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Geriatrics

The Assessment of Pain in Older People: UK National Guidelines

30 Mar, 2018 | 04:43h | UTC

The Assessment of Pain in Older People: UK National Guidelines – Age and Ageing (free)

 


Metabolic Slowing and Reduced Oxidative Damage with Sustained Caloric Restriction Support the Rate of Living and Oxidative Damage Theories of Aging

30 Mar, 2018 | 03:43h | UTC

Metabolic Slowing and Reduced Oxidative Damage with Sustained Caloric Restriction Support the Rate of Living and Oxidative Damage Theories of Aging – Cell Metabolism (free for a limited period)

Commentaries: Reduced-calorie diet shows signs of slowing ageing in people – Nature News (free) AND Will Cutting Calories Make You Live Longer? – Wired (free) AND Calorie restriction trial in humans suggests benefits for age-related disease – Cell Press, via ScienceDaily (free)

 


Research: Effect of Protein Intake on Lean Body Mass in Functionally Limited Older Men

30 Mar, 2018 | 03:33h | UTC

Effect of Protein Intake on Lean Body Mass in Functionally Limited Older Men: A Randomized Clinical Trial – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentaries: Does Protein Intake Beyond Recommended Dietary Allowance Increase Lean Body Mass? – NEJM Journal Watch (free for a limited period) AND More Protein No Benefit to Older Men – MedPage Today (free)

 


Social isolation and loneliness as risk factors for myocardial infarction, stroke and mortality

30 Mar, 2018 | 03:30h | UTC

Social isolation and loneliness as risk factors for myocardial infarction, stroke and mortality: UK Biobank cohort study of 479 054 men and women – Heart (free)

Commentaries: Loneliness itself appears not to raise risk of heart attack/stroke – OnMedica (free) AND Association Between Loneliness, CV Events Often Explained by Conventional Risk Factors – Physician’s First Watch (free)

 


Association of Frailty With Failure to Rescue After Low-Risk and High-Risk Inpatient Surgery

30 Mar, 2018 | 02:39h | UTC

Association of Frailty With Failure to Rescue After Low-Risk and High-Risk Inpatient Surgery – JAMA Surgery (link to abstract – $ for full-text)

Commentary: Frailty associated with failure to rescue after surgery, study finds – ACP Hospitalist (free)

 


Enriched food and snacks can increase nutritional intake in older people in hospital

30 Mar, 2018 | 02:39h | UTC

Enriched food and snacks can increase nutritional intake in older people in hospital – NIHR Signal (free)

Original article: Can fortified foods and snacks increase the energy and protein intake of hospitalised older patients? A systematic review – Journal of Human Nutrition and Dietetics (link to abstract – $ for full-text)

 


Research: Efficacy of Vaginal Estradiol or Vaginal Moisturizer vs Placebo for Treating Postmenopausal Vulvovaginal Symptoms

23 Mar, 2018 | 02:37h | UTC

Efficacy of Vaginal Estradiol or Vaginal Moisturizer vs Placebo for Treating Postmenopausal Vulvovaginal Symptoms: A Randomized Clinical Trial – JAMA Internal Medicine (free for a limited period)

Invited commentary: Rethinking the Approach to Managing Postmenopausal Vulvovaginal Symptoms (free)

Author interview: Efficacy of Vaginal Estradiol or Moisturizer vs Placebo for Postmenopausal Vulvovaginal Symptoms (free)

Commentary: Vaginal Estradiol Offers Little Help for Postmenopausal Symptoms – Moisturizer no better than placebo gel, either – MedPage Today (free registration required)

 


A Quiet Drug Problem Among the Elderly

22 Mar, 2018 | 23:44h | UTC

A Quiet Drug Problem Among the Elderly – The New York Times (free)

Related: Our Other Prescription Drug Problem – New England Journal of Medicine (free) AND Benzodiazepines: our other prescription drug epidemic – STAT (free)

“Despite warnings from experts, older people are using more anti-anxiety and sleep medications, putting them at risk of serious side effects and even overdoses”.

 


Guidelines for Elderly with Psychiatric & Neurologic Symptoms

22 Mar, 2018 | 23:37h | UTC

Indian Clinical Practice Guidelines for Elderly with Psychiatric & Neurologic Symptoms – Indian Journal of Psychiatry

– The Geropsychiatric Interview- Assessment and Diagnosis (free)

– Clinical practice guidelines for management of dementia (free)

– Clinical practice guidelines for management of delirium in elderly (free)

– Clinical practice guidelines for management of depression in elderly (free)

– Clinical practice guideline for management of psychoses in elderly (free)

– Clinical practice guidelines for geriatric anxiety disorders (free)

– Clinical practice guideline on management of sleep disorders in the elderly (free)

 


Research: Midlife cardiovascular fitness and dementia

16 Mar, 2018 | 02:07h | UTC

Midlife cardiovascular fitness and dementia: A 44-year longitudinal population study in women – Neurology (free)

Commentaries: High Cardiovascular Fitness in Midlife Tied to Lower Dementia Risk Later – NEJM Physician’s First Watch (free) AND Physically fit women nearly 90 percent less likely to develop dementia – American Academy of Neurology, via ScienceDaily (free)

 


Elder Abuse: Sometimes It’s Self-Inflicted

16 Mar, 2018 | 02:06h | UTC

Elder Abuse: Sometimes It’s Self-Inflicted – The New York Times (10 articles per month are free)

“The house is filthy. The elderly resident is struggling. But who has the right to intervene?” (via @NYTHealth see Tweet)

 


Review: Sudden Unexplained Nocturnal Death Syndrome

16 Mar, 2018 | 02:05h | UTC

Review: Sudden Unexplained Nocturnal Death Syndrome: The Hundred Years’ Enigma – Journal of the American Heart Association (free)

 


Review: Nutrition in the Very Old

16 Mar, 2018 | 01:44h | UTC

Nutrition in the Very Old – Nutrients (free)

 


Perspective: The importance and challenges of shared decision making in older people with multimorbidity

16 Mar, 2018 | 01:37h | UTC

Perspective: The importance and challenges of shared decision making in older people with multimorbidity – PLOS Medicine (free)

 


Position Paper: Frailty and the management of patients with acute cardiovascular disease

8 Mar, 2018 | 21:36h | UTC

Frailty and the management of patients with acute cardiovascular disease: A position paper from the Acute Cardiovascular Care Association – European Heart Journal: Acute Cardiovascular Care (free)

 


Review: Sleep problems during the menopausal transition

8 Mar, 2018 | 20:16h | UTC

Sleep problems during the menopausal transition: prevalence, impact, and management challenges – Nature and Science of Sleep (free)

 


Too Late To Operate? Surgery Near End Of Life Is Common, Costly

2 Mar, 2018 | 01:33h | UTC

Too Late To Operate? Surgery Near End Of Life Is Common, Costly – NPR (free)

 


Meta-Analysis: Can Exercise Improve Cognitive Symptoms of Alzheimer’s Disease?

2 Mar, 2018 | 01:31h | UTC

Can Exercise Improve Cognitive Symptoms of Alzheimer’s Disease? A Meta-Analysis – Journal of the American Geriatrics Society (free)

Commentarires: Aerobic exercise may mildly delay, slightly improve Alzheimer’s symptoms – American Geriatrics Society, via EurekAlert (free) AND Aerobic exercise slows cognitive decline in Alzheimer’s disease – Reuters (free)

 


Meta-Analysis: Comparative Effectiveness and Safety of Cognitive Enhancers for Treating Alzheimer’s Disease

2 Mar, 2018 | 01:23h | UTC

Comparative Effectiveness and Safety of Cognitive Enhancers for Treating Alzheimer’s Disease: Systematic Review and Network Meta-analysis – Journal of the American Geriatrics Society (free)

Source: Medscape (free registration required)

“Cognitive enhancers in general have minimal effects on cognition according to minimal clinically important difference and global ratings. The drugs appear safe, but this must be interpreted cautiously because trial participants may have less comorbidity and fewer adverse effects than those treated with these drugs in clinical practice”.

 


Research: Impact of frailty on outcomes after discharge in older surgical patients

2 Mar, 2018 | 01:18h | UTC

Impact of frailty on outcomes after discharge in older surgical patients: a prospective cohort study – Canadian Medical Association Journal (free)

Commentary: Frailty associated with readmission risk and postdischarge mortality in older surgical patients – ACP Hospitalist (free)

Related Systematic Review: Identifying older adults at risk of harm following elective surgery: a systematic review and meta-analysis – BMC Medicine (free) AND Commentary: Age itself is not a risk factor for complications after surgery among older patients – OnMedica (free)

 


Alcohol and older people: A systematic review of barriers, facilitators and context of drinking

1 Mar, 2018 | 22:10h | UTC

Alcohol and older people: A systematic review of barriers, facilitators and context of drinking in older people and implications for intervention design – PLOS One (free)

 


Review: Aging in HIV-Infected Subjects

1 Mar, 2018 | 21:55h | UTC

Aging in HIV-Infected Subjects: A New Scenario and a New View – BioMed Research International (free)

 


Guideline: clinical management of the elderly patient with malignant lymphoma

27 Feb, 2018 | 16:32h | UTC

ESMO Consensus Conference on malignant lymphoma: general perspectives and recommendations for the clinical management of the elderly patient with malignant lymphoma – Annals of Oncology (free)

 


Potential workload in applying clinical practice guidelines for patients with chronic conditions and multimorbidity

23 Feb, 2018 | 01:08h | UTC

Potential workload in applying clinical practice guidelines for patients with chronic conditions and multimorbidity: a systematic analysis – BMJ Open (free) (via @acpatient and @MaryDixonWoods)

 


Meta-Analysis: Short-Term Versus Long-Term Dual Antiplatelet Therapy After Drug-Eluting Stent Implantation in Elderly Patients

22 Feb, 2018 | 23:27h | UTC

Short-Term Versus Long-Term Dual Antiplatelet Therapy After Drug-Eluting Stent Implantation in Elderly Patients: A Meta-Analysis of Individual Participant Data From 6 Randomized Trials – JACC: Cardiovascular Interventions (link to abstract – $ for full-text)

Commentary: Dual Antiplatelet Therapy Duration in Elderly Patients – American College of Cardiology, Latest in Cardiology (free)

Short-term Dual Antiplatelet Therapy was not associated with increased risk of ischemic events in elderly patients and was associated with a significant reduction in major bleeding.

 


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