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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 29.

OTC Eye Drops and Nasal Decongestants Can Harm Young Kids When Swallowed
Source: Physician's First Watch current issue - October 25, 2012 Category: Primary Care Tags: Medical News Source Type: news

Draft document to support finance transition planning
Source: Department of Health (DH) Area: News The Department of Health has issued a draft document that supports the year end finance transition planning that strategic health authorities (SHAs) and primary care trusts (PCTs) require for 2012/13. PCTs and SHAs are encouraged to use this document to ensure they have considered and addressed the main elements of finance transition in their planning. The final version of this document will be issued by the end of November.
Source: NeLM - News - October 25, 2012 Category: Drugs & Pharmacology Source Type: news

Bringing Family Medicine Education Home; A New Curriculum for a Patient Centered Era (Stephanie Nader LCSW)
This is a power point illustrating a new patient centered medical home curriculum implemented in a community based family medicine residency program. It outlines the core values of the new curriculum structure with a specific focus on how the behavioral curriculum has been implemented in this new longitudinal format.
Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded - October 25, 2012 Category: Primary Care Source Type: news

Financial incentives and physician commitment to guideline-recommended hypertension management
Source: American Journal of Managed Care Area: Evidence > Medicines Management > References Objectives: To examine the impact of financial incentives ('pay for performance') on physician goal commitment to guideline-recommended hypertension care. Study Design: Clinic-level cluster-randomised trial with 4 arms: individual, group or combined incentives, and control. Methods: A total of 83 full-time primary care physicians at 12 US Veterans Affairs medical centres completed web-based surveys measuring their goal commitment to guideline-recommended hypertension care every 4 months and telephone interviews at ...
Source: NeLM - Cardiovascular Medicine - October 25, 2012 Category: Cardiology Source Type: news

Next Generation of Doctors Will Face Training ChallengesNext Generation of Doctors Will Face Training Challenges
Things are looking good for medical schools this year, with a record number of students in the 2012 class and the most diverse cohort yet. But a government freeze on residency training positions may stop that momentum in its tracks. Kaiser Health News
Source: Medscape Today Headlines - October 24, 2012 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

GOP Plan Would Cut Medicaid by $1.7 Trillion, Study SaysGOP Plan Would Cut Medicaid by $1.7 Trillion, Study Says
The House Republican plan to repeal President Barack Obama's health law and turn Medicaid into a block grant program would save the federal government $1.7 trillion from 2013 to 2022, a 38-percent spending reduction. Kaiser Health News
Source: Medscape Today Headlines - October 24, 2012 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Acupuncture Cuts Dry Mouth From Radiation (CME/CE)
(MedPage Today) -- Acupuncture can relieve the symptoms of dry mouth after radiation for head and neck cancer, researchers reported.
Source: MedPage Today Primary Care - October 24, 2012 Category: Primary Care Source Type: news

GI Disorder Pharmacotherapy Update: Complementary Options
Probiotics, prebiotics, herbal preparations, and acupuncture are among the most popular options pursued for GI disorders. But how helpful are these nonmedical options?
Source: Consultant Live - October 24, 2012 Category: Primary Care Source Type: news

Who Needs Beta Blockers? Analysis Raises Questions
A new analysis of data from a large international registry finds that use of beta blockers in patients with and without a history of coronary artery disease does not reduce cardiovascular events. Here to discuss are Drs Payal Kohli and Sripal Bangalore.
Source: Consultant Live - October 24, 2012 Category: Primary Care Source Type: news

Lower Tidal Volume May Cut Lung Injuries (CME/CE)
(MedPage Today) -- Most patients on mechanical ventilation would do better if the volume of air moved in and out of the lungs was lower, researchers reported.
Source: MedPage Today Primary Care - October 24, 2012 Category: Primary Care Source Type: news

Family Physicians Grapple With Accountable Care ModelFamily Physicians Grapple With Accountable Care Model
Accountable care organizations are here to stay, and family physicians should assume that they will eventually end up in a clinically integrated network. Medscape Medical News
Source: Medscape Today Headlines - October 24, 2012 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Who Needs Beta-Blockers? Analysis Raises Questions
A new analysis of data from a large international registry finds that use of beta-blockers in patients with and without a history of coronary artery disease does not reduce cardiovascular events. Here to discuss are Drs Payal Kohli and Sripal Bangalore.
Source: Consultant Live - October 24, 2012 Category: Primary Care Source Type: news

Oral HSV and HPV Disease: A Photo Essay
Primary herpes simplex type 1 infection of the oral mucosa is rarely a major medical concern. The presence of human papillomavirus (HPV)in the mouth, however, is extremely dangerous. The HPV-16 type is highly associated with oral squamous cell carcinoma. This short photo essay will help you recognize these viruses when you see them.
Source: Consultant Live - October 24, 2012 Category: Primary Care Source Type: news

Oral Viral Diseases: A Photo Essay
Primary herpes simplex type 1 infection of the oral mucosa is rarely a major medical concern. The presence of human papillomavirus (HPV)in the mouth, however, is extremely dangerous. The HPV-16 type is highly associated with oral squamous cell carcinoma. This short photo essay will help you recognize these viruses when you see them.
Source: Consultant Live - October 24, 2012 Category: Primary Care Source Type: news

DH tracker shows cluster confidence
Primary care trust leaders are overwhelmingly confident about the progress being made towards setting up the new NHS structure, internal reports obtained by HSJ reveal. However, many areas are experiencing difficulties establishing the local operations of the NHS Commissioning Board.
Source: HSJ - October 24, 2012 Category: UK Health Source Type: news

Sedentary Behavior Changes Possible Through Counseling In Primary Care
Although primary care physicians take care of many aspects of health and disease, little is known about how they can change sedentary behavior through counseling, according to researchers at The University of Texas Health Science Center at Houston (UTHealth). Results from a new study suggest encouraging patients to decrease the time they spend sitting each day may be feasible in the primary care setting...
Source: Health News from Medical News Today - October 24, 2012 Category: Consumer Health News Tags: Sports Medicine / Fitness Source Type: news

New service to calculate achievement against the QOF for 2013/14
CQRS is currently in development and will be in place to calculate payments for GP practices for the 2013/14 financial year. CQRS will be capable of calculating achievement and payments on quality services delivered by GP practices, including the QOF, and will use data supplied by the Health and Social Care Information Centre, including that from the General Practice Extraction Service. QMAS will still remain operational until July 2013, to allow QOF payments for the 2012/13 year to be made. It is important that practice teams keep up-to-date on CQRS and QMAS developments. Visit the CQRS web pages for more information and ...
Source: NHS Networks - October 24, 2012 Category: UK Health Authors: Maria Axford Source Type: news

Meningitis Outbreak Update: FDA Releases List of Customers Who Received Products from NECC
Source: Physician's First Watch current issue - October 24, 2012 Category: Primary Care Tags: Medical News Source Type: news

Hormone Therapy in Early Menopause Linked to Reduced Alzheimer's Risk
Source: Physician's First Watch current issue - October 24, 2012 Category: Primary Care Tags: Medical News Source Type: news

New Urology Guidelines Published
Source: Physician's First Watch current issue - October 24, 2012 Category: Primary Care Tags: Medical News Source Type: news

Patients Often Think Chemotherapy Can Cure Advanced Cancer
Source: Physician's First Watch current issue - October 24, 2012 Category: Primary Care Tags: Medical News Source Type: news

Ablation vs. Antiarrhythmic Drugs for Paroxysmal Afib
Source: Physician's First Watch current issue - October 24, 2012 Category: Primary Care Tags: Medical News Source Type: news

CDC Advisers: All Pregnant Women Should Be Vaccinated Against Pertussis
Source: Physician's First Watch current issue - October 24, 2012 Category: Primary Care Tags: Medical News Source Type: news

Primary care physicians relocate at lower rates than specialists
Primary care physicians move to new locations at a lower rate than most specialists, according to a new study.
Source: Modern Medicine - October 24, 2012 Category: Journals (General) Source Type: news

Zonisamide - monotherapy for epilepsy
Source: London New Drugs Group Area: Evidence > Drug Specific Reviews A briefing paper for primary care on zonisamide for newly diagnosed partial seizures in epilepsy when used as first line monotherapy.
Source: NeLM - Drug Specific Reviews - October 24, 2012 Category: Drugs & Pharmacology Source Type: news

Sequestration Would Leave CDC Short-handed in an OutbreakSequestration Would Leave CDC Short-handed in an Outbreak
Loss of $464 million would mean fewer investigators, slower results. Medscape Medical News
Source: Medscape Pulmonary Medicine Headlines - October 23, 2012 Category: Respiratory Medicine Tags: Family Medicine/Primary Care News Source Type: news

Splashy Trial Results Often Fade Later On (CME/CE)
(MedPage Today) -- Studies with very large effect sizes were usually the result of small samples, with effects that diminished after additional trials were performed, researchers found.
Source: MedPage Today Primary Care - October 23, 2012 Category: Primary Care Source Type: news

USPSTF Issues Final Recommendations Against Hormone Therapy
The U.S. Preventive Services Task Force (USPSTF) has issued its final recommendations against using menopausal hormone therapy to prevent chronic conditions in postmenopausal women. Similar to its June draft recommendation, the task force restates the AAFP's current position, recommending against the use of combined estrogen and progestin for the prevention of chronic conditions in postmenopausal women, as well as the use of estrogen for the prevention of chronic conditions in postmenopausal women who have had a hysterectomy.
Source: AAFP Health of the Public - October 23, 2012 Category: Primary Care Source Type: news

Improving Patient Communication: Good Strategies for Better Outcomes
Are you making the most out of your patients’ office visits? If you are not listening effectively, the answer is no, said Douglas A. Drossman, MD, at the American College of Gastroenterology 77th Annual Scientific Meeting in Las Vegas.
Source: Consultant Live - October 23, 2012 Category: Primary Care Source Type: news

Adherence to Warfarin Tx Not Long Term (CME/CE)
(MedPage Today) -- Older patients on warfarin therapy for atrial fibrillation are likely to stop treatment within five years, researchers reported.
Source: MedPage Today Primary Care - October 23, 2012 Category: Primary Care Source Type: news

Clinical Research: Small Studies Yield Most Large Outcomes Clinical Research: Small Studies Yield Most Large Outcomes
Researchers caution against potential for 'spurious findings' and 'substantial overestimations.' Medscape Medical News
Source: Medscape Today Headlines - October 23, 2012 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

AMA President Lazarus on SGR, Competition, Physician HappinessAMA President Lazarus on SGR, Competition, Physician Happiness
Medscape Business of Medicine interviewed Dr. Jeremy Lazarus, president of the American Medical Association, who provided insight into pressing issues for physicians. Medscape Business of Medicine
Source: Medscape Today Headlines - October 23, 2012 Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news

SGR Jitters Deter Physicians From New Medicare Pay ModelsSGR Jitters Deter Physicians From New Medicare Pay Models
Most practices would embrace experiments such as ACOs and medical homes if Congress stabilized Medicare pay for the next 5 years, according to an MGMA survey. Medscape Medical News
Source: Medscape Today Headlines - October 23, 2012 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Presidential Election: Healthcare Game Changer or Time-out?Presidential Election: Healthcare Game Changer or Time-out?
Three editorials published in the Annals of Internal Medicine highlight the divergent views of the candidates and how political realities soften such differences. Medscape Medical News
Source: Medscape Today Headlines - October 23, 2012 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Malignant Melanoma In Situ
The only impressive thing about this lesion was a "notch" in its superior pole, and some mild pigment heterogeneity. Prudent caution proved extremely beneficial. The history of a "new" lesion in a patient with almost no visible nevi, along with some very subtle gross features, led to early recognition and elimination of a malignant melanoma.
Source: Consultant Live - October 23, 2012 Category: Primary Care Source Type: news

Squamous Cell Carcinoma
It is often surprising how wide and how deep skin cancers have already spread, despite a relatively small-looking superficial component. This patient had a history of melanoma in-situ.
Source: Consultant Live - October 23, 2012 Category: Primary Care Source Type: news

Malignant Melanoma In-Situ
The only impressive thing about this lesion was a "notch" in its superior pole, and some mild pigment heterogeneity. Prudent caution proved extremely beneficial. The history of a "new" lesion in a patient with almost no visible nevi, along with some very subtle gross features, led to early recognition and elimination of a malignant melanoma.
Source: Consultant Live - October 23, 2012 Category: Primary Care Source Type: news

Celiac Disease Updated: Diagnostic Challenge and Gluten Sensitivity
Here: an update on the challenges of detection, diagnosis, and management of celiac disease and non–celiac disease and the importance of gluten sensitivity.
Source: Consultant Live - October 23, 2012 Category: Primary Care Source Type: news

Acute DVT Associated with IVC Compression by a Uterine Mass
A Doppler ultrasound study of the left lower extremity in this obese woman, 40 years of age, showed extensive acute DVT extending from the iliac through popliteal vein with clotting in the greater saphenous vein. For details on events that precede and follow this finding,
Source: Consultant Live - October 23, 2012 Category: Primary Care Source Type: news

COPD Diagnoses May Increase With 5-Question Survey
A simple, five-question patient-administered survey (COPD-PS) may lead to increased diagnoses of chronic obstructive pulmonary disease (COPD). Researchers from David Geffen School of Medicine at UCLA, Olmsted Medical Center, Boehringer-Ingelheim Pharmaceuticals Inc , and Pfizer Inc, randomized 9,704 patients with no prior COPD diagnosis from US primary care practices in seven states into three groups based on treatment: Arm 1: COPD-PS plus spirometry; Arm 2: COPD-PS alone; Arm 3: usual care...
Source: Health News from Medical News Today - October 23, 2012 Category: Consumer Health News Tags: COPD Source Type: news

Heart Disease Risk Factors Also Tied to Death From Prostate Cancer
Title: Heart Disease Risk Factors Also Tied to Death From Prostate CancerCategory: Health NewsCreated: 10/22/2012 6:06:00 PMLast Editorial Review: 10/23/2012 12:00:00 AM
Source: MedicineNet Mens Health General - October 23, 2012 Category: Primary Care Source Type: news

Text Messaging Used More And More By Pediatric Hospitalists To Communicate
More pediatric hospital physicians are communicating through cell phone text messaging, rather than the traditional pager method, according to research presented at the American Academy of Pediatrics (AAP) National Conference and Exhibition in New Orleans. Since the early 1980s, physicians traditionally have relied on pagers to contact other physicians, residents, nurses and hospital staff. However, with the surge in cellphone use - and the fact that many cellphones now accept pages - many physicians and staff are sending text messages with questions and requests for assistance...
Source: Health News from Medical News Today - October 23, 2012 Category: Consumer Health News Tags: Primary Care / General Practice Source Type: news

Toddler dies after waiting 70 minutes in GP surgery
A toddler died after waiting for 70 minutes at GP surgery despite pleas for her to be seen straight away, her parents said yesterday.
Source: Telegraph Health - October 23, 2012 Category: Consumer Health News Tags: Lucie Linforth toddler wait GP died surgery Source Type: news

Very brief wellness activities of the week (Claudia W Allen PhD)
List of brief (10-15 minute) wellness activities from the Resilient Practitioner Curriculum at UVA's Department of Family Medicine. They are loosely organized under five areas of self-care: Relationships; Mindfulness; Physical Activity and Fun; Gratitude; and Meaning and Growth. We use them on a weekly basis with residents and faculty to break up a long afternoon of didactic conferences.
Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded - October 23, 2012 Category: Primary Care Source Type: news

Changes to the GP contract for 2013/14
A letter from Dame Barbara Hakin, national managing director of commissioning development, to chief executives of primary care trusts and strategic health authorities sets out proposed changes to the general medical services contract for 2013/2014.
Source: NHS Networks - October 23, 2012 Category: UK Health Authors: Maria Axford Source Type: news

Antivirals cut liver cancer risk after hepatitis C
Liver cancer about half as likely after hep C if antivirals givenRelated items from OnMedicaVitamin B12 supplements may help treat hepatitis CUnder-diagnosis of hepatitis C in primary care?Management of Hepatitis CPrimary care update: Hepatitis BStatins benefit people with liver disease
Source: OnMedica Latest News - October 23, 2012 Category: UK Health Source Type: news

New Adjunctive Therapy Approved for Partial-Onset Seizures
Source: Physician's First Watch current issue - October 23, 2012 Category: Primary Care Tags: Medical News Source Type: news

FDA Investigating 5 Deaths Linked to Monster Energy Drink
Source: Physician's First Watch current issue - October 23, 2012 Category: Primary Care Tags: Medical News Source Type: news

Four CV Risk Factors Predict Most of Peripheral Artery Disease Risk in Men
Source: Physician's First Watch current issue - October 23, 2012 Category: Primary Care Tags: Medical News Source Type: news

Putting locum doctor use under the microscope
Helen McGill highlights the importance of getting the balance of need versus resource right in the provision of temporary staff Related items from OnMedicaLocums feel ignoredLocum costs rocket since European working hours cutNHS reliant on doctors working ‘goodwill’ hoursInvesting in consultant time raises standardsRevalidation system gets the go-ahead
Source: OnMedica Views - October 23, 2012 Category: Primary Care Source Type: news