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Late Sunsets, Sleep Deprivation, and Adverse Outcomes
All living organisms have 24-hour circadian rhythms. A body of evidence is accumulating that chronic disruption of this important rhythm may result in poor health outcomes. These negative consequences of disrupted circadian rhythms might be prevented by modifying work and sleep schedules.
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Neuropathy in Systemic Lupus Erythematosus
Systemic lupus erythematosus may be associated with a variety of neuropsychiatric syndromes, including peripheral neuropathy, mostly sensorimotor types. However, all parts of the peripheral and central nervous system may be affected, and careful and repeated neurological evaluation is important.
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Eculizumab Shows Benefit in a Treatment Trial of NOSD
In a randomized, placebo-controlled trial of aquaporin-4 antibody-positive patients with neuromyelitis optica spectrum disorders, eculizumab demonstrated a decrease in the risk of a relapse. Patients could continue their other stable-dose immune suppressive therapies while enrolled in the trial.
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Osteoporosis Review
Osteoporosis is a skeletal disorder in which bone density and quality are reduced. Patients experience loss of bone mass, deterioration of bone tissue, and a decline in bone quality, which leads to increased bone fragility and a higher risk of fractures. It is imperative that primary care providers address this challenge by implementing practices to screen patients for onset of osteoporosis to prevent and/or treat the disorder.
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Few Cardiology Treatment Recommendations Based on High-Quality Evidence
The proportion of recommendations supported by data from randomized controlled trials actually decreased from 2008. In looking at updated guidelines, the researchers found that fewer recommendations were supported by randomized controlled trials than in the prior versions.
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Ethics of Cellphone Use in Clinic Waiting Rooms
Ethical issues related to patient cellphone use center around the physician-patient relationship. At issue: How to balance the value of both physicians’ and patients’ time.
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New Data Shed Light on Scientific Misconduct
Publication pressure is one of the strongest predictors of research misconduct.
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Ethics Champion Program Empowers Clinical Teams
As healthcare organizations become more complex, there is a greater need for ethical discussion. Ethics champion programs are one way of encouraging discussions.
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Study: Trust in Physicians Declined When Industry Ties Reported
Research suggests that when patients know that individual doctors receive industry payments, the patients trusted those specific doctors less. The researchers found that transparency negatively affected both patient trust in their own doctors and in the medical profession.
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CDC Narrows In on Viral Cause of Paralytic Syndrome
Acute flaccid myelitis — a paralytic condition in children that appeared mysteriously in 2014 — is almost certainly of viral origin and most likely an enterovirus, an investigator with the Centers for Disease Control and Prevention recently reported.