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August 2014 Briefing - Internal Medicine

Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for August 2014. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Report Highlights Progress, Challenges in Health IT

FRIDAY, Aug. 29, 2014 (HealthDay News) -- Progress has been made toward widespread adoption of electronic health records (EHRs), although there are still barriers to adoption of advanced use of EHRs, according to a report published by the Robert Wood Johnson Foundation.

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Photodynamic Therapy Beats Cryotherapy for Actinic Keratoses

FRIDAY, Aug. 29, 2014 (HealthDay News) -- For actinic keratoses (AKs), photodynamic therapy (PDT) is associated with improved response compared with cryotherapy, according to a meta-analysis published online Aug. 27 in JAMA Dermatology.

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Overconfident People May Blind Others to Their Real Abilities

FRIDAY, Aug. 29, 2014 (HealthDay News) -- Overconfident people are better at convincing others that they're more talented than they really are, and therefore are more likely to get promotions and reach high-level positions, according to British researchers. Their findings were published online Aug. 27 in PLOS ONE.

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Gene Research Yields Insights Into Ebola Virus

FRIDAY, Aug. 29, 2014 (HealthDay News) -- Genetic research performed during the early days of the Ebola outbreak in West Africa has given scientists unprecedented insight into how the virus mutates and spreads.

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Poor Prostate Cancer Knowledge Ups Decisional Conflict

FRIDAY, Aug. 29, 2014 (HealthDay News) -- For economically disadvantaged men with newly diagnosed prostate cancer, poor knowledge about prostate cancer is associated with increased decisional conflict and lower perceived effectiveness of decision-making, according to a study published in the Sept. 1 issue of Cancer.

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Prognostic Model Developed for Major Outcomes in T1DM

FRIDAY, Aug. 29, 2014 (HealthDay News) -- A prognostic model has been developed and validated which has adequate discrimination for major outcomes in type 1 diabetes, according to a study published online Aug. 28 in Diabetologia.

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Long-Term Use of Sulfonylureas Tied to Coronary Heart Disease

FRIDAY, Aug. 29, 2014 (HealthDay News) -- Among women with diabetes, long-term use of sulfonylureas is associated with a significantly higher risk of incident coronary heart disease (CHD), according to a study published online Aug. 22 in Diabetes Care.

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Factors ID'd for Late Hospice Admission for Cancer Patients

FRIDAY, Aug. 29, 2014 (HealthDay News) -- For patients with cancer, factors associated with late admission to hospice have been identified, according to a study published online Aug. 25 in the Journal of Clinical Oncology.

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High Salt Intake May Worsen Multiple Sclerosis Symptoms

FRIDAY, Aug. 29, 2014 (HealthDay News) -- High sodium intake is associated with increased disease activity in multiple sclerosis (MS), according to research published online Aug. 28 in the Journal of Neurology, Neurosurgery & Psychiatry.

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AMGA: Physician Turnover Still High in 2013

THURSDAY, Aug. 28, 2014 (HealthDay News) -- For the second year running, physician turnover remains at the highest rate since 2005, according to a report published by the American Medical Group Association (AMGA).

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Ebola Outbreak Could Infect 20,000 People, U.N. Says

THURSDAY, Aug. 28, 2014 (HealthDay News) -- The deadly Ebola outbreak hitting four West African nations could eventually infect more than 20,000 people, the World Health Organization announced Thursday.

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Lupin in Gluten-Free Food May Trigger Allergies

THURSDAY, Aug. 28, 2014 (HealthDay News) -- A new ingredient in gluten-free products, lupin, which belongs to the same plant family as peanuts, could cause allergic reactions, according to a news release from Kansas State University.

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Doctors Frequently Experience Ethical Dilemmas

THURSDAY, Aug. 28, 2014 (HealthDay News) -- For physicians trying to balance various financial and time pressures, ethical dilemmas are common, according to an article published Aug. 7 in Medical Economics.

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Cancer Patients With Depression Often Untreated

THURSDAY, Aug. 28, 2014 (HealthDay News) -- Patients with cancer and depression frequently do not receive effective treatment; however, an integrated program is effective in patients with cancer, and specifically lung cancer, according to three studies published online Aug. 28 in The Lancet Psychiatry, The Lancet, and The Lancet Oncology.

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Preventive Bundle Cuts Colorectal Surgical Site Infections

THURSDAY, Aug. 28, 2014 (HealthDay News) -- Implementation of a preventive surgical site infection (SSI) bundle is associated with a reduction in SSI rates after colorectal surgery, according to a study published online Aug. 27 in JAMA Surgery.

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CPAP Treats Excessive Daytime Sleepiness in Seniors

THURSDAY, Aug. 28, 2014 (HealthDay News) -- Continuous positive airway pressure (CPAP) is an effective treatment for daytime sleepiness in seniors with sleep apnea, according to a new study published online Aug. 27 in The Lancet Respiratory Medicine.

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More Cardiovascular Deaths Seen in Low-Income Countries

THURSDAY, Aug. 28, 2014 (HealthDay News) -- Although the burden of risk factors is lower, more deaths from major cardiovascular disease occur in low-income countries, according to research published in the Aug. 28 issue of the New England Journal of Medicine.

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CSF Biomarkers ID Alzheimer's, Independent of APOE Genotype

THURSDAY, Aug. 28, 2014 (HealthDay News) -- Cerebrospinal fluid (CSF) biomarkers for Alzheimer's disease (AD), particularly β-amyloid 42 (Aβ42), are strongly associated with AD diagnosis, independent of APOE genotype, according to a study published online Aug. 27 in JAMA Psychiatry.

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Sensory Deficits Common in Patients With Multiple Myeloma

THURSDAY, Aug. 28, 2014 (HealthDay News) -- Treatment-naive patients with multiple myeloma (MM) frequently have sensory deficits, according to a study published online Aug. 25 in the Journal of Clinical Oncology.

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Team Approach Improves Practice Efficiency

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- The increasing administrative requirements of a medical practice are requiring a team-based approach to care, and physicians must learn to manage the team, according to an article published Aug. 7 in Medical Economics.

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CRC Mortality Down With Removal of Low-Risk Adenomas

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- For patients who undergo removal of adenomas, colorectal cancer mortality risk is increased for those who had high-risk adenomas removed and reduced for those who had low-risk adenomas removed, according to a study published in the Aug. 28 issue of the New England Journal of Medicine.

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Transmission Rate for MERS Studied in Household Contacts

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- The rate of transmission of the Middle East respiratory syndrome coronavirus (MERS-CoV) from patients to household contacts is about 5 percent, according to research published in the Aug. 28 issue of the New England Journal of Medicine.

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Factors Tied to Neck, Back Pain Improvement Identified

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- Observational registry-based research can inform patients and physicians about prognosis for subacute or chronic neck or low back pain, according to a study published in the Aug. 1 issue of The Spine Journal.

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Health Care Protective Gear Lacking in Ebola Outbreak

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- Health care workers in poor nations often do not have enough protective gear to keep them safe from being infected with blood-borne viruses such as Ebola and HIV, according to a study published online Aug. 8 in Tropical Medicine & International Health.

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Oral Contraceptive Equal to Antibiotics for Acne Care

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- At six months, oral contraceptive pills (OCPs) are comparable to systemic antibiotics for acne management, according to a review published in the September issue of the Journal of the American Academy of Dermatology.

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Aspirin Post-Anticoagulation Tx Cuts Risk of VTE Recurrence

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- For patients with first unprovoked venous thromboembolism (VTE), aspirin after anticoagulant treatment reduces the risk of recurrence, according to a study published online Aug. 25 in Circulation.

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Video Game Improves Balance in Multiple Sclerosis Patients

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- Training with a video game balance board results in changes shown in brain magnetic resonance imaging (MRI) as well as clinical improvement in balance in patients with multiple sclerosis (MS), according to research published online Aug. 26 in Radiology.

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In-Utero Exposure to Gestational Diabetes Ups Later Diabetes Risk

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- In-utero exposure to gestational diabetes mellitus (GDM) increases the likelihood of developing diabetes or prediabetes among obese adolescents, according to a study published online Aug. 25 in Diabetologia.

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Risk of Diabetes Up in Hodgkin's Lymphoma Survivors

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- Para-aortic radiation correlates with increased diabetes mellitus (DM) risk for Hodgkin's lymphoma (HL) survivors, according to a study published online Aug. 25 in the Journal of Clinical Oncology.

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Low Enrollment Raises Doubts About Cardio Trial Findings

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- Low levels of enrollment and more favorable risk profiles for participants raise questions about whether the findings of clinical trials are generalizable to typical patients with myocardial infarction (MI), according to research published in the Aug. 27 issue of the Journal of the American Medical Association.

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FDA: Steer Clear of Dietary Supplements for Concussions

TUESDAY, Aug. 26, 2014 (HealthDay News) -- As the fall sports season starts and young players face the risk of concussions, the U.S. Food and Drug Administration warns that dietary supplements that claim to prevent, treat, or cure concussions are untested, unproven, and possibly dangerous.

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HTN Self-Management Beneficial in High-Risk Patients

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Self-monitoring with self-titration of antihypertensive medications is associated with lower blood pressure for patients with hypertension at risk for cardiovascular disease, according to a study published in the Aug. 27 issue of the Journal of the American Medical Association.

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Ban Indoor Use of E-Cigarettes, U.N. Health Agency Says

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Joining a number of other health agencies, the United Nations' World Health Organization (WHO) on Tuesday recommended that countries regulate electronic cigarettes and ban their use indoors until studies prove that "vaping" is harmless to bystanders.

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CDC Director: Ebola has 'Upper Hand' in Outbreak

TUESDAY, Aug. 26, 2014 (HealthDay News) -- While officials and health experts have the means to prevent Ebola from spreading, the deadly virus currently has the "upper hand" in an outbreak that has killed more than 1,400 people in West Africa, according to the director of the U.S. Centers for Disease Control and Prevention.

Health Highlights: Aug. 26, 2014

Confusional Arousal Common, Linked to Other Disorders

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Confusional arousals (CAs) are common in the general population and they may be associated with other factors, such as medication consumption, sleep disorders, and mental disorders, according to research published in the Aug. 26 issue of Neurology.

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Frequent ER Visits for Heart Failure Cause Majority of Costs

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Individuals with frequent emergency department visits for acute heart failure syndrome (AHFS) account for the majority of hospitalizations and hospital charges for AHFS, according to a study published online Aug. 19 in Circulation: Cardiovascular Quality and Outcomes.

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Review: Surgery Doesn't Benefit Age-Related Meniscal Tears

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Evidence suggests that arthroscopic surgery does not benefit middle-aged patients with degenerative meniscal tears, according to research published online Aug. 25 in CMAJ, the journal of the Canadian Medical Association.

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Medicaid Office Visit Payment Tied to Cancer Screening Rates

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Increased Medicaid reimbursement for physician office visits is associated with a greater likelihood of Medicaid beneficiaries receiving common cancer screening tests, according to a study published online Aug. 25 in Cancer.

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Vitamin D Deficiency Worsens Outcomes With B-Cell Lymphoma

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Vitamin D deficiency (VDD) contributes to worse outcomes in elderly patients with diffuse large B-cell lymphoma (DLBCL) treated with rituximab, according to a study published online Aug. 18 in the Journal of Clinical Oncology.

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Cognitive Impairment May Increase Subsequent Stroke Risk

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Cognitive impairment is associated with an increased risk of subsequent stroke, according to a meta-analysis published online Aug. 25 in CMAJ, the journal of the Canadian Medical Association.

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Low Weight at Birth Ups Risk of Diabetes in Black Women

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Low birth weight is associated with increased risk of type 2 diabetes in black women, independent of body mass index, according to research published in the September issue of Diabetes Care.

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Hospitals Should Follow CDC Recommendations for Ebola Care

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Hospital and health care providers should follow the U.S. Centers for Disease Control and Prevention's recommendations for care of patients with Ebola, according to an ideas and opinions piece published online Aug. 21 in the Annals of Internal Medicine.

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Number of Young Non-Smokers Trying E-Cigs Tripled in 2 Years

MONDAY, Aug. 25, 2014 (HealthDay News) -- More than a quarter-million middle and high school students who were non-smokers say they used an electronic cigarette last year -- a three-fold increase from 2011, according to a new U.S. study published online Aug. 20 in the journal Nicotine & Tobacco Research.

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Restrictive, Non-Solicitation Covenants Are Valid

MONDAY, Aug. 25, 2014 (HealthDay News) -- Restrictive and non-solicitation covenants are valid and can be enforced, according to an article published Aug. 5 in Medical Economics.

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USPSTF Recommends Counseling for Adults at Risk for CVD

MONDAY, Aug. 25, 2014 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends offering or referring overweight and obese adults with cardiovascular disease risk factors to intensive behavioral counseling. These findings are presented in a final recommendation statement published online Aug. 26 in the Annals of Internal Medicine.

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State Medical Cannabis Laws Cut Opioid Overdose Mortality

MONDAY, Aug. 25, 2014 (HealthDay News) -- State medical cannabis laws correlate with reduced state-level opioid overdose mortality rates, according to a study published online Aug. 25 in JAMA Internal Medicine.

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Analytic Strategy Can Cut Bias in Large Observational Studies

MONDAY, Aug. 25, 2014 (HealthDay News) -- In multicenter observational studies, bias from variability in treatment selection between clinical centers can be reduced by matching recalibrated propensity scores within clinical centers, according to a study published online Aug. 12 in Circulation: Cardiovascular Quality and Outcomes.

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No Link Found Between Diverticular Disease, Cancer

MONDAY, Aug. 25, 2014 (HealthDay News) -- Colonic diverticular disease does not appear to be linked to an increased risk of subsequent colorectal cancer (CRC), according to research published in the August issue of Clinical Gastroenterology and Hepatology.

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EPA: Air in U.S. Cities Getting Cleaner

MONDAY, Aug. 25, 2014 (HealthDay News) -- The air in American cities is getting safer to breathe, the U.S. Environmental Protection Agency reported Thursday.

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Guidelines Presented for Electronic Cigarette Use

MONDAY, Aug. 25, 2014 (HealthDay News) -- Recommendations have been developed regarding electronic cigarette (e-cigarette) use and published online Aug. 24 as an American Heart Association (AHA) policy statement in Circulation.

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State of the Art Review: Eating Disorders in Children, Teens

MONDAY, Aug. 25, 2014 (HealthDay News) -- A new review presents recommendations for the management of eating disorders (EDs) in children. In addition, other research indicates that there has been a recent increase in the prevalence of eating disorders not otherwise specified who do not meet weight criteria (EDNOS-Wt), relative to anorexia nervosa (AN). The review and study have been published online Aug. 25 in Pediatrics.

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Consumer Reports Advises Pregnant Women to Avoid Tuna

MONDAY, Aug. 25, 2014 (HealthDay News) -- In a new review of seafood safety, Consumer Reports is advising that pregnant women avoid eating tuna due to concerns about mercury exposure. Adults who eat 24 ounces (1.5 pounds) or more of seafood per week should also avoid seafood with high mercury levels, including sushi made with tuna, the independent product testing group said.

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Many Americans Harbor Unfounded Fears About Ebola

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Many Americans know little about how Ebola is transmitted and harbor unfounded fears about the possibility of an outbreak in the United States, a new survey shows. About four in 10 adults said they are worried that there will be a major Ebola outbreak in the United States, and one-quarter are concerned that they or an immediate family member will get sick with the deadly virus in the next year, according to the latest Harvard School of Public Health poll.

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U.S. to Tighten Access to Certain Narcotic Painkillers

FRIDAY, Aug. 22, 2014 (HealthDay News) -- The U.S. Drug Enforcement Administration (DEA) is going ahead with tough new controls on painkillers containing hydrocodone, which has been tied to a surge in dangerous addictions across the United States.

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Organizations Can Help Docs Retain Their Independence

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Ways for physicians to remain in independent practice are highlighted in an article published Aug. 7 in Medical Economics.

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Futile Care Linked to Delays in Care for Other Patients

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Futile care, which is used to prolong life without achieving a meaningful benefit for the patient, can cause delays in care for other patients waiting to be admitted to the intensive care unit (ICU), according to a study published in the September issue of Critical Care Medicine.

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Study IDs Risk Factors for Severe Hidradenitis Suppurativa

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Risk factors associated with severity of the disease may help guide therapy for hidradenitis suppurativa, according to research published in the September issue of the Journal of the American Academy of Dermatology.

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Decline in Visual Acuity Ups Mortality Risk in Aging Adults

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Among aging adults, decreasing visual acuity is associated with increased mortality risk through associated decreases in instrumental activities of daily living (IADL), according to a study published online Aug. 21 in JAMA Ophthalmology.

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Opioid Use in Disabled Medicare Patients Common

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Opioid use is common among disabled Medicare beneficiaries under 65 years of age, according to research published in the September issue of Medical Care.

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Reduced Nicotine Cigarettes Don't Up Smoking Intensity

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Reduced nicotine cigarettes are not associated with increased smoking intensity versus usual brand cigarettes, according to a study published online Aug. 22 in Cancer Epidemiology, Biomarkers & Prevention.

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Counseling May Not Help Youth With Drinking Problems

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Motivational interviewing may not be an effective technique for addressing alcohol misuse in young adults, according to a review published online Aug. 21 in The Cochrane Library.

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Telemedicine Improves Stroke Care in Rural Areas

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Telemedicine can improve stroke care in rural areas, according to a study published online Aug. 21 in Stroke.

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Intensive Lifestyle Changes Lead to Diabetes Cost Savings

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Intensive lifestyle intervention (ILI) can cut health care costs over the long term in patients with type 2 diabetes, compared to diabetes support and education (DSE) alone, according to a study published in the September issue of Diabetes Care.

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Educational Intervention Helps Ensure Appropriate ECHO Use

THURSDAY, Aug. 21, 2014 (HealthDay News) -- An appropriate use criteria (AUC)-based educational intervention can improve the appropriate use of outpatient transthoracic echocardiography (TTE), according to a study published online Aug. 13 in the JACC Cardiovascular Imaging.

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FDA: New Test Helps Diagnose Type 1 Diabetes

THURSDAY, Aug. 21, 2014 (HealthDay News) -- The U.S. Food and Drug Administration has approved a new test that may help doctors diagnose type 1 diabetes. The Kronus ZnT8Ab Elisa Assay may help some people with type 1 diabetes receive faster diagnosis and treatment, the FDA said in a news release.

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CDC: Teens Engage in Unsafe Skin-Protection Practices

THURSDAY, Aug. 21, 2014 (HealthDay News) -- Sunscreen use has decreased among adolescents, and a considerable proportion use indoor tanning devices, according to research published online Aug. 21 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Wellness Visits, Physicals Need Different Documentation

THURSDAY, Aug. 21, 2014 (HealthDay News) -- Documentation rules for annual wellness visits (AWVs) for Medicare differ from those for preventive visits, which are not covered by Medicare, according to an article published Aug. 5 in Medical Economics.

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U.S. Health Care Workers With Ebola Released From Hospital

THURSDAY, Aug. 21, 2014 (HealthDay News) -- The two American health care workers infected with the deadly Ebola virus while doing missionary medical work in West Africa have been released from the Atlanta hospital where they have been slowly recovering for several weeks, officials said Thursday.

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Physical Activity Protects Against Atrial Fibrillation

THURSDAY, Aug. 21, 2014 (HealthDay News) -- Greater physical activity is associated with lower rates of incident atrial fibrillation (AF) in women, according to a study published online Aug. 20 in the Journal of the American Heart Association.

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Age Affects Link Between Obesity, Dementia Risk

THURSDAY, Aug. 21, 2014 (HealthDay News) -- The association between obesity and subsequent dementia varies with the age at which obesity is first recorded, according to a study published online Aug. 20 in the Postgraduate Medical Journal.

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Clinicopathology of High-Mitotic Rate Melanoma Described

THURSDAY, Aug. 21, 2014 (HealthDay News) -- High-mitotic-rate primary cutaneous melanomas more often occur on the head and neck and in men, older patients, and those with a history of solar keratosis, according to a study published online Aug. 20 in JAMA Dermatology.

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New Therapy May Combat Lethal Virus in Late Stages

THURSDAY, Aug. 21, 2014 (HealthDay News) -- A new agent tested in nonhuman primates shows efficacy in the treatment of the Marburg virus (MARV), a filovirus which is closely related to the Ebola virus, even in the late stages of the infection, according to research published in the Aug. 20 issue of Science Translational Medicine.

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Asthma Outcomes Worse in Older Women

THURSDAY, Aug. 21, 2014 (HealthDay News) -- Older women face increased challenges in managing their asthma, according to a review published in the August issue of the Annals of Allergy, Asthma & Immunology.

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FDA Approves Cerdelga for Type 1 Gaucher Disease

WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- Cerdelga (eliglustat) has been approved by the U.S. Food and Drug Administration to treat type 1 Gaucher disease, a rare inherited disorder caused by the body's insufficient production of a key enzyme.

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Organized Processes Help Practices Hire Well

WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- A defined process is necessary to help physicians hire the right staff for their practice, according to an article published July 24 in Medical Economics.

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CRT, ICD Therapies Benefit Heart Failure Patients of All Races

WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- For patients with heart failure with reduced ejection fraction, cardiac resynchronization therapy (CRT) and implantable cardioverter-defibrillator (ICD) therapies are associated with clinical benefit, irrespective of patient race/ethnicity, according to a study published in the Aug. 26 issue of the Journal of the American College of Cardiology.

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Pistachio-Supplemented Diet Beneficial in Prediabetes

WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- Pistachio consumption is associated with improvements in glucose and cardiometabolic parameters, according to a study published online Aug. 14 in Diabetes Care.

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Clarithromycin Linked to Increased Risk of Cardiac Death

WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- There is a significantly increased risk of cardiac death associated with clarithromycin use, according to a study published online Aug. 19 in BMJ.

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Postdischarge Intervention Can Help Smokers Quit

TUESDAY, Aug. 19, 2014 (HealthDay News) -- A postdischarge intervention including free medication results in higher rates of smoking cessation at six months, compared with standard discharge care among hospitalized adult smokers, according to a study published in the Aug. 20 issue of the Journal of the American Medical Association.

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Fluid Restrictions May Cut Post-Op Complications

TUESDAY, Aug. 19, 2014 (HealthDay News) -- For patients undergoing pancreaticoduodenectomy (PD), fluid restrictions with 3 percent hypertonic saline can significantly cut complication rates, according to a study published in the September issue of the Annals of Surgery.

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Docs Must Consider Liability When Ordering Screening Tests

TUESDAY, Aug. 19, 2014 (HealthDay News) -- Physicians and health care providers must be aware of their potential liability when ordering screening tests, according to an article published July 24 in Medical Economics.

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Boxed Warnings Are Common in Novel Therapeutics

TUESDAY, Aug. 19, 2014 (HealthDay News) -- Boxed warnings are common on recent drug approvals, and many occur years after approval, according to a research letter published online Aug. 15 in JAMA Internal Medicine.

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Atypical Antipsychotics Up Renal Injury Risk in Seniors

TUESDAY, Aug. 19, 2014 (HealthDay News) -- Use of atypical antipsychotic drugs is associated with increased risk of acute kidney injury (AKI) in older adults, according to research published in the Aug. 19 issue of the Annals of Internal Medicine.

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Commentary Focuses on 2014 Ebola Outbreak in West Africa

TUESDAY, Aug. 19, 2014 (HealthDay News) -- The Ebola epidemic is spreading in West Africa, with little hope for treatment, and an experimental therapy is unlikely to be provided to African patients, according to two commentaries published online Aug. 19 in the Annals of Internal Medicine.

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Hospitalizations for Acute CVD, Stroke Down From 1999 to 2011

TUESDAY, Aug. 19, 2014 (HealthDay News) -- From 1999 through 2011 there were considerable declines in hospitalizations for acute cardiovascular disease and stroke, outpacing those of other conditions, according to a study published online Aug. 18 in Circulation.

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Fenofibrate Effective for Women and Men With T2DM

TUESDAY, Aug. 19, 2014 (HealthDay News) -- For patients with type 2 diabetes, fenofibrate is effective in women, improving their lipoprotein profile more than in men, according to a study published online Aug. 18 in Diabetologia.

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Sleep Apnea Tied to Increased Odds of Resistant Elevated BP

TUESDAY, Aug. 19, 2014 (HealthDay News) -- There is a strong association between severe untreated obstructive sleep apnea (OSA) and resistant elevated blood pressure (BP), despite treatment with an aggressive antihypertensive medication regimen, according to a study published in the August issue of the Journal of Clinical Sleep Medicine.

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Urban Food Initiative Ethical for Addressing Food Issues

TUESDAY, Aug. 19, 2014 (HealthDay News) -- The urban food initiative (UFI) seems to be a safe and ethical approach to addressing obesity and food insecurity, according to a viewpoint piece published online Aug. 18 in JAMA Pediatrics.

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Liberia Ebola Clinic Attack Could Harm Efforts to Control Outbreak

MONDAY, Aug. 18, 2014 (HealthDay News) -- An attack on an Ebola quarantine center in Liberia's capital and the possible disappearance of a number of patients could be a major setback in efforts to contain and halt the outbreak of the deadly disease.

Health Highlights: Aug. 18, 2014

Cancer Screening Common in Those With Low Life Expectancy

MONDAY, Aug. 18, 2014 (HealthDay News) -- Cancer screening is common among those with limited life expectancy, and more frequent colorectal cancer screening than recommended does not provide benefit, according to two studies published online Aug. 18 in JAMA Internal Medicine.

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U.S. Children With Cystic Fibrosis Are Living Longer

MONDAY, Aug. 18, 2014 (HealthDay News) -- In the United States, children born in 2010 with cystic fibrosis (CF) are projected to live longer than those born earlier, according to a study published in the Aug. 19 issue of the Annals of Internal Medicine.

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Smaller Practices Have Fewer Preventable Admissions

MONDAY, Aug. 18, 2014 (HealthDay News) -- Small primary care physician practices have lower rates of preventable hospital admissions, compared to larger practices, according to a study published online Aug. 13 in Health Affairs.

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Early Research With Drug Restores Hair in Alopecia

MONDAY, Aug. 18, 2014 (HealthDay News) -- A drug used to treat a rare type of bone marrow cancer restores hair in patients with alopecia areata, according to a study published online Aug. 17 in Nature Medicine.

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Gender Gap Seen in Desire for Living Kidney Transplant

MONDAY, Aug. 18, 2014 (HealthDay News) -- Black women undergoing hemodialysis are less likely to want a living donor kidney transplantation (LDKT), despite being more likely to receive unsolicited offers for kidney transplant, compared with black men, according to a study published online Aug. 14 in the Clinical Journal of the American Society of Nephrology.

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SSRI Meds Up Bleeding Risk in A-Fib Patients Taking Warfarin

MONDAY, Aug. 18, 2014 (HealthDay News) -- In patients with atrial fibrillation taking warfarin, use of selective serotonin reuptake inhibitor (SSRI) medications is associated with an increased risk of major hemorrhage, according to a study published in the Aug. 15 issue of The American Journal of Cardiology.

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Brisk Walking May Cut Breast Cancer in Black Women

MONDAY, Aug. 18, 2014 (HealthDay News) -- Exercise may be a potentially modifiable risk factor for breast cancer in African-American women, according to a study published online Aug. 7 in Cancer Epidemiology, Biomarkers & Prevention.

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Bidirectional Association for Cognitive Function, Stroke

MONDAY, Aug. 18, 2014 (HealthDay News) -- Lower cognitive function is associated with increased risk of stroke in older adults, and cognitive decline increases after stroke versus before stroke, according to a study published online Aug. 7 in Stroke.

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WHO: Scope of Ebola Outbreak May Be 'Vastly Underestimated'

FRIDAY, Aug. 15, 2014 (HealthDay News) -- The magnitude of the Ebola outbreak in West Africa may be far greater than the current statistics indicate, officials from the World Health Organization said Friday.

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Phthalate Exposure May Lower Testosterone Levels

FRIDAY, Aug. 15, 2014 (HealthDay News) -- Exposure to phthalates, chemicals that are commonly found in plastics and personal care products, may reduce testosterone levels in men, women, and children, according to research published online Aug. 14 in the Journal of Clinical Endocrinology & Metabolism.

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Review: Previous Respiratory Conditions Tied to Lung CA Risk

FRIDAY, Aug. 15, 2014 (HealthDay News) -- Several common respiratory diseases are tied to an increased risk of lung cancer, according to a study published online July 23 in the American Journal of Respiratory and Critical Care Medicine.

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Chikungunya Vaccine Deemed Immunogenic and Safe

FRIDAY, Aug. 15, 2014 (HealthDay News) -- A chikungunya virus-like particle (VLP) vaccine is immunogenic and seems safe, according to a study published online Aug. 15 in The Lancet.

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FDA Warns of Fake Ebola Treatments on the Internet

FRIDAY, Aug. 15, 2014 (HealthDay News) -- As the death toll in the West Africa Ebola outbreak passes 1,000, the U.S. Food and Drug Administration is warning against products sold online that claim to treat the deadly disease or prevent infection.

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Malnutrition Prevalent Among Seniors Presenting to ER

FRIDAY, Aug. 15, 2014 (HealthDay News) -- More than half of older patients presenting to the emergency department are malnourished or at risk of malnutrition, according to a study published online Aug. 12 in the Annals of Emergency Medicine.

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Moderate Exercise Tied to Lower Mortality After Cardiac Event

FRIDAY, Aug. 15, 2014 (HealthDay News) -- Moderate exercise is associated with reduced mortality for heart attack survivors, and elite athletes have lower cardiovascular disease (CVD) and cancer death, according to two studies published online Aug. 12 in the Mayo Clinic Proceedings.

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Less Educated Smokers at Greatest Risk for Stroke

FRIDAY, Aug. 15, 2014 (HealthDay News) -- Poorly educated adults who smoke face a higher stroke risk, as do those who smoke and have hypertension, according to a study published online Aug. 14 in Stroke.

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Nearly One in Five Americans Drink at Least One Soda a Day

THURSDAY, Aug. 14, 2014 (HealthDay News) -- A new survey of American adults across 18 states finds 17 percent drinking at least one sugary soda per day, with rates varying widely across states. These findings were published in the Aug. 15 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report. The survey results also indicated high levels of sweetened fruit drink consumption, with close to 12 percent of adults downing at least one serving daily.

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Prevnar-13 Should Be Routine for Seniors

THURSDAY, Aug. 14, 2014 (HealthDay News) -- A second vaccine to protect seniors against pneumonia has been recommended by the U.S. Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices.

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FDA Approves Belsomra for Insomnia

THURSDAY, Aug. 14, 2014 (HealthDay News) -- Belsomra (suvorexant), an orexin receptor antagonist, has been approved by the U.S. Food and Drug Administration to treat insomnia.

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Poor Sleep Quality Tied to Suicide Risk

THURSDAY, Aug. 14, 2014 (HealthDay News) -- Poor self-reported sleep quality is tied to an increased risk of suicide death within 10 years among older adults, according to a study published online Aug. 13 in JAMA Psychiatry.

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ACA Incentives May Promote Cardiac Rehab in the Workplace

THURSDAY, Aug. 14, 2014 (HealthDay News) -- Financial incentives and the emphasis on outcomes in the current era of health reform in the United States may encourage delivery of preventive care services, such as cardiac rehabilitation, in the workplace, according to research published in the August issue of the Journal of Occupational and Environmental Medicine.

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Women, Blacks Hit Harder by Heart Disease Risk Factors

THURSDAY, Aug. 14, 2014 (HealthDay News) -- Traditional risk factors contribute to incident cardiovascular disease more in blacks and women, compared to other populations, according to a study published online Aug. 11 in Circulation.

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BMI Explains Risk of Diabetes From Prenatal Smoke Exposure

THURSDAY, Aug. 14, 2014 (HealthDay News) -- The association between maternal and paternal smoking during pregnancy and the risk of type 2 diabetes in daughters is largely explained by body mass index throughout the life course, according to a study published online Aug. 4 in Diabetes Care.

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Crowdsourcing Can Accurately Rate Diet Quality

THURSDAY, Aug. 14, 2014 (HealthDay News) -- Crowdsourcing can provide basic feedback on overall diet quality, according to a study published online Aug. 4 in the Journal of the American Medical Informatics Association.

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Research Offers Clues to How Ebola Disarms Immune System

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- Researchers say they've discovered how the deadly Ebola virus disables the immune system. They hope the findings will prove valuable in efforts to find treatments for the disease taking hundreds of lives in Africa. The current Ebola outbreak in West Africa has killed more than 1,000 people, and the death rate among those infected with the virus is up to 90 percent, according to the World Health Organization.

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High-Dose Trivalent Flu Shot Better Protects Seniors

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- A high-dose, trivalent, inactivated influenza vaccine (IIV3-HD) is associated with improved protection for seniors against laboratory-confirmed influenza infection compared with standard-dose trivalent, inactivated influenza vaccine (IIV3-SD), according to a study published in the Aug. 14 issue of the New England Journal of Medicine.

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Studies Examine Link Between Sodium Intake, Cardiac Health

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- The association between sodium intake and cardiovascular outcomes is complex, according to three studies published online in the Aug. 14 issue of the New England Journal of Medicine.

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Extra Time Spent Counseling, Coordinating Care Billable

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- Extra time spent counseling patients and coordinating care can be billed using evaluation and management (E/M) and prolonged service codes, according to an article published July 24 in Medical Economics.

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40-Year-Old Man With Absence of ApoE Has Normal Cognition

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- The identification of a patient with a rare form of severe dysbetalipoproteinemia will allow the study of the consequences of total absence of apolipoprotein E (apoE), according to research published online Aug. 11 in JAMA Neurology.

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Nonadherent MRIs Up Subsequent Medical Costs

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- Nonadherent magnetic resonance imaging (MRI) utilization is tied to a cascade of higher medical costs and potentially unnecessary and unhelpful medical services following the MRI, according to research published in the Aug. 1 issue of Spine.

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Most U.S. Patients With MI Discharged on High-Dose Aspirin

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- Most U.S. patients with myocardial infarction (MI) are discharged on high-dose aspirin, according to a study published online Aug. 12 in Circulation: Cardiovascular Quality and Outcomes.

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Lifetime Risk of Diabetes Up, But Years of Life Lost Down

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- There has been an increase in years spent with diabetes due to trends of continued increases in the incidence of diagnosed diabetes combined with declining mortality, according to research published online Aug. 13 in The Lancet Diabetes & Endocrinology.

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Delayed Cardioversion With A-Fib Ups Thromboembolic Risk

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- A delay to cardioversion of 12 hours or longer from onset of acute atrial fibrillation symptoms is associated with a greater risk of thromboembolic complications, according to a research letter published in the Aug. 13 issue of the Journal of the American Medical Association.

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Evidence Weak for Drugs to Help Shift Workers Sleep, Wake

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- Evidence for the efficacy and safety of pharmacologic interventions to treat sleep disturbances and sleepiness caused by shift work is lacking, according to a review published online Aug. 12 in The Cochrane Library.

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WHO Experts Give Nod to Using Untested Ebola Drugs

TUESDAY, Aug. 12, 2014 (HealthDay News) -- A panel of ethicists specially appointed by the World Health Organization says it is ethical to give untested treatments to people battling Ebola in the current outbreak.

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Perioperative A-Fib Ups Long-Term Stroke Risk

TUESDAY, Aug. 12, 2014 (HealthDay News) -- Perioperative atrial fibrillation is associated with an increased risk of subsequent stroke, especially after noncardiac surgery, according to a study published in the Aug. 13 issue of the Journal of the American Medical Association.

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FDA: New Colorectal Cancer Screening Test Approved

TUESDAY, Aug. 12, 2014 (HealthDay News) -- A screening test for colorectal cancer that can detect red blood cells and abnormal DNA in a person's stool has been approved by the U.S. Food and Drug Administration.

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Meta-Analysis Strategy Impacts Estimation of Tx Outcome

TUESDAY, Aug. 12, 2014 (HealthDay News) -- Estimation of treatment outcome varies with the meta-analysis strategy, according to a study published in the Aug. 13 issue of the Journal of the American Medical Association.

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Once-Only Flexible Sigmoidoscopy Screening Cuts Colorectal Cancer

TUESDAY, Aug. 12, 2014 (HealthDay News) -- Once-only flexible sigmoidoscopy screening, with or without fecal occult blood testing (FOBT), is associated with reduced colorectal cancer incidence and mortality, according to a study published in the Aug. 13 issue of the Journal of the American Medical Association.

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Review: Rifamycin Regimens OK As Alternative for Latent TB

TUESDAY, Aug. 12, 2014 (HealthDay News) -- Short-term rifamycin-containing regimens may be an effective alternative treatment for preventing active tuberculosis, according to research published online Aug. 12 in the Annals of Internal Medicine.

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One in Six Hospitalized Patients With Lupus Readmitted

TUESDAY, Aug. 12, 2014 (HealthDay News) -- One in six hospitalized patients with systemic lupus erythematosus (SLE) are readmitted within 30 days of discharge, according to a study published online Aug. 11 in Arthritis & Rheumatology.

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Digoxin Ups Death Risk in Newly Diagnosed A-Fib Patients

TUESDAY, Aug. 12, 2014 (HealthDay News) -- Among patients with newly diagnosed atrial fibrillation (AF), the use of digoxin is associated with increased risk of death, according to research published in the Aug. 19 issue of the Journal of the American College of Cardiology.

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RCTs Show Bisphosphonates Don't Prevent Breast Cancer

TUESDAY, Aug. 12, 2014 (HealthDay News) -- Data from two randomized controlled trials suggest that bisphosphonate use does not protect against postmenopausal breast cancer, according to research published online Aug. 11 in JAMA Internal Medicine.

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Recent Physical Activity Linked to Lower Breast Cancer Risk

TUESDAY, Aug. 12, 2014 (HealthDay News) -- For postmenopausal women, recent recreational physical activity is associated with a lower risk of invasive breast cancer, according to research published online Aug. 11 in Cancer Epidemiology, Biomarkers & Prevention.

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Higher Caffeine Intake Tied to Lower Incidence of Tinnitus

MONDAY, Aug. 11, 2014 (HealthDay News) -- Higher caffeine intake is tied to a lower risk of tinnitus in women, according to a study published in the August issue of The American Journal of Medicine.

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Ethicists Weigh Questions Over Early Release of Ebola Drugs

MONDAY, Aug. 11, 2014 (HealthDay News) -- As the number of dead in the West African Ebola outbreak nears 1,000, many people are calling for the wider production and release of untested medicines that might help patients.

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Review: Troponin Has Prognostic Value in CKD Without ACS

MONDAY, Aug. 11, 2014 (HealthDay News) -- For patients with chronic kidney disease (CKD) without suspected acute coronary syndrome (ACS), troponin levels may have prognostic and diagnostic value, according to two reviews published online Aug. 12 in the Annals of Internal Medicine.

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EHR Adoption Increasing, But Stage 2 Criteria Often Not Met

MONDAY, Aug. 11, 2014 (HealthDay News) -- Most U.S. hospitals and office-based physicians have adopted electronic health records (EHR), according to two studies published in the August issue of Health Affairs.

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Guidelines Updated for Contrast Agent Use in Clinical Echoes

MONDAY, Aug. 11, 2014 (HealthDay News) -- Initiatives have been developed to improve the appropriate use of contrast media in echocardiography. The guidelines were published in the August issue of the Journal of the American Society of Echocardiography.

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Previously Unrecognized Trends in Lung Cancer Identified

MONDAY, Aug. 11, 2014 (HealthDay News) -- An updated and expanded analysis has revealed some new observations about patterns in lung cancer incidence in the United States, according to research published online Aug. 11 in Cancer.

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Antidepressants Vary in Their Contribution to Weight Gain

MONDAY, Aug. 11, 2014 (HealthDay News) -- Antidepressants vary modestly in the likelihood of contributing to weight gain, according to a study published in the August issue of JAMA Psychiatry.

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Use of Medical Consults for Surgical Patients Varies Widely

MONDAY, Aug. 11, 2014 (HealthDay News) -- Use of medical consultations for surgical patients varies widely among hospitals, according to a study published online Aug. 4 in JAMA Internal Medicine.

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Emergency Department Closures Up Inpatient Mortality Nearby

MONDAY, Aug. 11, 2014 (HealthDay News) -- Emergency department closures are associated with increased mortality for admissions that occur nearby, according to research published in the August issue of Health Affairs.

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Neighborhood's Socioeconomic Status Tied to Readmissions

MONDAY, Aug. 11, 2014 (HealthDay News) -- Neighborhood socioeconomic status (SES) is linked to six-month, all-cause readmission among patients with heart failure, even after adjustment for patient-level factors, according to a study published online July 29 in Circulation: Cardiovascular Quality and Outcomes.

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Dining Out Equals More Calories Consumed

FRIDAY, Aug. 8, 2014 (HealthDay News) -- For adults, fast-food and full-service restaurant consumption correlates with increased daily total energy intake, according to a study published online July 30 in Public Health Nutrition.

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Issues to Consider With Integration of Telemedicine

FRIDAY, Aug. 8, 2014 (HealthDay News) -- Integrating telemedicine raises various considerations, including operational and legal issues, according to an article published July 24 in Medical Economics.

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WHO Declares Ebola Outbreak a 'Public Health Emergency'

FRIDAY, Aug. 8, 2014 (HealthDay News) -- The World Health Organization on Friday declared the outbreak of deadly Ebola virus in West Africa a "public health emergency."

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Manipulative Therapy Linked to Cervical Artery Dissection

FRIDAY, Aug. 8, 2014 (HealthDay News) -- Evidence suggests there may be an association between cervical manipulative therapy and cervical artery dissections (CDs), according to an American Heart Association/ American Stroke Association scientific statement published online Aug. 7 in Stroke.

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Zoster Vaccine Still Effective With Subsequent Chemo

FRIDAY, Aug. 8, 2014 (HealthDay News) -- Zoster vaccine is effective even for individuals who subsequently undergo chemotherapy, according to a study published online Aug. 4 in Clinical Infectious Diseases.

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CDC Raises Ebola Outbreak Response to Highest Alert

FRIDAY, Aug. 8, 2014 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention on Wednesday raised the level of its response to the West African Ebola outbreak to its highest alert status, and CDC is offering resources for clinicians on Ebola virus disease management.

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Nomogram Predicts Risk of Second Kidney Stone Episode

FRIDAY, Aug. 8, 2014 (HealthDay News) -- The Recurrence of Kidney Stone (ROKS) nomogram identifies patients with kidney stones who are at high risk for a second symptomatic episode, according to research published online Aug. 7 in the Journal of the American Society of Nephrology.

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Interval Walking Improves Glycemic Control in Diabetes

FRIDAY, Aug. 8, 2014 (HealthDay News) -- Interval walking is superior to continuous walking for improving glycemic control in individuals with type 2 diabetes, according to research published online Aug. 4 in Diabetologia.

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ACG: New Guidelines Issued for Irritable Bowel Syndrome

FRIDAY, Aug. 8, 2014 (HealthDay News) -- New guidelines have been issued in relation to the management of irritable bowel syndrome (IBS) and chronic idiopathic constipation. The updated guidelines were published as a supplement to the August issue of the American Journal of Gastroenterology.

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Polypill Can Potentially Offer Global Cardiovascular Benefit

FRIDAY, Aug. 8, 2014 (HealthDay News) -- Use of a polypill can potentially improve global cardiovascular health, according to research published in the Aug. 12 issue of the Journal of the American College of Cardiology.

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FDA Approves Orbactiv for Drug-Resistant Skin Infections

THURSDAY, Aug. 7, 2014 (HealthDay News) -- The antibacterial drug Orbactiv (oritavancin) has been approved by the U.S. Food and Drug Administration to treat drug-resistant skin infections in adults, the agency said in a news release.

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CDC: Millions Given Access to Breast, Cervical CA Screening

THURSDAY, Aug. 7, 2014 (HealthDay News) -- Millions of American women have benefited from a breast and cervical cancer screening program offered by the U.S. Centers for Disease Control and Prevention, according to a new report. The report was published online and in an Aug. 15 supplement edition of the journal Cancer. The report features 13 new studies evaluating numerous features of the screening program.

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FDA: Some Home Tattoo Kits Recalled Due to Infection Risk

THURSDAY, Aug. 7, 2014 (HealthDay News) -- Inks in some home tattoo kits are contaminated and could cause skin infections, the U.S. Food and Drug Administration says.

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VA Health Care Reform Bill Signed Into Law

THURSDAY, Aug. 7, 2014 (HealthDay News) -- A bill signed into law Thursday by President Barack Obama is meant to provide veterans with easier access to government-paid health care.

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Study Confirms Lasting Drop in Prostate Cancer Death With PSA

THURSDAY, Aug. 7, 2014 (HealthDay News) -- Prostate-specific antigen (PSA) screening is associated with a lasting reduction in prostate cancer mortality, with increased effect at 13 years compared with nine or 11 years, according to a study published online Aug. 7 in The Lancet.

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U.S. Hospitals See Big Rise in Drug-Related Suicide Attempts

THURSDAY, Aug. 7, 2014 (HealthDay News) -- Drug-related suicide attempts in the United States increased over a recent six-year period, with dramatic increases seen among young and middle-aged adults, health officials reported Thursday.

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Gut Microbiome Analysis Aids Colorectal Cancer Screening

THURSDAY, Aug. 7, 2014 (HealthDay News) -- Analysis of the gut microbiome can better distinguish healthy individuals from those with precancerous adenomatous polyps and those with invasive colorectal cancer, compared to use of traditional clinical risk factors and fecal occult blood testing, according to a study published online Aug. 7 in Cancer Prevention Research.

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HIV Infection Linked to Lower Risk of Multiple Sclerosis

THURSDAY, Aug. 7, 2014 (HealthDay News) -- HIV infection is associated with a significantly decreased risk of developing multiple sclerosis (MS), according to a study published online Aug. 4 in the Journal of Neurology, Neurosurgery & Psychiatry.

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Centralizing Stroke Services Improves Outcomes

THURSDAY, Aug. 7, 2014 (HealthDay News) -- Centralizing acute stroke services in urban areas can cut morality and length of hospital stay, according to a study published online Aug. 5 in BMJ.

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Low Vitamin D May Up Risk of Dementia, Alzheimer's Disease

THURSDAY, Aug. 7, 2014 (HealthDay News) -- Low concentrations of serum 25-hydroxyvitamin D (25[OH]D) may increase the risk of developing all-cause dementia and Alzheimer's disease, according to research published online Aug. 6 in Neurology.

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New Mutations Linked to Increased Breast Cancer Risk

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Mutations in PALB2 and germline mutations in the multiple endocrine neoplasia type 1 (MEN1) tumor-suppressor gene causing MEN1 correlate with increased breast cancer risk, according to two studies published in the Aug. 7 issue of the New England Journal of Medicine.

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Fears of U.S. Ebola Outbreak Unwarranted, Experts Say

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- The decision to bring two American aid workers infected with Ebola back to the United States has kicked up controversy, causing some to fear a local outbreak of the virus. But experts in infectious disease say there's close to no chance that this will cause an Ebola outbreak on these shores.

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Many Cancer Survivors Keep Smoking After Diagnosis

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Many cancer survivors continue to smoke long after their initial diagnosis, according to research published online Aug. 6 in Cancer Epidemiology, Biomarkers & Prevention.

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Prophylactic Aspirin Use May Help Prevent Cancer

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Prophylactic aspirin use seems to be beneficial for men and women between ages 50 and 65 in the general population, with increased benefits seen for long-term use, according to a review published online Aug. 5 in the Annals of Oncology.

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Hypertension in Middle Age May Speed Cognitive Decline

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Hypertension during midlife is associated with greater cognitive decline during a 20-year period, according to research published online Aug. 4 in JAMA Neurology.

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No Benefit From Immune-Enhanced Enteral Nutrition

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Use of high-protein enteral nutrition enriched with immune-modulating nutrients (IMHP) does not reduce the incidence of infectious complications among mechanically ventilated, critically ill patients compared to standard high-protein enteral nutrition (HP), according to a study published in the Aug. 6 issue of the Journal of the American Medical Association.

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Review: Earlier Alteplase Benefits Acute Ischemic Stroke More

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Alteplase delivered within 4.5 hours of acute ischemic stroke onset is associated with increased odds of a good stroke outcome irrespective of age or stroke severity and despite an increased risk of fatal intracranial hemorrhage, with earlier treatment associated with bigger proportional benefits, according to a review published online Aug. 6 in The Lancet.

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Mortality Up With CKD in PCI Contrast-Induced Nephropathy

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Contrast-induced nephropathy (CIN) is associated with long-term mortality in patients with, but not those without, chronic kidney disease (CKD), according to a study published in the Aug. 1 issue of The American Journal of Cardiology.

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Women Over 75 May Still Benefit From Mammograms

TUESDAY, Aug. 5, 2014 (HealthDay News) -- Women 75 and older may still benefit from routine mammograms, according to new research. The study was published online Aug. 5 in Radiology.

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Skip the Steroids for Shoulder Pain?

TUESDAY, Aug. 5, 2014 (HealthDay News) -- For relief of shoulder pain, physical therapy and steroid shots provide similar results, according to a study published in the Aug. 5 issue of the Annals of Internal Medicine.

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Variants ID'd in Phenytoin-Related Adverse Skin Reactions

TUESDAY, Aug. 5, 2014 (HealthDay News) -- CYP2C variants have been identified as being involved in phenytoin-related severe cutaneous adverse reactions, according to a study published in the Aug. 6 issue of the Journal of the American Medical Association.

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Favorable Resource Use With Long-Detection Interval for ICD

TUESDAY, Aug. 5, 2014 (HealthDay News) -- A long-detection interval for implantable cardioverter-defibrillators (ICDs) is associated with favorable results in terms of hospitalization and costs, according to a research letter published in the Aug. 6 issue of the Journal of the American Medical Association.

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Experimental Serum May Have Been Key to Ebola Recovery

TUESDAY, Aug. 5, 2014 (HealthDay News) -- An experimental serum never before tried in people may have been pivotal in helping treat two Americans stricken with Ebola, according to media reports.

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ACP Releases Diagnostic Guide for Obstructive Sleep Apnea

TUESDAY, Aug. 5, 2014 (HealthDay News) -- The American College of Physicians (ACP) has released a new evidence-based clinical practice guideline for the diagnosis of obstructive sleep apnea (OSA) in adults. The guideline was published in the Aug. 5 issue of the Annals of Internal Medicine.

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Five Servings of Fruit and Veggies a Day Cut Mortality

TUESDAY, Aug. 5, 2014 (HealthDay News) -- Consuming five or more servings of fruit and vegetables daily is associated with reduced risk of all-cause mortality, particularly cardiovascular mortality, according to research published online July 29 in BMJ.

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Very Low Carbohydrate Diet Beneficial for Obese With T2DM

TUESDAY, Aug. 5, 2014 (HealthDay News) -- For obese adults with type 2 diabetes mellitus (T2DM), a very low carbohydrate diet is associated with greater improvements in glycemic control and cardiovascular risk markers than an energy-matched high unrefined carbohydrate diet, according to a study published online July 28 in Diabetes Care.

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Desert Dust Events May Trigger Myocardial Infarctions

TUESDAY, Aug. 5, 2014 (HealthDay News) -- Exposure to Asian dust (AD), a windblown sand dust originating from mineral soil in China and Mongolia, a few days before symptom onset is associated with the incidence of acute myocardial infarction (AMI), according to a study published online July 29 in Circulation: Cardiovascular Quality & Outcomes.

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Statin Use After CRC Diagnosis Reduces Mortality Risk

TUESDAY, Aug. 5, 2014 (HealthDay News) -- For patients with newly diagnosed colorectal cancer, statin use is associated with reduced cancer-specific mortality risk, according to a study published online Aug. 4 in the Journal of Clinical Oncology.

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Best Outcomes Seen at Systolic BP of 130 to 139 mm Hg

MONDAY, Aug. 4, 2014 (HealthDay News) -- For patients with treated hypertension, worse outcomes are seen for those with systolic and diastolic blood pressures lower and higher than 130 to 139 mm Hg and 60 to 79 mm Hg, respectively, according to a study published in the Aug. 12 issue of the Journal of the American College of Cardiology.

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More Young Adults Getting Mental Health Care Under ACA

MONDAY, Aug. 4, 2014 (HealthDay News) -- The number of young American adults getting mental health treatment has risen since the rule on dependent coverage went into effect with the passage of the Affordable Care Act, according to research published in the August issue of Health Affairs.

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Hepatitis C Could Become Rare Disease in 20 Years

MONDAY, Aug. 4, 2014 (HealthDay News) -- U.S. health officials estimate that over three million Americans currently have chronic hepatitis C -- most of whom don't know it because the infection usually causes no symptoms. But with recent treatment advances, hepatitis C could become rare by 2036, researchers report in the Aug. 5 issue of the Annals of Internal Medicine.

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Many Physicians Have Secondary Income

MONDAY, Aug. 4, 2014 (HealthDay News) -- Many physicians report earning income from sources other than their primary practice/employer, according to an article published July 24 in Medical Economics.

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Review: Ketamine Does Not Adversely Affect Outcomes

MONDAY, Aug. 4, 2014 (HealthDay News) -- For intubated patients, ketamine is unlikely to adversely affect patient outcomes compared with other intravenous sedatives, according to a review published online July 22 in the Annals of Emergency Medicine.

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New Onset, Post-Op Atrial Fibrillation Ups Mortality

MONDAY, Aug. 4, 2014 (HealthDay News) -- New onset postoperative atrial fibrillation (POAF) is associated with worse patient outcomes, including increased risk-adjusted mortality, according to a study published in the August issue of The Annals of Thoracic Surgery.

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CT Effective in Detection of Significant Cervical Spine Injury

MONDAY, Aug. 4, 2014 (HealthDay News) -- Computed tomography (CT) is effective in detecting clinically significant cervical spine (CS) injuries in patients with neurologic deficit or CS pain, according to a study published online July 30 in JAMA Surgery.

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Hx of Alcohol Use Disorder Ups Odds of Memory Impairment

MONDAY, Aug. 4, 2014 (HealthDay News) -- For middle-aged U.S. adults, a history of alcohol use disorder is associated with increased odds of severe memory impairment, according to a study published online June 9 in the American Journal of Geriatric Psychiatry.

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Job Strain Can Raise Risk of Developing Type 2 Diabetes

MONDAY, Aug. 4, 2014 (HealthDay News) -- Stress at work may increase the risk of developing type 2 diabetes, according to research published in the August issue of Diabetes Care.

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Interventions Avert Contrast-Induced Acute Kidney Injury

MONDAY, Aug. 4, 2014 (HealthDay News) -- A quality improvement program helps prevent contrast-induced acute kidney injury (CI-AKI) in patients undergoing percutaneous coronary intervention, according to research published online July 29 in Circulation: Cardiovascular Quality and Outcomes.

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Guidelines Issued for Cardiac Management of Noncardiac Sx

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Recommendations have been developed for perioperative cardiovascular management of patients undergoing noncardiac surgery. These revised guidelines were published online Aug. 1 in the Journal of the American College of Cardiology.

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FDA Approves Jardiance for Type 2 Diabetes

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Jardiance (empagliflozin) has been approved by the U.S. Food and Drug Administration to treat type 2 diabetes, the agency said Friday in a news release.

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CMS Recognizes Telehealth in New Physician Fee Schedule

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Earlier this month, the Centers for Medicare & Medicaid Services issued proposed rules for updates to the Physician Fee Schedule and will accept comments until Sept. 2, according to an article published July 7 in Medical Economics.

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CDC: Some Jobs Harder on the Heart Than Others

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Stress at work may raise your risk of heart attack and stroke, particularly if you work in the service industry or have a blue-collar job, U.S. health officials reported Thursday. But being unemployed might be just as unhealthy, they added. The study was published in the Aug. 1 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Florida Officials Issue Warning on Vibrio Bacteria

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Florida health officials are cautioning visitors to the state's beaches about the threat of Vibrio vulnificus bacteria in warm seawater this summer.

Health Highlights: July 31, 2014

Each Chronic Condition Further Reduces Life Expectancy

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Each additional chronic condition among older people diminishes life expectancy, according to a study published in the August issue of Medical Care.

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Two New Radiographic Signs of Gastric Band Slippage ID'd

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Two radiographic signs have been identified that have high sensitivity and specificity for gastric band slippage, according to a study published in the July issue of the American Journal of Roentgenology.

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More Activity, Less Sitting Both Needed to Cut Obesity Risk

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Both high levels of physical activity and low levels of leisure time sitting may be necessary to reduce the risk of obesity, according to research published online July 31 in Diabetologia.

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Off-Hour Arrival at Hospital Impacts Heart Attack Outcomes

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Time of presentation to the hospital may influence treatment and mortality for patients with myocardial infarction, according to research published online July 29 in Circulation: Cardiovascular Quality and Outcomes.

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