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USPSTF issues draft recommendations on violence and abuse screening, vitamin D and calcium supplementation

The U.S. Preventive Services Task Force (USPSTF) has issued two draft guidance statements, one on screening for intimate partner violence and abuse of elderly and vulnerable adults and another on vitamin D and calcium supplementation to prevent cancer and osteoporotic fractures in adults.
https://immattersacp.org/weekly/archives/2012/06/19/1.htm
19 Jun 2012

‘Geriatric tsunami’ carries elderly obesity

By 2030, more than 20% of the U.S. population is expected to be over the age of 65, according to the U.S. Census Bureau. The expected rise in functional impairment in later years can be staved off with a healthy lifestyle.
https://immattersacp.org/archives/2017/02/elderly.htm
1 Feb 2017

Task Force advises against vitamin D, calcium for primary prevention of fractures in postmenopausal women

The U.S. Preventive Services Task Force recommended against taking daily supplementation of 400 IU or less of vitamin D3 and 1,000 mg or less of calcium for the primary prevention of fractures in community-dwelling postmenopausal women.
https://immattersacp.org/weekly/archives/2013/02/26/1.htm
26 Feb 2013

New research creates debates on calcium's benefits vs. risks

It has been a longstanding assumption in medicine that calcium, to paraphrase the milk commercial, does a body good.
https://immattersacp.org/archives/2011/01/calcium.htm
1 Jan 2011

MKSAP Quiz: Evaluation during annual follow-up visit

A 33-year-old woman is evaluated during her annual follow-up visit. She has a 2-year history of left-sided ulcerative colitis. All immunizations are up to date, and depression and anxiety screening results are negative. What is the most appropriate health maintenance screening test to perform?
https://immattersacp.org/weekly/archives/2023/03/07/3.htm
7 Mar 2023

MKSAP Quiz: Dyspnea during walking

A 79-year-old woman is seen for an annual examination. She is in good health except for osteopenia, for which she takes calcium and Vitamin D supplements. She walks regularly to and from the bus stop several times per week. It takes her 25 minutes to get to the bus stop whereas it only took her 10 minutes a year ago. She describes dyspnea midway in her walk, causing her to stop and catch her breath. She denies angina, presyncope, syncope, or pedal edema. Following a physical exam and lab results, what is the most appropriate option for improving this patient's quality of life?.
https://immattersacp.org/archives/2010/03/mksap.htm
1 Mar 2010

CDC updates guidance on COVID-19, studies show vitamins don't improve outcomes

The CDC offered new guidance on immunocompromised patients and pulse oximetry's accuracy, and recent trials showed that vitamin D, zinc, and ascorbic acid didn't help COVID-19 patients but prophylactic anticoagulation did.
https://immattersacp.org/weekly/archives/2021/02/23/1.htm
23 Feb 2021

Diagnosing a disorder with few symptoms

Hypercalcemia can have absent, few or nondifferential symptoms, but the condition can indicate the presence of major diseases such as breast cancer. Experts review how to quickly apply a high index of suspicion to make a diagnosis.
https://immattersacp.org/archives/2012/03/hypercalcemia.htm
1 Mar 2012

New studies analyze risk factors, treatments for afib

One study found that early rhythm control was better than rate control for low-risk patients, another found that age at menarche and menopause was associated with afib risk, and another indicated that women's lower risk for afib is due to their smaller body size compared with men.
https://immattersacp.org/weekly/archives/2022/09/06/1.htm
6 Sep 2022

MKSAP Quiz: Evaluation for a new-patient visit

A 55-year-old woman is evaluated for a new-patient visit. Medical history is significant for an eating disorder. Although she has maintained a normal weight for the past 20 years, she notes that prior to that time her weight would fluctuate in a range correlating with BMIs of 17 to 19. Family history is significant for postmenopausal osteoporosis in her mother. Following a physical exam and lab studies, what is the most appropriate management of this patient?
https://immattersacp.org/weekly/archives/2018/03/27/3.htm
27 Mar 2018

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