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.
While many treatments for substance use disorder are not evidence based, several evidence-based approaches have shown effectiveness in court-mandated treatment settings.
Any images and personal stories that remind people about skin cancer, what to look for, even scars after surgery, really help save lives.
Important strategies to consider for people involved in the criminal justice systems include linkage to antiretroviral therapy for those who are HIV positive and linkage to PrEP postrelease and/or beginning PrEP before people are released so they build up adherence.
From Needle Exchanges to Supervised Injection: Why Communities Benefit From Supervised Injection Sites
Like needle exchanges before them, supervised injection sites have been shown to decrease the harms associated with injection drug use.
Communication with older patients can be complicated for several reasons.
As the most effective treatment for a patient with multiple sclerosis is one that is specifically tailored to the patient's individual needs and preferences, recognition of the unique characteristics, preferences, and trends shared by the millennial generation should drive innovative solutions.
Identifying a patient's preferences and goals leads to a care plan that can reflect those goals, and this may improve patient satisfaction.
Although efforts to debunk antivaccination beliefs often rely on fact-based strategies, emerging evidence suggests it may be more effective to target the psychological roots of these beliefs.
Emerging evidence shows promise regarding the potential role of precision nutrition in the prevention and management of T2D. However, considerably more research is needed before this approach can be widely applied for these purposes.
Although cigarette taxes were supposedly implemented to encourage smokers to quit, they can have a disproportionate effect on people of low-income status.
Physician burnout has gained traction as a public health concern because more physicians are leaving medical practice altogether, resulting in decreased patient access and continuity of care.
Airplane cockpits have a lot in common with operating rooms: both host a small team that's trusted to perform an extraordinarily complex task with the clear understanding that any misstep could spell doom.
Upcoding is universally illegal, but that doesn't stop physicians and nurses the world over from labeling a simple infection as septicemia or pretending that a routine office visit involves a comprehensive evaluation.
Mental health professionals regularly grapple with the best way to support clients navigating an onslaught of sexual violence in their daily lives.
No single solution to address sexual harassment in medicine exists, but physicians of all genders must come together to make progress.
The culture of bullying — widespread across the medical field — has been linked to poorer patient outcomes. So why can't physicians stop bullying in its tracks?
The role of an anesthesiologist during surgery is not solely to make the patient more comfortable: if a patient becomes hemodynamically unstable, the anesthesiologist is required to administer CPR — sometimes against a patient's wishes.
Although substantial emphasis is placed on vaccinations in considering how to limit the spread of influenza, simple hygienic methods have been found to be the most effective and should be more widely supported.
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.
Malpractice liability reform would best be analyzed on a specialty-by-specialty basis.
Parkinsonism syndromes are associated with progressive disability and increased mortality, with symptom burden comparable to that of advanced cancer.
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
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"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?
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.
The Goldwater Rule has proven remarkably resilient and has not been seriously challenged for half a century — until now.
Mobile and digital technologies represent a valuable method for gathering real-world patient data at multiple timepoints.
Belgium and the Netherlands currently allow variations on pediatric euthanasia, stoking the worldwide debate surrounding the practice.
Women continue to propel medicine into the future. Take a glimpse at just a handful of the remarkable women in medicine making history today.
Do you know a woman in medicine who you would like to honor? Medical Bag is collecting your stories.
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.
The concept of conscientious objection has been appropriated by health care professionals who refuse to perform certain tasks related to female reproductive health.
Torture has always had its place as a two-faced mythical creature in American society, but no neuroscientific backing for the practice exists.
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
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.
An expert discusses how the shifting public view of sexual harassment is affecting the nation.
Compassion fatigue affects workers across the spectrum of helping professions, and is extremely prevalent among physicians.
Additional studies are needed to assess the use of telehealth in urgent and primary care triage, teledermatology, and the management of serious pediatric conditions.
Research suggests that the growing number of tasks required by EHRs can compromise patient encounters.
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.
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.
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.
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.
Machine learning programs are accurate and intelligible, but what are the potential pitfalls of using them in a clinical setting?
While some support physician participation in lethal injection, others view it as a clear violation of the Hippocratic Oath.
David Himmelstein, MD, FACP, shares his insight on healthcare inequality in the United States, along with what he says is the only solution.
A recent study points to the potential global spread of vector-borne diseases due to global warming.
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.
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.
The most pressing issues with respect to racial disparities reside in the medical system, rather than the patient.
The HIV Medicine Association of the Infectious Diseases Society of America has released new guidelines chronic pain management in patients with HIV.
Recent research has suggested that patent foramen ovale closure surgery might be a preventive measure against future migraine attacks.
Increasing temperatures and changing frequency of floods, droughts, heatwaves, and storms have direct effects on physical and mental health.
Karen Broquet, MD, MHPE, of the Southern Illinois University School of Medicine, discusses how clinicians can navigate interactions with challenging patients.
Recent data show incredible variation in C-section rates from country to country.
The Centers for Medicare & Medicaid Services issued a final rule that could result in steep payment reductions for physicians of certain specialties in 2018.
Mental health assessments may be a helpful aspect to the presport evaluation if those in need have access to care.
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.
The need for data transparency carries an ethical and moral obligation and requires nonselective and unbiased publication of clinical results.
Researchers are examining theories on the interplay between the GI tract and the brain.
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 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.
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
Although there has been growing awareness of physician burnout in recent years, the problem has continued to increase.
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 is a complex multifactorial problem borne of a fundamental supply-and-demand mismatch.
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.
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.
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.