Opinion Article

Heart Disease, Sex Differences, & Mental Stress

Heart Disease, Sex Differences, & Mental Stress | Opinion Article

Clinical research has demonstrated that there is a relationship between mental stress and cardiovascular diseases, including ischemic heart disease (IHD). Studies indicate that emotional stress is associated with IHD and has been linked to clinical events, but few investigations have explored sex-specific differences in the psychobiological responses to mental stress.…

Examining the Timing of ED Return Visits

Examining the Timing of ED Return Visits | Opinion Article

In 2012, CMS implemented reimbursement penalties for hospitals with excessive inpatient readmissions for patients with several diagnoses. As a result, many interventions have been developed in an effort to reduce inpatient readmissions. Though there are currently no similar penalties for recurrent ED visits, there has been increasing attention on tracking and reducing 72-hour ED returns.…

Guidelines for Managing ACL Injuries

Guidelines for Managing ACL Injuries | Opinion Article

Anterior cruciate ligament (ACL) tears are among the most common injuries that occur in athletes participating in high demand sports. Research has shown that people who suffer these injuries are at higher risk for developing arthritis later in life, and women are more likely to suffer an ACL injury with certain sports when compared with men.…

Bariatric Surgery: Looking at Long-Term Follow-Up

Bariatric Surgery: Looking at Long-Term Follow-Up | Opinion Article

Many published studies on bariatric surgery are retrospective, short-term analyses with insufficient follow-up. “Obesity is a chronic illness that is linked to important comorbidities,” says Nancy Puzziferri, MD, MS. “Obesity treatments need to be assessed in long-term studies, particularly for invasive procedures like bariatric surgery.”

There is plenty of short-term evidence about the benefits and risks of bariatric surgery for up to 1 year after the procedure, but few data are available about long-term outcomes.…

Echocardiography Use in Pediatric Heart Patients

Echocardiography Use in Pediatric Heart Patients | Opinion Article

With the rapid advance-ment of cardiovascular imaging technologies, it is important for physicians to understand how best to incorporate these options into clinical care and how to choose between imaging modalities. Recently, the American College of Cardiology, the Society for Cardiovascular Angiography and Interventions, and other expert societies released the first appropriate use criteria (AUC) for suspected heart disease in pediatric patients.…

Malnutrition Among the Elderly in EDs

Malnutrition Among the Elderly in EDs | Opinion Article

According to published research, malnutrition is a common but underdiagnosed condition among older adults and has been linked to physical and cognitive decline, a lower quality of life, and a higher risk of death. Studies suggest that the elderly are particularly vulnerable because of loss of appetite, comorbidities, medications, and environmental factors.…

Linking Asthma to OSA Risk

Linking Asthma to OSA Risk | Opinion Article

Mounting evidence suggests there is a strong relationship between asthma and obstructive sleep apnea (OSA), whereby each disorder deleteriously influences the other. However, little is known regarding which condition leads to the other. Understanding the initiating processes of the potentially self-reinforcing asthma–OSA cycle could help reduce the burden of both conditions.…

The Digital Divide in Older Patients

The Digital Divide in Older Patients | Opinion Article

Over the last several years, many resources have been invested in internet-based interventions to improve health as a result of government programs and initiatives led by healthcare providers. These resources, including tools like electronic health records (EHRs) and online health portals, are designed to help patients become more active participants in their healthcare.…

Insights on “Alarm Fatigue”

Insights on “Alarm Fatigue” | Opinion Article

The term “alarm fatigue” refers to when clinicians are desensitized by alarms, many of which sound off despite being false or clinically irrelevant. As a result, alarm sounds can become background noise and be perceived by clinicians as part of the normal working environment.…

Lower-Extremity Amputations: Assessing Variations

Lower-Extremity Amputations: Assessing Variations | Opinion Article

Studies have shown that people with diabetes are about 10 times more likely to undergo a lower extremity amputation (LEA) than those without the disease. About 90% of diabetics who undergo an LEA have a pre-existing foot ulcer. Researchers have made many discoveries about how wounds heal, but these innovations have not led to the development of many new products for treating diabetic foot ulcers.…

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