Here are what the editors at HealthDay consider to be the most important developments in Family Practice for August 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.
Report Highlights Progress, Challenges in Health IT
FRIDAY, Aug. 29, 2014 (HealthDay News) -- Progress has been made toward widespread adoption of electronic health records (EHRs), although there are still barriers to adoption of advanced use of EHRs, according to a report published by the Robert Wood Johnson Foundation.
Photodynamic Therapy Beats Cryotherapy for Actinic Keratoses
FRIDAY, Aug. 29, 2014 (HealthDay News) -- For actinic keratoses (AKs), photodynamic therapy (PDT) is associated with improved response compared with cryotherapy, according to a meta-analysis published online Aug. 27 in JAMA Dermatology.
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Tax on Sugary Beverages Could Most Reduce Child Obesity
FRIDAY, Aug. 29, 2014 (HealthDay News) -- Simulations demonstrate that an excise tax on sugar-sweetened beverages (SSBs) would be the most effective policy for reducing child obesity, according to research published online Aug. 26 in the American Journal of Preventive Medicine.
Overconfident People May Blind Others to Their Real Abilities
FRIDAY, Aug. 29, 2014 (HealthDay News) -- Overconfident people are better at convincing others that they're more talented than they really are, and therefore are more likely to get promotions and reach high-level positions, according to British researchers. Their findings were published online Aug. 27 in PLOS ONE.
Cleft Lip, Palate Don't Increase Ear Tube Complications
FRIDAY, Aug. 29, 2014 (HealthDay News) -- Cleft lip and/or palate (CLP) does not appear to affect complication rates for ventilation tube (VT) placement among pediatric patients, according to a study published online Aug. 28 in JAMA Otolaryngology-Head & Neck Surgery.
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Teens Regress After Return-to-Activity Post-Concussion
FRIDAY, Aug. 29, 2014 (HealthDay News) -- High school athletes who return to the field with medical clearance within 60 days often experience a significant regression in their abilities to simultaneously walk and do simple mental tasks, according to a study published online Aug. 5 in Medicine & Science in Sports & Exercise.
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Worse Outcomes for Weekend Admission for Pediatric Leukemia
FRIDAY, Aug. 29, 2014 (HealthDay News) -- Children with newly diagnosed leukemia with an index admission on the weekend have an increased length of stay and risk for respiratory failure, according to a study published online Aug. 25 in JAMA Pediatrics.
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Gene Research Yields Insights Into Ebola Virus
FRIDAY, Aug. 29, 2014 (HealthDay News) -- Genetic research performed during the early days of the Ebola outbreak in West Africa has given scientists unprecedented insight into how the virus mutates and spreads.
Prognostic Model Developed for Major Outcomes in T1DM
FRIDAY, Aug. 29, 2014 (HealthDay News) -- A prognostic model has been developed and validated which has adequate discrimination for major outcomes in type 1 diabetes, according to a study published online Aug. 28 in Diabetologia.
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Poor Prostate Cancer Knowledge Ups Decisional Conflict
FRIDAY, Aug. 29, 2014 (HealthDay News) -- For economically disadvantaged men with newly diagnosed prostate cancer, poor knowledge about prostate cancer is associated with increased decisional conflict and lower perceived effectiveness of decision-making, according to a study published in the Sept. 1 issue of Cancer.
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Long-Term Use of Sulfonylureas Tied to Coronary Heart Disease
FRIDAY, Aug. 29, 2014 (HealthDay News) -- Among women with diabetes, long-term use of sulfonylureas is associated with a significantly higher risk of incident coronary heart disease (CHD), according to a study published online Aug. 22 in Diabetes Care.
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Factors ID'd for Late Hospice Admission for Cancer Patients
FRIDAY, Aug. 29, 2014 (HealthDay News) -- For patients with cancer, factors associated with late admission to hospice have been identified, according to a study published online Aug. 25 in the Journal of Clinical Oncology.
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Group-Based Intervention Cuts Gestational Weight Gain in Obese
FRIDAY, Aug. 29, 2014 (HealthDay News) -- A group-based weight management intervention can reduce gestational weight gain for obese women, according to a study published in the September issue of Obesity.
High Salt Intake May Worsen Multiple Sclerosis Symptoms
FRIDAY, Aug. 29, 2014 (HealthDay News) -- High sodium intake is associated with increased disease activity in multiple sclerosis (MS), according to research published online Aug. 28 in the Journal of Neurology, Neurosurgery & Psychiatry.
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AMGA: Physician Turnover Still High in 2013
THURSDAY, Aug. 28, 2014 (HealthDay News) -- For the second year running, physician turnover remains at the highest rate since 2005, according to a report published by the American Medical Group Association (AMGA).
Lupin in Gluten-Free Food May Trigger Allergies
THURSDAY, Aug. 28, 2014 (HealthDay News) -- A new ingredient in gluten-free products, lupin, which belongs to the same plant family as peanuts, could cause allergic reactions, according to a news release from Kansas State University.
Ebola Outbreak Could Infect 20,000 People, U.N. Says
THURSDAY, Aug. 28, 2014 (HealthDay News) -- The deadly Ebola outbreak hitting four West African nations could eventually infect more than 20,000 people, the World Health Organization announced Thursday.
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CDC: Most U.S. Toddlers Getting Their Vaccines
THURSDAY, Aug. 28, 2014 (HealthDay News) -- More than 90 percent of children 19 to 35 months of age are getting the vaccines that prevent measles, mumps, and rubella; polio; hepatitis B; and varicella, according to the U.S. Centers for Disease Control and Prevention. The new findings were published in the Aug. 29 issue of the CDC's Morbidity and Mortality Weekly Report.
Doctors Frequently Experience Ethical Dilemmas
THURSDAY, Aug. 28, 2014 (HealthDay News) -- For physicians trying to balance various financial and time pressures, ethical dilemmas are common, according to an article published Aug. 7 in Medical Economics.
Cancer Patients With Depression Often Untreated
THURSDAY, Aug. 28, 2014 (HealthDay News) -- Patients with cancer and depression frequently do not receive effective treatment; however, an integrated program is effective in patients with cancer, and specifically lung cancer, according to three studies published online Aug. 28 in The Lancet Psychiatry, The Lancet, and The Lancet Oncology.
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More Cardiovascular Deaths Seen in Low-Income Countries
THURSDAY, Aug. 28, 2014 (HealthDay News) -- Although the burden of risk factors is lower, more deaths from major cardiovascular disease occur in low-income countries, according to research published in the Aug. 28 issue of the New England Journal of Medicine.
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CPAP Treats Excessive Daytime Sleepiness in Seniors
THURSDAY, Aug. 28, 2014 (HealthDay News) -- Continuous positive airway pressure (CPAP) is an effective treatment for daytime sleepiness in seniors with sleep apnea, according to a new study published online Aug. 27 in The Lancet Respiratory Medicine.
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CSF Biomarkers ID Alzheimer's, Independent of APOE Genotype
THURSDAY, Aug. 28, 2014 (HealthDay News) -- Cerebrospinal fluid (CSF) biomarkers for Alzheimer's disease (AD), particularly β-amyloid 42 (Aβ42), are strongly associated with AD diagnosis, independent of APOE genotype, according to a study published online Aug. 27 in JAMA Psychiatry.
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Age Doesn't Impact Deep Brain Stimulation Complications
THURSDAY, Aug. 28, 2014 (HealthDay News) -- For patients with Parkinson's disease undergoing deep brain stimulation (DBS), increasing age does not impact complication rates, according to a study published online Aug. 25 in JAMA Neurology.
African-Americans Have Worse Cervical Spine Surgery Outcomes
THURSDAY, Aug. 28, 2014 (HealthDay News) -- African-American patients have significantly higher rates of in-hospital complications and mortality associated with cervical spine surgery than Caucasian patients, according to a study published in the Aug. 15 issue of Spine.
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Preventive Bundle Cuts Colorectal Surgical Site Infections
THURSDAY, Aug. 28, 2014 (HealthDay News) -- Implementation of a preventive surgical site infection (SSI) bundle is associated with a reduction in SSI rates after colorectal surgery, according to a study published online Aug. 27 in JAMA Surgery.
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Team Approach Improves Practice Efficiency
WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- The increasing administrative requirements of a medical practice are requiring a team-based approach to care, and physicians must learn to manage the team, according to an article published Aug. 7 in Medical Economics.
Factors Tied to Neck, Back Pain Improvement Identified
WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- Observational registry-based research can inform patients and physicians about prognosis for subacute or chronic neck or low back pain, according to a study published in the Aug. 1 issue of The Spine Journal.
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Health Care Protective Gear Lacking in Ebola Outbreak
WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- Health care workers in poor nations often do not have enough protective gear to keep them safe from being infected with blood-borne viruses such as Ebola and HIV, according to a study published online Aug. 8 in Tropical Medicine & International Health.
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In-Utero Exposure to Gestational Diabetes Ups Later Diabetes Risk
WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- In-utero exposure to gestational diabetes mellitus (GDM) increases the likelihood of developing diabetes or prediabetes among obese adolescents, according to a study published online Aug. 25 in Diabetologia.
Risk of Diabetes Up in Hodgkin's Lymphoma Survivors
WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- Para-aortic radiation correlates with increased diabetes mellitus (DM) risk for Hodgkin's lymphoma (HL) survivors, according to a study published online Aug. 25 in the Journal of Clinical Oncology.
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Oral Contraceptive Equal to Antibiotics for Acne Care
WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- At six months, oral contraceptive pills (OCPs) are comparable to systemic antibiotics for acne management, according to a review published in the September issue of the Journal of the American Academy of Dermatology.
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Aspirin Post-Anticoagulation Tx Cuts Risk of VTE Recurrence
WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- For patients with first unprovoked venous thromboembolism (VTE), aspirin after anticoagulant treatment reduces the risk of recurrence, according to a study published online Aug. 25 in Circulation.
Video Game Improves Balance in Multiple Sclerosis Patients
WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- Training with a video game balance board results in changes shown in brain magnetic resonance imaging (MRI) as well as clinical improvement in balance in patients with multiple sclerosis (MS), according to research published online Aug. 26 in Radiology.
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FDA: Steer Clear of Dietary Supplements for Concussions
TUESDAY, Aug. 26, 2014 (HealthDay News) -- As the fall sports season starts and young players face the risk of concussions, the U.S. Food and Drug Administration warns that dietary supplements that claim to prevent, treat, or cure concussions are untested, unproven, and possibly dangerous.
Ban Indoor Use of E-Cigarettes, U.N. Health Agency Says
TUESDAY, Aug. 26, 2014 (HealthDay News) -- Joining a number of other health agencies, the United Nations' World Health Organization (WHO) on Tuesday recommended that countries regulate electronic cigarettes and ban their use indoors until studies prove that "vaping" is harmless to bystanders.
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Collaborative Intervention Benefits Teens With Depression
TUESDAY, Aug. 26, 2014 (HealthDay News) -- A collaborative care intervention in primary care is associated with greater improvements in depressive symptoms than usual care among adolescents with depression, according to a study published in the Aug. 27 issue of the Journal of the American Medical Association.
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CDC Director: Ebola has 'Upper Hand' in Outbreak
TUESDAY, Aug. 26, 2014 (HealthDay News) -- While officials and health experts have the means to prevent Ebola from spreading, the deadly virus currently has the "upper hand" in an outbreak that has killed more than 1,400 people in West Africa, according to the director of the U.S. Centers for Disease Control and Prevention.
Health Highlights: Aug. 26, 2014
HTN Self-Management Beneficial in High-Risk Patients
TUESDAY, Aug. 26, 2014 (HealthDay News) -- Self-monitoring with self-titration of antihypertensive medications is associated with lower blood pressure for patients with hypertension at risk for cardiovascular disease, according to a study published in the Aug. 27 issue of the Journal of the American Medical Association.
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Confusional Arousal Common, Linked to Other Disorders
TUESDAY, Aug. 26, 2014 (HealthDay News) -- Confusional arousals (CAs) are common in the general population and they may be associated with other factors, such as medication consumption, sleep disorders, and mental disorders, according to research published in the Aug. 26 issue of Neurology.
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AAP Recommendations Provided for Fluoride Use in Primary Care
TUESDAY, Aug. 26, 2014 (HealthDay News) -- Recommendations have been provided for the use of fluoride in caries prevention in the primary care setting and published online Aug. 25 as a clinical report in Pediatrics.
Low Weight at Birth Ups Risk of Diabetes in Black Women
TUESDAY, Aug. 26, 2014 (HealthDay News) -- Low birth weight is associated with increased risk of type 2 diabetes in black women, independent of body mass index, according to research published in the September issue of Diabetes Care.
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Hospitals Should Follow CDC Recommendations for Ebola Care
TUESDAY, Aug. 26, 2014 (HealthDay News) -- Hospital and health care providers should follow the U.S. Centers for Disease Control and Prevention's recommendations for care of patients with Ebola, according to an ideas and opinions piece published online Aug. 21 in the Annals of Internal Medicine.
Cognitive Impairment May Increase Subsequent Stroke Risk
TUESDAY, Aug. 26, 2014 (HealthDay News) -- Cognitive impairment is associated with an increased risk of subsequent stroke, according to a meta-analysis published online Aug. 25 in CMAJ, the journal of the Canadian Medical Association.
Obesity in Early Primary School Ups Risk of Bullying Involvement
TUESDAY, Aug. 26, 2014 (HealthDay News) -- Obese children in early primary school are significantly more likely to be involved with bullying, both as victim and perpetrator, according to a study published online Aug. 25 in Pediatrics.
Review: Surgery Doesn't Benefit Age-Related Meniscal Tears
TUESDAY, Aug. 26, 2014 (HealthDay News) -- Evidence suggests that arthroscopic surgery does not benefit middle-aged patients with degenerative meniscal tears, according to research published online Aug. 25 in CMAJ, the journal of the Canadian Medical Association.
Medicaid Office Visit Payment Tied to Cancer Screening Rates
TUESDAY, Aug. 26, 2014 (HealthDay News) -- Increased Medicaid reimbursement for physician office visits is associated with a greater likelihood of Medicaid beneficiaries receiving common cancer screening tests, according to a study published online Aug. 25 in Cancer.
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Number of Young Non-Smokers Trying E-Cigs Tripled in 2 Years
MONDAY, Aug. 25, 2014 (HealthDay News) -- More than a quarter-million middle and high school students who were non-smokers say they used an electronic cigarette last year -- a three-fold increase from 2011, according to a new U.S. study published online Aug. 20 in the journal Nicotine & Tobacco Research.
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Restrictive, Non-Solicitation Covenants Are Valid
MONDAY, Aug. 25, 2014 (HealthDay News) -- Restrictive and non-solicitation covenants are valid and can be enforced, according to an article published Aug. 5 in Medical Economics.
USPSTF Recommends Counseling for Adults at Risk for CVD
MONDAY, Aug. 25, 2014 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends offering or referring overweight and obese adults with cardiovascular disease risk factors to intensive behavioral counseling. These findings are presented in a final recommendation statement published online Aug. 26 in the Annals of Internal Medicine.
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State Medical Cannabis Laws Cut Opioid Overdose Mortality
MONDAY, Aug. 25, 2014 (HealthDay News) -- State medical cannabis laws correlate with reduced state-level opioid overdose mortality rates, according to a study published online Aug. 25 in JAMA Internal Medicine.
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New Rules for Religious Objections to Health Care Law
MONDAY, Aug. 25, 2014 (HealthDay News) -- Responding to a Supreme Court ruling handed down late in June, the Obama administration on Friday proposed a compromise path that it said would allow women to obtain contraceptives through their health plan, while respecting the views of companies that objected to the provision on religious grounds.
Start School Later for Older Kids, Pediatricians Urge
MONDAY, Aug. 25, 2014 (HealthDay News) -- U.S. high schools and middle schools should start classes later in the morning to allow kids some much-needed sleep, a leading group of pediatricians is urging.
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No Link Found Between Diverticular Disease, Cancer
MONDAY, Aug. 25, 2014 (HealthDay News) -- Colonic diverticular disease does not appear to be linked to an increased risk of subsequent colorectal cancer (CRC), according to research published in the August issue of Clinical Gastroenterology and Hepatology.
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Parents Increasingly Less Likely to Perceive Child Obesity
MONDAY, Aug. 25, 2014 (HealthDay News) -- Today, overweight/obese children are less likely to be perceived as overweight by their parents compared to 10 years ago, according to a study published online Aug. 25 in Pediatrics.
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Breastfeeding Racial Disparities May Start With Hospitals
MONDAY, Aug. 25, 2014 (HealthDay News) -- Key practices that support breastfeeding are much less common in medical centers where the black population is higher than average, according to a report published in the Aug. 22 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
EPA: Air in U.S. Cities Getting Cleaner
MONDAY, Aug. 25, 2014 (HealthDay News) -- The air in American cities is getting safer to breathe, the U.S. Environmental Protection Agency reported Thursday.
Guidelines Presented for Electronic Cigarette Use
MONDAY, Aug. 25, 2014 (HealthDay News) -- Recommendations have been developed regarding electronic cigarette (e-cigarette) use and published online Aug. 24 as an American Heart Association (AHA) policy statement in Circulation.
State of the Art Review: Eating Disorders in Children, Teens
MONDAY, Aug. 25, 2014 (HealthDay News) -- A new review presents recommendations for the management of eating disorders (EDs) in children. In addition, other research indicates that there has been a recent increase in the prevalence of eating disorders not otherwise specified who do not meet weight criteria (EDNOS-Wt), relative to anorexia nervosa (AN). The review and study have been published online Aug. 25 in Pediatrics.
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Consumer Reports Advises Pregnant Women to Avoid Tuna
MONDAY, Aug. 25, 2014 (HealthDay News) -- In a new review of seafood safety, Consumer Reports is advising that pregnant women avoid eating tuna due to concerns about mercury exposure. Adults who eat 24 ounces (1.5 pounds) or more of seafood per week should also avoid seafood with high mercury levels, including sushi made with tuna, the independent product testing group said.
Many Americans Harbor Unfounded Fears About Ebola
FRIDAY, Aug. 22, 2014 (HealthDay News) -- Many Americans know little about how Ebola is transmitted and harbor unfounded fears about the possibility of an outbreak in the United States, a new survey shows. About four in 10 adults said they are worried that there will be a major Ebola outbreak in the United States, and one-quarter are concerned that they or an immediate family member will get sick with the deadly virus in the next year, according to the latest Harvard School of Public Health poll.
U.S. to Tighten Access to Certain Narcotic Painkillers
FRIDAY, Aug. 22, 2014 (HealthDay News) -- The U.S. Drug Enforcement Administration (DEA) is going ahead with tough new controls on painkillers containing hydrocodone, which has been tied to a surge in dangerous addictions across the United States.
Organizations Can Help Docs Retain Their Independence
FRIDAY, Aug. 22, 2014 (HealthDay News) -- Ways for physicians to remain in independent practice are highlighted in an article published Aug. 7 in Medical Economics.
Futile Care Linked to Delays in Care for Other Patients
FRIDAY, Aug. 22, 2014 (HealthDay News) -- Futile care, which is used to prolong life without achieving a meaningful benefit for the patient, can cause delays in care for other patients waiting to be admitted to the intensive care unit (ICU), according to a study published in the September issue of Critical Care Medicine.
Study IDs Risk Factors for Severe Hidradenitis Suppurativa
FRIDAY, Aug. 22, 2014 (HealthDay News) -- Risk factors associated with severity of the disease may help guide therapy for hidradenitis suppurativa, according to research published in the September issue of the Journal of the American Academy of Dermatology.
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Decline in Visual Acuity Ups Mortality Risk in Aging Adults
FRIDAY, Aug. 22, 2014 (HealthDay News) -- Among aging adults, decreasing visual acuity is associated with increased mortality risk through associated decreases in instrumental activities of daily living (IADL), according to a study published online Aug. 21 in JAMA Ophthalmology.
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Opioid Use in Disabled Medicare Patients Common
FRIDAY, Aug. 22, 2014 (HealthDay News) -- Opioid use is common among disabled Medicare beneficiaries under 65 years of age, according to research published in the September issue of Medical Care.
Endogenous Hormones Improve Breast Cancer Risk Models
FRIDAY, Aug. 22, 2014 (HealthDay News) -- Inclusion of endogenous hormones in prediction models improves prediction of invasive breast cancer risk in postmenopausal women, according to a study published online Aug. 18 in the Journal of Clinical Oncology.
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Telemedicine Improves Stroke Care in Rural Areas
FRIDAY, Aug. 22, 2014 (HealthDay News) -- Telemedicine can improve stroke care in rural areas, according to a study published online Aug. 21 in Stroke.
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Counseling May Not Help Youth With Drinking Problems
FRIDAY, Aug. 22, 2014 (HealthDay News) -- Motivational interviewing may not be an effective technique for addressing alcohol misuse in young adults, according to a review published online Aug. 21 in The Cochrane Library.
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Reduced Nicotine Cigarettes Don't Up Smoking Intensity
FRIDAY, Aug. 22, 2014 (HealthDay News) -- Reduced nicotine cigarettes are not associated with increased smoking intensity versus usual brand cigarettes, according to a study published online Aug. 22 in Cancer Epidemiology, Biomarkers & Prevention.
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Intensive Lifestyle Changes Lead to Diabetes Cost Savings
FRIDAY, Aug. 22, 2014 (HealthDay News) -- Intensive lifestyle intervention (ILI) can cut health care costs over the long term in patients with type 2 diabetes, compared to diabetes support and education (DSE) alone, according to a study published in the September issue of Diabetes Care.
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Educational Intervention Helps Ensure Appropriate ECHO Use
THURSDAY, Aug. 21, 2014 (HealthDay News) -- An appropriate use criteria (AUC)-based educational intervention can improve the appropriate use of outpatient transthoracic echocardiography (TTE), according to a study published online Aug. 13 in the JACC Cardiovascular Imaging.
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FDA: New Test Helps Diagnose Type 1 Diabetes
THURSDAY, Aug. 21, 2014 (HealthDay News) -- The U.S. Food and Drug Administration has approved a new test that may help doctors diagnose type 1 diabetes. The Kronus ZnT8Ab Elisa Assay may help some people with type 1 diabetes receive faster diagnosis and treatment, the FDA said in a news release.
CDC: Teens Engage in Unsafe Skin-Protection Practices
THURSDAY, Aug. 21, 2014 (HealthDay News) -- Sunscreen use has decreased among adolescents, and a considerable proportion use indoor tanning devices, according to research published online Aug. 21 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.
Wellness Visits, Physicals Need Different Documentation
THURSDAY, Aug. 21, 2014 (HealthDay News) -- Documentation rules for annual wellness visits (AWVs) for Medicare differ from those for preventive visits, which are not covered by Medicare, according to an article published Aug. 5 in Medical Economics.
U.S. Health Care Workers With Ebola Released From Hospital
THURSDAY, Aug. 21, 2014 (HealthDay News) -- The two American health care workers infected with the deadly Ebola virus while doing missionary medical work in West Africa have been released from the Atlanta hospital where they have been slowly recovering for several weeks, officials said Thursday.
Age Affects Link Between Obesity, Dementia Risk
THURSDAY, Aug. 21, 2014 (HealthDay News) -- The association between obesity and subsequent dementia varies with the age at which obesity is first recorded, according to a study published online Aug. 20 in the Postgraduate Medical Journal.
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Physical Activity Protects Against Atrial Fibrillation
THURSDAY, Aug. 21, 2014 (HealthDay News) -- Greater physical activity is associated with lower rates of incident atrial fibrillation (AF) in women, according to a study published online Aug. 20 in the Journal of the American Heart Association.
Rates of Food Allergies High in Inner-City Children
THURSDAY, Aug. 21, 2014 (HealthDay News) -- The incidence of food sensitization and food allergy (FA) is high among inner-city children, according to a study published online Aug. 13 in the Journal of Allergy and Clinical Immunology.
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Clinicopathology of High-Mitotic Rate Melanoma Described
THURSDAY, Aug. 21, 2014 (HealthDay News) -- High-mitotic-rate primary cutaneous melanomas more often occur on the head and neck and in men, older patients, and those with a history of solar keratosis, according to a study published online Aug. 20 in JAMA Dermatology.
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New Therapy May Combat Lethal Virus in Late Stages
THURSDAY, Aug. 21, 2014 (HealthDay News) -- A new agent tested in nonhuman primates shows efficacy in the treatment of the Marburg virus (MARV), a filovirus which is closely related to the Ebola virus, even in the late stages of the infection, according to research published in the Aug. 20 issue of Science Translational Medicine.
Infections May Up Pediatric Stroke Risk in Short Term
THURSDAY, Aug. 21, 2014 (HealthDay News) -- Minor infections appear to have a strong, but short-lived, effect on pediatric stroke risk, according to a study published online Aug. 20 in Neurology.
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White Women More Likely to Seek Fertility Treatment
THURSDAY, Aug. 21, 2014 (HealthDay News) -- White, straight women are much more likely to seek treatment for infertility than minority, bisexual or lesbian women, according to a study published online Aug. 20 in Health Psychology.
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Asthma Outcomes Worse in Older Women
THURSDAY, Aug. 21, 2014 (HealthDay News) -- Older women face increased challenges in managing their asthma, according to a review published in the August issue of the Annals of Allergy, Asthma & Immunology.
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Breastfeeding Moms Have Lower Depression Risk
THURSDAY, Aug. 21, 2014 (HealthDay News) -- Breastfeeding cuts new mothers' risk of depression by half, according to a study published online Aug. 21 in Maternal and Child Health.
Health Highlights: Aug. 20, 2014
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FDA Approves Cerdelga for Type 1 Gaucher Disease
WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- Cerdelga (eliglustat) has been approved by the U.S. Food and Drug Administration to treat type 1 Gaucher disease, a rare inherited disorder caused by the body's insufficient production of a key enzyme.
Pre-, Postnatal Smoke Exposure Affects Later Allergic Disease
WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- Exposure to secondhand smoke (SHS) in utero or during infancy impacts the development of allergic disease up to adolescence, according to a study published online Aug. 18 in Pediatrics.
RSV Inhibitor Reduces Viral Load in Challenge Study
WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- For healthy adults challenged with respiratory syncytial virus (RSV), an oral RSV-entry inhibitor, GS-5806, is associated with reduced viral load, according to a study published in the Aug. 21 issue of the New England Journal of Medicine.
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Organized Processes Help Practices Hire Well
WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- A defined process is necessary to help physicians hire the right staff for their practice, according to an article published July 24 in Medical Economics.
Pistachio-Supplemented Diet Beneficial in Prediabetes
WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- Pistachio consumption is associated with improvements in glucose and cardiometabolic parameters, according to a study published online Aug. 14 in Diabetes Care.
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CDC: U.S. Teen Birth Rate Down From 1991 to 2013
WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- From 1991 to 2013 there has been a consistent decrease in U.S. teenage birth rates, according to a report published online Aug. 20 by the U.S. National Center for Health Statistics (NCHS).
CRT, ICD Therapies Benefit Heart Failure Patients of All Races
WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- For patients with heart failure with reduced ejection fraction, cardiac resynchronization therapy (CRT) and implantable cardioverter-defibrillator (ICD) therapies are associated with clinical benefit, irrespective of patient race/ethnicity, according to a study published in the Aug. 26 issue of the Journal of the American College of Cardiology.
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Clarithromycin Linked to Increased Risk of Cardiac Death
WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- There is a significantly increased risk of cardiac death associated with clarithromycin use, according to a study published online Aug. 19 in BMJ.
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Neonatal Vitamin K Refusal Tied to Nonimmunization
WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- While neonatal vitamin K refusal is rare, parents who refuse vitamin K are less likely to immunize their child, according to a study published online Aug. 18 in Pediatrics.
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ACOG: All Pregnant Women Should Receive Influenza Vaccine
WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- All pregnant women should receive influenza vaccine, regardless of their stage of pregnancy, according to an American College of Obstetricians and Gynecologists (ACOG) Committee Opinion published in the September issue of Obstetrics & Gynecology.
Aerobic Fitness Linked to White Matter Integrity in Preteens
WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- For preadolescent children, white matter structure varies with fitness level, according to a study published online Aug. 19 in the Frontiers of Neuroscience.
Screening Programs Identify SCID in One in 58,000 Infants
TUESDAY, Aug. 19, 2014 (HealthDay News) -- Newborn screening programs in the United States have identified severe combined immunodeficiency (SCID) in one in 58,000, with high survival seen in SCID-affected infants, according to a study published in the Aug. 20 issue of the Journal of the American Medical Association.
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Postdischarge Intervention Can Help Smokers Quit
TUESDAY, Aug. 19, 2014 (HealthDay News) -- A postdischarge intervention including free medication results in higher rates of smoking cessation at six months, compared with standard discharge care among hospitalized adult smokers, according to a study published in the Aug. 20 issue of the Journal of the American Medical Association.
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Hospitalization Less Likely With Artificially Altered Oximetry
TUESDAY, Aug. 19, 2014 (HealthDay News) -- Among infants presenting to an emergency department with mild to moderate bronchiolitis, hospitalization is less likely for those with an artificially elevated pulse oximetry reading, according to a study published in the Aug. 20 issue of the Journal of the American Medical Association.
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Docs Must Consider Liability When Ordering Screening Tests
TUESDAY, Aug. 19, 2014 (HealthDay News) -- Physicians and health care providers must be aware of their potential liability when ordering screening tests, according to an article published July 24 in Medical Economics.
Boxed Warnings Are Common in Novel Therapeutics
TUESDAY, Aug. 19, 2014 (HealthDay News) -- Boxed warnings are common on recent drug approvals, and many occur years after approval, according to a research letter published online Aug. 15 in JAMA Internal Medicine.
Job Losses Up Suicide Rate in Girls, Young Blacks
TUESDAY, Aug. 19, 2014 (HealthDay News) -- Statewide job loss increases suicide-related behaviors among adolescent females and non-Hispanic blacks, according to a study published online Aug. 14 in the American Journal of Public Health.
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Hospitalizations for Acute CVD, Stroke Down From 1999 to 2011
TUESDAY, Aug. 19, 2014 (HealthDay News) -- From 1999 through 2011 there were considerable declines in hospitalizations for acute cardiovascular disease and stroke, outpacing those of other conditions, according to a study published online Aug. 18 in Circulation.
Fenofibrate Effective for Women and Men With T2DM
TUESDAY, Aug. 19, 2014 (HealthDay News) -- For patients with type 2 diabetes, fenofibrate is effective in women, improving their lipoprotein profile more than in men, according to a study published online Aug. 18 in Diabetologia.
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Commentary Focuses on 2014 Ebola Outbreak in West Africa
TUESDAY, Aug. 19, 2014 (HealthDay News) -- The Ebola epidemic is spreading in West Africa, with little hope for treatment, and an experimental therapy is unlikely to be provided to African patients, according to two commentaries published online Aug. 19 in the Annals of Internal Medicine.
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Atypical Antipsychotics Up Renal Injury Risk in Seniors
TUESDAY, Aug. 19, 2014 (HealthDay News) -- Use of atypical antipsychotic drugs is associated with increased risk of acute kidney injury (AKI) in older adults, according to research published in the Aug. 19 issue of the Annals of Internal Medicine.
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Urban Food Initiative Ethical for Addressing Food Issues
TUESDAY, Aug. 19, 2014 (HealthDay News) -- The urban food initiative (UFI) seems to be a safe and ethical approach to addressing obesity and food insecurity, according to a viewpoint piece published online Aug. 18 in JAMA Pediatrics.
Sleep Apnea Tied to Increased Odds of Resistant Elevated BP
TUESDAY, Aug. 19, 2014 (HealthDay News) -- There is a strong association between severe untreated obstructive sleep apnea (OSA) and resistant elevated blood pressure (BP), despite treatment with an aggressive antihypertensive medication regimen, according to a study published in the August issue of the Journal of Clinical Sleep Medicine.
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Docs Should Emphasize Child Benefit From MMR Vaccination
MONDAY, Aug. 18, 2014 (HealthDay News) -- Emphasizing the direct benefits of measles-mumps-rubella (MMR) vaccination to the child is more helpful in increasing the intention of parents to vaccinate, according to research published online Aug. 18 in Pediatrics.
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Liberia Ebola Clinic Attack Could Harm Efforts to Control Outbreak
MONDAY, Aug. 18, 2014 (HealthDay News) -- An attack on an Ebola quarantine center in Liberia's capital and the possible disappearance of a number of patients could be a major setback in efforts to contain and halt the outbreak of the deadly disease.
Health Highlights: Aug. 18, 2014
U.S. Children With Cystic Fibrosis Are Living Longer
MONDAY, Aug. 18, 2014 (HealthDay News) -- In the United States, children born in 2010 with cystic fibrosis (CF) are projected to live longer than those born earlier, according to a study published in the Aug. 19 issue of the Annals of Internal Medicine.
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Cancer Screening Common in Those With Low Life Expectancy
MONDAY, Aug. 18, 2014 (HealthDay News) -- Cancer screening is common among those with limited life expectancy, and more frequent colorectal cancer screening than recommended does not provide benefit, according to two studies published online Aug. 18 in JAMA Internal Medicine.
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Early Research With Drug Restores Hair in Alopecia
MONDAY, Aug. 18, 2014 (HealthDay News) -- A drug used to treat a rare type of bone marrow cancer restores hair in patients with alopecia areata, according to a study published online Aug. 17 in Nature Medicine.
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Smaller Practices Have Fewer Preventable Admissions
MONDAY, Aug. 18, 2014 (HealthDay News) -- Small primary care physician practices have lower rates of preventable hospital admissions, compared to larger practices, according to a study published online Aug. 13 in Health Affairs.
Recent Increase in Prevalence of Childhood Disability
MONDAY, Aug. 18, 2014 (HealthDay News) -- The prevalence of childhood disability increased from 2001 to 2011, according to a study published online Aug. 18 in Pediatrics.
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SSRI Meds Up Bleeding Risk in A-Fib Patients Taking Warfarin
MONDAY, Aug. 18, 2014 (HealthDay News) -- In patients with atrial fibrillation taking warfarin, use of selective serotonin reuptake inhibitor (SSRI) medications is associated with an increased risk of major hemorrhage, according to a study published in the Aug. 15 issue of The American Journal of Cardiology.
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Gender Gap Seen in Desire for Living Kidney Transplant
MONDAY, Aug. 18, 2014 (HealthDay News) -- Black women undergoing hemodialysis are less likely to want a living donor kidney transplantation (LDKT), despite being more likely to receive unsolicited offers for kidney transplant, compared with black men, according to a study published online Aug. 14 in the Clinical Journal of the American Society of Nephrology.
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Brisk Walking May Cut Breast Cancer in Black Women
MONDAY, Aug. 18, 2014 (HealthDay News) -- Exercise may be a potentially modifiable risk factor for breast cancer in African-American women, according to a study published online Aug. 7 in Cancer Epidemiology, Biomarkers & Prevention.
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Quadrivalent HPV Vaccine Has Lasting Benefit for Teens
MONDAY, Aug. 18, 2014 (HealthDay News) -- The quadrivalent human papillomavirus (HPV4) vaccine seems safe and effective for adolescents, according to a study published online Aug. 18 in Pediatrics.
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Bidirectional Association for Cognitive Function, Stroke
MONDAY, Aug. 18, 2014 (HealthDay News) -- Lower cognitive function is associated with increased risk of stroke in older adults, and cognitive decline increases after stroke versus before stroke, according to a study published online Aug. 7 in Stroke.
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WHO: Scope of Ebola Outbreak May Be 'Vastly Underestimated'
FRIDAY, Aug. 15, 2014 (HealthDay News) -- The magnitude of the Ebola outbreak in West Africa may be far greater than the current statistics indicate, officials from the World Health Organization said Friday.
Phthalate Exposure May Lower Testosterone Levels
FRIDAY, Aug. 15, 2014 (HealthDay News) -- Exposure to phthalates, chemicals that are commonly found in plastics and personal care products, may reduce testosterone levels in men, women, and children, according to research published online Aug. 14 in the Journal of Clinical Endocrinology & Metabolism.
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Antibiotic Regimens Similar for Premature Membrane Rupture
FRIDAY, Aug. 15, 2014 (HealthDay News) -- There is no difference in fetal or maternal outcomes among women with preterm premature rupture of membranes who receive azithromycin instead of erythromycin, according to a study published online Aug. 4 in Obstetrics & Gynecology.
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Review: Previous Respiratory Conditions Tied to Lung CA Risk
FRIDAY, Aug. 15, 2014 (HealthDay News) -- Several common respiratory diseases are tied to an increased risk of lung cancer, according to a study published online July 23 in the American Journal of Respiratory and Critical Care Medicine.
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Vitamin D May Affect Success Rate for In Vitro Fertilization
FRIDAY, Aug. 15, 2014 (HealthDay News) -- Vitamin D levels may affect the pregnancy rate in women undergoing in vitro fertilization (IVF), according to research published online Aug. 14 in the Journal of Clinical Endocrinology & Metabolism.
Chikungunya Vaccine Deemed Immunogenic and Safe
FRIDAY, Aug. 15, 2014 (HealthDay News) -- A chikungunya virus-like particle (VLP) vaccine is immunogenic and seems safe, according to a study published online Aug. 15 in The Lancet.
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FDA Warns of Fake Ebola Treatments on the Internet
FRIDAY, Aug. 15, 2014 (HealthDay News) -- As the death toll in the West Africa Ebola outbreak passes 1,000, the U.S. Food and Drug Administration is warning against products sold online that claim to treat the deadly disease or prevent infection.
Less Educated Smokers at Greatest Risk for Stroke
FRIDAY, Aug. 15, 2014 (HealthDay News) -- Poorly educated adults who smoke face a higher stroke risk, as do those who smoke and have hypertension, according to a study published online Aug. 14 in Stroke.
Moderate Exercise Tied to Lower Mortality After Cardiac Event
FRIDAY, Aug. 15, 2014 (HealthDay News) -- Moderate exercise is associated with reduced mortality for heart attack survivors, and elite athletes have lower cardiovascular disease (CVD) and cancer death, according to two studies published online Aug. 12 in the Mayo Clinic Proceedings.
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Malnutrition Prevalent Among Seniors Presenting to ER
FRIDAY, Aug. 15, 2014 (HealthDay News) -- More than half of older patients presenting to the emergency department are malnourished or at risk of malnutrition, according to a study published online Aug. 12 in the Annals of Emergency Medicine.
Nearly One in Five Americans Drink at Least One Soda a Day
THURSDAY, Aug. 14, 2014 (HealthDay News) -- A new survey of American adults across 18 states finds 17 percent drinking at least one sugary soda per day, with rates varying widely across states. These findings were published in the Aug. 15 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report. The survey results also indicated high levels of sweetened fruit drink consumption, with close to 12 percent of adults downing at least one serving daily.
FDA Approves Belsomra for Insomnia
THURSDAY, Aug. 14, 2014 (HealthDay News) -- Belsomra (suvorexant), an orexin receptor antagonist, has been approved by the U.S. Food and Drug Administration to treat insomnia.
Prevnar-13 Should Be Routine for Seniors
THURSDAY, Aug. 14, 2014 (HealthDay News) -- A second vaccine to protect seniors against pneumonia has been recommended by the U.S. Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices.
Health Highlights: Aug. 14, 2014
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Gaps Remain in Efforts to Cut Newborn Mortality/Morbidity
THURSDAY, Aug. 14, 2014 (HealthDay News) -- In some countries, coverage is lacking for the use of pharmacologic interventions to reduce morbidity and mortality associated with preterm births, according to research published online Aug. 13 in The Lancet.
Poor Sleep Quality Tied to Suicide Risk
THURSDAY, Aug. 14, 2014 (HealthDay News) -- Poor self-reported sleep quality is tied to an increased risk of suicide death within 10 years among older adults, according to a study published online Aug. 13 in JAMA Psychiatry.
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ACA Incentives May Promote Cardiac Rehab in the Workplace
THURSDAY, Aug. 14, 2014 (HealthDay News) -- Financial incentives and the emphasis on outcomes in the current era of health reform in the United States may encourage delivery of preventive care services, such as cardiac rehabilitation, in the workplace, according to research published in the August issue of the Journal of Occupational and Environmental Medicine.
BMI Explains Risk of Diabetes From Prenatal Smoke Exposure
THURSDAY, Aug. 14, 2014 (HealthDay News) -- The association between maternal and paternal smoking during pregnancy and the risk of type 2 diabetes in daughters is largely explained by body mass index throughout the life course, according to a study published online Aug. 4 in Diabetes Care.
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Childhood Growth Hormone Use Tied to Later Stroke
THURSDAY, Aug. 14, 2014 (HealthDay News) -- There is a strong relationship between growth hormone (GH) treatment during childhood and subsequent hemorrhagic stroke, according to a study published online Aug. 13 in Neurology.
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Women, Blacks Hit Harder by Heart Disease Risk Factors
THURSDAY, Aug. 14, 2014 (HealthDay News) -- Traditional risk factors contribute to incident cardiovascular disease more in blacks and women, compared to other populations, according to a study published online Aug. 11 in Circulation.
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Crowdsourcing Can Accurately Rate Diet Quality
THURSDAY, Aug. 14, 2014 (HealthDay News) -- Crowdsourcing can provide basic feedback on overall diet quality, according to a study published online Aug. 4 in the Journal of the American Medical Informatics Association.
Viral Infections in 14 Kansas City-Area Infants Under Investigation
WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- Similar viral infections among 14 infants in the Kansas City area are being investigated by health officials. The infections were caused by HPeV3, a virus that can cause meningitis and other inflammation. No deaths have occurred, but all of the infants have been hospitalized, CBS News/Associated Press reported.
Health Highlights: Aug. 13, 2014
High-Dose Trivalent Flu Shot Better Protects Seniors
WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- A high-dose, trivalent, inactivated influenza vaccine (IIV3-HD) is associated with improved protection for seniors against laboratory-confirmed influenza infection compared with standard-dose trivalent, inactivated influenza vaccine (IIV3-SD), according to a study published in the Aug. 14 issue of the New England Journal of Medicine.
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Research Offers Clues to How Ebola Disarms Immune System
WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- Researchers say they've discovered how the deadly Ebola virus disables the immune system. They hope the findings will prove valuable in efforts to find treatments for the disease taking hundreds of lives in Africa. The current Ebola outbreak in West Africa has killed more than 1,000 people, and the death rate among those infected with the virus is up to 90 percent, according to the World Health Organization.
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Studies Examine Link Between Sodium Intake, Cardiac Health
WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- The association between sodium intake and cardiovascular outcomes is complex, according to three studies published online in the Aug. 14 issue of the New England Journal of Medicine.
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Extra Time Spent Counseling, Coordinating Care Billable
WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- Extra time spent counseling patients and coordinating care can be billed using evaluation and management (E/M) and prolonged service codes, according to an article published July 24 in Medical Economics.
Most U.S. Patients With MI Discharged on High-Dose Aspirin
WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- Most U.S. patients with myocardial infarction (MI) are discharged on high-dose aspirin, according to a study published online Aug. 12 in Circulation: Cardiovascular Quality and Outcomes.
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Nonadherent MRIs Up Subsequent Medical Costs
WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- Nonadherent magnetic resonance imaging (MRI) utilization is tied to a cascade of higher medical costs and potentially unnecessary and unhelpful medical services following the MRI, according to research published in the Aug. 1 issue of Spine.
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40-Year-Old Man With Absence of ApoE Has Normal Cognition
WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- The identification of a patient with a rare form of severe dysbetalipoproteinemia will allow the study of the consequences of total absence of apolipoprotein E (apoE), according to research published online Aug. 11 in JAMA Neurology.
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Medicaid-Insured Children Have Higher Prescription Use
WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- Regional variation exceeds payer-related differences in prescription use among children, according to a study published online Aug. 11 in Pediatrics.
Cesareans for Term Breech Deliveries Improve Outcomes
WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- Increased rates of elective cesareans have improved the neonatal outcomes for singleton term breech deliveries, according to a study published online Aug. 11 in ACTA Obstetricia et Gynecologica Scandinavica.
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Lifetime Risk of Diabetes Up, But Years of Life Lost Down
WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- There has been an increase in years spent with diabetes due to trends of continued increases in the incidence of diagnosed diabetes combined with declining mortality, according to research published online Aug. 13 in The Lancet Diabetes & Endocrinology.
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Delayed Cardioversion With A-Fib Ups Thromboembolic Risk
WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- A delay to cardioversion of 12 hours or longer from onset of acute atrial fibrillation symptoms is associated with a greater risk of thromboembolic complications, according to a research letter published in the Aug. 13 issue of the Journal of the American Medical Association.
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Evidence Weak for Drugs to Help Shift Workers Sleep, Wake
WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- Evidence for the efficacy and safety of pharmacologic interventions to treat sleep disturbances and sleepiness caused by shift work is lacking, according to a review published online Aug. 12 in The Cochrane Library.
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WHO Experts Give Nod to Using Untested Ebola Drugs
TUESDAY, Aug. 12, 2014 (HealthDay News) -- A panel of ethicists specially appointed by the World Health Organization says it is ethical to give untested treatments to people battling Ebola in the current outbreak.
Perioperative A-Fib Ups Long-Term Stroke Risk
TUESDAY, Aug. 12, 2014 (HealthDay News) -- Perioperative atrial fibrillation is associated with an increased risk of subsequent stroke, especially after noncardiac surgery, according to a study published in the Aug. 13 issue of the Journal of the American Medical Association.
FDA: New Colorectal Cancer Screening Test Approved
TUESDAY, Aug. 12, 2014 (HealthDay News) -- A screening test for colorectal cancer that can detect red blood cells and abnormal DNA in a person's stool has been approved by the U.S. Food and Drug Administration.
Meta-Analysis Strategy Impacts Estimation of Tx Outcome
TUESDAY, Aug. 12, 2014 (HealthDay News) -- Estimation of treatment outcome varies with the meta-analysis strategy, according to a study published in the Aug. 13 issue of the Journal of the American Medical Association.
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Once-Only Flexible Sigmoidoscopy Screening Cuts Colorectal Cancer
TUESDAY, Aug. 12, 2014 (HealthDay News) -- Once-only flexible sigmoidoscopy screening, with or without fecal occult blood testing (FOBT), is associated with reduced colorectal cancer incidence and mortality, according to a study published in the Aug. 13 issue of the Journal of the American Medical Association.
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Children's Hospitals Vary in Admission Rates
TUESDAY, Aug. 12, 2014 (HealthDay News) -- U.S. children's hospitals show three-fold variation in admission rates for common pediatric conditions, even when adjusting for severity of illness, according to a study published online Aug. 11 in Pediatrics.
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Review: Rifamycin Regimens OK As Alternative for Latent TB
TUESDAY, Aug. 12, 2014 (HealthDay News) -- Short-term rifamycin-containing regimens may be an effective alternative treatment for preventing active tuberculosis, according to research published online Aug. 12 in the Annals of Internal Medicine.
Digoxin Ups Death Risk in Newly Diagnosed A-Fib Patients
TUESDAY, Aug. 12, 2014 (HealthDay News) -- Among patients with newly diagnosed atrial fibrillation (AF), the use of digoxin is associated with increased risk of death, according to research published in the Aug. 19 issue of the Journal of the American College of Cardiology.
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One in Six Hospitalized Patients With Lupus Readmitted
TUESDAY, Aug. 12, 2014 (HealthDay News) -- One in six hospitalized patients with systemic lupus erythematosus (SLE) are readmitted within 30 days of discharge, according to a study published online Aug. 11 in Arthritis & Rheumatology.
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RCTs Show Bisphosphonates Don't Prevent Breast Cancer
TUESDAY, Aug. 12, 2014 (HealthDay News) -- Data from two randomized controlled trials suggest that bisphosphonate use does not protect against postmenopausal breast cancer, according to research published online Aug. 11 in JAMA Internal Medicine.
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Recent Physical Activity Linked to Lower Breast Cancer Risk
TUESDAY, Aug. 12, 2014 (HealthDay News) -- For postmenopausal women, recent recreational physical activity is associated with a lower risk of invasive breast cancer, according to research published online Aug. 11 in Cancer Epidemiology, Biomarkers & Prevention.
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Falling Insulin Requirements Linked to Placental Dysfunction
TUESDAY, Aug. 12, 2014 (HealthDay News) -- For women with preexisting diabetes, falling insulin requirements correlate with increased risks of adverse outcomes associated with placental dysfunction, according to a study published online July 28 in Diabetes Care.
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Ethicists Weigh Questions Over Early Release of Ebola Drugs
MONDAY, Aug. 11, 2014 (HealthDay News) -- As the number of dead in the West African Ebola outbreak nears 1,000, many people are calling for the wider production and release of untested medicines that might help patients.
EHR Adoption Increasing, But Stage 2 Criteria Often Not Met
MONDAY, Aug. 11, 2014 (HealthDay News) -- Most U.S. hospitals and office-based physicians have adopted electronic health records (EHR), according to two studies published in the August issue of Health Affairs.
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Higher Caffeine Intake Tied to Lower Incidence of Tinnitus
MONDAY, Aug. 11, 2014 (HealthDay News) -- Higher caffeine intake is tied to a lower risk of tinnitus in women, according to a study published in the August issue of The American Journal of Medicine.
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Intervention Cuts Catheter-Related Pediatric UTIs
MONDAY, Aug. 11, 2014 (HealthDay News) -- Enactment of a quality improvement prevention bundle at a tertiary care children's hospital significantly reduced the rate of catheter-associated urinary tract infections (CAUTIs), according to research published online Aug. 11 in Pediatrics.
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Previously Unrecognized Trends in Lung Cancer Identified
MONDAY, Aug. 11, 2014 (HealthDay News) -- An updated and expanded analysis has revealed some new observations about patterns in lung cancer incidence in the United States, according to research published online Aug. 11 in Cancer.
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Impact Location Has Limited Effect on Concussion Outcome
MONDAY, Aug. 11, 2014 (HealthDay News) -- For high school football players who sustain concussion due to player-to-player collisions, impact location has a minimal effect on outcome, according to a study published online Aug. 11 in Pediatrics.
Review: Effects of Depression Tx in Pregnancy Unclear
MONDAY, Aug. 11, 2014 (HealthDay News) -- The current evidence is inadequate for assessing the benefits and harms of depression treatment in pregnancy and the postpartum period, according to a review published online July 7 in Obstetrics & Gynecology.
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Antidepressants Vary in Their Contribution to Weight Gain
MONDAY, Aug. 11, 2014 (HealthDay News) -- Antidepressants vary modestly in the likelihood of contributing to weight gain, according to a study published in the August issue of JAMA Psychiatry.
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Neighborhood's Socioeconomic Status Tied to Readmissions
MONDAY, Aug. 11, 2014 (HealthDay News) -- Neighborhood socioeconomic status (SES) is linked to six-month, all-cause readmission among patients with heart failure, even after adjustment for patient-level factors, according to a study published online July 29 in Circulation: Cardiovascular Quality and Outcomes.
Use of Medical Consults for Surgical Patients Varies Widely
MONDAY, Aug. 11, 2014 (HealthDay News) -- Use of medical consultations for surgical patients varies widely among hospitals, according to a study published online Aug. 4 in JAMA Internal Medicine.
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Emergency Department Closures Up Inpatient Mortality Nearby
MONDAY, Aug. 11, 2014 (HealthDay News) -- Emergency department closures are associated with increased mortality for admissions that occur nearby, according to research published in the August issue of Health Affairs.
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Dining Out Equals More Calories Consumed
FRIDAY, Aug. 8, 2014 (HealthDay News) -- For adults, fast-food and full-service restaurant consumption correlates with increased daily total energy intake, according to a study published online July 30 in Public Health Nutrition.
Antibiotic Prophylaxis Cuts UTIs in Congenital Hydronephrosis
FRIDAY, Aug. 8, 2014 (HealthDay News) -- Continuous antibiotic prophylaxis (CAP) reduces the risk of febrile urinary tract infection (UTI) in children with asymptomatic antenatal hydronephrosis (ANH), according to a study published online July 22 in the Journal of Pediatric Urology.
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Issues to Consider With Integration of Telemedicine
FRIDAY, Aug. 8, 2014 (HealthDay News) -- Integrating telemedicine raises various considerations, including operational and legal issues, according to an article published July 24 in Medical Economics.
WHO Declares Ebola Outbreak a 'Public Health Emergency'
FRIDAY, Aug. 8, 2014 (HealthDay News) -- The World Health Organization on Friday declared the outbreak of deadly Ebola virus in West Africa a "public health emergency."
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Manipulative Therapy Linked to Cervical Artery Dissection
FRIDAY, Aug. 8, 2014 (HealthDay News) -- Evidence suggests there may be an association between cervical manipulative therapy and cervical artery dissections (CDs), according to an American Heart Association/ American Stroke Association scientific statement published online Aug. 7 in Stroke.
Guidelines Issued for Managing Listeriosis in Pregnancy
FRIDAY, Aug. 8, 2014 (HealthDay News) -- Recommendations have been developed for pregnant women with presumptive exposure to Listeria monocytogenes. These guidelines were published as a Committee Opinion online Aug. 5 in Obstetrics & Gynecology.
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Zoster Vaccine Still Effective With Subsequent Chemo
FRIDAY, Aug. 8, 2014 (HealthDay News) -- Zoster vaccine is effective even for individuals who subsequently undergo chemotherapy, according to a study published online Aug. 4 in Clinical Infectious Diseases.
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CDC Raises Ebola Outbreak Response to Highest Alert
FRIDAY, Aug. 8, 2014 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention on Wednesday raised the level of its response to the West African Ebola outbreak to its highest alert status, and CDC is offering resources for clinicians on Ebola virus disease management.
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FAQ: Management of Patients With EVD in U.S. Hospitals
Interval Walking Improves Glycemic Control in Diabetes
FRIDAY, Aug. 8, 2014 (HealthDay News) -- Interval walking is superior to continuous walking for improving glycemic control in individuals with type 2 diabetes, according to research published online Aug. 4 in Diabetologia.
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Nomogram Predicts Risk of Second Kidney Stone Episode
FRIDAY, Aug. 8, 2014 (HealthDay News) -- The Recurrence of Kidney Stone (ROKS) nomogram identifies patients with kidney stones who are at high risk for a second symptomatic episode, according to research published online Aug. 7 in the Journal of the American Society of Nephrology.
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Polypill Can Potentially Offer Global Cardiovascular Benefit
FRIDAY, Aug. 8, 2014 (HealthDay News) -- Use of a polypill can potentially improve global cardiovascular health, according to research published in the Aug. 12 issue of the Journal of the American College of Cardiology.
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ACG: New Guidelines Issued for Irritable Bowel Syndrome
FRIDAY, Aug. 8, 2014 (HealthDay News) -- New guidelines have been issued in relation to the management of irritable bowel syndrome (IBS) and chronic idiopathic constipation. The updated guidelines were published as a supplement to the August issue of the American Journal of Gastroenterology.
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FDA: Some Home Tattoo Kits Recalled Due to Infection Risk
THURSDAY, Aug. 7, 2014 (HealthDay News) -- Inks in some home tattoo kits are contaminated and could cause skin infections, the U.S. Food and Drug Administration says.
CDC: Millions Given Access to Breast, Cervical CA Screening
THURSDAY, Aug. 7, 2014 (HealthDay News) -- Millions of American women have benefited from a breast and cervical cancer screening program offered by the U.S. Centers for Disease Control and Prevention, according to a new report. The report was published online and in an Aug. 15 supplement edition of the journal Cancer. The report features 13 new studies evaluating numerous features of the screening program.
Diagnostic Algorithm for Appendicitis Cuts Pediatric CT Use
THURSDAY, Aug. 7, 2014 (HealthDay News) -- For pediatric patients, implementation of a diagnostic algorithm for appendicitis correlates with a significant reduction in computed tomography (CT) use without impacting diagnostic accuracy, according to a study published in the August issue of Surgery.
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VA Health Care Reform Bill Signed Into Law
THURSDAY, Aug. 7, 2014 (HealthDay News) -- A bill signed into law Thursday by President Barack Obama is meant to provide veterans with easier access to government-paid health care.
Health Highlights: Aug. 7, 2014
Low Vitamin D May Up Risk of Dementia, Alzheimer's Disease
THURSDAY, Aug. 7, 2014 (HealthDay News) -- Low concentrations of serum 25-hydroxyvitamin D (25[OH]D) may increase the risk of developing all-cause dementia and Alzheimer's disease, according to research published online Aug. 6 in Neurology.
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HIV Infection Linked to Lower Risk of Multiple Sclerosis
THURSDAY, Aug. 7, 2014 (HealthDay News) -- HIV infection is associated with a significantly decreased risk of developing multiple sclerosis (MS), according to a study published online Aug. 4 in the Journal of Neurology, Neurosurgery & Psychiatry.
Pain Reduction Tied to One-Year Spine Surgery Outcomes
THURSDAY, Aug. 7, 2014 (HealthDay News) -- For patients undergoing elective surgery for degenerative lumbar spine conditions, postoperative improvement in pain intensity is associated with improvements in physical function and reductions in disability in the year following surgery, according to a study published in the Aug. 1 issue of Spine.
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Study Confirms Lasting Drop in Prostate Cancer Death With PSA
THURSDAY, Aug. 7, 2014 (HealthDay News) -- Prostate-specific antigen (PSA) screening is associated with a lasting reduction in prostate cancer mortality, with increased effect at 13 years compared with nine or 11 years, according to a study published online Aug. 7 in The Lancet.
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U.S. Hospitals See Big Rise in Drug-Related Suicide Attempts
THURSDAY, Aug. 7, 2014 (HealthDay News) -- Drug-related suicide attempts in the United States increased over a recent six-year period, with dramatic increases seen among young and middle-aged adults, health officials reported Thursday.
Fears of U.S. Ebola Outbreak Unwarranted, Experts Say
WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- The decision to bring two American aid workers infected with Ebola back to the United States has kicked up controversy, causing some to fear a local outbreak of the virus. But experts in infectious disease say there's close to no chance that this will cause an Ebola outbreak on these shores.
Prophylactic Aspirin Use May Help Prevent Cancer
WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Prophylactic aspirin use seems to be beneficial for men and women between ages 50 and 65 in the general population, with increased benefits seen for long-term use, according to a review published online Aug. 5 in the Annals of Oncology.
Many Cancer Survivors Keep Smoking After Diagnosis
WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Many cancer survivors continue to smoke long after their initial diagnosis, according to research published online Aug. 6 in Cancer Epidemiology, Biomarkers & Prevention.
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Portable Shade Structure Use High for Soccer-Playing Youth
WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- The rate of use of commercially available portable shade structures is high among soccer-playing youths, according to a research letter published online July 30 in JAMA Dermatology.
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Clues to How Heavy Drinking in Pregnancy Harms Child's Brain
WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- When a woman drinks heavily during pregnancy, the harmful effects on her child's brain development appear to continue over time, a new study indicates. The study was published online Aug. 4 in the journal Cerebral Cortex.
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Insulin Sensitivity Is Key Renal Marker in Youth With T2DM
WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Among adolescents with type 2 diabetes, insulin sensitivity is an important marker of renal health, according to research published online July 28 in Diabetes Care.
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For Women With PCOS, IVF Outcomes Vary With BMI
WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- For women with polycystic ovary syndrome (PCOS) undergoing in vitro fertilization (IVF), body mass index (BMI) impacts outcomes, according to a study published in the August issue of the American Journal of Obstetrics & Gynecology.
Mortality Up With CKD in PCI Contrast-Induced Nephropathy
WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Contrast-induced nephropathy (CIN) is associated with long-term mortality in patients with, but not those without, chronic kidney disease (CKD), according to a study published in the Aug. 1 issue of The American Journal of Cardiology.
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Hypertension in Middle Age May Speed Cognitive Decline
WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Hypertension during midlife is associated with greater cognitive decline during a 20-year period, according to research published online Aug. 4 in JAMA Neurology.
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Review: Earlier Alteplase Benefits Acute Ischemic Stroke More
WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Alteplase delivered within 4.5 hours of acute ischemic stroke onset is associated with increased odds of a good stroke outcome irrespective of age or stroke severity and despite an increased risk of fatal intracranial hemorrhage, with earlier treatment associated with bigger proportional benefits, according to a review published online Aug. 6 in The Lancet.
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Lasting Clinical Results for Total Lumbar Disc Replacement
WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Total lumbar disc replacement (TDR) yields mid- to long-term clinical efficacy and patient satisfaction, according to a study published in the Aug. 1 issue of The Spine Journal.
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Women Over 75 May Still Benefit From Mammograms
TUESDAY, Aug. 5, 2014 (HealthDay News) -- Women 75 and older may still benefit from routine mammograms, according to new research. The study was published online Aug. 5 in Radiology.
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Skip the Steroids for Shoulder Pain?
TUESDAY, Aug. 5, 2014 (HealthDay News) -- For relief of shoulder pain, physical therapy and steroid shots provide similar results, according to a study published in the Aug. 5 issue of the Annals of Internal Medicine.
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Favorable Resource Use With Long-Detection Interval for ICD
TUESDAY, Aug. 5, 2014 (HealthDay News) -- A long-detection interval for implantable cardioverter-defibrillators (ICDs) is associated with favorable results in terms of hospitalization and costs, according to a research letter published in the Aug. 6 issue of the Journal of the American Medical Association.
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Inadequate Weight Gain in Overweight Moms Tied to SGA
TUESDAY, Aug. 5, 2014 (HealthDay News) -- For overweight and obese women, inadequate weight gain is associated with increased risk of small for gestational age (SGA), according to a study published in the August issue of the America Journal of Obstetrics & Gynecology.
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Experimental Serum May Have Been Key to Ebola Recovery
TUESDAY, Aug. 5, 2014 (HealthDay News) -- An experimental serum never before tried in people may have been pivotal in helping treat two Americans stricken with Ebola, according to media reports.
Very Low Carbohydrate Diet Beneficial for Obese With T2DM
TUESDAY, Aug. 5, 2014 (HealthDay News) -- For obese adults with type 2 diabetes mellitus (T2DM), a very low carbohydrate diet is associated with greater improvements in glycemic control and cardiovascular risk markers than an energy-matched high unrefined carbohydrate diet, according to a study published online July 28 in Diabetes Care.
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Five Servings of Fruit and Veggies a Day Cut Mortality
TUESDAY, Aug. 5, 2014 (HealthDay News) -- Consuming five or more servings of fruit and vegetables daily is associated with reduced risk of all-cause mortality, particularly cardiovascular mortality, according to research published online July 29 in BMJ.
Influenza-Like Illness Carries High Pediatric Risk
TUESDAY, Aug. 5, 2014 (HealthDay News) -- More than one in three children presenting to the emergency department with influenza-like illness develop severe complications, according to a study published online Aug. 4 in Pediatrics.
ACP Releases Diagnostic Guide for Obstructive Sleep Apnea
TUESDAY, Aug. 5, 2014 (HealthDay News) -- The American College of Physicians (ACP) has released a new evidence-based clinical practice guideline for the diagnosis of obstructive sleep apnea (OSA) in adults. The guideline was published in the Aug. 5 issue of the Annals of Internal Medicine.
Desert Dust Events May Trigger Myocardial Infarctions
TUESDAY, Aug. 5, 2014 (HealthDay News) -- Exposure to Asian dust (AD), a windblown sand dust originating from mineral soil in China and Mongolia, a few days before symptom onset is associated with the incidence of acute myocardial infarction (AMI), according to a study published online July 29 in Circulation: Cardiovascular Quality & Outcomes.
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Major Obstetrical Complication Rates Vary Across U.S. Hospitals
TUESDAY, Aug. 5, 2014 (HealthDay News) -- The rates of major obstetrical complications vary considerably across hospitals in the United States, according to a study published in the August issue of Health Affairs.
Statin Use After CRC Diagnosis Reduces Mortality Risk
TUESDAY, Aug. 5, 2014 (HealthDay News) -- For patients with newly diagnosed colorectal cancer, statin use is associated with reduced cancer-specific mortality risk, according to a study published online Aug. 4 in the Journal of Clinical Oncology.
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Many Physicians Have Secondary Income
MONDAY, Aug. 4, 2014 (HealthDay News) -- Many physicians report earning income from sources other than their primary practice/employer, according to an article published July 24 in Medical Economics.
Best Outcomes Seen at Systolic BP of 130 to 139 mm Hg
MONDAY, Aug. 4, 2014 (HealthDay News) -- For patients with treated hypertension, worse outcomes are seen for those with systolic and diastolic blood pressures lower and higher than 130 to 139 mm Hg and 60 to 79 mm Hg, respectively, according to a study published in the Aug. 12 issue of the Journal of the American College of Cardiology.
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Model Can Predict Risk of Renal Scarring in Children
MONDAY, Aug. 4, 2014 (HealthDay News) -- A model including temperature, ultrasonographic findings, and etiologic organisms is able to predict renal scarring in children with a first urinary tract infection, according to research published online Aug. 4 in JAMA Pediatrics.
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More Young Adults Getting Mental Health Care Under ACA
MONDAY, Aug. 4, 2014 (HealthDay News) -- The number of young American adults getting mental health treatment has risen since the rule on dependent coverage went into effect with the passage of the Affordable Care Act, according to research published in the August issue of Health Affairs.
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Hepatitis C Could Become Rare Disease in 20 Years
MONDAY, Aug. 4, 2014 (HealthDay News) -- U.S. health officials estimate that over three million Americans currently have chronic hepatitis C -- most of whom don't know it because the infection usually causes no symptoms. But with recent treatment advances, hepatitis C could become rare by 2036, researchers report in the Aug. 5 issue of the Annals of Internal Medicine.
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Few 'Bright Futures' Guidelines Suitable for EHR Format
MONDAY, Aug. 4, 2014 (HealthDay News) -- Only a small portion of the Bright Futures Guidelines meet criteria for actionability, according to a study published in the current issue of Applied Clinical Informatics.
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New Onset, Post-Op Atrial Fibrillation Ups Mortality
MONDAY, Aug. 4, 2014 (HealthDay News) -- New onset postoperative atrial fibrillation (POAF) is associated with worse patient outcomes, including increased risk-adjusted mortality, according to a study published in the August issue of The Annals of Thoracic Surgery.
Job Strain Can Raise Risk of Developing Type 2 Diabetes
MONDAY, Aug. 4, 2014 (HealthDay News) -- Stress at work may increase the risk of developing type 2 diabetes, according to research published in the August issue of Diabetes Care.
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Optimal Red Blood Cell Folate Level About 1,000 nmol/L
MONDAY, Aug. 4, 2014 (HealthDay News) -- The optimal population red blood cell folate level for prevention of neural tube defects could be defined as approximately 1,000 nmol/L, according to research published online July 29 in BMJ.
Interventions Avert Contrast-Induced Acute Kidney Injury
MONDAY, Aug. 4, 2014 (HealthDay News) -- A quality improvement program helps prevent contrast-induced acute kidney injury (CI-AKI) in patients undergoing percutaneous coronary intervention, according to research published online July 29 in Circulation: Cardiovascular Quality and Outcomes.
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CT Effective in Detection of Significant Cervical Spine Injury
MONDAY, Aug. 4, 2014 (HealthDay News) -- Computed tomography (CT) is effective in detecting clinically significant cervical spine (CS) injuries in patients with neurologic deficit or CS pain, according to a study published online July 30 in JAMA Surgery.
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Hx of Alcohol Use Disorder Ups Odds of Memory Impairment
MONDAY, Aug. 4, 2014 (HealthDay News) -- For middle-aged U.S. adults, a history of alcohol use disorder is associated with increased odds of severe memory impairment, according to a study published online June 9 in the American Journal of Geriatric Psychiatry.
Maternal Access to Green Space Impacts Birth Weight
MONDAY, Aug. 4, 2014 (HealthDay News) -- Maternal proximity to green spaces is associated with increased birth weight, according to a study published in Occupational & Environmental Medicine.
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FDA Approves Jardiance for Type 2 Diabetes
FRIDAY, Aug. 1, 2014 (HealthDay News) -- Jardiance (empagliflozin) has been approved by the U.S. Food and Drug Administration to treat type 2 diabetes, the agency said Friday in a news release.
Oral Contraceptive, Breast Cancer Link Varies by Formulation
FRIDAY, Aug. 1, 2014 (HealthDay News) -- Recent use of oral contraceptives is associated with increased breast cancer risk, which varies by formulation, according to a study published in the Aug. 1 issue of Cancer Research.
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Guidelines Issued for Cardiac Management of Noncardiac Sx
FRIDAY, Aug. 1, 2014 (HealthDay News) -- Recommendations have been developed for perioperative cardiovascular management of patients undergoing noncardiac surgery. These revised guidelines were published online Aug. 1 in the Journal of the American College of Cardiology.
CMS Recognizes Telehealth in New Physician Fee Schedule
FRIDAY, Aug. 1, 2014 (HealthDay News) -- Earlier this month, the Centers for Medicare & Medicaid Services issued proposed rules for updates to the Physician Fee Schedule and will accept comments until Sept. 2, according to an article published July 7 in Medical Economics.
Florida Officials Issue Warning on Vibrio Bacteria
FRIDAY, Aug. 1, 2014 (HealthDay News) -- Florida health officials are cautioning visitors to the state's beaches about the threat of Vibrio vulnificus bacteria in warm seawater this summer.
Health Highlights: July 31, 2014
CDC: Some Jobs Harder on the Heart Than Others
FRIDAY, Aug. 1, 2014 (HealthDay News) -- Stress at work may raise your risk of heart attack and stroke, particularly if you work in the service industry or have a blue-collar job, U.S. health officials reported Thursday. But being unemployed might be just as unhealthy, they added. The study was published in the Aug. 1 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
Healthy Lifestyle Cuts Metabolic Syndrome Risk in CA Survivors
FRIDAY, Aug. 1, 2014 (HealthDay News) -- For childhood cancer survivors, following a heart-healthy lifestyle is associated with a reduced risk of metabolic syndrome (MetS), according to a study published online July 28 in Cancer.
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Each Chronic Condition Further Reduces Life Expectancy
FRIDAY, Aug. 1, 2014 (HealthDay News) -- Each additional chronic condition among older people diminishes life expectancy, according to a study published in the August issue of Medical Care.
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More Activity, Less Sitting Both Needed to Cut Obesity Risk
FRIDAY, Aug. 1, 2014 (HealthDay News) -- Both high levels of physical activity and low levels of leisure time sitting may be necessary to reduce the risk of obesity, according to research published online July 31 in Diabetologia.
Two New Radiographic Signs of Gastric Band Slippage ID'd
FRIDAY, Aug. 1, 2014 (HealthDay News) -- Two radiographic signs have been identified that have high sensitivity and specificity for gastric band slippage, according to a study published in the July issue of the American Journal of Roentgenology.
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Off-Hour Arrival at Hospital Impacts Heart Attack Outcomes
FRIDAY, Aug. 1, 2014 (HealthDay News) -- Time of presentation to the hospital may influence treatment and mortality for patients with myocardial infarction, according to research published online July 29 in Circulation: Cardiovascular Quality and Outcomes.
Older Adults With Dementia More Likely to Receive Pacemaker
FRIDAY, Aug. 1, 2014 (HealthDay News) -- Older adults with dementia are more likely to receive a pacemaker than those without cognitive impairment, according to a research letter published online July 28 in JAMA Internal Medicine.