Hysteroscopic Versus Laparoscopic Sterilization — Is One Safer?
For women seeking tubal sterilization, both hysteroscopic and laparoscopic procedures carry benefits and risks, according to a JAMA study. Using French health databases, researchers studied... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 23, 2018 Category: Primary Care Source Type: news

Nat'l Academies: E-Cigarettes Less Harmful Than Regular Cigarettes
Electronic cigarettes are a safer option than tobacco cigarettes, according to a new report on the public health effects of e-cigarettes by the National... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 23, 2018 Category: Primary Care Source Type: news

Your NEJM Group Today: B. pertussis & Rib Fracture / Alcohol Use Disorder Guidelines / Pittsburgh ID Opportunity
Here's what we chose for you from NEJM Group today: NEJM.org Specialty – Primary Care/Hospitalist: Images in Clinical Medicine: A 66-year-old woman presented... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 23, 2018 Category: Primary Care Source Type: news

Does Marijuana Use Raise or Lower CV Risk? Not Enough Evidence to Say
Evidence on whether marijuana is associated with increased or decreased cardiovascular risk is lacking, according to a review in the Annals of Internal Medicine. Researchers... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 23, 2018 Category: Primary Care Source Type: news

Your NEJM Group Today: NEJM Website Gets Redesign / Trehalose & C. diff / Ohio Hospitalist Opportunity
Take a look at today's offering from NEJM Group: New England Journal of Medicine: Editorial and Video: NEJM is pleased to announce the launch of... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 23, 2018 Category: Primary Care Source Type: news

Use of Antithyroid Drugs Early in Pregnancy Tied to Birth Defect Risk
Use of antithyroid drugs during the first trimester of pregnancy is associated with increased risk for congenital malformations, according to an Annals of Internal Medicine... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 23, 2018 Category: Primary Care Source Type: news

Opioid Public Health Emergency Continues
The public health emergency over the opioid epidemic, declared on October 26, 2017, will be renewed on January 24, 2018. Eric Hargan, acting secretary of... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 23, 2018 Category: Primary Care Source Type: news

AAP Issues Recommendations for Improving Early-Childhood Nutrition
The American Academy of Pediatrics has issued a policy statement aimed at optimizing nutrition beginning at conception and until age 2 years. The authors note... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 22, 2018 Category: Primary Care Source Type: news

Researchers: Exhaled Breath Can Carry Flu Virus
Patients may ask about a widely reported study suggesting that flu virus can be transmitted when someone simply breathes on you. The findings appear in... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 22, 2018 Category: Primary Care Source Type: news

Risks for Hepatitis B Reactivation with Newer Hep C Treatments Detailed
About a quarter of patients with chronic hepatitis B infection experience reactivation of the virus when they receive direct-acting antivirals (DAAs) for hepatitis C... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 22, 2018 Category: Primary Care Source Type: news

From the Blogs: Curbside Consults Complex and Silly, the Medicolegal Angle, and a Whole Podcast About Curbsides
Curbside consults have been much on Dr. Paul Sax's mind this week. From a particularly complex HIV patient to a puppy with an infectious disease... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 22, 2018 Category: Primary Care Source Type: news

Your NEJM Group Today: Toxic Alcohols Review / How Many Antiplatelets to Prevent Recurrent Stroke? / California Primary Care Opportunity
Here's what we chose for you from NEJM Group today: NEJM Primary Care/Hospitalist Section: Review article: Poisonings by the toxic alcohols (methanol, ethylene glycol... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 22, 2018 Category: Primary Care Source Type: news

Most Popular NEJM Group Feature This Week: New BP Guidelines Examined
Here's the most clicked-on item we featured from NEJM Group this week, in case you missed it the first time around: New England Journal... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 20, 2018 Category: Primary Care Source Type: news

Hydrocortisone Does Not Seem to Reduce Mortality in Certain Patients with Septic Shock
Hydrocortisone is not associated with reduced mortality in patients with septic shock who undergo mechanical ventilation, according to a study published in the New England... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 19, 2018 Category: Primary Care Source Type: news

Proinflammatory Diets Tied to Increased Risk for Colorectal Cancer
Patients may ask about a study suggesting that diets with a high potential to cause inflammation are associated with increased risk for colorectal cancer. The... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 19, 2018 Category: Primary Care Source Type: news

Use of ADHD Meds by Reproductive-Aged Women on the Rise
Use of medications for attention-deficit/hyperactivity disorder among reproductive-aged women rose over 300% from 2003 through 2015, according to findings in MMWR. Using... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 19, 2018 Category: Primary Care Source Type: news

Choosing Wisely: 5 Procedures to Avoid in Benign Breast Disease
The American Society of Breast Surgeons has released a list of five procedures or tests clinicians should avoid in the setting of benign breast disease... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 19, 2018 Category: Primary Care Source Type: news

Your NEJM Group Today: Late-Career Switch to Telemedicine / Meds for HF with Preserved Ejection Fraction? / South Carolina Internist Opportunity
Take a look at today's offering from NEJM Group: NEJM Catalyst: Article: Instead of retiring, a physician in his 70s pursued a fellowship in telehealth... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 19, 2018 Category: Primary Care Source Type: news

Report Recommends Lowering Threshold for Drunk Driving
To combat drunk driving, a panel from the National Academies of Sciences, Engineering, and Medicine is recommending that states lower the threshold for what is... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 19, 2018 Category: Primary Care Source Type: news

Your NEJM Group Today: New BP Guidelines Examined / Out-of-Pocket Costs & Mammography / Missouri FM Opportunity
Here's what we chose for you from NEJM Group today: New England Journal of Medicine: Perspective: Experts weigh in on the new blood pressure guidelines... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 18, 2018 Category: Primary Care Source Type: news

Monoclonal Gammopathy of Undetermined Significance: Risk for Progression to Cancer, Other Disorders Examined
Monoclonal gammopathy of undetermined significance (MGUS) is associated with an annual 1% risk for progression to multiple myeloma or plasma-cell or lymphoid disorder, and... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 18, 2018 Category: Primary Care Source Type: news

Doxylamine-Pyridoxine May Not Ease Morning Sickness
Doxylamine-pyridoxine, recommended to treat nausea and vomiting in pregnancy, may not be as effective as previously reported, according to a reanalysis published in PLOS... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 18, 2018 Category: Primary Care Source Type: news

Patient Reminders Improve Vaccination Rates in Primary Care
Patients reminders such as postcards and text messages improve vaccination rates, according to an updated Cochrane review. The review included data from 75 studies on... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 18, 2018 Category: Primary Care Source Type: news

Depression at Time of Aortic Valve Replacement Tied to Higher Mortality Risk
Older adults undergoing transcatheter or surgical aortic valve replacement (TAVR or SAVR) who are depressed face increased mortality risk in the year after the procedure... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 18, 2018 Category: Primary Care Source Type: news

Obesity Treatments Compared: Bariatric Surgery vs. Nonsurgical Options, Laparoscopic Sleeve Gastrectomy vs. Bypass
Studies in JAMA's obesity issue offer additional evidence on bariatric surgery's benefits and may ease potential concerns over increasing use of laparoscopic sleeve gastrectomy. First... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 17, 2018 Category: Primary Care Source Type: news

No Change in USPSTF's Stance on Using Nontraditional Risk Factors to Assess CV Risk
The U.S. Preventive Services Task Force says there is not enough evidence to make a recommendation on whether to add nontraditional risk factors — that is... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 17, 2018 Category: Primary Care Source Type: news

Breast-Feeding Tied to Reduced Risk for Diabetes in Mothers
Mothers who lactate for at least 6 months face a lower long-term risk for diabetes than their nonlactating peers, a prospective study in JAMA... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 17, 2018 Category: Primary Care Source Type: news

Your NEJM Group Today: Rapidly Progressive Respiratory Failure / Adherence to ADHD Meds in College / Mass. Primary Care Opportunities
Take a gander at today's selections from NEJM Group: NEJM Clinical Practice Center: Case Record: A 39-year-old woman who had a history of... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 17, 2018 Category: Primary Care Source Type: news

Psoriasis Improved Following Hepatitis C Treatment
One man's psoriasis lesions cleared following treatment for chronic hepatitis C infection with direct-acting antivirals. The case report appears in the Annals of Internal... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 16, 2018 Category: Primary Care Source Type: news

Your NEJM Group Today: MS Review / HIV PrEP for Women / Texas Medical Director Opportunity
Here's what we selected for you today: NEJM Clinical Practice Center: Review: A number of interventions to modify the course of multiple sclerosis have been... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 16, 2018 Category: Primary Care Source Type: news

FDA Approves Olaparib for Patients with Metastatic Breast Cancer and BRCA Mutation
The FDA has expanded the approval of olaparib (Lynparza) for patients with metastatic breast cancer who have a germline BRCA genetic mutation. Olaparib, a PARP... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 16, 2018 Category: Primary Care Source Type: news

Early Menarche, Other Reproductive Factors Tied to Higher CV Risk in Women
Several reproductive factors — including age at menarche — are associated with increased cardiovascular risk later in a woman's life, according to a Heart study. Researchers used... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 16, 2018 Category: Primary Care Source Type: news

Flu Activity Widespread Across U.S., But Season May Have Peaked
The entire continental U.S. is experiencing widespread influenza activity, the CDC reported on Friday. This is the first time in at least 13 years that... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 16, 2018 Category: Primary Care Source Type: news

From the Blogs: Antibiotics for Cough, PJP vs. PCP, TB-Sniffing Rats, Raw Water, and Other Quick ID Items to Ponder
As we head into week 3 of 52 of this new year, Dr. Paul Sax poses some " quick questions " with an infectious disease theme... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 16, 2018 Category: Primary Care Source Type: news

Most Popular NEJM Group Feature This Week: What's Your Favorite Diagnostic Test in Infectious Diseases?
Here's the most clicked-on item we featured from NEJM Group this week, in case you missed it the first time around: HIV and ID... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 13, 2018 Category: Primary Care Source Type: news

CDC Recommends Third Dose of Mumps Vaccine During Outbreaks
The CDC now recommends a third dose of a mumps virus-containing vaccine for people who've previously received two doses but are at increased risk... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 12, 2018 Category: Primary Care Source Type: news

Guidelines Issued on Contact Precautions for MRSA, C. difficile
The Society for Healthcare Epidemiology of America has issued guidelines on how long contact precautions in acute-care hospitals should persist for numerous drug-resistant... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 12, 2018 Category: Primary Care Source Type: news

Your NEJM Group Today: Bloom's Taxonomy / Updated MS Diagnostic Criteria / Nebraska Emergency Department Opportunity
Here's what we chose for you from NEJM Group today: NEJM Knowledge+ Blog: Identify. Recognize. Interpret. Distinguish. What do these words have in common? They... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 12, 2018 Category: Primary Care Source Type: news

Meta-Analysis: Acid-Suppressing Drugs in Pregnancy Tied to Higher Asthma Risk in Offspring
Taking acid-suppressive drugs during pregnancy is associated with elevated asthma risk among offspring, according to a meta-analysis in Pediatrics. Researchers assessed eight observational... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 12, 2018 Category: Primary Care Source Type: news

Prescription Opioid Cough and Cold Medicines Restricted to Adult Use
Prescription cough and cold medications containing opioids like codeine and hydrocodone will no longer be indicated for patients under age 18, the FDA announced on... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 12, 2018 Category: Primary Care Source Type: news

High-Sensitivity Cardiac Troponin Levels Linked to Heart Failure
High-sensitivity cardiac troponin (hs-cTn) tests could help identify asymptomatic people at risk for heart failure, according to a meta-analysis in JACC: Heart... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 11, 2018 Category: Primary Care Source Type: news

Hormone Therapy Appears to Reduce Depression Risk in Perimenopausal Women
Transdermal estrogen combined with oral progesterone lowers the risk for depression in perimenopausal women, suggests a small trial in JAMA Psychiatry. Some 170 nondepressed perimenopausal... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 11, 2018 Category: Primary Care Source Type: news

Bariatric Surgery Associated with Higher Suicide Risk
Bariatric surgery is associated with elevated risk for suicide and nonfatal self-harm, according to findings reported in the Lancet Diabetes& Endocrinology. In one cohort... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 11, 2018 Category: Primary Care Source Type: news

Your NEJM Group Today: De-emphasizing In-Person Visits / Freeze-All IVF? / New Mexico FM Opportunity
Take a look at today's offering from NEJM Group: NEJM Audio Interview: De-emphasizing In-Person Visits: Sean Duffy discusses approaches to providing high-quality... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 11, 2018 Category: Primary Care Source Type: news

Healthy Eating Seems Most Beneficial to Those at High Genetic Risk for Obesity
The benefits of a healthy diet may be greatest in those at the highest genetic risk for obesity, according to a study in The BMJ... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 11, 2018 Category: Primary Care Source Type: news

Potential Alzheimer's Treatment Fails to Slow Cognitive Decline
The investigational drug idalopirdine doesn't seem to be effective in reducing cognitive decline in patients with Alzheimer disease, according to findings from three phase III... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 10, 2018 Category: Primary Care Source Type: news

Ibuprofen Linked to Male Infertility in Small Study
Patients may ask about a widely reported study linking ibuprofen use to male infertility. The findings appear in the Proceedings of the National Academy of... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 10, 2018 Category: Primary Care Source Type: news

Final USPSTF Recommendation Says Not Enough Evidence For or Against Scoliosis Screening
There's not enough evidence to weigh the benefits and harms of screening for idiopathic scoliosis in youth aged 10 to 18 years, according to a... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 10, 2018 Category: Primary Care Source Type: news

Your NEJM Group Today: Medical Training & MD Burnout / Team-Based BP Control / New Hampshire FM Opportunities
Here's what we chose for you from NEJM Group today: NEJM Catalyst: Any rational actor in today's medical industrial complex wonders, at times, whether the... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 10, 2018 Category: Primary Care Source Type: news

Unsafe Infant Sleep Practices Like Bed-Sharing Still Common in U.S.
Unsafe infant sleep habits are still common, according to new data from the CDC published in MMWR Vital Signs. Using 2015 survey data from 32... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - January 10, 2018 Category: Primary Care Source Type: news