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MKSAP Quiz: Evaluation for mild dementia

A 65-year-old man is evaluated for a 3-year history of mild dementia with fluctuations in attentiveness and visual hallucinations. He has also acted out his dreams in his sleep a few times over the last 2 years. He has no history of tremor. Following a physical exam and other tests, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2024/12/17/3.htm
17 Dec 2024

Alzheimer's advances pose challenges

A new test and new treatments for Alzheimer's disease may offer patients hope but could also raise more questions than they answer, with careful balancing of risks and benefits required.
https://immattersacp.org/archives/2024/11/alzheimers-advances-pose-challenges.htm
1 Nov 2024

Self-guided sleep intervention reduced sedative use, improved quality rest

A mailed direct-to-patient intervention reduced use of long-term benzodiazepines and increased use of cognitive behavioral therapy by older adults being treated for insomnia, a Canadian trial found.
https://immattersacp.org/weekly/archives/2024/09/24/4.htm
24 Sep 2024

Social, genetic factors improve prediction of CHD risk

Adding a score for social determinants of health and lifestyle-psychological factors and a polygenic risk score to risk prediction calculators improved prediction of coronary heart disease (CHD), a study found.
https://immattersacp.org/weekly/archives/2024/12/10/4.htm
10 Dec 2024

Better diagnosis, treatment of PCOS

Up to 70% of women with polycystic ovary syndrome (PCOS) go undiagnosed and one-third experience diagnostic delays of more than two years.
https://immattersacp.org/archives/2024/09/better-diagnosis-treatment-of-pcos.htm
1 Sep 2024

Sleep apnea, daytime sleepiness linked to higher coronary artery calcium scores

Patients with obstructive sleep apnea and daytime sleepiness had a 66% higher risk of atherosclerosis than those with neither condition, a Brazilian analysis found.
https://immattersacp.org/weekly/archives/2023/07/04/5.htm
4 Jul 2023

Lifestyle, treatment changes for afib

A new atrial fibrillation guideline focuses on early rhythm control and lifestyle changes such as physical activity and weight loss to slow or disrupt the course of the disease.
https://immattersacp.org/archives/2024/09/lifestyle-treatment-changes-for-afib.htm
1 Sep 2024

Insomnia symptoms, short sleep duration in midlife women linked to CVD risk

Persistent insomnia symptoms, alone and combined with short sleep duration, in women ages 42 to 52 years were associated with a subsequent 70% to 75% increased risk of cardiovascular disease (CVD).
https://immattersacp.org/weekly/archives/2024/02/06/2.htm
6 Feb 2024

Help elderly patients catch their zzz's

Sleep problems are common, but not inevitable, as people age.
https://immattersacp.org/archives/2021/01/help-elderly-patients-catch-their-zzzs.htm
1 Jan 2021

Daytime sleepiness associated with cognitive issues, slow gait speed

Older adults with poor sleep were more likely to develop motoric cognitive risk syndrome, a predementia syndrome characterized by slow gait speed and cognitive symptoms, with depression appearing to explain some of the association.
https://immattersacp.org/weekly/archives/2024/11/12/2.htm
12 Nov 2024

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