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Today's Geriatric Medicine
E-Newsletter    August 2023
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Editor's E-Note

Why do some people experience more severe psoriasis than others? A new study led by researchers at NYU Grossman School of Medicine explores the activity of key cells and signaling pathways to understand the difference between mild and severe disease. The study further points to reasons why psoriasis may trigger psoriatic arthritis and other diseases.

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.

— Kate Jackson, editor
In This E-Newsletter

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E-News Exclusive
Study Helps Explain What Drives Psoriasis Severity & Offers Clues as to How Disease May Spread to Other Body Parts

Beneath and beyond the reddish, flaky lesions that form in the skin of those with psoriasis, mild and severe forms of the disease can be told apart by the activity of key cells and signaling pathways, a new study shows.

Led by researchers at NYU Grossman School of Medicine, the study mapped hidden features of inflammation and how they compared in cases of increasing severity of psoriatic disease. The team’s findings may help explain how small areas of skin inflammation can have wide-ranging effects in other parts of the body. Up to one-fifth of those with the skin disease, the researchers note, go on to develop inflammation in the joints or psoriatic arthritis. The study results, they say, may also offer clues as to why psoriasis can trigger this and other conditions, such as type 2 diabetes, heart disease, and inflammatory bowel disease.

Published online June 2 in the journal Science Immunology, the new analyses revealed that the location of clusters of cells called fibroblasts, key regulators of inflammation, along with macrophages, a type of white blood cell, varied and were more common in upper layers of the skin in more-severe cases of psoriasis.

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Better Care for Older Adults
In an opinion piece in Inforum, Donald A. Jurivich, DO, an Eva Gilbertson Distinguished Professor of Geriatrics at the University of North Dakota School of Medicine and Health Sciences in Grand Forks, argues that healthy longevity in the United States trails behind that of other countries and calls for the implementation of best practices in four categories he describes as the “Geriatric 4Ms”.

Burnout Threatens Primary Care Workforce and Doctors’ Mental Health
KFF Health News reports on burnout among health care providers—an age-old problem, but one that’s been exacerbated by the effects of the pandemic.

Shoring Up the Geriatric Medicine Workforce
The combination of a dwindling physician workforce and a lack of student interest in the field of geriatrics leaves older adults vulnerable. HealthLeaders reports on the way some providers are teaming with institutions of higher education to make the field more appealing.

Pain Not Perceived in the Same Way in People With Alzheimer's Disease
A new British study published in Nature Communications indicates that people with Alzheimer’s disease may perceive pain differently than do those without the disease, suggesting that pain may need to be managed differently in order to improve their well-being.

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Industry Perspectives
Screening People With Diabetes for NAFLD
“Liver disease is increasingly being recognized as a major complication of diabetes,” says Robert Gabbay, MD, PhD, FACP, chief scientific and medical officer at the American Diabetes Association. Therefore, the association has issued new guidelines recommending that all people with diabetes be screened for nonalcoholic fatty liver disease and nonalcoholic steatohepatitis, and emphasizing appropriate management modalities. Learn more »
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