Opinion Article

Mental Health in Youths With HIV

Mental Health in Youths With HIV | Opinion Article

Previous research has linked poor mental health among people living with HIV to a greater likelihood of participating in risky behaviors. “Untreated mental illnesses can be detrimental to the health and well-being of younger patients with HIV and may place others at risk for being infected with the virus,” says Laura B.…

Managing Pain in Obese ED Patients

Managing Pain in Obese ED Patients | Opinion Article

Weight-based dosing of opioids is a commonly used approach for managing patients who present to the ED with more severe pain. “Many patients who present to the ED with pain are obese or morbidly obese,” says Asad E. Patanwala, PharmD. “Heavier patients often receive larger total doses of opioids when compared with normal weight individuals.…

Assessing Meditation Programs

Assessing Meditation Programs | Opinion Article

Meditation programs involve learning skills about self-awareness of the mind and body. The various available mindfulness practices can focus on different aspects of self-awareness, including breathing, thoughts, bodily sensations, or a combination of these and other aspects of awareness. “Many people meditate to reduce psychological stress and stress-related health problems,” says Madhav Goyal, MD, MPH.…

A Conservative Approach to Lymph Node Removal

A Conservative Approach to Lymph Node Removal | Opinion Article

Until recently, guidelines recommended complete axillary node dissection in women with breast cancer for whom their sentinel node biopsy was positive. However, patients who undergo this procedure routinely experience complications. The introduction of sentinel lymph node biopsy in the 1990s included the benefit of avoiding complete axillary node dissection if two or three sentinel nodes tested negative for cancer, thus reducing morbidity.…

Improving CT Safety

Improving CT Safety | Opinion Article

CT is a powerful diagnostic technology, but it is also associated with risks. Ionizing radiation can damage cells and act as a weak carcinogen. The challenge is to find the optimal x-ray dose for each CT exam. “About 80 million CTs are performed each year in the United States,” says John M.…

A Look at Female-to-Female HIV Transmission

A Look at Female-to-Female HIV Transmission | Opinion Article

Few cases of HIV transmission between women who have sex with women (WSW) have been reported in the United States, but these cases still can and do occur. Studies have shown that HIV can be transmitted by female-to-female sexual contact with unprotected exposure to vaginal or other bodily fluids and to blood from menstruation.…

Safety of Contrast Agents in the Critically Ill

Safety of Contrast Agents in the Critically Ill | Opinion Article

Ultrasound contrast agent safety in critically ill patients undergoing echocardiography has been questioned by the FDA. This controversy was the result of rare reports showing that deaths or life-threatening adverse reactions occurred in close proximity to the administration of ultrasound contrast agents.…

Patient Preferences on Boarding

Patient Preferences on Boarding | Opinion Article

Crowding in the ED has been well-established as a problem that poses a threat to public health. Studies show that ED and hospital crowding leads to ambulance diversions, medical errors, delayed care, and increased mortality rates. “Many strategies have been tried to alleviate ED and hospital crowding, some of which involve the entire institution,” explains Peter Viccellio, MD.…

Promoting Thyroid Cancer Awareness

Promoting Thyroid Cancer Awareness | Opinion Article

According to recent estimates, approximately 62,980 people in the United States will be diagnosed with thyroid cancer in 2014, a nearly 5% increase from 2013. The incidence is rapidly increasing among all age groups, and thyroid cancer is especially common in women, who represent three of every four people diagnosed with the disease.…

MCI & AD: Searching for Protective Strategies

MCI & AD: Searching for Protective Strategies | Opinion Article

According to current data, Alzheimer’s disease (AD) is the sixth leading cause of mortality in the United States. Mild cognitive impairment (MCI) can occur as people age and may lead to the development of dementia or AD. Studies suggest that patients with MCI have a 10-fold increased risk of developing dementia when compared with those who are cognitively normal.…

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