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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 33.

Against Recommendations, Physicians Often Treat ThemselvesAgainst Recommendations, Physicians Often Treat Themselves
The self-prescription of addictive medications might be most problematic. Medscape Medical News
Source: Medscape Today Headlines - October 31, 2012 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Debate on Independent NPs Continues
(MedPage Today) -- State legislatures will continue to debate the role advanced-practice nurses should play in the delivery of primary care as physician groups push for greater oversight of their work, a policy brief stated.
Source: MedPage Today Primary Care - October 31, 2012 Category: Primary Care Source Type: news

Managing Diabetes in Older Patients: Consensus Report
What is known about diabetes mellitus in older adults, how DM affects them differently than younger adults, what can be done to prevent or manage the disease, and how best to fill critical gaps in the evidence to address older patients’ needs.
Source: Consultant Live - October 31, 2012 Category: Primary Care Source Type: news

Sleep Deprivation Reduces Insulin Sensitivity
Short-term sleep deprivation reduces insulin sensitivity in peripheral tissue, including fat cells, possibly leading to type 2 diabetes mellitus or obesity.
Source: Consultant Live - October 31, 2012 Category: Primary Care Source Type: news

Complementary Therapies in Multiple Sclerosis: Why Mind-Set Is Everything
Here: a project that sheds some light on the potential of an integrated and holistic approach to therapy for patients with multiple sclerosis.
Source: Consultant Live - October 31, 2012 Category: Primary Care Source Type: news

Hemorrhoids and Anal Fissures: A Short Photo Essay
External hemorrhoids cause severe throbbing pain of sudden onset. Internal lesions are associated with bleeding, protrusion, fecal soiling, and pruritis. Here, a quick visual primer and recommended treatments.
Source: Consultant Live - October 31, 2012 Category: Primary Care Source Type: news

Pulmonary Disease Questionnaire to Boost Diagnoses
Diagnoses of chronic obstructive pulmonary disease may increase with the use of a 5-question patient-administered survey.
Source: Consultant Live - October 31, 2012 Category: Primary Care Source Type: news

Strokes and Smokes: Lighting Up Darkens Outcomes
Stroke survivors who smoke cigarettes are at higher risk for additional strokes, heart attacks, and death than those who never smoked, according to research reported by the American Heart Association.
Source: Consultant Live - October 31, 2012 Category: Primary Care Source Type: news

Knee Replacement Weighs Heavily on Obese Patients
The risk of complications after total knee replacement surgery, including postsurgical infections, is greater in patients who are obese than in those who are not.
Source: Consultant Live - October 31, 2012 Category: Primary Care Source Type: news

Benign Lichenoid Keratoses Mimicking Squamous and Basal Cell Carcinoma
This uncommon benign entity closely mimics squamous cell carcinoma, superficial basal cell carcinoma, and advanced actinic keratoses. The lichenoid keratosis does not transform into skin cancer.
Source: Consultant Live - October 31, 2012 Category: Primary Care Source Type: news

Which Doctors Use Social Media Most?Which Doctors Use Social Media Most?
This report surveyed the demographic and practice-related characteristics of US physicians and their internet use. Journal of the American Medical Informatics Association: JAMIA
Source: Medscape Today Headlines - October 31, 2012 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

Heart Failure In Children Often Goes Unrecognized Until It's Too Late
The Canadian Cardiovascular Society is the first in Canada to issue guidelines aimed at helping primary care and emergency physicians, as well as specialists, recognize and manage heart failure in children. The guidelines were released at the Canadian Cardiovascular Congress. Pediatric heart failure is often fatal and occurs in about 3,000 children annually in North America. Worldwide, the problem is far greater and the causes are diverse. To date there has been little guidance to assist practitioners who deal with children with heart failure...
Source: Health News from Medical News Today - October 31, 2012 Category: Consumer Health News Tags: Heart Disease Source Type: news

News From The Annals Of Internal Medicine: Oct. 30, 2012
Policy Paper: American College of Physicians Offers Performance Measurement Recommendations to Help Physicians Practice High Value Care Health care expenditures are projected to reach almost 20 percent of the United States' GDP by 2020. Many economists consider this spending rate unsustainable. Up to 30 percent, or $765 billion, of health care costs were identified as potentially avoidable - with many of these costs attributed to inappropriate or unnecessary services...
Source: Health News from Medical News Today - October 31, 2012 Category: Consumer Health News Tags: Primary Care / General Practice Source Type: news

Increasing Primary Care Residency Positions Critical to Alleviating Physician Shortages, Says AAMC
AAFP News Now article reports that the Association of American Medical Colleges is calling for the enactment of four core recommendations to increase the number of U.S. physicians and alleviate a growing physician shortage that is projected to get worse as a result of an aging population and expanded health care coverage.
Source: News stories via the Rural Assistance Center - October 31, 2012 Category: Rural Health Source Type: news

Patient reported experience measure for urgent and emergency care
The survey was developed with input from paediatric patients, ensuring that their views were captured early in the design process. It aims to help emergency departments, GP surgeries, walk-in or urgent care centres and the ambulance service to identify areas that are important to paediatric patients, as well as areas for improvement.
Source: NHS Networks - October 31, 2012 Category: UK Health Authors: Maria Axford Source Type: news

Meningitis Outbreak Update: NECC's Sister Company Voluntarily Recalls All Products
Source: Physician's First Watch current issue - October 31, 2012 Category: Primary Care Tags: Medical News Source Type: news

Antibody to LDL-Related Enzyme Found to Enhance Statin's Effect
Source: Physician's First Watch current issue - October 31, 2012 Category: Primary Care Tags: Medical News Source Type: news

Zoledronic Acid Reduces Vertebral Fractures in Men with Osteoporosis
Source: Physician's First Watch current issue - October 31, 2012 Category: Primary Care Tags: Medical News Source Type: news

Literature Review Questions Antidepressant Use in Infertile Women
Source: Physician's First Watch current issue - October 31, 2012 Category: Primary Care Tags: Medical News Source Type: news

Single Dose of Topical Ivermectin Kills Head Lice
Source: Physician's First Watch current issue - October 31, 2012 Category: Primary Care Tags: Medical News Source Type: news

Review: Management of chronic rhinosinusitis
Source: BMJ Area: News This clinical review looks at the management of chronic rhinosinusitis, a common medical condition presenting to primary care physicians. The following are discussed: . What is chronic rhinosinusitis? . Who gets chronic rhinosinusitis? . What causes chronic rhinosinusitis? . How do people present with chronic rhinosinusitis? . How is the diagnosis of chronic rhinosinusitis made? . How is chronic rhinosinusitis managed? . The role of surgery . Chronic rhinosinusitis and links to other conditions
Source: NeLM - News - October 31, 2012 Category: Drugs & Pharmacology Source Type: news

Public Accounts Committee report on financial sustainability of the NHS
Source: NHS Confederation Area: News The Public Accounts Committee has published a report on its examination of the financial sustainability of the NHS, which was based of evidence from Department of Health and Monitor. Speaking at its publication, the Chair commented that "we still do not have critical details of how the new system introduced by the NHS reforms will work so that services remain available to patients in their locality." In 2011-12 NHS organisations in England reported a combined overall surplus of £2.1 billion. There were, however, significant variations in performance, with 377 NHS organisati...
Source: NeLM - News - October 31, 2012 Category: Drugs & Pharmacology Source Type: news

Evidence mixed on whether retail clinics disrupt doctor-patient relationships
(RAND Corporation) As retail medical clinics have expanded rapidly, physicians have expressed concern that the outlets would disrupt their relationships with patients and diminish the value of primary care providers. The first study examining the issue finds mixed evidence about whether the clinics are harming doctor-patient relationships.
Source: EurekAlert! - Medicine and Health - October 31, 2012 Category: Global & Universal Source Type: news

Dieting Results Persist if Weight Maintenance Taught First Dieting Results Persist if Weight Maintenance Taught First
A study of overweight/obese women found that those who learned 'stability skills' for weight maintenance before starting diets kept the weight off better than control patients. Medscape Medical News
Source: Medscape Medical News Headlines - October 30, 2012 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Mount Sinai, AAFP NRN Recruiting Physicians, Patients for Pediatric Study
The AAFP National Research Network (AAFP NRN) is recruiting family physicians to participate in a project tasked with developing quality measures across the spectrum of children's health care. The Collaboration to Advance Pediatric Quality Measures is run by the Mount Sinai School of Medicine in New York in conjunction with the Agency for Healthcare Research and Quality and CMS. The collaboration is working to develop enhanced, evidence-based, well-specified and practical clinical quality measures that can be used to shape government policy, improve clinical practice and inform the decision-making process for physicians who care for children.
Source: AAFP Health of the Public - October 30, 2012 Category: Primary Care Source Type: news

Wealth Begets Health, Even in Lung Disease (CME/CE)
ATLANTA (MedPage Today) -- Higher socioeconomic status in patients with lung cancer and chronic obstructive pulmonary disease is associated with more favorable prognosis and longer survival, a researcher said here.
Source: MedPage Today Primary Care - October 30, 2012 Category: Primary Care Source Type: news

Washington State Primary Care Provider Survey, 2011-2012: Summary of Findings
An analyses of data from surveys of WashingtonStates primary care physicians in 2011, and nurse practitioners (NPs) and physician assistants (PAs) in 2012. -- WWAMI Center for Health Workforce Studies
Source: Rural publications via the Rural Assistance Center - October 30, 2012 Category: Rural Health Source Type: news

Chronic Kidney Disease Biomarkers Confer Excess Mortality Risk at All Ages
Source: Physician's First Watch current issue - October 30, 2012 Category: Primary Care Tags: Medical News Source Type: news

What If Flu Shots Didn't Have to Be Given Annually?
Source: Physician's First Watch current issue - October 30, 2012 Category: Primary Care Tags: Medical News Source Type: news

Fish Rich in Omega-3s Associated with Moderate Reduction in Cerebrovascular Events
Source: Physician's First Watch current issue - October 30, 2012 Category: Primary Care Tags: Medical News Source Type: news

NHS Foundation Trusts: Performance report for 3-month period ending 30 June 2012
Source: Primary Care Commissioning Area: News Monitor, the independent regulator of NHS Foundation Trusts has issued a report of the performance of foundation trusts over a 3 month period ending 30 June 2012. Please see link below for details.
Source: NeLM - News - October 30, 2012 Category: Drugs & Pharmacology Source Type: news

Cohort study: Trends in opioid prescribing in UK for cancer pain during last 3 months of life
Source: Journal of Clinical Oncology Area: News The Journal of Clinical Oncology has featured a cohort study evaluating the time trends and characteristics associated with opioid analgesic prescribing to patients with cancer who are approaching the end of life. The population-based cohort study used data from 29,825 patients diagnosed with five common cancers (and who died between 2000 and 2008) -lung (34.2%), colorectal (19.9%), female breast (21.6%), prostate (19.1%), and head and neck (5.2%) - identified from the United Kingdom General Practice Research Database (GPRD). Opioid prescription rates in the last ...
Source: NeLM - News - October 30, 2012 Category: Drugs & Pharmacology Source Type: news

Communication hubs are the key to commissioning engagement
How can the keen CCG boards reach out to GPs and get them engaged with their agenda? Related items from OnMedicaCCG development under threat as GPs “bullied” and “micromanaged”New digital “single trusted source” of health and social care info to be set upDH stresses importance of localism in commissioningClinical teams need more power in hospitalsPCTs can bid for £99k for digital services
Source: OnMedica Views - October 30, 2012 Category: Primary Care Source Type: news

New pediatric heart failure guidelines a first in Canada
(Heart and Stroke Foundation of Canada) Guidelines aim to at helping primary care and emergency physicians, as well as specialists, recognize and manage heart failure in children.
Source: EurekAlert! - Medicine and Health - October 30, 2012 Category: Global & Universal Source Type: news

ACP Calls for Greater Scrutiny of Low-Value Healthcare ServicesACP Calls for Greater Scrutiny of Low-Value Healthcare Services
A new initiative promotes the high value of performance measures to reduce low value interventions. Medscape Medical News
Source: Medscape Today Headlines - October 29, 2012 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Reilly under fire for unanswered Dáil question
Minister for Health James Reilly has again been taken to task by the Ceann Comhairle for failing to answer a Dáil question about primary care centres.
Source: The Irish Times - Health - October 29, 2012 Category: Consumer Health News Source Type: news

Physicians Who Use Marijuana are 'Unsafe to Practice'Physicians Who Use Marijuana are 'Unsafe to Practice'
The Colorado policy is the first to limit physicians' rights to use medical marijuana for their own debilitating conditions. Medscape Medical News
Source: Medscape Today Headlines - October 29, 2012 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

HSJ Briefing: general practice services and policy
The growing pressure for general practice to meet rising NHS demand rests on a slow but steady path of improvement
Source: HSJ - October 29, 2012 Category: UK Health Source Type: news

Exercise Offers an Additional Vital Sign to Strengthen Patient Care
Physicians may improve patient care by adding a vital sign for exercise as an assessment tool in the clinical setting. Asking patients about their exercise habits could be an important part of their care and treatment.
Source: Consultant Live - October 29, 2012 Category: Primary Care Source Type: news

Omega-3 Improves Working Memory in Healthy Young AdultsOmega-3 Improves Working Memory in Healthy Young Adults
Six months of omega-3 PUFA supplementation led to significant gains in working memory in a group of high-functioning young adults; the mechanisms remain unclear. Medscape Medical News
Source: Medscape PublicHealth Headlines - October 29, 2012 Category: Primary Care Tags: Neurology & Neurosurgery News Source Type: news

Smoke-Free Laws Cut MI Rates (CME/CE)
(MedPage Today) -- Indoor smoking bans substantially cut heart attack rates in communities and may have an impact on sudden cardiac death as well, a population-based study showed.
Source: MedPage Today Primary Care - October 29, 2012 Category: Primary Care Source Type: news

Meningitis: 354 Cases, More Pharmacies Cited
(MedPage Today) -- The fallout from the fungal meningitis outbreak continues to spread, with two more compounding pharmacies coming under fire for regulatory violations, as the number of reported cases hits 354.
Source: MedPage Today Primary Care - October 29, 2012 Category: Primary Care Source Type: news

Platinum Doublet Effective in NSCLC (CME/CE)
ATLANTA (MedPage Today) -- The combination of docetaxel (Taxotere) and oxaliplatin appears to be effective in patients with advanced or metastatic non-small cell lung cancer (NSCLC), researchers reported here.
Source: MedPage Today Primary Care - October 29, 2012 Category: Primary Care Source Type: news

Questions Linger on Medicaid Pay Hike
(MedPage Today) -- Implementing an increase in doctors' reimbursement rates under the Medicaid program is not a simple task, experts say.
Source: MedPage Today Primary Care - October 29, 2012 Category: Primary Care Source Type: news

Your Patient Has Depression. How Can You Tell?Your Patient Has Depression. How Can You Tell?
This best evidence review covers an interesting study that identifies barriers in general practice to recognizing and diagnosing depression. Medscape Family Medicine
Source: Medscape Today Headlines - October 29, 2012 Category: Consumer Health News Tags: Family Medicine/Primary Care Commentary Source Type: news

Targeting Stem Cells Helps in Brain Cancer (CME/CE)
BOSTON (MedPage Today) -- Glioblastoma patients who underwent high-dose radiation to the purported spawning grounds of cancer stem cells in the brain appear to achieve longer survival, researchers said here.
Source: MedPage Today Primary Care - October 29, 2012 Category: Primary Care Source Type: news