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February 2014 Briefing - Diabetes & Endocrinology

Here are what the editors at HealthDay consider to be the most important developments in Diabetes & Endocrinology for February 2014. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Higher Child BMI in Areas With Higher-Priced Fruits, Vegetables

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Children living in areas where fresh fruits and vegetables are more expensive have higher body mass indexes (BMIs), according to a study published online Feb. 10 in Pediatrics.

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Dietary Glycotoxins Linked to Dementia, Metabolic Syndrome

FRIDAY, Feb. 28, 2014 (HealthDay News) -- High intake of dietary advanced glycation end products (AGEs), which have been linked to Alzheimer's disease and metabolic syndrome, are associated with cognitive and motor deficits and insulin resistance in mice and humans, according to a study published online Feb. 24 in the Proceedings of the National Academy of Sciences.

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Low Vitamin D Tied to Markers of Inflammation in Elderly

FRIDAY, Feb. 28, 2014 (HealthDay News) -- There is a significant association between low vitamin D status and markers of inflammation (including the ratio of interleukin-6 [IL-6] to interleukin-10 [IL-10]) in elderly adults, according to a study published online Feb. 25 in the Journal of Clinical Endocrinology & Metabolism.

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Going Live With EHR Leads to Frustrations, Productivity Hit

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Implementing an electronic health record (EHR) system takes excessive physician and staff time and disrupts practice, according to survey results published Feb. 24 in Medical Economics.

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Hospital Size, Market Share Affect Inpatient Care Prices

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Size and market share are the greatest differentiators between hospitals receiving low prices and high prices for inpatient care, according to a study published in the February issue of Health Affairs.

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Stethoscopes Contaminated After Single Physical Exam

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Stethoscopes get contaminated after a single physical exam, with the contamination greater than that seen on most of the physician's dominant hand, barring the fingertips, according to a study published online Feb. 27 in the Mayo Clinic Proceedings.

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Becoming Disabled May Up Risk of Developing Diabetes

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Functional decline and physical disability may increase the subsequent risk of diabetes in older adults, according to research published online Feb. 18 in Diabetes Care.

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Experts Offer Tips to Avoid Closing Practice to New Patients

THURSDAY, Feb. 27, 2014 (HealthDay News) -- Despite being crowded, it may be a mistake to close a primary care practice to new patients, according to an article published in Medical Economics.

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FDA's New Food Labels Would Focus on Calories, Sugar Content

THURSDAY, Feb. 27, 2014 (HealthDay News) -- The U.S. Food and Drug Administration formally proposed Thursday updating the "nutrition facts" labels on food products to better reflect Americans' current eating habits and health concerns.

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Mutations in Catalytic Subunit of PKA ID'd in Cushing's Syndrome

THURSDAY, Feb. 27, 2014 (HealthDay News) -- Somatic mutations in the gene encoding the catalytic subunit of cyclic AMP-dependent protein kinase (protein kinase A [PKA]), PRKACA, have been identified in patients with hyperplasias and adenomas of the adrenal cortex leading to corticotropin-independent Cushing's syndrome, according to a study published online Feb. 26 in the New England Journal of Medicine.

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Prevalence of Obesity Remains High in the United States

THURSDAY, Feb. 27, 2014 (HealthDay News) -- The prevalence of obesity among youth or adults in the United States did not change significantly between 2003-2004 and 2011-2012, according to research published in the Feb. 26 issue of the Journal of the American Medical Association.

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Review: AHA Should Include Depression As Risk Factor in ACS

THURSDAY, Feb. 27, 2014 (HealthDay News) -- Evidence suggests that depression should be considered a risk factor for adverse outcomes in patients with acute coronary syndrome, according to a scientific statement from the American Heart Association published online Feb. 24 in Circulation.

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Review Examines Incretin-Based Drug, Pancreatic Safety Link

THURSDAY, Feb. 27, 2014 (HealthDay News) -- Incretin-based drugs seem not to have a causal association with pancreatitis or pancreatic cancer, according to research published in the Feb. 27 issue of the New England Journal of Medicine.

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Low-Normal TSH Deemed Risk Factor for Depression in Elderly

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- Low-normal thyroid stimulating hormone (TSH) is a risk factor for depression in the elderly, according to a study published online Feb. 24 in the Journal of Clinical Endocrinology & Metabolism.

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Hysterectomy and Ovary Removal Linked to Diabetes Development

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- Postmenopausal women are at higher risk of developing diabetes if they have both a hysterectomy and bilateral oophorectomy, according to a study published in the March issue of Diabetes Care.

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Not All Acute Coronary Syndrome Patients Get Appropriate Tx

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- Nearly one in five eligible patients hospitalized for acute coronary syndrome do not receive American College of Cardiology/American Heart Association (ACC/AHA) class I guideline-recommended angiotensin-converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) therapy, according to a study published online Feb. 25 in Circulation: Cardiovascular Quality and Outcomes.

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Blunted Diurnal Cortisol Pattern Tied to Frailty in Elderly

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- In older adults, blunted diurnal cortisol patterns are associated with frailty, according to a study published online Feb. 24 in the Journal of Clinical Endocrinology & Metabolism.

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FDA Approves Myalept for Rare Metabolic Disorder

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- Myalept (metreleptin for injection) has been approved by the U.S. Food and Drug Administration to treat complications of leptin deficiency for people with the congenital or acquired generalized forms of lipodystrophy.

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Review: Vegetarian Diet Linked to Lower Blood Pressure

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- Consumption of a vegetarian diet is associated with lower blood pressure, according to a review and meta-analysis published online Feb. 24 in JAMA Internal Medicine.

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Doctors Pleased With Congress' Medicare Payment Agreement

TUESDAY, Feb. 25, 2014 (HealthDay News) -- Physician groups are expressing optimism over the Congressional agreement to revamp the Medicare physician payment system, according to an article published Feb. 26 in Medical Economics.

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Thermal Receipt Handling Ups Urinary BPA Concentration

TUESDAY, Feb. 25, 2014 (HealthDay News) -- Thermal receipt handling is associated with increased urinary concentrations of bisphenol A (BPA), according to a research letter published in the Feb. 26 issue of the Journal of the American Medical Association.

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Doctors Slower to Prescribe HTN Meds to Younger Patients

TUESDAY, Feb. 25, 2014 (HealthDay News) -- Doctors wait longer to prescribe blood pressure medications to young adults than to older patients, according to a study published online recently in the Journal of General Internal Medicine.

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More Than Seven Million Patient Record Breaches in 2013

TUESDAY, Feb. 25, 2014 (HealthDay News) -- The number of patient records breached increased more than 137 percent and affected over seven million records in 2013, according to an annual report published by Redspin.

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Prognosis Worse for Secondary Versus Primary Thyroid Cancers

TUESDAY, Feb. 25, 2014 (HealthDay News) -- Among adolescents and young adults, those who develop thyroid cancer as a secondary malignant neoplasm have decreased overall survival than those with primary thyroid cancer, according to research published online Feb. 24 in Cancer.

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USPSTF: Evidence Lacking for Vitamin Prevention of CVD, CA

MONDAY, Feb. 24, 2014 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has found that the evidence is insufficient to evaluate the benefits and harms of multivitamins and most single- or paired-nutrient supplements for the prevention of cardiovascular disease and cancer. The Task Force findings have been published in a final recommendation statement available online Feb. 25 in the Annals of Internal Medicine.

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Quality Measures Data Added to Physician Compare Website

MONDAY, Feb. 24, 2014 (HealthDay News) -- Data for quality measures have been added to Physician Compare, the website that helps consumers search for information about physicians, according to a report published by the Centers for Medicare & Medicaid Services (CMS).

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London's Bike Sharing Program Has Health Benefits

MONDAY, Feb. 24, 2014 (HealthDay News) -- London's bike sharing program is having a positive impact on health, with clearer benefits seen for men and older users, according to a study published Feb. 13 in BMJ.

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'Epidemic of Diagnosis' Driving Thyroid Cancer Rates Up

MONDAY, Feb. 24, 2014 (HealthDay News) -- The incidence of thyroid cancer increased nearly three-fold from 1975 to 2009, particularly in women, with the increase mainly attributable to papillary thyroid cancer, according to a study published online Feb. 20 in JAMA Otolaryngology-Head & Neck Surgery.

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Obese Patients Affected by Perceived Judgment of Doctor

MONDAY, Feb. 24, 2014 (HealthDay News) -- Patients who discuss weight loss with their physicians but do not feel judged may be more likely to attempt and succeed in losing weight, according to research published online Feb. 9 in Preventive Medicine.

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Distinct Effects for Excess Saturated vs Polyunsaturated Fat

MONDAY, Feb. 24, 2014 (HealthDay News) -- Overeating saturated fats is associated with increased liver and visceral fat storage compared with overeating polyunsaturated fats, according to a study published online Feb. 18 in Diabetes.

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FDA to Step Up Oversight of Indian Drug Makers

MONDAY, Feb. 24, 2014 (HealthDay News) -- The U.S. Food and Drug Administration is to increase monitoring of drugs from pharmaceutical companies in India, FDA Commissioner Margaret Hamburg, M.D., said during a Friday afternoon news conference.

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Patient-Centered Medical Homes Cut Care Costs

FRIDAY, Feb. 21, 2014 (HealthDay News) -- Primary care practices that embrace the patient-centered medical home (PCMH) model reduce the cost of care and the number of patients treated inappropriately in the emergency department, according to an article published Jan. 15 in Medical Economics.

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Novel Protocol Calculates Energy Needs, Physical Activity Ratio

FRIDAY, Feb. 21, 2014 (HealthDay News) -- The PAR protocol has been validated as a new method for calculating the estimated energy requirements (EERs) and daily average physical activity ratio (APAR) at the population level, according to research published in the December issue of the Mayo Clinic Proceedings.

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A Call for Epidemiologists to Study Food Contact Chemicals

FRIDAY, Feb. 21, 2014 (HealthDay News) -- A population-based assessment and biomonitoring are needed to identify any potential links between food contact materials (FCMs) and chronic conditions, according to a commentary published online Feb. 19 in the Journal of Epidemiology & Community Health.

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Unfilled Hospital Openings for Doctors Growing, Survey Finds

THURSDAY, Feb. 20, 2014 (HealthDay News) -- The need for hospital physicians is growing, according to an article published Jan. 3 in Medical Economics.

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ACC, AHA Releases Heart Disease, Stroke App for Docs

THURSDAY, Feb. 20, 2014 (HealthDay News) -- A mobile and web-based app has been released to help health care professionals determine their patients' 10-year and lifetime risks of developing atherosclerotic cardiovascular disease (ASCVD).

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Before Implementation, Full EHR Cost Needs Consideration

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- From the outset of electronic health record implementation, hospitals and governments need to understand the major cost categories involved and identify the factors that may impact these costs, according to research published online Feb. 12 in the Journal of the American Medical Informatics Association.

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Stress Response Tied to Risk Aversion in Traders

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- The stress response in traders is associated with greater risk aversion during periods of market volatility, which may contribute to market instability, according to a study published online Feb. 18 in the Proceedings of the National Academy of Sciences.

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Smoking Cessation Leads to Better Mental Health

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- Those who stop smoking have significant improvements in mental health compared with those who continue to smoke, both in healthy and clinical populations, according to research published online Feb. 13 in BMJ.

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'Talking' Medical Devices, Apps Continue to Evolve

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- "Talking" medical devices and apps, among other techy health-focused inventions, can help people manage everyday wellness routines, such as taking pills and checking blood sugar levels, as well as dire medical circumstances, say experts.

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Online Ratings Do Affect Patient Choice of Physician

TUESDAY, Feb. 18, 2014 (HealthDay News) -- About two-thirds of the general U.S. population is aware of online physician rating sites, according to a research letter published in the Feb. 19 issue of the Journal of the American Medical Association.

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Physicians More Likely to Be Burned Out Than Non-Doc Peers

TUESDAY, Feb. 18, 2014 (HealthDay News) -- Trainees and early-career physicians are more likely to be burned out than control population samples, according to research published online Jan. 20 in Academic Medicine.

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Fitness, Not Fatness, Linked to Mortality in Prediabetes

TUESDAY, Feb. 18, 2014 (HealthDay News) -- Unfit individuals with prediabetes have a higher mortality risk than fit individuals, regardless of adiposity measures, according to a study published in the February issue of Diabetes Care.

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Higher Food Prices Linked With Higher Blood Sugar Levels

TUESDAY, Feb. 18, 2014 (HealthDay News) -- Among people with type 2 diabetes, higher prices for healthy foods are associated with higher blood glucose levels, according to research published online Feb. 13 in the American Journal of Public Health.

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Direct-to-Consumer Genomic Testing Concerns Explored

TUESDAY, Feb. 18, 2014 (HealthDay News) -- Various concerns relate to direct-to-consumer genomic testing, according to an ideas and opinions piece published online Feb. 10 in the Annals of Internal Medicine.

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Non-Traditional Office Hours Can Reap Big Financial Benefits

MONDAY, Feb. 17, 2014 (HealthDay News) -- Physicians can reap significant financial benefits by extending their office hours to include non-traditional hours, according to an article published Jan. 8 in Medical Economics.

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Coffee Consumption Linked With Reduced Risk of Diabetes

MONDAY, Feb. 17, 2014 (HealthDay News) -- Higher consumption of coffee is associated with lower risk of type 2 diabetes, according to research published in the February issue of Diabetes Care.

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Most Patients Hospitalized With Flu Are Unvaccinated

MONDAY, Feb. 17, 2014 (HealthDay News) -- Few patients hospitalized for influenza have been vaccinated, with the rate even lower among those requiring intensive care unit (ICU) care, according to a research letter published in the Feb. 15 issue of the American Journal of Respiratory and Critical Care Medicine.

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AAFP: Telemedicine Can Help With Increased Demand for Docs

MONDAY, Feb. 17, 2014 (HealthDay News) -- Telemedicine offers a potential solution to the increased demand for physician-patient interaction, according to a report from a recent forum. The forum was hosted by the Robert Graham Center for Policy Studies in Family Medicine and Primary Care, and the results of the discussion were published by the American Academy of Family Physicians (AAFP).

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Stellate Ganglion Blockade Cuts Menopause Symptoms

FRIDAY, Feb. 14, 2014 (HealthDay News) -- For postmenopausal women, stellate ganglion blockade (SGB) significantly reduces objective measures of vasomotor symptoms (VMS), according to a study published online Feb. 3 in Menopause.

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Type 2 Diabetes Usually Develops in Stably Overweight

THURSDAY, Feb. 13, 2014 (HealthDay News) -- Most people who develop type 2 diabetes are stably overweight for years before diagnosis, according to a study published online Feb. 11 in PLOS Medicine.

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Congress Agrees on Legislation to Replace SGR Formula

THURSDAY, Feb. 13, 2014 (HealthDay News) -- Congress has agreed on legislation to repeal the Sustainable Growth Rate (SGR) formula, which will guarantee Medicare providers annual 0.5 percent reimbursement increases as new payment models are introduced, according to an article published Feb. 11 in Medical Economics.

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CMS Extends 2013 Meaningful Use Attestation Deadline

THURSDAY, Feb. 13, 2014 (HealthDay News) -- The Centers for Medicare & Medicaid Services (CMS) have extended another deadline for the Medicare electronic health record (EHR) Incentive Program, according to an article published Feb. 11 in Medical Economics.

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ICD-10 Implementation Likely to Be Financial Disaster

THURSDAY, Feb. 13, 2014 (HealthDay News) -- The American Medical Association (AMA) is continuing its efforts to stop implementation of the International Classification of Diseases, 10th Revision (ICD-10), citing the huge financial burden for physicians.

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Affordable Care Act Enrollment Nears 3.3 Million

THURSDAY, Feb. 13, 2014 (HealthDay News) -- 3.3 million Americans have signed up for health insurance through the state and federal marketplaces created by the Affordable Care Act, the Obama administration announced Wednesday.

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CDC: More Americans Getting Blood Pressure Under Control

THURSDAY, Feb. 13, 2014 (HealthDay News) -- According to the U.S. Centers for Disease Control and Prevention, about two-thirds (64 percent) of people with high blood pressure had the condition under control during 2012, the latest year for which figures are available. The report is published in the Feb. 14 issue of the CDC's Morbidity and Mortality Weekly Report.

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Gestational Age Inversely Linked to Insulin Levels at Birth

WEDNESDAY, Feb. 12, 2014 (HealthDay News) -- Gestational age is inversely associated with insulin levels at birth, according to a study published in the Feb. 12 issue of the Journal of the American Medical Association.

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Health Benefits for Condemnation of Behavior, Not Self

WEDNESDAY, Feb. 12, 2014 (HealthDay News) -- Self-condemnation is associated with negative health outcomes, while condemnation of behavior is associated with primarily beneficial outcomes, according to research published in the January/February issue of Basic and Applied Social Psychology.

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FDA to Investigate Saxagliptin for Possible Heart Failure Risk

TUESDAY, Feb. 11, 2014 (HealthDay News) -- The U.S. Food and Drug Administration announced Tuesday that it will investigate possible links between the diabetes drug saxagliptin and a heightened risk for heart failure among users.

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Peer-Led Healthy Living School Intervention Deemed Effective

TUESDAY, Feb. 11, 2014 (HealthDay News) -- A peer-led healthy living intervention in elementary schools is effective for reducing central adiposity and improving healthy living behavior knowledge, according to research published online Feb. 10 in JAMA Pediatrics.

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Mid-Sized Companies Get Extra Year to Comply With ACA

TUESDAY, Feb. 11, 2014 (HealthDay News) -- Medium-sized companies will have another year before they have to provide employees with health insurance or face tax penalties, the Obama administration announced Monday.

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Perceived Control Reduces Mortality Risk for Lesser Educated

TUESDAY, Feb. 11, 2014 (HealthDay News) -- Stronger beliefs of control over one's life are associated with reduced risk of mortality among those with lower levels of educational attainment, according to research published online Feb. 3 in in Health Psychology.

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Metformin Use Doesn't Cut Incidence of Bladder Cancer

TUESDAY, Feb. 11, 2014 (HealthDay News) -- For patients with type 2 diabetes, metformin use is not associated with a significantly reduced risk of bladder cancer, according to a study published online Feb. 4 in Diabetes Care.

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Guidelines Issued for Managing Hospital Medicine Groups

TUESDAY, Feb. 11, 2014 (HealthDay News) -- A new assessment guide comprising 10 principles has been developed for effective management of hospital medicine groups (HMGs), according to research published in the February issue of the Journal of Hospital Medicine.

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New Rule Allows Patients to Access Laboratory Test Results

MONDAY, Feb. 10, 2014 (HealthDay News) -- In a final rule relating to the Health Insurance Portability and Accountability Act (HIPAA), a patient or their personal representative can access their completed test reports directly from the laboratory, according to a report from the U.S. Department of Health & Human Services (HHS).

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Residents Concerned About Lack of Time With Patients

MONDAY, Feb. 10, 2014 (HealthDay News) -- Many U.S. medical residents are concerned about reduced face-time with patients and report that engaging patients in their own care is more challenging than anticipated, according to a report from the American Resident Project, sponsored by ThinkWellPoint.

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Yogurt Intake Linked With Lower Risk of Type 2 Diabetes

MONDAY, Feb. 10, 2014 (HealthDay News) -- Consuming low-fat, fermented dairy products, particularly yogurt, may help prevent diabetes, according to research published online Feb. 5 in Diabetologia.

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Obese Men More Likely to Have Colon Polyps

MONDAY, Feb. 10, 2014 (HealthDay News) -- Obese men have a more than six-fold higher likelihood of having multiple colon polyps and tubular adenomas than lean men, according to a study published online Jan. 17 in PLOS ONE.

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Circulating MicroRNAs Linked to Type 2 Diabetes

FRIDAY, Feb. 7, 2014 (HealthDay News) -- Circulating microRNAs (miRNAs) are associated with type 2 diabetes (T2D), and their levels vary with insulin action, according to a study published online Jan. 29 in Diabetes Care.

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Diabetes Does Not Worsen Outcomes of Cervical Laminoplasty

FRIDAY, Feb. 7, 2014 (HealthDay News) -- Patients with or without diabetes experienced similar outcomes of laminoplasty for cervical spondylotic myelopathy, according to research published in the Feb. 1 issue of Spine.

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CLER Pathways to Excellence Document Issued

THURSDAY, Feb. 6, 2014 (HealthDay News) -- The Clinical Learning Environment Review (CLER) Pathways to Excellence document has been released for graduate medical education as a foundation for preparing the physician workforce in patient safety and quality improvement, according to a report from the Accreditation Council for Graduate Medical Education (ACGME).

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Mediterranean Diet Has Cardiac Benefits in Young, Active Men

THURSDAY, Feb. 6, 2014 (HealthDay News) -- Greater adherence to a Mediterranean-style diet is inversely associated with metabolic syndrome, low-density lipoprotein (LDL)-cholesterol, and weight gain, according to a study published online Feb. 4 in PLOS ONE.

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BP Patterns in Young Adulthood Predict Later Atherosclerosis

THURSDAY, Feb. 6, 2014 (HealthDay News) -- Patterns of higher blood pressure (BP) levels in young adulthood are associated with increased risk of coronary artery calcification (CAC) in middle age, according to research published in the Feb. 5 issue of the Journal of the American Medical Association.

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FDA: There's Still Time for Patients to Get a Flu Shot

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- It's still not too late to get a flu shot, the U.S. Food and Drug Administration said Wednesday. Children and seniors tend to be most susceptible to flu. But sometimes a flu virus will affect more young and middle-aged adults. That appears to be the case this flu season, the agency said.

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Choosing Wisely Tips Should Prompt Doc-Patient Discussion

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- The Choosing Wisely recommendations can form a starting point for discussing cost and appropriate use of testing with patients, according to an article from the American Medical Association (AMA).

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ICD-10 Transition May Impact Practice Cash Flow

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- Physicians and health plans remain unprepared for the disruption that implementation of the International Classification of Diseases, 10th Revision (ICD-10) will bring to their cash flow, according to an article published Jan. 14 in Medical Economics.

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Dietary Counseling Has Little Effect After Gastric Bypass

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- Dietary and behavioral counseling can help improve nutrient intake in patients who have had gastric bypass surgery, but nutrient intake still remains inadequate in many patients, according to a study published in the December issue of the Journal of Investigative Medicine.

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CVS Caremark to Stop Selling Tobacco Products

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- The national drug store chain CVS Caremark said Wednesday that it's phasing out the sale of tobacco products at its more than 7,600 stores across the United States.

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EHR Use During Patient Visit May Mean Missed Non-Verbal Cues

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- Patterns of eye gaze change with the use of electronic health records (EHRs), and this influences physician-patient interaction, according to research published in the March issue of the International Journal of Medical Informatics.

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Parents Often Underestimate Children's Weight Status

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- Parents frequently underestimate their children's weight status, especially overweight/obese status, according to research published online Feb. 2 in Pediatrics.

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FDA Approves Continuous Glucose Monitoring System for Children

TUESDAY, Feb. 4, 2014 (HealthDay News) -- U.S. Food and Drug Administration approval of the Dexcom G4 Platinum Continuous Monitoring System has been expanded to include children with diabetes aged 2 years to 17 years, the agency said.

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Intensive BP Reduction Doesn't Prevent Cognitive Decline

TUESDAY, Feb. 4, 2014 (HealthDay News) -- Intensive treatment to lower blood pressure (BP) and cholesterol does not reduce the risk of cognitive decline in patients with type 2 diabetes mellitus (T2DM), according to a study published online Feb. 3 in JAMA Internal Medicine.

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Adipose Tissue Macrophage Iron Content Altered in Obesity

TUESDAY, Feb. 4, 2014 (HealthDay News) -- The percentage of adipose tissue (AT) macrophages (ATMs) that are iron rich is reduced in obesity, and those iron-rich ATMs (MFehi) undergo an inflammatory shift, according to research published in the February issue of Diabetes.

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IVF and Genetic Testing Used to Avoid Prion Disease

TUESDAY, Feb. 4, 2014 (HealthDay News) -- In vitro fertilization (IVF) and genetic testing have been used to allow a woman with a family history of a prion disease to have healthy twins lacking the mutation, according to a case report published online Feb. 3 in JAMA Neurology.

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Online Medical Records Trump Colleagues As Docs' Info Source

TUESDAY, Feb. 4, 2014 (HealthDay News) -- Online patient medical records are the top source of information for doctors, based on the mean annual exposure, according to the results of a survey conducted by Kantar Media.

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Health Reform Differs Across States: Report

MONDAY, Feb. 3, 2014 (HealthDay News) -- California is one of 10 states that have done the most to roll out provisions of the Affordable Care Act, according to a new Commonwealth Fund report. These states, including Colorado, Connecticut, Hawaii, Maryland, Massachusetts, Minnesota, New York, Oregon, and Vermont, have committed to implementing "the most significant aspects of health reform," the report states.

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Strategies ID'd for Cutting Sodium in Restaurant Meals

MONDAY, Feb. 3, 2014 (HealthDay News) -- Various strategies are available to help encourage restaurants to reduce the sodium content of food items, according to a study published Jan. 23 in the U.S. Centers of Disease Control and Prevention's Preventing Chronic Disease.

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Physician's Briefing
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