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April 2014 Briefing - Family Practice

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

FDA Considering OTC Use of Singulair for Allergies

WEDNESDAY, April 30, 2014 (HealthDay News) -- Over-the-counter use of Singulair as a treatment for allergies is being considered by the U.S. Food and Drug Administration.

Health Highlights: April 30, 2014

ALA: More Americans Breathing Unhealthy Air

WEDNESDAY, April 30, 2014 (HealthDay News) -- Nearly 148 million Americans live in regions where air pollution levels are a threat to their health, according to the American Lung Association's 2014 State of the Air report. The number of people found to be breathing unhealthy air is nearly 16 million more than in the 2013 report.

Health Highlights: April 30, 2014
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Limited Associations for Antiretroviral Tx, Birth Defects

WEDNESDAY, April 30, 2014 (HealthDay News) -- There is a specific association between in utero exposure to zidovudine and heart defects; however, most ART drugs are not linked to birth defects, according to a study published online April 29 in PLOS Medicine.

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Waist Circumference Linked to Breast Cancer Risk

WEDNESDAY, April 30, 2014 (HealthDay News) -- Larger waist circumference correlates with increased risk of postmenopausal breast cancer, but not beyond its contribution to body mass index (BMI), according to a study published online April 9 in Cancer Causes & Control.

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Afternoon Exercise May Up Overnight/Next-Day Hypoglycemia

WEDNESDAY, April 30, 2014 (HealthDay News) -- Afternoon moderate-to-vigorous physical activity (MVPA) increases the risk of overnight and next-day hypoglycemia in adolescents with type 1 diabetes, according to research published in the May issue of Diabetes Care.

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Established Modifiable Factors Account for Half of Strokes

WEDNESDAY, April 30, 2014 (HealthDay News) -- Established causal and modifiable factors, including hypertension and smoking, account for about half of all strokes, according to a study published online April 29 in PLOS Medicine.

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Nongroup Insurance Market Lacked Stability Before ACA

WEDNESDAY, April 30, 2014 (HealthDay News) -- The nongroup insurance market has been characterized by frequent disruptions in coverage before implementation of the Affordable Care Act (ACA), according to research published online April 23 in Health Affairs.

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Lower Levels of Physical Capability Linked to Mortality

WEDNESDAY, April 30, 2014 (HealthDay News) -- Lower levels of physical capability are associated with increased mortality, and daily activity is inversely associated with disability in those with or at risk of knee osteoarthritis, according to two studies published online April 29 in BMJ.

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Higher Dietary Fiber Intake Tied to Lower Mortality in MI Survivors

WEDNESDAY, April 30, 2014 (HealthDay News) -- Greater dietary fiber intake, particularly cereal fiber, is associated with lower all-cause mortality among patients who have survived a myocardial infarction (MI), according to a study published online April 29 in BMJ.

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Modafinil Doesn't Improve NSCLC-Related Fatigue

WEDNESDAY, April 30, 2014 (HealthDay News) -- The central nervous system stimulant modafinil is not effective in treating non-small-cell lung cancer-related fatigue, according to a study published online April 28 in the Journal of Clinical Oncology.

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Alcohol + Tobacco Combo Markedly Ups Esophageal CA Risk

WEDNESDAY, April 30, 2014 (HealthDay News) -- The combined use of alcohol and tobacco has a synergistic effect on the risk of developing esophageal squamous cell carcinoma (ESCC), according to research published in online April 22 in the American Journal of Gastroenterology.

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Pharmacist Service Can Be Considered 'Incident to' Service

TUESDAY, April 29, 2014 (HealthDay News) -- Physicians may bill for pharmacist services as part of the "incident to" services provided to Medicare patients, according to communication between the American Academy of Family Physicians (AAFP) and the Centers for Medicare & Medicaid Services (CMS).

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U.S. Children Experiencing Less Violence

TUESDAY, April 29, 2014 (HealthDay News) -- Fewer American children have been exposed to violent acts such as assault, bullying, sexual victimization, and emotional abuse since 2003, according to a study published online April 28 in JAMA Pediatrics.

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Medical Marijuana May Aid Some MS Symptoms

TUESDAY, April 29, 2014 (HealthDay News) -- Certain forms of medical marijuana can help treat some symptoms of multiple sclerosis (MS), but there is not enough evidence to support its utility in treating motor problems associated with other conditions, according to a review published in the April 29 issue of Neurology.

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Meta-Analysis: Vitamin D Does Not Cut Falls by ≥15 Percent

TUESDAY, April 29, 2014 (HealthDay News) -- Vitamin D supplementation, with or without calcium, does not reduce the risk of falls by 15 percent or more, according to a trial sequential meta-analysis published online April 24 in The Lancet Diabetes & Endocrinology.

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Drinking More Coffee May Cut Risk of Type 2 Diabetes

TUESDAY, April 29, 2014 (HealthDay News) -- Increasing coffee consumption may lower the risk of developing type 2 diabetes, according to research published online April 24 in Diabetologia.

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ACOG Issues Guidelines for Routine HIV Testing for Women

TUESDAY, April 29, 2014 (HealthDay News) -- Females aged 13 to 64 years should undergo HIV testing at least once in their lifetime, with annual testing thereafter recommended based on risk factors, according to a Committee Opinion published in the May issue of Obstetrics & Gynecology.

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Aspirin Use Cuts CRC Risk With High 15-PGDH Expression

TUESDAY, April 29, 2014 (HealthDay News) -- Regular aspirin use is associated with a reduced risk of colorectal cancer in association with high hydroxyprostaglandin dehydrogenase 15-(nicotinamide adenine dinucleotide) (15-PGDH) expression, according to a study published in the April 23 issue of Science Translational Medicine.

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Adjuvant Chemotherapy for Breast Cancer Linked to Job Loss

TUESDAY, April 29, 2014 (HealthDay News) -- Breast cancer survivors who received adjuvant chemotherapy during initial treatment appear to be at increased risk of undesired unemployment during the next four years, according to research published online April 28 in Cancer.

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Winter's Polar Vortex Ushers in Spring's 'Pollen Vortex'

TUESDAY, April 29, 2014 (HealthDay News) -- Allergy experts say that the long, cold winter kept trees dormant for longer than usual, which means tree pollen season will overlap with grass pollen and mold seasons this year.

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Body Size, Composition Linked to Function, QOL in Dialysis

TUESDAY, April 29, 2014 (HealthDay News) -- For patients undergoing maintenance hemodialysis (MHD), body size and composition are significantly associated with physical functioning and quality-of-life, according to a study published in the April issue of the Clinical Journal of the American Society of Nephrology.

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Training Programs Protect Young Athletes From ACL Tears

MONDAY, April 28, 2014 (HealthDay News) -- Certain training methods can greatly reduce young athletes' risk of serious and potentially debilitating knee injuries, a new report says. Overall, anterior cruciate ligament (ACL) surgery is about 90 percent successful in restoring knee stability, according to the report published online April 28 in Pediatrics.

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Review: Induction of Labor Tied to Lower Risk of C-Section

MONDAY, April 28, 2014 (HealthDay News) -- Induction of labor is associated with a lower risk of cesarean delivery and with benefits for the fetus and no increase in maternal death, according to a review published online April 28 in CMAJ, the journal of the Canadian Medical Association.

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USPSTF Recommends Behavioral Counseling to Prevent STIs

MONDAY, April 28, 2014 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends intensive behavioral counseling for all sexually active adolescents and adults at increased risk of sexually transmitted infections (STIs). In a second recommendation, the Task Force also advises chlamydia and gonorrhea screening for women at risk of infection.

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Physician Groups Should Register to Avoid 2016 PQRS Penalty: AMA

MONDAY, April 28, 2014 (HealthDay News) -- To avoid the additional 2016 value-based modifier of 2 percent, practices with 10 or more physicians must participate in the 2014 Physician Quality Reporting System (PQRS) Group Practice Reporting Option through September 30, according to a report published by the American Medical Association (AMA).

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AHA Releases Statement on Fetal Cardiac Disease

MONDAY, April 28, 2014 (HealthDay News) -- A writing group appointed by the American Heart Association has released a scientific statement regarding fetal cardiac care; the statement has been published online April 24 in Circulation.

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Consistent Follow-Up Care for Cancer Survivors Found Lacking

MONDAY, April 28, 2014 (HealthDay News) -- More effort is needed to improve the follow-up care of cancer survivors, according to research published online April 21 in the Journal of Clinical Oncology.

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AAP Cautions Against High-Deductible Health Plans for Kids

MONDAY, April 28, 2014 (HealthDay News) -- High-deductible health plans (HDHPs) are an increasingly popular way to reduce health care expenditures, but may be particularly inappropriate for children, according to an American Association of Pediatrics (AAP) Policy Statement published online April 28 in Pediatrics.

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AAP Issues Guidance for Freestanding Urgent Care Facilities

MONDAY, April 28, 2014 (HealthDay News) -- Guidance is provided for freestanding urgent care facilities serving children in an American Association of Pediatrics (AAP) Policy Statement published online April 28 in Pediatrics.

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BMI Linked to Coronary Plaque in Asymptomatic Diabetes

MONDAY, April 28, 2014 (HealthDay News) -- For asymptomatic patients with diabetes, body mass index (BMI) is directly related to coronary plaque, as measured by coronary computed tomography (CT) angiography, according to a study published online April 22 in Radiology.

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Initial Reproductive Health Visit Suggested at Age 13 to 15 Years

MONDAY, April 28, 2014 (HealthDay News) -- An initial visit for screening and provision of reproductive preventive health care services is recommended between the ages of 13 to 15 years, according to a Committee Opinion published in the May issue of Obstetrics & Gynecology.

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FDA: Psychiatric Side Effects of Chantix to Be Reviewed in Fall

MONDAY, April 28, 2014 (HealthDay News) -- The mental health risks associated with Chantix will be reviewed at a public meeting scheduled for October, the U.S. Food and Drug Administration says. The meeting will feature a panel of experts who will discuss the psychiatric and behavioral side effects of Chantix and how best to manage them, The New York Times reported.

Health Highlights: April 28, 2014

Pediatricians Should Plan for Anthrax Attack

MONDAY, April 28, 2014 (HealthDay News) -- Children may require different treatment than adults after exposure to anthrax, according to a report published online April 28 in Pediatrics.

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Cognitive Behavioral Tx Beats Relaxation Tx in Childhood OCD

MONDAY, April 28, 2014 (HealthDay News) -- Family-based (FB) cognitive behavioral therapy (CBT) is superior to FB relaxation treatment (FB-RT) for young children with obsessive-compulsive disorder (OCD), according to a study published online April 23 in JAMA Psychiatry.

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For Statin Users, Caloric, Fat Intake Up Since 1999 to 2000

FRIDAY, April 25, 2014 (HealthDay News) -- For statin users, but not nonusers, caloric and fat intake increased significantly from 1999-2000 to 2009-2010, according to a study published online April 24 in JAMA Internal Medicine.

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Educational Attainment Affects Brain Injury Recovery

FRIDAY, April 25, 2014 (HealthDay News) -- Educational attainment is a robust, independent predictor of one-year disability-free recovery (DFR) after moderate to severe traumatic brain injury (TBI), according to a study published online April 23 in Neurology.

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SLIP-2 Tops Original SLIP Model for ID'ing Post-Op ARDS

FRIDAY, April 25, 2014 (HealthDay News) -- The updated surgical lung injury prediction 2 (SLIP-2) model outperforms the original SLIP model for identifying patients at risk for postoperative acute respiratory distress syndrome (ARDS), according to a study published in the May issue of Anesthesiology.

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Dermatologist Care Tied to Better Self-Detection of Melanoma

FRIDAY, April 25, 2014 (HealthDay News) -- Patients with self-detected primary melanoma who have an established dermatologist are more likely to have thinner lesions at the time of diagnosis, according to research published in the May issue of the Journal of the American Academy of Dermatology.

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Benzodiazepines May Worsen Respiratory Outcomes in COPD

FRIDAY, April 25, 2014 (HealthDay News) -- New use of benzodiazepines may increase the risk of adverse respiratory outcomes in older adults with chronic obstructive pulmonary disease (COPD), according to research published online April 17 in the European Respiratory Journal.

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Cannabis May Cause Heart Problems in Young Adults

FRIDAY, April 25, 2014 (HealthDay News) -- Young adults who use cannabis may experience serious, sometimes fatal, cardiovascular complications, according to research published online April 23 in the Journal of the American Heart Association.

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FDA Approves HPV Test for Cervical Cancer Screening

FRIDAY, April 25, 2014 (HealthDay News) -- -- The U.S. Food and Drug Administration has approved the first human papillomavirus (HPV) DNA test for women aged 25 years and older that can be used to assess the need for a woman to undergo additional diagnostic testing for cervical cancer. In addition, the test can provide information about a patient's future risk for developing cervical cancer.

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CDC: Workplace Ladder Falls a Major Cause of Deaths, Injuries

FRIDAY, April 25, 2014 (HealthDay News) -- Workplace tumbles off of ladders are a major cause of injury and death among American employees, according to a study published in the April 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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One in 13 U.S. Schoolkids Take Psych Meds

FRIDAY, April 25, 2014 (HealthDay News) -- More than 7 percent of American schoolchildren are taking at least one medication for emotional or behavioral difficulties, and more than half of the parents said the drugs are helping their children, according to an April data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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CDC: Measles on Upswing Despite Vaccines' Effectiveness

FRIDAY, April 25, 2014 (HealthDay News) -- Vaccinations have prevented an estimated 732,000 deaths, 21 million hospitalizations, and 322 million illnesses among U.S. children born in the last 20 years, according to a government report published in the April 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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FDA Proposes E-Cigarette Regulations

THURSDAY, April 24, 2014 (HealthDay News) -- The U.S. Food and Drug Administration is proposing long-awaited regulations governing the fast-growing electronic cigarette industry.

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Impact of Rising Incidence of Measles Discussed

THURSDAY, April 24, 2014 (HealthDay News) -- With the rising incidence of measles, the importance of vaccination should be emphasized and precautions must be exercised in cases of suspected measles, according to a commentary piece published online April 24 in the Annals of Internal Medicine.

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Physician Groups Find Fault With Medicare Payment Data Release

THURSDAY, April 24, 2014 (HealthDay News) -- Physician groups cite major problems associated with the release of Medicare payment data, according to an article published April 16 in Medical Economics.

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Chronic Prostate Inflammation Tied to High-Grade Cancer

THURSDAY, April 24, 2014 (HealthDay News) -- The presence of chronic inflammation in benign prostate tissue samples is associated with prostate cancer, especially high-grade disease, according to a study published online April 18 in Cancer Epidemiology, Biomarkers & Prevention.

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Irrational Health Beliefs Predict Adherence to Cardiac Rehab

THURSDAY, April 24, 2014 (HealthDay News) -- Irrational health beliefs, but not depression, predict adherence to cardiac rehabilitation (CR), according to a study published in Health Psychology.

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No Link Between Labor Induction, Augmentation and Autism

THURSDAY, April 24, 2014 (HealthDay News) -- Current evidence suggests no correlation between labor induction and augmentation and the risk of autism spectrum disorder (ASD), according to a Committee Opinion from the American College of Obstetricians and Gynecologists (ACOG) published in the May issue of Obstetrics & Gynecology.

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Out-of-Pocket Costs Decline for Patients With Diabetes

THURSDAY, April 24, 2014 (HealthDay News) -- During the past decade, out-of-pocket (OOP) costs have declined for individuals with diabetes, according to research published online March 25 in Diabetes Care.

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Down Syndrome Kids Fare Better Than Others After Heart Repair

THURSDAY, April 24, 2014 (HealthDay News) -- Children with Down syndrome, compared with those without this genetic condition, are more likely to survive to discharge following surgical repair of congenital heart disease, according to research published online April 22 in Circulation: Cardiovascular Quality and Outcomes.

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Educational Changes Suggested for Patient-Centered Medicine

THURSDAY, April 24, 2014 (HealthDay News) -- Changes in medical education and training are suggested to help new physicians address the needs of patients and their families, according to an ideas and opinions piece published in the April 22 issue of the Annals of Internal Medicine.

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Research Initiatives Demonstrate Ways to Speed Stroke Care

WEDNESDAY, April 23, 2014 (HealthDay News) -- New efforts to hasten treatment in both ambulances and emergency rooms appear to have significantly improved patients' chances of survival and limited their long-term disability, according to a pair of studies published in the April 23/30 issue of the Journal of the American Medical Association.

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Rising Role Seen for Health Education Specialists

WEDNESDAY, April 23, 2014 (HealthDay News) -- A health education specialist can help family practices implement quality improvement projects with limited additional financial resources, according to an article published in the March/April issue of Family Practice Management.

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Vitamin D Levels Linked to Activity Level in Severely Obese

WEDNESDAY, April 23, 2014 (HealthDay News) -- Among the severely obese, vitamin D status is related to physical activity and physical function, according to research published online April 15 in the Journal of Clinical Endocrinology & Metabolism.

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Irritable Bowel Ups Likelihood of Celiac Disease in Children

WEDNESDAY, April 23, 2014 (HealthDay News) -- The prevalence of celiac disease is four times higher in children with irritable bowel syndrome (IBS), compared to the general pediatric population, according to a study published online April 21 in JAMA Pediatrics.

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Medicare ACOs Face Accountability Challenges

WEDNESDAY, April 23, 2014 (HealthDay News) -- There are significant challenges to achieving organizational accountability in accountable care organizations (ACOs) assigned to Medicare beneficiaries, according to a study published online April 21 in JAMA Internal Medicine.

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FDA Proposes Accelerated Medical Device Approval Plan

WEDNESDAY, April 23, 2014 (HealthDay News) -- The U.S. Food and Drug Administration has proposed a new program that would provide expedited access to high-risk medical devices intended for patients with serious conditions whose medical needs are not met by current technology.

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Frequency of Arrhythmia Up in Nocturnal Hypoglycemia

WEDNESDAY, April 23, 2014 (HealthDay News) -- For insulin-treated patients with type 2 diabetes, nocturnal hypoglycemia is associated with increased frequency of arrhythmia, according to a study published in the May issue of Diabetes.

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Review: Sugar-Sweetened Drink Intake Tied to Elevated BP

WEDNESDAY, April 23, 2014 (HealthDay News) -- Sugar-sweetened beverage (SSB) intake is associated with elevated blood pressure (BP), according to a review published in the May 1 issue of The American Journal of Cardiology.

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Statins May Reduce Risk of Progression of Renal Cancer

WEDNESDAY, April 23, 2014 (HealthDay News) -- Use of statins is associated with a reduced risk of progression of localized renal cell carcinoma, according to research published in the April issue of The Journal of Urology.

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Short-Term Anxiety Up With False-Positive Mammogram

WEDNESDAY, April 23, 2014 (HealthDay News) -- False-positive mammogram results are tied to increased short-term, but not long-term, anxiety, according to a study published online April 21 in JAMA Internal Medicine.

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New Scale Useful for Predicting Sick Leave for Back Pain

WEDNESDAY, April 23, 2014 (HealthDay News) -- A new user-friendly 10-item rating scale is useful for predicting the duration of sick leave in patients with acute lumbar back pain, according to a study published in the April 20 issue of Spine.

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Majority of Americans Support ACA Birth Control Mandate

TUESDAY, April 22, 2014 (HealthDay News) -- Nearly 70 percent of Americans support the new health care law's mandated coverage of birth control, according to research published online April 22 in the Journal of the American Medical Association.

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Acetazolamide and Low-Sodium Diet Improve Vision

TUESDAY, April 22, 2014 (HealthDay News) -- The combination of acetazolamide and a low-sodium weight-reduction diet modestly improves visual field function in patients with idiopathic intracranial hypertension (IIH) and mild visual loss, compared to diet alone, according to a study published in the April 23/30 issue of the Journal of the American Medical Association.

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Homes Now 'Reservoirs' for Superbug MRSA

TUESDAY, April 22, 2014 (HealthDay News) -- Methicillin-resistant Staphylococcus aureus (MRSA) is now taking up residence in people's homes, according to a new study published online April 21 in the Proceedings of the National Academy of Sciences.

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Lorazepam No Better Than Diazepam for Epilepsy in Kids

TUESDAY, April 22, 2014 (HealthDay News) -- Lorazepam should not be preferentially used over diazepam in pediatric patients with convulsive status epilepticus, according to a study published in the April 23/30 issue of the Journal of the American Medical Association.

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Considerable Sudden Death in Hypertrophic Cardiomyopathy

TUESDAY, April 22, 2014 (HealthDay News) -- Patients with hypertrophic cardiomyopathy (HC) without traditional risk factors and with no or mild symptoms have a considerable rate of sudden cardiac death, according to a study published in the May 1 issue of The American Journal of Cardiology.

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Some Docs Still Prescribe Codeine for Peds Cough/URI

TUESDAY, April 22, 2014 (HealthDay News) -- Despite national guidelines recommending against its use in children, some physicians continue to prescribe codeine for pediatric cough or upper respiratory infection (URI), according to research published online April 21 in Pediatrics.

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Pre-HPV Vaccine, Most Oropharyngeal Cancers HPV+

TUESDAY, April 22, 2014 (HealthDay News) -- Most oropharyngeal cancers in the United States diagnosed between 1995 and 2005 were positive for human papillomavirus (HPV), specifically HPV 16 or 18, according to a study published in the May issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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Cancer Patients Need Anxiety, Depression Screening

TUESDAY, April 22, 2014 (HealthDay News) -- It is important to recognize and treat anxiety or depression among cancer patients, according to a clinical guideline published online April 14 in the Journal of Clinical Oncology.

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Obstructive Sleep Apnea Linked to Osteoporosis

TUESDAY, April 22, 2014 (HealthDay News) -- Obstructive sleep apnea (OSA) is associated with an increased risk of osteoporosis, according to a study published online April 15 in the Journal of Clinical Endocrinology & Metabolism.

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Abridged Food Education Program for Children Still Helpful

TUESDAY, April 22, 2014 (HealthDay News) -- An abbreviated version of the Nutrition Detectives Program improves students' food-label literacy, according to a study published online April 10 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Type of Attending Doc Affects Feeding Tube Rates in Elderly

TUESDAY, April 22, 2014 (HealthDay News) -- The rate of feeding tube insertions in hospitalized patients with severe dementia varies by type of attending physician, according to a study published in the April issue of Health Affairs.

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Low Glucose Tied to Higher Aggressive Impulses, Behavior

TUESDAY, April 22, 2014 (HealthDay News) -- Glucose levels may be tied to aggressive impulses and behaviors in married couples, according to a study published online April 14 in the Proceedings of the National Academy of Sciences.

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Task Force Recommends Ways to Improve Price Transparency

MONDAY, April 21, 2014 (HealthDay News) -- Price transparency frameworks, which provide price information presented in the context of other relevant information, should be developed to meet patients' needs, according to recommendations presented in a report from the Healthcare Financial Management Association (HFMA).

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New Muscular Dystrophy Drug's Chances for Approval Improve

MONDAY, April 21, 2014 (HealthDay News) -- A new drug to treat Duchenne muscular dystrophy may be closer to becoming the first approved treatment for the disease.

Health Highlights: April 21, 2014

Primary Care Doctors Must Influence Lifestyle Changes

MONDAY, April 21, 2014 (HealthDay News) -- Primary care physicians (PCPs) are increasingly called upon to manage circulatory and circulatory-related diseases among their patients, according to an article published April 10 in Medical Economics.

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Most Adolescents Sleep Six to Seven Hours on Week Nights

MONDAY, April 21, 2014 (HealthDay News) -- Adolescents from families of lower socioeconomic class sleep six to seven hours a night during the school week, with less sleep and more fragmented sleep reported by blacks and males, according to a study published online April 21 in Pediatrics.

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Vegetarian Black Adventists Have Lower Cardiovascular Risk

MONDAY, April 21, 2014 (HealthDay News) -- A vegetarian diet may reduce cardiovascular risk in black individuals, according to research published online March 17 in Public Health Nutrition.

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High Total, Animal Protein Intake Ups Type 2 Diabetes Risk

MONDAY, April 21, 2014 (HealthDay News) -- High total and animal protein intake correlates with increased incidence of type 2 diabetes, according to a study published online April 10 in Diabetes Care.

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Antibiotics Improve Children's Growth in Poorer Nations

MONDAY, April 21, 2014 (HealthDay News) -- In low and middle income countries, antibiotics have a growth promoting effect in prepubertal children, according to research published online April 15 in BMJ.

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Sprifermin May Aid Cartilage Thickness Loss With Arthritis

MONDAY, April 21, 2014 (HealthDay News) -- Sprifermin (recombinant human fibroblast growth factor 18) does not significantly reduce central medial femorotibial compartment (cMFTC) cartilage thickness, but does benefit cartilage loss in the lateral femorotibial compartment, according to a proof-of-concept study published online April 16 in Arthritis & Rheumatology.

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Some Children Gain Weight After Tonsil Removal Surgery

MONDAY, April 21, 2014 (HealthDay News) -- Younger children and those with lower pre-surgery weight percentiles are most likely to gain more weight than expected following adenotonsillectomy, according to a study published online April 17 in JAMA Otolaryngology-Head & Neck Surgery.

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Review: Pregnancy Complications Up With Chronic HTN

MONDAY, April 21, 2014 (HealthDay News) -- Women with chronic hypertension have increased risks of adverse pregnancy outcomes, according to a review and meta-analysis published online April 15 in BMJ.

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Low Adherence Rates for Prostate Cancer Quality of Care Measures

MONDAY, April 21, 2014 (HealthDay News) -- Adherence to established prostate cancer quality of care measures is frequently low, with considerable regional variation, according to a study published in the April issue of The Journal of Urology.

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FDA Approves Ragwitek for Adult Ragweed Allergy

FRIDAY, April 18, 2014 (HealthDay News) -- Ragwitek has been approved by the U.S. Food and Drug Administration to treat allergy to short ragweed among adults aged 18 to 65.

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AMA Examines Economic Impact of Physicians

FRIDAY, April 18, 2014 (HealthDay News) -- Physicians who mainly engage in patient care contribute a total of $1.6 trillion in economic output, according to the American Medical Association (AMA)'s Economic Impact Study.

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Most People Experience Thoughts Associated With OCD

FRIDAY, April 18, 2014 (HealthDay News) -- The vast majority of people experience unwanted, intrusive thoughts and images and/or impulses symptomatic of obsessive-compulsive disorder, according to a study published in the Journal of Obsessive-Compulsive and Related Disorders.

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Indoor Tanning Tied to Unhealthy Weight Control Behavior

FRIDAY, April 18, 2014 (HealthDay News) -- Adolescents who indoor tan, especially males, are more likely to exhibit unhealthy weight control behaviors, according to a study published in the April issue of the Journal of Developmental & Behavioral Pediatrics.

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Gravity Does Not Hinder Placental Transfusion at Birth

FRIDAY, April 18, 2014 (HealthDay News) -- Position of the baby before the cord is clamped does not appear to influence the volume of placental transfusion, according to research published online April 17 in The Lancet.

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Reduced Salt Intake Likely Dropped BP Levels in England

FRIDAY, April 18, 2014 (HealthDay News) -- The reduction of dietary salt intake between 2003 and 2011 was likely an important contributor to decreases in blood pressure (BP) in the population of England, according to research published online April 14 in BMJ Open.

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Int'l Medical Education Standards Not Equivalent to U.K. Standards

FRIDAY, April 18, 2014 (HealthDay News) -- International medical graduates passing the Professional and Linguistic Assessments Board (PLAB) of the General Medical Council (GMC) have lower performance on MRCP(UK) (Membership of the Royal Colleges of Physicians) and MRCGP (Membership of the Royal College of General Practitioners) and on annual review of competence progression (ARCP) examinations, according to two studies published online April 17 in BMJ.

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Salmonella Cases Dip but Food Poisoning Rates Remain High

FRIDAY, April 18, 2014 (HealthDay News) -- While the United States has seen a decline in the number of Salmonella illnesses in recent years, there's been little progress overall in reducing food poisoning outbreaks, according to a report published in the April 18 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Free Drug Samples Tied to More Branded Prescriptions

FRIDAY, April 18, 2014 (HealthDay News) -- Free drug samples drive the prescribing practices of physicians away from less expensive generic medications, according to a study published online April 16 in JAMA Dermatology.

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Trust in Provider Improves Antidepressant Adherence in DM

FRIDAY, April 18, 2014 (HealthDay News) -- Patients with diabetes who lack trust and shared decision-making with their providers are less likely to be adherent to antidepressant therapy for depression, according to research published online April 5 in the Journal of General Internal Medicine.

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White House: 8 Million People Signed Up for Health Insurance

FRIDAY, April 18, 2014 (HealthDay News) -- Eight million Americans signed up for private health insurance during the just-concluded first enrollment period under the Affordable Care Act, the White House announced Thursday afternoon.

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One in 20 U.S. Adults a Victim of Diagnostic Errors

THURSDAY, April 17, 2014 (HealthDay News) -- Diagnostic errors affect at least one in 20 U.S. adults, according to research published online April 17 in BMJ Quality & Safety.

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Legal Claims Rising for Laser Surgery by Nonphysicians

THURSDAY, April 17, 2014 (HealthDay News) -- Legal claims related to cutaneous laser surgery performed by nonphysician operators (NPOs) are increasing, according to research published in the April issue of JAMA Dermatology.

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Educator Discusses Key Issues for Future Doctors to Consider

THURSDAY, April 17, 2014 (HealthDay News) -- The key issues for future physicians are discussed in an article published by the American Medical Association (AMA).

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Considerable Variation in CT Use in Ischemic Stroke

THURSDAY, April 17, 2014 (HealthDay News) -- For patients with ischemic stroke there is considerable variation in the rates of high-intensity computed tomography (CT) use, according to a study published online April 8 in Circulation: Cardiovascular Quality and Outcomes.

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Physical Activity May Reduce Readmission Risk in COPD

THURSDAY, April 17, 2014 (HealthDay News) -- For patients with chronic obstructive pulmonary disease (COPD), physical activity is associated with a reduced risk of 30-day readmission, according to a study published online April 9 in the Annals of the American Thoracic Society.

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Patient-Clinician Relationship Impacts Health Care Outcomes

THURSDAY, April 17, 2014 (HealthDay News) -- The patient-clinician relationship has a small but significant effect on health care outcomes, according to a study published online April 9 in PLOS ONE.

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Collaborative Care Improves Mental Health in Cardiac Patients

THURSDAY, April 17, 2014 (HealthDay News) -- A telephone-based intervention improves mental health-related quality of life in cardiac patients with depression and/or anxiety disorders, according to research published online April 14 in JAMA Internal Medicine.

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CDC: Regional Trends Seen for Complementary Health Services

WEDNESDAY, April 16, 2014 (HealthDay News) -- Yoga and meditation are popular on the West Coast, Midwesterners often turn to chiropractors or osteopathic doctors, and nearly one in every five Americans use herbal supplements. These are among the findings of a new federal government report published in the U.S. Centers for Disease Control and Prevention's April edition of the National Center for Health Statistics Data Brief.

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Diabetes-Related Complications Declined, 1990 to 2010

WEDNESDAY, April 16, 2014 (HealthDay News) -- Rates of diabetes-related complications have declined substantially over the past two decades, according to a study published in the April 17 issue of the New England Journal of Medicine.

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Diverse Options Available for Family Physicians

WEDNESDAY, April 16, 2014 (HealthDay News) -- The diversity of family medicine career options are described in a blog post published by the American Academy of Family Physicians (AAFP).

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Informed Patients Question Unnecessary Prescriptions

WEDNESDAY, April 16, 2014 (HealthDay News) -- Well-informed patients might make better choices about what prescriptions they take, according to the evaluation of an educational intervention aimed at encouraging seniors to discontinue sleeping pill use published online April 14 in JAMA Internal Medicine.

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Work-Home Interference Key Contributor to Burnout

WEDNESDAY, April 16, 2014 (HealthDay News) -- Work-home interference (WHI) -- whether work-home conflict (WHC), when work interferes with home life, or home-work conflict (HWC), when private life interferes with work roles -- appears to contribute significantly to the risk for burnout, according to research published in the April issue of the Journal of Occupational and Environmental Medicine.

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Evidence Lacking for Long-Term Opioid Use in Low Back Pain

WEDNESDAY, April 16, 2014 (HealthDay News) -- There is evidence of short-term efficacy (moderate for pain and small for function) of opioids for treatment of chronic low back pain (CLBP) compared with placebo; however, the effectiveness and safety of long-term opioid therapy for treatment of CLBP remains unproven, according to a review published in the April 1 issue of Spine.

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Graves Disease Incidence Varies by Race

WEDNESDAY, April 16, 2014 (HealthDay News) -- Graves disease is more common in blacks and Asian/Pacific Islanders compared with whites, according to a research letter published in the April 16 issue of the Journal of the American Medical Association.

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ILAE Updates Definition of Epilepsy

WEDNESDAY, April 16, 2014 (HealthDay News) -- A new definition of epilepsy resolves some lingering issues from the 2005 definition to improve the practicality of diagnosis for clinicians, according to an International League Against Epilepsy (ILAE) official report published online April 14 in Epilepsia.

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Continued Reliance on Windows XP May Threaten Data Security

WEDNESDAY, April 16, 2014 (HealthDay News) -- Physicians who use Windows XP in their practices may be affected by Microsoft's recent discontinuation of support for the program, according to an article published April 8 in Medical Economics.

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Extensive Atypical Antipsychotic Use in Medicaid-Insured Youth

WEDNESDAY, April 16, 2014 (HealthDay News) -- Medicaid-insured youth, particularly those in foster care and those diagnosed with attention-deficit/hyperactivity disorder (ADHD), have considerable exposure to atypical antipsychotics, according to a study published in the April issue of the Journal of Child and Adolescent Psychopharmacology.

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Prevalence of Diabetes Has Skyrocketed in the U.S.

WEDNESDAY, April 16, 2014 (HealthDay News) -- During the past two decades, the prevalence of diabetes in the United States has increased substantially, according to research published in the April 15 issue of the Annals of Internal Medicine.

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Adverse Neonatal Outcomes Up With Increasing Maternal BMI

WEDNESDAY, April 16, 2014 (HealthDay News) -- Increases in maternal body mass index (BMI) are associated with increased risks of adverse perinatal and neonatal outcomes, according to research published in the April 16 issue of the Journal of the American Medical Association.

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FDA Approves Tanzeum for Type 2 Diabetes

TUESDAY, April 15, 2014 (HealthDay News) -- Tanzeum (albiglutide) has been approved by the U.S. Food and Drug Administration to help control blood glucose, along with diet and exercise, in adults with type 2 diabetes.

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Younger Adults Hit Hardest This Flu Season

TUESDAY, April 15, 2014 (HealthDay News) -- The H1N1 flu was the predominant influenza strain in the United States this year, but it packed a lot less punch than in 2009 when it caused a worldwide pandemic, health officials report.

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Mom Gaining Too Much, Too Little May Up Child's Obesity Risk

TUESDAY, April 15, 2014 (HealthDay News) -- Children born to mothers who gain either too much or too little weight during their pregnancy are more likely to be overweight or obese, according to a study published online April 14 in the American Journal of Obstetrics & Gynecology.

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CDC: Drowning Deaths Down Overall, but Still a Problem

TUESDAY, April 15, 2014 (HealthDay News) -- Drowning deaths are still a problem in the United States, even though overall deaths from drowning are down, according to a report published in the U.S. Centers for Disease Control and Prevention's April edition of the National Center for Health Statistics Data Brief.

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Patients Paying Much More for Specialty Drugs

TUESDAY, April 15, 2014 (HealthDay News) -- Many Americans are paying less for prescription drugs, but some are having to deal with sharp rises in the cost of specialty medicines for rare or serious diseases, according to a new report.

Health Highlights: April 15, 2014

Depression Predicts Subsequent Computer Use in Young Men

TUESDAY, April 15, 2014 (HealthDay News) -- For young men, but not women, symptoms of depression at age 20 years predict subsequent computer use, according to a study published in the March issue of Preventive Medicine.

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Intensive Insulin Rx Lowers Glycemic Variability in Early DM

TUESDAY, April 15, 2014 (HealthDay News) -- Short-term intensive insulin therapy (IIT) can improve β-cell function in type 2 diabetes mellitus (T2DM) in association with decreased glycemic variability, according to a study published in the April issue of Diabetes Care.

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NSAIDs With Anticoagulant Tx Ups Major Bleeding in VTE

TUESDAY, April 15, 2014 (HealthDay News) -- Concomitant use of a nonsteroidal anti-inflammatory drug (NSAID) or aspirin in patients with venous thromboembolism receiving anticoagulant therapy is tied to increased risk of bleeding, according to a study published online April 14 in JAMA Internal Medicine.

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Tripterygium Wilfordii Hook F Found Effective in Active RA

TUESDAY, April 15, 2014 (HealthDay News) -- Herbal Tripterygium wilfordii Hook F (TwHF) is effective for the treatment of active rheumatoid arthritis (RA) in disease-modifying antirheumatic drug-naive patients, according to a study published online April 14 in the Annals of the Rheumatic Diseases.

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Fewer Ophthalmologists Equals Less Diabetic Eye Care

TUESDAY, April 15, 2014 (HealthDay News) -- In areas with less access to ophthalmologists, fewer individuals with diabetes, diabetic retinopathy, and age-related macular degeneration (ARMD) receive care, according to a study published in the April issue of JAMA Ophthalmology.

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Internists Favor Public Policy to Reduce Gun Violence

TUESDAY, April 15, 2014 (HealthDay News) -- Most internists believe that firearm-related violence is a public health issue and favor policy initiatives aimed at reducing it, according to research published online April 10 in the Annals of Internal Medicine.

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iPLEDGE Isotretinoin Counseling May Need Updating

MONDAY, April 14, 2014 (HealthDay News) -- The iPLEDGE program needs to provide women with information about more contraceptive choices, including reversible contraceptives, according to research published in the April issue of JAMA Dermatology.

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U.S. Kids Exposed to Arsenic in Well Water Have Lower IQs

TUESDAY, April 15, 2014 (HealthDay News) -- Exposure to arsenic in drinking water from wells may lower IQ in children, according to research published online April 1 in Environmental Health.

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Pediatric Devices Still Have Few Premarket Studies in Children

MONDAY, April 14, 2014 (HealthDay News) -- Most high-risk pediatric devices are approved based on trials that don't involve children under 18 years of age, according to a study published online April 14 in Pediatrics.

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Serum Potassium Levels Linked to Long-Term Mortality Post-MI

MONDAY, April 14, 2014 (HealthDay News) -- For patients with acute myocardial infarction (AMI), serum potassium levels are associated with long-term mortality risk, according to a study published in the April 15 issue of The American Journal of Cardiology.

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High-Fat Diet Tied to Certain Subtypes of Breast Cancer

MONDAY, April 14, 2014 (HealthDay News) -- High intake of saturated fats is associated with increased risk of certain subtypes of breast cancer, according to research published online April 9 in the Journal of the National Cancer Institute.

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Prenatal SSRI Exposure May Up Odds of Autism in Boys

MONDAY, April 14, 2014 (HealthDay News) -- For boys, prenatal exposure to selective serotonin reuptake inhibitors (SSRIs) is associated with increased likelihood of autism spectrum disorder (ASD) and other developmental delays (DDs), according to a study published online April 14 in Pediatrics.

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New Health Secretary to Confront Health Care Reform Hurdles

MONDAY, April 14, 2014 (HealthDay News) -- With the resignation of U.S. Health and Human Services Secretary Kathleen Sebelius on Friday, the Affordable Care Act will get a fresh face. But turning around public perception of the controversial health care reform law in a politically charged mid-term election year poses an enormous challenge for the department's next leader, policy experts said.

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Video-Based Info Increases Men's Skin Health Awareness

MONDAY, April 14, 2014 (HealthDay News) -- Exposure to video-based education increases men's skin awareness and attendance at whole-body clinical skin examinations (CSEs), according to a study published in the April issue of JAMA Dermatology.

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CRC Resection Morbidity, Mortality Still Higher for Elderly

MONDAY, April 14, 2014 (HealthDay News) -- Despite an overall improved mortality seen during the past 10 years, advancing age is associated with higher morbidity and mortality in colorectal cancer resection, according to a study published online April 9 in JAMA Surgery.

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Elderly African-Americans May Have Higher Alzheimer's Burden

MONDAY, April 14, 2014 (HealthDay News) -- Older African-Americans may be disproportionately burdened by Alzheimer's disease, according to a study published in the April issue of Health Affairs.

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Longer ICU Stays May Worsen Quality of Life in Recovery

MONDAY, April 14, 2014 (HealthDay News) -- Longer durations of bed rest during intensive care unit (ICU) stays for acute lung injury may cause lingering physical complications, according to research published in the April issue of Critical Care Medicine.

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AAFP Provides Tips to Address Patients' Vaccine Concerns

MONDAY, April 14, 2014 (HealthDay News) -- Physicians remain the biggest influence on whether patients get vaccinated, and must be prepared to address patients' reservations, according to an article published in the March/April issue of Family Practice Management.

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Chronic Pancreatitis Ups Risk of Cancer Death

FRIDAY, April 11, 2014 (HealthDay News) -- Individuals with chronic pancreatitis (CP) are at higher risk for cancer death and other comorbidities than those without CP, according to a study published in the April issue of Gastroenterology.

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Does Facebook Make Women Feel Bad About Their Bodies?

FRIDAY, April 11, 2014 (HealthDay News) -- Too much time on Facebook may take a toll on a young woman's sense of self-esteem, particularly how she feels about her body, a new study suggests. The research is to be presented at the annual meeting of the International Communication Association, held from May 22 to 26 in Seattle.

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Insight Into One's Own Abilities Only Moderate

FRIDAY, April 11, 2014 (HealthDay News) -- Individuals have only moderate insight into their own abilities and skills, according to research published in the March issue of Perspectives on Psychological Science.

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$31.3B Spent on Development Assistance for Health in 2013

FRIDAY, April 11, 2014 (HealthDay News) -- Disease burden, income, and funding levels are not always aligned in the allocation of development assistance resources, according to a study published online April 8 in Health Affairs.

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Insomnia Linked to Increased Risk of Subsequent Stroke

FRIDAY, April 11, 2014 (HealthDay News) -- Insomnia is associated with an increased risk of subsequent stroke, especially among younger adults, according to a study published online April 3 in Stroke.

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Abuse Not Tied to Pain Severity in Chronic Pelvic Pain

FRIDAY, April 11, 2014 (HealthDay News) -- A history of adolescent or adult abuse is not associated with pain severity, but is linked to pain-related disability and depression in women with chronic pelvic pain (CPP), according to a study published in the April issue of the American Journal of Obstetrics & Gynecology.

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Parents Feel Limited in Ability to Prevent Child Obesity

FRIDAY, April 11, 2014 (HealthDay News) -- Parents want to help their children avoid obesity but feel limited in their ability to take action, according to a study published online April 3 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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CDC: Measles Cases Linked to U.S. Adoptions From China

FRIDAY, April 11, 2014 (HealthDay News) -- A series of measles cases in the United States involving children adopted from China highlights the importance of vaccinations for any adopted child from overseas, according to a report published in the April 11 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Blood Glucose Levels Set for Achieving HbA1c Targets

FRIDAY, April 11, 2014 (HealthDay News) -- The average self-monitored blood glucose (SMBG) concentrations needed at premeal, postmeal, and bedtime have been established to achieve a range of hemoglobin A1c (HbA1c) targets, according to research published in the April issue of Diabetes Care.

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In Older Women, Aerobic Training Ups Hippocampal Volume

FRIDAY, April 11, 2014 (HealthDay News) -- For older women with probable mild cognitive impairment (MCI), aerobic training is associated with increased hippocampal volume, while increased left hippocampal volume is linked to reduced verbal memory and learning performance, according to research published online April 7 in the British Journal of Sports Medicine.

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Sebelius Stepping Down As HHS Secretary

FRIDAY, April 11, 2014 (HealthDay News) -- U.S. Health and Human Services Secretary Kathleen Sebelius is stepping down from her position, after overseeing the troubled rollout of the Affordable Care Act that remains unpopular with some Americans and virtually all Republican lawmakers.

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Surgical Decisions for High-Risk Patients Needs Overhaul

FRIDAY, April 11, 2014 (HealthDay News) -- High-risk elderly patients facing decisions about major surgery may not always be presented with all treatment options, including less invasive choices, according to a perspective piece published in the April 10 issue of the New England Journal of Medicine.

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Medicaid Expansion Hasn't Eroded Perceived Care Access

THURSDAY, April 10, 2014 (HealthDay News) -- Previous Medicaid expansions did not diminish perceived access to care, according to a study published online April 7 in JAMA Internal Medicine.

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Psychosocial Education Doesn't Lead to Substantial LBP Savings

THURSDAY, April 10, 2014 (HealthDay News) -- Implementation of a brief psychosocial education program (PSEP) achieves only modest savings in low back pain (LBP)-related health care costs, according to a study published in the April 1 issue of The Spine Journal.

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1,440-nm Laser Beneficial for Photodamage in Asians

THURSDAY, April 10, 2014 (HealthDay News) -- Four treatments with 1,440-nm fractional laser produce mild improvement in select signs of photodamage in an Asian population, according to a study published March 14 in Lasers in Surgery and Medicine.

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Updated Reviews Issued for Oseltamivir, Zanamivir Use in Flu

THURSDAY, April 10, 2014 (HealthDay News) -- Oseltamivir and zanamivir reduce the time to symptomatic improvement in influenza by about half a day, but evidence to support claims of reduced admissions to hospital or complications of influenza is lacking, according to two systematic reviews of regulatory information published online April 10 in BMJ.

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Prevalence of Childhood Obesity in U.S. Up From 1999

THURSDAY, April 10, 2014 (HealthDay News) -- From 1999, all classes of obesity have increased in children, although the rates in 2011 to 2012 were not significantly different from those in 2009 to 2010, according to a study published online April 7 in JAMA Pediatrics.

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NSAID Use Linked to Increased Risk of Atrial Fibrillation

THURSDAY, April 10, 2014 (HealthDay News) -- In elderly adults, current and recent non-steroidal anti-inflammatory drug (NSAID) use is associated with increased risk of atrial fibrillation, according to a study published online April 8 in BMJ Open.

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Dietary Legume Intake May Cut LDL Cholesterol Levels

THURSDAY, April 10, 2014 (HealthDay News) -- Dietary pulse (beans, chickpeas, lentils, and peas) intake seems to be associated with reductions in low-density lipoprotein (LDL) cholesterol, according to a systematic review and meta-analysis published online April 7 in CMAJ, the journal of the Canadian Medical Association.

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Cortisol Response Associated With Crash Risk in Teen Drivers

THURSDAY, April 10, 2014 (HealthDay News) -- Cortisol level in response to stress is associated with crash risk in teenaged drivers, according to research published online April 7 in JAMA Pediatrics.

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Financial Incentives Improve Completion of HBV Vaccination

THURSDAY, April 10, 2014 (HealthDay News) -- Modest financial incentives significantly improve adherence to hepatitis B virus (HBV) vaccination programs among patients receiving opioid dependence treatment, according to a study published online April 9 in The Lancet.

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Cognitive Decline Inversely Tied to Cancer Mortality Risk

THURSDAY, April 10, 2014 (HealthDay News) -- Elderly individuals who experience faster cognitive decline appear to be at reduced risk of dying from cancer, according to research published online April 8 in Neurology.

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Fewer Americans Overwhelmed by Medical Bills

WEDNESDAY, April 9, 2014 (HealthDay News) -- While millions of Americans still feel hamstrung by medical expenses, a new government report shows that some people are getting relief.

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More Justification Needed for Choosing Wisely Selections

WEDNESDAY, April 9, 2014 (HealthDay News) -- Most services included in specialty medical societies' Top 5 lists for the Choosing Wisely campaign are based on evidence demonstrating equivalent but not superior benefit, with higher risk or higher costs compared to other options, according to a research letter published in the April 9 issue of the Journal of the American Medical Association.

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Men With Eating Disorders Face Delayed Symptom Recognition

WEDNESDAY, April 9, 2014 (HealthDay News) -- Cultural misperceptions of eating disorders as a female problem pose a barrier to recognition of symptoms in men, according to a study published in the April issue of BMJ Open.

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Advice, Exercise Equally Effective for Chronic Whiplash

WEDNESDAY, April 9, 2014 (HealthDay News) -- Simple advice is as effective as a comprehensive exercise program for reducing pain in patients with chronic whiplash, according to research published online April 4 in The Lancet.

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Milk Tied to Slower Arthritis Progression in Women

WEDNESDAY, April 9, 2014 (HealthDay News) -- Frequent milk consumption may be associated with reduced osteoarthritis (OA) progression in women, according to a study published April 6 in Arthritis Care & Research.

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Obese Child Incurs Extra $19,000 Lifetime Medical Costs

WEDNESDAY, April 9, 2014 (HealthDay News) -- The incremental lifetime medical cost of an obese child compared to a normal-weight child who maintains normal weight throughout adulthood is roughly $19,000, according to a study published online April 7 in Pediatrics.

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Heat Waves May Up Risk of Early-Term Deliveries

WEDNESDAY, April 9, 2014 (HealthDay News) -- Exposure to increased temperatures and episodes of extreme heat may increase the risk of delivery among early-term pregnancies, according to research published in the May issue of Epidemiology.

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Obstructive Sleep Apnea Ups Risk of Barrett's Esophagus

WEDNESDAY, April 9, 2014 (HealthDay News) -- Obstructive sleep apnea (OSA) is independently associated with increased risk of Barrett's esophagus (BE), according to a study published in the April issue of Clinical Gastroenterology and Hepatology.

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Depression, Functional Disability Common Post-ICU

WEDNESDAY, April 9, 2014 (HealthDay News) -- For patients with respiratory failure or shock undergoing treatment in medical or surgical intensive care units, depression and functional disability are common, according to a study published online April 7 in The Lancet Respiratory Medicine.

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Some Doctors Paid at Least $3 Million Each by Medicare

WEDNESDAY, April 9, 2014 (HealthDay News) -- A small number of doctors received at least $3 million each in Medicare payments in 2012, for a total of nearly $1.5 billion, according to an analysis of Medicare claims data released Wednesday by the White House. In total, Medicare paid individual physicians nearly $64 billion in 2012. The median payment was just over $30,000, the Associated Press reported.

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CDC: Too Many Younger Teens Still Getting Pregnant

TUESDAY, April 8, 2014 (HealthDay News) -- Despite a drop in teen birth rates in recent years, too many girls under 18 are still getting pregnant, U.S. health officials said Tuesday.

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Benefits of Neonatal Circumcision Outweigh Risks

TUESDAY, April 8, 2014 (HealthDay News) -- The benefits of neonatal circumcision exceed any risks by at least 100 to one, according to a review published online April 4 in the Mayo Clinic Proceedings.

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Perceived Stress Positively Linked to Allergy Flares

TUESDAY, April 8, 2014 (HealthDay News) -- Those with persistent emotional stress may have more frequent allergy flares, according to a study published in the April issue of the Annals of Allergy, Asthma & Immunology.

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NCQA Updates Recognition Standards for Medical Homes

TUESDAY, April 8, 2014 (HealthDay News) -- The National Committee for Quality Assurance (NCQA) has updated its guidelines for patient-centered medical homes, according to an article published March 27 in Medical Economics.

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Most PCPs Accepting New Patients, Insurance Still a Factor

TUESDAY, April 8, 2014 (HealthDay News) -- Although most primary care physicians are accepting new patients, access for new patients varies across states and with insurance status, according to a study published online April 7 in JAMA Internal Medicine.

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Inverse Link for Carotenoid Intake, Benign Breast Disease

TUESDAY, April 8, 2014 (HealthDay News) -- For adolescent girls, β-carotene intake is inversely associated with the risk of benign breast disease (BBD), according to a study published online April 7 in Pediatrics.

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Drinking Coffee Cuts Risk of Liver Cirrhosis Mortality

TUESDAY, April 8, 2014 (HealthDay News) -- Coffee consumption is associated with reduced risk of mortality from cirrhosis related to non-viral hepatitis, according to research published online in Hepatology.

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Stroke Risk May Be Elevated After Herpes Zoster Infection

TUESDAY, April 8, 2014 (HealthDay News) -- Risk of stroke may be increased following herpes zoster infection, according to research published online April 8 in Clinical Infectious Diseases.

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Lifestyle Intervention Provides Lasting Benefits in IGT

TUESDAY, April 8, 2014 (HealthDay News) -- For adults with impaired glucose tolerance, a six-year lifestyle intervention program reduces cardiovascular and all-cause mortality, and diabetes, according to a study published online April 3 in The Lancet Diabetes & Endocrinology.

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Decrease in Tobacco Use on TV Dramas Since 1955

TUESDAY, April 8, 2014 (HealthDay News) -- The portrayal of tobacco use on television (TV) dramas has decreased since 1955, in line with historical cigarette consumption trends, according to a study published online April 3 in Tobacco Control.

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Parental Addictions Linked to Arthritis in Adulthood

TUESDAY, April 8, 2014 (HealthDay News) -- A history of parental addictions is associated with cumulative lifetime incidence of arthritis in adulthood, even after adjustment for potential risk factors, according to a study published online March 23 in the International Journal of Population Research.

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Few Good Resources on Self-Harm Exist Online

MONDAY, April 7, 2014 (HealthDay News) -- People seeking help online for cutting and other forms of self-harm often receive incorrect or misleading information, according to a new study published online March 24 in JAMA Pediatrics.

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USPSTF Recommends Low-Dose Aspirin to Prevent Preeclampsia

MONDAY, April 7, 2014 (HealthDay News) -- The United States Preventive Services Task Force (USPSTF) recommends low-dose aspirin after 12 weeks' gestation for women at high-risk of preeclampsia. This draft recommendation statement is based on an evidence review published online April 8 in the Annals of Internal Medicine.

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Road Design Affects Motor Vehicle-Pedestrian Collisions

MONDAY, April 7, 2014 (HealthDay News) -- For school children, the correlation between walking to school and pedestrian collisions is not significant after adjustment for road design variables, according to a study published online April 7 in Pediatrics.

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Newly Eligible for Expanded Medicaid Are Healthier

MONDAY, April 7, 2014 (HealthDay News) -- Persons newly eligible for expanded Medicaid coverage under the Affordable Care Act (ACA) are not sicker than pre-ACA enrollees, according to research published online March 26 in Health Affairs.

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Complications for One in Five Adults Undergoing Tonsillectomy

MONDAY, April 7, 2014 (HealthDay News) -- About 20 percent of adults undergoing tonsillectomy experience complications, according to a study published in the April issue of Otolaryngology-Head and Neck Surgery.

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U-Shaped Association for Sodium Intake, Mortality

MONDAY, April 7, 2014 (HealthDay News) -- Low and high sodium intake are associated with increased mortality, according to a meta-analysis published online March 20 in the American Journal of Hypertension.

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Atopic Dermatitis Symptoms Persist Through Childhood

MONDAY, April 7, 2014 (HealthDay News) -- For children with atopic dermatitis, symptoms persist throughout childhood into adulthood, according to a study published online April 2 in JAMA Dermatology.

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Higher Risk of Adverse Perinatal Outcomes With Maternal IBD

MONDAY, April 7, 2014 (HealthDay News) -- Pregnant women with inflammatory bowel disease (IBD) may be at increased risk of adverse perinatal outcomes, with association between IBD and adverse perinatal outcome varying by IBD subtype, according to research published online March 20 in the Journal of Perinatology.

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Vitamin D Supplementation May Be Beneficial in Depression

MONDAY, April 7, 2014 (HealthDay News) -- Vitamin D supplementation has no overall effect on depressive symptoms, but may have a significant effect for those with clinically significant depression, according to a review published online March 14 in Psychosomatic Medicine.

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Early Elevation of Cardiac Risk Worsens Cognition in Midlife

MONDAY, April 7, 2014 (HealthDay News) -- Higher levels of cumulative exposure to cardiovascular risk factors (CVRFs) from early to middle adulthood may worsen cognition in midlife, according to research published online March 31 in Circulation.

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Paternal Obesity Linked to Elevated Autism Risk in Children

MONDAY, April 7, 2014 (HealthDay News) -- Paternal obesity is associated with increased risk of autism spectrum disorders (ASDs) in children, according to a study published online April 7 in Pediatrics.

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Patients Select Fewer New Docs at Bottom of Tiered Ranking

MONDAY, April 7, 2014 (HealthDay News) -- Patients are less likely to select a new physician ranked in the bottom of a tiered network, but often don't switch if their current physician is ranked at the bottom, according to research published online March 11 in Health Services Research.

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Mental Work Demands Affect Later Cognitive Functioning

FRIDAY, April 4, 2014 (HealthDay News) -- The mental demands of one's job may have a protective effect on cognitive functioning even after retirement, according to a study published online March 17 in the Journal of Occupational Health Psychology.

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Sexual Coercion Commonly Experienced by Teen Males

FRIDAY, April 4, 2014 (HealthDay News) -- Adolescent males report frequent sexual coercion, according to a study published online March 17 in Psychology of Men & Masculinity.

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Hearing Aid Use in Children With Mild Loss Improves Speech

FRIDAY, April 4, 2014 (HealthDay News) -- The level of hearing improvement achieved by hearing aid (HA) use in children correlates with better speech and language development, according to a study published online April 3 in JAMA Otolaryngology-Head & Neck Surgery.

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AMA Provides Resources to Aid Physicians' Collections

FRIDAY, April 4, 2014 (HealthDay News) -- The American Medical Association (AMA) has released resources to help doctors confront policy jumpers who may pose a financial risk to physicians during the Affordable Care Act's 90-day premium grace period, according to an article published March 25 in Medical Economics.

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More Elderly Americans Completing Advance Directives

FRIDAY, April 4, 2014 (HealthDay News) -- Over the past decade there has been a significant increase in the rate of completion of advance directives (ADs) among elderly Americans, according to research published online April 2 in the Journal of the American Geriatrics Society.

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Maternal Insulin Sensitivity Linked to Fetal Brain Activity

FRIDAY, April 4, 2014 (HealthDay News) -- Maternal insulin sensitivity is associated with fetal brain responses, according to a study published in the online March 25 in Diabetologia.

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Cardiorespiratory Fitness Impacts Later Cognitive Function

FRIDAY, April 4, 2014 (HealthDay News) -- Cardiorespiratory fitness (CRF) is associated with better verbal memory and faster psychomotor speed 25 years later, according to a study published online April 2 in Neurology.

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Modifiable Factors Predict Sexual Dysfunction in Aging Men

FRIDAY, April 4, 2014 (HealthDay News) -- Incidence and remission of erectile dysfunction (ED) and low sexual desire in aging men are predicted by a range of modifiable risk factors, according to research published online Feb. 18 in The Journal of Sexual Medicine.

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Early Childhood Interventions Greatly Improve Later Health

FRIDAY, April 4, 2014 (HealthDay News) -- Early childhood interventions substantially improve health into adulthood, according to a study published in the March 28 issue of Science.

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Adenoma Detection Rate Linked to Interval Cancer Risk

FRIDAY, April 4, 2014 (HealthDay News) -- The adenoma detection rate for screening colonoscopy performed by a physician is inversely associated with patient risk of subsequent colorectal cancer (interval cancer) and death, according to research published in the April 3 issue of the New England Journal of Medicine.

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New Nasal Filter May Relieve Allergy Symptoms

FRIDAY, April 4, 2014 (HealthDay News) -- The Rhinix nasal filter seems to be beneficial for adults with allergic rhinitis, according to a letter to the editor published online March 3 in the Journal of Allergy and Clinical Immunology.

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Anti-Inflammatory Benefits for CKD Seen With Walking

FRIDAY, April 4, 2014 (HealthDay News) -- Exercise may be an effective anti-inflammatory therapy in pre-dialysis patients with chronic kidney disease (CKD), according to a study published online April 3 in the Journal of the American Society of Nephrology.

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Pending Malpractice Litigation May Bias Parents' Reports

FRIDAY, April 4, 2014 (HealthDay News) -- Following neonatal brachial plexus palsy, medical malpractice litigation is associated with worse parent reports of their child's function and pain, according to a study published in the March 5 issue of The Journal of Bone & Joint Surgery.

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Breath-Actuated, Handheld Nebulizers Yield Similar Results

FRIDAY, April 4, 2014 (HealthDay News) -- There are no significant clinical differences between the use of a breath-actuated nebulizer (BAN) and a handheld nebulizer (HHN) for the treatment of wheezing or dyspnea among adults seen in the emergency department, according to a study published in the March issue of the Journal of Emergency Nursing.

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Patient Safety Not Affected by Resident Hour Reforms

THURSDAY, April 3, 2014 (HealthDay News) -- In the year following 2011 work-hour reforms for residents there were no changes in patient safety outcomes when comparing patients treated by residents to those treated by hospitalists, according to a study published online Feb. 22 in the Journal of Hospital Medicine.

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Review: Bariatric Surgery Cuts Cardiovascular Disease, Death

THURSDAY, April 3, 2014 (HealthDay News) -- Bariatric surgery is associated with reduced risk of mortality and cardiovascular events, including myocardial infarction and stroke, according to a review and meta-analysis published in the April 15 issue of the International Journal of Cardiology.

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CDC: Calls to Poison Centers for E-Cigarette Exposure Up

THURSDAY, April 3, 2014 (HealthDay News) -- There has been a recent increase in the number of calls to poison centers regarding electronic cigarette (e-cigarette) exposure, according to research published in the April 4 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Hands-Free Cellphones Don't Make Driving Safer

THURSDAY, April 3, 2014 (HealthDay News) -- Hands-free cellphone use while driving is not risk-free driving, new research shows.

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Memory Impairment Prevalent in Elderly With Heart Failure

THURSDAY, April 3, 2014 (HealthDay News) -- For older adults with chronic heart failure, memory impairment is common, with impairment correlating positively with heart failure severity, according to a study published in the April 1 issue of The American Journal of Cardiology.

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Study Examines Fertility Drug Effect on Breast Cancer Risk

THURSDAY, April 3, 2014 (HealthDay News) -- Women with ever use of clomiphene have no increased breast cancer risk, although women undergoing multiple clomiphene cycles have an increased risk of invasive breast cancer, according to a study published online April 3 in Cancer Epidemiology, Biomarkers & Prevention.

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Worse Cutaneous Melanoma Outcomes for Men Living Alone

THURSDAY, April 3, 2014 (HealthDay News) -- Men living alone have more advanced cutaneous malignant melanoma (CMM) at diagnosis and have reduced CMM-specific survival, according to a study published online March 31 in the Journal of Clinical Oncology.

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Emerging Drug Resistance May Up Gonorrhea Incidence

THURSDAY, April 3, 2014 (HealthDay News) -- Ciprofloxacin resistance may be tied to increased gonorrhea incidence, according to a report published in the April issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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Financial Burden of Breast Cancer Hits Minorities Harder

THURSDAY, April 3, 2014 (HealthDay News) -- Racial and ethnic minority patients seem to be more vulnerable to breast cancer-related privations and financial decline, according to a study published online March 24 in the Journal of Clinical Oncology.

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Probiotic Not Found Beneficial for Infants With Colic

THURSDAY, April 3, 2014 (HealthDay News) -- Use of the probiotic Lactobacillus reuteri DSM 17938 does not provide benefit for breastfed or formula fed infants with colic, according to a study published online April 1 in BMJ.

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Full-Field Digital Mammography Reduces Recall Rate

THURSDAY, April 3, 2014 (HealthDay News) -- Compared with screen-film mammography (SFM), full-field digital mammography (FFDM) is associated with reduced recall and biopsy rates, according to research published online April 1 in Radiology.

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FDA Approves Sublingual Tablet for Grass Allergies

WEDNESDAY, April 2, 2014 (HealthDay News) -- Oralair has been approved by the U.S. Food and Drug Administration as the first sublingual treatment for certain grass allergies.

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ER Use Up With Health Care Reform in Massachusetts

WEDNESDAY, April 2, 2014 (HealthDay News) -- Implementation of health care reform in Massachusetts was associated with an increase in emergency department use, according to a study published online March 24 in the Annals of Emergency Medicine.

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Root-Cause Analysis Advised for Neonatal Encephalopathy

WEDNESDAY, April 2, 2014 (HealthDay News) -- The importance of root-cause analysis for neonatal encephalopathy is emphasized in the second edition of the Task Force Report on Neonatal Encephalopathy and Neurologic Outcome, published jointly by the American College of Obstetricians and Gynecologists and the American Academy of Pediatrics.

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Half of Uninsured Don't Intend to Sign Up for Health Coverage

WEDNESDAY, April 2, 2014 (HealthDay News) -- About 50 percent of uninsured adults do not intend to sign up for coverage through the Affordable Care Act's health care exchanges, according to an article published March 26 in Medical Economics.

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Muscle Mass Linked to Lower Mortality in Elderly

WEDNESDAY, April 2, 2014 (HealthDay News) -- For older adults, greater muscle mass is associated with lower mortality, according to a study published online Feb. 18 in The American Journal of Medicine.

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Lack of Clear Evidence for Health Benefits of Vitamin D

WEDNESDAY, April 2, 2014 (HealthDay News) -- Evidence is lacking for the associations between vitamin D and health outcomes, according to one review published April 1 in BMJ; however, lower levels of circulating 25-hydroxyvitamin D correlate with increased mortality, according to another review also published April 1 in BMJ.

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Less Sleep Tied to Greater Food Intake in Children

WEDNESDAY, April 2, 2014 (HealthDay News) -- Shorter nighttime sleep duration is tied with higher energy intake early in life, according to a study published online March 26 in the International Journal of Obesity.

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Seven+ Daily Portions of Fruit, Vegetables Cut Mortality

WEDNESDAY, April 2, 2014 (HealthDay News) -- Fruit and vegetable consumption is associated with reduced mortality, with benefits seen for consumption of seven or more portions per day, according to a study published online March 31 in the Journal of Epidemiology & Community Health.

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Men With HIV May Face Higher Risk of Coronary Artery Disease

WEDNESDAY, April 2, 2014 (HealthDay News) -- Men who are infected with HIV are at greater risk of coronary artery disease (CAD), according to research published in the April 1 issue of the Annals of Internal Medicine.

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Tadalafil Not Helpful for ED in Prostate CA Post-Radiotherapy

WEDNESDAY, April 2, 2014 (HealthDay News) -- Among men receiving radiotherapy for prostate cancer, daily use of tadalafil is not more effective than placebo in preventing erectile dysfunction, according to research published in the April 2 issue of the Journal of the American Medical Association.

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Attention to Postpartum Contraception Needed

WEDNESDAY, April 2, 2014 (HealthDay News) -- Women in the postpartum period should receive counseling and access to contraceptive methods to promote optimal birth spacing, according to research published in the April issue of the American Journal of Obstetrics & Gynecology.

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More Than One Million Americans Caring for Injured Veterans

WEDNESDAY, April 2, 2014 (HealthDay News) -- More than 1.1 million Americans are caring for veterans injured or disabled since Sept. 11, 2001, a new study reveals.

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Individualized Risk Should Guide Mammography Screening

TUESDAY, April 1, 2014 (HealthDay News) -- Better decision aids that incorporate individualized risk could improve breast cancer screening, according to a review published in the April 2 issue of the Journal of the American Medical Association.

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Optimization of HIV Tx in Prison Improves Viral Load

TUESDAY, April 1, 2014 (HealthDay News) -- Optimization of HIV treatment regimens during incarceration results in the majority of prisoners achieving viral suppression by release, according to a study published online March 31 in JAMA Internal Medicine.

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CMS: Medicare Beneficiaries Saved $3.9B on Meds in 2013

TUESDAY, April 1, 2014 (HealthDay News) -- In 2013, 4.3 million seniors and people with disabilities saved an estimated $3.9 billion on prescription drugs, an increase from the 2012 savings, according to a report published by the U.S. Department of Health and Human Services.

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Adverse Cardiometabolic Profile With Postpartum Weight Gain

TUESDAY, April 1, 2014 (HealthDay News) -- Women who do not lose weight between three and 12 months after pregnancy have an adverse cardiometabolic profile, according to a study published online March 25 in Diabetes Care.

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Smoke-Free Legislation Has Significant Health Benefits

TUESDAY, April 1, 2014 (HealthDay News) -- Introduction of smoke-free legislation is associated with reductions in preterm birth and hospital attendance for asthma, according to a review published online March 28 in The Lancet.

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Nearly One-Third of Initial Prescriptions Remain Unfilled

TUESDAY, April 1, 2014 (HealthDay News) -- A sizable number of patients fail to fill their initial drug prescriptions, according to research published in the April 1 issue of the Annals of Internal Medicine.

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Next-Gen Sequencing May Soon Affect Breast Cancer Care

TUESDAY, April 1, 2014 (HealthDay News) -- Next-generation sequencing (NGS) could significantly impact breast cancer services in the near future, according to a review published online March 27 in the British Journal of Surgery.

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Hormones, Vaginal Flora Impact Cervicovaginal Lavage

TUESDAY, April 1, 2014 (HealthDay News) -- Hormonal contraception use and vaginal flora all impact the properties of cervicovaginal lavage, according to a study published online March 24 in the American Journal of Obstetrics & Gynecology.

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