Psychotropic-related hip fractures: meta-analysis of first-generation and second-generation antidepressant and antipsychotic drugs.

Background: In 2007, more than 18,000 adults aged 65 or older died from injuries related to falls, with up to 30% experiencing severe injuries such as hip fracture or head trauma. The economic impact of falls and fractures among older people is substantial, with direct economic consequences totaling $19 billion in 2000.

Objective: To evaluate the association between antipsychotic and antidepressant agents and the risk of hip fracture in older adults, across multiple studies.

Importance of cultural issues in managing a patient with diabetes.

Diabetes is highly prevalent in different ethnic groups. In the Hispanic population there are unique health care beliefs and practices that may affect diabetes care and management. It is important for pharmacists to understand these beliefs and other cultural issues in providing care to these persons with diabetes.