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April 2013 Briefing - Family Practice

Here are what the editors at HealthDay consider to be the most important developments in Family Practice for April 2013. 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.

Outcomes Often Good for Extremely Premature Infants

TUESDAY, April 30 (HealthDay News) -- About three-quarters of infants born extremely prematurely who receive active care have mild or no neurodevelopmental disability at 2.5 years of age, according to a study published in the May 1 issue of the Journal of the American Medical Association, a theme issue on child health.

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Female Smokers More Susceptible to Colon Cancer

TUESDAY, April 30 (HealthDay News) -- Female smokers seem to be more susceptible to colon cancer than male smokers, particularly to proximal colon cancer, according to a study published online April 30 in Cancer, Epidemiology, Biomarkers & Prevention.

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More Than One-Third of Stroke Patients Don't Utilize EMS

TUESDAY, April 30 (HealthDay News) -- More than one-third of stroke patients still do not use emergency medical services (EMS), despite the fact that EMS use is linked to significantly more rapid evaluation and treatment, according to a study published online April 29 in Circulation: Cardiovascular Quality and Outcomes.

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FDA Approves Kcentra to Reverse Anticoagulation

TUESDAY, April 30 (HealthDay News) -- Kcentra (prothrombin complex concentrate, human) has been approved by the U.S. Food and Drug Administration to treat severe acute bleeding in adults after administration of warfarin and similar products.

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Optimal Vitamin D Dosage for Infants Remains Uncertain

TUESDAY, April 30 (HealthDay News) -- Supplementing healthy, term, breastfed newborns with 1,600 international units (IU) of vitamin D daily raises plasma levels to the higher target level recommended by some pediatric societies after three months, while lower dosages can raise plasma levels to the lower target level recommended by the Institute of Medicine, according to a study published in the May 1 issue of the Journal of the American Medical Association, a theme issue on child health.

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FDA Concerned Caffeinated Foods Could Harm Children

TUESDAY, April 30 (HealthDay News) -- On the heels of the introduction of a new chewing gum containing as much caffeine as half a cup of coffee, the U.S. Food and Drug Administration is taking a closer look at the impact of caffeinated products on children's health.

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No Evidence of Lyme Disease in Children With Autism

TUESDAY, April 30 (HealthDay News) -- A small study of 120 children appears to show that children with autism have no serological evidence of Lyme disease, according to a research letter published in the May 1 issue of the Journal of the American Medical Association, a theme issue on child health.

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Multicenter Study Links Peri-Op SSRI Use to Adverse Outcomes

TUESDAY, April 30 (HealthDay News) -- Perioperative use of selective serotonin reuptake inhibitors (SSRIs) is associated with adverse outcomes, including in-hospital mortality, bleeding, and 30-day readmission, according to a multicenter study published online April 29 in JAMA Internal Medicine.

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Virological Failure Up With Nevirapine in HIV-Infected Youth

TUESDAY, April 30 (HealthDay News) -- For children with HIV infection in Botswana, treatment with nevirapine is associated with increased rates of virological failure compared with efavirenz, according to a study published in the May 1 issue of the Journal of the American Medical Association, a theme issue on child health.

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Non-Inferior Response With Two-Dose HPV Vaccine

TUESDAY, April 30 (HealthDay News) -- For girls receiving two versus three doses of human papillomavirus (HPV) vaccine, antibody responses to HPV-16 and HPV-18 are non-inferior one month after the last dose, according to a study published in the May 1 issue of the Journal of the American Medical Association, a theme issue on child health.

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Comprehensive Analysis Supports SERMs for Cutting Breast Cancer

TUESDAY, April 30 (HealthDay News) -- Treatment with selective estrogen receptor modulators (SERMs) is associated with a significant reduction in the incidence of breast cancer, especially for the first five years after treatment, according to research described as the first comprehensive analysis, published online April 30 in The Lancet.

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Renewed Efforts From AAFP to Repeal OTC Provision in ACA

TUESDAY, April 30 (HealthDay News) -- Members of the American Academy of Family Physicians (AAFP) and other medical associations are urging further consideration of Section 9003 of the Patient Protection and Affordable Care Act (ACA) that requires holders of tax-preferred health care accounts to obtain a physician's prescription to use funds from those accounts to pay for over-the-counter (OTC) medications. The concerns have been laid out in a letter to the chair and the ranking member of the House Committee on Ways and Means.

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Social Network Interests Can Predict Obesity Prevalence

TUESDAY, April 30 (HealthDay News) -- Online social interests can predict the prevalence of obesity in a given geographical area, according to a study published online April 24 in PLOS ONE.

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Hawaii Is Least Stressed State With Highest Enjoyment Levels

MONDAY, April 29 (HealthDay News) -- Hawaii remains the least stressed state, and also reports the highest level of enjoyment, according to a report from Gallup-Healthways.

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Comprehensive Discussion With Docs Ups Cancer Screening

MONDAY, April 29 (HealthDay News) -- Having more comprehensive discussions about colorectal cancer (CRC) screening with primary care providers (PCPs) is associated with increased odds of screening, according to a study published in the April issue of the American Journal of Managed Care.

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USPSTF Recommends Universal HIV Screening From Age 15 to 65

MONDAY, April 29 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends screening all 15- to 65-year olds, younger and older at-risk individuals, and all pregnant women for HIV, according to a Recommendation Statement published in the April 30 issue of the Annals of Internal Medicine.

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Mediterranean Diet Adherence Cuts Cognitive Impairment

MONDAY, April 29 (HealthDay News) -- Greater adherence to a Mediterranean diet (MeD) is associated with a lower likelihood of incident cognitive impairment (ICI), especially among those without diabetes, according to a study published in the April 30 issue of Neurology.

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High Doses of Saw Palmetto Appear Safe Over 18 Months

MONDAY, April 29 (HealthDay News) -- Extracts of saw palmetto berry used at doses of up to 960 mg daily appear to be safe over an 18-month period, according to a study published in the April issue of The Journal of Urology.

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Rx for High-Risk Meds Varies Widely in Medicare Advantage

MONDAY, April 29 (HealthDay News) -- There is wide variation in the prescription rates of high-risk medications (HRM) among Medicare Advantage (MA) enrollees, according to a study published in the April issue of the Journal of General Internal Medicine.

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Child Fruit Consumption Up With Pre-Slicing in Schools

MONDAY, April 29 (HealthDay News) -- Schools that use fruit slicers to pre-slice fruit report increased fruit sales, more fruit eaten, and less fruit wasted, according to a study published in the May issue of the American Journal of Preventive Medicine.

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Med Errors Common Among Pediatric Cancer Outpatients

MONDAY, April 29 (HealthDay News) -- Among pediatric cancer patients who receive medications at home, errors are common, with a rate of 3.6 errors with injury per 100 patients, according to a study published online April 29 in Pediatrics.

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Zoledronic Acid Linked to Early Increase in Sclerostin Levels

MONDAY, April 29 (HealthDay News) -- Women with postmenopausal osteoporosis treated with zoledronic acid show an early increase in serum levels of the negative regulator of bone formation, sclerostin, that return close to baseline after 360 days, according to a study published online April 17 in the Journal of Clinical Endocrinology & Metabolism.

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AAP Issues Guidelines for Care of Infants Born at Home

MONDAY, April 29 (HealthDay News) -- Every newborn infant, including those born at home, is entitled to appropriate care, according to a policy statement issued by the American Academy of Pediatrics (AAP) and published online April 29 in Pediatrics.

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Explicit Sex Materials Modestly Influence Sexual Behaviors

MONDAY, April 29 (HealthDay News) -- Consumption of sexually explicit material (SEM) has a modest, but significant, effect on sexual behaviors, according to a study published online April 26 in the The Journal of Sexual Medicine.

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Standardized Debriefing Ups Outcomes on CPR Simulation

MONDAY, April 29 (HealthDay News) -- Use of a standardized debriefing script during resuscitation training programs conducted by novice instructors is associated with improved acquisition of knowledge and team leader behavioral performance in subsequent simulated cardiopulmonary arrests, according to a study published online April 22 in JAMA Pediatrics.

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FDA Announces New Network to Focus Exclusively on Patients

MONDAY, April 29 (HealthDay News) -- The U.S. Food and Drug Administration has announced the launch of a new interactive tool for educating patients, their advocates, and consumers about the processes involved in medication development.

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FDA: Purveyors of Phony Botox Targeting U.S. Practices

MONDAY, April 29 (HealthDay News) -- Medical practices that purchase Botox may unwittingly be purchasing a fraudulent product not approved by the U.S. Food and Drug Administration for sale in the United States, according to an April 26 drug safety alert issued by the agency.

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Medical Interns Spending Less Time With Patients

FRIDAY, April 26 (HealthDay News) -- Medical interns are spending less time with patients and more time at a computer since new rules limiting total work hours were instituted in 2011, according to a study published online April 18 in the Journal of General Internal Medicine.

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Teen Moms More Likely to Be Subsequently Overweight

FRIDAY, April 26 (HealthDay News) -- Teen mothers are more likely to be overweight or obese later in life compared to women who do not give birth as a teen, according to a study published online April 15 in the American Journal of Obstetrics & Gynecology.

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Standard Criteria Needed for Spinal Stenosis Diagnosis

FRIDAY, April 26 (HealthDay News) -- There is a need for a consensus on criteria to define and classify lumbar spinal stenosis, according to a review published in the April 15 issue of Spine.

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Smoking Water Pipes Is Not a Safe Cigarette Alternative

FRIDAY, April 26 (HealthDay News) -- Smoking tobacco in water pipes is associated with a different pattern of carcinogen exposure than smoking cigarettes, according to a study published online March 5 in Cancer Epidemiology, Biomarkers & Prevention.

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History of Skin Cancer Linked to Secondary Cancers

FRIDAY, April 26 (HealthDay News) -- Men and women with a history of non-melanoma skin cancer (NMSC) are at modestly greater risk of secondary cancers at other sites, according to a study published online April 23 in PLOS Medicine.

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Collagenase Clostridium Histolyticum OK in Peyronie's

FRIDAY, April 26 (HealthDay News) -- For patients with Peyronie's disease, treatment with collagenase clostridium histolyticum (CCH) intralesional injections is efficacious and tolerable, according to research published online Feb. 1 in The Journal of Urology.

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Post-Fracture Targeting Boosts Osteoporosis Management

FRIDAY, April 26 (HealthDay News) -- A mail-based intervention targeting patients with recent frailty fractures and their physicians is a more cost-effective means of osteoporosis management than usual care, according to a simulation-based study published online April 17 in the Journal of Clinical Endocrinology & Metabolism.

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Report Updates Impact of Hypoglycemia in Diabetes

FRIDAY, April 26 (HealthDay News) -- An update of the current state of knowledge about the impact of hypoglycemia on patients with diabetes reviews outcomes, strategies to prevent hypoglycemia, and current knowledge gaps, and has been published in the May issue of Diabetes Care.

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Mindfulness-Based Cognitive Therapy Improves PTSD

FRIDAY, April 26 (HealthDay News) -- Mindfulness-based cognitive therapy (MBCT) can provide significant and clinically meaningful improvement in posttraumatic stress disorder (PTSD) symptoms, according to a pilot study published online April 17 in Depression and Anxiety.

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One-Third of Female Marathon Runners Report Breast Pain

FRIDAY, April 26 (HealthDay News) -- Approximately one-third of female marathon runners report mastalgia, according to a study published online April 19 in the British Journal of Sports Medicine.

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Saturday Marks Sixth Annual Rx Drug Take-Back Day

FRIDAY, April 26 (HealthDay News) -- United States residents across the nation will have an opportunity to safely and anonymously unload expired, unwanted prescription medications on Saturday, April 27, during the sixth annual National Prescription Drug Take-Back Day.

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Review: All Approved Drugs Similarly Prevent Migraines

THURSDAY, April 25 (HealthDay News) -- There is no significant difference in effectiveness in approved drugs for preventing episodic migraine frequency by 50 percent or more, according to a review published in the April issue of the Journal of General Internal Medicine.

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Risk of Delay in Response to Patient E-Mails Up Over Weekend

THURSDAY, April 25 (HealthDay News) -- The risk of delays in opening and responding to primary care patient e-mail communication is significantly worse at the weekends, according to a study published in the April/June issue of Quality Management in Health Care.

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Even Light Smoking Increases Risk of RA Among Women

THURSDAY, April 25 (HealthDay News) -- Even light smoking increases the risk of rheumatoid arthritis (RA) among women, and smoking cessation reduces but does not eliminate this risk, according to a study published online April 22 in Arthritis Research & Therapy.

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Prevalence, Costs of Heart Failure Estimated for 2030

THURSDAY, April 25 (HealthDay News) -- The impact of heart failure is likely to increase, with more than eight million U.S. adults anticipated to have heart failure by 2030, at an estimated total cost of $70 billion, according to a study published online April 24 in Circulation: Heart Failure.

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One 12-Ounce Sweet Drink a Day Ups Risk of T2DM 22 Percent

THURSDAY, April 25 (HealthDay News) -- Consumption of sweetened soft drinks correlates with the incidence of type 2 diabetes in European adults, with one 12-ounce daily increase in sweetened soft drinks correlating with a 22 percent increase in risk of the disease, according to a study published online April 25 in Diabetologia.

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Air Pollution Linked to Marker of Atherosclerosis

THURSDAY, April 25 (HealthDay News) -- Greater exposure to air pollution is associated with greater progression of carotid artery thickness, a marker of atherosclerosis, according to a study published online April 23 in PLOS Medicine.

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Most With Confirmed H7N9 Avian Flu Are Critically Ill

THURSDAY, April 25 (HealthDay News) -- Most Chinese patients with confirmed avian influenza A (H7N9) are critically ill and 21 percent have died, according to a preliminary report published online April 24 in the New England Journal of Medicine.

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Physicians Less Empathetic in Talking to Heavy Patients

THURSDAY, April 25 (HealthDay News) -- Primary care physicians (PCPs) are less likely to bond with overweight and obese patients, according to research published online March 20 in Obesity.

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Analgesics in Endurance Events Can Have Serious Adverse Effects

THURSDAY, April 25 (HealthDay News) -- Analgesic use before endurance sports can cause serious medical events, according to a study published online April 19 in BMJ Open.

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Teens Targeting Strength, Cardio Fitness Battle Insulin Resistance

THURSDAY, April 25 (HealthDay News) -- Lower levels of abdominal muscle strength and cardiorespiratory fitness (CRF) in youth are independently associated with adverse levels of fasting insulin, insulin sensitivity, and β-cell function in young adulthood, according to a study published online April 11 in Diabetes Care.

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Diabetes Target Achievement Up From 1999 to 2010, More Needed

WEDNESDAY, April 24 (HealthDay News) -- For U.S. adults with diabetes there has been an improvement in achievement of targets from 1999 to 2010, but many still do not meet the recommended goals, according to research published in the April 25 issue of the New England Journal of Medicine.

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Teen Residence in Stroke Belt Linked to Risk of Stroke

WEDNESDAY, April 24 (HealthDay News) -- Living in the stroke belt during adolescence is linked with an increased risk of incident stroke, according to a study published online April 24 in Neurology.

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Breast CA Tx Delays Still More Common for Poor, Uninsured

WEDNESDAY, April 24 (HealthDay News) -- For young women with breast cancer, a longer treatment delay time (TDT) is associated with decreased survival, especially for African-American women, those with public or no insurance, and those with low socioeconomic status; and women with early-stage breast cancer with Medicaid are more likely to undergo mastectomy than those with private insurance, according to two studies published online April 24 in JAMA Surgery.

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Doc Describes Medical Tent Experience of Boston Marathon

WEDNESDAY, April 24 (HealthDay News) -- The experience of a physician in the medical tent at the Boston marathon provides insight into the impact of the bombings on medical professionals at the scene; the perspective piece was published online April 23 in the New England Journal of Medicine.

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Impact of Childhood Bacterial Meningitis Lasts Into Adulthood

WEDNESDAY, April 24 (HealthDay News) -- Bacterial meningitis in childhood has lasting effects, often leading to lower educational attainment and economic self-sufficiency in adulthood, according to a study published in the April 24 issue of the Journal of the American Medical Association.

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Review Looks at Best Modality for Diagnosing Ectopic Pregnancy

WEDNESDAY, April 24 (HealthDay News) -- For pregnant women with abdominal pain or vaginal bleeding, transvaginal sonography is the best modality for diagnosing ectopic pregnancy, according to research published in the April 24 issue of the Journal of the American Medical Association.

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Diagnostic Errors Are the Leading Type of Malpractice Claim

WEDNESDAY, April 24 (HealthDay News) -- In the past 25 years, diagnostic errors have been the leading type of malpractice claim and account for the highest proportion of total payments, according to a study published online April 22 in BMJ Quality & Safety.

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Asthma Health Care Access Worse for Young Adults

WEDNESDAY, April 24 (HealthDay News) -- Young adults with asthma have worse health care access and utilization compared with adolescents with asthma, according to a study published online April 22 in Pediatrics.

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AMA Reveals First Step Toward Improving Health Outcomes

WEDNESDAY, April 24 (HealthDay News) -- The American Medical Association (AMA) has announced the first stage of its improving health outcomes initiative, which aims to optimize the health of the nation with a focus on preventing cardiovascular disease and type 2 diabetes.

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American Lung Association Stresses Clean Air Act Benefits

WEDNESDAY, April 24 (HealthDay News) -- More than four in 10 people in the United States live in counties that have unhealthy levels of either ozone or particle pollution, according to the State of the Air 2013 report published April 24 by the American Lung Association (ALA).

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Obesity Tied to Risk of Prostate Cancer After Negative Biopsy

WEDNESDAY, April 24 (HealthDay News) -- In men with an initial benign biopsy or transurethral resection of the prostate, obesity at the time of the procedure is associated with the presence of precancerous lesions in the initial biopsy and a higher risk of developing prostate cancer, according to a study published online April 23 in Cancer Epidemiology, Biomarkers & Prevention.

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Firearms Account for About 2 Percent of Child Injuries

TUESDAY, April 23 (HealthDay News) -- In level 1 trauma centers in Denver and Aurora, Colo., about 2 percent of pediatric injuries result from firearms, according to a research letter published in the April 24 issue of the Journal of the American Medical Association.

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Maternal Use of Valproate Ups Risk of Autism in Offspring

TUESDAY, April 23 (HealthDay News) -- Prenatal exposure to valproate correlates with an increased risk of autism spectrum disorder and childhood autism in offspring, according to a study published in the April 24 issue of the Journal of the American Medical Association.

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>40 Percent of Parents Give Cough Meds to Young Children

TUESDAY, April 23 (HealthDay News) -- More than 40 percent of parents with children younger than 4 years of age give them cough medicine or multi-symptom cough and cold medicine, despite warning labels that products should not be used for young children, according to a report published by the C.S. Mott Children's Hospital.

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Peri-Noncardiac Op Exposure to β-Blockers Improves Outcome

TUESDAY, April 23 (HealthDay News) -- For patients undergoing major noncardiac surgery with two or more Revised Cardiac Risk Index factors, early exposure to β-blockers is associated with improved 30-day postoperative outcome, according to research published in the April 24 issue of the Journal of the American Medical Association.

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Breast Density Linked to Breast Cancer-Specific Survival

TUESDAY, April 23 (HealthDay News) -- For women with breast cancer receiving adjuvant tamoxifen treatment, a decrease in mammographic density appears to be associated with improved breast cancer-specific survival, according to a study published online April 22 in the Journal of Clinical Oncology.

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Interdisciplinary Model Ups Care of Hospitalized Elderly

TUESDAY, April 23 (HealthDay News) -- For elderly patients, admission to the Mobile Acute Care of the Elderly (MACE) service, a novel model of care delivered by an interdisciplinary team, correlates with lower rates of adverse events and shorter hospital stays, compared with usual care, according to a study published online April 22 in JAMA Internal Medicine.

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Parental Permissiveness Linked to Rx Drug Abuse, Misuse

TUESDAY, April 23 (HealthDay News) -- Nearly one-quarter of teenagers misuse or abuse a prescription drug at least once in their lifetime, with perceived parental permissiveness linked to misuse and abuse of prescription drugs as well as use of alcohol and marijuana, according to a report published online April 23 by The Partnership at Drugfree.org.

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Brain Stimulation Reduces Smoking Cravings

TUESDAY, April 23 (HealthDay News) -- High-frequency brain stimulation can temporarily reduce smoking cravings, according to a study published in the April 15 issue of Biological Psychiatry.

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Drop in Genital Warts in Young Women Since HPV Vaccination

TUESDAY, April 23 (HealthDay News) -- For Australian women aged 30 years or younger there has been a decrease in the proportion found to have genital warts following the introduction of the human papillomavirus (HPV) vaccine program, according to research published online April 18 in BMJ.

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U.S. Shortfall in Neurologists Expected to Get Worse

TUESDAY, April 23 (HealthDay News) -- The current national shortfall in neurologists is about 11 percent, and is likely to increase to 19 percent by 2025, according to research published online April 17 in Neurology.

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Behaviors Indicative of More Trips to Buffet Table Identified

TUESDAY, April 23 (HealthDay News) -- Surveying the food options before eating and using a smaller plate could result in less trips to the buffet at all-you-can-eat restaurants and buffets, according to a research letter published in the April issue of the American Journal of Preventive Medicine.

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Severe Cutaneous Adverse Rxns Up in Allopurinol Initiators

TUESDAY, April 23 (HealthDay News) -- Allopurinol initiators have an almost 10-fold increased risk of severe cutaneous adverse reactions (SCARs) compared with nonusers, according to a study published in the April issue of Arthritis Care & Research.

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USPSTF: Primary Care Screening Can Help ID Suicide Risk

MONDAY, April 22 (HealthDay News) -- The U.S. Preventive Services Task Force finds that primary care screening tools could probably identify adults at increased risk of suicide, although they have limited efficacy in adolescents. This Recommendation Statement is based on an evidence review published in the April 23 issue of the Annals of Internal Medicine.

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Food-Tied Parenting Practices Common in Parents of Teens

MONDAY, April 22 (HealthDay News) -- The use of controlling food-related parenting practices, including food restriction and pressure-to-eat, are common among parents of adolescents and vary according to weight status, according to a study published in online April 22 in Pediatrics.

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Mammogram Rates Unchanged Since USPSTF Recommendations

MONDAY, April 22 (HealthDay News) -- There has been no change in mammography screening rates among women aged 40 years or older following publication of the 2009 U.S. Preventive Services Task Force (USPSTF) recommendations, according to research published online April 19 in Cancer.

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Docs' Role in Gauging Fitness for Concealed Weapons Queried

MONDAY, April 22 (HealthDay News) -- Given the ethical, legal, and policy issues relating to the role of physicians in assessing competency for concealed-weapons permits, standards should be issued, according to a perspective piece published online April 17 in the New England Journal of Medicine.

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One-Year Survival Up for Critical Congenital Heart Defects

MONDAY, April 22 (HealthDay News) -- For infants with critical congenital heart defects (CCHDs), one-year survival has improved over time, with an increased risk of mortality associated with earlier diagnosis, low birth weight, and maternal age, according to a study published online April 22 in Pediatrics.

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HPV Exposure in Family, School Linked to Wart Development

MONDAY, April 22 (HealthDay News) -- For schoolchildren, exposure to human papillomavirus (HPV)-causing warts in the family and school class is associated with an increased risk of wart development, according to a study published online April 22 in Pediatrics.

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Dangers of the 'Cinnamon Challenge' Need Emphasis

MONDAY, April 22 (HealthDay News) -- With the increasing popularity of the "Cinnamon Challenge," especially among adolescents, the potential dangers need to be emphasized, according to a perspective piece published online April 22 in Pediatrics.

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Teen Type 1 Diabetes Outcomes Up With Internet Interventions

MONDAY, April 22 (HealthDay News) -- Internet-based psycho-educational programs are beneficial for young patients with type 1 diabetes as they transition into adolescence, according to a study published online April 11 in Diabetes Care.

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Genetics Linked to Abnormal Alzheimer's Markers

FRIDAY, April 19 (HealthDay News) -- Individuals with a family history of late-onset Alzheimer's disease who are cognitively normal or mildly impaired have a higher prevalence of abnormal cerebral markers, according to a study published online April 17 in PLOS ONE.

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FDA Approves Updated Label for Reformulated OxyContin

FRIDAY, April 19 (HealthDay News) -- The U.S. Food and Drug Administration has approved updated labeling for Purdue Pharma L.P.'s reformulated OxyContin (oxycodone hydrochloride controlled-release) tablets, which will indicate that the reformulated product has physical and chemical properties that should make abuse by injection very difficult and reduce intranasal abuse.

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CDC: Traffic-Related Pedestrian Deaths Increasing With Age

FRIDAY, April 19 (HealthDay News) -- Traffic-related pedestrian death rates over the last decade were highest among the elderly, males, and racial and ethnic minorities, according to research published in the April 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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Community Gardening Programs Linked to Lower BMI

FRIDAY, April 19 (HealthDay News) -- Male and female participants in community gardening programs have significantly lower body mass indexes (BMIs) than their neighbors and siblings, according to a study published online April 18 in the American Journal of Public Health.

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Racial Disparity in Head and Neck Cancer Outcomes

FRIDAY, April 19 (HealthDay News) -- Among Medicaid beneficiaries diagnosed with head and neck cancer, considerable racial disparities exist in treatment patterns and survival, according to a study published online April 18 in JAMA Otolaryngology-Head & Neck Surgery.

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Patient-Centered Decision Making Ups Health Outcomes

FRIDAY, April 19 (HealthDay News) -- Patient-centered decision making (PCDM) is associated with improved health care outcomes, according to a study published in the April 16 issue of the Annals of Internal Medicine.

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Pot Smoking Linked to Some Metabolic Changes

FRIDAY, April 19 (HealthDay News) -- Regularly smoking pot is associated with visceral adiposity and adipose tissue insulin resistance, but not other metabolic changes such as impaired β-cell function or hepatic steatosis, according to a study published online March 25 in Diabetes Care.

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Urine Cytology Adds Little to Hematuria Investigation

THURSDAY, April 18 (HealthDay News) -- Urine cytology adds little to the diagnostic value of standard hematuria investigations, according to a study published in the April issue of The Journal of Urology.

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NH-proBNP Strongly Predicts Cardiac Mortality in T2DM

THURSDAY, April 18 (HealthDay News) -- NH2-terminal probrain natriuretic peptide (NT-proBNP) predicts the risk of cardiovascular (CV) mortality in patients with type 2 diabetes without previous CV disease (CVD), according to a study published online April 5 in Diabetes Care.

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Outcomes Vary for Diverticular Disease After Surgery

THURSDAY, April 18 (HealthDay News) -- After elective colectomy, patients with diverticular disease (DD) have worse outcomes and higher costs than patients with colon cancer (CC) but better outcomes and lower costs than patients with inflammatory bowel disease (IBD), according to a study published in the April issue of JAMA Surgery.

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Accuracy of Smartphone Apps for Melanoma Risk Is Variable

THURSDAY, April 18 (HealthDay News) -- The diagnostic accuracy of smartphone applications that analyze photos of pigmented skin lesions for melanoma risk is highly variable and incorrectly classifies about a third of melanomas as benign, according to a study published in the April issue of JAMA Dermatology.

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Happiness Influenced by One's Own, Others' Sexual Activity

THURSDAY, April 18 (HealthDay News) -- Happiness is positively associated with an individual's sexual frequency and negatively associated with the sexual frequency of others, according to a study published in the February issue of Social Indicators Research.

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English-Acculturated Hispanics Report Less Sun-Safe Behavior

THURSDAY, April 18 (HealthDay News) -- English-acculturated and bicultural (high English and Spanish acculturation) Hispanic adults report lower engagement in skin cancer-related behaviors, according to a study published online April 17 in JAMA Dermatology.

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Relative Proportion of MRSA Increasing in S. aureus Isolates

THURSDAY, April 18 (HealthDay News) -- The relative proportion of methicillin-resistant Staphylococcus aureus (MRSA) is increasing in S. aureus isolates, and methicillin-sensitive S. aureus (MSSA) is becoming increasingly resistant to antibiotics, according to a study published in the April issue of JAMA Dermatology.

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Vascular Markers Linked to Cognitive Decline in Diabetes

THURSDAY, April 18 (HealthDay News) -- Stroke and subclinical markers of macrovascular disease are associated with cognitive decline in older adults with type 2 diabetes, according to a study published online April 11 in Diabetes Care.

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For Older Men, Prostate Biopsy Uncommon After Abnormal PSA

THURSDAY, April 18 (HealthDay News) -- For older men with abnormal prostate-specific antigen (PSA) levels, performance of prostate biopsies is uncommon and decreases with advancing age and worsening comorbidity, according to a study published online April 15 in JAMA Internal Medicine.

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Essay Questions Conventional Etiology of Obesity

THURSDAY, April 18 (HealthDay News) -- To progress in the fight against obesity it is necessary to accept that there may be alternative hypotheses underlying its etiology and be prepared to invest the necessary time and resources to understand the underlying causes, according to an essay published online April 16 in BMJ.

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Patient Expresses Concern About Lack of Data on Biological Drugs

THURSDAY, April 18 (HealthDay News) -- A patient with Crohn's disease is concerned about the attempt by the makers of adalimumab to prevent disclosure of trial data submitted during the drug's approval process, according to a personal view piece published online April 16 in BMJ.

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Family-Centered Teaching Rounds Good for Patients, Students

THURSDAY, April 18 (HealthDay News) -- Teaching and conducting rounds in the presence of patients and their families can be beneficial for patients and learners, according to research published online April 15 in Pediatrics.

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Guidelines Issued Relating to Online Medical Professionalism

THURSDAY, April 18 (HealthDay News) -- Physicians should be aware of the benefits on online media and should recognize the implications for patient confidentiality and public perception, according to a position paper published in the April 16 issue of the Annals of Internal Medicine.

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Ultrasound Model IDs Residual Joint Inflammation in RA

THURSDAY, April 18 (HealthDay News) -- A model including ultrasound (US) assessment of the wrist, metacarpophalangeal (MCP), ankle, and metatarsophalangeal (MTP) joints is highly sensitive for detecting B-mode and Doppler joint inflammation in patients with rheumatoid arthritis (RA), according to a study published in the April issue of Arthritis Care & Research.

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Low-Carb Diet Doesn't Improve Gestational Diabetes Outcomes

WEDNESDAY, April 17 (HealthDay News) -- A low carbohydrate (CHO) diet does not alter insulin needs or pregnancy outcomes in women with gestational diabetes mellitus (GDM), according to a study published online April 5 in Diabetes Care.

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Women's Hostile Attributions Up Odds of Child Maltreatment

WEDNESDAY, April 17 (HealthDay News) -- Pregnant women's hostile attributions about infants correlate with an increased risk of early child maltreatment and harsh parenting, according to a study published online April 15 in JAMA Pediatrics.

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High Resting Heart Rate Linked to Increased Mortality in Men

WEDNESDAY, April 17 (HealthDay News) -- For healthy middle-aged men, resting heart rate (RHR) is associated with an increased risk of mortality, according to a study published online April 17 in Heart.

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Glutamine, Antioxidants No Benefit to Critically Ill Patients

WEDNESDAY, April 17 (HealthDay News) -- For critically ill patients with multiorgan failure, early supplementation with glutamine or antioxidants does not improve clinical outcomes, according to a study published in the April 18 issue of the New England Journal of Medicine.

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Community Benefit Spending Varies for Tax-Exempt Hospitals

WEDNESDAY, April 17 (HealthDay News) -- There is considerable variation in the level of community benefit expenditure by tax-exempt hospitals, according to a study published in the April 18 issue of the New England Journal of Medicine.

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PSA in Midlife Can Predict Later Risk of Prostate Cancer Mets

WEDNESDAY, April 17 (HealthDay News) -- Prostate-specific antigen (PSA) concentrations in midlife can be used to predict the long-term risk of prostate cancer metastasis or death from prostate cancer, according to a study published online April 16 in BMJ.

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Induced Abortion Rate Lower With Methotrexate Tx in RA

WEDNESDAY, April 17 (HealthDay News) -- For women with rheumatoid arthritis (RA), exposure to methotrexate is associated with a reduced risk of induced abortions, according to a study published online April 16 in Arthritis Care & Research.

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U.S. Infant Mortality Rates Down From 2005 Through 2011

WEDNESDAY, April 17 (HealthDay News) -- Infant mortality rates in the United States decreased from 2005 through 2011, according to an April data brief issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Presenting Fee Data to Docs Cuts Number of Tests Ordered

WEDNESDAY, April 17 (HealthDay News) -- Presenting fee data to providers at the time of laboratory test orders is associated with a small reduction in the number of tests ordered, according to a study published online April 15 in JAMA Internal Medicine.

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Left Anterior Fascicular Block May Not Be a Benign Finding

WEDNESDAY, April 17 (HealthDay News) -- Left anterior fascicular block (LAFB) is associated with an increased risk of atrial fibrillation (AF), congestive heart failure (CHF), and death in older adults without apparent cardiovascular disease, according to research published in the April 17 issue of the Journal of the American Medical Association.

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Aerobic Exercise Reduces Brain Damage From Alcohol

WEDNESDAY, April 17 (HealthDay News) -- Heavy alcohol consumption is associated with greater white matter damage in people who do not regularly do aerobic exercise, according to a study published online April 2 in Alcoholism: Clinical & Experimental Research.

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~60 Percent of Peds Hospitals Have Electronic Health Records

WEDNESDAY, April 17 (HealthDay News) -- Since 2008 there has been an increase in the proportion of children's hospitals adopting electronic health records (EHRs), with EHRs in almost 60 percent of children's hospitals in 2011, according to research published online April 15 in Pediatrics.

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Overall Prevalence of Healthy Lifestyle Behaviors Is Low

TUESDAY, April 16 (HealthDay News) -- The prevalence of healthy lifestyle behaviors in patients with either a coronary heart disease (CHD) or stroke event is low in various countries with different income levels, but those living in poorer countries have the lowest prevalence, according to research published in the April 17 issue of the Journal of the American Medical Association.

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Shock Waves Improve Coronary Stem Cell Treatment

TUESDAY, April 16 (HealthDay News) -- In patients with chronic heart failure, cardiac shock wave pretreatment before intracoronary infusion of bone marrow-derived mononuclear cells (BMCs) significantly but modestly improves heart function, according to a study published in the April 17 issue of the Journal of the American Medical Association.

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Migraines in Children Linked to Infantile Colic

TUESDAY, April 16 (HealthDay News) -- Children with migraine headaches are more likely to have a history of infantile colic, according to a study published in the April 17 issue of the Journal of the American Medical Association.

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Exercise Benefits Physical Functioning in Alzheimer's

TUESDAY, April 16 (HealthDay News) -- For patients with Alzheimer's disease, a year-long exercise program is associated with reduced deterioration in physical functioning, according to a study published online April 15 in JAMA Internal Medicine.

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Family Doc Counseling Fails to Lift QoL for Abused Women

TUESDAY, April 16 (HealthDay News) -- For women identified as positive for fear of partner, counseling from trained family doctors is not associated with improved quality of life, but may reduce depression, according to a study published online April 16 in The Lancet.

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USPSTF: Offer Preventive Meds to Women at Risk of Breast Cancer

TUESDAY, April 16 (HealthDay News) -- The U.S. Preventive Services Task Force recommends that women who are at increased risk of primary breast cancer consider taking preventive medications such as tamoxifen. This Recommendation Statement is based on an evidence review published in the April 16 issue of the Annals of Internal Medicine.

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Routine CT Imaging Can Be Used to Identify Osteoporosis

TUESDAY, April 16 (HealthDay News) -- Abdominal computed tomography (CT) imaging, conducted for other indications, can be used to identify patients with osteoporosis, according to a study published in the April 16 issue of the Annals of Internal Medicine.

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Computer-Aided Detection Tied to Increase in DCIS Diagnoses

TUESDAY, April 16 (HealthDay News) -- The use of computer-aided detection (CAD) for screening mammography has increased in prevalence and is associated with increased diagnosis of ductal carcinoma in situ (DCIS), according to a study published in the April 16 issue of the Annals of Internal Medicine.

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Some Triggered Fainting May Be Inherited

TUESDAY, April 16 (HealthDay News) -- Some inherited cases of vasovagal syncope, or fainting caused by particular triggers, are linked to a particular region of chromosome 15q26, according to a study in the April 16 issue of Neurology.

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Endocrine Therapy Often Incomplete after Breast Cancer

TUESDAY, April 16 (HealthDay News) -- About 25 percent of women with breast cancer either never initiate adjuvant endocrine treatment or stop treatment prematurely, according to a study published in the March issue of Breast Cancer Research and Treatment.

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Longer Breastfeeding Duration Boosts Risk of Iron Deficiency

TUESDAY, April 16 (HealthDay News) -- Longer breastfeeding duration is associated with increased odds of iron deficiency in healthy children, according to a study published online April 15 in Pediatrics.

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Music Aids Preemie Physiologic, Developmental Function

TUESDAY, April 16 (HealthDay News) -- For premature infants, exposure to live music and parent-preferred lullabies can influence physiologic and developmental function, according to a study published online April 15 in Pediatrics.

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Similar Outcomes for Robotic, Laparoscopic Prostatectomy

TUESDAY, April 16 (HealthDay News) -- For men undergoing routine surgical treatment for localized cancer of the prostate, robot-assisted radical prostatectomy (RALP) does not result in better functional outcomes compared to laparoscopic radical prostatectomy (LRP), according to a study published in the April issue of Urology.

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Factors Weighing in on Long-Term Diabetes Survival Studied

MONDAY, April 15 (HealthDay News) -- Those able to survive with type 2 diabetes (T2DM) for more than 40 years are more likely to have better glycemic control, lower blood pressure, and more favorable lipid profiles, according to a study published online April 5 in Diabetes Care.

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Pediatric Melanomas Are Increasing 2 Percent a Year

MONDAY, April 15 (HealthDay News) -- The incidence of pediatric melanoma has increased by about 2 percent per year, and this incidence trend is influenced by gender, age, and stage at diagnosis, primary site, and ultraviolet (UV)-B exposure, according to research published online April 15 in Pediatrics.

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4.4 mmol/L Is Optimal Fasting Glucose Cutoff for GDM Screening

MONDAY, April 15 (HealthDay News) -- A fasting plasma glucose value of 4.4 mmol/L is the optimal cut point for determining which pregnant Chinese women need a 75-g 2-h oral glucose tolerance test offered at 24 to 28 weeks' gestation, according to a study published online March 27 in Diabetes Care.

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Full-Term Gestational Age Tied to Development at 12 Months

MONDAY, April 15 (HealthDay News) -- For healthy full-term infants, development at age 12 months is associated with gestational age, with scores increasing for each additional week of gestation, according to a study published online April 15 in Pediatrics.

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Social Networks Affect Parents' Vaccination Decision-Making

MONDAY, April 15 (HealthDay News) -- Social networks play a role in parents' vaccination decision-making, according to a study published online April 15 in Pediatrics.

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Quality Improvement Methods Up Appropriate Antibiotic Rx

MONDAY, April 15 (HealthDay News) -- Quality improvement (QI) methods can be used to rapidly implement national guidelines relating to appropriate first-line antibiotic therapy for children aged 3 months or older with community-acquired pneumonia (CAP), according to a study published online April 15 in Pediatrics.

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Review Suggests Breast Cancer Screens Should Be Personalized

FRIDAY, April 12 (HealthDay News) -- Optimal breast cancer screening should be personalized for each woman and may go beyond mammography, according to a review published online April 4 in the American Journal of Medicine.

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Central Adiposity May Affect Renal Hemodynamics

FRIDAY, April 12 (HealthDay News) -- Regardless of body mass index (BMI), higher waist-to-hip ratio (WHR), a measure of central adiposity, is associated with lower glomerular filtration rate (GFR), lower effective renal plasma flow (ERPF), and higher filtration fraction (FF), according to research published online April 11 in Journal of the American Society of Nephrology.

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Vitamin D Not Tied to Subclinical Atherosclerosis in T1DM

FRIDAY, April 12 (HealthDay News) -- For individuals with type 1 diabetes, low concentrations of vitamin D metabolites are not associated with an increased risk of subclinical atherosclerosis, according to a study published online March 25 in Diabetes Care.

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Cardiac Function Unaffected by Prior Intensive Insulin Therapy

FRIDAY, April 12 (HealthDay News) -- There was no effect of intensive versus conventional insulin therapy during the Diabetes Control and Complications Trial (DCCT) on cardiac parameters as assessed by cardiac magnetic resonance (CMR) in the Epidemiology of Diabetes Interventions and Complications (EDIC) cohort (follow-up to the DCCT), but prior glycemic exposure had an impact on cardiac parameters, according to research published online March 21 in Diabetes.

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Topical Treatment Effective for Toenail Fungal Infection

FRIDAY, April 12 (HealthDay News) -- Once daily topical efinaconazole is effective in treating fungal infections of the toenail, according to a study published in the April issue of the Journal of the American Academy of Dermatology.

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Drug-Facilitated Weight Loss Benefits Cardiometabolic Status

FRIDAY, April 12 (HealthDay News) -- Obese and overweight patients with dyslipidemia or hypertension treated with phentermine and topiramate extended-release (PHEN/TPM ER) for weight loss had significant improvements in cardiovascular disease risk factors, according to research published in the April 15 issue of The American Journal of Cardiology.

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Most ED Docs, Nurses Doubtful About Suicide Preventability

FRIDAY, April 12 (HealthDay News) -- Less than half of emergency department (ED) physicians and nurses believe that most or all suicides are preventable, and most do not assess suicidal patients for firearm access unless the patient has a suicide plan involving a firearm, according to a study published online March 14 in Depression and Anxiety.

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Ectopic Pregnancy Rates Higher in Medicaid Population

FRIDAY, April 12 (HealthDay News) -- The ectopic pregnancy rate is higher among Medicaid beneficiaries than the privately insured, according to a study published in the April issue of the American Journal of Obstetrics & Gynecology.

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Topical Anesthetics Effective for Premature Ejaculation

FRIDAY, April 12 (HealthDay News) -- Topical anesthetic agents seem to be effective and are generally well tolerated for patients with premature ejaculation (PE), according to a review published in the April issue of Urology.

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ACS: Room for Improvement in Cancer Prevention, Detection

THURSDAY, April 11 (HealthDay News) -- Despite improvements in aspects of cancer prevention and early detection, more systematic efforts to reduce tobacco use and obesity, and expand the use of screening tests could prevent much of the suffering and death of cancer, according to a report published online April 11 by the American Cancer Society.

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Speech Details Practices to Improve U.S. Health Systems

THURSDAY, April 11 (HealthDay News) -- There are specific steps health care providers and policymakers should take to create high-quality, patient-centered care at lower costs, according to remarks made in an April 9 speech to the National Press Club.

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Ohio Girl's Death Shows Need for Catch-Up Vaccinations

THURSDAY, April 11 (HealthDay News) -- A case of varicella death of an unvaccinated, previously healthy adolescent in Ohio was reported in the April 12 Morbidity and Mortality and Weekly Report.

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Restricting Soda Size May, Gulp, Actually Increase Consumption

THURSDAY, April 11 (HealthDay News) -- Restriction of larger-size sodas, which encourages conversion into bundles of smaller-sized sodas, may increase soda consumption, according to a study published online April 10 in PLOS ONE.

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Blood Clot Risk in Pregnancy Is Highest With Stillbirth

THURSDAY, April 11 (HealthDay News) -- The risk of venous thromboembolism (VTE) among pregnant women is highest if they have had a stillbirth and also increases if they are obese or have conditions such as varicose veins, inflammatory bowel disease, obstetric hemorrhage, preterm delivery, or cesarean section, according to a study published online April 2 in Blood.

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Fusion Doesn't Up Reoperation Risk With Spinal Stenosis

THURSDAY, April 11 (HealthDay News) -- For patients undergoing surgical treatment of spinal stenosis, lumbar fusion and instrumentation do not increase the rate of reoperation at index or adjacent levels compared with nonfusion techniques, according to a study published in the April 1 issue of Spine.

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Calorie Reduction, Not Bypass Surgery, Ups Diabetes Control

THURSDAY, April 11 (HealthDay News) -- Calorie reduction rather than the actual Roux-en-Y gastric bypass (RYGB) surgery seems to account for the improvement in glucose homeostasis in obese patients with type 2 diabetes who undergo RYGB, according to a study published online March 25 in Diabetes Care.

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Overweight Adults Back Weight-Loss Health Benefits

THURSDAY, April 11 (HealthDay News) -- Most overweight adults feel that specific weight-loss benefits offered by health plans would be helpful, but few are willing to pay extra for them, according to a study published online April 9 in the American Journal of Preventive Medicine.

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Adherence Is Generally High to Tobacco Control Act Provisions

THURSDAY, April 11 (HealthDay News) -- Tobacco retailers are generally adherent to all provisions of the Tobacco Control Act, according to a study published in April issue of the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Mental Health Seaches on Web Follow a Seasonal Pattern

THURSDAY, April 11 (HealthDay News) -- Seasonal patterns of information searches on all major mental illness and/or problems mirror those patterns for seasonal affective disorder, according to research published in the May issue of the American Journal of Preventive Medicine.

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Sales Representatives Provide Inadequate Safety Information

THURSDAY, April 11 (HealthDay News) -- Pharmaceutical sales representatives (PSRs) rarely inform primary care physicians about drug safety information during sales visits, according to research published online April 10 in the Journal of General Internal Medicine.

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Readmission Rates ID'd After Spine Stenosis Decompression

THURSDAY, April 11 (HealthDay News) -- For patients undergoing lumbar spine stenosis decompression surgery with or without fusion, the one-year readmission rate is 9.7 or 7.2 percent, respectively, according to a study published in the April 1 issue of Spine.

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Fish Oil Has No Effect on Depression in Pregnancy

THURSDAY, April 11 (HealthDay News) -- Fish oil supplements do not prevent depression in late pregnancy and postpartum in women at risk of depression, according to a study in the April issue of the American Journal of Obstetrics & Gynecology.

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Patients Accepting, Grateful for Death With Dignity Program

WEDNESDAY, April 10 (HealthDay News) -- Patients and families are accepting of and grateful for a Death with Dignity program established at a comprehensive cancer care center, according to a study published in the April 11 issue of the New England Journal of Medicine.

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Variation Seen in U.S. Antibiotic Prescription Rates

WEDNESDAY, April 10 (HealthDay News) -- U.S. outpatient antibiotic prescribing in 2010 varied with patient age, geographically, and according to provider specialty, according to a letter published in the April 11 issue of the New England Journal of Medicine.

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Teens With Gynecomastia Have Lower Psychosocial Well-Being

WEDNESDAY, April 10 (HealthDay News) -- Adolescent males with gynecomastia have lower psychosocial well-being than their unaffected peers, according to a study published in the April issue of Plastic and Reconstructive Surgery.

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Sleep Apnea Tied to Behavioral, Attention Problems in Youths

WEDNESDAY, April 10 (HealthDay News) -- Children with sleep apnea are at higher risk for behavioral, adaptive, and learning problems, according to a study published April 1 in SLEEP.

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Parenting Magazines Give Little Attention to Sun Protection

WEDNESDAY, April 10 (HealthDay News) -- Two popular U.S. parenting magazines give little attention in terms of articles or advertisements to preventing skin cancer risk, according to a study published in the April issue of the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Population-Wide Weight Loss, Gain Linked to Diabetes Burden

WEDNESDAY, April 10 (HealthDay News) -- Based on the Cuban experience of 1980 to 2010, population-wide weight loss and regain seem to correlate with the burden of diabetes and heart disease, according to a study published online April 9 in BMJ.

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Collaborative Program Can Cut Early-Term Deliveries

WEDNESDAY, April 10 (HealthDay News) -- A multistate collaborative process improvement program can reduce the rate of elective scheduled singleton early-term deliveries, according to a study published online April 5 in Obstetrics & Gynecology.

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Diclegis Approved for Nausea/Vomiting in Pregnancy

TUESDAY, April 9 (HealthDay News) -- Diclegis (doxylamine succinate and pyridoxine hydrochloride) has been approved by the U.S. Food and Drug Administration to treat nausea and vomiting during pregnancy.

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Patients Using Different Rx Strategies to Save Money

TUESDAY, April 9 (HealthDay News) -- Adults in the U.S. who are poor or uninsured are more likely to ask for lower-cost alternatives or not to take their prescribed medications, according to research published in the April NCHS Data Brief.

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ACP: Men Need to Be Informed of PSA Testing Benefits, Harms

TUESDAY, April 9 (HealthDay News) -- Men between the ages of 50 and 69 years old need to be informed about the limited potential benefits and substantial harms of screening for prostate cancer, according to a guidance statement published online April 8 in the Annals of Internal Medicine.

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NYC Health Department, ER Docs Clash Over Opioid Guidelines

TUESDAY, April 9 (HealthDay News) -- There is uncertainty as to whether the New York City Emergency Department Discharge Opioid Prescribing Guidelines will aid emergency physicians as they weigh the complex decisions of relieving patient pain while working to ensure patient safety, according to opposing viewpoints published online April 8 in the Annals of Internal Medicine.

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USPSTF Finds Evidence Is Lacking for Oral Cancer Screens

TUESDAY, April 9 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) finds that there is currently not enough evidence to determine the benefits and harms of primary care screening of all adults for oral cancer, according to report it released April 8.

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Overall Alcohol Intake Not Tied to Breast CA-Specific Survival

TUESDAY, April 9 (HealthDay News) -- Moderate alcohol consumption before diagnosis of breast cancer is associated with modest improvement in disease-specific survival, although overall consumption before and after diagnosis are not linked to disease-specific survival, according to a study published online April 8 in the Journal of Clinical Oncology.

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BMI at T2DM Diagnosis Has U-Shaped Link With Mortality

TUESDAY, April 9 (HealthDay News) -- For patients diagnosed with type 2 diabetes mellitus (T2DM), body mass index (BMI) around the time of diagnosis has a U-shaped correlation with mortality, according to research published in the April issue of Diabetes Care.

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Amiodarone Treatment Is Linked to Higher Cancer Risk

MONDAY, April 8 (HealthDay News) -- Amiodarone treatment for arrhythmias is associated with a higher risk of developing cancer, particularly in males and with increasing dose, according to a study published online April 8 in Cancer.

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Delayed Allergy Reactions Seen With Pediatric Meat Consumption

MONDAY, April 8 (HealthDay News) -- Immunoglobulin E (IgE) antibody specific for galactose-α1,3-galactose (α-Gal), which is associated with delayed anaphylaxis and urticaria that occurs several hours after eating beef, pork, or lamb, has been identified in children reporting idiopathic anaphylaxis or urticaria, according to a study published online April 8 in Pediatrics.

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Spinal Adjustment Relieves Symptoms Better Than NSAIDs

MONDAY, April 8 (HealthDay News) -- Spinal manipulation is significantly superior to anti-inflammatory drugs for the treatment of acute, nonspecific low back pain (LBP), according to a study published in the April issue of Spine.

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Smoking on Waking Increases Risk of Lung and Oral Cancers

MONDAY, April 8 (HealthDay News) -- Smokers who smoked within five minutes after waking have higher levels of tobacco smoke carcinogen and may be at higher risk for lung and oral cancer, according to research published online April 2 in Cancer Epidemiology, Biomarkers and Prevention.

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Risk of Comorbidities Up With Hypoglycemia in T2DM

MONDAY, April 8 (HealthDay News) -- For patients with type 2 diabetes, hypoglycemia, regardless of its severity, correlates with a significantly increased risk of cardiovascular events, all-cause hospitalization, and mortality, according to research published in the April issue of Diabetes Care.

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Resveratrol Has No Effect in Healthy Obese Men, Study Finds

MONDAY, April 8 (HealthDay News) -- Resveratrol appears not to have a metabolic effect in obese men, according to a study published in the April issue of Diabetes.

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Acupuncture Reduces Pain of Chronic Low Back Discomfort

MONDAY, April 8 (HealthDay News) -- Individualized acupuncture treatment reduces some negative symptoms of chronic low back pain (cLBP) better than sham treatment, according to a study published in the April issue of Spine.

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Eating Frequency, Body Weight Are Inversely Linked for Youths

MONDAY, April 8 (HealthDay News) -- For children and adolescents, there is an inverse association between eating frequency and body weight status, which is evident only in boys when stratified by sex, according to a meta-analysis published online April 8 in Pediatrics.

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Majority of Americans Now Favor Legalizing Marijuana

MONDAY, April 8 (HealthDay News) -- A majority of Americans (52 percent) now favor legalizing marijuana, and 72 percent feel that the government efforts to enforce marijuana laws are not worth their cost, according to research published by the Pew Research Center.

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Less Sodium, More Potassium Can Have Major Health Impact

MONDAY, April 8 (HealthDay News) -- Lowering salt intake and increasing potassium intake are associated with cardiovascular risk improvements and could have a major impact on global health, according to three meta-analyses published April 4 in BMJ.

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African-Americans Are More Willing to Join in Research

MONDAY, April 8 (HealthDay News) -- Results from the Sentinel Network, which focuses on the health priorities and concerns of under-represented groups, indicate that African-Americans are more willing to participate in research than other racial/ethnic groups, according to a study published online Feb. 14 in the American Journal of Public Health.

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Former College Athletes Don't Have Increased Depression Risk

MONDAY, April 8 (HealthDay News) -- Former college athletes seem not to have an increased risk for depression, according to a study published online March 25 in Sports Health: A Multidisciplinary Approach.

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For Teens, Attention to TV Is Linked to Increased BMI Scores

MONDAY, April 8 (HealthDay News) -- For adolescents, the attention paid to television is positively associated with increased body mass index (BMI), according to a study published online April 8 in Pediatrics.

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Federal Judge Rules FDA Must Lift Restrictions on Plan B

FRIDAY, April 5 (HealthDay News) -- The U.S. Food and Drug Administration (FDA) must lift any age and sale restrictions on Plan B One-Step and its generic versions within 30 days, a federal judge ruled today.

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Coal-Tar-Sealed Pavement-Tied PAH Exposure Ups Cancer Risk

FRIDAY, April 5 (HealthDay News) -- There is a significantly increased lifetime risk of cancer for individuals exposed to polycyclic aromatic hydrocarbons (PAHs) associated with coal-tar-sealed pavement, according to a study published in the Jan. 15 issue of Environmental Science & Technology.

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Growth Hormone Ups Height in Pediatric Dialysis Patients

FRIDAY, April 5 (HealthDay News) -- For pediatric dialysis patients, growth hormone (GH) therapy is associated with an increased rate of bone formation and results in greater increases in height, according to research published online April 4 in the Clinical Journal of the American Society of Nephrology.

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Novel Digital Stethoscope Detects Coronary Artery Disease

FRIDAY, April 5 (HealthDay News) -- An advanced digital electronic stethoscope that detects coronary artery microbruits showed high sensitivity and specificity in detecting coronary artery disease (CAD) when compared to computed tomographic (CT) angiography, according to research published in March 15 issue in The American Journal of Cardiology.

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Statins Show Protective Effect Against Acute Kidney Injury

FRIDAY, April 5 (HealthDay News) --Initiating a statin prior to coronary artery bypass grafting (CABG) surgery may modestly reduce the risk of acute kidney injury (AKI) post-CABG, especially in patients less than 65 years old, according to research published March 15 in The American Journal of Cardiology.

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Diabetes Has Negative Impact on Individual's Ability to Work

FRIDAY, April 5 (HealthDay News) -- Diabetes has a negative impact on the ability to work, according to a review and meta-analysis published in the March issue of Diabetes Care.

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Walking Reduces CHD Risk Factors as Much as Running

FRIDAY, April 5 (HealthDay News) -- Equivalent energy expenditure by moderate- or vigorous-intensity exercise is associated with similar risk reductions in coronary heart disease risk factors, according to a study published online April 4 in Arteriosclerosis, Thrombosis, and Vascular Biology.

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EEG Proves Useful in Detection of Causes of In-Hospital Spells

FRIDAY, April 5 (HealthDay News) -- Seizures are common among hospitalized patients who undergo electroencephalography (EEG) due to spells or altered mental status, according to a study in the April issue of Mayo Clinic Proceedings.

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Disparities in Blood Lead Levels Persist Among U.S. Children

FRIDAY, April 5 (HealthDay News) -- Despite progress in reducing blood lead levels (BLLs) among children aged 1 to 5 years, disparities in those levels persist among different racial/ethnic and income groups, according to research published April 5 in the Morbidity and Mortality Weekly Report.

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Chronic Pain Syndromes Are Common After Ischemic Stroke

FRIDAY, April 5 (HealthDay News) -- About 10 percent of patients develop chronic pain syndromes post-stroke, and these patients are more likely to have increased functional dependence and cognitive decline, according to research published online April 4 in Stroke.

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Prevalence of Self-Reported Hypertension Rises in U.S.

THURSDAY, April 4 (HealthDay News) -- The prevalence of self-reported hypertension among U.S. adults increased slightly, but significantly from 2005 to 2009, and the proportion of adults using anti-hypertensive medications also increased, according to research published April 4 in Morbidity and Mortality Weekly.

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Timing, Duration of Obesity Impact Adult Diabetes Risk

THURSDAY, April 4 (HealthDay News) -- The likelihood of diabetes in young adulthood is increased for those who are obese as adolescents and those with persistent obesity, compared to those with adult-onset obesity, according to a study published in the April issue of Diabetes Care.

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Primary Care Model Ups African Americans' Glycemic Control

THURSDAY, April 4 (HealthDay News) -- A primary care strategy targeting rural, low-income, African-American patients with type 2 diabetes is associated with improved glycemic control, according to research published in March/April issue of the Annals of Family Medicine.

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All Hospital Emergency Rooms Should Be Prepared for Children

THURSDAY, April 4 (HealthDay News) -- All hospital emergency departments (EDs), including community hospital EDs, should have the appropriate medications, equipment, policies, and staff to provide effective emergency care for children, according to a policy statement published in the March issue of the Journal of Emergency Nursing.

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Low Risk With Normal Coronary Arteries, Nonobstructive CAD

THURSDAY, April 4 (HealthDay News) -- Patients who experience acute chest pain, and have nonobstructive coronary artery disease (CAD), as determined by coronary computed tomographic angiography, have similarly benign outcomes as those with normal coronary arteries, according to a study published in the April 1 issue of The American Journal of Cardiology.

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Glucocorticoids Are Tied to Increased Risk of Clots

THURSDAY, April 4 (HealthDay News) -- Glucocorticoid users face an increased risk of venous thromboembolism (VTE), according to a study published online April 1 in JAMA Internal Medicine.

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Combo Treatment Effective for Cryptococcal Meningitis

THURSDAY, April 4 (HealthDay News) -- In HIV-infected patients with cryptococcal meningitis, treatment with amphotericin B plus flucytosine is more effective for improving survival than treatment with amphotericin B alone, according to a study published in the April 4 issue of the New England Journal of Medicine.

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Web-Based Nephrology Consults May Reduce Referrals

THURSDAY, April 4 (HealthDay News) -- A system of Web-based consultations (telenephrology) may reduce the number of specialty referrals for patients with chronic kidney disease, according to a study published in the March/April issue of the Annals of Family Medicine.

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Testosterone Changes Precede Type of Rheumatoid Arthritis

THURSDAY, April 4 (HealthDay News) -- Hormonal changes, especially testosterone, precede the onset of rheumatoid arthritis (RA) in men and may influence the type of RA, according to research published online April 3 in Annals of Rheumatic Diseases.

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Male Vertex Baldness Linked to Coronary Heart Disease

THURSDAY, April 4 (HealthDay News) -- Male vertex baldness is associated with an increased risk of coronary heart disease (CHD), with the association depending on the severity of baldness, according to a meta-analysis published online April 3 in BMJ Open.

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CMS Announces Final Rates for Medicare Drug, Health Plans

THURSDAY, April 4 (HealthDay News) -- The Centers for Medicare & Medicaid Services (CMS) has issued the 2014 rate announcement and final call letter for Medicare Advantage and prescription drug benefit Part D programs.

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Geographic Value Index May Not Produce Efficient Care

THURSDAY, April 4 (HealthDay News) -- A geographically based value index to set Medicare reimbursements may not take into account differences in health care decision-making by individual practitioners or organizations, according to an interim report released March 22 by the Institute of Medicine (IOM).

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More Research Is Needed on Use of Prebiotics in Infants

THURSDAY, April 4 (HealthDay News) -- There is some evidence that supplementation with a prebiotic may prevent eczema in formula-fed infants, but more research is needed before routine use of prebiotics can be recommended, according to a review published online March 28 in The Cochrane Library.

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Integrated Model Can Predict Preeclampsia in First Trimester

WEDNESDAY, April 3 (HealthDay News) -- An integrated model for first-trimester screening of preeclampsia (PE) seems effective in a routine care setting, according to a study published in the March issue of the American Journal of Obstetrics & Gynecology.

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Annual Cost of Dementia About $200 Billion in U.S.

WEDNESDAY, April 3 (HealthDay News) -- In 2010, about 15 percent of elderly individuals in the United States had dementia, with the total monetary cost about $200 billion, according to a study published in the April 4 issue of the New England Journal of Medicine.

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Androgen Deprivation Tx Compared in Prostate Cancer

WEDNESDAY, April 3 (HealthDay News) -- In patients with metastatic hormone-sensitive prostate cancer, intermittent androgen deprivation is associated with slightly, but not significantly, worse survival than continuous androgen deprivation, according to a study published in the April 4 issue of the New England Journal of Medicine.

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HIV Self-Testing Strategies Highly Acceptable

WEDNESDAY, April 3 (HealthDay News) -- Self-testing for HIV, either supervised or unsupervised, is highly accepted and preferred over facility-based testing, according to a review published online April 2 in PLoS Medicine.

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Fed Gov to Cover 100% of New Medicaid Enrollees Under ACA

WEDNESDAY, April 3 (HealthDay News) -- The Department of Health and Human Services (HHS) announced the federal government will pay 100 percent of the costs of certain newly eligible adult Medicaid beneficiaries under the Affordable Care Act.

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Rural Hospital Mortality Rates Climbed From 2002-2010

WEDNESDAY, April 3 (HealthDay News) -- Thirty-day mortality rates for patients admitted to critical access hospitals (CAHs; designated hospitals for individuals living in rural communities) increased from 2002 to 2010 compared with patients admitted to other acute care hospitals, according to a study published online April 2 in the Journal of the American Medical Association.

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Peer Coaching Model Beneficial for Patients With Diabetes

WEDNESDAY, April 3 (HealthDay News) -- Health coaching by peers is associated with a significant reduction in hemoglobin A1c (HbA1c) levels among patients treated in public health clinics, according to research published in the March/April issue of the Annals of Family Medicine.

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Obama Administration Unveils The BRAIN Initiative

WEDNESDAY, April 3 (HealthDay News) -- Following the presentation of a new research initiative designed to map the human brain, set out in the State of the Union address, the Obama administration has unveiled the Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Initiative, according to a White House press release issued April 2.

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Tonsillectomy Benefits Adults With Recurrent Pharyngitis

WEDNESDAY, April 3 (HealthDay News) --Adult patients with recurrent pharyngitis who underwent tonsillectomy had fewer symptoms of pharyngitis, thus reducing the number of medical visits and missed days from work or school, according to research published online April 2 in CMAJ, the journal of the Canadian Medical Association.

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Higher Plasma Fatty Acid Levels Tied to Reduced Mortality

TUESDAY, April 2 (HealthDay News) -- Higher circulating long-chain ω-3 polyunsaturated fatty acid (ω3-PUFA) levels are tied to lower mortality later in life among cardiovascularly healthy adults, according to a study published in the April 2 issue of the Annals of Internal Medicine.

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Patients Taken Off Statins Can Be Re-Challenged With Success

TUESDAY, April 2 (HealthDay News) -- Most patients who reported statin-related clinical events that resulted in statins being discontinued can often be re-challenged, and they can often tolerate the same or different statins long-term, according to research published in the April 2 issue of the Annals of Internal Medicine.

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One in 5 Teen Births Is Now a Repeat Birth, Study Finds

TUESDAY, April 2 (HealthDay News) -- Despite a decline in the prevalence of repeat teen births in recent years, nearly 20 percent of all teen births are a repeat birth with significant racial/ethnical and geographical variations, according to research published April 2 in Vital Signs, a section of the Mortality and Morbidity Weekly Report, published by the U.S. Centers for Disease Control and Prevention (CDC).

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Decreased Melatonin Secretion Tied to Risk for Type 2 Diabetes

TUESDAY, April 2 (HealthDay News) -- In women, lower melatonin secretion is independently associated with a higher risk of developing type 2 diabetes, according to a study published published online April 2 in the Journal of the American Medical Association.

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USPSTF: BRCA Testing for Women With Family History

TUESDAY, April 2 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that BRCA1 and BRCA2 genetic testing be limited to women whose family histories are associated with an increased likelihood of having BRCA mutations.

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FDA Allows Change to Nicotine Replacement Therapy Labels

TUESDAY, April 2 (HealthDay News) -- The U.S. Food and Drug Administration will allow companies which manufacture over the counter nicotine replacement therapies to update labels allowing longer use and more flexible conditions of use.

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After Chest Pain, Outcomes Are Better With Cardiologist's Care

TUESDAY, April 2 (HealthDay News) -- Patients with high cardiovascular risk seen for chest pain have better outcomes if they receive follow-up from a cardiologist rather than a primary care physician or no physician follow-up, according to a study published online April 1 issue of Circulation.

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End-of-Life Talks Between Elderly, Doctors Inadequate

TUESDAY, April 2 (HealthDay News) -- Most elderly patients at high risk for imminent death and their family members are discussing end-of-life (EOL) treatment preferences, but many do not communicate these with a member of the health care team, according to a study published online April 1 in JAMA Internal Medicine.

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Physical, Mental Activity Improve Seniors' Cognitive Function

TUESDAY, April 2 (HealthDay News) -- Physical and mental activity are both associated with improved cognitive functioning in inactive, older adults with cognitive complaints, according to a study published online April 1 in JAMA Internal Medicine.

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U.S. Adolescents Are in Poor Heart Health, Survey Finds

TUESDAY, April 2 (HealthDay News) -- Adolescents in the United States are in poor cardiovascular health, with poor diets and insufficient physical activity, according to a study published online April 1 in Circulation.

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Group-Based Weight Loss Incentives Are More Effective

TUESDAY, April 2 (HealthDay News) -- Group-based financial incentives for weight loss are more effective than individual incentives, according to a study published online April 1 in the Annals of Internal Medicine.

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Study Examines Timing of Sexual Activity in U.S. Teens

TUESDAY, April 2 (HealthDay News) -- For the youngest teenagers, sexual activity and pregnancy are rare, but most older teens are sexually active, according to a study published online April 1 in Pediatrics.

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New Drug Approved for Type 2 Diabetes

MONDAY, April 1 (HealthDay News) -- Invokana (canaglifozin) has been approved by the U.S. Food and Drug Administration to treat type 2 diabetes, which affects about 24 million Americans.

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Varicella Vaccine Is Effective, Lasting Over 14-Year Period

MONDAY, April 1 (HealthDay News) -- Varicella vaccination is effective for preventing varicella, with effectiveness lasting over a 14-year period, according to a study published online April 1 in Pediatrics.

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Better Communication Reduces Prescriptions for Antibiotics

MONDAY, April 1 (HealthDay News) -- Neither C-reactive protein testing nor enhanced physician communication training resulted in reduced office visits, but enhanced communication training resulted in less prescribing for antibiotics for respiratory tract infections, according to research published in March/April issue in Annals of Family Medicine.

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Diabetes Care for African-Americans Can Be Improved

MONDAY, April 1 (HealthDay News) -- For African-Americans with type 2 diabetes, health care-promoted interventions targeting patients, the health care system, or both, can improve the quality of care, according to a review and meta-analysis published in the March issue of Diabetes Care.

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Physical Activity Improves Sleep for Menopausal Women

MONDAY, April 1 (HealthDay News) -- For women with vasomotor symptoms, greater leisure time activity and greater household physical activity are associated with more favorable sleep characteristics, according to a study published online March 25 in Menopause.

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Runners Achieve Greater Weight Loss Than Walkers

MONDAY, April 1 (HealthDay News) -- Runners lose more weight than walkers, according to a large study published in the April issue of Medicine & Science in Sports & Exercise.

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More Evidence Supports Parent Behavior Training for ADHD

MONDAY, April 1 (HealthDay News) -- There is greater evidence documenting the effectiveness of parent behavior training (PBT) than the use of methylphenidate for the treatment of young children at risk for attention-deficit/hyperactivity disorder (ADHD), according to a review published online April 1 in Pediatrics.

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Disease Label May Foster Over-Treatment of Infant Ills

MONDAY, April 1 (HealthDay News) -- Labeling an infant's spitting up as gastroesophageal reflux disease (GERD) makes parents more interested in utilizing medication even when they are told the treatment is likely to be ineffective, according to a study published online April 1 in Pediatrics.

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Study Assesses Work Force Burden of Ulcerative Colitis

MONDAY, April 1 (HealthDay News) -- Compared to the general population, patients with ulcerative colitis (UC) miss more work days, and patients who undergo colectomy do not fully restore work ability, according to research published in the March issue of Gastroenterology.

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In-Person Recruitment Most Effective to Reach Moms-to-Be

MONDAY, April 1 (HealthDay News) -- In-person recruitment at hospital-based prenatal clinics produces the highest yield of early stage pregnant study participants, according to a study published online March 7 in Preventing Chronic Disease.

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Most Partners of U.S. Docs Satisfied in Their Relationships

MONDAY, April 1 (HealthDay News) -- Most spouses/partners of U.S. physicians report being satisfied with their relationships, with satisfaction linked to time spent together each day, according to research published in the March issue of the Mayo Clinic Proceedings.

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