The Exchange

Commentary and Observations from
the Medical Front Lines

Latest Preventive Medicine Articles on PCE's The Exchange

Single HCV Screening for All Adults

Single HCV Screening for All Adults

Hepatitis C virus (HCV) is a contagious hepatic disease that lives in blood and bodily fluids, and can be passed from person to person through infected blood. It can also be transmitted through other bodily fluids, such as saliva or semenbut this is not as common. HCV can cause both acute and chronic hepatitis. The acute phase is self-limited and usually leads to chronic infection. The chronic disease is often progressive over many years and usually results in hepatic cirrhosi... Continue Reading

Filed under: Infectious Diseases, Preventive Medicine

New Cholesterol Drug Soon to Make It to the United States

New Cholesterol Drug Soon to Make It to the United States

Normally, when a new drug hits the United States market you will see a small market spike of curiosity. As we continually seek ways to improve the health and... Continue Reading

Filed under: Cardiometabolic, Preventive Medicine

Cancer Screening Guidelines 2020: Let’s Recap!

Cancer Screening Guidelines 2020: Let’s Recap!

We now have screening tools and methodologies for several of the most common types of cancer. Each year, the American Cancer Society (ACS) publishes updated... Continue Reading

Filed under: Health Policy and Trends, Oncology/Hematology, Preventive Medicine

Better Sleep Linked to Reduced Cardiovascular Disease and Stroke Risk

Better Sleep Linked to Reduced Cardiovascular Disease and Stroke Risk

We all know that sleep is crucial for heart health. Research has shown that regardless of a person's age, weight, smoking habits, and exercise l... Continue Reading

Filed under: Cardiometabolic, Preventive Medicine, Pulmonary Medicine

Can High-dose Vitamin D Prevent Functional Decline in Our Older Population?

Can High-dose Vitamin D Prevent Functional Decline in Our Older Population?

Lower extremity functional decline in our elderly population is a major risk factor for falls, hip fracture, frailty, and loss of autonomy. As the baby boome... Continue Reading

Filed under: Miscellaneous, Orthopedics, Preventive Medicine

Intermittent Fasting

Intermittent Fasting

If you think about how humans have been eating for centuries, it has likely included some "natural" intermittent fasting. For examp... Continue Reading

Filed under: Cardiometabolic, Miscellaneous, Preventive Medicine, Public Health

circadian rhythm clock

Circadian Rhythms and Metabolic Syndrome

As researchers explore the complex relationship of circadian rhythm and metabolic syndrome, they are searching for root causes and best treatment approaches Continue Reading

Filed under: Cardiometabolic, Miscellaneous, Preventive Medicine, Public Health

November is Diabetes Awareness Month

November is Diabetes Awareness Month

Along with the colder weather and the promise of holiday season, November brings us the opportunity to raise awareness about diabetes. Both type 1 and type 2... Continue Reading

Filed under: Cardiometabolic, NPs & PAs, Practice Management/Career, Preventive Medicine, Public Health

Trans Fatty Acids Now Also Linked to Higher Risk of Dementia

Trans Fatty Acids Now Also Linked to Higher Risk of Dementia

Consumption of trans fats in high levels has been linked to coronary artery disease, diabetes and more. Now, a team of Japanese researchers have specifically... Continue Reading

Filed under: Cardiometabolic, Neurology, Preventive Medicine

'Tis the Flu Season! 2020 Influenza Updates

'Tis the Flu Season! 2020 Influenza Updates

On August 23, 2019, the Centers for Disease Control and Prevention published Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of t... Continue Reading

Filed under: Preventive Medicine, Public Health

Nutrition Recommendations for Prevention or Delaying Onset of Dementia and Cognitive Decline

Nutrition Recommendations for Prevention or Delaying Onset of Dementia and Cognitive Decline

In 2015, researchers at Rush University Medical Center in Chicago and Harvard School of Public Health in Boston published results of their prospective study... Continue Reading

Filed under: Preventive Medicine

Do Meal Times Affect Weight Control?

Do Meal Times Affect Weight Control?

In 2009, researchers at Northwestern University conducted a study on mice and timed feeding, later publishing their research in Obesity. For 6 weeks... Continue Reading

Filed under: Preventive Medicine, Public Health

Are Chemicals Making Us Fat?

Are Chemicals Making Us Fat?

Holistic health proponents are advocating to get rid of our so-common use of plastics for environmental as well as health reasons. For example, did you ever... Continue Reading

Filed under: Cardiometabolic, Preventive Medicine

A Glimpse of What Artificial Intelligence May Bring to Medicine

A Glimpse of What Artificial Intelligence May Bring to Medicine

I’ve always been fascinated by what the intersection of big data, technology, and medicine will bring. While I am a firm believer that IBM's Watson will no... Continue Reading

Filed under: Preventive Medicine, Public Health

Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults

Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults

The American Geriatrics Society (AGS) 2019 Updated Beers Criteria—updated from 2015—are designed to reduce older adults' drug-related problems including,... Continue Reading

Filed under: Health Policy and Trends, Preventive Medicine

CHAMPS HF - We All Can do Better!

CHAMPS HF - We All Can do Better!

Many of us manage patients with heart failure with a reduced ejection fraction, or HFrEF. The management of this patient population is complex, and most pati... Continue Reading

Filed under: Cardiometabolic, Preventive Medicine

What Price to Save Your Child?

What Price to Save Your Child?

Let’s say you have your first child and are elated to bring him or her home from the hospital. A month later, you notice something isn’t right and soon y... Continue Reading

Filed under: Preventive Medicine

Consider Deprescribing in Our Older Adults

Consider Deprescribing in Our Older Adults

We all have patients in our practices who are older and on numerous medications. They are stabilizing their problems but are faced with the reality of nearin... Continue Reading

Filed under: Health Policy and Trends, Preventive Medicine, Public Health

National Stop the Bleed Month

National Stop the Bleed Month

Did you know that May 2019 is the first-ever National Stop the Bleed Month? Also, May 23 is the second annual Stop the Bleed® Day. So what is “... Continue Reading

Filed under: Health Policy and Trends, Miscellaneous, Preventive Medicine, Public Health

Lower Cholesterol – The Natural Way

Lower Cholesterol – The Natural Way

According to the Centers for Disease Control and Prevention, 95 million US adults aged 20 or older have total cholesterol levels higher than 200 mg/dL. Many... Continue Reading

Filed under: Preventive Medicine

Hypertension in the Pediatric Population

Hypertension in the Pediatric Population

The prevalence of systemic hypertension (HTN) in the pediatric population is now commonly observed to be increasing, especially in view of the growing popula... Continue Reading

Filed under: Cardiometabolic, Health Policy and Trends, Preventive Medicine

It’s a Digital World: Screen Time Recommendations for Children

It’s a Digital World: Screen Time Recommendations for Children

We definitely live in a different day and age than when I was a child… As children, my siblings and I just opened the door and went outside to play all day... Continue Reading

Filed under: Miscellaneous, Preventive Medicine, Public Health

Using Policy to Impact HPV Vaccine Rates

Using Policy to Impact HPV Vaccine Rates

For more than 10 years we have had a safe and effective vaccine that can prevent several types of cancer. I understand the reluctance to accept a vaccine whe... Continue Reading

Filed under: Health Policy and Trends, Infectious Diseases, Preventive Medicine, Women's Health

Measles Outbreak – A Public Health Concern

Measles Outbreak – A Public Health Concern

The modern world was turned upside down in 1997 when researcher Andrew Wakefield suggested there was a direct correlation between the MMR (measles/mumps/rube... Continue Reading

Filed under: Infectious Diseases, Preventive Medicine, Public Health

Cardiovascular Health Promotion—A Must Read for PAs and NPs

Cardiovascular Health Promotion—A Must Read for PAs and NPs

PAs and NPs are encouraged to read a recent issue of the Journal of the American College of Cardiology on cardiovascular health and promotion. This... Continue Reading

Filed under: Cardiometabolic, Preventive Medicine

Was the Apple Heart Study Virtually Useless?

Was the Apple Heart Study Virtually Useless?

My wife absolutely loves her Apple Watch and would admit that it is like her crack cocaine: she feels compelled to close all of her rings daily, even when we... Continue Reading

Filed under: Cardiometabolic, Preventive Medicine

Aspirin Use for ASCVD Prevention

Aspirin Use for ASCVD Prevention

For decades aspirin has been a staple of primary prevention of atherosclerotic cardiovascular disease (ASCVD) in at-risk populations, based on recommendation... Continue Reading

Filed under: Cardiometabolic, Preventive Medicine

Super Bowl and Food Recovery

Super Bowl and Food Recovery

Super Bowl Sunday is reportedly one of the biggest eating days of the year, behind Thanksgiving. There were lots of parties and celebrations this week, which... Continue Reading

Filed under: Preventive Medicine, Public Health

Here We Go Again: Measles in Seattle This Time

Here We Go Again: Measles in Seattle This Time

As of January 31, 2019, there were 42 confirmed cases of measles in the Pacific Northwest. This includes 41 cases in Clark County, the epicenter for the outb... Continue Reading

Filed under: Health Policy and Trends, Infectious Diseases, Preventive Medicine

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