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November 2013 Briefing - Geriatrics

Here are what the editors at HealthDay consider to be the most important developments in Geriatrics for November 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.

Insurance Exchanges May Benefit Small Medical Practices

WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- Small medical practices may not need to offer their employees health insurance, although there may be advantages to doing so, according to an article published Nov. 10 in Medical Economics.

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AAD Issues Top Five Choosing Wisely Recommendations

WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- The top five dermatology-related issues that physicians and patients should question have been released by the American Academy of Dermatology (AAD) as part of the Choosing Wisely campaign, and have been published in the December issue of the Journal of the American Academy of Dermatology.

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Practices Should Start Preparing for Transition to ICD-10

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Practices should start preparing for the transition to International Classification of Diseases, 10th Revision (ICD-10), according to an article published Nov. 10 in Medical Economics.

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Oral Fluoroquinolone Use Not Linked to Retinal Detachment

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Oral fluoroquinolone use is not associated with the risk of retinal detachment, according to a Danish cohort study published in the Nov. 27 issue of the Journal of the American Medical Association.

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Sustained Physical Activity Key Ingredient in Healthy Aging

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Regular physical activity increases the likelihood of remaining healthy with age, even if started later in life, according to a study published online Nov. 25 in the British Journal of Sports Medicine.

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Chest Pain Characteristics Don't Help Diagnose AMI in Women

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Small differences are observed in the sex-specific diagnostic performance of chest pain characteristics (CPCs) for diagnosing acute myocardial infarction (AMI), according to a study published online Nov. 25 in JAMA Internal Medicine.

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Optimal Testosterone Levels Tied to Survival in Older Men

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Higher and lower levels of testosterone (T) and its metabolites may raise mortality risk in older men, according to a study published online Nov. 20 in the Journal of Clinical Endocrinology & Metabolism.

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USPSTF: Lack of Evidence for Primary Care Oral CA Screening

MONDAY, Nov. 25, 2013 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has found that there is currently insufficient evidence to weigh the benefits and harms of primary care provider screening of asymptomatic adults for oral cancer, according to a final recommendation statement published online Nov. 25 in the Annals of Internal Medicine.

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American Medical Groups Protesting Physician Cuts

MONDAY, Nov. 25, 2013 (HealthDay News) -- Medical societies are taking action against the mass cancellations of physicians in Medicare Advantage plans in many states, according to an article published online Nov. 22 in Medical Economics.

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Family Doc Finds Mid-Level Providers Increase Revenue

MONDAY, Nov. 25, 2013 (HealthDay News) -- Hiring mid-levels -- physicians assistants and nurse practitioners -- can improve productivity, resulting in increased physician take-home pay, according to an article published Nov. 10 in Medical Economics.

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White House Extends Enrollment Deadline for Health Insurance

FRIDAY, Nov. 22, 2013 (HealthDay News) -- Consumers who want to enroll in a health insurance plan through HealthCare.gov will get a few extra days to sign up for coverage that will take effect on Jan. 1. The deadline for buying insurance through the federal health insurance exchange will be pushed from Dec. 15 to Dec. 23, a spokeswoman for the Centers for Medicare and Medicaid Services (CMS) said during a Friday news conference.

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Continuity of Care Impacts Patient-Doc Communication

FRIDAY, Nov. 22, 2013 (HealthDay News) -- For Veterans Administration (VA) outpatients, low continuity of primary care correlates with reduced quality of patient-provider communication, according to a study published online Sept. 26 in the Journal of General Internal Medicine.

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Rates of CPR Training Vary Geographically in the U.S.

FRIDAY, Nov. 22, 2013 (HealthDay News) -- There are wide geographic disparities in rates of cardiopulmonary resuscitation (CPR) training in the United States, according to a study published online Nov. 18 in JAMA Internal Medicine.

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FDA Warns of Cardiac Risk With Stress Test Agents

FRIDAY, Nov. 22, 2013 (HealthDay News) -- The use of cardiac nuclear stress test agents comes with a rare but serious risk of heart attack and death, according to a warning sent by the U.S. Food and Drug Administration to health care professionals.

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Vision Measured in Clinic Better Than That Measured at Home

FRIDAY, Nov. 22, 2013 (HealthDay News) -- For older adults, vision measured in the clinic is generally better than that measured at home, according to a study published online Nov. 21 in JAMA Ophthalmology.

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Unemployment Linked to Accelerated Biological Aging

FRIDAY, Nov. 22, 2013 (HealthDay News) -- Young adult men who are unemployed for long periods have shorter telomeres, a sign of accelerated biological aging, according to a study published online Nov. 20 in PLOS ONE.

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Metabolic Factors Mediate Much of BMI-Tied Excess Cardio Risk

FRIDAY, Nov. 22, 2013 (HealthDay News) -- Blood pressure, cholesterol, and glucose mediate much of the excess risk of coronary heart disease and stroke associated with high body mass index (BMI), according to a study published online Nov. 22 in The Lancet.

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CDC Report: Health Disparities Persist in America

THURSDAY, Nov. 21, 2013 (HealthDay News) -- Despite progress in some areas, health disparities remain for many Americans, health officials reported Thursday. These inequalities are related to income, education, sex, race, ethnicity, employment and sexual orientation, and they all affect Americans' health and well-being, according to the U.S. Centers for Disease Control and Prevention.

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Team-Based Approach Best Suited to Controlling High BP

THURSDAY, Nov. 21, 2013 (HealthDay News) -- To optimize the treatment of high blood pressure, the American Heart Association, American College of Cardiology, and U.S. Centers for Disease Control and Prevention advocate a team-based approach that incorporates the use of electronic health records, according to a scientific advisory published online Nov. 15 in Hypertension.

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Recessions Linked to Worse Cognitive Function Later

THURSDAY, Nov. 21, 2013 (HealthDay News) -- Living through recessions is associated with worse cognitive function later in life, with the critical age range differing for men and women, according to a study published online Nov. 20 in the Journal of Epidemiology & Community Health.

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Race May Affect Assessment of Vitamin D Status

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- Common genetic polymorphisms may explain racial differences in manifestations of vitamin D deficiency, according to research published in the Nov. 21 issue of the New England Journal of Medicine.

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Nut Consumption May Impact Mortality Risk

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- Those who consume nuts have a lower risk of total and cause-specific mortality, according to research published in the Nov. 21 issue of the New England Journal of Medicine.

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More Than Half of Hospitalized Patients Given Opioids

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- More than half of hospitalized, nonsurgical patients are exposed to opioids, according to a study published online Nov. 13 in the Journal of Hospital Medicine.

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USPSTF Identifies High Priority Evidence Gaps for Older Adults

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has produced their third annual report for Congress identifying high-priority evidence gaps specifically relating to the care of older adults.

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Web-Based Course Improves Ability to Detect Skin Cancer

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- For primary care providers (PCPs), a web-based course in skin cancer detection improves skills related to recognition and management of skin cancer, according to a study published in the November-December issue of the Journal of the American Board of Family Medicine.

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Short-Term Aerobic Exercise Improves Memory in Older Adults

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- Even shorter term regular aerobic exercise can increase resting cerebral blood flow, and improve memory and cardiovascular health in older sedentary adults, according to a study published online Nov. 12 in Frontiers in Aging Neuroscience.

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Calcium, Vitamin D Up BMD for Patients on Antiepileptic Drugs

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- For male veterans with epilepsy taking antiepileptic drugs (AEDs), calcium and vitamin D supplementation improve bone mineral density (BMD), with added benefits seen with addition of risedronate, according to a study published in the November issue of Epilepsia.

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Health Care Frustration Higher in U.S. Than Other Countries

TUESDAY, Nov. 19, 2013 (HealthDay News) -- Compared to 10 other high-income industrialized nations, adults in the United States are more likely to go without health care because of costs, experience difficulty paying medical bills, and deal with frustrating health insurance paperwork or disputes such as unpaid claims, according to a report published by The Commonwealth Fund.

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Comorbidity Has Considerable Impact on Life Expectancy

TUESDAY, Nov. 19, 2013 (HealthDay News) -- Life expectancy in elderly individuals of the same chronological age varies with levels of comorbidity, according to research published in the Nov. 19 issue of the Annals of Internal Medicine.

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Risk of Hospitalized Fall Injury Up for Seniors With Diabetes

TUESDAY, Nov. 19, 2013 (HealthDay News) -- Older adults with diabetes, especially those treated with insulin, are at increased risk of injurious falls requiring hospitalization, according to a study published online Oct. 15 in Diabetes Care.

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Effect of Statins on Cognitive Function Unclear

TUESDAY, Nov. 19, 2013 (HealthDay News) -- Current published evidence is lacking and further research is needed to establish an effect of statins on cognitive function, according to a review published in the Nov. 19 issue of the Annals of Internal Medicine.

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Some Doctors Challenge New Statin Guidelines

MONDAY, Nov. 18, 2013 (HealthDay News) -- A new online cholesterol risk calculator produced by two leading U.S. heart organizations is flawed and overstates a person's risk of heart disease, a pair of Harvard Medical School professors say. The professors contend that this flaw could lead the calculator to mistakenly suggest that millions of people should be taking cholesterol-lowering statin drugs, The New York Times reported Monday.

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AAFP Creates Map of Medicaid Parity Provision Implementation

FRIDAY, Nov. 15, 2013 (HealthDay News) -- Most states have implemented the Affordable Care Act's Medicaid parity measure for certain primary care services, according to a report published by the American Academy of Family Physicians (AAFP).

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MetS No Better Than BMI for ID'ing Risk for Heart Disease

FRIDAY, Nov. 15, 2013 (HealthDay News) -- Being overweight or obese is a risk factor for myocardial infarction (MI) and ischemic heart disease (IHD) regardless of metabolic syndrome status, according to a study published online Nov. 11 in JAMA Internal Medicine.

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Time Spent Walking Tied to Lower Stroke Risk in Older Men

FRIDAY, Nov. 15, 2013 (HealthDay News) -- For older men, time spent walking is associated with a reduced risk of stroke, in a dose-dependent manner, according to a study published online Nov. 14 in Stroke.

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Macular Degeneration Not Tied to Alzheimer's, Dementia

FRIDAY, Nov. 15, 2013 (HealthDay News) -- Individuals with age-related macular degeneration (AMD) do not have an elevated risk for Alzheimer's disease (AD) or dementia, according to a study published online Nov. 14 in JAMA Ophthalmology.

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Obama Nominates Health Care Law Backer to Be Surgeon General

FRIDAY, Nov. 15, 2013 (HealthDay News) -- An early supporter and advocate for the Affordable Care Act has been nominated by President Barack Obama to be the country's next surgeon general.

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FDA Requests Safety Measures for Topical Antiseptics

FRIDAY, Nov. 15, 2013 (HealthDay News) -- The U.S. Food and Drug Administration is requesting manufacturers of certain topical antiseptics make changes to their labeling and packaging that will enhance product safety, according to a Drug Safety Communication issued by the agency.

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Arthritis Patients Listen When Doc Tells Them to Exercise

FRIDAY, Nov. 15, 2013 (HealthDay News) -- Recommendations from health care providers are linked with adherence to guidelines for physical activity in adults with arthritis, according to research published online Nov. 7 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Obama: You Can Keep Your Health Plan (for a Year)

THURSDAY, Nov. 14 (HealthDay News) -- Bending to political pressure, President Barack Obama on Thursday announced a plan to allow Americans to keep their health insurance plans for another year, even if that coverage would have been cancelled because it fails to meet new rules under the Affordable Care Act.

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Guidelines Issued for Assessing Risk of Atherosclerotic CVD

THURSDAY, Nov. 14 (HealthDay News) -- Evidence-based recommendations for assessing the risk of atherosclerotic cardiovascular disease (ASCVD) have been developed by the American Heart Association and the American College of Cardiology; the guidelines were published online Nov. 12 in Circulation and the Journal of the American College of Cardiology.

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New Guidelines Issued for Cholesterol Management

THURSDAY, Nov. 14 (HealthDay News) -- Evidence-based recommendations for the management of cholesterol for the primary and secondary prevention of atherosclerotic cardiovascular disease (ASCVD) have been developed by the American Heart Association and the American College of Cardiology; the guidelines were published online Nov. 12 in Circulation and the Journal of the American College of Cardiology.

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Pulse Pressure Linked to CSF Markers of Alzheimer's Disease

THURSDAY, Nov. 14 (HealthDay News) -- Elevated pulse pressure (PP) is linked to cerebrospinal fluid (CSF)-based biomarkers related to Alzheimer's disease in cognitively normal, older adults, according to a study published online Nov. 13 in Neurology.

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BP Down With Barber-Based Intervention, Specialist Follow-Up

THURSDAY, Nov. 14 (HealthDay News) -- A barber-based intervention -- whereby barbers offer blood pressure (BP) checks with haircuts and motivate black male patrons with high BP to seek provider follow-up -- is associated with a significant reduction in systolic BP when barbers refer patrons to hypertension specialists rather than primary care providers (PCP), according to a study published in the Nov. 1 issue of The American Journal of Cardiology.

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No Promises on Nov. 30 ACA Website Fix: U.S. Tech Chief

THURSDAY, Nov. 14 (HealthDay News) -- The nation's chief of information technology would not confirm on Wednesday whether the hobbled HealthCare.gov insurance exchange website would be fixed by month's end.

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Health Care Enrollments Fall Far Short of White House Estimates

THURSDAY, Nov. 14 (HealthDay News) -- The Obama administration late Wednesday released a report revealing a disappointing number of health plan enrollments through the new federal and state insurance exchanges. Just over 106,000 Americans enrolled in health plans through the new marketplaces from Oct. 1 through Nov. 2, U.S. Health and Human Services Secretary Kathleen Sebelius said during a news conference.

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Obesity Ups Women's Death, Disability Risk Before Age 85

WEDNESDAY, Nov. 13 (HealthDay News) -- Obese older women are at higher risk of death, disease, and disability before age 85, relative to healthy-weight women, according to a study published online Nov. 11 in JAMA Internal Medicine.

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New Models Could Alleviate Primary Care Provider Shortage

WEDNESDAY, Nov. 13 (HealthDay News) -- New models of primary care delivery could reduce the anticipated primary care physician shortage, according to an article published Nov. 4 in Medical Economics.

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Many Would Give Health Plans Private Info to Save Money: Poll

WEDNESDAY, Nov. 13 (HealthDay News) -- Many Americans say they'd submit to insurance company medical tests and lifestyle monitoring in exchange for lower-cost premiums, a new Harris/HealthDay poll finds.

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Guidelines Agree on Opioid Risk Mitigation Strategies

WEDNESDAY, Nov. 13 (HealthDay News) -- Recent guidelines on chronic pain management agree on several opioid risk mitigation strategies, according to a review published online Nov. 12 in the Annals of Internal Medicine.

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Population Aging Crisis May Have Been Overestimated

WEDNESDAY, Nov. 13 (HealthDay News) -- Use of an alternative measure for assessing the number of dependent older people suggests that the population aging crisis may have been overestimated, according to an analysis published online Nov. 12 in BMJ.

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Lifestyle Management Guidance Issued for Cutting CVD Risk

TUESDAY, Nov. 12 (HealthDay News) -- Recommendations for lifestyle management for adults who need to reduce low-density lipoprotein cholesterol (LDL-C) or blood pressure have been developed, according to a report published online Nov. 12 in Circulation and the Journal of the American College of Cardiology.

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Hospitalizations for About 70 Percent of ER Visits for A-Fib

TUESDAY, Nov. 12 (HealthDay News) -- Nationwide, 69 percent of emergency department visits for atrial fibrillation (AF) result in hospitalization, with patient- and hospital-level factors affecting hospitalization, according to a study published in the Nov. 1 issue of The American Journal of Cardiology.

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Initial Health-Plan Enrollment Falls Below Expectations

TUESDAY, Nov. 12 (HealthDay News) -- Fewer than 50,000 people have enrolled in health insurance through the federal HealthCare.gov website, according to published reports. The tally represents enrollment in the troubled federal health insurance exchange from its launch date on Oct. 1 through last week, the Wall Street Journal reported Monday. HealthCare.gov serves as the insurance exchange for people in 36 states.

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USPSTF: Lack of Evidence for Vitamins for CVD, CA Prevention

TUESDAY, Nov. 12 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has found that there is currently insufficient evidence to weigh the benefits and harms of multivitamins for the primary prevention of cardiovascular disease (CVD) or cancer. This draft recommendation statement is based on an evidence review published online Nov. 12 in the Annals of Internal Medicine.

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Changes Suggested for Improving Care for Frail Elderly

TUESDAY, Nov. 12 (HealthDay News) -- Changes must be implemented to provide reliable and comprehensive care for frail elderly in the United States, according to a viewpoint piece published in the Nov. 13 issue of the Journal of the American Medical Association, a theme issue on critical issues in U.S. health care.

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Analysis Describes Economic Anatomy of U.S. Health Care

TUESDAY, Nov. 12 (HealthDay News) -- Despite the increases in resources devoted to health care in the United States, multiple health care metrics show that the United States is trailing peer nations, according to a special communication published in the Nov. 13 issue of the Journal of the American Medical Association, a theme issue on critical issues in U.S. health care.

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Depression Linked to Accelerated Cellular Aging

TUESDAY, Nov. 12 (HealthDay News) -- Patients with major depressive disorder (MDD) have shorter telomeres, indicating accelerated cellular aging, according to a study published online Nov. 12 in Molecular Psychiatry.

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Post-Op Prophylactic Heparin Poses Very Low Bleed Risk

MONDAY, Nov. 11 (HealthDay News) -- The risk of hemorrhage seems to be very low when prophylactic low-molecular-weight heparin (LMWH) is initiated 24 to 36 hours after degenerative spine surgery but the associated venous thromboembolism (VTE) risk is considerable, according to research published in the Nov. 1 issue of Spine.

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Obama 'Sorry' Some People Losing Health Coverage

FRIDAY, Nov. 8 (HealthDay News) -- President Barack Obama said he's "sorry" some Americans are losing their insurance coverage as a result of his signature health-reform law, but his administration is pressing ahead with the law's implementation. It's estimated that 5 percent of Americans have individual health insurance policies, and many of these people are receiving cancellation notices as insurers switch to plans that comply with new health-reform requirements.

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CDC: More Than 1 in 5 Adults Report Having Arthritis

THURSDAY, Nov. 7 (HealthDay News) -- More than one in five U.S. adults report having been diagnosed with arthritis, with a substantial proportion additionally reporting arthritis-attributable activity limitations (AAAL), according to a report published in the Nov. 8 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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FDA to Ban Trans Fats in Foods

THURSDAY, Nov. 7 (HealthDay News) -- U.S. health officials announced Thursday a plan to phase out heart-harmful trans fats in processed foods and restaurant fare. U.S. Food and Drug Administration Commissioner Margaret Hamburg, M.D., said the proposed restrictions on the use of trans fats could prevent 20,000 heart attacks a year and 7,000 deaths.

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Telemedicine Represents Enhanced Care Model

THURSDAY, Nov. 7 (HealthDay News) -- Telemedicine may represent an effective care model but there are associated concerns, specifically relating to reimbursement and legal issues, according to an article published Oct. 25 in Medical Economics.

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Better Oral Health Decreases Carotid Artery IMT Progression

THURSDAY, Nov. 7 (HealthDay News) -- Improvements in periodontal health are associated with improvements in the progression of atherosclerosis, according to a study published online Oct. 28 in the Journal of the American Heart Association.

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Amount of Care Similar for Rural, Urban Medicare Users

THURSDAY, Nov. 7 (HealthDay News) -- Although there may be a limited supply of physicians in some rural areas, little difference is found in the amount of health care received by Medicare beneficiaries for rural versus urban areas within the same region, according to research published in the November issue of Health Affairs.

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Argument for Coverage of Cardiac Rehab, Counseling for Stable CHF

THURSDAY, Nov. 7 (HealthDay News) -- Cardiac rehabilitation (CR) exercise training and chronic heart failure self-care counseling provide significant clinical benefits to individuals with stable chronic heart failure, according to a review published Oct. 30 in the Journal of the American College of Cardiology: Heart Failure.

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For Hospitalized Adults, Light Inversely Tied to Fatigue, Mood

THURSDAY, Nov. 7 (HealthDay News) -- For hospitalized adult patients, light exposure is inversely associated with fatigue and total mood disturbance, according to a study published online Oct. 27 in the Journal of Advanced Nursing.

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Postdiagnostic Statin Use Cuts Mortality in Prostate Cancer

THURSDAY, Nov. 7 (HealthDay News) -- For men with prostate cancer, postdiagnostic statin use is associated with a decreased risk of prostate cancer and all-cause mortality, with stronger effects seen for those who used statins before diagnosis, according to a study published online Nov. 4 in the Journal of Clinical Oncology.

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Aspiring Doctors Are Optimistic About the Future of Medicine

THURSDAY, Nov. 7 (HealthDay News) -- Aspiring doctors are optimistic about the future of medicine, according to a report published by the National Academy of Future Physicians and Medical Scientists.

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Sebelius on Exchange Website: 'Delay Is Not an Option'

WEDNESDAY, Nov. 6 (HealthDay News) -- U.S. Health and Human Services Secretary Kathleen Sebelius said Wednesday that the Obama administration will not consider delaying implementation of health reform. Nor will it take down HealthCare.gov -- the troubled health insurance marketplace website -- while it's being fixed. "For millions of Americans, delay is not an option," Sebelius told the Senate Finance Committee during a hearing on the new health insurance marketplace. "People's lives depend on this," she said.

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Hyperglycemia May Increase Myocardial Infarction Mortality

WEDNESDAY, Nov. 6 (HealthDay News) -- Hyperglycemia is common among patients presenting with myocardial infarction and is associated with a higher risk of death, according to a study published in the Nov. 1 issue of The American Journal of Cardiology.

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In CAD, Many Don't Get Optimal Secondary Prevention Med Combo

WEDNESDAY, Nov. 6 (HealthDay News) -- About one-third of coronary artery disease (CAD) patients fail to receive their optimal combination of secondary prevention medications, according to a study published online Oct. 30 in the Journal of the American College of Cardiology.

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Personal History of Prostate Cancer Linked to Melanoma Risk

WEDNESDAY, Nov. 6 (HealthDay News) -- History of prostate cancer (PCa) is associated with an increased risk of melanoma, according to a study published online Nov. 4 in the Journal of Clinical Oncology.

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Diet Quality in Midlife Associated With Healthy Aging

TUESDAY, Nov. 5 (HealthDay News) -- Diet quality in midlife is associated with increased odds of healthy aging, according to a study published in the Nov. 5 issue of the Annals of Internal Medicine.

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Study Raises Questions About Testosterone Rx for 'Low T'

TUESDAY, Nov. 5 (HealthDay News) -- For men with low testosterone levels who undergo coronary angiography, testosterone therapy is associated with an increased risk of all-cause mortality, myocardial infarction (MI), and stroke, according to a study published in the Nov. 6 issue of the Journal of the American Medical Association.

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Senators Seek Answers on Health Marketplace Woes

TUESDAY, Nov. 5 (HealthDay News) -- A top Obama administration health official said Tuesday that HealthCare.gov -- the troubled federal website used to sign up for insurance -- is improving, and insisted that private information provided during the online application process is safe and secure.

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In the Doctor's Lounge With Dr. Cindy Haines

FRIDAY, Nov. 1 (HealthDay News) -- This is the second issue of a monthly letter from me, HealthDay's chief medical officer and the managing editor of Physician's Briefing, HealthDay's news service for health care professionals. The intention of this letter (and the intention of what we do at HealthDay) is to provide tools of communication. At Physician's Briefing, this is by providing you, the busy and buried health care professional, news and information that matters to you in a way that won't slow you down. The intention is to provide news that can help you stay abreast of changing clinical guidelines, cutting-edge technologies, and novel treatment options. And now, we offer free Continuing Medical Education (CME) credits for you on select clinical articles, enabling you to get (at least) two birds with one stone.

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In the Doctor's Lounge With Dr. Cindy Haines

TUESDAY, Oct. 1 (HealthDay News) -- Please allow me to introduce myself: I am HealthDay's chief medical officer and the managing editor of Physician's Briefing, HealthDay's news service for health care professionals. This service is intended to provide busy physicians, nurses, and pharmacists with easily accessible, digestible health news that can keep them up-to-date and not missing a beat in their busy days providing care for those in need (and navigating the headaches and heartaches the business of medicine can too often bring). In short, this service is intended to make your professional life flow more smoothly in the way that helpful, useable, relevant, and timely information can.

Exchanges Will Be Cornerstone for Coverage Choices
Young Adults May Be Key to Making It All Work
Expect Pluses, Minuses for Those With Job-Based Coverage
If You're an Uninsured Worker, It's Your Chance to Get Covered
Medicaid Expansion Will Allow More to Get More
Many on Medicare Already Enjoying Benefits
AMA Presents: The National Journal
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Study Compares Treatments for Vertebral Compression Fx

TUESDAY, Nov. 5 (HealthDay News) -- For Medicare patients with new vertebral compression fractures, kyphoplasty correlates with lower risk of death, but with increased likelihood of subsequent augmentation procedures compared with vertebroplasty, according to a study published in the Oct. 2 issue of The Journal of Bone & Joint Surgery.

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A-Fib Linked to Increased Risk of Myocardial Infarction

TUESDAY, Nov. 5 (HealthDay News) -- Atrial fibrillation (AF) is associated with an increased risk of myocardial infarction (MI), according to a study published online Nov. 4 in JAMA Internal Medicine.

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USPSTF: Evidence Lacking for Cognitive Impairment Screening

MONDAY, Nov. 4 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has found that the evidence is insufficient to assess the balance of benefits and harms of cognitive impairment screening for older adults without signs or symptoms of cognitive impairment. This draft recommendation statement is based on an evidence review published in the Nov. 5 issue of the Annals of Internal Medicine.

Draft Recommendation Statement
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Six People Signed Up on Day One of Federal Exchange Website

FRIDAY, Nov. 1 (HealthDay News) -- Just six people enrolled for health insurance through the federal HealthCare.gov website the first day of operation on Oct. 1, just-released Obama administration documents show.

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Physician Buy-In Key to Reducing Health Care Costs

FRIDAY, Nov. 1 (HealthDay News) -- Physician buy-in is essential for creation of any new payment system aimed at reducing health care costs, according to an article published Oct. 21 in Medical Economics.

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Abnormal Thyroid Function Predicts Mortality in Elderly

FRIDAY, Nov. 1 (HealthDay News) -- Abnormal thyroid function test results detected in elderly patients during hospitalization are significantly related to poorer prognosis, according to research published online Oct. 30 in the Journal of Clinical Endocrinology & Metabolism.

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