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News, opinions and meeting coverage in primary care.

Football Rules: Are Changes Saving Heads?

Contrasting effects of rules on return-to-play and helmet fit

Methotrexate Safe With Chronic Hepatitis B Infection

Study suggests contraindication should be reconsidered

Anti-IL17A Tx Clears Most Cases of Psoriasis

Durable long-term responses with ixekizumab, secukinumab

Positive Data for New Atopic Dermatitis Drugs

Topical PDE4 inhibitor, anti-IL-31 antibody improve signs, symptoms

Ankle Steroid Shots Tied to Post-Op Infections

Study showed doubled rate of infections with intra-articular injections

A Tale of Two Psoriasis Numbers: PASI 75 or 90?

Debate over complete clearance goals ends in draw

Meniscal Tears in OA: Arthroscopy No Help

Patients with arthroscopy were 30% more likely to have joint replacement

Timing of Injections Affects Trigger Finger Outcome

Need for surgery high if steroid injections repeated within 6 months

Nasal Staph Linked With Post-Op Infection

Patients at risk include those with diabetes, immunosuppression, and renal insufficiency

Mortality High in Post-Arthroplasty Sepsis

Sources of sepsis included pneumonia and urinary tract or surgical site infections

Chilling the Brain to Understand Speech Processing

Neurosurgeon describes novel technique for assessing specific functions within brain regions

Outpatient Surgery Safe for Total Hip

No medical or surgical events put patients at risk

Are Medical Scribes Slowing the Development of EHRs?

Scribes take off the pressure to improve them, two experts say

Opinion Makers: Jury Still Out on Gene-Guided DLBCL Therapy

Rationale for subtyping, but treatment data inconclusive

Health Data Is More Valuable Than You May Think

Many organizations are unaware of their security vulnerabilities

Muscle Weakness Predicts Disability in Scleroderma

But muscle involvement not tied to higher mortality in this study

How Abbott Sells Hypothyroidism in India

Blurring the line between "awareness" and hucksterism

Friday Feedback: How Safe Is Vaginal Estrogen for Breast Cancer Survivors?

ACOG endorsed its use, but what do experts think?

Tenofovir Twin Continues to Perform Well

New version of old standby has better toxicity profile

Lab Mystery: How Did Worker Get HIV Infection?

"Perfect storm of errors," researchers speculate

Leflunomide Tied to Modest Weight Loss in RA Patients

Weight loss at 6 months linked with higher 3-year mortality

Calling a Doctor by His or Her First Name

It's different without a longstanding relationship, says James C. Salwitz, MD

ACOG: Vaginal Estrogen Safe for Breast Ca Survivors

No increased risk of cancer recurrence

RheumNow: It Took Me 30 Years to Learn This About RA

Jack Cush, MD, shares insights into rheumatoid arthritis

Colonoscopy Complications Occur at Surprisingly High Rate

Approaching 2% within a week of 'scoping

Medical Boards Fail to Punish Docs Who Commit Sexual Misconduct

Most never disciplined by state boards after institutional sanctions

Wise Buy? Repetitive Transcranial Magnetic Stimulation

Cheaper and safer than ECT, the other proven therapy for refractory depression

Tophaceous Gout: When Is Surgery Needed?

Indications include skin ulcerations, nerve entrapment, recurrent infection

Eye Problems in Microcephalic Infants May be Linked to Zika Virus

Small Brazilian study suggests high rate of ocular abnormalities

OB-GYNS: Stick With CDC Zika Guidelines

Special SMFM session clarifies role of serial ultrasound, amniocentesis

Hospitals Put Empathy in Emails

Automating the human touch appears effective

'Red Dot Test' May Detect Preeclampsia Sooner

Test screens for abnormal proteins, similar to Alzheimer's research

Medical Schools Boost Pain Management Education

In light of opioid epidemic, more schools focus on thoughtful prescribing

CardioBrief: Entresto Off to Slow Start

'Blockbuster' heart failure drug falls short of already low sales expectations

Shorter Therapy an Option for High-Risk Anal Cancer

Abbrieviated chemoradiation matches standard with less toxicity

Cow Farts Can Power a Car: That鈥檚 Improbable!

Also, can you smell my aggression?

RheumNow: 10 Ways RA Could鈥檝e Killed Glenn Frey

Jack Cush reviews the complications associated with rheumatoid arthritis

Dedicating a Career to Diversity and Disparities

NMA president Edith Mitchell, MD, laments racial gaps in medicine

RA Flares Common After Stopping Adalimumab

But anti-TNF discontinuation may be possible in select patients

Urine Screens Show Patients Don't Take ADHD Meds

About a third of patients noncompliant; some take other illicit drugs instead

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