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November 2013 Briefing - Nursing

Here are what the editors at HealthDay consider to be the most important developments in Nursing for November 2013. 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.

Mercury Levels Drop One-Third in Women of Childbearing Age

WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- Blood mercury levels in women of childbearing age dropped 34 percent from an initial survey conducted in 1999 to 2000 to follow-up surveys conducted from 2001 to 2010, according to a report by the Environmental Protection Agency (EPA).

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Spatiotemporal Analysis Emphasizes Value of Vaccination

WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- Spatiotemporal data emphasizes the importance of vaccination programs, according to research published in the Nov. 28 issue of the New England Journal of Medicine.

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Induced Hypothermia May Be Harmful in Severe Meningitis

WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- The use of induced hypothermia may be harmful to adults with severe meningitis, according to a study published in the Nov. 27 issue of the Journal of the American Medical Association.

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AAD Issues Top Five Choosing Wisely Recommendations

WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- The top five dermatology-related issues that physicians and patients should question have been released by the American Academy of Dermatology (AAD) as part of the Choosing Wisely campaign, and have been published in the December issue of the Journal of the American Academy of Dermatology.

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Normal Weight Obesity Ups Cardiac Deaths in Older Adults

WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- In older adults, normal weight obesity (NWO) is associated with cardiac abnormalities and increased risk for cardiovascular mortality, according to research published in the Nov. 15 issue of The American Journal of Cardiology.

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Age at First Childbirth Influences Later Diabetes Risk

WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- Age at first childbirth is associated with the risk of diabetes in postmenopausal women, according to a study published online Nov. 15 in Diabetes Care.

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Telemedicine in Rural ER Tied to Fewer Physician Rx Errors

WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- For seriously ill and injured children, the use of telemedicine consultations in rural emergency departments is associated with fewer physician-related medication errors, according to a study published online Nov. 25 in Pediatrics.

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Oral Fluoroquinolone Use Not Linked to Retinal Detachment

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Oral fluoroquinolone use is not associated with the risk of retinal detachment, according to a Danish cohort study published in the Nov. 27 issue of the Journal of the American Medical Association.

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Practices Should Start Preparing for Transition to ICD-10

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Practices should start preparing for the transition to International Classification of Diseases, 10th Revision (ICD-10), according to an article published Nov. 10 in Medical Economics.

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Many Pediatricians Uncomfortable With Genetic Disease Care

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Only about half of primary care pediatricians feel competent caring for children with genetic disorders, according to a study published online Nov. 19 in the American Journal of Medical Genetics.

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Pediatric Surgeries Often Performed in General Hospitals

TUESDAY, Nov. 26, 2013 (HealthDay News) -- The volume of general pediatric surgery performed in the United States is high, and these procedures are divided between specialized pediatric institutions and general hospitals, according to a study published online Nov. 25 in Pediatrics.

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Optimal Testosterone Levels Tied to Survival in Older Men

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Higher and lower levels of testosterone (T) and its metabolites may raise mortality risk in older men, according to a study published online Nov. 20 in the Journal of Clinical Endocrinology & Metabolism.

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Sustained Physical Activity Key Ingredient in Healthy Aging

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Regular physical activity increases the likelihood of remaining healthy with age, even if started later in life, according to a study published online Nov. 25 in the British Journal of Sports Medicine.

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Chest Pain Characteristics Don't Help Diagnose AMI in Women

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Small differences are observed in the sex-specific diagnostic performance of chest pain characteristics (CPCs) for diagnosing acute myocardial infarction (AMI), according to a study published online Nov. 25 in JAMA Internal Medicine.

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Barriers Identified for HPV Vaccination Among U.S. Teens

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Barriers to human papillomavirus (HPV) vaccination in U.S. adolescents have been identified, according to a review published online Nov. 25 in JAMA Pediatrics.

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CDC: Students Safe to Travel Despite Meningitis Outbreak

MONDAY, Nov. 25, 2013 (HealthDay News) -- Despite recent outbreaks of bacterial meningitis at Princeton University and the University of California, Santa Barbara (UCSB), U.S. health officials said Monday that students are safe to travel home for the Thanksgiving break.

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FDA to Lift Restrictions on Diabetes Drug Avandia

MONDAY, Nov. 25, 2013 (HealthDay News) -- The U.S. Food and Drug Administration announced Monday that it is lifting the tough safety restrictions it imposed on the diabetes drug Avandia two years ago because of reported links to heart problems.

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FDA Approves H5N1 Avian Influenza Vaccine

MONDAY, Nov. 25, 2013 (HealthDay News) -- The U.S. Food and Drug Administration has approved the first adjuvanted vaccine for the prevention of H5N1 influenza in adults at greater-than-average risk of exposure.

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USPSTF: Lack of Evidence for Primary Care Oral CA Screening

MONDAY, Nov. 25, 2013 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has found that there is currently insufficient evidence to weigh the benefits and harms of primary care provider screening of asymptomatic adults for oral cancer, according to a final recommendation statement published online Nov. 25 in the Annals of Internal Medicine.

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High Abusive Head Trauma Rates With New Coding Method

MONDAY, Nov. 25, 2013 (HealthDay News) -- Use of new coding algorithms show the highest abusive head trauma (AHT) rates in children < 1 year reported to date, but no significant change in national AHT rates, according to a study published online Nov. 25 in Pediatrics.

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Nebulizers Deliver Less Than Half of Prescribed Asthma Rx in Kids

MONDAY, Nov. 25, 2013 (HealthDay News) -- The amount of corticosteroids delivered by nebulizers in children with asthma differs from the prescribed dose, the amount varying with drug formulation, according to research published online Nov. 24 in Respirology.

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CDC: More Than One in 10 Kids Diagnosed With ADHD

MONDAY, Nov. 25, 2013 (HealthDay News) -- More than one in 10 children and adolescents are diagnosed with attention-deficit/hyperactivity disorder (ADHD), an increase of 42 percent in less than a decade, according to a study published online Nov. 25 in the Journal of the American Academy of Child & Adolescent Psychiatry.

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Antiviral Therapy Helps Children Critically Ill With Flu

MONDAY, Nov. 25, 2013 (HealthDay News) -- In children critically ill with influenza, prompt treatment with neuraminidase inhibitors (NAIs) may improve survival, according to research published online Nov. 25 in Pediatrics.

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American Medical Groups Protesting Physician Cuts

MONDAY, Nov. 25, 2013 (HealthDay News) -- Medical societies are taking action against the mass cancellations of physicians in Medicare Advantage plans in many states, according to an article published online Nov. 22 in Medical Economics.

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Testosterone Therapy Doesn't Worsen Urinary Symptoms

MONDAY, Nov. 25, 2013 (HealthDay News) -- For hypogonadal men, testosterone replacement therapy is associated with a low risk of worsening lower urinary tract symptoms, according to a study published in the November issue of The Journal of Urology.

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Family Doc Finds Mid-Level Providers Increase Revenue

MONDAY, Nov. 25, 2013 (HealthDay News) -- Hiring mid-levels -- physicians assistants and nurse practitioners -- can improve productivity, resulting in increased physician take-home pay, according to an article published Nov. 10 in Medical Economics.

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Recession-Linked Losses Impact Alcohol Outcomes

FRIDAY, Nov. 22, 2013 (HealthDay News) -- Recession-induced economic losses are associated with alcohol outcomes, according to a study published online Nov. 20 in Alcoholism: Clinical & Experimental Research.

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Rates of CPR Training Vary Geographically in the U.S.

FRIDAY, Nov. 22, 2013 (HealthDay News) -- There are wide geographic disparities in rates of cardiopulmonary resuscitation (CPR) training in the United States, according to a study published online Nov. 18 in JAMA Internal Medicine.

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Continuity of Care Impacts Patient-Doc Communication

FRIDAY, Nov. 22, 2013 (HealthDay News) -- For Veterans Administration (VA) outpatients, low continuity of primary care correlates with reduced quality of patient-provider communication, according to a study published online Sept. 26 in the Journal of General Internal Medicine.

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White House Extends Enrollment Deadline for Health Insurance

FRIDAY, Nov. 22, 2013 (HealthDay News) -- Consumers who want to enroll in a health insurance plan through HealthCare.gov will get a few extra days to sign up for coverage that will take effect on Jan. 1. The deadline for buying insurance through the federal health insurance exchange will be pushed from Dec. 15 to Dec. 23, a spokeswoman for the Centers for Medicare and Medicaid Services (CMS) said during a Friday news conference.

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Few Parents Believe Their Teens Are at Risk of Hearing Loss

FRIDAY, Nov. 22, 2013 (HealthDay News) -- Few parents of adolescents believe their children are at risk of hearing loss, according to a study published online Nov. 21 in JAMA Otolaryngology-Head & Neck Surgery.

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FDA Warns of Cardiac Risk With Stress Test Agents

FRIDAY, Nov. 22, 2013 (HealthDay News) -- The use of cardiac nuclear stress test agents comes with a rare but serious risk of heart attack and death, according to a warning sent by the U.S. Food and Drug Administration to health care professionals.

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Researchers Study Factors in Uncomplicated Pregnancy

FRIDAY, Nov. 22, 2013 (HealthDay News) -- Factors associated with uncomplicated pregnancy have been identified, according to a study published online Nov. 21 in BMJ.

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Metabolic Factors Mediate Much of BMI-Tied Excess Cardio Risk

FRIDAY, Nov. 22, 2013 (HealthDay News) -- Blood pressure, cholesterol, and glucose mediate much of the excess risk of coronary heart disease and stroke associated with high body mass index (BMI), according to a study published online Nov. 22 in The Lancet.

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Rape, Sexual Assault Likely Underestimated by Crime Survey

FRIDAY, Nov. 22, 2013 (HealthDay News) -- Rape and sexual assault are likely underestimated on the National Crime Victimization Survey (NCVS) and a new survey should be developed for more accurate estimation of incidence, according to a report published by the National Academy of Sciences.

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Daily Text Messages Improve Diabetes Outcomes

FRIDAY, Nov. 22, 2013 (HealthDay News) -- Patients with poorly controlled diabetes have improvements in hemoglobin A1c and medication adherence and fewer trips to the emergency room after receiving daily text messages, according to a study published online Nov. 13 in the Annals of Emergency Medicine.

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Prognostic Value of Lipoprotein (a) With Low Cholesterol Unclear

THURSDAY, Nov. 21, 2013 (HealthDay News) -- Lipoprotein (a) (Lp[a]) has utility in assessing cardiovascular risk in patients with coronary artery disease (CAD); however, the prognostic value of Lp(a) in patients with low cholesterol levels remains unclear, according to a study published online Oct. 23 in the Journal of the American College of Cardiology.

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Personalized Pharmacist-Led Care Ups Med Adherence in ACS

THURSDAY, Nov. 21, 2013 (HealthDay News) -- For patients admitted with acute coronary syndrome, a personalized attention and coordinated care intervention involving a pharmacist is associated with improved medication adherence after discharge, according to a study published Nov. 18 in JAMA Internal Medicine.

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CDC Report: Health Disparities Persist in America

THURSDAY, Nov. 21, 2013 (HealthDay News) -- Despite progress in some areas, health disparities remain for many Americans, health officials reported Thursday. These inequalities are related to income, education, sex, race, ethnicity, employment and sexual orientation, and they all affect Americans' health and well-being, according to the U.S. Centers for Disease Control and Prevention.

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Drinking Milk As Teen Not Tied to Later Hip Fracture Risk

THURSDAY, Nov. 21, 2013 (HealthDay News) -- Milk consumption during teenage years is not associated with the risk of hip fracture in older adults, according to a study published online Nov. 18 in JAMA Pediatrics.

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Phthalate Exposure Linked to Higher Odds of Preterm Birth

THURSDAY, Nov. 21, 2013 (HealthDay News) -- Exposure to phthalates during pregnancy is associated with significantly higher odds of preterm birth, according to a study published online Nov. 18 in JAMA Pediatrics.

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PTSD Linked to Overweight, Obesity in Women

THURSDAY, Nov. 21, 2013 (HealthDay News) -- Women with symptoms of posttraumatic stress disorder (PTSD) are more likely to become overweight or obese, according to a study published online Nov. 20 in JAMA Psychiatry.

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Recessions Linked to Worse Cognitive Function Later

THURSDAY, Nov. 21, 2013 (HealthDay News) -- Living through recessions is associated with worse cognitive function later in life, with the critical age range differing for men and women, according to a study published online Nov. 20 in the Journal of Epidemiology & Community Health.

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Team-Based Approach Best Suited to Controlling High BP

THURSDAY, Nov. 21, 2013 (HealthDay News) -- To optimize the treatment of high blood pressure, the American Heart Association, American College of Cardiology, and U.S. Centers for Disease Control and Prevention advocate a team-based approach that incorporates the use of electronic health records, according to a scientific advisory published online Nov. 15 in Hypertension.

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Race May Affect Assessment of Vitamin D Status

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- Common genetic polymorphisms may explain racial differences in manifestations of vitamin D deficiency, according to research published in the Nov. 21 issue of the New England Journal of Medicine.

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Gray Matter Abnormalities Persist After Mild Traumatic Brain Injury

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- At four months following mild traumatic brain injury, symptoms are significantly reduced but gray matter abnormalities persist, according to research published online Nov. 20 in Neurology.

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Nut Consumption May Impact Mortality Risk

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- Those who consume nuts have a lower risk of total and cause-specific mortality, according to research published in the Nov. 21 issue of the New England Journal of Medicine.

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Younger Age Is Significant QoL Predictor Post-Breast Biopsy

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- For women undergoing percutaneous breast biopsy procedures, younger age is a significant predictor of decreased short-term quality of life, according to a study published online Nov. 19 in Radiology.

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Lower Extremity Functional Scale Valid for Low Back Pain

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- The modified lower extremity functional scale (LEFS) is a valid and reliable instrument for patients with low back pain (LBP) with or without radiating leg pain, according to a study published in the Nov. 1 issue of Spine.

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Calcium, Vitamin D Up BMD for Patients on Antiepileptic Drugs

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- For male veterans with epilepsy taking antiepileptic drugs (AEDs), calcium and vitamin D supplementation improve bone mineral density (BMD), with added benefits seen with addition of risedronate, according to a study published in the November issue of Epilepsia.

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USPSTF Identifies High Priority Evidence Gaps for Older Adults

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has produced their third annual report for Congress identifying high-priority evidence gaps specifically relating to the care of older adults.

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Web-Based Course Improves Ability to Detect Skin Cancer

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- For primary care providers (PCPs), a web-based course in skin cancer detection improves skills related to recognition and management of skin cancer, according to a study published in the November-December issue of the Journal of the American Board of Family Medicine.

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Short-Term Aerobic Exercise Improves Memory in Older Adults

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- Even shorter term regular aerobic exercise can increase resting cerebral blood flow, and improve memory and cardiovascular health in older sedentary adults, according to a study published online Nov. 12 in Frontiers in Aging Neuroscience.

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More Than Half of Hospitalized Patients Given Opioids

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- More than half of hospitalized, nonsurgical patients are exposed to opioids, according to a study published online Nov. 13 in the Journal of Hospital Medicine.

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Surgeons Emotionally Affected by Surgical Complications

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- Many surgeons are profoundly emotionally affected by surgical complications, according to a study published in the December issue of the British Journal of Surgery.

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More Mastectomy, Less Radiation in Male Breast CA Management

TUESDAY, Nov. 19, 2013 (HealthDay News) -- Surgical management of male breast cancer (MBC) is considerably different from that of female breast cancer (FBC), according to a study published in the Nov. 15 issue of the International Journal of Radiation Oncology • Biology • Physics.

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Health Care Frustration Higher in U.S. Than Other Countries

TUESDAY, Nov. 19, 2013 (HealthDay News) -- Compared to 10 other high-income industrialized nations, adults in the United States are more likely to go without health care because of costs, experience difficulty paying medical bills, and deal with frustrating health insurance paperwork or disputes such as unpaid claims, according to a report published by The Commonwealth Fund.

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Comorbidity Has Considerable Impact on Life Expectancy

TUESDAY, Nov. 19, 2013 (HealthDay News) -- Life expectancy in elderly individuals of the same chronological age varies with levels of comorbidity, according to research published in the Nov. 19 issue of the Annals of Internal Medicine.

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Effect of Statins on Cognitive Function Unclear

TUESDAY, Nov. 19, 2013 (HealthDay News) -- Current published evidence is lacking and further research is needed to establish an effect of statins on cognitive function, according to a review published in the Nov. 19 issue of the Annals of Internal Medicine.

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Risk of Hospitalized Fall Injury Up for Seniors With Diabetes

TUESDAY, Nov. 19, 2013 (HealthDay News) -- Older adults with diabetes, especially those treated with insulin, are at increased risk of injurious falls requiring hospitalization, according to a study published online Oct. 15 in Diabetes Care.

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In-Bedroom Media Access Tied to Sleep Problems in ASD

TUESDAY, Nov. 19, 2013 (HealthDay News) -- For boys with autism spectrum disorder (ASD), media-related variables impact sleep time, according to a study published online Nov. 18 in Pediatrics.

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Asthma Tied to Increased Time to Pregnancy

TUESDAY, Nov. 19, 2013 (HealthDay News) -- Asthma prolongs time to pregnancy, according to a study published online Nov. 14 in the European Respiratory Journal.

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Some Doctors Challenge New Statin Guidelines

MONDAY, Nov. 18, 2013 (HealthDay News) -- A new online cholesterol risk calculator produced by two leading U.S. heart organizations is flawed and overstates a person's risk of heart disease, a pair of Harvard Medical School professors say. The professors contend that this flaw could lead the calculator to mistakenly suggest that millions of people should be taking cholesterol-lowering statin drugs, The New York Times reported Monday.

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Infant Cases of Late Vitamin K Deficiency Bleeding Described

MONDAY, Nov. 18, 2013 (HealthDay News) -- Four cases of vitamin K deficiency bleeding (VKDB) have been reported in Tennessee, according to a report published in the Nov. 15 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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AAP/CDC Update Antibiotic Guidance for Pediatric URIs

MONDAY, Nov. 18, 2013 (HealthDay News) -- The American Academy of Pediatrics (AAP) and the U.S. Centers for Disease Control and Prevention have released updated guidelines for the judicious use of antibiotics for upper respiratory infections (URIs) in children; these guidelines have been published online Nov. 18 in Pediatrics.

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Global Efforts Needed to Curb Antibiotic Resistance

MONDAY, Nov. 18, 2013 (HealthDay News) -- Global efforts are needed to curb antibiotic resistance, according to a report published online Nov. 16 in The Lancet Infectious Diseases.

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Study Supports AAP Allergy Prevention Recommendations

MONDAY, Nov. 18, 2013 (HealthDay News) -- The delay of solid foods until at least 17 weeks of age and continued breastfeeding when cow's milk protein is introduced to infants' diets correlate with a reduced likelihood of food allergies, according to a study published online Nov. 18 in Pediatrics.

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CDC: Smoking Remains Steady in Middle, High School Students

FRIDAY, Nov. 15, 2013 (HealthDay News) -- Overall, the percent of students smoking cigarettes and using tobacco remained steady in 2012, according to a report published in the Nov. 15 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Guidelines Issued for Managing Diabetes in Pregnancy

FRIDAY, Nov. 15, 2013 (HealthDay News) -- Guidelines have been formulated for the management of pregnant women with diabetes; the clinical practice guideline has been published in the Nov. 1 issue of the Journal of Clinical Endocrinology & Metabolism.

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AAFP Creates Map of Medicaid Parity Provision Implementation

FRIDAY, Nov. 15, 2013 (HealthDay News) -- Most states have implemented the Affordable Care Act's Medicaid parity measure for certain primary care services, according to a report published by the American Academy of Family Physicians (AAFP).

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Bariatric Surgery Linked to Increased Pregnancy Risks

FRIDAY, Nov. 15, 2013 (HealthDay News) -- Women with a history of bariatric surgery are at increased risk for preterm or small-for-gestational-age babies, according to a study published online Nov. 12 in BMJ.

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MetS No Better Than BMI for ID'ing Risk for Heart Disease

FRIDAY, Nov. 15, 2013 (HealthDay News) -- Being overweight or obese is a risk factor for myocardial infarction (MI) and ischemic heart disease (IHD) regardless of metabolic syndrome status, according to a study published online Nov. 11 in JAMA Internal Medicine.

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Time Spent Walking Tied to Lower Stroke Risk in Older Men

FRIDAY, Nov. 15, 2013 (HealthDay News) -- For older men, time spent walking is associated with a reduced risk of stroke, in a dose-dependent manner, according to a study published online Nov. 14 in Stroke.

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Arthritis Patients Listen When Doc Tells Them to Exercise

FRIDAY, Nov. 15, 2013 (HealthDay News) -- Recommendations from health care providers are linked with adherence to guidelines for physical activity in adults with arthritis, according to research published online Nov. 7 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Lower Glucose Threshold for T2DM Prevention Ups Costs

FRIDAY, Nov. 15, 2013 (HealthDay News) -- Although lowering the threshold for a normal fasting plasma glucose would identify more adults at high risk for developing type 2 diabetes, intervention costs would increase, according to research published online Oct. 17 in Diabetes Care.

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FDA Requests Safety Measures for Topical Antiseptics

FRIDAY, Nov. 15, 2013 (HealthDay News) -- The U.S. Food and Drug Administration is requesting manufacturers of certain topical antiseptics make changes to their labeling and packaging that will enhance product safety, according to a Drug Safety Communication issued by the agency.

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Obama Nominates Health Care Law Backer to Be Surgeon General

FRIDAY, Nov. 15, 2013 (HealthDay News) -- An early supporter and advocate for the Affordable Care Act has been nominated by President Barack Obama to be the country's next surgeon general.

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New Guidelines Issued for Managing Overweight, Obesity

FRIDAY, Nov. 15, 2013 (HealthDay News) -- Evidence-based recommendations for the management of overweight and obesity have been developed by the American Heart Association and the American College of Cardiology; the guidelines were published online Nov. 12 in Circulation and the Journal of the American College of Cardiology.

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ASCO Concurs With Cancer Care Ontario for CRC Follow-Up

THURSDAY, Nov. 14 (HealthDay News) -- The American Society of Clinical Oncology (ASCO) has endorsed Cancer Care Ontario (CCO) guidelines for colorectal cancer survivor follow-up care, according to a study published online Nov. 12 in the Journal of Clinical Oncology.

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Obama Signs Bill to Encourage Schools to Stock Epinephrine

THURSDAY, Nov. 14 (HealthDay News) -- A new law meant to increase the availability of life-saving epinephrine in U.S. schools was signed Wednesday by President Barack Obama.

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Obama: You Can Keep Your Health Plan (for a Year)

THURSDAY, Nov. 14 (HealthDay News) -- Bending to political pressure, President Barack Obama on Thursday announced a plan to allow Americans to keep their health insurance plans for another year, even if that coverage would have been cancelled because it fails to meet new rules under the Affordable Care Act.

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Guidelines Issued for Assessing Risk of Atherosclerotic CVD

THURSDAY, Nov. 14 (HealthDay News) -- Evidence-based recommendations for assessing the risk of atherosclerotic cardiovascular disease (ASCVD) have been developed by the American Heart Association and the American College of Cardiology; the guidelines were published online Nov. 12 in Circulation and the Journal of the American College of Cardiology.

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New Guidelines Issued for Cholesterol Management

THURSDAY, Nov. 14 (HealthDay News) -- Evidence-based recommendations for the management of cholesterol for the primary and secondary prevention of atherosclerotic cardiovascular disease (ASCVD) have been developed by the American Heart Association and the American College of Cardiology; the guidelines were published online Nov. 12 in Circulation and the Journal of the American College of Cardiology.

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Pulse Pressure Linked to CSF Markers of Alzheimer's Disease

THURSDAY, Nov. 14 (HealthDay News) -- Elevated pulse pressure (PP) is linked to cerebrospinal fluid (CSF)-based biomarkers related to Alzheimer's disease in cognitively normal, older adults, according to a study published online Nov. 13 in Neurology.

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BP Down With Barber-Based Intervention, Specialist Follow-Up

THURSDAY, Nov. 14 (HealthDay News) -- A barber-based intervention -- whereby barbers offer blood pressure (BP) checks with haircuts and motivate black male patrons with high BP to seek provider follow-up -- is associated with a significant reduction in systolic BP when barbers refer patrons to hypertension specialists rather than primary care providers (PCP), according to a study published in the Nov. 1 issue of The American Journal of Cardiology.

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No Promises on Nov. 30 ACA Website Fix: U.S. Tech Chief

THURSDAY, Nov. 14 (HealthDay News) -- The nation's chief of information technology would not confirm on Wednesday whether the hobbled HealthCare.gov insurance exchange website would be fixed by month's end.

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Health Care Enrollments Fall Far Short of White House Estimates

THURSDAY, Nov. 14 (HealthDay News) -- The Obama administration late Wednesday released a report revealing a disappointing number of health plan enrollments through the new federal and state insurance exchanges. Just over 106,000 Americans enrolled in health plans through the new marketplaces from Oct. 1 through Nov. 2, U.S. Health and Human Services Secretary Kathleen Sebelius said during a news conference.

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Campaign Ups Colon Cancer Screening in Rural Community

WEDNESDAY, Nov. 13 (HealthDay News) -- A small but non-significant increase in screening rates for colon cancer was observed after a multicomponent intervention was tested in rural communities in Colorado, according to research published in the November/December issue of the Annals of Family Medicine.

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Enterococci, GBS Appear to Rarely Cause Acute Cystitis

WEDNESDAY, Nov. 13 (HealthDay News) -- Although organisms such as enterococci or group B streptococci are often detected along with Escherichia coli in cultures of voided midstream urine, they usually are not found in cultures of catheter urine, according to research published in the Nov. 14 issue of the New England Journal of Medicine.

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Obesity Ups Women's Death, Disability Risk Before Age 85

WEDNESDAY, Nov. 13 (HealthDay News) -- Obese older women are at higher risk of death, disease, and disability before age 85, relative to healthy-weight women, according to a study published online Nov. 11 in JAMA Internal Medicine.

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New Models Could Alleviate Primary Care Provider Shortage

WEDNESDAY, Nov. 13 (HealthDay News) -- New models of primary care delivery could reduce the anticipated primary care physician shortage, according to an article published Nov. 4 in Medical Economics.

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Many Would Give Health Plans Private Info to Save Money: Poll

WEDNESDAY, Nov. 13 (HealthDay News) -- Many Americans say they'd submit to insurance company medical tests and lifestyle monitoring in exchange for lower-cost premiums, a new Harris/HealthDay poll finds.

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Cognitive Strategy Cuts Stress in Mothers of Children With Autism

WEDNESDAY, Nov. 13 (HealthDay News) -- A cognitive intervention to teach problem-solving skills reduces stress and depressive symptoms in mothers of children who recently have been diagnosed with autism spectrum disorder, according to research published online Nov. 11 in JAMA Pediatrics.

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Population Aging Crisis May Have Been Overestimated

WEDNESDAY, Nov. 13 (HealthDay News) -- Use of an alternative measure for assessing the number of dependent older people suggests that the population aging crisis may have been overestimated, according to an analysis published online Nov. 12 in BMJ.

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Teen Bullies, Bullied Engage in More Sexual Risk-Taking

TUESDAY, Nov. 12 (HealthDay News) -- High school bullies and bully-victims are more likely to engage in casual sex and sex under the influence of alcohol and drugs than their peers, with the association seen primarily for heterosexual youth, according to a study published online Nov. 11 in Pediatrics.

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Lifestyle Management Guidance Issued for Cutting CVD Risk

TUESDAY, Nov. 12 (HealthDay News) -- Recommendations for lifestyle management for adults who need to reduce low-density lipoprotein cholesterol (LDL-C) or blood pressure have been developed, according to a report published online Nov. 12 in Circulation and the Journal of the American College of Cardiology.

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Hospitalizations for About 70 Percent of ER Visits for A-Fib

TUESDAY, Nov. 12 (HealthDay News) -- Nationwide, 69 percent of emergency department visits for atrial fibrillation (AF) result in hospitalization, with patient- and hospital-level factors affecting hospitalization, according to a study published in the Nov. 1 issue of The American Journal of Cardiology.

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Initial Health-Plan Enrollment Falls Below Expectations

TUESDAY, Nov. 12 (HealthDay News) -- Fewer than 50,000 people have enrolled in health insurance through the federal HealthCare.gov website, according to published reports. The tally represents enrollment in the troubled federal health insurance exchange from its launch date on Oct. 1 through last week, the Wall Street Journal reported Monday. HealthCare.gov serves as the insurance exchange for people in 36 states.

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Changes Suggested for Improving Care for Frail Elderly

TUESDAY, Nov. 12 (HealthDay News) -- Changes must be implemented to provide reliable and comprehensive care for frail elderly in the United States, according to a viewpoint piece published in the Nov. 13 issue of the Journal of the American Medical Association, a theme issue on critical issues in U.S. health care.

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Many Americans Want Docs to Help Explain Genetic Tests

TUESDAY, Nov. 12 (HealthDay News) -- When it comes to genetic testing, Americans support more research, laws to protect against discrimination, and involving medical professionals in offering guidance, according to research published online Nov. 7 in Genetics in Medicine.

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USPSTF: Lack of Evidence for Vitamins for CVD, CA Prevention

TUESDAY, Nov. 12 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has found that there is currently insufficient evidence to weigh the benefits and harms of multivitamins for the primary prevention of cardiovascular disease (CVD) or cancer. This draft recommendation statement is based on an evidence review published online Nov. 12 in the Annals of Internal Medicine.

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Analysis Describes Economic Anatomy of U.S. Health Care

TUESDAY, Nov. 12 (HealthDay News) -- Despite the increases in resources devoted to health care in the United States, multiple health care metrics show that the United States is trailing peer nations, according to a special communication published in the Nov. 13 issue of the Journal of the American Medical Association, a theme issue on critical issues in U.S. health care.

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Thromboembolism Prophylaxis Underused After C-Section

TUESDAY, Nov. 12 (HealthDay News) -- Thromboembolism prophylaxis is underused among women who undergo cesarean delivery in the United States, according to a study published online Nov. 6 in Obstetrics & Gynecology.

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Depression Linked to Accelerated Cellular Aging

TUESDAY, Nov. 12 (HealthDay News) -- Patients with major depressive disorder (MDD) have shorter telomeres, indicating accelerated cellular aging, according to a study published online Nov. 12 in Molecular Psychiatry.

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Young Age at Menarche Doesn't Equate to Earlier Sex

TUESDAY, Nov. 12 (HealthDay News) -- Younger age at menarche (AAM) does not confer increased risk of early first sexual intercourse (FSI), according to a study published online Nov. 11 in Pediatrics.

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Gun Violence in PG-13 Movies Has Tripled Since 1985

MONDAY, Nov. 11 (HealthDay News) -- Youth are exposed to increasing gun violence in top-selling PG-13-rated films, according to a study published online Nov. 11 in Pediatrics.

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Poor Coverage of Breastfeeding Found at First Prenatal Visit

MONDAY, Nov. 11 (HealthDay News) -- Education about breastfeeding at the first prenatal visit typically is infrequent and limited, according to research published online Nov. 6 in Obstetrics & Gynecology.

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Market Withdrawal, Relabeling Cut Cough Med-Linked ER Visits

MONDAY, Nov. 11 (HealthDay News) -- Voluntary market withdrawal and labeling revision correlated with reductions in the number of emergency department visits for cold and cough medication (CCM) adverse drug events (ADEs) in young children, according to a study published online Nov. 11 in Pediatrics.

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HPV Test Ordering Varies Widely in Family Medicine

MONDAY, Nov. 11 (HealthDay News) -- There is considerable practice variation in the ordering of human papillomavirus (HPV) testing among family medicine practitioners performing a Papanicolaou smear, according to a study published in the November-December issue of the Journal of the American Board of Family Medicine.

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Receiving Biosketch of Doctor Improves Patient Satisfaction

MONDAY, Nov. 11 (HealthDay News) -- Receiving a biosketch of an attending orthopedic trauma surgeon significantly improves patient satisfaction with the quality of care, according to a study published online Oct. 28 in the Journal of Orthopaedic Trauma.

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Obama 'Sorry' Some People Losing Health Coverage

FRIDAY, Nov. 8 (HealthDay News) -- President Barack Obama said he's "sorry" some Americans are losing their insurance coverage as a result of his signature health-reform law, but his administration is pressing ahead with the law's implementation. It's estimated that 5 percent of Americans have individual health insurance policies, and many of these people are receiving cancellation notices as insurers switch to plans that comply with new health-reform requirements.

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Most Patients Satisfied With Telephonic Health Coaching

FRIDAY, Nov. 8 (HealthDay News) -- Most individuals who participate in telephonic health coaching are satisfied and report that health coaching helped them achieve their weight-related goal, according to a study published Oct. 31 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Prenatal Program Effective for Speakers of Limited English

FRIDAY, Nov. 8 (HealthDay News) -- A group prenatal visit program for Japanese women in the United States with limited English proficiency is well rated by the participants, who report that they like the social support of being with other pregnant women, according to a study published in the November-December issue of the Journal of the American Board of Family Medicine.

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Telemedicine Represents Enhanced Care Model

THURSDAY, Nov. 7 (HealthDay News) -- Telemedicine may represent an effective care model but there are associated concerns, specifically relating to reimbursement and legal issues, according to an article published Oct. 25 in Medical Economics.

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Group Training Improves Parenting Skills, Child Behavior

THURSDAY, Nov. 7 (HealthDay News) -- Group training delivered to parents of toddlers in pediatric office settings improves parenting skills and reduces child disruptive behaviors, according to research published online Nov. 4 in JAMA Pediatrics.

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CDC: More Than 1 in 5 Adults Report Having Arthritis

THURSDAY, Nov. 7 (HealthDay News) -- More than one in five U.S. adults report having been diagnosed with arthritis, with a substantial proportion additionally reporting arthritis-attributable activity limitations (AAAL), according to a report published in the Nov. 8 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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FDA to Ban Trans Fats in Foods

THURSDAY, Nov. 7 (HealthDay News) -- U.S. health officials announced Thursday a plan to phase out heart-harmful trans fats in processed foods and restaurant fare. U.S. Food and Drug Administration Commissioner Margaret Hamburg, M.D., said the proposed restrictions on the use of trans fats could prevent 20,000 heart attacks a year and 7,000 deaths.

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Argument for Coverage of Cardiac Rehab, Counseling for Stable CHF

THURSDAY, Nov. 7 (HealthDay News) -- Cardiac rehabilitation (CR) exercise training and chronic heart failure self-care counseling provide significant clinical benefits to individuals with stable chronic heart failure, according to a review published Oct. 30 in the Journal of the American College of Cardiology: Heart Failure.

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Family Meals, Associated Rituals Could Lower Child, Adult BMI

THURSDAY, Nov. 7 (HealthDay News) -- Family meals and their related rituals are associated with both child and adult body mass index (BMI), according to a study published online Oct. 1 in Obesity.

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For Hospitalized Adults, Light Inversely Tied to Fatigue, Mood

THURSDAY, Nov. 7 (HealthDay News) -- For hospitalized adult patients, light exposure is inversely associated with fatigue and total mood disturbance, according to a study published online Oct. 27 in the Journal of Advanced Nursing.

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Study Looks at Anticipated ACA Reimbursement Trends in ER

THURSDAY, Nov. 7 (HealthDay News) -- As a result of implementation of the Affordable Care Act (ACA), outpatient emergency department encounters could reimburse considerably more for both previously uninsured patients who obtain Medicaid coverage and for those who move into private insurance products, according to a study published online Oct. 31 in the Annals of Emergency Medicine.

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Postdiagnostic Statin Use Cuts Mortality in Prostate Cancer

THURSDAY, Nov. 7 (HealthDay News) -- For men with prostate cancer, postdiagnostic statin use is associated with a decreased risk of prostate cancer and all-cause mortality, with stronger effects seen for those who used statins before diagnosis, according to a study published online Nov. 4 in the Journal of Clinical Oncology.

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Amount of Care Similar for Rural, Urban Medicare Users

THURSDAY, Nov. 7 (HealthDay News) -- Although there may be a limited supply of physicians in some rural areas, little difference is found in the amount of health care received by Medicare beneficiaries for rural versus urban areas within the same region, according to research published in the November issue of Health Affairs.

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Metformin Little Benefit for CHD Patients Without Diabetes

THURSDAY, Nov. 7 (HealthDay News) -- For patients without diabetes with high cardiovascular risk who are taking statins, metformin has no effect on mean distal carotid intima-media thickness (cIMT), according to a study published online Nov. 7 in The Lancet Diabetes & Endocrinology.

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Better Oral Health Decreases Carotid Artery IMT Progression

THURSDAY, Nov. 7 (HealthDay News) -- Improvements in periodontal health are associated with improvements in the progression of atherosclerosis, according to a study published online Oct. 28 in the Journal of the American Heart Association.

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Intra-Articular, Systemic Steroids Beneficial in Back Pain

THURSDAY, Nov. 7 (HealthDay News) -- Intra-articular injection of steroids is slightly better than intramuscular injection for the treatment of facet joint syndrome, although both are effective, according to a study published in the Nov. 1 issue of Spine.

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Sebelius on Exchange Website: 'Delay Is Not an Option'

WEDNESDAY, Nov. 6 (HealthDay News) -- U.S. Health and Human Services Secretary Kathleen Sebelius said Wednesday that the Obama administration will not consider delaying implementation of health reform. Nor will it take down HealthCare.gov -- the troubled health insurance marketplace website -- while it's being fixed. "For millions of Americans, delay is not an option," Sebelius told the Senate Finance Committee during a hearing on the new health insurance marketplace. "People's lives depend on this," she said.

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Bilingualism Delays Onset of Dementia, Even in Illiterate

WEDNESDAY, Nov. 6 (HealthDay News) -- Onset of dementia symptoms is delayed in people who are bilingual, even among those who are illiterate, according to a study published online Nov. 6 in Neurology.

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Assisted Conception Doesn't Up Overall Cancer Risk in Children

WEDNESDAY, Nov. 6 (HealthDay News) -- Assisted conception is not associated with an overall increase in cancer risk among children, according to a study published in the Nov. 7 issue of the New England Journal of Medicine.

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Strength Training May Combat Children's Decreasing Activity

WEDNESDAY, Nov. 6 (HealthDay News) -- Strength training increases strength in boys and girls, and increases daily spontaneous physical activity (PA) behavior in boys, according to a study published online Nov. 4 in Pediatrics.

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CDC Suggests Ways to Increase CRC Screening Rates

WEDNESDAY, Nov. 6 (HealthDay News) -- Various approaches should be implemented to increase the use of colorectal cancer (CRC) screening tests, according to the November issue of the U.S. Centers for Disease Control and Prevention's Vital Signs.

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Interventions Can Cut Children's Smoke Exposure at Home

WEDNESDAY, Nov. 6 (HealthDay News) -- Intensive interventions aimed at reducing children's exposure to second hand smoke (SHS) at home are effective, according to a study published online Nov. 4 in Pediatrics.

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Personal History of Prostate Cancer Linked to Melanoma Risk

WEDNESDAY, Nov. 6 (HealthDay News) -- History of prostate cancer (PCa) is associated with an increased risk of melanoma, according to a study published online Nov. 4 in the Journal of Clinical Oncology.

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Provider Reminder Tool Can Improve Screening Rates

WEDNESDAY, Nov. 6 (HealthDay News) -- A care coordinator and clinical reminder tool can enhance providers' ordering of preventive health screenings, according to a study published in the September/October issue of the Journal for Healthcare Quality.

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In CAD, Many Don't Get Optimal Secondary Prevention Med Combo

WEDNESDAY, Nov. 6 (HealthDay News) -- About one-third of coronary artery disease (CAD) patients fail to receive their optimal combination of secondary prevention medications, according to a study published online Oct. 30 in the Journal of the American College of Cardiology.

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Hyperglycemia May Increase Myocardial Infarction Mortality

WEDNESDAY, Nov. 6 (HealthDay News) -- Hyperglycemia is common among patients presenting with myocardial infarction and is associated with a higher risk of death, according to a study published in the Nov. 1 issue of The American Journal of Cardiology.

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Diet Quality in Midlife Associated With Healthy Aging

TUESDAY, Nov. 5 (HealthDay News) -- Diet quality in midlife is associated with increased odds of healthy aging, according to a study published in the Nov. 5 issue of the Annals of Internal Medicine.

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Interactive Computer Program Beneficial in Depression

TUESDAY, Nov. 5 (HealthDay News) -- Use of a tailored interactive multimedia computer program (IMCP) in primary care improves antidepressant drug recommendations, mental health referral, or both, but does not affect mental health at 12 weeks, according to a study published in the Nov. 6 issue of the Journal of the American Medical Association.

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Study Raises Questions About Testosterone Rx for 'Low T'

TUESDAY, Nov. 5 (HealthDay News) -- For men with low testosterone levels who undergo coronary angiography, testosterone therapy is associated with an increased risk of all-cause mortality, myocardial infarction (MI), and stroke, according to a study published in the Nov. 6 issue of the Journal of the American Medical Association.

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Senators Seek Answers on Health Marketplace Woes

TUESDAY, Nov. 5 (HealthDay News) -- A top Obama administration health official said Tuesday that HealthCare.gov -- the troubled federal website used to sign up for insurance -- is improving, and insisted that private information provided during the online application process is safe and secure.

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In the Doctor's Lounge With Dr. Cindy Haines

FRIDAY, Nov. 1 (HealthDay News) -- This is the second issue of a monthly letter from me, HealthDay's chief medical officer and the managing editor of Physician's Briefing, HealthDay's news service for health care professionals. The intention of this letter (and the intention of what we do at HealthDay) is to provide tools of communication. At Physician's Briefing, this is by providing you, the busy and buried health care professional, news and information that matters to you in a way that won't slow you down. The intention is to provide news that can help you stay abreast of changing clinical guidelines, cutting-edge technologies, and novel treatment options. And now, we offer free Continuing Medical Education (CME) credits for you on select clinical articles, enabling you to get (at least) two birds with one stone.

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In the Doctor's Lounge With Dr. Cindy Haines

TUESDAY, Oct. 1 (HealthDay News) -- Please allow me to introduce myself: I am HealthDay's chief medical officer and the managing editor of Physician's Briefing, HealthDay's news service for health care professionals. This service is intended to provide busy physicians, nurses, and pharmacists with easily accessible, digestible health news that can keep them up-to-date and not missing a beat in their busy days providing care for those in need (and navigating the headaches and heartaches the business of medicine can too often bring). In short, this service is intended to make your professional life flow more smoothly in the way that helpful, useable, relevant, and timely information can.

Exchanges Will Be Cornerstone for Coverage Choices
Young Adults May Be Key to Making It All Work
Expect Pluses, Minuses for Those With Job-Based Coverage
If You're an Uninsured Worker, It's Your Chance to Get Covered
Medicaid Expansion Will Allow More to Get More
Many on Medicare Already Enjoying Benefits
AMA Presents: The National Journal
editors@healthday.com

Pesticide Exposure Linked to Endometriosis Risk

TUESDAY, Nov. 5 (HealthDay News) -- Two organochlorine pesticides (OCPs), β-hexachlorocyclohexane (HCH) and mirex, are associated with the risk of endometriosis, according to a study published online Nov. 5 in Environmental Health Perspectives.

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Worse Outcomes for Early Post-Lumbar Spinal Fusion Rehab

TUESDAY, Nov. 5 (HealthDay News) -- Beginning rehabilitation at six weeks as opposed to 12 weeks post-lumbar spinal fusion is associated with higher costs and poorer outcomes, according to a study published in the Nov. 1 issue of Spine.

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One Dose of HPV Vaccine Induces Long-Term Antibodies

TUESDAY, Nov. 5 (HealthDay News) -- Women who receive only one dose of a human papillomavirus (HPV) vaccine have readily detectable antibody levels that remain stable for four years, according to a study published in the November issue of Cancer Prevention Research.

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Score Identifies Patients at Low Risk of Strep Throat

TUESDAY, Nov. 5 (HealthDay News) -- A home test based on a patient's clinical variables and the local incidence of strep throat can identify which patients with a sore throat are at low risk of strep throat and do not need to see a doctor, according to a study published in the Nov. 5 issue of the Annals of Internal Medicine.

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Iron Status Predicts Prognosis in Patients With T2DM, CAD

TUESDAY, Nov. 5 (HealthDay News) -- Iron status can independently predict long-term outcomes in patients with type 2 diabetes and coronary artery disease (CAD), according to a study published online Oct. 15 in Diabetes Care.

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A-Fib Linked to Increased Risk of Myocardial Infarction

TUESDAY, Nov. 5 (HealthDay News) -- Atrial fibrillation (AF) is associated with an increased risk of myocardial infarction (MI), according to a study published online Nov. 4 in JAMA Internal Medicine.

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Placental Growth Factor Useful for Predicting Preeclampsia

TUESDAY, Nov. 5 (HealthDay News) -- Low plasma placental growth factor (PlGF) concentration has high sensitivity and negative predictive value for preeclampsia within 14 days, according to a study published in the Nov. 5 issue of Circulation.

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Physique Concerns Linked to Adverse Outcomes for Teen Boys

TUESDAY, Nov. 5 (HealthDay News) -- For adolescent boys, concerns about thinness and muscularity are associated with adverse outcomes, according to a study published online Nov. 4 in JAMA Pediatrics.

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Parental Vaccine Acceptance Linked to Provider Communication

MONDAY, Nov. 4 (HealthDay News) -- Parental vaccine acceptance is associated with how providers initiate and pursue vaccine recommendations, according to a study published online Nov. 4 in Pediatrics.

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Triage System Underperforms in Children With Chronic Illness

MONDAY, Nov. 4 (HealthDay News) -- For children presenting to the emergency department with infectious symptoms, performance of the Manchester Triage System (MTS) is lower for those with chronic illnesses, compared to those without chronic illnesses, according to a study published online Nov. 4 in Pediatrics.

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Family Planning Program for Teens With Diabetes Effective

MONDAY, Nov. 4 (HealthDay News) -- A self-administered preconception counseling program on family planning for teenage girls with diabetes is associated with greater knowledge and a willingness to discuss reproductive health with health care providers and may reduce sexual activity, according to a study published online Oct. 15 in Diabetes Care.

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Six People Signed Up on Day One of Federal Exchange Website

FRIDAY, Nov. 1 (HealthDay News) -- Just six people enrolled for health insurance through the federal HealthCare.gov website the first day of operation on Oct. 1, just-released Obama administration documents show.

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Proper Metered-Dose Inhaler-Spacer Technique Lacking

FRIDAY, Nov. 1 (HealthDay News) -- Proper metered-dose inhaler (MDI)-spacer technique is lacking among the caregivers of urban, minority children with persistent asthma, according to a study published online Oct. 22 in the Journal of Asthma.

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