Secondary Fracture Prevention

📒Secondary Fracture Prevention ✍ Markus J. Seibel

Secondary Fracture Prevention Book PDF
✏Book Title : Secondary Fracture Prevention
✏Author : Markus J. Seibel
✏Publisher : Academic Press
✏Release Date : 2018-10-08
✏Pages : 208
✏ISBN : 9780128131374
✏Available Language : English, Spanish, And French

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✏Secondary Fracture Prevention Book Summary : Secondary Fracture Prevention: An International Perspective presents practitioners and academic clinicians with a better understanding of secondary fracture prevention and models of care from a variety of settings and countries. This must-have guide provides practitioners and academic clinicians with essential information about this broad clinical and research topic that extends across the globe. Preventing secondary fractures starts with assessing what works and what does not work, reviewing major society guidelines, and what workup and management is necessary. This book reviews these topics and provides the rationale for pursuing a workup to prevent fractures in this patient population. Provides an international perspective, giving health professionals in different parts of the world essential information to establish country-specific, secondary fracture prevention programs Summarizes existing literature on secondary fractures and includes a description of the risks and how they can be prevented Highlights secondary fracture prevention and models of care

Fragility Fracture Nursing Book PDF
✏Book Title : Fragility Fracture Nursing
✏Author : Karen Hertz
✏Publisher : Springer
✏Release Date : 2018-06-15
✏Pages : 158
✏ISBN : 9783319766812
✏Available Language : English, Spanish, And French

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✏Fragility Fracture Nursing Book Summary : This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.

Internal Medicine Hospitalists Perceived Barriers And Recommendations For Optimizing Secondary Prevention Of Osteoporotic Hip Fractures Book PDF
✏Book Title : Internal Medicine Hospitalists Perceived Barriers and Recommendations for Optimizing Secondary Prevention of Osteoporotic Hip Fractures
✏Author :
✏Publisher :
✏Release Date : 2017
✏Pages :
✏ISBN : OCLC:1051394860
✏Available Language : English, Spanish, And French

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✏Internal Medicine Hospitalists Perceived Barriers and Recommendations for Optimizing Secondary Prevention of Osteoporotic Hip Fractures Book Summary : Abstract : Objectives: Osteoporosis is a major public health concern affecting an estimated 10 million people in the United States. To the best of our knowledge, no qualitative study has explored barriers perceived by medicine hospitalists to secondary prevention of osteoporotic hip fractures. We aimed to describe these perceived barriers and recommendations regarding how to optimize secondary prevention of osteoporotic hip fracture. Methods: In-depth, semistructured interviews were performed with 15 internal medicine hospitalists in a tertiary-care referral medical center. The interviews were analyzed with directed content analysis. Results: Internal medicine hospitalists consider secondary osteoporotic hip fracture prevention as the responsibility of outpatient physicians. Identified barriers were stratified based on themes including physicians' perception, patients' characteristics, risks and benefits of osteoporosis treatment, healthcare delivery system, and patient care transition from the inpatient to the outpatient setting. Some of the recommendations include building an integrated system that involves a multidisciplinary team such as the fracture liaison service, initiating a change to the hospital policy to facilitate inpatient care and management of osteoporosis, and creating a smooth patient care transition to the outpatient setting. Conclusions: Our study highlighted how internal medicine hospitalists perceive their role in the secondary prevention of osteoporotic hip fractures and what they perceive as barriers to initiating preventive measures in the hospital. Inconsistency in patient care transition and the fragmented nature of the existing healthcare system were identified as major barriers. A fracture liaison service could remove some of these barriers. Abstract : Osteoporosis is a major public health concern, affecting an estimated 10 million individuals in the United States. Patients who fracture a hip have a greater than twofold increased risk of experiencing subsequent fractures. One-year mortality rates after a hip fracture are estimated to be between 17% and 27%. Multiple observational studies conducted in several countries showed that most patients with osteoporotic-related fracture do not receive these treatments, however. There is no quantitative study that explores the barriers of osteoporotic fractures in the inpatient setting specifically. This study found that internal medicine hospitalists believe that preventive medicine, such as secondary osteoporotic fracture prevention, belongs to the realm of outpatient management.Supplemental digital content is available in the text.

Oxford Textbook Of Geriatric Medicine Book PDF
✏Book Title : Oxford Textbook of Geriatric Medicine
✏Author : Jean-Pierre Michel
✏Publisher : Oxford University Press
✏Release Date : 2017-12-14
✏Pages : 1432
✏ISBN : 9780198701590
✏Available Language : English, Spanish, And French

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✏Oxford Textbook of Geriatric Medicine Book Summary : Over the past two decades there has been a marked change in global age demographics, with the number of over-60s increasing by 82% and the number of centenarians by 715%. This new-found longevity is testament to the success of recent advances in medicine, but poses significant challenges to multiple areas of health care concerning older patients. Building upon its predecessor's reputation as the definitive resource on the subject, this new edition of the Oxford Textbook of Geriatric Medicine offers a comprehensive and multinational examination of the field. Fully revised to reflect the current state of geriatric medicine, it examines the medical and scientific basis of clinical issues, as well as the ethical, legal, and socio-economic concerns for healthcare policy and systems. Over 170 chapters are broken up into 16 key sections, covering topics ranging from policy and key concepts through to infection, cancer, palliative medicine, and healthy ageing. New material includes focus on the evolving concepts of malnutrition, sarcopenia, frailty, and related geriatric syndromes and integration of geriatric principles from public health, primary and specialized care, and transitional stages from home to emergency, medicine and surgery, rehabilitation, and long term care. The Oxford Textbook of Geriatric Medicine brings together specialists from across the globe to provide every physician involved in the care of older patients with a comprehensive resource on all the clinical problems they are likely to encounter, as well as on related psychological, philosophical, and social issues.

Osteoporosis In Older Persons Book PDF
✏Book Title : Osteoporosis in Older Persons
✏Author : Gustavo Duque
✏Publisher : Springer
✏Release Date : 2016-07-11
✏Pages : 282
✏ISBN : 9783319259765
✏Available Language : English, Spanish, And French

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✏Osteoporosis in Older Persons Book Summary : This new edition includes the most up-to-date information about the pathophysiology and new therapeutic alternatives for osteoporosis of advanced age. It is written by investigators (clinicians and basic scientists) in the field of aging bone research. It was just recently that a new syndrome, osteoporosis of advanced age, was recognized as a new entity with its own pathophysiology and potential treatments. Unfortunately, and despite the fact that hip fractures are mostly a consequence of this process, and apart from the first edition of this book, there are few publications about this subject. The first edition of this book demonstrated that there is a need to understand the particular features of osteoporosis in older persons, which is the main aim of this book. The institutions where the authors are affiliated are highly recognized as the main centers in aging bone research. As an innovation, the second edition includes some aspects of muscle and bone interaction focusing of the impact of age-related muscle loss (sarcopenia) on the pathogenesis of falls and fractures in older persons. As in the previous edition, this book is expected to be the reference guide for geriatricians, gerontologists, and bone biologists as well as medical trainees in order to understand the mechanisms of senile osteoporosis with a practical approach to the treatment of its consequences.

Fragility Fractures An Issue Of Clinics In Geriatric Medicine  Book PDF
✏Book Title : Fragility Fractures An Issue of Clinics in Geriatric Medicine
✏Author : Daniel A Mendelson
✏Publisher : Elsevier Health Sciences
✏Release Date : 2014-04-16
✏Pages : 236
✏ISBN : 9780323266574
✏Available Language : English, Spanish, And French

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✏Fragility Fractures An Issue of Clinics in Geriatric Medicine Book Summary : This issue of Clinics in Geriatric Medicine is centered on the management of the geriatric fragility fracture patient. This issue features expert clinical reviews on topics such as Principles of comanagement, Lean business model and implementation of a Geriatric Fracture Center, Preoperative optimization and risk assessment, Preoperative reversal and management of anticoagulation and antiplatelet agents, Classification and surgical approach to hip fractures for non-surgeons, Special anesthetic consideration for the fragility fracture patient, Non-surgical management and palliation of fragility fractures, and Management of post-operative complications including Delerium, Anemia, Venous thromboembolism, and Cardiovascular disease and volume management. Also included are articles on Transitions in care and rehabilitation, Osteoporosis related secondary fracture prevention, Post-operative assessment of falls risk and prevention, and Fragility fractures requiring special consideration.

📒Pain In Older People ✍ Peter Crome

Pain In Older People Book PDF
✏Book Title : Pain in Older People
✏Author : Peter Crome
✏Publisher : Oxford University Press
✏Release Date : 2007-11-15
✏Pages : 186
✏ISBN : 9780199212613
✏Available Language : English, Spanish, And French

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✏Pain in Older People Book Summary : Pain in later life is both quite common and disabling, and it differs significantly in terms of its aetiology, diagnosis and treatment from pain in the general adult population. Older people often have complicated co-morbidities, have a high prevalence of mental health problems (e.g., anxiety, cognitive impairment, and depression) and respond to treatment in different ways compared to younger people. Their specific needs are rarely discussed specifically in more general texts.Part of the "Oxford Pain Management Library," this pocketbook will serve as a concise companion for healthcare professionals who manage older patients suffering with pain. Concise chapters will summarise up-to-date research literature in a practical style that will have direct relevance to busy clinicians. Introductory chapters will include the epidemiology of pain in older people as well as the proper assessment of older patients with pain conditions. Later chapters will focus on specificpainful conditions common in the elderly, including arthritis and rheumatism, osteoporosis, abdominal pain, and cancer.The book will appeal to a wide variety of health care professionals in both primary care and secondary care services such as geriatric medicine, rheumatology, orthopaedics, surgery, pain management and palliative medicine. The book will also be of relevance to nurses, physiotherapists, occupational therapists, clinical psychologists, pharmacists and other health care providers.

Diabetes Mellitus Associated Conditions An Issue Of Endocrinology And Metabolism Clinics Of North America  Book PDF
✏Book Title : Diabetes Mellitus Associated Conditions An Issue of Endocrinology and Metabolism Clinics of North America
✏Author : Leonid Poretsky
✏Publisher : Elsevier Health Sciences
✏Release Date : 2014-03-05
✏Pages : 353
✏ISBN : 9780323287050
✏Available Language : English, Spanish, And French

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✏Diabetes Mellitus Associated Conditions An Issue of Endocrinology and Metabolism Clinics of North America Book Summary : This issue of the Endocrinology and Metabolism Clinics, guest edited by Drs. Leonid Poretsky and Emilia Pauline Liao, will focus on Diabetes Mellitus: Associated Conditions. Articles in this issue include Metabolic syndrome; The role of glucocorticoids and insulin resistance in adipose tissue function and lipid metabolism; Cardiovascular disease; The Relationships between Cardiovascular Disease and Diabetes: Focus on Pathogenesis; Interventions for coronary artery disease; Peripheral Arterial Disease; Hypertension; Sleep apnea; Osteoporosis; Vitamin D deficiency; Diabetes and cancer; Dementia; Depression; and Polycystic Ovary Syndrome.

📒The Encyclopedia Of Elder Care ✍ Eugenia L. Siegler, MD, FACP

The Encyclopedia Of Elder Care Book PDF
✏Book Title : The Encyclopedia of Elder Care
✏Author : Eugenia L. Siegler, MD, FACP
✏Publisher : Springer Publishing Company
✏Release Date : 2007-10-25
✏Pages : 908
✏ISBN : 0826103537
✏Available Language : English, Spanish, And French

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✏The Encyclopedia of Elder Care Book Summary : Focusing on the broad but practical notions of how to care for the patient, The Encyclopedia of Elder Care, a state-of-the-art resource features nearly 300 articles, written by experts in the field. Multidisciplinary by nature, all aspects of clinical care of the elderly are addressed. Coverage includes acute and chronic disease, home care including family-based care provisions, nursing home care, rehabilitation, health promotion, disease prevention, education, case management, social services, assisted living, advance directives, palliative care, and much more! Each article concludes with specialty web site listings to help direct the reader to further resources. Features new to this second edition: More extensive use of on-line resources for further information on topics Thoroughly updated entries and references Inclusion of current research in geriatrics reflecting evidence-based practice New topics, including Assisted Living, Nursing Home Managed Care, Self-Neglect, Environmental Modifications (Home & Institution), Technology, Neuropsychological Assessment, Psychoactive Medications, Pain--Acute and Chronic Still the only reference of it kind, The Encyclopedia of Elder Care will prove to be an indispensable tool for all professionals in the field of aging, such as nurses, physicians, social workers, counselors, health administrators, and more.

📒Before You Take That Pill ✍ J. Douglas Bremner

Before You Take That Pill Book PDF
✏Book Title : Before You Take that Pill
✏Author : J. Douglas Bremner
✏Publisher : Penguin
✏Release Date : 2008-02-28
✏Pages : 448
✏ISBN : 9781440630057
✏Available Language : English, Spanish, And French

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✏Before You Take that Pill Book Summary : A medical expert reveals risks of the most commonly prescribed drugs-and why the drug industry doesn't want consumers to know about them. Recent scandals involving diabetes drugs, Vioxx, and many other medications reveal the serious and undisclosed risks of some of the most commonly used prescription drugs in this country. In Before You Take That Pill, Dr. J. Douglas Bremner, a researcher and clinician at Emory University whose study on Accutane and depression made headlines, offers an inside look at the pharmaceutical industry, as well as a scientifically backed assessment of the risks of more than three hundred prescribed medications, vitamins, and supplements. While many drugs are essential to the health of consumers, as Dr. Bremner explains, for many people, the benefits may not outweigh the potential side effects. This book contains warnings that are not on the drug labels. It also exposes tricks of the trade that demonstrate how the profit-making interests of "big pharma" may not always be in line with the safety of the public - from the corruption that exists in the drug approval process to the tactics drug companies use to encourage doctors to prescribe their products. Most important, Before You Take That Pill empowers readers by giving them sound information on specific medications so they can understand and weigh the potential risk themselves. Backed by the latest studies, as well as insight from a doctor who is in the trenches, this book should be on the shelf of every drug consumer.

Compression Fractures New Insights For The Healthcare Professional 2013 Edition Book PDF
✏Book Title : Compression Fractures New Insights for the Healthcare Professional 2013 Edition
✏Author :
✏Publisher : ScholarlyEditions
✏Release Date : 2013-07-22
✏Pages : 118
✏ISBN : 9781481657969
✏Available Language : English, Spanish, And French

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✏Compression Fractures New Insights for the Healthcare Professional 2013 Edition Book Summary : Compression Fractures: New Insights for the Healthcare Professional: 2013 Edition is a ScholarlyBrief™ that delivers timely, authoritative, comprehensive, and specialized information about Additional Research in a concise format. The editors have built Compression Fractures: New Insights for the Healthcare Professional: 2013 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Additional Research in this book to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Compression Fractures: New Insights for the Healthcare Professional: 2013 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

Anthocyanins In Health And Disease Book PDF
✏Book Title : Anthocyanins in Health and Disease
✏Author : Taylor C. Wallace
✏Publisher : CRC Press
✏Release Date : 2013-09-04
✏Pages : 368
✏ISBN : 9781439894767
✏Available Language : English, Spanish, And French

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✏Anthocyanins in Health and Disease Book Summary : Anthocyanins, polyphenolic compounds abundant in certain foods, are responsible for the orange-red to blue-violet hues evident in many fruits, vegetables, cereal grains, and flowers. Interest in these pigments has intensified due to their potential health-promoting properties as dietary antioxidants, as well as their use as natural dyes in a variet

Year Book Of Sports Medicine 2012 E Book Book PDF
✏Book Title : Year Book of Sports Medicine 2012 E Book
✏Author : Roy J Shephard
✏Publisher : Elsevier Health Sciences
✏Release Date : 2012-07-03
✏Pages : 400
✏ISBN : 9780323089784
✏Available Language : English, Spanish, And French

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✏Year Book of Sports Medicine 2012 E Book Book Summary : The Year Book of Sports Medicine brings you abstracts of articles carefully selected from more than 500 journals worldwide. Expert commentaries evaluate the clinical importance of each article and discuss its application to your practice. Editor-in-Chief Roy Shephard states: ". . . Not only does a team of top international experts select the very best articles from a bewildering plethora of recent information, but their expert critique of the individual papers allows readers to weigh their limitations and understand findings that can enhance their current medical practice." There's no faster or easier way to stay informed! Topics include Epidemiology, Prevention of Injuries, Lesions of Head and Neck; Musculoskeletal Injuries; Biomechanics, Muscle Strength, and Training; Physical Activity, Cardiorespiratory Physiology, and Immune Function; Nutrition and Doping; and Special Considerations: Children, Women, the Elderly, and Special Populations.

📒Osteoporosis ✍ Sarah H. Gueldner, DSN, RN, FAAN, FGSA, FNAP, FAGHE

Osteoporosis Book PDF
✏Book Title : Osteoporosis
✏Author : Sarah H. Gueldner, DSN, RN, FAAN, FGSA, FNAP, FAGHE
✏Publisher : Springer Publishing Company
✏Release Date : 2007-10-19
✏Pages : 280
✏ISBN : 082610343X
✏Available Language : English, Spanish, And French

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✏Osteoporosis Book Summary : Osteoporosis is a preventable disease. But each year some 500,000 people are hospitalized from osteoporosis fractures, and another 180,000 people are placed into nursing homes from injuries due to osteoporosis. What can nurses, clinicians, medical researchers, physiologists, health care policy experts, and other providers do to diminish, if not eradicate, the disease from local to global scales? What are the best methods for care and treatment? Osteoporosis addresses these questions, and more. Designed as a complete reference, Osteoporosis presents vivid explanations plus illustrations of specific surgical procedures to guide in the preparation and post-operative rehabilitation of the patient for surgical repairs of fractures. Chapters also discuss leading components of a patient's recovery, from dietary requirements and exercise, to fall prevention, quality of life and independence issues. The authors highlight disease prevention strategies and various models of community outreach that have proven effective in educating target populations about osteoporosis, encouraging proper lifestyle choices, and helping children to achieve their maximum bone potential at a young age. Osteoporosis can be prevented. Here is the book to help you, and your health care institution, do just that.

Screening To Prevent Osteoporotic Fractures Book PDF
✏Book Title : Screening to Prevent Osteoporotic Fractures
✏Author : Meera Viswanathan
✏Publisher :
✏Release Date : 2018
✏Pages : 441
✏ISBN : OCLC:1081343532
✏Available Language : English, Spanish, And French

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✏Screening to Prevent Osteoporotic Fractures Book Summary : PURPOSE: To review evidence about screening to prevent osteoporotic fractures for the U.S. Preventive Services Task Force (USPSTF). DATA SOURCES: PubMed, the Cochrane Library, Embase, and trial registries from November 1, 2009, through October 1, 2016, and surveillance of the literature through March 23, 2018; bibliographies from retrieved articles. STUDY SELECTION: Two investigators independently selected studies using a priori inclusion and exclusion criteria. We selected studies with a majority of adults age 40 years or older conducted in countries with a very high human development index. For screening studies, we required that studies include a majority of participants without prevalent low-trauma fractures. For treatment studies, we required that studies include a majority of participants with increased fracture risk. We selected studies of screening tests (fracture risk prediction instruments, bone measurement testing, or a combination of fracture risk prediction instruments and bone measurement testing) that were feasible for primary care settings and available in the United States. We selected studies of treatment approved by the U.S. Food and Drug Administration for synthesis of benefits and harms. We excluded studies of poor quality and of fracture risk prediction instruments without external validation. DATA EXTRACTION: One investigator extracted data and a second checked accuracy. Two reviewers independently rated quality for included studies using predefined criteria. DATA SYNTHESIS: One fair-quality trial demonstrated reduction in hip fractures when comparing screening with no screening (2.6% v 3.5%, Hazard rate [HR] 0.72; 95% confidence interval [CI], 0.59 to 0.89). The study reported no other statistically significant benefits (osteoporotic or clinical fractures, mortality) or harms (anxiety, quality of life). We included 168 articles of fair or good quality; 105 articles assessed screening accuracy and 65 articles assessed benefits and harms of treatment. Using centrally measured dual-energy X-ray absorptiometry (DXA) as the reference standard for identifying osteoporosis, the pooled estimate of accuracy as measured by the area under the curve (AUC) for clinical risk assessment instruments for women ranges from 0.65 to 0.76 and for men from 0.76 to 0.80. AUCs for the accuracy of calcaneal quantitative ultrasound in identifying central DXA--measured osteoporosis for women is 0.77 (95% CI, 0.72 to 0.82, 7 studies) and for men is 0.80 (95% CI, 0.67 to 0.94, 3 studies). The AUCs of machine-based tests, including centrally measured DXA (areal bone mineral density and trabecular bone score) and calcaneal quantitative ultrasound, for predicting fractures ranged from 0.59 to 0.86 (21 studies). The AUCs for instruments predicting fractures, some of which incorporate machine-based tests, have similar accuracy (pooled AUC range for the Fracture Risk Assessment Tool: 0.62 to 0.79; 24 studies). Available but limited evidence in studies including participants with a wide spectrum of baseline bone mineral density from normal to osteoporosis suggests no benefit from repeating a bone measurement test between 4 and 8 years after the initial screen. Evidence from placebo-controlled trials demonstrates the following benefits. For women, the risk of vertebral fractures can be reduced by bisphosphonates, parathyroid hormone, raloxifene, and denosumab by 36 percent to 68 percent. Relative risks (RRs) range from 0.32 (parathyroid hormone or denosumab) to 0.64 (raloxifene). The risk of nonvertebral fractures can be reduced by 16 percent to 20 percent by bisphosphonates and denosumab (RR, 0.84 and 0.80, respectively). The risk of hip fractures can be reduced by 40 percent by denosumab (RR, 0.60). Evidence from bisphosphonates does not demonstrate benefit for hip fractures. Evidence is very limited for men. The risk of morphometric vertebral fractures can be reduced by 67 percent by zoledronic acid (RR, 0.33). No studies demonstrate reductions in risk of clinical vertebral fractures or hip fractures for men. Evidence on variations in effectiveness for subgroups is also limited; a single trial each for five drugs suggests no differences in effectiveness by age, baseline bone mineral density, prior fractures, or a combination of risk factors. Bisphosphonates are not consistently associated with discontinuations, serious adverse events, gastrointestinal events, or cardiovascular events. No included studies reported cases of osteonecrosis of the jaw or atypical femur fracture, although evidence from excluded studies (including active comparisons, case series, and secondary prevention populations) suggests an increased but rare risk of these outcomes. Raloxifene increases the risk of deep vein thrombosis (0.7% vs. 0.3%, RR, 2.14; 95% CI, 0.99 to 4.66; I2=0%, 3 studies, N=5,839) and hot flashes (11.2% vs. 7.6%, RR, 1.42; 95% CI, 1.22 to 1.66; I2=0%, 5 trials; N=6,249) when compared with placebo. LIMITATIONS: The evidence is limited on the direct question of the benefits and harms of screening for elevated osteoporotic fracture risk. The indirect evidence pathway rests on studies evaluating (1) the accuracy of screening approaches in identifying osteoporosis and predicting fractures and (2) the benefits of treatment among those with osteoporosis or at high risk for fractures. Other limitations of the evidence base relate to underlying heterogeneity in baseline risk, prior fractures, prior treatment, and duration of followup. CONCLUSIONS: Evidence from one trial of screening to prevent osteoporotic fractures suggests a reduction in hip fractures. The accuracy of clinical risk assessment tools for identifying osteoporosis or predicting fractures generally ranges from very poor (0.50) to good (0.90). Treatments reduce the risk of vertebral and nonvertebral fractures. Studies do not consistently demonstrate an increased risk of harms for drugs, although studies of raloxifene suggest a trend toward higher risk of deep vein thrombosis. Rare harms, such as osteonecrosis of the jaw and atypical femur fractures were not reported in this body of evidence but they may occur. The evidence is limited for subpopulations characterized by age, sex, baseline bone mineral density, and baseline fracture risk.

American Family Physician September 15 2005 Book PDF
✏Book Title : AMERICAN FAMILY PHYSICIAN SEPTEMBER 15 2005
✏Author :
✏Publisher :
✏Release Date : 2005
✏Pages :
✏ISBN :
✏Available Language : English, Spanish, And French

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✏AMERICAN FAMILY PHYSICIAN SEPTEMBER 15 2005 Book Summary :

The Lancet Book PDF
✏Book Title : The Lancet
✏Author :
✏Publisher :
✏Release Date : 2005
✏Pages :
✏ISBN : NWU:35558005276387
✏Available Language : English, Spanish, And French

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✏The Lancet Book Summary :

📒Bmj

Bmj Book PDF
✏Book Title : BMJ
✏Author :
✏Publisher :
✏Release Date : 2008
✏Pages :
✏ISBN : UCLA:L0098928070
✏Available Language : English, Spanish, And French

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✏BMJ Book Summary :

A Comprehensive Guide To Geriatric Rehabilitation Book PDF
✏Book Title : A Comprehensive Guide to Geriatric Rehabilitation
✏Author : Timothy L. Kauffman
✏Publisher : Elsevier Health Sciences
✏Release Date : 2014-09-05
✏Pages : 528
✏ISBN : 9780702060588
✏Available Language : English, Spanish, And French

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✏A Comprehensive Guide to Geriatric Rehabilitation Book Summary : Now in its third edition, this trusted clinical guide enables both the busy practitioner and student to review or to learn about a range of pathologies, conditions, examinations, diagnostic procedures, and interventions that can be effectively used in the physical rehabilitation of older people. It presents a broad overview of age-related physiological changes as well as specific professional discipline perspectives. Organized into eleven distinct and interrelated units, the first unit begins with key anatomical and physiological considerations seen with aging which have significant impact on the older person. The second and third units go on to review important aging-related conditions and disorders of the musculoskeletal and neuromuscular/neurological systems respectively. Neoplasms commonly encountered in older people are the focus of the fourth unit; while aging-related conditions of the cardiovascular, pulmonary, integumentary and sensory systems are presented in units five through seven. Unit eight highlights a range of specific clinical problems and conditions commonly encountered with older patients. Critically, all of these units emphasize important examination and diagnostic procedures needed for a thorough evaluation and stress interventions that can be of significant benefit to the older patient. The ninth unit presents select physical therapeutic interventions that are especially important in managing rehabilitative care. Key societal issues related to aging are discussed in the tenth unit. Finally, the concluding eleventh unit focuses on the successful rehabilitation team that includes both professional and non-professional caregiver members. A trusted guide to the conditions and problems faced when evaluating and treating geriatric patients Extensive coverage over 84 chapters, each written by an expert in the field Includes imaging, vision and the aging ear Cross-referenced - providing the complexity and inter-relatedness of co-morbidities common to aging patients Collaborative international perspective Chapters on the aging spine; frailty; safe pilates for bone health; health care for older people Additional renowned editor - Ronald W. Scott Revised title to reflect the comprehensive scope of content covered (previously entitled Geriatric Rehabilitation Manual)

📒Pharmacotherapy ✍ Joseph T. DiPiro

Pharmacotherapy Book PDF
✏Book Title : Pharmacotherapy
✏Author : Joseph T. DiPiro
✏Publisher : McGraw Hill Professional
✏Release Date : 2011-04-25
✏Pages : 2700
✏ISBN : 9780071784993
✏Available Language : English, Spanish, And French

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✏Pharmacotherapy Book Summary : The landmark text on how to achieve optimal patient outcomes through evidence-based medication therapy Pharmacotherapy: A Pathophysiologic Approach is written to help you advance the quality of patient care through evidence-based medication therapy derived from sound pharmacotherapeutic principles. The scope of this trusted classic goes beyond drug indications and dosages to include the initial selection, proper administration, and monitoring of drugs. You will find everything you need to provide safe, effective drug therapy across the full range of therapeutic categories. This edition is enriched by more than 300 expert contributors, and every chapter has been revised and updated to reflect the latest in evidence-based information and recommendations. Important features such as Key Concepts at the beginning of each chapter, Clinical Presentation tables that summarize disease signs and symptoms, and Clinical Controversies boxes that examine the complicated issues faced by students and clinicians in providing drug therapy make this text an essential learning tool for students, patient-focused pharmacists, and other health care providers. NEW TO THIS EDITION A section on personalized pharmacotherapy appears in most sections All diagnostic flow diagrams, treatment algorithms, dosing guideline recommendations, and monitoring approaches have been updated in full color to clearly distinguish treatment pathways New drug monitoring tables have been added Most of the disease-oriented chapters have incorporated evidence-based treatment guidelines that when available, include ratings of the level of evidence to support the key therapeutic approaches Twenty-four online-only chapters

Current Medical Research And Opinion Book PDF
✏Book Title : Current Medical Research and Opinion
✏Author :
✏Publisher :
✏Release Date : 2004
✏Pages :
✏ISBN : UCLA:L0090454489
✏Available Language : English, Spanish, And French

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✏Current Medical Research and Opinion Book Summary :

📒Rheumatology E Book ✍ Marc C. Hochberg

Rheumatology E Book Book PDF
✏Book Title : Rheumatology E Book
✏Author : Marc C. Hochberg
✏Publisher : Elsevier Health Sciences
✏Release Date : 2014-06-24
✏Pages : 2112
✏ISBN : 9780702063039
✏Available Language : English, Spanish, And French

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✏Rheumatology E Book Book Summary : Stay current in the ever-changing discipline of rheumatology with clear, reliable guidance from Hochberg’s Rheumatology, one of the most respected and trusted sources in the field. Designed to meet the needs of the practicing clinician, this medical reference book provides extensive, authoritative coverage of rheumatic diseases from basic scientific principles to practical points of clinical management in a lucid, logical, user-friendly manner. Track disease progression and treat patients more effectively with the information on genetic findings, imaging outcomes, cell and biologic therapies, rheumatoid arthritis, and SLE. Incorporate recent findings about pathogenesis of disease; imaging outcomes for specific diseases like RA, osteoarthritis, and spondyloarthropathies; cell and biologic therapies; and other timely topics. Remain up to date on the latest information in rheumatology through 13 brand-new chapters covering biomedical and translation science, disease and outcome assessment, new imaging modalities, early emerging disease, clinical therapeutics, patient management, and rehabilitation. Take advantage of expanded coverage of small molecule treatment, biologics, biomarkers, epigenetics, biosimilars, and cell-based therapies. Focus on the core knowledge needed for successful results with each chapter co-authored by an internationally-renowned specialist in the field. Easily find the information you need thanks to a consistent, user-friendly format with templated content and large-scale images.

Secondary Prevention In Coronary Artery Disease And Myocardial Infarction Book PDF
✏Book Title : Secondary Prevention in Coronary Artery Disease and Myocardial Infarction
✏Author : P. Mathes
✏Publisher : Springer Science & Business Media
✏Release Date : 2012-12-06
✏Pages : 420
✏ISBN : 9789400950245
✏Available Language : English, Spanish, And French

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✏Secondary Prevention in Coronary Artery Disease and Myocardial Infarction Book Summary : Despite considerable effort in primary prevention, coronary heart disease continues to be the leading cause of death in the industrialized nations. The patient who survives his first myocardial infarction carries approximately a tenfold risk of recurrence and sudden death when compared to the normal population. The concept of secondary prevention, therefore, has emerged as an active strategy aimed at the reduction of fatal and non-fatal recurrences of myocardial infarction. Apart from risk factors of relevance in primary prevention, secondary prevention is dependent on the extent of the disease itself; in other words the number of vessels involved, the extent of myocar dial damage and the degree of electrical instability. Nonmedical aspects such as the level of education, the degree of social support and the attitude towards stress also appear to influence the prognosis. The aim of this volume is to bring together all those factors relevant to achieving the maximal life span in patients afflicted with a disease that by its very nature is a lifelong process. However, as the late Paul Dudley White stated appropriately more than 40 years ago, it is not sufficient merely to add years to a life, one should also add life to the years. This concept truly is the nucleus of secondary prevention, sine only a life worth living generates the motivitation needed to take all the steps necessary in secondary pre vention. The authors and the editor are most grateful to Pharma Schwarz Inc.

Medical Problems In Women Over 70 Book PDF
✏Book Title : Medical Problems in Women over 70
✏Author : Margaret Rees
✏Publisher : CRC Press
✏Release Date : 2007-05-30
✏Pages : 247
✏ISBN : 0203928970
✏Available Language : English, Spanish, And French

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✏Medical Problems in Women over 70 Book Summary : Care of the older person is characterized by increasing incidence of chronic and acute diseases, with many patients suffering from several conditions simultaneously. The susceptibility to disease increases not only because of physiological factors relating to the aging process, but also due to changes in lifestyle, such as decreased mobility. These factors are particularly true of women, who tend to live longer and who undergo more dramatic physiologic changes, such as those associated with the menopause. This book is designed to educate gynecologists and other healthcare professionals about these issues. It draws upon the experience of specialists in a variety of clinical and non-clinical specialities, reviews current knowledge of the problems encountered in caring for the elderly female patient, and suggests guidelines for best practice.

Current Diagnosis And Treatment Geriatrics 3 E Book PDF
✏Book Title : Current Diagnosis and Treatment Geriatrics 3 e
✏Author : Anna Chang
✏Publisher : McGraw Hill Professional
✏Release Date : 2020-07-15
✏Pages : 736
✏ISBN : 9781260457094
✏Available Language : English, Spanish, And French

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✏Current Diagnosis and Treatment Geriatrics 3 e Book Summary : The definitive guide to safe, effective care of older adults—updated with important new content and streamlined for quick access Covers the complete range of topics in geriatric care, including theory and fundamentals, assessment, conditions, diseases, symptoms, policies, and societal issues that affect older patients Provides a framework for using the functional and cognitive status, prognosis, and social context of patients to guide diagnosis and treatment of medical conditions Delivers essential information on important topics such as delirium, cognitive impairment, dementia, falls and mobility disorders, Parkinson disease and other movement disorders, sleep disorders, and arthritis Includes guidance on care in all settings – clinic, home, hospital, and long-term care, as well as pre- and post-operative settings New content on technology to enhance geriatric care, caregiving support, the unique needs of older immigrants, Medicare and Medicaid, legal issues and conservatorship, aid in dying, assisted living care, short-stay rehabilitation, prostate cancer, marijuana use, syncope, and driving safety

Principles And Practice Of Geriatric Medicine Book PDF
✏Book Title : Principles and Practice of Geriatric Medicine
✏Author : M. S. J. Pathy
✏Publisher : John Wiley & Sons
✏Release Date : 2006
✏Pages : 2016
✏ISBN : CHI:75030763
✏Available Language : English, Spanish, And French

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✏Principles and Practice of Geriatric Medicine Book Summary : The fourth edition of 'Principles and Practice of Geriatric Medicine' provides an account of the fundamental changes associated with ageing, which are essential to our understanding and management of the elderly sick population. The title has been updated to reflect in treatment options and medical conditions.

📒The Lame Horse ✍ James R. Rooney

The Lame Horse Book PDF
✏Book Title : The Lame Horse
✏Author : James R. Rooney
✏Publisher : The Russell Meerdink Company Ltd.
✏Release Date : 1998
✏Pages : 261
✏ISBN : 0929346556
✏Available Language : English, Spanish, And French

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✏The Lame Horse Book Summary :

Current Concepts In The Treatment Of Distal Radius Fractures An Issue Of Hand Clinics E Book Book PDF
✏Book Title : Current Concepts in the Treatment of Distal Radius Fractures An Issue of Hand Clinics E Book
✏Author : Kevin C. Chung
✏Publisher : Elsevier Health Sciences
✏Release Date : 2012-06-08
✏Pages : 164
✏ISBN : 9781455745616
✏Available Language : English, Spanish, And French

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✏Current Concepts in the Treatment of Distal Radius Fractures An Issue of Hand Clinics E Book Book Summary : The distal radius is one of the most common fracture sites reported. There are a wide variety of therapeutic options available to treat this injury, but little data to determine which strategies provide the best long term functional outcomes. This volume utilizes the technical expertise from experts based around the world to provide a deep understanding of the current trends and evidence concerning this prevalent injury.

Wear And Fracture Prevention Book PDF
✏Book Title : Wear and Fracture Prevention
✏Author :
✏Publisher : Asm International
✏Release Date : 1981
✏Pages : 307
✏ISBN : WISC:89007074222
✏Available Language : English, Spanish, And French

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✏Wear and Fracture Prevention Book Summary :

📒Osteoporosis ✍ Cyrus Cooper

Osteoporosis Book PDF
✏Book Title : Osteoporosis
✏Author : Cyrus Cooper
✏Publisher : Elsevier Science Health Science Division
✏Release Date : 2006
✏Pages : 198
✏ISBN : UOM:39015073913454
✏Available Language : English, Spanish, And French

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✏Osteoporosis Book Summary : This prestigious text offers the most up-to-date advice on the identification and management of osteoporosis. Derived from the highly acclaimed journals Best Practice and Research - Clinical Endocrinology & Metabolism and Best Practice and Research - Rheumatology this fully updated volume provides a logical progression through definition, diagnosis, epidemiology, as well as the latest advice on disease prevention, treatment and screening. Fully illustrated throughout, the book draws upon the expertise of some of the world's leading experts in the field, providing a publication that gives a truly international perspective to the management of osteoporosis. Full reference to the latest clinical research New chapters on risk assessment and the cost-effectiveness of interventions for the prevention and treatment of osteoporosis Cochrane Reviews, when relevant The provision of boxed and bulleted Research Agenda and Practice Points Reference to national and international guidelines