Protection better with whole-cell pertussis vaccine

Protection better with whole-cell pertussis vaccine

Teens who received DTaP were six times more likely to get pertussis during the 2010-2011 California outbreak than those given DTwP.

CDC: Mental disorders on the rise in U.S. youth

CDC: Mental disorders on the rise in U.S. youth

As many as one-in-five U.S. children and teens experience a mental disorder.

DSM-4 author denounces new revision

DSM-4 author denounces new revision

Diagnostic changes in psychiatry guide are likely to lead to over diagnosis, unnecessary treatment and high costs.

Midlife workouts cut heart risk

Midlife workouts cut heart risk

Adults who increase their fitness level in midlife or maintain high fitness levels have lower heart failure hospitalization rates later.

Nurse practitioners, physicians disagree on primary care roles

Nurse practitioners, physicians disagree on primary care roles

Survey reveals discrepancies regarding beliefs about medical home leadership, admitting privileges and payment for clinical services.

Biennial mammograms recommended for women 50 and older

Biennial mammograms recommended for women 50 and older

Undergoing mammography for breast cancer once every two years rather than annually does not increase the risk of advanced-stage or large-size tumors.

Clinical tool calculates medical risks for seniors

Clinical tool calculates medical risks for seniors

A simple checklist can help primary-care providers evaluate the health risks that influence the longevity of older adults.

HealthMap identifies online vaccine misinformation in real time

HealthMap identifies online vaccine misinformation in real time

An automated data collection system enables public health officials to categorize online vaccine information as negative or positive, and by location.

FDA approves Xofigo for advanced prostate cancer

FDA approves Xofigo for advanced prostate cancer

Xofigo has been approved three months ahead of schedule to treat men with metastatic castration-resistant prostate cancer.

Fiber intake influences stroke risk

Fiber intake influences stroke risk

High-fiber foods can prevent the occurrence of first-time stroke.

Many patients can restart statin use

Many patients can restart statin use

Most persons who stopped taking statins due to health events attributed to the drugs can tolerate these agents long-term when they try again.

New DSM-5 criticized for lack of social considerations

New DSM-5 criticized for lack of social considerations

Other forces that drive the diagnosis of mental disorders not adequately considered.

FDA approves once-daily inhaled COPD treatment

FDA approves once-daily inhaled COPD treatment

The FDA has approved the once-daily inhaled drug Breo Ellipta to treat chronic obstructive pulmonary disease.

USPSTF: Screen adults for alcohol misuse

USPSTF: Screen adults for alcohol misuse

The new recommendation outlines three screening tools and suggests several brief interventions for those who engage in risky or hazardous behavior.

Tailoring antibiograms aids in antibiotic prescribing

Tailoring antibiograms aids in antibiotic prescribing

Differences noted in P. aeruginosa ciprofloaxacin susceptibility among inpatients and primary-care outpatients.

Clinician satisfaction with EHRs down

Clinician satisfaction with EHRs down

Overall, clinicians were less satisfied with the ability of EHRs to improve care and with ease of use in 2012 versus 2010.

AUA: Treating UTIs in primary care saves $2 billion annually

AUA: Treating UTIs in primary care saves $2 billion annually

Patients diagnosed with a UTI in the emergency room paid about $700 more per episode than those treated in an outpatient clinic.

AAFP urges Congress to invest in primary care

AAFP urges Congress to invest in primary care

During testimony to a Congressional subcommittee on primary health and aging, emphasis on support for a strong primary care service.

CMS insurance application simplified, shortened

CMS insurance application simplified, shortened

First-time consumers are able to complete one application and review the range of health insurance options available.

Follow-up tests to confirm HCV infection often not performed

Follow-up tests to confirm HCV infection often not performed

The CDC has updated it's HCV guidelines to recommend all people with an antibody-positive HCV test receive the second, confirmatory HCV RNA test.

Long-detection intervals better in ICD therapy

Long-detection intervals better in ICD therapy

Among patients receiving their first ICD, using long-detection intervals reduced the number of inappropriate shocks delivered.

FDA proposes cancer warning for tanning beds

FDA proposes cancer warning for tanning beds

The proposed order would reclassify sunlamp products from Class 1 to Class 2 medical devices and require the devices undergo premarket FDA review.

Sucking on pacifier may reduce child's allergy risk

Sucking on pacifier may reduce child's allergy risk

Parents who suck on their child's pacifier to clean it may be decreasing their child's risk for developing eczema and asthma.

Allergies on the rise among U.S. kids

Allergies on the rise among U.S. kids

The prevalence of pediatric food and skin allergies increased from 1997 to 2011.

Long waits, unclear tests top patients' gripe list

Long waits, unclear tests top patients' gripe list

Consumer Reports survey identifies patients' biggest pet peeves when visiting primary care health providers.

CDC: Suicide increasing among middle-aged Americans

CDC: Suicide increasing among middle-aged Americans

Suicide rates among middle-aged American men and women increased 28.4% from 1999 to 2010.

Only 1 in 5 U.S. adults get enough exercise

Only 1 in 5 U.S. adults get enough exercise

Only about 20% of U.S. adults are meeting both the aerobic and muscle strengthening components of current physical activity recommendations.

Azithromycin not linked to CV risk in Danish study

Azithromycin not linked to CV risk in Danish study

Azithromycin did not increase cardiovascular mortality among young, middle-aged adults without preexisting CVD compared with penicillin.

FDA approves Plan B without Rx for 15 year olds

FDA approves Plan B without Rx for 15 year olds

Compromise falls short of full OTC, no age-restriction emergency contraception access ordered by U.S. District Court Judge Edward Korman in April.

Allergies less common in foreign-born U.S. kids

Allergies less common in foreign-born U.S. kids

After 10 years of residence in U.S., odds increase for allergic disorders, but not asthma or food allergies.

FDA approves drug for urgent warfarin reversal

FDA approves drug for urgent warfarin reversal

Kcentra is the second product approved in the U.S. to stop severe bleeding in patients taking vitamin-K antagonist anticoagulants.

AAP issues guidelines for home births

AAP issues guidelines for home births

Requirements for assessment, resuscitation and care of newborn infants born at home summarized

FDA warns of skin, eye discoloration with seizure drug

FDA warns of skin, eye discoloration with seizure drug

The FDA is investigating ezogabine after receiving reports of blue skin and eye discoloration among patients taking the medication.

Response to patient emails delayed, especially on weekends

Response to patient emails delayed, especially on weekends

Many messages sent via secure electronic message systems at primary care health clinics do not receive a response within 24 hours.

A soda a day raises diabetes risk 22%

A soda a day raises diabetes risk 22%

Just one 12-ounce sweet drink a day increases a person's likelihood of developing type 2 diabetes.

Gut microbiota linked to atherosclerosis

Gut microbiota linked to atherosclerosis

High levels of trimethylamine-N-oxide predict major adverse cardiac events. Vegetarian or high fiber diets to limit lecithin may mitigate risk.

First treatment approved for opioid-induced constipation

First treatment approved for opioid-induced constipation

The FDA has expanded the indication for oral lubiprostone (Amitiza) to include opioid-induced constipation in chronic pain patients.

Valproate in pregnancy ups autism risk

Valproate in pregnancy ups autism risk

In utero exposure to the anti-epileptic drug valproate was associated with a five-fold elevated risk of autism and three-fold elevated risk for an ASD.

Sofosbuvir shows promise for chronic HCV

Sofosbuvir shows promise for chronic HCV

The novel oral nucleotide analogue sofosbuvir achieved high hepatitis C cure rates with acceptable safety profiles in four phase III clinical trials.

AHA releases recommendations for alternative hypertension treatments

AHA releases recommendations for alternative hypertension treatments

The American Heart Association has issued evidence-based recommendations for implementing non-dietary and non-drug based BP-lowering treatments.

Warn youth of 'Cinnamon Challenge' dangers

Warn youth of 'Cinnamon Challenge' dangers

Attempt to swallow dry cinnamon may cause aspiration and allergic reactions, or may trigger potentially fatal hypersensitivity-induced asthma attacks.

Declines in genital wart incidence tied to HPV vaccine

Declines in genital wart incidence tied to HPV vaccine

Genital wart prevalence declined more than 90% among adolescent and teen girls in the four to five years after the HPV vaccine became available in Australia.

Smartphone apps for vaccines, asthma generate interest at NAPNAP 2013

Smartphone apps for vaccines, asthma generate interest at NAPNAP 2013

Primary care "primed and ready" to use apps for immunization reminders and as education tools for patients with chronic conditions.

NAPNAP 2013: Nurse practitioner research often poorly visible

NAPNAP 2013: Nurse practitioner research often poorly visible

Implementing several techniques can help improve public recognition of NP research and improve the adoption of evidence-based medicine in practice.

NAPNAP 2013: Keynote session remembers past, looks to future

NAPNAP 2013: Keynote session remembers past, looks to future

The opening ceremony at the National Association of Pediatric Nurse Practitioners meeting highlighted the challenge of treating pediatric obesity and type 2 diabetes.

FDA approves abuse-deterrent OxyContin labeling

FDA approves abuse-deterrent OxyContin labeling

As the patent on the original formulation expires, the FDA introduces new label and blocks NDAs for generic versions that lack abuse-deterrent properties.

Nurses equal to docs for many primary care health issues

Nurses equal to docs for many primary care health issues

Nurses provided care comparable in quality to general practitioners for a number of low complexity primary care health problems.

U.S. pediatric melanoma rates on the rise

U.S. pediatric melanoma rates on the rise

The incidence of pediatric melanoma has increased by about 2% per year since 1973.

Vaccine in development as bird flu epidemic spreads

Vaccine in development as bird flu epidemic spreads

Although no evidence exists of sustained ongoing human-to-human H7N9 transmission, health officials are taking steps to prepare for a potential pandemic.

Teen's death from varicella highlights importance of catch-up vaccines

Teen's death from varicella highlights importance of catch-up vaccines

Otherwise healthy 15-year-old Ohio girl succumbs to varicella infection, according to CDC report.

Functional MRI may accurately assess pain

Functional MRI may accurately assess pain

Functional magnetic resonance imaging (fMRI) can be used to as a sensitive and specific tool to assess pain, data from several studies indicate.

Patients, families 'grateful' for physician-assisted suicide program

Patients, families 'grateful' for physician-assisted suicide program

Loss of autonomy, dignity and functional status, commonly cited as reasons for participation in "Death with Dignity" program.

FDA approves first morning sickness treatment

FDA approves first morning sickness treatment

Diclegis is the first treatment for pregnant women experiencing nausea and vomiting, who do not respond to dietary modification.

Melanoma survivors still skip sunscreen, use tanning beds

Melanoma survivors still skip sunscreen, use tanning beds

One-in-four melanoma survivors report they do not wear sunscreen when going outside on a warm sunny day.

Amiodarone associated with increased cancer risk in men

Amiodarone associated with increased cancer risk in men

Researchers suggest cancer events be routinely reported in future trials of the antiarrythmia drug and call for additional observational studies.

Walking equal to running for reducing CHD risk

Walking equal to running for reducing CHD risk

Expending the same amount of energy walking or running yielded similar reductions in risk for coronary heart disease and diabetes.

Judge lifts age restrictions on OTC morning after pill

Judge lifts age restrictions on OTC morning after pill

A federal judge ruled today that the U.S. government must make Plan B and Plan B One-Step available over the counter for all ages

Quality preceptors help new nursing grads transition to workplace

Quality preceptors help new nursing grads transition to workplace

A structured internship program with mentoring from a preceptor is key to transition from new graduate to nurse.

U.S. dementia costs to surpass $200 billion annually

U.S. dementia costs to surpass $200 billion annually

In 2010, dementia-associated costs ranged from $159 billion to $215 billion, and are projected to increase 80% per adult by 2040.

Duloxetine effective for reducing chemotherapy pain

Duloxetine effective for reducing chemotherapy pain

The depression and anxiety medication duloxetine is effective in reducing pain in patients with chemotherapy-induced peripheral neuropathy.

New bird flu strain kills two

New bird flu strain kills two

H7N9 influenza A, a strain of avian flu not previously known to infect humans, has sickened seven and killed two in China.

Obama announces plans to map the human brain

Obama announces plans to map the human brain

10-year BRAIN initiative aims to find new ways to treat, cure and prevent neurological disorders.

Many teen moms have more than one baby

Many teen moms have more than one baby

Effective contraception and support programs may reduce the trend, the CDC says.

Long-term varicella vax effectiveness confirmed

Long-term varicella vax effectiveness confirmed

The chicken pox vaccine appears effective 14 years after immunization, without any waning, and may also reduce shingles risk.

Invokana approved for type 2 diabetes

Invokana approved for type 2 diabetes

The FDA has approved canagliflozin, the first sodium-glucose co-transporter 2 inhibitor, to treat type 2 diabetes.

Gut flora may play role in obesity

Gut flora may play role in obesity

Detectable levels of methane and hydrogen on breath tests linked to higher BMI and body fat.

Family medicine group recommends funding Primary Care Extension Program

Family medicine group recommends funding Primary Care Extension Program

The PCEP, an unfunded provision of the Affordable Care Act, is important to improving public health, translating research into practice.

FDA approves Tecfidera for MS

FDA approves Tecfidera for MS

Dimethyl fumarate is the third oral medication available to treat multiple sclerosis.

Many moms start infants on solid foods too early

Many moms start infants on solid foods too early

About 40% of mothers ignore infant feeding guidelines, many with support from healthcare providers.

Youth transition to adult diabetes care worsens gylcemic control

Youth transition to adult diabetes care worsens gylcemic control

Those who transition from pediatric to adult diabetes care before the age of 21 have 2.5-fold increased odds for poor gylcemic control.

Updated recommendations for sports concussions released

Updated recommendations for sports concussions released

The 2012 Zurich Consensus statement on sports concussion offers guidance for concussion evaluation, management and return to play.

Most Americans with prediabetes unaware of condition

Most Americans with prediabetes unaware of condition

Only about 11% of the estimated 79 million Americans who had prediabetes in 2009-2010 identified as such.

Worldwide salt intake nearly double recommended limits

Worldwide salt intake nearly double recommended limits

Majority of people around the globe consume more than 3,000 mg of dietary sodium per day, increasing their risk for cardiovascular disease.

AHA: Sugary beverages linked to 180,000 deaths annually

AHA: Sugary beverages linked to 180,000 deaths annually

Results from the 2010 Global Burden of Diseases Study shows link between sugary beverage intake and mortality from chronic diseases.

Norovirus leading offender in pediatric gastroenteritis

Norovirus leading offender in pediatric gastroenteritis

Norovirus far exceeds rotavirus as the leading cause of medically attended acute gastroenteritis in U.S. children.

Safety fears deter HPV vaccination

Safety fears deter HPV vaccination

More than 40% of parents surveyed in 2010 reported they did not intend to vaccinate their adolescent female children with the HPV vaccine.

Archaic law bars patient with missed cancer diagnosis from suing

Archaic law bars patient with missed cancer diagnosis from suing

A Brooklyn woman with a missed lung cancer diagnosis was unable to file a malpractice suit under New York state's statute of limitations.

Flaws in patient privacy, data security must be addressed

Flaws in patient privacy, data security must be addressed

Medical identity theft and data security breaches are growing, with thousands of cases reported per year.

Clinicians underprescribe antibiotics for black children

Clinicians underprescribe antibiotics for black children

Black children are less likely to be prescribed antibiotics and to be diagnosed with conditions that require antibiotics, even when treated by the same doctor.

Combo MS therapy fails to cut relapse risk

Combo MS therapy fails to cut relapse risk

Combining interferon beta-1a and glatiramer acetate therapy does not provide added clinical benefit to patients with multiple sclerosis.

ADHD drugs should not be prescribed to improve childrens' memory

ADHD drugs should not be prescribed to improve childrens' memory

Prescribing neuroenhancing drugs, such as those used to treat attention-deficit/hyperactivity disorder, to improve cognitive function is unjustified and inadvisable, according to position paper.

FDA issues arrhythmia warning for azithromycin

FDA issues arrhythmia warning for azithromycin

Safety warnings relating to the risk for QT interval prolongation and torsades de pointes have been added to the Zithromax and Zmax drug labels.

Treatment of sleep apnea no worse in primary care vs specialist setting

Treatment of sleep apnea no worse in primary care vs specialist setting

Management of obstructive sleep apnea in a primary care setting is noninferior to care at specialist sleep centers.

Pediatric Salmonella Typhimurium outbreak linked to frogs

Pediatric Salmonella Typhimurium outbreak linked to frogs

Outbreak of predominantly pediatric Salmonella in the United States has been linked to African dwarf frogs kept as pets.

Researchers doubt accuracy of red flags to detect spinal malignancy

Researchers doubt accuracy of red flags to detect spinal malignancy

In patients with lower back pain, red flag indicators may not be reliable at diagnosing spinal problems.

White matter integrity may indicate cognitive impairment in MS

White matter integrity may indicate cognitive impairment in MS

Diffusion tension imaging shows differences between cognitively preserved vs. impaired multiple sclerosis.

Biases identified in primary care prostate-cancer screening

Biases identified in primary care prostate-cancer screening

Primary-care practitioner beliefs about prostate-cancer screening account for much of the variability in the use of an informed-decision-making process.

Imaging guidelines issued for Alzheimer disease

Imaging guidelines issued for Alzheimer disease

Alzheimer's Association issues first guidelines for PET scanning in Alzheimer disease diagnosis.

Screen women for intimate-partner violence

Screen women for intimate-partner violence

USPSTF now recommends that all women of childbearing age be screened to determine whether these patients are victims of intimate-partner violence.

Experts recommend 10 patient safety strategies for healthcare providers

Experts recommend 10 patient safety strategies for healthcare providers

An expert panel is strongly encouraging the immediate adoption of evidence-based strategies to reduce infections and improve patient safety.

'Functional' cure reported in HIV-positive baby

'Functional' cure reported in HIV-positive baby

Very early treatment may explain unprecedented remission in a baby with HIV.

Increased primary care demand not evenly distributed

Increased primary care demand not evenly distributed

Overall increases in primary care demand modest, but need for healthcare services is greater in some areas.

Sexually transmitted secondary, tertiary vaccinia cases reported

Sexually transmitted secondary, tertiary vaccinia cases reported

Smallpox vaccinees should be instructed to cover the injection site and counseled about the potential for sexual transmission of vaccinia virus.

Sequestration hits Medicare, U.S. health agencies

Sequestration hits Medicare, U.S. health agencies

Medicare providers and medical researchers brace for cuts from fiscal impasse.

Lower thigh optimal site for epi injections in heavy kids

Lower thigh optimal site for epi injections in heavy kids

Administering epinephrine auto-injectors in the lower half of the thigh in overweight and obese children experiencing anaphylaxis may help insure the therapy is effective.

Adjuvanted H1N1 flu vaccine linked to narcolepsy in kids

Adjuvanted H1N1 flu vaccine linked to narcolepsy in kids

British study shows link between European ASO3-adjuvanted pandemic influenza A H1N1 vaccine and narcolepsy risk.

Pesticides, antibacterials linked to asthma Rxs

Pesticides, antibacterials linked to asthma Rxs

Patients with high levels of urinary phenols were more likely to be prescribed asthma medication than those with low concentrations.

Omontys recalled after reports of fatal reactions

Omontys recalled after reports of fatal reactions

All lots of the new anemia drug peginesatide have been recalled because of severe, sometimes fatal, hypersensitivity reactions.

New AOM treatment guidelines emphasize watchful waiting

New AOM treatment guidelines emphasize watchful waiting

Revised guidelines for treating acute otitis media provide more stringent criteria to limit unnecessary antibiotics.

Kadcyla gets FDA nod for late-stage breast cancer

Kadcyla gets FDA nod for late-stage breast cancer

Ado-trastuzumab emtansine is the fourth drug approved that targets HER2-positive metastatic breast cancer.

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