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Mortality rates higher among influenza B patients than influenza A patients
Influenza-attributable mortality was significantly greater in children with influenza B, compared with influenza A, investigators found. Among those with influenza B, patients aged 10-16 years were... (Source: Family Practice News)
Source: Family Practice News - August 17, 2016 Category: Primary Care Source Type: news

5 tips to surviving Meaningful Use audits
The Meaningful Use (MU) program as doctors know it may soon be ending, but audits of past attestations are slated to continue for at least the next 6 years. Experts offer the following guidance on... (Source: Family Practice News)
Source: Family Practice News - August 16, 2016 Category: Primary Care Source Type: news

Blue and white light for seasonal affective disorder
Perhaps it’s the northern climate. Perhaps it’s that people at my office work a lot in the absence of office windows. But there are a lot of seasonal affective disorder lamps around me. The one in... (Source: Family Practice News)
Source: Family Practice News - August 16, 2016 Category: Primary Care Source Type: news

Cognitive impairment predicts worsening multiple sclerosis
Cognitive impairment in individuals at the time of multiple sclerosis diagnosis imparts a significantly higher risk for disability progression, transition to secondary progressive disease, and... (Source: Family Practice News)
Source: Family Practice News - August 16, 2016 Category: Primary Care Source Type: news

Study identifies link between rosacea and several GI disorders
A Danish population-based cohort study identified a significant association between patients who have rosacea and their risk of having certain other gastrointestinal diseases – specifically, celiac... (Source: Family Practice News)
Source: Family Practice News - August 16, 2016 Category: Primary Care Source Type: news

Don’t sell your practice short
I’ve written quite a lot over the past few years about the trend toward soloists and small groups selling their practices to hospitals, multispecialty groups, or larger practices. And I’ve made it... (Source: Family Practice News)
Source: Family Practice News - August 16, 2016 Category: Primary Care Source Type: news

Nearly three-quarters of physician specialties saw compensation increases in 2015 – AMGA
Seventy-four percent of physician specialties saw increases in their compensation in 2015, led by emergency medicine, according to the American Medical Group Association. Overall, the weighted... (Source: Family Practice News)
Source: Family Practice News - August 16, 2016 Category: Primary Care Source Type: news

FBI questions legality of telemedicine compact laws
The FBI is raising concerns that language in the Interstate Medical Licensure Compact violates federal regulations over criminal background checks. The government pushback could mean implementation... (Source: Family Practice News)
Source: Family Practice News - August 15, 2016 Category: Primary Care Source Type: news

Most physician practices unsure about joining ACOs
The majority of physician practices are uncertain about joining or starting an accountable care organization (ACO), according to a survey. Of nearly 400 hospital-owned and freestanding outpatient... (Source: Family Practice News)
Source: Family Practice News - August 14, 2016 Category: Primary Care Source Type: news

Antiretroviral efavirenz linked to increased suicidality
DURBAN, SOUTH AFRICA – The use of efavirenz in HIV-infected participants in the landmark START trial was associated with significantly increased risk of suicidal behavior, Alejandro Arenas-Pinto, MD,... (Source: Family Practice News)
Source: Family Practice News - August 13, 2016 Category: Primary Care Source Type: news

Portable device may underestimate FEV1 in children
The PiKo-1 device (nSpire Health) has limited utility in determining forced expiratory volume in 1 second (FEV1) in children with asthma, according to Jonathan M. Gaffin, MD, and his... (Source: Family Practice News)
Source: Family Practice News - August 13, 2016 Category: Primary Care Source Type: news

Intensified rifampicin boosts outcomes in TB/HIV coinfection
DURBAN, SOUTH AFRICA – Prescribing high-dose rifampicin in addition to antiretroviral therapy reduces 12-month all-cause mortality in patients who are coinfected with tuberculosis and HIV and who... (Source: Family Practice News)
Source: Family Practice News - August 13, 2016 Category: Primary Care Source Type: news

Don’t delay treatment for patients with TB and HIV
Clinicians should treat patients diagnosed with HIV and tuberculosis for both conditions immediately, according to new guidelines on the treatment of drug-susceptible tuberculosis. The clinical... (Source: Family Practice News)
Source: Family Practice News - August 13, 2016 Category: Primary Care Source Type: news

FDA approves generic version of Tamiflu
The Food and Drug Administration has approved the first generic version of Tamiflu (oseltamivir phosphate), a medication for the treatment of influenza A and B. The announcement was made Aug. 3,... (Source: Family Practice News)
Source: Family Practice News - August 12, 2016 Category: Primary Care Source Type: news

Hypoxia of obstructive sleep apnea aggravates NAFLD, NASH in adolescents
A new study has found that a strong association exists in adolescents who have obstructive sleep apnea, and their risks of developing more highly progressed forms of nonalcoholic fatty liver disease... (Source: Family Practice News)
Source: Family Practice News - August 12, 2016 Category: Primary Care Source Type: news

After-hours texting and professional boundaries
Recently, I was out on a Friday night with a friend who is a resident in another program. I hadn’t seen her in a very long time because of our hectic schedules. Around 10 p.m., she received a text... (Source: Family Practice News)
Source: Family Practice News - August 12, 2016 Category: Primary Care Source Type: news

Thymectomy improves clinical outcomes for myasthenia gravis
Thymectomy improved 3-year clinical outcomes and proved superior to medical therapy for mild to severe nonthymomatous myasthenia gravis, according to a report published online Aug. 11 in the New... (Source: Family Practice News)
Source: Family Practice News - August 10, 2016 Category: Primary Care Source Type: news

Study finds clues to fibrosis progression in chronic HCV infection
Fibrosis progression in hepatitis C virus–infected individuals is not linear, is associated with alanine aminotransferase–related flares, and varies according to stage, with those who are least... (Source: Family Practice News)
Source: Family Practice News - August 10, 2016 Category: Primary Care Source Type: news

Mayo Clinic tops hospital rankings for 2016-2017
The Mayo Clinic in Rochester, Minn., was named the top hospital in the United States, according to the U.S. News & World Report Best Hospitals ranking for 2016-2017. After finishing second to... (Source: Family Practice News)
Source: Family Practice News - August 10, 2016 Category: Primary Care Source Type: news

Epilepsy has wide-ranging psychosocial impact on youth
The psychosocial impact of epilepsy on children and adolescents is profound, ranging from a sense of vulnerability and disempowerment to discrimination, results from a systematic review of medical... (Source: Family Practice News)
Source: Family Practice News - August 10, 2016 Category: Primary Care Source Type: news

Medicaid expansion leads to better access to care
Low-income adults living in two states that expanded Medicaid enrollment are showing significant increases in outpatient utilization and preventive care, improved health care quality, and reductions... (Source: Family Practice News)
Source: Family Practice News - August 9, 2016 Category: Primary Care Source Type: news

Same-day PrEP protects MSM from HIV
DURBAN, SOUTH AFRICA – On-demand preexposure prophylaxis using oral antiretroviral therapy taken by men as little as 2 hours before engaging in high-risk sex with other men proved even more effective... (Source: Family Practice News)
Source: Family Practice News - August 8, 2016 Category: Primary Care Source Type: news

Elbasvir-grazoprevir works effectively against HCV despite current drug use
A 12-week course of elbasvir plus grazoprevir proved effective against hepatitis C virus in 301 patients who were receiving opioid agonist therapy for injectable drug addiction, according to a report... (Source: Family Practice News)
Source: Family Practice News - August 8, 2016 Category: Primary Care Source Type: news

Primary care’s rising role in behavioral health requires specialty partnerships
Amid rising suicide rates and a raging opioid crisis, the key to improving behavioral health care services nationally is to structure primary care practices for collaborative care, according to... (Source: Family Practice News)
Source: Family Practice News - August 8, 2016 Category: Primary Care Source Type: news

AGA Clinical Practice Update: Experts carve pathway for celiac trials
Celiac disease’s only treatment is far from ideal. Not only is the gluten-free diet hard to follow, costly, and socially isolating, but even adherent patients can suffer persistent and disabling... (Source: Family Practice News)
Source: Family Practice News - August 8, 2016 Category: Primary Care Source Type: news

Core curriculum for opioid prescribing preempts certification
LAKE BUENA VISTA, FLA. – If the Food and Drug Administration moves to require some form of certification to prescribe opioids, an educational program based on the FDA’s own risk evaluation and... (Source: Family Practice News)
Source: Family Practice News - August 6, 2016 Category: Primary Care Source Type: news

For neuropathic pain, marijuana yields modest benefits
LAKE BUENA VISTA, FLA. – As medical marijuana penetrates mainstream medical practice in the United States and elsewhere, awareness of the potential benefits, potential risks, and local laws governing... (Source: Family Practice News)
Source: Family Practice News - August 6, 2016 Category: Primary Care Source Type: news

Retinal nerve fiber layer thinning predicts cognitive decline
TORONTO – A thinner-than-normal layer of retinal nerve fibers in the eye is now linked with cognitive decline – another suggestion that extracranial physical findings could be leveraged into dementia... (Source: Family Practice News)
Source: Family Practice News - August 6, 2016 Category: Primary Care Source Type: news

Deals likely the way forward for Medicaid coverage of hepatitis C drugs
As state governments struggle to find a balance between access to hepatitis C drugs and being able to afford them, it appears that individual deals with drug manufacturers will be the way to get... (Source: Family Practice News)
Source: Family Practice News - August 6, 2016 Category: Primary Care Source Type: news

Early Alzheimer’s treatment decreases both costs and mortality
TORONTO – For patients with Alzheimer’s disease, early treatment may translate into lower health care costs and better survival, based on study results reported at the Alzheimer’s Association... (Source: Family Practice News)
Source: Family Practice News - August 6, 2016 Category: Primary Care Source Type: news

Smartphone app helps decrease depression symptoms in pregnancy
BETHESDA, MD. – A smartphone application helped decrease depressive symptoms and improve confidence in self care for low-income pregnant women in their third trimester, a pilot study has... (Source: Family Practice News)
Source: Family Practice News - August 6, 2016 Category: Primary Care Source Type: news

Checklist captures new predementia diagnosis of mild behavioral impairment
TORONTO – Researchers have described a behavioral syndrome that they say can be a forerunner of Alzheimer’s disease and other neurodegenerative diseases and released a tool for diagnosing it. Mild... (Source: Family Practice News)
Source: Family Practice News - August 4, 2016 Category: Primary Care Source Type: news

Driving skills already affected with mild cognitive impairment
TORONTO – Patients with amnestic mild cognitive impairment made significantly more errors during a complex test of driving skills and showed altered brain activity while performing this test in a... (Source: Family Practice News)
Source: Family Practice News - August 3, 2016 Category: Primary Care Source Type: news

FDA grants fast track status to volixibat
The Food and Drug Administration has granted fast track status to volixibat, an investigational treatment manufactured by Shire. “The FDA’s fast track is a process designed to facilitate the... (Source: Family Practice News)
Source: Family Practice News - August 3, 2016 Category: Primary Care Source Type: news

Psychiatric disorders often impair antiretroviral adherence in perinatally HIV-infected teens
DURBAN, SOUTH AFRICA – Adolescents who were perinatally infected with HIV have a high prevalence of selected psychiatric disorders that impede their adherence to antiretroviral therapy, Claude Ann... (Source: Family Practice News)
Source: Family Practice News - August 2, 2016 Category: Primary Care Source Type: news

CMS announces regions for Primary Care Plus demo
Fourteen regions across the United States have been selected to be a part of the 5-year Comprehensive Primary Care Plus (CPC+) initiative. CPC+ is a public-private partnership aimed at improving... (Source: Family Practice News)
Source: Family Practice News - August 1, 2016 Category: Primary Care Source Type: news

VIDEO: Eating more fiber linked to lower odds of flares in Crohn’s disease
Patients with remitted Crohn’s disease who avoided dietary fiber were significantly more likely to flare than were those who fell into the highest quartile of fiber consumption, according to a... (Source: Family Practice News)
Source: Family Practice News - August 1, 2016 Category: Primary Care Source Type: news

VIDEO: Study highlights cardiovascular benefits, lower GI risks of low-dose aspirin
Resuming low-dose aspirin after an initial lower gastrointestinal bleed significantly increased the chances of recurrence but protected against serious cardiovascular events, based on a single-center... (Source: Family Practice News)
Source: Family Practice News - August 1, 2016 Category: Primary Care Source Type: news

VIDEO: Celiac disease most common among Indians from Punjab study found
Americans from the Punjab region of India had the highest prevalence of celiac disease in a national cross-sectional study of duodenal mucosal biopsies according to a study reported in the August... (Source: Family Practice News)
Source: Family Practice News - August 1, 2016 Category: Primary Care Source Type: news

Prophylaxis key to preventing medication overuse migraine
LAKE BUENA VISTA, FLA. – The etiology of intractable daily headaches is broad and includes life-threatening diagnoses. But a large proportion of those headaches results from overuse of therapies for... (Source: Family Practice News)
Source: Family Practice News - July 31, 2016 Category: Primary Care Source Type: news

WHO analysis: Cost of new HCV meds unaffordable globally
The cost of new medicines for patients infected with hepatitis C virus vary widely around the globe, especially when adjusted for national wealth, results from an economic analysis led by World... (Source: Family Practice News)
Source: Family Practice News - July 30, 2016 Category: Primary Care Source Type: news

Sublingual cyclobenzaprine may be effective, safe for military-related PTSD
SCOTTSDALE, ARIZ. – A sublingual formulation of cyclobenzaprine taken at bedtime was significantly better than placebo at reducing symptoms of military-related posttraumatic stress disorder, and... (Source: Family Practice News)
Source: Family Practice News - July 30, 2016 Category: Primary Care Source Type: news

The EHR Report: The vortex that sucks you in
Recently, a colleague of ours described the office electronic health record as “the vortex that sucks you in.” This statement occurred during a departmental meeting focused on physician burnout. When... (Source: Family Practice News)
Source: Family Practice News - July 29, 2016 Category: Primary Care Source Type: news

Law & Medicine: Discovery rule and statute of limitations
Question: In July 2002, a patient in California underwent surgery for a herniated T8-9 disk, but the surgeon instead removed the T6-7 and T7-8 disks. On Sept. 11, 2002, the surgeon discussed... (Source: Family Practice News)
Source: Family Practice News - July 29, 2016 Category: Primary Care Source Type: news

PBC can present asymptomatically in elderly patients
An 83-year-old woman who was admitted to an emergency department for unsteadiness and dizziness was eventually diagnosed with primary biliary cirrhosis (PBC), according to a case report by Patrice... (Source: Family Practice News)
Source: Family Practice News - July 28, 2016 Category: Primary Care Source Type: news

ACO Insider: Not ready for an ACO? Think CPC+
The Centers for Medicare & Medicaid Services in April announced its newest initiative,
Source: Family Practice News - July 28, 2016 Category: Primary Care Source Type: news

Triptorelin doesn’t prevent ovarian failure in young women treated for lymphoma
Protective treatment with the GnRH agonist triptorelin failed to prevent chemotherapy-induced premature ovarian failure in young women with lymphoma, according to a report published in the Journal of... (Source: Family Practice News)
Source: Family Practice News - July 28, 2016 Category: Primary Care Source Type: news

Hemophilia guideline recommends integrated care model
ORLANDO – An integrated care model that includes a hematologist, a specialized hematology nurse, a physical therapist, a social worker, and 24/7 access to a specialized coagulation laboratory is... (Source: Family Practice News)
Source: Family Practice News - July 27, 2016 Category: Primary Care Source Type: news

Experts offer blueprint for transitioning youth with neurologic conditions
Until now, there was no blueprint for how to effectively transition pediatric patients with neurologic conditions to adult care: Hard science on the topic is almost nonexistent. “There is not very... (Source: Family Practice News)
Source: Family Practice News - July 27, 2016 Category: Primary Care Source Type: news

AAN recommends against routine closure of patent foramen ovale for secondary stroke prevention
An updated practice advisory from the American Academy of Neurology does not recommend the routine use of catheter-based closure of patent foramen ovale in patients with a history of cryptogenic... (Source: Family Practice News)
Source: Family Practice News - July 27, 2016 Category: Primary Care Source Type: news