September 2013 Briefing - Nursing

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

Lower National Health Spending Due to Slow Economy

MONDAY, Sept. 30 (HealthDay News) -- National health care expenditures remain sluggish but are expected to grow at a rate of approximately 6.2 percent per year after 2014, with federal, state, and local governments accounting for half, according to research published online Sept. 18 in Health Affairs.

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Poll: Americans Anxious About Long-Term Care

MONDAY, Sept. 30 (HealthDay News) -- More than two-thirds of Americans are worried about how they will pay for long-term care, and more than two-thirds of them are likely to need it someday, according to the results of a Harris Interactive/HealthDay poll.

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Medicare, Medicaid Will Still Run If Government Shuts Down

MONDAY, Sept. 30 (HealthDay News) -- According to U.S. officials, veterans and Medicare and Medicaid recipients will continue to receive health care benefits even if the federal government shuts down on Tuesday.

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Only One-Third of Voters Think Congress Should Delay ACA

MONDAY, Sept. 30 (HealthDay News) -- With a government shutdown impending, only one-third of voters think that Congress should delay, defund, or repeal the health care laws set to take effect imminently, according to a report from The Morning Consult.

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No Change in Admissions for Pediatric Sports-Related TBI

MONDAY, Sept. 30 (HealthDay News) -- Over the last 10 years there has been an increase in the number of emergency department visits for sports-related traumatic brain injury (TBI) in children, but no increase in the percentage of children admitted, according to a study published online Sept. 30 in Pediatrics.

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Non-Medical Exemptions One Factor in Pertussis Resurgence

MONDAY, Sept. 30 (HealthDay News) -- Non-medical exemptions (NMEs) are likely to have been one of the factors that contributed to the resurgence of pertussis in California in 2010, according to a study published online Sept. 30 in Pediatrics.

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Trends in Psychotropic Med Use in Young Children Explored

MONDAY, Sept. 30 (HealthDay News) -- For children aged 2 to 5 years, the likelihood of psychotropic medication use peaked in 2002 to 2005, according to a study published online Sept. 30 in Pediatrics.

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DOL Clarifies Employer Health Insurance Notification Duty

MONDAY, Sept. 30 (HealthDay News) -- The U.S. Department of Labor has provided clarification in the form of a frequently-asked-questions (FAQ) document, relating to employer obligations to provide employees with written notice about the Affordable Care Act's health insurance marketplaces by Oct. 1, 2013.

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Mobile Devices Can Facilitate Universal Vital Sign Monitoring

MONDAY, Sept. 30 (HealthDay News) -- Mobile devices are well suited to provide universal access to the monitoring of vital signs, according to a review published in the October issue of Anesthesia & Analgesia.

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Vitamin D Alone Doesn't Better Postmenopausal Bone Health

MONDAY, Sept. 30 (HealthDay News) -- Vitamin D supplementation alone does not improve bone health in postmenopausal women, but calcium alone or in combination with vitamin D does appear to reduce bone turnover, according to a study published online Sept. 24 in the Journal of Clinical Endocrinology & Metabolism.

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Modifiable Factors ID'd for Reducing Surgical Site Infections

MONDAY, Sept. 30 (HealthDay News) -- Specific modifiable preoperative, intraoperative, and postoperative factors can be optimized to reduce the risk of surgical site infections (SSIs) for patients undergoing elective orthopedic surgery, according to research published in the September issue of The Spine Journal.

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HEALTH REFORM: ACA Impact on Medicare Recipients Unclear

FRIDAY, Sept. 27 (HealthDay News) -- The Affordable Care Act (ACA) will help millions of uninsured Americans access affordable health care coverage, but it's unclear what effect the law will have on people covered by Medicare.

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Health Worker Roles Impacted When 'Undervalued' by Patients

FRIDAY, Sept. 27 (HealthDay News) -- Job satisfaction among nurse practitioners and other professionals can suffer when clientele lack a clear understanding of what they do, according to research published in the Aug. 1 issue of the Academy of Management Journal.

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Practical Tips Offered for Medical Employee Satisfaction

FRIDAY, Sept. 27 (HealthDay News) -- Managing staff is a learned skill, and one for which physicians are often ill-equipped. An article published Sept. 25 in Medical Economics lays out some practical tips and advice for motivating staff to excel.

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Sutures Not Superior to Staples for Closure in GI Surgery

FRIDAY, Sept. 27 (HealthDay News) -- Compared with standard procedure using staples, skin closure with subcuticular sutures does not reduce the incidence of wound complications after open gastrointestinal (GI) surgery, according to research published in the Sept. 28 issue of The Lancet, a theme issue on surgery.

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Mobile Apps May Expand Dermatology Practice

FRIDAY, Sept. 27 (HealthDay News) -- Mobile apps may offer an opportunity to expand delivery of dermatological care, according to research published online Sept. 25 in JAMA Dermatology.

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Rates of Severe and Fatal Maternal Sepsis Up in the U.S.

FRIDAY, Sept. 27 (HealthDay News) -- Rates of severe sepsis and sepsis-related deaths during hospitalization for labor and delivery in the United States are increasing, according to research published in the October issue of Anesthesia & Analgesia.

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Social Media May Make Quitting Smoking Easier

FRIDAY, Sept. 27 (HealthDay News) -- People who participate in health issue-specific social networking sites find it easier to quit smoking, according to research published online Sept. 16 in the Journal of Communication.

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Effect of Testosterone on CV Disease in Men Uncertain

FRIDAY, Sept. 27 (HealthDay News) -- Further research is required to determine the relationship between testosterone levels and cardiovascular disease in men and to explore the risk-benefit of testosterone therapy, according to a review published online Sept. 24 in the Journal of Clinical Endocrinology & Metabolism.

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Obesity Gene Testing Offers Psychological Benefit

FRIDAY, Sept. 27 (HealthDay News) -- Results from genetic testing for weight gain-related genes may offer psychological benefits beyond their limited clinical utility, according to a study published in the July issue of the Journal of Genetic Counseling.

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Disparity Seen in Pain Tx for Kids in ER for Abdominal Pain

FRIDAY, Sept. 27 (HealthDay News) -- Racial disparities exist in the use of analgesics in pediatric patients in the emergency department presenting with abdominal pain, according to a study published online Sept. 23 in Pediatrics.

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CDC: Flu Shot Coverage of Health Care Personnel Increasing

THURSDAY, Sept. 26 (HealthDay News) -- Influenza vaccination coverage has increased among health care personnel but varies by occupation type and occupational setting, according to a report published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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HEALTH REFORM: Medicaid Expansion Will Up Coverage

THURSDAY, Sept. 26 (HealthDay News) -- Two aspects of the Affordable Care Act (ACA) have the potential to extend health insurance coverage to those who do not qualify for government-sponsored health care but cannot afford to purchase private plans.

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Combo Approach Ups Flu Vaccine Receipt Among Pregnant Women

THURSDAY, Sept. 26 (HealthDay News) -- The combination of a health care provider recommending an influenza vaccination and offering the vaccine increases uptake among pregnant women, according to a report published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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High Sensitivity for Ottawa Subarachnoid Hemorrhage Rule

THURSDAY, Sept. 26 (HealthDay News) -- For patients presenting to the emergency department with headache peaking within one hour and no neurologic deficits, the Ottawa Subarachnoid Hemorrhage Rule is highly sensitive for identifying subarachnoid hemorrhage, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.

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Dementia Needs to Become a Government Priority

THURSDAY, Sept. 26 (HealthDay News) -- Governments must make dementia a priority, according to a report published by Alzheimer's Disease International.

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Cardiovascular Data Registry Provides Useful Information

THURSDAY, Sept. 26 (HealthDay News) -- Programs within the National Cardiovascular Data Registry (NCDR) provide valuable information about cardiovascular trends, according to a report published online Sept. 18 in the Journal of the American College of Cardiology.

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Improved Vision From Cataract Surgery Appears to Aid Survival

THURSDAY, Sept. 26 (HealthDay News) -- Surgical correction of visual impairment (VI) due to cataract is associated with significantly better long-term survival in older persons after adjusting for known cataract and mortality risk factors and indicators of general health, according to a study published in the September issue of Ophthalmology.

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Antibiotic Protocol Selects Against Drug Resistance

THURSDAY, Sept. 26 (HealthDay News) -- Cycling between antibiotics can select against the development of drug resistance, according to a study published in the Sept. 25 issue of Science Translational Medicine.

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No Cognitive Protective Role Seen for Omega-3 Fatty Acids

THURSDAY, Sept. 26 (HealthDay News) -- There is no evidence of a protective effect for omega-3 fatty acids on age-associated cognition or the rate of cognitive decline in older dementia-free women, according to research published online Sept. 25 in Neurology.

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HEALTH REFORM: Exchanges Offer Options for the Uninsured

WEDNESDAY, Sept. 25 (HealthDay News) -- Millions of part-time, seasonal, self-employed workers and other individuals currently without health insurance may find a solution to their vulnerable status when the new health care exchanges go into effect on Oct. 1.

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More Options, Lower Premiums With Insurance Exchanges

WEDNESDAY, Sept. 25 (HealthDay News) -- Consumers are likely to find insurance options more plentiful and more affordable than expected in the new Health Insurance Marketplace that goes into effect Oct. 1, according to a report released Sept. 25 by the U.S. Department of Health and Human Services.

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Chronic Kidney Disease Up in the Oldest Old in the U.S.

WEDNESDAY, Sept. 25 (HealthDay News) -- The prevalence of chronic kidney disease (CKD) has increased among U.S. adults aged 80 years or older, according to research published in the Sept. 25 issue of the Journal of the American Medical Association.

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Dextrose Gel Reverses Hypoglycemia in Neonates

WEDNESDAY, Sept. 25 (HealthDay News) -- Dextrose gel may be used to manage hypoglycemia in late preterm and term babies in the first 48 hours following birth, according to research published online Sept. 25 in The Lancet.

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New Survey Tool Predicts Immunization Status

WEDNESDAY, Sept. 25 (HealthDay News) -- The Parent Attitudes About Childhood Vaccines survey (PACV) predicts the immunization status of children with high reliability, according to a study published online Sept. 23 in JAMA Pediatrics.

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Long-Term Metabolic Effects Seen With Bariatric Surgery

WEDNESDAY, Sept. 25 (HealthDay News) -- In obese patients, bariatric surgery can aid in achieving sustainable remission and improvement of type 2 diabetes mellitus (T2DM), according to a study published in the October issue of the Annals of Surgery.

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ACP Provides Overview of Health Insurance Marketplaces

WEDNESDAY, Sept. 25 (HealthDay News) -- The opportunities and challenges presented by health care reform are discussed in an article published online Sept. 24 in the Annals of Internal Medicine.

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Mother-Infant Bedsharing Promotes Breastfeeding

WEDNESDAY, Sept. 25 (HealthDay News) -- Duration of breastfeeding is longer for mothers who frequently lie down and sleep with their infants for major sleep periods, according to research published online Sept. 23 in JAMA Pediatrics.

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Arsenic Exposure Ups Risk for Cardiovascular Disease

TUESDAY, Sept. 24 (HealthDay News) -- Chronic exposure to low-to-moderate levels of inorganic arsenic is associated with increased risk of cardiovascular morbidity and mortality, according to research published online Sept. 24 in the Annals of Internal Medicine.

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Second Bone Mineral Density Test Doesn't Up Fx Prediction

TUESDAY, Sept. 24 (HealthDay News) -- For older adults, a second bone mineral density (BMD) measure after four years does not improve prediction of hip or major osteoporotic fractures, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.

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Diet, Diet + Exercise Better Than Exercise Alone in Knee OA

TUESDAY, Sept. 24 (HealthDay News) -- For overweight and obese adults with knee osteoarthritis (OA), 18 months of diet and diet + exercise interventions is better than an exercise only intervention, with lower knee compressive force in the diet group and lower plasma interleukin-6 (IL-6) levels in both groups, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.

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HEALTH REFORM: Health Care Reform a Mixed Bag for Workers

TUESDAY, Sept. 24 (HealthDay News) -- Much discussion of the Affordable Care Act revolves around the dramatic changes in store for America's uninsured, but the health care reform law will also have an impact on individuals with employer-based coverage.

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FDA Gives Final Guidance on Mobile Medical App Oversight

TUESDAY, Sept. 24 (HealthDay News) -- The U.S. Food and Drug Administration issued final guidance for mobile application (app) developers, and is focusing its oversight on medical apps that will be used as accessories to regulated medical devices, or that transform a mobile device into a regulated medical device.

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Early Screening Tool IDs PTSD in Preschool-Aged Children

TUESDAY, Sept. 24 (HealthDay News) -- An early screening tool can be used to identify posttraumatic stress disorder (PTSD) in infants and young children shortly after unintentional injury, according to a study published online Sept. 23 in Pediatrics.

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Model Can Predict Preemie Neonatal Outcome Severity

TUESDAY, Sept. 24 (HealthDay News) -- A statistical prediction model comprising eight characteristics can be used to determine the severity of neonatal outcomes for infants born at 23 to 30 weeks of gestation, according to a study published online Sept. 23 in Pediatrics.

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Breastfeeding Concerns Prevalent Among New Mothers

TUESDAY, Sept. 24 (HealthDay News) -- Almost all new mothers experience breastfeeding concerns in the early postpartum period, and these are associated with stopping breastfeeding, according to a study published online Sept. 23 in Pediatrics.

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ACP Releases Guideline for Obstructive Sleep Apnea

TUESDAY, Sept. 24 (HealthDay News) -- The American College of Physicians (ACP) has developed a clinical practice guideline for the management of obstructive sleep apnea (OSA) in adults; the guideline has been published online Sept. 24 in the Annals of Internal Medicine.

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Medicare Managed Care More Apt for Nursing Home Residents

TUESDAY, Sept. 24 (HealthDay News) -- For nursing home residents with advanced dementia, Medicare managed care is associated with more appropriate, less burdensome care, according to a study published online Sept. 23 in JAMA Internal Medicine.

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Medicare Expenditure Per Patient Up for Acute MI

TUESDAY, Sept. 24 (HealthDay News) -- For patients with acute myocardial infarction (AMI), Medicare expenditures per patient increased significantly from 1998-1999 to 2008, according to research published online Sept. 23 in JAMA Internal Medicine.

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Marriage Shown to Provide Cancer Survival Benefit

TUESDAY, Sept. 24 (HealthDay News) -- Unmarried patients are at significantly higher risk of presentation with metastatic cancer, undertreatment, and cancer-related death, according to a study published online Sept. 23 in the Journal of Clinical Oncology.

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Infectious Endocarditis Risk ID'd in Congenital Heart Disease

MONDAY, Sept. 23 (HealthDay News) -- For children with congenital heart disease (CHD), the risk of infectious endocarditis (IE) is 6.1 per 1,000 children, and predictors include cyanotic CHD, endocardial cushion defects, and left-sided lesions, according to a study published in the Sept. 24 issue of Circulation.

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FDA Issues Final Rule for Device Identification System

MONDAY, Sept. 23 (HealthDay News) -- The U.S. Food and Drug Administration has released a final rule for the unique device identification system (UDI) that, when implemented, will improve patient safety by providing a consistent way to identify approved medical devices.

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USPSTF: Offer Breast CA Risk-Reducing Rx to High-Risk Patients

MONDAY, Sept. 23 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that women at increased risk of breast cancer be prescribed tamoxifen or raloxifene for risk reduction, according to a final Recommendation Statement published online Sept. 24 in the Annals of Internal Medicine.

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Unlike Adults, No Decline Seen in MRSA Infections in Children

MONDAY, Sept. 23 (HealthDay News) -- In contrast to decreasing incidence of methicillin-resistant Staphylococcus aureus (MRSA) infection in adults, no significant reductions in health care-associated MRSA infections, and increasing incidence of community-acquired MRSA infections, have been reported in children, according to research published online Sept. 23 in Pediatrics.

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HEALTH REFORM: Young People Likely to Be Key to Success

MONDAY, Sept. 23 (HealthDay News) -- Young, healthy adults are considered key to the success of health insurance reform, but many are not even aware of state insurance exchanges.

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Bioethicist Discusses Targeting Parents of Obese Children

MONDAY, Sept. 23 (HealthDay News) -- Parents of obese children should be targeted in an effort to deal with a serious national problem, according to a viewpoint piece published in the September issue of JAMA Pediatrics.

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Use of Digoxin Ups Risk of Death in Systolic Heart Failure

MONDAY, Sept. 23 (HealthDay News) -- Digoxin therapy was independently associated with increased mortality in patients with systolic heart failure, according to research published in the September issue of Circulation: Cardiovascular Quality and Outcomes.

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Pap, HPV Testing Unnecessarily High in Under-21-Year-Olds

MONDAY, Sept. 23 (HealthDay News) -- For women younger than 21 years, Papanicolaou (Pap) and human papillomavirus (HPV) testing are unnecessarily high, according to a study published in the September issue of the American Journal of Obstetrics & Gynecology.

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Racial Disparities in Functional Disability of Breast Cancer

MONDAY, Sept. 23 (HealthDay News) -- Older women with newly diagnosed non-metastatic breast cancer frequently have functional disability, with African-American (AA) women disproportionately affected, according to a study published online Sept. 23 in Cancer.

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HEALTH REFORM: Health Care Exchanges Going Into Effect

MONDAY, Sept. 23 (HealthDay News) -- As of Oct. 1, consumers looking for health insurance will be able to turn to state-based health care exchanges, a centerpiece of the Affordable Care Act intended to help the uninsured and small businesses find affordable coverage.

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New Model Better Predicts Risk of Post-PCI Bleeding

FRIDAY, Sept. 20 (HealthDay News) -- A new definition of post-percutaneous coronary intervention (PCI) bleeding and a new predictive risk model can better identify patients at risk for bleeding complications, according to a study published in the September issue of the Journal of the American College of Cardiology: Cardiovascular Interventions.

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Monitoring Ups Adherence to Antiretroviral Prophylaxis

FRIDAY, Sept. 20 (HealthDay News) -- High adherence to oral antiretroviral pre-exposure prophylaxis is achieved when HIV serodiscordant couples receive active monitoring and counseling, according to research published online Sept. 10 in PLOS Medicine.

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Statin Use Tied to Increased Risk of Cataracts

FRIDAY, Sept. 20 (HealthDay News) -- Statin users are at increased risk for cataracts, according to a study published online Sept. 19 in JAMA Ophthalmology.

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Metformin May Increase Risk of Cognitive Impairment

FRIDAY, Sept. 20 (HealthDay News) -- Metformin may increase the risk of cognitive impairment in patients with diabetes; however, calcium supplementation may attenuate this risk, according to research published online Sept. 5 in Diabetes Care.

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Physical Exams Commonly Lacking in Low Back Pain Care

FRIDAY, Sept. 20 (HealthDay News) -- Among adults with low back pain (LBP) visiting a physician, 43 percent report no inspection and 20 percent report no palpation at physician encounters, according to a study published in the Sept. 15 issue of Spine.

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Mild Adverse Events Common With Chiropractic Care

FRIDAY, Sept. 20 (HealthDay News) -- Adverse events are common after chiropractic care, but seem to be due to non-specific effects and are mostly benign, according to a study published in the Sept. 15 issue of Spine.

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Little Correlation Between Care Quality, Patient Experience

FRIDAY, Sept. 20 (HealthDay News) -- There is little correlation between quality of care assessed by clinical measures versus by patient experience, according to research published in the September/October issue of the Annals of Family Medicine.

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Countries Urged to Step Up Efforts to Reduce Child Deaths

FRIDAY, Sept. 20 (HealthDay News) -- Historical trends in coverage of interventions to improve maternal, newborn, and child health indicate that targets for child and neonatal mortality will not be met by 2035, according to research published in the Sept. 21 issue of The Lancet.

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High Maternal BMI Tied to Worse Outcomes, Higher Costs

FRIDAY, Sept. 20 (HealthDay News) -- Maternal obesity is associated with considerable negative maternal and neonatal outcomes as well as substantially increased medical costs, according to research published online Sept. 18 in BJOG: An International Journal of Obstetrics and Gynaecology.

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Rosacea Risk Higher in Female Migraine Sufferers

FRIDAY, Sept. 20 (HealthDay News) -- There is a slight increased risk of rosacea among females with migraines, according to a study published in the September issue of the Journal of the American Academy of Dermatology.

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Lawyers File Most Isotretinoin Adverse Drug Reports

FRIDAY, Sept. 20 (HealthDay News) -- Attorneys have submitted a disproportionate number of isotretinoin-associated inflammatory bowel disease (IBD) cases to the U.S. Food and Drug Administration, according to a study published in the September issue of the Journal of the American Academy of Dermatology.

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PSA Testing Tied to Higher Socioeconomic Status

FRIDAY, Sept. 20 (HealthDay News) -- Prostate-specific antigen testing is more likely among affluent men, according to a study published in the October issue of The Journal of Urology.

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Cost and Perceived Need Barriers to Diabetes Eye Care

FRIDAY, Sept. 20 (HealthDay News) -- Cost, lack of insurance, and no need are the most commonly cited reasons why adults with diabetes do not seek annual eye care, according to a study published online Sept. 5 in Diabetes Care.

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CDC: Evocative Campaign Motivates Smokers to Quit

THURSDAY, Sept. 19 (HealthDay News) -- The Tips from Former Smokers (Tips) television campaign, which features true stories of former smokers living with the unfortunate consequences of their past habit, appears to motivate smokers to seek information through quitlines and the Internet, according to a report published in the Sept. 20 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Fidelity to Prenatal Care Model Proves Beneficial

THURSDAY, Sept. 19 (HealthDay News) -- Maintaining fidelity to both facilitative group processes and content during administration of the CenteringPregnancy group prenatal model significantly reduces intensive utilization of care, according to a study published in the August Issue of the American Journal of Obstetrics & Gynecology.

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Millions Are Harmed by Unsafe Medical Care Each Year

THURSDAY, Sept. 19 (HealthDay News) -- Adverse events caused by inferior medical care are a major source of morbidity and mortality globally, according to research published in the October issue of BMJ Quality & Safety.

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Enhanced Care Program Set Up at Six Mayo Clinic Hospitals

WEDNESDAY, Sept. 18 (HealthDay News) -- A new program has been developed and implemented at six Mayo Clinic Health System hospitals to improve care and shorten hospital stays using remote monitoring, according to a press release issued by the Mayo Clinic.

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EHR Systems Meeting Meaningful Use Criteria Beneficial

WEDNESDAY, Sept. 18 (HealthDay News) -- Most electronic health record (EHR) systems meet meaningful use criteria, and these systems are associated with time-saving and other benefits, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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More Than 1.6 Million Americans Expected to Get Cancer in 2013

TUESDAY, Sept. 17 (HealthDay News) -- Although significant progress has been made in treating cancer, more than 1.6 million Americans are projected to receive a cancer diagnosis in 2013, according to the third American Association for Cancer Research's Cancer Progress Report 2013.

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Americans Living Longer, Healthier Lives

MONDAY, Sept. 16 (HealthDay News) -- Health surveys show that quality-adjusted life expectancy has increased by about two years in U.S. adults over the past 20 years, according to research published online Sept. 12 in the American Journal of Public Health.

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CDC Report Sheds Light on Antibiotic-Resistant Infections

MONDAY, Sept. 16 (HealthDay News) -- Antibiotic-resistant infections claim the lives of 23,000 people in the United States every year and take a tremendous financial toll on the already overburdened health care system, according to a report issued Sept. 16 by the U.S. Centers for Disease Control and Prevention.

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Health Insurance Disparities for Children of Same-Sex Parents

MONDAY, Sept. 16 (HealthDay News) -- For children with same-sex parents, disparities in private health insurance are attenuated when they live in states that protect their legal relationship to both parents, according to research published online Sept. 16 in Pediatrics.

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Principles Underlying Team-Based Health Care Discussed

MONDAY, Sept. 16 (HealthDay News) -- The principles underlying the framework for a team-based model of primary health care have been established in a position paper from the American College of Physicians (ACP) published online Sept. 17 in the Annals of Internal Medicine.

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Racial Composition of Residents Tied to Nursing Home Quality

MONDAY, Sept. 16 (HealthDay News) -- The racial composition of nursing home residents has an influence on financial and quality performance, according to a study published online June 26 in Health Services Research.

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More Than 150 Measles Cases in U.S. Through August 2013

MONDAY, Sept. 16 (HealthDay News) -- From Jan. 1 to Aug. 24, 2013, there were 159 cases of measles in 16 states in the United States, mainly resulting from eight outbreaks, according to a report published in the Sept. 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Kids With Neuro Disorders No More Likely to Get Flu Vaccine

MONDAY, Sept. 16 (HealthDay News) -- Although children with neurologic conditions are at high risk for complications of influenza infection, only half were vaccinated during the 2011 to 2012 influenza season, according to a report published in the Sept. 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Analysis Confirms Bullying, Health Issues Link in Children

MONDAY, Sept. 16 (HealthDay News) -- Results of a recent meta-analysis confirm previous findings that being bullied is associated with psychosomatic problems in school-aged children; the research has been published online Sept. 16 in Pediatrics.

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U.S. Teens Have Improved Health Behaviors, but BMI Up

MONDAY, Sept. 16 (HealthDay News) -- Improvements were observed in obesity-related behaviors of U.S. adolescents between 2001 and 2009, but further research is needed to explain the increase seen in body mass index (BMI) during the same time period, according to research published online Sept. 16 in Pediatrics.

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Hypoglycemia Unawareness Takes Toll on Families

MONDAY, Sept. 16 (HealthDay News) -- Family members of patients with type 1 diabetes and hypoglycemia unawareness often need support, according to a study published online Aug. 29 in Diabetes Care.

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Cinnamon Cuts Blood Glucose Levels in Diabetes Patients

MONDAY, Sept. 16 (HealthDay News) -- Consumption of cinnamon is associated with favorable reductions in plasma glucose and lipid levels, according to research published in the September/October issue of the Annals of Family Medicine.

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High Burden of Endocarditis in Older Adults

FRIDAY, Sept. 13 (HealthDay News) -- The 2007 American Heart Association guidelines recommending a restriction of antibiotic prophylaxis have not increased the rates of hospitalization or adjusted mortality for endocarditis among Medicare beneficiaries, although the burden of endocarditis is high, according to a study published online Aug. 28 in the Journal of the American College of Cardiology.

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Stress Reduction Program Reduces Teacher Burnout

FRIDAY, Sept. 13 (HealthDay News) -- Teachers show improvements in burnout, psychological symptoms, and classroom performance after participating in an eight-week stress reduction intervention modified specifically for their profession, according to a study published in the September issue of Mind, Brain, and Education.

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Gun Ownership Levels Linked to Firearm Homicide Rates

FRIDAY, Sept. 13 (HealthDay News) -- Higher levels of gun ownership are associated with increased firearm homicide rates, according to a study published online Sept. 12 in the American Journal of Public Health.

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Community-Level Intervention Cuts Antibiotic Prescribing

FRIDAY, Sept. 13 (HealthDay News) -- A community-level intervention targeting residents and health care professionals can influence antibiotic prescribing for outpatients, according to a study published online Sept. 12 in BMJ.

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Review Questions Energy Drink Manufacturers Role in Research

FRIDAY, Sept. 13 (HealthDay News) -- The role of energy drink manufacturers in funding of research may be cause for concern, according to a Views & Reviews piece published online Sept. 12 in BMJ.

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Farmers' Market Coupons Up Produce Purchases for Poor

FRIDAY, Sept. 13 (HealthDay News) -- Health Bucks, a farmers' market incentive coupon program, increases access to produce in low-income communities, according to research published online Aug. 29 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Nearly a Third of Vaccines at Pharmacies Given Off-Hours

FRIDAY, Sept. 13 (HealthDay News) -- Almost one-third of vaccinations given to adults at community pharmacies are administered during off-clinic hours, according to a study published in the September/October issue of the Annals of Family Medicine.

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IOM Urges Coordinated Research Enterprise for Child Abuse

FRIDAY, Sept. 13 (HealthDay News) -- Although child abuse rates appear to be declining, the complexity of child abuse and neglect necessitates development of a coordinated research enterprise, according to a report published Sept. 12 by the Institute of Medicine.

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Residual Sleep Apnea Common After Adenotonsillectomy

FRIDAY, Sept. 13 (HealthDay News) -- For children younger than 3 years with obstructive sleep apnea (OSA), residual OSA is relatively common after adenotonsillectomy (T&A), according to a study published online Sept. 12 in JAMA Otolaryngology-Head & Neck Surgery.

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Inverse Link for Dental Caries, Head/Neck Squamous Cell CA

FRIDAY, Sept. 13 (HealthDay News) -- Dental caries, crowns, and endodontic treatments are inversely associated with head and neck squamous cell carcinoma (HNSCC), according to a study published online Sept. 12 in JAMA Otolaryngology-Head & Neck Surgery.

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Most Children in U.S. Receiving Recommended Vaccinations

THURSDAY, Sept. 12 (HealthDay News) -- Most children in the United States are being immunized against vaccine-preventable diseases at the nationally accepted target rate, but coverage lags in some states and in children whose family incomes fall at or below the federal poverty level, according to a report published in the Sept. 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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U.K. Nursing Students Report Seeing Lax Infection Control

THURSDAY, Sept. 12 (HealthDay News) -- U.K. nursing students report a solid understanding of infection control policies and compliance, or lack thereof, based on preclinical classroom instruction, according to a study published in the September issue of the American Journal of Infection Control.

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Intervention in Home Routines May Improve Child Health

TUESDAY, Sept. 10 (HealthDay News) -- A home-based intervention to encourage healthy habits, such as family meals, adequate sleep, and limited television time, may offer an approach to preventing child obesity in low-income families, according to research published online Sept. 9 in JAMA Pediatrics.

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About Half of Health Care Providers Are 'Digital Omnivores'

TUESDAY, Sept. 10 (HealthDay News) -- About half of health care providers are "digital omnivores," meaning they use a tablet, smartphone, and laptop/desktop computer routinely in a professional capacity, according to a report published by Epocrates.

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Non-Medical Use of Prescription Drugs Drops in Young Adults

MONDAY, Sept. 9 (HealthDay News) -- In its latest report, 2012 National Survey on Drug Use and Health, the Substance Abuse and Mental Health Services Administration (SAMHSA) describes the use of illicit drugs, alcohol, and tobacco in the teen and adult civilian population of the United States.

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'Meaningful Use' Achievement Not Uniform Across Hospitals

MONDAY, Sept. 9 (HealthDay News) -- In regard to the adoption of electronic health records (EHRs), achievement of "meaningful use" criteria is not uniform across all hospitals, according to a study published in the August issue of Health Affairs.

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Program Helps Patients Quit Smoking Before Surgery

MONDAY, Sept. 9 (HealthDay News) -- A smoking cessation intervention offered in a preadmission clinic is associated with decreased rates of smoking on the day of surgery and 30 days postoperatively, according to research published in the September issue of Anesthesia & Analgesia.

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Social Networking Can Help to Improve HIV Prevention

MONDAY, Sept. 9 (HealthDay News) -- Social networking seems to be an effective tool for increasing HIV testing among at-risk populations, according to a study published in the Sept. 3 issue of the Annals of Internal Medicine.

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E-Cigarettes Modestly Effective for Helping Smokers Quit

MONDAY, Sept. 9 (HealthDay News) -- Electronic cigarettes (e-cigarettes) are modestly effective for helping smokers quit; and, a three-month television antismoking campaign is effective for increasing quit attempts, according to two studies published online Sept. 9 in The Lancet.

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Obese Teens Can Also Develop Eating Disorders

MONDAY, Sept. 9 (HealthDay News) -- Obese adolescents are at risk of eating disorders, which can go unrecognized due to their higher weight status, according to a case report published online Sept. 9 in Pediatrics.

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Parental Tongue-Lashing Aggravates Teen Misbehavior

FRIDAY, Sept. 6 (HealthDay News) -- Harsh verbal discipline of children at age 13 by parents is linked with an increase in adolescent conduct problems and depressive symptoms, according to research published online Sept. 4 in Child Development.

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Study of Topical Corticosteroid Use in Pregnancy Reassuring

FRIDAY, Sept. 6 (HealthDay News) -- Topical maternal exposure to corticosteroids during pregnancy is not associated with orofacial cleft, preterm delivery, fetal death, low Apgar score, and mode of delivery, however, low birth weight does correlate with increasing quantity of high potency exposure, according to a study published online Sept. 4 in JAMA Dermatology.

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More Asthma Hospitalizations in Middle-Aged Women Than Men

FRIDAY, Sept. 6 (HealthDay News) -- In the fifth to sixth decades of life, women have a significantly higher hospitalization rates for asthma compared to men, according to research published in the September issue of the Annals of Allergy, Asthma & Immunology.

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Electronic Cigarettes Gaining in Popularity Among Youths

FRIDAY, Sept. 6 (HealthDay News) -- The impact of electronic cigarettes, also known as e-cigarettes, on those who use them is still unknown, but one thing is clear -- their popularity among U.S. youths has doubled in recent years, according to a report published in the Sept. 6 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Telephone-Based Care Ups Pediatric Diabetes Management

FRIDAY, Sept. 6 (HealthDay News) -- Telephone-based care for pediatric diabetes management is a cost-effective approach to reducing care disparities, according to research published online Aug. 19 in Diabetes Care.

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Gestational Diabetes Tied to Increased Sleep Apnea Risk

FRIDAY, Sept. 6 (HealthDay News) -- There is a strong association between gestational diabetes mellitus (GDM) and obstructive sleep apnea (OSA), according to a study published online Aug. 21 in the Journal of Clinical Endocrinology & Metabolism.

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Physicians Rarely Remind Patients to Use Sunscreen

FRIDAY, Sept. 6 (HealthDay News) -- Physicians very rarely educate patients regarding the use of sunscreen and sun-protective behaviors, according to a study published online Sept. 4 in JAMA Dermatology.

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Researchers Find Online Scoliosis Info Is Poor Quality

FRIDAY, Sept. 6 (HealthDay News) -- The quality of web-based information on scoliosis is poor, according to a study published in the Aug. 15 issue of Spine.

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Drug Non-Adherence Linked to Greater Pediatric Health Care Use

THURSDAY, Sept. 5 (HealthDay News) -- In children and adolescents with chronic medical conditions, medication non-adherence is associated with greater health care use, including more hospitalizations and visits to the emergency department, according to a study published online Sept. 2 in Pediatrics.

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Maternal PTSD Tied to Increased Risk of Child Abuse

THURSDAY, Sept. 5 (HealthDay News) -- Mothers with posttraumatic stress disorder (PTSD) due to events such as serious accidents, assaults, war, or natural disasters are more likely to mistreat their children, even more than mothers with depression, according to a study published online Sept. 2 in JAMA Pediatrics.

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CDC: U.S. Drinking Water Sanitation Still a Concern

THURSDAY, Sept. 5 (HealthDay News) -- Sanitation and water management in the United States has improved, but potentially preventable outbreaks of drinking water-associated disease, sometimes fatal, still occur, according to a report published in the Sept. 6 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Moderate Exercise Doesn't Up Risk of Knee Osteoarthritis

THURSDAY, Sept. 5 (HealthDay News) -- Middle-aged adults who participate in moderate weekly physical activity do not increase their risk of knee osteoarthritis, according to a study published online Aug. 27 in Arthritis Care & Research.

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Steroids Effective Short Term for Carpal Tunnel Syndrome

THURSDAY, Sept. 5 (HealthDay News) -- Methylprednisolone injections relieve symptoms of carpal tunnel syndrome in the short term, but most patients still have surgery at one year, according to a study published in the Sept. 3 issue of the Annals of Internal Medicine.

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Continuation Phase Cognitive Therapy Beneficial in Depression

THURSDAY, Sept. 5 (HealthDay News) -- For patients with major depressive disorder, continuation phase cognitive therapy (C-CT) and fluoxetine prevent relapse; and, a cognitive behavioral prevention (CBP) program provides lasting benefits for some adolescents at risk for depressive disorders, according to two studies published online Sept. 4 in JAMA Psychiatry.

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Intervention for NICU Moms Reduces Their Trauma, Anxiety

THURSDAY, Sept. 5 (HealthDay News) -- An intervention aimed at reducing parental trauma and redefining the parental experience for those with very premature newborns is both feasible and cost-effective, according to a study published online Sept. 2 in Pediatrics.

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Processing Speed Drops After Medulloblastoma Diagnosis

THURSDAY, Sept. 5 (HealthDay News) -- Among key cognitive functions, processing speed (PS) shows the poorest outcomes five years after diagnosis of pediatric medulloblastoma, according to a study published online Aug. 26 in the Journal of Clinical Oncology.

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Door-to-Balloon Times Have Improved in Primary PCI

WEDNESDAY, Sept. 4 (HealthDay News) -- For patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention (PCI), despite improvement in door-to-balloon times there has been no change in in-hospital mortality, according to a study published in the Sept. 5 issue of the New England Journal of Medicine.

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Immunization Schedules Don't Impact PCV13 Immunogenicity

WEDNESDAY, Sept. 4 (HealthDay News) -- The immunogenicity of 13-valent pneumococcal conjugate vaccine (PCV13) is not significantly different for most serotypes when administered according to four different primary immunization schedules, according to a study published in the Sept. 4 issue of the Journal of the American Medical Association.

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Only Half of Hypertensive Adults Aware of Diagnosis

WEDNESDAY, Sept. 4 (HealthDay News) -- Among adults in 17 countries of varying incomes, only about half with hypertension are aware of the diagnosis, and among those treated, only about a third achieve blood pressure control, according to a study published in the Sept. 4 issue of the Journal of the American Medical Association.

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Medication Adherence Up With Fixed Dose Combo Strategy

WEDNESDAY, Sept. 4 (HealthDay News) -- For patients with or at high risk of cardiovascular disease (CVD), a fixed-dose combination (FDC) strategy for antiplatelet, statin, and blood pressure lowering medications is associated with improved medication adherence and with reductions in systolic blood pressure (SBP) and low-density lipoprotein cholesterol (LDL-C), according to a study published in the Sept. 4 issue of the Journal of the American Medical Association.

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AAP Updates Recommendations for Flu Prevention in Children

WEDNESDAY, Sept. 4 (HealthDay News) -- Recommendations for routine use of seasonal influenza vaccine in children have been updated, according to an American Academy of Pediatrics (AAP) policy statement published online Sept. 2 in Pediatrics.

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Even Short Bouts of Higher-Intensity Activity Are Beneficial

WEDNESDAY, Sept. 4 (HealthDay News) -- Even short bouts of higher-intensity physical activity (PA) of less than 10 minutes are beneficial for prevention of weight gain, according to a study published online Sept. 1 in the American Journal of Health Promotion.

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Major Health Care-Linked Infections Cost $9.8 Billion

WEDNESDAY, Sept. 4 (HealthDay News) -- The total annual cost associated with the five major health care-associated infections (HAIs) is $9.8 billion, according to a meta-analysis published online Sept. 2 in JAMA Internal Medicine.

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Low Rates of Gastrointestinal Bleeding Post-Lumbar Fusion

WEDNESDAY, Sept. 4 (HealthDay News) -- The rates of gastrointestinal (GI) hemorrhage complications are very low following lumbar fusion surgery, but are associated with greater costs and mortality, according to a study published in the Aug. 15 issue of Spine.

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Excess HRT-Tied Breast Cancer Risk Varies With Race, BMI

WEDNESDAY, Sept. 4 (HealthDay News) -- The increased risk of breast cancer among users of hormone replacement therapy (HRT) varies by race/ethnicity, body mass index (BMI), and breast density, according to a study published online Sept. 3 in the Journal of the National Cancer Institute.

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Male-Female Physician Earnings Gap Has Persisted for 20 Years

TUESDAY, Sept. 3 (HealthDay News) -- For physicians, the male-female earnings gap has not changed significantly since 1987, according to a research letter published online Sept. 2 in JAMA Internal Medicine.

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Docs' Confidence in Diagnosis Unrelated to Diagnostic Accuracy

TUESDAY, Sept. 3 (HealthDay News) -- Physicians' confidence in their diagnostic accuracy is not associated with actual diagnostic accuracy or with case difficulty, according to a study published online Aug. 26 in JAMA Internal Medicine.

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CDC: 200,000 Avoidable Deaths From Cardiovascular Disease

TUESDAY, Sept. 3 (HealthDay News) -- There were about 200,000 avoidable deaths from cardiovascular disease in 2010 in the United States, with deaths occurring disproportionately among those over 65 years old, males, non-Hispanic blacks, and those in the South, according to a report published in the Sept. 3 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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USPSTF: Evidence Lacking for Ankle Brachial Index Screening

TUESDAY, Sept. 3 (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 use of the ankle-brachial index (ABI) for screening for peripheral artery disease and for predicting cardiovascular disease risk, according to an evidence review and recommendation statement published in the Sept. 3 issue of the Annals of Internal Medicine.

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Hydroxyurea Cost-Effective for Childhood Sickle Cell Anemia

TUESDAY, Sept. 3 (HealthDay News) -- Treating children with sickle cell anemia with hydroxyurea is associated with lower total medical costs (higher outpatient costs but lower inpatient costs) as compared to placebo, according to a study published online Sept. 2 in Pediatrics.

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Pre-Diagnosis Coffee Intake Tied to Prostate CA Outcomes

TUESDAY, Sept. 3 (HealthDay News) -- Higher coffee consumption before prostate cancer diagnosis is associated with a lower risk of recurrence/progression, according to a study published in the August issue of Cancer Causes & Control.

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Parental Goals Impact ADHD Treatment Preference

TUESDAY, Sept. 3 (HealthDay News) -- Parents of children with attention-deficit/hyperactivity disorder (ADHD) are more likely to choose medication if the goal is academic achievement but more likely to choose behavior therapy if the goal is behavioral compliance, according to a study published online Sept. 2 in Pediatrics.

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Male Teens and Children at Higher Risk of Death Than Female Peers

TUESDAY, Sept. 3 (HealthDay News) -- Males have a higher likelihood of death from injuries and a variety of medical conditions than females among those under 20 years old, according to a study published online Sept. 2 in Pediatrics.

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Employer-Based Health Insurance Premiums Rose Modestly in 2013

MONDAY, Sept. 2 (HealthDay News) -- Employer-sponsored health insurance premiums rose only modestly in 2013, according to research published in the August issue of Health Affairs.

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Workaholics Have Poorer Physical and Mental Health

MONDAY, Sept. 2 (HealthDay News) -- Workaholics, defined as those who work more than 50 hours per week, have reduced physical and mental well-being, according to researchers from Kansas State University.

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