Authors

Interventional Pain Management: Let's Abandon the Safe Triangle

Using the widely taught 'safe triangle' approach to transforaminal epidural injections can paralyze patients. There's a safer way.

Comprehensive lifestyle modification and blood pressure control

Lifestyle recommendations for the prevention and treatment of hypertension include weight loss, reduced sodium intake, increased physical activity, limited alcohol intake, and the Dietary Approaches to Stop Hypertension (DASH) diet. The 18-month results of the Prospective Registry Evaluating Myocardial Infarction: Events and Recovery (PREMIER) randomized clinical trial showed that individuals with prehypertension and stage 1 hypertension can make and sustain many of these lifestyle changes over the long term, thereby reducing their risk of cardiovascular disease.

Ergonomics May Be the Key to Longevity for Ophthalmologists

Poor posture in surgical care has been long associated with worsened clinician health. It is no different in ophthalmology.

Telemedicine Tools Emerging in Medical School

Artificial intelligence has the potential to enhance many aspects of healthcare in the US, including patient and clinical outcomes, while reducing costs.

Move Your Estate Plan into Action Today

IDSA 2011: Dealing with Vaccine Hesitancy and Avoidance [Podcast]

Tom Tryon, MD, Associate Professor of Pediatrics at University of Missouri-Kansas City School of Medicine, evaluates pediatricians' approaches in dealing with parents who are hesitant to have their children immunized.

Integrating the existing emergency medical system with automated external defibrillators for out-of-hospital cardiac arrest

We investigated whether a program based on diffuse deployment of automated external defibrillators operated by trained volunteers and laypersons across the largest county in Italy would safely and effectively improve the current survival rate among patients with out-of-hospital cardiac arrest. Compared with historical control subjects, the new strategy resulted in a 3-fold increase in 1-year survival free of neurologic impairment.

Who Can Sign Your Checks?

Whether you are incorporated or are sole proprietor, your spouse should be signatory to your business checking account.

Estate Planning Essentials for Physicians

Planning can dramatically reduce-or avoid altogether-some common tax hits, including: capital gains, state, inheritance, and estate and gift taxes. There are several options to consider when building an estate plan.

Procainamide-induced Pleural and Pericardial Effusions

Drug-induced diseases and serious adverse drug effects can alter therapeutic plans and greatly affect patient outcomes. Many medications are known to have a narrow therapeutic index and to require close patient monitoring.

Noninvasive coronary angiography with multislice computed tomography and myocardial perfusion imaging

A total of 114 patients with an intermediate pretest likelihood of coronary artery disease were evaluated with both multislice computed tomography (MSCT) and myocardial perfusion imaging (MPI). Results showed that in the majority of cases, a normal MSCT scan was associated with normal perfusion. However, only half of patients with significant stenoses showed abnormal perfusion. Accordingly, MPI and MSCT are intrinsically different techniques and appear to be complementary rather than overlapping as they provide information on atherosclerosis versus ischemia, respectively.

Why do Women Have Trouble Taking Their Prenatal Vitamins?

Tips for maximizing compliance based on 40 years of experience, and a new policy decision which could make matters worse.

Intensive statin therapy in acute coronary syndrome

We conducted a meta-analysis of 13 randomized controlled trials involving 17 963 subjects to determine the effect of intensive statin therapy instituted within 14 days of hospitalization for acute coronary syndrome. Results showed that early, intensive statin therapy is safe and significantly decreases cardiovascular death and recurrent ischemia following acute coronary syndrome after 6 months of treatment.

Are Flawed Dose Conversion Calculators to Blame for the Dramatic Increase in the Number of Methadone Overdoses?

Although methadone accounts for only 2% of opioid prescriptions, it caused nearly one in 3 prescription opioid overdose deaths in 2012, a 6-fold increase from 2009, according to the CDC.

The Benefits of Fish Oil and Peanut Butter in Newborns, Children

While peanut butter exposure aids children from an early age, fish oil could improve asthma rates.

Case-Based Peer Perspectives in Fabry Disease

Dawn Laney, MS, CGC, CCRC, Assistant Professor and Director, Emory Genetic Clinical Trials Center, talks misdiagnosis in Fabry disease through a case study.

Screening routines for coronary anomalies

The case report by Gandhi and Rosenberg illustrates some of the concerns regarding coronary anomalies.

Taming the Tuition Tiger