The Exchange

Commentary and Observations from
the Medical Front Lines

Preventive Medicine

<a href='/the-exchange/nutrition-recommendations-for-prevention-or-delaying-onset-of-dementia-and-cognitive-decline'>Nutrition Recommendations for Prevention or Delaying Onset of Dementia and Cognitive Decline</a>

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 of the MIND (Mediterranean-DASH [Dietary Approaches to Stop Hypertension] Intervention for Neurodegenerative Delay) diet score, demonstrating that greater adherence to an overall dietary pattern may be protective against the development of Alzheimer's disease. more >

Found in: Preventive Medicine

<a href='/the-exchange/do-meal-times-affect-weight-control-'>Do Meal Times Affect Weight Control?</a>

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 more >

<a href='/the-exchange/are-chemicals-making-us-fat-'>Are Chemicals Making Us Fat?</a>

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 more >

<a href='/the-exchange/a-glimpse-of-what-artificial-intelligence-may-bring-to-medicine'>A Glimpse of What Artificial Intelligence May Bring to Medicine</a>

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 more >

<a href='/the-exchange/updated-beers-criteria-for-potentially-inappropriate-medication-use-in-older-adults'>Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults</a>

Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults

The American Geriatrics Society 2019 Updated Beers Criteria—updated from 2015—are designed to reduce older adults' drug-related problems including, but not more >

<a href='/the-exchange/champs-hf-we-all-can-do-better-'>CHAMPS HF - We All Can do Better!</a>

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 more >

<a href='/the-exchange/what-price-to-save-your-child-'>What Price to Save Your Child?</a>

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 more >

<a href='/the-exchange/consider-deprescribing-in-our-older-adults'>Consider Deprescribing in Our Older Adults</a>

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 nearing more >

<a href='/the-exchange/national-stop-the-bleed-month'>National Stop the Bleed Month</a>

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 “stop the more >

<a href='/the-exchange/lower-cholesterol--the-natural-way'>Lower Cholesterol – The Natural Way </a>

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 more >

<a href='/the-exchange/hypertension-in-the-pediatric-population'>Hypertension in the Pediatric Population</a>

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 more >

<a href='/the-exchange/it-s-a-digital-world-screen-time-recommendations-for-children'>It’s a Digital World: Screen Time Recommendations for Children</a>

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 more >

<a href='/the-exchange/using-policy-to-impact-hpv-vaccine-rates'>Using Policy to Impact HPV Vaccine Rates</a>

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 when more >

<a href='/the-exchange/measles-outbreak--a-public-health-concern'>Measles Outbreak – A Public Health Concern</a>

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 more >

<a href='/the-exchange/cardiovascular-health-promotion-a-must-read-for-pas-and-nps'>Cardiovascular Health Promotion—A Must Read for PAs and NPs</a>

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 more >

<a href='/the-exchange/was-the-apple-heart-study-virtually-useless-'>Was the Apple Heart Study Virtually Useless?</a>

Was the Apple Heart Study Virtually Useless?

When Apple included in the Apple Watch the capability of providing public health apps in detecting things such as falls and irregular pulses, many began to more >

<a href='/the-exchange/aspirin-use-for-ascvd-prevention'>Aspirin Use for ASCVD Prevention</a>

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 recommendations more >

<a href='/the-exchange/super-bowl-and-food-recovery'>Super Bowl and Food Recovery</a>

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 more >

<a href='/the-exchange/here-we-go-again-measles-in-seattle-this-time'>Here We Go Again: Measles in Seattle This Time</a>

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 more >

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