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January 2014 Briefing - Pathology

Here are what the editors at HealthDay consider to be the most important developments in Pathology for January 2014. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Deal Could Trade Tort Reform for Additional Health Reform

FRIDAY, Jan. 31, 2014 (HealthDay News) -- Physicians may be willing to make a trade in accepting some additional health reform efforts in exchange for tort reform, according to an article published in the January issue of Health Affairs.

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Vodka Implicated in Raising Premature Death Risk in Russians

FRIDAY, Jan. 31, 2014 (HealthDay News) -- Russians who drink vodka heavily have a higher risk of dying prematurely, according to a study published online Jan. 31 in The Lancet.

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Antioxidants Increase Lung Cancer Growth in Mice

FRIDAY, Jan. 31, 2014 (HealthDay News) -- In mice prone to developing lung cancer, supplementation with antioxidants increases tumor growth, according to a study published in the Jan. 29 issue of Science Translational Medicine.

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Similar Risks for Atypical Ductal, Lobular Hyperplasia

FRIDAY, Jan. 31, 2014 (HealthDay News) -- Atypical ductal hyperplasia (ADH) and atypical lobular hyperplasia (ALH) exhibit similar behavior in terms of later breast cancer end points, according to a study published online Jan. 30 in Cancer Prevention Research.

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Osteoporosis/Osteopenia Prevalent in Chronic Pancreatitis

FRIDAY, Jan. 31, 2014 (HealthDay News) -- Sixty-five percent of patients with chronic pancreatitis have osteoporosis or osteopenia, according to a meta-analysis published in the February issue of Clinical Gastroenterology and Hepatology.

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Melanoma Risk Up in IBD Independent of Biologic Therapy

FRIDAY, Jan. 31, 2014 (HealthDay News) -- Inflammatory bowel disease (IBD) is associated with an increased risk of melanoma, independent of the use of biologic therapy, according to research published in the February issue of Clinical Gastroenterology and Hepatology.

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Improving Infection Control Could Mean No More White Coats

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Health care personnel should consider their clinical attire, such as white lab coats, carefully with regards to risk of transmitting infection, according to guidelines published in the February issue of Infection Control and Hospital Epidemiology.

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Nonmelanotic Invasive Skin Cancer Tied to Agent Orange

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Agent Orange (2,3,7,8-tetrachlorodibenzodioxin) exposure is associated with increased incidence of nonmelanotic invasive skin cancer, according to research published in the February issue of Plastic and Reconstructive Surgery.

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Report Reveals Payment Methods for Physicians

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Many physicians in non-solo practice settings are paid using different methods, with just over half receiving all or most of their compensation from salary, according to a report from the American Medical Association.

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Docs Prefer Tablets Over Smartphones for Reading Articles

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Although physicians generally use smartphones rather than tablets for professional purposes, they are more likely to read articles from medical publications and access medically oriented webcasts/podcasts on tablets, according to the results of a survey conducted by Kantar Media.

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Businesses Urge Change to ACA's Insurance Mandate

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Beginning in 2015, U.S. businesses with 50 or more workers must provide health insurance to "full-time" employees, meaning workers who log at least 30 hours a week, on average.

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High Estradiol Levels Linked to Dementia in Women

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Postmenopausal women with high estradiol levels have a two-fold higher risk of developing dementia, but the risk is 14-fold higher if they also have diabetes, according to a study published online Jan. 29 in Neurology.

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Risk of Flu-Linked Hospitalization Up for Adults With Diabetes

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Working-age adults with diabetes are at increased risk of all-cause hospitalizations associated with influenza, according to a study published online Jan. 24 in Diabetologia.

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Telephone Delivery OK for BRCA1/2 Genetic Counseling

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- The psychosocial outcomes of telephone genetic counseling are noninferior to standard in-person genetic counseling for BRCA1/2 gene testing, according to research published online Jan. 21 in the Journal of Clinical Oncology.

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Insurance Eligibility Headaches Expected With ACA

TUESDAY, Jan. 28, 2014 (HealthDay News) -- With the influx of newly insured patients under the Affordable Care Act, physician practices should be prepared to spend even more time verifying coverage, according to an article published Jan. 2 in Medical Economics.

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Framework Established to Promote Safety of Care

TUESDAY, Jan. 28, 2014 (HealthDay News) -- A framework has been established to advance clinical learning environments that promote change in the quality and safety of care, according to a perspective piece published online Jan. 27 in the New England Journal of Medicine.

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USPSTF: Draft Recommendations Issued for AAA Screening

TUESDAY, Jan. 28, 2014 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has issued recommendations for abdominal aortic aneurysm (AAA) screening. This draft recommendation statement is based on an evidence review published online Jan. 28 in the Annals of Internal Medicine.

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Pesticide Exposure Linked to Alzheimer's Disease Risk

TUESDAY, Jan. 28, 2014 (HealthDay News) -- People exposed to elevated levels of the metabolite of the pesticide dichlorodiphenyltrichloroethane (DDT) are at higher risk of Alzheimer's disease (AD), particularly if they carry a particular apolipoprotein E (APOE) genotype, according to a study published online Jan. 27 in JAMA Neurology.

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Case Series Describes Critical Illness Linked to MERS-CoV

TUESDAY, Jan. 28, 2014 (HealthDay News) -- Patients with critical illness associated with Middle East respiratory syndrome coronavirus (MERS-CoV) present with acute severe hypoxemic respiratory failure and most have extrapulmonary manifestations, according to research published online Jan. 28 in the Annals of Internal Medicine.

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Circulating Uric Acid May Play Protective Role in Obesity

MONDAY, Jan. 27, 2014 (HealthDay News) -- Circulating uric acid affects non-enzymatic antioxidant capacity (NEAC) and markers of oxidative stress in obese subjects, according to a study published online Dec. 18 in Diabetes.

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CDC: Health Care Providers Shouldn't Rely on Rapid Flu Tests

MONDAY, Jan. 27, 2014 (HealthDay News) -- Doctors should not rely entirely on rapid flu tests when determining if patients have the flu, U.S. health officials say.

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Top Ten Physician Challenges of 2014 Discussed

MONDAY, Jan. 27, 2014 (HealthDay News) -- The top ten challenges for physicians in 2014 relate to payment for medical services and government mandates, as well as adapting to a changing patient population and the need to improve work-life balance, according to an article published Dec. 25 in Medical Economics.

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Quinoa Consumption Seems Safe for Celiac Patients

MONDAY, Jan. 27, 2014 (HealthDay News) -- For patients with celiac disease, the addition of quinoa to a gluten-free diet for six weeks is well tolerated, according to a study published online Jan. 21 in the American Journal of Gastroenterology.

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Telomere Length Prognostic for 50 to 75 Year-Old Men With ACS

MONDAY, Jan. 27, 2014 (HealthDay News) -- For men aged 50 to 75 years with acute coronary syndrome, short telomeres are independently associated with worse prognosis, according to a study published in the Feb. 1 issue of The American Journal of Cardiology.

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Long-Term Exposure to Pollutants Ups Coronary Event Risk

MONDAY, Jan. 27, 2014 (HealthDay News) -- Long-term exposure to particulate matter is associated with increased risk of acute coronary events, even at levels below the current European limit values, according to a study published online Jan. 21 in BMJ.

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'War on Cancer' Has Made Progress

FRIDAY, Jan. 24, 2014 (HealthDay News) -- More people are being diagnosed with and dying from cancer, but this is largely the result of declines in mortality from other causes, according to a study published online Jan. 13 in the Journal of Clinical Oncology.

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Writing a Blog Can Up a Doc's Visibility

FRIDAY, Jan. 24, 2014 (HealthDay News) -- Blogs can be a valuable tool to promote physician practices, according to an article published Dec. 17 in Medical Economics.

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Vitamin D Levels May Help Predict Prognosis in Multiple Sclerosis

FRIDAY, Jan. 24, 2014 (HealthDay News) -- Low levels of 25-hydroxyvitamin D (25[OH]D), a marker of vitamin D status, early in the course of illness may predict higher risk of increased disease activity and progression in patients with multiple sclerosis (MS), according to research published online Jan. 20 in JAMA Neurology.

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Medical Staff Performance Goals Should Be Clear, Attainable

THURSDAY, Jan. 23, 2014 (HealthDay News) -- Staff performance in medical practices needs to be appropriately managed and measured with performance goals, according to an article published Dec. 25 in Medical Economics.

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Woman's Death Highlights Danger of Overlooking Dengue

THURSDAY, Jan. 23, 2014 (HealthDay News) -- The case of a Texas woman who died after becoming infected in New Mexico with the mosquito-borne dengue virus highlights a need for U.S. doctors to recognize the disease early, experts say. This is the third locally acquired dengue-related death in the United States, according to a report published in the Jan. 24 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Added Prostate CA Criteria May Help ID Surveillance Candidates

THURSDAY, Jan. 23, 2014 (HealthDay News) -- Additional predictors, such as prostate-specific antigen (PSA) density and extent of cancer on biopsy, help guide selection of prostate cancer patients for active surveillance programs, according to research published in the February issue of The Journal of Urology.

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Legitimacy of Publishing Pharma-Funded Research Queried

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- The question of whether to stop publishing research funded by the drug industry is addressed in a head-to-head piece published online Jan. 15 in BMJ.

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Higher Omega-3 Levels Linked to Larger Brain Volume

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- In postmenopausal women, a higher omega-3 index is associated with increased brain and hippocampal volume eight years later, according to a study published online Jan. 22 in Neurology.

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MicroRNA Panels May Help ID Pancreatic CA From Whole Blood

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- Two diagnostic panels based on microRNA expression from whole blood can distinguish, to some degree, patients with pancreatic cancer from healthy controls, according to a study published in the Jan. 22/29 issue of the Journal of the American Medical Association.

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Some Medical Schools Offering Accelerated Training

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- Some medical schools are offering an accelerated three-year program, according to a report from Kaiser Health News.

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Mistimed Sleep Disrupts Circadian Regulation of Gene Expression

TUESDAY, Jan. 21, 2014 (HealthDay News) -- Delaying sleep by just a few hours for several days reduces circadian gene expression in the blood six-fold without affecting centrally-driven melatonin circadian rhythms, according to a study published online Jan. 20 in the Proceedings of the National Academy of Sciences.

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Researchers Examine FDA Decision Making Processes

TUESDAY, Jan. 21, 2014 (HealthDay News) -- The rationale behind the decision making processes of the U.S. Food and Drug Administration is discussed in three articles published in the Jan. 22/29 issue of the Journal of the American Medical Association.

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AAFP: Insufficient Evidence for Low-Dose CT Lung CA Screening

MONDAY, Jan. 20, 2014 (HealthDay News) -- In contrast to a recommendation from the U.S. Preventive Services Task Force (USPSTF), the American Academy of Family Physicians (AAFP) has concluded that there is currently insufficient evidence to recommend screening for lung cancer with low-dose computed tomography (CT) among high-risk individuals.

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Vitamin D May Help Alleviate Pain in Fibromyalgia

TUESDAY, Jan. 21, 2014 (HealthDay News) -- Oral supplementation with vitamin D reduces pain in women with fibromyalgia syndrome (FMS) and low vitamin D levels, according to a study published in the February issue of PAIN.

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Survey IDs Factors Influencing Physician Job Satisfaction

TUESDAY, Jan. 21, 2014 (HealthDay News) -- Believing that they are delivering high-quality patient care is key to physician job satisfaction, according to an article published Dec. 10 in Medical Economics.

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Exposure to Sunlight May Help Lower Blood Pressure

TUESDAY, Jan. 21, 2014 (HealthDay News) -- Exposure to sunlight causes arterial vasodilation and lowers blood pressure (BP), according to research published online Jan. 20 in the Journal of Investigative Dermatology.

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Doctor Urges Colleagues to Disclose Conflicts of Interest

MONDAY, Jan. 20, 2014 (HealthDay News) -- A campaign to encourage physicians to disclose potential conflicts of interest has sparked ire from doctors despite evidence that openness improves the doctor-patient relationship, according to a personal view piece published online Jan. 15 in BMJ.

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FDA: New Test Helps Diagnose Intellectual Disability in Children

FRIDAY, Jan. 17, 2014 (HealthDay News) -- A new test to diagnose developmental delays and intellectual disability in children based on genetic abnormalities has been approved by the U.S. Food and Drug Administration.

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Genetic Factors Conferring Diabetes Don't Affect Progression

FRIDAY, Jan. 17, 2014 (HealthDay News) -- Genetic variants that predispose to diabetes are not associated with the rate of progression from diabetes to requirement of insulin treatment, according to a study published online Nov. 1 in Diabetes Care.

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State Insurance Marketplaces Boost Outreach Efforts

THURSDAY, Jan. 16, 2014 (HealthDay News) -- Health insurance exchanges in five states with strong enrollment growth are ramping up efforts to reach even more uninsured Americans before the end of the Affordable Care Act's open enrollment period on March 31. The March 31 deadline is for people who want health coverage for 2014.

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Reliable Emotion Words ID'd to Assess Patient Experience

THURSDAY, Jan. 16, 2014 (HealthDay News) -- A reliable set of emotion words have been identified that can serve as a tool for experience-based design questionnaires in health care, according to a study published in the December issue of Healthcare.

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Gene Therapy Improves Vision in Inherited Blindness

THURSDAY, Jan. 16, 2014 (HealthDay News) -- Gene therapy has successfully improved vision in six patients with a genetic form of progressive blindness, according to a study published online Jan. 16 in The Lancet.

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Survey Results Identify Drivers of Doctor Engagement

THURSDAY, Jan. 16, 2014 (HealthDay News) -- The results of a survey from the Physician Wellness Services and Cejka Search have identified the key aspects of doctor engagement.

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Exposure to Some Phthalates Fell in the Last Decade

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- Exposure to some phthalates has fallen over the last decade and may be associated with bans on their use, according to a study published online Jan. 15 in Environmental Health Perspectives.

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Intensive Monitoring Ups Surgical Treatment of CRC Recurrence

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- For patients who have undergone curative surgery for primary colorectal cancer, intensive monitoring is associated with increased surgical treatment of recurrence compared with minimum follow-up, but does not reduce the number of deaths, according to a study published in the Jan. 15 issue of the Journal of the American Medical Association.

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Program Cuts MRSA Rates at VA Long-Term Care Centers

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- A national initiative to prevent methicillin-resistant Staphylococcus aureus (MRSA) infection has successfully reduced MRSA health care-associated infections in Veterans Affairs long-term care facilities, according to a study published in the January issue of the American Journal of Infection Control.

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Peptide Boosts Drug Efficacy in Pulmonary Arterial Hypertension

TUESDAY, Jan. 14, 2014 (HealthDay News) -- A peptide that specifically homes to hypertensive pulmonary arteries can be used to boost the efficacy of vasodilators in a rat model of pulmonary arterial hypertension (PAH), according to a study published online Jan. 8 in The American Journal of Pathology.

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Gene Mutation Not Linked to Vascular Complications

TUESDAY, Jan. 14, 2014 (HealthDay News) -- Patients with gene mutations leading to elevated glycated hemoglobin (HbA1c) levels have a low prevalence of clinically significant vascular complications, according to a study published in the Jan. 15 issue of the Journal of the American Medical Association.

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Wednesday Is Deadline for Feb. 1 Coverage Under ACA

TUESDAY, Jan. 14, 2014 (HealthDay News) -- There's still time to enroll in a health insurance plan through one of the Affordable Care Act's new online marketplaces. Those who sign up by Wednesday will have coverage starting next month.

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More Than Two Million People Have Signed Up for ACA Coverage

TUESDAY, Jan. 14, 2014 (HealthDay News) -- Nearly 2.2 million Americans had selected health plans through the federal and state marketplaces as of late December, and nearly one in four was a young adult, the Obama administration disclosed Monday.

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CMS: New Rule Proposed for Contract Year 2015

MONDAY, Jan. 13, 2014 (HealthDay News) -- A proposed rule has been issued that will strengthen protections, improve health care quality, and reduce costs for Medicare beneficiaries with private Medicare Advantage and Part D prescription plans, according to a report from the Centers for Medicare & Medicaid Services (CMS).

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CDC: Lung Cancer Incidence in U.S. Down From 2005 to 2009

MONDAY, Jan. 13, 2014 (HealthDay News) -- From 2005 to 2009, the incidence of lung cancer decreased among men and women in the United States, according to a study published in the Jan. 10 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Early BPA Exposure May Up Subsequent Prostate Cancer Risk

MONDAY, Jan. 13, 2014 (HealthDay News) -- Exposure to bisphenol A (BPA) may increase the risk for prostate cancer later in life, according to an experimental study published online Jan. 1 in Endocrinology.

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Survey: Fees, Reimbursement Top Physician Worries

FRIDAY, Jan. 10, 2014 (HealthDay News) -- The results of a new survey show that physicians are concerned about declining reimbursements and increasing administrative hassles, including negotiating with payers, obtaining prior authorizations, and cutting through government red tape, according to an article published Nov. 25 in Medical Economics.

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Lithium May Promote Recovery in Acute Kidney Injury

FRIDAY, Jan. 10, 2014 (HealthDay News) -- The mood stabilizer lithium promotes the recovery of renal function and repair in mouse models of acute kidney injury (AKI), according to a study published online Jan. 9 in the Journal of the American Society of Nephrology.

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Profile of Sentinel Nodes May Predict Melanoma Progression

FRIDAY, Jan. 10, 2014 (HealthDay News) -- The gene expression profile of sentinel lymph nodes and how it affects immune response may be a marker for prognosis in melanoma, according to research published in the Jan. 1 issue of Cancer Research.

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High Uric Acid Level Linked to Coronary Stent Restenosis

FRIDAY, Jan. 10, 2014 (HealthDay News) -- A high level of serum uric acid prior to implantation of bare-metal coronary stents predicts stent restenosis, according to research published in the Jan. 15 issue of The American Journal of Cardiology.

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EHR Use Linked to Doc-Reported Enhanced Patient Care

FRIDAY, Jan. 10, 2014 (HealthDay News) -- Use of electronic health records is associated with enhanced patient care overall, according to a study published online Dec. 21 in Health Services Research.

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CMS: Low Growth for National Health Expenditures in 2012

FRIDAY, Jan. 10, 2014 (HealthDay News) -- Overall national health expenditures were marked by a fourth consecutive year of low growth, according to a report from the Centers for Medicare & Medicaid Services.

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Female Conveners Up Number of Women at Scientific Symposia

FRIDAY, Jan. 10, 2014 (HealthDay News) -- Having at least one woman on teams that convene scientific symposia increases the proportion of invited female speakers by 72 percent, compared with teams containing all men, according to a study published online Jan. 7 in mBio.

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ACP Introduces Free 'High Value Care' Case Studies

FRIDAY, Jan. 10, 2014 (HealthDay News) -- In an effort to improve health care and eliminate wasteful practices, the American College of Physicians (ACP) has developed a series of High Value Care cases studies, available online for free.

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Mesenchymal Stem Cells Safe As Adjunct Therapy for Resistant TB

THURSDAY, Jan. 9, 2014 (HealthDay News) -- For patients with multidrug-resistant (MDR) and extensively drug-resistant (XDR) tuberculosis, adjunct therapy with autologous mesenchymal stromal cells (MSCs) is safe, according to a study published online Jan. 9 in The Lancet Respiratory Medicine.

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Lowering WBC Criteria Lowers Negative Appendectomy Rate

THURSDAY, Jan. 9, 2014 (HealthDay News) -- Reducing the threshold of leukocytosis as a criterion for appendicitis to 8,000 to 9,000 white blood cells (WBCs) per µL reduces the rates of negative appendectomy, according to a study published online Dec. 30 in Pediatrics.

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Smoking Rates Still Low for Most Health Care Professionals

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Compared with 2006 to 2007, smoking rates among health care professionals for 2010 to 2011 continue to be lowest in physicians and highest in licensed practical nurses (LPNs), according to a research letter published in the Jan. 8 issue of the Journal of the American Medical Association, a theme issue on tobacco control.

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Inverse Link for Alcohol Consumption, Multiple Sclerosis Risk

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Alcohol consumption is inversely associated with the risk of developing multiple sclerosis (MS) in men and women, according to a study published online Jan. 6 in JAMA Neurology.

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Tobacco Control Averted About 8 Million Deaths Since 1964 in U.S.

TUESDAY, Jan. 7, 2014 (HealthDay News) -- Tobacco control is estimated to have prevented eight million premature deaths since 1964 in the United States; and the prevalence of global smoking has declined since 1980, according to two studies published in the Jan. 8 issue of the Journal of the American Medical Association, a theme issue on tobacco control.

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U.S. Cancer Death Rates Decreasing Steadily

TUESDAY, Jan. 7, 2014 (HealthDay News) -- Cancer death rates have been decreasing steadily for the past two decades, with the magnitude of the decrease varying with age, race, and sex, according to a report published online Jan. 7 in CA: A Cancer Journal for Clinicians.

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AMA Urges Med Students to Be Agents of Health Care Change

TUESDAY, Jan. 7, 2014 (HealthDay News) -- Medical students are being encouraged to be agents of change in the health care system, according to a report from the American Medical Association (AMA).

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Narcolepsy May Be an Autoimmune Disease

MONDAY, Jan. 6, 2014 (HealthDay News) -- Narcolepsy may be an autoimmune disease, and in some cases may be triggered by immune reactivity to a flu protein, according to a study published in the Dec. 18 issue of Science Translational Medicine.

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Non-White Physicians Provide Disproportionate Minority Care

MONDAY, Jan. 6, 2014 (HealthDay News) -- Non-white physicians provide a disproportionate share of care to underserved populations, according to a research letter published online Dec. 30 in JAMA Internal Medicine.

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Herpes Zoster Is Risk Factor for Stroke in Young Adults

MONDAY, Jan. 6, 2014 (HealthDay News) -- Herpes zoster (HZ) is an independent risk factor for vascular disease, including stroke, transient ischemic attack (TIA), and myocardial infarction (MI), particularly in those affected before the age of 40 years, according to a study published online Jan. 2 in Neurology.

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CDC Addresses Burden, Threat of Antibiotic Resistance

MONDAY, Jan. 6, 2014 (HealthDay News) -- The burden and threats posed by antibiotic resistance infections are discussed in a report published by the U.S. Centers for Disease Control and Prevention.

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AMA Details Top Five Federal Issues for 2014

MONDAY, Jan. 6, 2014 (HealthDay News) -- Implementation of the Affordable Care Act, the repeal of Medicare's failed sustained growth formula, and the proposed roll-out of the International Classification of Diseases, Version 10, top the list of federal issues expected to impact physicians and patients in 2014, according to a viewpoint piece published online Dec. 30 by the American Medical Association (AMA).

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Over 100 New Accountable Care Organizations Formed

FRIDAY, Jan. 3, 2014 (HealthDay News) -- One hundred twenty-three new Accountable Care Organizations (ACOs) have been formed by doctors, hospitals, and other health care providers, which will provide access to high-quality coordinated care for about 1.5 million Medicare beneficiaries, according to a report from the U.S. Department of Health and Human Services.

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Doctors Discuss Use of MenB Vaccine at Princeton University

FRIDAY, Jan. 3, 2014 (HealthDay News) -- The planned use of an experimental Neisseria meningitides serogroup B (MenB) meningitis vaccine at the University of Princeton has raised several contentious issues relating to vaccination, according to an ideas and opinions piece published online Dec. 24 in the Annals of Internal Medicine.

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IBCG Proposes New Definition in Bladder Cancer

FRIDAY, Jan. 3, 2014 (HealthDay News) -- The International Bladder Cancer Group (IBCG) has proposed a new definition of progression in nonmuscle invasive bladder cancer that is clinically useful for determining prognosis and comparing treatment options, according to research published in the January issue of The Journal of Urology.

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Impact of Transitions in Doctors' Careers Discussed

THURSDAY, Jan. 2, 2014 (HealthDay News) -- Transitions and their associated challenges are encountered throughout a doctors' medical career, according to an editorial published online Nov. 26 in BMJ.

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Worsening of Shortage of Residency Slots Feared

THURSDAY, Jan. 2, 2014 (HealthDay News) -- Despite a looming physician shortage, the number of residency positions in the United States has not changed since 1996, creating a bottleneck that will become worse with further budget cuts, according to a blog post published Dec. 7 on KevinMD.com.

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CDC: Updated Guidance for HBV Vaccination for Health Workers

THURSDAY, Jan. 2, 2014 (HealthDay News) -- Health care personnel should be vaccinated against hepatitis B virus (HBV) if they anticipate exposure to blood or body fluids, and receive serologic testing to assess for antibody against the virus, according to updated guidelines published in the Dec. 20 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Docs Have Until Jan. 31 to Change Medicare Status

THURSDAY, Jan. 2, 2014 (HealthDay News) -- The deadline for making changes to Medicare participation status has been extended to Jan. 31, 2014, according to a report from the American Medical Association (AMA).

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C. difficile Is Carried on Hands of Health Care Workers

THURSDAY, Jan. 2, 2014 (HealthDay News) -- After routine care of patients infected with Clostridium difficile, C. difficile spores were detected on the hands of about a quarter of health care workers (HCWs), according to research published in the January issue of Infection Control and Hospital Epidemiology.

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