In this three-arm study, a therapeutic form of Tai ji quan is superior to either a multimodal exercise or a stretching program in reducing severe injurious falls among at-risk older, community-dwelling Americans.
An essential part of delivering critical preventive services to youth includes discussing confidentiality and private time (without a parent in the room) between adolescents and young adults and their healthcare provider to build trust and promote optimal health and well-being.
The authors of a before-and-after intervention study and a meta-analysis found that probiotics reduce the incidence of Clostridium difficile infection (CDI). The strategy seems to work best in hospital settings where the incidence of CDI is ≥ 5% and for patients receiving two or more antibiotics.
Older adults present unique challenges for the clinician. Missing a spinal fracture can have devastating consequences for this more fragile population. The authors review the clinical presentation, injury patterns, and unique considerations for imaging and management of spinal fractures in older adults.
In a case-control study, among older adults, repeated vaccination for influenza was twice as effective in preventing severe influenza compared to non-severe influenza in patients who were admitted to the hospital.
Vaccinations to directly prevent disease in adults likewise have reduced morbidity and mortality from a wide variety of viral and bacterial infections. This article will review the vaccines recommended for all adults as well as those vaccines recommended for special populations, such as immunosuppressed patients and pregnant women. In addition, the article will examine strategies that can be employed to increase vaccination rates in adults.