Opinion Article

Recommendations on Cardiac Imaging Radiation

Recommendations on Cardiac Imaging Radiation | Opinion Article

The development of cardiac imaging technologies has revolutionized cardiovascular medicine by allowing for routine, non-invasive assessments of myocardial perfusion and anatomy. “Despite these advances, little evidence exists regarding the impact of radiation exposure on cardiac patients,” says Andrew J. Einstein, MD, PhD.…

The “July Effect” & ED Length of Stay

The “July Effect” & ED Length of Stay | Opinion Article

Throughout the medical community, the “July effect” or “July phenom­enon” is a well-known entity in which it is believed that the month of July is a poor time to be cared for in the hospital because trainee doctors are beginning their new roles.…

Standards for Child Surgical Care

Standards for Child Surgical Care | Opinion Article

Studies indicate that newborns and children who undergo surgery in environments with pediatric expert resources have better outcomes, fewer complications, and shorter hospital stays when compared with those cared for at non-specialized centers. “Millions of children undergo surgery in the United States each year, but some of these patients receive surgical care in environments that are not matched to their needs,” says Keith T.…

Moving Toward Weight-Centric Care in Diabetes

Moving Toward Weight-Centric Care in Diabetes | Opinion Article

Obesity is now recognized as one of the leading causes of many diseases. There are also other impor-tant factors to consider, such as the medical costs associated with obesity and obesity-related comorbidities. “It’s essential to improve our treatment strategies for managing obesity so that we can effectively reduce the rate of obesity-related conditions, most notably type 2 diabetes,” says Louis J.…

Sleep Quality: A Key to Good Health

Sleep Quality: A Key to Good Health | Opinion Article

A good night’s sleep is a key component of good health, but patients’ sleep history often receives little attention among clinicians. When a patient complains of sleep problems, practitioners often reflexively prescribe sleeping medications without in­quiring further. When academic sleep pioneers first performed sleep studies in the 1970s, it was soon evident that sleep is multifactorial and complex.…

Trends in Diabetes Prevalence & Control

Trends in Diabetes Prevalence & Control | Opinion Article

Analyzing trends on the prevalence of diabetes, prediabetes, and glycemic control is important for healthcare policy and planning. In an effort to update current trends, Elizabeth Selvin, PhD, MPH, and colleagues published a study in Annals of Internal Medicine that analyzed data from more than 43,000 participants.…

Severe Chronic  Bronchitis  in Advanced  Emphysema

Severe Chronic Bronchitis in Advanced Emphysema | Opinion Article

Studies have shown that chronic bronchitis occurs in 18% to 45% of patients with COPD and is associated with a higher risk for exacerbations and hospitalizations as well as an accelerated decline in lung function. However, chronic bronchitis has not been well described in patients with advanced emphysema.…

HIV Screening in the ED

HIV Screening in the ED | Opinion Article

The CDC and other agencies have emphasized that EDs should offer HIV screening because of their high patient volume and access to vulnerable populations, says Michael S. Lyons, MD, MPH. “The problem, however, is that EDs are already overburdened and many don’t have the dedicated resources they need to increase testing rates.” Efforts to increase ED HIV screening are growing, but controversy persists about who should be tested.…

Pediatric GERD Procedures

Pediatric GERD Procedures | Opinion Article

Clinicians often have difficulty diagnosing GERD and discriminating it from physiologic regurgitation, especially in the pediatric population. “Childhood GERD is diagnosed commonly by clinical evaluation and often without the use of objective measures,” explains Cabrini LaRiviere, MD, MPH. A GERD diagnosis may remain, especially in young infants, until symptoms wane as part of the natural history of regurgitation or until an objective test disproves the presence of the disease.…

Achieving Meaningful, Long-Term Weight Loss

Achieving Meaningful, Long-Term Weight Loss | Opinion Article

The Look AHEAD (Action for Health in Diabetes) study was an important analysis that assessed the long-term effects of an intensive lifestyle intervention (ILI) program designed to induce weight loss among 5,145 overweight volunteers with type 2 diabetes. Participants were randomly assigned to either the ILI program or usual care, referred to as diabetes support and education (DSE).…

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