Cholinesterase inhibitors

..69% relative risk of bradycardia, 49% and 18% RR for pacemaker and hip fracture. A review of Ontario data does little to encourage use in this class.

sleepovers

...this is one way, typical I suppose of a 'me-first' culture. Another would be to work as a care aide and see it from both sides across a variety of care recipients.

Ontario readies itself for growth

....1 billion over 4 years, is it enough?

The protective power of contract bridge

.....'the evidence suggests that people who spend long stretches of their days, three hours and more, engrossed in some mental activities like cards may be at reduced risk of developing dementia. Researchers are trying to tease apart cause from effect: Are they active because they are sharp, or sharp because they are active?'

vitamin D and fracture prevention

......this meta-analysis is a further look at vitamin D and fracture prevention. NNT = 93 over 12 months for non vertebral fracture prevention. The addition of calcium did not improve results.

Bisphosphonates: Controversies and Clarifications

....an argument in favour of a 5 year course ( from the FLEX study at least)

MDRGN bacteria more prevalent than MRSA in long-term care facilities, new report suggests

....mover over MRSA

personal care aides

.......According to a HHS survey more than 50% of care aides ( certified nursing assistants) were injured on the job last year. The backbone of the industry receive a median wage of $10 an hour. 16% have no health insurance and 33% receive 'other' financial assistance such as food stamps or rent subsidies.

Patient-centeredness

......Dr Don Berwick , the 'extremist' , saying it like it is.

possible link between atrial fibrillation and alzheimer's

.......the plot thickens

zoledronic acid improves mortality in hip fractures with lower comorbidity scores

28% mortality reduction in the treatment group