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Position Papers | 
Ryan A. Crowley, BSJ; Neil Kirschner, PhD, for the Health and Public Policy Committee of the American College of Physicians*
Behavioral health care includes care for patients around mental health and substance abuse conditions, health behavior change, life stresses and crises, and stress-related physical symptoms. Mental and substance use disorders alone have been estimated to surpass all physical diseases as a major cause of disability worldwide by 2020. The literature recognizes the importance of the health care system effectively addressing behavioral health conditions. Recently, there has been a call for the use of the primary care delivery platform and the related patient-centered medical home model to effectively address these conditions. This position paper focuses on the issue of better integration of behavioral health into the primary care setting. It provides an environmental scan of the current state of conditions included in the concept of behavioral health and examines the arguments for and barriers to increased integration into primary care. It also examines various approaches of integrated care delivery and offers a series of policy recommendations that are based on the reviewed information and evidence to inform the actions of the American College of Physicians and its members regarding advocacy, research, and practice.
Topics: mental health, primary health care, behavioral medicine, substance abuse, behavioral health care, american college of physicians
Direct oral anticoagulants, which include apixaban, dabigatran, edoxaban, and rivaroxaban, are making anticoagulation simpler for patients with atrial fibrillation who need protection from strokes. However, clinicians still have an important role to play in patient monitoring to ensure that these drugs are used as safely and effectively as possible. The authors of this guide provide essential information in a new and useful format.
Topics: anticoagulants, atrial fibrillation, anticoagulants, oral, thrombosis, cerebrovascular accident, cardiovascular system, pharmacist, stroke prevention, counseling, follow-up
The Institute of Medicine convened a panel to develop recommendations relevant to the public health aspects of cognitive aging and define actions required to better maintain the cognitive health of older adults. This commentary highlights key aspects for clinicians.
Topics: aging, institute of medicine (u.s.)
Description:In December 2014, the U.S. Department of Veterans Affairs (VA) and U.S. Department of Defense (DoD) approved a joint clinical practice guideline for the management of dyslipidemia for cardiovascular disease risk reduction in adults. This synopsis summarizes the major recommendations. Methods:On 30 September 2013, the VA/DoD Evidence-Based Practice Work Group convened a joint VA/DoD guideline development effort that included clinical stakeholders and conformed to the Institute of Medicine's tenets for trustworthy clinical practice guidelines. The guideline panel developed key questions, systematically searched and evaluated the literature, developed a simple 1-page algorithm, and rated each of 26 recommendations by using the Grading of Recommendations Assessment, Development, and Evaluation system. Recommendations:This synopsis summarizes key features of the guideline in 5 areas: elimination of treatment targets, additional tests for risk prediction, primary and secondary prevention, and laboratory testing.
Topics: dyslipidemias, statins, cardiovascular disease risk factors, laboratory techniques and procedures, united states department of veterans affairs, clinical practice guideline, cholesterol and lipid disorder guidelines, united states department of defense, cardiovascular diseases, secondary prevention, excretory function
Ideas and Opinions | 
Trish M. Perl, MD, MSc; and Connie Savor Price, MD
This commentary focuses on the Middle East respiratory syndrome (MERS), which has been overshadowed by news coverage on Ebola virus disease despite the ongoing MERS outbreak in South Korea as of 15 June 2015. Further, MERS coronavirus is still circulating in the Middle East, so the scientific, clinical, and public health communities must combat these outbreaks thorough orchestrated response efforts.
Topics: middle east respiratory syndrome coronavirus, middle east respiratory syndrome
Letters | 
Pieter A. Cohen, MD; Rickard Zeijlon, MD; Rachel Nardin, MD; Peter H.J. Keizers, PhD; and Bastiaan Venhuis, PhD
Topics: intracranial hemorrhages, cerebral hemisphere hemorrhage, exercise, sports, beta-methylphenylethylamine
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