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Researchers have identified a pathway from an individual’s inhibition to anxiety to inflammation to diabetes. Literature documents the fact that people with poor inhibition are more likely to have stressful thoughts, leading to anxiety. A new study shows a metabolic chain reaction that is associated with an increased likelihood of diabetes and high blood glucose. In addition to reading our e-newsletter, be sure to visit Today’s Geriatric Medicine’s website at www.TodaysGeriatricMedicine.com, where you’ll find news and information that’s relevant and reliable. We welcome your feedback at TGMeditor@gvpub.com. Follow Today’s Geriatric Medicine on Facebook and Twitter, too. — Barbara Worthington, editor New Study Suggests Stress-Diabetes Link A Rice University study has found a link between emotional stress and diabetes, with roots in the brain’s ability to control anxiety. That control lies with the brain’s executive functions, processes that handle attention, inhibition, working memory, and cognitive flexibility. Additionally they are involved in reasoning, problem solving, and planning. The study, published in Psychoneuroendocrinology, establishes a metabolic chain reaction that starts with low inhibition, also known as attention control, which leaves an individual vulnerable to tempting or distracting information, objects, thoughts, or activities. Previous studies have shown that such vulnerability can lead to more frequent anxiety, and anxiety is known to activate a metabolic pathway responsible for the production of proinflammatory cytokines, signaling proteins that include interleukin-6 (IL-6). Full story » Diabetes-Related Foot Ulcers: Prevention and Treatment Routine comprehensive foot examination and risk assessment are essential to preventing diabetes-related lower extremity complications and formidable foot ulcerations. Read more » Polypharmacy: Strategies for Reducing the Consequences of Multiple Medications Conducting medication reconciliations at care transitions, eliminating duplicate medications, assessing for drug-drug interactions, and reviewing dosages can reduce the incidence of polypharmacy, ensure patient safety, reduce hospitalizations, and decrease associated costs. Read more » Frozen Fecal Microbiota Transplantation Fecal microbiota transplantation, an alternative to antibiotic therapy, is the most efficacious treatment in curing recurrent Clostridium difficile infection as it restores the healthy microbiota needed to combat these pathogens. Read more »   New Study Suggests Stress-Diabetes Link Diabetes-Related Foot Ulcers: Prevention and Treatment Polypharmacy: Strategies for Reducing the Consequences of Multiple Medications Frozen Fecal Microbiota Transplantation The Viral and Bacterial Links to the Brain’s Decline More Men With Early Prostate Cancer Are Choosing to Avoid Treatment Harvard Researchers Unveil New Alzheimer’s Theory Fearing Drugs’ Rare Side Effects, Millions Take Their Chances With Osteoporosis Geriatrics Consult With Rosemary Laird, MD Tech & Tools WoundRounds WoundRounds has developed a built-in tool for scheduling Braden Risk Assessments, allowing wound care clinicians to monitor and individualize patient risk assessment schedules for the prevention of pressure ulcers. Although many electronic medical records systems offer methods to document Braden scores, WoundRounds enhances the process by prompting clinicians with alerts for Braden Risk Assessments that are due each day or noting which assessments are overdue. Dashboards allow managers to monitor alerts. The new tool offers options to standardize risk assessment frequency based on Centers for Medicare & Medicaid Services guidelines and to modify intervals based on patients’ needs. Learn more » NURO System Medtronic announces the debut of its NURO System for the treatment of patients with overactive bladder, who experience urinary urgency, urinary frequency, and urge incontinence. Results are achieved by inserting a thin needle into the skin near the ankle and attaching to it an electrode from the NURO. During 30-minute weekly sessions designed to be administered for 12 weeks the device sends electric current pulses. In clinical trials percutaneous tibial neuromodulation reduced incontinence episodes and voids per day, reduced urgency, and offered long-term relief. The system appears to rewire a communication inconsistency between the bladder and the brain by sending electric pulses that are simultaneously received by the brain and the bladder. Learn more »

The nation's top employers and recruiters of geriatric care professionals advertise in Today's Geriatric Medicine magazine and post their job openings on AlliedHealthCareers.com. Check out the most recent opportunities that have been submitted by employers across the country! Geriatrician—Reading Health System, West Reading, PA Geriatrician—Essentia Health, Detroit Lakes & Park Rapids, MN Geriatrician—Main Line Health, Philidelphia, PA Geriatric Physician—Mercy Health, Lake Michigan BE/BC Geriatrician—Carle Physician Group, Champaign-Urbana, IL BE/BC Geriatrician—Greenville Health, Greenville SC Physician, Psychologist, Nurse Practitioner, Physician Assistant IPC Healthcare, Nationwide Safe Travel Tips for Older Adults Vaccinations, the effect of time zones on medication schedules, and a host of other factors are important for patients to bear in mind during vacation season. For patients who are traveling this summer, provide the following tips to help ensure their health and safety while they’re away from home. www.healthinaging.org/files/documents/tipsheets/safe_travel.pdf. — Rosemary Laird, MD, MHSA, AGSF, is a geriatrician, executive medical director of senior services for Florida Hospital at Winter Park, and past president of the Florida Geriatrics Society. She is a coauthor of Take Your Oxygen First: Protecting Your Health and Happiness While Caring for a Loved One With Memory Loss. Have a question you want answered by one of our experts? Send your question to TGMeditor@gvpub.com and it may be featured in an upcoming e-newsletter or print issue. Have a product or service you want to market to geriatricians, other physicians and the geriatric care team of professionals who treat aging patients? Are you a recruiter looking to fill the many geriatric professional openings within a facility, physician practice or academic institution? Then utilize the reach of Today's Geriatric Medicine to accomplish your marketing goals and fill any open positions. Coming up in our September/October issue is our Fall Risk Showcase. Contact sales for more information. A resource for professionals looking for new opportunities, as well as those physicians just curious to see what's out there, our Physician Recruitment Center gives physician recruiters a powerful tool to fill partnership opportunities, academic appointments, and hospital staff positions. To support your product marketing or recruiting needs, e-mail our experienced account executives today at sales@gvpub.com for more information or call 800-278-4400!   The Viral and Bacterial Links to the Brain’s Decline An article in Newsweek suggests that germs and microbes may lie dormant in the body for years, all the while damaging the brain and possibly leading to dementia. More Men With Early Prostate Cancer Are Choosing to Avoid Treatment After years of study, experts now recommend active surveillance of men with early-stage prostate cancer, according to an article in The New York Times. Harvard Researchers Unveil New Alzheimer’s Theory In a novel research theory, scientists believe the body’s immune system may play a key role in developing Alzheimer’s disease, according to an article from USA Today. Fearing Drugs’ Rare Side Effects, Millions Take Their Chances With Osteoporosis For osteoporosis patients, whether or not to take bisphosphonates is a decision involving tough choices, according to an article in The New York Times. Set up Job Alerts and create your online Résumé to let potential employers find you today! A Secure, Anonymous Résumé Bank Job Alerts Sent to Your E-mail