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<乌鸦传媒 class='mpt-top_cat_title'>Primary Care >

Geriatrics

News, opinions and meeting coverage in primary care.

<乌鸦传媒>Stroke Rounds: Early Surgery Looks Safe After tPA

Performing carotid endarterectomy or stenting in patients who were recently treated with thrombolytic therapy for an acute stroke appeared to be safe, an observational study showed.

<乌鸦传媒>CT Appears Safe in Patients With Pacemakers, ICDs

Patients with cardiac rhythm management devices showed no clinically significant major or minor events related to computed tomography imaging over a 10-year period at two large-volume care centers, researchers reported.

<乌鸦传媒>Killing Pain: Xanax Tops Charts

Alprazolam, more popularly known by its brand name -- Xanax--is America's favorite tranquilizer and one that is often used in combination with an opioid.

<乌鸦传媒>Lyrica Edges Mirapex for Restless Legs

Patients with restless legs syndrome treated with pregabalin (Lyrica) had as much symptom improvement as those receiving pramipexole (Mirapex) in a large year-long trial, with fewer showing "augmentation."

<乌鸦传媒>Is There a Flaw in This Large Vitamin D Trial?

A co-principal investigator of the VITAL trial addresses the possibility that out-of-study testing of vitamin D levels and initiation of high-dose supplementation could be a limitation, but not a serious one.

<乌鸦传媒>CardioBuzz: More Money Needed for Heart Research?

The NIH dedicates a lot of money for research into heart disease and stroke, but it still might not be enough, a new study suggested.

<乌鸦传媒>Droxidopa for OH Slammed by FDA Reviewers

SILVER SPRING, Md. -- Droxidopa (Northera) is getting a second look by an FDA advisory committee for the treatment of orthostatic hypotension stemming from neurological disorders like Parkinson's disease, but an agency review doesn't look promising for approval.

<乌鸦传媒>Colonoscopies: The Longer the Better

Polyp and adenoma detection rates were highest when the colonoscopy withdrawal time was 9 minutes long, near the upper limit of the recommended 6 to 10 minutes withdrawal time, researchers found.

<乌鸦传媒>Testosterone Levels: Middle Range Best in Old Age

Older men whose natural testosterone levels were in the middle range tended to live longer than those with the highest and lowest levels, a study found.

<乌鸦传媒>FDA Flags Risk of Nuclear Stress Test Drugs

SILVER SPRING, Md. -- Two agents used in cardiac nuclear stress tests may carry a greater risk of heart attack and death than previously believed, the FDA said Wednesday.

<乌鸦传媒>ACA: When Is a Screening Not a Screening?

A provision in the Affordable Care Act that waives patients' payments for colonoscopies is an example of how good intentions in the law can lead to a tangle of unforeseen consequences.

<乌鸦传媒>Striking a Nerve: Heinz Kerry Recovers

Teresa Heinz Kerry is back at work less than 4 months after a mysterious seizure hospitalized her. Striking a Nerve is a blog by John Gever for readers interested in neurology.

<乌鸦传媒>Sleep Problems, Poor Angioplasty Outcomes Linked

Disturbed sleep is common in heart patients following coronary angioplasty and is an independent risk factor for poor cardiac outcomes, researchers reported.

<乌鸦传媒>MoCA Beats MMSE to Assess Dementia

NEW ORLEANS -- The Montreal Cognitive Assessment (MoCA) was better than the Mini-Mental State Examination (MMSE) at teasing out subtle differences in cognitive performance among mildly impaired individuals, researchers reported here.

<乌鸦传媒>FDA Approves Device to Treat Enlarged Prostate

SILVER SPRING, Md. -- An implanted suture-based system to help men with enlarged prostates urinate more freely has been approved by the FDA, the agency said Friday.

<乌鸦传媒>Exposing the Truth About ED: An Hour 'Changed the World'

Medical conferences come and go, but memories live on. Just ask anyone who attended the 1983 American Urological Association meeting.

<乌鸦传媒>A Little Estrogen Goes a Long Way in Preventing UTI

Short-term estrogen therapy induced cellular changes in urothelium consistent with improved ability to fight off urinary tract infection, results from clinical and preclinical studies suggested.

<乌鸦传媒>Zilver Stent Recalled, System May Break

Cook Medical's Zilver PTX drug-eluting stent for peripheral artery disease has been recalled because of a defect in its associated delivery system, the company and the FDA said.

<乌鸦传媒>Is Protein the Key to Fountain of Youth?

The cardiac clocks of aging mice were turned back to a more youthful time when they received a protein taken from the blood of younger mice, researchers found.

<乌鸦传媒>Afib Benefits Seen with Yoga, Acupressure

Blood pressure and heart rate declined significantly in patients with atrial fibrillation after 3 months of weekly yoga sessions, results of a small clinical study showed.

<乌鸦传媒>ACC: Is Chelation Plus Vitamins a Winning Combo?

SAN FRANCISCO -- Vitamins alone won't improve outcomes for patients who've had a heart attack, but they do appear to have additive benefits when given in conjunction with controversial chelation therapy, researchers reported here.

<乌鸦传媒>Fatal Reactions Prompt Omontys Recall

All lots of the new anemia drug peginesatide (Omontys) have been recalled because of severe hypersensitivity reactions -- some fatal -- observed after the drug was approved last March.

<乌鸦传媒>ACE Inhibitors Linked to Hallucinations in Elderly

Elderly patients with memory problems who suddenly have visual hallucinations may need to stop taking ACE inhibitors, researchers suggested.

<乌鸦传媒>Close-Up: When Hospice Patients Live Too Long

Across the country, Medicare is cracking down on the hospice industry's growing habit of embracing those whose deaths aren't imminent.

<乌鸦传媒>Infection High in Myeloma, with High Mortality

ATLANTA -- More than a fifth of patients with multiple myeloma died of infection within a year of diagnosis, Swedish investigators reported here.

<乌鸦传媒>Oral Azacitidine Safe, Effective in Low-Risk MDS

ATLANTA -- Oral azacitidine (Vidaza) given for up to 21 days per 4-week cycle for myelodysplastic syndrome appeared safe and effective in patients with lower-risk disease, a researcher said here.

<乌鸦传媒>Early Stroke Risk After Hip Replacement

Patients undergoing a total hip replacement appear to have an elevated risk of stroke in the weeks following the operation, researchers found.

<乌鸦传媒>AHA: No Excess Bleeding Risk with Dabigatran

LOS ANGELES -- Patients starting dabigatran (Pradaxa) did not have a higher risk of bleeding compared with new users of warfarin, according to a postmarketing data review by the FDA.

<乌鸦传媒>Subjective Effects Drive COPD Outcomes

ATLANTA -- For patients with COPD, their own assessment of breathing problems is more predictive of outcomes than spirometry or doctor-diagnosed exacerbations, a researcher said here.

<乌鸦传媒>Afinitor Helps Breast Tx in Older Patients

SAN FRANCISCO -- Older patients with advanced breast cancer had significant improvement in progression-free survival when everolimus was added to exemestane, a new analysis of a randomized trial showed.

<乌鸦传媒>Melatonin Can Help Seniors Get More Sleep

BOSTON -- Over-the-counter melatonin appears to provide a measure of sleep for older individuals who have insomnia, a meta-analysis showed.

<乌鸦传媒>Repeat Surgery Less Likely After Prostate Resection

ATLANTA -- Transurethral resection of the prostate for the treatment of benign prostatic hyperplasia reduced the reoperation rate by half compared with newer procedures, a case review showed.

<乌鸦传媒>Prolia Linked to Serious Skin Side Effects

RALEIGH, N.C. -- More than 40 serious cutaneous adverse events linked to the osteoporosis formulation of denosumab (Prolia) were discovered in a review of FDA records, investigators reported here.

<乌鸦传媒>DSM-5 Panel Tiptoes on Grief, Depression

PHILADELPHIA -- Psychiatrists writing new diagnostic criteria for major depression hope an explanatory note will mollify critics of a proposal to let patients grieving a dead loved one receive a formal diagnosis.

<乌鸦传媒>Brain Bleed Size Affects Therapy in Afib Patients

NEW ORLEANS -- The size of a brain bleed appears to determine which medications, if any, are given to atrial fibrillation patients after an intracerebral hemorrhage, a retrospective study showed.

<乌鸦传媒>Eye Tremors May Be Early Sign of Parkinson's

Eye tremors are pervasive in Parkinson's disease and could be an early warning sign of the neurodegenerative movement disorder, according to a case-control study.

<乌鸦传媒>Doctors Say 45 Common Tests 'Overused'

Nine specialty groups have listed tests and treatments that are frequently overused, such as antibiotics for sinus attacks and CT scans for low back pain, in the first phase of a long-term project.

<乌鸦传媒>FDA Adds Diabetes Warning to Statin Label

WASHINGTON -- The FDA is changing the labeling on statins to include a warning about increased risks of hyperglycemia and transient memory problems, but the agency is no longer recommending routine liver function testing.

<乌鸦传媒>Big BP Variation Between Arms Raises Red Flag

A substantial difference in blood pressure from one arm to the other could be a warning sign for overall cardiovascular and mortality risk, a meta-analysis determined.

<乌鸦传媒>Breast Reduction Riskier After 50

Outcomes of breast reduction surgery worsen with age, with more infections and a tendency toward wound-healing problems in women older than 50, researchers found.

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