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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 (9) Full Text Articles (240) Focus on Hypertension
Ranked, sorted, and summarized by MDLinx editors from the latest literature
Topics:

81 Visual impairment and subsequent use of support services among older people: longitudinal findings from the blue mountains eye study American Journal of Ophthalmology, May 29, 2013    Clinical Article

82 Thirty-day prevalence of delirium among very old people: A population-based study of very old people living at home and in institutions Archives of Gerontology and Geriatrics, May 29, 2013    Review Article

83 Challenges in transferring individual learning to organizational learning in the residential care of older people Full Text Journal of Health, Organisation and Management , May 29, 2013    Review Article

84 Albuminuria is associated with hip fracture risk in older adults: the cardiovascular health study Osteoporosis International, May 28, 2013    Clinical Article

85 Attention-deficit/hyperactivity disorder, physical health, and lifestyle in older adults Journal of the American Geriatrics Society, May 28, 2013    Clinical Article

86 Teaching medical student geriatrics competencies in 1 week: an efficient model to teach and document selected competencies using clinical and community resources Journal of the American Geriatrics Society, May 28, 2013    Review Article

87 Coping strategies as predictors of pain and disability in older people in primary care: a longitudinal study Full Text BMC Family Practice, May 28, 2013    Clinical Article

88 Conceptual limitations of balance measures for community-dwelling older adults Physical Therapy, May 28, 2013    Clinical Article

89 Daytime physical activity patterns and physical fitness in institutionalized elderly women: An exploratory study Archives of Gerontology and Geriatrics, May 28, 2013    Review Article

90 The association between energy cost of walking and physical function in older adults Archives of Gerontology and Geriatrics, May 28, 2013    Clinical Article

91 Comparison of functional autonomy with associated sociodemographic factors, lifestyle, chronic diseases (CD) and neuropsychiatric factors in elderly patients with or without the metabolic syndrome (MS) Archives of Gerontology and Geriatrics, May 28, 2013    Review Article

92 Predictors of depressive symptoms in older rural couples: the impact of work, stress and health The Journal of Rural Health, May 28, 2013    Clinical Article

93 Potentially inappropriate prescribing and adverse health outcomes in community dwelling older patients British Journal of Clinical Pharmacology, May 28, 2013    Clinical Article

94 Lumpectomy plus tamoxifen with or without irradiation in women age 70 years or older with early breast cancer: long-term follow-up of calgb 9343 Journal of Clinical Oncology, May 24, 2013    Clinical Article

95 Point-of-care prognosis for common musculoskeletal pain in older adults JAMA Internal Medicine, May 24, 2013    Evidence Based Medicine    Clinical Article

96 Prevalence of multiple behavioral risk factors for chronic diseases in adults aged 50 +, from eleven European countries – the SHARE study (2004) Preventive Medicine, May 24, 2013    Clinical Article

97 Association between accelerometer-assessed sedentary behavior and objectively-measured hearing sensitivity in older U.S. adults Preventive Medicine, May 24, 2013    Review Article

98 Development of a 5 year life expectancy index in older adults using predictive mining of electronic health record data JAMIA, May 24, 2013    Review Article

99 Which social network or support factors are associated with cognitive abilities in old age? Gerontology, May 24, 2013    Review Article

100 The prevalence of potential alcohol-drug interactions in older adults Full Text Scandinavian Journal of Primary Health Care, May 24, 2013    Clinical 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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