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General Primary Care

News, opinions and meeting coverage in primary care.

Humira Benefits Persist in Spine Disease

Anti-TNF treatment efficacy maintained at 3 years in axial spondyloarthritis.

Osteonecrosis of the Jaw Is Rare With Denosumab for Bone Loss

Study finds risk very low, even with long-term drug therapy.

Cyclophosphamide May Ease Idiopathic Inflammatory Myopathies

Majority of patients treated with CYC experienced improved muscle strength and function.

Otezla Benefit Durable in PsA

Benefits persist through 2 years with apremilast in psoriatic arthritis.

Stent Graft Keeps Vascular Access Clear

Should change practice, study leader says.

Clinical Focus In Renal Cell Carcinoma: Clues from Gene Studies

Mutations in four genes appear to play a key role in the origin of renal cell carcinoma.

Lung Transplant Valid in SSc

Patients with systemic sclerosis shouldn't be denied lung transplants.

New Antibody Found in Membranous Nephropathy

Antibodies against THSD7A may be behind some cases.

Investigative Combo Pill Effective Against HCV Infection

Treating refractory HCV without ribavirin onboard.

Patients Should Share Accountability for Own Health

A new report recommends doctors not be penalized for poor outcomes if patients fail to follow recommended protocols

Preterm Birth Common for RA Mothers

Risk for preterm birth was 1.5 times higher with maternal RA.

The Happy PCP: $400K/Yr and Home in Time for Dinner

Primary care doc earns a specialist's income without working overtime.

Novel Marker May Spot RA Early

This marker may differentiate between RA and OA.

Are There Fewer 'Tasty' Meals After Bariatric Surgery?

Taste buds may be diminished by weight-loss surgery.

Evolution: Breast Reconstruction After Mastectomy

Techniques have changed and improved.

Two Gastric Balloons May Be Better than One

A dual-balloon intragastric device helped patients shed more pounds.

Do Statins Up a Woman's Risk for Thyroid Cancer?

Estrogen may neutralize the cancer-protective effects of cholesterol-lowering drugs.

Munchausen by Proxy: A Case Study of Abuse

This patient saw doctors in five different states.

Healthcare Serial Killings Down in U.S. but Up Globally

Electronic health records may be a deterrent.

Genetic Factors Tied to Violent Behaviors

Account for up to 10% of extreme violent crime, authors say.

Sexsomnia: A Case Study of a New DSM-5 Diagnosis

Initiating sex while asleep is not only a drug side effect.

Kidney Stones Up Fracture Risk

Risk is strongest in adolescent men and women in their 30s.

Frozen or Powdered: Fecal Transplant Works in C. Diff

Donor stool need not be fresh for treating C. diff.

Insulin and Insulina: Bridging the Gap

Physicians need to be aware of patients' beliefs about medicinal plants.

Emanuel: Did I Say Die at 75?

Death at age 75 was a "slightly random number," but Ezekiel Emanuel will just say No to statins, antihypertensives, and antibiotics after age 75.

'Yes' to Routine Colonoscopies in IBD

Screening lowered colorectal cancer incidence and colon cancer mortality.

NAMS Launches Menopause App

MenoPro calculator helps design optimal therapy for individual patients.

Joints Tell the Future in Scleroderma

Synovitis predicted progression in skin, vasculature, and kidney.

Taming the In-Basket

We need to help our programmers send us only the messages we really need to see.

FDA Panel Torn on Watchman Device

Calls the device safe, but splits on its efficacy.

Aphrodisiac Aids Genetic Type 2 Diabetes

About 4% of diabetes patients may benefit from yohimbine.

PRP Shows Promise for Hamstring Tears

Hamstring injuries are notoriously slow to heal. Can platelet-rich plasma help?

Excerpt From 'Being Mortal ... '

Ivan Ilyich isn't as foreign to today's medicine as we imagine.

AAP: Implants, IUDs Best for Teen Birth Control

Pediatricians declare IUDs and progestin implants as birth control methods of choice for teens.

Portenoy Opioid Talk Sparks Controversy

Opioid advocate Russell Portenoy's invitation to an upcoming NIH workshop is under fire.

Review: Telcare Glucose Meter

An easy-to-use glucose monitor uploads data to the cloud for ready access.

The Bottomline: Cardiac Telemetry

Can a 'wise' choice save $4.8 million in a single year?

Counterpoint: Too Young to Die

Brant S. Mittler, MD, JD, thinks Ezekiel Emanuel is a dangerous man.

Metformin and TSH: Is There a Link?

Canadian study suggests raises questions about metformin use in diabetics with underlying hypothyroidism.

Skull Size Tied to Disability Risk in MS

BOSTON -- Multiple sclerosis patients with larger intracranial volumes -- a measure of their lifetime maximal brain size -- scored better on cognition and physical function tests than those with smaller skull sizes.

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