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Internal Medicine - Geriatrics News & Articles

What makes MDLinx Internal Medicine different from all the other primary care literature reviews? Our team of medical editors read over 2,000 medical journals every day so you can stay current in less than 5 minutes! They sort, rank and summarize every article that will impact your daily practice. They even mark which articles are available in free full text, which are clinical or evidence-based, and which have MDLinx Exclusive Author Commentary from the people who actually performed the research.

Also on this page you’ll see bonus content from our physician editor, D. Scott Cunningham, MD, PhD, in the form of his top highlights you can’t miss, along with clinical pearls from The Smartest Internist, a quiz competition from the editors of MDLinx Internal Medicine in collaboration with the Cleveland Clinic Center for Continuing Education.

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Articles

Latest (10) Full Text Articles (240) Focus on Anxiety Disorders
Ranked, sorted, and summarized by MDLinx editors from the latest literature
Topics:

21 Acute Care for Elders Components of Acute Geriatric Unit Care: Systematic Descriptive Review Journal of the American Geriatrics Society, May 21, 2013    Review Article

22 Optimal Blood Pressure for Cognitive Function: Findings from an Elderly African-American Cohort Study Journal of the American Geriatrics Society, May 21, 2013    Clinical Article

23 Family meetings for older adults in intermediate care settings: the impact of patient cognitive impairment and other characteristics on shared decision making Health Expectations, May 21, 2013    Review Article

24 The effect of soybean-derived phosphatidylserine on cognitive performance in elderly with subjective memory complaints: a pilot study Full Text Clinical Interventions in Aging, May 21, 2013    Review Article

25 Prevalence of and factors related to pain among elderly Japanese residents in long-term healthcare facilities Geriatrics and Gerontology International, May 21, 2013    Clinical Article

26 Migraine and vascular risk factors in the elderly Geriatrics and Gerontology International, May 21, 2013    Review Article

27 Community end-of-life care among Chinese older adults living in nursing homes Geriatrics and Gerontology International, May 21, 2013    Review Article

28 Prevalence and determinants of use of potentially inappropriate medications in elderly inpatients: A prospective study in a tertiary healthcare setting Geriatrics and Gerontology International, May 21, 2013    Clinical Article

29 Predicting clinical instability of older patients in post-acute care units: A nationwide cohort study Geriatrics and Gerontology International, May 21, 2013    Clinical Article

30 Can social dancing prevent falls in older adults? a protocol of the Dance, Aging, Cognition, Economics (DAnCE) fall prevention randomised controlled trial Full Text BMC Public Health, May 21, 2013    Clinical Article

31 Low Serum Vitamin D is Not Associated with an Increase in Mortality in Oldest Old Subjects: The Octabaix Three-Year Follow-Up Study Gerontology, May 21, 2013    Review Article

32 Implementation of geriatric acute care best practices: Initial results of the NICHE SITE self-evaluation Nursing & Health Sciences, May 21, 2013    Clinical Article

33 The efficacy of calcium supplementation alone in elderly Thai women over a 2-year period: a randomized controlled trial Osteoporosis International, May 20, 2013    Clinical Article

34 Neighborhood Amenities and Mobility in Older Adults American Journal of Epidemiology, May 20, 2013    Review Article

35 Evidence of the clinical effectiveness of cognitive pharmaceutical services for aged patients Age and Aging, May 20, 2013    Evidence Based Medicine    Review Article

36 Cognitive function in older women with breast cancer treated with standard chemotherapy and capecitabine on Cancer and Leukemia Group B 49907 Breast Cancer Research and Treatment, May 20, 2013    Clinical Article

37 Actinobaculum schaalii causing epididymitis in an elderly patient Journal of Medical Microbiology, May 20, 2013

38 Inpatient procedures in elderly women: An analysis over time Maturitas, May 20, 2013    Clinical Article

39 A J-shaped association between plasma testosterone and risk of ischemic arterial event in elderly men: The French 3C cohort study Maturitas, May 20, 2013    Clinical Article

40 Feasibility, understandability, and usefulness of the STEP self-rating questionnaire: results of a cross-sectional study Full Text Clinical Interventions in Aging, May 20, 2013    Review Article

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Clinical Pearls in Internal Medicine

Highlights in Internal Medicine

Vitamin D deficiency is associated with increased mortality in ICU patients

Among 130 patients requiring mechanical ventilation, 107 were vitamin D-deficient (< 20 ng/ml). Of the patients who did not survive, the length of survival was shorter in the vitamin D-deficient patients (15.3 vs. 24.2 days, respectively).

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Coronary artery calcium increases cardiovascular risk in patients with T2DM and HTN

Researchers at Tel-Aviv University have conducted a study to determine the value of coronary artery calcium (CAC) measurements in cardiovascular risk stratification in patients with T2DM and HTN. The study involved 423 patients enrolled in the International Nifedipine Study: Intervention as Goal for Hypertension Therapy. The patients had baseline CT scans for CAC measurement at baseline and were shown to be free of disease. Follow-up CT scans were performed at 3 and 15 years. Cardiovascular events (CVEs) occurred in 41 of 423 patients at 3 years and 111 of 268 patients at 15 years of follow-up. CVEs occurred in 15% and 52% (CAC+) and 7% and 32% (CAC-) of patients with T2DM at 3 and 15 years of follow-up, respectively. Compared to patients without T2DM and no CAC, the HRs for a CVE were 6.6 and 3.9 in T2DM patients with and without CAC, respectively.

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CAC scores add predictability to Framingham

Researchers at Erasmus University Medical Center in Rotterdam have evaluated 12 measures (N-terminal fragment of prohormone B-type natriuretic peptide levels, von Willebrand factor antigen levels, fibrinogen levels, chronic kidney disease, leukocyte count, C-reactive protein levels, homocysteine levels, uric acid levels, coronary artery calcium [CAC] scores, carotid intima–media thickness, peripheral arterial disease, and pulse wave velocity), in addition to Framingham risk scores for predicting coronary heart disease. Only the CAC was shown to add significantly to the Framingham risk score in predicting coronary heart disease.

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