What's New | Decker

2016 EAST practice management guideline on prevention of fall-related injuries in the elderly
2016 CTF on Preventive Health Care recommendations on screening for cognitive impairment in older adults
2016 USPSTF recommendation statement on screening for depression in adults
2015 AGS Beers criteria for potentially inappropriate medication use in older adults
2016 AAO preferred practice guideline on comprehensive adult medical eye evaluation

2016 EAST practice management guideline on prevention of fall-related injuries in the elderly
2016 CTF on Preventive Health Care recommendations on screening for cognitive impairment in older adults
2016 USPSTF recommendation statement on screening for depression in adults
2015 AGS Beers criteria for potentially inappropriate medication use in older adults
2016 AAO preferred practice guideline on comprehensive adult medical eye evaluation

2016 EAST practice management guideline on prevention of fall-related injuries in the elderly
2016 CTF on Preventive Health Care recommendations on screening for cognitive impairment in older adults
2016 USPSTF recommendation statement on screening for depression in adults
2015 AGS Beers criteria for potentially inappropriate medication use in older adults
2016 AAO preferred practice guideline on comprehensive adult medical eye evaluation

Ultrasonography criteria for the diagnosis of early pregnancy loss have recently been redefined.
Medical and surgical management are safe and effective, and should be influenced largely by patient preference.
Recommendations regarding interval to next conception have recently shifted away from the traditional 3 months.

For children to be diagnosed with GD, they must meet at least six of eight criteria (for at least 6 months), one of them being a desire to be another gender or insistence that one is another gender
Patients who do not meet the full criteria for GD (eg, if symptoms last < 6 months) may be given a diagnosis of “other specified gender dysphoria” or “unspecified gender dysphoria”
Although the etiology of GD is not well understood, various psychosocial and biological theories have been proposed. One theory suggests that in utero exposure to steroid hormones plays a role in the masculinization or feminization of certain brain regions, such as the hypothalamus

For children to be diagnosed with GD, they must meet at least six of eight criteria (for at least 6 months), one of them being a desire to be another gender or insistence that one is another gender
Patients who do not meet the full criteria for GD (eg, if symptoms last < 6 months) may be given a diagnosis of “other specified gender dysphoria” or “unspecified gender dysphoria”
Although the etiology of GD is not well understood, various psychosocial and biological theories have been proposed. One theory suggests that in utero exposure to steroid hormones plays a role in the masculinization or feminization of certain brain regions, such as the hypothalamus

Several clinical prediction scores have been developed to risk-stratify patients presenting with upper gastrointestinal bleeding (UGIB) and can help guide the sequence of diagnostic tests and subsequent management. The two most commonly used are the Glasgow-Blatchford score and Rockall score. These scoring systems are designed to aid in the identification of patients who will require acute interventions and determine the risk of rebleeding and mortality.
Endoscopic intervention is beneficial in high-risk patients with UGIB, reducing the rate of rebleeding, the need for surgical intervention, and mortality. Recent advances in the use of combination therapies and newer mechanical means of hemostasis have increased the success of endoscopic management.
Contrast-enhanced, multiphase computed tomography (CT) techniques have improved dramatically over the last decade. CT serves as an excellent complementary test to endoscopic techniques in the management of the hemodynamically stable patient.
Transcatheter angiographic embolization is an attractive alternative to surgical intervention in select patients. Advances in catheter-based delivery systems have increased the success rate of angiographic embolization, particularly in patients who have a failed second attempt at endoscopic hemostasis.

Geriatric Medicine