December 2014 Briefing - Nursing

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

Physician Continuity Not Tied to Adverse Hospital Events

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- Adverse events in hospitalized patients are not associated with continuity of hospitalist physicians, according to a study published online Dec. 19 in the Journal of Hospital Medicine.

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Risks, Management of Atypical Hyperplasia of Breast Discussed

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- Atypical hyperplasia is associated with increased breast cancer risk, and consequently, women should be educated regarding their risk of developing breast cancer and the potential risk reduction associated with chemoprevention, according to a special report published in the Jan. 1 issue of the New England Journal of Medicine.

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Vaccination Hesitancy in Israel's 2013 Polio Outbreak Explored

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- Factors associated with understanding of vaccination and contextual factors can impact parents' willingness to vaccinate their children in cases of disease outbreak, according to a study published online Dec. 12 in the Journal of Risk Research.

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Ebola, ACA, VA Scandal Top U.S. Health News for 2014

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- It started as a deadly but little-known outbreak in West Africa, but the lethal and unchecked spread of the Ebola virus dominated U.S. headlines for much of 2014, making it one of the year's top health news features.

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Dashboards, Pay Incentives Improve VTE Prophylaxis Rates

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- Provider-level dashboard and pay-for-performance programs may increase compliance with venous thromboembolism (VTE) prevention measures, according to research published online Dec. 26 in the Journal of Hospital Medicine.

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Docs Making Changes to Improve Blood Pressure Control

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- Physicians have been discussing how minor, easy changes in the way they measure blood pressure have had a positive impact on hypertension control, according to a report published by the American Medical Association (AMA).

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Gender Influences Opioid-Related Adverse Effects in Children

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- For children undergoing tonsillectomy, sex influences opioid-related adverse effects, according to a study published online Dec. 17 in Pain Medicine.

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A/BPO + Doxycycline Effective Alternative for Severe Acne

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- Oral doxycycline plus adapalene/benzoyl peroxide (D+A/BPO) gel is an effective alternative to oral isotretinoin (ISO) for the treatment of severe nodular acne, according to a study published in the December issue of the British Journal of Dermatology.

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Vancomycin Linked to Kidney Damage in Children

TUESDAY, Dec. 30, 2014 (HealthDay News) -- Treating children who have drug-resistant bacterial infections with high doses of the antibiotic vancomycin may raise the risk of kidney damage, with greater risk at higher doses, according to research published in the December issue of the Annals of Pharmacotherapy.

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CDC: Influenza Has Hit Epidemic Status in U.S.

TUESDAY, Dec. 30, 2014 (HealthDay News) -- The flu has reached epidemic levels in the United States, with 15 child mortalities so far this season, the federal Centers for Disease Control and Prevention reported Tuesday.

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Rebleeds Common Post-Capsule Endoscopy for Obscure GI Bleeds

TUESDAY, Dec. 30, 2014 (HealthDay News) -- Nearly one-third of patients who undergo capsule endoscopy (CE) for obscure gastrointestinal bleeding (OGIB) have rebleeding a year or more later, according to research published online Dec. 15 in the Journal of Digestive Diseases.

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Non-Chest Pain Presentation Doesn't Worsen MI Outcomes

TUESDAY, Dec. 30, 2014 (HealthDay News) -- Among patients with acute ST-elevation myocardial infarction (STEMI), presentation with non-chest pain delays door-to-balloon (DTB) time but does not worsen clinical outcomes, according to research published in the Dec. 15 issue of The American Journal of Cardiology.

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Both Sexes Fight the Same Battle to Lose Weight

TUESDAY, Dec. 30, 2014 (HealthDay News) -- Current evidence does not show any difference between men and women with regard to which strategies are most effective in achieving weight loss, according to research published online Dec. 11 in Obesity Reviews.

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Fiber Intake Tied to Reduced Risk of Kidney Stones

TUESDAY, Dec. 30, 2014 (HealthDay News) -- Greater dietary intake of fiber, fruits, and vegetables is associated with a reduced risk of incident kidney stones in postmenopausal women, according to research published in the December issue of The Journal of Urology.

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Lean/Six Sigma Advances Pediatric Patient Discharges

TUESDAY, Dec. 30, 2014 (HealthDay News) -- Incorporating Lean/Six Sigma (LSS) practices can advance pediatric patient discharges, according to research published online Dec. 8 in the Journal of Hospital Medicine.

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Surgeon General Still Has Important Role to Play

TUESDAY, Dec. 30, 2014 (HealthDay News) -- The Surgeon General has an important role in educating and mobilizing the public and shaping policy on public health issues, according to an ideas and opinions piece published online Dec. 30 in the Annals of Internal Medicine.

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Experts Discuss Ethical Considerations in Ebola Care

TUESDAY, Dec. 30, 2014 (HealthDay News) -- Guidance is provided for ethical considerations relating to Ebola care in an ideas and opinions piece published online Dec. 30 in the Annals of Internal Medicine.

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Adverse Outcomes With Unmet Material Needs in Diabetes

MONDAY, Dec. 29, 2014 (HealthDay News) -- For adults with diabetes mellitus, unmet material needs are associated with poor diabetes control and increased health care resource use, according to a study published online Dec. 29 in JAMA Internal Medicine.

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Physical Activity Assessment Indicates Cardiometabolic Risk

MONDAY, Dec. 29, 2014 (HealthDay News) -- Physical activity, as assessed by the Exercise Vital Sign (EVS), is associated with improved cardiometabolic profile, according to research published Dec. 18 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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AAP: Best Practices for Improving ER Flow for Pediatric Patients

MONDAY, Dec. 29, 2014 (HealthDay News) -- Best practices for improved flow and care for pediatric patients in the emergency department are discussed in a technical report published online Dec. 29 in Pediatrics.

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FDA: Emergency Use Authorization for Rapid Ebola Test

MONDAY, Dec. 29, 2014 (HealthDay News) -- The U.S. Food and Drug Administration has granted Emergency Use Authorization for Roche's fast-acting Ebola test for emergency use.

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Risk of Leukemia Tied to Breast Cancer Rx Higher Than Thought

MONDAY, Dec. 29, 2014 (HealthDay News) -- Among early-stage breast cancer patients who undergo chemotherapy and/or radiation treatment, the risk for developing treatment-related leukemia, though low, is still double what experts had previously thought, a new analysis reveals. Reporting online Dec. 22 in the Journal of Clinical Oncology, the researchers said the findings should give pause to doctors and breast cancer patients who are considering post-surgical treatment options.

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2015 Medicare Fee Schedule Offers Payment for Chronic Care

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- The 2015 Medicare Fee Schedule includes a Current Procedural Terminology Code that pays for clinical staff time for developing and implementing a care plan for patients with two or more chronic conditions, according to an article published Dec. 18 in Medical Economics.

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BP-Lowering Therapy Reduces Stroke, Death in Grade 1 HTN

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- For patients with grade 1 hypertension, blood pressure-lowering therapy is associated with a reduction in blood pressure and a lower likelihood of stroke and death, according to research published online Dec. 23 in the Annals of Internal Medicine.

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ACOG Issues Recs to Improve Access to Contraception

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- All women should have unhindered and affordable access to contraceptives, although there are many barriers to access, according to a Committee Opinion published in the January issue of Obstetrics & Gynecology.

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Patients Have Unrealistic Expectations for Treatment, Tests

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- Most patients overestimate benefits and underestimate harms of treatment, tests, and screenings, according to a review published online Dec. 22 in JAMA Internal Medicine.

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ADA Issues New Standards of Medical Care for Diabetes

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- New standards of care have been issued by the American Diabetes Association (ADA) and published as a supplement to the January issue of Diabetes Care.

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No Mortality Benefit for Longer Cooling, Deeper Cooling in NICU

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- For full-term neonates with moderate or severe hypoxic ischemic encephalopathy, longer cooling, deeper cooling, or both do not reduce neonatal intensive care unit (NICU) death, according to a study published in the Dec. 24/31 issue of the Journal of the American Medical Association.

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Antenatal Micronutrient Supplements Don't Reduce Mortality

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- In Bangladesh, antenatal multiple micronutrient supplementation is not associated with a reduction in all-cause mortality to age 6 months compared with iron-folic acid supplementation, according to a study published in the Dec. 24/31 issue of the Journal of the American Medical Association.

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FDA Addresses Blood Donations by Men Who Have Sex With Men

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- The U.S. Food and Drug Administration announced Tuesday its intention to release a new draft guidance in early 2015 that would ultimately open the door to blood donations from men who have sex with men (MSM).

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Promising Results for Precursor of Ebola Vaccine in Small Study

TUESDAY, Dec. 23, 2014 (HealthDay News) -- A precursor of the experimental Ebola vaccine that U.S. officials are preparing to test in West Africa has produced a safe and potent immune response in Africans. The findings have been published online Dec. 22 in The Lancet.

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Many Gout Patients Not Receiving Recommended Urate-Lowering Rx

TUESDAY, Dec. 23, 2014 (HealthDay News) -- For patients with incident gout, 44 percent fulfill indications for urate-lowering treatment at initial diagnosis, but many do not receive recommended treatment even years later, according to a research letter published in the Dec. 24/31 issue of the Journal of the American Medical Association.

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Enhanced Medical Home Benefits Children With Chronic Illness

TUESDAY, Dec. 23, 2014 (HealthDay News) -- For high-risk children with chronic illness, an enhanced medical home providing comprehensive care is associated with reductions in serious illnesses and costs, according to a study published in the Dec. 24/31 issue of the Journal of the American Medical Association.

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Ambulatory BP Monitors May Become New Standard

TUESDAY, Dec. 23, 2014 (HealthDay News) -- Patients suspected of having hypertension may soon be asked to wear an ambulatory blood pressure monitor to confirm the diagnosis, according to a draft recommendation issued by the U.S. Preventive Services Task Force. The recommendation is based on a review published online Dec. 23 in the Annals of Internal Medicine.

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Resistance Training Key for Men Fighting Age-Related Weight Gain

TUESDAY, Dec. 23, 2014 (HealthDay News) -- For men, combining aerobic activities with weight training is key to preserving muscle and avoiding weight gain, particularly age-related increases in waist circumference, according to research published online Dec. 22 in Obesity.

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Increased Health Care Use With Concussion Legislation

TUESDAY, Dec. 23, 2014 (HealthDay News) -- Legislation outlining the medical care of children and adolescents with concussion correlates with increased health care utilization rates, according to research published online Dec. 22 in JAMA Pediatrics.

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CDC: Use of Cholesterol Meds Continues to Rise in U.S.

TUESDAY, Dec. 23, 2014 (HealthDay News) -- The percentage of adults aged 40 and older taking cholesterol-lowering medications, including statins, rose from 20 to 28 percent between 2003 and 2012, according to a December data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Asian-Americans to Be Screened for T2DM at Lower BMI

TUESDAY, Dec. 23, 2014 (HealthDay News) -- The American Diabetes Association (ADA) has lowered the body mass index (BMI) at which Asian-Americans should be screened for type 2 diabetes.

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Hospitalization Risk Seen With Clarithromycin + Certain Statins

MONDAY, Dec. 22, 2014 (HealthDay News) -- Combining clarithromycin with certain statins increases the risk of adverse outcomes that can lead to hospitalization or even death, according to a new study published online Dec. 22 in CMAJ, the journal of the Canadian Medical Association.

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FDA Approves Rapivab to Help Treat Influenza in Adults

MONDAY, Dec. 22, 2014 (HealthDay News) -- Rapivab (peramivir) has been approved by the U.S. Food and Drug Administration to treat influenza in adults.

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Blue Light Emitted From E-Readers May Disrupt Sleep

MONDAY, Dec. 22, 2014 (HealthDay News) -- Light emitted by a tablet like an iPad can disrupt sleep if the device is used in the hours before bedtime, according to a new study published online Dec. 22 in the Proceedings of the National Academy of Sciences.

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Many States Slow to Update Preparticipation Physical Exams

MONDAY, Dec. 22, 2014 (HealthDay News) -- Many states have been slow to adopt preparticipation physical evaluation-fourth edition (PPE-4) recommendations, according to a study published online Dec. 22 in Pediatrics.

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Older Women Restrict Driving More Than Older Men

MONDAY, Dec. 22, 2014 (HealthDay News) -- Older women restrict their driving activity more than older men, regardless of physical health or cognitive status, according to a study published in the November issue of the Journal of the American Geriatrics Society.

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Thiazide Prophylaxis for Kidney Stones Doesn't Increase DM Risk

MONDAY, Dec. 22, 2014 (HealthDay News) -- The risk of diabetes mellitus is not increased with thiazide diuretic prophylaxis for kidney stones, according to research published in the December issue of The Journal of Urology.

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CKD, Glomerulonephritis Risk Higher for Those With Psoriasis

MONDAY, Dec. 22, 2014 (HealthDay News) -- Psoriasis is associated with a higher risk of developing chronic kidney disease (CKD) and glomerulonephritis (GN), according to a study published online Dec. 15 in the British Journal of Dermatology.

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Cancer Treatment Costs Creating 'Financial Toxicity' for Patients

FRIDAY, Dec. 19, 2014 (HealthDay News) -- The cost of cancer treatment can cause financial stress that threatens patients' well-being, according to a new study published online Dec. 16 in the Journal of Oncology Practice.

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New Recs Advise Annual Eye Exam for Preschool Children

FRIDAY, Dec. 19, 2014 (HealthDay News) -- All children should have an eye exam between the ages of 3 and 6, preferably every year, according to new vision-screening recommendations for preschool-aged children published online Dec. 11 in Optometry and Vision Science.

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States Ill-Prepared for Ebola, Other Infectious Outbreaks

FRIDAY, Dec. 19, 2014 (HealthDay News) -- Half of U.S. states are poorly prepared to prevent, detect, and respond to infectious disease outbreaks. That was the main conclusion of a report issued jointly by the Trust for America's Health and the Robert Wood Johnson Foundation.

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CDC: Not Too Late, or Too Futile, to Get Flu Vaccine

FRIDAY, Dec. 19, 2014 (HealthDay News) -- The flu is starting to tighten its grip on much of the United States, particularly in the South and Midwest, according to a report published in the Dec. 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report. And more than half of the flu infections examined so far have been caused by influenza A H3N2, which appears to have mutated from the H3N2 strain included in this year's flu vaccine.

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Simple, 20-Second Test May Aid Prognosis of Brain Health

FRIDAY, Dec. 19, 2014 (HealthDay News) -- Difficulty standing on one leg may indicate that lacunar infarctions or microbleeds have already occurred, which means the risk for more serious strokes is high, the investigators according to research published online Dec. 18 in Stroke.

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CDC: Measles Cases at Airport Highlight Ease of Transmission

FRIDAY, Dec. 19, 2014 (HealthDay News) -- Traveling through the same U.S. airport gate, one infected passenger transmitted the measles virus to three others within a four-hour time span, illustrating just how easily the virus can spread. These findings were reported in the Dec. 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Risks ID'd for Referral-Warranted Retinopathy of Prematurity

FRIDAY, Dec. 19, 2014 (HealthDay News) -- Predictors have been identified for referral-warranted (RW)-retinopathy of prematurity (ROP), according to research published online Dec. 18 in JAMA Ophthalmology.

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Shared Medical Appointments Beneficial in Geriatric Care

FRIDAY, Dec. 19, 2014 (HealthDay News) -- For older patients, a shared medical appointment (SMA) program facilitates early detection and referral for geriatric syndromes, according to an article published online Nov. 29 in the Journal of the American Geriatrics Society.

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High-Dose Flu Vaccine Beats Standard Dose for Frail Elderly

THURSDAY, Dec. 18, 2014 (HealthDay News) -- A high-dose influenza vaccine produces a stronger immune response than the standard vaccine in frail seniors under care in nursing homes, according to a new study published online Dec. 17 in the Journal of Infectious Diseases.

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Patient Reminders Needed on Inhaler, Epinephrine Use

THURSDAY, Dec. 18, 2014 (HealthDay News) -- Few people know how to use epinephrine injectors and asthma inhalers as directed, according to a new study published in the January issue of the Annals of Allergy, Asthma & Immunology.

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Drug Interaction Identified for Ondansetron, Tramadol

THURSDAY, Dec. 18, 2014 (HealthDay News) -- In the early postoperative period, ondansetron is associated with increased requirements for tramadol consumption, according to a review and meta-analysis published online Dec. 10 in Anaesthesia.

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Study Explores Effects of Metformin in Obese Children

THURSDAY, Dec. 18, 2014 (HealthDay News) -- For obese hyperinsulinemic children, metformin seems to decrease perceived hunger and increase perceived fullness, according to a study published online Dec. 8 in Diabetes, Obesity and Metabolism.

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Invasive Procedures Down With Noninvasive Prenatal Testing

THURSDAY, Dec. 18, 2014 (HealthDay News) -- The number of invasive diagnostic procedures, including amniocentesis, is down significantly after the introduction of noninvasive prenatal testing (NIPT), according to a study published in the January issue of the Journal of Clinical Ultrasound.

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Internal Carotid Artery Tear Seen in Child After Roller-Coaster Ride

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Frequenting roller-coaster rides may lead to intimal tears within the cervical internal carotid artery (ICA), according to a case report published online Nov. 26 in Pediatric Neurology.

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Sedatives Still Prescribed for Elderly Despite Risks

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Doctors continue to prescribe benzodiazepines for seniors despite the significant risks they pose, a new study contends. The research was published online Dec. 17 in JAMA Psychiatry.

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Low-Glycemic Index Diet Does Not Improve CV Risk Factors

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Low-glycemic index (GI) diets may not improve cardiovascular risk factors such as insulin sensitivity, lipid levels, and systolic blood pressure, according to research reported in the Dec. 17 issue of the Journal of the American Medical Association.

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Over 50 FDA-Approved Meds Can Help Battle Ebola Infection

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- A screening test has identified more than 50 U.S. Food and Drug Administration-approved medications that could be helpful in treating people with Ebola, researchers report. The study was published online Dec. 17 in Emerging Microbes and Infections.

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Fatal Case of Legionnaires' in Infant Following Water Birth

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- A Texas infant has died from Legionnaires' disease after being born in a whirlpool tub. The report of the infant's death appears in the January 2015 issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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Digital Self-Scheduling Set to Increase Considerably by 2019

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Digital self-scheduling is set to increase considerably in the next five years, according to a report published by Accenture.

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CDC: Syphilis Cases Rising Among Gay, Bisexual Men

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- The number of cases of syphilis in the United States jumped 10 percent from 2012 to 2013, with gay and bisexual men accounting for 75 percent of the increase, U.S. health officials reported Tuesday.

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Review Finds Peri-Op Surgical Home Care Model Beneficial

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Rigorously coordinated and integrated perioperative management, known as the perioperative surgical home (PSH) model of care, seems to have a consistent and positive effect, according to a study published in the December issue of the Milbank Quarterly.

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Hypoglycemia Ups Cardio Events, Mortality for Insulin-Treated

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- For insulin-treated patients with type 1 and type 2 diabetes, hypoglycemia is associated with increased risk of cardiovascular events and all-cause mortality, according to a study published online Dec. 9 in Diabetes Care.

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Preeclampsia Prediction Similar, Modest With Two Algorithms

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Two algorithms offer similar and modest performance for predicting preeclampsia in nulliparous women at 11 to 13 weeks of gestation, according to a study published online Dec. 4 in BJOG: An International Journal of Obstetrics & Gynaecology.

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Outcomes Best for Early Enrollment in Cardiac Rehab

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Early enrollment may improve outcomes in cardiac rehabilitation (CR), according to research published in the Dec. 15 issue of The American Journal of Cardiology.

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Hospital Staff Say 'Crisis Mode' Obstructs Communication

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Staff members who perceive a work climate of crisis mode in their hospital units say that it leads to problems in exchanging patient information, according to research published online Dec. 10 in the Journal of Hospital Medicine.

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Yoga Heart Health Benefits Similar to Brisk Walking

TUESDAY, Dec. 16, 2014 (HealthDay News) -- People randomly assigned to yoga classes saw improvements in their weight, blood pressure, and cholesterol, similar to the health benefits of conventional exercise such as brisk walking. These research findings, the result of a review of trials, were reported online Dec. 15 in the European Journal of Preventive Cardiology.

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An Estimated 2,000 ER Visits Due to Indoor Tanning in 2012

TUESDAY, Dec. 16, 2014 (HealthDay News) -- The first national estimates of indoor tanning-related injuries treated in U.S. hospital emergency departments have been calculated, according to the authors of a research letter published online Dec. 15 in JAMA Internal Medicine.

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Condom Use for ≥3 Months Urged for Male Ebola Survivors

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Men who survive Ebola should wear condoms during sex for at least three months after recovering from the disease, according to the authors of a new study published online Dec. 16 in Reproductive Sciences.

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Feeling Younger Tied to Enhanced Longevity

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Seniors who said they felt three or more years younger than their actual age experienced a lower death rate over the course of eight years than people who either felt their full age or a little older, according to a research letter published online Dec. 15 in JAMA Internal Medicine.

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Public Disclosure of Antibiotic Harms Cuts Prescription Rates

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Public disclosure of the potential harms of antibiotic use is associated with a reduction in antibiotic prescription rates for upper respiratory tract infection (URTI), according to a research letter published online Dec. 15 in JAMA Internal Medicine.

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Doctors Not Providing Sexual Counseling for Heart Patients

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Fewer than one out of five acute myocardial infarction (AMI) patients get advice from their doctor on whether they can resume sexual activity, and what information they do get often is wrong. These findings were published online Dec. 15 in Circulation.

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Urinary Catheters Often Left in Too Long During Hospital Stay

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Even when appropriately used, urinary catheters are often left in place longer than necessary in hospitalized patients, according to a perspective piece published online Dec. 15 in JAMA Internal Medicine.

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Direct Oral Anticoagulants Have Distinct Bleeding Profiles

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Direct oral anticoagulants (DOACs) have distinct bleeding profiles and require individualized management approaches, according to a state-of-the-art review published in the December issue of JACC: Cardiovascular Interventions.

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Consider False-Positives When Test Results Don't Add Up

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Physicians should weigh patient history and include the possibility of false-positive test results when considering differential diagnoses, according to a perspective piece published online Dec. 15 in JAMA Internal Medicine.

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Support for Electronic Health Information Varies With Use

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Consent and purpose are important for public support of secondary uses of electronic health information, according to a study published in the Dec. 16 issue of the Annals of Internal Medicine.

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Methylphenidate Use Tied to Fewer Injuries in Kids With ADHD

MONDAY, Dec. 15, 2014 (HealthDay News) -- Taking medication for attention-deficit/hyperactivity disorder (ADHD) might reduce the risk of young patients accidentally injuring themselves, new research suggests. The findings, published online Dec. 15 in Pediatrics, applied to both girls and boys.

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Potential Drug Interactions Common in Peds Hospitalizations

MONDAY, Dec. 15, 2014 (HealthDay News) -- Among 498,956 children and teenagers who were hospitalized in 2011, 49 percent were given combinations of drugs that could have potential interactions, according to a new study published online Dec. 15 in Pediatrics.

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Patchwork State Coverage for Pediatric Essential Health Benefit

MONDAY, Dec. 15, 2014 (HealthDay News) -- A state-by-state benchmark plan approach results in a patchwork of coverage for the Affordable Care Act's (ACA) pediatric essential health benefit, according to research published in the December issue of Health Affairs.

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Screening Performance Differs With Distinct Fecal Test Brands

MONDAY, Dec. 15, 2014 (HealthDay News) -- Different brands of fecal immunochemical tests (FITs) with the same cutoff hemoglobin concentration perform differently in detection of colorectal cancer (CRC), according to a study published in the December issue of Gastroenterology.

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In Nursing Homes, Statins Often Continued in Advanced Dementia

MONDAY, Dec. 15, 2014 (HealthDay News) -- For nursing home (NH) residents with dementia taking statins, most continue statins with the progression to advanced dementia, according to research published in the November issue of the Journal of the American Geriatrics Society.

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Transesophageal ECHO Impacts Cardioembolic Stroke Care

MONDAY, Dec. 15, 2014 (HealthDay News) -- As a result of transesophageal echocardiography (TEE) for suspected cardioembolic stroke, 16.7 percent of patients experience a significant change in management, according to a study published in the Dec. 15 issue of The American Journal of Cardiology.

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No Higher Risk of Breast Cancer for Women With Migraines

MONDAY, Dec. 15, 2014 (HealthDay News) -- Migraine headaches do not raise the risk for breast cancer, according to research published online Dec. 12 in the Journal of the National Cancer Institute.

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Cobalamin Defects Can Explain Neurologic Regression in Children

MONDAY, Dec. 15, 2014 (HealthDay News) -- Cobalamin defects can account for neurologic regression in healthy children, according to a case report published online Dec. 15 in Pediatrics.

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ICU Diaries May Aid Survivors in Recovery After Discharge

MONDAY, Dec. 15, 2014 (HealthDay News) -- Patient diaries kept during a hospital stay in the intensive care unit (ICU) for a critical illness may be used as a therapeutic tool to assist survivors in recovery after discharge, according to research published online Dec. 8 in the Journal of Clinical Nursing.

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Less Blood Transfused in Surgery OK for Heart Patients

FRIDAY, Dec. 12, 2014 (HealthDay News) -- Cardiovascular disease patients who receive smaller amounts of blood during surgery do as well as those who get more blood, according to the findings of a new study published online Dec. 9 in The Lancet.

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More Young Adults Getting Preventive Care Since ACA

FRIDAY, Dec. 12, 2014 (HealthDay News) -- Significantly more 19- to 25-year-olds are getting preventive care, including routine checkups, blood pressure measurement, and dental care since the Affordable Care Act went into effect in the United States, according to a research letter published in the Dec. 11 issue of the New England Journal of Medicine.

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FDA: Ziprasidone Can Cause Rare, Serious Adverse Drug Reaction

FRIDAY, Dec. 12, 2014 (HealthDay News) -- The antipsychotic medicine ziprasidone (Geodon) and generic versions of the drug can cause a rare, serious skin reaction that can progress to affect other parts of the body, the U.S. Food and Drug Administration says.

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CDC: PCPs to Inform Families of Sickle Cell Trait in Newborns

FRIDAY, Dec. 12, 2014 (HealthDay News) -- Primary care providers should offer educational materials and provide genetic counseling to families when they receive positive results for sickle cell trait (SCT) at the time of newborn screening, according to a report published in the Dec. 12 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Post-Bariatric Surgery Weight Loss May Ease Knee Pain

FRIDAY, Dec. 12, 2014 (HealthDay News) -- Current evidence, though limited, suggests that bariatric surgery with subsequent marked weight loss may reduce knee complaints in morbidly obese adults, according to research published online Dec. 8 in Obesity Reviews.

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Mortality Not Up With Pregnancy-Associated Malignant Melanoma

FRIDAY, Dec. 12, 2014 (HealthDay News) -- Cause-specific mortality does not differ significantly for women and girls with malignant melanoma (MM) diagnosed during pregnancy and up to two years postpartum (pregnancy-associated MM [PAMM]) and with non-PAMM, according to a study published in the December issue of the Journal of the American Academy of Dermatology.

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CDC: Many Patients Still Need to Get 2014-2015 Flu Vaccine

THURSDAY, Dec. 11, 2014 (HealthDay News) -- Fewer than half of Americans have gotten a flu vaccine so far this flu season, which might be a bad sign for a season that could be potentially severe, according to a Dec. 11 report from the U.S. Centers for Disease Control and Prevention.

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IUD Gaining in Popularity for Contraception Choice in U.S.

THURSDAY, Dec. 11, 2014 (HealthDay News) -- The pill remains one of the most popular methods of birth control for women, along with female sterilization and condoms, but intrauterine devices (IUDs) and implants are gaining in popularity, according to a December data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Poor Quality Sleep Tied to Higher Risk of Dementia

THURSDAY, Dec. 11, 2014 (HealthDay News) -- Older men who have breathing difficulties or spend less time in deep sleep may be at greater risk of brain changes that can precede dementia, a new study suggests. The findings were published online Dec. 10 in Neurology.

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Dietary Intake Tool Validated for Renal Patients With Low Literacy

THURSDAY, Dec. 11, 2014 (HealthDay News) -- A renal food frequency questionnaire (RFF) is a valid and reliable tool for patients with limited literacy, according to a study published online Dec. 6 in the Journal of Renal Care.

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Guidelines Developed for Use of Adjunct Tx in Atopic Dermatitis

THURSDAY, Dec. 11, 2014 (HealthDay News) -- For patients with atopic dermatitis, adjunctive and complementary therapies are available, although evidence is limited for many of these approaches, according to guidelines published in the December issue of the Journal of the American Academy of Dermatology.

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Nutrition, Weight Loss Key in Mobility-Impaired Adults

THURSDAY, Dec. 11, 2014 (HealthDay News) -- Nutrition and weight loss research is needed in adults with mobility-impairing conditions, according to a review published in the December issue of Obesity Reviews.

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Racial/Ethnic Disparities in Medical Advantage Plan Enrollees

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- Racial and ethnic disparities exist among Medicare Advantage Plan enrollees, and improved performance on quality measures is accompanied by increased racial/ethnic equity, according to two studies published in the Dec. 11 issue of the New England Journal of Medicine.

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FDA Approves Gardasil for Additional Types of HPV

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- The Gardasil 9 vaccine has been approved by the U.S. Food and Drug Administration to treat five additional types of human papillomavirus (HPV), the FDA said Wednesday.

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Spending Cuts May Have Mixed Effects on Stroke Outcomes

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- The long-term effects of fee-for-service (FFS)-based reimbursement cuts on processes and outcomes of care for stroke may be mixed, according to research published online Dec. 9 in Circulation: Cardiovascular Quality and Outcomes.

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Number of Free Clinics Run by Medical Students Has Doubled

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- The number of medical student-run free clinics at U.S. medical schools has doubled in the last decade, according to a research letter published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Innovative Software Improves Chronic Rheumatic Disease Care

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- For patients with chronic rheumatic disease, innovative software that aggregates, stores, and displays information can improve quality of care, according to research published online Nov. 24 in Arthritis Care & Research.

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Six-Week Antibiotic Tx Effective for Diabetic Foot Osteomyelitis

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- For patients with diabetic foot osteomyelitis (DFO), six weeks of antibiotic therapy seems as effective as 12 weeks of treatment, according to a study published online Nov. 20 in Diabetes Care.

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Tramadol Use May Up Risk of Hospitalization for Hypoglycemia

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Tramadol use is associated with an increased risk of hypoglycemia requiring hospitalization, especially in the first 30 days of use, according to a study published online Dec. 8 in JAMA Internal Medicine.

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U.S. Doctors Cutting Back on Opioid Prescriptions

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Nine out of 10 primary care doctors in the United States are concerned about prescription drug abuse in their communities, and nearly half of the physicians surveyed said they were less likely to prescribe opioids than they were a year ago, according to a research letter published online Dec. 8 in JAMA Internal Medicine.

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Bisphenol A in Canned Goods Linked to Higher Blood Pressure

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Eating food from cans lined with the chemical bisphenol A (BPA) could raise blood pressure, a new study suggests. The report was published online Dec. 8 in the Hypertension.

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Too Much TV Time May Lower Colorectal CA Survival Odds

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Watching too much television may lower odds of survival after colorectal cancer, new research suggests. The findings were published online Dec. 8 in the Journal of Clinical Oncology.

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Routine U/S for Dense Breasts May Not Be Worth Cost

TUESDAY, Dec. 9, 2014 (HealthDay News) -- New research questions the value of ultrasound screening for women with dense breasts who've had a normal mammogram. The study was published in the Dec. 9 issue of the Annals of Internal Medicine.

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AMA: Starting Small Can Lead to Big Changes in Patient Lives

MONDAY, Dec. 8, 2014 (HealthDay News) -- A patient and her physician shared her story of health transformation during a special session at the 2014 American Medical Association (AMA) Interim Meeting in Dallas.

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Antibiotic Stewardship Programs in Children's Hospitals Effective

MONDAY, Dec. 8, 2014 (HealthDay News) -- Formalized antibiotic stewardship programs (ASPs) effectively reduce antibiotic prescribing in children's hospitals, according to research published online Dec. 8 in Pediatrics.

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Patients Urged to Make the Most of Open Enrollment Season

MONDAY, Dec. 8, 2014 (HealthDay News) -- Open enrollment season for health care plans provides an opportunity for reconsidering health plans and switching plans to save money, add services, or enroll in a better plan, according to a report published by Vitals.

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Small Increase in U.S. Health Care Spending in 2013

MONDAY, Dec. 8, 2014 (HealthDay News) -- In 2013, U.S. health care spending increased 3.6 percent, and the health care spending share of the gross domestic product remained stable, according to a report published online Dec. 3 in Health Affairs.

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Hard Hit to Chest Triggered A-Fib in Teen Football Player

MONDAY, Dec. 8, 2014 (HealthDay News) -- A hard hit to the chest during a football game resulted in three days of an irregular heart rhythm for a 16-year-old player, researchers report in a new case study.

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Home Therapy for Cancer-Linked Lymphedema Reduces Costs

FRIDAY, Dec. 5, 2014 (HealthDay News) -- Home therapy for cancer-related lymphedema reduces the cost of treating the condition, according to a new study published online Dec. 3 in PLOS ONE.

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Statin Use Linked With Higher Risk for Cataracts

FRIDAY, Dec. 5, 2014 (HealthDay News) -- Statin use may raise the risk of developing cataracts, researchers report. The study was published in the December issue of the Canadian Journal of Cardiology.

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Sleep-Disordered Breathing Linked to Functional Decline

FRIDAY, Dec. 5, 2014 (HealthDay News) -- For older women, sleep-disordered breathing (SDB) is associated with functional decline, according to a study published in the November issue of the Journal of the American Geriatrics Society.

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Peer Education Helpful for Diabetes Patients in Distress

FRIDAY, Dec. 5, 2014 (HealthDay News) -- Peer education improves mental status in type 2 diabetes patients who have emotional disorders, according to research published online Nov. 16 in the Journal of Diabetes Investigation.

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CT Scans Post-TIA Yield Clues to Future Stroke Risk

FRIDAY, Dec. 5, 2014 (HealthDay News) -- A computed tomography (CT) scan shortly after a transient ischemic attack can help identify patients at risk of suffering another stroke within three months, new research suggests. The study was published online Dec. 4 in Stroke.

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Vitamin D Deficiency Ups Odds of Asthma Exacerbation

FRIDAY, Dec. 5, 2014 (HealthDay News) -- Vitamin D deficiency is associated with increased odds of asthma exacerbations, according to a study published in the December issue of Allergy.

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CDC: Flu Vaccine May Offer Less Protection This Winter

FRIDAY, Dec. 5, 2014 (HealthDay News) -- The H3N2 strain of influenza appears to be circulating most widely this season, and in the past, death rates from H3N2 have been more than double that of other flu strains, according to officials from the U.S. Centers for Disease Control and Prevention. In addition, about half of the H3N2 viruses detected by CDC researchers so far appear to have mutated, and have genetically "drifted" away from the virus strain included in this year's flu vaccine.

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CDC: California Infants Hit Hard by Pertussis Epidemic

FRIDAY, Dec. 5, 2014 (HealthDay News) -- In what state health officials are calling the worst outbreak in 70 years, 9,935 cases of pertussis were diagnosed between Jan. 1 and Nov. 26. That translated into 26 cases per 100,000 people, according to research published in the Dec. 5 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Low-Dose ASA Risks Outweigh Benefits in Younger Women

FRIDAY, Dec. 5, 2014 (HealthDay News) -- For women younger than 65, taking low-dose aspirin for years lowers the risks of heart attack, stroke, and colorectal cancer by a small amount, but the benefit is countered by an increase in the risk of major gastrointestinal bleeding, according to a study published online Dec. 4 in Heart.

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Vitamins May Boost Eye Health Post-Bariatric Surgery

THURSDAY, Dec. 4, 2014 (HealthDay News) -- Bariatric surgery patients who don't take prescribed vitamin and mineral supplements could put themselves at risk for vision problems, according to research published online Nov. 26 in the Obesity Surgery.

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Running Linked With Lower Alzheimer's Death Risk

THURSDAY, Dec. 4, 2014 (HealthDay News) -- Running more than 15 miles a week may reduce the risk of dying from Alzheimer's disease, new research suggests. The study was published online Nov. 14 in the Journal of Alzheimer's Disease.

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Longer Sugeries May Increase Risk of DVT, PE

THURSDAY, Dec. 4, 2014 (HealthDay News) -- Longer surgery times appear to increase a patient's risk of deep vein thrombosis and pulmonary embolism, according to a new study published online Dec. 3 in JAMA Surgery.

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Mediterranean Diet May Help Boost Longevity

THURSDAY, Dec. 4, 2014 (HealthDay News) -- Adhering to the Mediterranean diet appears to be associated with longer telomere length, an indicator of slower aging, according to research published Dec. 2 in The BMJ.

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Cognitive Behavioral Tx for Insomnia Assists CA Survivors

THURSDAY, Dec. 4, 2014 (HealthDay News) -- For cancer survivors, cognitive behavioral therapy for insomnia (CBT-I) with and without armodafinil is associated with decreases in insomnia severity and improvements in sleep quality, according to a study published online Dec. 1 in the Journal of Clinical Oncology.

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Racial Disparity Seen With Congenital Heart Surgery

THURSDAY, Dec. 4, 2014 (HealthDay News) -- There are poorer medical outcomes in black and Hispanic patients undergoing surgical intervention for congenital heart disease, although mortality is not increased, according to a study published in the Dec. 1 issue of the American Journal of Cardiology.

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CDC: Nearly 1 in 12 Americans Struggle With Depression

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- Almost 8 percent of Americans aged 12 and older experienced moderate to severe symptoms of depression during 2009 to 2012, U.S. health officials reported Wednesday, with only about one-third of those suffering from severe depressive symptoms seeking help from a mental health professional in the previous year.

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FDA: New Rx Label Rules to Better Inform Pregnant Women

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- A new labeling system should give women and their doctors clearer information on the risks and benefits of prescription medicines when taken during pregnancy and breastfeeding, the U.S. Food and Drug Administration said Wednesday.

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NIA: 40 Percent of Seniors Report Having a Disability

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- Nearly 40 percent of Americans over the age of 65 -- about 16 million people -- live with at least one disability, according to a new National Institute on Aging report.

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Patients May Be Ignoring Cancer's Warning Signs

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- Many people ignore potential warning signs of cancer, according to the results of a British survey published online Dec. 2 in PLOS ONE.

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CDC: 35 Ebola Treatment Centers Designated

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- Thirty-five hospitals across the United States have been designated as Ebola treatment centers, and more will be designated in the coming weeks, the U.S. Centers for Disease Control and Prevention said Tuesday.

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Too Few Prostate Cancer Patients Get Bisphosphonates

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- Many men on androgen deprivation therapy for prostate cancer aren't getting the bone-strengthening medications they may need, new Canadian research contends. The report was published in the Dec. 3 issue of the Journal of the American Medical Association.

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CDC Releases Draft Guidelines Endorsing Circumcision

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention on Tuesday released draft guidelines on circumcision that recommend doctors counsel parents and uncircumcised males on the health benefits of the procedure.

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Childhood Obesity Prevention Programs Impact LDL-C, HDL-C

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- Childhood obesity prevention programs are beneficial for low-density lipoprotein cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C), according to a systematic review and meta-analysis published in the December issue of Obesity Reviews.

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Recommendations for Managing Pain in Inflammatory Arthritis

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- Recommendations have been developed for the management of pain in adults with optimally treated inflammatory arthritis, according to an article published in the September issue of the International Journal of Rheumatic Diseases.

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Preconception Care Could Cut Pregestational Diabetes Burden

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- Universal preconception care (PCC) could reduce the health and cost burden associated with diagnosed and undiagnosed pregestational diabetes mellitus (PGDM), according to a study published online Oct. 28 in the American Journal of Obstetrics & Gynecology.

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Parents May Need Reminders on Toddler Safety

TUESDAY, Dec. 2, 2014 (HealthDay News) -- Toddlers seen in the emergency department after falls at home are more likely to have parents who do not use safety gates or teach their children not to climb onto kitchen counters or furniture, according to a new study published online Dec. 1 in JAMA Pediatrics.

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Midlife Diabetes Linked to Greater Cogntive Decline Later

TUESDAY, Dec. 2, 2014 (HealthDay News) -- Diabetes in midlife is associated with a greater decline in cognitive skills over 20 years, according to a new study published in the Dec. 2 issue of the Annals of Internal Medicine.

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CDC: Fatal Overdoses From Rx Opioids Have Tripled in U.S.

TUESDAY, Dec. 2, 2014 (HealthDay News) -- Fatal overdoses involving opioid analgesics have tripled over the past decade, a new report shows. Deaths from heroin also nearly tripled between 1999 and 2012, according to the report released Tuesday by the U.S. Centers for Disease Control and Prevention.

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Safety of Epinephrine in Cardiac Arrest Questioned

TUESDAY, Dec. 2, 2014 (HealthDay News) -- Four out of five people who receive epinephrine to restart their heart end up suffering significant damage to brain function, and the risk increases with the dose. These findings were published in the Dec. 9 issue of the Journal of the American College of Cardiology.

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Progress Detailed in Care of Cancer-Linked Lymphedema

TUESDAY, Dec. 2, 2014 (HealthDay News) -- Recent developments are affecting the management of cancer-related lymphedema, according to an article published online Nov. 19 in CA: A Cancer Journal for Clinicians.

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AMA: Address Patient Misconceptions for Evidence-Based Care

MONDAY, Dec. 1, 2014 (HealthDay News) -- Patient misconceptions should be addressed in order to practice evidence-based medicine and leave patients feeling satisfied, according to a report published by the American Medical Association (AMA).

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CDC: Babies Still Sleeping With Soft Bedding Despite SIDS Risk

MONDAY, Dec. 1, 2014 (HealthDay News) -- Although soft bedding has been linked to an increased risk of sudden infant death syndrome (SIDS), more than half of American parents continue to use such bedding for their sleeping babies, according to a study published online Dec. 1 in Pediatrics.

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Hep B Screening Urged for Those Undergoing Chemo, Immune Tx

MONDAY, Dec. 1, 2014 (HealthDay News) -- Hepatitis B virus (HBV) screening is recommended for patients undergoing chemotherapy, immunosuppressive therapy, or transplantation, according to research published online Nov. 21 in Hepatology.

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Pediatricians Should Disclose Errors to Patients, Parents

MONDAY, Dec. 1, 2014 (HealthDay News) -- Pediatric physicians should disclose their errors to patients and their families, according to an ethics rounds paper published online Dec. 1 in Pediatrics.

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