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July 2013 Briefing - Geriatrics

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

Anemia Linked to Elevated Dementia Risk in Older Adults

WEDNESDAY, July 31 (HealthDay News) -- Anemia is associated with an increased risk of developing dementia in older adults, according to a study published online July 31 in Neurology.

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Severe Hypoglycemia Common in Type 2 Diabetes

WEDNESDAY, July 31 (HealthDay News) -- Severe hypoglycemia is common among patients with type 2 diabetes, with the highest risk among those with near-normal or very poor glycemic control, according to a study published online July 30 in Diabetes Care.

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Health 'Mutual Accountability' Pilot Program Launching

WEDNESDAY, July 31 (HealthDay News) -- The State of Oklahoma Office of Management and Enterprise Services has chosen MedEncentive to conduct a three-year heath improvement program pilot among HealthChoice beneficiaries.

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Severe Hypoglycemia Ups Cardiovascular Risk in Diabetes

WEDNESDAY, July 31 (HealthDay News) -- Severe hypoglycemia is associated with a higher risk of cardiovascular disease in patients with type 2 diabetes, according to a meta-analysis of observational studies published online July 30 in BMJ.

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Review Supports Elevated Risk of CHD Even With Prehypertension

WEDNESDAY, July 31 (HealthDay News) -- Prehypertension, especially high-range prehypertension, is associated with an increased risk of coronary heart disease (CHD), according to a meta-analysis published in the July 15 issue of The American Journal of Cardiology.

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Glucose Intolerance Not Linked to Alzheimer's Pathology

TUESDAY, July 30 (HealthDay News) -- There seems to be no significant correlation between glucose intolerance and insulin resistance with brain β-amyloid burden or Alzheimer's disease (AD) pathology, according to a study published online July 29 in JAMA Neurology.

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Reversal of Medical Practices Common Over Past Decade

TUESDAY, July 30 (HealthDay News) -- Over 100 contemporary medical practices have subsequently been reversed over the last 10 years, according to a review published online July 22 in Mayo Clinical Proceedings.

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Aids Help Decision Making for Prostate Cancer Screening

TUESDAY, July 30 (HealthDay News) -- A print and web-based decision aid helps men with their decision making about prostate cancer screening, but does not affect screening rates, according to a study published online July 29 in JAMA Internal Medicine.

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Veterans Benefit From Group Outdoor Recreational Activities

TUESDAY, July 30 (HealthDay News) -- For veterans, participation in group-based outdoor recreational activities correlates with benefits in psychological well-being, social functioning, and life outlook, according to a study published by the University of Michigan for the Sierra Club Military Families and Veterans Initiative.

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USPSTF: Low-Dose CT Screening Benefits Smokers

MONDAY, July 29 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) finds that low-dose computed tomography (LDCT) screening is associated with reductions in lung cancer and all-cause mortality for high-risk smokers. This Recommendation Statement is based on an evidence review published online July 30 in the Annals of Internal Medicine.

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Sexual Counseling Should Be Given to CVD Patients, Partners

MONDAY, July 29 (HealthDay News) -- Cardiovascular disease (CVD) patients and their partners should receive sexual counseling, according to a joint position statement from the American Heart Association and the European Society of Cardiology Council on Cardiovascular Nursing and Allied Professions, published online July 29 in Circulation.

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Review Examines Coronary Artery Disease in Women

MONDAY, July 29 (HealthDay News) -- Coronary artery disease (CAD) affects women as much as men, with worse consequences, according to a report published in the June issue of Global Heart.

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FDA Updates Oral Nizoral Label to Reflect Safety Concerns

MONDAY, July 29 (HealthDay News) -- The U.S. Food and Drug Administration has approved label changes for Nizoral (ketoconazole) oral tablets and added a Medication Guide detailing various associated safety concerns.

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Centrally Acting ACE Inhibitors Slow Decline in Dementia

MONDAY, July 29 (HealthDay News) -- For patients with dementia, the rate of cognitive decline is slowed for those taking centrally acting angiotensin-converting-enzyme (ACE) inhibitors (CACE-Is), especially in the first six months of treatment, according to a study published in the July issue of BMJ Open.

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Automated EHRs Improve Immunization Reporting

FRIDAY, July 26 (HealthDay News) -- Automated public health reporting of immunization data via electronic health records (EHRs) significantly improves timeliness of reporting, according to a study published in Applied Clinical Informatics.

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Resveratrol Reduces Positive Effects of Exercise Training

FRIDAY, July 26 (HealthDay News) -- Supplementation with resveratrol, a compound found in red wine, negates positive health effects of exercise training in older men, according to a study published online July 22 in The Journal of Physiology.

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For Ischemic Stroke, Fewer Women Receive Thrombolytics

FRIDAY, July 26 (HealthDay News) -- Women with acute ischemic stroke are less likely than men to arrive at the hospital within four hours and are less likely to receive thrombolytic treatment, according to research published online July 25 in Stroke.

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COPD Linked to Increased Risk of Cerebral Microbleeds

FRIDAY, July 26 (HealthDay News) -- Chronic obstructive pulmonary disease (COPD) is associated with an increased prevalence of cerebral microbleeds, particularly in deep or infratentorial locations, according to a study published online July 25 in the American Journal of Respiratory and Critical Care Medicine.

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Review Defines New Fracture Risk Factors Post-Vertebroplasty

THURSDAY, July 25 (HealthDay News) -- Patients with low bone mineral density (BMD), low body mass index (BMI), and intradiscal cement leakage are at risk for new osteoporotic vertebral compression fractures (VCFs) after vertebroplasty, according to a review published in the June issue of the Journal of Spinal Disorders & Techniques.

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IOM Confirms Geographic Variation in Health Spending

THURSDAY, July 25 (HealthDay News) -- Considerable geographic variation exists in health care spending and utilization, but a geographically-based value index is unlikely to promote value improvement, according to a report published July 24 by the Institute of Medicine.

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Sleep Disordered Breathing Tied to Lower Exercise Capacity

THURSDAY, July 25 (HealthDay News) -- Sleep-disordered breathing (SDB) severity is associated with lower functional aerobic capacity (FAC) and increased blood pressure, according to a study published in the June 1 issue of The American Journal of Cardiology.

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Continuing Statins Linked to Decreased Risk of Parkinson's

WEDNESDAY, July 24 (HealthDay News) -- Continuation of lipophilic statin therapy is associated with a decreased risk of Parkinson's disease (PD) when compared with statin discontinuation, according to a study published online July 24 in Neurology.

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Semagacestat Doesn't Improve Cognitive Status in Alzheimer's

WEDNESDAY, July 24 (HealthDay News) -- For patients with Alzheimer's disease, treatment with the small-molecule γ-secretase inhibitor semagacestat does not improve cognitive status and is associated with worsening of cognitive function, according to a study published in the July 25 issue of the New England Journal of Medicine.

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Women Worry About Resuming Sexual Activity After Heart Attack

WEDNESDAY, July 24 (HealthDay News) -- Women who resume sexual activity following a myocardial infarction (MI) often do so with fear and without direct counseling by their physician, according to a study published online July 24 in the Journal of the American Heart Association.

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Review Estimates Risk of Physical Disability in Diabetes

WEDNESDAY, July 24 (HealthDay News) -- Diabetes is associated with a significantly increased risk of physical disability, according to a meta-analysis published online July 24 in The Lancet Diabetes & Endocrinology.

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Dizziness Visits Account for About 4 Percent of ER Costs

WEDNESDAY, July 24 (HealthDay News) -- Emergency department costs for patients presenting with dizziness or vertigo are considerable, accounting for about 4 percent of total costs, according to a study published in the July issue of Academic Emergency Medicine.

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Docs Need to Follow Patients' Lead, Embrace Social Media

WEDNESDAY, July 24 (HealthDay News) -- As more patients discuss and manage their health care online, doctors need to keep up and use social media, according to a report published by the American Medical Association (AMA).

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U.S. Physicians Not Supportive of Changes in Payment Models

TUESDAY, July 23 (HealthDay News) -- U.S. physicians accept some responsibility for reducing health care costs in their practice, but most do not want to change payment models, according to research published in the July 24/31 issue of the Journal of the American Medical Association.

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Kidney Stones Tied to Coronary Heart Disease in Women

TUESDAY, July 23 (HealthDay News) -- Among women, a history of kidney stones is associated with an increased risk of coronary heart disease (CHD), according to a study published in the July 24/31 issue of the Journal of the American Medical Association.

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Low Rate of Change in Care With Transthoracic Echocardiography

TUESDAY, July 23 (HealthDay News) -- Although more than 90 percent of transthoracic echocardiograms (TTEs) are considered appropriately used, only about 30 percent result in active change in care, according to a study published online July 22 in JAMA Internal Medicine.

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Guidance Issued for Erectile Dysfunction As Marker of CVD

TUESDAY, July 23 (HealthDay News) -- Erectile dysfunction (ED) has predictive value for cardiovascular risk and treatment may have beneficial effects, according to research published in the June issue of The Journal of Urology.

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Automated ECG Directs Patients With Acute MI to Cath Lab

TUESDAY, July 23 (HealthDay News) -- Use of an automated electrocardiogram (ECG) to diagnose acute ST-segment elevation myocardial infarction (STEMI) activates the protocol for referral to the cardiac catheterization laboratory (CCL) and achieves timely intervention with balloon angioplasty, according to a study published in the July 15 issue of The American Journal of Cardiology.

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Pros and Cons of Electronic Cigarette Regulation Discussed

TUESDAY, July 23 (HealthDay News) -- The pros and cons of electronic cigarette (EC) regulation are discussed in to two editorials published online July 23 in The Lancet Respiratory Medicine.

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Incidence of Cardiac Events in Lumbar Spine Surgery ID'd

MONDAY, July 22 (HealthDay News) -- The overall incidence of cardiac complications is 6.7 per 1,000 lumbar spine surgical procedures, and complications are more frequent with lumbar fusion versus decompression, according to a study published in the July 15 issue of Spine.

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Dietary Fiber Intake Linked to Reduced Gastric Cancer Risk

MONDAY, July 22 (HealthDay News) -- Dietary fiber intake is inversely associated with gastric cancer risk and is likely independent of conventional risk factors, according to a meta-analysis published in the July issue of Gastroenterology.

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Project BOOST Linked to Drop in Rehospitalization Rates

MONDAY, July 22 (HealthDay News) -- Participation in Project Better Outcomes for Older Adults through Safe Transitions (BOOST) is associated with a reduction in the rate of 30-day rehospitalization, according to a study published online July 22 in the Journal of Hospital Medicine.

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Premiums Expected to Be About 20 Percent Lower in 2014

MONDAY, July 22 (HealthDay News) -- Premiums in the Health Insurance Marketplace are likely to be about 20 percent lower than anticipated in 2014, according to a report published by the U.S. Department of Health and Human Services (HHS).

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Tablets Help Physicians Keep Up With Medical Research

MONDAY, July 22 (HealthDay News) -- Most physicians find keeping up with the latest research to be challenging, but the use of tablets and smartphones may help, according to a report published by Wolters Kluwer Health.

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ADHD Drug May Reduce Risk of Falling in Elderly

MONDAY, July 22 (HealthDay News) -- A single dose of methylphenidate, a drug used to treat attention-deficit/hyperactivity disorder and narcolepsy, improves gait control in healthy older adults and may reduce their risk of falling, according to a study published in The Journals of Gerontology.

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Socioeconomic Disparities Linked to Use of Eye Care

FRIDAY, July 19 (HealthDay News) -- People with age-related eye disease such as cataracts or glaucoma are less likely to see an eye care provider if they are in a low socioeconomic position, according to research published online July 18 in JAMA Ophthalmology.

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Lifestyle Factors Linked to Less Aggressive Prostate Cancer

FRIDAY, July 19 (HealthDay News) -- Adherence to lifestyle recommendations intended to reduce the risk of cancer generally is associated with a lower risk of highly aggressive prostate cancer in men newly diagnosed with the disease, according to a study published online July 16 in Nutrition and Cancer.

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Pre-Op Anemia Tied to Adverse Outcomes in Elective Spine Sx

FRIDAY, July 19 (HealthDay News) -- Preoperative anemia is significantly associated with adverse perioperative and postoperative outcomes following elective spine surgery, according to a study published in the July 1 issue of Spine.

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Missed Diagnoses, Med Errors Most Common Malpractice Claims

FRIDAY, July 19 (HealthDay News) -- The most common medical misadventures resulting in malpractice claims in primary care are missed or delayed diagnoses and medication errors, according to a review published online July 18 in BMJ Open.

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Newer Anticoagulants Linked to Gastrointestinal Bleeding

FRIDAY, July 19 (HealthDay News) -- Patients taking the new generation of oral anticoagulants appear to have a higher risk of gastrointestinal bleeding compared with standard care, particularly when treated for venous thrombosis or acute coronary syndrome, according to a review published in the July issue of Gastroenterology.

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Top Challenges for Docs Include Financial Management

FRIDAY, July 19 (HealthDay News) -- The top issues and challenges facing physicians include managing changing reimbursement models with payors and financial management, according to a report published by Wolters Kluwer Health.

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Healthy Life Expectancy Higher for Females, Whites at Age 65

THURSDAY, July 18 (HealthDay News) -- Healthy life expectancy (HLE), a population health measure that estimates expected years of life in good health at a given age, is higher for females than males and for whites than blacks at age 65 years, according to research published in the July 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Low Vitamin D Linked to Limited Function in Aging Adults

THURSDAY, July 18 (HealthDay News) -- Among individuals aged 55 to 65 years, and 65 years and older, vitamin D deficiency is associated with the presence of functional limitations and functional decline, according to a study published online July 17 in the Journal of Clinical Endocrinology & Metabolism.

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Breaking a Sweat Regularly May Lower Risk of Incident Stroke

THURSDAY, July 18 (HealthDay News) -- Physical inactivity is associated with an increased risk of incident stroke, which is mediated via traditional risk factors, according to a study published online July 18 in Stroke.

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Financial Incentives Can Drive Health IT Adoption

WEDNESDAY, July 17 (HealthDay News) -- Financial incentives can drive providers' adoption of health information technology, including e-prescribing, according to a study published in the July issue of Health Affairs.

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Repeat Hospitalization Factors for Nursing Home Residents Studied

TUESDAY, July 16 (HealthDay News) -- Nursing home residents with advanced cognitive impairment have significantly lower survival if they are repeatedly hospitalized for dehydration or infection, according to a research letter published in the July 17 issue of the Journal of the American Medical Association.

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Redesign of Medical Education Needed for Chronic Disease Era

TUESDAY, July 16 (HealthDay News) -- Medical education programs should be redesigned to address the current complex chronic disease era, with emphasis on appropriate basic sciences and clinical skills, according to a special communication published online July 15 in JAMA Internal Medicine.

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Acid Reflux Medications May Constrict Blood Vessels

TUESDAY, July 16 (HealthDay News) -- The mechanism by which proton pump inhibitors (PPIs) increase the risk of major adverse cardiovascular events may now be better understood, according to a study published online July 3 in Circulation.

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CMS Medicare Physician Fee Schedule Could Benefit Docs

TUESDAY, July 16 (HealthDay News) -- The Centers for Medicare and Medicaid Services has released the 2014 proposed Medicare physician fee schedule, which could help create a more equitable payment system by adjusting misvalued codes and proposing new complex management codes, according to a report published by American Academy of Family Physicians.

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Improvements Made to CMS Online Directory of Physicians

TUESDAY, July 16 (HealthDay News) -- The Centers for Medicare and Medicaid Services (CMS) has reworked and redesigned their online directory of physicians (Physicians Compare) after errors were discovered throughout the site.

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Stroke Incidence Up in Chinese Versus White Population

MONDAY, July 15 (HealthDay News) -- Chinese populations have slightly higher overall stroke incidence and a higher proportion of intracerebral hemorrhage, compared with white populations, according to a review published in the July 16 issue of Neurology.

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EHRs May Slow Growth in Ambulatory Health Care Costs

MONDAY, July 15 (HealthDay News) -- Adoption of electronic health records (EHRs) modestly slows growth in ambulatory health care costs, according to research published in the July 16 issue of the Annals of Internal Medicine.

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More Job Opportunities Available for Physicians

MONDAY, July 15 (HealthDay News) -- More than half of physicians are receiving up to three employment solicitations per week, according to a report published by American Medical Association (AMA).

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CMS Proposes New Rule for Outpatient Payment Policies

MONDAY, July 15 (HealthDay News) -- A new rule proposes updating Medicare payment policies and rates for the hospital outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) services, according to a report issued by the Centers for Medicare and Medicaid Services.

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Omega-3 Fatty Acids Linked to Risk of Prostate Cancer

FRIDAY, July 12 (HealthDay News) -- High blood concentrations of long-chain omega-3 polyunsaturated fatty acids (PUFA) are linked to an increased risk of prostate cancer, according to research published online July 10 in the Journal of the National Cancer Institute.

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Lower Extremity Amputations Fall in Medicare Patients

FRIDAY, July 12 (HealthDay News) -- During the past decade, the use of lower extremity amputations (LEAs), particularly proximal amputations, in Medicare patients has declined markedly, and the use of orthopedic treatments for diabetic foot ulcer (DFU) has increased sharply, according to research published in the July issue of Foot & Ankle International.

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Physicians Frustrated by Third-Party Interference

FRIDAY, July 12 (HealthDay News) -- Third-party interference is the most commonly cited key frustration for physicians, according to the results of a survey published in Physicians Practice.

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Men Still Want PSA Testing Despite Guidance, Risks

FRIDAY, July 12 (HealthDay News) -- The October 2011 U.S. Preventive Services Task Force (USPSTF) recommendation advising against prostate-specific antigen (PSA) testing may be met with resistance by men, according to a study published online July 9 in the American Journal of Preventive Medicine.

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AMA Offers Guidance for Improving EHR Effectiveness

FRIDAY, July 12 (HealthDay News) -- The American Medical Association (AMA) House of Delegates has voted for policies to help physicians navigate patient interaction while using electronic devices and to improve the interoperability of electronic health records (EHRs).

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Length of ER Visit Will Increase With Aging Population

FRIDAY, July 12 (HealthDay News) -- The aging population will not cause emergency department visits to increase in frequency, but their duration will increase, according to research published in the July issue of Health Affairs.

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U.S. Adults Value Health Care Provider Skill Evaluation

THURSDAY, July 11 (HealthDay News) -- Most adults feel that health care providers who treat them should adhere to a recertification program, including passing examinations, attending educational programs, and undergoing certification, regardless of time in practice, according to a report published by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) and the Citizen Advocacy Center.

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Grants of $150 Million for Community Health Centers

THURSDAY, July 11 (HealthDay News) -- Grants totaling $150 million are to be shared by 1,100 community health centers to help enroll patients in insurance programs, according to the U.S. Department of Health and Human Services (HHS).

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Health Searches May Be Leaked to Third Parties

THURSDAY, July 11 (HealthDay News) -- Free health-related websites often have third-party tracking elements and leak search terms to third-party tracking entities, unlike U.S. government or physician-oriented websites, according to a research letter published online July 8 in JAMA Internal Medicine.

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Low-Income Patients Prefer Hospital to Outpatient Care

THURSDAY, July 11 (HealthDay News) -- Patients in low socioeconomic groups who live in urban settings report that they prefer hospital care to ambulatory care because it is less expensive, more accessible, and superior in quality, according to research published in the July issue of Health Affairs.

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One in Five U.S. Adults Will Have Trouble Paying Medical Bills

THURSDAY, July 11 (HealthDay News) -- About one in five U.S. adults will have problems paying health care bills in 2013, including about 10 million adults with year-round insurance coverage, according to a report published by the American Medical Association (AMA).

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Red Cross Issues Emergency Call for Blood Donors

THURSDAY, July 11 (HealthDay News) -- The American Red Cross has issued an emergency request for blood and platelet donors of all blood types, according to report posted July 9.

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In 2010, Blood Transfusion Most Frequent Hospital Procedure

THURSDAY, July 11 (HealthDay News) -- The most frequent procedure performed during hospitalization in 2010 was blood transfusion, which was common among all age groups except for infants, according to the Agency for Healthcare Research and Quality (AHRQ).

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Quality Metrics Play Small Role in Physician Compensation

THURSDAY, July 11 (HealthDay News) -- Quality measures play a small but emerging role in physician compensation, according to a report published by the Medical Group Management Association (MGMA).

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Cognitive Functioning Improving for Nonagenarians

THURSDAY, July 11 (HealthDay News) -- Nonagenarians born in 1915 have significantly better cognitive functioning and improved activities of daily living scores than those born in 1905, according to a study published online July 11 in The Lancet.

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Docs Don't Often Talk to Patients About Dietary Supplements

THURSDAY, July 11 (HealthDay News) -- Although primary care physicians are discussing dietary supplements with patients during outpatient visits, these exchanges happen infrequently, according to research published in the June issue of Patient Education and Counseling.

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Inverse Relationship for Cancer, Alzheimer's Dementia

WEDNESDAY, July 10 (HealthDay News) -- There seems to be an inverse relationship in the incidence of cancer and Alzheimer's disease (AD) dementia, with a reduced risk of cancer for those with AD dementia, and vice versa, according to a study published online July 10 in Neurology.

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Chronic Illness Positively Linked to Receipt of Preventive Care

WEDNESDAY, July 10 (HealthDay News) -- Patients with one or more chronic illnesses are not less likely to receive recommended preventive health services, according to a study published in the July/August issue of the Annals of Family Medicine.

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Improvement Needed in Drug Post-Marketing Studies

WEDNESDAY, July 10 (HealthDay News) -- Since the requirement in 2007 that drug makers conduct post-marketing studies, the number of studies not yet started has declined while the number of studies fulfilling obligations has nearly doubled, according to a report published in the July 10 issue of the Journal of the American Medical Association. However, more than 40 percent of studies had not yet been started in 2011, and the number of studies with delays doubled as of 2011.

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Improvements Noted in U.S. Health From 1990 to 2010

WEDNESDAY, July 10 (HealthDay News) -- From 1990 to 2010, considerable progress has been made in improving health in the United States, according to a report published online July 10 in the Journal of the American Medical Association.

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Health Insurance Marketplaces Not Required to Verify Claims

WEDNESDAY, July 10 (HealthDay News) -- Health insurance marketplaces will not be required to verify consumers' income and health insurance status and can rely on self-reported information, the Obama administration announced Friday.

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Tablets More Useful Than Smartphones for Docs Using EHRs

WEDNESDAY, July 10 (HealthDay News) -- Although tablets are less often used by physicians than smartphones, they are more frequently used for accessing electronic health records (EHRs), and time spent on tablets is much higher, according to two reports published by AmericanEHR Partners.

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Soy Supplement Doesn't Cut Prostate Cancer Recurrence

TUESDAY, July 9 (HealthDay News) -- For men at high risk of biochemical recurrence after radical prostatectomy, daily consumption of a soy protein supplement is not associated with a reduction in the risk of recurrence, according to a study published in the July 10 issue of the Journal of the American Medical Association.

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Digital Divide Plagues Underserved Areas

TUESDAY, July 9 (HealthDay News) -- Electronic health record (EHR) adoption is uneven, with traditionally underserved areas having lower adoption rates across the United States, according to a study published online June 26 in Health Services Research.

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Geographic Variation in Use of Cardiovascular Procedures

TUESDAY, July 9 (HealthDay News) -- There is considerable geographic variation in the use of cardiovascular procedures among Medicare Advantage beneficiaries and Medicare fee-for-service (FFS) beneficiaries, according to a study published in the July 10 issue of the Journal of the American Medical Association.

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Physicians Urged to Consider Gun-Related Violence in Elderly

TUESDAY, July 9 (HealthDay News) -- Physicians must consider their role in restricting gun-related violence among the elderly and those with mental illness, according to two ideas and opinions pieces published in the July 9 issue of the Annals of Internal Medicine.

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Studies Examine Late-Life Disability, Restricting Symptoms

TUESDAY, July 9 (HealthDay News) -- Disability at two years before death is more likely for those who die at older ages; and restrictions in daily activities are common in the last year of life, increasing considerably five months before death, according to two studies published online July 8 in JAMA Internal Medicine.

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Adoption of Electronic Health Records Is Progressing

TUESDAY, July 9 (HealthDay News) -- In 2012, 44 percent of hospitals reported having at least a basic electronic health record (EHR), according to an annual report published by the Robert Wood Johnson Foundation.

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Repeat Lipid Testing Overused in Those Meeting LDL-C Goals

TUESDAY, July 9 (HealthDay News) -- Approximately one-third of patients with coronary heart disease (CHD) who have attained low-density lipoprotein cholesterol (LDL-C) goals undergo repeat lipid assessments, according to a study published online July 1 in JAMA Internal Medicine.

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Black Men Less Likely to Have Advanced Neoplasia at Screening

MONDAY, July 8 (HealthDay News) -- Although blacks are more likely than whites to be diagnosed with and die from colorectal cancer, black men are less likely to have advanced colorectal neoplasia (ACN) at screening, according to a study published in the July 2 issue of the Annals of Internal Medicine.

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Nighttime Vital Signs May Be Over Monitored in Hospitals

MONDAY, July 8 (HealthDay News) -- Frequency of nighttime vital sign monitoring for low-risk medical inpatients may be reduced based on the evening Modified Early Warning Score (MEWS), according to a research letter published online July 1 in JAMA Internal Medicine.

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Practices Are Not Ready for Implementation of ICD-10

MONDAY, July 8 (HealthDay News) -- Most practices are not ready for implementation of the International Classification of Diseases, Tenth Revision (ICD-10), according to a report published by the Medical Group Management Association (MGMA).

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Cognitive Activity Throughout Lifetime Slows Later Decline

WEDNESDAY, July 3 (HealthDay News) -- Cognitive activity in early- and late-life correlates with slower late-life cognitive decline, irrespective of common neuropathologic conditions, according to a study published online July 3 in Neurology.

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Home Telemonitoring Intervention Ups BP Control

WEDNESDAY, July 3 (HealthDay News) -- For patients with uncontrolled blood pressure (BP), use of a telemonitoring intervention involving home BP telemonitors and pharmacist case management is associated with greater improvements in BP control than those seen with usual care, according to a study published in the July 3 issue of the Journal of the American Medical Association.

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More Than 40 Percent of Docs Report Work Dissatisfaction

WEDNESDAY, July 3 (HealthDay News) -- Many physicians are dissatisfied and are unlikely to recommend the medical profession to young people, according to a report published by Jackson Healthcare.

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Obama Administration: ACA's Employer Mandate Delayed

WEDNESDAY, July 3 (HealthDay News) -- The Obama Administration is postponing a major Affordable Care Act (ACA) provision, the employer mandate, according to an announcement made Tuesday via the U.S. Department of the Treasury website.

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Home-Based Walking Intervention Beneficial in PAD

TUESDAY, July 2 (HealthDay News) -- In patients with peripheral artery disease, a home-based, group-mediated cognitive behavioral walking intervention significantly improves walking endurance and physical activity, according to a study published in the July 3 issue of the Journal of the American Medical Association.

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Peptide Screening and Care Reduces Heart Failure Risk

TUESDAY, July 2 (HealthDay News) -- Screening people at risk for heart failure for certain levels of brain-type natriuretic peptide (BNP), a peptide secreted by the ventricles of the heart, followed by collaborative care reduces the risk of left ventricle dysfunction and heart failure, according to a study published in the July 3 issue of the Journal of the American Medical Association.

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Hypertension, Lipid Control Improved, 1988 to 2010

TUESDAY, July 2 (HealthDay News) -- Concomitant hypertension and hypercholesterolemia control have improved from 1988-1994 to 2005-2010, according to research published in the July 2 issue of Circulation.

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Docs Impact Comparative Effectiveness Research Opinion

TUESDAY, July 2 (HealthDay News) -- Doctors' support of comparative effectiveness research (CER) influences public opinion and has a greater impact on public opinion than cues from political players, according to research to be published this fall in the Journal of Health Politics, Policy and Law.

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Prehospital Triage Policy for Suspected Stroke Ups tPA Use

MONDAY, July 1 (HealthDay News) -- Implementation of a prehospital triage policy for patients with suspected stroke is associated with increased use of intravenous (IV) tissue plasminogen activator (tPA), according to a study published online July 1 in JAMA Neurology.

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New Rule for Home Health Prospective Payment System

MONDAY, July 1 (HealthDay News) -- A new rule proposing changes to the Medicare home health prospective payment system (HH PPS) is set to reduce costs for calendar year 2014, according to a report issued by the Centers for Medicare & Medicaid Services (CMS).

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Diabetic Retinopathy Severity Inversely Tied to Cognition

MONDAY, July 1 (HealthDay News) -- For patients with type 2 diabetes, the severity of diabetic retinopathy (DR) is inversely linked to cognitive impairment, according to a study published online April 30 in Diabetes Care.

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