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February 2014 Briefing - Family Practice

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

Higher Child BMI in Areas With Higher-Priced Fruits, Vegetables

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Children living in areas where fresh fruits and vegetables are more expensive have higher body mass indexes (BMIs), according to a study published online Feb. 10 in Pediatrics.

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CT Scans Don't Interfere With Cardiac Rhythm Devices

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Cardiac rhythm management devices should not be a cause for delaying computed tomography (CT) imaging procedures, according to research published online Feb. 26 in the Journal of the American College of Cardiology.

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Low Vitamin D Tied to Markers of Inflammation in Elderly

FRIDAY, Feb. 28, 2014 (HealthDay News) -- There is a significant association between low vitamin D status and markers of inflammation (including the ratio of interleukin-6 [IL-6] to interleukin-10 [IL-10]) in elderly adults, according to a study published online Feb. 25 in the Journal of Clinical Endocrinology & Metabolism.

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Going Live With EHR Leads to Frustrations, Productivity Hit

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Implementing an electronic health record (EHR) system takes excessive physician and staff time and disrupts practice, according to survey results published Feb. 24 in Medical Economics.

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Hospital Size, Market Share Affect Inpatient Care Prices

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Size and market share are the greatest differentiators between hospitals receiving low prices and high prices for inpatient care, according to a study published in the February issue of Health Affairs.

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Strokes in Young People Leave Many Disabled

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Strokes at a young age leave many young adults with long-lasting disability, according to a study published online Feb. 27 in Stroke.

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Antihypertensives Tied to Serious Fall Injuries in Elderly

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Antihypertensive medications are associated with an increased risk of serious fall injuries in the elderly, particularly among those with previous fall injuries, according to a study published online Feb. 24 in JAMA Internal Medicine.

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Excessive Tanning May Reflect Psychiatric Distress

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Excessive tanning may indicate the presence of psychiatric distress, according to research published in the March issue of the Journal of the American Academy of Dermatology.

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Stethoscopes Contaminated After Single Physical Exam

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Stethoscopes get contaminated after a single physical exam, with the contamination greater than that seen on most of the physician's dominant hand, barring the fingertips, according to a study published online Feb. 27 in the Mayo Clinic Proceedings.

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Becoming Disabled May Up Risk of Developing Diabetes

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Functional decline and physical disability may increase the subsequent risk of diabetes in older adults, according to research published online Feb. 18 in Diabetes Care.

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Nurse Education, Workload Impact Patient Post-Op Mortality

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Nurse staffing and education are associated with in-hospital mortality after common surgical procedures, according to a study published online Feb. 26 in The Lancet.

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High-Calorie, Enteral Diet Improves Survival in ALS Patients

FRIDAY, Feb. 28, 2014 (HealthDay News) -- In patients with amyotrophic lateral sclerosis (ALS), a high-calorie, enteral diet is safe and tolerable and improves survival, according to a small study published online Feb. 28 in The Lancet.

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Experts Offer Tips to Avoid Closing Practice to New Patients

THURSDAY, Feb. 27, 2014 (HealthDay News) -- Despite being crowded, it may be a mistake to close a primary care practice to new patients, according to an article published in Medical Economics.

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Myocardial Injury Predicts Death After Noncardiac Surgery

THURSDAY, Feb. 27, 2014 (HealthDay News) -- Myocardial injury after noncardiac surgery (MINS) is common and is an independent predictor of mortality, according to a study published in the March issue of Anesthesiology.

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FDA's New Food Labels Would Focus on Calories, Sugar Content

THURSDAY, Feb. 27, 2014 (HealthDay News) -- The U.S. Food and Drug Administration formally proposed Thursday updating the "nutrition facts" labels on food products to better reflect Americans' current eating habits and health concerns.

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Fertility Concerns Common for Young Women With Breast CA

THURSDAY, Feb. 27, 2014 (HealthDay News) -- Fertility concerns are common among young women with newly diagnosed breast cancer, although only a minority pursue fertility preservation strategies, according to a study published online Feb. 24 in the Journal of Clinical Oncology.

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Review Examines Incretin-Based Drug, Pancreatic Safety Link

THURSDAY, Feb. 27, 2014 (HealthDay News) -- Incretin-based drugs seem not to have a causal association with pancreatitis or pancreatic cancer, according to research published in the Feb. 27 issue of the New England Journal of Medicine.

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Risk of Psychiatric Morbidity Up for Offspring of Older Dads

THURSDAY, Feb. 27, 2014 (HealthDay News) -- Advancing paternal age is associated with an elevated risk of psychiatric and academic morbidity in offspring, according to a study published online Feb. 26 in JAMA Psychiatry.

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Prevalence of Obesity Remains High in the United States

THURSDAY, Feb. 27, 2014 (HealthDay News) -- The prevalence of obesity among youth or adults in the United States did not change significantly between 2003-2004 and 2011-2012, according to research published in the Feb. 26 issue of the Journal of the American Medical Association.

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Smoking Adversely Impacts Renal Cell Carcinoma Survival

THURSDAY, Feb. 27, 2014 (HealthDay News) -- For patients with clear cell renal cell carcinoma, smoking exposure adversely impacts cancer-specific survival and increases the risk of death from another cause, according to a study published in the March issue of The Journal of Urology.

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Cardiovascular Risk Increased in Month After Partner Death

THURSDAY, Feb. 27, 2014 (HealthDay News) -- For elderly adults, the death of a partner is associated with an increased risk of myocardial infarction (MI) and stroke, as well as other rarer cardiovascular events, according to a study published online Feb. 24 in JAMA Internal Medicine.

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CT May Be Avoided With Isolated Vomiting in Peds Head Trauma

THURSDAY, Feb. 27, 2014 (HealthDay News) -- Children with minor blunt head trauma who present with isolated vomiting may not need a computed tomography (CT) scan to look for traumatic brain injury, according to research published online Feb. 21 in the Annals of Emergency Medicine.

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Review: AHA Should Include Depression As Risk Factor in ACS

THURSDAY, Feb. 27, 2014 (HealthDay News) -- Evidence suggests that depression should be considered a risk factor for adverse outcomes in patients with acute coronary syndrome, according to a scientific statement from the American Heart Association published online Feb. 24 in Circulation.

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HIV Specialist Training Available for Nurse Practitioners

THURSDAY, Feb. 27, 2014 (HealthDay News) -- A new curriculum with specialized HIV training has been developed for nurse practitioners (NPs) at the Johns Hopkins University School of Nursing (JHUSON).

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Low-Normal TSH Deemed Risk Factor for Depression in Elderly

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- Low-normal thyroid stimulating hormone (TSH) is a risk factor for depression in the elderly, according to a study published online Feb. 24 in the Journal of Clinical Endocrinology & Metabolism.

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Prenatal DNA Test Bests Standard Screening in General Population

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- Maternal plasma cell-free DNA (cfDNA) sequencing for trisomies 18 and 21 gives five- to 10-fold higher positive predictive values than standard aneuploidy screening in a general obstetrical population, according to a study published in the Feb. 27 issue of the New England Journal of Medicine.

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Cigarette Smoke Exposure Affects Bone Mineral Density

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- Exposure to cigarette smoke (passive or active) is associated with lower bone mineral density (BMD) in the femoral neck and lumbar spine of men, according to a study published in the Feb. 15 issue of Spine.

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Vancomycin-Resistant Group B Streptococci Identified

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- Laboratory-confirmed clinical group B streptococcus isolates showing vancomycin resistance have been identified, according to a letter to the editor published in the Feb. 27 issue of the New England Journal of Medicine.

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FDA Explores 'Three-Person' Embryo Fertilization

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- U.S. Food and Drug Administration hearings opened Tuesday on a controversial fertilization technique that uses the DNA from three people -- two women and one man -- with the goal of preventing inherited genetic diseases.

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Cocaine Use Doesn't Raise In-Hospital Mortality With MI

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- Cocaine users with myocardial infarction (MI) are younger and generally have fewer risk factors, and do not have increased odds of in-hospital mortality, according to research published in the March 1 issue of The American Journal of Cardiology.

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Hysterectomy and Ovary Removal Linked to Diabetes Development

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- Postmenopausal women are at higher risk of developing diabetes if they have both a hysterectomy and bilateral oophorectomy, according to a study published in the March issue of Diabetes Care.

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Not All Acute Coronary Syndrome Patients Get Appropriate Tx

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- Nearly one in five eligible patients hospitalized for acute coronary syndrome do not receive American College of Cardiology/American Heart Association (ACC/AHA) class I guideline-recommended angiotensin-converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) therapy, according to a study published online Feb. 25 in Circulation: Cardiovascular Quality and Outcomes.

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Daily Walks May Cut Risk of Hospitalization for COPD

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- Patients with chronic obstructive pulmonary disease (COPD) who engage in regular physical activity may reduce the rate of hospitalization for COPD exacerbation, according to research published online Feb. 2 in Respirology.

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Review: Vegetarian Diet Linked to Lower Blood Pressure

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- Consumption of a vegetarian diet is associated with lower blood pressure, according to a review and meta-analysis published online Feb. 24 in JAMA Internal Medicine.

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Use of In-Hospital Formula Reduces Breastfeeding

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- Use of supplementation with in-hospital formula shortens the duration of breastfeeding among first-time mothers who intend to breastfeed exclusively, according to research published online Feb. 19 in The Journal of Pediatrics.

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Doctors Pleased With Congress' Medicare Payment Agreement

TUESDAY, Feb. 25, 2014 (HealthDay News) -- Physician groups are expressing optimism over the Congressional agreement to revamp the Medicare physician payment system, according to an article published Feb. 26 in Medical Economics.

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Doctors Slower to Prescribe HTN Meds to Younger Patients

TUESDAY, Feb. 25, 2014 (HealthDay News) -- Doctors wait longer to prescribe blood pressure medications to young adults than to older patients, according to a study published online recently in the Journal of General Internal Medicine.

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Children's Behavior Problems Tied to In Utero Acetaminophen

TUESDAY, Feb. 25, 2014 (HealthDay News) -- Maternal acetaminophen use during pregnancy is associated with a higher risk for hyperkinetic disorders (HKDs) and attention-deficit/hyperactivity disorder (ADHD)-like behaviors in children, according to a study published online Feb. 24 in JAMA Pediatrics.

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MMR Vaccine Timing, Sequencing Tied to Fewer Hospitalizations

TUESDAY, Feb. 25, 2014 (HealthDay News) -- Receipt of live measles, mumps, and rubella (MMR) vaccine on schedule and in correct sequence is associated with a lower rate of all infection-related hospital admissions for young children, according to a study published in the Feb. 26 issue of the Journal of the American Medical Association.

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Earlier Ovary Removal Provides Greatest BRCA-Associated Benefit

TUESDAY, Feb. 24, 2014 (HealthDay News) -- Among women with mutations in BRCA1 or BRCA2, oophorectomy reduces the risk of developing ovarian, fallopian tube, or peritoneal cancer by 80 percent and reduces the risk of death by 77 percent, with greater BRCA1 benefit seen with earlier removal, according to a study published online Feb. 24 in the Journal of Clinical Oncology.

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Research Agenda Developed for Teen Antipsychotic Rx Use

TUESDAY, Feb. 25, 2014 (HealthDay News) -- Prioritized research agendas have been developed for antipsychotic use among adolescents and young adults and for the management of ductal carcinoma in situ (DCIS), according to two reports published online Feb. 25 in the Annals of Internal Medicine.

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More Than Seven Million Patient Record Breaches in 2013

TUESDAY, Feb. 25, 2014 (HealthDay News) -- The number of patient records breached increased more than 137 percent and affected over seven million records in 2013, according to an annual report published by Redspin.

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HPV Vaccination Reduces Cervical Lesion Risk at Population Level

TUESDAY, Feb. 25, 2014 (HealthDay News) -- Vaccination with the quadrivalent human papillomavirus (HPV) vaccine is associated with reduced risk of atypia or worse (atypia+) or cervical intraepithelial neoplasia grade 2 or 3 (CIN2/3), according to a study published online Feb. 19 in the Journal of the National Cancer Institute.

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Adjuvant High-Dose Vitamin D3 Beneficial in Urticaria

TUESDAY, Feb. 25, 2014 (HealthDay News) -- Adjuvant high-dose vitamin D3 is beneficial for patients with chronic urticaria, according to a study published online Feb. 7 in the Annals of Allergy, Asthma & Immunology.

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Prognosis Worse for Secondary Versus Primary Thyroid Cancers

TUESDAY, Feb. 25, 2014 (HealthDay News) -- Among adolescents and young adults, those who develop thyroid cancer as a secondary malignant neoplasm have decreased overall survival than those with primary thyroid cancer, according to research published online Feb. 24 in Cancer.

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Fever During Pregnancy Associated With Birth Defects

TUESDAY, Feb. 25, 2014 (HealthDay News) -- Fever during pregnancy is associated with adverse health outcomes for the offspring, according to research published online Feb. 24 in Pediatrics.

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Review: Antibiotics Don't Avert Otitis, Pneumonia in Children

TUESDAY, Feb. 25, 2014 (HealthDay News) -- For young children with undifferentiated acute respiratory infections (ARIs), current evidence does not support the use of antibiotics to prevent ear infections or pneumonia, according to a review published online Feb. 18 in The Cochrane Library.

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In Nonvalvular A-Fib, AAN Urges Routine Anticoagulation

TUESDAY, Feb. 25, 2014 (HealthDay News) -- Most people with nonvalvular atrial fibrillation (NVAF) should be taking oral anticoagulants to prevent stroke, according to an American Academy of Neurology (AAN) guideline published in the Feb. 25 issue of Neurology.

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Juvenile Fibromyalgia Symptoms Often Persist Into Adulthood

MONDAY, Feb. 24, 2014 (HealthDay News) -- Most adolescent patients with juvenile-onset fibromyalgia (JFM) have continued fibromyalgia symptoms into young adulthood, according to a study published online Feb. 24 in Pediatrics.

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USPSTF: Evidence Lacking for Vitamin Prevention of CVD, CA

MONDAY, Feb. 24, 2014 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has found that the evidence is insufficient to evaluate the benefits and harms of multivitamins and most single- or paired-nutrient supplements for the prevention of cardiovascular disease and cancer. The Task Force findings have been published in a final recommendation statement available online Feb. 25 in the Annals of Internal Medicine.

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Quality Measures Data Added to Physician Compare Website

MONDAY, Feb. 24, 2014 (HealthDay News) -- Data for quality measures have been added to Physician Compare, the website that helps consumers search for information about physicians, according to a report published by the Centers for Medicare & Medicaid Services (CMS).

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London's Bike Sharing Program Has Health Benefits

MONDAY, Feb. 24, 2014 (HealthDay News) -- London's bike sharing program is having a positive impact on health, with clearer benefits seen for men and older users, according to a study published Feb. 13 in BMJ.

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Preventive Pediatric Health Care Recommendations Updated

MONDAY, Feb. 24, 2014 (HealthDay News) -- Recommendations for preventive pediatric health care have been updated, according to an American Association of Pediatrics (AAP) policy statement published online Feb. 24 in Pediatrics.

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Distinct Effects for Excess Saturated vs Polyunsaturated Fat

MONDAY, Feb. 24, 2014 (HealthDay News) -- Overeating saturated fats is associated with increased liver and visceral fat storage compared with overeating polyunsaturated fats, according to a study published online Feb. 18 in Diabetes.

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Obese Patients Affected by Perceived Judgment of Doctor

MONDAY, Feb. 24, 2014 (HealthDay News) -- Patients who discuss weight loss with their physicians but do not feel judged may be more likely to attempt and succeed in losing weight, according to research published online Feb. 9 in Preventive Medicine.

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AAP Still Opposes Retail-Based Clinics for Pediatric Primary Care

MONDAY, Feb. 24, 2014 (HealthDay News) -- The American Academy of Pediatrics (AAP) continues to oppose retail-based clinics (RBCs) as a source of pediatric primary care, according to a policy statement published online Feb. 24 in Pediatrics.

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Obstetricians Target Primary Cesarean Delivery Rate

MONDAY, Feb. 24, 2014 (HealthDay News) -- Primary cesarean delivery rates can be safely reduced by implementing various interventions, according to a consensus statement published online in the March issue of Obstetrics & Gynecology.

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Repeat Biopsies Up Infection Risk in Prostate Cancer Patients

MONDAY, Feb. 24, 2014 (HealthDay News) -- For men with prostate cancer who are under active surveillance, repeated biopsies are associated with increased risk of infectious complications, according to research published in the March issue of The Journal of Urology.

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'Epidemic of Diagnosis' Driving Thyroid Cancer Rates Up

MONDAY, Feb. 24, 2014 (HealthDay News) -- The incidence of thyroid cancer increased nearly three-fold from 1975 to 2009, particularly in women, with the increase mainly attributable to papillary thyroid cancer, according to a study published online Feb. 20 in JAMA Otolaryngology-Head & Neck Surgery.

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Mysterious Polio-Like Illness Strikes Children in California

MONDAY, Feb. 24, 2014 (HealthDay News) -- A rare "polio-like syndrome" has caused paralysis in about 20 children from across California, according to a report released Sunday by physicians in the San Francisco Bay Area.

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FDA to Step Up Oversight of Indian Drug Makers

MONDAY, Feb. 24, 2014 (HealthDay News) -- The U.S. Food and Drug Administration is to increase monitoring of drugs from pharmaceutical companies in India, FDA Commissioner Margaret Hamburg, M.D., said during a Friday afternoon news conference.

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More Older Men Have Skin Exams After Watching Educational Video

FRIDAY, Feb. 21, 2014 (HealthDay News) -- Older men are more likely to have a whole-body skin exam done by their physician if they watch a video on skin self-examination and skin awareness, according to a study published online Feb. 19 in JAMA Dermatology.

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ACC Calls for Patient-Centered Approach in Cardiac Imaging

FRIDAY, Feb. 21, 2014 (HealthDay News) -- Quality, patient outcomes, and costs must all be assessed in determining the appropriateness of noninvasive cardiovascular imaging, according to an American College of Cardiology (ACC) health policy statement published in the Feb. 25 issue of in the Journal of the American College of Cardiology.

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Psychological Factors Affect Skeletal Trauma Recovery

FRIDAY, Feb. 21, 2014 (HealthDay News) -- For patients recovering from musculoskeletal trauma, psychological factors, especially catastrophic thinking, are associated with pain intensity and disability, according to a study published in the Feb. 5 issue of The Journal of Bone & Joint Surgery.

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Patient-Centered Medical Homes Cut Care Costs

FRIDAY, Feb. 21, 2014 (HealthDay News) -- Primary care practices that embrace the patient-centered medical home (PCMH) model reduce the cost of care and the number of patients treated inappropriately in the emergency department, according to an article published Jan. 15 in Medical Economics.

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Intensive Dialysis Improves Pregnancy Outcomes

FRIDAY, Feb. 21, 2014 (HealthDay News) -- For women with end-stage renal disease (ESRD), intensive hemodialysis is associated with improved pregnancy outcomes, according to a study published online Feb. 13 in the Journal of the American Society of Nephrology.

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Health Reform Associated With Fewer Behavioral Admissions

FRIDAY, Feb. 21, 2014 (HealthDay News) -- Hospital admissions among young people with behavioral health disorders declined and emergency department visits increased less than in other states after the 2006 Massachusetts health reform, according to research published online Feb. 19 in JAMA Psychiatry.

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A Call for Epidemiologists to Study Food Contact Chemicals

FRIDAY, Feb. 21, 2014 (HealthDay News) -- A population-based assessment and biomonitoring are needed to identify any potential links between food contact materials (FCMs) and chronic conditions, according to a commentary published online Feb. 19 in the Journal of Epidemiology & Community Health.

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Insurance Status Impacts Trauma Transfer/Admissions

FRIDAY, Feb. 21, 2014 (HealthDay News) -- For patients with severe injuries initially evaluated at a non-trauma center emergency department, admission versus transfer to a trauma center is more likely for patients with Medicaid or private insurance, compared with no insurance, according to a study published online Feb. 19 in JAMA Surgery.

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Novel Protocol Calculates Energy Needs, Physical Activity Ratio

FRIDAY, Feb. 21, 2014 (HealthDay News) -- The PAR protocol has been validated as a new method for calculating the estimated energy requirements (EERs) and daily average physical activity ratio (APAR) at the population level, according to research published in the December issue of the Mayo Clinic Proceedings.

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Public Access Defibrillation Underutilized in Cardiac Arrest

FRIDAY, Feb. 21, 2014 (HealthDay News) -- In out-of-hospital (OOH) cardiac arrest, public access defibrillation (PAD) prior to ambulance arrival may be only rarely used, according to a study published online Feb. 19 in Heart.

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Sedentary Time Linked to Activities of Daily Living Disability

FRIDAY, Feb. 21, 2014 (HealthDay News) -- For older U.S. adults, time spent in sedentary activity is associated with disability in activities of daily living (ADL), according to a study published online Feb. 19 in the Journal of Physical Activity & Health.

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Concurrent Opioid Prescribing by Multiple Providers Common

THURSDAY, Feb. 20, 2014 (HealthDay News) -- For Medicare beneficiaries, concurrent opioid prescribing is common among those with four or more opioid providers, according to a study published Feb. 19 in BMJ.

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Surgeons Can Up Outcomes for Work-Related Lumbar Surgery

THURSDAY, Feb. 20, 2014 (HealthDay News) -- In patients with chronic disabling occupational lumbar disorder (CDOLD) and workers' compensation claims, lumbar fusion outcomes can be improved if opioid dependence and excessive length of disability after surgery are controlled through care, according to a study published in the Feb. 1 issue of The Spine Journal.

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Unfilled Hospital Openings for Doctors Growing, Survey Finds

THURSDAY, Feb. 20, 2014 (HealthDay News) -- The need for hospital physicians is growing, according to an article published Jan. 3 in Medical Economics.

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Tamoxifen Found in Samples of Dietary Supplement

THURSDAY, Feb. 20, 2014 (HealthDay News) -- Supplement users may be unaware of the presence of pharmacologically active substances in supplements, including tamoxifen that has been identified in samples of the dietary supplement Esto Suppress, according to a letter published online Feb. 13 in BMJ.

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>14 Percent of Women Given an Opioid Rx During Pregnancy

THURSDAY, Feb. 20, 2014 (HealthDay News) -- Opioids are fairly commonly dispensed during pregnancy, with 14.4 percent of women dispensed an opioid at some point during pregnancy, according to a study published online Feb. 12 in Anesthesiology.

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Surface Defects, Distorted Tips Seen in Acupuncture Needles

THURSDAY, Feb. 20, 2014 (HealthDay News) -- Surface irregularities and needle tip inconsistencies are commonly seen in acupuncture needles, according to a study published online Feb. 12 in Acupuncture in Medicine.

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ACC, AHA Releases Heart Disease, Stroke App for Docs

THURSDAY, Feb. 20, 2014 (HealthDay News) -- A mobile and web-based app has been released to help health care professionals determine their patients' 10-year and lifetime risks of developing atherosclerotic cardiovascular disease (ASCVD).

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Direct Fitness Measures Better Predict Cardiometabolic Risk

THURSDAY, Feb. 20, 2014 (HealthDay News) -- Directly measured fitness is more strongly associated with cardiovascular risk than self-reported physical activity level, according to research published in the Feb. 15 issue of The American Journal of Cardiology.

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Intracranial Carotid Artery Calcification Heralds Stroke

THURSDAY, Feb. 20, 2014 (HealthDay News) -- Intracranial atherosclerosis predicts, and may significantly increase the risk of, stroke in the general white population, according to research published online Feb. 17 in JAMA Neurology.

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Prenatal Vitamin A Deficiency May Contribute to Asthma

THURSDAY, Feb. 20, 2014 (HealthDay News) -- Early fetal retinoic acid (RA) deficiency is associated with altered airway smooth muscle phenotype, with RA restricting airway smooth muscle differentiation, according to an experimental study published in the Feb. 3 issue of the Journal of Clinical Investigation.

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Obesity Complicates Elbow Fractures in Children

THURSDAY, Feb. 20, 2014 (HealthDay News) -- Obesity is associated with more complex supracondylar humeral fractures in children, as well as with a greater risk of postoperative complications, according to research published in the Feb. 5 issue of The Journal of Bone & Joint Surgery.

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FDA Approves Rx for Neurogenic Orthostatic Hypotension

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- Northera (droxidopa) has been approved by the U.S. Food and Drug Administration to treat neurogenic orthostatic hypotension (NOH), a rare, chronic condition characterized by a sudden drop in blood pressure when a person stands.

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Eardrops Most Effective in Tympanostomy-Tube Otorrhea

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- Children with acute tympanostomy-tube otorrhea have significantly better outcomes after treatment with antibiotic-glucocorticoid eardrops compared with oral antibiotics or initial observation, according to a study published in the Feb. 20 issue of the New England Journal of Medicine.

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Before Implementation, Full EHR Cost Needs Consideration

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- From the outset of electronic health record implementation, hospitals and governments need to understand the major cost categories involved and identify the factors that may impact these costs, according to research published online Feb. 12 in the Journal of the American Medical Informatics Association.

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Top Five Low-Value Actions ID'd in Emergency Medicine

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- The top five tests, treatments, and/or disposition decisions that are of little value in emergency medicine have been identified, according to research published online Feb. 17 in JAMA: Internal Medicine.

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CAS, CEA Equally Effective for Long-Term Stroke Prevention

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- For patients with high-grade carotid artery stenosis, carotid angioplasty and stenting (CAS) and carotid endarterectomy (CEA) are equally effective for long-term prevention of ipsilateral ischemic stroke, according to a study published in the Feb. 1 issue of the Journal of the American College of Cardiology: Cardiovascular Interventions.

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'Talking' Medical Devices, Apps Continue to Evolve

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- "Talking" medical devices and apps, among other techy health-focused inventions, can help people manage everyday wellness routines, such as taking pills and checking blood sugar levels, as well as dire medical circumstances, say experts.

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Research Supports Dangers of Drinking in Early Pregnancy

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- Drinking moderate to large amounts of alcohol early in pregnancy may damage the placenta and reduce the amount of taurine delivered to the fetus from the mother, according to a study published online Feb. 4 in PLOS ONE.

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Stress Response Tied to Risk Aversion in Traders

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- The stress response in traders is associated with greater risk aversion during periods of market volatility, which may contribute to market instability, according to a study published online Feb. 18 in the Proceedings of the National Academy of Sciences.

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Home Exercise Program Improves Physical Function After Rehab

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- For older patients, a home-based exercise program is beneficial after formal hip fracture rehabilitation has ended, according to a study published in the Feb. 19 issue of the Journal of the American Medical Association.

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Post-Op Visits for Surgical Site Infections Generally Low

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- For patients at low surgical risk undergoing ambulatory surgery, the rates of postsurgical visits for clinically significant surgical site infections (CS-SSIs) are low relative to all-cause postsurgical visits, according to research published in the Feb. 19 issue of the Journal of the American Medical Association.

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Smoking Cessation Leads to Better Mental Health

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- Those who stop smoking have significant improvements in mental health compared with those who continue to smoke, both in healthy and clinical populations, according to research published online Feb. 13 in BMJ.

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E. cuniculi Can Cause Febrile Illness After Transplant

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- Solid organ transplant recipients who become febrile weeks after transplantation may have acquired microsporidiosis from Encephalitozoon cuniculi, according to a case series published in the Feb. 18 issue of the Annals of Internal Medicine.

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Compression Device Noninferior to Meds Post-Arthroplasty

TUESDAY, Feb. 18, 2014 (HealthDay News) -- For patients undergoing lower-extremity arthroplasty, a mobile compression device is noninferior to pharmacological protocols for the prevention of venous thromboembolism, according to a study published in the Feb. 5 issue of The Journal of Bone & Joint Surgery.

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Online Ratings Do Affect Patient Choice of Physician

TUESDAY, Feb. 18, 2014 (HealthDay News) -- About two-thirds of the general U.S. population is aware of online physician rating sites, according to a research letter published in the Feb. 19 issue of the Journal of the American Medical Association.

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Ablation May Be First-Line Option for Atrial Fibrillation

TUESDAY, Feb. 18, 2014 (HealthDay News) -- Radiofrequency ablation is more effective than medications in treating previously untreated paroxysmal atrial fibrillation, suggesting that ablation may be considered as a first-line treatment, according to a study published in the Feb. 19 issue of the Journal of the American Medical Association.

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Physicians More Likely to Be Burned Out Than Non-Doc Peers

TUESDAY, Feb. 18, 2014 (HealthDay News) -- Trainees and early-career physicians are more likely to be burned out than control population samples, according to research published online Jan. 20 in Academic Medicine.

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Fitness, Not Fatness, Linked to Mortality in Prediabetes

TUESDAY, Feb. 18, 2014 (HealthDay News) -- Unfit individuals with prediabetes have a higher mortality risk than fit individuals, regardless of adiposity measures, according to a study published in the February issue of Diabetes Care.

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Paper Gestational Age Wheels Generally Inaccurate

TUESDAY, Feb. 18, 2014 (HealthDay News) -- Paper wheels are inaccurate for estimating date of confinement, according to a study published in the February issue of the American Journal of Obstetrics & Gynecology.

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Best Practice Alerts Up Screening for Abdominal Aortic Aneurysm

TUESDAY, Feb. 18, 2014 (HealthDay News) -- An abdominal aortic aneurysm (AAA) screening program using electronic medical records (EMR) can increase AAA screening, according to research published online Feb. 10 in the Journal of Vascular Surgery.

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Sustained Weight Loss Prevents Sleep Apnea Progression

TUESDAY, Feb. 18, 2014 (HealthDay News) -- A moderate, sustained weight loss may prevent the progression of, or even resolve, mild obstructive sleep apnea (OSA) in obese patients, according to research published online Feb. 3 in Sleep Medicine.

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Neurofeedback Superior to Cognitive Training for ADHD

TUESDAY, Feb. 18, 2014 (HealthDay News) -- Children receiving in-school computer attention training for attention-deficit/hyperactivity disorder (ADHD) have greater improvements with neurofeedback rather than cognitive training (CT), according to research published online Feb. 17 in Pediatrics.

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Teledermatology Is Reliable for Initial Triage Consultations

TUESDAY, Feb. 18, 2014 (HealthDay News) -- Teledermatology is reliable for initial triage of patients, according to a study published online Feb. 12 in JAMA Dermatology.

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Higher Food Prices Linked With Higher Blood Sugar Levels

TUESDAY, Feb. 18, 2014 (HealthDay News) -- Among people with type 2 diabetes, higher prices for healthy foods are associated with higher blood glucose levels, according to research published online Feb. 13 in the American Journal of Public Health.

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Earlier Tx Shortens Duration of Febrile Seizures in Children

TUESDAY, Feb. 18, 2014 (HealthDay News) -- Among young children with febrile status epilepticus (FSE), seizures rarely stop spontaneously, and administering antiepileptic drugs (AEDs) sooner is associated with shorter seizure duration, according to a study published online Feb. 6 in Epilepsia.

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Direct-to-Consumer Genomic Testing Concerns Explored

TUESDAY, Feb. 18, 2014 (HealthDay News) -- Various concerns relate to direct-to-consumer genomic testing, according to an ideas and opinions piece published online Feb. 10 in the Annals of Internal Medicine.

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Transcatheter Aortic Valve Replacement Improves Function

MONDAY, Feb. 17, 2014 (HealthDay News) -- Transcatheter aortic valve replacement (TAVR) is associated with clinically important benefits in physical function and disease-specific quality of life, according to research published in the Feb. 18 issue of the Annals of Internal Medicine.

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More Walking, Brisk Walking Lower Hip Fx Risk in Older Men

MONDAY, Feb. 17, 2014 (HealthDay News) -- For older men, walking is associated with reduced risk of hip fracture, with more walking and brisker walking correlating with greater risk reduction, according to research published online Feb. 13 in the American Journal of Public Health.

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Adverse Health Effects of Bullying Linger

MONDAY, Feb. 17, 2014 (HealthDay News) -- Chronic bullying, especially that experienced in both the past and present, is associated with considerably worse psychological and physical health, according to research published online Feb. 17 in Pediatrics.

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Genes, Smoking Tied to Early Menopause in Whites

MONDAY, Feb. 17, 2014 (HealthDay News) -- Women of European descent are at greater risk of entering menopause early if they smoke and carry particular gene variants, according to a study published online Jan. 20 in Menopause.

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USPSTF Advises Against Carotid Artery Stenosis Screening

MONDAY, Feb. 17, 2014 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends against screening for asymptomatic carotid artery stenosis (CAS) in the general adult population, according to a draft recommendation statement published online Feb. 17.

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Indoor Tanning Laws Help Keep Teen Girls Away

MONDAY, Feb. 17, 2014 (HealthDay News) -- Teen girls are less likely to go to indoor tanning salons if they live in states that restrict their use of tanning beds; however, having restrictions appears to have no effect on teen males' use of indoor tanning, according to a U.S. Centers for Disease Control and Prevention study published online Feb. 13 in the American Journal of Public Health.

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Most Patients Hospitalized With Flu Are Unvaccinated

MONDAY, Feb. 17, 2014 (HealthDay News) -- Few patients hospitalized for influenza have been vaccinated, with the rate even lower among those requiring intensive care unit (ICU) care, according to a research letter published in the Feb. 15 issue of the American Journal of Respiratory and Critical Care Medicine.

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AAFP: Telemedicine Can Help With Increased Demand for Docs

MONDAY, Feb. 17, 2014 (HealthDay News) -- Telemedicine offers a potential solution to the increased demand for physician-patient interaction, according to a report from a recent forum. The forum was hosted by the Robert Graham Center for Policy Studies in Family Medicine and Primary Care, and the results of the discussion were published by the American Academy of Family Physicians (AAFP).

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Kidney Donors Have Slightly Higher Risk of Kidney Disease

MONDAY, Feb. 17, 2014 (HealthDay News) -- Live kidney donors have a slightly increased risk of end-stage renal disease (ESRD) in the years following donation compared with healthy nondonors, according to a study published in the Feb. 12 issue of the Journal of the American Medical Association.

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Coffee Consumption Linked With Reduced Risk of Diabetes

MONDAY, Feb. 17, 2014 (HealthDay News) -- Higher consumption of coffee is associated with lower risk of type 2 diabetes, according to research published in the February issue of Diabetes Care.

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Predictors of Widespread Pain Identified in Older Adults

MONDAY, Feb. 17, 2014 (HealthDay News) -- Predictors of widespread pain have been identified among older adults and include non-restorative sleep, cognitive impairment, anxiety, and physical health, according to a study published online Feb. 13 in Arthritis & Rheumatism.

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Lower-Intensity Statin Combo Rx Option for Resistant Patients

MONDAY, Feb. 17, 2014 (HealthDay News) -- Among high-risk patients who cannot tolerate or respond to high-intensity statin monotherapy, treatment with a lower-intensity statin plus a bile acid sequestrant or ezetimibe should be considered, although the long-term clinical outcomes are unknown, according to research published online Feb. 11 in the Annals of Internal Medicine.

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Non-Traditional Office Hours Can Reap Big Financial Benefits

MONDAY, Feb. 17, 2014 (HealthDay News) -- Physicians can reap significant financial benefits by extending their office hours to include non-traditional hours, according to an article published Jan. 8 in Medical Economics.

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Spousal Ambivalence Linked to Heart Disease Risk

FRIDAY, Feb. 14, 2014 (HealthDay News) -- Spouses who view each other as sometimes helpful and sometimes upsetting have higher levels of coronary artery calcification (CAC) compared with spouses who view each other primarily positively, according to a study published online Feb. 5 in Psychological Science.

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Research Reveals Earlier Diagnosis of COPD Often Missed

FRIDAY, Feb. 14, 2014 (HealthDay News) -- Opportunities to diagnose chronic obstructive pulmonary disease (COPD) have been missed in as many as 85 percent of patients in the United Kingdom in the last two decades, according to a study published online Feb. 13 in The Lancet Respiratory Medicine.

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Importance of Sex Tied to Maintaining Sex Life in Midlife

FRIDAY, Feb. 14, 2014 (HealthDay News) -- Most middle-aged women who are sexually active remain sexually active, according to a research letter published online Feb. 10 in JAMA Internal Medicine.

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Post-PCI Deaths Increasingly From Noncardiac Causes

FRIDAY, Feb. 14, 2014 (HealthDay News) -- Deaths following percutaneous coronary intervention (PCI) have shifted from cardiac to noncardiac causes over the past two decades, according to a study published online Feb. 10 in Circulation.

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Annual Mammography Doesn't Reduce Breast Cancer Mortality

FRIDAY, Feb. 14, 2014 (HealthDay News) -- Annual mammography does not reduce mortality from breast cancer among 40- to 59-year-old women, according to research published Feb. 11 in BMJ.

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Women Have Worse QOL Than Men Up to 12 Months Post-Stroke

FRIDAY, Feb. 14, 2014 (HealthDay News) -- For up to 12 months after ischemic stroke, women have worse quality of life (QOL) than men, according to research published online Feb. 7 in Neurology.

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Stellate Ganglion Blockade Cuts Menopause Symptoms

FRIDAY, Feb. 14, 2014 (HealthDay News) -- For postmenopausal women, stellate ganglion blockade (SGB) significantly reduces objective measures of vasomotor symptoms (VMS), according to a study published online Feb. 3 in Menopause.

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Clonidine Premedication Relieves Post-Op Pain in Children

FRIDAY, Feb. 14, 2014 (HealthDay News) -- Clonidine premedication at adequate dosage (4 µg/kg) seems likely to have a beneficial effect on postoperative pain in children, according to a review published online Jan. 28 in The Cochrane Library.

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People of Color Need Sun Protection to Avoid Skin Cancer

FRIDAY, Feb. 14, 2014 (HealthDay News) -- Although skin cancer is less prevalent among people of color than in whites, sun protection and other preventive measures are essential components of skin care in these populations, according to research published online Jan. 30 in the Journal of the American Academy of Dermatology.

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ICD-10 Implementation Likely to Be Financial Disaster

THURSDAY, Feb. 13, 2014 (HealthDay News) -- The American Medical Association (AMA) is continuing its efforts to stop implementation of the International Classification of Diseases, 10th Revision (ICD-10), citing the huge financial burden for physicians.

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Type 2 Diabetes Usually Develops in Stably Overweight

THURSDAY, Feb. 13, 2014 (HealthDay News) -- Most people who develop type 2 diabetes are stably overweight for years before diagnosis, according to a study published online Feb. 11 in PLOS Medicine.

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Global Prevalence of Non-Partner Sexual Violence 7.2 Percent

THURSDAY, Feb. 13, 2014 (HealthDay News) -- The worldwide prevalence of non-partner sexual violence is estimated at 7.2 percent, with regional estimates ranging from 3.3 to 21 percent, according to a review published online Feb. 12 in The Lancet.

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CMS Extends 2013 Meaningful Use Attestation Deadline

THURSDAY, Feb. 13, 2014 (HealthDay News) -- The Centers for Medicare & Medicaid Services (CMS) have extended another deadline for the Medicare electronic health record (EHR) Incentive Program, according to an article published Feb. 11 in Medical Economics.

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Congress Agrees on Legislation to Replace SGR Formula

THURSDAY, Feb. 13, 2014 (HealthDay News) -- Congress has agreed on legislation to repeal the Sustainable Growth Rate (SGR) formula, which will guarantee Medicare providers annual 0.5 percent reimbursement increases as new payment models are introduced, according to an article published Feb. 11 in Medical Economics.

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Pregabalin Treatment Effective in Restless Legs Syndrome

THURSDAY, Feb. 13, 2014 (HealthDay News) -- For patients with restless legs syndrome (RLS), pregabalin treatment is associated with improved treatment outcomes versus placebo and with lower augmentation than that seen with 0.5 mg pramipexole, according to a study published in the Feb. 13 issue of the New England Journal of Medicine.

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Community Health Worker Intervention Aids Poorer Patients

THURSDAY, Feb. 13, 2014 (HealthDay News) -- A patient-centered tailored community health worker (CHW) intervention improves posthospital outcomes in patients with low socioeconomic status (SES), according to a study published online Feb. 10 in JAMA Internal Medicine.

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Fewer Doses of HPV Vaccine Still Protect Against Condyloma

THURSDAY, Feb. 13, 2014 (HealthDay News) -- Girls who receive the quadrivalent human papillomavirus (HPV) vaccine before 17 years of age can get considerable protection from condyloma after two doses, although maximum protection is observed after the recommended three doses, according to a study published in the Feb. 12 issue of the Journal of the American Medical Association.

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Imaging May Show Alzheimer's Decades Before Symptoms

THURSDAY, Feb. 13, 2014 (HealthDay News) -- Cognitively normal (NL) individuals who have two parents with late-onset Alzheimer's disease (LOAD) have biomarker abnormalities on imaging decades before symptoms appear, according to a study published online Feb. 12 in Neurology.

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Affordable Care Act Enrollment Nears 3.3 Million

THURSDAY, Feb. 13, 2014 (HealthDay News) -- 3.3 million Americans have signed up for health insurance through the state and federal marketplaces created by the Affordable Care Act, the Obama administration announced Wednesday.

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CDC: More Americans Getting Blood Pressure Under Control

THURSDAY, Feb. 13, 2014 (HealthDay News) -- According to the U.S. Centers for Disease Control and Prevention, about two-thirds (64 percent) of people with high blood pressure had the condition under control during 2012, the latest year for which figures are available. The report is published in the Feb. 14 issue of the CDC's Morbidity and Mortality Weekly Report.

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Many Women Do Not Attend Post-Delivery Follow-Up Visits

THURSDAY, Feb. 13, 2014 (HealthDay News) -- Many women do not attend recommended follow-up primary care visits after delivering a child, according to research published online Jan. 29 in the Journal of General Internal Medicine.

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Teens' Stress Levels Rival Those of Adults, Survey Finds

WEDNESDAY, Feb. 12, 2014 (HealthDay News) -- Adolescents reported stress levels during the school year that surpassed those of adults, according to the American Psychological Association's latest Stress in America survey.

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U.S. Officials Target Escalating Drug Overdoses

WEDNESDAY, Feb. 12, 2014 (HealthDay News) -- As deaths from heroin and prescription painkillers mount across the United States, government officials are searching for ways to stem the toll of addiction.

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Whole Diet Approach Beats Low-Fat Diets in Heart Health

WEDNESDAY, Feb. 12, 2014 (HealthDay News) -- A Mediterranean-style diet incorporating vegetables, fruits, fish, whole grains, and olive oil can reduce cardiovascular events and provide benefits similar to statins, according to a review published online Dec. 31 in the American Journal of Medicine.

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Gestational Age Inversely Linked to Insulin Levels at Birth

WEDNESDAY, Feb. 12, 2014 (HealthDay News) -- Gestational age is inversely associated with insulin levels at birth, according to a study published in the Feb. 12 issue of the Journal of the American Medical Association.

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Teens Who Consume Energy Drinks at Risk for Substance Use

WEDNESDAY, Feb. 12, 2014 (HealthDay News) -- Adolescents who consume energy drinks and shots may be at higher risk for use of alcohol and other substances, according to research published in the January/February issue of the Journal of Addiction Medicine.

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Dentists' Group Expands Use of Fluoride Toothpaste for Children

WEDNESDAY, Feb. 12, 2014 (HealthDay News) -- Children should begin using toothpaste with fluoride as soon as they get their first tooth, according to updated American Dental Association (ADA) guidelines. The new recommendations appear in the February issue of the Journal of the American Dental Association.

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Recommendations Issued for Preparticipation Physical Exams

WEDNESDAY, Feb. 12, 2014 (HealthDay News) -- Recommendations for preparticipation physical examinations (PPEs) have been updated and standardized, according to a position statement from the National Athletic Trainers' Association published in the January/February issue of the Journal of Athletic Training.

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Predictors of Post-Op Pain ID'd in Adolescent Idiopathic Scoliosis

WEDNESDAY, Feb. 12, 2014 (HealthDay News) -- Higher preoperative levels of pain and anxiety may be risk factors for chronic postsurgical pain for patients with adolescent idiopathic scoliosis (AIS) undergoing posterior spinal fusion, according to a study published in the Feb. 1 issue of Spine.

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Adding Signage Improves Smoke-Free Regulation Awareness

WEDNESDAY, Feb. 12, 2014 (HealthDay News) -- Efforts to increase awareness of smoke-free rules, including new signage, seem effective, according to research published online Jan. 30 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Health Benefits for Condemnation of Behavior, Not Self

WEDNESDAY, Feb. 12, 2014 (HealthDay News) -- Self-condemnation is associated with negative health outcomes, while condemnation of behavior is associated with primarily beneficial outcomes, according to research published in the January/February issue of Basic and Applied Social Psychology.

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Fertility Rates About Three Times Higher in Mentally Ill Teens

TUESDAY, Feb. 11, 2014 (HealthDay News) -- Adolescent girls with major mental illness have nearly three-fold increased age-specific fertility rates, compared with unaffected girls, according to a study published online Feb. 10 in Pediatrics.

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Most Vaccine-Related Bills Seek to Expand Exemptions

TUESDAY, Feb. 11, 2014 (HealthDay News) -- Most vaccine-related bills introduced seek to expand exemptions, according to a research letter published in the Feb. 12 issue of the Journal of the American Medical Association.

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30-Day Readmission From Postacute Rehab 11.8 Percent

TUESDAY, Feb. 11, 2014 (HealthDay News) -- For patients discharged from inpatient rehabilitation facilities, 30-day readmission rates are 11.8 percent overall, according to a study published in the Feb. 12 issue of the Journal of the American Medical Association.

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FDA to Investigate Saxagliptin for Possible Heart Failure Risk

TUESDAY, Feb. 11, 2014 (HealthDay News) -- The U.S. Food and Drug Administration announced Tuesday that it will investigate possible links between the diabetes drug saxagliptin and a heightened risk for heart failure among users.

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FDA Panel Sees No Heart-Safety Advantage With Naproxen

TUESDAY, Feb. 11, 2014 (HealthDay News) -- The science isn't convincing enough to say that naproxen is safer for the heart than other popular nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, U.S. health advisers ruled Tuesday.

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CDC: West Nile Virus Has Cost U.S. Nearly $800 Million

TUESDAY, Feb. 11, 2014 (HealthDay News) -- West Nile virus-related hospitalizations and follow-up in the United States cost $778 million in health care expenses and lost productivity from 1999 through 2012, which is much higher than previously reported, according to a new study published online Feb. 10 in the American Journal of Tropical Medicine and Hygiene.

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Mid-Sized Companies Get Extra Year to Comply With ACA

TUESDAY, Feb. 11, 2014 (HealthDay News) -- Medium-sized companies will have another year before they have to provide employees with health insurance or face tax penalties, the Obama administration announced Monday.

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Peer-Led Healthy Living School Intervention Deemed Effective

TUESDAY, Feb. 11, 2014 (HealthDay News) -- A peer-led healthy living intervention in elementary schools is effective for reducing central adiposity and improving healthy living behavior knowledge, according to research published online Feb. 10 in JAMA Pediatrics.

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USPSTF Recommends Hepatitis B Screening for High-Risk Adults

TUESDAY, Feb. 11, 2014 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends hepatitis B virus (HBV) screening for high-risk adults, according to a draft recommendation statement published online Feb. 10.

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Smoking Ups Risk of ER-Positive Breast Cancer in Women

TUESDAY, Feb. 11, 2014 (HealthDay News) -- Younger women who smoke appear to be at increased risk for developing estrogen receptor (ER)-positive breast cancer, according to research published online Feb. 10 in Cancer.

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Taking to Preemies in NICU Benefits Cognition, Language

TUESDAY, Feb. 11, 2014 (HealthDay News) -- For preterm infants, adult word count in the neonatal intensive care unit (NICU) correlates positively with cognitive and language development, according to a study published online Feb. 10 in Pediatrics.

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Metformin Use Doesn't Cut Incidence of Bladder Cancer

TUESDAY, Feb. 11, 2014 (HealthDay News) -- For patients with type 2 diabetes, metformin use is not associated with a significantly reduced risk of bladder cancer, according to a study published online Feb. 4 in Diabetes Care.

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Collaborative Depression Care Cuts CVD Event Risk

TUESDAY, Feb. 11, 2014 (HealthDay News) -- Collaborative depression care involving antidepressants and psychotherapy can reduce the risk of hard cardiovascular disease (CVD) events for older patients without baseline CVD, according to a study published in the January issue of Psychosomatic Medicine.

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Perceived Control Reduces Mortality Risk for Lesser Educated

TUESDAY, Feb. 11, 2014 (HealthDay News) -- Stronger beliefs of control over one's life are associated with reduced risk of mortality among those with lower levels of educational attainment, according to research published online Feb. 3 in in Health Psychology.

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Guidelines Issued for Managing Hospital Medicine Groups

TUESDAY, Feb. 11, 2014 (HealthDay News) -- A new assessment guide comprising 10 principles has been developed for effective management of hospital medicine groups (HMGs), according to research published in the February issue of the Journal of Hospital Medicine.

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New Rule Allows Patients to Access Laboratory Test Results

MONDAY, Feb. 10, 2014 (HealthDay News) -- In a final rule relating to the Health Insurance Portability and Accountability Act (HIPAA), a patient or their personal representative can access their completed test reports directly from the laboratory, according to a report from the U.S. Department of Health & Human Services (HHS).

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Residents Concerned About Lack of Time With Patients

MONDAY, Feb. 10, 2014 (HealthDay News) -- Many U.S. medical residents are concerned about reduced face-time with patients and report that engaging patients in their own care is more challenging than anticipated, according to a report from the American Resident Project, sponsored by ThinkWellPoint.

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FDA Advisers Revisit Heart Risks Posed by NSAIDs

MONDAY, Feb. 10, 2014 (HealthDay News) -- Naproxen seems safer for the heart than other nonsteroidal anti-inflammatory drugs (NSAIDs), U.S. health officials say. And it's possible that labeling will soon reflect that finding.

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Commercial-Size Packages of Uncle Ben's Rice Recalled

MONDAY, Feb. 10, 2014 (HealthDay News) -- Recent illness outbreaks at schools in three states have prompted the recall of 5- and 25-pound bags of Uncle Ben's Infused Rice products, the U.S. Food and Drug Administration said Monday.

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President's Panel Calls for More Girls, Boys to Get HPV Vaccine

MONDAY, Feb. 10, 2014 (HealthDay News) -- Too few American girls and boys are getting vaccinated against human papillomavirus (HPV), the President's Cancer Panel reported Monday.

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Merck to Offer $100 Million Settlement in NuvaRing Lawsuits

MONDAY, Feb. 10, 2014 (HealthDay News) -- Merck will pay $100 million to settle thousands of lawsuits over the company's NuvaRing birth control device, according to insiders.

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Uneven Effects for Minimum Unit Pricing for Alcohol

MONDAY, Feb. 10, 2014 (HealthDay News) -- A minimum unit price for alcohol is estimated to have the greatest impact on harmful drinkers, especially those on low incomes, according to a study published online Feb. 10 in The Lancet.

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Smartphone Use at Night Could Impair Work the Next Day

MONDAY, Feb. 10, 2014 (HealthDay News) -- Smartphone use at night is associated with increased depletion and diminished work engagement the following morning, according to research published in an upcoming issue of Organizational Behavior and Human Decision Processes.

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Yogurt Intake Linked With Lower Risk of Type 2 Diabetes

MONDAY, Feb. 10, 2014 (HealthDay News) -- Consuming low-fat, fermented dairy products, particularly yogurt, may help prevent diabetes, according to research published online Feb. 5 in Diabetologia.

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Study Quantifies Childhood ASD-Linked Economic Burden

MONDAY, Feb. 10, 2014 (HealthDay News) -- Autism spectrum disorder (ASD) diagnoses are associated with increased health care and non-health care costs, including school costs, according to a study published online Feb. 10 in Pediatrics.

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Obese Men More Likely to Have Colon Polyps

MONDAY, Feb. 10, 2014 (HealthDay News) -- Obese men have a more than six-fold higher likelihood of having multiple colon polyps and tubular adenomas than lean men, according to a study published online Jan. 17 in PLOS ONE.

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Corrective Nasal Surgery Seems Safe in Pediatric Patients

MONDAY, Feb. 10, 2014 (HealthDay News) -- Nasal corrective surgery prior to adolescence is safe for select pediatric patients with nasal obstruction and deformity, according to research published online Feb. 6 in JAMA Facial Plastic Surgery.

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Caffeine Consumption Prevalent in U.S. Children

MONDAY, Feb. 10, 2014 (HealthDay News) -- Many children in the United States consume caffeine on any given day, according to research published online Feb. 10 in Pediatrics.

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Obesity Linked to Worse Prognosis in Oral Tongue SCC

MONDAY, Feb. 10, 2014 (HealthDay News) -- For patients with squamous cell carcinoma (SCC) of the oral tongue, obesity is associated with adverse prognosis and significantly worse disease-specific survival, according to a study published online Jan. 21 in Cancer.

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HPV Vaccines Don't Change Behaviors in Young Women

FRIDAY, Feb. 7, 2014 (HealthDay News) -- Young women do not engage in riskier sexual behaviors following human papillomavirus (HPV) vaccination regardless of their risk perceptions, according to a study published online Feb. 2 in Pediatrics.

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AHA/ASA Release Female-Specific Stroke Prevention Guidelines

FRIDAY, Feb. 7, 2014 (HealthDay News) -- Gender-specific guidelines aimed at reducing strokes based on risk factors unique to women have been published online Feb. 6 in Stroke in a statement for health care professionals from the American Heart Association (AHA)/American Stroke Association.

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Concierge-Style Practices Increasing in Popularity

FRIDAY, Feb. 7, 2014 (HealthDay News) -- An increasing number of physicians are forming concierge practices, in which they collect monthly cash fees from patients instead of insurance reimbursements, according to an article published Feb. 1 in the Pittsburgh Tribune-Review.

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Gaps Exist in Patient-Centered Quality of CRC Care at VA

FRIDAY, Feb. 7, 2014 (HealthDay News) -- Patient-reported quality assessment measures reveal substantial gaps in patient-centered quality of colorectal cancer care, according to a study published online Feb 3 in the Journal of Clinical Oncology.

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More Family Medicine Residency Spots But Shortfall Remains

FRIDAY, Feb. 7, 2014 (HealthDay News) -- Despite increases in recent years to the number of medical school graduates choosing family medicine, a shortfall in the primary care workforce persists, according to the American Medical Association (AMA).

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Daily Aspirin May Guard Against Ovarian Cancer

FRIDAY, Feb. 7, 2014 (HealthDay News) -- Taking aspirin every day might lower a woman's risk of developing ovarian cancer by one-fifth, according to research published in the February issue of the Journal of the National Cancer Institute.

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Rapid Recovery on Exercise ECG May Obviate Need for More Tests

FRIDAY, Feb. 7, 2014 (HealthDay News) -- Additional testing for ischemic heart disease is less likely to yield benefit in those with rapid recovery of electrocardiographic (ECG) changes on the exercise treadmill test (ETT), according to research published online Feb. 5 in the Journal of the American College of Cardiology.

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Racial/Ethnic Differences in CHD Outcomes Not Due to Statins

FRIDAY, Feb. 7, 2014 (HealthDay News) -- For hospitalized patients with coronary heart disease (CHD), racial and ethnic differences in one-year outcomes are due to demographics and comorbidity, not differential statin prescriptions, according to a study published in the Feb. 1 issue of The American Journal of Cardiology.

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Cognitive Tx Beneficial in Schizophrenia Spectrum Disorder

FRIDAY, Feb. 7, 2014 (HealthDay News) -- For patients with schizophrenia spectrum disorder who have chosen not to take antipsychotic drugs, cognitive therapy is effective for reducing psychiatric symptoms, according to a study published online Feb. 6 in The Lancet.

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Drugs Increasingly Detected in Fatally Injured Drivers

FRIDAY, Feb. 7, 2014 (HealthDay News) -- Fatally injured drivers increasingly test positive for drugs, especially marijuana, according to a study published online Jan. 29 in the American Journal of Epidemiology.

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Study Quantifies Epidural-Linked Increase in 2nd Stage of Labor

FRIDAY, Feb. 7, 2014 (HealthDay News) -- The second stage of labor is significantly longer for both nulliparous and multiparous women receiving an epidural, according to a study published online Feb. 4 in Obstetrics & Gynecology.

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Hot Weather-Related Deaths Expected to Climb

THURSDAY, Feb. 6, 2014 (HealthDay News) -- A considerable increase in heat-related mortality is anticipated in the coming years, partly driven by projected population growth and aging, according to a study published online Feb. 3 in the Journal of Epidemiology & Community Health.

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CLER Pathways to Excellence Document Issued

THURSDAY, Feb. 6, 2014 (HealthDay News) -- The Clinical Learning Environment Review (CLER) Pathways to Excellence document has been released for graduate medical education as a foundation for preparing the physician workforce in patient safety and quality improvement, according to a report from the Accreditation Council for Graduate Medical Education (ACGME).

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Physicians Need to Be Prepared to Talk Antibiotics

THURSDAY, Feb. 6, 2014 (HealthDay News) -- Patient pressure to receive antibiotic prescriptions remains a challenge for providers who are trying to combat antibiotic resistance by curbing prescriptions for viral infections, according to an article published Jan. 8 in Medical Economics.

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Review: Coffee in Pregnancy Tied to Childhood Leukemia Risk

THURSDAY, Feb. 6, 2014 (HealthDay News) -- Maternal coffee consumption during pregnancy is associated with increased risk of childhood acute leukemia (AL), according to a meta-analysis published in the February issue of the American Journal of Obstetrics & Gynecology.

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Mediterranean Diet Has Cardiac Benefits in Young, Active Men

THURSDAY, Feb. 6, 2014 (HealthDay News) -- Greater adherence to a Mediterranean-style diet is inversely associated with metabolic syndrome, low-density lipoprotein (LDL)-cholesterol, and weight gain, according to a study published online Feb. 4 in PLOS ONE.

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Added Sugar in Diet Ups Risk for Cardiovascular Mortality

THURSDAY, Feb. 6, 2014 (HealthDay News) -- Higher intake of added sugar is associated with increased risk of cardiovascular disease (CVD) mortality, according to research published online Feb. 3 in JAMA Internal Medicine.

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Running Beats Walking for Breast Cancer Survival

THURSDAY, Feb. 6, 2014 (HealthDay News) -- For breast cancer survivors, post-diagnosis running is associated with reduced mortality versus walking, according to a study published online Jan. 27 in the International Journal of Cancer.

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Ventilatory Abnormalities Persist for Adults Born Prematurely

THURSDAY, Feb. 6, 2014 (HealthDay News) -- Those born prematurely continue to have abnormal ventilatory responses to hypoxia and hyperoxia as adults, which may have clinical consequences such as sleep disorders, according to a study published in the Feb. 6 issue of the New England Journal of Medicine.

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BP Patterns in Young Adulthood Predict Later Atherosclerosis

THURSDAY, Feb. 6, 2014 (HealthDay News) -- Patterns of higher blood pressure (BP) levels in young adulthood are associated with increased risk of coronary artery calcification (CAC) in middle age, according to research published in the Feb. 5 issue of the Journal of the American Medical Association.

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Scalds, Burns to Young Children Largely Preventable

THURSDAY, Feb. 6, 2014 (HealthDay News) -- In young children, scalds are most often from hot beverages they have pulled down on themselves, and burns usually result from touching hot items in the home, according to research published online Feb. 3 in the Archives of Disease in Childhood.

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Oropharyngeal Squamous Cell Carcinoma Up From 1973 to 2009

THURSDAY, Feb. 6, 2014 (HealthDay News) -- From 1973 to 2009, the incidence of oropharyngeal squamous cell carcinoma (OPSCC) increased in patients younger than 45 years, according to a study published online Jan. 22 in Otolaryngology-Head and Neck Surgery.

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FDA: There's Still Time for Patients to Get a Flu Shot

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- It's still not too late to get a flu shot, the U.S. Food and Drug Administration said Wednesday. Children and seniors tend to be most susceptible to flu. But sometimes a flu virus will affect more young and middle-aged adults. That appears to be the case this flu season, the agency said.

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H7N9 Cases in China Tied to Live Poultry Exposure

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- Most infection cases from the H7N9 virus in China are epidemiologically unrelated, although limited human-to-human transmission cannot be ruled out, according to a study published in the Feb. 6 issue of the New England Journal of Medicine.

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Choosing Wisely Tips Should Prompt Doc-Patient Discussion

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- The Choosing Wisely recommendations can form a starting point for discussing cost and appropriate use of testing with patients, according to an article from the American Medical Association (AMA).

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ICD-10 Transition May Impact Practice Cash Flow

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- Physicians and health plans remain unprepared for the disruption that implementation of the International Classification of Diseases, 10th Revision (ICD-10) will bring to their cash flow, according to an article published Jan. 14 in Medical Economics.

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Study Looks at How Pesticides Affect Parkinson's Risk

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- Aldehyde dehydrogenase (ALDH) inhibition appears to be an important mechanism through which pesticides contribute to the pathology of Parkinson's disease, especially in people with variants in a particular gene, according to a study published in the Feb. 4 issue of Neurology.

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First Human Death From Novel H10N8 Virus Reported

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- A novel reassortant H10N8 virus has been identified in a human patient, according to an article published online Feb. 5 in The Lancet.

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Dietary Counseling Has Little Effect After Gastric Bypass

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- Dietary and behavioral counseling can help improve nutrient intake in patients who have had gastric bypass surgery, but nutrient intake still remains inadequate in many patients, according to a study published in the December issue of the Journal of Investigative Medicine.

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Parents Often Underestimate Children's Weight Status

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- Parents frequently underestimate their children's weight status, especially overweight/obese status, according to research published online Feb. 2 in Pediatrics.

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New Guidelines Issued for Acute Otitis Externa Management

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- Evidence-based recommendations have been developed for the management of acute otitis externa (AOE), defined as diffuse inflammation of the external ear canal, which may also involve the pinna or tympanic membrane. The clinical practice guideline has been published in the February issue of Otolaryngology-Head and Neck Surgery.

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EHR Use During Patient Visit May Mean Missed Non-Verbal Cues

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- Patterns of eye gaze change with the use of electronic health records (EHRs), and this influences physician-patient interaction, according to research published in the March issue of the International Journal of Medical Informatics.

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CVS Caremark to Stop Selling Tobacco Products

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- The national drug store chain CVS Caremark said Wednesday that it's phasing out the sale of tobacco products at its more than 7,600 stores across the United States.

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Indoor Tanning Remains Popular, Especially in the Young

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- Exposure to indoor tanning is common in Western countries, particularly among young persons, according to research published online on Jan. 29 in JAMA Dermatology.

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NSAID Exposure Not Linked to Risk of Spontaneous Abortion

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- Fetal nonsteroidal anti-inflammatory drug (NSAID) exposure is not an independent risk factor for spontaneous abortion, according to a study published online Feb. 3 in CMAJ, the journal of the Canadian Medical Association.

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FDA Approves Continuous Glucose Monitoring System for Children

TUESDAY, Feb. 4, 2014 (HealthDay News) -- U.S. Food and Drug Administration approval of the Dexcom G4 Platinum Continuous Monitoring System has been expanded to include children with diabetes aged 2 years to 17 years, the agency said.

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Severe Retinopathy Ups Non-Visual Disability Risk for Preemies

TUESDAY, Feb. 4, 2014 (HealthDay News) -- Low-birth-weight premature infants with severe retinopathy are nearly three times more likely to have non-visual disabilities than infants without retinopathy, according to a research letter published in the Feb. 5 issue of the Journal of the American Medical Association.

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Patients Are 'Myth'-Informed About Their Risk of Cancer

TUESDAY, Feb. 4, 2014 (HealthDay News) -- Fewer than half of Americans are aware that body weight and physical activity affect cancer risk, according to the results of a survey commissioned by the American Institute for Cancer Research (AICR).

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CDC: Motor Vehicle Occupant Death Rates Down for Children

TUESDAY, Feb. 4, 2014 (HealthDay News) -- The rate of motor vehicle occupant deaths among children decreased from 2002 to 2011, but one-third of all children who died were unrestrained, according to a report published in the Feb. 4 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Intensive BP Reduction Doesn't Prevent Cognitive Decline

TUESDAY, Feb. 4, 2014 (HealthDay News) -- Intensive treatment to lower blood pressure (BP) and cholesterol does not reduce the risk of cognitive decline in patients with type 2 diabetes mellitus (T2DM), according to a study published online Feb. 3 in JAMA Internal Medicine.

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First- and Second-Generation Family Hx Adequate in Oncology

TUESDAY, Feb. 4, 2014 (HealthDay News) -- Recommendations relating to the key elements of minimum adequate cancer family history are detailed, although they are often incompletely implemented, according to a recommendation statement and related study published online Feb. 3 in the Journal of Clinical Oncology.

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Testosterone Use Ups Risk of Myocardial Infarction in Men

TUESDAY, Feb. 4, 2014 (HealthDay News) -- The risk of myocardial infarction (MI) is increased following initiation of testosterone therapy (TT) in men, according to research published online Jan. 29 in PLOS ONE.

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Rates of Steroid Use High in Gay, Bisexual Adolescent Boys

TUESDAY, Feb. 4, 2014 (HealthDay News) -- The prevalence of steroid misuse is much higher in gay or bisexual adolescent boys than in heterosexual boys in the United States, according to research published online Feb. 2 in Pediatrics.

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High Overall CRC Diagnostic Accuracy for Home Stool Test

TUESDAY, Feb. 4, 2014 (HealthDay News) -- Fecal immunochemical tests (FITs) have moderate sensitivity, high specificity, and high overall diagnostic accuracy for detecting colorectal cancer (CRC), according to research published in the Feb. 4 issue of the Annals of Internal Medicine.

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IVF and Genetic Testing Used to Avoid Prion Disease

TUESDAY, Feb. 4, 2014 (HealthDay News) -- In vitro fertilization (IVF) and genetic testing have been used to allow a woman with a family history of a prion disease to have healthy twins lacking the mutation, according to a case report published online Feb. 3 in JAMA Neurology.

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Medicating Drivers for ADHD May Cut Risk of Traffic Accidents

TUESDAY, Feb. 4, 2014 (HealthDay News) -- The risk of serious transport accidents is increased in patients with attention-deficit/hyperactivity disorder (ADHD), and ADHD medication may reduce this risk, at least in males, according to research published online Jan. 29 in JAMA Psychiatry.

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Declines in Antibiotic Use in Children May Have Plateaued

TUESDAY, Feb. 4, 2014 (HealthDay News) -- Reductions in antibiotic dispensing for children may have plateaued, according to a study published online Feb. 2 in Pediatrics.

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Online Medical Records Trump Colleagues As Docs' Info Source

TUESDAY, Feb. 4, 2014 (HealthDay News) -- Online patient medical records are the top source of information for doctors, based on the mean annual exposure, according to the results of a survey conducted by Kantar Media.

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Hospital Staff Training Improves Palliative Care Processes

MONDAY, Feb. 3, 2014 (HealthDay News) -- A hospital staff education intervention can improve several processes of palliative care in the inpatient setting, according to a study published online Jan. 21 in the Journal of General Internal Medicine.

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Video Game Ups Childrens' Knowledge of Stroke Symptoms

MONDAY, Feb. 3, 2014 (HealthDay News) -- Video games can provide a novel mechanism to improve stroke knowledge among children, according to a study published online Jan. 30 in Stroke.

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Expressive Writing May Benefit Renal Cancer Patients

MONDAY, Feb. 3, 2014 (HealthDay News) -- For patients with renal cell carcinoma (RCC), expressive writing (EW) may improve cancer-related symptoms and physical functioning, according to a study published online Jan. 27 in the Journal of Clinical Oncology.

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FDA Will Review Safety of Testosterone Therapy

MONDAY, Feb. 3, 2014 (HealthDay News) -- Spurred by a recent report that popular testosterone treatments might raise men's heart risk, the U.S. Food and Drug Administration says it now plans a review of the therapies' safety. "FDA is investigating the risk of stroke, heart attack, and death in men taking FDA-approved testosterone products," the agency said in a statement released late Friday.

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Health Reform Differs Across States: Report

MONDAY, Feb. 3, 2014 (HealthDay News) -- California is one of 10 states that have done the most to roll out provisions of the Affordable Care Act, according to a new Commonwealth Fund report. These states, including Colorado, Connecticut, Hawaii, Maryland, Massachusetts, Minnesota, New York, Oregon, and Vermont, have committed to implementing "the most significant aspects of health reform," the report states.

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Specific Psychiatric Symptoms Impact Work Functioning

MONDAY, Feb. 3, 2014 (HealthDay News) -- For major depressive episodes and generalized anxiety disorder, specific symptoms are associated with labor market outcomes, according to a study published in the February issue of Medical Care.

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Strategies ID'd for Cutting Sodium in Restaurant Meals

MONDAY, Feb. 3, 2014 (HealthDay News) -- Various strategies are available to help encourage restaurants to reduce the sodium content of food items, according to a study published Jan. 23 in the U.S. Centers of Disease Control and Prevention's Preventing Chronic Disease.

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Excessive Salt Consumption Among U.S. Teens

MONDAY, Feb. 3, 2014 (HealthDay News) -- The mean sodium consumption of U.S. adolescents is more than twice the American Heart Association's recommended daily intake, according to a study published online Feb. 2 in Pediatrics.

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Rhinoplasty Can Affect Voice Quality, Characteristics

MONDAY, Feb. 3, 2014 (HealthDay News) -- Rhinoplasty can affect vocal quality and characteristics, according to a study published in the February issue of Plastic and Reconstructive Surgery.

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Many Adults Report Minor Subjective Memory Problems

MONDAY, Feb. 3, 2014 (HealthDay News) -- Minor memory problems are commonly self-reported among adults and seem to be linked to measures of poorer health, lower education, and symptoms of depression or anxiety, according to a study published in BMC Psychology.

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Most Pediatric Procedural Pain Guidelines of Average Quality

MONDAY, Feb. 3, 2014 (HealthDay News) -- Most clinical practice guidelines for procedural pain in children are of average quality and most do not provide tools to help clinicians apply the recommendations in practice settings, according to research published online Feb. 2 in Pediatrics.

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Pediatric Anxiety Remission Up With Acute Treatment Response

MONDAY, Feb. 3, 2014 (HealthDay News) -- Almost half of youth with anxiety disorders are in remission at six years after randomization to interventions, with those who respond during acute treatment more likely to be in remission, according to a study published online Jan. 29 in JAMA Psychiatry.

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