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Baby Boomers at Lower Risk for Macular Degeneration Than Their Predecessors
Baby Boomers appear less likely than their predecessors to develop macular degeneration, according to a study in JAMA Ophthalmology. Researchers examined nearly 5000 adults in... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 17, 2017 Category: Primary Care Source Type: news

A Closer Look: Heart Groups Lower Threshold for Hypertension
Earlier this week, the American College of Cardiology and the American Heart Association, among others, announced new cutoffs for hypertension as part of their updated... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 17, 2017 Category: Primary Care Source Type: news

Gynecology Group Names 5 Treatments, Procedures to Avoid
The AAGL (formerly, the American Association of Gynecologic Laparoscopists) has named five treatments and procedures clinicians should question as part of the American Board of... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 17, 2017 Category: Primary Care Source Type: news

Your NEJM Group Today: "Popeye" Sign Image / Skin Patches for Peanut Allergy? / San Francisco Primary Care Opportunities
Here's what we chose for you from NEJM Group today: NEJM Clinical Practice Center: Image in Clinical Medicine: A 79-year-old man presented with... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 17, 2017 Category: Primary Care Source Type: news

Sudden Cardiac Arrest Rare During Competitive Sports
Sudden cardiac arrest is uncommon during competitive sports, and when it does occur, it's rarely caused by structural heart disease, finds a study in the... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 16, 2017 Category: Primary Care Source Type: news

Kids Having Tonsillectomy, Adenoidectomy Still Get Codeine Despite Decreasing Prescriptions
Clinicians have eased off prescribing codeine to children undergoing tonsillectomy or adenoidectomy, but 1 in 20 patients still receives codeine, a Pediatrics study finds. In... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 16, 2017 Category: Primary Care Source Type: news

FDA Clears Nerve Stimulator to Treat Opioid Withdrawal Symptoms
A percutaneous nerve stimulator previously approved for use in acupuncture may now be used to help ease the physical symptoms of opioid withdrawal, the FDA... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 16, 2017 Category: Primary Care Source Type: news

Dads' Depression Tied to Increased Depression Risk in Teenage Children
Children with depressed fathers are at increased risk for developing depression themselves when they reach adolescence, according to a Lancet Psychiatry study. The study included... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 16, 2017 Category: Primary Care Source Type: news

FDA Looking at Potentially Increased Mortality Risk with Gout Drug
The FDA is investigating whether the gout drug febuxostat (Uloric) is associated with an increased risk for heart-related mortality. This follows a postmarketing trial... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 16, 2017 Category: Primary Care Source Type: news

Your NEJM Group Today: Next Steps in Gene Editing / AHA 2017 News Roundup / Alaska FM Opportunity
Here's what we chose for you from NEJM Group today: NEJM Audio Interview: Next Steps in Gene Editing: Dr. George Church discusses recent advances in... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 16, 2017 Category: Primary Care Source Type: news

Noninvasive Cardiac Testing No Better Than Clinical Eval for Low-Risk Acute Chest Pain
Noninvasive testing for acute chest pain in the emergency department is associated with longer hospital stays — but no better clinical outcomes — according to a retrospective... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 15, 2017 Category: Primary Care Source Type: news

Your NEJM Group Today: Helping Clinicians Fight Opioid Epidemic / Botox for Spasticity? / Chicago-Area Hospitalist Opportunity
Take a look at today's offering from NEJM Group: NEJM Catalyst: Providers have a large role to play in tackling the opioid overdose epidemic, but... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 15, 2017 Category: Primary Care Source Type: news

FDA: Don't Inject Silicone
The FDA is reminding the public not to inject silicone into their body as a dermal filler — it has been linked to chronic pain, infections... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 15, 2017 Category: Primary Care Source Type: news

FDA Warns Against Use of Kratom
The FDA is warning patients against using products containing kratom (Mitragyna speciosa), a botanical that some take recreationally or to self-treat opioid addiction. Kratom... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 15, 2017 Category: Primary Care Source Type: news

FDA Approves First Pill with Digital Tracker
The FDA has approved a new version of the antipsychotic aripiprazole embedded with a digital sensor to allow patients to track when the medication was... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 15, 2017 Category: Primary Care Source Type: news

Trump Nominates Pharma Exec to Lead HHS
President Donald Trump announced via Twitter on Monday that he is nominating Alex Azar to be the secretary of the Department of Health and Human... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 14, 2017 Category: Primary Care Source Type: news

Perioperative Aspirin Might Benefit Patients with Prior PCI
Perioperative aspirin seems beneficial for high-risk patients undergoing noncardiac surgery who've previously undergone percutaneous coronary intervention (PCI), according to a subanalysis from the POISE... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 14, 2017 Category: Primary Care Source Type: news

Sodium Bicarbonate, Acetylcysteine Don't Prevent Kidney Injury After Angiography
Neither sodium bicarbonate nor acetylcysteine appears to reduce risk for acute kidney injury in high-risk patients undergoing angiography, according to a randomized trial published... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 13, 2017 Category: Primary Care Source Type: news

Teriparatide Bests Risedronate for Fracture Prevention in Severe Osteoporosis
Daily subcutaneous teriparatide prevents fractures more effectively than weekly oral risedronate, finds an international, industry-conducted study in the Lancet. Over 1300 postmenopausal women with... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 13, 2017 Category: Primary Care Source Type: news

Mortality After HF Admission High, Regardless of Ejection Fraction
The 5-year mortality rate is high in older adults hospitalized for heart failure (HF) — regardless of ejection fraction — according to a new study. The... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 13, 2017 Category: Primary Care Source Type: news

From the Blogs: Time to Get Rid of Food Tongs? / Vacation Cultures in U.S. vs. U.K.
Take a look at what the NEJM Journal Watch bloggers are talking about right now: HIV and ID Observations: Dr. Paul Sax offers up his... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 13, 2017 Category: Primary Care Source Type: news

Researchers: Risk for Cardiac Arrest During Sex "Extremely Low"
The risk for sudden cardiac arrest related to sexual activity is "extremely low, even among subjects with clinical heart disease," researchers write in the Journal... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 13, 2017 Category: Primary Care Source Type: news

Your NEJM Group Today: Compartment Syndrome Image / Tranexamic Acid Timing in Severe Hemorrhage / Florida Critical Care Opportunity
Here's what we chose for you from NEJM Group today: NEJM Clinical Practice Center: Image in Clinical Medicine: A young man presented to the emergency... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 13, 2017 Category: Primary Care Source Type: news

Most Popular NEJM Group Feature This Week: More Fun with Old Medical Images!
Here is the most clicked-on article we featured from NEJM Group this week, in case you missed it the first time around: HIV and... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 9, 2017 Category: Primary Care Source Type: news

Your NEJM Group Today: Capturing the Patient Voice / Familial Thrombophilia in Pregnancy / New York Hospitalist Opportunities
Here's what we chose for you from NEJM Group today: NEJM Catalyst: Insights Report: How can we capture the patient voice and make hospital staff... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 9, 2017 Category: Primary Care Source Type: news

Warfarin Use Tied to Lower Cancer Risk
Use of warfarin is associated with reduced incidence of cancer among older adults, according to an observational study in JAMA Internal Medicine. Using Norwegian registries... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 9, 2017 Category: Primary Care Source Type: news

Treatment for Latent Tuberculosis Can Be Self-Administered, Study Suggests
Self-administered weekly treatment for latent tuberculosis "may be an acceptable strategy" in the U.S., according to the authors of a noninferiority trial published in... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 9, 2017 Category: Primary Care Source Type: news

FDA Approves Expanded Use of CBC Test
The FDA has approved a complete blood cell (CBC) test — the XW-100 Automated Hematology Analyzer — for use in non-traditional laboratory settings, such as... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 9, 2017 Category: Primary Care Source Type: news

Interview: Has Primary Care Been Amazon-ized?
Clinical Conversations interviews Prof. Timothy Hoff, who worries in his new book, Next in Line, that clinicians are losing control of the trusting relationships they... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 9, 2017 Category: Primary Care Source Type: news

Ibuprofen + Acetaminophen Seems as Effective as Opioids + Acetaminophen for Acute Extremity Pain
Ibuprofen and opioids are similarly effective for short-term relief of acute extremity pain when combined with acetaminophen, according to a JAMA study. Some 400... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 9, 2017 Category: Primary Care Source Type: news

USPSTF Again Recommends Osteoporosis Screening in Draft Statement
The U.S. Preventive Services Task Force, in a draft statement, is again recommending that all women aged 65 and up be screened for osteoporosis with... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 9, 2017 Category: Primary Care Source Type: news

Breast Cancer Recurrence Still a Threat Decades After Completing 5 Years' Endocrine Therapy
Women with estrogen-receptor (ER)-positive, early-stage breast cancer who receive 5 years of adjuvant endocrine therapy are still at risk for recurrence up... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 9, 2017 Category: Primary Care Source Type: news

Your NEJM Group Today: One Hospital's Hurricane Response / IV Antibiotics for Infant UTI? / Missouri FM Opportunity
Take a look at today's offering from NEJM Group: NEJM Audio Interview: Hurricane Maria on the Ground: Dr. Carmen Zorrilla discusses how one hospital in... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 9, 2017 Category: Primary Care Source Type: news

Oncologists Recommend Limiting Alcohol Consumption
The American Society of Clinical Oncology is calling for reduced alcohol consumption given that cancer risk rises with increasing use. Even light drinking is associated... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 9, 2017 Category: Primary Care Source Type: news

FDA Approves Expanded Use of CBC Test (FREE)
By the Editors The FDA has approved a complete blood cell … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 7, 2017 Category: Primary Care Source Type: news

Your NEJM Group Today: Capturing the Patient Voice / Familial Thrombophilia in Pregnancy / New York Hospitalist Opportunities (FREE)
By the Editors Here's what we chose for you from NEJM Group today:NEJM Catalyst: Insights Report: How … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 7, 2017 Category: Primary Care Source Type: news

Warfarin Use Tied to Lower Cancer Risk (FREE)
By Kelly Young Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD Use of warfarin is associated with reduced incidence of cancer among older adults, according to an observational study in JAMA Internal … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 7, 2017 Category: Primary Care Source Type: news

Treatment for Latent Tuberculosis Can Be Self-Administered, Study Suggests (FREE)
By Amy Orciari Herman Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD Self-administered weekly treatment for latent tuberculosis " may be an acceptable strategy " in the U.S., according to the authors of a noninferiority trial published in the Annals of Internal Medicine.Some 1000 adults with … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 7, 2017 Category: Primary Care Source Type: news

Interview: Has Primary Care Been Amazon-ized? (FREE)
By the Editors Clinical Conversations interviews Prof. Timothy Hoff, who worries in … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 7, 2017 Category: Primary Care Source Type: news

Firearm, Drug Overdose Deaths Rising (FREE)
By Kelly Young Edited by Susan Sadoughi, MD, and Andr é Sofair, MD, MPH Deaths from firearms and drug overdoses in the U.S. have risen significantly in recent years, according to preliminary mortality … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 6, 2017 Category: Primary Care Source Type: news

Your NEJM Group Today: Rosacea / Psilocybin & Depression? / Montana Internist Opportunities (FREE)
By the Editors Please peruse today's freely available offerings from NEJM Group:NEJM Clinical Practice Center: Clinical practice: Rosacea is a common, chronic facial … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 6, 2017 Category: Primary Care Source Type: news

From the Blogs: More Fun with Old Medical Images! / Uncuffing Medicine from Guidelines / Medical Trick-or-Treat (FREE)
By the Editors Here's what the NEJM Journal Watch bloggers are talking about: Insights on Residency Training: Dr. John … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 6, 2017 Category: Primary Care Source Type: news

Preterm Births Increasing in U.S. (FREE)
By Kelly Young Edited by Susan Sadoughi, MD, and Andr é Sofair, MD, MPH The rate of premature births rose from 9.6% to 9.8% from 2015 to 2016, earning the U.S. … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 6, 2017 Category: Primary Care Source Type: news

Most Popular NEJM Group Feature This Week: Great Questions from ID in Primary Care (FREE)
By the Editors Here's the most clicked-on item we featured from NEJM Group this week, in case you missed it … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 3, 2017 Category: Primary Care Source Type: news

Higher Fiber Intake After Colorectal Cancer Diagnosis Tied to Improved Survival (FREE)
By Amy Orciari Herman Edited by Andr é Sofair, MD, MPH, and William E. Chavey, MD, MS High fiber intake after diagnosis of colorectal cancer is associated with improved survival, according to a study in JAMA Oncology.Researchers … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 3, 2017 Category: Primary Care Source Type: news

In Draft Guidance, Chest Group Includes More Smokers Eligible for Lung Screening (FREE)
By Kelly Young Edited by Andr é Sofair, MD, MPH, and William E. Chavey, MD, MS The American College of Chest Physicians has issued new draft guidelines on screening patients … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 3, 2017 Category: Primary Care Source Type: news

Study: PCI Appears No Better Than Sham Procedure in Patients with Stable Angina (FREE)
By Kelly Young Edited by Andr é Sofair, MD, MPH, and William E. Chavey, MD, MS Percutaneous coronary intervention (PCI) didn't improve exercise time relative to a sham procedure in patients with stable angina and severe coronary stenosis. Findings from the ORBITA study were published in the Lancet and presented at the … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 3, 2017 Category: Primary Care Source Type: news

Your NEJM Group Today: Rosacea Clinical Pearls / ACE Inhibitors, Statins & Type 1 Diabetes / Conn. Primary Care Opportunities (FREE)
By the Editors Here's what we chose for you from NEJM Group today:NEJM Resident 360: Clinical Pearls: … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 3, 2017 Category: Primary Care Source Type: news

President's Commission Issues Recommendations to Address Opioid Crisis (FREE)
By Amy Orciari Herman Edited by Andr é Sofair, MD, MPH, and William E. Chavey, MD, MS President Donald Trump's commission on combatting the opioid crisis issued 56 recommendations on Wednesday aimed at opioid prescribing, addiction prevention … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 3, 2017 Category: Primary Care Source Type: news

Fecal Transplantation Might Help IBS Symptoms (FREE)
By Kelly Young Edited by Susan Sadoughi, MD Fecal microbiota transplantation may improve symptoms of irritable bowel syndrome (IBS), according to a study in the Lancet Gastroenterology and Hepatology.Roughly 90 patients with moderate-to-severe, diarrhea-predominant IBS and … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 2, 2017 Category: Primary Care Source Type: news