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August 2014 Briefing - Nursing

Here are what the editors at HealthDay consider to be the most important developments in Nursing for August 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.

Tax on Sugary Beverages Could Most Reduce Child Obesity

FRIDAY, Aug. 29, 2014 (HealthDay News) -- Simulations demonstrate that an excise tax on sugar-sweetened beverages (SSBs) would be the most effective policy for reducing child obesity, according to research published online Aug. 26 in the American Journal of Preventive Medicine.

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Overconfident People May Blind Others to Their Real Abilities

FRIDAY, Aug. 29, 2014 (HealthDay News) -- Overconfident people are better at convincing others that they're more talented than they really are, and therefore are more likely to get promotions and reach high-level positions, according to British researchers. Their findings were published online Aug. 27 in PLOS ONE.

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Report Highlights Progress, Challenges in Health IT

FRIDAY, Aug. 29, 2014 (HealthDay News) -- Progress has been made toward widespread adoption of electronic health records (EHRs), although there are still barriers to adoption of advanced use of EHRs, according to a report published by the Robert Wood Johnson Foundation.

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Cleft Lip, Palate Don't Increase Ear Tube Complications

FRIDAY, Aug. 29, 2014 (HealthDay News) -- Cleft lip and/or palate (CLP) does not appear to affect complication rates for ventilation tube (VT) placement among pediatric patients, according to a study published online Aug. 28 in JAMA Otolaryngology-Head & Neck Surgery.

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Teens Regress After Return-to-Activity Post-Concussion

FRIDAY, Aug. 29, 2014 (HealthDay News) -- High school athletes who return to the field with medical clearance within 60 days often experience a significant regression in their abilities to simultaneously walk and do simple mental tasks, according to a study published online Aug. 5 in Medicine & Science in Sports & Exercise.

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Worse Outcomes for Weekend Admission for Pediatric Leukemia

FRIDAY, Aug. 29, 2014 (HealthDay News) -- Children with newly diagnosed leukemia with an index admission on the weekend have an increased length of stay and risk for respiratory failure, according to a study published online Aug. 25 in JAMA Pediatrics.

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Gene Research Yields Insights Into Ebola Virus

FRIDAY, Aug. 29, 2014 (HealthDay News) -- Genetic research performed during the early days of the Ebola outbreak in West Africa has given scientists unprecedented insight into how the virus mutates and spreads.

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Group-Based Intervention Cuts Gestational Weight Gain in Obese

FRIDAY, Aug. 29, 2014 (HealthDay News) -- A group-based weight management intervention can reduce gestational weight gain for obese women, according to a study published in the September issue of Obesity.

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Surgery for Spinal Metastasis Up From 2000 to 2009 in U.S.

FRIDAY, Aug. 29, 2014 (HealthDay News) -- From 2000 to 2009 there was an increase in surgical treatment for spinal metastasis in the United States, which was accompanied by increased complication rates and costs, according to a study published in the Sept. 1 issue of The Spine Journal.

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Factors ID'd for Late Hospice Admission for Cancer Patients

FRIDAY, Aug. 29, 2014 (HealthDay News) -- For patients with cancer, factors associated with late admission to hospice have been identified, according to a study published online Aug. 25 in the Journal of Clinical Oncology.

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Long-Term Use of Sulfonylureas Tied to Coronary Heart Disease

FRIDAY, Aug. 29, 2014 (HealthDay News) -- Among women with diabetes, long-term use of sulfonylureas is associated with a significantly higher risk of incident coronary heart disease (CHD), according to a study published online Aug. 22 in Diabetes Care.

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AMGA: Physician Turnover Still High in 2013

THURSDAY, Aug. 28, 2014 (HealthDay News) -- For the second year running, physician turnover remains at the highest rate since 2005, according to a report published by the American Medical Group Association (AMGA).

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CDC: Most U.S. Toddlers Getting Their Vaccines

THURSDAY, Aug. 28, 2014 (HealthDay News) -- More than 90 percent of children 19 to 35 months of age are getting the vaccines that prevent measles, mumps, and rubella; polio; hepatitis B; and varicella, according to the U.S. Centers for Disease Control and Prevention. The new findings were published in the Aug. 29 issue of the CDC's Morbidity and Mortality Weekly Report.

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Ebola Outbreak Could Infect 20,000 People, U.N. Says

THURSDAY, Aug. 28, 2014 (HealthDay News) -- The deadly Ebola outbreak hitting four West African nations could eventually infect more than 20,000 people, the World Health Organization announced Thursday.

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Lupin in Gluten-Free Food May Trigger Allergies

THURSDAY, Aug. 28, 2014 (HealthDay News) -- A new ingredient in gluten-free products, lupin, which belongs to the same plant family as peanuts, could cause allergic reactions, according to a news release from Kansas State University.

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Cancer Patients With Depression Often Untreated

THURSDAY, Aug. 28, 2014 (HealthDay News) -- Patients with cancer and depression frequently do not receive effective treatment; however, an integrated program is effective in patients with cancer, and specifically lung cancer, according to three studies published online Aug. 28 in The Lancet Psychiatry, The Lancet, and The Lancet Oncology.

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CPAP Treats Excessive Daytime Sleepiness in Seniors

THURSDAY, Aug. 28, 2014 (HealthDay News) -- Continuous positive airway pressure (CPAP) is an effective treatment for daytime sleepiness in seniors with sleep apnea, according to a new study published online Aug. 27 in The Lancet Respiratory Medicine.

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Age Doesn't Impact Deep Brain Stimulation Complications

THURSDAY, Aug. 28, 2014 (HealthDay News) -- For patients with Parkinson's disease undergoing deep brain stimulation (DBS), increasing age does not impact complication rates, according to a study published online Aug. 25 in JAMA Neurology.

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Preventive Bundle Cuts Colorectal Surgical Site Infections

THURSDAY, Aug. 28, 2014 (HealthDay News) -- Implementation of a preventive surgical site infection (SSI) bundle is associated with a reduction in SSI rates after colorectal surgery, according to a study published online Aug. 27 in JAMA Surgery.

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African-Americans Have Worse Cervical Spine Surgery Outcomes

THURSDAY, Aug. 28, 2014 (HealthDay News) -- African-American patients have significantly higher rates of in-hospital complications and mortality associated with cervical spine surgery than Caucasian patients, according to a study published in the Aug. 15 issue of Spine.

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Team Approach Improves Practice Efficiency

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- The increasing administrative requirements of a medical practice are requiring a team-based approach to care, and physicians must learn to manage the team, according to an article published Aug. 7 in Medical Economics.

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Factors Tied to Neck, Back Pain Improvement Identified

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- Observational registry-based research can inform patients and physicians about prognosis for subacute or chronic neck or low back pain, according to a study published in the Aug. 1 issue of The Spine Journal.

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Health Care Protective Gear Lacking in Ebola Outbreak

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- Health care workers in poor nations often do not have enough protective gear to keep them safe from being infected with blood-borne viruses such as Ebola and HIV, according to a study published online Aug. 8 in Tropical Medicine & International Health.

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Oral Contraceptive Equal to Antibiotics for Acne Care

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- At six months, oral contraceptive pills (OCPs) are comparable to systemic antibiotics for acne management, according to a review published in the September issue of the Journal of the American Academy of Dermatology.

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Aspirin Post-Anticoagulation Tx Cuts Risk of VTE Recurrence

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- For patients with first unprovoked venous thromboembolism (VTE), aspirin after anticoagulant treatment reduces the risk of recurrence, according to a study published online Aug. 25 in Circulation.

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In-Utero Exposure to Gestational Diabetes Ups Later Diabetes Risk

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- In-utero exposure to gestational diabetes mellitus (GDM) increases the likelihood of developing diabetes or prediabetes among obese adolescents, according to a study published online Aug. 25 in Diabetologia.

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Risk of Diabetes Up in Hodgkin's Lymphoma Survivors

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- Para-aortic radiation correlates with increased diabetes mellitus (DM) risk for Hodgkin's lymphoma (HL) survivors, according to a study published online Aug. 25 in the Journal of Clinical Oncology.

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FDA: Steer Clear of Dietary Supplements for Concussions

TUESDAY, Aug. 26, 2014 (HealthDay News) -- As the fall sports season starts and young players face the risk of concussions, the U.S. Food and Drug Administration warns that dietary supplements that claim to prevent, treat, or cure concussions are untested, unproven, and possibly dangerous.

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HTN Self-Management Beneficial in High-Risk Patients

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Self-monitoring with self-titration of antihypertensive medications is associated with lower blood pressure for patients with hypertension at risk for cardiovascular disease, according to a study published in the Aug. 27 issue of the Journal of the American Medical Association.

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CDC Director: Ebola has 'Upper Hand' in Outbreak

TUESDAY, Aug. 26, 2014 (HealthDay News) -- While officials and health experts have the means to prevent Ebola from spreading, the deadly virus currently has the "upper hand" in an outbreak that has killed more than 1,400 people in West Africa, according to the director of the U.S. Centers for Disease Control and Prevention.

Health Highlights: Aug. 26, 2014

Collaborative Intervention Benefits Teens With Depression

TUESDAY, Aug. 26, 2014 (HealthDay News) -- A collaborative care intervention in primary care is associated with greater improvements in depressive symptoms than usual care among adolescents with depression, according to a study published in the Aug. 27 issue of the Journal of the American Medical Association.

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Ban Indoor Use of E-Cigarettes, U.N. Health Agency Says

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Joining a number of other health agencies, the United Nations' World Health Organization (WHO) on Tuesday recommended that countries regulate electronic cigarettes and ban their use indoors until studies prove that "vaping" is harmless to bystanders.

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Confusional Arousal Common, Linked to Other Disorders

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Confusional arousals (CAs) are common in the general population and they may be associated with other factors, such as medication consumption, sleep disorders, and mental disorders, according to research published in the Aug. 26 issue of Neurology.

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AAP Recommendations Provided for Fluoride Use in Primary Care

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Recommendations have been provided for the use of fluoride in caries prevention in the primary care setting and published online Aug. 25 as a clinical report in Pediatrics.

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Cognitive Impairment May Increase Subsequent Stroke Risk

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Cognitive impairment is associated with an increased risk of subsequent stroke, according to a meta-analysis published online Aug. 25 in CMAJ, the journal of the Canadian Medical Association.

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Obesity in Early Primary School Ups Risk of Bullying Involvement

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Obese children in early primary school are significantly more likely to be involved with bullying, both as victim and perpetrator, according to a study published online Aug. 25 in Pediatrics.

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Hospitals Should Follow CDC Recommendations for Ebola Care

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Hospital and health care providers should follow the U.S. Centers for Disease Control and Prevention's recommendations for care of patients with Ebola, according to an ideas and opinions piece published online Aug. 21 in the Annals of Internal Medicine.

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Low Weight at Birth Ups Risk of Diabetes in Black Women

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Low birth weight is associated with increased risk of type 2 diabetes in black women, independent of body mass index, according to research published in the September issue of Diabetes Care.

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Vitamin D Deficiency Worsens Outcomes With B-Cell Lymphoma

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Vitamin D deficiency (VDD) contributes to worse outcomes in elderly patients with diffuse large B-cell lymphoma (DLBCL) treated with rituximab, according to a study published online Aug. 18 in the Journal of Clinical Oncology.

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Medicaid Office Visit Payment Tied to Cancer Screening Rates

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Increased Medicaid reimbursement for physician office visits is associated with a greater likelihood of Medicaid beneficiaries receiving common cancer screening tests, according to a study published online Aug. 25 in Cancer.

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Number of Young Non-Smokers Trying E-Cigs Tripled in 2 Years

MONDAY, Aug. 25, 2014 (HealthDay News) -- More than a quarter-million middle and high school students who were non-smokers say they used an electronic cigarette last year -- a three-fold increase from 2011, according to a new U.S. study published online Aug. 20 in the journal Nicotine & Tobacco Research.

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USPSTF Recommends Counseling for Adults at Risk for CVD

MONDAY, Aug. 25, 2014 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends offering or referring overweight and obese adults with cardiovascular disease risk factors to intensive behavioral counseling. These findings are presented in a final recommendation statement published online Aug. 26 in the Annals of Internal Medicine.

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New Rules for Religious Objections to Health Care Law

MONDAY, Aug. 25, 2014 (HealthDay News) -- Responding to a Supreme Court ruling handed down late in June, the Obama administration on Friday proposed a compromise path that it said would allow women to obtain contraceptives through their health plan, while respecting the views of companies that objected to the provision on religious grounds.

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State Medical Cannabis Laws Cut Opioid Overdose Mortality

MONDAY, Aug. 25, 2014 (HealthDay News) -- State medical cannabis laws correlate with reduced state-level opioid overdose mortality rates, according to a study published online Aug. 25 in JAMA Internal Medicine.

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Start School Later for Older Kids, Pediatricians Urge

MONDAY, Aug. 25, 2014 (HealthDay News) -- U.S. high schools and middle schools should start classes later in the morning to allow kids some much-needed sleep, a leading group of pediatricians is urging.

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Consumer Reports Advises Pregnant Women to Avoid Tuna

MONDAY, Aug. 25, 2014 (HealthDay News) -- In a new review of seafood safety, Consumer Reports is advising that pregnant women avoid eating tuna due to concerns about mercury exposure. Adults who eat 24 ounces (1.5 pounds) or more of seafood per week should also avoid seafood with high mercury levels, including sushi made with tuna, the independent product testing group said.

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State of the Art Review: Eating Disorders in Children, Teens

MONDAY, Aug. 25, 2014 (HealthDay News) -- A new review presents recommendations for the management of eating disorders (EDs) in children. In addition, other research indicates that there has been a recent increase in the prevalence of eating disorders not otherwise specified who do not meet weight criteria (EDNOS-Wt), relative to anorexia nervosa (AN). The review and study have been published online Aug. 25 in Pediatrics.

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Guidelines Presented for Electronic Cigarette Use

MONDAY, Aug. 25, 2014 (HealthDay News) -- Recommendations have been developed regarding electronic cigarette (e-cigarette) use and published online Aug. 24 as an American Heart Association (AHA) policy statement in Circulation.

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EPA: Air in U.S. Cities Getting Cleaner

MONDAY, Aug. 25, 2014 (HealthDay News) -- The air in American cities is getting safer to breathe, the U.S. Environmental Protection Agency reported Thursday.

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Breastfeeding Racial Disparities May Start With Hospitals

MONDAY, Aug. 25, 2014 (HealthDay News) -- Key practices that support breastfeeding are much less common in medical centers where the black population is higher than average, according to a report published in the Aug. 22 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Parents Increasingly Less Likely to Perceive Child Obesity

MONDAY, Aug. 25, 2014 (HealthDay News) -- Today, overweight/obese children are less likely to be perceived as overweight by their parents compared to 10 years ago, according to a study published online Aug. 25 in Pediatrics.

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U.S. to Tighten Access to Certain Narcotic Painkillers

FRIDAY, Aug. 22, 2014 (HealthDay News) -- The U.S. Drug Enforcement Administration (DEA) is going ahead with tough new controls on painkillers containing hydrocodone, which has been tied to a surge in dangerous addictions across the United States.

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Many Americans Harbor Unfounded Fears About Ebola

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Many Americans know little about how Ebola is transmitted and harbor unfounded fears about the possibility of an outbreak in the United States, a new survey shows. About four in 10 adults said they are worried that there will be a major Ebola outbreak in the United States, and one-quarter are concerned that they or an immediate family member will get sick with the deadly virus in the next year, according to the latest Harvard School of Public Health poll.

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Futile Care Linked to Delays in Care for Other Patients

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Futile care, which is used to prolong life without achieving a meaningful benefit for the patient, can cause delays in care for other patients waiting to be admitted to the intensive care unit (ICU), according to a study published in the September issue of Critical Care Medicine.

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Reduced Nicotine Cigarettes Don't Up Smoking Intensity

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Reduced nicotine cigarettes are not associated with increased smoking intensity versus usual brand cigarettes, according to a study published online Aug. 22 in Cancer Epidemiology, Biomarkers & Prevention.

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Intensive Lifestyle Changes Lead to Diabetes Cost Savings

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Intensive lifestyle intervention (ILI) can cut health care costs over the long term in patients with type 2 diabetes, compared to diabetes support and education (DSE) alone, according to a study published in the September issue of Diabetes Care.

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U.S. Health Care Workers With Ebola Released From Hospital

THURSDAY, Aug. 21, 2014 (HealthDay News) -- The two American health care workers infected with the deadly Ebola virus while doing missionary medical work in West Africa have been released from the Atlanta hospital where they have been slowly recovering for several weeks, officials said Thursday.

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Wellness Visits, Physicals Need Different Documentation

THURSDAY, Aug. 21, 2014 (HealthDay News) -- Documentation rules for annual wellness visits (AWVs) for Medicare differ from those for preventive visits, which are not covered by Medicare, according to an article published Aug. 5 in Medical Economics.

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Breastfeeding Moms Have Lower Depression Risk

THURSDAY, Aug. 21, 2014 (HealthDay News) -- Breastfeeding cuts new mothers' risk of depression by half, according to a study published online Aug. 21 in Maternal and Child Health.

Health Highlights: Aug. 20, 2014
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Pre-, Postnatal Smoke Exposure Affects Later Allergic Disease

WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- Exposure to secondhand smoke (SHS) in utero or during infancy impacts the development of allergic disease up to adolescence, according to a study published online Aug. 18 in Pediatrics.

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ACOG: All Pregnant Women Should Receive Influenza Vaccine

WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- All pregnant women should receive influenza vaccine, regardless of their stage of pregnancy, according to an American College of Obstetricians and Gynecologists (ACOG) Committee Opinion published in the September issue of Obstetrics & Gynecology.

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Neonatal Vitamin K Refusal Tied to Nonimmunization

WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- While neonatal vitamin K refusal is rare, parents who refuse vitamin K are less likely to immunize their child, according to a study published online Aug. 18 in Pediatrics.

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Postdischarge Intervention Can Help Smokers Quit

TUESDAY, Aug. 19, 2014 (HealthDay News) -- A postdischarge intervention including free medication results in higher rates of smoking cessation at six months, compared with standard discharge care among hospitalized adult smokers, according to a study published in the Aug. 20 issue of the Journal of the American Medical Association.

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Hospitalization Less Likely With Artificially Altered Oximetry

TUESDAY, Aug. 19, 2014 (HealthDay News) -- Among infants presenting to an emergency department with mild to moderate bronchiolitis, hospitalization is less likely for those with an artificially elevated pulse oximetry reading, according to a study published in the Aug. 20 issue of the Journal of the American Medical Association.

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Commentary Focuses on 2014 Ebola Outbreak in West Africa

TUESDAY, Aug. 19, 2014 (HealthDay News) -- The Ebola epidemic is spreading in West Africa, with little hope for treatment, and an experimental therapy is unlikely to be provided to African patients, according to two commentaries published online Aug. 19 in the Annals of Internal Medicine.

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Docs Should Emphasize Child Benefit From MMR Vaccination

MONDAY, Aug. 18, 2014 (HealthDay News) -- Emphasizing the direct benefits of measles-mumps-rubella (MMR) vaccination to the child is more helpful in increasing the intention of parents to vaccinate, according to research published online Aug. 18 in Pediatrics.

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Liberia Ebola Clinic Attack Could Harm Efforts to Control Outbreak

MONDAY, Aug. 18, 2014 (HealthDay News) -- An attack on an Ebola quarantine center in Liberia's capital and the possible disappearance of a number of patients could be a major setback in efforts to contain and halt the outbreak of the deadly disease.

Health Highlights: Aug. 18, 2014

WHO: Scope of Ebola Outbreak May Be 'Vastly Underestimated'

FRIDAY, Aug. 15, 2014 (HealthDay News) -- The magnitude of the Ebola outbreak in West Africa may be far greater than the current statistics indicate, officials from the World Health Organization said Friday.

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Malnutrition Prevalent Among Seniors Presenting to ER

FRIDAY, Aug. 15, 2014 (HealthDay News) -- More than half of older patients presenting to the emergency department are malnourished or at risk of malnutrition, according to a study published online Aug. 12 in the Annals of Emergency Medicine.

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Prevnar-13 Should Be Routine for Seniors

THURSDAY, Aug. 14, 2014 (HealthDay News) -- A second vaccine to protect seniors against pneumonia has been recommended by the U.S. Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices.

Health Highlights: Aug. 14, 2014
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High-Dose Trivalent Flu Shot Better Protects Seniors

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- A high-dose, trivalent, inactivated influenza vaccine (IIV3-HD) is associated with improved protection for seniors against laboratory-confirmed influenza infection compared with standard-dose trivalent, inactivated influenza vaccine (IIV3-SD), according to a study published in the Aug. 14 issue of the New England Journal of Medicine.

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Lifetime Risk of Diabetes Up, But Years of Life Lost Down

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- There has been an increase in years spent with diabetes due to trends of continued increases in the incidence of diagnosed diabetes combined with declining mortality, according to research published online Aug. 13 in The Lancet Diabetes & Endocrinology.

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FDA: New Colorectal Cancer Screening Test Approved

TUESDAY, Aug. 12, 2014 (HealthDay News) -- A screening test for colorectal cancer that can detect red blood cells and abnormal DNA in a person's stool has been approved by the U.S. Food and Drug Administration.

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Hand Hygiene Plus Glove Use Cuts Preemie Infections

TUESDAY, Aug. 12, 2014 (HealthDay News) -- Nonsterile glove use after hand hygiene is associated with a reduction in gram-positive bloodstream infections and possible central line-associated bloodstream infections among preterm infants in the neonatal intensive care unit, according to a study published online Aug. 11 in JAMA Pediatrics.

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Ethicists Weigh Questions Over Early Release of Ebola Drugs

MONDAY, Aug. 11, 2014 (HealthDay News) -- As the number of dead in the West African Ebola outbreak nears 1,000, many people are calling for the wider production and release of untested medicines that might help patients.

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EHR Adoption Increasing, But Stage 2 Criteria Often Not Met

MONDAY, Aug. 11, 2014 (HealthDay News) -- Most U.S. hospitals and office-based physicians have adopted electronic health records (EHR), according to two studies published in the August issue of Health Affairs.

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Intervention Cuts Catheter-Related Pediatric UTIs

MONDAY, Aug. 11, 2014 (HealthDay News) -- Enactment of a quality improvement prevention bundle at a tertiary care children's hospital significantly reduced the rate of catheter-associated urinary tract infections (CAUTIs), according to research published online Aug. 11 in Pediatrics.

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Emergency Department Closures Up Inpatient Mortality Nearby

MONDAY, Aug. 11, 2014 (HealthDay News) -- Emergency department closures are associated with increased mortality for admissions that occur nearby, according to research published in the August issue of Health Affairs.

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Neighborhood's Socioeconomic Status Tied to Readmissions

MONDAY, Aug. 11, 2014 (HealthDay News) -- Neighborhood socioeconomic status (SES) is linked to six-month, all-cause readmission among patients with heart failure, even after adjustment for patient-level factors, according to a study published online July 29 in Circulation: Cardiovascular Quality and Outcomes.

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Antibiotic Prophylaxis Cuts UTIs in Congenital Hydronephrosis

FRIDAY, Aug. 8, 2014 (HealthDay News) -- Continuous antibiotic prophylaxis (CAP) reduces the risk of febrile urinary tract infection (UTI) in children with asymptomatic antenatal hydronephrosis (ANH), according to a study published online July 22 in the Journal of Pediatric Urology.

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Dining Out Equals More Calories Consumed

FRIDAY, Aug. 8, 2014 (HealthDay News) -- For adults, fast-food and full-service restaurant consumption correlates with increased daily total energy intake, according to a study published online July 30 in Public Health Nutrition.

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Issues to Consider With Integration of Telemedicine

FRIDAY, Aug. 8, 2014 (HealthDay News) -- Integrating telemedicine raises various considerations, including operational and legal issues, according to an article published July 24 in Medical Economics.

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WHO Declares Ebola Outbreak a 'Public Health Emergency'

FRIDAY, Aug. 8, 2014 (HealthDay News) -- The World Health Organization on Friday declared the outbreak of deadly Ebola virus in West Africa a "public health emergency."

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Manipulative Therapy Linked to Cervical Artery Dissection

FRIDAY, Aug. 8, 2014 (HealthDay News) -- Evidence suggests there may be an association between cervical manipulative therapy and cervical artery dissections (CDs), according to an American Heart Association/ American Stroke Association scientific statement published online Aug. 7 in Stroke.

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Guidelines Issued for Managing Listeriosis in Pregnancy

FRIDAY, Aug. 8, 2014 (HealthDay News) -- Recommendations have been developed for pregnant women with presumptive exposure to Listeria monocytogenes. These guidelines were published as a Committee Opinion online Aug. 5 in Obstetrics & Gynecology.

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Zoster Vaccine Still Effective With Subsequent Chemo

FRIDAY, Aug. 8, 2014 (HealthDay News) -- Zoster vaccine is effective even for individuals who subsequently undergo chemotherapy, according to a study published online Aug. 4 in Clinical Infectious Diseases.

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CDC Raises Ebola Outbreak Response to Highest Alert

FRIDAY, Aug. 8, 2014 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention on Wednesday raised the level of its response to the West African Ebola outbreak to its highest alert status, and CDC is offering resources for clinicians on Ebola virus disease management.

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FAQ: Management of Patients With EVD in U.S. Hospitals

Polypill Can Potentially Offer Global Cardiovascular Benefit

FRIDAY, Aug. 8, 2014 (HealthDay News) -- Use of a polypill can potentially improve global cardiovascular health, according to research published in the Aug. 12 issue of the Journal of the American College of Cardiology.

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Nomogram Predicts Risk of Second Kidney Stone Episode

FRIDAY, Aug. 8, 2014 (HealthDay News) -- The Recurrence of Kidney Stone (ROKS) nomogram identifies patients with kidney stones who are at high risk for a second symptomatic episode, according to research published online Aug. 7 in the Journal of the American Society of Nephrology.

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Interval Walking Improves Glycemic Control in Diabetes

FRIDAY, Aug. 8, 2014 (HealthDay News) -- Interval walking is superior to continuous walking for improving glycemic control in individuals with type 2 diabetes, according to research published online Aug. 4 in Diabetologia.

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FDA: Some Home Tattoo Kits Recalled Due to Infection Risk

THURSDAY, Aug. 7, 2014 (HealthDay News) -- Inks in some home tattoo kits are contaminated and could cause skin infections, the U.S. Food and Drug Administration says.

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CDC: Millions Given Access to Breast, Cervical CA Screening

THURSDAY, Aug. 7, 2014 (HealthDay News) -- Millions of American women have benefited from a breast and cervical cancer screening program offered by the U.S. Centers for Disease Control and Prevention, according to a new report. The report was published online and in an Aug. 15 supplement edition of the journal Cancer. The report features 13 new studies evaluating numerous features of the screening program.

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Diagnostic Algorithm for Appendicitis Cuts Pediatric CT Use

THURSDAY, Aug. 7, 2014 (HealthDay News) -- For pediatric patients, implementation of a diagnostic algorithm for appendicitis correlates with a significant reduction in computed tomography (CT) use without impacting diagnostic accuracy, according to a study published in the August issue of Surgery.

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VA Health Care Reform Bill Signed Into Law

THURSDAY, Aug. 7, 2014 (HealthDay News) -- A bill signed into law Thursday by President Barack Obama is meant to provide veterans with easier access to government-paid health care.

Health Highlights: Aug. 7, 2014

Low Vitamin D May Up Risk of Dementia, Alzheimer's Disease

THURSDAY, Aug. 7, 2014 (HealthDay News) -- Low concentrations of serum 25-hydroxyvitamin D (25[OH]D) may increase the risk of developing all-cause dementia and Alzheimer's disease, according to research published online Aug. 6 in Neurology.

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Study Confirms Lasting Drop in Prostate Cancer Death With PSA

THURSDAY, Aug. 7, 2014 (HealthDay News) -- Prostate-specific antigen (PSA) screening is associated with a lasting reduction in prostate cancer mortality, with increased effect at 13 years compared with nine or 11 years, according to a study published online Aug. 7 in The Lancet.

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U.S. Hospitals See Big Rise in Drug-Related Suicide Attempts

THURSDAY, Aug. 7, 2014 (HealthDay News) -- Drug-related suicide attempts in the United States increased over a recent six-year period, with dramatic increases seen among young and middle-aged adults, health officials reported Thursday.

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Centralizing Stroke Services Improves Outcomes

THURSDAY, Aug. 7, 2014 (HealthDay News) -- Centralizing acute stroke services in urban areas can cut morality and length of hospital stay, according to a study published online Aug. 5 in BMJ.

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Pain Reduction Tied to One-Year Spine Surgery Outcomes

THURSDAY, Aug. 7, 2014 (HealthDay News) -- For patients undergoing elective surgery for degenerative lumbar spine conditions, postoperative improvement in pain intensity is associated with improvements in physical function and reductions in disability in the year following surgery, according to a study published in the Aug. 1 issue of Spine.

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HIV Infection Linked to Lower Risk of Multiple Sclerosis

THURSDAY, Aug. 7, 2014 (HealthDay News) -- HIV infection is associated with a significantly decreased risk of developing multiple sclerosis (MS), according to a study published online Aug. 4 in the Journal of Neurology, Neurosurgery & Psychiatry.

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Fears of U.S. Ebola Outbreak Unwarranted, Experts Say

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- The decision to bring two American aid workers infected with Ebola back to the United States has kicked up controversy, causing some to fear a local outbreak of the virus. But experts in infectious disease say there's close to no chance that this will cause an Ebola outbreak on these shores.

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Prophylactic Aspirin Use May Help Prevent Cancer

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Prophylactic aspirin use seems to be beneficial for men and women between ages 50 and 65 in the general population, with increased benefits seen for long-term use, according to a review published online Aug. 5 in the Annals of Oncology.

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Clues to How Heavy Drinking in Pregnancy Harms Child's Brain

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- When a woman drinks heavily during pregnancy, the harmful effects on her child's brain development appear to continue over time, a new study indicates. The study was published online Aug. 4 in the journal Cerebral Cortex.

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Portable Shade Structure Use High for Soccer-Playing Youth

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- The rate of use of commercially available portable shade structures is high among soccer-playing youths, according to a research letter published online July 30 in JAMA Dermatology.

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Lasting Clinical Results for Total Lumbar Disc Replacement

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Total lumbar disc replacement (TDR) yields mid- to long-term clinical efficacy and patient satisfaction, according to a study published in the Aug. 1 issue of The Spine Journal.

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Review: Earlier Alteplase Benefits Acute Ischemic Stroke More

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Alteplase delivered within 4.5 hours of acute ischemic stroke onset is associated with increased odds of a good stroke outcome irrespective of age or stroke severity and despite an increased risk of fatal intracranial hemorrhage, with earlier treatment associated with bigger proportional benefits, according to a review published online Aug. 6 in The Lancet.

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No Benefit From Immune-Enhanced Enteral Nutrition

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Use of high-protein enteral nutrition enriched with immune-modulating nutrients (IMHP) does not reduce the incidence of infectious complications among mechanically ventilated, critically ill patients compared to standard high-protein enteral nutrition (HP), according to a study published in the Aug. 6 issue of the Journal of the American Medical Association.

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Mortality Up With CKD in PCI Contrast-Induced Nephropathy

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Contrast-induced nephropathy (CIN) is associated with long-term mortality in patients with, but not those without, chronic kidney disease (CKD), according to a study published in the Aug. 1 issue of The American Journal of Cardiology.

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For Women With PCOS, IVF Outcomes Vary With BMI

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- For women with polycystic ovary syndrome (PCOS) undergoing in vitro fertilization (IVF), body mass index (BMI) impacts outcomes, according to a study published in the August issue of the American Journal of Obstetrics & Gynecology.

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Insulin Sensitivity Is Key Renal Marker in Youth With T2DM

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Among adolescents with type 2 diabetes, insulin sensitivity is an important marker of renal health, according to research published online July 28 in Diabetes Care.

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Women Over 75 May Still Benefit From Mammograms

TUESDAY, Aug. 5, 2014 (HealthDay News) -- Women 75 and older may still benefit from routine mammograms, according to new research. The study was published online Aug. 5 in Radiology.

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Skip the Steroids for Shoulder Pain?

TUESDAY, Aug. 5, 2014 (HealthDay News) -- For relief of shoulder pain, physical therapy and steroid shots provide similar results, according to a study published in the Aug. 5 issue of the Annals of Internal Medicine.

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Favorable Resource Use With Long-Detection Interval for ICD

TUESDAY, Aug. 5, 2014 (HealthDay News) -- A long-detection interval for implantable cardioverter-defibrillators (ICDs) is associated with favorable results in terms of hospitalization and costs, according to a research letter published in the Aug. 6 issue of the Journal of the American Medical Association.

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Patients Give Higher Scores for Nursing Care Than Do Nurses

TUESDAY, Aug. 5, 2014 (HealthDay News) -- A survey has revealed that patients at a single level-1 trauma center emergency room consistently rate the nursing care received higher than do the nurses, according to research published in the July issue of the Journal of Emergency Nursing.

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Experimental Serum May Have Been Key to Ebola Recovery

TUESDAY, Aug. 5, 2014 (HealthDay News) -- An experimental serum never before tried in people may have been pivotal in helping treat two Americans stricken with Ebola, according to media reports.

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Inadequate Weight Gain in Overweight Moms Tied to SGA

TUESDAY, Aug. 5, 2014 (HealthDay News) -- For overweight and obese women, inadequate weight gain is associated with increased risk of small for gestational age (SGA), according to a study published in the August issue of the America Journal of Obstetrics & Gynecology.

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Influenza-Like Illness Carries High Pediatric Risk

TUESDAY, Aug. 5, 2014 (HealthDay News) -- More than one in three children presenting to the emergency department with influenza-like illness develop severe complications, according to a study published online Aug. 4 in Pediatrics.

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ACP Releases Diagnostic Guide for Obstructive Sleep Apnea

TUESDAY, Aug. 5, 2014 (HealthDay News) -- The American College of Physicians (ACP) has released a new evidence-based clinical practice guideline for the diagnosis of obstructive sleep apnea (OSA) in adults. The guideline was published in the Aug. 5 issue of the Annals of Internal Medicine.

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Five Servings of Fruit and Veggies a Day Cut Mortality

TUESDAY, Aug. 5, 2014 (HealthDay News) -- Consuming five or more servings of fruit and vegetables daily is associated with reduced risk of all-cause mortality, particularly cardiovascular mortality, according to research published online July 29 in BMJ.

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Very Low Carbohydrate Diet Beneficial for Obese With T2DM

TUESDAY, Aug. 5, 2014 (HealthDay News) -- For obese adults with type 2 diabetes mellitus (T2DM), a very low carbohydrate diet is associated with greater improvements in glycemic control and cardiovascular risk markers than an energy-matched high unrefined carbohydrate diet, according to a study published online July 28 in Diabetes Care.

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Statin Use After CRC Diagnosis Reduces Mortality Risk

TUESDAY, Aug. 5, 2014 (HealthDay News) -- For patients with newly diagnosed colorectal cancer, statin use is associated with reduced cancer-specific mortality risk, according to a study published online Aug. 4 in the Journal of Clinical Oncology.

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Major Obstetrical Complication Rates Vary Across U.S. Hospitals

TUESDAY, Aug. 5, 2014 (HealthDay News) -- The rates of major obstetrical complications vary considerably across hospitals in the United States, according to a study published in the August issue of Health Affairs.

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Desert Dust Events May Trigger Myocardial Infarctions

TUESDAY, Aug. 5, 2014 (HealthDay News) -- Exposure to Asian dust (AD), a windblown sand dust originating from mineral soil in China and Mongolia, a few days before symptom onset is associated with the incidence of acute myocardial infarction (AMI), according to a study published online July 29 in Circulation: Cardiovascular Quality & Outcomes.

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Hepatitis C Could Become Rare Disease in 20 Years

MONDAY, Aug. 4, 2014 (HealthDay News) -- U.S. health officials estimate that over three million Americans currently have chronic hepatitis C -- most of whom don't know it because the infection usually causes no symptoms. But with recent treatment advances, hepatitis C could become rare by 2036, researchers report in the Aug. 5 issue of the Annals of Internal Medicine.

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More Young Adults Getting Mental Health Care Under ACA

MONDAY, Aug. 4, 2014 (HealthDay News) -- The number of young American adults getting mental health treatment has risen since the rule on dependent coverage went into effect with the passage of the Affordable Care Act, according to research published in the August issue of Health Affairs.

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Model Can Predict Risk of Renal Scarring in Children

MONDAY, Aug. 4, 2014 (HealthDay News) -- A model including temperature, ultrasonographic findings, and etiologic organisms is able to predict renal scarring in children with a first urinary tract infection, according to research published online Aug. 4 in JAMA Pediatrics.

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Best Outcomes Seen at Systolic BP of 130 to 139 mm Hg

MONDAY, Aug. 4, 2014 (HealthDay News) -- For patients with treated hypertension, worse outcomes are seen for those with systolic and diastolic blood pressures lower and higher than 130 to 139 mm Hg and 60 to 79 mm Hg, respectively, according to a study published in the Aug. 12 issue of the Journal of the American College of Cardiology.

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Few 'Bright Futures' Guidelines Suitable for EHR Format

MONDAY, Aug. 4, 2014 (HealthDay News) -- Only a small portion of the Bright Futures Guidelines meet criteria for actionability, according to a study published in the current issue of Applied Clinical Informatics.

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Optimal Red Blood Cell Folate Level About 1,000 nmol/L

MONDAY, Aug. 4, 2014 (HealthDay News) -- The optimal population red blood cell folate level for prevention of neural tube defects could be defined as approximately 1,000 nmol/L, according to research published online July 29 in BMJ.

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Job Strain Can Raise Risk of Developing Type 2 Diabetes

MONDAY, Aug. 4, 2014 (HealthDay News) -- Stress at work may increase the risk of developing type 2 diabetes, according to research published in the August issue of Diabetes Care.

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Interventions Avert Contrast-Induced Acute Kidney Injury

MONDAY, Aug. 4, 2014 (HealthDay News) -- A quality improvement program helps prevent contrast-induced acute kidney injury (CI-AKI) in patients undergoing percutaneous coronary intervention, according to research published online July 29 in Circulation: Cardiovascular Quality and Outcomes.

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CT Effective in Detection of Significant Cervical Spine Injury

MONDAY, Aug. 4, 2014 (HealthDay News) -- Computed tomography (CT) is effective in detecting clinically significant cervical spine (CS) injuries in patients with neurologic deficit or CS pain, according to a study published online July 30 in JAMA Surgery.

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Hx of Alcohol Use Disorder Ups Odds of Memory Impairment

MONDAY, Aug. 4, 2014 (HealthDay News) -- For middle-aged U.S. adults, a history of alcohol use disorder is associated with increased odds of severe memory impairment, according to a study published online June 9 in the American Journal of Geriatric Psychiatry.

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Maternal Access to Green Space Impacts Birth Weight

MONDAY, Aug. 4, 2014 (HealthDay News) -- Maternal proximity to green spaces is associated with increased birth weight, according to a study published in Occupational & Environmental Medicine.

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Review: Ketamine Does Not Adversely Affect Outcomes

MONDAY, Aug. 4, 2014 (HealthDay News) -- For intubated patients, ketamine is unlikely to adversely affect patient outcomes compared with other intravenous sedatives, according to a review published online July 22 in the Annals of Emergency Medicine.

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New Onset, Post-Op Atrial Fibrillation Ups Mortality

MONDAY, Aug. 4, 2014 (HealthDay News) -- New onset postoperative atrial fibrillation (POAF) is associated with worse patient outcomes, including increased risk-adjusted mortality, according to a study published in the August issue of The Annals of Thoracic Surgery.

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Coflex Interspinous Device No Extra Benefit in Spinal Stenosis

MONDAY, Aug. 4, 2014 (HealthDay News) -- The use of a Coflex interspinous device does not further improve outcomes beyond decompressive surgery for the treatment of symptomatic lumbar spinal stenosis (LSS), according to a study published online in the August issue of the Journal of Spinal Disorders & Techniques.

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Guidelines Issued for Cardiac Management of Noncardiac Sx

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Recommendations have been developed for perioperative cardiovascular management of patients undergoing noncardiac surgery. These revised guidelines were published online Aug. 1 in the Journal of the American College of Cardiology.

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Oral Contraceptive, Breast Cancer Link Varies by Formulation

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Recent use of oral contraceptives is associated with increased breast cancer risk, which varies by formulation, according to a study published in the Aug. 1 issue of Cancer Research.

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FDA Approves Jardiance for Type 2 Diabetes

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Jardiance (empagliflozin) has been approved by the U.S. Food and Drug Administration to treat type 2 diabetes, the agency said Friday in a news release.

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Midlevel Providers Could Help Ease Shortages in Rheumatology

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Nurse practitioners and physician assistants report a high level of independence and broad responsibilities in rheumatology practice, and may help to reduce shortages in the rheumatology workforce, according to a study published in the July issue of Arthritis Care & Research.

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CMS Recognizes Telehealth in New Physician Fee Schedule

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Earlier this month, the Centers for Medicare & Medicaid Services issued proposed rules for updates to the Physician Fee Schedule and will accept comments until Sept. 2, according to an article published July 7 in Medical Economics.

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CDC: Some Jobs Harder on the Heart Than Others

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Stress at work may raise your risk of heart attack and stroke, particularly if you work in the service industry or have a blue-collar job, U.S. health officials reported Thursday. But being unemployed might be just as unhealthy, they added. The study was published in the Aug. 1 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Florida Officials Issue Warning on Vibrio Bacteria

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Florida health officials are cautioning visitors to the state's beaches about the threat of Vibrio vulnificus bacteria in warm seawater this summer.

Health Highlights: July 31, 2014

Each Chronic Condition Further Reduces Life Expectancy

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Each additional chronic condition among older people diminishes life expectancy, according to a study published in the August issue of Medical Care.

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Healthy Lifestyle Cuts Metabolic Syndrome Risk in CA Survivors

FRIDAY, Aug. 1, 2014 (HealthDay News) -- For childhood cancer survivors, following a heart-healthy lifestyle is associated with a reduced risk of metabolic syndrome (MetS), according to a study published online July 28 in Cancer.

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Older Adults With Dementia More Likely to Receive Pacemaker

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Older adults with dementia are more likely to receive a pacemaker than those without cognitive impairment, according to a research letter published online July 28 in JAMA Internal Medicine.

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Off-Hour Arrival at Hospital Impacts Heart Attack Outcomes

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Time of presentation to the hospital may influence treatment and mortality for patients with myocardial infarction, according to research published online July 29 in Circulation: Cardiovascular Quality and Outcomes.

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More Activity, Less Sitting Both Needed to Cut Obesity Risk

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Both high levels of physical activity and low levels of leisure time sitting may be necessary to reduce the risk of obesity, according to research published online July 31 in Diabetologia.

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