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Journal Watch Polls

pediatrics

Are sugar-sweetened beverages available to patients and families at your hospital or health facility?

(57 total responses)

  • 79%
  • 14%
  • 7%

Poll Closed October 17, 2012

hospital medicine

Do you administer intravenous albumin to cirrhotic patients who are undergoing large-volume paracentesis for tense ascites?

(104 total responses)

  • 73%
  • 11%
  • 16%

Poll Closed September 20, 2012

pediatrics

At what age do you recommend the second clinic visit for a well-appearing newborn take place?

(64 total responses)

  • 42%
  • 36%
  • 14%
  • 8%

Poll Closed September 5, 2012

Physician's First Watch

Are you celebrating or bemoaning the U.S. Supreme Court decision upholding most of the Affordable Care Act?

(220 total responses)

  • 65%
  • 18%
  • 16%

Poll Closed July 5, 2012

Physician's First Watch

Given new guidelines, will you use low-dose CT to screen high-risk patients for lung cancer each year?

(200 total responses)

  • 40%
  • 35%
  • 25%

Poll Closed June 28, 2012

general medicine

Please choose the statement that best fits your reaction to the USPSTF recommendation against PSA screening:

(177 total responses)

  • 22%
  • 40%
  • 16%
  • 8%
  • 14%

Poll Closed June 28, 2012

gastroenterology

What is your first-line therapy for eosinophilic esophagitis?

(82 total responses)

  • 26%
  • 13%
  • 29%
  • 1%
  • 26%
  • 5%

Poll Closed May 18, 2012

neurology

A 54-year-old, right-handed man presented with a 2-week history of stabbing headache, located at the right frontal and temporal regions. Headache intensity was quantified by the patient as 10/10 and was associated with an excruciating ocular pain and right ptosis. (See the full case description and video in related article.) What is the most likely diagnosis for this patient?

(522 total responses)

  • 10%
  • 34%
  • 47%
  • 3%
  • 5%

Poll Closed May 1, 2012

gastroenterology

How often do you screen for hepatocellular cancer in patients with cirrhosis?

(75 total responses)

  • 5%
  • 72%
  • 15%
  • 8%

Poll Closed April 20, 2012

pediatrics

In a recent study, tinnitus was a surprisingly common finding among 7-year-olds. How often do you encounter tinnitus in patients of this approximate age?

(45 total responses)

  • 36%
  • 31%
  • 11%
  • 22%

Poll Closed February 8, 2012

cardiology

Do you perform genetic or platelet function testing to guide antiplatelet therapy in patients who receive coronary stents?

(22 total responses)

  • 9%
  • 14%
  • 68%
  • 9%

Poll Closed January 18, 2012

pediatrics

I will discourage pediatric patients with asthma from taking acetaminophen.

(103 total responses)

  • 59%
  • 41%

Poll Closed January 4, 2012

Physician's First Watch

Do you agree with HHS's decision to restrict young teens' access to Plan B emergency contraception?

(383 total responses)

  • 36%
  • 64%

Poll Closed December 15, 2011

pediatrics

Does low-iron formula have a role in infant nutrition other than for iron-overload disorders?

(31 total responses)

  • 52%
  • 48%

Poll Closed December 21, 2011

neurology

A 38-year-old woman complains of not being able to see for up to 20 minutes at a time, several times a month, usually followed by a severe headache. The visual loss is only for words. (See full case description in the related article.) What is the diagnosis?

(365 total responses)

  • 5%
  • 7%
  • 1%
  • 87%

Poll Closed December 13, 2011

Physician's First Watch

Do you agree with the USPSTF that healthy men should not be screened routinely for prostate cancer?

(949 total responses)

  • 56%
  • 44%

Poll Closed October 11, 2011

neurology

Given the results of the SAMMPRIS trial, how often do you anticipate recommending intracranial angioplasty and stenting for patients with strokes of the left hemisphere and 90% stenosis of the left middle cerebral artery?

(61 total responses)

  • 69%
  • 20%
  • 5%
  • 7%

Poll Closed October 4, 2011

general medicine

For an older patient with successfully treated community-acquired pneumonia and a normal 6-week follow-up visit, would you recommend a follow-up chest x-ray? See our case history (http://jwat.ch/pUqDOp) for more information.

(357 total responses)

  • 46%
  • 54%

Poll Closed September 6, 2011

pediatrics

A 4-week-old infant with documented Escherichia coli urinary tract infection (UTI) received 2 doses of cefotaxime before undergoing lumbar puncture showing CSF WBC of 32, glucose concentration of 55, protein concentration of 29, and negative CSF culture. How would you proceed?

(273 total responses)

  • 43%
  • 57%

Poll Closed August 24, 2011

pediatrics

Do you perform incision and drainage for abscesses in children in your office?

(159 total responses)

  • 48%
  • 52%

Poll Closed July 6, 2011

aids clinical care

In what U.S. group are new cases of HIV infection rising the fastest?

(274 total responses)

  • 29%
  • 6%
  • 59%
  • 5%

Poll Closed June 27, 2011

cardiology

Many patients who undergo angiography for assessment of stable coronary artery disease are not on optimal medical therapy. Since the publication of COURAGE in 2007, how often do you try a course of OMT before scheduling percutaneous coronary intervention?

(92 total responses)

  • 70%
  • 8%
  • 23%

Poll Closed June 1, 2011

Physician's First Watch

Do you optimize medical therapy before percutaneous coronary intervention in patients with stable coronary artery disease?

(291 total responses)

  • 60%
  • 5%
  • 35%

Poll Closed May 17, 2011

Physician's First Watch

Do you usually recommend calcium supplementation for your postmenopausal patients?

(663 total responses)

  • 69%
  • 17%
  • 14%

Poll Closed April 26, 2011

pediatrics

Which of the following measures do you use to evaluate obese or overweight patients?

(172 total responses)

  • 3%
  • 41%
  • 55%

Poll Closed March 30, 2011

pediatrics

When do you tell parents to introduce solid food to infants?

(780 total responses)

  • 1%
  • 26%
  • 27%
  • 46%

Poll Closed March 23, 2011

aids clinical care

A young man who repeatedly engages in high-risk sexual activity with other men requests pre-exposure prophylaxis (PrEP) to prevent HIV infection but says he does not want to take the drugs continuously. Would you oblige?

(397 total responses)

  • 35%
  • 19%
  • 46%

Poll Closed March 14, 2011

pediatrics

How would you manage a child who presents with an urticarial rash but no other symptoms 3 hours after one dose of amoxicillin on the 6th day of treatment for otitis media?

(92 total responses)

  • 17%
  • 29%
  • 39%
  • 14%

Poll Closed March 9, 2011

cardiology

In what proportion of patients with intermediate or indeterminate angiographic stenoses are you currently using fractional flow reserve to guide percutaneous coronary intervention?

(42 total responses)

  • 24%
  • 12%
  • 14%
  • 50%

Poll Closed February 23, 2011

pediatrics

How do you treat children with acute otitis media who are otherwise well?

(279 total responses)

  • 27%
  • 24%
  • 44%
  • 5%

Poll Closed February 16, 2011

pediatrics

How many breaths do you tell children to take when they are receiving a dose of medication from a metered dose inhaler (MDI) attached to a spacer?

(331 total responses)

  • 8%
  • 47%
  • 21%
  • 24%

Poll Closed January 26, 2011

Physician's First Watch

Will the reported link between ARB-ACE inhibitor combination therapy and cancer change your prescribing habits?

(316 total responses)

  • 50%
  • 50%

Poll Closed December 6, 2010

Physician's First Watch

Do you recommend high-dose omega-3 supplements to your pregnant patients?

(341 total responses)

  • 17%
  • 48%
  • 35%

Poll Closed October 26, 2010

psychiatry

How often do you suggest bone density monitoring for patients with psychiatric risk factors for osteopenia?

(100 total responses)

  • 50%
  • 18%
  • 21%
  • 11%

Poll Closed November 1, 2010

Physician's First Watch

Given the observed link between insufficient sleep and poor dieting outcomes, will you counsel your overweight patients about getting enough sleep?

(394 total responses)

  • 84%
  • 8%
  • 8%

Poll Closed October 11, 2010

pediatrics

What is the primary method used in your practice for measuring body temperature in children aged 1 to 10 years?

(188 total responses)

  • 13%
  • 37%
  • 12%
  • 27%
  • 12%

Poll Closed October 13, 2010

Physician's First Watch

Will evidence suggesting no benefit from chondroitin or glucosamine affect what you recommend to patients with osteoarthritis?

(439 total responses)

  • 53%
  • 27%
  • 20%

Poll Closed September 23, 2010

psychiatry

If you've ever prescribed SAMe as an adjunctive or alternative agent for patients with depression, what responses have you generally seen?

(18 total responses)

  • 22%
  • 28%
  • 11%
  • 39%

Poll Closed September 13, 2010

pediatrics

Do you recommend DTaP vaccine for children with seizure disorder?

(80 total responses)

  • 81%
  • 19%

Poll Closed September 7, 2010

pediatrics

Do you recommend elimination of cow's milk for children with chronic constipation?

(231 total responses)

  • 51%
  • 49%

Poll Closed August 4, 2010

Physician's First Watch

Do your children have televisions in their bedrooms?

(504 total responses)

  • 11%
  • 89%

Poll Closed July 22, 2010

cardiology

If you could attend only one national or international cardiology meeting in the next 12 months, which would it be?

(206 total responses)

  • 30%
  • 3%
  • 26%
  • 28%
  • 8%
  • 4%

Poll Closed August 11, 2010

emergency medicine

Do you apply circular casts to acute fractures in the Emergency Department?

(179 total responses)

  • 66%
  • 21%
  • 13%

Poll Closed July 23, 2010

Physician's First Watch

Do you recommend glucosamine for low back pain?

(509 total responses)

  • 11%
  • 89%

Poll Closed July 13, 2010

pediatrics

Do you measure bilirubin levels in all newborns before discharge?

(301 total responses)

  • 49%
  • 51%

Poll Closed July 14, 2010

Women's Health

What Pap testing interval do you currently recommend for your patients aged 30 or older who have normal cervical cytology and are negative for human papillomavirus (HPV)?

(431 total responses)

  • 17%
  • 17%
  • 57%
  • 9%

Poll Closed July 15, 2010

psychiatry

The evidence is growing for the use of electroconvulsive therapy in mood disorders, but some clinicians remain concerned about its cognitive effects. Of the patients you see for continuing therapy, how many of those who are undergoing ECT have persisting deficits?

(127 total responses)

  • 38%
  • 19%
  • 24%
  • 20%

Poll Closed July 2, 2010

emergency medicine

Will this study change your practice?

(98 total responses)

  • 18%
  • 60%
  • 21%

Poll Closed July 2, 2010

pediatrics

In your practice, when do you screen adolescents for depression and suicide?

(182 total responses)

  • 17%
  • 13%
  • 59%
  • 12%

Poll Closed June 30, 2010

general medicine

Do you recommend shingles vaccination to your older patients?

(142 total responses)

  • 37%
  • 20%
  • 27%
  • 16%

Poll Closed June 15, 2010

emergency medicine

Do you recommend heat or cold therapy to patients with neck or back strain?

(375 total responses)

  • 34%
  • 17%
  • 43%
  • 6%

Poll Closed June 18, 2010

pediatrics

Do you think that probiotics should be a part of routine care for preterm infants?

(209 total responses)

  • 69%
  • 31%

Poll Closed June 9, 2010

cardiology

Assuming strong patient preference for avoiding open surgery, in which of the following patients would you recommend endovascular repair of a large abdominal aortic aneurysm?

(153 total responses)

  • 12%
  • 28%
  • 39%
  • 21%

Poll Closed June 2, 2010

pediatrics

Do you prescribe antibiotics empirically for children aged 3 to 4 months who present with fever >38.5 degrees C?

(495 total responses)

  • 22%
  • 78%

Poll Closed June 2, 2010

psychiatry

Do you see problems when your patients are prescribed generics instead of brand-name psychotropics (including antiepileptics)?

(122 total responses)

  • 16%
  • 19%
  • 24%
  • 41%

Poll Closed May 31, 2010

Physician's First Watch

On average, how many hours do you put in per day beyond a "typical" 8-hour workday?

(979 total responses)

  • 7%
  • 33%
  • 39%
  • 10%
  • 11%

Poll Closed May 18, 2010

emergency medicine

Do you use ultrasound guidance for central line placement?

(160 total responses)

  • 20%
  • 39%
  • 41%

Poll Closed May 14, 2010

gastroenterology

Do you allow patients to undergo colonoscopy without sedation?

(184 total responses)

  • 35%
  • 65%

Poll Closed May 14, 2010

aids clinical care

In the START study, HIV-infected patients with CD4 counts greater than 500 cells per cubic mm are being randomized to start antiretroviral therapy right away or to wait until the CD4 count falls to 350 cells per cubic mm or below. If there were a START study site in your community, would you refer eligible patients to it?

(111 total responses)

  • 74%
  • 26%

Poll Closed May 10, 2010

emergency medicine

Do you routinely obtain a computed tomography scan of the head before performing lumbar puncture in a patient with severe, sudden-onset headache and a normal neurological examination?

(202 total responses)

  • 13%
  • 72%
  • 15%

Poll Closed May 7, 2010

Physician's First Watch

Given the observed link between intake of added sugars (e.g., high-fructose corn syrup) and dyslipidemia, do you plan to start counseling patients about limiting their consumption of added sugars?

(696 total responses)

  • 35%
  • 60%
  • 5%

Poll Closed April 27, 2010

emergency medicine

Do you currently use a video laryngoscope in your practice?

(62 total responses)

  • 19%
  • 18%
  • 27%
  • 35%

Poll Closed April 30, 2010

Women's Health

Do you approve of hormone therapy for symptomatic, recently menopausal women?

(316 total responses)

  • 44%
  • 41%
  • 9%
  • 6%

Poll Closed April 29, 2010

oncology and hematology

Do you use magnetic resonance imaging of the breast prior to breast cancer surgery?

(72 total responses)

  • 7%
  • 38%
  • 15%
  • 40%

Poll Closed April 27, 2010

emergency medicine

Do you generally combine acetaminophen (paracetamol) and an NSAID for appropriate patients with acute pain?

(498 total responses)

  • 54%
  • 18%
  • 27%

Poll Closed April 23, 2010

Physician's First Watch

Are you surprised by the "very weak" association found between fruit and vegetable consumption and reduced cancer risk?

(880 total responses)

  • 59%
  • 41%

Poll Closed April 13, 2010

cardiology

How often do you consider stenting as an alternative to endarterectomy in your higher-risk patients with symptomatic carotid artery stenosis?

(143 total responses)

  • 17%
  • 24%
  • 31%
  • 20%
  • 9%

Poll Closed April 21, 2010

gastroenterology

In your practice, who obtains consent from patients for colonoscopy?

(66 total responses)

  • 56%
  • 33%
  • 11%

Poll Closed April 9, 2010

aids clinical care

Have you ever prescribed maraviroc to an HIV-infected, treatment-naive patient?

(134 total responses)

  • 10%
  • 46%
  • 44%

Poll Closed April 12, 2010

cardiology

Would you add a fenofibrate to the regimen of a 70-year-old man with type 2 diabetes who has an HDL level of 38 and a triglycerides level of 275 while taking a statin?

(526 total responses)

  • 34%
  • 66%

Poll Closed March 31, 2010

Physician's First Watch

Are you continuing to recommend that average-risk women in their 40s undergo screening mammography routinely, despite the USPSTF's recent recommendations?

(735 total responses)

  • 55%
  • 24%
  • 20%

Poll Closed January 19, 2010

Physician's First Watch

Do you currently practice tight BP control in your nondiabetic, hypertensive patients?

(456 total responses)

  • 55%
  • 25%
  • 10%
  • 9%

Poll Closed August 20, 2009

Physician's First Watch

Given the recent NEJM study showing no benefit of vertebroplasty over a sham procedure, will you continue to perform or recommend this procedure for some patients?

(49 total responses)

  • 16%
  • 49%
  • 35%

Poll Closed August 12, 2009

Physician's First Watch

How would you feel if Physician's First Watch took off a couple of slow news weeks each year (e.g., end of July, August, December)? We'd remain "on call" for important items.

(1076 total responses)

  • 92%
  • 4%
  • 4%

Poll Closed August 5, 2009

Physician's First Watch

Have your patients been asking about when a vaccine against the novel H1N1 influenza will be available?

(368 total responses)

  • 44%
  • 27%
  • 29%

Poll Closed July 27, 2009

general medicine

How useful are the clinical practice guidelines in your field?

(17 total responses)

  • 18%
  • 53%
  • 18%
  • 12%

Poll Closed June 19, 2009

Physician's First Watch

Given the swine flu outbreak, how likely would you be to prescribe an antiviral to a healthy patient who wants a prescription "just in case"?

(1156 total responses)

  • 9%
  • 11%
  • 43%
  • 37%

Poll Closed May 5, 2009

Physician's First Watch

Do you routinely screen your adolescent patients for depression?

(285 total responses)

  • 28%
  • 16%
  • 29%
  • 27%

Poll Closed April 6, 2009

Physician's First Watch

Have you been screening at-risk children for high cholesterol since the AAP released its recent recommendations?

(250 total responses)

  • 19%
  • 23%
  • 12%
  • 12%
  • 33%

Poll Closed February 24, 2009

Physician's First Watch

Have you noticed an increase in overall MRSA infections in your practice?

(330 total responses)

  • 67%
  • 17%
  • 2%
  • 14%

Poll Closed January 27, 2009

Physician's First Watch

Have you been recommending vitamin E, vitamin C, or selenium for prevention of prostate cancer in middle-aged and older men?

(329 total responses)

  • 9%
  • 5%
  • 86%

Poll Closed December 16, 2008

Physician's First Watch

Do your patients ever ask about genetic testing (outside of prenatal testing)?

(464 total responses)

  • 7%
  • 44%
  • 50%

Poll Closed November 26, 2008

Physician's First Watch

What proportion of your postmenopausal patients complain of sexual dysfunction?

(274 total responses)

  • 23%
  • 30%
  • 22%
  • 26%

Poll Closed November 12, 2008

Physician's First Watch

Do you routinely order high-sensitivity CRP testing for your adult patients?

(565 total responses)

  • 10%
  • 45%
  • 45%

Poll Closed November 6, 2008

Physician's First Watch

Having read the candidates' proposals for healthcare reform, whose do you prefer?

(903 total responses)

  • 28%
  • 64%
  • 6%
  • 2%

Poll Closed October 15, 2008

Physician's First Watch

Roughly how many of your female patients aged 9 to 26 have been vaccinated with Gardasil?

(314 total responses)

  • 37%
  • 11%
  • 9%
  • 5%
  • 38%

Poll Closed September 19, 2008

Physician's First Watch

Do you routinely recommend omega-3s to your patients?

(485 total responses)

  • 35%
  • 25%
  • 7%
  • 33%

Poll Closed September 9, 2008

Physician's First Watch

How often do you prescribe methadone for pain in your practice?

(304 total responses)

  • 10%
  • 29%
  • 61%

Poll Closed August 22, 2008

Physician's First Watch

Until now, have you screened men 75 or older for prostate cancer?

(495 total responses)

  • 40%
  • 29%
  • 15%
  • 16%

Poll Closed August 11, 2008

Physician's First Watch

Which type of diet do you most commonly recommend to your patients?

(717 total responses)

  • 31%
  • 14%
  • 49%
  • 7%

Poll Closed July 23, 2008

Physician's First Watch

Will these findings change the way you manage low-risk women with non-ST-elevation acute coronary syndromes?

(240 total responses)

  • 29%
  • 29%
  • 13%
  • 30%

Poll Closed July 8, 2008

Physician's First Watch

Do you routinely screen your adult diabetic patients for depression?

(346 total responses)

  • 23%
  • 45%
  • 18%
  • 15%

Poll Closed June 24, 2008

Physician's First Watch

Have you prescribed aliskiren since its approval in 2007?

(464 total responses)

  • 3%
  • 16%
  • 58%
  • 23%

Poll Closed June 11, 2008

Physician's First Watch

How often do you see patients with vertigo in your practice?

(571 total responses)

  • 47%
  • 35%
  • 14%
  • 4%

Poll Closed June 4, 2008

Physician's First Watch

Do you plan to use ultrasound for breast cancer screening in your practice?

(439 total responses)

  • 20%
  • 48%
  • 9%
  • 24%

Poll Closed May 20, 2008

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