Opinion Article

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.…

Keeping Cancer Survivors Healthy

Keeping Cancer Survivors Healthy | Opinion Article

For more than 15 years, the “Eight Ways to Stay Healthy and Prevent Cancer” message campaign has provided an evidence-based, user-friendly approach to cancer prevention. Graham A. Colditz, MD, DrPH, and colleagues developed a parallel set of recommendations to help care for cancer survivors.…

Managing the High Costs of Diabetes Care

Managing the High Costs of Diabetes Care | Opinion Article

The adoption of the Affordable Care Act (ACA) and rules imposed by insurers for scheduling and receiving care can be especially disconcerting for patients with diabetes. “With the ACA, patients are often left wondering about their access to care and to medications with higher price tags,” explains Jason C.…

ED Return Visits: The Patient Perspective

ED Return Visits: The Patient Perspective | Opinion Article

Reducing “unnecessary” use of the hospital has become an important initiative nationwide, but little is known about the patients who repeatedly seek care in the ED within a short timeframe. Studies have shown that about one-third of all acute care visits in the United States and half of hospital admissions originate in the ED.…

When Surgery Requires a Physician Assistant

When Surgery Requires a Physician Assistant | Opinion Article

In collaboration with 15 specialty surgical organizations, the American College of Surgeons (ACS) has published and released its seventh edition of Physicians as Assistants at Surgery. The report is meant to provide guidance to CMS and third-party payors on how often an operation might require the use of a physician as an assistant.…

Arrival Times & STEMI Outcomes

Arrival Times & STEMI Outcomes | Opinion Article

For patients that are presenting with ST elevation myocardial infarction (STEMI), national guidelines recommend that the door-to-balloon time be less than 90 minutes. “The problem is that when patients present to the hospital with a STEMI in the middle of the night, there may be delays in care,” explains Jorge F.…

Detecting Acute HIV in the ED

Detecting Acute HIV in the ED | Opinion Article

Detecting HIV in the acute stage is important because patients are highly infectious at that time and may spread the infection unknowingly. “Diagnosing HIV at the acute stage can also lead to earlier treatment, which in turn can improve patient health and decrease risks for further transmission,” says Michael S.…

Teens With HIV: A Look at Treatment Trends

Teens With HIV: A Look at Treatment Trends | Opinion Article

In recent years, the incidence of HIV infection has decreased for most age groups. Study results have shown that presenting to care earlier in the disease course can limit immune deterioration and HIV transmission. The CDC recommends that all people aged 13 and older be tested for HIV, a recommendation that appears to have made an impact on testing rates.…

Assessing Asthma Control

Assessing Asthma Control | Opinion Article

The Asthma Control Test (ACT) has long been used as a quick survey to assess how well asthma symptoms are controlled among patients aged 12 and older, while the Childhood ACT (CACT) is used for such testing in younger children. More recently, the Asthma APGAR system has emerged as an alternative to ACT/CACT because of an implied ability to assess asthma control and reasons for inadequate control.…

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