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Robbers Cave04:49

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During the 1950s, the landmark Robbers Cave experiment demonstrated that when groups must compete with one another, intergroup conflict, hostility, and even violence may result. At the Oklahoman summer camp, two troops of boys—termed the Rattlers and the Eagles—took part in a week-long tournament. During this time, their negativity culminated in derogatory name-calling, fistfights, and even vandalism and destruction of property. However, this work also revealed that such tension...
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Identification of Fatty Acids in Bacillus cereus
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Stop the war on DXA!

E Michael Lewiecki1, Neil Binkley2, John P Bilezikian3

  • 1New Mexico Clinical Research & Osteoporosis Center, Albuquerque, New Mexico.

Annals of the New York Academy of Sciences
|May 1, 2018
PubMed
Summary
This summary is machine-generated.

Dual-energy X-ray absorptiometry (DXA) is crucial for diagnosing and managing osteoporosis. Despite its benefits, declining use threatens patient care, necessitating strategies to restore its role in bone health.

Keywords:
DXAcrisisdiagnosisosteoporosisreimbursementtreatment

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Area of Science:

  • Bone Densitometry
  • Osteoporosis Management
  • Medical Imaging Technology

Background:

  • Dual-energy X-ray absorptiometry (DXA) is a standard clinical tool for assessing bone mineral density (BMD) and managing skeletal diseases like osteoporosis.
  • DXA is recognized for its safety and cost-effectiveness in diagnosing osteoporosis, evaluating fracture risk, and monitoring treatment efficacy.
  • Despite its established utility, DXA faces criticisms regarding overuse, cost, and perceived limited impact on patient management.

Purpose of the Study:

  • To identify and analyze the challenges confronting the widespread use of DXA in clinical practice.
  • To highlight the negative consequences of these challenges on osteoporosis diagnosis and patient care.
  • To propose strategies for reinstating DXA to its essential role in osteoporosis management.

Main Methods:

  • Review of current clinical practices and trends in DXA utilization.
  • Analysis of reported challenges and criticisms against DXA technology.
  • Identification of factors contributing to the decline in DXA services and diagnoses.

Main Results:

  • A significant decline in office-based DXA facilities and performed BMD tests has been observed.
  • Fewer women are being diagnosed with and treated for osteoporosis, correlating with population aging and increased fracture risk.
  • These trends suggest a "war on DXA" that jeopardizes effective patient care.

Conclusions:

  • The challenges facing DXA represent a threat to optimal osteoporosis management and patient care.
  • Urgent strategies are needed to address the decline in DXA use and ensure its continued availability.
  • Restoring DXA to its proper role is vital for accurate diagnosis, risk assessment, and treatment monitoring in skeletal diseases.