At the beginning of the AIDS epidemic in the 1980s, those with the disease typically only lived a few years beyond diagnosis. Today, breakthrough drugs, earlier diagnosis and more evidence-based treatment mean those with HIV or AIDS can live longer, healthier lives. But with these advances come new challenges associated with aging.
With this longer life expectancy, individuals living with long-term HIV infection exhibit many clinical characteristics commonly observed in aging: multiple chronic diseases or conditions, the use of multiple medications, changes in physical and cognitive abilities, and increased vulnerability to stressors. Continue reading
It’s well recognized that health care costs more in the United States than anywhere else in the world. There are myriad of complex reasons, but one aspect of health care costs that often gets lost in the conversation is how much Americans are paying for services they don’t need. Overuse of antibiotics is an often go-to example of this, but it happens with screening tests as well, especially when guidelines aren’t clear or are frequently evolving.
A recent study in JAMA Internal Medicine highlighted an excellent example of patients receiving interventions they don’t need, cost money and can cause harm. Studies like these are worth reporting on their own, but also can inspire larger stories that go deeper or look more broadly at a particular field, geographic region or population of patients. (Disclosure: I reported on this particular study for a news publication.) Continue reading
There was some good news in January’s National Center for Health Statistics data brief: People in the U.S. are living slightly longer thanks to fewer deaths from opioid overdoses and other leading causes such as heart disease and cancer. It’s the first increase in life expectancy since 2014.
However, the U.S. still lags behind other industrialized countries, even though we spend more on health care than anyone else. Average life expectancy for someone born in the U.S. in 2018 is now 78.6 years, up 0.1 percent (about one month) since 2017. It is 80.8 years in other OECD nations, which spend an average of 8.8 percent of GDP on health care, compared to 16.9 percent in the U.S. Continue reading
One in 10 American adults has avoided a needed dental visit due to fear, according to federal data.
Some patients panic at the thought of lying prone in the dental chair. Others dread opening the intimate territory of the mouth for inspection and judgment. The one-way conversations, the sharp instruments, the smells and sounds of the dental office can all stir so much anxiety that people delay timely care. Continue reading
Setting goals, creating a business plan, outlining quarterly objectives — the process may go by different names, but the steps typically are similar. When you run your own freelance business, it’s important to review what you did previously and decide what you want to do next. Early in their careers, freelance writers may set specific goals for marketing, pitching and publishing to reach the income and dream publications they want. With more experience, freelancers may set broader intentions for the year and their next steps forward, which could include writing a book, speaking on stages or building a brand. Continue reading
Photo: DIFD via Flickr
The World Health Organization today declared 2019-nCoV a public health emergency of international concern. This is the sixth such designation since 2009; earlier emergencies included the swine flu in 2009, Ebola in 2014 and 2019, polio in 2014 and Zika in 2016.
For ongoing and up-to-date coverage of the novel coronavirus outbreak, check out this Twitter list curated by Bara Vaida, AHCJ’s core topic leader on infectious diseases. Continue reading