Opinion Article

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.…

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.…

Managing Sickle Cell Disease

Managing Sickle Cell Disease | Opinion Article

Sickle cell disease (SCD) is a life-threatening genetic disorder that affects approximately 100,000 people in the United States, with African Americans being more commonly affected than others. SCD is associated with many acute and chronic complications that require immediate medical attention.…

Should You Wear a Hazmat Suit When Operating an Elevator?

Should You Wear a Hazmat Suit When Operating an Elevator? | Opinion Article

"It may surprise you to learn that most of the bacteria found on elevator buttons and restroom surfaces can also normally be found ON YOUR HANDS!"

Controlling HIV Without Medication

Controlling HIV Without Medication | Opinion Article

Research indicates that about 1% of patients with HIV are able to keep the infection under control without the need for antiretroviral therapy (ART). Dubbed “controllers,” these patients have been thought to hold clues on how to develop a vaccine against HIV because of their unique immune responses.…

Analyzing Statin Use

Analyzing Statin Use | Opinion Article

Recently, the American College of Cardiology (ACC) and the American Heart Association (AHA) updated their cho­lesterol guidelines, which shifted away from a focus on treating to target LDL cholesterol levels and toward minimizing global cardiovascular risk. The updated ACC/AHA guidelines substantially broadened the number of people for whom statins are recommended, primarily by enlarging the eligible population to those with lower levels of cardiovascular risk.…

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