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Migraine & Headache Persistent Poststroke Headache: Finding Its Place in Stroke Aftercare

Persistent Poststroke Headache: Finding Its Place in Stroke Aftercare

The continued observation of this delayed headache syndrome may point to a different pathophysiology from tension-type headache or acute poststroke headache.

Opioid Addiction The Unintended Consequences of the CDC Opioid Guideline According to Pain Management Specialists

The Unintended Consequences of the CDC Opioid Guideline According to Pain Management Specialists

The guideline formulated by the Centers for Disease Control and Prevention in an effort to curb opioid overdose-related deaths included a recommendation for steep reductions in opioid doses for patients taking high doses of the drug for chronic pain.

Opioid Addiction Striking a Balance Between Opioid Surveillance and Patient Privacy

Striking a Balance Between Opioid Surveillance and Patient Privacy

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.

Opioid Addiction Popular Heroin Inhalation Method Tied to Leukoencephalopathy

Popular Heroin Inhalation Method Tied to Leukoencephalopathy

"Chasing the dragon" is an increasingly popular method of heroin inhalation among drug users.

Opioid Addiction The Opioid System: The Foundation for Social Risk and Reward

The Opioid System: The Foundation for Social Risk and Reward

The opioid system is responsible for social pain and reward in the brain; therefore, understanding its underpinnings may help clinicians manage patients with depression and suicidal ideation.

Opioid Addiction Managing Comorbid Opioid and Alcohol Use Disorder

Managing Comorbid Opioid and Alcohol Use Disorder

When alcohol and opioid addiction occur together, managing them concomitantly becomes challenging. Whereas some patients may not need medication for alcohol addiction, opioid abuse does require pharmacotherapy.

Opioid Addiction Perioperative Pain Management in Patients With Opioid Use Disorder

Perioperative Pain Management in Patients With Opioid Use Disorder

The perioperative management of pain in patients with opioid use disorders presents multiple challenges to clinicians. A recent review offered clinical guidance for various subgroups of these individuals.

Chronic Pain The Role of Psychological Factors in Phantom Limb Pain Reviewed

The Role of Psychological Factors in Phantom Limb Pain Reviewed

Up to 85% of amputees experience phantom limb pain: sensations in the missing limb that patients may describe as burning, cramping, tingling, itching, stabbing, throbbing, or a feeling of "pins and needles."

Migraine & Headache Pediatric Migraine and Obesity: What We Know and Where We're Going

Pediatric Migraine and Obesity: What We Know and Where We're Going

Data in children do support an association between pediatric obesity and headache disorders in general, but more research is needed to confirm the association specifically with pediatric migraine.

Opioid Addiction Leveraging the Placebo Effect to Reduce Opioid Requirements

Leveraging the Placebo Effect to Reduce Opioid Requirements

Emerging evidence indicates that the placebo effect can in some instances reduce patients' pain. The current debate is whether clinicians need to disclose to patients that they are using placebos instead of active ingredients.

Practice Management Descriptive, Predictive Data at Odds in Medical Malpractice Courtroom

Descriptive, Predictive Data at Odds in Medical Malpractice Courtroom

Because they're busy looking in different directions, "innocent until proven guilty" and "first, do no harm" don't always get along.

Opioid Addiction Comorbid Bipolar Disorder and Substance Abuse: A Challenge to Diagnose and Treat

Comorbid Bipolar Disorder and Substance Abuse: A Challenge to Diagnose and Treat

Bipolar disorder is often comorbid with substance use disorders, with alcohol being the top substance. Clinicians should take a thorough history to uncover substance use disorder because it will guide the management of both disorders.

Chronic Pain Pediatric Chronic Musculoskeletal Pain: Diagnosis and Management

Pediatric Chronic Musculoskeletal Pain: Diagnosis and Management

Chronic, noninflammatory pain in children and adolescents encompasses a wide range of pain syndromes. Clinicians need to consider not only the physical manifestations of pain but also the psychosocial and academic impact of the child's pain and impairment.

Migraine & Headache Identifying Intracranial Hypertension in Children: Added Challenges

Identifying Intracranial Hypertension in Children: Added Challenges

Pediatric neurologist Lalitha Sivaswamy, MD, discusses challenges in diagnosing primary intracranial hypertension in pediatric patients.

Opioid Addiction Reducing Mortality After Overdose: Is Treatment for Opioid Use Disorder Effective?

Reducing Mortality After Overdose: Is Treatment for Opioid Use Disorder Effective?

Adults who received pharmacologic treatment for opioid use disorder following a non-fatal overdose may have a reduced risk for opioid-related and all-cause mortality in the subsequent 12 months compared with adults who did not receive medication-assisted treatment.

Migraine & Headache Tumor-Related Headache: Path to Diagnosis, Treatment Isn't Always Obvious

Tumor-Related Headache: Path to Diagnosis, Treatment Isn't Always Obvious

Headaches are a common occurrence in the general population and are often present in patients with an underlying brain tumor, although it is not yet clear to what degree they are related.

Opioid Addiction Abuse-Deterrent Opioid Formulations: Barriers to Broader Use

Abuse-Deterrent Opioid Formulations: Barriers to Broader Use

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.

Rheumatology Exploring the Clinical Implications of Cannabinoid Use in Rheumatoid Arthritis

Exploring the Clinical Implications of Cannabinoid Use in Rheumatoid Arthritis

Preliminary evidence has found an association between the cannabinoid system and other rheumatic conditions, but the studies have not provided conclusive results that could drive recommendations.

Opioid Addiction Opioid Use Disorders: Advances in Pharmacotherapy Provide Long-term Results

Opioid Use Disorders: Advances in Pharmacotherapy Provide Long-term Results

Despite the availability of long-acting opioid antagonists, many patients with OUD never receive adequate treatment.

Practice Management Should You Record Your Patient Encounters? An Interview With Dr James Ryan

Should You Record Your Patient Encounters? An Interview With Dr James Ryan

Patients are increasingly recording physician visits on their phones, should physicians do the same. MPR spoke with physician who advocates for recording in clinical practice.

Migraine & Headache Managing Comorbid Migraine and Mood Disorders: A Synergistic Approach

Managing Comorbid Migraine and Mood Disorders: A Synergistic Approach

People with migraines and comorbid mood disorders often need treatments that address both conditions, as well as management of sleep, stress, and lifestyle issues.

Migraine & Headache Addressing Rare Headache Disorders: Acute Confusional Migraine

Addressing Rare Headache Disorders: Acute Confusional Migraine

Acute confusional migraine has not been specifically studied and many clinicians remain unaware of the condition, which may result in underestimation of the prevalence.

Post-Surgical Pain Optimal Strategies for Opioid Weaning After Ambulatory Surgery

Optimal Strategies for Opioid Weaning After Ambulatory Surgery

Although there is a scarcity of evidence pertaining to the management of postoperative pain medication in the ambulatory setting, some findings suggest an approach similar to that used for the treatment of acute pain.

Migraine & Headache Hormonal Contraceptives and Migraine: Is It Time to Revisit Stroke Risk?

Hormonal Contraceptives and Migraine: Is It Time to Revisit Stroke Risk?

Current oral contraceptive products contain lower doses of estrogen than those used in the past, prompting reconsideration of risks and benefits.

Low Back Pain Stat Consult: Chronic Low Back Pain

Stat Consult: Chronic Low Back Pain

Chronic low back pain (LBP) defined as persistent or fluctuating musculoskeletal pain of lower back and lumbar spine lasting >3 months.

Rheumatology Gender Differences in Axial Spondyloarthritis: Comparing Disease Burden and Treatment

Gender Differences in Axial Spondyloarthritis: Comparing Disease Burden and Treatment

An improved understanding of the gender differences in axial spondyloarthritis can improve disease treatment and reduce disease burden.

Rheumatology Treating Osteoporotic Pain: Expert Interview

Treating Osteoporotic Pain: Expert Interview

Pain resulting from osteoporotic fractures should be treated with a multimodal approach that includes pharmacological and nonpharmacological strategies.

Pain Comorbidities Functional Restoration for Chronic Pain and Depression in the Elderly: Pharmacotherapy and Beyond

Functional Restoration for Chronic Pain and Depression in the Elderly: Pharmacotherapy and Beyond

Functional restoration is a multimodal approach to chronic pain and depression, and includes psychoeducation about pain, biofeedback, mindfulness training, physical and occupational therapy, and detoxification of narcotics.

Practice Management Should Physicians Treat Family and Friends? Three Experts Weigh In

Should Physicians Treat Family and Friends? Three Experts Weigh In

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.

Case Studies Case Study: Sudden Abdominal Pain

Case Study: Sudden Abdominal Pain

A 90-year-old woman with a history of coronary disease and gallstones presents to the emergency department with generalized abdominal pain that started suddenly about 7 hours prior.

Migraine & Headache Confronting Postdural Puncture Headache in Clinical Practice

Confronting Postdural Puncture Headache in Clinical Practice

Nonpharmacological strategies, including bed rest, have a lack of evidence supporting their use in the treatment of postdural puncture headache.

Post-Surgical Pain Recommendations for Perioperative Pain Management in Patients With Opioid Tolerance

Recommendations for Perioperative Pain Management in Patients With Opioid Tolerance

With the increasing number of patients presenting to surgery with opioid tolerance, clinicians should be familiar with their specific analgesic needs.

Practice Management A Few Bad Apples: Managing Malpractice Claims

A Few Bad Apples: Managing Malpractice Claims

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.

Opioid Addiction Court-Mandated Substance Abuse Treatment: Exploring the Ethics and Efficacy

Court-Mandated Substance Abuse Treatment: Exploring the Ethics and Efficacy

While many treatments for substance use disorder are not evidence based, several evidence-based approaches have shown effectiveness in court-mandated treatment settings.

Pain Comorbidities Addressing Psychiatric Comorbidities in Inflammatory Rheumatic Diseases

Addressing Psychiatric Comorbidities in Inflammatory Rheumatic Diseases

Rheuatology Advisor speaks with a psychologist about addressing mental health in patients with inflammatory arthritis.

Opioid Addiction Substance Abuse and Primary Psychosis: A Closer Look

Substance Abuse and Primary Psychosis: A Closer Look

Patients will still be at risk for schizophrenia or bipolar disorder even several years after an episode of substance-induced psychosis.

Migraine & Headache Addressing Migraine That Mimics Stroke

Addressing Migraine That Mimics Stroke

Neurology Advisor spoke with Dr Peter McAllister about how to best discern migraine with aura from stroke.

Fibromyalgia Alleviating Fibromyalgia-Related Muscle Pain Through Nutrition

Alleviating Fibromyalgia-Related Muscle Pain Through Nutrition

Providing guidance to improve dietary behavior, which may include supplementation to achieve an optimal nutritional status, can contribute to improved control of fibromyalgia symptoms.

Pain Comorbidities Addressing Depression in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

Addressing Depression in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

Clinicians address issues relating to treating patients with comorbid chronic fatigue syndrome and mood disorders.

Opioid Addiction Detox vs Medication-Assisted Treatment for Opioid Use Disorder in Pregnancy: Expert Roundtable

Detox vs Medication-Assisted Treatment for Opioid Use Disorder in Pregnancy: Expert Roundtable

Based on current evidence, there is a strong consensus that medication-assisted treatment is recommended over detoxification in the treatment of opioid use disorder during pregnancy.

Migraine & Headache Managing Pediatric Migraine: Current Therapies and Future Directions

Managing Pediatric Migraine: Current Therapies and Future Directions

Migraine is highly prevalent in children and adolescents, affecting almost 10% of children between 5 and 15 years old and 30% of adolescents between 15 and 19 years old.

Practice Management #MeToo: Helping Victims Cope With Sexual Harassment

#MeToo: Helping Victims Cope With Sexual Harassment

Mental health professionals regularly grapple with the best way to support clients navigating an onslaught of sexual violence in their daily lives.

Practice Management When Sparks Stop Flying: How Is Clinician Burnout Tied to Patient Outcomes?

When Sparks Stop Flying: How Is Clinician Burnout Tied to Patient Outcomes?

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.

Practice Management What a Building Contractor Taught Me About Informed Consent

What a Building Contractor Taught Me About Informed Consent

Identifying a patient's preferences and goals leads to a care plan that can reflect those goals, and this may improve patient satisfaction.

Practice Management The Pilot, the Physician, and the Whistleblower: When Is it Okay to Sound the Alarm?

The Pilot, the Physician, and the Whistleblower: When Is it Okay to Sound the Alarm?

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.

Migraine & Headache Peripheral Nerve Blocks for Headache Disorders: Expert Roundtable

Peripheral Nerve Blocks for Headache Disorders: Expert Roundtable

Although high-quality studies on the use of peripheral nerve blocks for the treatment of headache disorders are scarce, results observed in clinical practice support their use.

Practice Management Under the Microscope: Medicine's #MeToo Moment

Under the Microscope: Medicine's #MeToo Moment

No single solution to address sexual harassment in medicine exists, but physicians of all genders must come together to make progress.

Migraine & Headache Headache in Older Adults: Unique Causes and Treatments

Headache in Older Adults: Unique Causes and Treatments

It is important for clinicians to quickly and accurately determine potential underlying causes and to prescribe treatments that take into account comorbidities and medications that older patients may be taking for them.

Rheumatology Expert Q&A: Effects of Collaborative Care Models on Patient Satisfaction in Rheumatoid Arthritis

Expert Q&A: Effects of Collaborative Care Models on Patient Satisfaction in Rheumatoid Arthritis

John M. Davis III, MD, MS, from the Mayo Clinic in Rochester, Minnesota, and Jennifer Gorman, MD, MPH, from The Polyclinic in Seattle, Washington, discuss the evolving collaborative care therapy model in RA.

Cancer Pain Intrathecal Drug Delivery and Spinal Cord Stimulation for Cancer Pain: A Review

Intrathecal Drug Delivery and Spinal Cord Stimulation for Cancer Pain: A Review

Intrathecal drug delivery systems and spinal cord stimulation have shown promise for the treatment of cancer pain in initial studies.

Migraine & Headache Overlapping Headache and Sleep Disorders: Which Comes First and How to Treat?

Overlapping Headache and Sleep Disorders: Which Comes First and How to Treat?

Clinicians discuss the clinical implications of headache and comorbid sleep disturbances.

Practice Management 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

Practice Management Honoring Women in Medicine: Reader Responses

Honoring Women in Medicine: Reader Responses

We are sharing your stories about the women behind the white coats.

Migraine & Headache Sphenopalatine Ganglion Stimulation for Refractory Cluster Headache

Sphenopalatine Ganglion Stimulation for Refractory Cluster Headache

Emerging evidence suggests that sphenopalatine ganglion stimulation may be an effective treatment for refractory cluster headache.

Arthritis Radiofrequency Ablation for Chronic Hip Pain: Reviewing the Evidence

Radiofrequency Ablation for Chronic Hip Pain: Reviewing the Evidence

The available evidence suggests that radiofrequency ablation is a feasible treatment option for chronic hip pain associated with degenerative diseases.

Practice Management Diagnosing Medicine's Intractable Gender Pay Gap

Diagnosing Medicine's Intractable Gender Pay Gap

The #MeToo movement has inspired many women to relate stories of harassment, and medicine is no exception.

Migraine & Headache Evaluating Headache in the Elderly: Primary vs Secondary Causes

Evaluating Headache in the Elderly: Primary vs Secondary Causes

Given the unique challenges presented by aging, new cases of headache in older adults should be evaluated carefully for a differential diagnosis of primary headache and to exclude underlying causes of secondary headache.

Practice Management The Pros and Cons of Direct-to-Consumer Genetic Testing

The Pros and Cons of Direct-to-Consumer Genetic Testing

Direct-to-consumer genetic testing has been receiving a lot of attention over the past 10 years from medical providers, consumers, consumer advisory boards, regulatory entities, and ethicists.

Low Back Pain Low Back Pain: Contributing Factors, Prophylactic Strategies, and Effective Treatments

Low Back Pain: Contributing Factors, Prophylactic Strategies, and Effective Treatments

A Lancet series of articles outlines the array of factors that contribute to low back pain and presents effective prophylactic strategies and treatment options for the condition.

Opioid Addiction Betel Quid Addiction and Implications for Substance Use Disorder

Betel Quid Addiction and Implications for Substance Use Disorder

New findings suggest that DSM-5 criteria may apply to betel use disorder and offer opportunities to advance the study and understanding of substance use disorder in general.

Practice Management Recognizing the Pioneering Women in Medicine for Women's History Month

Recognizing the Pioneering Women in Medicine for Women's History Month

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

Neuropathic Pain Peripheral Neuropathy Management in the Primary Care Setting: A Guide

Peripheral Neuropathy Management in the Primary Care Setting: A Guide

Although peripheral neuropathy is one of the most common neurologic problems seen in the primary care setting, recognizing and evaluating peripheral neuropathy in a patient can be challenging due to its diverse presentations.

Practice Management The Link Between Medical Malpractice and Defensive Medicine

The Link Between Medical Malpractice and Defensive Medicine

Many studies attempt to quantify the effect of the various malpractice claim regulations on physician practice by linking it to the prevalence of defensive medicine, which is when a physician alters his or her clinical approach for the purpose of reducing malpractice exposure.

Acute Pain Non-Opioid Therapies for Pain Management in the ED

Non-Opioid Therapies for Pain Management in the ED

The use of non-opioid analgesic therapies is increasing among ED physicians.

Arthritis Targeting Remission in Axial Spondyloarthritis With Pharmacological Treatment

Targeting Remission in Axial Spondyloarthritis With Pharmacological Treatment

Although current guidelines define remission as the absence of clinical and laboratory evidence of significant inflammatory disease,the parameters against which axial spondyloarthritis is assessed to demonstrate clinical remission are unclear.

Opioid Addiction Too Early to Formulate Recommendations on Medical Cannabis vs Opioids for Pain?

Too Early to Formulate Recommendations on Medical Cannabis vs Opioids for Pain?

Various strategies to reduce opioid overdose deaths have been implemented and it has been suggested that access to medical cannabis may lead to a reduction in opioid use for pain management.

Pain Comorbidities Exploring the Connections Between Neuropathic Pain and Comorbid Mood Disorders

Exploring the Connections Between Neuropathic Pain and Comorbid Mood Disorders

Substantial evidence suggests a close connection between neuropathic pain and mood disorders.

Migraine & Headache Growing Number of Genetic, Neuroimaging Markers for Migraine With Advances in Research

Growing Number of Genetic, Neuroimaging Markers for Migraine With Advances in Research

Advancements in research have led to the identification of a growing number of genetic and neuroimaging markers of migraine.

Chronic Pain Optimal Approaches to the Management of Burn Pain: Expert Insight

Optimal Approaches to the Management of Burn Pain: Expert Insight

Depending on the extent of the injury, pain due to burns can range from mild to severe to excruciating.

Regulatory Issues Drawing the Line Between Personal Beliefs and Patient Rights

Drawing the Line Between Personal Beliefs and Patient Rights

There's only one way to resolve the dissonance between personal beliefs and professional obligations: remembering that physicians take an oath pledging fealty to patients' health, not their own belief systems.

Neuropathic Pain Addressing Barriers to Translational Pain Research

Addressing Barriers to Translational Pain Research

Many translational barriers exist between preclinical research and clinical practice.

Chronic Pain Reviewing the Effectiveness of Lidocaine for the Management of Chronic Pain

Reviewing the Effectiveness of Lidocaine for the Management of Chronic Pain

Systemic lidocaine administered via IV or patch has consistently shown effectiveness for the treatment and prevention of chronic pain.

Practice Management Physician Suicides: A Public Health Crisis

Physician Suicides: A Public Health Crisis

Suicide among physicians is a staggering public health crisis that has gone largely ignored; one physician shares his insight.

Migraine & Headache Managing Headache During Pregnancy: Expert Insight

Managing Headache During Pregnancy: Expert Insight

Headache screening should be a routine part of a prenatal visit so that if and when a patient presents with an attack, a suitable plan of action is already established.

Chronic Pain Atypical Antipsychotics as Adjuncts in Chronic Pain Management: How Effective Are They?

Atypical Antipsychotics as Adjuncts in Chronic Pain Management: How Effective Are They?

In recent years, atypical antipsychotics - particularly olanzapine and quetiapine - have gained increasing attention as adjuncts in pain management regimens.

Migraine & Headache Erenumab for Episodic Migraine Prophylaxis: Current Evidence

Erenumab for Episodic Migraine Prophylaxis: Current Evidence

The monoclonal antibody erenumab has shown favorable results regarding efficacy and safety for the prevention of migraine.

Migraine & Headache OnabotulinumtoxinA for Tension-Type Headache: Research vs Real-Life Settings

OnabotulinumtoxinA for Tension-Type Headache: Research vs Real-Life Settings

Despite its prevalence, tension-type headache is often complicated by overlapping symptoms and a weak understanding of tension-type headache etiology.

Opioid Addiction Staying in Line With Medical Ethics by Altering Opioid Prescribing Practices

Staying in Line With Medical Ethics by Altering Opioid Prescribing Practices

One physician shares his thoughts on the importance of balancing autonomy, beneficence, and nonmaleficence when prescribing opioids to patients.

Treatments Pain Management Challenges In Severely Obese Patients

Pain Management Challenges In Severely Obese Patients

Special caution is warranted in the administration of pain treatment to patients with severe obesity, and additional research in this population is needed.

Practice Management Telehealth Research: Areas to Prioritize to Improve Patient Care

Telehealth Research: Areas to Prioritize to Improve Patient Care

The adoption of telehealth technology continues to expand, but requires further research to fully realize the potential it has to address socially desirable goals such as improving the patient experience of care.

Practice Management Providing Support, Therapy for Patients Who Are Victims of Sexual Harassment

Providing Support, Therapy for Patients Who Are Victims of Sexual Harassment

An expert shares his insight on how victims of sexual harassment respond to trauma, and how you can best support your patients who have experienced sexual harassment or abuse.

Practice Management Expert Shares Insights on Compassion Fatigue and Physician Burnout

Expert Shares Insights on Compassion Fatigue and Physician Burnout

Dike Drummond, MD, and CEO of The Happy MD, an organization focused on physician burnout prevention and leadership, shares his insights on how to tackle compassion fatigue and burnout in the emergency department.

Post-Surgical Pain Predicting Acute Pain After Cesarean Delivery to Reduce Risk for Persistent Pain

Predicting Acute Pain After Cesarean Delivery to Reduce Risk for Persistent Pain

The most promising tools to predict acute pain after cesarean delivery are local anesthetic infiltration before placement of spinal anesthesia, and asking patients simple questions about anticipated pain and analgesic needs.

Migraine & Headache Migraine and Multiple Sclerosis: What Is the Link?

Migraine and Multiple Sclerosis: What Is the Link?

Increasing evidence suggests a relationship between migraine and multiple sclerosis that is beyond comorbidity and may help clarify the pathophysiology of both disorders.

Interventional Pain Management Neuromodulation for Refractory Trigeminal Neuralgia: Expert Feedback

Neuromodulation for Refractory Trigeminal Neuralgia: Expert Feedback

Neuromodulation techniques have been explored as alternative treatment options in patients with trigeminal neuralgia who do not achieve adequate pain relief with pharmacologic therapies and surgical interventions.

Practice Management Concierge Medicine: Balancing Sustainability With Accessibility

Concierge Medicine: Balancing Sustainability With Accessibility

Concierge medicine gives many patients an attractive alternative to accessing health services, but is this model of healthcare sustainable?

Practice Management Tips for Tackling EHR Responsibilities Without Compromising Patient Encounters

Tips for Tackling EHR Responsibilities Without Compromising Patient Encounters

Neda Ratanawongsa, MD, MPH, Associate Chief Health Informatics Officer for Ambulatory Services, shares her insight on how to best manage the challenge of tackling electronic health record requirements while also optimizing patient encounters.

Practice Management Practicing Defensive Medicine: Avoiding Prosecution at What Cost?

Practicing Defensive Medicine: Avoiding Prosecution at What Cost?

The scourge of defensive medicine — the practice of recommending tests or treatments for the purpose of avoiding or mitigating litigation — has been dissected tirelessly.

Opioid Addiction Opioid Epidemic Response May Restrict Cancer-Related Pain Management

Opioid Epidemic Response May Restrict Cancer-Related Pain Management

Although much of the response to the opioid epidemic exempts treatment for cancer-related pain, a recent Oncology Nurse Advisor online survey showed that more than 80% of respondents were concerned about how current restrictions set up to manage the opioid crisis are affecting cancer patient pain management.

Practice Management A Closer Look at Machine Learning Algorithms in Medicine

A Closer Look at Machine Learning Algorithms in Medicine

Machine learning programs can process enormous quantities of information and make meaningful and actionable predictions about future behaviors and outcomes, but what are the potential pitfalls?

Practice Management Updated Common Rule Regulations for Medical Research in the 21st Century

Updated Common Rule Regulations for Medical Research in the 21st Century

The 2017 revisions to the Common Rule deal largely with improving the transparency and clarity of intended uses under the current standard of informed consent while introducing a new concept of "broad consent".

Practice Management Strategies to Improve Adult Vaccination Rates in the United States

Strategies to Improve Adult Vaccination Rates in the United States

The National Vaccine Advisory Committee 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.

Practice Management Personal Health-Related Online Postings and Informed Consent

Personal Health-Related Online Postings and Informed Consent

"Infodemiology" and "infoveillance" are terms used to describe an emerging approach to public health research, based on Google Trends big data monitoring and data mining.

Opioid Addiction The Opioid Crisis and the Increase in Hepatitis C Virus Infections

The Opioid Crisis and the Increase in Hepatitis C Virus Infections

The prevalence of opioid abuse has not only resulted in a substantial increase in drug-related deaths and HIV transmissions, but has also led to an increase in the number of people infected with HCV.

Regulatory Issues Climate Change: Effects on the Incidence and Distribution of Infectious Diseases

Climate Change: Effects on the Incidence and Distribution of Infectious Diseases

Scientists warn that unless there is an adequate response and proactive measures are taken, society will soon have to deal with direct and indirect effects of the changing climate on human health.

Migraine & Headache Occipital Nerve Block, an Effective Option for Pediatric Headache

Occipital Nerve Block, an Effective Option for Pediatric Headache

Peripheral nerve blocks for pediatric headache treatment are associated with significant benefit and minimal risk.

Practice Management Chronic Pain Management Malpractice Claims: Insight Into Underlying Causes

Chronic Pain Management Malpractice Claims: Insight Into Underlying Causes

Malpractice claims in outpatient chronic pain management most commonly involved patient noncooperation in care and provider deficits in clinical judgment, communication, and documentation.

Chronic Pain New Guidelines for Managing Chronic Pain in Patients With HIV

New Guidelines for Managing Chronic Pain in Patients With HIV

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

Migraine & Headache Current and Emerging Behavioral Treatments for Migraine: Expert Q&A

Current and Emerging Behavioral Treatments for Migraine: Expert Q&A

Some patients with migraines prefer nonpharmacological approaches to treatment and for these patients, evidence-based behavioral treatments may be at least as effective for migraine prophylaxis as medication.

Regulatory Issues Senator Bernie Sanders' Health Policy Advisors on Causes and Solutions to Healthcare Inequality in America

Senator Bernie Sanders' Health Policy Advisors on Causes and Solutions to Healthcare Inequality in America

Healthcare disparities have increased along with widening economic inequality between wealthy and low-income Americans.

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