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Medical News & Perspectives  FREE
Tracy Hampton, PhD
As efforts to successfully contain the largest outbreak of Ebola virus disease in history prove elusive, the mounting number of cases and deaths has brought research to develop much-needed treatments and protective vaccines into the spotlight. Although the approval process for drugs and vaccines is typically slow and deliberate, the ...
Viewpoint  FREE
Luis T. Sanchez, MD
This Viewpoint discusses the problem of disruptive behavior among physicians and offers guidance for developing a medical culture of safety with clear expectations and standards.
Medical News & Perspectives  FREE
Bridget M. Kuehn, MSJ
Hospitals and ambulatory care centers remain risky places for US patients despite more than a decade of national efforts to improve patient safety, according to testimony at a US Senate subcommittee hearing, webcast on July 17, 2014 (http://1.usa.gov/UaVr7g).
Topics: patient safety
Viewpoint  FREE
Anand K. Parekh, MD, MPH; Richard Kronick, PhD; Marilyn Tavenner, RN, MHA
The challenges for the US health care system of high health care costs and poor health outcomes in individuals with multiple (2 or more) concurrent, chronic conditions have been well documented.1,2 Estimates are that more than one-quarter of all adults have multiple chronic conditions3; in addition, more than two-thirds of ...
Topics: chronic disease
Viewpoint  FREE
Lloyd I. Sederer, MD; Steven S. Sharfstein, MD
Untreated and poorly treated serious mental illness affects the lives of individuals, families, and communities every day. Each year, approximately 39 000 people commit suicide,1 and the majority of them have acute mental illness. More than half of suicides are the result of a self-inflicted gunshot wound.1 Many other persons ...
Topics: mental health
Viewpoint  FREE
Erik A. Wallace, MD; John H. Schumann, MD; Steven E. Weinberger, MD
The debate over direct-to-consumer (DTC) screening companies intensified recently as Public Citizen, a consumer advocacy organization, sent letters to 20 hospitals on June 19, 2014, urging their leadership to sever business relationships with HealthFair, a prominent DTC screening company. Public Citizen states that HealthFair’s “heavily promoted, community-wide cardiovascular health screening ...
Viewpoint  FREE
Lawrence O. Gostin, JD; Daniel Lucey, MD, MPH; Alexandra Phelan, LLM, BBiomedSc/LLB
On August 8, the World Health Organization (WHO) Director-General Margaret Chan declared the West Africa Ebola crisis a “public health emergency of international concern,”1 triggering powers under the 2005 International Health Regulations (IHR). The IHR requires countries to develop national preparedness capacities, including the duty to report internationally significant events, ...
Viewpoint  FREE
Ian M. Thompson Jr, MD; Robin J. Leach, PhD; Donna P. Ankerst, PhD
Includes: Supplemental Content
In the mid-1980s, the discovery that prostate-specific antigen (PSA) testing, coupled with prostate biopsy, could identify silent prostate cancers that would otherwise be present as metastatic disease led to substantial increases in cancer detection and subsequent treatment. With time, more intensive screening and biopsy led to significant increases in detection ...
Viewpoint  FREE
Jason P. Block, MD, MPH; Christina A. Roberto, PhD
Provisions in the 2010 Affordable Care Act will require chain restaurants with 20 or more US locations to display calorie information on their menus, including drive-through menu boards. The US Food and Drug Administration released preliminary regulations in April 2011, and the long-delayed final regulations are expected soon, perhaps as ...
Viewpoint  FREE
D. Kevin Horton, DrPH, MSPH; Paul Mehta, MD; Vinicius C. Antao, MD, MSc, PhD
Public health surveillance is an essential tool for assessing, controlling, and preventing disease. In the United States, public health surveillance has evolved from a focus on monitoring infectious diseases to also tracking injuries, chronic diseases, birth defects, environmental and occupational exposures, and risk factors.1 Despite this evolution of surveillance topics, ...
Research Letter  FREE
Jason D. Wright, MD; Ana I. Tergas, MD, MPH; William M. Burke, MD; Rosa R. Cui; Cande V. Ananth, PhD, MPH; Ling Chen, MD, MPH; Dawn L. Hershman, MD, MS
Includes: Supplemental Content
Even though minimally invasive surgery has improved outcomes for hysterectomy, the procedure requires removal of the uterus through small incisions. Morcellation, or fragmentation of the uterus into smaller pieces, is one method to remove the uterus. Recently, concern has been raised that morcellation may result in the spread of undetected ...
Griffin M. Weber, MD, PhD; Kenneth D. Mandl, MD, MPH; Isaac S. Kohane, MD, PhD
It has been argued that big data will enable efficiencies and accountability in health care.1,2 However, to date, other industries have been far more successful at obtaining value from large-scale integration and analysis of heterogeneous data sources. What these industries have figured out is that big data becomes transformative when ...

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