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July 2013 Briefing - Internal Medicine

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

Anemia Linked to Elevated Dementia Risk in Older Adults

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

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Treatment Beneficial in Smoldering Multiple Myeloma

WEDNESDAY, July 31 (HealthDay News) -- For patients with smoldering multiple myeloma, treatment with lenalidomide plus dexamethasone correlates with delayed progression and improved survival, according to a study published in the Aug. 1 issue of the New England Journal of Medicine.

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HIV-Associated Lymphoma Characterized As Heterogeneous

WEDNESDAY, July 31 (HealthDay News) -- HIV-associated lymphoma is highly heterogeneous in the current treatment era, but mortality has remained steady, according to a study published online July 26 in the Journal of the National Cancer Institute.

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Diagnosis of Bell's Palsy in ER Is Usually Accurate

WEDNESDAY, July 31 (HealthDay News) -- The incidence of incorrect diagnoses of Bell's palsy in the emergency department with subsequent alternative diagnosis is low, according to a study published online July 29 in the Annals of Emergency Medicine.

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Review Supports Elevated Risk of CHD Even With Prehypertension

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

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Health 'Mutual Accountability' Pilot Program Launching

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

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Severe Hypoglycemia Ups Cardiovascular Risk in Diabetes

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

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OK to Continue Aspirin Therapy Up to Pancreatic Surgery

WEDNESDAY, July 31 (HealthDay News) -- Patients on aspirin therapy do not have higher rates of perioperative bleeding, transfusion, or major procedure-related complications following elective pancreatic surgery, according to research published online July 26 in Surgery.

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Severe Hypoglycemia Common in Type 2 Diabetes

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

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Reversal of Medical Practices Common Over Past Decade

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

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Patient-Doctor Contact Betters Hemodialysis Outcomes

TUESDAY, July 30 (HealthDay News) -- More frequent and longer duration of patient-doctor contact (PDC) improve outcomes among patients undergoing hemodialysis, according to a study published online July 25 in the Journal of the American Society of Nephrology.

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Glucose Intolerance Not Linked to Alzheimer's Pathology

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

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College Football Players May Be at Risk for Hypertension

TUESDAY, July 30 (HealthDay News) -- Similar to professional athletes who play American-style football (ASF), players at the collegiate level may be at increased risk for clinically important increases in blood pressure (BP) and the development of hypertension, according to research published in the July 30 issue of Circulation.

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Aids Help Decision Making for Prostate Cancer Screening

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

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Back Pain Management Relying on Guideline Discordant Care

TUESDAY, July 30 (HealthDay News) -- Management of back pain is increasingly relying on guideline discordant care, including narcotic use, advanced imaging, and referrals to physicians, according to research published online July 29 in JAMA Internal Medicine.

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Veterans Benefit From Group Outdoor Recreational Activities

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

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Review Explores HPV Link to Higher Risk of Esophageal Cancer

TUESDAY, July 30 (HealthDay News) -- The presence of human papillomavirus (HPV) DNA is associated with a three-fold higher risk of esophageal cancer, according to a study published online July 24 in PLOS ONE.

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USPSTF: Low-Dose CT Screening Benefits Smokers

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

Draft Recommendation Statement
Comment on Recommendations
Background Review

Sexual Counseling Should Be Given to CVD Patients, Partners

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

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ASCO Issues Recommendations for Promoting Tobacco Control

MONDAY, July 29 (HealthDay News) -- The American Society of Clinical Oncology (ASCO) has updated the 2003 recommendations on tobacco cessation and control; the policy statement has been published online July 29 in the Journal of Clinical Oncology.

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Genetic Risk Score Linked to Increased Risk of Diabetes

MONDAY, July 29 (HealthDay News) -- A genetic risk score based on 46 gene variants linked to type 2 diabetes is associated with increases in the risk of type 2 diabetes and declines in glucose control and beta-cell function, according to a study published online July 8 in Diabetes.

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After Cervical Disc Surgery Pro Athletes Can Return to Sports

MONDAY, July 29 (HealthDay News) -- Professional athletes may return to full contact sports following a single-level anterior cervical discectomy and fusion (ACDF), according to research published in the July issue of Neurosurgery.

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FDA Updates Oral Nizoral Label to Reflect Safety Concerns

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

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No Change in HPV Vaccine Coverage for Teen Girls in 2012

MONDAY, July 29 (HealthDay News) -- In 2012 there was little increase in human papillomavirus (HPV) vaccination among teenage girls, according to a report published in the July 26 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Review Examines Coronary Artery Disease in Women

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

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Centrally Acting ACE Inhibitors Slow Decline in Dementia

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

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Automated EHRs Improve Immunization Reporting

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

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Resveratrol Reduces Positive Effects of Exercise Training

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

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Skipping Breakfast Doesn't Result in Energy Compensation

FRIDAY, July 26 (HealthDay News) -- Skipping breakfast does not lead to energy compensation at lunch or later in the day, according to a study published in the July 2 issue of Physiology & Behavior.

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Portable Breath Acetone Analyzer Measures Fat Burning

FRIDAY, July 26 (HealthDay News) -- A portable breath acetone analyzer can be used to measure breath acetone concentrations and to monitor fat burning, according to a study published online July 24 in the Journal of Breath Research.

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For Ischemic Stroke, Fewer Women Receive Thrombolytics

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

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Arthritis Physical Activity Plans Must Consider Work, Life

FRIDAY, July 26 (HealthDay News) -- Physical activity (PA) interventions for working adults with arthritis may be improved by taking into account the demands of an individual's multiple roles, including the complex relationship between work, health, and other life responsibilities, according to a study published in the July issue of Arthritis Care & Research.

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COPD Linked to Increased Risk of Cerebral Microbleeds

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

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Review Explores Link Between Family History and Cancer Risk

FRIDAY, July 26 (HealthDay News) -- A review of family cancer histories indicates that several potential cancer syndromes exist among close relatives, possibly indicating the presence of genetic factors influencing multiple cancer sites, according to research published online July 24 in the Annals of Oncology.

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Taller Postmenopausal Women at Higher Risk for Cancer

THURSDAY, July 25 (HealthDay News) -- For postmenopausal women, height is positively associated with risk of all cancers and risk of specific cancers at numerous sites, according to research published online July 25 in Cancer Epidemiology, Biomarkers & Prevention.

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CDC: U.S. Patients Suffering Tropical Infection

THURSDAY, July 25 (HealthDay News) -- The intestinal infection cyclosporiasis is generally seen in people living or traveling in tropical or subtropical areas, but two cases brought to the attention of the U.S. Centers of Disease Control and Prevention in June occurred in individuals who had not been traveling internationally at the time infection would have occurred.

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Weight Discrimination Increases Obesity Risk

THURSDAY, July 25 (HealthDay News) -- Instead of motivating people to lose weight, weight discrimination may increase the risk of becoming or remaining obese, according to a study published online July 24 in PLOS ONE.

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Study Examines Addictiveness of Menthol Cigarettes

THURSDAY, July 25 (HealthDay News) -- The addictiveness of menthol cigarettes, which are particularly popular with African-Americans and young people, may be due to their interaction with nicotinic acetylcholine (nACh) receptors in the brain, according to a review published online July 23 in Frontiers in Pharmacology.

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IOM Confirms Geographic Variation in Health Spending

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

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Efforts to Decrease Prostate CA Imaging Effective in Sweden

THURSDAY, July 25 (HealthDay News) -- Among Swedish men diagnosed with prostate cancer, imaging use has decreased over a 10-year period, particularly among low-risk patients, according to a study published online July 13 in the Journal of the National Cancer Institute.

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Sleep Disordered Breathing Tied to Lower Exercise Capacity

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

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Screening Mammogram Recall Rates Vary by Practice Site

THURSDAY, July 25 (HealthDay News) -- Patient population factors likely contribute to higher mammogram recall rates at an academic hospital site versus a community office practice employing the same radiologists, according to a study published in online July 24 in Radiology.

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FDA Warns Companies Selling Fraudulent Diabetes Products

WEDNESDAY, July 24 (HealthDay News) -- In an effort to crack down on potentially harmful products marketed toward people with diabetes, the U.S. Food and Drug Administration has sent warning letters to 15 foreign and domestic companies involved in the illegal sale of such items both online and in retail stores.

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Semagacestat Doesn't Improve Cognitive Status in Alzheimer's

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

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Women Worry About Resuming Sexual Activity After Heart Attack

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

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Continuing Statins Linked to Decreased Risk of Parkinson's

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

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Dizziness Visits Account for About 4 Percent of ER Costs

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

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Review Estimates Risk of Physical Disability in Diabetes

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

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Transcranial Ultrasound Seems Beneficial in Chronic Pain

WEDNESDAY, July 24 (HealthDay News) -- Transcranial ultrasound (TUS) is associated with significant improvements in subjective mood, and slight improvements in pain among patients with chronic pain, according to a study published in the May issue of Brain Stimulation.

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Fatty Acids, Leucine May Preserve β-Cell Function

WEDNESDAY, July 24 (HealthDay News) -- Long-chain omega-3 fatty acids and leucine intake are positively associated with fasting C-peptide (FCP) concentrations in young patients with type 1 diabetes, according to a study published in the July issue of Diabetes Care.

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Self-Help Program Ups Mental Health in Rheumatic Disease

WEDNESDAY, July 24 (HealthDay News) -- A cognitive-behavioral, self-help intervention can improve depression and anxiety in patients with rheumatic conditions, according to a study published in the July issue of Arthritis Care & Research.

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Docs Need to Follow Patients' Lead, Embrace Social Media

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

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HPV Vaccine Effective Against Oral Infections

WEDNESDAY, July 24 (HealthDay News) -- The bivalent human papillomavirus (HPV) 16/18 vaccine is effective against oral infection, according to a study published online July 17 in PLOS ONE.

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Breast Cancer Survival for Blacks Unchanged Since 1991

TUESDAY, July 23 (HealthDay News) -- Breast cancer survival for black women diagnosed in the last two decades has not changed, and appears to be lower than breast cancer survival for white women due to presentation characteristics at diagnosis rather than treatment differences, according to a study published in the July 24/31 issue of the Journal of the American Medical Association.

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

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

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Deaths Estimated From Estrogen Avoidance After Hysterectomy

TUESDAY, July 23 (HealthDay News) -- Thousands of postmenopausal hysterectomized women are estimated to die each year because of low utilization of estrogen therapy (ET), according to a study published online July 18 in the American Journal of Public Health.

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Kidney Stones Tied to Coronary Heart Disease in Women

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

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Low Rate of Change in Care With Transthoracic Echocardiography

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

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Tick Vector of Heartland Virus Identified

TUESDAY, July 23 (HealthDay News) -- The tick Amblyomma americanum has been identified as the vector of the heartland virus (HRTV), the first pathogenic Phlebovirus (Family: Bunyaviridae), according to a study published online July 22 in the American Journal of Tropical Medicine and Hygiene.

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Consensus Statement Describes Role of Team Physicians

TUESDAY, July 23 (HealthDay News) -- Team physicians have medical and administrative duties and responsibilities to athletes, according to a consensus statement published in the August issue of Medicine & Science in Sports & Exercise.

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Maternal Health Behaviors Affect Teen Boys' HPV4 Uptake

TUESDAY, July 23 (HealthDay News) -- Maternal utilization of preventive care and a history of genital warts may influence utilization of the quadrivalent human papillomavirus vaccine (HPV4) among adolescent boys, according to a study published online July 18 in the American Journal of Public Health.

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Guidance Issued for Erectile Dysfunction As Marker of CVD

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

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Automated ECG Directs Patients With Acute MI to Cath Lab

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

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Clinical Trial Results for Cancer Drugs Often Not Published

TUESDAY, July 23 (HealthDay News) -- Although the U.S. Food and Drug Administration Amendments Act requires publication of the results of completed trials of cancer drugs conducted in the United States, results for almost half of the studies have not been made publicly available three years later, according to research published online July 22 in the Journal of Clinical Oncology.

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No Benefit of Echo Screening for Heart Dx in General Population

TUESDAY, July 23 (HealthDay News) -- Echocardiographic screening for heart disease in a general population of middle-aged asymptomatic individuals does not reduce the risk of death or the incidence of heart attacks and stroke, according to a study published online July 22 in JAMA Internal Medicine.

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HHS Awards $12 Million to Support Primary Care Training

TUESDAY, July 23 (HealthDay News) -- $12 million in Affordable Care Act (ACA) funds is being awarded to support primary care residency programs in 32 Teaching Health Centers, according to a report published by the U.S. Department of Health and Human Services.

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Pros and Cons of Electronic Cigarette Regulation Discussed

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

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Skipping Breakfast Linked to Heart Disease

MONDAY, July 22 (HealthDay News) -- Skipping breakfast and eating late at night are associated with a higher risk of developing coronary heart disease, according to a study published in the July 23 issue of Circulation.

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Incidence of Cardiac Events in Lumbar Spine Surgery ID'd

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

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Recommended Calorie Intake Info Has No Direct Impact

MONDAY, July 22 (HealthDay News) -- The introduction of calorie recommendations does not enhance the impact of posted calorie information at restaurants, according to a study published online July 18 in the American Journal of Public Health.

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Ischemic Stroke Described in Patients With Fungal Meningitis

MONDAY, July 22 (HealthDay News) -- Patients presenting with acute ischemic stroke may have fungal infections attributable to contaminated methylprednisolone associated with epidural injections, according to a case series published online July 22 in JAMA Neurology.

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Psych Comorbidity Contributes to Premature Death in Epilepsy

MONDAY, July 22 (HealthDay News) -- For patients with epilepsy, psychiatric comorbidity contributes to premature mortality from external causes, according to a study published online July 22 in The Lancet.

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Project BOOST Linked to Drop in Rehospitalization Rates

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

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Premiums Expected to Be About 20 Percent Lower in 2014

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

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Tablets Help Physicians Keep Up With Medical Research

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

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Dietary Fiber Intake Linked to Reduced Gastric Cancer Risk

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

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ADHD Drug May Reduce Risk of Falling in Elderly

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

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Socioeconomic Disparities Linked to Use of Eye Care

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

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Lifestyle Factors Linked to Less Aggressive Prostate Cancer

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

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

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

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Missed Diagnoses, Med Errors Most Common Malpractice Claims

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

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Top Challenges for Docs Include Financial Management

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

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Healthy Life Expectancy Higher for Females, Whites at Age 65

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

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~2 Percent of Opioid Rx Bought by 0.7 Percent of Patients

THURSDAY, July 18 (HealthDay News) -- A small proportion of opioid prescription purchasers (0.7 percent) obtain an average of 32 prescriptions from 10 different prescribers, accounting for 1.9 percent of all opioid prescriptions, according to a study published online July 17 in PLOS ONE.

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Low Vitamin D Linked to Limited Function in Aging Adults

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

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Breaking a Sweat Regularly May Lower Risk of Incident Stroke

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

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In 2010, Racial Discrepancy in Life Expectancy 3.8 Years

THURSDAY, July 18 (HealthDay News) -- In 2010, the discrepancy in life expectancy between blacks and whites was 3.8 years, according to a July data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Antipsychotics Induce Insulin Resistance Without Weight Gain

THURSDAY, July 18 (HealthDay News) -- Atypical antipsychotic drugs induce insulin resistance even in the absence of weight gain and mechanisms regulating eating behavior, according to a study published online July 8 in Diabetes.

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Multiple Strategies Being Used to Address Distracted Driving

THURSDAY, July 18 (HealthDay News) -- More states are implementing multiple strategies to address the threats posed by distracted driving, according to a report published by the Governors Highway Safety Association (GHSA).

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Photoprotection-Deficient Patients With CLE Identified

THURSDAY, July 18 (HealthDay News) -- Several subgroups of patients with cutaneous lupus erythematosus (CLE) are deficient in their use of photoprotection, according to a study published in the June issue of the Journal of the American Academy of Dermatology.

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Men Forgo Care With Switch to High-Deductible Health Plan

THURSDAY, July 18 (HealthDay News) -- Men may forgo needed care following the transition to high-deductible health plans (HDHP), according to a study published in the August issue of Medical Care.

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Changes Necessary to Help Homeless Quit Smoking

WEDNESDAY, July 17 (HealthDay News) -- Many homeless are interested in quitting smoking, and specific interventions are necessary for this population, according to a perspective piece published in the July 18 issue of the New England Journal of Medicine.

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CT Screens Prevent Few Deaths in Those at Low Risk of Lung Cancer

WEDNESDAY, July 17 (HealthDay News) -- The relatively greatest number of deaths from lung cancer is prevented when screening with low-dose computed tomography (CT) is targeted to those at highest risk, according to research published in the July 18 issue of the New England Journal of Medicine.

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Gastric Surgery in Diabetes Changes Stimulus Response

WEDNESDAY, July 17 (HealthDay News) -- In obese patients with type 2 diabetes, gastric bypass surgery changes the postprandial response, improving glucose tolerance, β-cell function, and insulin sensitivity while worsening endogenous glucose production in response to a stimulus, according to a study published online July 8 in Diabetes.

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Collecting Employee Wellness Data Can Up Screening Rates

WEDNESDAY, July 17 (HealthDay News) -- Higher participation in health risk assessments (HRAs) among employee wellness program (EWP) members may improve cancer screening rates, according to research published online July 11 in Preventing Chronic Disease.

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Ways to Lower Readmission Rates for Heart Failure Identified

WEDNESDAY, July 17 (HealthDay News) -- Several strategies associated with a lower risk of readmission have been identified for patients with heart failure, according to research published in the July issue of Circulation: Cardiovascular Quality and Outcomes.

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Financial Incentives Can Drive Health IT Adoption

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

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Low-Dose Aspirin May Reduce Women's Colorectal Cancer Risk

WEDNESDAY, July 17 (HealthDay News) -- In healthy women, long-term use of alternate-day, low-dose aspirin may reduce the risk for colorectal cancer, according to a study published in the July 16 issue of the Annals of Internal Medicine.

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Primary Care Docs Rate Many Hospitalizations As Avoidable

WEDNESDAY, July 17 (HealthDay News) -- Physicians acknowledge that a considerable proportion of hospitalizations for ambulatory care-sensitive conditions (ACSCs) are avoidable, according to a study published in the July/August issue of the Annals of Family Medicine.

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Combination Treatment Beneficial for Cardiac Arrest

TUESDAY, July 16 (HealthDay News) -- Among patients with cardiac arrest requiring vasopressors, treatment with epinephrine, vasopressin, and methylprednisolone during cardiopulmonary resuscitation (CPR) leads to improved survival to hospital discharge and improved neurological status, according to a study published in the July 17 issue of the Journal of the American Medical Association.

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Repeat Hospitalization Factors for Nursing Home Residents Studied

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

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CMS Medicare Physician Fee Schedule Could Benefit Docs

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

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Redesign of Medical Education Needed for Chronic Disease Era

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

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Acid Reflux Medications May Constrict Blood Vessels

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

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Telephone Intervention Ups Colorectal Cancer Screening

TUESDAY, July 16 (HealthDay News) -- A telephone outreach intervention delivered by Medicaid managed care organization (MMCO) staff can increase rates of colorectal cancer (CRC) screening among women overdue for screening, according to a study published in the July/August issue of the Annals of Family Medicine.

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In U.K., Experts Call for HPV Vaccination for Young Gay Men

TUESDAY, July 16 (HealthDay News) -- In the United Kingdom, young men who have sex with men (MSM) should be vaccinated against human papillomavirus (HPV) infection to reduce their risk of developing anal cancer, according to an editorial published in the August issue of Sexually Transmitted Infections.

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Improvements Made to CMS Online Directory of Physicians

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

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Stroke Incidence Up in Chinese Versus White Population

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

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Liver Failure Via Acetaminophen OD Tied to Worse Outcomes

MONDAY, July 15 (HealthDay News) -- Long-term survivors of acute liver failure report lower quality of life compared with the general population, while survivors of acetaminophen overdose report the lowest quality of life, possibly due to psychiatric and substance abuse disorders, according to a study published online June 18 in Liver Transplantation.

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EHRs May Slow Growth in Ambulatory Health Care Costs

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

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Tool Helps Emergency Providers ID Drug-Seeking Behavior

MONDAY, July 15 (HealthDay News) -- Emergency providers are fairly accurate at identifying drug-seeking behavior, demonstrating fair agreement with prescription drug monitoring program criteria, according to a study published online July 11 in the Annals of Emergency Medicine.

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More Job Opportunities Available for Physicians

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

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AMI Up With Stress-Induced Hyperglycemia After Hip Fx

MONDAY, July 15 (HealthDay News) -- For patients after hip fracture, stress-induced hyperglycemia is associated with an increased risk of acute myocardial infarction (AMI), according to a study published online July 11 in Diabetes Care.

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Lower Extremity Amputations Fall in Medicare Patients

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

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Omega-3 Fatty Acids Linked to Risk of Prostate Cancer

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

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FDA Proposes Threshold for Arsenic in Apple Juice

FRIDAY, July 12 (HealthDay News) -- With a goal of preventing public exposure to inorganic arsenic through apple juice, the U.S. Food and Drug Administration has proposed an "action level" of 10 parts per billion (ppb), a threshold to serve as a guideline for industry.

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Physicians Frustrated by Third-Party Interference

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

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AMA Offers Guidance for Improving EHR Effectiveness

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

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Men Still Want PSA Testing Despite Guidance, Risks

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

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Agricultural Policies Impact Obesity Trends

FRIDAY, July 12 (HealthDay News) -- U.S. agricultural subsidies have contributed to the rising obesity rates, according to a review published online July 9 in the American Journal of Preventive Medicine.

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Patients Benefit From Primary Care Wellness Program

FRIDAY, July 12 (HealthDay News) -- Patients benefit from the Americans In Motion-Healthy Interventions (AIM-HI) approach to promoting physical activity, healthy eating, and emotional well-being regardless of whether or not family medicine practice office staff use the tools, according to a study published in the July/August issue of the Annals of Family Medicine.

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Length of ER Visit Will Increase With Aging Population

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

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Ob-Gyns Stray From Guidelines for Cervical Cancer Prevention

THURSDAY, July 11 (HealthDay News) -- A survey of obstetrician-gynecologists has identified barriers to the adoption of human papillomavirus (HPV) vaccination and screening measures for cervical cancer, according to research published online July 9 in the American Journal of Preventive Medicine.

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U.S. Adults Value Health Care Provider Skill Evaluation

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

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Grants of $150 Million for Community Health Centers

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

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Health Searches May Be Leaked to Third Parties

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

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Low-Income Patients Prefer Hospital to Outpatient Care

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

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Increasing Physical Activity is Not Curbing Obesity Prevalence

THURSDAY, July 11 (HealthDay News) -- The prevalence of sufficient physical activity is increasing across counties in the United States, but has had little impact on obesity prevalence, according to a study published online July 10 in Population Health Metrics.

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

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

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Quality Metrics Play Small Role in Physician Compensation

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

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In 2010, Blood Transfusion Most Frequent Hospital Procedure

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

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Red Cross Issues Emergency Call for Blood Donors

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

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Docs Don't Often Talk to Patients About Dietary Supplements

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

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Inverse Relationship for Cancer, Alzheimer's Dementia

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

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Artificial Sweeteners Linked to Cardiometabolic Disease Risk

WEDNESDAY, July 10 (HealthDay News) -- The role of artificial sweeteners is potentially problematic, with consumption of artificially sweetened beverages (ASBs) associated with increased risks of cardiometabolic diseases, according to a study published online July 10 in Trends in Endocrinology & Metabolism.

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Prevalence of Oral HPV Infection Low in Healthy Men

WEDNESDAY, July 10 (HealthDay News) -- Newly acquired oral infections with oncogenic human papilloma virus (HPV) are rare, and infections typically clear within a year, according to a study published online July 2 in The Lancet.

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Tablets More Useful Than Smartphones for Docs Using EHRs

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

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Health Insurance Marketplaces Not Required to Verify Claims

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

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Particulate Air Pollutants Linked to Lung Cancer Risk

WEDNESDAY, July 10 (HealthDay News) -- Particulate air pollutants are associated with an increased risk of lung cancer, particularly adenocarcinoma, and both gaseous and particulate pollutants are linked to heart failure hospitalization and mortality, according to two studies published online July 10 in The Lancet Oncology and The Lancet.

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

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

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Improvement Needed in Drug Post-Marketing Studies

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

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Existing Medicaid Patients May Miss Out on Preventive Care

WEDNESDAY, July 10 (HealthDay News) -- Existing Medicaid enrollees may not receive preventive care measures the Affordable Care Act mandates for those covered under new insurance requirements, according to a study published in the July issue of Health Affairs.

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Chronic Illness Positively Linked to Receipt of Preventive Care

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

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Statins Usually Well Tolerated, With Few Adverse Effects

TUESDAY, July 9 (HealthDay News) -- Adverse events from statin therapy are not common, according to a review published online July 9 in Circulation: Cardiovascular Quality and Outcomes.

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Digital Divide Plagues Underserved Areas

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

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Vitamin D, Coronary Heart Disease Link Varies by Race

TUESDAY, July 9 (HealthDay News) -- Low concentrations of serum 25-hydroxyvitamin D (25[OH]D) are associated with an increased risk of coronary heart disease (CHD) among whites and Chinese, but not among blacks or Hispanics, according to a study published in the July 10 issue of the Journal of the American Medical Association.

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Soy Supplement Doesn't Cut Prostate Cancer Recurrence

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

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Physicians Urged to Consider Gun-Related Violence in Elderly

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

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ASCO Urges Breast Cancer Chemoprevention Discussion

TUESDAY, July 9 (HealthDay News) -- Health care providers are encouraged to discuss chemoprevention as a clinical option with women at increased breast cancer (BC) risk, according to a newly updated American Society of Clinical Oncology (ASCO) clinical practice guideline published online July 8 in the Journal of Clinical Oncology.

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Studies Examine Late-Life Disability, Restricting Symptoms

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

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Adoption of Electronic Health Records Is Progressing

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

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Correlates of Care Seeking ID'd for Those With Low Back Pain

TUESDAY, July 9 (HealthDay News) -- Not all patients with low back pain (LBP) seek medical care, with female sex, LBP frequency, limitations in activities of daily living, and fear-avoidance beliefs contributing to increased odds of seeking care, according to a study published in the May 20 issue of Spine.

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Meeting Dual HbA1c & LDL-C Goals Improves Diabetes Care

TUESDAY, July 9 (HealthDay News) -- Dual achievement of both glycated hemoglobin (HbA1c) and low-density lipoprotein cholesterol (LDL-C) goals among patients with diabetes is associated with greater clinical and economic benefit than achievement of either goal alone, according to a study published online June 25 in Diabetes Care.

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Repeat Lipid Testing Overused in Those Meeting LDL-C Goals

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

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Kidney Disease Significantly Reduces Life Expectancy in SLE

MONDAY, July 8 (HealthDay News) -- For patients with systemic lupus erythematosus (SLE), compromised kidneys significantly reduce survival and life expectancy, according to a study published online June 10 in Arthritis & Rheumatism.

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Black Men Less Likely to Have Advanced Neoplasia at Screening

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

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Most Men Report No Shared Decision Making in PSA Screening

MONDAY, July 8 (HealthDay News) -- Nearly two-thirds of men report an absence of shared decision making related to prostate-specific antigen (PSA) screening, according to a study published in the July/August issue of the Annals of Family Medicine.

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USPSTF Finds Evidence Lacking for Glaucoma Screening

MONDAY, July 8 (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 screening for primary open-angle glaucoma among adults without vision symptoms, according to a Recommendation Statement published online July 9 in the Annals of Internal Medicine.

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Nighttime Vital Signs May Be Over Monitored in Hospitals

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

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Practices Are Not Ready for Implementation of ICD-10

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

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Adding 'Organ Donor' to Facebook Ups Registration

FRIDAY, July 5 (HealthDay News) -- Initiation of the Facebook organ donor initiative has dramatically increased organ donor registration, according to a study published online June 18 in the American Journal of Transplantation.

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Media Health Warnings Trigger Symptoms From Sham Exposure

FRIDAY, July 5 (HealthDay News) -- Individuals who watched a news report about the adverse health effects of exposure to electromagnetic fields (EMF) were more likely to experience symptoms after a 15-minute sham exposure to a WiFi signal than those who watched a control film, according to a study published in the Journal of Psychosomatic Research.

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Effective Dose of Radiation From Airport Scanners Is Low

THURSDAY, July 4 (HealthDay News) -- The average effective dose of radiation from a single-pose, two-sided scan with an X-ray backscatter system used for screening airport passengers is about 11.1 nSv, according to a report published by the American Association of Physicists in Medicine.

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Melanoma Recurrence a Decade Later Not Rare

WEDNESDAY, July 3 (HealthDay News) -- Melanoma that recurs over a decade after initial treatment is not uncommon, occurring in about 7 percent of patients, and is associated with improved survival compared with that seen in patients whose tumors recur earlier, according to a study published in the July issue of the Journal of the American College of Surgeons.

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Prior Hyperglycemia Limits the Effects of Exercise in Diabetes

WEDNESDAY, July 3 (HealthDay News) -- The effects of exercise on glycemic control in patients with type 2 diabetes mellitus (T2DM) are dependent on glucose levels prior to training, according to a research letter published online July 1 in JAMA Internal Medicine.

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Work Loss Not Tied to Drug Choice in Rheumatoid Arthritis

WEDNESDAY, July 3 (HealthDay News) -- Therapy including a biological agent is not superior to conventional therapy in reducing work loss in patients with early-stage rheumatoid arthritis (RA) who fail to respond to methotrexate, according to research published online July 1 in JAMA Internal Medicine.

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More Than 40 Percent of Docs Report Work Dissatisfaction

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

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Drug Overdose Deaths, ER Visits Up for Women Since 1999

WEDNESDAY, July 3 (HealthDay News) -- Drug-related deaths and emergency department visits have increased among women since 1999, according to research published in the July 2 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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CT Pulmonary Angiography Linked to Overdiagnosis of PE

WEDNESDAY, July 3 (HealthDay News) -- The increased use of computed tomography (CT) pulmonary angiography is associated with increased incidence of pulmonary embolism among U.S. adults, but with minimal decrease in mortality from pulmonary embolism, according to an analysis published online July 2 in BMJ.

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Home Telemonitoring Intervention Ups BP Control

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

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Short-Term UV Radiation Linked to Odds of Juvenile Myositis

WEDNESDAY, July 3 (HealthDay News) -- Short-term ultraviolet radiation (UVR) exposure may contribute to the development of juvenile myositis, according to a study published in the July issue of Arthritis & Rheumatism.

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Weight Gain Attenuates Smoking Cessation Benefits

WEDNESDAY, July 3 (HealthDay News) -- While smoking cessation reduces the risk of coronary heart disease in women with and without diabetes, a weight gain of 5 kg or more attenuates the association, according to research letter published in the July 3 issue of the Journal of the American Medical Association.

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Obama Administration: ACA's Employer Mandate Delayed

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

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Post-Breast Cancer, Metformin Has No Effect on Mortality

TUESDAY, July 2 (HealthDay News) -- For older women with diabetes and breast cancer, there is no association between metformin use and all-cause or breast cancer-specific mortality, according to a study published online April 30 in Diabetes Care.

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Home-Based Walking Intervention Beneficial in PAD

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

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Peptide Screening and Care Reduces Heart Failure Risk

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

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Red Meat Intake Prediagnosis Ups Risk of Death in Colorectal Cancer

TUESDAY, July 2 (HealthDay News) -- Self-reported higher intake of red and processed meat before the diagnosis of colorectal cancer is associated with increased risk of death, according to research published online July 1 in the Journal of Clinical Oncology.

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Salsalate Improves Glycemic Control in Type 2 Diabetes

TUESDAY, July 2 (HealthDay News) -- Salsalate, a prodrug form of salicylate, improves glycemic control and reduces inflammation in patients with type 2 diabetes, but also has some undesirable cardiac and renal effects, according to a study published in the July 2 issue of the Annals of Internal Medicine.

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Sucralose Affects Response to Oral Glucose Load in Obese

TUESDAY, July 2 (HealthDay News) -- For obese adults who do not use non-nutritive sweetener (NNS), sucralose affects the glycemic and insulin responses to an oral glucose load, according to a study published online April 30 in Diabetes Care.

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New Tickborne Illness Identified in Northeastern U.S.

TUESDAY, July 2 (HealthDay News) -- Tick-exposed patients who present with acute febrile illness but have delayed response to doxycycline therapy or negative confirmatory test results for human granulocytic anaplasmosis (HGA) should be analyzed for evidence of infection with the newly recognized spirochete Borrelia miyamotoi, according to a case report published in the July 2 issue of the Annals of Internal Medicine.

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Hypertension, Lipid Control Improved, 1988 to 2010

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

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New Rule for Contraception Coverage, Religious Bodies

TUESDAY, July 2 (HealthDay News) -- The final rule has been issued on contraception coverage and religious organizations, respecting the religious considerations raised by non-profit organizations while increasing access to contraceptive coverage for women, according to a report published by the U.S. Department of Health and Human Services.

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Long-Term Night Shift Work Ups Likelihood of Breast Cancer

TUESDAY, July 2 (HealthDay News) -- Prolonged night shift work (for 30 years or more) is associated with a significantly increased likelihood of breast cancer, according to a study published online July 1 in Occupational & Environmental Medicine.

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Docs Impact Comparative Effectiveness Research Opinion

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

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Kidney Involvement, High Anti-dsDNA Predict Lupus Flares

TUESDAY, July 2 (HealthDay News) -- Kidney involvement and high anti-double stranded (ds) DNA are independent predictors of moderate-severe lupus flare, according to research published online June 10 in Arthritis & Rheumatism.

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New Rule for Home Health Prospective Payment System

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

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Prehospital Triage Policy for Suspected Stroke Ups tPA Use

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

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FDA Approves First Non-Hormonal Tx for Hot Flashes

MONDAY, July 1 (HealthDay News) -- Brisdelle (paroxetine) has been approved by the U.S. Food and Drug Administration as the first non-hormonal treatment to treat hot flashes associated with menopause.

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Sleep-Restricted Adults With Late Bedtimes Gain More Weight

MONDAY, July 1 (HealthDay News) -- Sleep-restricted adults with late bedtimes may gain more weight due to an overall increased caloric intake and a higher late-night calorie consumption, according to a study published in the July issue of SLEEP.

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Post-CABG Risk of Death Increased for Blacks With PAD

MONDAY, July 1 (HealthDay News) -- For patients undergoing coronary artery bypass grafting (CABG), the risk of death is higher for those with peripheral artery disease (PAD), particularly for black versus white patients, according to a study published online June 3 in the Annals of Thoracic Surgery.

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Etanercept Reduces Work, Activity Impairment in RA

MONDAY, July 1 (HealthDay News) -- For patients with moderate-to-severe rheumatoid arthritis (RA), continued etanercept treatment is associated with reduced work and activity impairment, according to a study published online April 1 in Arthritis Care & Research.

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Diabetic Retinopathy Severity Inversely Tied to Cognition

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

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