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September 2014 Briefing - Internal Medicine

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

Low Professional Liability for No Esophageal Cancer Screening

TUESDAY, Sept. 30, 2014 (HealthDay News) -- The risk of medical professional liability claims alleging failure to screen for esophageal cancer is not a reason to screen for esophageal cancer, according to a research letter published in the Oct. 1 issue of the Journal of the American Medical Association.

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Acupuncture May Not Help Chronic Knee Pain

TUESDAY, Sept. 30, 2014 (HealthDay News) -- Acupuncture doesn't improve knee pain any more than sham acupuncture, according to a new study published in the Oct. 1 issue of the Journal of the American Medical Association.

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Can Exercise Prevent Type 2 Diabetes? Genes May Be Key

TUESDAY, Sept. 30, 2014 (HealthDay News) -- For millions of overweight Americans, regular exercise remains a prime weapon against excess weight and the threat of type 2 diabetes. However, a new study suggests that the battle may be tougher for some than for others, depending on their genes. The study was published online Sept. 29 in Diabetologia.

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Spinal Cord Stimulation Feasible for Diabetic Neuropathy

TUESDAY, Sept. 30, 2014 (HealthDay News) -- For patients with painful diabetic peripheral neuropathy (PDPN), spinal cord stimulation (SCS) is a successful treatment, according to a study published online Sept. 11 in Diabetes Care.

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β-Blockers Equivalent in Long QT Syndrome Genotype 1

TUESDAY, Sept. 30, 2014 (HealthDay News) -- For patients with long QT syndrome (LQTS), different β-blockers are effective for reducing the risk for first cardiac event in LQT1, but only nadolol is effective in LQT2, according to a study published in the Sept. 30 issue of the Journal of the American College of Cardiology.

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Fish Oil Supplements Don't Prevent Recurrence of A-Fib

TUESDAY, Sept. 30, 2014 (HealthDay News) -- High doses of fish oil supplements won't prevent recurrence of atrial fibrillation (AF), Canadian researchers report. The study, funded by the Canadian Institutes for Health Research and the Heart and Stroke Foundation of Quebec, was published in the Oct. 7 issue of the Journal of the American College of Cardiology.

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FDA Criticized Over Implanted Medical Device Approval Process

TUESDAY, Sept. 30, 2014 (HealthDay News) -- Patients are receiving medical implants that may not have been rigorously tested before or after their approval by the U.S. Food and Drug Administration, two new studies contend. The findings were published online Sept. 29 in JAMA Internal Medicine.

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AHA: Consider Radiation Risks of Heart Imaging Procedures

TUESDAY, Sept. 30, 2014 (HealthDay News) -- Doctors need to make sure patients understand the radiation-related risks of heart imaging tests before sending them for such procedures, a new American Heart Association scientific statement says. The statement was published online Sept. 29 in Circulation.

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American Academy of Neurology Issues Opioid Guidelines

TUESDAY, Sept. 30, 2014 (HealthDay News) -- The risks of opioids outweigh their benefits for treating chronic noncancer pain such as chronic headaches, low back pain, and fibromyalgia, according to a new statement from the American Academy of Neurology (AAN).

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'Just-in-Time' Methodology Can Reduce Patient Waiting Times

MONDAY, Sept. 29, 2014 (HealthDay News) -- Having trainee physicians review cases prior to clinic hours can reduce patient waiting times, flow times, and clinic session times, according to a study published online Sept. 16 in Pain Medicine. The management process studied was first popularized by Toyota in Japan.

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Ultrasound Can Accurately Diagnose Carpal Tunnel

MONDAY, Sept. 29, 2014 (HealthDay News) -- Ultrasound can accurately confirm the diagnosis of carpal tunnel syndrome, according to a study published in the Sept. 3 issue of The Journal of Bone & Joint Surgery.

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Daytime Cholecystectomy May Be Better for Acute Cholecystitis

MONDAY, Sept. 29, 2014 (HealthDay News) -- Patients who require cholecystectomy for acute cholecystitis are more likely to have a minimally invasive procedure if they have the surgery during daytime rather than at night, according to a study published online Sept. 20 in the American Journal of Surgery.

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Insulin Increases Resting-State Functional Connectivity in T2DM

MONDAY, Sept. 29, 2014 (HealthDay News) -- For older adults with type 2 diabetes, a single dose of intranasal insulin increases resting-state brain functional connectivity, according to a study published online Sept. 23 in Diabetes.

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AMA Launches Three Programs for Physician Wellness

MONDAY, Sept. 29, 2014 (HealthDay News) -- Physicians' personal health is a global concern and three initiatives are being developed to encourage positive change, according to a report from the American Medical Association (AMA).

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ACC Withdraws One Choosing Wisely Recommendation

MONDAY, Sept. 29, 2014 (HealthDay News) -- Researchers have withdrawn one of the previous Choosing Wisely recommendations from April 2012, according to a report from the American College of Cardiology (ACC).

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Untreated Sleep Apnea May Raise Risk of Surgical Complications

FRIDAY, Sept. 26, 2014 (HealthDay News) -- Screening and treating patients for obstructive sleep apnea before they have surgery may reduce their risk of cardiovascular complications by more than half, according to a study published in the October issue of Anesthesiology.

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NIH Funds Study of Malpractice Risk, Cardiac Testing Incentives

FRIDAY, Sept. 26, 2014 (HealthDay News) -- The National Institutes of Health has granted $2 million to study the effect of malpractice risk and financial incentives on cardiac testing.

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Stress Might Be Even More Unhealthy for the Obese

FRIDAY, Sept. 26, 2014 (HealthDay News) -- Recurring emotional stress may trigger a stronger biochemical response in overweight people, possibly increasing their risk of chronic illnesses such as heart disease and type 2 diabetes, according to new study published online Aug. 5 in Brain, Behavior, and Immunity.

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Experiences Trump Things, Even Before Purchase

FRIDAY, Sept. 26, 2014 (HealthDay News) -- People derive value from the anticipation of purchasing something, and this anticipation tends to be greater for an experiential purchase than for a material purchase, according to a study published online Aug. 21 in Psychological Science.

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Cognitive Behavioral Therapy Beats Tai Chi for Insomnia

FRIDAY, Sept. 26, 2014 (HealthDay News) -- Cognitive behavioral therapy (CBT) is better than tai chi for late-life insomnia, according to a study published in the September issue of SLEEP.

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Yoga Offers Benefits to Patients With Bipolar Disorder

FRIDAY, Sept. 26, 2014 (HealthDay News) -- For individuals with bipolar disorder, yoga seems to be beneficial, with positive emotional, cognitive, and physical effects, according to a study published in the September issue of the Journal of Psychiatric Practice.

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Balance Impairment in MS Involves Multiple Systems

FRIDAY, Sept. 26, 2014 (HealthDay News) -- Balance impairment in multiple sclerosis (MS) involves constraints across multiple systems and consequently necessitates multimodal treatment, according to a study published in the September issue of the Journal of Clinical Outcomes Management.

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Higher HDL Cholesterol May Help Protect Against Cancer

FRIDAY, Sept. 26, 2014 (HealthDay News) -- Higher levels of high-density lipoprotein cholesterol (HDL-C) are associated with a decreased risk of cancer among individuals with type 2 diabetes, according to a study published online Sept. 11 in Diabetes Care.

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Considerable Work Productivity Loss in Early Arthritis

FRIDAY, Sept. 26, 2014 (HealthDay News) -- For patients with early arthritis (EA), work productivity (WP) loss is considerable during the first three years of disease, according to research published in the September issue of Arthritis Care & Research.

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Oral Sodium Phosphate Doesn't Up Acute Kidney Injury

FRIDAY, Sept. 26, 2014 (HealthDay News) -- Use of oral sodium phosphate (OSP) for bowel cleansing prior to a colonoscopy is not associated with the risk of postprocedure acute kidney injury (AKI), according to a study published in the September issue of Clinical Gastroenterology and Hepatology.

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Depression Linked to Worse Bypass Grafting Outcomes

FRIDAY, Sept. 26, 2014 (HealthDay News) -- For patients with established ischemic heart disease undergoing coronary artery bypass grafting (CABG), depression is associated with increased mortality and poor cardiovascular outcomes, according to a study published in the Sept. 1 issue of The American Journal of Cardiology.

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Behavioral Therapy Deemed Best for Social Anxiety Disorder

FRIDAY, Sept. 26, 2014 (HealthDay News) -- Antidepressants are commonly used to treat social anxiety disorder, but a new report argues that psychotherapy is a better first option. The report was published online Sept. 26 in The Lancet Psychiatry.

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Targeted Therapy May Help Relieve 'Complicated Grief'

THURSDAY, Sept. 25, 2014 (HealthDay News) -- For people mired in grief after a loved one's death, a specially designed therapy may work better than a standard treatment for depression, according to a study published online Sept. 24 in JAMA Psychiatry.

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Half of HIV+ MSM in U.S. Aren't Getting Proper Treatment

THURSDAY, Sept. 25, 2014 (HealthDay News) -- Even though men who have sex with men (MSM) make up the majority of Americans infected with HIV, half aren't receiving ongoing care or being prescribed antiretroviral therapy (ART), according to research published in the Sept. 26 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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CDC: Nearly 5 Percent of Young U.S. Women Have Chlamydia

THURSDAY, Sept. 25, 2014 (HealthDay News) -- An estimated 1.8 million Americans aged 14 to 39 are infected with Chlamydia trachomatis, and many don't know it, according to research published in the Sept. 26 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Can Media Multitasking Alter Your Brain?

THURSDAY, Sept. 25, 2014 (HealthDay News) -- Multitasking with smartphones, laptop computers, and other media devices could change the structure of your brain, according to a study published online Sept. 24 in PLOS ONE.

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All Work, No Play May Up Risk of Diabetes

THURSDAY, Sept. 25, 2014 (HealthDay News) -- Working long hours may increase one's risk for diabetes, but this may depend on the job. These findings have been published online Sept. 25 in The Lancet Diabetes & Endocrinology.

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NSAIDs Tied to Risk of Venous Thromboembolism

THURSDAY, Sept. 25, 2014 (HealthDay News) -- Use of nonsteroidal anti-inflammatory drugs (NSAIDs) may increase risk of venous thromboembolism (VTE), according to new research published online Sept. 24 in Rheumatology.

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Blood Test Might Predict Speed of Recovery From Surgery

THURSDAY, Sept. 25, 2014 (HealthDay News) -- Measuring the activity of subsets of white blood cells immediately after surgery might reveal which patients are likely to recover quickly and those who won't, a preliminary study suggests. The report was published in the Sept. 24 issue of Science Translational Medicine.

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Memory Slips in Senior Years May Signal Dementia Risk

THURSDAY, Sept. 25, 2014 (HealthDay News) -- Healthy elderly people who begin reporting memory lapses are significantly more likely to be diagnosed with dementia roughly a decade later, according to a study published online Sept. 24 in Neurology.

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More HIV+ Patients Undergoing Spinal Fusion

THURSDAY, Sept. 25, 2014 (HealthDay News) -- More HIV-positive patients are undergoing spinal fusions, and these patients have higher rates of complications resulting from the procedures, according to a study published in the Sept. 15 issue of Spine.

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ACP Launches Program for Nonvalvular A-Fib Management

THURSDAY, Sept. 25, 2014 (HealthDay News) -- A new program is being developed to help patients recognize the signs and symptoms of nonvalvular atrial fibrillation (NVAF), according to a report from the American College of Physicians (ACP).

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Kidney Disease Doesn't Bar Thrombolytic Therapy in Stroke

THURSDAY, Sept. 25, 2014 (HealthDay News) -- Intravenous (IV) thrombolytic therapy for acute ischemic stroke (IS) is not contraindicated in patients with chronic kidney disease (CKD), according to research published online Sept. 23 in Circulation: Cardiovascular Quality and Outcomes.

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New Clinical Guidelines Developed for NSTE-ACS

WEDNESDAY, Sept. 24, 2014 (HealthDay News) -- New guidelines for management of patients with non-ST-elevation acute coronary syndrome (NSTE-ACS) have been developed and published online Sept. 23 in Circulation.

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Soda Giants Pledge to Make Calorie Cuts in Their Drinks

WEDNESDAY, Sept. 24, 2014 (HealthDay News) -- The top U.S. soda makers have agreed to help reduce Americans' consumption of calories from sugary beverages by one-fifth during the next decade -- by shrinking drink sizes and marketing healthier options.

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Diabetes Rates Leveling Off in the United States

WEDNESDAY, Sept. 24, 2014 (HealthDay News) -- Overall adult diabetes rates appear to have leveled off during the past four years in the United States, in stark contrast to the two decades prior, which saw a doubling of the chronic disease, according to research published in the Sept. 24 issue of the Journal of the American Medical Association.

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Report Identifies Game Changers for U.S. Health Care

WEDNESDAY, Sept. 24, 2014 (HealthDay News) -- Imagine if doctors and hospitals got paid for providing better care, not more care, and patients had better data for making informed health choices. A new report suggests that's the direction the U.S. health system is headed.

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Meditation May Benefit Those Who Suffer From Migraines

WEDNESDAY, Sept. 24, 2014 (HealthDay News) -- Mindfulness-based stress reduction (MBSR) is a safe and practical intervention for adults with migraine headaches, according to research published online July 18 in Headache.

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Clinical Practice Guideline Issued for Comorbid Conditions in CVD

WEDNESDAY, Sept. 24, 2014 (HealthDay News) -- Comorbid conditions must be considered when applying clinical practice guidelines to the treatment of cardiovascular disease, according to an article published online Sept. 11 in the Journal of the American College of Cardiology.

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Gut Microbiome Diversity Linked to Endogenous Estrogens

WEDNESDAY, Sept. 24, 2014 (HealthDay News) -- Diversity of fecal microbiome is associated with an increased ratio of hydroxylated estrogen metabolites to parent estrogen, according to a study published online Sept. 11 in the Journal of Clinical Endocrinology and Metabolism.

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Most Doctors Are Over-Extended or at Full Capacity

WEDNESDAY, Sept. 24, 2014 (HealthDay News) -- Most physicians report being over-extended or at full capacity, according to a survey conducted by Merritt Hawkins for The Physicians Foundation.

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Lung Infections May Hamper Ability to Detect Lung Cancer

WEDNESDAY, Sept. 24, 2014 (HealthDay News) -- A test used to diagnose lung cancer may not be as reliable in geographic regions where certain lung infections are more common, according to research published in the Sept. 24 issue of the Journal of the American Medical Association.

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Review: Desmopressin Offers Modest Benefit for Nocturia

WEDNESDAY, Sept. 24, 2014 (HealthDay News) -- Desmopressin offers a modest benefit for treating nocturia in generally healthy adults, according to a systematic review published in the September issue of The Journal of Urology.

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Generic Discount Drug Program Use Has Increased Over Time

TUESDAY, Sept. 23, 2014 (HealthDay News) -- Use of the generic discount drug program (GDDP) for filling prescriptions with generic drugs has increased since its introduction, according to a research letter published online Sept 22 in JAMA Internal Medicine.

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CDC: Ebola Cases Could Reach 1.4 Million in Months

TUESDAY, Sept. 23, 2014 (HealthDay News) -- Infections from the Ebola epidemic in Liberia and Sierra Leone could soar to 1.4 million cases by mid-January unless the global community mounts a rapid response to the West African crisis. This prediction is part of a new report published in the Sept. 23 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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FDA Warns Doctors of Danger From 'Fake' Drugs

TUESDAY, Sept. 23, 2014 (HealthDay News) -- The number of "rogue" wholesale distributors selling fake or unapproved prescription drugs is growing, so doctors need to be vigilant when purchasing medicines, the U.S. Food and Drug Administration warned Tuesday.

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FDA: Blood Test for Yeast Pathogens Approved

TUESDAY, Sept. 23, 2014 (HealthDay News) -- The first blood test to detect five yeast pathogens that can cause blood infections in people with weakened immune systems has been approved by the U.S. Food and Drug Administration. The five yeast pathogens are Candida albicans and/or Candida tropicalis, Candida parapsilosis, Candida glabrata and/or Candida krusei.

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Ebola Cases Predicted to Continue Increasing

TUESDAY, Sept. 23, 2014 (HealthDay News) -- Based on data from the first nine months of the Ebola virus disease (EVD) epidemic, the numbers of cases are predicted to continue increasing, according to a study published online Sept. 23 in the New England Journal of Medicine.

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Statins May Improve Hemorrhagic Stroke Outcomes

TUESDAY, Sept. 23, 2014 (HealthDay News) -- Patients taking statin medication while in the hospital for a hemorrhagic stroke are more than four times more likely to survive than people who aren't taking the drugs, according to a new study. The findings were published online Sept. 22 in JAMA Neurology.

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NIH Adds $10M to Encourage Gender Balance in Clinical Trials

TUESDAY, Sept. 23, 2014 (HealthDay News) -- The U.S. National Institutes of Health is investing $10 million in additional funding in scientific trials to encourage researchers to consider gender in their preclinical and clinical studies.

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USPSTF: Screen Women for Chlamydia, Gonorrhea

TUESDAY, Sept. 23, 2014 (HealthDay News) -- All sexually active women should be screened for two of the most common sexually transmitted infections: chlamydia and gonorrhea, according to new recommendations from the U.S. Preventive Services Task Force. The final recommendation statement was published online Sept. 23 in the Annals of Internal Medicine.

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USPSTF: Behavioral Counseling Recommended to Reduce STIs

TUESDAY, Sept. 23, 2014 (HealthDay News) -- All sexually active adolescents and adults who are at increased risk for sexually transmitted infections should undergo "intensive" behavioral counseling to help prevent risky sexual behaviors (a B recommendation), according to the U.S. Preventive Services Task Force. The final recommendation statement was published online Sept. 23 in the Annals of Internal Medicine.

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Healthy Behaviors May Prevent ~80 Percent of Heart Attacks

TUESDAY, Sept. 23, 2014 (HealthDay News) -- Five recommended health behaviors may prevent four out of five heart attacks in men, according to a study published in the Sept. 30 issue of the Journal of the American College of Cardiology.

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Reduction of Overuse of Non-ICU Cardiac Telemetry Feasible

TUESDAY, Sept. 23, 2014 (HealthDay News) -- Efforts to reduce overuse of non-intensive care unit (ICU) cardiac telemetry correlate with reductions in telemetry use and considerable cost savings, according to a research letter published online Sept. 22 in JAMA Internal Medicine.

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Chikungunya Fever Identified in the United States

TUESDAY, Sept. 23, 2014 (HealthDay News) -- Chikungunya fever is being seen in travelers returning to the United States from affected regions and should be considered as a diagnosis for febrile travelers, according to an ideas and opinions piece published online Sept. 23 in the Annals of Internal Medicine.

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PCPs Reluctant to Offer Genetics Services to Patients

TUESDAY, Sept. 23, 2014 (HealthDay News) -- Primary care providers (PCPs) perceive multiple barriers to provision of genetics services for their patients, according to research published online Sept. 11 in Genetics in Medicine.

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Metformin May Affect TSH Levels in Some Patients

MONDAY, Sept. 22, 2014 (HealthDay News) -- Metformin may raise the risk of low levels of thyroid-stimulating hormone (TSH) among patients with hypothyroidism, according to a study published online Sept. 22 in CMAJ, the journal of the Canadian Medical Association.

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Health Conditions Expected to Worsen Due to Climate Change

MONDAY, Sept. 22, 2014 (HealthDay News) -- A new study warns that rising temperatures and altered weather patterns in the United States may soon exacerbate many existing health risks. The study was published online Sept. 22 in the Journal of the American Medical Association, ahead of the United Nations' summit on climate change, which kicks off Tuesday in New York City.

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One in 15 Family Docs Focus Time on Emergency/Urgent Care

MONDAY, Sept. 22, 2014 (HealthDay News) -- Approximately one in 15 family physicians spend at least 80 percent of their time in emergency or urgent care, with higher percentages seen for doctors in rural areas, according to a report published by the American Academy of Family Physicians. The findings were published in the July-August issue of the Journal of the American Board of Family Medicine.

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Redundant Antimicrobial Therapy Is Pervasive, Costly

MONDAY, Sept. 22, 2014 (HealthDay News) -- Redundant use of antimicrobial therapy is pervasive in U.S. hospitals and is associated with considerable, potentially avoidable, health care costs, according to a study published in the October issue of Infection Control and Hospital Epidemiology.

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Doctor Describes Importance of Interpretation in Patient Care

MONDAY, Sept. 22, 2014 (HealthDay News) -- Understanding patients is important for all doctors, including those working with patients with limited English proficiency, according to an article published in the September/October issue of the Annals of Family Medicine.

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Pancreatic Cancer Risk Not Higher With Diabetes Rx DPP-4i

MONDAY, Sept. 22, 2014 (HealthDay News) -- There is no increased short-term pancreatic cancer risk with dipeptidyl-peptidase-4 inhibitors (DPP-4i) compared to sulfonylureas (SU) and thiazolidinediones (TZD) for glycemic control, according to a study published online Sept. 10 in Diabetes, Obesity and Metabolism.

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Adults Over 45 Not Meeting U.S. Muscle Strengthening Guidelines

MONDAY, Sept. 22, 2014 (HealthDay News) -- Less than one-quarter of adults over 45 meet the muscle-strengthening recommendations set by the U.S. Department of Health and Human Services, according to a study published Sept. 18 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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E-Cigarettes Don't Help Cancer Patients Quit Smoking

MONDAY, Sept. 22, 2014 (HealthDay News) -- Smokers with cancer who used e-cigarettes along with traditional cigarettes were more dependent on nicotine than those who didn't use the devices, a Memorial Sloan Kettering study found. These patients were also just as likely -- or less likely -- to have quit smoking than patients who didn't use e-cigarettes.

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Unsolicited Job Leads May Negatively Impact Mental Health

MONDAY, Sept. 22, 2014 (HealthDay News) -- Unsolicited job leads can have a deleterious effect on mental health, according to a study published in the June issue of the Journal of Health and Social Behavior.

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FDA: Trulicity Approved for Type 2 Diabetes

FRIDAY, Sept. 19, 2014 (HealthDay News) -- Trulicity (dulaglutide), a once-weekly subcutaneous injection, has been approved by the U.S. Food and Drug Administration to improve glycemic control in adults with type 2 diabetes along with diet and exercise.

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Tight Glucose Control Doesn't Prevent Strokes Long Term

FRIDAY, Sept. 19, 2014 (HealthDay News) -- A six-year study of people with type 2 diabetes shows that intensively lowering blood pressure has a long-lasting effect in preventing heart attacks, strokes, and deaths, but intensive blood glucose control does not. The findings were published online Sept. 19 in the New England Journal of Medicine to coincide with presentation of the findings at the annual meeting of the European Association for the Study of Diabetes in Vienna.

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Sales Influence Consumer Food Shopping Habits

FRIDAY, Sept. 19, 2014 (HealthDay News) -- Consumers are more likely to buy high-calorie foods (HCF), but not low-calorie foods (LCF) on sale, according to a study published in the U.S. Center for Disease Control and Prevention's Preventing Chronic Disease.

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Systemwide Changes Needed to Restrain Health Care Spending

FRIDAY, Sept. 19, 2014 (HealthDay News) -- Systemwide changes are necessary to prevent excessive health care spending, and so are tools to help consumers make better, more informed medical choices, according to a white paper published in June by Vitals.

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Breast Cancer Subtype Affects Survival With Spinal Metastasis

FRIDAY, Sept. 19, 2014 (HealthDay News) -- For patients with breast cancer with spinal metastases, estrogen receptor (ER)/hormone receptor (HR)-negative status is associated with worse survival, according to a study published in the Sept. 1 issue of Spine.

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Study Explores Docs' Roles in End-of-Life Hospitalizations

FRIDAY, Sept. 19, 2014 (HealthDay News) -- Family physicians have several distinct roles in preventing and guiding hospitalization at the end of life, according to a study published in the September/October issue of the Annals of Family Medicine.

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Recent Increase in Liver Injury From Herbs, Supplements

FRIDAY, Sept. 19, 2014 (HealthDay News) -- The proportion of liver injury cases resulting from herbals and dietary supplements (HDS) has increased significantly in the last decade, according to a study published online Aug. 25 in Hepatology.

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Electronic Health Records Tied to Shorter Time in ER

FRIDAY, Sept. 19, 2014 (HealthDay News) -- Length of emergency room stay for trauma patients is shorter with the use of electronic health records, according to a study published in the September issue of the Journal of Emergency Nursing.

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Presence of Peers Ups Health Workers' Hand Hygiene

FRIDAY, Sept. 19, 2014 (HealthDay News) -- The presence of other health care workers improves hand hygiene adherence, according to a study published in the October issue of Infection Control and Hospital Epidemiology.

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Vitamin K Antagonist + Clopidogrel Feasible for PCI

FRIDAY, Sept. 19, 2014 (HealthDay News) -- Vitamin K antagonists (VKA) combined with clopidogrel may be a better alternative to triple anticoagulant therapy in patients on long-term VKA undergoing percutaneous coronary intervention (PCI) and stenting, according to a review published in the Sept. 23 issue of the Journal of the American College of Cardiology.

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Vitamin E Supplements Do Not Appear to Prevent Cataracts

FRIDAY, Sept. 19, 2014 (HealthDay News) -- Daily supplements of selenium or vitamin E don't seem to protect against the development of age-related cataracts among men, according to a study published online Sept. 18 in JAMA Ophthalmology.

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Family Squabbles Can Derail Recovery From Cancer Surgery

FRIDAY, Sept. 19, 2014 (HealthDay News) -- Cancer patients burdened by stress and family conflicts before surgery may face a higher risk for complications following their operation, according to a study published in a recent issue of the Journal of Gastrointestinal Surgery.

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Obama Calls for National Plan to Fight Antibiotic Resistance

FRIDAY, Sept. 19, 2014 (HealthDay News) -- President Barack Obama escalated the fight against antibiotic-resistant bacteria on Thursday, ordering key federal agencies to pursue a national strategy to deal with the threat.

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CDC: Add PCV13 As Routine Vaccination in Older Adults

FRIDAY, Sept. 19, 2014 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention have released a Category A recommendation for revised routine pneumococcal vaccination in older adults. The recommendation has been published in the Sept. 19 issue of the CDC's Morbidity and Mortality Weekly Report.

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One Dose of Antidepressant Changes Brain Connectivity

THURSDAY, Sept. 18, 2014 (HealthDay News) -- Just a single dose of a common antidepressant can quickly alter the way brain cells communicate with one another, according to early research published online Sept. 18 in Current Biology.

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CDC: Almost Everyone Needs a Flu Shot

THURSDAY, Sept. 18, 2014 (HealthDay News) -- Less than half of all Americans got a flu shot last year, so U.S. health officials on Thursday urged that everyone 6 months and older get vaccinated for the coming flu season. "It's really unfortunate that half of Americans are not getting the protection from flu they could get," said Thomas Frieden, M.D., director of the U.S. Centers for Disease Control and Prevention, during a morning news conference.

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Strategies Can Help Docs Lower Their Tax Burden

THURSDAY, Sept. 18, 2014 (HealthDay News) -- Strategies are presented to help physicians lower their tax burden in an article published Sept. 2 in Medical Economics.

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Wild Berry May Boost Effect of Chemo for Pancreatic Cancer

THURSDAY, Sept. 18, 2014 (HealthDay News) -- The use of micronutrients such as chokeberry extract may augment the cytotoxic effects of chemotherapy drugs on cancer cells, according to research published online Sept. 17 in the Journal of Clinical Pathology.

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ASTRO Issues Second List of Choosing Wisely Guidelines

THURSDAY, Sept. 18, 2014 (HealthDay News) -- The American Society for Radiation Oncology (ASTRO) has released a second list of five radiation oncology-specific treatments that should be discussed before being prescribed, as part of the national Choosing Wisely campaign.

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FDA Panel: Limit Testosterone Drug Use

THURSDAY, Sept. 18, 2014 (HealthDay News) -- There is little evidence that testosterone replacement therapy effectively treats normally declining levels of the hormone in aging American males, a U.S. Food and Drug Administration advisory panel said Wednesday.

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Migraines in Middle Age Tied to Increased Risk of Parkinson's

THURSDAY, Sept. 18, 2014 (HealthDay News) -- Migraines in midlife may be associated with increased odds of developing Parkinson's disease or other movement disorders in later years, according to research published online Sept. 17 in Neurology.

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ER Timeliness to Be Improved but Some Measures May Backfire

THURSDAY, Sept. 18, 2014 (HealthDay News) -- While there is room for improvement in the timeliness of emergency department care, pressure to comply with length of stay (LOS) measures may have unintended consequences, according to two research letters published online Sept. 15 in JAMA Internal Medicine.

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PET-CT Prognostic After Induction Tx in Follicular Lymphoma

THURSDAY, Sept. 18, 2014 (HealthDay News) -- The five-point Deauville scale (5PS), used to score 18F-fluorodeoxyglucose (FDG) uptake on FDG positron emission tomography-computed tomography (PET-CT) scans, has prognostic value in follicular lymphoma, according to a study published online Sept. 18 in The Lancet Haematology.

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High Mortality, Costs With C. difficile After Spine Surgery

THURSDAY, Sept. 18, 2014 (HealthDay News) -- For patients undergoing lumbar spine surgery, Clostridium difficile (C. difficile) infection is associated with longer, more expensive hospital stays, and increased mortality, according to a study published in the Sept. 1 issue of Spine.

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Initial Sonography OK for Diagnosing Nephrolithiasis

THURSDAY, Sept. 18, 2014 (HealthDay News) -- No significant difference in outcomes is observed between the use of ultrasonography or computed tomography (CT) for suspected nephrolithiasis, according to research published in the Sept. 18 issue of the New England Journal of Medicine.

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Insulin Rx Tied to Increased Major Adverse CV Events in DM

THURSDAY, Sept. 18, 2014 (HealthDay News) -- The rate of major adverse cardiovascular events is higher in patients with diabetes mellitus (DM) and multivessel coronary artery disease treated with insulin (ITDM) versus those not treated with insulin (non-ITDM), according to a study published in the Sept. 23 issue of the Journal of the American College of Cardiology.

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Internists Report Considerable EMR-Linked Time Loss

WEDNESDAY, Sept. 17, 2014 (HealthDay News) -- Use of electronic medical record (EMR) systems is associated with considerable loss of free time per clinic day, according to a research letter published online Sept. 8 in JAMA Internal Medicine.

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Artificial Sweeteners May Raise Blood Glucose Levels

WEDNESDAY, Sept. 17, 2014 (HealthDay News) -- Artificial sweeteners can potentially make blood glucose levels rise despite containing no calories, researchers report online Sept. 17 in Nature.

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Researchers ID Factor in Hospital Bacterial Resistance

WEDNESDAY, Sept. 17, 2014 (HealthDay News) -- Scientists have uncovered a key factor to explain why antibiotic-resistant bacteria can thrive in a hospital setting. These findings have published in the Sept. 17 issue of Science Translational Medicine.

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Urine Test for Cervical HPV Demonstrates Good Accuracy

WEDNESDAY, Sept. 17, 2014 (HealthDay News) -- A simple urine test can routinely spot human papillomavirus (HPV), according to research published online Sept. 16 in The BMJ.

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Screening Elderly Women for Breast Cancer Questioned

WEDNESDAY, Sept. 17, 2014 (HealthDay News) -- Including women older than 70 in national breast cancer screening programs won't lead to a sharp reduction in advanced forms of the disease, according to researchers who published their study findings online Sept. 15 in The BMJ.

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Doctors Promoting Transparency With Patients

WEDNESDAY, Sept. 17, 2014 (HealthDay News) -- Efforts to increase transparency among doctors are underway, according to an article published in The Boston Globe.

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One in Five U.S. Men Admit to Violence Against Partner

WEDNESDAY, Sept. 17, 2014 (HealthDay News) -- One in five American men admit to using violence against his spouse or partner, a new survey shows. The research was published in the September-October issue of the Journal of the American Board of Family Medicine.

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Combination Therapy Deemed Best for COPD

WEDNESDAY, Sept. 17, 2014 (HealthDay News) -- A combination drug therapy of a long-acting beta agonist and inhaled corticosteroid appears to be the best treatment for older adults with chronic obstructive pulmonary disease (COPD), especially those with asthma, according to a study published in the Sept. 17 issue of the Journal of the American Medical Association.

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Most Treatments for Acute VTE Appear Safe, Effective

WEDNESDAY, Sept. 17, 2014 (HealthDay News) -- Almost all the various treatment options for acute venous thromboembolism are equally safe and effective, according to research published in the Sept. 17 issue of the Journal of the American Medical Association.

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Obama to Step Up Aid to Fight Ebola in West Africa

TUESDAY, Sept. 16, 2014 (HealthDay News) -- On the same day that President Barack Obama was to announce a significant increase in U.S. aid to help combat West Africa's Ebola crisis, the World Health Organization warned Tuesday that the window to contain the virus was closing and infections could start doubling every three weeks.

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U.S. Waistlines Keep Growing, With Women Leading the Way

TUESDAY, Sept. 16, 2014 (HealthDay News) -- Americans' average waist size continues to inch up, and women's waistlines are widening faster than men's, according to new government research published in the Sept. 17 issue of the Journal of the American Medical Association.

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CDC: Opioid-Related Deaths Quadrupled in Past Decade

TUESDAY, Sept. 16, 2014 (HealthDay News) -- The number of Americans dying from accidental overdoses of opioid analgesics jumped significantly from 1999 to 2011, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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AACR: Targeted Drugs Among Successes Against Cancer

TUESDAY, Sept. 16, 2014 (HealthDay News) -- About 14.5 million U.S. cancer survivors are alive today, compared to just three million in 1971, the American Association for Cancer Research reported Tuesday.

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FDA Approves Movantik for Opioid-Induced Constipation

TUESDAY, Sept. 16, 2014 (HealthDay News) -- Movantik (naloxegol) has been approved by the U.S. Food and Drug Administration to treat opioid-induced constipation, the agency said Tuesday.

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AHA/ACC: Routine ECGs Not Advised for Young Athletes

TUESDAY, Sept. 16, 2014 (HealthDay News) -- U.S. heart experts recommend doctors use a 14-point checklist rather than an electrocardiogram (ECG) when evaluating young people for underlying heart disease that could result in sudden cardiac arrest.

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Blood Pressure Seems to Stay Lower Longer in Fitter Men

TUESDAY, Sept. 16, 2014 (HealthDay News) -- Aerobic exercise leading to strong cardiorespiratory fitness can delay a man's onset of age-related high blood pressure, researchers report in the Sept. 23 issue of the Journal of the American College of Cardiology.

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Fewer U.S. Teens Using Illegal Drugs and Alcohol

TUESDAY, Sept. 16, 2014 (HealthDay News) -- Illegal drug use among teens in the United States is on the decline, according to a new federal report. Alcohol use, binge drinking, and the use of tobacco products among young people between the ages of 12 and 17 also dropped between 2002 and 2013, according to the report from the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).

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Over a Quarter of Hospital Orders Classified As Defensive

TUESDAY, Sept. 16, 2014 (HealthDay News) -- More than one-quarter of hospital medicine services were rated by ordering physicians as at least a partially defensive order, according to a research letter published online Sept. 15 in JAMA Internal Medicine.

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ACP Releases Guideline for Tx of Female Urinary Incontinence

TUESDAY, Sept. 16, 2014 (HealthDay News) -- The American College of Physicians (ACP) has presented evidence and provided clinical recommendations for the nonsurgical management of urinary incontinence (UI) in women. The clinical practice guideline has been published in the Sept. 16 issue of the Annals of Internal Medicine.

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Spinal Manipulation Helps Relieve Back-Related Leg Pain

TUESDAY, Sept. 16, 2014 (HealthDay News) -- Adding spinal manipulative therapy (SMT) to home exercise and advice (HEA) may improve short-term outcomes in patients with subacute and chronic back-related leg pain (BRLP), according to research published in the Sept. 16 issue of the Annals of Internal Medicine.

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Medicare Patients' Outcomes Better With Generic Statins

MONDAY, Sept. 15, 2014 (HealthDay News) -- Prescribing generic instead of brand-name statins may improve adherence to therapy and cardiovascular outcomes in Medicare beneficiaries, according to research published in the Sept. 16 issue of the Annals of Internal Medicine.

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Male Pattern Baldness Tied to Prostate Cancer

MONDAY, Sept. 15, 2014 (HealthDay News) -- Men with male pattern baldness may face a higher risk of developing an aggressive type of prostate cancer than men with no balding, according to a study published online Sept. 15 in the Journal of Clinical Oncology.

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Children's Severe Respiratory Virus Confirmed in Northeast

MONDAY, Sept. 15, 2014 (HealthDay News) -- The severe respiratory virus believed to have sickened hundreds of U.S. children in Midwestern and Western states has now spread to the Northeast, health officials report.

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Many Primary Care Patients Will Use Personal Health Records

MONDAY, Sept. 15, 2014 (HealthDay News) -- A substantial proportion of primary care patients will use online personal health records that interact with the electronic health record, according to a study published in the September/October issue of the Annals of Family Medicine.

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Watchful Waiting May Not Be Best for Black Men With Prostate CA

MONDAY, Sept. 15, 2014 (HealthDay News) -- Watchful waiting may not be suitable for all men with early-stage prostate cancer, especially black patients, according to research published in Urologic Oncology.

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Errata Frequently Seen in Medical Literature

MONDAY, Sept. 15, 2014 (HealthDay News) -- Errata, including those that may materially change the interpretation of data, are frequent in medical publications, according to a study published in the August issue of The American Journal of Medicine.

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New Role of Patient As Consumer Requires Market Changes

FRIDAY, Sept. 12, 2014 (HealthDay News) -- The new consumer retail market in U.S. health care is necessary and will benefit consumers, and as consumers take on more costs of care, access to information to help them make informed decisions is crucial, according to a recent white paper published by Vitals.

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INR Variability Predicts Warfarin Adverse Effects

MONDAY, Sept. 15, 2014 (HealthDay News) -- Unstable anticoagulation predicts warfarin adverse effects regardless of time in therapeutic range, according to a study published online Sept. 2 in Circulation: Cardiovascular Quality and Outcomes.

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Mechanism Proposed for Nicotine Gateway Hypothesis

FRIDAY, Sept. 12, 2014 (HealthDay News) -- Mechanisms underlying nicotine use as a gateway to cocaine use have been proposed in a Shattuck lecture published in the Sept. 4 issue of the New England Journal of Medicine.

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AAFP Joins Coalition to Prevent Misuse of ADHD Meds

FRIDAY, Sept. 12, 2014 (HealthDay News) -- The American Academy of Family Physicians (AAFP) has joined the Coalition to Prevent ADHD Medication Misuse (CPAMM), which launched Aug. 28.

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Poverty Tied to Increased Respiratory Hospitalization Rate

FRIDAY, Sept. 12, 2014 (HealthDay News) -- Household income is tied to significant differences in hospitalizations for ambulatory-care-sensitive respiratory conditions, according to a study published in the September/October issue of the Annals of Family Medicine.

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Highly Sensitive Troponin Test IDs Asymptomatic Heart Damage

FRIDAY, Sept. 12, 2014 (HealthDay News) -- A high-sensitivity cardiac troponin T (hs-cTnT) test may be helpful in identifying early heart damage, eventually standing alongside cholesterol tests as a standard screening tool for heart disease risk, according to researchers who presented their study findings online Aug. 22 in Circulation.

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U.S. Ebola Survivor Gives Blood to Infected Health Care Colleague

FRIDAY, Sept. 12, 2014 (HealthDay News) -- An American medical missionary who survived infection with Ebola has donated blood to a colleague who's struggling to fight his own infection with the virus.

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Researchers Support Lung Cancer CT Screen in Older Patients

FRIDAY, Sept. 12, 2014 (HealthDay News) -- Individuals aged 65 to 74 years with a history of smoking should not be excluded from screening with low-dose computed tomography (LDCT) for lung cancer, according to researchers who published their study findings online Sept. 9 in the Annals of Internal Medicine.

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Glycemic Control Linked to Lumbar Surgery Complications

FRIDAY, Sept. 12, 2014 (HealthDay News) -- For patients with diabetes mellitus (DM) undergoing degenerative lumbar spine surgery, suboptimal glycemic control contributes to increased risk of complications and poor outcomes, according to a study published in the Sept. 15 issue of Spine.

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Review: ASA to Prevent Primary CVD Should Be Individualized

FRIDAY, Sept. 12, 2014 (HealthDay News) -- Prescribing aspirin for primary cardiovascular disease (CVD) prevention should be judged on an individual basis by health care providers, according to an article published online Sept. 1 in Trends in Cardiovascular Medicine.

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Non-Vitamin K Oral Anticoagulants Vary in Assay Effects

FRIDAY, Sept. 12, 2014 (HealthDay News) -- Non-vitamin K oral anticoagulants exhibit variable effects on coagulation assays, according to a study published in the Sept. 16 issue of the Journal of the American College of Cardiology.

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Opioid Overdose Prevention Needed in Young Adult Users

FRIDAY, Sept. 12, 2014 (HealthDay News) -- Many young adult nonmedical prescription opioid (PO) users are relatively uninformed about overdose awareness, avoidance, and response strategies, according to a study published online Aug. 22 in The International Journal of Drug Policy.

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Half of Staff Believe Dignified Death Possible in Cancer Centers

THURSDAY, Sept. 11, 2014 (HealthDay News) -- About half of cancer center staff members perceive that a dignified death is possible for cancer patients on their wards, according to a study published online Sept. 8 in Cancer.

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Factors ID'd for CRC Risk Stratification With Positive FIT

THURSDAY, Sept. 11, 2014 (HealthDay News) -- Fecal hemoglobin concentration, sex, and age can be used to classify the risk of advanced colorectal neoplasia among individuals with positive results from fecal immunochemical tests (FITs), according to a study published in the September issue of Gastroenterology.

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Physician Describes Impact of Malpractice Suit

THURSDAY, Sept. 11, 2014 (HealthDay News) -- A family doctor who was involved in a malpractice suit describes the impact on her practice of medicine in an article published online in the September/October issue of the Annals of Family Medicine.

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FDA Approves Novel Weight-Loss Medication

THURSDAY, Sept. 11, 2014 (HealthDay News) -- A new weight-loss medication has been approved by the U.S. Food and Drug Administration as a treatment option for chronic weight management in addition to a reduced-calorie diet and physical activity.

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Ebola-Infected Doctor Showing Improvement in Nebraska

THURSDAY, Sept. 11, 2014 (HealthDay News) -- An American medical missionary being treated at a Nebraska medical center for Ebola infection is showing signs of improvement, according to the hospital.

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Gates Foundation Gives $50M to Fight Ebola Outbreak in Africa

THURSDAY, Sept. 11, 2014 (HealthDay News) -- Acting in response to the devastating Ebola outbreak in four West African nations, the Bill and Melinda Gates Foundation announced Wednesday that it has pledged $50 million to help combat the epidemic.

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Fear About Disease Progression Prompts ER Returns

THURSDAY, Sept. 11, 2014 (HealthDay News) -- Perceived inability to access timely follow-up care and uncertainty and fear about disease progression are the main reasons for return visits to the emergency department, according to a study published online Sept. 2 in the Annals of Emergency Medicine.

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Physician, System Factors Affect CAD Detection Rates

THURSDAY, Sept. 11, 2014 (HealthDay News) -- Nonclinical factors account for considerable variation in the detection of obstructive coronary artery disease (CAD) with coronary angiogram, according to a study published online Sept. 2 in Circulation: Cardiovascular Quality & Outcomes.

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White Matter Measure Predicts Longer Concussion Recovery

THURSDAY, Sept. 11, 2014 (HealthDay News) -- A measure of white matter in the brain, particularly in males, is an independent predictor of longer time to symptom resolution (TSR) after mild traumatic brain injury (mTBI), according to a study published in the September issue of Radiology.

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Technological Interventions Aid Weight Loss in Primary Care

THURSDAY, Sept. 11, 2014 (HealthDay News) -- Compared to usual care, technology-assisted weight loss interventions in the primary care setting help patients achieve more weight loss, according to research published online Aug. 19 in the Journal of General Internal Medicine.

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AB Blood Type May Be Linked to Risk of Memory Loss

THURSDAY, Sept. 11, 2014 (HealthDay News) -- Blood group AB and higher factor VIII are associated with increased incidence of cognitive impairment, according to a study published online Sept. 10 in Neurology.

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Review: Rapid Antigen Tests Accurate for Strep Diagnosis

WEDNESDAY, Sept. 10, 2014 (HealthDay News) -- Rapid antigen diagnostic tests (RADTs) can be used for accurate diagnosis of group A streptococcal (GAS) pharyngitis for management of sore throat in primary care settings, according to a study published online Sept. 8 in Pediatrics.

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Statins May Provide Microvascular Benefit in Diabetes

WEDNESDAY, Sept. 10, 2014 (HealthDay News) -- Statins may help prevent microvascular complications associated with diabetes, according to research published online Sept. 10 in The Lancet Diabetes & Endocrinology.

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Low-Dose Fish Oil Cuts Seizures in Drug-Resistant Epilepsy

WEDNESDAY, Sept. 10, 2014 (HealthDay News) -- For patients with drug-resistant epilepsy, low-dose fish oil can reduce seizures compared with placebo, according to a study published online Sept. 8 in the Journal of Neurology, Neurosurgery & Psychiatry.

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Meta-Analysis: Prediabetes Linked to Increased Cancer Risk

WEDNESDAY, Sept. 10, 2014 (HealthDay News) -- Prediabetes is associated with an elevated risk of cancer overall and with increased risks of site-specific cancers, including liver, endometrial, and stomach/colorectal cancer, according to a meta-analysis published online Sept. 8 in Diabetologia.

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Benzodiazepine Use Linked to Increased Alzheimer's Risk

WEDNESDAY, Sept. 10, 2014 (HealthDay News) -- Benzodiazepine use is associated with an increased risk of Alzheimer's disease, with exposure density correlating with increased strength of association, according to a study published online Sept. 9 in BMJ.

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Long-Term Statins Benefit Familial Hypercholesterolemia

WEDNESDAY, Sept. 10, 2014 (HealthDay News) -- Long-term statin use among children with familial hypercholesterolemia (FH) is associated with normalization of carotid intima-media thickness (IMT) progression, according to a research letter published online Sept. 9 in the Journal of the American Medical Association.

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Recommendations Developed for Sickle Cell Disease

WEDNESDAY, Sept. 10, 2014 (HealthDay News) -- Evidence-based recommendations have been developed to support health care professionals who provide care for individuals with sickle cell disease. The summary of the 2014 evidence-based report by expert panel members was published online Sept. 9 in the Journal of the American Medical Association.

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Reanalyses of RCTs Can Lead to Different Conclusions

WEDNESDAY, Sept. 10, 2014 (HealthDay News) -- More than one-third of the small number of reanalyses of randomized clinical trials (RCTs) have implied conclusions different from those of the original articles, according to a study published online Sept. 9 in the Journal of the American Medical Association.

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Renal Denervation Does Not Reduce Ambulatory BP

TUESDAY, Sept. 9, 2014 (HealthDay News) -- Renal denervation does not reduce ambulatory blood pressure in patients with resistant hypertension, and denervation procedures may miss targets, according to two studies published online Sept. 8 in the Journal of the American College of Cardiology.

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Fourth U.S. Ebola Patient Airlifted to Atlanta Hospital

TUESDAY, Sept. 9, 2014 (HealthDay News) -- A fourth American medical worker infected with the deadly Ebola virus in West Africa was brought back to the United States Tuesday morning for treatment at Emory University Hospital in Atlanta.

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Meds of Questionable Benefit Often Prescribed to Elderly

TUESDAY, Sept. 9, 2014 (HealthDay News) -- Medications of questionable benefit are often prescribed for patients with advanced dementia, adding substantially to the costs of care, according to research published online Sept. 8 in JAMA Internal Medicine.

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For Some, Health Insurance More Costly Than Uninsured Penalty

TUESDAY, Sept. 9, 2014 (HealthDay News) -- For some young people in the United States, the cost of paying a penalty for not buying health insurance will be lower than the lowest-cost insurance, according to a study published online Sept. 9 in the Annals of Internal Medicine.

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Stopping SSRI Use Not Found to Cut Risk of Miscarriage

TUESDAY, Sept. 9, 2014 (HealthDay News) -- Increased risk of miscarriage is observed whether women receive selective serotonin reuptake inhibitors during early pregnancy or discontinue their use before pregnancy, according to research published in the October issue of Obstetrics & Gynecology.

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ASCO/CCO Issue New Guidelines for Advanced Prostate Cancer

TUESDAY, Sept. 9, 2014 (HealthDay News) -- Guidelines, issued jointly by the American Society of Clinical Oncology (ASCO) and Cancer Care Ontario (CCO) in Canada, highlight recent advances in treating hormone-therapy-resistant advanced prostate cancer. The guidelines were published Sept. 8 in the Journal of Clinical Oncology.

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Comparative Studies Lacking for Osteoporosis Drugs

TUESDAY, Sept. 9, 2014 (HealthDay News) -- Good-quality evidence supports the efficacy of several medications for osteoporosis, but the comparative effectiveness of these drugs is unclear, according to research published online Sept. 9 in the Annals of Internal Medicine.

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MI, CHD Incidence for Adults With Diabetes Decreases

TUESDAY, Sept. 9, 2014 (HealthDay News) -- From 1998 to 2010 there was a decrease in the incidence rates of hospitalized myocardial infarction (MI) and coronary heart disease (CHD) among adults with diabetes mellitus in Western Australia, according to a study published online Aug. 26 in Circulation: Cardiovascular Quality and Outcomes.

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Report Explores Patients' Portal Preferences

MONDAY, Sept. 8, 2014 (HealthDay News) -- Patients want portals that include features such as appointment scheduling, viewing test results, and checking prescription refills, and are frustrated with unresponsive staff and poor interfaces, according to a report published by Software Advice.

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Peri-Op Melatonin Doesn't Cut Post-Op Delirium in Elderly

MONDAY, Sept. 8, 2014 (HealthDay News) -- For elderly patients undergoing acute surgery for hip fracture, perioperative melatonin does not reduce the incidence of delirium, according to a study published online Sept. 2 in CMAJ, the Journal of the Canadian Medical Association.

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Single-Dose, Injected Flu Treatment Shows Promise

MONDAY, Sept. 8, 2014 (HealthDay News) -- A new single-dose, injected drug appears safe and effective at helping ease flu symptoms, according to an analysis of Phase II and Phase III clinical trials. The research, funded by the U.S. National Institutes of Health and drugmaker BioCryst Pharmaceuticals, was presented Saturday at the American Society for Microbiology meeting in Washington, D.C.

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Novel Ebola Vaccine Shows Potential in Monkey Trial

MONDAY, Sept. 8, 2014 (HealthDay News) -- An experimental Ebola vaccine has shown promise in a trial involving monkeys, according to a report published online Sept. 7 in the journal Nature Medicine.

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Sepsis Survival Up at High-Volume Hospitals

MONDAY, Sept. 8, 2014 (HealthDay News) -- Patients with sepsis are more likely to survive this life-threatening bloodstream infection if they're treated in a hospital that handles a large number of sepsis cases, according to research published online Aug. 12 in the American Journal of Respiratory and Critical Care Medicine.

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Is Soy a Foe to Women With Breast Cancer?

MONDAY, Sept. 8, 2014 (HealthDay News) -- Soy protein may increase activity in genes linked to breast cancer growth -- at least in certain women who already have the disease, according to research reported in the September issue of the Journal of the National Cancer Institute.

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Health Care Spending Expected to Rise in 2014 Through 2023

MONDAY, Sept. 8, 2014 (HealthDay News) -- While health spending growth was slow in 2013, health spending is expected to increase in 2014 and remain higher through 2023, according to a study published online Sept. 3 in Health Affairs.

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Females Overlooked in Basic Surgical Research

MONDAY, Sept. 8, 2014 (HealthDay News) -- Female animals or cells are rarely used in surgical research studies, even though sex differences can have a major impact on medical research, according to a study published in the September issue of Surgery.

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FDA: NephroCheck Test Approved to Predict Kidney Injury Risk

FRIDAY, Sept. 5, 2014 (HealthDay News) -- The NephroCheck test, designed to predict the risk of sudden kidney injury within 12 hours, has been approved by the U.S. Food and Drug Administration.

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Serious Childhood Burns Tied to Long-Term Mental Health Risks

FRIDAY, Sept. 5, 2014 (HealthDay News) -- Adult survivors of childhood burns are at increased risk for depression and suicidal thoughts, according to a new study published in the September issue of Burns.

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Abdominal Fat Most Strongly Linked to Hypertension Risk

FRIDAY, Sept. 5, 2014 (HealthDay News) -- The association between obesity and the development of hypertension appears to be driven specifically by visceral adiposity, according to research published in the Sept. 9 issue of the Journal of the American College of Cardiology.

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Bra Wearing Does Not Up Risk of Breast Cancer

FRIDAY, Sept. 5, 2014 (HealthDay News) -- Wearing a bra does not appear to increase the risk of developing breast cancer, according to research published online Sept. 5 in Cancer Epidemiology, Biomarkers & Prevention.

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Excessive Precautions Unnecessary for Ebola Virus

FRIDAY, Sept. 5, 2014 (HealthDay News) -- Given that Ebola virus is mainly transmitted via contact, excessive precautions, including complete respiratory protection are unnecessary, according to a letter published online Aug. 29 in The Lancet.

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High Potassium Intake in Older Women Tied to Lower Stroke Risk

FRIDAY, Sept. 5, 2014 (HealthDay News) -- High potassium intake in older women is associated with lower stroke and all-cause mortality risk, according to a study published online Sept. 4 in Stroke.

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Physical Activity Inversely Linked to Nocturia

FRIDAY, Sept. 5, 2014 (HealthDay News) -- Men who are physically active are less likely to report nocturia, commonly associated with benign prostatic hyperplasia (BPH), according to a study published online July 9 in Medicine & Science in Sports & Exercise.

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More Leisure Physical Activity Tied to Lower Heart Failure Risk

FRIDAY, Sept. 5, 2014 (HealthDay News) -- Higher leisure time physical activity is associated with a lower risk of developing heart failure, according to a study published online Sept. 2 in Circulation: Heart Failure.

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Diabetes May Increase Risk of Visual Loss Post-Spinal Fusion

FRIDAY, Sept. 5, 2014 (HealthDay News) -- Though rare, some patients are at higher risk for perioperative visual loss (POVL) after spinal fusion surgery, according to a study published in the Sept. 1 issue of The Spine Journal.

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Sitting Less May Lengthen Telomeres

FRIDAY, Sept. 5, 2014 (HealthDay News) -- Reducing sitting time may result in lengthening of telomeres, according to research published online Sept. 3 in the British Journal of Sports Medicine.

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FDA: Keytruda Approved for Advanced Melanoma

FRIDAY, Sept. 5, 2014 (HealthDay News) -- Keytruda (pembrolizumab) has been approved by the U.S. Food and Drug Administration to treat patients with advanced melanoma who are no longer responding to other drugs.

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Obesity Remains Rampant Across America

FRIDAY, Sept. 5, 2014 (HealthDay News) -- More than 20 states have obesity rates topping one-third of their population, and six states saw a rise in obesity rates last year, according to two new reports released Thursday -- one from the U.S. Centers for Disease Control and Prevention, the other from the Trust for America's Health (TFAH) and the Robert Wood Johnson Foundation (RWJF).

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Nearly 10 Percent of Americans Admit to Illicit Drug Use

FRIDAY, Sept. 5, 2014 (HealthDay News) -- Nearly 10 percent of Americans aged 12 and older were illicit drug users in 2013, and almost 20 million said they used marijuana, making it the most widely used drug, U.S. health officials reported Thursday. Two states, Colorado and Washington, permit the recreational use of marijuana.

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Blog: Seven Most Common Physician Social Media Misses

THURSDAY, Sept. 4, 2014 (HealthDay News) -- The most common physician social media misses and missteps can be avoided, allowing doctors to take advantage of marketing opportunities on all major social media channels, according to the author of a recent Vitals blog.

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Little Evidence of Testosterone Drugs' Benefits or Risks: FDA

THURSDAY, Sept. 4, 2014 (HealthDay News) -- There is little evidence that testosterone drugs are either beneficial or pose serious health risks to men, the U.S. Food and Drug Administration says in a review posted online Wednesday.

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People With OCD May Have Higher Odds for Schizophrenia

THURSDAY, Sept. 4, 2014 (HealthDay News) -- People with obsessive-compulsive disorder (OCD) may be at higher risk for schizophrenia, according to research published online Sept. 3 in JAMA Psychiatry.

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New Myeloma Treatment Options Show Promise

THURSDAY, Sept. 4, 2014 (HealthDay News) -- New multiple myeloma treatment options appear promising for patients aged 65 years and younger and for newly diagnosed patients who are ineligible for stem-cell transplantation, according to two studies published in the Sept. 4 issue of the New England Journal of Medicine.

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Guidelines Issued for HER2-Negative Advanced Breast Cancer

THURSDAY, Sept. 4, 2014 (HealthDay News) -- Evidence-based recommendations have been developed for chemotherapy and targeted therapy for women with human epidermal growth factor receptor 2 (HER2)-negative advanced breast cancer. The clinical practice guideline was published online Sept. 2 in the Journal of Clinical Oncology.

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E-Cigarette Vapor May Be Less Toxic Than Tobacco Smoke

THURSDAY, Sept. 4, 2014 (HealthDay News) -- Secondhand vapor created by one brand of electronic cigarette harbors fewer hazardous chemicals than regular cigarette smoke, although the researchers report the finding doesn't leave e-cigarettes in the clear. The study was published online Aug. 22 in Environmental Science: Processes & Impacts.

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Bisphosphonate Use Ups Atypical Femoral Fracture Risk

THURSDAY, Sept. 4, 2014 (HealthDay News) -- Bisphosphonate use, especially over a long duration, is associated with increased risk of atypical femoral fracture, according to a study published in the Sept. 4 issue of the New England Journal of Medicine.

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Increased Melanoma Incidence for Pilots, Cabin Crew

THURSDAY, Sept. 4, 2014 (HealthDay News) -- Airline pilots and cabin crew have an increased incidence of melanoma, according to a meta-analysis published online Sept. 3 in JAMA Dermatology.

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ASCO: Family Docs Can Up Return Rates for Mammograms

THURSDAY, Sept. 4, 2014 (HealthDay News) -- A personalized letter from a family physician may help improve return rates for screening mammography, according to research scheduled to be presented at the American Society of Clinical Oncology's 2014 Breast Cancer Symposium, held from Sept. 4 to 6 in San Francisco.

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Sleep Quality Tied to Brain Atrophy Over Time

THURSDAY, Sept. 4, 2014 (HealthDay News) -- Sleep quality is associated with longitudinal measures of cortical atrophy, according to a study published online Sept. 3 in Neurology.

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British Ebola Patient Released From the Hospital

WEDNESDAY, Sept. 3, 2014 (HealthDay News) -- A British man infected with Ebola during the outbreak in West Africa has fully recovered and been released from the hospital.

Health Highlights: Sept. 3, 2014

CVS Halts Tobacco Sales

WEDNESDAY, Sept. 3, 2014 (HealthDay News) -- As of midnight Tuesday, all CVS locations across the United States stopped selling tobacco products.

Health Highlights: Sept. 3, 2014

Vagal Nerve Block Therapy in Morbid Obesity Explored

WEDNESDAY, Sept. 3, 2014 (HealthDay News) -- Vagal nerve block therapy may be effective for weight loss in morbid obesity, and trends in bariatric surgery procedures have changed from 2006 to 2013, according to two studies published in the Sept. 3 issue of the Journal of the American Medical Association.

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Venous Thromboembolism Rare After Urological Procedures

WEDNESDAY, Sept. 3, 2014 (HealthDay News) -- Deep venous thrombosis (DVT) and pulmonary embolism (PE) are uncommon after urological surgery, according to a study published in the September issue of The Journal of Urology.

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Malnutrition Ups Risk of Elective Spine Surgery Complications

WEDNESDAY, Sept. 3, 2014 (HealthDay News) -- Preoperative hypoalbuminemia, as a marker for malnutrition, is an independent risk factor for postoperative complications after elective spine surgery for degenerative and deformity causes, according to a study published in the Aug. 15 issue of Spine.

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Obesity Fueling Rise in Diabetes Rates

WEDNESDAY, Sept. 3, 2014 (HealthDay News) -- The U.S. obesity epidemic is a driving force behind the rising rates of type 2 diabetes, according to a new study published in the Sept. 2 issue of Annals of Internal Medicine.

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Review: Considerable Weight Loss With Any Low-Carb, Low-Fat Diet

WEDNESDAY, Sept. 3, 2014 (HealthDay News) -- For overweight and obese adults, significant weight loss is achieved with any low-carbohydrate or low-fat diet, with minimal between-diet differences, according to a review published in the Sept. 3 issue of the Journal of the American Medical Association.

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Low-Carb Beats Low-Fat for Weight Loss, Heart Health

TUESDAY, Sept. 2, 2014 (HealthDay News) -- A low-carbohydrate diet is more effective than a low-fat diet for weight loss and cardiovascular risk factor reduction, according to a study published in the Sept. 2 issue of the Annals of Internal Medicine.

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Cannabis Withdrawal Common in Substance Abusing Teens

TUESDAY, Sept. 2, 2014 (HealthDay News) -- Teens who develop withdrawal symptoms from marijuana are more likely to meet the guidelines for marijuana dependence and for mood disorders, according to a new study published recently in the Journal of Addiction Medicine.

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More Global Help Needed to Fight Ebola Outbreak

TUESDAY, Sept. 2, 2014 (HealthDay News) -- As the Ebola outbreak continues to overwhelm health care workers in three West African nations, medical experts from the United States and the United Nations called on Tuesday for a concerted international response to stem history's biggest outbreak of the often-fatal virus.

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Another American Physician Infected With Ebola

TUESDAY, Sept. 2, 2014 (HealthDay News) -- Another American doctor working in West Africa for a missionary group has become infected with the Ebola virus.

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Quality of U.S. Diet Improves, Slightly

TUESDAY, Sept. 2, 2014 (HealthDay News) -- The quality of Americans' diets has improved somewhat but remains poor overall, and dietary disparity between the rich and poor is growing, a new study shows. Education also played a role in dietary quality, which was lowest and improved more slowly among people who had 12 years or less of school, according to the study published online Sept. 1 in JAMA Internal Medicine.

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Partially Hydrogenated Oils in 9 Percent of Packaged Foods

TUESDAY, Sept. 2, 2014 (HealthDay News) -- Nine percent of top-selling packaged food products in the United States contain partially hydrogenated oils, with most of these products reporting 0 grams of trans fat per serving, according to a study published Aug. 28 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Gluten-Free Diet Benefits Asymptomatic EmA+ Adults

TUESDAY, Sept. 2, 2014 (HealthDay News) -- Asymptomatic individuals with endomysial antibodies (EmA) benefit from a gluten-free diet (GFD), according to a study published in the September issue of Gastroenterology.

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