Opinion Article

Treating Anemia in Heart Disease Patients

Treating Anemia in Heart Disease Patients | Opinion Article

Studies indicate that anemia occurs in about one-third of patients with congestive heart failure and up to 20% of those with coronary heart disease (CHD). The condition has been linked to an increased risk for hospitalizations, decreases in exercise capacity, a poorer quality of life, and higher mortality.…

Progress Seen in Managing Blacks With HIV

Progress Seen in Managing Blacks With HIV | Opinion Article

Research has shown that the percentages of blacks who are linked to and retained in HIV care, taking antiretroviral therapy (ART), and achieving viral suppression are lower than those of other racial and ethnic groups. According to recent estimates, blacks account for 44% of the total number of people in the United States living with HIV but represent just 12% of the U.S.…

The Impact of Test Fee Knowledge

The Impact of Test Fee Knowledge | Opinion Article

Hospital patients and providers are often unaware of the fees that come with most medical services. “The healthcare system is oftentimes not transparent in actual costs for these services,” says Leonard S. Feldman, MD. Failure to have a sense of costs can increase waste in medicine by ordering expensive and often unnecessary tests and/or medications.…

The Costs of Chronic Illnesses: Treat or Eat?

The Costs of Chronic Illnesses: Treat or Eat? | Opinion Article

Studies have suggested that adults with chronic disease are often unable to meet medication and food needs. “Physicians sometimes recommend or prescribe medications to patients with chronic diseases without considering the costs of these therapies,” says Seth A. Berkowitz, MD. Few studies have explored the relationship between cost-related medication underuse and food insecurity.…

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.…

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