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January 2015 Briefing - Family Practice

Here are what the editors at HealthDay consider to be the most important developments in Family Practice for January 2015. 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.

Recurrent Kidney Stones Linked to Arterial Calcium Deposits

FRIDAY, Jan. 30, 2015 (HealthDay News) -- Some people who develop recurring kidney stones may also have high levels of calcium deposits in their blood vessels, and that could explain their increased risk for cardiovascular disease, new research suggests. The findings were published online Jan. 29 in the Clinical Journal of the American Society of Nephrology.

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Colorectal Cancer Rates on Rise in Young Americans

FRIDAY, Jan. 30, 2015 (HealthDay News) -- Although the overall rate of colorectal cancer (CRC) has fallen in recent decades, new research suggests that over the last 20 years the disease has been increasing among young and early middle-aged American adults. Results of the study were published in the December issue of the Journal of Adolescent and Young Adult Oncology.

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Heavy Drinking in Middle Age Rivals HTN, DM As Stroke Risk

FRIDAY, Jan. 30, 2015 (HealthDay News) -- People who average more than two drinks a day have a 34 percent higher risk of stroke compared to those whose daily average amounts to less than half a drink, according to findings published online Jan. 29 in Stroke.

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Cancer Diagnosis Impacts Patient Adherence to Diabetes Rx

FRIDAY, Jan. 30, 2015 (HealthDay News) -- People with diabetes are less likely to take their diabetes medications if they've been diagnosed with cancer, researchers report. The findings were published online Jan. 28 in Diabetologia.

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Isolated Systolic High BP in 30s May Up Risk of Earlier Death

FRIDAY, Jan. 30, 2015 (HealthDay News) -- Isolated systolic high blood pressure in young adulthood is a predictor of cardiovascular disease mortality 30 years down the road, a new study suggests. The report was published in the Feb. 3 issue of Journal of the American College of Cardiology.

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Topical Acne Gel Linked to Methemoglobinemia

FRIDAY, Jan. 30, 2015 (HealthDay News) -- Use of topical dapsone may have led to the development of methemoglobinemia, according to a case study published in the Jan. 29 issue of the New England Journal of Medicine.

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CDC: Measles Cases in January Top Typical Load for Entire Year

FRIDAY, Jan. 30, 2015 (HealthDay News) -- The United States has seen more cases of measles in January than it usually does in an entire year, federal health officials said Thursday.

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Cutting Added Fructose Could Reduce Diabetes-Linked Morbidity

FRIDAY, Jan. 30, 2015 (HealthDay News) -- Reducing consumption of added sugars, particularly added fructose, could reduce diabetes-related morbidity, according to an article published online Jan. 29 in the Mayo Clinic Proceedings.

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National Prenatal Screening Program Increased CHD Detection

FRIDAY, Jan. 30, 2015 (HealthDay News) -- Implementation of a national screening program in the Netherlands increased the prenatal detection rate of congenital heart disease (CHD), according to a study published online Jan. 27 in BJOG: An International Journal of Obstetrics & Gynaecology.

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Cardiovascular, Cerebral Effect for Red Bull + Mental Stress

FRIDAY, Jan. 30, 2015 (HealthDay News) -- Red Bull consumption combined with mental stress correlates with increased blood pressure (BP) and heart rate, according to a study published in the Jan. 15 issue of The American Journal of Cardiology.

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CDC: ~8 Percent of U.S. Adults Nonadherent Due to Rx Costs

THURSDAY, Jan. 29, 2015 (HealthDay News) -- Nearly one in 10 American adults don't take their medications as prescribed because they can't afford to, according to a January data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Less-Tight Control of Non-Severe BP in Pregnancy OK for Fetus

THURSDAY, Jan. 29, 2015 (HealthDay News) -- When pregnant women have non-severe hypertension, more-intensive treatment doesn't seem to affect their babies, but it may lower the odds that mothers will develop severe hypertension. That's the conclusion of a clinical trial reported in the Jan. 29 issue of the New England Journal of Medicine.

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Eye Tracking Could Quantify Symptoms of Brain Injury

THURSDAY, Jan. 29, 2015 (HealthDay News) -- Eye tracking may help quantify the severity of disconjugate eye movements associated with concussion and brain injury, according to a study published online Jan. 12 in the Journal of Neurotrauma.

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Liberals, Independents Found to Have Greater Longevity

THURSDAY, Jan. 29, 2015 (HealthDay News) -- Compared to people with conservative and moderate political ideologies, liberals were found less likely to die over the course of a 30-year review. But party lines did not determine life span, with Independents faring better than Republicans and Democrats, according to the research published online Jan. 28 in the Journal of Epidemiology & Community Health.

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Starting Football Young May Lead to Higher Cognitive Risks

THURSDAY, Jan. 29, 2015 (HealthDay News) -- Boys who start playing tackle football before the age of 12 may face a higher risk for neurological deficits as adults, according to research published online Jan. 28 in Neurology.

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PCBs, Phthalates Linked to Earlier Menopause

THURSDAY, Jan. 29, 2015 (HealthDay News) -- Researchers have found that menopause typically begins two to four years earlier in women with high levels of certain chemicals found in household items, personal care products, plastics, and the environment, compared to women with lower levels of the chemicals. The study was published online Jan. 28 in PLOS ONE.

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Following BP Guidelines Will Save Lives and Money

THURSDAY, Jan. 29, 2015 (HealthDay News) -- If all Americans had their hypertension under control, 56,000 fewer cardiovascular events would occur each year. And 13,000 fewer people would die -- without increasing health costs, according to research published in the Jan. 29 issue of the New England Journal of Medicine.

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Triglycerides Significantly Elevated in Women With GDM

THURSDAY, Jan. 29, 2015 (HealthDay News) -- For women with gestational diabetes mellitus (GDM), triglycerides are significantly elevated throughout pregnancy, according to a review published online Jan. 22 in BJOG: An International Journal of Obstetrics & Gynaecology.

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Teledermoscopy Feasible, Effective for Monitoring Nevi

THURSDAY, Jan. 29, 2015 (HealthDay News) -- Teledermoscopy is feasible and effective for short-term monitoring of clinically atypical nevi, according to a study published online Jan. 28 in JAMA Dermatology.

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Anxiety Moderates Amyloid-β Association With Cognition

THURSDAY, Jan. 29, 2015 (HealthDay News) -- For older adults, elevated amyloid-β (Aβ) levels correlate with cognitive decline, and elevated anxiety moderates these associations, according to a study published online Jan. 28 in JAMA Psychiatry.

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Hepatitis A Hospitalizations Down From 2002 to 2011

THURSDAY, Jan. 29, 2015 (HealthDay News) -- From 2002 to 2011 there was a decrease in the rate of hospitalizations for hepatitis A, according to a study published in the February issue of Hepatology.

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FDA to Strengthen Approval Process for AEDs

WEDNESDAY, Jan. 28, 2015 (HealthDay News) -- Automated external defibrillators installed and ready for use in many public spaces can save lives when needed, but the U.S. Food and Drug Administration says that since 2005, it has also received 72,000 reports of the devices failing.

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Sleeping Well in Middle Age May Pay Off Later in Life

WEDNESDAY, Jan. 28, 2015 (HealthDay News) -- Sleeping well during middle age may be an investment that leads to better mental functioning later in life, a new review finds. The findings were published in the January issue of Perspectives on Psychological Science.

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Real-Time Mobile App Can Improve Sun Protection

WEDNESDAY, Jan. 28, 2015 (HealthDay News) -- A smartphone application providing real-time advice about sun protection offers some improvement in sun protection behaviors, according to two studies published online Jan. 28 in JAMA Dermatology.

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Benefits Package Important for Attracting, Retaining Staff

WEDNESDAY, Jan. 28, 2015 (HealthDay News) -- An appropriately-targeted benefits package is crucial for attracting and retaining employees, according to an article published Jan. 22 in Medical Economics.

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AAFP Advocates for Planned Vaginal Birth After Cesarean

WEDNESDAY, Jan. 28, 2015 (HealthDay News) -- A planned labor and vaginal birth after cesarean (LAC/VBAC) is an appropriate option for most women with a history of prior cesarean birth, according to a clinical practice guideline published in the January/February issue of the Annals of Family Medicine.

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Many Seniors Not Reporting Falls to Physician

WEDNESDAY, Jan. 28, 2015 (HealthDay News) -- Millions of Americans aged 65 and older fall every year, according to the U.S. Centers for Disease Control and Prevention. But, fewer than half tell their doctor, according to a news release issued by the Penn State Milton S. Hershey Medical Center.

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Sugary Drink Consumption Tied to Earlier Menarche

WEDNESDAY, Jan. 28, 2015 (HealthDay News) -- Girls who consume a lot of sugary drinks may begin menstruating earlier than girls who don't, according to a study published online Jan. 27 in Human Reproduction.

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Current Smoking Reduces Survival in Prostate Cancer

WEDNESDAY, Jan. 28, 2015 (HealthDay News) -- Current smoking reduces odds of survival in prostate cancer, according to a new study published online Jan. 27 in BJU International.

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Daily Blueberry Consumption May Reduce Blood Pressure

WEDNESDAY, Jan. 28, 2015 (HealthDay News) -- For postmenopausal women with pre- and stage 1-hypertension, daily blueberry consumption may reduce blood pressure and arterial stiffness, according to a study published online Jan. 7 in the Journal of the Academy of Nutrition and Dietetics.

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Postmenopausal Weight Loss or Gain Ups Risk of Fracture

WEDNESDAY, Jan. 28, 2015 (HealthDay News) -- The risk of fractures increases with both weight gain and loss in older women, according to a new study published Jan. 27 in The BMJ.

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Women With PCOS Hospitalized More Often

TUESDAY, Jan. 27, 2015 (HealthDay News) -- Women with polycystic ovary syndrome (PCOS) are at increased risk for a number of serious health problems, according to research published online Dec. 22 in the Journal of Clinical Endocrinology & Metabolism.

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Chlorhexidine Bathing Doesn't Cut Health Care-Linked Infections

TUESDAY, Jan. 27, 2015 (HealthDay News) -- For critically ill patients, chlorhexidine bathing does not reduce health-care-associated infections, according to a study published in the Jan. 27 issue of the Journal of the American Medical Association.

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Sedation Protocol Doesn't Reduce Duration of Ventilation in PICU

TUESDAY, Jan. 27, 2015 (HealthDay News) -- For children in pediatric intensive care units (PICUs) mechanically ventilated for acute respiratory failure, the use of a sedation protocol does not reduce the duration of mechanical ventilation, according to a study published in the Jan. 27 issue of the Journal of the American Medical Association.

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Impact of Intensive Lifestyle Change on CV Burden Studied

TUESDAY, Jan. 27, 2015 (HealthDay News) -- Intensive lifestyle modifications, the cornerstones of atherosclerotic disease management, are associated with a decrease in coronary and carotid atherosclerotic burden, according to a review published in the Jan. 15 issue of The American Journal of Cardiology.

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Glucose Breath Test Positivity Up in Inflammatory Bowel Disease

TUESDAY, Jan. 27, 2015 (HealthDay News) -- The positive rate of the glucose breath test is higher in patients with inflammatory bowel disease, especially Crohn's disease, than in healthy controls, according to a study published online Jan. 22 in the Journal of Gastroenterology and Hepatology.

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Benefit of Noninvasive Tests in Non-MI Chest Pain Questioned

TUESDAY, Jan. 27, 2015 (HealthDay News) -- For patients seen in emergency departments solely for chest pain not due to myocardial infarction, noninvasive screening tests for coronary heart disease do not appear to benefit the prediction of future cardiovascular events, a new study suggests. The report was published online Jan. 26 in JAMA Internal Medicine.

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Difficulty Falling Asleep Linked to Higher Risk of Hypertension

TUESDAY, Jan. 27, 2015 (HealthDay News) -- Chronic insomniacs who regularly take longer than 14 minutes to fall asleep appear to be at a significantly increased risk for hypertension, according to research published online Jan. 26 in Hypertension.

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Provider Demographics Affect Pain Treatment Decisions

TUESDAY, Jan. 27, 2015 (HealthDay News) -- Pain management treatment decisions may be impacted by a health care provider's demographic characteristics, according to a study published in the January issue of Pain Medicine.

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FDA Approves Generic Form of Nexium

TUESDAY, Jan. 27, 2015 (HealthDay News) -- The first generic version of Nexium (esomeprazole magnesium delayed-release capsules) has been approved by the U.S. Food and Drug Administration to treat gastroesophageal reflux disease in adults and children ages 1 and older.

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Duration of Hyperlipidemia in 30s/40s Impacts CHD Risk

TUESDAY, Jan. 27, 2015 (HealthDay News) -- People at age 55 who've lived with 11 to 20 years of high cholesterol show double the risk of coronary heart disease (CHD) compared to people who age with only one to 10 years of high cholesterol, and quadruple the risk of people who had low cholesterol levels. These findings were published online Jan. 26 in Circulation.

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Many Breast Cancer Patients Lack Knowledge of Their Disease

TUESDAY, Jan. 27, 2015 (HealthDay News) -- Many women with breast cancer lack basic knowledge about their disease, such as their cancer stage and other characteristics, according to a study published online Jan. 26 in Cancer.

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Cumulative Use of Anticholinergic Medication Tied to Dementia

TUESDAY, Jan. 27, 2015 (HealthDay News) -- Higher cumulative use of anticholinergics may increase the risk of dementia, according to a new study published online Jan. 26 in JAMA Internal Medicine.

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Most PCPs Consider Advanced Imaging of Value to Patient Care

MONDAY, Jan. 26, 2015 (HealthDay News) -- Most primary care providers (PCPs) consider advanced medical imaging to be of considerable value for patient care, according to a study published online Jan. 25 in the Journal of the American College of Radiology.

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Studies Highlight Tools for Diagnosis of COPD

MONDAY, Jan. 26, 2015 (HealthDay News) -- Two studies published in the January/February issue of the Annals of Family Medicine evaluate the tools available for diagnosis of chronic obstructive pulmonary disease (COPD).

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FDA Approves New Meningococcal Disease Vaccine

MONDAY, Jan. 26, 2015 (HealthDay News) -- The Bexsero vaccine has been approved by the U.S. Food and Drug Administration to prevent serogroup B meningococcal disease among people aged 10 through 25.

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Childhood Neglect Appears to Affect White Matter Integrity

MONDAY, Jan. 26, 2015 (HealthDay News) -- Childhood neglect is associated with changes in the brain's white matter, according to research published online Jan. 26 in JAMA Pediatrics.

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Menu Calorie Data May Prompt Parents to Encourage Exercise

MONDAY, Jan. 26, 2015 (HealthDay News) -- Parents might order fewer calories for their children if menus included calorie counts or information on how much walking would be required to burn off the calories in foods, according to a study published online Jan. 26 in Pediatrics.

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Early Alert Intervention Cuts Heart Failure Readmission

MONDAY, Jan. 26, 2015 (HealthDay News) -- An electronic medical record system, designed to identify patients who have been discharged from heart failure hospitalization and present in the emergency department, can prevent readmissions, according to a study published in The American Journal of Medicine.

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High Penicillin Prescribing Could Build Reservoirs of Resistance

MONDAY, Jan. 26, 2015 (HealthDay News) -- High penicillin G prescribing may lead to an altered level of resistance in the commensal viridans group streptococci (VGS) population, which may be important in subsequent horizontal gene transfer events, according to a study published online Jan. 21 in the Journal of Clinical Pharmacy and Therapeutics.

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Premature Death Risk Up for Stroke Survivors Living Alone

MONDAY, Jan. 26, 2015 (HealthDay News) -- Stroke survivors -- especially men -- who live alone are at increased risk for premature death, a new study suggests.

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AAP Approves 2015 Vaccine Schedule for Children, Teens

MONDAY, Jan. 26, 2015 (HealthDay News) -- The 2015 recommended childhood and adolescence immunization schedules have been approved by the American Academy of Pediatrics (AAP) and other medical organizations, according to a policy statement published online Jan. 26 in Pediatrics.

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AAP Opposes Legalization of Marijuana

MONDAY, Jan. 26, 2015 (HealthDay News) -- Marijuana shouldn't be legalized because of the potential harm it can cause children and adolescents, the American Academy of Pediatrics says. However, the group's updated policy statement, published online Jan. 26 in Pediatrics, does support the compassionate use of marijuana for children with debilitating or terminal illnesses.

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Morphine Linked With Adverse Outcomes Post-Tonsillectomy

MONDAY, Jan. 26, 2015 (HealthDay News) -- Use of morphine post-tonsillectomy should be limited, as it may be unsafe in certain children, according to a new study published online Jan. 26 in Pediatrics.

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HPV Vaccination Often Not Timely for Girls

FRIDAY, Jan. 23, 2015 (HealthDay News) -- Only about half of American girls begin receiving the human papillomavirus (HPV) vaccine at the recommended age, according to a study published in the Jan. 29 issue of Vaccine.

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Higher Cardiovascular Risk Seen With Eczema

FRIDAY, Jan. 23, 2015 (HealthDay News) -- Adults with eczema may also have an increased risk of heart disease and stroke, according to a study published online Jan. 8 in the Journal of Allergy and Clinical Immunology.

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AAP Urges Parents to Vaccinate Children Against Measles

FRIDAY, Jan. 23, 2015 (HealthDay News) -- The number of people infected with measles linked to the outbreak at Disney amusement parks in Southern California now stands at 70, health officials reported Thursday.

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5 Percent of Seniors Discharged From ER Admitted Within Days

FRIDAY, Jan. 23, 2015 (HealthDay News) -- Nearly 5 percent of older Medicare beneficiaries seen in the emergency department have a hospital inpatient admission within seven days after discharge, according to a study published in the January issue of the Journal of the American Geriatrics Society.

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Video-Based Tx May Benefit Babies at Risk for Autism

FRIDAY, Jan. 23, 2015 (HealthDay News) -- Therapy involving "video feedback" -- where parents watch videos of their interactions with their baby -- might help prevent infants at risk for autism from developing the disorder, according to a study published online Jan. 21 in The Lancet Psychiatry.

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CDC: Opioid Rx Prevalent in Reproductive-Aged Females

FRIDAY, Jan. 23, 2015 (HealthDay News) -- Too many women of childbearing age take prescription opioids, putting any unborn babies at risk, U.S. health officials said Thursday. The report appears in the Jan. 23 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Self-Management Program Cuts Depressive Symptoms in Diabetes

FRIDAY, Jan. 23, 2015 (HealthDay News) -- For patients with diabetes, a self-management-oriented group program (Diabetes Motivation Strengthening [DIAMOS]) is associated with reductions in depressive symptoms, according to a study published online Jan. 20 in Diabetes Care.

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Optimal Gestational Weight Gain in Obese Moms May Vary

FRIDAY, Jan. 23, 2015 (HealthDay News) -- For some obese women, gestational weight gain (GWG) below that recommended in the current guidelines may be advised to reduce the risk of certain adverse pregnancy outcomes, according to research published online Jan. 18 in Obesity Reviews.

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Smaller Goals to Start Could Boost Activity in Sedentary

FRIDAY, Jan. 23, 2015 (HealthDay News) -- Current targets call for 150 minutes of weekly exercise -- or 30 minutes of physical activity at least five days a week -- to reduce the risk of chronic diseases such as diabetes and cardiovascular disease. Although these standards don't need to be abandoned, they shouldn't be the primary message about exercise for inactive people, experts argue in two separate analyses published Jan. 21 in The BMJ.

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ASCO Reports Biggest Clinical Cancer Advances for 2015

FRIDAY, Jan. 23, 2015 (HealthDay News) -- The biggest clinical cancer advances for 2015 have been identified in an annual report from the American Society of Clinical Oncology, published online Jan. 20 in the Journal of Clinical Oncology.

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More Variation in Costs Than Outcomes of PCI in VA System

FRIDAY, Jan. 23, 2015 (HealthDay News) -- For patients undergoing percutaneous coronary intervention (PCI) in the Veterans Affairs (VA) system, the variation in one-year risk-adjusted mortality is smaller than variation in risk-standardized costs, according to a study published in the Jan. 27 issue of the Journal of the American College of Cardiology.

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May Be Room for Improvement in U/S Transducer Hygiene

FRIDAY, Jan. 23, 2015 (HealthDay News) -- For endoluminal procedures relying on barrier protection to avoid contamination, permeability of materials may not always be considered, according to a study published in the February issue of the Journal of Clinical Ultrasound.

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Prophylactic Antimicrobials Overused in Urologic Surgery

FRIDAY, Jan. 23, 2015 (HealthDay News) -- Utilization patterns indicate that antimicrobial prophylaxis is overused for urological surgeries in the community practice setting, according to research published in the February issue of The Journal of Urology.

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Overuse of Abx for Travelers' Diarrhea Creating Superbugs

THURSDAY, Jan. 22, 2015 (HealthDay News) -- The overuse of antibiotics to treat travelers' diarrhea may contribute to the spread of drug-resistant superbugs, a new study suggests. The findings were published online Jan. 21 in Clinical Infectious Diseases.

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Hormonal Contraceptives Linked to Higher Risk of Glioma

THURSDAY, Jan. 22, 2015 (HealthDay News) -- The risk for developing a glioma appears to go up with long-term use of hormonal contraceptives, new research suggests. The findings were published online in the British Journal of Clinical Pharmacology.

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Four Factors Impact QoL From Perspective of Dementia Sufferers

THURSDAY, Jan. 22, 2015 (HealthDay News) -- Four factors have been identified that affect quality of life from the perspective of people with dementia. The findings were published in the January issue of the Journal of the American Geriatrics Society.

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Very Low Yield for Imaging of Both Legs in Suspected DVT

THURSDAY, Jan. 22, 2015 (HealthDay News) -- For patients with clinically suspected deep vein thrombosis (DVT), systematic imaging of both legs has a very low yield, according to a study published online Jan. 20 in the Journal of Thrombosis and Haemostasis.

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High Levels of Formaldehyde Seen in E-Cigarette Vapor

THURSDAY, Jan. 22, 2015 (HealthDay News) -- E-cigarette vapor can contain cancer-causing formaldehyde at levels up to 15 times higher than regular cigarettes, according to a letter published in the Jan. 22 issue of the New England Journal of Medicine.

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Omega-3s May Counteract Mercury Toxicity From Fish

THURSDAY, Jan. 22, 2015 (HealthDay News) -- Despite concerns over mercury exposure, pregnant women who eat lots of fish may not harm their unborn children, a new study suggests. The study -- funded by the U.S. National Institutes of Health and the Seychelles government -- was published online Jan. 21 in the American Journal of Clinical Nutrition.

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PCPs Can Use U/S to Rationalize Tx in Acute Shoulder Pain

THURSDAY, Jan. 22, 2015 (HealthDay News) -- For patients with acute shoulder pain, ultrasound imaging can be used by primary care physicians to rationalize treatment, according to a study published in the January/February issue of the Annals of Family Medicine.

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Reviews Summarize Efficacy of Depression Tx in Primary Care

THURSDAY, Jan. 22, 2015 (HealthDay News) -- Researchers have summarized and clarified what is known about depression treatment in primary care. The reports have been published in the January/February issue of the Annals of Family Medicine.

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Survival Rates for Extremely Premature Infants on Rise

THURSDAY, Jan. 22, 2015 (HealthDay News) -- More extremely premature U.S. infants -- those born after only 22 to 28 weeks of gestation -- are surviving, according to a new study published in the Jan. 22 issue of the New England Journal of Medicine.

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Physicians Rank the Best EHR Systems of 2014

THURSDAY, Jan. 22, 2015 (HealthDay News) -- Physicians have ranked electronic health record (EHR) systems based on five key performance areas, according to a report published in Medical Economics.

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Metabolic Syndrome May Raise Death Risk Postangiography

THURSDAY, Jan. 22, 2015 (HealthDay News) -- For postangiography patients, metabolic syndrome is associated with increased mortality, especially in patients with stable angina, according to a study published in the Feb. 1 issue of The American Journal of Cardiology.

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Risks for Ebola Virus-Infected Pregnant Women Discussed

THURSDAY, Jan. 22, 2015 (HealthDay News) -- Ebola virus-infected pregnant women are at risk for adverse maternal and fetal outcomes, according to an article published online Jan. 14 in BJOG: An International Journal of Obstetrics & Gynaecology.

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Prolonged Sitting Is Health Hazard, Despite Exercise

WEDNESDAY, Jan. 21, 2015 (HealthDay News) -- Regular exercise doesn't erase the higher risk of serious illness or premature death that comes from sitting too much each day, a new review reveals. The research is published in the Jan. 20 issue of Annals of Internal Medicine.

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Prone Sleep Position Tied to Higher Mortality in Epilepsy

WEDNESDAY, Jan. 21, 2015 (HealthDay News) -- Prone sleeping may boost risk of sudden death in epilepsy, with higher risk for patients younger than 40, new research suggests. The findings were published online Jan. 21 in Neurology.

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FDA Approves New Drug to Treat Plaque Psoriasis

WEDNESDAY, Jan. 21, 2015 (HealthDay News) -- The U.S. Food and Drug Administration has approved Cosentyx (secukinumab) to treat adults with moderate-to-severe plaque psoriasis.

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Higher Medicaid Reimbursement Ups Appointment Availability

WEDNESDAY, Jan. 21, 2015 (HealthDay News) -- Increased Medicaid reimbursement to primary care providers is associated with improved appointment availability, according to a study published online Jan. 21 in the New England Journal of Medicine.

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Intracytoplasmic Sperm Injection Rates Have Doubled

WEDNESDAY, Jan. 21, 2015 (HealthDay News) -- Although use of intracytoplasmic sperm injection (ICSI) has doubled in the past decade, the procedure is not always associated with better outcomes, according to a new study from the U.S. Centers for Disease Control and Prevention. The findings were published in the Jan. 20 issue of the Journal of the American Medical Association.

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Cardiovascular Risks of Pneumonia May Linger for Years

WEDNESDAY, Jan. 21, 2015 (HealthDay News) -- Older patients hospitalized with pneumonia appear to have an increased risk of myocardial infarction, stroke, or death from coronary heart disease for years afterward, according to a new study published in the Jan. 20 issue of the Journal of the American Medical Association.

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Coffee Consumption Linked With Reduced Melanoma Risk

WEDNESDAY, Jan. 21, 2015 (HealthDay News) -- Coffee drinkers have a lower risk of malignant melanoma, with a trend toward more protection with higher intake, according to findings published online Jan. 20 in the Journal of the National Cancer Institute.

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Routine Oral Anticoagulants May Not Benefit All With A-Fib

WEDNESDAY, Jan. 21, 2015 (HealthDay News) -- Benefit from routine anticoagulation therapy to reduce risk of ischemic stroke may be unlikely in patients with atrial fibrillation (AF) and a CHA2DS2-VASc score of 1, according to a study published in the Jan. 27 issue of the Journal of the American College of Cardiology.

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Acupuncture Viable for Pain Relief After Joint Replacement

WEDNESDAY, Jan. 21, 2015 (HealthDay News) -- Acupuncture is a feasible adjunct therapy for short-term postsurgical pain management in total joint replacement, according to a study published online Jan. 13 in Pain Medicine.

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Incidence of PE Hospitalizations Rises From 2001 to 2010

WEDNESDAY, Jan. 21, 2015 (HealthDay News) -- The incidence of hospitalizations for pulmonary embolism (PE) increased from 2001 to 2010, and a pattern of seasonal variation can be seen in PE hospitalizations, according to a study published in the January issue of the Journal of Thrombosis and Haemostasis.

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Roux-en-Y Surgery Can Reverse Insulin Treatment in T2DM

WEDNESDAY, Jan. 21, 2015 (HealthDay News) -- Roux-en-Y gastric bypass surgery (RYGB) strongly predicts insulin cessation after surgery in insulin-treated type 2 diabetes (I-T2D) patients, independent of weight loss, according to a study published online Jan. 8 in Diabetes Care.

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Tonsillectomy May Benefit Tonsillitis-Associated Psoriasis

WEDNESDAY, Jan. 21, 2015 (HealthDay News) -- For patients with recalcitrant psoriasis associated with episodes of tonsillitis, tonsillectomy may be an option that can result in improvement in psoriasis, according to a review published in the February issue of the Journal of the American Academy of Dermatology.

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Fewer Vegetable-Based Proteins Tied to Metabolic Syndrome

TUESDAY, Jan. 20, 2015 (HealthDay News) -- Decreased vegetable protein intake and increased dietary acid load are associated with higher prevalence of metabolic syndrome in patients with type 2 diabetes, according to a study published online Jan. 6 in the Journal of Diabetes Investigation.

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Collaboration Between Med Students Cuts Diagnostic Errors

TUESDAY, Jan. 20, 2015 (HealthDay News) -- For fourth-year medical students, working collaboratively is associated with a reduction in diagnostic errors, according to a research letter published in the Jan. 20 issue of the Journal of the American Medical Association.

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Docs Should Negotiate Health Care Payer Contracts

TUESDAY, Jan. 20, 2015 (HealthDay News) -- The terms in health care payer contracts are not immutable, and contracts should be negotiated, according to an article published Jan. 9 in Medical Economics.

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A Dash More Salt Than 1,500 mg Seems to Lower Mortality Risk

TUESDAY, Jan. 20, 2015 (HealthDay News) -- A study of adults aged 71 to 80 indicates that daily consumption of 2,300 mg of salt didn't increase deaths, cardiovascular disease, stroke, or heart failure over 10 years. The report was published online Jan. 19 in JAMA Internal Medicine.

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AHS: Research Informs New Migraine Rx Guidelines

TUESDAY, Jan. 20, 2015 (HealthDay News) -- Researchers have reviewed recent scientific literature and concluded that a number of classes of drugs are effective for treating acute migraine. The study, published in the January issue of Headache, will form the basis of new American Headache Society guidelines for the treatment of migraine.

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A Drink a Day May Keep Heart Failure at Bay

TUESDAY, Jan. 20, 2015 (HealthDay News) -- Having a drink each day might help lower a middle-aged person's odds for heart failure, according to a new study published online Jan. 20 in the European Heart Journal.

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H. Pylori Tied to Lower Risk of Multiple Sclerosis in Women

TUESDAY, Jan. 20, 2015 (HealthDay News) -- Women who harbor the bacteria Helicobacter pylori (H. pylori) may be less likely to develop multiple sclerosis (MS), according to a new study published online Jan. 19 in the Journal of Neurology, Neurosurgery & Psychiatry.

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Vitamin B-12, Folate Mitigate Reproductive Effects of DDT

TUESDAY, Jan. 20, 2015 (HealthDay News) -- The adverse reproductive effects of 1,1,1-trichloro-2,2,bis(p-chlorophenyl)ethane (DDT) seem to be mitigated by vitamin B-12 and folate sufficiency, according to a study published in the December issue of the American Journal of Clinical Nutrition.

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Physicians Hit Barriers in Making Cancer Referrals

TUESDAY, Jan. 20, 2015 (HealthDay News) -- Many physicians report encountering barriers when referring cancer patients to specialty care, according to research published in the Jan. 1 issue of Cancer.

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Few Patients Fill High-Intensity Statin Rx After CHD Discharge

TUESDAY, Jan. 20, 2015 (HealthDay News) -- Only about a quarter of Medicare beneficiaries fill a high-intensity statin prescription after discharge from hospitalization for a coronary heart disease (CHD) event, according to a study published in the Jan. 27 issue of the Journal of the American College of Cardiology.

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Bullying Linked to Lower Urinary Tract Symptoms in Children

TUESDAY, Jan. 20, 2015 (HealthDay News) -- For 8- to 11-year-olds, bullying is associated with lower urinary tract symptoms, according to a study published in the February issue of The Journal of Urology.

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Dyslipidemia, High BP Prevalent Among U.S. Youth

MONDAY, Jan. 19, 2015 (HealthDay News) -- About one in five children and adolescents had adverse lipid concentrations, and one in ten had borderline high or high blood pressure (BP) in 2011 to 2012, according to research published online Jan. 19 in JAMA Pediatrics.

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Viral Load at Delivery in ~13 Percent of Women Taking HAART

MONDAY, Jan. 19, 2015 (HealthDay News) -- Among women who initiate highly-active antiretroviral therapy (HAART) during pregnancy, 13.1 percent have detectable viral load (VL) at delivery, according to a study published online in the Jan. 20 issue of the Annals of Internal Medicine.

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Electronic Alert Cuts Proportion of IV Proton Pump Inhibitors

MONDAY, Jan. 19, 2015 (HealthDay News) -- An electronic alert triggered on order of intravenous (IV) proton pump inhibitors (PPI) can decrease the proportion of IV PPIs ordered, according to a research letter published online Jan. 19 in JAMA Internal Medicine.

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Researchers Weigh in on Youth Pizza Consumption

MONDAY, Jan. 19, 2015 (HealthDay News) -- On any given day in the United States in 2009 to 2010, one in five young children and nearly one in four teens ate pizza for a meal or snack, and when pizza is consumed, it makes up more than 20 percent of the daily intake of calories, according to findings reported online Jan. 19 in Pediatrics.

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Missed, Refused Vaccines Appear in 'Clusters'

MONDAY, Jan. 19, 2015 (HealthDay News) -- Parents who refuse to have their children vaccinated appear to be clustered in certain areas, a new study suggests. The report was published online Jan. 19 in Pediatrics.

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Obesity More Expensive to Treat Than Smoking

MONDAY, Jan. 19, 2015 (HealthDay News) -- Annual health care expenses are substantially higher for smokers and the obese, compared with nonsmokers and people of healthy weight, according to a report published online Dec. 24 in Public Health. In fact, obesity is actually more expensive to treat than smoking on an annual basis, the report author concludes.

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Age at Gluten Introduction Not Linked to Risk of Celiac Disease

MONDAY, Jan. 19, 2015 (HealthDay News) -- The age of introduction of gluten is not associated with risk of celiac disease (CD) in genetically predisposed children, according to a study published online Jan. 19 in Pediatrics.

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Many Americans Taking Meds Not to Be Mixed With Alcohol

MONDAY, Jan. 19, 2015 (HealthDay News) -- A substantial number of Americans who drink also take medications that should not be mixed with alcohol, new government research suggests. The findings were published online Jan. 16 in Alcoholism: Clinical & Experimental Research.

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BMI and Waist Circumference Are Frequently Discordant

MONDAY, Jan. 19, 2015 (HealthDay News) -- Body mass index (BMI) and waist circumference (WC) are frequently discordant, generally because of variability in visceral adiposity (VAT) within BMI categories, according to a study published in the Feb. 1 issue of The American Journal of Cardiology.

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Mindfulness Intervention De-Stresses Cancer Survivors

MONDAY, Jan. 19, 2015 (HealthDay News) -- A brief mindfulness-based intervention has a positive short-term effect on psychological and behavioral measures as well as proinflammatory signal markers in younger breast cancer survivors, according to a study published online Dec. 23 in Cancer.

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Rx Adherence Lower for Patients New to Diabetes Therapy

MONDAY, Jan. 19, 2015 (HealthDay News) -- Factors associated with adherence to medications for treatment of diabetes include experience with diabetes therapy and related costs, thus efforts to reduce out-of-pocket costs may result in higher adherence, according to research findings published online Jan. 8 in Diabetes Care.

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Supplements Curb Isotretinoin-Associated Triglyceride Increase

MONDAY, Jan. 19, 2015 (HealthDay News) -- For patients with preexisting hypertriglyceridemia, ω-3 fatty acid (ω-3FA) supplementation stabilizes the expected increase in triglycerides during isotretinoin therapy, according to research published in the January issue of JAMA Dermatology.

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Prostate Cancer Mortality Benefit Seen for Family Hx-Based Screens

FRIDAY, Jan. 16, 2015 (HealthDay News) -- Screening white men with a family history of prostate cancer appears to be associated with a decrease in prostate cancer-specific mortality, according to a study published in the January issue of The Journal of Urology.

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Cold Effects on Skin in Raynaud's Impacted by Age, BMI

FRIDAY, Jan. 16, 2015 (HealthDay News) -- For patients with Raynaud's phenomenon (RP), cold-induced decrease in skin temperature is related to age and body mass index (BMI), according to a study published in the January issue of Arthritis & Rheumatology.

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Most Docs Work 40 to 60 Hours Per Week

FRIDAY, Jan. 16, 2015 (HealthDay News) -- Physicians work long hours, with most working 40 to 60 hours per week and a considerable proportion working 61 to 80 or more hours per week, according to a report published by the American Medical Association (AMA).

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Teenage Acne Linked to Melanoma in Women

FRIDAY, Jan. 16, 2015 (HealthDay News) -- There appears to be an association between teenage acne and melanoma, according to a study published online Jan. 8 in Cancer.

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CRP/ESR Disagreement Common in Infection, Inflammation

FRIDAY, Jan. 16, 2015 (HealthDay News) -- For patients with suspected infection or inflammation, C-reactive protein (CRP)/erythrocyte sedimentation rate (ESR) disagreement is common, according to a study published online Dec. 31 in the International Journal of Rheumatic Diseases.

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CDC: U.S. Birth Rate at All-Time Low

FRIDAY, Jan. 16, 2015 (HealthDay News) -- The U.S. birth rate remained at an all-time low in 2013, the U.S. Centers for Disease Control and Prevention reported Thursday.

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Unhealthy Dietary Behaviors Linked to Functional Dyspepsia

FRIDAY, Jan. 16, 2015 (HealthDay News) -- Unhealthy dietary behaviors are associated with refractory functional dyspepsia (RFD), according to a study published in the December issue of the Journal of Digestive Diseases.

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Review: Venlafaxine May Be Effective for Fibromyalgia Tx

FRIDAY, Jan. 16, 2015 (HealthDay News) -- Venlafaxine seems to be effective for the treatment of fibromyalgia, although studies are limited by small sample size and methodological concerns, according to a review published in the February issue of the Journal of Clinical Pharmacy and Therapeutics.

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CDC: Neural Tube Defects Declining in the United States

THURSDAY, Jan. 15, 2015 (HealthDay News) -- Neural tube defects have fallen 35 percent in the United States since mandatory folic acid fortification of enriched grain products was introduced in 1998; however, many American women who had a pregnancy affected by a neural tube defect and get pregnant again still don't follow folic acid supplement recommendations, federal officials reported Thursday. Both reports appear in the Jan. 16 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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CDC: This Year's Flu Vaccination Offers 23 Percent Protection

THURSDAY, Jan. 15, 2015 (HealthDay News) -- This season's influenza vaccine reduces the risk of needing medical care because of the flu by only 23 percent, according to research published in the Jan. 16 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Impact of Medical Scribes on EHR Advancement Discussed

THURSDAY, Jan. 15, 2015 (HealthDay News) -- The increasing use of medical scribes should not be a replacement for improving electronic health records (EHRs), according to a viewpoint piece published online Dec. 15 in the Journal of the American Medical Association.

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Women Underrepresented in Leadership Roles in Ob-Gyn

THURSDAY, Jan. 15, 2015 (HealthDay News) -- Women are underrepresented in leadership roles in obstetrics and gynecology, according to a study published online Jan. 8 in Obstetrics & Gynecology.

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Epidemic of Rx Opioid Abuse May Be Waning in U.S.

THURSDAY, Jan. 15, 2015 (HealthDay News) -- The U.S. epidemic of prescription opioid medication abuse may be starting to reverse course, according to new research. The findings, published in the Jan. 15 issue of the New England Journal of Medicine, suggest that recent laws and prescribing guidelines aimed at preventing abuse are working to some degree.

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Insulin Resistance Ups Breast Cancer Risk Regardless of BMI

THURSDAY, Jan. 15, 2015 (HealthDay News) -- After menopause, unhealthy insulin levels may predict breast cancer risk even more than excess weight, new research suggests. The study was published in the Jan. 15 issue of Cancer Research.

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Sedentary Lifestyle Worse for Health Than Obesity

THURSDAY, Jan. 15, 2015 (HealthDay News) -- Being sedentary may be twice as deadly as being obese, a new study suggests. However, even a little exercise -- a brisk 20-minute walk each day, for example -- is enough to reduce the risk of an early death by as much as 30 percent, the British researchers added. The report was published online Jan. 14 in the American Journal of Clinical Nutrition.

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Binge Eating Curtailed by Higher Doses of ADHD Medication

THURSDAY, Jan. 15, 2015 (HealthDay News) -- At higher doses, the attention-deficit/hyperactivity disorder (ADHD) drug lisdexamfetamine dimesylate (Vyvanse) curtails the excessive food consumption that characterizes binge-eating disorder, preliminary research suggests. The findings were reported online Jan. 14 in JAMA Psychiatry.

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Race, Ethnicity Appear to Affect Lupus Prognosis in U.S.

THURSDAY, Jan. 15, 2015 (HealthDay News) -- In the United States, Asian and Hispanic patients with systemic lupus erythematosus (SLE) have lower death rates than whites, blacks, or Native Americans with the disease, according to a study published online Jan. 15 in Arthritis & Rheumatology.

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Patient-Selected Audio Therapy May Ease Pediatric Post-Op Pain

THURSDAY, Jan. 15, 2015 (HealthDay News) -- Going through a surgery often means postoperative pain for children, but listening to their favorite music might help ease their discomfort, according to a new study published online Jan. 3 in Pediatric Surgery International.

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FDA: Stimulation Device Approved to Treat Obesity

WEDNESDAY, Jan. 14, 2015 (HealthDay News) -- A new electrical stimulation device designed to control obesity by targeting the nerve pathways between the brain and stomach that regulate hunger and fullness has been approved by the U.S. Food and Drug Administration.

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Rates of Hospital-Acquired Infection on the Decline

WEDNESDAY, Jan. 14, 2015 (HealthDay News) -- Rates of many types of hospital-acquired infections are on the decline, but more work is needed to protect patients, according to a U.S. Centers for Disease Control and Prevention report.

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Aerobic Exercise Reduces Fatigue With Radiotherapy for Breast CA

WEDNESDAY, Jan. 14, 2015 (HealthDay News) -- An aerobic exercise program can reduce fatigue in women undergoing radiotherapy for breast cancer, according to a study published in the January issue of the Journal of Clinical Nursing.

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Guidance Offered for Ethical Referrals Within ACOs

WEDNESDAY, Jan. 14, 2015 (HealthDay News) -- For accountable care organizations (ACOs), referrals within the ACO can be ethical as long as their selection is influenced in a manner that is transparent, with appropriate metrics and the right incentives, according to a perspective piece published in the Jan. 15 issue of the New England Journal of Medicine.

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Working Long Hours? Beware Risky Alcohol Consumption

WEDNESDAY, Jan. 14, 2015 (HealthDay News) -- Working long hours may raise the risk for alcohol abuse, according to a new study of more than 300,000 people from 14 countries. The report was published online Jan. 13 in The BMJ.

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Obesity Up in Past Decade, but Diabetes Incidence Stable

WEDNESDAY, Jan. 14, 2015 (HealthDay News) -- Trends show that diabetes incidence has stayed higher in recent decades than it was in the 1970s, although in the past decade, diabetes incidence remained steady despite the ongoing trend of rising adiposity, according to research published online Dec. 31 in Diabetes Care.

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Metabolic Sx Tied to Higher Risk of Endometrial Cancer

WEDNESDAY, Jan. 14, 2015 (HealthDay News) -- A diagnosis of metabolic syndrome is associated with higher risk of endometrial cancer, regardless of whether the patient is considered obese, according to new research published in the January issue of Cancer Epidemiology, Biomarkers & Prevention.

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Race, Ethnicity Impact Breast Cancer Prognosis

WEDNESDAY, Jan. 14, 2015 (HealthDay News) -- The chances of being diagnosed with early breast cancer, as well as surviving it, vary greatly depending on race and ethnicity, according to a new study published Jan. 13 in the Journal of the American Medical Association.

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Antenatal Corticosteroid Use Up, Even When Not Optimal

WEDNESDAY, Jan. 14, 2015 (HealthDay News) -- From 1988 to 2012, there were increases in the rates of optimal, suboptimal, and questionably appropriate administration of antenatal corticosteroids, according to a study published online Jan. 7 in Obstetrics & Gynecology.

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Community Efforts Saved Lives, Cut Costs in Maine

WEDNESDAY, Jan. 14, 2015 (HealthDay News) -- Over four decades (1970 to 2010), a community-wide program in rural Franklin County, Maine, dramatically cut hospitalizations and deaths from cardiovascular disease and stroke, researchers report in the Jan. 13 issue of the Journal of the American Medical Association.

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Providers Urged to Address Patient Fears in Chronic Fatigue

WEDNESDAY, Jan. 14, 2015 (HealthDay News) -- Easing fears that exercise may worsen symptoms of chronic fatigue syndrome is crucial in efforts to prevent disability in people with the condition, according to research published online Jan. 13 in The Lancet Psychiatry.

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Benefit of Carotid Stenting in Elderly Called Into Question

WEDNESDAY, Jan. 14, 2015 (HealthDay News) -- Mortality risk in older Medicare patients who undergo carotid artery stenting is high, according to a report published online Jan. 12 in JAMA Neurology.

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Asthma Linked With ~40 Percent Higher Risk of OSA

WEDNESDAY, Jan. 14, 2015 (HealthDay News) -- Adults with asthma face an increased risk for developing obstructive sleep apnea, new research reveals. The findings have been published in the Jan. 13 issue of Journal of the American Medical Association.

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Fewer Episiotomies, but Nonmedical Factors May Persist

TUESDAY, Jan. 13, 2015 (HealthDay News) -- The incidence of episiotomy has been declining since the 1990s because of concerns regarding related risks and benefits, researchers report in the Jan. 13 issue of the Journal of the American Medical Association.

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Rotavirus Vaccine Effective in Reduction of Morbidity

TUESDAY, Jan. 13, 2015 (HealthDay News) -- Widespread vaccination against rotavirus cuts children's rates of infection, according to a new study funded by the U.S. Centers for Disease Control and Prevention and published online Jan. 12 in Pediatrics.

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Major Risks of Long-Term Opioid Rx Deemed Dose-Dependent

TUESDAY, Jan. 13, 2015 (HealthDay News) -- The long-term effectiveness and harms of opioids for chronic pain are unclear, although the evidence supports a dose-dependent risk for serious harms, according to a review published online Jan. 13 in the Annals of Internal Medicine.

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Uninsured Visits to Community Health Centers Down Post-ACA

TUESDAY, Jan. 13, 2015 (HealthDay News) -- There was a 40 percent drop in uninsured visits to community health centers in states where Medicaid was expanded during the first half of 2014, when compared to the prior year, while Medicaid-covered visits to those clinics rose 36 percent, according to new research. The findings were published in the January/February issue of the Annals of Family Medicine.

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Propranolol, Doxycycline Combo Safe, Effective in Rosacea

TUESDAY, Jan. 13, 2015 (HealthDay News) -- For patients with rosacea, combination treatment with propranolol and doxycycline is effective and safe, according to a study published in the January issue of the Journal of Dermatology.

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No Negative Consequences of Guidelines for Antibiotic Therapy

TUESDAY, Jan. 13, 2015 (HealthDay News) -- For children with community-acquired pneumonia (CAP), there are no negative consequences associated with use of guideline-recommended antibiotic therapy, according to a study published in the January issue of the Journal of Hospital Medicine.

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Over 10 Percent of Patients Taking Aspirin Inappropriately

TUESDAY, Jan. 13, 2015 (HealthDay News) -- Researchers found that of 68,808 U.S. adults prescribed aspirin long-term, 11.6 percent probably should not have been because their odds of suffering a heart attack or stroke were not high enough to outweigh the risks of daily aspirin use. The findings were published in the Jan. 20 issue of the Journal of the American College of Cardiology.

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Short-Term Effects of Middle School Football Analyzed

TUESDAY, Jan. 13, 2015 (HealthDay News) -- Children who play football in middle school don't appear to have any noticeable short-term brain damage from repeated hits to the head, new research suggests. The report was published online recently in Medicine & Science in Sports & Exercise.

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Guidelines Presented for Clinical Documentation in 21st Century

TUESDAY, Jan. 13, 2015 (HealthDay News) -- Guidelines have been developed for clinical documentation and interrelated issues. The position paper has been published online Jan. 13 in the Annals of Internal Medicine.

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Moderately Increased Risk of Colorectal Cancer in T2DM

TUESDAY, Jan. 13, 2015 (HealthDay News) -- The risk of colorectal cancer is moderately increased in patients with type 2 diabetes, according to research published online Dec. 31 in Diabetes Care.

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Many Women Receive Unnecessary Hysterectomies

TUESDAY, Jan. 13, 2015 (HealthDay News) -- In many cases, treatments other than hysterectomies could be offered to women with benign gynecologic conditions, according to research published online Dec. 23 in the American Journal of Obstetrics & Gynecology.

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Research Suggests Diabetes Overtreatment in Seniors

MONDAY, Jan. 12, 2015 (HealthDay News) -- Many older people with diabetes may be exposed to potential harm because doctors are trying to keep overly tight control of their blood glucose levels, according to research published online Jan. 12 in JAMA Internal Medicine.

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Providers Urged to Address Patients' Post-Cancer Concerns

MONDAY, Jan. 12, 2015 (HealthDay News) -- Many U.S. cancer survivors have unresolved physical and mental health issues long after being cured, according to a study published online Jan. 12 in Cancer.

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NIH: Insufficient Evidence for Opioid Use in Chronic Pain

MONDAY, Jan. 12, 2015 (HealthDay News) -- Evidence is insufficient for opioid use in chronic pain, according to a position paper published online Jan. 13 in the Annals of Internal Medicine.

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Preschool 'Head Start' Could Help Combat Childhood Obesity

MONDAY, Jan. 12, 2015 (HealthDay News) -- Children in the U.S. preschool Head Start program tend to have a healthier weight by kindergarten than similarly aged children not in the program, according to a new report published online Jan. 12 in Pediatrics.

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Brief Well-Child Visit Inadequate for ID of Autism Risk

MONDAY, Jan. 12, 2015 (HealthDay News) -- The 10 to 20 minutes of a typical well-child visit isn't enough time to reliably detect a young child's risk of autism, according to new research published online Jan. 12 in Pediatrics.

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Disney-Related Measles Outbreak Now Includes 3 States

MONDAY, Jan. 12, 2015 (HealthDay News) -- A measles outbreak linked to Disney theme parks in California included 19 people in three states as of Friday, according to health officials.

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Obesity in Diabetes Shortens Life, Ups Health Care Costs

MONDAY, Jan. 12, 2015 (HealthDay News) -- Diabetes patients, particularly those who are obese, are at risk for many life years lost and high lifetime health care expenses, according to research published online Dec. 31 in Diabetes Care.

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High Rates of Missed Diagnoses of Fetal Alcohol Syndrome

MONDAY, Jan. 12, 2015 (HealthDay News) -- Among youth, the rate of missed diagnosis or misdiagnosis of fetal alcohol spectrum disorders is 86.5 percent, according to a study published online Jan. 12 in Pediatrics.

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Preterm Birth Risk Up for Women With Low Vitamin D

MONDAY, Jan. 12, 2015 (HealthDay News) -- Women who have low blood levels of vitamin D during pregnancy are more likely to give birth prematurely, new research suggests. The study was published online Jan. 7 in Obstetrics & Gynecology.

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CDC Urging Flu Vaccination, Prompt Use of Antivirals

MONDAY, Jan. 12, 2015 (HealthDay News) -- Thousands of people are being hospitalized and 26 children have died from influenza so far, Tom Frieden, M.D., M.P.H., director of the U.S. Centers for Disease Control and Prevention, said during a Friday press briefing.

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Caustic Ingestion Can Be Mistaken for Anaphylaxis

MONDAY, Jan. 12, 2015 (HealthDay News) -- For children presenting with an unclear history, caustic ingestion (CI) can be mistaken for anaphylaxis due to similarity of symptoms, according to two case reports published online Jan. 12 in Pediatrics.

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Many Patients With HCV 'Lost' in U.S. Health Care System

MONDAY, Jan. 12, 2015 (HealthDay News) -- Many hepatitis C patients get "lost" in the U.S. health care system, according to a study published in Hepatology.

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Gender of Provider May Impact Pain Management Practices

MONDAY, Jan. 12, 2015 (HealthDay News) -- Male and female general practitioners (GPs) prescribe analgesics to older patients in a similar manner but differ in their prescribing habits for antineuropathic pain drugs and symptomatic slow-acting drugs for osteoarthritis, according to a study published online Dec. 17 in Pain Medicine.

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Clinicians Increasingly Ordering Imaging for Headaches

MONDAY, Jan. 12, 2015 (HealthDay News) -- Clinicians are increasingly ordering advanced imaging and referring to other physicians for headache but less often providing counseling, according to a study published online Jan. 8 in the Journal of General Internal Medicine.

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FDA Approves Novel Anticoagulant Savaysa

FRIDAY, Jan. 9, 2015 (HealthDay News) -- Savaysa (edoxaban) has been approved by the U.S. Food and Drug Administration to reduce the risk of stroke and systemic embolism, and prevent deep vein thrombosis and pulmonary embolism.

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Depot Medroxyprogesterone Acetate Tied to Higher HIV Risk

FRIDAY, Jan. 9, 2015 (HealthDay News) -- The injectable birth control depot medroxyprogesterone acetate is associated with an increased risk of HIV infection in women, according to a review of research in Africa. Results of the review were published online Jan. 8 in The Lancet Infectious Diseases.

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Possible Link Between E-Cigs, Risk of Infections

FRIDAY, Jan. 9, 2015 (HealthDay News) -- Vapor from electronic cigarettes may increase young people's risk of respiratory infections, regardless of whether or not it contains nicotine, according to a new laboratory study reported in a recent issue of PLOS ONE.

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AMA Reports on How Docs Use Their Free Time

FRIDAY, Jan. 9, 2015 (HealthDay News) -- The American Medical Association recently surveyed physicians to find what activities they pursue when not in the exam room.

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Supine Sleep Position Linked With Higher Risk of Stillbirth

FRIDAY, Jan. 9, 2015 (HealthDay News) -- Women who sleep on their backs in the later months of pregnancy may have a relatively higher risk of stillbirth if they already have other risk factors, according to research published online Jan. 7 in Obstetrics & Gynecology.

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CDC: Occupationally Acquired HIV Now Rare

FRIDAY, Jan. 9, 2015 (HealthDay News) -- Documented occupational acquisition of HIV has now become rare in the United States, according to research published in the Dec. 9 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Interim Guidance Issued for HPV Test As Pap Alternative

FRIDAY, Jan. 9, 2015 (HealthDay News) -- The cobas human papillomavirus (HPV) test is an effective, one-test alternative to the current recommendation of screening with either a Pap test alone or a combination of the HPV test and a Pap test, according to an interim guidance report issued by the Society of Gynecologic Oncology and the American Society for Colposcopy and Cervical Pathology.

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Glucose Level in ER Could Aid Heart Failure Prognosis

FRIDAY, Jan. 9, 2015 (HealthDay News) -- The measurement of blood glucose levels in patients arriving at emergency departments with acute heart failure could provide useful prognostic information and help improve outcomes in these patients, according to new research published online Jan. 8 in the European Heart Journal.

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Binocular Vision Disorders Up High Morbidity Injuries in Seniors

FRIDAY, Jan. 9, 2015 (HealthDay News) -- For older Medicare beneficiaries, having a disorder of binocular vision is associated with increased odds of musculoskeletal injury, fracture, and fall, according to a study published in the January issue of JAMA Ophthalmology.

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Three-Step Intervention Can Reduce Pediatric Drug Errors

FRIDAY, Jan. 9, 2015 (HealthDay News) -- A three-step intervention addressing the diverse causes of medication errors can reduce these errors in a pediatric setting, according to a study published in the January issue of the Journal of Clinical Nursing.

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Satellite Lesions Prognostic for High-Risk Zoster

FRIDAY, Jan. 9, 2015 (HealthDay News) -- For patients with herpes zoster, satellite lesions are prognostic of high-risk disease, according to a study published online Dec. 30 in the British Journal of Dermatology.

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Vasectomy Reversal Outcomes Up With Same Partner As Before

FRIDAY, Jan. 9, 2015 (HealthDay News) -- Fertility outcomes are improved for men who undergo vasectomy reversal and have the same female partner as before vasectomy, according to a study published in the January issue of The Journal of Urology.

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Education Intervention Ups Fruit, Vegetable Intake

THURSDAY, Jan. 8, 2015 (HealthDay News) -- A nutrition education intervention can increase fruit and vegetable intake among women with breast cancer, according to a study published in the January-February issue of the Journal of Nutrition Education and Behavior.

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Strategies to Improve Skin Lesion Diagnosis Vary in Effectiveness

THURSDAY, Jan. 8, 2015 (HealthDay News) -- Various approaches are used to improve an individual's ability to diagnose skin lesions, with varying effectiveness, according to a review published online Jan. 7 in JAMA Dermatology.

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Posttraumatic Stress Disorder Tied to Development of T2DM

THURSDAY, Jan. 8, 2015 (HealthDay News) -- Women with posttraumatic stress disorder (PTSD) seem more likely than others to develop type 2 diabetes, with severe PTSD almost doubling the risk, new research suggests. The study appears online Jan. 7 in JAMA Psychiatry.

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Novel Anticoagulants Rapidly Adopted Into Clinical Practice

THURSDAY, Jan. 8, 2015 (HealthDay News) -- Novel anticoagulants have been rapidly adopted into clinical practice, and their use is associated with increased health care costs, according to a study published in the November issue of The American Journal of Medicine.

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In Glaucoma, High Blood Pressure May Hinder Rather Than Help

THURSDAY, Jan. 8, 2015 (HealthDay News) -- Chronic hypertension may increase the risk of glaucoma, according to a study conducted in rats and published in the December issue of Investigative Ophthalmology & Visual Science.

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USRDS: Kidney Disease on the Rise, but Patients Faring Better

THURSDAY, Jan. 8, 2015 (HealthDay News) -- Despite a rising incidence of kidney disease, rates of kidney failure and related deaths are declining in the United States, according to a new report.

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Earlier Life Adiposity Trajectories Linked to NAFLD in Teens

THURSDAY, Jan. 8, 2015 (HealthDay News) -- Earlier life trajectories of adiposity are associated with nonalcoholic fatty liver disease (NAFLD) in adolescents, according to a study published in the January issue of the Journal of Gastroenterology and Hepatology.

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California Measles Cases Linked to Disney Park Visits

THURSDAY, Jan. 8, 2015 (HealthDay News) -- Seven people in California and two in Utah with confirmed cases of measles likely contracted the illness during visits to Disney theme parks in December, according to California health officials.

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Stroke Risk Up Post-Cancer Diagnosis

WEDNESDAY, Jan. 7, 2015 (HealthDay News) -- Cancer increases the risk of stroke independently of other stroke risk factors, such as hypertension and diabetes, according to a study published online Jan. 7 in the Annals of Neurology.

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Experts Discuss Pros and Cons of Maintenance of Certification

WEDNESDAY, Jan. 7, 2015 (HealthDay News) -- The pros and cons of the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) are discussed in two articles published in the Jan. 8 issue of the New England Journal of Medicine.

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Intensive Management Lengthens Lifespan in T1DM

WEDNESDAY, Jan. 7, 2015 (HealthDay News) -- Patients with type 1 diabetes mellitus can reduce their overall risk of premature death by conducting multiple blood glucose tests throughout the day and constantly adjusting insulin levels to hit very specific blood glucose targets. These findings are published in the Jan. 6 issue of the Journal of the American Medical Association.

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Annual Cost of Psoriasis Could Reach $135 Billion in U.S.

WEDNESDAY, Jan. 7, 2015 (HealthDay News) -- Psoriasis causes up to $135 billion a year in direct and indirect costs, according to research published online Jan. 7 in JAMA Dermatology.

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Infections in ICU Up Five-Year Mortality for Elderly

WEDNESDAY, Jan. 7, 2015 (HealthDay News) -- Elderly people who develop infections while in an intensive care unit (ICU) are at increased risk of dying within five years after their hospital stay, according to a study published in the Jan. 1 issue of the American Journal of Infection Control.

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Sulfonylurea Rx Ups Testosterone Levels in Men With T2DM

WEDNESDAY, Jan. 7, 2015 (HealthDay News) -- For middle-aged men with type 2 diabetes, sulfonylurea treatment is associated with improvements in total testosterone levels and testosterone secretion index values, according to a study published online Dec. 15 in the Journal of Diabetes Investigation.

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Low Risk of Statin-Linked Hepatic Injury in Liver Disease

WEDNESDAY, Jan. 7, 2015 (HealthDay News) -- For patients with chronic liver disease, statin initiation is associated with low overall incidence of hospitalization due to severe hepatic injury, according to a study published in the January issue of the Journal of Gastroenterology and Hepatology.

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Universal Preconception Care Can Cut Pregestational DM Burden

WEDNESDAY, Jan. 7, 2015 (HealthDay News) -- Universal preconception care (PCC) could prevent the substantial health and cost burden associated with pregestational diabetes mellitus (PGDM), according to a study published in the January issue of the American Journal of Obstetrics & Gynecology.

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Rotating Shift Work May Be Hazardous to Health

WEDNESDAY, Jan. 7, 2015 (HealthDay News) -- Working rotating night shifts (at least three nights spent working each month, in addition to days and evenings worked in the month) may pose a threat to an individual's health, a new study suggests. The findings were published online Jan. 6 in the American Journal of Preventive Medicine.

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Mandatory Gastro Consult Boosts Care in Decompensated Cirrhosis

WEDNESDAY, Jan. 7, 2015 (HealthDay News) -- For patients hospitalized with decompensated cirrhosis (DC), a gastroenterology mandatory consultation (MC) can improve the quality of care, according to a study published online Dec. 30 in the Journal of Hospital Medicine.

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Article Highlights Top Technology Challenges for 2015

WEDNESDAY, Jan. 7, 2015 (HealthDay News) -- The introduction of the International Classification of Diseases, 10th Revision (ICD-10), Health Insurance Portability and Accountability Act (HIPAA) audits, meaningful use 2, and the burdens of technology are the top four technological challenges for physicians in 2015, according to an article published in Medical Economics.

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HPV Vaccination Not Linked to Higher Risk of Multiple Sclerosis

TUESDAY, Jan. 6, 2015 (HealthDay News) -- The quadrivalent human papillomavirus (HPV) vaccine doesn't increase the risk for multiple sclerosis or other demyelinating diseases, according to a new study. The findings appear in the Jan. 6 issue of the Journal of the American Medical Association.

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Diet Advice for CA Prevention: More Veggies, Less Alcohol

TUESDAY, Jan. 6, 2015 (HealthDay News) -- Eating a plant-based diet and limiting alcohol intake may help lower the risk for obesity-related cancers, according to research published online Jan. 6 in Cancer Causes & Control.

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Bariatric Surgery May Extend Life for Severely Obese Adults

TUESDAY, Jan. 6, 2015 (HealthDay News) -- Bariatric surgery appears to prolong life for severely obese adults, according to a new study published in the Jan. 6 issue of the Journal of the American Medical Association.

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CDC: Outpatient Visits for Flu-Like Symptoms Up

TUESDAY, Jan. 6, 2015 (HealthDay News) -- The current flu season, already off to a rough start, continues to get worse, with 43 states now reporting widespread flu activity and 21 child deaths so far, U.S. health officials said Monday.

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Injections for Knee Arthritis Most Effective for Pain Relief

TUESDAY, Jan. 6, 2015 (HealthDay News) -- Using data from 137 studies, researchers have concluded that all of the widely used arthritis treatments provide more relief from knee pain over three months than do placebo pills. The findings are published in the Jan. 6 issue of the Annals of Internal Medicine.

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Excessive Kidney Concerns Prevent Metformin Use in T2DM

TUESDAY, Jan. 6, 2015 (HealthDay News) -- Concerns about safety of metformin in renal impairment may be unnecessarily preventing its use in type 2 diabetes mellitus (T2DM), according to a research letter published online Jan. 5 in JAMA Internal Medicine.

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Diet Rich in Whole Grains May Reduce Overall, CVD Mortality

TUESDAY, Jan. 6, 2015 (HealthDay News) -- Each 1-ounce serving of whole grains can reduce a person's overall risk of mortality by 5 percent, and risk of mortality due to cardiovascular disease by 9 percent, according to findings published online Jan. 5 in JAMA Internal Medicine.

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Following AAP Guidelines Averts Kernicterus in Jaundiced Infants

TUESDAY, Jan. 6, 2015 (HealthDay News) -- Newborns with significant jaundice are not likely to develop kernicterus if American Academy of Pediatrics' treatment guidelines are followed, according to a new study published online Jan. 5 in JAMA Pediatrics.

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'July Effect' Has No Impact on Quality of Care in Stroke

TUESDAY, Jan. 6, 2015 (HealthDay News) -- Researchers investigating the so-called "July effect" found that when recent medical school graduates begin their residency programs every summer in teaching hospitals, this transition doesn't reduce the quality of care for patients presenting with ischemic stroke.

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ACS Reports 22 Percent Drop in Cancer Mortality Over 20 Years

TUESDAY, Jan. 6, 2015 (HealthDay News) -- Progress in the war against cancer has triggered a 22 percent drop in U.S. deaths over the past two decades, translating to about 1.5 million lives saved, according to a new report from the American Cancer Society.

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For ER Patients, Self-Reported Drug Ingestion History Poor

TUESDAY, Jan. 6, 2015 (HealthDay News) -- For patients presenting to the emergency department, self-reported drug ingestion histories are poor when confirmed by urine comprehensive drug screen (CDS), according to a study published in the January issue of The Journal of Clinical Pharmacology.

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Prolonged Bed Rest May Worsen Concussion Recovery

MONDAY, Jan. 5, 2015 (HealthDay News) -- For teens who suffer a mild concussion, more rest may not be better -- and may be worse -- in aiding recovery from the brain injury, new research suggests. The findings of the small study were published online Jan. 5 in Pediatrics.

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Article Highlights Top Management Challenges for 2015

MONDAY, Jan. 5, 2015 (HealthDay News) -- Considerable challenges are projected to impact practice management in 2015, according to an article published in Medical Economics.

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Screens in Sleep Environment Linked to Sleep Duration

MONDAY, Jan. 5, 2015 (HealthDay News) -- Sleep duration is associated with sleeping near a small screen, sleeping with a television in the room, and more screen time, while perceived insufficient rest or sleep correlates with the presence of a small screen and screen time, according to a study published online Jan. 5 in Pediatrics.

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Review: SSRI Use Ups Risk of Upper GI Bleeding

MONDAY, Jan. 5, 2015 (HealthDay News) -- Selective serotonin reuptake inhibitor (SSRI) use is associated with increased risk of upper gastrointestinal bleeding (UGIB), according to a meta-analysis published in the January issue of Clinical Gastroenterology and Hepatology.

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Mediators Explain Paternal Depression, Child Behavior Link

MONDAY, Jan. 5, 2015 (HealthDay News) -- The correlation between depression in fathers in the postnatal period and subsequent child behavior is mainly mediated by the family environment, according to a study published online Jan. 5 in Pediatrics.

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Low Prevalence of Chlamydia, Gonorrhea Suggests Overscreening

MONDAY, Jan. 5, 2015 (HealthDay News) -- For urban women aged 25 years and older, the prevalence of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) is low, and women may be overscreened, according to a study published in the January issue of the American Journal of Obstetrics & Gynecology.

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