In the News

Pneumococcal vaccination rates suboptimal in adults with asthma

A total of 42.0% of the study sample reported ever receiving a pneumococcal vaccine, with rates below this threshold in those ages 18 to 44 years (32.7%), men (39.0%), and those with a college degree (36.7%), among other groups, researchers found.

Optimal postoperative opioid prescription duration for common procedures ranges from 4 to 15 days

An editorial noted that surgeons should have patients anticipate some postoperative discomfort rather than expect a pain-free recovery and should discuss other analgesics to try before opioids, with an option to escalate to them if needed.

MKSAP Quiz: Severe back pain following a minor fall

A 63-year-old man is evaluated for severe mid-upper back pain following a minor fall 1 day ago. He also notes progressive fatigue of 6 months' duration and a 6.8-kg (15-lb) weight loss. Following a physical exam, cardiopulmonary examination, and radiographs, what is the most appropriate diagnostic test to perform next?

Stopping preventive aspirin associated with 37% increased risk of cardiovascular events

Patients who continued aspirin had a 4.1% yearly incidence of cardiovascular events, compared to 5.4% among those who stopped taking the drug, while the risk of discontinuation corresponded to one additional cardiovascular event for every 74 patients who stopped taking aspirin in a year.

Councils call for nominations

The Councils are responsible for responding to requests for review of programs, products, and services; advising the College regarding ways to increase the value of ACP membership among their constituency groups; and strengthening activities and relationships at the ACP chapter and local levels.

Past is present: Rising premiums, high deductibles, and gaps in coverage before the ACA

Yul Ejnes, MD, MACP, blogs that the Affordable Care Act has not adequately addressed high deductibles, coverage limitations, restricted networks, and rising premiums, but neither did it introduce these problems.

Vote for your favorite entry

ACP Internist Weekly's cartoon caption contest continues. Readers can vote for their favorite caption to determine the winner.