Geriatric medicine
Article Abstract:
Falls, multiple drug use and urinary tract outlet obstruction are three areas receiving increasing attention in geriatric medicine. Falls not only cause injuries but also affect the quality of life of elderly patients. Interdisciplinary assessments of falls may help practitioners identify ways that the risk of falling can be reduced. Up to 10% of all hospital admissions may be caused by drug reactions. Patient medications should be re-evaluated during each visit to the doctor. Urinary tract problems such as excessive amounts of urination at night, incontinence, difficulty in urinating or frequent urination are often associated with prostatic hyperplasia. Surgical intervention, long the usual treatment of choice, is being reconsidered. Drug treatment now includes alpha-adrenergic blockers for the treatment of benign prostatic hyperplasia, though long-term efficacy has not been assessed. Treatment to inhibit the action of the enzyme 5-alpha-reductase shows some promise but long-term efficacy and safety have yet to be evaluated.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1993
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Geriatric medicine
Article Abstract:
Stoke is the major cause of illness and death in elderly patients. Treating isolated systolic hypertension (ISH) and atrial fibrillation (AF) has reduced the incidence of these cardiovascular problems, even in those over 80 years of age with cardiovascular or cerebrovascular disease. Anticoagulants may reduce the risk of stroke by 42% to 86%, even in studies including people 91 years of age. Urinary incontinence (UI) affects up to 30% of women older than age 60. Bladder training combined with urination every 30 to 60 minutes has helped between 44% and 100% of women. The physician does not have to order extensive tests to determine if the problem is anatomical or functional. Paget's disease, which affects up to 15% of those over age 80, causes bone pain, deformities and fractures. A single 60 milligram dose of intravenous pamidronate can reduce symptoms and produce chemical changes causing remission of symptoms in 70% of patients.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1992
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Ultralow-dose micronized 17beta-estradiol and bone density and bone metabolism in older women: a randomized controlled trial
Article Abstract:
Very low doses of estrogen may strengthen bones in elderly women without causing serious side effects, according to a study of 167 women. Although hormone replacement therapy can prevent osteoporosis, recent studies have shown that it increases the risk of breast cancer, stroke, and heart disease. In this study, the women took 0.25 milligrams of estrogen every day for three years.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2003
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