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Modifiable Cardiovascular Risk Factors and Late-Life Brain Health
The major modifiable risk factors for cardiovascular diseases are delineated in Life’s Essential 8 (LE8), developed by the American Heart Association. These risk factors are blood pressure, glucose, cholesterol, body mass index, smoking, physical activity, diet, and sleep duration. The investigators in this analysis of two large databases in the United Kingdom and the United States, demonstrated that cardiovascular health, as defined by the LE8, will also predict brain health later in life.
Migraine and Ischemic Vascular Disease: The Search for the Missing Link
The presence of traditional vascular risk factors does not explain the increased incidence of ischemic stroke and myocardial infarction in patients with migraine. The use of nonsteroidal anti-inflammatory drugs does not increase the risk of ischemic stroke or myocardial infarction in migraineurs.
Missed Opportunities for Goals of Care Discussion
Ethics consults often involve conflicts at the end of life. Some of those conflicts could have been avoided with earlier goals of care discussions.
Ethicists Can Address Low Advance Care Billing Rates
Rates of advance care planning billing remain low, despite billing codes having been introduced by the Centers for Medicare and Medicaid Services nearly a decade ago.
Mindfulness Improves Advance Care Planning Outcomes
Shelley Johns, PsyD, of the Regenstrief Institute, the Indiana University School of Medicine and the Indiana University Melvin and Bren Simon Comprehensive Cancer Center, and colleagues conducted a study to see if mindfulness was a possible alternative to avoidant coping for people with cancer and their family caregivers.
Residents’ Moral Distress Is Ethical Concern
Residents experience moral distress just as other clinicians do, raising some unique ethical concerns.
Podcasts Can ‘Level the Playing Field’ with Ethics Education
Medical students and trainees may receive inadequate ethics education as the result of curricular constraints or because of limited available expertise at their institutions. Ethics podcasts are a potential solution to these challenges.
Ethical Considerations if Doctors Persuade Patients
If a doctor thinks that an intervention is in the patient’s best interest, is it ethically acceptable to try to persuade the patient?
Palliative Care Referrals Still Occur Late or Not at All
Palliative care consultations are known to affect end-of-life outcomes positively, including fewer in-hospital deaths. But despite evidence of these benefits, palliative care consults still are happening too late or not at all, found a recent study.
Clinicians Have Many Ethical Concerns with Large Language Model Use in Healthcare
Inaccurate or biased responses, concerns about patient data privacy, and risk of harm from medical misinformation are some well-known ethical concerns about large language models in healthcare.