Although it is estimated that more than 166 million Americans use dietary supplements, many healthcare providers are unfamiliar with how these substances are regulated by the US Food and Drug Administration.
A shift toward personalized medicine in pneumonia management would involve refining the diagnostic categories to include viral pneumonia, bacterial pneumonia, and noninfectious respiratory disease.
The Good, the Bad, and the Legal Questions: Examining Common Issues in Curbside Consultation Practice
Curbside consults are commonplace in both hospital and ambulatory settings.
Articles discussing the use of cannabis as a substitute for opioids highlight the limitations of the existing scientific evidence in the field.
Despite the clear need for improved management of T2D in patients with SMI, there is scant evidence regarding effective treatment strategies for this group.
The ACIP and CDC have approved and released 2019 recommendations for the adult immunization schedule in the US.
Obesity is an independent risk factor for the development of psoriasis and is associated with a worse prognosis.
This rise in prescribing of prescription opioids in the last 2 decades of the 20th century occurred at a time during which medical professionals were urged to resort to prescription opioids to manage untreated and chronic noncancer pain.
Since it was first identified in 1976, Ebola has affected several African countries, most recently the Democratic Republic of Congo.
In order to revise the guidelines, the Task Force reviewed clinical trials presented at the annual scientific meetings of the ACC, AHA, HRS, and European Society of Cardiology in addition to other peer-reviewed, published data.
Racism is embedded in all US institutions, including medicine — so what steps are being taken to improve the well-being of the healthcare workforce?
To shed light on issues of cybersecurity in medical practices, MPR spoke to Michael J Sacopulos, JD, CEO of Medical Risk Institute (MRI), a firm that provides "proactive counsel" to the healthcare community to identify where liability risks originate and to reduce or remove those risks.
Machine Learning in Dermatology: Overcoming Data Gaps in Skin Cancer Detection for Smarter Diagnosis
We can leverage the agility of machine learning to point out unmet clinical needs and improve clinical practice.
We use artificial intelligence in nearly every aspect of our lives — but how does AI fare in the physician's exam room?
Dr Pransky shares some examples of robots that have shown impressive psychiatric applications, as well as her thoughts on giving robots the critical role of delivering healthcare to human beings.
Digital interventions, such as web-based programs, mobile apps, and text messaging, have been found to improve asthma control and medication adherence while reducing the use of "rescue" medications.
With the growth of the field of sleep medicine, there has been an increase in referrals to experts who specialize in disorders that result in sleep-related violence.
A group of physicians has banded together to file a class-action lawsuit against the American Board of Internal Medicine and the organization's monopolization on the process of board certification.
Although rates of AIDS-defining malignancies have declined in recent decades, cancer remains a leading cause of mortality in people living with HIV.
For part 2 of this article, Psychiatry Advisor interviewed Dr Brenda L Curtis, whose research focuses on "big data" generated from social networking sites, technology-based interventions for substance use disorders and related issues, and Internet research ethics.
The use of technology is also transforming the mental health landscape, with significant implications for clinicians who work with adolescents, in particular.
Once revered and idolized by society and patients, physicians are increasingly being subjected to verbal and physical violence at work.
As part of the World Health Organization's goal to eliminate viral hepatitis as a global health threat by 2030, the incidence of chronic new infections must decrease by 90%.
The American College of Rheumatology and the National Psoriasis Foundation have released 2018 joint recommendations for the treatment of psoriatic arthritis.
Despite record numbers of women working in medicine, instances of gender discrimination and sexual harassment continue to proliferate.
Clinicians are gaining a better understanding of how asthma and allergies are regulated by the circadian clock, which will help patients better alleviate their symptoms.
For many physicians, working during the holiday season is simply part of the job.
Issues that affect employees in all industries are compounded by a unique set of additional concerns that affect employees of medical practices.
What do you resolve to focus on in 2019?
Drunkorexia is a term referring to limiting food intake prior to alcohol consumption, which may lead to eating disorders in college students.
Neurology Advisor spoke with Jacob Levitt, MD, for his unique medical and patient perspectives on PP.
Healthcare providers should educate all patients with COPD about their flight-related risks and the need to seek medical advice before flying.
The concept of thirdhand smoke was originally introduced in 1953, when rodent studies first demonstrated the carcinogenic effects of the residue from tobacco smoke.
A study by the National Survey of Drug Use and Health (NSDUH) found that from 2002-2014 the proportion of adults aged 50 to 64 who reported cannabis use in the past year more than tripled from 2.9% to 9.0%. Among adults age 65 or older, there was more than a ten-fold increase (from 0.2% to 2.1%).
Following diagnosis, 66.2% of women with the disease survive 5 or more years.1 HPV causes the majority of cervical cancer cases.
The results highlight the importance of evaluating and monitoring cognitive function in individuals with recent critical illness or major infections, especially if they are already at risk for dementia.
Economists argue that because naloxone prevents overdoses, it also nudges users toward riskier behaviors. Physicians disagree.
Recent data suggest that the link between circadian rhythms of RA symptoms and the chronotherapy of RA is promising.
Technological Breakthroughs in Medicine Move Physician-Patient Interactions From The Computer Screen Back to the Exam Room
While technological breakthroughs have had positive effects in the corporate world, they have led to exacerbated physician burnout in the medical field.
Adolescents infected with HIV have a greater risk for psychiatric hospitalizations compared with those not infected with HIV.
Having a higher burden of comorbidities is associated with greater disability progression and lower QoL, as well as increased healthcare utilization and mortality.
A recent systematic review found that nurse-led care is effective, acceptable, and safe in patients with rheumatoid arthritis.
Researchers at St Jude Children's Research Hospital sought to determine what indicators in survivors of CNS tumors can predict the survivor's ability to live independently as an adult.
Future studies on VR training for MS should include large randomized controlled trials using clear protocols and comparable between-group tasks.
How do you answer when the patient or family asks, "What is next?" More importantly, though, you need to recognize if they are asking that question, or is there something else they are really asking.
The anti-vaccine movement has proliferated over recent years, thanks in part to its most vocal proponents using social media to churn out often misleading information.
Designing the Therapeutic Space: Using Layout, Color, and Other Elements to Get Patients in the Right Frame of Mind
While there is no single way to design a conducive therapeutic room, mental health professionals can help ensure that clients have a comfortable therapeutic experience by keeping the area a welcoming, cozy, warm, and safe environment for emotionally vulnerable individuals.
Obesity rates are nearly 40% among US adults, but traditional treatment methods are found to contribute to weight stigma, creating a population that's unhealthier than ever.
The efficacy of nonpharmacologic agents for wound care should encourage discussion of their usefulness and appropriateness in wound management.
A major challenge associated with hepatitis screening is the loss to follow-up that occurs in people who inject drugs.
Recent high-quality clinical trial evidence has demonstrated that medications commonly prescribed for migraine prevention in pediatric patients were not superior to placebo for reducing headache symptoms.
Big data has enabled public health authorities to identify doctor-shopping patients and those who needed treatment for opioid abuse. The trade-off, however, could be patient and provider privacy.
Approximately 15% of incarcerated people have serious mental illness, although that number can vary depending on the type of illness.
Paying a surrogate to carry a fetus shoehorns a fourth, and fifth, party into the already tight therapeutic triangle formed by the biological mom, fetus, and physician.
Changing pollination patterns, extreme weather events, rising sea levels, air pollution, and extreme temperatures all negatively affect respiratory conditions.
Farris K. Timimi, MD, and Lee Aase from the Mayo Clinic Social Media Network shared their views on the role of social media in physician practice.
The complexities and ambiguities associated with reporting suspected cases of child abuse can contribute to confusion and the potential for harm.
A rapid increase in the female-to-male ratio of MS incidence has been observed through several population studies.
Eligibility criteria employed in clinical trials assessing pharmacologic treatment of bipolar disorder typically preclude many affected patients, casting doubt about the generalizability of their results.
As infections from drug-resistant microbes continue to rise, the development of new antibiotics has declined since the golden age of antibiotic discovery in the mid-20th century.
People are increasingly finding themselves dependent on their mobile phones, and separating themselves from their devices has been associated with high levels of anxiety, as well as feelings of panic and stress.
Despite their advantages, many clinicians do not necessarily agree with the centrality or content of CPGs. Others — especially primary care physicians (PCPs) — are overwhelmed by the vast and ever-increasing numbers of guidelines issued by multiple societies.
The use of aspirin in healthy elderly patients as a preventative strategy was associated with no prolongation of long-term disability-free survival compared with placebo.
There is an opportunity to improve HCV treatment rates for people who inject drugs by integrating DAA therapy into current models of community-based addiction.
Neurology Advisor spoke with Annabelle Baughan, a retired hematologist-oncologist, who discussed her personal experience with Andersen-Tawil syndrome.
The reasons for physicians' discomfort with conversations about dying are as much cultural, social, and systemic as they are personal.
Current evidence highlights the potential role of cross-talk between the enteric and central nervous systems and the pathogenesis of Parkinson disease.
Wearable activity monitors offer oncology care teams an unbiased glimpse into patients' health behaviors and improved reports on performance status.
In the last 5 years, many clinicians have faced tough questions about how best to serve transgender youth while doing no harm.
Some studies suggest triclosan could have oncogenic properties, but more research is needed to confirm a causal link.
Patients with rheumatoid arthritis often use natural-product dietary supplements, but few disclose this to their healthcare providers.
Although regarded as a miracle drug to some, nusinersen comes with some troublesome strings attached.
Because they're busy looking in different directions, "innocent until proven guilty" and "first, do no harm" don't always get along.
Information patients find online can be a great concern for oncology nurses, especially when a diagnosis has an uncertain prognosis. In this follow-up study, researchers in Boston sought to determine the quality of the online resources patients with cancer, particularly pancreas, are finding.
Meditation techniques have an ever-growing evidence base to support their use and have become increasingly accepted in Western medicine as helpful adjuncts to other therapies.
The case of the Golden State Killer has set a new precedent for using public genealogy databases to solve previously unsolvable crimes.
Abuse-deterrent opioid formulations have not yet been widely accepted despite their proposed value in reducing opioid abuse and related mortality. Many of the current barriers to broader use are related to their higher cost compared with conventional formulations.
A new generation of DNA tests that analyze fetal DNA are seen as a safe and reliable godsend for expectant mothers because, according to the manufacturers, they achieve "near-perfect" accuracy.
The Ethics of Consumer Genetic Testing for Huntington Disease: Peaked Interest Has Clinicians Concerned
Direct-to-consumer genetic testing would enable consumers to bypass the safeguards set forth by professional guidelines, which could potentially increase the risk for harm associated with testing.
The potential consequences of providing cosmetic treatment to a patient with BDD can extend beyond ethical concerns.
FDA Approval of Medication With a Digital Monitoring System: Major Breakthrough or "Brave New World"?
Abilify MyCite adds a digital sensor to the medication aripiprazole. The sensor, an ingestible event marker, is activated by contact with stomach acids and transmits a signal to a skin patch the patient wears, which then transmits to an app.
Cannabis has been shown to reduce the use of prescription drugs that have more numerous and serious side effects, including opioids, benzodiazepines, and antidepressants.
Despite concerns that the digital revolution in psychiatry might lessen the importance of interpersonal relationships between patient and clinician, digital apps have the potential to make the therapeutic alliance even more powerful.
Patients are increasingly recording physician visits on their phones, should physicians do the same.
Point-Counterpoint: Should We Implement Needle Exchange Programs for the Prevention of Hepatitis C Virus?
Of the approximately 12.7 to 16 million people who inject drugs (PWID) worldwide, an estimated 10 million individuals have hepatitis C virus (HCV), making it the most prevalent infectious disease in this population.
Divergent recommendations in guidelines from the USPSTF and the ATA/AACE contribute to the controversy surrounding whether to test and treat for subclinical hypothyroidism.
Discussions involving Internet challenges with children and adolescents should be as sensitive as those about sexuality and drug or alcohol use.
Primary care providers should screen for depression and other health-related risks associated with the use of social media by adolescents.
While politicians celebrate the passage of the Right to Try Act, physicians must closely monitor the outcomes to mitigate the potential consequences of this law.
Stigma and harassment in a medical setting are not uncommon in the 1.4 million Americans who identify as transgender or gender-nonconforming. It's time for healthcare providers to change the status quo.
Not all abused children become serial killers, and not all serial killers are victims of childhood abuse. However, the connection between the two cannot be dismissed as just coincidence.
Hackers' attempts to steal data could lead to malfunction of MRI machines, implantable defibrillators, insulin pumps, and other devices.
An AAEP task force created recommendations for medical evaluation of psychiatric patients presenting to the ED.
Although all of the guidelines acknowledge that there are emergent situations in which providing care for a family member or friend is not only permissible but also essential, other situations are frowned upon.
The psychological effect on psychiatrist victims should be acknowledged even when the behavior of the perpetrator can be explained by diagnosis.
To shed further light on the study's implications, MPR interviewed lead author Anupam B. Jena, MD, PhD, Ruth L. Newhouse Associate Professor, Harvard Medical School, Boston, MA.
How many second chances should a drug user get? As many as it takes for us — physicians, society, government, and the healthcare system — to get it right.
The staggering number of incarcerated Americans has inspired an avalanche of studies demonstrating how patterns of imprisonment exacerbate inequality and affect the life chances of entire families.
Ranking or otherwise gauging physician quality isn't just a way to assign bragging rights — performance metrics can be used to set reimbursement levels, tailor insurance, and identify physicians who are falling behind.
Offenders with major psychopathic traits can be identified in all ethnic groups that have been studied, including European Americans, African Americans, and Latino Americans, but some of the evidence pointing to the validity of psychopathy is stronger in European Americans.
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