December 2016 Briefing - Internal Medicine

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Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for December 2016. 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.

Bundled Payment Initiative Had No Effect on COPD Readmissions

FRIDAY, Dec. 30, 2016 (HealthDay News) -- Implementation of the Medicare Bundled Payments for Care Improvement (BPCI) initiative has failed to cut readmission rates following hospitalization for acute exacerbation of chronic obstructive pulmonary disease (COPD), according to a study published online Dec. 22 in the Annals of the American Thoracic Society.

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Recurrence Is Low One Year After Eradication of H. pylori Infection

FRIDAY, Dec. 30, 2016 (HealthDay News) -- The recurrence of Helicobacter pylori infection one year after eradication is low, according to a study published online Dec. 27 in the Journal of Digestive Diseases.

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Burden of Anticholinergic Meds in Older Adults Must Be Considered

FRIDAY, Dec. 30, 2016 (HealthDay News) -- Anticholinergic medications are frequently prescribed to older adults, but their negative impact should be considered, according to a review published online Dec. 23 in the Journal of Pharmacy Practice and Research.

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Pharmacy-Based Sale of Chlamydia Test Kits Is Effective

FRIDAY, Dec. 30, 2016 (HealthDay News) -- It is feasible to sell chlamydia test kits through pharmacies and use existing health infrastructure to follow up on results and manage clients, according to a pilot study published online Dec. 23 in the Journal of Pharmacy Practice and Research.

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Fatigue Levels Vary for Patients With Psoriatic Disease

FRIDAY, Dec. 30, 2016 (HealthDay News) -- Patients with psoriatic arthritis have higher levels of fatigue than patients with psoriasis treated with phototherapy or systemic treatment, according to a research letter published online Dec. 22 in the British Journal of Dermatology.

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Iron Deficiency Anemia Ups Risk of Hearing Loss in U.S. Adults

THURSDAY, Dec. 29, 2016 (HealthDay News) -- Among U.S. adults, hearing loss is associated with iron deficiency anemia (IDA), according to a study published online Dec. 29 in JAMA Otolaryngology-Head & Neck Surgery.

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Ustekinumab Tolerated in Severe Atopic Dermatitis

THURSDAY, Dec. 29, 2016 (HealthDay News) -- Ustekinumab is tolerated for treatment of atopic dermatitis (AD) in certain patients, according to a research letter published online Dec. 22 in the British Journal of Dermatology.

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Age-Adjusted Cut-Offs in D-Dimer Testing for PE Cause Concern

THURSDAY, Dec. 29, 2016 (HealthDay News) -- D-dimer unit type should be clarified and laboratories interested in implementing age-adjusted D-dimer (AADD) cut-offs should use only specific D-dimer assays that have been adequately assessed in clinical studies, according to an Ideas and Opinions piece published online Dec. 27 in the Annals of Internal Medicine.

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Critical Illness Events Linked to Worse Outcomes on Same Ward

WEDNESDAY, Dec. 28, 2016 (HealthDay News) -- A critical illness event is associated with an increased risk of cardiac arrest or intensive care unit (ICU) transfer for patients on the same ward, according to a research letter published in the Dec. 27 issue of the Journal of the American Medical Association.

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Penalties Under ACA Tied to Drop in Medicare Readmission Rates

WEDNESDAY, Dec. 28, 2016 (HealthDay News) -- Passage of the Medicare Hospital Readmissions Reduction Program (HRRP) under the Affordable Care Act is associated with a more rapid decrease in 30-day risk-standardized readmission rates (RSRRs), according to a study published online Dec. 27 in the Annals of Internal Medicine.

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Personal Health Care Spending Continues to Soar in the U.S.

TUESDAY, Dec. 27, 2016 (HealthDay News) -- From 1996 to 2013 there were considerable increases in personal health care spending in the United States, with the highest amounts for diabetes, ischemic heart disease, and low back and neck pain, according to a study published in the Dec. 27 issue of the Journal of the American Medical Association.

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Is Dementia in Older Women Tied to 20-Year Rate of Weight Loss?

TUESDAY, Dec. 27, 2016 (HealthDay News) -- For women surviving into late life, the rate of weight loss over 20 years is associated with development of mild cognitive impairment (MCI) or dementia, according to a study published online Dec. 19 in the Journal of the American Geriatrics Society.

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Recombinant Type-5 Vector-Based Ebola Vaccine Safe

TUESDAY, Dec. 27, 2016 (HealthDay News) -- For healthy adults from Sierra Leon, the recombinant type-5 vector-based Ebola vaccine is safe and immunogenic, according to a study published online Dec. 21 in The Lancet.

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Unrecognized Heart Attacks Tied to Higher Pain Tolerance

TUESDAY, Dec. 27, 2016 (HealthDay News) -- Patients who experience unrecognized myocardial infarction (MI) have reduced pain sensitivity compared to those who experience recognized MI, according to a study published online Dec. 21 in the Journal of the American Heart Association.

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Six Things PCPs Need to Know About Glaucoma

FRIDAY, Dec. 23, 2016 (HealthDay News) -- Primary care physicians are in a position to help with glaucoma diagnosis and management, according to an article published in the Ophthalmology Times.

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Structured Rounding Tools Aid Multidisciplinary Rounds

FRIDAY, Dec. 23, 2016 (HealthDay News) -- The use of structured rounding tools improves time allocation per patient and communication breakdowns during hand-offs in multidisciplinary rounds, according to a study published recently in JMIR Human Factors.

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Impact of Complex Medication Regimen in Elderly Unclear

FRIDAY, Dec. 23, 2016 (HealthDay News) -- The association between medication regimen complexity and either treatment nonadherence or hospitalization in elderly patients remains unclear, according to a review published online Dec. 19 in the Journal of the American Geriatrics Society.

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Substance Use Higher Among Patients From LA Versus Tijuana

THURSDAY, Dec. 22, 2016 (HealthDay News) -- The prevalence of substance use is higher among patients from community health centers in Los Angeles (LA) versus Tijuana, Mexico, according to a study published online Dec. 21 in Substance Use & Misuse.

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VA ECHO Program Feasible for Management of Sleep Disorders

THURSDAY, Dec. 22, 2016 (HealthDay News) -- A U.S. Department of Veterans Affairs Extension for Community Healthcare Outcomes (VA-ECHO) program is feasible for increasing comfort in managing common sleep complaints, according to research published online Dec. 15 in the Annals of the American Thoracic Society.

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Readmission From Skilled Nursing Facility Often Avoidable

THURSDAY, Dec. 22, 2016 (HealthDay News) -- A considerable proportion of hospital readmissions from skilled nursing facilities (SNFs) are considered potentially avoidable, according to a study published online Dec. 16 in the Journal of the American Geriatrics Society.

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Surcharge May Accompany After-Hours Care in Emergency Room

THURSDAY, Dec. 22, 2016 (HealthDay News) -- Patients often find an additional charge added to their bill for overnight visits to the emergency department, and use of these charges may be increasing, according to a report published by Kaiser Health News.

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Serum Biomarker That Reflects Use, Dose of Metformin Identified

WEDNESDAY, Dec. 21, 2016 (HealthDay News) -- The growth differentiation factor 15 (GDF15) is a novel biomarker for the use and dosing of metformin, according to a study published online Dec. 14 in Diabetes Care.

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Mouthwash May Be Useful for Gonorrhea Control

WEDNESDAY, Dec. 21, 2016 (HealthDay News) -- Listerine mouthwash may be potentially useful for gonorrhea control, according to a study published online Dec. 20 in Sexually Transmitted Infections.

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USPSTF Recommends Against Routine HSV Screening

TUESDAY, Dec. 20, 2016 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends against routine serologic screening for genital herpes simplex virus (HSV) infection in asymptomatic adolescents and adults, according to an final recommendation statement published in the Dec. 20 issue of the Journal of the American Medical Association.

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CDC: Fatal Drug Overdoses Up Significantly in the United States

TUESDAY, Dec. 20, 2016 (HealthDay News) -- Drug overdose deaths increased 23 percent between 2010 and 2014, with 47,055 Americans dying in 2014, according to findings published in the Dec. 20 issue of the U.S. Centers for Disease Control and Prevention's National Vital Statistics Reports.

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2002 to 2014 Saw Increase in Marijuana Use in Women

TUESDAY, Dec. 20, 2016 (HealthDay News) -- The prevalence of marijuana use increased among women from 2002 to 2014, and less than 10 percent of adult marijuana users report use for medical purposes, according to two research letters published online Dec. 19 in the Journal of the American Medical Association.

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Lowest Glucose Variability for Insulin + GLP-1 RA in T2DM

TUESDAY, Dec. 20, 2016 (HealthDay News) -- For patients with type 2 diabetes, the lowest glucose variability (GV) and hypoglycemia is seen for patients using basal insulin + glucagon-like peptide 1 receptor agonist (GLP-1 RA) (BGLP), according to a study published online Dec. 2 in Diabetes Care.

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Insurance Status of ER Visits Varied With Medicaid Expansion

TUESDAY, Dec. 20, 2016 (HealthDay News) -- In the first year of Medicaid expansion there were changes in the insurance status and location of emergency department visits, according to a study published online Dec. 20 in the Annals of Internal Medicine.

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Guidance on Dietary Sugar Intake Based on Low-Quality Evidence

TUESDAY, Dec. 20, 2016 (HealthDay News) -- Guidelines on dietary sugar intake are of poor quality, and the supporting evidence is of low quality, according to research published online Dec. 20 in the Annals of Internal Medicine.

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Therapeutic Hypothermia Benefits Adults With TBI

TUESDAY, Dec. 20, 2016 (HealthDay News) -- For adults, but not children, with traumatic brain injuries, therapeutic hypothermia is beneficial, according to a meta-analysis published online Dec. 9 in Critical Care Medicine.

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Health Care Provider Burnout Negatively Affects Quality, Safety

TUESDAY, Dec. 20, 2016 (HealthDay News) -- Health care provider burnout is negatively associated with quality and safety of health care, according to a meta-analysis published recently in the Journal of General Internal Medicine.

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Hospitalized Seniors Do Slightly Better Treated by Female Doctors

MONDAY, Dec. 19, 2016 (HealthDay News) -- Older hospital patients treated by female internists have a slightly lower mortality rate than those treated by male internists, according to a study published online Dec. 19 in JAMA Internal Medicine.

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No Link for Transfused Red Blood Cell Storage, Mortality

MONDAY, Dec. 19, 2016 (HealthDay News) -- For patients who received transfusions in Sweden and Denmark from 2003 to 2012, there was no correlation between the length of red blood cell (RBC) storage and mortality, according to a study published online Dec. 20 in the Annals of Internal Medicine.

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DEA Announces Critical Changes in Registration Renewal Process

MONDAY, Dec. 19, 2016 (HealthDay News) -- The Drug Enforcement Administration (DEA) has announced critical changes in its registration renewal process, according to a report published by the American Academy of Family Physicians.

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Twitter Chatter About HPV Vaccine Mostly Positive

MONDAY, Dec. 19, 2016 (HealthDay News) -- Twitter conversations regarding the human papillomavirus (HPV) vaccine tend to be positive, according to a study published online Dec. 5 in the Journal of Medical Internet Research.

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Noncardiovascular Cause of Death More Common in CHD Patients

MONDAY, Dec. 19, 2016 (HealthDay News) -- For patients with coronary heart disease (CHD), mortality is more often due to noncardiovascular causes, according to a study published in the Jan. 1 issue of The American Journal of Cardiology.

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Dysglycemia Affects Brain Structure, Cognition in Seniors

MONDAY, Dec. 19, 2016 (HealthDay News) -- In older adults, dysglycemia is associated with brain structure and cognition, according to a study published online Dec. 5 in the Journal of the American Geriatrics Society.

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Long-Term DPP4-Inhibitor Use Not Tied to Fracture Risk in T2DM

MONDAY, Dec. 19, 2016 (HealthDay News) -- For patients with type 2 diabetes mellitus (T2DM), long-term use of dipeptidyl peptidase-4 inhibitors (DPP4-Is) is not associated with fracture risk, according to a study published online Dec. 10 in Diabetes, Obesity and Metabolism.

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Diabetes Ups Risk of HCC, Death in Patients With Hepatitis C

MONDAY, Dec. 19, 2016 (HealthDay News) -- For hepatitis C virus (HCV)-infected patients, diabetes mellitus (DM) is associated with increased risk of hepatocellular carcinoma (HCC) development and all-cause mortality, according to a study published online Dec. 8 in the Journal of Gastroenterology and Hepatology.

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BRCA Testing, Not Mastectomies, Up After Angelina Jolie Editorial

FRIDAY, Dec. 16, 2016 (HealthDay News) -- After actress Angelina Jolie's 2013 New York Times editorial that announced her preventive double mastectomy, there was an increase in the number of women who were tested for the BRCA genes but no corresponding increase in mastectomy rates, according to research published in the Christmas 2016 issue of the The BMJ.

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No Long-Term Increase in Exercise Levels for Pokémon Go

FRIDAY, Dec. 16, 2016 (HealthDay News) -- Pokémon Go provided a slight, short-term boost to adults' physical activity levels, but it didn't last, according to a study published in the Christmas issue of The BMJ.

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Old Age Should Not Exclude Deceased Organ Donation

FRIDAY, Dec. 16, 2016 (HealthDay News) -- Healthy kidneys from elderly donors are often rejected, but even kidneys from donors 80 and older can function for years after transplantation, according to a study published online Dec. 15 in the Clinical Journal of the American Society of Nephrology.

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Opioid-Related Hospitalizations Up Sharply in the United States

FRIDAY, Dec. 16, 2016 (HealthDay News) -- Hospital admissions related to overdoses from heroin and other opioids rose 64 percent in the United States between 2005 and 2014, according to a report from the U.S. Agency for Healthcare Research and Quality (AHRQ).

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Ischemic Stroke Risk Up for Eight Weeks After PCI

FRIDAY, Dec. 16, 2016 (HealthDay News) -- The risk of ischemic stroke is highest during the first two days after percutaneous coronary intervention (PCI), and decreases gradually, but stays elevated for eight weeks, according to a study published in the Jan. 1 issue of The American Journal of Cardiology.

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Integrated Neurology in Medical Home Cuts Health Care Use

FRIDAY, Dec. 16, 2016 (HealthDay News) -- A model of a neurologist integrated and co-located in primary care, leveraging curbside, electronic, and traditional consultations, can reduce unnecessary health care use, according to a study published online Dec. 12 in the Journal of Evaluation in Clinical Practice.

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CRC in Patients Under 50 Often Caused by Genetic Mutations

FRIDAY, Dec. 16, 2016 (HealthDay News) -- As many as one in six colorectal cancer patients under the age of 50 have genetic traits that greatly increase the risk of cancer, according to a study published online Dec. 15 in JAMA Oncology.

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Hearing Impairment on the Decline in Americans Under 70

FRIDAY, Dec. 16, 2016 (HealthDay News) -- Hearing loss appears to be on the decline among Americans in their 40s, 50s and 60s -- which may be partly related to reductions in on-the-job noise and smoking rates, according to a study published online Dec. 15 in JAMA Otolaryngology-Head & Neck Surgery.

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MRI Has a Role to Play After Negative Prostate Biopsy

THURSDAY, Dec. 15, 2016 (HealthDay News) -- Magnetic resonance imaging (MRI) and MRI-targeted biopsies have a role in the diagnosis and treatment of patients with a prior negative prostate biopsy, according to a review published in the December issue of The Journal of Urology.

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Pilots Suffer Depression, Suicidal Thoughts at Fairly High Rates

THURSDAY, Dec. 15, 2016 (HealthDay News) -- More than one-tenth of professional airline pilots may suffer from depression, according to research published online Dec. 15 in Environmental Health.

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Medical Service Use Down With Deductibles in Diabetes

THURSDAY, Dec. 15, 2016 (HealthDay News) -- Lower-income patients with diabetes and private insurance with a low (LD) or high deductible (HD) have reduced medical service use, according to a study published online Dec. 12 in Diabetes Care.

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Zika-Related Birth Defects More Extensive Than Thought

THURSDAY, Dec. 15, 2016 (HealthDay News) -- Zika's ability to damage the infant brain may be even more far-reaching and insidious than previously thought, two new studies suggest.

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Smartphone-Based Study of Cardiovascular Health Feasible

THURSDAY, Dec. 15, 2016 (HealthDay News) -- Smartphones could assist cardiac research by giving instant, accurate insight into the physical activity of people using them, according to a study published online Dec. 14 in JAMA Cardiology.

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'Zombie' Outbreak in NYC Caused by Synthetic Cannabinoid

THURSDAY, Dec. 15, 2016 (HealthDay News) -- Synthetic cannabis that triggered a "zombie" outbreak in a New York City neighborhood last summer was significantly more potent than real cannabis, according to a study published online Dec. 14 in the New England Journal of Medicine.

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AARP: Medication Costs for Seniors Continue to Soar

WEDNESDAY, Dec. 14, 2016 (HealthDay News) -- The prices of brand-name drugs used by many older Americans rose nearly 130 times faster than inflation last year, according to a new report from the AARP Public Policy Institute.

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Communication Facilitator in ICU Economically Feasible

WEDNESDAY, Dec. 14, 2016 (HealthDay News) -- Staffing the intensive care unit (ICU) with a communication facilitator is economically feasible, according to research published in the December issue of the Annals of the American Thoracic Society.

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Stroke, A-Fib Recurrence Low at One Year After AF Ablation

WEDNESDAY, Dec. 14, 2016 (HealthDay News) -- Stroke and atrial fibrillation (AF) recurrence are low one year after AF ablation, according to a study published online Dec. 9 in the Journal of Cardiovascular Electrophysiology.

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Addiction Consultation Valuable for Liver Transplant Patients

WEDNESDAY, Dec. 14, 2016 (HealthDay News) -- Liver transplantation (LT) patients should undergo addiction consultation to accurately detect alcohol consumption, according to a study published online Dec. 9 in Alcoholism: Clinical & Experimental Research.

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Data-Driven Algorithm Yields Notable Improvements in HbA1c

WEDNESDAY, Dec. 14, 2016 (HealthDay News) -- A data-driven algorithm for personalized diabetes care can yield substantial improvements in hemoglobin A1c (HbA1c), according to a study published online Dec. 5 in Diabetes Care.

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Outcomes-Based Pricing Suggested for New, Costly Drugs

WEDNESDAY, Dec. 14, 2016 (HealthDay News) -- Outcomes-based pricing for novel and expensive biopharmaceuticals is supported in an Ideas and Opinions piece published online Dec. 13 in the Annals of Internal Medicine.

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Cetuximab + Chemoradiation Can Cure HIV-Associated Anal Cancer

WEDNESDAY, Dec. 14, 2016 (HealthDay News) -- Definitive chemoradiation (CRT) can potentially cure HIV-associated squamous cell carcinoma of the anal canal (SCCAC), with the addition of cetuximab resulting in less locoregional failure (LRF), according to a study published online Dec. 12 in the Journal of Clinical Oncology.

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Self-Care Tools Cut Depression in AMD, Diabetic Retinopathy

WEDNESDAY, Dec. 14, 2016 (HealthDay News) -- Self-care tools can reduce depressive symptoms in patients with age-related macular degeneration (AMD) or diabetic retinopathy (DR), according to a study published online Dec. 7 in Clinical & Experimental Ophthalmology.

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Sliding Scale Insulin Order Sheet Cuts Medication Errors

WEDNESDAY, Dec. 14, 2016 (HealthDay News) -- A standardized sliding scale insulin (SSI) order sheet can reduce the incidence of SSI-related medication errors, according to a study published online Dec. 7 in the Journal of Evaluation in Clinical Practice.

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Catheter Ablation of A-Fib Linked to More Strokes in Elderly

TUESDAY, Dec. 13, 2016 (HealthDay News) -- Catheter ablation (CA) of atrial fibrillation (AF) is associated with more strokes in patients who are at least 75 years old but is not associated with other complications, according to a study published online Dec. 7 in the Journal of Cardiovascular Electrophysiology.

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Primary Care Physician Volume Linked to Quality of Diabetes Care

TUESDAY, Dec. 13, 2016 (HealthDay News) -- Primary care physician volume is associated with quality of diabetes care, with lower quality for higher overall volume and higher quality for higher diabetes-specific volume, according to a study published online Dec. 13 in the Annals of Internal Medicine.

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Risk of Ischemic, Hemorrhagic Stroke Up With Type 1 Diabetes

TUESDAY, Dec. 13, 2016 (HealthDay News) -- The risks of ischemic and hemorrhagic stroke are increased with type 1 diabetes, with incrementally increasing risks with increasing hemoglobin A1c (HbA1c), according to a study published in the November issue of the Journal of Internal Medicine.

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OSA Is Risk Factor for Recurrent Pulmonary Embolism

TUESDAY, Dec. 13, 2016 (HealthDay News) -- For patients who stop oral anticoagulation (OAC) for a first episode of pulmonary embolism (PE), obstructive sleep apnea (OSA) is a risk factor for PE recurrence and restarting OAC for a new thromboembolic event, according to a study published in the December issue of CHEST.

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CDC: U.S. Flu Vaccination Rates Low So Far This Season

MONDAY, Dec. 12, 2016 (HealthDay News) -- Only about two out of five Americans had gotten this season's flu vaccination as of early November, the U.S. Centers for Disease Control and Prevention reports.

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Rate of Psychiatric Drug Use About 16 Percent in U.S. Adults

MONDAY, Dec. 12, 2016 (HealthDay News) -- One in six U.S. adults take a psychiatric medication to treat conditions such as depression, anxiety, and insomnia, according to a study published online Dec. 12 in JAMA Internal Medicine.

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Effect of Statins on Alzheimer's May Depend on Gender, Race

MONDAY, Dec. 12, 2016 (HealthDay News) -- Effectiveness of statin use in Alzheimer's prevention may depend on the specific statin, and the gender and race or ethnicity of the patient, according to a study published online Dec. 12 in JAMA Neurology.

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Social Isolation Can Adversely Affect Breast Cancer Survival

MONDAY, Dec. 12, 2016 (HealthDay News) -- Social isolation may impede long-term breast cancer survival, according to a study published online Dec. 12 in Cancer.

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CDC: Colombia Sees Increase in Zika-Related Microcephaly

MONDAY, Dec. 12, 2016 (HealthDay News) -- Colombia is now experiencing a sharp increase in cases of infant microcephaly, according to research published in the Dec. 9 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Fecal Microbiota Transplant Cost-Effective for Preventing CDI

MONDAY, Dec. 12, 2016 (HealthDay News) -- Use of fecal microbiota transplantation (FMT) is cost-effective for recurrent Clostridium difficile infection (CDI), according to a study published in the December issue of the Journal of Gastroenterology and Hepatology.

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CDC Finds Vaccination Coverage Varies for Adults With Diabetes

MONDAY, Dec. 12, 2016 (HealthDay News) -- Among adults with diagnosed diabetes, vaccination coverage varies, with influenza vaccination more prevalent than pneumococcal or hepatitis B vaccination, according to a December data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Prevalence of Anti-TSH Receptor Antibody High in Fibromyalgia

MONDAY, Dec. 12, 2016 (HealthDay News) -- Patients with fibromyalgia syndrome (FMS) have high prevalence of anti-thyroid-stimulating hormone (TSH) receptor antibody (TRAb), according to a study published online Nov. 30 in the International Journal of Rheumatic Diseases.

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Stepped Care Likely to Be Cost-Effective in Head & Neck, Lung CA

MONDAY, Dec. 12, 2016 (HealthDay News) -- A stepped care (SC) program is likely to be cost-effective for patients with head and neck cancer or lung cancer who have psychological distress, according to a study published online Dec. 5 in the Journal of Clinical Oncology.

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Insomnia Found to Be Highly Prevalent in Adults With Asthma

FRIDAY, Dec. 9, 2016 (HealthDay News) -- Insomnia is common in adults with asthma and tied to worse asthma control and other health problems, according to a study published in the December issue of CHEST.

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Tai Chi Found to Be Beneficial for Veterans With PTSD

FRIDAY, Dec. 9, 2016 (HealthDay News) -- The practice of Tai Chi shows promise in treating posttraumatic stress disorder (PTSD) in veterans, according to a study published online Nov. 29 in BMJ Open.

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Age-Adjusted Mortality Rate Up From 2014 to 2015 in U.S.

FRIDAY, Dec. 9, 2016 (HealthDay News) -- There was an increase in the age-adjusted death rate from 2014 to 2015, and a decrease in life expectancy, according to a December data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Healthy Diet May Help Lengthen the Lives of CKD Patients

FRIDAY, Dec. 9, 2016 (HealthDay News) -- Available evidence supports clinical decision-making by patients and doctors on whole dietary approaches in chronic kidney disease, according to a review published online Dec. 8 in the Clinical Journal of the American Society of Nephrology.

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Age-Related Cataract Linked to Depressive Symptoms

FRIDAY, Dec. 9, 2016 (HealthDay News) -- Age-related cataract is associated with increased odds of depressive symptoms, according to a study published in the December issue of Optometry and Vision Science.

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Recommendations Developed for Sport-Related Dental Injuries

FRIDAY, Dec. 9, 2016 (HealthDay News) -- In a position statement published online Dec. 5 in the Journal of Athletic Training, recommendations relating to planning considerations, education, and mouthguard efficacy are presented for athletic trainers and health care professionals for preventing and managing sport-related dental and oral injuries.

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Suicide Risk Up for Patients With Acute Coronary Syndrome

THURSDAY, Dec. 8, 2016 (HealthDay News) -- Patients with acute coronary syndrome (ACS) may face a higher-than-normal risk of suicide, according to a study published online Dec. 7 in the Journal of the American Heart Association.

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Even Moderate, Regular Alcohol Consumption Could Cause A-Fib

THURSDAY, Dec. 8, 2016 (HealthDay News) -- Regularly drinking even small amounts of alcohol may increase the risk of atrial fibrillation, according to a study published in the Dec. 13 issue of the Journal of the American College of Cardiology.

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Naloxone Price Hikes Could Affect Rates of Opioid-Related Deaths

THURSDAY, Dec. 8, 2016 (HealthDay News) -- Escalating prices of the drug naloxone may threaten efforts to reduce opioid-related deaths across America, according to a perspective piece published in the Dec. 8 issue of the New England Journal of Medicine.

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Frequency of Multiple Molecular Diagnoses About 5 Percent

THURSDAY, Dec. 8, 2016 (HealthDay News) -- About 5 percent of patients for whom whole-exome sequencing is informative have multiple molecular diagnoses, according to research published online Dec. 7 in the New England Journal of Medicine.

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Timely Epinephrine Increases Cardiac Arrest Survival

THURSDAY, Dec. 8, 2016 (HealthDay News) -- Cardiac arrest patients who receive epinephrine within five minutes are more likely to survive than those who don't receive the drug within that time frame, according to findings published online Dec. 1 in Circulation.

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Heart Rate Recovery Could Predict Mortality in Older Adults

THURSDAY, Dec. 8, 2016 (HealthDay News) -- Orthostatic heart rate recovery (HRR) predicts mortality in adults aged 50 and older, according to findings published online recently in Circulation Research.

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Sleep Duration, Efficiency Linked to Inpatient Hyperglycemia

THURSDAY, Dec. 8, 2016 (HealthDay News) -- For hospitalized patients, additional sleep and increased sleep efficiency correlate with lower odds of hyperglycemia and impaired fasting glucose, according to research published online Nov. 30 in Diabetes Care.

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Higher NT-proBNP Tied to Lower Brain Volume in Older Adults

THURSDAY, Dec. 8, 2016 (HealthDay News) -- For older adults without dementia, higher N-terminal pro-B-type natriuretic peptide (NT-proBNP) is associated with lower total brain volume, according to a study published online Dec. 7 in Radiology.

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Cannabis Use Up in Americans Aged 50 and Up

WEDNESDAY, Dec. 7, 2016 (HealthDay News) -- More older Americans are using cannabis, according to a study published online Dec. 5 in Addiction.

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Bariatric Surgery Effective, Cost-Effective in Obese With NASH

WEDNESDAY, Dec. 7, 2016 (HealthDay News) -- For patients with nonalcoholic steatohepatitis (NASH), bariatric surgery is effective and cost-effective for obese patients, while for overweight patients, cost-effectiveness is limited to those with F3 fibrosis, according to a study published online Nov. 23 in Hepatology.

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Readings Taken in Clinic May Underestimate Ambulatory BP

WEDNESDAY, Dec. 7, 2016 (HealthDay News) -- Ambulatory blood pressure may be a better indicator of health risks than clinic blood pressure, according to a new report published online Dec. 6 in Circulation.

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Prevalence of Disability 2.7 Percent at U.S. Medical Schools

WEDNESDAY, Dec. 7, 2016 (HealthDay News) -- The prevalence of disability is 2.7 percent among medical students at U.S. allopathic medical schools, according to a research letter published in the Dec. 6 issue of the Journal of the American Medical Association, a theme issue of medical education.

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Learning Interventions Can Improve Med Student Well-Being

WEDNESDAY, Dec. 7, 2016 (HealthDay News) -- Specific learning interventions may improve emotional well-being among medical students, according to a review published in the Dec. 6 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Number of Cancer Cases, Deaths Up Globally

WEDNESDAY, Dec. 7, 2016 (HealthDay News) -- Cancer cases rose 33 percent worldwide in the past 10 years, according to a report published online Dec. 3 in JAMA Oncology.

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High Lipoprotein(a) Predicts Cardiac Events in DM With PCI

WEDNESDAY, Dec. 7, 2016 (HealthDay News) -- For patients with diabetes mellitus (DM) undergoing percutaneous coronary intervention (PCI), high lipoprotein(a) (Lp[a]) levels are associated with advanced cardiac events, according to a study published in the Dec. 15 issue of The American Journal of Cardiology.

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Urine Haptoglobin Can Predict Kidney Damage in T2DM

WEDNESDAY, Dec. 7, 2016 (HealthDay News) -- Urine haptoglobin is a novel biomarker for predicting kidney damage in patients with type 2 diabetes (T2D), according to a study published online Nov. 30 in Diabetes Care.

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Pubic Hair Grooming Tied to Heightened Risk of STIs

TUESDAY, Dec. 6, 2016 (HealthDay News) -- Frequent groomers of pubic hair are three to four times more likely to contract a sexually transmitted infection, such as herpes, human papillomavirus, or syphilis, according to a study published online Dec. 5 in Sexually Transmitted Infections.

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State-Specific Variation in Asthma Rates Among Employed Adults

TUESDAY, Dec. 6, 2016 (HealthDay News) -- There is state-specific variation in the prevalence of current asthma among employed adults, which depends on industry and occupation, according to a study published online Dec. 2 in Morbidity and Mortality Weekly Report.

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Patient Mortality Up With End-of-Rotation Team Transition

TUESDAY, Dec. 6, 2016 (HealthDay News) -- Hospitalized patients who are handed off by their original medical team to a new set of caregivers may ultimately face a higher risk of early mortality, according to research published in the Dec. 6 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Depression, Suicide Ideation Prevalent in Medical Students

TUESDAY, Dec. 6, 2016 (HealthDay News) -- The prevalences of depression or depressive symptoms and suicide ideation are 27.2 and 11.1 percent, respectively, among medical students, according to a review published in the Dec. 6 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Erectile Dysfunction Tied to Subclinical Myocardial Injury

TUESDAY, Dec. 6, 2016 (HealthDay News) -- Erectile dysfunction is tied to higher circulating concentrations of high-sensitivity cardiac troponin I (hs-cTnI), indicating subclinical myocardial injury, according to a study published in the Dec. 15 issue of The American Journal of Cardiology.

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Menopausal Status Linked to Faster Lung Function Decline

TUESDAY, Dec. 6, 2016 (HealthDay News) -- Menopausal status is associated with accelerated lung function decline, according to a study published online Dec. 1 in the American Journal of Respiratory and Critical Care Medicine.

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Potentially Unsafe Med Scripts Up for Dual Users With Dementia

TUESDAY, Dec. 6, 2016 (HealthDay News) -- For veterans with dementia, Veterans Affairs (VA)-Medicare Part D (dual-system) users have increased rates of potentially unsafe medication (PUM) prescribing, according to a study published online Dec. 6 in the Annals of Internal Medicine.

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Post-Op Readmission Linked to Delays in Functional Recovery

TUESDAY, Dec. 6, 2016 (HealthDay News) -- For older adults, readmission after elective surgery is associated with delays in functional recovery, according to a study published online Nov. 29 in the Journal of the American Geriatrics Society.

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Colonic Diverticular Disease May Increase Dementia Risk

TUESDAY, Dec. 6, 2016 (HealthDay News) -- Patients with colonic diverticular disease may be at an increased risk for dementia, according to a study published Nov. 23 in the Journal of Gastroenterology and Hepatology.

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Resistance Band Exercise Aids Nursing Home Residents

TUESDAY, Dec. 6, 2016 (HealthDay News) -- A resistance band exercise program lessens depression and behavioral problems among older, wheelchair-bound nursing home residents with dementia, according to a study published Nov. 23 in the Journal of the American Geriatrics Society.

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Thromboprophylaxis Not Effective After Knee Arthroplasty, Casting

MONDAY, Dec. 5, 2016 (HealthDay News) -- The use of thromboprophylaxis seems not to prevent venous thromboembolism after knee arthroplasty or casting of the lower leg, according to a study published online Dec. 3 in The New England Journal of Medicine.

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<900 Steps Tied to Functional Decline in Hospitalized Seniors

MONDAY, Dec. 5, 2016 (HealthDay News) -- For older adults with acute hospitalization, walking fewer than 900 steps per day is associated with hospitalization-associated functional decline (HAFD), according to a research letter published online Dec. 5 in JAMA Internal Medicine.

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Multimodal Breast Cancer Tx May Up Cytokines, Comorbidities

MONDAY, Dec. 5, 2016 (HealthDay News) -- Breast cancer survivors who undergo multimodal treatment have higher cytokines and comorbidities than controls without cancer, according to a study published online Nov. 28 in the Journal of Clinical Oncology.

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DASH Diet Reduces Serum Uric Acid in Prehypertension

MONDAY, Dec. 5, 2016 (HealthDay News) -- Among adults with prehypertension or stage I hypertension, following the Dietary Approaches to Stop Hypertension (DASH) diet lowers serum uric acid (UA), according to a study published online Nov. 28 in Arthritis & Rheumatology.

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Sleep Disturbance Linked to Esophageal Hypersensitivity

MONDAY, Dec. 5, 2016 (HealthDay News) -- For patients with gastroesophageal reflux disease (GERD), sleep disturbance is associated with enhanced heartburn perception to capsaicin infusion, according to a study published online Nov. 29 in the Journal of Gastroenterology and Hepatology.

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Many With Postconcussion Syndrome Don't Recover

MONDAY, Dec. 5, 2016 (HealthDay News) -- A minority of patients with postconcussion syndrome (PCS) recover, with two-thirds of those who recover doing so within one year, according to a study published online Nov. 29 in the Journal of Neurotrauma.

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Attempted Suicide Rates, Risk Groups Mostly Unchanged

MONDAY, Dec. 5, 2016 (HealthDay News) -- The number of Americans who attempted suicide and ended up in the emergency department has remained steady in the past decade, according to research published online Nov. 17 in Epidemiology and Psychiatric Sciences.

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Three Low-Carb Meals a Day Can Lower Insulin Resistance

FRIDAY, Dec. 2, 2016 (HealthDay News) -- Eating low-carbohydrate meals may lead to healthy changes in a woman's metabolism that don't occur when consuming higher-carbohydrate meals, and the timing of exercise may play a role in how beneficial it is for metabolism, according to research published recently in PLOS ONE.

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Walking Provides Physical, Mental Benefits to Dialysis Patients

FRIDAY, Dec. 2, 2016 (HealthDay News) -- A simple program that includes a few minutes of walking a day appears to benefit patients on dialysis, according to research published online Dec. 1 in the Journal of the American Society of Nephrology.

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Similar Effects for PCSK9, HMGCR Variant-Mediated Lower LDL

FRIDAY, Dec. 2, 2016 (HealthDay News) -- Variants in genes encoding proprotein convertase subtilisin-kexin type 9 (PCSK9) and 3-hydroxy-3-methylglutarylcoenzyme A reductase (HMGCR) are associated with almost equivalent effects on the risk of cardiovascular events and diabetes per unit decrease in low-density lipoprotein (LDL) cholesterol level, according to a study published in the Dec. 1 issue of the New England Journal of Medicine.

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Acute, Noncardiac Mortality Risk Up for CA Patients With STEMI

FRIDAY, Dec. 2, 2016 (HealthDay News) -- Cancer survivors with ST-segment elevation myocardial infarction (STEMI) have increased acute in-hospital and long-term noncardiac mortality risk but no increased acute or long-term cardiac mortality risk with guideline-recommended cardiac care, according to a study published in the December issue of the Mayo Clinic Proceedings.

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Dabigatran May Be Better Than Warfarin After Bleeding Episode

FRIDAY, Dec. 2, 2016 (HealthDay News) -- Dabigatran is less likely than warfarin to cause recurrent bleeding in atrial fibrillation patients who have experienced a major bleeding event, according to a study published online Dec. 1 in Stroke.

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Incidence of Hospitalization for Hypoglycemia Decreasing

FRIDAY, Dec. 2, 2016 (HealthDay News) -- For patients with type 1 diabetes, the incidence of hospitalization for hypoglycemia (HH) decreased over time in Denmark, with an 8.4 percent annual decrease, according to a study published online Nov. 29 in Diabetes Care.

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Alcohol Intake Linked to Increase in Risk of Melanoma

FRIDAY, Dec. 2, 2016 (HealthDay News) -- Alcohol intake is associated with increased risk of melanoma, especially in relatively ultraviolet (UV)-spared areas, according to a study published in the December issue of Cancer, Epidemiology, Biomarkers & Prevention.

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More HIV Patients Exhibiting Multidrug Resistance

THURSDAY, Dec. 1, 2016 (HealthDay News) -- A significant number of patients with HIV have strains of the virus that are resistant to both older and newer drugs, according to research published online Nov. 30 in The Lancet Infectious Diseases.

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Interrupting Sitting Time Ups Blood Glucose Control in T2DM

THURSDAY, Dec. 1, 2016 (HealthDay News) -- For patients with type 2 diabetes, even sitting a bit less might be of real benefit, according to research published online Dec. 1 in Diabetologia.

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Increased VTE Risk for Men Starting Testosterone Therapy

THURSDAY, Dec. 1, 2016 (HealthDay News) -- Starting testosterone treatment is associated with an increased risk of venous thromboembolism (VTE), peaking within six months and declining thereafter, according to a study published online Nov. 30 in The BMJ.

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AND: Vegetarian Diet a Healthy, Environmentally Sound Choice

THURSDAY, Dec. 1, 2016 (HealthDay News) -- Vegetarian diets are healthy for people of all ages, as well as the environment, according to a new position statement from the Academy of Nutrition and Dietetics (AND). The report has been published in the December issue of the Journal of the Academy of Nutrition and Dietetics.

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Web-Based Cognitive Therapy Program Effective for Insomnia

THURSDAY, Dec. 1, 2016 (HealthDay News) -- A web-based interactive program can help chronically sleepless individuals get the sleep they need without taking medication or spending time in therapy, according to research published online Nov. 30 in JAMA Psychiatry.

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CDC: Fewer U.S. Families Struggling to Pay Medical Bills

THURSDAY, Dec. 1, 2016 (HealthDay News) -- The number of people in families having problems paying medical bills fell by nearly 13 million from 2011 through the first six months of 2016, according to a report published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Study Supports Smoking Cessation for Smokers of Any Age

THURSDAY, Dec. 1, 2016 (HealthDay News) -- Age at smoking initiation and cessation continue to be important predictors of mortality in U.S. adults over age 70, according to a study published online Nov. 29 in the American Journal of Preventive Medicine.

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Participation in Specific Sports Tied to Significant Health Benefits

THURSDAY, Dec. 1, 2016 (HealthDay News) -- Participation in specific sports may have significant benefits for public health, according to a study published online Nov. 28 in the British Journal of Sports Medicine.

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