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Strategies to Prevent Obesity in Children

Strategies to Prevent Obesity in Children

Of various interventions used in nonclinical settings for the prevention of childhood overweight and obesity, school-based programs that combine nutrition and exercise and include a home-based component appear to be the most effective approaches.

Navigating the Waters of Medical Malpractice and Defensive Medicine

Navigating the Waters of Medical Malpractice and Defensive Medicine

Malpractice liability reform would best be analyzed on a specialty-by-specialty basis.

Palliative Care in Movement Disorders: Recommendations for Improvement

Palliative Care in Movement Disorders: Recommendations for Improvement

Parkinsonism syndromes are associated with progressive disability and increased mortality, with symptom burden comparable to that of advanced cancer.

Surgical Outcomes and Social Media Reviews: When a 5-Star Rating Isn't All It Seems

Surgical Outcomes and Social Media Reviews: When a 5-Star Rating Isn't All It Seems

Customer service is a critical part of every physician's job, but there's a big difference between a Yelp review and a risk-adjusted mortality rate in determining

Honoring Women in Medicine: Reader Responses

Honoring Women in Medicine: Reader Responses

Medical Bag is sharing your stories about the women behind the white coats.

Colleague of the Month: Submit Your Nomination

Colleague of the Month: Submit Your Nomination

Submit your nomination for Colleague of the Month today.

In The Zone: Why Don't Surgeons Experience Flow?

In The Zone: Why Don't Surgeons Experience Flow?

"Flow" is dependent on reaching a number of optimal conditions, including intense concentration and loss of self-consciousness. So why don't surgeons feel the flow?

The Little Guy vs Big Data: Is ICD-10 Coding Still Valuable in Health Care?

The Little Guy vs Big Data: Is ICD-10 Coding Still Valuable in Health Care?

While ICD-10-CM may be an improvement on an old process, big data is the revolution that has the potential to change health care forever.

Psychology in the Age of Trump: Does the Goldwater Rule Still Apply?

Psychology in the Age of Trump: Does the Goldwater Rule Still Apply?

The Goldwater Rule has proven remarkably resilient and has not been seriously challenged for half a century — until now.

Implications of Mobile Health Device Use for Schizophrenia Research

Implications of Mobile Health Device Use for Schizophrenia Research

Mobile and digital technologies represent a valuable method for gathering real-world patient data at multiple timepoints.

Point and Counterpoint: Ethics and Legality of Pediatric Euthanasia

Point and Counterpoint: Ethics and Legality of Pediatric Euthanasia

Belgium and the Netherlands currently allow variations on pediatric euthanasia, stoking the worldwide debate surrounding the practice.

From the American Revolution to NASA: Pioneering Women in Medicine

From the American Revolution to NASA: Pioneering Women in Medicine

Women continue to propel medicine into the future. Take a glimpse at just a handful of the remarkable women in medicine making history today.

Share Your Story: Honoring Women in Medicine

Share Your Story: Honoring Women in Medicine

Do you know a woman in medicine who you would like to honor? Medical Bag is collecting your stories.

Genetics: To Test or Not to Test? That is the Question

Genetics: To Test or Not to Test? That is the Question

Even when presuming that there is a "right to test," concerns arise that patients will be misguided in their decisions based on poorly validated direct to consumer genetic tests.

Drawing the Line: Where Religious Liberty Ends and Patient Rights Begin

Drawing the Line: Where Religious Liberty Ends and Patient Rights Begin

The concept of conscientious objection has been appropriated by health care professionals who refuse to perform certain tasks related to female reproductive health.

What's Torture Good For? Absolutely Nothing

What's Torture Good For? Absolutely Nothing

Torture has always had its place as a two-faced mythical creature in American society, but no neuroscientific backing for the practice exists.

Examining the Crisis of Physician Suicides: Then and Now

Examining the Crisis of Physician Suicides: Then and Now

Since Gerry FitzGerald's suicide 80 years ago, physician suicide has become a staggering public health crisis that's gone largely ignored.

When Hard Cases Make Bad Law: Evidence-Based Recommendations vs Legal Precedence for Resuscitation of Premature Infants

When Hard Cases Make Bad Law: Evidence-Based Recommendations vs Legal Precedence for Resuscitation of Premature Infants

The decision to resuscitate an extremely premature newborn is governed by a patchwork of state-level laws that are not necessarily grounded in evidence-based medicine.

Sexual Harassment: Psychological Effects of a Shifting Public Perspective

Sexual Harassment: Psychological Effects of a Shifting Public Perspective

An expert discusses how the shifting public view of sexual harassment is affecting the nation.

Expert Opinion: Preventing Compassion Fatigue and Physician Burnout

Expert Opinion: Preventing Compassion Fatigue and Physician Burnout

Compassion fatigue affects workers across the spectrum of helping professions, and is extremely prevalent among physicians.

Priorities for Telehealth Research: Changing the Physician-Patient Relationship

Priorities for Telehealth Research: Changing the Physician-Patient Relationship

Additional studies are needed to assess the use of telehealth in urgent and primary care triage, teledermatology, and the management of serious pediatric conditions.

Improving Patient Encounters While Balancing EHR Tasks

Improving Patient Encounters While Balancing EHR Tasks

Research suggests that the growing number of tasks required by EHRs can compromise patient encounters.

The Quest for a Universal Influenza Vaccine

The Quest for a Universal Influenza Vaccine

Researchers from NIH's National Institute of Allergy and Infectious Diseases aimed to develop a universal influenza vaccine that would confer better and longer-lasting protection against the influenza virus.

A New Code of Ethics for Clinical Trial Research in the 21st Century

A New Code of Ethics for Clinical Trial Research in the 21st Century

Recent revisions to the Common Rule deal largely with improving transparency of informed consent while introducing a new concept of "broad consent" that can expand the reach of research.

Balancing Sustainability and Access to Care in Concierge Medicine

Balancing Sustainability and Access to Care in Concierge Medicine

One of the major pitfalls of concierge medicine is that physicians must limit their practice to guarantee the accessibility offered by the model in exchange for the retainer.

Promoting the Value of Adult Vaccinations Through Public Health Campaigns

Promoting the Value of Adult Vaccinations Through Public Health Campaigns

The National Vaccine Advisory Committee has highlighted 5 core concepts and strategies that can increase integration of social psychological components with health communication principles to improve the perceived benefits of adult vaccination.

How Can We Effectively Utilize Machine Learning Programs in Medicine?

How Can We Effectively Utilize Machine Learning Programs in Medicine?

Machine learning programs are accurate and intelligible, but what are the potential pitfalls of using them in a clinical setting?

Should Physicians Facilitate Lethal Injection Executions?

Should Physicians Facilitate Lethal Injection Executions?

While some support physician participation in lethal injection, others view it as a clear violation of the Hippocratic Oath.

Policy Advisor Discusses Healthcare Inequalities in the United States

Policy Advisor Discusses Healthcare Inequalities in the United States

David Himmelstein, MD, FACP, shares his insight on healthcare inequality in the United States, along with what he says is the only solution.

How Does Climate Change Affect the Incidence of Infectious Diseases?

How Does Climate Change Affect the Incidence of Infectious Diseases?

A recent study points to the potential global spread of vector-borne diseases due to global warming.

Behavior of Opioid Prescribing: Admitting What We Don't Know

Behavior of Opioid Prescribing: Admitting What We Don't Know

Opioid prescriptions should be tailored based on risk factors that correlate with future addiction rates and the pertinent outcome markers, but this information is still lacking.

When Should Patients With Dementia Stop Driving?

When Should Patients With Dementia Stop Driving?

No formal mechanisms exist in to require cessation of driving for reasons associated with dementia, so the treating neurologist is often relied upon to initiate discussions of driving.

Examining Racial Disparities in Hepatitis C Treatment Outcomes

Examining Racial Disparities in Hepatitis C Treatment Outcomes

The most pressing issues with respect to racial disparities reside in the medical system, rather than the patient.

Guidelines Released for Chronic Pain Management in Patients With HIV

Guidelines Released for Chronic Pain Management in Patients With HIV

The HIV Medicine Association of the Infectious Diseases Society of America has released new guidelines chronic pain management in patients with HIV.

Should We Close the Book on Patent Foramen Ovale Closure in Migraine?

Should We Close the Book on Patent Foramen Ovale Closure in Migraine?

Recent research has suggested that patent foramen ovale closure surgery might be a preventive measure against future migraine attacks.

Tracking Global Progress on Health and Climate Change Initiatives

Tracking Global Progress on Health and Climate Change Initiatives

Increasing temperatures and changing frequency of floods, droughts, heatwaves, and storms have direct effects on physical and mental health.

How Can Healthcare Professionals Improve Interactions With Challenging Patients?

How Can Healthcare Professionals Improve Interactions With Challenging Patients?

Karen Broquet, MD, MHPE, of the Southern Illinois University School of Medicine, discusses how clinicians can navigate interactions with challenging patients.

International C-Section Outcomes: The "C" Is Not for Certainty

International C-Section Outcomes: The "C" Is Not for Certainty

Recent data show incredible variation in C-section rates from country to country.

CMS Rule on Part B Drugs Could Lead to Steep Payment Cuts for Some Specialists

CMS Rule on Part B Drugs Could Lead to Steep Payment Cuts for Some Specialists

The Centers for Medicare & Medicaid Services issued a final rule that could result in steep payment reductions for physicians of certain specialties in 2018.

Exploring the Long-Term Effects of Head Injuries on Mental Health

Exploring the Long-Term Effects of Head Injuries on Mental Health

Mental health assessments may be a helpful aspect to the presport evaluation if those in need have access to care.

Addiction Policy Expert From Obama Administration Addresses the Opioid Epidemic

Addiction Policy Expert From Obama Administration Addresses the Opioid Epidemic

Keith Humphreys, PhD, who served as senior policy advisor at the White House Office of National Drug Control Policy in the Obama Administration, shared his views on the opioid epidemic.

Changing the Culture of Publication Bias in Neurology Research

Changing the Culture of Publication Bias in Neurology Research

The need for data transparency carries an ethical and moral obligation and requires nonselective and unbiased publication of clinical results.

Examining the Link Between Migraines and Gastrointestinal Disorders

Examining the Link Between Migraines and Gastrointestinal Disorders

Researchers are examining theories on the interplay between the GI tract and the brain.

Clinical Update: Utilizing Ischemic Preconditioning in Ischemic Stroke

Clinical Update: Utilizing Ischemic Preconditioning in Ischemic Stroke

One of the most promising avenues of research is the concept of hypoxic conditioning, or ischemic preconditioning, in which brief periods of oxygen deprivation to the brain have been shown to provide neuroprotective effects that reduce stroke infarct size and improve recovery times.

Palliative Care in Huntington Disease: What Every Clinician Should Consider

Palliative Care in Huntington Disease: What Every Clinician Should Consider

Palliative and hospice care play an important role in the long-term management of Hungtington disease, including ongoing symptom relief measures, caregiver support, and end-of-life care.

Clinical Update: Impact of Anesthetics on the Brain

Clinical Update: Impact of Anesthetics on the Brain

Findings from animal studies indicate that general anesthesia may be neurotoxic and could result in long-term central nervous system alterations and cognitive dysfunction, particularly in very young or elderly patients

Physician Burnout: Expanding the Scope of Solutions

Physician Burnout: Expanding the Scope of Solutions

Although there has been growing awareness of physician burnout in recent years, the problem has continued to increase.

Review of Current Mammography Guidelines in the United States

Review of Current Mammography Guidelines in the United States

This review analyzed mammography screening guidelines from US organizations to understand best practices in an effort to minimize the morbidity and mortality of breast cancer.

Overcrowding in the Emergency Department: Causes, Fallacies, and Fixes

Overcrowding in the Emergency Department: Causes, Fallacies, and Fixes

Overcrowding in the emergency department is a complex multifactorial problem borne of a fundamental supply-and-demand mismatch.

Should You Hire a Practice Manager for Your Office?

Should You Hire a Practice Manager for Your Office?

Hiring a manager to assist with handling the responsibilities of running a medical practice can be beneficial, but there are a few factors to consider before deciding to do so.

Psychology of Weight Loss: Why Are Supplement Infomercials So Effective?

Psychology of Weight Loss: Why Are Supplement Infomercials So Effective?

Restricted-calorie diets and increased exercise regimens produce an extremely wide range of weight loss outcomes, making glucomannan supplements seem like an attractive option for weight loss.

Staying One Step Ahead of Medical Information Hackers

Staying One Step Ahead of Medical Information Hackers

According to the Protenus Breach Barometer, which provides a monthly report of disclosed health care breaches, an average of 1 breach occurs every day. The main offender behind these breaches - now accounting for more than half of all reported breaches and 95% of total stolen records - is hackers.

Should We Be Screening Young Athletes for Cardiovascular Disease?

Should We Be Screening Young Athletes for Cardiovascular Disease?

It is a common practice for young athletes to undergo some type of preparticipation screening to detect factors associated with a high risk for injury or death, but this screening process has yet to be standardized.

Patient-Centered Communication: Every Doctor's Moral Imperative

Patient-Centered Communication: Every Doctor's Moral Imperative

One physician shares his insights on how repeated active discussions with patients about distress, treatment options, and goals can both reduce costs and help to identify when aggressive treatment is no longer appropriate.

Experts Weigh in on ACP Position Statement on Physician-Assisted Suicide

Experts Weigh in on ACP Position Statement on Physician-Assisted Suicide

Authors of recent position papers provide their opinion on the legalization of physician assisted suicide.

Harness the Power of Creativity in Health Care

Harness the Power of Creativity in Health Care

Steven Pritzker PhD, coeditor-in-chief of The Encyclopedia of Creativity, discusses how physicians can utilize creativity in health care.

Navigating the Patient-Physician Relationship With Pathological Liars

Navigating the Patient-Physician Relationship With Pathological Liars

Exploring the pathophysiology of lying and the patients who lie.

Should You Be Co-Prescribing Naloxone With Every Opioid Rx?

Should You Be Co-Prescribing Naloxone With Every Opioid Rx?

Co-prescribing naloxone with any opioid is recommended for patients that are at a high-risk for overdose.

Do Medical Scribes Negatively Impact the Doctor-Patient Relationship?

Do Medical Scribes Negatively Impact the Doctor-Patient Relationship?

There have been concerns regarding a potentially negative impact on physician-patient relationships.

How Medical Tourism is Affecting the Canadian Healthcare System

How Medical Tourism is Affecting the Canadian Healthcare System

The persistence of medical tourism speaks to capacity and resource-utilization concerns that Canada's single-payer system has been unable to effectively address.

Thinking About Buying a Practice? Here's What You Need to Know

Thinking About Buying a Practice? Here's What You Need to Know

Physicians must remember that they will be a business owner in addition to being a health care provider.

Five Uses for Virtual Reality in Healthcare

Five Uses for Virtual Reality in Healthcare

Virtual reality has become much more than just a new form of entertainment; it is increasingly being used in a wide range of medical applications.

When Does a Physician's Age Become a Medical Liability in Patient Care?

When Does a Physician's Age Become a Medical Liability in Patient Care?

There's no reason why something as critical as making sure that our surgeons are competent should be left to chance.

The Dan Plan: The Importance of Practice to the Novice Resident

The Dan Plan: The Importance of Practice to the Novice Resident

Dan's story and the story most young surgeons have both start with the same simple premise: the more you practice something, the better you get.

A Closer Look at Addressing HIPAA Security Risks

A Closer Look at Addressing HIPAA Security Risks

Health care providers do not necessarily have to meet every HIPAA standard.

Changing Healthcare Dynamics Calls for New Practice Options

Changing Healthcare Dynamics Calls for New Practice Options

Partnering with an organization is a practice option that may provide many multifaceted benefits.

Evaluating Practice Options in Today's Healthcare Environment

Evaluating Practice Options in Today's Healthcare Environment

Thriving in this new healthcare environment demands both significant capital investment and the ability to navigate increasingly complex reporting requirements and financial arrangements.

A Closer Look Into the Importance of the Physician-Patient Relationship

A Closer Look Into the Importance of the Physician-Patient Relationship

The key to a successful physician-patient relationship, in my opinion, is to recognize that the patient is not the disease being treated.

The Five Things Every Physician Needs to Know About MACRA

The Five Things Every Physician Needs to Know About MACRA

Five potentially pivotal issues physicians should understand about MACRA.

Concierge Medicine: Just the Ticket for Many Patients and Physicians

Concierge Medicine: Just the Ticket for Many Patients and Physicians

In a medical marketplace that is increasingly dominated by consumerism, concierge medicine gives many patients an attractive alternative to accessing health services.

Medical Malware: How to Protect Yourself and Your Patients

Medical Malware: How to Protect Yourself and Your Patients

No strategies are perfect for completely protecting hospital systems from ransomware attacks, but following best practices is key for prevention and protection.

A Physician Provides Insights on the 'Last Gift Study'

A Physician Provides Insights on the 'Last Gift Study'

Terminally ill people with HIV have few opportunities to participate in research, but some leave a final gift to their community.

Benefits of Using Video as a Medical Education Resource

Benefits of Using Video as a Medical Education Resource

An endocrinologist gives his insights on the benefits of using video with medical students.

WHO Guidelines for Managing HIV Drug Resistance

WHO Guidelines for Managing HIV Drug Resistance

The World Health Organization published new guidelines for managing HIV drug resistance in countries in which pretreatment HIVDR to NNRTIs is prevalent.

How to Identify Smartphone and Internet Addiction

How to Identify Smartphone and Internet Addiction

Smartphone addiction is increasingly recognized as a type of behavioral addiction, and recent research has identified criteria that help establish a diagnosis.

Are Prescribing Habits to Blame? A Closer Look at the Opioid Epidemic

Are Prescribing Habits to Blame? A Closer Look at the Opioid Epidemic

It really shouldn't take a jarring New Yorker piece to make the opioid epidemic, or my role in it, real.

Energy Drinks and the Heart: Are They Safe for Consumption?

Energy Drinks and the Heart: Are They Safe for Consumption?

Most of these cases have been associated with drinking a large volume of energy drinks, and thus, individuals who regularly consume energy drinks should be advised to use them in moderation.

Assessing Accountable Care Organization Cost Savings

Assessing Accountable Care Organization Cost Savings

With continued evaluation and adaptation, ACOs promise to provide sustainable reform of healthcare costs and management for the future.

Should Surgeons Disclose Sleep Deprivation to Patients During Informed Consent?

Should Surgeons Disclose Sleep Deprivation to Patients During Informed Consent?

The law surrounding informed consent has evolved from asking what a reasonable surgeon would have disclosed to focusing on what a reasonable patient would have wanted to know.

"Surprise Babies" - Not as Rare as You Think

"Surprise Babies" - Not as Rare as You Think

Rare diagnoses deserve our attention, too, and we'd do well not to rule them out as fantastical or impossible.

Digging Deeper Into the Flu Vaccine and Its Importance to Public Health

Digging Deeper Into the Flu Vaccine and Its Importance to Public Health

There is a sure-fire way for us to gain an upper hand with the flu virus, though. It's simple: get more people vaccinated.

The HEART Score - How Do We Teach Old Docs New Tricks?

The HEART Score - How Do We Teach Old Docs New Tricks?

The HEART score has again been shown to be a safe risk-stratification tool for chest pain, but it does not seem to do much for reducing hospital utilization and admissions.

A Closer Look Into the Drugged-Driving Epidemic

A Closer Look Into the Drugged-Driving Epidemic

There's no doubt that drugged driving is a growing problem, and one that, coincidentally or not, dovetails with expanding decriminalization of marijuana around the country.

Transplant Surgery: Are We Doing Enough (Of It)?

Transplant Surgery: Are We Doing Enough (Of It)?

Informed decisions that would allow safe, controlled and efficient organ donations in the absence of a declaration of brain or cardiac death remains a complete nonstarter.

Sourdough or Sour Don't? A Closer Look at Glycemic Index

Sourdough or Sour Don't? A Closer Look at Glycemic Index

Consumption of higher glycemic index foods has been shown to be associated with increased rates of diabetes, obesity, cancer and all-cause mortality.

Weight Gain After Weight Loss and Its Associated Cardiovascular Risks

Weight Gain After Weight Loss and Its Associated Cardiovascular Risks

We have data suggesting that patients with established coronary disease who have wide fluctuations in weight have a significantly higher risk for adverse cardiovascular outcomes.

Q&A: How the Political Climate Exacerbates PTSD in Sexual Assault Victims

Q&A: How the Political Climate Exacerbates PTSD in Sexual Assault Victims

Rape has been linked with the strongest risk for PTSD in both women and men.

NSAID Use and Myocardial Infarctions — A Deadly Pain Reliever?

NSAID Use and Myocardial Infarctions — A Deadly Pain Reliever?

As physicians, it may be more prudent to recommend physical therapy for pain relief whenever possible and to suggest exploring alternative therapeutic modalities.

Q&A: A Transgender Woman's Perspective on HIV Research

Q&A: A Transgender Woman's Perspective on HIV Research

Dr Sara Gianella talks with Brooke Sullivan, a transgender woman and HIV activist, about ways to improve transgender individuals' involvement in HIV research.

Q&A: Effects of PrEP in the Transgender Community

Q&A: Effects of PrEP in the Transgender Community

Dr Sara Gianella talks with Dr Sheldon Morris, from the University of California San Diego AntiViral Research Center about an upcoming PrEP study in transgender people.

New Media Attention on Rising Maternal Mortality in the United States

New Media Attention on Rising Maternal Mortality in the United States

Why is maternal mortality increasing in the US? Like most complicated issues, there is no simple answer.

The American Health Care Act — Is It the Best We Can Do?

The American Health Care Act — Is It the Best We Can Do?

Republicans are not looking at the problems with the ACA, nor are they trying to find real solutions. The only Americans they seem to serve are those who need the ACA the least.

Higher Premiums and the Affordable Care Act — Why the ACA Isn't to Blame

Higher Premiums and the Affordable Care Act — Why the ACA Isn't to Blame

Republicans have capitalized on the misunderstood concept that the ACA is responsible for their health premiums going up and misleading voters to turn them against the ACA.

Make Your Medical Practice Thrive By Improving Your Collection Rates

Make Your Medical Practice Thrive By Improving Your Collection Rates

Medical groups may need to address such issues as claims denials and failure to obtain prior authorization.

National Health Initiatives Threatened With Passing of Two Congressional Bills

National Health Initiatives Threatened With Passing of Two Congressional Bills

Two recent acts of Congress pose serious threats to national infectious disease health initiatives.

Providing Optimal Care to Medicaid Patients Under the Affordable Care Act

Providing Optimal Care to Medicaid Patients Under the Affordable Care Act

Despite the increase in coverage under the ACA, data suggest Medicaid patients often had increased wait times for appointments to see healthcare providers.

Focus on Medical Device Safety Surveillance Proves Imperative

Focus on Medical Device Safety Surveillance Proves Imperative

The development of new device technologies points to the need for new strategies to monitor their continuing safety and efficacy.

It's Time to Address Body Image Issues in Gay Men

It's Time to Address Body Image Issues in Gay Men

Nearly 15% of all gay men report dealing with anorexia or bulimia during their lifetime.

Many Elderly LGBTQ Individuals Experience Barriers to Care

Many Elderly LGBTQ Individuals Experience Barriers to Care

Elderly LGBTQ individuals are more likely to be depressed and have poor general health than non-LGBTQ seniors.

Medical Liability Reform Challenges in Dynamic Healthcare Environment

Medical Liability Reform Challenges in Dynamic Healthcare Environment

A new bill aimed specifically at limiting medical liability was passed by Congress on March 1, 2017.

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