Public Health

Physicians who work in small, independent primary care practices, offices with five or fewer physicians, report dramatically lower levels of burnout than the national average, according to survey results published in the Journal of the American Board of Family Medicine.

The findings indicate that the independence and sense of autonomy that doctors have in small practices may provide some protection against symptoms of burnout. Whether that feeling of autonomy will last as health care becomes more centralized is another issue, but for now 13.5 percent reporting being burned out in smaller practices versus 54.4 percent at large ones.
A survey sent to 1,500 pediatricians, most practicing physicians for more than 15 years and nearly all in primary care, found that 74 percent of the responding pediatricians did not approve of spanking and 78 percent thought spanking never or seldom improved children’s behavior.
If you added Vitamin C to Pepsi, you know what you would have? Orange juice. 

There is nothing wrong with orange juice (public relations manufactured health halo aside), just like there is nothing wrong with Pepsi, they should both be treats. Unfortunately, for the U.S., the richest country in the world, no food need ever be a treat, they can all be purchased every day. And that is bad for kids. 
One way to manage chronic hepatitis C virus (HCV) is to abandon existing guidelines and screen all people born between 1945 and 1975 for the disease, according to a new paper

Chronic HCV is a major public health problem in Canada with serious health effects leading to premature death. In 2013, about 252,000 Canadians were infected with HCV. People born between 1945 and 1975 have the highest rates of HCV, although an estimated 70% of this group have not been tested. 
Worldwide healthcare access and quality improved remarkably from 2000-2016 but there are unsurprising disparities between wealthy and poor countries - and countries like the United States which showed high quality but varying levels of access before the federal government took control of medical access with the controversial Obamacare law passed by Democrats.
To the relief of the real science community everywhere, the era of Chris Wild is almost over at the International Agency for Research on Cancer (IARC). That means maybe they can get back to finding carcinogens rather than manufacturing them.

Pharmaceutical industry marketing of opioid products to physicians through non-research payments, which can include speaking fees and meals, was associated with greater opioid prescribing in a recent JAMA Internal Medicine article.

Homeopathy, a belief from 200 years ago that if you took something that mimicked the symptoms of a disease you could prevent a disease, or that extremely diluted water with a molecule of something will be curative, has never been shown to work in any clinical trial.

Nonetheless, some people swear by it, much as people believe other placebos. What to do if your doctor recommends it? In the United States, a doctor is ethically forbidden from prescribing a placebo outside a clinical trial, but it is known some do. And lots of folk medicine/alternative medicine/integrative medicine people will claim it works if you believe it works. 

A few weeks ago the U.S. National Toxicology Program (NTP) released the results of the largest study ever conducted on bisphenol A (BPA).  The CLARITY Core study was conducted by senior scientists with the U.S.