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January 2015 Briefing – Geriatrics

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Here are what the editors at HealthDay consider to be the most important developments in Geriatrics for January 2015. This roundup includes the latest...
Patient engagement initiatives can decrease costs without sacrificing quality care

Patient Engagement Can Cut Costs, Improve Outcomes

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Initiatives can decrease hospital visits, cut morbidity and mortality, up treatment adherence
Medicaid expansion is associated with greater reductions in out-of-pocket spending for previously uninsured low-income adults than Marketplace exchange coverage with premium tax credits and generous benefits

Medicaid Expansion Tops Savings Versus Marketplace

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Great reduction in out-of-pocket spending for previously uninsured low-income adults
Taking spironolactone alongside the antibiotic trimethoprim-sulfamethoxazole can cause blood potassium to rise to potentially life-threatening levels

Spironolactone + TMP-SMX May Up Risk of Sudden Death

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Doctors urged not to prescribe spironolactone with trimethoprim-sulfamethoxazole
Non-pharmacological alternatives for the treatment of delirium are available and beneficial

Non-Pharmacological Options Efficacious in Treating Delirium

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Simply reminding patient each morning of date, place can help, researchers found
People with diabetes are less likely to take their diabetes medications if they've been diagnosed with cancer

Cancer Diagnosis Impacts Patient Adherence to Diabetes Rx

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Effect more pronounced with poor cancer prognosis
For older adults

Anxiety Moderates Amyloid-β Association With Cognition

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Correlation moderated by elevated anxiety symptoms; greater decline in high-anxiety group
Teledermoscopy is feasible and effective for short-term monitoring of clinically atypical nevi

Teledermoscopy Feasible, Effective for Monitoring Nevi

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Diagnostic concordance 0.87 between conventional office-based visits, teledermoscopy encounters
Compared to people with conservative and moderate political ideologies

Liberals, Independents Found to Have Greater Longevity

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But researchers can't pinpoint why they outlive Republicans, Democrats over 30 years
Nearly one in 10 American adults don't take their medications as prescribed because they can't afford to

CDC: ~8 Percent of U.S. Adults Nonadherent Due to Rx Costs

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Patients skipping doses, taking less medication or delaying filling prescriptions