April 2017 Briefing - Geriatrics

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Here are what the editors at HealthDay consider to be the most important developments in Geriatrics for April 2017. 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.

Meeting Organizers Overlooking Qualified Female Scientists

FRIDAY, April 28, 2017 (HealthDay News) -- Invited speakers at medical conferences tend to be disproportionately male, a disparity that can be addressed by actively preparing lists of potential speakers, according to a study published online April 18 in Nature Immunology.

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AMA Urges Doctors to Talk About Safe Opioid Storage, Disposal

FRIDAY, April 28, 2017 (HealthDay News) -- Physicians should take three essential steps to reduce the amount of unwanted, unused, and expired medications in an effort to avoid non-medical uses of the drugs, according to a new recommendation from the American Medical Association (AMA) Task Force to Reduce Opioid Abuse.

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Hospital-Acquired Complications Especially Dangerous in CKD

FRIDAY, April 28, 2017 (HealthDay News) -- Preventable hospital-acquired complications (HACs) are associated with increased risk of adverse outcomes, especially among patients with chronic kidney disease (CKD), according to a study published online April 27 in Clinical Journal of the American Society of Nephrology.

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Routine Blood Tests Can Harm Patient Care

FRIDAY, April 28, 2017 (HealthDay News) -- Routine blood tests waste money and can damage patient care, according to an opinion piece published online April 27 in the BMJ.

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Older Women Show Limited Understanding of Osteoporosis

FRIDAY, April 28, 2017 (HealthDay News) -- Many older women have low awareness about osteoporosis and its contribution to fracture risk and a lack of understanding about the benefits of osteoporosis pharmacotherapy, according to a study published April 19 in the Journal of the American Geriatrics Society.

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Risk Factors in Six Areas Tied to Physician Burnout

THURSDAY, April 27, 2017 (HealthDay News) -- Physician burnout factors include control, whether there is time to deliver excellent care, and whether the workplace is fair, according to a presentation at the Medical Group Management Association/American Medical Association 2017 Collaborate in Practice Conference, held April 9 to 11 in Chicago.

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Single-Payer Health System Bill Moves Forward in California

THURSDAY, April 27, 2017 (HealthDay News) -- A proposal to replace private insurance with government-funded health care for all moved forward in California on Wednesday as Democrats on the Senate Health Committee voted to advance the measure.

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Undiagnosed Macular Degeneration Appears Common

THURSDAY, April 27, 2017 (HealthDay News) -- Approximately one-fourth of eyes deemed to be normal based on eye examination by primary eye care physicians have age-related macular degeneration (AMD) determined by fundus photography and trained raters, according to a study published online April 27 in JAMA Ophthalmology.

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Metal Sensitization More Likely for Women After Arthroplasty

THURSDAY, April 27, 2017 (HealthDay News) -- Among patients reporting pain but no infection after total joint arthroplasty (TJA), women have a higher rate and greater severity of metal sensitization than men, according to a study published April 19 in the Journal of Bone & Joint Surgery.

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CDC: Opioid-Related Mortality Rate Might Be Underestimated

WEDNESDAY, April 26, 2017 (HealthDay News) -- The prescription drug abuse epidemic in the United States might be associated with a higher mortality rate than has been reported previously, according to a report from the U.S. Centers for Disease Control and Prevention presented April 24 at the Epidemic Intelligence Service conference in Atlanta.

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FDA Warns Companies Selling Fraudulent Cancer Treatments

WEDNESDAY, April 26, 2017 (HealthDay News) -- The U.S. Food and Drug Administration (FDA) on Tuesday posted warning letters to 14 companies that are illegally selling more than 65 unproven cancer treatments.

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Many Patients With Alzheimer's Disease Discontinue AChEIs

WEDNESDAY, April 26, 2017 (HealthDay News) -- Discontinuation of acetylcholinesterase inhibitors (AChEIs) for treatment of Alzheimer's disease is common, with adverse effects and cost cited as major factors, according to a study published recently in the Journal of the American Geriatrics Society.

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Post-Op hsTnT Linked to 30-Day Mortality After Noncardiac Sx

TUESDAY, April 25, 2017 (HealthDay News) -- Peak postoperative high-sensitivity troponin T (hsTnT) is associated with increased risk of 30-day mortality among patients undergoing noncardiac surgery, according to a study published online April 25 in the Journal of the American Medical Association.

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Use of HEART Score Has Limited Impact for Chest Pain in ER

TUESDAY, April 25, 2017 (HealthDay News) -- Use of the History, Electrocardiogram, Age, Risk factors, and initial Troponin (HEART) score is safe but has a limited effect on health care resource use among patients presenting at the emergency department with chest pain, according to a study published online April 24 in the Annals of Internal Medicine.

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Exercise Improves Cognitive Function in Those Over 50

TUESDAY, April 25, 2017 (HealthDay News) -- Physical exercise improves cognitive function in people over 50 years of age, according to a review published online April 24 in the British Journal of Sports Medicine.

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Central Obesity Ups Mortality Across BMI Range

TUESDAY, April 25, 2017 (HealthDay News) -- Central obesity is associated with increased risk of mortality even in normal-weight individuals, according to a study published online April 24 in the Annals of Internal Medicine.

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Mindfulness-Based Stress Reduction May Ease Back Pain

TUESDAY, April 25, 2017 (HealthDay News) -- For patients with low back pain, mindfulness-based stress reduction (MBSR) may be associated with short-term improvements in pain intensity and physical functioning, according to a review published online April 24 in the Annals of Internal Medicine.

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Gut Bacteria May Convert Choline Into Clot-Enhancing Compound

TUESDAY, April 25, 2017 (HealthDay News) -- Consuming excess choline raises levels of the bacteria-produced compound trimethylamine N-oxide (TMAO) and increases the tendency of platelets to clump together and form clots, according to a study published online April 24 in Circulation.

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T2DM Risk Cut by Variant in Sulfonylurea Receptor Encoder

TUESDAY, April 25, 2017 (HealthDay News) -- A common missense variant in the gene encoding a component of the sulfonylurea receptor (ABCC8 p.A1369S), which promotes closure of the target channel of sulfonylurea therapy, mimicking the effects of therapy, is associated with reduced risk of type 2 diabetes and coronary heart disease, according to a study published online April 14 in Diabetes.

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Neutrophil-to-Lymphocyte Ratio Predicts Mortality in CAP

MONDAY, April 24, 2017 (HealthDay News) -- Neutrophil-to-lymphocyte ratio (NLR) can predict 30-day mortality for elderly adults with community-acquired pneumonia (CAP), according to a study published online April 13 in the Journal of the American Geriatrics Society.

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PSA Screening Rates Have Leveled Off in U.S.

TUESDAY, April 25, 2017 (HealthDay News) -- Rates of prostate-specific antigen (PSA) screening have leveled off after declining for a number of years in the United States, according to a research letter published online April 24 in JAMA Internal Medicine.

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ERs Administering More Medications Intranasally

MONDAY, April 24, 2017 (HealthDay News) -- A growing number of U.S. emergency departments are giving patients medication through the nose instead of via injections or intravenously, according to a study published recently in the Annals of Emergency Medicine.

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Mortality Up for Opioid Addicts Not Treated in Addiction Clinics

MONDAY, April 24, 2017 (HealthDay News) -- Opioid addicts who get their medical care in settings such as primary care offices and hospitals, rather than addiction centers, are twice as likely to die as opioid addicts treated in addiction clinics, according to a study published online April 20 in the Journal of Addiction Medicine.

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Microvascular Endothelial Dysfunction Can Predict Dementia

FRIDAY, April 21, 2017 (HealthDay News) -- Markers of microvascular endothelial dysfunction can predict dementia, according to a study published online April 13 in the Journal of Internal Medicine.

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Vertical Integration Linked to Reduction in Readmissions

THURSDAY, April 20, 2017 (HealthDay News) -- Vertical integration, merging health care providers of different levels into a single unit, is associated with a reduction in readmissions overall, although the positive effect is seen for a limited number of conditions, according to a study published in the May issue of Medical Care.

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Artificially-Sweetened Drinks Linked to Stroke, Dementia Risk

THURSDAY, April 20, 2017 (HealthDay News) -- Consumption of artificially-sweetened drinks is associated with increased risk of stroke and dementia, according to a study published online April 20 in Stroke.

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Antipsychotic Medication Use Can Be Reduced in Dementia Patients

THURSDAY, April 20, 2017 (HealthDay News) -- Hoping to cut the use of antipsychotic drugs in nursing home residents, researchers tried training staff on new ways to meet the needs of residents with dementia. Their findings were published online April 17 in JAMA Internal Medicine.

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Electronic Drug Administration Record App Cuts Errors

THURSDAY, April 20, 2017 (HealthDay News) -- Use of an electronic medication administration record (eMAR) application can reduce the rate of medication errors in medication administration recording (ME-MAR), according to a study published online April 18 in the Journal of Evaluation in Clinical Practice.

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Just Over Half of MI Patients Taking Statins As Recommended

THURSDAY, April 20, 2017 (HealthDay News) -- Many myocardial infarction patients aren't taking statins as recommended, according to a brief report published online April 19 in JAMA Cardiology.

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Slow Processing Speed Predicts Falls in Elderly

THURSDAY, April 20, 2017 (HealthDay News) -- Slow processing speed predicts future falls in older adults with a history of falls, according to a study published online April 8 in the Journal of the American Geriatrics Society.

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QI Intervention Aids Medication Safety for Elderly in ER

THURSDAY, April 20, 2017 (HealthDay News) -- A quality improvement initiative that combines education, electronic clinical decision support, and individual provider feedback can positively influence prescribing behavior and improve medication safety for older adults in the emergency department, according to a study published online April 7 in the Journal of the American Geriatrics Society.

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Potential Benefits, Risks of OpenNotes Discussed

WEDNESDAY, April 19, 2017 (HealthDay News) -- The benefits of sharing notes with patients include improved patient engagement and empowerment, while potential risks may include more phone calls, questions, and increased documentation time, according to a report published in Medical Economics.

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Review: Interventions Don't Promote Exercise in Rural Adults

WEDNESDAY, April 19, 2017 (HealthDay News) -- Interventions to promote physical activity (PA) among adults have no effect in rural communities, according to a review published online April 11 in Obesity Reviews.

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Evaluation Strategies Compared in Microscopic Hematuria

WEDNESDAY, April 19, 2017 (HealthDay News) -- The combination of renal ultrasound and cystoscopy is the most cost-effective of four diagnostic approaches for the initial evaluation of asymptomatic microscopic hematuria (AMH), according to a study published online April 17 in JAMA Internal Medicine.

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Single hs-cTnT Measure, Non-Ischemic ECG Can Rule Out AMI

WEDNESDAY, April 19, 2017 (HealthDay News) -- For adults presenting to the emergency department with chest pain, a single high-sensitivity assay for cardiac troponin T (hs-cTnT) below the limit of detection and a non-ischemic electrocardiogram (ECG) can rule out acute myocardial infarction (AMI), according to a meta-analysis published online April 18 in the Annals of Internal Medicine.

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LVAD Can Restore Full Cardiac Function in Heart Failure Patients

WEDNESDAY, April 19, 2017 (HealthDay News) -- Battery-operated left ventricular assist devices (LVADs) may restore cardiac function for some heart failure patients, according to a study published in the April 18 issue of the Journal of the American College of Cardiology.

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No Proof Azithromycin Ups Odds of Ventricular Arrhythmia

TUESDAY, April 18, 2017 (HealthDay News) -- Azithromycin doesn't appear to increase the risk of ventricular arrhythmia, according to a study published online April 18 in CMAJ, the journal of the Canadian Medical Association.

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Differing Statin Guidelines Leave Many Clinicians Uncertain

TUESDAY, April 18, 2017 (HealthDay News) -- If all clinicians followed U.S. Preventive Services Task Force (USPSTF) guidelines for prescription of a statin, nine million fewer adults would be taking such medication versus adherence to the American College of Cardiology/American Heart Association recommendations, according to a study published in the April 18 issue of the Journal of the American Medical Association.

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Glucose Variation Doesn't Affect Microvascular Complications

TUESDAY, April 18, 2017 (HealthDay News) -- Measures of glycemic variability in type 1 diabetes, based on complete quarterly 7-point glucose profiles, fail to provide evidence that glycemic variability contributes to the risk of development or progression of microvascular complications beyond the influence of mean glucose levels, according to a study published online April 12 in Diabetes Care.

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Costs Up With Specialist As Predominant Provider of Care

TUESDAY, April 18, 2017 (HealthDay News) -- For older adults with multimorbidity, having a specialist as the predominant provider of care (PPC) is associated with higher spending and lower continuity of care, according to a study published online April 8 in the Journal of the American Geriatrics Society.

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Increase in Prostate Needle Biopsy-Linked Infection in N.Y.

TUESDAY, April 18, 2017 (HealthDay News) -- Infectious complications after prostate needle biopsy increased from 2011 to 2014 across New York State, according to a study published in the April issue of The Journal of Urology.

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Retail Medical Sites Expanding to Provide Primary Care

MONDAY, April 17, 2017 (HealthDay News) -- Pharmacy chains are continuing to develop primary care venues within their stores, according to an article published in Medical Economics.

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Doctors Need to Be Mindful of What They Post on Social Media

MONDAY, April 17, 2017 (HealthDay News) -- Young doctors often have unprofessional or offensive content on their Facebook profiles, according to a study published online April 9 in BJU International.

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Dizziness in Parkinson's May Be Due to Cerebral Hypoperfusion

MONDAY, April 17, 2017 (HealthDay News) -- Cerebral hypoperfusion contributes to dizziness in patients with Parkinson's disease (PD), even without orthostatic hypotension (OH), according to a study published online April 12 in the Journal of Clinical Ultrasound.

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One in Five Post-Op Patients Need Unscheduled Help

MONDAY, April 17, 2017 (HealthDay News) -- A sizable minority of patients need to make contact with health services after outpatient surgery, most often due to inadequate pain management, according to a study published online April 10 in Anesthesiology.

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Major Bleeding Risk From Drugs Similar in Elderly

MONDAY, April 17, 2017 (HealthDay News) -- The risk of major bleeding is similar for older patients with atrial fibrillation taking either antiplatelet or anticoagulant drugs, according to a review published online April 10 in the Journal of Thrombosis and Haemostasis.

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AAFP: Educational Videos Created to Boost Adult Vaccine Uptake

FRIDAY, April 14, 2017 (HealthDay News) -- A series of short videos focusing on increasing influenza, zoster, and pneumococcal vaccine uptake among adults have been created, according to a report from the American Academy of Family Physicians (AAFP).

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Yoga Helps Ease Side Effects of Prostate Cancer Treatment

FRIDAY, April 14, 2017 (HealthDay News) -- Among prostate cancer patients, novice yoga practitioners experience renewed energy and fewer of the sexual and urinary symptoms tied to radiation treatment, compared with men who don't practice yoga, according to research published recently in the International Journal of Radiation Oncology, Biology, and Physics.

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Reduced Glomerular Filtration Rate Major Cause of CV Deaths

FRIDAY, April 14, 2017 (HealthDay News) -- Kidney disease is a major cause of cardiovascular deaths worldwide, according to a study published online April 13 in the Journal of the American Society of Nephrology.

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High Readmission Rates for Critical Limb Ischemia

FRIDAY, April 14, 2017 (HealthDay News) -- Patients with critical limb ischemia (CLI) have a high risk of readmission, with most of the readmissions unplanned, according to a study published in the April 18 issue of the Journal of the American College of Cardiology.

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Accurate Diagnosis of Endocrine Hypertension Important

THURSDAY, April 13, 2017 (HealthDay News) -- An accurate diagnosis of endocrine hypertension allows clinicians to provide effective treatment, including a surgical cure or to achieve an optimal response with specific pharmacologic therapy, according to a scientific statement published online April 5 in Endocrine Reviews.

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Delays in Emergency Care Up Mortality During Major Marathons

THURSDAY, April 13, 2017 (HealthDay News) -- Nearby residents appear more likely to die from acute myocardial infarction and cardiac arrest during a marathon, according to research published in the April 13 issue of the New England Journal of Medicine.

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Surgery Often the Starting Point for Opioid Addiction

THURSDAY, April 13, 2017 (HealthDay News) -- Certain surgery patients prescribed opioids for postoperative pain relief may face a higher risk for developing a persistent opioid addiction, according to research published online April 12 in JAMA Surgery.

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Diabetes Continues to Be a Significant Public Health Burden

THURSDAY, April 13, 2017 (HealthDay News) -- The incidence of diabetes is increasing among young persons, although some progress is seen with mortality and incidence of cardiovascular outcomes among patients with the disease, according to research published in the April 13 issue of the New England Journal of Medicine.

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Mortality Up With Depression Just Before Breast Cancer Diagnosis

THURSDAY, April 13, 2017 (HealthDay News) -- Women with newly-developed depression before a breast cancer diagnosis have a modestly, but significantly, increased risk for death, according to a study published online April 7 in Cancer.

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FDA Approves First Drug for Treatment of Tardive Dyskinesia

WEDNESDAY, April 12, 2017 (HealthDay News) -- Ingrezza (valbenazine), the first drug to treat adults with tardive dyskinesia, has been approved by the U.S. Food and Drug Administration.

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Physicians Are Spending Half Their Time on Computer Tasks

WEDNESDAY, April 12, 2017 (HealthDay News) -- Physicians spend roughly as many hours on computer work as they do meeting with patients, according to a study published in the April issue of Health Affairs.

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PSA Test Often Occurs Without Discussion of Benefits, Harms

WEDNESDAY, April 12, 2017 (HealthDay News) -- Fewer than one in three men screened with the prostate-specific antigen (PSA) test for prostate cancer talked about the risks and benefits of the test with their doctor, according to a study published online recently in Urology.

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Expectations, Concerns Vary With Age for Adults at Pain Clinic

WEDNESDAY, April 12, 2017 (HealthDay News) -- Patient expectations and concerns vary by age among adults attending a chronic pain clinic, according to a study published online March 30 in Pain Practice.

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Midlife Vascular Risk Factors Associated With Elevated Amyloid

WEDNESDAY, April 12, 2017 (HealthDay News) -- Individuals with risk factors for cardiovascular disease and stroke in middle age are more likely to have elevated levels of amyloid, according to a study published in the April 11 issue of the Journal of the American Medical Association.

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Care Transitions Common at End of Life for Medicare Recipients

WEDNESDAY, April 12, 2017 (HealthDay News) -- More than one-third of Medicare beneficiaries who died in 2011 had at least four care transitions during their last six months of life, according to a study published online April 3 in the Journal of the American Geriatrics Society.

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Doctor Communication Style Key During Bad-News Encounters

TUESDAY, April 11, 2017 (HealthDay News) -- Enhanced patient-centered communication (E-PCC) positively impacts patients' psychological state during bad-news encounters, according to a study published online April 5 in Cancer.

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AHA: Patients Lack Confidence in Managing Their Cholesterol

TUESDAY, April 11, 2017 (HealthDay News) -- Many patients report lack of confidence or knowledge in keeping cholesterol under control, a new American Heart Association survey shows.

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Past Psychiatric Disorders Do Not Raise Risk of Alzheimer's Disease

TUESDAY, April 11, 2017 (HealthDay News) -- Having a mental health disorder doesn't translate into a higher risk of Alzheimer's disease later in life, according to a study published in European Psychiatry.

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Questionnaire-Based Approach Valid for Identifying Frailty

TUESDAY, April 11, 2017 (HealthDay News) -- A questionnaire-based approach seems to be valid for identifying adults in the intensive care unit with a frailty phenotype, according to a study published online March 30 in the Annals of the American Thoracic Society.

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Integrated E-Prescribing Can Cut Prescribing, Dispensing Errors

MONDAY, April 10, 2017 (HealthDay News) -- An integrated electronic medication prescribing (e-prescribing) and dispensing system can reduce prescribing and dispensing errors, according to a study published online March 30 in the Journal of Pharmacy Practice and Research.

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Benzodiazepines May Up Risk of Pneumonia in Alzheimer's Disease

MONDAY, April 10, 2017 (HealthDay News) -- Patients with Alzheimer's disease who use benzodiazepines may have an increased risk for pneumonia, according to a study published in the April 10 issue of CMAJ, the journal of the Canadian Medical Association.

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Surgery May Not Be Necessary in Acute Biliary Pancreatitis

MONDAY, April 10, 2017 (HealthDay News) -- Immediate cholecystectomy may not always be necessary for patients with acute biliary pancreatitis, according to research published in the March issue of the American Journal of Gastroenterology.

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Exercise Capacity Prognostically Beneficial for Patients

MONDAY, April 10, 2017 (HealthDay News) -- Cardiopulmonary exercise testing, unless contraindicated, should be performed to obtain an overall view of cardiac and pulmonary patients' clinical status, according to a review published online March 31 in the Annals of the American Thoracic Society.

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Multivitamin Use Does Not Benefit Cardiovascular Health in Men

FRIDAY, April 7, 2017 (HealthDay News) -- A daily multivitamin doesn't benefit cardiovascular health in men, according to a study published online April 5 in JAMA Cardiology.

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MACRA Changes Government Approach to Doctor Payment

FRIDAY, April 7, 2017 (HealthDay News) -- Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) has made fundamental changes to the government's approach to physician payment, according to a March 27 policy brief published in Health Affairs.

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SGA Prescribing Higher for Veterans With PTSD/Dementia

FRIDAY, April 7, 2017 (HealthDay News) -- Elderly veterans with post-traumatic stress disorder (PTSD) with dementia have increased odds of being prescribed second-generation antipsychotics (SGAs) compared with those with PTSD alone, according to a study published online April 3 in the Journal of the American Geriatrics Society.

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Occupational Therapy Ups Functioning in Frail Seniors

THURSDAY, April 6, 2017 (HealthDay News) -- For physically frail older adults, occupational therapy is associated with improved functioning, according to a review published online April 3 in the Journal of the American Geriatrics Society.

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Risk Adjustment, Reinsurance Transfer Offer Financial Benefit

THURSDAY, April 6, 2017 (HealthDay News) -- Risk adjustment and reinsurance transfer programs seem to have been effective for increasing revenues at the expense of claims costs, according to research published in the March issue of Health Affairs.

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Rates of Colorectal CA Screening Lower for Adults With Disabilities

THURSDAY, April 6, 2017 (HealthDay News) -- American adults with disabilities have lower colorectal cancer screening rates than other adults, according to a study published recently in the American Journal of Preventive Medicine.

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Pre-Stroke Fitness, but Not BMI, May Predict Post-Stoke Disability

THURSDAY, April 6, 2017 (HealthDay News) -- Stroke patients who are active and exercise regularly before the event have a lower risk of post-stroke disability, but body mass index does not appear to be related to the decreased risk, according to a study published online April 5 in Neurology.

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Higher Risk of Cardiovascular Events With Weight Fluctuations

THURSDAY, April 6, 2017 (HealthDay News) -- Fluctuation in body weight is associated with higher mortality and a higher rate of cardiovascular events -- independent of traditional cardiovascular risk factors -- in patients with coronary artery disease, according to a study published in the April 6 issue of the New England Journal of Medicine.

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No CVD Protection Seen With Monthly High-Dose Vitamin D

THURSDAY, April 6, 2017 (HealthDay News) -- Taking high doses of vitamin D once a month won't lower the risk for cardiovascular disease, according to a study published online April 5 in JAMA Cardiology.

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'SuperAgers' Have Less Whole-Brain Cortical Volume Loss

WEDNESDAY, April 5, 2017 (HealthDay News) -- Cognitively-average elderly adults have greater annual whole-brain cortical volume loss than adults age 80 years and older with episodic memory ability at least as good as that of average middle-age adults (SuperAgers), according to a research letter published in the April 4 issue of the Journal of the American Medical Association.

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Bone, Basal Metabolism Link Depends on Vitamin D Level

WEDNESDAY, April 5, 2017 (HealthDay News) -- For postmenopausal women with type 2 diabetes mellitus (T2DMPW), the correlation between bone metabolism and basal metabolism seems to be dependent on serum 25-hydroxyvitamin D (25[OH]D) levels, according to a study published online March 31 in the Journal of Diabetes Investigation.

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Ruling Out Penicillin Allergy by Testing Inpatients Saves Money

WEDNESDAY, April 5, 2017 (HealthDay News) -- Inpatient penicillin allergy testing is effective for ruling out penicillin allergy, and results in increased prescription of penicillin and cephalosporin, according to a review published online March 29 in Allergy.

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Second Opinion Yields Different Diagnosis for 1 in 5 Patients

WEDNESDAY, April 5, 2017 (HealthDay News) -- One-fifth of patients who sought a second opinion recently at a single academic medical center had received a different diagnosis from their primary care providers, according to a study published online April 4 in the Journal of Evaluation in Clinical Practice.

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Doctors Must Be Wary of HIPAA Violations With Online Reviews

TUESDAY, April 4, 2017 (HealthDay News) -- Physicians should be aware that responding to a negative health care review could potentially expose personal medical information, resulting in a Health Insurance Portability and Accountability Act (HIPAA) violation, according to an article published in Medical Economics.

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Geographic Variation in Admission for Opioid Tx Programs

TUESDAY, April 4, 2017 (HealthDay News) -- There is geographic variation in treatment admissions among opioid treatment programs that accept Medicaid, according to a study published online March 27 in Health Services Research.

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Variation in Occupational Influenza Vaccination Coverage

TUESDAY, April 4, 2017 (HealthDay News) -- There is variation in influenza vaccination coverage by industry and occupation, including among health care personnel and other occupational groups who may have first priority to receive influenza vaccination during a pandemic (tier 1), according to a study published in the April 1 issue of the American Journal of Infection Control.

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Use of Health Literacy Tools Can Promote Shared Decision Making

MONDAY, April 3, 2017 (HealthDay News) -- Use of health literacy tools is encouraged for facilitating shared decision making (SDM), according to an article published in the March issue of the AMA Journal of Ethics.

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Twenty-Five Food Categories Explain 70 Percent of Salt Intake

MONDAY, April 3, 2017 (HealthDay News) -- For U.S. persons, 70 percent of dietary sodium comes from 25 food categories, with bread the top contributor, according to research published in the March 31 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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