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Primary Care

News, opinions and meeting coverage in primary care.

Euro, U.S. Hypertension Guidelines Not So Different

BP guideline guru Suzanne Oparil, MD, weighs in

Do Treg Cells Block Mom-to-Baby HIV Transmission?

Small study may provide a clue into vertical HIV transmission

Harris Elected as AMA's Next President

Psychiatrist from Atlanta to succeed Barbara McAneny, MD

AMA Delegates Punt on Assisted Suicide Policy

Also: resolution calling for more opioid training approved

Surgeon General Urges AMA to Diversify Membership

'Ask yourselves if you're looking at where the puck is going'

Novel Tx for Resistant HIV Promising in Phase IIb/III Efficacy Study

Monoclonal antibody PRO 140 met primary efficacy endpoint

Negative Rapid Flu Antigen Test Tied to Longer ICU Stay

Negative RIAT may impede docs from dispensing antiviral medication

AMA Urged to Rethink Fossil Fuel Investments

Board resists divesting stocks in oil, gas and coal companies

How Best to Manage Sexual Harassment in Medicine?

Suggested strategies include better institutional policies on reporting without fear of retaliation

Pathogens Tied to Food Poisoning Linger on Kitchen Towels

E. coli and more found on towels in Mauritian households even after a month

Prostate Surgery and Outright Lies

What happened to one patient with low-grade cancer pressured into the OR

Is Immunity to MMR Vax Waning?

Mumps infection confirmed in vaccinated military members

Europe Stands Pat on Hypertension Thresholds

ESC doesn't follow ACC/AHA on diagnostic cutoff, focuses on control rates

Slow Medicine: Holding Firm on Our Approach to Colon Cancer Screening

We favor occult blood testing rather than invasive tests

Upfront MRI Could Rule Out Prostate Ca in Most, Reduce Biopsy Need

Less-costly biparametric MRI can spare men from TRUS biopsy

Immunosuppressants Linked to Lower PD Risk

Corticosteroids, IMDH inhibitors show strongest associations

Patients on Opioids May Fail to Properly Prep for Colonoscopy

Study finds users also more likely to suffer complications

Why I Gladly 'Waste My Talents' in Prison

Inmates can't go out for quality medical care -- care has to come to them

Mifepristone: Better for Managing Early Miscarriage

Used prior to misoprostol, 25% higher rate of complete expulsion

Why Does Anyone Still Eat Egg Whites?

Ovophiliac Anthony Pearson, MD, likes some recent studies

PFS Rises in Ovarian Ca with Repeat Bevacizumab

Magnitude of benefit similar to first-line therapy

Quick Intervention Improves Care in Geriatric Cancer Patients

Randomized trial improved oncologist-patient communication

Less Morbidity, Lower Costs Tied to MIS in Cervical Cancer

But minimally invasive surgery also linked to decreased survival

Some Multiple Sclerosis Agents May be Safe During Pregnancy

Stopping treatment may put MS patients at unnecessary risk

Adalimumab Best on Costs in Ulcerative Colitis

Study conducted in Canada

Don't Expect Much from YouTube Vids Labeled for Colon Cancer

In many, "content of minimal or no relevance"

IMPACT Trial: Support for Targeted Cancer Tx Approaches

Survival doubled with therapy matched to tumor genetics

Hepatitis D: The 'Forgotten Virus' is Still Here

More attention to screening, treatment is needed, say experts

Still No Clarity on Role of Vitamin D in MS Relapse

But findings do help estimate needed sample size for a future prospective study

Current DTaP Vaccines Deemed Safe

But efficacy against pertussis could be better

Many with Metastatic Kidney Cancer Can Skip Surgery

Overall survival with single-agent sunitinib better than with resection

Hot Chemo Fails in Rare Cancer

HIPEC and surgery equals surgery alone in peritoneal carcinomatosis

Family History of Young-Onset Colon Ca Needs Better Screening

Only one in four young-onset cases met early screening criteria

Keytruda Alone Bests Chemo in Advanced NSCLC

Monotherapy boosts survival in patients with low PD-L1, no EGFR or ALK alterations

PI3K Inhibitor Has Mixed Results in Advanced Breast Cancer

Modest progression benefit, but substantial side effects, with taselisib

Doc-to-Doc: Neurosurgeon by Day, TV Consultant by Night

Oren Gottfried, MD, helps maintain a little medical accuracy on the little screen

Alzheimer's: Rethinking the 'One-Size-Fits-All' Approach

NIH conference emphasizes tailored prevention and treatment

How To Talk To Patients' Families

Tips for nurses to navigate emotionally challenging encounters

COPD: No 'Obesity Paradox' for BMI >40

But the less severely obese survive better than normal-weight patients

Refusing Lung Cancer Treatment: Class Trumps Race

Wide variation in groups at highest risk of turning down treatment

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