Opinion Article

Managing CKD in Patients With HIV

Managing CKD in Patients With HIV | Opinion Article

Studies indicate that up to one-third of people with HIV has abnormal kidney function. Chronic kidney disease (CKD) in this patient population increases morbidity and mortality risks, making it imperative to recognize CKD early and diagnose its underlying causes. Recently, the Infectious Diseases Society of America (IDSA) published an update to its 2005 guideline for the management of CKD in patients with HIV in Clinical Infectious Diseases.…

Hip Fracture Surgery: Costs & Benefits

Hip Fracture Surgery: Costs & Benefits | Opinion Article

According to current estimates, more than 300,000 patients—mostly people aged 65 and older—sustain a hip fracture each year in the United States, and the annual incidence is expected to exceed 500,000 by 2040. Hip fractures often result in nursing home stays, higher mortality, and lower quality of life.…

Updated Guidelines for NSTE-ACS

Updated Guidelines for NSTE-ACS | Opinion Article

Recently, the American College of Cardiology and American Heart Association (ACC/AHA) updated their guideline on the management of patients with non-ST-elevation acute coronary syndrome (NSTE-ACS). “This guideline is the first full revision of previous recommendations since 2007,” says Ezra A. Amsterdam, MD, FACC, who co-chaired the ACC/AHA writing committee.…

Assessing Aspirin Use for CVD Prevention

Assessing Aspirin Use for CVD Prevention | Opinion Article

Aspirin is used as a primary strategy to help prevent a first occurrence of cardiovascular disease (CVD). It can also be used as secondary prevention for survivors of heart attacks and strokes to prevent additional cardiovascular events.

The American Heart Asso­ciation recommends daily low-dose aspirin for people at high risk of heart attacks and regular use of low-dose aspirin for heart attack survivors.…

When HF Worsens in the Hospital

When HF Worsens in the Hospital | Opinion Article

Acute heart failure (HF) leads to more than 1 million hospitalizations in the United States each year, and the 1-year mortality rate after these events ranges between 20% and 30%. “Some of these patients will experience worsening HF during their hospitalization, showing signs or symptoms that require therapy to be escalated,” says Adam D.…

Post-Op Pain in Pediatric Urology

Post-Op Pain in Pediatric Urology | Opinion Article

Management of pain is a critical aspect of postoperative care in pediatric urology. Currently, clinicians who aim to control postoperative pain in children use a combination of both opioids and anti-inflammatory drugs. Regional anesthesia with a caudal block is another effective pain management technique that is used in pediatric urology, but these blocks only last 6 to 8 hours unless an indwelling caudal catheter is used.…

Examining Diets for Patients With Diabetes

Examining Diets for Patients With Diabetes | Opinion Article

Studies of patients with type 2 diabetes have shown that a low-carbohydrate diet can achieve at least comparable reductions in body weight, blood pressure, and insulin concentrations when compared with a high-carbohydrate diet. A low-carbohydrate diet can also lead to greater improvements in glycemic control, according to some studies.…

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.…

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