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June 2010 Briefing - Internal Medicine

Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for June 2010. 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.

Group of Older Men Have Cardio Events With Testosterone Gel

WEDNESDAY, June 30 (HealthDay News) -- Older men with limited mobility have improved muscle strength but an increased risk of cardiovascular events when they receive testosterone gel supplementation, according to research published online June 30 in the New England Journal of Medicine.

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Best Predictors of Alzheimer's Disease Identified

WEDNESDAY, June 30 (HealthDay News) -- In individuals with mild cognitive impairment, fluorodeoxyglucose-positron emission tomography (FDG-PET) and episodic memory may be the best predictors of conversion to Alzheimer's disease, while cerebrospinal fluid (CSF) proteins and -- to a lesser extent -- FDG-PET predict longitudinal cognitive decline, according to a study published online June 30 in Neurology.

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Cardio Exercise Safe, Beneficial in Rheumatoid Arthritis

WEDNESDAY, June 30 (HealthDay News) -- Cardiorespiratory aerobic exercise is safe for rheumatoid arthritis (RA) patients and leads to improved function and quality of life, though its effect is small, according to a meta-analysis published in the July issue of Arthritis Care & Research.

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Researchers Identify Genes Behind Alopecia Areata

WEDNESDAY, June 30 (HealthDay News) -- Researchers have identified eight genes that play a role in alopecia areata, an autoimmune disease that affects about 2 percent of the overall population and results in hair loss from the scalp and other areas of the body, and their findings have been published in the July 1 issue of Nature.

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Overweight Linked to Cancer Mortality in Asia-Pacific Region

WEDNESDAY, June 30 (HealthDay News) -- Overweight and obese individuals in groups across the Asia-Pacific region have a higher risk of death from cancer than normal-weight individuals in the region, according to research published online June 30 in The Lancet Oncology.

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Many Breast Cancer Patients Don't Adhere to Therapy

WEDNESDAY, June 30 (HealthDay News) -- Only half of hormone-sensitive stage I to III breast cancer patients prescribed adjuvant hormonal therapy adhere to that therapy for the full duration at the optimal schedule, and younger women in particular are at high risk of non-adherence, according to a study published online June 28 in the Journal of Clinical Oncology.

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Adult Obesity Rate Increases in 28 States

WEDNESDAY, June 30 (HealthDay News) -- In the past year, the adult obesity rate increased in 28 states, and there are marked differences in obesity rates by region, race, and income, according to a report published June 29 by the Trust for America's Health and the Robert Wood Johnson Foundation.

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Generic Effexor XR Approved

TUESDAY, June 29 (HealthDay News) -- The first generic version of Effexor extended release capsules (venlafaxine hydrochloride) to treat major depressive disorder has been approved by the U.S. Food and Drug Administration.

National Library of Medicine

Lower CYP2C19 Function Plus Clopidogrel May Cause Harm

TUESDAY, June 29 (HealthDay News) -- Patients treated with clopidogrel who are carriers of the loss-of-function CYP2C19*2 allele may be at increased risk for cardiovascular events and death, according to research published in the July 6 issue of the Journal of the American College of Cardiology.

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Diagnostic Adverse Events Usually Due to Human Failure

TUESDAY, June 29 (HealthDay News) -- Diagnostic adverse events (DAEs) are most often caused by human error, and their consequences are more severe than those of other types of adverse events, according to research published in the June 28 issue of the Archives of Internal Medicine.

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14 Percent of Cancer Survivors Live With Minor Children

TUESDAY, June 29 (HealthDay News) -- Nationwide, an estimated 1.58 million cancer survivors live with their minor children, representing a large number of families who confront special challenges and may need additional support, according to research published online June 28 in Cancer.

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Statins May Slow Post-Surgery Cancer Recurrence

TUESDAY, June 29 (HealthDay News) -- In men who undergo radical prostatectomy for prostate cancer, those who take statins have a decreased risk of biochemical recurrence, according to research published online June 28 in Cancer.

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End-of-Life Hospital Care Has Room for Improvement

TUESDAY, June 29 (HealthDay News) -- In U.S. hospitals, the care of patients at end of life nearly always includes close attention to pain management and efforts to ease breathing, but there are other areas of care that need improvement, according to research published in the June 28 issue of the Archives of Internal Medicine.

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New Guidelines Issued for Clopidogrel After FDA Warning

TUESDAY, June 29 (HealthDay News) -- The American College of Cardiology Foundation (ACCF) and the American Heart Association (AHA) released a joint clinical alert on June 28 to guide physicians in the interpretation of the boxed warning recently placed on the antiplatelet drug clopidogrel (Plavix) by the U.S. Food and Drug Administration. The full text of the alert will be co-published online June 28 in the Journal of the American College of Cardiology and Circulation.

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Statins May Not Help High-Risk Patients With No CVD History

MONDAY, June 28 (HealthDay News) -- Statins do not appear to be associated with a reduced risk of death in people who are at increased risk for cardiovascular disease (CVD) but have no history of it, according to research published in the June 28 issue of the Archives of Internal Medicine.

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Doctors Agree Malpractice Fears Drive Overuse of Tests

MONDAY, June 28 (HealthDay News) -- A large majority of physicians agree that the practice of defensive medicine -- stemming from malpractice concerns -- is responsible for an overuse of medical tests and procedures, according to a research letter in the June 28 issue of the Archives of Internal Medicine.

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AHA Releases Guide for Cardiopulmonary Exercise Tests

MONDAY, June 28 (HealthDay News) -- In response to the increasing clinical value of cardiopulmonary exercise testing (CPX), the American Heart Association has developed the Clinician's Guide to Cardiopulmonary Exercise Testing in Adults to complement existing exercise testing guidelines with details on CPX. The new guide is being released as a scientific statement and published online June 28 in Circulation.

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Chronotropic Incompetence May Up Death Risk in Women

MONDAY, June 28 (HealthDay News) -- An attenuated heart rate response -- or chronotropic incompetence -- to exercise stress testing is linked to an increased risk of mortality in asymptomatic women, but the traditional calculation -- based on data from males -- overestimates women's maximum heart rate for age, according to a study published online June 28 in Circulation.

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Two Studies Demonstrate Cardiac Risks of Rosiglitazone

MONDAY, June 28 (HealthDay News) -- New evidence suggests that rosiglitazone is associated with an increased risk of adverse cardiovascular outcomes, according to two studies published online June 28 in the Journal of the American Medical Association and the Archives of Internal Medicine. The studies were released online ahead of publication because of their relevance to an upcoming U.S. Food and Drug Administration meeting intended to review the safety of rosiglitazone.

Abstract - Graham
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American Heart Association Comment

Venous Thromboembolism Risk Factors Vary by Race

MONDAY, June 28 (HealthDay News) -- Black Americans with venous thromboembolism (VTE) are less likely to have commonly recognized transient risk factors for the condition, are more likely to have cardiovascular disease risk factors, and are more likely to progress to pulmonary embolism than are white Americans, according to research published in the July issue of the American Journal of Hematology.

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Digoxin May Increase Mortality Risk in Hemodialysis Patients

FRIDAY, June 25 (HealthDay News) -- Digoxin use by patients on hemodialysis is linked to increased mortality, particularly in patients who have low pre-dialysis potassium concentrations, according to research published online June 24 in the Journal of the American Society of Nephrology.

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Insecticide Exposure May Increase Prostate Cancer Risk

FRIDAY, June 25 (HealthDay News) -- Exposure to the estrogenic insecticide chlordecone is associated with an increased risk of prostate cancer, according to a study published online June 21 in the Journal of Clinical Oncology.

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Statins May Lower Risk of Atrial Fibrillation in Heart Patients

FRIDAY, June 25 (HealthDay News) -- Statin therapy is associated with a reduced risk of developing atrial fibrillation (AF) among coronary artery disease patients, and lipid-lowering therapy (LLT) appears to reduce the risk of death and cardiovascular events among individuals who already have AF, according to research published in the June 15 issue of the American Journal of Cardiology.

Abstract - Kulik
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Abstract - Badheka
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Recent Low Back Pain Guidelines Offer Similar Advice

FRIDAY, June 25 (HealthDay News) -- Recent clinical practice guidelines offer similar recommendations for assessing and managing low back pain, and clinicians can improve patient care by adopting these recommendations, according to a review published in the June issue of The Spine Journal.

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Active Surveillance Sound Approach to Prostate Cancer

FRIDAY, June 25 (HealthDay News) -- Active surveillance appears to be a sound approach to managing prostate cancer with a favorable risk profile, according to a review published in the July issue of The Journal of Urology.

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Only 1 in 10 Meets '05 Sodium Intake Recommendations

THURSDAY, June 24 (HealthDay News) -- Only one in 10 American adults adheres to the 2005 recommendation for daily sodium intake, according to a report published in the June 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Rate of HIV Testing Up, New AIDS Cases Down in D.C.

THURSDAY, June 24 (HealthDay News) -- In Washington, D.C., where the HIV case rate is nearly 10 times the U.S. rate, the proportion of the population tested for HIV has increased and the rate of newly diagnosed AIDS cases has decreased in recent years, according to a report published in the June 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text - D.C. Report
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Phone Reminders Up Colorectal Cancer Screening Rate

THURSDAY, June 22 (HealthDay News) -- An automated telephone intervention appears to increase the completion of fecal occult blood testing (FOBT) for colorectal cancer screening, according to a study published in the July issue of Medical Care.

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Diabetes May Complicate COPD Hospital Admissions

THURSDAY, June 24 (HealthDay News) -- Patients admitted to the hospital with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD) who have comorbid diabetes mellitus (DM) have trends toward longer hospital length of stay and an increased risk of death compared with those without DM, according to research published online June 4 in Respirology.

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Many Psoriasis Sufferers Hindered by Insurance Issues

THURSDAY, June 24 (HealthDay News) -- A third of people with psoriasis do not receive adequate treatment for their condition because they lack adequate health care coverage or are unable to meet the copays for treatment, according to results of a survey conducted by the National Psoriasis Foundation.

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Prostate Cancer Endocrine Treatment Increases CVD Risk

THURSDAY, June 24 (HealthDay News) -- Men with prostate cancer who receive endocrine treatment (ET) have a modest increase in risk for cardiovascular disease (CVD), suggesting that clinicians should consider CVD risk when prescribing this treatment, according to a study published online June 21 in the Journal of Clinical Oncology.

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Underinsured African-Americans With Breast Cancer Fare Worse

THURSDAY, June 24 (HealthDay News) -- Underinsured African-American patients are more likely to experience poorer breast cancer-specific survival than their non-Hispanic white counterparts, though the effect of race on survival is not statistically significant after adjustment for sociodemographic and clinical factors, according to research published online June 23 in the Journal of the National Cancer Institute.

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Early Shunting Controls Bleeding in Cirrhotic Patients

WEDNESDAY, June 23 (HealthDay News) -- Typically reserved as a rescue therapy, the insertion of a transjugular intrahepatic portosystemic shunt (TIPS) soon after hospital admittance for acute variceal bleeding in cirrhosis patients may reduce the likelihood of treatment failure and death, according to research published in the June 24 issue of the New England Journal of Medicine.

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Test Combination Predicts Fall Risk in Parkinson's Disease

WEDNESDAY, June 23 (HealthDay News) -- A combination of tests on disease-specific and mobility- and balance-related measures can accurately predict which Parkinson's disease patients are more likely to fall, according to a study published online June 23 in Neurology.

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U.S. Ranks Last in International Health Care Survey

WEDNESDAY, June 23 (HealthDay News) -- Of seven wealthy countries, the United States ranks last in health care, according to the 2010 edition of "Mirror, Mirror on the Wall," a report on the quality of international care released June 23 by The Commonwealth Fund.

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New 2009 H1N1 Influenza Virus Test Authorized by FDA

WEDNESDAY, June 23 (HealthDay News) -- The U.S. Food and Drug Administration has authorized a new test that uses molecular biology techniques to diagnose 2009 H1N1 influenza virus infection in humans.

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Health Professionals Often Do Little to Help Smokers Quit

WEDNESDAY, June 23 (HealthDay News) -- Many health care professionals ask patients about smoking and advise them to quit but do not follow guidelines to help patients actually give up the habit, according to research published online May 27 in Nicotine & Tobacco Research.

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Oral Bisphosphonate Use May Reduce Breast Cancer Risk

WEDNESDAY, June 23 (HealthDay News) -- The use of oral bisphosphonates by postmenopausal women appears to significantly reduce the risk of some breast cancers, according to a pair of studies published online June 21 in the Journal of Clinical Oncology.

Abstract - Chlebowski
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Abstract - Rennert
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Racial Disparities in Sepsis Explained by Two Factors

TUESDAY, June 22 (HealthDay News) -- Racial differences in sepsis rates are due to higher infection rates as well as a higher risk of organ dysfunction among black patients compared with white patients, according to research published in the June 23/30 issue of the Journal of the American Medical Association.

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Weight Control Important for Diabetes Risk in Later Years

TUESDAY, June 22 (HealthDay News) -- In older adults, body fat and weight gain after the age of 50 are associated with a higher risk of diabetes, according to research published in the June 23/30 issue of the Journal of the American Medical Association.

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Folic Acid, B12 Do Not Reduce Vascular Events

TUESDAY, June 22 (HealthDay News) -- Supplementation with folic acid and vitamin B12 over an extended period does not have a beneficial effect on vascular outcomes in individuals who have had a myocardial infarction, but it also poses no excess cancer risk, according to a study in the June 23/30 issue of the Journal of the American Medical Association.

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Surveillance Colonoscopy Can Be Cost-Effective

TUESDAY, June 22 (HealthDay News) -- Surveillance colonoscopy is cost-effective for patients at high risk of colorectal cancer, but aggressive surveillance may be expensive or harmful, according to research published in the June issue of Gastroenterology.

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Many Doctors Positive Toward Industry Gifts, Interactions

TUESDAY, June 22 (HealthDay News) -- Physicians from a wide array of specialties -- particularly surgeons, trainees, and those not familiar with their institutions' policies on industry interactions -- have positive attitudes toward the pharmaceutical and medical device industries' marketing-related activities, according to research published in the June issue of the Archives of Surgery.

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Incidence Rate of Rare Skin Carcinoma on the Rise

TUESDAY, June 22 (HealthDay News) -- The incidence rate (IR) for cutaneous appendageal carcinoma (CAC) in the United States is low and varies by sex/ethnic group, but it has been increasing, possibly partly due to increased ultraviolet exposure and improvements in diagnosis, according to research published in the June issue of the Archives of Dermatology.

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Some Moist Toilet Paper Can Cause Severe Reaction

TUESDAY, June 22 (HealthDay News) -- A preservative used in moist toilet paper can cause a severe allergic reaction in some people, as demonstrated by four case reports published online June 21 in the Archives of Dermatology.

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Cardiology Practices With APNs, PAs Meet Guidelines

MONDAY, June 21 (HealthDay News) -- Cardiology practices with at least two advanced practice nurses (APNs) or physician assistants (PAs) on staff deliver most guideline-recommended heart failure outpatient therapies as well as practices with no APNs or PAs, and deliver some therapies and services better, according to a study in the June 15 issue of the American Journal of Cardiology.

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Post-Heart Attack Drinkers May Fare Better Than Quitters

MONDAY, June 21 (HealthDay News) -- Moderate drinkers who continue to drink after an acute myocardial infarction (AMI) do not appear to experience related adverse effects, and may even have better physical functioning than those who opt to quit drinking alcohol, according to a study in the June 15 issue of the American Journal of Cardiology.

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Watchful Waiting May Suffice in Low-Risk Prostate Cancer

MONDAY, June 21 (HealthDay News) -- For patients with prostate cancer that has a low risk of progression, active surveillance is associated with a low death rate, suggesting that it may be a sufficient management approach, according to research published online June 18 in the Journal of the National Cancer Institute.

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High Tea Consumption Linked to Lower CHD Mortality Risk

FRIDAY, June 18 (HealthDay News) -- Moderate coffee drinkers and moderate to heavy tea drinkers appear to experience less risk of heart disease and, in the case of tea drinkers, lower heart disease-related mortality, according to research published online June 18 in Arteriosclerosis, Thrombosis, and Vascular Biology.

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Hepatic Encephalopathy Linked to Chronic Cognitive Effects

FRIDAY, June 18 (HealthDay News) -- Among patients with cirrhosis, episodes of overt hepatic encephalopathy (OHE) may be associated with lingering and cumulative problems with learning, working memory, and response inhibition, according to research published in the June issue of Gastroenterology.

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Interest by Physicians Can Play Role in Medication Adherence

FRIDAY, June 18 (HealthDay News) -- Patients whose doctors actively review their medication use and prescribing information are more likely to use inhaled corticosteroids (ICS) for asthma control as prescribed, according to research published online May 31 in the Journal of Allergy and Clinical Immunology.

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Low Proportion of Cirrhosis Patients Screened for HCC

FRIDAY, June 18 (HealthDay News) -- Fewer than 20 percent of patients with hepatocellular carcinoma (HCC) who have previously had cirrhosis receive regular screening in the three years before being diagnosed with HCC, and those seeing only primary care doctors are least likely to be screened, according to research published in the July issue of Hepatology.

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ER Visits for Prescription Drug Misuse Climbing

FRIDAY, June 18 (HealthDay News) -- From 2004 to 2008, emergency department visits involving the non-medical use of prescription drugs increased substantially in the United States, according to research published in the June 18 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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10 Risk Factors Associated With Most of Stroke Risk

FRIDAY, June 18 (HealthDay News) -- Worldwide, 10 risk factors are associated with 90 percent of the risk for stroke, suggesting that interventions targeting these particular factors could greatly reduce the stroke burden, according to a study published online June 18 in The Lancet.

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Gene Mutation Increases Clot Risk in Women on Tamoxifen

FRIDAY, June 18 (HealthDay News) -- Women taking adjuvant tamoxifen for early-stage breast cancer who develop a thromboembolism (TE) are nearly five times more likely to carry the factor V Leiden (FVL) mutation than women on the medication who don't have a TE, according to a study published online June 16 in the Journal of the National Cancer Institute.

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Sites Contain Graphic Material to Promote Eating Disorders

FRIDAY, June 18 (HealthDay News) -- Pro-eating disorder Web sites are easy to access and contain content that encourages and motivates users to continue their efforts with anorexia and bulimia, though many include recovery-oriented messages as well, according to research published online June 17 in the American Journal of Public Health.

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Receipt of Kidney Care Less Likely in Black Communities

FRIDAY, June 18 (HealthDay News) -- Even when their kidney function is clearly declining, people living in communities with a high percentage of black residents are less likely to receive kidney care before they start dialysis than those living elsewhere, regardless of race, according to research published online June 17 in the Journal of the American Society of Nephrology.

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Bone Health Supplements Don't Increase Coronary Calcium

FRIDAY, June 18 (HealthDay News) -- Postmenopausal women who take calcium plus vitamin D supplements for bone health do not increase their levels of coronary artery calcium (CAC) and increase their cardiovascular disease risk as a result, according to a study published online June 14 in Menopause.

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Lack of Fitness, Inactivity Linked to Walking Falls

FRIDAY, June 18 (HealthDay News) -- Poor physical fitness and physical inactivity may increase the risk of falls while walking, particularly in men, according to research published in the July issue of the American Journal of Preventive Medicine.

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Smoking Linked to Higher Risk of Flat Colorectal Adenomas

FRIDAY, June 18 (HealthDay News) -- Smoking appears to be an important risk factor for flat colorectal adenomas, which may explain the earlier onset and advanced stage at presentation of colorectal cancer in smokers, according to research published in the June issue of Gastrointestinal Endoscopy.

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EMR Program Benefits More Modest Than Expected

THURSDAY, June 17 (HealthDay News) -- The limited introduction of a central repository for electronic summary care records (SCRs) in England has had a subtle but positive effect on health care delivery, but national implementation will be a complicated process, according to research published June 16 in BMJ.

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Colonoscopies Every 1-2 Years Urged for Those at Genetic Risk

THURSDAY, June 17 (HealthDay News) -- Getting surveillance colonoscopies every one to two years instead of every two to three years is associated with a reduced risk of colorectal cancer (CRC) for members of families with Lynch syndrome, according to a study in the June issue of Gastroenterology.

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Celecoxib Linked to Lower Rate of Gastrointestinal Events

THURSDAY, June 17 (HealthDay News) -- The cyclooxygenase (COX)-2 selective nonsteroidal anti-inflammatory drug (NSAID) celecoxib is associated with a lower risk of gastrointestinal adverse events than the NSAID diclofenac plus the proton pump inhibitor (PPI) omeprazole in patients with osteoarthritis or rheumatoid arthritis, according to a study published online June 17 in The Lancet.

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Duloxetine Beneficial in Treating Chronic Low Back Pain

THURSDAY, June 17 (HealthDay News) -- Duloxetine appears to significantly reduce pain and improve functioning in nondepressed individuals with non-neuropathic chronic low back pain (CLBP), according to a study published in the June 1 issue of Spine, though during the study, more subjects on duloxetine discontinued treatment because of adverse events than those on placebo.

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Outcomes Mixed on Different Stent Types in STEMI

THURSDAY, June 17 (HealthDay News) -- Patients with ST-segment elevation myocardial infarction (STEMI) who receive drug-eluting stents (DES) may have a lower rate of major adverse cardiac events than those who receive bare-metal stents (BMS), but they are more likely to experience cardiac death, according to research published online June 16 in the Journal of the American College of Cardiology.

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Improved Liability Protection Could Up Use of School Grounds

THURSDAY, June 17 (HealthDay News) -- The improvement of liability protection could open public school facilities for recreational activity to the benefit of the larger community, according to a review published in the July issue of the American Journal of Preventive Medicine.

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Gene-Pesticide Interaction Supported in Parkinson's

THURSDAY, June 17 (HealthDay News) -- Genetic polymorphisms associated with a decreased ability of the ABCB1 gene to clear xenobiotics from the brain increase the risk of Parkinson's disease (PD) in the presence of high cumulative organochlorine insecticide exposure, according to research published in the June issue of the Archives of Neurology.

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Psychological Variables Predict Disability From Back Pain

THURSDAY, June 17 (HealthDay News) -- Long-term disability from low back pain (LBP) may be prevented by targeting interventions to several psychological variables, according to research published in the June 1 issue of Spine.

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Functional Dyspepsia Tied to Higher Costs for Employees

THURSDAY, June 17 (HealthDay News) -- Individuals with functional dyspepsia are absent from work more often and incur higher direct and indirect medical costs than employees without the condition, according to research published in the June issue of Clinical Gastroenterology and Hepatology.

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Alzheimer's Risk May Be Decreased by Protective Diet

THURSDAY, June 17 (HealthDay News) -- A dietary pattern (DP) with higher intakes of fruits, vegetables, salad dressing, nuts, fish, and poultry, and lower intakes of items including red meat and high-fat dairy products may reduce the risk of Alzheimer's disease by almost 40 percent, according to research published in the June issue of the Archives of Neurology.

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Strict Diagnostic Criteria Define Late-Onset Hypogonadism

WEDNESDAY, June 16 (HealthDay News) -- Using a concise definition of late-onset hypogonadism which includes the presence of specific sexual symptoms as well as a strict laboratory testosterone level cut-point in older men can identify those men who truly need testosterone replacement therapy, according to research published online June 16 in the New England Journal of Medicine.

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CDC: 15.4 Percent of Americans Uninsured in 2009

WEDNESDAY, June 16 (HealthDay News) -- In 2009, 15.4 percent of Americans did not have health insurance, according to a report released June 16 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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More Older Adults Being Treated for Substance Abuse

WEDNESDAY, June 16 (HealthDay News) -- The proportion of Americans 50 years of age or older being treated for abuse of illicit substances substantially increased from 1992 to 2008, according to a study sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA).

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Consensus Statement Explores Diabetes-Cancer Link

WEDNESDAY, June 16 (HealthDay News) -- Having type 2 diabetes is associated with an increased risk of several types of cancer, and the increased risk may be due to shared risk factors, though more research is needed to definitively answer many ongoing questions, according to a consensus report released by the American Diabetes Association and the American Cancer Society and published online June 16 in CA: A Cancer Journal for Clinicians.

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Mediterranean Diet Linked to Better Cardiac Function

WEDNESDAY, June 16 (HealthDay News) -- The closer a person conforms to a Mediterranean diet, the greater the likelihood of higher heart rate variability (HRV), indicating better cardiac autonomic function and lower risk for coronary artery disease, according to a study published online June 15 in Circulation: Cardiovascular Quality and Outcomes.

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Obesity Has Negative Impacts on Sexual Health, Behavior

WEDNESDAY, June 16 (HealthDay News) -- Obesity has negative impacts on sexual health in both men and women, and young obese women are less likely to use contraceptive health care services and more likely to have unplanned pregnancies, according to a study published June 15 in BMJ.

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Computed Tomography Angiography May Be Avoidable

WEDNESDAY, June 16 (HealthDay News) -- The risk of a computed tomography (CT) angiogram being positive for pulmonary embolism (PE) is unlikely among patients who do not present with thromboembolic risk factors, suggesting that CT angiography is unnecessary in many patients, according to research published online June 15 in Radiology.

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Free Clinics Hold Meaningful Role in Nation's Safety Net

WEDNESDAY, June 16 (HealthDay News) -- Free clinics appear to be an important component of America's health care safety net, and primary care practices that serve sociodemographically vulnerable neighborhoods may be more likely than other practices to offer capabilities often associated with the medical home concept, according to research published in the June 14 issue of the Archives of Internal Medicine.

Abstract - Darnell
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Abstract - Friedberg
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MRSA Linked to Higher Mortality in Cystic Fibrosis

TUESDAY, June 15 (HealthDay News) -- Cystic fibrosis (CF) patients with methicillin-resistant Staphylococcus aureus (MRSA) infection have worse survival rates than CF patients without the infection, according to a study in the June 16 issue of the Journal of the American Medical Association.

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Vitamin B6, Methionine Linked to Lower Lung Cancer Risk

TUESDAY, June 15 (HealthDay News) -- Vitamin B6 and methionine levels are associated with lower risk of lung cancer, and factors associated with the decision to not undergo surgery for newly diagnosed lung cancer include black race and negative perceptions of doctor-patient communication and prognosis, according to two studies published in the June 16 issue of the Journal of the American Medical Association.

Abstract - Johansson
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Abstract - Cykert
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Substituting Brown for White Rice Reduces Diabetes Risk

TUESDAY, June 15 (HealthDay News) -- Substituting brown rice, or other whole grains, for white rice in a person's diet can lower their risk for type 2 diabetes, according to research published in the June 14 issue of the Archives of Internal Medicine.

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Tranexamic Acid Reduces Mortality in Trauma Patients

TUESDAY, June 15 (HealthDay News) -- Tranexamic acid may be an effective option for reducing bleeding and mortality among trauma patients, without increasing the risk of serious complications such as myocardial infarction, stroke, or pulmonary embolism, according to a study published online June 15 in The Lancet.

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Scant Evidence Links Any Factor to Alzheimer's Prevention

TUESDAY, June 15 (HealthDay News) -- There is scant evidence that any one factor -- such as exercising or following a Mediterranean diet -- is protective of cognitive decline, including Alzheimer's disease (AD), in older adults, according to a review presented at a National Institutes of Health State-of-the-Science Conference and a subsequent conference statement, both published online June 14 in the Annals of Internal Medicine.

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HIV Nucleic Acid Testing With Automated Reporting Beneficial

TUESDAY, June 15 (HealthDay News) -- Adding nucleic acid testing (NAT) that includes automated result reporting systems to routine HIV testing programs can increase the early detection of infected individuals, particularly in settings that serve men who have sex with men (MSM), according to a study in the June 15 issue of the Annals of Internal Medicine.

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HDL Cholesterol Inversely Associated With Cancer Risk

TUESDAY, June 15 (HealthDay News) -- Levels of high-density lipoprotein cholesterol (HDL-C) and incident cancer risk are significantly inversely associated, and this relationship is independent of factors such as low-density lipoprotein cholesterol (LDL-C), age, and smoking, according to research published in the June 22 issue of the Journal of the American College of Cardiology.

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HbA1c Levels Found Higher in Blacks Than Whites

TUESDAY, June 15 (HealthDay News) -- Black individuals have higher hemoglobin A1c levels than whites across the spectrum from normal glucose tolerance to diabetes, and as glucose intolerance worsens, the differences become greater, according to research published in the June 15 issue of the Annals of Internal Medicine.

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Treatments Found Effective for Chronic Hepatitis E Infection

TUESDAY, June 15 (HealthDay News) -- Ribavirin and pegylated interferon-α may be effective in treating chronic hepatitis E virus (HEV) infection, according to two reports published online June 14 in the Annals of Internal Medicine.

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Mental Activity May Protect Brain in Multiple Sclerosis

MONDAY, June 14 (HealthDay News) -- Higher levels of intellectual enrichment may negate the negative impact of brain atrophy in people with multiple sclerosis (MS), according to research published in the June 15 issue of Neurology.

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Costs Thwart Continued Care for Many Cancer Patients

MONDAY, June 14 (HealthDay News) -- Many cancer survivors delay or forgo medical care due to cost, and cancer survivors under 65 are more likely to put off or forgo care than those without a history of cancer, according to research published online June 14 in Cancer.

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After Vasectomy, One Sample May Be Enough for Clearance

MONDAY, June 14 (HealthDay News) -- Providing clearance to vasectomy patients who have provided just one semen sample containing less than 100,000 immotile sperm/mL at least three months after the procedure is safe and greatly reduces the number of men who cannot be cleared, according to a study in the June issue of BJU International, the journal of the British Association of Urological Surgeons.

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Modifiable Factors Tied to Mortality Hike in Rectal Cancer

MONDAY, June 14 (HealthDay News) -- Disparities in cancer stage and treatment account for most of the excess mortality in rectal cancer patients who are uninsured or on Medicaid, compared with privately insured patients, according to research published online June 14 in Cancer.

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ARBs Linked to Modestly Higher Risk of Cancer Diagnosis

MONDAY, June 14 (HealthDay News) -- Angiotensin-receptor blockers (ARBs) appear to be associated with a modest increase in risk of a new cancer diagnosis, according to research published online June 14 in The Lancet Oncology.

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Less Education Linked to Higher Mortality in Diabetes

MONDAY, June 14 (HealthDay News) -- The mortality risk among adults with diabetes differs greatly by educational level, and although the relative disparities in this population are not as strong as those in adults without diabetes, their absolute impact is greater, according to a study in the June issue of Diabetes Care.

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Young Adults Focus on Health Behaviors Over Genetics

FRIDAY, June 11 (HealthDay News) -- Overall, young adults tend to favor health behaviors over genetics as the cause of common preventable diseases, but those with more behavioral risk factors were more likely to lean toward genetic explanations, according to research published online June 8 in the Annals of Behavioral Medicine.

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Metformin in Diabetes Linked to Lower Breast Cancer Risk

FRIDAY, June 11 (HealthDay News) -- In women with type 2 diabetes, long-term metformin use is associated with a lower risk of breast cancer, according to research published in the June issue of Diabetes Care.

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Private Insurance Linked to Lower Hospital Mortality

FRIDAY, June 11 (HealthDay News) -- Patients with private insurance who are hospitalized for acute myocardial infarction (AMI), stroke or pneumonia have significantly lower in-hospital mortality than patients who are uninsured or have Medicaid, according to research published online June 10 in the Journal of Hospital Medicine.

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Medical and PCI Long-Term Outcomes Similar in CAD

FRIDAY, June 11 (HealthDay News) -- Coronary artery disease (CAD) patients who are either medically treated or treated with percutaneous coronary intervention (PCI) including stenting have similar long-term outcomes for mortality and nonfatal myocardial infarction, but the PCI group experiences less angina, according to a study in the June 1 issue of the American Journal of Cardiology.

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Music Decreases Pain, Anxiety During Bone Marrow Biopsy

FRIDAY, June 11 (HealthDay News) -- Listening to music during bone marrow biopsy and aspiration can reduce both anxiety and pain intensity during the procedure, according to research published in the June issue of the AORN Journal.

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Aspirin Found Cost-Effective in Newly Diagnosed Diabetes

FRIDAY, June 11 (HealthDay News) -- In individuals age 40 and older who have been newly diagnosed with type 2 diabetes, regular aspirin use is a cost-effective strategy, according to a study in the June issue of Diabetes Care.

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Hospira Expands Propofol and Lipsoyn Recall

FRIDAY, June 11 (HealthDay News) -- Hospira has alerted health care providers that it is expanding its March 31 recall of Propofol Injectable Emulsion 1 percent and Liposyn (Intravenous Fat Emulsion) products that include Liposyn II 10 percent, Liposyn II 20 percent, Liposyn III 10 percent, Liposyn III 20 percent, and Liposyn III 30 percent, as some of the containers may contain sub-visible inert stainless steel particles.

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Suppressed Anger in CAD Linked to Adverse Cardiac Events

THURSDAY, June 10 (HealthDay News) -- In patients with coronary artery disease (CAD), suppressing anger is associated with a higher risk of adverse cardiac events, according to research published in the June 1 issue of the American Journal of Cardiology.

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Insulin Resistance With Normal BMI Linked to Mortality Risk

THURSDAY, June 10 (HealthDay News) -- In adults of normal weight without diabetes, insulin resistance -- as measured with the homeostasis model assessment for insulin resistance (HOMA-IR) -- is associated with all-cause mortality, according to research published in the June issue of Diabetes Care.

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Genetic Variants May Affect Vitamin D Concentrations

THURSDAY, June 10 (HealthDay News) -- Vitamin D status appears to be affected by variants near genes involved in cholesterol synthesis, hydroxylation and vitamin D transport, with genetic variations at these sites associated with an increased risk of vitamin D insufficiency, according to a study published online June 10 in The Lancet.

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FDA: Defibtech's DBP-2800 Battery Packs Recalled

THURSDAY, June 10 (HealthDay News) -- Defibtech has alerted customers of a voluntary recall of 5,418 DBP-2800 Battery Packs used in the Lifeline Automatic External Defibrillator (AED) and ReviveR AED, as these AEDs may incorrectly recognize an error condition during charging for a shock and discontinue the charge, not providing therapy when the defected battery packs are used.

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H1N1, Seasonal Flu Have Similar Attack Rates

THURSDAY, June 10 (HealthDay News) -- The pandemic 2009 H1N1 influenza virus had transmissibility and clinical features similar to those of seasonal influenza A viruses, and the use of oseltamivir ring chemoprophylaxis -- along with quick identification and isolation of affected individuals -- effectively reduced the impact of 2009 H1N1 outbreaks in semiclosed settings, according to two studies published in the June 10 issue of the New England Journal of Medicine.

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Rate of Myocardial Infarction, 30-Day Mortality Decreasing

THURSDAY, June 10 (HealthDay News) -- The incidence of acute myocardial infarction (MI) has steadily decreased since 2000, and 30-day mortality has significantly decreased over the same time period, according to research published in the June 10 issue of the New England Journal of Medicine.

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Lack of Angina a Predictor for Mortality in CAD Patients

WEDNESDAY, June 9 (HealthDay News) -- In coronary artery disease (CAD) patients who undergo elective percutaneous intervention (PCI), mortality one year later is higher for those who don't have angina than for those who do have the symptom, according to a study in the June 1 issue of the American Journal of Cardiology.

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Short Stature Associated With Higher Heart Disease Risk

WEDNESDAY, June 9 (HealthDay News) -- Being short is associated with a higher risk of coronary heart disease morbidity and mortality than being tall, according to a systematic review and meta-analysis published online June 8 in the European Heart Journal.

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Abdominal Aortic Aneurysm Not Uncommon in CABG Patients

WEDNESDAY, June 9 (HealthDay News) -- Among patients who have undergone coronary artery bypass grafting (CABG), abdominal aortic aneurysms (AAAs) are particularly common in men with a history of smoking and other vascular problems, including peripheral arterial disease (PAD), according to research published in the June 1 issue of the American Journal of Cardiology.

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B Vitamins Show No Benefit in Slowing CAD Progression

WEDNESDAY, June 9 (HealthDay News) -- In patients with coronary artery disease (CAD) who have undergone percutaneous coronary intervention (PCI), subsequent therapy with folic acid/vitamin B12 lowers levels of total plasma homocysteine (tHcy) but does not have a beneficial effect on disease progression, according to a study in the June 1 issue of the American Journal of Cardiology.

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Health Care Facilities See Rise in Violent Crimes

WEDNESDAY, June 9 (HealthDay News) -- The incidence of violent crimes, including rape, assault and murder, is climbing at health care facilities, according to a Sentinel Event Alert released June 3 by the Joint Commission.

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Fitness Trends Predictive of Diabetes Development

WEDNESDAY, June 9 (HealthDay News) -- People who increase their cardiorespiratory fitness level over time are less likely to develop type 2 diabetes than those who lose fitness, according to research published in the June issue of Diabetes Care.

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NSAID Cardio Risk for Healthy People Varies by Drug

WEDNESDAY, June 9 (HealthDay News) -- Use of the nonsteroidal anti-inflammatory drugs (NSAIDs) diclofenac and rofecoxib by healthy people is associated with an increased risk of cardiovascular death, but naproxen appears to have a safer cardiovascular risk profile, according to a study published online June 8 in Circulation: Cardiovascular Quality and Outcomes.

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Alcohol Dependence Treatment Tied to Social Cost Savings

WEDNESDAY, June 9 (HealthDay News) -- Treatment for alcohol dependence may result in reduced median social costs associated with arrests, vehicle accidents and health care, according to a study in the May issue of Medical Care.

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Hand Hygiene Practices Low Among Health Care Providers

WEDNESDAY, June 9 (HealthDay News) -- Nurses and other health care providers are often noncompliant with hand hygiene guidelines before and after procedures, though compliance is higher with high-risk procedures and when health care providers are exposed to blood, according to a study in the May issue of Applied Nursing Research.

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Long-Term Acute Care Hospital Utilization Increasing

TUESDAY, June 8 (HealthDay News) -- Hospitalizing patients in long-term acute care hospitals after critical illness is an expensive but increasingly utilized option, according to research published in the June 9 issue of the Journal of the American Medical Association.

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Stress Reduction Aids Survival in Recurrent Breast Cancer

TUESDAY, June 8 (HealthDay News) -- Patients with recurrent breast cancer who had psychological intervention for stress reduction during their initial disease deal better with the stress of disease recurrence and even improve their odds for survival over the long term, according to a study published online June 8 in Clinical Cancer Research.

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New Primary Care Model Tested in Demonstration Project

TUESDAY, June 8 (HealthDay News) -- The patient-centered medical home (PCMH) concept, a team-based, integrated approach to patient care, can be implemented currently by motivated primary care practices, but health system and payment reforms are needed to implement it more smoothly, according to a series of reports in a supplement to the May/June issue of the Annals of Family Medicine.

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One-Third of Veterans May Experience PTSD, Depression

TUESDAY, June 8 (HealthDay News) -- Up to a third of veterans returning from combat may experience depression or posttraumatic stress disorder (PTSD), often along with alcohol misuse or aggressive behavior comorbidity, and the risk of developing dementia is nearly twice as high in veterans with PTSD as in those without, according to the results of two studies published in the June issue of the Archives of General Psychiatry.

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Fatal Medication Errors Rise in July at Teaching Hospitals

TUESDAY, June 8 (HealthDay News) -- In July there is a significant increase in fatal medication errors at medical institutions, and this spike is at least partly due to the arrival of new medical residents, according to a study published online May 29 in the Journal of General Internal Medicine.

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Effect of UV Exposure on Vitamin D Levels Quantified

TUESDAY, June 8 (HealthDay News) -- Although it may be possible to achieve equivalent doses of vitamin D supplementation with natural sun exposure and oral supplementation, intentional sun exposure may result in serious adverse effects, and oral supplementation is the safest method for increasing vitamin D status, according to a study published in the June issue of the Journal of the American Academy of Dermatology.

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Non-Emergency ER Admissions Have Different Needs

TUESDAY, June 8 (HealthDay News) -- Non-emergency patients admitted to hospitals through the emergency department (EDNEs) need specific health care services, including improved access, fast tracking, and continuity of care, according to research published in the May issue of the Journal of Emergency Nursing.

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Several Factors Tied to Higher Depression Risk in Internship

TUESDAY, June 8 (HealthDay News) -- Several individual, internship and genetic factors are associated with the marked increase in depressive symptoms experienced by medical interns, according to research published in the June issue of the Archives of General Psychiatry.

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Risk Factors Up Odds of Plaque Progression Despite Low LDL

TUESDAY, June 8 (HealthDay News) -- Several independent risk factors, including baseline percent atheroma volume (PAV) and the presence of diabetes, are associated with the likelihood of continued progression of disease in individuals who have achieved very low levels of low-density lipoprotein cholesterol (LDL-C), according to research published in the June 15 issue of the Journal of the American College of Cardiology.

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Gout Drug Effective and Safe in Chronic Stable Angina

TUESDAY, June 8 (HealthDay News) -- Allopurinol, a standard treatment for gout, appears to be effective and safe in prolonging exercise capacity in patients with chronic stable angina, according to a study published online June 8 in The Lancet.

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Many Adults With Pediatric Disorders Use Pediatric ERs

TUESDAY, June 8 (HealthDay News) -- Many adult patients with chronic pediatric disorders, known as transition patients, use pediatric emergency departments -- often for complaints unrelated to their pediatric disorders -- and these patients have high rates of intensive care unit and hospital admissions, according to a study in the June issue of the Archives of Pediatrics & Adolescent Medicine.

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Many Hospital Patients Readmitted Within Two Years

MONDAY, June 7 (HealthDay News) -- Approximately 25 percent of hospital patients were readmitted to the hospital within a two-year period for the same conditions that prompted their initial admission, according to a recent report from the Agency for Healthcare Research and Quality (AHRQ).

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Smoking Cessation Approach Reduces Surgery Complications

MONDAY, June 7 (HealthDay News) -- Initiating a smoking cessation intervention program after acute fracture surgery and carrying it out for six weeks may reduce the risk of post-surgical complications, according to a study in the June 1 issue of the Journal of Bone & Joint Surgery.

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Antibiotic Not Found to Reduce Breakthrough Bleeding

FRIDAY, June 4 (HealthDay News) -- Treatment with doxycycline does not appear to decrease unscheduled bleeding associated with the initiation of continuous oral contraceptive pills, according to research published in the June issue of Obstetrics & Gynecology.

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Low-Dose Estrogen Patch Linked to Lower Risk of Stroke

FRIDAY, June 4 (HealthDay News) -- Postmenopausal women who use low-dose estrogen transdermal patches have a lower risk of stroke compared to users of either high-dose estrogen patches or oral hormone replacement therapy (HRT), according to research published June 3 in BMJ.

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Non-Married at Greater Risk of Hospitalization for Sepsis

FRIDAY, June 4 (HealthDay News) -- Single, separated, and widowed adults have a higher risk of hospitalization for sepsis than do their married peers, and some face higher mortality rates as well, according to research published in the June issue of Chest.

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Smoking History, Not Symptoms, Predictive of COPD

FRIDAY, June 4 (HealthDay News) -- Even though about half of all cases of chronic obstructive pulmonary disease (COPD) are undiagnosed, selecting symptomatic people for spirometric screening adds little to the strategy of screening older smokers, according to research published in the June issue of Chest.

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WHO Maintains Pandemic H1N1 Influenza Alert

FRIDAY, June 4 (HealthDay News) -- The World Health Organization has decided to maintain an H1N1 flu pandemic alert based on the recommendation of 15 international influenza experts, as new cases of H1N1 are expected in the short-term during the flu season in the southern hemisphere.

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Many on Bisphosphonates Lack Information About the Drugs

FRIDAY, June 4 (HealthDay News) -- Many individuals taking bisphosphonates are unfamiliar with potential adverse events associated with treatment and with the duration of treatment, according to a study in the May 1 issue of the Journal of the American Dental Association.

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Low HDL Predicts Development of Abdominal Aortic Aneurysm

FRIDAY, June 4 (HealthDay News) -- There appears to be a consistent association between low levels of high-density lipoprotein (HDL) and the presence of abdominal aortic aneurysms (AAAs) in men aged 65 years or older, according to research published in the May 15 issue of the American Journal of Cardiology.

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LDL Increase on Omega-3 Plus Simvastatin Only in Subgroup

FRIDAY, June 4 (HealthDay News) -- The increase in low-density lipoprotein (LDL) cholesterol that occurs with the addition of omega-3 treatment to simvastatin appears to happen mainly in those with low baseline LDL while on simvastatin alone, according to research published in the May 15 issue of the American Journal of Cardiology.

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Caregiving Stress May Impair Endothelial Function

THURSDAY, June 3 (HealthDay News) -- The stress of caring for a spouse with Alzheimer's disease may increase the risk of cardiovascular events due to impaired endothelial functioning, according to research published in the June 8 issue of the Journal of the American College of Cardiology.

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Asthma May Be More Severe in Obese Individuals

THURSDAY, June 3 (HealthDay News) -- Obese individuals with asthma are more likely to experience decreased lung function and additional comorbidities compared to their normal-weight counterparts, and they are also more likely to be misdiagnosed with asthma when making urgent visits for respiratory symptoms, according to a study in the June issue of Chest.

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Electronic Patient Records Reduce Time to Treatment

THURSDAY, June 3 (HealthDay News) -- Switching from paper notes to electronic patient records (EPR) may help clinics dramatically reduce the time between a positive test result and treatment for a sexually transmitted infection, according to research published online May 21 in Sexually Transmitted Infections.

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Early Heparin Beneficial in Pulmonary Embolism

THURSDAY, June 3 (HealthDay News) -- For patients with acute pulmonary embolism (PE), starting heparin early, while the patient is still in the emergency department, is associated with decreased mortality, according to research published in the June issue of Chest.

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Novel Breast Cancer Vaccine Successfully Tested in Mice

THURSDAY, June 3 (HealthDay News) -- Employing an antigen that is present in healthy women only during lactation, but is also found in most breast cancers, researchers have successfully tested a first-of-its-kind breast cancer vaccine in mice, according to a study published online May 30 in Nature Medicine.

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Combination Therapy Cuts Risk of Type 2 Diabetes Onset

THURSDAY, June 3 (HealthDay News) -- Low doses of rosiglitazone and metformin given in combination can substantially reduce the risk of progression to type 2 diabetes in people with impaired glucose tolerance who are at risk for the disease, according to a study published online June 3 in The Lancet.

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Stroke Patients Benefit From Early Lipid-Lowering Therapy

THURSDAY, June 3 (HealthDay News) -- Early initiation of lipid-lowering therapy (LLT) during hospitalization for ischemic stroke or transient ischemic attack correlates with improved clinical outcomes, according to research published in the May 15 issue of the American Journal of Cardiology.

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U.S. Cigarette Brands May Contain Higher Carcinogen Levels

WEDNESDAY, June 2 (HealthDay News) -- Smokers of certain U.S. cigarette brands take in higher levels of cancer-causing tobacco-specific nitrosamines (TSNAs) than smokers of some foreign cigarette brands tested in a study published online May 25 in Cancer Epidemiology Biomarkers & Prevention.

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Prolia Approved for Postmenopausal Women With Osteoporosis

WEDNESDAY, June 2 (HealthDay News) -- The injected drug Prolia (denosumab) has been approved by the U.S. Food and Drug Administration to treat postmenopausal women at high risk of bone fracture due to osteoporosis.

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Risk Score Predicts Bleeding in Acute Coronary Syndromes

WEDNESDAY, June 2 (HealthDay News) -- Researchers have developed and tested a practical risk score designed to predict the risk and implications of major bleeding in acute coronary syndromes (ACS), and have found it effective for identifying at-risk patients, according to research published in the June 8 issue of the Journal of the American College of Cardiology.

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Parkinson's Disease Drug Can Cause Corneal Damage

WEDNESDAY, June 2 (HealthDay News) -- Parkinson's disease patients taking the drug amantadine are at risk for damage to the corneal endothelium and resulting impaired vision, which can become more pronounced the longer the drug is used, according to research published in Ophthalmology.

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Exercise Offers Benefits After Low Back Rehabilitation

WEDNESDAY, June 2 (HealthDay News) -- Patients with chronic low back pain who participate in a post-rehabilitation exercise program enjoy benefits in trunk muscle endurance and level of disability compared to patients who receive usual care, according to a study in the May 20 issue of Spine.

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Physical Activity in Young Tied to Incident Hypertension

WEDNESDAY, June 2 (HealthDay News) -- Maintaining physical fitness and being physically active at a young age are each independently associated with a reduced risk of eventually developing hypertension, according to research published online June 1 in Hypertension.

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In Heart Failure, Discharges Earlier, Readmission Rates Up

TUESDAY, June 1 (HealthDay News) -- Patients admitted to hospitals for heart failure in 2006 fared better in-hospital than did those in 1993, but were discharged more often to nursing homes, and readmitted more frequently, according to research published in the June 2 issue of the Journal of the American Medical Association.

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Non-Dairy Calcium May Up Risk of Prostate Cancer

TUESDAY, June 1 (HealthDay News) -- Calcium intake, even from non-dairy sources and at relatively low levels, may put Chinese men, particularly those with a low body mass index, at increased risk of prostate cancer, according to research published online June 1 in Cancer Research.

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Cardiac Arrest, CPR Attempts Vary by Neighborhood

TUESDAY, June 1 (HealthDay News) -- Some neighborhoods consistently have more cardiac arrests than others and fewer bystanders who attempt to perform emergency cardiopulmonary resuscitation (CPR), according to research published online June 1 in the Annals of Internal Medicine.

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FDA: Claris IV Medications Recalled Due to Contamination

TUESDAY, June 1 (HealthDay News) -- The U.S. Food and Drug Administration has notified health care professionals not to use intravenous medications including metronidazole, ciprofloxacin and ondansetron manufactured by Claris Lifesciences, as the products may be contaminated.

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Heart Fatty Acid-Binding Protein Levels May Indicate ACS Risk

TUESDAY, June 1 (HealthDay News) -- Obtaining the concentration of heart fatty acid-binding protein (H-FABP) in patients with suspected acute coronary syndrome (ACS) may help physicians identify high-risk patients who are troponin-negative, according to research published in the June 8 issue of the Journal of the American College of Cardiology.

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