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Search results for: environment

Looking for Links Between Rheumatoid Arthritis & Gut Bacteria, Mutations

Renée Bacher  |  June 21, 2018

Patients with a specific genetic predisposition for rheumatoid arthritis (RA) may want to take precautions when consuming certain types of meat, dairy and produce grown with cow manure, according to a new study out of the University of Central Florida (UCF) in Orlando. The study, which assessed 100 RA patients, published in the journal Frontiers…

Filed under:AudioRheumatoid Arthritis Tagged with:antibioticsgenetic mutationgut microbiomeMAP bacteriaT celltriggers

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When & How to Talk to Your Patients About Their Gender & Sex

Susan Bernstein  |  June 21, 2018

How do you ask a new patient about sex and gender—or know which pronoun to use? Keep the conversation straightforward and respectful to put everyone at ease, says Morgan Orndorff, a transgender man who works as an administrator at a major academic medical center. “Everyone is a little different in terms of their sensitivity level”…

Filed under:Patient PerspectiveProfessional Topics Tagged with:GenderLGBTQsex

The Right Load: Insights into Age-Impaired Mechanoadaptive Cortical Bone Response

Lara C. Pullen, PhD  |  June 11, 2018

Aging bones lose their ability to mechanoadapt, but new research suggests age-related adaptation failure may result from insufficient mechanical stimulus…

Filed under:Conditions Tagged with:boneloadmechanoadaptationMusculoskeletal

Is Chemical Exposure Linked to DNA Methylation Dysregulation in SLE Patients?

Carina Stanton  |  June 5, 2018

Could your lupus patients benefit from limiting exposure to chemicals at home and in the medical environment? It’s a strong possibility, according to the preliminary findings of a research team investigating DNA methylation disruption in patients with SLE…

Filed under:ConditionsSystemic Lupus Erythematosus Tagged with:chemical exposureDNADNA Methylationenvironmentenvironmental factorphthalatessystemic lupus erythematosus (SLE)

Avoid Errors: Insights into Ensuring Accurate Data in EHRs

Richard Quinn  |  May 22, 2018

With the increasing use of electronic health records and quality measure reporting requirements, data collection has become crucial for rheumatologists. But how do clinicians prevent human error and ensure data accuracy?

Filed under:EMRsTechnology Tagged with:datadata managementelectronic health record (EHR)ErrorsHealth Information Technologyinformation technologyRISERISE registryTechnology

5 Ways to Unlock the Power of Consultation

Eli M. Miloslavsky, MD, & Jakob I. McSparron, MD  |  May 18, 2018

Think back to your time as a trainee. Do you remember an interaction with a consultant in which you learned something, felt your opinion was heard, were empowered to collaborate with the consulting team and knew you were pro­viding outstanding care? We suspect a number of examples come to mind, regardless of the amount of…

Filed under:Education & TrainingProfessional Topics Tagged with:communicationfellowmedical studentphysicianresidency

Tips & Tools for Dealing with Bad Patient Outcomes

Larry Beresford  |  May 18, 2018

Bad things happen to good rheumatologists—and to their patients—and can have profound personal and professional consequences for the doctor. Sometimes recommended treatments can have predictable, but devastating, side effects. Even if the rheumatologist does everything right according to evidence-based best practice, patients can still have bad outcomes, even die—with resulting feelings of sadness, anger, guilt…

Filed under:Professional Topics Tagged with:burnout

Opioid Refusals: How to Deal with the Angry or Hostile Patient

Ashley Noisette Green, MD  |  May 18, 2018

In July 2017, Todd A. Graham, MD, a practicing orthopedic surgeon in South Bend, Ind., was fatally shot after getting into a heated dispute with a patient and her husband over a requested opioid prescription.1 The murder of Dr. Graham is a tragic example of the potential dangers of physician-patient disagreements. Rheumatology patients often endure…

Filed under:Drug UpdatesProfessional Topics Tagged with:opioid crisis

Rheumatologists Discuss Opportunities, Benefits Found in Retirement

Susan Bernstein  |  May 17, 2018

Retirement is not always the closing chapter of a long career. For some rheumatologists, it’s the start of new, fulfilling storylines. “I never thought I wouldn’t practice medicine until I was physically unable to do it anymore,” says Harry Gewanter, MD, who retired from his Richmond, Va., pediatric rheumatology practice two years ago. Dr. Gewanter…

Filed under:Professional TopicsProfiles Tagged with:Dr. Graciela AlarcónDr. Harry GewanterDr. John H. KlippelDr. Louis Heck Jr.retirement

Gut Microbiota Directly Affects Inflammatory Arthritis

Lara C. Pullen, PhD  |  May 8, 2018

Gut microbiota may provide insight into important environmental triggers for autoimmune diseases. New research in mice indicates that intestinal dysbiosis triggers a mucosal immune response that stimulates T and B cells, which are critical to the development of inflammatory arthritis…

Filed under:ConditionsResearch RheumRheumatoid Arthritis Tagged with:Arthritis & Rheumatologyenvironmentenvironmental factorgut microbiomegut microbiotaInflammatory arthritisRheumatoid Arthritis (RA)

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