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Preventive Care

News, opinions and meeting coverage in primary care.

Aspirin: FDA Says 'No' Others Say 'Yes'

The FDA issued a message to consumers stating that the evidence does not support the "general" use of aspirin for the primary prevention of heart attacks and strokes.

Prime Time: No Annual Exams? No Way, SGIM Members Say

SAN DIEGO -- A recommendation from the Society of General Internal Medicine (SGIM) to do away with annual checkups for asymptomatic adults evoked strong emotions in its membership.

How To Get Medicare To Cover A Spa Trip

Good news for doctors who think their patients need a trip to the spa: Medicare will reimburse, with only two catches.

Do Fat Teens Face an Early Death?

Life expectancy gains seen over the last half-century do not appear to extend to adults who were overweight or obese in adolescence, according to a large study spanning several decades.

ACC: Statins Tied to Boost in Men's Sexual Function

WASHINGTON -- Statins appeared to improve erectile function to a clinically meaningful degree, according to a meta-analysis.

Cologuard Cancer Test Aces FDA Panel Review

WASHINGTON -- An FDA advisory committee unanimously affirmed the safety and efficacy of a DNA stool test for colorectal cancer screening.

Patch May Be Safer Peanut Allergy Therapy

SAN DIEGO -- A skin patch offered peanut-allergy immunotherapy without risk of systemic reactions but also with questionable efficacy, a pilot trial showed.

Can You Get Paid For Prescribing Exercise?

How do doctors get reimbursed when they prescribe exercise? We asked Jordan Metzl, MD, author of the new book, "Exercise Cure."

Ob/Gyns Uneasy With AHA's Take on Stroke in Pregnancy

NEW ORLEANS -- Recent guidelines from the American Heart Association on the management of stroke risk in pregnant women differ significantly from those issued by the American Congress of Obstetricians and Gynecologists, maternal-fetal medicine specialists said here.

Prime Time: When Athletes Need Drugs

The governing bodies of elite sports keep a strict eye on the use of all kinds of substances to ensure a level playing field for competitive athletes. Here's what you need to know if one of them walks in to your practice in need of treatment.

Testosterone Level Affects Flu Shot Response

Men with high testosterone and a certain genetic cluster may not experience an antibody response after a flu shot, researchers suggested -- a finding that could affect men taking prescription testosterone.

Arimidex: Top Drug for Breast Ca Prevention?

SAN ANTONIO -- Should anastrozole (Arimidex) be the first choice in pharmacologic primary prevention of breast cancer, based on IBIS-II trial results presented here? No, said most experts.

Women on Seizure Meds Need More Folic Acid

WASHINGTON -- About half of epileptic women taking anti-seizure drugs who could have become pregnant said they were not taking the recommended folic acid supplements, results of a survey found.

Teens More Apt to Fight Than Flee

SAN DIEGO -- Teens were more likely to actively respond to aggressive cues than were children or adults, researchers reported here.

Common Allergy Myths Debunked

BALTIMORE -- Egg allergy is no issue for flu vaccination, allergen avoidance isn't a cure for eczema, and testing tots doesn't make skin prick testing any less accurate, according to allergists taking aim at common misconceptions.

ACA: When Is a Screening Not a Screening?

A provision in the Affordable Care Act that waives patients' payments for colonoscopies is an example of how good intentions in the law can lead to a tangle of unforeseen consequences.

Studies 'Validate' CDC HCV Testing Advice

WASINGTON -- Thousands of people in the U.S. -- including an estimated 50,000 veterans -- are infected with the hepatitis C virus, and don't know it, researchers reported here.

Gestational Diabetes Tied to Perinatal Stroke

AUSTIN, Texas -- Perinatal arterial ischemic stroke has many possible risk factors, including gestational diabetes, researchers reported here.

Babies Do OK if Mom on Tenofovir for Hepatitis B

WASHINGTON -- Pregnant women being treated for hepatitis B virus infections with the nucleotide inhibitor tenofovir (Viread) appeared to avoid transmission of the pathogen to their unborn children, researchers reported here.

Few Lupus, IBD Patients Getting HPV Vaccine

SAN DIEGO -- Despite being at greater risk of infection, few children and young adults with autoimmune diseases are being vaccinated against human papillomavirus, according to a study.

Delayed Measles Vax May Be More Effective

A first measles vaccine given at 12 or 13 months of age is less likely to provide lasting protection than a shot at 15 months or later, researchers reported.

'Nose Knows' Devices Not Ready for Clinic

BARCELONA -- Within a decade, doctors may be able to diagnose cancer, asthma, and tuberculosis simply by having an electronic nose analyze a person's breath, researchers reported here.

CDC: Cut Back on Doxycycline Use

A continuing shortage of doxycycline means the drug should be used only for conditions that have no alternative treatments, the CDC advised this week.

Finger Stick Has Promise as Prediabetes Test

PHOENIX -- Measuring capillary blood via finger stick assay was as accurate as venous blood sample assays in predicting 5-year likelihood of diabetes, researchers reported here.

Contraception: Condoms Are King, Plan B Takes Hold

In the realm of contraception, the condom reigns supreme, but one in 10 have used emergency contraception such as Plan B, according to two reports on the contraceptive methods used by women of reproductive age in the U.S.

Extended Apixaban Stops VTE Recurrence

ATLANTA -- Apixaban taken for an additional year after standard venous thromboembolism (VTE) treatment reduced recurrent events in a placebo-controlled trial, researchers said.

Eating Before Lipid Test OK

It may not be necessary to fast before a routine cholesterol check, a large community-based population study suggested.

Combo Drug for Nasal Allergy Tops Single Tx

ANAHEIM, Calif. -- A nasal spray combining a corticosteroid and an antihistamine was better than either drug alone for relieving allergic rhinitis in a comparison with "real-world鈥� commercial products, a researcher said here.

Child Booster Seat Laws Work

锘縉EW ORLEANS -- States that implemented booster seat laws saw a drop in serious injuries from motor vehicle crashes among children ages 4 to 8 during a recent 11-year period, researchers found.锘�

Cranberry Juice May Help Lower BP a Bit

Cranberry juice modestly lowers blood pressure in healthy adults when consumed daily, a carefully controlled trial showed.

Young Women Skip Mammo After USPSTF Recs

SAN FRANCISCO -- Rates of screening mammography among women younger than 50 declined within 2 months of a negative recommendation by the U.S. Preventive Services Task Force (USPSTF) and have remained below baseline rates, according to a study reported here.

Brain-Eating Amoeba Came From Faucet

The recent cases of primary amoebic meningoencephalitis represent the first reported instances of U.S. tap water harboring the amoeba that causes the fatal disease, according to CDC researchers.

Playing Sports Helps Teens Fight Fat

Team sports may fight weight problems better than other forms of exercise among high schoolers, researchers found.

Brain Bleed Size Affects Therapy in Afib Patients

NEW ORLEANS -- The size of a brain bleed appears to determine which medications, if any, are given to atrial fibrillation patients after an intracerebral hemorrhage, a retrospective study showed.

Kids Today Really Are Different

The adolescent phase in human development now lasts much longer than it once did, leading to a potential rise in risky behavior, including STDs and excessive drinking, researchers said.

FDA Warns of Clot Risk with Yaz, Other OCs

Labels for oral contraceptives that contain drospirenone will now note that studies have shown up to a threefold increased risk of blood clots compared with other birth control pills.

Circumcision Tied to Drop in Herpes, Too

SEATTLE -- African men who underwent circumcision not only reduced their risk of contracting HIV infection, they also were significantly less likely to be infected with herpes simplex virus-2, researchers reported here.

H. Pylori Breath Test OK for Kids, FDA Says

A breath test for Helicobacter pylori infection available for adults may also be used in children and teens.

Komen Official Quits After Controversy

A vice-president at the Susan G. Komen for the Cure Foundation has resigned in the wake of the controversy surrounding the organization's decision -- since reversed -- to stop funding Planned Parenthood's breast cancer programs.

Docs Contradict NCAA on Sickle Cell Trait Tests

The American Society of Hematology is challenging the major college sports organization over its policy on sickle cell trait testing for athletes.

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