December 2013 Briefing - Family Practice

Here are what the editors at HealthDay consider to be the most important developments in Family Practice for December 2013. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Troubled Launch of ACA Tops Health News for 2013

TUESDAY, Dec. 31, 2013 (HealthDay News) -- As 2013 nears to a close, the year's top health news story -- the fumbled debut of the Affordable Care Act continues to grab headlines. President Barack Obama, in November, said he was "sorry" to hear that some Americans were being dropped from their health plans due to the advent of reforms -- even though he had repeatedly promised that this would not happen.

CDC: More Than One in 10 Kids Diagnosed With ADHD
FDA Urges Tighter Controls on Certain Prescription Painkillers
CDC: Evocative Campaign Motivates Smokers to Quit
Lower Microbial Diversity for Infants Who Develop Colic
Low Gut Bacterial Richness Linked to Obesity
Donor Fecal Infusion Effective for C. difficile Infection
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What Yoga Can and Can't Do for You

TUESDAY, Dec. 31, 2013 (HealthDay News) -- Results from medical research on yoga are mixed, according to the U.S. National Center for Complementary and Alternative Medicine, though the findings tend to be more positive than negative.

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Landmark ADHD Study Backed Drugs Over Therapy at a Cost

MONDAY, Dec. 30, 2013 (HealthDay News) -- Many children with attention-deficit hyperactivity disorder (ADHD) may have missed out on valuable counseling because of a widely touted study that concluded stimulants such as Ritalin or Adderall were more effective for treating the disorder than medication plus behavioral therapies, experts say.

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Acupuncture Improves Breast Cancer Treatment Symptoms

MONDAY, Dec. 30, 2013 (HealthDay News) -- For women with breast cancer receiving aromatase inhibitors (AIs), real acupuncture (RA) and sham acupuncture (SA) seem to improve patient-reported outcomes, according to a study published online Dec. 23 in Cancer.

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USPSTF Recommends Lung CA Screening for High-Risk Adults

MONDAY, Dec. 30, 2013 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that high-risk asymptomatic adults aged 55 to 80 years should undergo low-dose computed tomography (CT) screening for lung cancer. This recommendation statement is based on the results of a modeling study published online Dec. 31 in the Annals of Internal Medicine.

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Extra Steps Urged for Regulating Compounding Pharmacies

MONDAY, Dec. 30, 2013 (HealthDay News) -- Additional steps are needed for regulating compounding pharmacies, according to a perspective piece published online Dec. 25 in the New England Journal of Medicine.

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Alendronate Reduces Adjacent-Level Vertebral Fractures

MONDAY, Dec. 30, 2013 (HealthDay News) -- For females with osteoporosis, the rate of adjacent-level vertebral fractures is relatively low, with reduced odds with bisphosphonate therapy, according to a study published in the Dec. 1 issue of Spine.

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Inactivity Linked With Depression After Cardiac Surgery

MONDAY, Dec. 30, 2013 (HealthDay News) -- Physical inactivity is associated with increased risk of depression both before and after cardiac surgery, according to research published in the December issue of the Canadian Journal of Cardiology.

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High Fiber, Fruit/Vegetable Intake Cuts Stroke Risk in T2DM

MONDAY, Dec. 30, 2013 (HealthDay News) -- For Japanese patients with type 2 diabetes, increased dietary fiber and fruit and vegetable intake is associated with reduced risk of stroke, according to a study published in the December issue of Diabetes Care.

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Bacterial Infections During Pregnancy May Up Risk of Autism

MONDAY, Dec. 30, 2013 (HealthDay News) -- Pregnant women who are diagnosed with infections, particularly bacterial infections, during a hospital admission have an increased risk of delivering a child with autism spectrum disorder (ASD), according to research published online Dec. 23 in the Journal of Autism and Developmental Disorders.

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Smoking Bans Linked to Improvement in Tobacco Use

MONDAY, Dec. 30, 2013 (HealthDay News) -- Smoking bans in the home and city/town are significantly associated with smoking reduction and making a quit attempt, according to a study published online Nov. 26 in Preventive Medicine.

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Mortality Up in Postmenopausal Women With Anti-CCP+ RA

MONDAY, Dec. 30, 2013 (HealthDay News) -- Mortality rates are higher in postmenopausal women with rheumatoid arthritis (RA) who have anti-cyclic citrullinated peptide (anti-CCP) antibodies, according to research published online Dec. 23 in Arthritis & Rheumatism.

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Nortriptyline Doesn't Provide Gastroparesis Symptom Relief

MONDAY, Dec. 30, 2013 (HealthDay News) -- Use of nortriptyline is not associated with improvement in overall symptoms of idiopathic gastroparesis, according to a study published in the Dec. 25 issue of the Journal of the American Medical Association.

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Inosine Safe, Effective for Raising Urate Levels in Parkinson's

MONDAY, Dec. 30, 2013 (HealthDay News) -- For patients with early Parkinson's disease (PD), inosine seems safe and effective for raising urate levels, according to a study published online Dec. 23 in JAMA Neurology.

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Uncertainty Noted in Seemingly Stable Medical Liability Climate

MONDAY, Dec. 30, 2013 (HealthDay News) -- Although the medical liability climate seems stable, the impact of health care reform on the market is uncertain, according to an article based on two reports published by the American Medical Association (AMA).

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Surge in Federal Health Insurance Exchange Enrollments

MONDAY, Dec. 30, 2013 (HealthDay News) -- More than 1.1 million people enrolled in a qualified health plan through the federally operated marketplace, or exchange, from Oct. 1 through Dec. 24, government officials said Sunday. More than 975,000 of those enrollments came in December, Marilyn Tavenner, administrator for the Centers for Medicare & Medicaid Services, said in a blog post.

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Fewer Opioid Treatment Centers Offering HIV, STI Testing

FRIDAY, Dec. 27, 2013 (HealthDay News) -- Fewer U.S. opioid treatment programs are offering on-site testing for HIV and sexually transmitted infections (STIs), according to a research letter published in the Dec. 25 issue of the Journal of the American Medical Association.

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Exposure Therapy Superior to Counseling in Girls With PTSD

FRIDAY, Dec. 27, 2013 (HealthDay News) -- Prolonged exposure therapy is superior to supportive counseling in adolescent girls with posttraumatic stress disorder (PTSD) related to sexual abuse, according to research published in the Dec. 25 issue of the Journal of the American Medical Association.

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Alternative Quality Contract Improves Quality Measures

FRIDAY, Dec. 27, 2013 (HealthDay News) -- A global budget arrangement, the Alternative Quality Contract (AQC), improves preventive care quality measures for outcomes tied to pay-for-performance (P4P), according to a study published online Dec. 23 in Pediatrics.

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CDC: Chikungunya Virus Now in the Western Hemisphere

FRIDAY, Dec. 27, 2013 (HealthDay News) -- The mosquito-borne chikungunya virus has been identified for the first time among non-travelers in the Western Hemisphere, according to the U.S. Centers for Disease Control and Prevention.

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AMA IDs Five Issues Relating to Progress in SGR Repeal

FRIDAY, Dec. 27, 2013 (HealthDay News) -- The implications of progress toward repeal of the Medicare sustained growth rate (SGR) formula are discussed in a report published by the American Medical Association (AMA).

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Odds of Uncontrolled and Unreported HTN Up for Blacks

FRIDAY, Dec. 27, 2013 (HealthDay News) -- Blacks are more likely to have hypertension and to have uncontrolled and unreported hypertension than whites, according to a study published online Dec. 23 in Circulation: Cardiovascular Quality and Outcomes.

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Daily Walking Linked to Decreased Cardiovascular Risk

FRIDAY, Dec. 27, 2013 (HealthDay News) -- For adults at high cardiovascular risk with impaired glucose tolerance, baseline and change in objectively-assessed ambulatory activity are associated with reduced risk of cardiovascular events, according to a study published online Dec. 20 in The Lancet.

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Addition of Cognitive Therapy Benefits Youth With Migraine

FRIDAY, Dec. 27, 2013 (HealthDay News) -- Cognitive behavioral therapy (CBT) is superior to headache education, when combined with amitriptyline, for the treatment of chronic migraine in children and adolescents, according to research published in the Dec. 25 issue of the Journal of the American Medical Association.

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Black Women Lose Less Weight Despite Similar Dieting, Exercise

FRIDAY, Dec. 27, 2013 (HealthDay News) -- Because of lower energy requirements, black women lose fewer pounds than white women even if they follow the same dietary restrictions and exercise regimens, according to research published online Dec. 20 in the International Journal of Obesity.

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Most Dementia Patients Living at Home Have Unmet Needs

FRIDAY, Dec. 27, 2013 (HealthDay News) -- Most individuals with dementia residing in the community -- and their caregivers -- have unmet needs, according to research published in the December issue of the Journal of the American Geriatrics Society.

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Performance-Enhancing Drug Use Widespread in U.S.

FRIDAY, Dec. 27, 2013 (HealthDay News) -- Use of performance-enhancing drugs (PEDs) is more widespread than previously thought and can have adverse health consequences, according to a scientific statement published online Jan. 1 in Endocrine Reviews.

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Head Trauma Linked to Amyloid Deposition in MCI

FRIDAY, Dec. 27, 2013 (HealthDay News) -- For individuals with mild cognitive impairment (MCI), but not those with normal cognition, self-reported head trauma involving at least a momentary loss of consciousness is associated with greater amyloid deposition, according to a study published online Dec. 26 in Neurology.

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Many Adults Support Additional Regulation of E-Cigarettes

FRIDAY, Dec. 27, 2013 (HealthDay News) -- Adults are concerned about electronic cigarette (e-cigarette) use among children and express widespread support for regulation of e-cigarettes, according to a report published Dec. 18 by the C.S. Mott Children's Hospital.

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Changes in Pain Noted for Many Ambulatory Cancer Patients

FRIDAY, Dec. 27, 2013 (HealthDay News) -- For ambulatory patients with solid tumors, pain is prevalent and changes over time, according to a study published online Dec. 23 in the Journal of Clinical Oncology.

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Impact of Planned Medicaid Expansion Discussed

THURSDAY, Dec. 26, 2013 (HealthDay News) -- The planned expansion of Medicaid will offer benefits to those in participating states, according to an article published online Dec. 24 in the Annals of Internal Medicine.

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ACA Success Hinges on Young Adult Enrollment

THURSDAY, Dec. 26, 2013 (HealthDay News) -- Enrollment of young adults is a crucial component of the viability of the Affordable Care Act (ACA), according to a health policy brief published Dec. 16 in Health Affairs.

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Frequency of Preoperative Cataract Visits Increasing

THURSDAY, Dec. 26, 2013 (HealthDay News) -- The frequency of preoperative consultations for cataract surgery has increased substantially, even though there are no national guidelines specifying when a referral is needed, according to a study published online Dec. 23 in JAMA Internal Medicine.

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Physician Pay Increasingly Tied to Quality Metrics

THURSDAY, Dec. 26, 2013 (HealthDay News) -- Physician groups are increasingly incorporating quality metrics into their internal reimbursement structure, according to an article published Nov. 25 in Medical Economics.

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Pre-Employment Assessment Tool Can Predict Injury Risk

THURSDAY, Dec. 26, 2013 (HealthDay News) -- The JobFit System pre-employment functional assessment (PEFA) can predict musculoskeletal injury risk in healthy mineworkers, according to a study published in the Dec. 1 issue of Spine.

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Most 12th Graders Don't Think Marijuana Use Is Harmful

THURSDAY, Dec. 26, 2013 (HealthDay News) -- Marijuana use is increasing among high school students, and less than 40 percent of 12th graders perceive regular use as harmful, according to results of the Monitoring the Future survey, conducted for the National Institutes of Health.

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Emphasizing Environmental Causes of Obesity Is Motivating

THURSDAY, Dec. 26, 2013 (HealthDay News) -- Messages that acknowledge personal responsibility, while emphasizing environmental causes of obesity, seem to motivate individuals to engage in healthy diet and exercise behavior, according to a study published Dec. 12 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Evidence-Based Guidelines Developed for Disc Herniation

THURSDAY, Dec. 26, 2013 (HealthDay News) -- Evidence-based clinical guidelines have been developed for management of lumbar disc herniation with radiculopathy; the guidelines have been published in the Jan. 1 issue of The Spine Journal.

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HPV 6, 11, 42/Combo Detection Doesn't ID CIN 2+, 3+ Risk

THURSDAY, Dec. 26, 2013 (HealthDay News) -- Detection of human papillomavirus (HPV) 6, 11, 42 or combination infections does not identify increased three-year risk of cervical precancer, according to a study published in the January issue of Obstetrics & Gynecology.

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Toxic Employees Are Damaging to Medical Practices

THURSDAY, Dec. 26, 2013 (HealthDay News) -- Toxic behavior can harm medical practices and should not be tolerated, according to an article published Dec. 10 in Medical Economics.

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Earlier Adiposity Rebound Linked to Metabolic Syndrome

THURSDAY, Dec. 26, 2013 (HealthDay News) -- The age of adiposity rebound (AR), at which time body mass index (BMI) starts to rise after infancy, is associated with future development of metabolic syndrome, according to a study published online Dec. 23 in Pediatrics.

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Greater Fiber Intake Leads to Lower Risk of Cardiac Events

THURSDAY, Dec. 26, 2013 (HealthDay News) -- Increased dietary intake of fiber is linked with lower risk of coronary heart disease and cardiovascular disease, with every 7 g per day intake of total dietary fiber associated with a 9 percent lower relative risk, according to research published online Dec. 19 in BMJ.

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HIV Life Expectancy Similar to General Population

THURSDAY, Dec. 26, 2013 (HealthDay News) -- Life expectancy among HIV-positive adults in the United States and Canada treated with combination antiretroviral therapy (ART) has greatly improved since 2000, with 20-year-olds now expected to live into their 70s, according to a study published online Dec. 18 in PLOS ONE.

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Testosterone May Undermine Flu Vaccine Effectiveness for Men

THURSDAY, Dec. 26, 2013 (HealthDay News) -- Differences in expression of genes involved in lipid metabolism regulated by testosterone may explain why men have less robust immune responses than women, according to a study published online Dec. 23 in the Proceedings of the National Academy of Sciences.

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Alternative to Medicare Sustained Growth Rate Proposed

THURSDAY, Dec. 26, 2013 (HealthDay News) -- A proposed alternative to the Medicare sustained growth rate (SGR) formula for physicians encourages Medicare to adopt advanced primary care practice (APCP) as a new provider category, according to a perspective piece published online Dec. 18 in the New England Journal of Medicine.

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Sporting Success Can Have Demographic Repercussions

TUESDAY, Dec. 24, 2013 (HealthDay News) -- Human emotions on a large scale, such as the euphoria following a soccer victory, can have demographic repercussions, according to a study published online Dec. 17 in BMJ.

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Exercise Counteracts Metabolic Effects of Short-Term Overeating

TUESDAY, Dec. 24, 2013 (HealthDay News) -- Most of the metabolic effects of overeating for a week can be counteracted by also doing vigorous exercise, according to a study published in the Dec. 15 issue of The Journal of Physiology.

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Public Tends to Follow Celebrities Even on Medical Issues

MONDAY, Dec. 23, 2013 (HealthDay News) -- Celebrities have credibility as sources of medical advice, even if they are ill-informed or are spreading potentially harmful information, according to research published online Dec. 17 in BMJ.

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Peanuts During Pregnancy Reduces Offspring Allergy Risk

MONDAY, Dec. 23, 2013 (HealthDay News) -- The offspring of mothers who consume peanuts or tree nuts (P/TN) during pregnancy are less likely to be allergic to these foods, according to a study published online Dec. 23 in JAMA Pediatrics.

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USPSTF Supports Counseling, BRCA Tests for At-Risk Women

MONDAY, Dec. 23, 2013 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that women who are identified as being at risk for BRCA mutations be offered counseling and genetic testing, according to a final recommendation statement published online Dec. 24 in the Annals of Internal Medicine.

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U.S. Adults Want Physicians Managing Their Health Care

MONDAY, Dec. 23, 2013 (HealthDay News) -- U.S. adults prefer physicians to non-physicians for health care and would choose a physician to lead their medical team, according to the results of a survey commissioned by the American Academy of Family Physicians (AAFP).

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Burden of Heart Disease, Stroke Quantified in United States

MONDAY, Dec. 23, 2013 (HealthDay News) -- The burden of heart disease and stroke is considerable in the United States, according to a American Heart Association Statistical Update published online Dec. 18 in Circulation.

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Many Patients With Diabetes Not Getting Needed Eye Care

MONDAY, Dec. 23, 2013 (HealthDay News) -- Many people living with diabetes are not receiving the eye care they need to prevent visual impairment or blindness, according to a study published online Dec. 19 in JAMA Ophthalmology.

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Free Preventive Services for >25 Million Medicare Beneficiaries

MONDAY, Dec. 23, 2013 (HealthDay News) -- As a result of the Affordable Care Act, during the first 11 months of 2013, more than 25.4 million people covered by Original Medicare received at least one preventive service at no cost, according to a report from the Centers for Medicare & Medicaid Services (CMS).

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Review Quantifies Risks Associated With Bariatric Surgery

MONDAY, Dec. 23, 2013 (HealthDay News) -- Bariatric surgery is effective for weight loss, but is associated with risks of complications, reoperations, and death, according to a review published online Dec. 18 in JAMA Surgery.

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No Evidence for Clinical Effectiveness of Many Hip Implants

MONDAY, Dec. 23, 2013 (HealthDay News) -- About one-quarter of all hip replacement implants available for use in primary hip replacements in the United Kingdom have no evidence for their clinical effectiveness, according to a review published online Dec. 19 in BMJ.

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Cardiovascular Disease Linked to Cognitive Decline in Older Women

MONDAY, Dec. 23, 2013 (HealthDay News) -- For elderly, postmenopausal women, cardiovascular disease (CVD) is associated with increased risk of cognitive decline, according to a study published online Dec. 18 in the Journal of the American Heart Association.

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Low Vitamin B12 Linked to Postural Orthostatic Tachycardia

MONDAY, Dec. 23, 2013 (HealthDay News) -- During adolescence, low vitamin B12 levels are associated with postural orthostatic tachycardia syndrome (POTS), according to a study published online Dec. 23 in Pediatrics.

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Revised Checklist Improves Detection of Autism in Toddlers

MONDAY, Dec. 23, 2013 (HealthDay News) -- The Modified Checklist for Autism in Toddlers, Revised with Follow-up (M-CHAT-R/F) is an effective screening tool for autism spectrum disorders (ASDs) in low-risk toddlers, according to research published online Dec. 23 in Pediatrics.

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Longer Maternity Leave May Reduce Postpartum Depression

MONDAY, Dec. 23, 2013 (HealthDay News) -- Longer duration of maternity leave is associated with improved mental and physical health in new mothers, according to a study published online Dec. 4 in the Journal of Health Politics, Policy and Law.

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ACEI/ARB Rx Safe, Beneficial in Advanced Chronic Kidney Disease

MONDAY, Dec. 23, 2013 (HealthDay News) -- For patients with stable hypertension and advanced chronic kidney disease (CKD), angiotensin-converting enzyme inhibitor (ACEI) or angiotensin II receptor blocker (ARB) use is associated with renal benefits, according to a study published online Dec. 16 in JAMA Internal Medicine.

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FDA Introduces New Food Defense Rule

FRIDAY, Dec. 20, 2013 (HealthDay News) -- A new rule to protect the nation's food supply from terrorism has been introduced by the U.S. Food and Drug Administration, the agency announced Friday.

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New Rule May Exempt Many From Health Plan Penalty

FRIDAY, Dec. 20, 2013 (HealthDay News) -- Consumers whose individual health insurance policies have been cancelled for failing to meet the minimum requirements of the Affordable Care Act may now apply for a "hardship exemption," Obama administration officials announced late Thursday.

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High Patient Satisfaction With Patient-Centered Medical Homes

FRIDAY, Dec. 20, 2013 (HealthDay News) -- A significant majority of patients report experiencing a high quality of care at federally-supported health centers, according to a study published in the November/December issue of the Annals of Family Medicine.

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Obese Children Have Higher Hair Cortisol Concentrations

FRIDAY, Dec. 20, 2013 (HealthDay News) -- Obese children have higher concentrations of hair cortisol than their normal-weight peers, according to a study published online Dec. 18 in the Journal of Endocrinology & Metabolism.

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Tomato-Based Diet Ups Adiponectin Level in Older Women

FRIDAY, Dec. 20, 2013 (HealthDay News) -- In postmenopausal women at increased risk of breast cancer, consumption of a tomato-based diet is associated with increased adiponectin concentration, according to a study published online Dec. 18 in the Journal of Endocrinology & Metabolism.

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Evidence-Based Guidelines Issued for Hypertension Management

FRIDAY, Dec. 20, 2013 (HealthDay News) -- Evidence-based guidelines for the management of hypertension in adults for 2014 have been issued by the Eighth Joint National Committee, according to a special communication published online Dec. 18 in the Journal of the American Medical Association.

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Higher Levels of Anxiety Linked to Incident Stroke Risk

FRIDAY, Dec. 20, 2013 (HealthDay News) -- Higher anxiety symptom levels are independently associated with increased risk for incident stroke, according to a study published online Dec. 19 in Stroke.

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CDC Measures Fathers' Involvement With Their Children

FRIDAY, Dec. 20, 2013 (HealthDay News) -- Fathers who live with their children participate in their children's lives to a greater extent than fathers who do not live with their children, according to research published in the U.S. Centers for Disease Control and Prevention's Dec. 20 National Health Statistics Reports.

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Docs Must Help Patients Take Responsibility for Medical Costs

FRIDAY, Dec. 20, 2013 (HealthDay News) -- Given that increasing numbers of patients have high-deductible health insurance, doctors and practice staff need to help patients assume financial responsibility for costs relating to medical services and procedures, according to an article published Dec. 10 in Medical Economics.

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Weight Loss Provides Lasting Cardiometabolic Benefit

FRIDAY, Dec. 20, 2013 (HealthDay News) -- Weight loss is associated with long-term improvements in cardiometabolic risk factors, according to a study published online Dec. 18 in the Journal of the American Heart Association.

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Health Care Providers Want to Learn More About E-Cigarettes

FRIDAY, Dec. 20, 2013 (HealthDay News) -- Health care providers who treat adolescents are aware of electronic cigarettes (e-cigarettes), but have moderately low levels of knowledge about them and comfort discussing their use, according to a study published online Dec. 10 in the Journal of Adolescent Health.

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Acupuncture May Relieve Tonsillectomy Pain in Children

FRIDAY, Dec. 20, 2013 (HealthDay News) -- Preliminary evidence indicates that acupuncture may decrease perceived pain in children and adolescents following tonsillectomy, according to a review published in the December issue of the International Journal of Pediatric Otorhinolaryngology.

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Efficiency Improvements Aid Physician Capacity

FRIDAY, Dec. 20, 2013 (HealthDay News) -- Efforts aimed at improving the efficiency of primary care practices can make impacts in alleviating physician shortages through improved primary care capacity of existing practices, according to an analysis published in the November issue of Health Affairs.

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Role of E-Cigarettes in Eliminating Tobacco Use Discussed

THURSDAY, Dec. 19, 2013 (HealthDay News) -- The public health issues relating to electronic cigarettes (e-cigarettes) and their role in eliminating tobacco use are discussed in a perspective piece published online Dec. 18 in the New England Journal of Medicine.

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Criteria Issued for Tests for Stable Ischemic Heart Disease

THURSDAY, Dec. 19, 2013 (HealthDay News) -- Appropriate use criteria have been released for tests used to diagnose or evaluate stable ischemic heart disease, in a document published online Dec. 16 in the Journal of the American College of Cardiology. The American College of Cardiology, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons all partnered in the development of the document.

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CDC: U.S. Sodium Consumption Remains Excessively High

THURSDAY, Dec. 19, 2013 (HealthDay News) -- More than 80 percent of children and 90 percent of teens and adults continue to consume sodium in excess of dietary recommendations, according to a report published in the Dec. 20 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Physicians Must Be Proactive in Risk Management

THURSDAY, Dec. 19, 2013 (HealthDay News) -- Risk is inherent in the practice of medicine, but physicians can take steps to prevent patient injury and avoid lawsuits, according to an article published Dec. 10 in Medical Economics.

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Antiviral Treatment Benefits Patients With Diabetes

THURSDAY, Dec. 19, 2013 (HealthDay News) -- Patients with diabetes have a lower risk of end-stage renal disease, stroke, and acute coronary syndrome after antiviral treatment for hepatitis C virus (HCV), according to a study published online in Hepatology.

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Deep Brain Stimulation Aids Driving With Parkinson's

THURSDAY, Dec. 19, 2013 (HealthDay News) -- Deep brain stimulation (DBS) of the of subthalamic nucleus (STN) seems to have a beneficial effect on driving ability in patients with Parkinson's disease (PD), according to a study published online Dec. 18 in Neurology.

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Pre-Op Depression Linked to Narcotic Use Before Spinal Sx

THURSDAY, Dec. 19, 2013 (HealthDay News) -- For patients undergoing spinal surgery for a structural lesion, preoperative depression and anxiety are associated with increased preoperative narcotic use, according to a study published in the Dec. 1 issue of Spine.

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Fat, Protein Impact Postprandial Glucose Excursion in T1DM

THURSDAY, Dec. 19, 2013 (HealthDay News) -- For children with type 1 diabetes using intensive insulin therapy (IIT), high-fat (HF) and high-protein (HP) meals increase glucose excursions, with an additive effect observed, according to a study published in the December issue of Diabetes Care.

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Modeling Study: Similar Effects for Statin or Apple a Day

THURSDAY, Dec. 19, 2013 (HealthDay News) -- An apple a day or a statin a day are equally likely to keep the doctor away, according to a modeling study published online Dec. 17 in BMJ.

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White Blood Cell Count Predicts Infarct Size in STEMI

THURSDAY, Dec. 19, 2013 (HealthDay News) -- For patients with anterior wall ST-segment elevated myocardial infarction (STEMI), elevated white blood cell count (WBCc) on presentation is associated with increased infarct size, according to a study published in the Dec. 15 issue of The American Journal of Cardiology.

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Maternal Vitamin D Tied to Risk of Small for Gestational Age

THURSDAY, Dec. 19, 2013 (HealthDay News) -- Maternal serum 25-hydroxyvitamin D concentration is associated with the risk of small-for-gestational-age (SGA) offspring, according to a study published online Dec. 6 in Obstetrics & Gynecology.

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Biomarkers Linked to Intermittent Explosive Disorder

THURSDAY, Dec. 19, 2013 (HealthDay News) -- Two plasma inflammatory markers are present at higher levels in people with intermittent explosive disorder compared with people with non-aggressive disorders, according to a study published online Dec. 18 in JAMA Psychiatry.

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Maternal Antidepressant Use Not Significantly Linked to Autism

WEDNESDAY, Dec. 18, 2013 (HealthDay News) -- The use of selective serotonin reuptake inhibitors (SSRIs) during pregnancy is not associated with a significantly higher risk of autism spectrum disorder in offspring, according to a study published in the Dec. 19 issue of the New England Journal of Medicine.

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FDA Approves New Drug to Treat COPD

WEDNESDAY, Dec. 18, 2013 (HealthDay News) -- A new inhaled drug to treat chronic obstructive pulmonary disease (COPD) has been approved by the U.S. Food and Drug Administration.

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Fracking Chemicals May Affect Hormone Function

WEDNESDAY, Dec. 18, 2013 (HealthDay News) -- The majority of water samples collected from sites in a natural gas drilling-dense region of Colorado have higher levels of estrogenic, anti-estrogenic, or anti-androgenic activities than control sites with limited nearby drilling operations, according to a study published online Dec. 16 in Endocrinology.

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Few Residency Programs Teach Cost-Conscious Medicine

WEDNESDAY, Dec. 18, 2013 (HealthDay News) -- Few residency programs have a formal cost-conscious care curriculum, according to a research letter published online Dec. 16 in JAMA Internal Medicine.

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Periodontal Treatment Doesn't Up Glycemic Control in T2DM

WEDNEDAY, Dec. 18, 2013 (HealthDay News) -- For patients with type 2 diabetes and chronic periodontitis, non-surgical treatment is not associated with improved glycemic control, according to a study published in the Dec. 18 issue of the Journal of the American Medical Association.

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CDC Highlights Achievements of 2013, Goals for 2014

WEDNESDAY, Dec. 18, 2013 (HealthDay News) -- The top five gains made in improving health security at home and around the world in 2013, and the top five areas for improvement in 2014 have been highlighted in an end-of-year report from the U.S. Centers for Disease Control and Prevention.

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Metformin Tied to Modest BMI Reduction in Obese Children

WEDNESDAY, Dec. 18, 2013 (HealthDay News) -- For obese children without diabetes, metformin is associated with a modest, but statistically significant, reduction in body mass index (BMI), according to a review published online Dec. 16 in JAMA Pediatrics.

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Older Women Spend Two-Thirds of Waking Time Sedentary

WEDNESDAY, Dec. 18, 2013 (HealthDay News) -- For older women, more than 65 percent of waking hours are spent in sedentary behavior, although the sedentary bouts are usually of short duration, according to a research letter published in the Dec. 18 issue of the Journal of the American Medical Association.

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Acupuncture Treatments Lead to Short-Term Weight Loss

WEDNESDAY, Dec. 18, 2013 (HealthDay News) -- Acupuncture treatments are effective for short-term weight loss in overweight Koreans, according to a study published online Dec. 16 in Acupuncture in Medicine.

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Web-Based Tool Cuts Cancer Symptom Distress

WEDNESDAY, Dec. 18, 2013 (HealthDay News) -- A web-based, self-report assessment and educational intervention is beneficial for reducing symptom distress during cancer therapy, according to a study published online Dec. 16 in the Journal of Clinical Oncology.

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Exercise Ups Sexual Function in Women on Antidepressants

WEDNESDAY, Dec. 18, 2013 (HealthDay News) -- Exercise improves sexual function in women experiencing sexual side effects due to antidepressants, according to a study published online Nov. 1 in Depression and Anxiety.

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Public Support for Physician-Assisted Death Analyzed

WEDNESDAY, Dec. 18, 2013 (HealthDay News) -- About a fifth of the Dutch public supports physician assistance in dying for older people who wish to die but do not have a serious medical condition, according to research published online Dec. 13 in the Journal of Medical Ethics.

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FDA: Many ADHD Drugs Linked to Painful Erections

TUESDAY, Dec. 17, 2013 (HealthDay News) -- In rare cases, Ritalin and some other drugs used to treat attention-deficit/hyperactivity disorder (ADHD) can cause long-lasting and sometimes painful erections, the U.S. Food and Drug Administration said Tuesday. If this condition -- priapism -- is not treated immediately, it can cause permanent damage to the penis.

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GlaxoSmithKline to End Payments to Prescribing Doctors

TUESDAY, Dec. 17, 2013 (HealthDay News) -- GlaxoSmithKline (GSK) says it will stop paying doctors to market its drugs at conferences and will no longer reward sales agents whose physician customers write the most prescriptions. Monday's announcement is apparently a first for a major drug company. But other companies may be considering similar moves, The New York Times reported.

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Funding for Medical Communication Firms Analyzed

TUESDAY, Dec. 17, 2013 (HealthDay News) -- Medical communication companies (MCCs), responsible for medical education programs, may receive substantial financial support from pharmaceutical and medical device companies, according to research published in the Dec. 18 issue of the Journal of the American Medical Association.

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Oral Multivitamin, Multimineral Safe, Not Effective After MI

TUESDAY, Dec. 17, 2013 (HealthDay News) -- For older patients with a history of myocardial infarction (MI), a high-dose oral multivitamin and multimineral mixture is safe, but does not significantly reduce cardiovascular events, according to a study published in the Dec. 17 issue of the Annals of Internal Medicine.

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Physicians Conclude Multivitamins Should Not Be Used

TUESDAY, Dec. 17, 2013 (HealthDay News) -- Multivitamins do not prevent chronic disease and should not be used by well-nourished adults, according to an editorial published in the Dec. 17 issue of the Annals of Internal Medicine.

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Many Physicians Will Stop Practicing Due to ACA

TUESDAY, Dec. 17, 2013 (HealthDay News) -- About half of physicians say that they plan to practice medicine for a shorter time or leave as soon as feasibly possible due to the Affordable Care Act (ACA), according to an article published Nov. 29 in Medical Economics.

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Exposure to Pertussis Common in Peds Health Care Workers

TUESDAY, Dec. 17, 2013 (HealthDay News) -- Health care workers are frequently exposed to pertussis in a pediatric health care setting, according to a study published online Dec. 16 in Pediatrics.

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Gene Expression Changes Seen After Mindfulness Meditation

TUESDAY, Dec. 17, 2013 (HealthDay News) -- Proficient meditators experience changes in specific gene expression after intensive mindfulness meditation, according to a study published in the February issue of Psychoneuroendocrinology.

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Prognostic Tool ID's Risk of Death for Hospital Patients

TUESDAY, Dec. 17, 2013 (HealthDay News) -- A validation study has confirmed that the CARING criteria may be used upon admission to estimate the risk of death at one year for inpatients in broad hospital settings, according to research published in the December issue of the Journal of Hospital Medicine.

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Screening Tools ID Postnatal Depression in Teen Moms

TUESDAY, Dec. 17, 2013 (HealthDay News) -- For adolescent mothers, the Edinburgh Postnatal Depression Scale (EPDS) and two subscales are accurate for identifying postnatal depression, according to a study published online Dec. 16 in Pediatrics.

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Physician Access Challenges Up for Those With Public Insurance

TUESDAY, Dec. 17, 2013 (HealthDay News) -- Adverse experiences with physician availability are more likely among those with public insurance, and almost 15 percent of people in the United States were uninsured in the first half of 2013, according to two December data briefs issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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FDA Questions Effectiveness, Safety of Antibacterial Soap

TUESDAY, Dec. 17, 2013 (HealthDay News) -- The U.S. Food and Drug Administration has issued a proposed rule requiring antibacterial soap manufacturers to demonstrate that their products are both effective at preventing illness and safe for long-term daily use.

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FDA Approves First Device to Treat Migraine With Aura

MONDAY, Dec. 16, 2013 (HealthDay News) -- The first device to treat migraine pain when the headache is preceded by an aura has been approved by the U.S. Food and Drug Administration.

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No Cognitive Benefit for Long-Term Multivitamin Supplement

MONDAY, Dec. 16, 2013 (HealthDay News) -- For older male physicians, long-term multivitamin supplementation is not associated with cognitive benefit, according to a study published in the Dec. 17 issue of the Annals of Internal Medicine.

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Bills for SGR Repeal Pass Senate, House Committees

MONDAY, Dec. 16, 2013 (HealthDay News) -- The U.S. House Ways and Means Committee and the U.S. Senate Finance Committee have passed their versions of the bill to repeal Medicare's failed sustainable growth rate (SGR) formula, according to a report from the American Medical Association (AMA).

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Comorbidity Strongly Influences Survival in Cancer Patients

MONDAY, Dec. 16, 2013 (HealthDay News) -- Death rates from cancer continue to decline in the United States, but the presence of comorbidity can be an important influence on overall survival, according to a report published online Dec. 16 in Cancer.

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Word of Mouth Still Tops Ways People Find Physicians

MONDAY, Dec. 16, 2013 (HealthDay News) -- Roughly three-quarters of young adults use personal recommendations to select a physician, according to an article published in Medical Economics.

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Medicare's Graduate Medical Education Spending Imbalanced

MONDAY, Dec. 16, 2013 (HealthDay News) -- There is an "imbalance" in how Medicare distributes its $10 billion a year for graduate medical education (GME), according to a study published in the November issue of Health Affairs.

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Urine-Based Assay Diagnoses Chlamydia in 20 Minutes

MONDAY, Dec. 16, 2013 (HealthDay News) -- A rapid and sensitive assay requiring no special equipment can detect Chlamydia trachomatis directly from urine samples with high accuracy, according to a study published in the January issue of the Journal of Molecular Diagnostics.

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Golfers' Game Improves With CPAP Therapy for Sleep Apnea

MONDAY, Dec. 16, 2013 (HealthDay News) -- For golfers with obstructive sleep apnea syndrome (OSAS), treatment with nasal positive airway pressure (PAP) improves performance, according to a study published in the Journal of Clinical Sleep Medicine.

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Sleep Duration Inversely Linked to Ambulatory BP in Teens

MONDAY, Dec. 16, 2013 (HealthDay News) -- For normal-weight adolescents, sleep duration and sleep quality are inversely associated with ambulatory blood pressure, according to a study published online Dec. 16 in Pediatrics.

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Prophylactic Progestin Cuts Odds of Recurrent Preterm Birth

MONDAY, Dec. 16, 2013 (HealthDay News) -- Progestin prophylaxis and accelerated access to the first clinic visit decrease the odds of spontaneous preterm birth among women with a history of preterm birth, according to a study published online Dec. 6 in Obstetrics & Gynecology.

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AAP Advises Pregnant Women and Children to Avoid Raw Milk

MONDAY, Dec. 16, 2013 (HealthDay News) -- The American Academy of Pediatrics (AAP) advises against the consumption of raw milk, especially among pregnant women, infants, and children, because of the risk of bacterial infections, according to a policy statement published online Dec. 16 in Pediatrics.

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Increased Mortality, Morbidity With Young-Onset T2DM

MONDAY, Dec. 16, 2013 (HealthDay News) -- Young-onset type 2 diabetes mellitus (T2DM) is associated with greater mortality, increased complications, and unfavorable cardiovascular risk versus type 1 diabetes mellitus (T1DM) with a similar age of onset, according to a study published in the December issue of Diabetes Care.

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CDC: Flu Vaccine Reduced Adverse Outcomes by 17 Percent

MONDAY, Dec. 16, 2013 (HealthDay News) -- About 17 percent of adverse health outcomes associated with influenza were prevented in the most recent flu season, with a greater number of serious outcomes averted compared with previous flu seasons, according to a report published in the Dec. 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Determinants of Patient Loyalty to Provider Identified

MONDAY, Dec. 16, 2013 (HealthDay News) -- Determinants of patient loyalty have been identified and include confidence in care provider and coordination of care, according to a report published by Press Ganey.

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New Rule Tweaks Affordable Care Act Deadline

FRIDAY, Dec. 13, 2013 (HealthDay News) -- The Obama administration is taking steps to prevent consumers who buy health plans sold through state and federal exchanges from experiencing any gap in coverage this January. Under new rules, health insurers must accept payment up until Dec. 31 for coverage that begins the following day. Earlier guidance did not establish a payment deadline, allowing insurers to set their own dates. "And we're recommending that insurers extend this deadline further," U.S. Health and Human Services (HHS) Secretary Kathleen Sebelius said during a Thursday news conference to announce the changes.

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Social Pressure Drives Teens to Sext Despite Personal Attitude

FRIDAY, Dec. 13, 2013 (HealthDay News) -- Preventive efforts to reduce sexting among adolescents need to address what significant others in teenagers' lives think about them engaging in sexting, according to a study published in Behaviour & Information Technology.

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Support for Ultrasound First in Pediatric Appendicitis Diagnosis

FRIDAY, Dec. 13, 2013 (HealthDay News) -- During the transition to an ultrasound-first paradigm for imaging acute appendicitis in pediatric patients, there does not seem to be any increase in complicated appendicitis diagnoses or a longer median hospital length of stay (LOS), according to a study published in the December issue of the American Journal of Roentgenology.

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Insulin Sensitizers Linked With Reduced Risk of Cancer in Women

FRIDAY, Dec. 13, 2013 (HealthDay News) -- Insulin sensitizers, particularly thiazolidinedione use, may reduce the risk of cancer in female patients with type 2 diabetes, according to research published online Dec. 5 in Diabetes, Obesity and Metabolism.

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Majority of Elderly Need Aid for Mobility, Self-Care Functions

FRIDAY, Dec. 13, 2013 (HealthDay News) -- More than two-thirds of older adults are not fully able to complete mobility and self-care activities, according to a study published online Dec. 12 in the American Journal of Public Health.

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Deployment-Related Brain Injury Predicts PTSD Risk

FRIDAY, Dec. 13, 2013 (HealthDay News) -- Traumatic brain injury (TBI) during a recent military deployment is a strong predictor of posttraumatic stress disorder symptoms (PTSD), according to a study published Dec. 11 in JAMA Psychiatry.

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Study Quantifies Male Dominance in Scientific Production

FRIDAY, Dec. 13, 2013 (HealthDay News) -- Men dominate scientific production worldwide, accounting for a higher percentage of authorships and greater impact, according to research published in the Dec. 12 issue of Nature.

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Race Affects Risk of Dementia in Older Diabetes Patients

FRIDAY, Dec. 13, 2013 (HealthDay News) -- Racial and ethnic differences influence the risk of dementia in older individuals with type 2 diabetes, according to research published online Nov. 22 in Diabetes Care.

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Food Security Status Linked to Cardiovascular Risk

FRIDAY, Dec. 13, 2013 (HealthDay News) -- Food security status is associated with cardiovascular risk factors and predicted 10-year cardiovascular disease risk, according to research published Dec. 5 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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ASCO Report Highlights Progress Against Cancer in Last Year

FRIDAY, Dec. 13, 2013 (HealthDay News) -- Progress against cancer is described in the ninth annual report of the American Society of Clinical Oncology, published online Dec. 10 in the Journal of Clinical Oncology.

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Injunction Stops Insurer From Dropping Physicians

THURSDAY, Dec. 12, 2013 (HealthDay News) -- United Healthcare has been given a last-minute temporary restraining order preventing it from removing thousands of physicians from its Medicare Advantage networks in Connecticut, according to an article published Dec. 6 in Medical Economics.

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Discharge Destination Alters Rehospitalization Rates

THURSDAY, Dec. 12, 2013 (HealthDay News) -- Destination of discharge alters the association between cognitive impairment and rehospitalization, according to a study published in the November issue of the Journal of the American Geriatrics Society.

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NPs Practicing Without Restrictions Could Lower Costs

THURSDAY, Dec. 12, 2013 (HealthDay News) -- Independently practicing nurse practitioners (NPs) seeing patients at retail health clinics can cut health care costs, according to a study published in the November issue of Health Affairs.

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FDA Approves Generic Cymbalta (Duloxetine)

THURSDAY, Dec. 12, 2013 (HealthDay News) -- The first generic versions of the antidepressant drug Cymbalta (duloxetine delayed-release capsules) have been approved by the U.S. Food and Drug Administration.

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Risk of Developing Diverticulitis Lower Than Thought

THURSDAY, Dec. 12, 2013 (HealthDay News) -- Only about 4 percent of patients with an incidental finding of diverticulosis progress to acute diverticulitis in the long term, according to research published in the December issue of Clinical Gastroenterology and Hepatology.

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BMI Not Linked to Pain After Exercise Rehab for Back Pain

THURSDAY, Dec. 12, 2013 (HealthDay News) -- For individuals with chronic low back pain (cLBP), body mass index (BMI) is not significantly associated with self-reported pain and disability, according to a study published in the Dec. 1 issue of Spine.

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Exposure to Smoke Linked With Increased Risk of Stillbirth

THURSDAY, Dec. 12, 2013 (HealthDay News) -- Smoking, cannabis use, exposure to secondhand smoke, and illicit drug use, independently and in combination, are linked with increased risk of stillbirth, according to research published online Dec. 6 in Obstetrics & Gynecology.

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Peds High Chair-Related Injury Increased From 2003 to 2010

THURSDAY, Dec. 12, 2013 (HealthDay News) -- High chair-associated injury is common among infants, and increased 22.4 percent from 2003 to 2010, according to a study published online Dec. 9 in Clinical Pediatrics.

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Many U.S. Couples Pay High Costs for Fertility Treatment

THURSDAY, Dec. 12, 2013 (HealthDay News) -- Couples seeking fertility care face high out-of-pocket (OOP) costs that vary according to which type of treatment they select, according to research published in The Journal of Urology.

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New Inactivated Quadrivalent Flu Vaccine Found Efficacious in Kids

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- A candidate inactivated quadrivalent influenza vaccine (QIV) is efficacious for preventing influenza in young children, according to a study published online Dec. 11 in the New England Journal of Medicine.

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Head Impact Affects Diffusivity Measures, Without Concussion

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- For college athletes, head impact exposure is associated with white matter diffusion measures and poorer cognition, even without concussion, according to a study published online Dec. 11 in Neurology.

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Physician Practices Often Do Not Plan for Future

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- Most physician practices do not treat their practices as businesses and plan for the future, but they should develop and follow a strategic plan, according to an article published Nov. 10 in Medical Economics.

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Outdoor Recess Ups Quantity, Intensity of Physical Activity

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- Outdoor recess is associated with increased quantity and intensity of physical activity compared with indoor recess settings, according to a study published Nov. 21 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Factors in Choice of Opioid for Abuse Analyzed

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- The choice of hydrocodone versus oxycodone as a primary drug of abuse is based on multiple factors, according to a study published in the December issue of PAIN.

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Duration of Diabetes Impacts Outcomes at Any Age

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- Type 2 diabetes morbidity and mortality are associated with disease duration and advancing age, according to a study published online Dec. 9 in JAMA Internal Medicine.

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Few Legislation-Tied Drug Label Changes Include Neonates

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- Few federal legislation-linked drug labeling changes relate to neonates, and most of the drugs studied are not used or are rarely used, according to a study published online Dec. 9 in JAMA Pediatrics.

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CDC: Health Insurance Among Young Increased After ACA

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- Since the Affordable Care Act extended dependent health coverage to young adults up to 26 years old, the percentage of this age group with private health insurance has increased and the percentage with gaps in insurance coverage has decreased, according to a December data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Weekend Spine Surgery Linked to Longer Stays, Higher Costs

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- Patients admitted to the hospital on weekends for cervical spine fusion resulting from trauma have a greater length of stay and total hospital costs than their weekday counterparts, according to a study published in the Dec. 1 issue of Spine.

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Peds Bronchiolitis Guideline Can Cut Resource Use, Costs

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- Implementation of a bronchiolitis guideline can reduce unnecessary resource utilization and reduce costs in a pediatric emergency department setting, according to research published online Dec. 9 in Pediatrics.

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Recommendations Issued to Prevent VTE in Maternal Patients

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- The Physician-Patient Alliance for Health & Safety, the Institute for Healthcare Improvement, and the National Perinatal Association have developed safety recommendations aimed at preventing venous thromboembolism (VTE) in maternal patients.

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No Serious Heart Risks With Smoking Cessation Therapies

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- Three licensed smoking cessation therapies -- nicotine replacement therapy (NRT), bupropion, and varenicline -- seem not to be associated with an increased risk of serious cardiovascular disease events, according to a meta-analysis published online Dec. 9 in Circulation.

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Gastric Acid Inhibitors Linked to Vitamin B12 Deficiency

TUESDAY, Dec. 10, 2013 (HealthDay News) -- Patients who take gastric acid inhibitors for two years or more are at higher risk of vitamin B12 deficiency, according to a study published in the Dec. 11 issue of the Journal of the American Medical Association.

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Mortality Significantly Up With Smoking After Cancer Diagnosis

TUESDAY, Dec. 10, 2013 (HealthDay News) -- For Chinese male cancer patients, post-diagnosis smoking is associated with an increased risk of death, according to a study published in the December issue of Cancer Epidemiology, Biomarkers & Prevention.

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Baseline Inflammation Tied to Lower PCa Risk on Repeat Biopsy

TUESDAY, Dec. 10, 2013 (HealthDay News) -- Among men with a negative biopsy for prostate cancer (PCa), acute and chronic inflammation at baseline correlate with a lower PCa risk at repeat two-year biopsy, according to a study published online Dec. 9 in Cancer.

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Sleep Apnea Treatment Found to Improve Resistant Hypertension

TUESDAY, Dec. 10, 2013 (HealthDay News) -- Among patients with resistant hypertension and obstructive sleep apnea, continuous positive airway pressure (CPAP) treatment significantly improves blood pressure and the nocturnal blood pressure pattern, according to a study published in the Dec. 11 issue of the Journal of the American Medical Association.

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Human Error Most Often Responsible for Birth Asphyxia

TUESDAY, Dec. 10, 2013 (HealthDay News) -- Substandard care is common in birth asphyxia, and is most frequently due to human error, according to a study published online Nov. 17 in Acta Obstetricia et Gynecologica Scandinavica.

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ACP Provides Guidance for Addressing Rx Drug Abuse

TUESDAY, Dec. 10, 2013 (HealthDay News) -- Recommendations to effectively address the problem of prescription drug abuse are presented in a policy position paper from the American College of Physicians (ACP), published online Dec. 10 in the Annals of Internal Medicine.

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Study Quantifies Overdiagnosis With Low-Dose CT for Lung CA

TUESDAY, Dec. 10, 2013 (HealthDay News) -- In lung cancer screening, there is a relative mortality reduction with low-dose computed tomography (LDCT); however, limitations include a high rate of overdiagnosis, according to a study published online Dec. 9 in JAMA Internal Medicine.

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Outpatient Docs Report More Burnout Than Inpatient Docs

TUESDAY, Dec. 10, 2013 (HealthDay News) -- Outpatient physicians report more emotional exhaustion than inpatient physicians, according to a review published in the November issue of the Journal of Hospital Medicine.

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Wider Statin Use Recommended for Chronic Kidney Disease

TUESDAY, Dec. 10, 2013 (HealthDay News) -- New guidelines for lipid management in chronic kidney disease (CKD) recommend wider statin use, according to a clinical practice guideline published online Dec. 10 in the Annals of Internal Medicine.

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Support for Narrow-Spectrum Antibiotics in Pediatric Pneumonia

TUESDAY, Dec. 10, 2013 (HealthDay News) -- Narrow-spectrum antibiotics, which are recommended as first-line therapy for children hospitalized with community-acquired pneumonia (CAP), show similar outcomes compared with broad-spectrum antibiotics, according to research published online Dec. 9 in Pediatrics.

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Less Exercise Linked With Higher Mortality in Breast Cancer

TUESDAY, Dec. 10, 2013 (HealthDay News) -- In a cohort study of women runners and walkers, less exercise and larger breast cup size were associated with increased mortality from breast cancer, according to research published online Dec. 9 in PLOS ONE.

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Pain, Often in Multiple Sites, Is Common in Elderly in U.S.

TUESDAY, Dec. 10, 2013 (HealthDay News) -- In older adults pain is common and is associated with clinically significant declines in physical function, according to a study published in the December issue of PAIN.

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Does 24/7 Intensivist Coverage Impact Housestaff Skills?

MONDAY, Dec. 9, 2013 (HealthDay News) -- Pediatric intensivists and housestaff have concerns regarding the preparation of housestaff after being trained in a 24/7 in-house (or in-hospital [IH]) attending model, according to a study published online Dec. 9 in Pediatrics.

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Health Information Technology May Cut Demand for Physicians

MONDAY, Dec. 9, 2013 (HealthDay News) -- Health information technology (IT) may cut demand for physicians in the future, according to a review published in the November issue of Health Affairs.

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Mortality High for Moderate, Severe Heart Failure Patients

MONDAY, Dec. 9. 2013 (HealthDay News) -- For patients aged 80 years and younger with moderate or severe heart failure, mortality is mainly associated with heart failure and its comorbidities, according to a study published online Nov. 6 in the Journal of the American College of Cardiology.

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With Looming ACA Uncertainty, Budget Exercise Necessary

MONDAY, Dec. 9, 2013 (HealthDay News) -- Constructing a budget for 2014 is critical for physicians even with the uncertainties surrounding the Affordable Care Act, according to an article published Nov. 10 in Medical Economics.

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Meta-Analysis: Healthier Diet Patterns Do Cost More

MONDAY, Dec. 9, 2013 (HealthDay News) -- Healthy food/diet patterns cost more, according to a meta-analysis published online Dec. 5 in BMJ Open.

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Global Burden of Dementia Shifting to Poorer Countries

MONDAY, Dec. 9, 2013 (HealthDay News) -- In the coming decades, the global burden of dementia will shift even further from richer countries to poorer countries, especially rapidly developing middle-income countries, according to an Alzheimer's Disease International policy brief. The brief is being published ahead of the G8 Dementia Summit, which will be held in London on Dec. 11.

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Early Puberty May Up Risk of Delinquency in Young Girls

MONDAY, Dec. 9, 2013 (HealthDay News) -- Early puberty and deviant behavior of friends may increase the risk of problem behaviors in young adolescent girls, according to research published online Dec. 9 in Pediatrics.

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CMS Finalizes 2014 Physician Payment Rates, Policies

MONDAY, Dec. 9, 2013 (HealthDay News) -- The final payment rules for 2014 include a proposal to support care management outside the routine office interaction and policies to promote high quality care and efficiency, according to a report from the Centers for Medicare & Medicaid Services (CMS).

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Medical Students Find Mind-Body Regulation Training Helpful

FRIDAY, Dec. 6, 2013 (HealthDay News) -- A practical approach may be used to offer mind-body regulation training to medical students, according to research published in the Fall issue of the Annals of Behavioral Science and Medical Education.

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Issues Surround Hospital Readmissions Reduction Program

FRIDAY, Dec. 6, 2013 (HealthDay News) -- Concerns surround implementation of the Medicare Hospital Readmissions Reduction Program (HRRP), according to a policy brief published online Nov. 12 in Health Affairs.

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Eye Care Use Low Among Low-Income Blacks With Diabetes

FRIDAY, Dec. 6, 2013 (HealthDay News) -- Eye care utilization is low among primarily low-income, African-American patients with diabetes seen at a county hospital clinic, particularly among younger patients, according to a study published online Dec. 5 in JAMA Ophthalmology.

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Elimination of Measles, Rubella Sustained in the United States

FRIDAY, Dec. 6, 2013 (HealthDay News) -- Sustained elimination of measles, rubella, and congenital rubella syndrome (CRS) has continued through 2011 in the United States, with most of the few cases seen linked to importation, according to a study published online Dec. 5 in JAMA Pediatrics.

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Serum 25(OH)D Marker of Ill Health, Not Causative Agent

FRIDAY, Dec. 6, 2013 (HealthDay News) -- Serum 25-hydroxyvitamin D (25[OH]D) seems to be a marker of ill health and not a causal factor, according to a review published online Dec. 6 in The Lancet Diabetes & Endocrinology.

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Final Rule Aims to Lower Costs, Simplify Outpatient Payments

FRIDAY, Dec. 6, 2013 (HealthDay News) -- The final hospital outpatient and ambulatory surgical center (ASC) payment rule will give hospitals and ASCs the ability to lower costs, according to a report from the Centers for Medicare & Medicaid Services (CMS).

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Effect of Serum Magnesium on Heart Failure Outcomes Unclear

FRIDAY, Dec. 6, 2013 (HealthDay News) -- Baseline serum magnesium levels do not independently predict post-discharge outcomes in patients hospitalized for heart failure, according to research published in the Dec. 1 issue of The American Journal of Cardiology.

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Study Explores Links Between Leptin, Ghrelin and Barrett's

FRIDAY, Dec. 6, 2013 (HealthDay News) -- In men, leptin is associated with Barrett's esophagus, especially in those with gastroesophageal reflux disease (GERD), while serum ghrelin is positively associated with Barrett's esophagus and inversely associated with GERD, according to a study published in the December issue of Gastroenterology.

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Genetic Risk Score Linked With Prior Gestational Diabetes

FRIDAY, Dec. 6, 2013 (HealthDay News) -- A diabetes-related genetic risk score is associated with a history of gestational diabetes, but it does not predict progression to type 2 diabetes in women with or without prior gestational diabetes, according to research published online Nov. 22 in Diabetes Care.

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Preventive Measures, Better Treatment Cut Stroke Deaths

FRIDAY, Dec. 6, 2013 (HealthDay News) -- A combination of factors, including public health programs and clinical interventions designed to reduce cardiovascular risks, has contributed to the decline in stroke mortality in the United States, according to a statement from the American Heart Association and the American Stroke Association published online Dec. 5 in Stroke.

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Predictors of Cesarean Delivery ID'd Among Extremely Obese

FRIDAY, Dec. 6, 2013 (HealthDay News) -- For extremely obese women, predictors of cesarean delivery (CD) include body mass index (BMI), as well as maternal age, parity, and cervical dilation at the time of admission, according to a study published in the December issue of the American Journal of Obstetrics & Gynecology.

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Home Visits Benefit Children in Low-Income Families

THURSDAY, Dec. 5, 2013 (HealthDay News) -- Home visits by nurses or paraprofessionals have a beneficial effects on child development in children born to low-income women, according to research published online Dec. 2 in JAMA Pediatrics.

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Vitamin D Deficiency Associated With Gestational Diabetes

THURSDAY, Dec. 7, 2013 (HealthDay News) -- Vitamin D deficiency is associated with gestational diabetes mellitus (GDM), with higher levels of CYP24A1 protein production and messenger RNA expression in placental tissue from women with GDM, according to a study published in the December issue of the American Journal of Obstetrics & Gynecology.

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CDC: More People With Asthma Getting Flu Shots

THURSDAY, Dec. 5, 2013 (HealthDay News) -- Influenza vaccination has increased substantially among people with asthma since the Advisory Committee on Immunization Practices (ACIP) expanded recommendations for annual vaccinations, though all age groups fall short of Healthy People 2020 targets, according to a report published in the Dec. 6 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Some Areas of United States Have No Rheumatologists

THURSDAY, Dec. 5, 2013 (HealthDay News) -- Some regions of the United States, mainly smaller micropolitan areas, have no practicing rheumatologists, according to a study published in the December issue of Arthritis & Rheumatism.

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FDA: Certain Automated External Defibrillators Found Faulty

THURSDAY, Dec. 5, 2013 (HealthDay News) -- All owners of Philips HeartStart automated external defibrillator (AED) devices are advised to contact the company to ascertain whether their device is among those that might be unable to deliver the defibrillator shock needed in a cardiac emergency, according to a Dec. 3 safety alert issued by the U.S. Food and Drug Administration.

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Study Quantifies Substance Use Disorder Among Residents

THURSDAY, Dec. 5, 2013 (HealthDay News) -- Substance use disorder (SUD) is seen among a proportion of anesthesiology residents during training and is associated with a high rate of relapse, according to a study published in the Dec. 4 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Skills Training Doesn't Impact Quality of Communication, Care

THURSDAY, Dec. 5, 2013 (HealthDay News) -- A communication skills intervention among internal medicine and nurse practitioner trainees does not improve quality of communication (QOC) or quality of end-of-life care (QEOLC), but is associated with increased depression among patients, according to a study published in the Dec. 4 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Handoff Program Cuts Medical Errors, Adverse Events

THURSDAY, Dec. 5, 2013 (HealthDay News) -- Implementation of a multifaceted handoff program can reduce medical errors and preventable adverse events, according to a study published in the Dec. 4 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Exercise May Improve Cognition in Dementia

THURSDAY, Dec. 5, 2013 (HealthDay News) -- Exercise programs may improve cognition and the ability to perform daily tasks in older adults with dementia, according to a review published online Dec. 4 in The Cochrane Library.

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ER Visits Involving Ecstasy Up 128 Percent From 2005 to 2011

THURSDAY, Dec. 5, 2013 (HealthDay News) -- From 2005 to 2011 there was a 128 percent increase in the number of emergency department visits involving Ecstasy in patients younger than 21 years, according to a report published online Dec. 3 by the Substance Abuse and Mental Health Services Administration (SAMHSA).

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TB Vaccine Beneficial After Clinically Isolated Syndromes

THURSDAY, Dec. 5, 2013 (HealthDay News) -- For individuals with clinically isolated syndromes (CIS), a first demyelinative episode that often precedes multiple sclerosis (MS), Bacille Calmette-Guérin (BCG) vaccination correlates with reduced development of gadolinium-enhancing lesions, according to a study published online Dec. 4 in Neurology.

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CDC: Over 6 Percent of Teens Take Psychotropic Meds

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- Depression and attention-deficit/hyperactivity disorder (ADHD) are the most common mental health disorders for which adolescents take psychotropic medications, according to a December data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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AMA's RUC Committee to Work on Improving Transparency

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- The 31-member Relative Value Scale Update Committee (RUC) of the American Medical Association will begin publishing minutes, dates and locations of meetings, and votes for individual current procedural codes, according to an article published Nov. 11 in Medical Economics.

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Results Mixed for Liberal Transfusions in Heart Disease

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- The effects of liberal transfusion protocols on outcomes in heart disease patients with anemia are mixed, according to a review published in the Dec. 3 issue of the Annals of Internal Medicine.

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Financial Interest May Motivate Higher Knee MRI Referral

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- Patients referred for magnetic resonance imaging (MRI) of the knee by physician groups with a financial interest (FI) in MRI equipment are significantly more likely to have negative images than those referred by physicians with no FI (NFI), according to a study published in the December issue of Radiology.

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Investment Program Can Cut Global Health Disparities by 2035

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- Global health disparities could be reduced considerably by 2035 using an investment framework, according to a report published Dec. 3 in The Lancet.

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Health Reform in Mass. Didn't Change ICU Utilization

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- Initiation of health care reform in Massachusetts correlated with a reduction in intensive care unit (ICU) patients without insurance but did not significantly change ICU use or mortality among ICU patients, according to a study published online Nov. 22 in Critical Care Medicine.

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Metabolically Healthy Obese Still at Risk of Adverse Outcomes

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- Even metabolically healthy obese are at increased risk of all-cause mortality and/or cardiovascular events, according to a review published in the Dec. 3 issue of the Annals of Internal Medicine.

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Fewer Attempted Labors Drive Increase in Cesarean Rate

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- Increases in the primary cesarean delivery rate appear to be driven by changes in rates of attempted labor as well as changes in rates of labor success, according to research published in the December issue of the American Journal of Obstetrics & Gynecology.

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Disability Decreased in Arthritis Patients Over Past 20 Years

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- Patients with rheumatoid arthritis experience significantly less psychological stress and physical disability compared with two decades ago, which may be partially due to a reduction in disease activity, according to a study published online Dec. 3 in Arthritis Care & Research.

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Lifestyle Factors Impact Risk of Hearing Loss in Women

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- Higher body mass index (BMI) and larger waist circumference are positively associated, and physical activity is inversely associated, with the risk of self-reported hearing loss, according to a study published in the December issue of the American Journal of Medicine.

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Varicella Vaccination Program Has Not Increased Herpes Zoster

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- Introduction of a universal varicella vaccine program for U.S. children in 1996 has not correlated with a significant increase in herpes zoster incidence in older U.S. adults, according to a study published in the Dec. 3 issue of the Annals of Internal Medicine.

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Modest Increases in Minority Faculty Seen at Med Schools

TUESDAY, Dec. 3, 2013 (HealthDay News) -- Underrepresented minority faculty made only modest gains in increasing their presence at U.S. medical schools from 2000 to 2010, according to a study published in the Journal of the American Medical Association, a theme issue on medical education.

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Med Student Clinic Attendance Boosts Overall Exam Scores

TUESDAY, Dec. 3, 2013 (HealthDay News) -- Attendance at clinical and tutorial-based activities is positively correlated with overall examination scores for fourth-year medical students, according to a study published in the Dec. 4 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Physician Texting While 'Doctoring' May Be Hazardous

TUESDAY, Dec. 3, 2013 (HealthDay News) -- Physician texting while doctoring could be hazardous, according to an ideas and opinions piece published in the Dec. 3 issue of the Annals of Internal Medicine.

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Childhood Living Arrangements Have Lasting Impact on BP

TUESDAY, Dec. 3, 2013 (HealthDay News) -- Family living arrangements during childhood seem to have a long-term impact on blood pressure (BP) and the risk of hypertension among black men, according to a study published online Dec. 2 in Hypertension.

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Recent Rapid Increase in Mental Health Care for Youth

TUESDAY, Dec. 3, 2013 (HealthDay News) -- In recent years, mental health care in office-based practice has increased more rapidly among youth than adults, according to a study published online Nov. 27 in JAMA Psychiatry.

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Central Adiposity May Blunt Metabolism, Worsen Weight Gain

TUESDAY, Dec. 3, 2013 (HealthDay News) -- In those with body mass index (BMI) greater than 29 kg/m², awake and fed thermogenesis is reduced, and this change in energy balance predicts future weight gain, according to research published in the December issue of Diabetes.

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Fragility Impacts Quality of Life in Heart Failure

TUESDAY, Dec. 3, 2013 (HealthDay News) -- For patients with heart failure, fragility is associated with the perception of quality of life, according to a study published in the Dec. 1 issue of The American Journal of Cardiology.

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Universal Transvaginal Ultrasound Found Cost-Effective

TUESDAY, Dec. 3, 2013 (HealthDay News) -- Under most assumptions, universal transvaginal ultrasound (TVUS) is more cost-effective than an initial transabdominal ultrasound (TAUS) screening for measuring cervical length and identifying women at increased risk of preterm birth, according to research published in the December issue of the American Journal of Obstetrics & Gynecology.

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Nonantibiotic Prophylaxis Can Benefit Recurrent UTI

TUESDAY, Dec. 3, 2013 (HealthDay News) -- Various nonantibiotic prophylaxis options are available, some of which may be beneficial for adults with recurrent urinary tract infections, according to a review and meta-analysis published in the December issue of The Journal of Urology.

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FDA Starts Regulating Compounding Pharmacies

TUESDAY, Dec. 3, 2013 (HealthDay News) -- The U.S. Food and Drug Administration on Monday began the process of regulating compounding pharmacies. Under the Drug Quality and Security Act, signed into law Nov. 27 by President Barack Obama, these pharmacies are being encouraged to register with the FDA. The agency will then classify them as outsourcing pharmacies, enabling them to sell bulk drugs to hospitals and other health care facilities.

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Oral Disease May Be Linked to Lower Cognitive Function

MONDAY, Dec. 2, 2013 (HealthDay News) -- Markers of oral disease seem to be associated with lower cognitive status, according to a study published in the Dec. 1 issue of the Journal of the American Dental Association.

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Maternal, Pregnancy, Birth Risk Factors Identified for ADHD

MONDAY, Dec. 2, 2013 (HealthDay News) -- Maternal, pregnancy, and birth risk factors have been identified among children with stimulant medication-treated attention-deficit/hyperactivity disorder (ADHD), with little gender difference, according to a study published online Dec. 2 in Pediatrics.

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Volunteering Overseas Revives Physicians' Outlooks

MONDAY, Dec. 2, 2013 (HealthDay News) -- Physician volunteer programs can revive doctors' passion for medicine, according to an article published Nov. 11 in Medical Economics.

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Geriatric Consultation Ups Post-Trauma Functional Recovery

MONDAY, Dec. 2, 2013 (HealthDay News) -- Geriatric consultation is associated with improved functional recovery among older trauma patients, according to a study published online Nov. 27 in JAMA Surgery.

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Diabetes, Cardiac Risk Up for Metabolically Healthy Obese

MONDAY, Dec. 2, 2013 (HealthDay News) -- Metabolically healthy obese (MHO) and metabolically unhealthy normal weight (MUH-NW) individuals have increased risks of developing type 2 diabetes mellitus (DM) and cardiovascular disease (CVD), according to a study published online Nov. 20 in the Journal of Clinical Endocrinology & Metabolism.

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Racial Disparities Persist in Diabetes Care Outcomes

MONDAY, Dec. 2, 2013 (HealthDay News) -- Black patients do not receive the same quality of care, and experience poorer intermediate outcomes in the practice setting of a patient-centered medical home (PCMH), according to research published online Nov. 19 in Diabetes Care.

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Health Insurance Coverage Changes Don't Change Behaviors

MONDAY, Dec. 2, 2013 (HealthDay News) -- Change in health insurance coverage is associated with a change in adherence to preventive care, but is not associated with a change in health behaviors, according to a study published in the November-December issue of the Journal of the American Board of Family Medicine.

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Comorbidities, Meds Factor Into Recurrent Syncope

MONDAY, Dec. 2, 2013 (HealthDay News) -- Certain comorbidities, age, gender, and use of multiple medications that cause orthostatic hypotension are associated with increased risk of recurrent syncope, according to research published in the Nov. 15 issue of The American Journal of Cardiology.

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Long-Term Dietary Fiber Intake Linked to Crohn's Disease

MONDAY, Dec. 2, 2013 (HealthDay News) -- Long-term intake of dietary fiber is associated with a reduced risk of Crohn's disease (CD), but not ulcerative colitis (UC), according to a study published in the November issue of Gastroenterology.

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Multiple-Child Pregnancies Hike Birth Costs in the U.S.

MONDAY, Dec. 2, 2013 (HealthDay News) -- Compared with singleton births, delivery of multiple-child pregnancies substantially raises health care costs paid by insurers and patients in the United States, according to research published in the December issue of the American Journal of Obstetrics & Gynecology.

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