July 2012 Briefing - Family Practice

Here are what the editors at HealthDay consider to be the most important developments in Family Practice for July 2012. 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 Rates of Pertussis With Acellular Pertussis Vaccine

TUESDAY, July 31 (HealthDay News) -- Children who receive acellular pertussis vaccines have higher rates of pertussis compared with those receiving whole cell pertussis vaccines, according to a research letter published in the Aug. 1 issue of the Journal of the American Medical Association.

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Levels of Etonogestrel Lower in Obese Women After Implant

TUESDAY, July 31 (HealthDay News) -- Obese women who receive a contraceptive implant have lower drug levels in the six months following implant insertion compared with normal-weight women, according to a study published in the August issue of the American Journal of Obstetrics & Gynecology.

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Cataract Surgery Tied to Lower Hip Fracture Risk in Elderly

TUESDAY, July 31 (HealthDay News) -- Elderly patients with cataract who receive cataract surgery have a reduced likelihood of subsequent hip fracture, compared with those who do not undergo surgery, according to a study published in the Aug. 1 issue of the Journal of the American Medical Association.

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Fifth Link Ups Neuro Outcome in Non-Hospital Cardiac Arrest

TUESDAY, July 31 (HealthDay News) -- Following implementation of the fifth link (multidisciplinary postresuscitation care in a regional center) to the previous four links in the chain of survival concept improves neurological outcomes for patients with out-of-hospital cardiac arrest, according to a study published in the July 31 issue of Circulation.

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Pre-Op Statin Use Ups Insulin Resistance in Heart Surgery

TUESDAY, July 31 (HealthDay News) -- Patients without diabetes who are taking statins prior to cardiac surgery experience increased insulin resistance compared with those not taking statins, according to a study published online July 24 in Diabetes Care.

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No Link Between Telomere Length and Diabetes Risk

TUESDAY, July 31 (HealthDay News) -- Leukocyte telomere length is not independently associated with type 2 diabetes risk in postmenopausal women, according to a study published online July 24 in Diabetes.

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Pelvic Floor Exercises Help With Incontinence in Late Pregnancy

TUESDAY, July 31 (HealthDay News) -- A 12-week exercise program, including pelvic floor muscle training (PFMT), during pregnancy can help prevent and treat urinary incontinence in late pregnancy, according to research published online July 17 in BJOG: An International Journal of Obstetrics and Gynaecology.

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Task Force Still Recommends Against Routine ECG Screening

TUESDAY, July 31 (HealthDay News) -- In an update of the 2004 recommendations, the U.S. Preventive Services Task Force (USPSTF) continues to recommend against routine use of electrocardiogram (ECG) screening of asymptomatic adults for coronary heart disease (CHD), according to a scientific statement published online July 31 in the Annals of Internal Medicine.

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Cases of Delayed Anaphylaxis to Red Meat Described

TUESDAY, July 31 (HealthDay News) -- Individuals who have been bitten by the lone star tick may develop immunoglobulin E (IgE) to the carbohydrate galactose-α-1,3-galactose (alpha-gal), which puts them at risk for delayed anaphylaxis after consumption of meat containing alpha-gal on glycoproteins or glycolipids, according to a study published online July 20 in the Journal of General Internal Medicine.

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Donepezil Found Helpful in Dementia With Lewy Bodies

TUESDAY, July 31 (HealthDay News) -- For patients with dementia with Lewy bodies (DLB), treatment with 5 or 10 mg/day donepezil is associated with significant cognitive, behavioral, and global function improvements, according to research published in the July issue of the Annals of Neurology.

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Depression Triples Between Ages 12 and 15 in Girls in U.S.

MONDAY, July 30 (HealthDay News) -- An average of 12.0 percent of girls aged 12 to 17 years have experienced a major depressive episode (MDE) in the past year, with the rates tripling for girls between the ages of 12 and 15, according to a report published July 19 by the Substance Abuse and Mental Health Services Administration (SAMHSA).

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Baseline HPV Test Predicts Cervical Cancer in Long Term

MONDAY, July 30 (HealthDay News) -- Over 18 years of follow-up, baseline testing showing a negative result for human papillomavirus (HPV) DNA provides greater reassurance against invasive cervical cancer (CIN3+) than baseline normal Papanicolaou (Pap) testing, according to a study published online July 30 in the Journal of Clinical Oncology.

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Early Mediterranean Diet Benefits Arteries in Adulthood

MONDAY, July 30 (HealthDay News) -- Adherence to a Mediterranean dietary pattern in early life is associated with lower arterial stiffness in adulthood, according to a study published online July 19 in the Journal of Internal Medicine.

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Energy-Saving Light Bulbs May Be Harmful to Human Skin

MONDAY, July 30 (HealthDay News) -- Energy-saving compact fluorescent light bulbs emit ultraviolet radiation and may have damaging effects on skin cells, according to a study published online July 20 in Photochemistry and Photobiology.

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Cadmium Linked to Plaque Development in Older Women

MONDAY, July 30 (HealthDay News) -- Cadmium levels in blood and urine are independently associated with the development of atherosclerotic plaques in older women, according to a study published online July 20 in the Journal of Internal Medicine.

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Prior Basal Cell Carcinoma Is Main Predictor of Future BCC

MONDAY, July 30 (HealthDay News) -- Prior basal cell carcinoma (BCC) is the greatest predictor of future incidence of BCC, according to a study published online July 19 in the Journal of Investigative Dermatology.

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Emotional Abuse of Children Prevalent, Yet Hard to Prevent

MONDAY, July 30 (HealthDay News) -- Health care providers can help to promote sensitive and attuned parenting using a range of educational strategies to support families that are at risk for, or show evidence of, psychological mistreatment of children, according to a clinical report from the American Academy of Pediatrics (AAP) published online July 30 in Pediatrics.

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Time Outdoors May Reduce Myopia in Children

MONDAY, July 30 (HealthDay News) -- Increasing time spent outdoors may reduce the development or progression of myopia in children and adolescents, according to a study published online July 20 in Ophthalmology.

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Women With Diabetes Report Low Sexual Satisfaction

MONDAY, July 30 (HealthDay News) -- Women with diabetes are more likely than those without diabetes to report low overall sexual satisfaction, with insulin-treated women at higher risk for problems such as lubrication and orgasm, according to a study published in the August issue of Obstetrics & Gynecology.

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PSA Test Has Cut Metastatic Prostate Cancer at Presentation

MONDAY, July 30 (HealthDay News) -- If incidence rates for the pre-prostate-specific antigen (PSA) testing era (1983 to 1985) were present in the modern U.S. population, three times the number of men would have been expected to present with metastatic (M1) prostate cancer (PC) than the actual number observed in 2008, according to a study published online July 30 in Cancer.

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Self-Efficacy Predicts Fibromyalgia Symptomatology

MONDAY, July 30 (HealthDay News) -- Self-efficacy is a significant predictor of fibromyalgia symptomatology, according to a study published online July 17 in Arthritis Care & Research.

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CDC: Disparities Identified at All Stages of HIV Care

MONDAY, July 30 (HealthDay News) -- Improvements are needed to reduce disparities at each stage of HIV care, according to a report released July 17 by the U.S. Centers for Disease Control and Prevention to coincide with the International AIDS Conference, held from July 22 to 27 in Washington, D.C.

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Poor Sleep Increases Odds of Nursing Home Placement

FRIDAY, July 27 (HealthDay News) -- Older women with fragmented or disturbed sleep have a significantly increased risk of placement in a nursing home or assisted living facility five years later, according to a study published in the July issue of the Journal of the American Geriatrics Society.

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Short/Long-Term Analyses Deem Etanercept Safe for Psoriasis

FRIDAY, July 27 (HealthDay News) -- Etanercept treatment is well tolerated for psoriasis, with no indication of dose-related or cumulative toxicity in short- or long-term analyses, according to a study published in the August issue of the Journal of the American Academy of Dermatology.

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Good Long-Term Limb Salvage for Diabetic Foot Patients

FRIDAY, July 27 (HealthDay News) -- For patients with diabetic foot ulcers (DFUs), long-term limb salvage is favorable; however, long-term survival remains poor, particularly for those with peripheral artery disease (PAD) or chronic renal insufficiency, according to a study published online July 18 in Diabetes Care.

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Study Assesses Impact of Lesion Severity on Coronary Event Risk

FRIDAY, July 27 (HealthDay News) -- Contrary to previous evidence, angiographic lesion severity may predict subsequent risk of ST-segment elevation myocardial infarction (STEMI) within three months, according to a study published in the July 15 issue of The American Journal of Cardiology.

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Racial Disparity in Diabetes Mostly Due to Lifestyle

FRIDAY, July 27 (HealthDay News) -- For postmenopausal women there are large racial/ethnic differences in diabetes incidence, but these are mostly attributable to lifestyle factors, according to a study published online July 25 in Diabetes Care.

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MRSA Skin Infections Up, Linked to Furunculosis

FRIDAY, July 27 (HealthDay News) -- The incidence of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) in the United States is increasing and is associated with follicular infection, most commonly folliculitis followed by furunculosis, according to a review published online July 16 in the British Journal of Dermatology.

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Increased Risk of Vascular Events for Shift Workers

FRIDAY, July 27 (HealthDay News) -- Shift work correlates with an increased risk of vascular events, according to a review published online July 26 in BMJ.

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Rituximab Useful in Idiopathic Membranous Nephropathy

FRIDAY, July 27 (HealthDay News) -- For patients with idiopathic membranous nephropathy (IMN) and persistent nephrotic syndrome, rituximab treatment is associated with good rates of partial or complete remission with stabilized or improved renal function, according to a study published online July 19 in the Journal of the American Society of Nephrology.

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Oral Contraceptives Typically Have Little Impact on Libido

FRIDAY, July 27 (HealthDay News) -- For most women, oral contraceptives do not affect libido, but health care providers should be aware that some women may experience negative effects on sexual function, according to a study published online July 12 in The Journal of Sexual Medicine.

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Low-Dose Duloxetine Deemed Safe for Urinary Incontinence

FRIDAY, July 27 (HealthDay News) -- Duloxetine appears safe for the routine clinical care of women with stress urinary incontinence (SUI), according to a study published online July 23 in the British Journal of Clinical Pharmacology.

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Excess Maternal Iodine Linked to Congenital Hypothyroidism

THURSDAY, July 26 (HealthDay News) -- Excess maternal iodine supplementation can result in congenital hypothyroidism, according to a study published online July 26 in The Journal of Pediatrics.

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Clopidogrel Response Remains Stable After Acute MI

THURSDAY, July 26 (HealthDay News) -- For patients with acute myocardial infarction (AMI) treated with percutaneous coronary intervention (PCI), the rate of high on-treatment platelet reactivity (HTPR) despite clopidogrel therapy remains relatively stable for six months, according to a study published online in the August issue of The American Journal of Cardiology.

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Yoga-Based Rehabilitation Improves Balance After Stroke

THURSDAY, July 26 (HealthDay News) -- For patients with chronic stroke, a yoga-based rehabilitation is associated with improvements in post-stroke variables, including balance and fear of falling, according to a study published online July 26 in Stroke.

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Female Athletes Have Shorter Season Time to Injury

THURSDAY, July 26 (HealthDay News) -- Female varsity athletes have a significantly shorter time to injury than males, regardless of sport or preseason fitness, according to a study published online July 23 in the Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology.

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Selenium, Vitamins C, E May Lower Pancreatic Cancer Risk

THURSDAY, July 26 (HealthDay News) -- Higher intakes of the antioxidants selenium and vitamins C and E reduce the risk of pancreatic cancer by two-thirds, according to a study published online July 23 in Gut.

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Breast Cancer Doesn't Affect Sexual Function in Women

THURSDAY, July 26 (HealthDay News) -- Sexual function does not seem to be significantly disrupted in women with a diagnosis of ductal carcinoma in situ (DCIS), according to a study published online July 19 in The Journal of Sexual Medicine.

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Expanding Medicaid Coverage Cuts Mortality, Improves Health

WEDNESDAY, July 25 (HealthDay News) -- Expansion of Medicaid eligibility is associated with reduced mortality and improvements in various health-related measures, according to a study published online July 25 in the New England Journal of Medicine.

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Study Assesses Cardio Risk Factors in Severely Obese Children

WEDNESDAY, July 25 (HealthDay News) -- Nearly two-thirds of severely obese children aged 12 or younger have at least one cardiovascular risk factor, according to a study published online July 23 in the Archives of Disease in Childhood.

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Immunosuppressant Switch Cuts Skin Cancer Post-Transplant

WEDNESDAY, July 25 (HealthDay News) -- In kidney-transplant patients with at least one cutaneous squamous-cell carcinoma, switching immunosuppressants (from calcineurin inhibitors to sirolimus) is associated with increased skin cancer-free survival and delayed development of new skin cancers, according to a study published in the July 26 issue of the New England Journal of Medicine.

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Coronary CT Angiography in ER Ups Decision-Making Efficiency

WEDNESDAY, July 25 (HealthDay News) -- Incorporating coronary computed tomographic angiography (CCTA) into evaluation of patients presenting to the emergency department with acute coronary syndrome symptoms improves the efficacy of clinical decision making, according to a study published in the July 26 issue of the New England Journal of Medicine.

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Review Assesses Melanoma Burden From Use of Sunbeds

WEDNESDAY, July 25 (HealthDay News) -- Sunbed use correlates with a significantly increased risk of melanoma, with a dose-response association noted as well as an increased risk for those who first use sunbeds before age 35, according to a review published online July 24 in BMJ.

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Shortened Telomere Length Tied to Dementia, Mortality Risk

WEDNESDAY, July 25 (HealthDay News) -- Shortened telomere length (TL) is associated with risks for dementia and mortality in a population of older adults, according to a study published online July 23 in the Archives of Neurology.

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Vitamin E Intake Inversely Linked to Liver Cancer Risk

WEDNESDAY, July 25 (HealthDay News) -- Evidence suggests that vitamin E in the diet or from supplements may reduce the risk of developing liver cancer in men and women, according to research published online July 17 in the Journal of the National Cancer Institute.

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Pramlintide Improves Glucose Control in Type 1 Diabetes

WEDNESDAY, July 25 (HealthDay News) -- The addition of pramlintide, an analog of the naturally-occurring β-cell peptide amylin, before meals improves blood glucose control in patients with type 1 diabetes receiving insulin through an external closed-loop artificial pancreas system, according to a study published online June 18 in Diabetes Care.

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Increased Risk of Heart Attack After Hip, Knee Replacement

WEDNESDAY, July 25 (HealthDay News) -- There is a significantly elevated risk of acute myocardial infarction (AMI) in the six weeks following total hip replacement (THR) and the two weeks following total knee replacement (TKR) surgery, according to a study published online July 23 in the Archives of Internal Medicine.

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Younger Cancer Patients' Psychosocial Needs Unmet

WEDNESDAY, July 25 (HealthDay News) -- Substantial proportions of adolescent and young adult (AYA) cancer patients are not getting their psychosocial needs met, particularly in adult care settings, according to a study published in a supplement to the May 15 issue of Cancer.

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Forefoot Joints Don't Improve 28-Joint Count Measurement

WEDNESDAY, July 25 (HealthDay News) -- For the assessment of patients with early rheumatoid arthritis (RA), including forefoot joints does not significantly improve the precision or range of measurement of the 28-tender and swollen joint count, according to a study published online July 16 in Arthritis Care & Research.

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Two-Thirds of Medicaid Patients Adherent to Chronic Meds

TUESDAY, July 24 (HealthDay News) -- Based on a Medicaid claims model, among New York City (NYC) Medicaid participants, adherence to chronic medications is inadequate, with considerable racial disparities noted, according to a study published online June 22 in the Journal of Urban Health.

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Recommended Tests Poorly Utilized in Hypertensive Teens

TUESDAY, July 24 (HealthDay News) -- Guideline-recommended diagnostic echocardiograms and renal ultrasonography are poorly utilized in Medicaid-eligible adolescents with essential hypertension, according to research published online July 23 in the Archives of Pediatrics & Adolescent Medicine.

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CDC: HIV-Risk Behaviors Stable for U.S. High School Students

TUESDAY, July 24 (HealthDay News) -- Although there were reductions in HIV-related risk behavior among U.S high school students from 1991 to the early 2000s, behaviors have subsequently stabilized, according to research published in the June 24 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report to coincide with the International AIDS Conference, held from July 22 to 27 in Washington, D.C.

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CDC: No Change in Proportion of Unintended Births in U.S.

TUESDAY, July 24 (HealthDay News) -- The proportion of unintended births in the United States has remained unchanged from 1982, and was about 37 percent in 2006 to 2010, according to a report issued July 24 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Role of Annual Well-Woman Assessment Reviewed

TUESDAY, July 24 (HealthDay News) -- For women, an annual assessment is an important part of medical care and should include screening, evaluation, and counseling, according to a Committee Opinion published online July 23 in Obstetrics & Gynecology.

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Altered Brain Structure Seen in Institutionalized Children

TUESDAY, July 24 (HealthDay News) -- Romanian children who are institutionalized have less gray and white brain matter, although white matter volume returns to normal levels in children who go into high-quality foster care, according to a study published online July 23 in the Proceedings of the National Academy of Sciences.

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Many With Private Insurance Dissatisfied With Coverage

TUESDAY, July 24 (HealthDay News) -- A comparison of patient experiences with Medicare and employer-sponsored insurance suggests that there are more negative experiences and less satisfaction among individuals with private plans, according to a study published online July 18 in Health Affairs.

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Effects of Heavy Alcohol Exposure During Pregnancy Evaluated

TUESDAY, July 24 (HealthDay News) -- Binge drinking and total alcohol intake during pregnancy correlate with child abnormalities linked to alcohol exposure, according to a study published online July 23 in Alcoholism: Clinical & Experimental Research.

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Father-Infant Interactions Predict Behavior Problems

TUESDAY, July 24 (HealthDay News) -- The quality of interactions between fathers and their infants may predict the development of behavioral problems in childhood, according to a study published online July 19 in the Journal of Child Psychology and Psychiatry.

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Modest Prediction of Preterm Birth Using Clinical Features

MONDAY, July 23 (HealthDay News) -- For healthy nulliparous women, the ability to predict spontaneous preterm birth (SPTB) using clinical characteristics is modest, according to a study published online July 16 in PLoS One.

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Study Supports Longer Scope Intervals Post-Polypectomy

MONDAY, July 23 (HealthDay News) -- For individuals who have had at least one adenoma removed at colonoscopy, the risk of developing colorectal cancer is greatly reduced up to five years later, according to a study published online June 23 in the Journal of Clinical Oncology.

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Accurate Videos of Epley Maneuver Available on YouTube

MONDAY, July 23 (HealthDay News) -- Video-sharing Web sites such as YouTube accurately demonstrate the Epley Maneuver (EM), a simple treatment for benign paroxysmal positional vertigo of the posterior canal, according to a study published in the July 24 issue of Neurology.

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For Smokers, Vitamin D Deficiency Tied to Lung Decline

MONDAY, July 23 (HealthDay News) -- For current male smokers, vitamin D deficiency correlates with lower lung function and more rapid lung function decline, according to a study published online July 19 in the American Journal of Respiratory and Critical Care Medicine.

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Experts Advise Antiretrovirals for All HIV-Infected Patients

MONDAY, July 23 (HealthDay News) -- Based on recent data, current recommendations suggest that all patients infected with HIV should be treated with antiretroviral therapy (ART), according to research published in the July 25 issue of the Journal of the American Medical Association, a theme issue on HIV/AIDS, to coincide with the International AIDS Conference, held from July 22 to 27 in Washington, D.C.

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Infants at Greatest Risk in 2010 California Pertussis Epidemic

FRIDAY, July 20 (HealthDay News) -- In the 2010 California pertussis epidemic, all deaths and most hospitalizations occurred in infants younger than 3 months of age, according to research published online July 19 in the Journal of Pediatrics.

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Study Examines Effect of Trisomy 13, 18 on Families, Providers

MONDAY, July 23 (HealthDay News) -- Parents of children with trisomy 13 and trisomy 18 (T13-18) who belong to social networks have positive experiences in spite of the difficulties, and report that their children enrich their family life, according to a study published online July 23 in Pediatrics.

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Most Idiopathic Toe-Walkers Stop Spontaneously by Age 5.5 Years

MONDAY, July 23 (HealthDay News) -- Idiopathic toe-walking at age 5.5 years is more prevalent among children with a neuropsychiatric diagnosis or developmental delay, according to a study published online July 23 in Pediatrics.

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Children Continue to Be Underrepresented in Drug Trials

MONDAY, July 23 (HealthDay News) -- Even for conditions with a high pediatric disease burden, only a small proportion of clinical drug trials study pediatric patients, according to research published online July 23 in Pediatrics.

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HIV Drug-Resistance Up in Resource-Limited Settings

MONDAY, July 23 (HealthDay News) -- In resource-limited settings, the prevalence of HIV-1 drug resistance has increased since antiretroviral rollout, according to a study published online July 23 in The Lancet.

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Many Adults With Diabetes Have No Insurance Coverage

MONDAY, July 23 (HealthDay News) -- Approximately two million adults under the age of 65 years with diabetes have no health insurance, according to research published online July 11 in Diabetes Care.

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Hair Loss Drug Shows Long-Term Sexual Side Effects

MONDAY, July 23 (HealthDay News) -- For men with finasteride-associated side effects, sexual dysfunction may persist for months or years, even after discontinuation of the drug, according to a study published online July 12 in The Journal of Sexual Medicine.

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'Genetic Score' May Improve Prostate Cancer Prediction

MONDAY, July 23 (HealthDay News) -- A genetic score can modestly improve the prediction of which men are likely to have positive biopsies for prostate cancer after an initial negative biopsy, according to a study published online May 16 in European Urology.

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Health Benefits of More Stringent Ozone Standard Estimated

FRIDAY, July 20 (HealthDay News) -- Achieving more stringent primary ozone standards could lead to considerable reductions in ozone-related premature deaths, acute respiratory symptoms, and lost school days, according to a study published online July 18 in Environmental Health Perspectives.

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HIV Racial Disparities Noted for Men Who Have Sex With Men

FRIDAY, July 20 (HealthDay News) -- Similar racial disparities are seen in HIV infection for men who have sex with men (MSM) in the United States and the United Kingdom, according to a study published online July 20 in The Lancet.

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Adoption of New Screening Guidelines Ups GDM Diagnosis

FRIDAY, July 20 (HealthDay News) -- Implementation of the International Association of Diabetes in Pregnancy Study Group (IADPSG) recommendations for gestational diabetes mellitus (GDM) screening in Israel would increase GDM diagnoses by approximately 50 percent, with risk stratification recommended to reduce over-treatment, according to research published online July 11 in Diabetes Care.

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High-Strain, Active Jobs Up Cardio Disease Risk for Women

FRIDAY, July 20 (HealthDay News) -- For women, high-strain and active jobs correlate with an increased long-term risk of cardiovascular disease (CVD), according to a study published online July 18 in PLoS One.

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Peri-Op Antidepressant Use Safe for Face-Lift Surgery

FRIDAY, July 20 (HealthDay News) -- For patients undergoing face-lift surgery, perioperative use of selective serotonin reuptake inhibitors (SSRIs) seems safe and does not adversely affect outcome, according to a study published in the July/August issue of the Archives of Facial Plastic Surgery.

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Animal Study: Long-Term Ritalin Doesn't Impact Growth

FRIDAY, July 20 (HealthDay News) -- Chronic use of methylphenidate (Ritalin) in young monkeys has no significant effect on growth or the dopamine system, or the likelihood of becoming addicted to cocaine, according to a study published online July 18 in Neuropsychopharmacology.

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Pertussis Reaches Epidemic Level in Washington State

THURSDAY, July 19 (HealthDay News) -- Pertussis rates may reach record levels this year in the United States, where Washington state is experiencing an ongoing epidemic, according to a report published in the July 20 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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Higher Phthalate Levels Linked to Diabetes Risk in Women

THURSDAY, July 19 (HealthDay News) -- Urinary levels of several phthalates are associated with an increased odds of diabetes in women, according to a study published online July 13 in Environmental Health Perspectives.

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Drop in Children's Milk Intake Not Tied to Sweet Drink Intake

THURSDAY, July 19 (HealthDay News) -- Decreased milk consumption in children from fifth grade to eighth grade is not associated with changes in sweetened-beverage consumption, according to a study published online July 18 in the Journal of the Academy of Nutrition and Dietetics.

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Benefits of Prostate-Specific Antigen Testing Remain Unclear

THURSDAY, July 19 (HealthDay News) -- It remains unclear whether the benefits of prostate-specific antigen (PSA) testing outweigh the harms, but evidence suggests that men with a longer life expectancy may benefit from testing, according to a provisional clinical opinion from the American Society of Clinical Oncology published online July 16 in the Journal of Clinical Oncology.

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Most Doctors Satisfied With Electronic Health Records

THURSDAY, July 19 (HealthDay News) -- Although only 55 percent of physicians had adopted electronic health records (EHRs) in 2011, most are somewhat or very satisfied with their system and most report enhanced patient care, according to a July data brief issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Chronic Periodontitis Increases Risk of Psoriasis

THURSDAY, July 19 (HealthDay News) -- Patients with chronic periodontitis (CP) are 1.5 times more likely to be diagnosed with psoriasis, and this risk is lessened but not nullified by CP treatment using gingivectomy or periodontal flap operation, according to research published online July 3 in the British Journal of Dermatology.

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High Serum Ceramides Linked to Increased Alzheimer's Risk

THURSDAY, July 19 (HealthDay News) -- Older women with high levels of specific serum ceramides have an increased risk of developing Alzheimer's disease (AD), according to a study published online July 18 in Neurology.

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~12,000 Preventable Deaths in English Hospitals Annually

THURSDAY, July 19 (HealthDay News) -- Approximately 12,000 hospital deaths in England each year are preventable, according to research published online July 7 in BMJ Quality & Safety.

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Post-Pneumonectomy, New Lung Growth ID'd in Adult Patient

THURSDAY, July 19 (HealthDay News) -- New lung growth can occur in adult humans, according to a case report published in the July 19 issue of the New England Journal of Medicine.

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Swedish Study Questions Value of Mammography Screening

THURSDAY, July 19 (HealthDay News) -- County-specific mortality statistics from Sweden indicate little benefit of mammography screening on breast cancer mortality, according to a study published online July 17 in the Journal of the National Cancer Institute.

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ANCA-Associated Vasculitis Has Genetic Component

THURSDAY, July 19 (HealthDay News) -- A genome-wide association study of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis shows a genetic contribution to disease susceptibility, which differs between granulomatosis with polyangiitis and microscopic polyangiitis, according to a study published in the July 19 issue of the New England Journal of Medicine.

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Discrepancy in Perception of RA Disease Activity Elucidated

THURSDAY, July 19 (HealthDay News) -- Patients with rheumatoid arthritis (RA) see pain as the most significant determinant of their disease activity, while physicians see joint swelling as the most important determinant, according to a study published online July 18 in Arthritis & Rheumatism.

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Poorer Patient Experience at Safety-Net Hospitals

THURSDAY, July 19 (HealthDay News) -- Safety-net hospitals (SNHs) perform worse on nearly every measure of patient experience, according to a study published online July 16 in the Archives of Internal Medicine.

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Another New Weight-Loss Drug Approved

WEDNESDAY, July 18 (HealthDay News) -- Qsymia (phentermine and topiramate extended-release) has been approved by the U.S. Food and Drug Administration, making it the second weight-loss drug to be given the agency's green light in less than a month.

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HIV-2 Infection Inhibits HIV-1 Disease Progression

WEDNESDAY, July 18 (HealthDay News) -- HIV-1 disease progression seems to be inhibited by co-infection with HIV-2, with the slower rate of progression enhanced in those whose HIV-2 infection preceded HIV-1 infection, according to a study published in the July 19 issue of the New England Journal of Medicine.

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Oral Immunotherapy Promising for Children With Egg Allergy

WEDNESDAY, July 18 (HealthDay News) -- Oral immunotherapy represents a promising therapeutic intervention for children with egg allergy, according to a study published in the July 19 issue of the New England Journal of Medicine.

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Radical Prostatectomy Doesn't Cut Mortality Versus Observation

WEDNESDAY, July 18 (HealthDay News) -- For men with clinically localized prostate cancer, radical prostatectomy does not significantly reduce all-cause or prostate-cancer mortality compared with observation through 12 years of follow-up, according to a study published in the July 19 issue of the New England Journal of Medicine.

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Intervention to Prevent Stroke, Dementia Cuts Long-Term Care

WEDNESDAY, July 18 (HealthDay News) -- In a real-world clinical setting, a multidomain prevention program for stroke and dementia can reduce the risk of long-term care (LTC) dependence, according to a study published online July 17 in the Journal of the American Heart Association.

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Bariatric Surgery Does Not Reduce Health Care Expenses

WEDNESDAY, July 18 (HealthDay News) -- In a group of older men with substantial disease burden, bariatric surgery is not associated with reduced health care expenditures within three years of surgery, according to research published in the July issue of the Archives of Surgery.

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Mortality Risk Up for Fast-Walking Elderly With High BP

WEDNESDAY, July 18 (HealthDay News) -- Among elderly adults, the correlation between blood pressure (BP) and mortality varies with walking speed, according to research published online July 16 in the Archives of Internal Medicine.

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Physical Inactivity Accounts for Considerable Disease Burden

WEDNESDAY, July 18 (HealthDay News) -- Physical inactivity has a considerable impact on the burden of major non-communicable diseases, and causes 9 percent of premature mortality worldwide, according to a study published online July 18 in The Lancet.

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Smoking Ups Recurrent Viral Hepatitis Post-Liver Transplant

WEDNESDAY, July 18 (HealthDay News) -- For liver transplant recipients, smoking correlates with an increased risk of recurrent viral hepatitis, according to a study published in the July issue of Liver Transplantation.

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High Infant Birth Weight Ups Maternal Breast Cancer Risk

WEDNESDAY, July 18 (HealthDay News) -- For women who give birth to large birth weight infants, there is an increased risk of breast cancer, even after adjustment for the mother's birth weight and traditional breast cancer risk factors, according to a study published online July 17 in PLoS One.

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Milk Thistle Not Effective for Refractory Chronic Hepatitis C

WEDNESDAY, July 18 (HealthDay News) -- Use of the milk thistle extract silymarin does not provide additional benefit compared with placebo for patients with treatment-resistant chronic hepatitis C virus (HCV), according to a study published in the July 18 issue of the Journal of the American Medical Association.

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Interferon Beta Doesn't Reduce Disability Progression in MS

WEDNESDAY, July 18 (HealthDay News) -- Interferon beta does not reduce the progression of disability in patients with relapsing-remitting multiple sclerosis (MS), according to a study published in the July 18 issue of the Journal of the American Medical Association.

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Obesity Linked to Economic Status in Developing Countries

WEDNESDAY, July 18 (HealthDay News) -- In low- and middle-income developing countries, socioeconomic status (SES) plays an important role in the development of obesity, particularly in women, according to research published online July 5 in Obesity Reviews.

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First Drug Approved to Lower Risk of Acquiring HIV

TUESDAY, July 17 (HealthDay News) -- Truvada (emtricitabine/tenofovir disoproxil fumarate) is the first drug to be approved by the U.S. Food and Drug Administration to reduce the risk of contracting HIV among adults at higher risk of acquiring the AIDS-causing virus.

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Adding Stroke Severity Measure Improves Mortality Risk Models

TUESDAY, July 17 (HealthDay News) -- Adding stoke severity to a hospital 30-day mortality risk model improves model discrimination and hospital performance rankings, according to a study published in the July 18 issue of the Journal of the American Medical Association.

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New Drug Approved for Colonoscopy Preparation

TUESDAY, July 17 (HealthDay News) -- Prepopik (sodium picosulfate, magnesium oxide, and citric acid) has been approved by the U.S. Food and Drug Administration for adults preparing for a colonoscopy, a diagnostic procedure to inspect the colon's inner lining.

National Digestive Diseases Information Clearinghouse

Social Network Analysis IDs Informal Physician Networks

TUESDAY, July 17 (HealthDay News) -- Informal networks among physicians who share patients demonstrate substantial geographic variability, while within networks, physician and patient characteristics are similar, according to a study published in the July 18 issue of the Journal of the American Medical Association.

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Missed Sleep May Contribute to Asthma Morbidity

TUESDAY, July 17 (HealthDay News) -- Missed sleep may contribute to asthma morbidity in urban children, according to a study published in the July issue of the Annals of Allergy, Asthma & Immunology.

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Urinary Incontinence Common in Never-Pregnant Women

TUESDAY, July 17 (HealthDay News) -- Urinary incontinence (UI) is common in self-reports by young women who have never been pregnant, according to a study published in the July 17 issue of the Annals of Internal Medicine.

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Gut Microbiota Correlate With Diet, Health in Elderly

TUESDAY, July 17 (HealthDay News) -- Analysis of gut microbiota from elderly individuals shows distinct groups that correlate with measures of health, including frailty and markers of inflammation, according to a study published online July 13 in Nature.

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Prevalence of Gout Increases With Increasing BMI

TUESDAY, July 17 (HealthDay News) -- Having an increased body mass index (BMI) correlates with increased prevalence of gout in adults, according to study published online July 6 in Arthritis Care & Research.

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NYC Restriction Tied to Lower Trans Fat Content of Fast Food

TUESDAY, July 17 (HealthDay News) -- The introduction of restaurant regulations restricting trans fat use in New York City (NYC) correlated with a significant decrease in the trans fat content of fast food purchases, according to a study published in the July 17 issue of the Annals of Internal Medicine.

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Physical Abuse Doubles Risk of Metabolic Syndrome in Women

TUESDAY, July 17 (HealthDay News) -- After adjusting for age, ethnicity, and menopausal status, a history of childhood physical abuse more than doubles a woman's risk of developing metabolic syndrome during midlife, according to research published online July 9 in Health Psychology.

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CO2 Laser Resurfacing Improves Atrophic Acne Scars

TUESDAY, July 17 (HealthDay News) -- The texture and atrophy of moderate-to-severe atrophic acne scars can be improved using ablative fractional carbon dioxide (CO2) laser resurfacing treatment once a month for three months, according to a study published in the August issue of Lasers in Surgery and Medicine.

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Induction Chemo Beneficial in Locally Advanced Pancreatic CA

TUESDAY, July 17 (HealthDay News) -- For most patients with locally advanced pancreatic carcinoma (LAPC), induction with a combination of gemcitabine and oxaliplatin (GEMOX) followed by chemoradiotherapy (CRT) is feasible, resulting in clinical benefit, a chance of resectability, and improved survival, according to a study published online July 6 in Cancer.

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Sodium Accumulation Noted in Brain in Multiple Sclerosis

TUESDAY, July 17 (HealthDay News) -- Use of sodium 23 (23Na) magnetic resonance imaging (MRI) has identified dramatic increases in total sodium concentration (TSC) in the brain of patients with advanced relapsing-remitting multiple sclerosis (RR MS), with increased sodium in gray matter correlating with disability, according to a study published online July 17 in Radiology.

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Aspirin Still First-Line Therapy for Unstable Angina/NSTEMI

MONDAY, July 16 (HealthDay News) -- Aspirin is still the first line of therapy for patients with unstable angina or non-ST-elevation myocardial infarction (NSTEMI), and ticagrelor can be used in place of clopidogrel or prasugrel instead of aspirin or as a second antiplatelet agent, according to a report from the American College of Cardiology Foundation (ACCF)/American Heart Association (AHA) published online July 16 in Circulation.

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One in Five 19- to 64-Year-Old U.S. Women Uninsured in 2010

MONDAY, July 16 (HealthDay News) -- In 2010, 20 percent of women aged 19 to 64 years were uninsured, with many more inadequately insured, according to a report published July 13 by the Commonwealth Fund.

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Playing Team Sports Can Reduce Teen Obesity by ~25 Percent

MONDAY, July 16 (HealthDay News) -- High school students who play at least two team sports or walk or bike to school several days a week are less likely to be obese, according to a study published online July 16 in Pediatrics.

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Youth Access to Indoor Tanning Has Decreased Since 2003

MONDAY, July 16 (HealthDay News) -- Since 2003 there has been an increase in the number of countries with nationwide indoor tanning legislation restricting access for youth, according to a study published online July 16 in the Archives of Dermatology.

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Shorter Scope Interval Supported for Better CA Stage at Diagnosis

MONDAY, July 16 (HealthDay News) -- There is a significant benefit in the cancer stage at diagnosis for patients who undergo endoscopy screening, with similar benefits seen for intervals of one, two, and three years, according to a study published online July 16 in Cancer.

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Using a Pedometer Ups Leisure Walking Time for Older Adults

MONDAY, July 16 (HealthDay News) -- Compared with time-based physical activity goals, using a pedometer to measure steps increases leisure walking time, even a year after the initial intervention, according to a study published in the May/June issue of the Annals of Family Medicine.

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Macromastia Has Substantial Negative Impact on Teens

MONDAY, July 16 (HealthDay News) -- Adolescents with macromastia have reduced health-related quality of life, lower self-esteem, more breast-related symptoms, and are at higher risk for disordered eating, compared with their peers, according to a study published online July 16 in Pediatrics.

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Child Abuse Admissions Up During Mortgage Crisis

MONDAY, July 16 (HealthDay News) -- The rates of hospital admissions of children for physical abuse and high-risk traumatic brain injury (TBI) have increased over the past 10 years and appear to be associated with the housing mortgage crisis, according to research published online July 16 in Pediatrics.

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Physical Illness Hospitalization Found to Increase Suicide Risk

MONDAY, July 16 (HealthDay News) -- Hospitalization for physical illness more than doubles the risk of suicide, with approximately one-quarter of suicides attributable to physical illness, according to research published online July 9 in the Journal of Internal Medicine.

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Pain, Disability Don't Predict Function in Spinal Stenosis

MONDAY, July 16 (HealthDay News) -- For patients with lumbar spinal stenosis (LSS), subjective measures of pain and disability have limited ability to predict real-life ambulatory performance, according to a study published in the July 1 issue of Spine.

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Dietary Self-Monitoring Linked to Greater Weight Loss

MONDAY, July 16 (HealthDay News) -- Dietary self-monitoring in the form of food journal use correlates with improved weight loss, while missing meals and eating out frequently are associated with less weight loss among postmenopausal overweight-to-obese women, according to a study published online July 16 in the Journal of the Academy of Nutrition and Dietetics.

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Factors Influencing Hepatitis C RNA Levels in Drug Users ID'd

MONDAY, July 16 (HealthDay News) -- Levels of hepatitis C virus (HCV) RNA in injection drug users are independently associated with various demographic, viral, and host genetic factors, including being older, male, African-American, and co-infected with HIV, according to a study published in the July issue of Hepatology.

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Free Light Chains Identified in Chronic Rhinosinusitis

MONDAY, July 16 (HealthDay News) -- Patients with chronic rhinosinusitis (CRS) have increased free light chain (FLC) concentrations, particularly those with CRS with nasal polyps (CRSwNP), according to a study published online July 5 in Allergy.

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Dental Composite Affects Child Psychosocial Functioning

MONDAY, July 16 (HealthDay News) -- Children with greater exposure to bisphenol-A-glycidyl-methacrylate (bisGMA)-based dental composite exhibit impaired psychosocial functioning compared with children exposed to urethane dimethacrylate-based compomer, according to a study published online July 16 in Pediatrics.

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Vitamin D Deficiency Linked to Poorer Lung Function in Children

FRIDAY, July 13 (HealthDay News) -- For children with asthma treated with inhaled corticosteroids, vitamin D deficiency correlates with poorer lung function, compared to that of children with vitamin D sufficiency or insufficiency, according to a study published online July 12 in the American Journal of Respiratory and Critical Care Medicine.

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Maternal Obesity Linked to Impaired Fetal Iron Transfer

FRIDAY, July 13 (HealthDay News) -- Maternal obesity is associated with impaired iron transfer to the fetus, possibly through upregulation of hepcidin, according to a study published online June 21 in the Journal of Perinatology.

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Hyperfiltration Independent Risk Factor for Diabetic Neuropathy

FRIDAY, July 13 (HealthDay News) -- In patients with type 2 diabetes, persistent glomerular hyperfiltration is associated with nephropathy and greater declines in renal function, according to a study published online July 6 in Diabetes Care.

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Nebivolol Better Preserves Exercise Performance at Altitude

FRIDAY, July 13 (HealthDay News) -- Under high altitude (HA) hypoxemia conditions, exercise performance seems to be better preserved with nebivolol than carvedilol, according to a study published in the August issue of Cardiovascular Therapeutics.

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Report Shows Improvements in Child Well-Being in 2011

FRIDAY, July 13 (HealthDay News) -- While the infant mortality rate, premature births, and teen births are declining, more children are living in poverty, according to the federal government's annual statistical report on the well-being of the nation's children and youth.

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Brain Tracer Indicates Risk of Future Cognitive Decline

FRIDAY, July 13 (HealthDay News) -- A radioactive tracer that can image amyloid-beta deposits in the brain can indicate whether older adults are at risk of cognitive decline and developing Alzheimer's disease, according to a study published online July 11 in Neurology.

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High Phobic Anxiety Linked to Relative Telomere Length

FRIDAY, July 13 (HealthDay News) -- Older women who have phobic anxiety have shorter relative telomere lengths, according to a study published online July 11 in PLoS One.

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Quality Care Demonstrated at Federally Qualified Health Centers

FRIDAY, July 13 (HealthDay News) -- Physicians working at Federally Qualified Health Centers (FQHCs) and FQHC look-alikes have similar or greater adherence to guidelines than primary care physicians (PCPs) at private practices, for 18 quality measures, according to a study published online July 10 in the American Journal of Preventive Medicine.

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Vaginal Dilation Outcomes Equivalent to Vaginoplasty

FRIDAY, July 13 (HealthDay News) -- Long-term psychosexual outcomes for patients undergoing vaginal dilation are at least equivalent to those undergoing vaginoplasty, according to a study published in the July issue of The Journal of Sexual Medicine.

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Hypertrophy Common in Older Patients With Port-Wine Stains

FRIDAY, July 13 (HealthDay News) -- Hypertrophy is present in the majority of patients with port-wine stains (PWS) who are over the age of 50 years, according to a study published online July 2 in the Journal of the American Academy of Dermatology.

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Resistance Exercise Improves Insulin Sensitivity in Obese Boys

THURSDAY, July 12 (HealthDay News) -- Both aerobic and resistance exercise (without calorie restriction) reduce fat and improve fitness in obese adolescent boys, although only resistance exercise improves insulin sensitivity, according to a study published online June 29 in Diabetes.

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Active Surveillance Cost-Effective for Prostate Cancer

THURSDAY, July 12 (HealthDay News) -- In a theoretical cohort of 120,000 men, selecting active surveillance for prostate cancer results in considerable cost savings at five and 10 years of follow-up, compared with immediate treatment, according to a study published in the July issue of Cancer.

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Less Stress Prevents Brain Lesions in Multiple Sclerosis

THURSDAY, July 12 (HealthDay News) -- A 24-week stress management therapy (SMT) program reduces the number of new gadolinium-enhancing (Gd+) brain lesions in patients with relapsing multiple sclerosis (MS), but effects are not sustained after 24 weeks, according to research published online July 11 in Neurology.

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People Born in the Fall More Likely to Survive to 100

THURSDAY, July 12 (HealthDay News) -- People born in the fall, from September to November, are significantly more likely to reach 100 years of age compared with those born in March, according to a study published in the Journal of Aging Research.

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CDC: Babesiosis Risk in Northeast/Upper Midwest Travel

THURSDAY, July 12 (HealthDay News) -- Adults and children are vulnerable to a host of tick- and mosquito-borne diseases in many Midwestern, Northeastern, and Southwestern states, according to two reports published in the July 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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Social Influence, Choice of Friends Impact Teen Obesity

THURSDAY, July 12 (HealthDay News) -- Social influence and the tendency to select similar friends both play a role in patterns of obesity among adolescents, according to a study published online June 29 in PLoS One.

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Children With Disabilities More Likely to Experience Violence

THURSDAY, July 12 (HealthDay News) -- Children with disabilities are more likely to be the victims of violence than their nondisabled peers, but the paucity of robust evidence leaves gaps in the field that need to be addressed, according to a study published online July 12 in The Lancet.

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Turmeric Component Reduces Type 2 Diabetes Incidence

THURSDAY, July 12 (HealthDay News) -- A component of turmeric -- curcumin -- reduces the incidence of type 2 diabetes and improves β-cell function in adults with prediabetes, according to a study published online July 6 in Diabetes Care.

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Most Breast Cancer Patients Return to Working Same Hours

THURSDAY, July 12 (HealthDay News) -- Nearly three-quarters of women treated for breast cancer return to their prediagnosis working time, according to a study published online July 9 in the Journal of Clinical Oncology.

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Long-Term Mortality Risk Low After Cerebral Vein Thrombosis

THURSDAY, July 12 (HealthDay News) -- For patients who survive a cerebral vein thrombosis (CVT), the long-term risk of mortality and recurrent venous thromboembolism (VTE) seems to be low, according to a study published in the July issue of the Journal of Thrombosis and Haemostasis.

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Abuse-Deterrent OxyContin Produces Unexpected Outcome

THURSDAY, July 12 (HealthDay News) -- Introduction of an abuse-deterrent formulation of OxyContin correlated with a significant reduction in its abuse, but was accompanied by an increase in abuse of other opioids and heroin, according to a letter published in the July 12 issue of the New England Journal of Medicine.

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RA Patients Are Receiving Recommended Cancer Screenings

THURSDAY, July 12 (HealthDay News) -- Patients with rheumatoid arthritis (RA) receive cancer screening tests at higher rates than that of the general population, according to a study published online July 10 in Arthritis & Rheumatism.

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Erectile Dysfunction Prevalence Higher in HIV-Infected Men

THURSDAY, July 12 (HealthDay News) -- HIV infection in men is a strong, independent predictor of erectile dysfunction (ED), regardless of age and body mass index (BMI), according to a study published in the July issue of The Journal of Sexual Medicine.

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Resistance Training Improves Some Inflammatory Markers

WEDNESDAY, July 11 (HealthDay News) -- Resistance training (RT) can reduce visceral fat and alter levels of certain inflammatory markers, according to research published in the July issue of Obesity Reviews.

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Alcohol Intake Attenuates Bone Turnover After Menopause

WEDNESDAY, July 11 (HealthDay News) -- For postmenopausal women, there are increased levels of markers of bone turnover with alcohol abstinence, while resumption of alcohol intake reduces levels of these markers, according to a study published online July 9 in Menopause.

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HIV Preexposure Prophylaxis With Antiretrovirals Explored

WEDNESDAY, July 11 (HealthDay News) -- The efficacy of prophylactic treatment with the antiretroviral combination of tenofovir and emtricitabine (TDF-FTC) seems to vary in different populations, according to three studies published online July 11 in the New England Journal of Medicine.

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Pathophysiology May Help ID Rare, Early Form of Alzheimer's

WEDNESDAY, July 11 (HealthDay News) -- In dominantly inherited Alzheimer's disease, clinical and biomarker changes occur decades before the expected onset of disease symptoms, according to a study published online July 11 in the New England Journal of Medicine.

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Legalization of Euthanasia Has Not Altered Prevalence

WEDNESDAY, July 11 (HealthDay News) -- Current trends in the frequency and characteristics of euthanasia in the Netherlands are similar to those seen before enactment of the euthanasia law in 2002, according to a study published online July 11 in The Lancet.

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Considerable Variation in Weight Gain for Those Who Quit Smoking

WEDNESDAY, July 11 (HealthDay News) -- Individuals who quit smoking gain a mean of 4 to 5 kg within the first 12 months, with the greatest weight gain occurring during the first three months, according to a meta-analysis published online July 10 in BMJ.

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Current Resources Inadequate for Geriatric Mental Health

WEDNESDAY, July 11 (HealthDay News) -- As the geriatric population increases, the prevalence of geriatric mental health/substance use (MH/SU) disorders is increasing, necessitating changes, according to a report published July 10 by the Institute of Medicine (IOM).

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Drug-Eluting Stent Use Unrelated to Probable Benefit

WEDNESDAY, July 11 (HealthDay News) -- The use of drug-eluting stents (DES) after percutaneous coronary intervention (PCI) is not related to the patients' predicted risk of target-vessel revascularization (TVR), according to a study published online July 9 in the Archives of Internal Medicine.

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Analysis Supports Cranberry Products for Reducing UTI Risk

WEDNESDAY, July 11 (HealthDay News) -- For some individuals, use of cranberry-containing products appear to protect against urinary tract infections (UTIs), according to the results of a review and meta-analysis published in the July 9 issue of the Archives of Internal Medicine.

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Supplement Mixture Improves Memory in Mild Alzheimer's

WEDNESDAY, July 11 (HealthDay News) -- A supplement mixture (Souvenaid) containing dietary precursors and specific nutrients can improve memory in drug-naive patients with mild Alzheimer's disease (AD), according to a study published in the July issue of the Journal of Alzheimer's Disease.

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Moderate Drinking Cuts Risk of Rheumatoid Arthritis in Women

WEDNESDAY, July 11 (HealthDay News) -- Moderate alcohol consumption correlates with reduced incidence of rheumatoid arthritis (RA) among women, according to a study published online July 10 in BMJ.

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Tests ID'd for Use in Outcome Assessment of Spinal Stenosis

WEDNESDAY, July 11 (HealthDay News) -- For patients with lumbar spinal stenosis the Oswestry Disability Index, Modified Swiss Spinal Stenosis Scale (SSS), and Patient Specific Functional Scale have been shown to possess adequate psychometric properties for use in assessment of outcome, according to a study published online July 2 in The Spine Journal.

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Emergency Service Hospital Prenotification Ups Stroke Tx

TUESDAY, July 10 (HealthDay News) -- Emergency medical service (EMS) hospital prenotification results in more timely imaging and administration of tissue plasminogen activator (tPA) and an increased proportion of eligible patients with acute ischemic stroke receiving tPA, according to a study published online July 10 in Circulation: Cardiovascular Quality and Outcomes.

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Breastfeeding Linked to Lower BMI in Postmenopausal Women

TUESDAY, July 10 (HealthDay News) -- Breastfeeding correlates with a small but significant reduction in body mass index (BMI) much later in life, according to a study published online July 10 in the International Journal of Obesity.

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Flu Shot in Pregnancy Not Tied to Adverse Fetal Outcomes

TUESDAY, July 10 (HealthDay News) -- Exposure to adjuvanted influenza A(H1N1)pdm09 vaccination during pregnancy does not increase the risk of adverse fetal outcomes, and influenza vaccination correlates with a small but significantly increased risk of Guillain-Barré Syndrome (GBS), according to two studies published in the July 11 issue of the Journal of the American Medical Association.

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Reducing Sedentary Behavior Could Increase Life Expectancy

TUESDAY, July 10 (HealthDay News) -- In the United States, reducing sedentary behaviors, including sitting and television viewing, may result in an increase in life expectancy, according to a study published online July 9 in BMJ Open.

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Factors Impacting Quality of Life at End of Life Identified

TUESDAY, July 10 (HealthDay News) -- Nine factors explain some of the variance in the quality of life (QOL) of patients with advanced cancer in end-of-life (EOL) care, according to a study published online July 9 in the Archives of Internal Medicine.

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Insulin Delivery, Glucose Monitoring Methods Compared

TUESDAY, July 10 (HealthDay News) -- Continuous subcutaneous insulin infusion (CSII) and multiple daily injections (MDI) offer similar improvements in glycemic control in adults with type 1 diabetes, while the addition of real-time continuous glucose monitoring (rt-CGM) improves glycemic control compared with MDI or self-monitored blood glucose (SMBG), according to a review published online July 10 in the Annals of Internal Medicine.

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Meditation Training May Lower Respiratory Illness Burden

TUESDAY, July 10 (HealthDay News) -- Training in mindfulness meditation or exercise is linked to a decrease in the severity and duration of acute respiratory infections (ARIs) in adults, according to a study published in the July/August issue of the Annals of Family Medicine.

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Lower Risk of Adverse Outcomes Seen in Obese With Heart Failure

TUESDAY, July 10 (HealthDay News) -- For both women and men with advanced heart failure, having a high body mass index (BMI) or waist circumference (WC) is associated with a reduced risk of adverse outcomes, according to a study published in the July 1 issue of The American Journal of Cardiology.

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Exposure to Movie Smoking Has Minimal Impact on Preteens

TUESDAY, July 10 (HealthDay News) -- Short exposure to movie smoking in cartoons or family-oriented movies has a minimal effect on preadolescent children's beliefs about smoking, according to a study published online July 9 in Pediatrics.

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Top Medical Organizations Support Hormone Replacement

MONDAY, July 9 (HealthDay News) -- Ten years after the Women's Health Initiative (WHI) declared that hormone replacement therapy may do more harm than good in the prevention of chronic disease, the North American Menopause Society (NAMS), the American Society for Reproductive Medicine, and The Endocrine Society have issued a joint statement concluding hormone therapy safe and effective in the treatment of menopausal symptoms.

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Nonnutritive Sweetener Role in Cutting Sugar Intake Explored

MONDAY, July 9 (HealthDay News) -- Although the evidence is limited, nonnutritive sweeteners (NNS) have a potential role to play in facilitating reduction of added sugar intake, as long as they do not cause a compensatory increase in energy intake, according to a new scientific statement issued by the American Heart Association and the American Diabetes Association and published online July 9 in Circulation.

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UTI Risk Up for Uncircumcised Boys Despite Urethral Visibility

MONDAY, July 9 (HealthDay News) -- Circumcised boys have a significantly lower risk of urinary tract infection (UTI) compared with uncircumcised boys, regardless of the degree of visibility of the urethral meatus, according to a study published online July 9 in CMAJ, the journal of the Canadian Medical Association.

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Vitamin D Status Impacts Weight Gain in Older Women

MONDAY, July 9 (HealthDay News) -- For older women who gain weight, high levels of 25-hydroxyvitamin D [25(OH)D] are linked with less weight gain compared to that found in women with low levels of 25(OH)D, according to a study published online June 25 in the Journal of Women's Health.

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Screening Men for Abdominal Aortic Aneurysm Cost-Effective

MONDAY, July 9 (HealthDay News) -- For 65-year-old men, screening for abdominal aortic aneurysm is cost-effective, and rescreening should be considered for high-risk men, according to a study published online July 5 in BMJ.

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Classification Rule IDs Four Risk Groups in Scoliosis Progression

MONDAY, July 9 (HealthDay News) -- The risk of curvature progression in patients with adolescent idiopathic scoliosis (AIS) can be based on initial angle of curvature, age, menarcheal status, and height, according to a study published online June 25 in The Spine Journal.

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Quality of Life Deteriorates Before Parkinson's Diagnosis

MONDAY, July 9 (HealthDay News) -- Quality of life begins to decline for Parkinson's disease (PD) patients years before diagnosis, according to a study published in the Journal of Parkinson's Disease.

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Evidence of Herd Immunity After Introduction of HPV Vaccine

MONDAY, July 9 (HealthDay News) -- Following introduction of the human papillomavirus (HPV) vaccine there has been a significant decrease in the prevalence of vaccine-type HPV among vaccinated young women and evidence of herd protection in unvaccinated women, according to a study published online July 9 in Pediatrics.

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Unsuccessful Fertility Drug Use Lowers Breast Cancer Risk

MONDAY, July 9 (HealthDay News) -- Women with unsuccessful use of fertility drugs are at a significantly reduced risk of young-onset breast cancer, according to a study published online July 6 in the Journal of the National Cancer Institute.

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Anxiety, Depression Common in Adults With Arthritis

MONDAY, July 9 (HealthDay News) -- Anxiety and depression are both common among U.S. adults with arthritis, with anxiety found more often than depression, according to a study published in the July issue of Arthritis Care & Research.

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Prenatal Caffeine Intake Not Linked to Children's Behavior

MONDAY, July 9 (HealthDay News) -- Maternal prenatal caffeine intake is not associated with behavior problems in young children, according to a study published online July 9 in Pediatrics.

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Greater Immersion, Visual Symptoms With 3D Viewing

FRIDAY, July 6 (HealthDay News) -- Viewing stereoscopic three-dimensional (3D) movies correlates with heightened perceived immersion, and with increased viewing symptoms, according to a study published in the July issue of Optometry and Vision Science.

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Gestational Diabetes Risk Up With Antipsychotic Use

FRIDAY, July 6 (HealthDay News) -- Maternal use of antipsychotic drugs during pregnancy is linked to an increased risk of gestational diabetes, according to a study published in the July issue of the Archives of General Psychiatry.

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Correlates of Diabetic Foot Complications Identified

FRIDAY, July 6 (HealthDay News) -- For patients with diabetes, increased poly(ADP-ribose) (PAR) immunoreactivity, reduced abundance of type 1 procollagen, and impaired skin structure correlate with foot complications, according to a study published online June 29 in Diabetes Care.

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Gastrointestinal Perforation Rare in Rheumatoid Arthritis

FRIDAY, July 6 (HealthDay News) -- Gastrointestinal (GI) perforation is a rare but serious condition that affects patients with rheumatoid arthritis (RA), most frequently in the lower GI tract, according to a study published online June 21 in Arthritis Care & Research.

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Self-Directed Violence, Suicide Up in Parasite-Infected Women

FRIDAY, July 6 (HealthDay News) -- Women infected with the common parasite Toxoplasma gondii (T. gondii) have an increased risk of self-directed violence, violent suicide attempts, and suicide, according to research published online July 2 in the Archives of General Psychiatry.

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Elementary Student Access to High-Calorie Drinks Declining

FRIDAY, July 6 (HealthDay News) -- Trends suggest that public elementary school student access to sugar-sweetened beverages and non-Institute of Medicine (IOM)-approved competitive beverages have declined significantly from 2006-2007 to 2010-2011, according to a research letter published in the July issue of the Archives of Pediatrics & Adolescent Medicine.

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Sadness Increases Subjective Experience of Pain

FRIDAY, July 6 (HealthDay News) -- Sadness increases subjective pain ratings and affects pain-evoked cortical activity, according to a study published in the July issue of The Journal of Pain.

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Early Intensive Diabetes Therapy Preserves β-Cell Function

FRIDAY, July 6 (HealthDay News) -- Early, intensive therapy for type 2 diabetes with either insulin plus metformin or triple oral therapy preserves β-cell function for at least 3.5 years, according to a study published in the July issue of Diabetes Care.

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Obesity Is a Risk Factor for Poor Remission Rates in RA

FRIDAY, July 6 (HealthDay News) -- For patients with long-standing rheumatoid arthritis treated with anti-tumor necrosis factor-α (anti-TNFα) therapies, obesity is related to poor remission rates, according to a study published online June 21 in Arthritis Care & Research.

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Medicare Part D Gap Lowers Maintenance Antidepressant Use

FRIDAY, July 6 (HealthDay News) -- The Medicare Part D coverage gap correlates with modest reductions in the use of antidepressants among older adults, which are similar to the reduction in prescriptions for heart failure and diabetes medications, according to a study published in the July issue of the Archives of General Psychiatry.

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CDC: Chagas Disease May Be Overlooked in Newborns

THURSDAY, July 5 (HealthDay News) -- Chagas disease, a parasitic infection that can lead to cardiomyopathy, is usually transmitted by contact with triatomine insects, but it can be passed congenitally, according to a case report published in the July 6 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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Patient Decision Aid Beneficial in Papillary Thyroid Cancer

THURSDAY, July 5 (HealthDay News) -- Patients with early-stage papillary thyroid cancer (PTC) may benefit from the use of a patient-directed computerized decision aid (DA) to provide medical knowledge and resolve decisional conflicts regarding the use of adjuvant radioactive iodine (RAI) treatment, according to research published online July 2 in the Journal of Clinical Oncology.

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Undernutrition Still a Major Issue in Developing Countries

THURSDAY, July 5 (HealthDay News) -- Although some progress has been made toward meeting Millennium Development Goal 1 (MDG 1) in developing countries, the chances of these countries as a whole meeting the goal are less than 5 percent, according to a study published online July 5 in The Lancet.

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One-Third of Opioid Overdose Deaths Involve Methadone

THURSDAY, July 5 (HealthDay News) -- Methadone is involved in more than 30 percent of opioid-related overdose deaths, with the overdose death rate significantly higher than for other opioid pain relievers, according to a report published in the July 3 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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High-Dose Vitamin D 'Somewhat Favorable' in Fracture Prevention

THURSDAY, July 5 (HealthDay News) -- High-dose (≥800 IU daily) vitamin D supplementation is associated with a decreased risk of hip fracture and nonvertebral fractures among older adults, according to a study published in the July 5 issue of the New England Journal of Medicine.

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Poor Coverage, Not Ineffective Vaccine Averts Polio Abolition

THURSDAY, July 5 (HealthDay News) -- Bivalent and monovalent oral poliovirus vaccines (OPVs) are similarly effective, but decreases in vaccine coverage in parts of Pakistan and southern Afghanistan are hampering efforts to eradicate poliomyelitis, according to a study published online July 4 in The Lancet.

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Positive Outcome No More Likely in Industry-Funded Trials

THURSDAY, July 5 (HealthDay News) -- Industry-sponsored clinical trials of rheumatoid arthritis drugs are no more likely to report positive outcomes than trials funded by other means, and in many cases use better methodology, according to research published in the July issue of Arthritis & Rheumatism.

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Substance Use Among Teens Peaks During Summer Months

WEDNESDAY, July 4 (HealthDay News) -- In the United States, initiation of substance use among adolescents peaks during the summer months of June and July, according to a July 2 report published by the Substance Abuse and Mental Health Services Administration (SAMHSA).

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Taser Use Does Not Cause Fatal Cardiac Dysrhythmias

WEDNESDAY, July 4 (HealthDay News) -- The field use of conducted electrical weapons (CEWs), or Tasers, with a probe impact configuration capable of causing a transcardiac discharge vector does not result in immediately fatal cardiac dysrhythmias, according to research published online June 6 in the Journal of Emergency Medicine.

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Community, Hospital MRSA Bacteremia Down in U.S. Military

TUESDAY, July 3 (HealthDay News) -- The rates of both community-onset and hospital-onset methicillin-resistant Staphylococcus aureus (MRSA) bacteremia decreased from 2005 to 2010 among military personnel, according to a study published in the July 4 issue of the Journal of the American Medical Association.

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First Over-the-Counter HIV Test Approved

TUESDAY, July 3 (HealthDay News) -- The first over-the-counter test to detect antibodies to the virus that causes AIDS has been approved by the U.S. Food and Drug Administration, the agency said Tuesday.

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Limited Evidence Links Pioglitazone to Bladder Cancer

TUESDAY, July 3 (HealthDay News) -- Limited evidence supports an increased risk of bladder cancer in adults with type 2 diabetes treated with thiazolidinediones, specifically pioglitazone, according to a review and meta-analysis published online July 3 in CMAJ, the journal of the Canadian Medical Association.

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Handling of Confounding in Diet and Asthma, Allergy Studies Poor

TUESDAY, July 3 (HealthDay News) -- Studies investigating the effect of diet on the development of childhood asthma and allergies generally have substantial shortcomings with regard to how they handle confounding and effect modification, according to research published online June 19 in Allergy.

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No Increase in Shingles After Vaccine in Those on Biologics

TUESDAY, July 3 (HealthDay News) -- Live attenuated herpes zoster (HZ) vaccine is not associated with an increased risk of HZ shortly after vaccination in patients treated with biologics for immune-mediated diseases, according to a study published in the July 4 issue of the Journal of the American Medical Association.

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'Sexting' Is Prevalent Among Adolescents

TUESDAY, July 3 (HealthDay News) -- More than one in four teenagers report having sent a naked picture of themselves by text or e-mail and about a third have requested a sext, with those who engage in sexting behavior more likely to have begun dating and to have had sex, according to a study published online July 2 in the Archives of Pediatrics & Adolescent Medicine.

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Ovarian Grafts Restore Endocrine Function Long Term

TUESDAY, July 3 (HealthDay News) -- For female cancer survivors, heterotopic transplantation of cryobanked human ovarian tissue results in restoration of endocrine function within a few months that can last for as long as seven years, according to a study published in the June issue of the Journal of Assisted Reproduction and Genetics.

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Intermittent Explosive Disorder Is Prevalent Teen Mental Issue

TUESDAY, July 3 (HealthDay News) -- Intermittent explosive disorder (IED) is a highly prevalent, persistent adolescent mental disorder, which is significantly comorbid with a range of other mental disorders, according to a study published online July 2 in the Archives of General Psychiatry.

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Rheumatoid Arthritis Drug Not Linked to Specific Birth Defects

TUESDAY, July 3 (HealthDay News) -- The rheumatoid arthritis drug leflunomide is not a major cause of birth defects in women who inadvertently become pregnant while taking the drug, although pregnancy should be avoided, according to a study in the July issue of Arthritis & Rheumatism.

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Incretin Effect Independent of Glycemia Level

MONDAY, July 2 (HealthDay News) -- The enhanced insulin secretion after meals mediated by two intestinal hormones, known as the incretin effect, is independent of glycemia in healthy individuals, according to a study published online June 25 in Diabetes.

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Western-Style Fast Food Poses Health Risk to Singaporeans

MONDAY, July 2 (HealthDay News) -- Chinese Singaporeans who frequently consume Western-style fast food items have an increased risk of developing type 2 diabetes mellitus and of coronary heart disease (CHD) mortality, according to a study published online July 2 in Circulation.

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Post-Cardiac Op Risk Not Up for Jehovah's Witness Patients

MONDAY, July 2 (HealthDay News) -- For Jehovah's Witness patients (Witnesses) who undergo cardiac surgery, morbidity and long-term mortality are similar or superior to that of patients who receive transfusions, according to a study published online July 2 in the Archives of Internal Medicine.

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Standardized Treatment Plans Developed for New-Onset JIA

MONDAY, July 2 (HealthDay News) -- Four standardized consensus treatment plans (CTPs) have been developed for patients with new-onset systemic juvenile idiopathic arthritis (JIA), according to research published in the July issue of Arthritis Care & Research.

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Pharmacist Intervention Does Not Prevent Medication Errors

MONDAY, July 2 (HealthDay News) -- A pharmacist-delivered intervention does not significantly improve the rate of clinically important medication errors following discharge among hospitalized heart patients, according to a study published in the July 3 issue of the Annals of Internal Medicine.

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Long-Term Rituximab Safe for Patients With Wegener's

MONDAY, July 2 (HealthDay News) -- Repeated and prolonged use of rituximab for B-cell depletion to treat relapses or maintain remission is safe and effective in patients with refractory granulomatosis with polyangiitis (GPA; Wegener's), a primary systemic small vessel vasculitis, according to a study published online June 21 in Arthritis & Rheumatism.

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Basal Cell Carcinoma Risk Down With Caffeine Intake

MONDAY, July 2 (HealthDay News) -- In both men and women, caffeine intake, from coffee and other sources, is inversely associated with the risk of basal cell carcinoma (BCC), according to research published in the July 1 issue of Cancer Research.

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Childhood Physical Discipline Linked to Mental Health Issues

MONDAY, July 2 (HealthDay News) -- A significant percentage of mood, anxiety, and personality disorders and substance abuse in U.S. adults can be attributed to harsh physical punishment during childhood, according to research published online July 2 in Pediatrics.

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Direct Primary Closure Feasible for Lower Lip Reconstruction

MONDAY, July 2 (HealthDay News) -- Direct primary closure without undermining is a reliable method of reconstructing vermilionectomy defects of the lower lip, according to research published online June 18 in the British Journal of Dermatology.

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CT Colonography Is a Viable Screening Test in Older Adults

MONDAY, July 2 (HealthDay News) -- For older patients who undergo computed tomography colonography (CTC), the rates of referral to colonoscopy and prevalence of advanced neoplasia are low, according to a study published in the July issue of the American Journal of Roentgenology.

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Behavioral Weight Loss Has Long-Term Benefit for Teens

MONDAY, July 2 (HealthDay News) -- For overweight or obese adolescents, two group-based behavioral weight control interventions, combined with either aerobic activity or activity-based peer therapy, produce sustained improvements in body mass index (BMI) through 24 months, according to a study published online July 2 in Pediatrics.

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Risk of Stillbirth Up at Extremes of Birth Weight

MONDAY, July 2 (HealthDay News) -- The risk of stillbirth is increased at extreme percentiles of birth weight across all gestational ages, according to a study published online May 17 in the Journal of Perinatology.

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Early Term Birth Linked to Poorer School Performance

MONDAY, July 2 (HealthDay News) -- Children born at term but at 37 or 38 weeks of gestation have poorer achievement scores in reading and math in third grade, according to a study published online July 2 in Pediatrics.

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