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Scientists develop test to identify best treatment for gonorrhea
FINDINGSResearchers from UCLA have developed a laboratory test that helps physicians determine which people with gonorrhea may be more treatable with an antibiotic that has not been recommended since 2007 because of concerns that the resistance to the drug was growing.BACKGROUNDGonorrhea has developed increasing resistance to all current antibiotics. Due to the spread of multi-drug resistant gonorrhea, health authorities have declared it one of the top-three urgent threats to public health.Ciprofloxacin was used to combat the sexually transmitted infection until 2007, when the Centers for Disease Control and Prevention sto...
Source: UCLA Newsroom: Health Sciences - May 23, 2017 Category: Universities & Medical Training Source Type: news

Your NEJM Group Today: Chronic Pain Rx & Patient-Centered Care / Placebo Effect in the Intellectually Disabled / Massachusetts Primary Care Opportunities (FREE)
By the Editors Here's a sampling of the latest content from NEJM Group:NEJM Catalyst: Expert Article: … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - May 22, 2017 Category: Primary Care Source Type: news

Most Incidental Findings No Big Deal: HealthLeaders Media
(MedPage Today) -- Also: Trump's questionable healthcare claims (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 22, 2017 Category: Primary Care Source Type: news

Trump Administration Asks for Time to Weigh Obamacare Subsidies Trump Administration Asks for Time to Weigh Obamacare Subsidies
The Trump administration and U.S. House of Representatives Republicans on Monday asked a federal court for more time to decide how to proceed on the cost-sharing subsidies paid to health insurers that play a vital role in the Obamacare healthcare law.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 22, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

FDA Warns of Amputation Risk Linked to Newer Diabetes Drug
The FDA has called for a new boxed warning to be added to canagliflozin product labels based on a heightened risk for leg and foot amputations associated with use of the drug. (Source: AAFP News)
Source: AAFP News - May 22, 2017 Category: Primary Care Source Type: news

iMedicalApps: Litmus Health Gives Academics Free Access
(MedPage Today) -- Non-commercial researchers can use collated health tracker data (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 22, 2017 Category: Primary Care Source Type: news

ATS: COPD Exacerbations Increase Stroke, Heart Attack Risk (CME/CE)
(MedPage Today) -- Risk greatest in patients hospitalized for worsening COPD (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 22, 2017 Category: Primary Care Source Type: news

FY 2018 Budget Proposal to Slash Medicaid, Allow Work Requirements
(MedPage Today) -- Administration to detail proposed spending cuts outlined earlier (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 22, 2017 Category: Primary Care Source Type: news

IL-6 Blocker OK'd for Vasculitis
(MedPage Today) -- FDA approved steroid-sparing tocilizumab for giant cell arteritis (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 22, 2017 Category: Primary Care Source Type: news

Are Propensity Scores As Good As Randomized Trials?
(MedPage Today) -- They may not offer much more than multivariable adjustment (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 22, 2017 Category: Primary Care Source Type: news

Cognitive behavioural therapy may reduce high rates of service use among frequent primary care attenders
High users or FAs of healthcare clinics place significant organisational and financial strain on healthcare systems. It has been estimated that the top 3% of users account for 15% of primary care visits.1 Short-term frequent attendance may be related to acute causes, but long-term frequent attendance has been found to be associated with high health … (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 22, 2017 Category: Consumer Health News Source Type: news

Best Practice for Elder Patients Fails to Curb Readmissions Best Practice for Elder Patients Fails to Curb Readmissions
A large study of an intervention to reduce the hospital readmission of older adults discharged from the emergency department suggests that resources might be better invested elsewhere.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 22, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Collaborative care and active surveillance for Screen-Positive EldeRs with subthreshold depression (CASPER): a multicentred randomised controlled trial of clinical effectiveness and cost-effectiveness.
Efforts to reduce the burden of illness and personal suffering associated with depression in older adults have focused on those with more severe depressive syndromes. Less attention has been paid to those with mild disorders/subthreshold depression, but these patients also suffer significant impairments in their quality of life and level of functioning. There is currently no clear evidence-based guidance regarding treatment for this patient group. To establish the clinical effectiveness and cost-effectiveness of a low-intensity intervention of collaborative care for primary care older adults who screened positive for sub...
Source: Current Awareness Service for Health (CASH) - May 22, 2017 Category: Consumer Health News Source Type: news

Options in the care of people with depression
Depression may affect more than one in ten of the UK population at any one time, and cost the NHS in excess of £ 500m per year, with high additional costs in informal care and lost working time. Depression is typically a recurring condition, and more than half of people who experience depression once will go on to have at least one more episode. Up to 90% of patients with depression are treated in primary care, but care can be complex, involving a number of different specialists and requiring access to different forms of treatment. In practice care can become fragmented and reactive rather than proactive.There is al...
Source: Current Awareness Service for Health (CASH) - May 22, 2017 Category: Consumer Health News Source Type: news

Hypoglycemia: How Low Is Too Low? Hypoglycemia: How Low Is Too Low?
When is'low'too low? This and other topics in hypoglycemia are discussed, including current ADA definitions, symptom variability, and hypoglycemia awareness and unawareness.Medscape Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - May 22, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care Expert Interview Source Type: news

Commissioning mental health services for deaf people
The Joint Commissioning Panel for Mental Health in partnership with the deaf charity SignHealth has published Guidance for commissioners of primary care mental health services for deaf people. This guidance sets out key messages commissioner's need to embrace when commissioning mental health services in order to improve deaf people's access to these services. This guide should be of value to: CCGs and local authorities; health and wellbeing boards and service providers across secondary and tertiary services (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 22, 2017 Category: Consumer Health News Source Type: news

Nigeria: Medical Second Opinion Debuts in Nigeria
[Vanguard] Nigerians that require second opinion about their medical conditions and diagnosis after consulting with their primary care doctors or specialists, can now obtain complete medical advice from some of the world's best specialists, courtesy of a programme known as Medical Second Opinion. (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - May 22, 2017 Category: African Health Source Type: news

Reimbursement for integrative health care suggests violation of non-discrimination law
(Mary Ann Liebert, Inc./Genetic Engineering News) A new study shows that the likelihood of health insurance reimbursement for some common clinical services differs significantly depending on whether they are provided by a complementary healthcare service provider or a primary care physician. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - May 22, 2017 Category: International Medicine & Public Health Source Type: news

Effective communication for reception teams
Receptionists are the front line of general practice. Good communicators can make life easier for patients, the practice and themselves, by explaining more clearly, listening more carefully and avoiding misunderstandings. (Source: NHS Networks)
Source: NHS Networks - May 22, 2017 Category: UK Health Source Type: news

Addition of Home Noninvasive Ventilation Tied to Fewer Readmissions After COPD Exacerbation (FREE)
By Kelly Young Edited by Susan Sadoughi, MD, and Andr é Sofair, MD, MPH Adding home noninvasive ventilation to home oxygen therapy in certain patients with severe chronic pulmonary obstructive disease (COPD) is associated with lower risk for hospital readmission and death, according … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - May 22, 2017 Category: Primary Care Source Type: news

Delay in Sepsis Treatment Linked to Higher Mortality Risk (FREE)
By Kelly Young Edited by Susan Sadoughi, MD, and Andr é Sofair, MD, MPH Slower delivery of sepsis treatment is associated with elevated mortality risk, according to a retrospective study published in the New England Journal of Medicine … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - May 22, 2017 Category: Primary Care Source Type: news

American Urological Assn. Adds 5 More Unnecessary Practices to Choosing Wisely (FREE)
By Kelly Young Edited by Susan Sadoughi, MD, and Andr é Sofair, MD, MPH As part of the Choosing Wisely campaign, the American Urological Association has added five more medical treatments … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - May 22, 2017 Category: Primary Care Source Type: news

From the Blogs: Constructive Criticism / Curious Case of M184V / View of AHCA from Other Side of Atlantic (FREE)
By the Editors Here's a quick look at what the NEJM Journal Watch bloggers are talking about right now: Insights on Residency Training: Chief resident … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - May 22, 2017 Category: Primary Care Source Type: news

Your NEJM Group Today: Skin Lesions After Travel Abroad / Exercise Limitation After PE / Kentucky Gastroenterology Opportunity (FREE)
By the Editors Here are today's selections from NEJM Group:NEJM Clinical Practice Center: Case Record: A 27-year-old woman presented with skin … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - May 22, 2017 Category: Primary Care Source Type: news

Juice Shouldn't Be Offered to Infants, Says Pediatrics Group (FREE)
By Kelly Young Edited by Susan Sadoughi, MD, and Andr é Sofair, MD, MPH The American Academy of Pediatrics has expanded its recommendation against offering juice to all infants 12 months and under because it offers no … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - May 22, 2017 Category: Primary Care Source Type: news

Practical clinical trials can help find alternatives to opioids
Pressures on primary care doctors to move away from opioid pain management are increasing, but practitioners need practical, evidence-based information on how to employ multidisciplinary pain care successfully in everyday clinical practice. A senior investigator believes wider use of practical clinical trials and more emphasis on patient self-management are key solutions for achieving wider use of multidisciplinary pain care to improve patient function and help lower use and misuse of opioids. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - May 21, 2017 Category: Science Source Type: news

DOT Cuts Death During Multidrug Resistant TB Treatment
(MedPage Today) -- U.S. data analysis shows 77% reduction with directly observed therapy (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 21, 2017 Category: Primary Care Source Type: news

Video: BMA deputy chair warns GPs against NHS co-payments
The BMA deputy chair has spoken out against proposals for co-payments as LMCs voted to draw up a potential charging system for some general practice services. (Source: GP Online News)
Source: GP Online News - May 20, 2017 Category: Primary Care Tags: Practice News Source Type: news

No Fifty Shades-Prompted Baby Boom: That's Improbable!
(MedPage Today) -- Also, how influential are leaders? (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 20, 2017 Category: Primary Care Source Type: news

Most Popular NEJM Group Feature This Week: Leaving Against Medical Advice (FREE)
By the Editors Here's the most clicked-on item we featured from … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - May 20, 2017 Category: Primary Care Source Type: news

Adding Pharmacists Doubles Deprescription Success Adding Pharmacists Doubles Deprescription Success
The inappropriate use of benzodiazepines in older adults can be reduced when pharmacists fax evidence-based opinions to prescribers, new research shows.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 19, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Don't Use Combined Estrogen, Progestin for Chronic Conditions in Postmenopausal Women
The U.S. Preventive Services Task Force posted a draft recommendation statement against the use of combined estrogen and progestin for the prevention of chronic conditions in postmenopausal women. (Source: AAFP News)
Source: AAFP News - May 19, 2017 Category: Primary Care Source Type: news

Chemo Boosts Survival in Biliary Tract Cancer
(MedPage Today) -- Overall survival increased 15 months over surgery alone (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 19, 2017 Category: Primary Care Source Type: news

Among Veterans, Younger Age Predicts Higher Risk for Unsafe Opioid Dosing
(MedPage Today) -- May have more health problems, but'that's not all there is to it'(Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 19, 2017 Category: Primary Care Source Type: news

The story behind billionaire-backed Qliance's abrupt closure: Client losses, fundraising challenges
Erika Bliss co-founded a primary care clinic a decade ago that aimed to shake up the health care industry. Her company, Qliance, attracted the backing of millionaires and billionaires including Amazon.com's Jeff Bezos, venture capitalist Nick Hanauer, Zillow Chairman Rich Barton, comedian and Seattle Sounders co-owner Drew Carey and Dell founder Michael Dell. This week, Qliance permanently closed its doors. The changing health care environment, losing contracts and patients, and an inability to… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - May 19, 2017 Category: Biotechnology Authors: Coral Garnick Source Type: news

The story behind billionaire-backed Qliance's abrupt closure: Client losses, fundraising challenges
Erika Bliss co-founded a primary care clinic a decade ago that aimed to shake up the health care industry. Her company, Qliance, attracted the backing of millionaires and billionaires including Amazon.com's Jeff Bezos, venture capitalist Nick Hanauer, Zillow Chairman Rich Barton, comedian and Seattle Sounders co-owner Drew Carey and Dell founder Michael Dell. This week, Qliance permanently closed its doors. The changing health care environment, losing contracts and patients, and an inability to… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - May 19, 2017 Category: Pharmaceuticals Authors: Coral Garnick Source Type: news

What PAs Need to Know About MACRA
(MedPage Today) -- Expert details benefits, challenges of new reimbursement system (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 19, 2017 Category: Primary Care Source Type: news

Democratic AGs Will Seek to Intervene in Obamacare Case Democratic AGs Will Seek to Intervene in Obamacare Case
More than a dozen Democratic attorneys general on Thursday sought to intervene to defend a key part of the Obamacare healthcare law -- subsidy payments to insurance companies -- which is under threat in a court case.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 19, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Website Increases Advance Care Planning Website Increases Advance Care Planning
A simple website on advance care planning can spur patients to become engaged in important discussions and physicians to enter necessary information in a patient's electronic health record.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 19, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Can You Trust Home Blood Pressure Monitoring? Can You Trust Home Blood Pressure Monitoring?
Dr Arefa Cassoobhoy highlights one of the week's most important news stories for primary care.Medscape Internal Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - May 19, 2017 Category: Consumer Health News Tags: Internal Medicine Commentary Source Type: news

Plants That Can Poison, Harm, or Kill Plants That Can Poison, Harm, or Kill
So many toxic plants, so many poisonings waiting to happen! Are you aware of the danger posed by these flowers and leaves?Medscape Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - May 19, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care Interactive Quiz Source Type: news

General practice must be added to shortage occupation list, say LMCs
LMCs have called on the GPC to push for general practice to be added to the UK shortage occupation list to help practices struggling with long-term vacancies recruit GPs from overseas. (Source: GP Online News)
Source: GP Online News - May 19, 2017 Category: Primary Care Tags: Practice News Source Type: news

GPs to be balloted over 'collective list closure' in GP crisis protest
LMCs have ordered the GPC to ballot the profession over a possible mass closure of GP lists to highlight the crisis facing general practice. (Source: GP Online News)
Source: GP Online News - May 19, 2017 Category: Primary Care Tags: Practice News Source Type: news

What the Conservative Party manifesto sets out for general practice
The Conservative Party election manifesto pledges £8bn and seven-day GP access across England by 2019 – one year earlier than their 2015 promise.Hide related content:  Show related contentread more (Source: Management in Practice)
Source: Management in Practice - May 19, 2017 Category: Practice Management Authors: aharrold Tags: *** AskTheExpert: Finance *** Editor ' s Pick Patient Access Patients Practice development Practice management Latest News Source Type: news

Medical News Today: A day in the life of a general practitioner
A GP ’s role is bewilderingly diverse: from newborn to grandparent, and from alopecia to zygomycosis. In this article, we walk a mile in one GP's shoes. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - May 19, 2017 Category: Consumer Health News Tags: Primary Care / General Practice Source Type: news

This World Health Organization Leadership Election Is Crucial, And It's Getting Ugly
There is less than a week to go in the race to be the next Director-General of the World Health Organization. And given the WHO’s recent mis-steps, especially with regard to Ebola, this is a crucial election. Unfortunately, the race just got terribly nasty with its own “dirty tricks.” The race has boiled down to a contest between Dr. Tedros Adhanom Ghebreyesus of Ethiopia and Dr. David Nabarro of Britain. Tedros, as he is universally known, is the former minister of health and foreign minister of Ethiopia.  Under his leadership, Ethiopia trained and deployed approximately 40,000 community health...
Source: Healthy Living - The Huffington Post - May 19, 2017 Category: Consumer Health News Source Type: news

LMCs call for greater focus on partner roles in GP training
GP training should be overhauled to prepare registrars to take on partnership roles and focus more on placements in a general practice setting, LMCs have warned. (Source: GP Online News)
Source: GP Online News - May 19, 2017 Category: Primary Care Tags: Practice News Source Type: news

Study Refutes Viagra-Melanoma Link
Title: Study Refutes Viagra-Melanoma LinkCategory: Health NewsCreated: 5/19/2017 12:00:00 AMLast Editorial Review: 5/19/2017 12:00:00 AM (Source: MedicineNet Mens Health General)
Source: MedicineNet Mens Health General - May 19, 2017 Category: Primary Care Source Type: news

Can primary care practices help address the health crisis fueled by prescription opioids? - Edelman EJ, Fiellin DA.
Despite internists' landmark contributions to the treatment of opioid use disorder, most internists do not provide such treatment. Fifty years ago, the internist Vincent Dole, citing growing heroin use, called on the medical profession to develop a new att... (Source: SafetyLit)
Source: SafetyLit - May 19, 2017 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

How do GPs recognise sepsis in primary care?
The importance of swift diagnosis and prompt management of sepsis has received much recent attention. (Source: NHS Networks)
Source: NHS Networks - May 19, 2017 Category: UK Health Source Type: news