From a British Medical Journal (BMJ) online article:
…primary care providers (general practice, paediatrics, and internal medicine) performed the best, giving a considerably lower percentage of antibiotic prescriptions without a documented indication (12%) than other specialists such as gynaecologists and urologists, who commonly prescribed antibiotics (24%), as well as those in all other specialties (29%).
As many as two in five antibiotic prescriptions (43%) provided in outpatient settings in the US could be inappropriate, a study published by The BMJ has found.1
Researchers from Oregon, USA, looked at prescriptions in ambulatory settings such as primary care and found that a quarter (25%) were deemed to be inappropriate, while a further 18% did not have an indication.
To read more: https://www.bmj.com/content/367/bmj.l6961




The so-called winning of the West is one of the fundamental dramas in American history, and Mr. Brands makes the most of his subject by quoting extensively from the participants’ own accounts. In his chapters on Lewis and Clark, he cites the explorers’ descriptions of the daunting cataracts on the Missouri and Columbia rivers and their reaction on reaching their goal.
One way to understand American cuisine is through its regions — and the regional traditions that underlie the history of American cuisine. New England, the South, and New Orleans Creole are the regional cuisines of America. Examples of New England cuisine are “Yankee Pot Roast,” the lobster roll, and clam chowder. Southern favorites include grits, collard greens, okra, fried tomatoes, and sweet potato pie. Louisiana’s signature creole dishes are jambalaya, gumbo, and étouffée.
Rigorously unsentimental in his attitude to the world around him, Mr. Frank deviated from form in 1950, taking what was arguably his most romantic picture. He had his reasons. He was in love. The year before he had met artist Mary Lockspeiser, who became his first wife. In “Tulip/Paris,” he photographed a young man who is holding behind his back a tulip — presumably intended for the woman standing in the background. An old man, at the other end of life’s arc, approaches the viewer. It is a classic romantic Paris street photograph.