Recent Features

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.…

Surrogate Decision Making for Older Hospitalized Adults

Surrogate Decision Making for Older Hospitalized Adults | Feature

Surrogate decision makers often face a broad range of decisions. Hospitals should take into account the large role of surrogates and make efforts to support them in healthcare decision making.

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.…

Spine Surgery & Preoperative Psychological Assessments

Spine Surgery & Preoperative Psychological Assessments | Feature

Few spine surgeons appear to follow guideline recommendations for routine psychological screenings of patients before major back surgery. Efforts are needed to better recognize and appreciate how psychological factors and mental health can impact the success of these procedures.

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.…

Managing UTIs in Older Women

Managing UTIs in Older Women | Feature

Diagnosing symptomatic urinary tract infections (UTIs) in older women requires a careful clinical evaluation with laboratory assessments using urinalysis and urine cultures. Differentiating asymptomatic bacteriuria from symptomatic UTI is important and has implications on how clinicians should treat these patients.

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.…

An Update on Fibromuscular Dysplasia

An Update on Fibromuscular Dysplasia | Feature

The American Heart Association has released a scientific statement that discusses the state of the science on fibromuscular dysplasia and addresses critical unanswered questions surrounding this vascular disease.

Analyzing Why Patients Seek ED Care

Analyzing Why Patients Seek ED Care | Feature

Most patients come to the ED because they believe their illness to be serious. However, a sizeable minority come because they have no primary care provider (PCP), cannot make an appointment with them, or become ill after hours. Availability of PCPs and access to diagnostic services may help reserve ED use for those who truly require it.

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.…

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