneration-cas/ArticleStandard/Article/detail/597277?ref=25 Although the prevalence of age-related macular degeneration is set to significantly increase by 2050, the advent of new treatments will help to mitigate the health care burden. 2009-05-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597277null XML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Opinion-Packaging-discharge-and-transition-service/ArticleStandard/Article/detail/597279?ref=25 There are many factors that can reduce the rates of rehospitalization, including transition or discharge coaches who work with the patient before, during, and after the discharge; better collaboration between hospitals and physicians to improve promptness and reliability of follow-up care; and earlier medical follow-up after surgical procedures. 2009-05-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597279null XML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Medicare-Q-amp-A-A-patient-who-goes-to-the-Emergen/ArticleStandard/Article/detail/597276?ref=25 For suture removal, use office visit codes of low level, such as 99212. A modifier is not needed as long as you are not in the same group practice as the Emergency Department physician. 2009-05-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597276null XML http://geriatrics.modernmedicine.com/geriatrics/GERIATRICS/AHA-Statins-Helpful-in-Acute-Coronary-Syndrome-Tre/ArticleStandard/Article/detail/596362?ref=25 In addition to being beneficial for secondary prevention, statin treatment for acute coronary syndromes leads to fewer major cardiovascular events and fewer rehospitalizations, according to a study presented at the American Heart Association's Arteriosclerosis, Thrombosis and Vascular Biology Annual Conference, held from April 29 to May 1 in Washington, D.C. 2009-05-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/182009/596362null REMOTE http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Cataract-surgery-and-the-primary-care-practitioner/ArticleStandard/Article/detail/597275?ref=25 Pertinent issues surrounding the decision to perform cataract surgery; how various intraocular lens implants are selected; how surgery is now performed; postoperative complications, activities, and care; the role of the primary care physician; and the issue of medical clearance for this procedure. 2009-05-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597275/0509_rotate_flash.gif XML http://geriatrics.modernmedicine.com/geriatrics/Research+Briefs/Home-based-training-and-therapy-can-markedly-exten/ArticleStandard/Article/detail/597271?ref=25 Teaching elderly and infirm people how to safely perform daily activities and achieve personal functional goals can markedly extend their lives. 2009-05-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597271null XML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Medicare-Q-amp-A-I-make-rounds-on-nursing-home-pat/ArticleStandard/Article/detail/597273?ref=25 You can bill for all nursing home visits that are medically necessary. There used to be a once-per-month limitation per patient; now medical necessity dictates whether you can bill. 2009-05-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597273null XML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Case-Asymptomatic-eruption/ArticleStandard/Article/detail/597280?ref=25 Consider allergic cutaneous vasculitis in a patient with the rapid onset of palpable purpura of the lower extremities. 2009-05-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597280null XML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Medicare-Q-amp-A-If-I-see-a-patient-in-the-hospita/ArticleStandard/Article/detail/597268?ref=25 The circumstances dictate which codes to use if you see a patient in the outpatient department, such as convenience to yourself because you are at the hospital making rounds. 2009-05-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597268null XML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Update-on-neuropsychiatric-symptoms-of-dementiabr-/ArticleStandard/Article/detail/597269?ref=25 Antipsychotic medications have a modest effect on the neuropsychiatric symptoms of dementia, but product labels warn of the excess risk of death and morbidity associated with their use in older patients. As such, these agents should not be the first choice for the treatment of behavioral and psychotic symptoms of dementia. Nevertheless, a trial of these agents may be indicated in instances in which the severity of symptoms is extreme, or symptoms do not respond to nonpharmacologic methods or other medications. 2009-05-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597269null XML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Medicare-Q-amp-A-I-have-patients-on-Coumadin-and-h/ArticleStandard/Article/detail/597282?ref=25 You can't bill for PT/INR unless someone in your office is seeing the patient, because Medicare requires a face-to-face with the patient. 2009-05-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597282null XML http://geriatrics.modernmedicine.com/geriatrics/Research+Briefs/Healthy-older-patients-are-likely-to-forgo-colorec/ArticleStandard/Article/detail/597281?ref=25 Among older veterans, colorectal cancer screening rates are low among those without comorbidities, suggesting that many healthy older patients with substantial life expectancies are not being screened. 2009-05-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597281null XML http://geriatrics.modernmedicine.com/geriatrics/Research+Briefs/Cognitive-behavior-therapy-better-for-anxiety-symp/ArticleStandard/Article/detail/597270?ref=25 Cognitive behavior therapy is better than enhanced usual care in improving symptoms of generalized anxiety disorder in older patients in primary care. 2009-05-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597270null XML http://geriatrics.modernmedicine.com/geriatrics/Research+Briefs/Diverticular-perforation-poses-threat-in-aging-pop/ArticleStandard/Article/detail/597274?ref=25 Diverticular perforation poses a growing threat in the aging population, including increasing incidence and high mortality rates. 2009-05-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597274null XML http://geriatrics.modernmedicine.com/geriatrics/AUA-Statins-Have-Wide-Range-of-Urological-Benefits/ArticleStandard/Article/detail/596392?ref=25 A growing body of evidence suggests that statins are associated with multiple urological benefits in men, according to six studies presented during an expert panel session at the American Urological Association annual meeting held April 25 to 30 in Chicago. 2009-04-30T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/596392null REMOTE http://geriatrics.modernmedicine.com/geriatrics/AHA-Drug-Reduces-Viral-Cholesterol-Inhibiting-HIV-/ArticleStandard/Article/detail/596365?ref=25 A compound that stimulates cholesterol transport out of HIV-1-infected cells inhibits HIV-1 replication by reducing the levels of viral cholesterol, according to a study presented at the American Heart Association's Arteriosclerosis, Thrombosis and Vascular Biology Annual Conference. 2009-04-30T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/182009/596365null REMOTE http://geriatrics.modernmedicine.com/geriatrics/AHA-Compounds-Inhibit-Virulence-of-Group-A-iStrepi/ArticleStandard/Article/detail/596364?ref=25 Small molecules can reduce the virulence of group A streptococcus and possibly reduce selection for antibiotic resistance, according to a study presented at the American Heart Association's Arteriosclerosis, Thrombosis and Vascular Biology Annual Conference. 2009-04-30T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/182009/596364null REMOTE http://geriatrics.modernmedicine.com/geriatrics/AHA-Urine-Test-for-Coronary-Artery-Disease-in-Deve/ArticleStandard/Article/detail/596363?ref=25 An experimental urine test may provide a way to diagnose coronary artery disease (CAD) without invasive angiography, according to a poster presentation at the American Heart Association's Arteriosclerosis, Thrombosis and Vascular Biology Annual Conference. 2009-04-30T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/182009/596363null REMOTE http://geriatrics.modernmedicine.com/geriatrics/AUA-Urology-Times-Daily-Meeting-Report/ArticleStandard/Article/detail/597499?ref=25 Take this link to five special daily issues of Urology Times E-news Daily Meeting Report and Podcast, devoted to coverage of the 2009 AUA annual meeting in Chicago. Urology Times is a sister publicaton of Geriatrics. 2009-04-30T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/597499null REMOTE http://geriatrics.modernmedicine.com/geriatrics/AUA-Diet-Supplements-May-Not-Prevent-Prostate-Canc/ArticleStandard/Article/detail/596398?ref=25 Diet supplementation with soy protein, vitamin E and selenium did not prevent the development of prostate cancer in men with a precursor prostate condition, according to research presented at the annual meeting of the American Urological Association held April 25 to 30 in Chicago. 2009-04-29T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/596398null REMOTE http://geriatrics.modernmedicine.com/geriatrics/AUA-Nighttime-Urination-Linked-to-Death-in-Elderly/ArticleStandard/Article/detail/596395?ref=25 Elderly individuals who need to urinate at least twice per night have a higher risk of death, according to a study presented at the annual meeting of the American Urological Association held April 25 to 30 in Chicago 2009-04-29T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/596395null REMOTE http://www.modernmedicine.com/modernmedicine/American-College-of-Physicians-Internal-Medicine-2/ArticleStandard/Article/detail/596410?ref=25 The American College of Physicians' (ACP) Internal Medicine 2009 conference took place April 23 to 25 in Philadelphia and attracted about 10,000 attendees, including more than 6,000 internists. The meeting presented 260 lectures, workshops and demonstrations to update members on recent clinical developments, ACP policy initiatives and patient education efforts. 2009-04-28T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/596410null REMOTE http://geriatrics.modernmedicine.com/geriatrics/AHA-Heart-Failure-Patients-Carers-Report-Unmet-Nee/ArticleStandard/Article/detail/596385?ref=25 Palliative care interventions offer a method of addressing unmet needs of patients with heart failure and their caregivers, according to research presented at the American Heart Association's Quality of Care and Outcomes Research in Cardiovascular Disease and Stroke Conference, held from April 23 to 25 in Washington, D.C. 2009-04-27T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/596385null REMOTE http://geriatrics.modernmedicine.com/geriatrics/AHA-A-Fib-After-Heart-Surgery-Linked-to-Death-Risk/ArticleStandard/Article/detail/596386?ref=25 New-onset atrial fibrillation that develops after coronary artery bypass graft (CABG) surgery is associated with a higher long-term risk of mortality, according to research presented at the American Heart Association's Quality of Care and Outcomes Research in Cardiovascular Disease and Stroke Conference. 2009-04-26T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/596386null REMOTE http://geriatrics.modernmedicine.com/geriatrics/AHA-Lipid-Lowering-Therapy-Lacking-in-At-Risk-Popu/ArticleStandard/Article/detail/596387?ref=25 Some 44.9 percent of U.S. adults aged 35 and older who have an indication for lipid-lowering treatment are not receiving therapy, including some with diabetes or high cardiovascular risk, according to a poster presentation at the American Heart Association's Quality of Care and Outcomes Research in Cardiovascular Disease and Stroke Conference. 2009-04-26T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/596387null REMOTE http://geriatrics.modernmedicine.com/geriatrics/ACP-New-Strategies-Needed-for-Controlling-Hyperten/ArticleStandard/Article/detail/596405?ref=25 Primary care physicians should rethink some treatment strategies for hypertension, according to a presentation at the annual American College of Physicians Internal Medicine 2009 meeting held from April 23 to 25 in Philadelphia. 2009-04-25T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/596405null REMOTE http://geriatrics.modernmedicine.com/geriatrics/ACP-Board-Votes-to-Enhance-Perception-of-Primary-C/ArticleStandard/Article/detail/596408?ref=25 Prior to the annual American College of Physicians Internal Medicine 2009 meeting held from April 23 to 25 in Philadelphia, the Board of Regents approved a range of measures to support College members and improve health care nationwide. 2009-04-24T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/596408null REMOTE http://geriatrics.modernmedicine.com/geriatrics/ACP-Site-Launched-to-Increase-COPD-Awareness/ArticleStandard/Article/detail/596406?ref=25 A new Web-based resource -- the ACP COPD Portal -- was launched during the annual American College of Physicians' Internal Medicine 2009 meeting, held from April 23 to 25 in Philadelphia, to provide evidence-based information about emphysema and chronic bronchitis. 2009-04-24T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/192009/596406null REMOTE http://geriatrics.modernmedicine.com/geriatrics/GERIATRICS/Potent-antiplatelet-therapy-prevents-stroke-in-AF/ArticleStandard/Article/detail/593882?ref=25 Clopidogrel added to aspirin is superior to aspirin alone in preventing stroke in preventing vascular events, especially stroke, in patients with nonvalvular atrial fibrillation (AF) who are judged unsuitable for warfarin or are unwilling to take it. 2009-04-16T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/162009/593882null HTML http://geriatrics.modernmedicine.com/geriatrics/Geriatrics+News/Severe-hypoglycemic-episodes-may-cause-dementia/ArticleStandard/Article/detail/593867?ref=25 Hypoglycemic episodes severe enough for hospital admission or an emergency department visit are associated with an increased risk of dementia among older patients with type 2 diabetes, according to study results published in the April 15 issue of JAMA. The study shows that dementia risk greatly increases with each additional hypoglycemic episode in this group of patients, whose mean age was 74 years. 2009-04-16T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/162009/593867null HTML http://geriatrics.modernmedicine.com/geriatrics/Fully-searchable-access-to-complete-April-2009-iss/ArticleStandard/Article/detail/592418?ref=25 Electroconvulsive therapy for depressive episodes: A brief review Opinion: Life-saving treatment for depression in elderly The eyelids: Some common disorders seen in everyday practice Update on neuropsychiatric symptoms of dementia: Evaluation andmanagement 2009-04-15T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/152009/592418/geri1008_cv_thumbnail.gif http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/152009/592418null REMOTE http://geriatrics.modernmedicine.com/geriatrics/Geriatrics+News/ACC-Drug-eluting-stents-seen-as-safe-for-elderly-p/ArticleStandard/Article/detail/592403?ref=25 A study presented at the American College of Cardiology's 58th Annual Scientific Session March 29 to 31 in Orlando compared outcomes in 217,675 Medicare patients who received drug-eluting stents and 45,025 Medicare patients who received bare-metal stents. Researchers found that drug-eluting stents were associated with significantly lower adjusted rates of death and myocardial infarction without an associated increase in bleeding or stroke after 30 months. 2009-04-07T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/152009/592403null REMOTE http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Opinion-Life-saving-treatment-for-depression-in-el/ArticleStandard/Article/detail/592049?ref=25 Electroconvulsive therapy can be both a life-enhancing and life-saving procedure in the elderly. Don't forget to think about recommending ECT in your elderly depressed patient who is suicidal or has failed multiple courses of antidepressants and is doing poorly. 2009-04-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/152009/592049null XML http://geriatrics.modernmedicine.com/geriatrics/Z+Marketing/360-Network--THE-GUIDE--April-1-2009/ArticleStandard/Article/detail/591407?ref=25 Your interactive guide to issues & trends, clinical insight, aging physiology, long-term care, and practice management at geriatrics.modernmedicine.com 2009-04-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/142009/591407null HTML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Electroconvulsive-therapy-for-depressive-episodes/ArticleStandard/Article/detail/592050?ref=25 Electroconvulsive therapy is a safe, effective approach to severe cases of specific psychiatric disorders, especially certain subclasses of depression. ECT also is frequently used for schizophrenia and schizoaffective disorders and neurological disorders including catatonia and neuroleptic malignant syndrome. 2009-04-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/152009/592050/0409_rotate_flash.gif XML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Common-eyelid-disorders-seen-in-everyday-practice/ArticleStandard/Article/detail/592047?ref=25 Eyelid disorders often present first to the primary care physician. Protecting patients' vision requires knowing which problems can be quickly and effectively treated in the office setting and which should be referred to an ophthalmologist or oculoplastic specialist. 2009-04-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/152009/592047null XML http://geriatrics.modernmedicine.com/geriatrics/Modern+Medicine+Now/Update-on-neuropsychiatric-symptoms-of-dementia-ev/ArticleStandard/Article/detail/592048?ref=25 With black box warnings on antipsychotics and doubts persisting about the efficacy and safety of other medications used off label, nonpharmacologic interventions in neuropsychiatric symptoms of dementia increase in importance. Behavioral management, cognitive stimulation therapy, and caregiver and health care staff education show the most promise. 2009-04-01T04:00:00Z http://geriatrics.modernmedicine.com/geriatrics/data/articlestandard/geriatrics/152009/592048null XML