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News, opinions and meeting coverage in primary care.

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.

Ski Helmets Not Best for Sledding

To protect kids' noggins before setting them on toboggans parents should ditch ski helmets for hockey or cycling ones, results of a study suggest.

Higher LDL Level Linked to Lower Incidence of Afib

Although physicians usually aim to lower patients' total and, in particular, LDL cholesterol, lower LDL levels are associated with developing atrial fibrillation, a study has found.

Diabetes Expert Disses Weight-Loss Programs

WASHINGTON -- Community-based weight-loss programs have not been shown to be effective at reducing the incidence of diabetes, so implementing a national program would likely be money down the drain, a diabetes expert said at a symposium on Tuesday.

Herpes Drugs Work, but Not Forever

Anti-herpetic agents reduce recurrence of herpes simplex-2 (HSV-2) symptoms but do not completely block subclinical shedding of virus, even at high doses, researchers reported.

FDA Issues Second Contact Lens Recall

WASHINGTON -- The FDA has issued a class I recall 芒鈧€� the agency芒鈧劉s most serious 芒鈧€� for a second brand of CooperVision芒鈧劉s AVAIRA Aquaform contact lenses that may cause serious eye injury.

Fructose No Substitute for Glucose in Diabetes

NEW YORK -- Although it negates the dumping of glucose directly into the bloodstream, fructose may not be the choice sweetener for diabetics, researchers said here.

Systolic BP That's Too Low After Stroke Not Good Either

Systolic blood pressure that is too low -- as well as too high -- may put patients who have had a noncardioembolic ischemic stroke at risk for another one, researchers found.

AMA Adopts Policies on Circumcision, Gun Safety

The American Medical Association (AMA) House of Delegates has adopted a number of new policies at its interim meeting, including policies on male circumcision, physician discussion of gun safety, and a new medical coding system that will go into effect in 2013.

Training Technique Stresses Athletes' Spines

CHICAGO --The squat lift, an exercise that has long been a standard training technique for athletes, puts inordinate stress on the spine and likely is the cause of chronic stress fractures in young athletes.

Vodka, Malt Liquor Most Likely to Buy Trip to Emergency Room

WASHINGTON -- Vodka and malt beverages were the forms of alcohol most likely to have been consumed by patients who wound up at the emergency department, seeking treatment for an injury, according to a small study.

Air Temp, Moisture Determine How Stuffy Nose Feels

Complaints of a "stuffy" nose may have as much to do with air temperature and humidity as with actual congestion of nasal passages, researchers said.

Teen Sex Down, Condom Use Up

The percentage of teens reporting that they have had sexual intercourse has continued a long-term decline and now stands at just over 40% for both adolescent men and women, according to CDC survey data from 2006 to 2010.

Calif. 12-Year-Olds Can Get HPV Vaccine Without Parental OK

Minors as young as 12 can consent to preventive measures against sexually transmitted diseases, including vaccination, according to a new California law that has sparked an outcry over parents' rights.

Septra, Bactrim Linked to 'Serious' Side Effects

Trimethoprim-sulfamethoxazole -- a widely used antibiotic sold as Septra, Bactrim, and others -- has a set of adverse reactions that range from minor to potentially fatal, according to a literature review.

Readers Say Vitamin Levels Should Be Checked Yearly

Processed foods, mineral-depleted soil, overcooked vegetables, increased stress levels -- all of these increase the chances of having a vitamin deficiency, according to a vocal majority of 51成人动漫 readers who commented on last week's poll.

FDA Okays ED Drug for Enlarged Prostate

Tadalafil (Cialis), currently marketed for erectile dysfunction, also may be used to treat benign prostatic hyperplasia, the FDA said.

Brain Takes Multiple Hits from Low B12 Levels

Low levels of vitamin B12 may contribute to cognitive problems for older adults in more than one way, according to a cross-sectional study.

Time Is Money and Some Doctors Are Paying the Price

No one likes to wait and the waiting can be even more tiresome when it is a worried patient who is waiting to see his or her physician. So it's not surprising that patients are speaking out about -- and in some cases billing for -- time spent waiting for to hear, "The doctor will see you now."

Lab Notes: Red Wine Before Radiation and Red Clover for Hair Loss

Red is the color of the day, as components of red wine and red clover lead this week's Lab Notes, but the blues get their turn in the spotlight, too, as depressed people outshine cheerier folks in some elements of decision making.

Tetanus Rare but Still Deadly

Although rare, tetanus is still a life-threatening disease in the U.S., largely because of inadequate vaccination and wound care prophylaxis, CDC researchers said.

Cephalexin Useful in Pediatric MRSA

Children with uncomplicated skin and soft tissue infections can still be treated with cephalexin -- along with drainage and careful wound care -- even though community-acquired methicillin-resistant Staphylococcus aureus (MRSA) has reached epidemic proportions worldwide, a randomized study suggested.

All Tobacco Ads Should be Banned, Says AAP

Tobacco advertising should be banned in all media and limitations placed on alcohol advertising to prevent exposure of substance-related content to children and adolescents, according to the American Academy of Pediatrics.

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