MedWorm: Primary Care

Ann weekly podcast - friday, sept 05, 2008

AAFP Podcasts: AAFP News Now — Sat, 06 Sep 2008 08:39:39 +0100

This week's audio news summary features a new Colorado law that requires health insurance companies to share with physicians the data and methodology used to rate them; reports on colorectal cancer screening rates; urges physicians to keep their retired legacy ID numbers close at hand; and introduces a free guide that focuses on osteoporosis treatment. (Source: AAFP Podcasts: AAFP News Now)

MedWorm Sponsored Message: Get access to the very latest practice guidelines, patient handouts and medical news at MD Consult.

Nutritional standards become a reality

PCCAS: Full newsfeed — Sat, 06 Sep 2008 08:20:12 +0100

Children returning to primary school in England after the... (Source: PCCAS: Full newsfeed)

The patient-centered medical home--a collection of president's columns from family medicine (john rogers md, mph, med)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Sat, 06 Sep 2008 04:00:00 +0100

Central to the Medical Home approach is the premise that patient-centered care requires a fundamental shift in the relationship between patients and their primary care physicians. Here is a collection of John Rogers' writings about the PCMH and its implications for educational programs from the President's Columns in Family Medicine. 1. Strengthen the Core and Stimulate Progress: Assembling Patient-centered Medical Homes. Fam Med 39(7):465-8. (John465.pdf) 2. Assembling Patient-centered Medical Homes - Is this Focus on Patient Care a Distraction from STFM's Primary Mission? Fam Med 39(8):542-3. (John542.pdf) 3. Assembling Patient-centered Medical Homes - The Care Principles. Fam Med 39(10):697-9. (John697.pdf) 4. Assembling Patient-centered Medical Homes - The Promise and Price of the Infrastructure Principles. Fam Med 40(1):11-2. (John11.pdf) 5. Assembling Patient-centered Medical Homes - Teaching Resources. Fam Med 40(2):85-6. (John85.pdf) 6. Rogers J: Assembling Patient-centered Medical Homes - The Clerkship Initiative. Fam Med 40(3):163-4. (John163.pdf) 7. Rogers J: Assembling Patient-centered Medical Homes in Teaching Practices - One Strategy. Fam Med 40(4):237-40. (John237.pdf) (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

Ready, willing, and able: preparing nurses to respond to disasters

Medscape PublicHealth Headlines — Fri, 05 Sep 2008 21:37:01 +0100

Learn about the best ways to train for and volunteer in times of disaster. Medscape Nurses (Source: Medscape PublicHealth Headlines)

Gps to take on hpv vaccination

Pulse — Fri, 05 Sep 2008 13:49:00 +0100

The HPV vaccination programme is to be administered entirely by GPs in some parts of the country, after warnings some areas have too few school nurses to support a schools-based programme. (Source: Pulse)

Nhs alliance chief blasts lack of consultation ahead of darzi tour

Pulse — Fri, 05 Sep 2008 13:41:00 +0100

An advisor to Lord Darzi claims the Government has frozen clinicians out of the implementation of the health minister’s NHS review. (Source: Pulse)

MedWorm Sponsored Message: Get access to the very latest practice guidelines, patient handouts and medical news at MD Consult.

Choose and book failing 5,000 patients per day

Pulse — Fri, 05 Sep 2008 12:09:00 +0100

Choose and Book is failing 5,000 patients a day, Pulse can reveal. (Source: Pulse)

Walgreens offers medication advice ahead of potential hurricane hanna

Public Health News From Medical News Today — Fri, 05 Sep 2008 10:00:00 +0100

As Tropical Storm Hanna moves toward the Florida coast and threatens to develop into a hurricane, Walgreens is offering residents tips on refilling their prescription medications should they need to evacuate. To help pharmacy patients prepare for any potential evacuations, Walgreens suggests the following: 1. If you evacuate, get to a safe location first and refill your medication at a pharmacy there. (Source: Public Health News From Medical News Today)

It's official: 90% of gps will get nothing

Pulse — Fri, 05 Sep 2008 09:59:00 +0100

This year’s pay award will cost taxpayers just £5m, with nine in 10 GPs due to receive no increase at all, the Department of Health has confirmed. (Source: Pulse)

Unite consults on industrial action over pay

HealthcareRepublic Pharmacist News — Fri, 05 Sep 2008 09:46:00 +0100

Unite members are being asked what type of industrial action they are prepare to take to protest at their latest pay deal. (Source: HealthcareRepublic Pharmacist News)

Hawaii ensures limited english proficient persons have equal access to human services

Public Health News From Medical News Today — Fri, 05 Sep 2008 08:00:00 +0100

The U.S. Department of Health and Human Services' (HHS) Office for Civil Rights (OCR) and the Hawaii Department of Human Services (DHS) have signed a voluntary agreement to improve language assistance services for limited English proficient (LEP) persons in Hawaii. Hawaii DHS administers a $1. (Source: Public Health News From Medical News Today)

MedWorm Sponsored Message: Get access to the very latest practice guidelines, patient handouts and medical news at MD Consult.

Hhs designates 11 communities working to improve quality and value of health care as chartered value exchanges, usa

Public Health News From Medical News Today — Fri, 05 Sep 2008 08:00:00 +0100

HHS Secretary Mike Leavitt welcomed 11 more community collaborations to a growing national movement to build a health care system where consumers, providers and payers make decisions based on the value and quality of care. These communities will join 14 others as Chartered Value Exchanges (CVEs) - local collaborations of health care providers, employers, insurers, and consumers working jointly to improve care and make quality and price information widely available. (Source: Public Health News From Medical News Today)

Implementing the oral health strategy in the african region

Public Health News From Medical News Today — Fri, 05 Sep 2008 08:00:00 +0100

A decade ago, governments in the WHO African Region adopted a strategy to improve the oral health (ORH) of their people; but, ten years on, significant challenges still hamper its progress. (Source: Public Health News From Medical News Today)

Volunteers are protected by health and safety legislation, uk

Public Health News From Medical News Today — Fri, 05 Sep 2008 07:00:00 +0100

The voluntary sector has a vital role to play in Scotland, with 45,000 voluntary organisations, 13,000 paid staff and up to 1.2 million volunteers. The Health and Safety Executive (HSE), and the STUC have teamed up to remind voluntary organisations that they all have a role to play in ensuring the safety and health of their army of volunteers, and to reassure volunteers that they too are protected by health and safety legislation. (Source: Public Health News From Medical News Today)

Patient safety must be protected, australian medical association

Public Health News From Medical News Today — Fri, 05 Sep 2008 07:00:00 +0100

AMA Vice President Dr Gary Speck cautioned health ministers and health sector leaders that COAG's proposed new scheme for national registration and accreditation of health professionals could erode the safety and quality of patient care. (Source: Public Health News From Medical News Today)

What africa should do to improve patient safety - dr sambo

Public Health News From Medical News Today — Fri, 05 Sep 2008 07:00:00 +0100

World Health Organization (WHO) Regional Director for Africa, Dr Luis Sambo, has called on African countries to prioritize "patient safety", a concept that refers to processes or structures which, when applied, reduce the possibility of adverse events resulting from exposure to the health-care system across a range of diseases and procedures. (Source: Public Health News From Medical News Today)

MedWorm Sponsored Message: Get access to the very latest practice guidelines, patient handouts and medical news at MD Consult.

Who report calls for strengthening public health laboratories

Public Health News From Medical News Today — Fri, 05 Sep 2008 07:00:00 +0100

Improving Africa's laboratory services-currently characterized by inadequate staffing, equipment and supplies-is critical to disease control efforts as this will lead to prompt and appropriate responses to epidemics; quicker and better disease detection; and better patient management. (Source: Public Health News From Medical News Today)

Neighborhood alcohol outlets tied to kids' injury risk

MedicineNet Mens Health General — Fri, 05 Sep 2008 07:00:00 +0100

Title: Neighborhood Alcohol Outlets Tied to Kids' Injury RiskCategory: Health NewsCreated: 9/5/2008 2:00:00 AMLast Editorial Review: 9/5/2008 (Source: MedicineNet Mens Health General)

Tnf-alpha blockers pose higher risk for fungal infections

Physician's First Watch current issue — Fri, 05 Sep 2008 04:00:00 +0100

(Source: Physician's First Watch current issue)

Vaccination rates high; no link observed between mmr, autism

Physician's First Watch current issue — Fri, 05 Sep 2008 04:00:00 +0100

(Source: Physician's First Watch current issue)

Pneumonia (hap, hcap, cap) ats palm pda application version 1.1 (joshua steinberg md)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Fri, 05 Sep 2008 04:00:00 +0100

This is a Palm PDA application which walks a physician, student, or resident through the management considerations for nearly all patients with pneumonia. This expands upon the Community Acquired Pneumonia program for Palm I wrote by adding management algorithms for Hosp Acquired Pneumonia and HealthCare Associated Pneumonia cases. Like the CAP program, this also draws upon the American Thoracic Society (ATS) guidelines, incorporating the 2005 HAP/VAP/HCAP one with the 2007 CAP guideline. The ATS '05 guideline is challenging to decipher, so I would appreciate any feedback on my interpretation and algorithm-ization of the guideline for medical accuracy as well as ease and clarity of use. My e-mail address is in the application itself under "about software". Thanks folks! Version 1.1: adds simple functionality (I learned a few more programming tricks) and clarifies the wording in places. Otherwise no major changes. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

MedWorm Sponsored Message: Get access to the very latest practice guidelines, patient handouts and medical news at MD Consult.

A patient with schizophrenia and hyponatremia

Medscape FamilyMedicine Headlines — Fri, 05 Sep 2008 02:05:10 +0100

Which of this complicated patient's risk factors should you examine first? Medscape Psychiatry & Mental Health (Source: Medscape FamilyMedicine Headlines)

Crouch kicks off bp campaign

HealthcareRepublic Pharmacist News — Fri, 05 Sep 2008 00:24:00 +0100

A campaign to help raise awareness of the dangers of high BP has been launched by Portsmouth City Teaching PCT and backed by players from Portsmouth football club. (Source: HealthcareRepublic Pharmacist News)

Gp launches recruitment survey

HealthcareRepublic Pharmacist News — Fri, 05 Sep 2008 00:21:00 +0100

Would you like to take part in GP's recruitment survey? (Source: HealthcareRepublic Pharmacist News)

Nurses as 'high quality' as gps

HealthcareRepublic Pharmacist News — Fri, 05 Sep 2008 00:15:00 +0100

Nurses can deliver as high quality care as GPs in most areas of general practice including preventive healthcare, the management of long-term conditions, and first contact care for people with minor illness, according to a University of Manchester professor. (Source: HealthcareRepublic Pharmacist News)

Detail published for £50 million clinical dess

HealthcareRepublic Pharmacist News — Fri, 05 Sep 2008 00:10:00 +0100

NHS Employers and the GPC have confirmed and published the final guidance on the five clinical directed enhanced services (DESs) for GPs in England. (Source: HealthcareRepublic Pharmacist News)

MedWorm Sponsored Message: Get access to the very latest practice guidelines, patient handouts and medical news at MD Consult.

Hpv jab has higher anaphylaxis risk

HealthcareRepublic GP News — Fri, 05 Sep 2008 00:00:00 +0100

GPs should be alert to possible cases of anaphylaxis in girls immunised against HPV when the UK vaccination programme starts this month. (Source: HealthcareRepublic GP News)

Better mindset won't heal heart

HealthcareRepublic GP News — Fri, 05 Sep 2008 00:00:00 +0100

Treating depression in patients who have suffered a heart attack does not lower the risk of future cardiovascular events, according to Dutch research. (Source: HealthcareRepublic GP News)

Statin ineffective for heart patients

HealthcareRepublic GP News — Fri, 05 Sep 2008 00:00:00 +0100

Taking rosuvastatin does not reduce the risk of cardiovascular events in heart failure patients, Italian research shows. (Source: HealthcareRepublic GP News)

Daily omega-3 reduces chance of fatal cvd event

HealthcareRepublic GP News — Fri, 05 Sep 2008 00:00:00 +0100

A daily dose of omega-3 fatty acids could help to reduce the risk of cardiovascular events in patients who already have chronic heart failure, Italian research suggests. (Source: HealthcareRepublic GP News)

Research backs telmisartan use

HealthcareRepublic GP News — Fri, 05 Sep 2008 00:00:00 +0100

The angiotensin receptor blocker telmisartan can reduce the risk of cardiovascular death in high-risk patients who are intolerant to ACE inhibitors, according to Canadian research. (Source: HealthcareRepublic GP News)

MedWorm Sponsored Message: Get access to the very latest practice guidelines, patient handouts and medical news at MD Consult.

Slowing down heart rate cuts mi risk

HealthcareRepublic GP News — Fri, 05 Sep 2008 00:00:00 +0100

Taking the heart rate inhibitor ivabradine can reduce the risk of heart attacks by 36 per cent in patients with stable coronary artery disease (CAD), UK re-search suggests. (Source: HealthcareRepublic GP News)

Book review - using telephone consultations

HealthcareRepublic Clinical Articles — Fri, 05 Sep 2008 00:00:00 +0100

A new book proves a good source of practical advice on phone consultations, writes Dr Lizzie Croton. (Source: HealthcareRepublic Clinical Articles)

Management of pneumothorax

HealthcareRepublic Clinical Articles — Fri, 05 Sep 2008 00:00:00 +0100

It is important to recognise the signs of pneumothorax, say Dr Suneeta Kochhar and Dr Paul Cornelius. (Source: HealthcareRepublic Clinical Articles)

At a glance - fifth disease (erythema infectiosum) vs scarlet fever

HealthcareRepublic Clinical Articles — Fri, 05 Sep 2008 00:00:00 +0100

Fifth Disease (erythema infectiosum) (Source: HealthcareRepublic Clinical Articles)

Journals watch - melanoma, stroke and dementia

HealthcareRepublic Clinical Articles — Fri, 05 Sep 2008 00:00:00 +0100

Too busy to catch up on the latest research? Let Dr Bryan Palmer update you on recent papers. (Source: HealthcareRepublic Clinical Articles)

MedWorm Sponsored Message: Get access to the very latest practice guidelines, patient handouts and medical news at MD Consult.

Article: asthma management in general practice - a chronic disease health priority

Australian Family Physician audio — Thu, 04 Sep 2008 23:00:00 +0100

Asthma mortality rates in Australia have declined over the past 20 years but are not low by international standards. (Source: Australian Family Physician audio)

Do corticosteroids reduce mortality in pediatric patients with bacterial meningitis?

Medscape PublicHealth Headlines — Thu, 04 Sep 2008 22:52:10 +0100

A study published in the May 7, 2008, issue of JAMA looks at whether steroids confer a mortality benefit on children with meningitis. Medscape Pediatrics (Source: Medscape PublicHealth Headlines)

Study: about half of u.s. adults don't get recommended colorectal cancer screening

AAFP Clinical Care and Research — Thu, 04 Sep 2008 22:10:00 +0100

Despite the proven effectiveness of colorectal cancer screening in reducing the incidence of this disease -- regular colorectal cancer screening is recommended by the AAFP, the U.S. Preventive Services Task Force and the American Cancer Society -- about half of all Americans still don't undergo appropriate screening. That's one of the findings from a study published in the July issue of Cancer Epidemiology, Biomarkers and Prevention. (Source: AAFP Clinical Care and Research)

Nursing to become a graduate profession

HealthcareRepublic Pharmacist News — Thu, 04 Sep 2008 15:52:00 +0100

The Nursing and Midwifery Council (NMC) has approved plans to make nursing an all-graduate profession. (Source: HealthcareRepublic Pharmacist News)

Lower weight equals lower symptom burden in asthma

MedPage Today Primary Care — Thu, 04 Sep 2008 15:28:26 +0100

PORTLAND, Ore. (MedPage Today) -- Obesity appears to worsen asthma symptoms and their impact on patients' lives, researchers here said. (Source: MedPage Today Primary Care)

MedWorm Sponsored Message: Get access to the very latest practice guidelines, patient handouts and medical news at MD Consult.

Gps get details of £50m clinical des funding

Pulse — Thu, 04 Sep 2008 13:44:00 +0100

NHS Employers and the GPC have finally agreed how practices should be paid for providing a range of new enhanced clinical services for 2008/09. (Source: Pulse)

Gps get details of £50m clinical des funding

Pulse — Thu, 04 Sep 2008 13:44:00 +0100

NHS Employers and the GPC have finally agreed how practices should be paid for providing a range of new enhanced clinical services for 2008/09. (Source: Pulse)

Cv guidelines should be based on absolute risk

Pulse — Thu, 04 Sep 2008 11:03:00 +0100

Guideline blood pressure and lipid targets are not evidence-based and GPs should use absolute cardiac risk to guide their treatment decisions, says a top epidemiologist. (Source: Pulse)

Omega-3 beneficial in heart failure

Pulse — Thu, 04 Sep 2008 10:38:00 +0100

Researchers have shown that omega-3 oils can reduce mortality and hospital admissions for cardiovascular reasons in patients with heart failure for the first time, while statins show no effect. (Source: Pulse)

Spotlight on quality and safety at annual ambulatory care conference - conference to address competitiveness in the marketplace, usa

Public Health News From Medical News Today — Thu, 04 Sep 2008 09:00:00 +0100

The Joint Commission and Joint Commission Resources (JCR) announce that the 13th Annual Ambulatory Care Conference: Quality and Safety, The Passwords to Success," will be held October 2-3, 2008, and the (Source: Public Health News From Medical News Today)

MedWorm Sponsored Message: Get access to the very latest practice guidelines, patient handouts and medical news at MD Consult.

Study finds few parents of chronically ill children use california paid family leave program

Public Health News From Medical News Today — Thu, 04 Sep 2008 09:00:00 +0100

California's pioneering paid family leave program has largely failed to reach one of its major target groups, according to a new study by RAND Corporation researchers. Few parents of children with serious chronic illnesses have used the program, despite having paid into the program through payroll withholdings, and the vast majority of these parents aren't even aware that the program exists, according to researchers. (Source: Public Health News From Medical News Today)

Being tall may raise prostate cancer risk

MedicineNet Mens Health General — Thu, 04 Sep 2008 07:00:00 +0100

Title: Being Tall May Raise Prostate Cancer RiskCategory: Health NewsCreated: 9/4/2008Last Editorial Review: 9/4/2008 (Source: MedicineNet Mens Health General)

Study links serum calcium, prostate cancer death

MedicineNet Mens Health General — Thu, 04 Sep 2008 07:00:00 +0100

Title: Study Links Serum Calcium, Prostate Cancer DeathCategory: Health NewsCreated: 9/4/2008 2:00:00 AMLast Editorial Review: 9/4/2008 (Source: MedicineNet Mens Health General)

College freshmen see rx drug misuse more risky than alcohol, pot

MedicineNet Mens Health General — Thu, 04 Sep 2008 07:00:00 +0100

Title: College Freshmen See Rx Drug Misuse More Risky Than Alcohol, PotCategory: Health NewsCreated: 9/4/2008 2:00:00 AMLast Editorial Review: 9/4/2008 (Source: MedicineNet Mens Health General)