June 2014 Briefing - Internal Medicine

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

New Plan Would Permit Doctors to Treat Patients in Other States

MONDAY, June 30, 2014 (HealthDay News) -- A proposal to make it much easier for doctors licensed in one state to treat patients in other states in person, online, or by videoconference has been prepared by the Federation of State Medical Boards, which includes the agencies that license and discipline doctors.

Health Highlights: June 30, 2014

Supreme Court: Some Companies Don't Need to Cover Birth Control

MONDAY, June 30, 2014 (HealthDay News) -- Family-owned companies don't have to comply with a provision of the Affordable Care Act that requires them to offer insurance coverage for contraception if that requirement violates their religious principles, the U.S. Supreme Court ruled Monday.

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Nursing Home Care May Be Out of Reach for Many Aging 'Boomers'

MONDAY, June 30, 2014 (HealthDay News) -- A growing number of older Americans are developing chronic diseases but can't cover the costs of long-term care in a nursing facility, the U.S. National Institute on Aging (NIA)-funded report says.

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Complications Only Account for Some Variation in Hospital LOS

MONDAY, June 30, 2014 (HealthDay News) -- For patients undergoing colorectal resection, much of the variation in extended length of stay is not due to patient illness or complications, according to a study published online June 25 in JAMA Surgery.

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Kidney Disease Risk Factors Present for Decades

MONDAY, June 30, 2014 (HealthDay News) -- Risk factors for chronic kidney disease (CKD) can be detected 20 to 30 years before diagnosis, according to a study published online June 26 in the Journal of the American Society of Nephrology.

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Opportunity for Reduced Antibiotic Use in Acne Treatment

MONDAY, June 30, 2014 (HealthDay News) -- Duration of antibiotic use for acne appears to be decreasing; however, nearly one-fifth of courses exceed six months, according to a study published in the July issue of the Journal of the American Academy of Dermatology.

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Noroviruses Causes One-Fifth of Worldwide Gastroenteritis

MONDAY, June 30, 2014 (HealthDay News) -- Worldwide, across all age groups, noroviruses are responsible for almost one-fifth of acute gastroenteritis cases, according to a study published online June 27 in The Lancet Infectious Diseases.

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Salmonella-Induced Gastroenteritis Ups Risk of IBS

MONDAY, June 30, 2014 (HealthDay News) -- Salmonella-induced gastroenteritis during childhood is associated with increased risk of irritable bowel syndrome (IBS), according to a study published in the July issue of Gastroenterology.

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Safety, Documentation Issues Common Clinical Trial Concerns

MONDAY, June 30, 2014 (HealthDay News) -- Failure to protect patient safety and poor record keeping were among the most common violations picked up by the U.S. Food and Drug Administration in the running of clinical trials over a period of seven years, according to a study published online June 25 in the Journal of Medical Ethics.

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UnitedHealth Cutting More Docs From Medicare Advantage

FRIDAY, June 27, 2014 (HealthDay News) -- UnitedHealth Group's Medicare Advantage network has begun notifying physicians of a new wave of cuts to its network, according to an article published June 17 in Medical Economics.

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Court: Patients Responsible for Outcomes of Risky Behavior

FRIDAY, June 27, 2014 (HealthDay News) -- The Colorado Supreme Court has ruled that patients can be at least partially responsible for their health outcomes resulting from their own unhealthy behavior, according to the American Medical Association (AMA), which supported the physicians in the case.

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FDA Approves First 'Exoskeleton' to Help Paralyzed Walk

FRIDAY, June 27, 2014 (HealthDay News) -- An "exoskeleton" motorized device that uses leg braces, motion sensors, motorized joints, a computer, and a wireless remote control to help paralyzed people stand, sit, and walk has been approved for home use by the U.S. Food and Drug Administration.

Health Highlights: June 27, 2014
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Gluten-Free Diet May Lift the 'Fog' of Celiac Patients

FRIDAY, June 27, 2014 (HealthDay News) -- The "brain fog" experienced by many celiac disease patients seems to improve as their intestines heal after adopting a gluten-free diet, a small new study suggests. The study appears in the July issue of the journal Alimentary Pharmacology and Therapeutics.

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NYC Can't Ban Large Sugary Drinks: Appeals Court

FRIDAY, June 27, 2014 (HealthDay News) -- New York City's attempt to have its ban on large sodas and other sugary drinks reinstated was denied Thursday by the state's Court of Appeals.

Health Highlights: June 26, 2014

Television Viewing Time Linked to All-Cause Mortality

FRIDAY, June 27, 2014 (HealthDay News) -- Television viewing, but not computer or driving time, is associated with all-cause mortality, according to a study published online June 25 in the Journal of the American Heart Association.

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Regular Aspirin Use Linked to Drop in Pancreatic Cancer Risk

FRIDAY, June 27, 2014 (HealthDay News) -- Regular aspirin use may be associated with a reduction in the risk of pancreatic cancer, according to a study published online June 26 in Cancer Epidemiology, Biomarkers & Prevention.

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Cancer Screening Discussions Lack Shared Decision-Making

FRIDAY, June 27, 2014 (HealthDay News) -- The majority of patients report that shared decision-making (SDM) is lacking when it comes to cancer screening decisions, according to a study published online June 8 in the American Journal of Preventive Medicine.

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Lithium May Protect Against Cartilage Decline in Osteoarthritis

FRIDAY, June 27, 2014 (HealthDay News) -- Lithium reduces catabolic events in interleukin-1 β (IL-1β)-treated human articular chondrocytes and protects against cartilage degradation in IL-1β-treated mouse knee joints, according to a study published in the May issue of Arthritis & Rheumatology.

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FDA: Acne Products Can Trigger Severe Allergic Reactions

THURSDAY, June 26, 2014 (HealthDay News) -- Some popular over-the-counter acne treatments can cause severe irritation or even potentially life-threatening allergic reactions, the U.S. Food and Drug Administration said Wednesday. These topical products contain the active ingredients benzoyl peroxide or salicylic acid and are marketed under brand names such as Proactiv, Neutrogena, MaxClarity, Oxy, Ambi, Aveeno, and Clean & Clear, the FDA said.

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CDC: One in 10 Deaths Due to Excessive Drinking

THURSDAY, June 26, 2014 (HealthDay News) -- Nearly one in 10 deaths among working-age adults in the United States are attributable to excessive drinking, according to a study published online June 26 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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PCP Follow-Up Cuts Readmission After High-Risk Surgery

THURSDAY, June 26, 2014 (HealthDay News) -- For surgical patients at high risk of readmission, especially those with surgical complications, early primary care provider (PCP) follow-up reduces the rate of readmission, according to a study published online June 25 in JAMA Surgery.

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Tips Offered for Improving Practice Productivity

THURSDAY, June 26, 2014 (HealthDay News) -- Four steps can be utilized to improve practice productivity, according to an article published June 24 in Medical Economics.

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Unique Sexual Health Risks for Bisexual Men

THURSDAY, June 26, 2014 (HealthDay News) -- Men who have sex with men and women (MSMW) have unique vulnerability to HIV and sexually transmitted infections (STIs) and other sexual health problems, according to a review published online June 22 in American Journal of Preventive Medicine.

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Platelet-Rich Plasma Injections Don't Aid Muscular Injuries

THURSDAY, June 26, 2014 (HealthDay News) -- Intramuscular platelet-rich plasma (PRP) injections do not provide clinical benefit for acute hamstring injuries, according to a correspondence piece published June 26 in the New England Journal of Medicine.

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Wikipedia Drug Entries Often Not Up-to-Date

THURSDAY, June 26, 2014 (HealthDay News) -- Patients frequently turn to digital media for drug information; however, many Wikipedia entries about medications aren't up-to-date and accurate, according to a perspective piece published in the June 26 issue of the New England Journal of Medicine.

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Soy, Isoflavone Intake Has No Effect on Endometrial Cancer Risk

THURSDAY, June 26, 2014 (HealthDay News) -- There is no association between soy intake and endometrial cancer risk, according to a study published online June 18 in BJOG: An International Journal of Obstetrics & Gynaecology.

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Survival Up After Progression in HPV-Positive Oropharynx CA

THURSDAY, June 26, 2014 (HealthDay News) -- For patients with oropharynx cancer (OPC), human papillomavirus (HPV) positivity is associated with improved survival after disease progression, according to a study published online June 23 in the Journal of Clinical Oncology.

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30-Day ECG Monitoring Ups A-Fib Detection After Stroke

THURSDAY, June 26, 2014 (HealthDay News) -- For patients with ischemic stroke or transient ischemic attack, electrocardiogram (ECG) monitoring with a 30-day event-triggered recorder improves detection of atrial fibrillation, according to a study published June 26 in the New England Journal of Medicine.

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Higher Plasma Vitamin D May Cut Hypertension Risk

THURSDAY, June 26, 2014 (HealthDay News) -- People who have genetic variants tied to low production of 25-hydroxyvitamin D (25[OH]D) have an increased risk of hypertension, according to a study published online June 26 in The Lancet Diabetes & Endocrinology.

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FDA Presents Guidance on Use of Nanotechnology in Industry

THURSDAY, June 26, 2014 (HealthDay News) -- The U.S. Food and Drug Administration has released three final guidance documents and one draft guidance document in an effort to provide greater regulatory clarity for industry on the use of nanotechnology.

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CDC: Over Half of Seniors Plagued by Incontinence

WEDNESDAY, June 25, 2014 (HealthDay News) -- More than 50 percent of older Americans struggle with incontinence, a new government report released Wednesday shows. The National Center for Health Statistics report was published in the June edition of the CDC's Vital and Health Statistics.

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Survey Reveals 1 in 10 U.S. Beaches Fails Bacteria Test

WEDNESDAY, June 25, 2014 (HealthDay News) -- Ten percent of water samples taken from U.S. coastal and lake beaches fail to meet safety standards set by the U.S. Environmental Protection Agency, a new report finds.

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States Opening Registries to Ease Backlog of Veterans' Care Cases

WEDNESDAY, June 25, 2014 (HealthDay News) -- Physicians in several states are acting to ease the access-to-care crisis recently exposed in the U.S. Department of Veterans Affairs (VA) health care system, according to the American Medical Association (AMA).

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Slight Risk of Congenital Defects Tied to Parents' Celiac

WEDNESDAY, June 25, 2014 (HealthDay News) -- There is a slight increased risk for congenital malformation among the offspring of mothers or fathers with celiac disease, according to a study published in the July issue of Clinical Gastroenterology and Hepatology.

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Stem Cells May Offer Survival Benefit for Systemic Sclerosis

WEDNESDAY, June 25, 2014 (HealthDay News) -- Autologous hematopoietic stem cell transplantation (HSCT) may offer a significant long-term event-free survival benefit for patients with systemic sclerosis, but with more treatment-related mortality in the first year post-treatment, according to a study published June 25 in the Journal of the American Medical Association.

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Postdiagnosis Calcium Intake Inversely Linked to Death in CRC

WEDNESDAY, June 25, 2014 (HealthDay News) -- For patients with colorectal cancer, postdiagnosis total calcium intake may be inversely associated with the risk of death, according to a study published online June 23 in the Journal of Clinical Oncology.

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Active Surveillance Underused for Low-Risk Prostate Cancer

WEDNESDAY, June 25, 2014 (HealthDay News) -- Although most prostate cancer specialists believe active surveillance to be effective and underused, fewer endorse active surveillance than other therapies for low-risk prostate cancer, according to a study published in the July issue of Medical Care.

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Adults With Asperger Syndrome May Have Higher Suicide Risk

WEDNESDAY, June 25, 2014 (HealthDay News) -- Adults with Asperger syndrome are much more likely to think about and attempt suicide than those in the general population, according to a study published online June 25 in The Lancet Psychiatry.

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MERS-Related Abnormality Distribution ID'd on CT

WEDNESDAY, June 25, 2014 (HealthDay News) -- Airspace opacities are commonly seen in CT images of patients hospitalized with Middle East respiratory syndrome coronavirus (MERS-CoV) infection, according to a clinical perspective published online June 18 in the American Journal of Roentgenology.

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Tomosynthesis Added to Digital Mammography Cuts Recalls

WEDNESDAY, June 25, 2014 (HealthDay News) -- Compared with digital mammography alone, the combination of digital mammography and tomosynthesis increases cancer detection and reduces false-positive results, according to research published in the June 25 issue of the Journal of the American Medical Association.

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Glucagon, GLP-1 Co-Infusion Can Reduce Appetite

WEDNESDAY, June 25, 2014 (HealthDay News) -- Co-infusion of glucagon and glucagon-like peptide 1 (GLP-1) correlates with a reduction in appetite, and GLP-1 protects against glucagon-induced hyperglycemia in healthy volunteers, according to a study published online June 17 in Diabetes.

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Best Spinal Manipulation Result in LBP May Come From 12 Sessions

TUESDAY, June 24, 2014 (HealthDay News) -- For patients with chronic low back pain (cLBP), 12 sessions of spinal manipulation was found to result in modestly improved outcomes compared to light massage, but such improvements may not be clinically significant, according to a study published in the July issue of The Spine Journal.

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CDC Readies Latest Graphic Anti-Smoking Ads

TUESDAY, June 24, 2014 (HealthDay News) -- A new series of ads featuring former smokers whose lives have been harmed by tobacco is set to be released, U.S. health officials said Tuesday.

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Shortage Seen for Adult Endocrinologists

TUESDAY, June 24, 2014 (HealthDay News) -- There is a shortage of adult endocrinologists that will continue to grow with increasing patient demand, according to a study published online June 18 in The Journal of Clinical Endocrinology & Metabolism.

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Medicaid Backlog May Have Financial Ramifications

TUESDAY, June 24, 2014 (HealthDay News) -- There is a considerable backlog in Medicaid enrollment applications, which may have financial ramifications on physicians and practices, according to an article published online June 10 in Medical Economics.

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USPSTF Says Evidence Doesn't Support Vitamin D Screening

TUESDAY, June 24, 2014 (HealthDay News) -- Current evidence is insufficient to weigh the benefits and harms of screening for vitamin D deficiency to improve health outcomes in asymptomatic adults, according to a draft evidence report from the U.S. Preventative Service Task Force.

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Overweight, Obese More Likely to Adhere to Statin Therapy

TUESDAY, June 24, 2014 (HealthDay News) -- Among patients with cardiovascular comorbidities, lifestyle factors predict nonadherence to statin therapy, according to research published online June 23 in the Canadian Medical Association Journal.

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'Financial Toxicity' Tool Developed for Cancer Patients

TUESDAY, June 24, 2014 (HealthDay News) -- A four-step process has been used to develop a patient-reported outcome measure of financial toxicity for cancer patients, according to a study published online June 20 in Cancer.

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Quitting Smokeless Tobacco Cuts Mortality Risk After Heart Attack

TUESDAY, June 24, 2014 (HealthDay News) -- Discontinuation of use of a moist smokeless tobacco product, snus (Swedish form of snuff), after myocardial infarction (MI) is associated with a reduced risk of mortality, according to a study published online June 23 in Circulation.

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Strategies Presented to Avoid Overzealous Lung CA Screening

TUESDAY, June 24, 2014 (HealthDay News) -- The benefits and harms of low-dose computed tomography (LDCT) screening for lung cancer should be carefully considered before Medicare decides on its coverage policy, according to an editorial published online June 24 in the Annals of Internal Medicine.

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USPSTF Recommends One-Time AAA Screening for Male Smokers

TUESDAY, June 24, 2014 (HealthDay News) -- The United States Preventive Services Task Force (USPSTF) has concluded that a one-time abdominal aortic aneurysm (AAA) screening should be offered to asymptomatic men, aged 65 to 75 years, who have ever smoked, while screening for non-smoking men should be selective. These findings are presented in a final recommendation statement published online June 24 in the Annals of Internal Medicine.

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Pre-Op Genetic Testing Impacts Surgical Choice in Breast Cancer

MONDAY, June 23, 2014 (HealthDay News) -- For women with breast cancer, preoperative genetic testing affects surgical decision making, according to a study published online June 5 in Gynecologic Oncology.

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CMS Launches Initiative to Assist Newly Insured

MONDAY, June 23, 2014 (HealthDay News) -- A national initiative has been launched to help answer questions that people may have about their new health coverage and to offer health providers the tools needed to promote patient engagement, according to a press release from the Centers for Medicare and Medicaid Services (CMS).

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Patients' Perceived Lifetime Risk for CVD Often Inaccurate

MONDAY, June 23, 2014 (HealthDay News) -- Patients' frequently have a misperception of lifetime risk for cardiovascular disease (CVD), according to a study published in the July issue of The American Journal of Cardiology.

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Sivextro Approved for Adult Acute Bacterial Skin Infections

MONDAY, June 23, 2014 (HealthDay News) -- The antibiotic Sivextro (tedizolid phosphate) has been approved by the U.S. Food and Drug Administration to treat adults with serious-to-severe skin and skin structure infections.

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IOM: Too Little Known About PTSD Treatments for Veterans

MONDAY, June 23, 2014 (HealthDay News) -- U.S. government agencies must do more to determine whether treatments are actually helping veterans suffering from post-traumatic stress disorder (PTSD), say experts involved in a new report from the Institute of Medicine (IOM).

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FDA: Bee Pollen Weight Loss Products Pose Health Risks

MONDAY, June 23, 2014 (HealthDay News) -- The undeclared ingredients sibutramine and/or phenolphthalein have been found in the following bee pollen weight loss products: Zi Xiu Tang, Ultimate Formula, Fat Zero, Bella Vi Amp'd Up, Insane Amp'd Up, Slim Trim U, Infinity, Perfect Body Solution, Asset Extreme, Asset Extreme Plus, Asset Bold, and Asset Bee Pollen, according to the U.S. Food and Drug Administration.

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Variation in Use of Imaging Tests in Newly Diagnosed Heart Failure

MONDAY, June 23, 2014 (HealthDay News) -- Cardiovascular testing in patients with newly diagnosed heart failure (HF) varies among U.S. hospitals, according to research published online June 18 in the Journal of the American College of Cardiology: Cardiovascular Imaging.

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Effect of Screening Program on Breast Cancer Mortality Analyzed

MONDAY, June 23, 2014 (HealthDay News) -- Invitation to screening with modern mammography is associated with a 28 percent reduction in deaths from breast cancer, according to research published June 17 in BMJ.

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Racial Disparities Seen in Contraceptive Use

MONDAY, June 23, 2014 (HealthDay News) -- Racial disparities exist in contraceptive use, with more prominent disparities among younger women, according to a study published in the June issue of the American Journal of Obstetrics & Gynecology.

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Complex Electronic Record Safety Issues Surface Long After Launch

MONDAY, June 23, 2014 (HealthDay News) -- Electronic health record-related safety concerns involving both unsafe technology and unsafe use of technology persist long after "go-live," according to a study published online June 20 in the Journal of the American Medical Informatics Association.

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Patient Variables Predict Expectations in Spine Surgery

FRIDAY, June 20, 2014 (HealthDay News) -- Clinical and demographic variables can predict patients' expectations regarding anticipated improvement from cervical spine surgery, according to a study published June 15 in Spine.

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Racial Disparity Seen in Use of Sentinel Lymph Node Biopsy

FRIDAY, June 20, 2014 (HealthDay News) -- While sentinel lymph node biopsy (SLNB) use has increased in all patients with breast cancer, black women are consistently less likely than white women to have SLNB, according to a study published online June 18 in JAMA Surgery.

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Frequent Prior Hospitalization May Predict Stroke Readmission

FRIDAY, June 20, 2014 (HealthDay News) -- Frequent prior hospitalization and National Institutes of Health Stroke Scale (NIHSS) rating at admission may predict 30-day readmission after ischemic or hemorrhagic stroke, according to a study published online June 11 in the American Journal of Medical Quality.

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Shared Medical Appointments Can Improve Quality of Life Measures

FRIDAY, June 20, 2014 (HealthDay News) -- Shared medical appointments (SMAs) with a group of patients with the same disorder can improve aspects of quality of life (QOL) in patients with a chronic neuromuscular conditions, according to a study published online June 18 Neurology.

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Guidance Offered for Protection When Firing Employees

FRIDAY, June 20, 2014 (HealthDay News) -- Steps can be taken to protect employers in the case of termination of an employee, according to an article published online June 10 in Medical Economics.

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Pre-Load Stress Echo Benefits Heart Failure Prediction

FRIDAY, June 20, 2014 (HealthDay News) -- Pre-load stress echocardiography using leg-positive pressure (LPP) provides additional prognostic information beyond that provided by conventional Doppler echocardiography at rest in cases of mild heart failure, according to a study published online June 18 in JACC: Cardiovascular Imaging.

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Canola Oil-Enriched Low Glycemic Diet Beneficial in T2DM

FRIDAY, June 20, 2014 (HealthDay News) -- A low glycemic load (GL) diet including α-linolenic acid (ALA) and monounsaturated fatty acid (MUFA) can improve glycemic control for patients with type 2 diabetes, according to a study published online June 14 in Diabetes Care.

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Meta-Analysis Confirms Serum 25(OH)D, Mortality Link

FRIDAY, June 20, 2014 (HealthDay News) -- Serum 25-hydroxyvitamin (25[OH]D) levels are associated with all-cause and cardiovascular mortality, according to a meta-analysis published online June 17 in BMJ.

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Depression Ups Risk of Death in Women With Heart Disease

FRIDAY, June 20, 2014 (HealthDay News) -- Among younger women being evaluated for coronary artery disease (CAD), the presence of depressive symptoms is associated with increased risk of death, according to research published June 18 in the Journal of the American Heart Association.

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Phone Assist Helps Women With Breast Cancer Lose Weight

FRIDAY, June 20, 2014 (HealthDay News) -- Among postmenopausal women receiving letrozole as adjuvant therapy for breast cancer, a telephone-based weight loss intervention was effective in promoting weight loss, according to research published online June 16 in the Journal of Clinical Oncology.

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Antidepressant Use Doesn't Up Congenital Cardiac Defect Risk

FRIDAY, June 20, 2014 (HealthDay News) -- Selective serotonin-reuptake inhibitor (SSRI) and other antidepressant use in the first trimester is not associated with increased risk of congenital cardiac defects, according to a study published June 19 in the New England Journal of Medicine.

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CDC Lab Workers May Have Been Exposed to Anthrax

FRIDAY, June 20, 2014 (HealthDay News) -- As many as 75 staffers at the U.S. Centers for Disease Control and Prevention (CDC) may have been exposed to anthrax because safety procedures weren't followed properly, the agency said Thursday.

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Sharp Rise in 'Meth'-Linked ER Visits in U.S.

THURSDAY, June 19, 2014 (HealthDay News) -- The number of methamphetamine-related visits to U.S. hospital emergency departments jumped from about 68,000 in 2007 to almost 103,000 in 2011, the latest year for which such data is available, a new federal government report finds.

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Genetic Mutation May Lower Triglycerides, CVD Risk

THURSDAY, June 19, 2014 (HealthDay News) -- Mutations of the gene encoding apolipoprotein C3 (APOC3) appear to be associated with lower triglyceride levels and a lessened risk for ischemic cardiovascular disease, according to two articles published online June 18 in the New England Journal of Medicine.

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NCHS: Insurance Coverage Expands, Gaps Remain

THURSDAY, June 19, 2014 (HealthDay News) -- Two new U.S. government reports provide a statistical snapshot of health and health insurance coverage in 2013, before new coverage options took effect under the Affordable Care Act.

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Reminders Up Colorectal Screening Rates for Vulnerable

THURSDAY, June 19, 2014 (HealthDay News) -- Low-cost interventions relying upon mailings, text messages, and phone calls can increase adherence to colorectal cancer screening with fecal immunochemical tests (FIT) among vulnerable populations, according to a study published June 16 in JAMA Internal Medicine.

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Teen Suicide Attempts Up Post-Antidepressant Warnings

THURSDAY, June 19, 2014 (HealthDay News) -- Teen suicide attempts rose nearly 22 percent after the U.S. Food and Drug Administration (FDA) warned about dangers of antidepressants, a new study finds. The report was published June 18 in BMJ online.

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Docs Asked to Judge Patients' Competency to Carry Guns

THURSDAY, June 19, 2014 (HealthDay News) -- Some U.S. jurisdictions are now requiring a doctor's OK for people to carry a concealed gun, but a new survey suggests many doctors aren't comfortable with that role. The new survey is reported in the June 19 issue of the New England Journal of Medicine.

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Diet May Affect Risk Recurrence of Some Breast Cancers

THURSDAY, June 19, 2014 (HealthDay News) -- Personalized dietary recommendations based on molecular characteristics of primary tumor tissue may be an effective strategy for breast cancer survivors, according to research published in the July issue of Cancer Epidemiology Biomarkers & Prevention.

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TNF-α Antagonists Exposure Doesn't Up Cancer Risk in IBD

THURSDAY, June 19, 2014 (HealthDay News) -- For patients with inflammatory bowel disease (IBD), exposure to tumor necrosis factor (TNF)-α antagonists is not associated with an increased risk of developing cancer, according to a study published online June 17 in the Journal of the American Medical Association.

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Glycemic Response to Metformin Differs by Race-Ethnicity

THURSDAY, June 19, 2014 (HealthDay News) -- Race-ethnicity appears to influence the effect of metformin on glycemic control in patients with diabetes, according to research published online June 12 in the Journal of Clinical Endocrinology & Metabolism.

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Considerable Symptom Burden in Postural Tachycardia Syndrome

THURSDAY, June 19, 2014 (HealthDay News) -- Patients with postural tachycardia syndrome (PoTS) are mainly women, young, and well-educated, with considerable symptom burden, according to a study published online June 16 in BMJ Open.

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Anesthesiologists Issue Choosing Wisely Recommendations

THURSDAY, June 19, 2014 (HealthDay News) -- A list of the top five unnecessary medical services in anesthesiology has been developed as part of the Choosing Wisely campaign, according to a study published online June 16 in JAMA Internal Medicine.

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Screening Can Identify Early-Stage HCC But Benefits Unclear

THURSDAY, June 19, 2014 (HealthDay News) -- For patients with chronic liver disease, hepatocellular carcinoma (HCC) screening can identify patients at an earlier stage, but the benefits and harms of screening are unclear, according to a study published online June 16 in the Annals of Internal Medicine.

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Hospitalization Rates Vary With Breast Cancer Chemo Regimen

WEDNESDAY, June 18, 2014 (HealthDay News) -- For patients with early-stage breast cancer, hospitalization rates vary with different chemotherapy regimens, according to a study published online May 27 in the Journal of Clinical Oncology.

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Lower Blood Pressure Might Not Be Better Once HTN Managed

WEDNESDAY, June 18, 2014 (HealthDay News) -- Among patients with hypertension (HTN), elevated systolic blood pressure (SBP) is associated with the highest risk for cardiovascular events, although once SBP is below 140, lowering it below 120 does not further reduce the risk of cardiovascular events, according to a study published June 16 in JAMA Internal Medicine.

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Tofacitinib Beats Methotrexate for Rheumatoid Arthritis

WEDNESDAY, June 18, 2014 (HealthDay News) -- Tofacitinib is superior to methotrexate in treating rheumatoid arthritis, according to a study published June 18 in the New England Journal of Medicine.

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Preop β-Blockers Don't Improve CABG Outcomes

WEDNESDAY, June 18, 2014 (HealthDay News) -- Preoperative β-blockers do not improve perioperative outcomes in patients undergoing nonemergent coronary artery bypass grafting (CABG) surgery, according to a study published June 16 in JAMA Internal Medicine.

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Beta-Blocker Therapy Cuts All-Cause Mortality in STEMI

WEDNESDAY, June 18, 2014 (HealthDay News) -- For patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI), beta-blocker therapy at discharge correlates with reduced all-cause mortality, according to a study published in the June issue of JACC: Cardiovascular Interventions.

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Text Message Program Seems Effective for Smoking Cessation

WEDNESDAY, June 18, 2014 (HealthDay News) -- An automated, personalized, and interactive mobile health program, Text2Quit, seems to be effective for promoting smoking cessation, according to a study published online June 5 in the American Journal of Preventive Medicine.

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ACA May Mean Healthier Young Adults, Study Suggests

WEDNESDAY, June 18, 2014 (HealthDay News) -- A popular provision of the Affordable Care Act that allows young adults to stay on a parent's health insurance plan up to age 26 may be good for their health and financial security, a new study suggests. The study was published as a research letter in the June 18 issue of the Journal of the American Medical Association.

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Dr. Oz Rebuked at Senate Hearing Into Fake Diet Products

WEDNESDAY, June 18, 2014 (HealthDay News) -- Celebrity doctor Mehmet Oz was raked over the coals Tuesday at a U.S. Senate hearing into the marketing of fake diet products.

Health Highlights: June 17, 2014

Clinical Guidelines Issued for Drug-Induced Liver Injury

WEDNESDAY, June 18, 2014 (HealthDay News) -- Herbal and dietary supplements (HDS) account for an increasing proportion of idiosyncratic drug-induced liver injury (DILI), according to practice guidelines published online June 17 in the American Journal of Gastroenterology.

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FDA Considers Appetite-Curbing Implant for Severely Obese

TUESDAY, June 17, 2014 (HealthDay News) -- A new implant designed to curb the appetite by electrically stimulating intra-abdominal vagus nerve trunks is under review Tuesday by a key advisory committee of the U.S. Food and Drug Administration.

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MERS Virus Did Not Spread in Two U.S. Cases: Health Officials

TUESDAY, June 17, 2014 (HealthDay News) -- The potentially deadly MERS virus did not spread from two patients in the United States to any people in their homes or to health care workers who treated them, federal health officials said Tuesday.

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Tobacco Companies Introducing Electronic Cigarettes

TUESDAY, June 17, 2014 (HealthDay News) -- Big tobacco companies are jumping into the rapidly expanding and lucrative e-cigarette market.

Health Highlights: June 17, 2014

Thrombolytic Tx Cuts Mortality Rate With Pulmonary Embolism

TUESDAY, June 17, 2014 (HealthDay News) -- Among patients with pulmonary embolism, thrombolytic therapy is associated with lower rates of all-cause mortality but increased risks of major bleeding and intracranial hemorrhage (ICH) compared with anticoagulation therapy, according to research published in the June 18 issue of the Journal of the American Medical Association.

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FDA to Issue Salt Reduction Guidelines for Food Industry

TUESDAY, June 17, 2014 (HealthDay News) -- Voluntary guidelines to reduce the amount of salt in grocery and restaurant foods are being prepared for release by the U.S. Food and Drug Administration.

Health Highlights: June 17, 2014

Prolonged Sitting Ups Risk of Developing Certain Cancers

TUESDAY, June 17, 2014 (HealthDay News) -- Prolonged television (TV) viewing and other sedentary behaviors are associated with increased risks of some cancers, according to research published online June 16 in the Journal of the National Cancer Institute.

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Hospitalization Rate Up for Childhood Cancer Survivors

TUESDAY, June 17, 2014 (HealthDay News) -- Childhood cancer survivors have an elevated risk of hospitalization, according to a study published online June 12 in Cancer Epidemiology, Biomarkers & Prevention.

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Tips Offered for Finding Buyer for Medical Practice

TUESDAY, June 17, 2014 (HealthDay News) -- Suggestions are provided for finding a buyer for a medical practice in an article published online June 10 in Medical Economics.

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Annual MRI, Mammo Effective for Screening High-Risk Women

TUESDAY, June 17, 2014 (HealthDay News) -- Initial results indicate that annual magnetic resonance imaging (MRI) and digital mammography can form an effective screening program for women at high risk of breast cancer, according to research published online June 16 in the Journal of Clinical Oncology.

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Guidelines Issued for Stroke Prevention in Women

TUESDAY, June 17, 2014 (HealthDay News) -- New guidelines have been released that highlight unique stroke risk factors for women and address prevention strategies, according to a synopsis article published in the June 17 issue of the Annals of Internal Medicine.

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Recombinant Glutenase Cuts Gluten-Induced Mucosal Injury

TUESDAY, June 17, 2014 (HealthDay News) -- A mixture of two recombinant gluten-specific proteases, ALV003, given orally can reduce gluten-induced small intestinal mucosal injury in patients with celiac disease, according to a study published in the June issue of Gastroenterology.

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Physician Leadership, Ownership Dominates ACOs

MONDAY, June 16, 2014 (HealthDay News) -- Physicians are playing strong leadership and ownership roles in accountable care organizations (ACOs), according to research published in the June issue of Health Affairs.

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U.S. Health Care System Ranked Last Again: Report

MONDAY, June 16, 2014 (HealthDay News) -- The United States' health system once again comes in last when compared to 10 other rich nations, according to the latest Commonwealth Fund report on the issue.

Health Highlights: June 16, 2014
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Clinicians Often Fail to Empathize After Adverse Event

MONDAY, June 16, 2014 (HealthDay News) -- The health care industry is recognizing the benefits of prompt and transparent physician communication with patients and families about bad outcomes, according to an article published June 10 in Medical Economics.

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Depressive Symptoms Tied to Incident T2DM in Black Women

MONDAY, June 16, 2014 (HealthDay News) -- Among African-American women, depressive symptoms and antidepressant use are associated with incident type 2 diabetes, according to a study published online June 5 in Diabetes Care.

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Pertussis Epidemic Reported in California

MONDAY, June 16, 2014 (HealthDay News) -- More than 3,400 new cases of pertussis were reported in California between January 1 and June 10, which means the outbreak is officially an epidemic, according to the state's department of health.

Health Highlights: June 16, 2014

Walking Protects Against Functional Limitation of OA

MONDAY, June 16, 2014 (HealthDay News) -- More walking can protect against the functional limitation associated with knee osteoarthritis, according to a study published online June 12 in Arthritis Care & Research.

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Processed Red Meat May Increase Risk of Heart Failure in Men

MONDAY, June 16, 2014 (HealthDay News) -- Men who eat moderate amounts of processed red meat may have an increased risk of heart failure, according to research published online June 12 in Circulation: Heart Failure.

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Pre-Op Serum Cholesterol Tied to Survival in Renal Cell Carcinoma

MONDAY, June 16, 2014 (HealthDay News) -- For patients with renal cell carcinoma (RCC), preoperative serum cholesterol is an independent prognostic factor, according to a study published online June 12 in BJU International.

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Trastuzumab Ups Survival in HER2 Metastatic Breast Cancer

MONDAY, June 16, 2014 (HealthDay News) -- For patients with human epidermal growth factor receptor 2 (HER2)-positive metastatic breast cancer, trastuzumab improves overall and progression-free survival, according to a review published online June 12 in The Cochrane Library.

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Obesity Explains More Rapid Growth Rate of Knee Replacement

FRIDAY, June 13, 2014 (HealthDay News) -- The differential increase in total knee arthroplasties over total hip arthroplasties is mainly due to more rapid growth in knee arthroplasties in adults with a body mass index of ≥ 25 kg/m², according to a study published in the June 4 issue of The Journal of Bone & Joint Surgery.

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Can Weight-Loss Surgery Lower Cancer Risk for the Obese?

FRIDAY, June 13, 2014 (HealthDay News) -- Weight-loss surgery may do more than lower the risk of heart problems and improve type 2 diabetes in obese patients: A new review suggests it may also lower their chances of a cancer diagnosis. The report was published in the journal Obesity Surgery.

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Basal Ganglia Network Connectivity May ID Parkinson's

FRIDAY, June 13, 2014 (HealthDay News) -- Resting-state assessment of the connectivity of the basal ganglia network (BGN) may be a useful biomarker for early Parkinson's disease (PD), according to a study published online June 11 in Neurology.

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HHS Inspector General Finds Big Problem With Medicare Coding

FRIDAY, June 13, 2014 (HealthDay News) -- Nearly 42 percent of Medicare claims for evaluation and management (E/M) services are incorrectly coded, according to an article published June 2 in Medical Economics.

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Frailty Index Predicts Adverse Outcomes in Geriatric Trauma

FRIDAY, June 13, 2014 (HealthDay News) -- Frailty index is an independent predictor of in-hospital complications and adverse discharge disposition among geriatric trauma patients, according to a study published online June 11 in JAMA Surgery.

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Life Expectancy Affects Treatment for Acute MI

FRIDAY, June 13, 2014 (HealthDay News) -- Evidence-based treatment for acute myocardial infarction is strongly influenced by the clinician's assessment of life expectancy of a patient, according to a study published online June 3 in Circulation: Cardiovascular Quality & Outcomes.

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Inverse Link for Cognitive Impairment, Heart Health

FRIDAY, June 13, 2014 (HealthDay News) -- Intermediate and high cardiovascular health (CVH), measured with Life's Simple 7 scores, correlate with lower incidence of cognitive impairment, according to a study published online June 11 in the Journal of the American Heart Association.

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Breast Cancer Risk Up With Higher Red Meat Intake

FRIDAY, June 13, 2014 (HealthDay News) -- Higher intake of red meat is associated with an increased risk of breast cancer, according to a study published online June 10 in BMJ.

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Older Men on Statins Found Less Physically Active

FRIDAY, June 13, 2014 (HealthDay News) -- Among older, community-dwelling men, use of statins is associated with modestly lower levels of physical activity, according to research published online June 9 in JAMA Internal Medicine.

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Gene Variant Associated With Type 2 Diabetes in Latinos

FRIDAY, June 13, 2014 (HealthDay News) -- A rare protein-coding genetic variant is associated with type 2 diabetes in Latino populations, according to research published in the June 11 issue of the Journal of the American Medical Association, a theme issue on diabetes.

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Researchers Hesitant to Use Social Media to Show Findings

FRIDAY, June 13, 2014 (HealthDay News) -- Researchers remain uncertain about the use of social media to communicate their findings to policy makers, according to research published online June 6 in Health Affairs.

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New Research Standards Created for Chronic Low Back Pain

THURSDAY, June 12, 2014 (HealthDay News) -- A multidisciplinary panel has developed standards for research on chronic low back pain (cLBP), according to a guideline article published in the June issue of the The Journal of Pain.

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Data From EHRs Should Be Used to Improve Patient Care

THURSDAY, June 12, 2014 (HealthDay News) -- The data from electronic health records (EHRs) should be utilized to improve the quality of patient care, according to an article published online June 10 in Medical Economics.

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Recession Linked to >10,000 Suicides in N. America, Europe

THURSDAY, June 12, 2014 (HealthDay News) -- The Great Recession that began in 2007 appears to have taken more than a financial toll: New research suggests that the economic downturn could be linked with more than 10,000 suicides across North America and Europe.

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Cancer Survivors Face Mounting Costs of Continuing Care

THURSDAY, June 12, 2014 (HealthDay News) -- Male and female cancer survivors incur annual medical costs that are almost two times greater than those of people who haven't had cancer, according to research published in the June 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Decrease in Late-Stage Breast Cancer in Mammography Era

THURSDAY, June 12, 2014 (HealthDay News) -- There appears to have been a decrease in late-stage breast cancer in the mammography era, according to a study published online May 19 in Cancer.

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CPAP Cuts BP in Sleep Apnea; Other Heart Benefits Unclear

THURSDAY, June 12, 2014 (HealthDay News) -- Continuous positive airway pressure treatment (CPAP) for sleep apnea can effectively lower blood pressure but other heart health interventions are still important, according to new research published in the June 12 issue of the New England Journal of Medicine.

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Few Meet Exercise Guidelines Post-Breast Cancer Diagnosis

THURSDAY, June 12, 2014 (HealthDay News) -- Only 35 percent of women meet current physical activity guidelines after breast cancer diagnosis, with African-American women less likely to meet guidelines, according to a study published online June 9 in Cancer.

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Mortality Risk Up With Addition of Insulin to Metformin

THURSDAY, June 12, 2014 (HealthDay News) -- For patients with diabetes receiving metformin, the addition of insulin is associated with an increased risk of a composite of acute myocardial infarction (AMI), stroke, or death, compared with addition of a sulfonylurea. These findings were published in the June 11 issue of the Journal of the American Medical Association, a theme issue on diabetes.

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Communication Training Helps Oncologists Break Bad News

THURSDAY, June 12, 2014 (HealthDay News) -- A communication skills training (CST) program based on patient preferences regarding communication can help oncologists' communication performance, according to a study published online June 9 in the Journal of Clinical Oncology.

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Dietary Interventions Effective for Eosinophilic Esophagitis

THURSDAY, June 12, 2014 (HealthDay News) -- For patients with eosinophilic esophagitis (EoE), dietary interventions can be effective for producing histologic remission, according to a review published in the June issue of Gastroenterology.

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Carcinogenic Substances May Persist in Hair Dyes

THURSDAY, June 12, 2014 (HealthDay News) -- Hairdressers who use permanent hair dyes and hair waving treatments may be exposed to potentially carcinogenic substances, including toluidines, according to research published online June 9 in Occupational & Environmental Medicine.

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Higher Protein Intake Linked to Reduced Stroke Risk

THURSDAY, June 12, 2014 (HealthDay News) -- Moderate dietary protein intake is associated with a reduced risk of stroke, according to a meta-analysis published online June 11 in Neurology.

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Brodalumab Effective for Psoriatic Arthritis

THURSDAY, June 12, 2014 (HealthDay News) -- The monoclonal antibody brodalumab significantly improves response rates among patients with psoriatic arthritis, according to a phase 2 study published in the June 12 issue of the New England Journal of Medicine.

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Exercise and Protein Intake Affect Gut Microbiota

THURSDAY, June 12, 2014 (HealthDay News) -- Exercise and related dietary factors such as increased intake of protein are positively correlated with gut microbial diversity, according to research published online June 9 in Gut.

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Medicare Will Cover Primary Care-Ordered HCV Testing

WEDNESDAY, June 11, 2014 (HealthDay News) -- Medicare will cover primary care provider-ordered hepatitis C virus testing for adults, according to a statement released by the Centers for Medicare and Medicaid Services (CMS) and discussed in an article published online June 3 in Medical Economics.

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Marriage, Not Cohabitation, Pays Health Dividends for Men

WEDNESDAY, June 11, 2014 (HealthDay News) -- Single and married men are more likely to see a doctor regularly than those living with a partner out of wedlock, according to a new U.S. National Center for Health Statistics (NCHS) study.

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Current Bird Flu Has Pandemic Potential

WEDNESDAY, June 11, 2014 (HealthDay News) -- Flu viruses currently circulating in birds closely resemble the one that caused the 1918 pandemic that killed about 50 million people worldwide, researchers say.

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FDA Approves New Nail Fungus Treatment

WEDNESDAY, June 11, 2014 (HealthDay News) -- A new topical nail fungus treatment, Jublia, has been approved by the U.S. Food and Drug Administration.

Health Highlights: June 11, 2014

Mindfulness, Cognitive Therapy Beneficial in Diabetes

WEDNESDAY, June 11, 2014 (HealthDay News) -- For patients with diabetes and depressive symptoms, individual mindfulness-based cognitive therapy (MBCT) and individual cognitive behavior therapy (CBT) improve depressive symptoms, according to a study published online June 4 in Diabetes Care.

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Moles May Be Harbinger of Higher Breast Cancer Risk

WEDNESDAY, June 11, 2014 (HealthDay News) -- The number of moles a woman has on her skin may hint at her risk of developing breast cancer, new research suggests.

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Suboptimal Usage of Proton Pump Inhibitors Common

WEDNESDAY, June 11, 2014 (HealthDay News) -- For patients with gastroesophageal reflux disease (GERD), those who receive a proton pump inhibitor (PPI) prescription from gastroenterologists are more likely to be optimal users and have better symptom control, according to a study published in the June issue of the American Journal of Gastroenterology.

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Large Increase in Insulin Use Seen 2000 to 2010

WEDNESDAY, June 11, 2014 (HealthDay News) -- From 2000 to 2010 there was a large increase in the use of insulin analogs among privately insured patients with type 2 diabetes, according to a research letter published in the June 11 issue of the Journal of the American Medical Association, a theme issue on diabetes.

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Patient-Rated Mobility in Parkinson's Better With Levodopa

WEDNESDAY, June 11, 2014 (HealthDay News) -- For patients newly diagnosed with Parkinson's disease, patient-rated mobility scores are better for those assigned to levodopa versus levodopa-sparing therapy, according to a study published online June 11 in The Lancet.

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Follow-Up Care Guidelines Issued for Prostate Cancer Survivors

WEDNESDAY, June 11, 2014 (HealthDay News) -- New guidelines have been developed for clinical follow-up care for prostate cancer survivors. The guidelines were published online June 10 in CA: A Cancer Journal for Clinicians.

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AMA Calls for Tougher Rules on Sale of E-Cigarettes

TUESDAY, June 10, 2014 (HealthDay News) -- The American Medical Association (AMA) on Tuesday called for tighter restrictions on the sale and marketing of electronic cigarettes.

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Bariatric Surgery Benefits Diabetes Over Long Term

TUESDAY, June 10, 2014 (HealthDay News) -- Long-term follow-up shows that, in patients with type 2 diabetes, bariatric surgery is associated with greater diabetes remission and fewer diabetes-related complications than usual care, according to a study published in the June 11 issue of the Journal of the American Medical Association, a theme issue on diabetes.

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CDC: U.S. Diabetes Rate Jumps to 29 Million

TUESDAY, June 10, 2014 (HealthDay News) -- The number of Americans with diabetes rose from 26 million in 2010 to 29 million -- 9 percent of the population -- in 2012, according to a report from the U.S. Centers for Disease Control and Prevention.

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Sleep Quality Tied to Subsequent Low Back Pain Intensity

TUESDAY, June 10, 2014 (HealthDay News) -- In patients with acute low back pain, sleep quality is strongly related to subsequent pain intensity, according to a study published in the May issue of Arthritis & Rheumatology.

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Cardiac Consequences of Adjuvant Trastuzumab Few

TUESDAY, June 10, 2014 (HealthDay News) -- The incidence of cardiac outcomes remains low in long-term follow-up of patients who received adjuvant trastuzumab for early-stage breast cancer, according to a study published online June 9 in the Journal of Clinical Oncology.

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New HPV Test Sensitive, Specific for Cervical Cancer

TUESDAY, June 10, 2014 (HealthDay News) -- The new human papillomavirus (HPV) test has higher sensitivity and specificity than Papanicolaou (Pap) testing for cervical cancer, according to an ideas and opinion piece published online June 9 in the Annals of Internal Medicine.

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Sleep Apnea Severity Predicts Risk of Incident Diabetes

TUESDAY, June 10, 2014 (HealthDay News) -- Obstructive sleep apnea (OSA) severity predicts the risk of incident diabetes, according to a study published online June 4 in the American Journal of Respiratory and Critical Care Medicine.

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Colorectal Cancer Incidence Down With Higher Screening Rates

TUESDAY, June 10, 2014 (HealthDay News) -- As rates of screening have increased, there has been a significant decline in the incidence of colorectal cancer in the United States, according to research published online June 3 in Cancer.

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Study Identifies 41 Powerhouse Fruits and Vegetables

TUESDAY, June 10, 2014 (HealthDay News) -- Forty-one powerhouse fruits and vegetables (PFV) have been classified and validated, according to a study published online June 5 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Millions Will Not Have to Pay ACA Tax Penalties: Report

TUESDAY, June 10, 2014 (HealthDay News) -- Although an estimated 30 million people will still be uninsured in 2016, only four million are expected to pay penalties, according to the latest report from the nonpartisan Congressional Budget Office (CBO).

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Incentives May Lead to Greater Support for Practice Goals

MONDAY, June 9, 2014 (HealthDay News) -- Incentives may aid employees in meeting practice goals, according to an article published May 23 in Medical Economics.

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Yoga May Offer Option to Enhance Asthma Care

MONDAY, June 9, 2014 (HealthDay News) -- While yoga cannot be considered a routine intervention for asthma, it may be a useful adjunct to usual care for alleviating asthma symptoms and improving quality of life, according to research published in the June issue of the Annals of Allergy, Asthma & Immunology.

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Few U.S. Adults Knowledgeable About Head and Neck Cancer

MONDAY, June 9, 2014 (HealthDay News) -- Few American adults know about the risk factors for and symptoms of head and neck cancer (HNC), according to a study published online June 5 in JAMA Otolaryngology-Head & Neck Surgery.

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Improved Outcomes With Greater Use of Transradial PCI

MONDAY, June 9, 2014 (HealthDay News) -- Greater change in hospital-level use of transradial percutaneous coronary intervention (TRI) is associated with improved periprocedural outcomes, according to a study published online June 4 in Circulation: Cardiovascular Quality and Outcomes.

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Fourth U.S. Case of Mad Cow-Related Disease Reported

FRIDAY, June 6, 2014 (HealthDay News) -- A fourth U.S. case of a fatal brain disorder that's related to mad cow disease has been confirmed by federal health officials.

Health Highlights: June 6, 2014

CDC: No Drop in Smokeless Tobacco Use Among U.S. Workers

FRIDAY, June 6, 2014 (HealthDay News) -- Cigarette smoking continues to decline among Americans who work, but use of smokeless tobacco has held steady since 2005, according to research published in the June 6 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Catholic Group Temporarily Exempt From Contraception Rule

FRIDAY, June 6, 2014 (HealthDay News) -- Nearly 200 Catholic organizations and employers -- including archdioceses -- have been granted a temporary exemption from complying with a provision of the Affordable Care Act that requires employers to offer insurance coverage for contraceptives.

Health Highlights: June 6, 2014

Veterans Affected by Scandal May Seek Private Care

FRIDAY, June 6, 2014 (HealthDay News) -- The recent scandal at the U.S. Department of Veterans Affairs (VA) may lead to more veteran visits to private physicians and community health centers, according to an article published June 2 in Medical Economics.

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Physician Political Contributions Are Increasing, Shifting

FRIDAY, June 6, 2014 (HealthDay News) -- The political alignment of physicians in the United States has shifted from predominantly Republican to predominantly Democrat, based in part on the larger number of women physicians and smaller percentage of physicians practicing solo or in small practices, according to research published online June 2 in JAMA Internal Medicine.

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Periodontitis Independently Tied to Rheumatoid Arthritis

FRIDAY, June 6, 2014 (HealthDay News) -- Periodontitis (PD) is independently associated with established seropositive rheumatoid arthritis (RA), according to a study published in the May issue of Arthritis & Rheumatology.

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Switching Ophthalmologic Drugs Could Save Medicare $

FRIDAY, June 6, 2014 (HealthDay News) -- By switching preferred therapy for macular degeneration, Medicare can realize substantial cost savings, according to a report published in the June issue of Health Affairs.

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High Recurrence Risk With Severe Cutaneous Adverse Reactions

FRIDAY, June 6, 2014 (HealthDay News) -- The risk of recurrent episodes of Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) is substantially higher than the risk of a first episode in the general population, according to a research letter published in the June 4 issue of the Journal of the American Medical Association.

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Antidepressants Vary in Contribution to Weight Gain

FRIDAY, June 6, 2014 (HealthDay News) -- Antidepressants vary in their propensity to contribute to weight gain, according to a study published online June 4 in JAMA Psychiatry.

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Insurance Coverage Tied to Better Cancer-Specific Outcomes

FRIDAY, June 6, 2014 (HealthDay News) -- Health insurance coverage is associated with improved cancer-specific outcomes for young adults, according to a study published online June 2 in the Journal of Clinical Oncology.

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Fewer Major CVD Events Expected As HTN Management Improves

FRIDAY, June 6 , 2014 (HealthDay News) -- Annual surveys show progressive improvements in the management of blood pressure in the general population in England, which will correlate with reduction in major cardiovascular events, according to research published in a May 31 special themed issue of The Lancet. The issue precedes Hypertension 2014, the Joint Meeting of the European Society of Hypertension and International Society of Hypertension, to be held from June 13 to 16 in Athens.

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Air Pollution Has Short-Term Impact on Specific Cardiac Events

FRIDAY, June 6, 2014 (HealthDay News) -- Ambient air pollution has short-term effects on specific cardiovascular disease (CVD) events, according to a study published online June 4 in Heart.

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Pot Isn't Harmless, Top U.S. Health Official Says

THURSDAY, June 5, 2014 (HealthDay News) -- States joining the march toward marijuana legalization need to take a step back and consider the drug's adverse effects on health, the U.S. drug "czar" argues in a new paper.

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Lower Mortality Tied to Azithromycin for Pneumonia

THURSDAY, June 5, 2014 (HealthDay News) -- Older patients hospitalized with pneumonia and treated with azithromycin have lower risk of 90-day mortality, compared to those treated with other antibiotics, according to a study published in the June 4 issue of the Journal of the American Medical Association.

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Many 'Inconsistencies' in ACA Sign-Ups: Report

THURSDAY, June 5, 2014 (HealthDay News) -- A new government document finds that more than a quarter of the eight million people who signed up for coverage under the Obama Administration's new health care law have "inconsistencies" in the data they supplied.

Health Highlights: June 5, 2014

Gastric Bypass Sx May Be Best Strategy for Obese T2DM Patients

THURSDAY, June 5, 2014 (HealthDay News) -- Compared to diet and lifestyle changes, gastric bypass surgery appears to be the clear winner in helping obese people with type 2 diabetes lose weight and even rid themselves of the disease, according to a pair of studies published online June 4 in JAMA Surgery.

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New Agents Found Noninferior to Vancomycin for Skin Infection

THURSDAY, June 5, 2014 (HealthDay News) -- Two lipoglycopeptide agents that are active against gram-positive bacteria, dalbavancin and oritavancin, are noninferior to daily vancomycin for the treatment of acute bacterial skin and skin-structure infections, according to two studies published in the June 5 issue of the New England Journal of Medicine.

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Naloxegol Found Effective for Opioid-Induced Constipation

THURSDAY, June 5, 2014 (HealthDay News) -- Treatment with the oral, peripherally acting µ-opioid receptor antagonist naloxegol is safe and effective for opioid-induced constipation, according to a study published online June 4 in the New England Journal of Medicine.

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Camels Confirmed as Source of Human MERS Infection

THURSDAY, June 5, 2014 (HealthDay News) -- Saudi Arabian doctors say they've identified camels as one source of Middle East Respiratory Syndrome (MERS) infections in humans. The scientists report they matched genetic samples from the virus that killed a Saudi man last November to virus samples present in one of nine camels that he owned.

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Financial Incentive Can Up Fruit, Vegetable Purchases

THURSDAY, June 5, 2014 (HealthDay News) -- An intervention to increase fruit and vegetable purchases at farmers' markets for recipients of food assistance (Shop N Save [SNS]) correlates with a significant increase in use of food assistance at the farmers' market, according to a study published online May 22 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Risk of Unnatural Death Is Higher in Diabetes Patients

THURSDAY, June 5, 2014 (HealthDay News) -- Unnatural deaths occur more frequently among individuals with diabetes, according to research published online May 21 in Diabetes Care.

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Midlife HTN Affects Late-Life BP, Brain Pathology Link

THURSDAY, June 5, 2014 (HealthDay News) -- For older men and women without dementia, the impact of late-life blood pressure on brain pathology varies with their history of midlife hypertension, according to a study published online June 4 in Neurology.

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Drug Policy Impacts Regional Trends of Ezetimibe Use

THURSDAY, June 5, 2014 (HealthDay News) -- Within Canada, regional variation has been noted in ezetimibe use, which is associated with the restrictiveness of publicly-funded drug formularies, according to a study published online June 3 in Circulation: Cardiovascular Quality and Outcomes.

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No Difference in Stroke Risk Based on Body Mass Index

WEDNESDAY, June 4, 2014 (HealthDay News) -- There is no evidence of an obesity paradox in patients with stroke, suggesting that previous findings were an artifact of selection bias, according to a study published online June 2 in JAMA Neurology.

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Higher Survival Tied to Prophylactic ICD

WEDNESDAY, June 4, 2014 (HealthDay News) -- Older patients with a left ventricular ejection fraction (LVEF) between 30 and 35 percent have higher survival with a prophylactic implantable cardioverter-defibrillator (ICD), according to a study published in the June 4 issue of the Journal of the American Medical Association.

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Claim Denials Expected to Increase

WEDNESDAY, June 4, 2014 (HealthDay News) -- Even with good office procedures, most practices are plagued by claim denials, a hassle that is expected to increase in the coming years, according to an article published May 8 in Medical Economics.

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Medicare Panel Says No to CT-Based Lung Cancer Screen

WEDNESDAY, June 4, 2014 (HealthDay News) -- The Medicare Evidence Development and Coverage Advisory Committee (MEDCAC) recently recommended against screening of high-risk, older adults for lung cancer using low-dose computed tomography (CT), according to a news release from the American Academy of Family Physicians (AAFP).

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Most Physicians Would Forgo Aggressive Treatment

WEDNESDAY, June 4, 2014 (HealthDay News) -- Although physicians regularly recommend high-intensity, aggressive, life-prolonging care for their terminally ill patients, the vast majority would choose to forgo such care for themselves at the end of life, according to a study published online May 28 in PLOS ONE.

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Inflammation in PCOS Exacerbated by Pregnancy

WEDNESDAY, June 4, 2014 (HealthDay News) -- In patients with polycystic ovary syndrome (PCOS), low-grade chronic inflammation persists and is exacerbated by pregnancy, according to research published online May 29 in the Journal of Clinical Endocrinology & Metabolism.

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CDC: Food Handlers Cause Most Food-Poisoning Cases

WEDNESDAY, June 4, 2014 (HealthDay News) -- Norovirus illness is more often caused by infected restaurant workers than outbreaks on cruise ships, U.S. health officials said Tuesday.

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Even Without Burning, Indoor Tanning Ups Risk of Melanoma

WEDNESDAY, June 4, 2014 (HealthDay News) -- Indoor tanning, even without burns, increases the risk of melanoma, according to a study published online May 28 in the Journal of the National Cancer Institute.

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Number of Cancer Survivors Projected to Grow in the U.S.

WEDNESDAY, June 4, 2014 (HealthDay News) -- Factors such as the aging and growth of the population accompanied by improvements in early detection and treatment are expected to contribute to the growth of the number of cancer survivors in the United States, according to research published online June 1 in CA: A Cancer Journal for Clinicians.

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Circadian Misalignment May Impact Diabetes Risk

WEDNESDAY, June 4, 2014 (HealthDay News) -- Circadian misalignment decreases insulin sensitivity and increases inflammation, and is independent of sleep loss in men, according to a study published in the June issue of Diabetes.

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High Blood Pressure Has Varied Effect on Cardio End Points

WEDNESDAY, June 4, 2014 (HealthDay News) -- The impact of high blood pressure on cardiovascular end points varies, with different effects for high systolic and diastolic blood pressure, according to a study published in the May 31 issue of The Lancet.

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Rx Adherence Up for Hispanics Post-Medicare Part D Launch

TUESDAY, June 3, 2014 (HealthDay News) -- Hispanics became much more likely to take their heart medicines after Medicare's prescription drug benefit plan was launched in 2006, but there was only a small increase seen among black patients, according to a new study slated for presentation Monday at an American Heart Association (AHA) meeting in Baltimore.

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ERA-EDTA: New End Point Proposed for Kidney Disease

TUESDAY, June 3, 2014 (HealthDay News) -- Declines in the estimated glomerular filtration rate (GFR) offer an earlier end point for studying the progression of chronic kidney disease (CKD), according to research published online June 3 in the Journal of the American Medical Association. This research was published to coincide with presentation at the European Renal Association-European Dialysis and Transplant Association Congress, held from May 31 to June 3 in Amsterdam.

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Obama Moves to Cut Power Plant Emissions

TUESDAY, June 3, 2014 (HealthDay News) -- The Obama administration announced plans Monday that would require the United States to cut power plant emissions that many scientists blame for global warming by 30 percent by 2030. It's a move that would substantially improve the health of millions of Americans, federal officials said.

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Circumcision May Cut Risk of Prostate Cancer

TUESDAY, June 3, 2014 (HealthDay News) -- Circumcision appears to confer a protective effect against the development of prostate cancer, according to research published online May 28 in BJU International.

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β-Blockers Have No Impact on Cocaine-Related Chest Pain

TUESDAY, June 3, 2014 (HealthDay News) -- For patients with cocaine-associated chest pain, there are no differences in outcome for those treated with or without β-blockers, according to a study published in the June 1 issue of The American Journal of Cardiology.

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Quality Up in Patient-Centered Medical Home Care

TUESDAY, June 3, 2014 (HealthDay News) -- The patient-centered medical home (PCMH) model of care is associated with quality improvements compared to care provided by physicians using paper medical records or electronic health records (EHRs), according to a study published in the June 3 issue of the Annals of Internal Medicine.

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Holistic Exercise Program Seems Feasible in Dementia

TUESDAY, June 3, 2014 (HealthDay News) -- A holistic exercise program seems feasible and acceptable for people with dementia, according to a feasibility study published online April 25 in the Journal of Bodywork and Movement Therapies.

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EHRs Can Be Used to Boost Practice Revenue

TUESDAY, June 3, 2014 (HealthDay News) -- Practices can achieve return on investment (ROI) for implementation of electronic health record (EHR) systems if they participate in alternative delivery models, according to an article published May 8 in Medical Economics.

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Colonoscopy Is Indicated in Unscreened Elderly Patients

MONDAY, June 2, 2014 (HealthDay News) -- Colorectal cancer (CRC) screening should be considered as a cost-effective strategy in unscreened patients older than 75 years, according to research published in the June 3 issue of the Annals of Internal Medicine.

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FDA Approves Generic Version of Celebrex

MONDAY, June 2, 2014 (HealthDay News) -- The U.S. Food and Drug Administration on Friday gave its approval to the first generic version of the pain reliever Celebrex (celecoxib).

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FDA: New Test Helps Doctors ID Cause of Certain Kidney Disease

MONDAY, June 2, 2014 (HealthDay News) -- A new test that helps doctors identify the cause of a specific type of kidney disease has been approved by the U.S. Food and Drug Administration.

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Negative Social Interactions Linked to Incident HTN in Women

MONDAY, June 2, 2014 (HealthDay News) -- For older adults, negative social interactions are associated with increased risk of developing hypertension, according to a study published in the June issue of Health Psychology.

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Intensive Lifestyle Changes Lead to Lasting Improvement in T2DM

MONDAY, June 2, 2014 (HealthDay News) -- For obese/overweight adults with type 2 diabetes, an intensive lifestyle intervention (ILI) is associated with a reduced risk of incident depression and with better physical function, according to a study published in the June issue of Diabetes Care.

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One-Fifth of Medicare Patients Sustain Adverse Medical Events

MONDAY, June 2, 2014 (HealthDay News) -- Adverse medical events (AMEs) are associated with excess mortality and increased costs among Medicare beneficiaries, according to research published online May 28 in Injury Prevention.

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Occupational Exposure to Solvents May Up Breast CA Risk

MONDAY, June 2, 2014 (HealthDay News) -- Occupational exposure to solvents before first full-term birth may be associated with an increased risk of breast cancer in certain settings, according to a study published in the June 1 issue of Cancer Research.

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UV Environmental Disinfection Cuts Drug Resistant Infection

MONDAY, June 2, 2014 (HealthDay News) -- Use of ultraviolet environmental disinfection (UVD) following discharge cleaning of contact precautions rooms is associated with a significant reduction in overall hospital-acquired multiple-drug-resistant organism (MDRO) and Clostridium difficile (CD) incidence, according to a study published in the June issue of the American Journal of Infection Control.

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