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CBT, drugs effective for insomnia
For treatment of insomnia, evidence supports the efficacy of cognitive behavioral therapy (CBT), as well as benzodiazepine receptor agonists, concludes an independent panel of the National Institutes of Health, which created recommendations.
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Managing hyperglycemia in CAP
Fluoroquinolones are associated with rare dysglycemic events, especially in older, Type 2 diabetes patients with renal insufficiency. Hyperglycemia typically develops after three or four days of treatment and is more common than hypoglycemia. The hyperglycemia mechanism is unclear but is hypothesized as secondary to an unopposed anti-insulin rebound response to an initial insulin surge.
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Mental health promotion in older adults: Addressing treatment approaches and available screening tools
Twenty percent of the adult population over age 65 has a mental illness.1 As the population of older adults increases, the number of individuals with a mental health disorder will more than double to 15 million by 2030.
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Evaluating drivers
Elderly drivers have the highest rate of traffic fatalities to miles driven. Taken as a whole, however, most elderly people drive safely and responsibly. Further, they have been driving for a long time—most have safely operated motor vehicles for 40 to 50 years. And yet, as the number of older adult drivers increases, distinguishing those who are safe from those who are unsafe will become an increasing public health challenge. More than likely, physicians will be on the front lines of managing this task.
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