Anemia and response to epoetin alfa: the cause of anemia matters!T S Dharmarajan
J Am Geriatr Soc 56:1574-5. 2008
- Approaches to vitamin B12 deficiency. Early treatment may prevent devastating complications
T S Dharmarajan
Division of Geriatrics, Our Lady of Mercy Medical Center, 4141 Carpenter Ave, Bronx, NY 10466, USA
Postgrad Med 110:99-105; quiz 106. 2001
..If the disorder is untreated, complications may cause significant morbidity. In this article, Drs Dharmarajan and Norkus discuss approaches to screening and diagnosis as well as the nontoxic, low-cost treatments now available...
- Anticoagulation in atrial fibrillation: what decides? Patient status, provider opinion, or both?
T S Dharmarajan
J Am Med Dir Assoc 7:335. 2006
- Anemia: its impact on hospitalizations and length of hospital stay in nursing home and community older adults
T S Dharmarajan
Department of Medicine, Our Lady of Mercy Medical Center, Bronx, NY, USA
J Am Med Dir Assoc 9:354-9. 2008
..To examine the association between anemia and its severity on hospitalizations and length of stay (LOS) in hospital in older adults...
- Prevention of venous thromboembolism: practice patterns in 17 geographically diverse long term care facilities in the United States: part 1 of 2 (an AMDA Foundation project)
T S Dharmarajan
New York Medical College and Montefiore Medical Center North, Bronx, NY, USA
J Am Med Dir Assoc 13:298-302. 2012
..This report represents a summary of current practice patterns to prevent VTE in long term care as Phase 1 of a 3-phase educational intervention study. PHASE 1..
- Prevention of venous thromboembolism in long term care: results of a multicenter educational intervention using clinical practice guidelines: part 2 of 2 (an AMDA Foundation project)
T S Dharmarajan
New York Medical College and Montefiore Medical Center North, Bronx, NY, USA
J Am Med Dir Assoc 13:303-7. 2012
..This article examines VTE-P practices in LTCF before and after educational intervention to bring practice patterns consistent with CPGs...
- Chronic kidney disease staging in nursing home and community older adults: does the choice of cockcroft-gault, modification of diet in renal disease study, or the chronic kidney disease epidemiology collaboration initiative equations matter?
T S Dharmarajan
Department of Medicine, Montefiore Medical Center North Division, Bronx, NY, USA
J Am Med Dir Assoc 13:151-5. 2012
..To compare the chronic kidney disease (CKD) stages derived from GFR estimates using 3 different formulae in a sample of older adults from the community and long term care settings...
- Hip fracture. Risk factors, preoperative assessment, and postoperative management
T S Dharmarajan
Department of Medicine, Our Lady of Mercy Medical Center, Bronx, New York, USA
Postgrad Med 119:31-8. 2006
..A key role is the coordination of a multidisciplinary team to ensure optimum outcome...
- Anemia increases risk for falls in hospitalized older adults: an evaluation of falls in 362 hospitalized, ambulatory, long-term care, and community patients
T S Dharmarajan
Department of Medicine, Our Lady of Mercy Medical Center, Bronx, NY, USA
J Am Med Dir Assoc 7:287-93. 2006
..All individuals were hospitalized for acute conditions not related to a fall...
- Erythropoiesis-stimulating agents in anemia: use and misuse
T S Dharmarajan
New York Medical College, Valhalla, NY Department of Medicine, Division of Geriatrics, and Geriatric Medicine Fellowship Program, Montefiore Medical Center North Division, Bronx, NY, USA
J Am Med Dir Assoc 10:607-16. 2009
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- Vitamin D deficiency in community older adults with falls of gait imbalance: an under-recognized problem in the inner city
T S Dharmarajan
New York Medical College, USA
J Nutr Elder 25:7-19. 2005
..Our pilot study determined the vitamin D status in older, inner city community adults with features suggestive of vitamin D deficiency...
- Anemia increases risk for falls in hospitalized older adults: an evaluation of falls in 362 hospitalized, ambulatory, long-term care, and community patients
T S Dharmarajan
Department of Medicine, Our Lady of Mercy Medical Center, Bronx, NY, USA
J Am Med Dir Assoc 8:e9-e15. 2007
..All individuals were hospitalized for acute conditions not related to a fall...
- Anemia in the long-term care setting: routine screening and differential diagnosis
T S Dharmarajan
Department of Medicine, Our Lady of Mercy Medical Center, Bronx, New York, USA
Consult Pharm 23:5-10. 2008
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- To anticoagulate or not to anticoagulate? A common dilemma for the provider: physicians' opinion poll based on a case study of an older long-term care facility resident with dementia and atrial fibrillation
T S Dharmarajan
Our Lady of Mercy Medical Center, Bronx, NY, USA
J Am Med Dir Assoc 7:23-8. 2006
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- Dialysis in the old: a centenarian nursing home resident with end-stage renal disease
T S Dharmarajan
Division of Geriatrics, Division of Nephrology, Our Lady of Mercy Medical Center, Bronx, NY, USA
J Am Med Dir Assoc 5:186-91. 2004
..Renal replacement therapy can enhance quality of life and function even in the old. A review of select literature pertinent to ESRD in the geriatric population follows...
- Life-threatening, preventable hyperkalemia in a nursing home resident: case report and literature review
T S Dharmarajan
New York Medical College, Valhalla, NY, USA
J Am Med Dir Assoc 6:400-5. 2005
..Also included is a review of literature illustrating alterations in potassium regulation in older adults and a suggested approach to potassium-related disorders in the nursing home setting...
- Mild anemia and the risk of falls in older adults from nursing homes and the community
T S Dharmarajan
Department of Medicine and Medical Research, Our Lady of Mercy Medical Center, Bronx, NY 10466, USA
J Am Med Dir Assoc 5:395-400. 2004
..The objectives of this study were to determine if a relationship exists between a history of falls and anemia in older adults and to compare the findings by place of residence...
- Gastrostomy, esophagitis, and gastrointestinal bleeding in older adults
T S Dharmarajan
Division of Geriatrics, Department of Medicine, Our Lady of Mercy Medical Center, Bronx, NY, USA
J Am Med Dir Assoc 5:228-32. 2004
..The association of PEG with upper gastrointestinal bleeding (UGIB) and role of gastroesophageal reflux disease (GERD) in relation to UGIB in patients with PEG are not well known...
- Warfarin: implementing its safe use in hospitalized patients from nursing homes and community through a performance improvement initiative
T S Dharmarajan
Department of Medicine, Montefiore Medical Center North, Bronx, NY, USA
J Am Med Dir Assoc 12:518-23. 2011
..Despite these guidelines, adverse events (bleeding) are common. This initiative, in an academic hospital, tracked warfarin use before and after using a PI process aimed at improving safe use of warfarin in hospitalized adults...
- Adverse consequences with use of erythropoiesis-stimulating agents in anemia prompt release of guidelines to ensure safe use and maximize benefit
T S Dharmarajan
New York Medical College, Valhalla, New York, USA
Geriatrics 63:13-29. 2008
..When prescribing ESAs, indications, requirements to monitor laboratory parameters (hemoglobin levels and ferrokinetics), and clinical status need to be stringently followed...
- Percutaneous endoscopic gastrostomy and outcome in dementia
T S Dharmarajan
Department of Medicine, Our Lady of Mercy Medical Center, Bronx, New York 10466, USA
Am J Gastroenterol 96:2556-63. 2001
..A brief discussion on ethical and legal aspects is included. Much of the data do not suggest that outcome in dementia is favorably improved after percutaneous gastrostomy...
- Does anemia matter? Anemia, morbidity, and mortality in older adults: need for greater recognition
T S Dharmarajan
New York Medical College, Valhalla, NY, USA
Geriatrics 60:22-7, 29. 2005
..A cause is discernible in at least two-thirds of cases; management involves addressing the underlying disease process, replacement of deficient nutrients or the use of erythropoietic factors...
- Pause before a PEG: A feeding tube may not be necessary in every candidate!
Krishna P Aparanji
Montefiore Medical Center, Bronx, NY 10466, USA
J Am Med Dir Assoc 11:453-6. 2010
..Our case illustrates the story of a nursing home resident in whom an organized approach determined a reversible basis for his inability to feed and the potential to avoid tube insertion...
- Do acid-lowering agents affect vitamin B12 status in older adults?
T S Dharmarajan
Department of Medicine, Our Lady of Mercy Medical Center, Bronx, NY, USA
J Am Med Dir Assoc 9:162-7. 2008
..Participants: A cross-sectional sample of 659 adults, 60 to 102 years, from long-term care facilities and community ambulatory care (C) in the Bronx...
- Vitamin B12 deficiency. Recognizing subtle symptoms in older adults
T S Dharmarajan
New York Medical College, Valhaila, NY, USA
Geriatrics 58:30-4, 37-8. 2003
..The roles of B12 deficiency, elevated homocysteine and elevated methylmalonic acid in various disease states are still evolving. Timely screening and replacement of vitamin B12 will help prevent many complications...
- The growing problem of pressure ulcers. Evaluation and management for an aging population
T S Dharmarajan
Division of Geriatrics, Department of Medicine, Geriatric Medicine Fellowship Program, Our Lady of Mercy Medical Center, 4141 Carpenter Ave, Bronx, NY 10466, USA
Postgrad Med 113:77-8, 81-4, 88-90. 2003
..They also can be a quality indicator of the preventive measures taken in healthcare facilities. In this article, Drs Dharmarajan and Ahmed present guidelines for the prevention and treatment of pressure ulcers...
- Tube feeding in the elderly. The technique, complications, and outcome
T S Dharmarajan
New York Medical College, Valhalla, New York, USA
Postgrad Med 115:51-4, 58-61. 2004
..However, patients should be monitored for tolerance and complications and assessed for a possible return to oral feeding. The joy of eating, one of the pleasures in life, should not be denied if at all possible...
- Serum lutein response is greater from free lutein than from esterified lutein during 4 weeks of supplementation in healthy adults
Edward P Norkus
Dept of Medical Research, Montefiore Medical Center North Division, 600 East 233rd Street, Bronx, NY 10466, USA
J Am Coll Nutr 29:575-85. 2010
..Current data suggest great variability in serum response following lutein ingestion from various sources...
- Geriatric medicine programs in India: has the time arrived?
T S Dharmarajan
New York Medical College, Division of Geriatrics, Our Lady of Mercy Centre, Bronx, USA
J Assoc Physicians India 50:696-701. 2002
..The review attempts to address some of these issues and makes pertinent recommendations, based on the author's own experiences in developing a large geriatric program with all necessary components in the last decade...
- Falls and fractures linked to anemia, delirium, osteomalacia, medications, and more: the path to success is strewn with obstacles!
T S Dharmarajan
J Am Med Dir Assoc 8:549-50. 2007
- Low-molecular-weight heparin and bleeding: how do we lower risk but maintain benefit?
T S Dharmarajan
Ann Intern Med 145:789-90. 2006
- Urgent surgery in a near supercentenarian nursing home resident: possible with favorable outcome!
T S Dharmarajan
J Am Med Dir Assoc 8:543-4. 2007
- Use of radial artery for hemodialysis access: does age affect artery flow and utility?
T S Dharmarajan
Arch Surg 139:1025. 2004
