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Jurnale medicale Current Issue

13 Decembrie 2010 21:24

Introduction
Delirium, defined as an acute confusional state with change in attention and cognition, is a common condition that results in significant morbidity and mortality among elderly persons. It is characterized by disturbances of consciousness, reduced environmental awareness, and a waxing an

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Current Issue
13 Decembrie 2010 21:31

This article is the seventh in a continuing series on diabetes in the elderly. The sixth article in the series, ????Macrovascular Disease in Elderly Patients with Diabetes,??? was published in the October issue of the Journal.

Introduction

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Current Issue
13 Decembrie 2010 21:42

Case Presentation
Mr. F is a 78-year-old white man who presented for evaluation of an umbilical hernia. Other than the hernia, the patient felt well and reported no abdominal pain, change in bowel habits, fevers, chills, or weight change. Medical history was significant for coronary artery disease s

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Current Issue
13 Decembrie 2010 21:46

Osteoarthritis, particularly of the hip and knee, is a pervasive source of disability in the United States. It is estimated to involve over 70 million Americans, or 1 out of 3 adults in our population.1 Arthritis accounts for 17% of the diagnoses in U.S. residents currently on permanent long-term di

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Current Issue
13 Decembrie 2010 21:50

Introduction
Once thought to be predominantly a disease of the young, celiac disease is being increasingly diagnosed in older patients. Celiac disease commonly presents with gastroenterological symptoms; however, extraenteric presentations may occur, including neurological disease. Unexplained cereb

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Current Issue
13 Decembrie 2010 21:57
13 Decembrie 2010 22:04

Author Index
Ackermann R. Appropriate use of clopidogrel in the older adult. 2010;18(1):41-47. [Correction: 2010;18(4):36.]

Andersen D, Osei-Boamah E, Gambert SR. Impact of trauma-related hip fractures on the older adult. 2010;18(6):18-22.

Aresco C, Stein DM. Cervical spine injuries in the geriatric patient. 2010;

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Current Issue
13 Decembrie 2010 22:12

January 31-February 4, 2011
American Medical Seminars: Geriatrics: A Primary Care Approach to the Aging Population
Sarasota, FL
www.ams4cme.com

February 2, 2011
Metropolitan Area Geriatrics Society: ????Cancer & Aging: The Geriatrician????s Role???
New York, NY
http://magsnewyork.org/2010-2011-s

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Current Issue
13 Decembrie 2010 22:23

In this issue of Clinical Geriatrics, Angela Botts, MD, has written an article on delirium that I believe presents information of great value to anyone caring for older hospitalized patients. Delirium is a common and serious problem that affects as many as 70% of older persons admitted to critical c

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Current Issue
13 Decembrie 2010 22:27

2010 American Academy of Family Physicians Scientific Assembly
September 29-October 2, 2010; Denver, CO

Polypharmacy in the Elderly: To Prescribe or Not to Prescribe

Denver, CO????The U.S. population is aging, and many persons in this aging population have multiple chronic illnesses. Advances in the tre

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Current Issue
15 Octombrie 2010 14:15

Introduction
Hearing impairment is an extremely prevalent problem among older adults that can impact all domains of life, including cognitive, social, physical, and emotional. Identification and treatment can improve overall quality of life as well as functional capacity. Primary care providers play

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Current Issue
15 Octombrie 2010 14:23

This article is the sixth in a continuing series on diabetes in the elderly. The fifth article in the series, ????Microangiopathic Complications of Diabetes: Diabetic Peripheral Neuropathies,??? was published in the September issue of the Journal. The remaining article in the series will discuss t

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Current Issue
15 Octombrie 2010 14:30

Legionella pneumonia is an infrequent, often community-acquired pneumonia (CAP) that may present occasionally to healthcare providers. The sporadic nature of this type of pneumonia may lead to the misdiagnosis as a simple pneumonia, especially in otherwise healthy individuals. Legionella pneumonia i

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Current Issue
15 Octombrie 2010 14:38

Introduction
Overactive bladder (OAB) is the syndrome of lower urinary tract symptoms (LUTS), defined by the International Continence Society (ICS) in 2002 as ????urgency, with or without urge incontinence, usually with frequency and nocturia.???1 Urgency, the sudden and compelling, often difficul

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Current Issue
15 Octombrie 2010 14:53

Editor????s Note: Clinical Geriatrics occasionally presents information on how diseases and/or medical problems are diagnosed and managed in other countries. We hope you will enjoy reading this article from a United Kingdom perspective.

Introduction
Incidence of osteoporotic pelvic fracture is highe

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Current Issue
15 Octombrie 2010 14:58

I was asked to help evaluate an 82-year-old man who was admitted to the hospital after falling off his bicycle. He was noted to be confused, though initially he had no other focal neurological findings. The patient was diagnosed as having a left subdural hematoma and subarachnoid hemorrhage. While h

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Current Issue
15 Octombrie 2010 15:01

I recently ran across an article in The New York Times about a subject that has long been an important and pressing issue in geriatrics and long-term care: the use of tube feeding in patients in the final stages of dementia. Eating problems are frequent complications in patients with advanced dement

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Current Issue
15 Octombrie 2010 15:06

International Continence Society/International Urogynecological Association 2010 Annual Meeting
August 23-27, 2010
Toronto, ON

Superior Efficacy of Fesoterodine Over Tolterodine with Rapid Onset: A Prospective, Head-to-Head, Placebo-Controlled Trial

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Current Issue
15 Octombrie 2010 15:21

From the AGS Foundation for Health in Aging. Please click here for pdf.

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Current Issue
15 Septembrie 2010 14:32

Introduction
We are all likely to experience pain at some point in our lives. How that pain is best managed depends on its etiology, acuity, and pathophysiology. Coexisting medical conditions and the potential risk for adverse effects play a larger role in treatment choices for older adults. In this

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Current Issue
15 Septembrie 2010 14:49

Introduction
Pain is common in the elderly patient, but it is greatly undertreated. Proper pain management can be complicated and can require a multitude of treatment options and modalities. Pain is the most common reason for physician visits annually,1 with the annual cost in the United States to b

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Current Issue
15 Septembrie 2010 14:58
15 Septembrie 2010 15:07

Introduction
Persistent pain is a common problem in older adults, affecting 25-50% of community-dwelling elderly persons and 45-80% of older residents of long-term care facilities.1 Several painful conditions occur more commonly in older than in younger adults and often go unrecognized. These includ

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Current Issue
15 Septembrie 2010 18:08

This article is the fifth in a continuing series on diabetes in the elderly. The fourth article in the series, ????A Review and Update of Insulins in the Management of Elderly Patients with Diabetes,??? was published in the July/August issue of the Journal. The remaining articles in the series wil

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Current Issue
15 Septembrie 2010 18:37

This issue of Clinical Geriatrics has several articles devoted to the problem of pain in the older person. Pain is the most common reason for physician consultation in the United States and is a major symptom in many medical conditions. It significantly interferes with not only function, but also qu

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Current Issue
15 Septembrie 2010 18:42

American Academy of Neurology 2010 Annual Meeting
April 10-17, 2010
Toronto, Ontario

Drug Combination for Pseudobulbar Affect in Patients with Neurologic Diseases

Toronto, ON????The combination of dextromethorphan/quinidine (DMQ) provided relief of pseudobulbar affect (PBA) in patients with amyotrop

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Current Issue
15 Septembrie 2010 20:09

Introduction
In addition to medications for relieving pain, elderly patients are increasingly turning to complementary and alternative therapies. A myriad of different options exists with varying claims of effectiveness in the management of pain, but most have had scant evidence to support their use

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Current Issue
15 Septembrie 2010 20:14

Common sense states that rheumatic pain is frequent in older people, and this may be due to a high prevalence of osteoarthritis and osteoporosis in this age group.1 Nevertheless, these diseases are not always responsible for the symptoms attributed to them. Aging people may have????beyond cartilage

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Current Issue
15 Septembrie 2010 20:17

Commentary

Dr. Guay very much appropriately stated in his recent Clinical Geriatrics article titled ????Opioid Analgesics for Persistent Pain in the Older Patient:Part I??? that true tolerance is a ????rare phenomenon,??? but that ????Prescription opioid abuse in the older population is not a ra

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Current Issue
19 August 2010 13:36

This article is the fourth in a continuing series on diabetes in the elderly. The third article in the series, ????Diabetes Agents in the Elderly: An Update of New Therapies and a Review of Established Treatments,??? was published in the June issue of the Journal. The remaining articles in the ser

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Current Issue
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