AF and stroke may be temporally related
CHICAGO – One-third of a large cohort of patients with an implantable cardiac device in place at the time of an ischemic stroke had one or more episodes of atrial fibrillation within the prior 30... (Source: Family Practice News)
Source: Family Practice News - May 4, 2016 Category: Primary Care Source Type: news

Baseline King-Devick concussion score skewed by English proficiency issues
VANCOUVER – In a study at New York University, it took 27 healthy, native English–speaking volunteers 42.8 seconds to complete the King-Devick concussion screening test, which is about average for... (Source: Family Practice News)
Source: Family Practice News - May 4, 2016 Category: Primary Care Source Type: news

Aripiprazole linked to rare but serious compulsion problems
Rare but serious instances of impulse control problems have been reported in people taking the antipsychotic drug aripiprazole, according to a May 3 press release from the Food and Drug... (Source: Family Practice News)
Source: Family Practice News - May 3, 2016 Category: Primary Care Source Type: news

Vedolizumab use linked to high rate of postoperative complications in IBD patients
LOS ANGELES – Overall, 44% of inflammatory bowel disease (IBD) patients on vedolizumab had some form of infectious complication following intra-abdominal or anorectal surgery, results from a small... (Source: Family Practice News)
Source: Family Practice News - May 3, 2016 Category: Primary Care Source Type: news

Consider behavior therapy first for young children with ADHD
The Centers for Disease Control and Prevention is urging pediatricians treating children with attention-deficit/hyperactivity disorder (ADHD) to recommend behavior therapy before prescribing any... (Source: Family Practice News)
Source: Family Practice News - May 3, 2016 Category: Primary Care Source Type: news

FDA approves changing brand name of Brintellix to Trintellix
To avoid confusion with another drug, the Food and Drug Administration has approved a name change request for the antidepressant Brintellix (vortioxetine), according to a press release.
Source: Family Practice News - May 3, 2016 Category: Primary Care Source Type: news

Study eyes mortality among octogenarians after emergency Hartmann’s procedure
LOS ANGELES – Patients over the age of 80 who present with diverticulitis requiring an emergent Hartmann’s procedure have a 30-day mortality rate of 20%, results from a study of national data... (Source: Family Practice News)
Source: Family Practice News - May 3, 2016 Category: Primary Care Source Type: news

Aspirin lowers bile duct cancer risk
Regular aspirin use is associated with an approximately threefold reduction in risk for the three major subtypes of cholangiocarcinoma, results of a case-control study indicate. In a study comparing... (Source: Family Practice News)
Source: Family Practice News - May 3, 2016 Category: Primary Care Source Type: news

Children with internalizing symptoms may not get enough attention
BALTIMORE – Children who exhibit only internalizing symptoms, which are often indicative of anxiety and depression, are less likely to be referred to mental health services than children who exhibit... (Source: Family Practice News)
Source: Family Practice News - May 3, 2016 Category: Primary Care Source Type: news

Acid blockers boost infections in outpatient preemies
BALTIMORE – Treatment of premature infants with a drug that blocks gastroesophageal reflux once they are discharged home during the first year of life was associated with a significantly increased... (Source: Family Practice News)
Source: Family Practice News - May 3, 2016 Category: Primary Care Source Type: news

Hepatitis B vaccine immunogenic, safe in diabetes patients
The hepatitis B vaccine was immunogenic in adults with type 2 diabetes and had a safety profile similar to that of control subjects in a manufacturer-sponsored phase-IV trial published in Human... (Source: Family Practice News)
Source: Family Practice News - May 3, 2016 Category: Primary Care Source Type: news

FDA approves first drug to treat hallucinations in Parkinson’s psychosis
Pimavanserin on April 29 became the first drug to receive approval from the Food and Drug Administration for the indication of hallucinations and delusions associated with psychosis in Parkinson’s... (Source: Family Practice News)
Source: Family Practice News - May 2, 2016 Category: Primary Care Source Type: news

mHealth shows promise in getting teens moving
BALTIMORE – More than two-thirds of teens consistently wore and synced a digital activity tracker in a small study of an integrating mobile health (mHealth) approach for teens who had or were at risk... (Source: Family Practice News)
Source: Family Practice News - May 1, 2016 Category: Primary Care Source Type: news

Tiotropium inhalation spray effective for asthma regardless of allergic status
LOS ANGELES – Once-daily tiotropium bromide inhalation spray as long-term, add-on maintenance therapy in patients with poorly controlled symptomatic asthma is similarly effective in both allergic and... (Source: Family Practice News)
Source: Family Practice News - May 1, 2016 Category: Primary Care Source Type: news

Racial disparities in colon cancer survival mainly driven by tumor stage at presentation
Although black patients with colon cancer received significantly less treatment than white patients, particularly for late stage disease, much of the overall survival disparity between black and... (Source: Family Practice News)
Source: Family Practice News - May 1, 2016 Category: Primary Care Source Type: news

Cirrhosis 30-day readmissions down 40% with quality improvement initiative
Using checklists and electronic decision support in an inpatient liver unit, quality improvement (QI) care protocols reduced 30-day readmissions of patients with cirrhosis by 40%, due mostly to a... (Source: Family Practice News)
Source: Family Practice News - May 1, 2016 Category: Primary Care Source Type: news

Infections kill many waiting for liver transplant, force others off list
AMSTERDAM – Infection is a major cause of death among patients waiting for a liver transplant, killing more than half of those who contracted one. Infection also was the biggest reason that patients... (Source: Family Practice News)
Source: Family Practice News - April 30, 2016 Category: Primary Care Source Type: news

VIDEO: Despite advances, Alzheimer’s remains a tricky diagnosis
BETHESDA, MD. – Alzheimer’s disease is not a one-size-fits-all diagnosis. As part of a large family of related dementias, it presents some diagnostic conundrums that often make for quite a tricky... (Source: Family Practice News)
Source: Family Practice News - April 29, 2016 Category: Primary Care Source Type: news

Supreme Court case could expand false claims liability
A case before the U.S. Supreme Court that could expand physicians’ liability under the False Claims Act (FCA). The case of
Source: Family Practice News - April 29, 2016 Category: Primary Care Source Type: news

ATTAIN: Peginterferon beta-1a remains efficacious for MS in long term
VANCOUVER – Peginterferon beta-1a has durable efficacy for the treatment of relapsing-remitting multiple sclerosis, according to data from the ATTAIN extension study of a phase III trial. With... (Source: Family Practice News)
Source: Family Practice News - April 29, 2016 Category: Primary Care Source Type: news

Algorithm predicts late liver disease ICU benefit
AT THE INTERNATIONAL LIVER CONGRESS 2016 BARCELONA – An algorithm that has been developed to help clinicians decide whether or not to refer a patient with end-stage liver disease (ESLD) with organ... (Source: Family Practice News)
Source: Family Practice News - April 28, 2016 Category: Primary Care Source Type: news

HHS guidance facilitates Medicaid access for former inmates
New guidance from the U.S. Health and Human Services Department clarifies that individuals on parole, probation, or in-home confinement are not considered inmates and therefore are eligible for... (Source: Family Practice News)
Source: Family Practice News - April 28, 2016 Category: Primary Care Source Type: news

New suicide data: Reason to panic or ponder?
The Centers for Disease Control and Prevention’s new data on suicide have resulted in much interest and concern. Both are warranted, but panic is not. The CDC’s National Center for Health... (Source: Family Practice News)
Source: Family Practice News - April 28, 2016 Category: Primary Care Source Type: news

Doppler ultrasound headset performs well at spotting sports-related concussion
VANCOUVER – A new transcranial Doppler platform that analyzes subtle changes in the cerebral blood flow waveform performed well in detecting sports-related concussion in a cohort study of 238 Los... (Source: Family Practice News)
Source: Family Practice News - April 28, 2016 Category: Primary Care Source Type: news

CMS promises streamlined, flexible program to replace meaningful use
Meaningful use would get a new name and an emphasis on flexibility under a proposal from the Centers for Medicare & Medicaid Services. “We’re proposing today to replace meaningful use in the... (Source: Family Practice News)
Source: Family Practice News - April 28, 2016 Category: Primary Care Source Type: news

Large placebo effect seen in trial of maralixibat for primary biliary cholangitis
BARCELONA – An international phase II trial with the investigational bile acid transporter inhibitor maralixibat chloride failed to meet its primary endpoint of reducing the weekly itch score to a... (Source: Family Practice News)
Source: Family Practice News - April 27, 2016 Category: Primary Care Source Type: news

FDA okays glycopyrrolate/formoterol combo for COPD
The Food and Drug Administration has approved glycopyrrolate and formoterol fumarate inhalation aerosol for long-term maintenance treatment of airflow obstruction in patients with chronic obstructive... (Source: Family Practice News)
Source: Family Practice News - April 27, 2016 Category: Primary Care Source Type: news

IV tigecycline scores as alternative C. diffile treatment
AMSTERDAM – Intravenous tigecycline was significantly more effective than standard therapy at curing refractory Clostridium difficile infections, according to a case-control study presented at... (Source: Family Practice News)
Source: Family Practice News - April 27, 2016 Category: Primary Care Source Type: news

$30 million NIA consortium explores links between vascular health and Alzheimer’s disease
BETHESDA, MD. – Cerebral vascular dysfunction exerts a significant negative influence on cognition, doubling the risk of dementia in old age and speeding the rate of cognitive decline. These... (Source: Family Practice News)
Source: Family Practice News - April 27, 2016 Category: Primary Care Source Type: news

Premenopausal age linked to lower sexual function after gynecologic cancer surgery
INDIAN WELLS, CALIF. – Premenopausal age was associated with a greater temporary decline in sexual desire 1 month after undergoing surgery for suspected gynecologic malignancies, results from an... (Source: Family Practice News)
Source: Family Practice News - April 27, 2016 Category: Primary Care Source Type: news

Hepatitis B test identifies active carriers
A one-time test combining hepatitis B virus (HBV) surface antigen and HBV DNA measurement accurately distinguished inactive carriers from active cases of chronic HBV, based on data from 1,529... (Source: Family Practice News)
Source: Family Practice News - April 27, 2016 Category: Primary Care Source Type: news

C. difficile infections raise risk of death, long-term care for seniors
AMSTERDAM – Clostridium difficile infections are a major driver of death and nursing home placement in Americans older than 65 years, according to research presented at a major international... (Source: Family Practice News)
Source: Family Practice News - April 27, 2016 Category: Primary Care Source Type: news

Bringing behavioral health services to pediatrics
Research shows that the foundation of lifelong health is established during a child’s earliest years, including the prenatal period, and is also determined by the health of the future mother before... (Source: Family Practice News)
Source: Family Practice News - April 27, 2016 Category: Primary Care Source Type: news

Study of twins quantifies diabetes, obesity link with psoriasis
The statistically significant association between psoriasis and both obesity and type 2 diabetes comes down to genetics, according to a large population-based study of twins. Across the entire... (Source: Family Practice News)
Source: Family Practice News - April 27, 2016 Category: Primary Care Source Type: news

Medicare case management: Practices love it despite lack of cost savings
While early data show little in the way of quality improvement or cost savings, participants rave about Medicare’s Comprehensive Primary Care (CPC) initiative. “I personally think it’s a great... (Source: Family Practice News)
Source: Family Practice News - April 27, 2016 Category: Primary Care Source Type: news

Risk stratification for progression of primary biliary cholangitis at diagnosis
Risk stratification for those newly diagnosed with primary biliary cholangitis may be best accomplished through the use of the recently developed and validated UK-PBC scoring system, according to a... (Source: Family Practice News)
Source: Family Practice News - April 26, 2016 Category: Primary Care Source Type: news

Sublingual immunotherapy for allergy-related asthma
Immunotherapy using sublingual tablets containing house dust mite allergen extended the interval until patients developed a moderate asthma exacerbation in a manufacturer-sponsored clinical trial... (Source: Family Practice News)
Source: Family Practice News - April 26, 2016 Category: Primary Care Source Type: news

No increased suicide risk from atomoxetine in youths with ADHD
Youths who take atomoxetine for attention-deficit/hyperactivity disorder or other mental health conditions do not appear any more likely to attempt or complete suicide than those treated with... (Source: Family Practice News)
Source: Family Practice News - April 26, 2016 Category: Primary Care Source Type: news

Atopic dermatitis early in childhood tied to increased risk of autism, ADHD
Children who are diagnosed with atopic dermatitis before the age of 2 are more likely to be diagnosed with autism spectrum disorder or attention-deficit/hyperactivity disorder, according to Tzu-Chu... (Source: Family Practice News)
Source: Family Practice News - April 26, 2016 Category: Primary Care Source Type: news

Investigational HBV core inhibitor shows early clinical promise
BARCELONA – An investigational drug that targets the hepatitis B virus (HBV) core protein is a “totally new approach” to treating chronic HBV infection according to the results of an early-phase... (Source: Family Practice News)
Source: Family Practice News - April 26, 2016 Category: Primary Care Source Type: news

Bullying
A mentor told me during my pediatrics residency that going to school is “the main job of a teenager.” This is because at school, teenagers will be spending the majority of their time and energy... (Source: Family Practice News)
Source: Family Practice News - April 26, 2016 Category: Primary Care Source Type: news

Adding tomosynthesis may benefit women with dense breasts
Women with dense breasts may benefit from additional screening at the time of digital mammography, but the messages notifying these women of potential risks and benefits of more screening are often... (Source: Family Practice News)
Source: Family Practice News - April 26, 2016 Category: Primary Care Source Type: news

Study identifies cognitive impairment in elderly urogynecologic patients
INDIAN WELLS, CALIF. – A rapid screening tool found that about 5% of urogynecologic patients aged 65-74 years showed signs of cognitive impairment, with that figure rising to more than 30% for... (Source: Family Practice News)
Source: Family Practice News - April 26, 2016 Category: Primary Care Source Type: news

Stemming the rising tide of suicide
What is causing the alarming increase in suicides in the United States, and what can psychiatrists do to help? The Centers for Disease Control and Prevention recently
Source: Family Practice News - April 26, 2016 Category: Primary Care Source Type: news

More training in suicide risk assessment needed, experts say
The rise in U.S. suicide rates to the highest levels in almost 30 years is tied to many factors. One fact is clear – some experts say – the lack of training in suicide risk assessment among mental... (Source: Family Practice News)
Source: Family Practice News - April 26, 2016 Category: Primary Care Source Type: news

Psychotherapy
The term “psychotherapy” describes a variety of talk-based treatments for psychiatric illnesses. Its fundamental premise is that there are determinants of mood, anxiety, and behavior that are not... (Source: Family Practice News)
Source: Family Practice News - April 25, 2016 Category: Primary Care Source Type: news

Surgery for PHPT improves sleep quality
BALTIMORE – Research into how primary hyperparathyroidism and parathyroidectomy affect sleep quality has been limited, but investigators at the Medical College of Wisconsin, Milwaukee, reported that... (Source: Family Practice News)
Source: Family Practice News - April 24, 2016 Category: Primary Care Source Type: news

Biliary inflammation reduced by IBD drug
BARCELONA – The monoclonal antibody vedolizumab may reduce biliary inflammation in patients with primary sclerosing cholangitis and comorbid inflammatory bowel disease, according to early, open-label... (Source: Family Practice News)
Source: Family Practice News - April 22, 2016 Category: Primary Care Source Type: news

VIDEO: How to personalize pain management in era of opioids
WASHINGTON – As the prescription opioid crisis rages, how physicians evaluate, define, and treat chronic pain is evolving. “In the science books, there’s a definition of pain,” explained Dr. Patrice... (Source: Family Practice News)
Source: Family Practice News - April 22, 2016 Category: Primary Care Source Type: news

Sharing the lanes
A few weeks ago, Marilyn and I were left in charge of two of our grandchildren, 8 and 10 years old. The morning was overcast and drizzly, eliminating their first choice of going to the college... (Source: Family Practice News)
Source: Family Practice News - April 22, 2016 Category: Primary Care Source Type: news