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March 2017 Briefing - Internal Medicine

Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for March 2017. 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.

90 Percent of U.S. Physicians Satisfied With Career Choice

FRIDAY, March 31, 2017 (HealthDay News) -- Nine out of 10 American doctors are happy with their choice of profession, even though they have some challenges, according to an American Medical Association (AMA) survey of 1,200 doctors, residents, and medical students, conducted in February.

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Brain Changes May Mark Risk of Financial Exploitation in Seniors

FRIDAY, March 31, 2017 (HealthDay News) -- For older adults, financial exploitation is associated with brain differences in regions associated with socioemotional functioning, according to a study published online March 28 in the Journals of Gerontology: Series A.

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Thyroid Cancer Incidence, Mortality Up in U.S. Since 1974

FRIDAY, March 31, 2017 (HealthDay News) -- The overall incidence of thyroid cancer increased by 3.6 percent annually from 1974 to 2013, according to a study published online March 31 in the Journal of the American Medical Association.

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Church-Based Program Sings the Praises of Healthy Eating

FRIDAY, March 31, 2017 (HealthDay News) -- Implementing a 12-week Body and Soul program that includes demonstration of healthy recipes and peer counseling is associated with increases in weekly servings of fruit and vegetables among African-American church members, according to a community case study published online March 23 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Vertical Integration Insurance Products of Higher Quality

FRIDAY, March 31, 2017 (HealthDay News) -- Insurance products offered by hospitals and health systems, known as vertical integration, are generally of higher quality than other contracts, according to a study published in the March issue of Health Affairs.

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Estriol Gel Aids Vaginal Health Pre, Post Genital Prolapse Sx

FRIDAY, March 31, 2017 (HealthDay News) -- For postmenopausal women undergoing surgical treatment for pelvic organ prolapse, vaginal estriol gel is associated with improvement in vaginal health, according to a study published online March 27 in Menopause.

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Doctors Should Consider QoL in Tx of Facial Port-Wine Stain

FRIDAY, March 31, 2017 (HealthDay News) -- Having a facial port-wine stain (PWS) has a significant negative impact on patient quality of life (QoL), according to a study published in the April issue of the Journal of the American Academy of Dermatology.

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Overall Risk of VTE Recurrence Similar for iSVT, Proximal DVT

FRIDAY, March 31, 2017 (HealthDay News) -- Patients with isolated superficial vein thrombosis (iSVT) have a similar overall risk of recurrence as those with proximal deep vein thrombosis (DVT), according to a study published online March 20 in the Journal of Thrombosis and Haemostasis.

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Apixaban Tx Cost in A-Fib Meets U.S. Norms for Reasonable Value

THURSDAY, March 30, 2017 (HealthDay News) -- Apixaban therapy is cost-effective for atrial fibrillation from the perspective of the U.S. health care system, according to a study published online March 29 in JAMA Cardiology.

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Factors Associated With Poor Primary Care Coordination ID'd

THURSDAY, March 30, 2017 (HealthDay News) -- Factors associated with poor primary care coordination include chronic conditions and younger age, according to a study published in the March/April issue of the Annals of Family Medicine.

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Increases in Heroin Use in the U.S. Greater Among Whites

THURSDAY, March 30, 2017 (HealthDay News) -- From 2001-2002 to 2012-2013 there was an increase in the prevalence of heroin use and heroin use disorder, according to a study published online March 29 in JAMA Psychiatry.

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Hep B, C Could Be Eliminated As Public Health Threats by 2030

THURSDAY, March 30, 2017 (HealthDay News) -- Hepatitis B and C could be eliminated as serious public health problems in the United States by 2030, according to a report from the National Academies of Sciences, Engineering, and Medicine.

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Gum Disease, Tooth Loss Tied to Higher Mortality in Older Women

THURSDAY, March 30, 2017 (HealthDay News) -- Tooth loss is associated with increased risks of cardiovascular disease (CVD) and death in older women, according to a study published online March 29 in the Journal of the American Heart Association.

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Spending Patterns in Training Influence Future Practice

WEDNESDAY, March 29, 2017 (HealthDay News) -- Spending patterns in training hospital service areas (HSAs) impact physician spending, according to research published in the March/April issue of the Annals of Family Medicine.

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Hepatitis B, C Linked to Higher Subsequent Rates of Parkinson's

WEDNESDAY, March 29, 2017 (HealthDay News) -- Individuals with hepatitis B and hepatitis C have increased rates of subsequent Parkinson's disease (PD), according to a study published online March 29 in Neurology.

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Study Explores Links Between Zika, GBS, Microcephaly in Brazil

WEDNESDAY, March 29, 2017 (HealthDay News) -- The causal links between Zika virus (ZIKV) infection, Guillain-Barré syndrome (GBS), and microcephaly need to be further clarified, according to a letter to the editor published online March 29 in the New England Journal of Medicine.

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Teleretinal Diabetic Retinopathy Screening Ups Screening Rates

WEDNESDAY, March 29, 2017 (HealthDay News) -- A primary-care-based teleretinal diabetic retinopathy screening (TDRS) program can reduce wait times for DR screening and increase overall screening rates, according to a study published online March 27 in JAMA Internal Medicine.

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FDA Approves Dupixent to Treat Eczema

WEDNESDAY, March 29, 2017 (HealthDay News) -- Dupixent (dupilumab) has been approved by the U.S. Food and Drug Administration to treat moderate-to-severe eczema that isn't well controlled by topical medication.

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Alcohol Consumption Trending Upward Among Older Adults

WEDNESDAY, March 29, 2017 (HealthDay News) -- For adults age 60+ years, there is an upward trend in the prevalence of current drinking, according to a study published online March 24 in Alcoholism: Clinical & Experimental Research.

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Substance Abuse Is a Treatable Chronic Medical Condition

WEDNESDAY, March 29, 2017 (HealthDay News) -- In a position paper published online March 28 in the Annals of Internal Medicine, recommendations are presented for the prevention and treatment of substance use disorders.

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DAPT Cessation Patterns Vary With Diabetes Status After PCI

WEDNESDAY, March 29, 2017 (HealthDay News) -- For patients undergoing dual antiplatelet therapy (DAPT) after percutaneous coronary intervention with a drug-eluting stent (DES), DAPT cessation is significantly lower in patients with diabetes mellitus (DM), according to a study published in the March 27 issue of JACC: Cardiovascular Interventions.

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Marathon Runners Show Signs of Short-Term Kidney Injury

WEDNESDAY, March 29, 2017 (HealthDay News) -- Marathon runners can develop acute kidney injury (AKI) and diagnostic indicators of tubular injury, according to a study published online March 28 in the American Journal of Kidney Disease.

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USPSTF: Evidence Lacking for Celiac Dz Screen in Asymptomatic

TUESDAY, March 28, 2017 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) concludes that there is currently insufficient evidence to weigh the benefits and harms of screening for celiac disease in asymptomatic adults, adolescents, and children. These findings form the basis of a recommendation statement published in the March 28 issue of the Journal of the American Medical Association.

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Regular Exercise Slows Decline Even in Advanced Parkinson's Dz

TUESDAY, March 28, 2017 (HealthDay News) -- For patients with Parkinson's disease (PD), regular exercise is associated with significant positive effects on health-related quality of life (HRQL), especially in advanced PD, according to a study published recently in the Journal of Parkinson's Disease.

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TV Ads for ACA Enrollment Linked to Decline in Uninsured Rates

TUESDAY, March 28, 2017 (HealthDay News) -- The volume of insurance advertisements during the first Affordable Care Act enrollment period correlated with change in uninsurance rates, with a higher volume of television advertisements linked to declines in uninsurance, according to a study published online March 15 in Health Affairs.

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Virtual Service Boosts Glycemic Control in Hospitalized Adults

TUESDAY, March 28, 2017 (HealthDay News) -- Implementation of a virtual glucose management service (vGMS) is associated with improved inpatient glycemic control, with decreases in hypoglycemia and hyperglycemia, according to a study published online March 28 in the Annals of Internal Medicine.

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Seventeen States Require AED Installation in Some Schools

TUESDAY, March 28, 2017 (HealthDay News) -- Fewer than half of U.S. states require schools to install automated external defibrillators (AEDs), according to a study published in the April 4 issue of the Journal of the American College of Cardiology.

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ACP Issues Challenge to Cut Task Burden and Put Patients First

TUESDAY, March 28, 2017 (HealthDay News) -- In a position paper published online March 28 in the Annals of Internal Medicine, recommendations are presented to address the impact of administrative tasks and reduce the administrative burden on clinicians.

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BRCA Mutation Testing Shifts to Unaffected Women

TUESDAY, March 28, 2017 (HealthDay News) -- BRCA testing has shifted from being primarily used in cancer patients to being used in unaffected women, according to a study published online March 22 in the American Journal of Preventive Medicine.

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Gastric Acid Suppressants May Up Risk of Recurrent C. difficile

MONDAY, March 27, 2017 (HealthDay News) -- Use of gastric acid suppressants may increase the risk of recurrent Clostridium difficile infection (CDI), according to a meta-analysis published online March 27 in JAMA Internal Medicine.

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Paid Malpractice Claims Cut in Half From 1992 to 2014 in U.S.

MONDAY, March 27, 2017 (HealthDay News) -- From 1992 to 2014 there was a decrease in the rate of malpractice claims paid on behalf of physicians in the United States, but mean compensation amounts increased, according to a study published online March 27 in JAMA Internal Medicine.

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Genetic Hyperglycemia Raises Risk of Coronary Artery Disease

MONDAY, March 27, 2017 (HealthDay News) -- Genetic predisposition to hyperglycemia raises the odds of coronary artery disease (CAD), independent of type 2 diabetes and other CAD risk factors, according to research published online March 15 in Diabetes Care.

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Treatment Seeking Low Among Teens With Eating Disorders

FRIDAY, March 24, 2017 (HealthDay News) -- Adolescents with eating disorders infrequently seek treatment, according to a study published online March 21 in the International Journal of Eating Disorders.

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REACH II, VA Did Not Increase Spending in Dementia Care

FRIDAY, March 24, 2017 (HealthDay News) -- Caregiver participation in Resources for Enhancing Alzheimer's Caregivers Health (REACH II or REACH VA) behavioral interventions is not associated with increased Veterans Affairs or Medicare expenditures, according to a study published online March 13 in the Journal of the American Geriatrics Society.

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Office BP Monitoring During 30 Minutes Cuts Overtreatment

FRIDAY, March 24, 2017 (HealthDay News) -- Automated office blood pressure monitoring during 30 minutes (OBP30) is associated with a reduction in mean diastolic blood pressure, and may reduce overtreatment of white-coat hypertension, according to a study published in the March/April issue of the Annals of Family Medicine.

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Smell Loss Predicts Mortality Irrespective of Dementia

FRIDAY, March 24, 2017 (HealthDay News) -- Poor odor identification and poor self-reported olfactory function are associated with greater likelihood of earlier mortality, according to a study published online March 22 in the Journal of the American Geriatrics Society.

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Physical Function Should Be Goal of Care for Elderly CVD Patients

FRIDAY, March 24, 2017 (HealthDay News) -- Cardiac rehabilitation and the importance of physical function should be emphasized among older adults with cardiovascular disease, according to an American Heart Association scientific statement published online March 23 in Circulation.

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Heterogeneous Association for Alcohol, CVD Presentation

THURSDAY, March 23, 2017 (HealthDay News) -- There are heterogeneous associations between the level of alcohol consumption and initial presentation of cardiovascular disease, according to a study published online March 22 in The BMJ.

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30-Day Mortality Down During Joint Commission Survey Weeks

THURSDAY, March 23, 2017 (HealthDay News) -- Patients admitted to the hospital during The Joint Commission on-site inspections (surveys) have reduced mortality compared to that seen during non-survey weeks, according to research published online March 20 in JAMA Internal Medicine.

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CANA/PHEN Aids Weight Loss in Obese Without Type 2 Diabetes

THURSDAY, March 23, 2017 (HealthDay News) -- For obese or overweight individuals without type 2 diabetes, coadministration of canagliflozin (CANA) and phentermine (PHEN) is associated with considerable weight loss and is well tolerated, according to a study published online March 13 in Diabetes Care.

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Global Tobacco Control Treaty Has Reduced Smoking Rates

THURSDAY, March 23, 2017 (HealthDay News) -- After 180 countries agreed to a global tobacco control treaty in 2005, there was a 2.55 percent decrease in smoking worldwide during the next decade, according to a study published online March 21 in The Lancet Public Health.

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Spouses Bereaved by Suicide Have Elevated Health Risks

THURSDAY, March 23, 2017 (HealthDay News) -- Spouses bereaved by suicide have elevated risks of mental, physical, and social health outcomes, according to a study published online March 22 in JAMA Psychiatry.

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Telehealth Ups Access, Spending for Acute Respiratory Illness

WEDNESDAY, March 22, 2017 (HealthDay News) -- Direct-to-consumer telehealth may increase health care utilization and spending, according to a study published in the March issue of Health Affairs.

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TV Ads for Testosterone Tied to Increased Testing, Tx in U.S. Men

WEDNESDAY, March 22, 2017 (HealthDay News) -- Regional exposure to televised direct-to-consumer advertising (DTCA) is associated with an increase in testosterone testing and new initiation, according to a study published in the March 21 issue of the Journal of the American Medical Association.

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Warmer Weather Linked to Increased Incidence of Diabetes

TUESDAY, March 21, 2017 (HealthDay News) -- An increase in mean annual outdoor temperature is associated with increased age-adjusted incidence of diabetes in the United States and with increased worldwide prevalence of glucose intolerance, according to research published online March 20 in BMJ Open Diabetes Research & Care.

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Black, Asian Medical Students Less Likely to Be AΩA Members

TUESDAY, March 21, 2017 (HealthDay News) -- Black and Asian medical students are less likely to be members of the Alpha Omega Alpha (AΩA) honor society than white students, according to a study published online March 6 in JAMA Internal Medicine.

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Radical Prostatectomy Linked to Greater Drop in Sexual Function

TUESDAY, March 21, 2017 (HealthDay News) -- For men with localized prostate cancer, radical prostatectomy is associated with a greater decrease in sexual domain scores, while different treatment strategies are associated with distinct patterns of adverse effects, according to two studies published in the March 21 issue of the Journal of the American Medical Association.

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Patient, Physician Co-Washing May Increase Hand Washing

TUESDAY, March 21, 2017 (HealthDay News) -- A new approach to outpatient hand washing involving patient and physician co-washing may increase hand washing, according to a study published in the March/April issue of the Annals of Family Medicine.

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Intradiscal Steroid Offers Short-Term Relief of Lower Back Pain

TUESDAY, March 21, 2017 (HealthDay News) -- For patients with chronic low back pain (LBP) with active discopathy, a single glucocorticoid intradiscal injection (GC IDI) is associated with reduced LBP at one month but not 12 months after the intervention, according to a study published online March 21 in the Annals of Internal Medicine.

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Review: Multiple DAA Regimens Effective for HCV Genotype 1

TUESDAY, March 21, 2017 (HealthDay News) -- For hepatitis C virus (HCV) genotype 1 infection, multiple direct-acting antiviral (DAA) regimens show high rates of safety, tolerability, and efficacy, according to a review published online March 21 in the Annals of Internal Medicine.

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Lack of Recent Health Care Tied to Unawareness of Diabetes

TUESDAY, March 21, 2017 (HealthDay News) -- Factors that are associated with being unaware of diabetes include not receiving health care in the past year, while a family history of diabetes and hospitalizations in the past year are factors associated with increased awareness, according to a study published online March 13 in Diabetes Care.

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Impaired Orthostatic BP Recovery Linked to Falls in Older Adults

MONDAY, March 20, 2017 (HealthDay News) -- Delayed recovery orthostatic hypotension (OH) and sustained OH are associated with increased risk of falls among community-dwelling older adults, according to a study published in the March issue of the Journal of the American Geriatrics Society.

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Counseling Visit Helps Patients Decide About Lung CA Screening

MONDAY, March 20, 2017 (HealthDay News) -- A centralized counseling and shared decision-making visit correlates with improvement in patient knowledge about eligibility criteria, benefits, and harms of low-dose computed tomography (LDCT) lung cancer screening, according to a study published in the March issue of CHEST.

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Caloric Restriction Normalizes Bile Acid, Cholesterol Deficiency

MONDAY, March 20, 2017 (HealthDay News) -- Acute caloric restriction normalizes hepatic bile acid (BA) and cholesterol deficiency that is seen in morbidly obese women, according to a study published online March 6 in the Journal of Internal Medicine.

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Los Angeles eConsult Program Can Reduce Wait Times

FRIDAY, March 17, 2017 (HealthDay News) -- Implementation of an electronic system for provision of specialty care was rapidly adopted in Los Angeles, and it can reduce wait times to see specialists, according to a study published in the March issue of Health Affairs.

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Initial Rx Can Affect Likelihood of Long-Term Opioid Use

FRIDAY, March 17, 2017 (HealthDay News) -- Doctors who limit the supply of opioids they prescribe to three days or less may help patients reduce their risk of dependence and addiction, according to research published in the March 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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CDC: Suicide Rates Up in Less Urban Regions of United States

FRIDAY, March 17, 2017 (HealthDay News) -- Although the U.S. suicide rate has been rising gradually since 2000, suicides in less urban areas are outpacing those in more urban areas, according to research published in the March 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Continuing Statins Up to Surgery May Improve CABG Outcomes

FRIDAY, March 17, 2017 (HealthDay News) -- Coronary artery bypass graft (CABG) surgery patients taking statins may improve their survival odds if the medication is continued up to the day of surgery, according to a study published online March 16 in the Annals of Thoracic Surgery.

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Shorter Length of Stay Tied to Earlier Readmission for Seniors

FRIDAY, March 17, 2017 (HealthDay News) -- For older patients discharged from the hospital to post-acute care (PAC) facilities, shorter length of hospital stay is associated with earlier readmission, according to a study published online March 3 in the Journal of the American Geriatrics Society.

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Video Helps Patients Meet Radiotherapy Educational Needs

FRIDAY, March 17, 2017 (HealthDay News) -- Educational videos augmented by three-dimensional (3D) visualization software are useful for addressing radiotherapy patients' educational needs, according to a study published online Feb. 27 in the Journal of Medical Radiation Sciences.

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Patients Have High Confidence in Self-Testing INR

FRIDAY, March 17, 2017 (HealthDay News) -- Most patients have high confidence in self-testing their international normalized ratio (INR), according to a study published online Feb. 23 in the Journal of Clinical Nursing.

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ACE Inhibitors, ARBs May Slow Percent Emphysema Progression

FRIDAY, March 17, 2017 (HealthDay News) -- Use of angiotensin converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) is associated with slowed progression of percent emphysema on chest computed tomography (CT), according to a study published online Feb. 16 in the Annals of the American Thoracic Society.

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Initiation of Renal Replacement Therapy Impacts HRQoL

FRIDAY, March 17, 2017 (HealthDay News) -- The initiation of renal replacement therapy (RRT) impacts health-related quality of life (HRQL) among patients with end-stage kidney disease, according to a study published online Feb. 27 in the Journal of Renal Care.

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Hyperbaric Oxygen Tx Beneficial for Systemic Sclerosis Ulcers

THURSDAY, March 16, 2017 (HealthDay News) -- Adjunctive hyperbaric oxygen therapy (HBOT) may be beneficial for treatment of systemic sclerosis (SSc) ulcers, according to a report published online Feb. 23 in the International Journal of Dermatology.

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Appeals Court Upholds Restaurant Salt Warning

THURSDAY, March 16, 2017 (HealthDay News) -- An Empire State appeals court has upheld the New York City health department rule that requires restaurants to warn customers about menu items that exceed the 2,300 mg daily recommended sodium limit, according to a report from the American Medical Association (AMA).

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Care Costs Lower for Practices With More High-Needs Patients

THURSDAY, March 16, 2017 (HealthDay News) -- Lower spending and utilization are seen for practices with a higher proportion of high-needs patients, according to a study published in the March issue of Health Affairs.

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High-Intensity Aerobic Exercise May Help Reverse Cellular Aging

THURSDAY, March 16, 2017 (HealthDay News) -- High-intensity exercise training can reverse some manifestations of aging in the body's protein function, according to a study published in the March issue of Cell Metabolism.

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Mixed Results for Stem Cell Treatments of AMD

THURSDAY, March 16, 2017 (HealthDay News) -- Stem cells may offer new hope for patients with age-related macular degeneration, but that promise can come with some risks, according to research published in the March 17 issue of the New England Journal of Medicine.

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Short Course of Intensive Lifestyle, Drug Tx Helpful in T2DM

THURSDAY, March 16, 2017 (HealthDay News) -- Intensive lifestyle and drug therapy is associated with achievement of normoglycemia and sustained weight loss in patients with type 2 diabetes, according to a study published online March 15 in the Journal of Clinical Endocrinology & Metabolism.

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Clinical Decision Support System Use Tied to Fewer VTE Events

THURSDAY, March 16, 2017 (HealthDay News) -- Use of computerized clinical decision support systems (CCDSSs) among surgical patients is associated with an increase in the rate of appropriate ordering of venous thromboembolism (VTE) prophylaxis and a decrease in the risk of VTE events, according to a review published online March 15 in JAMA Surgery.

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Provider Understanding of CAM Use in Menopause Is Key

THURSDAY, March 16, 2017 (HealthDay News) -- Many women use complementary and alternative medicine (CAM) for menopause, and increased provider understanding may improve provider-patient communication and treatment effectiveness, according to a review published in the May issue of Maturitas.

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Depressive Symptoms Linked to PTSD Post Hip Fracture Repair

THURSDAY, March 16, 2017 (HealthDay News) -- For older individuals, hip fracture does not induce full posttraumatic stress disorder (fPTSD), according to a study published online Feb. 27 in the Journal of the American Geriatrics Society.

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Thiamine May Reduce Progression to Renal Replacement Therapy

THURSDAY, March 16, 2017 (HealthDay News) -- For patients in septic shock, thiamine is associated with a lower rate of progression to renal replacement therapy (RRT), according to research published online Feb. 16 in the Annals of the American Thoracic Society.

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Women Underrepresented Among Grand Rounds Speakers

WEDNESDAY, March 15, 2017 (HealthDay News) -- Women seem to be underrepresented among academic grand rounds (GR) speakers, according to a research letter published online March 6 in JAMA Internal Medicine.

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Concurrent Benzodiazepine, Opioid Use Up Significantly

WEDNESDAY, March 15, 2017 (HealthDay News) -- From 2001 to 2013, concurrent benzodiazepine/opioid use significantly increased in privately-insured patients in the United States, according to a report published online March 14 in The BMJ.

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Esophageal Cancer Risk Rises Alongside Weight

WEDNESDAY, March 15, 2017 (HealthDay News) -- Overweight young adults may have a significantly increased risk of esophageal adenocarcinoma (EA) and gastric cardia adenocarcinoma (GCA) if they become obese later in life, according to a study published online Feb. 14 in the British Journal of Cancer.

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Cystic Fibrosis Patients in Canada Live Longer Than Those in U.S.

WEDNESDAY, March 15, 2017 (HealthDay News) -- Life expectancy has increased for patients with cystic fibrosis, but those in Canada live nearly 10 years longer than those in the United States, according to research published online March 14 in Annals of Internal Medicine.

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Noninvasive Imaging Deemed Adequate in Prediction of MACE

WEDNESDAY, March 15, 2017 (HealthDay News) -- Computed tomography (CT) angiography and CT myocardial stress perfusion imaging have similar prediction of two-year major adverse cardiovascular events (MACE) as combined invasive coronary angiography (ICA) and stress single photon emission CT myocardial perfusion imaging, according to a study published online March 14 in Radiology.

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Immune Responses to Ebola Vaccines Persist at One Year

WEDNESDAY, March 15, 2017 (HealthDay News) -- After heterologous primary and booster vaccination schedule of the adenovirus type 26 vector vaccine encoding Ebola virus glycoprotein (Ad26.ZEBOV) and the modified vaccinia virus Ankara vector vaccine, encoding glycoproteins from Ebola, Sudan, Marburg, and Tai Forest viruses nucleoprotein (MVA-BN-Filo) immunity persists for one year, according to a research letter published in the March 14 issue of the Journal of the American Medical Association.

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Low Self-Esteem Linked to Anxiety/Depression in SLE

WEDNESDAY, March 15, 2017 (HealthDay News) -- For patients with systemic lupus erythematosus (SLE), measures of psychosocial reserve capacity may be associated with depression and anxiety, according to a study published online March 6 in the International Journal of Rheumatic Diseases.

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Economic Benefit for Lifestyle Modification in Prediabetes

WEDNESDAY, March 15, 2017 (HealthDay News) -- For individuals with prediabetes, participation in lifestyle modifications such as the National Diabetes Prevention Program (DPP) is associated with economic benefit, according to a study published online Feb. 13 in Population Health Management.

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Support for Health Law Up to 48 Percent in February

TUESDAY, March 14, 2017 (HealthDay News) -- Support for the health law is increasing, with most Americans feeling that Medicaid should continue as it is today, according to a report published by Kaiser Health News.

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Many A-Fib Patients Not Getting Appropriate Anticoagulation Rx

TUESDAY, March 14, 2017 (HealthDay News) -- Many patients with atrial fibrillation who experience a stroke may not have been on appropriate anticoagulation therapy, according to a study published in the March 14 issue of the Journal of the American Medical Association.

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Omega-3 Supplements May Benefit Heart Failure Patients

TUESDAY, March 14, 2017 (HealthDay News) -- Prescription of omega-3 supplements may benefit some patients with myocardial infarction (MI) and patients with heart failure, according to a new report published online March 13 in Circulation.

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ADA Updates Standards of Medical Care in Diabetes

TUESDAY, March 14, 2017 (HealthDay News) -- The American Diabetes Association (ADA) recommends metformin as first-line therapy for type 2 diabetes, according to a synopsis of the 2017 ADA Standards of Medical Care in Diabetes published online March 14 in the Annals of Internal Medicine.

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Rx Improves Nasal Symptoms in Laryngopharyngeal Reflux

TUESDAY, March 14, 2017 (HealthDay News) -- For patients with laryngopharyngeal reflux (LPR), anti-reflux medication is associated with improvement in nasal parameters, according to a study published online March 9 in JAMA Otolaryngology-Head & Neck Surgery.

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Internet CBT Ups Sexual Function in Breast Cancer Survivors

TUESDAY, March 14, 2017 (HealthDay News) -- For breast cancer survivors (BCSs) with sexual dysfunction, an internet-based cognitive behavioral therapy (CBT) intervention can improve sexual functioning, according to a study published online Feb. 27 in the Journal of Clinical Oncology.

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Risk of Heart Failure Up for Rheumatoid Arthritis Patients

TUESDAY, March 14, 2017 (HealthDay News) -- Patients with rheumatoid arthritis (RA) have increased risk of heart failure, according to a study published in the March 14 issue of the Journal of the American College of Cardiology.

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Higher Spending by Physicians Not Tied to Better Outcomes

MONDAY, March 13, 2017 (HealthDay News) -- Medicare patients treated by higher-spending physicians are just as likely to be readmitted or die within 30 days of being admitted to the hospital as patients treated by doctors who order fewer or less-expensive tests and treatments, according to a study published online March 13 in JAMA Internal Medicine.

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Confidentiality Issues Impact Use of STD Services for Youth

MONDAY, March 13, 2017 (HealthDay News) -- For adolescents and young adults, confidentiality-related concerns are associated with less use of sexually transmitted disease (STD) services, according to a report published in the March 10 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Musculoskeletal Symptoms Predict Psoriatic Arthritis

MONDAY, March 13, 2017 (HealthDay News) -- For patients with psoriasis, nonspecific musculoskeletal symptoms, including joint pain, fatigue, and stiffness, predict the development of psoriatic arthritis (PsA), according to a study published in the March issue of Arthritis & Rheumatology.

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Postcode Stress, PTSD Seen After Unsuccessful Resuscitation

MONDAY, March 13, 2017 (HealthDay News) -- Critical care nurses who experience unsuccessful cardiopulmonary resuscitation may experience moderate levels of postcode stress and posttraumatic stress disorder (PTSD) symptoms, according to a study published in the March issue of the American Journal of Critical Care.

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HBV Reactivation Seen With DAA Treatment of Chronic Hep C

MONDAY, March 13, 2017 (HealthDay News) -- For patients with chronic hepatitis C (CHC) treated with direct-acting antivirals (DAAs), hepatitis B virus (HBV) reactivation may occur in those with current HBV infection, according to a study published online Feb. 23 in the Journal of Gastroenterology and Hepatology.

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Risk of T2DM at Different BMIs Varies With Ethnicity

MONDAY, March 13, 2017 (HealthDay News) -- The risk of developing type 2 diabetes mellitus (T2DM) associated with body mass index (BMI) varies between ethnic groups, according to a study published online Feb. 17 in Diabetes, Obesity and Metabolism.

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Lowering Cost of Healthy Foods Increases Consumption

FRIDAY, March 10, 2017 (HealthDay News) -- Governments could boost the consumption of healthy food by making it less expensive, as well as requiring that unhealthier food be more expensive, according to research published online March 1 in PLOS ONE.

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Anti-Inflammatory Foods May Mediate Pain in Obese Patients

FRIDAY, March 10, 2017 (HealthDay News) -- People who are overweight and experiencing chronic pain may find relief in a diet rich in anti-inflammatory foods, according to a study published in the February issue of PAIN.

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ATA Guidelines Available As Pocket Cards, Mobile Apps

FRIDAY, March 10, 2017 (HealthDay News) -- Two additional quick-reference tools, which offer guidance on management of various thyroid disorders, have been launched by the American Thyroid Association.

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Patients With Thyroid CA Who Choose No Rx Report Isolation

FRIDAY, March 10, 2017 (HealthDay News) -- Patients with thyroid cancer who decide not to intervene experience anxiety, may feel isolated, and are at risk of disengaging from health care, according to a study published online March 9 in JAMA Otolaryngology-Head and Neck Surgery.

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Better Outcomes in T2DM With No Delay in Tx Intensification

FRIDAY, March 10, 2017 (HealthDay News) -- For patients with type 2 diabetes, not delaying intensification of oral antidiabetic drugs (OADs) is associated with greater reductions in hemoglobin A1c (HbA1c), and with reduced risks of cardiovascular events and amputations, according to a study published online Feb. 17 in Diabetes, Obesity and Metabolism.

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Most Doctors Recommend FDA-Approved Drugs Before E-Cigs

FRIDAY, March 10, 2017 (HealthDay News) -- Most primary care physicians and pulmonologists recommend use of U.S. Food and Drug Administration-approved smoking cessation medications before use of electronic cigarettes, according to a letter to the editor published online March 2 in the Annals of the American Thoracic Society.

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Warm Autoimmune Hemolytic Anemia ID'd After Babesiosis

FRIDAY, March 10, 2017 (HealthDay News) -- Warm autoimmune hemolytic anemia (WAHA) develops in some patients after babesiosis, with asplenic patients at increased risk, according to a study published in the March 9 issue of the New England Journal of Medicine.

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Yoga + Coherent Breathing May Help Treat Depression

THURSDAY, March 9, 2017 (HealthDay News) -- Weekly sessions of yoga and deep breathing exercises can help ease symptoms of depression, according to a study published online Feb. 16 in the Journal of Alternative and Complementary Medicine.

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Cardiometabolic Risk Factors Not Always Seen With Obesity

THURSDAY, March 9, 2017 (HealthDay News) -- Almost 10 percent of obese people have no cardiometabolic risk factors (CRFs), according to research published March 9 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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EWG Report: Strawberries Have Most Pesticides

THURSDAY, March 9, 2017 (HealthDay News) -- Strawberries have the highest level of pesticide contamination in produce, while sweet corn and avocados have the lowest levels, according to an annual report from the Environmental Working Group.

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ACA's Medicaid Expansion May Pose Challenges to Timely Care

THURSDAY, March 9, 2017 (HealthDay News) -- People living in states that expanded Medicaid under the Affordable Care Act (ACA) are less likely to be uninsured or struggling with the strain of unpaid medical bills, but they also seem to have increased difficulty receiving timely care, according to research published in the March 9 issue of the New England Journal of Medicine.

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Off-Label Donepezil Rx for MCI Could Be Risky for Some Patients

WEDNESDAY, March 8, 2017 (HealthDay News) -- Donepezil should not be prescribed to patients with mild cognitive impairment without first giving them a genetic test, according to research published recently in the Journal of Alzheimer's Disease.

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Rates of Hepatitis C Testing Too Low in Baby Boomers

WEDNESDAY, March 8, 2017 (HealthDay News) -- Despite recommendations, too few American baby boomers are tested for hepatitis C virus, according to a study published online March 8 in the American Journal of Preventive Medicine.

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Vildagliptin, Metformin Have Different Effects on BP in T2DM

WEDNESDAY, March 8, 2017 (HealthDay News) -- For patients with type 2 diabetes, vildagliptin lowers blood pressure (BP) and elevates heart rate (HR), while metformin increases HR with no effect on BP during intraduodenal (ID) glucose infusion, according to a study published online March 3 in Diabetes Care.

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Behavioral Treatment, Physical Activity Aids Urinary Incontinence

WEDNESDAY, March 8, 2017 (HealthDay News) -- For frail older women, combining behavioral urinary incontinence (UI) treatments with physical activity may improve UI, according to a study published online March 1 in the Journal of the American Geriatrics Society.

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Gluten Challenge Rarely Confirms Diagnosis of Gluten Sensitivity

WEDNESDAY, March 8, 2017 (HealthDay News) -- For patients diagnosed with nonceliac gluten sensitivity (NCGS), double-blind, placebo-controlled gluten challenge rarely confirms diagnosis, according to research published in the March issue of Clinical Gastroenterology and Hepatology.

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CDC: Arthritis Limits the Activities of 24 Million U.S. Adults

WEDNESDAY, March 8, 2017 (HealthDay News) -- One in four adults in America report an arthritis diagnosis, with the number of individuals disabled by it up 20 percent since 2002, according to a report from the U.S. Centers for Disease Control and Prevention.

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Soy Linked to Prolonged Survival in Some Breast Cancer Patients

WEDNESDAY, March 8, 2017 (HealthDay News) -- Breast cancer survivors who consume more soy may have a lower risk of all-cause mortality over a 10-year period, according to a study published online March 6 in Cancer.

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Diet Tied to Large Proportion of Cardiometabolic Deaths

WEDNESDAY, March 8, 2017 (HealthDay News) -- Nearly half of all deaths from heart disease, stroke, and diabetes in the United States are associated with diets that lack certain foods and nutrients, such as vegetables, and exceed optimal levels of others, like salt, according to a study published in the March 7 issue of the Journal of the American Medical Association.

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Five Million American Seniors Now Living With Alzheimer's

TUESDAY, March 7, 2017 (HealthDay News) -- Alzheimer's disease claims nearly twice as many American lives annually as it did just 15 years ago, according to the 2017 Alzheimer's Disease Facts and Figures report, published March 7 by the Alzheimer's Association.

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Fewer Americans Actively Trying to Lose Weight

TUESDAY, March 7, 2017 (HealthDay News) -- One in every three people in the United States is now obese, compared with one in five 20 years ago, but many have given up on trying to lose the excess weight, according to a research letter published in the March 7 issue of the Journal of the American Medical Association.

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Anakinra Ineffective for Reducing Symptoms of Chronic Fatigue

TUESDAY, March 7, 2017 (HealthDay News) -- The anti-inflammatory biologic drug anakinra (Kineret) does not reduce fatigue severity in women with chronic fatigue syndrome, according to a study published online March 7 in the Annals of Internal Medicine.

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USPSTF: Insufficient Evidence for Pelvic Screening Exams

TUESDAY, March 7, 2017 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has concluded that there is currently insufficient evidence to assess the balance of benefits and harms of performing screening pelvic examination in asymptomatic, nonpregnant adult women. These findings form the basis of a final recommendation statement published in the March 7 issue of the Journal of the American Medical Association.

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Migraine Consistently Tied to Cervical Artery Dissection

TUESDAY, March 7, 2017 (HealthDay News) -- Cervical arterial dissection (CEAD) increases risk of ischemic stroke (IS), and appears related to history of migraine headaches in some younger adults, according to a study published online March 6 in JAMA Neurology.

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Few Patients With Resistant High BP Take Rx As Prescribed

TUESDAY, March 7, 2017 (HealthDay News) -- Only 20 percent of patients with resistant hypertension take all the medicine they're prescribed, according to research published online March 6 in Hypertension.

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Republicans Introduce Affordable Care Act Replacement

TUESDAY, March 7, 2017 (HealthDay News) -- An initial Republican replacement for the Affordable Care Act was formally introduced in the House of Representatives on Monday.

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Patients Reluctant to Comply With Drug-Only Psychiatric Treatment

TUESDAY, March 7, 2017 (HealthDay News) -- Mental health patients are more likely to reject treatment if it involves only medication, according to a study published online March 6 in Psychotherapy.

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Cancer Screening Remains Below Healthy People 2020 Targets

TUESDAY, March 7, 2017 (HealthDay News) -- From 2000 to 2015 there were increases in colorectal cancer screening use, but not in breast or cervical cancer screening, according to a report published in the March 3 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Diabetes Ups Risk of Adverse Outcomes in Chronic Heart Failure

TUESDAY, March 7, 2017 (HealthDay News) -- For outpatients with chronic heart failure, diabetes is associated with increased risk of one-year adverse outcomes, according to a study published online March 2 in Diabetes Care.

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FDA Approves Noctiva Nasal Spray for Nocturnal Polyuria

MONDAY, March 6, 2017 (HealthDay News) -- Noctiva (desmopressin acetate) nasal spray has been approved by the U.S. Food and Drug Administration to treat frequent urination at night due to nocturnal polyuria.

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Most Health Care Providers Can Offer Cost Estimate

MONDAY, March 6, 2017 (HealthDay News) -- Most provider organizations can offer a cost estimate, although few patients request one, according to a report published by Becker's Hospital CFO.

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Index Predicts 10-, 14-Year Mortality in Older Adults

MONDAY, March 6, 2017 (HealthDay News) -- An 11-factor index predicts 10- and 14-year mortality with excellent calibration and discrimination among community-dwelling U.S. adults aged ≥65 years, according to a study published online Feb. 21 in the Journal of the American Geriatrics Society.

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Guidelines Updated for Benign Paroxysmal Positional Vertigo

MONDAY, March 6, 2017 (HealthDay News) -- In a clinical practice guideline published in the March issue of Otolaryngology-Head and Neck Surgery, updated recommendations are presented for the diagnosis and management of benign paroxysmal positional vertigo (BPPV).

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Metreleptin Doesn't Improve Glycemic Control in T1DM

MONDAY, March 6, 2017 (HealthDay News) -- For patients with suboptimally controlled type 1 diabetes mellitus (T1DM), metreleptin does not improve glycemic control, but is associated with reductions in body weight and daily insulin dose, according to a study published online Feb. 21 in Diabetes Care.

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Neurofeedback Aids in Reducing Chemo-Related Nerve Damage

MONDAY, March 6, 2017 (HealthDay News) -- Learning to control brain waves with neurofeedback appears to help cancer survivors ease symptoms of chronic chemotherapy-induced peripheral neuropathy (CIPN), according to a study published online March 3 in Cancer.

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Speech Pathology Telepractice Beneficial in Head, Neck Cancer

FRIDAY, March 3, 2017 (HealthDay News) -- For patients with head and neck cancer, a multisite speech pathology telepractice service is associated with higher service efficiency and treatment satisfaction compared with standard care, according to a study published online Feb. 22 in Head & Neck.

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Tolerance Develops in NSAID-Induced Urticaria/Angioedema

FRIDAY, March 3, 2017 (HealthDay News) -- Patients with nonsteroidal anti-inflammatory drug (NSAID)-induced urticaria/angioedema (NIUA) may develop tolerance to NSAIDs over time, according to a study published online Feb. 22 in Allergy.

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Judgement Bias in Medical Device Recall Decisions

FRIDAY, March 3, 2017 (HealthDay News) -- The characteristics of the signal in user feedback of adverse events associated with medical devices and the situated context of decision makers correlate with judgement bias in reacting to these adverse events, according to research published online Jan. 29 in Production and Operations Management.

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Rate of Hearing Loss Projected to Almost Double in the U.S. by 2060

FRIDAY, March 3, 2017 (HealthDay News) -- Among American adults 20 and older, hearing loss is expected to increase from 44 million in 2020 (15 percent of adults) to 73.5 million by 2060 (23 percent of adults), according to a research letter published online March 2 in JAMA Otolaryngology-Head & Neck Surgery.

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FDA Approves Odactra for House Dust Mite Allergies

FRIDAY, March 3, 2017 (HealthDay News) -- A new treatment for dust mite allergies has been approved by the U.S. Food and Drug Administration.

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Skin Diseases Responsible for Significant Economic Burden

FRIDAY, March 3, 2017 (HealthDay News) -- Skin diseases have a major impact on Americans and the U.S. economy, according to a report published online March 1 in the Journal of the American Academy of Dermatology.

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Hearing-Aid Outcomes Found to Be Very Good in Older Adults

FRIDAY, March 3, 2017 (HealthDay News) -- Hearing aids provide significant benefit to older adults, according to a study published online March 2 in the American Journal of Audiology.

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Exercise Treatments Best for Reducing Cancer-Related Fatigue

FRIDAY, March 3, 2017 (HealthDay News) -- Exercise and/or behavioral and educational therapy may be more effective than prescription drugs for dealing with cancer-related fatigue, according to a meta-analysis published online March 2 in JAMA Oncology.

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Hospital Floors May Be Breeding Ground for Superbugs

FRIDAY, March 3, 2017 (HealthDay News) -- Hospital room floors may be more of an infection threat than many hospital staffers realize, according to a study published in the March 1 issue of the American Journal of Infection Control.

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Wide Variation Found for Amount of Melatonin in Supplements

THURSDAY, March 2, 2017 (HealthDay News) -- Many over-the-counter melatonin products are inaccurately labeled, according to a study published in the Feb. 15 issue of the Journal of Clinical Sleep Medicine.

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Sun Protection Behaviors Often Poor Among Melanoma Survivors

THURSDAY, March 2, 2017 (HealthDay News) -- A sizeable proportion of melanoma survivors still report elevated sun exposure, sunburns, and suboptimal ultraviolet radiation protection behaviors, according to research published online March 2 in Cancer Epidemiology, Biomarkers & Prevention.

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Overall, 8.8 Percent of U.S. Population Uninsured in 2016

THURSDAY, March 2, 2017 (HealthDay News) -- Overall, 8.8 percent of individuals of all ages were uninsured in the first nine months of 2016, which marked a nonsignificant reduction from 2015, according to a Feb. 14 report from the National Center for Health Statistics.

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Specific Autoimmune Diseases Tied to Subsequent Dementia Risk

THURSDAY, March 2, 2017 (HealthDay News) -- Patients with autoimmune diseases appear to have an increased risk of developing dementia, according to a study published online March 1 in the Journal of Epidemiology & Community Health.

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Wireless Stimulation Device May Help Reduce Migraine Pain

THURSDAY, March 2, 2017 (HealthDay News) -- Remote nonpainful electrical upper arm skin stimulation may be a promising new treatment for migraines, particularly when applied early in an attack, according to a study published online March 1 in Neurology.

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Past Prescribing Behavior Predicts Choice of Insomnia Rx

THURSDAY, March 2, 2017 (HealthDay News) -- In treatment of insomnia, historical preference for a certain medication is highly predictive of future prescribing behavior, according to a study published online Feb. 9 in Scientific Reports.

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Care Setting Affects Management of Carotid Artery Stenosis

THURSDAY, March 2, 2017 (HealthDay News) -- For individuals with a diagnosis of carotid artery stenosis, the likelihood of undergoing procedural management is increased for those treated in a fee-for-service system compared with a salary-based setting, according to a study published online March 1 in JAMA Surgery.

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Reduced Health Care Use for Exenatide Regimens in T2DM

THURSDAY, March 2, 2017 (HealthDay News) -- For patients with type 2 diabetes, treatment with exenatide is associated with reduced health care resource use and costs compared with basal insulin (BI) regimens, according to a study published online Feb. 20 in Diabetes, Obesity and Metabolism.

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Pravastatin Does Not Improve Survival in Small-Cell Lung Cancer

THURSDAY, March 2, 2017 (HealthDay News) -- For patients with small-cell lung cancer (SCLC), addition of pravastatin to standard chemotherapy does not improve survival, according to a study published online Feb. 27 in the Journal of Clinical Oncology.

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Review Supports Link Between Adiposity, Risk of Some Cancers

WEDNESDAY, March 1, 2017 (HealthDay News) -- Additional weight appears to particularly influence the risk of cancers related to the digestive organs or those driven by hormonal abnormalities, according to a review published online Feb. 28 in The BMJ.

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More Functions Available for Physicians at PCMH Practices

WEDNESDAY, March 1, 2017 (HealthDay News) -- Primary care physicians working in patient-centered medical home (PCMH) practices more often have PCMH-related functions available, according to a Feb. 17 report from the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Colorectal Cancer Rates, Mortality Down in Americans Aged ≥50

WEDNESDAY, March 1, 2017 (HealthDay News) -- Colorectal cancer (CRC) rates among those aged 50 and older have fallen 32 percent since 2000, while deaths from the disease fell by 34 percent, according to a report published online March 1 in CA: A Cancer Journal for Clinicians.

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Indoor Tanning Cost U.S. Health Care $343 Million Annually

WEDNESDAY, March 1, 2017 (HealthDay News) -- Skin cancers linked to indoor tanning are estimated to have cost the U.S. health care system hundreds of millions of dollars in 2015, according to research published online Feb. 28 in the Journal of Cancer Policy.

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Poor Knowledge of Charcot Neuroarthropathy Reported

WEDNESDAY, March 1, 2017 (HealthDay News) -- Most non-foot specialist clinical faculty members at a large academic institution have poor or complete lack of knowledge of Charcot neuroarthropathy (CN), according to a study published online Feb. 8 in Clinical Diabetes and Endocrinology.

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Relapse Rate 18.6 Percent for Ulcerative Colitis

WEDNESDAY, March 1, 2017 (HealthDay News) -- For patients with ulcerative colitis (UC) in clinical, endoscopic, and histological remission, the rate of relapse is 18.6 percent over a median follow-up of nine months, according to a study published online Feb. 21 in the Journal of Gastroenterology and Hepatology.

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Subdural Hematomas Rising Alongside Antithrombotic Use

WEDNESDAY, March 1, 2017 (HealthDay News) -- Antithrombotic drug use is associated with increased risk of subdural hematoma, according to a study published in the Feb. 28 issue of the Journal of the American Medical Association.

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