April 2017 Briefing - Family Practice

Here are what the editors at HealthDay consider to be the most important developments in Family Practice for April 2017. 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.

Meeting Organizers Overlooking Qualified Female Scientists

FRIDAY, April 28, 2017 (HealthDay News) -- Invited speakers at medical conferences tend to be disproportionately male, a disparity that can be addressed by actively preparing lists of potential speakers, according to a study published online April 18 in Nature Immunology.

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AMA Urges Doctors to Talk About Safe Opioid Storage, Disposal

FRIDAY, April 28, 2017 (HealthDay News) -- Physicians should take three essential steps to reduce the amount of unwanted, unused, and expired medications in an effort to avoid non-medical uses of the drugs, according to a new recommendation from the American Medical Association (AMA) Task Force to Reduce Opioid Abuse.

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Routine Blood Tests Can Harm Patient Care

FRIDAY, April 28, 2017 (HealthDay News) -- Routine blood tests waste money and can damage patient care, according to an opinion piece published online April 27 in the BMJ.

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Algorithm Integrated Into App Forecasts Glucose Levels

FRIDAY, April 28, 2017 (HealthDay News) -- A mechanistic model based on Gaussian process models and data assimilation can produce a personalized, nutrition-based glucose forecast for individuals with type 2 diabetes, according to a study published online April 27 in PLOS Computational Biology.

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Exercise Reduces Weight Gain Effects in Those With FTO Gene

FRIDAY, April 28, 2017 (HealthDay News) -- Eleven novel adiposity variants have been identified after adjustment for physical activity (PA), and PA can reduce the weight-gaining effects of the FTO gene by about 30 percent, according to a meta-analysis published online April 27 in PLOS Genetics.

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Older Women Show Limited Understanding of Osteoporosis

FRIDAY, April 28, 2017 (HealthDay News) -- Many older women have low awareness about osteoporosis and its contribution to fracture risk and a lack of understanding about the benefits of osteoporosis pharmacotherapy, according to a study published April 19 in the Journal of the American Geriatrics Society.

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Combo Rx for Fibromyalgia Tied to Higher Adherence

FRIDAY, April 28, 2017 (HealthDay News) -- Medication adherence is better for combination prescription initiators with fibromyalgia syndrome (FMS), although expenditures for total health care are higher with combination prescriptions, according to a study published online April 18 in Pain Practice.

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Rx Errors Up With Generic Propranolol for Hemangioma

FRIDAY, April 28, 2017 (HealthDay News) -- Physicians prescribing propranolol in a single concentration of 4.28 mg/mL for infantile hemangioma (IH) report fewer prescribing errors than those prescribing generic propranolol, according to a research letter published in the May issue of the Journal of the American Academy of Dermatology.

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States With Medical Marijuana Laws See Drop in Prescriptions

FRIDAY, April 28, 2017 (HealthDay News) -- Medical marijuana laws are associated with a decline in the number of prescriptions filled for Medicaid enrollees, according to a study published in the April issue of Health Affairs.

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Undiagnosed Macular Degeneration Appears Common

THURSDAY, April 27, 2017 (HealthDay News) -- Approximately one-fourth of eyes deemed to be normal based on eye examination by primary eye care physicians have age-related macular degeneration (AMD) determined by fundus photography and trained raters, according to a study published online April 27 in JAMA Ophthalmology.

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Single-Payer Health System Bill Moves Forward in California

THURSDAY, April 27, 2017 (HealthDay News) -- A proposal to replace private insurance with government-funded health care for all moved forward in California on Wednesday as Democrats on the Senate Health Committee voted to advance the measure.

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Risk Factors in Six Areas Tied to Physician Burnout

THURSDAY, April 27, 2017 (HealthDay News) -- Physician burnout factors include control, whether there is time to deliver excellent care, and whether the workplace is fair, according to a presentation at the Medical Group Management Association/American Medical Association 2017 Collaborate in Practice Conference, held April 9 to 11 in Chicago.

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Clinician Awareness of Exercise Addiction May Be Lacking

THURSDAY, April 27, 2017 (HealthDay News) -- Health care professionals need to recognize exercise addiction and understand its risks, according to a practice pointer published online April 19 in the BMJ.

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Metal Sensitization More Likely for Women After Arthroplasty

THURSDAY, April 27, 2017 (HealthDay News) -- Among patients reporting pain but no infection after total joint arthroplasty (TJA), women have a higher rate and greater severity of metal sensitization than men, according to a study published April 19 in the Journal of Bone & Joint Surgery.

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Higher QT Interval After Energy Drink Consumption Vs. Caffeine

THURSDAY, April 27, 2017 (HealthDay News) -- Consumption of energy drinks is associated with significantly higher corrected QT interval and systolic blood pressure (BP) than consumption of caffeine alone, according to a study published online April 26 in the Journal of the American Heart Association.

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Pediatricians Missing Elevated Blood Lead Levels in U.S.

THURSDAY, April 27, 2017 (HealthDay News) -- Many children with a blood lead level ≥10 µg/dL (elevated blood lead level [EBLL]) are being missed by pediatric care providers, according to a study published online April 27 in Pediatrics.

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MTX + Adalimumab Beneficial in JIA-Associated Uveitis

THURSDAY, April 27, 2017 (HealthDay News) -- Treatment with adalimumab plus methotrexate is effective in children and adolescents with active juvenile idiopathic arthritis-associated (JIA-associated) uveitis, according to a study published online April 26 in the New England Journal of Medicine.

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EHR Documentation May Help in Harm Reduction Initiatives

THURSDAY, April 27, 2017 (HealthDay News) -- Electronic health record (EHR) documentation can be used to reduce preventable harm in hospitals, according to a study published online April 27 in Pediatrics.

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AAP Stresses Medical Home Best for Acute Health Concerns

WEDNESDAY, April 26, 2017 (HealthDay News) -- The medical home is the ideal location for children to receive care for acute, nonemergency health concerns, according to a policy statement published online April 24 in Pediatrics.

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FDA Warns Companies Selling Fraudulent Cancer Treatments

WEDNESDAY, April 26, 2017 (HealthDay News) -- The U.S. Food and Drug Administration (FDA) on Tuesday posted warning letters to 14 companies that are illegally selling more than 65 unproven cancer treatments.

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CDC: Opioid-Related Mortality Rate Might Be Underestimated

WEDNESDAY, April 26, 2017 (HealthDay News) -- The prescription drug abuse epidemic in the United States might be associated with a higher mortality rate than has been reported previously, according to a report from the U.S. Centers for Disease Control and Prevention presented April 24 at the Epidemic Intelligence Service conference in Atlanta.

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Illicit Marijuana Use Up in States With Legal Medical Use

WEDNESDAY, April 26, 2017 (HealthDay News) -- Illicit cannabis use increased significantly more in states that passed medical marijuana laws than in other states, according to a study published online April 26 in JAMA Psychiatry.

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Children With Suspected Child Abuse Present to Hospital Late

WEDNESDAY, April 26, 2017 (HealthDay News) -- Children with suspected child abuse (SCA) present late to the hospital, and most arrive at hospitals that are not designated pediatric-capable major trauma centers, according to a study published online April 24 in the Emergency Medicine Journal.

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Checklist for Family-Centered Rounds Deemed Beneficial

WEDNESDAY, April 26, 2017 (HealthDay News) -- Implementation of a family-centered rounds (FCR) checklist and associated provider training is associated with an increase in the number of FCR elements performed, according to a study published online April 25 in Pediatrics.

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Many Patients With Alzheimer's Disease Discontinue AChEIs

WEDNESDAY, April 26, 2017 (HealthDay News) -- Discontinuation of acetylcholinesterase inhibitors (AChEIs) for treatment of Alzheimer's disease is common, with adverse effects and cost cited as major factors, according to a study published recently in the Journal of the American Geriatrics Society.

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Plasma Uric Acid Lowering Tied to Drop in Systolic BP in T1DM

WEDNESDAY, April 26, 2017 (HealthDay News) -- Lowering of plasma uric acid (PUA) with febuxostat (FBX) is associated with a modest reduction in systolic blood pressure (BP) in patients with type 1 diabetes mellitus (T1DM), according to a study published online April 13 in Diabetes.

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Waiting 10 Months for Colonoscopy May Raise CRC Risk

TUESDAY, April 25, 2017 (HealthDay News) -- Follow-up colonoscopy after 10 months is associated with an increased risk of colorectal cancer and advanced-stage disease among patients with a positive fecal immunochemical test (FIT) result, according to a study published online April 25 in the Journal of the American Medical Association.

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USPSTF Urges BP Screening for Pre-eclampsia During Pregnancy

TUESDAY, April 25, 2017 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends pre-eclampsia screening with blood pressure measurements during pregnancy. These findings form the basis of a final recommendation statement, published online April 25 in the Journal of the American Medical Association.

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Use of HEART Score Has Limited Impact for Chest Pain in ER

TUESDAY, April 25, 2017 (HealthDay News) -- Use of the History, Electrocardiogram, Age, Risk factors, and initial Troponin (HEART) score is safe but has a limited effect on health care resource use among patients presenting at the emergency department with chest pain, according to a study published online April 24 in the Annals of Internal Medicine.

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HBV Reactivation Is Concern With DAA Tx in HBV-HCV Coinfection

TUESDAY, April 25, 2017 (HealthDay News) -- Hepatitis B virus (HBV) reactivation (HBV-R) is a safety concern for patients with HBV and hepatitis C virus (HCV) coinfection receiving direct-acting antiviral agents (DAAs), according to a study published online April 24 in the Annals of Internal Medicine.

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Exercise Improves Cognitive Function in Those Over 50

TUESDAY, April 25, 2017 (HealthDay News) -- Physical exercise improves cognitive function in people over 50 years of age, according to a review published online April 24 in the British Journal of Sports Medicine.

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Primary Care Pediatrician Vital for Cleft Lip/Palate Care

TUESDAY, April 25, 2017 (HealthDay News) -- For children with cleft lip and/or cleft palate (CL/P), the primary care pediatrician has an important role, according to a clinical report published online April 24 in Pediatrics.

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Mindfulness-Based Stress Reduction May Ease Back Pain

TUESDAY, April 25, 2017 (HealthDay News) -- For patients with low back pain, mindfulness-based stress reduction (MBSR) may be associated with short-term improvements in pain intensity and physical functioning, according to a review published online April 24 in the Annals of Internal Medicine.

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Central Obesity Ups Mortality Across BMI Range

TUESDAY, April 25, 2017 (HealthDay News) -- Central obesity is associated with increased risk of mortality even in normal-weight individuals, according to a study published online April 24 in the Annals of Internal Medicine.

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T2DM Risk Cut by Variant in Sulfonylurea Receptor Encoder

TUESDAY, April 25, 2017 (HealthDay News) -- A common missense variant in the gene encoding a component of the sulfonylurea receptor (ABCC8 p.A1369S), which promotes closure of the target channel of sulfonylurea therapy, mimicking the effects of therapy, is associated with reduced risk of type 2 diabetes and coronary heart disease, according to a study published online April 14 in Diabetes.

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Neutrophil-to-Lymphocyte Ratio Predicts Mortality in CAP

MONDAY, April 24, 2017 (HealthDay News) -- Neutrophil-to-lymphocyte ratio (NLR) can predict 30-day mortality for elderly adults with community-acquired pneumonia (CAP), according to a study published online April 13 in the Journal of the American Geriatrics Society.

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Most Patients Willing to Provide Sexual Orientation Data

MONDAY, April 24, 2017 (HealthDay News) -- Patients are more willing to provide sexual orientation data than providers in the emergency department think they are, according to a study published online April 24 in JAMA Internal Medicine.

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PSA Screening Rates Have Leveled Off in U.S.

TUESDAY, April 25, 2017 (HealthDay News) -- Rates of prostate-specific antigen (PSA) screening have leveled off after declining for a number of years in the United States, according to a research letter published online April 24 in JAMA Internal Medicine.

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Surgeon General Dismissed by Trump Administration

MONDAY, April 24, 2017 (HealthDay News) -- U.S. Surgeon General Dr. Vivek Murthy, M.D., has been removed by the Trump White House and his position filled on a temporary basis.

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More Risks on School Playgrounds Linked to Happier Children

MONDAY, April 24, 2017 (HealthDay News) -- Children from schools with greater risk and challenge in the playground environment report being happier at school and playing with more children, according to a study published online April 24 in Pediatrics.

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ERs Administering More Medications Intranasally

MONDAY, April 24, 2017 (HealthDay News) -- A growing number of U.S. emergency departments are giving patients medication through the nose instead of via injections or intravenously, according to a study published recently in the Annals of Emergency Medicine.

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Mortality Up for Opioid Addicts Not Treated in Addiction Clinics

MONDAY, April 24, 2017 (HealthDay News) -- Opioid addicts who get their medical care in settings such as primary care offices and hospitals, rather than addiction centers, are twice as likely to die as opioid addicts treated in addiction clinics, according to a study published online April 20 in the Journal of Addiction Medicine.

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Black Men Have Higher Rate of Preclinical Prostate Cancer

MONDAY, April 24, 2017 (HealthDay News) -- Black men appear to have a higher incidence of preclinical prostate cancer and a higher risk of metastatic progression than the general population, which may warrant a change in screening approach, according to a study published online April 24 in Cancer.

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Cycling To and From Work Linked Lower CVD, Mortality Risk

MONDAY, April 24, 2017 (HealthDay News) -- Biking to work may help lengthen lifespan, according to a study published online April 19 in The BMJ.

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Cherokee Nation Sues Retailers, Distributors Over Opioid Crisis

MONDAY, April 24, 2017 (HealthDay News) -- A lawsuit has been filed by an Indian nation against six of the top drug distributors and pharmacies in the United States for harm done by prescription pain medications.

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Doctors Encouraged to Assess Driving Risks for T1DM Patients

MONDAY, April 24, 2017 (HealthDay News) -- New research offers a checklist that helps determine whether it is safe for patients with type 1 diabetes to drive. The findings were published online April 12 in Diabetes Care.

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Wearable Devices Increasingly Being Used to Record Health Data

FRIDAY, April 21, 2017 (HealthDay News) -- Wearable devices are increasingly being used by patients to record health care data, and the number is expected to grow, according to an article published in Medical Economics.

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FDA Warns Against Children Taking Codeine, Tramadol

FRIDAY, April 21, 2017 (HealthDay News) -- Children should not be given any medications containing codeine or tramadol due to risk of life-threatening breathing difficulties, the U.S. Food and Drug Administration warned Thursday.

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Trump Administration Offers Grants to Fight Opioid Crisis

FRIDAY, April 21, 2017 (HealthDay News) -- Nearly half a billion dollars promised by the Obama administration for opioid abuse prevention and treatment programs will be handed out by the Trump administration.

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NYC to Raise Cigarette Prices to Highest in the United States

FRIDAY, April 21, 2017 (HealthDay News) -- A proposal to boost the base price of a pack of cigarettes from $10.50 to $13.00 would make cigarettes in New York City the most expensive in the country.

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Next Seven Great Achievements in Pediatric Research Predicted

FRIDAY, April 21, 2017 (HealthDay News) -- The next seven great achievements in pediatric research are presented in an article published online April 21 in Pediatrics.

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Early Glycemic Control With Metformin Cuts CVD Events

FRIDAY, April 21, 2017 (HealthDay News) -- For patients with type 2 diabetes who initiate metformin, early achievement of low hemoglobin A1c (HbA1c) is associated with a reduction in the subsequent risk of cardiovascular events or death, according to a study published online April 12 in Diabetes Care.

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Case Report Describes Adverse Reaction to Clindamycin

FRIDAY, April 21, 2017 (HealthDay News) -- In a case report published online April 17 in the Journal of Clinical Pharmacy and Therapeutics, acute generalized exanthematous pustulosis secondary to clindamycin therapy is described.

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Antipsychotic Medication Use Can Be Reduced in Dementia Patients

THURSDAY, April 20, 2017 (HealthDay News) -- Hoping to cut the use of antipsychotic drugs in nursing home residents, researchers tried training staff on new ways to meet the needs of residents with dementia. Their findings were published online April 17 in JAMA Internal Medicine.

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CDC: Salmonella Infection Prevalence Down in 2016

THURSDAY, April 20, 2017 (HealthDay News) -- U.S. health officials have made progress against Salmonella infections, according to research published in the April 21 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Artificially-Sweetened Drinks Linked to Stroke, Dementia Risk

THURSDAY, April 20, 2017 (HealthDay News) -- Consumption of artificially-sweetened drinks is associated with increased risk of stroke and dementia, according to a study published online April 20 in Stroke.

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Vertical Integration Linked to Reduction in Readmissions

THURSDAY, April 20, 2017 (HealthDay News) -- Vertical integration, merging health care providers of different levels into a single unit, is associated with a reduction in readmissions overall, although the positive effect is seen for a limited number of conditions, according to a study published in the May issue of Medical Care.

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First-Void Morning Urine Not Necessary for CIN2+ Detection

THURSDAY, April 20, 2017 (HealthDay News) -- There is no advantage in testing morning first-void urine over later samples for cervical intraepithelial neoplasia grade 2+ (CIN2+) detection using human papillomavirus (HPV) testing, according to a study published online April 9 in BJOG: An International Journal of Obstetrics and Gynaecology.

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Nurse-Led Intervention Helps With Diabetes Control

THURSDAY, April 20, 2017 (HealthDay News) -- Nurse-led interventions including education and cognitive behavioral therapy can improve hemoglobin A1c (HbA1c) control, according to a study published online April 11 in the Journal of Evaluation in Clinical Practice.

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QI Intervention Aids Medication Safety for Elderly in ER

THURSDAY, April 20, 2017 (HealthDay News) -- A quality improvement initiative that combines education, electronic clinical decision support, and individual provider feedback can positively influence prescribing behavior and improve medication safety for older adults in the emergency department, according to a study published online April 7 in the Journal of the American Geriatrics Society.

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Slow Processing Speed Predicts Falls in Elderly

THURSDAY, April 20, 2017 (HealthDay News) -- Slow processing speed predicts future falls in older adults with a history of falls, according to a study published online April 8 in the Journal of the American Geriatrics Society.

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Electronic Drug Administration Record App Cuts Errors

THURSDAY, April 20, 2017 (HealthDay News) -- Use of an electronic medication administration record (eMAR) application can reduce the rate of medication errors in medication administration recording (ME-MAR), according to a study published online April 18 in the Journal of Evaluation in Clinical Practice.

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Retinopathy Risk, HbA1c Should Guide Frequency of T1D Eye Care

THURSDAY, April 20, 2017 (HealthDay News) -- Patients with type 1 diabetes and low risk for diabetic retinopathy may need less frequent ophthalmologic screenings, while patients at high risk may need to be seen more often than once a year, according to a study published in the April 20 issue of the New England Journal of Medicine.

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Just Over Half of MI Patients Taking Statins As Recommended

THURSDAY, April 20, 2017 (HealthDay News) -- Many myocardial infarction patients aren't taking statins as recommended, according to a brief report published online April 19 in JAMA Cardiology.

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Study Looks at ER Visits for Patients Injured by Police in U.S.

WEDNESDAY, April 19, 2017 (HealthDay News) -- More than 50,000 Americans are treated each year for injuries inflicted by police, according to a research letter published online April 19 in JAMA Surgery.

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Chagas Disease Presents Public Health Challenge in the U.S.

WEDNESDAY, April 19, 2017 (HealthDay News) -- Chagas disease, caused by the parasite Trypanosoma cruzi and transmitted by the triatomine bug, is a public health concern in the United States, according to the Drugs for Neglected Diseases Initiative (DNDi).

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Hypertension May Positively Affect Ovarian Cancer Prognosis

WEDNESDAY, April 19, 2017 (HealthDay News) -- A woman's prognosis after an ovarian cancer diagnosis may be affected by a number of unexpected factors, according to a review published recently in Cancer Causes & Control.

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Potential Benefits, Risks of OpenNotes Discussed

WEDNESDAY, April 19, 2017 (HealthDay News) -- The benefits of sharing notes with patients include improved patient engagement and empowerment, while potential risks may include more phone calls, questions, and increased documentation time, according to a report published in Medical Economics.

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Review: Interventions Don't Promote Exercise in Rural Adults

WEDNESDAY, April 19, 2017 (HealthDay News) -- Interventions to promote physical activity (PA) among adults have no effect in rural communities, according to a review published online April 11 in Obesity Reviews.

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U-Shaped Correlation Between Body Mass Index, Mortality

WEDNESDAY, April 19, 2017 (HealthDay News) -- The correlation between body mass index (BMI) and mortality is U-shaped, with the optimal BMI for lowest mortality increasing with worsening diabetes status, according to a study published online April 11 in Diabetes Care.

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Single hs-cTnT Measure, Non-Ischemic ECG Can Rule Out AMI

WEDNESDAY, April 19, 2017 (HealthDay News) -- For adults presenting to the emergency department with chest pain, a single high-sensitivity assay for cardiac troponin T (hs-cTnT) below the limit of detection and a non-ischemic electrocardiogram (ECG) can rule out acute myocardial infarction (AMI), according to a meta-analysis published online April 18 in the Annals of Internal Medicine.

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Evaluation Strategies Compared in Microscopic Hematuria

WEDNESDAY, April 19, 2017 (HealthDay News) -- The combination of renal ultrasound and cystoscopy is the most cost-effective of four diagnostic approaches for the initial evaluation of asymptomatic microscopic hematuria (AMH), according to a study published online April 17 in JAMA Internal Medicine.

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Dexamethasone Found to Be of Little Benefit in Acute Sore Throat

WEDNESDAY, April 19, 2017 (HealthDay News) -- A single dose of oral dexamethasone only offers modest benefit in the treatment of acute sore throat, according a study published in the April 18 issue of the Journal of the American Medical Association.

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Researchers Warn of Epilepsy in Zika-Infected Infants

WEDNESDAY, April 19, 2017 (HealthDay News) -- Beyond its known links to birth defects and other issues, the Zika virus may also trigger cases of epilepsy in infants, according to a viewpoint piece published online April 17 in JAMA Neurology.

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Long-Term Eye Health at Risk in Infants Born With Zika Infection

TUESDAY, April 18, 2017 (HealthDay News) -- Zika virus may lead to lifelong vision impairment in affected infants, according to research published online April 13 in JAMA Ophthalmology.

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Differing Statin Guidelines Leave Many Clinicians Uncertain

TUESDAY, April 18, 2017 (HealthDay News) -- If all clinicians followed U.S. Preventive Services Task Force (USPSTF) guidelines for prescription of a statin, nine million fewer adults would be taking such medication versus adherence to the American College of Cardiology/American Heart Association recommendations, according to a study published in the April 18 issue of the Journal of the American Medical Association.

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No Proof Azithromycin Ups Odds of Ventricular Arrhythmia

TUESDAY, April 18, 2017 (HealthDay News) -- Azithromycin doesn't appear to increase the risk of ventricular arrhythmia, according to a study published online April 18 in CMAJ, the journal of the Canadian Medical Association.

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Link Between Antidepressant Use in Pregnancy, Autism Challenged

TUESDAY, April 18, 2017 (HealthDay News) -- Taking antidepressants during pregnancy doesn't appear to raise a child's risk of autism, once other factors that could influence the risk are taken into account, according to two studies published in the April 18 issue of the Journal of the American Medical Association.

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ACA Medicaid Expansions Didn't Increase States' Spending

TUESDAY, April 18, 2017 (HealthDay News) -- Federal funding insulated state budgets from increased spending related to Medicaid expansion, according to a study published in the April issue of Health Affairs.

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Marijuana Use Higher in Pregnant Teens Than Nonpregnant Peers

TUESDAY, April 18, 2017 (HealthDay News) -- More than twice as many pregnant 12- to 17-year-olds use marijuana as their nonpregnant peers, and significantly more use the drug than pregnant women in their 20s, according to a letter published online April 17 in the Annals of Internal Medicine.

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Glucose Variation Doesn't Affect Microvascular Complications

TUESDAY, April 18, 2017 (HealthDay News) -- Measures of glycemic variability in type 1 diabetes, based on complete quarterly 7-point glucose profiles, fail to provide evidence that glycemic variability contributes to the risk of development or progression of microvascular complications beyond the influence of mean glucose levels, according to a study published online April 12 in Diabetes Care.

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Pre-Pregnancy Bariatric Surgery Ups Risk of Abdominal Surgery

TUESDAY, April 18, 2017 (HealthDay News) -- Bariatric surgery is associated with an increased risk of abdominal surgery during subsequent pregnancy, according to a study published in the May issue of Obstetrics & Gynecology.

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Increase in Prostate Needle Biopsy-Linked Infection in N.Y.

TUESDAY, April 18, 2017 (HealthDay News) -- Infectious complications after prostate needle biopsy increased from 2011 to 2014 across New York State, according to a study published in the April issue of The Journal of Urology.

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Over 20 Percent of Maternal Mortality in Illinois Due to CVD

TUESDAY, April 18, 2017 (HealthDay News) -- More than one in five maternal deaths in Illinois in 2002 to 2011 were attributable to cardiovascular disease, according to a study published in the May issue of Obstetrics & Gynecology.

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Various Diagnostic Tools Available for Ocular Allergy

TUESDAY, April 18, 2017 (HealthDay News) -- There are currently various tools available for diagnosing ocular allergy, although several unmet needs remain, according to a position paper published online April 7 in Allergy.

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Costs Up With Specialist As Predominant Provider of Care

TUESDAY, April 18, 2017 (HealthDay News) -- For older adults with multimorbidity, having a specialist as the predominant provider of care (PPC) is associated with higher spending and lower continuity of care, according to a study published online April 8 in the Journal of the American Geriatrics Society.

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Retail Medical Sites Expanding to Provide Primary Care

MONDAY, April 17, 2017 (HealthDay News) -- Pharmacy chains are continuing to develop primary care venues within their stores, according to an article published in Medical Economics.

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Cervical Cancer Screen Rates Low for Women With Mental Illness

MONDAY, April 17, 2017 (HealthDay News) -- Cervical cancer screening rates are much lower among women with severe mental illness than among other women, according to a study published online April 17 in Psychiatric Services.

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Care Access Worsening for Adults With Psychological Distress

MONDAY, April 17, 2017 (HealthDay News) -- An estimated 8.3 million American adults -- about 3.4 percent of the U.S. population -- suffer from serious psychological distress, with barriers to care on the rise, according to research published online April 17 in Psychiatric Services.

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Doctors Need to Be Mindful of What They Post on Social Media

MONDAY, April 17, 2017 (HealthDay News) -- Young doctors often have unprofessional or offensive content on their Facebook profiles, according to a study published online April 9 in BJU International.

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Moderate, High-Intensity Exercise Programs Show Similar Results

MONDAY, April 17, 2017 (HealthDay News) -- Short-term moderate-intensity to high-intensity interval training (HIIT) leads to modest body composition improvements in overweight and obese individuals, according to research published online April 11 in Obesity Reviews.

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Dizziness in Parkinson's May Be Due to Cerebral Hypoperfusion

MONDAY, April 17, 2017 (HealthDay News) -- Cerebral hypoperfusion contributes to dizziness in patients with Parkinson's disease (PD), even without orthostatic hypotension (OH), according to a study published online April 12 in the Journal of Clinical Ultrasound.

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Intervention Fosters Resilience to Stress, Burnout for Mothers

MONDAY, April 17, 2017 (HealthDay News) -- An intervention to foster resilience among professional women at high risk for stress and burnout is beneficial, according to a study published online April 12 in Women's Health Issues.

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Major Bleeding Risk From Drugs Similar in Elderly

MONDAY, April 17, 2017 (HealthDay News) -- The risk of major bleeding is similar for older patients with atrial fibrillation taking either antiplatelet or anticoagulant drugs, according to a review published online April 10 in the Journal of Thrombosis and Haemostasis.

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Anthrax Cases Linked to Use of Vintage Shaving Brushes

MONDAY, April 17, 2017 (HealthDay News) -- During and after the First World War, there was an increase in anthrax cases associated with use of new shaving brushes, which were made of imported horsehair, according to research published in the May issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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One in Five Post-Op Patients Need Unscheduled Help

MONDAY, April 17, 2017 (HealthDay News) -- A sizable minority of patients need to make contact with health services after outpatient surgery, most often due to inadequate pain management, according to a study published online April 10 in Anesthesiology.

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Breast Cancer Rates Increasing Among Asian-American Women

FRIDAY, April 14, 2017 (HealthDay News) -- Breast cancer rates among Asian-Americans are steadily rising in contrast to other racial/ethnic groups, according to a study published online April 1 in Breast Cancer Research and Treatment.

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Hot Flashes in Early Menopause May Indicate Elevated CVD Risk

FRIDAY, April 14, 2017 (HealthDay News) -- Hot flashes may signal increased risk of vascular dysfunction that can lead to cardiovascular disease, according to a study published online April 12 in Menopause.

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Treatment Plan From Massage Therapist Alleviates Chronic LBP

FRIDAY, April 14, 2017 (HealthDay News) -- Massage therapy may provide some relief in chronic low back pain, according to a study published online recently in Pain Medicine.

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AAFP: Educational Videos Created to Boost Adult Vaccine Uptake

FRIDAY, April 14, 2017 (HealthDay News) -- A series of short videos focusing on increasing influenza, zoster, and pneumococcal vaccine uptake among adults have been created, according to a report from the American Academy of Family Physicians (AAFP).

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Yoga Helps Ease Side Effects of Prostate Cancer Treatment

FRIDAY, April 14, 2017 (HealthDay News) -- Among prostate cancer patients, novice yoga practitioners experience renewed energy and fewer of the sexual and urinary symptoms tied to radiation treatment, compared with men who don't practice yoga, according to research published recently in the International Journal of Radiation Oncology, Biology, and Physics.

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Reduced Glomerular Filtration Rate Major Cause of CV Deaths

FRIDAY, April 14, 2017 (HealthDay News) -- Kidney disease is a major cause of cardiovascular deaths worldwide, according to a study published online April 13 in the Journal of the American Society of Nephrology.

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High Readmission Rates for Critical Limb Ischemia

FRIDAY, April 14, 2017 (HealthDay News) -- Patients with critical limb ischemia (CLI) have a high risk of readmission, with most of the readmissions unplanned, according to a study published in the April 18 issue of the Journal of the American College of Cardiology.

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Work Impairment Common in Uncontrolled Allergic Rhinitis

FRIDAY, April 14, 2017 (HealthDay News) -- Data collected from a mobile phone app show that many patients with uncontrolled allergic rhinitis have some work impairment, according to a study published online April 7 in Allergy.

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AMA: Two Internet Tools Can Help Educate Patients

THURSDAY, April 13, 2017 (HealthDay News) -- Internet resources can be helpful for educating patients and include myhealthfinder, which offers personalized recommendations for preventive services and a diabetes prevention tool, according to a report from the American Medical Association.

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Physicians Resist Requests From Immigrants for Female Ob-Gyns

THURSDAY, April 13, 2017 (HealthDay News) -- While health care providers are sympathetic to immigrant women's requests for female obstetricians, they resist accommodating these requests and place greater value on maintaining gender equity, according to a study published in the May issue of Obstetrics & Gynecology.

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Cancer Occurrence Differs Among African-Born, U.S.-Born Blacks

THURSDAY, April 13, 2017 (HealthDay News) -- Cancer rates differ between African- and U.S.-born black Americans, with cancer rates varying by region of birth in Africa, according to a study published online April 13 in Cancer.

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Accurate Diagnosis of Endocrine Hypertension Important

THURSDAY, April 13, 2017 (HealthDay News) -- An accurate diagnosis of endocrine hypertension allows clinicians to provide effective treatment, including a surgical cure or to achieve an optimal response with specific pharmacologic therapy, according to a scientific statement published online April 5 in Endocrine Reviews.

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Delays in Emergency Care Up Mortality During Major Marathons

THURSDAY, April 13, 2017 (HealthDay News) -- Nearby residents appear more likely to die from acute myocardial infarction and cardiac arrest during a marathon, according to research published in the April 13 issue of the New England Journal of Medicine.

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Diabetes Continues to Be a Significant Public Health Burden

THURSDAY, April 13, 2017 (HealthDay News) -- The incidence of diabetes is increasing among young persons, although some progress is seen with mortality and incidence of cardiovascular outcomes among patients with the disease, according to research published in the April 13 issue of the New England Journal of Medicine.

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Misunderstanding of BRCA Test Results Affects Mastectomy Rates

THURSDAY, April 13, 2017 (HealthDay News) -- Close to half of breast cancer patients who choose to have a double mastectomy after genetic testing may not have the gene mutations known to raise the risk of additional cancers, according to a study published online April 12 in the Journal of Clinical Oncology.

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Surgery Often the Starting Point for Opioid Addiction

THURSDAY, April 13, 2017 (HealthDay News) -- Certain surgery patients prescribed opioids for postoperative pain relief may face a higher risk for developing a persistent opioid addiction, according to research published online April 12 in JAMA Surgery.

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Continuous Glucose Monitoring Improves Quality of Life in T1DM

THURSDAY, April 13, 2017 (HealthDay News) -- Continuous glucose monitoring (CGM) contributes to significant improvements in diabetes-specific quality of life (QOL) measures among adults with type 1 diabetes mellitus (T1DM), according to a study published online April 7 in Diabetes Care.

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24-Hour Urine Collection of Unclear Benefit in Stone Formers

THURSDAY, April 13, 2017 (HealthDay News) -- Despite guidelines, it has not been established whether all recurrent kidney stone formers benefit from 24-hour urine collection, according to a review published in the April issue of The Journal of Urology.

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Overweight, Underweight Both Tied to Migraines

THURSDAY, April 13, 2017 (HealthDay News) -- Weight -- both overweight and underweight -- may influence risk of migraine headaches, according to a review published online April 12 in Neurology.

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Mortality Up With Depression Just Before Breast Cancer Diagnosis

THURSDAY, April 13, 2017 (HealthDay News) -- Women with newly-developed depression before a breast cancer diagnosis have a modestly, but significantly, increased risk for death, according to a study published online April 7 in Cancer.

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FDA Approves First Drug for Treatment of Tardive Dyskinesia

WEDNESDAY, April 12, 2017 (HealthDay News) -- Ingrezza (valbenazine), the first drug to treat adults with tardive dyskinesia, has been approved by the U.S. Food and Drug Administration.

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Physicians Are Spending Half Their Time on Computer Tasks

WEDNESDAY, April 12, 2017 (HealthDay News) -- Physicians spend roughly as many hours on computer work as they do meeting with patients, according to a study published in the April issue of Health Affairs.

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$16 Billion Spent on Cosmetic Surgery by Americans in 2016

WEDNESDAY, April 12, 2017 (HealthDay News) -- Americans spent $16 billion on cosmetic plastic surgery and minimally invasive procedures in 2016, according to a new report from the American Society of Plastic Surgeons.

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Specific Factors Influence First-Line Biologic Rx for Psoriasis

WEDNESDAY, April 12, 2017 (HealthDay News) -- The presence of psoriatic arthritis, patient weight, registration country, employment status, and disease severity are the main factors influencing first-line biologic treatment selection for patients with psoriasis, according to a study published online April 7 in the British Journal of Dermatology.

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Depressive Disorders Up With Antimuscarinics for OAB

WEDNESDAY, April 12, 2017 (HealthDay News) -- Women with overactive bladder (OAB) syndrome treated with antimuscarinics have increased subsequent risk of depressive disorder, according to a study published online April 5 in the Journal of Clinical Pharmacology.

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PSA Test Often Occurs Without Discussion of Benefits, Harms

WEDNESDAY, April 12, 2017 (HealthDay News) -- Fewer than one in three men screened with the prostate-specific antigen (PSA) test for prostate cancer talked about the risks and benefits of the test with their doctor, according to a study published online recently in Urology.

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Chronic Alarm Fatigue Key Determinant of Response Time

WEDNESDAY, April 12, 2017 (HealthDay News) -- Nurses are usually quick to react when alarms are urgent, but they're slower to respond at the end of the workday or when they are experiencing "chronic alarm fatigue," according to a study published online April 10 in JAMA Pediatrics.

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Deep Brain Stimulation Beneficial in Severe Tourette's

WEDNESDAY, April 12, 2017 (HealthDay News) -- Some young patients with severe cases of Tourette's syndrome (TS) may benefit from deep brain stimulation (DBS), according to a study published online April 7 in the Journal of Neurosurgery.

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Midlife Vascular Risk Factors Associated With Elevated Amyloid

WEDNESDAY, April 12, 2017 (HealthDay News) -- Individuals with risk factors for cardiovascular disease and stroke in middle age are more likely to have elevated levels of amyloid, according to a study published in the April 11 issue of the Journal of the American Medical Association.

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Care Transitions Common at End of Life for Medicare Recipients

WEDNESDAY, April 12, 2017 (HealthDay News) -- More than one-third of Medicare beneficiaries who died in 2011 had at least four care transitions during their last six months of life, according to a study published online April 3 in the Journal of the American Geriatrics Society.

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Recreational Drug 'Poppers' Linked to Retinal Damage

WEDNESDAY, April 12, 2017 (HealthDay News) -- Use of inhaled "poppers" -- volatile alkyl nitrite compounds inhaled for their psychoactive effects such as transient euphoria and sexual arousal -- might pose a danger to the user's vision, according to a study published online April 10 in the British Journal of Ophthalmology.

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Expectations, Concerns Vary With Age for Adults at Pain Clinic

WEDNESDAY, April 12, 2017 (HealthDay News) -- Patient expectations and concerns vary by age among adults attending a chronic pain clinic, according to a study published online March 30 in Pain Practice.

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Residents Rate Enjoyment of Teaching As Key for ICU Doctors

WEDNESDAY, April 12, 2017 (HealthDay News) -- Behaviors that residents value in intensive care unit (ICU) attending physicians include enjoyment of teaching and treatment of patients, families, and non-physician staff, according to a study published in the April issue of the Annals of the American Thoracic Society.

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AHA: Patients Lack Confidence in Managing Their Cholesterol

TUESDAY, April 11, 2017 (HealthDay News) -- Many patients report lack of confidence or knowledge in keeping cholesterol under control, a new American Heart Association survey shows.

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Cross-Sex Hormones Appear to Be Safe for Transgender Teens

TUESDAY, April 11, 2017 (HealthDay News) -- Cross-sex hormones appear to be safe for transgender adolescents, according to a study published online April 6 in Pediatrics.

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Patient Choice Stressed in Latest USPSTF PSA Screening Recs

TUESDAY, April 11, 2017 (HealthDay News) -- The U.S. Preventive Services Task Force is recommending that men aged 55 to 69 have a discussion with their doctor about the pros and cons of prostate-specific antigen (PSA) screening for detecting prostate cancer.

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Doctor Communication Style Key During Bad-News Encounters

TUESDAY, April 11, 2017 (HealthDay News) -- Enhanced patient-centered communication (E-PCC) positively impacts patients' psychological state during bad-news encounters, according to a study published online April 5 in Cancer.

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Acute Ischemic Stroke Prevalence Up in Younger Americans

TUESDAY, April 11, 2017 (HealthDay News) -- Acute ischemic stroke is increasingly prevalent in Americans under 65, as is the percentage of those with three or more stroke risk factors, according to a study published online April 10 in JAMA Neurology.

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Past Psychiatric Disorders Do Not Raise Risk of Alzheimer's Disease

TUESDAY, April 11, 2017 (HealthDay News) -- Having a mental health disorder doesn't translate into a higher risk of Alzheimer's disease later in life, according to a study published in European Psychiatry.

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Insecticide Resistance Thwarting Fight Against Bed Bugs

TUESDAY, April 11, 2017 (HealthDay News) -- Some bed bugs are showing early signs of resistance to two widely used insecticides, according to a study published online April 10 in the Journal of Economic Entomology.

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Race Affects Obesity-Related Risk of Adolescent Hypertension

TUESDAY, April 11, 2017 (HealthDay News) -- Obese teenagers are at increased risk of hypertension, but the effects of those extra pounds may vary by race and ethnicity, according to a study published online April 10 in Pediatrics.

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Questionnaire-Based Approach Valid for Identifying Frailty

TUESDAY, April 11, 2017 (HealthDay News) -- A questionnaire-based approach seems to be valid for identifying adults in the intensive care unit with a frailty phenotype, according to a study published online March 30 in the Annals of the American Thoracic Society.

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Overall Favorable Outcomes for Twin Pregnancies in Moms 45+

TUESDAY, April 11, 2017 (HealthDay News) -- Twin pregnancies in older women (at least 45 years of age) overall have favorable outcomes but are associated with high rates of some complications, according to a study published in the May issue of Obstetrics & Gynecology.

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Most Physicians Suggest Annual Mammograms for Women 40-44

MONDAY, April 10, 2017 (HealthDay News) -- Four out of five doctors still recommend annual mammograms for women in their early 40s, despite guideline changes that have pushed back the age for yearly breast cancer screening, according to the results of a survey published online April 10 in JAMA Internal Medicine.

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Eval, Mgmt of RA in Women Can Be Compromised by Obesity

MONDAY, April 10, 2017 (HealthDay News) -- C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) levels in the evaluation and management of rheumatoid arthritis may be affected by obesity in women, according to a study published online April 10 in Arthritis Care & Research.

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Benzodiazepines May Up Risk of Pneumonia in Alzheimer's Disease

MONDAY, April 10, 2017 (HealthDay News) -- Patients with Alzheimer's disease who use benzodiazepines may have an increased risk for pneumonia, according to a study published in the April 10 issue of CMAJ, the journal of the Canadian Medical Association.

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Integrated E-Prescribing Can Cut Prescribing, Dispensing Errors

MONDAY, April 10, 2017 (HealthDay News) -- An integrated electronic medication prescribing (e-prescribing) and dispensing system can reduce prescribing and dispensing errors, according to a study published online March 30 in the Journal of Pharmacy Practice and Research.

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Fungal Lesions Can Mimic Neoplastic Growths on Tongue

MONDAY, April 10, 2017 (HealthDay News) -- Fungal lesions can mimic neoplastic growths on the tongue, according to a case report published online April 5 in Pediatrics.

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Surgery May Not Be Necessary in Acute Biliary Pancreatitis

MONDAY, April 10, 2017 (HealthDay News) -- Immediate cholecystectomy may not always be necessary for patients with acute biliary pancreatitis, according to research published in the March issue of the American Journal of Gastroenterology.

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Exercise Capacity Prognostically Beneficial for Patients

MONDAY, April 10, 2017 (HealthDay News) -- Cardiopulmonary exercise testing, unless contraindicated, should be performed to obtain an overall view of cardiac and pulmonary patients' clinical status, according to a review published online March 31 in the Annals of the American Thoracic Society.

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Multivitamin Use Does Not Benefit Cardiovascular Health in Men

FRIDAY, April 7, 2017 (HealthDay News) -- A daily multivitamin doesn't benefit cardiovascular health in men, according to a study published online April 5 in JAMA Cardiology.

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MACRA Changes Government Approach to Doctor Payment

FRIDAY, April 7, 2017 (HealthDay News) -- Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) has made fundamental changes to the government's approach to physician payment, according to a March 27 policy brief published in Health Affairs.

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pH-Balanced Vaginal Gel Doesn't Improve Dyspareunia

FRIDAY, April 7, 2017 (HealthDay News) -- For breast cancer survivors who are premenopausal at diagnosis, a pH-balanced vaginal gel is no better than placebo for improving dyspareunia and overall sexual function, according to a study published in the May issue of Obstetrics & Gynecology.

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CDC: Syphilis Rates Up Among U.S. Men Who Have Sex With Men

FRIDAY, April 7, 2017 (HealthDay News) -- Syphilis rates among men who have sex with men (MSM) have increased significantly in the past two decades, according to research published in the April 7 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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SGA Prescribing Higher for Veterans With PTSD/Dementia

FRIDAY, April 7, 2017 (HealthDay News) -- Elderly veterans with post-traumatic stress disorder (PTSD) with dementia have increased odds of being prescribed second-generation antipsychotics (SGAs) compared with those with PTSD alone, according to a study published online April 3 in the Journal of the American Geriatrics Society.

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Continuous Subcutaneous Insulin Infusion Bests Injections in T2DM

FRIDAY, April 7, 2017 (HealthDay News) -- For patients with type 2 diabetes and hemoglobin A1c (HbA1c) >8 percent following multiple daily injections (MDI), continuous subcutaneous insulin infusion (CSII) is associated with a significantly greater reduction in HbA1c than MDI, according to a study published online April 4 in Diabetes, Obesity and Metabolism.

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FDA OKs Marketing of Direct-to-Consumer Genetic Risk Tests

FRIDAY, April 7, 2017 (HealthDay News) -- The U.S. Food and Drug Administration has approved the first home genetic tests for 10 diseases or conditions, including Parkinson's disease and late-onset Alzheimer's.

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Prevalence of Metformin Use 0.7 Percent in Prediabetes

THURSDAY, April 6, 2017 (HealthDay News) -- For U.S. adults with prediabetes, the prevalence of metformin use is 0.7 percent, according to a study published online April 3 in Diabetes Care.

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Occupational Therapy Ups Functioning in Frail Seniors

THURSDAY, April 6, 2017 (HealthDay News) -- For physically frail older adults, occupational therapy is associated with improved functioning, according to a review published online April 3 in the Journal of the American Geriatrics Society.

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CDC: Almost Half of U.S. Men, Women <60 Infected With HPV

THURSDAY, April 6, 2017 (HealthDay News) -- Nearly half of American men and women under 60 have a genital human papillomavirus (HPV) infection, according to an April data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Risk Adjustment, Reinsurance Transfer Offer Financial Benefit

THURSDAY, April 6, 2017 (HealthDay News) -- Risk adjustment and reinsurance transfer programs seem to have been effective for increasing revenues at the expense of claims costs, according to research published in the March issue of Health Affairs.

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Pre-Stroke Fitness, but Not BMI, May Predict Post-Stoke Disability

THURSDAY, April 6, 2017 (HealthDay News) -- Stroke patients who are active and exercise regularly before the event have a lower risk of post-stroke disability, but body mass index does not appear to be related to the decreased risk, according to a study published online April 5 in Neurology.

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Rates of Colorectal CA Screening Lower for Adults With Disabilities

THURSDAY, April 6, 2017 (HealthDay News) -- American adults with disabilities have lower colorectal cancer screening rates than other adults, according to a study published recently in the American Journal of Preventive Medicine.

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Denying Payment Reduces Rate of Early Elective Deliveries

THURSDAY, April 6, 2017 (HealthDay News) -- Implementation of a program denying payment to providers for unnecessary early elective delivery is associated with a reduction in the rate of early elective deliveries, according to a study published in the March issue of Health Affairs.

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No CVD Protection Seen With Monthly High-Dose Vitamin D

THURSDAY, April 6, 2017 (HealthDay News) -- Taking high doses of vitamin D once a month won't lower the risk for cardiovascular disease, according to a study published online April 5 in JAMA Cardiology.

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Higher Risk of Cardiovascular Events With Weight Fluctuations

THURSDAY, April 6, 2017 (HealthDay News) -- Fluctuation in body weight is associated with higher mortality and a higher rate of cardiovascular events -- independent of traditional cardiovascular risk factors -- in patients with coronary artery disease, according to a study published in the April 6 issue of the New England Journal of Medicine.

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Physicians Finding Ways to Work Around Cost of Rx Medications

WEDNESDAY, April 5, 2017 (HealthDay News) -- In an effort to mitigate the increasing cost of prescription medications, some physicians are creating novel workaround solutions, according to an article published by Kaiser Health News.

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Long-Term Antibiotic Use May Up Risk of Colorectal Adenomas

WEDNESDAY, April 5, 2017 (HealthDay News) -- Taking antibiotics for an extended period in early to middle adulthood might increase risk for colorectal adenomas, according to a report published online April 4 in Gut.

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Small Dietary Changes Cut Water Use, Can Improve Health

WEDNESDAY, April 5, 2017 (HealthDay News) -- Modest changes in diet can address the projected reduction in the availability of freshwater for irrigation in India, and can improve diet-linked health outcomes, according to a study published in the April issue of The Lancet Planetary Health.

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More Metabolic Abnormality Among Normal-Weight Minorities

WEDNESDAY, April 5, 2017 (HealthDay News) -- Racial/ethnic minority groups have a significantly higher prevalence of metabolic abnormality but normal weight (MAN) than whites, according to a study published online April 4 in the Annals of Internal Medicine.

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'SuperAgers' Have Less Whole-Brain Cortical Volume Loss

WEDNESDAY, April 5, 2017 (HealthDay News) -- Cognitively-average elderly adults have greater annual whole-brain cortical volume loss than adults age 80 years and older with episodic memory ability at least as good as that of average middle-age adults (SuperAgers), according to a research letter published in the April 4 issue of the Journal of the American Medical Association.

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Bone, Basal Metabolism Link Depends on Vitamin D Level

WEDNESDAY, April 5, 2017 (HealthDay News) -- For postmenopausal women with type 2 diabetes mellitus (T2DMPW), the correlation between bone metabolism and basal metabolism seems to be dependent on serum 25-hydroxyvitamin D (25[OH]D) levels, according to a study published online March 31 in the Journal of Diabetes Investigation.

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Ruling Out Penicillin Allergy by Testing Inpatients Saves Money

WEDNESDAY, April 5, 2017 (HealthDay News) -- Inpatient penicillin allergy testing is effective for ruling out penicillin allergy, and results in increased prescription of penicillin and cephalosporin, according to a review published online March 29 in Allergy.

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Second Opinion Yields Different Diagnosis for 1 in 5 Patients

WEDNESDAY, April 5, 2017 (HealthDay News) -- One-fifth of patients who sought a second opinion recently at a single academic medical center had received a different diagnosis from their primary care providers, according to a study published online April 4 in the Journal of Evaluation in Clinical Practice.

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Increased Cancer Risk for Childhood Kidney Recipients

WEDNESDAY, April 5, 2017 (HealthDay News) -- Childhood kidney recipients have increased cancer risk, according to a study published online March 29 in the American Journal of Transplantation.

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CDC: Birth Defects Seen in 1 in 10 U.S. Pregnancies Affected by Zika

WEDNESDAY, April 5, 2017 (HealthDay News) -- One in 10 pregnant U.S. women with confirmed Zika infection in 2016 had a baby with virus-related birth defects, according to research published in the April 4 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Red Cell Distribution Width Predicts Surgical Complications

WEDNESDAY, April 5, 2017 (HealthDay News) -- In children undergoing adenotonsillectomy for sleep-disordered breathing, preoperative elevated red cell distribution width is associated with an increased risk of respiratory adverse events, according to research published online March 27 in Pediatric Anesthesia.

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Doctors Must Be Wary of HIPAA Violations With Online Reviews

TUESDAY, April 4, 2017 (HealthDay News) -- Physicians should be aware that responding to a negative health care review could potentially expose personal medical information, resulting in a Health Insurance Portability and Accountability Act (HIPAA) violation, according to an article published in Medical Economics.

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Maternal Overweight, Obesity May Increase Childhood Epilepsy

TUESDAY, April 4, 2017 (HealthDay News) -- The rates of childhood epilepsy increase with maternal overweight and obesity, according to a study published online April 3 in JAMA Neurology.

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Maternal Pertussis Vaccination Reduces Risk for Newborns

TUESDAY, April 4, 2017 (HealthDay News) -- Infants are far less likely to develop pertussis if their mother received a tetanus toxoid, reduced diphtheria toxoid, acellular pertussis (Tdap) booster vaccination while pregnant, according to research published online April 3 in Pediatrics.

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Maximum BMI Over 16 Years Ups Risk of All-Cause Death

TUESDAY, April 4, 2017 (HealthDay News) -- Maximum body mass index (BMI) over 16 years of weight history is associated with increased risk of all-cause death, according to a study published online April 4 in the Annals of Internal Medicine.

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Geographic Variation in Admission for Opioid Tx Programs

TUESDAY, April 4, 2017 (HealthDay News) -- There is geographic variation in treatment admissions among opioid treatment programs that accept Medicaid, according to a study published online March 27 in Health Services Research.

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Physical Activity Independently Predicts Bone Strength in Teens

TUESDAY, April 4, 2017 (HealthDay News) -- Moderate-to-vigorous physical activity (MVPA) is an independent predictor of bone strength at the tibia and radius in adolescents, according to a study published online March 23 in the Journal of Bone and Mineral Research.

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1990 to 2015 Saw Decrease in Global Child, Adolescent Mortality

TUESDAY, April 4, 2017 (HealthDay News) -- From 1990 to 2015 there was a decrease in global child and adolescent mortality, according to a study published online April 3 in JAMA Pediatrics.

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Variation in Occupational Influenza Vaccination Coverage

TUESDAY, April 4, 2017 (HealthDay News) -- There is variation in influenza vaccination coverage by industry and occupation, including among health care personnel and other occupational groups who may have first priority to receive influenza vaccination during a pandemic (tier 1), according to a study published in the April 1 issue of the American Journal of Infection Control.

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Mylan Issues Voluntary Recall of Some EpiPen Auto-Injectors

MONDAY, April 3, 2017 (HealthDay News) -- Mylan, the maker of EpiPen, says it is recalling select lots of EpiPen and EpiPen Jr. due to a defect that might render it difficult to activate in an emergency.

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Use of Health Literacy Tools Can Promote Shared Decision Making

MONDAY, April 3, 2017 (HealthDay News) -- Use of health literacy tools is encouraged for facilitating shared decision making (SDM), according to an article published in the March issue of the AMA Journal of Ethics.

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School Nurses Overwhelmed by Guidelines for Managing Obesity

MONDAY, April 3, 2017 (HealthDay News) -- Barriers to school nurse-led implementation of national guidelines for managing overweight and obesity in school health services have been identified, according to a study published online March 23 in the Journal of Clinical Nursing.

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Bidirectional Link for Anorexia Nervosa, Celiac Disease

MONDAY, April 3, 2017 (HealthDay News) -- There is a bidirectional association between anorexia nervosa (AN) diagnosis and celiac disease (CD) in women, according to a study published online April 3 in Pediatrics.

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Vaccination Tied to Reduced Risk of Flu-Linked Pediatric Death

MONDAY, April 3, 2017 (HealthDay News) -- Influenza vaccination is associated with reduced risk of laboratory-confirmed influenza-associated death in children, with overall vaccine effectiveness of 65 percent, according to research published online April 3 in Pediatrics.

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Twenty-Five Food Categories Explain 70 Percent of Salt Intake

MONDAY, April 3, 2017 (HealthDay News) -- For U.S. persons, 70 percent of dietary sodium comes from 25 food categories, with bread the top contributor, according to research published in the March 31 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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