Harm Reduction

The opioid crisis has its villains, physicians, Big Pharma and illicit fentanyl. But an economic lens points to another driving force: Trade policy?
Those with elevated cholesterol frequently have identical risk factors for developing Type 2 diabetes. Statins are known to increase the incidence of diabetes. But is this a result of confounding or a separate concern? A new study tries to untie this Gordian knot of confounders.
Binge watching as an African American is detrimental to your health. (But the same can be said for every racial group.) Is there something unique about their physiology that puts them at greater risk? Or is this just a chance to publish what we already know, cloaked in a legitimate concern about disparities in research and outcomes?
While random gun violence in a hospital makes headlines, there are more pervasive forms of violence against caregivers that don't make the news. Perhaps they should. Let's take a look.
This phrase sound so lyrical, but it refers to the subsequent care and actions of patients and physicians after some initial test. For low-value testing, it results in unwarranted worry and costs.
Clinical Decision Rules help physicians make judgments when they are uncertain. Unlike the Ten Commandments, they may grow less helpful as they age, even when based on sound, verified science.
E-cigarettes remain controversial. They are frequently offered as an effective bridge to smoking cessation. But that path may be harder than we anticipated.
When it comes to delivery location, the stakes are too high to add a risk factor or hurdle to childbirth. Hospital births are the safest choice.
Professional societies annually release guidelines designed to standardize and improve care. But implementing those standards is harder than they -- or frankly, most of us -- think. A concerted effort to improve surgical care across the United Kingdom is falling short.
Tule fog is a very dense fog found in California's Central Valley, and it's the source of many traffic accidents and fatalities annually. But over the last 30 years Tule fog is seen less often, and for shorter times. Apparently, it's not a result of climate change but of improving air quality.
Penetrating traumas take on a unique trajectory. They can be erratic, asymmetrical and variable in depth and extent. So real estate in the body, and good fortune, matter most.
A new study channels Frederick Taylor, father of the “scientific management” of the workforce, bringing a stopwatch into the hospital to report on how physicians -- in this case -- first-year internal medicine residents, spend their day. Spoiler alert: they don't spend it at bedside.